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PRE 2010 DOCSSUBJECT PE 1T"170. City of Fridley ? 13252 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 110/9/75 JOB ADDRESS 1493 Windemere Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 31 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rodney Billman, Inc. 151 Silver Lake Road, New Brighton, Mn. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 36' x 26' Dwelling and a 30' x 26' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. SEWER LOCATION: (Approx. 81' Deep) 67` South of Manhole (Inv. 978.99) Wye Elevation: 978.71 Top of Footing: 982.00 MinimumWARNWO WATER LOCATION: 11.5' North of Sewer Service Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW SEPERATE PERMITS REQUIRED FOR WIRING, -IMPORTANT- HEATING, PLUMBING AND SIGNS. NOTIFY THE FRIDLEY ENGR. DIVISION REGARDING CURB SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. S`LOAD AT Dt?IVEWAY OPENINGS. VENTILATING OR AIR CONDITIONING. OOd Frame THIS PERMIT BECOMES NULL AND. VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 27.82 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $55,650 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- $325.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $67.37 PLAN CHECK FEE TOTAL FEE $420.19 ORORAUTHO IYEDAGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT lGNATUREOFCONTR BLDG INSP PATE SIGN UR WNE F E BUILDER) IDATEI 0 1 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : BUILDER: ADDRESS: ADDRESS : / ►'�/�r� ,L it /� /.3/S� ��,-., )�a-J✓vin -J .J®0/ y NO :. STREET: 11�rL LOT: .3 / BLOCK: / ADDITION:. CORNER LOT: INSIDE LOT: V 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: �,p4k 12� Front: Depth • Z X.14- Height: Z 36 Square Feet: /o3Y,d � Cubic Feet: ;+ t)_ Ad® —Front: Depth: —Height: Square Feet; Cubic Feet: 'V'rR 00 Type of Construction; ` Estimated Cost: y �v To Be Completed: 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: `"— 5 _SIGNATURE: r/ (See Reverse Side For Additional Information.) p-, 0.79 • c VIA �'�• ZG/C 1G = - 11!• K 1% a---1�Z3'LGv•s•c. --- ------ _--- --?mac 3� =- - - - _ _---- -- --- --- - - --- - -- -+_ -Z2.40 •8 - - -- --- - ----- ---- - -- -- - - - -- -- - - t A"ftxtbw fm poww Rem "d Heath& coay.-% vesmatifte R*Mvnd%fi and Ak ComAdmbg Sydem and Dtvkn PARTIAL RATE SCHEDULE MAVVff WMM AM SATE TOTAL Turnam men & Dad work ... ... ..$10.00 $__ Replacement of Furnace 6.00 Repairs. & Alterations—up to $500.00 6, 00 Repairs & Alterations each add. $500.00 FWIMM Shell & Duct Work to 120,000 BTU emeh add. 60,000 BTU . ..... ... Replacement of Furnace Repairs & Alterations—up to $MM Repairs & Alterations each add. SM.00 hV_ I - -1 1 Furnace Shell & Lines—to 400 sq. ft. FMR Steam Furnace Shell & Line—to 640 sq. ft. EDFt Hot Water Each add. M sq. ft. ZDR Steam Each add. 320 sq. ft. EDR Hot Water OIL BURNER—to 3 gal. per hour over 3 gal. per hour—See Fee Schedule Vw" BURNER (up to 199J= BTLT) Ovu 199,000 FM See Fca GchedWe GAS FITTING Fl=. 1st 3 Fixtures Additional Fixtures . 300 $—. -- - .510.00 $ __ V/ 3.UD irm 6.00 6.00 3.00 $10.00 10.00 3.00 &00 NO RATE TOTAL - x$ zoo S __ 00MAT-1 MUM - C) City of Fddley: The undersigned hereby makes application for a permit for the work herew, specified, agreeing to do all work in strict accordance with the CitY OrdlMancev, and ruling of the Department of Buildings, and hereby declam that all the fads and representations stated in this application are true and Fri e correct. minn-12 -__9 — nor) , rnCA Kind of Building.— _ Used as To be completed about -7� Estimated Cast, $ Old New. Building Permit No. pormit No 6_S3 1 HEA77NG or P97M PLAN75--steam, not Watn�i Trade Name_&ko EIF—C, Capacity—__— irm Total Connected Lead Mnd of Fuei� M& It WMTER WEATING a, 4637 GHICA00 AVE. slamd _M1NNFAP0%J%, MINNESOTA 564% ...... ..... + • 53-1-991505i CRY of P,id10yqb Nurr.ber Fixtures 0.066....'....... .__--- • A13�.IiC;i l�?7 1140E pjtIF1't 'a i. wid Gns U a'�:?1 I CTe:?i$ . . •• • .----- x 51.50 S , -••--- Dopt. of Bldg's. phone 5.x•3450 DESCRIPTIOlf 0: 4'10111: LOCA U, 0 ' 1493 Anc1 osmoro 61rc1n ItumSsr. KItA L -id Lecr:loa of Fixtures . Water I[eater 'L'p to 93.060 BTU). • . • ._-..--- x $3.00 S ' New Ground Run Old Bldg....: • ... ,y S - nbctria Water Matar.....:..... i • _' X3.00 war(• ►+re. City of Fridley; .&AS 71T;ING TEES: 1(O. RA LI TOTAL t X 1^ ? I« _ g K ° Adcltfanat Fixtures ......•......... ----- z 7 = G:s Rine to 1993.000 BTU • • •,... • . •. ---r---- w ras tut. The undersigned hereby makes app'lcation for a permit to tti� vorlr he. la acco:da::ce wfth the Cit;T O:�ir.:, o li 1 3 = • �� 3 t u o . ju $ J specified a� eeing to do all Mork strict d Tares that all L`se i _ to 1 ` ,1 ' 3:d : • FL:.e•s Comma --6:"' m C-j:clr.� Gcr.ts t )(aa Ffsrturo. Old Crrsm-Ings PARTIAL RATE SCHE-DULE Scaor Cc:;,poot LL-IBIt(G FIXTU?E RATES: KO. RATE TOTAL Nurr.ber Fixtures 0.066....'....... .__--- .--- Future Fixture Opening ... • 0 0 0 0 ... .____ .----- x 51.50 S , -••--- New Fixture Old opt -ring..•..... • .. .+_..— X 31.50 i—..: --•-- x $3.25 $ Catch 13asln ...........&1'** *• . • . Water I[eater 'L'p to 93.060 BTU). • . • ._-..--- x $3.00 S ' New Ground Run Old Bldg....: • ... x :3.25 S - nbctria Water Matar.....:..... i • _' X3.00 .&AS 71T;ING TEES: 1(O. RA LI TOTAL • ist3Fixtures .••••••••••••'.••• -----'_x52.00 S Adcltfanat Fixtures ......•......... ----- x S .75 S - G:s Rine to 1993.000 BTU • • •,... • . •. ---r---- x $5.00 6. ---.--•------ and ruling of the rupartment of I3utlylnzs, a:td hereby ec • and representations stated to this appucatioa are true and corre,:%' • ;—�a-75 Fridley. I:Si= 19 Owner ario Romami Kind of Building ir3mn Used as .)-26=76 To be completed about Estimated Cost. S 10 00 Old -v. Building Permit No. e Sizncd 04 Leh By ASCU" Busin= Phane No ...�-- ROUGH FINAL ' % 7 . 50 State Surchax5e p,,,�'?A:RS k xL T FP.J►TIONS—P.efer fo Cod* .ik:Criytfon • • • • • • • • • • . • . • f . • 000 0 • • ..• .. • • ..• •. •.• ..S V EIS$ ec \" SU c'hargQ ,�)OO, • Tani. � S_. 2 . 0 63-8h-416051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. a w `.:-Wer Fix tares x $3.00 U :'Iture Fixt.,re Opening K N $ Water ea $2.00 a+ m �' X $5.00 $4 a c c •.+ N w q $ •+ 41 0$4 c. «i w to Stater Softener Heater o i New Ground Ran Old Building x r. $ h.2 x W W of 4 C 0 a 4 lst 3 fixtures $4 $3.00 $ additional Fixtures x $1.00 $ Gas Ra:.ge to 199,000 BTU X $10.00 $ REPAIRS & ALTERATIONS 0 First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge C TOTAL FEE W Oo $ 8, 00 $ro ti ro$4 yNu �s U Z G m a a wU (d a; a s 0 o as •leoW fflliA :d 3rd ! + j' (R) = Future Connection Opening Connected with Sewer (•3 = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL `.:-Wer Fix tares x $3.00 $ :'Iture Fixt.,re Opening x $2.00 $ 2:ew Fixture, Old Opening X $2.00 $ Catch Basin X $5.00 $ :later :eater - to 99,000 BTU X $5.00 $ 13,000 B:J to 199,000 BTU x $10.00 $ Stater Softener x $7.00 $ New Ground Ran Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: lst 3 fixtures x $3.00 $ additional Fixtures x $1.00 $ Gas Ra:.ge 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 $ 8, 00 REINSPECTION FEE ($10.00) Job Address .909 59Ave. . , 9 Q ��✓ Department of Buildings TCL 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 t:.at all the facts and representations stated in this application are true and correct Fridley, Mn. 5-5-81 , 19 2R/1MrT TATQtr r OWNER KIND OF BUILDING frame USED AS 5-12-81 TO BE C014PLETED ABOUT 50.00 ESTIMATED COST OLD - NEW BUILDING PERv.IT NO. PERMIT NO. 6�� Company�� Signed By MBNNEt3ASO® Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT �b MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SUR=4AeRCE II " CITY OF RIDLEY 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 replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.251y. of Value of Appliance or Work Effective January 1, 2003 JOB ADDRESS ( "?3- L -d rdLIP- e. Q fde 6:066 OWNER &Con Rate TOTAL BUILDING USED AS Ae5iaP¢nq0, $ 30.00 $ ESTIMATED COST o� W,6-DPERMIT N0. $ 10.00 $ $ 10.00 $ $ 10.00 $ 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. $ DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) ( �armAir Trade Name Wa c5+4c- Size No. BTU— 2c 61st HP EDR Fuel Ai Ae • &--S Total Connected Load Burner Trade Name BTU HP Size N 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. $ DATE /0-/-0-3 CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 Signed ks - rx 763-757=6202 FAX # 763-757-6701 Approved By _ Rough -In Date Final Date �t403 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 When rnr"sn an existing furanrn, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes x ( i No ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer of elbows and termination. Yes (x) No ( ) specifications including sizing, length, number The undersigned also verifies that the replacement unit is a listed assembly codesand and meets the currentd acturer's specifications. or o l Central Furnace Venting Tables fan include AGA-GAMA 9 ry Yes (x) No ( ) assisted and natural draft appliances. The swintine nrnrsustinn air is sized and installed to meet the current codes Yes ) No ( ) and manufacturer's specifications. When required to *nc+au a naw cnmhustinn airy it will be sized and installed Yes No ( ) to meet the current codes and manufacturer's specifications. When ��pg a meds y�n_g s sWm, 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 Yes f ) No( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized. and installed correctly after an appliance has been removed from the common vent and vented Yes (x) No ( ) separately as per current codes. Anni• nrn Tunp and Sime/ nmmnn Vent and V nt CoonP�er 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 Diameterin Type Appliance #3 Vent Connector Height ®ft Length ft Diameter in Type N w TFRATIONq'^ oriel ao'5 Z re�/Il� HEATING CO:CenterPoint Energy MinTagasee 13562 Central Ave NE, Anoka, MN 55304 Signed By: y.�. Date : ding $ c5 1 _ � BUILDING Plan Review Permit No.:> ?ectidns Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By:1 3-572-3604Date .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Rec'd: ATE ®� YOUR E-MAIL ADDRESS $ ;ITE ADDRESS ®`-� L4.) 1 N D i= M F 121:27 04@19— iii' E Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control i HIS APPLICANT IS: DOWNER ❑CONTRACTOR Park Fee PROPERTY OWNER/ NAME: CO" A� Sewer Main Charge ADDRESS: / q 173 11_U 1 'fid 0'° V,�, ef2 C C� �SCITY ) IOe 1 .0 i �r STATE IP -TS IZ I TENANT $ 1, PHONE: T63 _- 571 •-/62Z or -Fre '71.3 ^ 5 If ej O 1� CONTRACTOR NAME: oe p u 1 s P ®ad C- S9 STATE I S �� ATE ® ' k.0 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: C P STA Z WITH APPLICATION PHONE 1 _ q &V 7 q374a '? PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING MOTHER ❑ SWIMMING ING POOL TYPE OF WORK: NEWE3ADDITION b MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: N o m d bY% I'J T S 1 a 7 F-' 5 ,Ae LU P SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED S12E: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW 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 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ Ay ;�,5- OCA OCCUPANCY TYPE Permit Fee $ c5 1 _ � See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ g _ y .001 times the total job valuation Surcharge $ J .. L 1 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 $ 1, Make checks payable 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 not to start without a permit; that the work will be in accordance with the approved plan in the case of all work Ali requi ® re and approval of plans. PofJ%�SIGNATURE OF APPLICANT PRINT NAME 8�' `X' DATE % d(�®� 21349 Louisiana Avenue North Hope, MN 55427 O'New PEARSON,ARAF D Phone: 763-5"-6016 Technologies Fax: 763-544-2111 •- Website: www.pearson-amold.com P 4-) :,g: :( : 4- d 5 Lr A t "LI AJ"7- 7t'; ci ti; ell bi cl, J ?A -7 YY q- .4- 1) - ----- ------ ... ...... ... -A o6 .4 0 C) 0 d... ... ....... --- --- 4- _V 0C�; U ' _V_ - ------- 1p� j 5 Lo j -4 _T_ T T. J dr� 9_1 L- ------ Dust Collection Screening/Classifying Particle Dispersion & Beit Scales Mist Collection Blowers Size Reduction Metal Detection Fume Collection Silencers Solid Liquid Separation Mixing & Blending Fans (Centrifugal, Axial) Bulk Bag Discharging Ingredient Feeding Level Detection Emission Monitoring Vibratory Bin Activators (Gravimetric, Volumetric) Moisture Measurement b I H -92 M� J � 14F,�1 u� ki CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER Iunderstand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. As the owner of the property at / 3 Gt1 /A- /-^A e,Fz P 7 , , Fridley, am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. �) Name— Date Date -7 � �� Building $ BUILDING Permit No.: 9-W990 Inspections RESIDENTIAL APPLICATION Received B%AAAA 763-572-3604CITY OF FRIDLEY (�' 763-502-4977 FAX License Surcharge $ '5,00 SAC Charge $ EFFECTIVE 1-1-08e1d Curb Cut Escrow DATE lY 0 YOUR E-MAIL ADDRESS Erosion Control SITE ADDRESS I @ w, -Q- k - Park Fee THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR U2 e PROPERTY OWNER/ NAME: ADDRESS: Lf/ CITY -e STATW ZIPY TENANT PHONE: NAME: ADDRESS: c G d in. h I= / ` d L CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Xe O rd4- e t° V Oa P:� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1, Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW 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: SING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 3159" OCCUPANCY TYPE Permit Fee $ Plan Review $ Fire Surcharge $ Surcharge $ . License Surcharge $ '5,00 SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ f® ® A See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED lations 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 on site; that the work will be in accordance with the prove I in the c of all work which requires review and approval of plans. SIGNATURE OF APPLICANT/ ✓f ' PRINT NAMES t^k t -h t- 4Q P-F7Pfiv� PATE APPROVED BY DATE iUBJEtT PE City of Fridley �91 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. � `v ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. Q Z& r �� I Ii CITY HALL FRIDLEY 55432 �'-"-ilk, I'' NUMBERREV OATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/2/00 JOB ADDRESS 1493 Windemere Circle NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 31 1 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Kochen 1493 Windemere Circle NE 571-8266 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Greg Wills Exteriors 4246 Royce St NE, Minneapolis, MN 55421 (612) 788-0529 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO e USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. SEPARATE PERMITS ARE REOUIRED 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 80 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 @@ $9,370 @ $4.68 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION O THE PERFrORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT L FEE i' vhf Licens S $N/A $195.30 Si aruRE OF CON'RACTOR OR AUTHORIZED AGENT tDATEi HE PROP Y THIS IS YOUR PERMIT ,VALIDA;§O BL INSP GATE SIGNATURE OF OWNER,IF OWNER SUILDERI IDATEI NEW I ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 1 p BUILDING PERMIT APPLICATION"4 t� Construction Address: r Legal Description: Owner Name & Address: �® Tel. # Contractor: 646� t ( �07L% 1z ® Z- S MN LICENSE # P Address: C -L Tel. # _&/2 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 Height Sq. Ft Length Width Hgt/Ground Sq. Ft. U►e,V� 1 s(,0 :)j 44Mi 4ueN T f`� � � Construction Type: .9- 'g-0 Estimated Cost: $ Driveway .Curb Cut Width Needed: Ft + 6 Ft = Ft x $ '=$ DATE: �-02 APPLICANT: CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge Call (763) 572-3604 for Permit Fees if mailing in application Tel.# 1UC7��/ $ /c9/ -2J— Fee Schedule on Reverse Side $ - 001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ /Z-, 36 �- STIPULATIONS: Q-3 c!. 30 Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 2 763-572-3604 CITY OF FRIDLEY Date Rec'd/d;' -7 763-502-4977 FAX EFFECTIVE 1-1-08 DATE 1.0 YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER NCONTRACTOR PROPERTY OWNER/ NAME: Kocar. ADDRESS: 1493 t i1 cQ2^ a�`Z �r'�- ��2 CITY J—/") STATE v^— -ZIP5 5 ! 1 .24 TENANT PHONE: %1,63 ` --57 1 -1 O �,9 NAME: 411 ..J 3 ^ ADDRESS: Z113 qZ!J h_)3- CITY RaJiSn 12 yi'>'-\ STATI "+ZIP �''S71'a- CONTRACTOR SUBMIT A COPY OF PHONE (o.57— 4614o' X51 FAX (e!l YOUR STATE LICENSE STATE LICENSE #C_;LocC� 3 "2� S EXP DATE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE CK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR 'YREMODELiNG DESCRIBE WORK BEING DONE: Kole- I 0z'_k SIZE OF IMPROVEMENT LENGTH i(D WIDTH 1 4;2 HEIGHT SQ FT Flo ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim t. and proposed project ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes [No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALLFEESARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: , // (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 4Z'O OCCUPANCY TYPE Permit Fee $ q ql G- I See Back Page for Fee Schedule Plan Review $, l 65% of Building Permit Fee Fire Surcharge $ 3" �,00 .001 times the total job valuation Surcharge $ J , S L) .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 $ Make checks payable 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 ackknowlWgc 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 Minneso onstru tion Codes- at I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in a dance wi e e pl in the case of all work which requires revieean a roval of plans. 1 SIGNATURE OF APPLICAN PRINT NAME c ?��S DATE (C -17k, APPROVED BY `' DATE/` ?� 'I-, 1y; low 3 LW z:t > C) 'I-, 1y; 3 A