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PRE 2010 DOCSCity of Fridley, m. 113 6 _ 6431 University Ave. N. E., Minneapolis, Minn.555432 B I e.� G PERMIT Date: March 24, 1972 Owner: Rodney Billman, Inc. Builder Same .Address 151 Silver Lake Road Address New Brighton, Minnesota 55112 Vo. 1463 Street LOCATION OF BUILDING Wi ndpmArp Lot _as s Block 1 Addition or Sub-Divisio Corner Lot T.nside Lot x Setback 35 Part of Lot n Innsbruck Fifth Sideyard 5 & 10 gewer.3mevation 24' S. of M H Foundation Elevation Top of footing 989.02 (Approx) WYE Elev. 986.02 Approx To be Used as: 39' Rambler Dwelling 44' 28' Walk-ou „518 Front Depth Height .....� �q. Ft. 1 __.. Cu, FtFt30,360 Att . Garage Front 22' Dept 22.4 Height Sq. Ft. 490 Cu. Ft 4,900 Type of Construction Frame Est �� 33,000.00. To be Completed 6-15-72 (28,101.60) r Stipulations: Hard surface drive and verifying survey. 2x10-12.o.c, over red room In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. f14,05 State Surcharge In consideration of the payment of a fee of $ 66.00 - - ,permit is hereby granted to ,Rodney Bi11man, 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 buildb vpithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinaaces. ding Inspector CLARENCE BELIS E NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or wafer. Be sure to we the Building inspector for separate permits for these hems. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: o U LDER : —. ADDRESS: / ADDRESS NO J STREET: 3 3 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. DESCRIPTION OF BUILDING To Be Used As: � e z --or 367 Front:Depth: e Height:- Square eight: Square Feet: Cubic Feet: �'..N Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: _$ To Be Completed: /�� 5;PZx— 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 :4/97 -,-SIGNATURE: (See Reverse Side For Additional Information, 'gd c b t � t 6 1j 1 7 _ 7 i 9 MY S f21 T -11 Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and ` Air Conditioning Systems and Devices Y:� 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$ 200 Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ r AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule I VENTILATING SYSTEM A ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone 560-3450 City of Fridley: The undersigned hereby makes 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. Owner Kind of Building - _Z; fz� Used as �� � %d To be completed about �? 04 ��� Estimated Cost, $ Old ew: uilding Permit No. Permit No. 1_ C2_ DESCRIPTION OF WORK HEATING or PLANTS --Steam, Hot Water Warm Ai No Trade Nampp Size No. Capacity q. Ft. E D.R9_ BTU a H.P. Total Connected Load Lo Kind of Fuel Z�_ BURNER — Trade Nam Size No rA Capacity ,��,Wgm%'��Sq. Ft. E.D. BTU H.P. h7X &6AeOY N© WELTER HEAVING CCS Signed 4637 CHICA ') Vii=. D41MMEAPOLIS 7, 1alle4NE80rZ By 41&. az Business Phone No- (REMARKS—OVER) HEAT LOSS CALCULATIONS DEPAR-11NENT OF BUILDINGS A.S.H.V.E. -11 Weatherstrips Construction No. . - Guide �0/ Reference Out. Wall I Int. Wall Ceiling Roof Floor Kind How Applied 19— I Length 17 idth/0'— dei ht F1.1 th /3:- Mei��Iml'f RoLm [Length Vintlawa mA Dnom—Crachaev and Awr a Windows and Doors—Crackage and Area iii 17 6 No.- Width Of r Height 0( patw No. of linhia I nF 1�Y—f i,— Art,&% of Cracit sq. it, Area aq. ft. Coef. Btu C-ey 0 '2 ;7 0 Class Enp. wall Net exp. wall -ro E" U Int. wall Coef. Btu Infiltration Ceiling [Coef. Btu Infiltration �® Glass Glass &P. wall /0 't 1 /0 Glass FxP. wall g7 T-0 T Floor Earp. wall 9- 9- je Net enp. wall 1'-7 a 9 Net exp. wall Int. wall 05 le, /u-Fgo Int. wall Ceiling Total Btu. Yom' I Ceiling Floor /2d ;— Floor Total Btu. -mu Required sq. ft. E.D.R. or sq. ins, W.A. Leader area / F1.1 D;,, ; -,? Room I Length lk(�? Width R' It: Height 5?-- 1 'z Windows and Doors —Crackage and Area iii 17 6 No. Width of parte Height, of pane No. of lights Lineal ft of crack Area aq. ft. Coef. Btu C-ey 3 '2 ;7 0 Class Enp. wall Net exp. wall -ro E" U Int. wall Exp, wall Ceiling [Coef. Btu Infiltration Floor Int. wall Glass &P. wall /0 't 1 /0 Glass Net czp. wall g7 T-0 T Floor Earp. wall 9- 9- je Net exp. wall 1'-7 a 9 Net exp. wall 05 le, /u-Fgo Int. wall Total Btu. Floor v� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Required sq. ft. tD.R. or sq. ins. VII.A. Lcadaz ciyea Ceiling /2d ;— Floor Total. Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area RGam1LcnRtbWidth7</ Height Windows and " oors—Crackage and Area Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq, it. C/ iii 17 6 11rlim, vk wh ata It, n e a 17', of crack Avea 0 ft. 3C Coef. Btu Infiltration 3 '2 ;7 0 Class Enp. wall Net exp. wall -ro E" U Int. wall Exp, wall Ceiling Nei ei.-P. wall Infiltration Ze!- Floor Int. wall Glass &P. wall /0 't Glass Total Btu. - Ceiling 2 Net czp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area T-0 T No iii mll )k cr 11rlim, vk wh ata It, n e a 17', of crack Avea 0 ft. 3C 3 '2 Coal. 72c) S -z - E" U Glass Exp, wall Nei ei.-P. wall Infiltration Int. wall Glass &P. wall /0 't Glass - Ceiling 2 Net czp. wall Enp. wall x- 7 T-0 T Floor Int. wall Net exp. wall Total Btu. Requifed sq. f i. F.D.R. or sq. ins. W.A. L-adey area Ni RK'�TT-:K oom I Leanth Vic:,dii —Heigh! W!� Wiladows and and kca No. Width of pane Height oZ pans No. ofI lighta n e a 17', of crack Avea 0 ft. 3C 3 '2 Infiltration Infiltration W-0 Glass &P. wall /0 't Glass Net czp. wall Enp. wall x- 7 T-0 T Int. wall Net exp. wall Ceiling /a Int. wall 05 Floor Ceiling 7 47. Total Btu. Floor v� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Required sq. ft. tD.R. or sq. ins. VII.A. Lcadaz ciyea / F1.1 -Room I Lennih " — A," Hiz;%i K'O- Windows and Doors—Crackage and Am, No. Width of pane Neight 02 pane No of ligitto Linoal ft. of cracIr pp Are— W -Q. M 3C 3 Infiltration Glass Enp. wall x- 7 T-0 T Net exp. wall Int. wall Ceiling 7 47. Floor v� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. 100 MEATLOSS CALCULATIONS Weatherstrip A.S.H. .E. Gliide Windows� Doors Reference Out. Wall int. les - —No ` es—No 19— _ Fl.1 Length G Width 0 s Windows and Doors- C aat hate ami -Arta T DEPARTMOT OF BUILDINGS fLiloomirigLrDII — d Construction NO. Insulation wall - Ceiling Roof Floor find How Applied - Idtt, �V'i ills otptanF llvll, hl of;Uvin N r 11 ilfihld 1 o.. i Igaul PI li, tftesau(t trU.ydl, No. of llghta Lineal ft. of crack Arca eq. ft. No, of iif, tee' I--2 q � O 6 —_ Coef. Mu Infiltration civ Eau Glass ; F.iap. Wally - Coef. Net exp. Wall Infiltration y Int. Wall IC('d r® Ceiling'- :,9D 4 ���: t! Floor may® Total Btu. ' 0 Required sq. ft. E.D.R.,or sq. ins. W.A. Leader area ( / Fl.l .ir=i41' Roorli I Length/ e9— Width �f` He;rzht >r Windows and Doors --frac' kar a and Area - No. Width of pane Height of pano No. of llghta Lineal ft. of crack Arca eq. ft. No, of iif, tee' I--2 q � O 6 —_ C) COQ§. Eau Infiltration Btuinfiltration Eaip. wall�� Coef. to Infiltration y Infiltration IC('d r® Glass- Earp. Wall 5 GlassG .Net exp, wall f7 ' 0 Int. Wall ( C, 61 b Ceiling 0 Net eaap. wall Floor 6 Ce'r 0 Floor, fo Total Btu. Required sq. ft. E.D.R. or'?q iris. W.A. Lnadv~r arcs Total Btu. ^ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � .N F1.1 Room 1 Lenrih d V Y- Wielth /7114%;,Tht $ Windows and Doors—Crackage and Area 1' 1 i1I1 tU�l''�jl N.IlhAK add1` No. Width of pano Height of Yana No. of lights Lineal ft. of crack Area. - aq. it. No, of iif, tee' I--2 q � O 6 —_ C) COQ§. Eau Infiltration Btuinfiltration Eaip. wall�� ECoef. Stu Infiltration 3 Infiltration IC('d o Cdass . Exp. -wall 5 GlassG Not emp,. wall. f7 ' 0 a,all �w ( C, 61 b 7,e Net eaap. wall Floor S - b- Floor s" O2 fo Total Btu. Required sq. ft. E.D.R. or'?q iris. W.A. Lnadv~r arcs Z .;"Total btu. -Required vq. ft. E.D.R. or sq. ins. W.A. Fader area / a.®. 216 Ntl, 1' 1 i1I1 tU�l''�jl N.IlhAK add1` 1; 111; Ili efP ttk11H -, iAU I..B � Ilf hig � I.IPflI AP Uk 9'! p.� %Q CaB fib. ti g. fB� :, , HlE;h¢ of pe.no No, of iif, _ Lineal fC, d Ara:R of cMCk P 9q. ft. I--2 q � O 6 —_ C) COQ§. Eau Infiltration Btuinfiltration Eaip. wall�� Glass Net exp. Wall i Infiltration &p. wall P I`. ' GlassG Net czp. all f7 �7 dip. wall x Ceiling C, 61 Total Btu. Net eaap. wall Floor S - b- ,4, /',0 Total Btu. Required sq. ft. E.D.R. or'?q iris. W.A. Lnadv~r arcs 7) Room I Length VC"WicadnA Windows and Doers—Crackage No. and Area Height paano 1670. Width of pane HlE;h¢ of pe.no No, of iif, _ Lineal fC, d Ara:R of cMCk P 9q. ft. I--2 q � O 6 C) Glass _ Btuinfiltration Eaip. wall�� Net exp. Wall i Infiltration P PrP P I`. ' GlassG f7 �7 dip. wall x C, 61 Total Btu. Net eaap. wall S - b- ,4, /',0 6')4t( Cc^ Floor Total Biu.. Required sq. ft. E D.R. or sq. ins. VI.A. area i {x`1.0 G��iyi l fl..etti�^eeA �1.��ni� 1r;Iei�.aat Windows and Daax-y--Crackat;a and A ze S i No. Width of pane Height paano No. of I ligh¢o Lknoal fC. 08 eracI: Arer. req. Q3. I--2 q � Glass _ Btuinfiltration Eaip. wall�� Net exp. Wall N Into Wall I`. ' Ceiling _ Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Uzezr aired afy 0$ mdloy ��Pii Tan for Pittri"h-.11 Cid 1�r x sa " Dept. of Bldv. Phone 550.3450 DESCRIPTION or wor°, : Locatto�'� —1 ��L...c� HumSsr, KL -4 and Loer!ien of Fixtures . • Futuro Ccaa0ci5: n C-y4rir:,M e How Old 074nir:C's PARTIAL RATE Se°HEDULE Cc=pool [] P LUMMIG FI;CTU.-, E RATES: :i0. RATE TOTAL x $2.00. S G Nurnl er Fixtures ................ _..- Future Fixture Opening ........... . x $1.50 $ H x $1.50 WATE4 HTR. Catch Basin ............... x $3.25 $ Water Beater !Up to 99,800 BTU)... • � x aw iaa10CAS tiew Ground Run Old Bldg.......:. x ;3.25 $ Electric Y°d®tar H&& Lar .............. z AS nTTIMG FEES: UM V_ x $2.00 $ .2' ©U 1st 3 Fixtures ............. . Additional Fixtures .. . . . .....: • . ... x $ •75 $ Gas Range to 194.000 BTU ..... . ... .. x $5.00 C 8asr 3rd 4th • Futuro Ccaa0ci5: n C-y4rir:,M e How Old 074nir:C's PARTIAL RATE Se°HEDULE Cc=pool [] P LUMMIG FI;CTU.-, E RATES: :i0. RATE TOTAL x $2.00. S G Nurnl er Fixtures ................ _..- Future Fixture Opening ........... . x $1.50 $ Hew Fixture Old Opening. • .. • : • • • • x $1.50 Catch Basin ............... x $3.25 $ Water Beater !Up to 99,800 BTU)... • � x aw 8�"3 tiew Ground Run Old Bldg.......:. x ;3.25 $ Electric Y°d®tar H&& Lar .............. z AS nTTIMG FEES: NO. RATE 'TOTAL V_ x $2.00 $ .2' ©U 1st 3 Fixtures ............. . Additional Fixtures .. . . . .....: • . ... x $ •75 $ Gas Range to 194.000 BTU ..... . ... .. x $5.00 C City of Fridley:. T'he undersigned hereby makes application for a permit for the Boric hetet specified, agreeing to do all work in strict accordance with the Cit? Ordirarc�r and ruling of the Department of Buildings; and hereby declares that alt the fact and representations stated in this applicatson are true and correct' rYidley, Minn fir'{ – Ind of Building A Used To be completed about Estimated Cost, $ ...1 lYew. wilding Permit V14- X11 - Sime' By ROUGH FINAL ALTERATIONS—Refer to Coda .50 State Surcharge I}e :cziption...............:.........................3 TOTAL F= SkUR Busink= Phone No SUBJECT City of Fridley RNO. AT THE TOP OF THE TWINS UIL I I P i COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/15/98 JOB ADDRESS 1463 Windemere Circle West (1463 Windemere Drive NE) 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 38 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruce/Diane Larson 1463 Windemere Circle West 571-1326 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. 5 USE OF BUILDING Residential 7 CLASS OF WORK IF NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 10' Deck 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. 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 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 $.63 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,255 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- $43.00 Fire SC $1.26 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $44.89 SI A REO OFCONTRACTOR 0 UTHORIZED AGENT iDATT,EEi HEN PROPERLY VAVD ED THIS IS YOUR PERMIT A URE OF OWNER OF OWNER BU4DER1 IDATEI BLDG Ip P DAT NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 / BUILDING PERMIT APPLICATION bY� ConstructionAddress: v� e vu -e\f le Legal Description: Owner Name & Address: ?yCL C -P_ d i�:)iaVN Tel. # 571-t3a(. Contractor: 0WA-e,.{ MN LICENSE # Address: Tel. # 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 iy x to' Width Hgt/Ground c 0hell Sq. Ft. {y0 �-P4 �' OTHER: Construction Type: 1_7oUc_� Estimated Cost: $— (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ w DATE: �5 ` i a.- '� 8 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control APPLICANT: j���. � L `� Tel. # 5 t -13�� Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1000 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 [ ] �I THE JOHN J. RYAN CO. TELEPHONM 646.6858 •CAL[: 1 INCH 36 MET 1602 8E1-OY AVENUE, 8T. PAUL 55104 PLAT OF SURVEY OF PROPERTY OF 00=100 A8 vv` i� v �4r - 4. /. 3r — CERTIFICATE OF LOCATION OF BUILDING I hereby certify that on 4-7 19 7Z this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor unde the laws of the State of Minnesota. Before digging call for all utility locations 454-0002 REQUIRED BY LAW ft I hereby certify that on 19 this survey, plan, or report was prepared by me or under my Ilirect supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. l SUBJECT MIT NO. City ®f Fridley 2 9 3 7 2 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. `- __--_ COMMUNITY DEVELOPMENT DIV. SEC. r � PROTECTIVE INSPECTION �/ E _ � CITY HALL FRIDLEY 55432 t NUMBERREV DATE PAGE OF APPROVED BY 612-571-3450 910415 4/30/99 J JOB ADDRESS 1463 Windemere Circle NE 1 LEGAL LOT No. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruce/Diane Larson 1463 Windemere Circle NE 571-1326 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 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 14' x 10'6" Porch and a 26' x 10' Addition 9 CHANGE OF USE FROM TO STIPULATIONS XM See notations on plan. wkRNj"r_ Before digging call for all utility locations 454-0002 ° REQUIRED BY LAW 'aRATE PERMrrs REOUIpM WIRING, HEATING.. PLUMBING AND 81(;W SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 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 $7,000 $3.50 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 PLAN CHECK FEE TOTAL F $ .25 GNATURE OF CON' �1 DR OR AUTNORIZEO AGENT iDATE, ENP OPE ALIDATE S IS YO PERMIT [96GNAYURE OFOWNEAOF DWI F BLQ6 iNSti gAtE l NEW [ ] Effective 1/1/99 ADDN X CITY OF FRIDLEY ALTER [ ] SINGLE FAN MY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ck� q ConstructionAddress : Legal Description: Cv Owner Name &Address: L-a,C; �,,,Tel. #('� s�ae� e. Contractor: oy-s v% -e-,f- MN LICENSE # Address: ;, Tel. # 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 I Width I D -�6 e Height ' Sq.Ft. I —3)(26, k� AREA: Length �( Width I C) `- ®P` Height Sq. Ft. ® ' 3, 9 sl, 3 z DECK AREA: Length Width Hgt/Ground Sq. Ft.'�� OTHER: State Surcharge $ &St$.50/$1,000 - t'e� Construction Type: $ Estimated Cost: $ q C 0 0 $ $5.00 (State Licensed Residential Contractors) (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: _ a� APPLICANT: �-.�"� Tel. # S 7 l - (3 ZLL CITY USE ONLY �.S—Fee Permit Fee $ Schedule on Reverse Side Fire Surcharge $ ,.`b .001 of Permit Valuation (1/10th%) State Surcharge $ &St$.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ v? STIPULATIONS: From: 7635742044 Page: 1/1 Date: 9/2/2009 2:34:08 PM Building BUILDING Permit No.: 3� � Inspections RESIDENTIAL APPLICATION Rece'ved " 9 763-572-3604 CITY OF FRIDLEY DAM7 DATE YOURE-MAILADDRESS SITE Atir�lta,T N THIS APPLICANT IS: CI OWt3E1t )4CONTRACTOR P RC1►.MTV OWNER/ A evoo TTNANT ADDRESS: 14Go'5 I ►'�-1 , ^ . CITY STn.':rM ..e'er y I CONTRACTOR NAME: I N,fr> 'CALAIAlaosi ►v STATE LICENSE # . �i+� EXP DATE SUBMIT A COPY OF YOUR STATS LICENSE ADDRESS."O 1-5U116* 09Y, . STAT —4 �j WtTH APPLICATION p1;0M PAxPROPERTY RTY I y ]K SINGLE FANIII.Y SIz2 13 TWO PAMiLYINEW CONSTRUCTION STOIi]E8 PERM .T TX.1'E DADMION 13 GARAGEMED WIN MOWS 13 BASEMENT FT.ZJT^1 . 0 ROOF Q DRAIN TILE Q DrXIM 0 SIDING ❑ a'.1.'.14.FtR d SWDR%GNG POOL TXPE OF' WOPX, 0 NEW M A1�r.�TT OR D CEiREPAIR 0 REMODELING DESCRIBE WORK BEING DONE. SIZE OF M'ROVEMENT L,ETdGTkI WIDTH IIEJCTHT sq. Ft. O HOUSE CMY NUNIDER OF SQUARES M HOUSE & GARAGE SUBMIT: GAxiAM 0 ATTACHED GARAGE 1 • 2. Rxi�ting Flaar Play 1ropmd !Icor Flan PROPOSED SIZE: PROPOSED I -MIGHT: 0 DETAMIED GARAGE 3. List of dnottval members to be used FOR NEW CONSTRUCTION INCLiJDIWOtYlti 9, O V 1 O8orat ADDTTIONS�B PORCI�S S3IAMTT: 0 Aluminum O Trim 1. Site Man/Surwy showing the o)oatiag shuuchms 0 Otbar _ Famia Med proposed p*e%. OWS I 2. Two acts of construatiou pl= IN F�7CiSTI G OPENINGS WYO. ONOONO W t� 3. Energy Calculationa OR FORNRW Oi'.�.lt7CF� ORSMT9E SIZE OF j �' � SCo OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLEDNtmNB sEg O.P. ONQ3IXy US Q ALL FEES ARE BASED ON VALUATION, INCLUDING TEE COSY' OF LABOR AND MATERIALS: (USING THE 997 U.B.0 FEE SCIYEAULF,) TOTAL JOB VALUATION S . Q0 OCCUPANCY TXI'E Permit Fee $5 See Back Pago for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Sumb" $ Y ' .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow 5 Jft + 6 ft - ft x $21- $ Erosion contmi $ $450 Conservation Plan Review Park Fee $ Fee Ddetmined by Engineering Sewer Main Charge $ Agmement necessary ( ) Non Neemary ( ) THIS 18 AN A}'JY[.ICATION FOR A PMMT-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 a permi and work is not to start without a ftt; that the work will be irk accordance with the approved plan in the ease of all work io m ' d/approval of plana SJONATURE OF APPLICANT PRINT NAME Nt/G14 n✓ I�ATR Building Inspections 763-572-36 4 DATE 3 SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBN9T A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY nYOUR E-MAIL ADDRESS /'> i ❑ OWNE; NAME: ADDRESS:i PHONE: COMPANY NAME CONTACT PERSC STATE LICENSE # ADDRESS: PHONE L 410 `SINGLE FAMILY 0 TWO FAMILY ❑ NEW *PLACEMENT DETAILED DESCRIPTION OF WORK FAX }, MN 55408 �24 — ❑ TOWNHOUSE ❑ AL.TERAnON/REMODEL 0 ATE ZIP, 'Y. PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is 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 $5 %FEESARER ED ON$10.00 PER FIXTURE, EXCEPT WBERENOTED. ICCA�TTE TOOTAL NUMBER OF EACH BELOW) SI=TUU� �/(J`/ Equipment Installed MFG. MODELMFG: MODEL: SIZElBTU �[��MFG• MODEL.SIZEBTU �C $25.00 ACE (GAS) $15.00 GAS RANGE/OVEN $ .00 AIR TO AIR EXCHANGEER $15 ACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 �4ACE $35.00 GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTLLATOR $15.00 EauWZEEM Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge 50 Number of fixtures @ $15.00 x $15.00= $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 -,Z— x $35.00 = $ State Surcharge = $50 Total =O .So THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL. PROCESSED I hereby apply for a building permit and I ac owledge that the information above is complete and accurate-, that the work will be in conformance with the o d co of City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only app fo a ermit d work is not to start without a permit; that the work will be in accor ance Vith the approved plan in th case of whi h r_ ' s review and approval of ulans. F APP RINT/YiQl�ATE SIGNATURE O City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXIS.TIR%HOMES :_ :, 1. Combustion Air (See note below)` a Oil or solid fuel IMC Chapter 7 with MN Amendments b. Nataral Gas or PropaneUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a_ IMC Chapter 5 with MN Amendments 3. Venting a_ Gas appliances 1FGC Chapter 5 with MN Amendments b. Fuel other than gas TMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a_ Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design PerB4C 1346.0603:2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building MECHANICAL Permit No.: 7- Inspections RESIDENTIAL APPLICATION JV1 Received;JPy _ 763-572-3604 n . � � � CITY OF FRIDLEY :0 763-502-4977 FAX EFFECTIVE2-19-W DATE 10111/01 YOUR E-MAIL ADDRESS SITE ADDRESS '11&3 w ' naiemc re G , `LIG w e s T . THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: Gr•�t.c.e- Lars o r, r ADDRESS: /7 t'A 3 W' X04 rt C r w •of /ems STA OWNER/ TENANT/ PHONE: 72to 3 - 5 '13o?1e CONTRACTOR COMPANYNAME: Hearth &Home Technologies,Inc. s_HOMO SUBMIT A COPY OF CONTACT PERSON: dba Fires e e License 205120$0 YOUR STATE STATE LICENSE # EXP DATE 2700 N. Fairview Ave. LICENSE WITH ADDRESS: CITYQesreara3a_2561 STATE ZIP APPLICATION PHONE FAX 4 PERmT TYPE A SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: YNEW 13 REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK { e /a 4e w 1 •. e FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Egwpmot Installed MFG: l4er'+ r' & r a MODEL: . STLE/BTU 91910 MEG: MODEL: SIZE/BTU MEG: MODEL: SPZEJBTU A/C $25.0 ( FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FURNACE $35.0 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.0 GAS DRYER $10.0 POOL HEATER $35.0 _GAS DUCT WORK $10.0 PIPING $10.0 VENTILATOR $15.0 Number of fixtures @ $10.00 ' x $10.00 = $ /D. vo Number of fixtures @ $15.00 x $15.00 = $ 1 f Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ SO FEE $35-% 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 ofallwork which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME �CV n a DATE PLEASE NOTE: SEPARATE PERMTTS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977