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PRE 2010 DOCS=-'�-/ �'ee Cady ®f Fridley, Mm. BURDING PERMIT N® 7 411 r I 1 Address 00 O BUILDING No. S � P _of Lo Lot_ Block Addition or Sub -Division Corner Lot , Inside Lot de==f Setback Sideyard Sewer Elevation - _ Elepation DESCRIPTION OF BUILDING TV I '—e7MJAAj Front Depth Height Sq. Ft. ��!� Cu. FtAle t Depth Height Sq. Ft. Cu. Ft. Type of Construction _ __ Est. Cotfle,_ To be Completed In consideration of the issuance to me of a permit to constructa building described above I agree to do the proposed work in accordance with the description above and in pliance with ah provisions of ordinaac�s of the city of Fridley. In consideration of the payment of a fee of permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that thele 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 location, construction, alteration, maintenance, repair and moving of buildings within the city ]units and permit may be revoked at any time upon violation of any of the provisions of said ordinances Building Inspector NOTICE: This pmO does not ewer the construction, kda&Man for wi&& phombing, gas heating, sewer or water. Be sure to neo the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CTTY SOF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER AL, 14e ADDRESSx. ADDRESS�`�t - LOCATION OF BUILDING No. Stree - rt of Lot Lots,. Block �Additiou,or bdivisi® Corner Lot Inside Lot Setback Side -Yard. SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location.dray on these. Certificates. DESCRIPTION OF BUILDING To be used as: F coat - —Depth . Height Sq.f.Cu. Ft. Front Dmpth Height Sq. It Cu. Ft. Type of Construction . Estimated Cost. To be Completed�� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares -'that all the facts and representations stated in this application are true and correct, jSchedule of Fee Costs can be found on the Reverse Side). a BUILDING PEP.MIT 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 exist- ing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, 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 garages 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 arehouse,factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be the -rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the.Minneapolis Building Code, HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, .warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof 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 a minimum of $4.00.. - For the purpose of computing fees for building permits, the cubical contents of any building -or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the :gain 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 ($500.80) 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. City of Fridley, Athm. BUILDING PERMIT Date: June 122 1970 Owner: Gerald Morris Builder . 1069 Western Construction Company Address _75.29 Impo Te xace Address 3017 L,yndale Avenue South LOCATION OF BUILDING No. ___ 7529 _ Street — Tgmpo Terrace Part of Lot Lot 10 Block ___ _ _ Addition or Sub -Division .—Melody Manor 4th Addition Corner Lot Inside Lot X Setback —_ Sideyard _ Sewer Elevation ____ — — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 22' Depth 22 ' Height 10' Sq. rt 484' Cu. Fti 4840' Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _ $22000.00 __ To be Completed Aug. 1, 1970 Provide Hardsurfaced Driveway In consideration of the issuance to me of a permit to construct the building described abovol I agree to do the proposed work in accordance with the description above set fo and in M pliance with provisions of ordinances of the city of Fridley. In consideration of thepayment of a fee of $ 9.00 , permit is hereby granted to Western Construction 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. a i �C ENCE BELISLE NOTICE: 'fids permit dens not cover the construction, installation for wiring, plumbing, gee heating, sewer or water. Be are to we the Building Inspector for separate permits for these lieum APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ' BUILDER: ADDRESS:. // A�� fr r • 12 __si •�I i NO:. STREET: LOT: BLOCK: ADDITION• CORNER LOT: INSIDE LOT:SETBACK: SIDEYARD: 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: tont: 219 Depth: C)- Height: Square Feet:Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: �� �=,!Pl -20W e Estimated Cost:_ $ f To Be Completed:� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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: lk SIGNATURE: ;r.ZyZjg��L - (See Reverse Side For Additional InformAtion.) Zyz® 3s -7z . y "`' BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings 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 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 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined 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 heights of the upper surface or to the average.* height of the roof surface of the main gable of a pitched roof. -- F._ For. repaiof rs s0or alterations to an - i"'` 500 -exist;s�.re; -the' fee shall be at the ratP_ per each five hundred dollars .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. VERIFICATION OF FOUNDATION NOTE: 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 Certified Survey of the lot,.showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Odcupancy has been issued. -6 5" Phone: GReenwood 3-8352 ARLEIGH Ce SMITH -7—c-,e Po Registered Professional Engineer and Land Surveyor % 2030.East Wayzata Boulevard Wayzata, Minnesota F4 PLAT OF SURVEET OF PROPERTY OF--- Ile described as follows: /— CO-7— �d Scale: 1 i•neh o feet. Ls` is if3 Ily Ile- Ar ne •CERTIFICATE OF LOCATION OF BUILDING CERTIFICATE OF SURVEY I hereby certify that onr N N 1g� S I I hereby certify that'oT 19 �� I made asurvey of the, �ocation of the building surveyed the property described above and that the on the above described property and that the location above plat is a correct representation of said survey. of said building is correctly shown on the alb plat. MjjaftL-'4ZA- �. -- "} G 53-84-s-915.51 MYNNEGASCO c+ sFrialloy ApP!1c :lcn fol i-Iiagtt.l is'is o": -d Gins N Ha.ii+u Par .? . Dop't. of Bld„z. Phone W-3450 . DESCRIPTION O: W0111 7529 N. E. Tempo Terrace Nuin?ror, Kind and Locr2ion of Fixturos I.ocati�- Ji '3t � � 'S .. i yr �� .- G w � N ► O �V N f $ _ -- r v z rn gz d m k . WAT(R NTII. GAS ELEC. Barr S Electric Wator Heator.............. x 52.00 $ AS 77TTING FEES: NO. RATE TOTAL Ist 3 Fixtures ............ • . x $2.00 $ .Additional Fixtures................. x $ .75 $ Gas Range to 159.000 BTU ........... x $5.00 6 1stIt B411 Ga CT 111 l3:``d 7N3 • Furare Com :oc—,,-u Opoain,a e X*w 71=tuz*, Old O7osin,a PARTIAL RATE SCHEDULE Sa�a�r Cc: spc,ol 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 53.00 $ New Ground Run Old Bldg. x 5.3.25 S Electric Wator Heator.............. x 52.00 $ AS 77TTING FEES: NO. RATE TOTAL Ist 3 Fixtures ............ • . x $2.00 $ .Additional Fixtures................. x $ .75 $ Gas Range to 159.000 BTU ........... x $5.00 6 City of Fridley: S The undersigned hereby makes application for a permit for the- work here! specified, z:seeing to do all work in strict accordance with the C:t, C:din2nee and ruling of the Department of Buildings, and hereby declares that all the fact and representations Azted in his app' -'cation are true and correct Fridley, YJ= 7-22-75 19— Owner Gerald Morris Kind of Building Frame Used as Res. To be completed about 7-29-75 - Estimated Cost, S 10.00 Old-1Building Permit No. P.rait No. Signe By MINNEGASM _. Business Ph.,ne iia ROUGH rIN.'4L J/ - - '� o 7 : P.ZPAZRS & ALTERATIONS—Rafor to Code .50 State Surcharge Install Gas Grill 5.00 TOTAL FEE :,P— 5.50 VaSs Surcharge .5Gr • sueJEcr NO. City of Fridley rPIT 1368 AT THE TOP OF THE TWINS BUILDING PER-MIT r ECEIPT N COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � ; CITY HALL FRIDLEY 55432 NUMBER I REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8/6/76 JOB ADDRESS 7529 Tempo Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald Morris 7529 Tempo Terrace N.E., Fridley, Mn. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Construct a 32' x 16' by 8'1' In Ground Swimming Pool 9 CHANGE OF USE FROM TO STIPULATIONS See attached letter dated 8/6/76 from Environmental Officer stating stipulations attached to installation of pool. Be sure to check the location of the house electrical service for compliance to stipulation #10. qT1PERM1r Before digging Cali local utilities TFLEPHQNE n ELECTRIC - GAS EtC. N� AND 601? SSG l REQUIRED BY LAW ,j TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Concrete THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. $5,000 $2.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES. NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $30.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE i $32.50 WHEN PROPERLY VALIDATED T IS IS YOUR PERMIT S NATUREOFCONT TORO UTHORIZEDAGENT (DATE) !! BLDG. INSP DAVE SIGNATURE OF OWNER (IF OWNER BUILDER) o (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: C, ��� /�a 2?� s BUILDER: ADDRESS • >> a i 'r& mnZ,d �I'- ADDRESS : NO:. 75-a2 y STREET: T"'2zG LOT: le, BLOCK: ADDITION: i'"/PG �v i%-ya0= CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be _Tlsed As: `df 13elo, W Gee`` Front: Depth: �7- Height: Square Feet: Cubic Feet: Front: Square Feet; Depth: Cubic Feet: Height: Type of Construction: 0, �,,v C A e- 7 e- Estimated Cost: $ 5010,01 61--1 To Be Completed: 1 w e & ie s 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:V G SIGNATURE: D,r (See Reverse Side For Additional Information.) q,30 S� sc,,,r T� C, areiZ "rH�c_ L®c.ia �rl D '/bv rtj AcwcTe.�e�z de,q —szQ U s c rZ Fu rL- Cam p /I BUILDING PERMIT FEE SCI113DUL1: SECTION 2. The Inspector of Buildings 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 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined 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 heights 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 $7.50. VERIFICATION OF FOUNDATION NOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 1 560-3450 C -,y of 17r;dl,y ANOKA COUNTY 6431 UNIVERSITY AVENUE NE August 6, 1976 FRIDLEY, MINNESOTA 55432 Mr. Gerald Morris 7529 Tempo Terrace N.E. Fridley, Mn. 55432 Re: Swimming Pool Construction at 7529 Tempo Terrace N.E. Dear Mr. - Morris : This letter is to make clear this departments requirements for the swimming pool construction at the above address. 1. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, four (4) inlets of approved design for fresh and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. S. A deck of at least three (3) feet wide, measured from the pool water's edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at ppol entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. A fence or other suitable barrier, a minimum of six (6) feet high, that affords no external hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall be equipped with self-closing and self -latching devices which are capable of being locked. 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 10. All electrical lines must be 10-20 feet or more away from the pool surface. 11. The pool fill spout must be air gapped or protected by a vacumn breaker. Mr. Gerald Morris August 6,1976 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 131 times the pool diameter, and shepards crook pole must be provided and maintained with the pool at all times_ Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450, ext. 170. Sincerely, STEVEN J. LSO Environmental Officer SJO/mh Page 2 SUBJECT PERMIT NO. City of Fridley - AT THE TOP OF THE TWINS BUILDING PERMIT 2245 i ? RECEIPT f 6 COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-345.0 910-F15 4/26/94 JOB ADDRESS 7529 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 1 Melody Manor 4 Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Betty Morris 7529 Tempo Terrace NE 784-1610 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 l� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (2nd Layer) 27 Squares 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT, CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 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 $1 485 W $.74 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- $35.00 Fire SC $1.49 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $37.23 SIGNAT EOF CO 'TOR ORAUTHORIZED AGENT )DATE) WHE P ERYY ATES IS YOUR PERMIT �j Si F W pF OWN!LR BUILDER)AD T 1 LDG INSP GATE NEW ( , Effective 1/ 1/94 ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2 3 Building Permit Application Construction Address: 7-1� qT�'/��'lJ �,E'�E'AC� A)e Legal Description: SI/J6LE F-,47ry-U 1/19E 5-8 & -qd � � W040- Owner AXOwner Name & Address: /�102�'/S Tel. # 794 - /&/o /-omE rtmmc � Contractor: �D C�u�2AcToR ©�yc��° �v/J6 MNLICENSE# owT �, � �`nrVEAJ OUT Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgyGround Sq. Ft. OTHER: C/(�OQ 9�fS� GAGE Ee00b LAYQ?- -1h 61 $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks $ Type of Construction: A5 P# -R L - Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. +fi Ft = Ft x $ _ $ P / DATE. �a % APPLICANT: Tel. # ►.1 Q.1 S'f� l� &T Vu+ ADT -M 6� C.10 sj CITY USE ONLY Permit Fee $ J� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ Ll $.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 j ] Not Necessary [ ] 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 ini;luding $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additiona_ 1 $1000 or fraction thereof, to. and. including $50,000 $50,001 to $100,000 $414.50 for fust $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 fust $100,000 plus- $3.50 for each additional - $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 - $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the 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 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. Of P; i d ' 53-84-879001 C11v l ~'i c:ation for Plcs�r := S wid C'r�cy iii l �er:�►t .. Dopt. of Bldgs. Phorto S,M, •3550 DESCBIPTIOtt 0: VIOltl: Lo:aiica�. ' 709 TeAo 'terrace Numb4r.::i3d and Lccr:+ca of Fixtures _tn is •I ' E s:r 1 I I cne 2rC Co s xs.r riu un. Old Oe-salt-gs PXRTIAL RATE SCHEDULE 5mar 0 Cc:apcol 0 PLUMBING FIXT IE RATES: N0. RATE., 'TOTAL Number Fixtutes.•..•.•••'.•••••• .---.-- X $2.0.0. S Future Fixture Opening • • • • • •'• • • • • ------ Y. $1.50 wmtt Nrx. new Fixture Old Oyening • •,• • • • • • • • ---� :t $ -.-•-» -•— gai.z « o }� 7 a 7z o e t w ws ace. M f • G . New Ground Run Old Bldg.:. • **@ • ® x Z.3.25 S® u2 s •2 b SAS FITTING FEES: N0. Fin::: TOTAL _tn is •I ' E s:r 1 I I cne 2rC Co s xs.r riu un. Old Oe-salt-gs PXRTIAL RATE SCHEDULE 5mar 0 Cc:apcol 0 PLUMBING FIXT IE RATES: N0. RATE., 'TOTAL Number Fixtutes.•..•.•••'.•••••• .---.-- X $2.0.0. S Future Fixture Opening • • • • • •'• • • • • ------ Y. $1.50 S _••--- new Fixture Old Oyening • •,• • • • • • • • ---� x 81.50 $ -.-•-» -•— x $3.25 $ Water lfeater 'L'p to 99.000 BTU) • • • •-------- x ,3.00 $ New Ground Run Old Bldg.:. • **@ • ® x Z.3.25 S® El•ctew Y.'ates 1:e4tat.....:.. • • • • • .�----� s •2 3 SAS FITTING FEES: N0. Fin::: TOTAL • 1313 Fixtures x $2.60 S - • x ; .75itianal S• ' kddFixtures ..:.....•• . • • • • ---- G:s •^±r to 199.000 BTU x 85.00 of city of Fridley; The undersigned hereby nukes application for a permit for the ®ori~ ag eeing to do all cork In strict ict scco:da .ce with the Cit1 0=d` and ruling of the Department of Bully.'ni~. and hereby declares that 41 t`► • and representations stated in this applicadoo are true and correct' , Fridley, b:tan B-24-7 -- Owner 0 R S Kind of Building FR A ME RES. Uscd as •• ' • To be completed about 8-31-76 Esiirr:ated Cost, $ / h Old --New. Auilding Permit No. P.toit No. • Slzrc , By C® Busin= Phurc No ' ROUGH FIY.ZL di - ;z pc--� <:q3 & AL: ERATIONS--P.efer !o Cods .50 State Surch�ge • Tie:•Crl j`' tion ............... s....................•.^� ,00 • TOTAL F'r..•. $,•-- -• _-_— CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential. Furnace Shell and Duct Work, Burner — Als eplacement Fumace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — Alt Sizes Rate $ 20.00 $ 10.00 $10.00 $10.00 $10.00 Ef#ective On January 1, 1993 JOB ADDRESS `7,5^,�- 9 The undersigned hereby makes application for a permit for the work herein 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 $A0, Q representations stated in this application are true and correct. $ OWNER f $16,06 Ail Others/Repairs & Alterations (LIST ON BAM"Ale 1% of Value of Appliance or Work � `9$ . 0 G) 11rCommerciaii/tndustriai 1% of Value of Appliance or Work $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COO INL NG/VENTILATI N REFRIGERATION/AIR CONDITIONING PERMIT IS X15.00, PLUS THE $.50 STATE SURCHARGE ,,;- o V REINSPECTION FEE $30.00 qJ *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BUILDING USED AS ESTIMATED COST & PERMIT NO. ZS� No, of Heating Units_____L Circle One (Steam) (Hot Water) arm Air Trade Name _. ?� � Size No. Ave' F / BTU �HP EDR Fuel Total Connected Load �. f -tcs-'q Alf - Burner Trad Name Size No. BTU HP EDR I HEATING COMPANY -4 Signed By _ Tel No. Approved Rough—In Date Final Date j FILL OUT BACK SIDE FOR STACK VERIFICATION ON EPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes ( No ( ) 3. Has no foreign objects lodged within Yes ( No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (� No ( ) 6. Has total heating BTU's of All other BTU's �FGe C TOTAL BTU's Remarks � List Alterations Being Done: HEATING COMPANY Signed By Date _ 5 CII Y OF FRILXLt IN51-L(_., I ION LAV 6431 University Ave NE Fridley, MN 55432 (763)572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBFR OF FIXTI IRFS Tn RF IMIQTni I Gn nm F-AOU ri ne-Nm Effective On Jan 1. 2UO2 PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () Nc Type Reinspection Fee $47.00/Hr NO. RATE No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL JOB ADDRESS7!Y,3q " TPj/" ry,� % F 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. �- 20 -OZ Owner f�7", (�Mtr 15\ Building Used As _ _ 1(n Q Estimated Cost �— — PERMIT NO. 1 3 C PLUMBING COMPANY ' A A) SIGNED BY TEL NO.C��InCJ FAX # - - C/9 Approved By -;fRough-In Date Final Date % 63 50 MINIMUM FEE FSR ANY PLUMBING/GAS PERMIT IS TOTAL FEE $� PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When re la _i S an px;ctinn fu ant, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing romhuction air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new_nmh"stionaiirit will be sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When install* - a nA�y venting etyrtpm, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Aeolian _e Type and Si p/Cnmmnn Vent Yes( )No( ) and Vent Co nnector Infoanatinin 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 HEATING CO.- Signed O: Signed By: Date : NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor, . Tel. #� MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to 'scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft Construction Typey.z Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. " B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 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 $50,001 to $100,000 $643.75 for first $50,000 plus $71.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20.00. 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 existing foundation will be required before proceeding with the framing. New Houses Only Building BUILDING $ Permit iNo.G Obqttqdo Inspections Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 SAC Charge CITY OF FRIDLEY Curb Cut Escrow Date J `�' Zoo 763-502-4977 FAX $ Park Fee $ Sewer Main Charge $ EFFECTIVE 1-1-09 $ YOUR E-MAIL ADDRESS �/"�js��fy e fr%5!.✓�av� CS COvv� SITE ADDRESS '7�a I IeIM/JD le✓�C2 THIS APPLICANT IS: ❑OWNER CONTRACTOR PROPERTY OWNER/ NAME: V; ovwy ADDRESS: 194m -f CITY STATE ZIP TENANT PHONE: CONTRACTOR NAME: c�3L►� Q 6 c� ; cA STATE LICENSE # 66 98c IS EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF �` ADDRESS: l Lf 6i3 CITY / wi 10 STATE/"IUZIP 3-s3oq INSURANCE PONE (o - q q3' i611 FAX (05^ 710 E PROPERTY TYPE MOLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW 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 I ❑ MAINTENNCE/REPAIR .REMODELING ,A DESCRIBE WORK BEING DONE: - (�ro T & )oC 4 � d Gr - I& SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 13 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: SIDING— FOR NEW CONSTRUCTION INCLUDING DECKS, — 13 Vinyl - --__ ❑Soffit ADDITIONS. && PORCHES SUBMIT: ❑ Aluminum ❑Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee$ Plan Review $ Fire Surcharge $ Surcharge $ License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ 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) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) 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 al ork ch a fres review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME, ( DATE—T �' Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or, for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1s` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1s` $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1' $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I' $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1' $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977