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PRE 2010 DOCSCity ®f Fridley, BUILDING PERMIT Date: — Jan. 16, 1968 Owner: Homedale Blders Builder Address 5217 Wayzata Blvd. Address Same Same X. 9595 7548 LOCATION OF BUILDING No..— Street Tempo Terrace part of Lot Lot 40 _ Block 3 Addition or Sub -Division _ Melody Manor 4th Corner Lot — Inside Lot —. x Setback 35' _ Sideyard -- Sewer Elevation ____ 885.26 888.26 Top of Footing DESCRIPTION OF BUILDING To be Used as: pwelling Front 46Depth 24128 Height 20' Sq. Ft. 1152 cu, Ft, 23040 Garage Front 19' Depth W 24 Height 10' Sq Ft. 456 Cu. Ft. 4560 Type of Construction Framefit. Cost_ $18, 000 To be Completed SEWER LOCATION - 93' Sough of Manhole WATER LOCATION - 81' South of Manhole In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above se forth and in compliance with 21 provisions of ordinances of the city of Fridley. / � r/ be, -, /7 -iuu.uu Sewer vonnecrion unar e In consideration of the payment of a fee of $ 41.00 , permit is hereby granted to Homedale B e 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,�ny time up tion f any fof the provisions of said ordinances. ff 11 Official Building Jan NOTICE: This permit does not cover the comstruatioe, hn elldlen for wiring, plumbing, gas boating, sewer or water. Be ams to we the Building Inspector for separate pormits for these items. APr3JCMfiCX.,1 .FOa BUILDING .n_r 7_ aT CITY OF NX -N iESOTA OWNER'S NAME— - - . _ B`_%.Y-DER ADDRESS ADDF,ESs LOCATION Or BUILDIING 110 0�� M57'E APART OF LOT u LOT P BLOCK �5r ADDITION OR SUBDIVISIO CORINER LOT INSIDE LOT SETBACK _SIDE -YARD Z D 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_ Depth1 Height Sq. Ft. 3 _ Cu. Ft. Frontes Depth Height �✓ Cu. Ft.— �J" Co 0 Type of Constructions Estimated Cost To Be Completed The undersigned Aereby 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 r2 (Schedule of Fee Costs can be found on the Reverse Side). f,� BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of structure, or for any addition to any existing buildin- 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- $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.50 for each one thousand cubic feet. For the purpose of computing fees',for building permits, the cubical contents of any building or addition to a uniform height throughout by multipluing 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. 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. NSSSD Connection Charges based on location- Area 1 or 2. . 2 1 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 ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ $ Repairs & Alterations—up to $500.00 .................. 6.00 $ GAS FITTING FEES: Repairs & Alterations each add. $500.00 ............... 3.00 $ $ NECK. WARM AIR x .75 $ , Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ VENTILATING SYSTEM Replacement of Furnace ............................. 6.00 $ TOTAL FEE Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ... .................. 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal, per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL (REMARKS- Dept. of Bldgs. Phone 560-3450 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true d correct. Fridley, AMnn Owner Kind of Building A;� �kf— Used as To be cc Estimated Cost, $��` Old a uilding Permit No. 6 Permit No. to DESCRIPTION OF WORK BEATING or PO PLANTS—Steam, Hot Water, No Trade Name Size No_ Capacity Sq. It. E.D.R .4-1 BTU ,� H.P. Total Connected Load Ail V, Z Kind of Fuel �B/� -9 BURNER — Trade Nam94/1 �� Size No. ,yc✓'l� Capacity Sq. Ft. E.D.R BTU H.P. RAY t4' WELTER HEATING CO. Signed 37 GH1,CAQ;2Q AUEL ax Business Phone No�G •� t9 City of Fridley ®r �/' Application for Planmbing and Gas Fitting Permit Dept. of Bldgs. Phone SM -34500 DESCRIPTION OF WORK !� Number, Kind and Location of Fixtures Location G7 NO. RATE TOTAL Number Fixtures ....... .............. x $2.00 $ Future Fixture Opening ................ x $1.50 Y New Fixture Old Opening .............. Z Z Q�_ w ox x $3.25 w 0 ? z �p • R • N WATER HTR. GAS ELEC. Base a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $200 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 2nd 3rd 4th City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Owner Kind of • Future Connection OpeningsI 6,onn®uxea wuu Sewer New Fixture, Old Openings El Used as Cesspool F1 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 a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $200 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE Tobec Estimate Old—Ne ROUGH FINAL Business Phone No ;? v � 3":�L– HOUSE HEATING TEST RECORD ' ADDRESS ZS_z a ''QA�APT.OR--�►—Ci OCCUPANT OWNER gfti f (�- HEAT LOSS DATE HTG. INST. GAS CO. METER BAD SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FAHW STEAM SPACE HTR. UNIT HTR. OTHER GAc-^ESI .. CONVERSION MAKE MAKE OF BURNER Model -,*P/.< Model SerialeX" 40? Max. BTU Rating INPUT MAKE OF FURNACE THERMOSTATHea#'Plug Valve CONTROLS Limit Limit Setting Fan Setting Pilot Type Pilot Make 1646 'Pilot Model 17, Pilot Timing A746a"4.01 Model Vent Size KIND OF LINER ZE NONE Draft Hood Regularor Filters Size Number Chimney Location Inside Outside Chimney Construction Smoke Bomb Wiring ®�• Draft or e" Test Tag L.W. Cut Off o Pressure Lighting Inst. _?Pressure / P e C /�1 ' Date Tested " �' Input CFH ! Fp&FCednpony Testing Stack Temp. Percent' CO C1 a Name of Tester Form 235 52-84-5915.51 City of Fridley Application for Plumbing and C"s Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 75.8 Tempo Teri" Number, Kind and Location of Fixtures Location y 0i y' X $1.50 $ i/i $ 3� Y DOLL x $3.00 �c 6 Z U O W < �� 3W �d aa' ? �O F N WATER HTR. GAS ELEC. Base x $5.00 Ist 1 2nd 3rd 4th ° Future Connection Openings I e New Fixture, Old Openings I 1 Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... .................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x $2.00 $ X $1.50 $ x $1.50 $ x $3.25 $ x $3.00 $ x $3.25 $ a $2.00 $ NO. RATE TOTAL x $2.00 $— x $ .75 x$.75 $ z�;r 5, 30 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 fact and representations stated in this application are true and correct. 4-10-68 Fridley, NGnn. Owner Homed.ale Bldrs Kind of Building frame Used as res To be completed about 4-15-68 Estimated Cost, $ Old—New. Building Permit No Permi o. Ze o By Business Phone No ROUGH FINAL Description ................................................$ TOTAL FEE AED.42 19— ' 53-81`-979001 Future Fixture Opening . • • • • • • • • • • ------ ci�y�+ iGl few Fixture Old Opening.....:.... Appli-c5i1011 for P;Urts • Water Ifeater 'L'p to 99.000 BTU) • • • • .-------- ,,;,,,._,,l -_..,.._. ' New Ground Run Old Bldg....:..: • Dopt. o1 Bldgs. Phono SM -U50 S._---- DESCBMTIOif 0: V1OrM 1st3Fixtures ••••••••••••'••"• LOCI Uoa. SZ�$ TnMj�o Tr�wr nn — S . NuasS.-.and L,,crtica o1 Fixtures. S Gas Fts: it to 1:�,OGO BTU ........... __-_ __ `— x $5.00 5---- City o1 Fridley:. _ Z r . �"It �t ' • ii.0i 8 �� K o < u 7 < r z 7 $ e e r ►+ wAita ►+T�1. res net. The undersigned hereby makes appllcation for a permit to the work her, do In strict accord ar:ce with the Cir O:-dir.:;;. M a iu specified, a� ee:ng to cl1 work hereby declares that all the to N ii '1 and ruling of the D~:pa:tment of Build.'ag~, and $3:r I and r`presertations stated '_a :.':is application are true and correct' I:: I �ina Al p of hay orM '-17-76 19- '%idley, an 2 n —"" Owner �m A 3_d Kind of Building fr3mQ • FL':'.::0 CG�K•.iC, C7:.cir_�• Ger ::::s.d with scvarr�S ❑ Used as t ?lair Fi::turo. Old Ctrs^..:.^.ss Cc=pcol ❑ 5-24-7( _ _®.--.---- To be co pleted about PARTIAL RATE SCHEDULE LL^• MIG rjXTU?E RATES: Nurr•ber Fixtures .... ..••••••••••-----xS'G0. H0. RATE TOTAL S Future Fixture Opening . • • • • • • • • • • ------ x $1.50 S , -• few Fixture Old Opening.....:.... Catch Basin .................... -- x $3.25 $ Water Ifeater 'L'p to 99.000 BTU) • • • • .-------- x $3.00 S ' New Ground Run Old Bldg....:..: • - — x :1.25 S._---- E:Ktec Yiatar HOStAr• • • • • :. • • • • . • . f1.S :ITTI4G FEES: -2 $2.0 NO. Fi+'+::: TOTAL 1st3Fixtures ••••••••••••'••"• - x52.60 S . Ad�ltlonal Fixtures ............... - X � .75 . S Gas Fts: it to 1:�,OGO BTU ........... __-_ __ `— x $5.00 5---- Estimated Cost, $ 10.00 Pesa3k:io. /`� Old—New. Duilding Permit No. - SiZncd By Businc= Phone No ROUGH FINAL fir, ALTERATIONS--R&UT to Cods .SO State Surcharge .l�e:cri;.tlon...............:........,..............�.� 7.00 TOTALFr'.r•.s. 3 _Iass "A" Si_irch.aYgw 50 SUBJECT PERM City of Fridley_ 19448. AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. � -'1,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED 8Y L 612-571-3450 910-F15 5/5/88 JOB ADDRESS 7548 Tempo Terrace N.E. 1 LEGAL LOT NO. 'BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 40 3 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim/Barbara Klingle 7548 Tempo Terrace N.E. 786-2059 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Patio Enclosures 6319 Cambridge Street, St. Louis Park 55416 920-1575 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW J ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 11' x 14' Three Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS WAROND See notations on plan before digging; 0811 Iota[ Utifiti TELEPHONE - ELECTRic us Et REQUIRED BY LA SEPARATE PERMITS REQUIRED s�Gr�s. FIRING, HEATING, PLUMBING c�® 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 $1.60 WITH WHETHER SPECIFI HEREIN OR NOT. THE GRANTING OF A PERMIT $3,200 DOES NOT PRE I ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ER TATE R LOCAL LAW REGULATING CON- $63.00 S RUCTIO FO ANCE F CONSTRUCTION. PLAN CHECK FEE TOTAL FEE Lj� $64.60 SIGNA URE OFC_ONTRACT&ORAUTHORIZED AGENT (DATE) _ WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BLDG )NSP 0114 A0ATV SIGNATURE OF OWNER IIF OWNER BUILDER) tDATE) NEW [ ]] City of Fridley Effective 5/1/88 ADDN [41 R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: ��%� Z lnt2a Legal Description:4" %O 3 Owner Name & Address: Tel. # 7e6 -.2OS'! ° Contractor: __%��a /.�/o�u�c Tel. # �ra� ir7s' Address: Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. LIVING AREA: Length Width Height Sg. Ft. GARAGE AREA: Length Width Height SLI. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [,0l Ft. Yd Setback y Side Yard Setbacks ,Se- of Construction: e4�� - 6%sxCost: Z'YPe Estimated $ Approx. Completion Date: .S- *3 �� v Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page DATE: % APPLICANT: Tel. # baa-i�71" CITY USE ONLY Permit Fee $ s Flee Schedule on Reverse Side State Surcharge $ o $.50/$1,000 Valuation SAC Charge $ $550 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Flee $ Fee Determined by Engineering Sewer Main Charge $ Agreenent Necessary [ ] Not Necessary [ ] TOTAL $J STIF[JLAI!IONS: -3.2cru Lo t Zvi G�®u The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional. $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRTVE'tnM _ DEPRESSION (Concrete Curb Streets Only) Alternate "A": Removal and replacement Of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. Permits for construction will be issued a 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. 0 SUBJECT P City of Fridley141 19684 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. y • ______ COMMUNITY DEVELOPMENT DIV.�� INSPECTION SEC. r PROTECTIVE 1 i i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 9/26/88 JOB ADDRESS 7548 Tempo Terrace N.E. 1 LEGAL LOT NO. 40 BLOCK 3 TRACT OR ADDITION SEE ATTACHED Melody Manor 4th Addition DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHQN Klingle 7548 Tempo Terrace N.,E. 786-059 3 CONTRACTOR MAIL ADDRESS ZIP LICENSE NO. D & D Home Improvement 7401 Central Avenue N.E. f�-Nx/543 7> 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Res ide ntia l 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION X3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (21 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS On all new roofs or tear -offs and replacement roofs, State Code requires that 2 layers of 15 lb. felt, mopped together, pe installed to a point 24 inches up from exterior Wall lint, Or the use of other approved unde'rltyment membrane. 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 $1050 $..53 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 TOTALFEE $27.53 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI M WHEN PROPERLY YALIDATED THIS IS YOUR PERMIT BLDG iNSP v G GATE SIGNATURE OF OWNEROF OWNER BUILDERI tDATEt 0 1 W s .q 01 1 > �I f ' ]I f t M V,q• • I • r " , • , ° • ,Y .i " " NELV [ ] City of Fridley Effective 5/1/88 ADDN [ 7 R-1 AND R-2 ALTER t] Building Permit Application Construction Address: -- Legal Description: Owner Name & Address: kb h6 Tel. # 7 Sq Qontractor : -Af, Tel. # -, Lf - 7 Address: U NIA +N ( Ve Attach to this application, a C,ertif icate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIMIC)N OF I LIVING AREA: Length Width Height sq. Ft. Q,RAGE AREA: Length Width Height sq. Ft. DEM AREA: Length Width Hgt/Ground Sg. Ft. Corner Lot [ ] Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: T-nar A- d` -Sha NIG 10 Estimated Cost: $ AO -5 D Approx. Completion Date: - .5 � Proposed Driveway Width If New Opening Is Desired: DATE: r APPLICZM: c l I width + b• 7 Alt. A Alt. B $ See Back Page Tel. # CITY USE CAGY Permit Plee $ moi• joo Flee Schedule on Reverse Side State Surcharge $ • �.3 $.50/$1,000 Valuation SAC (Marge $ $550 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ %. �,j :.: '4 • The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional 51,00 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 $100s,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 5500,001 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 DRIVEN DEPRN_ S910N F4f'Rf�7 (Concrete Curb Streets Only) Alternate °A": Removal and replacement of curb and gutter only - Driveway width plus' 6 feet times $13.50. Alternate "B°C Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. Permits for construction will be issued a minimum of 24 hours from the time of applicaticn 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 More proceeding with the framing. sueJEcr P I NO. City of Fridley 26381 AT THE TOP OF THE TWINS BUILDING PERMIT r RECE/I/yPT' �• ___ _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. yN/O. r 1 NUMBER REV GATE 6/29/98 PAGE OF APPROVED BY i CITY HALL FflIDLEV 55432 612-571-3450 910415 JOB ADDRESS 7548 T Terrace I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 40 3 1 Melody Manor 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Klin le 7548 Tempo Terrace 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stock Roofing, Inc. 289 Liberty St NE 780-3561 3112 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Tear off and reroof house and garage (26 Sq) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 1STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,168 $1.08 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 PROVI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.16 ST TI N OR THE PERFO ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $82.99 SIGNATURE OF MIN, R OTOR OR AUTHORIZED AVG'NT lDATEI WHEN PROPERLR ALIDATED THIS IS YOUR PERMIT BL INSP ®2Y--fk DATE SIGNATURE OF OWNER pF OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �-NS 1'7 7 Legal Description: Owner Name & Address: 7e-YNMI, Tel. # Contractor: � , r." tnc MN LICENSE # Address: i.r%�v'�e,� �� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground aL1W P Effective 1/1/98 � n - Z)\\a -1qc,- 3-5toI Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ C2 i e08 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ��1 -� APPLICANT: Tel. CITY USE ONLY Permit Fee $ r Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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: B BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for°first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012:25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 ADDRESS : 7548 TEMPO TER NE PIN : 113024110036 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 40 BLOCK 3 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT O.: 200101347 DATE ISSUED: 08/16/2004 VALUATION : $ 3,800.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIR, PAYNE, 90,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES VALUE (FOR MINIMUM CALC) 3800 APPLICANT PIERCE REFRIGERATION 1920 2 AVE S ANOKA, MN 55303-2429 (763) 421-3604 OWNER KLINGLE JAMES R & BARBARA A 7548 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 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 perfo ce of onstruction. Applicant-_______,,!,__ Date HEATING PERMIT MINIIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 7444 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0.00 35.00 0.00 0.00 25.00 0.50 60.50 CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-5711287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning -All Sizes Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee - Total $35.00 $ 00 $10.00 $ $10.00. $ $10.00 $ $25.00 $ All Other Repairs or Alterations (Ust on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/industrial/Institutional State Surcharge II TOTAL FEE REINSPECTION FEE $50.00/HOUR JOB ADDRESS ' L-0-cr a r) " -P -r- a- re Owner T, K[tYi4 Building Used As ESTIMATED COST PERMIT NO DESCRIPTION OF FURNACE AND BURNER • # of Heating Units Circle One (Steam) (Hot Wate (Warm Air Trade Name YA xn-,- Size No. BTU ,®4 .. HP ))'3 EDR Fuel Total Connected Load Burner Trade Name Size No. BTU -HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. MIS M%�Jffrl *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING Tel# Z -3-Y21-36& FAX# 72-.5Z1"320°( Date Approved by Rough -in Date Final Date 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. Yesp 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 Fumace Venting Tables for fan assisted and natural draft appliances. Yes? No ( ) '�j� The existing 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. YesX 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 corectly 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 Assiste or Natr.` Appliance #2 Typeyi BTU Input `SGT= an ssistedN Appliance #3 Type BTU Input Fan Assisted or at Total Appliances Total Btu Input Common Vent Type h, Vent Height 2-3< Diameter inches g:'-',-k,"'Appliance #1 Vent Connector Height W ft Length i" ft Diameter in Type E Appliance #2 Vent Connector Height -E—ft Length _j ft Diameter J in Type G Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: �71 Date