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AF - 37941� � n City of Fridley, Minn. BUILDING PERMIT Da�. SEPTII�ER 8, 1966 �1T�� 9U06 �.�i o -� Owner: ROGER MARI Builder �ON�_INCORPORATED Addre�a .._... Address 701 Colunibia Blvd. Minneapolis, Minnesota 55421 LOCATION OF BUILDING No. 7341 ____ S�t CONCERTO CURVE .� � Part of Lot �,� 13 __ gl� 2 Addition or Sub-DiviBfOII .�Y�ANOR.� A7�]�TTTnN' Coraer Lot M Inside Lot _.. .� Setback ...._._...� � r..._ Sideyard ._.�_� �' ___.�_ Sewer IIevation � ��. � ._ IIevation 8Z1.5 TOP OF F�TING DESCRIPTION OF BUILDING To be vsed as: BESIDENCE �t 44' �p� 25' H��t 20' �. � 1,100 �, � 22L000 � A�°T. GARAGE Front 20� Depth 22� Iieight 10 Sq. F't. .� '�'� G�. F't. 4,400 Type of Construction - � F�t Cost ._-.�?�..sQQQ...____ To be Completed WATER LOCATION - 30' North of Man.hole SEWER LOCATION - 16' North of Manhole In �tderation of the 3ssuanc+e to me of a germit to cons the buildin des ' above, I agi�ee to do the proposed work in accordance with the description above f and th all provla�tons of oralinances of the dty of FrTdley. � In consfderation of the payment of a fee of $ 26 .00 , permit fs herebY granted to ��O�a ��• to construct the building or addition as described above. Thfapermi t ia granted upon the express condition that theperaon to whom it fs granted and i►ia ageats, employees an� worlQnen, in all work done in, around snd u�n satd building, or any► part thereof, shall conform itt all reapecta to the ordinance� 04 FridleY� M3nnesota regarrliug locatfon, conatruction, alteration, maiatenance, repafr and mavin� of bufld9uga witl�in the dty ]imits and this permit may be revoked at aqy ti�ne upon violatfon of any of the provi�ions oE said ordinanc�s. CLARERCE BELISLE 8��'� NOTIC� 'Ihis psrtidt doas not eo�sr t6s coedro�Hoe, testallalloe he whine. P�+�& 6p 6�9, Hw�� er Watsr. B� sun to su ths Bnlldle8 Inspsetoe te� ssparats pormtls Poe thas t�m�, - . e;�,r APPi,ICATION FOR BV�LDING. PERMIT CITY OF PRIDLEYy MINNESOTA . a OWNER'S NAME ADDRESS ADDRESS LQCATIOAT OF BIITLDING N0. �,� y� STREFT ��yl,/'p��,/ �iy,� PART OF LOT i1(iT /� BLOCK �� ADDIZ'ION OR StTBDIVISION �iY�. i / i CO1tNER LOT INSIDE LOT, �/�ETBACR . ��S —b SIDE-YARD /Q — O 9� S' d SEiaER II,EVATION � FOUNDA'I`IOft ELEVATI� Applicant aCtach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTIOR dF BU�DING To be used as: . . � � r Front �/y � Depth o� - Reight //� Sq. Ft . Cu. Ft . � �, �-�--� CG%� , � , � . �C�' � Front �Q � Depth� �? � Height � Sq. Ft. �/�J� Cu. Ft. �% �/ �/ �' Type of Construction_ ��jy�� Estimated Coa _,�% To be completed The undersigaed hereby makea applicat�ion.for a permit for the work herein specified, agreeing to do a11 work in strict a�cordance with the City of Fridley Ordinances and ruliags of the Department of $uildinga, and hereby declares that all the facta and represeatat3ona stated in this application are true and correct. DATE � gIGN�gg (Schedule of Fee Coste can be found on the Reverse Sid . U � � � �� •� � � � -� ,�� � .� BIIILDIIVG PERMIT FEE SG`HEDtILE SECTIOP 2. The Inapector of Buildings shall, before iasuing any permit for the erection of any building or structure, ox for anq addition to anq existiug building or structure, or fox eny..al�erations or repairs to any eacisting buildiag or �tructure, upon gpplication therefore� require the payment by the appl�cant for . su�ch permit of f��s- ta the' �amnoun� i�a�ein below set forth and in the manner herein provided to-wit; 2.1. For any auch perntii,t ,,for, the., ;e;ecti�on of any fire•proof building, othei than e garage, warehouse;�facfory or grain elevator, or for the erection of any £ire-proof addition,,for s�.mi,la;� occup�acy, to any esistin� building, aha11 b.e at the rate of�$1.GO for each.one thoueand cubic•feet,.or fraction thereof, in such cubical contents. _ 2.2, For any auch�perm3t for the erection of any fire-proof gar.age, �wa�rehouse, factory or 8zain�elevator, or fo� Che erection�vf any fire�groof addition,.for.similar�_occupancy, fo�any exfstitig building ahall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOIISES � __.__. 2„3. .For any such � permi� . for. the erection. of any aoa-fireprQof building, other than a garage, warehouse, factory.or grain elevator, or any_noa-fireproof �addition, for 'similar occupancy, to any exiating,building - permit $1.00 for..e�ch one thousand cubic feet. . , . �.:.� .. .. . . ,- GARAGES - . , 2.4. For aay such permit for the erection of any non-fireproof garage, warehouse, factory or grain elevator, or for the erection of any non-fire-proof addition, for similar occupancy, �to any esiati�ng buildiag or for each_such building or addition - ninetq centa ($0.90) for ea.ch one thous.and cubic feet: or fracefon thereof, in the cubical contents thereof with the minimum o£ $4.00. For the purpose of computing �ees for building germits,-the cubical contenta of any bu�L�ldiag or addition to a uaiform height throughout by multiplying the ground�area covered fr� a point six (6) inches below the floor line of the basement. or aellgr to�the average b��ght of the upger �urface or to the average height of the roof surface of the main gable of a pitched roaf.. � 2,_ 5. For repaira or alterat3.�na.to an esi.sting s�ructure, the fee ahall be at the xate of�$3.00 per'e�ch Fiv��Hundzed Dollare ($$00,00) or frac�ion thereof in th� cost of a11 propo,sed work. '_ . , �.. 2.6. Tn no case ehall the fee cliarged for any permit as set forth in Section 2 be less than�$4.00. STORM REPAIR. DANIAGE FEES : , � �, � � . • , Reaidential ; Eatimated Cos� of wark up to S;4��. f?� - S� e�?� Estimated Coat of work c--�:.:: `: :•, :., _ �: �! � ;; i ; , :�U Co�ercial; Estimated-�ost Estimated_.ost . � of tTr.�•:c-�t?.,:-�`� '-�;?`....�� � ;j°:�7 O� �iOiiL OV�3' y:�i:�'.iia1 � yc�.i..- J - 3 . d -- � n '-i :r Land Plvnnm9 !� Sur'veyiny Sn�ls Testm9 c,�,i � tif�,;�,po� En��neerm� 0 687s-H�hnoy� ;cs ,vE. A�1,naeu� �s 2/, E N G 1 N E E R I N G, I N C. ����n��°f° SUnief 4-ti06v --- En9ineers � SurvecJors cesrts�icate o� s�s��ve �ot - E�. M DEYELOPMENT C0. . T NOTE :- � 1. Eleva4ions 51+ewn ar¢ Prspos¢d 8 �`„� �el. 9�7 � . 2, Firy} C{eor �I. 2.4 f�. ab•vn gr�c� � � heiag¢ Corn¢rS . y OJ i Cie.�. .1¢ �F-a",,�,�1 f;� h�,a y c `\'ef `'� �,� r•r c c" s A't 9, °S �,�r � �� � � �` G 0 e� 4 �� �`�I. r .V �v � ��� g`i�•'! � � �� � �1. ��y.,�" r ��� ��F i o nFtvo-res IRoN UENoTES DRAINAGE � UTILITy EASEMENT LOT i3 BLOCK � MELODY MANOR 2'�'—D ADDITi4,i�I �Anoka Coun}� — Minne�o-}a� / hvrby cer�r�'y fYr�i /his es o�ri�e arnd coritcf �rese�ofian o�'a scrretf �1br bnra,sorres �'flr aGo� dsri�r6�d /and, ond �li� /a�cv/ion o�a// bvildin95 , N�arr , aadd/ risiG�l� axrnvthmdrfs ,��'arx�, �'rnn ar in.�id /and. As survecJed � me f/�s - a(� 9� A v r i I A.D. /9�. SUB U28q1�1 ENG/NEERING , INC. 6n�eers E Sur'v rs S C A L E. I" = 3 0' � t,� �'�.. .,�: _.. �...z ._. e':..�� J.> __ ��t---'Ta.� 3° �� ��` ���. 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FLOOR � DRAINS GTCH {i BASINS � wuro WASHER � GAS MPL � GAS RANGE GAS i OPENINGS � I 7 • � Q 8 8 M I I 2 • �y � Vi D A � � � n p O � cr a. a � O � � y bd c��o a � � � � g � � � � � � � �� � � � I I . �� � � ¢� � � ��� � K afD � y � � ���� � �. � � � �� � � ��°�' ry � O y R• ".� fD �' a � � �y.�� � p,b �C'! r° � 'i'i b ��� � ny Fxy �� � � � o �¢ o p � O � � � � �� R. ���� ����: ���� ���� �� � m ► o0 �a�r � � x � � � � � w � �d � A � � aM A � rZ M p � . 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F''o' : : � � : : � : N N ao m 0 0 °o °o <n fs sn � ��� �� �. �. � � � R° �° lp Pf p�„ � ��.� � � t° � R° '�I � o �o� � `�' �' � g "� a, � � � �' a, � : G � EA o : • � p� p p o ; ' O � : : � � N rn cn n� o0 o °o o° o° °o � � � � H Q a � � � � a m � o �' °• L�'� � n '� �• � � i:1 � �' w �. cbo v � � � � �� � 0 / � � m � 0 � � � m �! i � � `� � �' � ",'� �_ � � �- < e � �� � � r � h „ °, � � '�d � � .� .. � � �' � m� � � � R° R° � � � � � � � � �f ;o � ���� �'r � � ° a � � � a � • � c„ . . � Op : ; O o . . 0 n� en rn o� y o °o °o °v hJ � 0 � aa� �n ���� °� � � �y °° w w �� � � � � d�� �b0� ��° � ''�+' p p �,C � ��E � bo � d� � b ��w o'� � �i � p��� ��a�p � �� o '! � ���� � � a� �.� a ���. � ���� ��� ��o .. � � m � �. � ��� �: � '� 1 - f,. "� � �! �� ` D � r � � m y _ T C m , � �, � � x � m � � � � � � � O � �� � � 4g o '°' �, _ � �' ��N � � 0.:� A � �' � � � i � � � �� � 0. �� �+��� � �'r� �'' �� � �`pz,r�'�� �``�1�. � ��� �-� ,� �� �! ��� #Fi ` HEAT LOSS CALCULATIONS DEPART,AAENT OF INSPECTIONS ,�.�, �,� ��riN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor ' d How Applied i Yes—No Yes—No w,. � 9 b.,fi �m � . � " � `.,� � � ,�'; ' a �?, �r �� � � � Fl.� � _ �" ' ,�=�a�aq,n � Length ���� �Width �' Height �` '° Fl.���'',,� �.;� Room . Length ,,,�' .� Width,,, �" Height , � � Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �V1dth HeiBht No. ot Llneal f. Ares � Width Relght No. ot Llneal ft Ares No. ot pane ot,Dane IlBhte ot crack eQ. it. No. ot Dgne o[ Dane IlBhte oi cracB eq. 1G ys �1� � p.� ,y� ' .�a" ., � . . . �n �{ ' .'J� . �.r�: F�i" � .r' '�r �'� ri�l � '-F~ �° �" ��' _.� -F��k � . ,� �2 � f�` ��-�'' :��`��' ��+� � Coef. Beu Coef. Btu , Infiltration � �"� ,�°� ,,�� `� � Infiltration � '�;�" '��;i ��" `�' :,�. Glass ,� ti a;� �^� �� d.�` Glass �`'� �a ° � Fap. wall `��� +� � ,�a' �,9' Eap. wall - .� `� +���i� Net e wall - � ` xP• '.'� ° � �'` �� � a ' ��' Net esp. wall � ; � '. ' Int. waU � Int. wall . .. - � a'�' ' r' .. .� . .._ _ __ r. Ceding �'" �� � '�` � {;�` ."'„ �,�" ,�' , J, Ceifirng �- , � �..�, ,�- aF. , �-� _ ,� , �" � , - c� o-� �_ �, Floor _ � ���`` ' � �°" Floor ��" :t�, `� ,�°' � �'�� 1'otal Btu. ' ""` Total Btu. _, �� �a Reqnired sq. ft. E.D.R. or sq. ias. W.A. Leader area „�' ' Required sq. ft. E.D.R. or aq. ins. WA. Leader area f Fl.� ,''� " Room � Length � � Width ��= Height !� ��' F7.1._ '� "" 5 Room I Length Width Height �" ,"�, Windowa and Doora—Cracicage and Area - Windows and Doors—Crackage and Area Wldth Helght No. ot Lineal it. Area Width Helght No. oL Lfneal tt. Area No. ot pane ot pane lighta of c�ack eq. tt No. ot pane ot Dane 1lghte of crack ea. [t. d�3 �i� F � - �' � `� �� ��"` �' �'� � � �,�� . , � �;�.- �'4�a :�' �' � �! �� ��. �? � Infdtration Glaaa Eup. wall Net eap. � Int. waU Ceiling Floor Total Btu. � +� � Required sq. fG E.D.R._ or_ sq. iaa. IaBpectore notea: � Coef. Btu �,�r r. ; ,� �`° In6ltration ,� "� � � .�'� " Glaaa � Fap. wall `� ��"�� ;�'; Y �i � '; Net eap. wall Int. wall �� Ceiling �,���� � ,� �� � :� � d � Floor ``4 � `�� Total Btu. �; ` area � Re4uired aq. k. ED.R. or � 4' .._ ,�. PET7IZLt FP.e � ......................._._. APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT , � F� N+�,. _ P..z. .-----•----....---- Ddteof zsswccnee--------------•----•--•--•-------•---------•--•-=----•, 196...... LoccLtion..._.........._....-•---------•---......----------•---•-•--•---•---•---------------- .Minneccpoli�s, .1Vlin�t.,--•------------•-----------------•-------•----, 196------ Inspector o f BuiZd,i�c�s The undersi�n.ed hereby mak.es a.ppLication for cc permii for the in,siallatiorc, alteration or repair of cc hec�tbng, air eonditiunin� or ventilc�ting system, dez�i,ee ar equ�i�urrcerct, as h�•reire speei�'ied, 2�reeing to do a�ll. sicch u�ork in Ytricfi ac.aord,c�nee zvith the City Ordincan.ces c�ntl ruli.n�ss of the Department of Inspeetions and tlae �speei�'i,ec�tions set fcrth in this applicati,on cts a��urured and �'iled in t/�e Drpartn�ent of Inspection,�. �. s �4ddre.ss of Ou�cer.--•--...--• ................. .. ... - ----•-- -------...-------- K'ind of Buildin� ................•-•---------•-•-•------•--...------._._......._...Hout occunied..._.._..--------•-•--•-------•-----•--•--------•-•••- Work to be started----•-•--•--=• ..................................•-, 196.----- Work tn be completed---.........-------------------...-----•, 196------ �_�___�-- - _� _ __ _ _ --- _ _-- _ Estimccied Cost �--•--•-----•-----•---••----•--••---• • •-_.• -_-.-.:-•--••-Old = JPez� �t,iZdin� F-crniit No--------------•--••---- •-•----------------- DESCRIPiION OF WORK Nofei Inserf the' word install, add, alter, or ropair, aaording to whieh is fo be done. Under "Remariu," itemize removala, if aery, and alferations to equipment. , � Mechdnicnl Warm Air Heating Plants—furnaces Ma,k,e.---••-------••---•----------------------------------------•---••-----•---------•----•--•--.._..._..--------•Size --•-----•------•--------------------------.._..- -�----•-- Conneetedioad..-----=--••-------•- -----------•------••-• ......:.........••-----•---------------Cc�pcaeit� ........-----•-------------------•----•--•----.. Air Conditioning System: Summer — Winter — Jlll Yecar .Mcike----.......-•--•----• ...................•--------•-•--._.........._...-•-•--•-•-•----•-•- ._CccpaciLy..--------......_.....-----......-----..Cf m•-------------•-•---------------- ..........--•-----•---------------------------••---•--•--•--....-----.._...--=---•---•---------•-•-•-- Veintilating System: JVlccke .......................•----•-•---•--------------..........-•---••Capacity.•-•-------------•-------------- C�71z•------------------------------ •-•---------------------•---------••-•-----......-•--------••---....-•--------.._......._...__.........---•----------------------•------------------•----••------•-------------------•---------------------- E�lanation of work to be done:.-•-------------------------------------•------------- Plana with permit (yes) (no) ._J__- � _ ----_-- -_— - _ Si�ned------------- � --••--------..._..-------...----•------------------------------------ , By---------------------•--------------•-------------- -------...- -----...---------- ./ipproved----------•------•----•---•-•--...-•••••---•-••--•--••-•-•••-••-----, 196.----- �Iddress------------------•---------•-------------------•-•--•----------------•-- TelepTwne-•-------------------------------------------•---•------------------ Inspeator. u-ZO .��e .. . .................•--...._..._...__...-----..._..-••-----...-•---•--......... . ._ �+p,�,r�v'� l���1�-"; � ��� �,*`� � � � �� �� ��1�`'� .� ,�'+�'+'w � �'�'�k, � ` HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS �°`' �� �1INNEAPOLIS� �1. Weatherstrips A'S'H'V'E' Construction Na II � Insulation _ II Guide II - - ,. .e. .. . .e. ,. ,. � . — _ _ s, • �. • ��„�''���, .. �m� ,�`!j� � Width � � Height �" � , . � ��,� > ��� �.�'�' '"" Width ,� �� Height ` ; ,��. Windowa and Doora—Crackage and Area ' Windows and Doorn—Crackage and Area Wldth Helght No. of Llneal ft. Area Wldth Helght No. ot Llneal tt. Area No. o[ Dane ot pane lighte ot crack eq. tt. No. of pane ot pane ll8bte ot crack ep. tt. c �, �ar�, t�+' i�' `"� � `�° � -� �' �' �`' �� �� :`� � �S � i \ .: �B P � r.� �r: `�; � ,�r �' � !° � �i � �y7 �', y.+�^ 6�` �yt . �i� �� '�qi y�� Coef. Btu ` Coef. Btu In6ltration ,.� '"`� �.�;` �' � Infiltration „�'�" � � "�` _ Glaas �": -.� �,^ � � � w�, ,�' r' Fsp. wau � � :�' `� �` � Net e:p. wall �! '�" .� iat. Wau Ceilin "F� f'� '' '' S ;�'=- ;�° �: ,� , ;�►' �,�` : Floor i �;,�' �� �� Total Btu. _ _-- _ Required sq. k. E.D.R. or aq. ina. W.A. Leader area Inepectore notea: .� �;-�' Glaaa � _;; �'�, � Eap. wall �,� � .�?' N �� w '� Net eap. wall ' ��>' Int. wall � �,'`°�'. Ceiling �s� $ , ,¢� �' .�r . �r�'�� ��a � � � �", Floor ' � ;.��, ,�' ,� Tocal Bcu: Reauired sq. k. E.D.R. or aq. ins. WA. Leader area . - Inspectora notea: � 4 - � _ �. Permit Fee �.....---•--•---•-......_... APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT �� N4�, ,P-�--- ---------------- Dateof iasu,ccnoe.-•---•--.....-•---•-•----•-•-•-•---• ...........:...... 196...... Locutio��............-•--...--•-•---•-••----•--•--•------••------•••--._�..----...---•------ .Minr�empoli�s, .MLnn.,.....---•--• ..............••-----•----•••-----, I96...... Ins�peotor o f Buildings The und�ersi�ned hereby mak.es a.pplication for a pernzii for the iszstuLlc�.tion, alteration or repair of cc hca,tin�, air coruiitioning or veniilatin�% syste�n, devue or equ.i�urr�ent, as hereire speci�'ied, 2�reeing to do a-LI• Aicch z�+ork in xtrirt ac.eord,c�nce zvith the City Ordincince�s arul rulin�s of tlze Departnzen,t of Inspeeiions and tlae xpec�i fieutiona set fcrth in tha� application as .ccppraz�ed and filed in tlre D«partnaent of Inspeetimt,Y. Ow►�er Kin,d of Buildin�.....---•- .........--•-----•-----...-•----...a4ddreRS of Ou�ner .............•--•--•••-•---.. ._ .... ._..... __.........------- •••-•-•--••-----------•----•-------Aow occunied••---•--• .............:.....•---•-----------------•-- ---------------------- 2 Work,to be started...-•----• ..............................•---------, 196...... Work t�, bc eompleted.._.....-----•-•-----•-------•--------.., I96------ �= �___� _,_ _:, _ � �� _ `_ _, - --- Estimated Cost �` � .Old = JV'e��atZZirz� � iit No------- -------- _ - - - DESCRIPTION OF WORK Notei Inhert fke word inatall, add, alter, m rapair, aao►ding fo whieh i: to be done. Under "Remarks," itemize reerrovals, iF a�y, m�! alterafions to equipmerM. , , ..._........�..-----•---•• ....................Mechanicnl Warm Air Heating Plants--F�rnaees ....-------------••----...---------•-----,-----•--------•----•----- .J[�a,k�e .. ............ ..........•-•-•------._...........-----••-• - -•-----------•-•-----._............_.._...Size ----•-•------------------------- --.._.._..- --------•---------------- • Conneeted load---=---=--------------------•---•----------------•--------=----•------•-,----------------.Ccopcceity . . ---------------------------------------•----•--------....._�.._ Atr Conditioning System: Summer — Winter —�RlL Yecir----------------_-------•---•-------------•------•---------•-----•--------•---------•--- Mu,ke--------------------•- ..Cc�PaeitzJ•---------•----------- --C'fm•-•-------------------------•---- ---•-•----•--•---....._..-•--•--._.....--• ........................ . ----------..... ...----•-• ...................----............---....-----=---•--•-••-----••-=---....._.._............ --•----..._._..----........------••-•--•-----•----•-----•---•--•---------------------------------- Ventilating System: .Ma,ke-•---------------------------•-------._.--•------.......--•--...CaPcLeitiJ•--••-------------•------------- C'frrc•----------------------•------ . ......................•----•-----••-•--------..........-•-•---•--.........----........._...----------...._........_.......---•--------.....------------•--__...._.._...---------------------------...---- ESplanation of work to be done:.---•---•-----•••-•-•••-- --------•----...----•------•- Plaus wlth permit (yes) (no) -=�- - --- - _. - - ____ �_- � --`- - - _____ �- - -� _ _.� . - - -- - -�__- - - •----....._.._---------------------------------------------•,........----....-•-----------•-=-------- •------------------•---•------•---------------------------•------•-----•-----------•---------------- �pproved-•---•----•---••-•----•---• ................•--•---..............----, 196------ Inapeotor. Si�ned..-•---.....- r -•--------•----------------•-•--------------•------------------------ 8�---------------------•-------------------------------•---...------- ------------------- .fl ddress-------------------•----•-----........_..-•-------.._...----------------- Telephone-•-•-----••-----------•-•-----------------•---------•--------------- azo.��e.. ................................_--•-----•-•------..__.......---•---••----- � -------•--------•--••---••------_.........................--------•----...------........ � . 3 , , � p � 0 � � � � � � � r � � � � r� � � � y � � n a � � � � � � � � � � � � o = w � m � � � � ��`. �+J � � � � � i.�.. � �►J � b a � � � C pt0 O ��� ��� �� � �� �� . � � " : : � �. � = e: O � ���o : F� 8 a� � � $ M N M � 0 � � � � � �, , ,, � -, , ► b a � � � � � 0 r e� � < � M I W � �, w �� � M O � �o �� � ^ � � E � � $ � i n �w n A � � � �� A o�ro � � jl1 � (� � �' � r� V � � � aa �°s �' � O c 8 0 C � � � � � � � r� � � 0 � � � � � � � � � � � o � a a � '° x y � 0 N � � � y o $ � $ � fi � � y x � � � � ��?�� � �x��� 8 � � � � � r� �� � �° o � � � � �:�oo g '3 g g � � � :� � II � � y � z m � � IE " � � � � � � � � z �� a lo^ \ � ! �c I 0 � 0 �' � I 0 a 3 �, A Oi S � �, C � �; � �' � � �� `��8 I � � 9 � �� � � �~ �° �` a� � � o � � �; � , ����°� m s �'� 5► a � � $ � t .� �� :�S � : :�� : :�: :I• .i: W���:�o 8 g g "�i 8 M � � , ���� � o � � , i � i � � , i OsC O, , i r M � a � �� C �! , � IJ � �° � � � � � � � � � y � � � � � � � � � � � � � � � � .. �,���7 a � ' � � . $�.. g : : � w o, a+ o � 8 8 8 8 r� ri � � � li ia� � ,� � �� � ��� � � � 0 !^� Ot7C�� ��s� �m a�' B. ° �� � � �� xo 0 y M�� b��� ���b � p� �� � °t o � �p p' ►1 �~ A� m �,a�� ��� �� �� � 5 � E� q �i' M ��� D '� � � � � _ T C � � �. � � � � 1 � � �❑ IcV � � 4 � � �� �_ � � � �� 4 � � � 0 w � � 0 � 1 c� sua�ecr ' PERMIT N City of Fridley _ 19 4 5 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � t � `L ____ COMMUNITY DEVELOPMENT DIV. �D��� r � � PROTECTIVE INSPECTION SEC. 4 1 = � � /"�1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �"""� � ,�' 612-571-3450 910-F15 5/11/88 / / JOB ADDRESS �341 Canc�rto Curve N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ],3 2 Melody M�r 2nd Addition SHEET 2 PROPERTYOWNER MAILADORESS ZIP PHONE RaX Ma,ki 7341 Concerto Curve N. E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Normandale Services Route #1Z, Isanti 55040 338-1511 4 ARCHITECT OR DESIGNER MAIL ADDHESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK R�eroof Dwelling (20 ScSuares ) 9 CHANGE QF USE FROM TO STIPULATIONS Roof can be 2nd la,yer but not � 3rd layer. Install ridged galvanizecl valleys. , On ali new mofs or tear-qffs and repiacem�nf roofs, State Cod� requires that 2 tayers of 15 Ib. felt, m�pped �og�ther, be installed te a�oint 24 inches up from ex4erior wall line, or the us� af dth�r approv�d t�ntlerlayment membrane. .;k' y SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBIN(i, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VEIVTII.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZONINC3 SQ. 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 EXAMINEO THIS APPLICATION �' STALLS GAqAGES 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 $]. � OOO $. �JO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE R CAL LAW REGULATING CON- �S`2S.00 STRUCTIO R THE PERFORMANCE F CO STHUCTION. � PLAN CHECK FEE TOTAL FEE � i ,� $25. 50 GNATUREOFCO� TRACTORO A TIIORt2 � AGENT IDA EI ,� ' WHEN PqOPERLV �IDATED THIS IS YOUR PERMIT SiGNATUREO:OWNER�IFOWNERBUILDERi �DATE� BLDG �NSP � TE�� I�1 [] City of F'ridley EEfective 5/L88 A�N [ ] R-1 AND R-2 AL�R [] Building Permit Apgl ication construction �ress: � 3 ``� � Co � C � � f � �i� J �t% Legal Description: Owner Naane b Contractor : Address: Attach to this appl ication, a Certif icate af Sluvey of the lat, with the proposoed construction drawn on it to scale. � �• r• •� • i• �� � ia, T•�r1G ARE'A: Length Width 8eight Scj. Ft. c�,RAGE ARF�Aa Length Width Heic�t 9q. Ft. DEQt 1�RF,A: Length Width Hgt/Grotmd 9q. It. � Gbrner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks �pe of Construction: /�e �o �� h°��o ��e�i F�ttimateol Cost: S_�,,�� Approx. Completion Date: ' 01 C� .,S(� � v�t�S Proposed Drivcway Width If New Opening Is Desired: S_ wi + 6 ;\ I]ATE : � ��' � APPLICANr: ' CLTY OSE C�Y Petmit �ee State Surcharge SAC CY�atge Driveway Escraw Park �ee Sewer Main Qzarge 7.'OTAL STIPUI.�IONS: $ ��. C�G� S �:?� � S $ S $ �S. �� Alt. A Alt. B S See Back Page �� T�.. � �3�5- / ��% F+ee Schedule on Reverse Side 5.50/51,000 Valuation 5550 per SAC Unit Al� '�" or A1t. '�° Ab�ve Ftee Determired by E�girieering Agreenent Neoessary [ ] Nat Neaessary [ ] � �t_il-i��Si�, ' �;�v 4+ a+� `.M:ia��. 1 The Cnief 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 applica� for such permit of fees to the amount herein belaw set forth and in the maruier herein pravided to-wit: TO'I'AL VALUE S1 to $500 5501 to 52,000 S2, 001 to 525, p00 525,001 to $50,000 FEES $15 (Minim�n Fee is S15 plus surcharge ) � $15 for first $500 plus $2 for each additional 5100 or fraction thereaf, to and including 52,000 S45 for f irst S2, 000 plus S9 for each additional S1, 000 or fraction thereaf, to and including 525,000 $252 for first $25,000 plus $6.50 for eaah additional $1,000 or fraction thereof, to and including 550,000 550,001 to $100,000 5414.50 for first 550,000 plus �4.50 for each additio�al $1,000 or fraction thereof, tro and including 5100,000 5100,001 t� 5500,000 5639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including 5500,000 5500,001 to �1,000,000 52039.50 for the first 5500,000 plus $3 for each additional $1,000 or fraction thereof, to and including 51,000,000 51,000,001 and up 53539.50 for the first 51,000,000 plus $2 for each additional 51,000 or fraction thereof D�VE�v D���S?ON FS[_� (Concrete Curb Streets Only) Alternate pA": R�nwal and replavement o�' curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Reno�val and replaoeme,nt of curb and gutter and install a 3 foot wide approach with 6 inch clep�th - Driveway width plus 6 feet times 515.75. /�; M • � • ' �1�:U��� � • � Permits for construction will be issued a minimum of 24 hours f rom the time of application to allow for proper review of the proposed structure and of the o�nstruction site. A Certif icate of Slirvey of the lat, shawing the location of the foundation once it has been aonstructed will be required before proceecling with the fr�ning. .;, �. ., 4 A O � � O z a a � _ r r � m � � 0 c v m a v � c A � m n � � Z w 0 A A Z a D � � m �, i � � z � C � � N t1'f co � Q 2 � _ m m � � � � e � � m � � m m b � � � � � O� o' _ � � y � m D T O� 2 m �" o � x � N � � � O $ A � a � v � v � v m D r m a � 0 z � � , � ` � � � o D v O m a � z � � c '9 s r i C � � W O 0 � � i � � � ( � � � � � � � m y w m C f0 � � � � � � � � � m � � � � � m � � O z m a� � a e� v x O �1 � ° � b ' �, � � f � � m � � � � � w m � � � x ;� n., °„� � � m w m� � c �.� m W� 2' � 3 N� m vm, m l I�� m �� z .� �mv�a� � m m � � � � a � � � � m c7 7 � X � A � � Q m m °. � � h I � I � � � � � � � I � ( � ������������ � O O O'V p V V V v w� v o °c o°o o° °o 0 0° o° a°o °o °o 9 � � � m � � 3 m m ^ v �, z �, � o � n O a: � � a z � � � � 'o � � � � � 0 � r z 0 (\ e, \J ,\{� �? \ � �,- � W 7 m c � a O � c� � � � � a a � � � � " c �a c � � w m °- w m m � a �o�c� a+. � a 'm 5 � � � � m � c. o m m a a � m � ° '� Q� ffi 3 � v_ � m� �' � z °' y p d a ? � a B � � � c� fl. c� p: � m m o 3 � A � m A .� � �K a O �m�� � � � � m 3 ; � �. � a » � o � � S 1 o � W � � m A � �» _ �. • � n O O � � m � y � � � � r c � W Z O � X c � f17 � -� m � � � m O � � Q � O � � ai � � � a � z � � � n A a n � K � D � D ) D � i i : � � ► I � tn � a p w a w � � � C � o � � A Z � � A � p N D � m Z Z m "' '� n 0 z v C a ro r n A O Z � O � r C � � 2 � a z v a N � Z W � S � � TOTAL P.01 � m Si m 0 � m 7' � � � SuB�ECT City of Fridley AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T � � � � ► � ; y _�_�� COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 . � i---.� �"' �'� CITY HALL FRIDLE� SS132 NUMBER nev t 763-571-3450 9t 0-F t 5 108 ADDRESS 7341 Concerto Curve NE t LEGAL �OT NO. BLOCK TRACT OR ADOITION oesca. 13 2 Melody Manor 2ni 2 PROPERTY OWNER MAIL ADORESS Raymond Make 7341 Concerto Curve NE 3 CONTRACTOR MAIL ADDRESS Midwest Roofing 7385 Mark St, Greenfield, MN ' d ARCNITECT OR DESIGNER MAIL ADDRESS S ENGINEER MAIL ADDRESS 8 USE OF BUILOING Residential 7 CLASS OF WORK D�TE V�GE OF 8/15/02 / / , 32990 ,�___ RECEIPT NO. ���� AVPROVEO BY SEE ATTACMED SHEET ZIP PMONE tIP PMONE LICENSE NO 763-416-4804 20010277 ZIP PMONE LICENSE NO. ZIP PNONE LICENSE NO ❑ NEW � ADDITION D ALTERATION p REPAIR O MOVE O REMOVE X B DESCRIBE WORK Reroof House & Garage (23 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Buiiding Code. SEPARATE PERMITSARE REOUIRED FOR ELECTFICAL, PLUMBING, MEATING, 'r�v� vv•�. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING AUTHOR12ED IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PEH100 OF 120 pAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS 1 NEREBY CERTIFV THAT I MAVE READ AND EXAMINED TNIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yqLUATION AND ORDINANCES GOVERNING 7NIS TYPE OF WORK WILL BE COMPLIED WITM WHETHEq SPECIFIED HEREIN OR NOT. THE GRAN?ING OF A PERMIT �2a465 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TNE pEqM17fEE PROVISIO OF ANY OTMER TE OR LOCAL LAW REGULATING CON- @83.25 STqUCT N F TME PERF A CE OF CONSTRUCTION y� PLAN CMECK FEE License T E OF CON • AACT OA Op�2E0 aGENT IOATE� EN ( S�GN4TUqE O� OWNEA ��� OWNEA BU�LDEpi IDAiE� G� nf. �.Co SC. STAILS GROUP OCCUPAN CU fT. OFFSTREET PANKINC IGARAGES $1.23 SAC CMARGE Fire S $Ze47 TOTA�f 5.00 .95 ALIOATED IS YOUR PER� LOAD YR� NEVV ( J CITY OF FRIDLEY Effective 1/1/2002 ADDN �] 6431 University Ave NE, F�idley, MN 55432 (763) 5723604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: I 3 �I � �GrncR,�� Gta'�-� Legal Description: Owner Name 8 Address: � � f�' Tel. #� Contractor. ����� ���^°� MNLICENSE# �-�U�G�'77 � 9�a35� Te�.# �'��'�l�G-�'l%Y Address: ��g5 ��k J�' ���(�/ LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width � Hg�G�und Sq. Ft u � Construction Type: ��`�� �'e""� Estimated Cost: $ � o ����� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ �.. DATE: � �S � � APPUCANT: Tel. # Call (763) 572-3604 fo� Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card �umber. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge � Driveway Escrow � � Erosion Control � ` Park Fee Sewer Main Charge TOTAL � $ 3. S � � y� $ .�� $ $ -l� � $ $ $ $ $ ' �� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1 �000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by �Engineering Agreement Necessary [ ] Not Necessary ( ] STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,(�0 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,0� FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,� $69.25 for first $2,000 plus $14.00 for each additional $1,0� or fraction thereof, to and including $25,OU0 $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 $50,0� plus $7.00 for each additional $1,000 or fraction thereof, to and including $�100,000 $993.75 for first $100,0� plus $5.60 for each additional $1,0(?0 or fraction thereof, to and including $SOO,OQO $3,233.75 for the first $5(�,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the iust $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certifica.te of Survey of the lot, showing the location of the existing proceeding with the framing. New Houses Onlv � foundation will be required before Building Inspections 763-572-3604 DATE SITE ADDRESS � THIS APPL[CANT IS: PROPERTY OW1vERJ TENANT CONTRACTOR PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADD ESS --Ct,�tl/�lc/� TD �GUZf//c. ❑ OWNER a,�QNTRACTOR ADDRESS: ' % �5 PHONE: 7L. � —%� " G Pemut No.: Received A SUBMIT A COPY OF STATE LICENSE # � O�G� /�/%% EXP DATE ��3%�d �� YOUR STATE ADDRESS: ���f �e �L`' � r" /L//� CITY ��ii[//� STATF/J��d�IP�r�,3 LICENSE WITH PHONE � �_'� � / ,(� _ /_ FAX APPLICATION 7'` n „ � -1 _ � — �� � PERMIT TYPE TYPE OF WORK: � o New FAMILY ❑ TWO FAMILY O TOWNHOUSE 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 5500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE IVOTED. FIXTURES: (WDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING _ BATHTUB GAS PIPING rNi:ir�crn�uc•r•:NSi:) SWIMMING POOL WATER SOFCNER ($35) _CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($IS) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER X OTHER �/�h DOh° i( o.�l Permit Fee TOTAL DUE I hereby apply for a bui conformance with the oc not a permit but onty an approved plan in the cas� SIGNATURE OF APPLICANT $ �. Number of fixtures @ $10.00 x $10.00 = $ .50 Number of fixtures @ $15.00 x $15.00 = $ $ .� Nurnber of fixtures @ $35.00 x $35.00 = $ State Surchazge = $ .50 � Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED mit and 1 ackn wl dge that the information above is complete and accurate; that the work will be in and co s of t of Fridley and with the Minnesota Construction Codes; that I understand this is ion for a m' nd ork is not to start without a permit; that the work will be in accordance with the s � w an a roval of plans. PRINT NAME�'U�G � �/S� DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977