Loading...
PRE 2010 DOCSDate: March 141, 1966 Owner: Builder Nomedai a Rte? dem Address Address 3017 Lyndale Ave. S. LOCATION OF BUILDING No. _3 LO2 Street Tempo rrare Part of Lot Lot 24 ___ Block 3 . Addition or Sub -Division Mel QdY dory )Ith Corner Lot Inside Lot _ _ S Setback 351 —_ Sideyard _ _:Q ! – 1 Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING .2,F�4 N? 8705 To be Used as: Dwelling Front 401 Depth 2hZ301 Height 200 Sq. Ft. 1,032 cu.. Ft. 90,61 Garage Font 201 Depth 241 Height 10' Sq. Ft 480 cu. Ft. X6,,804 Type of construction Fame Est. cost $1. a 59Q __ To be Completed 6111-5/.6A 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 f� and in compliance with afl provisions of ordinances of the city of Fridley. /moi_ 0 ,40-2 In consideration of the payment of a fee of $ 26.00 , permit is hereby granted to Home dale Builders to construct the building or addition as described above. This permit is granted upon the eFrepndltio n that the persondoneEd upon said buildFridlrinlocatiowitthts and this permit may be revoked at any time upon violation of any of the provisions of said ordinances NOTICE: Tills poem* does not corer the conatrucdon, hntail en fee whdng, phmbtue, en hoaft& aver or water. Bo an to ao the BuiidhM Inspector for separate permits for these Nems APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ' ADDRESS ADDRESS i LOCATION OF BUILDING NO �� STREET PART OF LOT LOT BLOCK 5 ADDITION OR SUBDIVISI r CORNER LOT INSIDE LOT 4-"- SE'T'BACK SIDE -Y D A9 ' 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 be used as; j FrontAe Depth Height Sq. Ft. Cu. Ft. Frontes Depth Height Sq. Ft. :P Cu. Ft.` � Type of Constructip Estimated Cost /��� � To be completed/,5 — 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 corre t. DATE SIGNATURE® 11 le (Schedu a of Fee Costs can be found on the Reverse Side),. Q� 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 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•iddition, 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,.thous.and 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 &able ... 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 Hundied.D;o1lars-($500.00) or fraction thereof in the cost of all proposed work. 2.66. 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+$5 30.00 - $5.00 Estimated Cost of work over ^300.00 - $10.00 Commercial; Estimatee )st of work up •to_$ -_S0 .00 - $1r i Estimates. _ost of work over $500.00 - $2L, J CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ��fia�� RATE SCHEDULE The :undersigned hereby makes application for a permit for the work Residential Rete TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - 62CV city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.+0 $ that all the facts and representations stated in this application are •• true and correct. Gas Piping (Needed with new furnace) $ 10.00 $ ,1991 _ OWNER ' Gas Range $10.00 $ BUILDING USED AS Gas Dryer -- $10.00 $ ESTIMATED COST PERMIT NO. "Air Conditioning - All Sizes $10.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water arm Air Trade Name Size No. -� Commercial/Industrial BTU HP EDR 146 of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 TOTAL FEE $6) ----- ------ - - ------------------ - ---- _-..... -... ._ REFRIGERATION/AIR CONDITIONING PERMIT IS $15.eO PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 ul "Air Conditioners can not be laced in a side and w hout P Y written permission from adjoining property owner. O Burner Trade Name Size No. BTU HP EDR HEATING COMP By. Rough -in Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 410 W. LAKE ST. MINNEAPOLIS, MN 55408-2998 612/824.2656 FITTING AND AIR CONDITIONINGCO ,&rviap The Twin Cities Sineq 1930 ORSAT TEST RECORD 1072 PAYN E AVE. ST. PAUL, MN55101-3892 612/772-2449 ADDRESS, i,� CITY OCCUPANT fir/ OWNER DATE HTG. INST. -i7-`�` INSTALLED BY'%r��'il� GAS LINE BY TYPE OF HEAT: GA FA �` HW STEAM SPACE HTR UNIT HTR. OTHER GAS DESIGN MAKE ,� 7` MAKE MODEL 313 MODE OF BURNE SERIAL : ,�- 5'J,4-0 � 9 8 -0 MAX. BTU RATING CONVERSION INPUT f �{,j MAKE OF F CE CONTROLS L r T /i €s I 1111111► /-t f__% ! THERMOSTAT HEAT PLUG VENT SIZE, FITTING AND AIR CONDITIONINGCO ,&rviap The Twin Cities Sineq 1930 ORSAT TEST RECORD 1072 PAYN E AVE. ST. PAUL, MN55101-3892 612/772-2449 ADDRESS, i,� CITY OCCUPANT fir/ OWNER DATE HTG. INST. -i7-`�` INSTALLED BY'%r��'il� GAS LINE BY TYPE OF HEAT: GA FA �` HW STEAM SPACE HTR UNIT HTR. OTHER GAS DESIGN MAKE ,� 7` MAKE MODEL 313 MODE OF BURNE SERIAL : ,�- 5'J,4-0 � 9 8 -0 MAX. BTU RATING CONVERSION INPUT f �{,j MAKE OF F CE CONTROLS L THERMOSTAT HEAT PLUG VENT SIZE, VALVE KIND OF LINER SIZE NONE LIMIT, DRAFT HOOD REGULATOR LIMIT SETTING ; CHIMNEY CONSTRUCTION '� FAN SETTING DRAFT � s-®//a^Q TEST- TAG ��, PILOT TYPE LIGHTING TNST. PILOT MAKE PILOT MODEL PILOT TIMING PRESSURE , a PERCENT CO2 �G DATE TESTED en /� -5 3 INPUT CFH ,6 PERCENT 02 STACK TEMP. /O j PERCENT CO � NAME OF TESTER -I:,e---I - CIT�!*OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 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 RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $_! c � oG� that all the facts and representations stated in this application are t true and correct. 1, 1 Gas Piping (Needed with new furnace) $10.00 OWNER( Gas Range $10.00 $ ' BUILDING USED ASS Gas Dryer $ 10.00 $ ESTIMATED COST 3�1V01 0 Q PERMIT NO. *Air Conditioning - All Sizes $ 10.00 $ Lo c;C' DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK 1% of Value of Appliance or Work $ No. of Heating Units , Circle One (Steam) (Hot Water) arm Air) Trade Name Size No. lg � Commercial industrial BTU HP EDR 1 % of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU • HP EDR TOTAL FEE $ L10 ''5­0 HEATING COMPANY_ MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed 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. 410 WEST" LAF` u1w1L1GA0n1 13_ bah: Approved ByW_ Rough -in Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE G CHIMNEY AND STACK VERIFICATION 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 Remarks List Alterations Being Done: HEATING COMPANY Signed By Date 11 RESIDENTIAL LOAD CALCULATION • Purchaser �'-I'� Sales Rep _ Date Address % St7L. -Pr tyo Running walls below grade: 13 y- x 7 ( F t wall I -It) = Lq Running walls above grade: x (1st Floor) Running walls above grade: x (2nd Floor) Em MKM Sq Ft gross wall Below grade 3q Ft windows and loors below Grade Jet wall below I ISq Ft gross wall Ht (Ft wall)= ��3� above grade(Ist (Ft wall Ht) -- q Ft gross wall bove grade(2nd q Ft gross wall tal gross Sq Ft Ft windows and rs above grade wall above Windows & Doors i% Sq Ft x J HTM 1100,BTUH Inf . (w&d x 1.3) Sq Ft x 3 s HTM = ,700 BTUH Net wall below � grade � SqFt x S HTM = (OD d BTUH Net wall above grade ® Sq Ft x ( HTM = % % �' BTUH Exposed Ceiling X08 Sq Ft x HTM =-Sy'3'O BTUH Exposed Floor Sq Ft x l `" J HTM = X17 BTUH 3 �BTU TOTAL Windows & Doors Ceilings & Floors ovy 13�L SUBJECT PER City of Fridley 9 4 0 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. I it ------ r I � PROTECTIVE INSPECTION SEC. �� 1 1 � NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 "'' 612-571-3450 910415 1/3/96 JOB ADDRESS 7502 TempoTerrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24 3 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patrick White 7502 TempoTerrace 55432 784-3815 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Exteriors Co., Inc., 9060 Zachary Lane N., Maple Grove 425-4737 2535 4 ARCHITECT OR DESIGNER MAIL ADDRESS MN z165369 PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reside dwelling and replace windows. 9 CHANGE OF USE FROM TO STIPULATIONS Window replacement must meet 1994 U. B.C. egress requirements for sleeping rooms. Provide smoke detectors in all sleeping rooms and in each level of the house. 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 MOT. 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 1 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 FTre SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $9,700.00 $4.85 $9.70 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- $162.25 -- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE License SC $ 00 71 $181.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N P RLY AL ED THIS IS YOUR PERMIT G I P )ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW ] Effective 8/l/95 ADDN CITY OF FRIDLEY"�=9---- [ ]a ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: r%p 6-7/�'I,Ao Legal Description: Owner Nam Contractor: Address:_ �9J Tel. # MN LICENSE # Tel. # - % 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbac �1 0� Type of Construction: c,n� : r�71�oi 5 Estimated Cost: $ ®® _ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x = $ DATE: APPLICANT: o Tel. # CITY USE ONLY Sewer Main Charge $ Fee Schedule on Reverse Side A /yo r .001 of Permit Valuation (1/10th ov",r Ne 5 C. $.50/$1,000 Valuation zge $850 per SAC Unit eep/o*-� 1--;50'WK $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above t'10A' Sm .". Z>wr $450.00 Conservation Plan Review 1.41 Fee Determined by Engineering ;R&W5 '*'0V4 /N Agreement Necessary [ ] Not Necessary [y,,r. '-,v .,- TOTAL STIPULATIONS: C?" -5 - Permit Fee ✓ $ Fire Surcharge $ 7�i . State Surcharge _ $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Fee Schedule on Reverse Side A /yo r .001 of Permit Valuation (1/10th ov",r Ne 5 C. $.50/$1,000 Valuation zge $850 per SAC Unit eep/o*-� 1--;50'WK $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above t'10A' Sm .". Z>wr $450.00 Conservation Plan Review 1.41 Fee Determined by Engineering ;R&W5 '*'0V4 /N Agreement Necessary [ ] Not Necessary [y,,r. '-,v .,- TOTAL STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE 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 hist $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 $1,00,000 $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. SUBJECT PERMIS-N­O- City ®f Fridley ...2 5 31 AT THE TOP OF THE TWINS BUILDING PERMIT QREQEMT—. r f � d _ ____ COMMUNITY DEVELOPMENT DIV. 1 ~ -------- PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL - FRIDLEY 55432 �•� ----'�'' 612-571-3450 910415 7/25/ 77 e e JOB ADDRESS 7502 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 24 3 Melody Manor 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patrick R. White 7502 Tempo Terrace NE 784-3815 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12'8" x 12'4" Addition (Foundation is existing) 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Install smoke detectors to meet 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, 711 $1.3G 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TO FEE 8.82 GNATURE OF CONTRA TOR ORA T ORI AGENT I jDATEI 4L ENP P VA IDA , THIS IS YOUR P�ERMI SIGNATURE OF OWN Rt IF OW NER BUILDERI IDATAi BLDGINSP AF GATE NEW ( ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER ( ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2�c�a� BUILDING PERMIT APPLICATION ConstructionAddress: Q C�' riA , Legal Description: Owner Name & Address: y,t"� �-cauZ.� TeX. Contractor: MN LICENSE # Address: r Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF IMPROVEMENT Length Width /� P� ` Height —-- Sq. Ft. 2 Z Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Estimated Cost: $ (1 'ee Schedule on Back) Driveway Curb Cut Width Needed.: Ft. + 6 Ft = Ft -fx $ — $ DATE: E v2 APPLICANT:I4Telii�. CITY USE ONLY Permit Fee $Al, 15 F%5 Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ /, 3G $.50/$1,000 Valuation SAC Charge $ $950 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 $ Z STIPULi1TIONS: BUILDING PERMIT FEE SCHEDULE "I'he 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 ie�cisting 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) t $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 fust $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 fust $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 thereo',jo 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 $13.0. 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 propzer review of the proposed structure and of the construction site. Certificate of Survey of the lot, showing the location of the foundation Omce it has it has been construe:, i ! h�: required before hruccedin�o with the framin«. -�— I I ---j SUBJECT P City of Fridley 27632 AT THE TOP OF THE TWINS BUILDING PERMIT P RE TEIPT NO. _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. c r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L „ 612-571-3450 910-F15 9/9/98 JOB ADDRESS 7502 Tem o Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24 3 MelodyManor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Pat White 7502 Tempo Terrace NE 55432 784-3815 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Eagleview Construction Inc 2937 174th Ln NW Andover 55304 753-5469 20076043 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 xP REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (30SQ) 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 MOT. 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 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 $2,571.00 $1.29 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- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.61 - SIGNAT RE OF CONTRACTOR OR AUTHORIZED AGENT IDa EI WHEN PROPERLY V I BLDG INSP SATED THIS IS YOUR PERMIT 0 GATE SIGNATURE OF OWNER IIF OWNER SUILDERI IDATEI NEW [ J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ?-TeA Te -'-mo T 4-ce Legal Description: Owner Name & Address: _ Tel. # "%4'V- Contractor: U 6-4 sy MN LICENSE # ®20026,0" Address: x"37 Z24/4y Tel. # 75-3-s;Y&% 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: Jam` ` Estimated Cost: $ �� 7 � • (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: X APPLICANT: Tel. # TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ 9z-/ `T.S Fee Schedule on Reverse Side Fire Surcharge $ S '% .001 of Permit Valuation (1 / 10th %) State Surcharge $ % . ��1 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 60 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE 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.