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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT M 5 W Date:" Owner:'', Builder Address __ ._ _ Address ..., LOC ; 7k 1 -OF BUILDING Part f Lot Lot _._..... Block _ Addition or Sub -Division . . Corner Lot _ Inside Lot . Setback _ y_ _ _ Sideyard Sewer Elevation _ _ __ Foundation Elevation DESCRIPTION OF BUILDING To Used as• Front . Depth - Height Sq. Ft.ZICIL F jp Front Depth a ight pq. Ft.. Ft. Type of retraction _ _ Est. Co tsTo be Completed _ In consideration of the issuance to me of a permit to construct the building described above I agree to do ire proposed work in accordance with the description above set forth and in compliance with ah 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 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. --h A " --I Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. OW04 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Addres LOCATION OF BUILDING 9�!7 NO., 0 street—[f z Part of Lot Lot_ Block 8 Addition or Subdivision l 4 e jo r Corner Lot Inside Loth Setback3S-�OSide-Yard SM1ER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: fl a rontDepth ��,,Height Sq. Ft. Cu. Ft. �,v-- Front �L!2 rDepth___a�%height Sq. Ft. Cu Ft. Type of Construction _-_Estimated Cost-14,geo To be Compl 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 ruling of the Department of Build- ings, and hereby declares that all the facts and; representations statedin.this-application are true and correct. DATE SIGNATURE �c (schedule of Fee Costs can be found on the Reverse Side), BUILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing 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 -wit: 2.1. For any such permit for the erection of any fire --proof building, other than a garage, warehouse, factory or grain elevator, or for the erection or 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 502 of the Minneapolis Building .Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof build- ing other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building Permit $1.00 fog 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 Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00 For the purpose of computing fees for building permits the cubical con- tents 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 town 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 tr $4.00. Application for Power Plants and. Heating, Cooling. Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 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 $ NECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 80,000 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 GAS BURNER (up to 400,000 BTU) ...................... 1 5.00 $ GAS FITTING FEES: NO RATE TL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ FAIR CONDITIONING FAN HEATING SYSTEM "VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $ Location, City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn "'11" ' 19 Owner �✓ 4e 171Z L nX Kind of Building Used as To be completed about MAY 15 1%1 Estimated Cost, $ W/ e49 � ew. uilding Permit No. \ �S � Permit No. DESCRIPTION OF WORK HEATING / Warm Air—No Trade Name Size No �-.-' 7z -/0 Capacity Sq. Ft. E.D.R.®® BTU H.P. Total Connected Load Zro& o Rind of Fuel eo.5 BURNER — TrSize No� Z'Zm /'0 Capacity Sq. Ft. E.D.A4V_' s'• ZVa W 13TII H.P. GEO. SEDGWICK HTG. & AIR-COND. CO 3 1001 Xenia Av. S. ®® Minneapolis 16, Minn. Signe 4 Z 2M 7_S9 Business Phone TO (REMARKS -OVER) HEAT LOSS CALCULATIONS Dfwrs—Crackage and Area Od/k'- ® 4,0z® it'79 DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Guide Reference 19, 1 I ® Width Construction No. and Area .ineal ft. Area of crack sq. ft. �N 3 V �K'* I V A) Windows I Doors Out. Wall Int. Wall Ceiling Roof Floor Kind es oYes No fe-e, ® 700 Exp. wall /°/ V I FI.J a 4l= Room l Length 7-v Width /n/ Height Fl.,o A ✓ Room I 1 Windows and Doors—Crackage and Area Width ,Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. < eZ Windows and Doors—Cry Width Height No No. of pane pa -4p lig 0of Ceiling / Coef. Btu Infiltration 5�M' 9 Infiltration Glass �� ^® ® Glass Exp. wall '3 Exp. wall Net exp. wall 1,9 r° Net exp. wall Int. wall I Int. wall Ceiling v Id..' /4 Ceiling d C5� y_ `! Floor I Floor MINNEAPOLIS, MINN. Insulation Dfwrs—Crackage and Area How. Applied y Height No. of Lineal tt. Area 1 I ® Width Height and Area .ineal ft. Area of crack sq. ft. �N 3 V �K'* I V A) Coef. Btu Coef. Btu of.pane lights of crack sq. ft. -� Glass ,9 ® 700 Exp. wall /°/ V Net exp. wall . S'7-3 Net exp. wall Total Btu. 11 74 4V Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Z, � Room ( Lensfth / 3 Width // Height Fl I- - Room I Length Width d Height Windows and Doors—Crackage and Area Dfwrs—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft, y Height No. of Lineal tt. Area No. of pane of pane light, of crack aq, ft. Height No. of Lineal ft. 3 V �K'* I V A) Coef. Btu Infiltration of.pane lights of crack sq. ft. -� Glass ,9 ® 700 Exp. wall /°/ V Net exp. wall . S'7-3 Net exp. wall Ceiling / 7( ,''Q -7 1 Int. wall Floor Ceiling / Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ` F1.1 A, A, a1 �. Room I Lenath f �1 Width q Heiaht Windows a Dfwrs—Crackage and Area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane tights of crack sq. ft. Height No. of Lineal tt. Area No. of pane of pane light, of crack aq, ft. Height No. of Lineal ft. 3 V �K'* I V A) Coef.1 Btu Infiltration of.pane lights of crack sq. ft. Glass 0� Exp. wall Net exp. wall ,Y7 S'7-3 Int. wall Ceiling / 7( ,''Q -7 1 /4 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 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 Fl.LV , Room I Length / V Windows and Doors—Crackage and Area Width Height No. of Lineal tt. Area No. of pane of pane light, of crack aq, ft. Height No. of Lineal ft. 3 V �K'* I V A) l� 110° v, l 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 Fl.LV , Room I Length / V Width /b Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pa a of.pane lights of crack sq. ft. Coe ' Btu Infiltration Glass P36 6 Exp. wall �• Net exp. wall Int. wall Ceiling 0 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area D-56 s . HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide MINNEAPOLIS, MINN. Insulation WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof t__E�11 Kind How. Applied Yes—No Yes—No 19_ 11 / ^ Glass Coef. Fl , 3 Room I.Length Q Width JV Height F1.1 Room I Length Width Height Windows and.Doors—Crackage and Area Btu Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area �°� Wldth Hetght No. of Lineal ft. Area No. of ane of pane lights 'of crack sq. ft. �S No. of pane of pane lights of crack eq. ft. 1 otal Btu. . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area , P q Height Windows aiW Doors—Crackage and Area Coef.1 Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. / ^ Glass Coef. Btu Infiltration Net exp. wall Ceiling Coef. Btu Glass s Total Btu. Exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I Room I Length Width Net exp. exp. wall -7 3, Int. wall Ceiling 12 )e, / ' tA' 1 A Floor 1 otal Btu. . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Glass F1.1 1,iVA)a Room ( Length Width Height Windows aiW Doors—Crackage and Area Coef.1 Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. / ^ Glass Jp Int. wall Net exp. wall Ceiling Coef. Btu Infiltration Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Glass Exp. wall Coef.1 Btu Infiltration Net exp. wall Glass Int. wall Net exp. wall Ceiling I Z 6� Floor Floor Total Btu. / e _ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I 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.1 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 Coef.l 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 Fl.l Room ( Length Width Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. II of vane of pane lights of crack sq. ft. Height Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor El Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Reem I Length Width Heittht 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. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures I rn 3 x $1.50 ��F x $1.50 i Wi� x $3.25 Z~z c�C�90 u pz jz Ox J t9 U0' z • F • N WATER HTR. GAS ELEC. Base 3.00 1st 2nd _ 3rd _ 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. install (1) gas grill REPAIRS & ALTERATIONS—Refer to Code x $2.00 $ x $1.50 $ x $1.50 $ x $3.25 $ x $3.00 $ x $3.25 $ a $2.00 $ NO. RATE TOTAL 1 x $2.00 $ 2.00 x$.75 $ x $5.00 $ 3.00 Loca:ion`7 00 Tito Terrace City of Fridley: 53-84-s915.51 The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Minn June 26, 197® , 19— Owner —Robert sen Kind of Building £r'2Me Used as residence To be completed about June 30 , 1970 Estimated Cost, Old$ New. Building Permit ROUGH FINAL j-2- 0 - 7 0 Description ................................................$ TOTAL FEE s 5 - 00 42 Permit N 4� By Business Pho MINNEAP01 GAS Go, City of Fridley SUBJECT P E 31. ®13606 AT THE TOP OF THE TWINS BUILDING PERMIT r RT `L _ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. I� 1 � i NUMBER REV. DATE PAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55432 612-560-3450 910-F15 16/23/76 JOB ADDRESS 7400 Tempo Terrace N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR: 2 3 Melody Manor SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Dean ZXKKX Stump 7400 Tempo Terrace 3 CONTRACTOR MAIL ADDRESS ZIP PH ,E CE IXNMINNUSUN Custom Pools, Inc 701 Excelsior Avenue E. Hop ins gig D 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW 1� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Lnstall swimming pool 16 x 36 9 CHANGE OF USE FROM TO STIPULATIONS 1. See letter dated 6/23/76 SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND �IGNS( SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 1. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONI SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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, Q5,000 2.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ��11++ 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- STRUCT OOR THE P FORMANCE OF CONSTRUCTION. 30.00 ) PLAN CHECK FEE TOTALFEE , � <f,,- 1.4 ------ 32.50 S EOFCO TRXCTORORAUT T (DATE) PROPE ALIDATED THIS IS YOU PERMIT r- SIGNATURE OF OWNER (IF OWNER 1 (DATE) DG. IN ATE i APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDI'T'ION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: DE f} T3 J t -L, (ZM BUILDER: 0, to S -Lo M Zoo L.s L� vvC . ADDRESS: -"740,0 `L£nMP6�' Q(� c� ADDRESS: 70 tiXC¢csrOP ,qyf Aly'PKi�S 1335- NO ° . ® 0 STREET: __F� LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: C'�� & P Lwdus t t �®® ront:� Depth: /2 doo Square Feet; Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:ZA L.v.�tA Estimated Cost: &:5-, To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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 c -iced l 9' 74 SIGNATURE: i r / /I (See Reverse Side For Additional Information.) BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average, height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. L 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 June 23, 1976 Mike Mulvaney Custom Pools Inc. 701 Excelsior Avenue K. Hopkins, MN 55343 TELEPHONE ( 612)571-3450 Re: Swimming Pool Construction at 7400 Tempo Terrace. Dear Mike Mulvaney: This letter is to reiterate my conversation with you on June 23, 1976 and to make clear this departments requirements for the swimming pool construction at the above address. ar� L"-,) 1. As discussed, tww=rZrskimmer approved by the National Sanitation Foundation will be provided. 2. As discussed, three (3) inlet of approved design for fresh and/or )�epurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a mimimum, turnover of at least two (2) times in 24 hours. This department recommends. a turnover rate of 6-8 hours. 4. A deck of at least 3 feet wide, measured from the pool water's edge shall be provided which extends completely around all private residential pools; provided that above ground private residential pools may be provided with decking of a mimimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the Health Authority. 5. A fence or other suitable barrier, a mimimum of six (6) feet high, that affords no external hand or footholds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall be equipped with self-closing and self -latching devices which are capable of being locked. 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All electrical lines must be 10-20 feet or more away from the pool surface. 9. The pool fill spout must be air gapped or protected by a vacumn breaker. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1�times the pool diameter, and Shepards crook pole must be provided and maintained with the pool at all times. page 2 Mr. Mike Mulvaney June 23, 1976 Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450, ext. 170. Sincerely, STEVEN 0'. Environmental Officer SJO/bak c.c. Dean Sturm 7400 Tempo Terrace Fridley, MN 55432 /7-1 �� v page 2 Mr. Mike Mulvaney June 23, 1976 Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450, ext. 170. Sincerely, STEVEN J. Environmental Officer SJO/bak c.c. Dean Sturm 7400 Tempo Terrace Fridley, MN 55432 4, /,-, /' , ,g /(/, � 3 Dem s� 74100 't"£YKPO �7'7- L, ® L-4- 7 I p Customer Address Size Date Phone No, • • 53-8l,-879001 C11YiGley AppliGCii107 for PlU}fc i :3 C's -0 gty v J•lfeiis l�(: Aml ... . • Bldgs. Phone 5^0.3450 DESCmPTIOlt 0 �'101tI= I.o.-�L` 7400 'Tempo Terrace Nuz�S.Tr. y td and Locr:!oa of Fixtures . - city of Fridley; ° 77 7 W e w WAT(A NSI. ws «cc. The undersigned hereby nsakes apyllcation for a permit for the vorlr he with th'.e Cit? 70 1r.2: N r - o 3 t ° 3 • I° specified, a� eeing to do all work la strict acco:�a^ce 4 ,s • �w and ruling of the Dupa: trnont of Build.'ngz. and hereby declares L'�at a:t tie Bs.e and vapresertatlons stated is thm app:lcatioa are true and co. 1:°. I sYidley, Mina 7-7-76 — 19 2 •ir c'' ld U 69 t Owner ' ]: d frame Kind of Building C.cr.zs.:.d vita • FLr.:•o Ce::eei:ea s1j;.c!r.�. 5.aaz 0 res, Used as i Nav 11 -aura. Old 0 -es it:Cs Cc=pcol 0 7-U-76 To be completed about . Estim,at.ed Cost. S 10.00 , PARTIAL RATE SCHEDULE • C3 P•:aii :�a. Old --*IMF. Building Permit No.ad L IBItiG iIXTU. E RATES: NO. RATE TOTAL , Sizntcd 4i Number Fixtures ................ .,.._._---•- MINNEGASCO -- Future Fixture Opening . • • • • • • • • • • ---- x S1.50 $ , -•---- By• Susint�.s Phare No : New Fixture Ofd Opening......... ....--.- x $1.50 S._»... • . Catch Basin ......... • . • .... • . ♦ . ------ • x S3.25 $ -- • ' : - Water heater 'Up to 99.000 BT'U) • • • • -------- x :3.00 S • ROUGH ' Nei+ Ground Run Old Bldg. • . • :.... %1.25 - - -- x •" S._ ---- il.ctrtc Ylatas fIylss:....:..... a • ..�� s: $2.00 r 2-0_- - �J . s1S FIT T 11 G TEES: K O. RAT`:. TOTAL 1st 3 Fixtures .................. .._....-- x 32.00 5 1td4lticnal Fixtures ............... ----x S .75 $ - . ' GZs R.:: ae to ISq.= BTU x $5•C0 S .50 State Surchaz5e ' :°.�.?<:aS k ALTI:.QATIOXS-P.�fer !o Code .i�e:erl;.tlon ................ i ....................... - 7��- ,C@ass -Ars SjircharFe 5'_ • TOTAL VIM S-- J suedEcr IT NO. - City of Fridley 2 2 2 5 6 AT THE TOP OF THE TWINS BUILDING PERMIT\. �__"— .."-___ RECEIPT NO. `y COMMUNITY DEVELOPMENT DIV. d PROTECTIVE INSPECTION SEC. i = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/1/93 JOB ADDRESS 7400 Tempo Terrace NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven Loucks 7400 Tempo Terrace NE 786-6623 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Exteriors 906.0 Zachary Ln N #108 Maple Grove M 5536q 425-4737 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 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement! TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. fo ZONING SQ. 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 $7,000 $3.10 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- $90,00- Fire SC $6.20. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $104..30 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEIWH P4, OPERL LIDATED THIS IS YOUR PERMIT ` gl G u OATE `� SIGNATURE OF OWNER IIF OWNER BUILDER) IRATE) Prepaid Plan Check $ Effective 1/1/92 Estimated Cost $. 6 ('ROO MY OF FPJDLEY Receipt # R-3, CUMMMC[AL & II GXMRIAL BLTRDM PERMrr APPIWAIM TYPE OF WOM New Addition' h V Alteration Descibe_ Applicant Signature jength_ Width,_ HeicdTt Sq.. Ft.-- # Of Stories_ OFC. AREA: Length I -Z to Lght. /7 sq. Ft. AREA: Length /S_4 Lght sq. Ft. SCF. Ft. 4 • Ft- x $ Cost/Sq. Ft. = Valuation $ Sq. Ft. x $ Oost/Sci. Ft. = Valuation Sq. Ft. x $ Cost/Sq. Ft. = Valuation TOTAL VAIDE Building Use_------. Construction Type Occupancy Group Air Conditioning []Yes []No.- Fire Protection Provided [ ]Yes []No Performance Bond Amount $ see Reverse for schedule Received []Yes []No Permit Fee op Plan Check Fire Surchargek.. State Surcharge SAC Charge Park Fee See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See SPhed. for > $1 Million) $700 per SAC Unit (Plans to NWCC for determination) Fee Determined By Engineering Spec. Assessments $ Agreement Necessary (] Not Necessary Driveway Escrow feet x $13.50/foot TOTAL $, /0 I !2 1-1 1) JO io FIR -1 10 1' j Fli'y 4 (k L�MCI W4 DW.'111" 1 ! 11 r• 1 1 11 I' vu:u 11 ■• // 111 11III r• 111 11'1 1,000,001 and up $1 to 2,000 2,001 to 25,000 BUILDING PERMIT FEE SCHEDULE v '1.11 • •: :o• :•• 11 •: i .•w • ■• :! • •I • `Y 111 •. .� `Y !11 • •: _:• :•• 7 111 •: ir:vw • ■• z • •I • Y.i• I 1 1 Y,.. •: '►S.. 111 • 1 •: ::• :•• 111 •: i .vw • ■• s • • • 1 111 1 •: .1 111 • 1 •: ::• :•• 111 •: i .•w • r• • • • 11 111 :1C� 1 •: 11 111 • `t J •: _:• :•• '1 111 •: ir.•w • we • • I • 't• 11 1 1 1 Yi 1 L • "I •: • a tet• 1 1 1 1 1 • � '1L •: :: • : • • 1 1 1 •: r . ■w w • ■ • . � •4 •l • 111 111 '1 `G • 1 [• ■ - Z 7 1 1 1 111 • Y • • . • • 1 1 1 •: ■ . •w • PREPAID PLAN CHECK FEE SCHEDW E Y.' . •: Y 111 •R-1177:417. ::• :•• 111 •: ir.•w • ■• • •l • `t4:. 111 `t :C :•1 r Y,�. 111 • � ,+5.• •: ::• :•• 111 •. ■ _•-w • r• .� • •1 • "r l 111 "►.: •: ,r1 iI1 • _ w . r. _.• :•• 111 • r :•w to smr• • •I • It !11 to: y 11 111 a, Y •: ::• :•• =1 111 ♦: i v•w • ■• • • • `tC . 111 111 -! •- • - ■ v -Z1 •- •i• I sl • •cnll PERFORMANCE BOND POLICIES mm almilding •a7•tll is V :• for a cammmial, indmbdal or II w • - • - • zesklatial project • :• I -- • f s •- n• o aIle s r •:m. r :• • cr - letbw •; Credit sball be •6H. ■r=r •:• tba City.M19 •• • wLU cd;w • !s_I •: n• • :u: t •1 • • I mt I imited to lmeampftq, in*yticn, arbirg, • :••■•••t • -v a- • a •:, • !w • and ■•:rn draimp -b all. 1: • . w • •! •• • .v1• 6 8!s, l •- •crcr!II :• • ■ - • I t Ire • m •:1!111 :, 1 - •• • :11• , •: ' r, • *bin •l • •3 nu - • ■• ul • �• .1m #,tell=• rt T" • • .-.it• s° c• rr r� -:1 - 11 I - M -- ■ - • r• :• 1 - •I :: rf •: c�� ••low; 119 •_ •.c:• • N • ur►: •3. :• •G 11 ti all: ••a w ■ - • • :4 ••1t• - :• •• •.. l •- - • • - • _ 1 ■G ' • ■ ! • • ' 1 •: • 311= !1 .1 - M �1 .•�■•; ••tl• G C• I 11 a 111 1 1 ■• .• 1 1 1 111 w 1 111 1 ! 11 r• 1 1 11 I' vu:u 11 ■• // 111 11III r• 111 11'1 1,000,001 and up $1 to 2,000 2,001 to 25,000 BUILDING PERMIT FEE SCHEDULE v '1.11 • •: :o• :•• 11 •: i .•w • ■• :! • •I • `Y 111 •. .� `Y !11 • •: _:• :•• 7 111 •: ir:vw • ■• z • •I • Y.i• I 1 1 Y,.. •: '►S.. 111 • 1 •: ::• :•• 111 •: i .vw • ■• s • • • 1 111 1 •: .1 111 • 1 •: ::• :•• 111 •: i .•w • r• • • • 11 111 :1C� 1 •: 11 111 • `t J •: _:• :•• '1 111 •: ir.•w • we • • I • 't• 11 1 1 1 Yi 1 L • "I •: • a tet• 1 1 1 1 1 • � '1L •: :: • : • • 1 1 1 •: r . ■w w • ■ • . � •4 •l • 111 111 '1 `G • 1 [• ■ - Z 7 1 1 1 111 • Y • • . • • 1 1 1 •: ■ . •w • PREPAID PLAN CHECK FEE SCHEDW E Y.' . •: Y 111 •R-1177:417. ::• :•• 111 •: ir.•w • ■• • •l • `t4:. 111 `t :C :•1 r Y,�. 111 • � ,+5.• •: ::• :•• 111 •. ■ _•-w • r• .� • •1 • "r l 111 "►.: •: ,r1 iI1 • _ w . r. _.• :•• 111 • r :•w to smr• • •I • It !11 to: y 11 111 a, Y •: ::• :•• =1 111 ♦: i v•w • ■• • • • `tC . 111 111 -! •- • - ■ v -Z1 •- •i• I sl • •cnll PERFORMANCE BOND POLICIES mm almilding •a7•tll is V :• for a cammmial, indmbdal or II w • - • - • zesklatial project • :• I -- • f s •- n• o aIle s r •:m. r :• • cr - letbw •; Credit sball be •6H. ■r=r •:• tba City.M19 •• • wLU cd;w • !s_I •: n• • :u: t •1 • • I mt I imited to lmeampftq, in*yticn, arbirg, • :••■•••t • -v a- • a •:, • !w • and ■•:rn draimp -b all. 1: • . w • •! •• • .v1• 6 8!s, l •- •crcr!II :• • ■ - • I t Ire • m •:1!111 :, 1 - •• • :11• , •: ' r, • *bin •l • •3 nu - • ■• ul • �• .1m #,tell=• rt T" • • .-.it• s° c• rr r� -:1 - 11 I - M -- ■ - • r• :• 1 - •I :: rf •: c�� ••low; 119 •_ •.c:• • N • ur►: •3. :• •G 11 ti all: ••a w ■ - • • :4 ••1t• - :• •• •.. l •- - • • - • _ 1 ■G ' • ■ ! • • ' 1 •: • 311= !1 .1 - M �1 .•�■•; ••tl• G C• I SUBJECT PERMIT NO. City of Fridley 619 AT THE TOP OF THE TWINS BUILDING PERMIT � eve o _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. % 7 r / NUMBER REV. DATE PAGE OF APPROVED BY i "ta•� CITY HALL FRIDLEY 55432 ---. o� L 612-571-3450 910-F15 6/17/94 JOB ADDRESS 7400 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Louks 7400 Tempo Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Right Way Roofing Inc 16475 45 Ave N Plymouth MN 55446 557-8678 3999 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 8 DESCRIBE WORK Reroof Dwelling (25 Squares) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 ISTALLS 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 $.94 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,875 PERMITFEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $1.88 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $43.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $50.82 SIGN TURE OFCONT RAC ORO A HORIZED AGENT (DATEI WHEN PROPS Y VALIDATED THIS IS YOUR PERMIT P OATS SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI NEW Effective 1/ 1 /94 ADDN (( CITY OF FRIDLEY ALTER ,prj SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �a -7-7 Building Permit Application Construction Address: _ 714 M -- Legal Description: Owner Name & Address: Lou k�-7 L(o 0 -Toa bTa r C!!(c Tel. # Contractor: - ( _v` � MN LICENSE #_(D-QCL29q!� Address: t l4 `�' q k Tel . # lv r �7�-� + 7 Attach to this appli4iion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. STIPULATIONS: r .� DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. t. OTHER: ow - 1 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 77nay/sa Approx. Completion Date: (Cost on Back) Driveway Curb Cut WidthNeeded: Ft. + 6 Ft = Ft x $ _ $ DATE: 6p` R- - qAPPLICANT: Tel. #-S 5-7 9 (o�g CITY USE ONLY Permit Fee $ . d Fee Schedule on Reverse Side Fire Surcharge $ 1- P .001 of Permit Valuation (1/ 10th%) State Surcharge $ G'j�� $.50/$1,000 Valuation SAC Charge $ $800 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: r .� 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 $ i5 (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 $2501 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 $1,0001001 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. CITY OF FRIDLEY INSPECTION DIV, Effective On January 1;1993 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 7400 Tempo Terrace RATE,SCCHEDULE The undersigned hereby makes application for a permit forthe 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 $20. . 00 $ representations stated in this application are true and correct. 1,2 %0 „,199 Gas Piping (Needed with new furnace) $10.00 $ OWNER Steve Loucks Gas Range $ 10.00 $ BUILDING USED AS Single. Family Dwelling Gas Dryer $10,00 $ ESTIMATED COST $800.00 PERMIT NO." P *Air Conditioning - All Sizes $10,00 $ DESCRIPTION OF FURNACE AND0R BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1% of Value of Appliance or WPor 7 $ Fuel Total Connected Load State Slharge $ 50 Burner Trade Name Size No. BTU HP EDR r TOTAL FEE HEATING COMPANY D.J.'s D.'Heating MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 / Signed By 0,497-2661 FLUS THS $.50 STATE SURCHARGE �q/ CIA REINSPECTION FEE $30.00 Approved ough-In Date Final Date *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 1 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: .1. Has been carefully examined Yes ( ) No ( j 2. Is free from rust or deterioration Yes ( ) No ( ) 3. .Has no foreign objects lodged within Yes ( j No ( ) 4. Is securely supported Yes ( j No ( ) 5. Meets all current Code requirements for size -and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: Adding Gas Log set (See-thru) HEATING Signed B Date CITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING S®�TMS AND DEVICES JOB ADDRESS —2 3 ' o RATE SCHEDULE Fee Tot D � n w Residential Owner Furnace Shell and Duct Work, Burner & also Replacement Furnace $35.00 $ Building Used As Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST- O O PERMIT NO Fireplace insert $15.00 $ Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning - All Sizes $25.00 $ BTU HP EDR Fuel Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater on work less than $500.00 The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. State Surcharge $ 0.50 HEATING CO (if permit fee is over $1,000 multiply by .0005) TOTAL FEE $ Signed �j Tel # % FAX # '3 S — 3 -7 b Date 3` o o *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing 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 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 B'y: Date CITY OF FRIDLEY INSPECTION DIVISION 'wo 6431 University Avenue NE Updated 4/1/04 Fridley, MN 55432 (763) 572-3604 APPLICATION FOR INSTALLATION OF A MANUFACTURED HOME Installation Address: Park Name: Mfg Home Owner: k� L2�2 Installer: Tel. #`71S-357 S-701 Address SUBCONTRACTORS GAS L/ ELECTRIC PLUMBING ATTACHMENTS 1. One copy of the foundation and/or support plan. 2. One copy of the manufacturer's installation instructions shall be provided to the Inspector at the time of the inspection. DESCRIPTION OF MANUFACTURED HOME LIVING AREA: Length CARPORT AREA: Length . DECK AREA: Length OTHER: State Seal: C� (0 Width q Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Approx. Completion Date: q - !�;- —v INSTALLER SHALL BE HELD RESPONSIBLE FOR SUBCONTRACTORS OBTAINING THEIR PERMITS AND ARRANGING INSPECTIONS DATE: — 3 o d APPLICANT: I Tel. #`ilk" -36 %` �-7o? Permit Fee $100.00 Surcharge .50 Receipt # Total $100.50 STIPULATIONS: Support structure must comply with the State Building Code. Manufactured seals to be displayed on structure. Building Permit Fee BUILDING Plan Review Permit No. 10 Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By:, 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ n 'd:l ave 763-502-4977 FAX $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ EFFECTIVE 1-1-08 $ $450 Conservation Plan Review DATE July 14, 2008 YOUR E-MAIL ADDRESS denises@driLLC.net $ �_ Tempo errace 1Z $ SITE ADDSS Total Due $ Make checks payable to: Ci of Fridle Attach Stipulations THIS APPLICANT IS: ❑ OWNER CYCONTRACTOR PROPERTY OWNER/ NAME: SteVen Spanbauer ADDRESS: 7400 Tempo Ter. NE CITY Fridley STATE MLV Zip 55432 TENANT PHONE: 763-784-9445 NAME: lsas er RecoveryI11S ADDRESS: 5400 Main St NE #203A CITY Mi nneapaliS STATEM-ZIP 55421 CONTRACTOR SUBMIT A COPY OF PHONE 763-571-5319 FAX 763-571-7944 YOUR STATE LICENSE STATE LICENSE # 20630501 EXP DATE 03/29/09 PROPERTY TYPE MINGLE FAMILY/NEW CONSTRUCTION SIZE �— ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERNM TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH EXROOF ❑ DRAIN THE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIM41NG POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: tear off and replace roof d t, o ha i 1 damage SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 29 ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project [3 Other [3 Fascia 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 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ , 6 OCCUPANCY TYPE Permit Fee $ 107.98 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: Ci of Fridle Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit an acknowledge a 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 ota Codes; th I understand this is not a permit but only an application for a permit and work is not to start without a Permit on site; that the work wi71 Wedrdance ed p f all work which requires review and approval of plans. SIGNATURE OF APPLIC %' RINTNAME Denise Spanbauer DALE7/14/08 APPROVED BY DATE 11 PLEASE NOTE: SEPARATE PERMITS ARE REOUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK I