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City of Fridley SUBJECT P -wd- AT THE TOP OF THE TWINS BUILDING PERMIT � ECE • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 812-560-3450 910-F15 10/29/76 JOB ADDRESS 5860 Matterhorn Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Grace High School Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary M. Gorham Const. 9050 Collins Drive N.W., Anoka 421-0998 3 CONTRACTOR MAILADDRESS 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 Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK IVAIMIRU Construct a 40' x 26' Dwelling and a 24' x 24' Garage SEPERATE PERMITS REQUIRED RM WIRING,TELEPHONE - ELECTRIC - 9 CHANGE OF USE FROM HEATING, PLUMBING AND STfN$, REQUIRED BY STIPULATIONS Provide sod in the front and side yards. Provide a verifying survey before capping. Provide a hard surface d driveway. Provide vapor barrier in ceiling. SEWER LOCATION: (Approx. 9' Deep in Street) 142' North of Manhole (Inv. 927.14) WYE ELEV: 925.75 TOP OF FOOTING: 929.25 Min' WATER LOCATION: MUST BE TAPPED 6" CIP 5' East of West line of Matterhorn Drive t p�p TANT— WA hRMAitON � CfyttY AND NOTIFY THE FRIDLEY ENGR ON *g-UE17VID VLry . TW DIVISION REGARDING CURB ,.�- REMOVAL AND REPLACEMEN �— AT D IV SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1040+562 27,344 Tota ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] 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 $35,435 $17.72 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $109.38$350.00 PLAN CHECK FEE TOTAL FEE / AZ,,l 7 504.44 0 SIGNATUREO ONTRACTORORAUTHORIZEDAGENT (DATE) WHEN PROPERLY VALI TED THIS IS YOUR PERMIT 0k) l BLDG INSP Ick-a9y-�� DATE + SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) F0 -2 Itllttles AS Etc. AW CITY OF FRIDLEY 7e` APPLICATION FOR. RESI DENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NMIE : BUILDER: 6 (% r�e GO r N 01 A/! ADDRESS: ADDRESS: ®o ccWI tis '50-060 TEL. NO.: NO: STREET: /✓%a, Mr r h e ?,V LOT: BLOCK: eL ADDITIO:`: �sac,c /4!/' /' NG�ic��% Addl CORER LOT: INSIDE LOT:�SETBACK: r SIMARD: Applicant attach to this form nio Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: �Gvi�iy l�Soc��n.L< Front: Depth: Height: �i Square Feet: 3 Cubic Feet:y(�L (26 )C;t Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Wa001 �ro„.�e Estimated Cost:�S �To Be Completed: L4 /'577 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 • /0 -a/ - 76 SIGNATURE: (See Reverse Side For Additional Information.) /,, 7L E Me FIELD & NOWAK _ i 7415 WAYZATA MIL MINNEAV0�I5. MINNEiOTA CERTIFICATE OF SURVEY WAgWjjqj6 F«I call local Utillti4s 7UPNONE - Et GAS Etc. BY LAW 143.52 t� 1 !4152 fjjE Clay OF-FRIDLEY DOES NOT GVARQ, JE] ACCURACY OF UTILITY LOCATIONS AND ELLVATICP 4. 1015 t)ATA 15 FOR INFOp A -1®N PUPPOSES Oe LY tjNg. USING IT SjIOULD VERIFY TKE INFORMATIN O ION 11JE SITE. DO 1 1 {� 1 , 1 1 v 1 1 � h WI I O j O � � C I .c I 1 , O I1 V Me FIELD & NOWAK _ i 7415 WAYZATA MIL MINNEAV0�I5. MINNEiOTA CERTIFICATE OF SURVEY WAgWjjqj6 F«I call local Utillti4s 7UPNONE - Et GAS Etc. BY LAW 143.52 t� 1 !4152 fjjE Clay OF-FRIDLEY DOES NOT GVARQ, JE] ACCURACY OF UTILITY LOCATIONS AND ELLVATICP 4. 1015 t)ATA 15 FOR INFOp A -1®N PUPPOSES Oe LY tjNg. USING IT SjIOULD VERIFY TKE INFORMATIN O ION 11JE SITE. �l � ( Nr— DESCRIPTION: Lot 3, Block 2, GRACE HIGH SCHOOL ADDITION. Fy TjH9 FIRMILEY ENGR. �di„4RDING CURB ANWREPLACEMENT 3-96 r' 5' ai �YC1%AY OPENINGS, We hereby certify thatthis'is s true and correct representation of a survey of the boundaries of the lend above described and of the location ofall building; if any, thereono and all visible encroachments, if any, from or on said lend. Dated this- 18th Of July 0 1975 EGAN, FIELD i NOWANC Sur eyor96.) i 1 No 5?99eooakNo. by //�h��2L DO 1 1 {� 1 , 0 �c �l � ( Nr— DESCRIPTION: Lot 3, Block 2, GRACE HIGH SCHOOL ADDITION. Fy TjH9 FIRMILEY ENGR. �di„4RDING CURB ANWREPLACEMENT 3-96 r' 5' ai �YC1%AY OPENINGS, We hereby certify thatthis'is s true and correct representation of a survey of the boundaries of the lend above described and of the location ofall building; if any, thereono and all visible encroachments, if any, from or on said lend. Dated this- 18th Of July 0 1975 EGAN, FIELD i NOWANC Sur eyor96.) i 1 No 5?99eooakNo. by //�h��2L $7*667-) 79 / losr- /sr ® O � 40 ig.e#ae vfi� e rp 5 F 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 F �. March 17, 1977 Gorham Construction 9050 Collins Drive N.W. Anoka, Mn. 55303 Re: Final Inspection at 5860 Matterhorn Drive N.E. Dear Sirs: A final inspection was made on March 16, 1977 at 5860 Matterhorn Drive N.E. and the following items were noted which must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards by June 15, 1977. 2. Provide a hard surfaced driveway by June 15, 1977. We will expect the above items to be completed on or before June 15, 1977 when a reinspection will be made to determine compliance. If you have any questions on the above items, please feel free to contact me at 571-3450. Since y, ON HOLDEN Building Inspector RH/mh I CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE N. NO. RATE TOTAL N x b $ ?� -&0 Future Fixture Cpening x x d New Fixture, Old Opening Water $2.00 $ Catch Basin A $5.00 $ 0 t7% �i N O 100,000 BTU to 199,000 BTU J P W c x Heater $ AJ 14, $5.00 $ Electric Water Heater x r0 y, GAS FITTING FEES: N 1st 3 fixtures x $3.00 $ 3.00 Additional Fixtures x $4 :1 C x ••1 Ny $ &' '• .N S O .Aj N 1.1 N N N N .0 �- ° w State Surcharge Vf ro 3 v k. ° v) ° W ro ro U M o n Q .= ro 3 ., X rd G " 9 ,as 'lee M Fi .0 1st � i 1 2n3 � 1 3rd I 4th + I (?) Future Connection Opening Connected with Sewer (*) New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLU?L',ING FIXTURE RATES: NO. RATE TOTAL ,V Wer Fixtures x $3.00 $ ?� -&0 Future Fixture Cpening x $2.00 $ ('•00 New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU. r. $5.00 $ 100,000 BTU to 199,000 BTU - x $10.00 $ /Q•0� Water Softener x $7.00 $ New Ground Pm Old Building x $5.00 $ Electric Water Heater x 55.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ 3.00 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS 6 ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE Job Address 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 correc, Fridley, :"n. ��— 1974 OWNER 6,i? y lJ/ ®!� A, KIND OF BUILDING USED AS TO BE COMPLETED ABOUT _ ESTIMATED COST OLD - NEW,)BUILDING PERMIT NO. PERMIT NO. %ODS c� � Company /?l _ Signed By /oe Z� Tel. No. 1 -?J %' ROUGH INSP. Date FINAL INSP. ,, 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 ';ARM AIR: Furnace S'rell & Duct Work Replacer,.ent of Furnace Repairs & Alterations -up to $500.00 Recairs & Alterations each add. $500.00 :MECHANICAL WARM AIR: r^Srnace 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 STFA= l OR HOT WATER SYSTLM: Boiler & .._nes 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 /J 5-1 $12.00 $ 7.00 $ 7.00 $ Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 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 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ idley, Minn. //a --- 19 OWNER $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 :EES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING $14 FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ -REPAIRS— j $ State Surcharge $ .50 TOTAL FEE $ 2, ROUGH INSP. Date F=AL INSP. Data APPROVAL FOR PERMIT REINSPECTION FEE (.$10.00) 2MINIMUM FEE FOR ILNY HEATING PERMIT IS $7,50 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PErvMIT N0. / DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. ' N Trade Name Size No. / f Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. 0 U h /` -4 � -, A, COOLING AAD SHEET DEPARTMENT OF INSPECTIONS - 220. GRAIN EXCHANGE MINNEAPOLIS, MINNESbTA Sbr4IS Job Name Address Room: Width (n Length - Height ` Time: C1 A. M. P. M. Design Conditions: Outside: Dry Bulb 6 � :Wet Bulb '�a ` Inside: Dry Bulb �',_.;� `° ; Wet Bulb Wall Color: Dark 0; Light O; Medium e]': Roof: Dark„Q; Light O; Medium 0./ A..,. i -m. n- 72n, n Item 24 x 100 56, �' 1V Y x 100 - S 26. Sensible heat ratio= Item 24 + Item 25 " 27 Temperature of air supply Dry bulb, Wet bulb � E3 Item 24 « -_ �j '� C.F.M. 2$. Total air supply= Item [room db. - Item 27 d.b.] 14 15 - HEAT LOAD OF'VENTILATING AIR 29. No. of people x C.F.M. per person= C.F.M. Outside Air. 30. Item 29 x B.T.U. per C.F.M.= B.T.U. per hour 31. Total cooling load = Item 24 + Item 25 + Item 30 = V S-A 3 B.T.U. per hour It1em 31 = ryp c� `� _ �� Tons AREA SENSIBLE LATENT NO. ITEIM D IONS SQ.". K D NEAT HEAT CONDUCTION HEAT GAINS 1. Exterior wall, gross�,r` ` �' ,;° s« .s ••■s •••• 2. Exterior glass r 91 3 Exterior wall, net r •s«• 4. Partitions, net •••• 5. Floor 6. Ceiling or roof EXCESS SOLAR GAINS WALLS (direction faced) 7.9. `- •••• •••• 10. Roof' �j ', ®� •••• GLASS (direction faced) 12. 7% m / f - •••• 13. •••• 14. SlWlights BODY HEAT GAINS 15. Sensible No. of people x 225 16. Latent (quiet) No. of people x 175 `••• 17. Latent (active) . No. of people x 450 EQUIPMENT HEAT GAINS 18. Electric lights 1c)e, jWatts x 3.4 ® ® 19. Electric motors (total H.P.)_ x 2545 x Power Factor 20. Other electrical equipment 21. Gas burning equipment C. F. H r. x 1000 - 0 v 22. Miscellaneous heat gains 23. Miscellaneous heat gains 24. TOTAL HEAT GAIN (SENSIBLE) ■«■s 25. TOTAL HEAT GAIN (LATENT) Y •••• � Item 24 x 100 56, �' 1V Y x 100 - S 26. Sensible heat ratio= Item 24 + Item 25 " 27 Temperature of air supply Dry bulb, Wet bulb � E3 Item 24 « -_ �j '� C.F.M. 2$. Total air supply= Item [room db. - Item 27 d.b.] 14 15 - HEAT LOAD OF'VENTILATING AIR 29. No. of people x C.F.M. per person= C.F.M. Outside Air. 30. Item 29 x B.T.U. per C.F.M.= B.T.U. per hour 31. Total cooling load = Item 24 + Item 25 + Item 30 = V S-A 3 B.T.U. per hour It1em 31 = ryp c� `� _ �� Tons 32. Tonnage equivalent of cooling load= Permit Fee $ APPLICATION FOR AIR CONDITIONING — REFRIGERATION PERMIT No. L Owner Address Minneapolis, Minn. 197 Donald A. Erickson, Director of Inspections: The undersigned hereby makes application for a permit for the installation, alteration, or repair of an air conditioning or refrigeration device, as herein specified, agreeing to do all such work in strict accordance with the City Ordinances and ruling of the Department of Inspections and the specifications set forth in this application as approved and filed in the Department of Inspections, and hereby declares that all the factspnd representations stated in this application are true and correct. Kind of Building How occupied Work to be started , 197 Work to be completed '197 Estimated Cost, $ THIS APPLICATION IS FOR THE REFRIGERATION PIPING AND EQUIPMENT, BUT IS NOT FOR COOLING PIPING OR EQUIPMENT, FOR WHICH A "G" PERMIT IS REQUIRED. DESCRIPTION OF WORK Refrigeration or Air Conditioning Equipment, to be: Installed Altered ❑ Repaired ❑ Replaced ❑ No. Model Cooling Medium Capacity in tons Horsepower Manufacturer or Make Location of Condensing Unit Location of Cooling Coils Location of Cooling Tower. Remarks: Approved 197 Signed Inspector By Add Telephone D -16-R s BTU Calculated Heat Gain (show calculations on back side) (Licensee) Approved by: .24 Weatherstrips A.SJLV.L Guide Construction No. lunlation Windows Doors Reference Out. Wall 'Int. Wall Ceiling Roof Floor hind How �oego 19 I F1. L o r/7 A/,-- Room I Length T -) I Width 0 3 � c'Fieight II i Fu ' ,j -r,, j Roos I Length ® Width -5'1' Height Windows and Doon--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2 to eL I V, V- ICoef.1 Coef.1 Btu Infiltration S7 %a F J9 Glass q _ 6 wall X9 /0- 0 r.._. wall Net eap. wall , LC 0 Net exp. wall j Floor Int. wall 7 1p f c Ca. r �J, Floor Cell. _� 2 0 Wit' ,a 2i ' ! otal Btu. VO Required sq. ft. E.D.R. or sq. ins. WA. Leader area fl FI.Ml ', 1. ,'_;Room I Lenxth `/' "' Width Height " Windows and Doors---Crackage and Area Width Height No. of Lineal ft. Area Na of pane of pane lights of crack sq. ft. Jy 4h ,CSR ICoef.1 Coef. Btu Infiltration 162- %a d J9 Glass q _ 6 wall Lf" /0- 0 Exp. wall Net eap. wall , LC 0 Net exp. wall Int. wall j Floor Floor 7 1p f c Ca. r �J, Ceil. _� 2 0 d �A Total Btu. I ( Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl I K-,% �%om I Length "Width Ai Heisfht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No, of pane of pane lights of crack etl. ft. Jy 4h ,CSR ICoef.1 Coef.1 Btu Infiltration's 162- %a aam J9 Glass q _ 6 wall Lf" /0- 0 Exp. wall Net eap. wall , LC 0 Net exp. wall Floor Int. wall 7 1p C� Ca. ) 17 Floorr� _� 2 0 d �A Cell. ' I t 1 Total Btu. L3 J 10 / Required std. ft. E.D.R. or sq. ins. W.A. Leader arm 0 Windows and Doors--Crackage and Area Width Height ,No. of Lineal it. Area No. of pane of pane lights of crack stf: ft. 2. ya d ICoef.1 Btu Infiltration Infiltration 162- %a aam J9 G� q _ 6 wall Lf" /0- 0 Exp. wall Net eap. wall 3 LC 0 Int. wall Floor Int. Wall 7 1p C� Ca. ) 17 Floor• _� 2 0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area e CI I &_.a .a 14 w. � D_ t i _....at Aa B e' d 141:.it1. Windows and Doors--Crackage and Area Width Height No.'of Lineal ft. Area No. of pane of pane Ilghts of crack sq, ft. 2. ya d Coef. Coef. Btu Infiltration 162- %a Glass J9 Glass q P - 'm So /0- 0 Exp. wall Net exp. wall 10 7 LC 0 Net exp. wall Floor Int. Wall 7 1p C� Cell. ) 17 Floor• _� 2 0 `�° Cell. ' I t 1 Total Btu, 1 6:J (-- Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A L'1 0___1r__—L AdA W..7,,1. a _-Jv 14.;.ht 0) Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of%vane lights of crack sq. ft. 2. ya d Coef. Btu Infiltration , P 162- %a Glass J9 q Exp. wall LIL Net exp. wall 10 7 LC 0 Int. wall Floor 1A 71 7 1p C� Cell. ) 17 114) 11 _� 2 0 Total Btu. Required sq. ft. E.D.R.,or sq. ins. W.A. Leader area Weatherdripswz.rt.v.r. idConstruction No. Gue Windows I Doom Reference Out. Wall Int. Wall Ceiling Roof Floor Yes --No es— o 19---` �t t 1 :I FVA- I e r A,, -.,,Room Leneh.Z a / width 2 tuia It f II Fl I Windows and Doors—Crackage and Area wmm Width Height No. of Lineal ft. Area No. of Dano of pane livhts of crack sq. ft. rmzgnt Windows an Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack 84. ft. Coef Bta �� Mtration � lig 4�-r .2 7— Uass Coef. 5- 2-1/0,0 Exp. Wall Aelf Infiltration, Net exp. wall Glass q Int. wall Glass Exp. wall Floor Cell. ,,GN �7 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Cdl CII 8 Ai .., . -- . n- _ __ 111 _ _..1 41 rvr 11.1 1 _ P. of IF r • 1 . M f Total Btu. I / C i V - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A-1-1 4& " doom IL -CU w I ® wmm ! rmzgnt Windows an Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack 84. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of amok sq. ft. Coef.j Stn Infiltration Btu Coef. Btu Coef. Btu Infiltration, 91WO Glass p'r 31 Glass Exp. wall F ,,GN �7 Ezp. wall 760 Int. wall Net exp. wall 3 Floor . Int. wall Cell. Floor Floor Ceil. g E Ceih Total Btu. I / C i V - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A-1-1 4& " doom IL -CU w I ® wmm ! rmzgnt Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack 84. ft. Coef.j Stn Infiltration Btu Coef. Btu Infiltration / y 6:- ® 91WO Glass p'r Exp. wall ,,GN �7 Net W. wall 10 760 Int. wall d al/ Floor . Int. wall Cell. total Btu. I ,_ �+ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Insolation Kind How AGS wL 1.1 Windows and Door:--Crackage and Area Width Height iQa ofMosel it. Area No. of pane of pane lightsof crack ad. ft. 41- Coef.j Stn Infiltration Btu %, `� 6 Glass / y 6:- ® 91WO Exp6 wall p'r Net exp. wall ,,GN �7 Int. wall Floor d al/ Cell. . Int. wall Total Btu. t -A Required sq. ft. ED.R. or sq. ins. W.A. Leader area P7 F1_I R.. I Lenotth /,V ° Width 4 e Height k ° Windows and Doom--Crackage and Area Width Height No.'of Lineal ft. Area No. of pane of pane lights of crack p. ft. 1 g 6° I °r Coef. Btu Infiltration Btu Infiltration' Glass / 56 91WO Exp. wall Net exp. will 7-0 , m Int. wall Floor d al/ Ceil. . Int. wall Total Btu. V z _5 Z .• Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Pi I d`a P e --.- r A. R... M I t ena4h u `'W;dti. / "1-'f" Heisht V'0 Windows and' oors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of�pane lights of crack aQ. ft. 1 g 6° I °r Coef.1 Btu Infiltration' Glass Exp. wall Net exp. wall . Int. wall Floor 7f g E Ceih d6. " 0 c� Total Btu. Required sq. ft. E.D.R., or sq. ins. W.A. Leader area CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND each addn. 50,000 BTU .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 7.00 $ ' GRAVITY WARM AIR: RATE TOTAL Job Address 5860 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 1st 3 Fixtures Gas PipilZ— x $ 3.00 Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 -$ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STE41-1 OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $. 16, o 0 (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures Gas PipilZ— x $ 3.00 s,13.00 Additional Fixtures IF $ 1.00 $ Gas Range to 199,000 BTU x $10.00'• $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS 3 $ State Surcharge $ .50 TOTAL FEE $-L3-5-0 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Cades 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 , 1977 OWNER Ga= r.07 -man KIND OF BUILDING USED AS Frame Dwelling TO BE COMPLETED ABOUT ESTIMATED COST OLD-NBUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Total Connected Load BURNER - Trade Name ROUGH INSP. REINSPECTION FEE Capacity Date ($10.00) FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Sq. Ft. EDR Size No. BTU HP Kind of Fuel Size No. Sq. Ft. EDR BTU HP company ADVANCED UATING & AIR CO IN( Signed By( Tel. No. 571-4$$1 CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 August 9, 1990 Joyce Anderson 5860 Matterhorn Drive N.E. Fridley, MN 55432 RE: Property at 5860 Matterhorn Drive N.E. Dear Ms. Anderson: On July 1, 1990, the City of Fridley began a new program called Systematic Code Enforcement. This program is designed to provide fair and equitable code enforcement, improve the City's appearance, and maintain property values by creating a more attractive suburban environment. Under this program, all properties in the City will be inspected approximately once each year to ensure that they are in compliance with the Fridley City Code. A recent inspection of your property revealed that not all Code requirements are presently being met. Listed below are item(s) which do not comply with the Code: 1. Discontinue outside storage of trampoline leaning against house in side yard. Your prompt attention in correcting this problem would help us in our effort to improve the City. A reinspection will be conducted on or about August 23, 1990, at which time compliance is anticipated. Please call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-90-565 SUBJECT BsRmff - . City of Fridley C2 3 5 5 6 AT THE TOP OF THE TWINS BUILDING PERMIT r RE EIPT NO. � COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY E ' I CITY HALL FRIDLEY 55432 �'' 612-571-3450 910-F15 7/18/95 JOB ADDRESS 5860 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Grace High School Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joyce Anderson/Storck 5860 Matterhorn Drive NE 477-6415 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 B DESCRIBE WORK Reroof Dwelling (26 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd. 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 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 $1,950 $1.01 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 $45.00 Fire SC $2.03 PLAN CHECK FEE TOTAL FEE SI.NATUBi CONTRA RORA ORI AG T TEI WHEN PROPER;4 ♦� BL INSP VALIDATED THIS IS Yl')UR PERMIT f�J/ DATE IGNA R F OWNER IIF NER BU 1 IDATEI NEW [ ] Effective 1/ 1/95 ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 5 ,60 AzkrneG 14UVIV 1)v --- Legal Description: Owner Name & Address: Contractor: Tel. # �/ 7 7 6 %/S MN LICENSE # T 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: /�o I/�� ' A/ ze �� S Corner Lot [ ] Inside Lot (1 Type of Construction: 7 Sq. Ft. Sq. Ft. Sq. Ft. Ft. Yd Setback Side Yard Setbacks c,!, Estimated Cost: f lg Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 � Ft = $ DATE: %Zl&,5� APPLICANT: /' = %` / Tel. # 776.5�/> r / I CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /. O/ $.50/$1,000 Valuation SAC Charge $ $850 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 $ STIPULATIONS: CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 December 12, 1995 Ms. Joyce Anderson/Storck 5860 Matterhorn Dr NE Fridley, MN 55432 Re: Window Replacement Without Obtaining a Building Permit at 5860 Matterhorn Drive NE, Fridley Dear Ms. Anderson/Storck: On October 26, 1995, you were informed by the City of Fridley Building Division that a building permit needed to be obtained for replacing windows in a residence. You were left notice at that time that you were in violation of the City Code. As of todays date, you have not applied for this permit. We will expect you to correct this violation on or before January 1, 1996 and a special investigation fee will be added equal to the permit fee. If the permit is not obtained by January 1, 1996, this matter will be turned over to the City Prosecutor for his legal consideration. Please contact me at 572-3603 if you have any questions on this matter. Sincerely, BARRY RIESCH Building Inspector BR/mh CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By/ Rough -In Date Final written permission from adjoining property owner. JOB ADDRESSD— RATE SCHEDULE OWNER Z� Residential Rate TOTAL Furnace Shell and Duct Work, Burner . BUILDING USED A$ e Also Replacement Furnace 1 $ 30.00 $ (Side Vent - Fill�Out Back) ESTIMATED COST 141100,00 PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ cL 11 Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes o;,., $ 25.00 $ `� Fuel Total Connected Load S4 i CT'l ;� All Others/Repair$ R Alterations CK) 1% Value Appliance Burner Trade Name Size No. of of or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and TOTAL FEE $ X3.5 �� representations stated in this application are true and correct. DATEJ�-/S"�l MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO�q Y�, C REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed "J2�� J TEL # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By/ Rough -In Date Final written permission from adjoining property owner. COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 plastic/PVC 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 existing 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 venting system, the 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 ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance#2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total 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) " D e- I -- t L ire �. ye, V-"' -�- C/ o f f "' /-,/k HEATING CO:/`1,c 0 A'& a�`'� I," L Signed By: 4�Date CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On Jan 1, 2000 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Iw:.� Urinal ...... Shower o Wash<:::::::. ���> Tra :::<:: �`I�>> Floor Drain :>> Auto. ::::<.:::: Washer t�(> >> (. Gas Range i« Water Heater Stories >:.::::. Gas Elec Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas*` Gas Range** NO. RATE TOTAL Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.6% of Value of Fixture or Appliance State Surcharge TOTAL FEE JOB ADDRESS -6140 %0 y The undersigned hereby makes application for a permit for the work herein -Od 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 representations stated in this application are true and correct. , 20_ E�z cle- Owner Building Used As hW1_:ZL A Estimated Cos 11 U�' � � v PERMIT NO. PLUMBING COMPANY f/�� v�� a C_ SIGNED BY 0G�_ TEL N0. Approved By' Rough -In Date Final Date $ .50 OR ANY PLUM13INGIGAS PERMIT IS $20,00, $ .;1o,ib PLus STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes () No ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer S pecifications 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 existing 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 Yes No To meet the current codes and manufacturer's specifications. () ( ) When Installing a new venting system, the 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 Yes( ) No ( ) separately as per current codes. Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input _ Fan Assisted or Nat Appliance #2 Type BTU Input _ Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total 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 SUBJECT P . City of Fridley 30488' 048 8 AT THE TOP OF THE TWINS BUILDING PERMIT r • COMMUNITY DEVELOPMENT DIV. ____ �v- PROTECTIVE INSPECTION SEC. 7 E . _ CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L J` 612-571-3450 910-F15 11/8/99 JOB ADDRESS 5860 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 Grace High School Adda, SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jason Mehl 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Companies Inc.972-2nnn 4A2--4 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 K C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Roof trusses: Sheetrock• Insulation 9 CHANGE OF USE FROM TO STIPULATIONS Roof truss replacement, Mfg. Trusses. Deck replacement per code. Smoke detectors in all sleeping rooms. 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 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 $45,000 $22.50 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- STRUCTIO OR THE ERF NCE OF CONSTRUCTION $593.25 Fire SC $45.00 PLAN CHECK FEE TOTAL E License 5.00 6 .75 SiGNATU E O CONTRA R R AUTM 0 AGENT tDATEi eA3KN OPER IDAT I$ I$ YOUR E T S,GNATURE OF OWNER,a OWNER BU4DER1 iDATE. L -NSP JAYE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 As� BUILDING PERMIT APPLICATION f� J ®� 2LegaConstruction Address: 58-6 ®Nq7/7L- nIeAl%� /Z- Legal l Description: Owner Name & Address: 3—fi$d kc A�i = H L, Tel. # S 7 / 5-6 s Contractor: 6,Dtjfik(CL4- C o t tjc, MN LICENSE # Y(/2 5 Address: <<� �'1�T1?_/� (.. Atj&- Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length DESCRIPTION OF E14PROVEMENT Width Height Sq. Ft. Length Width Height Sq. Ft. Width Hgt/Ground r- Construction Type: ! 12L"�A (� Estimated Cost: $ � �` i �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: Tel. # S- 7Z - ZaTO TOTAL STIPULATIONS: '��F �1�— <[ �.�c�`� 7,� CITY USE ONLY Permit Fee $ -3 o�.S— Fee Schedule on Reverse Side Fire Surcharge $ , rsv .001 of Permit Valuation (1/10th%) State Surcharge , $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ SaO $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 STIPULATIONS: '��F �1�— <[ �.�c�`� 7,� S-7bo /"rrav_Air —� GERALD T. COTNE LOT SURVEYS COMPANY RAYMOND69117 (IDAHO AVE. N. 300 BRUNSWICK. AVE. S. GOLDEN VALLEY, MINN. LAND SURVEYORS BROOKLYN PARK, MINN. BEOISTESED UNDBB'LAWO OF STATE OI< MINNESOTA Id0EN8ED BY OBDINANCE'Oli' CITY OF MINNEAPOLIS 533.9922 ' Minneapolis, Minnesota 55.128 5 506 INDUSTRIAL - JUDICIAL, IrIvoia No.. COMMERCIAL - TOPOGRAPHICAL Ourbeporo Certificate 01— CITY LOTS -. PLATTING. FIELD BOOK SCALE: 1" 30 r GORHATd CUI�;�TRUCTICIY COMPANY p A9 UA t\ A' 37 e) Lot.: ', 131.ock 2, GRACL HIGH SCHOOL ADDIT1.ON We hereby certify that this Is a true and correct representation of 6 survey of the boundaries of the above described property; 'and of the location of all buildings, if any, thereon, 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 a wired by reason of such mart age. It is under- stood -arid agreed no monuments have been placed for the purpose of.-' st blishing lot lines r bo nda .mars. �-•Signed rt'te - 'Yx. , ,a,. Surveyed by us this ._- day of O V 19.7:(� ' LOT SURVEYS COMPANY OF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 February 11, 2000 Advance Companies Inc. 6400 Central Avenue NE Fridley, MN 55432 Re: Final Inspection for Fire Repair at 5860 Matterhorn Drive NE, Fridley, MN 55432 Dear Sirs: A final inspection was conducted on February 11, 2000 for the fire repair that your company completed on the above noted address. The construction repair was approved as completed. The structure is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 572-3602. Sincerely, RON JULKOWSKI Building Official RJ/mh �'" CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000 6431 University Ave NE Fridley, MN. 55432 APPLICATION FO POWER PLANTS AND: HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES { JOB ADDRESS ��l'lQ A-zYC,-R40k,J -)fi' RATE SCHEDULE 14 OWNER l'IlC k L Residential. Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED ASuJ`e� <u Also Replacement Furnace $ 30.00 $©- ® (Side Vent- Fill Out Back) ESTIMATED COST PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ :. No. of Heating Units Circle One (Steam) (Hot Water) Warm Air Gas Dryer $ 10.00 $ Trade Name kw� Size No. UCRA-o(p BTU Iy®,00z HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel AIA -q— Total Connected Load All Others/Repairs & Alterations. (LIST ON BACK) �`®O Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 an State Surcharge $ .50 .> rulings of the Building Division, and hereby declares that all the facts and 3 1 representations stated in this application are true and correct. TOTAL FEE $ UPERIOR 00NITRACTO , % _ �— 42nd Avenue id 6121 o Crystel, Mn 55,422 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CQ REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signe TEL # REINSPECTION FEE $47.00/Hr� *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Dat written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 ( 4 -go ( ) The venting system is plastic/PVC 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 (-J'No ( ) The existing 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 (.--f No When installing a new venting system, the 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( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type PLL J3o BTU Input e a Fan Assisted or Nat ✓&Jiff V Y - Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total 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 K" o PUC - FM L/ M5LO O=A SUPERIOR Ct WRACYCRS INN 6121 42nd Avenue No. HEATING CO: Crystal' Mn 5"422 Signed By: Date G'IYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 November 9, 2001 Jason Mehl 5860, Matterhorn Drive Fridley, MN 55432 Re: Final Inspection at 5860 Matterhorn Drive Contractor: Superior Contractors, Inc. Dear Mr. Mehl: A mechanical permit was issued on January 9, 2001, to install a furnace and liner for water heater, new humidifier, and existing air conditioner 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. Qin -PrPly 103/ i1 ii CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range 6. ,s F P i nse r- - Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective January 1, 2003 JOBADDRESS 59ZOy lVnl�ee-horn br. OWNER S®, /"eti / , Rate TOTAL BUILDING USED AS Na1''` � $ 30.00 $ ESTIMATED COST o�.3 �-I• c PERMIT NO. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without writte��rmiss,ion fr�� adjoining property owner. (Ss E C) . � � S S �9 Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $S-S� l3 d� awa RtreWe DATE aba Fie eeaM & ttome ezoososll �...�� HEATING CO 2m u Fovkw Ave. Roseyfe, bW 10113 ssus�-25s, Signed -- TEL # FAX # Approved B Rough -In Date' Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPUCA71ON WILL BE RETURNED rQMMQN tIENT. VFNT ONNFCTOR AND rnmRIIST]nN AIR VERIRCATInN When ranlaain,a an eYietin0 ft tranets, 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 plastiGPVC 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 awlefing r--nmhi infinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No ( ) Whenrequired to Insfall a nnw _amb,e_+➢nn air it will be sized and installed to most the current codes and manufacturer's specifications. Yes( No( ) When Awa now _•entingsystem, the 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. AppHanng Twee and se7a1Cnmmnn Vent and Vent Cnnnantnr Yes( )No( ) Infarmatinn Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input _ Fan Assisted or Nat Appliance #3 Type BTU Input _ Fan Assisted or Nat Total Appliances Total 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 HEATING CO: Signed By: Date: u ZX* ` SSS NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION. Construction Address: 73 MQ D 1 Legal Description: Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Owner Name & Address Tel. # 4/Z---71V'-774,I Contractor: � � ; MN LICENSE # �yA 7�ej Z9-3,— Address: "Z S I {�; �12�aod jl� Cw M,�l s� Tel. # 7G3 - 7K'6 -'.,7-000 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: 0�7 Construction Type: - Estimated Cost: $ 2,oe Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: y Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - S Permit Fee $ z f • Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ [ 3 • n $:50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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. ,- $ QQ�� J STIPULATIONS- L/ City of ]Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 PLUMBEXG Permit No.;, Building Inspections RESIDENTIAL APPLICATION Received Byjww 763-572-3604 CITY OF FRIDLEY Date Rec'd:'�� 763-502-4977 FAX EFFECTIVE 1-1-08 DATE t;-- a 0 ._ 0 YOUR E-MAIL ADDRESS SITE ADDRESS ( V V l rk' i � k6 '1N Qy- THIS APPLICANT IS: D OWNER ACONTRACTOR PROPERTY NAME: ADDRESS: <,- Cr �Z_�M C1� � VY crrY R ; A,STATE ZIP OWNER/ TENANT Z PHONE:(- CONTRACTOR NAME: '' SC , STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP j4ATE CERTIFICATE OF ADDRESS: 19, 4 1; 6 Meer? CITY I/- STATE ZIP INSURANCE . PHONE 4, 51— FAX PERMIT TYPE /SINGLE FAMILY O TWO FAMILY D TOWNHOUSE D NEW /4EPLACEMENT TYPE OF WORK: DETA D DESCRIPT10y OF WORK C PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. SINK/LAV DRAINS —SHOWER _ WATER PIPING —BATH _FLOOR GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 (MINIMUM $15.50) (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but 6 -01y " -an application for a it and work is not to start without a permit on site; that the work will be in accordance with the approved plan t of all work w req ' es`feview and approv f plans. o 9 �{ NAME ",62S �4�1e' Y DATE SIGNATURE OF APPLI AN PRINT APPROVED BY DATE ro q7 ., .. •, R. ri, L/ City of ]Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977