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PRE 2010 DOCSCity of Fridley SUBJECT 12660-' AT THE TOP OF THE TWINS BU IL DING P E R M I T r REC . COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. q 1 . � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-560-3450 910-F15 7/31/74 JOB ADDRESS 5647 Matterhorn Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 3 Innsbruck North Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Bruce Hulbert Homes Route #1, Box 290A, Wyoming,, Minn. 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 EX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 51' x 30' Dwelling and a 27' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a verifying survey before capping. Provide a hard surface driveway. Check for sewer elevation prior to setting basement floor grade. SEWER LOCATION: "Y" 128' South of Manhole V, "Y" Elev: 964.98 Top of Footing: 967_,98 Minimum Inv. Elev. of ]Downstream Manhole 960.68 WATER LOCATION: 45.1' SE. of Catch Basin 37.5' N.E. of Manhole SEPERATE PERMITS REQUIRED FOR WIRING, HEATING; PIUMBIN TYPE OF CONST. OCCUP99CY-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 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 1220 - 37,736 Total 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 $37,343 $18.67 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW $70.00 $300.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. z � / 2.3.//400, 3 Z PLAN CHECK FEE TOTAL FEE $388.67 - SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DAT I WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT /t ;q -.Q _� f)13 I I I V BLI I DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : �'�� BUILDER:r'�vL� ., �/�ux ADDRESS: �� '. ADDRESS . NO : /STREET:LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: /\ SETBACK: SIDEYARD:./ G 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: -f� Depth • 2 0 Height Square Feet:./ !_ Cubic Feet: Front: Depth: Height: Square Feet; _ _-Cubic Feet: Type of Construction:Estimated Cost:_�� To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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 7 are true and correct. DATE: ZS�G % SIGNATURE: l a (See_ Reverse Side For Additional Information.) Land planning sfilow'47j,6875 Highway No. 65 N.I. Land Surveying e"l1/ l•ll�'P%fj• l /J��(` Minneapolis, Soils Testing . Minn. 55432 Civil Engineering Telephone 784-6066 Municipal Engineering Engineers & Surveyors Area Code 612 P Certificate of Survey for UCC k�ULFK-RT Oft Cy 0' DC s Z W I o Io Q (V Oenotes Orwna�Q 4 Utility humQnt — Stanniq shown are acgumed o Denoll; Iron montnk 1NNqKQN NXTH At4OKA Cawry I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location VtWl building t ereon, and all ble encroachments, if any, from or on said land. As surveyed by me this day of A. 0. 1�1. SUBURBAN ENGINEERING, INC. , .Jt.lQ: 1tnEh 40 Engineers 1 Sorwiry ars by V-- f 5 PARTIAL RATE SCHEDULE Ott. of Bldoz. Phone MO-= GRAVITY WAM AM: MIM TO` &L Furnace shell & Eked Words ... ... .... .. $10.00 Replacement of Furnace 6.00 $ Repairs & Alterations ---up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 300 $ t"*,, L WARN AM ll'urnace, Shell & Duct Work to 120,000 BTU each add. 60,000 BW . ......... Replacement of Furnace Repairs & Alterations --up to $500.00 firs & Alterations each add. $500.00 8TEAM az HOT WATER SYSTEM ..$10-00 $ ' D O 3.00 a &00 4; 3.00 $ Furnace Shell & Lines -to 400 sq. ft. F.DR Steam @10.00 $ Furnace Shall & Line ---to 640 sq. ft. EDR Hot Water 10.00 $, Each add 200 sq. ft. EDR Steam x $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ _ OIL BUIRNZ11-to 3 gaL per hour over 3 gal. per hour -See ree Schedule G,.Z BUR= (.up to M= BTU) 6 ti0 E S•O D o^rsr 199,= UM so* Foo Sch®fule GAS FITTING FEES: No RATE 'TOTAL 1st 3 nxtures x$ 203 g -2-00 Additicnal Fixtures x .75 3_ - Gas Range tro 119=0 xg 5-W $ a r.. State Surcharge 50 low� /D•Q O Fw klQdml TOTAL FM €1 - City of rddleyy: The undersigned hereby makes application for a permit for the work herefa� specified. agreeing to do all work in strict ,accordance with the City Ordinw=ef and ruling of the Department of Buildings, and hereby declares that all the &ems and representations stated in this application are true and correct. Ridley, Mnn y - � j? x,19 � % Owner /� i'y C e- h Z el,]" - Kind of Building VY a o C� e - Used as To be completed about, �e �G • /y %�f Estimated Cost, $ ;� Old New. Building Permit No. ___ Pormit No. Dwcrap ox OF W014M H A77NG or POWER CRs --steam, Hot Ws , Warm L-110-1— Trade 110-1_Trade Name uN �% - OaS1 site No - Capacity --.---- o Capacity_.__ — Sq. n E D.R BTU— Total TU Total Connected Lead-TST Z4-210 aTy Kind of Fuel eedl-1 BURrMR - Trade No Size No ttVaa. - OV228 ae 'w Fti+ ,F t a � t•<� � w 7.r�w'�i-v M . t'.��7-i`yY ,c�. �r'b'!..: ,:1� t\ e,'r •ti-; Y p��i�,'k .. .. - r . ... .,. ,.. � . ." i__, ��. b�'0.. r: a r 4 , .._ �. � � r•�ji - ,r,CrK(,t 1P'x, wK-cr -3-2" -3� s`a'.W�'1�i�i�. " a � t•<� � w I X i I 3 r CG IN:IW uiE+ a N jj k P Pri'A I14I. � as r r ` X ,!- CA u �I�• r p; W W I Q r4 a ' ii ,x'+04 t q" I 44 51 OZ 86'D ai i t I libi VA ON ti Ie jH c N III 14 I a ; ��!IIIf. 14x 09 01 M oL o Q A s i F ,i r9y W a f I f o xm f P4 F CE I 4E V1 4• [7., UJ i I i 7.r�w'�i-v M . t'.��7-i`yY ,c�. �r'b'!..: ,:1� t\ e,'r •ti-; Y p��i�,'k .. .. - r . ... .,. ,.. � . ." i__, ��. b�'0.. r: a r 4 , .._ �. � � r•�ji - ,r,CrK(,t 1P'x, wK-cr -3-2" -3� s`a'.W�'1�i�i�. " 3 r k � r r CA r t 86'D ai i libi cq 09 W a CE I 4E b � ce •i h bA p +� CYM7 tO , o . 0 a p, 4 Q 7.r�w'�i-v M . t'.��7-i`yY ,c�. �r'b'!..: ,:1� t\ e,'r •ti-; Y p��i�,'k .. .. - r . ... .,. ,.. � . ." i__, ��. b�'0.. r: a r 4 , .._ �. � � r•�ji - ,r,CrK(,t 1P'x, wK-cr -3-2" -3� s`a'.W�'1�i�i�. " M 7WX�� JOO( 100(l JODaI COW() (Call J00a. Ai 7 411� Vtopu wopul mwpul& Ulm hLOPULAA V'miai AM)PUT -V!- �11�11119 ��'v �_llv -q '601V iqaUi 2uaq x Y�() lUIAA, guy lcauv NUIE1 .1 ajV vaiv; qqplm (qlp!,u Pur Wrall q pg 14 TMIMS El .�Ow au a �Sassol. KOOU qql im 10 MT�� W -Z7-7 HfilEf Q CT 4@*sMl -qnla umo�j reioj-qr, ZI da A8 L 3unscdxa 3 MMS HIM SWO, -7- S2"ffi PTOD OT 401DI3 PIOD, 6r. '. q - lam 0 SA (7 uOlwas S.100a -.p S&OPul SHWA -q paso.dxa _SO4 -7 JO4;)La P41 W4V *qn4E[ lqnlEl t6xV ,.qnlq raiv -qnaE[ vaiv, vwV� qnag neiV I 9IqvLL jo ad -ICI POWIX paglicitu!S, X. X x x X x X tilpItA X ql2ual am tuooU X 'S Jaalff 'Laud "Laaa Laaa -,Laaa, -iaam _jaam. laad J'aad, Mad. laaa ja zUiUutlh timm Pasodxa s A0.L AHO ��N-dojs, &HO.Ls AHOILS AHOIS -ON, PAW aullm poqiapq paggdwiS p It IdOHL3w a2lilldwis®fit Mod c!q0 'puviaAalo lojunbS wjqod vft s;sV '2julvoll IApAueV!)HjtVmiR 01 1 U0124t:13j0B! W1119M,�� 7 City if Fridley Appll=gan for V1= end G= Mural ftual? Dept. of Bldgs. Phan* 960-3490 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location` po N WATER MTR. GAS ELM Base 1st g� 2nd 3rd 4th • Future Connection Openings I w=•a Bawer } Now Fixture. Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATETOTAL Number 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 $—J. New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater ...... ........ : $2.00 $ 2AS FITTING FEES: NO. RATE T'OTAAL, 1st 3 Fixtures �x $2.00 ; Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ... ,......... x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ......................................« ......; TOTAL FEE $_ 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, Wnn �— 1a✓c Owner Z;zi%Gzr Kind of Building ®6 Used as To be completed about �� ' 7 Estimated Cost, $ AWE e--- Old—New. Building Permit Signed ROUGH .50 State Surcharge Business Phone . � w SUBJECT PERM City of Fridley I 1333 AT THE TOP OF THE TWINS BUILDING PERMIT f IPT NO. COMMUNITY DEVELOPMENT Dl�. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432'i NUMBER REV. DATE PAGE OF APPROVED BY L J\ 812-580-3450 910-F15 12-29-75 JOB ADDRESS 5647 Matterhorn Drive' N. E. ! 1 LEGAL LOT NO. 16 BLOCK 3 TRA OR A'IT"SEE ATTACHED �nnsDrucl North DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESSI1 ZIP PHONE Elmo Ness 5647 Matlterhorn Drive N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Heritage Builders 409 Maple SUARUN Avenue N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS! ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION Y] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK finish basement) 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED ' EOR WIRING, HEATING, PLUMBING AND SIGNS. 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 C R CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, ORIF 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 ITHIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $2,900 1.45 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE. PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION O9B_THE PERFOR NCE OZCON T UCTION. �\ PLAN CHECK FEE TOTAL FEE f $19.45 SIGNATURE OF RACTORORAU RIZ E' NT (DATE) PROPERLY VA �''T�E�D T�H%IS�IS YOUR P RMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: v �e r S BUILDER: //( !% �? C` U tL, C= /7J' ADDRESS: �S �l7 M,,+7-x-414-0DDRESS: el'Lt AVC=, /L/.C� NO:. .��4 y 7 STREET: /f-1,-;� T ?L -f Flo r; LOT: A( BLOCK: <s ADDITION: A-�10 , 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. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Square Feet: Cubic Feet: Front: Square Feet;_ Type of Construction: Height: Depth• Height: Cubic Feet: Estimated Cost: $ oZ® 0, r-., To Be Completed: — Sy - 7 ' 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. DATE: / )- — Z 9 - 71 �. SIGNATURE• a e (See Reverse Side For Additional Information.) SUBJECT PEO. - City of Fridley 19404 AT THE TOP OF THE TWINS _ BUILDING PERMIT i � 1 • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. o �� i I CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY ---- 612-571-3450 910-F15 4/22/88 JOB ADDRESS 5647 Matterhorn Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 3 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elmo Ness 5647 Matterhorn Drive N.E. 574-1886 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sawhorse Inc. 4740 - 42nd Avenue North, Robbinsdale, MN 533-0352 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 Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 15" Porch Addition and a 6' Octagon Deck XNKAUM 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan St PM WiRlIVG PfEMI TS RNING "'ING M811VG Before digging call Inal utili'1jes A1VD TELEPHONE - ELECTR:C - GAS ; EtaSi. G S. REG I f RED BY LAN 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 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 $13,150 $6.58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $104.50 STRUCTION OR THE PERFOR NCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 9 P 2v $ 26.13 $137.21 SIGNATOR OF CONTRACTOR OR AUTHORIZED ENT IDATEI ._WtkEN PERMIj`T[_`X, PRO ERY A I T THIS IS-YOURMIA b !� �7 6J A SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BL G INSD DATE NEW [ ] City of Fridley �1 Effective 4/1/86 ADDN. I R-1 AND 11$r2 ji ALTER. [ ] Building Permit Application Construction Address: ' y 7 a%ER A10 Legal Description: C o f ho f�(-k �3 tel" c Owner Name & Address: � %7j Q /Ig S Tel. # --S774)'- /?9/0 Contractor: -> "PW Ad e S 9 .72V e -Tel. # -.57-23.0;!n Address: S/-7Yd q I `7 � ,4U 9- lVe- 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 7,s Height Sq. Ft. a_ GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length 0 a � Width Hgt/Ground Sq. Ft. IZrf OTHER: a►I�Y�I'�.63 =n, �,�r red a��,�e.�-�� oN�� .f�� 13 ,� �� .� Corner Lot [ ] InsideLot[ ] Ft. Ydt Setback Side Yard Setback Type of Construction: �( 9®�� F11RM-c- Estimated Cost: Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT. Tel. # CITY USE ONLY Permit Fee $ 5V Fee Schedule on Reverse Side Plan Check $ V.13 25$ of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $ 55Q per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ TOTAL $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: /v 3 13, ` u •fir Z r?t I v�,� Lend plannings(/�/! I �II11 ` 6073 Highway No. 63 N. IOnd Surveying Mtnneepel,s, Sails Testing r 1#I"/j1141WJ4?4/ vvifre Mrnn 33432 Get Ingine.ring ', Telephone 764-6066 Mstnkilsol Ingineering Engineers & Surveyors �ULT3C-tZl' Gree Code 617 Mortgage Loan Survey for'RRuCc- -IoM& S c :r J may. 13 7 5 is 4L d 1 • o - -0 - - to i asf r �� 110 4_ I U Z QJ I Ail 00 4. 's -z I ON CYi W O �.0 34 ` 1 1 n 1 13SC0 r ' --- - Lit.-,tc; D r),I,., �- U 'I", � �� ^-cr,i /0.0C' Fna+r - LOT 1(clBLOCK 3 INNSBRUCK NORTH Anoka rou►n♦Y This is a true tsrsd correct representation of a survey of the boundaries of the land above described and of the Wenton of all buildings, .f any, thereon, and all vesible encroachments, if any, from or on said land This survey is tnede only in connection with a mortgage loon now bung placed an the p.operty and no liability is assumed -except to the hold.q of such mortgage or any other interest acquired by the reason of such mortgage It is understood and agreed ap monuse nnt line* been pl ed for thlines Or purpose of establishing let lineor boundary corners Dated this des of 4 D If1 SUIIURBAN ENGINEERING, INC. Scale 1 =40 ee-�I"" ? f surv. 01 SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 22441 � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. A(I' CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BV 612-571-3450 910-F15 4/22194 JOB ADDRESS 5647 MATTERHORN DR NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 3 1 INnsbruck North Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ness 5647 Matterhorn Drive - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Right Way Roofing 16475 45 NO Pl=ailrh 55446 557-8678 399 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 ❑R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (26 Squares) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,800 $1.90 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 PROVIS NS OF A Y OTH R STATE O LOCAL LAW REGULATING CON - $63.00 $3.80 TR 10 OR T E PERF RMANCE O CONSTRUCTION. PLAN CHECK FEE TOTAL FEE X, License SC $5.00 $73.70 SiGNATUVbF CONTRACTOR OR AUTHORIZED AGENT IDATEI WH LY VV IATED IS YOUR PERMIT w _ M BLDG INSP SIS DATE SIGNATURE OF OWNER dF OWNER BUILDERI IDATEI 01 NEW ( 1 ADDN CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & A Contractor: Address: /, LIVING AREA: GARAGE AREA: DECK AREA: OTHER: /l/eSS - ® O 0 �-%0 PA Effective 1/ 1/94 -4�45V Tel. # MN LICENSE # I -T�q. , Tel. # 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 Length width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ) Ft. Yd Setback Side Yazd Setbacks Type of Construction: T� a - r t y -o d Estimated Cost: Approx. Completion Date: L) ` pZ (Cost on Back) Driveway idth Needed: Ft. +A Ft = F x $ _ $ DATE: ` v APPLICANT: Tel. # -,�;-5)-961,? Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review TOTAL STIPULATIONS: Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Effective On January 1, 1997 APPLICATION FOR POWER PLANTS -AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES JOB ADDRESS L�:> 63 Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning. — All Sizes All Others/Repairs & Alterations (UST ON BACK) �^1 % ofV!, lue of App nce or Work Com merciai/I n�lstrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $10.00 $ $10.00 $ $10.00 $ $ 25.00 $ State Surcharge TOTAL FEE 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. y l ,1997 OWNER /ym W�SS c' BUILDING USED AS ESTIMATED COS % /%C) PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER $ No, of'Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load $ .50 Burner Trade Name BTU MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE. SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can -not be placed in a side yard without written permission from adjoining property owner.. Size No. HP EDR HEATING COMPANY C'6"c�L 7f 6n4 /G2 Signed By, %%�'V':r, Tel No. Approved By Rough—In Date Final Date FILL OUT BACK SIDE AR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING CO: Signed By: Date: CHIlVIlVEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined ;. Yes O No ( ) 2. Is free from rust or deterioration Yes O No ( ) 3. Has no foreign objects lodged within Yes O No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's . TOTAL BTU's 7. Has a liner been provided. for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) F 'a Remarks: _.. , HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER Pl�+►NTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS�4°✓I [jk"r' r. RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner —rulings C$ 30.00 $` of the Building Division, and hereby declares that all the facts and representations stated in this applicatio are true and come t. Also Replacement Furnace 9Mfl 2- to '199 (Side Vent — Fill Out Back) -D Gas Piping (Needed with new furnace) $ 10.00 $ (M Q e- So� I $� OWNER—) Gas Range $ 10.00 $� BUILDING USED AS 0—L2 - Gas Dryer $ 10.00 $ ESTIMATED COST 11-4� PERMIT NO. d 1 *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION SOF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1°i° of Value of Appliance or Work $ No. of Heating Units I Circle One (Steam) (Hot Water (Warm Airj Trade Name Commercial/Industrial BTUV-1-%( HP EDR Total Connected Load �- 1.25% of Value of Appliance or Work $ Fuel — State Surcharge $ 50 Burner Trade Name o• g -(IJ HP EDR TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMP Signed By Approved By Rough—In Date Final Date FILL OUT BACK SIDE R STACK VERIFICATION ON REPLACEMENT FUR CE pFpENDABLE INDOOR AIR QUALITY, INC, 2619 COON RAPIDS BOULEVARD =11j WIDS, MIN 56436 Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: DEPENDABLE INDOOR AIR QUALITY, ING 2319 COON RAPIDS BOULEVARD CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (V� No ( ) 2. Is free from rust or deterioration Yes (Vf No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: DEPENDABLE INDOOR AIR QUALITY, ING 2319 COON RAPIDS BOULEVARD .. SO Department of Administration September 29, 2000 Elmo Ness 5647 Matterhorn Dr. Fridley MN 55432 RE: Chair Lift Residence: Ness, Elmo Residence 5647 Matterhorn Dr. Fridley 55432 Dear Sir/Madam: - Elevator ID# 00-05878PT99-28R Minnesota Statutes Chapter 16B provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your residence and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILDING CODES AND STANDARDS 4--2" einke State Elevator Inspector bjr/rkr (CE -2) c: Julkowski, Ronald, BO, City of Fridley Arrow Lift Accessibility ElFormMR Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place East, St. Paul, MN 55101-2181 Voice: 651.296.4639; Fax: 651.297.1973; TTY: 1.800.627.3529 and ask for 296.9929 a su6iEcr PE IT NO. City of Fridley C__33390 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. `� ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE NUMBER NEV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55132 763-571-3450 910-F15 3/24/03 JOB ADDRESS 5647 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 3 1 Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elmo Ness 5647 Matterhorn Drive NE 763-574-1886 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sela Roofing & Remodeling 4100 Excelsior Blvd St Louis Park MN 55416 1050 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 612-823-8046 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION [. REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof back porch (6 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment to meet the State Building Code. TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $695 $ .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 COW $29.60 Fire SC $ STRUCT THE PERFORMANCE OF CONSTRUCTION .69 I PLAN CHECK FEE License SC $5.00 TOTALFEE 1 $35.79 SIG RE OFCON'RACTORORAUTHORIZED AGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT S-GNATURE Of OWNERO; OWNER SUILDERI IDATEI SLOG INSP TIAit a NEW [ ] Effective 1/1/2001 ADDN (] CITY OF FRIDLrEY (763) ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: J Legal Description: Owner Name &(fIP---Address: ' Ivy) I> /j2.C,_5 Tel. # -74 R1;26I�11' Contractor: A d _(� i i�� P ►SDI C P/ 11 � 0 G MN LICENSE # 0 S -n Address: � (� d �X c � S r n Il l �T, r l� //Tel. # CP 27 Attach to this application, a Certificate of �ey oYtZ 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: Len gt Width Hgt/Ground Sq. Ft OTHER: k2 r - CT Construction Type: Estimated Cost: $�/ S✓ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 3— :) —5 APPLICANT: r0 tji i- Tel. CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ d ' 60 Fee Schedule on Reverse Side Fire Surcharge $ • 0 .001 of Permit Valuation (1/10th%) State Surcharge $ S-6 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ Y ®O $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 $ '3S STIPULATIONS: w4 a Building I PLUMBING Permit No.:° 00 �021 inspections PP, v.,.` 7633'572-3604 C V OF F' LE Date Rec' 763-502-4977 FAX EFFECTIVE 1-1-0S DATE V L O YOUR E-MAIL ADDRESS SITE ADDRESS 54q -�_ Ma.Ef'?j- p -n by uE THIS APPLICANT IS: 0 OWNER ,CONTRACTOR PROPERTY NAME: Ow 4 &rnoe�" jgeo ADDRESS: V1,4_7NI CCFCG{�!'WYI�iy1� Y ge CITY IF'TD kt/ STATE& ZIP ✓rS Z OWNER/ TENANT PHONE: /` - P' I - loy(a CONTRACTOR I - NAME: lzi yey Li 4V p Lywk2 49 - SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: S7-10 aw/1 CITY —F I�e STATE�ZIP SS 32 INSURANCE. PHONE �? _?E j ZI % FAX ?lo - 75 ` 2-IbY PERAW TYPE `,SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: O NEW REPLACEMENT DETAILED DESCRIPTION OF WORK _ . : ((/f19Y1 VW -'ey 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 = plus SO surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINK/LAV _FLOORDRAINS _SHOWER _WATERPIPING _ _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ DISHWASHER —LAUNDRY TRAY _j_ WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surchame .50 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 1_ x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 (AQTNTAAT TAA �t1 S 501 (MINIMUM 315-50) Total = $ ?�• 5-6 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED 1 hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. y� jl SIGNATU OF .1 I ''ANT PRINT NAME. /U I GGA!' DATE Arrmu V ED 6 ARE REOUIRED FOR Bl_RLDING. ELIrCTR1CAL. AND*,\4ECHA Cw�y of 7 ridlev 3uiidin;11nspeetions Denar-ment )+ 1 T Tniversin, Avenue \iE.=ridlev- ilii ":y'3_ 77 bQ� G' 1, N 009 From: unknown Page: 2/2 Date: 5/27/2009 8:58:09 AM Building MECHANICAL Permit No.. InspectionsRESIDENTIAL APPLICATION P-eVff -W4 -00 763-572-3604 CITY OF FRIDLEY Date Redd: 763-502-4977 FAX EFFECTIVE 2.19-0 RATE YOUR E-MAIL ADDRESS f SITE ADDRESS LI`�iPJ!' L'��, THIS APPLICANT 1S: 0 OWNER WONTRACTOR PROPERTY NAME: OWNER/ ADDRESS; STAT&-nIPza1 TENANT CONTRACTOR COMPANYNAME: SUBMIT A COPY OF CONTACT PERSbN: YOURSTATE STATE LICENSE#.__,_._ .. _, Dave's Heating, Air & Electric LICENSE WITH ADDRESS: 1.601 37th Ave Ne _,STATE ZIP APPLICATION PHONE Columbia Heights, MN 55421 NGLE FAMILY O TWO FAMILY O TOWNHOUSE PERMIT TYPE TYPE OF WORK: 0 NEW MAIPILACEMONT 0 ALTERATION/R.RMODEL DETAILED DESCRIPTION OF WORK I'9 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: IND TO L NUMBER OF RACH BELOW) EquiprrNnt Installed MFG MODEL: SIZUSTU MFG: MODEL: SlzEfBTU MFO: MODEL: SIZE/BTU �A/C $25.00 FIREPLACE (OAS) $15.00 PAS RANGE/OVEN $10.00 AIRTO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 IJEI>fl GAS GRILL $10.00 BOILER $35.00 _FURNACE $35.00 PAS UNIT HTR $10.00 CHIMNEY LINER$10.00 GAS DRYER$10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Number of fixtures @ $10.00 x $10.60 - $ Number of fxtures @ $15.00 x $15.00 - $ Number of fixtures @ $25.00 _ x $25.00 = $ Number of fixtures @$35.00 x $35,00 - $ State Surcharge = $.50 (MMIMUK FEE Will Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for ilding permit and I acknowledge that the information above is complete and accurate; that -the work will be In conformance wt the 0 dinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but iy an plication for permit and work Is not to start without a permit; that the work will be in accordance with the approved plan in he a fall work requi eview, and approval o laps. SIONATURE OF AP LICA PRINT NA ATH PLEASE NOTE.- SEPARATE P ITS ARE REQUIRED FOR BUILDING ELECTRICAL AND MECHANICAL. WORK V City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ftA