PRE 2010 DOCSCity of Fridley, -Minn. No 1013 2
BUILDING PERMIT
Date: March 11, 1969
Owner: Wareen Roberts Builder R..PdAeY B1i..X.?=U L=
Address Address 151 Silver Lake Road
New Brighton, Minnesota
LOCATION OF BUILDING
No. 1448 ____ Street Windemere Drive _ part of Lot
Lot — 2 __ Block - 3 Addition or Sub.Division . Innsbrurk5th Addn
Corner Lot _ Inside Lot —X Setback 35' Sideyard
Sewer Elevation ____ 980.58
8.5 8
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwelling Front 36Depth ,26' Height 28' _ Sq. F't. _932__ Cu. Ft. 26,232
Garage Front 22` Depth 36.2 Height IQ' _ Sq. Ft. _ 79fi Cu. Ft. �7960
Type of Construction Frame Est, Cost Y 37 000 _ To be Completed
SEWER LOCATION - 27' S. E. of Naakiz Manhole
WATER LOCATION - 15' S. E. of Manhole
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 foyth and in compliance with ZI provisions of
ordinances of the city of Fridley.
Q
$100.00 Sewer Connection Charge .
In consideration of the payment of a fee of $ 63.00 , permit is hereby granted to Rodney .B 11 man Inc.
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 regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Official
Buik7ing
Henry F. Muhich
NOTICE:
'fids permit does not cover the construction, Installation for wiring, plumbing, gas heating, sower or water. Be sure to am
the Building Inspector for separate permits for these hems.
APPLICATION FOR. BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER BS NAME —BUILDER4—
ADDRESS ADDRESS /1157
�- LOCATION OF BUILDING
NO. STREET
LOT BLOCK ADDITION OR SUBDIVISION
COR.-NEER LOT
INSIDE LOT SETBACK 3 SIDEYARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form Two !certificates of Survey of Lot and
proposed buildin.:g location drawn on these Certificates
DESCR SFT I ON OF BUILDING
To Be Used As: C4"..1_ �
--
Front F Dppth Height
square feet Cubic Feet
Front 2. Depth � Height
r
Square feet_:22 ,,' C
pubic Feet �
Type of Construction 42e:;,��,-__Estimated Co C2
To Be Completed
The undersigned `Yfereby 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��%/G?�/��SIGNATURE � ` -�-
(Schedule of Fee Costs can be found on the Reverse Side.)
a re
✓ f
•
Original Permit r PLUMBING AND GAS FITTING
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit A -,e
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit.,
DESCREPTION OF WORK
Number, Kind and Location of Fixtures
City of Fridley
Stories
E'
F m
o
a J
U
z
K
U
x m
►- m
a 7
m l-
Z
m
a
m
Y
z
to
m}
a
a K
3+ F
z z
0
a LL
3
o
S
(n
o z
o a
J rc
LL p
0. z
r m
a s
U m
z °'
z m
Q❑ X
C .A 2 rZ
W
m a m a
a s Q a
O a m rc
WATER HTR.
GAS
ELEC.
Basement
®
,�
istt
t
-L
!
2nd
�„
f
3rd
4th
Connected with Sewer -Cesspool Gas Piping for � ®penings
Permission is hereby granted � 4- to do the plumbing and
gas fitting in the building described in the statement Wereto attached, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
Inspector.
Final Inspection Date
Inspector.
'��,"�' 42 1m—"5•v
Kind of Building_
A
Used as
To be Complete , 19�
Estimated Cost $-
Old-1i1ew. Building Permit No., Zo, /3A
Date
Inspector of Buildings.
Original. •
PERMIT for Power tants and Hoofing. Cool=
ing. ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of / Heating Plants -to be installed ltered—repaired
Make Size �£l� J"q ;
Oil fired ; Coal fired—, Gas fared ; Gas Authorization
Approved
Final Inspection
19._
Inspector
Permit 4 -6 7 Y�
Fee $ i, o e N° _ 4453
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. , 19Af
Owner
Location ® 41tsp
Kind of Buildi
®� e
How Occupied—
Work
ccupied Work to be Commenced ,19.
To be Completed ,19 ".
V 01
Estimated Cost, $
Old -New, Building Permit No—1-6, 32-+
Permission is hereby granted to ° t -V ` to install—erect—use the material and devices described in the
above statement. This permit is granted u n the eApress condition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this
permit on file in the office of the Inspector of Buildings. y
Inspector of Buildings
42 2M 11.67 v
1
SUBJECT
O.
City of Fridley
Ti
128°79
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
RECE
U COMMUNITY DEVELOPMENT DIV.
INSPECTION
l
Al
r PROTECTIVE SEC.
of
/•'•1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
"'• �'� ,'J 612-560-3450
910-F15
3/10/75
JOB ADDRESS 1448 Windemere Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
2
3
Innsbruck 5th Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Warren W. Roberts 1448 Windemere Drive N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Finish basement room for children's playroom
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL A44D VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 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
STALLS 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
$500.00
.50
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$5.00
PLAN CHECK FEE
TOTALFEE
$5.50
NATTU�REEJO�FCONT/RO/pw/UT/jHpJgIZEO/A��+ENT (DATE)
- WHEN PROPERLY /VALIDATED THIS IS YOUR PERMIT t
BLDG iNSP.. --0ATE
SIGNATURE OF OWNER 0F OWNER BUILDER) .-(DATE)
1
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA ..
OWNER'S NAME:4,41V,6V-�l/� O,�•c�,�T�J BUILDER:'
ADDRESS : /"S �/� � /`r ADDRESS :
NO•.
l I� STREET •
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: X SETBACK: SIDEYARD:
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: /�fi�®s•vey�— A4,r 7 lee ve+t �=v��.r�s+��e M
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Wooa Estimated Cost: $ .-
To Be Completed:
-T
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: -/C' ' %? SIGNATURE:
(See Reverse Side For Additional Information.)
gro-- 5, C) C) It
SU
s�
City of Fridley
SUBJECT',
15396
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
EIPT
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
1 612-571-3450
910-F15
8/16/79
JOB ADDRESS 1448 Windemere Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
3
Innsbruck 5th. Addition SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Warren Roberts 1448 Windemere Drive N.E. 373-4535
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Norm Larson 1161 Lynde Drive N.E. 571-6169
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Rebuild garage, house wall, house roof damaged by fire
9 CHANGE OF USE FROM TO
STIPULATIONS,
Remove all charred structural members and slab.
SEPERATE 'PERMITS REQUIRED FOR WIRI
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 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
STALLS 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
$ 20,000
$10.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$120.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$130.00
SIGNATURE EDAGENT IDATE)
/�
WHEN PROPER VALIDATED THIS IS YOUR PERMIT
qOFCOy,TRACTORO/R/�THOR
�R(9
,`lam v C/%/'/TO_. — o ( V /J�c•nq--��
�// (0
SIGNATURE OF OWNER IIF OWNER BUILDERI ATE)
BLDG INSP DA E
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: /'x""
ADDRESS: Ae.
TEL NO: 3",f-,3S—
STREET NO: / y
LOT:
BUI LDER: �,,-j ,/.¢�-r e4"
ADDRESS: 4/2� z
TEL NO: S-'71- C /'C 7
Construction Location .
STREET: °v �/���h��� "' 2
BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front:
Square.Feet:
Depth: Jam/ Height:
Cubic Feet:
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction:'1EaU✓GD/ � �rq/� vJ-5 Estimated Cost: $ �2- 6` ��y
� /%O/�L L � oL /%rJ Vf.L� �' 0O/c` .�/f✓'9iR G-.G�✓J �'i�. i'//�'``''
7b Be Completed: /� �� ���
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: _ $ $
SEE REVERSE SIDE OF SHEET
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 andco ect.
DATE:
�l� � SIGNATURE: d'
Stipulations:
4
1®.cz ..
SUBJECT
.
City of Fridley
(17MI
�
AT THETOP OF THE TWINS
BUILDING PERMIT
f
RECEIPT NO.
______ COMMUNITY DEVELOPMENT DIV
L
r I PROTECTIVE INSPECTION SEC
� ,
'90�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/25/94
108 ADDRESS
1448 Windemere Drive NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
3
1 INnsbruck 5th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Warren Roberts 1448 Windemere Drive NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Netko Bros Roofing 7118 Riverdale Rd Brooklyg Center 566-3731 6700
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑x REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Reroof House & Garage 38 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 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
1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AsA-LUA`IAP1 Permit Fee
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$54.00 IF $54.00
$1.43
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
IgW&w1fiE-E Va uat On
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
Fire SC $2.85
STR TION OR THE PERFOR�NCE OF CONSTRUCTION
2850,00
-1, --�- =-= Z� 'c/
PLAN CHECK FEE
License SC $5.00
TOTAL FEE
$117.28
SIGNATURE OF CONTRA OR OR AUTHORIZED AGENT IDATEI
WHEN ERLY VALIDATED THIS IS YOUR PERMIT
BLDG INS r�ATE
SIGNATURE OF OWNEROF OWNER BUILDER) (DATE)
NEW [ j Effective 1/ 1194
ADDN [ J CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2�,�
Building Permit Application
Construction Address: ,/�141k Jig w cInE�rad
Legal Description: r2��,J cr
Owner Name & Address: Tel. #
Contractor: W i c,' L t�e - - Ic-v & Z e S 1 zoo F jlc (r- MN LICENSE # 420-0
Address: t�'��--� 7l/ ZVerdk C Tel. # S�c
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: Lengthrr Width HgdGround Sq. Ft.
OTHER: fzeg6ox f-246�6- _ Li %-Ac oW
Corner Lot [ J Inside Lot [ j Ft. Yd Setback Side Yard Setbacks
Type of Construction: -�, ) 1, Estimated Cost: $ Z,
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ — $
DATE: Z - APPLICANT: Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
d� _CITY USE ONLY
$ �f 06 Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $8W per SAC Unit
$ 6 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ J Not Necessary [ J
5-1 V'41
CITY OF FRIDLEY INSPECTION DIViS10N Effective On January 1, 2001
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
763-572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS Altildeae 1))r, ye
RATE SCHEDULE
OWNER___
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner - BUILDING USED AS
Also Replacement Furnace $ 30.00 $
(Side Vent . Fill Out Back) ESTIMATED COST T50.0o PERM IT.NO.
Gas Piping (Needed with new furnace, $ 10.00 $
but not replacement) DESCRIPTION OF FURNACE AND OR BURNER
Gas Range $ 10.00 $
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Gas $ 10.00 $ Trade Name Size No.
BTU HP EDR
*Air Conditioning�Il Sizes $ 25.00 $ Fuel Total Connected Load
60
/
All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No.
1% of Value of Appliance or Work $ BTU HP EDR
Commercial/Industrial
1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
TOTAL FEE $ �� `JUL 3 0 2001
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
DATE 04
& SONS ELEC• '
HEATING CO A� N VALLEY KrdY AIR
5i12WESTtsr� 5542
Signed CRYSTAL.
Approved By Rough -In Date Final Date
BACK SIDE MUST PE FILLED IN ON VENT SIZE, VENT CONNECTORS
AND COMBUSTIOWAIR VERIFICATION
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required.
Yes () No ( )
The venting system is plastictPVC and meets all current codes and manufacturer
specifications including sizing, length, 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.
Yes( ) No( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes ( ) No ( )
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 ( )
When installing a new venting system, 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 and natural draft appliances.
Yes ( ) No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes( )No( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or
Nat
Appliance #2 Type BTU Input Fan Assisted or
Nat
Appliance #3 Type BTU Input Fan Assisted or
Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height 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 It Diameter in
Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date:
City of Fridley
suejEcr
PERM
3 97
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
` COMMUNITY DEVELOPMENT DIV.
a.------
PROTECTIVE INSPECTION SEC
r �� ��
4
r E ,
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIOLEY 5S432
763-571-3450
910-F15
8/9/02
JOB ADDRESS 1448 Windemere Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DescR.
2
3
Innsbruck 5th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Warren Roberts 1448 Windemere Drive NE 763-571-9398
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 651-264-4777
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
20130983
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW p ADDITION ❑ ALTERATION REPAIR p MOVE O REMOVE
8 DESCRIBE WORK
Replace 1 window within existing opening
8 CHANGE OF USE FROM
TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Flash and caulk all
exterior openings.
er It Insotion dards
Will Be Mailed
TO Meo ner To Post
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
STALLS 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, 150
$ •58
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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.
$44.85
Fire SC $1.15
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
icense SC $5.00
$51.58
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDArE-
THIS IS YOUR PERMIT
�ENATED
SLr,AYE
S�GNATUAE OF OWNER,tf OWNER SU4DER1 iDATEi
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name& Address: ( ®� Tel. #6 • +03C)
Contractor:; S, 1!lu MN LICENSE # ®60l` l%3
Address: I 0 a 0 CZSu n 1t Oo►d C. UJtc4 lit Mr,) % 113 Tel. # Gad 1 • a%4 • HB
Attach. to- this application, a -:0!f cate of Survey 6f -the
lot, with the proposed construction drawn: -on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
DESCIiI `ION OF I ROVEMENT .. .
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Driveway Curb Cut Width Needed:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee $
Sewer Main Charge
TOTAL $ 1 S��
STIPULATIONS:
Estimated Cost: $ a/N ccs
Ft. + 6 Ft = Ft x $
Tel. # ft' jD a •3qc.,. Wq+
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]
CITY OF FRIDLEY PERMIT N<.'2004-00513 '
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 04/15/2004 w
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 1448 WINDEMERE DR NE
PIN : 253024120078
LEGAL DESC : INNSBRUCK 5TH ADD
: LOT 2 BLOCK 3
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 300.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A
INSTALL WATER SOFTENER
# ELEC WATER HEATERS 0
# NEW FIXTURES (EXIST OPENINGS)
0
# GAS WATER HEATERS 0
# GAS DRYERS
0
# GAS RANGES 0
# OF NEW FIXTURES
0
# WATER TRMT APPLIANCES 1
APPLICANT
PLBG PERMIT MINIMUM FEE
PLBG FIXTURES (NEW OPENINGS)
0.00
0.00
SHILOAH WATER CO
7319 166 AVE NW
PLBG FIXTURES (EXIST OPENINGS)
0.00
RAMSEY, MN 55303-
WATER TREATMENT APPLIANCE
35.00
(763) 753-9244
WATER HEATER - ELEC
0.00
WATER HEATER - GAS
0.00
GAS RANGE FEE
GAS DRYER FEE
STATE SURCHARGE, PLBG FLAT
0.00
0.00
0.50
OWNER
ROBERTS WARREN W & EUNICE K
1448 WINDEMERE DR NE
TOTAL
35.50
FRIDLEY, MN 55421
PAID WITH CHECK # 9803
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 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 constructionor the perfo ance of construction.
Applicant Date
Bldg Ins
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
P- C -P_0
CIY OF! FRIDLEY INSPECTION DIV. Effective April 1, 2004
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
(763) 572-3604, FAX (763) 571-1287
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Wash D[rt .....:.. Floor
:QGIt::::::::: Auto. #"`i`>:>:::>:': Gas >::::::::: Water Heater
Stories
Urinal
hoover
....�, .:.:�_ :.�.:.I Y Drain :�I�:::<:::::::: Washer t�l�..>:::::. Range Gas Elec
Floor 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
NO. RATE TOTAL
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$35.00
$35.00
$35.00
$10.00
$10.00
Type $15.00
JOB
The undersigned hereby makes application for a permit for the work herein
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 representations stated in this application are true and correct.
DATE: Aff C , 204?JC
OWNER
BUILDING USED AS��,�JGfi
ESTIMATED COST
� PERMIT NO.
_ .4 A on
PLUMBING COMPANY
Reinspection Fee $50.00/Hr SIGNED BY
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.25% of Value of Fixture or Appliance
Approved By
State Surcharge
MINIMUM FEE FO
TEL NO. -7(5 T
Rough -In Date Final Date 4Ori T
TOTAL FEE OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE.
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE
i
t
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT: VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, the undersigned hereby verifies that the
vC-nting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No( )
s
The venting system is plastic/PVC and meets all current codes and m9nufacturer
specifications including sizing, length, 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. Yes () No ( )
The existing combustion air is sized and installed to meet the Curren# codes
and manufacturer's specifications. Yes () No
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
When installing a new venting system, 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 and natural draft appliances. Yes () No( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes () No( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
Appliance #2 Type
Appliance #3 Type
Total Appliances
_ BTU Input
BTU Input
_ BTU Input
Total Btu Input
Common Vent Type 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
A7✓
3uilding BUILDING\�'�
:nsree- ions RESIDENTIAL APPLICATION
763-572-3604 CITY OF FRIDLEY
Permit No.:
Received By:
Date Rec'd: -'' P
)ATE ..1 10 .! -- co) W YOUR E-MAII, ADDRESS S� r t . Irl I coots >o a :
,ITE ADDRESS i 2 �'le +f Q �f nt r V, I tq M Kj 5SqA l
'HIS APPLICANT IS: DZWNER ❑CONTRACTOR
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
NAME: Ti rn d 9Y1CA-r t i C h O 15
ADDRESS: HLA 0 I%� + nd Q m `P�v- e Dr. (� CITY r i d I e' .l sTATE(n a l
PHONE: I L03 5D a-1 S$ V
DESCRIBE WORK BEINC
STATE LICENSE
EXP DATE
ADDRESS: CITY STATE ZIP
❑ BASEMENT FINISH ❑ ROOF
BECK ❑ SIDING
❑ SWIMM
0
SIZE OF IMPROVEMENT Se 0—
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
NANCE/REPAIR
N e.w C�e c
1c.n5 0-4
t (Vne il 2v w O -S cvle-)
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
D
ES �
0 WINDOWS
❑ DRAIN TILE
❑ OTHER
ITH_ HEIGHT
Ft.
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS & PORCHES SUBMIT:
I . Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No
LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE
OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR
AND MATERIALS:
,557 3/, 1/6)
(UFyx""_ TH 1997 U.B.0 FEE SCHEDULE)
63®•
TOTAL JOB VALUATION a � CEO OCCUPANCYfiJA TYPE
Permit Fee
$ /v� `j'. See Back Page for Fee Schedule
Plan Review
$ 8/ : 65% of Building Permit Fee
Fire Surcharge
$ _5'�3 .001 times the total job valuation
Surcharge
$ 2-'74e .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 $20 = $
Erosion Control
$ $450 Conservation Plan Review
Park Fee
$ Fee Determined by Engineering
Sewer Main Charge
$ Agreement necessary ( ) Non Necessary ( )
Total Due
$ 1-_ Make checks payable to: City of Fridley 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; that the work will be in accordance with the approved
plan in the case of all work whiti,71
ires r view and
�J approval of plans. p� e
SIGNATURE OF APPLICANT i\ l fli �/) PRINT NAMF_ C,L
. ca
I
T7,�-14
t Ik n
f � ,f wa
yam•-- _I•:.,�•� I
u
4�t6!Q�Co s a
ltb v rX
n
tur
3
I
y 8i
t.
N
f -tT' ?
i
v
t
. -7
a
rn
f ri
Irlyv 11
4-4
rn
f ri
NOW
DR +
7";Z
> >
<
j
1:
T- C-
>
Cl)
Z- M C)
C M Z
M
Tz