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PRE 2010 DOCSCity of Fridley, BE Date:BUIIDING PERMIT N? (5:6:7:1�) Omer: 'Builder.sem►'! :, .r' AddressAddress ,. L ATI N OFILDING No. Street_ Part Lot Lot Block M..� Addition or Sub-�D,i�visio — t Corner Lot — Inside Lot $""� Setback e*_ _ _ Sideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING TP Used Front Depth Height Sq. Ft. ! Cu. Fkr'—.c"-" Front Depth Height Sq. Ft. _ _ Cu. Ft. Type of Constructio 1� To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $_y , permit is hereby granted to— to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon vlaltion of any of the provisions of said ordinances. 'A 1 Building Inspector NOTICE: This permit does not cover the Construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. .4S110.4 APPLICATION FOR BUILDING -ER= CITY OF nrDr , • Owner's Nsme,� Builder Address --- Corner Lot Inside Lot z,!� Setback_,,�Side-Yard f e) SEVER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. 6J To beamed as: DESCRIPTION OF BUILDING 62 40 Heieht C� Sq. Ft. Cu. Ft. Frontpth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified,, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. s� r` DATE SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) Ci f Fridley City oe Y Application for Plumbing and Gas Fitting Penult Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK '--=& Number. Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL LL� $1.50 �� $A Number Fixtures ......................f x - Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ C7 z • R N WATER HTR. GAS ELEG New Ground Run Old Bldg . ............ 3 tjj $ GAS FITTING FEES:,, VI 1st 3 Fixtures .......... ,�b-+,��'-!.//�� ........ LL $ � sa LL O x .50 3 Ci Q U i Ci O Base 1st 2nd _ 4th • Future Connection Openings Connected with I Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL LL� $1.50 �� $A Number Fixtures ......................f x - Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES:,, NO. RATE TOTAL 1st 3 Fixtures .......... ,�b-+,��'-!.//�� ........ x $1.50 $ � sa Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .....................$ TOTAL FEE City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all'the facts and representations stated in this application are true and correct. Fridley, Minn. 9�v_� Owner�� i Kind of Building Used as , To be completed about Estimated Cost, Old—New. Building Permit �� ROUGH�,I �� b FINAL 4 z 2M 7-59 Application for Power Plants and HeathiS Cooling, Ventilation, Re, 1-j- ration and Air Conditioning System and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... &00 $ Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & ]:.roes—to 400 sq. ft. EDR Steam .... .$10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 8.00'$— Each .00'$Each add. 320 sq. ft. EDR Hot Water ... . ........ ... 3.00 $ OIL BURNER—to 3 gal. per hour ... . ' ... ... .. 6.00 $ over 3 gal. per hour—See Fee Schedule c� GAS BURNER (up to 198,000 BTL) ......................... WO $ a' over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ Z00 $ Additional Fixtures ............ x .75 $ Gas Range to 199,000 is 8:00 $ AIA CONDiPiONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $- ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL, 5 a v - i `3 Dept. of Bldgs. Phone 560-M Location /V� 4 - City of Fridley: The undersigned hereby makes application for a permit for the work hereie specified, agreeing to do all work in strict accordance with the City Ordinancek and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn_ MAY 14 1971 Owner Kind of Building ✓��''�"� Used as To be completed about -7-0-71 Estimated Cast, $ 0' 1 n Ol New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name oi�r%P�� �s� G. Csse/ Size Nozi6-49 Capaci Sq. Ft. F-D.R BTU -Z-%--" ` o H.P. Total Connected Load Rind of Fuel �- BURNER — Trade Name Size Ns - Capacity Sq. FL ED -R- BTU H.P: Blue Flame C®ntraet-ar. $ 6989 Washin tan B AVS,psy. Edina, Minn. 043; B Business Phone N (Ru►■Ks-OVER) 0 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work Effective Aug. 1, 1981 RATE TOTAL Job Address 5-1-16 ► r l ct &A -Ag r A) V r. $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ 10.00 $ Tel. #571-3450 $ 10.00 $ 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 $ 10.00 $ and rulings of the Department of Buildings, and hereby decl res that all the facts and representations stated in this applicatio are a and correct. $ 10.00 $ Fridley, Minn./ ` , 19 OWNER /dr ei'i C e Sw 4i /f'� Q r $ KIND OF BUILDING Jrr-' nW' USED AS A �J d/ / oji J State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE $ TO BE COMPLETED ABOUT J, ESTIMATED COST ® Z ®® $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. $ Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. DESCRIPTION OF FURNACE/BURNER HEATING r POWER PLANTS, Steam, Hot Water,arm No. / Trade Name < Size No. —go Capacity Sq. Ftp.. E�iDR BTU HP Total Connected Load 7 0 Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft: EDR BTU HP A /& L11 Company rITM Signed By 441 �y Tel. No. ."t n•Ot � `- '� "" �!t :tib ��:G� � Sys+/ rDEPAR7�►IEPT' (iV1T 0 VsaAl theratrips Guide' Windows 1 Loon Refereatx Out.Wal1,' Iat WEU Wing u - . F`l.(" - Roon;; 1,•ctiPt1► ';'W,dth�. }ieyrht ••• �, 'i>irindows anti Uoer,�rackavc taad Area wtean KoKpt No. of , j,laa&1 et -.paws f Oif � Coef. Btu Infiltration Glaze Exp. wall Net a :p. wallInt. wall - Ceiling Floor Total Btu �.. - Required aq.ot:sq y�sYQ,A• Ltadcr.area �;;, F1.1 Roorii.Legtttl► W,dtkt Height`.y 'Windows and-Iyoor:-=racitaRc and' Asea, wletD 'h+Kat '_Ac ot` Lmaal it. <' Ana ' of Crack OF ' iNSPE&ION hto.' Roof F6w Kind r ,Window. and Door"—Cracksefe, aad Area . w/a McMral Ice: d', I It. �►t+a '� Ne. et Vew el ws ' gtra/e' at Mt p. [l. l 9 I lnbleratioa Cott. Btv Class Coef. Btu Esp. wall Chas+ :Kct Tip. wall Ezp. wall lot. wall ( 9 Ceiling Int. wall Hoot ... f Cei{idg and.Dotitt=-Craclta�ge as '�liea � ,, � • wleltl Mallkl No. of Ltesal lL Xraa..'. Ne. el paws - of V&es ltYkla e! erect[' K- it. l 9 I I COCO Btu Coef. Btu Infiltration Chas+ Glast I Ezp. wall Exp. wall ( 9 Net ezp. waU ! Int wall I I — Cci{ing Floor Total Btu. y Reouired sg.-ft:1~D.R.^ or sig. iaa. T+'.iF+. Leafier area -=•- - • --` ; t 6 Totil Btu. Required sq. ft: E.D.R. or sq. ins. WA Leadcr area Fl.l Room I Length Width iielttut Windows Cad Doors---Cracicage and Area — wtr. Netrkt M. of I LIN*el it. Ara& Na. ( of Vane or p&m I nsala at crekk sc. M 9 �) COCO Btu Btu— • Inbltration Chas+ CUSS Ezp. wall Net exp. wall Int. wall •Ceiling Cei{idg Floor Foot Total Btu `' . - Regwred aG. ft. E.D.R. or'sgAis. WA. Leader area Width lielghl i Windows and Doors Zrac6re anti Area — WIGLN etral Nes rdNie /L A"& tie. orVane et taut i `alwbw - at Crack 04. 11. �) COCO Btu lAlt;atlon Chas+ Ezp. wall Net exp. wall Int. wall Cei{idg Floor I CITY OF FRIDLEY Effective Date May 1. 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL , Furnace Shell'and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range RATE TOTAL $ 20.00 $ 10.00 $ 10.00 Gas Dryer $ 10.00 W�jIN1 � a a'1 • Air Conditio ng (all sizes) All Others/Repairs and Alterations li of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 10 of Value of Appliance or Work $ 10.00 State Surcharge F1� Reinspection Fee ($15.00) Rough Insp. �j Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SU9CHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. n S S Job Address .S L It C. M 4 g e r h o A && . Dr. Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 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 applicatQio are true and correct. Fridley, Minn. O Z G , 19 OWNER rJdire viLC S w" L e r KIND OF BUILDING 9 USED AS $ TO BE COMPLETED ABOUT $ .50 10 ESTIMATED COST love / / J OLD )NEW BUILDING PERMIT N0. PERMIT NO. ( ®� < �✓ DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. , Capacity Sq. Ft. EDR Total Connected Load BTU HP Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Ag,ll `w OU, b9� ATIMG & COOLING 4120.351n Avenue N• Signed By ,,._e. coni KAAA9 Tel. No. 424-8333 Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. 'Has .been_ carefully examined Yes (,) -No 2. Is free from.rust or terioration Yes ( ) No 3. Has no foreign obje is 1 d within Yes ( ) No 4. Is securely suppor a Yes () No 5. Meets all curr t Co equi ements for size and total BTU conne d Yes ( ) No 6. Has Total heating TU's o All other BTU's TOTAL Rema rk s Company. Signed By Da to - SUBJECT P City of Fridley 30911 AT THE TOP OF THE TWINS BUILDING PERMIT f � R NO. T CEIP T `.: ----- COMMUNITY DEVELOPMENT DIV. � SEC. ^� r � PROTECTIVE INSPECTION 1, A CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF -OPROVED Br L 612-571-3450 910415 5/8/00 10B ADDRESS 5246 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DescR. 4 5 I Innsbruck 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Florence Swanberg 5246 Matterhorn Drive NE 571-2192 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tacheny Roofing & Siding Inc 49 S Owasso Blvd, Little Canada, MN 55117 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 484-1466 7596 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION O ALTERATION REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Reroof House (18 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED VV.ITHIN 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 1 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 $.79 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,573 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL EE A LicenseS $5.00 $R4.41 SIGNATURE OF CONTRACTOR OR AUTMO EO AGENT FDATEI, N ROPER V (DATED BLO (NSP' IS IS Y PFI IT fly/ f1AfE� S-GNATURE OF OWNEROF OWNER BUILDER. &DATE- FROM : Tacheny Roofing Inc PHONE NO. : 482 8377 May. 05 2000 02:11PM P2 NEW ADDN () CITY OF FRIDLEY Effective 1/1/2000 ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 572604 Bldg lrfsp BUILDING PERMIT APPLICATION C fig Construction Address: 6 Legal Description: Owner Name & Address: F401? Ill t'E SW MBEI? Tel. —6^71 — .1 Contractor:/40—#6A1W kd'O&/j9 4' 9 .Ne, MN LICENSE# 759 Address: 1149 so . UGC ks "� ,al�LII� � � o A,Ui4��l 41A) -Tel. # lcS/-- Y04-IV46,6 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. STIPULATIONS: DES..CRIPTION OF I,MPROVEME14T. LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width �; Height_ Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: -- Fe-- m oAx / R ,,,j'(,� Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: --5'-5-00 -5'-5-•0D APPLICANT: __D ®/V %/�C/��,R,1 L� Tel. # CITY USE ONLY - Call (763) 572.3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ 0 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. 'B" Above Erasion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL l Lit $ • STIPULATIONS: