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AF - 38028� ;� �\ Caty of Fridley, inn BUILDING PERMIT Date: Dec . 1, 1967 �� 3 � �' �o �J�� p�r; �pr _ Curt s Radbough Builder Clemron.. Inc . Ad� _ Address 701 Columbia Blvd. LOCATION OF BUILDING No. 74'4'9 Street � Concerto Curve � � p� of Lot Lot ._._Z __ Block 3 Addition or Sub-Divlsian ._ Melody Manor 3rd Coraer Lot _ Inside Lot r. gSetback 35 �—_ Sideyard 10' & 12' Sewer IIevatian � 881 48 _�$�� 884 .48 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling �t 38' �p� 25 � Height ?�� gq, �, 95A �� Garage �}ont 2A � Depth 24 ° FTeight 1�� Sq. Ft. Cu. Fk Type of Construction Fr�e �, �_$ 23 , 800 �� To be Completed SEWER LOCATION - Opposite Ma.nhole WATER LOCATION - 12.5' East of Manhole In cansideration oP the isauance to me of a pertnit to the P�P�ed work in accordance with the description abo� ordinances of the dty oP Fridley. o 00. �' building descrlbed 8nd iII CotriAliBnCe ' Charge ' agree to do �provisfone of Ea consfderation of tbe payment of a fee of $ � 36 .00 ���t ��by �� � Clemron, Inc . to construct the buflding or addition as described above. This rmit is granted upon the express condition that the pereon to whom it is gi�a.nted and his agents� employees an�worl�nen, in all work. done in, around and u�n said building, or anypart thereof, shall cronform in all respect� to the ordinances of Fridley, B�innesota regardfig lacation, construcl3on, alteration, maintenance,_ repair and movin� 04 buildings within the dty lim�its and this permit may be revoked at aTMYf �time up,o�;�ia,hoa oY any of�the Provfsiona of said ordinancea M I C/ 7 ;� Official Buiiding Gasterland NOTIC� 'Ihb psrmb does eo� esvsr t6s coes�rucHoe, IestaUaHa+ foe wiring, phimbtng, 6n hsaNag, ssvin� e� wats�. 8� sun to a� t6a Bnitdieg lespsetar fo� separai� pa� fer fhs� iffms. - , _ � APPLICATIOR FOR BtJILDING PERMIT CITY QF FRIDLE°Y, MINNESOTA OWNER' S NAME �� � :. /1��•.✓.� ; BUILDER �/ _� �' , ADDRESS ADDRESS �/�/ � �i �OCATION bF BUILDING ��� �� N0. ���/Cl S7.'REET ,✓�/1.-"./��%'�-�1' .s/i��.�.�'�� PART OF i0T LOT � BLOCK_� ADDITION OR SDBbIVISION / � a���2�� . / r / CORNER LOT IN�]�E LOT A/ 3ETBACR .�-S �-C� SIDE-YA1FD ,/� / 9� i�-� SEWER ELEVATION � �' % � �� � FOUNDATION ELE VATI014 �� � o ,`��' App ic�ant attacf� to�orm Two Certificatea of Survey o� Lot and propoaed building location drawa on these Certificates. `��.� /�2. S , � � �Z `� .� DESCRIPTIOft OF BDILDING To be used as; � ��� � � ���C D��� Front ,�� D Depth 1�Height ��� �-� - G� ,� �;) Sq. Ft. !� _� Cu. Ft. /`✓ � rj �'� Front ,�� , Depth .�� Heigh� � 6 � Sq. Ft. ��� Cu. Ft. ��„ � ��ti' � �� Type of Construction ���?_/ Estimated Cost �� �D� �__ To be comp2eted 7.'he undersigned hereby makea application for a permit for the work hezein specified, a�reeing to do all work in strict accordance with the City of Fridley Ordinancea and rulings of the Department of Buildinga, and hereby declares that all the facts and repreeentations stated in this application are true and correct. DATE �D G� SIGNATiIRE �� (Schedule of Fee Coste can be found on the Reverse Side}. � ��t \ i � � „ftt, �'^ -` ` � � � ? .� �__ __ �, . _ � � � .� ' �. �� a `� � � � ��, � �N � �� ,;y'', '� ^ � �� � C)''�?� ' � f� tj r� �� � � � .\ r � � . . � � �� ��� �,��� s BIIILDIlJG PEItMIT FEE SGHEDIILE SEG°1'ION 2. The Inapector of Buildin�s. shall, before issuing aay permit for the erect�on of any building or aeructu�e� or for any addition to any existiug building or etructure, or for any alterations or repairs to any existing building or structure, upon application therefore, require tlae payment by the applicant for s�sh permit of fees to the amount.herein below set forth and in the manner herein provided to-wit; 2„ 1. For any auch permit for the erection of any fire•proof building, other than a gara�e, warehouae, factory �r grain ele�va�or, or for the erection of any fire-proof addition, �or s�m3las occupancy, to any exieting building, shall be at the rate of $l..40_for each oae thousand cubic feet, or fraction thereof, in auch cubical contents. 2.2 For any auch permit fa� the erection of aay fire-proof garage, warehouse, factory�or grain elevator, ar for the erection of any fire•prvaf addition, for similar Qccupancy, to any egisting build�ing shall be at the rate of.$1•,25 for each�one thousand cubic €eet, claesified as "fireproof" by Sect3on 502 of the Minneapolis 8uilding Code... HOIISES 2.3. For any auch permit for the erectioa o.f any non-fireproof building, other than a garage, warehouse, factorq or grain elevator, or any noa-fiseproof addition, for s�Uuilar occupaacy, to any eacisting bu�lding..� perm�tt $1.00 for each one thousand cubic feet. GAR.AGES 2.4. For any such permit for tha erection of anq non-ffreproof garage, warehouse, factorq or grain elevator, or for�the erection of any noa-fire-proof addition, for �imilar occupancy, to any esisting buflding or for each such � building or addition • ninety cents ($0.90) for ea.ch one thousand cubic feet or fraction thereof, in the cubical contents the'reof with the minimum of $4.00. For the purpose ot computing feea for building peranita,�the cubical contents of aay bu3lding or addition to a uaiform height throughout by multiplying the ground area covered from a point sis (6) inches beZow the floor line of the basement or cellar to the average h�fght of the upger aurface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an e�iating etructur�, the fee ah�ll be at the rate of $3.00 per each Five Sundred Dollara ($SOOfOD) or fracazon . thereof in the cost of all proposed work..� �� 2.6. In no case 8haI1 the fee charged for any permit as set forth in Sectio 2n be lesa than $4.00. STORM REPAIR DAMAGE FEES: Resfdential : Estimated Cost of work up to SSC�. i!� �- S5 e�?� Estimated CosC of work ove� `,':,�_,,._�;,! �' v°':0 °i' k � Co�aercial; Estimated �st of �a��•�:'u'� 't;; "�>>^�:� ��� �. �_r:_,� Estimated , _ �t of w��i�c ov-r:r �,:.�r:+":.U�! - ,Zf). � a e f�� f -4 � � `�^ . . . .. . . _. . .. . . 'e-`.k�'r'��v:#'�� ��':" iFFem� �a � �"' � — � . . . . v -.P a . , . . . . . . . . ' - J"R `! M y *{ Y a' � . _ �. ��:�.; {` ���i, c.�r�►� ' � � � � ` - . � � � � ~��,��� � j��j,,1�. 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S 0 �� q� o,�.� � y �, a � �► ���� � m°�� � � d�� �. �, �b � � oR � � ��r . � � � ���.� � ���� o��� ��mo fi ��,op � � �� ���� � a�� a��.� a ���- �� �� ��� 5 0 � � M A ^4f � Fp � �� � � D � r � � i0 m C � � �s � � M �� � � � 1 , 0 �l � r� C � .� (� � � � � � � � � �. �� �� � �:� �� �� � � 0 . .� � � �e �. � � � L SUBJECT City of Fridley � 14096 AT THE TOP OF THE TWINS g U I L D I N G P E R I T • � � RECEIPT NO. � ; L __�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIdE INSPECTION SEC. ' i ' l---. A �'��1,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY � � � � , 612-560-3450 910-F15 .5/20/77 � � 108 ADDRESS �449 Concerto Curve N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Melody Manor 3rd Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Curtis Ra.debaugh. 7449 Concerto Curve N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. G.D.I. Builders Inc. 71 - 66th [�Ta N.E. 566-8288 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICEIdSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 24' x 2Q' Addition o Dwelli.n 9 CHANGEQFUSEFROM TO STIPULATIONS provide copy of truss design. Supply energy calculations by June 6th. IH�RHIHG S�PERA�TEE pERM�TS �E(�lIREO f�i WrRn�G, ELEPNONE�nEIECTRIC -�GAS Etc. HEATING, P�lJIIABING AN0 S�GIVS. °` REQUIRED BY i�4 SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATINO, NPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOpd Fi1II1 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION 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 R—�. �SO 9 600 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIPIED HEREIN OR NOT. THE GRANTING OF A PERMIT �`�.3� OOS �`6.SO 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � y�`3S.4O PLAN CHECK FEE TOTAL FEE $44.90 Si N REOFCONTRA OR ur EDA T IDaT WHEN PRO ERLY VALtDATED THIS IS YOUFi PERMIT ,! �� , "- � 'lp �— o� NATURE OF OWN ER BUILDE ATEI /C' BLOG INSP pATE CITY �F FRIDLEY APPLICATION.FOR RESIDENTIAL BUILDING PER��ITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: �!.[ At-T% � �Ei3A L1 G h/ BUILDER: � . %� .Z� _ �s_e .o /�v � „�� Address : � c%�� �,���rfl�,��ya �� y� �ddress : �- � /U,I� Tel. No.: ��������'� No.: Street: LOT: � BLOCK: � ADDITION: ���� y. �,�A,� � � CORNER LOT: INSIDE LOT: "� S,?,TBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lofc and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: � /t�,� Front: � Depth: �O Height: /� Square Feet: �_ Cubic Feet: , Q70Q Front: Depth: Height: 5quare Feet: Cubic Feet: Type of Construction: l (►�� �/�%/l,A�Q, Estimated Cost: $��Q.�_ pd �■ �o Be Completed: l� �a us �/� Oa � -�- Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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 Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representatio s ated in t's plication are true and correct. See reverse side for dd' ional i.n rmatio . � DATE: � � �% / SIGNATURE: Stipulations: ��-•�t �%oa x ��,�, �� � �.- , � 3 a�o 8 � �� � �� `� �' �;�� � G�� �r ,� �' � ,,� , _ P��- �l � _ �-�`�y �� �� �, -�. .� �3�,ya � �, so j�� 9 � � BUILDItJG PER��IIT FEt SGh(EDULE SECTION 2. The Inspector of Buildings 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 repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such p�rmit of fees to the amaunt h�rein below set forth and in the manner herein provided to-wit: � NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (ConcYete Curb Streets Only) ' Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.40 -ADDITIONAL INFOR�1ATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplyinq the ground area covered from a point six (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of the roof surface of the rdain 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 cqst of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. - VERIFICATIO� OF FOUNDATION NOTE: Permits for construction will be issued a minimtun of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CtRTIFICATE OF OCGUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building pezmit has been issued; and said st�ucture shall not be used or occupied until a Certificate of Occupancy has been issued. � .� . �sr � ; �a � s i� � f �gO� il � �� � �� 11.j s �$. ;�. ,� �9 ;� .� ,c . p ,; :� f~ s34�' �.�a. i i ' 0 y,� .',Q� ;. 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S (; � ' � � ,� ; �i ` '� 9 , o ' � t C � � :< i ( ., f 1 '� ' � 1 � ti i � t { '', � . ; t t i : � , � , � � `, ; ., �. `, ' , :j` . ;, � � � 4 �'� r- ! t � i: . 1 �'' �`;�': � t` _ : � 1 ����,:� : � �1 ��Cti � � � 'sC � ,' , ti W � SC � le! � ,'''. C'� 1 � � .bA � 1 r-g,�� t G� . �OG �� \ �� e,a-- " �� v P��i � � � �+i f'%'! G) � � f � 'A' 67 � t � �� �, � � n � ,��' n � r, ~ :� : /�-� � iw h � ' = i ! r''. g va � �'.d : a �`i� m , r (� (L� , C '� — ' !._ � L � 1��1 1--_ �, .11 t. t� � �.� i , �`� � � c� a7 ���`1 I_._..t � tv �,► �,. � � �J �'�' ; 7 C.�y G�. �-� i:i f ^ .v ': � � ,�v �- �.� -�; .... ... -., � r i r �a r zx d Q a � '�o A � 4 C'i � O � � � r+� ' - ---� - _ F.,r __ �it, �� �- EXTER70R E1:VELOPE AVE�:AGE " " CO'�;;"itTAT70;� /� .� � ` - ----- � _ OWNER �_7_`- C� --- � �--�---� P-��-------�-- d -� �- S1TE ADDRESS CONTRACTOR ---��-•%�l L--!���-- nATE _-��ZZ'�Ir%-- PHONE -------------- Determine working square footage of each. ��� ���2 1. Total e�osed wall area .... _, sq. ft. x .17 L -- �--�'— -- - ° - - —!�'� ��►7 2. Total roof/ceiling area ... sq. ft. a .05 - � - - -- - -��� � Tota] exposed wall area ahove f]oor =_ ��� __ a. Total wall window area . . ��C�l�F'�. . . . _ _9� _ __ b. Total door area . . . . . . . . . . . . .i��. . _.�''�_ c. Tota] sliding glass door area . . _�� __ d. Total fireplace wall area . . . . . . . . . /,�j�j� _ e. Total wal] framing arc�a (avc�ra�e l(1%). ... �� __ f. Total net wall area above floor. ......___�'�_ _ g. Total rim joist area . . . . . . . . . . . . ___���____ Total exposed foundation area = __ �d� h. Total foundation �.�indo�a orea , . . . . . . . _ ��_ i. Tota? net f oundat i on area above €rade ..._ _��_ _ netermine "U" value of each wall s��ment. a . _ � X ��U,� _.�_��_— - --�6. �.? b . �� X „U �� -._�t/'� _ --�,y-� c. X "U" r6� _ �� d .—_--!�'/-�_--- X ,�t��� - - �� -- - -�"'1�_ e . 8/ X "U" ./O = f . S"� X „U„ . d�% _ _- � � � •--�'.—�-- x „U,� .�m� - _ ,�,� „„ t, . a x u = i�v . ���/��_ _ r� _w °��� 1.— I �� }� n 1J n rw°�r� —-�'�.T ---,i�-r+��i---- 3 . . . . . . . . . . . . . . . . . . . . Tota1. . . = Il�I��� C�'�.� ���0� f � .� f lf item �l3 is the same as, or less than item 4d1; you havc met rhe intent of SBC 6006 (c)2. � , Total exposed roof/ceiling area = � ��� j. Total skyl ight area . . . . . . . • . • • _____ /��JI�'+�__ k. Total roof/cei]ing framin�; area . . . . . ____ ��r_.________ ]. Total net insulated roof/ceiling . . . • _�_ _�f��- .�-- Determine "U" value for each roof/ceiling segrnent. j . I�O�-� X 'r11 n .— ��'��-- -- ���t� �. k. %lg }{ ��U�� I ��s'� _ ___%.�Z 1 � x nu�� �a� _ l�.96 . 4 . . . . . . . . . . . . . . . . . . . Total . . . . = I d�+�I� If total of �64 is the same as, or less than ��2, yov have tr�et the intent of SBC 6006(c)1. Alternate Building Envelope Design ' To utilize the total envelope system method, the values established by the sian of items �13 and �E4 shall not be greater than the sum of i tems ,�il and ��2. 1. �'.�� d � + 2. ��i%r0� __- �� 3. .�s�� �� _ + 4. ��r %8 _ _ .���o�+ �/ �/1��� ���� DESIGN GONSULTANTS �01 �3RO AVE N0. �R�OKLYN PARK, MN. 55��� €!�'4.e�:�'�,ti�� si o� • ,',,,: -.. • �.. , .� . . . �. �. y "� r � 1 TY3'7C�L L:�1.1, E,? CT1n1: 1� Interior Air Film 2, Interior k':�llboard 3. Insulation 4. Exterior `����'�t��ins 5. Exterior Siding 6, E�terior Air FiJm Total STUD & HEAPrR AREA /� Total Area No. 1 Less Insulation "R" � Plvs 3 z" Sof tc.T�od _: '_------------'-� � � �_� . �— ------- ,. _,, � �: �. +i� ri � j,:Y i ! r 1. L�: Cn L CJ'� I: ��-o I J � -_--U_'`J � Ir., . . ��'":1.��j�n?':as. �� n: , �I_ � s _ r.,,,�' '?: - ��,��.r���.� �� . 1' �. _. �. � („ � �1= �� .��A' � -� , � �, I � _n . s ,• -c-;-- ' is �• I• �� . A � .. ` � ....�L � :�,,,,,,�:t�la:� � � � , ���• . � ..�, :-; t �. L I(�� • l� � • •7 • j �,� U • .�� ��D C � l�.\ � • ' i. _ -• '�-�. i I�i '�' � r �" • �'%• � i. .� . �' �1—�� ° ' � i � .,% � 0 ?��: /C`-%IT?rG �cac f low up Total RIM JOIST AREA 1. Interior Air Film ?, Insulation 3 . 1'�" Saf twood 4. Exterior Sheath�ng 5. Eaterior Sidin� 6. Exterior Air Film Total FOLT`_�DqT?p1' 1;AT,L AREA ��R�, � �� __.1—� '�� -�^� � � • --�'-'��-� � = U � � �� R /� ____�����_._ � O�P_ � .� �� 3s 1 = i R �,5� U = � �O 1 � �+ _,�1, o 0 .—f%'��� --�.t�C� ���� 1_-, , � �: -i� Gl � l� _ , 05-� 1 , Interior Air Film ____� �� 2. Insulation r— 3. Insulation (Block) _��_a`"� 1 = 4. Exterior Air Film �_ _�>�_ R Toia1 . �e I�_ U = ��%Co/ ROOF/CEILING_AFEA 1, Interior Air Fi]m 2, Interior ��allt���r� 3. Insulation 4. Exterior Air Film (�ti�l) Total �Cv� , 5�� !-��`'�� o� _ (e„�� � ,0�� (31 ��o� —�-S'7a �o,o 0 --`�DI � - �,�8' U - - f0 3 i ,.. - ws vu1LLL1fVt, '1'U (k) FACTORS F'ROM (ASHRAE MqIJUAL) OF TYpICALLY USED PRODUCTS Interior Air Film (Walls) Exteric�r Air Fi1M (Walls) Interior Air Film (Vent�d Ceilin�) Exteri�r Air Film (Vented Ceilin�) Interior llir Film (rlon Venteci) Extcrior Air Film (Non Vented) 1/4" Plywood Panel 3/8" Plywood Panel 1�2" Fiberboard Sheathing ' 25X32" Fiberboard Buil� Rite Shg. Aluminum Siding w/Backer w/Hacker 8 Fo;led 1/2 x 8 Lap Siding �Wood) 7/16 x 12 Hardboard Siding AshEC�tos Sidin�s 1/4 Lapped Stucco (Brown � Finish Coat) Built-up Itocfs � Plus Insl . 3/9" Gypsum Hoards 1�2" Gypsum Boards 5I8" Gypsum Boards 3��+" Wood Subfloor or. Sheathing 1�2" Plywood Sheathing�, � ' 1�2" Particle Board "` �- 8" Concrete Block,(S � G Reg.) 12" Concrete BTock (S E G Reg.) , 8" Light 4?eight' 12" I,i�ht Weight . . (R 0. O.I7 . 61 0.61 0.61 0.17 0. 31 0.47 1.32 2.06 0.61 1.82 2.96 0. 81 0.67 0.21 0. 33 0.32 0.45 0.56 � 0.94 . .. .. �0.62 ' 0. 66 '��'� ���.� �� (� ,. Q,�,�uet�:� �" � V - r � Fill.ed Vermiculite �. ... 1.11 1.93 • 1.28 3.15 � , 2.18 5.03 . 2.48 ' S. 82 Insulation - 3��1/2" Ffiberglass . 11.00' All other insulation materials must be 19.00'= . verified (R factor) ��, � � �. � All Windows �� Note; (U) x area sq, ft. (w/storms 1 to 4" space) Removal doubie glazing (RDG) •56 Thea�mo or wQlded 3/16" a.ir spaee ��g �/EI'� �;�a 4�� '�� � 1��" air space T5B (Other windows sp�cifieally tested can use better ratin -- 1 3/4 ' �') Solid core door ' w/storm, wood ' Per����st�;cL� �tr�i,,lwL. � , Sl�ding Glass Do�r, woad�"�--'�J`�'" %4SR . , - _.� . , metal o : N� �n -. F��e , �; � _ . ,. , .46 .31 .65��� . 71't'� � � l �� n 4 , � � , � -•;., • � , .� ii . ,.,�� , . ;`.^,` . 0 � � Z a �o � � ao m -v 0 � � � m � � � � Z v � m � D O � Z � � � 0 z n � O m 0 � m m � � � � `� �► .-► O �, 0 � °, _ � ��� � � � o � ��� -, g �D m C a � -, �N � � � � 0 � � \� � ,� �� � � a � � � � � m � � � � M t!j C< C C Qi ��� L3, � N m ��'v��� ������.�„ p � � � � � � y �. „ a � _ °' .� �. �"� �,.�� � r'3 � �w v, ., � -, � �: �, 3 a cu � � � � � "' m N N � � 7 � T -, � �' � �. � � g � c �. ., m � � z o ` � I I I I � I I I � � I � .������������ � cooyo-�-�-d�cr�.a.-.i $ o Q� °a $ g o o�°o 0 0 0 � N -� W � r- rmn c_, m � � m o � � � � O %�► D � w � \. 0 � ,� 0 � Z O .� � � � � �� � � � 1 � ^ � � �� C � z �n � �o m � � O � m O a r � ` �. a � m � � �D 2 �+ � D �� n � °v �' � ��'— m � ��+� � � p tp � � � 3 � ar � � � ��tr �.� �' 3 �� �.� � � � � � �, �g .,a o� . �a�� �m� � � �' � � �, w ����� ' � a � � � O- � � O $�m� � � g� o , m � x ' � � � � N � . . � � � i,6 w ...wi F"p 'v �� � ��� �� N aq lD m � r a -i O � � v c � � v N � Z � � � , � APR-04-2903 12�13 FROM CITY OF FRIIILEY TO 6513651332 P.02/02 'rHE BaOW MUST B� F[LLED BN Wh1EN REPLACiNC FIJEL BURNb11G APPLIANC�S OR TH� APPLIC�4TtdN IMLL BE R�TURN�D ' CAIL".Md� t�IUT� <�Rt"!' �A.�!!�!��;�5"�R dRd CCf1�Rl1�T1�I� I.L1R VFRIFtCATi01� WI'ten tt�e wld�rsigned her9eby vefifies that the ven�g has been �xarnb�ed and is free ffrom rus� detedar��on, obstructions, and is sec.�rety suppo� �rtd �restopped wher� requi�d. Yes () No �) �1'►e ventfng �ystem is piastic/PVC and rneets q11 current cades and manu#a�r spe 'aficaticns inctuding s�ing� length, number af elbauvs and t�rmfia�on. Yes (} Na () The undersigned atso vetifies th2it the replaaemertt ut�it is a listed assembfy �nd me�ts �e current cades and manufacturers specifications, This does md�ude AGA-GAMA Cat�gory I Central Fumace Ver�ting Tabl� �€or fan assiste.� and natural draf# �ppAanr.es. The " is si¢ed �nd instaqed to meet the curren# c�des and ma»ufad�urers sp�c�tior�s. VVhen t�qtlir�d t0 insF�n �;�w �e�yL�sc,=,r„it Wil( b8 3iz@d Snd fistalted to meet #�e current codes �nd manu#adurec's spea�ic�tions. When , the under5igl'�1 h8reby veri�es that it is a�s�ed assembly �d meets the aarrent c�des and manufac�urer"s spec�c�tlons. `t�is does inc�ud� ACiA4GARAA Ga#egary t Centraj Fumace Ver�g Tables for i�m assisted and natur�l drafi appliances_ Is the c�ommon vent and vent conraec�or� sized and 'mstalled c�rrectly after �n �ppfiance has be�ri removed from tri� c�mmon v�nt and verited sepa�ai�ly as per c�t codes_ Y�{ ) No( ) Yes ( ) Ne ( ) Yes ( ) fdo ( ) Yes ( ) No ( ) Yes( )No( ) i � � . � -l•:� , t � �� � � �i ii • � a!i . f � ' fl . i i ��.r E i 1� u� : r • � Appli�nc� #17ype BTU input Fan Assisted �r Nat �►pplian+r� #2 Type BTU Input Fan Assi�ted or Nat Appli�nce #3 Typ� BTU Input Fan Assisted or Nat To#a1 Appliances Tot�l Btu Input Common V�ntType ver�t Neight,,,,,,� Diameter___ inches AppGance �i Ver►t C�r►nedor Height ft Length ft D[ameter in Type Appl'�artc� #2 Vent �onneator Hei�ht ft Length ft Diameter in Type � Appliance #3 V�rrt Corv��or Heigh# ft Length f� Diameter �in Type � 1�: I�• � 11�r �;• �i� = HEATIN� CO: Signed BY D�ata : . ,�,..,. TOTRL P.02 _ _ CIIYOF FRlDLE,Y FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 Apri16, 2004 Mr. Keith Sparks 7449 Concerto Curve NE Fridley, MN 55432 Re: Final Inspection at 7449 Concerto Ctirve NE, Fridley Contractor: H P Pipeworks Dear Mr. Sparks: A plumbing germit was issued on Decsmber 1, 2003 to install a water heater at your address. According to the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work is completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, the pernut will be marked "no inspection called for by homeowner after notification" and expire the permit. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh 0 . CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 7449 CONCERTO CRV NE PIN : 113024140028 LEGAL DESC : MELODY MANOR 3RD ADD : LOT 2 BLOCK 3 PERMIT TYPE : BUII.,DING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 4,538.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. PERMIT NO.: 2004-00011 DATE ISSLTED: Ol/06/2004 �� REROOF HOUSE & GARAGE (24 SQ) TEAR-OFF; RESIDE NORTH SIDE OF HOUSE & GARAGE IS APPLICANT A CONTRACTOR? 1 APPLICANT SELA ROOFING & REMODELING INC (1050 4100 EXCELSIOR BLVD ST LOUIS PARK, MN 55416-4727 (612)823-8046 OWNER SPARKS KEITH C& TERESA I 7449 CONCERTO CRV NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if consiruction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lrnow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a pemut does not presume to give authority to violate or cancel the provisions o any other state or local law regulating cons ctio r the ormance of construct�n. Applicant G Date 1• 6`o � Bldg Ins�%f����YGc; Date/� -G� BUII.,DING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 16138 SEPARATE PERMITS REQUIRED FOR WORK O'TI�R THAN DESCRIBED ABOVE. 111.25 4.54 2.27 5.00 123.06 NEW [J ADDN [J ALTER [ ] Construction Address: Effective 1/1/2001 CITY OF FRIDLEY (763) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Legal Description: Owner Name & Address: �t: �i'�r �r��t/��S Tel. # i'�3 - �/ � % , Contractor: �c� A e„r,�,�,r� ���••�,•�����T�,� MN LICENSE # Address: 4100 EXCELSIOR BLVD. Tel. # �/2 ' Z�d •? 7 i f . LO I RK, N 5 1� _ Attach i� �����cation, 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 Wdth Height Length Width Height HgUGround Sq. Ft. Sq. Ft. Sq. Ft. � _ � 7/%� /� s I �%�d Construction Type: C�� d 1" S, �,� .<P,r-� Estimated Cost: $ SI�P �la�,k 5 C�/c•�� � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: _ / - �`G `� APPLICANT: Tel. #_ �/Z� Z�o • �77/ CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge �Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ l/ � as� Fee Schedule on Reverse Side $ � �- .001 of Permit Valuation (1/10th%) $ v� _�'� $.50/$1,000 Valuation $ $1150 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 [ ] ri r �