PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Builder
Address - Address 3017 kradale Avenue S., TA 5-2828
Homedale Builders
3303 a i
( 0
8747
LOCATION OF BUILDING
No. 7445 _ Street MaTodly nsj,g-a X- Part of Lot
Lot 31 _ Block Addition or Sub -Division blodv Manor, nth
Corner Lot — Inside Lot x Setback 351 — Sideyard — 10 t _
Sewer Elevation
DESCRIPTION OF BUILDING
To be Used as:
Dwelling nc Front 371 Depth 241 Height 201 Sq. Ft. 888_ Cu. Ft 17.76
Garaze . Front _2.0 t Depth � 1 Height 1 _ Sq. Ft 480 Cu. Ft _ Is - 80
Type of Construction Frame Est. Cost _'18, 000_ To be Completed �2966-
In
6
In cderation of the issuance to me of a permit to c ct the building described above I agree to do
the proposed work in accordance with the description ab o orth and in lianoe with a& provisions of
ordinances of the city of Fridley.
in consideration of the payment of a fee of $_223 - , permit is hereby granted to Homedale-
=Icters . to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any= thereof, shall conform, in all respects to the ordinances of
Fridley, Minnesota regarding Zt cco cti alit � e,� n off aay oY the° ing o provisions i dings
within the city limits and tbis
ordbmaes.
ALLEN G. JENSEN
NOTICE:
16 pemb don no wwr the cmdroatloe, MMAM= for wlri m pWAIng, gas hatho ower or water. Be aro to ne
Nn BuiMilog ingmmr for apmft peraft for three hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER""'/L���
ADDRESS ADDRESS
L CATION OF BUILDING
N0. �� STREET ART OF LOT
LOT% BLOCK ADDITION OR SUB DIVISION,
��
r
CORNER LOT INSIDE LOT a.-- SETBACK SIDE YARD Zf
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as;
` FrontDepth__44_Height
Sq. Ft. Cu. Ft.. / - e
-92
Front Depth
Sq. Ft. Cu. Ft. -
Type of ConstructionEstimated Cost
To be completed. J �--
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct
DATE ® SIGNATURE lop
(Schedule of Fee Costs can be found on the Reverse Side). d
�I
Application for Power Plants and Heating, Cooling, Ventftflon. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ........................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ......
8.00
$
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
OIL BURNER—to 3 gal. per hour 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ v
GAS FITTING FEES: NO RATE TOT/AL
1st 3 Fixtures x $1.50 $ Y
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
$
TOTAL FEE $�
Dept. of Bldgs. Phone SM -3450
a
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true a#d correct.
Fridley, Minn �l�l��y 1a
Owner ��a/���/��L'
Kind of Building
Used as
To be completed about
Estimated Cost,
Old New uilding Permit No. Permit No �lo
DESCRIPTION./OF WORK
HEATING or POYRJFR PLANNTS--.Steam, Hot Water,arm Air No. Z
Trade Name— es �oil�- .�dG'LB Size No. 40-9-7
Capacity. Sq. Ft. E.D.R. BTU H.P.
Total Connected Load —? • 4 ��2 Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R. BTU H.P.
(REMARKS -OVER)
RAY N. WELTER HEATING CO.
S. ri4637 CH10*88 AYE.
By MINNEAPOLIW 7. MINNESOTA
�ii0-42 Business Phone No
NEW [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress: _
Legal Description:
Owner Name & Address:
Contractor:
Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
--J—cry/e
e
Effective 3/1/96
30
�a�S itJ Tel. #� jOly
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
Comer Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date: _
DESCRIPTION OF IMPROVEMENT
Width
Height
Width
Height
Width
Hgt/Ground
Ft. Yd Setback Side Yard Setbacks
Estimated Cost: $
Tel. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
(Cost on cB77a��ck) UU
Driveway Curb Cut Needed: Ft. + t �F $ — $
/ DATE: / G /,rG APPLICANT: Tel. #
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$900 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
SUBJECT
City of Fridley
30769
AT THE TOP OF THE TWINS
BUILDING PERMIT
"RECETPYINO.
COMMUNITY DEVELOPMENT DIV.
____
V
r PROTECTIVE INSPECTION SEC.
1694
F
1 � �
NUMBED ---[REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEV 55432
�---- �'� �''
612-571-3450
910415
3/28/00
JOB ADDRESS 7445 Melody Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11
5
Melody Manor 4th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Richard Amundson 7445 Melody Drive NE
786-3067
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Western Remodelers 2520 W Larpenteur, St Paul, MN 55113
645-1411
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION J3 REPAIR
O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House & Garage; aluminum trim
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING.
TYPE OFC NST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1 ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$13,000
$6.50
DOES NOT PRESUME TO GIVE A ORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE $13.00
P ISIONS OF ANY OTHER AT OR LOCAL LAW REGULATING CON-
T TION OR THE PERFO AN OF CO STRUCTION
$i��:2rj $223.25
Fir C $4�-.S9
XU
PLAN CHECK FEE
TOTAL EE
Licens 5.0(�
$247.75
TOR AUT. a EiDATEi
ATURE FC N.R,IDAGEN
ENP P L V LIDATE IS IS YR PERMIT
S.GNATURE OF OWNER OF OWNER BUILDER, [DATE,
SLOG 50
rjrrf
NEW I ] Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (w
BUILDING PERMIT APPLICATION
r..nnctn w4inn Aririrccc• .7
Legal Description: IR
Owner Name & Address: /19 >'1 V VI Tel. # 1� aL
-
Contractor:L f MN LICENSE #
Address: V S %) W , /i11 7/� I%O%y'� Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length
Width
Height
Sq. Ft.
DECK AREA: Length
Width
Hgt/Ground
Sq. Ft.
OTHER: ItiS%Rli
Construction Type: Estimated Cost: $ <2'0�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: Z��l APPLICANT Tel. #(7 sl e5vY,-
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee ,Z?3..-"- $ `'M— ' Fee Schedule on Reverse Side
Fire Surcharge /3-01' $ 7 � .001 of Permit Valuation (1/10th%)
State Surcharge I-Sn$ $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
$1100 per SAC Unit
$ ! 7-00 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
U
$450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [
TOTAL $
STIPULATIONS:yr%. �S`�
Building
$
BUILDING
Plan Review
Permit No.- v/ -
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
.001 times the total job valuation
Received By:
763-572-3604
.0005 x Permit Valuation Minimum $.50
CITY OF FRIDLEY
$
DaQWDNAt_21 200
DATE 5/16/07
YOUR E-MAILADDRESs estherd®probuiltam.com
SITEADDRESs 7445 Melody Drive
Curb Cut Escrow
THIS APPLICANT IS:
❑ OWNER ❑CONTRACTOR
Erosion Control
PROPERTY OWNER/
NAME: Richard Anundson
Park Fee
TENANT
ADDRESS: same as site CITY
STATE_ZIP
$
PHONE: 763) 786-3067
Total Due
CONTRACTOR
NAME: ProBuilt America
STATE LICENSE # BC -20356847 EXP DATE U 3/ U M
SUBMIT A COPY OF
YOUR STATE LICENSE
� z 11 11 L n Ave 1~; 5 5 l�
ADDRESS: CITY North S10 STATE ZIP
WITH APPLICATION
PHONE 651-770-5570 FAX 651-770-0495
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: Replacinq 17 window, not changinq sizes
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
I.
Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2.
3.
Proposed floor plan
List of structural 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 structures
❑ Other
❑ Fascia
and proposed project.
WINDOWS
2.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
17
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
l'(Il'AL JOB VALUAllUN 5 / n U4
UUU U FA.NU Y
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
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
$
$1675 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks Davable to: Citv of Fridlev Attach Stipulations
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 ermit d 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 whirequi r and approval ns.
SIGNATURE OF APPLICANT ther Dahl DATE 5/16/07
Building
BUILDING
Permit No.:
Inspections
RESIDENTIAL APPLICATION Received By: (
763-572-3604
��
CITY OF FRIDLEY Da CT 0 8 2009
763-502-4977 FAX
$
See Back Page for Fee Schedule
EFFECTIVE 8-19-09
$ 65% of Building Permit Fee
c
DATE 1 -1, ' G (:,) T
YOUR E-MAIL ADDRESS
.001 times the total job valuation
SITE ADDRESS `7
$
.0005 x Permit Valuation Minimum $.50
THIS APPLICANT IS:
❑ OWNER 'CONTRACTOR
$5.00 (State Licensed Residential Contractors)
PROPERTY OWNER/
NAME: R(L k rg- o
$2000 per SAC Unit (Plans to MWCC for determination)
ADDRESS: CITY
STATE ZIP
TENANT
Erosion Control
PHONE:��
$450 Conservation Plan Review
CONTRACTOR
NAME:
Fee Determined by Engineering
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE #/� -� CSS (d ''=j/(a
EXP DATE 3 -/ C7
AND CERTIFICATE OF
ADDRESS: iv$(� / S� q rrz
CITY STA -M v ZIP ,SS'13
INSURANCE
PHONE L,I-]�? 3 `i 7 FAX S I
PROPERTY TYPE
JVINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF
❑ DRAIN TILE
❑ DECK ❑ SIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
��
❑ MAINTENANCE/REPAIR ❑ REMODELING
e
DESCRIBE WORK BEING DONE: Rey,00
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
[]Soffit
ADDITIONS & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS — PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $
OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$ 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
$
$2000 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = R x $22 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks Davable to: Citv of Fridlev Attach Stipulations
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 on site; that the work will be in accordance with the
approved plan in the case ofall or w t h requires review and approval of plans.
SIGNATURE OF APPLie NT ' ��// PRINT NAME _41C DATE