PRE 2010 DOCSDate: June 28, 1965
Owner: Builder Rodney Billmoan
Address 1439 Windemere Drive Address
W? 8042
LOCATION OF BUILDING
No1439_ Street Windemere Drive Part of Lot
Lot 2 _ Block 1 Addition or Sub -Division Znnabrn ek. 2nd Add.
Corner Lot _ Inside Lot Setback _ Sideyard
Sewer Elevation _ — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
NeW Dwelling Front Depth Leight Sq. Ft. Cu. Ft.
Front Depth Leight Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost A3090 +00 To be Completed
New Duelling
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set forth and in compliance with ail provisions of
ordinances of the city of Fridley.
`sInn�
In consideration of the payment of a fee of $ , permit is hereby granted to Rodney lkjE.0
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 part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings
withino� city limits and permit may be revoked at any time upon violation of any of the provisions of said
Allen Jensen Building Inspector
NOTICE
Thk permit doss not emm the condnmffon, hwaMw for rvhb& plumbing, gas heaft, sewer or wafer. Be sure to sea
the Budding hn�r for separate psrmhs for fln" hams.
APPLICATIO14 FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S
0
ADDRESS_ ADDRESS %.I
I.
LOCATION OF BUILDING
� r
a�
street �� plat of Lot .
LOTBLOCK�� ADDITION OR SUBDIVISION
.w
Corner Lot Inside LOT Setback Side-Yard1%_
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/4sed as:
Front Depth,- 2.0 Height . r
Sq. Ft. Cu. Ft.
Front Depth _Height
Sq. Ft. Cu. Ft.
Type of ConstructionEstimated Co i 4) 6 )
To be completed
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.
DA4 �• SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
/�, 3 � I---- .
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS (`/ 7 W
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work
Residential Rate TOTAL, herein specified agreeing to do all work in strict accordance with the
Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares
Also Replacement Furnace $ 20.00 $ that all the facts and representations stated in this application are
true and correct. f/lam_ ,199$
---Gas Piping (Needed with neyr furnace) $ 10.00 $—,o -- CIO
OWNER
Gas Range �. $10.00 $ r
BUILDING USED AS
Gas Dryer $ 10.00 $ pc
ESTIMATED COST 1 �� 6 PERMIT NO.
*Air Conditioning - All Sizes $10.00 $
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
Commercial/Industrial
1 % of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEE $ /,5 • 'C' -0
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU r77Cj� H P ED R
fi
HEATING COMPANY_.,F
Signed BVC1 Tel No.
Approved By Rough -In Date 4fl-Flnal Date IZ y`y_
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes ( )
No ( )
2.
Is free from rust or deterioration
Yes ( )
No ( )
3.
Has no foreign objects lodged within
Yes ( )
No ( )
4.
Is securely supported
Yes ( )
No ( )
S. Meets all current Code requirements for
size and total BTU's connected Yes ( ) No ( )
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date
, CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
■
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Alr Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
I% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Effective On March 1, 1996
JOB ADDRESS 1 / 129
The undersigned hereby makes application for a permit for the work herein
Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and
�
� rulings of the Building Division, and hereby declares that all the facts and
$ 30.00 $O • representations stated in this application are true ano correct.
$10.00 $ 1996
OWNER (` Roff�Ot)
$10.00 $ e
BUILDING USE S tel
$10.00 $
ESTIMATED COT D a PERMIT NO. _
$ 25.00 $ �-
DESSC_RIETION OF FURNACE AND OR BURNER
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING[ COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $26.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
No. of Heating Units i Circle One (Steam) (Hot Water)'a_�Cok
arm
Trade Name Size No._N�L A
BTU i°�= HP EDR
Fuel Total Connected Load
Burner Trade Name
BTU HP
HEATIN COMPY
Sian Gvw ("t1hit AALM
Approved By
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDEWOR
written permission from adjoining property owner. REPLACEMENT FURNACE
Size No.
EDR
BLAINE HTG. A/C & ELECT. M
n1VVPOI1y S0.M V
Tel No. ,5 (Cd
_ Rough -in Date Final Date q -1'7-q,(
STACK VERIFICATION ON 1
6 Has total heating BTU's of d/, &vd
All other BTU's
TOTAL BTU's / 2 ®, e,
7. Has a liner been provided for water heater
Yes/0
No ( )
8. Has combustion air been provided for water heater
Yes K)
No ( )
CHIl%MY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney or stack:
1.
. Has been carefully examined
Yes ()
No
( )
2.
Is free from rust or deterioration
Yes ()
No
( )
3.
Has no foreign objects lodged within
Yes ()
No
( )
4.
Is securely supported
Yes {)
No
( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No
( )
6 Has total heating BTU's of d/, &vd
All other BTU's
TOTAL BTU's / 2 ®, e,
7. Has a liner been provided for water heater
Yes/0
No ( )
8. Has combustion air been provided for water heater
Yes K)
No ( )
Remarks:
l rk W/^
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
ELAINE HTG. A/C & ELECT. INC.
13562 CENTRAL AVE. N.E.
ANOKA, MN 55304
4.
SUBJECt -
_-RiV�T'�-��,,
City of Fridley
32161
AT THE TOP OF THE TWINS
.,
U I L D I N G PER M I T
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
�®
r PROTECTIVE
o
NUMBER
REV
DATE
PAGE OF
APPROVED BY
l A CITY HALL FRIDLEY 55432
��"','�
-__•
L J� 612-571-3450
914-F15
9/13/01
JOB ADDRESS 1439 Windemere Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
1
1 Innsbruck 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP
PHONE
Carl Peterson 1439 Windemere Drive NE
571-4836
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Sela Roofing & Remodeling 4100 Excelsior Blvd, St Louis Park, MN 55416 1050
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
❑ NEW ❑ ADDITION ❑ ALTERATION C REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (27 Sq) Tear -off
8 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING,
TYPE OF CONST.
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 BO DAYS, OR IF CONSTRUCTION
q
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
4
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
$1.45
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,894
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
Fire SC $2.89
STRUCTION qR THE P RF RMANCE OF CONSTRUCTION
$83.25,
PLAN CHECK F
T0TA E
�� ��
� 2 IL4, 9mice
V'i7/TAU-E
S $5.00
$Y2.59
OF RACTOR R A TNOWZEO T iDATE.EN
ROPE ALIDATE HIS IS Y PERMIT
Gl
BL "-NS- -
gATE
S,GNATURE OF OWNEROF OWNER BUILDER1 DATE,
NEW I ] Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: � LI lam) r �I ote ►ry�y �.
Legal Description:
Owner Name & Address: Tel. # S7 t — e -%E S
Contractor: SEbk ReeFING & REM99E61NG.MN LICENSE # %O S
Address: 4100 EXCELSIOR BLVD. Tel. #_Q SZ -8Z 3; - FQ y(
ST. LOUIS PARK, MN 5541 F
AttaRtM40ftlication, 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:
uo-t/e-�
Construction Type: _ Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: Q—C-5-10 ( APPLICANT: : P,1 Q_ Tel. #
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$ 83-.25- Fee Schedule on Reverse Side
$ . _ G .001 of Permit Valuation (1/10th%
$ Z,, 4L $.50/$1,000 Valuation
$ $1150 per SAC Unit
$ .,5-,66 $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 [ ]
Building PLUMBING Permit No.: La
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 DE P 14 2001
CITY OF FRIDLEY
DATE 9 �� G % YOUR E-MAIL ADDRESS
SITE ADDRESS Sawn amS C`�enswe�✓
THIS APPLICANT IS: ❑ OWNER *NTRACTOR
Carl Peterson
PROPERTY NAME: 1439 Windemere Drive Northeast
OWNER/ ADDRESS:ZIP
TENANT Fridley, MN 55421
PHONE: 7635714836
CONTRACTOR NAME: 141 /10,.V lllfmok�ol
SUBMIT A COPY OF STATE LICENSE # 450:M EXP DATE
CITY �S STATE�%LIP S�Sy
ADDRE2�7-
YOUR STATE �' it .'
LICENSE WITH . PHONE 4013 FAX
APPLICATION -
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
O NEW {REPLACEMENT
DETAILED DESCRIPTION OF WORK
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 grekter, 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 .05 =
•F0",ROJECTS WHERE LABOR EXCEEDS-500,7FEES ARE BASED ON $10.00 PER FMTURE, EXCEP3"Wf�RE'i t(i1M�RI T :iR£5:. (INDICAI E TOTAL
NUMBER OF EACH BELOW)
BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING
_
GAS PIPING ov=cnyLimm) _ SWIMMING POOL WATER SOFTNER ($35)
—BATHTUB
CLOTHES WASHER ! KITCHEN SINK_ WATER CLOSET BACKFLOW PREY. ($15)
_
-LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION
_DISHWASHER
WATER METER OTHER
FBI
NINE
Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50 Number of fixtures @ V 5.00 x $15,00 = $
TOTAL DUE $ Number of fixtures @ $35.00 �_ x $35.00 = $ 36.po
State Surcharge = $ .50
Total = $
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 ap 'on 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 all ork whi quires review and approval of plans.
SIGNATURE OF APPLIC PRINT NAME e /floPel I, Orn DATE N 07
J
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977