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AF - 38022� � City of Fridley, Minn. BUILDING PERMIT Date: Sept . 9, 1968 pwaer; Homedale Blders . Buiider ��e �,g� 5217 Wa�zata �lvd Address S�� 992� LOCATION OF BUILDING No. ��444 s�t � Concerto Curve � ____ p� of Lot Lot 6 _ Black 2 Addition or Sub-Divisian . � Melody Ma.nor 3rd Addn. � � � Corner Lot �_ Inside Lot � X Setback 35 �_..__ Sideyard ._._.. 10 � 0 Sewer IIevation �— 8�0 65 � 883 65 Top of Footin� _ DESCRIPTION OF BUILDING To be vsed sa: Dwelling �t 36' �p� 40' H�t 20' �, �, 1210 �, � 24200 Gara�e �nt 20' Dep� 24' g�t 10' �, �, 480 �, �, 4800 � og �� Frame ��, �_ 20 000 To be Completed Dec. 1968 SEWER LOCATION WATER LOCATION - - 122' E . 0�6 Manhole 152' E. of Manhole In consideratton of the isauance to me of a permit to construct the buildfng descrit�d above I agree to do the proposed work in accordance with the description above aet forth and in compliance with afl provisiona oP ordinances of the dty of Fridley. �/ �_ � � � � _ ,f ,_ Ea consideratton of the payment of a fee of $ 45 .00 � permit fs hereby gran,ted to �omedale Blders . to construct the building or addition as described above. This �ermit is gi�anted uPoa the express c�ndition that the peraon to whom it ia granted and his agenta, emPloyees and worlmnen, in all work. done i�►, around and upon safd buildiug, or any gart thereof, shall conform in all respecta to the or�linanc�es of Frldley� Minn�an� �ggr�1g loCfttfon� Constru�tton, alteratlon� ma3aten8nce� repsir aud moving oP bu3ldf�e within the dty ]im�lts and this permit may be revol�ced at any time u�n violation of aay of the proviaions oY eaid ordinanc�. _ a le Bt�ildin8 Inspector n NOTIC� Tld� psneh doa aot �ver tlu eoeurudioe, IestallaHoe fer wMee, plumbiee, en heaNng, awu or wafsr. � wn te a� fha Buildie� lespectae to� aparaM p��ts }ar thxs h�ms. __-==a ' ` � � . r �.� , � ,_._ _. .. �...�R... � �� 1�anDPlannirr� 68?'S-/ti�iir� �'C3' ��. Lad1 Surv��ia� M��ev�t�s 32, .S�ils Trs�m� 1r.� � � 1 r�� ' N �. ,tl�nr�esnla Civ,l b Ati�ri�rrpc! - �Ldrtef d-60GP� i ��t�r�� ` — En9in�ers � Surveyars -- . ce��t��cafe �� s�,s�re �o: � �'�'1 OFVEI.��a�n'� � i� HOR'�'i�l , 55.01 3 .� .,� .,�. . . .. ,� . - o � . � . — �� SO '.-'' �o � �,�,��„ CONCERTO CURVE � � J � OENOTES tQ4N�_OENOTES ORAtNAGE AND UT�LITY EA�EMEf*tT LOT 6;,`SLOGK�_.MEL4OY MAM�R �RD A001?1�lN NNOfIA C TY !/rurby cerfe�y fliaf Nus �s � fi-ue ard � rcpn+serrfef�r► c�'a srr-r� �'lhG �es � ad�uf o(�rr6�d �ald, � oj'!Vx /acv�ii�n q('o!1 �IQrrr�s, flxieon , aed d! ns�blt axr�rhmm%s . E�'a�y. �i�ri � a.rovd lmad. As wrrrr�ed � me fflr� ', "' - r� q(' � ��s.,.,_i„ a.o r�.. SU8U2BAN EMC�11�tEEt�'tNG , INC. C�rr�� E* S'ur�t+�ora Scale:itl� Q � ��,�� .� � ..ti� F�`r�.�.�.. �� a s}u .. c > APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � i � :,.��i�: � . ` � � : ` �.. � �tJ ADDRESS � ADDRESS � LOCATION OF BUILDING N0. �� STREET�'��e��,,�,��' [%�t�� PART OF LOT ' _ LOT � BLOCK �i ADDITION OR SUSDIVISIOl�j�� .7 �%�' CORNER LOT INSIDE LOT d� SETBACK .�' :'� SIDE-YARD /G °' f C SEWER ELEVATION TOP OF FOOTING Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. `DESCRIPTION OF BUILDING To be Us ed as : __��,�'��'ib� -- Front �� Depth �� Height � � �� T' Sq. Ft . �,,� / �' � Cu. Ft . _ � � �D o Front � � Depth �► Height_ � � Sq. Ft . C,L�� Cu. Ft . ,C,� f�"� � Tqpe of Construction ��i��, EstimaCed Cost �.�� - To Be Completed �,��'� ��. The undersigned hereby makes application for.a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Qrdinances and ruling of the Department of Buildings, and hereby declares that all tha facts and representations stated in this application are true and correct. DATE �"� � � (�� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). " �� ` � �? �° �'1- 5, S � /-� _� . - . .� . 5: � ^ � > � .a BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of structure, or for any addition to any existing buildi.ng;or structure, or for any alteration or repairs 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; . Ur.iform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical con�ents:. Type 3& 5-$1.50 for each one thousand cubic feet, For the purpose of computing fees��for building permits, the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main 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 proposed work. In no case shall the fee charged for any•permit as set forth in Szction 2 be less than $S.00v ' _ NSSSD Connection.Charges based on location- Area 1 or 2. s<.. , _ ^ ^ -- .. . '. 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M : °x : � . m : m . h : o . � . m . Y �\ � � N � �� r� be �' � � � p� � m � � z x � � � � �� " � � � � � � � � �� o�� ,., . x �pJ y : O � �D � • � p 'd R' ,d � � S � ' � a ° : � � � m �' : � �: : � � � � � . . o,a . . . . � . . � . . . . : . . . � : : : : . � . . � . . � . Q � oa k aa °1 x aa x k �e sa � � N � ;� � � � � � �o � � � �� o � � � tfl en ti� � tsi p � '� O � � �� O p x �, � � � � `� 0 a � O � � � � D � r � --� m � _ m C r m � o � � a °� b � � a .x, . a w n, �-. p� � ,� � w a. � � Stori� � � - .�. WATER • � � URINALS � �� , — � � p -� etis�r� hT � � � SINKS � � � wasH � raArs DRINK. wur�rr. sHwRS. FLOOR � DRAINS GTCH A BASINS � nuro V✓ASHER � GAS APP�. GAS � RANGE GAS j OPENINGS �� 8 M a o„ � tn pb M �. Z • � � � � � C� aa� � � �� `��na� � �o�� °ro' 'C oco�'°� �� b ��.o� � � �� °�° � � � � � ��b �� o-�� p � m o � �o p ,�o a ° � � � � y N fD � 'p a� �.� � o�� y �.w� � ��o � � .- � � � .� � I� 3�� " d �A �ro a0 Rx & �°n p � M � � � W .� L"`' —�••` � ,�a �. �� i a � ` : � i0 � � � :�. �' � � o � .� � � � �. x � � 'o m � � �'� HOUSE HEATING TEST RECORD ,� ADDRESS, '��T � �f;'C�� APT. F OOR CI BURB ��?'�`��`� OCCU��T OWNER - � HEA�"LOSS DATE HTG. INST. ^AS C0. METER BADG SOLD BY INSTALLED BY % ..�� Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS IG CONVERSION MAKE MAKE OF BURNER Model � � Model Sxial �� Max. BTU Rating INPUT ��,�� MAKE OF FURNACE Model �ONTROLS � � THERMOSTAT '�� t Plug Vent Size Va��e KIND OF LINER Z NONE Limft �' Drah Hood Regularor Limit Setting s-� Filters Size Num Fan Setting !�� Chfmnsy Loeation Inside � Outaide Pilot Type Chtmney Construetion Pilot Make - A Pilot Model — Z !� Smoke Bomb Wiring �� PiloT Timing Draft t� � Tsst Tap � L.W. Cut Off D r Pressure Lighting Inat. c e s t Preasuro �� P e C�.. ate Tsated �— � Input CFH�� P��e�it��D2 P r mpany Testing Stack Temp. Percent CO � e Name of Tester Form 235 sue�ecr PER c�ty of Fridley -- 2 2 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � ECEIPT NO. � 1 L____ COMMUNITY DEVELOPMENT DIV: r � � PROTECTIVE INSPECTION SEC. ' i ' � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""'� � �� 612-571-3450 9t0-F15 6/�� / / JOB ADDRESS 7444 concerto Curve 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Ej 2 Melady Manor 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arnold Ficocello 7444 G�ncerto Curve Fri.dley 55432 786-4997 3 CONTRACTOR MAILADORESS Z�P PHONE LICENSENO. �NiIIE:i 4 ARCHITECT OR DESIGNER MAIL ADDREBS 21P PHONE I.ICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 8 USE OF BUILDING RES].C�iPSl't3.31 7 CLASS OF WORK ❑ NEW a ADDITtON ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add face brick. t�o the ara e and en �za 9 CHANGE qF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS AFE REOUIRED FOR ELECTFiICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Br1C�C THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF I.AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �`ZOO. OO �`. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. %e �JQ PLAN CHECKFEE TOTALFEE 8. Q� �NATUREOF� CTO�R, ORAUTMOR12EDA ENT � IDATEI ,.F- �� HE PROPERL V LID E T I IS YOUR PER IT i ��-� � � �' �� i � � ` � � SIGNATUFE OF OWNERIIF OWNER BUILDERI IDATEI _ G �NSP �ATE CITY OF FRIDL[Y • Af'PLIGII'fI0'd FOIt l;f:SIUE�idTI/1i_ QUILDI�IG 1'CFtt�iITS (tdc►�r, A1l:er.�Lions, Itdditions, or Rc�airs) � � L� o��r��len: �V n� Id � � e� � ADDRESS :% �'%G/�/ �o �i Cev�� CLi v rr e T�L �0: �� j`� �% �UI LQER : . �'��' • /IUDRESS: • 7EL f�d0: ' Construction Location ' STRI�T NO: �% �'%� STREk:T: �o °Til C� �' �� G�G � v G � , ? � � � �— r,o�: � Br�oac : � r,nnzTxo�t : ,�� 1�/��,�^-�-.�'�- � . Corner Lots Insicle Lot: � SetbacY.: Sideyards: Ap�],ica.n� attach to tliis form two Certificates o£ Suxvey of lot and proposed building locat9.on drawn on certifica�es to scale. . DESCRIPTIO;� OF C�t��STRUCTIOPd • � � � �aCe �tG� I'ron�: Depth: Iieight: - Square. k'eet: C�ibic Feet: � 2�e ��i c' G� r'ront : �..9 Depth : � H eigiit: Squa2:e• Fe�t: Cubic I'eet: . � . �.�- Type of Consicruction : Estimated eost: .$ o�, ?t� $e Dor,�pleted: ' . . � A].t. A Alt. B Proposed Dzive�•�ay Width If New Opening Is Desired: $' $ . . S�� R�VERSL SIDE OF SHEET , Tlie unde�rsiqned ]7ereby makes application �or a permit £cr the �.nrJ:� herein specified, agreeing to do .al]. work ir� s'tract accordancc �•�ith tiie City of Frid�.ey Ordi�iances and ruli�igs of i:lle Deplrtment of Btzildings, and hcr.eby declares that all tlie iacts and rcpresen t.ztions stated ;n thiS iippllCc"tt10 re true an �rec�. � / J ,,�� D.'�TF: �eTl �1. SzGNATUF�:: d �a �� Sti��ulations : � � S•� �} � ��O �� . . � � , �:, .. • �u�i_n�r�c�t�r�r,��r r-�;,_ sr.��rr.�u�_c:� `�,.. . :,l�;C:'.Cx01�7 2. �'J.'1�Z 7�i�..��ccLar. of: ljui.lc?.i��J:: :;1►;il.J., r��r�,�:�: ,.-; .ui.ucJ J��»nit;; for t:lic err.cL•i.on c>f illl� ��U].J_(�.I,l1�j ar :;�:L"lIG1:11L'C� c,r. f:o�� an�� cacicli.t:i��n !.o �uiy cr.ict:i�i�� Luilclinc3 or :;LxucLtzr.c, . ci�- f:ar z,r��y �i).t.c�rt.�t:i�,n or. r.c�rti.r.s t:o •any c::S.�.t:i.i��l hui.l.di.n-� or. sL•�:uctur.c, uJ��n ar>pli.caL.f.on �i:h�1:.;L'or.c:, r.cqu.i.�:c t�h� ��y�nei�i: ?�y tlic ar�p].i.c:aiii: £or- :;uct� ��cr.mS.L• o!.` fecs ta tl�c �inotant hcr_e..i.�i beJ.cn�� sat for.th �ulcl �.ii L-he �aa»r►c�: hcxeS.n p�:ovidc:ct L•a-t•:it: . � I:E�•J COI1S`!'ItUC'�.'IOtJ: SingJ.c l.'��mi1.y lloir,es and Ga�'�zqcs: ;:4.00/].,000 cuLi.c Zec:t:. • I'Lt:?� C;II}:Ct;: 25 ��r.r.ce��t: aL•' huS.�.cli_�a�J }�cr.miL iec. Ultl'Vl:t•;111' llL•'L'P.c:55T.01•:: (CanczeL•c_ C'�irb uLreeta Only) �' ' Al.tern�zt:e n: It��noval a»d rep].ac�n�ent oi conczete cur.b and qui�Ler only; l�riveway ��ridtli p]_us 6 feet r. $13. �0 � A].tcrnate B: Re�noval and rep�acem�,�t of concrete curb and • gutter and inst��ll. a 3 f-ooL- wide aP�roach �ait.h '' .� 6 a.nch clepth; Drivc;•�ay �•ridth plus G feet x$1�_.75 • . �PllI T 10��/1�. I t��OR��1�T I0� I'or the purJ�se of co�ttput5_n� iees £ar. building permits,. the cubi.cal. cor.tents of any buiZdi.ng or. addiL-ion, a,s deL•er.mined by rnuli:ip7.yir�g i�ie c3round area coverecl from a ��a.nt si.x (G) inches below ihe i'].00r J.a.ne oi L-]le basemeni: or th� cellar to 'tlie average hcights of ihc •upper su�:.facc or to ihe average heiPub of the roof surf_�ece oi 11�e naa.n gable of a pi.tched roof . ' Fox' re�zi.rs or alt�r�tions i:o an existing structure, the fee shall be �t the xate of $3. QO �ier. eacli f_ive hundred dollars -� ($500.00) or fracL-ion '�liereaf in the cost of all proposed wor.k. , • . In •no case sha;.1 'the fce cliarged fc�x any penni.t as set %rth i.n Se�tian 2 be less � than $7.50 plus $.50�state surcharge. _ � • ' _ V�RTFICATIO�! OF F�U3�IDlll"IOfd ' N�TE: Permi:ts �or construction �eill be issued a mi.nim�m ui 24 haurs from ih� time oi S�j��1Cc"i'�1011 to a].low for proper re�Tiew of t}ie proposed structure and of tl�e construction site. 8 Ceri:ifi.cate � of Survey of �he ].ot, sho�,=i.ng the location oi L•iie founr3ation once 3.� has been coxistnictcd �.*ill be xequired be�ore pr.oceediilg �•rith the traming. .�:f�TIFIGj1TE OF ��UPAt��CY_ � � ' ' 1►Pp].ica�ic�n for a Certificate oi Oceupancy shall, be mad:� ten (10) da1�s prior to the - use o�: accugancy o� any stz�zcture for �ahich a l.�uilcLi.ng permit i:as been issuc�d; and sriicl st�:uci:ure shal.l iiot be usec� ar. occupied i:iiti.l a Cezi:j.iica�e of Occui�ancy has �CCIl ],SSUC(1. ❑ 0 ' • ' a .� � sue�ec* P .--� City of Fridley 2 5 9 2 6^ AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ; � RECEIPT NO. � ; y � COMMUNITY DEVELOPMENT DIV. r � • � PROTECTIVE INSPECTION SEC. / �� 1 ` � � /"'1 � CITY HALL FRIDLE� SS432 NUMBER REV DATE PAGE Of APPROVEO BY �'"'�� ,�� 612-571-3450 910-F15 4/13/98 � � J08 ADDRESS 7444 Concerto Curve NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 L Melody Manor 3rd SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PNONE Jim/Darlene Heckman 7444 Concerto Curve NE 780-0075 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO LaFrance Exteriors 342 Mckinley St, Anoka MN 55303 712-1090 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDHESS ZIP PHONE LICENSE NO. 8 USE OF BUILDINO Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION [� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (29 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY (�ROUP OCCUPANCV LOAD SEPARATE PENMITS ARE REQUIRED FOR ELECTfitCAL. PLUMBING, HEATING, VENTILATING OFi AIH CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO SO. FT. CU. FT. AUTHOHI2ED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFV THAT I NAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �2y41$ �1.21 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TNE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION O TME�fOR NCE OF CONSTRUCTION �%4.%5 Fire ��.' �Z.�FZ �/' PLAN CNECK FEE T07AL FEE � ' L '�� Lic C $5 0 $83.38 ' S�GN R CONT CTOfiO AUTM0�7�ZEDAGENT � TEi EN R P VALIDAT 0 THIS IS VOU PERMIT Q - � _/� V SiGNATUAEOFOWNEAi�FOWNEABUILDENi IDATEI BLD �NSp ryATE NEW ADDN ALTER Il [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 � �� h �1 ConstructionAddress: ��L�� r� �� Legal Description: Owner Name & Address: �� . � Q�-� ��'� Tel. # 2�� Contractor: �� i�/�� 9��s/�'� MN LICENSE #� �� Address: � �� /d/!G �l � v�Ll v� Tel. # �/� ° j�I � � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Length Width Length Width Height Height Hgt/Ground �� - i� Sq. Ft. Sq. Ft. 5q. Ft. v � / Construction Type: �Gl� �7"� � � Estimated Cost: $�--�I ' °�`�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ • - 3 ' � �APPLICANT: � �'n� Tel. # �/� `�!'�� DATE. / Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ �/� $ .�. �/� $ ��1 $ $ � . �D $ $ $ CITY U5E ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $lOQO 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 PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,�1 to $500,000 $500,001 to $1,0�,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or f�action thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012:25 for the first $1,000,000 plus $2.75 for each additional $1,000 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 $13.�. Alternate B: Removal and replacement of curb and gutter and install a 3 foot wide " ry approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. * -, D � � � O U � � o � � y. fD N � A � � o � 3 � 0 a v- `o' fD �• � �' °' � A m .o fl' 1 =� � � CD N �G Q- O � � � � a i � � 0 C � D � � 0 m` a � 0 C Oq � � v � � � � d 0 � m Z77 m Z � � m � O z T m m � .p V O 0 \ 2 � � � a � rn r � � i �J � � 2 � Z G� n O � r r p � 3 � � Oy. e'f o<i � m 'a �. .N.�i � � �' � A m 0 G 0 � � O ''„ � D � r � m � A m �. n� � �o � � O p ) in 0 � � N � '�o � � � � � n � o�� a ? °. °- c� fl1 �..t � y �CD�� H W �, (D �,_,�a � n �. °.� m � � O � a °p c. � _ — -- � �- o ,� ,.. <_' �' � S Ni p� fl1 � Q y � � �' � �' �'=aN� °��.� �. a � � * �' . m c, � � � � � ° � � c � � � m � � �� - � �D � N �� v O rt � -r. � � � � o 0 � _�-� ��m �- � � � `� ��o No� �, Q s �� n� � > > D � _ � O �. �' < `D � � N � c m � � -�i. N �� N '� Q� = D fAD � o =► � o � N �i � � Z D c� v D � 0 � � oG D � N� m N G� � N � (�D � G� L� D�e�D N tn O � O. .ZJ ��1 A � '�. (� cD � � a � � m c� s d Q� < � m � � �. � a� � Q . � � o � � r. fl. m °'=c ° � � � � � � �' r' °' � ��o � � n � � '�' v v � � c m � � � � � � ,cNi� o 0 0 0 � O O O O O r° cD � � � � � � W o � r C � � m � n� a c� Z � m 2 � N c� z 0 v � -nW—i� m C � ° — ao c� .� � _ )3 � °' rn � o � c c � C H C _ � � Ci � �. n fD a o > > � � c� � ^ N a � f�D r rv °1 ar^z� 0 �o = 0 �� r« � � �, � � � D � m v n O � � � e° 14 � � m � � � z 0 � �� C r � Z � C � m v O � � � m N C) _ m v C r m • �. � � _ � � � � c- �n � � p�' � � � � Cn � rn (� V �.�— N 0. W � �� C � O � +��•� Z m � �� W D � N m Z Z N m� m C7 � � z � � D � � z 'G r � � �O �Z m .,� �o -�i � O� Z � v� D � � Z ON Z D v_z �v o= Z m Z -��I '� Z �A m O 3� �' a Z -C'� v� vZ �� a NO Z � � c� � �. _ � v � i � � � � � � m � < � 0 � ` � _ � � a � N 0 0 0 �� I � \ � COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existina furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly . and meets the current codes and manufa�ture►'s specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () The existina combustion air is sized and installed to meet the cuRent codes and manufacturer's specifications. Yes () No () —�ien require�d%install a new combustion air. it will�e size�-�ndin�talle�- �--- - To meet the current codes and manufacturers specifications. Yes () No () When installing a new ventina svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () A�pliance Tvae and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describel HEATING CO: Signed By: Date : sue.,ec. RMIT NO. City of Fridley 3 3 2 7 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � O. � `y _ COMMUNITY OEVELOPMENT DIV. � f4�r��., � 1 � � PqOTECTIVE INSPECTION SEC. .� 1 ; � i.--. w;�'��,.� CITY NALL FRICLE� SS��2 NUMBEp REV OATE VAGE Oi APVROVEO BY L �� 763-571-3450 910-F15 11/21/OZ / � JOB ADDRESS 7444 Concerto Curve NE 1 LEGAI LOT NO. BLOCK TRACT OR ADOITION SEE ATTACMEO DESCR. ( 2 Melody Manor 3rd Addition SMEET 2 PFOPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Heckman 7444 Con.certo Curve NE 763-780-0075 3 CONTRACTOR MAIL ADORESS 21P PMONE LICENSE NO Windows Amer�ca 7928-C University Ave NE, Fridiey, MN 55432 763-786-8115 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 20248265 S ENGINEER MAIL AODFiESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION � REPAIR p MOVE O REMOVE B DESCRIBE WOFK Repiace 8 wi�dows within existing openings9 1 patio door; 1 entry door 9 CHAN(3E Of USE FROM TO STIPULATIONS Provide smoke detectors in al� sieeping rooms and on ai1 ieve�s o� the dwel�ing per Sectio� 310.9.1.2 0€ the 1997 Uniform Building Code. Cau�.k ar�d fZash ail� exterior openings. � � c�r�� :�� ard� ��h ��,�� CI�EV tl�� ti °�j�y � � � �'•h � k' lJ i$ �. 0e'� @ To H��q��$�� a Post TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS AfiE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING. VEN7ILATING OR Alp CONOITIONING. THIS PEfiM1T BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SC. FT CU FT AUTMOfiIZED IS NO? COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTHEET PARKING 1 MEFEBY CERTIFV TMAT I HAVE READ ANO EXAMINED TMIS APPLICATION 1 STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVEFiNING TMIS TYPE OF WORK WILL BE COMPLIED @ WITH WME7HER SPECIFIED MEREIN Op NOT. THE GRANTING Of A PEfiM1T `V6,535 �3.2% DOES NOT PRESUME 70 GIVE AUTMORITY TO VIOIATE OF CANCEL TNE pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OFi THE PERFORMANCE OF CONSTRUCTION $139.2.5 Fire .SCi �6.J<<F PLAN CMECK FEE TOTAL FEE i�ice e SC $5.00 $154.06 S�GNGTUAE O� CON'FACTOA Op AUTHOQ�ZED AGENT �D�rEr � EN PROPERIY VALIOATED TNIS IS Y R PEpM T l �� S�GNATUqE O� OWNEA ��i OWNEp BU�lOEp� �OA1E� (� N E N� � � CITY OF FRIDLEY Effective 1/1/2002 ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Construction Address: _ %��y �� ,�j �� ,� �? Legal Description: Owner Name & Address: ��mc�� - 7��/�/ �'�,� ��.�� ('.c.e.u� Tel. # 7(� 3 - 7 �D - vU`� -�, Contractor. .��,'o-ivs rr� eY-; MN LICENSE # oZO�y�a(P� Address:zQa� -�' /�2� �1v�^ � fy A�j e 1I1 �` �"r � c�(�u� 1'n1�155y,�,,z Tel. #_7G 3-78� ' 8�llS Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft � GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width HgUGraund Sq. F� OTHER: � Construction Type:� re�YO ��t i��I w-i ndoc� Estimated Cost: $ �, ,��.� re p l a.c e �r.�n�5 � l�� o TJ� r aa- � n-F-r- y�oo r Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: I 9 APPLICANT: �� ,� I. ��3J ��' _�/�- Call (763) 572-3604 for Permit Fees if mailing in application or ax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � 3.� � � , SS/ � �3 � a7 $ $ t5• o D $ $ $ $ $ � 5y.�� CITY USE ONLY - Fee Schedule on Reverse Side �� .001 of �ed�'1!± 1l��! satjnr� ��l1 Ct�h%) $.50/$1,000 Valuation $1200 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 [ ] � STIPULATIONS: BUII,DING PERMIT F`EE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure; or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 __ �2 001 to $25.000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 _�69 25 f�r fi�s�-�;C1f�(_1 glt�s �14 LU f� e�h��i*_i�t�l��,�- 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 $�,000 plus $7.00 for each additional $1,000 or fraction ereof, 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 $SOO,QQO $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,OD0,000 plus $3.15 fur each additional $1,000 or fraction thereof - -��1�?��' �F.��a�l*? ��i�-- (Concrete Curb Streets Only) - Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 fe�t times $15.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Dxiveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv Building Inspections 763-572-3604 DATE � "" 7 ' I 53TE ADDRESS MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDIdEY THIS APPLICANT IS: O OWNER PROPERTY NpME; ow�w �,nD�ss: 7 TENANT PHONE:� CONTRACTOR �pMp,e,Ny NAME; E-MAII. Permit No.: R��ea By:,-� n��'�.� - SUBMIT A COPY OF �NTACT PERSON: r YOUR STATE STATE LICENSE # E3� DATE LICENSE WTTH ADDRESS: � CITY [e��F�% STATE�ZIP ��S s� APPLICATION PHO� � � FAX n � PERNIIT TYPE I�INGLE FAMILY ❑ TWO FAMILY TYPE OF WORK: I❑ NEw �RErt.�CE1v�NT DETAILED DESCRIPTION OF WORK ❑ TO�VNHOUSE 0 ALTERATION/REMODII. PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, exciuding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASID ON $10.00 PER FIXTURE, EXCEPT WE�RE NOTED. FD�TURES: ICATE TOTAL NUMBER OF EACH BELOV� n�,,,�, q, � Equipment Imstalled . MFG: �1(K� k MODEL: O17�� SIZEBTU � MFG: MODEL: SIZEBTU �gG; MODEL: SIZFJBTU ,�A/C $25.00 _PIREP'LACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (W�D) $35.00 NEW GAS GRII.L $IOAO BOII.ER $35.00 _FURNACE $35.U0 GAS LRJIT HTR $10.00 CHIIvII�iEY LWER $10.00 GAS DRYER $10.00 POOL HEAT'ER $35.00 DUC1' WORK $10.00 GAS PIPING $10.00 VENTII.ATOR $15.00 ,,. ._ � . ..., .._ .. .._m.. _ Permit Fee $ Number of fixtures @$10.00 x$10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Nunnber of fixtures @$25.00 � x$25.00 =$� Number of fixtures @ $35.00 x $35.00 = $ State Surchazge = $ 50 Tota1= $ ..� THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSID I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota-Construction Codes; that i understand this is not a permit but only an app 'cation for a e it and work ' not to start without a permit; that the work will be in accordance with the approved plan in the case o wer equires rev'e approvai of pl s. r SIGNATURE OF APPLICANT '' PRINf NAME 1 DATE � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDI�IONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED iFOR NEW/EX-ISTING HAMES l. Combusti.on Air (See note below) . a. Oil or solid fuel IMC Chapter 7 with MN Amend.ments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC C`hapter 5 with MN Amendments 3. Ventin.g a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new conshv.ction TMC 134-6.0312 5. Ventilation a. Per MN Energy Code 7670 or 7b72 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations