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PRE 2010 DOCSCITY 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 STEAM 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 RATE TOTAL Job Address ) ! ! v t / L -X/ DESCRIPTION OF FURNACE/BURNER $12.00 $ 1 7.00 $ Warm Air- No. - Trade Namef 7.00 $ Department of Buildings Capacity Sq. Ft. EDR 4.00 $ City of Fridley Kind of Fuel BURNER - Trade Name Tel. #571-3450 Size No. Capacity Sq. Ft. EDR The undersigned hereby makes application for a permit for the work herein $12.00 $ ® 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 7.00 $ $ facts and representations stated in this application are true and correct. 4.00 $ Fraley, Minn. 19 Q OWNER f 2 $12.00 $ KIND OF BUILDING 4.00 $ 7.00 $ USED AS 6.00 $ TO BE COMPLETED ABOUT $10.00 $ 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: lst 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING ^1 $ FAN HEATING SYSTEMS (_ See Fee Schedule $ VES?TILATING SYSTEMS $ ALTERATIONS $ REPAIRS_ $ State Surcharge $ .50 TOTAL FEE $ / 7. ,SU ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7 ESTIMATED COST OLD 0 BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER s 1 HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. - Trade Namef 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 - Company , Signed By o _ _✓�!�ieo'ry�?' Q Tel. No. City of Fridley SUBJECT o 13593 AT THE TOP OF THE TWINS PERMIT BUILDING RECEIPT NO. `y ____ _ COMMUNITY DEVELOPMENT DIV. y r PROTECTIVE INSPECTION SEC. 1 ; � CITY HALL FRIDLEY 55432 J / NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/17/76 JOB ADDRESS 5790 Matterhorn Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Grace High School Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vaughn Vassel 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gorham Construction 9050 Collins Drive, Anoka 421-0998 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE &&,a rjobalkad% 6 DESCRIBE WORK VWPARIND Construct a 57' x 48' Dwelling and a 24' x 24' Garage PERATE PERMITS REQUIRED FOR WIRING, TELEPHONE -ELECTRIC -GAS E 9 CHANGE OF USE FRO IkEAT' jK PLUMBING AND SOS. REQUIRED BY LA STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Properly brace garage rafters. SEWER LOCATION: (Approx. 12' Deep) 158' South of Manhole (Inv. 927.14) WYE ELEV: 928.75 TOP OF FOOTING: 932.25 Minimum WATER LOCATION: 6" CIP watermain 5' east of west property line. MUST BE TAPPED. --IMPORTANT-- T -E CITY OF FFIDLEY DOSS NOT GUA ld1E" 'Hc' -C::URACY OF UTILITY LOCATIONS AND ELEVAIK-_ NOTIFY THE FRIDLEY ENGR. 1,115 DATA IS FOR INFORMATION PUrTOSF.S Ot4LY AND DIVISION REGARDING CURB PERSONS USINO 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 F-1 1339 + 653 32,374 Total 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 $42,151 $21.09 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- $59.89 $350.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. v � PLAN CHECK FEE TOTALFEE 1` O®)v-rJ�-� C'IP-76 $430.98 SIGNA'YUREOFCO ACTOR OR AUTHORIZED AGENT (DATE) �,. WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 11 BLDG iNSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) • r 44 11 1 L— eoh IMP - 9 Z k!101, � I sip F 1 o !40 p a -- 1 - b 1 71- 1 APPLICATION FOR RESIDENTIAL, ALTERATION, C/),!_ 0 9'? 9 - OR ADDITION BUILDING PERMIT Cc -,X Corkao, CITY OF FRIDLEY, MINNESOTA &dt4u.l OWNER'S NAME : 1/a y n% �a s s c l BUILDER: C 0 r h C'r., co"it ADDRESS: ADDRESS: %'3,,5-0 NO:. 57 1 STREET: /'70.x1 tr%oiU Pr. Nr LOT: 7 BLOCK:_ a ADDITION: bra-. e, CORNER LOT: INSIDE LOT: ETBACK: y0 ' SIDEYARD: /6' 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: Sl.✓�g (� 422 Front: 3 % Depth: 41 � Height: i.3 ? Square Feet:. AJ',Z -- Cubic Feet: p20 Front: Depth: �% Height: Z> Square Feet; x.53 Cubic Feet: Type of Construction: (/Uc-d rOLt-ye Estimated Cost: $� To Be Completed: seat 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 dley Ordinances and rulings of the Department of Buildings, and hereby lares that all the facts and representations stated in this application true and correct. E : - % -74 SIGNATURE: knee Reverse Side For Additional Information.) t." ��✓ .�9. 99 sah A ®� 9700 u 4A77d>113 �2 s ,, .dA - ------------ Ti_ E A . FIELD &NOWAKI ki. -- -r- - - - 741S WAYZATA sura MINNBAPOUS, MINNESOTA CERTIFICATE OF S' UMVET for 143.52 ,;•CS 0 01 o M +WPQRTANT- • NOT'IFY THE FRIDLEY ENGR. N DIVISION REGARDING CURB REMOVAL AND REPLACEMENT AT DRIVEWAY OPENINGS. ME CiTy OF FB�1®LAY DOES NOTC;IJA6§AE�TEr ACCURACY OF UpUly LOCATIONS AND ELEVA71' DESCRIPTION: Lo.t 7 Block 2, GRACE HIGH SCH10hu ff y{� n®NER N Eft E S ONLY 4 - AR ANG ON THE sm W611 digging COR local utilities TELEPHONE - ELECTRIC - GAS Etc. SCALE: 1'r = 30' We hereby Ce�rttiif that�tYis Is a true and correct representation of a surveyof the boundaries of the land above described and of the location of all buildng4 if any, thereon, and 411 visible encroachments, if any, from or on said land. Dated this 18th day of July 1975 EGAN,ELD t NWA tNG Surveyor y/J� ; , IF i 1e No. 5299 Beek •Ne_ by / PAVA4 MSA i a �l t - '. ft. , ).2 7-5 C7 r� CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number 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 -i x $3.00 - x $2.00 x $2.00 x $5.00 / x $5.00 x $10.00 X $7.00 x $5.00 x $5.00 TOTAL X $3.00 $ . ()Q X $1.00 $ X $10.00 $ $5.00 $ $2.00 $ State Surcharge $ .•50 TOTAL FEE $ �.`•S U REINSPECTION FEE ($10.00) Job Address [ ��e�� s 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 �j Fridley, Mn. /7 _ -a) 2 , 19� A OWNER / N � C) R A::? KIND OF BUILDINGS C-- USED AS �% % Z" ` 4'e-- r C TO BE COMPLETED ABOUT (-S:-- 7 ESTIMATED COST / /� OLD -@�PUILDING PERMIT NO. PERMIT NO. (Q.9.2 o Company 1 �✓ Signed By Tel. No. �� 7 ROUGH INSP. Date FINAL INSP. A G 2 40 Date APPROVAL FOR PERMIT Al 4 MINIMUM FEE FOR ANY PLUMBING PERMIT IS.$7.50 ro W y ro o x ro Water •Op � r. ..O4 N n y p, w Heater N 4J 'i E U! E •.I CJ l4 U) 0 ro k 5 0 W RC Si •.i Si 0 ro c U1 X lj N Si O 41 O O •••� +� N U)•rI O O 0 4J N 4J (n N N N .0 t° 14a ro 3 u 0 Q Gd x M 1-i 1-1 Ga rd ro U RI o ro RC $ (d U C7 0 O as lec Uri wro U) p / 1st f 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number 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 -i x $3.00 - x $2.00 x $2.00 x $5.00 / x $5.00 x $10.00 X $7.00 x $5.00 x $5.00 TOTAL X $3.00 $ . ()Q X $1.00 $ X $10.00 $ $5.00 $ $2.00 $ State Surcharge $ .•50 TOTAL FEE $ �.`•S U REINSPECTION FEE ($10.00) Job Address [ ��e�� s 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 �j Fridley, Mn. /7 _ -a) 2 , 19� A OWNER / N � C) R A::? KIND OF BUILDINGS C-- USED AS �% % Z" ` 4'e-- r C TO BE COMPLETED ABOUT (-S:-- 7 ESTIMATED COST / /� OLD -@�PUILDING PERMIT NO. PERMIT NO. (Q.9.2 o Company 1 �✓ Signed By Tel. No. �� 7 ROUGH INSP. Date FINAL INSP. A G 2 40 Date APPROVAL FOR PERMIT Al 4 MINIMUM FEE FOR ANY PLUMBING PERMIT IS.$7.50 x $10.00 X $7.00 x $5.00 x $5.00 TOTAL X $3.00 $ . ()Q X $1.00 $ X $10.00 $ $5.00 $ $2.00 $ State Surcharge $ .•50 TOTAL FEE $ �.`•S U REINSPECTION FEE ($10.00) Job Address [ ��e�� s 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 �j Fridley, Mn. /7 _ -a) 2 , 19� A OWNER / N � C) R A::? KIND OF BUILDINGS C-- USED AS �% % Z" ` 4'e-- r C TO BE COMPLETED ABOUT (-S:-- 7 ESTIMATED COST / /� OLD -@�PUILDING PERMIT NO. PERMIT NO. (Q.9.2 o Company 1 �✓ Signed By Tel. No. �� 7 ROUGH INSP. Date FINAL INSP. A G 2 40 Date APPROVAL FOR PERMIT Al 4 MINIMUM FEE FOR ANY PLUMBING PERMIT IS.$7.50 REINSPECTION FEE ($10.00) Job Address [ ��e�� s 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 �j Fridley, Mn. /7 _ -a) 2 , 19� A OWNER / N � C) R A::? KIND OF BUILDINGS C-- USED AS �% % Z" ` 4'e-- r C TO BE COMPLETED ABOUT (-S:-- 7 ESTIMATED COST / /� OLD -@�PUILDING PERMIT NO. PERMIT NO. (Q.9.2 o Company 1 �✓ Signed By Tel. No. �� 7 ROUGH INSP. Date FINAL INSP. A G 2 40 Date APPROVAL FOR PERMIT Al 4 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 ' 5790 Matterhorn GRAVITY.WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work hereat► Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 4.00 $ $ November 15 1977 19_ Fridley, Minn. s Repairs & Alterations each add. $500.00 ► SM41 OR HOT WATER SYSTBI: OWNER Gary Gorman Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING Frame each addn. 50,000 BTU 4.00 $ Dwelling Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199.999 BTU $10.00 $ %®, ® ® OLD BUILDING PERMIT NO. PERMIT NO. / lh (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: Gas Piping 1st 3 Fixtures X $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS State Surcharge ROUGH INSP. Date FINAL INSP. -/ /Z -A-0 - `% 7 Date APPROVAL FOR PERMIT Wk:: $-13.00 $ $ .50 s13-50 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. REINSPECTION FEE Capacity Sq. Ft. FMR BTU HP (S10.00) company ADVANCED HEAT . ING & AIR COND. IN( Signed By , �;�. • Tel. No. 571-4$$1 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 91-8b-'879001 IIT Ur rmuL.rt APPLICATION FOR PW MBING AND GAS FITTING PERMIT Job Address 790 MATTERHORN.DRM Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application lora permit for the work here specified agreeing -to do all work in strict accordance with the City Codc and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and cox Fridley, Mn.Ji-20-77_19 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. . TOTAL hl --ber Fixtures x $3.00 Ij Future Fixture Opening a $2.00 $ Water Neater Heats x $2.00 $ Catch Basin x $5.00 $ Water Neater - to 99,000 BTU, x $5.00 a 100;000 BTU to 199,000 BTU _•_,•_ x $10.00 $ Water Softener __ x $7.90 $ - u •$4 9 $ y $5.00 $ ..—� 8 89 A 9 c� �� x o as lac x $1.00 $ .Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ �� each add. $100.00 or fraction $2.00 8 �_ State Surcharge $ .50 TOTAL FEE $ 8.00-, 1st i st, 11 ' 1.1 tad 3rd . -rT4th ' (R) - Future Connection Opening Connected with Sewer (•) New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL hl --ber Fixtures x $3.00 $__ Future Fixture Opening 3i $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Neater - to 99,000 BTU, x $5.00 $ 100;000 BTU to 199,000 BTU _•_,•_ x $10.00 $ Water Softener __ x $7.90 $ Had Ground Run Old Building �,T_ x $5.00 $ Electric Water Neater $5.00 $ ..—� GAS FITTING PEES: 1st 3 fixtures I �_ x $3.00 $ Additional Fixtures x $1.00 $ .Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ �� each add. $100.00 or fraction $2.00 8 �_ State Surcharge $ .50 TOTAL FEE $ 8.00-, REINSPECTION FEE ($]0.00) OWNER VAUGHN VEASALL ' KIND OF BUILDING frame USED AS res. -27� 77 TO BE COMPLETED ABOUT 10;00 ESTIMATED COST OLD - NEW BUILDING PERMIT N0./STT NO. - 01L a ' Company Signed By Tel. No. }tOUGN INSP. Date FINIAL. INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 Class "A" Surcharge .5o,,z 01 SUBJECT OERMI City of Fridley o 18610 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �� I � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 I 8/21/86 I JOB ADDRESS 5790 Matterhorn Drive N. E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Grace High School Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vaughn Vesall 5790 Matterhorn Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Deckworks 2947 - 46th Avenue South. M ls. 55406 721-2018 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 6 DESCRIBE WORK Construct a 10'6" x 7' Deck 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 450 $.50 DOES NOT PRESUME TO GIVE AUTHORIT TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE OVOF ANY ER STATE OR OCAL LAW REGULATING CON- N O T E PER RMANCE NSTRUCTION. S�Ii"INS 10.00 PLAN CHECK FEE TOTAL FEE 2. D $13.00 SIGNATURE CONT ACTORT O IZEDAGENT ATE) I O AU WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT G BLDG INSP U J 24E SiGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 01 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. [ 7 Building Permit Application Construction Addri Legal Description Owner Name & Address: fI S "O'VC Tel. # Contractor: `�No� - Tel. # -7ZL'1016 Address: 4� M`t'- AV S-0, IMN - sis2yo o LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width ____ Height Sq. Ft. Length Width Height Sq. Ft. Length ®= Width '1 Hgt/Ground Poi Sq. Ft. oar %M%j I 'kit W— '%'� Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback �nbF, Estimated Cost: $ Type of Construction: Approx. Completion Date: zonJob Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: 05110 tk' Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL APPLICANT: Tel. CITY IIS ONLY STIPULATIONS: '"r 0d Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] A SUBJECT City of Fridley 6 6 0 7 2 AT THE TOP OF THE T VINS BUILDING PERMI R2 _ COMMUNITY DI VELOPMENT DIV. ~ PROTECTIVE IN sPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL F IDLEY 55432 612-5 1-3450 910-F15 5/20/98 JOB ADDRESS 5790 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Grace High School Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vaughn Vesall 5790 Matterhorn Drive NE 574-1078 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Right Way Roofing 16475 45 Ave N, Plymouth MN 55446 557-8678 3999 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 Reroof House & Garage (27 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, 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 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 $2,251 $1.13 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. $74.75 Fire SC $2.25 PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPE VALID TED THIS IS YOUR PERMIT - O SAft INSP r- axj -.&,P DATE _ SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI A NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 5790 Matterhorn Drive Legal Description: Effective 1/1/98 0I �' P Owner Name & Address: Vaughn Vesall Tel. # 574-1078 Contractor: Right Way Roofing MN LICENSE##3999 Address: 16475 45th Ave N Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # 557-8678 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 27 Tear off on house and garage, apply ice and water $ shield Erosion Control 07ZS•/* PO Construction Type: Single family residential Estimated Cost: $?*$®.-oD Fee Determined by Engineering Sewer Main Charge $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 5/15/98 APPLICANT: Karen Obe g (Rightway Roof ing Tel. # 557-8678 CITY USE ONLY Permit Fee $ 2j< 75— Fee Schedule on Reverse Side Fire Surcharge $ ,7. S~ .001 of Permit Valuation (1/10th%) State Surcharge $_ $.50/$1,000 Valuation SAC Charge $ / $1000 per SAC Unit License Surcharge $ 5,-60 $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 $ 8 3 e 3 ° STIPULATIONS: b� " ,fin I G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 July 7, 2003 Mr. Vaughn Vesall 5790 Matterhorn Dr NE Fridley, MN 55432 Re: Inspections on Reroofing Permit for 5790 Matterhorn Dr NE, Fridley Dear Mr. Vesall: As per your request of July 3, 2003, we checked our records and we are writing this letter to inform you that Right Way Roofing did not request either the ice shield inspection or the final inspection of the reroofing job completed in May, 1998 at your residence. We also checked the address of 5776 Matterhorn Drive NE and found that inspections were not requested by Right Way Roofing for the reroofing job completed in October of 1999 at this address. An inspection was conducted at your residence on June 30, 2003 to inspect the' roof leaking that has been occurring. We will need to meet the contractor on-site to verify the ice shield application and to discover the possible reason for the leaking. Please have Right Way Roofing contact us at 763-572-3604 to set up an inspection on the reroofing. Sincerely, DAVEAFNSEN Build& Inspector CC: MN Dept of Commerce, Attn Cindy Clauson Right Way Roofing CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 VAX: (763) 571-12137 ADDRESS : 5790 MATTERHORN DR NE PIN : 243024240009 LEGAL DESC : GRACE HIGH SCHOOL ADD : LOT 7 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE PERMIT O.: 2004-01161 DATE ISSUED: 07/21/2004 VALUATION : $ 1,800.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL FIREPLACE INSERT. VALUE (FOR MINIMUM CALC) 300 APPLICANT RIVER CITY SHEET METAL 9928 BLUEBIRD ST NW COON RAPIDS, MN 55433- (763) 754-2199 OWNER VESALL VAUGHN R & MARY L 5790 MATTERHORN DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local am reggating construction or the performance of construction W-WM 0-411 HEATING PERMIT MINIMUM FEE 15.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 15.50 PAID WITH CHECK # 13478 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION Effective 471/2004 g 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 0 763-572-3604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOBADDRESS _57AO Aic r oY -n DR NF_ N RATE SCHEDULE Residential Owner Gt. Furnace Shell and Duct Work, Burner & (� also Replacement Furnace $35.00 Building used As / 1eS, er1*��0►� Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ .11), v n ESTIMATED cosT / ff,& -- PERMIT NO ? �77 " : tl l�✓�d Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas dryer $10.00 $ # of Heating Units Circle one (Steam) (Hot water) {Warm Air) Trade Name size No. *Air Conditioning -All Sizes $25.00 $ BTU HP EDR Fuel Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Mrd -SNa Minimum Fee 5.00 r Residential or 5% of cost of BTU 30, Dan EDR Invrovement whichever is greater on work less than $500.00 U. The undersigned hereby makes application for a permit for the work herein LL Commercial industriaVlnstitutional specified agreeing to do all work in strict accordance with the City Codes U 1.25% of Value of Appliance or work (Liston Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum. Fee $35.00 for Commercial industrialVinstitutional and representations stated in this application are true and correct. U State Surcharge $-� D HEATING CO , TOTAL FEE $ Signe Tel N REINSPECTION FEE $50.0o/HOUR / FAX # Date_ e7fDg—o_ 6j!� *Air Conditioners can not be placed In side yard without written approval from adjoining property owner - copy to City JFILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ti Approved by Rough -in Date Final Date -�5�7°o Ai crhorn DR NF rr;G!/e. FILL IN COMPLETELY FOR REPLACEMENT FUEL. BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacinca an exlstiing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (} No( } The venting system is plastictPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No The exisstina combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new vena systemthe undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes (} No 1 ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Net Appliance #2 Type BTU Input Fan Assisted or Not Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Trial Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter In Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: Building MECHANICAL1 0 11W Permit No.: Inspections RESIDENTIAL APPLICATION Received By: .'A 763-572-3604 763-502-4977 FAX CITY OF FRIDLEY Da%%dA11G 61—M EFFECTIVE 1-1-08 3 1 ZUU5 DATE JUL, YOU E- IL AD RESS SITE ADDRESS u THIS APPLICANT IS:❑ O R ONTRACTOR PROPERTY NAe OWNER/ TENANT ADDRESS: CITY STA IP PHONE: i CONTRACTOR COMPANY NAME: w�n >• A1R Iwlf'+ v u�A� NOTE: SEPARATE CITY CONTACT PERSON: — 5182MS*RO-A—W-. LICENSES ARE STATE LICENSE # r �VCTAI� REQUIRED FOR GAS AND HVAC. ADDRESS: MF;.4SM CITY STATE ZIP SUBMIT COPY OF BOND PHONE FAX ANDINSURANCE PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK.❑ NEW PLACEMENT 13ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK 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 ) OR Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU MFG: MODEL: SIZEIBTU _A/C $25.00 FIREPLACE (GAS) $15.00 RANGEIOVEN $10.00 _GAS _AIR TO AIR EXCHANGEER $IS REPLACE (WOOD) $35.00 GAS GRILL $10.00 �URNACE _NEW _BOILER $35.00 $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 r :.',. 9�� '� lR � _, S"E" r.. ,,,y ,aa xta ✓lrx f'r s lrt r. .:..., iY au`. ; 2- Permit Fee $ Number of fixtures @� $10.00 x $10.00 = $ Surcharge Number of fixtures @ $15.00 x $15.00 = $__V_ TOTAL DUE $ OR Number of fixtures @ $25.00 x $25.00 = $ 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 mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformancea o inn and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is but not a permit only an application for a permittorla7ts dot j 'th star: without a permit; that the work will be in acro ce the to plan in the case of all work which r5LLqres review and approval of plans. O SIGNATURE OF APPLICANT PRINT NAME DATE APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 )8