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AF - 37939City of Fridley, Minn. n BUILDIN� PERMIT N� _ ss2s ��: � � .�-� �� . � �� , a , owner: suilder � ,�jd�$ Address i� �, P LOCA ON OF BUILDING No. ��€�� Stceet �� .��r Part of t I�t ��__ Block � Addition or Sub-Div�sfon ;�� '� �'�� Corner Lot _ Inaide Lot � S.etback �— Sidey►ard �� Q� Sewer IIevation � � � • /-� �e�evation e� z / , / � �. ,. ,. � o _ . BUILDING To vsed • ' �• r�o�t � neprb � x��t►t ��= sq. Ft. ,L�� a�. Ft. �'�`�' �� -ront .�....� nepth i�eight �...� sq. Ft. �� Lr cu. Ft. '�C� � Tyne of Construction ��_.._..._ Fast. �'�- �l�To be Completed Ea consideratton of the isauance to me of a permit to co building descri above I to do the proposed work in accrordance with tt►e description above t Porth in c�m ith afl p ona oP orrlinanc�es of the dty of FiYdley. In camsideratton oP the payment of a fee oP $.�PL , Permit is hereby granted to to construet the building or addition as described above. This �rmit is granted u�n the expresa c�nditton that theperson to whom ft ia granted aad hfe agettts, employees and worl�nen, in all work doae �1n, around and upon said building, or anypart thereof, ahall conform in all respects to the ordinance� of Frldley� Minnesota regardin lacc�tion, c:onstruct[on, alteration, maintensace, r+epair and mov3ng of bufldings o�rdi�naa�. dty limits and p �1s� /d / 1 permit may be revoked at any time u lation oP aay of the Provieiona of said Buflaing' Inspector Nonc� Th�s psra� doa not eorer t6s esmhueHoe, tes�alldim fee vr6�a6. P��B� 6a 6�aNnp, aw�� er wNsr. B� wrs to s� du Buildi� I�etee hr aparw � fe� �6as hsms. ; _, , � `�,� �.� �/, � �� ,� Owner's lddrese 6PPLIC�TION F� BIIILDIIQG PER1NiT CITY OF FRIDIEY, MINNESOTA LUCATION OF BIISLDING No. /��Y� Street �.�'/�',.�`,/ /��!�' Part of Lot � Block � �ddition or Su'�livisio; Corner �t _____In�ide s� �r� c�s.��vs,. y�il Adf � SE4JER ELEVQTION FOUNDATION ELEVATION �pplicant attach to thia form Certificate of Survey of Lot and propased buildin� loca.tion. DF�SCRIP'PION OF BUILDING To be u.sed as s �° � // _ .✓./ � � _ . . �n _ . . � � — � _ . . e� / �. Ft. � ��O ' Cu. Ft. - - - ,� � ! _ Sq. �'t. �� Cu. Ft. � Type of Construotion Estimated Cost .,.� �_, .- To be Completed The nndersigned hereby ma�ces application for a permit for the work herein specified, agreeing to do all work in atrict accordance with the City ardinances and rulin� of the Department of Buildings, and hereby declares that all the facta and rep��tati sta,tsd in this auulic�.tion �ze true and correct. �7 �-, _ (g Schedua.e of Fee Coste can be fowzd on the Reverse Side.) � . � a .. �, � , , .e . _ ' .+�. '�— BIIILDIlVG PERMIT FEE SCI�DDIE Section 2. The Inapector of Buildings ah�7.1, before issuing any perm3t for the erection of s.ny buildin� or structure, or for an,y add3tion to eng e�d.sti.ng bu31d- ing or structure, or for �.ny alterations or repa3rs to any existing building or structure, upon applice.tion therefor, require the payment by the applicant for -•-� such germi.t of fees. to the amount herein below aet Porth and in the mariner herein provided to-�rit a � 2.1. For any such permit for the �erection of aay Fire-proof building, other than a gerage, warehouse, factory or grain elevator, or for t,he erection of eny fire- proof e.ddition, for �imilar occupancg, to aay exist3ng buf].ding sha11 be at the rate of �]..LaO for each one thousand cubic feet, or £raction thereof, in such . cubical. contenta. . -�• 2.2. For ang such permit for the erection of any fireproof garage, warehouse, factorg or grain elevator, or for the erection of any fireproof addit3on, for - s3.miler occupancy, to an�r existin� building shall be at the rate of �7..25 for each one thouaand cub3c feet, classified as '�fireproof'� by Sect3.on 502 of the M3nneapolis Building Code. H� 2.3. For an� such perm3t For the erection of a.ny non-fireprooY building other than a garage, waxehouse, factory or gra3n elevator, or any norkfireproof e.dditioa, for simi�,7..sr occupancy, to ang existing building. Permit �1.Q0 for each one thousand cubic feet. GARAGE3 . _ 2.4. For aay such permit fox the erection of a.nar norr-fireproof gar�ge� warehouse, factory or grain elevator, or for the erection of ar�t non fireproof e.ddit3on, for simi].ar occupancy, to �.ny exist3ng building or For each auch buildirig or add3tion. N3nety Cent�_for ea.ch one thousanc� cubic feet or i'raction thereof, in the cubical con�ent� thereof w3th a minimLmn of �4.00. For the purpose of computing feea for building permits the cubicel contents of any building or addition to a uniSorm height throughout by multiplyiug the grourtd area covered from a point s3x (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the anerage height of the roof s�rface of.the main gable of a pitched roof. 2.5. For repairs or alterations to an existing atructure, the fee s}za27. be at the rate of �3.00 for each Fine Hundred Dolla.rs ($500.00), or f`raction thereof in the cost of, all proposed work. . 2.6. In no case ahall the fee charged for any permit as set forth in�Section 2 be leae than �4.00. (�1 � •�-' � p --� �, a�-�.�. � _ -- , t �• � Lond Plannlny Carr�1 Surve�/ir�� s�,�s ks�,;►� Ciwl fr Afuniapal En�rneerin9 6E's Hi�hnoy� :cs uE. , � � �L4inieev�lis 2/, E N G I N E E R I N G, I N C. �'�°��°f° SU�,s�f 4-6066 En9ineers � SurvecJars cesrts�scate o� susve Fo� - E 6 M DEYELOPMF�IT C0. , � T - No E:- N �. E�eva�iona 51,own or¢ P�opos¢d ' ��ri2./�q %�. � 2. Firs+ �r1no� el. 2.8 f�, o6eve. gr�und � ��'°' . � heus¢ cown¢rs �? 7, 3 6 ` / / , J �� . � v �y � / ' . r' 1 l ' _ ,� � . �' � �� o a� �� Y ��y � �`� ��-,,,,�i� �� o�9�ouno��. "`� �: hoase cor,� 1 1� `�d� ��W �� U' � .. � l'"'S �' d... � ,� . . -.� e�e. � , _�__._ . � �.� � � 4 � j ��i��- ef �7�3 . � � 0 d%876. 7,� � o-� '� �'T�'� ¢ g� � ,, �� ✓ �� , �� '�� .! � �� ,.1 � �'/� GQ%G. o O DENOTES IRON UENOTE5 DRAINAGE `�-. UTILITY FA5EMENT LOT � BLOCK 3 MELODY MANOR 2''-D ADDITtON ��noka Coun}� — M�nne�o�ra� / hu�zby cerfi�y flwi lh�s is a frus and mrrrcf ��prrsenEofiia� o�'o su�retf �'N� ba'undor�es �('�r a�ba,�r af�ri6�d /md, and �/aw�n a�'a/I b�u►►Id/�i�9s , Nr.n.°av , o�d/ ris��e o�rrno�fimaifs ,��'ay, �iarn a' rn soid /and. As surveyed 6� nx 1fe�s - du� Ac r i l A.D �. SUB URBAN ENG/N�ERING , INC. . F✓►�tn S �j Strr'��r�F.�`�� '� SCAI..E I"= 30' ��e � � � .�_ r--� •- � � •- �"� 1o5-C ... . ,. ' _„�� \\ \_ � � N �. � a � oM p � � O . Y . � • M :o . � . m 0 ' � . � • `� � � "� �+ !'� 41 �•, � � w � � �' � � � � � � � � � O • O � . o . . � . . 0 � � � � � � O q C � � H a y � � ... �� .�_ , ,• �. �. \ �ti � � , . � � iy � � � � m z '� z Z 8 � � � � � � � � � � � �+ P�4 �� :o � � � � � ,� � � a � : � �- : t��+ bd _°o : 04 : R+ o � � . . � � . . . . ; � � ' : : � 51 C4 pd >4 54 >E w n� ta r� r � � � p cNi� o o O tn tfs � {s� tn � ,� �] H � � i'� r � �p � � V �.`uJ) �� V ,� �� I ' 1i � � � � � � e � � � \ � � � � � ° . � � � � � � D � r � m � _ m C r m � � o I � �' � a o � � � � a �� O ! � I� dF • � „�� p � � � � m � 8 �' � � @ � � � 0 � pm p � � � I � � f0 � m O � r�+ M ❑ � � w a � � � � � � M WATER URINALS enrH � SINKS WASH ranYs DRINK. FOUNT. sHwRS. FL�R DRAINS �� nuro w�ae GAS APPL GAS RANGE GAS OPENINGS a • z a � � � � � �� a c�o � a`� °�a � y�{ y • � � r� �o�� . � o m�c� � ��o�. � � ��o � 3 � � � ��- • �' 8 �i � �Y � O m � � '�O � � � �� Q'l p � p� a �M � �, o p 1 �.��y � �� ag � a�� M �a-' � � l�D �� o � �' ; `° � � �� - � 5' � � � GC � � �y a0 �x &� p �� m � � l� � � �i � � �J � � W � 9 �' . d � �- � � r � M e� `� �. ro � o� � �° � � A O 1` � � � � ��, � � .� � � City of Fridley, Mi.nn. BUILDING PERNIIT na�: dvly 8, 1965 N° �..� � � � 8153 �: Eciw�ard Scbl3.chtin.g �� Lloyd. W. Ho�e� Constr. +Co. �� 7340 Coacerto Cn.rve Ad� 5213 W. 61st Street LOCATION OF BUILDING No. ? � St�eet Coacert,o Cvrve part of Lot Lot 7 Bl�k 'i— Adclition or sub-Divisian �elody P�Tior, 2nd �dd�n, Coraer Lot Insfde Lot Setback Sideyard Sewer IIeval3on Foundation IIevation DESCRIPTION OF BUILDING To be vsed as: RebUild Front Depth Height 84. Fw Cu. Ft Front Depth ITeight Sq. F't Cu. F't. Type of Constructfon F�st. Cost .� 19.a.�s� To be Completed Complete liebuild In consideration oP the issuance to me oP a permit to construct the buildiu� descrlbed the proposed work in accordance with the d�scrlption above t forth and 9n crompliance � orrlinanoes of the dLy of Frldley. ,'�� IslJ l� ��` I agree to Provisiona � �, � 0 In camsideration of the payment oP a fee oE 2•�—.._., pera�it ia hereby �ranted to�?�• Hov._e_r ConStr. CO• to conatruct the building or addition as descrYbed above. Thispe rmit is granted upon the egp�re�a conciition that the person to whom it fa granted and his agents, employees and worl�nnen, ffi all work doae fn, araimd end upon eaid building, or anypart thereo� shall ooffiorm in all respects to the ordinanc� of Fridley� Minnesota laca'tion, conatruction, alterablon, maintenance, repafr and mov9ng of bufldiugs within the dty ]imits�� permft may be revoked at any tiaae upon violal3on of a�► oE the P�via%na oP said ordinaacea. �.]1ea Jens�n �� NOTIC& 'li�s p�re�U dea eef �wr �6s ee�fru�Hoe, imta(�lOn ter wieteg, plam6tee, en 6�aHns, awu er �rahr. 8� wra to a� Ha Bnildiae t�o� tor apual� pumhs hr flaa IMnn. r � APPLICATION FOR BV.CLDIlQG PERMIT GITY OF FRIIILEY, MINNESOTA- OWNER' S NAME � V,. �� ICh �► r+ BUILDER ht � C'1 �• o e1►' ��r�'�6 �� • ADDRESS 7�'i0 �o�• �Qw �O � ur il � ADDRESS .��I�' �IjI. �o I � �"i' LOCATION OF BIIILDING . � N0. % � T � STREET .�C �► �e � v°�o � c� tr �( � PART �F LOT LOT °�BLOCR � ADDITION OR SIIBDiVISION�% ��_� �/ CORNER LOT INSIDE LOT SETBACR �SIDE-YAR,D � SEWER ELEVATION FOUPDATION ELEVATIQN Applicant attach to this form Two Certfficatea of Survey of Lat and proposed °� building location drawa on these Certificates. . . DESCRIPTIOIQ OF BUTLDING , To be used as; �. A � e s 1 d� enc�- Front_ �� f Depth �L / Aeight i� �pp��?Cs Sq. Ft. %' 3r�Z Gu. Fts�� .�-� '� Front � � Dept , Aeight Sq. Ft. • � Cu. Ft. . , � Tqpe of Conetruction �v t�� . Estimated Coat_ ��,�Q �� %'� To be completed �pp t� o�f• ��•�`�S , The undersigned hereby makes application for a permit for the work here3n specified, agreeing to do a11 work in�.strict accordance with the City of Fridley Ordinances and rulings of tlie Department of Buildinga, and hereby declares that all the facts and representations stated in this application are true and correct. (Schedule of Fee Costs can be found on the Reverse Side). �. n � � / .. . � _ � D� � � � , .. BIIILDING PERMIT FEE SCflEDULE SECTIOR 2. The Inepector of $uildings shall, before iaeu4.ag any permit for the— erecC3on of any bu3lding or at'i�ueti�ie•,��or 'for ang additioa to anq eaisting building or etructure, or for any alterations or repaira to any ex3sting building or etruc�uxe, upan'eppl3catibn therefora, require the payme�t by the applica.nt _for sucli pe��t of .�ees t�o� th� _�moun� :herein below set forth and in the manner herein provided to•wit= 2_.1_ l�o� any such permit for the erect3on of any fire-�roof building, othar than a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for eimil8t oCCUpsncya to any esiating bufldin�, shall be_ at the .rate of '$1:40 fot eac� .�ne thou�and cutzic' feet, or fraction thereof, in auch cubical contents. 2.2 For any $uch �ermit for the erection of anq fire-proof gara�e, warehouse, factorp or�gtain elevator,-or for th� erection of any fire-proof addition, for similar. oc�upancy,.to any euisting building aha11 be at�the rate of $1.25 for each'one'thousand cubic feet, claseified as �'fireproof" by Section 502 of the Minneapoli,e Building„Code. � HOIISES 2,3. For any such permit for,.the erection of any non-fireproof building other than a garage, warehoited, f8ctory or grain elevator, or anq non-fireproof addition, for similar occupancy, to any exietiag buiZd�.ng » permit $1.00 for each one thoueand cubic feet. GARAGES- ��,4,- For any such pes�it foi the�erection of aaq non-fireproof garage, warehouse factorq or grain elevator� or for the.erection of aay non-fire-proof addition, for aim3la� occupancy, to aay existing buildin� or for each such building or addition - nineCy cents ($0.90) for each oae thousand cubic feeC or fractfon thereof, in the cubical conteats�thereof with the minimum of $4,00. For the purpose�o�-ccnmputing fees for building permita, t�ie cubical contents of any building or addition to a unifotm heighC thXoughout by multiplqing Che grouad area covered from a goint si:x (6} inches below•the floor 13ne of the basement ar cellar to the average height of Che upper surface or to the average height of the roof surface of the mafn gable of.a, pitched roof. . 2,5. For�repaire or alteiat'ions to an eaisting structure, the fee shall be at the rate''o� $3.00'per each Five'Hundr'ed Dollara� ($500.Ob� or fraction thereoi in Che �cost "of a1'1 propoaed work. ' 2,_;6. Ia no cass shall the fee charged for any permit as set forth in SecCaton 2 be less � t1aan $4,;00. . . STORM REPAIR DAMAGE EEES: Reaidential; Co�ercial; .,_ , ,__,. Estimated Cost of work up to $500.00 -$5.00 Estimated Gost of work over $500.00 -�I0.00 Estimatef"`'Soat of work up�to $300.00 - $1�'"QO Estimatec. .;ost of work over $500.00 - $2�, ,10 �� SUBJECT N O. - City of Fridley � 0 19121 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R . � • COMMUNITY DEVELOPMENT DIV. �� r � +%" � I. r � � PROTECTIVE INSPECTION SEC. .1- i = � � /'�'1 �� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""� � ,�� 612-571-3450 910-F15 8/17/87 / / JOB ADDRESS �340 Conc�rto Curve N.E. 1 LEGAL LOT NO. BIOCK TRACT OF ADDITION SEE ATTACHED DESCR. 7 3 �210C� �r �01�, SHEET 2 PROPERTY OWNEH MAIL ADDRESS Z�P PHONE Thc�nas and Pamela Zembal satne . 784-4103 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Total Hcane Se�cvi.ces 927-0519 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. ' . 8 USE OF BUILDING ' Resi.denti al 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof ch�zellin tearin off old shin les 9 CHANGEpFUSEFHOM TO STI PU LATIONS Can be � two layers of shingles, but not three la.yers. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOH A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ��-/25O �.�63 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $22 eO.O STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $22.63 SIGNATUREOFCONiRACTOi70RAUTNORIZEDAGENT �DnTEi � HEN PFO E LI T D THIS IS YOUR PER IT __ -- B�J �'�� SiGNATUqEOFOWNER��FOWNERBUI�DERI �DATEI BLDG iNSP 1�ATE NEkJ [ ] ADDN. [ � pLTER. � City of Fridley R-1 AND R-2 Building Permit Application Effeetive 4/1/86 Construction Address: :S y� �-��'�v`�� v Legal Description: ��l'� �� Owner Name & Address :// d' d�r aS f 0'�L�er � z'�� `�' �( Tel . 7�' y' �i�U 3 Contractor: "/ v�d � T�e l�-�� s$ Vv� c�� Tel. � a 7'U'r�q Address• Attach to this application, a Certi$icate of Survey of the lot, with the proposed construction drawn on it to seale. DESCRIPTION OF IMPROYEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AAEA: Length Width Height Sq. Ft. DECH AREA: Length Width Hgt/Ground Sq. Ft. OTHEx: �iti (�t�� rC'�.� U� � Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard�etbaek Type of Construction: � �� Estimated Cost: $ `�� Approx. Completion Date: � � Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Baek Page for Explanation DATE: APPLICANT: Tel. �. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAI. STIPULATIONS: CITY IISE ONLY � a�t.C�U Fee Schedule on Reverse Side � �"� 25$ of Building Permit Fee $ ��o`� $.50/$1,000 Valuation $ $ 525 per SAC Unit $ , �---._ Fee Determined by Engineering �Agreement Necessary [] Not Necessary�[ 7 $ . P � BIIII.DING PERMIT FEE SCHEDIILE The Chiet' Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing buildin� or structure, or for any alteration or repair to any existing building or strueture, upon applicatio a therefore, require the payment by the applieant for sueh permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total Valuation $1.00 to �500.00 $501.00 to $2,000.00 $2,001.00 to "�25,000.00 $25,001.00 to $50,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraction thereof, to and ineluding $2,000. $32•50 for the first $2,000 plus $6.00 for eaeh additional $1,000 or fraction thereof, to and ineluding $25,000. $170.50 for the first $25,000 plus $�.50 for eaeh additional $1,000 or fraction thereof, to and ineluding $50,p00. �50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and ineluding $100,000. �� $100,001.00 and up �433.00 for the first $100 „Q00 plus $2.50 for eaeh 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 approaeh with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for eonstruction 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 onee it has been construeted will be required before proceeding with the framing. � » C) O � � � � � Z D � � _ a r r m m -o � O < � m 0 � m � C � Ci � m n � O z � 0 a a D z 0 D � r m rn � D � z � C � � N m � � O z n _ m � O � � m m � � m � c � � � � m � � � � O � D � � r m r �• � O � o � � _ � � m � w � � m D T O v N � � � ,,x,� � N c � m o o � _ D D � � a � - D � v D � m � � O Z � � � � -a cn C Z � Z � C m � 2 � °' ao m � -� � m �'� � �, m o _ m Z � - � � � � C -p �. n C � 2 � � � � 0 m� �� 'D m � � � � �. w � o °: N � O I O O � I � � C -� m r z 0 � m a�i n�i ��` �` c a�i, yn, W W� z � � N p N 'D � O 3J (D CU lD .0 � S � � � � � ° c'�c � m m � m °��' mm � � @ X � * m a.' � m n m y W v � c �* *�� 3 z. ��' y� m v��i . y f�CD � �� t� Q = � Z m � � � y � a � � � • � 'TI N� 'F Q � � •-xi � � c c � m m Q. � � � �I I I� I(� I I I I I � � 0 0 ��v�� O O O v O V V �1 V U7 A�I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 r y 3 � m a � y � 1 r. -o ! D z � � � � m � � � Z O m a � � c y m a O i � m I ` � 1 0 w � � v � a a m m � -. 2. m c -±� � � � � a � m m �' � �' � ° � �° � �: ? �. cu o m � a I y �� o m w Q. a Q (D 3 � � d � � � 3 � v � � y � _. Al w ? 3 -a a � � �• C� n- ..� .�.i � � o � c�'i � � � o 0 a m Q �, w � m 3 v c � m m m �, -, 3 ` � � � �: a � �- o �1 � � .. -. o m m ? � � m � m � �-.�i � n � O � m N _ tA � �` m J � � � v v r c � � z � � X � c � m D -i m � z 0 � A � m � O -i � � O W D O v � m � � sue�ecr P . City of Fridley 6� 5 3 AT THE TOP OF TFIE TWINS g U I L D I N G P E R M I T r � � O. � �,L _ COMMUNITY DEVELOPMENT OIV. �� / r � � PFOTECTIVE INSPECTION SEC. � i i � ( �""1 � CITV HALL FRIDLE� SS43P NUMBEF REV DATE VAGE OF AVPROVED BY �----� � �'' 612-571-3460 9/0-Ft5 7/28/98 / / JOB ADDRESS 7340 Concerto Curve 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � 3 Melod Manor 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESyS 21P PFIONE Pamela Zembal 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. John Hale 4 - 20126 0 4 ARCNITECT OR DESIdNER MAIL ADORESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL ADDRE$S Z�P PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e 24 S Tear-off 9 CHANGE Of USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBINO, MEATING, rrPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, Ofi IF CONSTFiUCTION OR WORK IS SUSPENpED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I MAVE REA� AND EXAMINED TNIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORfiECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHEfi SPECIFIED HEFiEIN OR NOT. THE GRANTING OF A PERMIT ZOOZ y�I..00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMiT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE.OF CONSTRUCTION. �7�F.7S Fire SC �Z.00 e� PIAN CHECKFEE TOTALFEE ' � �� / License SC $5.00 $82.75 ATURE cC AC70AORAUTMOA�2EDAGENT iDATEi FIEN PFOPERLV LIDATED THIS IS YOUR PERMIT W r SiGNATURE OF OWNERUF OWNER BUILDER� �DATEi '' DG Sp ��a1E NEW ADDN ALTER [l [l �] CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: % `��D C_'o� C�-�� u � Effecrive 1/1/98 ��c0 �� (D� � Legal Description: Owner Name & Address: �w-� �,�oq._ � P��l ��4- ( Tel. # � � ° �/d� Contractor: ,J J�� l-�,a F e� �/ e2c�� MN LICENSE #�«6g"�'Sd Address: :3 �So l,.4,��t,�� ,�3%� e-c�4-u2�'r�+- ,��3� / Tel. # �� g'� Attach to this application, a Cert�cate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE �AREA: DECB AREA: OTHER: Length DESCRIPTION OF IlVIPROVEMENT Width Height Sq. Ft. Length Width Height Sq. Ft. Len,gth � Width Hgt/Ground Sq. Ft. _ v, Construction Type: %'i'-aF�� D2� �`� C Estimated Cost: $ ^ a� ��n�� j (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ ,r�,� � �' S-6' DATE: ��°?�''�J' APPLICANT: �� `�� 1-��{ Tel. #`�12— c�7/ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ / . � $ �- o d $ �, v o $ $ -� $ $ $ $ $ �� 7�- CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.so/$1,000 valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] •�uiu�i3 a� q�inn �utpaa�o.zd aio3aq pannbai aq mn� pai�nusIIO� uaaq s�q �i s�q �t a�uo uoi��puno3 a� 3o uope�oi a� �inn�o�s `�oi a� 30 �anms ;o al��t�a� d •a�is uot��npsao� a� �o pu� ainl�n�s pasodoid a� 3o nnainal �adoid �03 moi� o� uoii��iidd� 3o aun� aq� Luo� sino� �Z 3o umunmiu � pansst aq I�n� uoil�npsQO� io3 s��ad I�iOI.L�Ql�if103 30 1�i0I,L��I3I2I�A 'SL'St$ Sa�3 3�3 9�Id q�plM �EbanuQ - r�dap u�ut 9 uiinn q��oidd� apins l003 £� ii�sa� pn� iaun� pu� qin� 30 luatua��idai puE iEnoivag : u gu a��tuali� 'OS'£i$ sa�31aa3 g snjd t�pt�a �EnnanuQ -�Iuo iaun� pus qm� 30 �uaLUa��ida� pue jEnoivag : ud„ a�E[ua1� (�IQO �aa�1S q�� alai�uo�) A�O?I�S"31�TOISS�d�Q 1��v'A1�AI2iQ 3oaiaq� uoi��ei� io ppp` i$ I��?�TPP� �I�� io3 SL'Z$ �Id 000`OQO`t$ isn3 a� io� SZ'ZIOS$ 000`000`I$ $mPni�ui pue o� `�oaiaq� uot��i3 io ppp`T$ �aoi�tpp� q�Ea io3 SZ't�$ Snid 000`OOS$ isn3 a� io� SZ'L88Z$ 000`OOS$ $�Pni�ui puE ol `3oaiaq; uop�� io 000`i$ I�u�piPPE ��a io3 00'S$ snid 000`OOT$lsag io3 SZ'L88$ 000`OOi$ ��Pni�uT pue o� `3oaiaq� uop�� io ppp` I$ i�uonlPP� q��a jo3 SZ'9$ Snld OQO`OS$ lsn3 io3 SL'�bLS$ 000`OS$ $�Pni�� PIIE o� `3oa.�a� uot�� io 000`t$ I�o�IPPE q��a io3 �'6$ �Id 000`SZ$ isn3 io3 SL'6�£$ 0�`SZ$ ��Pni�� P� oi `�oaia� uop�� lo 000`I$ I�oPiPP� ��a Io� OS'ZI$ �Id 000`Z$ �sn,� io� SZ'Z9$ � 000`Z$ �mPni�m puE o1 `3oaiaql uotl�� io OO I$ I�uor�ippE ��a io3 SL' Z$ Snid OOS$ �sn� io3 I Z$ (a�.�q�ms snid I Z$ st aa3 tununuiYl� I Z$ 53�3 dn pue I00`(�0` I$ 000`000`I$ o� T00`OOS$ (�}0`�S$ ol I00`�I$ �0`OOI$ ol i00`OS$ 000`OS$ oi I00`SZ$ 000`SZ$ oi I00`Z$ 000`Z$ o� i0S$ OOS$ o� I $ �lYIt�A �.LO.L :�in�-o� papinoid utaia� iauueui a� ur puE uuo3 1as naoiaq tnaiau ltmotu� a�l ol saa3 30 ltuuad ��ns io3lu��ridd� a� �q �nau�Ed aq1 annbal `a�o3aia� uot�E�tlddE uodn `anu�nAs io nmp�nq �ut�sixa �u� oa it�dai .ro uop�ia�tE �uE io� .�o `ainl�ruls io �cnp�nq �u�s�xa �uE o� uotlipp� �u� .IO� .TO `aml�n.ns io �uuip�nq �u� 3o uop�aia aqx io3 slruuad �uumss� aio3aq `it�s I�T�.330 $�PP� 3ani� ail.L ��nQ�s �� .tu�x�a ��ua�ng . 0 �'J � � � � � � �J � � � m � m � Z I� ��D� � C e7 � z � n m * � D ,-: -� � o � � m Q- �• � N � N � O N � � �, m o � 3 � 0 Q. ff o� fD �• a �• � oQ " m a � o �� (D y � Q o � � � c�n Q . ` � S 0 c � b � '.o 0 < m a � � V � 0 a`o � � 0 y � � � � ,n � m z � -D r� n � G Z '�1 m m � .� v O O � 2 � a v'• Y. � � � � Q ��, � � rn r � �� J ,W l� V ! �'� � o � � � �A o � d v � CD i�. C O y D � � �. m' � c� m 0 � 0 � o � �--� .��r a m r N -n c rn � m � � v OQ cD � � � 'Q o _ -� -� N -� m � �-v � � � � n � � � � � y N � � � O Q � �n �, rt �, N � 1 o m � �� -1 � oo m, m �j, u, c.� a rt 0� � � � O � a °Q a �- � o ° `c � ,_„ < � � ? V% � � � � o N � � � � G �•a�� 1 D � c° � =' � O "� � � � _ m �Q�-� �� p o ��an� c� � � � c� � � � N � � o- �, g �. � n T . � 0 � --+. � �, o � � A— �" "�' ,..t � fD � CD l'i � IC� �G O � rt O � N S � n- � � � � � m ' _. D cs O G � �� <� v N \ � m m � O � a �' � N � � �,' a � � N � o r. � o �� o� �- r � � � Z W D n � v D C7 0 � a 0 � �. � D � N N � G7 w N � � m � G� G� � -T� � a� v �, c in N N 0 ? Q' � � � '� f� � � -a cn m m = � �� N d d- ^ < � lD � � � � � � ' � � O � � � � —� � � � � � � � rt 3 � G � � �J � O � � � � � �� W � � n� � � � m � {�9 {�9 iA N �-' �-' (J'I O O °o o °o � � � � � WW C ; (D � � � � a � Z � c�D i I I S 'D v� N m z 0 � I� 1 -n oo --a z � '� � ° — C a ' � o z � � 3 �' m � � � l /' N I x I � � C7 � � n c� � o p � � � � m ��-r � m � a cn m o cNU � � rnz3 a o � o ,� _ �o rt � �� (D v � D v �i {f� � W O O 0 0 � 0 0 � � � � � 0 D p+ r i� m � � � � m 0 � O N � �' V � -, `� 1 � '� m � � z O .� V � � �\ � � rn � n x m ,v C r rn � �C p m z '' G� c � m � D � � �� i� �� O � � c � � �''^ �' c': W�wK, � � � h. -� � l.. Cn - C .,., N�,-��•-n W Z c�D "' �0��,.Ci � � � r� W � _' �`' m z zN � m� C: � < u•� a � � z � r �� f: � � 'r1 D, O �� a� z� nm ?� v �a � Z ON o �' �n �_ �m � � � Z N ,{i � n � O 30 N Z � Z -� am � � � n D � � 0 z (�� ^ .3� ��. ��j� R V _�� < 'C LL � ►-� N G a N � t G _ �. '� THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATIQN WIL�. BE RETURNED When � ia in� ari� Pxictin� furanr_P, the undersigned hereby venfies that the venting has been ezamined and is free from rust, deterioration, obstructions, and is securely sup�orted and firestopped where required. Yes� No ( ) The venting system;is plastic/PVC and meets all current codes and manufacturer specifications inclu�ing sizing, length, number of elbows and termination. Ye� No ( The undersigned al o verifies that the replacement unit is a listed assembly and meets the curr t codes and manufacturers specifications. This does include AGA-GA Categary I Central Fumace Venting Tables for fan assisted and natu draft appliances. The Pxr,�n_A com6��ction �ir is sized and installed to meet the currenf codes and manufacturer's soecifications_ When required to in!�ta1� a nP«� om6 ��t�on ,�r, it will be sized and installed to meet the current Godes and manufacturers specifications. V1/h2t1 inctallinA a nPw ven in8 �� m, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacture�'s specifications. This �does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Ye�) No ( ) Ye�) No ( ) Yes� No ( ) Yes�No() Yes� No ( ) �!•• .� - _•- .�• - •i�u.� -� .�• -� .��- • � .ru. •• Appliance #1 Type�jl�nC�QSt. � BTU Input� Fan Assisted or Nat��- c�S Appliance #2 Type BTU Input�' Fan Assisted or Nat�/ Appliance #3 Type BTU Input Fan Assisted or Nat -- T�ta! Qnn ianr,r�S.____ Total Btu I�pUt ' ..�,f _��-- Common Vent Type� �S Vent Height� ' �� Diameter� l/� inc�aes Appliance #1 Vent Connector Height � ft Lengthi`�ft Diameter �_in Type � Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type � r •► �- ..- HEATING CO: Signed By: Date : � % a— �m � _ CITYOF FRtDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 : � � �'�►•IIi1T� �� Mr. Thomas Zembal 7340 Concerto Curve NE Fridley, MN 55432 Re: Final Inspection at 7340 Concerto Curve NE Contractor: Total Comfort Dear Mr. Zembal: A mechanical permit was issued on May 9, 2003 to install a furnace and air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your pernut open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh � CITY OF FRIDLEY 6431 UNIVERSITY AVENiTE NE FRIDLEY, MN 55432 572-36U4 l+'AX: (763) 571-1Z87 PEItMIT N .: 2004-01704 DATE ISSUED: 10/Ol/2004 ADDRESS : 7340 CONCERTO CRV NE PIN : 113024130031 LEGAL DESC : MELODY MANOR 2ND ADD : LOT 7 BLOCK 3 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENII�TGS) 0 # GAS WATER HEATERS 1 I # GAS DRYERS I # OF NEW FIXTURES I # WATER TRMT APPLIANCES APPLICANT H P PIPEWORKS 3670 DODD RD STE 100 EAGAN, MN 55123- (651)365-1340 OWNER ZEMBAL THOMAS J& PAMELA A 7340 CONCERTO CRV NE FRIDLEY, MN 55432 0 # GAS RANGES 0 VALUE (FOR MIlVIMUM CALC) 0 PLBG PERNIIT MINIMUM FEE PLBG FIXTURES (NEW OPEIVINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 9835 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 aiier 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 wor� 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 a.ny other state or local law regula ' onstruction or the performance of construction. Applicant - ;,, Date , Bldg Insp '�'' �� _�,. � � _ Date 18 SEPARATE PERMITS REQUIltED FOR WORK OTI�R THAN DESCRIBED ABOVE. 0 200 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.00 0.50 35.50 .' t � JUL-27-2004 .� � W � � � .� 2 � � � � � m o s � � �1 � r � C �' m m 0 � m � C � � c,� c� m � � � � o � � c� 0 .# ,-, ��8 � 1,i1 � 10�5G t ry iv � a� � \ -I � � c� �,rn= � �� D � Z tD � O r� '�'1 O o x �Q v m � �� -� � -� � N b �v � � rn � � a � 7�, a � " G� � � � m 3 c v � � �.', � � m -t m oif1 m � � CO .�' � �1 s � � 0 � � � � � ca � � w � N � m r � 0 � 1 � 1 � � � CITY �F FRIDLEY Y Y� W� �! .rr `C � ♦� ° � �c ��' `� c'"'a D cv 3 S � �� Q' � � C7�� -,� � O� ��'��s-��?�°�� t�i cb vs CC � �• � � »`�mcu--�'�`�m�rn� � e -i � a �, r N. (!> � � t � �C? � � � .@.� Z fl'I ttZ a tp CD � � 'p -i 9 � -�+ y '�+ �- 7 � � � � � � s � � � m n. � .`�. I �( �� I I( I I I � � .� � � � � � � � � � � � � s w ca ta i � ,.>, .�. � � � v� oracs�crcnac+ooaoo � ;� � o o'v o� CS � A C� C O O O C O O O O t7 O O O o iJt � � r c � W z G7 C7 t) s 'o Y � -� m � � � G � -�i �� m � � � z a � ` � •� � � � C v � G7 � m Q � z m � °v m N O n� a� v� �t a Q. � m c�b c � � � N � � � � -" � � o � � °- u� cn c o m �' s? o '� Q`° �s 3 � � � x < ��'-�-� � � � � n� -zs � � � � � � � � �' � � � � a o 0 s�„� Q� su cb � � � m m n� � � � � w � � �- o � � � � o ,�. m � � �' � �D ^ �'� p � �' � ~' Q S ID 0�7 N fD � r' C � W Z � '� � � � m � m � � 0 � � m -i O v � � W :� � � P.4J'cl�:� - c, �: � ., , w °- � � rn c.r� '{ C � r�v� �-�" t,s Z e��D � Qi � uj 'T1 � � � � 'T'I IWV � ��,,, cb Z � � m � w � � � � -� m ; � N � CD � � � 0 _ � � '� � r � � � � � � � i � W � �► � O G7 � � � � � � � � � � �� c C � L _ � JUL-27-2a04 10�50 CITY OF FRIDLEY P.�J��J ` F�LL IN C4MPLE7ELY F�R REPL'ACEM�NT FUEL BUF�NING APPLIANCE pERM1TS , . COMMON VENT:IIEMT' C�NNECTOR AND CONiBUSTION �►iR VERIFICATION - — VHhen r�ptacinq an existinq furnace, the undersigned hereby verifie� that th� venting 'has been examined and ;s free from n�st, deterioration, absiruc:tions, a�td is s�curely supported �nd firestopped where �quired. Yes () No () Th� ver�ting system is plasticJPVC and meets �II C�rrent codes and m�'nufac#urer s�eciftc�tions in�ludirtg siaing, length, number of elbows and terminatidn� Yes () No () The un�ersigned also veri�ies that the repiacement unit is a fisted asse�nbly and me�ts tiie r,�rrent codes �nd manufacturer's specifications. This dbes include iAGA-GAMA �ategory I Cen�eal Fumace Venting Tables for fan assiste�f and natural �draft appli�nces. Yes () No {) T�te eXistin comb�stion �ir is sized ��'�d insta{led to meet tite �urren� codes and mahc,�acturer's �pecifications. Yes ( } No ( ) tNhen r�quired to install a new coru�bus#ion air i� will be si�ed and in�talled to mee� the cument codes and manufact�rer's specifications. VVljhher� ihstallin � new ventin s s�em, fhe undersigned hereby ver�fes that it i� a lis�#ed sssembly and meets th� cur�ent c�des and manufacturer's; specific;a�tions. This does inciude AGA-GAMA C�tegory l Ceniral Fum�ce Ven#ing Tables for f�n assi�ted �nc� natur�l draft appliances. i 15 the �ommon vent �nd vent cannectors sized �nd insfa{le� correctly 2fter an apptianc� has been remaved frc�m tl�e common vent and ve:nt�d separately as per current code�. � lia�nce T e an�d SizelCommon Vent and V+�nt Connector Information Appliarice #1 T}r� °� � BiU lnput Fan Assisted ar Nat , AppltartCe #� Type BTU Input � Fan Assisted dr Nat _,_.� Appliarice #3 'fype BiU Input � Fan Assisted or Nat ____._ ToYa! Appliances �_ Tota! Btu I nput Yes ( ) No ( ) Yes ( ) �10 ( ) Yes ( ) No ( ) Common Vent Type Vent Height Diameter inches Appliar�ce #1 Vent Gonnectc�r Height ft Leng#h ft Diameter ir► Type Appliarice #2 Vent Cvnnector Height #t l.engih ft Diameter in 7ype A�oliatice #3 Vent C.onn�ctar Height ft Length � ft Diameter `irt Type i , �-� � HEATl�NC C0: Signe�l By: �,Z t _� �o Date :� Q TOTAL P. C33 ��lll Building _ _ �n�pec�ions - — - 763-572-3604 _ 1763-502-4977 FAX DATE ?j �� - STfE ADDRESS � THIS APPLICANT IS: PROPERTY O�VNER/ TENA1�11' CONTRACTOR SUBNIlT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERNIIT TYPE TYPE OF �VORK: DESCRIBE WORK BEING� SIZE OF INIPROVEME:NT � ROOFING NUMBER OF SQUARES GARAGES PROPaSED SIZE: PROPOSED F�IGHT: BUII.,DING RESIDENTIAL APPLICATIUN CITY OF FRIDLEY ADDRESS ■ •�. ��; � � <. // � i - � � ' i // .• i I Permit No.: � � � � c� Received By: l� Date Rec'd: � Se5 STATE ZIP ADDRESS:� O bD /�[fAQy �Il� %I% �/Oi� CITY� f✓L F ,JG� STATE�ZIP� �orr� ?�.3 -yas-- �} �3 'r FAx �7h 3 �as ��1.�-�' sTa� Ltc�vsE # o?S� S� � na� _ p 3- o �f O SINGLE FAMILY/NEW CONSTRUCTION SIZE O TWO FAN�,Y/NEW CONSTRUCITON STORIES o BAS� �sx O ROOF � DECK �SIDING � SWA�A�IIIQG POOL O NEW HOME CONSTRUCTION O ADDTfION �MAIlVI�ATANCE/REPAIR O REMODELING � HOUSE ONLY 0 HOUSE dt GARAGE O ATTAQ�D GAR?►GE O DETACI�D GARAGE O DRAIN TII.E � OTHER :i� .M BASIIWENT REMODELING SUBMiT: 1. F.aistm� Floor Plan 2. Propoaed floor plan 3. I.ist of etractaQal membeis to be ueed SIDING ��`,,,/// FOR NEW CANSTRUCITON INCLUDING DECKS, O Vinyl �grt .ADDITIONS. 8c PORCHES SUBNIIT: �p � T� 1. Site Plan/Smvey slwwing tha exiating atrucUnes �� -��' �F� 2. Two sefs of cw�hadion plaos WII�IDOWS 3. Eneigy Calculations IN EXISTING OPENIIdGS OYes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRiBE SI7,E OF OPENING CHANGES & TYPE OF WINDO�V TO BE INSTALI ED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LA�R AND MATERIAIS: (USING THE 1997 UB� FEE SCHEDULE) COTAL JOB VALUATION $ pCCUpANCy TypE Permit Fee Plan Review Fire Surcharge S�acharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Co�rol Park Fee Sewer Main Charge Total Dne � ��R3 r� � See Back Page for Fee Schedute $ 65% of Building Permit Fee $ .001 times the total job valuation $ %,, f� .0005 x Permit Valuation Minim� $.50 $ �� (� $5.00 (State Licensed Residential Canttactors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fce Determined bY Engineering � Agreement necessary ( ) Non N�essary ( ) $ .� z{ 7. '7 Make checks payable to: Citv of Fridlev Attac THIS IS AN APPLICATION FOR A PIIiMIT-NOT VALID UNTII. PROCESSED I henebY aPPlp for a lmilding peamit and I aclmowledge that the snfmmation abava ie c�mplete and accurat� ffiat the wodc will be in confo�ance with the ord'manr,w a� cod� of t6e City of Fridley and with ihe Mmneaota Conatavctian Codea; tlnt I und tand is �t a peamR bnt only an application for a pamit and wm9c is �t to statt wifhont a p�tit on e$e; that tha wodc will be ia ce w$h a all wark whic]t �es reviaw and appmval of SIGNATURE OF APPLICANT PRINT NAME (�L.I'�(��DATE g APPROVID BY PLEASE NOTE: SEPARATE PIItiVllTS FOR DATE WORK - �'age 2 - Bui�ding �Z�si��tiat ��S�Ii�i�n BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of azry 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 fee.s to the amount herein below set forth and in the manner herein provided to-wit: 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 propased structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundaiion will be required before praceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 5543Z 763-572-3604 Faz: 763-502-4977 ..- License lookup , License/Certificate Detail Here are the details for the license/certi�cate you are currently looking for: License name: T1MN CITY EXTERIORS CO INC License doing business as: License address: 9060 ZACHARY LN N Ci#y state zip: MAPLE GROVE, MN 55369 License number: 2535 License type: RESIDENTIAL BUILDING CONTR Company structure: CORPORATION License status: ISSUED License original issue date: 1/15/1992 License expiration date: 3/31/2010 License print date: 3/23/2009 Qualifying person: STEVEN J. PATNODE Continuing education hours required to renew license: 7 Contractor's phone number: -4254737 Enforcement action: � No Another Lookup? �` Page 1 of 1 https://secure.doli.sta.te.mn.us/licensing/licensing.aspx 8/3/2009 �uilding Inspections 763-572-3604 763-502-4977 FAX DATE � e ' I � SI1'E ADDRESS J �% THIS APPLICANT IS: :�3 z � � 5 d �_ ;�� ; : d�a � �` $ � ;., ; c; s.: ��y , 5 ! .�, ; � �� ' ��' � �' y ? (; ? 's + i�' � ; '''s E—MAIL ADDRESS ❑ OWNER �ONTRACTOR PYtOJPER'TY NAME: ID�'%� �l�.l" ,. 'Y' N�iNT �D�S� a CITY PHONE:�� rC.D Permit No: Received �.�r��-��. l� coN��c�roat NA�: ��ampion Plumbina SUBMIT A COPY OF STATE LICENSE # ''� C� 77O-PM EXP DATE YOUR STATE 5- 65- 3 0 LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF pDDRESS: CITY STATE ZIP INSURANCE pHONE _ � F/� PEfltli'T�T TYPE 'g'YPE OF' WO�2YC: � ❑ riEw FAMILY ❑ TWO FAMILY � TOWNHOUSE DETAILED DESCRIPTION OF WORK �EPLACEMENT FEES ARE BASED ON $]0.00 PER FIXTURE, EXCEPT WHERENOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) CLOTf�S WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) DISFiWASHER LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION — WATER METER OTfIER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all ork w' re 'res review and approval of plans. SIGNATURE OF APPLICANT �� P T NAME�� y�J-�� ly�6y�^TE /'� � c��y �f �+ �-�a��y �e�flid'ang ��sg�ecti�ns �epartanent 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 ' FAX: 763-502-4977 � � �