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PRE 2010 DOCSZate: _ May 4e 1972 City of Fridley, , Afhm, 11422 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT •070 Stinsoni • LOCATION OF BUILDING No 5692 Street - Matterho-rn Drive N -F— Part of Lot Lot 3 Block - 4 Addition or Sub -Division Innsbruck North Addition Corner Lot .Inside Lot % Setback 35' Sideyard 10' & 6'.54" Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwelling Front 35' Depth 5'_ Height 20Sq. Ft. 1634' Cu. Ft Garage Front 30' Depth 28' Height 10' Sq. Ft 840' Cu, Ft 8400' Type of Construction - Framp Est. Cost 'A1.664 _ Q0 i_ To be Completed - Sept. 1. 1979 Stipulations: Provide a hard surface drive and a verifying survey before capping. Provide window wells if drainage problem on basement windows on the south. Nail in tree is maximum garage elevation ( 4' above street) In consideration of the issuance to me of a permit to construct building described above, agree to $he proposed work in accordance with the description above se in compliance with p ovisio ordinances of the city of Fridley. _ 15.83' State Surcharge *IV- . in consideration of the payment of a fee of $ 76.00 , permit is hereby granted to° Amber Construction 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 1 hthe city limits and this permit may be revoked at any time upon violation of any of the provisions of said i` CLEAR CE BELISLE NOTICE: This permit does not cover the construction, Installation for whine, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. V 2'a -s 7 7b.o� APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING P,tRMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME JT �j/�tf � ,C� 111,, ;4 k ,r_-sz BUILDER: _ AM1 4 Srd (7? y-s-T,X a c Tu Q& Ell( c ADDRESS: ADDRESS:. 4/:,0 76 S T /Af S oil k va(- A ,C- NO:. f d� STREET: IW &- T 'r, #0 d? M 04T t ✓.0 ,. f LOT: BLOCK: `'% ADDITION �.f/&-5__R a a c 14, 2204 T gF• CORNER LOT: INSIDE LOT:y SETBACK: 3 S- SIDEYARD:_/VJe 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: 3 5 —Depth: J�_ S Height: Square Feet: Cubic Cubic Feet: ,. Front: 3 D Depth:_ Height: /0 Square Feet; 9 -VO Cubic Feet: o a Type of Construction:' Estimated Cost: $ 37 SBD To Be Completed: �/ % f -7.2 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 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• - 2 ? SIGNATURE: (See Reverse Side For Additional Information.)- - M Land Planning sfvleff ?,/W)t 6875 Highway No. 63 N.E. Land Surveying • • �, Minneapolis, Soils Testing elite j149 X6140, • 1'1�. Minn. 5114321. Civil Engineering Telephone .784-6060; Municipal Engineering Area �oe�s l4f' Engineers & Surveyors Certificatef Survey for MILLL=R p y �DWWC-TH I$" e ' . b -I n N 0'^ L1 N N - - - - Uano}es Dra�no$e � Ui'lli�r Eoserr►Qn� Bealrin$s shown are assumed o Deno}es iron monument' Lo -t- 3 BLoCk 4 y (i.ry to fGzn9�iUffhir{ IdCQI'1�"5 ill r��7< �Q t11,\ ) IPjrossgzuc �.Nt� j4 _ // r 1 hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all buildings, thereon, and all visible encroachments, if any, from or on sold land. As surveyed by me this day ofM9Y A.D. 19JI. SUBURBAN INGINEER1NG, MC, We: = � `�h• 40 � Engineers SM v ors _ by • 10 1 w` - - - - Uano}es Dra�no$e � Ui'lli�r Eoserr►Qn� Bealrin$s shown are assumed o Deno}es iron monument' Lo -t- 3 BLoCk 4 y (i.ry to fGzn9�iUffhir{ IdCQI'1�"5 ill r��7< �Q t11,\ ) IPjrossgzuc �.Nt� j4 _ // r 1 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 of all buildings, thereon, and all visible encroachments, if any, from or on sold land. As surveyed by me this day ofM9Y A.D. 19JI. SUBURBAN INGINEER1NG, MC, We: = � `�h• 40 � Engineers SM v ors _ by • City of Fridley `' ppli for Phmbbig and C"a r Dept. of Bldgs. Phone 5606345D DESCRIPTION OF WORE Number. Kind and Locafl®o of Pr ixlu"@ *• �fjes � 6 �� %�7%.s �Lf � K J -� s .) - PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES- NO. RATE TOTAL q 18. oo Number Fixtures ................ x $2.00 f Future Fixture Opening ....... • • • • x $1.50 S New Fixture Old Opening .......... x $1.50 $ Catch Basin .............. 0 ..... x $3.25 a 'Up $3.00 S ® � Water Heater to 99.000 BTU) .... x New Ground Ruga Old Bldg......... x $3.25 S Etectrlc Wates Heater .............. : $zoo $ GAS FITTING FEES. NO. RATE TOTAL 0 Ist 3 Fixtures ............ • • • • • x $2.00 $ .2-0 AddWonal Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU............ x $5.00 $ State Surcharge $ .50 REPAIRS S ALTERATIONS—Refer to Code _ �..iCF!€411��On__J9 0.... •.. o a..a..e .. ew..•.. s........ ....... e TOTAL YUr>� � 5 0 City of Fridley: The undersigned hereby makes application for a permit for the vrork herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Building% and hereby declares that all the fact and representations stated in this application are true and correct Fridley. Minn. Onager Kind of Building Used as To be completed about Estimated cost, $ SS Old4gew.Nuilding Permit No. Permit No. Signed By Business Phune No. -CEL 1� ROUGH 53-84-s-915-51 City of Fridley Applicaffm for Pkmbbgand C"a Dept. of Bldge. Phone 380-345D DESCRIPTION OF WORE 5652 N. E. Matterhorn Drive Number. Diad and Location of F xhaes t A" ff" Base PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES- NO. BATE TOTAL Number Fixtures ................ x $2.00 f Future fixture Opening ........... x $1.50 i New Fixture Old Opening.......... x $1.50 t Catch Basin.. ............ x $3.25 1R Water Beater 'Up to 99.000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. a $2.00 $ GAS FITTING FEES. NO. RATE TOTAL lot 3 Fixtures .... • ......... _x$100 : Additional Fixtures ................ z $ .78 : Gas Range to 199,000 BTU .. ,......... x $5.00 $ State Surcharge $ .50 SF. RAMS @ ALTERATION8 —Rater to Code _ Install Grill 5.00 Ducription ......... ... ....... TOTAL FEE 0 - A GG�54 City of iiidlw. The undersigned hereby makes application for a permit for the asork here!, specified. agreeing to de all work in strict accordance with the City Ordina ¢e andruling of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Mina 5-3-73 „I9, Owner Kenneth M. Miller Kind of Building Frame Used as Res. To be completed about _ 5-10-73 Estimated Cost, $ 10.00 /� Old -=Building Permit No. Permit No. �9 /1 Sig.+=& 0-4 By MNNEGASCO Business Phune No ROUGH ��� , FINAL d' Land Planning Sedm4wit 6875 Highway No. 65 N. E. Land Surveying• • Minneapolis, Soils Testing �iwee �J f C• Minn. 55434 Civil engineering (/ Telephone 784-60$6 Municipal Engineering Engineers & Surveyors Area Code 612 Mortgage Loan Survey, for���E1i CONTRUCTION cot OT 3 BLOCK A- INKBRON N unOo This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only. In connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. it is understood and agreed no monuments have been placed for the purpose of establishing lot lines or boundary corners. Dated this-lLiLday ofMSA. D. 19 SUBURBAN ENGINEERING, INC. ��-37�3� Engineer Sary s s ear I rCad g M W -7t:I C, I --t30 I m ESIDEWCE o s is 1 fl Uj I OT 3 BLOCK A- INKBRON N unOo This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only. In connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. it is understood and agreed no monuments have been placed for the purpose of establishing lot lines or boundary corners. Dated this-lLiLday ofMSA. D. 19 SUBURBAN ENGINEERING, INC. ��-37�3� Engineer Sary s s SANGRENE PRINTING • 421-6220 0 o` 0. 0 C. 0 0 0 FORM f INITIAL COMPLAINT REPORT DEPT. Fridley Police NO. 65468 TIME REC M TIME DISP 1400 M ON SCENE 1403 M CLEARED 1417 M DATE 11-4-75- RADIO X IN PERSON BY PHONE-MAIL- COMPLAINANT HONE MAIL COMPLAINANT ills• Kenneth Miller ADDRESS 5652 Matterhorn Dr. LOCATION Next lot to south of complainant PHONE No. 571-8487 OFFICER ASSIGNED J. F• Anderson TYPE- Ord. Violation (Dumping) COMPLAINT ant reports boxes of` papers dumped on their property sometime -Sunday nite, 11-2-7 Picked up papers containing below listed names and brought to the station Technicians will attempt to contact subjects and advise them to pick up the mess FINDINGS #1) Darwin Bayerkohler, address unknown AND DIS- POSITION #2) Tom Lindstrom. Medtronic Inc,., PO Box 1453, 3055 Old Hwy 8,�Mnis Cody •yO �+�v7•rOnIIlenta _ RE A; 4vf on Ilan - ORIGINAL Dos 3uilding $ BUILDING Plan Review Permit No - inspections Fire Surcharge RESIDENTIAL APPLICATION `Z . Received B ' 763-572-3604 .Cl-( CITY OF FRIDLEY $ Date Rec'd: �ATE�' Z (�'— � YOUR E-MAIL RESS ;ITE $ Erosion Control $ HIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: Z -.i `14-, �`^g/�& ADDRESS: CITY STATE ZIP TENANT PHONE: CONTRACTOR NAME: I `- o STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: ! In",, ( 44 k :�& CITY bot, `!it' _ STATE�ZiP��3 WITH APPLICATION PHONE L 't --7Z- C> FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH -ROOF [3 DRAIN TILE [3 DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: PROPOSED HEIGHT: 13 DETACHED GARAGE K ,)e -,\V— ;/ �� 3. List of structural members to be used SIDING 1� ��`���6 FOR NEW CONSTRUCTION INCLUDING DECKS, & PORCHES SUBMIT: [3 Vinyl Soffit ADDITIONS. ❑ Aluminum ❑ Other / ❑ Trim ` ❑ Fascia 1. Site Plan/Survey showing the existing structures and proposed project �� 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: :;)0U0 SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION -�,. Gla 1 =c OCCUPANCY TYPE Permit Fee $ S Plan Review $ Fire Surcharge $ `Z . Surcharge $ .Cl-( License Surcharge $ li:�®o SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ 91 , S See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be 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; that the work will be in accordance with the approved plan in the case of all work which requir review and approval of plans. Q� SIGNATURE OF APPLICANT PRINT NAME r ! &11',416ATE 1— Z� J1 (D I. ;2 5 Building Inspections 763-572-3604 BUILDING pennit O.: RESIDENTIAL APPLICATION AO'B�'CITY OF P+ R.�L.E+ Y q / _ YOUR E-MAIL ADDRrys SrIE AL)DRESs_Fr d l ev 55'13 THIS APPLICANT IS: ❑ OWNPR )(CONTRAGrOR PROPEIt'1'Y OWNEW NAME: Ir—id a Fra- TENANTF�/!� ADDxF;st:_ 5 Co S � .. �1 a � �e r orn •rI'vr rd (Q v - PHONE, _1Co CONTRACTOR 650fiNIM A COPY Ot• I STATE LICENS14 �- Y6L1R STATL LICENSE; ADDRESS:16& W I'1H APPLLC:AT ON PHONF. 651 PERMIT TYPE TYPE OF WORK: 0 Two FAMILY/NEW d ADDITION ❑ BASEMENT FINISH p DECK L)ESCSIn WORK BFINO DONE: SIZE Ul, IMPFLOVF-MFNT OF SQUARES 'A1ZhG PROPEAMD SIZE:_ PROPOSED ILEI 1fr: • um ❑ vi►nl 0 Alwniaum C] Odder _ . S W S _ _ _I1XP DATE 3- )5 6 66' _rAi CO5!l. W CONSTRUCTION SI Z. ST( D OARACiEJSNEI:i 0 ROOF 0 SIDINCI Q RWMNING POOL 0 ADDITION rAIR Q Rrml)FIING CR. wihc(ow 1h + LENGTH W p HOUSE ONLY Q HOUSE & OARACIV 0 ATTACHED OARAGE C IDETACHF1) GA.RACIF 17Mcvillt ❑ Trim [3 >:aeeia Ell INDOWS 0 DRAIN TILE [3O'11aRR o ►TH _ HEIGI41 BASEI+f I)I I. Existing Ro 2, Proposed Ba 3. Lint or $no FOR NLW WNSTRU AMM(1m_410R_C 1. Site Pbm/Su and propose 2. Two sets of 3. Rnergy Grlc N IN 00TING OPENINGS XYcs ❑No LOCATION CIF WINDOWS M FOR NEW OPFNWGS-UN%CRIBS SIZE OF OPENING CHANGES & 3 L S NUMBER OF WINDOW TYPE OF WINDOW TO BE TALL, INCLUDING THE COST OF LABOR AND rdAT1 ALL FEES ARE BASED ON VALUAT'IaON, (USIN THE 1997 U.B.0 FEE SCHEDULE) TOTAL. JOB VALUATION $ 500. O O OCCUPANCY TYPE $ See Back Page for Fee Schedule Permit Fee Plan Review $ 650/6 of Building, Permit Fee S .001 times the total j cb valuation Fire Surcharge Fires$ .0005 x Permit Valuation Minimum S.50 Surchrge �$ $5.00 (State Lictxwd Residential ContrWers) se Surcharge LicwSAC Unit (Plans to MWCC for detenr Charge $ $ $1675 per SAC ii + 6 ft _ � _ ft x $21 = $-- Curb Cut lgserow S _ $450 Conservation Plan Review Erosion Control $ Fee Determined by Engineering Park Fee Agreement neoessary ( ) Non Necessary { ) I Sewer Main Charge ,.A..r.a ..1-11,14 nwvrtble to: City of Fridley a uw9 irµs T7iIS N AN APPLICATION FOK A PFRMrr-NOT vALID UNTIL PROCESSED 1 hereby apply for a building permit and I acknowledge that the information above is complete and accun and eo cottfot7rrance with the ordinances deeq of the City of Fridley and with the Milmesota Construction Codes-, permit but only an application for a permit and work is not to start without a perrnh; that the work will be in l&I in the case of all work whit requires review,and approval of plans. p !l _ Il --- -I- Alimay SGa�lr'tfeigti �i SIONAI't..ME OF APPLICANT' NAML a— — zIP 5 ��13 a IM STATTEAI J 5� .� So. Ft: S1J131bQT� Plan plan A inembora to 'bo used 70N WC LUDING DFM, as stm— . ay showing We existing =ilcmws yrojeat. Nvuedon plaas that the work vdil he in I understand this is not a rdance with the approved q--'9 /0 Td Wd90:170 2_00Z 2F '100 2_8ZTTZSE9L: 'ON XUA RaIPTad jo fi;TO: wmu