PRE 2010 DOCSCity of Fridley, Nffimm
BUILDING PERMIT
Date: APRIL 26, 1966
Address
N° 8789
Builder HOMEDALE BUILDERS
Address 3017 Lyndale Avenue South
Minneapolis, Minnesota
LOCATION OF BUILDING
No 7545 Street TEMPO TERRACE Part of Lot
Lot 5 Block 4 Addition or Sub -Division MELODY MANOR, 4TH ADDITION
Corner Lot _ Inside Lot r. X Setback 35 . Sideyard 5 11
Sewer Elevation ____ 883.60 Foundation Elevation 886.60
DESCRIPTION OF BUILDING
To be Used as:
HOUSE Front 46 Depth 24/28 Height 20 Sq. Ft. 1,152 Cu. Ft. 23,040
GARAGE Front 20 Depth 24 Leight 10 Sq. Ft. 480 Cu. n 4.800
Type of Construction —Ma Est. Cost _ $181,500 .___ To be Completed
SEWER - 100' East of Manhole
WATER - 10' East of Sewer
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the prolwsed work in accordance with the description above set forth and in compliance with a& provisions of
ordiPwro sof the city of Fridley. a / "/ A o� ® %
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS ADDRESS
LOCATION OF BUILDING
NO, STREE PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT L% SETBACK SIDE Y 3
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 -4V Heights C�
Sq. Ft..— Cu. Ft. 2 3 7
oe-Front Depth HeightAp
Sq. Ft. Cu. Ft.�
Type of Construction, Estimated Cost ®�
To be completed S.,
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE SIGNATURE
(Sch dule 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 orgrain 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 of any non -fireproof
building, other than a garage, warehouse, factory or grain elevator, or
any non -fireproof addition, for similar. ocrupancy, to any existing building
permit $1.00 for each one thousand cubic feet.
GARAGES
2.4. For any such permit for the erection of any non -fireproof garage,
warehouse, factory or grain elevator, ot'fo':t` 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 unifoft'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 Dol -lairs ($500.00) or fraction
thereof in the cost of all proposed work.
2.6. In no case shall the fee charged for any permit as set forth in
Section 2 be less than $4.00.
STORM REPAIR DAMAGE FHES;
Residential; Estimated Cost of work up to $500.00 - $5.00
Estimated Cost of work,over,$:00.00 - $a0.00
Commercial; Estimated -,*t of work up to '$560�00 - $1 I
Estimates. istzof •work;.over $501:00 -'$2L t` `
Application for Power Plants and Heating. 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 $
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x $1.50 $ ts`�
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
Loca3ione�a
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, Minn
Owner
Kind of Building
Used as _ /126 "Al
To be completed about
F
Estimated Cost, $ �✓ '
Old N'Building Permit No. Permit Nom
DESCRIPTION OF WORK
HEATING or POWER PLANTS Steam, Hot Water, Warm Air—No
Trade Name'�✓�'�j4�)/� Size No.d®�
Capacity. Sq. Ft. E.D.R BTU H.P.
Total Connected Load- Kind of Fuel W 14�
BURNER — Trade Name Size No
Capacity Sq. Ft. EM.R I BTU H.P.
(REMARKS—OVER)
RAY N. WELTER HEATING C®.
Signed 46-47 CHICAGO AVE
By MINNEAPOLIS 7. MINNESOTA
<Z Business Phone No
origmal
PERMIT for Power Plants and Heating, Cool-
ing, Ventilation, Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of Heating Plants to be installed—altered—repaired
Make® 'sem ,Size A5 Td--, ;
Oil fired ; Coal fired ; Gas fired_., 2 ; Gas Authorization No.
Remarks
Approved
Final Inspection Date , 19._
Inspector
4&,p6i 11-171,o7-3
Permit N° 4523
Fee
Office of the Inspector of Buildings
City of Fridley
City of Frimley, Minn. , 19-
Owner Z,&
Location �%��
Kind of Building
9
How Occupied
Work to be Commenced—, 19—
To be Completed—, 19—
Estimated Cost,
Old -New, Building Permit No.
Permission is hereby granted toL 7' `– Ak-g -s` to install----erect—use the material and devices described in the
above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, ancf to the specifications set forth in the approved application for this
permit on file in the office of the Inspector of Buildings.
Inspector of Buildings
42 aM 11-67 v
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
Effective On January 1, 1993
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
OB ADDRESS ')&-19
The undersigned hereby makes application for a permit for the work herein
Residential
Furnace Shell and Duct Work, Sumer -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/industrial
I% of Value of Appliance or Work
Rate TOTAL
$ 20.00
$
$10.00
$
$10.00
$
$ 10.00
$
State Surcharge
TOTAL FEE
REFRIGERATIONIAIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
specified agreeing to do all work in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
.1996-
OWNER
26-
OWNERi _Ax- a
BUILDING USED AS _RJz_1
ESTIMATED COST 9770 0,D PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name
BTU HP
Size No.
_ EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
6TANDM0
KUT9NG AND AIR CONDITIONING CO.
410 WEST LAKE STREET
HEATING COMPA M 61EAPauS,MN Daae -2998
Signed By
Approved �YAd
Tel No.
Rough -in Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
NOTE:
#'1 through #8 required when using a side vent
furnace.
CHIMNEY AND STACK VERIFICATION
_
The undersigned hereby verifies that the existing. chimney or stack:
1.
Has been carefully examined
Yes ()
No
( )
2.
Is free from rust or deterioration
Yes ()
No
( }
3.
Has no foreign objects lodged within
Yes ()
No
( }
4.
Is securely supported
Yes ()
No
( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes(
No
( )
6
Has total heating BTU's of
All other BTU's
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:
HEATING CO:
Signed By:
Date:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
t63) 572-3604 FAX: (763) 571-1287
ADDRESS 7545 TEMPO TER NE
PIN 113024110044
LEGAL DESC MELODY MANOR 4TH ADD
LOT 5 BLOCK 4
PERMIT TYPE BUILDING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE WINDOW/DOOR REPL
PERMIT N .: 1004-00044 >
DATE ISSUED: 01/15/2004
VALUATION : $ 10,290.00
NOTE: 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 WHEN ADDTIONS, ALTERATIONS OR REPAIRS IN EXCESS
OF $1,000 ARE MADE TO RESIDENTIAL DWELLINGS.
CAULK AND FLASH ALL EXTERIOR OPENINGS.
RESIDE HOUSE & GARAGE; REPLACE 9 WINDOWS WITHIN EXISTING OPENINGS
IS APPLICANT A CONTRACTOR? 1
APPLICANT
NORLING EXTERIORS INC (20098700)
34179 WAY NE
FRIDLEY, MN 55432
(763)784-8936
IIATAIZIMII
GRIFFITH VINCENT A & TERESA A
7545 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 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 cotruction or the performance of construction.
A;5, ica-,*, , T Date
BUILDING PERMIT FEE
195.25
FIRE SURCHARGE
10.29
STATE SURCHARGE, VALUE
5.15
LICENSE SURCHARGE
5.00
TOTAL
215.69
PAID WITH CHECK # 6583
Bldg Dist 1l7
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [ ] CITY OF FRIDLEY Effective 1/1/2004
ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: -7 SSBI 1 e, -n ]oa Te_,, r �Ce
Legal Description:
Owner Name & Address: W _n CE-
Cnntraetnr t&(111 nh IE X ^ 1CX' S
Tel. #
MN LICENSE # aOO9 7 %60
Address: 341 7 7123 We Tel.#?S`I'���
LIVING AREA: Length
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Length Width Height Sq. Ft.
Width Hgt/Ground
-5i (:�z �yyS2 c�o.r�
t po I` ��e-f
Sq. Ft.
Construction Type: Estimated Cost: $ 1(-). a
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: i I o APPLICANT:"ZLL !�' l �^�� Tel. # � /2!
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
TOTAL $ ` ��` 6
STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$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
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate.
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.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Only
Building
BUILDING
OCCUPANCY TYPE
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Fire Surcharge
e
763-502-497{7 FAX
Surcharge
$ 6 l'
.0005 x Permit Valuation Minimum $.50
License Surcharge
EFFECTIVE 1-1-2010
$5.00 (State Licensed Residential Contractors)
SAC Charge
y
DATE ® 1 ! 2- o '1 YOUR E-MAIL ADDRESS
$2100 per SAC Unit (Plans to MWCC for determination)
SITE ADDRESS 4 S :V1 `'p o C r ✓l
$
—V
THIS APPLICANT IS: OWNER ❑CONTRACTOR
Erosion Control
PROPERTY OWNER/
NAME:yl QC_+=
Park Fee
TENANT
ADDRESS -1 � Ci S T'EWIP C TErV' CITY "
YJ ZIP 3Z
S4
$
-"S::`
PHONE: -1-Va-'5t'S�
�STATEi�
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
AND CERTIFICATE OF
ADDRESS:
CITY STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION❑� ARAGEISHED ❑ WINDOWS
El BASEMENT FINISH .PROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
14-MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT SQ FT
ROOFING Q HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE
3.. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl ❑soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
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:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $
OCCUPANCY TYPE
Permit Fee
$ I � e;
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$ 6 l'
.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 = $
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 acc rdance with the
approved plan in the case ofallwork which require eview and approval of pl Is.
SIGNATURE OF APPLICANT �// 1 PRINT NAME QI: "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 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 1' $50,000 plus $7 for each additional $1,000 or fraction to and
including $100,000
$100,001 to $500,000
$993.75 for 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