PRE 2010 DOCSDate:
March 15, 1968
N° 9632
Owner. Harold Pressman Builder shy Ri l 1 a►an, Tnc-
Address Billings, Montana Address 3000 36th Ave. N. F.
No. 1&ft1469 Street
LOCATION OF BUILDING
Windetnere Drive _____ Part of Lot
Lot 37 __ Block 1 Addition or Sub -Division .—Innsbruck- 5th
Corner Lot — x Inside Lot. _ Setback 35' Sideyard
Sewer Elevation 977.66 974.66
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwelling Front _.._6416"Depth 43/24 Height 20' Sq. Ft. 1353 Cu. M S 26,660
Garage Front 22:6" Depth 24' Height 10' Sq. p�t 530 Cu, Ft. 5.300
Type of Construction Frame Est. Cost _ 30 000To be Completed Aug. 1, 1968
SEWER LOCATION - 15' East of Manhole
WATER LOCATION - 25.6' East 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 forlh and in compliance with all provisions of
ordinances of the city of Fridley. yy,, e we
$100.00 Sewer �Co/nnecti n Charge
In consideration of the payment of a fee of $---- 48.00 , permit is hereby granted to Rodney Billman, 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 dart thereof, shall conform in all respects to the ordinances of
FFridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
city ts and this permit may be revoked a many tune upl:n vi on f aay oi�the provisions of said
Official
Buil
GastArland
NOTICE:
This pennit does not cover the construction, installation for wiring, plumbing, gas heating, rower or water. Be sure to ase
the Building Inspector for separate pormits for these items.
OWNER'S
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEYs MINNESOTA
ADDRESSW-1ADDRESS
LOCATION OF BUILDING
NO. -STREET PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISTON,�-
CORNER LOT INSIDE LOX SETBACK SIDE-YARR_,
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OP -BUILDING
To Be Used Ad:
Front Depthc� eight krcl
Sq. Ft.
Cu C)
. Ft. 2-46Z
Front 2-26 Depth Height /0 -
Sq. Ft. Cu. Ft. i'�"no
Type of Construction.Zli��—P Cos
Estimated
To Be Compl
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 a cation ap??.t.r.ue and correct.
s
DATE
(Schedule of Fee Costs can be found on the Regie Side).
O/
1�
Application for Power Plants and Heating. Coaling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ...........................$10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $
OIL BURNER—to 3 gal. per hour 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) ....................... 5.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x$ 2.00 $ Z
Additional Fixtures ................ x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
$
See Fee Schedule
$
TOTAL FEE
Dept. of Bldgs. Phone 560-3450 / 4�1
Location i 54q w
City of Fridley:
The undersigned hereby makes application for a permit for the work hereit
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 and correct.
,_,Fridley, Minn 4 + i ` 19 ble)
Owner
Kind of Building ' QJ/1i_A%
Used as "15tr�%�-=-
To be completed about
Estimated Cost, $ !_in It'—
Old—New. Building Permit No. Permit No.
HEATING or POWER PLANTS -steam, Hot Water, arm —No i
Trade Name Size No- n' o
Capacity Sq. F't. E.D.R_ BT� H.P.
Total Connected Load ® Kind of Fuel 0A @a
BURNER — Trade NamSize No
Capacity Sq. Ft. E.D.R BTU H.P.
Signe
e P"
as Business Phone No-
(REMARKS—OVER) p(
City of Fridley
Application for Plumbing and Comas Fitting Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location
e
�
z
Z
8�
<� ?
I
O ,�i<
J
ON'
tW'1 Z •
�O F
•
N
WATER HTR.
GAS
EIEC
Base
Y
I
�-
Ist
2.
i
.!
2nd
3rd
4th
• Future Connection Openings
I
New Fixture, Old Openings l
Conaected wsth
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ....... .............. T12— x $2.00 $ —' '-/, 40
Future Fixture Opening ................ x $1.50 $ 3'e)
New Fixture Old Opening .............. x $1.50 $
Catch Basin ...... .....................
Water Heater (Up to 99,000 BTU) .....
New Ground Run Old Bldg. ............
Electric water Heater
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 199,000 BTU ............. .
REPAIRS & ALTERATIONS—Refer to Code
x $3.25 $
x $3.00 $ 2146
— x $3.25 $
_ a $2.00 $
NO. RATE TOTAL
x $2.00 $—
x $ .75
x$.75 $
x $5.00 $
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 S 19.^
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—lb/w,) Building Permit No I� ®� Permit No. '�✓� b
Signed v �l
By� p
Business Phone No—
ROUGH
o
ROUGH * �—1
FINAL "-
Description................................................$
TOTAL FEE $ 36. b6 QW42
�z
Application for Power Plarul's and Ha='ng® Ceeling. Ventilation. Red ViSa=Non and 0�w
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ..:.........
each add. 60,000 BTU ......................
Replacement of Furnace ............................
Repairs & Alterations—up to $500.00 ......... .......
Repairs & Alterations each add. $500.00 ..............
STEAM or HOT WATER SYSTEM
ABATE TOTAL
$
$10.00
c $
6.o0
c $
6.00
c $
3.00
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 'u.k $ $10.00
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... ftj$ 10.00
Each add. 200 sq. ft. EDR Steam ...................... $ 3000
Each add. 320 sq. ft. EDR Hot Water .................. $ 3.00
OIL BURNER—to 3 gal. per hour ................. ...... $ _ 6.00
over 3 gal. per hour--eee Fee Schedule
199 000
GAS BURNER (up to 1�BTU) 5.00 $
GAS FITTING F ��: 199 000 BTU NO RATE TOTAL
1st 3 Fixtures ...................... x $ $ $2.00
Additional Fixtures , . x $ .75
Gas Range to y ...... .. x 2.00 $ 5.00
AIR CONDITIONING -&-z9
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS TOTALFEE
ROUGH
FINAL
Dept. of Bldgs. Phone 560-3450
Location
City of Fridley:
The undersigned hereby snakes 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 and correct.
Fridley,
Owner
40 19 !4?,
Kind of Building _ C�
Used as'� s
To be completed about
Estimated Cost, $_
kT914New. Building Permit No. Permit No. A�3�
LC C� DESCRIPTION OF WORK
6 am, Hot Wa No._ .__.__
Trade Name Size No
Capacity
Sq. Ft. E.D.R BTU H.F.
Total Connected Load Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
` (REMARKS -OVER)
Signed
By
x"42 Business Phone No
$ $10.00
3.00
$ 6.00
$ 6.00
c
$ 3.00
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 'u.k $ $10.00
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... ftj$ 10.00
Each add. 200 sq. ft. EDR Steam ...................... $ 3000
Each add. 320 sq. ft. EDR Hot Water .................. $ 3.00
OIL BURNER—to 3 gal. per hour ................. ...... $ _ 6.00
over 3 gal. per hour--eee Fee Schedule
199 000
GAS BURNER (up to 1�BTU) 5.00 $
GAS FITTING F ��: 199 000 BTU NO RATE TOTAL
1st 3 Fixtures ...................... x $ $ $2.00
Additional Fixtures , . x $ .75
Gas Range to y ...... .. x 2.00 $ 5.00
AIR CONDITIONING -&-z9
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS TOTALFEE
ROUGH
FINAL
Dept. of Bldgs. Phone 560-3450
Location
City of Fridley:
The undersigned hereby snakes 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 and correct.
Fridley,
Owner
40 19 !4?,
Kind of Building _ C�
Used as'� s
To be completed about
Estimated Cost, $_
kT914New. Building Permit No. Permit No. A�3�
LC C� DESCRIPTION OF WORK
6 am, Hot Wa No._ .__.__
Trade Name Size No
Capacity
Sq. Ft. E.D.R BTU H.F.
Total Connected Load Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
` (REMARKS -OVER)
Signed
By
x"42 Business Phone No
... -.
City of Fridley
SUBJECT
W
1270
AT THE TOP OF THE TWINS
BUILDING PERM
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
F �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
�•^" �`� 612-560-3450
910-F15
9/4/74
I
JOB ADDRESS 1469 Windemere Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
3%
1
Innsbruck 5th Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
William Keefer 1469 Windemere Drive N.E.
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.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW X7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 16' Porch-
orch9
9CHANGE QF USE FROM TO
STIPULATIONS
Truss roof to be designed for 40 lb. roof load
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
R-1
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
$7029
3.51
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
.51
SIGN URE OF CONTRACTOR OR AL17HORIZEDAGENT - (DATE)
H PROPERLY VALIDATE HI I OU99ptFMIt
P
91CINATURE OF OWNER IIF WNE BUI -ERI IDA EI
BLDG )NSP DATE
J
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: �`'f /1 e ��1`�2 BUILDER :
ADDRESS • jV L4ef sz 404DDRES S • ��yZ �
NO • 141t 9 STREET • ji(i / N�L �'7 e- 2 -e._. i)A 10
LOT: 32 -BLOCK: ADDITION: 114z- „n Q, LI-A� � --
CORNER LOT: INSIDE LOT: 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:
6A, e- Front: � Depth: 1 Height :
Square Feet:. Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
P � Estimated Cost: $ ��
Type of Construction: �/� �-
To Be Completed: /g 7''� `.
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: °Z 9Z SIGNATURE:
(See Reverse Side For Additional Information.)
SUBJECT
City of Fridley
®144
AT THE TOP OF THE TWINS
B U I L ®I � I M
PERMIT
f�
Ir
ECEIPT
COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
�
t . �
CITY HALL FRIDLEY 55432
j
NUMBER
REV.
DATE
PAGE OF APPROVED BY
612-560-3450
910-F15
'{ qq
/
JOB ADDRESS 1469 Windemere Driver NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
37
]
1 Innsbruck 5th ,Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Marvin Saline 1469 Windemere Crive NE
3 .CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Self & Ed Fuerstenber , 5516 is Drive NE
4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW C?C ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Addition S r
9 CHANGE OF USE FROM TO
STIPULATIONS
1. Provide 22" x 30" access to attic area frm new area or old attic.
2. Fire stop arty new kitchen soffits.
3.. Window must be tripple glazed (5 x 5)
4. Block walls above grade must have l" -styrofoam and 1/2" sheetrock interior
cover or approved alternator.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Fram
THIS .PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60,DAYS, OR IF CONST13UCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
235 sq. ft.
4,700 cu. f
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,
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$7,200.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.-
UCTION OR THE PERFORMANCE OF CONSTRUCTION.
$33.35
PLAN CHECK FEE
TOTALFEE -
$36.95
NATURE OF CO TRACTOR AUTH ED�GENT (DATE)
L4
-, _ EN PRO R Y V I T
THIS IS YOUR PERMIT
I/
jl t�"7
I
/
_
SIGNATURE OF OWNERIWOVWIERBUILD I - - ( AT 1
G INSP - - DATE
OWNER:
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
Marvin Saline BUILDER:- Self and Ed Fuer,srenberg
Address: 1469 WindemQre Dr. N.E.
Address: 5516 Regie Dr. N.E.
Tel. No.
•
LOT: 157 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 these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:GIi�
�•= lid � Q � ✓ -
Front: /✓� Depth: /O - Height: C06
Square Feet: C>735- Cubic Feet:
Front:
Depth:
Square Feet: Cubic Feet:
Height:
Type of Construction: Estimated Cost: $
To 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 repre entations stated int application
are true and correct. See reverse si e for additionalorm tion.
DATE: 11 1'—Y2 7 SIGNATURE:
p
Stipulations: ✓� �'
ra
h A*vZ4 a2ax,3d av
OAA-e-,*� -ft" dvG
y
Page 1 of 4
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER: yrvia Saline, DATE November 2,
fle'ame
5712421
SITE ADDRESS: PHONE: Bate. 789 3577
CONTRACTOR: Self and Ed guerstemberg
A
Determine working square footage of each
1. Total exposed wall area...... sq. ft. x .17 = •
2. Toal roof/ceiling area ...... _106 _57 sq. ft. x .05
d
g. wall. area above floor..5:-4...2.40 ..............
h. wa 1 area above floor..®WO®::�.?s*.............. j®y ®-
1. %r,7,3`11 area above f loor. .. .:. 1 !.............. JL9
j. wa� area above floor ..........................
Total exposed foundation area =
$7
k. Total foundation window area ...........................
1. Total net foundation area above grade .................
Determine "U" value of each wall segment
(e.g. window, door, ea! -ate wall section)
a.
® ''�
b. X "U" _
d. X "U° _
e. !P'o y X uUn
X t,ut, a _ /,&vz
K
g X fluff ®® _ 6i ✓ oo
h. X "u" _
--
i. X "U" _
j. x fluff =
X stun
j
1. X �t
3. ..........
5(a. Cza)
®
If item #3 is the same•as,
or less than item #1, you
_ have met the intent of
` --y SBC 6006 (c) 2.
no � �
Total exposed wall
area above floor =
a.
Total
wall w4rea Q/tIT)....
b.
Total
door area ..................
... ... .. ........
�..........
c.
Total
sliding glass door area ....
d.
Total
fir wall area .............................
e.
Total
wall framing area (average
10%) ..................
f.
Total
rim joist 4rea...................................
ei
d
g. wall. area above floor..5:-4...2.40 ..............
h. wa 1 area above floor..®WO®::�.?s*.............. j®y ®-
1. %r,7,3`11 area above f loor. .. .:. 1 !.............. JL9
j. wa� area above floor ..........................
Total exposed foundation area =
$7
k. Total foundation window area ...........................
1. Total net foundation area above grade .................
Determine "U" value of each wall segment
(e.g. window, door, ea! -ate wall section)
a.
® ''�
b. X "U" _
d. X "U° _
e. !P'o y X uUn
X t,ut, a _ /,&vz
K
g X fluff ®® _ 6i ✓ oo
h. X "u" _
--
i. X "U" _
j. x fluff =
X stun
j
1. X �t
3. ..........
5(a. Cza)
®
If item #3 is the same•as,
or less than item #1, you
_ have met the intent of
` --y SBC 6006 (c) 2.
no � �
_ r
Exterior Envelope Average"U" Computation Page 2 of 4
Total exposed roof/ceiling area =
M. Total skylight area ............................
n. Total roof/ceiling framing area (average 10%)... t6.A;-
o. Total net insulated roof/ceiling area...........
Determine "U" value for each roof/ceiling segment `
M.
X "U" _
n.
Q• d
X fluff v =
6 6
0.
•
X "U"
4_ .........................
Total =®
If total
of #4 is the
same as, or less than
42, you have met the intent of
SBC 6006
(c) 1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum of
items #3 and #4 shall not be greater than the sum of items #1 and #2.
1. 2i + 2. .� (6
ln7(6,1101
WALL SECTIONS
NOTE: Use 10% of opaque wall area for
frame construction
L I �• -:
FIG. #1 TOPVIEW OF
~ FRAME VALL
FTG. #3
at
Page 3 of 4
Construction R -Value
I.
Interior
air
film
0.68
2..
Interior air film
0.68
2.
3.
.
3.
4.
4.
seAAX
5.
S.
6.
Exterior air
film
. 0.17
1.
Interior
air
film
Total
0.68
2.
3.
4.
5.
6.
Exterior
air
film
0.17
1.
Interior
air
film
Total
0.68
2.
3.
4.
5.
6.
Exterior
air
film
0.17
Total
lZ d;-
//
• fir~! } ` ' � � x t ��/
NOT13.: Indicate type, "r" value, depth and
placement of insulation.
1.
Interior air film
0.68
2.
.
3.
4.
seAAX
S.
6.
Exterior air film
0.17
U _� ®�3
Total , 54
i
�L
lZ d;-
//
• fir~! } ` ' � � x t ��/
NOT13.: Indicate type, "r" value, depth and
placement of insulation.
ROOF/CEILING
`rented
Heat flow
up
FIG. #r5
_111V
Heat floes up ;-vented
_Fir,. # 6 ..... `
• . a`l� Lir • .. /•�/
ti
L(D.
• Altai?-VI'�'T331 .
Hent
f low up
rrr,. 67
Page 4 of 4
Construction R -Value
1. Interior air film 0.61
2.
3. S� .
4. Exterior air film (still) 0.61
Total ;;>e
1. Interior air film 0.61
2.
3.
4. Exterior air film (still). 0.61
Total
1. Inside air film 0.61
2.
3.
4.
5. Outside air film 0.17
Total
Note: Use additional sheets if more space is
needed for details and calculations
W If Ur FRIDLEY
APPLICATION FOR PLUMBING AND GAS PImNG PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
..a
TOTAL
a
R=ber Fixtures x
X
el
Future Fixture Opening
Water
a
$
New Fixture, Old Opening
geo
$2.00
$ ��
Catch Basin
a
$5.00
►�,
ca
Water Heater - to 99,000 BTU
x
. a
0,
r"
a
x
Heater
$
Water Softener
rt
H
Yl
M
H
M �7
►qi
f,
N
S,
R
GAS FITTING FEES:
u
nc
'$3.00
S
-a+
x
t
C
Aj
3
x
4 M
o
ci
ai
'Q
Q
+t
aJ
0N
•.1
S
V.''
N
N
N
..+
o
v92a.
w
o w°
vi
w
u w
a 3
0
u`�
;as
lec
is
2zd
3rd
S
(R) n Future Connection Opening
Connected with Sewer
{•) m New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
R=ber Fixtures x
$3.00
$ _
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$ ��
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground R.in Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
'$3.00
S
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$ ��
REPAIRS $ ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
TOTAL FEE $ 4 K °
REINSPECTION FEE
($10.00)
Job Address
Department of Buildings.
City of Fridley
Tel. #571-3950
The undersigned hereby makes application for a permit for the 'work here!!
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and oorri
Fridley, Mn. -a , 19
OWNER _ _ !�'�U i�t� c ✓� l /TILT
KIND OF BUILDING
USED As
-A
TO
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company X
Signed By /
Tel. No. / e� �,
ROUGH INS?.
Date
i
FINAL INSP.
° Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBI PERMIT IS $7.50 p= $.SO STATE .,
SUBJECT
City ®f Fridley
01PTNO
AT THE TOP OF THE TWINS
BUILDING PERMIT
• COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
"1 CITY HALL FRIDLEY 55432
NUMBER
REV,
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/22/84
JOB ADDRESS 1469 WINDEMERE DRIVE N.E.
1 LEGAL
LOT NO.
BLOCK
TRA CT OR ADDITION SEE ATTACHED
DESCR.
37
1
Innsbruck 5th Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Marvin Saline 1469 W:i.ndemer a Drive N.E. 571-2421
3 CONTRACTOR MAIL ADDRESS 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
x
8 DESCRIBE WORK
Convert existing deck to 3'season porch-and chane roof line of dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Meet on.job site prior to commencing work.
SEPERATE PERMITS REQUIRED FOR WIRINC.
HEATING, PLUMBING AND SIGU,S.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANC" 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6,000
$3.00
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.
$56.50
PLAN CHECK FEE
TOTALFEE
14.13
1 $73.63
IGN UREOFCONT CTOR AU O ED'kGENT ICTEI
WHEN PROPER VALIDATED THIS IS YOUR PERMIT
ILDG INSP OAT
SIGNATUREOFOWNER OWNER BUILDER)
NEW [ l
ADDN. [ ]
ALTER. [ ]
Construction Address:
Legal Description:_
Owner Name & Address:
Contractor:
Address:
City of Fridley
�R-1 AND R-2 I
Building Permit Application
Effective 4/1/84
/Ve -
T7 Tel. # �%
LTel . #
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:
Le th /
Width
Hgt/Ground
V ^\
Sq.
_ n
Ft.
�
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft.
Type of Construction:
Approx. Completion Date:
Yd. Setback Side Yard Setback
Estimated Cost: $ ®®� ��
Alt. A Alt B
41�
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: APPLICANT: Tel. fZ/ � J -
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY
$ Fee Schedule on Reverse Side
$ 25% of Building Permit Fee
$ 3,(9ti $•50/$1,000 Valuation
$ $425 per SAC Unit
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ i
I've �7
SUBJECT
-
PER
City of Fridley
32241
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i �
COMMUNITY DEVELOPMENT DIV.
672® r
q
54?
______
% : - � PROTECTIVE INSPECTION SEC.
010k
1 ,
NUMBER
REv
DATE
PAGE OF
APPROVED Br
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/11/01
JOB ADDRESS 1469 Windemere Drive NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
37
1
Innsbruck 5th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Marvin Saline 1469 Windemere Drive NE
763-571-2421
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Cedar Valley Exteriors Inc 9920 Zilla St
NW, Coon Rapids, MN 55433 763-755-2221
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20177285
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (47 Sq) Tear -off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
the State Building Code.
Permit Inspection Cards
Will Be Mailed
To Homeowner To Post
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
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
-
$5,037
$2'52
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-
$125.25
Fire SC $4.04
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOFEE
Licens C $5.
,4L
$137.81
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HENROP VALI T Dj THIS IS YYOjURPERMIT
ion
BLDC/-NSP F1ATE
S,GNATURE OF OWNER of OWNER BWLDERI IDATEI
a
NEW
ADDN
ALTER 0
CITY OF FRIDLEY
SINGLE FAMILYAND DUPLEXES R-1 AND R-2
BUILDING PERMITAPPLICATION
Construction Address: 1469 WINDEMERE DR NE
Legal Description:
Owner Name: Marvin Saline
Effective 1/1/2000
(763) 572-3604 Bldg Insp
Tel. # 7635712421
Address: 1469 Windmere Drive NE Fridley MN 55421
Contractor: Cedar Valley Exteriors Inc MN LICENSE # BC -20177285
Address: 9920 Zilla Street NW Coon Rapids MN 55433 Tel. # 7637552221
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.
GARAGEAREA: Length Width Height Sq. Ft.
DECKAREA: Length Width Hgt/Ground Sq. Ft.
OTHER: tearoff/reroof
Number of Squares: 46.99 �O /
Construction Type: residential Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: 10/04/2001 APPLICANT Tel. # 8883301777
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing In application
Permit Fee $ '?'-S� Fee Schedule on Reverse Side
Fire Surcharge $ S 01— .001 of Permit Valuation (1/10th %)
State Surcharge $ - tea' $.50/$1,000 Valuation
SAC Charge $ $1100 per SAC Unit
License Surcharge $ r C0 $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" orAlt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee it Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary❑ Not Necessary❑
/
TOTAL $ ! - 8 (
STIPULATIONS:
837_6(15
CITY OF FRIDLEY PERMIT NO.: 2004-01497
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004
572-36U4 kAX: (763) 571-1287
ADDRESS : 1469 WINDEMERE DR NE
PIN : 243024430022
LEGAL DESC : INNSBRUCK 5TH ADD
: LOT 37 BLOCK 1
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114 -
OWNER
DODD LAMBERTON
1469 WINDEMERE DR NE
FRIDLEY, MN 55421
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 worl
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 construction or the performance of construction.
Applicant Date
Bldg Insp Date
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 117431
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
VIEW A [ ] CITY OF FRIDLEY
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg I sp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 F
BUILDING PERMIT APPLICATION
Construction Address: ILW9 lXD►�� e5 -e Ix-
Legal Description: -t>-1 7A 1 _77� t,.,-ia_sci- 'SV'" fill �ko o,
Owner Name & Address: ` �� ®w.Z \W yx,-, Tel. # _ P3
Contractor. abw Sri; lzl� 0-0Nr nyL V 0A � MN LICENSE # A 0 t O® Y (,y7
Address: \3'� 3�0�:�r; e "� �. ®L S Tel. # �5k _ ��P2t4b
C Pf f fcr
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. / �f-
OTHER:
Construction Type: Wdn4 / "� �) b Estimated Cost: $ 0500 7 ® O
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. #—(o-51
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
5,0a
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 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 [ ]
TOTAL $ (�(c�a`� STIPULATIONS:
Land 1plovrr>nty
laid Sir v< yrn�
Sor/.i !rsliitq
Crvrl b 41umgk7l
En�,I,iterrr�
�1c�rc ��GTc�z,
W75 Nr9i ntxy <CS
.0,),Xt7fL'�.S)
ENGINEERING, INC. 41110'xw,.147
Enyllleer _5 If Sul •veyv� �5If
certificate of survey fat _J?*dnCorsi-
L
Lsl F -
ULA
WW
U
z
3
r
1 2
in 6 10
l
WINC,M
Lo -r ' BLOGK �> 1%iNssiiucK 5Tw AOol"rlo J
ANOKA Cowwry
UCt-iO'CE,S t:•UAiI!&e. E AN0 rt'{Lt'tY E.hrL?ALNi5
/brneby urfrlef f w/ Ibis %. a htr arrd rAm7rc1nrrtsenfafia✓r -,[a survey J�)* b w"dor;e3 � '/I- eberr dmv, ed /orvd, aoxf
eFlyr /aafiavr qfiA' dui/dir9s , llxnan , a�dar/.vsrlac cifirnurhmt rfi ,f o.! �*P? or &7 �wd lard. As sr.,rveyrd hyme 1Yrs _ dost/
M.AY A n rd's ,sIIBU/�f3ANfN6/NEL:IZING , INC.
r"19( W.1 � f.- Sjy-►tyor�
Building
PLUMBING
Peru N -- '
Inspections
RESIDENTIAL APPLICATION
Received By: "
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
DATE /,/- 3 - 0 6 YOUR E-MAIL ADDRESS
SITE ADDRESS IW �� %d/, � /C' dA
TIES APPLICANT IS: ❑ OWNER §PONTRACTOR
PROPERTY
NAME;
ADDRESS: CITY STATE ZIP
OWNER/
TENANT
PHONE:
CONTRACTOR
NAME
SUBMIT A COPY OF
STATE LICENSE # 4 I 77,P—M EXP DATE -&-j-60-fl—
- 6YOUR
01` STATw*, ZIP S%Z�
YOURSTATE
ADDRESS:
LICENSE WITH
PHONE !no ®I-�!��S FAX 6151-777-312-5
APPLICATION
PERMIT TYPE
A�rs'NGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
0INEW WEPLACEMENT
1411
DETAILED DESCRIPTION OF WORK df
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, 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 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
BATH SI NK/LAV FLOOR DRAINS _ SHOWER _WATER PIPING
_
BATHTUB GAS PIPING Rio c =DrA _ SWIMMING POOL _ WATER SOFTNER ($35)
_ _
CLOTHES WASHER KITCHEN SINK _ ^ WATER CLOSET BACKFLOW PREV. ($15)
DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
WATER METER —OTHER
+ ++
F'';;�yy}�SC`s e ...s!v'�,,x„il
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $31C_5—
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $
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 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 woylpwhic requires review and approval of plans.
4 �1 �✓
SIGNATURE OF APPLICANT PRINT NAME -)Z DATE
47x F'.�> 01 ,fie
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building
Inspections
763-572-'3604
SITE ADDRESS ! Y Co
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
SUBMIT A COPY O
YOUR STATE LICENSE
AVITH APPLICATION
TYPE OF WORK;
BUILDING Fit
RESIDENTIAL APPLICATION Rte'
CITY OF FRIDLEY
YOUR &MAIL AUDRCSS
_
® OWNER. W.ONTRACTOR
PHONE: j
NAME'
STATE UCENSE It 070
APDRESSS:_ 7 11—L
PHONE
0 SINGLE hANMYINEW CC
0 TWO FA.MILYINEW COPD:
El ADDITION
0 BASWENT FINISH
0 DECK
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT_
NUMBER. OF SQUARES
GAI#A('.KS
PROPOSED S1M•,
pROFUSF. D HCIGHT:
1I
0 Vinyl
13 Aluminum
13 mer
WIN
IN fiXISTING QPpN NGS es CINo
OR FOR NEW OPENiNCtS-DESCRISE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW 'rO BE INSTALLED
Adame,"le CITY N
_ EXP DATE
GG 19/'• CrfY
kO FARC —
IiUCTIoN S E _
CTION STORIES
1 0ARAGE/9=5 Il*IDOWS
0 ROOF CI -'DRAIN TILE
0 SIDING M OTHER
0 SWE MING K)%L
❑ ADDITION
E12MODELINO
r7 EMAIWe
0 HOUSE & GARAGE
13 ATTACHED GARAGE
0 DETACHED GARAGE
0sot'fit
O Trim
0 Fascia
LOCATION OF W INWWS
STATE ZIP .
Ft.
1, Existing Flo r Plan
2, Proposed flr plan
3. List of strut ai m=bRrs to be used
I
FOR NEW CONSTRUIMION INCLUDING DECKS,
1. Situ PlartB ey sltoN
and prop project.
z. Two sots ollumtruct
3, I3rssrgp Cal ulations
ALL FEES AR'1C+ BASED ON VALUATION, INCLUDING TIME COST OF LAVOR AND MCAT]
(USING THE 1! U.B.0 F;ItE SCHEDULE)TOTALJ013
VALUATIONS 0
OCCUPANCY TYPE
_. Permit Fee
$ , a
See Back Page for Fee Schedule
Plan Review
$
650% of Building Permit Fee
Fire Surcharge
_
S LA r
.00 i tunes the toted job valuation
$urdwge
C
.0005 x Permit Valuation Minimum $.50
Licame Surcharge
_$
$ _
$5,00 (State Licensed Residential Contractors)
SAC Charge
$
$1675 per SAC Unit (Plans to M'WCC for detern
Curb Cut Escrow
$
ft + 6 ft = — _ fI x $21- $ ,,^
Erosion Control
$
$450 Conservation Plan Review
Park. Fee
$ _
Fee Determined by Engineering
Sewer Mein charge
'I'rrtal Due
$
$ 0
Agreement necessary ( ) Non Necessary ( )
Make checks pajoble to: Ci of fridleY
TRIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL. PROCESSED
I hereby apply for a building permit and I acknowledge that they information afaove is complete and accu
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Code'
permit but only an application for a permit and work is not to start withor.d a permit; that the work: will be in
plats in the case of all work hich requites review ,nd approval of plans.
SIGNATURE OF APPLICANT
existing stwtures
plum
Attach Stipulations
4
ite; that the work will be in
that I understand this is not a
wcotdance with the approved
or 110yq
Td WdZ0 : t`0 L00E 170 ° I r r LBZT TL. 9L : 'ON Xdd ha i R s ad .to 6;10: Wodj