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PRE 2010 DOCSCity o#' Fridley suB�ECT P NO. !( 161.5 9 AT THE TOP OF THE TWINS BUILDING PERMIT r � REC • COMMUNITY DEVELOPMENT DIV. ?� O O r PROTECTIVE INSPECTION SEC. :3 o o �—I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/7/81 JOB ADDRESS 1477 Windemere Circle N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 35 1 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rodney Billman, Inc. 151 Silver Lake Road, New Brighton, MN 55112. 633-0536 3. CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS SERER6W PERMITS REQUIRE H R W 0. 6 USE OF BUILDING HEATINGs KUMRIMG AND S1 Residential 7 CLASS OF WORK Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26' x 44" Dwelling and a 31.5' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide city with. copy- of verifying survey, before capping. SEWER LOCATION: "Y" 27' South of Manhole. "Y" Elev. 979.11 Inv. Elev. of Existing M.H. 978.99 WATER LOCATION: Stop box 11' N. of Sever WOWS Before digging all local utumes no Gid OFraw DOES m? =wwm Tme ACCURACY Or MW LOCAMMS *1) IWATION, TELEPHONE - ELECTRIC - GAS Etc. T"Is nAtA I !OR INII(M ►t 014 MORS ONLY AN-D REQUIRED BY LAW pr&'A" USM N $*OU a v Tilt WOMAAWN ON THE SITE 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 $58,050 $29.03 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $123.57 $425.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE %$30.89 TOTALFEE $608.49 §KjNATURE OF COP. RACTOR OR AUTHORIZED AgENT IDA EI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG "NSPf DATE S:GN4,,TURE OF OWNER OF OWNER ILDER) (DATE) i • OWNER., ADDRESS: TEL NO: CITY OF FRIDLEY APPLICATIOid FOR RESIDENTIAL BUILDING PEW41TS (New, Al aerations, Additions, or Repairs) Construction STRUT NO• �7 STREET: vW � i1WA I WIM,i' ocation j LOT: T1 BLOCK: �� ADDITION: Corner Lot: Inside Lot: Setback.:�.�. � Sideyards : Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION CIZ- Uis ' Front: Depth: `fight: Square.Feet:,L,-;-,AL�,a- Cubic Feet: Front: Square - Feet: Depth: Height: Cubic Feet: Type of Construction: /" Estimated Cost: $.:0 �2-6�' To Be Oorxpleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET I.lie undersigned hereby makes application for a permit for the %:nrk' 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 represent,Zt'ons stated in this application a e true and correc,.S. //1 DATE: � � SIGNATURE Stipulations: .�.y x,11. 6 .3 ab. r 9 yds ,.0 -0.0 -{a ~b O»obs �s3 8.5 I g2' his b Ls •8 X fit It WOW OJL WQ% 0 va Gs" 21 z 1% z 'OL 40,60"d Crisdw 20"6v aft *�.1 f►htt 1+h -w 'py% W1 2 42 06 AS' 2 M E$'Zb► A lot "fe' 'r.'�,�,°.Cvb GC hl 1""' T, 'o 7e EXTERIOR ENVELOPE AVERAQE,","U" COMPU TATIO OWNER SITE ADDRESS CONTRACTOR Determine working.square footage of each:.,',' Total' exbosed wall area q.'.fto .2.' Total roof/ceiling area f t. Total -exposed wall area above,.* f loor qj .a. Total wall window area ............................ IN b� Tctal -door area ..................................... c. Total slidin glass door''area ..... ........ 9 d.'Total fireplace wall area ........... ............ e.; Total wall framing area (average 10%) f*-Total,net wall area above*floor.... g.. Total rim joist area ...... .................... Total exposed foundation area h. Total foundation window area .... i. Total net foundation area above grade..... Determine IOU Of value of,each wall,,segmen t Ilu I I a. X IOU Is b. X Jac. X "U'." X flu of d.* IOU 11 e. X X flu It -72!Lf T 9-X flu It X flu 11 49 X IOU IV '* 7' J: 3 ............... Total i.:.:. ��. CI, q CITY OF FRIDLEY APPLICATION FOR PLlMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE m PLUMBING FIXTURE RATES: > m RATE TOTAL o i® k 0 $-30, Water Future Fixture Opening x $2.00 $ New Fixture, Old Opening a ym� A % +�+ Catch Basin w tP $5.00 Heater 'nater Heater - to 99,000 BTU ( x $5.00 q -5. OC) 100,000 BTU to 199,000 BTU $ 4 $10.00 $ Water Softener x $7.00 $ 0 - -1 -Z '•'1 En x C N .i 0 O O JV.I N 4J N N 1011 prol a v U a < x $3.00 $ 0 w° Additional Fixtures w U w Q 3 $ Gas Range to 199,000 BTU o as lec $ REPAIRS & ALTERATIONS Croi W vMi v[i $5.00 tro7 C7 $2.00 $ State Surcharge $ ®9 f TOTAL FEE $ 3&z 1=t r / �2nd� 3rd 4 t' - (R) = Future Connection Opening Connected with Sewer (n} = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 1%mber Fixtures i® x $3.00 $-30, 0 0 Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ 'nater Heater - to 99,000 BTU ( x $5.00 $ -5. OC) 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ Yiew Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures < x $3.00 $ J.G U 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 $ 3&z REINSPECTION FEE ($10.00) Job Address / / 7 Cl Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct ^ Fridl 6. ~�� , 19--fy OWNER RIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD NEW UILDING PERMIT NO.' PERMIT NO. �( CompanyCL ® Signed By Tel. No. E' �' ��✓.�l ROUGH INSP. Date FINAL INSP. T -2,,41 d Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCHARGE d CITY OP FRIDLEY APPLICATION FOR POWERPLANTS AND HEATING,'COOLIMS, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYsTems AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AlIt'l RATE TOTAL rurnalle, bft6li a Duct Work $12.00 $ Replabbibnt 6P ftrnace 7.00 $ Repaiird a A116tations-up to $500.00 7.00 Repaiki A Altathtions each add. $500.00 4.00 \IECHANICAL WARM AIR: Furnace Shell 6 Duct Work to 100,000 BTU $12.00 4.00 $ ZZ each add, 50,000 BTU Replacement of Furnace 7.00 Repairs a Alterations -up to $500.00 Repairs & Alterations each add. $500.00 4.00 MM OR HOT WAM SYSTEM : Boiler'& Linea up to 100,000 BTU $12..00 $ each addn. 50,000 STU. 4.00 $ Boiler onLy,up to 100,000 BTU 7.00 $ each addn. 50,000 BTU *.00 $ 1 L BURNER- to 3 gal. per hour 1410.00 $ eaph add. 3 gal. per hour 16.00 $ XS BURNER- from 100,000 BTU- to 199r999 BTU $18.00 $ (over 199,999 BTU see Fee Schedule) $71- GkS FITTING FEES: Ist 3 Fixtures X 00 19car $. WO Additional Fixtures X 1.00 .$ Gas Range'to 199,000 BTU x $10.00' AIR CONDITIONING FAN 1JEATING SYSTE' See Fee Schedule VI.NTILATING SYSTE' ALTERATIONS & REP. RS_) State Surcharge $ .50 TOTAL FEE $9 w. ROPGH INSP. Date FV AL INSP. �9 - 2 t, Tate API ROVAL ]FOR I :RMIT REINSPECTION FEE 010.00) MINIMUM f : FOR ANY HEATING PERMIT 18 $7.50 i' PLUS 50 STATE SURICHUM Cob hddress /�77 lo,d,�&fwlexe� Department of Buildings di* of Fridley tel. #571-3450 The undersigned hereby makes application for a permit fd� 6e )rk he"jp bpecified agreeing to do all work in strict accordance with the ty Cbdea and rulings of the Department of Buildings, and hereby dedlAreF jai all. da facth and representations stated in this application are true a barrect. w Fridley, Minn. ejakl4f. LAND OF BUILDING ilyl-LM 1-11-e— ,USED AS TO BE COMPLETED ABOUT rTw v ESTIMATED COST— 33e0'1 010 -WUILDrNG PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER- HEATING or POWER PLANTS, Steam, Hot Water, EiQ no. Tra('e Name &.V., &e,; __ Size No. Capi pity //;514 e1w Sq. Ft EDR STU Tot�.l Connected Wad Kind of Ftip3, A'Ak BUR; ',R - Trade Name A)' df Size No. Cap -ity 1150 ift* Sq. Ft. ED9 Br RAY N. WELTER HEATING C6 Company 4637 Signed By Nnneopohs,4 Minns;gta 55407 NO. k;;��_aos 4aIBU�ILDINO �AMD ON ARTMENT OF AD, DIVISIRWEP CO MUNITY DEVELOPMENT 2225 W LID SHAKOPEE SAT LOSS CALCULATIOMS ROAD, BLOOMINGTON. MINRESOTA 55"1 881-581116 cougmC&B No. INSULATIO14 Guide 'kd=3 a Mcgen Out. vlan I lit. van Kkd 4§® Room Room I La& -¢h wind afm and Doors--CfacAage and Area 'WVidtb HeightMO. OY Line'" I" TIMM we. 02 mea "r'aeh TO. of ®alta at page jighto ol cracts sq. ft. No. ®R paw® f 0 Lfffhu of cranIft tn. RL a CI 1 —.1-- r How CcQf.l Bau DOW �al Btu. --,aquired 3q. ft. FLOM, air eq. ima. VA Im6r om � Re= j LerrLP2 y -z�, TicM MA .-:np. wall -4et e2p. Wall Width Hoiche ofaf1sla Cd pqne 00. 02 Memo UaGal it Area I of craeft eq. n. —, — 42EL L- 11� E%p. wA Netsmp. wen (m I yid. wall Ceiling 71cor Floor roul Bee. TotaR Bu% leqL'irez sq. imo.WA. LcaJer areasq. aa.'TA Lwdhr area —T�.--- F1.141 Lea- Aida dih - FM I Lengh ZeC, Vah Mindow and Doors—CFackcea miad Arm p _ez.—R=m MR ZrA, am(A A6ea WMM Neigh& Fft. o.' Lineal RL 'c, O�fgpacarn 0Y paw® is OT emc% Imm. YP No. afsQue 09=0 tighto cacmeh c,%.YE. 0111 befiml -*7 - Net Qzp. won Meow io, W�s (5-9,41 caniza �S �g DOW �al Btu. --,aquired 3q. ft. FLOM, air eq. ima. VA Im6r om � Re= j LerrLP2 y -z�, TicM MA Width Hoiche ofaf1sla Cd pqne 00. 02 Memo UaGal it Area I of craeft eq. n. —, — 42EL L- 11� Floor Vn--&wz arA Da=—Qachage and kem n Ll 9L Airem c3, M112-1-11, =-1-1121112-111111 L, 1 &(0 iZ4 Rat eq& W09 ISL wa Ceiling Floor Btm C&Qf. A— "*I' C'�' j -a Tenj Elm V; E.9.1% L& MAL mar ama Z� T z=--- _ tl£oCycA � BUILDING AND fPECTIDN WENT OF COMMDEVEL0 i1A�NT ®2 2 aP4&PE ®RSHA&C®i�E EAT L® CALCU TRONS ROAD. BLOOMINGTO PATr a, nnlro��3 a�a ss a Sel-5011 leat�ee ' t Fdo.. INSULATION inaaws R Glut. taImp. Vol 'Czgims� Red Nvu Vim—Na 1�.® jg:::2idthdqfe Height F1.I o �UNA ® ide6a 'Flsndom and fcae�rachge and area vrm mm m Area iVlti¢d iielgd¢ BLto. of H.l¢se[al f Aama �91mt4 �©9��¢ 8do. of a�Haaal e¢. AV- ®t �aca� qoB pave 10Bd¢a ®f craeLs per. f¢ %9®. �d �a� ®f mss® llSbti® ®f trach .eq. f¢. Jaw 'zt cap. wan IL wall CAME. Btu 1 11 fYUILLINbneom c4am a ,s' Net em.,inS, � fit. WmH 5 �qim ?IBOJ mw sm d A .� "Floor --k 40 ;Total fca. MO :2quared sq. ft. F.D.R. or sq. ana.'UA. Laadvr area Requima sq. Vit. EDR. or sq. im V/JL Vides area Itcom ! Lanctin f CpVi&h l Height � «r Rc&m I Legh Windom sand and Ana Whim HaBsh¢ me. of Lineal f¢. Arae a of Ramo of Hamae UU Bo of CMCk ca. ,& 1®B� �a¢�a�a�� r � ewe MCI 8�¢F�. �aHt3ffi¢ . - -• 'i. at Umcml B¢. Area me. of zama of ��- " H ao ®f aracY� cq. f¢. ;. lesR5.5— pm,igm WX q wemr a—,,a clam 16 tf O dd '� ceding to dor zqaired sad. ft. F.O.ta�. oe eq. imo. 71.x. Lama r area FIG*r eq. O. ZDA ®p aq. ims- VIA. Laa r ma Fd. � Boom I L am@kh Vjim6m and aid Ana Imams and wm—cwaae age zand area WId¢d —Height Wo. of Licam8 B¢. �. mB qsc�® oQ �aeeo 80rama¢ca ®& eracF� Arem e4, f¢ WH�¢Hn Y3ie0�bF ® of Amo =no �Te. ®f 08ad¢o &.¢aQaB S¢ Aron of c mall sq. f¢. �.Bof F Y f c) stn I C-11-�- fYUILLINbneom f a ,s' E -4p. E - 5 ® P lesR5.5— pm,igm WX q wemr a—,,a i - Btu 0 r» rte. SUBJECT City of Fridley 26765 AT THE TOP OF THE TWINS BUILDING E R M I T RECEIPT NO. 1 96______ COMMUNITY DEVELOPMENT ,DIV. r ~ PROTECTIVE INSPECTION SEC. 1 s NUMBER REV DATE PAGE Of APPROVED BY � CITY HALL FRIDLEY 55432 L J`� 612-571-3450 9t0 -F15 17/10/98 JOB ADDRESS 1477 Windemere Cir. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 35 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Rossan 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jack Pixley 41 -422-Qn11 5816909 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 UA REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Chimney repair 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 $.66 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,332 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- $45.75 Fire SC $1.33 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL EE $4 Y. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI �RINWPO ALIDAT HIS IS YOUR PERMIT 47 GATE SIGNATURE OF OWNER SIF OWNER BUILDER) IDATEI rte. JLW-23-1999 14-'16 FROM CITY OF FRIDLEY TO 4220011 P.01/04 Effective 1/1/98 -ADDN t l CITY OF FR DLEY ALTER [ 2 SINGLE FAMILY AND DUPLWMS It -1 AND R-2 BUILDING PEItiV1IT APPLICATION CoustmetionA,ddrcss • /07 bd hd e m c� i p . Aft Legal Description, _. G h i m ne,� e, pa r Owner Name &Address: .� e n n r`S %o S Tel. # 5-7d Contractor: "iQCk iP lx j e U MN LICENSE # . - Address:_ 11) 7 1 +h Ave. N. 0 Tel. a�/ Attach to this application, a Certificate of Stuveyof the lot, with the proposed construction drawn on it to scale. DF,SCREMON OF EMPROVRMENT LIVING AREA: Length � Width Height _ Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width" Hgt/Ground Sq. Ft. O1 HE : r 'onstruction Types Ch im n gLi d apo i r _ Estimated Cost: $ /j 330-60 (Fee Schedule on Back) Xiveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ $ )ATE: 7-)0-9-t APPLICANT: lQCk Tel. # 0; -®®// CITY USE ONLY °ermit Fee =ire Surcharge tate Surcharge AC Charge Icense Surcharge Wveway Escrow roslon Control ark Fee ®wer Main Charge TOTAL. $- -aka Fee Schedule on Reverse Side $ 5 .001 of Perm9t Valuation (1110th%) $__L- 6► $.30!$1,000 Valuation $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contmtors) $ Alt. "A" or Alt. "H" Above $ $450.00 Conservation Plan Review $ Fen Dctermined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ •ZZ CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning - All Sizes l $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION. FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On May 10, 1999 JOB ADDRESS �� ✓«+� �o�� 111. �. < OWNER_ Dee,i ecS-m-ate BUILDING USED ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units,_... ircle One (Steam) (Hot Water) (Warm Air) Trade Name G -k Size No. BTU cxxc_) HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. HEATING CO ILd'e, Signed _ DATE Approved By Rough -In Date Final Date CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. ' Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being HEATING CO: Signed By: Date: SUBJECT City of Fridley 32554 AT THE TOP OF THE TWINS P, BUILDING P E R �A I T � 1:1 RECEIPT NO. : ° COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. , NUMBER REv DATE PAGE OF APPROVED BY 3 CITY HALL FRIDLEY 55432 612-571-3450 910415 5/2/02 JOB ADDRESS 1477 Windemere Cir NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 35 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Craig & Sandy Wadzink 1477 Windemere Circle NE 612-789-1902 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tabor & Sons Roofing Inc 10547 Terrace Rd, Blaine, MN 55434 612-789-1902 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20014248 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION ! REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof House & Garage (28 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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. OWLG. 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 WQRK WILL BE COMPLIED $3,001 $1.50 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- $97.25 Fire SC $3.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F E �( - -x9CCd License SC $5.00 / $1 .75 4 vv�-/�� -' SIGNATURE OF ONTRACTORORAUTHORIZEUAGENT IDATEI EN ROP Y ALIDATED HIS IS YOUR PERMIT S.GNATURE OF OWNER,IF OWNER BUILDER, IDATEI B—LUU.Nsp FIATE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: f Y % II Z4t�� &/7 �2Z Legal Description: Owner Name & Ai Contractor. 56 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Tvc O �•utic a MN LICENSE #9 OCjZ y y7� Tel.# G/2 2,Z2-� ooc 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 Height Sq. Ft Estimated Cost: Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ VA • f � J/-2/10 / l J� �/L.a / x'41 1 . � Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee 99, ©2 Fee Schedule on Reverse Side Fire Surcharge $ _3,06 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1200 per SAC Unit License Surcharge $ d 6 $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 byEngineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary[ ] TOTAL $ 1060175 STIPULATIONS: ft NO SUBJECTRMIT NO. City of Fridley 33723 AT THE TOP OF THE TWINS BUILDING PERMIT r REC O. LV _____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 61Y3 r NUMBER REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 7/21/03 JOB ADDRESS' 1477 Windemere Cr NE r( 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DescR. 35 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Craig & Sandy Wadzink, 1477 Windemere Cr NE, Fridley, MN 55421 763-574-1123 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same as above 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK Ox NEW ❑ ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct new porch. 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plans. WARMING Before digging call 'OV all utility locations 454.0002 SEPARATE PERMITS F 1 . w"� 0- gig. REQUIRED HEATIN6 PLUMBIIR AND SIGNS 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 BO 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 1 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 $4.82 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,638.00 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- $181.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F E �� C.11.�O.�1� $19 .71 SIGNATURE OF NTIOATE� EN ROPE LIDATED T IS IS YOUR P RMIT SIGNATURE OF OWNER a0 OWNER BUILDER, iDATE. 7. BLD -NSP DAtE NO NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: � f ��,. `� � Tel. # -7 � --7 Contractor. V P '9r 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 jIMSAREA: Length Width Height Sq. Ft. GARAGE AREA: DECK AREA: OTHER: Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: l �� Estimated Cost: 4.33 im Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ? APPLICANT: - — . _ Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ /o? Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1275 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 [ ] $ 1 STIPULATIONS* NEW [ ] ADDIS! ALTER [ ] Construction Address: A�'' Legal Description: s - CITY OF FRIDLEY ga00 Q 4) 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION ozole'W'en, el"le - I Owner Name & Address: r . /q 1rS."4WO GA'/z( Tel. # Contractor: ce/� 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 . Width Hgt/Ground Sq. Ft /17 OTHER: i ��-- - �� e - Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ ill — DATE.":2Tel. #�� Call (763) 2-3604 for Permit Fees if mailing in application. F 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 TOTAL 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 $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: :z 7 ! w�,. _ lily. w�" AUG -21-2000 17:10 FROM CITY OF FRIDLEY TO 6517377679 P.olzol r7 r7 I It AF* if mpo tO 'i Olt Pw TOTAL P.01 n pity J >A i Building PLUMBING Permit No.: - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: - r® DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: 15bOWNER ❑CONTRACTOR PROPERTY NAME: Iatb ?ir1 OWNER/ ADDRESS: 141717 !%i CIge2l e,6'el .CITY _/ P STAT$ ZIP`6 TENANT PHONE: CONTRACTOR NAME:2mezl STATE LICENS # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE—ZIP- TATEZIPLICENSE LICENSEWITH PHONE FAX APPLICATION PERMIT TYPE ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NES' ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK/CA el 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.costoflabor')_ _ Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FORPROZEME WHERE LABOR EXCEEDS $500, FEES ARE?BASED ON $ IO.OQ PER FIXTURE, EXCEPT WHERE NOTED. :FIXTEIRER (ICA^TE°.TGTAL_ ,. NUMBER OF EACH BELOW) _ BATH SINK/LAV _FLOOR DRAINS SHOWER _ WATER PIPING _ —BATHTUB _ GAS PIPING (NEED cnymcmt) _ SWIMMING POOL —WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER _ LAUNDRY TRAY HEATER ($35) FOR IRRIGATION _WATER WATER METER BOTHER ,k v , Permit Fee $ .o 0 Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $ o 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 applicati or a pe and ork s n to start without a permit; that the work will be in accoyanwith the approved plan in the case of all rk ich vi approval of plans. SIGNATURE OF APPLI PRINT NAME_ // 2!� DATE Cityof Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977