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PRE 2010 DOCSCity of Fridley, Minn. 1112 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: __ Atignct- 4s 1971 Ownw:—Robgrt Laugen Homes .Builder Same Address 540.1 Matterhorn eve N.E.Address Same LOCATION OF BUILDING No 5490 street _ Matterhorn Drive N.E. part of Lot Lot 1 Block 5 Addition or Sub -Division Proposed Innsbruch North Corner Lot —X. Inside Lot Setback _ 35' Sideyard _-10 & 28.27' Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 1346' swellingFront 31' Depth 50 & 16 Height 20 Sq. Ft. ice`` Cu. rt 26.152' GA+"agP Front 24' Depth 22'_ Height 10' sq, F, 528' Cu, Ft 5280' Type of Construction Frame Fst, Cost .._. 37 2000 To be Completed flPc _ -31 , 7 971 (24, 500) Provide verification survey before framing. Plat to be recorded before final inspection. No sewer or water as builts. For top of footing elevation just go 18" a to 2' higher than proposed street elevation in front of the lot. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work m accordance with the description above set forth and m compliance with all provisions of ordinances of the city of Fridley. 17 S Surcharge In consideration of the payment of a fee of $_52.5%0 , permit is hereby granted to Robert Latium _Homes to construct the building or addition as described above. This permit is granted upon thZEY ress condition that the person to whom it is granted and his agents, employees and workmen, in all work $oIi'is city limits and this permit may be revoked a t any time upon violation of any of the provisions of Raid 9 r Building Inspector HANK MUNICH 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. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ° S NAME : IL .� : ,py��1d-ILDER ADDRESS .. VI --,OL o ADDRESS ' _ m NO:. �/f� STREET LOT: / BLOCK: ADDITION: CORNER LOT: !� INSIDE LOT: SETBACK: SIDEYARD: J ® -2 J' % Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. A//0 SF_Lt)e4 Ok- 'qS-'6u'f.�®.2 TaP BF ®®ii/�%4a �LEiO14 7- 0Ail J14'sT ego ,g.' To ..1'fl. �e � f/AAo pec p6s& STPFF i ccLEWA--ri oO <a1 FR oAir of 7,q,' - DESCRIPTION OF BUILDING To Be Used Ass Front: 3 / Depth : ,'�O / /6 Height: a Square Feet: 13 �16 Cubic Feet: me-, / S Front: .2' V Depth: .1 2- -Height: Square Feet; ,<'Q Cubic Feet: S-..2 1? 0 Type of Construction: Estimated Cost: '7 To Be Completed: 1 _� 3 Y s 7/ The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct.:` t:�" DATE: 3 ,` `7/ SIGMA � "O ' � (See Reverse Side For Additional Information.) Land Planning i� �i %�i b875 Highway No. 65 N. 1. Land SurveyingMinneapolis, Soils Testing ` �vv� �I '�• Minn. 55432 Civil Engineering . a ! `' % Telephone, 784`-6066 Municipal Engineering Exigineere & Surveyors Area Code 612 Certificate of Survey for .-View on, Ince REGIS LANT- 1� 5.76 .16,3 > - 101 CY CK Iz.4.9q' Dra triage amd Utdi ty E jserme,ht ' LOT I B LO C K 5 INNSBRUCK .NORTH o Deno+es iron tri*nt+rro-h-t Not ReGae-dP-d AnO4,(,(L Coulity 1 hereby certify that this is a true and correct representation of. a survey of the boundaries of the above described land, and of the location of all. buildings, th roan, and all visible encroachments, if any, from or on said land. As etur.veyed . by me this _do) A. D. 1.91L. SUBURBAN ENGINEERING, MC. Engineers ,,ma�yy Surve ars SCALEtlinck-40fer-+ ilt - City of Fridley Application for Plumbing and Gas Rtting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK n Location .S y j D ��f'f /+ Li R -t �.. Number, Kind and Location of Fixtures = 0 Q +" yy11 3 Number Fixtures ...................... c ��� �O $ Future Fixture Opening ................ x $1.50 Y8( o� New Fixture Old Opening .............. aZ fro N S p[ y� < U�' •d .W( pec (N'J ? �O � R � N WATER HTR. GAS EIEC. Base �_ ae $2.00 D $ � GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199>000 BTU......... x $5.00 $ ^. e. REPAIRS & ALTERATIONS—Refer to Code 1st 0- / 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer E] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 �O $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater �_ ae $2.00 D $ � GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199>000 BTU......... x $5.00 $ ^. e. REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $-2� City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn' Owner Kind of Building -I" Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No. Signe %v By Business Phone ROUGH FINALZ✓ 42 Application for power !loft and I•lewk% Cooling, Ventllaftoe Rerigaotl®n and Air Con0laring S"onis 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 ............... 3.00 $ NECK. WARM AIR 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 .............. 9.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—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 ...................... 3.00 - $ 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 GAS BURNER (up to 198,000 BTU) .......................... S00 $ over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 7.00 $ Additional Fixtures .................. x .75 $ Gas Range to 199.000 .......... sa `8:00 $ AIR CONDMON11fG FAN HEATING SYSTEM _ VENTILATING SYSTEM ALTERATIONS & REPAIRS . Ductwork Alterations RovaH basement heating FWAL--� 'p � gee 'Fee Sehedale 6.00 50 Surchge. TOTAL FEE $ 6.50 for SALESMAN: DON BELL Dept. of BldgL Phone W-3480 LocaS� 5490 Matterhorn X.E. 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 Sept. B 1972 - Own" Robert Laugen Homes, Inc. Kind of Building Used as Residence To be completed about O c.t . 2j 1972 Estimated Cost, $ 16 0.0 0 old—New. Building Permit No. Permit DESCRIPTION OF WORK HEATING or POWER PI ANIS--Steam, Hot Water, Warm Air—No- Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Hind of Fuel BURNER. — Trade Name Size No Capadty Sq. FL E.D.R- BTU H.P. (REMAa:cs–oven) Signed By �� Business Ve KATM A IVR MDMONING SM 6&&M &% s 14767. IIS b* 64 85NUMM 5024 011 SUBJECT City of Fridley 211.6 3 AT THE TOP OF THE TWINS BUILDING PERMIT i • RECEIPT NO - COMMUNITY _ COMMUNITY DEVELOPMENT DIV. _-_ �; y PROTECTIVE INSPECTION SEC. �� 7 7 S r � NUMBER REV, GATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 11/22/91 JOB ADDRESS BE 5490. Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob/Karen Sturm 5490 Matterhorn Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Naper Construction 3311 Sheridan Ave N M ls. MN 513412 529-7358 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 E:k REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Repair Fire Damage and Kitchen Alterations, 9 CHANGEOFUSEFROM TO STIPULATIONS Install smoke alarms. omboth levels of dwelling. Provide door closer on .door between house and garage. SEPARATE PERMITS REOUIRED FOR WIRING, HEATING, PLUMSMG AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2O, OOO $10, 00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ STRUCTION OR TH PERFORMAN E OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $237.00 I_ai-_ S)GNAT EOFCONT ACTOR OR AUTHORIZED AGENT (DATE) WHEN FLY A i T D IS IS YOUR PERMIT ME N G )NSP QATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 011 NEW (] Effective 1/1/91 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: c / , Ce 0-K 5 /AJA).s f3 2 e Ce / - /7704) Owner Name dt Address:Tel. # Contractor: ",, 'c fm u� Tel. # LS � -- 5 SV /, -)- 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: �,� ► i't /r�% r fZr4 �baUS Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: 6,006,0 m �, Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ Qj l m o of ca. - ft*) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ P _ DATE: APPLICANT: C�,� Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge Driveway Escrow Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $650 per SAC Unit s Alt. 'A' or Alt. "B" Above Park Fee $ Fee Determined by Engineering s Sewer Main Charge S Agreement Necessary [ ] Not Necessary [ ] TOTAL �d STIPULATIONS: 17 a 1 0 0 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE 0 New Fixtures T h Old Opening, New Fixture ,b $ 4.00 u Beer Dispenser K u - $ Mater d a a A a $ 7.00 e M C a C • M v $ •. .� O Water Treating Appliance Heater $ 10.00 a $ Water Heater - Electric S 7.00 - $ Water Heater - Gas $ 10.00 m $ Gas Range $ 10.00 a $ Gas Dryer $ 10.00 4 e C I No •-Ci e '� 1 G 1 ~ U •C i O t Ic U e .rJ uo 8 w u a = a o w H w u lat 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (6) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 - S� Old Opening, New Fixture $ 4.00 - $ Beer Dispenser $ 5.00 - $ Slow Off Basin $ 7.00 - $ Catch Basin $ 7.00 - S Rain Water Leader $ 7.00 v $ Sump/Receiving Tank $ 7.00 a $ Water Treating Appliance $ 10.00 a $ Water Heater - Electric S 7.00 - $ Water Heater - Gas $ 10.00 m $ Gas Range $ 10.00 a $ Gas Dryer $ 10.00 a $ Back Flow Preventer Required ( ) Yes ( I No Type S 5.00 - $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1t of value of Fixture or Appliance $ State Surcharge S .50 REINSPECTION FEE $30.00 TOTAL FEC $ Lifective Date January 1, 1991 Job Addre.is jl,-9 Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 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 area true and correct. �Z. J 19 OWNER - KIND OF BUILDING—_;rt✓ USED AS TO BE COMPLETED ABOUT %,14 z . ES TED COST 6,0© ��— ©GOLD - NEM BUILDING PERMIT NO. e! PERMIT NO. Company .. s✓ Signed By Tel. No.' 3r W, 7� ROUGH I14SP. Oats FI:ii.l. INSP.V a " Gate APiFROVAL FOR PEPMIT (f MINIMUM FEE FOR ANY PLUMhI G/GAS PERMIT Y5_$15.00 PLUS THE $.50 STATE SURCHARGE - - SUBJECT P City of Fridley 22285 AT THE TOP OF THE TWINS BUILDING PERMIT --- i RECEIPT NO. �` DEVELOPMENT DIV. r7 -------COMMUNITY PROTECTIVE INSPECTION SEC. 1 � NUMBER REV PAGE OF APPROVED By Ii CITY HALL FRIDLEY 55432 .j �•� L 612-571-3450 1910-F15 JDATE 1/12/94 JOB ADDRESS 5490 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Sturm 5490 Matterhorn Drive NE 574-0643 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 X0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install Bay Window 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1►00'0 $, 5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS N ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 Fire SC 11M $1.00 STRUCTION R THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE -((-alLj $ 26.50 SIGNATICIAEOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHE471P Y VALIDATED THIS IS YOUR PERMIT INSP DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/94 ADDN - [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2' Building Permit Application Construction Address: Legal Description: _ Owner Name & Addr Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: {4�0 Us'\C,�& lnaue Y�rw 6"'k Tel. # �) 4, VL��l � �w �'le l/ MN LICENSE # kn� ft Tel. # 06 L(3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ OW (Cost on Back) Driveway Curb Cut Width Needed: Ft. + n = Ft x $ _ $ DATE: I- W-'13 APPLICANT: Tel. # J � � -i)OL6 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: ) 6 ' CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 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 [ ] SUBJECT Q. City of Fridley 23 9.,,. AT THE TOP OF THE TWINS BUILDING PERMIT----(/r'_ r - R PT NO. �• _____ COMMUNITY DEVELOPMENT DIV. y� r PROTECTIVE INSPECTION SEC L/ NUMBER DATE PAGE OF APPROVED Br CITY HALL FRIDLEY 55432 612-571-3450 7-y— 910-F15 7/24/95 JOB ADDRESS 5490 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 5 I Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Sturm 5490 Matterhorn Drive NE 574-0643 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 Construct a 14' x 14' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 1 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 $1,597 .80 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 $37.00 Fire SC $1.60 PLAN CHECK FEE TOTAL FEE 0 T EOFCON. A RO AUTHORIZEDAGENT (DATE) r TED THIS IS YOUR PERMIT n WHEN PROPER9:2 LOG NSP OA E P,JtNATURE OF OWNER)IF OWNER BUILDER) IDATEI NEW [ ] Effective 8/1/95 ADDN (] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ` �� � Construction Address: *&�Ld'� Legal Description: _ _ Owner Name & Address:ZQLe4( Tel. # S � Z/- Contractor: S� (� MN LICENSE # Address: Tei. # 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 l q Hgt/Ground s/ � Sq. Ft. OTHER: Comer Lot [,f Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:/Ij "d Estimated Cost: $ % 'Ten- yy Approx. Completion Date: A s— (Cost on Back) Driveway Cur)3 Cut Width Needed: Ft. t = t x $ _ $ DATE: Z ` �� APPLICANT: �� 9 Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ /. 60 .001 of Permit Valuation (1/10th%) State Surcharge $ �k0 $.50/$1,000 Valuation SAC Charge $ $850 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 $ STIPULATIONS: GERALD T. COYNE 300 BRUNSWICK AVE.AE S. ® LOT SURVEYS COMPANY GOLDEN VALLEY, MINN. LAND SURVEYORS MINN. REG. NO. 4741 REGISTERED UNDER LAWS OF STATE OF MINNEBOTA LICENSED BY ORDINANCE OF CITY OF MINNMAPOL19 5747 W. Broadway 533.9922 INDUSTRIAL — JUDICIAL Minneapolis, Minnesota 55428 COMMERCIAL- TOPOGRAPHICAL CITY LOTS — PLATTING Ourbeporo Certif icate oDenotes Iron 3urvFy for: iiUMES INC. 1 .- I fir- --- i /0 RAYMOND A. PRASCH 6917 IDAHO AVE. N. BROOKLYN PARK, MINN. MINN. REG. NO. 6743 INVOICE NO. 37)46 F.B. NO. 1)7-28 CI 1 Sc El"- _ --1ELEVATIC0$-c-Top of iron=10( f.-,0 f.. -- - -- - . i 'i -- - --- ; i- --- - - - - li - - j --_�- _,._. - --- - it {' t" CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS � 4 i 6 ?9,1 New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 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 y 47 3 , 20 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner IWAA;_ W aAL Water Heater -Electric $ 7.00 Water Heater - Gas** —� $10.00�_ Building Used As �� Gas Range** $10.00 f_r) Gas Dryer** $10.00 Estimated Cost 6'6-0 PERMIT NO. /1")9� Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPMY P. Reinspection Fee $47.00/Hr SIGNED B ® via TEL N0. '�� - 3 ka L ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance �. Approved By Rough -In Date Final Date o-efi State Surcharge $ .50 MINIM M FEE LANY PLUMBINGIGAS PERMIT IS $20.00 TOTAL FEE PLUS THE $.SO 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. 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 existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) 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 ( ) 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 as per 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 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 CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. 6451 University Ave NE ° Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, @,572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 11411Q%dZ)k. /J, O� RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - yo, C L rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $x@:80 $ 3C2.0b representations stated in this application are true and correct. (Side Vent - Fill Out Back) /® - /&-QQ Gas Piping (Needed with new furnace) $10.00 $ OWNER HAZ 1 Gas Range $10.00 $ BUILDING USED AS 1W Gas Dryer $ 10.00 $06 _ ESTIMATED COST, PERMIT NO. *Air Conditioning - All Sizes $ lem $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST�ON BACK) 1% of Value of Appliance or Work 1000 $ 0.0® No. of Heating Units_L_ Circle One (Steam) (Hot Water) (Warm Air) Trade Name A) U D Size No, UG 00- Commercial/industrial BTU !2S ®®a HP EDR 1 % of Value of Appliance or Work $ Fuels Total Connected Load State Surcharge $ b0 Burner Trade Name Size No. TOTAL FEE 0� BTU HP EDR SUPERIOR CONTRACTORS 1NC 6121 42nd Avenue No. HEATING COMPANY Crystal, Mn 55422 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By� Tel No. 16-15 %- / PLUS THE $.SO.STATE SURCHARGE REINSPECTION FEE $3f= Approved By Rough -In Date Final Date *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ` s NOTE: #1 through #8 required when using a side vent furnace. 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 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 8. Has combustion air been provided for water heater Remarks: pot,) " r,-" Wl"f Yes ( No ( ) Yes No ( ) F�b Ri✓A-e45 k "I-hc-� c env- Zvi G�(` )A�J &t2 FO le- � 14 U Are 1 s 6 tZ-5 POc4L PeAs List ALTERATIONS Being Done. HEATING CO: Signed By: Date: vUPERI®R CONTRACTORS INN 612e1rm ld I°SA1 i onue 5542 No. �P-l0-i-S- I G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 March 23, 2001 Majdi Wadi 5490 Matterhorn Drive NE Fridley, MN 55432 Re: Final Inspection at 5490 Matterhorn Drive NE Contractor: Superior Contractors Inc Dear Mr. Wadi: A mechanical permit was issued on October 15, 1999 for the installation of a furnace and water heater liner at your address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the appliances were installed correctly. We also need to check for the installation of combustion air, vent and connector sizing. If you would like the installation inspected, please -contact us within 30 days to arrange the inspection. If we do not hear from you we will expire the permit and note that no inspection were called for. Any questions can be addressed to myself at (763) 572-3603. DJ/mh 01 sue'ECT ERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT �i 3301 1 r 1 1 COMMUNITY DEVELOPMENT DIV. j E � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 763-571-3450 RECEIPT NO. 476-$ NUMBER 910415 REV DATE 8/22/02 PAGE OF APPROVED BY JOB ADDRESS 5490 Matterhorn Drive NE 1 LEGALLOT DESCR. NO. 1 BLOCK 5 TRACT OR ADDITION Innsbruck North Addition SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Saeda Wadi 5490 Matterhorn Drive NE 763-502-0099 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same d 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 B DESCRIBE WORK Reroof House & Garage (20 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. t 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT CU FT 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $2,144 SURTAX $1.07 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 W PLAN C7EE TOTAL FEE 86.46 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi WH NPR LY VALIDA D THIS IS YOUR PERMIT00 SIGNATURE OF OW NER,Iv pWNER BUILDER. IDATE. 8 DG INso4AtE 01 NEW [ j CITY OF FRIDLEY Effective 1/1/2002 ADDN [) 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �5q 1b Aa4crVs,n stir ? �t_ Legal Description: Owner Name & Address: Sa�_o�� �9 a�1�� Tel. # ( X63) Contractor. 0 N'_ tiVAe_y- MN LICENSE # Address: Tel. # 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: ve &'Z Construction Type: Estimated Cost: $f / Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: S)Zz /d i APPLICANT--�`—.— Tel. # cW3') _V0 2 _oo� Call (763) 572.3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ 83 $ 02 $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary[ ] TOTAL $ 7 0 STIPULATIONS: Building PLUMBING Permit No.:11 AXV Inspections RESIDENTIAL APPLICATION Received By:JA 763-572-3604 CITY OF FRIDLEYna� aIM °�l N 17 763-502-4977 FAX EFFECTIVE 2-19-09 DATE O YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER 1 CONTRACTOR PROPERTY NAME: OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME siQFj SUBMIT A COPY OF R STATE STATE LICENSE; -201 EXP DATE / Z -3 r —O LICENSE, BOND AND STATE BOND # W1400IL163g EXP DATE /1—,3(-09 CERTIFICATE OF / ADDRESS: � i 4 36-"3 0 �`Aos CITY -� STATE ice.._ ZIP INSURANCE PHONE 7 to3 —LI 7 (o " Ll Bio I FAX PERMIT TYPE RISINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: 13 NEW 7;P<PLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING _ —BATHTUB —GAS PIPING (NEED CITY LIC) —SWIMMING POOL WATER SOFTNER ($ _ _ CLOTHES WASHER _ KITCHEN SINK 7-- WATER CLOSET PREV. $1 _BACKFLOW _DISHWASHER _LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER u > � � t� 't� � 1l 1 � ku.;^�k£`.'w�'fi �i� 5 � � �•�"".^.Tv` F��rt �' � � i' � '� �� �� "� � � � ,- iai . �s Ti, , ,T -� [�E3 T'g � �� 1 1 '' � � w.+. � Ye. l - -� L -fi'�� ( F `✓�Ah g� -: �2° A - .. t THIS IS AN APPLICATION FOR A 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 thK case of all w rl which requires review and approval of lans. rr SIGNATURE OF APPLICA L —12 _ PRINT NAM DATE l0 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY tae n : UN 763-502-4977 FAX EFFECTIVE 2-19-09 DATE "- YOUR E-MAIL ADDRESS � SITE ADDRESS S f-ig® r NC THIS APPLICANT IS: ❑ OWNER MCONTRACTOR PROPERTY NAME: OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # 65095P/)'A YOUR STATE EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: Vk?O mac//��/ 74 L M CITY �-Broa4.-'Y'— e STATE ZIP INSURANCE 6 /,-2 PHONE ,�,3a- / U C FAX PERMIT TYPE WINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: 0 NEW ® REPLACEMENT DETAILED DESCRIPTION OF WORK "y (,J�%`eo- FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER: OF EACH BELOW). MINIMUM FEE $35.50. _ BATH SINK/LAV _FLOOR DRAINS _ SHOWER WATER PIPING _ BATHTUB _ GAS PIPING (NEED CITY LIC) —SWIMMING POOL SOFTNER($ —WATER _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET —BACKFLOW PREV. $1 _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER q �y ..'i mt { +�• '�` G ^� � .. yY.�. � � � � 5 £SbD k � - L �F � 4�� y „,j� � � S � J� � r ,..5.. n t£ y '., THIS IS AN APPLICATION FOR A 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 plans. ,rof SIGNATURE OF APPLICANT - PRINT NAME DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977