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AF - 37995� � �� Caty of Fridley, Minn.. BUILDING PERMIT ��; July 25, 1968 p�r; N�gda e Blders . g�d� Same Adare�s 5217 Wayzata Blvd Ad� Same �� 0 984� No. 7416 � street Lot 13 _ Block 2 LOCATION OF BUILDIWG Concerto Curve � � p� Qf Lot Addition or 5ub-Divisian .� Melody Manor 3rd Addn. Corner Lot �_ Insfde Lot � X Setback 35 �_ Sideyard 10 � Sewer IIevation _____ 87 8• 5 5 _ 881. 5 0 Top of Footing DESCRIPTION OF BUILDING To be Used as: � , Dwellin� �nt 46' �p� 24f28 Height 20 gq, �, 1152 ��23,0 0 Front Depth fTeight S4. �. � F''� Frame $18, 000 To be Completed Oct . 1968 7�+p� of Constructioa �. � — SEWER LOCATION - 123' N. E. of Manhole WATER LOCC�TION - 133' N. E. of Manhole In cansideration of the fssuance to me of a permit to conatruct the building descrlbed above I agree to do the proposed work in accordance with the description above t forth and in compliance with afl provisions oE orrlinan� of the dty of Fridley. $100 00 Sewer Connection Charge _ In consfderatton of the payment of a fee oP $ 35 .00 ��t � hereby granted to �omedale Blders . to conatruct the building or addition aa descrYbed above. This �ermit fs granted upon the express condition that theperson to whom it is granted and i�3s agents, employees and workmen, in all work. daae in, around and u�n said building� ur anY� thereof, shall conform in all reapecta to the orainances oP Fridley� Minnesota regarding location, constru on, alteration, maintenance, repair and movfng of buildiuge within the dty ]imita and tbis permit may be revoked at any time upon violatioa of any oE the Provisions oP eaid ordinaacea � c y � �� C1a ence Belisle _ NOTICEs 7hb psrmtt does not emrsr ths eoesfenellon, ImhllaMoe tee wiriee, plambine, ea 6uHno, aw�r er waMr. B� arn fo aN the Boildia8 Inspeeto� fo� mparat� parmtts Poe thas itsnn. � At'Ft.IGAT�OPI F0� BUILD?N4 PERMIT CI�'Y OF`�"I�"BsiDLEii, �i1t�S((3�A ` �- OWNER'S NAME � . . � _ • _;=�,;r, . .:�BLiILDER � _ � " ADDRr.SS+. • • � � _ _� �. - _ _ �RESS,•��l��- . ' . . _:___-' . , . , . . „ �, , , . ,� � , . , . ' . LOG�TION OF BQILDiI�G • . , : : � r� ,. r � l • � � _ : � . � . . /�'j - ,� . . N0.__.�P �1`1�STRLL+°T �_,��!-1�� .�-,�"� � �-_� � LOT�� -::;�L�OCR_;�_ _�. _ . . � �ADDTTION: t�R. S�DiYISS�N • � ; ;.��.., .. _ . L CORY�R LOT .: : � INSIDE LOT j� , SETSACK ' •� �IDE�iAt3D . :� � �- . �� r �..�.�.�.�� SEi�ER ELEVAT.iON � a TOP OF FOOTING g�/. �o ( , �'� '� �� l � ` ��r App�, i c a nt, a�taC h . to t�s form, T� ia G e f t i i�a tes• • o f • S u r v e q o f L o t' 8 a d p r o p o s e d :bu3ldiag • location drawa an the�� Cert�ticates!�: _ . •� . • ;• • - ��t� �� -�: �'r��. 3 � �•� • �g .' ' , , : .: , . `� : ' - �� . DES�RI�ON OF BiTtLDINC� � � � .. ; . ,. �..�, .. . , , . . To Be Used As s �' � " �• I �� . . . , � Squaze feeC. �O� .� � bic Feet -�' � a ��'/ � � - • Frontr. ._,__.:=°!;: Depth � T • �•�teight Square feet Cubic Feet ., , �• ,. , ,. ..,�,; . ` , ..,-:•:. � , . Type of Construction ��,Estimated Cost�_____i___ To Be C�pleted The uadessigyaed hereby makes application fer a permit for the work herein �pecified, agreeing to do all work in strict accordance with the Citq of Fridley Osdiaauces aad rulinga of the DepartmenC of Buildings, and hereby declares thaC all Che facts and representations stated in this applfcatioa are true and correct. a GI _ DATE _�`� ��!Y..:,� r�� - a�i (Scheduie of Fee Costs can be found on t� Reverse Side). _ r � �j �j r � / /� �' � C� �'��' � � � ° �i� � � � : ` _ � /"� � �� .. . . .. . . . , l.. .• f i ` BUILnING,PERMIT FEE SCHEDU�LE•. . _, �:., SECTION 2. : The_Inapector of Buildinga shsll, before iasuing�pei-tai,�� for _ the erection of.�ny-�building�or structure,�or for any addition Co any exisCing..struct�tre or building, or f�r aay aleeration .or repai�s ��o� any .existing building�or structure, upon application thzrefore, rel�ui=e the the payment bq the applica�n,t for such pesrmit �of i'�es to the amount hereim below set forth and in rhe idanner herin provided to-wit: ��. �.IIniform,Duildia� Code: „Tppe;l, 2, 6 4--�1.75.for each ane Chocjsand cubic feet, er. fracEiau`� thereof; ' ia euch cubic'al' caateate . Zjrpe 3� 5- $1.50 for . each one thausaad cubic feet. . ;'-,;;. �� F�r the �us�ose ef computing �ees for. build�,q�:permiter::the ec�bicaZ ` . • � eontents� ef any �uiid3.ng �r'.aadic�on �,�.a �ai�cu�m•.height� throughout- by multiplqing the ground•area'covered friim e point six (6) inchea belaw the floo� line •£ the base.�ent or th� c��,],a�.te the, average height of the upp►er �urfa�e or to the avera�� height +�f the`roof'su�face of the main gable of a pitched roof. . _ _.Ror repaira or alter�t3ons to as existing struc�are,_._the fee:-shaYl b,e at the rate of.$�3.00.pe� each��five hundred dollara ($5Ob.00) or fraction tbereof in tbe cost ef �11 prop��ed work,,. � ..� �"� `�' Iri na� case eha�.l the fee .�ci►arged £or anq p�,rmit as set forth �ia Sect.�Con 2 be lee8. th8t�'�$S,,AQ.. . ' . • . . . 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O . a . � � : � . � � � N � pr � o�o � a � � p� � � � � z � � w � � � M � � � � :� � � � �' � � � � � � s' � � � � a' �" � � �,,, . x '�d : O � � � � : � � ro Q' 0 � y � . : � o a : � � � � ��:� �y � � � � . � . G : � a' g : � : . . : � � : : : : . . . � : : : : . . . . � . . . . 0 � aa �a x "�a �a �e k x�a p�j � � � W W W ►�+ � � �) � a�, � � � �' � �o; �' o c� � , t� $s � R � � � tn fn tss �» �» H '"'� � O � ` � , \l \ 0 Q x � �n• H � p � 0 D � r � "� m � 2 m C r m � � Z w g a � A � � � fG � C 0 � 0 � r� Q+ � e�+ � � � p. a ~ W a � w � � � � � �• � � O Ar p � � � �� Q9 � � �� tA M y a �• WATER U.OSETS URINALS enn+ � a�si�.S SINKS W�, TRAn DRINK. FOUNT. SFIIMRS. ROOR DRAINS GTCFI BASINS AUTO W� GAS APPL GAS RANGE GAS OPENINGS � • z • � �n i m P m n A �a� � � � ��a� � y � � �a�a � �� ;a y (D Q• � (A � � � �.� � � � � � � � � ��G� m � ��. ta y � � f � � �. � � R7 t�W � � O y e� °' p � � o I-, � ao � �' ��° � ��a�� °° a�� o��: �� A� . � � A m ��o �avr � � ~, � 3 `� � � �' M � � � � w� A � &M p � M� M � � -o m � �i � � � • � � � �1 � � � � � d . Q �� M, � � ;� w x 0 � m � � � �� C� � � O � n � 0 � N � � � N � • N Caty of Fridley, Minn. BUILDING PERMIT DB�; Ociober 13. 1970 Qp�p; Mr _ Rona_1 d T�_R_ond g�� Same �� 7416 Concerto Curve A�� Same ��!/ N 10858'� �G LOCATION OF BUILDING No. 7416 g�t Concerto Curve N.E. _ p� of Lot � 13 _ gl� Z Addition or Sub-Division .�Melody Manor 3rd Addition Corner Lot _ Ine�4de Lot Setback Sideyard Sewer IIevation � — Founda.l3on IIevation DESCRIPTION OF BUILDING To � v�a �: , Garg,ge & Fireplace �t 20' Dep� 24' H�t 10 �. � �� , , Front Depth fTeight Scl. Ft Cu. F't. Type of Constructlon —Esame- Es� Cost �3_,S�O�QQ-- To be Completed Nov. 1970 Provide Hardsurfaced Driveway In consideration of the issuance to me of a permit to construct the building descrlbed above, I agree to do the proposed work in accordance with the descrlption above set forth and in compliance with all provlaions of orrlinanc�s oE the dty of Fridley. „�2� „��_ /j ��— �J �'re�° �. In conafderal3on of the payment oE a Pee of $ 14. 00 � g�t � hereby graated to M� • LaF°nd to construct tlne building or addition as descrlbed above. Thia permit ia granted upon the expresa conclition that theperaon to whom it ia granted and his ageuta, employees and workmen, in all work doae in, around and u�n said building, or anypart thereof, shall conPorm in all reapects to the ordinaac� oP Frldley� Minnesota regarding location, construction, alteration, maintenaace, repafr and moving oY buildings within the dty limits and thia permit may be revoked at any time upon violation of aay of the provfsions of ssid ordinancea Huilding Inapector AL b . NOTICEs Tl�s psrmit d� aot cover t6e eoaarueHon, hufaWHoe ioe wMae, Plumbtng, ea 6aNee, mr�r or watsr. B� sun fo a� fln Bnildiu� lesp�stoe ior ap�raf� p�rmhs for fhea itHm. , o �"'� . � �1 � �T� � �. , '� . ,..� -..,. ' - ,¢ � ,��+'� � �� APLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA orax�'s rTar�: I��/�L� � J��`'� BUILDER: ,�'�� . Ann�ss :��,�� o ��.; � � %�� ,a�nrn�ss : N0: . � STREET: � O /t�'�' ^�`,� ,�`f � C (/ %� 9/ �� LOT : BLOCK: Z. ADDITION : �� IE L U i� �%1�,9/�L� 2 CORNER LOT: INSIDE LOT:,� v SETBACR: SIDEYARD: Applicant attach to this foYm 1�io Certificates of Surve of LoC and proposed buildiag location drawn on these Certificates. HESCRIPTION OF BUILDING � �� ` To Be Uaed As : �/�, � �� /� , � � �,� .��° °� Front • � � Depth • � Seight • � � Square Feet : d-i�� G Cubic Eeet : 1i �d � � Front; Depth: Height• Square Feet; Cubic Feet: �ipe of Constructioa: ��e�''�� Estimated Cost: $ � 4 � � To Be Completed: %;� �% V< � q%� � The uadersigaed hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinaaces and rulin�s of the Department of Buildings, and hereby declares that all the facts aad representations stated in this application are true aad correct. �` � , = - , "�� ,, '!: � } �d � �Y. ' ,� �° � DATE : 9� I �I ` 7� � S IGNATIIRE : � „ � <`��`� �� .-�� Sid F r Additional Information.) �`� (5ee Reverse e o % f � �Y YGd / � ��'F' �E' � �: �a?;:� � r� �' �'� �'� 1 � � �.' ;�,t c �% �' �� - c�� / �/ �' /��f�� G 0 ��C � �`� J" �"i 2�Z'1/ �� f�, > �� % Gk; �-, �� 0 BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pennits for the erection of any building or structure, or for any addition to any existing buildiag or structure, or for any alteration or repairs to a,ny 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 ma,nner herein provided to-wit: iTNIFORM BUILDING CODE: T�pe 1, 2& 4-$2.15 for each one thousand cubic feet, or fxaction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION � ,�:�� For the purpose of computing fees for building penuits, tli� `cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average* height of the roof surface of the ma,in gable of a pitched roof. � For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all,propoaed work. In no case shall the fee charged for any permit as set forth in Sectioa 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: 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 atid of the construction site. A Certified Survey af the lot, showing the location of the foundation, once it hae been constructed, will be required before proceedint� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; aad said structure shall not be used or occupied until a Certificate of Occupancy has been issued. • �1 �"� � - .. ' ! � i � � i I � I I � I I I I I � � i � ' � I � � ' � ,� � �0 .p I � �-f � I ' i ! �r�-rT ; i � � i i � I � � . i� (�. . c�ocur� a�d �ssoe�ates� �lr• LAND SURVEYORS � 10130 HIGHWAY 65 NORTHEAST — MINNEAPOLIS, MINNESOTA 55433 Telephone 784-5480 _ _ ._ Certificate of Surver: _; ALD LA OND�� ry�.�..r�n 5' ,� � �1_ \ O LEGAL DESCRIPTION: Lot 13, Block 2, Melody Manor 3rd, Anoka County, Minnesota. � 0 , ., .� � , ar Sc.�.�E � ��_ 30 � • �.8a5-t1�I-5I-52 _ I� E NCTE�_LRON � I � • �. \� � �- �\ \\ 3� ( ^ ``�i/ �r �� `� � �� 0 �G� � G° 0 p,JF' G� 1 MEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVE DESCRIBED LAND, AND THE LOCATION OF ALL BUILDINGS, THEREON, AND ALL YISIBLE EN- CROACHMENTS, IF MIY, FROM OR ON SAiD LAND. AS SURVEYED BY ME TH15......2�lSt...DAY OF...........AU�USt .....................A.D. 19.. ��..... N. C. MOIUM AND ASSOCIAT , INC. - LAND SURVEVORS ...................�„/�, 1 :� :. .... I , ............................................ , � . � �`\ �r'� , HOUSE HEATING TEST RECORD ADDRESS �f�� °��e��'�3m� APT. F OR C BURB� � OCCU P,�+T OWN E R 6 '` -� � �' - H�T LOSS DATE HTG. INST. GAS C0. METER BAD SOLD BY INSTALLED BY Eleetrical Work By Gaa Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. _ GAS�IG�� MAK E v��,��i ��'--��- MAK E Modsl � �,.� P��/ S � �� Model Serial �`—� �� -�� Max. INPUT ,��1_� MAK Model CONTROLS THERMOSTAT Heat Plug Va Ive � Limit Limit Setting �� Fan Setting � y � � �•� Pilot Ty� Pilot Make � Pilot Model L — Pilot Timing %��' — OF BURNER BTU Rating — E OF FURNACE UNIT HTR. OTHER CONVERSION Vsnt Size - � KIND OF LINER � IZ NONF Drak Hood Rsgularor Fi Iters Size Number Chfmnsy Loeation Inside � Outaide Chimrroy Construetion Smoke Bomb Wiring �� Draft � Teat Tag f L.W. Cut Off D�pr Prosaure— Lightirtp inat. �� ' � f9 < Preasuro s�� Pereent CO Dute Tsated � — Input CFH %� � Pe�� ' N �' �:ompany Testing �'-�' Stack Temp. Pereent CO ^ a<� Name of Tsster Form 235 sus�ecr PERMI City of Fridley 18176 , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � R CEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � Ly �� r j � PROTECTIVE INSPECTION SEC. �Q%� �/ i .1 i (f �� 1 1 /"'1 � CITV HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""'� � �� 612-571-3450 910-F15 8/26/85 � � JOB ADDRESS �416 Concerto Curve N. E. 1 LEGAI. LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ].3 2 Melody Ma.nor 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Jim Danko 7416 Conce,rto Curve N.E. 786-0992 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Del Nimz 39Q7 Vinaent Avenue North, Mpls., N�i 55412 522--5938 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING R8S ldt3ri'L"ldl 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 13'10" x 14" Addi.tion to Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT yS$ rJSO 54+28' DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STR ON OR T E PERFORMANCE OF CONSTRUCTION. ']L�. �jO PLAN CHECKFEE TOTALFEE � � �'S 63 $97a41 SIGNATUREOFCONiRACTORORAUT OR12EDAGENT ATEI WHEN PROPERL ALIDATED THIS IS VOUR PERMIT s CJ _ SiGNATURE Of OWNER IIF OWNEP BUILDER� IOATEI BIDG �NS� f1ti7E NEW [] City of Fridley Effective u/1/84 ADDN. [�� R-1 A11D R-2 pLTER. [ ] Building Permit Application Construction Address: �/'�/� ��C�� iD�I�E • Legal Description: ��1�� )J��reec� - Owner Name & Address : �[� �� N �� '�J� ��%`' C �� I�e Tel . # `7�� c��Gi � Contractor: /��L i�d/GP Zd Tel. �� ZZ-J ��d' Address: ��'� `� C_��N G�N�' � La� �e�. 6Y/1 ��S , e�1 �/rJ/� �'S'�f Z Attach to this application� a Certificate of Survey of the lot, xith the proposed construciion draWn on it to scale. DESCRIPTION OF IMPROVEMENT r ,� � r LIVING AREA: Length r�' Nidth /� Height � Sq. Ft. � GARAGE AREA: DECS AREA: OTHER• Length Midth Height Sq. Ft. Length �lidth Hgt/Ground Sq. Ft. I��I�I,I `�,� 3. (� � �� Corner Lot [] Inside Lo� [] Ft. Yd. Setbaek Side Yard Setback Type of Construction: /vEf�J ` Approx. Completion Date: �� 1•� Estimated Cost: $ ,i�d � e � Alt. A Alt B Proposed Drivexay Width If NeW Opening Is Desired: ��" S $ See Back Page for Explanation DATE: � � Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge TOTAL STIPULATIONS• APPLICANT: ( Cs''� � Tel . � "�� CITY DSE ONL7 $ �a � F�e Schedule on Reverse Side � � 25i of Building Permit Fee � �i- � � �.50/�1.000 Valuation � �' �u25 per SAC Unit $ Fee Determined by Engineering S °- Agreement Necessary [ ] Not Neeessary [ ] � �� BIIILDIPG PERMIT FEE SCHEDDLE 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: - Totel oaluation �1.00 to �500.00 �501.00 to �2,000.00 �2�001.00 to $25�000.00 �25�001.00 to �50�000.00 Fees �10.00 (Minimum Fee is a15.00) � �10.00 for the first a500 plus �1.50 for each additional �100 or fraction thereof� to and including �2�000. �32•50 for the first �2,000 plus �6.00 for each additional �1�000 or fraction thereof, to and including �25,000. �170.50 for the first a25,000 plus �4.50 for,each additional �1,000 or fraction thereof� to and including �50,000. 550,001.00 to $100,000.00 �283.00 for the first �50,000 plus �3.00 for each additional �1,000 or fraction thereof, to and ineluding a100�000. .. �100�001.00 and up E433.00 for the first �100,000 plus �2.50 for each additional �1�000 or fraction thereof. DRIVEIiAY DEPRESSION ESCRO'W (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driver�ay width plus 6 feet times 313.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot Wide approach �►ith 6 inch depth - Drive�aay 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 a11oW for proper revieW of the proposed structure and of the construction site. � A Certifioate of Survey of the lot, shoWing the location of the foundation once it has been c:onstructed Will be required before proceeding With the framing. �� - � � �c;� ��. a� �`� � � �� 0 0 v�. �'. ��o`�w� ar�d ssoe�ates . � � �C LAND SURVEYORS � 10130 HIGHWAY 65 NORTHEAST — MINNEAPOLIS, MINNESOTA 55433 Telephone . • 784-5480 . Grtif icat� of Sun►ey: �O N A L. D L A FO N D � _, . 5� . � ,, . , . , �o . _ ScA�E 1 "= 30' 2.8o5-I�I-51-52 o � NoTEg IRON . .�, � � y.� � � � � o �- �'��, � 3�- � `�9 � . � � . . LEGAL DESCRIPTION: �� `�' ,�� Lot 13, Block 2. �,� � �q �` � � ��J� Melody Manor 3rd. � Anoka County, Minnesota. � i ,�p G�� G �� _ 1 HEREBY CERTIFY TMAT THIS IS A TRUE AHD CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF TNE ABOVE DESCRIBED LAND, AND TNE LOCATION OF ALL BUILDINGS, TMEREON, AND ALL VISIBLE EN- CROACFIMENTS, IF ANY, FROM OR ON SAID LAND. - AS SURVEYEO BY ME THIS..... 2��t...DAY OF...........August .....................A.O. 19.. 70.... N. C. MOIUM AND ASSOCIATE�S, INC. _ LAND SURVEYORS � � T � 1 L 1 �t ic f�+ � � � � IF` IT � . I�, N 4� `'i i;b � � �� N � . � �• L , �,i `1� � y . � � � c 5 ' . . � •. � � 0� o Z•' - ? C � - ---- - ; --�---- --- - - __ ! +�� ----- �� .c I � i V, o L � 1' ; • � � .,.., C � � - i I � G y � � �x Ty _ ..._, �_ d N ' s �' � o 3 � I F^� r i f i � � .�-- � - � - - - — ¢ � � � . P tV � N Z � _ L O ' L , c � ' 3 0 � �, c` � . � i ' C� • �� 1 � �� l � , I R� 1 I 'r� I I , � �i • i I _�t—�_._. , =-�w-:� .--�--� a_.r� --��.rsf : ' \. .� i i, � . I u' 0 i i I i � �-1' . . , , ; , ^ � � i C y � � 2 � � � s on r � � t � �E- - � LoR N� . : V � � C � � �e � ° �� \ � � y x 6� Ol� 's � ,A :. i � � `, �� / ` � �` � L. , =a �o � C � � � D � / w. � �r� ' � � o � . L � ~ � �{ � )� , .�i M.c �' 66� y � � . �t� � , �. � � O � {% � i . � / _1 / t L �.J� ` � � , , Y .'G 1 ` 1 _.` _ ___� _ _�� .y _��\ ��; � ,� �• � � r •n 6 � � � r � ��' N �+ � � � � � •s � � 3 ; ( � � � 'k- � � A � ��.7° : � 3 _ _1 0 � � C _y N a r- 1' � t( 7c 1+ ~ � ^ y qt v :. M w a , c s �` n �` ° r � � u� p �. (` � �` b Q x � -� � � � 1 �� Z a � � � c, � � � E n° � � �� b H � �' �� • A � i �: m •. Q` � A sue�EGT Clt�' of Fridley AT THE TOP OF THE TWINS g U I l D I N G P E R M I T i� � ♦ � `L _____ COMMUNI7Y DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � j , � �"'1 � CITY MALL FRIDLEv 53�32 NUMBER aEV DATE �----� • •�� 612-571-3450 9/0-Ft 5 10 �oe nooaess �416 Concerto Curve NE t LEGAL �OT NO. BLOCK TRACT Ofl ADDITION oesca. 13 2 Melody Manor 3rd Addition 2 PROPERTY OWNEFi MA�L ADDRES$ Robert & Jane Larson 3 CONTpACTOR MAIL ADORESS Seal Guard Systems 9199 Central Ave NE Blaine 55434 a ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADORESS 8 USE Of BUILOING Residential 7 CIASS OF WORK ZIP � � 283�9 7D �0 �PVpOVEO Br SEE ATTACMED SNEET PMONE 717-3094 PNONE LICENSE NO 20093688 PMONE LICENSE N0. PHONE LICENSE NO O NEW � ADDITION O ALTERATION � FIEPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and Qarage (26 Sq) Tear-off 9 CHANf3E OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. SEPARATE PERMITS ARE REGUIpEO FOR ELECTRICAL, PLUMBING. FIEATING, VENTILATING OR Alp CONOITIONING. THIS PEFMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZEO IS NOT COMMENCED W.ITMIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOii A PERI00 OF 120 OAYS AT ANY 71ME AFTEii WORK IS COMMENCED. NO DWLG. UNI I MEREBY CERTIFY TFIAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW TME SAME TO BE TRUE ANO CORREC7. ALL PROVISIONS OF LAWS yq�UATION AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED WITH WHETMER SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT 2228 DOES NOT PHESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEiiM17 FEE PpOVISIONS Of ANY OTMER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 SiGNATUpE OF CONiaACTOp OR nUTMOpi2E0 AGENT 104TEi ��GNATUAE OF OWNEQi�F OWNENBUILOEpi IDAfE� T STA�LS UP OCCUPANCVLOAO CU FT. FSTREET PARKING IGAiiAGES �1.11 SAC CMARGE Fire sC $2.23 i�IfA� FEE $83.09 j_THIS IS YOUR PEAMI � ADDN� AL'TIIL � � I� ] - - -�-C11'��OF FRIDLEY = - - [] SIlVGLE FAN�.Y AND DUPLEXF.S R 1 AND R 2 BUII.DING PERMIT APPLICATION r.�accavC u.ltya . _ : `�.�� 0 ��: l � c`� �.�� f�t � C u�- � �. � �' � � � I.egat I�scription: Owner Name & Address: l� G��r�" � Contractor: ea 1 C-� �_� rd � Aaa�: q I q9 C.en-� ra l�v�e L� �l�"�i Te�. � �/ `7 - ��' s m s ��SE ��aoR 3t� a� � BI c�i n�, s�-13�1 Tel. ��l 1�- o�160 Attach to this application, a Certificate of Survey of the lot, with the proposed constcuction drawn on it to scale. DESCRIPTION OF Il1�IIPRO�'EMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height � Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. � 01'HER: /� „ Construction Type: �`Q- -/[ L� L-� Estunated Cost: $ o� � i� �`j . � tFee Schedule on Back) � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � % �� APPLICANT: Tel. f� �i % `� - �� 7 �d CITY USE 4NLY Permit Fee $� N a�.� Fee Schedule on Reverse Side Fire Surcvarge $ o? •;`�l 3 .001 of Permit Valuation (1/lOth%) �ate S�i�ge ---� � - � � - � �A/$�A00 Yal�rio� - - - - -- SAC Chazge $ $1000 per SAC Unit License Surcharge $ ��-� � $5.00 (State Licensed Residential Contracto� Driveway Fscrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL S1'IPULA130NS: � $ �'3�oq �i 5 (� �.lfL'r" Q5 BUII.DING PERNIIT FEE SCSEDULE - ,- a: .. _ $ - . " The Cluef Building OfFcial shall, b�fore issuing permits for the erection of any building or st�ueture, or for a�+ addition to any existing building or stnuture, or for any alteration or repair to any existing building or soructure, 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 tawit: TOTAL VALUE $1 W $500 $501 to $2,000 $2,001 to �25,000 $Z�,�1 to $SO,t� $50,001 to $100,000 $100,001 to $500,000 �500,001 to $1,000,000 $1,000,001 and up FEF..S $21 (Minimum 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 $1,040 or fraction thereof, to and including $25,000 $3�.7� f� � �2f,� pins $y.U�3 tvr each-addi�tional $1,6f3� 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 plus $4.2� for each addit�onal $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 $1,000 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 $1350. 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 $15 .75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will ix required before proceeding with the framing. f c�ty of Fridley AT THE TOP Of TME TWINS � � I L D i N G P E R M I T ;, � � � `v __��_ COMMUNITY DEVELOPMENT DIV. r � � PFI0TEC71VE INSPECTION SEC. L_---� ��"' �'� CITY NALL FiiIOLE� 35�32 NuwBER pEV O�TE PA i 612-571-3450 gt0-F/5 10/23/00 / �oe aooRess 7416 Concerto Curve NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 13 2 Melody Manor 3rd Addition 2 PROPERTY OWNEA MAIL ADOqES$ 21P Bob Larson 7416 Concerto Curve NE 3 CONTRACTOp MAIL ADDRESS 21P Renewal By Andersen 350 73 Avenue NE, Fridley, MN 55432 e AFiCMITECT OR DESIGNER MAIL AODRESS IIP 5 MAII ADDRESS , ZIP oF / 3 i 50� RECEIPT NO. Br SEE ATTACHED SMEET PMONE 763-717-3074 PMONE LICENSE NO 502-4777 20130983 PHONE UCENSE NO PHONE LICENSE NO 8 USE OF BUIl01N(3 Residential 7 CIASS OF WOFiK ❑ NEW O ADDITION O ALTERATION � REPAIR p MOVE O REMOVE B DESCRIBE WOFK Replace bay window within existin.g opening 9 CHAN(3E OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. �ermi� ��tion �a�ds �i� �� i�ed Hom��a�r �'� P��t VVrV�/ SEPARATE PERMI7S AqE REOUIfiED FOR EIECTfiICAL, PlUM81NCa. HEATING, VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO If WORK OR CpNSTRUCTtON IONING SQ. FT AUTHORIZED IS NOT COMMENCED V�1ITHIN 80 DAYS. Oii IF CONSTRUCTION OR WOFK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AfTER WORK IS COMMENCED. NO DWLG. UNITS I HEREBY CERTIFY TFiAT I HAVE READ ANO �XAMINEO THIS APP�ICA710N 1 S7A�LS AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAW$ VALUATION ANO ORDINANCES GOVERNING TNIS TVPE OF WORK WI�L 8E COMPLIED WITM WHE7MER SPECIFIEO MEREIN OR NOT. TNE GRANTING OF A PERMIT �4 f 788 DOES NOT PqESUME TO GIVE AUTMORI7V TO VIOLA7E OR CANCEL TNE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULA7ING CON- STRUCTION OR 7ME PERFORMANCE OF CONSTRUC710N � I L Z. ZS PLAN CNECK F E Lice C $5 0 S�GNATUpE OF CON'FACTOA OA AUTMOAiZE� OGENT IDATEi e een i uw OCCUPANCV�OAD CU FT STqEET PARKtNG IGARAGES $2.39 SAC CMARGE Fire S $4.79 TOTAL F E 23.43 laJeEO iS iS rOUA PERA '�� / / � % /%� '/. . � � �%/ � r�a��r�� I ] �DDN �� Effective 5/1fl/99 [ l � oF � [ ] ��,��r��s� �� BLT�,I)ING PERIVI�' APPI,ICAZ'ION �onstruction Address: � � � y I � n� � ,� -}� , � �. Legal Description: ' . Owner Name & Address: �b �c�.�cssc� � �` �1 � Tel. # �[03' � 1� - ��- y Contractor.; � f2ENEWAL BY ANDERSEN NIN I:,ICENSE #� 350°73RD AVE. NE Address: �RIDLEY, MN 55432 Tel. # (612) 502�4777 1 LICENSE #20130983 Survey of the � �, �� .,gon it to scale. i)ES. . . .: : �I'd C)F ��J�1V� .. LI�iG A�BEA: Length Wi�xb. Height Sq. Ft. G�YAGE AR��: Length Width �Ieight Sq. Ft. DEC� �A: � Length Viiic�tli Hgt/Ground Sq. Ft. 01 �ICJ�i l�D fl� rf�l i� 0 � �/t . . 1 . . .n e� �, e i ... � ._ ...' _ _ � P .. � � ' e .v • .� �. _ _ . �. n � . Construction Type:� Estimated Cost: $ y��-�$ � Driveway C�rb L�t V�'idth Needed: Ft. + 6 Ft = Ft x$ _$ - ��: l� -l`�- � C� ��.ie�:,�A �'.,. �,�� e�. # 95� - 3�5 - (ooy � Permit Fee Fire Surcliaige State Surcharge SAC Cbarge Licsnse �rcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAI. � 111�' $ � �F�1 � � 39 $ $ ��' $ $ $ $ � 3`�3 � us� or�� Fee Schedule on Reverse Side .001 of Permit �aluation (1/lOth%) $.SQ/$1,000 Valuation $1050 per SAC Uni.t $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determi.ned by Engineering Agreement 1Vecessary [ ] Not IVecessary [ ] S1'IP '1'AONS� ��Z�z-�1/ �� _��-�,��" �i��-`�"�G'Z�� /ti /�LL L�"r�'%�c� .-��.� .�� .�� ,�� -��-�/L'�'L� l��r. �--� ��.:�� -�.,- �� . �3r'a� l. /, �-� r�f'7 G� �� ,., � -c r r . � �� i; �; : c�� The Chief Builc�sng O�cial shall, before issuing permits for the erection of any bu�ding or structure, or for azry addition to any existing building or stzucture, or for any alteration �o�: �r:epair to any existing building or structure, upon application therefore, require the .payment by fihe appliEant-:for.:.such permit:.af fees to the amount.herein below set forth and in the manner herein provided.-�o-wit: � - - TOTAI. VALUE $1 to $500 $501 to $2,OOU $2,OD1 t+o $25,�U $25,(�1 to $SO,OQO $50,001 to $1�,000 ---- _.. - FEES $23.50 $23.S:O,far first $SOO pI'ns: $3.OS for each additional $100 or fraction �hereof, io and�_in+clnding:-$2;� - __ . $69.25 for first $2;.OQ0 P� $14,0�_far each additional $1,�0 or fraction thereof, to and including $25,000 $391.25 for fust $25,�0 plus $10.10 for each additional $1,OQ0 or fiaction thereof,. to and: inciu�.in$ $50,�0 -- $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,�0 $100,�1 to�$5�,000 $993.75 for first $1�,000 pins $5.b0 fo�` each addition�l $1,000 or fraetion thereo�,� to and iIICluding $�00,� : � $500,001 to $1,000,000 $1,000,�1 and up $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,OU0,000 $5,608.75 for the first $1,0�,000 plus $3.15 for each additional $1,000 or fraction thereof D�E�VAY' DEP�SSION ESCROi� (Concrete Curb Streets Only) . Alternate "A °: Removal and replacemern of curb and gutter only - Driveway width plus 6 feet time.s $15 . 50. Alternate "B": Remova�-and replaaement of eurb and g�tter an�-:�ns�ali a� 3 foot:wide> . . approach with 6 inch depth - Driveway width plus 6 feet times $23.25. CA1'I011T O�+' I+'OiTNDATION Permits for construction will be issued a minimum of 24 hours -from the time of application to allow %r proper review of the proposed structure and of the construction site. -- - --- -- . .. A Certificate of Survey of the lot, showing the Iocation of the foundation once it has it has �n � t� evill be required before proceeding with the firaming. �,� : U � Inspections 763-572=3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE � � � "O � YOUR E-MAIL ADDRESS SrrE �wDxssS �5�/� Cc� n co •.� CU� v� THIS APPLICANT IS: �'O'�fER OCONTRACTOR Permit No.: Received By: Date�.: °Y " PROPERTY OWNER/ Np�:_ � �� .s� ^ TENAN!' aDDRESS: ��/�o Cv � ca ��fo ��-�e � C�'t�t r��lc%� STATE/%11/LIP, PHONE: %� � � ��' 2 " 6� �'1� ��Y M_�� SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE Na�: v � STATE LICENSE I EXP DATE ADDRESS: CITY STATE ZIP PHONE '%�!v � ' `� % Z � ��4�� FAX — . � PERMIT TYPE � �DITION ❑ GARAG ❑BASENIENT FIIVISH C3�ROOF ❑ DECK ❑ SIDING ❑ SWIMM �rE oF woRx: DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES � GARAGES PROPOS£D SIZE: PROPOSID HEIGHT: SmIIVG ❑ Vinyi ❑ Aluminum ' ❑ Other . . 'r �.._ I O DRAW TILE O OTF�R LENGTH 9►IIDTH HEIGHT ❑ HOUSE ONLY �OUSE 8c GARAGE �TTACHED GARAGE ❑ DE['ACHED GARAGE ❑Soffit ❑ Trim � Fascia wnvnows IN E}�STING OPENIl�iGS DYes �ldo LOCATION OF WINIIflWS OR FOR NEW OPEN1NCiS-DESCRIBE SIZE OF OPENING CHANGES & �ASEIv1ENf REMODELING SUBNIIT: 1. Existing Fl�r Plan 2. 1'ropt►sed fl�r plan 3. List of structival members to be used Ft. FOR NEW CONSTRUC770N MCLUDDVG DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing strucdires 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: (LJSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow �� I�.��. F� Park Fee Sewer Main Charge $ �`% ,� _� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ ;��-- .001 times the total job valuation $ % � j�(� .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determina6on) $ ft+6ft= ftx$21=$ ��,,�� $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ _� Make checks aavable to: Citv of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fritiley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicaxion 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 APPLICANf ��, J��!'�. PR1NT NAME �i�//� � L�i�Sl�d� DATE ��°� % Page 2- Building Residential Application BUII.,DING PERNIIT FEE SCHEDULE .. ' � ' . � � r � • �d ' Pe � � The Cluef 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 buildi.ng 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 applica.tion to allow for proper review of proposed structure and of the construction site. A Certifica.te 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 Depariment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � � �'- �,:J��,;; � 1�L !_/ _ _�1� FRIDLEY MUNICIPAL CENTER • 6431 iJNIVERSTTY AVE. N.B. FRIDLEY. MN 55432 •(763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER �, � � . understand that the State of Minnesota requires that all residenfial buitding .contractors, remodelers and roofers obtain a state license unless they qualify for a sp�cfic exemption from the licensing requirements. As the ov�er of the property at `� y�� /ia �ir �,� �o �,�,�;e � , Fridley, I am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improrring this house for my own use and do not intend to sell it. I hereby claim to be exempt ftom the sta#e licensing requirements because I am not in the business.�of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residen�al struature I have buiit or improved in the past 24 months. I also acknowledge that �use I do not have a state license, I forFeit any mechanic's lien rights to which I may othervvise have been entitled under Minn. Stat. 514.01. � � Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these cor�tractor� may be required tb be ticensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing a�tivity is a misdemeanor under Minnesota law, and that I would forteit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors 1 hire are unlicensed. 1 have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for cmmpliance with all applicable building codes and city ordinances in connection with the wrork being pecFormed on this property. . _ �� . /. Date .� - � � C,�