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PRE 2010 DOCS"Y City of Fridley SUBJECT PE ® 12k7o AT THE TOP OF THE TWINS BUILDING PERMIT i 1 ` REC i LL oma, COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ryp� CITY HALL FRIDLEY 55432 �'� NUMBER REV. DATE PAGE OF APPROVED BY ---- 612-560-3450 910-F15 3/25/75 JOB ADDRESS 1460 Windemere Drive N.E. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 5 3 Innsbroo k 5th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Emil Duchay 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rodney Billman Inc. 151 Silver Lake Road 633-0536 -'Z—ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK E)( NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Split entry dwelling and garage 56 x 32 & 34 9 CHANGE OF USE FROM TO STIPULATIONS 1. Provide a verification survey 2. Provide a hard surface Driveway SEWER: "Y" 39' East of Manhole ' Elevation 977.88 Top of footing Min. Elevation 980.88 East Inv. Elevation of M.H. = 977.58 WATER: Stop Box 10' East of Sewer SEPERATE PERMITS REQUIRED FOR WIR6N , HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. Frame OCCUPANCY GROUP OCCUPANCY LOAD 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 32,797 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 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. $36 770 18.39 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. $60.67 325.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 7 TOTAL �)�`� PLAN CHECK FEE FEE $404.06 ? 10, IGNATURE OF CONTRTOR RAUT ORIZEDAGENT (DATE) W EN PRO ID ED THIS IS YOUR PERMIT - L G INSP ® 10AT�Z1 SIG URE OF OWN ER BUILDER) IDATEI 61 Z APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDER: r .tel ADDRESS: ADDRESS: a NO:. J STREET: LOT: BLOCK: ADDITION:s (fl "L':" " 4 CORNER LOT: INSIDE LOT: 1--' SETBACK: -3-C 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: Front: Depth: 3 y t#tz# Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $ To Be Completed: — – Z,\ The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: -3 _ 2 e, – Zz J SIGNATURE M2, J, (See Reverse Side For Additional Information.) l 1, NfrCd 'Sorwrov eo e tiKcn T(Lvts I- �p�s®cN. '0 09,44/Vo 4 !Ohy St Ywl!?,'; ENGINacs ERING9 INC. 4, i'll & Ocink "pal If gov®do a, Billi arl Consi-. IN ANOKA C QU NTY' 07h, vi -o, A I J,F t+S f AV, AE a 1p 5107 7 o 5 IE 4(00 vN 91.a►l►",o tq = O X = 1'L'�►. b X 8 98 y .a �� V� M6 6 $ 'loS.e Gu r _ 'LL C 28 )C SG. )t 11 18 U. a,,•tr X 2o. iS 2 1 z 3 b, x 1 411. c,ea r 2® loo Go�fc • SD x q,s(j R F7 �o loe '�.6LX OLS& 4 31 00 1 11.15 )c 1'l qo z 14LOO 7 IVB ou 1 Co. 3Y TAY SAG. 3�3.oe City of Pridloy AppliuWan for Plumbing end G= RhI9 Permit Dept. of Bid;. Phone SW -3430 DESCRIPTION OF WORK Number, Kind and Locetlea of Fixtures Location li ~ nN .+ �§ Y a sp Z . 0 yN C o 3 v e W v o v$ ® O WAT(4 HTFt. Base / ,at 2nd _ 3rd 4th Futuro Connacti.cn Opaainga connected with New Fixture, Old Openings Sever Cacsspool PARTIAL RATE SCHEDULE - PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ 11 x $2.00 $a. a E' Future Fixture Opening .. ... . . x $1.50 $ _ New Fixture Old Opening ........... x $1.50 $ Catch Basin .................... x $3.25 $ Water Beater •:Up to 99,000 BTU). • .. / x $3.00 $_ T City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct- Fridley, Minn ,�2 Owner Kind of Building. Used as -yam To be completed about y Estimated Cost, $ Old New Building Permit No. Permit No. Signed By d - Business Phone No fq- ! " 3 c/ 7.3 New Ground Run OId Bldg......... x $3,25 $ ROUGH Electric Water Heater .............. x $2.00 $ FIN%.� :.AS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures x $2.00 Additional Fixtures ............... x S.75 $ Gas Range to 199.000 BTU ........... x $5.04 $ REPAIRS & ALTERATIONS—Racer to Cod® .50 State Surcharge .Description ...........................................4 TOTAL FzE s S !� P%nuece Sbelf & Dwt Work - I ... ..... . $10.00 $_ Replacement of Furnace 6.00 $L— Repairs & Alterations—up to SW.00 6,00 Repairs & Alterations each add. $500.00 3 00 Furnam Shell & Duct Work to 120,000 BTU nab add. 60.000 RM .. ...... RephwemeM of Furnace RqWra & Alterations—up to SM.00 Repairs & Alterations each add. S500.00 Furnace Shell & Lines—to 400 sq. ft. RDR Steam Furnace Shell & Line—to 640 sq. ft. EDR Hot Water Each add. 200 sq. ft, EDR Steam Each add. 320 sq. ft. EDR Hot Water OIL BURNER—to 3 gaL per hour over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199AM BTW ov" 199,000 RM Be* Fee sche"a GAB FMING FEES. 1st 3 Fixtures 10. M)o 3.00 6.00 3.00 $10.00 10.00 R.M $ 3.00 &00 $. __ NO RATE TOTAL - X$ 2.00 $ Of — City of Fridley: The undersigned hereby makes application for a permit for the work herew: specified, agreeing to do all work in strict accordance with the City Ordimmeev, and ruling of the Department of Buildings, and hereby declares that an the ftcL- and representations stated in this application am true and correct. Fridley, Minn - Owner Kind of Building Used as To be completed about Estimated Cast, $ (e3 Old-Z!!jw::. uilding Permit No. N Permit o. %-d HKA77NO or POWMtPI.ANTS--SteaM Not Water Warm tAir No Trade Name _.L;:D �L� CLz LZI (,Atm- -ZZ4"" Capacity—_-- Sq. Ft BTU— BID - Total Connected 1,oad-�K e)6� 113nd of BURNER — Ttatie Nama-Me size (RUMA0195-4ml "Y k WELTER MEATING M 4637 CHICAGO AVE. MMMEOM& MINUE b6m nwww phow U. J 7 s" 'I'All 560.3450 Ci.t'y of �.dlg ANOKA COUNTY 6431 UNIVERSITY AVENUE NE November 5r 1975 FRIDLEY, MINNESOTA 55432 B & H Electric 2516 - 37tH Avenue N.E. Minneapolis, Mn. 55421 Re: -Correction on Electrical Work Dear Sirs: On the electrical work done at 1460 Windemere Drive E.E., install. G.F.I. breakers or receptacles. If you have any questions, please feel fres to contact me. Thank you, LEONARD EICHMILLER Electrical .Inspector LE/mh SUBJECT PERMIT NO. City ®f Fridley 0 7 4 AT THE TOP OF THE TWINS BUILDING PERMIT r I , Na COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. S I = i CITY HALL FRIDLEY 55432 NUMBER REV. DATE 6/13/91 /GE APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 1460 Windemere Dr NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Innsburck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE E. J. Duchay 1460 windemere Drive NE 574-1286 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 ❑ REPAIR ❑ MOVE ❑ REMOVE x 8 DESCRIBE WORK Construct a 20' x 1W Deck and Remove Existing Deck 9 CHANGE OF USE FROM TO STI PCU LATION S See notations on plan. WARNING Before digging Call for all utility locations 454-0002 REQUIRED BY LAIN TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,500 $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $35.0.0 Fire SC $1.50. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. FEE TOTALFEE 7ANCHECK $37.25 SIGNATURE OFC TRACT OR AUTHORIZED AGENT (DATE) WHEN PROPERLYV D TED THI IS -YOUR PERMIT J nATE SIGNATURE WNEROF OWNER BUILDER) 41 IDATEI NEW [ ] ADEN [ ] ALTER tA R-1 AND R-2 Building Permit Application Effective 1,/1/91 Cmistruction Address: � ` � � C� � i � � �� tZ � ��z J f✓ �R-/ l� L �� 5�1� Legal Deeripticn: Owner Name & Address: C'Y b!X HA y 0146 0 GJ / &JD0,�j Vie✓ DO- Tel. # !q Contractor: L( --E Tel.. Attach to this application, a Certificate of Survey of the lot, with ttye proposed construction drawn on it to scale. Dps "It ITS Off' II�ff3 1VHM LIVIM AREA: Ie xfth Width Height Sq. Ft. GRP -VM AM: Iength Width Height Sq. Ft. DECK AREA: Ierygth �. Width l �° Hgt/Gr uzid Sq. Ft.ZO a OMM: �kv,®uf- avec) Q Z� Corner lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: tAAU4 Estimated Cost: $ �� Approx. Ccupletion Date: -Jlrl Ly 2,0 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 61 See Back Page HATE: 6- t3 4,1 APPLm1NT: -,T Tel. # :f74 -rX 0 6 r�zcj 00 Pexmit Fee $ Fire Surge $ State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main urge $ 1-10 $ .7®� STIPU=CW: F—'VimIlii` •. 1 Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B11 Above Fee Determined by F'.rgi neeri ng Agreement Necessary [ ] Not Necessary [ ] 10 SUBJECT PERMIT NO. City of Fridley �2 2541 AT THE TOP OF THE TWINS BUILDING PERMIT 1? lP COMMUNITY DEVELOPMENT DIV. A _ ti PROTECTIVE INSPECTION SEC. / �� NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-345.0 910-F15 5/18/94 i JOB ADDRESS 1460 Windemere Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Innsbruck 5 Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Lois Duchay 1460 Windemere Drive NE574-17-86 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Mondo Construction 7031 15 St N, Oakdale MN 55128739-0010 6592 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 �l REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace outside stairway in rear yard 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,300 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31.00 Fire SC $1.30 R�.ICTION OR THE PERFORMANCE OF C019TRUCTION. PLAN CHECK FEE TOTAL FEE 2��'�Ll License SC 15.00 $37.95 Y V ATED THIS IS YOUR PERMIT G U OF CONTRACTOR OR AUTHORIZED AGENT IDATEI SLOG I 4ATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 10 NEW x ADDN I I CITY OF FRIDLEY ALTER Pf SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application �/ y 14 DR Construction Address: Effective 1/ 1/94 !/ 47 Legal Description: Owner Name & Address:y /� ,2c � �. ' /y��' �'✓'h�E'-�i�P� ,f�rTel. # U` 1A Y�C Contractor: /'%ori d& MN LICENSE # a®06572 Address: 9 ��t' /,� �� f �� M ei eFei. # - 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 GARAGE AREA: Length DECK AREA: Length OTHER: ho e-rJbLce- Width Height Sq. Ft. Width Height Sq. Ft.. Width Hgt/Ground Sq. Ft. / Comer Lot [ ] Inside Lot [ ] Ft. Yd SetbackN%/jam Side Yard Setbacks /V IA- _ Type of Construction: Estimated Cost: $cit'� �— Approx. Completion Date: Driveway Curb Cut Width Needed: DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: $ 31 (Cost on Back) Ft. + 6 Ft = Ft x $ CITY USE ONLY Fee Schedule on Reverse Side W9 Tel. # .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 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 [ ] , Nn\ �+ . I. - -rte � I NI. T EA --- i I llr� Llok —Tq uv mm Ilk As 11 110 SUBJECT PER City of Fridley414 5 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. • COMMUNITY DEVELOPMENT DIV r � � PROTECTIVE INSPECTION SEC. NUMBER REV DATEPAGE OF APPROVED BY -"S CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/8/96 JOB ADDRESS 1460 Windemere Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 xx 3 Innsbruck 5 I Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lois Duchay 1460 Windemere Drive NE 574-1286 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jack Pixley Sweeps Inc 4179 149 Ave NW, Andover MN 55304 422-0481 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 �1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install "Ventinox" Chimney Liner 9 CHANGE OF USE FROM TO STIPULATIONS 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 SO. 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 $2973 $1.49 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUT IT TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER ST O OCAL LAW REGULATING CON- $74.75 Fire SC $2.97 STRUCTION R THE PERF CONSTRUCTION PLAN CHECK FEE TOTAL FEE -$79.21 SIGNATURE OFC TTRA R RizeO AGENT (DATEi HEN PROPERLY V IDATED THIS IS YOUR PERMIT 9 BLDG SP .r B �) DATE SIGNATURE OF OWNER OF OWNER BUILDERi IDATEI 110 NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: % `-t 4� ® -- l„�,h e w• rtv Legal Description: Owner Name & Address: Loj$ p c �� Tei. # T7 V - /.Z P Contractor: Pk R)X(Lk 110 ac 5 MN LICENSE # Address: y - J 4: -L -o nN , / 2P®w� Vh9v, S -s- v yTel. # 4 2 z —® 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: l/ I AlOX i7'Yi,ZJ L11V&-Z�lL>�&' Ew,) Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Re /I%-"- 04vv_,. Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + Ft = Ft x $ _ $ DATE: s. 16 APPLICANT: Tel. # 5�2 2 --O qe/ , CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: / / i . ';� / Fee Schedule on Reverse Side G�ti .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $900 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 [ ] SUBJECT -- - City of Fridley ( 1 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO� � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC t � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/17/96 JOB ADDRESS 1460 Windemere Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 1 Innsbruck 5 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lois Duchay 1460 Windemere Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Right Way Roofing 16475 45 Ave N, Plymouth MN 55446 933-1177 3999 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 j REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 SO. 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 OR NOT. THE GRANTING $1,815 $.91 HEREIN OF A PERMIT DOES NOT PRESUME TO GIV UTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVI F ANY OTH S ATE O LOC L LAW REGULATING CON- $59.50 Fire SC $1.82 ST CTI N OR THE P RF RM NCE C TRUCTION PLAN CHECK FEEL L sakiseAC 0 FEE 7$67.23 SIGNATURE N. O THORIZE AGENT I g rEl l PRO Y VA D THIS IS YO R PERMIT �n. G IN gA7E SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application *40 Iz- ConstructionAddress: -6p� � 6<'5- Legal <'Legal Description: Owner Name &Address: z®Gg Tel. # Contractor: de/, -v MN LICENSE #_42(10_7 Address:. � �� ` '�� , Ay Tel. # 2,7 3 % 7 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: - Cz �.S €` S 6 '► Corner Lot [ ] Inside Lot [ ] _: Ft. Yd Setback Side Yard Setbacks Type of Construction:Estimated Cost: $_� fS��' Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: F DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ S, Fee Schedule on Reverse Side $ C, .001 of Permit Valuation (1/10th%) $ / $.50/$1,000 Valuation $ $900 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 [ ] Building BUILDING I Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 DAU CT 0'6 2008 CITY OF FRIDLEY ' d DATE , f 2O YOUR E-MAIL ADDRESS SITE ADDRESS ! ,e THIS APPLICANT IS: ❑ OWNER YWONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: my STA IP — PHONE: 76 F7 r2 ( 76Yi CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE /�/� c YOUR STATE LICENSE ADDRESS: CITY ST�!'I'L� "ZIP sJ WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIE PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED DOWS E3 BASEMENT FINISH ❑ ROOF DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEWITION D ❑ MAINTENANCE/REPAIR ODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH---- HEIGHT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used 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. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & - TYPE OF WINDOW TO BE INSTALLED 4055 / ' ER OF WINDOWS ALL FEES ARE BASED ON VALUATIUN, INCLUDING THE COST OF LABOR AND MATERIALS: (USIN E SCHEDULE) TOTAL JOB VALUATION $ l Al!_T__OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge 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 .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridlev 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 which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAMEJI!Y=1I' %/� W��DATE ! ,,P Z '645