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PRE 2010 DOCSCity of Fridley, Mim. BUILDING PERMIT Date: April 2�, 1968 Owners Homedale Blders . Builder S4= _ Address 5217 Wayzata Blvd. ____ Address Damp LOCATION OF BUILDING No. 7518 Street Temo Terrace Part of Lot Lot _ 29 Block _.�3__ — Addition or Sub -Division ___..._ _Melody Manor 4th Corner Lot Inside Lot.__ Setback _ _ _ Sideyard Sewer Elevation 878-96 _ 881.96 Top of Footing DESCRIPTION OF BUILDING , I V(q 36 9682 To be Used as: Dwelling Front 46' Depth 24/2 Height 20' Sq. Ft. 115 2 Cu, Ft 23, 0 0 Garage Front 20' _ Depth —__.Z4L Leight -0 � Sq. rt. 480 Cu. Ft. 4800 Type of Construction Frame Fast. Cost _ 22 00 To be Completed gulp 1968 SEWER LOCATION - 133' East of Nanhole WATER LOCATION - 145' East 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 rth and in compliance with provisions of ordinanoas of the city of Fridley. 1/1 - '19 "- --.-(' .00 Sewer Connection Char In consideration of the payment of a fee of 42.00 ,permit is hereby granted to__ Homedale Blders . to construct the building or addition as described above. Thisoermit is granted upon the express condition that the person to whom it is granted and his agents, employees an workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. n P" /.e / Official Building NgRaW NOTICE: 'fids permit does not cover the construction, Installation for whing, plumbing, gas heating, sewer or water. Be sure to ase the Building Inspector for separate permits for these llama. qa� � G APPLICATION FOR BUILDING PERMITy 1 CITY OF FRIDLEY,,MINNESOTA OWNER'S NAME BUILDER ®` ADDRESS ADDRES✓ S LOCATION OF BUILDING NO, / ETRE P PART OF LOT LOP BLOCK AF/ITION OR SUBDIVISION , CORNER LOT INSIDE LOT SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION 'S- -cJ G Applicant attach to tis form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; Front JV46 Depth Height Sq. Ft._ �,. Cu. Ft. C Front Depth�Height / Sq. Ft. � Cu. Ft. � 3® 6 Type of Construction Estimated Cost `.o_ 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),. � Hrk s,,\ i BUILDING PEWT FEE SCHEDULE SECTION 2, The Inspector of Buildingsshall, before issuing any permit for The erection of any building or strudtuie, or for'any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees'to the amount.herein.below set forth and 'in the manner herein provided to -wit: 2.1_ For any such permit for the erection of, any fire -proof building, othei 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 eachone 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, .orgfor the .erection of any non -fire -proof addition, for similar occupancy,'to any ekis,ting 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 they .main ,gable of,a pitched roof. 2.5. For ,repairs or, :altercations .to. an existing structure,, the fee shall. be at the rate .of.. $3...00 per each :Five Hundred„ Dollars :($5 00, 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: Estimated Cost of work up to $500.00 - $5.00 Estimated Cost of work over $500.00 - $10.00 Commercial; Estimate,' 'ost of work up. to $-5#10.00 - $1` "0 Estimate, ost of work over $500.00 - $2. ,0 Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices P� PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR $ Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTA�L� ist 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 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 an4 correct. Fridley, Minn -ey 19 Owner Kind of Building��� Used as To be completed about Estimated Cost, $ a Ol Ne uilding Permit No. � D 11Permit No. � DESCRIPTION OF WORK HEATING or POWEA PLANTS --.Steam, Hot Water, arm Air No f Trade Na— 'f -to Size No Capacity Sq. Ft. E.D.R %— V BTU P. Total Connected Load 10, Kind of Fuel BURNER — Trade Nam e P- Size No- 4�1 Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. 7 x $2.00 $ Future Fixture Opening . .............. x $1.50 $ New Fixture Old Opening .............. ���p $ Catch Basin ...... ..................... x $3.25 $ U' R N WATER HTR. GAS ELEG Electric Water Heater 3 � GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures ..... .............. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ � Base I 1st 2nd 3rd 4th I I I r_ Future Connection Openings Connected with New Fixture, Old Openings I Sewer Cesspool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. 7 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 a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures ..... .............. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................It TOTAL FEE City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Owner Kind of Used as Fridley, Minn 61119 Building To be completed about Estimated Cost, $ 3 Old—New. Building Permit No Permit No. (�� Ova" /j O� 6 � By VK/fJ4sC.` Business Phone ROUGH FINAL 52-84-s915.51 City of Fridley Application for Plumbing and Gas F'H#ing Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures 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 Qq Sit X $1.50 $ v4v_�� 3 w ;� o� o�z oc�p x $3.25 $ x $2.00 $ NU' Z • F • N WATER HTR. GAS ELEC Base 1st 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ... ........ Future Fixture Opening ............... New Fixture Old Opening ............. Catch Basin ...... .................. . Water Heater (Up to 99,000 BTU) ..... New Ground Run Old Bldg. ........... Electric Water Heater GAS FITTING FEES: 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 $ 1� ac Gas Range to 199,000 BTU .............. x $5.00az REPAIRS & ALTERATIONS—Refer to Code Location 7518 Tempo Tarr 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 8-12-68 19— Owner Homedal.e B1drs Kind of Building fraw Used as d'05 To be completed about 8-17-68 Estimated Cost, $ Old—New. Building Permit No Permit No.� Signe /- /"'( S, 'iv L 7-,h'`. ny �, Business Phone No ROUGH FINAL Description ................................................$ TOTAL FEE -000-42 52-84-s915.51 City of Fridley Application for Plumbing and Gas F'itttng Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location- 4 ocatios< 7518 Tempo Terr Number, Kind and Location of Fixtures rn 3 (JJ ;yy � NO. RATE TOTAL YI x $2.00 �= QLL� Z 0 New Fixture Old Opening .............. W 1 LL' 00 F N WATER HTR. GA H Base New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Beater s $2.00 ns tail as 1st 3 Fixtures .......................... er $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE 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 Beater s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ 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 facl and representations stated in this application are true and correct. Fridlev. Minn 8-34-68 19_ Owner join Zimmerman Kind of Building frame Used as res To be completed about 8-19-68 Estimated Cost, $ 10000 Old—New. Building Permit No Permit No. /0—%®6 Si e •• Business Phone No ROUGH FINAL . TOTAL FEE' •00 az MOUS HEATING TEST RECORD ADDRESS Xrn APT. , F OOR, TY UBURB, OCCUPANT OWNER HEAT LOSS DATE HTG. INST. GAS CO. METER BA SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DBSI MAKE- -� `��MAKE OF BURNER _ Model Model Seria l �'= « Saw ZPAP Max. BTU Rating INPUT �MAKE OF FURNACE Model CONVERSION ONTROLS a, THERMOST T�7Heat Plug Vent Size adf Valve KIND OF LINER NONE Limit Draft Hood 0V Regularor Limit Setting Filters Size Number �r'r/ Fan Setting Chimney Location Inside Outside Pilot Type Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing �; -wi—e Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. �--� Pressure Persrent CO b°� Tested Input CFH1®-�r1�' -per , A6mpany Testing Stack Temp. 4ec.� ® Percent CO Name of Tester Form 235 • 53-8h-991.5051 Ci�y 0f ' for PIU i �.�'a"•ty V "I'U P'�'.�6"jS AppliccaliOii 3�+r1y+1 • ,.,.._-_.._..�..-• Dept. of Bidp. Phone Sr'"J•3= • D£5C'.IPTI02f 0: �'JOlI2: •7518' Temp® Terrace Logit: ' l:'i:d a -id Lccs:loa of Fixtures City of Fridley; r Z �r � �• rt : 7 I f 3I -, g it p � •J z 7 < I. = i 7 " e r e N wxssa Mea. cis tuG The undersigned hereby nukes application for a rermit to the work h the Cit,7 O:d:r 2 _ � � M . � - � : o l� � < 3 t u u . lu 8 specified, a� eetng to do all work In st�ct acco:da^ct with that a:I the in if ,i1 �s a^.d ruling of the D�:pa:tr.'•ent of DuilcUzrs. and hereby declares Bs:r and representations stated !n this app;lcatsoa are true and co. ed* 7-29-7b a 1•• I I i st 1 ri iYidley, Man Owner h®mas LimmermaU - 3:d � items Kind of Building itti - L -• - Co: •tt:t.d with • FL`:ss CeC?:•c:r.:• ucwo: 0 Used as res, e Naw Fixture. Old UesuinCs Ccupool C] 8-5-76 _-...-__.. To be completed about PARTIAL RATE SCHEDULE l:stirr.�ted cyst. s old—NYw.. Building Permit No. L�i8I11C FIXTU?E RATES: NO. RATE TOTAL Siyr;cd Nurr,btr Fixtures......•••••••••• -.------ x $7.03. $ 6NINNEGASCO Future Fixture 0,jening • • • • • • • • • • • ---= x 51.50 S •-•------ • By Basin= Phone NO ' New Fixture Old Oyrning..,• • • • • • • • x • Catch Basin ....................-.�.�-- x $3.25 a-.�-•---- Water lieater 'Lep to 99.000 BTU) • • • •------- x ;3.00 $® ROUGH lea Ground Rua Old Stdr.:..:.. •. • ---•— x ;1.25 S _ ' • Voctr4 Water Flat r... • .:.........._._�— = i:2•� 5------- FINnL jy —) . iAs FITTING FEES: NO. R:+ TOTAL , 13t 3 Fixtures .................. , ----- x S2.Ca $• Ad.41ticaal Fixtures ............... ----- G:s to 19-3.000 HTV ..........• ----- x S5.00 .50 State Surchar 5e ALTERATIONS.—Rafal to Code •T3c:,Cr1•ytlon • • • • • • • • • • • • • • e i e • ... • • • • e 8.• a • • • ••• • ••f -5. 50 ; ,; �� . ' • • • • . • �. 11Lru � 'r'� TOTAL Jul+ , • . SUBJECT PERMIT City of Fridley11204901 AT THE TOP OF THE TWINS BUILDING PERMIT r REC •COMMUNITY DEVELOPMENT DIV. j ; V """"�"� s/� f 1 PROTECTIVE INSPECTION SEC. 7o' 36J. 1 1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/17/89 JOB ADDRESS 7518 Tempo Terrace N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29 3 Melody Manor 4th. Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Thomas Zimmerman 7518 Tempo Terrace N.E. 784-6574 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 X7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (30 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 $1,500 $e 75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $35.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $35,75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IRATE) WHEN PROPERLY ALI DATED THIS IS YOUR PERMIT BLDG INSP OAT SIGNATURE OF OWNER OF OWNER BUILDERI (DATE) NEW [ ] ADDN [ ] AL's [>4 Construction Address: Legal Description: _ Owner Name & Address: Contractor: R-1 AND R-2 Building Permit Application ,77-- 1? /a /4 C- � S/k i �iW Effective 5/1/88 Tel. # '79 V,--6 S-1-1 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. =ON OF I VENM LIVM AREA: Length Width Height Sq. Ft. C:ARAM AREA: Iength Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTM: IZ -7'36 Ste", Corner Lot [ ] Inside Lot [>,I Ft. Yd Setback Side Yard Setbacks Type of Construction: ' /,;--) Ji64s r Estimated Cost: Approx. Completion Date: 5 - 3/ -,YY Proposed Driveway Width If New Opening Is Desired: Ft. $ $. � � Width + 6' See Back Page DATE:. -14 Y % APPLSCANT: �,;�:'-ems Tel. # C=Y USE CNLY Permit Fee $ j OD State Surcharge $ %S SAC Okirge $ Driveway Escrow $ Park Fee $ Sewer Main (urge $ STIPULATIONS: Fee Schedule on Reverse Side $.50/$1,000 valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0" "1 new roofs or tear.offs and replacement roofs, State We te4uires that 2 layers of 15 Ib felt, Mopped t►"er, be installed to a print 24 #ft np fromoxtedor will line, or the OPPMved underlqftnt Memtwa 10 Of 09r- :A :4,, 4;m 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: $1 to $500 $15 Q nimum 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 $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 WIVEMY TEE TISSSICK ESCWW (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. Permits for construction will be issued a minim= of 24 hours from the time of application to allow .for proper: r+eve.,, of the proposed structure and of the construction site. 1. A Certifid6te- of Sur eq of the lot,-`aXVfng'the location of the foundation once it has it has been"constriictted.;willsbe+'Mired before proceeding with the framing. SUBJECT R City of Fridley 00 9563 AT THE TOP OF THE TWINS BUILDING PERMIT i COMMUNITY DEVELOPMENT DIV. SEC. f PROTECTIVE INSPECTION � 1 i l 1 1 "1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/26/99 10B ADDRESS 7518 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 29 3 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Zimmerman 7518 Tempo Terrace NE 784-6574 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Construction Inc 2937 174 Ln NW, Andover, MN 55304 753-5469 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20067043 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION CR REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) Tear-off 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $2,056 $1.03 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 PLAN CHECK FEE L FEE 711's 5 091.34 iGNATu E OF CONTRACTOR OR AUTHORIZED aGENT IDa E, HE P B G -NSo LY VALI A D THIS IS Y AbIT 1z' _' 7 ZI r�AtE $.GNATURE OF OWNER OF OWNER BUILDER. (DATE. NEW[ ] Effective 5/10/99 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: 1A Contractor: Address: �;'q 37 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: i err �ut� wiTel. # �W- MN LICENSE # 2 0 0 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 Length Width Hgt/Ground Tel. # -75' ; S—f ee l 7 Sq. Ft. Sq. Ft. Sq. Ft. Construction Type:T1Rc4tdQ 0 -zc (�yPtimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: e -��/ Tele # TOTAL $ % 3V STIPULATIONS: 4 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ _1,e3 $.50/$1,000 Valuation SAC Charge $ $1050 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 $ % 3V STIPULATIONS: 4 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 1090` $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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. From: unknown Page: 2/4 Date: 4/9/2010 8:34:12 AM Building BUILIIING Perm it No.: UM q7q Inspections REST DENTUL APPLICA.'I' VON B); >,36d- 763-572-3604 CITY UE FRTDLEY 7W U V Lull n_ 763-502-4977 FAX I5TFZ TIVE 1-1-2010 _ DATE — IR—/0 YOUR E-MAJL ADDRESS +� GC ftp i (�`^E� C: !ice` L$ !"� "� . t�C?'✓r 7 SITE AwRB53 TMS APPLICANT IS: EI OWNER CONTRACCOR �� PROPERTY OWNER/ NAM. rS. r + � �� /�' 1r!/Yl� / /'►+� TENANT ADDItBS3: -]►f,�MP "7',° CI'TX_ "� l �• L� STA4—'/' zIP CONTRACTOR NAM.: _ . STATE LICENSE #� EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: r�; 7 P - CIIX i I 'x sTE►' %p% ZIP S INSURAIVCb PHONE ,7t0.5 --7'?—Jy 7-�- FAX i!ja3�' PROPERTY TYPE KSINGLEVAN LYiNEW CONSTRUCIION SIz16 0 TWO FA.MILY/N13W CONSTRUCTION STORIES.—--- TORIES_PC+RMITTYPE PERMIT TYPE 0ADDITION 0 GARAGFJSHED 0WDIVOWS 0 BASEMENT FINISH Q ROOF 0 DR#IN TILE 0 DECK -9ow WG 0 OMiER ©SWi14Il1rIIA7GPO0I. _ TM OF WORK; 0 NEW HOME UCTION ❑ A00 -110N FAIR �Ng DFSCRIBI5 WORK BEING DONEr c:f.t ✓ 7 � .ami � 1s:5 ,c, �k on SIZE OF IIMPRCVVPW4F.NT LENGTH WIDTH HEIGHT _ $0 Ff 1100 rFINFC NUMBER OF SQUARES ❑ HOUSE ONLY 0 HOUSE & GARAGE BASMAEvT.R AM UJIrLIURMLL• 1. s Flt Pr Ilan PARADES O ATTACHED GARAGE 2. PrPposea 5 or Plan PROPOSED SIZE: © DE7ACH1W GARAGE 3. List of smut IW menrtm to be used PROPOSED HEIGI-rr FOR NEW CONSTRL CTION IN CLUDING MCU, SIDING 13 V�iyl Soffit AVD1'nONS. & PORt SUB. I�T� 1. Site Plan/Si ney shm+nns the existing shuctures Anntn gKOther. Trio3 kascla and> d project. 2. Two fmpm y sub of eoswtruaticn p1wi9 3. Enerw Cali uWon$ IN EXISTING OPENINGS E]Yes ONo LOCATION OF WINDOWS FOR WINDOWS — PP DVM U. VALUE AND OR FOR NM OPEI►IINGS-DESCRIBE SIZE OF MANUFACTURE SM CKxR ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO B 3TALLED NUMBER OF WINDOWS ALL FEES ARE BASEL) ON VALUATION, INCLUDING THE COST OF LABOR AND MATER LUB*. (USING TIS 1997 U.WC "X SCMliil r") TOTAL, JOB VALUATION S Permit Fee 'Plan Review Fire Surcharge Surcharge License Surcharge SAC CbArge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge —2 See Back Page for Fee Schedules — - 65% of Building Permit Fee 1001 times, the total job vahxation .0005 x Pensrat Valuation milubnuin $S0 $5.00 (State LieenoW Residcati ml Contractors) $2100 per SAC Unit (Plans to AIWCC for detenmir: Won) ft+6ft= itx$24m$ $450 Conservation Pian Review Fee Deterr fined by Engineering Agmemeot omossary ( ) No"'NecessM ( ) Make checks payable W. City of Fridley .AAttac THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROMSED I hereby apply for a building permit and I aclmowledge that the information above is ra3mplew and accurt W, that the work will be in wnLurr mum with the ordinances and codew of tilt City of Fridlvy maid with the Miraresuta Cunstructiun Cucisa; That 1 wi+lcrstnud this is nut a permit but only an application for a pertait and work is not to start wAhout a pexv6t on site; that the work w ill be in accordance with the approved plan in the case of 0 work which requires review and approval of plans. 1�0 � t Z-00 A4.1's T SIGNATURE OF AFPI ICANT 1� � t..a FRINT NAME Y DAT. PLEASE N TE: SEPARATE PERMITS ARE REQUI]RM FOR PLUMBING, ELEI- CALeAND M ".CHANICAL WORK