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PRE 2010 DOCSINN. 55415 336-4134 PELLA PRODUCTS INC. 35WUNIVERSITY AVENUE STE PAUL. MINN.^55104 646-2686 REPLY TO: Minneapolis Office April 1, 1974 Mr. Darrel Clark Building Inspection Department City of Fridley 6431 University Fridley, Minnesota 55432 Dear Mr. Clark: It is our intention to move a large aluminum semi - trailer on to our lot for on - site storage during construction period only. I assume I will not need a permit for this trailer location as long as it is on our lot and not on the streets. If I don't hear from you further I will assume this is satisfactory to the Building Inspection Department of Fridley. Please call or write me if there is a problem. Sincerely Curtis W. Johnson, President CWJ;jle DISTRIBUTOR OF QUALITY BUILDING PRODUCTS FOR OVER 30 YEARS PELLAPRODUCTS INC. 938 WUNIVER ITTY AVENUE:STE PAUL18 MINN. 888104 646-2686 REPLY TO: Minneapolis Office April 1, 1974 Mr. Darrel Clark Building Inspection Department City of Fridley 6431 University Fridley, Minnesota 55432 Dear Mr. Clark: Your concern and assistance in obtaining a building permit for my new home at 1412 North Innsbruck Drive ( Lot 1, Block 7, Innsbruck North, First Addition) is appreciated. Verbal instructions were given and to be certain I understood correctly and so that I didn't over look any items, I'm enclosing a page of "Instructions to Owner". If there are any other matters of concern please let me know. These instructions plus the comments and directions placed on an approved set of plans are the guide lines we will follow in construction. I have been pleased with the business dealings I have had with the City of Fridley. Mrs. Johnson and I look forward to becoming a resident of Fridley. Sincerely, C ohnson, President CWJ:jle DISTRIBUTOR OF QUALITY BUILDING PRODUCTS FOR OVER 30 YEARS L- INSTRUCTIONS TO OWNER Owner to obtain a new survey from Surburban Engineering after footings poured. Survey to be submitted to City of Fridley Building Department. Purpose of survey is to exactly locate building position on lot. Owner or Architect to call the Fridley Building Inspection Department 560-3450 1. After footing forms are in but prior to pouring footings. Advance notice of at least 4 hours required. 2. After framing is complete, plumbing roughed - in and electrical roughed - in complete, but before insulation and sheetrock applied. 3. After fire box and miler completed, before fire places closed in with masonry. 4. Plumbing contractor to obtain permit and to call plumbing inspector after rough - in completed. 5. Electrical contractor to obtain permit and to call electrical inspector after rough - in completed. 6. Final inspection - prior to owner occupancy. U' fct-a ft7 Paw Poomm mad N. e z,$ rCw.*0h,,3 517,na ti"" E nd O.Gvf PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTJL Furnace Shell & Duct Worcs ... ... ... .. $10.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations—up to 5500.00 6,00 $ Repairs & Alterations each add. $500.00 300 $ NE0L VIARN AM Furnace Shell & Duct Work to 159,000 BTU .410.00 $ o. 0 each add. 60,000 BTU .. ...... 3.W $ Replacement of Furnace 6.00 4 Repairs & Alterations --up to $500.00 6,00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM; or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. FMR Stearn `10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 s, Each add 200 sq. ft. EDR Steam xon $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ _ OIL 1'<UB%=—to 3 gal. per hour 6,00 $._�,p over 3 gal. per hour.—See Fee Schedule GAS BURNER (up to M,000 BTU) &00 $ � over 199,000 VM So* Fee >Sehodule GAS FITTING F EE3: NO RA'Z'E TOTAL Ist 3 Fixtures x$ Z00 $ e Additional Fixtures x ,75 Gas Range to 119,000 xH 5.09 $ i State Surcharge .50� is" Feeschadubr TOTS. I39pt. Of Blab WO -M City of -F idley: The undersigned hereby makes application for a permit for the work herein: specified, agreeing to do all work in strict accordance with the City Ordinance¢ and ruling of the Department of Buildings, and hereby declares that *an the facts` and representations stated in this application are aIDtru]e an correct. °°��j FN n h`ridley, 1ldinn CZl�� ( 1Ju Kind of Building Used as To be cors Estimated Cast, $ � _ Old ew. Building Permit No. ___ Permit No. HEATING or PO FL.FiNTB—Steam, Hot Water,�/N*o� Trade Nam{{ a Size No_ C T 12 (' — r o Capacity__L_�t0f_0 Sq. Ft, E.D,R BTU $,p~ Total Connected Load Mnd of pate BURNER — True Name Size No Capacity SI. Ft. ED R- BTU (WAAQRS-O"RI City of Fridley SUBJECT �x ® o. 1246'7 AT THE TOP OF THE TWINS BUILDING PERMIT ' • 1 RECEIPT NO. `v COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 812-560-3450 910-F15 3/29/74 JOB ADDRESS 1412 North Innsbruck Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 7 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. Curtis W. Johnson 2300 Wilson Street, Mpls. 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 CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct a 69'4" by 50' Dwelling and an attached garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a verifying survey before capping. Provide a hard surface driveway. Variance approved March 26, 1974 by Board of Appeals and March 18, 1974 by Council. SEWER WYE LOCATION: 120' South of Manhole on North Innsbruck Wye Elev: 953.08 Minimum elevation of Top of Footing: 956.08 Inv. Elev. of Manhole I centerline of Innsbruck Drive: 952.65 WATER STOP BOX: 90' Southwest of Hydrant, 41.5' Northwest of west catch basin. SEPERATE PERMITS REQUIRED FOR' WIRIr HEATING, PWM131NG AND SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wnnd THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 1679 &1837 41,344 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION I I 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 $48,442 24.22 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 QR LOCAL LAW REGULATING CON- $77.00 300.00 ST RUC OR THE PERFORMA C CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $40.22 �. NATURED TR OR AUTHORIZED AGENT (DATE) HEN P OP R Y LIO ED THIS IS YOUR PERMIT - %� �I ' / BLDG IN DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI land Planning lord Surveying Soils Testing Civil Engineering Municipal Engineering 68,�Hi way No. 65 N. E, l �< • • ( Minneapolis, l' �1 � ,r'��j� P��• Minn. 5543.*2 Tele hone 784-606,fY Engineers & Surveyors ®�s�,d 612 Certificate, of. Survey ,-for CUW, Iis �UWWUN OQnotQS Dra►nQc�o i Utillt� Easement _ _- -- - - — &arink, shown are awdmed o D1no4Qs iroq, monitmmi - - A' -uc ;TH A.NOKI-1 LOawrf 1 hereby certify thief this is a true and correct representation of a survey of the boundaries of rhe above described land, and of the location of all buildings the eon, and all visible encroachments, if any, from or on said land. As surveyed by me this _ day of l •f' " _A• D. 19_r Engineers ,� •" � 1f SUBURBAN ENGINEERING, INC. ` CQ'11RCh_ •l�^, r S.arvpyors NORTH INNSBRUCK DQIVF.:. )0650 - o _5,00_ - - Qarrl !0 V � I — itn— O lei LA I \ U rylT,ov 000 a �. I t7 9t 3 94 N `J C—C-` ... i In �.IN PRoPosec SIN O 10.0 .� — ."..,.4bc0�....-{.... 2�•oo-�IOAf�_ 34.501_ I 44.5o T ,9.0 _ c 46.7/ 2.42 f 374 OQnotQS Dra►nQc�o i Utillt� Easement _ _- -- - - — &arink, shown are awdmed o D1no4Qs iroq, monitmmi - - A' -uc ;TH A.NOKI-1 LOawrf 1 hereby certify thief this is a true and correct representation of a survey of the boundaries of rhe above described land, and of the location of all buildings the eon, and all visible encroachments, if any, from or on said land. As surveyed by me this _ day of l •f' " _A• D. 19_r Engineers ,� •" � 1f SUBURBAN ENGINEERING, INC. ` CQ'11RCh_ •l�^, r S.arvpyors 5rvle /�- \4.1 AIS l3li�c% 72-0 ® B�U A t m Fir V, yr rG�' G r- r'� �� ws � y s Cl S TC�� a S /Ml, '0c�qt APPLICATION FOR RLSIDENTIAL, ALTERATION, OR AiDITION BUILDING PERMIT CfTY QF 1-RIDLLY, MJNNESOTA OWNER I S NAME: ! JON S ON BUILDER: E ADDRESS: W) !-. Sp N S-1 ��IS ADDRESS: cJ a 7M �e_ NO:. T STREET: 82 iZFW LV/,t-s SRI WJE LOT:- -BLOCK: 7 ADDITION: CORNER LOT: INS IDE LOT: SETBACK: 3-5 SIDEYARD: I� �O" •�� 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: ,ru.w t Front: iQ Depth : ®�- ® Height : � "�,� T_' Square Feet �ga7 Cubic Feet: .,tjrLQ (�gRWL Front : Depth: Height: : Square Feet; 6so Cubic Feet: " t Type of Construction: &&mIilQs� stimated Cost: To Be Completed: ed( xo�, 14.74 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that •i11 the facts and representations stated in this application are true and corrt.-ct. DATE: S IC;,NATURE: (See Reverse Side For Additional Info t on.) a C.' !_'" _O�' y Ax City of Fridley Applica m for PMmbbg and Ga: Rd" Pomo Dept. of Bld9L Phone 9®0-3490 DESCRIPTION OF WORE Number. Kind and Location of Fixtures W— �rCS i I,, g7a3Q�jy i V It; 11�1 III 3I < .$iy t3< d 9 I N WATM HU. GAS ELEC. Base let 12. 2nd 3rd 4th "F Connection Openings s New Fixture. Old Openings _. Coaneebd with Sewes Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............. �� x $2.00 $ Future Fixture Opening ............ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin ..................... x $3.25 $ Water Heater (Up to 89.000 BTU) .... _ x $3.00 $ c New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ a ZJ Additional Fixtures .................. x $ .75 $ Gas Range to 190,000 BTU ............... x $5.00 $ REPAIRS 8 ALTERATIONS—Refer to Code Description ............................................ TOTAL FEE $ 3 �" (SURCHARGE $ _.5Jj City of Fridley: 1� The .undersigned hereby makes application for a permit for the- vmrk herei specified, agreeing to do all work in strict accordance with the Cita Ordinance and ruling of the Department of Buildings, and hereby declares that alt the fact and representations stated in this application are true and correct Ridley, Onn ..�42vX � 1 Owner Kind of Building Used as To be completed about Estimated Cost. $ Old Ne.Building Permit No. Permit No. Signed LJ ";�� j ROUGH FINAL n� By Business Phone No City of Fridley SUBJECT 1614 5 AT THE TOP OF THE TWINS BUILDING PERMIT r ' ` RECEIPT N �L """""_ COMMUNITY DEVELOPMENT DIV. g r PROTECTIVE INSPECTION SEC. e-12/ 5J CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 15/1 /81 JOB ADDRESS 1412 North Innsbruck Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE,ATTACHED DESCR. 1 7 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ! mp PHONE Curtis W. Johnson 1412 North XKKUN Innsbruck North 574-1446 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Storage shed 7 CLASS OF WORK Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK install a 12'6" by 9'6" storage shed 9 CHANGE OF USE FROM TO STIPULATIONS Must be anchored to the ground SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. metal OCCUPANCY GROUP OCCUPANCY LOAD 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 l l8 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 SAMETO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUfJIQf8 SURTAX. AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ��jjUU . 00 50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 8.00 SI RED CO IRAC oR (DATE) HEN PROP RLY V ID EDT IS IS YO RMIT BLDG INSP GATE GN T WNfEPkF OVIAER BLTILDERI ATEI CITY OF FRIDLEY APPLICATION FOR RI:SI[)[NTIAL BUILDING PEP41ITS (New, Alterations, Additions, or Repairs) OWNER: lZT l5 BUILDER: ADDRESS: -T W fJ5a3,-0d< b ADDRESS: TEL h0: I L (C-1 TEL NO: Construction Location ' STRMT NO: �- STREET: LOT: / BLOCK: �� ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: ®^'`p Depth: Height: Square. Feet: Cubic Feet: Front: Square- Feet: Depth: Height: Cubic feet: Type of Construction. Estimated Cost: $ lie) T To $e Completed: �QQ � ��- MAY Alt. A Alt. B Proposed Driveway Width if New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to eo_all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares thatal�the facts and representzati.ons stated in this application afire true and correct,. S WNW R .--wM�E -Nd AWRIMAjo-, 115 A IC it , Z. MIM Stipulationu- SUBJECT - IT , City of Fridley 24424 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r : � -3"�� 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910-F15 8/8/96 JOB ADDRESS 1412 North Innsbruck Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 7 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Blakeslee 1412 North Innsbruck Drive NE 574-1215 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 J3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair damaged 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 1 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 $3,000 $1.50 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- $74.75 Fire SC $3.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $79.25 OF CONTRACTOR ORIDATEi HEN PROPERLY (DATED THIS IS YOUR PERMIT jA�UU,�ITHORIZ�E/D/JAGGEENT /Q)�SIIGNATUURE �` SIGNATURE OF OWNER I IF OWNER BUILDERI IDA e + BLDG I P MATE NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: S it 4c Legal Description: Owner Name & Address: O� la /fes S l - Tel. # Contractor: , ' - ge h P ,` ;re,::::1 MN LICENSE # 3s,D Address: (r> y3 y , v e 1-7�— Tel. # `�'7 / % 7 6, 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: C� l OTHER: WAB Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction.: � r Approx. Completion Date: _, —� /� ✓ q DESCRIPTION OF EWROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. ,Ftp. Length Width �. /4 Hgt/Ground:j✓ d q: Ft. Side Yard Setbacks Estimated Cost: (Cost on Ba Driveway Curb Cut Width Needed: Ft. + 6 t = x $ DATE: APPLICANT: CftV USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Tel. # $900 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 [ ] Design & Custom Built Homes LtIr fiCI1'HOT11 Builder Iz 7- �C_-� t -- J c 6434 Riverview Terrace Minneapolis, Minn. 55432 o Phone: S004W b SuBjECT PE City of Fridley 2 4�065 AT THE TOP OF THE TWINS BUILDING PERMIT f 1 1 RECE • COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � NUMBER REV DATE PAGE OF APPROVED BY lCITY HALL FRIDLEY 55432 ----�/-" � l 612-571-3450 910415 8/1/96 JOB ADDREss1412 N Innsbruck Dr 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 7 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Blakeslee, 1412 North Innsbruck Dr., Fridley 55432 574-1215 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Don Blakeslee (same address) 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 Repair shed attached to garage. 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 I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3.000.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $3.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $79.25 SIGNATURE OF CONTRACTOR IDATEI AUTHORIZED AGGEE/NNT/� WHEN PROPERLXNALIMTED THIS IS YOUR PERMIT ROORR S/{� J®� 6 o SIGNATURE OF OWNER IIF OWNER BUILDERI MATEC BL INSP DATE b NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddre Legal Description: Effective 3/1/96 Owner Name & Address: T—) 0n J'_ e S lei Tel. # 5-74 —17-1 S jj ' e tt Contractor: rn �` �- "I 2S) �. MN LICENSE # 4i Address:i �- r Z /� .�{� y) Shy j� C Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Gr/ound Sq. Ft. OTHER: 2m i r ":;k.pA -h -) A/ -P r.- Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ X30-00 QQ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ p DATE: APPLICANT: �, � 1 Tel. # - �� / ,G? L'ZIL J � �_r �.. — CITY USE ONLY Permit Fee $ "% % Fee Schedule on Reverse Side Fire Surcharge $ 3 610 .001 of Permit Valuation (1/10th%) State Surcharge $ /. ti'y $.50/$1,000 Valuation SAC Charge $ $900 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 $ Z STIPULATIONS: 1ME AIR CON DITIONWG AHOUSE HEATING TEST RECORD IR ON BIP4AND ELECTRIC_ INC. ADDRESS AlI z /de / A h S & v& - 0-L f & APT. OCCUPANT HEAT LOSS DATE HTO. INET. SOLD BY Electrical Work BY Aeie�, TYPE OF HEAT CA FAX Nl STEAM— SPACE HTR. OAS DESIGN MAKE Model 5'1§2'A6 7353-6 Serial 3 --2-F.rIllUasa✓`' INPUT 11Q.sod r.� 0 a 6 C NTROLS THERMOSTAT Heat Plug Valve Limit Limit Setting Fan Setting Pilot Type Pilot Make Pilot Model Pilot Timing L. W. Cut Off Pressure S Percent CO, Input CFH 80. S-A-- Percent 0 e Stack Temp. 110' Parcent CO d Form 235 FLOOR CITY SUBURB OWNER 4/O-R®--� INSTALLED BY Gas Line By UNrm HTR.® OTHER MAKE OF BURNER Uodel Max. BTU Rating MAKE OF FURNACE Model �3 e! Neat Sian a" o�IND OF LINER j ,�C. SIZE NONE areft Hoed i rt gtyz ]- Regulator Flltora Slav6,6d . " Number CMmnay Location Inside Outsldo Chimney Construction Starke Bomb Wiring ✓ Test Tag ✓ Doer vfev"ura Lighting Inst. Data Touted Company F®e2dng </ �- b1lmo"G .�F B r'At'7 — - CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATIN91COOLINGVENTILATION 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 Burner Trade Name Size No. BTU HP 5S. EDR HEATING CO NY CZ&1JgAL /4U�, /�4hBK� 5S3oy Signed 8y No. I '�—(®DL&-fl Approved By Rough -In Date Final Date : - f FILL OUT BACK SIDE R STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS /41P, !IJ Inn5brack bri V -e, 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) — ---- �%�- - 119966 Gas Piping (Needed with new furnace) $10.00 b()n OWNER Gas Range - $10.00 $ ' du n° BUILDING USED AS -)ell f Gas Dryer $10.00 $ 42 33Z� ESTIMATED COST -3900.00 PERMIT NO. *Air Conditioning - All Sizes $ 25.00 &0 by-9ao^f 5630-014030 DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water) Trade Name r'Non t- Size No. 355M FIA�arnm�--Al)r vOT Commercial/Industrial BTU $o.00�6 HP EDR 1.25% of Value of Appliance or Work $ Fuel jjq-r C PSS Total Connected Load `Aa, 0Vy State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATIN91COOLINGVENTILATION 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 Burner Trade Name Size No. BTU HP 5S. EDR HEATING CO NY CZ&1JgAL /4U�, /�4hBK� 5S3oy Signed 8y No. I '�—(®DL&-fl Approved By Rough -In Date Final Date : - f FILL OUT BACK SIDE R STACK VERIFICATION ON REPLACEMENT FURNACE 0 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 lodged 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: Lnsfa.l1 4' Liney- in ftishn Clas s "6 List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SuBjECT PER City of Fridley 2 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. �• ______ COMMUNITY DEVELOPMENT DIV I PROTECTIVE INSPECTION SEC�� r CITY HALL FRIDLEY 55432 NUMBERREV DATE PAGE OF APPROVED BY �• 612-571-3450 910415 6/13/97 JOB ADDRESS 1412 North Innsbruck Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 7 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Blakeslee 1412 North Innsbruck Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Walker Roofing 2701 36 Ave S, Mpls., MN 55406 729-2325 4229 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (Tear-off) 9 CHANGE OF USE FROM TO STIPULATIONS Submit manufacturer's specifications and plans for roofing. 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $18,500 $9.25 W WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $274.75 Fire SC $18.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $307.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER VALIDATED THIS IS YOUR PERMIT B G INSP gaTE SIGNATURE OF OWNER IIF OWNER BUILDER$ IDATEI NERr [ ] Effective 1/ 1/97 ADDN [ ] CITY OF FRIDLEY AITR— [�(J SINGLE FAMILY AND DUPLEXES R-1 AND R-2� BUILDING PERMIT APPLICATION ConstructionAddress: hgM Dr, de Legal Description: Owner Name & Address: 10 Contractor: Address: Tel. # MN LICENSE # #d -;)- � Tel. # of 3� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: AAirf, = -A4.4 M1, d-A0AffMX Construction Type: Estimated Cost: $ I ® 5—®0. 0 0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: wa�&e/ 151,vokin, iL-bb-n Tel. #. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control S Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] ?�/qa34.-