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PRE 2010 DOCSCity of Fridley, BUILDING PERMIT Date: �.-_se`°° orI Owner: iacz4l Builder _ Address _ _ _ Address �:`�'�: LOC 1� �-OP � IL®INC7 No. Stree ,r!C ._..... Part f Lot 1 Lot _ _ _ .__ Block _ _ Addition or Sub -Division Or Ift ,1' Corner Lot Inside Lot fn Setback -y----_ Sideyard Sewer Elevation _ _ .-. Foundation Elevation _ DESCRIPTION ` OF BUILDING T ; Used Front _ Depth 4;9Height 2 Sq. Ft. Cu. Ft. t Depth Height Sq. Ft Cu. Ft. Type ofnstruction ,., Est. �.�....�e 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 grdinances of the city of Fridley. In consideration of the payment of a fee of permit is hereby granted to— to construct tkae building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time uponviolati n of any of the provisions of said ordinances. A , WWW/M Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Bas heating, sewer or water. Be sure to se the Building Inspector for separate permits for these items. d APPLICATION FOR HEATING OR POWER PLANT AND SPECIAL DEVICE PERMIT PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ......................... 8.00 $ Replacement of .Furnace 4.00 $ Repairs & Alterations—up to $500.00 ................. 4.00 $ ._ Repairs & Alterations each add. $500.00 ............... 2.00 $-- MECH._ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........... 8.00 $, each add. 60,000 BTU ........................ 1.00 $ Replacement of Furnace 4.00 $ Repairs & Alterations—up to $500.00 ................. 4.00 $ Repairs & Alterations each add. $500.00 .............. 2.00 $ STEAM or HOT WATER SYSTEM ► Furnace Shell & Ltnes--to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line -to 640 sq. ft ° EDR Hot Water ... 8.00 $ t Each add. 200 sq. ft. EDR Steam ...................... 2.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.00 $ _ OIL BURNER—to 3 gal. per hour ........................ 4.00 $ over 3 gal. per hours—See Fee Schedule 101 00 GAS BURNER .......................................... 4.00 $ �K GAS PIPING (Up to 5 Fixtures) .......................... 14 $.� AIR CONDITIONING FAN HEATING SYSTEM � See Fee Schedule VENTILATING SYSTEM 4 $ REMARKS:TOTAL FEE $_L The undersigned hereby mak app ' ation for a permit fthe work herein specified, agreeing to do all work stri accordance with the Village Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations ptqw in this application are true and correct. zk 933 _, 19 Owner 90I.Ma` �v��— 195—. Kind of Building Used as 195— A To be completed about / � Estimated Cost, $ a _ Old Building Permit No.'�7 DESCRIPTION OF WORK HEATING or POWER PLANTS team, Hot Water, Warm Air—No--- Trade ir—No __Trade Nam Size N _ Capacity Sq. Ft. E.D.R `�"►'TT H H. P. Total Connected Loaa 4 Kind of Fue BURNER — Trade Size Capacity Sq. Ft. E.D.R BTU H. P. 1 1 2M-5-58 �. HEAT LOSS CALCULATIONS a DEPARTMENT OF BUILDINGS 14 X �L- t_f INN. Weatherstrips A.S.H.V.E. Guide Reference 19, �. Constriction No. Width Height No. of Lineal ft. Area No. of pane of lights of crack sq. It. Insulation r Windows Doors Out. Wall llnt.Wall I Ceiling Roof Floor Kind How Applied Yes—No .I Yes= -No Infiltration Exp. wall Net exp. wall . f-1 I v] I 0___ I f e.....t. E !i rt W;Atl. i Cl II ® ml a n fl R.m 11.enath I / l/.n Width I / XIHeittht l�/ 1.1 sew•ue 1 —.6... « - ...®... Windows and Doors—Crackage and Area ' / Width Height No. of Lineal ft.. Area No. of pane of Dane lights of crack aq: it. Windows and -Doors--Crackage and Area �. Width Height No. of Lineal ft. Area No. of pane of lights of crack sq. It. Coef. Btu Infiltration & . Class Exp. wall MID Net exp. wall Int. wall Ceiling O Floor Glass Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area VIN F1.1 Room I Length Width / Height y' Windows and -Doors--Crackage and Area �. Width Height No. of Lineal ft. Area No. of pane of lights of crack sq. It. jpens 9L toCoeE Btu Coef. Btu Infiltration ST Glass Btu Infiltration Exp. wall Net exp. wall L? Int. wall Glass Net exp. wall Ceiling _ Exp. wall Exp. wall ® Ceiling Net exp. wall lam® Y tJ Int. wall �. Floor Ceiling Floor Total Btu Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.. Room Length k ZVL Width / ' Height I' Windows. and Doors-Crackage and Area Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �. Coef. Btu Coef. Btu Infiltration ST Glass Exp. wall (j Exp. wall Net exp. wall L? Int. wall Net exp. wall Ceiling _ Exp. wall Floor ® Total Btu. I 'a -W Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . RT -(20o0)-12-97 Windows and Doors—Crackage and Area Doors---Crackage anJ Area Width Height No. of Lineal ft. Area Width Height No. of Lineal ft. Area No. of Pane of vane lights of crack sq. ft. Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. �N)o_. AL Ono Coef. Btu Infiltration Infiltration Class14+ Glass Exp. wall ut' 1 Exp. wall L? Glass Net exp. wall Int. wall _ Exp. wall Int. wall Ceiling ® Ceiling Floor lam® Floor tJ Ceiling Total Btu. & bl— Required sq. ft. E.D.R. or sa. ins. W.A. Leader area Room I Lenath ,®/&Width / / Af Height v Windows = Doors---Crackage anJ Area Width Height No. of Lineal ft. Area No. of pane Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. �N)o_. AL Ono Coef. Btu Infiltration Class14+ Exp. wall ut' Net exp. wall Glass .� Int. wall _ Exp. wall +� Ceiling ® �p Floor Int. wall Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area I FI -1 m I L.enath Q_ a Width I I V4 Height V Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. It. Coef. Btu Infiltration Glass ® �p _ Exp. wall Net exp. wall 913111 9.3 4 -- Int. wall Ceiling �. Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, 11 Hnn. N? 8038 BUILDING PERMIT Date: June 28, 1965 owner: Howard Schutz Builder Ben Wolke Address 7351 Tempo Terrace Address 2-51 Rice Creek Terrace LOCATION OF BUILDING No. X51 Street Tempo Terrace N. E. part of Lot Lot 4 Block Addition or Sub -Division Melody Manor Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front ___ ___ Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft. Type of Construction Est Cost $5 000 *00 To be Completed Storm damage repair: Rebuilding In consideration of the issuance to me of a permit t e building 4escribed above agree to do the proposed work in accordance with the description ab ov and in plian wi ons of ordinanoEs of the city of Fridley. In consideration of the payment of a fee of1$ O_ * 0 ---, permit is hereby granted to Beit Wolke 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 agenffi, employees an workmen, in' all work done in, around and upon said building, or any pari thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardin lacetion, construction, alteration, maintenance, repair and moving of buildings wio�tibin c dty lizniffi and this permit may be revoked at any time upon violation of any of the provisions of safd Allen Jensen Building Innspector NOTICEt Thk pom* don not war the cwWmdion, taelatiW= for whb& plasabMe, on beatieg, sawn or water. Be suns to no tin BuNdIno Mwedw for separate pwnft hr tone ham APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ' BMDER ADDRESS_ �� ADDRESS LOCATION OF.BUILDING No. Street Part of Lot LOT BLOCK ADDITION OR SUBDIVISION- / Corner Lot Inside LOTSetback 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. R DESCRIPTION OF BUILDING To be used as: Front —Depth Height Sq. Ft. Cu. Ft. Front Dept Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this annlieaf-inn Ara trua Anel nnrrar-t-' DATE (Schedule of Fee Costs can be found on the Reverse Side). VV=DING PERMIT FEE SMEDULIK 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 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; 2.1. For any such permit for the erection of any fireproof 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 be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502of 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-fireprdof addition, for similar occupancy, to any existing building -permit $1.00 for each, one thousand cubic feet. GARAGES 22.4 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 cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with the 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 uppex 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 permitas set forth in Section 2 be less than $4.00. `l SUBJECT PERMIT NO. City of Fridley ' AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT � COMMUNITY DEVELOPMENT DIV. �O PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 "'J NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/24/94 JOB ADDRESS 7351 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 SHEET Melody Manor 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul/Floria Schultz 7351 Tempo Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. New View Construction Inc 2355 Benjamin St NE, Nphs 782-8535 3894 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 ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 14' x 14' Three Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. WARNING Before digging call for all utility locations SEPARATE PERMITS REQUIRED FOR 454-0002 WIRING, HEATING, PLUMBING AND SIGNS. REQUIRE® BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING §Q. 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 I STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $16,000 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $171.00 PLAN CHECK FEE TOTALFEE License SC 5.00 $200.00 WHENRL ALIDATED THIS IS YOUR PERM.IiITTryy,,y/ SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT (DATEI l� P DATE BLDG INS7 SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) `l NEW [ Effective 1/ 1/94 ADDN [ CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-Z�� Building Permit Application Construction Address: CrdGe Legal Description: Owner Name & Address: � ii1 Tel. # Contractor: 4/co C' MN LICENSE Address: JV(le Tel. #82 ^S -3-57 Attach 3 5— 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 j Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: , S �� i4 �C� vy /'p r Comer Lot [ ] Inside Lot jn Ft. Yd Setback Side Yard Setba4s Type of Construction: --�rc e 4a,Estimated Cost: V900'00 Approx. Completion Date: 9 r (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: �� V"24d ® ,.� � -4 CITY USE ONLY Tel. # 7f - f ,5 JS - Permit Fee $ a -11 r 01D Fee Schedule on Reverse Side Fire Surcharge $ . 60 .001 of Permit Valuation (1/10th%) State Surcharge $ a $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ o $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: 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 $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 $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for fust $25,000 plus $6.50 for each additional - $1000 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 $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 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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. Lci id P-l'al it ln'i a75 g0may ".;5- 'V -r. St ENGINEERING, INC. `7 Enyineers E Sul- veyor5 certificate of su3rvre7 for . E & M DEVELOPMENT CO. skev. SIl,cs @ .4 C'crvt�---fe— -� - 0 OF -WO -TF -S. m-mam Zee UTI 1:Y 6 DRAINAGE EASEMENTS ELEVATIONS ARE. PROPOSED w 2. Fjpptaut4n FEEL ABOVE r LO T 4 r)j—pCX, 1 hereby cerwy. #wt #715 Is o true and Ormd repf L-Sed0fian surrey qr#le bwndomes 1(7& or &7 said /and A ��vrveyed #XWW a7dOl/ risible vv»qchmenl$ irvl�. fm" -SO15 UR Bw ENG/NEER/NGINC lin ws fr Svqvor5 C A L E t..s30Q GL - SUBJECT PE " 0. City of Fridley 2 9641 WI AT THE TOP OF THE TNS BUILDING PERMIT r CEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC.�00 r PROTECTIVE 1 � � 1 �•"1 CITY HALL FRIDLEY 55432 �---'� NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 6/8/99 10B ADDRESS 7351 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Schultz 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO MICA) 1361 Lakeside Dr. E456-6287 777.q 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 O NEW O ADDITION O ALTERATION ®X REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (244 S) Tear -off 9 CHANGEOFUSEFROM 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2098 1.05 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 $83.25 Fire SC $2.10 PLAN CHECK FEE TOT LFEE Li c91-40 IGNA RE OF CON ' PAC TOP OR AUTHORIZE AGENT IDATEI E F VALID E THIS IS UR IT Ir Bj&G NSP ')Art S-GNATURE OF OWNERi1F OWNER BUILDER, (DATE, p.. NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 P ft - BUILDING PERMIT APPLICATION V Construction Address: )P5 / 7~c) '%2 fire Legal Description:41 I�A`�, �, 4�6.1& �ome Owner Name & Address: ��C S�U�� % 3 �I T�� `%�e rr Tel. # Contractor: / /r MN LICENSE 77 7.r - Address: 1:4 kGL S1,- Da. ��iCAeO S.s/.73 Tel. # f2°�- X 7 _ 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 OTHER: �` �� Wid C . Hgt/Ground ,2 V -r -v . 7T- Sq. Ft. -agr— 49*' Construction Type: N.P, -A Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: � - 7^ 41% - APPLICANT: Tel. # TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ (3-, Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ % �S' $.50/$1,000 Valuation SAC Charge $ $1050 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 STIPULATIONS: .. Mb 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 $1 to $500 $23.50 FEES $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up $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 $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) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. 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 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 r63) 572-3604 FAX: (763) 571-1287 ADDRESS 7351 TEMPO TER NE PIN 113024240015 LEGAL DESC MELODY MANOR LOT 4 BLOCK 2 PERMIT TYPE HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-02161 DATE ISSUED: 11/23/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 300 APPLICANT HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK 15.00 0.00 RIVER CITY SHEET METAL 9928 BLUEBIRD ST NW GAS RANGE FEE 0.00 COON RAPIDS, MN 55433- GAS DRYER FEE 0.00 (763) 754-2199 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT GAS PIPING FEE TOTAL 0.50 0.00 15.50 OWNER SCHULTZ PAUL V & GLORIA 7351 TEMPO TERR NE PAID WITH CHECK # 14004 FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does notpres a to give authority to violate or cancel the provisions o ny other state or local law regulating constructer the p ormay ce of construction. , Bldg Insp SEPARATE PERMITS REQ FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763.572-3604 FAX 763-571-1287 RATE SCHEDULE Resiftntial Furnace Shell and Oust Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES $35.00 $ $10.00 $ —1222 Gas Range $10.00 $ Gas Dryer. $10.00 $ *Air Condition ing-All Sizes $25.00 $ All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $_ f S� 00 Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $500.00 Qm m ercla V Ind ustrI@VJns titutiona I 1.25% ofVelue of Appliance or Work (List on Back) $ MinlmunTFee $35.00 for Commercial/Industrial/lnstitutional State Surcharge $ .50 TOTAL. FEE $15 • SSU REINSPECTION FEE $50.00/HOUR *Air Conditioners can not be placed in side yard without written approval from adjoining property owner . copy to City JOB ADDRESS '1357 Tim en Owner i -. 5 t�4'u LrZ._ Building Used As T)U) Li' ESTIMATED COST PERMIT NO # of Heating Units Circle One (Steam) (Hot Watery (Warm Air) Trade Name Size No.`�_ BTU HP EDR Fuel Total Connected Load Burner Trade Name il�L ,� tSize No.�^X W-210 STU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeingto 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. IN 0*1WAY61105JAW Signed, UA'"X"a Tel 013 —7 95 �/ FAX #_1�3 -% 5-e%dY Date /) -I FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date