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
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