PRE 2010 DOCSCity of Fridley, Win. N® 9 319
BUILDING PERMIT
Date: June 16, 1967
Owner: Builder HOMEDALE BUILDERS
Address Ades 5217 -Wayzata Blvd.
LOCATION OF BUILDING
No. 7513 Street_ Tempo Terrace part of Lot
Lot 15 _ Block 4 Addition or Sub -Division MelodY–Manor 4th
Corner Lot _ Inside Lot — x Setback 35' _ _ Sideyard __ 10'
Sewer Elevation ___ _ 878-03 _ 881 03
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwel l ing Front 46' _ Depth 24128 Height Z�L....._. Sq. Ft. 11-52 Cu. Ft 9-1,0
— Front Depth Height _ _ Sq. Ft. Cu. Ft
Type of Construction Frame Est. Cost _ $18000 To be Completed Aug. 15: 1967
SEWER LOCATION - 6' East of West Manhole
WATER LOCATION - 10' 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 set orth and in compliance with ail ons of
ordinances of the city of Fridley. 19 z) ,
In consideration of the payment of a fee of $___24. 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 asci his agents, employees and workmen, in all work.
done in, around and upon said building, or any 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 thus permit may be revoked at any time upon violation of aay of the provisions of said
ordinances.
CLARENCE BELISLE
NOTICE:
This penit does not cover the construction, Installation for wiring, plan"g, an heating, sewer or water. Be son to sea
the Building hupector for separate permhs for these home.
C, 4
APPLICATION FOR BUILDING PERMIT
OF FRIDLEY9. MINNESOTA
OWNER'S NAME BUILDER 6t,,r�
ADDRESS ADDRESS
LOCATION OF BUILDING
NO. STREET %.
PART OF. LOT
LOT__ZABLOCK j ADD TION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE -YARD
SE ELEVATION 71-
-3 FOUNDATION ELEVATION
NX
Applicant attach to t'vis form TwoL;etificAtes of 'Survey of Lot and proposed
building location d awn on( -these Certificates.
DESCRIPTION OF BUILDING
F �V
To be used as:
Front Yj( DepthHeight
0 .2 �L- ;--1
Sq. Ft,_
Cu. Ft..
Front Depth Height
Sq. Ft. Cu** Ft.
Type of Construction 0_Estimated Cost.
To be completed
_ I!! ��/ Z
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 repre's'entations stated in.this application
are true and correct.
DATE-- SIGNATURE
(ScheduleofFee Costs can be found on the Reverse Side)
w
a "
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 structures or for any alterations or repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant for such permit of fees -to the amount herein below set forth and in
the manner herein provided to -wit:
2_.1. For any such permit for the erection of any fire -proof -building,
other than a garage, warehouse, factory or grain elevator, or for the erection
of any fire -proof 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 19fireproof"
by Section 502 of the Minneapolis Building Code.
HOUSES
2.3. For any such permit for .the erection of any uon•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 (b) 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 FEES:
Residential:
Commercial;
Estimated Cost of work up to $500.00 - X5.00
Estimated Cost of work over
Estimate " ^-ost of work tl. +: _• . ; .') .n, Y" " 0
Estimate ,ost of wozk oJar yJOO.OU
Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-33450
GRAVITY WARM AIR: RATE TOTAL Location
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 $
NECK. 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
$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$
ROUGH
FINAL
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.
a
y/% Fridley, Minn
Owner
B _
Kind of Building
Used as—,t ! f 4 -112' 1x Il i
To be completed about / yrs/�z
1452=
Estimated Cost, $ ��1
Old ew building Permit No. ` Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water,arm —No
Trade Name—''' Size No- %
Capacity Sq. Ft. E D.R ��BTU H.P.
Total Connected Load—�
- - Kind of Fuel
BURNER — Trade Name_ _ /� �' Size No
Capacity Sq. Ft. E.D.R ��BTU H.P.
(REMARKS -OVER)
S eY N. WELTER HEATING CO.
igneci 3
By rMi N FAPOLIM 7. MINNNNI®®T
<z Business Phone No-
=atee- e
HOUSE HEATING TEST RECORD
ADDRESS ® '° APT. F OR CIMY URR
-09:29&
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. GAS CO. METER BADG
SOLD BY INSTALLED BY ot3
Electrical Work By Gas Line By All L.0e
TYPE OF HEAT GA - FA W STEAM SPACE HTR. UNIT HTR. OTHER
GA ESI CONVERSION
MAKE MAKE OF BURNER
Model Model
Serial •S`5" �6 '-:Z.2 Max. BTU Rating
INPUT MAKE OF FURNACE
Model
�
+ CONTROLS
THERMOSTAT / aeZ^eat Plug
Valve � d `
Limit et'A��
Limit Setting AffA'e
Fan Setting " a '—Ze-s—
Pilot Type
Pilot Make
Pilot Model
'0010 -
Pilot Timing 6U.4
a-9
Vent Size
KIND OF LINER E 4 NONE
Draft Hood 4;9ZRegularor
F1 Iters Size " Nu�mber
Chimney Location Inside •�� Outside
Chimney Construction
Smoke Bomb Wiring & 14
Draft Test Tog—
L.W.
og L.W. Cut Off Doo Pressure— Lighting Inst.
PressurePercent CO ate Tested
Input CFH gee Pe.9eri?t ® .Ampany Testing 9
Stack Temp. .e percent CO eA Name of Tester
Form 235
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone 560-3450 8 7 Q° 0 7
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location 75 3 Tempo Tarr
M I N vxf } Z RC Qz uz! o "yS', ul J u1 (�`1 u1 Z • •
I00
UU33
— x $1.50
�
vZ�
Z
a
C p
— x $3.00
J oz
~`
R<
a3
a d
(7 °d
6 Z
c�cS
a d
Uo
F
N
WATER F+r2.
GAS
ELEG
Base
1st
C o
11
2nd
3rd
4th
• Future Connection Openings I Connected with
New Fixture, Old Openings
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- 18 oat 67 , 19_
Owner Ho me d a l e B l n s
Kind of Building
Sewer
M Used as
Ce
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:
— x $2.00
$
— x $1.50
$
— x $1.50
$
— x $3.25
$
— x $3.00
$
— x $3.25
$
— x $2.00
$
NO. RATE TOTAL
1st 3 Fixtures .......................... x $2.00 $
Additional Fixtures .................... x $ .75 $
Gas Range to 199,000 BTU .............. l x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
To be completed about
Estimated Cost,
441
res
CMIC--New. Building Permit No Permit'
Signer
i
By
Business Phone No
ROUGH
FINAL
Description .......... . . . .................TOTAL FEE $_
KE $
5 42
City of Fridley, Minn.
BUR DING PERMIT
Date: .lune 23, 1969
Owner: Charles Reid
Builder
Address 7513 Tempo Terrace Address
#�7133
Statewide Garage Blders.
4221 Excelsior Bld.
No 10302
LOCATION OF BUILDING
No. 7513 Sit Tempo Terrace part of Lot
Lot 15 Block 4 Addition or Sub -Division Melody Mayor 4th Addn.
Corner Lot _ Inside Lot Setback — __ _ Sideyard
Sewer Elevation ____ __._ — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Qarage Front 20' Depth 22' height 101 Sq. Ft. 440 Cu. Ft 4400
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction _ Frame Est. Cost __.. $2,200.00 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 fo and in compliance with all provisions of
ordinances of the city of Fridley. g
In consideration of the payment of a fee of $-1=0 , permit is hereby granted to Statewide
Garage 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 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. t
Clarence Belisle
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, on heating, sewer or water. Be sire to we
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME -�e� BUILDER,%it& 'tib4'
ADDRESS ADDRESS
LOCATION OF BUILDING
N0. 7 5-/a STREET
V
LOT / ,® BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDEYARD % C�
SEWER ELEVATION TOP OF FOOTING
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:_ -`V11 �i'G� 1
--Front G Depth Height
w
Square feet 4-1 q V Cubic Feet 4/0 0
Front Depth Height
Square feet Cubic Feet
Type of Construction�. � _ Estimated Cost �?
�.
To Be Completed
� V ._T.
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 L� � �SIGNATURE ?Zverse
.(Schedule of Fee Costs can be found on Side.)
BUILDING PERMIT*FEE SCHEDULE
SECTION2. -The Inspector 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
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
multiplying the ground area covered from a point 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 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.
CITY OF FRIDLEY
Effective Date May 1. 1988
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
QESIDMiTIAL `
RATE
TOTAL
/�
Job Address / 1-9 lelh
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $
20.00
$D G�
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Gas Piping $
10.00
$ OD:
Tel. #571-3450
(piping needed with new furnace)
Gas Range $
10.00
$
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
Gas Dryer $
10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
• Air Conditioning (all sizes) $
10.00
$
Fridley, Minn. , 19_
�e
All Others/Repairs and Alterations
OWNER
18 of Value of Appliance or Work
$
'✓��® �ho3�
KIND OF BUILDING
COMMERCIAL/INDUSTRIAL
USED AS sod✓ O� / �°��=���
1% of Value of Appliance or Work
$
TO BE COMPLETED ABOUT
o/
�
ESTIMATED COST ® ®�
State Surcharge
$ .50
/
OLD PERMIT NO. PERMIT NO.
- NEW BUILDING
TOTAL FEE—
keinspection Fee ($15.00)
$
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
Date
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. %
Final Insp.
Trade NameI Size No.
Date
Capacity � �® V Sq. Ft. EDR BTU 7so.00 HP
Approval for Permit
>T
Total Connected Load Kind of Fuel /'!e--
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP /
MINIMUM /FEE FOR ANY HEATING PERMIT IS $15.00, Company
PLUS $.50 STATE SURCHARGE
Signed By _ � • /�-�
Tel. No.
*Air Conditioners can not be placed in side yard without
written permission frau adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
CHIM14EY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
I.
!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
connected
Yes
( No ( )
6.
Has Total heating BTU's of X00
All other BTU's
TOTAL
Remarks
Companyy�-� �-
l/
Signed By��
Date
SUBJECT
MIT-N0
City of Fridley
219 9
AT THE TOP OF THE TWINS
B U I L ®I PERMIT
i �
�J
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
))
C16
r I ,
NUMBER
REV.
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/22/93
JOB ADDRESS 7513 Tempo Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
15
4
Melody Manor 4th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Chuck Heid 7513 Tempo Terrace NE 7846842
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Quality #1 Plumbing & Remodeling 11033 Terrace Rd NE, Blaine 755-5198 7640
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 201 x 181 Addition
9 CHANGE OF USE FROM TO
STIPULATIONS See notations. on plan.
WARNING
0,1011 digging can 11w
all "fility 1matim
RvyUi,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
$23,000 $11.50
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-
$234.00 Fire SSC $2.3.00
STRUCTION FSE PERFORMA CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
,Q 7 .9,3
License SC $5,00 $273.50
` SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WH OPE Y VALIDATED THIS IS YOUR
/ryPERMIT
BLDG ,NSP DATE
SiGNATUREOFOWNERIIFOWNERSUILDERI (DATEI
NEW [) Effective 5/26/93
ADDN ALTER [] SINGLE FAMILCY RAND DUPLEXES R-1 AND R-2 0;3460
Building Permit Application
Construction Address: 75-/3 TGA Po Ts /z,?.
Legal Description: % 1,!3 L L !z AIL�6'13 C'1L
Owner Name & Address: CA oc, he i ® 7 s/ 3 T e g! o Tarn. Tel. # 7,Fti . Cad qw
Contractor: Q v L i� , 1 �) �, �� �rti d ca a �� MN LICENSE #__ Z6 e-10
Address:
Z033 T e4moc - Ao "`_ Tel. # 715 S / 9 F-
�--
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF 11"ROVEMENT
LIVING AREA: Length
Width /,r—
Height �_
Sq. Ft. -3.90
GARAGE AREA: Length
Width
Height
Sq. Ft.
DECK AREA: Length
Width
Hgt/Grvund
Sq. Ft.
Coiner Lot [ l Inside Lot )d Ft. Yd Setback Side Yard S
Type of Construction: -5'1,-5)e Oee s L Estimated Cost: $ ,
Approx. Completion Date: 9- `- 93
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $.
DATE: 7-20 - S3 APPLICANT:
-&eA^✓ Ci e- ea,u e- Tel. #
Permit Fee
$ b 0
CM USE QN"
Fee Schedule on Reverse Side
Fire Surcharge
$ s 0 0
.001 of Permit Valuation (1/10th ',)
State Surcharge
$ 11.6-6
$.50/$1,000 Valuation
SAC Charge
$
$750 per SAC Unit
License Surcharge
$ 00
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. *Be Above
Erosion Control
$
Conservation Plan Review $450.00
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ j Not Necessary [ j
TOTAL $? STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure,
or for any addition to any existing building or structure, or for any alteration or repair to any existing
building or structure, upon application therefore, require the payment by the applicant for such permit
of fees to the amount herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $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 fust $2,000 plus $9 for each additional $1,000
or fraction thereof, to and including $25,000
$25;001 to $509000 $252 for first $25,000 plus $6.50 for each additional $11,000
or fraction thereof, to and including $50,000 -
$50,001 to $100,00} $414.50 for first $50,000 plus $4.50 for each additional
.$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $639.50 for first $100,000 plus $3.50 .for each additional
$1,000 or fraction thereof, to and including -$500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
$13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide.
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow
for proper review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been
constructed will be required before proceeding with the framing.
PREPARED ROOFING
SHINGLES PRODUCT DATA
COLORS
SPECIFICATIONS
Black x
Class A Asphalt Shingle
Bundles Shingles
UL 790 Class A Fire Resistance
Nickel Gray
Size Exposure Per Square Per Square
25 Yr. Ltd. Warranty
Black
12" S" 3 80
Custom SealdonTM
5 Yrs. SureStartTM Protection
Gray Frost
x
Class C Asphalt Shingle
Nickel Gray
36"
UL 790 Class C Fire Resistance
Oakwood
UL 997 Wind Resistance
Star White
ASPM E108 Class C Fire Resistance
Timber Blend
Mint Frost
ASTM D225 Type I (Heavy Duty)
Weathered Wood
ASTM D 1922 (Outstanding Tear
ASTM D3161 (Self Sealing)
ASTM D1922 (Outstanding Tear
Oakwood
Resistance)
220 lbs per square
Sandalwood
250 lbs per square
■ �"" 25 Yr. Ltd. Warranty
Autumn Brown 12" 5" 3 80
Cert inTeed �.1�2.s 5 Yrs. SureStart' Protection
Black x
Class A Asphalt Shingle
Gray Frost 36"
UL 790 Class A Fire Resistance
Nickel Gray
UL 997 Wind Resistance
Oakwood
ASTM E108 Class A Fire Resistance
Sandalwood
ASTM D3161 (Self Sealing)
Star White
ASTM D3462 (High Tear
Timber Blend
Resistance)
Weathered Wood
235 lbs per square
o 25 Yr. Ltd. Warranty
Black 11/2" 3'h" 4 128
5 Yrs. SureStartTM Protection
Master Slab
Gray Frost x
Class C Asphalt Shingle
Mint Frost 32"
UL 790 Class C Fire Resistance
Oakwood
ASTM E108 Class C Fire Resistance
Star White
ASTM D225 Type I (Heavy Duty)
Timber Blend
ASTM D1922 (Outstanding Tear
UL 997 Wind Resistance
Resistance)
280 lbs per square
ASTM E108 Class C Fire Resistance
Sealdono 20
20 Yr. Ltd. Warranty
3 Yrs. SureStartTM Protection
Autumn Brown
Black
12" 5" 3 80
x
Class C Asphalt Shingle
Cinnamon Frost
36"
UL 790 Class C Fire Resistance
Coral Frost
UL 997 Wind Resistance
Evergreen
ASTM E108 Class C Fire Resistance
Gray Frost
ASTM D225 Type III
Maple Red
ASTM D3161 (Self Sealing)
Mint Frost
ASTM D 1922 (Outstanding Tear
Nickel Gray
Resistance)
Oakwood
220 lbs per square
Sandalwood
Star Wbite
Timber Blend
Weathered Wood
20 Yr. Ltd. Warranty
Black
2013/16" 14" 3 99
Safflokm
3 Yrs. SureStartTM Protection
Coral Frost
x
Class C Asphalt Shingle
Evergreen
21'h"
UL 790 Class C Fire Resistance
Gray Frost
UL 997 Wind Resistance
Mint Frost
ASTM E 108 Class C Fire Resistance
Oakwood
ASPM D225 Type III
Star White
ASTM D3161 (Lock -Type)
Timber Blend
ASTM D1922 (Outstanding Tear
Weathered Wood
Resistance)
240 lbs per square
CITY OF FRIDLEY INSPECTION DIV,
6431 University Ave NE
Fridley, MN 55432
572-3604
.Jab
Effective On January 1, 1993
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
Furnace Shelf and Duct Work, Burner —
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
Ail Others/Repairs.& Alterations (LIST ON BACK)
I% of Value of Appliance or Work
Commercial/industrial
I% of Value of Appliance or Work
JOB ADDRESS 7513 Tempo Terrace
The undersigned hereby makes application for a permit for the work herein
Rate TOTAL 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
$ 20.00 $ representations stated in this application are true and correct.
08/19/93 ,1993
$10.00 $
OWNER Chuck & Linda Heid
$ 10.00 $
BUILDING USED AS Residence
$ 10.00 $
ESTIMATED COST $525.00. PERMIT N0.
$10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
$ Fuel Total Connected Load
State Surcharge $ .50
TOTAL FEE $1-6,
MINIMUM FEE FOR ANY HEATING/COOLINGIVENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed In a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP EDR
DEPENDAM INDOOR AIR QUALITY. INC
HEATING COMPANY_ 2619 COON RAPIDS BOULEVARD
COON RAPIDS. h1w 5,5453
Signed By Tel No._ ��
Thomas L. Chouinard, Jr.
Approved By Rough—In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
I
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
I.
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
Remarks
List Alterations Bein4 Done:
Installing three new supplies and two returns from existing furnace and duct work.
2619 COON RAPIDS E30U1 F-VARD
HEATING COMPANY CAnN R pltj n�54'��
Signed By,
Date ,7
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On January 1, 1993
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
ae
�•t.`tO::.lt�>::::>::
PLUMBING FIXTURE RATES: NO,
. . ..Urinal
New Fixtures
Shower wer
�a 4.
Floor
rainWasher
Beer Dispenser
Auto.
Blow Off Basin
Gass
Range
eater
S
Gas Elec
Basement
m nt
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater —Electric
$ 7.00
Water Heater — Gas
$10.00
Gas Range
$10.00
Floor 1
$10.00
Back Flow Preventer Required ( )Yes () No
Type
•$5.00
Floor 2xx
Floor 3
00
FI r 4
PLUMBING FIXTURE RATES: NO,
RATE TOTAL
New Fixtures
$ 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
•$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
50
JOB ADDRESS_ Z�13 Te,,-; o 2—CA d .
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.
— -0 '1993
Owner
Building Used As
Estimated Cost PERMIT NO.
PLUMBING COMPANY_ (X�aL��y #/ ®/v,�,�✓•-� /2�.� ��e�� S
J��7T J
SIGNED BY
Approved Rough—In Date
TEL N0. %,T J-1 Y J --
Final Date
GAS PERMIT IS $15.00``
142
SUBJECT
PER
City of Fridley
29913
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RTIZ-
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
PROTECTIVE
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L J` 612-571-3450
910-Fl5
7/21/99
JOB ADDRESS
7513 Te o Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15
4
iMelodyManor
4th SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Charles Heid
784-6842
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Ea leview Const. Inc. 2937 174th Lane NK
Andoy er S753-5469 20067043
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 XX REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house and garage C29 S 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
2535
$1.27
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
$83.25 0
Pipe SC $2.54
PLAN CHECK FEE
T AL FEE
7
Lice 5
92.06
NaiURE FCONTRACTOR ORAUTHORIZED AGENT iD E,
EN FIF Y VA ED THIS IS 1 UR�1T
S,GNATUREOF OWNER0f. OWNER SURDERi iDATEi
P5G -NSP QAfE
142
NEW1 l ` Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �\
Construction Address: -%�l3 /�m� t) %
Legal Description:
Owner Name & Address: Naxles 0 Tel. #
Contractor: &� O'LCA-'r 4rra. MN LICENSE # �_ O C&?O S<3
Address: ' 3 % % of�=' Lg Tel. # -75 3--S"Y�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: /.&0 .e Estimated Cost: $ 2 � S
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
APPLICANT• Tel. #
CITY USE ONLY
$S Fee Schedule on Reverse Side
Sewer Main Charge $
TOTAL
STIPULATIONS:
s d o(1---1
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 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
$500,001 to $1,000,000
$1,000,001 and up
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 $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$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)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
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 $23.25.
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.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES:
NO. RATE
New Fixtures
$ 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
TOTAL JOB ADDRESS �� ��-. �> �e <1
The undersigned hereby makes application for a permit for the work herein
specified agreeing b do all work in strict accordance with the city codes
and rulings of the Auilding Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Back Flow Preventer RequiredX)Yes ( ) No
Type W/L */,vs CUs -fir) $15.00 I�"00
lWo deL 7ao,4
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $ • 4b..
Owner t
Building Used Ash
Estimated Cost PERMIT NO. c�
PLUMBING COMPANY
SIGNED
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "'COMMON VENT -INFO ON BACK SIDE
,20eO
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing 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 manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it wiil be sized and installed
To meet the current codes and manufacturer's specifications. Yes( ) No( )
When installing a new ventina system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
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 Type and Size/Common Vent and Vent Connector Information
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
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :
09/18/2005 11:58 7637856954 QUARVE CONTR.! N �/(,p PAGE 02
NEW 1 ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 64$1 University Ave NE, Fridley, MN 55432 (763) 572.3604 Bldg Insp
ALTER [) SING1l E FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
1-17 _ r
Construction Address:
Legal Description: .
Owner Name & Address:
Contractor: ' QUARVE CONTRAC CINE INC
Address: 8427 CENTER DRIVE NE
SpFiNG LAKE PARK NiN 55432
J0,3 Yl DO ' Tei. #- &
MN LICENSE # 14-1; '
Tel. # �trC �`t
r
rtificate of Survey of the
_.. _.,kion 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:
curiSl i uvti0l iI' jrc;: - I� , . 'UJC((A4 Estimated Cost:
Driveway Curti Cut Width Needed: Ft. + 6 Ft = Ft x $ =$
DATE: �-I�� APPLICANT: Tel. #
Call (763) 572-3604 for Permit Fees if mailln n application. Fax to 763-571-1287 If using credit card and we will call
you for card number,
CITY USE ONLY -
9
Permit Fee
$ ® �i�^
Fee Schedule on Reverse Side
Plan Review
$ :
65% of Pem►it Fee
Fire Surcharge
$ .;� '�
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$ ®20
$1350 per SAC Unit
License Surcharge
$ 5-.00
$5.00 (State Licensed Residential Contractors)
Curb Cut Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park I-vo
$
f=ee Determined by Engineering
Sewer Pv9awn CslllaiLiW
4,
Agreen-gent Necessary (] Not Necessary
TOTAL
° �5,--
STIPULATIONS:
CITY OF FRIDLEY
7071UNIVERSITY AVENUE NE
FRIDLEY, MN55432-
//
ISSUED:05252010
(763)572-3604FAX: (763)502-4977
Permit #2010-00770
7513 TEMPO TER NE
ADDRESS:
PIN:113024120046
LEGAL DESC:MELODY MANOR 4TH ADD
:LOT 15 BLOCK 4
PERMIT TYPE:BUILDING
PROPERTY TYPE:RESIDENTIAL
CONSTRUCTION TYPE:WINDOWS/DOORS
VALUATION:$2,400.00
NOTE: CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM, MONDAY
THROUGH FRIDAY AND BETWEEN THE HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON SUNDAYS
OR ANY LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED.
FLASHING PER R 703.8, 2006 I.R.C.
COMBUSTION AIR PER CHAPTER 1322, SEC. N1102.6 (SEE EXCEPTIONS)
SMOKE DETECTORS PER R 313.21, 2006 I.R.C.
CARBON MONOXIDE DETECTORS PER STATE STATUE 229F.50
REPLACE 4 WINDOWS W/NEW INSERTS.
BUILDING PERMIT FEE83.25
APPLICANT
FIRE SURCHARGE2.40
QUARVE CONTRACTING INC
STATE SURCHARGE, BLDG VALUE1.20
8427 CENTER DR NE
LICENSE SURCHARGE5.00
SPRING LAKE PARK, MN 55432
TOTAL 91.85
(763) 785-1472
Payment(s)
Minnesota State License #: 6016
CHECK940491.85
OWNER
HEID CHARLES G & LINDA E
7513 TEMPO TER NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction authorized
is not commenced witin 180 days or if construction or work is
suspended or abandoned for a period of 180 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 work 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 regulating construction or the performance of
construction.
Applicant____________________________Date________
5/25/10
Bldg Insp____________________________Date ________
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071UNIVERSITY AVENUE NE
ISSUED:05/25/2010
FRIDLEY, MN55432-
(763)572-3604FAX: (763)502-4977
Permit #2010-00770
7513 TEMPO TER NE
:
ADDRESSPERMIT APPLICANT:
PIN:113024120046QUARVE CONTRACTING INC
LEGAL DESC:MELODY MANOR 4TH ADD8427 CENTER DR NE
:LOT 15 BLOCK 4SPRING LAKE PARK, MN 55432
PERMIT TYPE:BUILDING
PROPERTY TYPE:RESIDENTIAL(763) 785-1472
CONSTRUCTION TYPE:WINDOWS/DOORS
:
VALUATION$2,400.00
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM
INSPECTION TYPEDATEINSPECTORCOMMENTS
EXPIRED. NO REQUEST FOR INSPECTIONS.
EXPIRED PERMIT06/01/12RONJ
INSPECTION COMMENTS:
IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL
WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT.
THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.
uilding
$5.00 (State Licensed Residential Contractors)
BUILDINGIA
$2100 per SAC Unit (Plans to MWCC for determination)
$
Permit No.0 3
spections
r76
$450 Conservation Plan Review
RESIDENTL APPLICATION
Fee Determined by Engineering
Received B
3-572-3604
FAX
CITY OF FRIDLEY
M . Make checks payable to: City of Fridley Attach
Da ° 9 R
763-502-4977
EFFECTIVE 1-1-2010
DATE 5-"® Q "/10
YOUR E-MAIL ADDRESS
SITE ADDRESS
pd��/�IO'�
d �/'�� J /'G /J
S
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
PROPERTY OWNER/
NAME:
TENANT
---
ADDRESS: '75/3 ��D ®f7Pii%�L CITY
STATE/�x-JzIP 625 11'3oZ
PHONE: -Aa, 3 — % R`Y
CONTRACTOR
NAME: a[gyp r V e—c3 n -frC2 c -�z ai
SUBIVIIT A COPY OF
STATE LICENSE # tO O I 60 EXP DATE�—
YOUR STATE LICENSE
/
- J k-
AND CERTIFICATE OF
ADDRESS:
CITYc^ l
� STATEM�✓ZIp5S
INSURANCE
PHONE J471-7.2— FAX % 3' -
-PROPERTY
PROPERTY TYPE
SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ 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
19MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: S o
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING
❑ HOUSE ONLY
BASEMENT
REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
1.
Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
S^
IN
❑ Vi
❑Soffit
ADDITIONS, & PORCHES SUBMIT:
❑ Aluminum
❑Trim
1.
Site Plan/Survey showing the existing structures
El Other
11 Fascia
and propos project
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS es
ON, LOCATION OF WINDOWS
FOR WINDOWS
— PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES & PP&e-S'T)(
TYPE OF WINDOW TO BE INSTALLED 7 ER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U -KC FEE SCHEDULE)
TOTAL JOB VALUATION
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
.177•l ' � � •
See Back Page for Fee Schedule
65% of Building Permit Fee
_ .001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$
$5.00 (State Licensed Residential Contractors)
$
$2100 per SAC Unit (Plans to MWCC for determination)
$
ft+6ft= ftx$24=$
$
$450 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement necessary ( ) Non Necessary ( )
$ W
M . 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; 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 11011PRINT NAME 4 Z OeIXIS DATE ,6
E NOTE: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK