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AF - 37937� r� City of Fridley, Minn.. BUILDING PERMIT Dste: �Y 15, 1966 � �� N`° 8923 p�r; g��,, CLF�NIItON, IIVCORPORATED Ad&�a Addrese 7 Ol Columb ia B1vd . N' . E. Minneapolis, Minnesota LOCATION OF BUILDING No. �331 ��t CONCERTO CURVE p� of Lot Lot ,,12 __ glock 2 Additt� or Sub-Divislon �tvr�nnv wra�QR,� �nm ennrmT�m� Corner Lot _ IaeSde Lot .— R Setback 35 �.�.._ siaeyara 10 and 18 gewer IIs�Bti� 867 .92 _� IIevation 870.92 TOP OF FOOTIIQG DESCRIPTION OF BUILDING To bo Used ea: 910 Upper Floor HOUSE --_ �t 26' �p� 35' Height 20 � 9q. Ft J�4..L.��C Ft �6.,.fa9Q A�. GARAGE g�t 26 nea� 21 ��t 10 gq, �, 546 �, g� 5.460 7�►pe oP Conetsuctlon � Es� Cost �� To be Completed WATER LOCATION - 60' South of Man.hole SEWER LOCATION - 71' South of Manhole Ia co�ideratlon oP the isauaaee to me oP a permit to c the PraPoaeB work ia accordaace with the descriptlon above ordit►aa�s oE the dty oP Fridley. / ° agree to do �pravisione oP In coneideratlon oP the payment oE a Pee o! 2� 2. 00 � Permit is heraby graated to ��0�• T�9'CORFORATED to conatruct the building or adaition ae descaibed above. This rmit is Srantsd uPam ' the exPreas con�iition that thepe�o n to whom it is granted and his a�ente, emPloyees an�worl�en, ffi all work. done in, arouad and upon seid building, or anypar� thereoY� shall cflnform in all reapecte tfl the ordinancee oE Frldley� Miaaesota regardf�ag locatlon, conatructCon, alteratlon, maiat8nanc�. repair aad mo�►1ag oE builclia�e wla�� dty Iimits and thia permit may be revoked st a�► tinae upon vlolation of aay oE the 8rovlsions og ss�d GZARENCE BELISLE 8�� NOTIC� Thb p�rma doa eet eo�nr t6� coemu�, te,ratl�tee �or �rte�, Plumbtea oa h.ntea arr.r e� wa.r. B� anr ta a� t6� dolldleo let�e� !o� pp�rNs p�rmNt h� tiaa NNm. APPLICATION FOR BUILDING PERNaT CYTY OF FRIDL�Y, MINNESOTA OWNER'S NAME BOILDER ADDRESS ADDRESS 0 .�%� L�ATIOAi OF DIL NG � PTO, �� STREET PART OF LOT LOT BLOCK � ADDITION OR SOBDEVISION �. G��Y �� CORNER LOT IftSIDE LOT�SETBACR �.� =0 SIDE-Y ,�D � f� � SEWER ELEVATION � � �• � °Z- ELLVATIQN c�,,,� � � � �--' Applicant attach to this form Two Certificates of Survey of Lot and propoaed building location drawn on these Certificates. �r > � � � � � /--�-, , � ,. ��' � � DES I�N OF BUIL�ING To be uaed as; P � �r�r Front �° _D Depth �S-D Height �� P�t� �� Sq. Ft. �� l5"D Cu. Ft. ''� '� -� , _ , / .:�b Front � � Depth� _D Height �� Type of Gonstruction To be completed Sq. Ft. ��O Cu. Ft. � �� :> '�'� 00 ��/��j , Estimated Coat � �,o The undersigned hereby makee application for a permit for the work herein apecified, 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 atated in this applicat3,aa (Schedule of Fee Costs can be found on the Reversa Side). E� � .. w, �. s, ,� � 'i �,� � �. , � `� � . � r ..r• BIIILDIIQG PERMIT FEE SG�IEDULE • ,:t'. . .� SECTIOft 2. The Inspector of Buildings sha],1, before issuing any permit for the erection of any building or�s��;:uct�re, or for;any addition to any existing building or structure, or for any alterations or repaira to any existing buildiag or structuref upon application Cherefore, require the payment by the applicant for such permit of fees �o the amount hereia beiow set.fQrth..and in the manner herein provided'to-wit; �"�" ' � -2.1.� For any s�ch permit for 'the�erection�of any fire-proof building, other tha a garage, warehouse, factory bY g�rain elevator, or for the erection of any fire-proof addition, for similar occupancy, to any existing building, shall be at the.rate.;oE�$1.40 for each one thousand cubi¢ feet, or fraction thereof, in such cu'bical contents. ' � �' 2.2 For any�.such permit for the erection of any fire-proof garage, warehouee, facCory o� grain elevaCor, or for•the'erection of any fire•prvof � additi�n, for aimilar occupancq, to anq esisting building shall be at,.the rate of $1.25 for earh� on� thous�and` cubic fe�t, classified. as "£ireproo�" by Section 502 of the Minneapolis Bui],ding Cade, flOIISES , � . 2.3. For an auch , ' y permit for t&e er'�ct�o�bf any non-fireproaf buildiag other than a garage, warehoust�,'facttfry or �rain elevator, or any non-fireproof addition, for similar occupancy, to any esisting bui;idi,ng � permit $1.00 for each one thousand cubic �eet, GARAGES 2,4. For any auch permit for the e�ec�ion of aay non-fireproof garage, warehouse, factory or graia elevator, or for the erection of any non-fire-proof addition, �or similar occupancy, to.any_.a'sisting buiZdi� or for each such building or addition - ninety centa ($0.90) for each one thous.and cubic feet or fraction thereof, iu the c�rbical 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 .throughaut by multiplying�the ground�area covered fram a point six (&�.i.nchee below the floor line of the basement or cellar to the average hefght of tha upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2,5. For repaira or a1t�e�ationa'to an existing structure, the fee sha11 be at the rate of .$3.00 pe�;�e�ch Five 8uadred�Dollars ($5Q0,00�'or frac�3cxt � thereof in th.e cost ot. a11 pr.oposed wo�1t: ' " 2.6. In ao case shall the f�e charged for any permit as aet forth in Sectio 2n be less than $4.00. , . .. . y - . .. . STORM REPAIR DAMAGE FEES: �•� � � Res3dential; Estimated Cost of work up to Syf;�,�0 _ S5e^a Estimated Coat of work c•.7�:; �:•s ._,. `;�1 .� ° , ,�;0 �. 1' ^ Commercial• . ,•�. �`-. , Estimate�oet of c��i� ,. ��.;: ¢o -",' =�•1 �. ^'�7 • � _'•t•,i,• i�. Estimate� .OSt O� 'vIOLS6 0�►::� y_�d��•�� 4�,i._J� -, . L �_�- _a e _ ; Lund Plannin9 6B7'S H�hnoy :CS NE. Lunr.i Surveyinc� � , • M�n�teu�ls 2/, Svds Tesirii9 EN G I NEE R t N G, I N C. 1�inrrrsofv C�wl b A�unk,pol �Un;ef 4-606io ��rreer�n� EI] ineers � SurvecJors 9 ° c.er�ts�scate o� sutve Fo� - E�: M DEYELOPMF.NT CO . � TE ; Na - *r , 1, Eleva�ion� 56ewn ore P�opor.¢A Jr � / e�G''1 2. Fi�s+ C►eor tl. 2.5 f�. s►�v� qv��nd e76,4 1 e Q heu5¢ coan¢rs "1_ � ` �O�v. of yr��.,,�..1 � i�o..5c V ` � /,�� Curr,ew:• 'i;19�'� . \.. .. ��. � � b� o i� �O a �� tl� � �� "�_ b • � � � . e' P� '87�� ry ' � a�.� . (� \_ � �'�� '°`- � �. � : �° , r � �`"�-�.. 4 �I � '_.� h� � � � � � ,2 � � �� _� ` �'� ,� . / ;-,� / . �� r� ` �,� � r � 1 �� // � � � el. 8�l•'s � � . �el. (76'7 � � .• i � o-' DE"N�Tes iRoN i�ENoTE5 DRAINAGE � UTiLITY EASEMENT LOT /z BLQCK. z 1vlELODY MANOR 2'�D AD�ITION ��noka Couni� — M�nn¢�o-�'w� l h�by cerfi�l� � lII/S K O�►7�C � GOri'�Lf rc�/CSE%lI'OflA/l 0�'a su�ret� �'11ir b�o�es �i� a�ort d�ur►6�d /m,d, ond , o�'� l� q�o/[ burldu,9s , flaaean , a�d d/ ►is�iblt a�rrnvriimdrfs ,�!"or�y, �+a�r► or nsad /an�d. As surrrec�ed 6Jt m� /ins - af� I �'_T,v r i l A-� h 62• _ SUB (lRBAN EA/G/N�E2�NG , INC. ' � � s �fr; Surr rs SCALE I"° 3O' ,��. r"��. 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P : . : L�1 p� p� Cp � CT O O C O O O p � � 0 � a.a� � � �� ° � � p �� •� � d�� b � R+ .� p y pp�'4C! �� ' �o a' �� o�� op � �e �, o h7 ��w ro � a �� y f�DM �� o � � � � m � � � �' � D � D r � � m H _ m C rrn � � \ � ». �o � � � m O � � '�� 7 � O � � � � �0 ' � � � 0 ;� _ � �� 3 � y � 0.� A e� �. � � � � � � � � � � 0. ,so ' �`y -4 � � t� � � "'�'y�Z C'—e.%�s� r`, -C�-"°y-`�iZF„-.� ,.�_ . "' � � ; � �` ��3%� 5��- �.v I-IEAT LOSS CALCULATIONS _ �� DEPARIMENT OF BUILDINCS �� °r� ^� °°"c"��'; A.S.H.V.E. I Weatherstrips _ Guide " Construcrion No. Insulation W' dows Doors Reference Out. Wap Int. Wall Ceiling Roof F7oor Kind How Applie ' —No e No 19— !/ � �°,�/ ri I F7.� '/°,�� Room � Length 'Width �-leight � Fl.� Room Leagth Width Height Windows and Doors—Crackage and Area Windows and Doors--Crackage and Area Wldth Height No. ot Llneal t. Area Wldth Helght No. 01 Llneal tt. Aeea No. ot pane o[ Pane 116hte ot crack aq. tt. No. of pane ol pane Ughte � of crack eq. tt. Coef.l Btu I[JIU8�lOI1 �7� L GIfl3S � � F.xp. wall , Net exp. wall e Int. wall Ceiling � � Floor 'I'otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F7.� ^' ,j/Room � Length �,� Width / Height Windows and Doora—Crackage and Area Wldth Helght No. ot Llaeal ft. Area No. ot pane ot pane 11Bbte ot crack eq. ! � 3 �� L/If i �f � ?L1. „ � �if8ilOII Glaaa Eap. wall Net eap. wall Int. wall Ceiling Floor Total Btu. Btu � Fl.l Koom I L.ength " y W idth = He�ght �� Wiadows and Doora--Crackage and Area Wldth Helght No. of Ltneal tt. Area No. of ysne o1 pane Dlg6te o[ crack eq. !t � � � � Bm = In6ltration In6ltration Glaaa � ,,•�O Glaaa Eap. wall , � Net ezp. wall Q a Int. wall Ceiling ,0 . Floor f Total Btu. � Requir ed sg. ft. E.D.R. or aq. ins. W.A. Leader area Ft. Roam � Length —' Width ' Height Wiadows and Doors—Crackage and Area Wldth Helght No. 01 Ltneal ft. Area No. ot oane ot pane Itghte of creck eq. 1t. 1n61tration � Glaas Eap. wall N�t �xp. wau /� Int. wall Ceiling jl - Floor �- � Total Btu. Required sq. f� E.D.R. ot aq. ias. W.A. L.sader arca Fap. wall Net eap. wall Int. wall Ceiling Floor 7'otal Btu. / l'�.� �\ l�0oIIl1 L.CRglil -- i�luua (� — aaca Windowa and �rs—Crackage aad Area Wfdt6 Helght No. of Llneal !t. Area No. o! psne ot pan Ilghte of crack aQ. tt �— � f � % _ .,:%� Btu � Infiltration �� Glass Eap. wall � Nec eap. wall In� wall L2� Ceiling Floor f J �D T'otal Btu. ft. E.D.R or sq. ins. WA. L.eader area Bc� �"'l=,��. ., . � HEAT �i.OSS CALCULATIONS DEPARTAAENT OF INSPECTIOIVS A.S.H.V.E, �j Weather�trips _ Guide �pstruction No. � �n � �' � M1'.VNEAPOLIS, I�dBNN. Insulation Windows ' Doors Reference Out. Wall Int. Wall Ceiling Roof F1oor Kind Yes—No Yea—No 19_ II Fl.� �� Room � Length Width '�iei8ht � F7.) a Room Length ,/ ' W Windows and Doors—Crackage and Area Wendows and Doors—Crackage and Area \Vldth Height No. ot . Lineal It. Area Wldth Helght No. ot Llneel tt. � No. ot p�ne ot pane IlBhte o[ crack eq. tt. No. of cane ot pana If�chte ot crack e� I I I Infiltration Glass Exp. wall�� 'f � ,� �; Net exp. wal! lnt. wall L' i�G°Tt�2 �4� Ceiling �,�,,� r/�i��/? %// Floor �/,,� �' /� Total Btu. Coef. � Btu Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.� Room ( Length -= Width = Height Windows and Doors--Crackage and /�1rea Wldth Halght No. o[ Llneal ft. Area No. ot vane of pane lfahte ot crack ev. ft. � � In6ltration Glasa �( Eap. wall Net exp. wall / „�. wall ' Ceiling Floor � Total Btu. Required sq. ft. E.D.R. or aq. nns. VN.A. Leader area Btu How Applied Coef.l Btu In6ltration Glass Exp. wall Net exp. wall d�: wall ' �'��`/� � Ceiling Floor /� � Total Btu. Required sq. R. E.D.R. or sq. ins. W.A. Leader area FI.I �3,p Room ( Length �� Width Win ows and Doora—Crackage and Area Wldth Hetght No. ot Lineel ft. Area No. ot uane ot pane IlRhte ot crack eq. tt. Infiitration Calass � Exp. wall y� Net exp. wall -�krC wall ,iLi/L � rT Ceiling Floor j( ,� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area � � �- -:� "J �1 + • -ti . ��' ^\a � i Persnit Fee �---------------••--•...,.... APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT Dccte of issum�..----------•-------•----------------------•----=-----, 196------ Lo�ati,on_.-------•----•�-•--•---•-••---•------- ✓Ylir�r�eapoli-s, .Mircn.,___. � No. P..��.; .�� ,�..`. � f�t. ! ` '-=----�4� �---��-196fi.----', : � �,_; ; Inspector of Buildin�s �i��, ----•---•-----\-, 196.-----'°'- �• � The ur�dersi6ned hereby inak.es a.p�vlication for 2 per�rzi_t for the ir�,stalZcrtiorz, cclt�3��t" or`r�a � ct he2tin�, air con.di.tian.in6 or z�entilcctin�! sz�stern, det��ce o�° eqz�i��rizent, t�s hcr�ein specifie c%'�d'�� iie�%. � all sz��:h• zrork in strict nccordcance zvith t.he Ci.tz� Ordi.rzanc•cs anrl ruZir��s of the Dencti•t»ieret o - pectaons a�zd the �j�r�i fication,s set fcrth in this appLicc�tior� as cc��rorccl and filed in tfle D�yiartn�ent of Irispectians. Ozvner----...----•----==-•---•----•-••-•-----•--•-••----••-•---•-•----•---------------•----...��ddres, of Ozener.-----••-••--•-•----------•�- - � - ---•--- ---------•---•----- . - � -, Ifind of _ Buildi,r��.--_•---•-•------•---•----••----•-------•----•------•-----•------Row occu.nied.-•----------- �------•-----•--•---...--•------ -----=-------------------- YY'ork to be started-----•-•-------------•-------•---•--••--••-------•, 196-•---• �[�V'ork to be comple�ed.._.....-•-------,---•----....--•-------, 196••---- . _ ; _ Estimccted Cost v�--------------------•- --------------------------------------Old -- Neri•_�ir.�clir�a Peri�iit J�o.----- -------------- -------........------ - DESCRIPTION OF WDRK " ' Ptote: Insert the word inatall, add, alter, or repair, aaording to which is fo be done. Under "RCmarks," itemize remo�als, if any, m�d alterationa fo equipment. Mechanical Warm Air Hee�ting Rlants—Furnaces ---•-------------•�--v-------------------------------------=----- Jllake------------•--------•--•-------------------------------------------------------•---------------._....._..---•Size •--------------...----------------------- - --- --------------------•---- ConnectedLoad-------------------------------------=----•-----•---------------=•-----•--------------------Cccpacitz./ ---------------=------�=�-,---------•---------------=•----------- � Air Conditioning Sysfem: Summ,er — W inter — Jlll Year---------------------•---•---•----------•-----------------------------------•-------•-•-• J{�ake---------•--•-------•--------•---••--•--•----------•-----•---=-------------------••---•-•- --CapacitiJ- ..----------•---•------------------------------------------•---------------------------------•-------- ----•---.._------•-•-•----•-------------•----- , . _ dentilat�ng 5ystem: JVlc�ke----•----•-------•-------------_.----------------...._-----------Capcaci�J•----------------- •----•---•---C�• --- , ----------•-----------•--- Cf m- -------------------•---------- F�planation of work to be done: ::: __ __ _ Plans with permit (�*es) (no) � --------------•-------•-- ------- , . _ - � �, •----•--------------------------------------------------•-----•-----...------------...------•------ --...---•-------------•------....-----•-------------------------------------------------------------- AGREEMENT �4/ ,� i.:� � I g � � �� ' "�--� *-�� . , owner of the property , located at � �� ' � ��,�, ,�_�`� :;� �,�s�. ,,:��:� have no objection to the City allawing the construction of a�r�� /�� to be located at � 33 I �(�C� r�„� l.. v2•LC,w3,�out the required certi�icate of survey that the City ordinarily requires for all new constructione ��--��.I� Signature 2�� / �� P� L�� r�� Address � CC 7 7 Date � �' � � �� Witness sue�ecr PER City of Fridley 1399 AT THE TOP OF THE TWINS g U I L D I N G P E R M I,T • � � � RECEIPT NO. � ; y __.. COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � 1 ; � � � ��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVEO BY �•'-'� � ,'� 812-580-3450 910-F15 Q,/12/77 � � JOB ADDRESS �331 Concerto Curve N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ].2 2 Melody Nlanor ^LAC� SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Nielsen 7331 Concerto Curve N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDING Resident:i.al 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 9' x 17' porch addition 9 CHANGE QF USE FROM TO S7IPULATIONS porch. cannot be heated unless it is brought up to meet the State Energy Code. , WAR�qH� ��.�lTf �PER�MITS REQUIRED F.t� ,WIRINC�, 8efore digging caM lc�i u�1i� 1�.� PLUMBING AND SIGN�. � - 7ELEPHONE - ELECiRiC -fAS Etc 1�EC�1J�R�D BY L�4 SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, NPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOd Fi3IIl@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING Sa. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPEIVDED 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 $`l�JOO yi`.%S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING 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- $9 , OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE $9.75 �Si TUREOFCON AC7oaoAAU7HORIZEDAGENT (DA7E) WHEN PROPERLY VALIDATED THIS YOUR PERMIT I �� ° �--l�-7. 7 I h� �� -/�- SIGNATUREOF O NERIIF OWNER BUILDERI IDATEI BLDG INSP f1ATE ti CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) 1 OWNER: e-d�r� � e L� �n BUILDER: S� vn �. . Address: �331 �ph eP�� l�/`V� Adclress: �Ci,ov�� Tel. No.: %��- 9��j(� No.: �� Street: (-p!'lC�eP G0 (-t.cPd� LOT: �� BLOCK: � ADDITION: � E' �� U l/ �j�� r- �1G/ CORNER LOT: INSIDE LOT: I/ SLTBACK: SIDEYARDS: Applicant attach to this form Ztao Certificates of Surv,ey of Lot and proposed building location drawn on these Certificates. • DESCRIPTION OF BUILDING To Be Used As: /''�n '. Front: �t Depth: �� Height: p�� -�� Square Feet: Cubic Feet: Front: Depth: Height: 5quare Feet: Giibic Feet: Type of Construction: f.t%D�CC,[ �j� d�n Estimated Cost: $�djQ p,�� 7.b Be Completed: � f�tp�j K��`s Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE : �L - I o� - 7� 5IGNATURE :��,��✓ 5tipulations: � � �� l /��U 1� � � g. OO e �� %� J . � � I , � '�9 ?, ; . �o2U� C�/�,� ✓UU i ��"�- � � � S � �o �L�.�T � � �? ��-,�r� �� (�,� � r S� � �� i,� �►w� C�,� BUILDING PER��IT FEt SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for th erection of any buildinq or structure, or for any addition to any existing building r structure, or for any alteration or repairs to any existing building or structure, upo application therefore, require the payment by the applicant for such permit of fees to he amount herein below set forth and in the manner herein provided to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb d gutter only; Driveway width plus 6 feet $11.75 Alternate B: Removal and replacement of concrete curb nd gutter and install a 3 foot wide approac with 6 inch depth; Driveway width plus 6 feet $15.40 :ll � � � �• � �� For the purpose of computing fees for building permits, the cubical conten s 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 th� cellar to the average heights of the upper surface or to the average height of the roof urface of the main gable of a pitched roof. For'sepairs or alterations to an existing structure, the fee shall be at e rate of $�:�Qa�`per each five hundred dollars ($500.00) or fraction thereof in th cost of all proposed work. - In no case shall the fee charged for any permit as set forth in Section 2}�e less than $7.50 plus $.50 state surcharge. I VERIFICATION_OF FOUNDATION NOTE: Permits for construction will be issued a minimiun of 24 hours from 1 of application to allow for proper review of the proposed structure and of construction site. A Certificate of Sur.vey of the lot, showing the location of the foundation ha.s been constructed will be required before proceeding with the framing. ; � : • � ' : 1 '� Application for a Certificate of Occupancy shall be made ten (10) days pri use or occupancy of any structure for which a building permit has been iss saa.d structure shall not be used or occupied until a Certificate of Occup been issued. :he time the once it to the ; and has �'��._� Page 1 of 4 _� i EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION �. � OWNER: _ DATE �- ✓� � p� SITE ADDRESS : � � � � � � �%' � � �- i � ��"1,�- �PHONE : CONTRACTOR: Determine working square footage of each l. Tota.l exposed wall area. . . . . . ( ��`� e� sq. ft. x .17 = �� o � � 2. Toal roof/ceiling area ...... sq. ft. x .05 = Zbtal exposed wall area above floor = a. Total wall window area ................................. b. Total door area ....................................... c. Tatal sliding glass door area ......................... d. Total fireplace wall area ............................. e. Total� wall framing area (average 10�) .................. . f. Total rim joist area ..... ........................... g. wall area above floor .......................... h. wall area above floor .......................... i. wall area above floor .......................... j. wall area above floor .......................... Total exposed foundation area = k. Total foundation window area ........................... 1. Total net foundation area above grade ................. Determi.ne "U" value of each wall segment (e.g. window, door, each separate wall section) a. g ��U�� _ / � � ��`�/� = g�-� b. x "u" _ �� k ,f � 4 ` � % c . g ajJn _ �---- - C�. j( 11jJn = � t�� s� e. X nU° _ f . X "U" = 4 � � �. � ( � � �,�� Cj� i� nUn _ , "� �- h. g ��U�� _ �� t ' i. X "U" _ . j. X"U" = If item #3 is the same as, or less than item #1, you k. X"U" = have met the intent of SBC 6006 (c) 2. • l. }( nUn a • 3 . ............................. Total = F�cterior Envelope Average "U" Computation �Page 2 of 4 �._ Total exposed roof/ceiling area = m. 7.bta1 skylight area .............. ............. n. Total roof/ceiling framing area (average 10�)... "' o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment �• X "U" _ n. X °U° _ O. X "U° _ 4 ........................... Zbtal = If total of #4 is the same as, or less than #2, you have met the i.ntent of SBC 6006 .(c) 1. Alternate Building Envelope Design Zb utilize the total envelope syste�n method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. _ 3. + 4. _ 0 � 6 � �- ,� l X `�� l $ �1 � 1 �.�--�,�- - �� / � �� C�� °�� r�p �� . � �.a �' c1 • � t°� � ��IP �� --� � WALL SECTIONS NOTE: Use 10� of opaque wall area for � frame construction FIG. #1 TOPVIEW OF FRAME � 7ALL � ., „ ; � �`-��: �' �- ESG. #3 � y � 4 � ` . . - o - . ` � • . . a �� ; �' . . ,f . ,' b . �� :� : . _ �_ . : . Page 3 of 4 Construction R-Value l. Interior air film 0.68 2. 3. 4. 5. 6. Extermr air film 0.17 Total l. Interior air film 0.68 2. 3. 4. 5. 6. E�cterior air iilm 0.17 Total 1. Interior air film p,�g 2. 3. 4. 5. 6. Exterior air f ilm 0.17 Total 1. Interior air fi]m 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 Total . '. � e • ' � . . � : � : a` � �` . � ��-��_Trr k � . • • ,. . �. ��.._ .. � : _ . ,6 . =-- . . . � /� � . 6 � ' � � 111 — = � - . � �[( .. '` . . • - • � ` / 1 1 • ^ : • /(/ ' FIG. �4 -- ' � - � ��r . /!( � • � •� � r . � � X � . � % �� . r /l ( �. I ! � ._ li! ._ ' NOT�: Indicate tyoe, "R"'vaYue, depth and placer.ient of insulation. ' ROOF/CEILING ,� _. .: , ��,�--� �.� �, . ��_�C�� /1. r✓ � � . �� l`I�..�lll,.! , �/i �� .. , Vented ' fleat flow . up - . � � . _ FIG. �5 ' . � . � . �1J ��% ��% ��`t.� . Heat f1oF� up � . � � ; •vented ' _ .FIG. #b �.. .. . . . � �. � . : . . 1 " I �°' �'.1 v � ' t� • F ivua�:—vl�'1� . : _ � . .. • . .` . . � � • � �ieIIi • . � � . • . � , F , . , ; • • flow up - ., • ' , , , • _ •: • • � .. . . . �'�r. �? � � . . . . Page 4 of 4 Construction R-Value l. Interior air film 0.61 2. 3. 4. Exterior air f ilm (still) 0.61 Total 1. Interior air film 0.61 2. 3. 4. Exterior air film (still) 0.61 Total l. Inside air film 0.61 2. 3. 4. 5. Outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations .� sue�ecT . � City of Fridley 9 519 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T.- � ; � T NO. � ` _�� COMMUNITY DEVELOPMENT DIV. � r � L � PROTEC7IVE INSPECTION SEC. � y�� .1 � � 1 �"'1 � CITY MALL FRIOLE� SJ13Z NUMBEN pEV OATE PAGE OF APPROVEO BY �.._.�: '•� 612-571-34b0 9t0-Ft5 5/21/99 � � 10B ADORESS 7331 Concerto Curve 1 LEGAI �OT NO. BLOCK TRACT OR AODITION SEE ATTACMED OESCR. 12 2 Mel od SHEET 2 PROPEfiTY OWNER MAIL ADDRESS 21P PMONE Bob & Cath Nielson J CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO Peachtree Consto P B - d ARCMITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. S ENGINEER MAIL ADDFES3 21P PHONE LICENSE NO 8 USE Of BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION �( REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reroof house and garage (26 Sq) Tear-off 9 CHANdE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING. VENTI�ATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NUIL AND VOID IF WORK Oii CONSTRUCTION 20NING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTpUCTtON OR WORK �S SUSPENDEO OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WOpK IS COMMENCED. NO OWIG. UNI7S OFFSTREET PARKING I NEREBV CEiiTIFV 7MAT I MAVE READ AND EXAMINED THIS APPLICA710N STALIS GARAGES AND KNOW THE SAME Tp BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND OfiDINANCES GOVERNING TNIS TYPE OF WORK WILI BE COMPLIEO $2228 WITH WHETNER SPECIFIED MEREIN Ofi NOT. TME GRANTING OF A PERMIT �1. �.1 DOES NOT PRESUME TO G�VE AUTMORITY TO VIOLATE OR CANCEL THE pEFM1T FEE SAC CMARGE PROVISIONS ANY OTMER S�iATE OR LOCAL lAW REGULATING CON• STqUC710 TME PERFONM NCE O CONST C ON �S3.ZrJ F1 SC �Z.Z3 PLAN CMECK fEE T AL FEE �'l'� � y Li ce C 0 . 59 S�GNATUpE O CON'AA i0a Op AUTNOpIjEO AGENT IDATE� E P O LY VA I 7 MI$ I$ 1� � Eii / r S�GNOTUAEO�OWNEAi�GOWNENBUILDEpi IDATE� B G iN$D �6tE �v [ � - ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAN�.Y AND DUPLEXES R 1 AND R-2 �.�k BUII.DING PERMIT APPLICATION ��,'�1 , � I�) �„ ,.� Construction Address: �� 3� � �^ C e�-- -�j-o C u,. �` Legal Description: Owner Name & Address: Contractor. �� G c, % Address: ,� -i� /U r e. J S n.. � S �— Tel.# �,�� -�060 MN LICENSE # / 9/ O �Tel.# 7��')°IZ� 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: I.ength Width Height Sq. Ft. DECB AREA: Length Width Hgt/Ground Sq. Ft. o�R: �2�. -- �� -� _W a �� - � �.,�, � �,.,,; �► -�-e�,� Construction Type: � Estimated Cost: $ C,� �, 'a �` ; , e �J Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ - , DATE: � 2 / APPLICANT: �' Tel. #_ _ '7 .�� — � % Z � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Conirol Park Fee Sewer Main Charge TOTAL STII'ULATIONS: CITY USE ONLY $��. °-�--� Fee Schedule on Reverse Side $ �, � � .001 of Permit Valuation (1/lOth%) $ $.50/$1,0� Valuation $ $1050 per SAC Unit $ c `L� $5.(� (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � C"I�� ' J BUII.DING 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 �rmit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,0(� $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,�1 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.� for each additional $1,000 or fraction thereof, to and including $25,(�0 $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,(�0,0(� 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has b��n �o��t�� wilY be required before proceeding with the framing. sue�eti � PER O. City of Fridley 0 6 3 AT TFIE TOP OF TFIE TWINS � � � L D i N G P E R M I T r ; � RECEIPT NO. � ' COMMUNITY OEVELOPMENT DIV. � LV �� . f � � PROTECTIVE INSPECTION SEC. �� i� _ . _._-� ��,•� CITV HAL� FRIDLE� SS132 NUM�EN REV DATE PAGE Oi APPROVED 8Y L 612-571-34b0 gt0-F1S 1/18/00 / / JOB AOQRESS �331 Concerto Curve NE t LEGAL �OT NO. BLOCK TRACT OR AbDITION SEE ATTACNED DESCF. jZ 2 Melody Manor 2nd Addition SHEET 2 PFOPERTY OWNER MAIL AODRES$ 21P PMONE Robert/Kathy Nielsen 7331 Concerto Curve NE 784-9060 3 CONTRACTOR MAIL ADDRESS 21P PNONE LICENSE NO Renewal By Andersen 350 73 Avenue NE Fridle MN 55432 502-4777 20130983 A ARCMITECT OR OESIGNER MAIL ADORESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS , ZIP PNONE LICENSE NO B USE Of BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION � REPAIR O MOVE O FIEMOVE B DESCRIBE WORK Replace 8 windows within existing o enings 9 CHANC3E 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. C�LL �� yL ��E�� Permit In�pa��io� ��r�� W�YHIH 1� D�YS OF WORK iNill �e iM�i1�� COMPLETIOH Yo �Homeow�n�r % Pos� COPY TO HON�E��►�� TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, FIEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK Oi; CONSTRUCTION 20NING SO. FT CU fT. AUTHOR12E0 IS NOT COMMENCED Vj!ITNIN 80 DAY$. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERI00 OF 120 OAYS AT ANY TIME AfTER WOpK IS COMMENCED. NO OWLG. UNITS OfFSTREET PARKING I HEREBY CERTIFV 7HAT I HAVE READ ANO �XAMINED THIS APPLICA710N 1 STALIS GARAGES AND KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VAIUATION SUFTAX AND OROINANCES GOVERNING TNIS TVPE Of WORK WI�� BE COMPUED �6�000 $3.�0 WITH WHETMER SPECIFIEO HEREIN OR NOT. TNE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORI7V TO VIOLATE OR CANCEL TME pEqM1T FEE SAC CMARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULA7ING CON- STRUCTION OR TME PERfORMANCE OF CONSTRUC710N �IZS.25 Fire SC �6.00 PLAN GM�IECK FE TOTA F'EE Licen S $5.0 $139.25 S�GNATUpE OF CON'NOCTOA OA AUTHONiZED OGENT IDATEi MEN RO ALIOA � S IS Y R P�.�IT �� / S�GNOIUAE O� OWNEAi�F OWNEA BUILOEFi� IO�TE� BLD �NSP ' L q6Tt �* - c. rrEw [ ) ADDN ALTER Effective 5/10/99 ( l CITY OF FRIDLEY [Xj SINGLE FAMILY AND DUPLEXES R 1 AND R 2 BUII,DING PERMIT APPLICATION Construction Address: Legal Description: 'f1C-�.0 0 0 n�� G � � `k � Owner Name & Address: ��,j-}- � ��U� � �.e,15{,� Tel. # (�li •�$y• �f'(j�U� Contractor: RENEWAL BY ANDERSEN MN LICENSE # 350°73RD AVEa NE Address: FRIDLEY, MN 55432 Tel. # (612) 502°4777 � LICENSE #20130983 �ey ofthe 1�, ..� � P___,..___--------- -----�n it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: Construction Type: � ; . .�.- : . :�, _ :� . o : �� . � . �Il-1 Length Width Height Length Width Height Length Wid�h^ Hgt/Ground � _� _ ., Q A _ � � 1 _ ...,, _ , � � _ � _ _ . � , `�i( i 0 Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ ,, � DATE: • ��{' �d APPLICANT: Tel. #(O. �a •$�'f • a�► �iy� Permit Fee Fire Surcharge State Surcharge SAC Cha.rge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge CITY USE ONLY $ ,�o�SFee �chedule on I�everse Sid� $ , � .001 of Pea�nit Valu�tion (1/1Qth,°1o) $ Q��O� $.50/$1,000 Valuation $ �f $1050 per SAC Unit $ �� b $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 $ ,? �� J� /�1/�QE ��-�o�'� �� /-� G s� �orrs: �� r�= �� - Tl�� l.�G,�°�.�-%g �� C. �1Gi 9. /. � ��%Gl_.�yC-., BUII.DING 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,Q00 $25,�1 to $50,000 $50,(?Ol to $100,000 $100,001 to $SOO,OQO $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 $2,0� $69.25 �r ��st $2,G00 plus $1�.00 fvr each addition�.l $1,Q00 or fracrion thereof, to and including $25,000 $391.25 for first $25,�0 plus $10.10 for each additional $1,�0 or fraction thereof, to and including $50,000 $643:75 for first $50,00(1 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $1�,000 plus $5.60 for each additional $1,000 or fracrion thereof, to and including $500,000 $3,233.75 for the first $500,(�}0 plus $4.75 for each addirional $1,000 or fraction ther�of, to and including $1,000,000 � $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,(�0 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 foundadon once it has it has been constructed will be required before proceeding with the framing. ' '' . F \ � • T � �F � .� �� `d sue��cT City of Fridley AT TME TOP OF TME TWINS g � I L D I N G P E R M I T i� � � � • COMMUNITY DEVELOPMENT DIV. � � �: ----- � r � � PROTECTIVE INSPECTION SEC. 1 . � i-__•� ��"' �•� CITY HALL FFIOLE� SS�3i NUMBEiI L 763-571-3450 910-F15 109 AODRESS 7331 Concerto Curve NE t LEGAL �OT NO. BLOCK TRACT ORAOOITION REV O�TE 10/23/03 DESCR. j2 2 Melody Manor 2nd Addition 2 PROPERTY OWNEF MAI� ADORESS 3 CONTRACTOR MAIL ADDRESS Renewal By Andersen 1920 Co Rd C W, Rosev a ARCNITECT OR OESIGNER MAIL ADDRESS 5 ENGINEER MAII ADDflESS B USE OF BUILDING Residential 7 CLASS OF WOF;K O NEW ❑ ADDITION ❑ ALTERATION 8 DESCRIBE WORK Replace three windows and entry door within exist 9 CHANdE OF USE FROM TO ZIP � REPAIR PAGE Oi / / IT NO. `, 3992 RECEIPT NO. �[ � APPROVED BY SEE ATTACNEO SMEET PMONE PHONE LICENSE NO 64-4777 2013098 PMONE LICENSE NO. PHONE LICENSE NO � MOVE O REMOVE 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. - :5 �� a j_�: � �°:� :�', �!> ¢. �.. �. 'a !�, '; , .'. �° �� rFn I � `�Y ' � f �ry -r , a L'�. oi � ' IY �3 i �? 1' :-t ,� TYPE Of GO� SEPARATE PERMITS AiiE REQUIREO FOR ELECTRICAL, PIUMBING, HEATING, VENTI�ATING OR AIR CONDITIONING TMIS PEFMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING AUTMOR12ED IS NOT COMMENCED WITMIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOiiK IS COMMENCED. NO OWLG. I HEREBY CERTIFV TNAT I MAVE READ AND EXAMINED TMIS APP�ICA710N 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED MEiiE1N Oii NOT. THE GRANTING OF A PEFMIT �9,440 OOES NOT PRESUME TO GIVE AUTMORITY 70 VIOIATE OR CANCEI 7ME pEqMIT FEE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGUTATING CON- STpUCTION OR TME PEfiFORMANCE OF CONSTRUC710N �IH1.ZS $�GN4TUAE 0� CON'AACTOQ Op OUTNOA�ZED OGEN1 ID�TE� i �wre� r , SO. STA�LS .S�', �5 . �0 GNOUP �OCCUPANCVLOAO CU OFFSTREET PARNIN( IGARAGES $4.72 SAC CHARGE Fire SC $9.44 TOTALFEE $200.41 D T►+iS i5 rOUq PEp� �[ ] ADDN ALTER [l [l �onstruction Address: I.egal Description: ' Owner Name & Address: Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLEXES R i AND R 2 BiJ'II.DING PERMIT APPLICATION J , Tel. # Contractor:; �, w0.� �u At1�1�exS�, � MN I;ICENSE # 0"�017jOq B Address: 19 a o C.O��n� 1�Oo►d � W�.S�: �� u:11rr � Y1c1�U SS l l� Tel. #(�51 • a1�4 •�{�'�i'�' Attach� to� this apgl�cation, a� �ertificate� of Survey of-t�e - lot, with th��progoseci�cvnstr�cti�on� drawn' on it to scale. , DES.C:�i�l'd OF �1�f$�4�E1�ii�iT �. � ' LIVING AREA: L,ength Wisith Height Sq. Ft. GARAGE AI�EA: Irength Width �ieight Sq. Ft. DECg AREA: Ixngth � QVidtli � Hgt/Ground Sq. Ft. OTHER: ° � � o r, � rn � � , � ! o � � v,,,e�, ; n . a l n �-�, � �,�� -, �. � . , �, .,.. . �„ . . �� . . _ , � �� Construction Type: Estimated Cost: $ �' , � � O , � Driveway Ci�.rb C�t Width Need�d: Ft. + 6 Ft = Ft x$ _$ DATE: G� � APPLIeANT:�� Tel. # �j 2� •3�1,5 •�i �- Permit Fee Fire Surcliarge � State Surcharge SAC Charge Lic�nse S�rchazge Driveway Escrow Erosion Control Park Fee Sewer Mai.n Charge TOTAL STIPULATIONS: � � .� $ .� $ .� $ $ ;�. ..C� $ $ $ $ �� .. r.• - CITY USE ONI.Y Fee Schedule on Reverse Side � .001 of Permit Valuation (lJlath%) � $.50/$1,000 Valuation °�— $1050 per SAC Unit $5.00 (State Lxcens�d Residential Coulxactors) Alt. "A" or Alt. "B" Above $450.00 Conservadon Plan Review Fee Determined. by Engineering Agreement Necessary [ ] Not Necessary [ ] . ., • ��a�� g�-�f� Building MECHANICAL Permit No.: ��' �� Inspections RESIDENTIAL APPLICATION Received By� 763-572-3604 CITY OF FRIDLEY Da d� o� 763-502-4977 FAX �� I-I-os DATE � � � � YOUR E-MAIL ADDRESS �� ',—�� ° �-�i SITE ADDRESS °7 � E THIS APPLICANT IS: ❑ OWNER �ONTRACfOR PROPERTY N,�: � oYl OWNER/ .�wDxESS: ��-�— TENANT C� STATE zzrn rxor�: �C.�3 °-� ��- O (�C.� CONTRACTOR co�nxY xaME: NOTE: ggpp�Rp� �TTy COIdTACT PERSON: LICENSES ARE S`I'ATE LICENSE # � REQUIRID FOR GAS AND HVAC. ADDRESS: STATE ZIP SUBMIT COPY OF BOND pHONE �"� ��* S� �F C� FAX AND IN3URANCE pERMIT TYPE SINGLE FAMII,Y � TWO FAMII.Y ❑ TOWNHOUSE TYPE OF WORK: � �' ��c�rr ❑.au.�xnTTOrt�onE[. DETAILED DjE �CRIPTION OF WORK �� Ic¢.c./ /�� L9 1`�`� _ C5l fj � � 1�l �l1 � °L ` PER MS 15B.665 the pernrit fee is a miHimnm of $15.� or S% of tbe total c�t up to $50t1.�, whichever is geater, for the improvement, installation or rep1acement of a residential fixture, exc�uding the fixtures. (This shotild reflect anly the cost of lal�r ) OR Labor cost under $300 =$15.00. Labor cost between $3� to $500 = cost of labor x.OS = FOR PROJEC'FS VJHERE LABQR E}tCEEDS $500, FEES ARE BASED ON $10.00 PF]t FIXTURE, EXCEPT VVHERE IdOTED. FIXTURES: (Il�IDIGATE TOTAL NUMBER QF EACH BEI.OW) Equipment lnsta�led MFG: MODEL: SIZFJBTU MFG: MODII.: S1ZElBTU MFG: MODII.: SIZF./BTU A/C $25.� FIREPLACE (GAS) $I5.0� GAS RANGFJbVEN $10.00 AIIt TO AIIt E3CCIiANGEER $15 FIREPLACE (WOOD) $35.� IVEW GAS GRILL $]0.00 BOIL.ER $35.� �F[JRNACE $35.00 _GAS UNIT HTR $]0.00 _CFIDVINEY LIlVER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.06 GAS PIPING $10.W VENTILATOR $15.00 PERMIT FEE PR03ECTS FOR UNDER $500 PERNIIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DLJE $ OR Number of fixtures @$25.00 x$25.00 =$ Nwnber of fixtures @ $35.00 � x $35.00 = $ �� State Surcharge = $ 50 MINIMUM $15.50 1VIINIIVIUM $15.50 Tota1= $� THIS IS AAi APPLICATIOPT FOR A PERArIIT�VOT dALID UNTII, PROCESSED I heretsy apply for a mechanical pe�mit and I actmowledge ffiat the information above is complete and acci¢afe; that Uie work will be m confo�mance with the ordinances and codes of the City of Fridley and with the Mumesota Coastruction Code.c; that I understand this ia not a permit but only an appIic�tian for a permit and work is not to start without a pamit; that the work will be i a �th the a ed pl in the ofall work which reyuires reviewand a pp�oval of plans. SIGNATURE OF APPLICANT � �'+@5 L• �� j-ij-� APPROVED BY DATE PLEASE NOTE: $EPARATE PERMITS ARE RE UIRED FOR BUII.,DING, ELECfRICt�L. AND MECHAIVICAL WORK City of Fridley Build'mg lnspec�ions Department 5431 University Avenue NE, Fridley, MN 5543z 763-572-3604 FAX: 763-502-4977 Building pl,jJ��G nerniit Ivo.• tp Inspections - �SIDENTIAL APPLICATION R�eived By: 763-572-3604 CITY OF FRIDLEY D a � DATE YOUR E-MAIL ADDRESS sr[� AnnitESS Sa„�.« R.s p��,w Robert Nelson THIS APPLICANT IS: O OWNER �o1v�r[ucTOR 7331 Concerto Curve PROPERTY N�: . Fridley, MN 55432 OR'NER/ �D�S: 7637849060 ,� � TENANT • PHONE: CONTRACTOR N.�tvlE: — --- SUBMIT A C�PY OF STATE LICENSE # G EXP DATE YOUR STATE ADDRESS• tiC S CITY �' 0/%! STATE�GIP S�S�yO� LICENSE WITH , pHONE 7— y03 FAX 2 — , APPLICATION -� PERMIT TYPE �SINGLE FAMILY � TWO FAMILY -` � TOWNfiOUSE TYPE OF WORK: � �u' � � ��LACEMENT • DETAILED DESCRIPTION OF WORK % � 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 impro�ement, installation or replacement of a residential fixture, excluding the fixtures. (This.shouldreflect only.the cost of labor ) Labor cost under $300 =$15.00. L.abor cost between $300 to $500 = cost of labor x.OS = •�•FOR:��ROJECI'S WHERE LABOR EXCEEDS $300;�'EES ARE BASED ON $10.00 PER FIXTURE,�E7CCEPT��;f3ERENC2'C�EHF:RiZCT�R£8:..(�DIC�fi.'I;E TO�TAL • NUMBER OF EACH BELOV+� � _BA7'H SINK%LAV" _ - - -- --_FLOOR DRAINS _ SHOWER -- --_ WATER PIPING -- - _ BATHTUB _ GAS P�ING �eo crrr�rcFr�rse) SWIMMIIJG POOL WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SWK WATER CLOSET BACKFLOW PREV. ($1� _ DISHWASHER _.LAUNDRY TRAY �WATER I-�ATER ($35� FOR IRRIGATION _ WATER MEfER OTHER � 4 � - ' � 7, �"�'a� . ., !b'�' 'xs.�^ _:, - � �� r � . k Permit Fee $ Number of fixtures @ $10.00 %x $10,00 = $� Swchar e .50 Number of fixtures @$I5.00 x$1�.00 =$ ' TOTAL DUE $ Number of fixtures @$35.00 � x$35.00 =$ 3S.Oo ....... , Siate Surcharge = $� Total = $ �.� THIS IS AN APPLICATION FOR A PERMTf NOT VALID UNT1L PROCESSED ' I hereby apply for a building permit and I acknowledge that the information above is complete and accwraie; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Co`nstrucrion Codes; that I understand this is not a permit but only an appGc ' n for a germit and work is not to start without a permit; that the work vkill be in accordance with the approved plaz► in the case o w' r uires review and approval of plans. o SIGNATURE OF APPLICANT PRINT NAME Je /(/O/�IOWi DATE � �� r� - -, - City of Fridley Building Insp�ctions Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977