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PRE 2010 DOCSDate: April 19y 1966 Owner: Builder Homedale Builders N° Address _ Address 3017 Lyndale Ave. S., TA 5-2828 LOCATION OF BUILDING No. 7535 Street Tempo Terrace N. E. Part of Lot Lot _ 8 Block 4 Addition or Sub -Division Melody Manor, 4th Corner Lot . _ Inside Lot — X Setback 35' Sideyard 6' & 10' Sewer Elevation — 882.27885.27 ^TOP OF FOOTING DESCRIPTION OF BUILDING To be Used as: Dwelling Front 46Depth 24'/28' Height 20 Sq, Ft, 1,152 Cu. Ft 23,040 r.a:e3,360 Front 14' Depth 24' Height 10 Sq. Ft. 336 Ft. Type of Construction Frame Est. Cost $18,000.00 To be Completed July .1, 1966 SEWER -- 222' East of manhole WATER -- 227' East of manhole In consideration of the issuance to me of a permit to c tru building described above I agree to do the proposed work in accordance with the description above se and in ce with 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $27.00 , permit is hereby granted to Homedale Builders to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in aII respects to the ordinances of Fridley, MJnnesota regardinglocation, construction, alteration, maintenance, repair and moving of buildings within � city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinan NOTICE M p mdt dos not Soyer the oonstrosdon, Mstagation for w1rho, phmbino, on heWno, awor or wMr. Be con to as the BWIft Mspester for sspwaN pormha for thea Num. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY3, MINNESOTA OWNER'S NAME BUILDER ADDRESS ADDRESS �� 9 �� 01 LOCATION OF BUILDING Rio] CC PART OF LOT CORNER LOT INSIDE LOTgL,-- SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; Front Depth.e�Height Sq. Ft./ Cu. Ft., a Front / Depth tt HeightaO Sq. Ft. Cu. Ft. Type of Construction ti,-,��_ Estimated Cost n To be completed_ JOS /— 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. DATE1°5�� WZ SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE 'SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for'any addition to any existing building or structure, or for any alterations.'or repairs to any existing building.or structure, upon application therefore, require the payment by the applicant for_.such permit of fees to the amount herein below set.forth and in the manner herein provided to -wit: 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 fireproof 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.1pet..• GARAGES - 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection.of any non -fire -proof addition, for similar occupancy, to -any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in`the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof.. 2.5. For repairs or alterations to an existing structure, the fee,shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or frec:ion 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 595.00 Estimated Cost of wore ce?a; Commercial; Estimatee -7st of y==tn,n-Ltd t ?`•`o ; iY'7 y+ v' -r I ,- ^ .Estimates )st of work over �5f,('.UU - $2t._ J Application for Power Plants and dealing.ling. Ventilation. ReMgeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 5M-3450 7 GRAVITY WARM AIR: RATE TOTAL Location '5- s -✓ Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ......... 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) 5.00 $ �f GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ =� ROUGH FINAL City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Owner a'�/�!C �,`�� 6 r�G /d✓�6'S Kind of Building`�°`�i�-, Used as � � %tie 6' To be completed about Estimated Cost, $� —� Old New. )Building Permit No. ( Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No t 1%// d'• Trade Names Size No ZIII14 Capacity &`�� Sq. Ft. E D.R BTL7 H.P. Total Connected Load—tzl Kind of Fuel. BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) SPRAY IDI. WELTER HEATING C 4637 CHICAGO .AVE. By#1 615-7. MI INEB13TA L 42 Business Phone No City of Fridley AT THE TOP OF THE TWINE z rL COUMUNITY OEVELONMENT CIV, I r PROTECTIVE 09ftCTION W". i �•-- i CITY HAIL sRICL6V 06411 53 -gl, -s-915.51 ®JECT IJOD AaQreSS 7535 N. F. Tempo Terrace PLUMBING PERMIT APPLICATION 1 Adores s Phone Ronald L. Pederson Contractor nApppe�Ir� 73? /AA[ cj V � ress Phone AADIC Kind of Building Use Frame Res. Completion Date RstimaLed rost 5-21-71_I .10.00 Plumbing Fixture Rates: NO. RATE TOTAL BIW J I I , I !� Number Fixtures x $2.00 al 1 I Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 r Catch Basin x $3.25 aosNYYDI I ( an •� '1ddY� I 1 I I O aYo ! f ! Water Heater -99,000 BTU x $3.00 •JBIW i Ground Run Old Bldg. x $3.25 Baa, •MNIYaI Elec. Water Heater x I $2.00 m s, 9NISY® � " O °� Gas FittingFees: — {�Q I0,. I I I ( Op 3c6alloIoVa�a l 1st 3 Fixtures x $2.00 .0 ,o lo.3 I S83MONSI Additional Fixtures x $ .75 I d tNnoal NNIHa Gas Range -199,000 BTU x $5.00 IA HSYMI I I 1 Repairs & Alterations See 691N,SI I I I Description: Install Gas Grill Code 5.00 State Surcharge Class 'A�� .50 Surcharge ,50¢ ' TOTAL FEE $ 5.50 CNIBtl®I I i I I l I coni + I 5 H1YB I I I I !The undersigned hereby makes application for a permit m,YN,an � I I I for the work herein specified, agreeing to do all work .iaso-t� . in strict accordance with, the City Ordinances and ruling of the Department of Buildings, and hereby declare that a11'the facts and representations stated in this application are true and correct. 'Signature V Date _W4ztt UAy. sue�Ecr PE City of Fridley - ® 19 9 41 AT THE TOP OF THE TWINS BUILDING PERMIT r REC COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By 612-571-3450 910-F15 6/7/89 JOB ADDRESS 71=r -N 7535 Tempo Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3_1& 8 X 4 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Henke 7535 Tempo Terrace N.E. 780-1816 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. RuHow Company . 10107 Lake View Drive West, Minnetonka, MN 55343 545-7290 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 6 DESCRIBE WORK Install a bay window 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,614 $1.31 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- $54.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $55.31 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V IDATED TH S IS YOU1R PERMIT i SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLDG )NSP I, T NEW [ ] Effective 5/1/88 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: / jj3 3 L LPfd �er^�c Legal Description: ® r ��dJ ��L- Owner Name & Address : % �r/"4,*'-s S rhe ,5w'' e SA' -w�z e Tel # 750 / Contractor:%�� ffy Tel. Address: / � re- Attach P Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. kr LMM AREA: Length Width Leight Sq. Ft. QIRAGE AREA: length Width Height Sq. Ft. D£CK AREA: Iexxjth Width Hgt/Grotuxi Sq. Ft. OTHER: i % � '•: coo eiJ Corner lot [ ] Inside Int [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: bbd, X ;l Estimated Cost: $ .5 Approx. Completion Date: x'19 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page g DATE: APPLICANT: Tel. Permit Fee State Surcharge SAC Charge Driveway Escrow Park Fee $ Sewer Main Charge $ STIPUTATIONS: QTY USE C NLY 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 [ ] 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 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $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 EUVEMM SSICK ESCROW (C at=ete Curb Streets Only) Alternate "A": Ramrval 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 ink depth - Driveway width plus 6 feet tines $15.75. Permits for construction will be issued a minim= 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. IJ SUBJECT PE N City of Fridley 21610 AT THE TOP OF THE TWINS BUILDING PERMIT' - -----f RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L r I PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/27/92 JOB ADDRESS 7535 Tempo Terrace NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED 8 4 Melody Manor 4th Addition SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Henke 7535 Tempo Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Westphal Roofing 8232 Greenwood Dr Moundsview MN 55112 786-7000 3937 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION )p REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES 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 $1,219 $.61 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- $31.00 Fire SC $1.22 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $37.83 SIGNATURE OF CONTRACTOR OR ORIZEDANT (DATEI WHEN PRO LY LIDATED THIS IS YOUR PERMIT -2-7 - BL G )NSP MATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATEI NEW [ ] Effective 3/1192 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: --� rj 3f;' Te- )4n Ly 7--e- l� r cwt C e— Legal Description: Owner Name & Address: 5 % e -f- - I T Tel. # Contractor: r ` MN LICENSE # 3!2_3 Z a Address: F, P �, W 0 a J .[�y Tel # :z ©('� _ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: co P Comer Lot [ ] Inside Lot. [ Type of Construction: Approx. Completion Date: Ft. Yd Setback., Side Yard Setbacks Estimated Cost: $ %"-) / 9 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $ DATE: ( ® —d 7 APPLICANT: Tel. Permit Fee $ /, o o Fire Surcharge $ State Surcharge $ / SAC Charge $ License Surcharge $ • C C Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ ` c' j STIPULATIONS: ., CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above 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 FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. -�e SUBJECT PERMI City of Fridley ` 4 AT THE TOP OF THE TWINS B U I L D I N G PERMIT Ir? RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/25/95 JOB ADDRESS 7535 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 8 4 1 MElody Manor 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve/Pat Henke 7535 Tempo Terrace NE 780-1816 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pine Ride Construction 2735 196 Ave NE, Cedar MN 55011 434-5888 5126 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION I$ ALTERATION 0 REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Install basement egress window 9 CHANGE OF USE FROM TO STIPULATIONS Window must meet the State Egress Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 I 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 000$.50o $1,000 1' 4$ 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 LOCAL LAW REGULATING CON- $34.75 Fire SC $1.00 7RUCTION OR THE PERFO MAN F CONSTRUCTION PLAN CHECK FEE License SC $5.00 TOTAL FEE $41.25 sl NATURE OF CONTRACTOR OR AUTHOR(j AGENT DATE WHEN PROPER VALIDATED THIS IS YOUR PERMIT BL G INSP GATE SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI NEW ADDN ALTER [J [J [J Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application , 7s Effective 8/l/95 Owner Name & Address: -->r- Tel. # f7 `' J 3 l �, Contractor:i r z )� ,��- s t7� V c .i , _ MN LICENSE # 5'1 Address: 5' 1 `1(.. f C- its �'L!� Tel. # q Attach to this application, a Certificate of Survey of the lot, � with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: L1 -rte c..c �5,+� � � `�tia�/J ism a �z. _ Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:: Estimated Cost: $ t? Gz _ Approx. Completion Date: i V 't Lse n `i Y - (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft < F x $ _ $ DATE: 2 c APPLICANT: Tei. # L-1 -3 `/ ! SI U — Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Alcove $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 FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000.plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,00 $500,001 to $1,000,000 $2887.25 for the first $50,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION 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 Dation of the foundation once it has it has been constructed will be required before proceeding with the framing. 01 SUBJECT P5pmTT NO. City of Fridley 29816 AT THE TOP OF THE TWINS BUILDING E1 r ` 1 `1 . 1IZ RECEIP • COMMUNITY DEVELOPMENT DIV. _____ r PROTECTIVE INSPECTION SEC. 1 1 a � NUMQER REV DATE PAGE OF APPROVED BY = i ---I CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/6/99 JOB ADDRESS 7535 Tem)o Terrace NE I LEGAL L07 N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 4 Melody Manor 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Henke 780-1816 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Westphal Roofing 686 141st Lane NW Andover 55304 786-7000 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 0 NEW 0 ADDITION 0 ALTERATION W REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage (23 Sq) Tear -off 9 CHANGEOFUSEFROM 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 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 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 $2010 1.01 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 - TR CTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 ire SC $2.01 PLAN CHECK FEE TOTAL FEE L' se SC $5.00 91.27 NATU E N ACO O AUTHOF+iZ AG. iDATEi WHE PERLY VALIDATED THIS IS YOUR PERMIT S-GNATURE OF OWNER06 OWNER BUILDERI IDATE) BLDG -NSP " - )ATE 01 NEW [ ] - Effective 5/10/99 Sf (,f ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Z53-5 l c kn e o % e r k u c e - Legal Description: *T e- ay c l=/= e y o 14 0 r -c 5 -e J SC75, Owner Name &Address: 5' ,fy �Z r, h Tel. # 7 9 (9 Contractor: fh CtL 0 0 =" MN LICENSE # 3 2 3 7 Address: Tel. # -1 7o 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: n idth Hgt/Ground Sq. Ft. OTHER: ,S i Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -7 Gr _ �/� APPLICANT:Tel. -/f-0 # �� C '- %®c CITY USE ONLY �. Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ ®( .001 of Permit Valuation (1/10th%) State Surcharge $ f- to $.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 $ STIPULATIONS: 0 - BUILDING PERAM 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 PERMIT NO.: 2004-02093 6431 UNIVERSITY AVENUE NE FRMLF.V. MN 5.5432 DATE ISSUED: 11/17/2004 572-3604 FAX: (763) 571-1287 ADDRESS : 7535 TEMPO TER NE PIN : 113024120039 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 8 BLOCK 4 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALL) 300 APPLICANT CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304 - OWNER HENKE STEVEN W & PATRICIA A 7535 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 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of 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 re atin nstruc06n or the performance of construction. Applicant, Z Date I t Bldg HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 35.50 PAID WITH CHECK # 6202 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ;ITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 v 9 9 ' 3431 University Ave NE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION ?ridley, MN 55432 L REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 763-5723604 FAX 763-571-1287 9 JOB ADDRESS 155 -Te--Te-r� t1 -Terr, D n RATE SCHEDULE Fee Tota C Resident(al Owner Furnace Shell and Duct Work, Burner & $35.00 $ 3S Building Used As +1� `�- also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST c_2S�PC), M PERMIT NO Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) arm Air) No. Trade Name�uc, ��o��-(�fVlc�Size *Air Conditioning -All Sizes $25.00 $ BTU uG - Do C:) HP EDR Fuel v{ CSTotal Connected Load AII Other Repairs or Alterations (List on Back) Size No. 1% of Value of Appliance or Work $ Burner Trade Name a Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EOR Y Improvement whichever is greater on work less than $300.00 The undersigned hereby makes application for a permit for the work herein CommereiaUlndustrialjinstitutional specified agreeing to do all work in strict accordance with the City Codes >-- 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for commercialjlndustrial/institutional and representations stated in this application are true and correct. CENTERPOINT ENERGY MINNEGASCO Y State Surcharge .50 HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304 _ TOTAL FEE $�� Signed 763-757-6202 Tei # v REINSPECTION FEE $50.00/HOUR FAX # 763-757-6707 *Air Conditioners can not be placed in side yard without written approval M i+ from adjoining property owner - copy to City cv - FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ct Approved by Rough4n Date Final Date Z0 ' d -Idicl FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 (X) No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (y) 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 spec cations. Yes (io No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When installing a new venting -system, the undersigned hereby verifies that it is a listed assembly and meets the, current codes and manufacturer's specifications. This does include AGA -LAMA 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 iz�t- BTU Input Ute° Fan Assisted or Nat Appliance #2 Type�� BTU Input Fan Assisted or Nat%T Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type 0 I_ Vent Height Diameter . Lk_ inches Appliance #1 Vent Connector Height __I -ft Length �ft Diameter in Type C. Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) A6-,.1 'QAZ Z ' -i && ., , %i3� -111 , CENTERPOINT ENERGY MINNEGASCO HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 _ Signed By: Date: /' 3 -OK �Gt/��t' tPIa.91,SL Ol A -q 1G I NA d0 AM a WON -1 (7: T T t?00Z-LZ-eld8 Building iv]-tk_ . iN t:�)Ot, V -0 1 "MID Inspections RESEDENTIAL APPLICATION Received By:- 7.63-572-3604 C OF LEY �Fdp 2 007 DATE `' �� O �l YOUR E-MAIL ADDRESS SITE ADDRESS � 3 S jt � '� THIS APPLICANT IS: 0 OWNER OCONTRACTOR ROPER NANI (3b i 0 �'br 3tL P - ADDRESS: 1X3 C t•"b TLVeA. �I CITY Y1 d A STATHPSO ZIPcSS TENANT PHONE: -10 - `� .3 15 CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITIi APPLICATION PERMIT TYPE TYPE OF WORK: COMPANY NAME:_ CONTACT PERSON: STATE LICENSE # EXP DATE _ ADDRESS: i2�10 a � ST gSOA 9 3 CITY r� I� STATEN ZIP PHONEWI-.1J-1112 FAX'16, SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE 0 NEW REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK.� n " PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the flames. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor - x.05 = FOR PROJECTS WHERE LABOR EXCEEDS 5500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)D�9. 6 SIZEI 70. too � Equipment Installed MFG: CA&I ��• MODEL: . A m 0 SIZFIBTU MFG: MODEL: MFG. MODEL: SIZE/BTU AIC $25.00 _FIREPLACE (GAS) 515.00 . _GAS RANGFJOVEN $10.00 AIR TO AIR E}CCHANGEER 515 _FIREPLACE (WOOD) 535.00 NEW GAS GRILL $10.00 FURNACE $35.00 GAS UNIT HTR $10.00 AIR OILER S.00 LINER $10.00 - POOL HEATER $35.00 GAS DRYER 510.00 _VENTJI,ATOR $15.00 DUCT WORK $10.00 GAS PIPING $10.00 �.,.�oa...aK Permit Fee $ 3 6 .00 Number of fixtures a@ $10.00 x $10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 J _ x $35.00 = $ State Surcharge = $_____!0_ Total = $ 3s --x t 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; 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 C_� �� ® t� PRINT NAME DATE S City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-=977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC h ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a_ Oil or solid &el IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/TGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter S with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346:0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air- calculations C Y O_F F=—LEY COMMUNITY DEVELOPMENT DEPARTMENT TOTAL P.01 PLUMBING Non er APPLICATION 1 R BY 11RESIDENTIAL City Of Fridleyt d 2007 NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT: DATE 9` - 6:2 W6 2 YOUR E-MAIL ADDRESS SITE ADDRESS I S'$ r -rL4 0 ® 11.. s2 - N C- ran i 4� L THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR NAME #3s LM PROPERTY OWNER/ ADDRESS 'S IS fit." 06 �r✓R at, CITY FA- a 111;2 STATE F -B eJ ZIP S SN A PHONE # NAME fl Uds- C "L'f' & I LICENSE # CONTRACTOR ADDRESS ® d% a w- dpi F CITY_�aa a 1 STATE L � PHONE #--I b � �- ��� ' � 1 ®1 9 FAX#. PERMITTYPE Y SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK 13 NEW REPLACEMENT' DETAILED DESC WnMN OF WORK 1k% S �.®L FEES ARe: BASEDON Ti10M PER FIXMRE, (EXCEPT WHERE NOTED FlXrURESt (INDICATE TOTAL NUMBER OF EACH) BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB OAS PIPING (Need City Lh*rtae) swm MING POOL WATER SOFTENER ($SS) C.OTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($1E) —DISHWASHER LAUNDRY TRAY WATER HTR (SM FOR IRRIGATION WATER METER OTHER Permit Fee $ 3,5• 0 ® MINIMUM: $15.00 or 5% of cost of the improvement -whichever is Plan Review S greater on work less than $300 Surcharge TOTAL DUE $ 3.S• Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT - NOT VALID UNTIL PROCESSED I hereby apply for at plumbing permit and I acknowledge that the ink mation above is oomplete and accurate: that the work will t* N conformance with the ordinances and codes of the City of Fridley and with the Wnnesota 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 that the work Will be in accordance with the approved plan in the case of all work which requires review and approval of plana. NAME OFAPPUCANT fl -de # t1, DATE C? Please type or print SIGNATURE OF APPLICANT 12 C Y O_F F=—LEY COMMUNITY DEVELOPMENT DEPARTMENT TOTAL P.01 CITY OF FRIDLEY PERMIT NO.: 2007-01791 6431 UNIVERSITY AVENUE NE FRIDLEY, NIN 55432 DATE ISSUED: 09/28/2007 (763)572-3604 FAX: (763)502-4977 __-- REPRINTED N 10/4/2007 _ ADDRESS : 7535 MPO TER NE 7� PIN 113024120039 LEGAL DESC : MELODY MANOR 4TH ADD LOT 8 BLOCK 4 PERMIT TYPE PLUMBING - FIXTURE BASED PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WATER HEATER NOTE: CALL FOR FINAL INSPECTION COMBUSTION, VENTILATION AND DILUTION AIR PER MN RULES 1346.5304 IFGC STATE AMENDMENTS MAKEUP AIR PER 1346.0501 IMC STATE AMENDMENTS VENTING OF EQUIPMENT PER 1346.5503 IFGC STATE AMENDMENTS CALL FOR FINAL INSPECTION WITHIN 10 DAYS INSTALL REPLACEMENT WATER HEATER # WATER HEATERS APPLICANT RIVER CITY SHEET METAL INC 8290 MAIN ST NE STE #39 FRIDLEY, MN 55432 (763)754-2199 OWNER HENKE STEVEN W & PATRICIA A 7535 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 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of 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 I Bldg Insp Date WATER HEATER FEE STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 17859 35.00 0.50 35.50 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.