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PRE 2010 DOCSCity of Fridley, Minn.. N° .8779 BUILDING PERMIT Owner: Builder Homedai a BuildeY'a Address Address 3017 LYndale Avers . , -2828 LOCATION OF BUILDING No. 7540 Street Tempo Terrace N.3. Part of Lot Lot 36 Block 3 Addition or Sub -Division Melody Manor, 4tb Cornerlot Lot Inside Lot — x Setback 35 Sideyard - L �1 j W' Sewer Elevation ��U2.45 Y8$ —45 TOP OF FOOTING DESCRIPTION OF BUILDING To be Used as: Dwelling Front 46' Depth 241/281 Height 20' Sq. Ft. 1,152 CLL Ft, 23, 040 Garage Front�' Depth 24 _ Leight _10 _ sq. Ft. 336_ Cu. Ft 1,160 Type of construction Frame Est. cost -$1a,0 -M ---To be completed T„1 y 1 - 1966 WATER 53' West of manhole SEWER ®- 64' West of manhole In consideration of the issuance to me of a permit to c the building described above I agree to do the proposed work in accordance with the description abov rth and in liance with ail provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 27. 00 _ -,permit is hereby granted toame°d_a1 P Ru lders -- to construct the building or addition as described above. Thist 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 an,, part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardinglocation, construction, alteration, maintenance, repair and moving of buildia�s within the city limits and t>permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN I Building rnqmtor NOTICE: Ob permit do= not aowr the aonstruallon, hwftMon for waft, phmbao, on hentm& sswor or water. Be sure is sa tin swwh* Wrefor for aparao permhs for don Nona. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS ADDRESS LOCATION.OF BUILDING NO. STREET PART OF LOT LUT BLOCK ADD TION OR SUBDIVISION A���_ CORNER LOT INSIDE LOTi--�SETBACK . SIDE -YARD A0 T SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depths Height �-� Sq. Ft. Cu. Ft r Front Depth Height Sq. Ft. 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. DATE /> SIGNATU a (Schedule of Fee Costs can be found on the Reverse Sid i �� 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 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 ofany 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 £or 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, id 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 frecyioa 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.nO Estimated Cost of work c:er 0 Commercial; Estimates' -ost of wo—lK, ty -to Estimate. _)st of work over _1fY,. JJ - ti Vii,._ J � r y 9xAl Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL 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 $ AS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ aim Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule TOTAL FEE $ �� Dept. of Bldgs. Phone 560-3450 'M 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 true and correct. Fridley, 1964 Owner Kind of Building Used as To be completed about Estimated Cost, $ X42 J U 6 OldCNewBding Permit No. Permit NO_� DESCRIPTION OF WORK HEATING or PLANTS--Stearp, Hot Wate CW�arm)�o / �f Trade Name_&� Size No- 4 Capacity Sq. Ft. E.D R D J �' BTU H.P. Total Connected Load —% Sind of Fuel X"y BURNER —Trade Name Size No Capacity Sq. Ft. EM.R BTU H.P. (REMARKS—OVER) X N. WELTER HEATING Q0 4637 CHICAGO AVE. MINNEAPOLIS B s MINMajau 1-^ 4 2 Business Phone No City of Fridley, Mian.. N° 9191 BUILDING PERMIT Date: April 18, 1967 Owner: Howard Rassler Builder _Western Garages _ Address 7540 Tempo Terracd Address 3017_ Lyn.dale Ave. So. LOCATION OF BUILDING Garage 10' back from house. No. 7540 Street Tempo Terrace pert of Lot 5' from lot line. Lot — 36 Block 3 Corner Lot ._ Inside Lot Addition or Sub -Division x Setback Melody Manor 4th Addn. Sideyard Sewer Elevation _ — Foundation Elevation To be Used as: Garage Front 20' _ Front . Type of Construction Frame DESCRIPTION OF BUILDING Depth 22' Height Depth ._ Height Est. cost ^ $1300.00 Sq. Ft. Sq. Ft. To be Completed Location on survey with building permit number 8779. Cu. Ft. �. Cu. Ft. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 7.50 , permit is hereby granted to Western Garages 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 peons of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gsu beating, sewer or water. Be sure to ses the Building Inspector for separate permits for these home. APPLICATION FOR BUILDING PERMIT CITY OF FRiDLEY, MINNESOTA OWNER'S NAME Howard Rassler BU;J,,DER GJestern Garage ADDRESS 7540 Tempo Terrace ADDi.ESS 3017 Lyndale So. LOCATION OF BUILDING Garage 101 back from N0.7540 Tempo Terrace STREET 3017 Lyndale So. PART OY,LOT house -5' from lot line LOT 36 BLOCK 3 ADDITION OR SUBDIVISION Melodine Manor (4th addition) CORNER LOT INSIDE LOT x SETBACK ,.SIDE -YARD SEWER ELEVATION FOUNDATIQN 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 Ad: 20x22 Garage Front Depth Height Sq. Ft. Cu. Ft. Front _ Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Estimated Costt1300.00 To Be Completed June 1, 1967 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). 4 • ' BUILDING PEMMIT 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 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 atthe rate of $1.40 for each one thousand cubic -.feet, or fraction thereof,..in such cubical contents. 2_.s 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" b' Section' 502 of the Minneapolis Building Code.' y HOUSES 2*3. For any such permit other than a garage, warehouse, addition, for similar occupancy, each one thousand cubic feet. GARAGES for the erection of any non -fireproof building, factory or grain elevator, or any non -fireproof to any existing building permit fee $1.00 for - 2,_,3.. For any such permit for-the•,ereetion 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 thereofo'iu the.cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permits, the dubical'contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a..point.six (b). inches below the -floor line' -of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2_.5. For repairs or alterations to an.existing structure, the fee shall be,at.the rate of $3.00 per each Five Hundred Dollars ($500.00.).or.fraction thereof in the cost'of all proposed work.' & in no case shall the fee charged for any permit as set forth in Section. 2 be ,less than . $4..00, V GRATM 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 $ Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 00,000 BTU ....................... 2.00 $ 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 Stem .... .$10.00 $ Furnace Shell & Line --to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam .............:...... 3.00 $ Each add. 320 sq. ft. EDR. Hot Wates ... . ........... 3.00 $ OIL BURNER—to 3 gal. per hour ................. ..... 6.04 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 199,000 BTU) ..... ..............:'.. SAG $ over 199,000 BTU see Fee schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 100 $ Additional Fixtures .................. x .75 $ Gas Range to 199,000 .......... x$' 5.OG $ � CONDITI / s ktw PAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM �y3( Ar- ® $ i. P ob 17 C)S ALTERATIONS & REPAIRS TOTAL Fitt $ Loceffion 75: 11/0 _, 4,2 7-C e- /2 _ City of Fridley: The undersigned hereby makes application for a permit for the work hereic specified, agreeing to do all work in strict accordance with the City Ordinance -c 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, Minn Owner Z7 O kl a 12 Kinn of Building Used as A To be completed about Estimated Cost, $~UU Building Permit No. Pehmit No. .1 ,10 DESCRIPTION OF WORK; HKATING or POWER. PLANTS—Steam, Hot Water, Warm Atr—N Trade Name Size No Capacity. Sq. Ft. E.D.R BTV H.P. Total Connected Load Bind of Fuel BURNER — Trade Name Size No Capaci Sq. Ft. E.D R BTLI Hy. OVER) By Business Fisons No - (REMARKS -- SUBJECT PERMI ---� -1 City of Fridley 12731 AT THE TOP OF THE TWINS BUILDING PERM r RtQtTLN0. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. -I 1 I� /'ten - CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/26/74 .JOB ADDRESS 7540 Tempo Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 36 3 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Howard Rassier 7540 Tempo Terrace N.E. 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 IR ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct a 17' x 10' Addition. to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See plans marked by Building Inspector SEPERATE PERMITS REQUIRED. FOR WIRING; HEATING, PLUMBING AND SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 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. 1.48 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,958 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. $11.00 PLAN CHECK FEE TOTAL FEE $12.4 REOF ONTRACTORORAUTH I DAGENT ATE) PROP�pE�RLY,VAL TED THIS IS YOUR PERMIT 2NATUS �y 4�W1H/E�N BLDG. INSP DA E SIGNATURE OF OWNER IIF OWNER B ILDERI 1 ATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER `S NAME:F'.6 L¢3 BUILDER: ADDRESS • ©� �1� �s c� �Q�/�j ADDRESS NO:. %ter' r�/J 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. d. To Be. Used As: DESCRIPTION OF BUILDING Front / / Depth • / Height Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type .of Construction: Estimated Cost: 0 To Be Completed: S4 ®/e ms The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: 'a` SIGNATURE: - 6 (See Reverse Side For Additional Information.) 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 averagex height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, -will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. ,�")wl4w #cwa,vjAl--ow )5-,/, 12�vo ��YyAtt,(- t.r. ve'41 1 " VC I 44 it �Lu�c k ve-441S n .,C -"l 141, It ;,Vfl"wd(7 'IF 07,X 11 of J >4 53-81-5-915.51 City of Fridley Dept. of Bldgs. Phone 550-3450 DESCRIPTION OF WORM Number. Kind and Locmtion of Fixtures I.eenttmn 75110 N. F. Tempo Terrace G I Srill lip .3 u� f .71 V <$ L �U' C lt2 N V P N WATER HTIR. GAS ELM Base ist I stall Gas, Gil 2nd 3rd 4th Future Conaecdon OpeniapI w�ecxu� waw sewer� * Now Fixture, Old Openings spool C] 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 Heater, , .......... __ x $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ . Additional Fixtures .................. x $ .75 $ ' Gas Range to 199,000 BTU ... ,.......... x$5.00 $ 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 tact and representations stated in this applications are true and correct' Fridley, Kinn 7-9-74 19— Howard F. Rassier Owner Kind of Building Frame Used as Res. To be completed about 7-16=74 Estimated Cost, $ 10.00 Old—MMK Building Permit No. Perm No - Sign • B,. M INN EGASCQ Business Phone No ROUGH REPAIRS & ALTERATIONS—Rotor to Code .50 State Surcharge Install Gas Grill 5.00 .Description ........ ...... . TOTAL FEE $ 5.50 [Ol0s5 "Aw Surcharge .b SUBJECT PERMIT City of Fridley_ 19013 AT THE TOP OF THE TWINS BUILDING PERMIT ECE COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � ! CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 6/17/87 JOB ADDRESS 7540 Tempo Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 36 3 Melody Manor 4th. Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Howard Ras.sier 7540 Tempo Terrace N.E. 784-7493 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Van Heel Bros. Construction 11500 Oberlin Road, Minnetonka 542--4058 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 El ALTERATION [I REPAIR O MOVE ❑ REMOVE x 8 DESCRIBE WORK Construct an 18' x 131 Three Season Porch. Addition 9 CHANGEQFUSEFROM TO STIPULATIONS See notations on plan WARNING � `'"V1DTS REQUIRED FOR SEPARATEL.''r- ° i Before digging call local utilities �• I WIRING, Hil ' �' L jP'LkJ VIBING AND SIGNS. TELEPHONE - tLE&RIC - GAS Etas. REQUIRED BY LAW 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 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 $4 850 $2,43 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 - $50.50 TRU ION ORT ERFORMANCE 9F CONSTRUCTION. PLAN CHECK FEE TOTALFEE do L 8 $12.63 $65.56 IGNA URE OF ONTRACTORGRA&NORIZEDAGENT (DATI) WHEN PROPERLY VA ATED THIS IS YOUR PERMIT SIGNATURE OF OWNER OF OWNER BUILDERI IDATEi BLDG INSP q TE NEW [ ] ADDN. [� ALTER. [ ] Construction Addre Legal Description: Owner Name & Addre Contractor:_._ Address: -Lfir. LIVING AREA: GARAGE AREA: DECK AREA: on City of Fridley R-1 AND R-2 Building Permit Application Effective 4/1/86 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 1 Length Width Height Length Width Height Length Width Hgt/Ground 0TH -rt41t CL S rt 4- - �-'1 f 23 ��. r 4�`,�o Corner Lot [ ] Inside Lot [ Ft. Yd. Setback _ Side Yard Setback -f Type of Construction: , lc o•-_ Estimated Cost: $ •O° ���`��� ���� h ` ` 7 Approx. Completion Date: ( - Alt. A Sq. Ft. / Sq. Ft. Sq. Ft. Proposed Driveway Width If New Opening Is Desired: $ $ - See Back Page for Explanation DATE: 9 APPLICANT: �� Tel.2 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge CITY USE ONLY $ SO Z Fee Schedule on Reverse Side $ 25% of Building Permit Fee $.� $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ P` Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: I S �' J • ® 4Q s(,J a ® ew 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 Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or -fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $259000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each• additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing. r i CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL ` RATE TOTAL Job Address Furnace Shell and Duct Work, "U.I'y Burner (Also replacement furnace) $ 20.00 $ Department of Buildings. 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. * Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. AI 19'Z�) All Others/Repairs and Alterations OWNER�s%�2s��_ 1% of Value of Appliance or Work $ ' KIND OF BUILDING COMKERCIAL/INDUSTRIAL USED AS 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT �`��J— /eve ESTIMATED COST State Surcharge $ .50 OLD MEF? BUILDING PERMIT NO. PERMIT NO. TOTAL FEE j $ ��C P. S Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Da Date HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. /I / Final Insp. / / —/ ad P �CO e � Trade Name Size No. 7 dA J Z - ®dam Date Capacity Sq. Ft. EDR BTU HP , Approval for Permit Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Company Signed By Tel. No. -rte Fill out back side for stack verification on replacement furnaces CITY OF FRIDLEY APPLICATION FOR HEATING REPLACEMENT. CHIMNEY AND STACK VERIFICATION THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION i. gF����� DATE ✓�/� OWNER�,�� �,���,, ADDRESS The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined t� 2. Is free from rust or deterioration 3. No foreign objects are lodged within 4. That it is securely supported 5. That it meets all current Code requirements for size and total BTU connected 6. Total Heating BTU All Other BTU TOTAL J®tea REMARKS 11� SIGNED 'ff�� License d by Address Telephone HEATING PERMIT # Fridley. City License SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. �AT 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (612) 881=9000 TEST RECORD ADDRESS f V0 T ® e9 f 0,CQ OCCUPANT 0� f S � SOLD BY MAKE 1,P-14 h0 1eIS P e SERIAL NO. 1/ � e°l l INPUT CFH1 C�PERCENT OZ �+ STACK TEMP. 3=20 PERCENT CO 9b —Yl4,p _., NAME OF TESTER FORM 235 (REV. 11/89) - FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY -,CITY CITY THERMOSTAT VAile e d _. ". VALVE LIMIT LIMIT SETTING FAN SETTING PILOT TYPEf raA t c - IGNITION MODEL Y'. PILOT TIMING PRESSURE 19: /lW I ( PERCENT CO2 INPUT CFH1 C�PERCENT OZ �+ STACK TEMP. 3=20 PERCENT CO 9b —Yl4,p _., NAME OF TESTER FORM 235 (REV. 11/89) - FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY -,CITY CITY OWNER INSTALLED BY ���iC�Ik- MODEL INPUT- VENT NPUT VENT SIZE TYPE OF LINER - LINER SIZE FILTERS: SIZE ,Dace 601',4 NUMBER WIRING TEST TAG" LIGHTING INST. DATE TESTED LO -l® and 0 COMPANY TESTING Se J ®f FridleysuBJEcr20797 JPERMcity AT THE TOP OF THE TWINS BUILDING PERMIT jR ECEIPT N _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �""ilk" � �'j 612-571-3450 910-F15 4/30/91 JOB ADDRESS 7540 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 36 3 Melody Nanor 4th Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Howard Rassier 7540 Tempo Terrace NE 784-7493 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pine Ridge Construction 2735 196th.Ave NE, Cedar, MN 55011 434-5888 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 O ALTERATION j1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace rotted wood fascia; reside two gable ends 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,500 $.75 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 STAT OR LOCAL LAW REGULATING CON- $35,00. Fire SC $1,50, STRUCTI PERFOR A F CONSTRUCTION. P CKfEE TOTAL FEE o �%/ q'347-- �--_ . $37.25 SIGNATURE OF CONTRACTOR OR AUTHO Z DAGENT (DATE) WH NPR PE Y ID T D THIS IS YOUR PERMIT LDG INSP �A'E SIGNATURE OF OWNER t IF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] ALTER DQ Construction Address: regal Description: _ Owner Name & Address: Coahtractar: P �c R-1 AND R-2 Building Permit Application fg v Address: 7 3 5 f `� �` �e �+ tN Effective 1/1/91 Attach to this application, a Certificate of Survey of the lot, with the proposed canstruction drawn on it to scale. r F 1 11 1IP1'ION OF II VH�Tt LIME AM: Length Width Height Sq. Ft. GNOM AIM: Length Width Height Sq. Ft. DBM AM: Length Width Hgt/Grou d Sq. Ft. Off: R -e P lair ees, . L E,JS Corner Lot [ ] Inside lot N] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ aD Approx. Completion Date: )tr d!4 7 1991 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page HATE: y- 3 — 9I APPLSCANT rz 1 Tel. # /7l/-5-9 9 9 Permit Fee $ �' C50 Fire Surrlharge $ /,So State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL siz U ATIONS: t. aETY tM QNLY Fee ale on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering i ng Agreemert 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 existirxj building or structure, or for any alteration or repair to any existing building or strt=ture, upon application therefore, require the payment by the applicant for such permit of fees to the amcxmt herein below set forth and in the mw mr herein provided to -wit: $1 to $500 $15 (Minimum Fee is $15 plus surrharge) $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 DPtIVEMY DEPiESSIC K ESCROW (Cmarete Curb Streets Only) Alternate IW : Removal and replaoegnent of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal arra replacement of curb and gutter arra install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 -feet times $15.75. Permits for cmntruction will be issued a min== of 24 hours from the time of application to allow for proper review of the proposed structure and of the canstru&4M site, A Clertificate of Survey of the lot, showing the location of the fanxiaticn once it has it has been omwtrvcted will be required before proceeding with the framing. N SUBJE& PERMIT NO. City of Fridley 3 0294 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT : • COMMUNITY DEVELOPMENT DIV. � r PROTECTIVE INSPECTION SEC 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/27/99 JOB ADDRESS 7540 Te o Terrace NE 1 LEGAL I LOT NO. BLOCK , TRACT OR ADDITION SEE ATTACHED OESCR. 1 11 36 3 I Melody Manor 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Howard Rassier 784-7493 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Const. Inc. 293Z 1 - 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 O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 33 S ear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO 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 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 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 $2884 $1.44 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW FirW STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 j SC $2.88 1 - ' PLAN CHECK FEE TOT FEE yy, C Rz7, y, Licens 5. 2.57 11NATU OF CON' ACTOR OR AUTHORIZED AGENT IDA , EN ROPE Y IDA THIS I BLO So. JF emit SIGNATURE OF OWNEROF OWNER BU0.DERi iDATE. - N A 1. NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY (� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: %`,aU Legal Description: Owner Name & Address: J -OZZ HADD Tel. # 793t 7z/?3 Contractor: X27. _ MN LICENSE # x°703 Address: 3 7 C 7 c% Tel. # 7S3 j Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: da JL .� timated Cost: $3 �� Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ E99 DATE: 4?d-7 1r'7 APPLICANT: Tel. # Permit Fee $ c53,, -,%— Fire Surcharge $ y v° State Surcharge $ SAC Charge $ License Surcharge $ 00 Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ 111) TOTAL $ � S STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] A BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,00 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. N SUBJECT pt,. City of Fridley U12 3 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. may_ r ---••_ r PROTECTIVE INSPECTION SEC ZIA `7/ 1 CITY HALL FRIDLEY 55432 '•j NUMBER REv DATE PAGE Of AOPROVED BY 612-571-3450 910-F15 7/24/00 JOB ADDRESS 7540 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 36 3 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Howard Rassier 7540 Tempo Terrace NE 763-784-7493 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sela Roofing & Remodeling Inc 4100 Excelsior Blvd, St Louis Park, MN 55416 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 952-823-8046 1050 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Retuckpoint chimney from flashing up and replace 10 brick 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,100 SIXTH $.55 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OT ER TATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE P FO ANCE OF CONSTRUCTION $41.80 Fie SC $1.10 PLAN CHECK FEE TOT L FEE ` Lice e SC $ 48.45 SIGNATURE 'RACTORORAUTHORIZED AGENT rDATEr HE ROP VALIDAT THIS IS YOUR PERIJ IT zle r'4 ' Z_� S.GNATURE OF OWNEROF OWNER BUILDERI rDATEr C BL G iNSP gAtE N NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: -7 S' 410 Legal Description: Effective 1/1/2000 (763) 572-3604 Bldg Insp �N Owner Name & Address: We Wq,rcl R5� "9.4/0 %melt rerrl'el. # In- 7f' -l- 7gi-s Contractor: MN LICENSE # 105-0 Address: SELA ROOFING & REMODELING, INC. Tel. # AW 9;-3- 870% ST. LOUIS PARK, MN 55416 Attach tMMANAl ration, 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: 0 a l 8-7Z(01 `L 1��,��. Lz� 47U6 Construction Type: 011 AM -,&Y Wor Yi Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $ _ $ DATE: '7-/2a4`*0 APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ _Fee Schedule on Reverse Side Fire Surcharge $ l .001 of Permit Valuation (1/10th%) State Surcharge $ . 1� �� $.50/$1,000 Valuation SAC Charge $_$1 100 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 $ LO)- L/SJ STIPULATIONS: . . 0 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 10- -wit: TOTAL VALUE $1 to $500 $501 to $2,00& $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. a $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 tunes $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. New Houses Only f l � SuBjECT P City of Fridley 3 312 4 I AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 16 COMMUNITY DEVELOPMENT DIV. � LV r PROTECTIVE INSPECTION SEC. �� NUMBER REV DATE PAGE Oi APPROVED BY _ - "-I CITY HALL FRIDLEY 55432 763-571-3450 1 910-F15 9127/02 JOB ADDRESS 7540 Tempo Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 36 3 Melody Manor 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Howard Rassier 7540 Tempo Terrace NE 763-784-7493 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 651-264-4777 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20130983 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION JO REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK o enin s Replace 3 windows within existing 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Par it OnsPOCHN (Cards Ilia Mailed T 0Me0Wn0r Te POs. 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 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 $4,135 $2.07 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F License $5.00 $12 .46 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE- EN P PER IDATED TKA IS YOUR P MIT S-GNATURE OF OWNERof OWNER BUILDER. IDATEI BLDG ASP BATE f l � NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FANHLY AND DUPLEXES R-1 AND R-2 BUI.DING PERMIT APPLICATION Construction Address:'�ti� Legal Description: Owner Name & Address • �iC�t���_�._ r� �� fl � � °� Tel. #% 1V 449 � Contractor:; �"�Iu AMN LICENSE # ab 1�0� Address: ]� a CA�.rti �eo►d i. wxcS& v�l� m� �s E1� Tel. # ti5t • a(GH - Li Attach to thin application, a. er if cate� of Survey. of- the lot, with the :proposed constructioin drawn- on it to scale. DESCR1 iON'6F E-ROVENIENT M . LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: :2, r r. ^d n.. -VCL ► .' k -W n r n rc • c �-: a„ itn A Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ Ft k $_ _ $ � � M � a 011 Tel. #_ cl5a •3�LS • (poy CITY USE ONLY Permit Fee $ �1 . �� Fee Schedule on Reverse Side Fire Surcharge $ L01A .001 of Permit Valuation (1/10th%) State Surcharge $ • ® $.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: 9 J CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ?64D RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work In strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) _ `—�� -- -- Gas Piping (Needed with new furnace) $10.00 $ _ —'�-196 � OWNER SSI Gas Range $10.00 $ BUILDING USED AS110)611;0 Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO. �J *Air Conditioning — All Sizes $ 25.00 $ a5 10 DESCRIETlQN OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge x.50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE f—. MINIMUM FEE FOR ANY HEATING]WOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr BLAINE HTM AIC & ELECT. INC. HEATING COMPANY 13562 CW MN 5x5304 Si , d By Tel No. -715 AM Final Date '1-0— lel Approved By Rough—In Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE"FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHEMMY 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 TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 FAX: (763)571-1237 ADDRESS : 7540 TEMPO TER NE PIN : 113024120035 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 36 BLOCK 3 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT 1!T0.: 2004-00341 DATE ISSUED: 03/16/2004 VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL GAS WATER HEATER # ELEC WATER HEATERS # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT GAVIC & SONS PLUMBING 12725 NIGHTINGALE ST COON RAPIDS, MN 55448- (763)755-6468 RASSIER HOWARD F & ALICE M 0 7540 TEMPO TERR NE FRIDLEY, MN 55432 0 VALUE OF FIXTURE/APPLIANCE 629 0 # GAS WATER HEATERS 1 0 # GAS RANGES 0 0 # WATER TRMT APPLIANCES 0 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 wort 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. Annlir.AmL n Date Bldg PLBG PERMIT MINIMUM FEE 20.00 PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) 0.00 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS 0.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 10455 SEPAKA I E PLKMI IN KEIT U IKEIJ P UK W UKlt V 1 ri bx MAIN 1Jr N-Mrir ll Anv v r,. TY OF FRIDLEY INSPECTION DIV. 31 University Ave NE dley, MN 55432 33) 572-3604, FAX (763) 571-1287 m 1 4-4 /1-A Y7 111, Effective On Jan 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 160 oku MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR • - ` s`4{ • `• i f c '$? :1:•{=.+iY.}uajt v fa• 'er Dispenser l.`:'ii �. Floor {{��,,�� . t `' {•I �:a Aut®. l L '.r. - G f Vas ¢ .ii• . $ A wateri"seat8r Stories f •'•.: M �'e€:`•S ;f Urinal •v fe,#?t :; Shower i>c_: Tra l `+o•:.<. Drain �` `Wash .. � ' _ R e X X. r� vi Gas Elec Basement i; ` ;ii323: ,:�:i„r r+::...�-- ' •rvJ :� r.: +>�r:• '".^i: r,N�.. ack Flow Preventer Required ( )Yes () No .i-..rf:+: ° .��.';::.:::: -: ziA r-.:.:&a:� '�vd :'7:'tu: t 'i: :„„�.us�?r as sx::?.�< ::j_•,+`�.�+`�`�•.a{ ' Sid%.•:: • �;<:.: �; t:;:-rti:,,. ;�v.'k:';,':$:: �� >w >�;�-3,:x��^ C •': �M�'+�.Ni. ►/ Floor 1.L"�\ v+:.vY+:t-j, .�'•:S'::}�::'f:. . • t :i �L. •:Yx.:::.;� �-0'^f.:•:-:.ryY •-'l`-`4-'�'=:ts; 2 ui LL State Surcharge .5Q -.;t:i..+.:.:;'`:=: if'`. ' -.Si•xFloor ..� .�.a.•:i - i:• ..s'--Y'�-'''i-,' : ::�:l:E:;=s.: . ta' .i'£i`:ir> Floor 3 Floor o _lJMBING FIXTURE RATES: NO. RATE TOTAL ?w Fixtures $ 7.00 A Opening, New Fixture $ 4.00 'er Dispenser $ 5.00 ow Off Basin $ 7.00 atch Basin $ 7.00 ain Water Leader $ 7.00 U- imp/Receiving Tank $ 7.00 o rater Treating Appliance $10.00 tater Heater -Electric $ 7.00 tater Heater - Gas” 1 $10.00 . dv as Range" $10.00 as Dryer" $1000 ack Flow Preventer Required ( )Yes () No Type $15.00 -einspection Fee $47.001Hr -LL OTHERS ANDIOR REPAIRS AND ALTERATIONS 1.5% of Valu® of Fixture or Appliance ui LL State Surcharge .5Q TOTAL FELE $-2L. SO 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 aN the facts and representations stated in this application are true and correct. .2004'1� 0i[fi / L� Building Used As_ bW ej11 A -h Estimated Cost g%40d-y PERMIT NO. PLUMBING COMPANY ra.t/!L Gln cl /LS 1 kj2jhi * SIGNED BY TEL ND. 7 ;-ss-6 la Approved By Rough -in Date Final Daae �6 v f%f%#kA®11G`TV1A1 A10 eUA9 1 ®G D0^%AnCr% DCD 1111AP QW'%TW'%K1 gf%AIA% AK1r% TALI C A -A rf)UU u %/=1T 1K11:n nN RA(_K Clnl= CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 571-36U4 VAX: (763) 571-1257 ADDRESS : 7540 TEMPO TER NE PIN : 113024120035 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 36 BLOCK 3 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMITO.: 2004-00626 DATE ISSUED: 05/03/2004 VALUATION $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A INSTALL IRRIGATION BACK FLOW PREVENTER # ELEC WATER HEATERS # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT PLUMBING SERVICE CENTER 2201 207 LANE NE BLAINE, MN 55449 - OWNER HOWARD F & ALICE M, RASSIER 7540 TEMPO TERR NE FRIDLEY, MN 55432 0 VALUE OF FIXTURE/APPLIANCE 0 0 # GAS WATER HEATERS 0 0 # GAS RANGES 0 0 # WATER TRMT APPLIANCES 0 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 worl 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 conWuction or the performance of construction. Bldg Ihsp PLBG PERMIT MINIMUM FEE 15.00 PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) 0.00 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS 0.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 15.50 a�rtucH 1 rr,1UVJa 131s'nyU H--n1j r vn w urus- v i rmw 1 ru-uv CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_ t rA IP • yrr New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Catch Basin $10.00 Rain Water Leader $10.00 �y DATE: _,20 / Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 f OWNER !� l� 1-cl a 5 3 1 Q lT Water Heater -Electric $35.00 e Water Heater - Gas** $35.00 BUILDING USED AS 1 , e/ cM Gas Range** $10.00 Gas Dryer** $10.00 ESTIMATED COST PERMIT NO. Back Flow Preventerr Required ( )Yes () No Type W 4 k n � 7-1 /)—A $15.00 g �1 PLUMBING COMPANY 1A VN G SY,% yL Reinspection Fee $50.00/Hr SIGNED BY s C,y r ®I �'s �' D �r�. TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance a Approved By Rough -In Date Final Date State Surcharge $ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE 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 () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it 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-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 VAX: (763):571-1237 ADDRESS : 7540 TEMPO TER NE PIN : 113024120035 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 36 BLOCK 3 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-02003 O 5 ,5, DATE ISSUED: 10/27/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE .WIRE APPLIANCES. # INSPECTIONS 2 # 0-100 AMP CIRCUITS 5 APPLICANT CITY VIEW ELECTRIC INC 1145 SNELLING AVE N ST PAUL, MN 55108 - HOWARD F & ALICE M, RASSIER 7540 TEMPO TERR 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 wort 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 Bldg Insp Date STATE SURCHARGE, ELEC FLAT 0.50 ELEC CIRCUIT FEE (0-100 AMPS) 0.00 ELEC PERMIT FEE - MIN (RESI) 40.00 TOTAL 40.50 PAID WITH CHECK # 24757 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY. MN 55432 572-3604 FAX: ADDRESS : 7540 TEMPO TER NE PIN : 113024120035 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 36 BLOCK 3 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FEE SHORTAGE VALUATION ENTER FEE AMOUNT 20 APPLICANT CITY VIEW ELECTRIC INC 1145 SNELLING AVE N ST PAUL, MN 55108 - OWNER HOWARD F & ALICE M, RASSIER 7540 TEMPO TERR 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. 571-1287 PERMIT NO.: 2004-02298 DATE ISSUED: 12/17/2004 FEE SHORTAGE AMOUNT TOTAL PAID WITH CHECK # 24910 0 Bldg Insp DateU &) I SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 20.00 20.00 ORDEF) FOR PAYMENT NO. ,2- 0c0 q — 0 g C)a:3 Installer of Wiring 1l; �` I �''1S Job Property Address Zip 6-5-? 3 Z Date /JZ-/©- ®'� Permit No. -� ��'� Pa I Date Fled G-`% ❑ Additional rough -in Inspection was required. ❑ No access - scheduled Inspection. shortage - see computation. ❑ Reinspection fee. Fee Computation: t- � to-vz.0 y � d 5's y3a 7 � Please return this order with your check in the amount of payable to the city/ township by (date)-� 2.-- i a -f C cel Inspector _��-e>= Telephone 6,56-2 2 7- ZrI RETURN THIS ORDER WITH PAYMENT TO THE CITYITOWNSHIP WHERE THE JOB IS LOCATED. RC -02 ter. Building MECHANICAL Permit NO.:3%16/Inspections RESIDENTIAL APPLICATION Received B 7.63-572-3604CITY OF FRIDLEY Date Rec'd: DATE Ad"� YOUR E-MAIL ADDRESS SITE ADDRESS G THIS APPLICANT IS. 0 OWNER ONTRACTOR PROPERTY Nom: OWNER/ ADDRESS: �/3 CITY ► STA IPS TENANT PHONE: CONTRACTOR COMPANY NAME: 5huat Inc. NLS'i. g l SUBMIT A COPY OF CONTACT PERSON: 6290 Maio I .,ft. A He YOUR STATE STATE LICENSE # STATE ZIP LICENSE WITH ADDRESS: ITi' APPLICATION -2199FA_xFaac (763) 754-2905 PHONE )OGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE ,TYPE PERMIT 0 NEW 0 REPLACEMENT TERATION/REMODEL TYPE OF WORK: DETAILED 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 fixtures. ('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 $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODE A e SIZE/BTU Equipment Installed MFG: 1�%S%I l� S SIZEBTU MFG: MODEL: SIZE/BTU tJ MFG: MODEL: A/C $25.00 FIREPLACE (GAS) $15.00. GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER S 1 —FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 _GAO UNEP HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 FOOL HEATER $35.00 DUCT WORK $10.00 -GAS PIPING $10.00 VENTILATOR $15.00 '...�� Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 = x $15.00 = $ /5:0 TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $_ 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. l SIGNATURE OF APPLICANT �� PST NAME _& �� DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 f REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propano7GC 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 8 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 Building \ MECHANICAL PermitNo.: a\kq\-I Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat Rec'd: DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER jFCONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: 7 CITY !"< STATWMIP TENANT ��y 2 PHONE:_(D-> -'2 - T`7.7 CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN 7INKEN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BITY ''CO0Ni RAPIDS sTATEMN ZIPS 5433 APPLICATION PHONE 763 - 757 -- 6202 FAX 763--757--6701 PERMIT TYPE INGLE FAMILY El TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: [3 NEW PLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �. v PER MS 1613.665 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 fixtures. (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 PROJECT'S WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FDL'TURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)p L �,�AA•Y_+r e � 0 - � "I *?- Equipment Installed MFG: i r- MODEL:'S0 �.1'�' SIZE/BTU (' MFG: rr fir- MODEL: SIZEBTU MFG: MODEL:SIZE/BTU1A/C $25.00 _FIREPLACE (GAS) $15.00 ' GAS RANGEIOVEN $10.00 TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL, $10.00 `AIR $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $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 = $ 5 .C5 Number of fixtures @ $35.00 r x$35.00=$ � 08 State Surcharge = $ .50 Total = $ -eo6. W 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 all work which requires review and approval of plans. � ! SIGNATURE OF APPLICANT � Cof °R�TT NAME ROGER HOFFI3E IN DATE F-2- �.N It Q City of Fridley Building Inspections' Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC 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 8 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. ALL FEES ARE BASED ON VALUA'1'1UN, 1NULUOUNU 1 HL I:UA i Ur J AD"A Alrll mp► i n L%A^X'0: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUA'F10A i 1 11 L` Permit Fee Building See Back Page for Fee Schedule BUILDING Permit No.: Inspections Fire Surcharge RESIDENTIAL APPLICATION Received BA�.6 763-572-3604 $ CITY OF FRIDLEY��e�'�00 License Surcharge 763-502-4977 FAX $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 1-1-08 10 ft + 6 ft = 1(o ft x $21 = $ DATE YOUR E-MAIL ADDRESS SITE ADDRESS Park Fee $ Fee Determined by Engineering THIS APPLICANT 15: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME. ;� ��E41JL1erz m 4 e--r�-- TENANT ADDRESS: E.� �, CITY !"Y'1F �1 STATE_hUZIP Make cheeks payable to: City of Fridley Attach Stipulations PHONE: 763— J NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE RrSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS DATE !!1d ' ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ..� ❑ SWIMMING POOL TYPE OF WORK: ❑NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: ' FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 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 VALUA'1'1UN, 1NULUOUNU 1 HL I:UA i Ur J AD"A Alrll mp► i n L%A^X'0: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUA'F10A i 1 11 L` Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ 10 ft + 6 ft = 1(o ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make cheeks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE APPROVED BY DATE !!1d ' I Uffi 1 [�F Ua ..� 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 1St $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1St $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 1St $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1St $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 1St $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 1St $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 Building $ Cl 71 9LI5 BUILDING Plan Review Permit No4�'r Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ �� , Date Rec'd: 763-502-4977 FAX $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ EFFECTIVE 1-1-08 $ WM APP A 2006 DATE U 6 05109 YOUR E-MAIL ADDRESS 2VV W(+% Uva to") p,,CC VA0 . CO(lOrl SITE ADDRESS —] 6�0 0 7 e r(r (_ $Agreement THIS APPLICANT IS: ❑ OWNER V V'C' ONTRACTOR Total Due PROPERTY OWNER/ NAME: 7 t ' ADDRESS: - i S-Lj o l e✓h L®�_ O V erc.• Ce CITY rnlleSTATE—ZIP— TATEZIPPHONE: TENANT PHONE: NAME: 1 ✓ C CONTRACTOR ADDRESS: (ATI'L,,)virn l e 4w S (0) CITY i ' ' I We I STATi %/.V ZIP 5✓ fol S SUBMIT A COPY OF PHONE 6aQ - i 1 ' FAX & I ,�, - -7cJf' " 0 3 8 YOUR STATE LICENSE STATE LICENSE #� 6 �i EXP DATE �� d PROPERTY TYPESINGLE FAMILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH 0 ROOF ❑ DRAIN TILE .Jl DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR • REMODELING 1 DESCRIBE WORK BEING DONE: C' /SR✓� CGIC X11 oet--� (2 L !R -c SIZE OF IMPROVEMENT LENGTH a WIDTH HEIGHT o SQ FT,;,>3, ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE t. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used, PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 0 l . Site Plan/Survey showing the existing structures 0 Aluminum Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo 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: TOTAL JOB VALUATION $ F060 ,oe N NRIN� -199 UBC FEE SCHEDULE) OCCUPANCY TYPE Permit Fee $ Cl 71 9LI5 See Back Page for Fee Schedule Plan Review $ , '� 65% of Building Permit Fee Fire Surcharge $ , .001 times the total job valuation Surcharge $ 1 E .0005 x Permit Valuation Minimum $.50 License Surcharge $ �� , $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $Agreement necessary ( ) Non Necessary ( ) Total Due $ o P ) Make checks payable to: City of Fridley Attach Stipulations 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 acco*nce with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT%Cn PRINT NAME al, ted D/ . Z- DATE ®Y APPROVED BY DATE 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 I" $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $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 Is` $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 %63 57d- 3603 - OC4v �rdTOP �fJ�Flf� } i ' 4040014.111 U" r t L 0 r F r - ' man ` ` t i 114 dt 1�{M�rR�1lblladr�5'., {I 1 tttY 1*14 . r y rj L F 4 . . � Iii - � 'k} 2 1 fi t U g h 30. ...- �i w > Y ��Y � I r• Wal a K ` is 14. Sao W'44' 4-, Td l=fid o:2r0 &30F •.idti IN 2� � w _ n '/ a� IN 2� � w _ • N IMINi, OQ -� 0. .. Building AND MATERIALS: BUILDING (USING THE 1997 U.B.0 FEE SCHEDULE) Permit No.: Inspections oz;�De C -f) OCCUPANCY TYPE RESIDENTIAL APPLICATION $ Received By: 763-572-3604 $ 65% of Building Permit Fee Fire Surcharge $ / (_�C) .001 times the total job valuation CITY OF FRIDLEY $ Date 1 763-502-4977 FAX $�� ,; $5.00 (State Licensed Residential Contractors) SAC Charge ° $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 1-1-2010 ft + 6 ft = ft x $24 = $ T Erosion Control DATE YOUR E-MAIL ADDRESS Park Fee SITE ADDRESS Fee Determined by Engineering Sewer Main Charge THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR Total Due PROPERTY OWNER/ NAME: TENANTADDRESS: rIS fl 1 CITY STATE ZIP PHONE: CONTRACTOR NAME: '! IF tr1A- }{�IJU G SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE D �— AND CERTIFICATE OF (� ADDRESS: ��(o l S �✓-sT e CITY 9e_ STATE/10J ZIPS,S—DaS— INSURANCE PHONE Z a�N ® -- a: 7 FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: 5 Ear SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING O HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 11 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: SIDIIVG FOR NEW CONSTRUCTION INCLUDING DECKS, El 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 ONo LOCATION OF WINDOWS FOR WINDOWS – PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: y` (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ oz;�De C -f) OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ / (_�C) .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $�� ,; $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ T Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary( ) Non Necessary ( ) Total Due $ Make checks savable to: Citv of Fridlev Attach Stipulations 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 wh' h re--4-4_-eview and approval of plans. SIGNATURE OF APPLICANT PRINT NAME l C 1 " k, _ _ DATE_ _l o Page 2 - Building Residential Application BUILDING PERNHT 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 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for I' $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 V $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1' $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 V $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 G ��CIA Building Inspections 763-572-3604 763-502-4977 FAX DATE /0- -5--/0 SITE ADDRESS _, THIS APPLICANT IS PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 7-1-2010 YOUR E-MAIL ADDRESS 0 ADDRESS: CITY PHONE: STATE LICENSE #, STATE BOND # ADDRESS: Z /V 1 2 / CITY 0'& PHONE W ?- %3 ,OSS FAX 6VJ SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: I O NEW REPLACEMENT PermitD.l Received By: TE ZIP EXP DATE / Z 3/- 2l® EXP DATE Z ' �/ r Z iO I/ STATSo'b_ZIP dC/ _fI 'S - DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. _ BATH SINK/LAV &' FLOOR DRAINS WATER PIPING —BATHTUB _ GAS PIPING (NEED CITY LIC) —SHOWER _ SWIMMING POOL _ _ WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK_ WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) _ FOR IRRIGATION WATER METER —OTHER THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and 1 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 o w ich requires review and approW of plan SIGNATURE OF APPLICANT PRINT NAME f�i �� (�8'h DATE /c% --<-14> APPROVAL INSPECTORS SIGNATU City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977