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AF - 37971City of Fridley, Minn. ,., BUILDING PERMIT N° , 6831 �� i Date: �° � � � � � Owaer: _ a�� Suflder ` `' 'i Addresa Addreas n LO �TIO F BUILDING No. �� Street � J,�.�-=�'�'C ._— P of Lo I�ot �__ Block _.____� Addition or 8ub-Division �� / / � Corner I�t _ Ins4de Lot ._._.. � Setback �,Z—.°�' --- Sideyard � � Sewer IIevation � Z� � � � �n IIevation �� i�. � � ,Fca�1 s�i�td"i'� / DESCRIPTION OF BUILDING T U : "� Front � Depth � Height �_ Sq. FL � o�' Cu, Ft, ""' �� Front � Depth efght _�! �� Scl. Ft. G�i. F� of Conatructfon �� 3�'� FF�t. Cost �` ^ �" o be Completed • In consideratton of the isausnce to me of a pea.znit to gonstruct the bwtlding described above I agrce to do th� proposed work fn accordance with the d�scription above set forth and in compliauce with a'll provisions of orritnancea oP the dty of FricIIeY• � /,� � �i v? r� - -- - � � Ea cam�Yderation of the payment of a fee of $�� , permit 3s hereby granted to to conatruct the builaing or addition as described above. This t is grant� upon fihe egpresa condition that the perafln to whom it fa granted and hia agente, employees an worl�nen, fn all work done in, around ead upon eatd building, or anypar� theneo� sk�all conform fn all reapects to the ordix►ancee of Fridley, Minaesota reg location, constructt�on, alteration, maintenaace, repefr and moving of bufldings c within the dty limits and permit xnay be revoked at any Lime upon vioj�tion of any of the Provi�tona of said ordinances. � � s� ��` 1 Buildin8 Inspector n NOTICEs Thb psemtt dou aot eowr �hs coasfeodioe, le�alltlioe toe v�irie0� P�b+e, 6n 6ating, pMn� or waMr. B� wro fo � �o Boildiae lesp�ete� for apartl� p�rmiis for t6a� kum. � -a APPLICATION FOR BU7.L�JING PERMIT CiTY OF F:tIDLEY, I�i'PP7i�SOTA Q�irPi ,s�s.' S NAME �O L�, �� Q✓� BUILDER L � AI3DP.�SS ADDRESS LOCATIOId OP' B?�ING 1�10. `� �� Street ��q/�p�� P$rC of Lot Lo� � Block Addition or Subdivision_�_ , �� `/ � Cor.aL�� Lot Inside Lot_�Setback ��a Side Yard ��r 3EW�R ELEVATION FOUNDATIOIJ ELEVATIOIQ A�plicant attach to ehia foxm Two Certificates of Survey of �at and proposed build- ing locatioa drawn on these Certi�icatea. DESCRIPT'tON OE SVtLDING To be used as: � w-� � � � Froat�� epth w�Height - Sq. Ft. Cu. Ft. ' -- - _ i�rront �jr,� Depth � �•�a Height Sq. Ft. Cu. Ft. Type of ConsCruct�on � Estimated Cost _��a � o�, - �o bs Completed The undersigned herebq ffiakee application for a permit for the work herein specified, �.greeing to do all wo�k ia etrict accordance with the City of Fridley Ordinances �nd rulings of the Depairtm?nt of �uildings, and hereby decZares that aLl the facte aad representations etPted ia this applicatioa are true and correct. (Schedule of Fee Coses can be found on the 8everee Side). - - - A � � ' 4 � I � 3 T e BUILDSIVG PERMIT Fi:E SCHEDULE Sectioa 2. The InapecCor of Buildin�s shall, before issuing any permit f�r ehe ezection of aay building or structure, or for any addition to any exist- iag building or structure, or for any alterat3ons or repaira to any e�ia�ing buiiding or st�ructure, upon application therefor, req�ire the payrmen� by the agpl3�cant for such permit of feea te the amouat herein below set forth �nd in tixe manner herein provided to-wit: Z.1. For aay such permit for the erectioa o.f any fire-proof building, ot�e� than a garage� warehouse, factory or grain elevator, or for the erectioa of any fire-proof addition, for simi.lar occupaacy, to any exiating build3ng ahall be at the rate of $�,.40 for each one thous�nd cubic feet, or fractioa Ghereof, in such cubical coatents. 2.2. For �ny auch permit for the erection of any f3re-proof g�rage� warehouse, factory or grain efevator, or for the erection of any fire-proof edditioa, �o� similar occupancy, tc! any exiating building shall be at the rate oi $1.25 for each one thousand cubie feet, claseified as °1fireprbof" bq Section 502 of the Minneapolis �uildiag Code.. Hovs�s 2.3. �or any auch permit for the erection of anq non-fireproof build3ag other thaa a garage, warehouse, factorq or grain elevator, or any noa-fireproaf additioa, for s�imilar occupancy, to any exieting bu3ldiag - permit $1.04 fos each on� thousand cubic feet. GA�AGES 2,[}. For any such permit for the erection of anq non-fireproof garage, warehouse, factory or grain elevator, or for 'the erection of any nen-fireproof Eddltic►na for��3milar occupancy, to anq egistiag buildiag or for each such tru�idfng or addition - aiaety ceats ($0.90) fos each oae �Uouaaad cubic feet or fraction thereof, ia the cubical coatents thereof with a min3m� af $l�..pp.- Por the purpose of camputiag feea for building permits, the cubical conteate of any building or additian Co a.uniform height throughaut by �LtipJlying the ground area covered fram a point six (6) iaches below the floor liae of the basement or cellar to the average height of the upper surface or to the averege height of the roo£ surface of the main gable of a p3.tched roof. 2.5. For repaira or alterations to an esiatiag structure, the fee ahall be at the rate of $3.00 per each Five Hundred Dollara ($500,00) or fraction thereof ia the cost of all propoaed work. 2.6. In no case shall t�10 fpe,chacgad fnr anp permi� �s set forth in Sectian 2 be less than �4.00. s= . � w t° ! r l� �� e �y. s w � • "^ '�- . s�— � Lortd Plo�rnmy L� Su�vec�rn� So�ls Testri�9 c,v,� F� Mun,c,,QO� En�ineer�n�. , r � � ��_ 3 z / � 0 0 i V C+ v-� b�,a �hno� fCS ,vE. Minnmv�lrs ?l, ENGINEERING, INC. .��n��fo SUnief 4•bOti6 � � - — En9ineers � SurvecJors , cer*s�icate o�' m c c/�z.', �. ,� ssltPe, �ot - E �. M EYELOPI►�ENT C0. NoTE:_ N ��/,8�3! �. Elera�ions Sl�ewn nr¢ Qtepo«a !• C��s� rrleor tl. 2.5 �Fi. ob�va. gr�vnd Q hou5¢ corq¢r-g . 'sorrJ� co/'rre/^s 881. 7 � G �� fo �- -- " �d��7e'9 `� � �% sa�8� � �,�� - � ��. �, � v � � � . � .�� .,. � � " � � � �.. �.. , � � � G f �'' _ _:�` �� B��S # �,� ��,�z -=.- - : - =� - _- _t.- - _ _ - - � _� _ .. ___ _ __ O nENO�TF,S IRON � 'UE:�30TE5 DRAINAG�: � UTILITY EASEMENT L4T 2 BLOCK 3 MELODY MANOR 2'`'—D ADDITIO�I ��noko Coun+� - Mirtn¢eo-i-w� / h�rby cerfiry � lhis K o frue ar�d aarr�cf represe�otean o!('o sr�rrey �'fl r ba�„dor�es �'�r abo,t �Esc.g6�d tand, and �fl� �oco�ion o/'o// bv;ldm9s ,�an , md d/ ris'�Wi ax�oorhinarfs ,�!'o�y, �'ra�n or a� sad /wad. As surreye� 6rJ nx f1�s� -°it� �� Av r i 1 A.0 /9�. SUBURBAN ENGINEE2/NG, INC. L-n ineers E Sur'r �s S C A l_ E I" = 3 O' ,� �, t.''+� ��.r ., �3,'��t.� J .. _� .. ` !""� � �'` y � . � 705-C _ I � � d � � � w � o r �� . y : x : � . 0 . 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OTHER e0N V ERSION �1I.KE ��°� ��'�/� AAAKE OF BURNER- - - - - MoJel '° Mod�l - - 5«�iol �.� �� h1o:. BTU Ratiep INPUT �^ �� AAAKE OF FURNACE• AAod•I THERMOSTA Volw _� Limit �d LIT11 �MIR9 Fo� S�etiny - Piler Typ� _ Pilo► Aiak� _ Pila Mod�l _ Pilot Tiinin9 ��•��— 11 VeM Si:� KINO OF LINER � SIZE NONE Oreh Hood Rp�lo�o► Filf«s Sis•�-'� ►� w�M� Qimn�r Loeatien Insid��0ur�id� aimn�r Constrvetio� Spillage � r Snwk. Bomb ' wirinq � Ova4t T�st Toq °i L.w. G�r Off Dow Pr��sui• �'" LiaF►�iny Inst. Pn��w� �� P�reN►f COZ � Dat� T�st�d Inpu� CFH PMe�nt OZ _ Con,oanr T•, �i�q � � S+uek T��np. Pwpnt CO Nanr o� T�seM Certificate of Compentency_ # �0��"'� SUBJECT N O. i .. City of Fridley 219 � 9 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r i � RECEIPT NO. � � COMMUNITY DEVELOPMENT DIV. , • �� y PROTECTIVE INSPECTION SEC. � � ._" , r , "; � _ , � /'��1 � CITY HALL FRIDLEw 55432 NUMBER REV DATE PAGE OF APPROVEO BV �'""'� � �'' 612-571-3450 910-F15 7/22/93 / / J08 ADDRESS '7390 Concerto Curve NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Elias 7390 Concerto Curve NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Ri.ght Way Roofing :113Q4 Red Fax Dr, Maple Groue MN 55369 557a8678 3999 4 AFiCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION [� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroo,f House C24 Sq.uares.) 2nd Layer 8 CHANGEOFUSEFROM TO STIPULATIONS Roo�ing can be the 2nd layez but not the 3rd. Ice and water protection at eayes and valleys. Prova.de adequate att%c ventilation, Tnstall smoke detectors as per UBC 1210 adjacent to all sleeping areas and in b,asement. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBINCa, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUII AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION OR WOHK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AfTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AN� 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 $�-l29� $e65 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S��-eQO Fire SC $1.30 PLAN CHECK FEE TOTAL FEE License SC $5.00 $37.�5 SIGNATURE OF CONiRACTOR OR AUTHOR12ED AGENT IDATEI yy PERL LIDATED THIS IS YOUR PEFMI� � � �� SiGNATUiiE OF OWNEHUf OWNER BUILDER� iDATEI.- ` BL G� OATE NEVV ADD1�1 AL1 Fdt Il Il t) CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2 Building Permit Application ConSbruCtioD Addtess: �� C� C-�3 w Ct Y'� a C � r v-� Legal De.ccription: Effe�tive 5125/93 ��3�� Owner Name � Address: C�� Tel. � Co�ractor: � 1�. �-�� a a'� � v� MN LICENSE # 3 R�� Addr�s: l � 3 U -c o � v� �� a-� __ Tel. #,S- S?- g 6�� Attach to tlus application, a Certi�cate of Survey o�`ihe lot, with the proposed construction drawn on it to scale. DESCRIPTiON OF 1MPROVEMENT LIVING AREA: Length Width Height Sq. F� (iARAGE AREA: L.ength Width Height �. Fi. DECK AREA: %ngth Width �IgtlGrcuznd �. Ft. OTAER: Z� ��i v�'c (� i �.� -� r c� o`F 2 �'�, ( c� �., --t t�- Corner Lot [ j Iaside I,ot j] Ft. Yd Seeback Side Y�rd Setbacks Type of Constcucdon• Estimat� Cost: �� C� o G o� Approx. Connpletion �ate: �/�� (Cast on Back� Drideway Curb Cut Wic�h NePded: Ft. + 6 Ft = Ft x$ _$ DA�: �1- I �t- � 3 .�rPL,rC�v�r: 2:� �� - l.� � �, �c� � � � �- � Tel. � S �i^ �� 2� --� Permit F� ,�/ G�-' S Fire Surcharge /.�� State Surcharge �� $ SAC Cbarge � License Surcharge $ � l Driveway Escrow $ Erosion Cnntrol $ Park Fee $ Sewer Maia Charge $ � TUTAL $ �-3'�. 9� �. _�. � ..l F� Schedule on Reverse Side .001 of Permit Valuation (1/li�th%} $.50/$1,000 Valuation $750 per SAC Unit $5.00 (Staie Licensed Residential Contractors) Alt. °A" or Alt. "B° Abo�►e Conservation Plan Review $450.� Fee Detetmined by Eagineering Agreement Ne�e�+ [ j Not Ne��ssar�► [] STIPULATIONS: BUII.DING PERMIT FEE SCHEDULE The Chief Building Official sha11, before issuing permits for the e��tion of any building or structure, or for any addition to any existing baildiag or stcucdire, or for azty alter�tion or repair to any existing building or structure, upon application therefore, re�uire the payinern by the applicant for such permit of fees to the amount herein �low set forth and in the maioner herein provided to-wi� TOTAL VALUE $i to $500 $501 to $2,000 $2,001 to $25,0� $25,001 to $50,000 - - $50,001 to $1W,000 $100,001 to $500,000 $5�,001 to $1,000,0� . $1�,OOQ,001 and up FEES $15 (Minimum Fee is $15 plus sarcharge) $15 for first $S00 plus $2 for each additi.onal $100 or fraction thereof, to and including $2,000 � $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 �for first� $25,�0 Plns $6.50 far each additional $1,OOQ or fraction thereof, to and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fiaction thereof, t,o aad including $100,000 $639.50 for first $100,OQQ plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $?A39.50 for the first $500,000 plus $3 for each additi:onal $1,000 or fraction ther�f, to and inclnding $i,(100,� $3539.50 for the first $1,(m0,000 plus $2 for each additional $1,000 or fraction �thereof � DRIVEWAY DEPRESSION ESCRO�N (Concrete Curb Stre�ts Only) Alternaf.e "A" : Removal and replacemeirt of curb and gutter only - Driveway width plus b feet tim�s $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide . approach with 6 inch depth - Driveway width plus 6 feet time.s $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the co�astruction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. �_� - 4 SuB�ECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � . � � � 1 v�� COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � i � � �"'1 � CITY HALL FRIOLEv �513? NUMBEp aEV o�rE �'""'�� 612-571-3450 910-F15 5/13/99 JOB ADORESS 7390 Concerto Curve NE 1 LEGAL �OT NO. BLOCK TiiACT OR AODITION DESCR. 2 3 Melody Manor 2nd Addition 2 PROPERTY OWNER MAIL AODRES$ 211 Don Elias 3 CONTRACTOR MAII ADDRESS ZI Quarve Contracting 8427 Center Dr Snrin� Lk Pk 55432 4 5 ENGINEER MAIL ADORESS MA�L ZIP PAGE OF � � RMIT NO. 29463 CEIP . a�� •PVROVEO 8Y SEE ATTACMED SMEET 786-3915 PHONE LICENSE NO 65-1472 1610 PMONE LICENSE NO. ZIP PHONE LICENSE NO 8 USE OF BUILDIN(3 Residential 7 CLASS OF WOFiK ❑ NEW O ADDITION � ALTERATION �c REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (25 Sq) Tear-off 9 CHANOE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PEiiMITS ARE REOUIRED FOR EIECTNICAL. PLUMBING, HEATING, TYPE OF CON VENTILATING OH AIR CONDtTIONING THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION 20NING AUTHOqIZEO IS NOT COMMENCED WITMIN 80 DAYS. OR IF CONSTRUCTION OR WOFK IS SUSPENOED OR ABANOONED fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWIG. I MEREBY CERTIFV TMAT I HAVE READ ANO EXAMINED TNIS APPLICA710N AND KNOW TME SAME TO BE TRUE AND COFiRECT. ALl PFiOVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIEO WITH WHETMER SPECIFIED MEREIN OR NOT. TNE GRANTING OF A PERMIT �ZI�i2 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL TME pEFMl7 FEE PROVISIONS OF ANY OTHEp STATE Ofi LOCAL LAW REGUTATING CON- STRUCTION O 7M PERFOFiMANCE Of CONSTRUCTION $83.25 �y P�AN CMECK � ✓ License SiG AiUAE 0� CON'RACTOA OA AUTNOp12E0 aGENT �OATEi � iD�iE� a, � � SQ. STALLS .00 NCYGROUP OCCUPANCYLpAO CU fT. OiFSTFEET PARKING IGARAGES �1.�� AC CMARGE Fire SC $2.14 �T�A�� /FEE $�iI.46 J r N� [ ] ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R 1 AND R-2 BUII.DING PERNIIT APPLICATION �1� � � � � Construction Address: ; �� Ge� %a �<<,, c% � Legal Description: Owner Name & Address: �/, � S � �� Tel. # 7 � - ��ls' Contractor: �i��,�� _� �r�G/',� � NIN LICENSE # ��ld Address: ��Z 7' G�� `� �.� `��e.- ��,� �.,� ��,L Tel. # ��S -`y 7'-2 Attach to this application, a Certificate of Survey of the ��<� ,� lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length DESCRIPTION OF IlVIPROVEMENT Width Height Width Height Width� Hgt/Gi Sq. Ft. Sq. Ft. Sq. Ft. r Construction Type:�j � /1�,/-' Estimated Cost: $ �.,.�� / �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: APPLICANT: �il��v� �� i ✓'aG iT' � �. Tel. � ��.5 / �%� Permit Fee Fire Surcharge State Surcharge SAC Charge . License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPLTL,ATIONS: $ � - �� $ o�. 0�/ $ Je c� � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $ $1050 per SAC Unit $ � �� C� $5.00 (State Licensed Residential Contractors) $ $ $ $ $ ..i Alt. "A" or Alt. °B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ..: a .. - BUII.DING PERNIIT 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 $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,0� $69.25 for first $2,0� plus $14.Q0 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1, 000 or fraction thereof, to and including $100, 000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,Q00 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed �rill be required before proceeding with the framing. � City of Fridley AT THE TOP OF THE 7W�NS i � � � � ; v __�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i . , i._-•� ��"' �'� CITY MALL FRIOLEv SS132 i 612-571-3450 �U ILDING PERMIT NUMBEN REV DATE P�GE Oi s�aFis s/7/oo / / J08 ADDRESS 7390 Concerto Curve 1 LEGAI �OT NO. BLOCK TRACT Ofl AODITION DESCR. 2 3 Melody Manor 2nd Addition RMIT NO. 31283 RECEIPT NO. �e��' AVPROVED B� SEE ATTACMEO SNEET 2 PROPERTY OWNEii MAIL ADDRES$ 21P PHONE Don Elias 7390 Concerto Curve NE 786-3915 3 CONTRACTOR MAIL ADORESS 21P PHONE LICENSE NO Qua.rve Contracting 8427 Center 1� NE Spring Lake Park 55432 74�-� �- 6016 � 4 ARCMITECT OR DESIGNER MAIL AODRESS 21P PNONE LICENSE NO %�r��/%2 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW O AODITION � ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reside and windows 9 CHAN(iE OF USE FROM STIPULATIONS TO RESIDE - Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is �.a approved weather barrier, Vinyl siding is not a weatherproof coverin; unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. WINDOWS - Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1e2 of.the 1997 Uniform Building Code. TYPE OF CONST SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED V�!ITNIN 60 DAYS. OR If CONS7RUCTIpN OR WORK IS SUSPENOED OR ABANDONED fOR A PER100 OF 120 OAYS AT ANY TIME AF7ER WORK IS COMMENCED. NO. DVj�LG. UNI7S 1 I MEREBV CEi;TIFV THAT I MAVE iiEAD AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF �AWS VALUATION AND OROINANCES GOVEqNING TMIS TYPE OF WORK WILL BE COMP41E0 �'23yOOO.00 WI7M WHETHER SPECIFIED M� EIN Ofi NOT. TME GRANTING OF A PERMIT DOES NO RESUME TO G�f4E AUTMORITY TO VIOIATE OR CANCEL TNE pEqMIT FEE PROVISI NS OF ANY OT �ER STATE OR �OCAL LAW REGUTATING CON- STRUCTI N R TME PERfORM NCE OF CONSTRUCTION �324'.7S PLAN CMECK F FT STA�LS � Licen $5. S� NATUaE OF C N'aACTOA ON nUTHOpiZEO eGENi ID�TE� _ .. .�.. ......�... S�GNOTUQE O� OWNEA ��L OWNEA BU4DE�7i iD�iEi CYGROUP OCCUPANCYLOAD CU FT OfFSTREET PARNING GAiiAGES SURTAX ' $11.50 SAC CHAR E Fire C $23.00 TOTAL EE � $ 64.25 )ATE� T IS IS VOy$ PE�T � 9=1 l 5�� i . rrEw ADDN ALTER [] I] �l CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2 BUILDING PERMIT APPLICATION ConstructionAddress: ~%3Q � (:� �..�' f.J'� -b�'G ��,�� Legal Description: Effective 1/1/99 � � � ��:� � Owner Name & Address: �pn •� �Q�t"('U �Q� Tel. # `�g(a— � �_�_ Contractor: �/� ��;� MN LdCENSE #�� b Address:�j��l ��?� �Y1.1-e� �Ar- I� �l � l 1'1 Tel. #`��j• j�"j.Z Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPR0�7EMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: � Sq. Ft. Sq. Ft. Sq. Ft. Construction Type:�� Q (� ll�'� Estunated Cost: $ a3, �� . lj Q (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge ` License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: CITY USE ONLY � Tel. # $ Fee Schedule on Reverse Side $ . U .001 of Permit Valuation (1/lOth%) $ �, �Q $.50/$1,000 Valuaxion $ $1050 per SAC Unit $ 5� L7a $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 [ ] $�� BUII..DING PERMIT FEE SCHEDULE The Cluef Building Official sha11, 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 appl'ication 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 $Sb0,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minunum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 glus $4.25 for each additional $1, 000 or fraction thereof, to and including $1, 000, 000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,OO�or fraction thereof DRIVEWAY DEPRESSION ESCitOW (Concrete Curb Streets �nly) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 . VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. * � D � �. � o v � m �: �' � N � N. � O N � A ""'�`t � 0 � � 0 a� 0 �"O �• � 04 n N � � O � m °' � N � �- o � � � � � Q � :+ ? O C '+ � m Z � -� m � � Z "7'I m m t� -P V O O \ 2 � � D � _ � X m —_Di � � Q' Z Q W � �� 0 C OR � � � � m � m r �t � � � � � � � N _ . V � �� r � v � i�^ �' o N � � � eD o � � � (D p. 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Exisdng Floor Plan 2. Proposed floor plan 3. List of sWctural members to be Used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing swctures ❑ Fascia and praposed projecl 2. Two sets of construction plans ,TIO WINDOWS 3. Enorgy Calculations F-°��: c ,e � WINDOW TO BE INSTALLED � �, d�/ NUMBER OF WINDOWS (7C ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF I (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $� O�'� �_� OCCUPANCY. Permit Fea Plan Review Fire Surcharge Surcharga Licensa Surcherge SAC Charga Curb G�it Escrow Erosion Control Park Fee Sawar Main Charge Total Due $ � �' . 7 � $ $ .C'� $ '�5 $ � -c 1�— $ $ $ $ AND MATERIALS: Sea Back Paga for Fea Schedula 65% of Building Parmit Fee .001 times the total job valuation .0005 x Parmit Valuation Minimum $.50 $5.00 .(Stata Licensad Residential Contractors) $1550 par SAC Unit (Plans to MWCC for datarmination) ft+6ft= ftx$21 =$ . $450 Conservation Plan Review Fea Detarmined by Enginaering Agreement nacessary ( ) Non Necessary ( Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach I. hereby apply for a building permit and I acknowledge that tha information above is complete and accurate; that the wo;k will be in conformanca with tha ordinances and codes of tha City of Fridley and with tha Minnasota 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 ba in accordance with the approved plan in the casa of all work whi raquuas ra 'ew and approval of plans, SICiNATURE OF APPLICANT � PRINT NAME �QYIOA�e DATE I�� C�ln