PRE 2010 DOCSCity of Fridley, Minus.
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: February 17, 1972
Owners Allen E. Ulmer
1131
same
Builder Ulmer Construction Co. _
Address _ 103 E. Golden Lake Ln Address
LOCATION OF BUILDING
No. _.. 960Q.__... Street ____ Matterhorn Part of Lot
Lot ._..._L.._.._...M_ Block 4 _ ._.__ .._ Addition or Sub -Division -Innsbruck. North,.
•
Corner Lot ___.._..__..W_ Inside Lot ..�..� Setba Sideyard ce e?0' 09�
Sewer Elevation 871.50 Elevation Ino-
MAX ' 991-80
DESCRIPTION OF BUILDING
To be Used as:
Dwelling — Front 521 Depth 26427 Height 20' Sq. Ft. 1,377 Cu. Ft. 27,54
tFront 22. `� Depth _26 _`_ Height Sq. Ft. _572— Cu. Ft.
"CK."UnUer Garage
Type of Construction _ Frame Est. Cost 46, 000.00 To be Completed 6 months
(24,484.00)
Stipulations
1. Hold for elevation by Eng. Dept. of garage slab above street
2. Hook up to sewer
3. Provide verification survey
4. Provide hard surface driveway
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in co with all provisions of
ordinances of the city of Fridley. � '
•
24 State Surcharge
In consideration of the payment of a fee of $ 00 i permit is hereby granted to Tlme
Cons t9tuc_t ion Co. 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 ordinanceas oP
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bwlldi�$8
}yithin the city limits and this permit may be revoked at any time upon violation of an�of tlae provisions of 8sid
ordinances.
ding`Inspector
Clarence Bel sle
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to no
the Building inspector for separate permits for these items.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
ADDRESS ADDRESS:
NO:. Q O STREET : /C- /1 = --e rK 1� c9 Td A /
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
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: 01- C-)
Square Feet: Cubic Feet: Z' C e1 to
Front : °
��_ Dep'th : Height
Square Feet; ZCubic Feet:
Type of Construction:Estimated Cost: 6�
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stfict accordance with the City of 01-
Fridley
`Fridley Ordinances and rulings of the Department of Buildings, and hereby f
declares that all the facts and representations stated in this application
are true and correct. r�s� * `d /
DATE: / SIGNATURE •
4� v,
(See Reverse Side For Additional Information.)'a_`'
No
,/p P _
,a "
1\
)Ne 4")
4. N&O of Violator;
dc��
i_
7. Nature of Complaint;
H E A.L T H' CONPLAINT
CITY OF FRIDLFY, NINNESOTA
. Address:
S. Address; 11at, 6 Y' -1w
Ges�,e
3. Phone No. 1
6. Phone No.
-dAOt�
8. Complaint received by;9. Complaint Referred to: 0. Dote
tL�4
11. Report of Action Takeni (Specify date of action)
12. Report Made by; 3. Date
4Ls-
SUBJECT
MIT NO. =
City of Fridley
23075
AT THE TOP OF THE TWINS
BUILDING
P E R
M I T
r
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.��
PROTECTIVE INSPECTION SEC.
r i �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
11/7/94
JOB ADDRESS 5600 Matterhorn Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
7
4
Innsbruck North Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Lane & Joan Wigs 5600 Matterhorn Drive NE
574-0505
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
X
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Soffit/Fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU. FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
1
I 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
$1,200
$.60
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
29.00
Fire SC $1.20
PLAN CHECK FEE
TOTALFEE
$30.80
NA UREOFCONTRACT RO RAUTHORIZED AGENT IDAjTE�'/j
HEN PROPERLY LIDATE THIS IS YOUR PERMIT
/j
X
O
BLDG J&sp
p-J�
DATE
S,ATURE OF NER iiF OW ER UAL DER, iDATEi
NEW [ ] Effective 1/1/94
ADDN [ ] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: ; , (p�0 /� FT:E r-jo 2 AJi� �%
Legal Description:
Owner Name &Address: I-Ac, k%(o C� S Tel. #
Contractor: l,t� A-) a ►2— MN LICENSE #
Address: S� ,, Tel. #.
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: S6 F F k T- a=ir' 9C I A -
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ 17 Q 0 0
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: 1 I- D- 2 LI APPLICANT: Tel. # J 7- )50,5
5
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ C)
Fee Schedule on Reverse Side
..001 of Permit Valuation (1/10th%)
$.501$1,000 Valuation
$800 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
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
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
OWNER ,M,4/2 ,t /V (Z&{ZS
Rate TOTAL
$ 30.00
$ 10.00
$ 10.00
$ 10.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
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 January 1, 2000
BUILDING USED AS
$ ESTIMATED COST Z&350-- PERMIT N0. 39P)
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$ Trade NameSize No. -6A -►_0
BTU HP EDR
$ Fuel Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
---ZP,06 Q q4AeJ -'F^js k -r wl
$ 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.
DATE _IJ _ g'w
HEATING CO Alf 17WA? S
Signe p TEL #
Approved B4 Rough -In Date Final Date /� "�
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existinca furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes( ) No( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes () No ( )
When 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 () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( )No(
)
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
BTU Input Fan Assisted or Nat
Appliance #2 Type
BTU Input Fan Assisted or Nat
Appliance #3 Type
BTU Input Fan Assisted or Nat
Total Appliances
Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :