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PRE 2010 DOCSDate: MAY 10, 1966 Owner: Builder HOMEDALE BUILDERS 23 e q X? 8814 Address Address 3017 LYNDALE AVENUE SOUTH MINNEAPOLIS, MINNESOTA LOCATION OF BUILDING No. 75 09 Street TEMPO TERRACE N. E . Part of Lot Lot 16 _ Block 4 Addition or Sub.Division MODY MANOR, 4TH ADDITION Coraer.Lot•yInside Lot Setback 35' Sideyard 5 and 10 Sewer Elevation a 4 �° � � levation-- 875.03 TOP OF FOOTING 878.03 DESCRIPTION OF BUILDING To be Used as: DWELLING Front 46 Depth 24/28 Height 20 Sq. Ft. 1,152 Cu. Ft 23,040 GARAGE Front 20 Depth. 24 Height 10 Sq. Ft 480 Cu. Ft. 4,800 Type of Construction - FRAME Est. Cost ._ ---o5.-Q--__ To be Completed WATER LOCATION 73' South of Manhole SEWER LOCATION 83' South of Manhole 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 fo and in compliance with 21 provisions of ordinances of the city of Fridley. / AR - 7 "01, ®" In consideration of the payment of a fee of2$ 800 , 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 person to whom it is granted and his agents, employees and workmen, in all work, done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesotalocation, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN Building Inspector NOTICE: Thb pomb does not sowr the anstrosdon, iestaga m for wiring, pNmbing, gas h aft, sower or water. Bo acro to sea the BoUbg irnpsmor for aparab paraft for thea Mems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS ADDRESS e2 LOCATION OF BUILDING NO, 4 9 STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION' CORNER LOT INSIDE LOT SETBACK :55 SIDE -Y 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; g Front Depth Height Sq. Ft. /�$� Cu. Ft.13 �! Q Front Depth Height Sq. Ft.fez& Cu. Ft.,� " Type of Construction Estimated Cost To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of 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). 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; 22.1. For any such permit for the erection of any fire -proof -building, - other than a garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building, shall be at .the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2 For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy,. to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building, other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2,4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator,'or for'the erection of any non -fire -proof addition, for similar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand: cubic feet, or fraction thereof, in the cubical contents thereof with the minimum of $4.00.. For the purpose of computing fees"for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations .to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. STORM REPAIR DAMAGE PEES: Residential; Estimated Cost of work up to $500.00 - $5.00 Estimated Cost of work over $500.00 - $10.00 Commercial; Estivated ",st of work up to $500.00 - $10 Estimated at of work over $500.00 - $20. . 6117 Ur rK111LtT 97 1-879001 APPLICATION FOR PUIMBING AND GAS FITTING PSHIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening a0 $2.00 $ Water di $2.00 $ Catch Basin x $5.00 • $ Water Heater - to 99,000 BTU x $5.00 41 w�d w $ HeaterH $7.00 o W bp1 x $5.00 $ Electric Water Heater x $5.00 $ q 1st 3 fixtures 0 •$3.00 $ Additional Fixtures x '1 049 -4 S4 Gas Range to 199,000 BTU x $10.00 $ $4 Mro First $100.00 y� $ :y yNp $2.00 State Surcharge vi TOTAL FEE o wO ,He If w u U c� o as lec H ry r 2nd' 3rd 4th I TT -7 (R) o Future Connection Opening Connected with Sewer (•) a New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 • $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTO x $10.00 $ Water Softener x $7.00 $ New Ground Pun Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x •$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE s 8.00 REItt�i'E^t I%,:t FEE Job Address 7509 Tempo Terr. Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 6®2978 , 19 OWNER uluhubx KIND OF BUILDING frame USED AS SPR _ TO BE COMPLETED ABOUT 7-6-78 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company M! Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT e MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SMCDJ GE Application for Power Plants and Healing, Cooling. Ventilation, ReMgeralion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water ................. 2.50 $ OIL BURNER—to 3 gal. per hour ........... ....... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE ;- ROUGH FINAL Dept. of Bldgs. Phone 560-3450 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, 1)44nn- / '-�- / 19 6 g 6 Owner Kind of Building r P Used as To be completed about Estimated Cost, Permit No. ~G / Permit N DESCRIPTION OF WORK HEATING or P WER PLANTS --Steam, Hot Wa Warm Air— / Trade Name � �'-r te l Size No. 4- �11 r Capacity/Sq. Ft. E.D.R ,-,-Z/ BTU H.P. Total Connected Load `� I Kind of Fue kct" BURNER — Trade Name Size No Capacity Sq. Ft. EM -R BTU H.P. (REMARKS -OVER) RAY WELTER 1 - • HEATING , A MINNEAP131x ■ -Q,%.42 Business Phone No NJ SUBJECT PERMIT NO.._. _ ' 23189 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT -� Ir RECEIPT NO. i �• _ COMMUNITY DEVELOPMENT DIV L PROTECTIVE INSPECTION SEC &C) r /-'-S CITY HALL FRIDLEY 55432 NUMBER REV 7 DATE PAGE OF APPROVED BY 612-571-3450 910-F15 2/23/95 JOB ADDRESS 7509 Tem o Terrace NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 4 MelodyManor 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Becky Strickland 7509 Tempo Terrace NE 786-6783 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 x❑ 8 DESCRIBE WORK Install egress window in basement 9 CHANGEOFUSEFROM TO STIPULATIONS Egress window to meet State Building Code. Provide smoke detectors adjacent to all sleeping areas. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 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 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 $600 $ .50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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. PLAN CHECK FEE TOTAL FEE $18.10 GNATURE OF WNT FACTOR (.Vi/AUTHORIZED AGENT IDATEI WHEN PROPS LY VA IDATED THIS IS YOUR PERMIT �.B G INSP ACE SIGNATURE Ot;,F.1NPNTER BUIL ERI IOATEI NJ NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ►) �;o Effective 1/1/95 Legal Description: L o f/ (p _OA Owner Name & Address: (? o / Tel. # 62 M-3 Contractor: Address: 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 OTHER: 1 A, Corner Lot [ ] Inside Lot [ j Ft. Yd Setback Type of Construction: Width Height Width Height Width Hgt/Ground Side Yard Setbacks Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ (1 [)( 7 Approx. Completion Date: _ j� aE (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ��b QZ:) APPLICANT: go ; Ck/& Tel. # 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 %) $.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 [ ] STIPULATIONS:��.;k 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 lets to tile; aniount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE. FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 - $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25;001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1.;000 or fraction thereof, to. and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional .$1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $63950 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 S13.50. 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 belbre proceeding with ttre framing. N SUBJECT PER ._._ City of Fridley - 1 AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO. i �• _ COMMUNITY DEVELOPMENT DIV ><. _. J PROTECTIVE INSPECTION SEC. /�--t CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 2/27/95 JOB ADDRESS 7509 Tempo Terrace NE LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED 1 LEGAL DESCR. 16 4 Melody Manor 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Becky Strickland 7509 Tempo Terrace NE 786-6783 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 O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Sheetrock basement room 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors adjacent to all sleeping areas. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 @@ $2,000 @ $1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $45.00 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $48.00 SI ATUREOFCONTR CTORORAUTHORIZED AGENT IDATEI WHEN VALIDATED THIS IS Y UR PERMIT or ``PROPER hoonz BlD iNSP DATE S, ` TU F OW F WNER BUILDERI IDATEI N NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: Effective 1/1/95 s-yy Tel. # 1,04 a :�2 MN LICENSE # Address: a `� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: b o -*,'� mozint r e )e/Y� Corner Lot [ ] Inside Lot [v] Ft. Yd Setback Side Yard Setbacks Type of Construction: I.JCOI S Estimated Cost:— Approx. Completion Date: -9S' (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel: # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �S, 6 o $ 12 1!9 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.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 [ ] BUILDING I'ERmrr 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 froth and in the manner herein provided to -wit: TOTAL VALUti Frl?S Sl to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for fust $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 $2501 to $50,000 $252 for first $25,000 plus $6.50 .for each additional $1;000 or fraction thereof, to. and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional .' .$1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $63950 for first -$100,000 plus -$3-50 for each additional $1,000 or fraction thereof, to and including 3500,000 $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 S13 -50 - Alternate 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 PERMIT NO. City of Fridley 2337 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 ; i NUMBER REV DATEP AGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/15/95 JOB ADDRESS 7509 Tempo Terrace NE 1 LEGALO. LOT N BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 4 Melody Manor 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Becky Strickland 7509 Tempo Terrace NE 786-6783 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Quality Contracting 11412 West River Rd, Champlin MN 55316 427-7733 7035 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 Reroof Dwelling (25 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 $1,375 $.69 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY ER STATE OR LOCAL LAW REGULATING CON- Fire SC $1.38 STRUCTION R THE P F MANCE OF NSTRUCTION $33.00 PLAN CHECK FEE TOTALFEE License SC $5.00 1 $40.07 SIGNATURE FCONTRACTORORAUTHORIZEDAGE IDATEI WHEN PROPERVALIDATED THIS IS YOUR PERMIT BLD INSP ��Q / 171 W< BATE S.GNATURE OF OWNEROF OWNER BUILDERI IDATEI NEW (( ADDN (( CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R -Z Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: 0 G.. Address: // Y12 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: r� lei s Effective 1/ 1/95 7 qS Tel. # 7 Fk e G7 73 MN LICENSE # 719 3 <�— ,,j �e kD_ Tel. # t%'7 -775S Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Width Hgt/ round Sq. Ft. Sq. Ft. Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 04�1" Estimated Approx. Completion Date: :5�— 1Z 4 4 9 5 -- (Cost on Back) Driveway Curb Cut Width Needed: Ft. + = Ft x = $ DATE: / i sAPPLICANT: Tel. # �{Z-7— 77 s� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ .33 0 (-� Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.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 [ ] $ � r BUILIANG PERMIT FEE: SCHEDULE I'hc (;hi;f Building, Official shall, before issuing permits for the erection of any building or structure, or fur 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 fccs to the; amount herein below set firth and in the manner herein provided to -wit' TOTAL VAf-tJ1: FECS $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 - $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $25;001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1;000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $450 for each additional .$1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $63950 for fust -$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 fust $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. 410 W. LAKE ST. MINNEAPOLIS, MN 5540:8-2998 612/824-2656 EATINGANDAIRCONDMONMGCO Saviva 7u rwm tides Since I93r ORSAT TEST RECORD 1072 PAYNE AVE. ST. PAUL; MN 55101-3802 612/772-2449 C.1— ADDRESS_ 7,: CITY�� OCCUPANT ! OWNER ,—`1 ;� A ✓,� —0— DATE HTG. INST. r INSTALLED BYE% .� GAS LINE BYE:;,; TYPE OF HEAT. GA _ FA_�,/ HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION � MAKE ' MAKE OF BURNER _ MODEL 7`��'( ` �`� : `1' c �� MODEL SERIAL�? - /,7 �/^ MAX. BTU RATING -' INPUT �'�x� �!� MAKE OF FURNACE \------ ___ CONTROLS MODEL THERMOSTAT HEA T—PLUG, VENT SIZE' �f VALVF r% KIND OF LINER SIZE NQNELr' LIMIT^,�`a--� DRAFT HOOD — REGULATOR — LIMIT SETTING CHIMNEY CONSTRUCTION FAN SETTING ZL DRAFT,,) TEST TAG PILOT TYPE C LIGH'T/iNG INST. PILOT MAKE PILOT MODEL PILOT TIMING PRESSURE , PERCENT CO2 ` DATE TESTED INPUT CFH PERCENT 02 / a; STACK TEMP. 0-7 0 PERCENT CO ��-� NAME OF TESTERS c s CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, ;<= 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 5,y JOB ADDRESS RATE SCHEDULE ' The undersigned hereby makes application for a per mrt for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares tlat'all the facts and Also Replacement Furnace $ 30.00 $ 101 610 representations stated in this application are true arid`oorrect. (Side Vent — Fill Out Back). ,199 Gas Piping (Needed with new furnace) $10.00 _ OWNER �_ a i _r� !� . k� T77- Gas Range $10.00 $ , BUILDING USED AS Gas Dryer $10.00 ESTIMATED COST COST .T'100 PERMI`TNO: *Air Conditioning — All Sizes $ 25.00 $ . , �Il QESCRIPTION OF FURNACE AND'ORB'URNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Wate arm Air Trade Name ,4 Size NO.' Commercial/Industrial BTU GG HP EDR 1.25% of Value of Appliance or Work $ Fuel o, Total Connected Load State Surcharge .50 Burner Trade Name Size No, BTU HP TOTAL FEE 9MMARD HEATING AND AIR CDNI OR NNG CO. 410 WEST LAKE St HEATING COMPANY �07NEAPOLIS, MN 554 3 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By �, Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final. Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE OR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE :LLQ HIMNEY 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 ( ) 5. 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 7. Has a liner been provided for water heater Yes () No ( } 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: J CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Bath Wash Drit?k Floor Catch Auto, Urinal1:Tub:.';]Shower [6.ntik Tray Fount .. Drain Basm .. Washer PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures A $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 JOB ADDRESS Effective On January 1, 1998 Gas Mist Water Heater Range 1=ixt Gas Elec The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner (®f r ('6 0-4 Building Used As Estimated Cost �iD©� PERMIT NO. PLUMBING COMPANY W l' ef, '1998 Reinspection Fee $42.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS /1 1.5% of Value of Fixture or Appliance �6 \( Approved By Rough—In Date Final Date I State Surcharge $ .50 MINIMUM FEEF R ANY PLUMBING GAS PERMIT IS $20.00 TOTAL FEE $ /�r �� PLUS THE $.50 bTATE SURCHARGE 17� 2a **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. 01, SUBJECT City of Fridley3 2 712' AT THE TOP OF THE TWINS BUILDING PERMIT t ` RECEIPT NO. L ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. � , 0 r I PROTECTIVE tf7fj[1r/ NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/19/02 JOB ADDRESS 7509 Tempo Terrace NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 16 4 Melody Manor 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken/Leah Spieler 7509 Tempo Terrace NE 763-785-6423 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove and replace bathroom sheetrock 9 CHANGEOFUSEFROM TO STIPULATIONS SEPARATE PERMITS ARE REOUIRED 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 1 HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 .5O 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- $23.50 Fire SC $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION .50 PLAN CHECK FEE TOTAL FEE 1.11 $ .50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN PROP VALIDATE HIS IS YOUR PERMIT B G INSP r)AtE S-GNATURE OF OWNEROF OWNER BUILDER) IDATEI 01, NEW (] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: LC!'t,Di 7emcLe.ir7�� Legal Description: Owner Name & Address: n Tel. # (��> 7t5 Contractor. MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Wdth Hgt(Ground Sq. Ft 1 010 Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: 1 APPLICANT: Tel. #�77) Call (763) 572-3604 for Permit Fees if mailing In application or Fax to 763-5714287 if using credit card and we will call you for card number. CITY USE ONLY - t C� Reverse Side �1 Permit Fee $ �.3. � Fee Schedule on R v J Fire Surcharge $ o .001 of Permit Valuation (1/10th%) State Surcharge $ S $.50/$1,000 Valuation SAC Charge $ $1200 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*Engineedng Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: BUR DING 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 ' 11 11 • ', 111 111 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,010 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Lttective Un Jan i, z uij4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** NO. RATE TOTAL JOB ADDRESS 75W '7&—k4,00 / ei Gas Dryer** - Back Flow Preventer Required ( )Yes () No Type Reinspection Fee $47.00/Hr 13 $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTALFEE 7, 60 The undersigned hereby makes application for a permit for the were /,A,(ai? specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 2N X,R- . /? , 20 0,s U Owner Building Used As Estimated Cost PERMIT NO. PLUMBING COMPANY, SIGNED BY�y��ZLU�` �f� ' TEL NO 63 %6S —6 4123 FAX # Approved By�L� Rough -In Date Final Date 50 5 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $ 020.&0 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When replacing an eYisting,furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The pY�ting nnmh ictinn air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When required to inctall a new nnmhtjsfnajjr,it will be sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When 1n0allann a now venting r-ystem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type 1 I03 Signed By: Date: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAN: ( 763) 571-1287 ADDRESS : 7509 TEMPO TER NE PIN : 113024120047 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 16 BLOCK 4 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT k O.: 2004-00679 DATE ISSUED: 06/08/2004 VALUATION : $ 500.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. REMOVING PORTIONS OF TWO WALLS. APPLICANT KEN & LEAH, SPIELER 7509 TEMPO TERRACE NE FRIDLEY, MN 55432 OWNER KEN & LEAH, SPIELER 7509 TEMPO TERRACE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law reguJig coftqtruction or the performance of construction. Bldg SEPARATE BUILDING PERMIT FEE PLAN CHECK FEE FIRE SURCHARGE STATE SURCHARGE, VALUE TOTAL PAID WITH CHECK # 4319 FOR WORK OTHER THAN DESCRIBED ABOVE. 23.50 15.28 0.50 0.50 39.78 NEW [ ] CITY OF FRIDLEY ADDIS! [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. t;_- Fee e 1c Tel. Gle. H'� I� ffective 4!1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax A(Icv - CC,�-'" MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 114lu 5b el (52 a —6yZ3 LIVINGAREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: kyr; �o Ui as D 04 o r✓— ez 02- Q2gLq Ltp ` ma -- Construction Type: Estimated Cost: $ D®' ®U Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: 1® ®7 APPLICANT: 9.�� f 1 Ce Tel. #('7E3) ?BMJ —6YZ3 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcha�ge Curb Cut Escrow Park Fee Sewer Main Charge TOTAL mm", f. i r Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] 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 $23.50 $501 to $2,000 $23.50 for'first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,00 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF, FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only r= - �5u f r p: s S R., u RL . . u Building Permit Fee BUILDING Permit NaOW® i 1 Inspections cici, I A 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY Date Rec'd+� � 763-502-4977 FAX EFFECTIVE 1-1-08 $5.00 (State Licensed Residential Contractors) DATE ?e r s� G / OCO��—O YOUR E-MAIL ADDRESS✓6AC4/ ACC C of . com­ SITE SS �S(% 9 Z��'h�0e THIS APPLICANT IS: ❑ OWNER MfONTRACTOR PROPERTY OWNER/ NAME: -J-0 'e Ja', TENANTADDRESS: Park Fee 5 Te✓h p er 4c Y) STAT�E�I'�ZIPJ Fee Determined by Engineering Sewer Main Charge OflC 1 PHONE: 0 � - l ® C6'14e+CT or PI"1°°r1v�S !d Agreement necessary ( ) Non Necessary ( ) Total Due NAME: v' ; G v► CONTRACTOR ADDRESS:tp�1-✓da.,dole Ae g A®l CITY�Lb�e/U� STAT#A ZIPrrY W SUBMIT A COPY OF PHONE 60 ' 7e) -b eA' FAX /��c IF) a2 f V YOUR STATE LICENSE STATE LICENSE # 1 EXP DATE PROPERTY TYPE XSINGLE FAMILY/NEW CONSTRUCTION SIZE /Ia' ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ,ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: !;-e4fO n OCYI, an &G Jt- 0/- 10 SIZE OF IMPROVEMENT 1JX/�" L GTH WIDTH % HEIGHT SQ FT S - ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: PROPOSED HEIGHT: ❑ DETACHED GARAGE �J , �r^ 3. List of structural members to be used. FOR NEW CONSTRUCTION INCLUDING DECKS, S ING Vinyl ❑Soffit i i� I� EDITIONS &PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures ❑Aluminum ❑_Trim and proposed project. ❑ Other ❑ Fascia , rj 2. Two sets of construction plans WINDOWS c 3. Energy Calculations IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USINGG THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 1010OQ-?-7Ci (A, a -'T OCCUPANCY TYPE Permit Fee $ aS See Back Page for Fee Schedule Plan Review $ cici, I A 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ -A, 9t7 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach 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 on site; thaa work will be in a rd ce w_ ith the approved plan in the case of all work which requires review and approval of plans. % SIGNATURE F CANT00 PRINT NA /4/I Z7` DATE / *� //eap • s a. _ sr. Page 2, - Building Residential Application 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 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for l' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1" $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1' $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1" $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I' $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1s1$1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Ej WUCO:TT 8000 6T a vp z 9 7;p z D VYY 9662- 269 W2 : 'ON XUJ I ONIININd AE]SWU6 : WOad Cf) Td tJU.O:TT 800E-. GT 96G2- 269 WE : "ON XUJ ONIINIdd A3SWUj : W06 --j Ibry A x c aQ t I E8 WU O : T T 600E 6T 'qaJ 9662- 269 OEM XUA ON I IN I Nd .',3SWUZ� : WON. From: 7635193932 Page: 1/2 Date: 7/9/2010 9:37:34 AM Building; PLU MING Permit 1+]o.;- Mspections REST D.ENTIA►,L.A,I'PLICATION Received By:, 763-572-3604 CITY OF �I1EY ' JUL 763-502-477 FAX DATE YOUR &MAIL ADDUSS SM ADDRESS '17 5ros-, AG U THIS APPUCANTIS: 0 OWNER CONTRACTOR OWmw TWAM 3mwrA COPY OF YOUR STATE IJC1iK84 BOND AND CERTinCATE OF INSURANCE FiRMITTYPE ,7&3 -,? Be) - i "4' STATE LICENSE # 6 5 8 iK t - STA' EXP DATE 42 -8i -lo STATE "D # EV DATE ADDRESS: . CITY, A(V"_STATE 411I%LW 7 PHONE -74b 7* v/ I-33125 FAX A3 .-IT14' -A 7-'ak TYPE OF WOR ; 113 NEW 0 TWO FAMILY 13 TOWNHOUSE �F AM ENT )DETAILED I;►.ES01;7NOF WORK - I� - ��� ,._ � a ��` c..• �sL�13,� FEES ARE BASSO ON $19.00 F13t FIX3T7RI ; EXCUT WHERE NOTED. ITJA S: (iNDICATg TOTAL MJMRFR OF EACH BELOW). $35.50, 1N404IM FEE _BATH SINMAV PLOM DRAINS SiIOWI It WATER PLPE+IC —BATHTUB ITiJB _ GAS PnIENG (ABED CITY L.IC) SWIMM1rrG Ft70L WATER SOFTNER _ CLC}TNF,4 WASHER ,KJTCHEN SIIVIG _ _ ($3i) WAFER, CLOSET _ bACKFiOW P1i£Y. (513) —l'ATER _DISHWASEMR _ LAUNDRY TRAY HEATER($35) FOR WJGA770N WATER METER oTr�x '�-i a fRSZ �? 14. DQ ..• 0• ?. pp n L 1�i9:i•:-aq• VIA.* M• +111.1 Ar li• _ r• r.+.•W. W Y ���q/y/��•w n� ,� �4 �'1Y�fOC �.T!t S•. b" •J! 1' rid '. ° i•.�l'-: :a{.•; -:=iio ;,.':: •L•",• •i: , .r,A•. ;'o:.w 1. .i. •7 1+ e'9 71}%. .1: w•f- TIII3IS AN ADPL NFt)T VALID UNTIL PROCSSSI;A I bereby apply far a plumbing permit and t acknowledge OW the information above is complete and accurate; tbat the work will be in conformance with the or ti mx= and codes of the City of Fridley and with the MixWesota Construction Codes; that I uoderstand this is not a permit but omly an application for a permit and work is not to start without a perinit on site; that the work will be in accordance with the approved plan in th 4f all ** 'ch a gWres review anti approval of plains. SIGNATURS OF APPLICANT- PRINT NAM [a w r � �« �+ tea„ DATE 4° OND City of Fridley Building hsp ections Department 6431 University Avenue ATE, Fridley, MT 55432 763-572-3604 FAX: 763-502-4977