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AF - 37990� CR.-� . �s 9 s� � City of Fridley, Minn.. N� 10111 BUILDING PERMIT Da�; Feb. 21. 1969 ��: Clarence Grandy g�� Clemron , Inc. �� ,g�� ,_ 4411 Central Ave. N. E. LOCATION OF BUILDING No. 7415 s�t Concerto Curve � part of Lot � 10 � gl� 3 Adclition or Sub-Division Melodv Manor 3rd Addn. Corner Lot — Inaide Lot X Setback 3 5� Sideyard 10 � Sewer IIevation � 875 0� 878 Ol Top of Footin,g DESCRIPTION OF BUILDING To be Used as: Dwelling �t ��+�+ � Depth 26 � Height 2�� gq. �-t. 1144� �� 22, 880 Garage �nt 20' Depth 24 � ftet�t 10' �, �, 480 �, �, 4800 Zj►pe of Construction Frame �, �� _ 27 5 00 To be Completed SEWER LOCATION - 87' N. E. of Manhole WATER LOCATION - 10' N. E. of Sewer In consideration of the issuance to me of a permft to construct the bwtlding described above I agr�e to do the proposed work in accordance with the description above set forth and in compliance with afl grovisfons of orciinances oE the dty oE Fridley. C� /�6�j �� , �� /`J.as�. 4, $100 00 Sewer Connection Char�e - In conaiderat4on oP the payment of a fee of $� • �� , permit is hereby gran'ted to Clemron . Inc . to construct the buflding or addition as described abave. This �rmit is granted upon the express condition that the pereon to whom ft fs granted and hia agents, employees and worl�en, in all work dane fn, around end upon safd building, or any �art thereo$ shall conform in all reapecta to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maiatenance, repair and moving of bufldinga within the dty ]imits and thia permit msy be revoked at any time upon violal3on oY aay oE the provfsiona of eaid ordineaces. " Official � ` d�' $enx �F � Muhich n NOTICE: 'Mds psmdt d�s aef eorsr t6e coedwd[en, iestalNNoo foe vririee, plvmbine, ea h�aftng, aw�r or �r. Bs surs fo � t6a Buildine Inspeeto� for aparata parmNs fo� fhem (t�. �.__.-..�. . •. __, APPLICATION FOR BVZLDIlQG PERMIT CITY OF FRIDLEY, MII�VESOTA owNER's NAME Clarence �raAd� BUILDER ClemPOn, �nc. ADDRESS ADDRESS 1:i1i,11 Central Ave . N.E •, Mpls. LOCATIOAT OF BOILDING N0. '� yI5 STREET Goricerto PART OF LOT � 10 BLOCK 3 ADDITION OR SDBDIVISION Melodv Me�AOr _3rd �dd. CORNER LOT INSIDE LOT�_SETBACK �K1 SIDE YARD 10� SEWER ELEVATION 1�OUNDA�'ION ELEVATIQN 2� BbCVe Cu�b Applicant attach to this form Two Certificates of Survey of Lot and propoaed building location drawn on these Certificates. DESCRIPTZON OF BUILDIRG To be used as; Residerlee 3ame as ?380 Memor� Lane � Front��Depth ��_Height � � Sq. Ft. I/ 5�'� Cu, Ft. ��,T c�U Front � Q Depth, � H Height�� sq. Ft. ��e cu. Fe. -5��'0-� Type of Construction Estimated Coet__ �a7.•� av To be completed _ The undersigned hereby makea application for a permit for the work herein specified, agreeing to do all wosk in strict accordance with�the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and repre�entations stated in this application are true and correct. _ �' �. • .�. (Schedule of Fee Casts can be found on the Re�r-se/Side). c� �� . � � ^ � �� . ,_ � .__F : , • 1 'r - BIIILDIlQG PERMIT FEE SCHEDDI.E SECTTOft 2. The Inspector of BuilSinga stt}sil� before iseuing any permit for the erection of aay building or structur�; or:.��or ang addition to any esisting building or structure, or for any alterations or repaira to any esisting building or structure, upon application Cherefore, require the payment by the applicant �or sunh permit. of . fees to �� the''�av�int hereiri beld�t` �'�� rforth and� in the maaner herein provided to•wit; e . , a c o ' ' ° e . . .. , 2�1. For anq such permit for the:erection of any fire-proof building, othei than a garage, warehouae, factory or grain�elevator, or for the erection of any fire-proof additio�t, for similar occupancy, to,.any.existing building, shall be at ths rate of $1.40 for each one thoueand cubic feet, or.fraction : thereof, in such-cubical conteats. . 2.2 For any euch permiz for the erecti.on,�of any fiie-proof garage, warehouse, factory.or grain elevator, or for the erectioa of any fire-proof addition, for simi,lar occupancg, to any egisting building ahall be��t� the. rate.of $1.25 for�each one thousand cubfc feeC,-classified as "fireproof" by Section 502 �of � ttie �Niinneapol�a Buildiag Code, � .. -•--.. . .. - .-- - HOIISES � _., 2.3. For aay such permit,for the erection of any non-fir.eproof building other .th�a�n �:garage, warehouse, factory or �rain elevaCor, or anq non•fireproof addition, for eimilar occupancy, to any exiating�bui�ding � permit $1.00 for each one thousand cubic feet. ' " GARAGES �_ 2� 4. For any such permit for ti�a erection of aaq non-fireproof garage, warehouse, factory or grain elevator, or for the erection of any non-fire-proof addition, for eimilar occupancy, to asiy exisCing buildiag or for ea�h such �� building or additiQn - ninety ceats ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contenta thereof with the minimuan of $4.00. For the purpose of computing fees for building permite, the cubical conteats of any buildiag or addition to a uniform height throughout by multiplying the. ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average hefght of the upper aurface or to the average hei�ht of the roof surface of the main gable of a pitched roof. . . 2.5. For repairs or alte�atiogs .to aa exiating structure., the;fee shall be at ths rate of $3.00 per each Five Aundsed Dollare ($500,00) o� frac��Un. � thereof in t�e cost of a11 proposed work. 2.6. . In no case shall the fee charged for any permit as aet forth in Sectio 2n be lesa Chan $4.00. � ... . , . .. . a o STORM REpAIR DAMAGE FEES: � Reaidential; Estimated Coat of work up to $S��.R� .- 55,�0 Estimated Coat of work over "� �„��'"a �'° �� . . . , . , y.,. . : 0 Commercial; Estimated�st of wo�?�. �� , ^�>:��:,,;,e�� m Y� r:� .__ . � . Estimated ..,�st of �°or'_� �1�r ;;.:��i'„ii�! - y�,i;, _� �1 _ _ �>;� ..�r,� h �" ' � �� r�� .�, � • ' �- '� ' � �` - � � � J-. ,.�� qr•ti, ,�- . . . ` _. . . . . . . , - ",� �z:`o� � � ' . . LI Y .: tcr; �4 +1i t, [.aid Afan+� ' fIl� .%A�t'� ,�c�. lad Su,.NCy� ii�irwrr�iirli; �' ` �sk� Ei'+1G�N��tlt�ti� 1N�. � � Cnn/ 6 411n / � i f�� -- En9ineers � Surveyo,rs -�---- . ce�srti��c.�t�e �� •s � �� M ��L.1 � ��c �� c.��"J� . � � � � ,;� - :� � � � � ;��:� ;..;� ��: � � -:�, .� . , fi "y.� � � / Y�e 6.� ,/�/ �� o� ��.. � r: / �c`� > � r ,� . � p�ENATES IQdN �-DENOTES DRAINA�GE. ANO Ui1LRY f ASE1�A[M? 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D � � < � -�'i e"f �r1 O y O Z � v • T� T < � f) m � N � a o Z � m T � V � m .�O D � � 2 a 2 v � � � O T T .�O C r m � i� M N n n r• < 6 v m R � V c a C O M � P+ r �o e r v � cinroF FRIDLEY FRIDLEY MUNtCIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN SS�l3? •(6121571-3450 • FAX (612) 571-1287 January 15, 1992 Mr. Ron Erickson Erickson Plumbing, Heating & Cooling Inc. 440 Pierce Street Anoka, MN 55303 Re: 7415 Concerto Curve NE, Fridley Dear Mr. Erickson: On November 14, 1991, I made a final inspection of the heating installation you made at 7415 Concerto Curve. At tha.t time I called your office and notified you that a saddle had been cut into a class B vent. This is not permitted by Code and must be changed as this changes the clearance of the class B vent from one inch to six inches which is the same requirement for a single wall vent. Perha:ps this slipped your attention but must be taken care of as soon as possible or before February 1, 1992. I can be contacted at 572-3503 ar by mail at 6431 University Avenue NE. Sincerely, j �� C DE E. EY Bldg/Mech Inspector CEW/mh SUBJECT City of Fridley � AT THE TOP OF THE TWINS g � I L D I N G P E R M I T „ ,� � • COMMUNITY DEVELOPMENT DIV. , � -------, r � � � PROTECTIVE INSPECTION SEC. i � 1 . � � ` �"'ti � CITY HALL FRIOLEY 55432 NUn�eER aEV DATE PAGE OF �.---� • •'� 612-571-3450 910-F15 8/17/92 / / JOB ADDRESS �415 Concerto Curve NE 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION oescR. 10 3 Melody Manor 3rd Addition 2 PROPERTY OWNER MAIL ADDRESS Z�P P�� 21492 ��'Ig� APPROVED BY SEE ATTACHED SHEET Mike Minnema 7415 Cancerto Curve NE 785-1436 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. D& D H�e Impro�ement 7401 Central Ave NE, Fridley 55432 784--7543 4840 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER 8 USE OF BUILDING Res ident ia.l 7 CLASS OF WORK MAIL ADDRESS ❑ NEW ❑ ADDITION � ALTERATION � REPAIR 8 DESCRIBE WOHK Reroo,f House (18 Squaxes� 2nd Layex' 9 CHANOEOFUSEFROM TO STI PU LATION S Roa�ing ca,n be 2nd layer laut not 3xd. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PEHMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION Zp� AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp� AND ORDINANCES GOVERNING THIS TVPE OF WORK 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 pE PROVIS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU ION R THE PERFORMANCE OF CONSTRUCTION. PL I ATURE OF CONTRACTOR OR AUTHORIZEO AGENT IOATEI � OCCU STALLS $� 54 RMIT FEE $25,OQ AN CHECK FEE License SC $5.00 PNONE LICENSE NO. ❑ MOVE O REMOVE PANCYLOAD CU. FT. OFFSTREET PARKING I GAFiAGES $. 50 C CHARGE Fire SC $.95 .45 I ��s�'�� la L��C�� „A� iDATE� p� n �NS NfiW [ ] ADDN [ ) C1TY OF FRIDLEY ALTER [] SIATGLE. FAMII.Y AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Addres�: �� Dil�l�G/2%� �''�21.�� Effective 311/92 Legal Desctiption: Owner Name & Address: !' �I �i+� �/i�i�/�'l!� Tel. �� 3� Co�ractor: D& D Home Improvement, Inc. MN LICENSE � 4840 Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543 Attach to this appli�ation, a Ce�tificxte of Survey of the lot, with the prapvsed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT I,ength Widdt Helg6t �g�h Width H�P� �� Wiclth Hgt/Graund Sq, Ft. Sq. F� Sq. F� Cornet Lot [] Inside Lot [] Ft ,Yd Sdback _ Side Yazd Se�acl� Type of Construction: �S �(� .� L,�e.�.Esh'mat,ed Cost: S Q/�'`� Approx. Comptetion Date: - /� ��e� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � � DATE: � % `z / �� APPLICANT: �L Tel. � . yM11 � � _ Permit Fee $ �� FeE Schedule on Reveise Side Fire Surcharge $ -�� .001 of Permit Valuation (1/lOth9�) State Surcharge $ > S C� $.50/$1,000 Valuation SAC Charge $ $700 pec SAC Unit License Surcharge $ �•�� $5.00 (State Li�ensed Re.cidential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Patk F� $ Fee Determined by Engineering Sewer Maiu Charge $ Agreemeirt Ne�essary [ l Nar , Na ;essary [ l TOTAI. STIPULATIONS: $ � l. y� BUILDIN(i PERMIT FEE SCHEDULE '1'he Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to airy existing bnilding or strucdn�e, or for any alteration or repair to aay existing building or struchn�e, upon application therefore, r�qoire the payment by the applicant for such permit of fees to the amoimt hei�ein below set forth and in the manaer herein provided- to-wit TOTAI, VALUE �1 to $500 $501 to $2,000 �"L,001 to $25,000 525,001 to $50,000 �50,001 to $100,000 $100,001 to $500,000 5500,001 to $1,�0,000 $1,000,001 and up FEFS 515: (Minimum Fee is $15 plus surcharge) $1S for first $S00 pins $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 pins $9 for each additional $1,000 or fraction thereof, to and including $25,000 �252 for fitst $25,000 plus $6.50 for each additional $1,000 or fraction th�reof, to and includieg $50,000 $414.50 for first $50,000 plus a4.50 for eac6 additional $1,000 or fi�action ther�f, to and including $100,000 �639.50 for fiist �1�,OU0 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fiacbion thereof, to and including $1,000,000 $3539.50 for the first $1,000,000 plus $2 for �ch additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete (.'urb 5treets Only) _,� Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 fe�t 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 $15.75. . � VERIFICATION OF FOUNDATION Permitc for conslruction will � issu� a minimum of 24 hours from the time of application to allow for proper review of the proposed stcvcture and of the construction site. A Ceitific�te of Survey of the lot, showing the l�on of the foundation once it has it has been consttucteci will be r�uired before proceeding with the framing. � j 0 City of Fridley � AT THE TOP OF TME TWINS g u I L D I N� P E R M I T ,, ,� � • COMMUMITY DEVELOPM�NT DIV. � j V ��'��' . r � � PqOTECTIVE INSPECTION SEC. � . � � _ �"'1 � CITY MALL FFiIOLEV SS1�2 NUMBER nEV DAT6 �""� � �'� 612-571-345p 910-F15 11 JOB ADDRESS �415 Concerto Curve t LEGAL ��T NO. BLOCK TRACT OR ADOITION DESCR. jO 3 Melody Manor 3rd Addition 2 PROPERTY OWNER MAIL AODR�S$ Michael Minnema. 3 CONTRACTOR MAII ADDRESS Seal Guard Systems 9199 Central Ave NE Blaine 55434 a ARCHITECT OR DESIGNER MAIL AODRESS 5 ENGINEER MAIL ADDFiE$S 8 USE Of BUILDING Residential 21P VAGE Oi � � � : ' +� � �� APPROVEO 8� SEE ATTACNED SNEET IONE 85-1436 IONE LICENSE NO 20093688 IONE LICENSE NO. IONE LICENSE NO 7 CLASS OF WORK O NEW O ADDITION � ALTERATIpN � REPAIR ❑ MOVE � O REMOVE B DESCRIBE WOFK Reroof house and garage (26 Sq) Tear-off; Reside house and garage 9 CHANdE OF USE STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. � �re u� wna� . SEPARATE PERMITS ARE REOUIRED FOR ELECTFICAL, PLUMBING. HEATING. VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING AUTHORIZED IS NOT COMMENCED WITMIN 80 DAYS. Op IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANqONEQ FOR A PER100 OF 120 DAVS AS ' ANV TIME AFTER WORK IS COMMENCE�. ' NO. DWLG. UNITS I MEREBY CERTIFV THAT I HAVE REAO AND EXAMIN�O THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CO�ipECT. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IEO WITH WMETMER SPECIFIED HEREIN Oii NOT. TME GRANTING OF A PERMIT �IZ228 DOES NOT PRESUME TO GIVE AUTMOFITY TO VIOIATE OR CAMCEL TNE pEqMITfEE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TME PERFORMANCE Of CONSTRUCTION $199.75 S�GNATUr+E OF CON'aACTOp Op AUTMOA�ZEO AGENT IDATE� SiGNOTUAE O� OWNEA �� OWNEA BWLOEii� �b�iE� � Sa. STA�LS ROUP OCCUPANCVLOAD CU FT OffSTREET PARKING IGARAGES SUiiTAX $6.11 r C $12.22 LF E .�8 ;IS I�� Ei�MI / . . :, � _ _. , . . _' • ', - ' u. 7 _'��•�i . i -c� �-�a'3i✓�i ��' `�"��: nLiR "" c C -' 1 ._. _ _ ._ _ _ ..a .t _ ��MI►�+w�� ii/� � _ '' --r ;,�r � sF�- f� . .� / . ..��Y � - _ � �� +C - . �"� � --' ,.-: ' ! - . � r'�-� :- v�.wniE��!J��V�..___ . •�... -� t� ��`��,r;.:, _ ''. � ...��- ..�'#�:� � � � :<- �. _ _ �--`-c� _ ALT�t SIIVGLE FA1V�.Y AND"DUPLE�S R-1 A1�ID H 2 �� -. . � .. - BUII.DIl�TG PE1t1VIIT APPLICATION � � _ _ -- - .- � -� � - . . _ . _ -.� � conscrucaon�►ad�s: � °�/,� ��l� � � �� I ',� a rL,�� l/�.�� ,( /� � Legal Description: Owner r Contract� Address: � j � � y-,� �J � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF ni IPROVEMENT LIYI�i iG AREA: Length Width Height � GAItAGE AREA: Length Width Height � DECB AREA: Leagth Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. F� � OTHER: _ _. ___ , _ .__ . _ .� _ _. Consonution Type: �- Qo �� ) Estimated Cost: $ a`�a'�� f l�! DDL� � (Fee Schedul e on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x S =$ DATE: I` �� APPLICA��1T: Tel. �% I%� Q/ UU CITY USE ONLY � � f4R�`�� Permit Fee Fee Schedule on Reverse Side Fir+e Surcbarge $ `-s�� :�Ol of Petmit Valnation (1/lOth%) State Surcharge $ ' ` $.50/$1,000 Valuation -._.e. _ . _.� , __ ._. .. . - -- -- - ._ _ _-_ _ -__.. �_ _ . - - - __ _. . . _ - - - - _ . _ _��.��_.. _ _ _ . �. _.�� .. . __ � _ P. ___ = $i000 p�r �AC-Unit� __ __ ___ _ , __ _ � _,._ . _ . . License Surcharge $ ,5 � D��$5 .00 (State Licensed Residential Contractors) Driveway Fscrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review �� Park Fee $ Fee Determined by Engineering Sewer Main Cbarge $ Agreement Necessaiy []� Not Necessazy [ J �,�_-__� - �_ � a+ � — f �-- -'n • • r si�vr.A�oxs: � . �/G� � l�, j -5� . � oZl/� . - l� ---- �.-=- _- - - � -`. ' __: _ . . - -- .. � _- . .. ._e -��,�'�''�,�r�...� � � � � � , . � . BU�DIl�i�PERNII'� FE� SC�EDI)f.E _ � � - ��-� � --. � . . _ . : �- . _ _ _ �� - _ _ �_ _ _ - . _ � � � ��_ _ . _ _ . _� _ _ _�-,� z�� _ - .- . � 1Z1C �IGi� �111��D$ �ICI� S�, �OIC LS�IIIl� ptIm1LS fOI t� Cl'LC[lOII Of 3IIjl �i{ll�� Oi �C, �� any addition w any e�g �ding or savctur+e, or for a�► ait�ration or repair to any existmg � or structure, upon application therefore, require the payment by the appiicaut for such permit of fees w the amamt herein below set forth and in the manner herein pmvided to-wi� TOTAL VALUE $1 to $500 �SO1 to $2,000 $2,001 to 525,000 $25,001 to $50,000 �50,001 to $100,000 $100,001 to $500,000 5500,001 to �I,000,000 S1,OOO,Q01 and up �� $21 (Min.imum Fee is $21 plus sur�harge) $21 for first $S00 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 � 562.25 for first $2,000 plus � 12.50 for each additional $ I,OQO or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $y.UJ rur each additionat $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.2� for each additional _-.___ ___ .__ S1Z000 or fraction_thereof, to_and includin�$1Q0,000 $887.25 for first $100,000 pius $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 �2887.2� for the first �500,000 plus �.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 addiaonal $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Sti�eets Only) --�=-A-��e="t;i": �-�emo�-va"�a��epTaceme�i=of c�-anc�gattec-oniy= � D�ivev�ray "viridth plus� �e�t-ti�es$23.59. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide �ro� �� aep�i =�veway wiarh p:ns 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for consa�uction will be issued a minimum of 24 hours from the time of application to allow for proper review of the propos�d structure and of the construction site. �A Certificate of Survey of the lot, showin� the Ic.x�t�oa� af cfne foundation once it has it has been const�ucted .,�-11•� -�ar�d bef�'= �rcyceeding with the framing- . * D, D 7 � 0 m o. �'n m � � �. � O 7 � � Q o o m � � (D A � �. o � � � � � N � � � � � a � 0 � �./ m Z � m � O z m m � � � � r � O �� D D � � � � � � v � m Q T m � � � D 7° o � � a '� � ! � z v o � z .m � �, it! � � � � fl. ,� -► � N � � � o � � � m � o � � 1 -� ni w � m o-- 0 � O � m r c m � m � c� m J � \ � 0 �� <� m � o �, �� A m � �, � 0 0 o� � � -� Z � � tfl tfl t� � � � � � � � � � � Z � � 9 2 -D �i � �+z m m n� o G� a v � � m � �si � � z: fil = c °D � o m � a - _ � 0.. 3 ��m � � C cQ � . C � � � � "_ � � � n o � � � o � � ' � m ., � �� o m -- � � � _ W o � v� N �v C D O � n S c� � � � � N v � -, m N � � m c� � cs� ,cN» o 0 � � g � � � m � � v O � � - S � G G m � � , _� z 0 `�.7.5 � C Z � c m v � 5 p�j N C y �A p 3 a � � � n m �g,am?. � � � � w �� n� � � . � ,m�,. Q. � Q � v � � � c m � m o c � � �� m m _. � ct� � 0 0 g g m � � � O . � � � m � �' � �r � � � � � � m 2 � � � � m � N � � � o � � o� � �° cQ �� , 5. � n. �,Q:�� Q� o � � �p`� � � � � �n o � � a, ? o m v �'Z;� � Q-�-�a o m � � � � � a m�� ► Q' O O - m N � � � �, c� � i o- r. m �°�? S�a "�o � � � -• m � �' m n m � u' '� O y O � N �. � � � j 7 a � N c� _ rn v C � O � g � m � � 1 (� z � _,., � �., _ N (Z -+ � � C O � T -pz� � cn � v � � � �D z Z N rn � n � O z v � m� � � Z m a � O Z Z � Z � � � � � O � � � � � O ,� Z � Z � � �v �� D Z v -� vnb �O n C Z �� O Z � m 0 � m � Q1 Z lD OD 2 .• r � , t1 � ��55 iV1N 'b410M/ �'fd '�l�t/ 1b41J.N3� Z9�L a�!! ''1�J13 3`V'D1H 3NI1�►18 :a��Q :�Cg pau8is �O� JI�Ld�H ( ) ori `�) �� oN ( ) sa� ( . ) oH �) sa� :auoQ uiaH Si�TOI.Ld2i�.L'IH �si'I : sxaetuag ia�Eaq ia�Em io3 PaPjnoid uaaq n� uonsnqLUO� s�g iaiEaq .�a��m io3 PaPTno�d uaaq iauii s seg S�fLLS 'IH.LO.L 4 61-0 Ci � � S�fLLg ia�o IId C1--6)-c1 �8 � �� S�l1.Lg �ur�Ea� �ol sEg _ pa��auao� s,�g �01 puE � az�s io3 s�uaivaiinbai apo� �ua.un� i� s�aaj� � 'L 0 'S ( ) oH (� sa� pa�oddns �Iam�as sI •� () oI�I (� saA a�in� pa�poi s1�aCqo u�ta�o� ou s�H '£ () oH (�) sa� uopv.�oua�ap lo �stu tuo� aai� sI •Z v� ()�I�I � sa� paunnExa �CIIn3an� uaaq sEg • j �� :X��s io �auu�� ut�sTxa a� �� sagr.ian �qalaq pau�csiapun aq,L I�iOI.L��I3I�I�A �I��.LS Ql�i� �i�i1II�1IIH� 0 HEATING AIR CONDITIONING AND ELECTRIC� INC. ni � ADDRESS � � / S � h �Z� � P�'P° OCCUPANT � I� �Pia"+" �� HEAT LOSS pATE HTG. WST. ' SOLD BY � Q-: � � �('i � � 0 � Electricai Work By TYPE OF HEAT GA_ FA�W STEAM SPACE HTR. GAS DESItiN MAI� �Y ts+�'%'� MOdei - - � ?i � � %� �P E� � �S� - — Ser(al � �'�� a INPUT D� �E7� THERMOSTAT Limit Fan ; . n CONTROLS V� Hest 0 Pilot AAake P�ot Model � � Pilo�Timing �'.iS"t-� L.W. Cut Off Pressure + � Peraent COZ � e� Input CFH c o� Per�nt Oa _ �• 7 Stack Temp. �� Peroent CO HOUSE HEATING TEST RECORD APT. FLOOR CITY ��'' S�181JR8 OWNER ��_ INSTALLED BY � / �� T� �� Ga8 URe By l� ''• UNIT HTR. QTHER CONVERSI�N a Vent.Size KIND OF LINER SIZE �� NONE Draft Hood �,,,ro^�� Regulator Flltera Size °�Z� Number l Chimney Locadon Inside / OuG�ide Chimrrey Conswcqon Smoke Bomb Wirinp � Dreft Teat Tag � Door Pressure Lighting Inst / Qate T�ted .� - ! '-� I Company Teating ��'"1�0' %��i� Name of Tester ��.[� _ � 1% Pressure Percent COz Input CFH Percent OZ Stack Temp. Percent CO Building PLUl��ING Permit No.: � Inspections - RESIDENTIAL APPLICATION Received B� 763-572-3604 ' Dat��d� CITY OF FRIDLE� DATE - I(� O� YOUR E-MAIL ADDRESS SITE ADDRESS S�...4� a.s �css�►t� � THIS APPLICANT IS: ❑ OWNER �ONTRACTOR PROPERTY N,�,,�. • Tashi Topgyal owNER/ �D�S: 7415 Concerto Curve ?� TENANT � Pxot�: Fridley, MN 55432 CONTRACTOR NpME: 7�i1$421$4_ - — SUBMTf A COPY OF STATE LICENSE # CJ _ E3� DATE YOUR STATE ADDRESS• r�� CITY �' 0 it STATE�� ssYop� LICENSE WITH , pHONE %— �/03 FAX Z. APPLICATION , � PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMII.Y 0 TOWNHOUSE TYPE OF WORK: ❑ �W . �REPLACEMENT • • DETAILED DESCRIPTION OF WORK % � PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the : impro�ement, installation or replacement of a residential fixture, excluding the fixtures. (This.shoul�reflect only.the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = ��•FOR�ROJECTS WEIERE LABOR IXCEEDS�.i00;�'EES ARE BASED ON $10.00 PER FIIZTURE,'IXCEP��'�W;I�I�,EN�'L�D ;RI�CT�g; ,(d�DIC�TE T.O�TAL NUMBER OF EACH BELOV+� � _ BATH SINIULAV - - _FIAOR DRAINS _ SHOWER - - - _ WATER PIPII�IG _ BATHTUB _ GAS PIPING (rrEenctrYUCFarsE� SWIMMDJG POOL WATER SOFfNER ($35) _CLOTHE�S WASHER _TCITCHEN SINK WATER CLOSET BACKFLOW PREV. ($I5� _DISHWASHER =-LAUNDRY TR�1Y ,�WATER I�ATER ($35� FOR IRRIGATION _ WATER N�TER OTHER . � , � . c � , , . .. , , ;� ,,; , , , � Permit Fee $ � Ntunber of fixtures @$10.00 ^ x$10.00 =$ Surchar e .50 Number of fixtures @$15.00 x$15�.00 =$ TOTAL DUE $ Number of fixhues @$35.00 � x$35.U0 =$ 3S Oo - � � , State Surcharge = $ .50 Total = $ , p THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED ' I hereby apply for a building pemut and I aclmowledge that the information above is complete and accurate; that the work will be in conformarnce with the ordinances and codes of the City of Fridley and with the Minnesota Co'nstruction Codes; that I understand this is not a permit but only an applic " n for a germit and work is not to start without a permit; that the work vvill be in accordance with the approved plan in the case 1 o w' r ires review and approval of plans. SIGNATURE OF APPLICAAiT PRINTNAME J�'� /r/O/bIOYY% DATE � I�� . . � w { , _ � � . .. , . . , _ . , � , � � � -. � . �,� .�� •. � , , _ �.,- � ;� , . �>. � :� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977