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PRE 2010 DOCSCity ®f Fridley, BUILDINGE MIT N° 7394 (K Address LO OF UILDING No. iw�1 OKA A" Ax P of Lot LotBlock Addition or Sub -Division Je Corner Lot — Inside Lot Setback _ _ Sideyard Sewer Elevation i -5" f FWmWatign Elevations DESCRIPTION OF BUILDING U _ Front Depth Height Sq. n/jQQ $ cu. Ft. A P Fro t Depth Height Sq. Ft. Cu. Ft. Type of coon Est. Co l T be Completed In consideration of the issuance to me of a permit to construct ding described abov to do the proposed work In accordance with the description above set fo in complia all ons of ordinances of the city of Fridley. /�//� In consideration of the payment of a fee of $2 4 , 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 "tion of any of the provisions of said ,--N ^ordinances. Building Inspector NOTICE: 'lids permb does not cover the contraction, hutaiiatian for wkb& phrmbing, gas hearing, sewer or water. Be sore to as the BoibBng Inspector for separate perodts for these items. APPLICATION FOR BUILDING PERMIT e CITY. of SFR DLEY, -MINNESOTA LEMIROMY Ia OWNER'S i 7 z_;0 �6 sulzDER.. GENERAL CONTRACTORS ADDRESS ADDRESS Min:neapo19S, MO. 55418' LOCATION OF BUILDING No. /.�� Street Fart : of Lot Lot_ �� Block ���� dditiiou or.Subdivision, Corner'Lot� Inside Lot Setback - Side -Y _�14-1�i SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this. form Two, Certificates of Survey of -Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: ront th 5 7Height Dep �. , °�, �7 Sq•' F't• % �. Cu. Ft. Front _ j1j ... Depth a Height � d Sq Ft. Type of Construction mar ��'.: ; Estimated Cost'!'',. To be 'Completed The undersigned hereby makes`applicat.ion.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: �-� A, ,,(Schedule of Fee Costs can be found on the Revurse Side). 4. 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 exist- ing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garages warehouse, factory'or..grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse,_ factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Builaing.Code. HOUSES 2.3. For aay such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2_.4._ For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof" addition, -for -similar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00..- For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six. (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched.roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall- the N.e_.charged..for.,any=-permity.as set forth in Section 2 be less. than $4.00. City of Fridley, Minn. 11.5 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PEPMT Date: -- July 25, 1972 Owner: _ Mr. R. Tichey Builder F. Worwa Address ___.�_ _ '4C1'emppe Terraee Address 3332 16th Avenue South, Mp1s LOCATION OF BUILDING No. 7401 _____ Street _Tempo Terrace Part of Lot Lot _ _.._ _ Block 4 Addition or Sub -Division ..,Melody Manor 2nd Addition Corner Lot Inside Lot _._...X Setback Sewer Elevation To be Used as: enclosed addn. Sideyard Foundation Elevation 1111,41,141 "112 f[9jT11K-0-TjV"- Front ? 0 Depth _ X12 Height 10 Sq. Ft. Cu. Ft. --- Front ._ Depth Height Sq. Ft. Cu. Ft. Type of Construction _ _ game Est, Cost . _ $4.,, 000.00 To be Completed Sept. 1, 1972 Check frost footing depth at columns. Variance granted by Council 7124/72. Fire wall on all portions 10' from property line. 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 a111 provisions of ordinances of the city of Fridley.��� `A�7 Z vAo .St:�t:2-. airnl_±ar�� In consideration of the payment of a fee of $ 24.00 permit is hereby granted to F. Worwa 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 vpithin the city limits and this permit may be revoked at any time upon violation of az}y of the provisions of Said ordinances. 1 CLARENCE BELISVE NOTICE: This permit does not cover the construction, installation for whing, plumbing, Bas heating, sewer or water. Be sure to we the Building Inspector foe 'separate permits for these items. r APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PgRMIT CITY OF FRIDLEY, MINNESOTA OWNER 18 NAME : R BUILDER: G ADDRESS: ADDRESS: 75f" STREE`I • LOT;_ BLOCK: ADDITION: x•eaaxx xs xe x�i 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. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height; Square Feet; Cubic Feet: Type of Construction: j�w a Estimated Cost: $ To Be Completed: S00'r- The undersigned hereby makes application for a permit for tbe.work heroin specified, agreeing to do all work in sttict accordance with the City gf Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applic4tion are true and correct. zhgg ; 7 —a7j--' SIGNATURE: i xx xa (See Reverse Side For Additional Information.) t 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.$5 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 timof 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, Anne 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 boon issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 4 s° f�tT�HrAl F ? EvEI- S roapG6vlfL T-64,PAOlz jc4o4tr f'*ZAV V � e � s° f�tT�HrAl F ? EvEI- S roapG6vlfL T-64,PAOlz jc4o4tr f'*ZAV V � ,51d e w *-* I iv,. G41?$6a I-EVOL V 4t m .a it�►T�KGpj trvFC, �� . ��P ►fv� L h, L�v�6 r s s T, �S -r 3 f r P . p h � r Land Planning f%6��/6 6875 Highway No.65 N.E. Land Surveying • • // Minneapolis, Sails Testing ?2 �/i�2PE'�f1? j jwc. Minn. SS432 Civil Engineering Telephone 784-6066 Municipal Engineering Engineers & Surve"rs Area Cede 60 Mortgage Loan Survey for 120902T TCNE.Y LOT 11 GLOCV, 4 A e Scale: i;:ic�1= 30�'�et This is a true and correct representation of a survey of the boundaries of the land above c.,"tribed and of the locution of all buildings, if any, thereon, and all visible encroachments, if any, from or on said and. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed n? monument have been ioced for the purpose of establishing lot li..as or boundary corners. Dated thisoy of A.0. 19 ' SUBURBAN ENGINEERING,, INC. L3 J ®c Engineers A ` ,� Survey , i45 MVNBNEGASCO 53-84-s-915.51 ci4-I of Fric;loy �� ��1 Appli !i" lcn f0 P11� ills C..d Gns c �4�Dii 61 4308 :Sg Dept. of Bldos, Phone W-3450 -' DESCRIPTION O: V1011r 7401 N. E. Tempo Terrace Nui;%bar, r..ind and LocrSion of Fixtures I'O ti°n 1< NO. RATE TOTAL Number Fixtures ................ " $ i x $1.50 $ _. New Fixture Old Opening .....:.... G $-- U S N r2� V a N WATE4 "TR. GAS MC. p x $.3.25 $ Elactric Water Haatar.............. z $2.00 i< .n NO. RATE TOTAL Ist3Fixtures ......•••••••••••• w0 �K 3 Additional Fixtures ............... lxS a U Gas Ranze to 159.000 BTU ........... x $5.04 $ Base 1st :i til Iasi Gr ll gra. 3:d • Futuro C*zzeci.;a Opori:4s e Xaw Fl:--turv, Old Opoainrs PARTIAL RATE SCHEDULE Savz;r Q Cc::pool 0 PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ...... • • • • • x $1.50 $ _. New Fixture Old Opening .....:.... x $1.50 $-- Catch`_Catch Basin .................... x $3.25 $ Water Healer 'Lip to 99,000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg....:..:. _.__.____ x $.3.25 $ Elactric Water Haatar.............. z $2.00 $ Z S FITTING FEES: NO. RATE TOTAL Ist3Fixtures ......•••••••••••• x$2.00 $ Additional Fixtures ............... x 3 .75 $ Gas Ranze to 159.000 BTU ........... x $5.04 $ City of Fridley: The undersigned hereby makes application for a permit for the writ herei specified, agreeing to do all «ork in strict accordance with the Ci;, C:diraaa and ruling of the Department of Build.:ngs, and hereby declares that all the fact and representations stated in this appucaioc are true and correct 8-26-75 39, Fridley,B'.iaa OwnerRobert J. Tichey Kind of Building Frame Used as Re's. To be completed about 9-2-75 Estimated Cost, 5 10.00 Old- uilding Permit No. Farait No. Signed By Business Phone No ROUGH FINAL, 9 - 9 ` ;�4 P.c"PAMS.>k ALTERATIONS—Rafer to Codd .50 State Surcharge .Description ......it:sJ:�all, . GX'Ji..7�-.................5r�•.�-- , TOTAL. M S 5.50 C16W V Surcharge , �' SUBJECT PERM) City of Fridley 16 7 9 4 AT THE TOP OF THE TWINS BUILDING PERMIT f RE IPT NO. COMMUNITY DEVELOPMENT DIV. T Y r i PROTECTIVE INSPECTION SEC. �� L/ CITY HALL FRIDL,EY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/30/82 JOB ADDRESS 7401 Tempo Terrace N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 4 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Tichey 7401 Tempo Terrace N.E. 786-1574 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. L. Gudmunsen Construction 1410 Coon Rapids Boulevard 757-3557 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 ❑ x ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 12' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Variance approved 4/27/82,. Provide a hard surface driveway. Bef®Te digging call local Utilities TELEPHONE - ELECTRIC - GAS Etc. SEPERA;TE PERMITS REQUIRED FOR WlRfNGs REQUIRED BY LAW BEATING, PLUMBING AND SIGN& TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 1 ISTALLS I 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 $16,000 $8.00 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 OTHV STATE OR LOCAL LAW REGULATING CON- STRUCT[ OR THE PE F RMANCE OF CONSTRUCTION. $116.50 NONE PLAN CHECK FEE TOTAL FEE 3.0 $ 29.13 $153.63 SIGN R FCO RACTORORAUTHORIZEDAGENT (DATE) ,e WHEN PROPE Y VALIDATED THIS IS YOUR PERMIT CtaUj a� BLDG )NSP 01T E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)+ CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION! FOR RESIDCNTIAL BUILDING PERiiITS (New. Alterations, Additions', or Repairs) OWNER: "-_5 Cn BUILQER: �. �� @ �✓c��r: S�� �-7u•s� ADDRESS: y0 C / �'�s �o �,P ADDRESS: l WB C�dau� )��l�c��-cI• TEL N0: 796 -- /y 7t/ TEL NO: Construction Location STRMT NO: 7 y®/ STREET: T�8 LOT: / BIAXX: �/ ADDITION: Corner Lot: Inside Lot: _ Setback: ZSideyards: .- Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION 'rant: yip ! Sol Square. Feet_ ,Q Vo 6- 10epth: (Z �- d " Height: f 2 r- o ei Cubic Feet: Front: Depth: Height: Square -Feet: cubic Feet: Rype of Construction: too a c� ��� � � Estimated Cost: $ %( 0 0 o To Be Cbrapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET . Mie 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 Delwirtment of Buildings, and hereby declares that all the facts and representations stated in this application arm true and cor}r6,bt. DATE: �� c� Y � � Z- SIGNATURE: y � Stipulations: Ck", _�e- d - Aj- Z?--- a -z y Aj- Z?--- a -z BUILDING PERMIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting 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: TOTAL VALUATION FEES $1.00 to $500.00 $10.00 Minimum Fee $15.00 plus surcharge $501 to $2,000 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building permit fee DRIVEWAY DEPRESSION ESCROW: Concrete Curb Streets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x $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 x $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. , r Su�u�ia,►n Land Manning 6875 Highway No. 65 N. E. Land Surveying v'6� n^ Minneapolis Sells Testing � �� �• Minn. 35452 Civil Engineering Telephone 784-6066 Municipal Engineering Engineers do Surveyors Area Code 612 Mortgage Loan Survey for i0�3�T �1C1-I�.Y * Q �� ,oma A \ sp�,j v� v �0 c a xa�� / os 'd .9 4r %:'f PSP ld Oma. ry^ P�t 01 alb x� 20 0 Scaile.l inch= 30reet WT 11 19LQCV, 4 1 11=LTJ Y M&NOQ 21111 1T10 COU6 fy o nokm This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed an the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed n mono ntph.beenqUlcedfor the purpose of establishing lot lines or boundary corners. Dated this,-,�,_Tay afD.1 SUBURBAN ENGINEERING, INC. E^by a ury _ by �--�w-•,� '745 SUBJECT MIT NO. City of Fridley 3 I AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir COMMUNITY DEVELOPMENT DIV�� I L � PROTECTIVE INSPECTION SEC. r , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/7/94 JOB ADDRESS 7401 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 4 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Tichey 7401 Tempo Terrace NE 786-1574 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stock Roofing Inc. 289 Liberty Street NE, Fridley, MN 55432 780-3561 3112 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION J7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (27 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 1STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ $2,025 $1.01 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 PROVIS ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $2.03 S RU OR THEPERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $62.04 SIGNATURE OF CONTRA IVOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY V (DATED THIS IS YOUR PERMIT ~ /14 9 / 14 BLDG SP MATE _ SIGNATURE OF OWNER IIF OWNER BUILOERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: i40 d I Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: ' WORM Y\ Effective 1/1/94 Tel. # " K) - 5'7 MN LICENSE # *� _Tel. # ' iG % 5S ( / 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 LengthWidth Hgt/Ground A-7 ca _e -,, A , cam): Q Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback. Side Yard Setbacks Type of Construction: Estimated Cost: $' Approx. Completion Dale: (Cost' -on Back) Driveway Curb Cut Width Needed: __yt.(,t 6 Ft = Ft x $ = $ DATE: \ - 14 APPLICANT: - Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ S' on Fee Schedule on Reverse Side $ ..001 of Permit Valuation (1/10th%) $ / . Q / $.50/$1,000 Valuation $ $800 per SAC Unit $ e $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: I . BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require. the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: "TOTAL VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 - $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for (='$25,000 plus $6.50for each additional $1;000 or fraction thereof, to. and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $450 for each additional $1,000 or fraction thereof, to .and induding $100,000 $100,001 to $500,000 $63954 for first $100,000 plus $3.50 for each additional $1,000 or fradion thereof; to and including $500,000 $500,001 to $1,000,000 -;: $203950;. for, the first $500,000 plus $3 for`eadi additconal $1,000 or fraction thereof, too and including $1,000,000 $1,000,001 and up $353950 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 DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 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 :s 4-.- *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 $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 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 $ Effective On January 1, 2002 JOB ADDRESS OWNER TOTAL BUILDING USED AS $ .50 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. e 'ec( ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating pnits i Circle One (Steam) (Hot Water) (Warm Air) Trade Name e, --4J"6-l6 %.47ae;��CSize No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No 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. HEATING CO Signed FAX # Approved By Rough -in Date DATE�— TEL # / Final D L 410q FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED r-omi "ON VENT, vFmT CnNNFCTOR AND CCMRUSTION AIR VERIFICATION When re Iar-i n an taAst1n0 jran _ , 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 pY„x�ng _nmh ,atinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to Install a n _w _nmh ashen air it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When 1'OStallang a new venting nystam, 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 #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 HEATING CO: Signed By: Date: CITY OF FRIDLEY PERMIT NO.: 2004-01491 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 572-3604 FAX: (763) 571-1287 ADDRESS : 7401 TEMPO TER NE PIN : 113024130057 LEGAL DESC : MELODY MANOR 2ND ADD : LOT 17 BLOCK 4 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER TICHEY ROBERT J & PATRICIA 7401 TEMPO TER NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does 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. ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.