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PRE 2010 DOCSCity of Fridley SUBJECT PERMIT NO. ® 1365 AT THE TOP OF THE TWINS PERMIT ' BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 ' � CITY HALL FRIDLEY 55432 L ,'j612-560-3450 NUMBER REV. DATE PAGE OF APPROVED BY 910-F15 7/21/76 JOB ADDRESS 5700 Matterhorn Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 2 Grace High School SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bradley 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Gorham Construction 9050 Collins Drive, Anoka 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 1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK - --�MPORTAlUT Construct a 26' x 48' Dwelling and a 24' x 24' Garage NOTIFY PERMITS RiRED iIVISIONGADN 9 CHANGE OF USE FROM UEATING�F PLUMBINGANf? r`GINS. RRMOVAL AND REPLAC AT DRIVEWAY OPIEN1 STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. SEWER LOCATION (Approx. 22' Deep) 98' S.E. of Manhole (Inv. 933.70) WYE ELEV: 934.66 TOP OF FOOTING: 939.66 Minimum WATER LOCATION: MUST BE TAPPED 140 CIP 5' East of the west line of Matterhorn Drive THI WARNINS MY OF FPZM DQE$ NOT GUARANTEE THE ACCUTACY OP UT11tT LOCATIONS ANO ELlV'4TION7 &WO digging call local utilities T41IS DATA 1$ FOR bftL A'nON pUpj0SlS ONLY ANS TELEPHONE • ELECTRIC - GAS Etc. PERSONS U31WO N MOM Y91IFT TO IMP MATION ON THE SITE REQUIRED BY LAW 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 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 R-1 1325 + 653 25,676 + 653 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, $41,865 $20.93 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- $1.02.70 $350.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. g�f 7-x:76 PLAN CHECK FEE $ .67 TOTAL FEE $499.30 , SIGNATV!; CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN PROPER V IDATED THIS IS YOUR PERMIT - BLDG. INSP - DATE SIGNATURE OF OWNERIIF OWNER BUILDER) (DATE) MR. :URO :E ENT IGS, CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, 7-7 ADDITION, OR REPAIR BUILDING PERMIT '70a OWNER'S NAME : Sr n-W,BUILDER: 61 ADDRESS: Is _ /1_7r(r W 46 ADDRESS: �0�0' G®lll�rl /d �� %�e�/Or� G� NO:. 9 s� 0 OSTREET : 001 - LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: I/ SETBACK: FrO SIDEYARD: Io 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: ZG lelk Front: ��� Depth: Height: 13,2,4. - Square Feet: Cubic Feet: `Z �, (v �J Front: .-P Height: Square Feet; Cubic Feet: ev Type of Construction: weed I-r0,ne, Estimated Cost: $ Jo Be Completed: QcI 2 O t/, E5 6,, � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sticict 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 truefand correct. 0-. '1A 1 7-/(-76/ SIGNATURE : (See Reverse Side For Additional Information.) If OeF9.30 '�-900 fy1Cj`r_'Q_Am ry GERALD t COYNE LOT SURVEYS COMPANY RAYMOND A. PRASCH 300 BRUNSWICK AVE. S. 6917 IDAHO AVE N.. GOLDEN VALLEY, MINN. LA" SURVEYORS BROOKLYN PARK, MINN. MINN. REG. NO. 4741 REGISTERED UNDER LAWS OF STATE OF 6flNNESOTA MINN. REG. NO. 6743 LICENSED BY ORDINANCE OF CITY OF BUNNEAPOLIS / INVOKE NO. 5333 5747 W. Broadway Minneapolis, Minnesota SS428 533-9922 F. & NO. i61_ i; INDUSTRIAL —JUDICIAL ttYux�i �Pl'tfiC�ItP (`�JY_ SCALE I — 40 ' COMMERCIAL — TOPOGRAPHICAL►� ' CITY LOTS — PLATTING O — DENOTES IRON o -Denotes wood hub set � � � H •-,, � t � v �-; .� , 1 10 ,J for excavation only. Ile \ g�-71 o'�" it ;`;= L•c � qr-�% Lot 14, Block 2', GRACE HIGH SCHOOL ADDITION y W,: rereby cert fy that th s -,s a true and correct representation of a survey of the b(lundaries of the above , de—, �,-d ,_rd and the location of a:l bui!Id:ngs ano :isihle ercreath-r,-:->, � en,, from c.r cr sa,d .and. � Signed -- sur:., •.d r:y th _21:91. - dey of July 19 - - 1* �+t�RATYS COMPANY GERALD T. COYNE LOT SURVEYS COMPANY ,RAYMOND A. "CH 300 BRUNSWICK AVE. S. 6917 IDAHO AVE. N. GOLDEN VALLEY, MINN. SND ►SURV�i' CORS BROOKLYN PARK, MINN. MINN. REG. NO. 4741MINN. REG, NO. 6743 BEGISTESED iIi�TDEii LAWS OF STATE OF MINNESQTA WCENSED BY OBDIKANCE OF CITY OF. MINNEAPOLIS 5747 W. Broadway Minneapolis, Minnesota 55426 533-9922 INVOICE 40.1-5abIz INDUSTRIAL JUDICIAL E. & NO. 161-4b — TOPOGRAPHICAL1tPlJitiSp-•• SCALE I� C0 COMMERCIAL CITY LOTS — PLATTING ^(/ !i�/ 0 -- DENOTES IRON IV 13 -Denotes. wood hub set G R HA I 0 N S -%'• R U C T 10 N for excavation only. -- i C ' s V) (► its ify s -f ,,? Tie'_ n� G©jt�r��r�°�I 4 V� devised to shown Lot 141 Block 2, GRACE HIGH SCHOOL ADDITION foundation $/6/76 s.6 We hereby certify; that this is a true and correct representation of a survey of the boundaries of the above �f`� described land and the location .of all builidings and visible encroachments, if ary, from or on said land. Signed{" ' 'f i i" ?; ( rI' rt �`� f .��I — Surveyed by us this F:`_ day of a July 19 iii - L#T SURVEYS COMPANY CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT s PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Nu�,ber Fixtures Future Fixture opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE x $3.00 x $2.00 r. $2.00 W W / x •� U k N Water A $4 C a W A 41 0, W Heater E X 4J N u C S N M $4 61 U W ro C. .0 C •.� N .+C .0 G C 3 O .0 U •.i O .0 U N N 0 0 •.i 4J W C N •.i 7 % 0 O 4 O .-i 4J N (d ro 4J N 7 ro N �% a rd4J .00 leC 40J U ti4 7 rd W Id W N 3 0 G v1 W U W d 3 C7 C7 O as (n 1st / 2nd 3rd 4th (R) = Future Connection Opening Connected with ewer', (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Nu�,ber Fixtures Future Fixture opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE x $3.00 x $2.00 r. $2.00 x $5.00 / x $5.00 x $10.00 x $7.00 x $5.00 x $5.00 / x $3.00 x $1.00 x $10.00 $5.00 $2.00 State Surcharge TOTAL FEE REINSPECTIQN FEE ($30.00) TOTAL $/B'•UO $ (Q.D O Job Address 700— Department 00— 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. CJ , 19a OWNER �® Ile/ 2 /9/ KIND OF BUILDING &49 `✓'i •,S USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD6)BUILDING PERMIT NO. PERMIT NO. c Company cG-� `71 Signed By Tel. No. A/0 J '7 ROUGH INSP. Date FINAL INSP. V- ;z :7,- 76 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STFAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) RATE $12.00 7.00 7.00 4.00 TOTAL $ $ $12.00 $ 4.00 $ 7.00 S 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 10.00 $10.00 GAS FITTING FEES: Gas Piping 1st 3 Fixtures x $ 3.00 $ X3 - 00 Additional fixtures x $ 1.00 S Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE s-13-50 ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. 11-.99- %,Z Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address 5700 Matterhorn 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, Minn. November 15 197 OWNER Gary Gorman KIND OF BUILDING Frame USED AS Dwelling TO BE COMPLETED ABOUT ESTIMATED COST �j C OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP CompanyADVANCED HUTING & AIR CO INC Signed By 1*J A � - Tel. No. 57174$81 SUBJECT PE City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 20350 Ir � _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. "; CITY HALL FRIDLEY 55432 612-571-3450 RE NO. / NUMBER 910-F15 REV. DATE 5/10/90 PAGE OF APPROVED BY JOB ADDRESS 570.0 Matterhorn Drive N.E, 1 LEGAL DESCR. LOT NO. 14 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Grace High XXX School Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Burnner 5700 Matterhorn Drive N.E, 572-2192 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & R Construction Co. 2710 - 9th.Lane, Apt, 30.7, Anoka, MN 55303 427-4545 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 K3 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26x 14V Deck - Remove existing deck. 9 CHANGE OF USE FROM TO STIPULATIONS a'e notaktions on plan, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,650 $1,33 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT N OR THE FqEQFORMANCE F C NSTRUCTION. n'1/O/9 $54.00 PLAN CHECK FEE TOTAL FEE $55.33 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) EN PRO ER )DAT THIS IS YOUR PERMIT K-I(Mo BLDG INSP 4ATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/90 ADr-N [ ] R-1 AND R-2 ALTER [ ] Building Permit Application construction Address: 5 ® 0 M':' � fie, �' ®'r n b r . Legal Description: Owner Name & Address: 60 r\ �j L'. r n n e r Tel. # a r 0219 a Contractor: J1Y �, o (0'. Tel. Address: Q I I � kh La V1 e A M N 55 3(03 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIMON OF nCPROVBKMT LIVIIaG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length o? Width I Hgt/Ground ~7 Sq. Ft. 07 ER: f IT Tc %110 f Corner Lot [ ] Inside Lot [ ] Yd Setback Side Yard Setbacks Type of Construction: -rc, )�C--� J Estimated Cost: $ Approx. Completion Date: , Vno n -L C. Sd Proposed Driveway Width If New Opening Is Desired: ` Width + 6' See Back Page DATE: �®�4 o APPLICANT: Permit Fee $ V. 00 State Surcharge $ 1.011 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main charge $ TOM $ . .� STIPULUIONS : `•f.S J `-x.33 CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 2C�5z •Z CrG cam- l�j. � � 1 x `t GERALD T. COTNJE LOT SURVEYS COMPANY 300 BRUNSWICK AVE- S. GOLDEN VALLEY, MINN. 1AM SURVEYORS MINN. REG. NO. 4741 C=FrEM URM' 1AWS OF STATE OF MnqNESOTA UCENSED BY GRDD;4XCE OF Crff OF KWNEAPOLM JNECUSTR!AL — jUDIC-AL COMMPCIAL — TOPOGFLAFHICAL CITY LOTS — PLATTING 5747 W. Ep:$JwRy t-lin.-teapo!;3. Minnesota SS428 533-9922 - - �! - - — 161-" ftmijars Iterfiftimte 40' 7 7 0, DENOTES [PON out," -Denotes. wood hub set J( for -excavation only. I C� -3x924- . ... .. ........ -vised to show foundation 8/6/76 3.6. Lot 14, Block 2, GRACE HIGH SCHOOL ADDITION d We rerpby certify that this is,a true and correct reprosentatiori of a sure" of flee houndaries of the described ;a -,d a;�a the rota ten.cf 0 bullidings and visible encroachments, i# ar=t, from orom said land. st$n�d July Z6- MRVEMCONTPANY sur4'�jf"'i Ly US fl� It day of SUBJECT P City of Fridley 22342 AT THE TOP OF THE TWINS BUILDING PERMIT r RE T NO. COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 16 612-571-3450 910-F15 3/22/94 J08 ADDRESS 5700 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 2 1 Grace H SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Brunner 5700 Matterhorn Drive NE 572-2192: 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE N 8 DESCRIBE WORK Convert Deck to Three ' x 14T) 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 $12,000 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 6.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION, $153.00 Fire SC $12.00 PLAN CHECK FEE TOTALFEE $171.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERL IDATED THIS IS YOUR PERMIT �.�z-�1 -a3-9y BLDG INS MATE SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/94 ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 tf Building Permit Application ConstructionAddress: Legal Description: Owner Name & Address: /) ,�Vlj L i) v ov a a_ 2 s/k) E Tel. # 65- ?;a Contractor. 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 Length % Width ' Height /d Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/q�ound Sq. Ft. OTHER: GU D/Z� ra&'6_K: Comer Lot [ ] Inside Lot [/ ] �Ft. Yd Setback Side Yard Setbacks Type of Construction: (�C/rno rg_l d'n L Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: - 7- / y APPLICANT: Tel. # CITY USE ONLY _ Permit Fee $ / 6-3. o o Fee Schedule on Reverse Side Fire Surcharge $ / �, d o .001 of Permit Valuation (1/10th%) State Surcharge $ o v v $.50/$1,000 Valuation SAC Charge $ $800 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 STIPULATIONS: r CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Bumer — 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 (LIST ON BACK) 1% of Value of Appliance or Work Commercial/industrial 1% of Value of Appliance or Work JOB ADDRESS 45!2M mmymzbern $10.00 $ State Surcharge TOTAL FEE DES01PTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (St m) (Hot V O er) (Warm Air) Trade Na BTU R $ Fuel otal Connected Load .60 Bumer Bumer Trade Name Size No. $.��5 BTU HP EDR MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. HEATING Signed By el No. �1�3-0s-co / LE Approved By Rough—in Date Final Date �y FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ~~ :- .The undersigned herby makes application for a permit for the work herein Rate TOTAL 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 $ 20.00 $ o?®° representations stated in this application are true and correct. $10.00 $ Imo. CX) 11A9 -)X44 OWNER 2k2o - $10.00 $ BUILDING USED AS e $10.00 $ / ESTIMATED COST Q, d - PERMIT NO._ $10.00 $ State Surcharge TOTAL FEE DES01PTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (St m) (Hot V O er) (Warm Air) Trade Na BTU R $ Fuel otal Connected Load .60 Bumer Bumer Trade Name Size No. $.��5 BTU HP EDR MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. HEATING Signed By el No. �1�3-0s-co / LE Approved By Rough—in Date Final Date �y FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE tNOTE: #1 through #8 required when using a side vent furnace. 3. 1" Bit' I I 11 11 " 1 `+ 1. Has been carefully examined Yes (-)"'No ( ) 2. Is free from rust or deterioration Yes (—r 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 ("o ( ) 6 Has total heating BTU's of IWL)- e..to,000 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 O. Remarks: n n 1AA0 ro HEATING CO: Signed By: Date: J `cr— i rV LLuJ �c,� �11i m ss7o r For beautiful bay fireplace appearance and advanced concepts of convenience, the DVi10 direct vent gas fireplace insert is an excellent selection. It fits in existing masonry or zero clearance fireplaces. The DVi10 is listed as a heater. It produces substantial heat, has excellent flame patterns, and has the clean convenience of gas. It's easy to install. You use the existing chimney and aluminum flex connectors. Direct vent also means you can be assured of maintaining your indoor air qual- ity. That's because the combus- tion chamber is sealed. The ceramic fiber logs are large and have a very red glow. This fire looks like burning hardwood. For convenience, performance, and appearance, the natural choice is the DVi10. Product design, specifications, color avail- ability and hue are subject to change with- out notice. Btu rating is to be used as a guideline only, and does not imply a guar- antee of the heating capacity of the unit. Factors affecting the heating capabilities of this unit include: climate, building con- struction and condition, amount of Insula- tion, location of the unit, and air movement in the room. The photograph, drawing and descriptions in this brochure are to be used for assistance in product selection only. Refer to the installation and operation man- ual for complete details. Contact local Building or Fire officials about restrictions and installation requirements. • For installation in zero clearance, factory -built fireplaces or masonry fireplaces. • Natural gas - 26,000 to 40,000 Btu/hr variable input. L.P. gas - 25,000 to 35,000 Btu/hr variable input. • Up to 74% efficiency. • Will heat from 1000 to 2000 sq. ft. depending on insulation, climate and other variables. • Heater listed. • Ceramic fiber logs. • Standing pilot design operates during power outages. • Controls are designed to work with a wall thermostat. • Cast iron painted or gold finish door and side glass trim options. • Approved for mobile homes and bedrooms. • 125 CFM blower is standard. •Tested and listed by Underwriters Laboratories • 1 -year limited warranty Nearest dealer byNI e�/{,� 1 TM DISPAYOFOPTAS LARGEST ATING Heatilator Inc. WDODSTOVES RREPLACESHOMELIKE INHOMEESPECIALIS FlREPLANCE195ALSTS a HON INDUSTRIES company SINCE 1831 CO I 1915 W. Saunders Street srA1ECCNrR=RLICENSE B10es (612) 633-1042 Mt. Pleasant, Iowa 52641 2700 N. Fairview Ave. (at Co. Rd. 'C') • Roseville, MN 55113 800/843-2848 • FAX 800/259-1549 HEATILATOR and ARROW are registered trademarks of Heatilator Inc. Specifications and options are subject to change. SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 22449 i � RECEIPT NO COMMUNITY DEVELOPMENT DIV. _ L PROTECTIVE INSPECTION SEC. r SO(p NUMBER REV GATE PAGE OF APPROVED BY � /'••1 CITY HALL FRIDLEY 55432 �•--•� �'' 612-571-3450 910-F15 4/26/94 JOB ADDRESS 5700 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 2 Grace High SChool Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Brunner 5700 Matterhorn Drive NE 572-2192 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 Construct a 20' x 8' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in the basement. WARNING Before digging call for all utility locations 454-0002 REQUIRED BY LAW 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 $1,241 $.62 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. $31.00 Fire SC $1.24 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $32.86 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI pq LY V (DATED THI AS YOUR PERMIT =Y BLDG INSP DATE SiGNATURE OF OWNER IIF OWNER BUILDER) [DATE) NEW (( Effective 1/ 1/94 ADDN CITY OF FRIDLEY -4fi soy ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: _- �T ?e �rr9�TEi�/fd�N_ U 12 Legal Description: Owner Name & Address: ,yo w .,r L 4�.f�/IVI-V Tel. # 7 Z z 9 �- Contractor: ivq L 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 z r Width Hgt/Ground 6' / Sq. Ft. t OTHER: Corner Lot [ ) Inside Lot [ ] Type of Construction: 7/lcf! Ft Yd Setback t*-- T�c=,O Ac, o� Side Yard Setbacks Estimated Cost: $ VW 1 LA Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: y 2 z - q APPLICANT: Tel. # 57 i s CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 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 Agreement Necessary [ ] Not Necessary Sewer Main Charge $ 3� [ TOTAL $ 2 STIPULATIONS: K j GERALD T. COYNE LOT SURVEYS COMPANY 'r�c -�" u NSWIC -K AVE. S_ 4- Gc*-r,E,j VALLEY, LAND SURVEYORS REG NO. 41-41 198125t"Nd UMWR LAWS OF STATE OF MINNESOTA LICINKS" BY ORDINANCE OF CITY OF MINNEAPOLIS 5747 W Pr.:%aiwey M.*,--A,)p,,':-, M;nnesota SS428 S33-4922 A, vururgurs 101-ertifirate ),S — PLAIT ikut .14 ;1i0A. FRASCH -RVE-�k BR=1k& nYN PAM MINN. L4aG, NO. 8743 tNvolcr. 40., 5 i6z F. & NO.' 161-4,4 scAu r ffi-_40' 0 DENOTES MON o —Denotes.. wood hub set for excavation' only. .0 7 7 - 3, "'/� . 2, �0 - Lot 14, Block 2, GRACE HIGH SCHOOL ADDITION _erl; ,mat tms s,o tr4.-,? and correct representation of a survey of the boundaries of the nbove. and An'.j the fncI3 I ticn of al 'uj;l dings and visible encroachments, if . ary, from or saki land. Signed d.y., of JuIY 10 76 Revised'to foundation .-9/6/76:-1,6 SURVEYS 'COW161W s 11 O rntZ7 CO I, vyf I (55— CA 5— cri aq fe f i SuBjECT PE14WITN City of Fridley 31405 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT N0. • COMMUNITY DEVELOPMENT DIV. _ f PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/18/00 JOB ADDRESS 5700 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 14 2 Grace High School Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Donald Brunner 5700 Matterhorn Drive NE 763-572-2192 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 ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (33 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 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 $3,375 $1.69 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- $97.25 Fir SC $3.37 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOFEE -1111 Ito 2.31 SIGN/ATUREOFeCON 'AACTORORAUTIIOR12E0AGENT (DATE, EN PROP VALIDA E THIS R P 001, 'I '! S, NATURE OF OWNER,,F OWNER BUILDER, IDATE, 9 INS btE NEW [ ] Effective 1/1/2000 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: A,1✓.4G10 Tel. # �i3 s�z zi9 z Contractor: 6119 /�ilC' 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. Ft OTHER: -:2 - /2 Construction Type: Estimated Cost: $ 3- 2 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: 1-19-• lova APPLICANT: 4Et-��� Tel. #,T6 3 --s7-- z 9 z CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $�% .001 of Permit Valuation (1/10th%) State Surcharge $ % $.50/$1,000 Valuation SAC Charge $ $1100 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 $ / 0'?'' 3 % STIPULATIONS: