AF - 37998�
�
Ca.ty of Fridley, Minn.
BUILDING PERMIT
Date: dv����.,� �.b�
.••,- - - • :=�,. : .- -��_.�
• . . � . �� . .
�¢3 ���
�T� 9'7'73
LOCATION OF BUILDING
No. 7419 S�t Concerto Curve � __ p� og �t
Lot �_.�______ Block ___._.�_ Addition or Sub-Division . Me�-odv Mano_r ,rd ,
Coraer Lot � Inside Lot � X Setback .�. Z� � Sideyard � �� & 10'
sew� n�at�on —. 875 • 96 _ s78 . g6 (g�� ox. )
To-p of Foo�ing
DESCRIPTION OF BUILDING
To be Used as:
Dwellit�.g Front ��' Depth 26t Height � Sq. F't. � Cu. F't.
.A�..t�._Gsa,�ag�-.. Front � Depth .21' _ ITeight _._..�....__ Sq. F� �2.(i_.. Cu. F't. _.....___._
� og ����� � �rame �� � ^ $27 , 900 . 00 _ To be Completed 6 Months
SE�rdER LOCATION - 106' W. of Manhole
WaTER. LOCATION - 96' W. of Ma.nhole
In consideration of the i�uance to me of a permit to c building
the proposed work fn accordance with the descrlption abov t f and ia
ordinaaces of the dty oE Fridley. ��
100.017 Sewer Conriecti
to do
ns of
In camafderat[on of the payment oP a fee of $�8 •�� , permit is hereby granted to Gerald Aa:r�k_
to construct the buflding or addition as described above. Thiape rmit ia granted up�
the expresa condition that the person to whom it is granted and his agents, employees and workmen, fn all work.
done in, around and u�n said building, or anypart thereoE, shall coffiorm in all reapects to the ordinances of
Fridley, Mfnnesota reg location, conatruct�Ton, alteration, maintenance, repair and moving of bufldfn�e
within the dty limita and�a perrmit may be revoked at aqy ti�ne upon violation of aay of the proWisiona of eaid
ordinancea
, l---o .' ..
F �� ;���Jna���
CE BELISI,E �°' �.
NOTICE:
� 'nds psemM d� aot eover �hs eeeslrnetioe, lestallatiae to� wiriee, plumblee, en he�tieg, sawr er wale�. B� sun to a�
tha Buildiae lesp�cto� for mperala paemiti �er 16as it�ms.
APPLICATION FOR BUILDING PERrQT
� r ►' r .,� �
, / � e
. , �, r�,. �. , ,�. �.�.��,...�
, . . . , . ;�. :� �� ., �
LOCA OAi OF B DING
N0. ���,� $TRELT . : . . PART OF Lt3T
LOT BLOCR �� ADDITION OR SIIBDIVISION
i
CORNER LOT INSIDE LOT_�SETBACR �,� ��__SIDE Y /O ��',%� -�
SEWER ELEVATION �, �" d � � + T � ��' �' h / �,. �"�.-�
-rP a �o-���►
Applicant attach to this form Two Certificates of Survay of�ot and propoaed
building location drawa on these Certificates. , �
... ,�.�. 10�� � , ��
� . L. 7 G Inl
DESCRIPTION OF BUILDING
To be ed as • � � �
� �
Front_��� j Deptha�r� � Height
���'/
1 h A►� 1�, a��,.
Ihflnl�,alZ
Sq. Ft . �-� �,� Cu, Ft •
/ � '
� Front ,�/� --/� - ---Depth�22/ /� Height�� .
Sq. Ft.��l� Ca. Ft. ���1�%� —
� ��,�
Type of Conatruction ��y��� �atimated Cost `� �
� "�'7T �
To be comgleted
The undersigned hereby makea application.£or a permit for the work herein
apecified, agreeing to do ali work in strict accordance with the City of
Fridley Ordinances and rulinga of the Deparement of Bu31di-ngs, and,hereby
declares that a11 the facta,aud repreaentations stated in this application
are true and correct.
DATE � �_
(Schedule of Fee Costs can be found on.the Reversa Sidej.
�
�%
_t � ,' �
. < - :'
�� �� ��) . -
�
, � „ �
�a ._ �
� ;� ���� � �-c�� � �..
�
�
y _ a
�� \
BVILDING PERMIT FEE SGHEDUI.E
SECTION 2. The InspectQr of Buildinga ahall, before iaeuing any permit for
the�erec�tion of any buil.ding�or�s�ructure, or for any addition to �ny esistin�
building or structure, or for any' alterations or repairs to any exiseing
building or structure, upon applicatiaa therefore, require the payment by the
applicant €or such permit of.fees to the amouat herein bQlow �et forth and in
the manner herein provtded to•wit;
2.1. For auy such permit fo��the erection of any fire-proof building,
other th n a gara�e, warehouse, factorq or grain elevator, or for the erection
of any fire-proof addition� for similar occupaacy, to any esistiag buiZding,
shall be at the.rate of $1.4�-#0; each one thousaad cubic feet, or fraction
thereof, in such cubical contenta. ' '
2.2 For any euch,permit for the erection of anq fire-proof garage,
warehou e, factory or graia ekevator, or for the erection of any fire»proof
addition, for similar occupancy, to any existing building�shall be at the
rate of $1.Z5 for esch one thoueand cubic feet, ciassified.as "fireptoof"
by Section 502 of.the Minneapolis Buildiag �ode.
HOIISES
2.3. For any such permit for' Che erection of any non-fireproof
building other than a gaxage, warehouse, factory or �rain elevator, or
any non-fireproof addition, for similar occupancy, to any existing building �
permit $1.00 for each one thousand cubic feet.
GARAGES
2;4: For any such pesmit for .tha erection of anq noa-fireproof garage,
warehouae factory or grain eleva�or, or for the erection of any noa-fire-proof
additioa, for aimilar occ�pancy, �o any esisting bu3ldiag or for each suck
building or addition - ninety ceats ($0.90) for each one thous.and cubic feet
or fraction thereof, in the cubical coatents�thereof with the minimum of $4.04.
For the purpose of computing fees for buildiag per.mits; the cubical contents
of any building or additioa to a uniform�hei�ht throughout by multiplying the .
ground area eovered fram a:point:aix (6� inch�s balow t�}e �floor line af the
basemeat or ceilar to the average he�ght of the upper surface or to the average
height of the roof surface of the main gable of a pitched roof.
2,5. For repa3rs or alterations to an esiating structure, the fee eha11
be at the rate of $3.00 per each�Five Hundred Dollars ($500.00) or fracti.:n
thereof in the cost of a11 proposed work.
2.6. . In no case eha11 the fee charged for any permit as aet forth in
Sectio 2n be lesa than $4.00.
STORM REPAIR DAMAGE FEES:
Reaidential; EaCimated Cost of work up to $500.0� - S5,!:0
Estimated Coat of ws�rlc �er SS �::.. �-'� •� '' ,�� a
:r ,.. .,
Commercial; Estimated rst of work t�.- �. 1_',�_�; ,;?•; ,, ;f~ .,�
�- $stimated ��st of wog ; u��.;r °;..:�;;z. t�� _ 4�+3. „� .
1� �y
y' _ . ��
land Pl�r+m��
c�s�y��
Soi�s Testu►�
tiv�f ir A�fis�trc'rpnl
E����
r.�� - ,_ ' - I
I
1
yl �� _ _ _ __ _ �
�� ���
' 6g7S -H,�"r� •C� �r�.
�,��Is32,
EPJGINEERIN�, #NC. �f�'�°�
— En ineer� � Sur�ej/o,�s --
.�
cesti�a�c�te o� s�s�v��r f ��
��
�
`v���
:_ � �
�.+ � �EV�QP'�11�,i1'�i �
NORi'FI
�
�
a pENOT�S 1R01d. =.:.==OEM�TES ORAINAGE AND �J'Tl1.ITY EAST�M�KT
LOT q.�—BLOCK 3�.—MEL�OY �IIAt�10it �RD AUOITlOh1
A1�OKA N'1'�f t��
I Ilt1g �"Itf � �/�` lS O � � � ��J�9I'�Tl 0�0 51�4"1/a1� {�I� �� ��C d�1L" OF.fL/Yp�9 �, �
tr �J► � ar en.�d fmnd. AS .�re,�/ � �— =°- �
o�l�it !ow/�Xxr �'a/f bur�s , �isre�uu� , a►d all' nsrbtt �manit . ��'an� • �► a -" �
9l'= =T� —_ a.� �.. .SU� UReAl�l fAlG1NFERlAIG . llvC.
� � ,� ;� Sur,t�rJors�,
' �� �.�- f � +�; < r�. _ _
Stdle: t�v*�40 � ��-* � �
( 1 . ,� _ '�
w
E�
�
>
�
0
O
�
x
m
��
�
ro
O
�
�
.
r t� � �
y x x �
� t� O
� � � �
x x x �
w n � o
� � `4 7~.
���Q
�
��
�
�
�''
yy �
t' �
�
.�
T
�
J
C]
I
n
�
1�
�
�
�
`��
� �
� �
M w
a
� �Wz �
� � � g �'
� y k" �M �
co •. ,r ro
o � � �� o
� � y ��
�y: ��
. y �
. . A
: : : � :
: : : y :
. . . � .
. . . F .
m�
� k � �
C71
$ � $ �,
����
0
r
ci
�
�
�
�
�
�
b
�
�
�
�
�
�
2d
I
�
�
►w-�
�
�
�
�
�s
�
�C
01
�
�
�
;�
� �
��
�
�
� �
a
� M W
o��
\'
� �
� .,��
O
r
�
M
�i
e° �
y I
w
�W
w �
� �
N �
'3• y
o �.
y O
� �
A
f�D
eo •
� •
�
�:
� •
�
�
�
� �
A �
7 `
� M/
� �"'
�
�
�
O
�
�
"�y
O
�
w w
� x
a a
0 0
��
V �
� �
o �
� �
H
H
�
� �
� N
�° x
� o
c� y
�
R° y
r �
�
��
�• 3
O
0
�
�
�
�
�
�
W W O o
� g o 0
����
�
�
�
z
�
�
�
0 �
a �
e�?
�.
� �
� �
�
� �
�
z �
O
�
�
m
�
z
O
T,
�
O
m
n
�
�
e�-P
�
�'
�
�° � �° � �
�' �' � � �
� �
� � � � �
��"�'��
�* o � R,
oo���
� �o�
n
���g�
� �' : o� �
a � ' °
a � : G ••
� � • ; O
g O : : O
p . . . �
O . . . �
�
r�
W Opf 6� W Op
O O O O O
��.�� �
�
�, p, �
M
fw/1 !�-b
b���!!!d
�
� � l
�
�
�'� ,� � S
��'� � �
� �
� � � �
� � p�'' .fD`�- �
co .y �" R° �
���d�
� �
y �
p%
� � � °
a � � �
a �„ -
� . .
� po : :
p o . .
$ : : :
. � �
w o� ap� o a
O O O O M
��
0
�
N yv y
'J Ly Ry �"
aa� �
�C�� r�a
1-+ �
� �•+ �
w
p �� � �
w � �
Of�Dp� ••
�d���b �
��°�
p���
�� �
y.p'�'H
m�x
� �5'€k
� ���
O y M �
p��a
0
�°'op
���
�� ti
����
m
a� ��
a � �.
� �f�p M
'� A �
�� �o
G�o
��D�'
� �
m��
� ���+'
D
�
i
�
�
T
�
2
T
C
T
�
1'h
�
�
x
�
m
�
�
�_,
b Q�
��
�s
Oi
'
�
�
�
�
�O
o �"
�' o.
o=
�. a
�
�'
���
0 �
0.�
.Y �
�� �
� �
� �i
0
�
�
�
�
�
�
�
0.
•
>" _;.
Ar':
�-.
�-
� � � �
� 01
d � � � �•� p� � � � � x n
� �; �*W��� � �'$ ���
� � °p � � JC � � ►� �
p � o �' � , � � a �* �' �
r. � � �
' o � : �� � ' ap o � �° D
� . � � � . 'C7 fD �q �
' � . : a �°p ; � : w �
�r ' ' '� m ' �: �O ' � � ' �
, x 3 : � � : : c;, g : w : : �— .
� � � S
� �'' : s � : : . w ; : : : D
�� : � . : : . .�' ; : : : m
��� . ? . . . ' . . . , . V •
r � . . . . . . . . . . /'1
� � �> : 2
,
�
� �r ' ; m
�
� v
�� .,,. • ` � � 0 . �
� *�{ � .
�,k��r ,.� � . � '� � N �j� Wp W � � � m
� � � . O 0�1 ' P " C �71 O � � � p � `
�, 4t ; .
n � . ���
� � � � ti►
��>�..; ,
����� � �
� �� o � p
�° � : w `�
4r �; � � o Q� o o�
a� � � �
�, � ��:.
__�,
�
� y ' � O
� p.
� , ,, . x
� ��,
�� a ,.
I N '�" .
� R� '
- • �
r � ' ti.
�
���.
r
_ - .�.' , i � .
XF.,,.
, ��� �
r �t� I
. �r- '
p'
l p
' � . A
� � ��
_ ol
�
�
.. . . .- li . ' .
y.
��`
��..
w�
:r.
F..
W �•-
� � u�:
� �J :
l
1 r
* • �* W � � o0
x� "�� a a�' ro Storles
� � WATER
m a.��$
� � uRiwvs
� � I 6ATH
O ' ' Tues
� � e�siw x
� ffi �
I SINKS
� y� I WASH � � Ci
rw��rs �
D INK � �
�
�
R A
FouNr. a pp
sNwns. a y
FLOOR O
o��� �r x
c�TC� & h°n
BIlSINS �
.a
AUTO i'� �.
W�` M a�o
GA4. �
� �
GAS �
' RANGE �` � .
� �
GtiS
OPENINGS
w • ��
z r 9
M i �� .
P
� � : � .� `.
. �:
� 't'
�i'�
_.
� � � � , �' �
o � o y Q —
� , ro � . � a wp.� o : � �
� o n � � � ►e �
� � g � � '� � p ,oti
� _���� � �
�� A � �. �� � � � �
�� �
� � a �' oc�o�.�, • . '.
G�� �, . p7 , . ro .
� � : �, �A
� �� �I ��a� m �
� � , � � ���� � �,
a �- �,.
� `! 3 . �
�x
` O
VY
�
� �
� �
�
�, � � � � . � , ... .
o � �ro��.
�
m a
� b �: 5' � Q\�
� � � Ry d
O� �.se �
p w or.a
�i p' o p 41
A � � �
�� A � w O
: m� �,�
r� �° �
a��� :
�.�._f~p ����f�D M � ,. , .
�: �' r►
n �
� � A
w
•~- o�r
� ��y n
M� � y '�' � . . �
� /�
�� � f�0 �%• /� � �( ��..
� . . . . . � _P` .
HOUSE HEATING TEST RECORD
ADDRESS ���� ��–��� APT. 0 R CI UBURB �� �
OCCUPA�1't' OWNER ���7�+�' �
HEAT L-OSS DATE HTG. INST. GAS CO. METER BADG
SOLD�BY INSTALLED BY
Electrieal Work By Gaa Lins By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS D SI CONVERSION
MAKE ��� � ��� MAKE OF BURNER
Modal °�� � Model
Serial <S-�/ =��� � Max. BTU Rating
INPUT �� MAKE OF FURNACE
. Model
CONTROLS � �
THERMOSTA He t Plug Vent Size
Valve - KIND OF LINER IZ NONE
Limit •� Drah Hood Regulator
Limit Ssfting –� Filters Size ►�umbsr
Fan Setfing �3�-���� Chimney Location Insids �� Outaide
Pilot Type ` Chimeay Construetion
Pilot Make
Pilot Model Smoke Bomb Wiring ��
Pilot Timing ��� Draft �`�-- Test Tap �
L.W. Cut Off ; e�or Presaure— Lightiny inat.'��
`
Pressure �f '�' Pe e°�t CO � � Date Tsated �2
I�ut CFH ,�°� �8i/nt "� -�" < mpany Testing e
Stoek Temp. a.%��� Pereent CO , �� Name of Testar �
Form 235
� �
� �
� � � � ' � � � � i�
w �
� � � �
. � � � �
g � � �
. .. �
� � � ���� ��
. . �.
. . . .
• • � 9
•(a: � y� • a o � • a rr
•N � 3 e e c � � � v
�fA � 9 � � � � � e • r
• �+ s e . • v e s
•t"'� • e e o 1 s a •
�N r � • • � . • � � a a �
Qq � s � e + �. e e� •
e'�]'' � • • • � � • e r e
•�} r • . • • • e . •
• • s : e • o � • � �
♦� • 1 � • � 9 • � � •
• f • f • 9 � B ♦
:y } ♦ • f • a f i • R
� W
•�
' � • � �
i M M M p M a� M M N M
��: , �a�����������
� � �« » �
� 0 r .�
�` ��� � I �
.. .
o o � � 1
�
Y�
. ;
�
.
�
.�
l
. �
,
,
.
>
�
�
� '
�
�
�
�
C
�
� • •
�° ��� ��� Q
. � � � � �� �
� �
�� � �M�...
A � � ����
� � ��ga
� � �
o � _ � � � � �'
�
°o o� � � �5���,
. �
N .�
� ��
�
w
. � � � �
e � �
� � �
w � ee
� � �.
1X � v.
A � ��
�, � � � �
� �
' b �
� �.
a � �
, � , ,,,,,
��
� �
�
� �
� �
� �
� �
�
�
.�
�
�
� �
� s
� �
�
�
�
�
.�-
N
�
z
�
.
�
�
0
m
�
c*
0
�
N
�
w
�
�
�
�
�
�
N
�
N
�
.
�
�
0
�
� � y �+1 � y � O
r° � � � in �n r
t� oe
� x ���� ��� � �
� �����
�
r � � � o
%� � � � � m k � .�i o
� � � �c
( � � �'' ~ � e0 O pq ea
V � p ��••� ��
4 ��� � : �
� � ��: �$ ��
_ . . � m M O
. . . � M
. . � � $ .
: : : � �
�� - . .
� : : : : �' :
� � ' E :
._.. ,� .
�
� \
e
x°
�
�
\
H �S •
� « °° � ° .
� � a� � � $
��►� �
0
`�I � � �
��
' ��
�
�
�
;�
�
�
�
�
m
�
�
�
x
���
� A
� � �
�
� !
;�
:�
� �
� �
� �
� oo �'
� �Q �
�
b
m�
� �.
a �
N g
��
��
��
O �
N
�
� :
�
� °�
�
� O
� `9
�
��
��
��
O �j
�
�.
�
�
�
a� w Go p Q
$ S � 8 8
� ��
�
�
�
� o
� �
�. �
�
� o
� �
�
�
z
o �
� rt
� �.
A
� �
� �
b e
� � �
p i�
�
�
0
�
�
c
�
0
�
�
�.
B.
g
�
�
� � � � �
��� �
������
� � � �
� � " �° �°
0 0 �'
� � .� �
���5�
� � ; � �
� O
L�' � . . �
� � : '
� � : : o
� : : : y
Q
. . . . �
oo_ o� o� w o
8 � 8 � 8
���
N M
�1 �
w �
��
�
1
N
&:
� b b �
m � � �
�y�� �
�
� � � �
����
o; �
�� �
x � . �;
6y O ;
p' C�n : .
� g : :
o � : : _
� : : :
: : � �
w c� e� o
8 $ 8 8. �
�►
I �
` �
I
��
a �.� �
A � � �
A1.1�� �
1,~j. M � �
om��' ..
�dW�
b
�� °�
� n���
e►
� ����
��'��
o���
���o
q, � q
����
��`°�
1 °'� �
�
a� M
� �� ��
���
� q
� �
.. � p•
I� �� �
�
�
�
r
�
617
�
m
�
�
�
�
�
�
�
�
�
A
�
�
i
� �.
�
�
a
�.�
� W
��
�
�
e
�
. 9v
�
�
�
.,_. .
z �
r M
s�
� n
�°
« �
o �
O
N �
0 ^
��
� O
� �
w
,o '
m
r•
w �
m
►�
a
c
r•
C
r
0
c
O
d
n
N
A
0
,
N
1'►
Oi
n
x
t
A
�
.�..
n
d
e+
0
�
O
�
�
�
�
d
�
�
�
�
,
d
�
A
N
�M
Z
��
H �
o�
y�
��
�,
A�
�
��
!9 �
�o
�
�
H
M
N
r.
�n
0
O
r] N
~ 7 '0
2 O� �
o m
1
�
�
!
� �
o °
<
N �
o �°
M �
�o
O
�• d
R �R
�
�
a
m
�
.
v
�
R
m
m
w
0
�
�
r
a
�
O
P� C � 6 �
n � � � m �
r.• � W 2
fr Cl R C)
� �7 � � p
d „
�' � �
B V �/ �
m a .��
�. �
.� n� `
•"� � �' �
N � � �
� A � �
g �
�q K
�° �C "qc
�r K
m r h m �
LC
, ° � o a � � � �
� � � � �
�� � � �
+1 � � •
� � �; � �
\, � �
e
�d
N
�
�
0
O
� y
K
��
�►
�
� N
G
n
.Tm
►1
�O
�
tA N N
� o
�1
�(((qqq
N
•
M �
a r
�
� O
M y
'p� ►'�+
� �
�
Q
W
�
�
R'
N
I
� � O N�J
' M � b
z � Q �
� o Z�
r
e � �a y
�
� �
��
�
H Q�
O
�
�
� o
�
�
O
�
�
�t
•
r r M
•O
°a, � a
O� µ
r ho 0
m� w
a �
°�K
� � �
� a ''
y �
� F' N
� �' m
oa r
M K
O 5
�' Oo
N
a-
0
0
O
ii: �ii �i: a) �SI N
a�e m � •�i ►�i v�p
� ,7�'O M� y
•�°i mgw �� �
� O �
M ~
� � �
� r�
� G
� 7 l�
M A K
� � �'
.. �.
N N N N
0 0 0 0 �
. . . . y
o O O O �
N N N <R
I � � t"
l � �
� �
� .4d�, y��
M
Z Z fp1 O.� H � n'0
° � m h r m � n�f
��fJ Y F� M• C {J� ►� B
m o.��m rn�
M �' �'1 0� O K W 1�
�y h r0i � �C O m T
� � Y 7ry � C
� m �0 a a+
£�s M ,�
;�g� rr
b �
. ����' a
�1 W
�9 Y R m �'
9 S
[} � y�M pi 7
r 7r �0
� � M, ' � M
rsam � �
rrn rr �
� e o �t r�
7 � m � � <
m
�i+ p 0� O
ron►s z
e�+ � g � ;�
r Q.
s �m= .
. � o� ''
M
•�j � ~ O m
G M � ~ '�
'o�� �
�
ts' "` � a
, HR�� w
n r�
r ~s v p m
��o,, w ►'m m
IQ �p5.
0
Q
�
�
m
m
� �
m D
!y'� �
o Z
� O
�
O
Z
T
�
a�
� �
�'9 �
O tn
2
O DZ
� O
z m
a
� �
Z
N G'1
� •
N
3 O
y r
Z G1
C •
m m
< �
A
m �
N
�.n
O
Z
�
�
�
�
m
.�
�
..�.
0
2
a
2
v
e->
�
O
T
T
�
C
m
�
rn
-.,
�
n
�
<
�
�
�
�
�
�
a; ea
�C8 pau6�s
�'u ed wo�
� ) �N ( ) S aA
_ ( ) oN
( ) oN
i ) oN
( ) oN
s �.� ewaa
1d101
S�f118 �a4lo lltl
�o s,�8 6ui�eay �e�ol seH •g
pa��auuo� �la �elol
pue az�s .�o� s3uawa.��nba.� apo� �ua.�.�n� ��e s�aaw •5
( ) saA — pa�aoddns �'�a.an�as sI 'b
() saA u�y�iM pa6po� s3�aCqo u6�a�o� ou seH '£
() saA uo��e.�o�.�a3ap �o �sn.r wo�; aa.�� sI •Z
(�) sa� pau�wexa �f��n�a.�e� uaaq seH •t
`��e�s ,�o �Cauw�y� 6u��s�xa ay� �eyl sa�;�aan Fqa.�ay pau6�s.�apun ayl
NOIltI�I�Ia3A ��tllS GN1l A3NWIH�
SuBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
� �
COMMUNITY DEVELOPMENT DIV.
� PROTECTIVE INSPECTION SEC.
� ` _
, ----
r � ' ;
, . ,
� S i---1 � CITY HALL FRIDLEV 55432 NuMBER aEV.
�""'� � �'� 612-571-3450 9t0-F15
JOB ADDRESS �t�19 Concerto Curve NE
1 LEGAL ��T NO. BLOCK TRACT OR ADDITION
oescR. 9 3 Melody Manor 3rd
2 PROPERTY OWNER MAIL ADDRES$
Raber Fisher 7419 Concerto Curve NE
3 CONTRACTOR MAIL ADDRESS
DATE
7/8/91
L& L R�fing 2067 Norton Dr, Shakopee, MN 55379
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAII ADDRESS
ZIP
PAGE OF
� �
.1` I
ti/� ���
APPROYED BV
SEE ATTACHED
SHEET
PNONE
780�6019
PHONE LICENSE NO.
496-1435
PHONE LICENSE NO.
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK 0 NEW ❑ ADDITION ❑ ALTEAATION I� REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (23 Squares�
9 CHAN(3E OF USE FROM
TO
STIPULATIONS
Roo�inc� can he.ths 2nd laXer but not the.3rd,
TYPE OF GONST
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UN
I HEflEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
1
AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,196
WITN WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEFiMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEL THE pERM1T FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2��00
STRUCTION OR THE PERFORMANCE OP CONSTRUCTION. ___ _
SIGNATURE OF CON i RACTOR OR AUTHORI2ED AGENT IDATEI
Sa.
STALIS
LOAD
CU. FT.
�GARAGES
RTAX
$ . 59
� CHARGE
re SC $1.20
TAL FEE
$30. 79
�HIS IS YOUR PERMIT
� � I
ADIIJ � �
�� [ l
oonsti,�ct�an r,cia�s:
Iegal De�'iPt,ians _
owr,er rra�e & �-'�'. �:
ooa�trac�tor: =��
Address: ;� C. � � %
�
1�1 AI�ID 1�2
A,; 7 dir�g Permit Applicatian
Effective 1,/1/91
�j �,� 1 a � ��►������--�
t�- � / � ' . � /� �'' � 7 i � f r7rc?E� � •�.i�s'�
e�� l� ��1 � �. � ���'� �`'��
�
� r�.���� c. a�, 'l�el. � yi ji� ` l L�-� '�
�� ., �-%r�r�• _ .l i' :�l,Z,��=' ��`���� �� ��°"� �-� .�5 .�� � %�
Attach to this applicatian, a DeYtificate of S�vey of the
lot, with tiye p��ossd oar�truc.�tian drawn an it to scale.
��Pl'IQ�i � II�OHrlF�TP
I�VII� ARE�i: Iength Width i�e3ght Sq. Ft.
t�RAGE ]�: TpT� h Width Heic�t Sq. Ft.
D�CIC A�i: Width Hgt/G�ow�d Sq. Ft.
�� � :_�,� ;1 _ _ . � -� . / , ._.
�R:
�
O�rner Lat [] Inside Lot [] Ft. Ya Setback side Yard Setbacks n o� �
Zj�pe of �c.�tian: �a��=� F�timated Dost: $ �� // � �
Approx. �leticn Date:
Pro�osed Driveway Width If New Op�ir�g Is Desired: Ft. $ $
� ; Wid�h + 6' See Back � ge �
n�: % - � — `? �r�cAt�r: ��-�2� �` �.-�°'� �,�. a Te1. # ��'� - � y�� �
6 •
P�ermit Fee $ � �� �' C'°
Fire s�rc�arge $ l, o? C�
state surci�arqe 5 - -� i
SAC Q�azqe $
DriveWay ��vw $
Park Fee S
sew�es r�ain �arge S
M ����
STIP[JI�TICNS:
�
g �L�' � �
.�,i'1'Y �Ei �Y
Fee Sci�ac�ule an Revess�e Sic�e
.001 x Permit Valuatian (1/lOth $)
$.50/$1.000 Valuatian
$650 pex' SAC Unit
Alt. pA" Oi Alt. pB" AbC�iE
F+ee Detrexmined by � *�r; m
Agreeoent Neoe.ssarY L] N� Neo�ssaYY []
E:_�1■ � �, c �_�;.,.�4 �:�: ; •:i :�_�i _�
�e Chief Buildin� Official shall, befa�e issuit�g permits for the erectian of any
buildin� or stt�ct�e, or fa� any adciit3an to anY �dstin4 buildin4 a�' s�cd�e, or
for ariy alteratian or repair to any eidstirig buildin9 a�' st�vcture. �� ePPlication
�erefore� recNire the payment by ti�e applicant fcr eurh p�tmit of fees to the a�oo�t
herein bela�w set forth at�d in the �n�er heir_in p�wided to-wit:
ZO►I'AL �TAIIJE
$1 to $500
$5oi to $2, �o
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,�0
� � �.
S� (I'sini� I�ee is $15 plus �rge)
$15 fcac first $500 plus $2 for each additiaa�al $100 or
frackian theraof, to ancl including $2, 000
$45 fa�'fitst $2,0� plus $9 for each additia�al $1,000
ar fractic�"► thereof, to and it�cludir�g $25, 000
$252 fc�' fizzst $25, OQO plus $6. 50 for eac3� additianal $1, 000
or fractic� thet+e�f, to and includirg $50, �0
$414.50 fo�t f3zst $50,000 plus $4.50 for each additional
$1� �� fractiar� thet�ecf� to and including $100, 000
$639.50 for first $100,000 plus $3.50 for each a+dditianal
$l, 000 oZ' fTaG�tiC[i thet�ecf, to ar�d includil�g $500, 000
$500,001 to $1,000,000 $2039.50 for the first $5Q0,000 plus $3 for each additional
S1r 000 or fzactiarl thet�eof, to aT�d it�cluding $1, 000, 000
$1,000,001 ar�d up $3539.50 for the first $1,000,000 plus $2 for each additional
51,000 0� fractian thereof
DitIVL�3�lY D�BIaN F�C3�O�W
(Qoax��ete Ctirb Stz�eets �lY)
Alten�ate °A" ; Re�roval ard re�laoe�ent of a�b ani gutter cnly - DriveWay width plus
6 feet times $13.50.
Alternate "8" : Re�oval and replac�ent of c�rb and gutter ar�d install a 3 foot wide
apQroadl with 6 it� depfil� -�iv+ew�y uridth plus 6 feet tia�es $15.75.
�'/�+; �� �': M • � •i� ,• u,n�� u r.
Piermits far �ic� will be is�yed 8 minim�nn of 24 hour� fin�n the tiaie of
apQlicatiaaz to allcw fas pmoper tEView of the pzvpoc,ed �e ar�d of the
c�.t�ctian site.
A Oertificste of S�rvey of the lot, showinq the lxatiaa� of the fau�dation aayoe it has
it has baen constructed will be iequired before pYbaeediriq with the framing.
SUBJECT
City of Fridley
AT THE TOP OF THE TWINS gU I L D I N G P E R M I T
r
i �
� �` __�� COMMUNITY DEVELOPMENT DIV.
r � L � PROTECTIVE INSPECTION SEC.
� �
� � i�"1 � CITY HAII FRIDLE� 55432 NUMBER REv
�'"""� � �'J 612-571-3450 910-F15
JOB ADDRESS �419 Concerto Curve NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 9 3 Melody Manor 3rd
2 PROPERTY OWNER MAIL ADDRESS
Robert Fischer 7419 Concerto Curve NE
3 CONTRACTOR MAILADORESS
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAIL ADDRESS
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION
8 DESCRIBE WOHK
Revlace slidin� �lass door and two windows
9 CHANGE OF USE FROM TO
DATE PAGE OF
6/6/96 / /
ZIP
ZIP
`�����4
�
RECEIPT NO
APPROVED BV
SEE ATTACHED
SHEET
PHONE
780-6019
PHONE LICENSE NO
PHONE IICENSE NO.
PHONE UCENSENO
❑ REPAIR ❑ MOVE O REMOVE
R
STIPULATIONS
Replacement windows are not sleeping area windows.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICA�, PLUMBING, HEATING,
VENTILATING OH AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
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. OWLG. UNITS
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPI.IED @
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT W3sOOO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �7�F.7S
PLAN CHECK FEE
TU EOF N� A TOAO OAIZEDAGE IDATE� WHEN Pf
� � � � a G�p
TURE OF OWNER UF OWNEP BUILDERi iDATE1 ` �NSP
OCCUPANCY GROUP OCCUPANCVLOAD
SO.FT CU.FT.
OFFSTREET PARKING
STAILS GARAGES
SURTAX
$1.50
SAC CHARGE
Fire SC $3.00
TOTALFEE
$79.25
= Y VALIDATED THIS IS YOUR PERMIT.
,�,�/r � �-9'�
NEw
ADDN
ALTER
C]
[l
�1
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Applica.tion
Effective 3/1/96
��-s ��
ConstructionAddress: �a 1- � T �i-.j-Sy.eT� / �/ � �vr ���� �u r.a �
Legal Description:
Owner Name & Address: �¢� �r4- {..} F; S��..e �. r 75�/ `� Cmhcrr�� �'y,�Tel. #� dr�-� � 1 9
Contractor: �Q I -� MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECS AREA:
OTHER:
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction dra.wn on it to scale.
DESCRII'TION OF IlVIPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
�
��.ola�r s�'.P � � �v-� w� _�
�� �. p m �q s s e� r. � �•Qo �,�a � � ,✓,
Corner Lot [] Inside Lot [] Ft. Yd Setback
Type of Construction:
Approx. Completion Date:
Side Yard Setbacks
Estimated Cost: $ �_ o e o
�d �w''� � '
(�� ��� S
(Cost on Back)
Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � �6� �� APPLICANT: o �-e r -�- /„I_. �` �.� h Tel. # 7 S� � —Go / �
Permit Fee
Fire Surcharge
Sta.te Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
5TIPiJLATIONS:
CITY USE ONLY
$ _ r/.� Fee Schedule on Reverse Side ,
$ �-� �J O .001 of Permit Valuation (1/lOth%)
$ /. S7� $.50/$1,000 Valuation
$ $900 per SAC Unit
$ $5.� (Sta.te Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
� '7 - �-�!
BiJILDING PERMIT FEE SCHEDULE
The Chief Building Off'icial shall, i�fore issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to=wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,�1 to $25,000
$25,001 to $50,000
$50,001 to $100,0U0
$100,001 to $500,000
$500,001 to $1,Ot}0,000
$1,000,001 and up
FEES
$21 (Minimum F� is $21 plus surcharge)
$21 for fust $5� plus $2.75 for each additional $1� or
fraction thereof, to and including $2,�?0
$62.25 for first $2,OQ0 plus $12.50 for e.ach additional$1,�0
or fraction thereof, to and including $25,�
$349.75 for first $25,000 plus $9.00 for each additional $1,OQ0
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additiona.l
$1,� or fraction thereof, to and including'$100,0�
$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 $500,0(30 plus $4.25 for each addirional
$1,000 or fraction thereof, to and including $1,000,000
�5012.25 for the first $1,000,(�00 plus $2.75 for each ac�ciitional
$1, 000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Cbrb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�.
Alternate "B": Removal and replacement of curb and gutter and install a 3 faot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75 .
VERIFICATIOIV OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
SuB�ECT .
c�ty o� Fr�a�ey 2961
AT THE TOP Of TNE TW�NS g U I L D I N G P E R M I T
! � RECEIPT NO.
� `y _ COMMUNITY OEVELOPMENT DIV. ���
r � � PiiOTECTIVE INSPECTION SEC.
1 = i
� �"'1 � CITY NALL FRIOLE� SSIJi NUMBEiI AEV DATE PAGE OF AVPROVED BY
�""� � �'' 612-57t-3450 910-F15 6/3/99 / /
lOB ADDRESS 7419 Concerto Curve
1 IEGAL �OT NO. 9LOCK TRACT OR AODITION SEE ATTACHED
DESCR. Q 3 Melod Manor 3rd SNEET
2 PiiOPERTY OWNER MAIL ADORESS ZIP PMONE
Robert & Sharon Fischer -
3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO
Renewal b Andersen 350 7 -
e ARCNITECT OR DESIGNE1i MAIL ADORESS 21P PMONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION 0 ALTERATION �C REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Re lace 8 windows
9 CHANOE OF USE FROM T�
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels
of the dwelling per Sec. 310.9.1.2, 1997 U.B.C.
TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO
SEPARATE PERMITS AqE REOUIRED FOR ELECTi;ICAI. PLUMBING, FIEATING.
VENTIIATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SQ. fT CU FT
AUTHOR12E0 IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANOONEO FOR A PERIOD OF 120 pAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTpEET PARKING
I HEREBY CERTIFV TNAT I MAVE READ AND EXAMINED TNIS APPLICATION STALLS GARAGES
AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX
AND OFiDINANCES GOVERNING TMIS TYPE OF WORK WILI BE COMPLIEO �6440 �3. ZZ
WITM WMETHEii SPECIf1E0 HEREIN OR NOT. TME GRANTING OF A PERMIT
DOES NOT PpESUME TO GIVE AUTMOiiITV TO VIOLATE OR CANCEL THE pEqMtT FEE SAC CMAFGE
PROVISIONS Of ANY OTNER STATE OR LOCAI LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $139. Z'rJ Fi r SC G.44
PLAN CNECK fEE TOT F E
Lic C 5,0 .91 ..//11
S�GNATUpEOFCON'AACTQROAOUTHOA�IE04GENT ID1TEi MEN F�OP ALIOAT IS ISyrdiR PE I�
� �
S�GN4iUaEO�OWNEp��FOwNEpBWLOEp� IDATE� BLDG �NSp fj6TE
Prepaid Plan Check $
Estimated Cost $
Receipt #
CITY OF FRIDLEY
R-3, CONIlV�RCIAL & INDUS
BUII.DING PERMIT APPLICATIO
Effective 1/1/99
��I�,
� � � 1�
N � ��
��
. �P
co���� �8 ��l 19 �o n �-e.� ��r �, .•. ; d I-e� � m� �
-. _
•, - •..t ---
..� . - • .�.�• � -�.i�r.����
_ -•
5�,�„� Q,d,n p,,l� \ Tel# 7S0 -C90/9
, �sa -�3`� rat.�.o ,�,f.. �,d �e��# s-ba- � �
1
�'nrri nPPr RECJ. #
�
BUII.DING NSTRUCTION
TYPE oF WORK [l Ne�a► L] , Additi� Alteration -Describe
oFC. �: L�en9th
TnII�SE �RF�: Length
��1+.i�� t � �!'�
APPLICANT
Width
Width
Height Sq. �-
xeight sq. �.
Height Sq. Ft.
0
�•
T8i # �-a8s� Date s-�a-cQ �29►
1AT
sq. Ft. x$ c:ost/sq. Ft. = Ualu,ation $ ?
�. F't . x $ cost/Sq. F`t . = va]a�ation $ )
Sq. Ft. x$ Cost/Sq. Ft. = Ualuation $ )
� � m
_ $ CQ, 4Y0� .
T�L� VALUE
�;1 �q � C.onstn.tction Type ���Y �
Air Conditioning ❑ Yes [l No Fire Protection Pmvided ❑ Yes L] No
Perforn�ance Bond AmAUnt $ See RevPx�se for Schec�ul.e Received Ll Y�' �l No
�t F� $ I 3R - as
Plan Check $
Fire SurchaYge $ (A • �-i �
State ��urCharge $ 3 •'01.2-
SAC Chazge $ j rOC"�
Erosion Control $
P3Z'IC FEE �`
spec. Assessments $
Drivev�ray Escrow $
Z�O�L $ 53 � f
See Fee Schedule on Reverse Side
In Excesa of Prepaid A�t - See Reverse Side
.001 x Permit Valuation (1/lOth a)
$. 5o/$i, o0o valuation (see scr�a. for > Sl r�ii�ion)
$1050 per SAC Unit (Plans to P�bJCC for detern�ination)
$450.00 Consezvation Plan Review
F2e DEteYmilled By ETlm n�ri nQ
A�e�ent Necessazy [] Not Necessa�y []
feet x $13.50/foot
�_ ATTACH STIPULATIONS
�' �� V/iJ� �f��.C��C �'?���z�T� /.�/ �
�',a/�c/��2��.� �•vo �f ��G ��1/�.J' 6�
`� .� � ' , vlo. �� /, �- i�� ��C.
�� ���';�,G� � � 7
$1 to 500
501 to 2, 000
2,001 to 25,OQ0
25,001 to 50,000
50,001 to 100,000
100,Q01 to ' S00,000
500,001 to 1,000,000
1,000,001 and up
$1 to 2,000
2,�1 to 25,000
25,001 to 50,000
50,001 to 1Q0,000
1Q0,001 to 356,000
Over $356,000
BUII.DING PERMIa FEE SCHEDULE - - _°
$21 (Minimum Fee is $21 plus surcharge)
$21 for lst $500 plus $2.75 for each addn'1 $100 or fraction, to and including
$2,Q00
$62. 25 for 1 st $2, 000 plus $12. 50 for each addn' 1$1, 000 or fraction, to and
including $25,0�
$349. 75 for 1 st $25, 000 plus $9.OU for each addn' 1$1, 000 or fraction, to and
including $50,0� � _ . . . �
$574.75 for lst $SO,ODO plus .$6.25 for each addn'1. $1,Q00 or fraction, to and
including $100,�0 .
$887. 25 for l st $100, 000, plus $5 . 00 for each addn' 1$1, 000 or fracrion, to and
including $S�,OOQ
$2887. 25 for the 1 st $500, 000 plus $4. 25 for each addn' 1$1, 000 or fraction, to
and including $1,000,000
$5012.25 for the lst $1,0OO,OQO plus $2.75 for each addn'1 $1,000 or fraction
PREPAID PLAN CH�CK FEE SCHEDULE
$29.25
$29.25 for lst $2,000 plus $5.85 for each addn'1$1,000 or fraction, to and
including $25,000
$163 . 80 for 1 st $25, 0� plus $4.225 for each addn' 1$1, 000 or fraction, to and
including $50,000 �
$269.43 for lst $50,0(}0 plus $2.925 for each addn'1$1,000 or fracrion, to and
including $100,000 ,
$415.68 for lst $1Q0,000 plus $2.275 for each addn'1$1,000 or fraction, to and
including $356,OD0
$1,000 (Balance due with issuance of building permit) .
PERFORMANCE BOND POLICIES
When a building permit is issued for a commercial, industrial or a multiple dwelling residential project whicl�requires
outside improvements,a Performance Bond or a Letter of Credit shall be submitted to the City. Tfie bond wilY cover
all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences,
lighting, water & sanitary sewer services, and storm drainage systems. �
Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3% of the
building permit value up to a 2 million dollar project or a$60,000 bond. Actual amounts will be rounded to the nearest
$100. The City reserves the right to require grea.ter or lesser bond amounts based on unusual circumstances. Projects
with no outside impro�►effients, generally will not require a bond. �
Bonds must remain open until the proje�ct is fully completed. Reproducible "as-built° drawings of all exterior
underground utilities must be submitted to the City Engineering Dept before the project is considered complete and
the bond released. All bonds will be held over one winter and through the next growing season to insure the survival
of all landscape instailations. The City will then inspect these properties in August of the year following the initial
planting. Bonds may then be released in October of that year if all improvements are satisfactorily completed.
5u8�8tr
City o� Fridley
AT THE TOP OF TNE TW�NS
r
� :
� ; y __��� COMMUNITY DEVEIOPM�NT OIV.
r � � PiiOTECTIVE INSPECTION SEC.
� . �
� _ �"'1 � CITY HALL FRIOIE� 331y2 Ni
�""� � �'' 612-571-34b0
�oe AooRess 7419 Concerto Curve
t LEGAL LOT N0. BLOCK TRACT OR
oesca. 9 3 Mel o dy
2 PROPERTY OWNER MAIL ADDR�S$
Bob Fischer
J CONTRACTOR MAIL ADDRESS
Eagleview Const. Inc. 2937 174th La�
4 ARCFFITECT OR DESIGNER MAIL AODRESS
5 ENGINEER MAIL ADDRE$S
8 USE OF BUILOINC3
Residential
7 CLASS OF WORK
p NEW ❑ AOOITION
B DESCRIBE WORK
�U ILDING PERMIT
9/0-F15
nor 3rd
DATE G � �
�X��X�(i(
21P
ZIP
PAGE O:
� �
PHONE
�
PMONE
PFIONE
%29739
RECEIP O
�3�63
�PPROVED B�
SEE ATTACFIEO
SHEET
LICENSE NO
043
LICENSE NO.
LICENSE NO
O A�TERATIpN � REPAIR O MOVE O REMOVE
Reroof house and qarage (30 Sq) Tear-off
9 CHANOE OF USE FROM
STIPULATIONS
TO
Underlayment must comp1y with the State Building Code.
SEPARATE PERMITS ARE RE�UIREO FOfi ELECTRICAL, PLUMBING, MEATINCi,
VENTIIATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL ANO VOIO IF WORK Ofl CONSTRUGTION 2ONIN(3 SO. FT
AUTMOpIZEO IS NOT COMMENCEO VyITHIN 80 DAYS. OR IF CONSTRUCTION
OR WOiiK IS SUSPENDED OR ABANDONED FOR A PER100 OF 120 DAYS A7
ANY TIME AFTEp WOfiK IS COMMENCED. NO DWLG. UNITS
I HEREBY CERTIFV TNAT I HAVE READ ANO EXAMIN�O TNIS APPLICA710N STALLS
ANO KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of �AW$ VALUATION
ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL QE COMPUED @•L62�
WITM WHETNER SPECIFIEO NEREIN OF NOT. TME GRANTING OF A PERMIT •P
OOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOLATE OR CANCEL THE pEAMITfEE
PROVISIONS OF ANY 07HER STATE OR LOCAL LAW REGULATING CON- Q83. Z5
STRUCTION OR THE PERfORMANCE OF CONSTRUCTION w
- PLAN CNECKfEE
�C���--- zzR Li cense SC $5.00
S N4TUA OF CON7AACTOA OA AU�NOp�2ED AGENT �Q TEi /,�WMEN PROPERLY
No7UAEO�OWNEp���O�MNEMtlWLU[h� � -oc�x+i•^
OCCUPANCVLOAO
CU FT.
' PARKING
GAiiAGES
' $1.31
SAC CMARGE
Fire SC $2.62
?OTALFEE
$92.18
)ATEO TMIS IS V R PERMIT
� �'ZZ-�
,�vTt
NEW [ J Effective 5/ 10/99
ADDN [ ] CITY OF FRIDLEY �
ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2 ��
BUII,DING PERMIT APPLICATION � �
�i � �
Construction Address: �% % �� �� (�e���� �
Legal Description:
Owner Name & Address: �� �5� � Tel. #��� °��o b/9
Contractor: �'��� � o�� . �c_ MN LICEN5E # �a�� ���
Address: ��l � '7 / 7 � �' ��`'� Tel. # ��3 '� S � �'�
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width HgtlGround Sq. Ft.
`�_ ��
Construction Type: �2� � � Estinnated Cost: $� 3 d�_ �
��
Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �'I' APPLICANT: Tel. # ��� "�S`�� ci
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �3,�?5
� v?• ��
� .3i
$
� ��UD
$
$
$
$
$ �� ��
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 [ ]
BUII�DING PERNIIT FEE SCHEDULE
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 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,OQ0
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$SOO,QOl to $1,000,000
$1,OU0,001 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 $25,000 plus $10.10 for each additional$1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,0� or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,0�
$3,233.75 for the first $5(�,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,0(?0
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1, 000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "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 construcrion will be issued a minimum of 24 hours from the time of application to a.fllo�r✓ �or proper
review of the proposed structure and of the consixucrion site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has b��n ������� evill
be required before proceeding with the framing.
��
(� D� W�� n�i m n�i �� m n�i o c0°o Q rn
.� r m v n� n�
� iv r� ��- �n v� m m m 3� � g� �
� o � .D '� .n � :U -� -� -� � C 3 O 0 � -7l
� � �
� � m � � � fD � � � � � m N. W m �• �
�
—I � � � * * m m ='• �D � °� � cn �
< � � � � � � <' r cn, y v,
� � D m < ' m�° �� � � m z
z m
D o � cfl ' m �-�v_ o�i � �
� � O o � * � v' � T
(n Cn � � o � � � � c
_ � c � o � � �
� � o m = �.
v
r � D � a
� -_
m -� �. � cn �
� O cfl � Z ai
�
rD- m � v
O � ^
p rn v
m m "' °
I I(�I I I I I I( I I
� � � ������������
m o � � � w w w .� � � � .� � s
A Z �, o o cn cn cn o 0 0 0 0 0 0
-� - — - �- _ — o o_ o � � o- Q- o -o-a a � �
0 0 0 0 0 0 0 0 0 0
� la
C� t �� �� � ?
m f��; ' �� �-I,
� �= � �w
O �
Z
�
0
.A
�
D 03
D '" z
Z
o mc
D 3�
°0 � m
�
m p m
°' m �'
D 3�
� �`
-o
x
y
�%�� Z
�J �
�tj �, 0
�^ z
a�
v
v
0
m
a
W
�
�
0
c
m
�
�
v
°:
N
�
v
v
�
m
�
G)
Z
m
v
�
� �
� �
� �
� m
� v
O n
� �
� �
z �
�
� ' -,',
�
a�� �
J
�� �, �
'�'1 � �
�a �iC
�.%°
�
m
r
z
0
,iI �
�)_ i
- r:
l._)
�
��
m
�
�
_�
Z
O
W
c
�
v_
z
�
c
�
m
v
('�,
�r�
�
�
�
�
O
Z
m
�
,�
;�
�
�
��
�J
� o
F� D
- "i
� m
�" �
�
��
�'
ti� i
N
- �- --
� i
a �
� -
n �
� �
o i
S �
��
c i
Q �
n t
v:
<: i
�
� �
� :
n� ;
� -
a�
� c
m �
N �
�
C
a a
��
m ?
v� -
� =
n: (I
� c
r. �
�- �
m �
� �
� �
� u
�
i �D
fi �
> >
��
m
i N.
i �°
> >
s' n.
� �
i �
i �
� �
��
>�
C N
�• o>
v
+ �°—.
�. �
i o
i '
) -�'
) �
s -�
>
> �
: _�
r o
• .�
r �
� �-
� �
'r �
� o
� �
� s
i �
i �
�
�
r
C
�
Z
�
�
�
c
�
m
�
m
�
z
0
�
m
�
0
D
r
�
O
W
D
v
v
�
m
�
�
�
4`�"-.
<� =�
�
�
a
�
�
� � � n
w °- � �
(D
Cn '� C O
N � � �
w Z m
o � � �
� � � �
-n N � �
� Zm
� m �
w Z
� �
-� m
; n
o -�
v O
Z
<
�
�
r
D
--I
O
Z
�
�
'�
r
�
Z
a
v
D
�
�
-_�-I
Z^
Y/
�
rn
3
--1
�
( ) oN
: a�ea :/�9 pau6iS
�0� JNIl`d3H
aqia�saQ :SNOIltl2�31"1d
acLil ui �a�aweiQ �} y�6ua� }} �y6iaH �o��auuo� �uan E# a�uepddy
ad�(1 ui �a�aweia � y�6ua� �} �y6iaH ao}�auuo� �uan � a�uei�ddy
ad�tl ui aa}aweiQ }� y�6ua� }} �y6iaH �o��auuo� �uan �# a�ueyddy
sau�w �a�aweia �y6iaH �uan ad�(1 �uan uowwo�
}ndu� n}8 I�l�l sa�u�qddy �e�ol
�eN ao pa�sissy ue� �ndul f119 ad�t,� E# a�uei�ddy
�eN �o pa�sissy ue� �ndu� �l8 ad/�l Z# a�uegddy
�eN �o pa�sissy ue� •� �ndul f118 ad�(1 �# a�uei�ddy
uor�ew.io�u� �o;�auuo�;uan pue luan uowwo��azig pue a 1 a�uei� d
( ) saA •sapo� �ua.un� �ad se ��a�e�edas
pa�uan pue �uan uowwo� ay� wa� panowaa uaaq sey a�uei�dd� ue
, �a}}� �t���a�ao� pa����sui pue pazis sao��auuo� �uan pue �uan uowwo� ay} s�
() oN () sa,� .' •sa�uei�dde }}e�p �e�n�eu pue pa�sisse ue� �o� sa�qel 6ui�uan
a�ewn� �e��ua� � �Go6a�e� y�y�-y�y apn��ui saop siyl •suoi�e��i�ads
s,�aan��e�nuew pue sapo� �ua.un� ay� s�aaw pue �(�quaasse pa�si� e si �i
�ey� sa�i�an �(qaaay pau6is�apun ay� `wa�s s ui;uan nnau e ui���sui uayM
( ) oN ( ) Sa�l
( ) oN � ( ) Sa�l
�suoi�e��i�ads s;�aan�e�nuew pue sapo� �ua�n� ay� �aaw o�
pall�3$ui pue pazis aq Ilw► �! a�e uoi;snqwo� nnau e ���su� o� pa�inbaa uayM
� �suoi�e��i�ads s,�am��e�nuew pue
sapo� �ua�n� ay� �aaw o� pa����sui pue pazis si �ie uo�;snqwo� u�sixa ayl
( ) oN ( ) sa� � �sa�uei�dde ���p �e�n�eu pue pa�sisse
. ue� �o� sa�qel 6ui�uan a�ewn� �ea�ua� �/�o6a�e� yWy�-y�y apn��ui
saQp siyl �suoi}e��}i�ads s,�am}�e�nuew pue sapo� �ua�m� ay} s�aaw pue
��qwasse pa�si� e si �iun �uawa�e�da� ay} �ey� sa�iaan os�e pau6isaapun ayl
() oN () sa� •u�oi�euiuua� pue snnoq�a �o aaqwnu 'y�6ua� `6uizis 6wpn��ui suoi�e��i�ads
�a�n��e�nuew pue sapo� �ua.un� ��� s�aaw pue �nd�i�se�d si wa�s�(s 6ui�uan ayl
. . �
O oN O sa� •pa�mba� a�aynn paddo�sa�� pu� pa}aoddns ��aan�as si pue
'suoi��ru�sqo 'uoi�e�oua�ap `�sru wa} aa�� si pue pauiwexa uaaq sey 6ui�u�n
ay� �ey} sa�uan /�qa�ay pau6isaapun ay� `a�eu� � ui;sixa ue ui�e� a� uay�
NOIIH�I�Ia3A ?JIH'NOIiSf18W0� aNt/ 2i01�3NN0� 1N3A � 1N3A NOWWO�
SlIINa3d 3�Nbl'lddb JNIN�lf18 "13f1� 1N3W3�H�d321210� J1�313'1dW0� NI ��I�