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AF - 37962�� � City of Fridley, Minn. BUILDING PERNIIT DB�; A,.pril 30� 1968 � � �To �'702 ����� p��.; Robert C. 6�Thite g�� Clemron.� Inc . �,d�r�s p,d� 701 Columbia Blvd . LOCATION OF BUILDING No. 73� Street Concerto Curve ,�,.. p� of Lot Lot ._._3 _ Block 3 Addition or Sub-Division _._.._..�.Melody Maaor �rd Corner Lot _ Inside Lot X Setback 35 �__._ Sideyard 10 �& 5� Sewer IIevatfon —.._�.. $69.90 ^ 872.90 Top of Footing To be Used as: Dwelling �t 25' DESCRIPTION OF BUILDING Depth �' � Height _ 20 � �. � 1396 � � 27, 920 �a��� � Front 20' Depti� 21' �Teight 10 Sq. Ft, 420 ��•t, 4200 Type of Construction Frame ��, ���25�660 ___ To be Completed 6 Months SEWER LOCATION - 31' North of Manhole TaATER LOC�TIOft - 47' North of Manhole In consideration oP the issuance to me of a permit to cons the proposed work in acc�rdance with the descriptton above �� ordinances of the dty of Fridley. �i`` � building descrlbed a i�� to do and in co� nrovlsiona oP In considerat4on oP the payment oP a fee of $ 48 . 00 , permit fs hereby grauted to Clemron, In.c . to construct the buflding or addition as described above. Thispe rmit ia granted upon the expr�s condition that the peraon to whom it fs granted and his agente, employees and worl�en, in all work dane in, around and u�n said building, or any �art thereof, shall conform in all reapecta to the orainaac� oE Fridley, Minnesota regardi�g location, construchon, alteration, maintenance, repair and movin� oP bufldin�s wlthin the dty limits and thia permit may be revol�ed at any time upon violal3on of any o the provis�lona of said ordinancea. ' , Jan Gasterland, Building Official NOTIC� '�s psrmit dea no� eevar ths wamodioe, ie�aQaNen te� whWe, plumbin8, ea 6eaNng, sewer er �rmr. B� ame fe se� f6e Butldia8 lesp�etor for aparats p�rmNs Mr 1h� Nfnn. APPLICAI'IOR FOR BtT�DING PERMIT CITX OF OWNER' S , M�NATESOTA � :� � ��� � �, ` � � � ' ��� :� N0. �.��� . STREET . � �` PART OF LOT . . d� LOT �� � BLOCR ��� ADDITION OR StIBDIVISION, ��GQ���,��� J CORNER LOT .INSIDE LOT SETBACR SI�E-Y S G'� �/la �. SEWER ELEVATION ,�Io � ' FOUNDATION ELEtI'ATION p_�� ���r ���� � �'� ` Applicant attac t t s rm Two CeYtificates'of Surveq of Lot and p�'opo�ed buflding location drawn on theae Certi icatee. �� -� �� �. �� � � � DESCRIPTIOA OF BUII.DIIQG To ed as: � / Front °'�� ,� � Depth_�i,��'�fleight , � Sq. Ft. � :�; , Cu. Ft. � 0 2"� �-�`„ /, ,L�� . � f �� ^ . V�'�% i i . ' Froat , ,�� ,_ Depth�/� Height �-1 Type of Conatruction To be completed �S�. Ft. � ���l� � Cu. �Ft. � �� ,.�_3,,,.�� �-� . �� . _. � , %/��.�'/l��/; , Estimated Coat a?,5���� } �� _ ��_'_ The undersigned hereliy makes application for a permit for tihe work herein" specified, agreeing to do all work�in�strict accordance,with the Citq of Fridley prdinances and,ruZiags�o� the Departmant of Buildiags, sud hereby declares that all the facts and representations stated in t�iis application are true and correct. �� //�, (Schedule of Fes Coste caa be found on the Reverse Side). � � rt � � � . � � i �P� � , �� � - � -, 6� �4 ��� � f �� ��..__ . 8 <� ti��. ' � � „_ l � ,� ,r��'���`�,���:� � t� ,�� �,� �� � � � f 1 �' ��`"' �$-`. ` ,� � ;�.i' _._. � _. BIIILDING PERMIT FEE SCxEDULE SECTION 2. The Inspector of Buildings shall, before isauing any permit for the erection of any building or structure, or for any. addition to an.y existing building or �tructure, or for any alterationa or repairs to any exiseing building or sCructure, upon application therefore, require the paymeat by the applicant for such permit of fees.to the amount herein below set £orth and in the manner herein provided to-wit; 2�.1,._ For any such permit for the erection of any fire-proof building, othei than s gar�ge, warehouse, factory or grain.elevator, or for the erection of any fire-proof addition, for similar occupancy, to any exiating buildin�, shall be at the rate of $1.40 for each oae thousand cubic feet,-or fraction thereof, in such cubical conteats. 2.2 For any such permit for the erection of any fire-proof �arage, warehouse, factory or grain elevator, or for the erection of aay fire»proof additfon, for similar occu�ancy, to any existing building shall be at the rate of $1.25 for �ach one thousand cubic €eet, classified as "fireproof" by Sectioa 502 of- the Minneapolis Buildiag Code. flOIISES 2.3. For any such permit for the erection of any aon-fireproof building, other than a garage, warehouse, factoxy or �rain elevator, or any non-fireproof addition, for �imilar occupancy, to any existing�building � permit $1.00 for each one thousand cubic feet. GARAGES 2;4. For any such permit for the erection of aaq non•fireproof garage, warehouse, factory or grain elevator, or for the erection of any non-fire-proof addition; for similar occupancq, to any e$isting building or for each such building or addition - n�nety cents ($0.90) for each one thous.and cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building pexmita, the cubical contenta of any buildiag or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches balow,the.floor line of the basement or cellar to the average he�ght of the upper aurface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or altexations to an existing atructure, Che fee s?�P11. be at the rate of $3.00 per each Five Hundred Dollara ($500.00) or fractivn thereof in the cost of all pxopoaed work. 2.6. . In no case shall the fee charged for any permit as set forth in Sectioa 2 be less than $4.00. STORM REPAIR DANIAGE FEES: Residential; Commercial; Estimated Cost of work up to $500.�J� - S5e!?0 Estimated Cost of work over $5�:::.+:'� ��;;:;,., ��fl Estimate�`'�ost of wo�k L�- s: _ ' `; _, , ;.•` •� ' .�'"�'� Y � Es�imatea-_.:ost �f WOZa:'ii-,�i�.:ci Y?i;s,�oUL° — 4:::�..•_�t7 �� YI�. ii .r� {� �\ � � / land h'lo�uilnr� Lvrx� Su/'vey�n� ,Sorls Tes t�i►� Crvr1 b ti4unK�piol Ert�rrieerin� — , _ �I _ II �s�s-N�h,�.y ;�s ,vE , ' � Mi��ner��x��s '�. EN G I NEE R I N G, I N C. ��'�nx�'° �Unscf �l-h0(oe — En ineers � Surveyors --- 9 ces�ti,�iczte o� Su,z•oe Fo�' - E� M DEYELOPI�iF.�IT CO � NOTE�- � 1. Eleva�ions 56own ar¢ P�epo�¢.d � �/. �� 2. 2 . „` Q. Fi�s+ �1eor sl. 2.9 i�. a6eva c�r�uetd � `� � heus¢ Cown¢rs � ".., f � �` i � ��'`.,� L��e V• �� 1!`F"e>L!/� �� t�, °-�_ � ti�u3� co�ne�5 B�/,ro � el 882 s / .�°' ��'%8 S ��� � � � G�J � ��� �� , � ��1 4,�_ � `; ��:� �a��� �� �; $�,�� ¢/. �77. i' 1� � EMEIJT o �ENoTE.S IRON DENOTES DRAir11'►�E � UTILITY EAS LOT � BL�OCK 3� MELODY MAI�10R 2'�D ADDITI4N ��noka Coun� — Mie1n¢�o-,-w� / hrrrby urfi�'y � lhis is o frue mjd oarrtcf rrp�resenfaflon o�'a survet, �'1lee darn►eariies �'�r aibe�e oFsrr:bsd la�d �� o�'�k /cco�iOii a�'al/ bwldrrr9s ,�eain , ad d/ ris�fiJi o�mo�rfs , r!'ay ,%n ar in �sid /mad. As surveyed 6r� mr f�s �� Av r i I A.O h�. SUB URBAN ENG/N�ERJNG , INC. L-n�n s �fr Sur're rs SCALE. I"= 30' � � �i'� t�--` ��`'.�z1r_ /�, � _ _ _ _' . ._. . . 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Z. � � > p � � n � o.�� � � ��� � a� M � � ��� a�,�� �' � ��� � ���'� �i � o � � � �'�g� � ��y 7-i � i�i b � �b � b � o��m p m o �a � p' o p �. � .b �D � �a � w � ����. � a��� ���° A� , � � � w �Oo �aa' ►- � � m b � I 3�� � °� F :4 � �' d �A �ro wM A x � � p � M � � � � '0 � -� � o' � � C �: � � � � 3 '� � � � � � � �� � � ��, w � ;. �ro�p O x � m A � � � � � � m � � � � �o I � F-' HOUSE HEATING TEST RECORD ADDR ESS � � �� `� -�� � -� �—�'►-' APT. F 0 R CI� �UBUR � OCCUPANT OWNER �-- �, v HEAT LOSS DATE HTG. INST. ^AS C0. METER BADG SOLD BY INSTALLED BY --� `� - � Eleetrica) Work By Gaa Lins By TYPE OF HEAT GA FA � STEAM SPACE HTR. UNIT HTR. OTHER GA ES�f N �. CONVERSION MAKE ��G�-�+���► -�° ��` A'' MAKE OF BURNER Model Model Seria l — � �/�� � '� .�-�. � Max. BTU Rating INPUT ��t�Z'�I MAKE OF FURNACE Model CONTROLS �� THERMOSTAT e�°,t Plug Vent Size Valve � �" KIND OF �lNER_ _ �' � J NnuF �—.._.._ Limit � Draft Hood •!'l��•� Regularor Limit Sstting -�'� Filters Size Numbsr Fan Setting `-a��� -�`+' Chfmney Loeation Inside �� Outaide Pilot Ty� Chimney Conatruetion Pilot Make �� Pilot Model Smoke Bomb Wiring rilot Timing �ti'°�� Draft ��— Teat Tag �� L.W. Cut Off Do r Preasure Lighting InsL � � � r-- � � �-S� �� � �- � Proasuro / Pe�rce�nt C�O Date Tssted Input CFH ,/�-� PeiE6n`i' -O"`- �'�� ���$ompany Testing 4 2 Stack Temp. -� Pereent CO �¢-�' Name of Tsstar Form 235 SUBJECT IT N O. City of Fridley 12610 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. �1��� r � � PROTECTIVE INSPECTION SEC. � I . � � � /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �----� � �'� si2-5so-aa5o 910-F15 / / 6 27 74 JOB ADDRESS %3$ CO C O 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 � SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE C 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK �onstruct a 16' x 34' Pool 9 CHANGE OF USE FROM TO STIPULATIONS See letter dated June 25, 1974 signed by Environmental Officer .;o., :� SEPERAT� PER�AITS REQ�JtREp FOR WIRtNG, F��ATING, PLUNlBtlVG AND StGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINO, VENTILATING OR AIR CONDITIONINO. Stee�' THIS PERMIT BECOMES NULL AND VOID IF WOFiK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION � OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- 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 GRANTIN(3 OF A PERMIT 3 OOO �. SO 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- STRUCTION �?ERF �CE OF �fiUCTION. � $�.8. OO L���'" i"�� �--� �" PLAN CHECK FEE TOTAL FEE �C $19.50 „ SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT . e��� �'��.1�J a ! w. SIGPiATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP DAT 560-345Q �L � O ��'� ��� � � ANOKA COUNTY 6431 UNIVERSITY AYENUE NE June 25, 1974 FRIDLEY, MINNESOTA 55421 Mr. Mike Shepherd Aqualand Pool Company 34Q0 Dakota Avenue South St. Louis Park, Minn. 55416 Re: Swimming Pool at 7380 Concerto Curve Dear Mr. Shepherd: This letter is to reiterate our phone conversation of June 25, 1974 and to make clea� this departments requirements for the swimming pool construction at the above address: � 1. As discussed, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As discussed, three (3) inlets of approved design for fresh and/or repurified water will be provided, 3. As discussed, a main drain of approved construction.will be provided. 4e The filter and pump should be approved by the N.S.F. anc� be of sufficient capacity to provide a minimum �turnover of at least four (4) times in 24 hours. 5. A deck, a minimum of 3 feet wide and sloped away from the pool, must be provided around the en�ire perimeter of the pool. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. A fence or other suitable barrier, a minimum of four (4) feet high, that affords no external hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool; All gates and other accesses shall be equipped with self-closing and Iatching devices which are capable of being locked. 8. An automatic chlorinator should be provided with a suitable test kit. 9e All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. . 10. Al1 electrical lines must be 1.0 - 2Q feet or more away from the pool surface. 11. The pool fill spout must be air gapped or protected by a vacumn breaker. t w 0 Mr. Mike Shepherd 7380 Concerto Curve Qage 2 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is l� times the pool diameter, shepards crook pole, must be provided and maintained with the �ool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 560-3450, ext. 41. Sincerely, STEVEN"J. O SON Environmen 1 O ficer SJO/mh CC: Mr. Robert C. White 7380 Concerto Curve N.E. Fridley, Minnesota 55432 � � • , z � � AP,pLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ` S NAME : � 0 ��� � C���"� BUILDER : � _ . W� � f� ADDRESS : '7 3 �C� C�e- ADDRESS :� �Y(�� � �:.��c.� `�, � NO • ./ ,3 � S TREET • � C� � . LOT• 3 BLOCK• � ADDTTION: V"l�-�'�� CORNER I.OT: INSIDE LOT:_ ?�. __SETBACK: 3 S� SIDEYARD; .%� �� S.� Applicant attach to this form �.Yao Certificates of Survey of Lot and proposed building location drawn on these Certificates. HESCRIPTION OF BUILDING To Be Used As : �" � ` � /� � 3 �, Front: Depth: Height: Squaxe Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Eeet: Type of Construction: s'�ee � Estimated Cost: $�� 0�(7, CT� To Be Completed: The undexsigned hereby ma.kes applicativn for a permit fc�r the work herein specified, agxeeing to do all work in stsict accordance �ith the City of Fridley Ordinances and ru.lings of the Department of Buildings, and hereby declares that all the facts and representations stated i.n this application are true aiid correct. . DATE: � — a `7 --- / / SIGNATURE - �j ����� � �(See Revexse Side For Additional Tnformat n.) � -��— `' G- `� � / � 1�����_.�- �._ .�- �- � �.�� � , � ° ' . �q .s� _ . P . � � e 'BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing perm3.ts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration o� repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: UNCFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or ad�.ition, is determined by multiplying the ground area cover.ed from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper'surface or to the average� height of the roof surface of the main gable of a pitched roof. For repairs or alteraiions to an existing structure, the fee shall be at the xate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOU�VDATION NOTE: Permits for coizstruction will be issued a minimum of 24 hours from the time of application, to allota for pxoper review of the proposed structure and of the construction site. . A Certified Survey of the lot, showing the location of the foundation, once it has Ueen constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be ma.de ten (10) days pxiox to the use or occupancy of any structure for which a building permit has been issued; and said st1-uc�cure shall not be used or occup3.ed until a Certificate of Occupa�cy has been issued. � � - . ..._,.,,...e.d conDVlann,nr� � 687s-X�hn�y °CS AtE. , , l�xlSu�ry��rrcJ ' `- Mmru�v�e;/S 2/ .Sor/5 lesfrn,�. ��,y� � � � � � �Q � � �. - .4�in��fo Civ�l f"r Alu�x':pr�/ : '- SUnxf �J-:'l��� � _ _ . ' EIAJI/AP@17/� ��1 l 1 f�S. i� � �lf / VG Ul/�� • , r � ! � J �. ... �����,�����`�� ��' �����'��� ���—E� �; i� I)��:��,�����,��'� C�o - . . � � . . • I�QTE,s- : - , !. Eltvacd'ivnS S1�.wn m►e Prapo�ea, - ��� . - `/ ��'�. �. . . . , f� � � • 2. .Fioti�F F1�c.r� at. 2.'3 f{. cbove gvorrtcr" � � '-� . ._ � hau�� . Corw¢rs . . "r � . � / , . ' ' , ' / .. .. � . _ � ' . � " .. � a j� � / • \° � 2/e {/• . of �Y9t�r :f (q� . - . ' �. r ^° � hc3us � tvr ng r5 c�6�Y. Pa "'1 � o � � / ��v�� o� . / o +� �,. �-7 � !3� ' - � , ' ,. ,.. /° � � . '� � � � f `� � . . � , � / .�. ` b `A , ' • _ . e � . . • � � i I �� � � . ,� a`�` . . � ! l�S ' ��� . . %�8� � ,� -�° �° � - . � �, � % �a� s� � ` , . � �,,�j-� � ., / , �i'y �o � . . � � L� �'✓r G?% : . . c�fl . ,f �? , ,j� U�' � G _ ,� � ��` �, � ``'� �° � � : . o � � � . � ° � � ' . �° . - : . . . . �� _ . � : _.,,�` . = � J �� �/ �� . � el. �%8� '� � . . � � �� 2% 87T T . . ._!_ . 1��i .. � � O D£NOTES IRoN TUE�3oTE5 DRAINAGE �- UTILITY EA5EM�NT �.0°r' � �LO��. 3 I��.��Y � 0� 2�� �.��Ii'I��� _ �Anoksa Co�n�� -- Minn�ao-{-a� / btnlay ca�fi�'ef tha¢ ihis a a h-rxx �d mn�cf rrpresenfofran e�'o sc�-vec� �'fht �dor ies �'�+r eboly desrribed �, � nf�/!x /ora�z�n a/'vl/ t�r'1�;n9s , tlxreoer�, m��l �,sib/e axrnahmrn/s , rl'�, �n a� �soid /and. As wrr�cJed �� h�'s _ abt� ,�(' A a r i 1 , A.D.19�. . SU� flRBAN �l'+1G/I1IF�2/�1G , ll+lE. - _ � ��s Fr sw-rey�,r%�. 1 a _. � S C A L. E 1 " = 3 O' ` � ' ,l [.c_--aa � _ » ' . , -t -w�� � � �2 s p+ _v.cw Y_ a_e $ '' � • � (/c'!�/E� . m �rl�i/�� J '. O S h o w R o o m: T�le. �20-�244 DAKOTA AT WEST LA�E STREET °���1°�� �11NNEAPOLIS, MI��ESOTA 55416 ��'�'�vTE Since 1961 : � " d Cnssto; Addre City Phone Su�i EIQUIPN[ENT S�CIF°ICATIONS DATE /9Ir/P/�C /.5f� '� POOL DATA: Pool Sis� 1� �X�'�f �,`S�C'i���l.dL Turnover Rate � Hour� Surfa�@ Az�ea e5 °�/y sq• Ft• Fi.lt�r Rat@ �� GPM/sq• Ft. Capacity /B.P�,��Gallons Rste of Flow G�� G� Perimeter O[�C� Lia�. F't. 'i'�'Y�ae of Pool �PARp� �.�F'�. !�`�L b'yfu y�c. PIPING DATA: Smetioa l �'� ��l���`r �G�.C,�/ °�'i 1��� - R�tur�s ° / ii ^g''- � ,e, �► G 1Kanif ol�l �✓.� �� .� -✓A.� WE' r�f��5 — FILTER � -l��( � -/ , " ° G _r' P :A ° /ySf PUMP dc MOTOR s� •COdtJ Q'' • C�' •` GvoTN / �L eFtkt TL� �CIMMERS '� 1�'��lol�i�P. � .SO/GRd/ �G'�J�/�[' /�vo[�/�/�T/C �y�g G° � t7�t ' DIR. FLOM FTGS. ��,-f��i�l-�/i'IiPG� C'Yl'�.C,9� �+hKIN DRAIN ° �l/• REISFF YALYE - CHIARINATOR ���-C� [� .91J�"v/yRT/G THERI�IOMET�R � - �,v9g TiC'_ )I5CHA�GP HOS$ . � � FILL SPOiFr _ B�R - POOL HEATER /,? SC�l� �-//� Ot?L� �Tr� /ll�i Cx.9S' �9i�� - � �i1`�?U�� - e�IVIPTC BOARD �D �%�5.cs�� �1>` L)11>� �75�°3-�r� �-�-r S�r'7 ft sLIDF � -� - -.. �a cY�'�'���c• %f'�i9.LZ5 LADDERS ,� �sA '� J'�'� Si"�P ,S��Ji/L°.�L�a.S'S �1',��.[, GRAB RAIL AATCHOR CUPS STEP5 POOL LIGHTS DECK BOX VACUUM KIT � � L` i.,aJ,'� d5 "l� ,lf � �'� I�AINTENANCE KIT / ' -.0 F _ ' � ` 7"'� ` � D �' " 1�AT8R TEST KIT '/��i' G°L � C! .�. SAF'ETY KIT /��"'I' �FCP% �F �`F�O.�� �DEEIC WORK �° . i= �T' .�. 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A -v �o • r � s- -� � Z '77 ` O :iJ . � � 3 w N Z � � - a . z , . a � � - •_ - - n � . v� � _ - I �, m m o rn- r�e o � . � p, n ►� Ynb IY � � r�M h�-O �O K a � .+ n .�-rc v�r.3� z � f°� �o i n R m "v � m.pp m a60 m RT a o n►- u+ �-' ra � reo'0 oA ►S n � K b7 � � . F �. �°o � � a r , - .s o •o Y a � eAOS:�` � . . � et u Q °no`C.� yrR-�' a p3 .' � 7 7 Y x - ta �► � O 0 .� moo , Iy R M tt p pr, n m x''�o� p P� r 3 F" . � � r p~. o a - � r rr rr � r - n .7a Y� O T b O a d R h p 6 O � 7 A �I • Vl Y�p D� . �- .- � �. � - � � n o 4 . .� o ea � _ � o�o� � o r N � s n n o . � n r S �1 • ipt �f ' . ,y u � S t. � ? � �+ ►+ O � �{ „ � . �p � R `i X I p � np a r „ }� o M O y +� _- a �� �+ DATE: From The Desk Of RICHARD N. SOBIECH RUBLIC WORKS DIRECTOR SUBJEC7: ��a9e Pnob�2em a,t Cwcb Li.�.e 7380 Cance�ia C te. , �. Wh.L�2, .-�;el`'-1 -- � � 5 � — MEMORANDUM M�M� �VZ 26 TO Cau.ed yau �p.�ecrde nev.�ew ne�e�ce,n.ced cvicea. �an poae.i.b.�e dtca.inage p�ca6.Cem. 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O � . .� ,, ' . . , I a� lV � f'• `'pCf� m W � � y K O ti � rn T � y � N � � �J F' .�, .. ,.,y . . . w� �r m �i � `� �r wrnx,b D + � l� `�C � C W N - _ '►�+ .. , \ � �� � � �.' w w o � z , . w w � � � d �' Nm a o � ` �w�„ ;= � � � N � � � � A �• , j m ro E M � : rt � �' � � �� �' : � � r V p N�� . ,� . I � M �. � ,,� I ;. �. N N N� O. N -� (�j �. `l �; .. \' _ .A �N Q�+ N �. . _ ", 1Y N r' N . . - . '��, �,1;,' 7+ : ,�;; ;::. � ,�Q� sue�ecr PERMIT City of Fridley 19 3 8 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r i � RECEIPT �10 � `L __�__ COMMUNI7Y DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. i i � , /"'1 � CITY HALL FRIDLE� $S4$2 NUMBER REV. DATE PAGE OP APPROVE� BY �.__.Jl.' '•� 612-571-3450 910-F15 4/12/88 � � JOB ADDRESS '7380 Concerto Curve N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 Melody Manor 3rd P,ddition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP pHONE Robert White 7380 Concerto Curve N. E, 784-1355 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. Normandale Services Route #1, Isanti, MN 338--1511 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PFIONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE UCENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WOFiK Reroof Dwelling 9 CHANGE OF USE FfiOM TO STIPULATIONS Roof can be the 2nd layer but not the 3�d. Install �idged galvanized v al leys SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOfi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. � NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1. STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.,250 $,63 WITH WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER ATE OR LOCAL LAW REGUL TING CON- $22 � QQ St�iUCTION fi THE PE ORM NC F�CONSTRUCTION. S\ � PLAN CHECK FEE TOTAL FEE [ � � $22..63 S� ATUREOFCO ta CT AUTHO EDAGENT I�nT � WHEN PROPERLY A D TED THIS IS YOUR PErRMIT /9 P � �t�% SiGNATUFiEO:OWNERUFOWNERBUIL0ER1 �DATEi BLDG �NSP qaTE NEw I ] ADDN. [ ] pLTER. [ ] Construction Address: Legal Description:_ Owner Name & Add�ess: Contractor: Address: LIIIING AREA: GARAGE AREA: DECR AREA: OTHER: � � � City of Fridley R-1 AND R-2 � Building Permit Applieation �1.3��l ���1�e�C�� " � � �J ° �` �/t G �l P � li � C �S�n ✓� . //V 1 �� Effective u/1/86 �� n�1 � Tel . # �� �/� � � S � � S Tel . +� '3 � $ � PS" l ( 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 Length i�idth Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd. Setback � � Side Yard Setback � ,SOU S ca v � .� Type of Construction: ,��e �c� e� �- ��` y U `✓e `� __ Estimated Cost : $ ��;� Approx. Completion Date: `p � ^ /�2�Z�. OG Alt. A Alt B Proposed Drivexay Width If New Opening Is Desired: $ $ See Back Page for Explanation � DATE: 0 APPLICANT: � Tel . # .�3 g� � �� ( Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee SeWer Main Charge TOTAI. STIPULATIONS• CITY IISE ONLY $ a�a- OC� $ $ In � $ $ � $ ��- � ? Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation • $ �,SQ per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � BIIILDING 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 applicatio n 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 9aluation �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 $50,001".00 to $100,000.00 �100,001.00 and up 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 a2,000 plus $6.00 for each additional �1,000 or fraction thereof, to and including �25,000. �170.50 for the first �25,000 plus $4.50 for each additional �1,000 or fraction thereof, to and ineluding �50�000. $283.00 for the first �50,000 plus $3.00 for each additional �1,000 or fraction thereof, to and including �100,000. ��33.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEiiAY DEPRESSION ESCR�N (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway �ridth plus 6 feet times $13.50 , Alternate "B": Removal and replaeement of curb and gutter and install a 3 foot wide approaeh With 6 inch depth - Driveuay Width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction t�ill be issued a minimum of 24 hours from the time of application to allow for proper reviex of the proposed structure and of the construetion site. A Certificate of Survey of the lot, sho�ing the location of the foundation onee it has been constructed will be required before proceeding with the framing. .---�5 sue�ecr City of Fridley AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T � � � � � � ; v _�___ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i � , L_-_-�; �"' �'� CITY HALL FRIOLE� SS�32 NUMBEp pEV D�TE L 763-571-3450 9/0-F 15 4/ 15 / 03 JOB ADDRESS 7380 Concerto Curve NE t LEGAL �OT NO. BLOCK TRACT OR ADOITION oesca. 3 3 Melody Manor 3rd Addition 2 PROPERTY OWNER MAIL ADDRES$ Nancy Formosa 7380 Concerto Curve NE 3 CONTRACTOR MAIL ADORESS Budget Exteriors Inc 8017 Nicollet Ave S, Blo e ARCNITECT OR DESIGNER MAIL AODRESS 5 ENGINEER 8 USE OF BUILDING Residential 7 CLASS OF WORK MAIL ADDRESS � NEW O ADDITION 8 DESCRIBE WORK Install egress window 9 CHANOE OF USE FqOM �] ALTERATION TO P�GE O� / / 33430 RE . �� � •�qOVED Br SEE ATTACHED SNEET 763-783-1155 21P PHONE LICENSE NO , MN 55420 952-887-1613 ZIP PNONE LICENSE NO 6564 ZIP PMpNE LICENSE NO ❑ REPAIR O MOVE O REMOVE STIPULATIONS Window to meet the State Egress Code. Provide smoke detectors in all sleeping rooms and on alZ levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. �: � � I s� f, � � a r,{*r :� �, ��f ' `� � : ;1�. `�' � ;I;s,�f ; TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTFICAL. PIUMBING. HEATING, VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE� FOR A PER100 OF 1pp DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS 1 HEfiEBY CEfiTIFV THAT I MAVE READ ANO EXAMINEO TMIS APPLICATION g AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yALUATION AND OROINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIEO WITM WHETMER SPECIfIED HEREIN OR NOT. TME GRANTING OF A PERMIT �2 � 7OO DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OF CANCEL TMF pEqMIT FEE PROVISIONS Of ANY OTHER STATE Oii LOCAL LAW REGULATING CON- @ STRUCTION OF TNE PERFOiiMANCE OF CONSTRUCTION y�83 .^LS Lic S�GNATUpE OF CON'AACTOA OA AUTMOp�2ED OGENT IDATE� S�GNOTUAE O� OWNEQ��� OWNEpBUILDEA� �DATE� I�� t OCCUPANCY GROUP IOCCUPANCVLOAD CU OFFSTREET PARKING STALLS IGARAGES SURTAX $1.35 SAC CMARGE Fire SC $2.70 E TOTAIFEE SC $5.00 $92.30 PROPEpLY VA�IOATED TNIS IS YOUR PERp117 , NEW ADDN ALTER �� �� �% [] CITY OF FRIDLEY ��,ti Effeative 1/112003 [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp [] SiNGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: �3� �n C et �2] e.t�ur v e N E Legal Description: � Owner Name & Address: t�Qt1CU Fofm�SGY Tel. #?[e3 • 7R3 • t[55 Contractor. t�.t�P� �'cFft�lit��s� n[nc . MN LICENSE # C,�„SLe �� Address:�Of7 /1r'col�P� � �Sn �loomc'n�`1z.t"1 ��I2� Tel.# �ZS2-887•/(0['�_ LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Cerkificate 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 Hgt/Ground Sq. Ft. �..��!:,�s, ,,� � � • �1��, ,� . o .� . Construction Type: SFI� Estimated Cost: $_�'IOC� `�' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �I'II'O3 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge ToTa� $ �•2� $ �•� D $ 4 •35 � $ $ S.OD $ $ $ $ $ �92. �0 CITY USE ONLY - Tei. # -1287 if using credit card and we will Fee Schedule on Reverse Side ��T���� .001 of Permit Valuation (1/10th°/a) $.50/$1,000 Valuation $1275 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 [ ] .. :��� � a ��d � /.�,�. � k3 � /.�i.J�a w �rle��� or�� ���� - �aaaE'� e-�. 5���"s �r'�-�w 26 9 � /s- �3 . : � � i � � � i � - �: i_�_� �, The Chief Building Official shall, before issuing permits for the erecrion of any building or structure, or for any addition to any exisring building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,�0 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,QQO or iiaction thereof, w and including $25,IX}0 $391.25 for first $25,000 plus $10.10 for each additional $1,0� 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 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof - - - - -- C�JR� Ci]'� �SCR4�K - -- - - - (Cuncrete Lurb Streets On13� j 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 Certificate of 5urvey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 l+'AX: ADDRESS : 7380 CONCERTO CRV NE PIN : 113024130027 LEGAL DESC : MELODY MANOR 2ND ADD : LOT 3 BLOCK 3 571-1287 PERMIT NO.: 2004-0011 �� � 1 � DATE ISSUED: Ol/23/2004 PERMTT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CON5TRUCTION TYPE : ADDITION/ALTERATION VALUATION . NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL GAS WATER HEATER # ELEC WATER HEATERS # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT NORTHWOODS MECHANICAL BOX 1085 FOREST LAKE, MN 55025- (651)257-4951 OWNER NESS GREGORY S& CANDY C 7380 CONCERTO CRV NE FRIDLEY, MN 55432 0 VALUE OF FIXTURE/APPLIANCE 0 # GAS WATER HEATERS 0 # GAS RANGES 0 # WATER TRMT APPLIANCES PLBG PERMIT NIINIMUM FEE PLBG FIXTURES (NEW OPENII�IGS) PLBG FIXTURES (EXIST OPEATINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS 5TATE SURCHARGE, PLBG FLAT TOTAL PAID WIT'H CHECK # 6072 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 atter work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other sta.te or local law regulating construction or the performance of construction. Bldg SEPARATE Date< REQUIItED FOR WORK OTI�R THAN DESCRIBED ABOVE. 0 1 0 0 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 20.50 n O � � c � � Z D � � _ D r r � m v � O < � m v � m � C � C) � m t7 -� O Z � A D D Z 0 D � r m rn .D -� D r -n m m N � � � c A � d t0 m D � J �� �' \� c� � d � � � � � o z c� Tv xo � �� c o 1 (,� �o m 3 1 � � � �, �n 01 D �v D � m D � O 2 � � �� �� � � , 0 o �� � mZ � y � Z � r m: � 3. �� � Z " � Z. � O m� o"= �`a z �:.- �'. � � rn D � � < a � � z 0 � � 7 0 d c� �� X � c� # Z m °° � G� � c� � cn � n w O z � � � a, v�, °: °: °: 3 �• n ° � °, i � � � � � � � � � � O v, � �t ��, =s-+ d ��H� � ^' � c 1 :�..����y���•, � � �° � � �' r' ' y. a, '.° �° � � � cc �� 5 m 2 fD N � 'O N � � � � n � � � c c �D � � .r � y v z 0 I I�I I I I I I I I I � � w C � r c � � 2 c� 0 � � ��� t�+ �► 6� t�► t�+ t�► t� t�► en C O O,'�1 O V V V V CJ� A V O O O � O v O O O O d C 3 °� � � 1 -o � � � � ':� . � •: � Z _� fA i ;1i� .. , O'. o �.-* p' y y ':. , m �; F ;,,., N `,^--� ,: °o .. 1 � ..� . O �' i s �\ . ;t' "' �� or,`_ Ui���'.t3r` �+::�5'1 !. +. 4 � ':� =- � f � ra ,_ , �r l i> >c , Fa�a � � � :. t ::., . . : \ �.. =�1 � . --{ 4 ! ��'+ r i� :'1. . i= - =-� .. . . 'c���� _:_..� . . . . . ._. , - . :?@. - . . . .. . . a m c �. � � e O �� \ > > �' -i a a c� � ce c =; � � � � a � fD y IG N. , o � � `'°' �i � s o c� � N � O � d a o�Q � i'c � �` • O p3i c►s y" � � fD . � N m ? �� � v d � � � �. g g a Q � d o � c� � „ d ,� g � -, � a d 2 � � � � � � � � �3, o 8 � � g i� � � � � . � � � � � v r C � Z � � � � � � � � X � y � � .Bg�S�o m A w N-.. � y � � -� n (n N 0�1 � m C � n� Z O � 0 D r � � D v v .Zi m � � l� ,� r � v-- � � � D s � � i Z � C � � � v� � � x � T X � � C � N �7 � m � .�oo � � m ,.. . m z � ��� � o � m � n: � �° d : Z , : �' �. rn � n 2 � D T c r- ? � O m � �� � N ci g N � �mp= A � THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURIVED �MeA�N VFNT VFI�T C`C�RI�F[`TnR �1A!n (711�t�� ISTIC�I� pIR ��RIFIC`ATInR When reo_ i,.. a��r,0 an_ pY,� ���a fi,�„�Q� the undersigned hereby verifies that the venting has been examined and is free from nast, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastiGPVC and meets all current codes and manufacturer specifications inGuding sizing, length, number of elbows and termina�on. Yes () No () The undersigned aiso verifies that the replacement unit is a listed assembly and meets the current codes and manufacture�s specifications. This does include AGA-GAMA Category I Central Fumace Venang Tables for fan assisted and natural draft appliances. The pxictinA_combuctien ��r is sized and installed to meet the current codes and manufacturers specifications. When required to inctai� a npw _emh ic+ien a� it will be sized and installed to meet the current codes and manufacturers specifications. When installin� a npw ventin�,�,ct,,,�, we undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does inGude 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. Yes ( ) No ( ) Yes( ) No( ) Yes( ) No( ) Yes( ) No( ) Yes( )No( ) � • • . � - • ' . � • • 11 11 • � " • • � • ' � • � � ' M • / • /1� • • • ��� � Appliance #1 Type BTU Input Fan Assisted or Nat � Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu (nput Common Vent Type Vent Height Diameter inches � Appliance #1 Vent Connector Height ft Length 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 � : � •► .- ..- HEATING CO: Signed By: Date : � � � rn � c O s D � r � � m m ��� � � � O � 2 c� °,m= � �' � � z m �, v � � O o � � o m m 2 o � � � D v � v � � z �v D � m � O Z � �;� � ���� � � 00 �°O� '� n N N .��► � .�-« � j � � � O � �T��rnmm � pv-o o `� � _ _ � � � °° � y � �. ��D � d�� c�i m ai oo a�, c -, �m ....��';cu.� �'d � � w ,� � c� m� c r cn. N� rn � � � co � � � m Z m cc , �, c�i � v —� � � fD y rt � � � TI � ���� � � .�� rn c c � O � �� rn � � I ol I I I I I I I I I I I � r C � Z � 'n � C Z1 m � m � z O � ������������ � � � � w w w � � � � � � � cn o o�� w o 0 0 0 0 0 0 � 0 0 0 0 0 0 0 0 o c o 0 o m 0 0 0 0 0 0 0 0 0 0 0 0 0 � � � o � �m D cn "o o Z c � Q- � Z W � � 0 � � .� ."I1 0 c � � 7 v °: m 7 N v fl: W --t m r � O AV 4� �l � \� � � � m � � m v c� 0 � � m � � =a ^Q A l � `..�' W c i= v_ z � c � m v O Z m z a m � `;,_ N O � N tA a � 2 � � °- N � °• m � � m � � o Q: a � o cfl d vo y � > > N 7 � Q. C'� rt s � m � m � � a a d c�Di � d � � � � � rt � N C) � O N Q- � � N � O D r � O � �� �� w �°' � cr, `_� c O N � C Ga Z � � � w u� �1 ���� „N�v � Zm � m� v Z w � � m w '-i �' O Z < � m < m � � N 0 � FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existina furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer spec�cations including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the cuRent codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installina a new ventinq svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specfications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () 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. No ( ) Yes ( ) No ( ) Aapliance Tvae and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances T�al Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length 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 ���. ALTERATIONS• (Describe) HEATING CO: Signed By: Date : ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �631572-3604 FAX: (7631571-1287 : 7380 CONCERTO CRV NE : 113024130027 : MELODY MANOR 2ND ADD : LOT 3 BLOCK 3 : PLUMBING : RESIDENTIAL : ADDITION/ALTERATION �� � »� PERMIT O.: 2004-01007 `� DATE ISSUED: 06/28/2004 • VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A INSTALL AN IRRIGATION BACK FLOW PREVENTER (WII.,KINS 720A, 1 INCI� # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENII�IGS) # GAS DRYERS # OF NEVJ FIXTURES APPLICANT NANCY FORMOSA 7380 CONCERTO CRV NE FRIDLEY, MN 55432 OWNER NANCY FORMOSA 7380 CONCERTO CRV NE FRIDLEY, MN 55432 0 # GAS WATER HEATERS 0 # GAS RANGES 1 # WATER TRMT APPLIANCES PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPE1�iINGS) PLBG FIXTLTRES (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 # 7969 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming 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 any other state or local law regulating constru�ion or the performance of construction. Bldg Insp Date ARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. � � 0 15.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 15.50 Building Inspections 763-572-3604 DATE 1���5 ' SITE ADDRESS n:� THIS APPLICANT IS: PROPERTY O�VNER/ TENANT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS — _ .-� . OCONTRACTOR PHONE: '%/o �- ��3 %I s"S CONTRACTOR I Nq�g: SUBMIT A COPY OF STATE LICENSE # YOUR STATE LICENSE ADDRESS: WITH APPLICATION pHONE.�— PROPERTY TYPE PERMIT TYPE � �DTfION ❑ BASEMENT FINISH ❑ DECK �E oF wo�: DESCRIBE WORK BE1NG SIZE OF IlVIPROVEMENT £XP DATE Pernut No.: Received By: Date Rec'd: 3� � �� ��� CITY STATE ZIP, �ROOF 0 DRAIN TII E O SIDING O OTI�R ❑ SWIlvIlvID�iG POOL ❑ ADDTfION ❑ REMODELING ROOFING ❑ HOU3E ONLY NUMBER OF SQUARES }&`HOUSE & GARAGE GARAGES � �^ � ❑ A'ITACI�D GARAGE PROPOSED SIZE: � ❑ DETACI�D GAR.AGE S PROPOSED HEIG T: �.l �� SIDIlVG � (�J ❑ Vinyl OSoffrt ❑ Aluminum ❑ T� ❑ p�� O Fascia WINDOR'S IN EXISTWG OPENINGS OY� �I�To OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WII�IDOW TO BE WSTALLED IACATION OF WII�IDOWS I: ���s�1 Ft BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plen 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the atisting structures and proposed pmjecL 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING TI� 1997 U.B.0 FEE SCAEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Percnit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ ��,��� Se,� Back Page for Fee Schedule $ � 65% of Building Permit Fee $ �� (.0005) tames the total job valuation — Minimum $.50 $ �_ � � .001 x Permit Valuation (1/10%) $ $5.00 (Staxe Licensed Residential Contractors) $ $1450 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$20=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ ,� Make checks payable to: City of Fridley Attach THIS IS AN APPLICATTON FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acla�owledge 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; that the work will be in accordance with the approved plan in the case of all wo which requires revier�r and approval of plans. SIGNATUREOFAPPLICANT I � �-- PRINTNAME�L�j � f�/�� DATE /� /� o�' Page 2- Building Residential Applicataon BUILDING PERMIT FEE SCHEDULE The Chief Building O�cia1 shall, before issuing permits for the erection of any building or structure, or for any addition to any e�sting building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, requue the payment by the applicant for such perm.it of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 fo� each additional $100 or fracrion, to and including $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional$1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1� $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for ea.ch additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1� $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fra.ction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the constructioa site. A Certificate of Survey of the lot, showing the location of the existing founda.tion will be required before proceeding with the frazning. New Houses Onlv City of Fridley Building Inspections Deparixnent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 763-572-3604 DATE « STCE ADDRESS � THIS APPLICAM IS: PROPERTY OWNER/ TENANT CONTRACTOR gUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERNIIT TYPE TYPE OF WORK: �.. - MECHANICAL RESIDENTI�.L APPLICATION . CITY OF FRIDLEY YOUR MAJL ADDRESS �� �n .N D r�ic� ��� A� 0 OWNER �'ONTRACTOR � cint 5: 7 _-�? � 11 �" COIvIPANY NAME:_ CONTACT PERSON: srn� �ac�sE �_ ADDRESS� (�INGLE FAMILY ❑ TWO FAMILY ( p ��y �PLACEMENT � DETAILED DESCRIPTION OF WORK _ FAX Permit No.: Received By:_ Date Rec'd:_� A .� rl��'.!'' ►i' :� ,�; �: O TOWN}�OUSE ❑ ALTERA7'ION/REMODEL PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixtwe, 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.05= FOR PROJECTS WHERE LABOR EXCEEDS $5 , EES ARE B ED ON $10.00 PER FIXTLIRE, EXCEPT v''FiERE NOTED. FDtTURES: (INDICATE TOTAL T•ii,TNIBER OF EACH BELOVI� M��S D 31ZEBTU ��5� Equipment Instailed i`'�G� SIZE/BTU MFG: ,_— MODEL: SIZElBTU �G: MODEL: _�—. FIREPLACE (GAS) $15.00 _GAS RANGEJOVEN $10.00 _PJC 525.00 =��pLpCE (WOOD) $35.00 ]JEW GAS GRII.L $10.00 _AIR TO AIR EXCHANGEER $IS , F�ACE $35.00 GAS UN1T HTR $10.d0 BOILER 535.00 '—Gpg DRYER $10.00 POOL HEATER $35.00 _CHIMAIgy LINER $10.00 — _VEN7ILATOR $I5.00 DUC'f WORK SI0.00 _GAS PIPING $10.00 _.„ _ . _ __.,.,�..-��w,�„�r m��, �. ���s��,���cr��t��Fa���#?��;�'S�'���':�5.{l � �,,���!l�.� ',�i�J�'ti�..4���K �.i�ll.9d'i1Crt�..�V V'4�tih::. aiN �£R:�;,r..� is u�.-w,�. „n a..,. -. �..,p.�...w .—. __. ,.... _ . . Permit Fee $�� � Number of fixtures @$10.00 x$10.00 = Surcharge $ .50 Numbec of fixtures @ $15.00 x $15.00 = $ TOTAL DLJE $ _�` �•� Number of fixttues @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Swcharge = $ .50 Tota1= $ ' THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accura.te; that the work will be in conformance with the ordinances and codes of the Ci of Fridley and with the Minnesota �Construction Coc}es; that I understand this is not a permit but onl applicarion for a p it and wor � ot to start without a permit; that the work will be in accordance with the approved plan in fh e of all wor hich ' s eview and a roval of ans. .. � � N� a SIGNATURE OF LI City of Fridley Building Inspections Department 6431 University Avenue NE, Fridl'ey, MN 55432 763-572-3604 FAX: 763-502-4977 C 0 sno�qEin�i�� �E dn axEUt pu� uo�snquio� .zo� pasn aq ��va axEa�os sauriapm� apo� i��ju���ay� �saII3 �u�od�a�ua� :�,Y,OIs Q �� �'���I � - - � --- - Z'£090'9b£t �L�II�dt�?�aQ��nQ '9 . ZL4L i� OL9L a��� �Ia� � Iad � � � uotrejR�A 'S Zj£��9j7£I �I^II B�R��II� M2II IIO p2IlT1T72� 'E Luooi iad p�eot ��oaa � ssoj xeaH '� s3woH nn3N ao� a��in�3� s�IIaLapBata� l�I �?� 8��d�� �L�II �$ � ia�o Ian3 ' q s�uampBamr�d 1�IL�I �?� S�a}�� �J� sa�uer�dcis se� -e $B4�t1 ' £ s�uamPuam� i�ni �?�'� S Ia��� �WI `� (mojaq a�oa aaS) � ���L�I Z . s�IIataPuaury l�i �� £ ia��e� �'33���d3° s�J �.Ei� � q s�IIautpuatuy i�II�i �� L�� �rl�II Ia� P?Ios io �p `� • (n�ojaq a�ou aaS) r�y IIopsnq�ao�J ' i . S3W.OH JNIlSIX3/N1�N �14� a3211f1i7321 �ro dn-3�W ❑ 3WOH J�1ilSIX3 ❑ SNOI�.Iaa'd/S3WOH M3N ❑ �t/nH NOIl`d�l�ddb' 11W2i3d �tlllN3aIS321 . • � lltN2i�d SS3�Obd Ol a�a33N NQIl`dW2�O�N10�?Jlflt�32� ° -�. Building Inspections 763-572-3604 �iTE ADDRESS �IIS APPLICANT IS: �ROPERTY OWNER/ TENANT CONTRACTOR SUBMTT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMTT TYPE TYPE OF WORK: BUILDI�TG RESIDENTIAL APPLICATI4N CITY OF FRIDLEY i`=� ■• . ADDRESS: YOUR E-MAIL ADDRESS �CONTRACTOR N�:_ RENEWAL BY ANDERSEN STATE LICE 1920 COUNTY RD. ��C�� w�+ ST anD�ss:_ ROSEVII.LE, MN 55113 PHONE 651-264-4777 ❑ s�rGr� F LICENSE #20130983 ❑ TWO FAI�. Q ADDITION ❑ GARAGEISHED O BASEMENT FINISH ❑ ROOF � DECK ❑ SmING ❑ SWIIvIIvIITIG POOL ❑ MAII•TTEAIANCE/REPAIR 'i�REMODELING DESCRIBE WORK BEING DONE: ;IZE OF IlvIPROVEMENT NUMBER OF SQUARES _ GARAGES ?ROPOSED SIZE: PROPOSED HEIGHT: SIDING D Vinyl rJ Aluminum ❑ Other 'J��INDOWS IN EXISTING OPENINGS �Yes �No OR FOR NEW OP£N1NGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WWDOW TO BE INSTALLED_ LENGTH ❑ HOUSE ONLY ❑ HOUSE & GAR.AGE ❑ AT'TACHED GARAGE 0 DETACHED GARAGE �Soffit ❑ Trim ❑ Fascia Permit No.: ��p `% — C�0 � Received By: � Date Rec'd: �" �J" ` �2 i� �.oa1¢ S . C o� �_sTATH -! �II' S�S' y 3 a (45� 3k S- L 0 y� CITY STATE ZIP. ❑ DRAW TILE � OTI�R ATION OF WINDOWS tva�n h3 � ��cA��, d�n �nM �l �p��p _t. l OF HEIGHT BASEMENT REMODELIIVG SUBNIIT: 1. Exisiing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft FOR NEW CONSTRUCTTON INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site PlanlSurvey showing the ea�isting sWctures and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LTSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ I i2 ,� te � OCCUPANCY TYPE ? ermit Fee $ p`� a� p� :j _ Plan Review $ Surcharge $ , 3 � r ire Surcharge $ / � , --t (� License Surcharge $ S, p u SAC Charge $ Curb Cut Escrow $ r,rosion Control $ Park Fee $ Sewer Main Charge $ See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residentia] Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Tota! Due $ '1�� 2� Make checks payable to: City of Fridley Attach Oj THIS IS AN a,r�rL���. �.�N FOR A PERMIT-NOT VALID UNTIL PROCESSED f hereby apply for a building permit and I aclrnowledge 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 perm' d work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which �qu' es iew and approvai of plans. � ^ SIGNATURE OF APPLICANT �1�� PRINT NAMEfi�� 5��� DATE �� pi L V, Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official sha11, before issuing permits for the erection of any buildang' or .structure, or for any adriition to any existing buildi�g or structure, or for �amy alt�ration or repau 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 i.n the manner herein provided to-wit: ToT� v�.uE �Es $1 to $500 $23.50 (Minimum Fee is $23.5.0 glus surchazge)- $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional$100 or fractian, to and including $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,U00 or fra.ction, to and including $$25,000 $25,001 to $50,000 $39125 for 1�` $25,000 plus $10.10 for each additional $1,000 or fi�action, to and including $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1� $100,000 plus $5.60 for each additional $1,000 or fraction to and including $SOO,OOU $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraciion to and includi.n $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional$1,000 or fi-action VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showin.g the location of the e�.sting fbnndation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 , . � ,. tt L . . � i a