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AF - 37980,c�3�3 !� City of Fridley; Minn. 11T° 98 2 9 � BUILDING PERMIT Da�, July 16, 1968 owner: �„ B„��. Homedale B1�,�-�..... .� pd� Ad�� S21_7 Wayzata B.lvd. � �^�, LOCATION OF BUILDING No. 7404 S�t Concerto Curve � P� of Lot � 16 __ Bl� 2 Addit3on or Sub-Divisian _�.1.Q..d� anna 3rd Add. Corner Lot � Inside Lot X Setback 3 5—� sideyard _ 10 Sewer IIevatiton 8 7 5.16 ��y�� 8 7 8.16 Ton of fod�in� DESCRIPTION OF BUILDING To be vsed as: DT.".r,g.j�l i n o� FrOnt ___..�._ Depth ��.$ He3ght _2_Q___ SQ. Ft -�.s.2._ Cu. FL Front Depth Height Sq. Ft Cu. F't. Type pp Cpnstruction F x ame �� 19 � 0 �. 0 Q _ To be Completed 0 C t. SEWER LOCATION - 94' N. E. of Manhole WATER LOCATION - 109' N.E. of Manhole Ea consideratton of the i�uance to me of a permit to conatruct the building described above I a�ree to do the proposed work in acc�rdance with the description above set forth and ia compliance with afl provlafons of ordinances of the city of F'ridleY• . 0 0� � ,�a �/ . � ,. in con�derat3on of the payment of a fee of $ 3 6. 0 0 , p�t is hereby �aanited to Home da 1 e B 1 dr s. to construct the buflding or addition as described above. Thispe rmit is granted up� the expr�s condition tlzat thepe�o n to whom it is graated and hia agenta, employees and worl�en, fn all work. done in, around and upon said building, or any part thereof, shall conform 3n all reapecta to the ordinances of Frldley, Minnesota reg ng location, construct�fon, alteration, maiatenance, repair and movin� of buildtaga wlthin the dty limits and this pernnft may be revoked at aqy ti�ne upon violation of any of the provf�tons of sa�d ordtnaac�s. �� official ' 8uitains �� .T�hn Rr .h .r NOTIC� 'flds psrmit does aof eovsr t6s eomtwsNoa, Mstallafioe for �rtrtep, plumbtee, ga 6t�lleg, ssw�� or vatsr. B� wn ts a� f6a Buildiee lespectoe for �puats parmha Por t6as h�ea, � ; � APPLICATZON.FOA BUiLD?NG PERMIT C�^tY Ot FBSDLEY, MII�iNESOTA . _ _. �..�.; OWNLR'5 NAME � . - . .. �B[T�L$ER__��'°_ • � ADDR�SS � : � .. � ,_ _ �,. �.� _ . �iDD1�5�S ��;��'.� • � : � �,pC�,�XCf11. OF BUi��I1�'G � . . -... . . . . . N4. � �� S�1#E�T j,. � _ �. � - .: � ; . -.,�-t-"' . • - LOT�� BLOCR _ � .. . ADAI��(?N 08 St1BD��TiSI'DN; .� �.� 9 � �� . CORTdFR'�I�' � � � �TS�Fr LO�. �� c.b� .,S�E3B h ,'�u�DE�AtI�D� _y.,��. _:....._..-.._._. . . . . �'C��':...�.., . � . . , .. . • .; ;,� : . � : � � SETr1ER E3'.�EVAT.ION TOP ,OF FO�T��1G, Apnlican� ettach to this form �.'wro Certificates of Survep o� Ldt and pro�osed building location dra�} oa th�e Ce�jt�fice�t�a�: '• � -� � � �..;• . x;��' : i.,,. � • • �, ; s •�� r. . . . . � , _ . . . •-i�.ss • • ' , , � � . i _ ' • ' r`'� DESCRIPTION.-.O,� 8'l�+DI14G � . .. , . ' . - . � � .. . � at-. � . .. . .- } _;: , ., . � . ., • • To Se= U�ed As t . . .. . �.,; . . . . : ., . . . • , . .�. , �',�.��..�'�'�� Front .,� -�'��Depth � �Height � • . ' . . � . ' �. . - �' ' Square fe�� , .j � :� •�� Cubi�c� Feet : . , . ,�. �.• ., . . • .� . . - • � � - . . :� . . . ... ,::�� Front , Depth Height . i i � . �l�.S�. , • '� t ' . • � ' Square �eeC ____,_ Cuti�ic Fe�e�C� �' ' �� Tqpe of Constructioo��'G��mat�d�:Cost • i`,�� - To Be C�pl The undersigned hereby makea.applicatioa for a permit for the work hereiu specified, agreeiag to do a11 work in str3ct eccordaace with the Citq af Fridley Ordiaaaces and rulin�s of the Department of Buildings, and hereby declares thae all the facts and representations stated in thie applicatioa aze true an correct. DATE _,� _f� SIGNATURE _ ._._ - .- '�� (Schedule of Fee Coets can be found oa the 8everse S3de). � - � � � � �� ,�� r�� • ' - � � • e. t .� � • BUILDING PE�RMIT FEE SCHED(3LE i4��Z'�ON_ 2: T1i� Inspector of $ui2dinge sh$11, _b�fore issuing permits for C�ie �re�t�lon of �ay building or atructure, or for any addition to anq - exis�ing atruc,Ctrre or buil.ditig, or f�r any aZteratio�l_ or re�►aiYS to anq exiating building or str�trttf�e, upon applicatiob th�re�t�i�e, require the the payment by the applicant for sueh peibi�tt-.of t�es to.the amount herein below set forth and in the •�anr►er �herin pr�ti�idsd to�w�tt: ., �nifo�a �uilding Code: Tppe 1, 2,I�-�� $1.75 for.each.one thousand cubic feet, �r fxacCios thereof, in aucb cubical contents. 1�rpa 3.�,5- $1..50 for ea�h one thousand cu�fc :t�ee. .. �. . . . Fsr the �ur�ose ef cnmputing.°fe�s.,;fbr building°permit�, the cubical eontents ef any �iuilding or additivn t• a usnif�arm height throughout bp �lt�iglyi�g the ground area covered frqm a point.six �(6) fnche� below the floc. . line •f t�ie base�ment or the' cella'r te the average height of the upper• eurface or to th� aver�ge..height �f •ti�e^roof su�face of.th� �ain gable of a . .. pitched r.�f . ' � ;��.�:.. . �;,:,: .. • � .. � � .For regair�'ar,alferat3oris"to an exieting structure,_ Lhe �ee shall be.at the� rate of $3.00 pe� �ach fiv�•hundred dollars ($500.08) or fraction thereof ., in the cost af a�l proposed work.. . . • � .. .:,,:,. ::. �.: ;:. � : . . • ' , . �•:I�x �ao -cgse• shaii the f�e ch�rged for �anq pe�rait �s'� set ._foYtli` �'ia 5�ctien 2 be less than $S.AO. NSSSD C�anectisn Charges batied on locatian- Area 1 or 2. . :,• ;,`. � , . : �. � , . � '. . _�,, . .� � :_. ... _..... � . . . : . . . ;;.. � . . , . .. ... .. . • � .. ..�. ,.. . :►: • . 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O . � O p . . � O o . . . � .° : : : � � w��wo osgoo �� O y � ¢ o � p+ °M bd � � � � M ,� , � �'b,��S �� A � � � o � � � w �' R° % O 0 ~ � N � � � � � � � '.3' b • M � � : � � � : : Cn . . � O : : O 0 . . Op . . O . . : . . .� �° W��o� 0000 �� H H � �� C�:� o ,� �� y � � p � p� a a �+. °� eo o�p� !4 yd°°�� b o R� ~ p �f p p �'� �� roy �i � �p.5'� � 6'yro �y�� p � `� p: w ��op e+ A �, „Oy �� f�D a� �� ►°� C� � �� G�o � � �D � Cr �� . e D � D r � �"' m N _ m C m d � � m � x � m � � � '�� O � ao o �' �o �� O� � ;. A� � �� 0 � o.:° A � `' � � � O 7 � � � � D � � <<> � M d � �. � � � p �'� . y. : x :Y ' M : N : o . � . m . Y `1,l ,v.. � � � � � a9. � � p� � � � � z cxi � w x � 8 � � � � � �y 0 �= � y � Wj ID � ri � � � � � � � � � O�+ � W � R' � _ � � � � : � � ro �'' p � y � . : h : � : �� o � � � �: : °°�: �°� : . . . O��II � . . . . : � : : � : : : : 0 � x oa �a . a�a N k �a �a �a • O� � N N W W W I-�+ ,h�' � �) ��$��g�� n � tn t�s En tn �J •�1 � H y � H �� ' a N � � �. �� 1 � � e\`�� D � � � m �^ l I 2 m C r fl7 p • i► w � ►+ aJ � � � a � � m � �A � � � . � � � � I � SINKS ��, � W�, � �� DRINK. FOUNT. sHwRS. FLOOR � DRAINS UTCH BI►$INS AU70 WASHER �� MPL GAS WINGE cns OPENINGS WATER a.os�rs URINALS snrH � a�stt�s � � $ � �❑ o ° � � y � A � � °, a � x � � O � Q� y � a g bd � A b � � � � � � .� � � g � � � � � z � � � � � � O � m � � � � I � 1 �. z • � � � � � � aa� a �� p� � EL��.� � �� °� � �' � � � s4 � � O � � � b � � � � � o�� 'p�mo � � o p � a° �! � � � � f�D a� �.� ��: �� ,�� a'1 � �' � � ro � 3 `� �• e �d �A � � a� Rx & �°n � � M � �� m � �� -� ��1� �� _ , �="�^ '6 �i. � o' ' � n � � �' � '� o� � � � o � M � � � � x 0 � � ��.w \._. ` ,. � �1 � Rec. � 49452 � City of Fridley, inn BUiLDING PERMIT Da�: Nov�mber 3, 1969 p�.; Paul Amundsen g��. Suss�l Company p� 7404 Concerto Curve �,d� 1850 Como Avenue N° 10480 LOCATION OF BUILDING No. 7404 S,�t Concerto Curve p� of Lot � 16 _ gl� 2 Addil3on or Sub-Diviaian Melod.y Manor 3rd Addition Corner Lot — Ine�ide Lot g Setback __._ Sideyard Sewer IIevation — _ Foundation IIevation DESCRIPTION OF BUILDING To be Used as: Attached Garage �t 21' �P� 26 � Height 10' �. � 546' �� 5460' Front Depth I%ight Sq. F't. Cu. F't Type of Construction Frame $3, 800.00 Dee . 30, 1969 Fsk Cost — _ To be Completed � Stipulation: 5/8 inch fire wall on ceiling, common wall and far end wall & 1 3/4 inch salid fire door. Also provide hardsurfaced driveway. In consfderal3on oE the flssuance to me of a permit to construct the building descrlbed above I agre� to c% the proposed work fn accordance with the description above forth and in compliaace with afl provla�tona of ordinances of the dty of FricIIey. .� Ia consfderation of the payment of a fee of $ 9• �� , permit fs hereby gran�ed to Sus sel Co . to construct the building or addition as d�crlbed above. Thisp�r� t fs granted upon the express condition that the person to whom it fs granted aad hfs agent�, employees anc� worlanen� in all work done in, around and upon said building, or any pert thereof, ahall conform in all respects to the ordinance� oP FridleY� Minnesota regarding location, conatruction, alteration, maintenance, repafr and moving of buildings within the dty limfts and this perrmit may be revoked at any time upon violation of any of the provisiona oP said orainancea a CE BELISLT � NOTIC� 'flds permh doa not corer the coastrucHoe, Ins�a�aHoe to� vrWa9. P��6. 6+� 6�9, ssw�� er watsr. B� aes to sss t6o Bnlldio8 Inspsetee for uparata parmils for t6as (tNw. `� - - _ •,-_ _ _ . ` --� 0 r � ♦ � Y \ APPLICATION FOR BUILDING PFRMIT CITY OF FRIDLEY, MINNESOTA . . OWIVER ' S NAME �° � ` � � ,r 9 �� BUII�DER e � � � � ADDRESS �� f� � w ��i Vi �_ C v�� B iti� i e ADDRE�SS �x �� G� °- (� r�� . I,OCATION OF BUILDING NO o t� STREET 7�( cl �� i � F v� � 0 �.r �► 1� e' , LOT BLOCK CORNER LOT ADDITION OR SUBDIVISION INSIDE LOT SETBACK S3DEY�RD SEWER ELEVgTION TOP OF FOOTING .Applicant attach to thia form Two Certificatea of Survey of Lot a.nd pxoposecl bui7,di:ra.$ location drawn on theae Certificates. DESCRIPTION OF BLTILDING To Be IIs ed gs : � ` � � �-V�.�C.. `. � �-'�'` � � i � �� Front �� Depth Height � � Square feet s�� Cubic Feet � L'% ��' Front Depth Height Square feet Cubic Feet 0� Type of Construction �1r�, �,� Eatimated Coat�� -'-- � To Be Completed �� , � CJ l- ��n � � The undersi�p.ed hereby makes application for a permit for the woxk herein apecified, agreeing to do all work in strict accordance wi�h t�.e City of Frid].ey Ordinances and rulings of the Department o�' Buildings, and hereby dealaxea tha,t a11 the facts and�epreaentations stated in thia application are true and correcto DATE � {Schedule of Fee Coats can be fourid on the Reverse Side<) � v � -.� � � r D �) � � /'—f �,U � h �- O',h/ � �� ?5 � l��^-° l tii G o 1`►� /�r. o.JY �j a- �� /�° !e i�er � y S° ��°�` � � � i 2 � �Q a . ,( � /� � s ' �--`' !-� � r� � S u � � � C � �� v-� � �P I � /� , � � � �. � ��vl �� T� +� a '„a� r.. l BtTILDING PEftMTT � FEE SCHEDIII,E SECTION'�2< The Inspector of Buildinge ehall, before iseuing permit$ for the erectio�. of any building or structure9 0� for any acldition to any �xi�ting structure or building, or.for any alteration or repaixs to any egi�tin.g building or atructure, upon application therefo�e, �equire the payment by the applicant for such permit Of fee� to the amount he�ein below set forth and in the ma,nner herein provided to-wit: IIniform Buildinro Code: Type 1y Zy & 4-$1a75 far each one thousand cubic feet, or fraction thereof, in such cubical c.�ntents. Type 3&�- $1a50 for each one thousand cubic feeto For the pu,rpose of computing fees for building permita, th� cubical � contenta of any building��r�addition to a uniform height°thxou�hout hy multiplying the ground area covered from a point six (6� inGhes bElow the floor lixi,e of the basement or the cellar to the avera,$e hei.ght of the upper eurface or to the average height of the roof surface of the main gable of a pitched roof. �; -�-��_ . � �� For repaire or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hur�.dred dollars ($500.00) or fraction thereof in the coat of all p�oposed work. In xao case sha11 the fee cha,rged �or aza.y permit as aet forth �ra. Section 2 be lese then.$5.00o - �T�Su�- Eot3.�eetior�=��es=�a�e�=�z�--�ae�i.�a:er��-��ea � -or-�.-- - ----- -- - � ��. s � � � � � � � � � `� � G l) �- � � �� / 9 �. � J � �� ._�y s. ` °- -� 1 � I— ----- —___. � • � , � i � ,� . �� . � // ,��. -�� f�� 9 . iO�J� f IO�HrrI7� /� �� (r8%S •�'• fi•trly f�� A'E. L�rA! Survcyirt�7 ` A+;��vft%is 3?. tvil� Teslrqc� � � � f 1 � � � � ! � �' � � �I. il�HhKh' jJ / i �a/ (rti �l .'•- A/�»n tv/ sili; K�� e�C�t-i+ � •r i,,�, r�n , � y� �I7c7i�7c�k�1•S E .Su1'��UVr'S --- J J ��.'�� +.�° ��'� �� i ��.��r c0, . � . . . ,- � . . �� - . � -� � � . . , .. . �� i . ., � . . . ��, � . '/ \6 . . / Lp'( . . � - ��O '� � . � t � �`� � _ � Q �� . _ . . . � , . i�� \�� `��:, _- �� / _ `. F'� � �_;� t _ _ %'` 4. � , \ � � "k � �,i ��S - - . . , ��' �� : ^^^ v� . _ �� -� �y,- .� . - eq , Y i p C�� , ��,�7 0 l� • � • T k� � �'`� � �� ` I / 'q ,. V . / � � 1 � / • �� / � � L� ( ��._. •- - -__.,. __ _ , / . �' , • � i �� — - �i . � -- � DENGTES IRON —"---DENOTES DQAtNAGE AN� �T1LtiY EAS�t��ENT LOT!�Bl.00►�_�l��lE�O�Y t�1ANU� 3R0 ��D►7ti0�J ANCKA COUt�Tr [ / __J �%YPliPi1U CC!'flr� lftd% �+t� tS O fTUY. vshf ftY�Y<� : P�+�.�r)fOfrt%�7 Ot J'CI':+�ij �+�PC �t�qu��'ttS c� ?fte �Ttio+�' c�3C/YG-'7 .OP��, J+W � � q�� lww,h-,,n �;l' �yr;' tt�,Y��;�,�y , /'`��rcn. , a�r;" �,/ ns�bf� �,�: rccb.,�u�!s , :l"�m,,�, ��r ar �� sa�� /�nd. �ts sc��-Ye�:-°d � r.�� ras ° . c¢� o�'�ALd v�i ____. � t� �y��. � SU��I%�3.�1+.` ��,'�7��,'tf_k"%N� , I!'.'C. L�r ��rS Er' 5�+-•'CUar"1 SCale�. I�m 40 e,�_,��i` ��' !/_ �•�'. •. ` - _r ____._______�._._^ . _.__ _.. - - — - � �� t_ �i��C) � _ e . ` ° _ � . � ` i HOUSE HEATING TEST RECORD ADDRESS �z � �°' ` -�'� APT. F OOR BURB � �' OCGiIPANT OWNER��.� ' �_ _ HEAT LOSS DATE HTG. INST. GAS C0. METER BADG # SOLD BY INSTALLED BY � . Electrical Work By Gaa Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS IG CONVERSION MAKE MAKE OF BURNER Model � � � �� Model Serial 5��"�o-�-� Max. BTU Rating INPUT �0-�� MAKE OF FURNACE Modsl CONTROLS � THERMOSTAT � Heat Plug Vent Size Valve ` � KIND OF UNER ' �SIZE�NONF Limit �""�� ' %��5�� Drah Hood Regulamr Limit Sstting -��`� Filters Size Number Fan Setting ��`' � `�-� Chimnsy Loeation (nside � Outaide Pilot Type Chimney Construe�ion Pilot Make �� Pilot Model � -�- Smoke Bomb Wiring Pilot Timing �� -"''�'` Draft _� f°�� Test Tag � L.W. Cut Off ��oryr, Pressure— Lighting Inat. �� °' - r o e CO Prossure �� Psr e�C.O�. Dote Tested -�' �°� Input CFH ��.� P�i�t`�OZ ' � �' �mpany Testing � �' Staek Temp. �� Pereent CO � �� Name of Tester Form 235 SUBJECT PERM City of Fridley � ,� � � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� r � � RECEIPT NO. � `y �_�___ COMMUNITY DEVELOPMENT OIV. r � � PROTEC7IVE INSPECTION SEC. �� I � � � � ' /'��1 � CITY HALL FRIDLEv 55432 NUMBER REV OATE PAGE OF APPROVED BV �"'""�" �'' 612-571-3450 9�0-Ft5 8/31/95 / / 10B ADDRESS 7404 Concerto Curve NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 16 2 Melody Manor 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Amundson 7404 Concerto Curve NE 784-0842 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same a ARCHITEC70R DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCfiIBE WORK Reroof House (23 S) 2nd La er 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOFi ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ], ,380 .( 9 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 OR THE PERFORMANCE OF CONSTRUCTION. ,]S Fire SC 1. 3S PLAN CHECKFEE TOTALFEE " 47.82 iGN REO C ACTO O AUTh+ORi2EDAGENT IOATE� pjj p VA DATED THIS IS YOUR PERMIT �_ � �%, GNATURE O� OW NER BUILDERi IDATE� BLDG �NSP qqTE NEW ADDN ALTER [l [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Applic.ati�on Effecdve 8/1/95 �� / Construct�onAddress: ��b�{ �Dfl��'`�l � GUl21S� �� , - Legal Description: Owner Name & Address: �,41i Z '�. ��i(� - �/�� C�y�'� �z.�el. # �� Contractor: MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECg AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed coastr�uction dra,wn on it to scale. Length L,ength Length DESCRIPTI011T OF IMPROVEMENT Width Width Width Height Height Tel. # `� � Sq. Ft. Sq. Ft. Sq. Ft. � ; �:v i7 �f�-�1 �f�-` Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Consiruction: Estimated Cost: $�� ' T Approx. Compietion Date: (Cost on Back) Driveway Curb t Width Needed: Ft. 6 t— Ft x$ _$ ; �ATE: � ,;.� ,� _ APPLICANT: Tel. # ��{- �� i Permit Fee Fire Surcharge s� s�Cn�ge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � �� s� $� l-.3�� -�� $ $ $ $ $ $ , �� CITY USE ONLY' Fee Schedule on Reverse Side .�1 of Permit Valua.tion (1/lOth%) $.so�$i,000 v��aon �sso � sac un�t $5.00 (State I,icensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Nece.csary [ ] Not Necessary [ ] , BUILDING PERMIT FEE SC�IEDULE The Chief Building Official sha11, before issuing �rmits for the erection of any building or structurE, or for any addition to any eacisting 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 $5(� $501 to $2,0� $2,(�1 to $25,�0 $25,(ml to $50,0� $50,�1 to $1(?O,U00 $100,001 to $500,000 $SW,001 to $1,�,� $1,0(�,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $5W plus $2.75 for each additional $1� or fraction thereof, to and including $2,000 $62.25 for first $2,(�10 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,(?00 $349.75 for first $25,000 plus $9.IX? for each additionat $i3OQO or fra,ction th�eof, to and including $50,(�0 . $574.75 for firsr $50,000 plus $6.25 for each additional $1,0� or fraction ther�f, to and including $100,000 $887.25 for first $100,000 plus $S.(� for each additionai $1,000 or fraction thereof, to and including $500,0� $2887.25 for the first $500,000 plus $4.25 for each additional $1,(m0 or fraction thereof, to and including $1,�,(�0 $5012.25 for the first $1,000,� plus $2.75 for each additional $l,� or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and repla�cement of curb and gut� only - Driveway width plus 6 fcet times $13.�. Alternate "B" : Removal and replacement of curb and gutte� and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Pernnits for construction will be issued a minimum of 24 hours from �e time of a�plication to allow for proper review of the praposed struc�re and of the construction site. A Certifica.te of Survey of the lot, showiag the location of the foundation once it has it has been constructed will bs required before proceeding with the framing. __,� -.r.— � a sue�ecr City of Fridley AT TME TOP OF TNE TWINS � � I L D I N�� E R M I T r � � � ; v ___��_ COMMUNITY OEVEIOPM�NT OIV. r � � PROTECTIVE INSPECTION SEC. i--__�� "' �'� CITY MALL FFiIOLE� SS�32 NuMBER t 612-571-3450 910-F15 JOB ADORESS 7404 Concerto Curve NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION NEV IDATE 7/1/99 oescR. 16 2 Melody Manor 3rd 2 PFOPERTY OWNER MAIL AOpR�S$ Paul T. Amundson 3 CONTRACTOR MAIL ADDRESS Owner � 4 ARCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAII ADOiiESS 21P PAGE Oi � � MIT NO. 29809 O. �1�� nvqOVEO Br SEE ATTACMEO SFIEET LICENSE NO LICENSE NO. LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOFiK ❑ NEW � ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 12' x 14' wooden deck 9 CHAN(iE OF USE FROM STIPULATIONS See stipulations on p1an. S��RA� P��►TS R��U� VVIRIIV�, NE,�TI�► PLU�B1JV� A�p� �S1C� TO r�rt vr c;�ns� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, P�UMBING. HEATIN(i, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTMORIZED IS NOT COMMENCED VjIITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOfi A PERI00 OF 120 DAYS A7 ANV TIME AFTEii WOFK IS COMMENCED. NO DWIG. UN 1 HEREBY CEqTIFV THAT I MAVE REAO AND �XAMIN�D THIS APPLICA710N ANO KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yqLUATION AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILL QE COMPLIED �. WITM WHETMEfi SPECIFIED MEREIN Ofl NOT. TME GRANTING OF A PERMIT .v1316 DOES NOT PpESUME TO GIVE AU7MORITY TO VIOLATE Ofl CANCEL TNE pEWMITfEE PROVISIONS OF ANV OTNER STATE OR LOCAL LAW REGULATING CON- STqUCTIpN OR THE PERFOFlMANCE OF CONSTRUC710N �'rJO.9J S�GN4TUAEOFCON' aOpeU�MOai2EDAGENT IDATE� %�l'�� =�- �� GNnTUAE O� OwHEQ �� OWtiEA BuiLOEA� �O�rE� � �� BefoR a!Qg�"g ca11 fo� '�� ry locations q5�-0002 � � �1RE� �� LA� RQ SO.FT S7AlLS GROUP OCCUPANCVLOAD CU fT OffSTREET PARKING IGARAGES ` $.65 SAC CMARGE Fire SC $1.31 T � FEE 2.91 1 T D TMIS U ER �/�i NEw [ l ? Effective 5/10/99 G'� ADDN [ l CITY OF FRIDLEY �o J ALTER [] SINGLE FAMILY AND DUPLEXES R 1 AND R-2 (�� \��') BUII.DING PERNIIT APPLICATION � � ,\ tJ �'� Constcuction Address: ��c� � ��/i%� � 1�,� �%�i f'�� 1�� f ��/✓ZZ Legal Description: Owner Name & Address: ��L�� ,1�(�,��N �/o�/(�B� .�1� (,�� Tel. # �`v..�2`' ��{-0��2 Contractor: NIN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawa on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len ` � � `�' '= _ gth � 2� Width � y l Hgt/Ground � Sq. Ft. ��f..� � a.. �� OTI�R: � % 3J� c° Construction Type: � b(� ,Q Estimated Cost: $�--T �� o� O Driveway Curb Cut Width Ne.eded: Ft. + 6 Ft = Ft x$ _$ . DATE: �'�� APPLICANT: l Tel. # �� - �f� Y^O � �/Z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 0,95� � /, 3l $ � $ $ $ $ $ $ �5` , CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] w BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erecrion of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any e�sting 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 $1�,001 to $500,0(}0 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,(�0 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,�0 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,�0 $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,�0 or fraction thereof DRiVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application Yo allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has b�n �o�t�aacted will be required before pr�ing with the framing. . � � ' ' � , (adPloYm� ,',•. ��I ��/V CV / ��LJ / t/ FB7S•N�lrmay �.i A/E. � G„�,,,� . . Aleravr!Gt 11. �f�p� ENGINEERING, INC. � �'��'° . Cnrl b ifwnrr/vl , , Ild�r'!d�a0�b i ' r,yA��z";.: � -- Enc�incer•s � E Sur�eyors -- , ,,� �:. { . ' . �c�r�t��a�ca�t� .o� ��v��' ��.i� � � M :O�V�I.OPAAENi . : . � . , woara ' . �, ,' , . , . - � � � . : �,: . . _ /� • . . . , . �; �. � . � / , � e � r y�—�� .; '. ��•, � / . � �¢ -�db ��: � . � �6 ' ' . � �. 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FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 23, 2001 Paul Amundson 7404 Concerto Cunre NE Fridley, MN 55432 Re: Final Inspection at 7404 Concerto Curve NE Contractor: KCJ Enter-Mr Rooter Dear Mr. Amundson: A mechanical permit was issued on August 31, 2000 for the installation of a gas water heater at your property. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. S DA�/ JENSEN Buil ' g Inspector DJ/mh � - ;. S�'-�-2�61 � �. i! i � � � � 'I7 Q � a! � � a� � �� f'jy��j � � V a� � �: � _ � � a =� � � N �� d �a � a � 1��52 FR�M a� � � o� � � � � � �� -� c —� � � � � �� z ° �m � a � � t�i r � � � a � � � � "�i m �I � � 5°� � �' � I � Q1 r _ � � � a � P'- �� >�,�, ��n� �� Zr� i� CITY OF FRIDLEY �� : e $� Q � � � b � o � a�+ R> � � �n S� � � � � �� z� v �� .� � �� ,y � �� 7 �� oo� ..s:=� 01 � � N �'�� . �� : -� ��. 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HENT CON�IEGTCR AN� COMBU9TIOW AIR 1J�RIPIGATI4N When reatacin� an exi�tFr�c� fur�ari�e, t(� undersi�ned hereby v�ri�es that tI� venting ha� I�n �xamined and %'fre� irom ntat, deter�o�tion, abatructions, and la s�ccureiy suPP�rted �nd fir�e5t4pped wh�re requir'ed, Y�s � No () The ve�tng �ysl�m Is plasticJPVC arid meets �I airrent codGe� end manufactarer spedficat�ons Inc�udlrtg s�ing, te�n�th. :r�umber ot �Ibows and termine�lon. Yes � Na {) The und�ign� �Iso v�rltfes that the repHac�ment unit is a listed �esembfy . and m�e� the current Code9 8nd n'�anufaCturer'S S��tic.�ior�. Thls does tnclude AOA-GAMA Category I Centra�I Fumace Venting Tab1e� br f�n aesis#ed and n�tural draft appllanc�s. The existins� c�mbus�on air is s�:e�d arui Instal[�! t� meet �e currerit codes and manufa�c�urers sp�if�tions. When r�uit�d to lesteil a rtew comba�s�on air. it wili be sized and lnst�lled to n�et the cvrrent c�d� and martuftacturors apmafications. Ye� � No { ) Y�s � No ( ) Y��No( ) When irst�llin� a new ver�ns� svetsm� th� underslgnecf hQreby vel'�fie9 that � is a listed assembly and meet� thQ current codes ar�d manufa�turers �peclflt,�tlorfQ. This da�s includs� AGA-GAMA Categcxy I Central Furnace Venttng Tables �or fan asslsted and natural dra�t appGances. Yec� No ( Is the common ver�t �nd vent ccnnectors sized and in�talled correc�y aRer en appltan� has been remov� from the common vent and vented .,� sep�rate�y a� � cuRent codes. Ye� (�No i i i o, AQAtiance Tvs�e and 3izeJCQmmon �lent and Vent C�nnector �niormatlon AppliBrtce #9 Typo �� : BTU Input `7 D� Fan Asslsted or lda# „_„� A{�plEsnce #2 Type BTlJ Input � Fan Assisted or N2�t Rpplfance #3 Type BTU Inp� Fan Rssisted or Nat Tatel Appliances Totaf Btu Input Ccmmon Vent �Type V�nt Height D(ameter lnc�ies Appliat�ae #7 Vent Co�nectar HeigM ft Lertgtft ft Diame#er in Ty� � Appli�t�ce #2 Vent Connector Het�t ft Lertigth it Diemeter in Type AppUanc� #3 Veat Ccnn�s�or Fl�ght ft Langth R Diameter in Typ� ALTBRATIf�NS: �D�scribel ' L�l�.� .a �� L�1 � � � ' . �I�s-��G Pn Y t�. e4/C ELEf.T.. IL�IC. 13562 CEN'PRAL A`VE. (V.�. H�ATIN� Cp: ANOKe4, MN 55304 � �% Signed By: Date : / � � � - TOTAL P.02 � . HEATING AIR CONDITIONING MOUSE FiEATING TEST RECORD AND ELECTRIC, INC. OCCUPANT HEAT LOSS DATE HTG. INST. 0 SOLD BY � E� ElecVical Work By -�" TYPE OF HEAT GA FA HW STEAW�_ SPACE HTR. (iA3 DESItiN A�AKE � CL��-� AAodel � � °' � Serial � �O/J s3 INPUT �� i�� Q � �-��y CONTROLS Pilot Make - Pilot AAodel PilotTimin �'-P_ L.W. Cut Oft Presaure -� ' Peroent COa Input CFH ,��✓ Percent O� � _� Stack Temp. _ � / � � Peroent CO %��1A�%� APT. FLOOR CITY SUBURB OWNER INSTALLED BY �f� {Ct-�`Y�' G't'fCf ,��1�. �'� F" 1..�.r'C,.1`r Gas Line By ' UNIT HTR. OTHER CONVERSION � YI Vent Size KIND OF LINER SIZE NONE Draft Hood Regulator Q Filtera Size J� Number Chimney Locaaon Inside Outside Chimney Construction Smake Bomb �ring Drah Test Tag Door Pressure Lighting Inst. Date Tested — � � � Company Testing � . Name of Tester Pressure Percent COZ � Input CFH Percent OZ Stack Temp. Percent CO �o��' �: Building PLUMBING Permit No.:�'��'��`� � ' Inspections RESIDENTIAL APPLICATION Received By: - ,� i 763-�72-3604 CITY OF FRIDLEY Date xec'd: .01e'L i I D.ATE " ��'lo YOUR E-MAIL ADDRESS SITE ADDRESS �� THIS APPLIC.42�T IS: ❑ OWNER �ONTRACTOR PROPERTY NAME: �G1.C,(� ,�-�u��rD, �n va � OWNER/ ppDRESS: C�A,Qa CITY �G Qn STATE,/�f�IP � 5�3a TENANT pHONE: ( ��• %��' O g� , CONTRACTOR N�; • - � SUBMIT A COPY OF STATE LI #� EXP DATE I a-� l� L� j YUUR STATE ADDRESS: CITY STATE ZIP i LICENSE WITH pHONE 1-:�i�_��\"� � APPLICATION I PERMIT TYPE �INGLE FAMfLY � ❑ TWO FAMII,Y ❑ TOWNHOUSE i TYPE OF WORK: � NEW �L.a.CEMENT ; DETAILED DESCRIPTION OF WORK G� i PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the ` 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 WI�RE NOTED. FTXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (n�� CmuCews� SWIMNIING POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SIAiK WATER CLOSET BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION — WATER MEfER OTf�R PER1tiIITFEEPROTEC`i��C��3,�T��. �.�� .'. ��ag:�,,;,`��. �r � .�.G ,<:.�> F�� '�x'�s�' ��' ��°'k�a, ._ '� . r. ' ��.�"�9T�..w_..m..��'��.�5`� : PPrmit Fee $�.,� Number of fixtures @, $10.00 x$10.00 =$ Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ � .� Number of fixtures @ $35.00 x $35.00 = $ State Surchazge = $ .50 Tota1= $ THIS IS AN APPLICATION 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 hut 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 work which requires review and approval of plans. SIGNATURE OF APPLICANT �()� PRINT NAME 1�-� 1 S(p i� � l DATE I o's��'U � PI,EAS�-N�TE;,�; S��.t��;�;��. .. ,.. y�::: ��►'�A . �. � i� ��l,A�. . ',� .. � ,��`.� , N `.. § � � �`� ��I�. �a�s(a��, � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 � - 1 Building � PLUMBING Pernut No.: , �, Inspections RESIDENTIAL APPLICATION Received By: � 763-572-3604 CITY OF FRIDLEY Date xec'd: �� `�' DATE I`" �� YOUR E-MAIL ADDRESS SITE ADDRESS � D�(� r J,I�V'�% THIS APPLICAI�'T IS: ❑ OWNER �CONTRACTOR �I PROPERTY NAME: � S I. OWI�TER/ ,�DRESS: �Y.ip_ CITY � I STATE�ZIP TENANT pHONE: 6�" ��% � �� I� CONTRACTOR Npi,�[ • � r- I _ �: SUBMIT A COPY OF STATE Q�� EXP DATE s 1CJ i, 1'UUR STATE ADD�V � CTTY STATE ZIP r- t�EAIS��F��— F,�iX __ i APPLICATION — — - ' PERMIT TYPE �INGLE FAMILY ❑ TWO FAMII.Y � TOWNiiOUSE i �� ❑ NEW �REPLACEMENT TYPE OF WORK: ` DETAILED DESCRIPTION OF WORK � i � PER MS 16B.66� the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the i improvement, installarion 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 WF�RE NOTED. FiXTURES: ([NDICATE TOTAL NUMBER OF EACH BELO� BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (xe� crn'uc�vsEj SWIMtvII'NG P((�OL � WATER SOFTNER ($35) CLOTHES WASHER HITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) DISHWA3HER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRiGATION — WATER METER OTI�R PERNII3': F'EE PI�flJEC'�'S �Q�:��t�r�"�� 't" " s,� ��r� � �k}��,��,�';� py � �� ;� t'� �� ° �'�� '�,�'�' _.� . `�� r �. _ h N.x� a ,, � .��._�, w., ..- � � ��., �, �_;t �... .. ,: .. . . I Permit Fee $�. 60 .. , Number of fixtures @$10.00 x$10.00 =$ ! Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ J�i .� Number of fixtures @$35.00 x$35.00 =$ j� State Surcharge = $ .50 I Tota1= $ THIS IS AN APPLICATION FOR A PERNIIT-NOT YALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the � approved plan in the case of all w k which requires review and approval of plans. SIGNATURE OF APPLICANT i• PRINT NAME �� S��j �L�'1 DATE I('1 �o � . , PlEli.SE-N�T� °��P,��_ . .` ��'�"�. .. ..S�4UI_I�D;F�R�3; r'' �'i';?: R �`....,. �9 � �� ,�,t : �� f .,�.,��..`�.,�. ,��P-�,�,�.'�. ��.: , _ Ciiy of �ridley _ _ __� Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 !� � ,� � . ; � �._ • Building Inspections 763-572-3604 763-502-4977 FAX DATE / ' % � STI'E ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS �1 c-�r► �� r�a c L ❑ OWNER ❑CONTRACTOR %z5G Yn U ✓�d�s0 JL/ CD��r�p C, � 7 A �/— � A �/.� Permit No.: Received By: Da , d� F P 4 2�� A' CONTRA.CTOR .�DRESS: Z� /,J,�y��1I CtTY /7 STA��ZIP s's�s9o? SUBMIT A COPY OF pHONE �% —�9 � ��D �S �I FAX _�C�'J -��. YOUR STATE LICENSE _�� p EXP DATE >_ 3/�� STATE LICENSE # IS �,�� PROPERTY TYPE I��IL�'/t�1EW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION PERMIT TYPE ��DITION O GARAGE/SHED ❑ WiNDOWS 0 BASEMENT FINISH �OOF , ❑ DR.AIN TILE ❑ DECK ❑ SID[NG 0 OTHER ❑ SWIMMING POOL TYPE OF WORK: �❑ NEW HOME CONSTRUCTION ❑ ADDITION I�MAINTENANCFJREPAIR 0 REMODELING DESCRIBE WORK BEING SIZE OF IlvIPROVEMENT ROOFING NUMBER OF SQUARES � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other � ❑ HOUSE ONLY � HOUSE & GARAGE �ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia WINDOWS IN EXISTMG OPENINGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WWDOW TO BE INSTALLED NUMBER OF \ HEIGHT BASEMENT REMODELING SUBIvIIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing strucwres 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: TOTAL JOB VALUATION $ %) ��j� �� UBC FEE SCHE OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ �f� $ l• � $ ie; ,c�Q $ $ $ . See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (Sta.te Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERA9IT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance th the approv an m the case of all work which requires review and appr val f% lans. SIGNATURE OF APPLICANT � ,�( �C��'lV� �PRINT NAME �l � ��C � � 1/�d � DATE� APPROVED BY /� �// J1,. DATE/ Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief 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 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.St� plus surcharge) $501 to $2,000 $23,50 for 1 S` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$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 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 $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 l�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 � 763-572-3604 Faz: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX SITE ADDRESS � THIS APPLICANT IS: 0 OWNER BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY E-MAIL ADDRESS �— Pernut No.: Received By� Date��'$: ` PROPERTY OWNER/ NAME: TENANT qpDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE �.r:riu�r� PHONE FAX �a l�� ` lF� �r � °� STATE LICENSE #�� 0 � Q EXP DATE INGLE FAMILYMEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES�_ � ADDITIOI�1 � ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ RAIN TILE ❑ DECK ❑ SIDING �THER � � ❑ SWIMMING POOL S�T' � G TYPE OF WORK: �NEW HOME CONSTRUCTION ❑ ADDI1'ION MAINTENANCE/REPAIR ❑ REMODEL DESCRIBE WORK BEING SIZE_OF IMPROVEMENT_ ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl O Aluminum � Other vmL� , sl v �'►� ❑ HOUSE ONLY � HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim O Fascia WINDOWS IN EXISTMG OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & ALL FEES ARE TOTAL JOB VALUATION` Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge � Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due NUMBER OF �) r �A G) zrn 5 S�i� BASEMENT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of conswction plans 3. Energy Calculations ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) � G"`�J G� s� �� OCCUPANCY TYPE $ $ � (� �' $ $ $ $ $ $ Q See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) ' Make checks aavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VAL[D UNTIL PROCESSED I 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 ConsWction Codes; that 1 understand this is not a permit but only an application for a permit and work is not to start without a pern►it on site; thai the work will be in accordance with prov d plan in the case I work which requi re �ew and ap oval of plans. SIGNATURE OF APPLICANT �� PRINT NAM�� ✓�9/��DATh�� APPROVED BY DATE ' Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official sha11, before issuing pernuts 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: 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, showing the location of the existing foundation 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 Faz: 763-502-4977