AF - 36543CITY OF FRIDLEY
,
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
' (763) 572-3604 FAX: (763) 571-1287
ADDRESS
PIN
REPRINTED ON 7/7/2006
: 1557 BRIARDALE CT NE
: 133024440121
PERMIT NO.: 2006-00993
DATE ISSUED: 06/08/2006
LEGAL DESC : THEILMANN ESTATES
: LOT 3 BLOCK 2 'I��
PERMIT TYPE : BUILDING � ` � V�
PROPERTY TYPE : RESIDENTIAL /� � � //
CONSTRUCTION TYPE : NEW CONSTRUCTION r 1� �
VALUATION : $ 266,255.00 �� /
NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITI��;f�E�T'IONS.
PROVIDE SOD IN FRONT AND SIDE YARDS. PROVIDE HARD SURFACE DRIVEWAY.
PROVIDE CITY WITH VERIFYING SURVEY BEFORE CAPPING. SEWER AND WATER LOCATIONS AVAILABLE FROM CITY
ENGINEERING DEPARTMENT.
CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM, MONDAY THROUGH
FRIDAY AND BETWEEN THE HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON SUNDAYS OR ANY
LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED.
STATE LICENSED CONTRACTOR? 1 ENTER DEVELOP AGREE FEE 4979
PARK FEE 1500 SAC LJNITS 1
APPLICANT
MEADOW VIEW HOMES INC
14621 ABERDEEN ST NE
HAM LAKE, MN 55304
(763)757-7320
BC20024837
OWNER
MEADOW VIEW HOMES
14621 ABERDEEN ST NE
HAM LAKE, MN 55304
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 constnzction or the performance of construction.
Applicant Date
Bldg Insp Date
BUILDING PERMIT FEE
PLAN CHECK FEE
FIRE SURCHARGE
STATE SURCHARGE, BLDG VALUE
LICENSE SURCHARGE
SAC CHARGE
DEVELOPMENT AGREEMENT
PARK DEDICATION FEE
TOTAL
PAID WITH CHECK # 20974
�
��
G �'�
�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
1,928.95
1,253.82
266.26
133.13
5.00
1,550.00
4,978.86
1,500.00
11,616.02
,
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CITY OF FRIDLEY PERMIT NO.: 2006-00993
6431 UNIVERSITY AVENUE NE DATE ISSUED: 0�08�2006
FRIDLEY, MN 55432
(763) 572-3604 FAX: (763) 571-1287
REPRINTED ON 7/'7/2006
1557 BRIARDALE CT NE PERMIT APPLICANT:
: 133024440121
: THEILMANN ESTATES
: LOT 3 BLOCK 2
: BUILDING
RESIDENTIAL
CONSTRUCTION TYPE : NEW CONSTRUCTION
INSPECTION TYPE
FOOTING
FOUNDATION
ELECTRICAL ROUGH-IN
PLUMBING ROUGH-IN
HEATING ROUGH-IN
FRAMING
INSULATION
DRY WALL
SMOKE DETECTORS
ELECTRICAL FINAL
INSPECTION COMMENTS:
MEADOW VIEW HOMES INC
14621 ABERDEEN ST NE
HAM LAKE, MN 55304
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM
DATE INSPECTOR INSPECTION TYPE
PLUMBING FINAL
HEATING FINAL
FINAL
CERTIFICATE OF OCCUPANCY
FOUNDATION
DATE INSPECTOR
IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL
WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT.
THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.
Bu .
Ins ..,� s
763-572-3604
BUILDING
It�SIDENTIAL APPL�CATION
CITY OF FRIDLEY
I'cnnit No. ��6 —�09
Received B
Date Rec'd:
DA i E ��� /� 6 YOUR E-MA1L ADDRESS �
srrE nDn►�ss 1 S S 7 C� h I A� D A L�- R� A p
7'HIS APPLICANT JS: �OWNER �CONTRACTOR
PROPERTY OWNER/
TENANT
CONTRACTOR
SUSMIT A COPY OF
YOUR STATE LICENSE
WI7H APPLICATION
�`t1 �. � U v w i i��(.J j�l 'u �vl E S
ADDRESS: ��l 6�- I A¢ E� p�.c N ST CITY � Ar� LAI<� STA'f��ZIPS S 3 v�j
PHONE: 7 � .3 � � y � � �%.3 � �
SA� E AS ���v �.
STA'fE LICENSE � g �-' �-� O�. � g� % EXP DATE 3
ADDRESS: CITY S7ATE ZIP
PHONE FAX � 6 3- �s �- � S/`�
PROPERTY TYPE I�SINGLE FAMILY/NEW CONSTRUCTION SIZE_
O TWO FAMILY/NEW CONS77tUCT10N STORJ
PERMIT TYPE � �DITION
❑ BASEMENT FMISH
❑ DECK
TYPE OF WORK:
❑ GARAGE/SHED
❑ ROOF
O SIDRJG
O SWIMMMO POOL
O ADDITION
O REMODELING
0 DRAIN TILE
� OTHER
DESCRIBE WORK BEING DONE: S� N G�� � A M �� Y 1 S i o R�-�'
SIZE OF IMPROVEMENT
NUMBER OF SQUARES
GA
PROPOSED S1ZE:
PROPOSED HEIGHT:
SIDI
O Vinyl
O Aluminum
O Other
�i'INDOWS
M EXISTMG OPENMGS OYu ONo
OR FOR NEW OPENMGS-DESCRIBE SIZE OF
OPENMG CHANGES &
TYPG OF WMDOW TO BE MSTALLED
r- T
LENGTH W1DTH HEIGHT
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ A7"I'ACHED GARAGE
� DETACHED GARr�GE
❑Soff t
O Trim
❑ Fascia
1ACATION OF WMDOWS
NUMIIER OF WfND
�iASGMENT REMODELMG SUBIvIIT:
I. Existing Floor Plan
2. Proposed tloor plen
3. List of swctural members to be used
Ft.
FOR NEW CONS7RUCT10N INCLUDMG DECKS,
ADDITIONS. & PORCHES SUBMIT:
I. Site PlardSurvey showing the existing structures
and proposed projecL
2. Two scts of conswction plens
3. Epergy Calculations
ALL FEES�ARE BASED ON VALUATION, INCLUDINC THE COST OF LAI30R AND MATERIALS:
`�� SWG THE 1997 U.B.0 FEE SCHEDULE
� a�� r�t�- N �
TOTAL JOB VALUATION S —, ��� `�`` OCCUPANCY TYI'E
Permit Fee
Plan Review
Surcharge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrov� , ,�
Erosion Control �4�� �EN ��
Park Fee
Sewer Main Charge
Total Due �
$ 19�8� 9�
$ 3,�a
$ 33 - /3
$ a�t�. a�
$ 5 • «�
$ I SSO . oa
$
$ yq�P���(o
$ 1' So O . W
S
$ I I �l lp .0
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation – Minimum $.50
.001 x Permit Valuation (1/10%)
$5.00 (State Licensed Residential Contractors)
�-1�43$per SAC Unit (Plans to MWCC for dctennination)
ft+Gft= f�x$20=$
5450 Conservation Plan_Rcview
Fee Dctermined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make cliccks oavablc to: Citv ot Fridlev Attach
7HIS IS AN APPLICATION FOR A f'EItMIT-NOT VALID IINTIL PROCGSSED
lations
I hereby apply for a building permit and 1 acknow)edge tl�at the information above is complete and accurate; that tl�e work will be in
conformance with the ordinances and codes of the City of Fridley and with tl�e Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start witl�out a permit; that tl�c work will be in accordance with the approved
plan in the case of aU work which rc uires rcvicw and approval of plans.
,.
SIGNATUREOFMPLICANT ___`__ _______ _r"i I'IZINTNAMf;_.DAU i f� O'IOUCsNL�Npn� S/�176
Page 2- Building Rcsidcnlial Application
.
�' . ,
I3UILDING PERMIT FEE SCH�DUL�
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 structurc, upon application thereforc, reguire the payment by the
applicant for such permit of fees to the amount hcrein below set forth and in the manner herein
provided to•wit: �
TOTAL VALUE F�CS
S1 to 5500 $23.50 (Minimum Fee is 523.50 plus surctiar6c)
$501 to 52,000 $23,50 for I`$500 plus $3.05 for each additional $] 00 or fraction, to and .
includin $2,000
$2,001 to 525,000 $69.25 for l" 52,000 plus $14 for each additional 51,000 or fraction� to and
includin S$25,000
525�001 to 550,000 $391.25 for 1" 525,000 plus $]0.10 for each additioaal 51�000 or fraction,
to and includin $50,000
$50,001 to 5100,000 $G43.75 for 1" 550,000 plus $7 for cacl� additional �1,000 or fraction to and
includin 5100,000
5100,001 to SS00,000 $993.75 for 1` $100,000 plus 55.60 for each additional 51,000 or fraction to
and includin SS00,000
$500,001 to 51,000,000 53,233.75 for thc 1" SS00,000 plus $4.75 for cach additional 51,000 or
fraction to and includin SI 000 000
S 1,000,001 and up 55,608.75 for the 1" � 1,000,000 plus $3.15 for cacl� additional $1 �000 or
fraction
VERIrICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
City of Fridley
6431 University Ave. NE
Fridley, MN 55432-4383
763-571-3450
01-Jun-06 Special Assessment Search And Statement of Charges
TO:
On all that tract or parcel of land lying and being in Anoka County, Minnesota described as follows to wit:
Parcel No: 13-30-24-44-0121 1557 BRIARDALE RD Lot: 3, Block: 2, THEILMANN EST
LEVIED SPECIAL ASSESSMENTS
This is to certify that I have examined the records in the office of the Clerk, City of Fridley, Anoka County, Minnesota, and for
such search, certify that the following special assessments appear unpaid with respect to the above described tract or parcel of
land:
Term Certified Initial Interest Remaining Current Current
Proiect Number Project Description TYPe (Yrs) Date Amount Rate Balance Princinal Interest
NONE
PENDING SPECIAL ASSESSMENTS
For the purposes of this document, the City of Fridley has determined that an assessment is considered pending after the City
Council passes a resolution ordering the improvement, the approval of plans and the advertising for bids. This is prior to the
City Council adopting the final assessment roll. If you seek further information, you should do so upon your own independent
inquiry. Any amount given as to pending assessments is informational only and may or may not be the amount ultimately
assessed.
Term Initial Interest Estimated
Proiect Number Proiect Description (Yrs) Year Rate Pending Amt.
5000-2004-01 00 Theilmann Estates Improvements 0 2004 0.000% $4,978.86
$4,978.86
MISCELLANEOUSFEES
Description Status Date Fee Amt.
Park Fees Unpaid 3/24/2003 $1,500.00
UTILITY CHARGES
You shall be responsible to verify the status of any outstanding utility charges. To check utility charges
( water and sewer) contact Fridley Utility Billing Department at 763-572-3529.
The records referred to above are public and may be inspected by anyone during regular business hours. The search of these
records was made by the undersigned as a public service on request. The undersigned certifies that the above indicated
searches were made and are believed to be accurate, however, the undersigned or the City of Fridley does not insure the
accuracy of the above statements aud does not assume liability for errors and/or omissions.
The above figures are good through November 15, 20
Date Prepared: Thursday, June O1, 2006 By
Page 1 of 1
GENERAL CONTRACTOR AND SUBCONTRACTOR LIST
Builder: Meadow View Homes, Inc. License Number 20024837
Owner: Jeff Cruz
Project Address:
General Meadow View Homes, Inc. 763-757-7320
Excavation Westem Excavatin / Final Touch Excavatin 612-644-7054 ! 612-328-4662
Mason KCI Construction 763-786-3625
Framers Levin Construction / P.R. Wolfe 763-754-7644 / 612-919-3793
Roofin Exteriors b Wendell 612-308-2304
Insulation Nordic Insulation 763-784-7893
Sidin Crown Bluff Enter rises 763-323-9259
Sheetrock Merit D al) 763-878-2795
Plumbin Rob Garin Plumbin 763-753-1136
Mechanical Air Mechanical 763-434-7747
Gas Pi in Air Mechanical 763-434-7747
Electrica{ Solber Electric 763-753-0074
Brick/Stone Fine Arts Mason 763-413-2487
Blackto Lino Lakes Blackto 651-786-4378
Fire lace Condor Fir lace 763-786-2341
Water roofin Kremer & Davis / Drawbrid e Water roofin 763-788-5835 / 763-434-0579
Sewer Cas er's Excavatin 763-434-3618
Water Cas er's Excavatin 763-434-3618
" All home building contractors, remodeling contractors and roofers must be licensed by the Minnesota
Department of Commerce
' Plumbers must be licensed by the Minnesota Department of Health
` Ekectricians must be licensed by the Minnesota Board of Electriciiy
` Separate City Permits Required
"All contractors must be licensed and insured
' „ � . .
. PI NEE i i
Ren neer n
Goon Rapids O�ce � � � Mendota Heights Office
201 SSth Avenue N.W. CIVII, ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCIII"I'EC'I'S 2422 Enterprise Drive
Coon Rapids, MN 55433 Mendota Heights, MN 55120
(763) 783-1880 Fax:783-1883 Coon Rapids Office (651)681-1914 Fax:681-9488
Certificate of Survey for: MEADO W VIEW HOMES
House Address: 1557 Briardale Road N. E.
�
t
C� ln
��
O �
922.1 � �--
-- ���"'
4 � `�
EXISTING HOUSE I 919.5
TOP OF BLOCK = 922.7 '
O GARAGE �%��
_ � J 922.3
BENCHMARK
TOP OF PIPE
EL =
y.0 �r1.�! O�A'+
5•ti � r�
6���
rca.3 D'1
� TC8.6
i
, �LE
�R I Ag�
B
E� Dtr��� �_g�-�SS w:n�a,-"
0 0 o Denotes Emergency Overflow
X 000.o Denotes Existing Elevatfon
x 000.o Denotes Proposed ElevatPon
- Denotes Drainage Flow Direction
— — Denotes Drainage & Utility Easement
(per recorded plat)
�/ ►
I
—�— Denotes Offset Iron Bearings shown are assume
LO T 3, BLO CK 2,
920.3
�--
I EXISTING HOUSE
I TOP OF BLOCK = 920.B
�--
919.8
BENCHMARK
TOP OF PIPE
EL � 917.87 , �!� L I
y ����s ���
;..� 1��.
�. �'�� ���-�
;,��,,,� ,:.�.,�-���� I
/�_^ ,�{ � I
�° J �� ��Jy � '
_, p,�",� �'"�- �� �',
,.l- ., _.�. � : +�= �u.�/ -
�
NOTES:
1. HOUSE PLACEMENT PER OWNER.
2. ELEVATIONS SE7 BY OWNER.
3• S�e.� ha�se �P �.�' ����
Ga�o.o��e �+ �o
4-. W'..,ao.... we.11 -4�0 4t iv
PROPOSED BUILDING ELEYA�70� °�ZO •S.
Lookout Elevatlonr a i 8•4
Lowest Floor Elevation: q� s• �
Top of Foundatlon Elevatfon: 9 Z 3•4
Gorage Slab Elevatfon: qzi•S (at door)
NOTE: Proposed bullding elte grading is In accordance with the
gradl�g plans prepared by Metro Land Surveying dc Engineering, laet
revfead 12-5-04. �
NOTE: Contractor must verlfy all houae dimenalons dc driveway deslgn.
d NOTE: Drlveways are shown for graphic purposes only, flnal driveway
deslgn and locatlon wlll be determined' by contractor.
THEILMANN ESTATES
ANOKA COUNTY� MINNESOTA
I hereby certify to MEADOW VIEW HOMES that this survey, plan or report was prepared by me or under my direct supervision and
that I am a duly licensed Land Surveyor under the laws of the State of Minnesota. Dated this 1 Sl day of J�� C
A.D., 2006. Signed: PIONEER ENGINEERING, P.A.
Scale. 1inch = 30feet
�2556� 204269.007 JFW
B � �'�- � -�
Terrence E. Rothenbacher, L.S. Reg. No. 20595
Thomas R. Balluff, L.S. Reg. No. 40361
�
MAY-19-2�06 11 � 02 FF20M: Rlk f`'�LHHNILHL 1NL fb,.5�f�41byy I U= fb� f� f 1Jl f
� ..� �� ���*Ll ��IUif*� 1 �A/�
� �rr � �rr��.vi �rn���v�i. i��v
HEA7iNG, COO�ING $� RAOIANT
To: �Anowvr�w Ron��.s
�'2tOA'i: JIl43 KIVAEBL�, ESTTMATE}R
RE: KE`'1N & d1JL1ANNA MCGRANE
1557 B�.tIARDALE ROAD
FItIDLEY, MN
DATE: MA,Y 19�', 2006
r:i 4
1'LEAS,E SELEC.T FROMQ,PTIONS;BL�'LOW, S1GNA,ND RE77J'ltNBy,FAX pit.FOR T�,RUUGA,�'!1:
_ T,�,vv� xov.
ti[A1N: 12 - SiJPPLY
6 - �'tETIJ�tNS
1- 50 CFM PANASONTC %2. BATH
UPPEl�: 1 D - SUPP�,Y
5 - RETURNS
1— 50 CFM PAN,A,S(]NIC 1VIATN BATH
t— SU CF.11� PA1�tASQI�T[C MASTE� B.ATH
SSMCB].00-16 CARRiERFURNACE
AYR CYCLER
DRYEl� VENT
$ASE PR�G'E:
OPTION:
24.a,BRi42A CA�RIER 13 SEER. 3.5 'T�N A.C.
CAR�L4?�.1ACA CO�L
2A VENMAR SQL4 AIR EXCi�ANGER
H4NFY�4'ELL MEDTA, Allt CLEANER.
�-IEZ65B10Q5 �-ION�YWELI, HUIVllDIFIER
VENT RANGE HQOTJ
G1�SL�NE F�PLACE
CrAS.LNE RANG�
Ci,�SLINE D�2YER
BASEIvIENT FINTST� (10 - 5trp�L.Y, 5—R�T'URNS, 1— 50 CFM PANASONiC � VEN'F)
$77G0.00
$2300.00
$� 95�.00
$275.00
$�03.OQ
$230,a4
�2�o.ao
$155.t}D
$I SSAO
$1615.Q0
�,..k" 1j. �ravosal may bc aithdrav4�n if nn1. sj�cd and return�d to as within thi�#v f3 Dl days
T�s_�f vavment: fiikvperocnt {SU%� �f (;t�p contrsci is due within 30 da�•s q�thc heaung rou�h-in comnietiRp, _Balance ofcontract
, m un �luc.uaon compler.i.un of hcarin� fina] insncstion.
B�CCEPY'ANCB OE' FROPf �SAL
,�td,'rE�iMS .aND Cc)���IIONS ARE nGR�D TO BY 'l'ra� �A,RT�S Ll, fED B�'3,flW, qR1GIIVAL SK;ni.ATLZtE REQIr�LED ON
LACiI COP'Y.
UWNF,R N,4MC pip'�
(763) A3�-T747 + {7831434-1 G99 fax (651 j 452-2Q25 ■ (651 } �i52-6925 fax
76�11 Aberdeen St. NE • Ham Lake: MN 55304 2795 Highway 55 East • Eagan, Mf� �512�
www.airmechanical�nc.com
MAY-19-2�06 11:05AM From: 7634341699 ID:MEADOW VIEW HM Pa9e:001 R=95%
�
MRY-19-2006 11:�2 FROM:AIR MECHHNI(:HL 1NC: fb.i9.591b'�
Date: 519 912006 Re�isipn D2te: 5I1912Q06
Sfie 1nf�rmation
� Address 'l: Meadowviev�r Homes
/�ddr�ess 2: 15�7 Briardale Road
Gity: Fridfey Gounty: Anoka
ApAlir.ation Informat�an
Busine�ss Narne_ Air M�chanical Inc,
Contact Persan: Jim Knaeble
C)�Ce Ph: 763-746-3763 �ax: 764341699
Address 1:
City: State: Zip Cade�
IU� (b.5f�f1�1f
New Constrvction
Pmject #:
Lot: Block:
Subdivision:
MN Contractor Licens� #:
��Il Ph: 612-363-662fi
�iouse petails
�quare Fee�%�175 sq. ft1 Avg. Ceilir'�g Ht: S ft.
Ventilatiqrt \ Balanced '
Total Ventilation Cap�city : 146 cfm.
Minimurn Cantinuaus Ventila6fln :75cfm.
Intermii�n# Ver�tilation: 71 cfm.
Number af Bedroc�ms: 4
Combustion Apqliance
Water Heater Power Vent Input BTUs: 50,OD0 Independently Vented
FumacelBoiler. Drr�ct VenUSealer! Combustion Input BTLJs: 100,000 lndependentfy Vented
�her Combustion Anplia�nces
�as Fired Direcf Vent Fireplace(s}: Yes Gas �'ired Power Vent Fireplace(s}: No
Gas Fired Natura! Qraft �ireplac�(s): IVo Solid Fuel Appliance(s): Na
Exhaust E ui�,pmer�t
Continuous Exhaust Ventilation �apacity (cim}; NA Clothes Dryer (cfm): 135
Exhaust Fan Rating (cfm): 3D0
Make-Uo Air
No Make-Up Air Required by Cade
Cornbustion Air
Round Rigid Required: � inches or Insulated F1ex: 6 irtChes
r:��4
�lppllcant Name lprint): �� ��' ��� SignaturelDat . _.:. e �- � ��'�
C,ode Oificial tprint}:__ SignaturelDate:
���04 Ccnt�rPoint �n�r Minnegasco. 2004 Mechan.ica] Code Guiclelinr,s.
Page 1
MAY-19-2806 11:05AM From: 763�341699 ID:MEAD�W VIEW HM Pa9e:002 R=96%
�
MAY-19-2006 11:03 FROM:AIR MECHANICAL INC 7634341699
T0:7637571517
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a•�th .z }' (l'esf m�y- tk s41�ti�«1 un�i�r chc �t`Z�c}un �":��rm�uif'ms.nc Exhaust de.•ices o�-rr 300 cfin j Flo��-
�'omp�cta �rlruMSrdl:rk��-Lp �tr'r.Sc•1a�rinlr oh ih2 ri�ht iY dirsci or �i�w�r ' cFr.�
«cnrhi nr suliQ fu�� acmospt�rric ►anr zpae�• hratinb �uipmenr is sc1.�.YrJ, clrsr
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ter neann�--so
�, A�nospha�icatJyveated iV Hcarth_svlidfi
tf a+mospher�catly r•�nted soli� fuel Or diret: or po�,er vtnt�d nonsalid tuei spa�e
fl+s�v is requircd 1'ar rach individua! eaehaust �t�vite a�hich excaeds ��� cubic Fezt oe�
'� �r � l . ���rTi'�.�A�`�C�.I�tr .
�
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Dirrcr or po.�•cr venre�i
, V���TIC�,TldN{�u,�t�Ti�'Y �
i�CChaniCa! v�entilati0n rpust b� provided per Etta I��r qusntity caicul�tad 6elativ)
�� eubic tect x O.OpS$3?mihu�e �,�p eFm f��' x I3 sfrnlbedroam}+ 15 cfm =
lume oFhabitable roa�tts ' nurnber of bedroams
=c�: �echod{s) proposed 3
ion �r location� �
bE�atCiJ�7��1
.�
B�lanctd {1tt1t r�oti�er}• renrilatar, air
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r,
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�p air tp match
7.�' cf,m
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emen� of Con�plinn��: The prt�postd buifding de;i�A rcpn:Sentrd in ih�sc ducurnan[s is ¢on>i�ten� a�i,h thr buildin� �ians.
itcatic; �. tl:: + l��h�: :__,:;�,latioaa 5ubriTirctd ayi13 [ISt �Ri17; a'��Itta{10n. TflC (Sf0�303Cd bU1�tEi71_ has be:a �aiivned m tnrec �ha
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escriptian or laeacian � �
?�1��� lntakr e#'nt �Em ,
ORI��Aa+�fCE�t �xhausc r
cfm r fm. �
�nt�lat{crn racc musr be n���sure�,ln� ►•rri��ed whcn die perF�tntxntt apti�a ia us�st in
' j�inrti �n [he bqiidir�a coydition�d enti•e1ap� (1'c�r� p� �j.
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MAY-19-2086 11:05AM From: 7634341699 ID:MEADOW VIEW HM Page:003 R=96%
MAY-19-2�06 11:03 FROM:AIR �ECHRNICF� INC f6.54�41byy lu=fb�t'fl,lr
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,t'innasac�� tiulrs. Chay�Ccr ?b70. Cos�ptett Parts A. T}, and C_ Cf�vh mas� pl.�s•ti•i�l�: io�,i�tiun R-•ala:s: .��nd.»• a:t.t �:. h�fc !.'-
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nfarmytign rsA br taund in tbe,itir�orv f.m��-C'r,� snrr�mary sf�acc� nvailable levm �E�e Jlli�n..y� Dc��lt[m:c1 ��f Cu�uh,�rcr
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Iheck tperr�t en�=rg! Gt1•,ul�,:io.� optiost used $�'Cnolcua�l:" fKamptetr +�arl:�hcct f�leta�l p t�InChrLk mrch�,t inc..-h ap�xt)
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'o7•E. _or -�— -
MAY-19-2086 11:06AM From: 7634341699 IQ:MEADOW UIEW HM Paee:004 R=95%
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
►63) 572-3604 FAX: (763) 571-1287
REPRINTED ON 7/7/2006
: 1557 BRIARDALE CT NE
: 133024440121
: THEILMANN ESTATES
: LOT 3 BLOCK 2
: ELECTRICAL
: RESIDENTIAL
: ELEC SERVICES, NEW
NOTE: CALL FOR ROUGH IN AND FINAL INSPECTION
H.O. PHONE #763-757-7320 CONT: 763-753-0074
ELECTRIC PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE
NEW HOME
ENTER ELECTRICAL FEE 85
APPLICANT
SOLBERG ELECTRIC INC
19941 IGUANA ST. NW
ELK RIVER, MN 55330
(763)753-0074
CA01689
OWNER
MEADOW VIEW HOMES
14621 ABERDEEN ST NE
HAM LAKE, MN 55304
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 ��,v
application and know the same to be true and correct. All�,.
provisions of laws and ordinances governing this type of work
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.
Applicant Date
Bldg Insp Date
PERMIT NO.: 2006-01168
DATE ISSUED: 06/27/2006
\��y (� ���D
I,'I
ELECTRICAL PERMIT FEE
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 684153
�
^�
��./
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
85.00
0.50
85.50
v
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
INSPECTION TYPE
ELECTRICAL ROUGH-IN
ELECTRICAL FINAL
INSPECTION COMMENTS:
CITY OF FRIDLEY PERMIT NO.: 200�-o��6s
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 06/27/2006
(763) 572-3604 FAX: (763) 571-1287
REPRINTED ON 7/7/2006
1557 BRIARDALE CT NE PERMIT APPLICANT:
133024440121
THEILMANN ESTATES
LOT 3 BLOCK 2
ELECTRICAL
: RESIDENTIAL
ELEC SERVICES, NEW
SOLBERG ELECTRIC INC
19941 IGUANA ST. NW
ELK RIVER, MN 55330
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM
DATE INSPECTOR INSPECTION TYPE DATE INSPECTOR
IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL
WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT.
THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.
Building PLUMBING Permit No •
Inspections �+ SIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date Rec'd: ��7 `1 �
DATE -��� -/� �E' YOUR E-MAIL ADDRESS /�- 7f�
SITE ADDRESS /SS � � �
c�;—ir,~�-E"�.� :��at
THIS APPLICANT IS: ❑ OWNER @CONTRACTOR
PROPERTY ' '
NAME: ✓J�Cc.I � �� G� � i;U �.;��:
OWNER/ pDDRESS: CITY STATE ZIP
TENANT
PHONE:
CONTRACTOR NAME: c /�v � � = ,", � �� l � .: ° � c-
Ky� ��
SUBMIT A COPY OF STATE LICENSE #'�C� %/ r�/rI EXP DATE
YOUR STATE ADDRESS: .Z %�D / 7'i � �G.� CITY �,� �� �:i �.^ STATFi�J�' ZIP S J',�DY
LICENSE WITH pHONE �E� �?{3 � i/3 6 FAX
APPLICATION
PERMIT TYPE m SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: � �W ❑ �PLACEMENT
DETAILED DESCRIPTION OF WORK %u,.�� ,1, _ {�� /�w,
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, exc]uding 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 BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE 3'OTAL
NUMBER OF EACH BELOV�
C BATH SINK/LAV � FLOOR DRAINS ..Z SHOWER � WATER PIPING
� BATHTUB GAS PIPING pvcEDCmtic�sc) SWIMMING POOL _ WATER SOFTNER ($35)
� CLOTHES WASHER j KITCHEN SINK � WATER CLOSET � BACKFLOW PREV. ($15)
/ DISHWASHER ! LAUNDRY TRAY / WATER HEATER ($35) FOR IRRIGAT[ON
�� WATER METER _ OTHER
, �,. . � ...__. ., .,.,- ,�, .. , .v_: . „
Permit Fee �� $ a-: � .�s� Number of fixtures @ $lO.OQ� x $10.00 = $�n �
Surchar e .50 Number of fixtures @$15.00 � x$15.00 =$�
TOTAL DUE $� ��.� Number of fixtures @$35.00 x$35.00 =$
State Surcharge = $ .50
Tota1= $ � T
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 applicati n for a permit and work is not to start without a permit; that the work will be.� accordance with the
approved plan in the case of all w�rk w rch requires review and approval of plans.
�`� ,/' n / ;"�'v� �'� �:�
SIGNATURE OF APPLICAN�T '�'�`AIL� PRINT NAME ��-� //� G� e, �' DATE
_ _ _ � . , w �� � ;��
, � . „
- , s , � ����. � �.�
TM ,
, ,_ ��
City of Fridley
Building I�spections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
�
�3� CITI( OF FRIDLEY BUILDING INSPECTION
6431 University Ave NE
Fridley, MN 55432
763-572-3604 FAX 763-571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Other Repairs or Alterations (List on Back)
1% of Value of Appliance or Work
Minimum Fee $15.00 for Residential or 5% of cost of
Improvement whichever is greater
, �\ � � �� `
,�it��'r
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Fee Total
$35.00 $ 35:
�
$10.00 $ I�D
$10.00 $
$10.00 $
$25.00 $ � � .�
Commercial/Industrial/Institutional
1.25% of Value of Appliance or Work (List on Back)
Minimum Fee $35.00 for Commercial/Industrial/Institutional
State Surcharge
TOTAL FEE
REINSPECTION FEE $50.00/HOUR
JOB ADDRESS /�SS 7��/�/�LCL/!C_ �IXPU
Owner ''�i�t�X� �/ � �GGt� ,�(°S
Buifding Used As 1�Q � S e �
ESTIMATED COST tP �� � PERMIT NO
DESCRIPTION OF FURNACE AND BURNER
# of Heating Un�' js_� Circle One (Steam) (Hot Wate (Warm Air)
Trade Name (_-�' �l'1 C i Size No.
BTU C�%O HP EDR
Fuel Total Connected Load
$ Burner Trade Name Size No.
BTU HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do a!I work in strict accordance with the City Codes
$ and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
$ ' S � HEATING
�
� �- -
$ �5� Sign Tel#/(���`f "7%��
FAX # � Date 7 �l3 /� Y�
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Approved by Rough-in Date Final Date
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacinq an existinq furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firesfiopped where required. Yes () No ()
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, lengi;h, 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 manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
The existinq combustion air is sized and inst�lled to meet the current codes
and manufacturer's specifications.
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
When installinq a new ventinq 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 Furnace
Venting Tables for fan assisted ancl natural draft appliances. Yes ()
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed fr�m the common vent and vented
separately as per current codes.
No ( )
Yes ( ) No ( )
Appliance Tvpe and Size/Common Vent and Vent Connector Information
Appliance #1 Type
Appliance #2 Type
Appliance #3 Type
Total Appliances
Common Vent Type
_ BTU Input
_ BTU Input
BTU Input
Tatal Btu Input
Vent Height
Fan Assisted or Nat
Fan Assisted or Nat
Fan Assisted or Nat
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: (Describe)
HEATING CO:
Signed By: Date :
Building
Inspections
763-572-3604
From: City of Fridley To: 7177207 Page: 2/3 Date: 8/1/200610:35:56 AM
MECHANICAL Permit No.: , � - b %
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
DATE D 6� v j- u� YOUR E-MAIL ADDRESS
SITEADDRESS I.�SZ_��.^;_�'���—��'' —
THIS APPLICANT IS: ❑ OWNER ,�CONTRACTOR
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOURSTATE
LICENSE WITH
APPLICATION
NAME: M� v�/ V i Lt,� Go nS �" ✓ c'� � w� ---
ADDRESS: �yb�l ��O��ti S"� �1� CTTY
PHONE: �%�.� ` 7S % ' 7 � �
COMPANY NAME: COV�� F�fGOLa / t �' S�UUY�1_
CONTACT PERSON:
Received By:
Date Rec'd:
ATE�ZIP 5�,��y
STATE LICENSE #�G _ /�SD _ _ EXP DATE 3� �3� �� %
nDDx�ss:���1 A�k�.���{_ ►�E----ci� �S;�L�.k�.�c� k STATf�h_ZIP SS �I��
PHONE �6S �6� _r I---- FAX 76_3=�I 7 J/ d D% _ — —
PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: �W � �PLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK S��Gy�i- UG�,} �lU 'Gla ����c��c ov�.1y�`Gr�,s �o�%r,� I
----------
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, excluding 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 EXCEIDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) ,` j
Equipment Installed MFG: f'IGk�" JN %�c MODEL: �b40� _ SIZE/BTU J�i�,C�Ob
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU �I
_A/C $25.00 �REPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00
CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00
_DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 �
PERMIT.F'�E �RC7�GT� F�JR.�JN�ER: �i!4t� < PEIZMIT �EE F4�R �R07BCT� C��'ER �S�ic.x I
Permrt Fee $ _�. Od
Surcharge $ SU
TOTAL DUE $ _ �_S .�_
Number of fixtures (a� $10.00 x $10.00 = $
Number of fixtures (a� $1 �.00 x $15.UU = $ 'I
Number of fixtures (a� $25.00 x $25.00 = $ ;,
Number of fixtures cr, $35.00 x$35.00 =$ �
State Surcharge = $ �f� I,
Total = $ �i�
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be u�
conformance with the ordinances and codes of the City of Fridley and with the MiruZesota Construction Codes; that I understand this is
not a permit but only an application for a permit azid work is not to start widiout a permit; diat the wark will be in accordance with tl�e
approved plan in the case of all work ich requires review and approval of plans.
SIGNATURE OF APPLICANT �� " — ---PRINT NAME_ �✓Y1� W Q�hGi" _DATE �%��t%�C� 6__ �
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FA�: 763-502-4977
SEP-13-2006 WED 11�13 AM
h[ORD I C 1 hiSULAT I ON 763 784 693 ]
AT'TIC II�SYJLA.TI��
Bui.lder: Meador�v "V'i�w Homes
" � � : � . - � - ►�h
Date: A�g�s� 9_ 2QQ6
Kevin Tall�fson and Ricardo Pichardo
Signature of Tnstaller
Type of Insula�,ion and R�Va1ue in ceilin�R44 _
Were en.ergy trusses used.:
Square footage of atl'ic:
Number af bags of insulation used: 33
This must be placed next to the building card vvh�n completed. A second
card must a1�o be pl.aced in the attic near the scuttle ho1e.
NC�:RDI� I�SULATIC�N, TNC.
15 5 4� 93 r� Lane NE
Blair�e, MN 55449
Phone: �763) 784 �- 7893
Fax: (763 ) 7�4 — f 931
P, a�
SEP-13-2006 12:19PM From: 763 784 6931 ID:MEADOW UIEW HM Paae:��2 R=95�
City of Fridley
, � 6431 University Ave NE
Fridley MN 55432
(763) 572-3602 or Fax (763) 502-4977
Water and Sewer Permit Application
❑ New Connection
❑ Existing
Date: � l ( l D (o
� V/ I D � �
�,,/� � f'
V'�, � � V
� � ���
❑Utility Line Repair/Relocation
❑Water and Sewer Connection
Job Address: ���% � r u.r � c.�-
Name of Applicant (Plumber): i�%t-q,� ���ec �a-�+�q
Name of Property Owner: �-Lt�l o �,� � z✓ t� +�-��
Existing Structure Permit #
Permit Type: Sewer Fee: �
Water Fee:
Meter Fee:
Repair Fee:
Relocation:
State Surcharge:
SAC Charge:
Special Assessment Fee:
Total: $ ' � � � �d
Applicant Signature:
Inspector approval:
04/04/OS
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
J"
FRIDLEY, MN 55432
(763) 572-3604 FAX: (763) 571-1287
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
REPRINTED ON 9/11/2006
: 1557 BRIARDALE RD NE
: 133024440121
: THEILMANN ESTATES
: LOT 3 BLOCK 2
: SEWER & WATER
: RESIDENTIAL
: SEWER/WATER CONNECTION
NOTE: WATER/ SEWER NEW HOUSE
APPLICANT
ROBARGE EXCAVATING
16576 HANSON BLVD
ANDOVER, MN 55304
(612)328-5308
0835 PLC
OWNER
MEADOW VIEW HOMES
14621 ABERDEEN ST
HAM LAKE, MN 55304
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.
Applicant Date
Bldg Insp Date
PERMIT NO.: 2006-01834
DATE ISSUED: 09/11/2006
SEWER PERMIT FEE
STATE SURCHARGE, OTHER SEWER
WATER PERMIT FEE
STATE SURCHARGE, OTHER WATER
TOTAL
PAID WITH CHECK # 2202
, � s '�
�
C ��
�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
50.00
0.50
50.00
0.50
101.00
_
_
C[TYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432
(763) 571-3450 • FAX (763) 571-1287 • TTD/TTY (763) 572-3534
September 15t" 2006
Meadow view Homes Inc.
14621 Aberdeen St NE
Ham Lake 55304
Re: Final Inspection at 1557 Briardale Rd NE Fridley Mn.
Dear Sirs;
A final inspection was conducted on September 15 th for the completion of the dwelling at
the above address. The inspection noted that the construction was completed according
to the approved plan but the following items need to be completed before the building
permit can be finaled out;
1. Provide sod in the front and side yards by October 15, 2006.
We will expect the above items to be completed by the scheduled dates and a
reinspection called for. The dwelling is approved for occupancy.
If you have any questions concerning this matter, please feel free to contact me at 763-
572-3603.
rely,
DAVE ,�ETVSEN -
Build�g Inspector
DJ/mh
`1�
B'uilding BUILDING Permit No.: ' ' _ -
Inspe�tions �ZESIDENTIAL APPLICATION Received By: �
763-572-3604 CITY OF FRIDLEY Date xe�'d: `, ti�
DATF. Z�{ �� YOUR E-MAfL ADDRESS � j%%/L) j'%�I �"��C/ [`O/�SG� /7/f���Q'
� � .
SI'fG ADDKGSS /� 17 7 �, 1 Gt i�C c� C �� �
ll IIS APNLI<'AN"I IS: �OWNLR OCON"I'RACTOR
PROPERTYOWNER/ NAMt: " ��' ✓� 1-E
TENANT ADDR�SS: / -; �% �r �� a�� ���d /1%C[TY - ;c �' STAT S5�5Z
PIIONC: Ll' J Z "- �"`jCJ L � z'� �
CONTRAC7'OR NnMr:
SUBMIT A COPY OF S"I'A'1'I: LICENSE # EXP DATE
YOUR STATE LICENSE AUDItESS: C[TY STATE_ZIP
WITH APPLICATION p��pNE FAX
PROPERTY TYPE � SINGLI: FAMIL.Y/NF.W CONSTRUCTION SIZE
� TW'O PAMILYiNEW CONS"fRUCTION STORIES
PERMIT TYPE � ADDITION O GARAGE/SHED ❑ WINDOWS
❑ E3ASEMEN 1' FINISH ❑ ROOF ❑ DRAIN TILE
�ECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: � Nt�w ADDITION _
❑ MAINTENANCE/REPAI ❑ REMODELING
DESCRIBE WORK BE1NG DONE: �' �% C.� p�' "� ' 4 /
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S. Ft.
ROOF[NG 0 HOUSE ONLY
NUMBER OP SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: "
GARACES ❑ ATTACHGD GARAGE 1• Existing Floor Plan
PROPOSED til .7.fi � DGTACHGD GARq GE Z• Proposed floor plan
�,/,✓ `/� ,1 3. List of structural members to be used
PROPOti[D IIFIGIiT: �7J� .�a�
.�
SIDING � FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ �'inyl ❑Softit �'��/a5'��' ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum ❑"17im I. Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia and proposed project.
WINDOWS 2. Two sets ofconstruction plans
IN [XIS'I'ING OPENINGS ❑Yes ❑No LOCATION OP WINDOWS 3. Energy Calculations
OR POR NEW OPENINGS-DGSCRIBE SIZL OF
OPENING CIIANGLS &
TYPE OP WINDOW 'I�O I3C INSTALLI:D NUM[3ER OF WINDOWS
ALL FEES ARE KASEU UN vALUA'I'IUIV, INCLUUIIVG I H� cU51 ur
(USINC TH�'.r1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $�rya� .a? b C� OCCUPANCI
Permit Fee $ (�(. �j See Back Page for Fee Schedule
Plan Revie�v $ � a. , 65% of Building Permit Fee
Fire Surcharge $ �.+-) .001 times the total job valuation
Surcharge $ ;�_ � .0005 x Permit Valuation Minimum $.50 - -
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x$21 =$
Erosion Control $ $450 Conservation Plan Review
Parl< Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary O Non Necessary O
Total Due $ � C1 C7. 2 C� Make checks payable to: City of Fridley Attach Stipulations
LAtfUK A1VU MAl I;KIALJ:
TYPE
TFIIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
1 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 worl< is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work which requires r ew and approval of plans.
SIGNATURE OF APPLICANT //f��/ PRINT NAME��f/r/ �i�/! CIX�Q%fL� DATE I../ ��/ (�(,(�
i
i
�
1:1
►��
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00 �,
---�p�
EXISTING HOUSE I �
TOP OF BLOCK a 922.7 I
� GARAGE J
_ J
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ro
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EXISTING HOUSE �
B' POURED BSMT. �
LOOKOUT 10.5
I
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GARAGE � o
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N
� 23.2 cri
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I EXISTiNG HUUSE
I TOP OF BLOCK = 920.9
�— — —
� 'o
t 40' � �1
DRIVEWAY i � 917.1
/ }� TC
� �'s ��/
o / �66�g$ �� ��
R�2 �p �� � �5..
��6 � '�j • �i
9, B. 3 D / "[� .
TC .(� l �
%t B.6 O �,y
TC i
, �LE g
� I Ag�A
BR
0 0 o Denotes Emergency Overflow
x 000.o Denotes Ex(stfng Elevat(on
x oo. Denotes Proposed Elevatfon
—�-- Denotes Drainage Flow Dlrectton
— — Denotes Drainage & Utflfty Easement
(per recorded plat)
—+— Denotes Offset Iron Bearings shown ore assumed
L4 T 3, BLD CK 2,
EJf15TAfG BiJII�DING ELEVATIONS
Lookout Efevatlon: 919•5
Lowest Floor Efevotlon: N•a,
Top of Foundatfon Efevatlon: 923.5 �
Garage Slob Elevatlon: N.A. (at door) I
NOTE: Propoaed bullding slte grading Is In occordance wllh the
grading plane propored by Metro Land Surveytng & Englneering, Iaet''
reviaed 12-5-04.
NO7E: Contractor must verlfy all houee dlmenalone de drlveway deslgn.
NOTE: Drlvewaye are ehown tor graphlc purposea only, flnol driveway
dealgn and locatlon will be determined by contractor.
THEILMANN ESTATES
ANOKA COUNTY, MINNESOTA
I hereby certify to MEADOW VIEW HOMES that this survey, plan or report was prepared by me or under my direct supervislon and
that i am a duly licensed Land Surveyor under the laws of the State of Minnesota. Dated thfs 1st day of ./Une
A.D., 2006. Signed: PIONEER ENGINEERING, P.A.
• inch _ feet BY �:�'�"�`"' �`" ��5����j
Scale. 1 - 30 Terrence E. Rothenbacher, L.S. Reg. No. 20595
-n.,,,...,...., o �,.i��.sF 1 c [)e., �I., dl1�R1
� ° ' 'R' 1211612006
Desi�n #: 58630 � � � R
��� Take this sheet to the Builtling Materials desk to purchase your materials. ���
You selected a 1 level deck with: �- ---- �eTow is a sect�on-� t��e rai ing sty�and-
Pressure Treated Framing Material � options you have selected for your deck.
4 x 4 Framing Posts
514" x 6" Pressure Treated Deck Boards
oured ootin s u e 4' dee
Premium reen�om�o Drive Scre
, ,�
Stainless Steel. F.raming Fa"sfeners t, �� I Yy,,`N 3
`" r1rl,rr.� 1�
Handrail selec ions. �-
36
" Continuous T Handrail Ra� �
�c
�„
.
�►� �. t
2"X2"X36" Pressure Treated Sq. End Spindles � Spindle placement is approx. 4" apart depending on style
4"x4"x48" Pressure Treated Utop Notched Railing Posts�
514x6 Pressure Treated Plain Handrail
You may buy all the materials or any part at low ca�
Menards cannot guarantee that materials listed will meet
for plan compliance and building permit. These plans are si
from those picturetl. We do not guarantee the completeness c
ax, labdr and delivery not
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Illustration intended to show general deck size and shape T
Some options selected may not be shown for picture clarity.
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�
��� ' ' ' this desi n with o ptions: $2045.61
Today s cost for materials estimated in eck boa�ds 4x4 , 2x8'oists and bezms, galv nized framing
*The b�se price includes. 40 PSF deck live lo�d, AC2 treated • honzonbl 2x6 d ' ��ASE price); �1139.� �
hsteners, AC2 treated 36" Vertical handrail to joist without posts, and premium screws. �I
. r i iR;
Design #: 58630 � � � R
��� Take this sheet to the Buildin� Materials desk to purchase
Level 1: 12' x 32'
- -r=a 5' off the ground
� -- _ = �r=-' eckin
� _ _ — _�� 9
_ _ _ 2�� X $��
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; - - _ __---_ „ ,�
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Deck Live Load
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' for materials estimated in this desi n with o tions; $2�45,61
Today s cost g
* ' e includes: 40 PSF deck live lo�d, AC2 treated • hori:ont�l 2x6 deck boaids, 4z4 posts, 2x 'oists and beams, galv nized framing
The b�se pnc M ���ASE price�; �1139�� �
hsteners, AC2 treated 36 Vertical handrail to joist without posts, �nd premium screws.
� �u' � �_ U
Ba.�ildir�g
Inspections
763-572-3604
DATE (1/ / 8 � �
SITE ADDRESS � 5'5
THIS APPL[CANT IS:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
❑ OWNER �CONTRACTOR
PROPERTY OWNER/ I NAME:_
TENANT ,qDDRESS:
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
PHONE: �,� ?��
NAME:
STATE LICENSE, #/__��2" �,Gt
ADDRESS: �,Z9�1� �
� ADDRESS �
�
� CITY,
G,D ft_ ,�
�--� �(XP DATE
�i1� /GA_.
orrE 1(0 �' '(�i � T B y� F,�.x
SiNGLE FAMILY/NEW CONSTRUCTION SIZE,
TWO FAMILY/NEW CONSTRUCTION STO�
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
�ECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: E�'�'
�MAINTENANCE/REPAIR
DESCRIBE WORK BEING DONE: �� L 4C,
SIZE OF IMPROVEMENT
❑ REM(
J � �/�
Permit No.:-%'�7 •c�
Received By:
Date Rec'd� ll O
ATFy�LlP�Z
ATF�IP `�J l 1 Z—
LENGTH _� WIDTH ) `-f ) HEIGHT ��
0
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:
GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan
PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan
PROPOSED HEIGHT: 3. List of swctural members to be used
SIDING FOR NEW CONSTRUCTION INCLUDING DE,CKS,
❑ Vinyl OSoffit ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum � Trim I. Site Plan/Survey showing the existing sWctures
❑ Other ❑ Fascia and proposed project.
WINDOWS 2. Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS 3. Energy Calculations �
OR FOR NEW OPENINGS-DESCRIBE S[ZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
AL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
��j(Qa ,�-� (USING HE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION� OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surchazge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ See Back Page for Fee Schedule
$ - 65% of Building Permit Fee
$ S .001 times the total job valuation
$ � , � .0005 x Permit Valuation Minimum $.50
$ ,� , eG $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 ( )
$ � 19 . � Make checks pavable to: Cityo uf 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 permit; that the work will be in accordance with the approved
plan in the case of all work wl requ' r i w d approval of plans.
SIGNATURE OF APPLIC c PRINT NAME `''a�' /�� DATE � � -
�
\
Page 2- Building Residential Application
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permifs 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 FEES
$1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000 $23,50 for 15` $500 plus $3.05 for each additional $100 or fraction, to and
including $2,000
$2,001 to $25,000 $69.25 for 15` $2,000 plus $14 for each additional $1,000 or fraction, to and
includin $$25,000
$25,001 to $50,000 $391.25 for 151$25,000 plus $10.10 for each additional $1,000 or fraction,
to and includin $50,000
$50,001 to $100,000 $643.75 for 15` $50,000 plus $7 for each additional $1,000 or fraction to and
includin $100,000
$100,001 to $500,000 $993.75 for ls` $100,000 plus $5.60 for each additional $1,000 or fraction to
and includin $500,000
$500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or
fraction to and including $1,000,000
$1,000,001 and up $5,608.75 for the ls` $1,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
a11ow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
;
/
/
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TOP OF BLOCK � 922.7
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� EJfLSTING BUILDD�TG ELEVATIONS
E.O.F. Denotes Emer enc Overflow
000.0 9 y Lookout Elevatlon: 919.5
Lowest Floor Elevotlon: N• a,
X 000.o Denotes Exlstfng Elevat(on Top of Foundatlon Elevatlon: 923•5
x oo. Denotes Proposed Elevatlon Garage Sfab Elevatlon: N•A. (at door)
—+— Denotes Drafnage F�OW Dlrectlon NOTE: Proposed buliding alte groding la M occordance with the
-- Denotes Dralnage & Utqlty Easement groding plane prepored by Metro Land Surveying k Engineering, last
(per recorded pJat) revlsad 12-5-04.
NOiE: Contractor must verify o!1 houae dlmenslone dc drlvsway dealgn.
--•-- Denotes Offset Iron BearJn 9 3f10Wr1 ��@ OSSU!)')@d N��� Driveways are ehown for gra hlc
9 denlgn and locatlon wlll be determined by controctor.dr'�w�Y
.�D T 3, BLD CK 2, THEILMANN ESTATES
ANOKA COUNTY, MINNESOTA
I hereby cartify to MEADOW VIEW HOMES thot this survey, pian or report was prepared by me or under my direct supervislon and
that I am a duly licensed Land Surveyor under the laws of the Stote of Minnesota. Dated this 1st day of June
A.D., 2006.
Signed: PIONEER ENGINEERlNG, P.A.
Scale. 1 inch = 30feet ey.!%lr��- � ��
Terrence E. Rothenbacher, L.S. Reg. No. 20595
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