PRE 2010 DOCSDate: June 16, 19$7
Owner:
Address
_5r/-2-;7
(pity of Fridley, Minn. N° 9318
BUILDING PERMIT
Builder ROMEDALE BUILDERS
Address 5217 Wayzata -Blvd .
LOCATION OF BUILDING
No. — 75.0$ Street .._..Temo Terrace ___ — Part of Lot
Lot ._._.-2.6--- Block 3 ._......... Addition or Sub -Division .._-_.._Melody Manor 4th
Corner Lot Inside Lot % Setback 35'
Sideyard 15'
Sewer Elevation ___ 874.92 _WN HUMMERMINK 8772
Ton of Eooting
DESCRIPTION OF BUILDING
To be Used as:
DWe.] 3 ii ng _ Front 32' Depth 24' Height28'� Sq. Ft. 768 Cu. Ft 21,5 04
Garage Front 20' Depth 22' Height 10 Sq. Ft 440 Cu. Ft. 4400
Type of Construction FrgMe Est. Cost — $20,000 To be Completed Sept. 1, 1967
SEWER LOCATION 103' West #K of East Manhole
WATER LOCATION - 12' East of Sewer
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 setlojeh and in ante with all provisions of
ordinances of the city of Fridley. C6��'
$100.00 N SSD
In consideration of the payment of a fee of $___j8 permit is hereby granted to ROMEDALE 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 pari thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, constructafon, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE Building noVector
NOTICE:
This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be ane to ase
the Building Inspector for separate permits for these hems.
A.�ELIC3 'MR FOR BUILDING !M � tT
CI' i OF FRIXLE11 NaNy'JESCTA
OWNER'S NAME
ADDRESS ADDRESS_:�-� -T
LOCA Or BUILDING
N0. � STREET PART OF LOT
LOT Ale BLOCK ADDITION OR SUBDIVISIO �lsd j
CORNER LOT INSIDE LOT_ . SETBACK ��� SIDE -YARD IS �--
SE,WER ELEVATION F� /I FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
buij,d�pg location dr wn on these Certificates.
Cly �. %•� �
DESCRIPTION OF BUILDING.
To Be Used Ad: �� � LAi,
Front Depth Height_,,_,,,'
Sq. Ft. / Cu. Ft.
Front Depth Height
Ft. Cu. Ft.
Type of ConstructionEstimated Cost �®
To Be Completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances
and rulings of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side). _
c
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building of structure, or for any addition to any existing
building --or structure, or for any alteration or repairs to any existing building
or structure, upon application therefore, require the payment by the applicant
for such permit of fees to the amount herein below set forth and in the manner
herein provided to -wit:
Uniform Building Code: Type 1;2, & 4- $1.75 for each one thousand cubic feet, or
fraction thereof, in such cubical contents. Type 3 & 5 - $1.50 for each
one thousand cubic feet.
For the purpose of computing fees -,for building permits, the cubical contents of
any building or addition to a uniform height throughout by multipluing 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.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof
in the cost of all proposed work.
In no case shall the fee charged for any -permit as set forth in Section 2 be
less than $5.00.
NSSSD Connection Charges based on location- Area 1 or 2.
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
$
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE
TOTAL
1st 3 Fixtures ......................
x$ 2.00
$
Additional Fixtures .................
x .75
$
Gas Range to 199,000 ...........
x$ 5.00
$
AIR CONDITIONING
$s9
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$
ROUGH
FINAL
Dept. of Bldge. Phone SW -3450
0
City of Fridley:
The undersigned hereby makes application for a permit for the work herein,
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner
Kind of Building 1mr—
Used as 40Z49
To be completed about
Estimated Cost,
Old ew---building Permit No. G` Permit No.
DESCRIPTION OF WORK
BEATING or POWER PLANTS—Steam, Hot Water arm Aii-XNo—
Trade Name d Size Na 3
Capacity. Sq. Ft. E.D.R ®� BTU H.P.
Total Connected Loa 40�/ Rind of Fue
BURNER — Trade Nam Size N
Capacity Sq. Ft. E.D.R. BTU H.P.
(REMARK OVER
Sir, ►Y N. WELTER HEATING CO.
4637 CHICAGO AVE.
By WMIKAPOLIS MININOW56-0 1-1.
FAR
az Business Phone No �awJ
8
( o
City of Fridley
Application for Plumbing and Comas F*ting Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
RI
O.xy7
zn
I
Ire)
x $2.00
$
Future Fixture Opening ................
x $1.50
$
u'S
y
8Z—oz
a o
N
u ui
< 3
nd
W
�U' Sa
Z
O
+
F
`
N
WATER HTR.
GAS
ELEC.
Base
x $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $2.00
$
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
1st
2nd
3rd
4th
Future Connection Openings
New Fixture, Old Openings I
Connected with
Sewer
Cesspool �
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ....... ..............1
x $2.00
$
Future Fixture Opening ................
x $1.50
$
New Fixture Old Opening ..............
x $1.50
$
Catch Basin ...... .....................
x $3.25
$
Water Heater (Up to 99,000 BTL) ......
x $3.00
$
New Ground Run Old Bldg . ............
x $3.25
$
Electric Water Heater
x $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $2.00
$
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $ �
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 applicatioA are true and correct.
191&7
Kind of Building
Used as
To be completed about
Estimated Cost, $ 7
i 4�� %
Old—New. Building Permit No� d ermit 44
Signe
By
Business Phone
ROUGH ®16-0
FINAL
42
ADDRESS
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT
MAKE.
Model _
Serial _
INPUT
THERMOSTAT
Valve
Limit
Limit Setting _
Fan Setting _
Pilot Type —
Pilot Make —
Pilot Model —
Pilot Timing
L.W. Cut Off _
DATE HTG. INST.
GA FA �W
CONTROLS
Heat Plug
Pressure P eT
Input CFH
Stack Temp.- Percent COQ
Form 235
SE HEATING TEST RECORD
STEAM.
RAPT. FLOOR_
CI,, �BURB' y 9�
—OWNER _94ee7— /
—GAS CO. METER BADGE
—INSTALLED BY8 r
_Gas Line ByJ
SPACE HTR. - UNIT HTR.'- OTHER
CONVERSION
MAKE OF BURNER _
Model
Max. BTU Rating —
MAKE OF FURNACE
Model
Vent Size
_ KIND OF LINE
ZENONE
_ Draft Hood —
RegulaTor
_. Filters Size
Number
_ Chimney Location
Inside Outside
_ Chimney Construction
_ Smoke Bomb
Wiring 0A
_ Draft%�—
Test Tag
oor Pressure
Lighting Inst.
&'Date Tested
Company Testing
_ Name of Tester
52-84-S915.51
City of Fridley
Application far Plumbing and Cas fitting Permit
Dept. of Bldgs. Phone $60-3450
DESCRIPTION OF WORK 7508 Tempo Tera°
Number, Kind and Location of Fixtures Location
—
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ....... ..............
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ...... .....................
Water Heater (Up to 99,000 BTU) ......
New Ground Run Old Bldg. ............
Electric Water Heater
GAS FITTING FEES: NO.
1st 3 Fixtures ...... ...................
Additional Fixtures ....................
Gas Range to 199,000 BTU ..............
Gas Dryer.
REPAIRS & ALTERATIONS—Refer to Code
x $2.00
a
$
x $1.50
$
x $1.50
Y
C Z
N
W
!2 St
3W
(�9 Sc
0
Z
z.
�O
•
�
N
WATER HTR.
GAS
ELEG
Base
1 Gas
ID4er
Ist
3rd
4th
• Future Connection Openings
New Fixture, Old Openings I
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ....... ..............
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ...... .....................
Water Heater (Up to 99,000 BTU) ......
New Ground Run Old Bldg. ............
Electric Water Heater
GAS FITTING FEES: NO.
1st 3 Fixtures ...... ...................
Additional Fixtures ....................
Gas Range to 199,000 BTU ..............
Gas Dryer.
REPAIRS & ALTERATIONS—Refer to Code
x $2.00
a
$
x $1.50
$
x $1.50
$
x $3.25
$
x $3.00
$
x $3.25
$
$2.00
$
RATE TOTAL
x $2.00 $—
x $35
x$.75 $
x $5.00 $
/Y.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.
10-2-67
Fridley, Minn 19_
Owner Art Langlais
Kind of Building frame
Used as ra 3
To be completed about 10-7-67
Estimated Cost, $ 10.00
Old—New. Building Permit No Permit No.
S' e
By
Business PhoneI o
ROUGH
FINAL
Description . ............... ..............................$
TOTAL FEE $ .00 42
City of Fridley, Minn. N9 9493
?,r3�Ir1r
BURDING PERMIT
Date: OCTOBER 6 1967
Owner: HOMEDALE BUILDERS Builder A.B.C. BLACKTOP COMPANY
Address 5217 Wayzata Boulevard Address 1308 Main Street N. E.
Minneapolis, Minnesota Minneapolis, Minnesota
LOCATION OF BUILDING
No. 75 08 T Street TEMPO TERRACE N. E. Part of Lot
Lot_ 26 _ .__ Block 3 � Addition or Sub -Division MELODY MANOR, 4TH ADDITION
Corner Lot — Inside Lot _ Setback --- Sideyard
Sewer Elevation
To be Used as:
ASPHALT DRIVE
Type of Construction
Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth Height _
Front Depth Height _
ASPHALT $140.60
Est. Cost _..._ ..._...__.
Sq. Ft. Cu. Ft.
Sq. Ft. _ _ Cu. Ft.
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 forth and in compliance with aft provisions of
ordinances of the city of Fridley.
Inconsideration of the payment of a fee of $ 1.4060 , permit is hereby granted to A.B.C. BLACKTOP
COMPANY to construct the building or addition as described above. This t is granted upon
the express condition that the person to whom it is granted and his agents, employees an workmen, in all work.
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE Building Inspector
NOTICE:
Uls permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sore to no
the Building Inspector for separate permits for these Items.
a
ApL",,iC:#'!'t.fi•:] ^07 3fJIi,D...iiG ._.:1211T
CiTy OF FLta_D .,: 1-, NIN iES CTA
OWNER'S
NAME,
ADDRESS
)%A ADDi',ESS
LOCATION OF BUILI ING
N0 ® STREET ART 4? I,OT
LOT %v BLOCK ADDITTON OR SUBD VISION �-r`Zi
CORNER LOT INSIDE LOT SETBACK. —SIDE -YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates. of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING.
To Be Used Ad:
Front Depth Height
Sq.. Ft. Cu. Ft.
Front Depth Height
Ft. Cu. Ft.
Type of Construction_&e��9�� ,Estimated Cost. iJ
To Be Completed C_
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.
r -
DATE / (S SIGNATURE'
(Schedule of Fee Costs can be found on the Reverse Side). �
BUILDING PEPJ4IT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building of structure, or for any addition to any existing
building;or structure, or for any alteration or repairs to any existing building
or - structure, upon application therefore, require the payment by the applicant
for such permit of fees to the amount herein below set forth and in the manner
herein provided to -wit;
Uniform Building Coder Type 1;2, & 4- $1.75 for each one thousand cubic feet, or
fraction thereof, in such cubical contents. Type 3 & 5 - $1.50 for each
one thousand cubic feet.
For the purpose of computing fees for building permits, the cubical contents of
any building or addition to a uniform height throughout by multipluing 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.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof
in the cost of all proposed work.
In no case shall the fee charged for any -permit as set forth in Section 2 be
less—than $5.00.
NSSSD Connection Charges based on location- Area 1 or 2.
W4
SUBJECT
P IT NO.
City of Fridley
24621
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r � �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/4/96
JOB ADDRESS 7508 Tempo Terrace
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
26
3
Melody Manor
4th Add
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
David Jakubik, 7508 Tempo Terrace, Fridley,
MN 55432
784-9139
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Twin City Exteriors Co Inc, 9060 Zachary
Lane #108 Maple Grove
425-4737 2535
4 ARCHITECT OR DESIGNER MAIL ADDRESS
55369-4083
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CX REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Re -side house
9 CHANGE OF USE FROM
TO
STIPULATIONS
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
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
$5,000.00
State SC $2.50
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-
$99.75
Fire SC $5.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
License F $5.00
$1 25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
PROPS Y OKLIDATED
INSP
T IS YOUR PERMIT
DATE
SIGNATURE OF OWNERUF OWNER BUILOEM (DATE)
W4
NEW [ ]
ADDN C ]
ALTER
Effective 3/1/96
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress:
Legal Description:
Owner Name & Address: ®gwD —ThkJ,a I,�( `� � Tel. #
Contractor: TIN CITY EXTERIORS Co., INC. MN LICENSE # 2535
Address: 9060 ZACHARY LANE N #108 MAPLE GROVE, M, -55369-4083 Tel. # 425-4737
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:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
_ Sq. Ft.
Sq. Ft.
_ Sq. Ft.
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:' Estimated Cost:
Approx. Completion Date:
q (Cost:. on Back)
Driveway Curb Cut Width Needed:.. Ft.: + 6. t = Ft x, $ _ $
DATE: /b -a 26 APPLICANT:Tel. # l
TOTAL
4 ' STIPULATIONS:
CITY ' USE ONLY'
.7�
$ 7''Fee Schedule on Reverse Side '
$ .001 of Permit Valuation (1h0th%)
$ 67 ® $.501$1,000 Valuation
$ $900 per SAC Unit
$ .S $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 [ ]
ate,.
$ dig
a
Permit Fee
-'a.
Fire Surcharge
State $ujmharge
d<
SAC Charge
License Surcharge
Driveway Escrow
'
Erosion Control
Park Fee `
Sewer Main Charge
TOTAL
4 ' STIPULATIONS:
CITY ' USE ONLY'
.7�
$ 7''Fee Schedule on Reverse Side '
$ .001 of Permit Valuation (1h0th%)
$ 67 ® $.501$1,000 Valuation
$ $900 per SAC Unit
$ .S $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 [ ]
ate,.
$ dig
SUBJECT
City of Fridley
25076
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
' '
COMMUNITY DEVELOPMENT DIV
PROTECTIVE INSPECTION SEC.
GFS
r � �
1 � (
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/20/97
JOB ADDRESS 7508 Tempo Terrace NE
1 LEGALLOT
NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
26
3
Melody
Manor 4th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Arthur Langlais 7508 Tempo Terrace
NE 784-9622
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 EF NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct footings for Three Season Porch Addition (20' x 12')
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
WARNING
Before digging call fav_
all utility locations
454.OW2
REQUIRED BY LAW
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
1STALLS
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
$1,000
$.50
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-
$34.75
Fire Sc $1.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$36.25
aATURE OF CO T ACTOOR OR APHORIZED AGENT (DATEI
WHEN PRRO�PEERLY V ATED THIS IS YY�)OOUR PERMIT
Ifs' v ✓ _
iGNATURE wNER(IFO AER BUILDERi (DATE)
SLOG ESP DATE
NEW ,
ADDN
ALTER
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor:
Address: Is M
Effective 1/1/97
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION S 1 17 �7
""5-02
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
GARAGE AREA: Length
DECK AREA: Length D
OTHER:
Width Height
Width Height
Width Hgt/Ground
Tel. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: Estimated Cost: $�>
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ ny f Fee Schedule on Reverse Side
$ 00 .001 of Permit Valuation (1/10th%)
$ ° `� $.50/$1,000 Valuation
$ $950 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ -$450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ j Not Necessary [ ]
BUILDING PERMIT FEE SCHEDUI
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
'ermits for construction will be issued a minimum of 24 hours from the time of application to allow for proper.
'View of the proposed structure and of the construction site.
Certificate of Survey of' the lot, showing the location of the foundation Once it has it has been construcl.r.!
> ! h� required before proccedinR with the frarrnino.
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SUBJECT
P
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
'
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
I . �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/10/97
JOB ADDRESS 7508 Tempo Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
26
3
Melody Manor 4th
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Art Langlais 7508 Tempo Terrace NE
784-9622
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Patio Enclosures Inc 2123 Hwy 8, New Brighton MN
55112 XRL41M 1676
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
631-1100
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW 1j ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 20' x 12' Sunroom
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Provide smoke detectors to meet the State
Building Code.
WARM
Before diggit�8 call fur
all utility locatiods,
454-02
REQUIRED BY LAW
SEPARATE PERMITS REQUIRED FCS R
WIRING, 'IDEATING, PLUMBING AND SIGN,
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 1 HAVE READ AND EXAMINED THIS APPLICATION
1
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
$11,030
$5.52
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-
$187.25
Fire SC $11.03
STRUC R THE P RMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
'
License SC
$5.0
$208.80
GNA RE OF tONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERL V LID TED THIS IS YOUR PERMIT
BlD INSP
FATE
SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI
Effective 111i9i
[ ] CITY OF FRIDLEY
-
f,L
CER [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2
Building Permit Application
Construction Address: 7508 Tempo Terrace
Legal Description:
Owner Name & Address: 9
Art Lan laic, 7508 Tempo Terrace. Fridl ' #___L4-1122
Contractor: Patio Enclosures Inn _MN LICENSE# 1676
Address: 2123 Old Highway 8, New Brighton,. MN 55112 Tel. # 784-9622
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
GARAGE AREA: Length Width Height
DECK AREA: Length Width. Hgt/Ground
OTHER:
Corner Lot [ ] Inside Lot [ 1 Ft. Yd Setback
Type of Construction: Sunroom Addition
Approx. Completion Date:
Sq. Ft.
Sq. Ft. _
Sq. Ft.
Side Yard Setbacks
Estimated Cost: $ 11, 0 3 0 .0 0
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 6/3/97 APPLICANT: Tel. # ti i- i 7 n n
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
'Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY
$ l Z� Fee Schedule on Reverse Side
$ A cO .001 of Permit Valuation (1 / 10th %)
$ f f Z $.50/$1,000 Valuation
$ - $850 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt_ "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [
E
STIPULATIONS: s
IJ
SUB�E�T
PE
City of Fridley
AT THE TOP OF THE TWINS
I E R
G PERMIT,,
BUILDING
B
A
I T
t-
vILD V
RECEIPT N
------ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1
1 = -"'1 CITY HALL FRIDLEY 55432
NUMBER
REv
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/16/98
JOB ADDRESS 7508 Tempo Terrace
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
26
3
1 Melody Manor 4th
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Art Langlais
784-9622
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Eagleview Construction Inc 2937 174th Ln NW Andover 5530753-5469
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 Q REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house & garage (18SQ) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT
$1,542.00
$.77
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-
SC $1.54
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$51.25
fire
PLAN CHECK FEE 7TL FEE
Lipenle S .00
$58.56
GNATURJVbF CON"RACiQR OR AUTHORIZED AGENT IDAT I
MEN PRO Y VALI
D THIS IS UR PERMI
BL GINS
i
MATE
SIGNATURE OF OWNS R16OWNER BUILOERI IDA TE -I
IJ
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION 1(j,
U
�Q
ConstructionAddress:
Legal Description:
Owner Name & Address: %CEs Tel. #
Contractor: MNLICENSE# 2e)0 j&0-(5
Address: Tel. # '7Q -- 9y&C '
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
GARAGE AREA: Length Width
DECK AREA:/ Width
OTHER: �f'�I �/).[SE
f
Height
Height
Construction Type: iSa« !X—Q ?�f-Q6v'stimated Cost: $
Sq. Ft.
Sq. Ft.
Sq. Ft.
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: z IL64 r
Permit Fee $
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT: Tel. #
5-1/ Zs",
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
$ "./ A-, s'G
0
5--12
BUILDING PERMIT FEE SCHEDULE (�c"� S� 3
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.
n
Buildings
MECHANICAL
Permit No .
Inspections c
RESIDENTIAL APPLICATION
Received By:,
763-572-3604
CITY OF FRIDLEY
D a M'4jy2j_n(
"t �' a' -
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS aVl"XCSC,
THIS APPLICANT IS: ❑ OWNER RCONTRACTOR
PROPERTY
NAME:
ADDRESS: SU`d � rr. CITY r 1 STATAMZIP SSCM3
OWNER/
TENANT
PHONE: `-1 --I'?Ct ' l '9 -;t,
CONTRACTOR
COMPANY NAME: CENTERPOINT ENERGY
CONTACT PERSON: JOANN Z INKEN
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: 9320 EVERGREEN BLVD STE Hrry "COON' --'RAPIDS sTATEMN zIP55433
APPLICATION
PHONE 763 — 757 — 6202 FAX 763--757--6701
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK s ��x r r(iq
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. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) ,/
Equipment Installed MFG: Q.Cs-'r r i e r — MODEL: 'S -MI 0V6 SIZE/BTU W6,oco
MFG: CAD jr r r- MODEL: SIZEBTU
MFG: MODEL: SIZEBTU
_LA/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_AIR
$35.00 -aFURNACE $35.00 _GAS UNIT HTR $10.00
_BOILER
LINER $10.00 DRYER $10.00 _POOL HEATER $35.00
_CHIMNEY _GAS
WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00
_DUCT
PERMIT FEE PROJECTS FOR UNDER $500.
PERMIT FEETOR PROJECTS OVER $500:
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
Number of fixtures @ $25.00 �_ x $25.00 = $
Number of fixtures @ $35.00 t x $35.00 = $ 35'®®
State Surcharge = $ 50
Total = $ (00.56
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application 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 work which requires review and approval of plans.
SIGNATURE OF APPLICANT c e DINT NAME ROGER HOFFHE IN DATE 9/'g.20
PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ,EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC 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 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. 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.