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PRE 2010 DOCSCity of Fridley, Mian.. BUILDING PERMIT Date: July 12, 1967 Owner: Homedale Blders Builder Address 5 217 Wayzata Blvd. Address Same Same LOCATION OF BUILDING No. 7501 Street Tempo Terrace part of Lot Lot 19 _ Block 4 Addition or Sub -Division ._ Melody Manor 4th Corner Lot—____..X_ Inside Lot — Setback _ _ _ 35 � _ Sideyard ._ 18' Sewer Elevation ___ 873.72 876.72 Top of Footigg DESCRIPTION OF BUILDING To be Used as: Dwelling Front 40' Depth 24/30 Height 20 Sq. Ft 1032 Cu. Ft. 9355 , Front Depth Height Sq. Ft. Cu. F't. Type of Construction Frame Est. Cost T 181509___ To be Completed Oct. 1, 1967 SEWER LOCATION - 60' East of Manhole WATER LOCATION - 12' East of Sewer In consideration of the issuance to me of a permit to co et tlie building the proposed work In accordance with the description above p6t kOX and In ca ordinances of the city of Fridley. _ G I agree to do provisions of 41uu.uu Sewer connection cnarge In consideration of the payment of a fee of $ 30.00 , permit Is hereby granted to Homedale Blders . 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, HRinnesota 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 eatd ordinances. CLARENCE EEISLE Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be son to see the Building hopecter for separate permits for these hams. APPLICATION FOR Bt1ILDING PERMIT CITU OF FRIDLEY, MINNESOTA .OWNER'S NAME BUILDER. ✓-4� ADDRESS ADDRESS LOCATION OF BUILDING NO. D� STREET t & _ .�. PART OF']LOT LOT_,Lf BLOCK �� ADDITION OR SUBDIVISION,=�� CORNER,LOT_ , NS.IDE LOT SETBACK ,'- SIDE -YARD SEWER ELEVATION 7 FOUNDATION ELEVATION �� p Applicant attach ` o `th form oOCetificates. rtificates of S ey of Lot and proposed - bu4ding location d awn on these a"'Ate.., DESCRIPTION OF BUILDING To be used as; Front�7 v. Depth > Height sq. Ft.. Z O Cu. Ft. Front Dept ._. -'r.-Height Sq. Ft. Type. -of Construction- �i� � e —Estimated Cost To be ,completed 66-11 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 o dings, and. hereby declares that all th*e,fa:cts and representations stated•in this application are true and correct. DATE/. SIGNATURE 59— (Schedule of Fee Costs can be found on the Reverse Side). r BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount hereinbelow set forth and in the manner herein.pr-ovided toy -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 -fire -proof 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. STORM REPAIR DAMAGE FEES: Residential: Estimated Cost of work up to $500.00 - X5.00 Estimated Cost of work over �O Commercial; Estimated ' t of woer, z � a f Estimated t . _ t of w02:;.d uu - 420. � SUBJECT PE LT NO. City of Fridley N-2 16568 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. `�: ------ PROTECTIVE INSPECTION SEC. CO✓ CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5-10-82 JOB ADDRESS 7501 Tempo .Terrace N.E. 1 LEGAL DESCR. LOT NO. 19 BLOCK 4 TRACT OR ADDITION SEE ATTACHED Melody Manor 4th SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Donald & Barbara Briggs 7501 Tempo Terrace N.E. 784-9229 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF ByDING residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK censtruet 24'x26' detached garage 9 CHANGEOFUSEFROM TO STIPULATIONS 1. Provide a hard surface driveway. PERM11TS REQUIRED FOR WI -F IM(l:. SEPERATE HEATING, PLUMBING AND SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING HEATING, VENTILATING OR AIR CONDITIONING. wood f 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 624 5184 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 61427.20 3.21 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- 62.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 65.71 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) p� HEN PROBE V LIDATE THIS IS YOUR, �� � p aLOG INSP DATE —SIGNATURE OF OWNER (IF OWNER BUILOER) ( AT EI CITY OF FRIDLEY Effective Aug. 1, 1991 APPLICATIM FOR RESIDENTIAL BUILDING PERMITS (Fleur, Alterations, Additions, or Repairs) OWNER: 06�,1 L 4 L / A 4?1?/� B106 -C-.- BUILDER: - •G 6c/Z7. Z o ADDRESS: )�O j TFl-qd 7k1u4C c ADDRESS: _ ��� y �•2 f. -T /� ,�/p� Alt. B TEL NO: --29V--2222 TEL NO: F -// e? � Construction Location - STRITT NO: 7S0e STREET: %-F/77PC) C,E IAT: C/ BLOCK: ADDITION: 127r-LDDy/i"//0Iq ' %/0 Corner Lot: V Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Z 1 Depth: 6 ® Height: Square Feet: 6 T- Cubic Feet: S/ YF C L) -{1 - Front: Depth: Height: Square- Feet: Cubic Feet: 6c/Z7. Z o Type of Construction: Estimated Cost: $ To Be Ooripleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET . Mie undersigned hereby makes application for a permit for the work- herein specified, agreeing to cb •-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: �`'� r' 0 Az SIGNATUrs: 49 WLje,( C/ I Stipulations: BUILDING PERMIT FEE SCHEDULE The Inspector of buildings shell, before issuing permits for the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alteration or"repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUATION FEES $1.00 to $500.00 $10.00 Minimum Fee $15.00 plus surcharge $501 to $2,000 $10.00 for the first $500 plus $1:50 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25j000 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building permit fee DRIVEWAY DEPRESSION ESCROW: Concrete Curb Streets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 feet x $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. land" a75 -Ay 0" *E. .k ENGINEERING, INC. sand to" j —4- fn ineers Survecyors -- certificate ®f survey few HOMMALE BU1LOUS W04TH �w 10 �w N f � � V L1 a ��•. �le� O VENOTES MON— — a' DENOTES t)RANXGE ANO UTILITY EASEMENT L.OT l'�j ?tLocrc 4 MEMY MANOQ dT" ADDITION ANOKA COUNTY / f vrby cv y ftt A6 's o t w and aarrrd mpvr$wt'vt arr �'o survey elk baw�dO+ ill'lk Aw Asw6rd 4"d, &d ' w&a 4 a deNedir, Alrrear� . avail ad moble euv»ada wlj , 4my, few or aurid !nd As surae, ya �y im day SUB UR BAN ENG/NEERING , PVC. E+�s fr Surreyort 6 "sly a: rt SUBJECT PMMIT NO. City ®f Fridley 28960 AT THE TOP OF THE TWINS BUILDING PERMIT Ir ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. I CITY HALL FRIDLEY 55432 "'' NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 1 / 99 311/99 JOB ADDRESS 7501 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 19 4 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Briggs 7501 Tempo Terrace NE 784-9229 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin City Exteriors Co 9060 Zachary Ln N X6108, Maple Grove, MN 55369 2595 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 425-4737 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION] REPAIR ❑ MOVE 0 REMOVE 8 DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. Permit Inspection Cards Will Be Mailed To Homeowner To post 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 SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $6'000 $3.00 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- Fire/C $6.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $112.25 PLAN CHECK FEE T07 ESE $5,,./126.25 LiFE SIGNATUF+EOFCON'RACTORORAUTHORIZED AGENT iDATE, 2�NOV IS ISYOUR PERMIT ��••// S.GNATURE OF OWNEROF OWNER BWLDERi iDATE. BL igArE� NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: )^A,9,QQ 641,55-6 Tel. # W41 Contractor: MN LICENSE # Address: in Y lev % p Tel. # kz,2? Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT 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: _ / Estimated Cost: $ 6r [� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: �� - �i 7 APPLICANT: Tel. CITY USE ONLY Permit Fee $ / /9 a57"Fee Schedule on Reverse Side Fire Surcharge $(.e, Op .001 of Permit Valuation (1/10th%) State Surcharge $ pQ $.501$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ 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: OAF sue.iEcr IT NO. City of Fraley 29564 AT THE TOP OF THE TWINS BUILDING I L ®I � I i�Ivv D[ R rC A A I f 'v1 RECEIPT NO. `y COMMUNITY DEVELOPMENT DIV. SEC. f PROTECTIVE INSPECTION 1 � � `--•. A ;"','� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L J` 612-571-3450 910415 5/26/99 JOB ADDRESS 7501 Tempo Terrace NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 4 1 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Briggs 7501 Tempo Terrace NE 784-9229 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Eagleview Construction Inc 2937 174 In NW, Andover, MN 55304 753-5469 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20067043 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (29 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.24 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,485 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- F SC $2.48 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 re / PLAN CHECK FEEFEE 7111- Lic SC 5 0$91.97 r IGNAI REO OON'RA TTOR OR AUTHORIZED AGENT ID EI V L Ha­ D THIS IS YOUR PERMIT S.GNATURE OF OWNERpF OWNER BUILDER) IDATEI qG W patE fj NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION b Construction Address: ` uy ./ C Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 3'? lief I Tel. # MN LICENSE # ; Tel. # ?53����� J� Attach to this application, a Certificate of Survey of the .3U lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: )-QOU Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: k�-17 APPLICANT:01 Tel. # }' STIPULATIONS: CITY USE ONLY Permit Fee $ �3a 5 Fee Schedule on Reverse Side Fire Surcharge $ , y' .001 of Permit Valuation (1/10th%) State Surcharge $ , ZY $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $�j i ez) $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 $ IL V STIPULATIONS: BUILDING PERAM FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. HOUSE HEATING TEST RECORD ADDRESS , �� APT. F OOR CI U URB o OCCUPANT OWNER HEAT LOSS DATE HTG. INST. GAS CO. METER BAD . SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER G DES CONVERSION MAKE MAKE OF BURNER Model Model Sorial "' Max. BTU Rating INPUT MAKE OF FURNACE Model ....�� �CONTROLS THERMOSTAT 77:P �,Heat'Plug Vent Size Valve dr -9 KIND OF LINERr SIZE NONE Limit Draft Hood Regularor Limit Setting Finers Size Number Fan Setting ',g'd—,,Oeeo.3— Chimney Location Inside �� Outside Pilot Type Chimney Construction Pilot Make Pilot Model — Smoke Bomb Wiring Pilot Timing � ' Draft 61 ��' Test Tagy� L.W. Cut Off Door Pressure_ Lighting Inst. Pressure Date Tested �^".2 —Porte t- 2 Input CFH Percep(Sd I 4 Company Testing 2 Stack Temp. — W ® Percent CO e<4' Name of Tester Form 235 ;ITY OF FRiDLEY INSPECTION DiViSION` i � J Effective On January 1, 2000 5431 University Ave NE V _ -ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, CODLING, VENTiLATION, 763) 572-3604 REFRiGIERATION AND AiR CONDITIONING SYSTEMS AND DEVICES J08 ADDRES 75D WTE SC ULE OWNER e� ms's iesidential Rate TOTAL Furnace Shelf and Duct Work, Bumer • BUILDING USED AS � Also Replacement Furnace $ 30.00 (Side Vent • Fill Out Back) ESTIMATED COST PERMIT NO. Gas Piping (Needed with new furnace, $ 14.00 $ �' but not replacement) DESCRIPTION OFFQRb[ACE AND OR @URNER Gas Range $ 10.00 $— No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name-- Size No. BTU HP _ EDR 'Air Conditioning • All Sizes $ 25.00 $ Fuel __ Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1%® of Value of Appliance or Work $ BTU--- Hip EDIt :ormmerc"ral/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE ANIMUNI FEE FOR ANY HEATING/COOLING/VENTILATION IEFRJGERATION/AIR CONDITIONING PERMIT IS $25,0Q !1 t1S THE .50 STATE SURCHARGE .EINSPECTION FEE $47.00/Hr Air Condiitioners can not be placed in a side yard: without mitten permission from adjoining property owner. The undersigned hereby makes application fora permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. o DATE ZO'd 'IH101 COM ON NT VENT CONNECTOR NO OMimi S 1 N AIR VERs O When Leplacing an tX19NAS Mance. the undersigned hereby verifies that the venting has been examined and Is free from rest, deterioration, obstructions, and Is securely supported and firesstopped where required. Yes( ) No( ) The venting system is plasticJPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit Is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The exists ccm ea on air is sized and installed to meet the current codes and manufacturers Specifications. Yes () No ( ) When required to install a neve combustion air.' will be sized and installed To meet the current codes and manufacturees specifications. Yes( No( ) When Installing a nM vents "stem, 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 Centra[ 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 beery removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type aced Size/Common Vent and Vent Connector Information Appliance #1 Type 13TU 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 Iangth ft Diameter in Type ALTELMI[ONS: Mes-ariobe! LEO, !1- _- ZO/Z0'd S09868L 01 J,3-UIN=l JO A1I0 W08J SS:ZZ 0002-TZ-nON CfiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 28, 2003 Don Briggs 7501 Tempo Terrace NE Fridley, MN 55432 Re: Final Inspection at 7501 Tempo Terrace NE Contractor: Daves Heating & Air Conditioning Dear Mr. Briggs: A mechanical permit was issued on August 21, 2001 to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. 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 mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh 01 SUBJECT PERMIT City ®f Fridley 1905 AT THE TOP OF THE TWINS BUILDING PERMITREiC� r NO. COMMUNITY DEVELOPMENT DIV. � ; L'__�___ r PROTECTIVE INSPECTION SEC. 19 0(c, ' NUMBER REV. DATE PAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/14/93 JOB ADDRESS 7501 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 4 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Briggs 7501 Tempo Terrace NE 784-9229 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 C NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 10t x 12" Shed 9 CHANGE OF USE FROM TO STIPULATIONS Shed must be 64 from rear property line and a minimum of 1721 from Ballet Blvd property line. Shed can be no higher than 14 feet. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. OWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1000 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 Fire SC $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $26.50 SIGNATURE OF CONTRACTOR OR. AUTHORIZED AGENT l0ATE1WHE RL LIDATED THIS IS YOUR PERMIT BLDG INSP GATE SIGNATURE OF OWNER OF OWN UILDERI IDATEI 01 NEW [ ] Effective 5126/93 ADDN [ ] CITY OF FRMLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �F Building Permit Application Construction Address: S ®/ Ze- ,o o W- e ,,^A G f T,,.211 , /� Legal Description: Q3` / /®c/C `� n� ��y ShA� o^ `/ 74 � T 0"-J Owner Name & Address: &A),q L 0 L ggTet. #Y - 9 Z 2 y Contractor: & UJAJe e MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length DESCRIPTION OF IMPROVEMENT Width GARAGE AREA: Length Width Height Height Sq. Ft. Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: sw e d /® ' x Corner Lot Inside Lot f ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ., ?o req !%f Sti eW Estimated Cost: $ ® © 0 - t919 Approx. Completion Date: 4 u c) /S , / 9 72 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: _ / V-'— 73 APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: BUILDING PERMFr FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $25;001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1;000 or fraction thereof, to. and including $50,000 - $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including -$500,00 $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 $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. Land ► 2 yrs-' "y ft -s ,vl. tand�.,ry� o�hs3r. . TtSti5t ENGINEERING, INC.° j fn5ineers 6 Sur vectors . ` r / -certsfica to of Survey f o: HOMEOALE SUILDUS W09TH �w Al /,I N f ()DENOTES MON—— —` DENOTES OQAtNAGE ANO UTILITY EASEMEW LOT , BLOCK 4, I�IELOOY MANOR Q Y H ADCA T 1 ON ANNA COUNTY / lknrby wf,{y fl�of �'„S n o lrt�e orad mrrtcf r� sanfofrarr �('a sur�vty �'!dr dates �'f6r O&W Aw"hed load, end •ice /�- ewld ads , fi'KrVon. eel niibe ex nmhmmis, �famy, f v r or *7 m d land. As swwyed �y mr As_T_ a 1 �LD mher AD dl!k. SU8 URBAN ENGINEERING, INC. E neer, fr Sur►Dor� .71.11 a �8Q t r IOM O --_. x � Pal VM'Fa srq TPT 7annnnn NEW [ l CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 7J 6 Legal Description: Owner Name & Address: Contractor:tAAY Address: 4-14 ftla-0A Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax D Tel. 1& 3 "7T���/) MN LICENSE # 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: R Construction Type: Estimated Cost: $ a griveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 0 6 APPLICANT: Tel. # er(fig Call (763) 572-3604 for Permit Fees if mailing Ipplication. Fax to 763-571-1287 if using credit card and we will call you foe card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $3 s 2—< Fee Schedule on Reverse Side $ ---- 65% of Permit Fee $ 9,5 .001 of Permit Valuation (1/10th%) $ 0¢ C�$.50/$1,000 Valuation $ $1350 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. T" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] _ STIPULATIONS: BUILDING PERAM FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 1411W W11 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and. including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) il Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses 0nly Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRID—LEY Date Recd: � l`�� ADDRESS( y� � 1 � ���-L�-'=M' I . C THIS APPLICANT IS: O OWNER CONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: COMPANY NAME: r CONTACT PERSON: T STATE LICENSEEXP DATE _ ADDRESSAuCA �� V"V CITY 1 STAT inn PHONED��GJ ➢ FAX - --15 e )�INGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE 0 REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FDMJRES: (INDICATE TOTAL NUMBER OF EACH BELOW) MFG: MODEL: SIZE/BTU Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: (GAS) $15.00 . SIZEBTU GAS RANGEIOVEN $10.00 A/C $25.00 _FIREPLACE A IR TO AIR EXCHANGEER $15 F PLACE (WOOD) $35.00 NEW GAS GRILL 0.0.00 UNIT HTR $10.00 _BOILER $35.00 ZACE $35.00 LINER $10.00 GAS DRYER $10.00 _GAS _POOL HE ATER $35.00 VENTILATOR $1500 _CHIMNEY DUCT WORK $10.00 GAS PIPING $10.00 Permit Fee $ Number of fixtures @$10.00—x $10.00 = Surcharge $ Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an ap 'cati in for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of rTha re ' w and approval of pans. SIGNATURE OF APPLICANT PRINT NAMT'L� J)O�DATF. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propan&UC-rC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas TMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. VentiMon a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346:0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations