AF - 38011City of Fridley, inn
BUILDING PERMIT
Da�; Nov. 5, 1968
�r: Homedale Blders.
B�� Same
�a� 5217 Wayzata Blvd. Address Same
�����o
N° 10U10
LOCATION OF BUILDING
No. 7432 Street Concerto Curve p� oP Lot
Lot 9 — Block 2 Addition or Sub-Division � Melody Manor 3rd
Coraer Lot _ Inaide Lot X Setback 35 �� Sideyard 5' & 10'
Sewer IIevation 878.91 991.91
Top of Footing
DESCRIPTION OF BUILDING
To be vsea as:
Dwellin� �ont 46' �p� 24/28 g��t 20' �. � 1152 ��
Gar�e F'ront 19 � Depth 24 � I�eight 1�� Sq, �-t, 456 Cu. F't.
Zj�pe of Conatruction Frame �� �_ $19, 000 _ To be Completed
�WER LOCATION
WATER LOCATION
,��i
107' West pf Manhole
97' West of Ma.nhole
In cansideration oP the issuance to me of a germit to construct the building described above I agree to do
the proposed work fn accrordance with the description above set ,forth and in coanpliance with� pro�ona of
ortlinancea oP the dty of Fridley. `/ D p� ,� ,, -/
In conafderation oP the payment of a fee of $ 41.00 � pe�t is hereby granted to �omedale Blders
to construct the buiiding or addition as described above. Thiapermi t is grant� upon
the express condition that the person to whom it is grented aad his agents, employees anc� worl�nen, in all work
Fridle ,��� d upon said building, or any art thereof, shall conform in all reapects tfl the ordinaucee of
wlthia the dty 13mft��aa�this i�t mac� be�� ked t any ��me u�n ovi lation o�f oP the P vi�ons of�seid
or�inancea
, ?
� �
arence Belisle
NOTIC�
ihis peemh doas eet emrar t6s eoas�ruucHoe, lestallation foe �ririae, P�+mB. 6n 6eaHng, awu or wafsr. B� �ura fo a�
the Buildtee lespeetor for sspaata pormtis for 16as Itfms.
�� �
gPPLICATION FOR BUILDINC PE�MIT
CITY OF FR�IDLEY9 NlINNESOTA
OW.�VEf °� NAME BUIIaDER
ADDRESS �DDRFQSS� / � ,,�' ,l���C,,
I�OCATION OF BUII,DIl�TG
NO o J �TREEE�`i'
LOT BLOCK A:DDITION OR S�BDIVISIO?�T �
COR�'�R LOT I�T�IDE LOT,�SEI'BA�I� �� SIDEYARD��
SE►n�ER ELEVATIOPI TOP OF �'OCTING
gpplicart atitach to thi� �o�¢! T�?o Ce�tifieates of Sus�vey oi Lot arz3
pr�opo�ecl buildir.:g locatior drs,�. ors -�h��s Cer°tit°icates o
DESCR�ifi±ON 0�' BIIILDING
To Be ��w� As:
�d� Front��Depth � Hpight � �
Square ieet / /��^Cubic Fe�t
��� Fzont Depth � Height �
Square f�et � Cubic Feet
�j/� �
Type of Construction �"�� Estimated Cost t�� v �F
1-,
To Be Compl
The undersig.n.ed hereby ma,ke� application for a permit for the wo�k
hexe�a. specified9 a.gxeeit�.g to do all work 1xa. �trict accordance with the
City oi Fridley Ordinance� and rulinga of' the Departme�.t oi Buildings9
and hereby declaxes that all the f°a.cts axzd repr�ser�tations stated in
thie application are true �;nd correcto
D9TE /D ° .�I '" g SiGNATiTR.E _ _ � �
�.,��/,,�
(Sched.ule o� Fee Cost� car be fourid on the Rever°se Sideo� �
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BUI7�DINi� PE.RMIT �'EE SC�1"EDIII,E
SECTIOIV 2 o The I:ri�pector o� Ruild�.ng� shal�, beiore i�suing pernit�
for the E�ection of any builc��.ng o� �tructas°e, o�° for any addition to any
existing structure o� buii�.i.r�.g9 or ior^ a�.y a.lte��.tiox� or repairs to an.y
existi.ng bui�di.ng o� �t_cu�tu�ey upon a�p�icat�on therefo�°�, iequire the
pa,yment by the �.ppli�a.��t fo?^ �uch permit of fee� to the a,mount he�ea�.
below �et iorth a.n�. i.n the ma.�a.er he�e�.x�. provid�d to�wit:
Uniiorm Building Codeo Type 19 29 & 4-$1075 for each o�.e thousa..nd
cubic feet, o?� fraction thereoi� i.r such cubical cantert�a Type 3& 5-
$1a50 for ea�h one thousanci cubie ieeto
For the puc�pose of' computing iees ior build.i.ng permits 9 the cubical
contents of any buildi.ng or �,ddition to a uniform height throughout by
multiply�.ng the ground area covered from a point six (6� inche� below
the floor line of the basement or the cellar to the average height of
the upper surface or to the average height o�° the roof surface of the
ma,in ga,ble of a pitehed roof e
For repairs or alterations to an e�isting �tructure, the iee shall be
at the rate of $3000 per� eacr five hundred �.ollars ($500a00) or
fraetion thereoi in thE coat of all p�oposed worko
In no ease shall -the ��e �harged ior any permit as set �orth i�. Section
2 bE less tha.n �50000
NSSSD Connection Cha�gea based oxi location -�Area 1 or 2e
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CgIMNgy AND STACR VSRZFICATION
The undersigned hereby verifies t�taat the existing chimney or stack:
l. Has been carefully examined Yes � No ()
2. Is free from rust or deterioration , Yes (� No O
3. Has no foreign obj ects lodged within Yes () No '�cs) .
4. Is securely supported YeS � NO � �
5. Meets all current Code requirements for YeS � No �� ;
size and total BTU's connected
_ 6 , _ �� total heating BTU' s o f ! ,/J , � � � . ��
aw
All other BTU' s �'� '� a� ,
TOTAL BTU' s / "� � A `� � � �
6
List Alterations Beinct Done:
0
r
� � . .• � •
� 2619 COQN �:��'i:. .. �3:.iU'_��'! at�13 � .
HEATING COMPANY
„ �;,:,��,,� �-�. ��,:� ; }� .
Signed By �
Date /�/�� /�� —
a
s
' �
. SUBJELT PE .
City of Fridley 2 � ��
AT THE TOP OF THE TWINS g � I L D I N G P E R O�II I T
r
; � R CEIPT NO.
� ; y _�___ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. ��� /
1 = �
� /'�'1 � CITV NALL FfiIDLEY $$432 NUMBER REV OATE PAGE Of APVROVED BY
�----� • •'� 612-571-3450 910-Ft 5 9/ 11 / 98 � �
JOB ADDRESS 7432 Concerto Curve
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescp. 9 2 Melody Manor 3rd Addn SNEET
2 PROPERTY OWNER MAIL ADDRES$ ZIP PNONE
Ferlene Rniss Same 784-7200
3 CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO.
Jeff Kniss RT 1 Box 432 Park Ra.pids 56470
a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PNONE IICENSE NO.
B USE OF BUtLDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house-north part (13SQ) Tear-off
9 CHANOE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPAHATE PEHMITS ARE REQUIRED POR ELECTqICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY aROUP OCCUPANCV LOAD
VENTIIATING OR AIR CONDITIONING.
TFIIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED Ofi ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE FiEAD ANO EXAMINEO THIS APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO $1�11,(}.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �.56
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pEFM1T FEE SAC CHAqGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �4O.ZS Fire SC �I..I.1
PLAN CHECK fEE T07AL F
$41.92
URE O� C TRACTOR OR AUT AGENT ID TEi pq pERI DAT IS P�
1 � ,�� �� / � � I
Si NATUREOFOWNERiiiOWNERBUILDE i �DAT I p _ ��ATE
M =J
�
NEw
ADDN
ALTER
[]
[l
[]
CITY OF FRIDLEY
SINGLE FAMIIrY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/98
�\ �
�� ���,
�-�/ � �
ConstructionAddress: I�.� � �D/Q C� �- 7� (,c r c�-�� ��
Legal Description:
Owner Name & Address: �� r / � r� �e., �'�► + S Tel. � %�t�— ��
Contractor: �.� �� � j ,5'_g' MN LICENSE #
Address: �fi � �v �' '� �a �% � /� ,�41p��, h'j �1- Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
�
'� �2 • U�
Construction Type:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Sq. Ft.
Sq. Ft.
�%�t-
Estimated Cost: $ �/ �
(Fee Schedule on Back)
Ft x $ _ $
DATE: �/ � APPLICANT: ��e��, Tel. # 7��-/ ` � �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$�o �s�
$ � �/
$ •�
$
$
$
$
$
$
$ � �
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 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 [ ]
s �
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
��� ��
$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 $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1, 000 or fraction thereof, to and including $100, 000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including .$1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,0(�0 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 minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
�
�
sue�ECr IT NO. -
City of Fridley 33262
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T
�
; � RECEIP NO.
� • COMMUNITY DEVELOPMENT DIV.
� � �: ----- � �(YO
r � � PHOTECTIVE INSPECTION SEC
� j /"'1 � CITY MALI FRIDLEV S51$2 NUMBER REV D�TE vAGE Oi APVqOVED 8�
�""""� � ��' 763-571-3450 s� aF� s 11 / 18 / 02 / �
JOB ADDRESS 7432 Concerto Curve NE
1 LEGA� �OT NO. BIOCK TfiACT OF ADDITION SEE ATTACHED
DESCR. 9 2 Melody Nianor 3rd Addition SHEET
2 PROPERTY OWNER MAII ADDRESS 21P PMONE
Ferlene Kniss 7432 Concerto Curve NE 784-7�00
3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO
John Pederson Construction 7790 Nain St NE, Fridle , IrI1�T 55432 763-586-7800
e ARCHITECT OR DESIGNER MAIL ADDRESS 21P PMONE LICENSE NO
20266141
5 ENGINEER MAIL ADDRESS 21P PMONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION �] REPAIR p MOVE O REMOVE
B DESCRIBE WOfiK
Reside house & garage
9 CHANGEOFUSEfROM TO
STIPULATIONS
Per Section 140�, 1997 Uni�orm Building Code, requires that � weather resistive
barrier be p�aced over exterior sheathing to proteet the inter�or wa�l covering.
Exceptior_s for this provisaon wou±d be �� sheathing �s an approved weatherproo�
panel or when the sid�r�g is a� approved weather barr�er. Vir.yl sic3ing is not
a weatherproof covering unZess the ma�ufacturer states this in �their app?icat3.on
guidelines. Ca�l �or inspection of wrap before covering. Cau1k and fiash a�'
exterior openings.
Permi� Ins��cti�n Card�
ill � ail�d
�'� om�o�ncr To Post
SEPARATE PERMITS ARE REOUIREO fOR ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANC� LOAD
VEN7I�ATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION ZONING SG. FT CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS. Oii IF CONSTRUCTION
OF WORK IS SUSPENDED OR ABANDONE� fOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOpK IS COMMENCED. NO OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIfV TNAT I HAVE READ AND EXAMINED THIS APPLICA710N 1 STAIL$ GAHAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�UATION SURTAX
ANO OiiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WI7H WHE7HER SPECIf1ED MEREIN Oii NOT. THE Gi;ANTING OF A PERMIT �S�SOO ��,7,rj
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OFi CANCEL THE pEqMIT FEE SAC CNARGE
PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGUTATING CON-
STqUCTION OR TME PERFORMANCE OF CONSTRUCTION �IL5.25 Fire SCi �.5.50
PLAN CNEGK FEE TOTA FEE
Licens $5.0 38.50
S�GNAiUpEO�CON'AACTOpOp4UTHOp�ZEDsGENT �DATE� MEN ROP VALIOATE THIS IS YOUR PERMIT
— ° /l-/S�-D 7-
S�GNntuFE O� OwNEA ��� OwNEA BW�DER� iD�iE� BL �NSP p�1E
_ �'
Nov 18 02 12:15p
p.l
NE1N ( ] Eftective 1/12000
ADON ( j CITY OF FRIDLEY 812�672�3604 Btdg Insp
ALTER (] SlNGLE FAMILY AND DUPLEXES R 1 AND R 2
BUILDING PERMITAPPLICATION
Construc�tion Address: 7 y.� �-n GE? r'� � Ri� J��-
Legal Descfip4on:
Owner Name 8� Address: �-e (' -e v, -� �C ni 5,� Tel, # 7� 7- 70� dv
Cont�actor. ��n ��ec�-ce�r�►n ��,- �,�� i� MN LICENSE # oc.c] o? (rz�ci I��
� Address: �t 7 �O �l['� � �r- S �' /�'� ► t I � � `�v� ��� � Tel. # %�O � � � c��
0
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this applic�tion, a Ce�tificate of Survey of the
lot, with the proposed construction drawn on � to scale.
DESCRIPTION OF IMPROVENIENT
Length W+dth He�ht Sq. Ft
Length Width Height Sq. Ft
Length Widtl� Hgt/Ground Sq. F�
Construction Type: ��a��. �� 5� Est�mated Cost: S-� `���
Driveway Curb Cut Width Needed: F� +6 Ft = Ft x$ _$
DATE: "_� APPLICANT: Tel.:�3-� ��`a�
CITY USE ONLY - Cafl (612) 572�6Q4 tor Penriit Fe� ff mai6ng In applicativn
Permit Fee $ /���. �S� Fee Schedule on Reve�se Side
Fire Surcharge $ S. S 1� .001 of Permit Valuation (1/10th%)
S�te Surcharge $ �. �%S' $.50/$1,000 Valua6on
SAC Charge
License Surcharge
Driveway Escrow
Eroslon Corrtrol
Park Fee
$ $1100 per SAC Unit
$ .� OC� $5.00 (State Licensed Residential Cor�tractors)
$ Ait. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Nevessary []
TOTAL
$ , 3 .��
STIFUlATlONS:
/�/Ya"'