PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N°5 8 01
Date:
a
Owner: Builder -le'* -------
Address _. _ Address
fe LO O -BUILDING
qz:No. tree" 7z Pkrt of Lot _
Lotddition or Sub-Divisio -
ComerLot_ _ ___ Inside Lot _ _ Setback i y r _ Sideyard ._
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To '� Used ,
Front Depth Leight
.,;__.. Sq. Ft. -ACu. Fta�°
Fro • t Depth eight q. Ft. Cu. Ft.
of Construction _ Esi~ Cost __ Te b, Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of fAoe_ _ ____._.., 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, re and moving of buildings
limits within the city and this permit may be revoked at any time upon viola on f any of the provisions of said
ordinances. .�� "n '01 /
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas hosting, sewer or water. Be sure to see
the Building inspector for separate permits for these hems.
�L-
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name Builder
I!�
Address Address
X12 LOCATION OF BUILDING
No. G d Street�
�to .rm ' Part
of Lot
Lot _Block Addition or Subdivisionc—a-
Corner Lot Inside Lot 11"� Setback CL-� Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
Front 40 Depth Height
Sq. Ft.
Cu. Ft.
)�oi
Front J
e Depth Height Of
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost 1 !?, g®o
To be Completed l
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 rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE 344SZGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
BUILDING PE1tMT iSS 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 exist-
ing 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" -fait;
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 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 beat the rate of $1.25
for each -one thousand cubic feet, classified as "fireproof" by Section 502 of
,,.the Minneapolis.Building Code*
HOUSES
2.3. For any such.permit for the erection of any non -fireproof building 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.
GARAGES
2.4. For any such permit for the erection of 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 cent's -($0.90) 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 per 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 as set forth in
Section 2 be less than $4.00.
Application for Power Plants and. H g, Cooling. Ye til R. , . ion and
Air Conditioning Systems and Devices
z
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 $jz
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
Capacity
Sq. Ft. E.D.R BTU H.P.
Total Connected Loa
��i'�
s r Kind of Fuel�-�
BURNER - Trade Nam a Size Nom !L-2
GAS BURNER (up to 400,000 BTU) ........................
5.00
$ t/
GAS FITTING FEES:
NO RATE TO AL
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
$ Z11,-120
A
,
ROUGH
e
FINAL
Dept. of Bldgs. Phone SII 4-7470
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, A1inn MAY 15 IN2 19
Owner
Kind of Building
Used as
6
To be completed about
Estimated Cost, $
i
ew. uilding Permit No. --1'6--f11-1/ Permit No. 42
HEATING
, Warm Air—No,
Trade Name
Size N-11 y_� - ✓0
Capacity
Sq. Ft. E.D.R BTU H.P.
Total Connected Loa
��i'�
s r Kind of Fuel�-�
BURNER - Trade Nam a Size Nom !L-2
Capacity
Sq. Ft. E.D.R��O BTU H.P.
g�
GtO. SED �viCie HTG. & A&R.-CQND. CO.
1001 Xenia Av. S.
Minneapolis 16, Minn.
Signe
3-10 If 7
By
4 z zM 7-59
Business Phone o
(REMARKS -OVER)
HEAT LOSS CALCULATIONS
Weatherstrips A.S.H.V.E.
Guide
d ows I rpnrs Reference Out. 1!liall
!�-No o 19—
F1.1 Room I Lensth Width
f'+C —7; a k rmi
DEPARTMENT OF BUILDINGS
Construction No.
Int. Wall qe_ilJingRoof Floor
Height II ,/ Fla
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 ft. Area
No. f plune p2ML, lights of crack sq. ft.
q
, ®Ymo _ N
..
,
Coef.1 B4,
Infiltration
Coe#.
Btu
Infiltration
Infiltration
Exp. wall
0Q,
Glass"
Net exp. wall
Glass
`" 1 0< '
-;ell
a
Exp. wall �� a ., Q�
.. :
_ t*
Exp. wall
Net exp. wall
"
Net exp. wall
Int. wall
,fig"
t
Ceiling k,
Ceiling
Total Btu. .
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room Length/5' Width i/ Height f
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 ft. Area
No. of paneY pjLne lig�yhts of crack sq. ft.
q
�,r
..
,
Coef.1 B4,
Infiltration
CO
Btu
Infiltration
Exp. wall
�
;
Net exp. wall
Glass
`" 1 0< '
Int. wall
Ceiling
Exp. wall
Flo -
Net exp. wall
,fig"
t
Int. wall
Ceiling
POW—
Total Btu. Vol -7
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.
JA9 f,4 Room I Length Width : Height -a
Windows and Doors-Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Btu
Infiltration
Glass
Exp. wall
Net exp. wall = i s.
Int. wall 4 ell
Ceiling
Total Btu. to v
Required sq. ft. E.D.R: or sq. ins. W.A. Leader area
NUNNEAPOLIS. MINN.
Insulation
Kind How. Applied
Room I Lensth,�Width 0"0 Height
Windows and Doors—Crackage and Area
--
Or
Width Height No. of Lineal ft. Area
No.. of pane of pane lights • of crack sq. ft.
F
,
Coef.1 B4,
Infiltration
277
Glass
Exp. wall
�
Net exp. wall
`" 1 0< '
Int. wall
Ceiling
Flo -
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. Room I Length/ - Width 7
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pat' of pane lights I of cracks sq. ft.
FA
Infiltration
P
Glass
Exp. wall
Net exp. wall i
Int. wall
Ceiling 37 ti
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room I Length Width
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane , of.pane lights of crack sq. ft.
Height
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
C l'e llrlg
FloorPot �;.��E �` .�
Total Btu. h'
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
D-56 a h
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN.
Weatherstrips A•S.H.V.E. Construction No. Insulation
Guide -
Windows I Doors Reference Out. Wall 11nt. Wall Ceiling RoofFloor Kind How. Applied
Yes—No Yes— 0 19_
FVJ,",:�/35-7 Room I Length ` Width 111 Height Fl.Room I Length Width Height
Windows and Doors—Crackage and Area
Width Helght No. of Lineal f . Area
No. of Wane of pane lights of crack so..ft.
Btu'
Infiltration : / 1.3
Glass 9
Exp. wall` . - pQ.
Net exp. wall
Int. wall
�g � ��
Floor _ ""rte _� +
Total Btu. I - G -V-1.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room I Length " `V Width 4
Windows and Doors-Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane pf ane lights of crack sq. ft.
Infiltration
Glass
Exp. wall.
Net exp. wall
Int. wall
Com.—
iEng
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room Length Width
Windows and Doors—Crackage and Area
Width Helght No. of
Lineal ft. Area
No. of pane !11,11191h! Ifghts of crack so. ft.
Infiltration
Glass
Btu
Btu
Exp. wall r. s c
Net exp. wall �°e aye '
Int. wall
Ce�irfg"• f r
Floor,>a
Za
Total Btu.j
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Fl.l Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A: Leader area
F1.1 Room I Length 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
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
ft. E.D.R. or sq. ins. W.A. Leader area II Required sq. ft. E.D.R. or sq. ins. WA. Leader area
City ®f Fridley, Mm.
Date: &Y25, 1965
Owner: John Shanderak Builder Same
Address 7321 TMR2 Terrace X. z. Address
LOCATION OF BUILDING
NO. 7121 street Tempo Terrace LN. E. Part of Lot
Lot 7Block 2 Addition or Sub.Division Melo Manor
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation _ Foundation Elevation
To be Used as:
Type of Construction
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft Ca. Ft
Front Depth Height Sq. Ft Cu. Ft
Est cost X90.00 _ To be Completed
Storm Damage : Rebuild to original
,; 976 P
7543
In consideration of the issuance to me of a permit to construct the building described above 1 agree to do
the proposed work in accordance with the description above setr' oa compliance tit ail provisions of
ordinanoea of the city of Fridley. .'
In consideration of the payment of a fee of $10.00 � , permit is hereby granted t
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 regirdinlocation, construction, alteration, maintenance, repair and moving of buildings
within the city limits anduns permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
" permit does not corer the construction, Installation for wldne, plumbing, gas or water. Be sono to we
the Building hupedor for separate permits for these Items,
APPLICATT014 FOR BU TNG PEM4IT
CITY OF FRIDLEY NNESOTA
LOCATION OF BDING
No. Street Part of Lot.
Lot Block Addit.io& or Subdivision 2VE
Corner Lot Inside Lot A.:PetW4tk Side -Yard
SEWER ELEVATION FOUNDATION EUV'ATION
Applicant attach to thi-A form Two Certificates .of Survey of Lot and proposed build-
ing location drive on these CA-ttificates.
DESCRIFTION OF BUILDING
fe be used as:
Depth Height
Ft. Cu. Ft.
Front Depth height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost ' ® es ej
_20 -bee Co�ovgleted
The undersigned hereby makes application for a permit .for the work herein specified,
agreeing to Ao all work iit 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.
RMINATIMR
Sa3 4e of`Fee Costs can be found on the Reverse Side).
y
APPLICATT014 FOR BU TNG PEM4IT
CITY OF FRIDLEY NNESOTA
LOCATION OF BDING
No. Street Part of Lot.
Lot Block Addit.io& or Subdivision 2VE
Corner Lot Inside Lot A.:PetW4tk Side -Yard
SEWER ELEVATION FOUNDATION EUV'ATION
Applicant attach to thi-A form Two Certificates .of Survey of Lot and proposed build-
ing location drive on these CA-ttificates.
DESCRIFTION OF BUILDING
fe be used as:
Depth Height
Ft. Cu. Ft.
Front Depth height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost ' ® es ej
_20 -bee Co�ovgleted
The undersigned hereby makes application for a permit .for the work herein specified,
agreeing to Ao all work iit 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.
RMINATIMR
Sa3 4e of`Fee Costs can be found on the Reverse Side).
' BVILDING PERMIT FEE SMftlJLE • .
Section 2. The Inspector of Buildings � befOr. iseui4g.any permit for
the erection of any building or structure., or•for any.addLti to any exist-
ing building or structure, or for.46ya);terat �'or'..repair* to any existing
buildiAg or structure, upon applicatrba toerjeor, require the pay at by the
applicant for such permit of fees -t6 the amount •herein•••below set 'forth -and
in the manner herein provided to-wWr
For any ouch permit for the ore otiofi-4* any fire-piq;gt bu*ldipg, other
#-.lean a garage#- warehouse, .factory or' $ ia, Q W.8 fir. the amdon of
any fire -proof addition, foxy sia}ilar`°oo �zpaztcy, tot a#y axis•titkg butl .48
shall be at the rate of $1.40 for raol .pao thoushnd .onbi.e feet, or'fraction
..�-..:thereof, in such cubical contents. .
- n
2.2. For any such permit fes... e -erection of any firer roof
a�ctory or grain elevator, or fpr .the epecti6n of any` firIS._pxTof €
for similar occupancy.,.. -.to any existi.•ng ildftg shaU • e at the
. ..:- :foe~eaeh one .thousand cubic .feet;'. alas sified asal'fireproof" by .4%
the •Mtnne_apfe L s• Bu*Idini
N HOUSES
2 #3:: Far any such petmit for the erection- of eny non-firep osf, b'uilding' +oat
'than a garage,•warehouse, factory or, rain elevator dr an note-fi
g , y reptof •,.,
addition, for sim*;Ld r octupab4y, to any ejfattjdS ,bgiilding - permit $1.4"60 for
each one thousaiaO •cubiti, feet..
GARAGES ,
2A. For any such permit for the erection of any non -fireproof garage,
warehouse,factory or grain elevator; or for the erection of any non -fireproof'-
addltioix, 4or--similar occupancy, to any existing building dr for each such
r^�,� °molding or addition -. ninety cents ($0,90) 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, thu.cubical coatenta-
of any building or. addition to- a, uniform height through(iUt • by multiplying the -
ground area covered.from a point six (6) inched below the floor line of -the -
basement or cellar to_the'nverage 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 exist r. '
. •t the rate of h . 3. s tattctt,y a fee sill
pa • 1ra�.�-f°'"` °r :
$ 00 per each Five gYundred Dollaxs
theret�f in the cost cf ,cll proposed work,
2.6." in no case shall the'
�ed.`fvr-�p-=kit, "L ' "rth in �.
,Section -2 ;be. lest.,,rhan_44.,W0
' a�J.
SUBJECT
�(
PERMIT NO.
City ®f Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
20760
r
' ,
_ COMMUNITY DEVELOPMENT DIV.
r ; PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
612-571-3450
EIPT
NUMBER
910-F15
REV
DATE
4/15/91
PAGE OF
APPROVED BY
10B ADDRESS 7321 Tempo Terrace NE
1 LEGALLOT
DESCR.
NO.
7
BLOCK
2
TRACT OR ADDITION SEE ATTACHED
Melody Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jim Warhol 7321 Tempo Terrace NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Vic & Sons Construction 10020 Olive St, Coon Rapids MN 55433 754-8647
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 [j REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House & Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
1 STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORO NCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WH TH R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$7,254.
$3.62
PERMIT FEE
SAC CHARGE
DOES NO P TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
'SU
PROVISIO OF ANY ER STATE OR LO LAW REGULATING CON-
STRUCTIO OR TH RFORM N VFL RUCT
$99.00
Fire SC $7.25
PLAN CHEC FEE
TOTALFEE
09,87
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDA E)
WHEN P A PERL V LI ED S IS YOUR PE"RMIT
-.DATE,
I �' /sJ V
FIATE
SIGNATURE OF OWNER IIF OWNER BUILDFAI
NEW [ ]
ADEN [ ]
ALTE R [ ]
R-1 AND R-2
Building Permit Application
Effective 1/1/91
Owner Name & Address: " 1',n 0 Alze-k/ 1 S � _ Tod.
Contractor: ���� C 9� 1 s C. ®�� f��fC �� G�� Tel. # %�� ` g� �17
Attach to this application, a Certificate of Survey of the
lot, with the proposed bion drawn on it to scale.
LIVM AREA: Length Width Height Sq. Ft.
MIMI AREA: Iexrfth Width Height Sq. Ft.
CD
DEAREA: Iength ir- h H#/Ground Sq. Ft.
OAR: Ce 5/
Corner Lot [ ] Inside IDt [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: S�� e Estimated Cost:
Approx. Completion Date:
Rn4msed Driveway Width If NevaFt. $ $
+ See Back Page
DATE: /� �/ APPISCARr: is Tel.
Permit Fee $ 99, ('> D
Fire Surcharge
State Surcharge
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main CQuarge $
SI'IP IATIC NS:
QTY DEE CIMY
Fee Schedule on Reverse Side
.001 x Permit Valuation (1/10th $)
$.50/$1,000 valuation
$650 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
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 mwmr herein provided to -wit:
$1 to $500 $15 OUnim m Fee is $15 plus surcharge)
$501 to $2,000 $15 for first $500 plus $2 for each additicnal $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $45 for first $2,000 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 first $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 $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
UMVERRY DEPIMMIC H ESCROW
(Concrete Qkb Streets Cn1y)
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 bion will be issued a minis u* of 24 hours from the time of
application to allow for proper review of the proposed structure and of the
ocnstruction site.
A Certificate of Survey of the lot, showing the location of the fmidaticn once it has
it has been constructed will be required before proceeding with the framing.
SUBJECT
City ®f Fridley2
6 6 4 6
AT THE TOP OF THE TWINS
BUILDING
E M I
o
1 06______ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
'141
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
3
JOB ADDREss7321
Z Tem o Terrace
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
2
IMelodyManor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Catherine3DUMHUM Knighton
780-0405
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Seal Guard Systems, Inc. 9199 Central Ave NE Blaine MN
55434 7171-0700 20093688
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 X7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage- Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with 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
$5204.36
$2.60
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$112.25
Fire SC $5.20
PLAN CHECK FEE
TOT L FEE
Licens
5.0 25.05
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
NaPVALID
BL INSP
THIS IS YOUR PE ITn
BATE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
NEW [ )
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:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Effective 1/1/98
Tel. # -11-7 - 0-�
LIVING AREA: Length
Width
Height
Sq. Ft. �~
GARAGE AREA: Length
Width
Height
Sq. Ft.
DECK AREA: Len
Width
Hgt/Ground
Sq. Ft.
OTHER: �r �I r) a-
466a S �_
� (' iZ�C�» �'
— 7 -PA -/2 "-) �T
_ r
Construction Type: _?&- & ��,-� Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. # -7
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ A
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ _
$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 $ I &
STIPULATIONS:
a'
BUILDING"PERMIT FEE SCHEDULE
7't7
.. r_
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 $25,000 plus$y.W- ru-r 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 DIViSION Effective On January 1, 2000
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 7.3 -'1 / %10,Po 9WA-el
RATE SCHEDULE
OWNER lJR �fi �N� �Nr��1f�i✓
Residential Rate TOTAL n
Furnace Shell and Duct Work, Burner - BUILDING USED AS /C 5 �'
Also Replacement Furnace $ 30.00 $ /
(Side Vent - Fill Out Back) ESTIMATED COST `a �� PERMIT N0. C 13
Gas Piping (Needed with new furnace, $ 10.00 $
but not replacement) DESCRIPTION OF FURNACE AND OR BURNER
Gas Range $ 10.00 $
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Gas Dryer $ 10.00 $ Trade Name Size No.
BTU HP EDR
*Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No.
1% of Value of Appliance or Work $ BTU HP EDR
Commercial/Industrial
1.25% of Value of Appliance or Work $ 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 an
State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and
1 0 representations stated in this application are true and correct.
TOTAL FEE /
DATEIMUM FEE )00kS'CX
NY HEATING/COOLING/VENTILATION HEATING CO M&Vyz
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 �� , a,
PLUS THE $.50 STATE SURCHARGE Signed TEL #
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without Approved BAZ Rough -in Date Final Date f9 616
written permission from adjoining property owner.
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( ) No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
BTU Input Fan Assisted or Nat
Appliance #2 Type
BTU Input Fan Assisted or Nat
Appliance #3 Type
BTU Input Fan Assisted or Nat
Total Appliances
Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date`:
CITY OF FRIDLEY PERMIT NO.: 2004-01490
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004
572-36U4 YAX: (763) 571-12137
ADDRESS 7321 TEMPO TER NE
PIN 113024240018
LEGAL DESC MELODY MANOR
LOT 7 BLOCK 2
PERMIT TYPE ELECTRICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114 -
OWNER
DAVID SPIYEE
7321 TEMPO TER NE
FRIDLEY, MN 55432
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 117431
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 other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp.
Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.