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PRE 2010 DOCSCity of Fridley, -Minn. BUILDING PERMIT N® !!6J3 Date: WO Owner: Builder ---.-- Address Address LQ O ILD11'�1G No. S' P of jV Lot Lot Block Addition or SMid ' Corner Lot __ Inside Lot Setback � Sideyard - - 04r&& Sewer Elevation Foundation Elevation 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 a& 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. -o*-. A Building Inspector NOTICE: 'lids permit does not cover the construction, installation for whins, plumbing, gad 'heating, sewer or water. Be sure to we the Building law"Oor for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name 'v- W Builder L Address 3'0 6 -1) 1) JL Address . LOCATION OF BUILDING No. Street Part of Lot Lot Block_ ^_Addition or Subdi ision I tl 10 0A W d J a ""Cx v � Corner Lot Inside Lot-_x—setback- Side -Yard d 5 � SEWER. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To b u ed as• r r > Front Depth -=Height (f Sq. Ft. Cu. Ft. f i Front cqr 'dl- Depth• -•-Height a Sq. Ft.� Cu. Ft. 1�9 Type of Cons tructiocl�'1 Estiffiated Co6 U(�"� - To be Completed ` -15- a_ The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and 'correct. DATE 6— SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 4L J 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 s-tructure, or for any'alierations 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. 2.2 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 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. ?.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 worst. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. k City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures • Future Connection Openings I Connected with New Fixture, Old Openings Sewer Cesspool F1 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 3 U TOTAL Number Fixtures ............... '....... C/ x $1.50 in 3 o x 1.20 a p? O8 , QZ V ad < U�' m �U' Z 2 �f O ` R N WATER HTR. GAS ELEC. Base $ ' New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ 1st x 2.00 $ 2nd 3rd 4th • Future Connection Openings I Connected with New Fixture, Old Openings Sewer Cesspool F1 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............... '....... C/ x $1.50 $-1'5-00 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ......Z x 2.00 $ ' 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 FEE4$ Dept. of Bldgs. Phone SII 4-7470 City of Fridley: 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 Owner - 1A r Kind of Building A r A . n AA Used as To be completed about Estimated Cost, $ Old—New. Building Permit No- /, H Permit No. Signe By Business Phon No- /� - 3 `7 'T -T ROUGH 9 P 10 >1, '1" FINAL 42 2M City of Fridley, Minn.. ING PERMIT Date: _ December 16, 1970 Owner: Kenneth W. Johnson Builder Same Address 7430 Tempo Terrace N.E. Address Same LOCATION OF BUILDING N 10918 No. 7430 Street Tempo Terrace Part of Lot Lot _ 3 __ Block 5 Addition or Sub -Division Melody Manor 2nd Addition Corner Lot _ Inside Lot X Setback __ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Eirgglace_ Front ___ Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Brick Est. Cost _. $800.00 ---To be Completed Dec. 25, 1970 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 se forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to Kenneth Johnson 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 andmoving of buildffigs within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � In,,�ector CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to tee the Building Inspector for separate permhs for thus items, APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: --e ti GJ ,/0ht7Sa" BUILDER: f 3 ® ,e �a T arr��� /V, ADDRESS:oth ADDRESS: NO •. 7 V 3 d STREET • / e ,tee 5B— LOT: BLOCK: ADDITION:_ J'w ia� CORNER LOT: INSIDE LOT:� SSETBACK: 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: 1 V�,� q c�_Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: 13;-1 cEstimated Cost: To Be Completed: for ea-r`s�Nr�s The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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:* SIGNATURE:— k) (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 hereinbelow set forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic r 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. APPLICATION FOR HEATING OR POWER PLANT AND SPECIAL DEVICE PERMIT PARTIAL RATE SCHEDULE Dept, of Bldg . _,..ems T GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ......................... 8.00 $ Replacement of Furnace ............................. 4.00 $ Repairs & Alterations—up to $500.00 ...........' .. _ ... 4.00 $ Repairs & Alterations each add. $500.00 ............... 2.00 $-- MECH._ MECH. WARM AIR Furnace Shell & Duct 'Work to 120,000 BTU ........... 8.00 $��� each add. 60,000 BTU ........................ 1.00 $ Replacement of Furnace ............................ 4.00 $ Repairs & Alterations—up to $500.00 ................. 4.00 $ Repairs & Alterations each add. $500.00 .............. 2.00 $ _ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ _ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.00 $ OIL BURNER—to 3 gal. per hour ........................ 4.00 $ over 3 gal. per hours—See Fee Schedule _ G14S BURNER .......................................... <vM. $ � GAS PIPING (Up to 5 Fixtures) .........................--t-.21T $ � AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM REMARKS: !8 See Fee Schedule $ TOTAL FEE $ Z56 5-o undersigned hereby makes !spe agreeing to do all work in d of the Department of Bu lication f permit for the work herein ct acco a with the Village Ordinances sgs, and ereby declares that all the facts ration are true and correct. Minn f , 18 185— 1 •I 2M-5-58 Business Phone No ,04 � � �� Kind of Building - Used as 195— To be completed about Estimated Cost, $ g Old ew. Building Permit No. -�_ _ DESCRIPTION OF WORK =" HEATING or OWER PLAN to Hot Water,arm Air o _ Trade Nam Size No a__>_ TU Capacity66L Sq. . D.R BTU- Total Connected Loa 7 / Kind of Fu Total o BURNER — Trade Name Size No -----.-- —_-._Capacity Capacity— Sq. Ft. E.D. BTU H. P. 1 •I 2M-5-58 Business Phone No ,04 � � �� D•S6 s ! HEAT, LOSS CALCULATIONS D EPARTMENT OF BUILDINGS VE. Weatherstrips A.S. .. Guide Construction No. W idows Doors Reference Out. Wall I Int. Wall I Ceiling Roof Floor I Kind 7 MINNEAPOLIS. MINN. Insulation How A- plied Yes --No = Y esu No 19� ,r' FU �° _. , Room! Length 14 Width Heiaht ��� II FI.I :i'-�� Room I Length Win ows and Doors—Crackage and Area `l Width Height No. of Lineal f . Area No* of pane of pane lige is of crack sq. ft. llS C_ U U� Exp. wall' Coef. Coef. Btu Infiltration" W$S$1Y V" Glass Floor �v -� �11 �!, .� Exp. wall Net exp. wall �7 W�'� F1.1 Room i Leneth // Net exp. wall Height n " d C,, Int. wall Floor e_ Ceiling, . Floor .4-- r -i ota! Btu. I I � c� '" d', Required sq. ft. E.D.R. or sq. ins. W.A. Leader area r F1.1 /14"/ 4"/ Room I Leneth %' Width,/,//,y Heiaht Windows and Doors—Crackage and Area `l Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack sq. ft. llS C_ U U� Exp. wall' Coef. Coef.1 Btu Infiltration W$S$1Y V" Glass Floor �v -� �11 �!, .� Exp. wall Net exp. wall X-' // W�'� F1.1 Room i Leneth // Net exp. wall_; Height n " Ceiling Int. wall Floor e_ Ceiling . Floor - r Total Btu. I t d t-� Y Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A FI.1 i e Rrvxn 11.snoth ^ /% `, Welth J i 14p;aht f Windows and Doors—Crackage and Area `l Width Height No. of Lineal ft. Area No. of pane of pane lightof crack eq. ft. llS C_ U U� Exp. wall' Coef. Btu Infiltration /iL W$S$1Y r - -S- C' Floor �v Exp. wall s �11 Total Btu." Exp. wall Net exp. wall X-' // W�'� F1.1 Room i Leneth // Int. wall Height n " Ceiling Int. wall Floor e_ Ceiling . Total Btu. sq. ft. E.D.R. or sq. ins. W.A. Leader area Width ! , Height Windows and Doors—Crackage and Area `l Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack sq. ft. e Exp. wall' Coef. Btu Infiltration Int. wall Glass` r - Z ; "2. Floor �v Exp. walla Total Btu." Exp. wall Net exp. wall , J -- -Int. F1.1 Room i Leneth // Int. wall Height n " Ceiling d 3 Int. wall FloorAa_� _ Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI Room f Length Width" Height .y Windows and Doors—Crackage and Area Width Height No. of Ltneal ft. Area No. of Dane of pane llghte of crack efl. ft. ,EI A I I I I Infiltration `l Glass e Exp. wall' Net exp. wall Coef. -!7 Int. wall Ceiling r - Z ; "2. Floor �v Total Btu." Exp. wall -''Net Required sq. ft. E.D.R. or sq. iris. W.A. Leader area J F1.1 Room i Leneth // Width ea' Height n " Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. e Coef. Btu Infiltration r - Glass Exp. wall -''Net exp. wall Int. wall Ceiling Floor Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area 7 9 ' • ' 7 I>'56ry HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS .. MINNEAPOLIS• MIM. Weatherstrips A.S. V.E. Construction No. Insulation Guide' 'ndows —NI rs Reference Out. Wall Int. Wall Ceiling Roof Floor-- I Kind How. `A 'lied eso , e —No 19__ F1.1 Room I Length Width f I-. Height F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of Dane of pane lights of crack sq. ft. 4. -1 r Exp. wall ®® Int. wall Btu Infiltration SI Glass �y I S Exp. wall Net exp. wall IV7 Yo 12 o Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 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 F1.1 Room I Length ^ ^ Width Height Windows and Doors—Crackage and Area Width HeightNo. of Lineal ft. Area No. ofpane of pane li hts 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 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 Fl.l 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. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ifis. W.A. Leader area F1.1 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. 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, Minn. 1.38. , 6431 University Ave. N. E., Minneapolis, Minn. 55432 BU"ING PERMIT Date; _ A r l 21v 1972 per: -Kenneth Johnson Builder F • Worwa .Address 2.430 Tempo_Ter_rar..e N E. _ Address 3332 -M 16th A,�ue sSouth 24o 74-40 Street - Tempe Terrace N.E. __ _ _ part of Lot Lot I Block 5 Addition or Sub -Division —Me22dY--MgnQr 2nd Addition_ . Corner Lot Inside Lot - R Setback Sideyard _ Sewer IIevation _ To be Used as: Foundation Elevation DESCRIPTION OF BUILDING 2 -s ta= addition Front 16' Depth 16Height 20' Sq. Ft. 256' Cu. pt 5s,120 Front Depth Height Sq. Ft. _. Cu. Ft. Type of Construction Frame Est. Cost $8=510 To be Completed July 1, 1972 In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of Ordinances of the city of Fridley. 4.26 tate Surcharge In consideration of the payment of a fee of in -00 , permit is hereby grantedto K_e ne John on 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 city limits and ibis permit may be revoked at any time upon violation of any of the provisions of said Inspector CT AE M E BELIST F NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. p- APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: 6r c.'•?Js✓�! J C� ,11 �• f �' BUILDER: , •��� �n ADDRESS: ADDRES S : 3 .7 -7 NO:. 0 STREET: Y_?,07 40® ;—e ell -l' e- 'el, LOT: `� BLOCK • -ir ADDITION • ,4'1 e- " P y Ai Wv� t 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 i Front: Depth: /4" Height: 09-0 Square Feet: _6_Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: rl.~ e - To Be Completed: °?—f 7 2 - Estimated Cost: $ r The undersigned hereby makes application for a permit for the work herein i specified, agreeing to do all work in sttict 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. 41 DATE: " r 7 SIGNATURE• ;/�- (See Reverse Side For Additional Information.) 4- E , BUILDING PERMIT FEI 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 U 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 - $1.55 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. V 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. Land Planning 6875-,g9hwy *Cs NE. Land Surveying Minneapolls3 p, Soils TeSMq ENGINEERING, I N C. O1nne--o`7 Civil & Muniapal Sllnm 4-6066 E,7&riny Engineers Surveyors Mortgage Loan Survey for Jol-m Y L &5 is a 1rce and if &7 fliertan, arld Of hviy pbced w the Proper such mori9a9e. lfls and , 7 s' Gy jr Ail • �dl 11 I: Pjjl ',, °►1' �h � � n' P � Dt• n red represenfafian ofa: survey of 1he bow dames al'the land obne &5c ibed and #"Ae /aah n of all bvildinys, le enazaachmerrfs,'an[J, )Crom or on -w,d(k d. Thasurvey is mode mg n uvnneetron with v more lawn naw and no hikhy is ats med excepf to &e holder o`swh mi joye or aa ollrer in&01 at�,uei by MOW cad and agreed m rmnranents fmre been ped fw /he Purpose r�'es a6hAy /ohms or Owwers. dad °� l aC. �=j� ;� A� i9 SUBURBAN ENG/NEERING , INC. _, 6a9imeers rally Survegor5 dor Power PlImb aw H ngK Ye R. 1 a Md Air COR oning Sydem and Devices PARTIAL RATE SCHEDULE GRAVIFTY WARM AIR: RATZ TOTAL Furnace Shell & Duct Work ................ .. $10.00 $ Replacement of Furnace ...... ........ 6.00 $ Repairs & Alterations—up to $500.00 600 $ Repairs & Alterations each add. $500.00 3.00 $— _. MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ $10.00 $ each add. 60.000 BTU .................... 3.00 ; Replacement of Furnace . .. 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... .. 3.00 $ STEAM or HOT WATER SYSTEM $ Gas Range to 199,000 Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $ Each add. 200 sq. ft. EDR Steam 3.00 $ _� Each add. 320 sq. ft. IDR Hot Water 3.00 $, OIL BURNER—to 3 gal. per hour 6,00 $ — over 3 gal. per hour—See Fee Schedule ROUGH -FINAL� -- °� (SURCHARGE $_.50) Dept. of Bldgs. Phone 3360-34110 City of Ffldley: The undersigned hereby makes application for a permit for the work ;herein specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby declares that an. the facts and representations stated in this application are true and correct. Fridley, Minn `��/f/�.� y`� ?-7- l / Kind of Building .� /1✓f /���P Used as---_..ice-- To be completed about Estimated Cost, Old—New. Building Permit No. Permit No. 15-1 7� HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name Sine No-Z� Capacity- I —°� Sq. Ft. E.D.R BTU g p. Total Connected Load , Kind of Fuet BURNER — Trade Na.ne Size No Capadty Sq. FL E.D R- BTU BIF. (REMARKS-OVKR) " oo GASB (up to 193,0x0 BTU) g. $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .. . ..... x$ 200 $ 2 OJ Additional Fixtures x .98 $ Gas Range to 199,000 x$ S.00 $ AIR C014DMONIXG FAN HEATING SYSTEM See Fee schedule V ITILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE$ ROUGH -FINAL� -- °� (SURCHARGE $_.50) Dept. of Bldgs. Phone 3360-34110 City of Ffldley: The undersigned hereby makes application for a permit for the work ;herein specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby declares that an. the facts and representations stated in this application are true and correct. Fridley, Minn `��/f/�.� y`� ?-7- l / Kind of Building .� /1✓f /���P Used as---_..ice-- To be completed about Estimated Cost, Old—New. Building Permit No. Permit No. 15-1 7� HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name Sine No-Z� Capacity- I —°� Sq. Ft. E.D.R BTU g p. Total Connected Load , Kind of Fuet BURNER — Trade Na.ne Size No Capadty Sq. FL E.D R- BTU BIF. (REMARKS-OVKR) ' HOU-SE HEATIIIC T=r RECOV) ADDRL SS V �_.-C gnpc>e 0 APT. FLOOR CITY SUBURB OCCUPANT E2A— `Z .��OIMER IIGIT LOSS DATE IITC. INST. SaLa BY _ _ I?lCr.\LLEO By Giac:crlcaJ. Bark Dy Cas Linc D. TfPL OF HEAT: GA FA tltl STEAM Shcc IITR. UNIT IITR.• OTHER ' ' CAS DESICPi CONVCRSIQ:I vj,xz LC.w�--j I -L KLP OF. BUMMER S..iaL q� VA -6''• -'- \ Max. UTU Rating; INFUT a 0� Fd1I:E OF FUMMACE HOUCI • CONTROLS ' ZIIERho�i.�:: ' .itcat Plug, Vent Size Ysl.vc K=ND OF Li247.IL SIZZ NONZ r Lizcit Draft flood rcj;ul ator Limit Setting Filtcra I Si=c �,IP�C. Numbcr Zts C.> Fan ScttinZ• ,C) Chimney Location: 'Ic�.:idc Outaidc Pilot Typc CU=cy Construction .Pilot Make' Pilot Mcdcl Smokc Bomb Wirinc Pilo c ZLMLng _ �,� Draft Tca t Taj; L.ii.• Cut OEE Door Prcaaurc LiBlitiiiC Inst. • 1' Prcasurc Z.,C) A4Crccnc colC125 Date Tca tcda - Input CFF{ Fcrcecst a,-7106 Caispany Tca ting _ Stack Tczsp. • C • Pcrccnt CO Hamm of Tca ter CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 I-OTAI-41--i-ti APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Sumer - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *AIr Conditioning - All Sizes All Others)Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/industrial 1% of Value of Appliance or Work -Z -/5Z_ Effective On January 1, I Mi JOB ADDRESS W3o 1� o T`e t r The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 20.00 $ L0 .�Qo representations stated In this application are true and correct. /-7 •�Q� $10.00 $I®XD'.� OWNER `Ise $10.00 $ BUILDING USED AS $10.00 $ ESTIMATED COST 4/OO ® > 0 c) PERMIT NO. :'✓� �, $10.00 State Surcharge TOTAL FEE $so MINIMUM FEE FOR ANY HEATING/COOLINGNENTItATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. < V 4 w i. No. of Heating Units : Circle One (Steam) (Hot Water) (Warm Air) Trade Name„ Lf-m4� i< Size No. BTU_ SO oo o HP EDR Fuel N ik % Total Connected Load Bumer Trade Name Size No. BTU HP EDR HEATING COMPANY Signed Tel No. 53(o-0667 f Approved B n Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: #1 through #8 required when using a side vent furnace. The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes { } No { ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No { } 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for wafter heater Yes ( ) No ( ) Remarks: HEATING CO: Signed By: Date: ME CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1% of Value of Appliance or Work Rate TOTAL $ 20.00 $ LO.o6 $10.00 $2f3o $ 10.00 $ $10.00 $ $10.00 $10.(0 State Surcharge TOTAL FEE $so MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. ,co Z75z Effective On January 1,199y JOB ADDRESS -7 7 3C>rem_ �-r °"'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. 1-171 qQI OWNER E//fe J1) fj.5 BUILDING USED AS ESTIMATED COST '# qOO O -O 0 PERMIT NO. //,-? 6 0 No. of Heating Units : Circle One (Steam) (Hot Water) (Warm Air) Trade Name LfAw,4 x � 2 I y ' Q Size No. BTU- %0 000 HP EDA Fuel N 47" Total Connected Load Sumer Trade Name Size No. BTU HP EDR HEATING COMPANY M 2c4ray �- 4`e- CONd Signed By Tel No. 53(o ^066 % Approved By Rough -In Date Final Date. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: #1 through #8 required when using a side vent furnace. The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (} No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( } 4. Is securely supported Yes () No ( ) S. 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 7. Has a limen been provided for water heater 8. Has combustion air been provided for water heater Remarks: t Yes ( ) No ( ) Yes No HEATING CO: /�r�S/� %�P��"�✓ dd✓�i�. v1� `dc Signed By: Date: SUBJECT ERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT C 11 -�-� .� ` 6 1 , � RE EIPT NO. • COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. � r1 1 � �®S 1 ; ) NUMBER REV DATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/31/95 JOB ADDRESS 7430 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 5 I Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Johnson 7430 Tempo Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ideal Construction Inc 12621 Tyler Circle Blaine MN 757-3101 4240 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 Porch Window Replacement 9 CHANGE OF USE FROM TO STIPULATIONS If bedroom windows are replaced, windows must meet the State Building Code requirements of 5.7 sq ft of clear openable area. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 I 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 @ $4,000 $2.00 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 OTHER STATE OR LOCAL LAW REGULATING CON- $63.00 Fire SC $4.00 STR CTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $74.00 SIGNATURE OF CONTRACTOR OR ORIZED AGENT (DATE) Vy N LDG )NSP Y V ATED THIS IS YOUR PERMIT 4. ri-4 T I SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW ( J Effective 1/ 1/95 ADDN (J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: .3 C9 /V 72,17 n ¢ Legal Description: Owner Name & Address: x -e'. -1-1 �r (���n sre�,! �5� Tel. # Contractor: / e _ MN LICENSE # V0 Address: fa sae Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot [ J Inside Lot b4 Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $'If y 4,30 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: �Y�� _ � � / ` Tel. # 7,5- 2- Sia CITY USE ONLY Permit Fee $ u Fee Schedule on Reverse Side Fire Surcharge $ 49 ce> .001 of Permit Valuation (1/10th%) State Surcharge $ 6) $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ S,00 $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�b""gid`' BUILIANG PERMIT FEL' SCHEDULE The C:liic:f* Building Official shall, tore 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 firth and in the manner herein provided to -wit: TOTAL VAL11G FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for fust $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 - $2,001 to $25,000 $45 for fust $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $25;001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1;000 or fraction thereof, to. and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $450 for each additional .$1,000 or fraction thereof, to and including $100,000 $ iomo l to $500,000 $63950 for fust'$100,000 plus --$3.50 for each additional. $1,000 or fraction thereof, to and including •$500,000 $500,001 to $1,000,000, ' $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times S13-50. Alternate "13": 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 issueda 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. J SUBJECT PERMIT NO. City ®f Fridley (T( 26163 AT THE TOP OF THE TWINS BUILDING PERM i RECEI T NO. _ COMMUNITY DEVELOPMENT DIV.® v PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-1715 6/8/98 JOB ADDRESS 7430 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 1 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAILADDRES.5 ZIP PHONE Kenneth Johnson 7430 Tempo Terrace NE 786-1234 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Q. REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage 30 S 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 REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,502 $1.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTA E $ .50 SIGN TUBE OF CONTRACTO O FIORIZED AGENT IDATEI P OP ALIDAT D IS IS YO R PERMIT � SIGNATURE OF OW NER,IF OW R BUILDER) IDATEI NSp r�ATE J NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �. s ConstructionAddress:3y O apo Z? Legal Description: o �Ji -� ✓� a o - Owner Name & Address: / 17,7e- -tI7 ZV .0 his O h Tel. # 7 Contractor: MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: --3 v Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -- i I—APPLICANT: w Tel. # CITY USE ONLY Permit Fee $ ��r Fee Schedule on Reverse Side Fire Surcharge $ a .001 of Permit Valuation (1/10th%) State Surcharge $ 7 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Oficial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 01, ling SUBJECT PE R City of Fridley9 3 6 0 AT THE TOP OF THE TWINS BUILDING PERMIT P � RECEIPT NO. v COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE aLl7 I i CITY HALL FRIDLEY 53432 ' NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 4/30/9 JOB ADDRESS 7430 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 Melody Manor 2 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken Johnson 7430 Tempo Ter NE 786-1234 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 350 73 Avenue NE Fridley, MN 55432 502-4777 20040620 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 Q ALTERATION ❑ REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK 21 Replace =n windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwel per Section 310.9.1.2 of the 1994 Uniform Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 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 $9.15 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $18,300 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- $274.75 Fir SC $18.30 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE Lice C $5. 0 $307.2 .1 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ENRD A IOAT THIS I Y�F✓ S-GNATURE OF OWNEROF OWNER BUILDER. iDATE, BLO INSP DAiE 01, ling Prepaid Plan Check $ Effective 1/1/99 Estimated Cost $ CITY OF FRIDLEY Receipt # R-3, COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION as . , • . , � �•. -# Engineer 1-1 F� Zoning Tel# i9(e--123LJ Tel# ,9W- 44'7 7 Reg.# BUILDING 'ICONSTRUCTION TYPE OF aR••• eration m -Describe ' / • �� J OFC. AREA: Tenth WHSE AREA: Lexxj h APPLICANT Sq. Ft. Sq. Ft. Width Width Width Height Sq. Ft. Height Sq. Ft. Height Sq. Ft. 31 Date /a3/l X $ Cost/Sq. Ft. = Valuation $ ) Q lC>,®o X $ Cost/Sq. Ft. = Valuation $ ) _ $ X $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Air Conditioning [] Yes [] N Performance Bond Amount S U Construction Type Occupancy Grc up No Fire Protection Provided [] Yes [] No See Reverse for Schedule Received [] Yes' [] No Permit Fee $ C / ; %Sr Plan Check $ l °b Fire Surcharge $ , f State Surcharge $ SAC Charge $ =CSU Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ TOTAL $ 3 a 20 See Fee Schedule on Reverse Side in Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th o) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1050 per SAC Unit (Plans to mgCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary L] feet x $13.50/foot ATTACH STIPULATIONS BUILDING PERMIT FEE SCHEDULE $1 to 500 $21 (Minimum Fee is $21 plus surcharge) . 501 to 2,000 $21 for 1st $500 plus $2.75 for each addn'l $100 or fraction, to and including 25,000 $2,000 - 2,001 to 25,000 $62.25 for 1st $2,000 plus $12.50 for each addn'l $1,000 or fraction, to and including $25,000 including $25,000 25,001 to 50,000 $349.75 for 1st $25,00 plus $9.00 for, each addn'l $1,000 or fraction, to and including $50,000 50,001 to 100,000 $574.75 for 1st $50,000 plus. $6.25 fore each addn'l $1,000 or- fraction, to and 100,000 including $100,000 100,001 to 500,000 $887.25 for 1st $100,000 plus $5.00 for each addn'l $1,000 or fraction, to and including $100,000 - including $500,000 500,001 to 1,000,000 $2887.25 for the 1st $500,000 plus $4.25 for each addn'1 $1,000 or fraction, to and including $1,000,000 1,000,001 and up $5012.25 for the 1st $1,000,000 plus $2.75 for each addn'1 $1,000 or fraction $1 to 2,000 $29.25 2,001 to 25,000 $29.25 for 1st $2,000 plus $5.85 for each addn'l $1,000 or fraction, to and including $25,000 25,001 to 50,000 $163.80 for 1st $25,000 plus $4.225 for each addn' 1$1, 000 or fraction, to and including $50,000 50,001 to 100,000 $269.43 for 1st $50,000 plus $2.925 for each addn'l $1,000 or fraction, to and including $100,000 - 100,001 to 356,000 $415.68 for 1st $100,000 plus $2.275 for each WWI $1,000 or fraction, to and including $356,000 Over $356,000 $1,000 (Balance due with issuance of building permit) PERFORMANCE BOND POLICIES When a building permit is issued for a commercial, industrial or a multiple dwelling residential project which, requires outside improvements,a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cover all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences, lighting, water & sanitary sewer services, and storm drainage systems. Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3 % of the building permit value up to a 2 million dollar project or a $60,000 bond. Actual amounts will be rounded to the nearest $100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Projects with no outside huprovements, generally will not require -a bond. Bonds must remain open until the project is fully completed. Reproducible "as -built" drawings of all exterior underground utilities must be submitted to the City Engineering Dept before the project is considered complete and the bond released. All bonds will be held over one winter and through the next growing season to insure the survival of all landscape installations. The City will then inspect these properties in August of the year following the initial planting. Bonds may then be released in October of that year if all improvements are satisfactorily completed. CITY OF FRIDLEY INSPEC'1 iON DIV. 6431 University Ave NE Fridley, MN 55432 763-572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On Jan 1, 2001 TA_ J4 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR :::4i. {iw���•-�'••dd:•>)i:�.i{ $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin r..;:%t:i.•:.•••:R::R: �:Foo 1 r Ga`•�"- Auto. 1 i `�:: GasWater Heate'e{':Wash s�F *�m'n r: ::;:�:Y..dd::..}{:: $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance Tra `+tti %.....:..//.,.:r D in i3 > Washer rat3:::r:.. ' ' ' ' <>:M: Ran aGas Elec 5e Urinal 'f`#>.: Shower i. 5�: "::_::::: Back Flow Preventer Required ( )Yes () No . .r Type $15.00 i:4ir'•::: .: �e... _: ::•.; :::: v. :. ............ : S::r:::r:•: r.:iL. :.•:::::.iF"+..K..• dr v :: <4, •d ��:4fv{i::�:� iii„'{:; :ii iJf+•:+i'':'• .�v �( ...drd:.!:j 21oorl .a:%t4r':. .•xd.:d.{:.•::,..:::::.:}::::........r 00 PLUMBING FIXTURE RATES: NO. RATE New Fixtures $ 7.00 Old Opening, New Fixture $ 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 State Surcharge TOTAL FEE TOTAL JOB ADDRESS ZYY) �ewn ( e y 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. 200( Owner Building Used Ash-—�C:SC[/fit- Estimated Cost /� PERMIT NO.cr- $ .50 $ c;?"®. 10 PLUMBING COMPANY SIGNED BY Approved By COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 manufacturers 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 By: Date: