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PRE 2010 DOCSCity of Fridley, Minn:. 12036 � 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT .nates February 13, 1973 Owner: _ Lee Kupcho Builder Springfield Home Address - -37 3 Foss Road N.E. Address Same LOCATION OF BUILDING No 5581 Street —Matterhorn Drive ,N.E. part of Lot Lot 5 Block 7 Addition or Sub -Division Innsbruck North 1st Addition Corner Lot Inside Lot R Setback Sideyard , ek IIevation - 975_93 # ,AidMtti%, A 978-91 Wye Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 54' Depth 26'&36'FIjeight 10 & 20Sq. Ft. _ Cu. Ft 27,672 Garaee Front 24' Depth 22' Height 10' Sq. Ft. 528' Cu. Ft 5280 Type of Construction Wood Frame Est, Cost $30, 723.96 To be Completed 6 months r Stipulations: Provide a verifying survey before rough in inspection. Provide a hard surface driveway. Use split cedar shakes. WATER LOCATION: 10' South of Sewer. SEWER LOCATION: 125' North of Manhole SEPERATE PERMITS REQUIRED FOR HARING, $275.00 paid for SAC charges. HEATING, PLUMBING AND SIGNS. In consideration of the issuance to me of a permit to construct the building described above, I agree tg do Oe proposed work in accordance with the description above set ,forth and �/compliance with all provisions of ordinances of the city of Fridley. 15.37 Mate In consideration of the payment of a fee of - 52.00 , permit is hereby granted to S pr ingf ie ld Homes to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings anthee. city limits and this permit may be revoked at any time upon violation of any of the provisions of said �i ids motor -LARENCE BELISLE NOTICE: This permit does not cover the construction, Installation for whins, plumbing, gas heating, sower or water. Bo sure to see the Building Inspector for separate permits for these items. r APPLICATION FOR RESIDENTIAL, ALTERATIM OR ADDITION BUILDING PERMIT CITY OF FRIDLEYs MINNESOTA OWNM' S NAE:1 C�'� '- �rlL�mtt s e� ' ADDRESS: J,� �.� /C iT? AIMS LJ�. �T�r•r• e i a ifo!, 5 ZZ $TRW r• � 4 N!n i i ! � fr _OAS. //'� �� /i/1w�in�w+.r�} ca�' GG LOT., 5 BLOCS.: �i ADDITION: CORM LOT; INSUE LOT:, ._ SETBACK: SIDEYARD: AptivAtnt attach to th" few Eo Certificates of Survey of Lot and propooed 'ball4ftS location dram on #hese Certificates, _ DESCRIPTION OF BUILDING U Ee UA*4 As,. Devth: eg6 ,Aeight: f d 6 D_ a Square Feet; Cubic Feet3 ,� & LZ Front:. Depth; z Sei.ght: Square faet,,_ f Cubic Feet: Tyie of Constructions Estimated Cost: $ � 9a3• 96 Ire ft "14ted i J 4f Mw undersigned hereby makes application for. a permit for the vork herein spealftedo agreeing to do all [pork in stti.ct accordance with the City of Frldleay 0x4tvances and zutUp of 06 Department Qf Buildings., mW hereby laref ##at all the facts and representations stated inti this appItcation axe true =4 correct„ PAW; SIGNATURE. coo, (On Reva st'de For Addstional Information.) 1 '- 7� �1�z�1 q --41Y IFC'1 f �� '7 I� AppRcalion for Pourer Plaints and Healing, Cooprq, Venaa&ns Rely ger�afioD and Air QMcI MI" Syterns and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATZ 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 NECH. WARM AIA Furnace Shell & Duct Work to 120,000 BTU ...... . ..$10.00 each add. 60,000 BTU .................... .. 3.00 = Replacement of Furnace .. I ... . .... 6.00 ; Repairs & Alterations—up to $500.00 .. 6.00 ; Repairs & Alterations each add. $500.00 .... .. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $- Each add. 200 sq. ft. EDR Steam 9.o0 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 199,000 BTU) . ...... 8,00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures —X$100 $ of , o c Additional Fixtures x .75 $ Gas Range to 199,000 x= 5.00 ;- AIR COIfDITIONAIG FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL 9 -.2 3 - % 5 e Sae Fee schedule t TOTAL FEE (SURCHARGE $_.50) Dept. of Bldga. Phone 860-3480 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 Ordinance. and ruling of the Department of Buildings, and hereby declares that all the Pacts and representations stated in this application are trued correct Fridley Minn 187 Owner ?1&21 Kind of Building Used as - . --- - To be completed about Estimated Cost, Old New Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or PO PLANTS --,Steam, Not Water,�No (])J� Trade Nam e�Ll�'Lfil�yj�°/� Size No.14 - L�? 2 Capacity Sq. Ft E.D.R BTU HP Total Connected Load&T/i X 9== Kind of PUe BURNER — Trade Na.ne Size No CapadtY Sq. Ft. E.D.R BTU NP (REMARKS—OVER) CRONSTROMS HTG. St AIR COND, INC. Job Name. ik36,. 44M Excelsior Boulevard, Minneapolis 16, Minn. `r "' NEAT LOSS CALCULATIONS Job Address ��1y,� r A.S.H. . Weatherstrips Construction No. � Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied Yes=No Yes -No 19— Fl.� Room Length Width Height Length Ir Width Height Widdoid and Doors-Crackage and Area °, U�f /► �! �Q I Width Height No. of Lineal ft. Area No.. of pane of pane lights of crac%e sq. ft. v 64 c - o Glass Cee£ Btu Infiltration S' 2.5 Glass o Exp. wall Glass Exp. wall Net exp. wall C = ,o -40;'o /c, -5-0-b Int. wal 172-t:,,, Ceiling ri ` 2-& Floor,-/ [ Totil Btu. I/d' Required aq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l ,' Room I L enoth 7_ 3 Width / Se Heigh indows Ind Doors-Crackage and Area Width Height No. of Lineal It. Area No. of pane of pane lights of crack sq. ft. 64 c - o Glass Coef.1 Coef. B Infiltration o 2 7,V Glass Exp. wall 13 Exp. wall Net exp. wall.)- X DS] -j 2 172-t:,,, Net exp. wall J 2,X6 z 2-Ap= ® Int. wall [ Ceiling2 it2 Ceiling 4 Floor Floor Total13tu. 1 0 P� Required sq. ft. E.D.R. or sq. ins. WA. Leader area M-MLZA= Rnnm Il.enelh Width f Aaht Windows X Doors:Zackage and Area Width Height No. or Lineal ft. Area No. of pane of pane lights of crack sq. ft. 64 c - o Glass Coef.1 Rtu Infiltration Net exp. wall $- L 4 4 2. Glass 13 Exp. wall Floor 172-t:,,, Net exp. wall J 2,X6 z 2-Ap= ® L,& Int. wall Ceiling 4 Floor Tbtal TEltu. 6 - Required sq. ft. E.D.R. or sq. ins. WA. Leider area Windows and Doors---Crackage and Area Width Helght No. of Lineal tt. Area No. of pane of pane jights of crack sq. ft. Required sq. ft. E.D.R. or sq. ins. -W -A. Leader area I Fl. Room I Lc Width Windows a d Doors---Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall(p X d'=t q 740 Int. wall L _ - Lr l ® / y l& Ceiling Rnnr % A 9r % 7i Required sq. ft. E.D.R. or sq. itis. WA. Leader area F1.1 Room I Length ee Width Windows and Doors-Crackage and Area Width Helght No. of Lineal ft. Area No. of pane of pane lights of crack sq. tt. Infiltration Btu Glass Exp. wall Net exp. wall Fr /0 f ppy Int. wall Ceiling Floor Z 3 a p Total Btu. �® Required°sq. ft. E.D.R. or sq. ins. WA. Leader arra 4 Coef.1 Btu Infiltration c - o Glass `L ' ab Exp. wall Net exp. wall $- L 4 4 - 0'6 d Int. wall Ceiling Floor 172-t:,,, Total Btu. % Required sq. ft. E.D.R. or sq. ins. -W -A. Leader area I Fl. Room I Lc Width Windows a d Doors---Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall(p X d'=t q 740 Int. wall L _ - Lr l ® / y l& Ceiling Rnnr % A 9r % 7i Required sq. ft. E.D.R. or sq. itis. WA. Leader area F1.1 Room I Length ee Width Windows and Doors-Crackage and Area Width Helght No. of Lineal ft. Area No. of pane of pane lights of crack sq. tt. Infiltration Btu Glass Exp. wall Net exp. wall Fr /0 f ppy Int. wall Ceiling Floor Z 3 a p Total Btu. �® Required°sq. ft. E.D.R. or sq. ins. WA. Leader arra 4 CItONSTROMS HTG. & AIR COND., INC. Job Nom- M56, ameM56, "10 Excelsior Boulevard, Minneapolis 16, Minn. NEAT LOSS CALCULATIONS Job Address e .uid.. ASHVE. Weatherstrips . Construction No, I Insulation G Windows I Doors Reference Out. Wall Int. Wall Ceiling I 4F1;e,/'or FloI Kind How Applied Nes—No 19— oom Length Width Height Room Length Widthef Height Windows and Doors—Crackage and Area Width He16ht No. of Lineal ft. Area No. of pane of pane it. le of crack eq. ft. "'Windows and Doors—Crackage and Area Width Helgbt No. of Lineal it. Area No. of Dane of Dane lights Total Btu. 3 6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ..., .....,.. _ of crack eq. it. Wincrows afd Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of vane lights of crack sq. ft. Coef. Btu Infiltration Exp. wall Glass Coef. Btu Exp. wall �p Net exp. wall 41Lm Int. wall Sbz Ceiling Exp. wall Floor yet Total Btu. 3 6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Windows and Dtwrs--Crackage and Area ..., .....,.. _ _ ._.e... 1W Wincrows afd Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of vane lights of crack sq. ft. Coef.1 Btu Infiltration Exp. wall Glass Coef. Btu Coef.1 Btu Infiltration 1 M ff01 13to Glass Sbz 'Lab Exp. wall it 0C Floor 142i - Net exp. wall/f---&f Total Btu. Int. wall L 4 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling . ! L Tw -q 117 Floor —� Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Windows and Dtwrs--Crackage and Area lCoef.1 Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. —4— Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Glass Coef.1 Btu Infiltration Exp. wall Glass Coef. Btu Exp. wall Net exp. wall Int. wall Int. wall Sbz Ceiling 4re AILZ 241'-2417 3 4 Floor Floor 142i - I 1 btal Btu. 1.5 to 1111 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I-1 otal Btu. Z Required°sq. ft. E.D.R. or sq. ins. W.A. Leader arra lCoef.1 Btu Infiltration Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Glass Exp. wall Coef. Btu Net exp. wall Int. wall ` Sbz Ceiling Floor 142i - Total Btu. L 4 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .I oo (Let►gth — Width C 2,Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of Brack sq. ft. Coef. to Infiltration a Glass a-ts Exp. wall Net ezp. wall 7-C y (e o a Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I-1 otal Btu. Z Required°sq. ft. E.D.R. or sq. ins. W.A. Leader arra Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 1— � ?i Coef. Btu Infiltration Glass ` Sbz Exp. wall Net exp. wall `- Int. wall Ceiling Z 2 - Floor Floor I-1 otal Btu. Z Required°sq. ft. E.D.R. or sq. ins. W.A. Leader arra CRONSTROMS HTG. & AIR COND., INC. Job Name 1336� A410 Excelsior Boulevard, Minneapolis 16, Minn. ��— ` NEAT LOSS CALCULATIONS Job Address ` A.S.H.V Weatherstrips Construction No. ( Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied Yes -No Yes—No19_ .I 4I�.WRoom Length Width / ?!Height II Fl.l Room I Length Width Height Windows and Doors—Crackage and Area. Width Height No. of Lineal ft. No. of Dane of pane Ilghts of crack Area eq. ft. Coef.1 Btu Infiltration Glass Exp. wall Coef. PtU Infiltration `L Int. wall Glass Ce Exp. wall Net exp. wall/ 74lu 16 Lam Int. wall Ceiling t,v I.i Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Rana I "north Welth Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pans of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor I Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width I Height No. of Lineal 1t. Area No. of pane of Dane Ilghts of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. CME to Infiltration Glass Exp. wall Net exp. wall Int. wall. Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 1 otal litu. Required`sq. ft. E.D.R. or sq. ins. W.A. Leader area Application for Power Pkmfs and Heating, Cooling, Yen0a&nR RgFy* _er�stion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAV*TY 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 $—_ _. MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ...... . .. $10.00 $ each add. 60,000 BTU .................... .. 3.00 i Replacement of Furnace .. .. .. .... 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $.-- Furnace . _Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.on $ _ Each add. 320 sq. ft. EDR Hot Water 3.00 $— OIL BURNER—to 3 gal. per hour &00 $ _ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 189,000 BTU) 6.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,00* x$ 5A0 $ AIA CORDITiORIlIa FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL !O - 2 1 -za. on See Fee Schedadule t TOTAL FEE $ /D . , —n (SURCHARGE $_.50) Dept. of Bldgs. Phone M-3= 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 an the facts and representations stated in this application arse, true ,and correct. Fridley, Owner Kind of Building Used as -. ____ To be completed about _ C Estimated Cost,Q— Old ew Building Permit No. Permit No. ,923 CRIPTIOR OF WORE HEAG or�PUWER _— team, Not Water, Warm Air—No-02V—, Trade Name Sire Capacity Sq. Ft. E.D.R BTU H.P Total Connected Load Kind of ptihet BURNER — Trade Name Size No Capadty Sq. Ft. EM R- BTU Mr. (REMARKS -OYER) URMGAVCO 53 -8t, -s-915.51 City of Fridley Aplicap2am fw Phr=hbg end Ghn rMiftng Ft _ Dept. of Bldga. Phone 550-3450 DESCRIPTION OF WORK 5581 N. E. Matterhorn Drive Number, Kind and Location of Fixtures Location— W II m Uu GG .7 V S < SII Z �4 v e / � F WATER 1TA. GAS ELEC. Base 1st Install as Grill 2nd 3rd 4th • Future Connocl Openiags I `'"="`&0Q '""a * Now Fixture, Old Openings Sewer 0 Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ 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 H•atw...... ........ s $2.00 $ 3AS FITTING FEES; NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ............. x $5.00 $ 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 o1 Buildings, and • hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn 9-24-74 „ 19, Owner Mark J. Dooley Kind of Building Frame Res. Used as To be completed about 10-1-74 10.00 Estimated Cost, $ Old --2&w Building Permit No. o • Signed ROUGH REPAIRS & ALTERATIONS—Aster to Coda .50 State Surcharge Install Gas Grill a 5.00 Description .............................................. TOTAL FEE a 5.50 Masa -A® SmfiargE� .51 By - - Business Phune No 01 SUBJECT City of Fridley 49 AT THE TOP OF THE TWINS BUILDING PERMIT ?'r' r , ECEIPT N • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � � /O 1 = � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 IL L----jk" " ,`J 612-560-3450 910-F15 4/26/79 JOB ADDRESS 5581 Matterhorn Drive N.E. i. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION ��; h - " SEE ATTACHED DESCR. 5 7 Innsbruck lst Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carol Dooley 5581 Matterhorn Drive N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. All Seasons Roofing 2717 32nd Street, Mpls., MN 869-6852 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 [j ALTERATION. ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof structure 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be second but not third roof. Install ridged galvanized valleys. SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. 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 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. $6000 $3.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VI OR CANCEL T PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOC LAW EGULATING C $36.00 STRUCTION OR TH PERFOR CE OF Co TRUCT N. PLAN CHECK FEE TOTAL FEE $39.00 G URE 6F dilWiCTOr 0,49H A ENT DATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT " _Q � )NSP - DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) IBLDG. 01 i • CITY OF FRIDLEY I ' APPLICATIOPI FOR RESIDE-NTIAL BUILDING PEN14ITS (NEw, ALTERATIONS, ADDITIONS,' OR REPAIRS) ' s OWiIER: ��%Z,y�� UILDL'R: Address: 71 ami , • Tel. No.:� No. SO / Street: ��Ojlja (;1 /t �AA'' LOT: BLOCY.: ADDITION: ' ,�,� ty,1 C ; L0 I . CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING j• To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: ? c i Type of Construction: Estimated Cost: $ To 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. See reverse side for ayle#tional ink rd�i tion. DATE: � %� rY ? SIGNATURE: _ i/�� -� /--�—•!� _� Stipulations: . r ' '�:��i ' �• y�iar. y� µµ F U�t 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432 TELEPHONE ( 612)571-3450 ril 6, 1981 nnetonka Pools . 1820 Wayzata Boulevard Minnetonka, MN 55343 Re: Swimming Pool Construction at 5581 Matterhorn Drive N.E. Dear Sirs: This letter is to make -clear this department's requirements for the swimming pool construction at the above address 1. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, four (4), inlets of approved design for fresh -and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2). times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 5.' A deck of at least three (3). feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with. decking of a minimum si.ze of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. Fencing or other effective means including but not limited to walls. or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. 8. An automatic chlorinator should be provided with a suitable test ki.t. 9.. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. ' Minnetonka Pools April 6, 1981 Re: 5581 Matterhorn Drive N.E. Page 2 10. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuum breaker or air -gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1ij times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115,.Swimming Pools. • The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, STEVEN J. OLSON, R.S. Environmental Officer SJO/mh CC: Ms. ,%Carol Dooley n Cdwo/ L it L i 17/ oL �/ftL�/,EB,S 60 ao XOHMMMU P@@L c' o 10820 Wayzata Bhd„ Minnetonka, Minn. 65343/612.546-3281 The following specifications are issued in compliance with all rrwIii: _health and construction codes stipulated. All equipment specified herein is NSF approved. The proposed private swimming pool is to be constructed located in rip: d LE � The following specifications include only the installation of one,7g6(.3S':FZR2. /ia 2C -.7'Z' vinyl liner swimming pool and shall not be construed to include any additional structure or shelter hereafter referred to or implied. Fence requirements are to be done by the owner as shown on the drawing. Any and all changes to these specifications must be approved by Minnetonka Pools and the - r:_,l department of public health. prior to construction. These specifications do not include operational permit fees or inspection fees. 11 n PcoL 'Sk AIt to JE Loc Ab G« PLA rtl+n2 +,k#,A1 3�p P-rOr S, A � L,�st e -;-Ai e /9Ad FurtkC #- t►.aAL S60 �'/`om RZAR Lost L ,;„(,C tom' &L W ; t\ %x At %) C 14 to Kt /t`VAI e ; -00 OF b11C ��G4 W15'r, &PL1v t c�•: •�/g �i�fo/ 591-ic CZcs;,i 0 &At,;z f G �QQ�:C2r 0. �LrG�Y:g � CrvV * -POO . W : A 0 Pr b"X361 610/ O' tf, IC/'os�'��%fig q/'vt/.c;a��/;ittEi!c2 d1n DISTRIBUTOR OF FOX POOLS / STRONGEST NAME IN POOLS ri GENERAL INSPECTION REMARKS The completed pool shall be inspected to assure that the entire filter system is free of leaks, the tank is clean and disinfected and proper safety precautions are implemented by the owner. The specifications do not cover decks, however, supervision to assure proper installation of ladders is provided. These specifications omit sanitary sewer, bath and wading areas. N:innetonka Pools, Inc. shall maintain temporary con- struction fencing to warn passers-by of the excavation and equipment. It shall be the owners responsibility to furnish necessary additional safety equipment. ?here are not port- able water sources included in these specifications or in the pool area. These specification shall supercede any and all former specifications published with regard to this pool by this company. Minnetonka Pools r � i LOCATIONo the pool is to be located as shown on detail print. The filter and heater are to be on the grade of the pool in the location indicated. The existing building and terrace shall be the determining source of placing and elevation. FOOI i The construction of the pool wall is of 14 gauge copper bearing steel, with 2 oz. of copper bearing galvanized per sq. ft. as manufactured by FOX Fools with a 2" mason sand bottom. The steel wall erection shall be accomplished as directed by Installation Manual, issued by FOX pools. The pool design shall follow specifically the configuration as shown on drawing, P-ain drain to be 2" deeper for proper flow or water while filtering. The transition as shown on plan. GROUNDING AND HOOK-UPt The steel panels, the steel concrete reinforcing, the deck reinforcing, ladders and any other miscellaneous metal fixture within 10 feet of the Fool perimeter will be grounded to conform with State Electrical Code. See print cross section for con- nection details. The filtration pump shall be wired to a minimum of 100 ANiP circuit, 230 volts utilizing a circuit breaker and onepull switch. All mechanical electric components are to be installed to N:innesota State Code. These specifications are not to in- clude any service to filter area. DISINFECTANTS Chlorinator, hrosion. ADDITIONAL SAFETY EQUIPVINTi The pool equipment shall include the following items: One test kit containing accurate tests for chlorine residual, PH test, alkalinity content and acid demand. The vacuum system shall cc•rs.lr," c -f one vacuum hose, one vacuum sweep, and one collalsable pole. The cleaning equipment shall be one wall brush and one leaf and debris rake. The pool shall be equipped with one.- two tread stainless steel ladder and one 3 tread SS ].adder be placed as indicated on location print. The ladders shall be removable to facilitate cleaning. The safety rope shall be placed at the transition point from shallow to deep dsid consist of 1" nylon rope and S floats. A schematic showirr. operation, backwash, balance and priming shall be posted near filter area. qhe schematic shall be labeled as to each gh e valve and ::how sequence of operation fcr normal backwa:;h and cleanitiv use. I 4 / RECIFROCAI PLUNBI:;G: All piping shall be located as to meet state code. The skimmer and return lines are to be 12" black plastic 80 lb. test pipe. The main drain is to be 1j" 80 lb. test black pipe. All joints that are buried are to be nylon or FVC double clamped and caulked. External manifolds of 12" galvanized steel and copper gate valves shall make the control manifold as shown on print. The pool tank' fittings are to Cycolac. The ret ns are : t.., � ft,, " r ay a1 5w, r �: •k.4 4.Py „y ,•.�p.+.yd �w:,r �' a d >5 e t y r•<;' }r � � { k �'.r r �''r e; y �i �f,�1� � F " #� .....( � �'est'3'-j'`"'�"+�'�,;�Cyge'�'�c_' , - �4s� •.:, .� 4;0,'6"" • ,,,,,,,�,._,,,,A..�.....00 141�itint W, • , loom M�Cmvffix ..,t to �•� A• i • y: Ohio 1 TWO j Cd' r 4 I 5 yt � 1� /Pj, � rr T� •{ ryP yd � y J J • <t E _ T r f ' �ih"Ir,r ` f" i. i ., f r 1 t♦ F� tf 1; 1 1 I a t j� �- 3• t} } f ✓•q t r r r � � 2 r `' t r� I,. ti �' f i F J tilb"'K ,. .4A'`Ysyep slow! ..M ;5t� rr{ ^2M 0 "ijt aha 1�aytSXry sr}ybta fti tt�. t k� ✓; I �,� P� e t in !a9 j w Y! n Ik rZ ,_t t L tl tin'J k 4 M. W to " ,c S.h +'• �� +:F d h 5 ;i' „V : �'�P `4ry i P � 1 i��k� 1 � � � a �'�'`^ `, tl �, t�'.�'�'� � , a}_y5;r }5. b t,.,•'� m ° d+`7(i �l 27 "!`L„ TO, �, +�St i r F. {;'. rt• rz I i!f i�r rl °t z,+�l ' � I .. y 'i� y A: r ;. ' `�`�`1•� } �` o -. `r �� t j:r 1��`'�n„t �y�Js`1�+g�' �4� 1y�N � +' }�' l�- . Y 1 � � A ” � I , v 1 •� i `r °' b i A } dri'" rct`i l� �`"i'Ti „Id .i7n�p'r r or{t � '�'j, r° ro a d 1 t ` Sun still! ---w -•.-..i.rr er�.lo.r,.?G^4s+ h .�f, § . w.r 7 .... r. } . .. .., , . ,K.. .. ... ( ♦ .... � 1 . _.. .,'e ., .. i .n 4 '$'CS>fi#: �`.r!k�.. !��}SYe,�',P�.'�,4" z`'�•n1dP'L�StN�,?:f:,,�,ai..i�' ... ._ .,. POO OO L93D OH& r 10820 Wayzata Blvd., Minnetonka, MN 55343 / 612-546-3281 PLEASE READ AND UNDERSTAND DATE 3-314Y / REQUIREMENTS FOR SWIMMING POOLS FOR THE CITY OF FENCE CONSTRUCTION REQUIREMENTS. Subd. 1. All outdoor swimming pools existing and hereafter constructed shall be completely enclolsed by a fence or wall. All openings or points of entry into the pool area enclosure shall be equipped with gates. �� , The wall or fence and gates shall be at least t feet in height ander ,,W,,,x if a fence, the fence shall be constructed of a minimum number eleven gauge , woven wire mesh corrosion—resistant material or other materials approved by the Building Inspector. All gates shall be equipped with self—closing and self—latching devices capable of being locked placed on the top of the gate or otherwise inaccessible to small children. All fence posts shall be decay or corrosion—resistant and shall be set in concrete bases, or other suitable protection. The opening between the bottom of the fence and the ground or other surface shall be not more than three inches. Subd. 2. No portion of any swimming pool or appurtenances thereto shall be located at a distance of less than ten (10) feet to any existing portion of a sewage system, nor shall any water supply line for a swimming pool be less than fifteen (15) feet to any existing portion of a sewage system. Minnetonka Pools, Inc. their permanent fence SIGNATURE OF ADDRESS a MPLIED WITH. e until owner has DISTRIBUTOR OF FOX POOLS / STRONGEST NAME IN POOLS City of Fridley SUBJECT -16 -110 AT THE TOP OF THE TWINS BUILDING PER M _ r � RECEIPT N COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 1910-F15 4/8/81 JOB ADDRESS 5581 Matterhorn Drive N.E. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 7 znnabruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carol Dooley 5581 Matterhorn Drive N.E. 574-1871 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnetonka Pools 10820 Wayzata Boulevard, Mtka. 55343 546-3281 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 CA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construet a 22' x 35' in-ground Swimming Pool 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on letter dated April 61, 1981 by Envirtonmental Officer. Owner must prevent all erosion from occuring onto property to the East. WARHt0 SEpERR7'E, PERMITS Befase digging call 10Ca1 utilif H�4iING, #REO p�R TELEPHONE - ELECTRIC -GAS Etc. �:�tf.�+�s PLUA9BIMG qNp s� REQUIRED R4' 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 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. fWLG. UNITS 11 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 VALUAy`iiIQQN SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED '5Q0 $4.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT F SAC CHARGE PROVISIONS O ANY OTHER STATE OR CA AW REGULATING CON- $.00 STRUCTION O THE PER ORMANCE ON CTION. O PLAN CHECK FEE TOTALFEE $55.25 SIGNATURE OF 6ONTRALLTORWILITHORIZE0 AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT r • CQ 2-C/ BLDG INSP D E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATIU'1 FOR RESIfiNTIAL BUILDING PER11ITS (New, Alterations, Additions*, or Repairs) ' OWNER: _ lq M L'�SrnLZY DUI LDER : � • Zr . ADDRESS:��j ��L�' l�fLe� -� .l\ ADDRESS: JD TEL h0: 6 761 /87 TEL 140: Construction Location STREET NO : STREET: LOT: BLOCK: 7 ADDITION:,�3R Corner Lot: Inside Lot: Setback.: Sideyards: Ap.,L!Aicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION I }lf -U6U-Ai Front: ` Depth: Height: c.JimA7iA�6 Ao(_ S ane. k'eet: Qu Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: `�tN en Estimated Cost: To Be CJrupleted: . Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SKEET S.iie undersigned hereby makes application for a permit for the %:vrk• herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and h eby declares tat all the facts and representations stated in this application a tru corrAct. /� My ��W'4: wgh Stipulations: -z - '' . j 1C v ��aQQ to �, yy n �" rril 6, 1981 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 nnetonka Pools 1820 Wayzata Boulevard Minnetonka, MN 55343 TELEPHONE (612)571-3450 Re: Swimming Pool Construction at 5581 Matterhorn Drive N.E. Dear Sirs: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, two (2), skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, four (4) inlets of approved design for fres.h_ and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the.N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2). times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 5. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with. decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over It. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. 8. An automatic chlorinator should be provided with a suitable test ki.t. 9.. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. Minnetonka Pools April 6, 1981 Re: 5581 Matterhorn Drive N.E. Page 2 10. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge.. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuum breaker or air -gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 13� times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115,.Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, S J. CYSON, R.S. Environmental Officer SJO/mh CC: 2".-s.. Carol Dooley Effective Aug. 1, 1981 CITY OF FR EY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, ENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE UVc1rnVWTT1&-T_ Furnace Shell and Duct Work, Burner Gas Piping (piping needed with new furnace) Gas Range Gas Dryer Air Conditioning (all sizeal All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work RATE TOTAL Job Address 5581 Matterhorn Drive $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ 10.00 S IJP State Surcharge $ .50 TOTAL !EE $10.50 Reinspection Fee ($15.00) $ Rough Insp. Date �/ Final Insp. %-e ,�d� Date Approval for Permit r� MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace permits Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. -#571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations st$ted in this application are true and correct. Fridley, Minn. April 11 , 19 88 OWNER Viking Chevrolet Co KIND OF BUILDING frame USED AS ran4dan— TO BE COMPLETED ABOUT 4-90-88 ESTIMATED COST $2, 125_nn OLD - NEN BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. Trade Name Capacity Size No. Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP company Cronstroms Htg. & it d. Inc Signed By Tel. No. 920-3800 SUBJECT City of Fridley 7,34 8 AT THE TOP OF THE TWINS BUILDING PERMIT CEIPT NO. Ir? � • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r i NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/2/95 JOB ADDRESS 5581 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 7 Innsbruck North 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carol Dooley 5581 Matterhorn Drive NE 574-1871 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Decks Etc. 11655 Ridgemount Ave W, Minnetonka MN 55305 333-7757 7180 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 Q ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 600 SF Deck onto back of dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. 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 1 HEREBY CERTIFY THAT 1 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 $4,890 $2.45 DOES NOT PRESUME 10 AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF A E STATE OR LOCAL LAW REGULATING CON- $72.00 Fire SC $4.89 S RUCTION OR ERF MANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 1 $84.34 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROP& VALIDATED THIS IS YOUR PERMIT 1 r T SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI BLiOG INSP gAiE NEW ADDN ALTER Construction Address Legal Descrip Owner -Name Contractor: Address:( CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/l/95 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: Comer Lot [ ] Inside lot' [ ] Ft. Yd Setback . Side Yard Setbacks Type of Construction: Estimated Cost: $ S7�� Approx. Completion Date: 00 (Cost on Back Driveway Curb Cut Width Needed: Ft. + 6 Ft iDATE: APPLICANT: Tel. #� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ � 001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ S, $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 [ ] 3Y TOTAL $ STIPULATIONS: SUBJECT City of Fridley �IPORMITN 9 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. tr ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC ' --"\ CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �� 612-571-3450 910-F15 8/25/95 JOB ADDRESS 5581 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 7 1 Innsbruck North 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carol Dooley 5581 Matterhorn Drive NE 574-1871 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sela Roofing 4100 Excelsio Blvd, St Louis Park MN 55416 823-8046 1050 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 J] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (24 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,920 $.96 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 $1.92 STRUCTION O THE P FORMANCE OF CO TRUCTION $62.25 PLAN CHECK FEE TOTAL FEE zlz� Licen e S 00 $70.13 I ATURE OF CONTRACTOR OR AIQORIZE AGENT IDATEi ENRL 1 10 VA DATED THIS IS Y UR PERMIT SIGNATURE OF OWNER OF OWNER BUILDERi (DATEi �� LDG i P �� E I NEW [ ] Effective 1/1/95 ADDN [ ] CITY OF FRIDLEY SINGLE FA ALTER [ ] MILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Tr e4 0 l /0°, Legal Description: Owner Name & Address: CA4 C 4CI:p ® 145-V CWF/ U I)Kz OVeF Tel. # 1"7V Contractor: SG L/4 v f, j A) MN LICENSE # /a j-6 Address: ��,.5 ��e At� 5 Syr Tel. # 67.23jo �6 T Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length DESCRIPTION OF IMPROVEMENT Width Height Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. _ Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: to - Ll� Estimated Cost: Approx. Completion Date: /9 (cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ '- Tel. DATE: APPLICANT: /ZlO�� % CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ • Cf Z) $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 C l TOTAL $ C% STIPULATIONS: Wt< CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE �5Z C)O(��ffectiqn On January 1, 2000 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 Rate 5-:5 <(�O$ 30.00$ JD $ 10.00 All Others/Repairs & Alterations (LIST ON BACK.) 1% of Value of Appliance or Work Commercial/Industrial JOB ADDRESS —rJ fV %%,,yV k" 1 Al;l- // 4� OWNER BUILDING USED ESTIMATED COST - PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units_ Circle One (Steam) (Hot Water) EE�) $ 10.00 $ Trade Name Z eh� Size No. BTU 9f HP EDR $ 25.00 $ Fuel PAL Total Connected Load Burner Trade Name Size No. $ BTU HP EDR 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and TOTAL F E $ U ' —fo representations stated in this application are true and correct. -% DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATI N 093H'EATINGCO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE+0-ral Signed '� TEL # 6f REINSPECTION FEE $47.00/Hr V'� _("5 / 9 -Fs- —C24 -_D2-2 A- 36.60 *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date written permission from adjoining property owner. 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 ((X No( ) A 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 K No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes M No( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. YesX No ( ) When installing 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 PO 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. YesX) No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type �Q-90a*LF' BTU Input'BIR. 000 Fan Assisted or Nat F A FggtN6 Appliance #2 Type C&2&=q- 1 V L BTU Input Lf 04 Ooo Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Of ASS F 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: .Z9 D� Building PLUMBING Permit No.;ja,7.0 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D 'cQ E C 2 0 0 DATE / YOUR E-MAIL ADDRESS SITE ADDRASS THIS APPLICANT IS: ❑ OWNER *ONTRACTOR Mark/Carol Dooley PROPERTY N, 5581 Matterhorn Drive Ne OWNER/ ADDRESS: Fridley, MN 55432 E ZIP TENANT PHONE: 7635741871 CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # :5_Qr6 EXP DATE YOUR STATE ADDRESS /Ir CITYi' it STATE Sfy LICENSE WITH 'PHONE - x/03 FAX - APPLICATION 9 PERMIT TYPE SINGLE FAMILY C]TWO FAMII.Y ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW XREPI.ACEN ENT DETAILED DESCRIPTION OF WORK PER MS 16B.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 = ' FOR.PROJECTS WHERE LABOR EXCEEDSS-500, FEES ARE BASED ON $10.00 PER FDI'SURE,'IXCEPf WfIEREN(QTED-:FACT :_.(INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING —BATHTUB _ GAS PIPING (NrzDcriy ucasE) _ SWIMMING POOL—WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _DISHWASHER _LAUNDRY TRAY LWATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Now Permit Fee $ . Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15300 = $ TOTAL DUE $ Number of fixtures @ $35.00 _� x $35.00 = $ 36.00 State Surcharge = $ .50 Total = $ THIS 1S 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 in conformance with the ordinan and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an ap ca n for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case w rk w requires review and approval of plans. // // li A SIGNATURE OF APPLIC PRINT NAME jA A/O/p/DY" DATE AZ T 2! x City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977