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PRE 2010 DOCSCity of Fridley r?ln 500SUBJECT NO. AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � ► I �"'1 CITY HALL FRIDLEY 55432 ,'J NUMBER REV. DATE PAGE OF APPROVED BY "« 812-580-3450 910-F15 5/6/76 JOB ADDRESS 5724 Matterhorn Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 2 1 Grace High School Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Engstrom 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gorham Construction 9050 Collins Drive, Anoka 55303 421-0998 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. k 8 USE OF BUILDING Residential Before digainp, call local utilities 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR TELEf H 4LEC9k1QREWk 4C. X 8 DESCRIBE WORK REQUIRED BY LA Construct a 26' x 48' Dwelling and a 24' x 24' Garage SEPERATE PERMITS REQUIRED FOR WIRING, 9 CHANGE OF USE FROM HEATING; °PLUMBING AND SIGNS. STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. W -bracing in garage (32" O.C. required. SEWER LOCATION: (Approx. 20' Deep) 36' North of Manhole (Inv. 933.70) WYE ELEV: 933.34 TOP OF FOOTING: 937.34 Minimum WATER LOCATION: MUST BE TAPPED, 6" CIP 5' East of West j6i0g R/W line of Matterh THE CITY OF FRIDLEY DOES NOT GUARANTEE T14E —IMPORTANT•-- ACCUPACY OF U7111TY LOCATIONS AND ELEVA*P.O!,!& NOTIFY THE FRIDLEY ENGR, 4-iS DATA IS c0^ o [Nt?k MATION PU;:E:GSES O, aL°l AigD DIVISION RECARi1l 47, CURG K--RSOINS USING IT SHOULD VERirY THE REMOVAL AND REPLAC'EMLI T ON itlL 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT + +6530 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $41,865.00 $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 SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $59.58 $350.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 9 ) PLAN CHECK FEE TOTAL FEE "? "'�-A $430.51 ` SIGNATU� CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT . BLDG INSP - DATE l SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) 01 ►rn . APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 99a OWNER'S NAME: _ - �� _c^ - �!_y s: N s d rut,\ BUILDER: cCe C7 r�+ ®�✓ t ADDRESS : Slay /7c, l l �ih c .,� ,�l ! �r, Cl' �ry ADDRESS:. TOJ ® C/C71 '//V j dr, %'t .nsrilTiv s7a4 M n NO:. 1 STREET: ✓ / cx ,c r �Cr'r,J �. /j/, L . LOT: 12 BLOCK: ADDITION: CORNER LOT: INSIDE LOT: io SETBACK: 213- SIDEYARD: 1,!r Applicant attach to this form Two Certificat-s of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: L � Front• S -7Depth• �' Height • I�g� Square Feet • Cubic Feet: S (0"? Front: 3 Depth: Z Height: %� s Square Feet; Cubic Feet: ri Type of Construction: Wo®c� )rc,). M Estimated Cost: $ A01— To Be Completed: 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. DATE: vim- 3 - 7{ SIGNATURE: (See Reverse Side For Additional Information.) $Ti A 4 � �¢?? a'aJ 5 I EGANq FIELD & NOWAK SURVEVORS 7415 WAYZATA OLVDJet INNEAPOLIS. MINNESOTA For .z �! "-j - b p �J /J e� 1U /. L C9LIJ� WU6Z w 0 z- a2 0 ® QCC�- ae� h Fi le NO. 5299 Book No. `••% ro V t� Esa ®� �• v J 1z 0 -� Z a��6> i VC01y t• t� - 9L .. '1 _13 jo Z 24.85 z' ® M ' --� — O LU �. I SCALE: 1" = 301 DESCRIPTION: Lot 12, Block 2, GRACE HIGH SCHOOL ADDITION. We hereby certify that 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. Dated this 18th day of July , 1975. E G A N, F I E L D &' N 0 W A K, INC.- . Survev m Fi le NO. 5299 Book No. 3(o r V, cc /w, h/, 933.70} 14 /OOV77��; 42 Applier-511 n for Plurc. '.0 ='d Sal VD -11 .�._.---- -- Dept. of Bldgz. Phone _1M -34W ' DESCRIPTI011 O: V.,0 r. r., ! 12 Kin4 vid Lrtrtiea o! Faxh_zes Tr�4t771� 1 I I 3,�_lo> r U _ o e WATER NTa. �• ~ is �G ► O IU r. �{ (s t; _ � E3tr 3:d 1-:'I City of Fridley The undersigned hereby :rakes appttcation for a permit for the- work herb specified, a- Being to do all %vc.-k in strict accordance wlth the Cit7 0rdir. "t and ruling of the Departrnent of Builc ngs, and hereby declares that zA Lhe fact • and representations stated in this app'dcat.= are true and correct' 'rZidley. 35nn Owner -- Kind of Building • F:7:-.::6 (it^. .::i-:� Crj� ^l^� JO^.J37 j li l� I�fi� e �/`' ❑ Used az Cc:.spaol ❑ PARTIAL RATE SC EDULE To be completed about - Estimated Cost. S _ Old 'ew FIuI ding Permit Ivo. p.:ntt :do. P LUMBIMC FIXTU?E RATES: NO. PATE TOTAL G 0 Signed Number Fixtures ..... • • • • . • . • • �� x $2.0-3. $ 51.50 S By Future Fixture Opening ........... x - , `� 7 ,%. Fixture OId Opening.......... x $1.50 Bwinrss Phare No `�' - catch Basin ............... x $3.25 $ wzter Ifeater 'Vp to rr3.000 BTU). • • • x e3 0o $� ROUGH few Ground Run Old Bldg....:.... ....--- x $3.25 S_ - =aetrie YJatar F:astnr, • ...:........ s .' 2.CJ $_.____.__— FINZ 3- yo 2AS F.T:IRG FEES: NO. RAT- TOTAL I_t 3 Fixtures .... X $2.00 Additional Fixtures ............... x S .75 S Cas Rsrye to 1x3.000 BTU ........... x $5.00 ,�►___�— . R,E?A:QS k ALTrR.ATIOTiS—?afar to Code :50 State SurCharge .Z}eacri�t:on ...............:........ ,.............. 4 TOTAL ST -.F. $ %. �� PRTIAL ;ATE SCH,"MULE GRA v Z WARM A.M.: MOM TOTAL P_-rzi3Ce Shell & Duct :TOA $10.00 $ Replacement of F.:rnare 6.00 0 P.rpat-c & Altc:at.ons-- up to S.`.00.00 •600 S Repa.rs & Aiteraticros each add. 5500.04 3 t,V $ MC LL WARM AIR l�°o Furnace She -l1 is Duel Work to 120,000 BTU ..51000 : add. E0,000 BTU 3.W S ReD.a•eersen; of i wr=ce 6.00 S Rr-..airs & Alte*atians--up to $540.00 6.00 $ ' Repairs tt Alterations each add. $500.00 3.00 $ STLAM•o: HOT WATER SYSTEM Purr:ace She'.] & Lanes --to 4?0 sq. tt FMR. Steam S., 0-00 3 Furnace Shell do Lane• --to 640 sq It. EDR Hot Water 1000 S. Each Add 200 sq.. h EPR" Steam ion $ Each add. 320 sq. ft EDR Hot '.Pater 3.00 S OIL BURN -2.71 -to 3 gal. per hour 6.04 S. over 3 gal. per hour --See $'ee Schedule GAS BUR% --R (c:p to 0^9.000 BTU) 5.00 3 m-er IS3.000 BTU See Fos Uked>:10 GAS F'IT;ING F -'ria: X0 • RATE TOTAL 1st 3 fixtures xo 100 5 Additional 'r tztures -- x .75 $--- -- Gas Range W I.09.0M %$ 6.0Q $ AM CC.1.:ZT1Or:IrQT AL i'J::;CY.S & r%EPAm r •� rW.L. State Surcharge 0-110 E.om Fee sch&140 TOTAL F= $ O° E:Opt. of 327j. o� a City of Fridley: The underslx:':cd hereby makes application for a pertnit for the work herei specified agrxing to do all work in strict accordance with the City Ord:r-- er- and r+jting of the Department of Buildings, and hereby declares that all the f"U and repr:apniatiuns stated in this application are true and correcL Owner Kind of Building Used as To be completed about _ Estimated Cosl-, S Old -New. Building Permit No. _. 'J~_ permit N Iv ''r..'c3�?IG1I OF WO. -IM ENING or POW -ER PLANT'., Feet Water, Warm Air-No_T_ Trade Name cG Size NO -/ Capacity--_. — Sq. FL F-D.R BTU H1? Total Connected Loazd Kind of g1:x BURNER - Trade Na+r+p Size No CaNcity SQ. Ft. ED R Iil'zT zab. ' is AARUs-or=al 1�' Enf+�f..;r+x�s. a .+.qa ,Y`3,ioS,.wtroJi ..'a �.!s+.•...y r; ?«--yam c•-�..1{ b�•?:r" ^. �'`�"'`"'`•� ��Cf''����,, .1:� .y fr ..e�«",���r, t.n"R �vCsW. w �. c:a w..(.•FS Ce•..e. ..acs. �ea�.r�a.%�a r�Cd::t.mDCW2. ����•.•tt•���w A+.+sfr•�s...t� �°Nry+%(•. /`^••dg /L•. _,rJy ...n, and \3'Nd�r'+>.i1 �jpv'�"rr�..n.-•^°rr+.p , t PRTIAL ;ATE SCH,"MULE GRA v Z WARM A.M.: MOM TOTAL P_-rzi3Ce Shell & Duct :TOA $10.00 $ Replacement of F.:rnare 6.00 0 P.rpat-c & Altc:at.ons-- up to S.`.00.00 •600 S Repa.rs & Aiteraticros each add. 5500.04 3 t,V $ MC LL WARM AIR l�°o Furnace She -l1 is Duel Work to 120,000 BTU ..51000 : add. E0,000 BTU 3.W S ReD.a•eersen; of i wr=ce 6.00 S Rr-..airs & Alte*atians--up to $540.00 6.00 $ ' Repairs tt Alterations each add. $500.00 3.00 $ STLAM•o: HOT WATER SYSTEM Purr:ace She'.] & Lanes --to 4?0 sq. tt FMR. Steam S., 0-00 3 Furnace Shell do Lane• --to 640 sq It. EDR Hot Water 1000 S. Each Add 200 sq.. h EPR" Steam ion $ Each add. 320 sq. ft EDR Hot '.Pater 3.00 S OIL BURN -2.71 -to 3 gal. per hour 6.04 S. over 3 gal. per hour --See $'ee Schedule GAS BUR% --R (c:p to 0^9.000 BTU) 5.00 3 m-er IS3.000 BTU See Fos Uked>:10 GAS F'IT;ING F -'ria: X0 • RATE TOTAL 1st 3 fixtures xo 100 5 Additional 'r tztures -- x .75 $--- -- Gas Range W I.09.0M %$ 6.0Q $ AM CC.1.:ZT1Or:IrQT AL i'J::;CY.S & r%EPAm r •� rW.L. State Surcharge 0-110 E.om Fee sch&140 TOTAL F= $ O° E:Opt. of 327j. o� a City of Fridley: The underslx:':cd hereby makes application for a pertnit for the work herei specified agrxing to do all work in strict accordance with the City Ord:r-- er- and r+jting of the Department of Buildings, and hereby declares that all the f"U and repr:apniatiuns stated in this application are true and correcL Owner Kind of Building Used as To be completed about _ Estimated Cosl-, S Old -New. Building Permit No. _. 'J~_ permit N Iv ''r..'c3�?IG1I OF WO. -IM ENING or POW -ER PLANT'., Feet Water, Warm Air-No_T_ Trade Name cG Size NO -/ Capacity--_. — Sq. FL F-D.R BTU H1? Total Connected Loazd Kind of g1:x BURNER - Trade Na+r+p Size No CaNcity SQ. Ft. ED R Iil'zT zab. ' is AARUs-or=al ,3-81,-9915051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address 572h MATTERHORN DRIVE NE • 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. 9-28-76 , 19 OWNER ROGER ENGSTROM KIND OF BUILDING f rame USED AS res. TO BE COMPLETED ABOUT 9-20-76 PARTIAL RATE SCHEDULE y ESTIMATED COST 10.00 a m ro PLUMBING FIXTURE RATES: NO. v RATE x o N=ber Fixtures water $3.00 $ Future Fixture Opening x $2.00 $ Company /J�,6, New Fixture, Old Opening q $2.00 y Q, w Z $5.00 Heater 0 u -4 $5.00 N Tel. No. H •A m $4Ai tl! ro l+ LL $7.00 $ New Ground loan Old Building • $4 $4C1 a M G ROUGH INSP. ••A .fG .0 C C S g iUJ U7 N N N N GAS FITTING FEES: S] FINAL INSP. $4 ro ro .+ b $ki o oc .1 ro ro o ro ro A ro " lec ,°� v� n 14i U O W m cn 3 A w REPAIRS $ ALTERATIONS w U rA a 3 First $100.00 U O as each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 State Surcharge $ .50 8.00 TOTAL FEE $ lst 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water Job Address 572h MATTERHORN DRIVE NE • 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. 9-28-76 , 19 OWNER ROGER ENGSTROM KIND OF BUILDING f rame USED AS res. TO BE COMPLETED ABOUT 9-20-76 PARTIAL RATE SCHEDULE ESTIMATED COST 10.00 PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. N=ber Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ Company /J�,6, New Fixture, Old Opening x $2.00 $ Signed By Catch Basinx $5.00 $ MINNEGASCO Water Heater - to 99,000 BTU x $5.00 $ Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground loan Old Building x $5.00 $ ROUGH INSP. Date Electric I -later Heater x $5.00 $ GAS FITTING FEES: FINAL INSP. Date 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ ,/� A �� APPROVAL FOR PERMIT Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 State Surcharge $ .50 8.00 TOTAL FEE $ REINSPECTION FEE ($]0.00) CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND The undersigned hereby makes application for a permit for the work herein .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the GRAVITY WARM AIR: RATE TOTAL Job Address 5724 Matterhorn Furnace Shell & Duct Work $12.00 $ $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley $ KIND OF BUILDING Frame Tel. #571-3450 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 STE41-1 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) GAS FITTING FEES: Gas Piping let 3 Fixtures x Additional Fixtures x Gas Range to 199,000 BTU x AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS S ALTERATIONS & REPAIRS State Surcharge TOTAL FEE S Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load BURNER - Trade Name ROUGH IMP. REINSPECTION FEE Capacity Date ($10.00) FINAL INSP. //-'L-/ - % 7 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Kind of Fuel Size No. Sq. Ft. EDR BTU HP CompanyADVANCED HATING & AIR COND. INC Signed By 1 • Tel. No. 571-4881 The undersigned hereby makes application for a permit for the work herein $12.00 S specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, Minn. November 15 , 197 Garp Gorman OWNER $12.00 $ KIND OF BUILDING Frame Dwelling 7.00 $ USED AS 6.00 $ TO BE COMPLETED ABOUT $10.00 $ 10.00 $ ESTIMATED COST $10.00 $ 0.00 / OLD -BUILDING PERMIT NO. PERMIT NO. S $ 3.00 $3.00 DESCRIPTION OF FURNACE/BURNER $ 1.00 $ $10.00- $ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. State Surcharge TOTAL FEE S Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load BURNER - Trade Name ROUGH IMP. REINSPECTION FEE Capacity Date ($10.00) FINAL INSP. //-'L-/ - % 7 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Kind of Fuel Size No. Sq. Ft. EDR BTU HP CompanyADVANCED HATING & AIR COND. INC Signed By 1 • Tel. No. 571-4881 01 SUBJECT P. MI City of Fridley 19647 AT THE TOP OF THE TWINS BUILDING PERMIT r RE . COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 3S- 1 1.� CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/25/88 JOB ADDRESS 5724 Matterhorn. Drive N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 2 Grace High School Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Engstrom 5724 Matterhorn Drive N.E. 571-9033 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Johnson Engineering & Const. Co. 2215 Dodd Road, St. Paul 454-7172 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 131 x 141 Three Season Porch.; a 121 x 121 Deck; a 131 x 141 Deck and remove is g duck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Porch can not he heated (other than wood stove) unless it is altered to meet the State Energy Code. iai SEPARATE PERMIT S._ Rbeoe digging�-,AR �Sltl4s ._ i£LEP0NE-EitCT�WIRING, HEATI1!G#'PLUM1 ND SIGNS. By LAW ,zraumf-D 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 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 $6,050 $3.03 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 PRO VI OF ANY 0 HER TE OR LOCAL LAW REGULATING CON- $90.00 S CTION OR T PE FOR CE OF CONSTRUCTION. �r-18—r LAN CHECK FEE TOTALFEE 1 $93.03 SIGNATUREO C NTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY LI ATED THIS IS YOUR PERMIT , 6 �� BLDG iNSP SATE SIGNATURE OF OWNER OF OWNER BUILDERI (DATE) 01 � , 57, AMN �J ALTER [ Construction Address Legal Description City of Fridley R-1 AND R-2 Building Permit Application EEfective 5/1/88 Owner Name & Address: Tel. #S -71-703,T Oontractor : Ja4 # 51110n !fr&11-21 ^-� erlr`h-Z C'6y►-s Tel. # 7/ 7,2 Address: ®aid �C'4� P , ��• P �� Attach to this application, a Certif icate of Survey of the lot, with the proposoed construction drawn on it to scale. 3 - pry, • Length /73 Width kirvo� �- Length 1,2- Width 1 a- DECK AREA: Length Width DEMEL. • )9,Z-4 Z0. go S,,)nfo •t- qyq 6.�-iz qqC,qd 34 ti Cbrner Lot I I Inside Lot t Ft. Yd Setback Type of Construction: F -J- Otis Y Approx. Completion Date: Height !�© �� 7 Height Hgt/Ground �5 O °• Y,`/D 3 'S4oS sq. Ft. sq. Ft. Sq. Ft. iwt- PV7- V10, Side Yard Setbacks Estimated Cost: $ �-�a 11 (4, OSU.0,0 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page DATE: APPLICANT: LZTel. # ±L4-- %/ %-�2- USE ONLY Permit Pfee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Pain Charge 770M • a' s2 0&%. ff-j M M Flee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreenent. Necessary I I Not Necessary I l • ► J D' r MIT SUBJECT City of Fridley 3 0 778�2AT THE TOP OF THE TWINS BUILDING PERMITRECEIPT NO. ` ______COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.CITY NUMBER REv DATE PAGEOc APPROVED Br HALL FRIDLEY 55432 612-571-3450 910415 3/31/0010B ADDRESS 5724 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 2 Grace High School Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Roger Engstrom 5724 Matterhorn Drive NE 571-9033 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Aztec Roofing 11583 Rupp Drive, Burnsville, MN 55337 895-0040 20139140 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 O ALTERATION] REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (29 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 OWLG. 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 $2,535 $1.27 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fir SC $2.54 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 PLAN CHECK fEE TOT FEE Lice $5 $92.06 SIGNATURE OF CONCRACTOR OR AUTHOR12ED AGENT IOATE$ MEN RO ALIDA I$OER(NIT S-GNATURE OF OWNER$IF OWNER BUILDER$ IDATEI BLD I F1ATE MIT JUN -24-1998 11:48 FROM CITY OF FRIDLEY TO 8959962 P.01/04 v rr w t ) �........ ,...... . &.DDN (J CITY OF FRIDLEY ��/ 1� 4LTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-� V OF FRIDLEY a BUILDING PERMIT APPLICATION 6431 UNIVERSITY AVE.E. FRIDLEY, MN 55432-4384 -onsttuctionAddress: S72T Legal Description: Dwner Name & Address: � �- � 'I''e �7�� fn -He 4*4A Tel. !l Dontractor: A 2a -e C- MN LICENSE # -?013y / i(a Address l //.S'f�3 �,,,�,pTiJC',J�a ,Vx� _Tel. /f 6rL�gejs .eoslo Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRYTION OF IMPROVEMENT LIVING AREA: Length Width ,Height Sq. Ft. SARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length idth Hgt/Ground Sq. Ft. DTHER:At :onstruction Type: Estimated Cost: $ (Fee Schedule on Back) )riveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ = $ )ATE: I APPLICANT: � JJ . Tel. # C��� ���t�- o ®v�b 'ermit Fee 'ire Surcharge tate Surcharge ;AC Charge .icense Surcharge )riveway Escrow 3rosion Control CITY USE ONLY Fee Schedule on Reverse Side .001 of Pennit Valuation (1 / 10th % ) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review 'ark Fee $ Fee Determined by Engineering ;ewer Main Charge $ Agreement Necessary ( ] Not Necessary [ ] TOTAL ;TIPULATIONS: Building Permit Fee BUILDING Prmit No.: e Plan Review $ 65% of Building Permit Fee Fire Surcharge Inspections J ► 001 times the total job valuation RESIDENTIAL APPLICATION Re(aeived sy: 763-572-3604 License Surcharge CITY OF FRIDLEY n 214 763-502-4977 FAX EFFECTIVE 7-1-2010 $2100 per SAC Unit (Plans to MWCC for determination) 0YOUR G 11 V DO Ili% 1 4)tkl DATE y 1 E- IL ADDRESS '5''1 a:9 M ATifk O P- � �P ,E. SITE ADDRESS Park Fee THIS APPLICANT IS: D OWNER CONTRACTOR PROPERTY OWNER/ NAME: 9n & e (?, -* St V 5 ~iS w-,!, ---)Tp-D M TENANT pE� j I STAT�v1NZIP 1 �i � �`^'� C� LLL E, $ ADDRESS: ',' PHONE: 1 (/ oa- JI— Q CONTRACTOR NAME: AO-bQ 0, U1J G SUBNUT A COPY OF YOUR STATE LICENSE STATE LICENSE # rl;?,rs 9 EXP DATE �^ 1� CITY U �IP-S— 6 AD 15 ®� ' �py1�f D 2' ST AND CERTIFICATE OF ADDRESS : `l 1 — — — a i 0, !O INSURANCE l FAX�— PROPERTY TYPEINGLE FAMILYCONSTRUCTION SIZE _*EW D TWO F W CONSTRUCTION STORIES PERMIT TYPE D ADDITION Cl GARAGEISHEDiNINDOWS D BASEMENT FINISH D ROOF D DRAIN TILE D DECK O SIDING D OTHER D SWIMMING POOL TYPE OF WORK: D NEW HOME CONSTRUCTION D ADDITION ILVAINT'ENANCUREPAIR D REMODELING DESCRIBE WORK BEING DONE: L 4 1 NTDOW c SIZE OF IMPROVEMENT LINGTH WIDTH HEIGHT SO FT ROOFING D HOUSE ONLY BASEMENT REMODELING SUBMIT' NUMBER OF SQUARES D HOUSE & GARAGE 1. Existing Floor Plan GARAGES D ATTACHED GARAGE 2• Proposed floor plan D DETACHED GARAGE 3. List of strut ural members to be used PROPOSED SIZE: PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT' D Vinyl OSoffit 1. Site Plan/Swvey showing the existing structures D Ahrminum D Trim and proposed project. [3Other D Fascia 2. Two sets of construction plans 3. Energy Calculations WINDOWS IN EXISTING OPENINGS kfY. [IN. LOC TION OF WS A .' _ /- FOR WINDOWS — PROVIDE U -VALUE AND �O ON WINDOW. OR FOR NEW OPENINGS -DESCRIBE SIZE OF fir (M1I�� ` ►'tl� lOt�c MANUFACTURE STICKER OPENING CHANGES & ' TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED UN VALVAI]LUIN, IIVI:LUUIPKs ina, a.vOi yr G THE 1997 U.B.0 FEE SCHEDULE) i� (��y(U�N— 'OTAL JOB VALUATION $ qlq q ; q CUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ J ► 001 times the total job valuation Surcharge $ J , v o .0005 x Permit Valuation Minimum $5.00 License Surcharge $ 5- D D $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Curt Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ S 4 Make checks payable to: City of Fridley Attar 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 forawork is not -to start without a permit on site; that the work will be in accordance with the approved plan in the case of ork ch review and approval of p1m. SIGNATURE OFAPPLIC RIN7 NAME -1D01 DATE APPROVAL INSPECTOR SIGNATURE PLEASE NOTE: SEPARATE P REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK builCllnL,- AIEC ICA-Lv D �fl Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY �� � � Date Rec'd- 7,63-502-4977 FAX EFFECTIVE 7-1-2010 DATE / b - 1(- /0 YOUR E-MAIL ADDRESS SITE ADDRESS la 94 L -)V ( to +, THIS APPLICANT IS: 13 OWNER CONTRACTOR PROPERTY NAME: /2-6 OWNER/ ADDRESS: J `7 a qO� e-l�f /� estn' CJ " CITY t"�2..1 t0 e,. STATE !t ZIP, s -3a• i ,I PHONE: `763- S7(- 9033 CONTRACTOR COMPANY NAME: A L CONTACT PERSON: L� ✓ o io SUBMIT A COPY OF YOUR STATE STATE LICENSE it EXP DATE LICENSE WITH ADDRESS: �4-� O r( OL, CITY FK, tool � STATEVIN ZIPS: y3 -L APPLICATION PHONE ,%"- '7 S q FAX PERMT TYPE SINGLE FAMILY EI TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT a ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK ,�? Nz:," Ft f t 42 l ca -c, XrtvjLis 4 - FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT ARE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). PROVIDE HEAT LOSS CALCIS PER MANUAL J 2006 ASHRAE HANDBOOK Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 k FIREPLACE (GAS) $15.00 GAS RANGEJOVEN $10.00 AIRTO AIREXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOII.ER $35.00 FURNACE $35.00 _GAS 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 $15.00 t e us.,„. � F 6+t �• fiw� irfi t�ar',�N *�, , �' S} k r '�Pn r .u8.. t�3�,,ry� �!.'t"�—,k� .#i f.. � � ,� ,hr? i� .-��,� �'i' ��' .jTs�v€',,,�,� ;�'�' m ..���: � I •i�u t„ :� i�v„ x; !��" Y�trot,�:.. '`A'in},'���.`y.+r� ,.'�ij '4"FF `��,,t•:��� ��.h�a. ,."4q' Rf�: �� ;�,y4,.j�.}�lf. }m .N7�µ5,�n;i �; �r�i''�t `i$�i'.'c"y�' d'i'S:1 x!4`34 1 ��-.:.:litf R7y, �.:i. � � ! ;� � J �p �� � '. 5 N n...o. 1� 5. "•� S ( S? 7 ':t! Nid Pig Vj j4 r�(. ¢Sx�i� � .k.�� 1-t�s'r��'� {S �1 get Y { �5 1 1 �r �� 'C k r'':S E f,f� '.'y'.. '.^t e5. r L A t t.,i r4 ^q... �n f� 1: t i ^- 4,i A 4 iI i }9 �',•%t .� ii' .n f •, t ➢q THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply forauilding 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 i t approved plan in the case of all work which requires review and approval of plans. 'n SIGNATURE OF APPLICANT C <J PYINTNANIE C6y<J DATE V y ?PPROVAL NSPECTORS SIGNATURE DATE ! FLLA�S .i\T�iTa�'.::.:,EI?:7 tu31L:..P .: A.L :ltEl1'. L AOR EU LiNl {,S. LI LTi�IC}�i Al`tU iES T ' , ZCA RLC. Catr,r of Fridley Bufld ing l aspedcticros Depa:-t-memo. 643' 13n?iersirY-;,PiTae I\JE. F rid Iey, i I i0"-_�1�-1604� i"_moi: 76, =197