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PRE 2010 DOCSCity ®f Fridley, Minn. BUILDING PERIWIT Date: FEBRUARY 24, 1966 Builder HOMEDALE BUILDERS N° 8682 Address Address 3017 Lyndale Avenue South Minneapolis, Minnesota LOCATION OF BUILDING No. 7503 street TEMPO TERRACE N.E. Part of Lot Lot ._._ 18 _ Block 4 Addition or Sub -Division MELODY MANOR, 4TH ADDITION Corner Lot _ Inside Lot — % Setback 35 _ sideyard 10 & 5 Sewer Elevation ______._ — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: HOUSE Fit 46 Depth 24/28 Height 20 Sq. Ft. 1,156 Cu. Ft. 23,120 GARAGE Front 20 Depth 24 Leight 10 Sq. Ft. 480 Cu. Ft. 4,8 0 Type of Constructionxe Est. Cost 18 000 To be Completed 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��rth and in compliance with ail provisions of ordinances of the city of Fridley. _ r ! – ®� In consideration of the payment of a fee of $ 28.00 , permit is hereby granted to HOMEDALE BUILDERS to construct the building or addition as described above. This permit is granted upon the express condition that the pardon to whom it is granted and hid agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in aII respects to the ordinances of Fridley, Minnesota reg d location, construction, alteration, maintenance, repair and moving of buildings w city limits aa�d tb�a permit may be revoked at any time upcai violation of any of the Protons of saidOrd ALLEN G. JENSEN Building Inqmtor NOTICE M pan* doss not ceror the censtraation, kdaiiaten for wiring. pinmbtn& 6n hearty, sewer or water. Be wre to see the Builth* kqm for for spam pemhs for those hang. } APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; Type of Gonstructi To be completed DESCRIPTION OF BUILDING Front Depth 2 Height p Sq. Ft. Cu. Ft. `�1_ Front Depth et Height /�g Sq. Ft. �f� Cu. Ft. ® 9 Estimated Cost The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department -of Buildings, and hereby declares that,. -all the facts and representations stated in this application are true and correct., DATE SIGNATURE (Schedule of 4ee Costs can be found on the Reverse Side✓/� �i BUILDING PERMIT FEE SCHEDULE SECTIONN.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=s 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 fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1..25 for each one thousand cubic feet, classified as "fireproof01 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 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 Hundied Dollars ($5UO.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 FRES; Residential% Estimated Cost of work up to $500.00 - $5.00 Estimated' Cost of work over $500.00 - $10.00 CoF.mmercial; Estimated ist of work-up to' 45000 - $10 -'1 Estimated ,st of work over $500.00 - $2L j City ®f Fridley Application fei° Plum ing and Gas Firing Permit Dept. of Bldgs.. Phone SII 4-7470 DESCRIPTION OF WORK 7503 Tempo Terr Number, Kind and Location of Fixtures Location — I 'gg TOTAL Number Fixtures ...................... 19 12 1 Zrz I8 6Z°s-1V New Fixture Old Opening .............. x 1.00 $ 0 *0O i$�o� x 3.25 $ WATER HTR. x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........................... u-� ¢3 11 6$ U' 1 x .50 $ R N GAS ELEC. � 2.00 REPAIRS & ALTERATIONS—Refer to Code Description........................................I........$ TOTAL FEE $ '- 2.00 Base Inst G sD e 1st 2nd 3rd — 4th • Future Connection Openings Connected with I Sewer � New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. 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 $ 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 $ Gas Dryer 1 2.00 REPAIRS & ALTERATIONS—Refer to Code Description........................................I........$ TOTAL FEE $ '- 2.00 City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 1-26-67 1s— Owner 1R G ortri ght Kind of Building frame res Used as To be completed about 1-31-01 Estimated Cost, $ 10.00 Old—New. Building Permit No Perm' o. 6 By Business Phone No ROUGH FINAL r lb f Application for Power Plants and Heating. Cooling. Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ... .................. 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) 5.00 $ 'o -' ed over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 2.00 $ a®® Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL AA See Fee Schedule $ TOTAL FEE $ Dept. of Bldgs. Phone 560-3480 I City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn- Owner inn Owner , Kind of Building Used as To be completed about ��® s�A Estimated Cost, $ ��®® Ol New. Building Permit No. Permit No. HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade NameA'�q&LJ44AdSize No"C-lege Capacity /2k2P CFM7 '1 Total Connected Load Kind of Fue BURNER — Trade Name Size No Capacity. Sq. Ft. E.D.R I BTU H.P. (REMARKS -OVER) SUBJECT PERMIT N City ®f Fridley 15643 AT THE TOP OF THE TWINS B I I L ®I (� I %� D[ R a I T r V I V v r L'\'v 1 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 7y 1 PROTECTIVE NUMBER REV. DATE PAGE OF APPROVED BY "'1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/4/80 JOB ADDRESS 7503 Tempo Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION ' SEE ATTACHED DESCR. 18 4 Melodyi Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruce Peterson 7503 TemPo Terrace N E789-9898 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Johnson's Remodeling Inc561-3250 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 an 181 x 241 Addition to House 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMIT'S REQUIRED FOR WIRING HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $13,400 $6.70 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $81•Q0 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 20.25 $107.95 SIGNATU44 CVCCr11tRACTV1IAUTHORIZED AGENT (DATE). 0 WHEN PROPERLY DATED THIS IS YOUR PER ryJT Al C BLDG INSP TE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY - APPLICATION FOR RESIDENTIAL BUILDING PERMITS (flew, Alterations, Additions, or Repairs) OWNER: � z •,, BUILDER: ��`,,yL�e3-Y, ��R v`e._.. ADDRESS: 7 ADDRESS: (D -oi TEL NO: —765 TEL NO: fit -4 Construction Location STR}iT NO: STREET: LOT: BLOCK: ADDITION: Corner Lot: 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: / Depth: Height.: r Square Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $ 7b Be tbmpleted: Dd Alt. A Alt. B Proposed. Driveway Width If New Opening Is Desired: f $ $ SEE REVERSE SIDE OF SHPT 1.he undersigned Hereby makes application for a permit for the t;pork herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DA'1'r : 3 7[ P-- � c� Stipulations: Diu ,q 5 131 t4C l�,; BU1l_1)J116 LIMI I I-Lj_ )LIIL1)ULI: ;�IaC'PxC7IJ 2. `1'ha Itu;pector. of llui.l.di.i: Js _:hal.I be fare i..:,suing permits for the erection of jci7y bui,l.ct:i.r7c1 0r :,t:rur.t:ttrr., o): for any addition to any exa.:Ling building or. :structure, for tiny alteration ot: rcpai.r.-; to -any cxistizicJ or structure, open tipplication iheretore, rcrjnD7C t:he 1',�cyment. by ilia applicant for. :soda permit of fee:., to. t11e amount herein below scat: forth find in the manner lacrcin provided to -wit,: )JEW C.' NSTRUCTION : Single Family homes and GaracJes : 1,4.00/1,000 cubic feet. , PLAN CHECK: 25 percent of building permit fee. DIUVEWAY DEPRESSION: (Concrete, Curb St -roots Only) Alternate n:.Removal and replacement- of concrete curb and gutter only; Driveway width plus 6 feet x $15.75 illternatc: 13: Removal and replacement of concrete curb and gutter and instal.]. a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.85 –ADDITION /1 i_ I I. f= 0 `•1 ZI G-. For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the: floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars --($500.00) or fraction thereof in the cost Of all proposed work. In -no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. .VERI =ICASI ON OF FaUINDATIOil NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow far 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. -CERTIFICATE OF OcUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall. not be used or occupied until a Certificate of Occupancy has been issued. EXTERIOR ENVELOPE AVERAGE "U' COMPUTATION (To be submitted with Building Permit Application) This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INFORM-4TION. This informa- tion is required so the BUILDING OFFICIAL can determine that submitted plans cbmply with the ENERGY CONSERVA77011 DESIGN CRITERIA of the STATE BUILDING CODE (Section 6001). It is the APPLICANT`s responsibility to accurately compute the data, reflect the proper DESIGN CRITERIA in the plans; submit productspecifications, if needed to support the "R" and "U" factors used, and.to assure construction is per approved plans. SITE ADDRESS OtdNER(5)�y��s PHONE Z(� --� CONTRACTOR n PHONE Qto 1 A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 51.�3�► 2. Total door area 3. Total sliding glass door area o0 40 4. Total fireplace wall area , oeo Gao 5. Total wall framing area (average 6. Total net wall area above floor az o q0 7. Total rim joist area 450 •2r Subtotal: Total exposed wall area above. floor 8. Total fondation window area 9. Total net foundation area above grade.. Subtotal: Total exposed foundation area: GRAND TOTAL EXPOSED WALL AREA Eos►. ioo9.50 B. Multiply the GRAND TOTAL EXPOSED WALL AREA X J q C. Determine the Total Exposed Roof/Ceiling Area as follows: . G C 4 4 Ixt sIf Item 1 0 10. Total skylight area 11. Total roof/ceiling framing areaa 4 12. Total net insulated roof/coiling area 4�z. c� SA GRAND TOTAL EXPOSED ROOF/CEILIN.G AREA 4 41'L D. Multiply the GRA14D TOTAL EXPOSED ROOF/CEILING AREA X .04 Item II F�� l ro" i nt.�d other- side r termi ne the HU" value of each se's (1,+9) and mul ti pl y by the area. as to # tows: 1 , X Hull w 2 • X II vIi d� •'is 3 X nUe� 4 .. X II I III ; Q `L' co 5". X Ieuil 1 (7 nUle — wMCI � 7'Z . Co9 F. Determine the ".U" value of each segment (10-12) and multiply by the.area as follows: 10. 11. 43,0 12• 43Z.®c2 X u U" X IIIIIII. I Z� X 'IU° ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS Zf Item IU Z3, 04 I G. If Item No. III is the same as, or less than Item No. I,; you have met the ,intent of State Building Code 6006(c)2. If Item No. IV is the same as, or less ":.han Item No. II, you have met the intent of State Building Code 6006(c)l. Add Item No. I + Item No. 11 _ t q . Z, _. 777 Add Item No. III 1O6r,to + Item No. IV g4 12 1Z. .2Z.. Pt If the sum of Items. III and IV are less than Items I and IT, you have met the intent of the code for total envelope system. E The undersigned, as applicant for a ,wilding Permit, hereby affirms the alcove info_:nation has been 'prepared and submitted by himself or under his direction; hereby acknowledges the information to be correct and accurate; and hereby presents the Information with required plans in support of the Building Permit Application. Signature Ante ... :. ..... y x t' R VAT.�JF, 3rox.A>ilm.............0.6$ { 1�....� f X45 �{ a � LS I j 4 k� i4 Cso :t,,pdor''air film.. �.. , ....... 90.17 Total 11.0 ..OQ* !. interior air film0.68 vat Exterior. air Ulm.............0.'17 Total 1; Ifiterior air fila...... ....0.66 WAML 2 e .q • }"'� *%•�`' _ .4. Z xterior air file.... ......0.17 Total ", ROOF/CEIri.ING U 1/is ,-✓' Construction R -VALUE . 4 1. Interior air film.............0.61 2. 3. 71z• Exterior air fil*i (still.) 0.61 •�`1\'j=`��'�,� Total Vented Eeat flow up 5 Construcilon 1- %IALUE �j -1. `Inside air film...............0.61 2. e'.�1.•. _.y'Y�=' ' rP �' 3. insrlradon •51. OutsSde lir fil-v 0.17 Total i • near . u SUBJECT PE City of Fridley21 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BY j 612-571--3450 910-F15 5/6/93 JOB ADDRESS 7503 TEMPO TERRACE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 4 MELODY MANOR 4th SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE ROY INAWYE 7503 TEMPO TERRACE FRIDLEY MN 55432 785-1341LICENSE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE NO. SAME 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESI.DENTI'AL 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK REROOF 9 CHANGE OF USE FROM TO STIPULATIONS SEE NOTATIONS 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1-782,00 .89 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 41.00 FIRE SC 1. 78 PLAN CHECK FEE TOTALFEE 43.67 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 4NERUF BLDG INSP DATE iGNATURE OF OWN ERI IDATEI u NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: U�a✓c�c� Legal Description: L O T 1--6 I v c�-1 I c o Y r Owner Name & Address: RQ!4 -._1_B Q ",L, Tel. # Contractor: 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 GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. cc fZ Comer Lot [ ] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction: Oti rz®e l,_ Lj_, � Estimated Cost: $ n Approx. Completion Date: 3 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: , �! r� Tel. # �%' . M r Permit Fee $ -,9 Fire Surcharge $ State Surcharge $ r SAC Charge $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ "=- TOTAL $ -1 STIPULATIONS: TY USE ONL 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 Fee Determined by Engineering Agreement Necessary [ j Not Necessary [ j BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before Lssuimgpermits 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 $1000 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 $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction 'thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction *thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus '6 feet times $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. IJ SUBJECT RMIT NO.Fridley City ®f � 26 �� 1 AT THE TOP OF THE TWINS BUILDING PERMIT r ' , NO �• COMMUNITY DEVELOPMENT DIV. ♦✓ i ~ e�e_�_� PROTECTIVE INSPECTION SEC. 1 � 1 I NUMBER REV DATE PAGE OF APPROVED BY ` CITY HALL FRIDLEY 55432 612-571-3450 910-F15 I j 2129/28 JOB ADDRESS 7503 Tempo Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 33 3 1 Melody Manor 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roy Inoue 785-1341 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofing & Remod. 7930 University Ave Fridley - 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 O ADDITION ❑ ALTERATION N REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 31 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2585 $1.29 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO OR THE P NCE OF CONSTRUCTION. ]/{, ]5 Fire SC $2.58 PLAN CHECK FEE TOTAL FEE 7 7 �� License 5.00// 1 $8YI2 SIGNATURE OF CONTRA'/0F1 OR AUTHORIZED AGENT (DATEI N IIPPOPE LIDATEO T IS PERMIT l � BL INSP ? 7n-17-AnO ryA E SIGNATURE OF OWNER IF OWNER BUILDER) IDATEI IJ Effective 1/1/98 NEW [ ] � .. . ADDN [ ] ; , �CIT�i'rOF.FRIDLEY [ ] SINGLE FA'DUPLEXES R=1 AND R 2 ALTER BUILDING hRMIT APPLICATION .t yM�F d'.Etw$.!�`11h s:4 .'`tjL .l CC. ... 1r•*i��F�;I,y{ti.�P1 .� t.:'d„ .)l ConstructionAddress. Legal Description: Tel., k q_ 91r Owner Name & Address:® -/Z -3-4 MN LICENSE#___--. Contractor:�•�--I� Tel. # Address: C% 3 "Attach: to application;; a Certificate o£ Survey of the .this lot, wiff tlid'prdposed construction drawn on-'it to scale. DESCRIPTION, OF IMPROVEMENT LIVING AREA.: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECD AREA.: Length Width Hgt/Ground Sq. Ft. OTHER: oy c �;' ,rv,lALe Construction Type:��d- « Estimated Cost: ... t. (Fee Schedule, on Back).. Driveway Curb Cut Width Needed: Ft.-: +, 6 Ft = Ft x $ _ $ ri Q 9 APkLICANM Tel DATE: • •� USE 0MITY' Fee $Schedule. on Reverse Side Permit $ �__ Tyr x:001 `of:Perinit`Valuation (1/10th%) Fire Surcharge State Surcharge $ Valuation AC SAC Charge,,,.; $, $1000 per, SAC Unit f o,,�..�.,• ...c' ..;'. ix ay. r �t a { �� a�41044� . . .A �., �� :;x$.5.00 (State Licensed Residential Surcharge $ C° c��°; { rt' i}, License r .( e Driveway Escrow $ Altt°nA!1or°AlL, B"• Above °'<.„ $450,00 Conserv4tiorl Plan Review Erosion Control $ a �.�« :a.. r r.t<. . : . f . Park Fee $ Fee Determined by Engineering ` Sewer lYiain Charge $ ; _ t Agretment :Necessary. [. ] Not, Necessary TOTAL.: STIPULATIONS, .. " t 4 i �4 BUILDING PERMXT ! +E 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 W 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 ihe' nanner 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 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 "fust $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,600 $100,001 to $500,000 $887.25 for fust $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 fust $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets ,9nly) Alternate "A": Removal and replacement of curb and gutter only - Driveway. width;plus 6 feet tunes $13.50. Alternate B": ' Removal and r eplacement of, curb and gutter and ..install a 3�foot wide . F approach with 6' inch'depth - Driveway width plus 6 feet 6ii$15.75.�: ; ,VERIFICATION OF FOUNDATION , " s;• v:..D•...: .. _.. ',��. e •. Permits for construction will be issued a,minimurn.of 24 hours from the time of application to, a wp for proper review of the proposed structuredacid'"of.the construction site. �"r a �' , .F `' f A Certificate of Survey of the lot, showing the location of the foundation once„it�l�a ,jt,has beem cgnstructed will be required before proceeding with .the framing. Mr. & Mrs. Roy Inouye 7503 Tempo Terrace N.E. Fridley, MN 55432 612-785-1341 Home 612-767-3889 Work (.jewel) February 17, 1999 Department of Commerce Building Contractor Enforcement Division 133 East 7th Street St. Paul, MN i,. - M D # 20138780 Enclosed for your review is only partial documentation of the nightmare experience we are still dealing with in regards to the roof replacement for our home and storage shed at the above listed address. Four Seasons took it upon themselves to tape out a permit with the City of Fridley, (on July 29th) Prior to receiving approval from our Insurance Company. As a matter of fact, on July 31"% 1995, they contacted our insurance company, were told the claire was approved with the exception of the upgraded shingles, and they proceeded to start the job on that very day (without our knowledge). According to our neighbors, at approximately 7:30 am a crew began the tear off and finally quit at around 6:00 saying they ran out of shingles. It was not until August 6th that they returned to do the last 2 bundles they were short on. This was only the beginning of our problems. It is Four Season's claim that "'EXPERIENCE COUNTS" AND "QUALITY IS NOT EXPENSIVE - IT'S PRICELESS". Our roofs did not receive the experience and quality promised on their marketing materials. On the advice of an attorney, who specializes in Construction Law, as well as numerous contacts with City and State oicials, we are submitting this letter of complaint along with copies of the original estimate for the removal and replacements of both roofs, the "Failed" Inspection Report from the City of Fridley dated 08/07/98 and the subsequent letter of "Intent to Lien" sent by Four Seasons after months of sporadic attempts to correct items listed later in this letter or to finally FINISH this project! Therefore, the City of Fridley has been unable to give the job its final inspection approval. The following is a partial reproduction of a list given not once, but twice to Four Seasons after their repeated "surprise" that the roofs were not only still unfinished, but that there were numerous concerns about the ••quality" and "correctness". After receiving numerous promises of coming back `tomorrow" to finish up / correct the problem - - and no one showing up, it's easy to see why the frustration level has become unbearable. VALLEYS : All but i Voll has tin just hack -cut at bottom making it () Volley j ng dangerous for future gutter cleaning- tar smeared all over....... PROBLEM CORRECTED. WHIRLY BIRD TURBINE VENT A broken shingle was tarred and pieced in like a postage stamp.......... PROBLEM CORRECTED. 4- FURNACE STACK were f inch larger than the stock pipe - leaving la rge gaps. Then they tried to gob caulking to fill gaps instead of replacing with proper sized materials. This caused interior water damage to our kitchen and family room...... PROBLEM CORRECTED 8/25/98 (ON EXTERIOR ONLY). ❖ BATHROOM VENT : Placed raw caulking over the old caulking - •®• KITCHEN VENT : Some thing - never removed old product before replacing with clear silicone caulk- Seal on both vents were compromised die to faulty installation techniques_-.. PROBLEM CORRECTED 11/98 after repeated complaints. ❖ FIREPLACE : open gaps at North & South comers - old flashing was hack cut and left in place while new al? was then just bent over the old flashing- this allowed water damage to interior ceiling in family room---- PROBLEM CORRECTED ON EXTERIOR ONLY - INSIDE DAMAGE NOT CORRECTED. SHINGLES : This crew cut shingles on top of the newly replaced shingles - cutting slashes into the shingles they had already placed on. Also, this crew used "reject" shingles that other contractors do not use because they have lost their protective coating. •®• The 8+ -person crew that Four Seasons sent over was totally unprofessional. They consistently arrived wit any notice to us or our teenaged daughters. The treatment we received by Four Seasons "management" personnel was equally disturbing. The crew did a totally horrible job (the lack of quality, esurience and craftsmanship is easily apparent). Our discussions with Four Seasons were a practice of them blowing sunshine at us- - -they would Promise to come on a certain date and time and not follow through. Even the more pleasant toned conversations with Mark Rogers ( their on again - off again - now subcontracted fix it ) were always disappointing in the end due to no follow through. The smaller but no less aggravating unprofessional tactics included using our garden hose (that was wrapped up on a hose rack) leaving it covered with black tar and throwing it back towards the rack, draped over the shrubs. Nails and debris from both the old roofs and the newer materials used in the replacement were left all over the front and back lawns as well as the driveway and on the roof. Large pieces of shingles and other roofing debris were left in the attic on top of the insulation. Apparently tly this debris was easier to sweep into the vent openings once the vents were removed than to sweep into the yards for me to pick up later. Nails used on the shed roof actually protrude through roof and its eaves creating a safety hazard. shoddy job. It is our hope that your department will use whatever resources are available to help us achieve a resolution. We would also ask that this company not be allowed to prey on other consumers in the future. Serious caution should be used before renewing Four Seasons current Minnesota License #20135780, which expires March 31, 1999. Besides the enclosures promised at the start of this letter, we would be happy to provide your office copies of photos and videotape documentation and a personal chronological log of events. Please feel free to contact me at my work number if I cannot be reached at the home telephone number. I would gladly make myself available to discuss any options that may be available to us at this juncture. I appreciate your time and consideration in this matter Sincerely, Jewel Inouye CC: Better Business Bureau State of Minnesota Attorney General's Office City of Fridley- Building Permits Division enclosures MN Lic ID #220138780 Customer ' " Date Address C L. City 1 - !-�-OL Zip 5'5 O�oZ Billing AddressCity Zip ,I Insurance Company Claim No. Mortgage Co. Home Tel. Bus. Tel. Obtain and Pay for Permit ❑ Recover Roof with ❑ Color of Shingles Tear Off ❑ Layover Valleys��e'�� ❑ Ridge Roof Stacks Check &Seal Starter Course -77r- e- q x es Metal Edging 160 / A New Jacks on Sall Pipes g9 - Z2 " /P `, "' Vents Check & Seal V V P06 4e-.1 Clean Up and Haul Off Roofing Debris Clean Gutters Manufacturers Limited Warranty Upon Payment In Full years Four Seasons Roofing to Furnish Insurances Guarantee on Craftsmanship Upon Payment in Full years PAYABLE AS FOLLOWS: 5 O 4 C r % C$ ❑ $ Upon Completion of Work ' ®ie 07 72-w V0 ZS e 976.5-0 ooy or to /re C- 1-27)• el U �u.00 �e0' C- ma ;)GJ, UIQ 714 yr. f/6 STATEMENT OF TRANSACTION o 3 o-01 Price of goods and services (Cash Price) $ Cash pay; /'a on completion of work or receipt of insurance THE PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT 1. Labor Warranty does not cover damage to roofs caused by lightning, gale (50mph), hurricane, tornado, hailstorm, impact of foreign objects or other Violent storm or casualty or damage to roots due to settlement, distortion, failure or cracking of the roof deck, walls or foundation of a building. 2. All surplus job materials belong to Four Seams Roofing. 3. In the event legal action must be commenced to enforce any of the terms hereof, Four Seasons Roofing shall be entitled to a judgement award of all costs and expenses, including reasonable attomey fees, for any such suit or collection effort. Any sums not paid when due will bear 21 % simple interest per annum a.p.r. 4. Four Seasons Roofing is not responsible to provide any materials or to perform any work other than what is described above. Replacement of deterio- rated decldng, fascia board, ventilators, flashing or other materials, is not included and will be charged as an extra unless otherwise stated herein. 5. Purchaser will supply all electricity neccesary for the work. 6. This contract is subject to final approval by Four Seasons Roofing and is the entire agreement of the parties and no other written or other terms will be recognized. PurchasDate ?� Salesman/Company �" 'It is the owners responsibility to remove items /0m walls, shelves or cabinets that my get damaged during roof demolition and roof Installati. INSPECTION REPORT N4 p CITY OF FRIDLEY MINNESOTA (612) 572-3604 ADDRESS �''®� °'� m..,�I �� A c -i- OWNER r BUILDER DATE e -7 s PERMIT NO. DESCRIPTION �� p INSPECTION REPORT REPORT If no corrections are listed above, appr6v64is6_heref* g1v6n"t6_proceed. You will be in violation of the ordinance if you do not cN for the proper inspections and make correc- tions as called for. // FOUR SEASONS ROOFING & REMODELING LLC 651-890-1899 & 651 -FAX 651-890-2027 DA 1 E: 2-3-99 NOTICE INTENT TO LIEN THIS LETTER SERVES AS OUR NOTICE OF INTENT TO LIEN ON THE PROPERTY LOCATED AT• 7503 Tempo Terrace Fridley, MN 55432 SAID PROPERTY BEING OWNED By Roy Inouye TO AVOID FURTHER LEGAL, ACTION, PLEASE REMIT YOUR FULL PAYMENT FOR THE BALANCE DUE WITHIN TEN (10) DAYS OF THE DATE OF THIS NOTICE. IF PAYMENT IS NOT RECEIVED WITHIN THE TEN DAY PERIOD,FOUR SEASONS ROOFING & REMODELING WILL FILE A STATEMENT OF LIEN WITH THE INTENT OF COLLECTING THIS DEBT IN FULL. YOU WILL BE RESPONSIBLE FOR INTEREST AT THE RATE OF 21 % PER ANNUM ON THE UNPAID BALANCE AS WELL AS ALL COSTS FOR COLLECTION,INCLUDING AND/ALL LEGAL FEES INCURRED. ANY GUARANTEE AND/OR WARRANTY AGREEMENT WILL BE NULL AND VOID AS STATED IN THE ORIGINAL CONTRACT AGREEMENT UNTIL PAYMENT OF SAID BALANCE IS PAID IN FULL TO FOUR SEASONS ROOFING & REMODELING. IF YOU HAVE ANY QUESTIONS REGARDING THIS MATTER,PLEASE DO OT HESITATE TO CONTACT US IMEDIATLELY. ` c OFFICE MANAGER FOUR SEASONS ROOFING & REMOA LING LIEN DATE: 2-13-99 BALANCE DUE: $7251 -00 SUBJECT P City of Fridley 3 22 3 9 AT THE TOP OF THE TWINS BUILDING PERMIT r E � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 4&54 l 1 � s CITY HALL FRIDLEY 55432 NUMPER REv DATE PAGE OF APPROVED BY 612-571-3450 910415 7/24/00 10B ADDRESS 7503 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 4 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jewel Inouye 7503 Tempo Terrace NE 763-785-1341 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin City Exteriors Co Inc 9060 Zachary Lane N, Maple Grove MN 55369 612-425-4737 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 2535 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION J3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Permit inspects®n Cards Will Be MallOd TO Hameownor T® Past 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 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 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 7,000 r $3.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 139.25 Fire SC $7.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Licens C 5.00 $,/54.75 SIGNATURE OF CONTRACTOR OR AUTHORiZEO AGENT IOATEr ENP OPER V LI DATED IS IS YOUR PERMIT BLDG I OATS SIGNATURE OF OWNER,.F OWNER SUiLOER, rDATE, NEW [ ] ADDN [ ] ALTER' [ ] ConstructionAddress: I CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION r� Effective 1/1/99 Legal Description: Owner Name &Address: Y Tel. #_7 e,5 - /,3�o Contractor: TWIN CITY EXTERIORS CO., INC. MN LICENSE# 2535 Address: 9060 ZACHARY LANE N MAPLE GROVE, MN 55.369 Tel.# 612-425-4737 Attach to this application, a Certificate of .Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT 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: $ /7 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �e--P- l APPLICANT:/��2i � Tel. # 612-425-4737 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ � E $.50/$1,000 Valuation $ $1050 per SAC Unit $ E $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 [ ] $�� STIPULATIONS: A, A -N 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 o-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 $1,0001 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. Building Inspections 763-572-3604 DATE SITE ADDRESS _� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL Permit No.:,:;; RESIDENTIAL APPLICATION Received By; WRE CITY OF FRIDLEY D 7 YOUR E-MAIL ADDRESS DOWNER ACONTRACTOR tW ADDRESS: %T�o etPP CITY `P/ l� STATEO'/a ZIP PHONE: COMPANY NAME: Inc. CONTACT PERSON:dba Fireside HYBtth b HOnt� STATE LICENSE #_ ADDRESS: PHONE (SINGLE FAMILY 0 TWO FAMILY ❑ REPLACEMENT EXP DATE FAX 0 TOWNHOUSE ❑ ALTERATION/REMODEL STATE ZIP DETAU-ED DESCRIPTION OF WORK 5 Z,ei S /"�� 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 cement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor improvement, installation or repla} Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = EXCEPT WHERE NOTED- FI3Cr[JRES: (II.IDICATE TOTAL FOR PROJECTS WHERE LABOR EXCEEDS 5500, FEES ARE BASED ON S1 0.0D PER FIXTURE, NUMBER OF EACH BELOW)' SIZEBTU Equipment Installed MFG: !�A-,\ b I d MODEL: a SIZEBTU MFG: MODEL: MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANG RILLS 0.0.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 GASNEW GAS GRILL $10.00 _BOILER $35.00 _•FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER 15.$35 00 —DUCT WORK $10.00 GAS PIPING $10.00 _V1;2SITi-ATOR $15.00 D,7?C11<uY�v39FsPy.Z " . _ ,�a�a,'x;:�*a-saarse� .. . - ..�. ..___.._..._... __ Permit Fee $ Number of fixtures @ $10.00 Surcharge $ .50 Number of fixtures @ $15.00 / x $15.00 = $15 " 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 FORA 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 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 all v7rk which requires review and approval of plans. PRINT NAME K V-61- % P i S%—DATE SIGNATURE OF APPLICANT City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMESMWON 1. Combustion Air (See nate below) 163 ,W aqs Ora .q# 0S a• Oil or solid fuel IMC Chapter 7 with MN Amendmells- MO b. Nabn-al Gas or PropandMGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting . - s , a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Oust Design Per IMC 1346.0603.2 a. ACOA Manual D NOTE: Genie Dint Energy Mechanical Code Guidelines software may be used for rp combustion and make up air calculations