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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: May 18, 1967 Owner: Br • ate 1;;` Gr <aquist Builder Address Address lei® 950 Rodaav Bi.lhmia 3 000 36th. ',venue N. . . LOCATION OF BUILDING No .__lamStreet Wiadeaia--r : Drive Part of Lot Lot ___Block 2 !'�t�asd� cEc i4�a 1 d- . Addition or Sub -Division __ _ a Corner Lot Inside Lot Setback 33 — Sideyard Sewer Elevation --.3.35.56 _ W& d 986.56 Top of Fouting DESCRIPTION OF BUILDING To be Used as: lint Front W Depth 24' Garage Front all t Depth --�— P Type of Construction Fr aluu, Est. Cost Height 23' 6g 16 3.50 43,124 ~ Ft �� --�; 200 Height 4309 WU EETI . LOC�ITION .r wp: is 2' 1;lest of tha Manhole LO ^MON 10.2' Oast of Mauhola Sq. Ft. Curr F —,-1967 To be Completed In to do the proposed workconsideration oro accordance with the descrice to me of a ption own above t to sseett forth and in compliancect the gwith a'll peribed above I rovisions o! ordinances of the city of Fridley. 4100.00 M's In consideration of the payment of a fee of $ 7 ° 00Koda=w Y 1JUL4n . Inc Peru is hereby granted to to construct the building or addition as described above. This rr�t is granted upon the express condition that the peon to whom it is granted and his agents, employees and worlu►ien, in all work. done in, around and upon said building, or any part Thereof, snail conform 3n all respects to the ordinances of Fridley, Minnesota reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits anda�s permit may revoked at atu► time upon violation of any of the provisions of said ordinances. - CLz RIE 3CE BLUSLL Building Inspector NOTICE: This Permit does not cover the eonatrue"n, inatffimon hr wiring, Plumbing, on hosting, sewer or water. Be sore to sse the Building ingm for hr nParats permits for tbese items, OWNER'S NAME P APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA '�27� llel i ADDRESS ADDRESS,-"" -z? Z-�� ZL�' /" � /- LOCATION OF BUILDING NO, STREET L) off` , i' ✓ �u �: PART OF LOT LOT_ / ,7 BLOCK Z- ADDITION. OR SUBDIVISION CORNER LOT INSIDE LOT ✓ SETBACK 2-1- i" SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION ppl an attach o this form Two Certificates of Survey of Lot and proposed builpping location drawn n these ertificat s. DESCRIPTION OF BUILDING To be used as: (7 Front Depth Height 5 Sq. Ft. Cu. Ft. �. Front Depth Height w'q Sq. Ft. " Cu. Ft. -2 r Type of Construction Estimated "Cos3 p da- C, - To To be completed_. The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE f 7 7 SIGNATURE (Schedule of Fee Costs can be found on th' Reverse Side).. City of Fridley for Plumbing and Comas Fitting Permit @@'DESCRIPTION OF WORK Number, Kind and Location of Fixtures rq� ° ✓a� ZN 12 Zai OZ QiZ Ox ,j a Z • • WATER HTR. GAS ELEC. SOU 7 �� v] Base 1st 2nd 3rd Ga S IE K 4th Future Connection OpeningsI c:onneczea wiza New Mixture, Old Openings Sewer Fi Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 $ 3 "od Future Fixture Opening ................ x $1.50 $ - 0 New Fixture Old Opening .... ......... x $1.50 $ Catch Basin ...... .................. .. x $3.25 $ Water Heater (Up to 99,000 BTL) ...... x $3.00 $ -�a .0 6 New Ground Run Old Bldg. x $3.26 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU ........... .. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FE L Dept. of Bldgs. Phone 560-3450 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. �� 19CC7 Owner __ D a Kind of Building - ®i " Used as To be completed about '"` 7 Estimated Cost, $ Jj Old (f e - Building Permit No Ot Permit No. � Signed Business Phone No. W, ROUGH FINAL d2 -5�o C-3 City of Fridley, Minn.. N� " 109 5 7 BUR DING PERMT �- - Date: March 2, 1971 Owner: Richard Granquist Builder Timco Coast. Address 1531 E. Windemere Circle Address 5601 Glenwood Avenue N LOCATION OF BUILDING No. 1531 Street Windemere _._ Part of Lot Lot _ 17 -- Block 2 Addition or Sub -Division _Jxnqbxuck !ith Add, Corner Lot _ Inside Lot __ Setback -- Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Alterations Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Front Depth Height Sq. Ft. Cu. Ft. Est, Cost 9, 000._ To be Completed 5/30/71 In consideration of the issuance to me of a permit to cons the building described above, I a to do the proposed work in accordance with the description ab t fo and in compliance all provisio of ordinances of the city of Fridley. In consideration of the payment of a fee of $ A _ D , permit is hereby granted to 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 andmoving 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 CLARENCE BELISLE T NOTICE: This pormh doss not corer the construction, installation for wiring, phrmbing, gas heating, sewer or water. Be sure to as the Building Inspector for separate permits for then home. b. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAME:R�C,®- OQD W�JQ %ST BUILDER: 1 \V\�e0 (-boQST ADDRESS:117_:�,_�1 �P, QJ%Q -F_%r9,C QIRC 0ADDRESS: �60 G`elu�­l®®oc Poi NO:. STREET: LOT: BLOCK: ADDITION: 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. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost:0/1 �C�O To Be Completed: _� NIA 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: SIGNATURE: (See Reverse Side For Additional Information.) I . C I T Y O F F R I D L E Y 6431 University Ave. N. E. Fridley, Minnesota 55421 Williams Electric 2312 Central Ave. No E. Minneapolis, Minnesota Feb. 2, 1968 RE: PRMIT SHORTAGE 1531 Windemere Gentlemen: Your permit for the above captioned address was short the following: Air Conditioning $4.25 10-20 Outlets 6.00 $10.25 We would appreciate it if you would kindly give this matter your preferred attention. When sending in the above amount, kindly place it on a regular Minnesota State Affidavit so that we may properly process this permit. Thank you. LE :bks I( Yours very truly, LEONARD EICFIMILLER Electrical Inspector City of Fridley MRS. RICHARD D. GRANQUIST 15 31 WINDEMERE CIRCLE EAST, MINNEAPOLIS, MINN. 5 5421 Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ 1®&® 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 $.� Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........ x$ 5.00 $ AIR CONDITIONING S 4 QJJ $ 1® FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE ft Dept. of Bldgs. Phone 860-3480 Location 1531 Windemere City of Fridley: The undersigned hereby makes application for a permit for the work hereir, 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 19 _ owners 6 �•1� �i �a Kind of Building 't�-c��► Used as To be completed about Estimated Cost, $ 5 Old— ew. Building Permit No. �c Permit No. 5q DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name �> Size No �� ZZO Capacity Sq. Ft. E.D.R ZM% BTU H.P. Total Connected Load Rind of Fuel BURNER —Trade Nams Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) .I Signe By Business Phone No City ®I Fridley, blinn.. 643311 University Ave. N. E., Minnneapol.is, Minn. 55432 BVRLd,G 1apT Date: October 10, 1972 Owner: Richard Granquist Builder Pools, Inc. Address .—...._._-1911 Ninr1 mm e it—le— N,FAddress 229 W. 60th, Minneapolis LOCATION OF BUILDING No. 1531 —Street Windemere Circle N.E. Part of Lot Lot _17~ Block 2 Addition or sub -Division Innsbruck 5th Corner Lot .___ .__ Inside Lot Setback Sideyard Sewer Elevation I . Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Pool Front 421 Depth 21' Height 81911 Sq. Ft. Cu. Ft _ Front . _ Depth Height Sq. Ft. Cu. Ft. Gunite Concrete $5,000 November 1, 1972 Type of Construction —. Est. Cost To be Completed 1. Provide a fence around pool with self-closing and self -latching gate. 2. Provide all N.S.F, approved equipment. In consideration of the issuance to me of a permit toconstruct a ding described above, I agree to d0 the proposed work in accordance with the description above set fo a in complianccee with all provisions of Ordinances of the city of Fridley. In consideration of the payment of a fee of $ $30.00 , permit is hereby granted to Pools, Inc. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinkmen of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildlags pyithin the city limits and this permit may be revoked a t any upon violation of any of the provisions of &aid o7rdinances. Building Inspector DARREL CLARK NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building inspector for separate permits for these items. 1 APPLICATION FOR RESIDENTIAL, ALTERATIOND OR ADDITION BUILDING PERMIT CITY 4P PRIDLEYs MINNESOTA dp BUILDER ADDRESS: 3% �`/l�®��'y%�f- l; (�c/E 1D$ES3 s �y�� G�/ '/^0 AT 4 :- ■ --�--..rte-.., BLOCKS A T10NI ,C�R LOT; UQ=1 LOT; a ETBACK t SIDEYARD II iUmt attach vo oAm f+ o Certificates of Survey of Lot and proposed :7"j4 $ location drwq 4M these Certificates. DESCRIPTION OF BUILDING To Be Used A* 41� Depth: Height: Sqn*Xe F tp "710 CUbft V'eetl Fronts Depth; Height: SquareYeet; Cubic Feett.- Tyfa of Constructions 0adC/�WE&stixate4 Cost: The andqrP ned hereby sees applicatiim for. a pest for the work barein opeciftedr agreeing to do all work in stftct accordance with the My of M,djvy orA$s 4a4 ruUmp ;�f the Department of Buil dtnga, +gid hereby clar" OWX all the facts and representations stated 14 this application e true gw4 correct, y fRAm Ugwmwaa RI.de Fog Additlanal Tnfermntisn_) I z J i �TIu�ca+np w.'vo Y":<' w�.'....:a5 u� a �erc C'v,"0 V 4 G;uc� ii'rmca, m aS vo- :ifun and r Cca1C..n:dig S a C.ma5 ' C id' imCz PARTIAL. IZATE SCH MP E GRAYM WARM AIR: 1 P.*a TOTAL runmice Stell & r'iict.Work $10.00 $ Repl:eement of -r urnare 6.00 S P.rpai-s Zr Alterat:ons— up to 3500.04 6 00 S Repairs & Alt. -rations each add. S$OO.00 30J $ 1ZCI-L WARM M AIR Furnace Shell & Duct Work to 124,040 B, a $1000 $ each add. 60.000 BTU 3. W 3 RepUce Tien: of Parnace 6.00 S Rzopairs & Altep•ations--up to $540.00 6.00 $- -Re—airs & Alterations each add. $300.00 3.00 $ STEAM ox HOT WATTg:RR SYSTEM P_;rrace Shell S Lines --to 400 sq. tt TDR Steam. $10.00 $ F=nace Shell & Lines --to 640 sq ft. EDR Hot Water 1000 5. Each add M sq. ft Ellik Steam inn 5 Each add. 320 sq. ft EDR Hot Water 3.00 $ OIL BUEN-EF—to 3 gal. per hour over 3 gal per hour—See Fee Schedule GAS BURNER cup to Lg9,000 BTU) over 159.000 RM Sas Too Sckedulo GAS FITTING . LF.Z. no RATE TOTAL -- xv 200 S.._. -- . .76-- Z$ &00 3 State Surchar3e .50 Too T" ScheS2lo 6.00 S. 5.00 Ist 3 Fixtures Additional FIxtures Gas Rang: to 199.000 AIR CO2 1: Y'IONIF. r rAx Irr T 740 ETZT=f 'FZI.E a G SYLTZH RLMFidl.iiC 3 ik Is.F PIURS Dept. of Bl1,a. ph* - VA wo-= City of YzIdley: The undersigned hereby makes application for a permit for the work here& specified agrcring to de all work in strict accordance with the City Ordi.^_ance: and ruling of the Depa:tment.of Buildings, and hereby declares that all the facts and reliresentatiuns stated in this application are truund correct nwner Kind of Used as Tobec Estimated Cost;S -'-�--= Z9 Old -e. Building Permit No. - -- ------ --- Per= it No. DWC LPT IGIT OF W43"RX HFA77NG or POWM PIANTS) iteam, Hot Water, Warm ASr—No— Trade NameId Size o- Capacity_. _ _ Sq. rL E.D.R BTil Total Connected Lead Kind ctf rue " BURNER — TWe Narne-- Size Ida Capadty Sq. Ft. ED -R- I3T°tl13711 6aRzs.-0ust Suburban Air COnditioninj CO. 8419 Center Drive g� Minneapolis, Minnesob Sw? c 2 E; A,,T OTY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ' r JOB ADDRESS 10's, Qrp- floiize- e,��� c dpl RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ —3), () O representations stated in this application are true and correct. (Side Vent - FIII Out Back) Gas Piping (Needed with new furnace) $10.00 $ Z � 1Z Arg LA t S� OWNER Gk a q Gas Range $1 0.00 $ BUILDING USED AS e. Gas Dryer $10.00 $ ESTIMATED COST Q 9 ®® • CDO PERMIT NO.���� *Air Conditioning -All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All OtherslRepairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Na, of Heating Units Circle One (Steam) (Hot Water) arm r) Trade Name 2I&LL-M Size No,—U C. ?4 -1 ,5&fl 82v Commercial/f ndustriaf BTU \ 0 C Q U HP EDR 1.25% of Value of Appliance or Work $ Fuel toAA . Q A-5- Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. / ®Til HP EDR TOTAL FEE i...:.�...� SheeA HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION Signed By Tel Na. REFRIGERATIONLAIR CONDITIONING PERMIT IS 25.00 PLUS THE .50 STATE SURCHARGE Date Final Date x � REINSPECTION FEE $42.00/Hr Approved By Rough -In « 'Aiid® and without r Conditioners can not be pieced Inas y FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CHIMMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (✓) No ( ) 2. Is free from rust or deterioration Yes (-V)No ( ) I Has no foreign objects lodged within Yes ( 1� No ( } 4. Is securely supported Y1es ( No ( ) 5. Meets all current Cpft4e"kem= or size and totals Yes (� No ( ) 6 Has to 1 heating BTU-s-ef All otheTU's TOTAL BTU's 7. Has a liner been provided ater heater s (✓f No ( ) 8. Has combustion air been provided for water heater Yes(,)' No ( } Remarks: List ALTER.A►TIONS Being Done: HEATING CO: Signed By: Date: ITY OF FRIDLEY INSPEC'i iUN DIV. 431 University Ave NE ridley, MN 55432 63-572-3604 Urinal Basement Floor 1 Floor 2 Floor 3 Floor 4 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: NO. OF FIXTURES TO BE INSTALLED ON EACH FLOOR MARK NUMBER : ::.•Auto. I Wash��:� N:< ��• Floor<�~' Washer gm LITNIShower `�,.: Tray tt1>> Drain ii° x PLUMBING FIXTURE RATES: NO. RATE TOTAL �_ $ 7.00 7 New Fixtures Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas" $10.00 Gas Range" $10.00 Gas Dryer* $10.00 Back Flow Required ( )Yes () No ;reventer Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge 54 TOTAL FEE $ Effective On Jan 1, 2001 JOB ADDRESS ��3� �� Gi .-C_ Heater Elec 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. IL Owner Building Used -/ �- 20Q / Estimated Cost ! D i C PERMIT NO. gy 12 19 PLUMBING C SIGNED B� Approved By V v Rough -In Date Final Date `°6l%! COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE Ird 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 plastic/PVC 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 ft Diameter in. Type ALTERATIONS: (Describe) HEATING'CO: Signed By: Date:. '- SUBJECT P City of Fridley 3215 3 AT THE TOP OF THE TWINS BUILDING PERMIT r u COMMUNITY DEVELOPMENT DIV. 572® PROTECTIVE INSPECTION SEC. 1 NUMBERREV DATE PAGE OF APPROVED By I �•"1 CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 9/11/01 JOB ADDRESS 1531 Windemere Circle NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 2 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Connie Granquist 1531 Windemere Circle NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO The Transformed Tree Inc. 2239 Carter Ave, St Paul, MN 55108 651-646-3996 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 1856 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ck ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel Bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED FOR: PLUMBI ,AND SIGAIS 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12Q 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 $2.00 WITH R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,000 DO S NOT PR SLIME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VISIONS O ANY THER STATE OR LOCAL L REGULATING CON- $97.25, Fire SC $4.00 T CTION O THE P RFO NCE OF CONSTR TION -11 PLAN CHECK FEE Licen S $5.00 TOTAL FEE $08.25 Si TUBE OF 116 OR AUT FIi2E0 AGENT IOATEi ENP OPER LIDATE IS I UR PRM SIGNATURE OF OWNER OF OWNER BWLDERI tDATE, SLOG NSF' r DAtE 0 NEW I l tN 1/1/2001 ADDN [ ] CITY OF FRIDLEYIAWJ2­3604Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Addres �: �,,d , yyx-e- jc e-, C,'�Ae `(- Legal Description: Owner Name & ddress: cx\Ki e-- o Tet. # Contractor: MN LICENSE # G Address: 10 Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Length Width Height Sq. Ft. Hgt/Ground Sq. Ft Construction Type: 6 �e�Estimated Cost: $ �, C r-)0 Driveway Curb Cut Width Needed- Ft + Ft=01 1 Ft x $ _ $ DATE: C% I APPLICAN _ Tel. #Ge 16 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ Q,5 Fee Schedule -on Reverse Side $ ,. .001 of Permit Valuation (1/10th%) $ Ot ®® $.50/$1,000 Valuation $ $1150 per SAC Unit $ .5-/00 $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 [ ] PLAN APPROVED' SUBJECT TO FIELD INSPECTION to 0 4. Install tile on mud base for shower floor and over cement board on I lls 5. Install .. 7. Toilet and vanity remain. / �U�E S.0O.���E%+Cf /N anown- 0�/� ��9�v UEv�/% ���/�� Bio, Py UN'' Qv/,2FiM�v �01s�l�,rr v,A� Grandquist ath Remodel 9/4/01 1531 Windemere Circle East Scale 112'° = 1' Fridley, Minnesota 55421 The Transformed Tree, Inc. - eo dl_, e and d 'teebetm-kea". CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 tAX: (763)571-1287 ADDRESS : 1531 WINDEMERE DR NE PIN : 253024110064 LEGAL DESC : INNSBRUCK 5TH ADD : LOT 17 BLOCK 2 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO. ` 2004-00329',- DATE 004-00329,- DATE ISSUED: 03/16/2004 t VALUATION : $ 400.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A GAS WATER HEATER # ELEC WATER HEATERS # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S NIINNEAPOLIS, MN 55408-2173 (612)827-4033 OWNER GRANQUIST CORINNE J 1531 WINDEMERE DR NE FRIDLEY, MN 55421 0 VALUE OF FIXTURE/APPLIANCE 0 0 # GAS WATER HEATERS 1 0 # GAS RANGES 0 0 # WATER TRMT APPLIANCES 0 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 con truction or the performance of construction. ADD a)Y& 1 Date , Bldg PLBG PERMIT NIINIMUM FEE 20.00 PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) 0.00 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS 0.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 27927 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, WjW 55432 572z3604 0=111111��P Effective On Jan 1, 2000 .1ol/ MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR $7.00 Urinal Shower Beer Dispenser Wash Tray ooru An . . . . . . . . Wa her Range Gas jElec Stories Basement $7.00 Sump/Receiving Tank $7.00 Water Treating Appliance $10.00 Water Heater -Electric - - - - - - - - - - - - - - - - - Water Heater - Gas** –j— Floor 1 ....... . . . . . . . . . . .... $10.00 Gas Dryer' $10.00 . ...... .... ... ........... $15.00 Floor 2 . . . . . . . . . . . . Floor 3 ................ ............ Floor 4 PLUMBING FIXTURE RATES: NO. RATE New Fixtures $7.00 Old Opening, New Fixture $4.00 Beer Dispenser $6.00 Blow Off Basin $7.00 Catch Basin $7.00 Rain Water Leader $7.00 Sump/Receiving Tank $7.00 Water Treating Appliance $10.00 Water Heater -Electric $7.00 Water Heater - Gas** –j— $10.00 Gas Range** $10.00 Gas Dryer' $10.00 Back Flow Preventer Required )Yes No Type — $15.00 Reinspection Fee $47-00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL JOB ADDRESS f?!jYf1F �tS 6W01E�V, 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 1.uilding Division, and hereby declares that all the facts and representations stated in this application are true and correct. GRANQUIST, RICHARD 1531 WINDEMERE CIRCLE EAST FRIDLEY, IVIN 55421 (763) 571-4570 Owner Building Used As s6kag�'-q cz Lffio 00 Es,irnated Cost PERMIT NO. PLI !NqB!NG COMPANY S1f3N'ED BY //�G TEL N0. ,A - ii Z 7 -AQ Approved By Rough -In Date_ Final Date .50 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A, COMMON VENT INFO ON BACKSIDE When roulacing 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. plastic/PVC 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 s sten, 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( ) ARr21lance Type and Size/Common dent 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 ft Diameter in Type a HEATING C®: Date