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PRE 2010 DOCSpity of Fridley, PERMITBURDING N® s779 Date: �'^ g— r Owner: Builder aiaalo" Address - Address /I \LOCA F B 1IPartofLot NG No. 7�42%tree/_ _ Lot Block Addition or Sub -Division Corner Lot 1 ® Inside Lot _ _ setback L Sideyard _- Sewer Elevation Foundation Elevation f DESCRIPTION OF BUILDING a Of o U Front Depth_ Height Sq. Ft. Cu. Ft. Fr nt _y,` Depth.A,- Height Sq. Ft. Cu. Ft.JType of ethon Est -AR To be Completed In consideration of the issuance to me of a permit to construct the the proposed work in accordance with the description above set forth ordinances of the city of Fridley. M I agree to do provisions yo In consideration of the payment of a fee of S--&-,) 00- , permit is hereby granted to t 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 regard location, construction, alteration, maintenance, repair and moving of bu'ding- within the city limits and this permit may be revoked at time pXSpn of any of the provisions of said Building Inspector NOTICE This permit does not cover the construction, installation for wrh ing, plumbing, gas beating, sewer or water. Be sura to see the Building Inspector for separate psrmhs for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME 2-'F_,j 7- BUILDER D6 M ADDRESS ADDRESS BeiC� /C ��. �' ► ! lII LOCATION OF BUILDING S No. S Street_7e6wPe n,,59 AC E7 part of Lot Lot / Block < Addition or Subdivision jt6 pp Cor/l Corner Lot -Inside Lot Setback 3 Side -Yard % SEWER ELEVATION FOUNDATION ELEVATION /�®a Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing uild-ing location drawn on these.Certificates. DESCRIPTION OF BUILDING To be used as: %� s l z d A 7,z Pte.S 1 �i J c/U0-E Front ,�� Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Type of Construction To be Completed Cu. Ft. timated Cost 20e 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 - e and correct. DA3'E _T StGNATtME A ' (Scbedule of Fee Costs can be found on theReverse 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 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 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 additions, £ore 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 patched 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 chargod for any permit as set forth in Section 2 be less than, $4_00. I CITY OF FRIDLEY 0 .37 JeI Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Wor COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work RATE k TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit a� MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. j Fridley, Minn. 0 3 r 19-ki OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT '7— -3 - SP ESTIMATED COST 17 Li OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Total Connected Load BURNER - Trade Name Sq. Ft. EDR BTU HP Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HP .` EDC-il4'1C?.I C PA A 11 CdC1"j ) C Company AV F ; =J, Signed By Tel. No. Fill out back side for stack verification on replacement furnaces I CITY OF FRIDLEY 0 .3-7leI Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND ' AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL ` RATE TOTAL Job Address '74150 - Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. * Air Condi g (all sizes) $ 10.00 $ /6.66 Fridley, Minn. 6-3 19JJ All Others/Repairs and Alterations >> OWNER 1% of Value of Appliance or Work $ KIND OF BUILDING J COMMERCIAL/INDUSTRIAL USED AS �s/��o 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT G -- SP ESTIMATED COST / % M r State Surcharge $ .50 FEE /S. OLD - NEW BUILDING PERMIT NO. PERMIT NO. �C 3 TOTAL $ Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Date Final Insp. Trade Name Size No. Date Approval for Permit f 'a Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, S-EDGV,1IG F; 7C. f4 G,An 0301`,!) Cd Company PLUS $.50 STATE SURCHARGE AVE., , Signed By— y Tel. No. Tel. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces I Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU ®49-7470 g —6d GRAVITY WARM AIR: Furnace Shell & Duct Work ........................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace_= ............................. Repairs & Alterations—up= to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL V O 8.00 $' 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Lines—to 400 sq. ft. IDR Steam ..... 8.00 $ Furnace Shell & Lind --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. pek .hour 5.00 $ over 3 gal. per'lipur—See Fee Schedule v GAS BURNER (up to 400,000' BTU) ....................... 5.00 $�- �- 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 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, D2inn X0 `�19 Owner 6,/ Kind of Building Used as F To be completed s Estimated Cost, $ Old—New. Building Permit No. Permit No.er� DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Nam Size No/A Capacity Sq. Ft. E.D.R BTU H.P. 00, Total Connected Load— -� j�� Rind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signed 2M BusinessN� ' 74 a p HEAT LOSS CALCULATIONS DEPARTMENT i�MADINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows Doors Reference Out. Wall I Int. Wall I Ceiling I Roof Floor I Kind Yes—No I Yes—No 19— ) F1.1 _ Room I Lenstth J.Y/Width /A /Height P'/ Windows and Doors—Crackage and Area Doors—Crackage an Area Width Height No. of Lineal ft. Area No. of paneof pane lights ofcrack sq. ft. A Area sq. ft. Coef. Btu Infiltration ' r r 1b 46"_4f, Infiltration Exp. wall Net exp. wall AoD Net exp. wall Int. wall Ceiling D d Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Q/`Midth ///,-)Height ,oP.1A Windows and Doors—Crackage and Area Doors—Crackage an Area Width Height No. o[Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. No. of pane of pane lights of crack Area sq. ft. Coef. Btu Infiltration rf ' r r 1b Glass Infiltration Exp. wall Net exp. wall AoD Int. wall Ceiling 14Z Floor e4 . 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I 1 F1 -1 "Lt:; e Rn m I I moth 9 e-1, W.A#' 6 1 1 e U...1.. JOVA Windowsnd Doors—Crackage an Area ri Coef. Btu Width Height No. of Lineal ft. No. of pane of pane lights of crack Area sq. ft. Coef.1 Btu Infiltration ' r r 1b Glass' Infiltration Exp. wall Net exp. wall Int. wall Ceiling Floor lo Net exp. wa Int. wall Ceiling ® v Floor I btal Btu. IA® .4 a'y Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FRIDLEY, MINN. Insulation How Applied / FI _ I % . i — Ream I L.emrth A/ /� Width / / 'A Height 9" Windows andboors—Crackage and Area Width Height No. of Lineal It. Area No. of pane of pane lights of crack sq. ft. �D Coef.1 Btu Infiltration ej Glass' (a Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. " Required sq. ft. E.D.R. or sq. ins. W.A. Leader area J F1.1 A�_ _. „ Room I Length ®A'_ Width Height a :l Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �D Coef. Btu Infiltration ej Glass , (a Exp. wall .!J Net exp. wall Int. wall Ceiling Floor Total Btu. 1-4 4111P;9 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area L'1 I ® Dv... 1 r -....►0. W;drh 14.;a,1,t 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 d 8 Glass Exp. wall a Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Cas Fitting Perndt Dept. of Bldgs. Phone SII 4-7 DESCRIPTION OF WORK �� /� Number, Kind and Location of Fixtures Location `� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE TOTAL_ Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ S �Ga, $ Water Heater (Up to 200,000 BTU) ...... F N WATER HTR. GAS ELEC. .1! s`2 ad <.�. i9 G ii d' 0 O Base 1 1st 2nd 3rd 4th • Future Connection Openings _ Connected with e New Fixture, Old Openings Sewer � Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE TOTAL_ Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ City of Fridley: j 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 fact and representations stated in this application are true and correct. Fridley, Owner Kind of Building Used as 511M�Mlxl To be completed about Estimate ost, $ Oil Ne ing Permit No ROUGH // i -'/— C 3 FINAL GAS FITTING FEES:O. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 It ``6 Additional Fixtures x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE 422M By i Business Phone Date: June 119 1965 N® '7353 Owner: Koual.ski Builder Reco Construction Address 7450 Tempo Terrace N. E. Address 1311 South 5th .Street LOCATION OF BUILDING No. 7450 street Tempo Terrace N. E. Fart of Lot Lot 9 _ Block 5 Addition or Sub -Division Melody manor 2nd Add. Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost $62 x 000, Q ---To be Completed Storm damage repair In consideration of the issuance to me of a permit to construct the bi the proposed work in accordance with the description abovesed forth and ordinances of the city of Fridley. ---, above, I agree to do all provisions of ®® A In consideration of the payment of a fee of permit is hereby granted to Racn rnn-Gtr; C'.p to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it part granted and his agents, employees and workmen, in all work done Fridley Minnesota around regardinggsaid builcatio�n,gconstror �uctionn,, alteration, mainteshall nance, allrm in respects o ordinances off withinor� city limits and this permit may be revoked at any time upon violation of any of the provisitons of said Allen Jensen Building Inspector NOTICE: TMI pem* does Det corer the construction, bidtepatien for v ring, plumbing, gas heating, sewer se water. Be sate to no the Building Iffier for separate pwm% for these items. APPLICATION .FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ADDRESS_ ? S/6-0 Z �� M 4! QP f -ADDRESS J LOCATION OF BUILDING No._ Street jJ QQ7,' Ldf CPart of Lot i u � I LOT BLOCK - ADDITION OR SUBDIVISION Corner Lot Inside LOT Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. Abe PESCRIPTION OF BUILDING To be used as: Front Depth Height, Sq. Ft. Cu. Ft. .'Front Depth _ Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be completed_ . The undersigned hereby makes application for a permit for the -work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of.the Department of Buildiigs-; and hereby declares that all the facts and representations stated in thie application are true and correct. 14 �P DATE SIGNATURE (Schedule of Fee Costs can be found owe Reverse Side). BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing any permit for the erect on of any building or structure, or for any addition to any existing build- ing or structure, or for any alterations or repairs to any existing building or structure, upon application therefore, require the payment by the.applicant,for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit; 2.1. For any such.permit for the erection of any 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 22.3_ 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 the 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 fee charged for any permit as set forth in Section 2 be less than $4.00. CIiYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 August 22, 1984 Mr. Bert Smith 7450 Tempo Terrace N.E. Fridley, MN 55432 Be: Intersection Vision Safety Zone Obstruction (SECOND NOTICE) Dear Mr. Smith: Enclosed you will find this department's letter dated August 6, 1984. This letter brought to your attention the need to cut and remove the lower branches of a Spruce tree to provide a better sight line for motorists traveling on Tempo Terrace and Ballet Boulevard. As indicated, a reinspection was conducted on August 21, 1984 and it was determined that no effort has been made to correct the intersection obstruction. At this time the City must again require you to remove any sight line obstruction and maintain a clear view for motorists traveling on Tempo Terrace and Ballet Boulevard. To determine compliance, a reinspection will be conducted on or about September 4, 1984. The City is confident in your cooperation and if any questions or problems result from this letter, please feel free to call on me at 571-3450. Failure to abate this violation may result in this matter being turned over to the City Prosecutor for his legal consideration. Sincerely, STEVEN J. OLSON, B.S. Environmental Officer SJO/mh ENC: 1 CIVIC CENTER • 6431 UNIVERSITY AVE. N.E., FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 August 6, 1984- Mr. 984 Mr. Bert Smith T450 Tempo Terrace N.E. Fridley, MN 55432 Re: Intersection Vision Safety Zone Obstruction Dear Mr. Smith: In order to provide safe passage for vehicular and pedestrian traffic in the City of Fridley, periodic inspections of street intersections are conducted. An inspection on August 1, 1984 has determined that the sightline for the intersection on your property is obstructed and could present a hazard to traffic. Section 205.154 of the City Code requires that, "On a corner lot in a vision safety control zone, nothing shall be erected, placed, planted or allowed to grow in such a manner as to impede vision..., the vision safety control zone is described as follows: That area bounded by the street right of way lines of a corner lot and a straight line joining points on said right of way lines twenty five (25) feet from the intersection of said right of way lines." Therefore, the City is requesting you, the property owner, to correct the following problem and to make the City's streets safer for travel. A reinspection will be conducted on or about August 20, 1984 to determine compliance. We are confident in your cooperation to correct this problem, but if there is any problem with the interpretation of this letter, please feel free to call on me at 571-3450. The inspection of your property indicated that the following obstruction existed and should be corrected: Sincerely, t Cut and remove the lower branches of the Spruce tree to provide a better sight line. STEVEN J. a OLSON, R.S. Environmental Officer STO/mh SUBJECT RMITN City of Fridley 27437 AT THE TOP OF THE TWINS BUILDING PERMIT CiRLii�o- 1 , COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. 7 1 NUMBER REV DATE PAGE OF APPROVED BY iv CITY HALL FRIDLEY 55432 612-571-3450 910 -FIS 18/27/98 JOB ADDRESS 7450 Tem o Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 5 IMelodvManor, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stan Kowalski 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Advance Aluminum SuRRly. Inc. 7701 Main St HE Fridley 99432 571-1440 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 2jj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (20 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 REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORKOR 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,668 .83 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. $54.00 Fire SC $1.67 PLAN CHECK FEE TOTFEE Lice$5.00/.50 SIG '4 TURE OF CON TRA ORO AUTHOR IZED AGENT iDATEI EN OP BL INSP ALID THIS IS Y_QQR PERMIT Ot E SIGNATURE OF OWN ERt OWNER BUILDERi IDATEI NEW „ [ ] Effective 1/1/98 ADDN [ ] r CITY OF FRMLEY. ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: % y SU % Z� / P D ! , !-Ezw c C Legal Description: Owner Name & Address: S i R/z. Tel. # Contractor: Ift 4liir_ E r91u1,1•VPA 5 vPlL MN LICENSE # 7 9 g 3 Address: 7-2�, fiZ Agi�i 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: Construction Type: R a o Fi�G b a a��.- Estimated Cost: S L r (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 9- 7%-9 g APPLICANT: ®vea aL Tel. # Permit Fee $ 'f , Ly Fire Surcharge $ 6 7 State Surcharge $ . 8 SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ • SLS STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $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 [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $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. AMW G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 June 29, 2001 Ms. Stacy Smith 7450 Tempo Terrace NE Fridley, MN 55432 Re: Final Inspection at 7450 Tempo Terrace NE Contractor: Lakeland North Heating Dear Ms. Smith: A mechanical permit was issued on April 28, 1999 to install a furnace at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work 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 Mechanical 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 expire 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. CITY OF FRIDLEY INSPECTION DIVISION �� s a �9 Effective On January 1 �, t sss 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS '7 C/S—® J n�c7 0 e RATE SCHEDULE 'T 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 1.25% of Value of Appliance or Work Rate TOTAL $30.00 $ $10.00 $ $10.00 $ $10.00 $ $ 25.00 $ State Surcharge TOTAL FEE 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. " o2 C ,1990 OWNER C5�',gc BUILDING USED AS ESTIMATED COST / ?-O?J PERMIT NO. 0 DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water arm Trade Name �� Size No. eJ71-er 6,,,j iJ� BTU HP EDR $ Fuel_Total Connected Load $ .50 Cf MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name BTU M Size No. EDR HEATING COMPANY Signed ✓ Tel No. Approved By Rough—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: . List ALTERATIONS BeimDone_: HEATING CO: Signed By: Date: C AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (cNo ( ) 2. Is free from rust or deterioration Yes ( CYNo ( ) 3. Has no foreign objects lodged within Yes (--f 'No ( ) 4. Is securely supported . Yes (z-�No ( ) 5. Meets all current Code requirements for size Yes( ( ) and total BTU's connected 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 water heater Yes (-)--go ( ) Remarks: . List ALTERATIONS BeimDone_: HEATING CO: Signed By: Date: CITY OF FRIDLLY IN61-LU I iON UIV. 6431 University Ave NE ..0 Fridley, MN 55432 10 (763) 572-3604 t Ettective On Jan 1, 2UO2 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 7/,( j b T New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 -,(,(�- �q .2004 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner �— Water Heater -Electric $ 7.00 Water Heater - Gas"" $10.00 1 Building Used As _ hAzuns Gas Range"* $10.00 Gas Dryer** ry $10.00 1 Estimated Cost ,� � PERMIT NO. /' Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY , - TEL NO.17 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS FAX # Y 1.5% of Value of Fixture or Appliance � % Approved By Rough -In Date Final Da fid} State Surcharge .50 MINIMUM FEE OR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ Qn, PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When rep ji 8Axiisting f ,�, the undersigned hereby verifies that the venting has been a amined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) Appliance #1 Type BTU Input The venting system is plastic/PVC and meets all current codes and manufacturer Appliance #2 Type specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly BTU Input and meets the current codes and manufacturer's specifications. This does Total Appliances include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and naturaI draft appliances. Yes ( ) No ( ) The exictiRg rom6�Ision air is sized and installed to meet the current codes Appliance #1 Vent Connector Height and manufacturer's specifications. Yes O No ( ) When required to ihstall a n w orn j ,d ian air -it will be sized and installed ft Length to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new v _n ing, system, the undersigned hereby verifies that ft Diameter in Type 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 f3uilding BUILDING Permit No.I� �. Inspections RESIDENTIAL APPLICATION Received By1 t/ 763-572-3604 CITY OF FRIDLEY DMcQCT 763-5021j-49 77 FAX EFFECTIVE 8-19-09 DATE e% 4_0 I pM YOUR E-MAIL ADDRESS SITE ADDRESS l q e-rB pp�� 7��rp ko e - k e THIS APPLICANT IS: ❑ OWNER &ONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: CITY STATE IP PHONE: CONTRACTOR NAME:e�,7 c� c e ac t� S� aaS LG -G SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # Z 0CQ 3 (¢ ( EXP DATE AND CERTIFICATE OF ADDRESS: `� �® "j�e F a !� 3 c qq CITY r . r� STATE ZIP INSURANCE PHONE _ U> -ZO Z'?7 410 FAX PROPERTY TYPE 0 -SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH BR60F ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR da REMODELING DESCRIBE WORK BEING DONE:�� ®o. SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES Jr 5' ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: TT 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) '1'U'I'ALJOB VALUATlUN Ii OCCUPANCY TYPE Permit Fee $ m See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $(/ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ a Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application f permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of r ch requires review and approval of plans. j SIGNATURE OF APPLICANT PRINT NAME DATE G 'Z ®I ?. Page 2 - Building Residential Application 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 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1" $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1' $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1" $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1" $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1' $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977