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PRE 2010 DOCS,-7 ��o-t%•T? r7�"-"'Sa [4[ .•.,,..»*.'{.'^ pCc ! �A �'t'.*.-•r 4•n. f t.�..�jo'<++z �q a '�.�'d 11 '4'J Cs 1s'til Gr .n,.d 6d Yb.J>�� LLC'•s...JaO twY�y Vei'Ni�a�4 •(��9 dPei �.ti �li'm.fl6iWb13� �4VJri`i.�i�, 'LLitl V/sD tlt$SY 4'0Y1:d AIr .:Bax�ce� and Dn'Ms�,::v - PARTIAL RITE SCHEDULE CPA V LI Y WARM AIR: R *,—Z TOTAL F.ireacc Shell & Duct Work $10.00 $ Replacement of Furrare 6,00 $ P.cparrc & Alterations—upto 1500.00 600 S Repairs & Aitarat:o^.s each add. 1500.00 300 $ NZCZL B "Um AIR FVrnaee Shell & Duct Wnrk to 120,000 BTU 11000 00 $ ly u c1 ezch add. 60.M WM 3.1X? i Replacement of F`arnace, 6.00 3 Reyairs & Ahersuons--up to 5500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAX os HOT WATER SYSTEM Purrtace Shell do Lines --to 4C0 sq. ft TXR •Ste= *10.40 Furnace Shell & Line ----to 640 sq ft. EDR Not Water 1000 S. Each Add 200 sq. ft EPR Steam .3 fM $ Each add. 320 sq. ft EDR Hot Water 3.00 S OIL BURNZE—to 3 gal. per hour 6.00 1.___.,.,. over 3 gal. per hour --See ree Schedule �/ Gks Bt7RFSER cup to L99,0W BTL') 8.00 a over I99.000 FII"t7 Soo Fee Schediiia 0 GA3 FITTING P'E&3: r.0 R11.'F c TOTAL/ 1st 3 Fixtures xS 200 1 �/ Additional Fixtures _. x .75 Gas Ranp ro 199.= X& 5.W $ ALR Gox MOxIrGr IrAr a'=.'a rVG SY3= ;IXG SYS`+'FCc3 AL T a"''i.e:37C Z �'3 & REPAIRS It t'1 f� •. State Surcharge .50 To T.%L r= $ Drat. of 512.74. none SM -UM City of Fridley: The enders:fined hereby makes application for a permit for the work hereto specified agr� irg to de all work in strict accordance with the City Ordiranct: and riling of the Depa: tment of Buildings, and hereby declares that all the fad and repro.-svntctiuns stated in this application,are true and correct. Fridley, Owner Kind of Building , 44=:r12= Used a• To he completer) about Estimated Cos:, 1 OldzNew uilding Permit No. _.—._ Permit No. DESCS P' ON or WJE HEATING or POWER P'l-kNTS Sten. Hot Wates, Warm Air—No Trade Name Sine No Capacity_.._.,_ _-_ Sq. rL E.D.R BT'J X2 Total Connected Lc+ad a _ Kfad of F%nl BURNER — 7YV&-. Name Size No Capacity Sq. Ft. ED R BM (amAms-olei) ,HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION Weatherstrips IIA6S.KV.L Gwde Coustmetion No. Windows Doors Reference Out. Wall Int. WaU I Ceding I Roof Floor Yes— o I Yes— o-11 19_ 11 I J EF I j. i- FI_I MAe"10 Arra Reere I t-natk 1ej P. Width 1l % " Height ® II 61. I . Fl.l 2 hVI A) e Windows and Doors--Crackage and Area T e Width Height No. of Lineal ft. Area No. of vane of Dane lights. of crack eq. ft. 4�- ,e Exp. wall Net exp. wall Coef.1 Btu Infiltration - -:?t2z Glass Floor Total Btu. d 'T'q in 4 Exp. wall ... g e® M I ii. %0 tDe P.1 i Heiaht 50,® Net exp, wall, u®e /m Int. wall Ceiling / (9 /® Floor '17 z if, q1 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA: Leader area Room I Length. / ' "Width 09' Height Windows and Doors--Crackage and Area Width Height No: of-Ltnpal ft . Area No. of pane of pane :. lights of 01'aok sac ft. Coef: = 13N Infiltration" Glass ® r®' ' Faip.. wall Net ev. wall Int. wall Ceiling Floor tu... r . Required sq. ft. E.D.R. or, sq. ins. WA, leader. area A A in I L 0.. k; n i?Mm I I wneith A ! ' Q/idtk i$,ci,Qht 9 .' windows and Doors--Gackage. =Ma T e Width xaight No. of . Lineal ft. Area No. of pane of,,pggane. lights. of crack sq. ft. "' ��1(� I 6 4/ ,e Exp. wall Net exp. wall C4)ef.1 Btu Infiltration - -:?t2z Glass" Floor Total Btu. d 'T'q 3 -0a Fxp. wall g e® M I ii. %0 tDe P.1 4t° Width /gn a Rnnvi, I i moth / i 7 Heiaht 50,® Net exp. wall / Int. wall Ceiling !, «oma o I o", A3, Flodr z if, q1 Total Requi MUMAK Insulation Kind How A em I Length /l ' 'Width it Windows and Doors--Crackage and Area T e Width HelghtNo. of Llneal it Area No. of pane of panne lights of crack sq. ft. "' ��1(� I 6 4/ ,e Exp. wall Net exp. wall Coef. Btu Infiltration(® - -:?t2z Glass Floor Total Btu. d 'T'q 3 -0a Eap. wall g e® M I ii. %0 tDe P.1 4t° Width /gn a Rnnvi, I i moth / i 7 Heiaht 50,® Net exp. wall / Int. wall Ceiling riz' 46 Floor z if, q1 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length "Width Windows and Doors—Crackage and Area of pane Width Helght No. of Lineal ft. Area No. of pane lights - of crack ea. ft. Infiltration= T e Glass ,e Exp. wall Net exp. wall Coef. Btu Int. -wall . Ceiling d VC Glass Floor Total Btu. M 16.2 Sr - 7 5' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Exp. wall g e® M I ii. %0 tDe P.1 4t° Width /gn a Rnnvi, I i moth / i 7 Heiaht 50,® Windows and Doors—Crackage and Area Width Height No. of Lineal IL Area No. of vane of pane lights of crack eq.. 11. Coef. Btu Infiltration Sl d VC Glass / 'To m Exp. wall �® Net exp'- wall Int. wall Ceiling Floor Total Btu. M or eq. Leu VA tader area II Required aq. h. E.D.R. or sq. ins.. WA.. Leader area U. L -, FL, gt 1(01'? 0A7-1tl• L L L. 1-" L, 3171 V 13Xsae '%7741 8Tu 8/v// I^gg Q� WAT.LOSS CALCULATIONS DEPARTMENT OF INSPECTION MINNEAPOLIS. MIM. Weatherstrips 11AS.H.V4 Guide Construction No. Insulation Windows Doors Reference Out. Wall Int. Wall 'Ceiling Roof Floor Kind How Applied Yes-- o I Y— es-1� 19 I A Fl.lJPC0VKh%A,.Room Length �He`t II L111.1 ®&. Room I Length j dy 1 Width I Height Windows and Doors—Crackage and Area Btu Infiltration. Width Height No. of Lineal ft. Area No. of pane of pane light.. of crack sq. ft. Glass Exp. wall 10 Net exp. wall 12. 19- *2-® Inc. wall ICoef.1 Coef.1 Btu Infiltration Totat,.Btu. I Glass Required sq. k. E.D.R. or sq. im. W.A. Leader area Glass Fap. wall 561 3 1 aa Exp. wall Net exp. wall, [� s® ®� 2✓� Net exp, wall, p ® 2- Int. wall •/ a Floor ��I Ceiling / Floor �® 'Total Btu. Required sq. ft. E.D.R. or -sq. ins. SNA. Leader area 15 Room Length// / "o Width '� Height ' Windows and Doors—•Crackage and Area Width Height. No. of Lineal ft.. Area No. of pane of pane '. lights of crack sq: !t. Coef. Btu Infiltration T Glasses ."6 Ezp.. Wan Net exp: wan / Int. wan Ceiling Floor tu. . Required sq. ft. E:D.R.'or sq. ins. WA. Leader. area ka- FI. A MR, Room' ILength_'/e°Width . -,' Height Windows and Doors Crackage. and urea Width Height No. of Lideal ft. Atroa No o! vane oL pane. Ifghts of crack eq. ft. ICaef.1 Btu Infiltration. Width Height No.of Lineal ft. Area No. of pane ofpane light. of crack sq. ft. Glass Exp. wall 10 Net exp. wall 12. 19- *2-® Inc. wall ICoef.1 Ceiling Infiltration 1 loar Totat,.Btu. I Glass Required sq. k. E.D.R. or sq. im. W.A. Leader area Se,_�_Senl Fap. wall Windows and Doors—Crackage and Area Width Height No.of Lineal ft. Area No. of pane ofpane light. of crack sq. ft. B 2� 7 ICoef.1 Btu Infiltration 2_ Glass Se,_�_Senl Fap. wall Net exp. wall, s® ®� 2✓� Int. wall Ceiling •/ a Floor ��I �•• / Total Btu. kr :40 , Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 . r7 I r ..__ IL /ts <YP.t�t. ��/. •'ci t-t�int.f Windows and Doors--Crackage and Ana Width Height No. of Lineal ft. Area No. of pane of pane lights of cra k sq. ft. B 2� 7 Coef.1 Btu Infiltration 2_ Glass Se,_�_Senl Exp. wall Net exp. s® 0 Int. wall . Ceiling •/ a Floor ��I �•• . 4A Total Btu. Required sq. ft. E.D.R. or sq. his. W.A. Leader area 9 F .R Vw 1 . APA'."A: ID�._ 1 r _....L ®®-� Q/:ae6 Hniv6t® Windows and Doors—Crackage and Area Width Height No. of Lineal M Area No. of pane of pane lights of crack- sq. !t. B 2� 7 Coef. Btu Infiltration Glass Se,_�_Senl Exp. wall Net exp: wall s® 0 Int. Wall Ceiling •/ a Floor . 4A Total Btu. 120,99 Required sw ft. B.D.R.. or sq, ins.. W.A.. Leader area City of Friditry Appliailivn for Plumbing and, Gm � I'All 6-rer-s? Dept. of Bldgs. Phone M-3450 DESCRIPTION OF WOr Locati — 7/ � � o Numb�sr, KL -id and Lecr-!ion of Fixtures w ii O s r t 7 2 i 41 V N O WAUR MTN. tL[C. $9.2 -- 2nd 3rd 4th _. • Future Ccnaoc:icn Gnin� t Haw Firture. Old Op4ainv% Cca:.pool City of Fridley:. The undersigned hereby m2kes application for a permit for the- -ork her el specified, agreeing to do all work in strict accordance with the Cit? Ordinance and ruling of the Department of Buildings; and hereby declares that all the fad and representations stated in this application are true and correct' Fridley, Minn / - 6 195 Owner CDS A7 Kind of Building 1 S Used as h To be completed about PARTIAL RATE SCHEDULE Estimated Cost. $ • Old- e�J Building Permit No. Y•rmitNo. LiJ3+i13ING FI�CTiJ?E RATES: • NO. RATE TOTAL Signed Number Fixtures • •• • •• •••.••.•.• x $2.0 • z� Future Fixture Opening ........... .-3 x s1.50 S 'yS C) By Business Phone No New Fixture Old Opening • • . • e i • • e • x $1.50 3 34eY Catch Basin .................... x $3.25 $ Water Beater 'Up to 99,000 BT • • • • x $3.00 $ • Us ROUC3H New Ground Run Old Bldg....:.... x $.3.25 S Electric Water H star.....:........ s 52.00 �z ;7 to 21..4 FITTING, FEES: NO. RATE TOTAL 1st 3 Fixtures / x $2.00 , Additional Fixtures ...... x $ .75 s Gas Rsnze to 199.000 BTU ..........- x $5.00 L Rr-P.1I:13 & ALTERATIONS—Refer to Code t . .50 State Surcharge - rm: cription • ... • • • ........ :.. •... • ...• • . • • .... •.• . •5 TOdrAL �� L 10 SUBJECT P®13294 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT � EC� PT NO L.0 COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r SEC. I { /"'1 CITY HALL FRIDLEY 55432 �•'•"A•f %J NUMBERflEV. DATE PAGE OF APP O ED Y 612-560-3450 910-F15 10/31/75 JOB ADDRESS 5748 Matterhorn Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Grace High School Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Gorham 9050 Collins Drive N.W., Anoka 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 x 8 DESCRIBE WORK 45' Construct a 98' x 26' Dwelling and a 22' x 26' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. The owners will provide underground utilities for the 14 residential lots in Block 2 of this plat. The owners will work with the City of Fridley Engineering Dept. regarding drainage and elevations in Block 2 of this plat. The property owners will plant one tree on each lot in Block 2 of this plat, each tree to be 1-1h to 2 inches in diameter. SEWER LOCATION: (161 Deep)- 8' South of Manhole (Inv. 930.97) WYE ELV: 931.05 TOP OF FOOTING: 934.05 Minimum WATER LOCATION:MUST BE TAPPED. 6" CIP Watermain 5' East of East property line of Lot 10. 'WARKIING -IMP®RTAIVT— Before digging call local utilities NOTIFY IMF ERini-EX ENrR SEPARATE PERMITS ARE REQL I��+iQNL�I�RDSATING, TYPE OF CONST. OCCUPA 4 VENTILATING OR AIR CON�JAlk�,��npl pC� Wood Frame nr&v%l 11jr-1% 1kV I A THIS PERMIT BECOMES NU L F`"iC `OR CTION ZONING SQ.FT.AUTHORIZED IS NOT COMMENA RA*300raM TRUCTION 24 763 +5 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1742 Z Tot ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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, $43,931 21.97 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- $325.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $56.39 PLAN CHECK FEE TOTALFEE _ p'f1•3I`7J1 $403.36 5IGNATU RVr CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY THIS IS YOUR PERMIT �•(pVALIDATED SIGNA RE OF OWNER IIF OWNER BUILDER) (DATE) BLDG WSP DATE 10 .APPLICATION FOR RL•STDL'NTIAL., ALTL'RATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 014NER I S NAME: a r G G r h a In BUILDER: 60 r x a., r-) Ci O vj 6 ADDRESS: ?(Ys -o Gn it r v3 �/�, %y tm /' iv- � ate. ADDRESS : 2a- sy 60 r✓ 1v A -i /V ;.Al NO:. SISM STREET: eVItcr r IAT: !cl BLOCK: ADDITION:, (//o.e.e CORNER LOT: INSIDE LOT: V SETBACK: 3, _ siDEYARD: _ Applicant attach to this form Tcao Certificates. �f Survey .of Lot and .proposed . building location d•: acan on these Certificates. To Be Used As: / i S d •✓ G C DESCRIPTION'OF BUILDING Front: ti 7 Depth: -;;(6 Height: cs Square Feet:— / t-7 y Cubic . Feet : Amami, � . Front • Depth • Height: Square Feet; Cubic Feet: Type of Construction: Woo ,F�o� N► e Estimated Cost: $ - TO -Be Completed:3093.1 The undersigned hereby makes application -for a permit for the work herein specified, agreeing to do all work in strict 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: icy -a 9 - 75 SIGNATURE: • /)nJ �cN� .(See reverse Side For Additional Information.)' POE ��T, Pu- �-ri pVi,r %,2D A P r�c� €mom;, ; 6 - -4 Peoj o �' l--),Qte k. J��o. �� s i2 aC /� Ue�e- .( 1'��OJ �,uu s2d� �l �--Fi 1�L ' �{u 3-3C S% y� 1n#TTcttd oRAJ 3+rONA Ca*wf, SSE., 2su k, 3 Gy �• .� r Z /� !j a,,� & Low%%. `j+w• Li Tg* 7w v Grvct's, aideag 1 zL�o- J 40 _ '412 0 Y' �o y6 3cl 4193 �X 5.� P�- j z6 6fN l�1 i i �rZ �lL f2 fl. EGAM9 FIELD O A s fl SURVEEVORS :UIS WAYZATA BM E F MINNEAPOLIS, MINNESOTA Ez(A�. 117 For 1 1 t•.• 1 .� •,i 1 a 1 � a w IZO O I � b �o C �•� 1 D r y, 1 � t •i /47.05 /6/.53 A Before digging call 1001 utilities TELEPHONE - ELEOTRIG - GAS Etco REQUIRE® BY LAW O 3�oz i Q, DESCRIPTION: Lot 10,,Block 2, GRACE HIGH SCHOOL ADDITION. G) O N O O 1 t *ZE ' t 0 oc M F' THE FRIDLEY ENGR, DIVISION REGARDING CUPS REMOVAL AND REPLACEMEttE Al: DRIVEWAY OPENING% SCALE: 111 = 301 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 ofall building4 If any, thereon, -and all visible encroachments, if any, from or on said land. Dated this 18th of July 1975 ELAN, LO a NO �► ING ur eyor % 1 I le No 5299 Bo No. by / ,��-+-A �, 12 3 6, 9 7) -rA 9 76 Of 0 a 1A 11P �—, - 40-0e, J I�Ola -sr zio City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT P - 23432 Ir • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 'j 612-571-3450 NUMBER 910-F15 REV DATE 6/2/95 PAGE OF APPROVED BY JOB ADDRESS 5748 Matterhorn Drive NE 1 LEGAL DESCR. LOT NO. 10 BLOCK 2 TRACT OR ADDITION SEE ATTACHED 1 Grace High SChool Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hyum Sook Han 5748 Matterhorn Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings 6331 Riverview Ter NE Fridley, MN 5574-9966 4091 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 Dwelling (25 Sq) 2nd Layer; Replace front or of house cedar siding 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 ] ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEDJJBB WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION r �/U S Uv SURTAX 4. 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- T UCTION OR THE PERFORMANCE OF CONSTRUCTION $43.00 Fire SC $1.88 PLAN CHECK FEE License SC $5.00 TOTAL FEE $50.82 SIGNATURE OF CONTRACTOR OR AUTHOR IEDAGENT 1 ATEI WHEN PROP Y VALIDATED THIS IS YOUR PERMIT 8 G INSP' GATE SIGNATURE OF OWNERIIF OWNERBUILOERI IDATEI NEW ( ] Effective 1/ 1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R -2a (3 ) Building Permit Application Construction Address: S 7 y 8 Legal Description: Owner Name & Address: WV d4 � <®D K J -Z&01 _ Tel. # Contractor: k> t C 1A Q p T o`lV6S � MN LICENSE # a 5 / Address: 433 J R j9- P- cw CI t2 Tel. # 5"? 57ldg 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: 2,5 2 0 r -- 2� LA CF 'To'p ' k o u SE fZ--E7 D r4 KE S r c( '` r+l 6 Comer Lot [ ] Inside Lot ( J Ft. Yd Setback Side Yard Setbacks Type of Construction: 'Kg R a o /_ — ?A Aj V Estimated Cost: $ Approx. Completion Date: �j t+ &S Roo I—,-- J 3 7 5 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Z APPLICANT: ,� -�� Tel. # STIPULATIONS: ®!v f CITY USE ONLY Permit Fee U 0 Fee Schedule on Reverse Side Fire Surcharge $ %. 8p; .001 of Permit Valuation (1 / 10th %) State Surcharge $ 9y $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ OD $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 $ �® -612 STIPULATIONS: ®!v f CIN OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Effective On August 1, 1995 JOB ADDRESS AIr.,� 111-_O�upAr k� RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) 49% Gas Piping {Needed with new furnace) $ 10.00 $ odd OWNER Gas Range $ 10.00 $X ' .BUILDING USED AS�'�,;�%i+/�9�� Gas Dryer $ 100 $ ESTIMATED COST /`, 60 PERMIT NO. *Air Conditioning —All Sizes $ 25.00 $' DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. .50 No. of Heating Units _ Circle One (Steam) (Hot Water) Trade Name Size No. BTU HP EDR Fuel, Total Connected Load Burner Trade Name BTU HP Size No. EDR (Warm Air) HEATING COMPANY j3ab Signed By �� Tel No.��'' Approved By Rough—In Date Final Date FILL OUT BACK SIDE F" STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The, undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects Dodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for -size' and total BTU's connected Yes ( ) No ( ) 6 Has total heating BTU's of 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 ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: FR�IDL�EY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 November 9, 2001 Young Han 5748 Matterhorn Drive NE Fridley, MN 55432 Re: Final Inspection at 5748 Matterhorn Drive NE Contractor: Reliant Energy Minnegasco/Blaine Heating Dear Mr. Han: A mechanical permit was issued on August 14, 2001, to install a gas range at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Mechanical Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh SUBJECT ER T -O- City of Fridley 33767 AT THE TOP OF THE TWINS BUILDING PERMIT R O. COMMUNITY DEVELOPMENT DIV. _ L ------ PROTECTIVE INSPECTION SEC. r : 1 . � NUMBER REV DATE r, I. OF APPROVED By CITY HALL FRIDLEY 55432 l J` 763-571-3450 910-Fl5 8/6/03 JOB ADDRESS 5748 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Grace High School Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hymn Sook Han 5748 Matterhorn Drive NE 763-571-7711 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same d 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 Cj ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 10' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on pian. N NO G Before digging call for all utility locations 454-0002 IRY LAW 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 80 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 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 $1,490 $.74 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $54.00 Fire SC $1.49 PLAN C CK FEE TOTALFEE $56.23 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT JUATtp HEN PROPERLY VALIDATED THIS I R P/ER I/TT 3 _ ? `/ BLOG INSP FATE S,GNATURE OF OWNER,IF OWNER BUILDER) IDATEI NEW CITY OF FRIDLEY d� �Eff /20 3 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763), 1 Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R- ) BUILDING PERMIT APPLICATION Construction Address: ss'� �`l/� -P� end Ar— E:I& i & A Legal Description: Owner Name & Address:A_ A c �, ; r>� Tel. Contract Address MN LICENSE # Tel.# v� ` %=1 I vey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT I LIVING AREA: Length Width Height ° Sq. Ft. �a GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $_ DATE: l3 APPLICANT: Tel. # Call (763) 672-3604 for Permit Fees if mailindin application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ .01-23 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] GERALD T. COYNE LOT SURVEYS COMPANY 6917 IIDAHO.AVE. NN 3OO BRUNSWI`CK AVE. S. BROOKLYN PARK,'MINN. GOLDEN VALLEY, MINN. LAND SURVEYORS BEGIBTEBED MMBB LAWS OY STATE Or MINNESOTA LIQBNSED ST OBDINANOE of CITY Or JUNNE"OLIS ' 533.9922 Minneapolis, Minnesota 55428 INDUSTRIAL - JUDICIAL INVOICE NO. _ COMMERCIAL' -• TOPOGRAPHICAL Ourbeporo- tertif icate FIELD BOOK 144- • CITY LOTS PLATTING 1� SCALE: 1" —3 0 GORHAM CONSTRUCTION A/ef, I C1,k�a4� ".144 �rry�'�E.��yy'r +iss �'ryy1" 4' �-�t ;•�� i �•' •• :.� s v'F'.ASy`�vi"e4 ^ w 1•a �{` Il '. \ oil r 1 g Lot 10 $lock 2 GRACE HIGH SCHOOL r s ADDITION le, Pr We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described property,; and of .the location of all buildings, if any, #hereon, 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 as- sumed . except to • the holder of such mortgage or' any other interest acquired by reason of such mortgage. If is under- stood and agreed no monuments have been placed for the purpose of astablishirpj lot lines orbound orsers. / • 1 Nov. 7 � 'si�Ed t.�...�..�� {�f Surveyed by us this _9 day of 19 IAT SURVEYS COMPANY