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PRE 2010 DOCSCity ®f Fridley, Minn. BUILDING PERMIT Date: June 8, 1967 N9 9296 Builder Homedale Builders Address Address 5217 _.Wayzata Blvd LOCATION OF BUILDING No. 7512 _Street _ Tempo Terrace _ _ Part of Lot Lot ___ _9-7 ___ Block __._._. _ Addition or Sub.Division .._.__Melody Manor 4th Addn. Corner Lot — Inside Lot — X Setback 35' Sideyard — 10' Sewer Elevation ____ 875.34 878.34 Top of Footing DESCRIPTION OF BUILDING To be Used as: Awellin Front 47 Depth 28/24 Height 20 Sq. Ft. 1217 OL Ft Front Depth Leight Sq. Ft. _ _ Cu. Ft. Type of Construction Frame Est, Cost —A-18-2 000 _ To be Completed Sept. 1, 1967 SEWER LOCATION - 21' West of Manhole ' WATER LOCATION - 11' East of Manhole In consideration of the issuance to me of a permit to constru Iding described above, I agree to do the proposed work in accordance with the description above set rth ' ,in complia with all provisions of ordinances of the city of Fridley. y 1 In consideration of the payment of a fee of $ 35.00 , permit is hereby granted to Homedale Blders to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any Bart thereof, shall conform in all respects to the ordinances of Pridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the P� of said ordinances. CLARENCE BELISLE Building XnsPecr NOTICE: This perudt does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to as the Building inspector for separate permits for these item. I APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER 44 ADDRESS ADDRESS��� LOCATION OF BUILDING N0. ��J/ �' STREE PART OF LOT _ �LOT � BLOCK ADDITION OR SUBDIVISION � -� CORNER LOT INSIDE LOT SETBACK rJ� SIDE -YARD 115) S WER ELEVATION f 76- 3 TOP OF FOOTING % d Applicant attach to.ls form two certificates of survey of lot and proposed building locatio drawn,on these two certificates. ✓ DESCRIPTION OF BUILDING To be Used as: Front Depth Height �C�. Sq. Ft. 7 Cu. Ft. Type of Construction To Be Completed Front Depth Height Sq. Ft. -Cu. Ft. Estimated Cost G/ The undersigned hereby makes application fora permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley 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. DATZ2 E 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 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. i V'�3Z/'� (city ®f Fridley, Minn. 9 9743 BUILDING PERMIT Date: May 1, ,1968 Owner: Gary Cooper Bider Heilmer C s�nst,_C_cl, Address 7512 Tempo Terrace Address 8727 Able St. N. E. LOCATION OF BUILDING No. 7512 Street _ Tempo Terrace -- part of Lot Lot ___ 27 __ Block 3 Addition or Sub -Division — Melody Manor 4th Corner Lot --- Inside Lot --x x Sewer Elevation Setback _ Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 20'6" Depth 25' Height 10' Sq. Ft 512.5 Cu. F, 5125 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction game Est, Cost A..1, 7 00. 0 -- 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 comp ce th all provisions of ordinancwa of the city of Fridley. e In consideration of the payment of a fee of $ 8.00 , permit is hereby granted to Heilmer Const. Co. 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, Minnesota regar" 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 Bdlisle NOTICE: This permit doe: not cover the construction, installation for whing, plumbing, gas heating, sower or water. Be erre to see the Building inspector for separate permits for these hems, APPLICATION FOR BU71DING PERMIT CITY OF FRIDLEY, mn-=SOTA t)WRIV6 NAM BUTLDEi-244_ ADDRESS .ADbRESS,. IfiVATIO9 dt. BUX�P100 NO.- STREET LOT- % BLOCK 2 ADDITION OR SUBDIVISION;? VInz qOlgiER ,LOT SETXJDEYARDL�� SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building; kocation, drqvM -pgi these -Certi",cates. 41G. D1;SjCAIPT;.E.0N. OF B.MLDII To Be Usqd As 0 111A� Front ---Yepth Height Square feet,.- Cubic Feet Front Depth Height Square feet 'Cubic Feet 16 Type of Construction 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 411 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 `j 5z/v �j w BUZ-O'INa-PEMT FEE SCHEDULE SECTION 2. The Inspect6t of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or building, or for any alteration or repairs to any existing building or structure, upon application therefore, require the the payment by the applicant for such permit of fees to the amount herein below set forth and iii= tfie manner herin 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 6� 5- $1.50 for each one thousand cubic. feet. For the purpose cif cnmpu ing fees* for' bu,ilhug permits, the cubical contents of any building or addition to a uniform height throughout by multiplying thg ground area covered from a.pAnt six (6)•inches-below the floor line of the basement or the cellar to the average height of the,upper surface or to the 'average' height "ok the. roof surface *'of the main gable of a pitched roof. For repairs or alterations to an existing'structure, the fee s.hall.be at the - rate of $3.00•por"each five hundred -dollars ($500.00) or fraction thereof ...1n_the cost of all proposed work. . .. moi. .... .. . .. In no .case shall the fee.* 'charged for. any Vermit as., set -forth"I --Sehtion 2 be less than $5.00. NSSSD Connection Charges based on location- Area 1 or 2. 'J 41� .t''.: , r 0 s? a connecUou ®peI ....,•••®.:a.,® W"" Now Fi , Old Sewer Cesspool El PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures S Future Fixture Opening x $1.50 $ 7j� ;f x $1.50 $ Catch Basin .. �S C7 x $3.00 $ fid. x $3,25 $ Electric Water Heater I N WATER HTR. GAS ELEG Base x $ .75 $ Gas Range to 199,000 BTU. ............ x $5.00 $ install (1.) gar %rill 3.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................. .............$ TOTAL FEE a 5•oo lot 2nd 3rd 4th s? a connecUou ®peI ....,•••®.:a.,® W"" Now Fi , Old Sewer Cesspool El PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 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 BTU) x $3.00 $ New Ground Run Old Bldg. x $3,25 $ Electric Water Heater s $2.00 $. GAS FITTING FEES: NO. RATE TOTAL. 1st 3 Fixtures .. .. ........ 1 x $2.00 $_ 2.00 Additional Fixtures ..... .............. x $ .75 $ Gas Range to 199,000 BTU. ............ x $5.00 $ install (1.) gar %rill 3.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................. .............$ TOTAL FEE a 5•oo 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 June17. 19$0 19 Owner Kind of Building frame Used as —residence To be completed about _ Jnnp290 1970 Estimated Cost, $ 10 .00 Oldr-New. Building Permit No.— . _ --Permit No. Signed -.–,% By__ Bu eSS PhUn ROUGH FINAL' / b HOUSE HEATING TEST RECORD ADDRESS���� 2� ���A� APT. F OOR CJ 1f UBURB NT OWNER HEAT LOSS DATE HTG. INST. GAS CO. METER BADGE SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA ! `-1 STEAM SPACE HTR. UNIT HTR. OTHER GAS SIGN ��f>�°®��- CONVERSION MAKE MAKE OF BURNER Model Model Serial s4 - �Z Max. BTU Rating INPUT jc MAKE OF FURNACE Model CONTROLS 69 THERMOSTAT z/�Heat Plug Vent Size Valve KIND OF LIN ZE. NONE Limit Draft Hood Regularor Limit Setting Filters Size Number Fan Setting Chimney Location Inside �� Outside Pilot Type R Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing r Draft a X— Test Tag L.W. Cut Off Door Pressure ®�e/n6� ' Lighting Inst. Pressure�a, Date Tested Input CFH ,Pfe`ii�i' Company Testing Stack Temp. Percent CO Name of Tester Form 235 SUBJECT PERMIT NO. City of Fridley - AT THE TOP OF THE TWINS BUILDING PERMIT ®� RECEIPT N0. COMMUNITY DEVELOPMENT DIV. .� r PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By ' 612-571-3450 910-F15 5/13/94 JOB ADDRESS 7512 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27 3 MelodyManor 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Lawrence 7512 Tempo Terrace NE 785-0372 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. New Convenant Construction 5655 Otterview Tr, White Bear Lake 55110653-8291 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 jp ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (29 Sq) 2nd Layer; Replace windows 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not the 3rd. Replacement bedroom windows must comply with State egress code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN BO 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 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 $3.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,000 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER TATE ORLOC L LAW REGULATING CON- $90.00 Fire SC $7.00. STR ION OR THE PE F M NCE OF O TRUCTION. PLAN CHECK FEE TOTAL FEE C' License SC $5.00 $105.50 SIGNATURE OF CONT CTORORAUTH RI DAGENT (DATEI ENY Y4LIDATED THIS IS YOUR PERMIT BLDG INS DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW ( ( Effective 1/ 1 /94 ADDN (] CITY OF FRIDLEY — ALTER SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: 7 1 4� Legal Description: Owner Name & Address: C i Tel. # 7 9J� . c� .� 7 Z_ Contractor: c.cflr7MN LICENSE # Address: _5 -6s -,S- v Z 7�4 ✓' « :. -t-t- T977 "v;'z- vL� Tel. # !,5 -.3 -8' 9 / 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: 1? t= v f - Nov slv r 6r1 A -4G l- 2- 2- L Z-AtL-J fl - l-/LI /L IIn Ll G(= a,v(ii- i7acfi Comer Lot j ] Inside Lot j ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 00 Estimated Cost: $ 7 c) d � ` Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: b - /' y - 9 APPLICANT: Tel. # (' s 3 ' Fs `�/ CITY USE ONLY Permit Fee $ �� : &76� Fee Schedule on Reverse Side Fire Surcharge $ , L' .001 of Permit Valuation (1 / 10th %) State Surcharge $ 3 $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ /0 C_�S_D 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 $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 fust $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 additiona_ I $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 fiaction thereof, to and including $100,000 i - $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. SUBJECT P City of Fridley (268377) AT THE TOP OF THE TWINS BUILDING PERMIT NO. I VV ......COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. /�o�. 419 r e NUMBER REV DATE PAGE OF APPROVED BY i HALL FRIDLEY 55432 � CITY I"" �j 612-571-3450 910-F15 7/23/98 JOB ADDRESS 7512 Tem o Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27 3 1 Melody Manor 4th Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Lawrence 785-0372 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lake State Remodelers, Inc. 6000 Bass Lk. Rd. #111 Crystal 55428 533-1544 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20047291 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION ® REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof (23 Sq) 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 $1,918 $.96 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $62.25 Fire SC $1.92 PLAN CHECK FEE TOTA F E Lice C 5. 7 .13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N P P BLDG NSP AL AT IS IS Y PE DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective l/l/97 ADDN j ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 54z / d 79 6 raCf Legal Description: Owner Name & Ad ress: a'Xza�l�r_z_Tel. # Contractor:: �/J C. MN LICENSE Address: UiOco - Tel. # '5a6 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: , Construction Type. keac c tJ Estimated Cost: $ 7 4 911y (Fee Schedule on Back) Driveway Curb Cut Width Needed FL' 6 Ft Ff x' $ $ DATE: 1-1o� At APPLICANT: Tel. STWU1,ATIONS: CITY USE ONLY Permit Fee $ (g �, �, Fee Schedule on Reverse Side Fire Surcharge $ /, .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ , CMZ) $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ •$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary j ] Not Necessary j ] V TOTAL $ e STWU1,ATIONS: (WILDING VEIZrNUT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6-25 for each additional $1,000 or. fraction thereof, to and including$100,000 $100,001 to $500,000 $887.25 for fust $100,000 plus $5.00 for each additionl $1,000 or fraction thereof,.to and including $500,000 $500,06f 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 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 i'errnits for construction will be issued a minimum of 24 hours from the time of application to allow for prop-er- review of the proposed structure and of the construction site. A, C'crtificate of Survey Of the lot, showing the location of the foundation once it has it has bccn construc!t:<{ F,,. required hcliOrc pro,,--cedim, with the I- Il11115?. CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/industrial 1.251y, of Value of Appliance or Work Rate TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. •', ePi►IL Effective On May 10, 1999 BUILDING USED AS. . 7hu'--2 ESTIMATED COST PERMIT NO. �R n/ DESCRIPTIO14 OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name0nn,"w '%g,ne Size No. ZUC/,�5 BTU�HP EDR $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. AM FIRESME dba fireside Center HEATING CO '' ticem # 2WMI1 Signed ftse• MN 55113 DATE .�' Approved B Rough -In Date Final Date I pp Y g Remarks: List ALTERATIONS Being Done: Ydv HEATING CO: Signed By: Date: CHEMNEY 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 O No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported . Yes O 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 ( ) S. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: Ydv HEATING CO: Signed By: Date: