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PRE 2010 DOCSSUBJECT City of Fridley ®13236 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC.�� - 1 1....11 CITY CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ' 612-560-3450 910-F15 10/2/75 JOB ADDRESS 5624 Matterhorn Drive N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mei Stolquist 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Robert Laugen Homes Inc. 6866 East Fish Lake Road, Maple Grove 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential '_7CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 50' x 26' Dw!ellincf and a 20' x 26.3' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before framing. Provide sod in the front and side yards. SEWER LOCATION: 25' North of Manhole (Inv. 973.99) Wye Elev: 973.27 Top of Footing: 976.27 Minimum WATER LOCATION: Approx. 10' South of Sewer Service, 32.5' N.W. of Manhole A1H Before digging call local utilities SEPERATE PERMITS REQUIRED FOR WIRING, TELEPHONE - ELECTRIC - GAS Etc. HEATING, PLUMBING AND SIGNS. REQUIRED BY UA TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 21,912 +4208 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1300 -F 526 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING '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, WITH WHETHER SPECIFIED HEREIN OR. NOT. THE GRANTING OF A PERMIT $35,850 $17.93 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE P RFORM CE OF CONSTRUCTION. $48.32 $325.00 / PLAN CHECK FEE TOTALFEE villAit� e $391.25 SIGNATURE OF CONTRACTOR OR t?;PCRIZED AGENT (DATE) P�RO�PERLY VAPLII TI/HIS IS YOUR PERMIIT( jWJH�ENA �DA�TEDD BLDG )NSP. DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) f ' • &41j APPLICATION FOR RESIDENTIAL, ALTERATI N, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: &,L BUILDER:cze-r ADDRESS: ADDRESS: �� (o Lc,�sr 7 s" L n is K�►J . • � H- r'Cc �-�c9c9� �� lo �% NO :. S5 & )-L/ STREET: LOT: BLOCK: ADDITION: _,Ll" -1 A eac,+_ / le lle 7�-/ CORNER LOT: INSIDE LOT:Z ETBACK: 3& SIDEYARD:1 6 Applicant attacr to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING -Front: 57 0 Depth: (a Height: /® rel P/n2A&�Z- Square Feet: 2!5®c-,' Cubic Feet: Z�•� �e��tya��ea► Front: iW Depth: '� (�„'j Height: ar Square Feet; Cubic Feet: �.Og Type of �A4� Construction: 1�ia�r a Estimated Cost: $ �.— To Be Completed: dx�� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work.iri st,-e`ict accordance with the City of Fridley ordinances -and rulings of the Department of Buildings, and hereby 'declares that'all the facts and representations stated in this application are true and correct. DATE: _ - SICNA �IVO�o (See Reverse.Side Fou Additional Information.) feftiNtil tz . lip 93 SSC• • . ' 3i L .1R 00 J.3 9 �, z s' I. �I - I �i 1t' -3oX Z4.3 = X81 1'V - . o ---- - - U_ ae Ycii•.3 � rZ i • --- - - 1 - -- -------------- p1 X a 3_! 5�-�► x y Z o S - --- - - - Ji 430o kZ'L.4d Z 9, 3194. o y_ 3' a K.acd Z. 3to od- - -- - -- i �S'i.00 iI GfRALD t COYNE 300 BRUNSWICK AVE S. GOLDEN VALLEY. MINN. MINN. REG. NO. 4741, INDUSTRIAL — JUDICIAL COMMERCIAL — TOPOGRAPHICAL CITY LOTS — PLATTING ROBERT LAUGEN HOKES INC. LOT. SURVEYS COMPANY LAND SURVEYORS REGMTMIED UM= LAWS OF BrATE QF KWXESOTA LICENSED BY 01BOWANCE OF CITY OF. SUNNSAPOLIS 5747 W. Broadway 633-9922 Minneapolis, Minnesota 55428 AIL RAYMOND A. PRASCH 6917 IDAHO AVE N. BROOKLYN PARK. MINN. MINN. REG. NO. 4743 INVOICE NO. 44-71 F. L NO. 1 5Z SCALE I" 0 DENOTES IRON ti DemoTt7s,W00D A Lot 5. Block 4, INNSBRUCK NORTH may lin � :?�'� r�o�� We hereby certify that this is a trate and correct reprewnfation of a wmV of the boundaries of the above described land and thelmu". of an buildings and vWbfe=encroachmnts. if any, from or on said land. Signed Surveyed bar us this-18dey of WT SURVffS COMPA" City of Fridloy Application far Pla;Alnq rz.Gas �i��ng ��°lt Dept. of Bldp. Phone 5£0-3450 DESCRIPTION OF WORK Loea� Number. Kind and Locr!!on of Fixtures O 1� ° 3333....., N �,[[ - I1I�`- j r G� � ar N�O•IVt � dial,7 3 u a U V e eN 7Ei NITLR[.G GWAAS BaS! ` I st 1 2nd Mrd 4th Future ConaectSta bpsnln,7s $earar (� • Raw Fixture. Old Opsnings Ccs;,pool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL �� °`V 2 Number Fixtures • • • • e • • • • • ... x $2.00 $. Future Fixture Opening a • • • • • . • • • s x $1.50 $ l sy New Fixture Old Opening.....:.... x $1.50 $___ City of Fridley: The undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct, Fridley. Blinn � / o '75 19, Owner Z Kind of Building Used as To be completed about Estimated Cost. $ Old --New. Building Permit No. Permit No. Signed ✓Ji`� • By - - Business Phone No Catch Basin • • • • • • • • • • • e • • . • • • e • % x $3.25 $ water Iieater '.Up to 99.0M0 BTU) • • . • x $33.00 s 3, New Ground Run Old Bldg.ROUGH ....• e . •.. x$.3.25 $ Electric V46sr Hester ...... ........ s $2.00 $ ':I FITTING FEES: NO. RATE TOTAL 1st3Fixtures ••••••••••••••...• x$2.00 • . Adddtticnal T%clurrn... - . • ... • . ... x S .75 $ Gas Range to 199.000 Ri?? .. , 3333... x $5.00 S REPAIRS & ALTERATIONS—Rater to Gide .50 State Surcharge Description • • . • • • s . • ... • .. • . •.. • • • . • • • • •.r • . • .� yy TOTAL Y= S_ ' e q P Cort on" Syncs "ad Dev PARTIAL RATE SCHEDULE GR1A`FIT4 WARN AM: RATE TOTAL Flake Shell & Duct Work $10.00 $ Replacement of Furnare 6.00 $ Repair` & Altcrat:ons_up to $500.00 600 $ Repairs & Alterations each add. 4500.00 300 $ NMCiL WARM Alit Furnace Shell & Duct Work to 120,000 BTU eech add. 60,000 BTU Replacement of rurnace Repairs & Alterations --up to $500.00 Repairs & Alterations each add. $ ;00.00 STEAM or: HOT WATER SYSTEM i%nnace Shell & Lines—to 400 sq. ft FZR Steam Furnace Shell & Line—to 640 sq. ft. EDR Hot Water Each add 200 sq. ft. EDR Steam Each add. 320 sq. ft EDR Hot Water OIL SUPKER—to 3 gaL per hour over 3 gal. per hour—.See Fee Schedule GAS BURMR (up to 119k= BTW over 199.000 RM See Fee Schedule Dept. of 131d73. Phww BM -VM 5624 Matterhorn Dr. City of Fridley: The undersigned hereby makes application for a permit for the work herbs. specified agreeing to do all work in strict accordance with the City Ordf=ncev and ruling of the Department of Bmidings, and hereby declares that an the fact and repr•�sPntaliuns stated in this application are true and correct. Fridley. Adnan 10-20-75 11$ Owner Robert Laugen Homes Kind of Building frame Used wt residenee 11-15-75 To he completed about `10.00 $ Estimated Cost; $ 1/26 1000 $, Old—New. Building Permit No. __—__ Permit No. 6419— A nn $ 3.00 $ _ VESCRLMON OF WORK 6.00 S HEATING or POWER PI ANTS—Stearn, Plot Water, Wares Air—No 6.00 $ Trade Name Lennox Size No G11 -110V GAS FITTING FEES: NO RATE TOTAL 1st 3 nxtures x$ 200 $ 2, 00 Additional F9rrtures A .75 Gas Range to 199,000 z8 &OD $ ...>•�;z ' � ': .1s; r any, i'mALD ?—�3—f1:,_ State Surcharge .50 ire Fo® See P TOTAL F= $ % 7 #5091 Don Bell Capacity—! lP.M_ Sq itL E.D.R STV HP Total Connected Lead—_fib y 581 iDnd of Ftwl gas BURNER — TrRde No same as above Size Capadty Sq. FL E.DI BT'dlEMIL tenuous.—Oast FRED VOGT & ff26e Gorham Ave. 929.6767 Bh taus Park. Minnesota 55426 3.t)l 1 6.00 1 6.00 $� 3.00 $ Dept. of 131d73. Phww BM -VM 5624 Matterhorn Dr. City of Fridley: The undersigned hereby makes application for a permit for the work herbs. specified agreeing to do all work in strict accordance with the City Ordf=ncev and ruling of the Department of Bmidings, and hereby declares that an the fact and repr•�sPntaliuns stated in this application are true and correct. Fridley. Adnan 10-20-75 11$ Owner Robert Laugen Homes Kind of Building frame Used wt residenee 11-15-75 To he completed about `10.00 $ Estimated Cost; $ 1/26 1000 $, Old—New. Building Permit No. __—__ Permit No. 6419— A nn $ 3.00 $ _ VESCRLMON OF WORK 6.00 S HEATING or POWER PI ANTS—Stearn, Plot Water, Wares Air—No 6.00 $ Trade Name Lennox Size No G11 -110V GAS FITTING FEES: NO RATE TOTAL 1st 3 nxtures x$ 200 $ 2, 00 Additional F9rrtures A .75 Gas Range to 199,000 z8 &OD $ ...>•�;z ' � ': .1s; r any, i'mALD ?—�3—f1:,_ State Surcharge .50 ire Fo® See P TOTAL F= $ % 7 #5091 Don Bell Capacity—! lP.M_ Sq itL E.D.R STV HP Total Connected Lead—_fib y 581 iDnd of Ftwl gas BURNER — TrRde No same as above Size Capadty Sq. FL E.DI BT'dlEMIL tenuous.—Oast FRED VOGT & ff26e Gorham Ave. 929.6767 Bh taus Park. Minnesota 55426 560-3450 C. of gy , - rait ANOKA COUNTY 6431 UNIVERSITY AVENUE NE October 6, 1976 FRIDLEY, MINNESOTA 55432 J & E Electric 8881 Syndicate Avenue New Brighton, Mn. 55112 Re: Electrical Correction at 5624 Matterhorn Drive N.E. Dear Sirs: An inspection on September 23, 1976 of the above address noted that there is a Code problem on the electrical work. Since the problem is rather hard to describe in a letter, please contact me at 571-3450 between the hours of 9:00 A.M. and 10:00 A.M. I would appreciate hearing from you as soon as possible. Thank you, LEONARD EICHMILLER Electrical Inspector LE/mh 560-3450 (Zlty Of lyrialle5 ANOKA COUNTY 6431 UNIVERSITY AVENUE NE October 7, 1976 FRIDLEY, MINNESOTA 55432 Mr. Bob Laugen Robert Laugen Homes Inc. 6866 East Fish Lake Road Maple Grove, Mn. 55369 Re: Refinal and Owner Complaint List for 5624 Matterhorn Drive N.E. Dear Mr. Laugen: The City has received a long list dated May 5, 1976 of 46 items of concern by the owner, Mr. Stolquist, of 5624 Matterhorn Drive N.E. Various City. inspectors were sent to the home to determine if any of the items constituted Code violations. The following listed items are violations that yoo must correct to meet the City Code; 1. Provide a door closer on the door between the garage and house. 2. Cover I beam over the garage door with a substance that will afford the required fire rating (5/8 type X sheetrock). 3. Item 12 on the list is a violation of the Heating Code and our inspector is communicating with you subcontractor on this. 4. Item 21 on the list is a violation of the Electrical Code, with reference to the recessed light fixture, and our inspector is communicating with your subcontractor on this. I have been told that the fixture must be boxed in. S. The driveway must be hard surfaced. We will expect items 1 through 4 to be completed as soon as possible but in no event later than November 1, 1976 and item 5, the driveway, to be completed by June 1, 1977. The rest of the items on the owners list are not Code violations, however, you may be liable through other legal outlets that the homeowner may have. In all honesty, a couple of the complaints we feel are well founded without any question; one being the patio unit and the other being the condition of the concrete steps and sidewalk leading to the front door. If you have any questions on the above matter, please call me at 571-3450. ince ly, DARREL G. CLA Community Development Adm. '7C: 1 Mr. Mel Stolquist -Irl- N C//•/} L Ag= � /i _ _'7�' Ji w / ♦ e w i / i t/l�l iI1//� /. t A/_ ♦ 1/ o -Irl- N 9 • Hwy 1`' C L wi tc Aub, 13, I98� mayo(- tL)lll;ay.% ZY. J�� g`l�Cley I�IVI� Ce�*eR` f 64/.31 44n,verslJy (Avfj" W -P-1 :,;dl.,, An^ ss�i3a Izear Inarr Nei.; y ObwT .Sow--¢. ajw(�eL ,- n4tnq Ao - 1,m Sp6n,Zf00� 1v Uri �)CP.t�T�1 %A� q %I Cpc)�SiL, \T1 -11A ll1� � ��. ,ate off- s ►� R � �1U t�3. �ZooK vr.l .i4t na��re_ c�►. �� cDT s Al '1'►•a, w. l�1► � i� it ►s 1'ur��.d PeOP I ! in4o a �a`} - r5� on�y a� s1nav fePmfl,gs:, c.�:�/ Fg0y 4. �s A Z,c, l VC.oV 1 � 1 bei � eve. in/ 4L o�4lar co O rA �� wQ. .5 ham+ 1 1pmiaj WU w, Ii\lAt c►n � MAlm_ sorroungi, Wt. have.. .Z bjieve, irr%ore. Pe'ric evy a rtaAvtt- a A-Aw JmorE. „ o�o l�oc�rse� II 1 �a]ovKl ��(`QGI�T� i7 t you coo 'H -Le, ii+�r►stiq�io�1 row . l hank You i �• --$. �/ Im CI7YOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 April 25, 1990 Melvin and Janet Stolquist 5624 Matterhorn Drive N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 5624 Matterhorn Drive N.E. Dear Mr. and Mrs. Stolquist: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 5624 Matterhorn Drive N.E. revealed that not all Code requirements are presently being met. Listed below are items which do not comply with the City Code: 1. Observed vehicle (194-DRT) with expired registration and not in street operable condition located in driveway. Fridley City Code 123 requires that all vehicles must be currently licensed and street operable, or stored in an enclosed structure. 2. Discontinue outside storage of water heater located in driveway. 3. Clean and dispose of areas of dog feces located along north side of property. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about May 7, 1990, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-90-219 1 SUBJECT PER, a _ City of Fridley 2 2 4 8 4 AT THE TOP OF THE TWINS BUILDING PERMIT • RECEIP �•COMMUNITY DEVELOPMENT DIV. / r v ______ PROTECTIVE INSPECTION SEC. It1/n i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE of APPROVED BY L J` 612-571-3450 910-F15 5/6/94 JOB ADDRESS 5624 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 4 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Melvin Stol uist 5624 Matterhorn Drive NE 571-5892 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ClX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 16' Shed in Rear Yeard 9 CHANGEOFUSEFROM TO STIPULATIONS Shed must be 3 feet off the side or rear property lines and/or off any easement. Maximum height 14 feet. Shed must be securely anchored to the ground by either putting it on a foundation or tying it down with anchor ties. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,560 $1.28 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $2.56, STRUCTION OR TH PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE i $57.84 S OF CONT CT OR AUTHORIZED AGENT I HEN PROTL IDATED THIS IS YOUR PERMIT BL )NSP ga7E SIGNATURE OF RIIF OWNE ILDERI ATE) 1 NEW ADDN CITY OF FRIDLEY ALTER j 1 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: _ _ 40 1— 01 Owner Owner Name & Address: Tel. it Contractor: MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width pH/gt//Gi OTHER: Tel. # Effective 1/ 1/94 Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: f V v of %' 2 ,u G Estimated Cost: $^ Approx. Completion Date: _ E 177 `' 5-- a_"&0 (Cost on Back) Drivewayurb Cu Width Needed: Ft. + 6 Ft = Ft x $ _ $ TE DA: �77� APPLICANT: ��/ Tel. # ITY USK�ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 1.25 $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or AIL "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary (] Not Necessary [ ] TOTAL $ �� STIPULATIONS: sueJEtr fERMIT NO. City of Fridley 29333' AT THE TOP OF THE TWINS gUILDING PERMIT r REC `y ------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. / r PROTECTIVE I .."'1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/28/99 JOB ADDRESS A 5624 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mel Stolquist 5624 Matterhorn Drive NE 571-5892 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (13 Sq) JoAtt off 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Roofing can be the 2ndlayer but not the 3rd. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIRED 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $836 $ .50 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- $32.00 Fire SC $ .84 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $33.34 IGNATU Of 'R O'-0R AUTHORIZED AGENT IOAT ,' 4B WHEN PROPER G.ANSo ALIDATED THIS IS YOUR PERIT qAf( AGN4'0��I.*IF.�WNEFI 4ER BUDi IDATEI NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMMY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION C.nstucti.zAidress. Legal Description: Z-0 14- Owner Name & Address: Tel. # Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: -L--MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: � APPLICANT: Tel. # 01 CITY USE ONLY STIPULATIONS: J� Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 $ 1, -3, 3 ox STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 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 as 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 Effective On January 1, 2002 JOB ADDRESS .5Z-21� A-7�4411_lt OWNER ec�/EJ Rate TOTAL BUILDING USED AS $ 30.00 $ ESTIMATED COST PERMIT NO. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heatin Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name®i,4./— Z Size No. �j�c9O BTU ;:Q_ c-� HP EDR $ 25.00 $ Fuel Total Connected Load 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.., •® J 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING CO Signed FAX # Approved By Rough -In Date DATE TEL # /rte-3-1�� Final Date.'� p�-- // FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 0.�'e® In� .�<36y THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When raplarjnn an gxietin0 hirance, 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 (1 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 exisfing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new enmhtichnn air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When onstallina new venting iys m, 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. Appliance Tine and S67p1Common Vent and Vent _onn Yes( )No( ) Infonnation _cter 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 HEATING CO: Signed By: Date: -4 96-39?4 m SUBJECT of Fridley 34054 PCity AT THE TOP OF THE TWINS BUILDING PERMIT ` R OEIPT NO. DEVELOPMENT DIV. -------COMMUNITY r PROTECTIVE INSPECTION SEC. 4gyp; I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 763-571-3450 910-F15 112/16/03 JOB ADDRESS 5624 Matterhorn Drive NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. ,5 4 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Kocak 5624 Matterhorn Drive NE 651-271-6203 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK a ❑ NEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish basement room 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 1 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 @ $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000 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- $83.25 Fire SC $3.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $87.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE, HEN PROPERLY VALIDATED THIS IS YOU PERMIT � _ � ��H�4j��+ BLVG Iksp 11 1 -, (37 GATE NA7URE OF OWNER- F OWNER BUIIDEAi __ DATE, m NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION Construction Address: �� Legal Description: Owner Name & Address: _16— h/O %,nc/a,� Tel. # �f-A.27l -1 ,,2,6 Contractor. MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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. /7? Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. 00 room Type: �� Dom Estimated Cost: $ .�®�%! Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: %2 ` APPLICANT: /��1 Tel. # ��SI ` 2 `7/- �W Call (763) 572-3604'for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �27 o —7 f 3- Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 ADDRESS : 5624 MATTERHORN DR NE PIN : 243024420043 LEGAL DESC : INNSBRUCK NORTH : LOT 5 BLOCK 4 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 2,000.00 PERMIT NC.:200�4-00 DATE ISSUED: 05/28/2004 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE FRONT OF HOUSE ONLY. APPLICANT JOHN KOCAK 5624 MATTERHORN DR FRIDLEY, MN 55432 OWNER JOHN KOCAK 5624 MATTERHORN DR FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Bldg Insp BUILDING PERMIT FEE 69.25 FIRE SURCHARGE 2.00 STATE SURCHARGE, VALUE 1.00 TOTAL 72.25 PAID WITH CHECK # 6580 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _4c99&4 NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: - s-62�Z AW ellhbrKJ & 121, eJ Legal Description: ll Owner Name & Address: Tel. # 0 Contractor. Sel MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ftr OTHER: S! ✓� oT Ll ! ATs Construction Type: Estimated Cost: $ .2000 OD Driveway Curb Cut Width Needed: Ft + 6 Ft = FFtt x $ =$ DATE: `o�� o APPLICANT: _C/ � /G� Tel. #elrl-0271- 6 A�S Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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: IAOO-16-2004 Nhvv I j ADDN ALTER ( j 10:25 CITY OF FR I DLEY O& -60-7 9 � j j VI J { t1{ ! t \IEEE 1 6431 University Ave, NE, Fridley, MN 55432 (763) 572-3604 Bldg lnsp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 fax BUILDING PERMIT APPLICATION / Construction Address: > 6 94 A a - Legal Description: Owner Name & Address: h k 0 GGA Tei. # Contractor: 393 LPANG AREA: GARAGE AREA'. DECK AREA: ai mss, MN LICENSE # iA Tel.# 159 -q3 -9 -6 -?0z) 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_ FL Length Width Hgt/Ground Sq. Ft. OTHER: % � 250, v r� Construction Type: ► / i in c? W S Estimated Cost: i Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: / 23 0 G APPLICANT: A10 Tel. # Call (763) 572.3604 for Permit Fees if mauling in application. Fax to 763-5714287 if using credit card and we will calf you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $_ 153.25 CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/30th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL • I3 STIPULATIONS: Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By:� - 763-572-3604 1 1 � CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE Lf 06 YOUR E-MAIL ADDRESS SITE ADDRESS "I - M12 -Cc i V l o r Dr THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: c4n OWNER/ '1� ADDRESS: 5 0.- L -11r1 kDk-, Ix.,.nl CITY STATE IPSS 3 TENANT PHONE: (a 'S- 1 ^Ot —71— (o:�, c- Qo 3 CONTRACTOR COMPANY NAME: C CLL i CONTACT PERSON: bee SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 0,35S-\ CITY STATOLA-21P45`° APPLICATION PHONE FAX PERMIT TYPE egNINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL `DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALL'S PER MANUAL�,� 006� A�,S_H�RAE HANDBOOK Equipment Installed MFG: MODEL: r-rn ca SIZE/BTU 1�00Oy f) r- MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 1�RNACE $35.00 _GAS UNIT HTR $10.00 LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.001 x $35.00 = $ -=5' - L 60 State Surcharge qb b� IMUM FEE $35.50 Total = $ 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 in conformance with the ordinances and code f the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appli tion fopp it and work is not to start without a permit; that the work will be in accordance with the approved plan in the case off requires review and approval of plans. % 70P Lz6kc SIGNATURE OF APT PRINT NAME L APPROVAL INSPEC URS SIG TURF DATE C 11 PLEASE NM: S ARATE PE T ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK .......... City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 From: 7637535125 Page: 2/3 Date: 9/21/20101:29:41 PM Building PLUMBING Permit No.: 61) 1p Inspections RESEDEN IAL APPLICATION Received By: 763-572-3604 763-502-4977 FALX CITY OF FRIDLEY c EP 21 2ni EFFEL-nVE 7•I.2010 DA'rF-. 121YOL►RE•MAIL ADDRESS Vtll w_ !� r7f ur<v)l�Jy� • C,nh., SITE ADDRESS THiS APPLICANT is: ❑ OWNER �ON'rRAGTOR � PROPERTY NA.jL1E LIQ _('� OWNER/ ADDRESS: CITY 7�� _" TENANT STATEtLIV, PHONE; Lif�J 1-2::11 ---3 CONTRACTOR NAME; N m tae_�i L SUBMIT A COPY OF _ YOUR STATE STATE LICENSE iJ { EXP DATE_ ' LiCENSF.. r40ND AND CEIt'1'1FICATIi OF STATE BONi) # EXP DATE e� (NS INSURANCE _US, C t/V STATC� IPS5�'� PI-IONBSS; PiiONE Gj"�y� irk, FAX , PERMIT TYPE SiNGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW yYREPLACEMENT' `1 DETAILED l3133SCRIPT'ION OF WORK FEES ARE BASED ON 510.00 PER FIXTURE. EXCEPT WHERE NOTED. FIXTURES: (INOTCATE TOTAL NUMBER OF TACIT BELOW). MiNTMUM FEE 535.50. _ BATH SiNK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING; —BATHTUB _CTAS PiPING (NEED 0TY r..Tq _ SWIMMING POOL WATER SOFTNBIt ($35) ` _CLOT'HYSWASHER KiTCiiENSINK WATER CLOSET BACKFLOWPREV.($15) _ DISHWA$IiER LAUNDRY TRAY X4ATER HEA'L'ER _ ($35) FOR TRRHIATION _ WATER METER —OTHER Number of iiictBt+es @ $iA: lfl x slimod.= Number of,. fixtures ®'SI5.60• x $15.00=•$ .. •..• ... :• • • Number of fixtures @4i3 -.*a x $35.00 State Surcharge $ : � � Ni8V1UM x40.00 •' ' THIS IS AN APPLICATION POR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that -the work will be in conformance with the ordinances and codes of the City of Fridley an4 with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not art without a permit on site; that the work will be in accordance with the approved plan m the cas f ,g ork h as re ' and ap rov 1 of Mans. SIGNATURE OF APPLICANT NTN DATE APPROVAL INSPECTORS SIGNATU r� PLEASEiC3`['E: L•1W=i°5+"%�' 1�'ficil.;•s-9eTn. •. .. _& rr., "r„ns. ill City of Fridley Building Inspectiions Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977