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PRE 2010 DOCSCID f�J 4 c U; lQ iiJ LL LL INI Ws CITY OF FRIDLEY INSPECTION DIV. 6431, University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner – A1so Replacement Furnace (Side Vent – Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas -dryer *Air Conditioning – All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work C om merc ialll nd u strial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 S $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ $ $ 2-s-. co Effective On March 1. 1996 JOB ADDRES5 J cz 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 ai rulings of the Building Division, and hereby declares that all the facts and representation3 stated in this application are true and rrect. ^,194? OWNER Crrx"� tit - �0 3 ( BUILDING USED AS w�-C ESTIMATED COST ILaZ" b o� PERMIT NO. / QF—§CRIPTION OF FURNACE AND OR BURNER No. of Heating Units �� Circle One (Steam) (Piot Water) (Warm Air) Trade Name `, c 44-c- Size No. BTU HP EDR Fuel _ _ Total Connected Load State Surcharge x.50 Burner Trade Name BTU TOTAL FEE MINIMUM FEE FOR ANY HEATINGJCOOLINGLVENTILATION REFRIGERATIONIAIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REI NSPECTION FEE $42.00/Fir %Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATI Signed 1 Size No. HP EDR 7 Tel No. 9 ? 7 Approved ByRough-na a Final Date FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE It GRAVITY WARM AIR: RATE TOTAL 1� �y / Job Address ._isz- /° Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: /The undersigned hereby makes application for a permit for the work herein the City Codes Furnace Shell & Duct Work to 100,000 BTU $12.00 $ /� c()0 specified agreeing to do all work in strict accordance with each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ �. Fridley, Minn. /v , 19_ �' STEAM OR HOT WATER SYSTEM: OWNER/� Boiler & Lines up to 100,000 BTU $12.00 $ /��// KIND OF BUILDING EM 2L each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS��iCJ each addn. 50,000 BTU 6.00 $ A91- TO BE COMPLETED ABOg/ OIL BURNER- to 3 gal. per hour $10.00 $ (�� jjyy�-Y�Y each add. 3 gal. per hour 10.00 $ ESTIMATED COST /L�.�L✓ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ � / 7 c OLD - NEW BUILDING PERMIT NO. PERMIT NO. ' / AS) n (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: lst 3 Fixtures x $ 3.00 $ loo DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ —� Gas Range to 199,000 BTU x $10.00• $ HEATING or POWER PLANTS, Steam,_Hot Water, Warm Air- No AIR CONDITIONING $ Trade Name Size No. _!/O FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS $ Capacity sq. Ft. EDR BTU � HP ALTERATIONS $ REPAIRS $ State Surcharge $ .50 Total Connected Load Kind of Fuel TOTAL FEE $ BURNER - Trade Name, /"Z � Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Dates ($10.00) �� ® ((�� Company dU' d FINAL INSP. Date Sined By g APPROVAL FOR PERMIT Tel. No. MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE DDJd HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION Weatherstrips Guide Construction No. Windows Doors Reference Out. Wap lat. Wall Ceiling I Roof Floor Ye— s—Foo— I es— 0 19— I F1.1 :a h Room I Lenath -t-) Width o (D Height II / Fl.I ,0 Win ows and Doors--Crackage and Area I Width Height No. of Lineal ft. Area No. o[ pane of vane llghte of crack s9. it. Width Height No. of Llaeal•tt. Ana No6 of pane of pane llghte of track p. ft. Width Height Noo seal tt. Ana No. of Dano of pane llghte of crack p. ft. Coef.1 Btu Infiltration Glass Btu Exp. wall � Net exp. wall Int. wall ont', Glass Ceiling0 Floor (? Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i F1.1 A Pl Room I Length / 7 Width 11 -Height Windows and Doors—Crackage and Area I Windows and Doors--Crackage sad Area Width Height No. of Llaeal•tt. Ana No6 of pane of pane llghte of track p. ft. Width Height Noo seal tt. Ana No. of Dano of pane llghte of crack p. ft. Coef. Btu Coef. Btu Infiltration � Glass Glass Exp. wall (? Exp. wall ®'►. _ Int. wall Net exp, wall' Int, wall Ceiling Ceiling Floor Total Btu. Required sq. h. ED.R. or sq. ins. W.A. Leader area - ,, v -I n 1 e _.a J nrrLi 1p-7 -4rl^-_t . ray - • .. ty N�"& i a cmg. w acs.. ucyw Windows and Doors--Crackage sad Area ^t. Width Height Noo seal tt. Ana No. of Dano of pane llghte of crack p. ft. Coef. Btu Infiltration coef.1 Btu Infiltration � Glass 1 Exp. wall Net exp. wall _ Int. wall (� Ceiling Floor Total Btu. ft. E.D.R. or sq. ins. WA. Leader area �� Y-,'13L•I�l MiNNEAPOUS. MW. Insulation Kind How Applied RMm I 1 meth B Width Height Windows and Doors—Crackage and Area / f r Width Height No. of Lineal ft. Area No. of Pane of bane Ilthte of crack W. ^t. Coef. Btu Infiltration 19 "Yo Glass � Exp. wall L676 1 Net exp. wall /-- Int. wall Ceiling Floor _ Total Btu. Ll 1l/ 1q, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1 ,<- „n _ Rnem I Length %, Width . Height Windows and Doors—Crackage and Area I Width Height No. of Lineal ft. Area No. of pane of pane lights of crack ea• ft. e ® ` Btu Infiltration Glass � Exp. wall rs- IF Net exp. wall Int. wall Ceiling (� Floor Total Btu. -A 2.24az Required sq. ft. ED.R. or sq. itis. WA. Leader area / F7_I /,,nJA rat 1 lsnetth 77, Width Height Windows and Doors—Crackage and Ana Width Height No. of Lineal ft. Area No. of Pace of pane lights of crack $a. ft. e ® ` Coef. Btu Infiltration Glass�• Exp. wall � Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. ED.R. or sq. ins. WA. Leader arra DIM : - �y HEAT LOSS CALCULATIONS DEPAR MENT OF INSPECTION Weatherstrips . Guide Construction No. WindowsI Doors Reference Out. Wag Int. Wall Caging Roof Floor Kind —Y—e,--1T0— es— 0 19_ ,,4hA1 Room I Length lij Width, Heights II .I - Room I Le gLineal 1 1 �p Width Height No. at It. Ana No. of vane of pane Ilghte of crack N. ft. Coef. Btu Infiltration Exp. wall �� Glass Exp. wall dg—j � Ceiling Floor A60 Net exp. wall Floor Int. wall Ceiling Floor Windows and Doors—Cracks an Area II " Win—diiN and Doors—Crac I otal Btu. Required sq. It. E.D.R. or sq. ins. W.A. Leader area —1 n i rs .a -rpt n--- 1 t -- -.L N.1 TU,e�.1 s U/ tr_e_r. Wi It a - and Doors--Crackage as Arca Width Height No. of Lineal ft. Area No. or vane or pane lights of crack @a. ft. Coef. Stu Infiltration Glaze "Pa ZTJ Exp. wall Net exp. wall (� Int. wall Ceiling 7a Floor 771- 0E,7e --- Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl. / Ild Room I Len 0 Widdt /: Windows and Doors--Crackage and Area Wldth Height No. o a al tl. Ana I` N`. or pas• or Wa• nrhe• or crack p, rA Btu Infiltration I (, c Glass Exp. wag Net exp. waU Int. Willi Ceiling L Floor Total Btu. LRequired sq. ft. E.D.R. or sq. ins. WA. Leader area N ' •"13L•�'i j DIM. M iN. 1I Insulation Now Applied width it,/ Height Area t. Area Coef. Btu Infiltration —01" Glaze 00 Exp. wall Net exp. wall Int. wall Ceiling e� — Floor Total Btu. 16160 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area n F1 -1 ales A,, �Aente I Untrth i P Width 1 a Heissht Win ows ` nd Doors—Craekage and Area Width Height No. of Lineal ft. Area No. of pane of tae lights of crack eq. ft. Btu Infiltration 7 Glass Exp, waU v Net exp. wall Int. wall Ceiling Floor A60 Total Btu. 0(� Required sq. ft. E.D.R. or sq. ins. WA. Leader area !l_I Room 1 Un•rth Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. It. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 1 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT ,— PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 _each add. $100.00 or fraction NO. RATE vi x $3.00 $ m x $2.00 $ u x $2.00 $ Water d $ x $5.00 $ E .oi go $10.00 $ e x a w x Heater -A -A dl e $5.00 $ m x i+ y $4 ,C 0 .d x M $ $ M ro o g ` ro 0 ro m m m v 14 oa o w to w as a 3 a ti o as lec lst l 1 1 I 2nd 1 3rd Qj 4 th (R) = Future Connection Opening Connected with 14 Sewer (*) = New Fixture, old Opening Water T.� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 _each add. $100.00 or fraction NO. RATE TOTAL x $3.00 $ Sd•60 x $2.00 $ c9•M x $2.00 $ x $5.00 $ x $5.00 $ 5.00 x $10.00 $ x $7.00 $ x $5.00 $ x $5.00 $ x '$3.00 $ x $1.00 $ x $10.00 $ $5.00 $ $2.00 $ State Surcharge $ .50 TOTAL FEE S 4/ / REINSPECTION FEE ($10.00) Job Address ae 'p g Jam - 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. 10-1 , 19-77 OWNER ®dcr RIND OF BUILDING Io US USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company S h u C0 Signed By Tel. No. ROUGH INSP. Date FINAL INSP. % ? 7 Date APPROVAL FOR PERMIT .A�' MINIMUM FEE FOR ANY PLUMBING FERM2T 23 $7.50 pZ= $.50 STATE SVRCEAj= Cit of Fridle y y SUBJECT It NO. ®1398 WI AT THE TOP OF THE TNS P E R f Z BUILDING RECEIPT NO. `y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 ; � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 4/7/77 JOB ADDRESS 5567 Matterhorn Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 7 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harstad-Todd. Construction 2200 Silver Lake Road, New Brighton 636-3751 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 l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK .r. Construct a 52' x 26' Dwelling and a 22' x 22' Gars a PERMITS -REQUIRED rid ®Ivii i REGARDING SEPERATE .ON C 9 CHANGE OF USE FROM HEATING,PLUMBINGAT GA f��+ DRIVy�y OPENING ENIN STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide louvered door to furnace room. Provide exhaust fan to laundry room. Expose sewer before setting foundation elevation. Side yard setbacks of 10' minimum required. Provide design copies of all trusses used. SEWER LOCATION (Approx. 12' Deep) 47' North of Manhole (Inv. 976.93) WYE ELEV; 976.54 TOP OF FOOTING: 980.04 Minimum WATER LOCATION: 47.5' N.E. of Manhole, Approx. 10' South of Sewer Service DRIVEWAY DEPRESSION: NA, Fridley Surmountable Curbing Inplace. TMI CRY OF FOW DOES NOT GUAW411 THE 9LEVARom& WARNING Before digQil� 1 f� uti4ii 0 �ACCUQACY OF UMov LOCAMM AND RIFOP AAIM PUP•POSES ONLY AND EtECYNfC-6AS� I;i,i DATA 13 KOk TELEPHONE SEPARATE , , IVW UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUP C A VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1088 + 484 32,840 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, $56,270 $28.14 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- $131.36 $375.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE <0z /we� eNzalm— % -7-7 2.84 $ 567.34 SI NATURE OF CONTRACT R.ORAUTHORIZEDAGENT (DATE) PR PERLY VALI ATED THIS IS Y''ODU/R PERMIT AAS�HEN SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI BLDG INSP OAT N CERTIFICATE OF SURVEY FOR: Nars-4ad - Todd Constru&rlon CA. ■� C,UAWme 'Mf DOES 1401� p'R014j �Il: .toQ�� wV LO�`n oAsRVOSES OXY O*k° R iWOULD Legal desca-ip-l; iort a Lot 6, Slock Z, I 135.00 ';WARNING 0 i Befotg� digging cab IOC81 utilities TELEPHONE' ELECTRIC -GAS Eta �6 nUIRED BY LAW I NN5BIR UCW, W%nnesa+a 01000 DEMARS -. GABRIEL LAND SURVEYORS, INC. 3030 Harbor Lane No. Plymouth MN 55441 Phone: (612) 5594)908 NORTH, Anoka Coup+y 7 I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described lard and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this 1 -1 -FE► day of Marsh , 19M. Minn. Reg. No. 1044 v File No. 73?- Book 32Book — Page 15'— S3 Scale �/� r = d e p �m - );? ff 6 1 a 00 P/a) 07� pie, gf s 4� r a'a ;Oow CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) 1' 1 LOT: r— BLOCK: _7Z ADDITION: CORNER LOT: INSIDE IDT: fj:� SETBACK: Jj � SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: / Front: � l Depth: Height: f® Square Feet: Cubic Feet: Type of Construction: a.,,L2� L Estimated Cost: $ ;� DCS p p -To Be Completed: �/ l /Alt. A Alt. B Proposed Driveway Width If New Opening Is Desidred $ Z'�" $ (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 additional information. DATE: C/ - �' –7 7 SIGNATURE: Stipulations: l.) F�rrsh.:4 Aru&+ .J Doo2 ra 02, �e�► c r 2v0 r� e-011�� 3.) rax ao s e 4.--.,,A. eti4;, A K145 s6 % 31 I47 I G ! j I I o � I • �AA.I . I I 1 I I I I I I I /Q ,ac) ! � �; O? � e�® �_ X! �t �. f �� 3' O� i �8 0 • IV ® i I ! I I i - I 1 — � -- ! I I , I I EXTERIOR ENVELOP AVERAGE ►►U►► COMPUTATION OWNER SITE ADDRESS CONTRACTOR DATE ;C �/" -Z7 FHONE 3e 7�%/ Determine working square footage of each. 1. Total exposed wall area ... sq. ft. x .17 = 2. Total roof/ceiling area ft. x .05 =� Total exposed wall area above floor = y/ a. Total wall window area ............................. ,10.76 b. Total door area .................................. 60, e"3 c. Total sliding glass door area .................... 19eI.,-3 d. Total fireplace wall area.......... ............ io S'00 e. Total wall framing area (average 100) ............. -,✓ o f. Total net wall area above floor ................... 1972. g. Total rim joist area ............................ Total exposed foundation area h. Total foundation window area....... ............ — �-� i. Total net foundation area above grade ............. ZZ 00 Determine ►►U►► value of each wall segment. a./G� 7 �� x ►►U►► b x ►►U►► x ?full f -/ 9 77 6-:� x ►►U►► h. --= x ►►U►► _ i. / 411"-"620 x "U►► 3...................................Total = If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 102X - j. Total skylight area ........................ k. Total roof/ceiling framing area (average 100.. 1y?,p.p q 1. Total net insulated roof/ceiling area......... 9 79.,2c? Determine "U" value for each roof/ceiling segment. j. x IfU„ _ k. /��. '� x Ifull 1. �9 :20 x „Utl 4. .................................... Total = J If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than thes of items #1 and #2. 3 -4/0 3 + 4 S-g5�— _ �� e d*f.` J y r..sa�+d�JaV F` r. r January 4, 1978 ZE, 8431 UNIVERSITY AVENUE N.E., FRIPLEY, MINNESOTA 65432 Mr. Bob Todd Harstad-Todd Construction Co. 2200 Silver Lake Road New Brighton, Mn. 55112. Re: Final Inspection at 5567 Matterhorn Drive N.E. Dear Mr. Todd: TELEPHONE ( 812)571-3460 A final inspection on December 30, 1977 noted the following items which must be completed before the above address can be finaled out; 1. Provide sod in the front and side yards by June 10, 1978. 2. Maintain 3:1 slope or install retaining walls by June 10, 1978. 3. Provide a hard surface driveway by June 10, 1978. 4. Repair cracks in east wall block joints under deck by June 10, 1978. 5. Complete exterior finishing by June 10, 1978. 6. Install deck support posts on wall side by June 10, 1978. 7. Install permanent deck supports under front entrance by January 14, 1978. 8. Provide nuts on anchor bolts in garage by January 14, 1978. 9. Complete steps to front deck by January 14, 1978. 10. Complete steps to garage by January 14, 1978. 11. Provide temporary steps off rear deck by January 14, 1978. 12. Complete flashing on chime by January 14, 1978. 13.- Provide vents over south roof portion by January 14, 1978. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, RON HOLDEN Building Inspector RH/mh i E June 28, 1978 6431 UNIVERSITY AVENUE M.E., FRI®LEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Mr. Bob Todd Harstad-Todd Construction 2200 Silver Lake Road New Brighton, MN 55112 Re: Final Inspection at 5567 Matterhorn Drive N.E. Dear Mr. Todd: A final inspection was made on June 9, 1978 of the above address and the following items were noted which must be.completed before the structure can be finaled out; 1. Provide nuts on anchor bolts by July 7, 1978. 2. Provide a retaining wall by July 7, 1978. 3. Repair cracks in east wall by July 7, 1978. 4. Finish. the exterior of the structure -by July 7, 1978. 5. Provide deck posts by July 7, 1978. We will expect the above items to be completed by the scheduled date when a reinspection will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sinc , RUN HOLDEN Building Inspector RH/mh SUBJECT City of Fridley (1-2279673 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir • ______ COMMUNITY DEVELOPMENT DIV ~ `J r 1 PROTECTIVE INSPECTION SEC NUMBER REv DATE PAGE of APPROVED BY CITY HALL FRIDLEY 55432 1•' 612-571-3450 910-F15 10/4/94 106 ADDRESS 5567 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 7 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Holter 5567 Matterhorn Drive NE 574-2034 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 Ek REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (22 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 $1,650 $.83 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- $34.00 Fire SC $1.65 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $36.48 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi WHEN PROPJJLY VALIDATED THIS IS PERMIT 0 w i A / B G )NSP AlUR - "i HATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) e NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: - Y & -? 44 STT E ✓ - �f o t' Al 13 v -- Legal Description: Owner Name &Address: DSI v► o F h'eLT �/'�. Tel. # L� -)-0 3`�J Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground , Sq. Ft. OTHER: 13 e, R 0 crf' os Tea r _.A Z Corner Lot [ ] Inside Lot [ ] Ft. ` Yd Setback Side Yard Setbacks Type of Construction: 'F► b c r G- /� S S Estimated Cost: $ % �r 56, � Approx. Completion Date: / l/0 v q (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ `! _ $ DATE: T - ,-) q - y APPLICANT: Tel. # 5� y - 2-<2 3 `f COY USE ONLY v Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ A C5 .001 of Permit Valuation (1/10th%a) State Surcharge $ , a,j $.50/$1,000 Valuation SAC Charge $ $800 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 $ -3 STIPULATIONS: City of Fridley SUBJECT c72337i� AT THE TOP OF THE TWINS BUILDING P E R M I T Ir? L RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. � � PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/24/95 JOB ADDRESS 5567 Matterhorn Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 7 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David/Gail Holter 5567 Matterhorn Drive NE 574-2034 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Archadeck of River Valley 5608 O'Brien Ave N, Stillwater MN 55082 439-1370 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20016435 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace and rebuild 10'11" x 15'5" deck in front yard 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. IWG Before digging call for all utility locations ABY REQUIRED LAW 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 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 $1,372.35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $.69 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $33.00 Fire SCC $1.37 ST UCTI OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE _ R`J'�a y-�5 License SC $5.00 $40.06 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN�PIRROOPERLY LIDATED THIS IS YOUR PERMIT BL INSP e DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATI n NEW [) Effective 1/ 1/95 ADDN (] CITY OF FRIDLEY p, ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2/�� r Building Permit Application J Construction Address: 536') MflT�i I SN D3 1 U e, Legal Description: Owner Nam4&dress: u 1 �- l a L Tel. # �J� Contractor• MN LI NSE # �i�) SI�el. # L q Address: c� [ �Ve �D. 1 i'��U i 3 1 Attach to this application, a Certificate of Survey of the ®f lot, with the proposed construction drawn on it to scale. 61A VLLey DESCRIPTION OF IMPROVEMENT LIVING AREA: Length L' / ( Width / L Height Sq. Ft. g, GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground� Sq. Ft. OTHER: Comer Lot [ ] Inside Lot [ ] .Y etback 'J l- L i I Side Yard Setbacks Type of Construction: (..eJ�✓ ,� �y �L1� Q�c,,'rj Estimated Cost: $ Approx. Completion Date: Jme S' )995 (Cost on Back) Driveway Curb Cut Width Needed: 6 Ft = Ft x $ _ $ DATE: j-�o `o� -°j APPLICANT: ) Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 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 .P O. City of Fridley 25794 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r (fy CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 2/9/98 JOB ADDRESS 5567 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 7 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gail Reich/David Holter 5567 Matterhorn Drive NE 574-2074 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renewal By Andersen 350 73 Ave NE, Fridley, MN 55432 502-4777 20040630 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 M REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 7 windows in home with new windows 9 CHANGE OF USE FROM TO STIPULATIONS Home was built in 1977 - replacement windows must meet the State Egress Code (sleeping rooms). Install smoke detectors to meet the State Building Code - on all levels, adjacent to and in each sleeping room. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST, OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ $3.26 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,523 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- SC $6.52 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $124.75 We PLAN CHECK FE T TAL FEE Lice C 0 $139.53 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN R Y VAL IS YOURR PERIQJ�AIT /EDrTHIS V �- / L R SIGNATURE OF OWNER,IF OWNER BUILDERI IDATEI BL INSP FIATE %ECITY OF FRIDLEY TEL: 612-5.71-1287 Mar 20,96 9:48 No.001'.P.:01/02. NIV. [ ] Effective 311/96 -:.. . ADANj ] ' CITY' OF FRIDLFY ALTER A SINGLE FAMILY AND DUPJ.R= R-1 AND R-2 Building..Permit. Application 7 9 ;l. ConstructionAddress: 45'5-6-T M A M G4W-�q M qE- Legal Description: Owner Name & Address: _C4 2E 1 C 1-4 +- DAV 10 4 o Lrert, Tel. # S-1 7-0-34 _ Contractor. 'Q �Nl_l-f /.11.. Q`1 1(J��QSI�I MN LICENSE# 2(W(+ 30 Address: 3.50 -n P o AJC rJE: .1 t� f Y1 r4 5574? SO -241-_7'71. 9l. 2 Tel. � Attach. to this application, a Certificate of Suryey of the lot, with the propos construction drawn on it to scale. D]ESC"rION OF B4PR0V.EhWM LIVING AREA: Length Width Height Sq. FL GARAGE, AREA: Length Width Height Sq. FL DECK AREA,: Length Width _ -- Hgt/Ground Sq. Ft. OTHER: (Wf4-A Lt✓ 1,4PC" S 1 t r Home W .i r 4 COM PL'TE kEN Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Sidc Yard Setbacks Type of Construction: _ ' Estimated . Cost- Approx. Completion Date: (Cos t. on : Back) Driveway Curb Cul. Width Needed. FL +.6 Ft = Ft $T _ $ DATE: 2 1 APPLICANT: ' Tel. # '-SOZ- 177-2 _ Permit Fee Fire Surcharge State Surcharge SAC Charge T.1cense Surcharge Driveway Escrow Erosion Control Park Fee ' . - Sewer Main Charge TOTAL STIPULATIONS: -CITY USE. ONLY S !, 7� Foe. Schedule on Reverse Side $ :001 of Permit Valuation (1/10th) . �� N $ $.50/$1,000 Valuation S' $ . $900 per SAC Unit r� $ a -$5.06 (State Licensed Residential .Contractors) $! Alt.."A" or Alt.. $ $450.00-Conservatiou Plan Rcvicw - >IV $ Fee Deterngued by Engineering . $ Agreement Necessary [ I Not Necessary • .0, SUBJECT P City of Fridley 23526 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT 'r ' � • COMMUNITY DEVELOPMENT DIV. _______ L r I i PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 7/10/95 JOB ADDRESS 5567 Matterhorn Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 7 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Holter 5567 Matterhorn Drive NE 574-2034 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 j ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 10' and a 12' x 10' Deck in rear yard 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Treated lumber for handgrip on stairs. WARNING Before digging call for all utUlty locations 454.0002 REQUIRED BY LAW 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 MOT. 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 $4,960 $2.48 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- Fire SC $4.96 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $72.00 PLAN CHECK FEE TOTAL FEE $79.44 �GNATURE OFC y./BRAC ORO A THORIZEDAGENT IDATEI I/� WHEN PER VALID TED THIS IS YOUR P ERMIT {iJCV►�lj /�„( � O � F � - SIGNATURE •F [)WNER �iF OWNER BUILDERi IDATEI ■L INSP OAi NEW O Effective 1/ 1 /95 ADDN (] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: S (9-1 -M d ?T E'Z he 2 Old Legal Description: Owner Name & Address: Def Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: t F Ho L-TE� Tel. # S 7 y- 2-o `3 � ��N�LICF�NSE# Tel. # `% tp q _6 7 7 $ 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 10 Hgt/Ground $° `/ Sq. Ft. / C.,o o —0 -, ) � Corner Lot [ ] Inside Lot [ 1 Ft. Yd Setback Side Yard Setbacks T of Construction• W v a � & uth rq ro l le -V Estimated Cost: $ 'y 1 (0 O YPe -- Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ PATE: % 7 -'Y s- APPLICANT: 6 .4 v i i7 F If®L 7-5/1- Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �a.00 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%} $.50/$1,000 Valuation $850 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 ( ] -T',-,&z L STIPULATIONS:�� fJo4es,, ZAY Tloi,5lb e Dod 6 1 e- 7-4 9eAJVZ> S(Ar4 ,,64w,ee,i1 S A 4-S stq5 MAV Z -X Yl. !6' IRTIFICATE mor- OF SURVEY Co�,r� Co t /3roo i0 a�. /O / a i ° Oenalesle 3S 36.4 :V /0 �proir�oye e�' U�`i/ity Eo,rerr��fs � /0 ,�soo 1 11 j � ;k. e .hereby certify :f hat ;this as a true and corlrect, ceprAl~�tatioi► of a survey ot. tde V a p .G: RU.D&,'SONSNINC x� o�sndarler of the above dscribad land, omd of the�l as On O� cli .bui(djngs; i! 'any,' L`AND:'' SURVEYdFtS `= limon, bnd all v%ible �i�croachments, if any?from otonY aid IcnE ; ` ,:: t =Y ` a •; INC. 3847 155th Avenin: -.N Esq; a Anoka ',,-M °.;5'5 U3��; ` �, SUBJECT - City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 3 0 6 2 9 i COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. /V r PROTECTIVE 1 � � CITY HALL FRIDLEY 55432 NUMBER REVD ATE PAGE OF APPROVED BY 612-571-3450 910415 1/14/00 JOB ADDRESS 5567 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 7 1 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Holter 5567 Matterhorn Drive NE 574-2034 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 350 73 Ave NE, Fridley, MN 55432 502-4777 20130983 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 O NEW 0 ADDITION O ALTERATION J3 REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Replace 5 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. permit inspection Cards Will Be Mailed To Homeowner %Post 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 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 r @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,700 $3 •35 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- Fire SC $6.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $139.25 PLAN CHECK FEE TOT EE License C $5.0 $154.30 SIGNATURE OF CON TRAC TOR OR AUTHORIZED AGENT IDATEI _tWENPRO1 VALIDATE IS IS YOUR PERMIT Z�/:�� INSP F�AfE S-GN A TUBE OF OWNER, IF OWNER BUILOERI IDATEI NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �) BUILDING PERMIT APPLICATION Construction Address: 51210,+ Legal Description: Owner Name & Address: -bCLU kbjkC (baw\.Q g&gA ^t Tel. # kID-S7y, a)3y Contractor: RENEWAL BY ANDERSEN ME LICENSE # 350 -73RD AVE. NE Address: FRIDLEY, MN 55432 Tel. # At ( 612) 5024777 LICENSE #20130983 rvey of the lot _ .. _ _-1 it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: hstunated t;ost: �$ LQ ��- UU DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: DATE: I;) -�s .99 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Ft. + 6 Ft = ,a x $ Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th o) $.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 [ ] STIPULATIONS: CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes rAll Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.2517o of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $2.5.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On May 10, 1999 4' V JOB ADDRESS 55LoO ma�c)rn MC OWNERaB_',/1Cj VVn1 TOTAL BUILDING USED AS 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 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 $ .50. rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. $� HEATI • at)Dm Ct t Signe DATE F � - - TOTAL BTU's 7. Has a liner been provided for water heater Yes (/I- No ( ) 8. Has combustion air beer. provided for water heater Yes (,-)- No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: • CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes {/S No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes (lj 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 U-10, All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes (/I- No ( ) 8. Has combustion air beer. provided for water heater Yes (,-)- No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: • O CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 August 9, 2000 David Holter 5567 Matterhorn Drive -NE Fridley, MN 55432 Re: Final Inspection at 5567 Matterhorn Drive NE Contractor: Dave's Appliance Heating & Air, Inc. Dear Mr. Holter: A mechanical permit was issued on April 14, 2000 for the property located at 5567 Matterhorn Drive NE for a furnace and an air conditioning unit. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, Building BUILDING Permit No.: 4 d3C, InspectionsRESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLE�Y1 D DATE So O 8 CN` YOUR E-MAIL ADDRESS LQS1t1c1®� I!C 9 C • C.Cm1 SITE ADDRESS SSC¢ T ma •' ��- THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: •. S: CITY ADDREIIS STATE ZIP TENANT ^n PHONE:`.9l Ot -5)--79 " 0034 NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE #_ 1020 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 r STATE ZIP WITH APPLICATION PHONE License #20130983 ❑ SINGLE FAMILY/NEi 651-264-4777 PROPERTY TYPE ❑ TWO FAMILY/NEW C _ ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: -f— cwt •S'I> SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT* GARAGES ❑ ATTACHED GARAGE I. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: E3 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site PhWSurvey showing the existing structure ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1"B.0 FEE SCHEDULE) Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only anapplication f r a permit and work is not to start without a permit; that the work will be in accordance with the appmve plan in the case of all work whi requires iew and approval of plans. 'T 1 SIGNATURE OF APPLICANT RINT NAME Mok �V1Se, Y�� DATE �Oy