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PRE 2010 DOCSCity Fridley, ®f FY' Minn. -0990 e BUILDING PERMIT N® 6540 � LOCATION OF1 D G No. Street :e P of Lot Lot 131 ,_ Block 4z Ad9on or Sub -Division Corner Lot _ Inside Lot Setback-�J'-�,e.-�._.._... Sideyard Sewer Elevation ...... Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height - - Sq. FL/----" Cu. Ftp V e Front �� Depth Heigh Sq. Ft. - Cu. Ft. 0 Type ofAnstruction 4 Fst. �� To be Completed In consideration of the issuance to me of a permit to c p building des above, a to do the proposed work in accordance with the description above fa and 3n com with ons of ordinances of the city of Fridley. .40 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/poen ordinances H�� / � viten of any of the provisions of said NOTICE M perm* does not cover the construction, lnstaMen for whing, phnnhins, gas heating, sewer or water. Be sure to soo fire MUMS Inspector for separate pormhs for these Hemm APPLICATION FOR BUILDING PEAT CITY OF FRIDLEY, MINNESOTA No. Lot Corner Lot Inside LotSetback ,�� Side -Yard ,�� "'0. SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front ght�%Q(/ , e Sq. Ft. =jam Cu. Ft. FrontZe:�2 -Depth_.�Height r Sq. Ft. azko —® Cu. Ft. Type of Construction - Estimated Cost ZZ 4 2?a To be Completed 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 andre�enWions stated in this aspplica#on are true and correct. DATE x /,5— //� �� SIGNATURE (A 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 build- ing 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 -wit: 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. 2.2. For any such permit for the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection°of any fireproof 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 502 of the Minneapolis Building Code. 2.3. For any such permit for the than a garage, warehouse, factory addition, for similar occupancy, each one thousand cubic feet. GARAGES erection of'any;non-fireproof building other or grain elevatat, or any non -fireproof to any existing,building. Permit $1.00 for 2.4. For any such permit for the erection of'any nor -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 contents 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 for each Five Hundred Dollars ($500.00), or fraction thereof in the cost of all proposed work. 2.6. In.no case shall the fee charged for any permit asset forth in Section 2 be less than $4.00. 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 $ y 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 $ t/ 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 $ ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 s 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 ayq true and correct. Fridley, Owner Kind of Building ✓ Used as To be completed about Estimated Cost, $� Old New.; Building Permit No. Permit No. Q*_7 DESCRIPTION OF WORK 194_?� HEATING 6r POWER PLANTS—Steam, Hot Wa •, Warm Air No Trade Name i d/ . Size No 11164 Capacity Sq. Ft. E.D.R �' i BTU H.P. Total Connected Load— � 3 6' Kind of FueL�� BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signe-RAY N•itVELT'ER HEATING 0 4637 CHICAGO AVE. B 19 7 M1144909 4 z 4M Business Phone HEAT LOSS MCLUTIONS ®�� DEPARTMENT+OF BUILDM — 0 Weatherstrips " Construction No. Insulation uide Windows Doors Reference Out. Wal Int. Wall Ceiling Roof Floor Kind How Applied Ye—s--So— Yes—Wo 19_ FLjedy&j4 Room I Length Width % Z Height Jr F1.1 Room I Length Width / Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal M Area No. of pane of pane iights of crack eq. ft. ° s ° ° Btu Coef. Btu . Coef. Infiltration infiltration o Glass -o Glass _ Facp• Fxp. wallZ2 Net exp. wall 10 ® Not exp. wall Int. wal_ Int. wall Ceiling °' ° ` Ceiling `0 111 Floor I m Floor • . " ®.� � , T®tai 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. Leader area F!•I t t n Room Length P Width ! t Height Fl.l m (� Width 1 Height Windows and rs—Crackage and Area Windows and Doors—Crackage and. Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. width Height No. of Lineal ft. Area No. of Dane of DBse lights of crack sq, ft. s Btu Coef. " to Cod. Infiltration Infiltration Glass Glass I Exp. wan Exp. wall Net exp. wan Netam- wall ® l Int. wall Int, wall Ceiling R 'Ceiling'' ° ' /9-a Floor. Floor ' :J�K, O Total Btu. Total Btu. t° Required sq. ft. E.D.R. or sq. ins. W.A. Leader arem1- Required sq. ft. E.D.R. of sq. ins. W.A. Leader area Fl. Room I Length ' Widtb :: Mi& Room I Lent& Width I-leighc Windows and Dors--Crackage and Area Windows and Doors--Crackage and Area Width Height No. of LQteal ft. Area No. ' of pane of pane lights of kradk p. tt.. wrath 8eight Na of Lineal ft. No, of gmo of Daae lights of crack Area sq. ft. . , ,Btu Coef. Btu Coef.. Infiltration lo g,4,' Infiltration Glass Glecas ®" CO &P. wan Net m*. waU Net exp. wall 0 s f o Int, wall Int. wall Ceiling Ceding-. Floor Floor ®' / Total Btu. - Total Btu. Required sq. it. E.D.R. or sq. ins. W.A. Leackr area Required aq. ft. E.D.R. or sq. ins. W.A. Laader area B.D. 21a HEAT LOSS CAL.CM ATIONS DEPARTIMENr Weatherstrips Construction I WindsDoors Reference Out. WaU Int.: Wall I Ceiling Y� I es -No 19 I M_1 R.. 71®-VV;Ath g 'I & Neiaht JP Windows ^an Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane fights of Crack no. ft. . Width Height No. of Lineal ft. Area Na of paneof pane lights of crack so. ft. {j 4 44 P Q alb eIY ( I v Al0 ! Cod. Oi4 Coef. Btu Infiltration Glass B9 I S' g Glass Ism SiL _ Exp., wallg2j,,iEj Net exp. wall ' . Int. waU Floor Ceiling . Floor ,a , S7 4 41, Mair l -.n Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I E1.1 Room I Una& Width Height Windows and Doors--Crackage and Area i, Width Height No. of Lineal ft. Area No. of pane of pane fights of Crack no. ft. . K Cod. Oi4 Infiltration Glass Exp. waU Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ---__-R.i - Rnnm I "no d& Width Heink Windows and Doors—Crackage and Ana Width Height No. of Lineal ft. Area No. ' of pane of pane lights of crack p. ft. K Codi. &u Infiltration (alas wA Net exp. waU Int, wall Ceiling Floor Total Btu. i I ` Reauired sq. & E.D.R. or sq. ins. W.A. Leader area I 'C City of Fridley Application for Plumbing and Gas Fitting permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAAL 0 O P Number Fixtures ...................... � O iQQ�jZ V � O� Q � �U' < t� _� (�9 Z � O � • N WATER HTR. GAS ELEG Base x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ J1 v� New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE x $1.50 1st 1st 3 Fixtures .......................... Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 2nd _ 3rd 4th • Future Connection Openings � New FYxture, Old Openings I Connected with Sewer ^Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAAL $�& 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 $ J1 v� New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE x $1.50 �TO•TTAALL - $A 1st 3 Fixtures .......................... Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .............................:.. ,. $ TOTAL FEE $ "® a°g l Dept. of Bldgs. Phone SU 4-7470 t�zw:� Location : i'z �L % eoy AIF— 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 Kind of Building Used as P7 e [��—� �'� �d✓�' To be completed about Estimated Cost, $ e" Old ew uilding Permit No Permit No. O Signe Business Phone No ROUGH ! w ( / _ 3 FINAL -41D-42 2M 7-59 SUBJECT PE City of Fridley - 12110 AT THE TOP OF THE TWINS BUILDING PERMIT'27 r � � R • COMMUNITY DEVELOPMENT DIV. ______ L � PROTECTIVE INSPECTION r � SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 4/27/1 73 � JOB ADDRESS 7391 Symphony Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2.1 4 1 Melody Manor SHEET 2 PROPERTY OWNER' MAIL ADDRESS ZIP PHONE Darwin A. Beck 7391 Symphony Street 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tri -Co Builders 7555 Van Buren Street i 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct 20' x 12' Addition with basement 9 CHANGE QF USE FROM TO STIPULATIONS S£pERATE PERMITS REQUIRED FOR WIRING q',I's AVM HF tiye� _[.fie :x TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION $-1 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 1 STALLS 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 $3,191 1.60 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 9.00 STR OR Tt9,PE RM/j OF CgNSTRUCTION. �'�/ j"A� PLAN CHECK FEE TOTAL FEE !2- $10.60 SI NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) e WHEN PROPERLY VALID THIS IS YOUR PERMIT � BLDG )NSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) riv,�-, �ln qn, fir PUCIP'VrLV -111 UAXY 'HW 'I." fjll-PW47banL'9 1 Plf,P'PZWI P -J-01;1? -VPq-* 94".',1;6 SA�11kP11--vq G fial.,VS D"101 ;avjvjuava-,,dav p ar-4 v st !;I/# pi.4, 175 aNnOWD 3A09V A:33_4 S -z -a,;a O.L- 1S -81:j .,-z 0-3-30CM�d -A--6'4 SNOUVA3-1-a -T S.LN3w3sw3 6lq I�IIIII�lll lll�IlIqI III v J CA SAO ka,4jnS, f I f 994 Y�a`r%1S /*V/W'jj -, IIA17 NsL s ulk'4J s"PW7 &luu,01d P1 ID 7 0 s APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:j�RRW1A9 d, %3F -LK- BUILDER: SRI -(!!o, ADDRESS: 3 ;7 f S M17 P 4aw sr ADDRES S NO:. STREET: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: $mv� oro GN Front• ®r De:pth: /� Hei htr, g r Square Feet: Cubic feet: Front: ay Depth: / Z Height: '7 Square Feet; Cubic Feet: Type of Construction: ffLoa/C d-F,,4A,4^ �e Estimated Cost: _$ S 00. Jo To Be Completed: / Uy / i % The undersigned hereby makes application for a permit for the work herein specifiedp agreeing to do all work in stkict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. /-Vc DATE: o 7� SIGNATURE : V aa'-) (See Reverse Side For Additional Information.) i �';P BUILDING PERPIf l' �,EE SCHEDULE SECTION 2. The Inspector of Buildings 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 repairs 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: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2,15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building; permits, the cubical contents of anX building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 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. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allose for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for Which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. SUBJECT PE IT City of Fridley ' 6 2 5 AT THE TOP OF THE TWINS BUILDING PERMIT r RE `y ______ COMMUNITY DEVELOPMENT DIV. l 1 � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/3/86 JOB ADDRESS 7391 Symphony Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Curtis Myrlie 7391 Symphony Street N.E. 784-2151 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. AMRE 3700 Annapolis Lane, Mpls. MN 55441 553-0020 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 60 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 1 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 $9,836 $4.92 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $80.50 PLAN CHECK FEE TOTALFEE V p q -.3- e- 1 $85.42 SIGNATURE Q ONTRACTORORAUTHORIZEDAGENT (DATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ? BLDG INS (,, A /'��&- DlE SIGNATURE OF OWNER t IF OWNER BUILDER) IDATEI NES [ ] City of Fridley Effective 4/1/8(- ADDN. I J R-1 AND R-2 ALTER. I J Building Permit Application Construction Address: '`3 q 1 Legal Description: a owner Name &Address: 1:12 3 Tel. • 2g q Contractor: �' ;'gin-� _ _ Tel. # SSS dO a 0 Address 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- t.OTHER•-- OTHER: Corner Lot [ ] Inside Lot Type of Construction: [ ] Ft. Yd. Setback ____ Estimated Side Yard Setback Cost: $ C`1� Approx. Completion Date: c�'- tS— k Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: Ci -,a -� APPLICANT: Tel. CITY USE ONLY Permit Fee $ 60. Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ 902 $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL G . STIPULATIONS: 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 been constructed will be required before proceeding with the framing. 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 Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing. ON SUBJECT P City of Fridley 2- 22 AT THE TOP OF THE TWINS BUILDING PERMIT Ir? � ' -@E NO. COMMUNITY DEVELOPMENT DIV L PROTECTIVE INSPECTION SEC r CITY HALL FRIDLEY 55432 NUMBER REVDATE PAGE OF APPROVED By 612-571-3450 910-F15 6/23/95 JOB ADDRESS 7391 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dewey Peterson 7391 Symphony Street NE 785-9673 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Randy Beers Construction 4208 6 Street NE, Col. H is MN 55421 860-7076 6551 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR X ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install egress window in basement bedroom 9 CHANGE OF USE FROM TO STIPULATIONS Window must comply with the State Building Code. 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 60 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 1 STALLS 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 500 50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY THE STATE OR LOCAL LAW REGULATING CON- STRUCTION TH ERF MANCE OF CTION $15.00 0 Fire SC PLAN CHECK FEE TOTAL FEE NATURE X CONTRACTOR ORAUTHORIZED AGENT IDATEI EN OPERL VA BLDG INSP TED THIS IS YOUw P R IT iaiE SIGNATURE OF OWNER oF OWNER BUILDERI IDATEI ON NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Effective 1/1/95 Owner Name &Address:�, .�- Tel. # za�"� 9 Contractor: ,��-itd�?° `��r°s e��✓► MN LICENSE # �� Address: Tel. # 9 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: K�d'�SS �d s v/tv✓ e .., 4� d e �io Corner Lot [ ] Inside Lot (1 Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $� Approx. Completion Date: Sq. Ft. Sq. Ft. Sq. Ft. (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6> Ftp= Ft x $ _ $ DATE: APPLICANT: ��/G % Tel. # OVO "�®l CITY USE ONLY Permit Fee $ 00 Fee Schedule on Reverse Side Fire Surcharge $ S—y .001 of Permit Valuation (1/10th%) State Surcharge $ IS -0 $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ . OU $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary (] Not Necessary [ TOTAL STIPULATIONS: J BUILDING PERMIT FEE SCHEDULE The Cliiet 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 ices to the amount thcrein below set firth and in the manner herein provided to -wit: "1'0"1'AI_ VALUI: FEIl S $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 - $2,001 to $25,000 $45 for first $22000 plus $9 for -each additional $1;000 or fraction thereof, to and including $25,000 $25;001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1;000 or fraction thereof, to. and including $50,000 $50,001 to $100,000 $414.50 for fust $50,000 plus $4.50 for each additional .$1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first -$100,000 plus -$3.50 for each additional. $1,000 or fraction thereof, to and including 3500,000 $500,001 to $1,000,000, $203950 for the first $500,000 plus $3 for each additional $1,000 or fractiau thereof, to and including $1,000,000 $1,000,001 and up $3539-50 for the fust $1,000,000 plus $2 for each additional $1,0(10 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. CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 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 % 3? or✓!�� 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 $ representations stated in this application are tr d correct. (Side Vent — Fill Out Back) 1997 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER / �,c_. ®� S®• 7 3 Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ZW ESTIMATED COST 116Ld• &v PERMIT N0. 1-2 96'S *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units / Circle One (Steam) (Hot Water) (Warm Air Trade Name s Size No. Z 7 a-& v 57' Commercial/Industrial BTU 7r_EDR 1.25% of Value of.AppIlance or Wo rk > n n $ Fuel Total Connected Load StateSurchar$e $ .50 Burner Trade Name Size No, S. SZ� BTU HP TOTAL FEE _ EDR altzp HEATING COMPANY _ n MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By�� Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Approved By—i Rough—In Date Final Date FILL OUT BACK SIDE FOR PTACK VERIFICATION ON REPLACEMENT FURNACE Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CEMO NEY AND STACK VERIFICATION The undersigned hereby verifies that the .existing chimney or stack: 1. . Has been carefully examined Yes O No ( ) 2. Is free from rust or deterioration Yes () No ( ) ,3. Has no foreign objects lodged within Yes( ) No . ( ) 4. Is securely supported Yes ( ) No { ) 5. Meets all current Code requirements for size and total 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: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS -d New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 ��' 7 3 1997 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner e r Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Prev nter Required ( )Yes () No I Type '� _ $15.00 PLUMBING CO A Reinspection Fee $42.00/Hr�LL� -)✓ p SIGNED BY TEL N0. J ALL OTHERS AND/OR REPAIRS AND ALTERATIONS17 1.5% of Value of Fixture or Appliance Approved By Rough—In Date Final Date A,y� State Surcharge $ .50 l �es� MINIMUM FEE OR ANY PLUMBING GAS PERMIT IS 20.00; 011 TOTAL FEE $� PLUS THE $A0 STATE SURCHARGE �j� 4 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. mom • • �� I 3 �A�1 1�UMr L" ' �a"A" i ! PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS -d New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 ��' 7 3 1997 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner e r Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Prev nter Required ( )Yes () No I Type '� _ $15.00 PLUMBING CO A Reinspection Fee $42.00/Hr�LL� -)✓ p SIGNED BY TEL N0. J ALL OTHERS AND/OR REPAIRS AND ALTERATIONS17 1.5% of Value of Fixture or Appliance Approved By Rough—In Date Final Date A,y� State Surcharge $ .50 l �es� MINIMUM FEE OR ANY PLUMBING GAS PERMIT IS 20.00; 011 TOTAL FEE $� PLUS THE $A0 STATE SURCHARGE �j� 4 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. ' SUBJECT - P City of Fridley 28110 AT THE TOP OF THE TWINS BUILDING P E R AA I r 1 1 1 �\ 1. , 1 L • COMMUNITY DEVELOPMENT DIV. _____ � PROTECTIVE INSPECTION SEC. 1 NUMBERDATE REV PAGE OF APPROVED BY �'--1 CITY HALL FRIDLEY 55432 612-571-3450 910.F15 10/6/98 JOB ADDRESS 7391 Symphony Street NE I LEGAL LOT N0. 9LOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dwayne Peterson 785-9673 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Eagleview Const. Inc. 2937 174th Ln NW Andover MN 55304 753-5469 20076043 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION Rx REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (28 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 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 $2399 $1.20 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fire SC $2.40 PLAN CHECK FEE TOTAL FEE License SC $5.00 1$83.35 ,"NATUR OF CON7RIE'CTOp OR AUTNORijEO AGENT iD TEi WHEN PROPERLY LIDATED THIS IS YOUepR,, BLO INSP yPERMIT TATE SIGNATURE OF OWNER OF OWNER BUILOERI iDATE, R NEW [ ] Effective 1/1/98 ADDN [ ] . CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION a ConstructionAddress: :23'21 !y441 exuy� Legal Description: Owner Name & Address: Avet'i-, Ay Tel. # Contractor: 101,lx'16� MN LICENSE# —2xx-,7Y3 Address: 2132 42s{ A L%-� Tel. # % 5-5 - YY& f 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. OTHER: i p Construction Type: ��r ��v�Q Estimated Cost: $� re7a-4� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 1041-7 APPLICANT: Tel. # �q yr-5-`Z�57- I f Z/ " Permit Fee $�S`� Fire Surcharge $ State Surcharge $ /O SAC Charge $ License Surcharge $ ` Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ cO� -32 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .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. 110 SUBJE& PE R City of Fridley 2 81 1 1 AT THE TOP OF THE TWINS B U I L D I N G PERMIT r ' , T NO. 16 COMMUNITY DEVELOPMENT DIV. _ r ' L -____ PROTECTIVE INSPECTION SEC 66764 NUMBER REV OATS PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-345p 910415 10/ 6198 JOB ADDRESS 7340 U ric Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 7 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Eugene Buechler 784-5976 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Const. Inc. 2937 174th Ln793-5469 90076041 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 Rx REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage 26 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 60 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 STALLS 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 $2228 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.23 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.0 $83.09 SI RE OF ON'RAC OR OR AUTHORIZED AGENT IDA EI WHEN VALIDATED THIS IS YOUR P MIT e'PRsOPER S.GNATURE OF OWNERgF OWNER BUILDERI IDATEI ' BL G INSF' OA tE 110 tr NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address:�t E /��u� 5� Tel. # 7,'e% - " %eo Contractor: MN LICENSE # 200 7 eco Z Address: / 7 Tel. # -7.5-3 - 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. OTHER: Construction Type�`j� y�tj / Q Estimated Cost: $�( 6th (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /0 .7 l APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ CITY USE ONLY Fee Schedule on Reverse Side .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 [ ] e - 0 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. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley. MN 55432 572-3604 Water Stories Closet Urinal Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Bath Wash Drink. Floor Catch Auto. Gas Tub Shower Sink Tray Fount. Drain Basin Washer Appl. NO. RATE TOTAL JOB New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 [_-Electric $7.00 er - Gas * &;;. $10.00 Gas Range * $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 Effective On January 1. 1997 Gas IMisc.. lWaterHeater IRance FUL rGas Elec e�4 AlG The undersigned hereby makes application for a permit for the work herein speed agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner ®�✓��i✓� `��Tc ®PJ°®e✓ Building Used As Estimated Cost AS -2) , PERMIT NO. PLUMBING COMPANY SIGNEZBYEL NO. Approved By Rough -In Date Final Date % MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 0 C.IiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 5.71-1287 June 29, 2001 Mr. Dwayne Peterson 7391 Symphony St NE Fridley, MN 55432 Re: Final Inspection at 7391 Symphony St NE Contractor: Mr. Rooter Dear Mr. Peterson: A plumbing permit was issued on April 20, 1999 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the -Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expired the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh NEW t I CITY OF FRIDLEY AODN t ] 6431 University Ave NE, Fridley. MN 53432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 WILDING PERMIT APPLICATION Construction Address: 7a�►. 7 �®c)�- - iii Effective 111=4 (763) 572-604 Bldg Insp (763) 5714287 Fax Legal Descaiption: Owner Name & Address: V+•+a •i, AJIC _ ESQ! i Tel ' i • 7$"S ' pe> Contractor: MN LICENSE # ` Address: A�__l=NG RMtQapj lWa inIr Tel. # 6'!Z - 7 —3 z4 5 4100 EXCELSIQFi BLVD. S ROOFING & REMOD ST � a a Certificate of Survey of the 1ao tJ(CSL$IOFt BLv , , t#��8sed construction drawn on it to scale. T. LOUIS PARK, MN 55418 ID #0001 05t) DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height sq. Ft. GARAGE AREA: Length Width Height Sq, Ft. DECK AREA: length Width HgUGround Sq. Ft. OTHER: Construction Type:, 9,et?-0 Hd 0 SC Estimated Cost: 5 �t DriveWay Curb Cut Width Needed: ,Ft. + 6 Ft = Ft x $ =$ DATE: mh .� rL call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-$711287 If using credit card and we will call you for caret number. CITY USE ONLY - Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation 111 Oth% State Surcharge_ $.501$1,000 Valuation SAC Charge $� _ $1350 per SAC Unit License Surcharge $ _ �r-�� $5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $_ $450-00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ I Not Necesdary TOTAL $ _. 1.62 Ll STIPULATIONS: .2S910hL _.. ---.. S31US 5NIA008 U 13S Wb66:8 S'002'9S'03Q