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PRE 2010 DOCS.a City of Fridley, Mims 11,797 6431 �Unii'v�errsityy Ave. N. E., Minneapolis, Minn. 55432 BU"UNG PERMIT .: Me - 'or -_r :M Owner: _Tri -Co Bij i idPrs Builder _,came Address 7555 Van Buren Street N.E. Address Same No. -- 7-3g — Street —Symphony Street N=E, Part of Lot Lot __.._22..._ Block __...__4_._ _ _ Addition or Sub -Division 'Melody Mannr , Corner Lot _. X_._ _ Inside Lot . _ Setback 45 ° _ Sideyard . 1 0 1 & 251 SUWW Elevation___ $,x.63 __ _ _ I�o u�i�f� v ,iL6 963.1_3 Minirmim Nye Top of Footing To be Used as: welling _. _ __ Front —241 __ Depth" -4 1- 43913eight - 2,01 --- Sq. Ft. 3 06 Q 1 Cu. Ft. ..Ca=&e_- _._....._ Front 921 Depth ---9 8' Height 3o, Sq. Ft. 5161. Cu. Ft..._25.,JA8 Total Type of Construction Wood Rrame Est. Cost ..20, 067 0.0 To be Completed — NaaEsh, 1973.. Stipulations: Provide a verifying survey and provide a hard surface driveway. Call for soil inspection when hole is dug. WATER LOCATION: 11.4` North of Sewer Service SEWER LOCATION: 305.6' North of Manhole (NIE 858.10) In consideration of the issuance to me of a permit to construct the building described above I agree tq do the proposed work in accordance with the description Doves j forth and in compliance with adl provisions of ordinances of the city of Fridley. %S '0 / / — 0'f In consideration of the payment of a fee of $ 47.00 , permit is hereby granted to Tri -Co Builders 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 odthiin � city limits and this permit may be revoked at any time upon violation of any of the provisions of said Wding Inspector NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sower or water. Be sure to See the Building Inspector for separate permits for these hems. s 19 APPLICATION FOR RESIDENTIAL, ALTERATION2 OWM's N= OR ADDITION BUILDING PERMIT CITY OF FRIDLEYs MINNESOTA =;, 213 . DLMK ZORM LOT: jZ' _X== LOQ;® ETBACK: :��L 40' SIM ARD: Antimmt attach to this Zom_Vo Certificates of Survey of Lot and proposed UaWft$ 14matixm dr wn 4m Abase Certificates, VESCRIPTI N OF BUILDING R To Be us" As 17 t: 4-Wv-&� Cubire ftet; sqwme reetl to Fret: Depth., 02 He isht ware yeet, V Cubic Feett.--- 1-jee Estimated Cost: $ Tyfa of Conistructions amaz-W-01� To so "toted; The uiidarvigne4 hereby mak" application for, a Permit for the work herein vpaajft*,6� agreeing to do all work in stftct accordance with the City of ftUl4w Or and lcutlW Pf Oe Delmrtme4 of Butldtngs, e#d hereby doojaXeg dall the facts and representations stated In this applt"tion awe tme =4 correct., '02 STGXATURE y. (Oft 1twimse Side For 41dci#4anal Info iau,') 7�- S BUILDING PERMIT FEE SCHEDULE SFXTION 2, The Inspector of 4t4i,ldings shall, before issuing permits for the evocti.on of any building or structure, or for any addition to any existing buildfts or structure, or for any alteration or repairs to any existing budding or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth 4nd in the miner herein provided tomwit; c UNIFORM BUILDING COI E r Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 a $1..85 for eaa one thousand cubic feet, ADDITIONAL INFOWTION � & Fop the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area Coveged from a point six (6) inches below the floor line of the basement + the cellar to the average Heights of the upper surface or to the average x W01; of the roof surface of the train gable of a pitched hoof. -To irs or alterations to an existing strtwwre,, the fee shall be at the rate of $3.00 per each five h�Mdared dollars (WO,00) .or fraction thereof in the cast of all proposed work. Tx w came shall the fee cbaxSed for an7 permit as set fob in .Sacttio-d 2 be than $5.00, 0 VVRTV14C 71ON OF FOUNDATION =4 permits, for CoMtwctiou will be issued a mininum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the eanstruction site. A Certif ie4 Suway of tete lata ng the locatUm of the foundation, once it }tae be= =astwcted,; will he required before groceedbg with the framiag. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of my stwct ure for which a building permit has been issued; and said atructaaxe shall not he used or occupied until a Certificate of Occupancy has been issued. tD City of Fridley Applicafto for PhwA&g Dept. of Bldgs. Phone 980-3490 DESCRIPTION OF WORK Number. Kind and Location of Fixtures Base • Future Connecdon Openings ...,�.�..o ...,� Sewer * New Fixture. Old Openings e— y PLUMBING FIXTURE RATES: ANO. RATE TOTAL Number Fixtures ................ d x $2.00 $ /lo . o O Future Fixture Opening ............ -42 x $1.50 $--:J _ d New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) .... � x $3.00 $ � co New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Beater .............. a $2.00 $ 31A►S FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .............. • . x $2.00 $ �2 O U Additional Fixtures .......> ...., .... < x $ .75 $ Gas Range to 199,000 BTU . , ...... , .... x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code 5 r /,jj�'. City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct ! Fridley, Minn r ' ■ti` • 19�J Owner Kind of Building Used as /mow[.- bK 1411 To be completed about��, �V Estimated Cost, $ % / v,. 4*0--New. Building Permit No. Permit No. Signed Rl� "" tt//%'/' i! ► v CO • By �.a. fit. A • Business Phone No WOO ROUGH FINAL Description ............. < ............. v.... , ........... . J?)TOTAL. FEE $ ;d a Applicaflon ftr Power Pkmft and Heaft. Cooling. VentiiadonR Refilgeration and l Air Conditioning Seas and Dovices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: IRATE TOTAL Furnace Shell & Duct Work ................ .. $10.00 = Replacement of Furnace ... .. ..... . 6.00 $ Repairs & Alterations—up to $500.00 6.00 $� .. __— Repairs & Alterations each add. $500.00 3.00 MECiL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ...... ..$10.00 $ /16,0 v each add. 60,000 BTU .................... . 3.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00. -- Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GASB (up to&00$ �.v 000 BTU) over 199,000 BW See Fee Schedule GAS FITTING NO BATE TOTAL 1st 3 Fixtures .. . x$ 100 $ Additional Fixtures x .78 $ Gas Range to 199. a$ 8:00 $ AIR CONDITIONING FAN HEATING SYS Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAID TOTAL I= $ ROUGH FINAL 7 c (SURCHARGE $_.50) f7 ZS Dept. of B1dgL Phone 880-3480 Lo,,m, '7 3 9 ! Symphbney N. E. City of Fridley: The undersigned hereby makes application for a permit for the work hereir 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 �'� C, Owner Tri—Co. Bldrs . Kind of Building .___ Frame Used as - - ---- ... _. _ _—.._ —DWg To be completed about Estimated Cost, $__- __- Odd—New?(Building Permit No. Permit No. ") ;X-10:;04, (oh HEATING or POWER team, Hot Water, Warm Airy -No 1 Trade Name Singer size No GB 1104°12B capacity Sq. FL E.D,R 100, 000 BTU H.P Total Connected Load 45,817 of 1(hae1 Nat. Gas BURNER — Trade Name size 1�To Capacity sag. FL E.D.R . (REMARKS -OVER) Sim Mill City Heating Co. -�VL A/ Budnm phwe No 544-1501 AE I Infiltration Glass Exp. wall Net exp. wall Int. wall- Ceiling all Ceiling — Floor Total Btu. Btu Kequire sq. ft. t .U.K. or sq. ins. W.A. Leader area FI.1 /�(// m1Length %,Q Width-"-'Ifeight Windows and D s—Crackage and Area Width Het No of LineaQj lft. Azea No. p e o e ,;,hof to of racB t. —,� .. -� Infiltration Glass Exp. wall Net exp. wall Int. wall _ Ceiling> �t- Floor Infiltration Glass Exp. wall Net exp. wall _ Int. wall eiilugi�.! ,X � f icy Floor Total Btu. Required sq. ft. E.D.R. ur sq. ins. W.A. Loader area F'LI a _ Rootr Length = j Width � -He Windows and Doors--C,aekage and Area e �'� •t/Vi�eh� Height No. No. R pane o[ a e nghta , I.t ::ra n. It. Coe Btu y,� e� [ Infiltration / Glass lxp. wall Net exp. wall ------� ---Int. wail Q � Ceiling Total Btu. Require it E R. or sq. ins. W.A. Yader area Fl. oom I Length idth eight Win ws and Doors--Crackage and Area WidHeight No. of Lineal ft. No. f Dth of pa a li hte of crock t. HEAT LOSS CALCULATIONS t', i- PA R 01 E'.: l i T f' 4 j Infiltration Weatherstrips A.S.H. Construction N. Ins tion �`' Net exp. waff Guide Int. wall Ceiling s r�s I s Reference Out. Wall Int. Wall Ceiling oof r d How Applied (Yes -,A07 Es o 19__ Fl.� / L / oom Length Width T THeight - F1.1 Room Length Width I•Ieight Windows and oors—Crackage and Area Windows an �� T Width yqz 6MNo. p Doors--Crackage and Area S Heig No. of Llneat ft. Area of 1 to of cra • ft• I .-T-width I }ieight Ivo. of Ltneal ft. Areae No. of pane o[ ane lights of creek a ft. �e ® / 7 - ® - r AE I Infiltration Glass Exp. wall Net exp. wall Int. wall- Ceiling all Ceiling — Floor Total Btu. Btu Kequire sq. ft. t .U.K. or sq. ins. W.A. Leader area FI.1 /�(// m1Length %,Q Width-"-'Ifeight Windows and D s—Crackage and Area Width Het No of LineaQj lft. Azea No. p e o e ,;,hof to of racB t. —,� .. -� Infiltration Glass Exp. wall Net exp. wall Int. wall _ Ceiling> �t- Floor Infiltration Glass Exp. wall Net exp. wall _ Int. wall eiilugi�.! ,X � f icy Floor Total Btu. Required sq. ft. E.D.R. ur sq. ins. W.A. Loader area F'LI a _ Rootr Length = j Width � -He Windows and Doors--C,aekage and Area e �'� •t/Vi�eh� Height No. No. R pane o[ a e nghta , I.t ::ra n. It. Coe Btu y,� e� [ Infiltration / Glass lxp. wall Net exp. wall ------� ---Int. wail Q � Ceiling Total Btu. Require it E R. or sq. ins. W.A. Yader area Fl. oom I Length idth eight Win ws and Doors--Crackage and Area WidHeight No. of Lineal ft. No. f Dth of pa a li hte of crock t. E B Infiltration Glass Exp. wall Net exp. waff Int. wall Ceiling s Floor Total Btu. AmOred !t ft LDAwi..imVA. ry Floor Total Btu. Required s9ol. E. R. Ur sq. iris. W.A. I.,eader area Flim I L� Engdth Windows and Doors--Crackage and Area Wldth Height No. of Lineal ft. Area Nu. 1 gt pane of pan. lights of cry et0. q Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling a Floor Total Btu. red 5. rt. r-u.m or asl. ins. w.n. ueacer area 416 D-!6 * HEAT LOSS CALCULATIONS D E PA R I'M F. T O I N SP F i, H ON Weatherstrips A.S.HX.E. Construction No. Insulation — Guide' Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floo Kind How Awl* Ygs—Nk.f Laq,4-j10 19_— Fl ; _ _oom ! Length ' width 'sleight e II F1.1 m Length Width fes' Height Windows anddoors—Crackage and Area I! Windows and Doors—Crackage and Area FJ Width Height No. of Lineal 1. Area l/)r' I Width Height No. of Lineal ft. Areaof pa ilghla , ofer sq �+h, i — No. pane of a 11 hta of ac F so. tr tr s — _C.0 t ® Btu InfiltrationF K7 Infiltration 91,C1 - Class Glass _ Exp. wall -7 iiz- Exp. wall Net exp. wall Net exp. wall Int. wall i Int. wall 7eilin8 C+ �g -� �__ '• I� Ceiling Floor 0 Floor Total Btu, _ _Total quir ~. E.D.R. or sq. ins. W.A. Leader area _ �' R@quir d E.D. or sq. ins, W.A. ader area ffFI. ` Room LengtF. ,® Width Height _ ® _ _m ( Length �-'width Height Windows an oors--Crackage and Area Wi doors and Doors--Cracnd Area Width Height No. of Lineal ft. Area W1dth Hetght No. of Lineal ft Area lights of cra SQ. t No. o ane of Pape lights -ter. yk a No. f pan of pa _ Pe B u _ I' ��_ Infiltration Y I Infiltration_ Glass Exp. wall _ , A - - �._ I Exp wall,_ Net exp. wall — Net exp. wall Int. wall _ � Int. w:>'II Ceiling — — _ Ceiling •_ •`�'` Floor _ _Floor _ _Total Btu. �- Total Bt Requ• ed sq f . or sq. ins. W.A. Leader areaj equip@d t ~.R. or sq. iris. W.A. Leader area Jc 1 - ® oom+ Length Width fight -�,I m 1 Length Width ®'Height Windows and Doors --trackage and Area Windows and Doors—Crackage attd Area Width Haighj No. of Lineal ft. Area /_ Width Hetght No. of Lineal Area No. D e of p e lights of cracka fCsOJr9l No. —lea e of pane lights of r aQ. fA W Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Wequira Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. & Iv.OR or sq. ilia. W.A. Leader atra SUBJECT PE. - City of Fridley a 17280 AT THE TOP OF THE TWINS rp BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I O CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 110/7/83 JOB ADDRESS 7399 Symphony Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne Young 7399 Symphony Street N.E. 784-1464 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a masonry chimney 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 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 $500 $,50 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- $155.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE � $15.50 SIGNATURE OF CONTRACTOR OR A10RIZEDAGENT (DATE) WHEN PROPERL VALIDATED THIS IS YOUR PERMIT UDIBLDG INSP DA SiG A RE OF OWNER0F OWNER BUILD 1 CITY OF FrtiptEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PLEMITS (New, Alterations, Additions, or Repairs) 0WRIER: k,- J@. Zy ADDRESS: 1��1 sl S� TEL INO: STRICT NO: �� STREET: BUI LDER . ADDRESS: TEL 110: Construction Location S-� LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form tura Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF CONISTRUCTION � Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Fent: Cubic Peet: R®© 7Vpe of Construction: ��a��j� Estimated Cost: $N �Ypc)- 'Ib Be Cbmpleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE P.EVF.RSL' SIDE OF SHEET . 2be undersigned hereby makes applicaticn for a permit fcr the %:vrk herein specified, agreeing to do.all work- in strict 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. DAM% � O SIGNATUTE: (� Stimulations: �S'o0 �J � 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 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: Sotal Valuation $1.00 to $500.00 Fees $10.00 (Minimum $15.00) $501 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 to $25,000 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25001 to $50,000 $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 to $100,000 $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 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or • fraction thereof Plan Check: 25 percent of building permit fee. 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 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 Rroceedina with the framing. 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 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 Water Heater —Electric $ 7.00 Water Heater — 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 TOTAL FEE $ .50 JOB ADDRESS -7� 5 -, P,'I 0/6�,. Ss� /V,, � n The undersigned hereby makes application for a permit for the work herein specified 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. , 1998 Owner re Building Used Ash Estimated Cost PERMIT NO.F��® PLUMBING CO SIGNED BY Approved By I j _TEL NO.i i y Rough—In Date Final Date e MINIMUM FEE FPR ANY PLUMBING/ ro PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. /I SuBjECT P MIT City of Fridley 3 2 9 2 AT THE TOP OF THE TWINS g U I L D I N G BUILDING PERMIT 000 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. fr______ j - PROTECTIVE INSPECTION SEC. NU MBER REV DATE PAGE OF APPROVED By I CITY HALL FRIDLEY 55432 '� 1 J ` 763-571-3450 910415 7/25/02 JOB ADDRESS 7399 Symphony Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dale/Polly Helm 7399 Symphony Street NE 763-792-4934 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Fridley Roofing & Remodeling 830 West Main St STE 105, Anoka, MN 55303 20269030 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-780-6210 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 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 OCCUPANCYLOAD 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 $2,680 $1.34 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION I' PLAN CHECK FEE TOTALFEE License "5.00 $,9/.27 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI P OP LIDATED T S IS YOUR PERMIT SLO -NSF' •tE S-GNATURE OF OWNEROF OWNER BUILOERI IDATEI /I NEW (J CITY OF FRIDLEY Effective 11112002 ADDN [ ] 6431 University Ave NE, Fridley. MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5-t- I\ C Legal Description: Owner Name & Address: fe��. � L�`I Tel. # 3 PZ� `E�'�`� Contractor. 17`L,kt-. LTi •t- �� li� MN LICENSE# Address: 9.3C0 U e-S� mcct-V�SA Tet. # AS -TKO LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 ��•S Length Width Height Sq. Ft Length Wdth HgtfGround Sq. Ft 4 Construction Type: c"` �� 'r 1 �" '� Estimated Cost: $ & (5 n Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: UL APPLICANT:I)C�.Q-vi e-4, Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-5714287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Resideritial Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by*Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ � ,e STIPULATIONS: BUILDING PERNIIT 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 $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 FEES $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 $50,000 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 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet -times $17.00. 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. New Houses Only Note to File: October 9, 2003 Scott Hickok and I reinspected 7399 Symphony yesterday for resolution of the line of sight issue with the shrubs on the corner of Symphony and 74`" Ave. NE. We feel the barberry and pine shrub within 15 feet of the curb on the corner of the intersection need to be removed to provide adequate visibility due to the slope of the corner part of the lot. Mr. Helm and his neighbors feel there is clear line of sight and are satisfied with the height the shrubs have been trimmed down to. Mr. Helm has been forwarned that we do not intend to close this case out until the two shrubs in the right of way are removed.