PRE 2010 DOCSCity of Fridley
SUBJECT
PE
13'703
AT THE TOP OF THE TWINS
BUILDING PERMIT
i �
16U -_-_--_ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION
ay�
SEC.�/�(
CITY HALL FRIDLEY 55432
1---' a
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
-J 612-560-3450
910-F15
18/17/76
JOB ADDRESS 5695 Matterhorn Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
19
3
Innbruck North SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Thomas O'Rourke
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Rodney Billman, Inc. 151 Silver Lake Road, New Brighton, Mn. 633-0536
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ .MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 62' x 26' Dwelling and a 21' x 24' Garage divoing Pail jorai upties
=-PFRATE PERMITS REQUIRED FOR IRINO TELEPHONE - ELECTRIC - GAS Etr-
-
9 CHANGEE N PLUMBING ASID SfGN& TO REQUIRED by
STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side
yards. Provide a verifying survey before capping. Provide truss design.
Call for excavation inspection. Provide vapor barriers in ceiling.
SEWER LOCATION (Approx. 28' Deep) 150' N.W. of Manhole (N. Inv. 937.64)
WYE ELEV: 936.17
TOP OF FOOTING: 939.67 Minimum
WATER LOCATION: 10' South of Sewer Service
THE CITY OF FMDW DOES NOT GUARANTEE THE —IMPORTANT--
ACCURACY OF UTILITY LOCATIONS AND ELEVATIC,1•.; NOTIFY THE FRIDLEY ENGR,
I -,i* DATA IS FOR INFORMATION PUrPOSES 01,,.LY ANJ DIVISION REGARDING CURB
PERSONS USING R SHOULD VERIFY THE INFORMATION REMOVAL, AND REPLACEMENT'
ON THE SITE AT DRIVEWAY OPENINGS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
1648+568 26,480+5680
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$46,305
$23.15
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-
STRUC OR THE PERFORMANCE OF CON TRUCTION.
$128.64 )
$350.00
a
PLAN CHECK FE
TOTAL FEE
$32.16
$533.95
G41WURE OF d6NTRACTOP,6RAUTHORIZEDAGENT (DATE)
WHENPERLY VALIDATED THIS IS YOUR PERMIT
04) a --l &
BLDG INSP DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT 05 or O � G
CITY OF FRIDLEY, MINNESOTA �3
OWNER'S NAME` . 1�� ILDER: 2�
ADDRESS: ADDRESS:
NO:. 6 ! �7 STREET: mw 4m #a > Rm�
LOT: BLOCK • .� ADDITION • - /p�A� � �/` �����
CORNER LOT: INSIDE LOT: All SETBACK:— �� SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
x;;
sedL
-,V
ao
Front : to ?i Depth: co Height • P�
Square Feet:, se6 Cubic Feet: o2C �g0
Front: a Depth• / Height: �d
0100'
Square Feet; +6B Cubic Feet S4 8 6
Type of Construction:—,Z[..�74 e Estimated Cost a
To Be Completed: j7oA/ / / 57 71, o 3a�
s
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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,
J� DATE: / r SIGNATURE:
(See Reverse Side For Additional Information.)
�. �odcOE �2u.5S DeFSi ��
5 35a , ao „� r C'i¢G.L �'�%2 6 it c4v�¢ 7
J40,90- W Ir eRs / '
MEMO FOR FILE
MEMO DATE: July 27, 1977
MEMO FROM: Ron Holden, Building Inspector
REGARDING: Extension of Final Inspection Requirements at
5695 Matterhorn Drive N.E.
Attached is a phone message from the owner of 5695 Matterhorn
drive N.E. Due to_illness he is requesting an extension of
time on required items until August 8, 1977.
We hereby grant an extension until August 8, 1977, at which
time another inspection will be made to verify compliance.
RON HOLDEN
Building Inspector
®AJ `
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Jo
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CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
N
NO.
RATE
m
7''
y
x
'ro
$ J9,00
U
x
k
N
New Fixture, Old Opening
Water
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
% x
$5.00
Ca
100,000 BTU to 199,000 BTU
x
Water Softener
x
Heater
Obi
4J
r 4
$5.00
N
Electric Water Heater
E
[(d
k
GAS FITTING FEES:
N
b
N
0.Q'i
4
1st 3 fixtures
/ x
14
$ 3.0
•.i
ii
4 N
N
b
H
J
C
"�
N
N
9 .0
N
k
.[ 9
50
N
s.
0
ro
—I �
O
O
13 N
+J N
N
dPQ
N
2
m
H
y
3
Q w
vi
w
U 'd
3
c`�
o
as
lec
N
U
D
07
1st
2nd
3rd
4th
= Future Connection Opening
Connected with Sewer
[(R3
= New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$ J9,00
Future Fixture Opening
x
$2.00
$ &.00
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
% x
$5.00
$ S-.00
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
/ x
$3.00
$ 3.0
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$.:0.00
$
REPAIRS $ ALTERATIONS
First $100.00 $5.00
each add. $100.00 or fraction $2.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($10.00)
Job Address t7 6 C)VS U d l 01 (U X11 P
Department of Buildings
City of Fridley
Tel. #571-3450
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 Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. 149 — /3 , 19
OWNER
KIND OF BUILDING'iA?v..2
USED AS '
TO BE COMPLETED ABOUT
ESTIMATED COST I IG
OLD -/ ;BUILDING PERMIT NO. PERMIT NO. W //"
�� Company G
Signed By
Tel. No.c�
ROUGH INSP.
Date
FINAL INSP. 6 - Z'z--?
Date
APPROVAL FOR PERMIT11��
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7..50
June 22, 1977
# 511t,11
... 1t5 k
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNES0TA 55432
Rodney Billman, Inc.
151 Silver lake Road
New Brighton, Mn. 55112
Re: Final Inspection at 5695 Matterhorn Drive N.E.
Dear Sirs: X_
TELEPHONE ( 612)571-3450
A final inspection was made on June 22, 1977 of 5695 Matterhorn Drive N.E.
and the following items were noted which must be completed before the
structure can be finaled out;
1. Install garage door closer by July 26, 1977
2. Repair garage ceiling by July 26, 1977.
3. Install all heating grills -.by July 26, 1977
4. Install'handrail to basement By July 26, 1977.
5. Install a 36 inch high railing around deck perimeter by July 26, 1977.
We will expect the above items to be completed by the scheduled date
when a reinspection will be made to determine compliance. If you have
any questions about these items, please feel free to contact me at 571-3450.
Sin c ely,
RON HOLDEN
Building Inspector
RH/mh
CC: Mr. Tom O'Rourke
su6jEciI
N
City of Fridley
29851
AT THE TOP OF THE TWINS
P,
BUILDING
PERMIT
�
EIPT NO.
COMMUNITY DEVELOPMENT DIV.
L_
r � PROTECTIVE INSPECTION SEC.
�
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
' 612-571-3450
910415
7/9/99
10B ADDRESS 5695 Matterhorn Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
19
3
Innsbruck North
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
David Harris
572-3827
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
American Bldg. Contr. 12247 Nicollet Ave S Burnsville
-
a 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
O NEW ❑ ADDITION O ALTERATION X91 REPAIR
O MOVE O REMOVE
B DESCRIBE WORK
Reroof house and garageTear-nff
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIREO 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 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2185
$1.09
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-
STRUCT11014 OR AHE PERFORMANCE OF CONSTRUCTION
$83.25
Fire SC $2.19
PLAN CHECK FEE
TOTAL FEE
7 q
nse SC $5.00
1$91.53
SIGOATZWOFCON•RACTORORAUTHORIZEDAGENT IDATEI
WH PR PERLY VA (DATED THIS IS YOUR PERMIT
BLOC INSPJ
2--1-2-99
OATS
_
5-GNATURE OF OWNER.1F OWNER BUILDER- (DATE-
�w 'G.Y i 7?G Yid • 10 !-KLMIt 4-111 U- t- K 1 L)Lt Y { u 'aSfzVw-*> P. 01/02
" ADDN C ] CM OF FM LEY
A.� TER r 10 SINGLE FAMILY AND DupLF=s R-1 AND R-2 s
BUILDING PERMT APPLICATION � `�NP �
Constr WouAddress: F` 9S del �/�.,� �� F'4 S -r L/3 z
Legal mon:
Ow= Nado Address: DU 4r•- i S �` R f . �ifi�t el. # 57 Z— 3 Y 27
Contractor: / Y re`, - ; cggs- -- 6 a , L ' Ce—r —MN LICENSE # .fid
4 3 9 3
Address: l LZ- `7'7 /ld,ceCCv S . ��.,._s fz� 5�f3 3 ?Tel. #('r -Z 787_ 6 q r"7
Attach to this application, a Certificate of Survey of the
lot. with the proposed construction drawn on it to scale.
DESCRIPTION OF EHMOVEMMa
LIVING AREA:
Length
Width ` Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type.T-4- c v Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ $
DATE: - APPLICANT:
Tel. # 702 - 2 S ry
Permit Fee
$ g `"'
Ci a USE ONLY
Fee Schedule on Reverse Side
Fire Surcharge
$ J9
.001 of Permit Valuation anoth%)
State Surcharge
$ 1,62
$.SO/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$5.00
$5.00 (State Licensed Residential Contractors)
Driveway amu+
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Pian Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary I ]
TOTAL
s'-:21-=
. STIPULATIONS:
Building
PLUMBING
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
D*'dl AN 200
763-502-4977 FAX
EFFECTIVE 1-1-08
l
DATE I' Z o 8 YOUR E-MAIL ADDRESS i4A'UU f &-A I R S AOL • Lie M
SITE ADDRESS SG�9s i'/A %�E�HbRN -Ae . 77z/O V,
THIS APPLICANT IS: PIAWNER ❑CONTRACTOR
PROPERTY
NAME: 3) 0).0 t j 14At aus
OWNER/
ADDRESS: 669914* 7-Td2Ny1Z✓ 104- CITY TQ./04.6 % STAT Il7'✓ ZIPSSy32
TENANT
PHONE: '�03^ 572-38 27
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE
LICENSE, BOND AND
STATE BOND # EXP DATE
CERTIFICATE OF
ADDRESS: CITY STATE ZIP
INSURANCE
PHONE FAX
PERMIT TYPE.
j4INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK j?f t.A<.E
PER MS 1613.665 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 .50 surcharge
OR
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $ I0-00 PER RXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW). MINIMUM FEE $15.50.
WATER PIPING
_ BATH SINKILAV _FLOOR DRAINS _ SHOWER
GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35)
—BATHTUB _
CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREY. ($15)
_ _
DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
_
WATER METER —OTHER
Permit Fee $ Number of fixtures @��
$10.00 x$10.000 =$
Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
(MINIMUM $15.50) (MINIMUM $15.50) Total = $
THIS IS AN APPLICATION FOR 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 and with the Minnesota Construction Codes; that I understand this is
not a permit but -only an applicat' n for a permit and work is not to start without a permit on site; that the work will be in. accordance
with the approved plans in the c d�llwor which requires review and approval of plans. p
W
DAIM) DATE !'27-4p
SIGNATURE OF APPLIC�� jj �""' ' PRINT NAME
APPROVED BY DATE
-,. Edi � I R _11, DOC
(�! City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977