PRE 2010 DOCSI�
SUBJECT P -
City ®f Fridley
o 15 410
AT THE TOP OF THE TWINS
B I IIIL ®I N G PERMIT
r
v
R
1 i L. ------ COMMUNITY DEVELOPMENT DIV.
'7�, JIS 7
1 PROTECTIVE INSPECTION SEC.
CP
s , CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF APPROVED BY
612-571-3450
910-F15
8/24/79
10B ADDRESS 1489 Windemere Circle N.E.
1 LEGALiq
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
32
1
Innsbruck 5th Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Rodney Billman, Inc. 151 Silver Lake Road, New Brighton, 55112 633-0536
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.
Foa 'M
sEPER-ATE PEWTS AECUIREO
6 USE OF BUILDING HEATING, PWIMSI G AND SIGNS.
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
B DESCRIBE WORK
Construct a 47' x 26' + 12'.x 8' Dwelling and a 32' x 26' Gare. e
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: (Approx. 8' Deep In Street)(San. M.H. Inv. 978.99)
10' S. of Water Service
WYE ELEV: 978.95
TOP OF FOOTING: 981.95 Minimum
WATER LOCATION: See Engineering Dept.
DRIVEWAY DEPRESSION COST : N/A ftort
EPH*
TMR MY OF .Mllp!>e'! . NOT GUARANTEE TMEa
- ECEC'1� - GAS Ek.
0�
A0:;WR,4j ,. 14 ATIOM ANP EtEYAT10r*. EQUIRe�
fiwlS' OIATK JW*ii ATIGH PU POND ONLY AND SY LAW
`TERSONS 90 11 $NOUta 1'IM = 6 RMATION
CSN *E' SITE
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
wood Frame
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
] 318 {- 832
45, 324 Tot
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
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$82,400
$41.20
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SACCHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$151.30
$425.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
_ _ `/
6.16
p
2!2NAT
$ 45.32
$692.82
E ONTRACTORORAUTH IZEDAGENT (DATE)
PROPERLY VALIDATED THIS IS Y}^SOUR` PERMIT
[.LENH
V�C.S.[.%C.•r�0 4/ c1
LDG INSP 0 TE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
I�
)( a6 2) VY).osI
--- -. - -
13 3 3 2 ` 10, vog,ct
--
41)vZ(a 2-
1®, 44
2�
13 is 25,39
►�tc� � a� = ���l�2�
83z g 37 6.C14,��
2 4aI. �. 0 . b d
SAS.. Vis,®v
q
do
OWNER: DATE
SITE ADDRESS: PHONE:
CONTRACTOR: J* Q
101,
P
Determine working square footage of each
1. Total exposed wall area...... _�.pg4Z 'sq. ft.
2. Toal roof/ceiling area ...... /!L /Z sq. ft. x ,O4!
Total exposed wall area above floor =
a. Total wall window area .................................
b. Total door area ..................................
c. Total sliding glass door area ..................
d. Total fireplace wall area
e. Total wall framing area (average 10%) .................. Z//,QA-
f. Total rim joist area..................................,Q,
g. wall area above floor ..........................
h. wall -area above floor .......................... _
i.Gazav�wall area a�isw. !�..........................
j. wall area .IVOr..........................
Zg�7 per.
Total exposed foundation area = k 70a
A. Total
foundation window area
........................... I
o
1. Total
net
foundation area above grade ..................
--mss
�i2__
�ta1 3a3�:oo
Determine "U"
value of each wall
segment
(e.g. window,
door, each.separate wall section)
a.
X
Z Z C20
"Un /��
� .
b.
dao® X
nun _
.
C.D.
Oe X
"Ua
d.
, oo X
..U.. ,y
e.
Z 1t��_ X
..U.. ai Si =
' X
nU„
Z!q
'
g.
^ X
4d it Lkes
"Un
h..
X
nun a
_.
j •
� �— X
"U" =
?-k
If item is the same as,
t or less than item #1, you
k.
Y
nv �� �� _
��
1"_
have met the intent of '
2.
E13C 6006 (c)
X
stuff
/A��l
3034.00
3 . .............................
Total =
1-_�
60
Total exposed roof/ceiling area = �1�,�1e�
m. Total skylight area ..........................
n. Total roof/ceiling framing area (average 10%)... _.lam a a
o. Total net insulated roof/ceiling area...........7J.o e
Determine "U" value for each roof/ceiling segment
M. �. p X "U"
o. %Lf,yo X "U"
9 ........................... Total
If total of #4 is the same as, or less than.#2, 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. W.., /a + 2.
3..��7. + 4. 6 0 D
OWNER:
ADDRESS:
TEL NO:
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING P�,.RRMITS
(New, Alterations, Additions, or Reda`' s)
BUI L D E R : -
ADDRESS:
TEL N0: 3 3ra rn .J'a—i�
Construction Location
STREET NO: STREET:
LOT: BLOCK: ADDITION:����
Corner Lot: Inside Lot: Setback: We Sideyards: cs
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIO14 OF CONSTRUCTION
Front: _ ® DeptHeight:
1�
Square Feet_ Cubic Feet: S,3 ��
/ ,L���
Front: Depth: e� Height:
Square - Feet: Cubic Feet: -� d
Type of Construction: Estimated Cost: $ 9 0
To Be Completed: r /
/ Alt. A Alt. B
Pro' sed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
The undersigned hereby makes application for a permit for the cork 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:
y r SIGNATUEE : k__7_-___
Stip"ati ✓�
Ar�ti
_..00
BRAUHI"
ENGINEERING TESTING
MINNEAPOLIS/ST. PAUL 6800 S. County Rd. 18, P.O. Box 35108, Mpls., MN 55435 / 612-941-5600 rLI ?I
NORTHERN MINNESOTA 3219 E. 19th Avenue, Hibbing, MN 55746
CENTRAL MINNESOTA 1520 • 24th Ave. N., P.O. Box 189, St. Cloud, MN 56301 e
DULUTH/SUPERIOR 5431 Airpark Blvd., Duluth, MN 55811
SOUTHERN MINNESOTA 40 • 16th St. S.E1, Rochester, MN 55901
COMPACTION TEST RESULTS
Bate: September 28, 1979 Project: 79-500 COMPACTION TESTS
Proposed House
1489 Windemere Circle
Reported To: BILLMAN CONTRACTING CO. Copies To: Fridley, MN
151 Silver Lake Road
-New Brighton, MN 55112
Attn: Mr. Rodney Billman
Test #: 1 2 3
bate:
Location:
9/26/79
9/26/79
9/26/79
2'E,3'N 121E,10'N 15'E,32'N
SE Corner ----------------------------------------
Elevation: Below Basement
_31
Grade -
;roil Classification:
P-1
P-2
P-2
Field Density Determination:
[Rj Sand Cone Method
ASTM: D1556-70
(44 Sieve Basis)
❑ Nuclear Method
ASTM: D2922-70
(44 Sieve Basis)
Dry Density (pcf)
116.3
125.1
125.4
Moisture Content (%)
9.9
13.9
10
-414 Sieve Material (%) 212- 3 1
Laboratory Moisture - Density Determination: ❑ Standard Proctor ASTM: D698-70 (Method )
Modified Proctor ASTM: D1557-70(MethodA )
Maximum
Dry Density (pcf)
123.9
132.5
132.5
Optimum
Moisture Content (%) 10.9 8.3 8.3
RESULTS
Relative Compaction
?�G of Proctor) 93.5 94.5 94.5
Specified Minimum (%) 90 90 90
,M : The above tests meet the specified minimum compaction.
BRAUN ENGINEERING TESTING, INC.
Norman E. Hall
Laboratory Supervisor
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PER41T
�f ...
Job Address �
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herd
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
F idley, Mn. O
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
a
m
•
ESTIMATED COST
•OLD
v
N0.
RATE
IV
- NEW BUILDING PERMIT NO.
Water
a
4�05
$3.00
_et
A
a
°
Future Fixture Opening
�- x
$2.00
0 ®
q
'
a
w
g
$
Heater
v
a
$5.00 •
$
ut
C"--rnly
4J
41
Lf
.0 R
rr
�" 6-3 ys' ...
100,000 BTL' to 199,000 BTU
a�
14
$
��
Suter Softener
x
$7.00
$
New Ground Run Old Building
:1
O
S
ROUGH INSP.
41 N
N
N
0
$
++
-
U
r
w
o w
GAS FITTING FEES:
c..
ro m
U w
n ro
a r
N
t�
ttt
l7
ao+
as
lec
v1
D
q
sa
0
W
x
$10.00
$
APPROVAL FOR PERMIT
REPAIRS & ALTERATIONS
First $100.00
$5,00
$
each add. $100.00 or fraction
$2.00
_�
$
MINIMUM FEE FOR ANY PLUMBING PERMIT
i8 $7.50 pyUg a�SO gr 8p
State Surcharge
$ .50
1st
TOTAL FEE
$
•_
REINSPECTION FEE
(5:0.00)
2rd
3rd
4th
(R) s Future Connection Opening
Copnected with Sewer
(') a New Fixture, Old Opening
Water
�f ...
Job Address �
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herd
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
F idley, Mn. O
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
.PARTIAL RATE SCHEDULE
•
ESTIMATED COST
•OLD
PLUMBING FIXTURE RATES:
N0.
RATE
TOTAL
- NEW BUILDING PERMIT NO.
PERMIT NO..
Number Fixtures
x
$3.00
$ �
Future Fixture Opening
�- x
$2.00
0 ®
Company
'
New Fixture, Old -Opening
x
$2.00
$
Catch Basin
x
$5.00 •
$
Signed Sy..#"
C"--rnly
Water Heater - to 99,000 BTU
x
--$5.00
$
Tel* No. _
�" 6-3 ys' ...
100,000 BTL' to 199,000 BTU
x
$10.00
$
��
Suter Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
ROUGH INSP.
Electric Water Heater
x
$5.00
$
Date
•
GAS FITTING FEES:
1st 3 fixtures
x
'$3.00
$ T,
Date
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
APPROVAL FOR PERMIT
REPAIRS & ALTERATIONS
First $100.00
$5,00
$
each add. $100.00 or fraction
$2.00
_�
$
MINIMUM FEE FOR ANY PLUMBING PERMIT
i8 $7.50 pyUg a�SO gr 8p
State Surcharge
$ .50
TOTAL FEE
$
•_
REINSPECTION FEE
(5:0.00)
CITY OF FRIDLEY
10
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
.AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
$12.00
4.00
$
$
each add. 50,000 BTU
Replacement of Furnace
%
GRAVITY WARM AIR:
RATE
TOTAL
Job Address / 0 f �i�7 6 mere. bl',
111c"10
Furnace Shell & Duct Work
$12.00
$
STEAM OR HOT WAFER SYSTLM:
Replacement of Furnace
7.00
7.00
$
$
Department of Buildings
Repairs & Alterations -up to $500.00
4.00
$
City of Fridley
Repairs & Alterations each add. $500.00
7.00
$
'fel. #571-3450
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
$12.00
4.00
$
$
each add. 50,000 BTU
Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
STEAM OR HOT WAFER SYSTLM:
Boiler & Lines up to 100,000 BTU
$12.00
$
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU
6.00
$
OIL BURNER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures x
$ 3.00
$
Additional Fixtures x
$ 1.00
$
Gas Range to 199,000 BTU x
$10.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEMS See Fee Schedule
$
VENTILATING SYSTEMS
$
ALTERATIONS $ REPAIRS_ )
$
State Surcharge
$ .50
TOTAL FEE
$.
ROUGH INSP.
Date
FINAL INSP. J -:20 -[?d
Date
APPROVAL FOR PERMIT
REINSPECTION FEE
($10.00)
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
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.
Fridley, Minn. c' 19��
OWNER
KIND C
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD -BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.U/ /
16 Trade Name Size No. Z
Capacity Sq. Ft. EDR BTU HP
Total Connected Load, / /- Kind of Fuel �)✓//I6��/
BURNER - Trade Name Size No. �(U 2 -
Capacity
Capacity Sq. Ft. EDR BTU/rov�, Oc3:3 HP
P
Company
Signed Byp'Ai bena ar�G' tl}�5�➢ dO �La �� �d
Tel. No.
f JJ
efa ft �
f�
f _
Y
October 14, 1980
y.
2
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432
TELEPHONE ( 612)571-3450
Rodney Billman, Inc.
151 Silver Lake Road
New Brighton, MN 55112
Re: Final Inspection at 1489 Windemere Circle N.E.
Dear Sirs:
A final inspection was made on October 14, 1980 and it was noted that
the construction has been completed and approved.
If you have any questions on this matter, please contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
RODNEY BILLMAN, INC.
04m— 44ow,"BilAe
612/633-0536 NEW BRIGHTON, MINN. 55112
Octob" if,, 198o
3a vicet Cta4k
lswudzw 9'z'dpec to't
City of 94zdley, &#u ota
13eaa &4:
Ptea4e be advi4ed that Rodney SZUrm, 9na iia otde4;xf a 4owey on
Xot 32, 6toch 1, 9nwib4ack S-th Add t ion to ue aiy the tocation og
the buil dnf on the ,Cot. She engineer ji4& wiU ei thea be
Subwtban £nq-i.neea ivu- at kgon &weyuV Co.
tjoa&---,
godney gittean, ync.
SUBJECT
P2
City of Fridley
3 550
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
• L _ COMMUNITY DEVELOPMENT DIV.
L
r`/
-70c
PROTECTIVE INSPECTION SEC,
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/14/95
JOB ADDRESS 1489 Windemere Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
32
1
Innsbruck 5 Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Thomas/Sally Gallagher 1489 Windemere Circle NE
571-3650
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 jJ ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 14' x 16' Deck; 11'6" x 13' Deck; 8' x 8' Deck; and a new step
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
WARNING,
Before digging call for
all utility locations
454-0002
SIEPA.Wt PERMIT'S REQUIRED FOR
REQUIRED BY LAW
WIRING, H -E -AT 14 PLUMBING. AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
@
$3,565.63
$1.78
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-
SC. $3.57
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$63.00
Fire
PLAN CHECK FEE
TOTAL FEE
68.35
St UREOFCONTRACT R'OR AUTHORIZED AGENT IDATEI
WHEN PROPERL ALIDATED THIS IS YOUR PERMIT
A
& ef '
�
SiG A URE OF OWNER iiF OWNER BUILDERS iDATE�
BLD NSP
BATE
NEW { ]
ADDN [ ]
ALTER ( ]
Construction Address: _
Legal Description:
Owner Name & Address:
Contractor:
Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 1/ 1/95
Tel. #
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length
Width Height Sq. Ft.
GARAGE AREA: Length
Width Height Sq. Ft.
DECK AREA: Length
Width Hgt/Ground Sq. Ft.
OTHER:Qe7*-
.
�/eav 5TH• �� p - 6X y�� io
Corner Lot [ ] Inside Lot { ] Ft. Yd Setback Side Yard c
Type of Construction:
Estimated Cost: $
�3
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. 6 t = Ft x $ _ $
DATE: %' %z `9 APPLICANT:
Tel. #�
CITY USE ONLY
F
Permit Fee $ J:
Fee Schedule on Reverse Side
Fire Surcharge $
.001 of Permit Valuation (1 / 10th %)
State Surcharge $
$.50/$1,000 Valuation
SAC Charge $
$850 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 $ -� 1
STIPULATIONS:
BUILDING PERMIT FEE SCIIEDULE
Thc Clm;l Building Official shall, before issuing permits for the erection of any building or structure,
ur fur any addition to any existing building; or structure, or for any alteration or repair to any existing
budding or structure, upon application therefore, require the payment by the applicant for such permit
of fees to the; amount herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $15 (Minintum Fee is $15 plus surcharge)
$501 to $2,000 $15 for fust $500 plus $2 for each additional $100 or
...fraction thereof, to and including $2,000
$2,001 to $25,000 $45 for first $2,000 plus $9 for -each additional $1;000
or fraction thereof, to and including $25,000
$25;001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1;000
or fraction thereof, to. and including $50,000
$50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $63950 for first '$100,000 plus -S3_50 for each additional -
$1,000 or fraction thereof, to and including S500,000
$500,001 to $1,000,000- $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
513.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot --vide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow
for proper review of the proposed structure and of the construction site_
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been
constructed will be required before proceeding with the framing.
• r'
t
S't T 'EY
jR!
PLA'A
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SUBJECT
City of Fridley(
e� 5
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
,�
RECEIPT NO.
Ir
COMMUNITY DEVELOPMENT DIV
r PROTECTIVE INSPECTION SEC.
.1
NUMBER
REV
DATE
PAGE OF
AP ROVED B
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/30/95
JOB ADDRESS 1489 Windemere Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
32
1
Innsbruck
5 Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tom Gallagher 1489 Windemere Circle NE
571-3650
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Cedar Craft 2720 Maplewood Dr Maplewood,
MN 55109
483-9008 6357
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
CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12' x 15' Deck Sunroom
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
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
$ lo' 000
$5 00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE A THORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PRO ISI S F, AN OTHER A E OR LOCAL LAW REGULATING CON-
$162.25
Fire S�'i $10.00
STRUCT N TH PERFOR A E OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
X/
License SC
$5.00
$182.25
Si A RE OFCONTR T RO DAGENT DATE
WHEN PAOPER VALIDATED THIS IS YOUR PERMIT
BLD ?NSP
MATE
_
SIGNATURE OF OWNER oF OWNER BUiLDERi (DATE)
NEW [ ] Effective 8/1/95
ADDN CITY OF FRIDLEY
ALTER [� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 -j4 j!J .
Building Permit Application / 7 /
Construction Address: 1 y g % (u , d� ,erne \r
Legal Description:
Owner Name & Address: -fb)�A CSA I l Tel. # 5)/ '�6,9c7
Contractor. Cc, L v- Q �r 2 l;!T _ MN LICENSE # 6 3 9,)
Address:_,. ? 1 o 6Sl ® Tel. # y33- Ytb 8
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 12- Width /5 Hgt/Ground Sq. Ft.
OTHER:
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ 060
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: t. 6 Ft = Ft x $ _ $
DATE: D � � _ APPLICANT ttV Tel. #
CIT USE ONLY
,e
,Permit Fee $ ��° 2• , Fee Schedule on Reverse Side
,Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
.SAC Charge $ $850 per SAC Unit
License Surcharge $ c -'J $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 $ I Y Lf—
STIPULATIONS: I--,
STIPULATIONS:
--77-7-
0
777
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RASE SCHEDULE
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Com rcial/Intlustpl y
o I
1.25 0 of Value of Appliance or ork
Effective On March 1, 1996
JOBADDRESS_���C(�'
The undersigned hereby makes application for a permit for the work herein
Rate TOTAL 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
$ 30.00 $ representations stated in this application are true and correct.
$ 10.00 $
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
- -- �J
— ,1996
OWNER .,� ? ( — r y o
BUILDING USED AS
$ l�
ESTIMATED COST 7-4.1-V PERMIT NO,
QESCRIPTION OF FURNACE AND OR BURNER
.50
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $26.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No. Ate® 4-7—
BTU HP EDR
HEATING COMPANY��
Signed By— - . e Tel No. (03—fd
v
Approved By Rough—In Date Final Date
FILL OUT BACK SIDE OR STACK VERIFICATION ON
REPLACEMENT FURNACE
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 Done:
r
.f
HEATING CO:
Signed By:
Date:
CHE%MY 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 Done:
r
.f
HEATING CO:
Signed By:
Date:
CITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill.Out Back)
Gas Piping (Needed.with new furnace,
but not rep(acement)
Gas Range
Gas Dryer
*Air Conditioning -'AII Sizes
All Others/Repairs &--Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$.10.00
$ 10.00
$ 25.00
Commercial/Industrial
1.25% of Value of.Appliance or Work
G-ca3 K cl�l.c State Surcharge
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.
TOTAL
$ .50
$ nt-,
Effective January 1, 2003
JOB ADDRESS
OWNER
BUILDING USED ASu�e
ESTIMATED COST PERMIT N0. YS ✓ /�
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units_ Circle One (Steam) (Hot Water) arm Air)
Trade Name CA -P -Pu Gic Size No.;!i�%;P e
BTU OO€k-'� HP EDR
Fuel P Ak 6 AS 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
Signed
FAX #
DATE 10-1-"
TEL #76.559-/
Approved By Rough -In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
CQMMQN VFNT-VENT .QNNF _TQR AND CQMR1ISTIM AIR V RIFT .ATH
When re la -inn an existingf inanr_p, 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 (-,el'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 Pxie ingzmh ustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes (-I No ( )
When required to install a new rnmhiistinn air. it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When 108�_
Ilia a naw venting ing syc am, 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 #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
I c-ts aJ
N C
CEF/ /-t /V
70 <c
HEATING CO:
Signed By: >— Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY PERMIT
o oo4-oio s
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 07/02/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS 1489 WINDEMERE CIR NE
PIN 243024430017
LEGAL DESC INNSBRUCK 5TH ADD
LOT 32 BLOCK 1
PERMIT TYPE BUILDING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING
VALUATION $ 3,473.00
NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (30 SQ)
TEAR -OFF
STATE LICENSED CONTRACTOR 1
APPLICANT
BUILDING PERMIT FEE
FIRE SURCHARGE
97.25
3.47
NORTHEAST EXTERIORS INC
2433 GRAND ST NE
STATE SURCHARGE, VALUE
1.74
MINNEAPOLIS, MN 55418-
LICENSE SURCHARGE
5.00
TOTAL
107.46
PAID WITH CHECK # 5196
OWNER
GALLAGHER THOMAS L & SALLY
1489 WINDEMERE CIR 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 work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or c cel the pr isions of any other state or to law
regula ' ctio the a ce
Appli ate b
Bldg InspDate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [ ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: c...� I o 0 Z/
Legal Description:
Owner Name & Address. Tel. #
Contractor. rn� 0 �'� i�►0 C < MN LICENSE #f)
Address: L Tel• # _U (02`
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 Wi gt/Ground Sq. Ft
OTHER: 0 -
Construction Type: �-y
Driveway Curb Cut Width eeded: Ft + 6 Ft I
DATE: APPLIC
Call (763) 572-3604 for Permit Fees If mailin n applica of
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
Cost: $�Q�
. Fax to 7ft-571-1287 if using credit card and we will call
USE ONLY-
Permit
NLY-
Fee Schedule on Reverse Side
$
65% of Permit Fee
$
.001 of Permit Valuation (1/10th%)
$ i
$.50/$1,000 Valuation
$
$1350 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 b�7
TOTAL $ STIPULATIONS:
From: City of Fridley To: 6519051745 Page: 3/4 Date: 10/212007 3:27:01 PM
Building
$ I
BUILDING
Plan Review
Permit No.:
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
.001 times the total job valuation
Received By:
'APR
7613-572-3604
.0005 x Permit Valuation Minimum $.50
CITY OF FRtIDLEY
$
Date 2 3 0
DATE
$
YOUR E-NIAIL ADDRESS
Curb Cut Escrow
SITE ADDRESS
ft + 6 ft = ft x $21 =$
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
THIS APPLICANT IS:
❑ OWNER C NTRACTOR
$
PROPERTY OWNER/
NAME:
$
ADDRESS: \�� �/V\�C°e i`�1 STATE
TENANT
r ^ F �
PHONE
NAME: Window Concepts of MN, Inc.
CONTRACTOR
STATE LICE 990 Lone Oak Road Suite 114
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:_ Eagan, Minnesota 55121 CFPY
—STATE—ZIP
WITH,'PLICATION
PHONE License # 20163493
GL11F www.windowconceptsmn.com
PROPERTY TYPE
❑ TWO FAMILY/NEW UUNNrxUL�rtuN zolylos
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHID UUVINDOWS
❑ BASEMENT FINISH ❑ ROOF DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWRANUNG POOL
TYPE OF WORK:❑
W ❑ ADDITION
EN C PAIR ❑ REMODELING
DESCRIBE WORK BED/DONE:
SIZE OF RUPROVEMENT LENGTH WIDTH
HEIGHT . Ft.
ROOFING
❑ HOUSE ONLY
NUNiBEA OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1.
Existing Floor Plan
GARAGIRS
❑ ATTACHED GARAGE
2•
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SLBMIT:
❑ Aluminum
❑ Trim
1.
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project
2.
Two sets of construction plans
WMOWS
3.
Energy Calculations
IN EXiSTRiG OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NE W OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
.ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 19 . U EE SCHEDULE)
TOTAL JOB VALUATION S � OCCUPANCY TYPE
Permit Fee
$ I
•� `S" See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.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
$
ft + 6 ft = ft x $21 =$
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
a Mahe checks Inavable to: City of Fridley Attach Stipulations
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 notAo start without a permit; that the work will be in accordance with the approved
plan in, the case of all wor 'ch re ' es review and ap al of lans. c
SIGNATURE OF APPLIC NAME �{i 2 k5- S