PRE 2010 DOCSCaty of Fridley, NU n..
PERMITBURDING N® 6898
Date:
Owner: d4l=� w 74 Builder
Address Address
LOCATIgN OF B 1 G
No. street of Lot
Lot _ ___ Block Addition or Sub-Divisionif ry - ---- —
Corner Tat Inside Lot Setback cf?�Sideyard � � ® V
Sewer Elevation Y 5-&'- -� Y --ve en Elevation S' ° •�
7-0,p a Fov r, nl G
DESCRIPTION OF BUILDING
T U �
Front Depth Height Sq. Ft Z Cu. Ft 6-V
Front Depth Height Sq. Ft Cu. Ft.
4
Type of nstructi Est To be Completed
In consideration of the issuance to me of a permit to c uilding described a e, I to do
the proposed work in accordance with the description above seforth in com th all ons of
ordinances oP the city of Fridley. r '
In consideration of the payment of a fee of `� , permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances
NOTICE:
This permft does ant corer the construction, instaUdion for wiring, phmrhisg, gas hosting, sewer or water. Be arca to nes
the Building inspector for separate permits for these hems.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name Builder CLEMRON INC®
Address Address 3619 -BENJAMIN, ST N„.E
LOCATION OF BUILDING
No. 7378 SYMPHONY Street Part of Lot
Lot7 _
Block
Addition,
or
Subdivision MelodyManor
Corner Lot X
Inside
Lot
Setback
-35Side-Yard
5 &iZ
SWER ELEVATION FOUNDATION ELEVATION -
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
To be used as e
12weiling Front 12 Depth 25 Height 8
Sq. Ft. 1050 Cu. Ft•
Garahe Front 20 Depth LL0, eight 8
Sq. Ft. 8_d0 cu. Vt.
Type.of Construction Frame Estimated Cost 190„OQ®00
To be Completed Ma 11 61�
The undersigned hereby makes application for a permit for the work
herein specified, agreeing to do all.work in strict accordance with
the:.City.of Fridley ordinances and ruling of the Department of Build-
ings,. and hereby declares that all, the facts and representations.
stated in this application are true and correct.
DATE E17/61.L_ , . SIGNATURE
(Schedule of Fee Costs can be found on the Reverse.Side)..
BUILDING PERMIT FEE SCHEDULE
section 2. ' The inspector of Buildings shall, before issuing any
permit for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alterations
or repairs to any existing building or structure, upon application
therefor, require the payment by the applicant for such permit of
fees to the amount herein below set forth and in the manner herein
provided to—wito
,2_;1. For any such permit for the erection of any fire -proof building,
other than a garage, warehouse, factory or grain elevator, or for the
erection of any fire -proof addition, for similar occupancy, to any
existing building shall be at the rate of $1.40 for each one thousand
cubic feet, or fraction thereof, in such cubical contents.
..2.. For any such permit for the erection of any fire -proof garage,
warehouse, factory or grain elevator, or for the erection of any fire-
proof addition, for similar occupancy, to any existing building shall
be at the rate of $1.25 for each one thousand cubic feet, classified
as "fireproof" by Section 542 of the Minneapolis Building Code.
HOU ES
2.3. For any such permit for the erection of any non -fireproof build-
ing other than a garage, warehouse, factory or grain elevator, or any
non -fireproof addition, for similar occupancy, to any existing building
Permit $1.00 for each one thousand cubic feet.
2.4. For any such permit for the erection or any non -fireproof
garage, warehouse, factory or grain elevator, or for the erection of
any non -fireproof addition, for similar occupancy,.to any existing,
building or for each such building or addition. Ninety Cents for each
one thousand cubic feet or fraction thereof, in the cubical contents
thereof with a minimum of $4.00.
For the purpose of computing fees for building permits the cubical con-
tents of any building or addition to a uniform height throughout by
multiplying the ground area covered from a point six (6) inches below
the floor line of the basement or cellar to the average height of the
upper surface or to the average height of the roof surface of the main
gable of a pitched roof.
2;5. For repairs or alterations to an existing structure,, the fee
shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00)
or fraction thereof in the cost of all proposed work.
22.6. In no case shall the foe charged for any permit as set forth in
Suction 2 be less tha- $4.00.
City of Fridley
Application for Piam ing and Ccs Fitting Permit
Dept. of Bldgs. Phone SF 4-7
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ......................
— x $1.50
$
Future Fixture Opening ................
x 1.20
$
QQ� w
a
x 1.00
$
m
Z
�U'
x 3.25
+
WATER HTR.
Water Heater (Up to 200,000 BTU) ......
% x 2.00
$
New Ground Run Old Bldg . ............
x 3.25
$
?
;�
p�
GAS FITTING FEES:
O
��
6
(�9�
�U' 4a
O
F
N
GAS
ELEG
�
x 2.00
$
Base
j
1st
2nd
_
3rd
4th
• Future Connection Openings
Connected with
Sewer �
New Fixture, Old Openings
Cessp�L�
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ......................
— x $1.50
$
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
Water Heater (Up to 200,000 BTU) ......
% x 2.00
$
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO. RATE
TOTAL
1st 3 Fixtures ..........................
x $1.50
$
��
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description .............................................. $
TOTAL FEE °
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn—
Owner
inn Owner
Kind of Building
Used as
To be completed about
v
Estimated Cost, $ %
Old ew.ding Permit No Permit No.
uil
Signed
By �1b �► �, 11 p
Business Phone No m �-3 0
ROUG Id
FINAL
P�
— /707
S_�
r/da
-�--
"Z ®l�
az 2M 7-59
Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Furnace Shell & Duct Work .........................
8.00
$
Replacement of Furnace .............................
5.00
$
Repairs & Alterations—up to $500.00 .................
5.00
$
Repairs & Alterations each add. $500.00 ...............
2.50
$
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ �/
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
- Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
..
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $
Additional Fixtures x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $ J�
ROUGH
FINAL
Dept. of Bldgs. Phone SU 4 -
City of Fridley: v
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true/ and correct.
Fridley, inn -� fi4- r � y 4441
Owner
Kind of Building ts2a7
Used as
To be completed about L
Estimated Cost, $
d®
O1 New: Building Permit No. Permit No. C�k 6
DESCRIPTION OF WORK
HEATING orP WER PLANTS- Steam, Hot Wa �WarmAlr--�I�to
f
i
Trade Nam / C�2 Size No d
Capacity Sq. Ft. E.D.R. � �� "-z' BTU / H.P.
Total Connected Load �f 4 Rind of Fuel`
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
SPRAY N.WELsTER HEATING CO.
4637 CHICAGO AVE. gTA
.W42 zH► Business Phone No
1 CO
HEAT LOSS CALMLATIONS , 941 DEPARTMENT OF BUILDINGS
Weatherstrips
°�� Construction No. Insulation
Guide
Reference Out. Wall Inc. Wall Ceiling Roof Floor Kind How Applied .
19— .
_
WindowsDors
I
CG No e No
11.+ Dona Length Width %� . Height . , - d2 .
Fl.l . ` Room Length Width -b Sleight
Windows .and Doors-Crackage and Area
=
Coef.. Btu -i
Windows and Doors—Crackage and Area
width Height No. of Lineal ft. Area
No., of pane of pane lights of crack sq. ft.
No.
Width height No. of Lineal A. Area
of pane' of pa"'e lights of crack . sq. ft;
Floor
Coef. Btu - .
Infiltration
+
Infiltration .+
Glass1
40
Glass. A/ .600 IQZO
Exp. wall �
Exp. wall ,
e Net exp. wall
Int. wall
40
Net exp. wall
Int. wall
Ceiling
Ceiling
Floor
Floor
Total Btu. kr6 Z
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sqe ins. W.A. Leader area
Room Length Width Height o
Fl.l Room I l..ength �• Width. 'ter ,Sleight t�
Windows and Doors=–Ctackage and Area
blind and Doors—Crackage and Area
width Heisht No. o! Lineal et. Area
W— , o .... we ..�,,w ushta of crack so. ft.
Width Height No.. of Lineal ft. Area
No. :of pane of pane Ilghte of crank eq. ft.
Total Btu.. 1 "•
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. Room I Length • Width *ight ff
Windows and Doors—Crackage and Area
Width Height No. of Lineal et. Area
No. of pjane of pane lights of wc.r�ack sq.
pfgt.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wan'
Int. wall
Ceiling
Floor
Total Btu.
Requite sq. ft. E.D.R. or sq. ins. W.A. Leader area -
B.D. 218
0
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W:A. Leader area
F1.I . Room' Le , •. Width Leight S
Windows rs—Crackage and Area
Math )Height Ne oY Lineal ft. Area
Rio of pane oY pa�nye lights of cracks sq. ft,
"Btu
ft. E.D.R. or sq. ins. W.A. Leader area .1
Coef. - Btu '.
Infiltration
Glass
Exp. wall AT f
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.. 1 "•
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. Room I Length • Width *ight ff
Windows and Doors—Crackage and Area
Width Height No. of Lineal et. Area
No. of pjane of pane lights of wc.r�ack sq.
pfgt.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wan'
Int. wall
Ceiling
Floor
Total Btu.
Requite sq. ft. E.D.R. or sq. ins. W.A. Leader area -
B.D. 218
0
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W:A. Leader area
F1.I . Room' Le , •. Width Leight S
Windows rs—Crackage and Area
Math )Height Ne oY Lineal ft. Area
Rio of pane oY pa�nye lights of cracks sq. ft,
"Btu
ft. E.D.R. or sq. ins. W.A. Leader area .1
A_ M
. BEAT LOSS CALCULATIONS
DEPARTMENT OF BUILDINGS Bloomington
Weatherstrips
.S.I I.Ve
Guide
Reference
19—
�. IBoona 0 Ls Width
Construction No.
Windows and Doors—Crackage and Area
width .Height No. of Lineal ft. Area
No, of pane of pane lights of crack sq. ft.
" Insulation
Windows
Yes—No
Doors
I Yes—No
out. Wan Int. Wall Ceiling
Roof Floor
Il;iind How Applied .
Coe£ Btu
Coef. Btu
Fl.j Rooms I Length Width
Windows and cors—Crackage and Area
Width • Height No. of Lineal P . Area
No. of pane of pane lights of crack sq. ft..
Hepght D
-
F1.0 Bgd, Room Length Wiath ,�, Height
Windows and Doors—Crackage and Area
Net exp. wall
Net expe wall
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sti. ft.
jdt. wall s 1
Ceiling
k AT A
Ceilln�
Floor
Floor
Total Btu.
Coef.1 Btu
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sq. ins. W.A. I&r :area
Coef. Btu .
Infiltration
Glass
loll Jf
- .
Infiltration .
.a�
Glass.
Sea
FAp. wall
Exp. wall
,-Net exp. wall
Int. wall ° 116444
Ceiling
Floor
Net exp. wall
wall '.
— 47so,
st)
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Total Btu.
Required sq. ft. E.D.R. or sq: ins. W.A. Leader area
JK Ft Room Length 070 Width
11Height"21
M I Roorrl (Length / Width I $eight'
Windows and Doors-Crackage and Area
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Width Height No.of Lineal ft. Area
No. of pane of pane fights of crack eq. ft.
I
�. IBoona 0 Ls Width
Height
Windows and Doors—Crackage and Area
width .Height No. of Lineal ft. Area
No, of pane of pane lights of crack sq. ft.
Coef. - Btu
Infiltration
Glass
Exp. wall
Width 3Frelght No. of Lineal ft. Area
Ne. of pane of pane lights of crack Se. ft.
Net exp. wad
Int. wall
Ceiling
,
Floor17
Coe£ Btu
a
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. 'Area
No. oP gano of�yv"O lights of crack sq. ft.
Total Btu,.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I r7 a /0—
,Required
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I
Fl. Rooms Length E. Width hleight
�. IBoona 0 Ls Width
Height
Windows and Doors—Crackage and Area
width .Height No. of Lineal ft. Area
No, of pane of pane lights of crack sq. ft.
Windows and Doors—Crackase and Area
Width 3Frelght No. of Lineal ft. Area
Ne. of pane of pane lights of crack Se. ft.
Coe£ Btu
Coef. Btu
Infiltration1 75 /Z
Glass
Infiltration
Maas
Exp. wall
Exp. wall
Net exp. wall
Net expe wall
jdt. wall s 1
Ceiling
",JAL wall
Ceilln�
Floor
Floor
Total Btu.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sq. ins. W.A. I&r :area
B.D. 210
su9JECT
PER
City of Fridley
2 8 22
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
r
REITY
.57203fo�mj� DEVELOPMENT DIV.��
r PROTECTIVE INSPECTION SEC,
i
res/
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 83 32NumBER
L 612-571-3450
9t0 -F15
10113198
JOB ADDRESS
7378 S hony Street NE
T LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
7
5
Melody Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Haakon Oksnevad
780-1116
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Handy Enterprises Inc. 3070 Lake Ride Dr
i Lake - 20071832
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION a REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside house and garage
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Call for building wrap inspection before covering.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. '
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$7500 $3.75
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEEi SAC CHARGE
PROVISIONS OF ANY OTHE STATE OR LOCAL LAW REGULATING CON•
STRUCTION OR T PERFO CE OF CONSTRUCTION
$137.25 Fire SC $7.50
o^ /{ �J C �n C
V V t CEJ-''(✓� J`
PLAN CHECK FEE OTAL FEE
Lice 5.00 A $153.16
SIGNATURE OF CONTRACTOR OR AUTHO�E0 AGENT (DATE-
EN P OPER IDATEO THI IS YOUR PERMIT
SLOG NSP !! OATE
S.GNATURE OF OWNEROF OWNER BUILDERS tDATEi
ITjo "A
ADDN [ ] CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Effective 1/ 1/98
ci� t!Q II'- . , Tel. # ri `<) R,
Ufr SdS V4�C MN LICENSE #
e.-- Tel. #� ^G2ZC�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Driveway Curb Cut Width Needed:
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT:
�tunated Cost: $2; 5 00 -
(Fee Schedule oJ Back)
Ft. + 6 Ft = Ft x $ = $
CITY USE ONLY
Fee Schedule on Reverse Side
Tel. #
$ , .O
.001 of Permit Valuation (1/10th%)
$
$.50/$1,000 Valuation
$
$1000 per SAC Unit
$ ��=
$5.00 (State Licensed Residential Contractors)
$
Alt. "A" or Alt. "B" Above
$
$450.00 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement Necessary [ ] Not Necessary [ ]
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE ` FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
r
CITY OF FRIDLEY INSPECTION DIVISION
3 s �& �9
,
Effective On January 1, 1999
6431 University Ave NE
/
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS -73 7 9
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential
Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00
$ 30, t9v
representations stated in this application are true and correct. l9 p0;
(Side Vent — Fill Out Back)
:- �5' ;
Gas Piping (Needed with new furnace,
$10.00
$
..s .S We IOW
but not replacement)
OWNER
Gas Range
$10.00
$
BUILDING USED AS ���
Gas Dryer
$10.00
$
ESTIMATED COST S& S'. �c PERMIT N0. 0
*Air Conditioning — All Sizes
$ 25.00
$ a5, , 0c)
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
11% of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Wat r (:arm Air
Trade Name Size No. 3--,5
Commercial/Industriai
BTU So, r HP EDR
1.25% of Value of Appliance or Work
$
Fuel Ah&AmA Total Connected Load
State Surcharge
KeffifLl2
.50
MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATION
REFRIGERATION)AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Burner Trade Name
no
Size No.
EDR
9NOWNAMUDAIRCOMMOUNGM
HEATING COMPANY 410WEST MEET
Jw U
aa2-3-94-s
Signed By Tel No.
Approved By 4 Rough—In Date Final Date —
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR
written permission from adjoining property owner.
CHEMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1:
Has been carefully examined
Yes ()
No
( )
2.
Is free from rust or deterioration
Yes ()
No
( )
3.
Has no 'foreign objects lodged within
Yes
O
No
( )
4.
Is. securely supported.
Yes ()
No
( )
5.
Meets' all current Code requirements for size
andtotal BTU's connected
Yes ()
No
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( ) No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
GAS WORK ORDER
1072 Payne Ave. STANDARD410 W. Lake, St.
St. Paul, MN 55101�Minneapolis, MN 55408
651/772-2449 116HEATINGO 612/824-2656
& AIR CONDITIONING
LAST 0 kSm eticud FIRST
ADDRESS 7 -:??-.F 5go
CITY ZIP
HM PH. 7 a //A WK PH
TECH DATE-,
MATION
QRSAT TEST RECORD
CO2 %
METERED INPUT cfh
CHIMNEY TYPE
02Z %
LIMIT SETTIM-,-, 0
FLUE SIZE
CO'%
PILOT see'
CONNECTOR SIZE in.
NET STACK TEMP
TOTAL CHIMNEY INPUT 000 btuh
GiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
June 29, 2001
Mr. Haakon Oksnevad
7378 Symphony St NE
Fridley, MN 55432
Re: Final Inspection at 7378 Symphony St NE
Contractor: Standard Heating & Air Cond Co
Dear Mr. Oksnevad:
A mechanical permit was issued on March 26, 1999 to install a furnace and air conditioner at
your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final
inspection shall be conducted on the mechanical work authorized by this permit. As of this date,
no inspection has been called for.
The permit fee that was paid covers the inspections to make sure the work was completed
according to the Mechanical Code. We will keep your permit open for another 30 days and if we
do not hear from you within this time to set up the inspection, we will expire the permit and no
further action will be taken.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely
DJ/mh
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 f AX: (763) 571-1287
PERMIT 1 Q.: 2004-01553
DATE ISSUED: 09/07/2004
ADDRESS
: 7378 SYMPHONY ST NE
PIN
: 113024240079
LEGAL DESC
: MELODY MANOR
: LOT 7 BLOCK 5
PERMIT TYPE
: BUILDING
PROPERTY TYPE
: RESIDENTIAL
CONSTRUCTION TYPE
: ROOFING
VALUATION
: $ 2,862.00
NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (24 SQ) TEAR -OFF.
STATE LICENSED CONTRACTOR 1 ENTER FEE AMOUNT
APPLICANT
HACKBARTH ENTERPRISES (20082511)
304 4 ST N
PO BOX 303
WAVERLY, MN 55390
111'*A ►101:7
OKSNEVAD HAAKON B & JANE E
7378 SYMPHONY ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any others a or local law
regulating co tl)e perf man conspction.
Bldg
BUILDING PERMIT FEE
FEE SHORTAGE AMOUNT
FIRE SURCHARGE
STATE SURCHARGE, VALUE
LICENSE SURCHARGE
TOTAL
PAID WITH CHECK # 8395
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
83
83.25
83.25
2.86
1.43
5.00
175.79
NEW [ ] CITY OF FRIDLEY
ADDN [) 6431 University Ave NE, Fridley, MN 55432
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: _ 7 7
Legal Description:
Effective 4/1/2004
(763) 572-3604 Bldg Ins p��
(763) 571-1287 Fax 0
We—
Owner Name & Address: C®v e ' 7 S p SI Tel. # 7G3- ZL`�- o L Y -
c � � MN LICENSE #�
_� ®0 g"a 5
'd d l�//� / "/� �S�i Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
yx
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ n
DATE: /^ 0� 7 APPLICANT:
Tel. # �" %lJl ^
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for and number.
,(:TTY USE ONLY -
Permit Fee $ UJ -Z Fee Schedule on Reverse Side
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ 65% of Permit Fee
$ v�� .001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$ $1350 per SAC Unit
.$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ S STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits' for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
z
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
$23.50
$23.50 for'first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,00 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Only
3uilding BUILDING Permit No. cc7.�-
hspeetions RESIDENTIAL APPLICATION Received By: �,
763-572-3604CITY OF FRIDLEY Date Rec'd:
)ATE
:ITE ADDRESS
'HIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
YOUR E-MAIL, ADDRESS :IC61 IL 1 >(F Mi -TIN VIZN
❑ OWNER =CTOR
.Ess: i I> 7 6
STA74NO -3
STATE LICENSE # 1 i Z 025 J?.-� EXP DATE `* / � 14 9 10A.1
ADDRESS: Lo `� L -JC,—T CITY« STAT$_ZIP ,~� 719
PONE & 17-- *q — 6 g- FAX CO
41 SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO
❑ ADDITION ❑ GARAG
❑ BASEMENT FINISH ❑ ROOF
° C DECK 1- L� Q - 4 ❑ SIDING
/ " ❑ SWIMM
IN]
DESCRIBE WORK BEING DONE:,
SIZE OF IMPROVEMENT -!
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
ADDITION
AIR
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
❑ DRAIN TILE
❑ OTHER
— ®®i7 5 (1cip3
HEIGHT &Z'% Sq. Ft.
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ l Z- 00 f ®® OCCUPANCY TYPE
Permit Fee
$
4AL96
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$ ,v
,001 times the total job valuation
Surcharge
$
e 10
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $20 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary( ) Non Necessary( )
Total Due
$
',I Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATI FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit 0 e that the information above is complete and accurate; that the work will be in
conformance with the ordinan and codes of the City Fridley d with the Minnesota Construction Codes; that I understand this is not a
permit but only an applica ' n for a permit an work is of without a permit; that the work will be in accordance with the approved
plan in the case of all w which requires re w roval of plans.
SIGNATURE OFAPPLI PRINTNAME
Page 2 - Building Residential Application -
BUILDING PERIVHT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in the manner herein
provided to -wit:
TOTAL VALUE
FEES
$1 to $500
$23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000
$23,50 for 1" $500 plus $3.05 for each additional $100 or fraction, to and
including $2,000
$2,001 to $25,000
$69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and
including $$25,000
$25,001 to $50,000
$391.25 for 1- $25,000 plus $10.10 for each additional $1,000 or fraction,
to and including $50,000
$50,001 to $100,000
$643.75 for ls` $50,000 plus $7 for each additional $1,000 or fraction to and
including $100,000
$100,001 to $500,000
$993.75 for l- $100,000 plus $5.60 for each additional $1,000 or fraction to
and including $500,000
$500,001 to $1,000,000
$3,233.75 for the 1" $500,000 plus $4.75 for each additional $1,000 or
fraction to and including $1,000,000
$1,000,001 and up
$5,608.75 for the 1- $1,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Only
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
5/4 X 8 CEDAR S4S DECKING
ALL DECKING IS SCREWED WITH STAINLESS STEEL FASTENERS
2X8 CEDAR M STAIR TREADS'
PLAN VIEW N
2 X 8 TREATED LEDGER BOARD BOLTED TO RIM JOIST ON HOME.
DRIP EDGE APPLIED OVER LEDGER AND SEALED WEATHER TILE
a I.
T-2 7/18- ' m
in
5'-9 .3 V-1 5/B -J 4 { o Y �� � L
AN1ESANC4 RED TO STAIR
AS / 2X8 S4S CEDAR TOP
GALV. JST HANGERS AS REQ' . _
'E OF WORK:
ENT DECK IS 4X5 WITH—OUT STEPS TO PATIO.
DECK WILL BE REMOVED AND REBUILT WITH
1R EXTERIOR AND MATCHING STEPS TO EXISTING PATIO.
RE—USE EXISTING FOOIN
4— ALUMINUM POWDER COATED BALLUSTERS
4X4 S4S POSTS
BOLTED TO RIM JOIST WITH
GALV. FASTENERS
\ 1X8 RSC ON FACE
\ 2-2X8 TREATED BEAM WITH RSC ACROSS FRONT
U
W
D
-11
' ^
REVIEWED��,
N
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ax4RSC F CODE
N N
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GALV.LIANCE
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