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AF - 38030� � .: ,.�- •.: .,•.� Caty of Fridley, Minn. BUILDING PERMIT N� g�� Homedale Bldss. a�il�lit28s4 E�.Ci�38 `,i'17 W�v�a.-Fa -�j]��;f,�,. LOCATION OP BUILDING / � 1 : � 2y . No. .��$��.. Street — on •P.rt� C�a'�P .� �. Part of Lot Lot ._.._�_....___ Block 2 — Addition or Sub-Division _ Melod��rd Coraer Lot - Inside Lot .._ X Setback �.,`�' —_ Sideyard �_ 1.0 -� Sewer IIevation ____88��8 � 884.48 (�Approx. � DESCRIPTION OF BUILDING To be Used as: ThaPl 1 i ng Front --��-- DeP'th �:�2�- Height .�� Sq. FL �1..�.-2— Cu. Ft Front Depth � �Teight ...� Sq. F� -..- Ca. F't � og ��q� F�ame �� $1 �000 .00 To be Completed - October 1968 SEWER LOCATION �X - 1.5' E. of Manhole WATER LOC�TION - 13.5' E. of Manhole In consideration oP the issuaace to me of a permft to construct the bwlldiug descrlbed above I agree to do the proposed work in accordance with the descrlption above set forth and in compliance with a'11 provlsions of ordinancea of the dty oP Fridley. � $100/00 Sewer Connection Ch�r�e _ In consfderation of the payment of a fee of $�.�� , perrmit is hereby granted to gomedale Blders . to construct the buflding or addition as described above. Thia permit fa granted upon the expr�s condition that theperson to whom it fs granted and his agent�� employees and worlQnen, in all work done in, around and u�n said buildittg, or any part thereof, shall conform in all reapects to the ordinances of Fridley, M3nnesota regarding locat3on, conatruction, alteration, maintenance, repair and movin� of buildiags within the dty limits and this permit may be revoked at a�y time upon violation of an,y oE the Proviaions of said or8inancea `, � Buildia8 Inspector �"� NOTIC� 76b pennit dees aot eover t6e eoes�rocHon, h►shUaHoe fer �rWeg, plumbine, Ba hudae, sew�r oe wd�r. B� we� to sM t6a Bnildieg lasp�toe fo� aparate parm6a for f6as it�ms. �� ' . • ..; s :� " :a.. APPLI!GAT�Oti FOR BU�L9�� pERMIT �I�Y OF FRIDLEY � , .MfII�TL�IESOTA . �.- . � , . . , � OWNER' S NAME ,�,^ �UILDER_��r,,��, � � AA1��SS • _ • . �iDDRES�� 1-� 1 1 � . . e�� . ., �' I _ � . • . - LOCA.TIOI�� 0F BUII,D7�IG' . ..� , - ' '1Q�:_��,��,��?�s�-� � -_ ��T � � �._...___�_=_..-...- LOT B�OCR _�� DITTGON OR .SpBDIVIS�O� �� '� _ . . . •N .. . . �GbiRPt�R � �'� r7.�1?�I�'.tT.OT ,t • � ��'9iiTBACIC�_��SID$°�AI3D�_ _�. . . ,. � ��': •., „ . SEWE$ E3.�EVATYON TOP OF FOaT�NG Apnlicent attach to th�Ls form Z'wo Certific.ates of..S,�r.yey �f'Lot aad proposed bui}di�g� locat3,oA�� on. tlnese Eertific,a�es.. :�. , :,.,:; . :;. . ' � '- j - , .t . r . . DESC�P'�EION� 0�" ��D�NG � .,. , , • c �; .S . . . .. i �.. . ' - . . . . Tb.Be��L,?S.ed. Ass .,� . .. " � . , .. t FronC Depth,��;��Height „ �� .�.� --�.,T : ��_�� . ' "• . ,.: - - • . , . ti,, ; : Squaa�"��eet • '%� �ubi� FeeC . . J; ,T,, .. Front Depth �I�ight , ... . .•.-• ... . . � ; � `i _ c:r ::. -�• : •. : •- •..'•.r . Square feet �„ Cubic FeeC .. .. �� Tqpe o� ��a�truction-. � ./�� ` E��mated Cost �� . j . To Be Campleted The undersigned hereby makes application for a permi.t for the work herein apec3€ied, agreeing to do all woxk ia strict accordaace ;aith the Citq of Fridlep Ordinances and rulin�a of the Department of Buildinga, and herebq declares thaC all th� facts and repreaentations etated in this application are true and correct. DATE � �� _ ,_SIGNAT'iJRE�,1�� -- - (Schedule of Fee Costs can be found on the Reverse S9.de). ��G�`� ; p � -� ° � �` � r�e,� �� _��'� .� �u � �� . �_., ; � ,r � ,. ��' "°,�_ �` � " �-` �` - r" \ � C'o�c. ��,� c3 �sr Cf� i�� e� . � � ; . � � • s � BUILDING PERMIT FEE SCHEDULE .. . .. ...... , � ' ,r: SECTION 2. The, Inapec[�r of �B�tildings shall, before issuiag .permite 'for � � the erectioA of �ny bui�.diag or structure, or for �ny addit�ion.to..�ny existing structure or l��ti�ding, or #t�r any alteration,:pr repairs to any � existing.building or structure, tip�n applicatian�th�Lefore, require the the payment by the applicant for such permit of i�es tu the amouht herein below ,s.aL. forth and in•, �he ,�,pner herin provided' tt�-c�i��s ��' �� , . . . .; • . . ,. IInifezm �uildi� Code: ��' Tgpe � l, 2, 6� .4-. �1.75 for. ea�h. ane thousand cubic feet, �r ftaction thereof, in such cubical conterita .' � Tqpe ,3 &.5- .$1.50� far �:• each ane theusand cubic feet. �� . � t , .. ._.. .. . i�.-±,' ' , . • . ;y . . • .;:>>;; ,• Fsr the �ur�ose �g computing fees for build3ng permit�, 'the cub��cal .� contenta sf aay buildiag or addition t• a.�if.orm:�ight throughout by � multipiyiag the grouad area covered fr�m a�oint�six'�(6) inche� below the floc. line af t�ie basement or the cellar te the average height of the upoer aurface or tp the average height mi the roof su�face of the main gable of a pitched roof , .. , - � - � � ,:::. ; �. _ Fvr_ repaire or alteratioas�to aa�_existing struct�$, Zhe fee shall be at the' ,rate .of $3.OA �per. each five hundred dollare ($S 00. 00) ' or fractiou thereof in the cost •f a11 pro�osed.�work.� Ia no case,sh�ll ehe fee.charged £or anq pqrmit as.set_forCh in Sect3on 2 be' ...le�s thar� $5.90. � - � . . �� ". •• ' .: •: � . •..NSSSD. ��nneeti� Charges based on locatien- Area 1 or �2;�� '- _; . ' ' • . . . . r . • . . • .. .�;�. - � ' ' _ • � -• . .. . , •� � . . �� ., , �t. . Irf7: . . r , , �� . .� , � . �. .. r , ": • � . . .. ,. :r . .. _ .�j� � .. . . ,,• ', .� * , ' • .. 3: : s ° • / :'1 � .. .. • . . 7� . i z: . 1 r _ , . � .. ... �� ., � _ � _ yr � a1 lend I�/a�u�r�y l.�d �� y►�x/ ,�i1, retfa,q �Inl � �lfi��! f o�rr�r� � . � 1..� _� � �l��,,� •�� arr. �` / � �s�N�}►��,� �a: �.r� �' �� i ' � �. 4�r,�,k�ct+t`�' .�f��ef �A=ti�a�+ � i -� �n�irj�� r �► � � �Su� m�t��,��► �--�- �►��S��i��e �� .��r ,��►� ��: c�EV � v��n� _ . ��a�� _ CGNCERT 0 �.URVE � CENOTES IQCN�.OENOTES pRA�PtAG� 14tyD .UTtLITY �,ASEMEN? LoT . 4.� ��ocK 2�'M��ooY MANOR 3�tD Aoc�T+oN AK01lA C T'r /�� l�f� %� �I/S K a� d'ld QOr/ECf l�pl�'S�/l�DflY�il O�Q Si�/'VEI� ��li .' �� Q��fd G�SFi'+� %O�, A7d a�IJx /ao�eari o�'al1 brNlde'rr�qs , f�an , a�d s�/ ris'itJe axro,vdimcnfs , r�'ay. �+nrri �r a�.tr�i� lmld. As .wr�yed 6rJ mt ll� "' _ ahtj ,�('�,,,�s} a.,�raae`. . �guRBAAI ENG�NE�RtNf�. 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OG � . . . . : : : : W : : : ' : : : : � : : : : � � 0 aa �a �a °1 �a x k �e �e �a � � � � � � � � � � � � � �� g g � � � � t�s tA <A �H � � H �� ,� �` � �� \ � �` � O a x � � � � m � _ m C r m � � � u. � W � � ,,,1 a � � Storie.s 8 � WATER @ � � URINALS :1 � E1►TFI o �� e�sirg � � � � siNKs � � was�+ ^ ra�rs DRINK. FWNT. sHwes. FLOOR .� DRAINS U7CFi �i BASINS � �wro �V� � GAS APPL G/15 RANGE GAS i OPENINGS � � $ N �❑ � � ° � � �� o � � .� � � A � � � � 0 � � O m I� .. o I . I � �. 2 f � � � � � � �.�.� � � � � �� 0M � � dQ � � O � � � � � O � � � p � `4 � � ��-e y �, bi �' b �� b o��"' p m o �a o p .�. ro e+ � � M ��w � � b �.� �� o�� ti �� o � � x ro � � 3 `� � � � � � � , � ` � � � 7 $" C �A ro a� R� & �°n p � M O � n � �' � -4. � Q• ' � n � � � � � � � � �� rt � M W � � V � �� m � � �� _ � �,r � � G � �. � 'i! �-�i � � p : � : °x : � . m : M : o . a . m �7 . � . �� 0 N � � � � �� y p� �� m� z z � W x � 8 `� � � � �' � � m ��jQ h� � � m � � M �C �� F� � t9� Y�C � b+ (A �y Q' �D �D t� � m ,., . x �d � . O � � : � � b � o � �° �.: � �:��:� a ° � � . en � : : al m : �' °° : . . . OL � . . . . � : : � Gd : : : : : : : : � : : : : 0 � �a x�a �" �a oe k �e �e sa � tl�i � N N W W Gi N � N �) S�S�S�$��o�� .�.�.� �� -1 H • � L' � � � � , 0 �: x D � 1'�" � m �^ `/ 2 m C r m � � 8 a �� a �� ' ...■1 _ ...1 � L ��' � � ■■■■, �� ,; ��, : ■n�� g $ M O m � � a � fi � � y � � � � a o�a G � I � �' N N � � W � • � � � WATER a.os�rs URINALS MTFI �� BA5�1�6 SINKS W�, rRnnYs DRINK. FOUNT. sHwns. FLOOR DRAINS CATCH BASINS �uro W�� GAS APVL GAS RANGE GAS OPENINGS �. Z. � �� P T � A Q+ R. � "� � � ►�fi � �a� ��a � 0 � . � � � ��o� b � ��.o� � � � �. � .�,� � �°�� b � �� a. � m p � m o Ip-� �y p, o d i ��0.° N y � � ��w � � p' � � �. O�y ��yp � � ~ N !�p M �� w� �� m : y0 0 �avv' � � � i ru cD 3�� C �' d �A � � a0 �� C� �°n p � M � � � � � � � �� Oi � � � � � � � �'\ + a � � \ O � � m� � ro �p � ° � m � 0 �� o� � N 4�' � � � n � � � lO N � !'�1 � City of Fridley, Minn. BUILDING PERMIT D$�: Nov. 27, 1968 p�r; Stewart Dahl g�� Same �� 7450 Concerto Curve Ad�s Same �� °�- 1� �s�s-� N° 10044 LOCATION OF BUILDING No. ��+50 g�t Concerto Curve part of Lot Lot 4 _ Block 2 Addition or Sub-Division . Melody Manor 3rd Addn. Corner Lot _ Ins�tde Lot Setback — Sideyard Sewer IIevation Foundation IIevation DESCRIPTION OP BUILDING To be Used as: Garage �t 19' �p� 24' H��t 10' �. � 456 �� 4560 Front Depth I�eight Sq. Ft Cu. FL Z�ie of Construction Frame �� _$1300.00 To be Completed In consideration of the issuance to me of a permit to construct he �' g deacribed above I agr+ee to �ordi anc�oP the dty oP Fri�ley with the descriptton above set fo -' in comp wi'��/!/J . In conafderation oP the payment of a fee of $ �• �� , permit is hereby granted to Stewart Dahl to construct the building or additfon as descrlbed above. Ttuta �ermit is granted u�n the express condition that theperaon to whom ft fa granted and hia agent�, employees and worlmsen, in all work. done in, around and u�n eafd building, or any part thereo� shall conform in all reapects to the ordinance� of FridleY� Minnesota regarding location, conatruct�Ton, alteration, maintenance, repa9r and moving of bufldinga within the dty limits and this permft may be revoked at any tiane upon violation oP a�► of the provisions oE sefd �� Nonc� '11ds psrmit doa eet eovsr t6s eoestrodioe, 6utalHtioe }er wiriee, plum6tng, en hufin�, �w�e er wafsr. B� wre fo os ths Buitdieg lespeetar for pparat� permib Por t6as tt�ms � '�. \� , ` �PPLICATIDN �OR BUII,DING P T CITY OF FpB.IDLEY, MINTV�SOTl � R �:_;_ �.. � , � �i; , , ; - _ , r ,r , � _ : . � �_ _ _ _ . : _ _ _ • ' �' ...��.:��..,c�' : �.�-.. . ., . �.,�� ._ _ � a ��.� , I,CCITION OF BTJTLDIi�TG No , 7�SO STRE�T_L° a�u � e�i7� Gr��f/� , LOT BLOCK �DITION OR SIIHDIVISIO�T COR�'ER T,OT II�SIDE LOT SETB��.N SIDEl�� S�C� �VATION TOP OF FOCTII�G A��rlic�.nt �.ttach to thie fora! Two �ertificates of Survey oi Lot �d propo�ed builclir�g locatio�. drawn or� thes� Ce�tiiicatee o DESCRIFTION OF B'GTILDII�TG To Be Us�d �ee Crsi9/�i9e�_Front � � Dapth o�`� � Height /Cf . ` Squ�.r� feet �% �` �, Cubic Fe�t 5/ �'' (,; 2� Fros�t Depth Height Square feet Cubic Feet Type of Con�truction ��timated Co�� O O To Be Completed The undersig�,ed hereby makee application for a permit for the work herein �pecifi�d, agreeing to do all work in etrict accordance with the �ity oi Fridley Or@inance�s and rulinge of th� Depextme�t oi Build�e, and he�eby declares that all the facts and Zti: °e er ons �tated in thia a�plication are true �nd correcte � '�i' , DATE �°� �.7 �� 5iG!VgTO��`� (Schedul� oi k'ee Coste c� be found on the Reverse Sideo) � � �-�d �� G, � � f1. � Q G `Z `�' `�' � °� � � i� J ! � .S u� v-� 9'� 7� 3 !�1 � , —_ BtTILDING PII�'!IT FEE SC�ULE SECTION 2o The.Inepector of Buildings ehall, before iasuing peraita for the erection of any building or etructure, or for �„ny addition to any exieting atructure or buildiaS9 or for any alteratiqn or repaire to sny eaieting building or etructure9 upon application therefore9 requixe the payment by the appliaant for euch permit of fees to the amount heretn below aet forth and in the manner herein provided to-wite Uniform Building Code: Type 1, 2, & 4-�1075 for each one thoueand aubio feet, or fraction thereof, in such cubical .QOntents. Type 3& 5- ;1050 fox each one thoueand cubic feete For the purpoee of computing feea for building permite, the cubical aontente of any buildin� or addition to a uniform height throughout by multiplying the ground area covered from a point eix (6) inches below the �°loor line of the basement or the cella.r to the average hei.ght of �he upper eurface or to the aver�e height of the roof eurface of the maixi gable of a pitched roof . For �epai�s or alterations to an euistix� structure, the fee ehall be at the rate of $3.00 per eaeh iive hundred dollars (i500o00) or frac�i,on thereof in the coat of all proposed worko In no caee ehall the fee charged for any permit ae eet forth in Section 2 be lees tt�an �50000 NSSSD Conneation Char�es based on location - Area 1 or 2. �; --� ....e �� r �� S " '-� a � �— � � � � �� ,, � � ^ �� , / , � � HOUSE HEATING TEST RECORD � ADDRESS ��`�� APT. LOOR TY SUBURB j�� OCCUPaA�T OWNER HEAT LOSS DATE HTG. INST. ^AS C0. METER BAD # SOLD BY INSTALLED BY Electrical Work By Gas Lins By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER -�� GAS SIGI+}�f�'� � MAK E � �° �� MAK E Model � � • Model Serial '�s,?�� ••t � Max. I NPUT ,� �`�� Mp K Model CONTROLS THERMOSTAT eat p��g Valve Limit Limit SeHing Fan Setting -��,C�,j"' Pilot Type Pilot Make Pilot Modal -a- Pilot Timing CONVERSION OF BURNER BTU Rating — E OF FURNACE Vent Size � � KIND OF LINER ZE NONE Droh Hood Regulamr FilTers Size Numbsr Chimner Location Insids L� Outaide (:himney Construdion Smoke Bomb Wiring � � Draft - � Teat Tag �� L.W. Cut Off ��r Pressure Lfghting Inst. s ^' e .e � �.,. � / Proasure •�' Pa�r �j D te Tested � �� Input CFH ��PdFEB�r$2° + � �mpcny Testtng 5taek Temp. Percent CO �� Nama of Tester Form 235 � � m v n m � m Z -i � C �o Z n m » -• D � � � n � o � o �n, �m O y 7 o � 3� a~ `o � �� m � � � O � y � m � � �a � � 0 c � � m Z N � n � z � m m w 0 � D � v < � a � � 0 c co i 3 v � � N � � � 2 � Z � ci 0 � 2 � ' I m I Z i o � � , � v � m � �, � - .� . � �� , �� 0 D r � m m � �i m � c � � m m �3 �• m <� � � c m � �� D � � � � 1 Q' � �O �? m � � m � � � D w � a° p� D � m � � 0 ' C � � r � 2 D n 3 . D n 0 � a 0 � � m > N m � � � v m � � � � m � tA � �a � m � a m a g .? � � � � A �.�i D � �a. � � � � �� ; � � m m� �a �+ v m� � o � � C m 1 � � � � � 0 0 0 0 0 � o g °o 0 0 " m � � � � � � � � O v°; � c� ,..� � o � r � � A 0 �� 3 c� � ca•° m � c� _ — m �, zy m' 9 � � m �m 3�� m � H � _ 2 � � S� � � � m ci 7 m y � N � Nm o °mmm3 z m� a�o 0 v � � � m � � � .�. v � n � 2 � c � D A m v � m C � z � m � D � m O c� � � � � � m � 3 Z O � � C � � v m Z � � C m �, D � � � � .�.� � "' ? A S -j m �'� m m � = � 3 � a�m�'m � ��, H m � a = � � � c � a a � �° � � m �, c v � m •c m m -+ 3 � o � � E. c � �aa�� y � O � �v�, ��o �� o �a� °' �� a� � � � 3 0 �� w m � m m � ? o m � :r ��9 �/ � n _m C � � m � V � A A N a j � m o�� < T 2 m � w � ,� v m N � � zz m� � n � Z v �v ` �r �n D � � �� Z O � �u a� vp D � �m n� O � vZ �� O D Z Z �v � � � � � 2 N� D � Z v r m� � < nm �� z � m � m O � � c � � 0 �o � CBI�II�SY 1111D BT�CE VBRIFIC�TION The undersigned hereby verifies that the existinq chimney or stack: 1. Has been carefully examined Yes () No () 2. Zs free from rust or deterioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is securely supported Yes () No () 5. Meets all current Code requirements for size and total BTU's connected Yes () No () 6. Has total h�atinq �iZi's df All other BTU's TOTAL BTU's Remarks List Alteratioas Beinq Done: HEATING COMPANY Signed By � � Date SuBJECT C�ty of Fridley 2 7 9 5 AT THE TOP OF TME TWINS g � �� D i N G P E R M I T ;, .� . COMMUNITY DEV�LOPMENT OIY. � � �� y � PROTECTIVE INSPECTION SEC. r , , � _ , 1 �"'1 � CITY HALI FRIOLE� SSIJZ NUMBEp pEV DATE PAGE OR � AVPROVEO BY �----� • •'� b12-571-34b0 910-F15 9/24/98 / / J08 ADDRESS 7450 Concerto Curve 1 IEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACNEO oesca. 4 2 Melody Ma.nor 3rd SHEET 2 PFOPERTY OWNER MAIL AODRESS 21P PMONE ��xx Roger Hall 786-4543 3 CONTqACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Eagleview Construction 2937 174th Ln Andover 55304 753-5469 20076043 4 ARCNITECT OR OESIGNER MAIL AOORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof house & garage (25SQ) Tear-off 9 CHAN(iE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATIN(3, TMPE �f CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUIL AND VOID IF WORK ON CONSTRUCTION 20NING SO. FT CU fT. AUTHORIZED IS NOT COMMENCED Vi�ITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CEFiTIFV TFIAT I HAVE READ ANO EXAMINEO THIS APPLICATION S7ALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED $2�1[}2.00 �I.O7 W�TH WME7HER SPECIFIED HEREIN Oii NOT. TNE GRANTING OF A PERMIT DOES NOT Pi;ESUME TO GIVE AUTNORI7V TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS Of ANY OTNER STATE OR �OCAL LAW fiEGULA7ING CON• $7(�.75 ire SC �L.l�i STRUCTION OF THE PERfOqMANCE OF CONSTRUCTION PLAN CMECK FEE T FEE �' ��'� Lic SC 5.00 $82.96 � GN4TU E O� CON'FGCTOa Op oUT1�Op�2E0 AGENT IDAT i E P r vpL O TMIS I R • j d S�GNOTUAEO�OWNEAi��OWNENBURDEA� �D�TE� B �NS /�tE NEW ' [ ] = Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �j� �� r% ConstructionAddress: �%�SD �.t t�� xc�� Legal Description: Owner Name & Address: �o� �r. i�� Tel. # �� ° `�S �.3 Contractor: ��,�e,�.� [� , � - MN LICENSE # � �� J � ��.� Address: �°13 % % Z�� Tel. # `�'%S"3��y�! 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 IlIRPROVEMENT Length Width Length Width Length Width Height Height Hgt/Ground 5q. Ft. Sq. Ft. Sq. Ft. � �� Construction Type: %�� .� .� Estimated Cost: $ �1�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �3��'�APPLICANT: Tel. N �f°- � � �Y� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ � S $ �•�y �-L,.� $ $ $ $ $ $ S Oa s � . � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lUth%) $.50/$1,000 Valuarion $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Deternained 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 $100,001 to $500,000 $500,001 to $1,000,000 $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 fraction 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 $50,0(� $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, Q00 � $5012.25 for the first $1,OOO,Q00 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 $13.50. Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minunum 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. ci � � Z � Z � Z 0 0 r Z W � � � v m . �� ooG�� w w °—°m °—m � �r�• � � a, v�i � m m 3 � � � � °' � C o O� �a; �v�-, � -,� ''pv,� ''rt � � o � � 2 2 �I � � � � y �p � W Z d� m �, � � N � .��. � �p � � �j � � � Gi �� v�� c� c� � z• r- �n N .r1 � � -� � � � tc � � � � Z � o � � ' m �c -w �° n�i 'oD -� . rn � �O� � �g�� -�..., r�r9 ��° � � � � cn m �3 _. � _ _. . s�' , ° � � � .. . . . . . ..... . �. _ � � � �N � . o � $ � � �. .. , � � � � v � Z O m � o � ( I I�I I I I I I I I I � 0 z �� .�� v, o 0 0� c �•� � � u, ;A � m o° o° °o °o °o °o o° °o °o °o °o °o °o t� -a � O r�- � � � v < � � O c � � � v .�-► N � � Z v � '� � d z v ° d � 101 \ � e (w f'6� l�s- � C � W Z � n O � � N � � 0 � , � � � � v `�:' ;� 4 � � C m a l'I �a�AD �" r � v o r � r n � °��ZO ��"Zmm w �, � ]� � O N n C < m z 0 � x m � � �. 0 YJ� � � � �� . � l c� (�6� � o' �� c� N � W � -� .� o '� �' a� 1�ZN•,� � � � .�D° � � zZ m� �o n . . o z v_ < �f-. � � � � �; m � � m 0 � � � � , N O O O _ CIIYOF FRlDLEY FRIDLEY MUIVICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 October 2, 2000 Roger Hall 7450 Concerto Curve Fridley, MN 55432 Re: Final Inspection at 7450 Concerto Curve Contractor: Norblom Plumbing Co. Dear Mr. Hall: A plumbing permit was issued on June 13, 2000, for the above noted address, to install a gas water heater. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, =NSEN Inspector ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY PEx�vIIrr o.: 2004-0190 Y 6431 LTNIVERSITY AVENLTE NE - FRIDLEY, MN 55432 DATE ISSUED: 10/18/2004 163) 572-3604 FAX: (763) 571-1287 r'' : 7450 CONCERTO CRV NE : 113024140023 : MELODY MANOR 3RD ADD : LOT 4 BLOCK 2 : HEATING : RESIDENTIAL : ADDITION/ALTERATION VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERNIISSION FROM ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIlt, TRANE, 80,000 BTUS) AND AIIt CONDITIONER # A/C IJNITS 1 VALUE OF APPL OR WORK 0 # FURNACES # GAS RANGES APPLICANT DAVES APPLIANCE HEATING & AIR INC 1601 37 AVE NE COLUMBIA HEIGHTS, MN 55421 (763)781-6901 OWNER HALL ROGER A& JERELYN S 7450 CONCERTO CRV NE FRIDLEY, MN 55432 1 # GAS DRYERS 0 VALUE (FOR MIl�TIMUM CALC) AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction 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 know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Bldg Date HEATING PERMIT 1VIINIMUM FEE FURNACE 5HELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONITTG FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 35386 SEPARATE PERMITS REQUIItED FOR WORK OTI�R THAN DESCRIBED ABOVE. 0 � 0.00 35.00 0.00 0.00 25.00 0.00 0.50 60.50 'T1 � a � n � N v m 0 .'� � n � � 3 � 0 a 0 z � � n � z -i c z � m � a � � � � Q � o Q. �' O � � �� o �' m �' �� 0 � � � � N .� 8� � O � C� N �, a m m o. 0 � � � � � � � � a C S Q � c� 0 °* rn z m � � O � m � 0 °o \ T O � � X � 3 � c 3 °-* .� < � � � °� �� o � 3 Q n � as ,.� O �* � � � � � � � � � -� n� m m � � v o� � � � 3 � E' � 0 � � � � 3�� r3'' 0, �01 � � .� � �s c7� -� ° m � � � ��o �: C1 Q; O N i � �' C � �'' O O � � � Cfl �° �. $, � �, � � a � � oa � � � N a° � �, � � c�s� o o � � � � � �' � 1 py g� -Np G. Q. n N m 2 � �. � � m � v � �"i �` � �m �: � � a 0 N � o � rn �' o � aa °? a � o � N LU � 'O � � � � � � Q• Ol �� Q O CD � � � �� .� � o a S �., $ °.�t� m � ��c>� '� o m � � a� � � �' m � � � -��-i c. � � @ �I�O � � o ��-�� Q O cD = � �' .m, o�a Q O�-h N �7 = � Si � N v a � � N � � N �- 3 $ �. _ � �� rn o ` � � w N d � � � � N � � � g C v �3 31 � cD N � � d � � z � � $ '�y � � � � ��_ m � � �. a G O m � � � W � R� � G rn 0 0 � � g a g � � I�' � W � a � p�q v � g ��. � �' 'O rn ."0 � -i z 0 � �� „ .� �. � �� _, �';, ` 0 W O � � � � � , a �i . � � C w N � � O• t;s Z � "1"I " � � �� N @ v � � m � � C � r N � � — � � �/: 'G n - O z � -�v � r m � � �Z Z O a� vo �' m � � C� -p Q Z � � oa zz �v � Z (�j ,-�-I --� � m � � � � 0 vZ � � �� < rn � � � � Z � r r � � � � N � ++ FILL IN COMPLETELY FOR REPlJd►CEMENT FUEL BURNIAIG APPLlANCE PERMITS COMMON VENT. VENT COAINECTOR AND COMBIISTION AiR VERIFICATION When replacins� an existin� fumace, ihe undersigned hereby ve�ifies that the venting has been examined and is free from rust, de#eriaration, obsfrucfiions, and is securely supported and firestopped where required. Yes (� No () The venting systerrt is plastic/PVC and meets all current codes and manufaaturer specifications including slzing, length, number of elbows and termination. Yes ( No () The undersigned alsa verifies that the replacement un� is a listed ass�mbly and meets the current codes and manufacturer's specifications. This does include AGA GAMA Category I Cerrtral Furnace Ver�ting T�bles for fan assisted and natural draft appliances. Yes ( No () The exis�na _combustion air is si�ed and instalfed to meet fhe currer�t codes and ma�u�ac�ure�'s speci�ications. When required to install a new combustian air, tt will be sized and installed to m�t the current c,�des and manufaciurer's specific�tions. Yes � No { } Yes (�'� No { } When installin� a new ventJn� �vstem, the undersigned hereby ve�es that if is a listed assembly and meets the cu�rerrt c�des and manufacturer's spec�fications. This does include AGA-GAM�► Category I Centrai Fumace Verrting Tables for fan assisted and natural draft appfiances. Yes No () Is tl�e �mmon vent and vent connectors sized and installed carrectiy after an appliance has been removed from the common vent and vented separafiely as per current codes. Yes (�j� No ( ) Appliance Tvtoe and SizelGommon Vent and V�nt Conne�tor Information App4iance #1 Type �s.✓�� -�-- BTU Input .� an Assisted Nat !� Appitance #2 Type /��-� �� BTU lnput �Q, G�Q s�sted o�,� AppliancQ #3 Type BTU Input Fan Assisted or Naf � Total Appiiances �_ Total Btu Input ___ _ � Common Vent Type Vent Heigtrt _ Diameter inches Appliance #1 Verit Connector Height �� Length ?�_ft Diameter '� ' in Type __ �3 __ Appliance #2 Vent Connector Height .�a-'�k Length �,� ft Diameter �% in Type � Appliance #3 Vent Conneciar Neight ft Length ft Diameter in Type _. HERTiNG CO: Signed By: ,— Date _�. - � �� Building BUILDING Pernut No.: ,�6C%`� �; �Ce � Inspections RESIDENTIAL APPLICATION Received By: . 763-572-3604 CITY OF FRIDLEY Date �[e� Q% DATE 05/08/07 YOURE-MAILADDRESS estherdc�probuiltam.com SITE ADDRESS 74 5 0 Concerto Curve THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: Roqer Hal l TENANT pDDRESS: S c1i112 Z S S 1 t E CITY STATE ZIP PHONE: 763 ) 786-4543 CONTRACTOR Na�E:ProBuilt America SUBMIT A COPY OF STATE LICENSE # B C- 2 0 3 5 6 8 4 7 EXp DATE U j/ U ti YOUR STATE LICENSE ADDRESS: �� 11 11L11 AV2 � CITY North S� STATE ZIP �� l� W ITH APPLICATION pHONE 6 51- 7 7 0- 5 5 7 0 F� 6 51- 7 7 0- 0 4 9 5 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ �D[TION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: � �H' ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBEWORKBEINGDONE: Replacinq 8 window, not chanqinq sizes SIZE OF IlVIPROVEMENT LENGTH WIDTH HEIGHT S. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structurel members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structiu�es ❑ Other ❑ Fascia and proposed project. WINDOWS Z. Two sets of consuuction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & 8 TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINBOWS ALL rE1+,J AKr; tfAaL� L U1V VALUA1lU1V, llV(;LUll11V(i l�lil�'. (:U,'l� UN' LA�3UK A1VD MATL�'RlALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 2 212 OCCUPANCY TYPE Permit Fee $�� j See Back Page for Fee Schedule Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 65% of Building Permit Fee $ ,� •� .001 times the total job valuation $ �, � � .0005 x Permit Valuation Minimum $.50 $ �Z, L Z' $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) _$ /o ,'j '7 Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge 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 application for a permit and work is not to start without a ermit; that the work will be in accordance with the approved plan in the case of all work whic�i�re�e��proval o s. SIGNATURE OF APPL[CANT j� ther Dahl DATE 0 5/ 0 8/ 0 7 Building Inspections 7. 63-572-3604 STCE ADDRESS __ THIS APPLICANT LS: PROPERTY OWNER� TENANT CONTRACTOR �. MECHANICAL RESIDENTIAL APPLICATIC�N CITY OF FRIDLEY YOUR E-MAIL ADDRESS � OWNER ADDRESS: %�/ S` � �„ o o� e e r t� PHONE: �!Q ? 7 ii/� �/�3�3 COMPANY NAME.– db8 permit No.. ��-�. � - - - . : _. ��,� � ;�-,��, �� i i , _ ��r �l'1 i ��s� CONTAGT PER50N: ••�'� SUBMIT A COPY OF F3� D/+TE 27N MR� �' YOUR STATE STATE LICENSE # �� ► +-- STATE ZIP LICENSE WI1►3 ADDRESS: APPLICATION PHO� FAX , SINGLE FAMILY O TWO FANIILY ❑ TOVJNHOUSE PERNIIT 'I'1'PE ` ��r ❑ REPLACEA�NT ❑ ALTERA7'ION/itEMODE], TYP'E OF WORK: DETAII.ED DESCRIPTION OF WORK ons�tid� �u ��eplaLe cf,+��c-s �'�.oe PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to 5500.00, whichever is greater, far the improvement, installation or replacsment of a residential fixture, excluding tha fixture5• iTt'►is should reflect only the cflst of labor ) x.05= Labor cost under $300 =$15.00. Labor cost between $300 to 5500 = cost of la.bor �_ .— I�,�.�.�TAL FOR PROJECTS V��ERE 1�OR ��S $500' FEES '°� B'�� ON $10.00 PER FIXTURE. EXC�T �T� NOTIDS��URES: (�� T11,J}},J(BFR OF EACH BELOW? �G: Co. 4 4 I o�e� l MODEL: �V�� SIZE/B'N � Equipment Installed . . �: —_ MODEL: SI'LE/BTU �G; MODEL: Gp� gp�GE/OVEN 510.00 A/C �25.00 „�FIREPLACE (GAS) $15.00 IqgVJ GAS GRII.L $10.00 AIR TO AIIt EXCHANGF.IIt SIS FIREPLACE (WODD) $35.00 GAS iJIQ1T HTR $10.00 BOII.ER $35.00 - ,_FURNACE $35.00 '—pQOL HFATER $35.00 —G�IINQJEY L1NER $10.U0 GAS DRYER $10.00 =VENiII.p►TOR $15 00 DUCT WORK $10.� �GAS PIPING $] 0 00 v `. � � . ..�— ... _ Permit Fee �$ Numher of fixtures @$10.00 � x$10.00 = •_ urch e $ . .50 Numbar of fixtures @ $15.00 ,� x $15.00 = $ I5� S � TTumber of fixtures @$25.00 x$25.00 =$,__ TOTAL DUE $ Nu�nber of fixtures @$35.00 x$35.00 =$ State Surcharge � $ 50 Total = $� T�IIS IS AN APPLICATION FOR A PERMIT NOT VALID UNT�- PROCESS� I hereby apply far a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the CiworkFs�not o startlwiti�out a Permit� th t the `'v� k w ll b ma acc° danc�e withlthe not a permit but only an application for a permrt and approved plan in the case of all work which requires review and approval of plans. 0 7 !��_ � �� PRINf NAME �V � n !� i' • S � ` � DATE / SIGNATURE OF APPLICANT � - .. . _ _ _ _°_ < . , ._.�av,�G. • • .,�s�'c�t:�tA"%� : ' City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 Fax• 7�3-502-4977 ��- REQUIRED INFORMATION NEEDED TO PROCESS PERMIT �� _,. . � ; s� i � .� � � ° f : `�'�' x. `�� RESIDENTIAL PERMIT APPUCATION HVA ❑ NEW HOMESIADDt�'IONS ❑ EXISTlNG HOME ❑ M�KE-UP AIR � REQUIRED OMES aro�r�s��) 1. Combustion A�� • a, pil or solid �"�� °''i� � `��ents b. Naiural Gas or PropanelIFGC Chapter 3 with MN Am.en.dments • 2, Make-up Air (See note below) a. IMC Chapter S with MN Amendments , 3. Ven.ting a. Gas appliances IFGC Chapter S with MN Amendm.ents b. Fuel other than gas IMC Cha.pter 8 with MN Amendm.ents REQUIRED FOR NEW HOMES 4. Heat loss & coflling load. per room a. Required on new construction IMC 1346.0312 5. V entilation . a. per MN Energy Cod�e 7670 or 7672 (, �uct Design Per IMC 1346:06032 a. ACCA Manual D 1�IOTE: Centerpoint Energ� Mechanica.l Code Guidelines sof�ware may be u$ed. for comb.ustion and make up air calculations