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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: e1r7 #I -A z7 A Owner: .... .. ... Builder Address Address CATION Bu LPING reeX... . ...... N o. Z/Stt .PartofLot ..... "r Lot ........... Block ..... . ..... ... . ................. Addition or Sub -Division ---I' ..... .. .. ....... . ........ Sideyard .. ............................................ Comer Lot ..... .................... ..... .... Inside Lot 4 ......................... Setback 3.15-0 Ze Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used as - X1. Front Depth Height ...... . . ........ .... ............ . . .. .. .. Fro pt ....._............._.. Depth ............ Hj ht %- 1.7 1 Type of Construction,'st. C6Tt - - F Cu. Ft. Sq. Ft./ . 11, Sq. Fit. ------------- Cu. Ft. Tobe 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. -4 1 In consideration of the payment of a fee of to construct the building or ad the express condition that the person to whom it is grant done In, around and upon said building, or any part thereo, Fridley, Minnesota regarding location, construction, site within the city limits and this permit may be revoked at ordinances. permit Is hereby granted, to.....-.-.---------------------------.....__------._.. tion o.------------------------------------------------------- tion as described above. This permit is granted upon and his agents, employees and workmen, in all work shall conform in all respects to the ordinances of tion, maintenance, repair and moving of buildings ay time upon violations of any of the provisions of said Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these Items. .OW4 Owners A Address APPLICATION FOR BUILDING PE1H►"!IT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. Street Part of Lot Lot rel Blocker_ Addition or Sub.Div._, -,�,�/ C - Corner Lot -Inside Lo Back '•� � Side-Yard%2Y 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'. � �I- ¢r....?:�! _`• Front Depth,,,, Sq. Ft. �`% �. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. To be 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 t t all the facts and represents - tions stated in thip" pplication are true and c ® (A Schedule of Fee costs can be found on the Reverse Side.) Application for Power Plants and: Healing, Coodng, Ventilation, .Refrigeralion 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 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. .x.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. 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 $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ -� ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 Location 5164 Natterhorn Drive 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. 12L6 60 19 Owner Sheldon Nortenson Kind of Building Ern Used as Dwell To be completed about 1/30/6M Estimated Cost, $ 50-00' --New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No one Trade Name Afco Size No 51120 Capacity 1i 2OCim Sq. Ft. EM.R BTU H.P. Total Connected Load Kind of FueL Nat • ga.s BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Gas line only signm Nielsen Gas Heat 4 z 2M 7+59 Business Phone No Pa. 2-1961 Application for Power Plants and Heciting. Cooling. Ventilation. ,Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE 1. Furnace Shell & Duct Work .......................... 8.00 Replacement of Furnace 5.00 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 .............................. . `^T Repairs & Alterations— to $500.00 .... ............ Repairs & Alterations +z Fh add. $500.00 .............. STEAM or HOT WATER SYSTEM Furnace Shell & Line�to 400 . sq. ft. IDR Steam...... . Furnace Shelf Line-ta 640 sq, ft. EDR Hot Water ... Each add. 200 sq. ft. EM Steam ...................... Each add. 320 'sq. ft. EOR; Hot Water .................. OIL BURNER to 3 gal. per hour ........................ over 3 gal. per; l -our—See Fee Schedule GAS BURNER (up to 400,000 BTT) ....................... 5.00 2.50 TOTAL, 8.00 010 8.00 $ 2.00 $ 0.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ 5.00 $ 5.00 $ GAS FITTING FEES: NO RATE T 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 FEE $ ROUGH l/ e FINAL ' 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, Minn /® 7®®� 19 — Owner S� e'4 0 0 A/ C T Kind of Building Used ash To be completed about /�` O� �' O Estimated Cost, $ 7sb G Old e'6n uilding Permit No. ±0/_0 6 _ Permit N DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, arm No 6AAC Trade Name ,�r�V Size No Sk0f-=0 —#3 (? Capacity Sq. Ft. E.D.11—" �BTU- H.P. Total Connected Load 4-$ & 7? Kind of Fuel BURNER — Trade Name /Alt L Rf O � tT-h Size to�A C Capacity Sq. Ft. E.D.R BTU S.P. (REMARKS -OVER) ' Signe� d L. t 42 ZM 7.59 Business Phone No- - �, sir �t DEPARTMENT OF PUBLIC WORKS �` s �a �� INSPECTION DIVISION HEAT LOSS CALCULATIONS WeatherstripsGuidve Construction No. Windows rs Reference.. Out. Wall Int. Wall .oiling I Roof I Floor Kind ,fNes v ) No 19_. Fl.j �"i0 Room Length Width .:.3 Height F1.1, °s -L- Room I L Windows and Doors—Crackage , and Area {: •�'r Width Height No. of Lineal ft. Area No. of pane of pans lights of crack sir. ft. Width Height No. of Noo of pane -of pane llghte Lineal t . Area ofcrack sq. fG Coef. Btu bliltratlon Infiltration Glass $"`a coot, Btu Infiltration ,"aii:4 1.5z Exp. wall 0 Glass Net ezp. wall Int. wall p ` Ceiling Exp. wall" Int. wall Floor Net exp. wall Int. wall Floor Ceiling Ilvr 4o Floor Total Btu. r Rp 0 Required sq. ft. E.D.R. or sq. ins. WA. Leader area FI.f 0-W. It -A Room 1. L.enifth " Width j n Heiaht •jV Windows and Doors--Crackage and Area {: •�'r Width Height No. of Lineal ft. Area No. of pane of pans lights of crack sir. ft. Width Haight No oC Lineal ft. Area No. of pane of pane lights of .rack A. ft. 2- Coef. Btu bliltratlon Infiltration Glass $"`a Glass ^7«,t Glaze ,"aii:4 Exp. wall Exp. wall !;'xo t Exp. wall Net ezp. wall Int. wall p ` Ceiling Ceding Int. wall Floor # jr 10 a' Total Btu. 1 4- *1 Al Required sq. ft. E.D.R. or sq. ins. WA. Leader area I F1.1 ftvi� Room I Unatth / ej Width � - Heiaht 0 Windows and Doors--Crackage and Area { Width Height No..ot Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Haight No oC Lineal ft. Area No. of pane of pane lights of .rack A. ft. 2- Coef. Btu Cao Btu' Infiltration Glass 3 Glass Glaze ,"aii:4 4ru Exp. wall !;'xo t Exp. wall v,Z. Net exp. wan Ceiling Net exp. wall0 Int. wall Ceiling-:, Floor if r Ilvr 4o 1 otal'It , Required sq. ft. E.D.R. ar sq. ins. WA. Leader area Windows and Doors— Wldth Height Na of paae of pane Z &�. 4L%" VILLAGE OF RICHFIELD Insulation How Applied gth , jl,A Width #,p Height age and Area No. of Lineal ft. Area -lights o! .rack sq. ft. Coef. Btu Infiltration 127 PIT J41 Glass S`a 0 Exp• wall je t Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area I F1.1 Ss,► a ,.a Room I Length * o Width 4� Heisht k Windows and Doors—Crackage and Area + Width Height No..ot Lineal ft. Area No. of pane of pane lights of crack sq. ft. s�No.` ! Coef. Btu Coef. Btu Mtration Glass 3 Ezp. wall Glaze Net exp. wall •!�`�"C1 Exp. wall v,Z. Ceiling Net exp. wall0 Floor' Int. Wall Ceding Floor ' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ! Fl.l � a r ILt R., l Room I I math o OWidth .,ti Neidit Y Windows and Doon--Crackage and Area + Width Height No. of Lineal ft. Area o" pane of pans lights of crack sq. s�No.` ! Coef. Btu Infiltration O Glass Ezp. wall Net exp. wall Int. wall Ceiling Floor' Total Btu. Required sq.. ft. E.D.R. or sq. int:. W.A. Leader area 130PARTMENF,OVIPPLIC ' WORKS So '4 INSPECTION biwilou HEAT LOSS CALCULATIONS VILLAGE OF RICHFIELD A.S.KV.L Weatherstrips, Guide Construction No. Insulation Windows Doors I Reference Out. Wall Int. Wal I Ceiling I Roof Kind How Applied �;=— —yo 19— IkS 6 ITYX I V'10 rY , No M— 11 1 J F1.1 Room lLenath Widthiist Heistht -V 11 J F1.lLkv4"% Room I Unffffi 14 4Width) r ' bm Heistht Windows &nMrs--Crackage and Area Width S = Height r Width Height No f No. Nofpane of pane lights Lineal 't- Area of crack sq. IL m Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Dam a .1,T Glass tration Up. Wan ICoef. Coef. Btu Infiltration Ceiling, Floor Glass Gass EXP. Wan i 6 yt) Net exp. wall Int. wall 44 J* Ceding Not exp. wall Floor Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area M-1 &t O- pjL Room I Length IS Z Width S = Height r Windows and Doors---Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Infiltration Glass tration Up. Wan ICoef. Btu infiltration. Ceiling, Floor Glass 7 yt) Exp. wall 3�-Ft'v 44 Not exp. wall Int. wall Ceiling #.A Floor Jq 7.5 ( It., Total Btu. i Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 i . Room ILeng&' . Width , ' Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pass lights of crack sq. 9L FT 4 (v�- 4T ICoef. Btu Infiltration Glass tration Up. Wan Net exp. wall 3-1 .5 Am -0 Int. wall Ceiling, Floor Exp. will I otal Btu. Requiirsq. ft. E.D.R. or sq. ins. WA Leader area Windows and Doors—Crac6p and Area Width Height No. of Lineal ft. Area No. of pass of pane lights off/ m. ft. FT 4 (v�- 4T Coef. to Infiltration Coef. Btu tration Net %*. *-a lkt. wall A* 81 e - 3-1 .5 Am -0 Glass Floor SAI '>v Exp. will Net eV. wall Int, Wall Ceding Floor --3 Ar #.A Total Btu. Required sq. ft. F.D.R. or sq. ins. W.A. Leader area F1.1 Room I lAnnth'Width Hehtht Windows and Doors--Cmclmge and Area Width Height No. of Lineal ft. Area No. of D"o of paw lights of crack sq. ft. Coef. to Infiltration Gass Net %*. *-a lkt. wall A* 81 e - Ceiling, Floor Tota Btu. , I -,-_ Required sq. ft. F.D.R. or sq. ins. W.A. Leader area 'r RnoM I Unath Width " Height Windows and Doors—Crackage and Area Width Height No. of Lineal M Area Na V pane of pane lightsof crack ca. ft JCoef. Btu Infiltration ejan wall Net exp. wall Int. wall Ceiling Floor -1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT PER City of Fridley 15.5.3 7 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC. ' l CITY HALL FRIDLEY 55432 ' �•� NUMBER REV. DATE PAGE Of BY L.__. 612-571-3450 910-F15 10/29/79 JOB ADDRESS 5164 Matterhorn Dr. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 5 1 Innsbruck 1st Add. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Gretta Weinberg 5164 Matterhorn Dr. Fridley 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sawhorse Inc. 6325 Welcome N. Crystal 533-0352 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 Add on an 1818" x 11`4" addition and remodel the porch - 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 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 $5,350.00 $2.68 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- $33.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 94a" PLAN CHECK FEE TOTAL FEE / $8.25 $43.93 SIGNATURE OF CONTRACTOR OR AUT ORIZED AGENT IDA I WHE PROMVITHIS IS YOUR PERMIT 0-0 7 BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) )DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: GW97A- G l NR&R & ADDRESS : ��itiI STD' Z1 �/2AJ 2 TEL NO: BUILDER: ADDRESS:AJ TEL NO: S T� --GD Construction Location STREET NO: STREET: LOT: ID BLOCK.: S ADDITION: /k)&5 eauc%e IS -T A D L) Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Square. Feet__ PC—y-gLj Front: I Depth: 1114" Height: Cubic Feet: 2631 Depth: Height: pica� Square - Feet: Cubic Feet: Type of Construction: 1s COL) Estimated Cost: $ U Th Be Completed: 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. DATE: t 01,2 % SIGNATURE: Stipulations: Q 2s.21 Ty 3,g 3 4 RIJ - 1 1f I Lot 10, Block INNSBRUC_K IST ADDITION, Anoka County, Minnesota I HEREBY CERTIFY THAT THIS 13 A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVE DESCRIBED LAND, AND THE LOCATION OF ALL BUILDINGS, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS .._111ih DAY OF..._OCt013Ai..__................. A.D. 19.. 6q N C. HOIUM AND ASSOCIATES -12W. -- WWD SURVEYORS - r , Co: / — - ..I`NOUSTRIAL ♦ SURVEYS IN COMMERCIAL CITY LATS � M ,fS Cj4# grEf, ® C1 ANOKA,_ . SEN TEPIN, TOPOGRAPHICAL — LAKESHORE SHERBURNE PLATTING.. ,: LAND SURVEYORS CounrrEs r1?!8A i5follSHOPPING CENTER — WEST MAIN STREET Y 10, PA ANOKA. MINNESOTA HARRISON 1-6340 Sheldon MoAens on4 366-116-10 41,01 l7ft y . 7 `h/ p __ _ _ ... wa � 'L I x + •R : uj i 4 RIJ - 1 1f I Lot 10, Block INNSBRUC_K IST ADDITION, Anoka County, Minnesota I HEREBY CERTIFY THAT THIS 13 A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVE DESCRIBED LAND, AND THE LOCATION OF ALL BUILDINGS, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS .._111ih DAY OF..._OCt013Ai..__................. A.D. 19.. 6q N C. HOIUM AND ASSOCIATES -12W. -- WWD SURVEYORS - r , CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL F.arnace Shell & Duct Work $12.00 $ Replacament of Furnace 7.00 $ Repairs s Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR.: Furnace Shell & Duct Work to 100,000 BTL' $12.00 $ each add. 53,300 BTU 4.00 $ Retlace.:.ent of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $� Re:airs & Alterations each add. $500.00 4.00 $ STHk\I OR HOT 1tiATi.R SYSTLM : Boiler s Lines up to 100,000 BTU each adds. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each: add. 3 gal. per hour GAS BURNER- fro= 100,000 BTU to 199,999 BTU (over 199,995 BTU see Fee Schedule) GAS FIT"TING FEES: ist 3 Fixtures Additional Fixtures Gas ,an3e to 199,000 BTU :IR CONDITIONING F.aN HEATING S2"STL.ia See Fee Schedule $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ ° 10.00 $ $10.00 $ x $ 3.00 $ x $ 1.00 $ X $10.00 $ VENTILATING SYSTEMS - ALTERaTIONS & REPAIRS State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE (.$10.00) Fn AL INSP. ,2 -3 - 5 EA - 2 CA to addition Date 1 Tim to Crawl Space - APPROVAL FOR PERMIT 888 BL^UOe Ka1mPS Job Address 5164 Matterharn Dr. 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, Minn. 12-19-:79 19_ OWNER Saw Horse KIND OF BUILDING frame USED AS residence TO BE COMPLETED ABOUT 2�'-155-80 ESTIMATED COST 446� OLD - NEW BUILDING PERMIT NO. _ PEP.MIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load 72,865 Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By MINIMUM FEE FOR ANY HEATI PER.YIT IS $7.50 '0.5-o �-Q-, — 460c) . Tel. No. ® Y/®ly! a Cti7 SEALING X AIR CONDITIONINS EL260 Gotham AV., 929-67A t., Lbuic Park. Mi:�." . 5i t;A 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Sawhorse Inc. 6325 Welcome Avenue North Brooklyn Park, 2ud 55429 Re: Final Inspection on Addition at 5164 Matterhorn Drive N.E. Dear Sirs: A final inspection was made on May 1, 1980 of the above addition and the following items were noted which must be completed before the construction can be finaled out; 1. Provide deck or render patio door inoperative until the deck is constructed. 2. Provide combustion air to furnace. 3. Install screen on opening to crawl space. We will expect these items to be completed by June -2, 1980 when a reinspection will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G . Chief Building Official DGC/mh CC: Ms. Gretta Weinberg -3 June 17, 1980 .LYt CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDL'EY, MINNESOTA 65432 TELEPHONE ( 612)571-3450 Sawhorse Inc. 6325 Welcome Avenue North Brooklyn Park, MN 55429 Re: Final Inspection on Addition at 5164 Matterhorn Drive N.E. Dear Sirs: A final reinspection was made on June 16, 1980 to determine compliance with our letter sent to you on May 7, 1980 for the above construction. It was noted that the deck has not been built nor has the patio door been rendered inoperative, and combustion air has not been provided to the furnace. We will expect these two items to be completed by September 1, 1980 when a reinspection will again be conducted to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Ms. Gretta Weinberg 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 RATE TOTAL Job Address 5364 Ma:httarborn. Dr Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 Gas Piping $ 10.00 (piping needed with new furnace) Gas Range $ 10.00 Gas Dryer $ 10.00 • Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 19 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work $ 2 0'n 0 0 'j Department of Buildings, 6431 University Ave. N.E., Fridley, MN 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 application are true and correct. $ Fridley, Minn. 11-9-89 , 19_ OWNER Greta Weinberg KIND OF BUILDING private Residence USED AS $ State Surcharge $ .50 TOTAL FEE $ 20.50 Reinspection Fee ($15.00) $ Rough Insp. Date Final Insp. _ ` —'� �J Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE TO BE COMPLETED ABOUT Nntr 1 A .- 1 A R A ESTIMATED COST $1200.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. 1 63 °7Sr_ DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. 0111 0 9 0 Trade Name Amana Size No. Capacity Sq. Ft. EDR BTU Can, nnn HP Kind of Fuel Nat. Gas Total Connected Load BURNER - Trade Name Capacity Size No. Sq. Ft. EDR BTU HP Company Sharp Heating and Air I C. Signed By Tel. No. 572-0459 *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (, No ( ) 2. Is free from rust or deterioration Yes p< No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes No ( ) 6. l� n Has Total heating BTU's ofV L All other BTU's 1-30 o TOTAL i/ Rema rk s Company Sharp Heating & Air Cond. Inc. Signed By Date 11-9-89 I CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-36o4 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, RFFRIC.PRATInN AKM AR r0NI)IT1r)NING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer (D--Ajr 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 D b State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 50 Effective On August 1, 1995 4.300 I JOB ADDRESS 5/9 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ,1995 OWNER Lf~� &/ 49rA-) BUILDING USED AS %h E 412 ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HEATING Signed Size No. HP 'jhar g and it CondPioning >: PAI 5421 -OLK Tel No. Approved By� Rough—In Date FILL OUT BACK SIDE"FOR STACK VERIFICATION ON REPLACEMENT FURNACE EDR Final Date ' J k CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SUBJECT PE T NO. City of Fridley 9 AT THE TOP OF THE TWINS BUILDING PERMIT r 16 REC� PT�O . _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/15/96 JOB ADDRESS 5164 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 5 1 Innsbruck 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Greta Weinberg 5164 Matterhorn Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Metro Siding Inc 2750 Niagara Ln N Plymouth -MN 55447 557-18084861 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 Reside House 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 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000 $1.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE O CEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RE ULATI CON. S7RUCTION OR THE:PER;,�E;FOTRUCTIO $74.75 Fire SC $3.00 PLAN CHECK FEET AL FEE Licens C .00 84.25 S N URE OFC NTR TO O A HORIZ )DAT ilPR LY V IlrED THIS IS YOUR PERMIT i. - WG INSP PATE SIGNATURE OF OWNER I IF OWNER BUILDER) (DATE) NEW [ ] ADDN j ] ALTER [] ConstructionAddress: Legal Description: Effective 3/1/96 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �i Building Permit Application Owner Name & Address: Tel. # Contractor: / `!� `C/�J�� MN LICENSE # Address: �1° -.*). <7; r � 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot j ] Inside Lot j ] Ft. Yd Setback Side Yard Setbacks Type of Construction: �� Estimated Cost: $��j�Q Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x = $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ p C) .001 of Permit Valuation (1/10th%) State Surcharge $ /, $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ F4 " S— STIPULATIONS: 1 SUBJECT City of Fridley 30546 AT THE TOP OF THE TWINS BUILDING PERMIT r . J�Iob 6. v _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I � NUMBER REV DATE 111/24/99 PAGE OF F/ APPROVED Br CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 5164 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 5 1 Innsbruck 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gretta Hammerstrom 571-1229 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tabor & Sons Inc. 10547 Terrace Rd. Blaine 520014248 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (24 S 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 OCCUPANCY LOAD 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 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 @ @ WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $2098 $1.05 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 $8.3.25 F e SC $2.10 3 Ru"A �� 2-,f -<I) PLAN CHECK FE ;(91.40 AL FEE Licen S $5 0 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, VALIT0V G"HIS IS You�i PTiS-GNATURE OF OwNER.IF OWNER BUILDER, IDATEI [��4HP So OA 1 NEW [ ] ` Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: hi ole^ D C Legal Description:'eo� P Owner Name & Adss.- t f��,A�,.�' ��_ Tel. # Contractor: MN LICENSE # Address: -'574:z "7 /--A—//B'--'r g jJ Tel. # D' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEIVIENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: 2 Estimated Cost: �5 6A6�- Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: /-�'�;---'r/APPLICANT: Tel. #�� Permit Fee $ 3, Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ -5-06 Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ • 7 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] Building FLUMBViG I Permit No.: �� I Inspections RE SID ENTLAUT., APPLICATION Received By: 763-572-3604 -7 CITY OF �+R'' IDLE+ D 8 763-502-4977 FA EFFECTIVE I -I48 SITE ADDRESS '01 THIS APPLICANT IS: PROPERTY O'AVNE)Et/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE YOUR E-MAIL ADDRESS k/E ❑ OWNER %CONTRACTOR ADDRESS: 5I e�t 42-tKLrfflYY7 (/i' X b CITY. PHONE: -qloJ -" - 490a NAME: 94✓ZY GI v P/Li'mkim 1�0- STATE LICENSE # STATE BOND # - PHONE 7W'6— 95 `P CI FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 13 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK ATE% ZIP EXP DATE EXPDATE•,•— �_STATEIyI ZIP 2 PER MS 168.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement,, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = plus SO surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. _ BATH SINKILAV FLOOR DRAINS —SHOWER WATER PIPING —BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL —WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 � x $35.00 = $ $• oa State Surcharge = $ .50 iWA-- _rn T TAA TIC cm -- - dT TM Q 1 5 i(11 T I= Q THIS IS AN APPLICATION FORA PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF P ICA PRINT NAME,/&� `-u%99!' DATE A16 APPROVED BY DATE I PL1r:�SE"�f0 <AR +TE PET; INIITS-ARE P:EOU=- FOR BUTLDING. ELECTRICAL. AND LIEC?�Al CAL. -V Ri, r el +7)< R r;d1ew 3udicding Inspections wions l e'nari meni: �4� 1T miversin, .venue IE. ~ridleY :'n1 l » ?;� _. 763-_-:02-`117'