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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N° 5197 Date: Owner: jr— •►_ Builder)' + 'Y Address Address , OCfTION O BUIL ING No. Sheet - r __ Part Lot _ Lot �,� _ Block , _ Addition or Sub -Division Corner Lot ._ Inside Lot —'� Setback —___ Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To, UsedW_ T1 � s� C��L'.��' Front Depth Height Sq. Ft. Cu. Ft. Fro t DepthHeight W Sq. Ft. Cu. Ft. t. Type of Construction Es�`o 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 : , permit is hereby gmntek,to to construct the building or addition as described above. This .ppermit 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 IAo the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and ikoving of buildings within the dty limits and this permit may be revoked at any time 'upon violat of any of the provisions of said ordinances Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas beating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, 7eawx Owner's Name �� Builder17 Address Address �,_ LOCATION OF BUILDING No. y,3 Street & Part of Lot Lot �� Block ,l Addition or Subdivisionjovl� Corner Lot Inside Lot t/ Setback . -?S— Side -Yard ?o SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as:_ I DESCRIPTION OF BUILDING V Denth :, Sq. Ft. /-�JD Cu. Ft. �� Front Depth height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost f 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. DME C� �' �� SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Porn* Dept. of Bldgs. Phone SII 4.7470 DESCRIPTION OF WORK 3 AAA �1. C'«V,- Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $1.50 $ Sr U Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Beater (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 $—% ``7 d Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $—.Md -0 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 applicationaretrue/and correct. Fridley, Minn Owner Kind of Building Used as To be completed about Estimated Cost, $ Old New Building Permit No Permit No. Signed�� !�✓ B -&.Business Phone No. �K r 741,cb— ROUGH fj *I FINAL d2 2M 7-59 (� Z • F • N WATER HTR. GAS ELEG O Base 1st / 2nd 3rd 4th • Future Connection Openings Connected with Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $1.50 $ Sr U Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Beater (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 $—% ``7 d Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $—.Md -0 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 applicationaretrue/and correct. Fridley, Minn Owner Kind of Building Used as To be completed about Estimated Cost, $ Old New Building Permit No Permit No. Signed�� !�✓ B -&.Business Phone No. �K r 741,cb— ROUGH fj *I FINAL d2 2M 7-59 Application for Power Plants and Heating. CooNng. VentiWon. AeMgeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: V Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ r .each add. 60,000 BTU ....................... . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 .............. RATE TOTAL, 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ z – 2.00 $ _ %.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM 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 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FFE $ �® ROUGH FINAL Dept. of Bldgs. Phone SII. 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 ac(o�r�*rect. ley, Minn_ MAY 2 3 1961 19 Owner / � z Kind of Building Used as To be completed about UJfk m r7 Estimated Cost, $®� ew. uilding Permit No. 1'61 Permit No. 0 DESCRIPTION OF WORK (REMARKS—OVER) HEATING Warm Air—No— Trade Nam ff Size Nom Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fue1 BURNER — Trade Nam r'� Size No /,y % Capacity Sq. Ft. E.D. j H.P. a GEO. SED ICK HTG. & AIR-COND. CO 89 1001 Xenia AV. S. inneapolis 16, Minn. Signed 117 By ? 4z 2M 7-59 Business PhonNo (REMARKS—OVER) D -S6 v HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Construction No. Guide Wi ows I ors Reference Out. Wall Int. Wall Ceiling Roof Floor es es 19_ MINNEAPOLIS. MINN. Insulation Kind How Applied F1.1Room I Length Width Height Fl.� `' Room Wind 's and Doors -1 Width Height ] No. of pane of pane I Windows a Doors—Crackage and Area Width Total Btu. Requir sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl.iRoom I Length o 7,/- Width Height Windows d Doors—Crackag and Area Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Glass �� Coef. Btu Infiltration Coef. Btu A Glass Net exp. wall® tLS �p Exp. wall ,e Exp. wall x Net exp. wall®� S'D SD Exp. wall Int. wall Floor Ceiling Net exp. wall Floor (� D Int. wall Total Btu. Requir sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl.iRoom I Length o 7,/- Width Height Windows d Doors—Crackag and Area n Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Glass �� ICoef.1 Coef. Btu Infiltration j --5 -A Net exp. wall® / Glass Glass Exp. wall x S'D SD Exp. wall 42X1- Z Floor Net exp. wall Net exp. wall n (� D Int. wall Floor Ceiling Ceiling js5, Floor Floor � . Total Btu. ' I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 Fl. °°�`�_ _ .1 Room I Length /-' /6;i/iflth zv vhiei>rht 7P7 - Windows and Doors—Crackage and Area �- (j Coef. Width Height Lineal Area lig ta of creekk sq. ft. No. of Dane of pane lights InfiltrationD� Glass �� ICoef.1 Btu Infiltrationfle j --5 -A Net exp. wall® / Glass Int. wall Exp. wall x p Exp. wall Net exp. w 1 Floor Net exp. wall Total Btu. n (� Int. wall Floor Ceiling 7Z-1 js5, Floor � . Total Btu. z "I Q Required sq. ft. E.D.R. or sq. ins. WA. Leader area I ength ,S Width/og %3 Height j" ckage and Area ofLineal ft. Area Cay ,ts of crack sq. ft. J J I --v--- %� Coef. Btu InfiltrationD� Glass �� .t®® Exp. wall fy 7` 60 j --5 -A Net exp. wall® / d Int. wall Exp. wall x Ceiling Net exp. w 1 Floor Z®® Total Btu. n Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Floor . a.1/ l ..wawa I --a— r r?,') Windows and Doors—Crackage and Area --v--- %� Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.,l Btu Infiltration j --5 -A Glass / d .-6 Exp. wall x Net exp. w 1 Int. wall Ceiling Floor 7Z-1 js5, Total Btu. " Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .., m I W, I 1 .......1. . /' W;Ath ! ',e14aivl,t ..I z v M. — ""v—_ Windows and Doors—Crackage and Area — / 'ff_ Y Lineal Area Width Height No. oc No. of pane or Pane Ifghta of crack eq. ft' Coef. Btu Infiltration Glass / d Exp. wall X Net exp. wall Int. wall Ceiling Floor 7Z-1 js5, Total Btu. ,913 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area JCoefj Btu Infiltration ,� 6S Glass Exp. wall 44W I Net exp. wall Int. wall Ceiling Floor, .4 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 -� A, Room I Length a Width /s`r Height Windows and Doors—Crackag and Area g Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. D•36 w Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips Glass A.S.H.V.E, Construction No. Insulation ,S Exp. wall 'yam Guide Floor 1/11 Bows ors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied es a 9— ®6 / Fl 1 Room I Len th Width y Height m ti Room I Length � Width Height JCoefj Btu Infiltration ,� 6S Glass Exp. wall 44W I Net exp. wall Int. wall Ceiling Floor, .4 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 -� A, Room I Length a Width /s`r Height Windows and Doors—Crackag and Area g Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal f . Area Coef. Btu No. of pane of pane tights of crack aq. ft. Glass 10 1 410 --:;� 411 -:6 ,S JCoefj Btu Infiltration ,� 6S Glass Exp. wall 44W I Net exp. wall Int. wall Ceiling Floor, .4 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 -� A, Room I Length a Width /s`r Height Windows and Doors—Crackag and Area m / �l �J W/ Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Coef, Btu Coef. Btu Infiltration Coef. Btu Sep Glass Net exp. wall p® Exp. wall ,S Exp. wall 'yam Net exp. wall Floor 1/11 Int. wall Int. wall Ceiling Ceiling f ®6 Floor ' cJ 60/' W I.....6... , d ...y... 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 Coef, Btu Infiltration Glass Coef. Btu Infiltration Net exp. wall Glass / ,S Exp. wall 'yam "Y.�'!� Floor Net exp.,;iall Int. wall Ceiling Floor y Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area 170 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Coef, Btu Infiltration Glass Glass Net exp. wall Exp. wall �.t' / 1Qf Net exp. wall Floor Int. wall Ceiling Floor Total Btu. 1!7g9 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I 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. 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 eq. 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 Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work ........................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ &00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ 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 .......... I ....... 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 $ FAIR CONDITIONING $_ «�- FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE _ $ ROUGH FINAL Dept. of Bldgs. Phone SW -3450 Location -.5-a 0-2 3 AAIZ� , 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. Owner Kind of Building�d� Used as To be cc Estimate (/ Old ew. Building Permit No. Permit No d DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) [/CO Signe By 42 Business Phone No - W i T Ur 1-K1DLtT 97-8h-879001 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE -SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL • Ruaber Fixtures x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 • Catch Basin x $5.00 • Water Heater - to 99,000 BTU Ai x $5.00 100,000 BTU to 199,000 BTU Wateretr $10.00 Q A A $7.00 aN x $5.00 L x c a •i w ,a ppl Heater x $1.00 Gas Range to 199,000 BTU yyNm++ maq First 5100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE S om N p J 0 N0 0 u0 o0 iO w V(a ae4row 9 u c� O as lec 1st dr er 2nd' Ed (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water -------------- PARTIAL RATE -SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL • Ruaber Fixtures x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 • Catch Basin x $5.00 • Water Heater - to 99,000 BTU x $5.00 100,000 BTU to 199,000 BTU x $10.00 Water Softener x $7.00 New Ground Pun Old Building x $5.00 Electric water Heater x $5.00 GAS FITTING FEES: 1st 3 fixtures x '$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS $ ALTERATIONS First 5100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REItI.^.t�l:^_Tl�i.l F'EE Job Address 5323 Matterhorn Cir, Ne. Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 7-11-78 19 OWNER _i.Ohn Coffe KIND OF BUILDING frame USED AS res TO BE COMPLETED ABOUT 7-18-78 ESTIMATED COST 20e00 OLD - NEW BUILDING PERMIT N0. PERMIT NO. qG- --/- Company ` Company r Signed By Tel. No. ROUGH INSP. Date FINAL INSP. /I - a5 - ? Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $•S0 STATB SUS SUBJECT City of Fridley r?.1 49,30 THE TOP OF THE TWINS BUILDING PERM I T i Ir?AT � • COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION 9 r 1 SEC. 1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/20/78 JOB ADDRESS 5323 Matterhorn Circle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. S 1 Innsbruck 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Coffey 5323 Matterhorn Circle N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rite Way Waterproofing Co. 7337 Lake Drive, Lino Lakes 786-0550 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install drain tile 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1,535 $.92 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- $12.00 STRUCTION OR THE PE ORM CE OF CONSTRUCTION. --tEi�0 7d 4 PLAN CHECK FEE TOTALFEE $12.92 SI ATUR OF CONTRA6TARORAUTHORIZEDAGENT (ATE) WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RE=SIDENTIAL BUILDING PE11141TS (NL" -W, ALTERATIONS, ADDITIONS, OR REPAIRS) OMER: y BUILDER: kr& a4c, WPo7'&A'Q200!!2j �v+ Address: i 210A#2 hCKIV 012PJj Address: 73 31.;NaAI�14E.5 Tel. No. -7, (o O'S 50 No.: s3 a 3 Street: /yl�ar`��2 f70CL,� C/✓�� LOT: lei BLACK: f ADDITION: CORNER LOT: INSIDE LOT: L--"' SETBACK: �� J SIDEYARDS: �U � Applicant attach 'to this form Tvoo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: S Depth: a• Height: �y Square Feet: Cubic Feet: Front: Depth: Height: squar e Feet: Cubic Feet: Type of Construction: Estimated Cost: $ IP3.5 O -e To Be Completed: o?/ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work 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. See reverse side for addition,4 information. DATE: �i0��7 SIGNATURE: Stipulations: FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55=432 • (612) 571-3450 • FAX (612) 571-1287 February 18, 1994 Ms. Sandra Reavis 5323 Matterhorn Circle Fridley, MN 55421 Dear Ms. Reavis: Thank you for your letter of February 6, 1994, regarding traffic conditions on Cherri Lane. I have had the Public Safety Director and the Public Works Director review the situation. Additionally, I visited the location and viewed the area. After discussing the matter with City staff, we decided to do the following: 1. We have voluntarily moved some of the snow that is causing the sight distance problem at the Menard's exit. 2. Our code enforcement officer has been asked to send a letter to Menard's warning them about pushing snow into the street and about the height of the snow banks they are creating on their property. 3. We w;ll install signs on either side of Cherri Lane near the appruach to the Menard's exit warning oncoming traffic of the hidden driveway. 4. As time permits, we will provide additional police patrol for this location. At this time, we do not think that the situation warrants a three-way stop. I would also like to point out that in the past, we have worked with Menard's to Ms. Sandra Reavis February 18, 1994 Page Two move the intersection, and believe that through these efforts the exit has actually been improved. Admittedly, there are still some problems, and we will do our best to address them. Thank you for alerting us to this dangerous situation. If you have any further comments or questions, please give me a call. Sincerely, �,A;�r... V William W. Burns City Manager WWB:rsc c: Barbara Dacy, Community Development Director John G. Flora,- Public Works Director David Sallman, Public Safety Director Scott Erickson, Assistant Public Works Director Steven Barg, Code Enforcement Officer CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4A0 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 e Water Treating Appliance $10.00 Owner Water Heater —Electric $ 7.00 A Water Heater — Gas $10.00 Building Used As Gas Range $10.00 Gas Dryer $10.00 Estimated Cost.,21 SO PE MIT NO. Back Flow Preventer Required ( )Yes () No Type $5.00 PLUMBING COMPANY�c � e n E _ u Reinion FeJ�e $ 0.0 �-�. _ SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS r I % of Value of Fixture or Appliance •. ® Apr By'.. Rough—In Date Fi al Date State Surcharge $ .50� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $I,W PLUS THE $.50 STATE SURCHARGE RlLr-»s �Ile_ unroF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 April 15, 2002 Mrs. James Reavis 5323 Matterhorn Circle NE Fridley, Minnesota 55432 RE: Drainage Dear Mrs. Reavis, I forwarded your concern regarding water pooling in front of your mailbox to Jon Haukaas, Director of Public Works. Mr. Haukaas viewed the situation and has advised me that there isn't a cost effective solution to the drainage problem at this time, as any solution would require a large portion of the cul-de-sac be reconstructed. Reconstruction of the cul-de-sac and the location of the drain inlet would also negatively impact your neighbor's driveway. Within the next couple of weeks all City streets will be swept and cleaning the accumulation of sand from the gutters should help a little. The City will continue to view the drainage problem periodically and if the problem worsens alternatives will be reassessed. Sincerely, Paul Lawrence Superintendent of Public Works /j a cc: J. Haukaas Effective January 1, 2003 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 JOB ADDRESS a'3-;>3 �%er%c�fyt Cif RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Pipi Needed with new furnace, ut 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 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION .50 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE �_ � 0 d' 5y (� REINSPECTION FEE $47.00/Hr on t C) S& j(� 9 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. OWNER ��✓'��S >�� i S BUILDING USED AS�"�`` ESTIMATED COST a-3 4r6 �� PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units t Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU 30�p HP EDR Fuel tl �l� 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. DATE HEATING CO Signed um"aL# Mt455113 FAX #ce X251 Approved 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 r-nmmON vFNT. VFNT ONNFCTOR AND MIMBI ISTION AIR VERIFICATION When , 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( ) 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 eY cHnn cnm6 ietinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to 'natal' a now _nme js9an ai : it will be sized and installed to most the current codes and manufacturer's specifications. Yes ( ) No ( ) When Inctallinn a now yanfina nystern, 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 ( ) Annlia nna Thy p- and Sim /Gnmmnn Vent and Vent Cnnner_tnr 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 Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type— AlRATIONS- (pESGi3he)f n s�v 1 I as reg I G is,see7- , CA M4 sd,,rLj F`1,epJ4,c-e HEATINGCO: Date: Signed By: ! �6 3 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FORIPLUME•i1NG AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO RF INSTAI I Fn nM FAi-W ri nnca Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin NO. RATE Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance &3A3 -I hArT*UZ R'0 (QA' TOTAL JOB ADDRESS 54NE- te, dWI.)'EI? State Surcharge $ .50 TOTAL FEE $2 0-55 0 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 Ppilding Division, and hereby declares that all the facts .and representations stated in this aoolication are tnie and correct. REAVIS, JAMESt� 5323 MATTERHORN CIRCLE N.E. I 20 63 FRIDLEY, MN 55421 Owner (763) 571-2340 Building Used As�51� Cst;. Estimated Cost PERMIT NO. PLUMBING COMPANY_ 2-,t}j SIGNED BY TEL N0.n)63 Approved By Rough -In Date Final Date v MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20 00 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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. 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. The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes( ).No() Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When Installina a new venting system, 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 asper current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector 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 Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING Cb: z Signed By: Date: i