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PRE 2010 DOCSB .6644 Q=,5-' a • • - I- ';i Ste` AddressAddress LO OF UILDING No. Street P of Lot ZY Lot __ Block Addition or Sub-Div#sion Corner Lot W Inside Lot F SetbackSideyarcl Sewer Elevation Foundation Elevation 'If DESCRIPTION OF BUILDING T Used affd Front Depth Height Sq. Ft. Ca. Ft,&e� Fro Depth reighght !. Ft. Cu. Ft. Type of nstruction Est. o be Completed In consideration of the issuance to me of a permit to co55WT��' ed above, I to do the proposed work in accordance with the description above all ro ons 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= 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 atupon vie of any of the provisions of said ordinances. - A Building Inspector NOTICE: This penult does eat corer the aonmuctioe, hatallatian for V?Mh& plumbing, gas heating, sewer or water. Be sun to sse the Building Inspector for separate permits for time hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owner -.:_. � Address Address.Z',00 LOCATIONS OF BUILDING No o Streeart of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot,,,/G� Setbacks ide®Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING TO be used as: J Frontes DDepth ^, ire fight �GS Sq. Ft. /�,S � cu. Ft . r/ Front Depth eight Sq. - Ft. 4", A!!_ Cu . Ft . .... Type of.Construct To be stimated cost�S 0/1, 6_4_j® 11 .,.The undersigned hereby makes application for a permit for the work her speeified,.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 stated in this application are true and correc DATE % SIGNATURE - 4_;_zL_ (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 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 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 coic_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 for each one thousand cubic feet. 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 minim 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 to an existing structure, the fee shall'be at the rate of $3.00 per each-.Five.Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. in no case shall the fee charged for any permit as set forth in Section 2, be less tk+ $4.00'. A City of Fridley Application for Ph mbing and Gen: Fitting Kermit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORE Location Z� //� O Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ..............— -7 x $1.50 $ Future Fixture Opening ................— Cl� x 1.20 $ New Fixture Old Opening ..............W x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $d, New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description... .................... . ........ TOTAL FEE $. 44 1-9 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 Owner 0- < .—e, �y,, Kind of Building /1-- Used as ;�Co 9- 4- To be completed about Estimated Cost, $ /cw-' v Old--{!w.�uilding Permit ROUGH FINAL d z 2M 7.59 Business Phone o Z Z �a6z�' �Q Z Z • N WATER HTR. GAS ELEC. I 3U.. 3� o� U Q (�9� a4 C�9O F u� Base 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ..............— -7 x $1.50 $ Future Fixture Opening ................— Cl� x 1.20 $ New Fixture Old Opening ..............W x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $d, New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description... .................... . ........ TOTAL FEE $. 44 1-9 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 Owner 0- < .—e, �y,, Kind of Building /1-- Used as ;�Co 9- 4- To be completed about Estimated Cost, $ /cw-' v Old--{!w.�uilding Permit ROUGH FINAL d z 2M 7.59 Business Phone o Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE • TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) 5.00 $ �S GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn "CA Owner t°/�l/Yl Kind of Building Used as To be completed about Estimated Cost, $d v -� , Old ew. � 'lding Permit No. Permit No. 19 L� DESCRIPTION OF WORK HEATING or P WER PLANTS—Steam, Hot Wa , Warm o Trade Name- Size No Capacity Sq. Ft. E.D.R 1- &1� BTU �J H.P. Total Connected Load T Rind of Fuelf `may G' BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) 5AY N.WELTER HEATING CO. a. 4637 R{ 7 By DdRA120LIS 7. MINNESOTA <Z 4M Business Phone No T LOSS ✓ TIONS DEPARTMENT OF BUILDINGS Bloomington Weatherstrips AS Construction No. ation Guide Windows I Doors 11 Reference Out. Wall Int. Wall Cel�ing Roof Floor Kind How Applied -Yeo Yes—No 19 Fl.l Room I Length/0- 72 -Width Height F1.0 Room Le / / Height Windows and Doors—Crackage and Area Windows and boors—Crackage and Area Width Height No. of Lineal ft. Area Width Height No o! Lineal ft. Area No. of pane of pane tights of crack sq. ft. No. of pane of pane lights of crack �. ft. 6 Infiltration Glass Exp. wall • Net exp. wall v 1260 Int. wall Ceiling 1 12 0 Floor ZQ -J— 2� 1 6Z2 Total Btu. - 1-1 WO Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 141.1 Room I Length Width /;2— Height Windows and Doom—Crackage and Area Width Height No of Lineal ft. No. of sane of pane lights of amok Area ft. Infiltration Glass Exp. wall , �( Net exp. wall Int. waU Ceiling �z . /A . Floor / Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. area Fl. oom jungth 7 $.Width Windows and Doors--Crackage and Area Width Height No. of Lineal ft. I Area No. - of pane of pane lights of crack sq. ft. ® 2 s4, r I Ar. I Ile, % / 71,9 Btu W O MF3 -� MVA rRUL.-O)m f FORM, � I` M<.Total Btu.!v B.D. 218 ®�==Ml U'M INET Imo• wan j 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 11.e Width Height Windows andDoors—Crac and Area Width I Height No: oL Lineal ft. Area No. of pane of vane lights of crack eq. ft Glass - Exp. wall ttee Net exp. wall Int. wall Ceiling Floor 6 , Total Btu. Required sq. ft. E.D.R. or sq. ins. .A. Leader area FL Room I Length Width Windows and Doors—Crackage and Area idth Height o. of Lineal ft Area Ino of van® of pane lights of creek sq. ft: Imam P -"j Glass Emp• wall Net exp. ;a --fl Int. wall Ceiling / F'I..... Required sq. ft. E.D.R. or sq. ins. W.A. Leader arra 1. OF lay IlVW r Bloomington ►,Insulation Roof Floor Kind How Applied FI.� R ea Length Width Height Windows and Doors--Cratckage and Area Width *vane Ago. of i.lneal It. Area No. of Danelights of crackm�Lug,L Windows and Doors, --C Width weight N No, of pane of peas it Infiltration Glass Eip. wall Net exp. wall Int. wall Ceiling Floor Total Btu. and Area meal ft. I Area ' crack 1 eq. ft. Required sq. ft. F..DR or sq. ms. W.A. Leader area FLI Windows and MA 1 1 rmO. Of Mm t Inmtr Glass Ezp. wall Net exp.. � Int. wall Ceiling Floor Total BhL ft. E.D.R. or sq. ins. W.A. Lmder arra '` Esue.;Etr NO. City of Fridley 7_11 3 2 872 T THE TWINS BUILDING PERMIT `67 ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �l r 1 NUMBER REv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 10/22/98 JOB ADDRESS 7411 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 4 1 Melody Manor, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donna Clark 792-4408 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN 3118 Snelling Ave S M is MN 55406 721-6628 2179 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION EaK REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows 9 CHANGEOFUSEFROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 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 $3295 $1.64 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 $87.25 Fire SC $3.30 PLAN CHECK FEE TOTAL FEE LIcense SC $5.00 1$97.19 SIGNATURE OF CON TRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY - IDATE THIS IS YOUR PERp�MjIT ��// Gv' e/G BLDG INSP ./A!E s- S,GNATURE OF OWNER„F OWNER BUILDER, IDATEI i� L 1V I I ADA I IC01fYW CITY OF hRIDLEY AL;rER I I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application lstruction Address: Legal Description: Owner Name & Address: �G1 �� Tel. // Contractor: Address: MN LICENSE // S S V o G Tel. // Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT L11CCLIVe 1/1194 Q�-- 353 0 I Z71�0 /-7 o% 7a/- LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft.- DECK t.DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ Inside Lot Ft. Yd Setback Side Yard Setbacks Tvne of Construction: s Estimated Cost: $ 2s. Fox. Completion Date: _ (Cost on Back) Driveway Curl) Cut Width Needed: Ft. + G Ft = 17, t x $ _ = $ DATE: APPLICANT: e Tel. /l', CITY 1JSI? ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $e07,�,"— Fee Schedule on Reverse Side $ _It Aft .001 of Permit Valuation (1/ 10th l ) 000 Valuation $ $800 per SAC Unit $5.00 (State Licensed Residential Conti actors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ _ Fee Determined by Engineering Sewer Main Charl;c $ -- _-_ _ -- Agreement Necessary I I Not Necessary I 1 I'01'AI_ $ STIPULATIONSc�xUl�� ?1.� a� SUBJECT City of Fraley 31490 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. � • _ _ _ COMMUNITY DEVELOPMENT DIV. � LV e INSPECTION SEC. � 5, 3� r PROTECTIVE 1 � NUMBER REV DATE PAGE Of APPROVED BY i CITY HALL FRIDLEY 55432 ti' ---A 612-571-3450 910-F15 10/17/00 JOB ADDRESS 7411 Tempo Terrace NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 4 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donna Clark 7411 Tempo Terrace NE 763-792-4408 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (15 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $1 534 $.77 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $1.53 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $57.05 PLAN CNE EE TOTALFEE $59.35 SIGNATURE OF CONTRAC OR OR UTHORIZED AGENT iDAtE, EN PR LY VALI TED THIS IS YOUR PERMIT NSPF 1�-1 ->� MATE -GNATURE OF OWNER of OWNER BUROERI MATE. NEW [ l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 7 q l e_,,,7i 4 Legal Description: Owner Name & Address: v adjo u e Tel. # 7G Contractor: U V"ytia-- is AICs MN LICENSE # Address: 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 t Hgt/Grnnound Sq. Ft. OTHER: _roll � � _ yS —�&e � � G - e r Construction t n TyNe: yc�r © r e�/dr1� Estimated Cost: $ _ �S Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: 1011-71Q6 APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ =j %, ® Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ , i $.50/$1,000 Valuation SAC Charge $_$1 100 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: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Only SuBJECT City of Fridley 31570 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPTNO • ____ COMMUNITY DEVELOPMENT DIV. � LV INSPECTION SEC. j PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 11/16/00 JOB ADDRESS 7411 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 4 Melody Manor 2nd Addition, SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donna Clark 7411 Tempo Terrace NE 763-792-4408 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN Inc 3118 Snelling Ave S, Mpls., MN 55406 612-721-6628 2179 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 Replace 4 windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $3,646 $1.82 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW Fire SC $3.65 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $97.25 11-1.1-6p `' PLAN CHECK FEE Licens SC $5.9 TOT EE 1107.72 SIGNAT E OF CO • ACTO R AUTHORIZED AGENT IDATEI HE PR VALIDATE T S IS/PYR P RMIT - �— QLDdf INSP OAtE S-GNATURE OF OWNEROF OWNER SUILDERI IDATEI NEW [ ) ADDN [] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/2000 612-5723604 Bldg lnsp 0 7 -7,2 - Construction Address: G/// %�e? J 0r� Legal Description: Owner Name & Address: 'Dc7 e? n A.. Tel. # '74P3 - -71A - yy0g' Contractor. _ -?u'q'e /Cr y `i o ii% Ing. MN LICENSE # .217 Address:.3 //8 J�rt //e'ng ve. S. MAO lS 7 M A/ SS q O LTel. # _(o/;t -7 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: �ej4a-, " 4//h �r�ws Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 1/ '/� -60 APPLICANT: Tel.# (/,?-,7.2 J" CITY USE ONLY - Call (612) 572-3604 for Permit Fees if mailing In application Permit Fee $ q 7 -2-5' Fee Schedule on Reverse Side Fire Surcharge $ 3. 0.5' .001 of Permit Valuation (1/10th%) State Surcharge $ /, J1.9— $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ ©d $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: s-1 (i R%.2- BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for ��v addition to any existing building or structure, or for any alteration or repair to any existing building , r fo 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 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fi-action thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for fust $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus. $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A': Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed w;" be required before proceeding with the framing. New Houses Only CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR $ 7.00 .. Uri I na `-'.��:<. :�: :: Shower Wash Tray <::.:':: -:. F loot '1.�::<.::::.. d•..::. .Drain � �'� ...��:. -------------B : Auto ...�..:. .. Wash y:1• . . sher t��"�: >:..:.:.;: Gas Range "' ' Water e ....�<<=:. Hater ��<I. Gas Elec Stories <: (Q:... asemen t Water Treating Appliance $10.00 Water Heater -Electric _ $ 7.00 Water Heater - Gas** _ $10.00 Gas Range*" $•10.00 Gas Dryer** Floor 1 Back Flow Preventer Required ( )Yes () No Type $15.00 I F oor 2 r<> Floor 3 Flo 4 Floor PLUMBING FIXTURE RATES: NO. RAPE New Fixtures $ 7.00 Old Opening, New Fixture 9 $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric _ $ 7.00 Water Heater - Gas** _ $10.00 Gas Range*" $•10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL JOB ADDRESS_ State Surcharge $ .50 TOTAL FEE $ E.� 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. CLARK, DONNA 7411 TEMPO TERRACE Owner _ FRIDLEY, MN 55432 (612)792-4408 Building Estimated Cost i � _ PERMIT NO. PLUMBING COMPANNOMI-O- M PLMA'-"INN 00. SIGNED BY Approved By 2905 Ge` RIF I.I�L D d ,`V' L. 0. 'NNE, s PA 5 _Rough -In Date Final Date 0 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. I_ OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 29, 2001 Ms. Donna Clark 7411 Tempo Terrace NE Fridley, MN 55432 Re: Final Inspection at 7411 Tempo Terrace NE Contractor: Norblom Plumbing Co Dear Ms. Clark: A plumbing permit was issued on January 5, 2000 to install a water softener at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expired the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJlmh Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE ( i a SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: 0 OWNER NAME:�� ADDRESS:_' PHONE:—aLz COMPANY NAME:_ CONTACT PERSO1 STATE LICENSE #_ ADDRESS: PHONE 'SINGLE FAMILY ❑ NEW DETAILED DESCRIPTION OF WORK ADDRESS 410 MN 55408 CT STATE ­71P, FAX ❑ TWO FAMILY ❑ TOWNHOUSE FMENT ❑ ALTERATION/REMODEL PER MS 16B.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)SIZE/BTU (0 00P Equipment Installed MFG: MODEL: MFG: MODEL: SIZE/BTU oe MFG: MODEL. SIZE/BTU FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00 AI%9 TO$25AI NEW GAS GRILL $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 BOILER $35.00 FURNACE $35.00 GAS UNIT HTR 810.00 CHRANEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $1500 Permit Fee $ Number of fixtures @ $10.00 x 1 = Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ ro. Number of fixtures @ $25.00 x$25.00 = $ Number of fixtures @ $35.00 —7— x $35.00 = $ 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 ana n for a p an work is not to start without a permit; that the work will be in accordance with the approved plan in the cas of r hic es view and approval of yp}l}ans,,. SIGNATURE OF APPLICANT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS XEXISTING HOME ❑ MAKE-UP AIR J_A REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with. MN Amendments 2. Make-up Air (See note below) a. TMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances TFGC Chapter 5 with MN Amendments b. Fuel other than gas TMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per TMC 1346.0603.2 a. ACOA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations