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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 5 7 6 3, Date:r Z4Owner: Builder Address Address (QUI NCS No. SLr . P of Lot — --- Lot _ _ _ _ .__ Block ,?"Addition or Sub -Division . Corner Lot . Inside Lot Setback s.Z Sideyard Sewer Elevation Foundation Elevation DESCRIPTION ' OF BUILDING To ., Used Front –3V Depth Height Sq. Ft. , Cu. Ftqlgew ' r Fr. n _ Depth �t _ . , Ft. Cu. Ft. Type of ction Est. cofff To be 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 $ ; permit is hereby granted to._._ to construct the building or addition as described above. This permit is granted upon tLdlFyk ress condition that the person to whom it is granted and his agents, employees and workmen, in all work d,Fwd Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sore to see the Building Inspector for separate permits for these items. City of Fridley Application faw Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures y NO. RATE TOTAL Zz x Oz �z o� -J �U'd n �U' U' Z O • F • N WATER HTR. GAS ELEC Base 3.25 $ Z Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ 1st a Ind 3rd 4th Future Connection Openings New Fixture, Old Openings � Connected with Sewer E) Cesspool E-] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ? O 00 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ — �- Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures ........................... Additional Fixtures ................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL — x $1.50 $ x .50 $ _ x 2.00 $ Dept. of Bldgs. Phone SU 4-7470 Location 6 �C✓a� © € ��s - City of Fridley: The undersigned hereby makes application for a permit for the work herel 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. Owner -'<'F 'f Kind of Building Used as To be completed about Estimated Cost, Old—New. Building Permit NoPermit No. Signe By Business Phone Na ROUGH _ % _ / -�? _( ;2- FINAL Z FINAL Description ................................................$ TOTAL FEE $� "�_ a Z ZM City 1Fridley,t. 1;, BUILDING PERAUT Date: _ SEPTEMBER 72 1965 Owner: CANDIDO P. ZANONT Builder SAME Address 7380lempo Terrace Address Fridley 32, Minnesota LOCATION OF BUILDING No. 7380 Street TEMPO TERRACE Part of Lot Lot 5 _ Block 3 Addition or Sub -Division Melody Manor Corner Lot Inside Lot __ _ Setback —_ Sideyard Sewer Elevation _ __ _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 30 yZl'/ Patio Front 12 Depth 14 Height 10 Sq. Ft. 168 Cu. Ft: 1,680 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost—_$5_DA. 00--- To be Completed In consideration of the issuance to me of a permit to construct the building described aboveI agree to do th@ proposed work in accordance with the description above set forth and in compliance with ;Jl provisions of ordinances of the city of Fridley. /P In consideratima of the payment of a fee of $ • 00 , permit hereby ted to ONT to construct the building or addition as descri above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN Building Inspector NOTICE: Ub pern& don not eoww the aonstroa8on, hwhffiden for whine, phMbbo, on heafte, newer or water. Be wre to we the BoBdins ingm for for wpm to pwnnhs for thew Hemi, APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME 011N t7 iDo 7::, BUILDER S'a M t,% ADDRESS 75 go -FP--mra® N-yra-d'. ADDRESS LOCATION OF BUILDING NO, STREET LOT BLOCK ADDITION OR SUBDIVISION PART OF LOT CORNER LOT INSIDE LOT SETBACK 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. DESCRIPTION OF BUILDING 7e::7'Ld as;_�� Depth —4 Height Sq. Ft. Cu. Ft. Front Depth 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 application are true and correct. DATE_' �f 7 SIGNATURE (Schedule of Fee Costs can be found on the Rever a Side J r BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of•Buildings'sha11, ie;fore issuing any permit for the erection of any building or structure -,..pr .for, apy; addition to any existing building 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 foot, 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-prdo£ 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. 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 -fire -proof 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 cubtcal-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 hoight of Che 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 strue-ture, the fee shall be at the rate of $3.00 per each. Five: Hundred. Dollars ($5 00. Gid) 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. STORM REPAIR DAMAGE PEES: Residential: Estimated Cost of work up to $500.00 - $5.00 Estimated Cost of work over $500.00 - $10.00 Commercial Estimated st of work u t -,o Yr 0 � p . is 00 - $10 Estimated st of work over $500.00 - $20. A'pO for Purer HeathiS �E Vemlation. IF radon and Air Conditioning Sys and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace shell & Duct Work ........ ....... .. $10.00 Replacement of Furnace ........ ......... .. 6.00 ; Repairs & Alterations—up to $500.00 600 $__ Repairs & Alterations each add. $500.00 3.00 $__ MECIiL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 $ each add. 60,000 BTty .................... 3.00 F Replacement of Furnace 6.00 $ Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 &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 &M $_ Each add. 320 sq. ft. EDR Hot Water 3.00 $__ OIL BURNER—to 3 gal. per hour 6,0D $ — over 3 gal. per hour—See Fee Schedule ROUGH FINAL—Z 2 - 3^ 2/ Dept. of Bldgs. Phone W -M City of ftwey: 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 4`" lg 7 Z- 11 - Owner Kind of Building Used as To be completed about _—_ '� 17 - Estimated Cost, Old—New. Building Permit No. Permit No. p � DESMIPTION OF WORK HEATING or POWER tease, Hot Water, Warm " No Trade Name �1— she Capacity- ?:! ' t� Sq. Ft. E.D.R BT6J9�.% =f-' N,p. Total Connected Load Kind of rue1 BURNER — Trade Name sin No Capacity Sq. Ft. E.D.R . (REMARKS -OVER) St Business, Pho, No -7 PARTIAL RATE SCHEDULE 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. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........... 8.00 $._ each add. 60,000 BTU ........................ 1.00 $ Replacement of Furnace .......... P ........ :........ 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 & Lines—to 400 sq. ft. IDR Steam ..... 8.00 $ _ Furnace Shell & Line—to 640 sq. Pt. EDR Hot Water . – 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.00 $ OIL BUIINER--to 3 gal. per hour ........................ 4.00 $ over 3 gal. per hours—See Fee Schedule GAS BURNER ..........................................-- $— - GAS PIPING (Up to 5 Fixtures) .......................... 42&$ 0 Dept. of Bldgs. P The undersigned hereby makesratio for 6 permit for t10work herein specified, agreeing to do all work in strict ac rdance with the Village Ordinances and ruling of the Department f Buildings, d hereby declares that all the facts And representations stated In, s a ation are true and correct. 195— Owner 195_ Kind of Building Used as 195 -- To be completed about — Estimated Cost, $ -- Old—/Cutlding Permit No. DESCRIPTION OF WORK HEATING or POWER PLANT team, Hot Water, Warm Air—No— Trade Nam Size Capacity ®� Sq. Ft. E TU H. P. AIR CONDITIONENG Total Connected Loa Kind of Fue FAN BEATING SYSTEM See Fee Schedule BURNER — Trade Name _— Size No VENT%LATING SYSTEM �_ �� Capacity. TOTAL FEE $��_ REMARKS: i 1 ,1 2M-5-58 Sq. Ft. E.D.R BTU H. P. SUBJECT T NO. City of Fridley r,' 19189 AT THE TOP OF THE TWINS BUILDING PERMIT • _____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 7 ,A CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 9/25/87 JOB ADDRESS 7380 Tempo Terrace N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE C. P. Zanani 7380 Tempo Terrace N.E. 786-2944 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lloyd's Home Improvement Co. 1012 - 421, Avenue N.E., Col. Hgts. 788-5602 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 B DESCRIBE WORK Tear off and Reroof Ddelling 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can he the 2nd layer but not the 3rd. Install ridged galvanized valleys. 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 MOT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 1 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 $1,850 $.93 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- $31,00 S CTION OR THE PERFORMANCE OF CONSTRUCTION. e KLAN CHECK FEE TOTAL FEE $31.93 SIGNATURE OF CONTRACTOR OR AUTH0f05 AGENT IDA I WHEN PROPERLY V I TED THIS IS YOUR P MIT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP t)ATE NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address Legal Description:_, Owner Name & Address Contractor Address: Cf LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ ] City of Fridley FR -1 AND R-2 Building Permit Application Effective 4/1/86 L7 Tel. # Tel . ' 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 Length Width Height Length,, Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Approx. Completion Date: Estimated Cost: $ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation 57 �� DATE:a /S�7APPLICANT: / Tel. # ,�� ' S C Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit 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 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. SUBJECT PERMIT NO._..._ -- City ®f Fridley215 4 5 AT THE TOP OF THE TWINS BUILDING PERMIT f NO. _ COMMUNITY DEVELOPMENT DIV. �y r ; PROTECTIVE INSPECTION SEC. e'� CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE Of APPROVED BY 1 J\ 612-571-3450 910-F15 9/15/92 JOB ADDRESS 7380 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS • ZIP PHONE C.P. Zanoi 7380 Tempo Terrace NE 786a-2944 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. New View Remodeling 16116 Enchanted Dr, Andover, MN 55304 421--6091 2838 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 l REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install new windows 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. ZONING S0. 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 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 $5,900 $2.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $81.00 Fire SC $5,90 STRUCTION OR THE PERFRMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE / / License SC $5,00 $94,85 se-em", SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI RLY VAL. DA D THIS IS YOUR PERMIT Y �)HER LDG INSP GATE SIGNATURE OF OWNER IF OWNER BUILDERI IDATEI NEW [ ] ADDN [ J ALTER [ ] Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Owner Name & Address: Effective 3/l/92 Contractor: �c° h `(� �/ vim, i�� ��� \ I MN LICENSE # Address:-��`j����J�' l/1/p���G1�1lrc�rl Tel. #t�% 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: A/61/- h//d� S , -14-1& 15 Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Driveway Curb Cut Width Needed: Ft. + b Ft = Side Yard Setbacks Estimated Cost: $ 5 f06 Ft x $ (Cost on Back) DATE:. �[ — �' y�� APPLICANT: Tel. # L i Permit Fee $ C' Fire Surcharge $ •-� ` Cy State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ 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 $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ J 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 $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 fust $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 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. SUBJECT City of Fridley 25289 AT THE TOP OF THE TWINS BUILDING PERMIT REC IPT NO. Ir � • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 'f r � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 7/18/97 JOB ADDRESS 7380 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Candido Zanoni 7380 Tempo Terrace NE 786-2944 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Exteriors Co Inc, 9060 Zachary In N #108, Maple Grove MN 55369 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 425-4737 2535 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION jJ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer's specifications state it is not required. 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 $6 300 $3.15 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 PLAN CHECK FEE TOTAL FEE License SC $5.00 $139.20 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI HE PR®/O�P�E RLY DATE THIS IS YOUR PERMIT _ Id6d P BLDG ASP friAl E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI - Effective 1/ 1/97 WMADDN [ON" ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION , 7� ConstructionAddress: Legal Description: Owner Name & Address: ��¢/��,�/,��� Tel. #��9� Contractor: y MN LICENSE # Address: �O Z� /yJ 6,S V,6 ', Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: cc Construction Type: 1S/,0.,,E- Estimated Cost: $ , 3^� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 7 -IL 17 APPLICANT: AIV " 1-6 STIPULATIONS: CITY USE ONLY 7� Permit Fee $ /a y r Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $_ � - $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge S $ oc� j $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 [ J 0 TOTAL — s—.32— 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 $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 $1()0,000 $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 constructe,'a wi;l he required before proceeding with the framing. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES r Af 2 �%1590 el22 JOB ADDRESS RATE'SCHEDULE Effective On January 1, 1997 State Surcharge TOTAL FEE $ .50 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 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. Burner Trade Name HP Size No. EDR HEATING COMPANYA��,d_,-� a�(� Signed By 47A4! � Tel No.7—FV V'ye/ Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR TACK VERIFICATION ON REPLACEMENT FURNACE 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 true and correct. (Side Vent - Fill Out Back) Cl- >'5— 1997 Gas Piping (Needed with new furnace) $ 10.00 $ _ OWNER � 7 IF 6 _.1? ?I/ Lf Gas Range $ 10.00 $ BUILDING USED Gas Dryer $ 10.00 $ ESTIMATED COST_ PERMIT NO. /J 90 ��, *Air Conditioning -All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name 44t/J az_ Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge TOTAL FEE $ .50 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 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. Burner Trade Name HP Size No. EDR HEATING COMPANYA��,d_,-� a�(� Signed By 47A4! � Tel No.7—FV V'ye/ Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR TACK VERIFICATION ON REPLACEMENT FURNACE Remarks: . List ALTERATIONS Beirag Done: HEATING CO: Signed By: Date: I CBQMNEY 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 { ) b 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 Beirag Done: HEATING CO: Signed By: Date: I SuB.,ECT PERMIT NO. City of Fridley 28419 AT THE TOP OF THE TWINS BUILDING PERMIT � ® RECEIPT NO. � `� ______ O DEVELOPMENT DIV, - PROTECTIVE INSPECTION SEC j �'7 o � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BV 612-571-3450 910-F15 10 26 98 JOB ADDRESS 7380 TemDo Terrace NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 53 I Melody SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Candido Zanoni 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems717-000 20091688 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 Px REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 26 S Tear -off 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO 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 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 2223 $1.12 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 AC $2.23 PLAN CHECK FEE TOTA F E Lice C 5.00 8 0 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IRATE, N P PER BLDG Asp V LIDATE IS ISYU RMIJ GATE SIGNATURE OF OWNEROF OWNER BUILDER. iDATE, a�a. r• L J ADDN • [. ] _ CITgtOF FRIDLEY _ ALTER [ ] SINGLE FAM I� AND' DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: r.�IeCIIve 11U51iS Owner Name & Address: B Tel. # Contractor: Seo- I &LO-rd—S4G m S MN LICENSE Address: 9 199 C.-ni r0.1 A-yt NF, "bI a i nt� 5%:JL Tel. # r1j r7 – O r%W Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF EMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft = (Fee Schedule on Back) Ft x $ _ $ Cv DATE: APPLICANT: eI. # r7 I T DM (. ca t rl CITY USE ONL Permit Fee $ rl q a r1'5 Fee Schedule on Reverse Side Fire Surcharge $ a °l .001 of Permit Valuation (1/10th%) State Surcharge $ a I $.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 $ Je STIPULATIONS: BUimm 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 $t -,.W tur 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 beenconstructed will be required before proceeding with the framing. CITY OF FRIDLEY PERM No`.: 2004-00543 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 04/21/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS 7380 TEMPO TER NE PIN 113024240025 LEGAL DESC MELODY MANOR LOT 5 BLOCK 3 PERMIT TYPE PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 700.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A INSTALL GAS WATER HEATER # ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS I # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 RIVER CITY SHEET METAL 9928 BLUEBIRD ST NW PLBG FIXTURES (EXIST OPENINGS) 0.00 COON RAPIDS, MN 55433- WATER TREATMENT APPLIANCE 0.00 (763) 754-2199 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 35.00 GAS RANGE FEE GAS DRYER FEE STATE SURCHARGE, PLBG FLAT 0.00 0.00 0.50 OWNER ZANONI C P & L M TRUSTEES* 7380 TEMPO TER NE TOTAL 35.50 FRIDLEY, MN 55432 PAID WITH CHECK # 13052 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 work 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 pay other state or local law regulating constructio or the pe an a of constuctio . Applicant Date Bldg his SEPARATE PERMITS "SQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 672-3604, FAX (763) 571-1287 Effective April 1, 2004 p 17 ')— APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $10.00 Old Opening, New Fixture $10.00 Beer Dispenser $10.00 Blow Off Basin $10.00 Catch Basin $10.00 Rain Water Leader $10.00 Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 Water Heater -Electric $35.00 Water Heater - Gas** _ $35.00 35.0 D Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes O No Type $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance 3S• Db State Surcharge $ •S� TOTAL FEE $ JOB ADDRESS 73,9 D 1 e ,yn PQ 77e & Al C= 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. DATE: '4�— lJ —.2 OWNER BUILDING USED AS�-s ESTIMATED COST -0%B'®, PERMIT NO. JL_)�l- Y3 PLUMBING SIGNED B Approved By Rough -In Date Final Date 1 4-11 7% MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existina furnace, 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 Fumace 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 ventina 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: MA Date CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 7380 TEMPO TER NE PIN : 113024240025 LEGAL DESC : MELODY MANOR : LOT 5 BLOCK 3 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00595 .X3 DATE ISSUED: 05/04/2004 / VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. WIRE FURNACE AND AIR CONDITIONING # INSPECTIONS 1 APPLICANT CENTERPOINT ENERGY/1VIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- (763)757-6202 OWNER ZANONI C P & L M TRUSTEES* 7380 TEMPO TER NE FRIDLEY, MN 55432 STATE SURCHARGE, ELEC FLAT 0.50 ELEC PERMIT FEE - MIN (RESI) 20.00 TOTAL 20.50 PAID WITH CHECK # 5544 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 worl 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. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (7(33) 571-1257 ADDRESS : 7380 TEMPO TER NE PIN : 113024240025 LEGAL DESC : MELODY MANOR : LOT 5 BLOCK 3 PERMIT TYPE : HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION PERMIT N .: 2004-00633 DATE ISSUED: 05/04/2004 VALUATION : $ 5,300.00 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. INSTALL FURNACE (WARM AIR, CARRIER, 70,000 BTUS) AND AIR CONDITIONER # A/C UNITS 1 VALUE OF APPL OR WORK # FURNACES # GAS RANGES APPLICANT CENTERPOINT ENERGY/NIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- 1 AK ' ZANONI C P & L M TRUSTEES* 7380 TEMPO TER NE FRIDLEY, MN 55432 1 # GAS DRYERS 0 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 work 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 constrPepion or the performance of construction. A scant Date Bldg Insp Datel HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 5544 QL•DAD ATL DUD1k ATTQ DUf%TTTT)nT%L'!1D TT 1/IDTr TT=D TTIAATT-%VQf'DT1D117T1 AD/ItTR 0 0 0.00 35.00 0.00 0.00 25.00 0.00 0.50 60.50 Effective January 1, 2003 CITY OF FiRIDLEY INSPECTION DIViSION ��q4 6431 University Ave NE `3 FridI6, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287y� JOB ADDRESS �3�C3 -[;aryl Ro rr a "�- RATE SCHEDULE OWNER Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate T � e `70 $ 30.00 $ 10.00 $ $ 10.00 $ $ 25.00 $ ..S , OO State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BUILDING USED AS X13 etc ESTIMATED COST PERMIT DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units i Circle One (Steam) (Hot Water) (Warm Air) Trade Name Cl�rrte-r Size No. fW--r✓+C - z BTU 10, 00o HP EDR Fuel 1\)mkvr-" Col wS Total Connected Load Burner Trade Name Size No. BTU HP EDR 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 Signed - e 763-757=6202 FAX # 763-757-6701 Approved By Rough -In Date, Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Vf4X �6 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED �.�......�� .��rr VENT CnNNEGTng ANn Gnmgl IS nN Alp vGRIFI .ATIQN A When an furanna, the undersigned hereby verifies that the venting has been examined and d i sfr a from where required. red. tion, obstructions, Yes (1) No ( ) and is securely supported pP The venting system is plastic/PVC and meets all current codes and manufacturer Yes xl No ( ) specifications including sizing, length, number of elbows and termination. The'undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and Central Furnace Venting cTtables for fan include AGA-GAMA CategoryYes (x) No ( ) assisted and natural draft appliances. The dam is sized and installed to meet the current codes Yes No ( ) and manufacturer's specifications. When required to rnetail a new-w cnmhUatinn air_ d will be sized and installed Yes No ( ) to meet the current codes and manufacturers specifications. When g. ..s.....erjung 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 Yes f) No( ) Venting Tables for fan assisted and natural draft appliances. inst led Is the commonas been removed from the commonvent and vent connectors sized v vent and vented after an appliance Yes (x) No ( ) separately as per current codes. P- Tygip- •+ c= p/ nmmnn Vent and Ven+ r'onnectnr InfermatinD A liance #1 Type K�'�' `� BTU Input G G � Fan Assisted or Nat N,,,�¢.� �+. BTU Input 3 S___; in _ Fan Assisted or Nat N«' Appliance #2 Typ® �s BTU Input Fan Assisted or Nat Appliance #3 Type Total Appliances Total Btu Input �r Common Vent Type 9/Vent Height % Diameter_ inches I ft Diameter J-00 in Type_/ Appliance #1 Vent Connector Height ft Length Diameter �_in Type ��- Appliance #2 Vent Connector Height,_,. Len9th_ Appliance #3 Vent Connector Height_. ft Length ft Diameter in Type HEATING CO: CenterPoint Ener_gvM 13562 Central Ave NE, Anoka, MN 55304 Date: Signed By: �_ C N. Energy Minnegasco ADDRESS 3r OCCUPANT — 9-kNO P i. HEAT LOSS Yes DATE HTG. INST. SOLD BY CenterPolnt Energv Min�gasco Electrical Work tri/t , TYPE OF HEAT FA t. ' SPACE HTR. GAS DESIGN CONTROLSTHERMOSTAT S Heat PI Value r _ Limit 4W Limit Setting Fan Setting PUot Type Pilot Make NOMI -0 iij Pilot Model All IJ Pilot Timing �- Pressure 3 Percent CO2 nput CFH _ Percent OZ Stack Temp, Percent CO HOUSE c" , TEST RECORD r`..t' Oa D o Lel APT. FLOOR CITY OWNER b;— INSTALLED BY CenterPoint Energy Minnegasco Cas Line By UNIT HTR. OTHER CONVERSION V Veno Size �,p. KIND OF LINER l o'r 5 SIZE NONE Draft Hood Regulator Filters Size h4jeCiremi Number �— Chimney Location Insige Outside Chimney Construction 6 Lw Wiring v/ Test Tag Lighting Inst. Date Tested 0-10-0 Company Testin CAnterPoink EneW Minnegasca Name of Tester 3uilding BUILDING Permit No.: /®— Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 0-1- 00 �✓ Z� ' ®� YOUR E-MAIL ADDRESS )ATE Q ITE ADDRESS `] -b' 00' 'HIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: e ,-g4_� ADDRESS: 7'3'b7 2r'z� p T& CITY Air� STATE ZIP TENANT PHONE: CONTRACTOR NAME: /7ai,-O STATE LICENSE # � i& w EXP DATE -� ,�/ fJ3 � y� SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS:,3 S7�V � � CITY STA r>r_Z>p WITH APPLICATION FAX ICISINGLE FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH �TROOF ❑ DRAIN TaE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEIREPAIR V -REMODELING DESCRIBE WORK BEING DONE: --C I SIZE OF IMPROVEMENT_ ROOFING 2 ¢ NUMBER OF SQUARES / GARAGES PROPOSED SIZE: c PROPOSED HEIGHT: � S-�"o�""� SIDING ❑ Vinyl ❑ Aluminum ❑ Other LENGTH ❑ HOUSE ONLY HOUSE & GARAGE ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia HEIGHT Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ /00 � °O OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ s (),5 _ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = S Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Char $ Agreement necessary( ) Non Necessary( ) Total due /6 , ` Make checks payable to: City of Fridley Attach Stipulations TION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fora ermit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor re a and approval of plans. �-11— DATE SIGNATURE OF APPLICANT Page 2 - Building Residential Application 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 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1s' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 14 $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1- $25,000 plus $10.10 for each additional $1,000 or fraction, to and inclading $50,000 $50,001 to $100,000 $643.75 for 1'3 $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1s` $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1- $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1- $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: rV 763-572-3604 lat : CITY OF FRIDLEY DATE YOUR E MAIL ADDRESS SITE ADDRESS �' i` V`' THIS APPLICANT IS: ❑OWNER ONTRACTOR PROPERTY NAME:� OWNER/ ADDRESS:_/, Z� I P b E' P' f CITY rx� STATEM A) TENANT c�'S PHONE -?&3 -7,?&- d 2c/y � CONTRACTOR NAME: No C _ V n PL' M 6 STATE LICENSE # - P �DjA� TTE - - SUBMIT A COPY OF YOUR STATE 00 ZCITY STATM . N ZIP , ADDRESS: -7901 l L-n4I-r,5J IU LICENSE WITH PHONE % (o :�) - %RLa ' 1K1 l 7 FAX - q7_0 ,`� APPLICATION PERMIT TYPE �SINGLE FAMILY 0 TWO FAMILY L] TOWNHOUSE TYPE OF WORK: E3NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK(?�C-1./o PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINKIL.AV DRAINS —SHOWER _ WATER PIPING _ _FLOOR GAS PIPING ryEED crrparcm) _ SWINIMING POOL —WATER SOFTNER ($35) —BATHTUB _ CLOTIIES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) _ _ _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION —DISHWASHER WATER METER —OTHER PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge 50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all o k vhich re es review and approval of plans. SIGNATURE OF APPLICANT l� PRINT NAME ATE _ PLEASE NOTE: TE PERMITS ARE REQUIRED FOR BUILDING, EL CTRICAL AND MECHANICAL WORK J� � 0 0 . ) 0,A) City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 111