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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMITS? o (:4:6:90) Date: _._ ` "_' � J Owner: :..a Builder — r r' Address .. �..: � � �' . '' ° p,. Address d" L TI N OF BUILDING No. : ,, - Street _ . _.__ -.l.._..._ Part of Lot .... - ....... _..._._..._...... -.._-...._._._._...__..Y Lot ... -_.- " ....... Block ----.._ ---- ................... Addition or Sub -Division Corner Lot ...._ .. .:. _..._ ....... Inside Lot ... ........... Setback .... , : .....- ... ......... Sideyard ...__ ! .._..- ... ..............- Sewer Elevation....._............._......._..._......._...._............._......._...._............._...__ Foundation Elevation DESCRIPTION" OF BUILDING To be Used as. f ... _ :, Front . ._.. Depth .... Height +,r.� Sq. Ft. , Cu. Ft. f..... �.... o ..... Depth - Height -----.i. Sq. Ft. _;,�!.._ Cu. Ft . ....................... w Type of nstruction A 01404---T be Completed ............ ... ................ -............... d'HiS i ERP.�,iT "`_ _ �,1r :� ^'JTi-10 ?17E Vfi=iLf T- L COVENANT ANIS 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$ . .".:", 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 violation of any of the provisions of said ordinances. I° . ' ? - - Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA P � 1 Owners Name 4 I� t� PP, I We- P_I -Builder l� Address 11 ' _ (�� o t—r_ Dfmh Address % I 1 '� ld:-S t SI v re Dl ��. � r• 1 LOCATION OF BUILDING No. f % Street Part of Lot Lot �►! Block ® N P. Addition or Sub.Div. IN a 112 tr tt -r A4 dn6 Corner Lot__Inside Lot__4_.,,_Set Back 4--o Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: I S A m � ,.-�....., Front 51 Depth Z� u� 2_4Light----L- / L Sq. Ft. 17 Cu. Ft. A44jyc1+ (9 e— Front ��� Depth .. j_' -L_ Height L11 � Sq. Ft. S' 11 ' Cu. Ft. Type of Construction 5t& MEstimated Cost To be completed St -- 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 tlxat all the facts and representa- tions stated in this application are true and co re t. DATE 3_ 6j SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK� Number, Kind and Location of Fixtures Location—? UG I`C�� NO. vvyy�� ZO Number Fixtures ...................... Z O x $1.50 Qp N O� = N FZ Os �°' W �Z Z �a , F N WATER HTR. GAS ELEC. 1.00 3ti Catch Basin ............................ �� in 3`F o LL Water Heater (Up to 200,000 BTU) ...... 4'0 2.00 d3 U°d (94a Uo 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $-• z` Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st l 2nd _ 3rd 4th • Future Connection Openings Connected with Sewer � New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Z O x $1.50 $ S G a 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 .......................... x $1.50 $-• z` Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE Al2 . 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 try®-epd correct. Owner Kind of Building 1 Used as To be completed about G/✓�d1r�' o �� ���G' Estimated Cost, $ old–6uilding Permit No ROUGH 7 _ O FINAL az 2M 7-89 Business Phone N 19A::�e Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ NECK. WARM AIR Furnace Shell & Duct Work to 170,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM 5.00 $ Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING 4 Leo O FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE®' - ® O ROUGH FINAL Dept. of Bldgs. Phone 560-3450 J�;? 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, Owner Kind of Building Used as . To be completed about ev Estimated Cost, $ Ol New. Building Permit No. Permit No. W/99 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No Capacity. 19 a Sq. Ft. E.D.R BTU H.P. Total Connected Loa Kind of Fuel BURNER — Trade Nam i - Size No -& Capacity.�-1.2Cl© CiF/d% (REMARKS -OVER) Application for Power Plants and. Hearing, Coating, Ventilation, ReFrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ NECK. WARM AIR D' Furnace Shell & Duct Work to 120,000 BTU ............ 0 �' a each add. 60,000 BTU .... . .............. 2.0 $— Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam_ ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal, per hour—See Fee Schedule GAS BURNER (up to 400,000 BTL) $ GAS FITTING FEES: NO RATE TO 1st 3 Fixtures ......................—Z x $1.50 $ / Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule .� TOTAL FEE Dept. of Bldgs. Phone SU. 4-7470 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, Owner Kind Used as To be completed about Estimated Cost, $�/ �® Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER 19 Trade Name ��T^ Size No CapacityA 5 6-0-0 Sq. Ft. E.D.R BTU �-H.P. Total Connected Loael S7 v Kind of Fuel BURNER — Trade Name Size Capacity - - - Sq. Ft. E.D.R BTU �I P. (REMARKS—OVER) SiVess RAJ. WELTER HEAT 4637 CHfC_AGO AVE. 42 2M ;,_59ne No l; , 1 DJ6•:,a2 UEATcyLOSS CALCULATIONS DEPARTMENT OF BUILDINGS %041-7' ' FRIDLEY, MINNt Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall llnt. Wall Ceiling Roof Floor Kind How Applied No 19_ Fl -1 o Room I Length Width Height„ F1.1 oom I Length & Width Height Windows and Doors—Crackage and Area Windows and ors—Crackage and Area Width I Height No. o! Llneal f,7- Area Width He1ghL No. of Llneal ft Area No. of pane of pane lights of crack aq. ft. No. of pane of pane lights of crack sq. ft. Btu Infiltration, GlassLiza Exp. wall Net exp. wall ao ` f I Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.1 A' " Room ( Lengtht V Width 7 Height Windows and Doors—Crackage and Area Wld h Height No. of Lineal ft. Area No. of pane of pane Ifghts of crack eq. ft. Btu Infiltration t%ovm 11.cngm Glass tj Exp. wall Windows and Doors—Crackage and Area Net exp. wall Infiltration Int. wall Glasp Exp. wall _ Ceiling Net exp. wall Int. wall Floor €' Total Btu. 2 Me Required sq. ft. E.D.R. or sq. ins. W.A. Leader area a�1 i. —0,4 ... 2-1. t%ovm 11.cngm wlam tj rzelgng Windows and Doors—Crackage and Area Coef. Btu , Infiltration Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Glasp Exp. wall _ r Net exp. wall Int. wall Infiltration Coef.1 Btu Infiltration �I Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Tbtal Btu. . ft. E.D.R. or sq. ins. WA. Leader area 110 Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length 714 Width Windows and Doors—Crackage and Area Width No. of pane Height No. of Lineal ft. Area of pane lights of crack sq. ft. Coef. Btu , Infiltration ®� laz Glasp Exp. wall _ Net exp. wall Int. wall Infiltration Glass Exp. wall Btu `� Net exp. wall r+ 0 Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI v !. R....w. I I ...ik /" VV At6 .o V - 14.iAf Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu , Infiltration Glasp Exp. wall _ Net exp. wall Int. wall Ceiling Floor Total Btu. _Required sq. ft. E.D.R. or sq. ins. WA. Leader area Ddb az UEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide imd?re Doors Reference Out. Wall Int. Wall Ceiling Roof Floor No 19_ F1.1 Room j Length r.T Width Heigh II . Fl.l 41 Win ows and Doors—Crackage and Area 6 V4 Width Height No. of Lineal t . Area No. of pane of Dane lights of crack sq. ft. Exp. wall Net exp. wall Coef.1 Btu Infiltration Glass r% Exp. wall Net exp. wall Int. wall Ceiling Floor , 1 otal btu. Require . ft. E.D.R. or sq. ins. W.A. Leader area Room I Length Width Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of Dane llghte of crack sq. ft. Btu Infiltration 3k 6 V4 Glass Exp. wall Net exp. wall Coef.1 Btu Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Iy F1.1 Room I Length Width Heiaht Windows and Doors—Crackage and Area Width Height No..of Lineal ft.Area No. of Dane of Dane llghte of crack aq. ft Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FRIDLEY, MINN) Insulation Kind How Applied Room I Length Width Heiaht Windows and Doors—Crackage and Area Width Height No. ofLineal 1t. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall o Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I L.enath Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq• ft Coef. Btu Infiltration Glass Exp. wall Net exp, wall Int. wau Ceiling Floor I otal t1tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area W ,Y CITY OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 August 9, 1990 Sidney and Shirley Griffith 5297 Matterhorn Drive N.E. Fridley, MN 55432 RE: Property at 5297 Matterhorn Drive N.E. Deak Mr. and Mrs. Griffith: On July 1, 1990, the City of Fridley began a new program called Systematic Code Enforcement. This program is designed to provide fair and equitable code enforcement,' improve the City's appearance, and maintain property values by creating a more attractive suburban environment. Under this program, all properties in the City will be inspected approximately once each year to ensure that they are in compliance with the Fridley City Code. A recent inspection of your property revealed that not all Code requirements are presently being met. Listed below are item(s) which do not comply with the Code: 1. Discontinue outside storage of wood located beside tree on south side of front yard. Your prompt attention in correcting this problem would help us in our effort to improve the City. A reinspection will be conducted on or about August 23, 1990, at which time compliance is anticipated. Please call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-90-605 FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 19, 1992 Shirley Griffith 5297 Matterhorn Drive N.E. Fridley, MN 55421 RE: First Notice of Noncompliance at 5297 Matterhorn Drive N.E. Dear Ms. Griffith: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 5297 Matterhorn Drive N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Discontinue outside storage of areas of yard waste located at northeast corner of property and along fence at east side of property. (Fridley City Code does permit composting in residential districts provided certain criteria are met. See enclosed ordinance for further information.) Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about July 6, 1992, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls CE -92-296 SUBJECT PE City of Fridley 9845 AT THE TOP OF THE TWINS BUILDING PERMIT r T NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ��� NUMBER REV DATE PAGE OF APPROVED BY i I �1 CITY HALL FRIDLEV 55132 A-0 0 "'j 612-571-3450 910-F15 7/9/99 JOB ADDRESS 5297 Matterhorn Drive NE I LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 1 Innsbruck 1St Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shirley Griffith572-8961 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Norling Exteriors Inc. 341 797A1_8911; 2009A700 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ®X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house and garage 9 CHANGEOFUSEFROM TO STIPULATIONS covering Call for building wrap inspection before KaxeRiexg 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 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5300 $2.65 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- $125.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION Fire SL.II�� $5.30 PLAN CHECK FEE TOTAL FEE ce e SC $5.00 $138.20 SIGNATURE OF CON"RACTOR OR AUTHORIZE AGENT IDATEP ERLY VALIDATED THIS S YOUR PERMIT CWHE �// z BLDG -NSR - "TATE S,GNATURE OF OWNER.-F OWNER BUILDER, iDATEI NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:r-- Legal Description: Owner Name & Address: le Tel. # G/2, -.S'7.2 • �,�G/ Contractor: filer ��., 14� MN LICENSE # �z ab r P26,0 Address: k-, g -e Tel. # 782 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:ngth Wi th , Hgt/Ground Sq. Ft. OTHER: " -occ Construction Type: v c s, cl Estimated Cost: $ 57� Od , a Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 7- — C APPLICANT: Tel. # CITY USE ONLY Permit Fee $ 5 ��~ Fee Schedule on Reverse Side Fire Surcharge $ 3D .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ U $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.(0 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ 38.ao P� SUBJECT - - ER City of Fridley 29801 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. (J I , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/30/99 JOB ADDRESS 5297 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Innsbruck 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 572-8961 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lloyds Home Improvements Inc 101 - 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 XX REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (29 Sq) Tear-off 8 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 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 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 $2535 $1.27 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 $83.25 1 Fir SC $2.54 PLAN CHECK FEEFEE n Lice nsA5.00/ 706 SIGNATURE OF CONTRACTOR OR ALiVRIZED AGENT (DATE, THIS I Y UR P R WSID �QV S,GNATURE OF OWNERdF OWNER BU1l DERj .DATES PATE P� NEW - [- ] Effective l/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 5297 MATTERHORN DRIVE NE 1/�\ Legal Description: Owner Name & Address: 5297 MATTERHORN DR.. N.E.. Tel. # 612-572-8961 Contractor: LLOYDS HOME IMPROVEMENTS, INC.: MN LICENSE # 0001798 Address: 1012-42-1, AVE.. NE COLUMBIA HEIGHTS, MN., 55421-3159 Tel. # 612-788-5602 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. OTHER: 29 sq. Construction Type: TEAR OFF & REROOF HOUSE Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ $5,800.00 (Fee Schedule on Back) Ft x $ DATE: — APPLICANT: Tel. # 612-788-5602 STIPULATIONS: CITY USE ONLY Permit Fee p $ Fee Schedule on Reverse Side Fire Surcharge $ I .001 of Permit Valuation (1/10th%) State Surcharge $ % $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) t . 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 $ STIPULATIONS: