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lines Eta FYI SUBJECT PERMIT N City of Fridley ®3'7 139 AT THE TOP OF THE TWINS BUILDING PERMIT i ` RECEIP 1 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 5 NUMBER REV. DATE PAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55432 "•' ,'J 612-560-3450 910-F15 3/2/77 JOB ADDRESS 1454 North Innsbruck Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 $ Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daverne Corp. 1393 - 16th Avenue N.W., New Brighton, Mn. 55112 631-1213 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 RM Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 42' x 30' Dwelling and a 24' x 24' GarageRefue ffigging Call !G-69-9 Q TELEPHONE - ELECTRIC - Gki 9 CHANGE OF USE FROM To HEATIK PLUMBING AND SIGNS, !��® � p p L� STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. Adjust bracing as shown on plans. SEWER LOCATION: (Approx. 9' Deep) 113' East of Manhole (Inv. 953.90) WYE ELEV: 954.75 TOP OF FOOTING: 958.25 Minimum WATER LOCATION: Approx. 10' East of Sewer XKmXtK= Service. ME cls' �-IMPORTANT— Accu>�cr ®�®Es �®T - �,A e ahC 'PHIS DATA S LOC,�TI®Ns )NOTIFY THE FRIDLEY ENGR, IS AND INF® TION CATIONS '� DIVISION REGARDING CURB N PDr'POSES Ohl T99 � oUto VERIFY REMOVAL AND REPLACEMENT THEONLY ®p N 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, ORIF CONSTRUCTION 1260 576 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 + 36,960 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION Z ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX IP OWORK WILL BE COMPLIED. $63,360 $31.68 WN H WR EDINANCES THER SPECIE EDNING HEREIN OR NTTHE GRANT NG OF APERMIT DOES N T PRESUME TO GIVE AUTHOR Y TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO S FSANY OTHER §XATE CA LOCAL LAW REGULATING CON- S,RUCTIO OR THE.PEMCESTRUTION. $147.84 $375.00 PLAN CHECK FEE TOTALFEE IX e?-t $36.96 $591.48 SIGNATURE OF CONTrtTOR WA&HORIZED AGENT( TE1 WHEN P OPERLY VALIDATED THIS IS YOUR PERMIT - s BLDG. INS DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) lines Eta FYI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS�s (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: BUILDER:. Address: Address: No.: Street: /VG7tk, duvc 6j6 ..-E1cJ vy/. LOT: BLOCK: 6 ADDITION:/ , '�, �� -AA64771 CORNER LOT: . INSIDE IAT: X SETBACK: 5�5- SIDEYARDS: // I B 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: CzA-AifCZE Front: . ?-4. Depth: Zd- Height: / Square Feet: Cubic Feet: 3 r Ap 0567- Front: Z- Depth: 30 Height: z 0 Square Feet: Cubic Feet: Type of Construction: %(,tJ Estimated Cost: $ To Be Completed:1V- &.4 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 do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby titdeclares that all the facts and representations stated in this pplication are true and correct. See reverse side for ition i rm n. DATE: -- Zr SIGNATURE: Stipulations: ly'2. 9 tl je.ge '41'r 4 9 Y CERTIFICATE OF SURVEY FOR: DaVerne ComgSnM M N R % rN c ry839Z. i SAS er 2, k ` r Q,h49� 6700 dh Q (Cat FQI DLeY DO.S NOT GIJAi�h�t'fiu. T r:i AC.1-XRACY OF UTILITY LOCATIONS AND EUWATI `e U Tf•IIS DATA IS FOR INFORMA110N PURPOSES ONLY AND Pia1iSONS USING fi SHOULD VERIFY THE 1NFORMA11014 ON TME Stm N MM WARNING ®etwe digging CAN lobi Ifbll"les TELEPHONE - ELECTRIC - GAS Et` REQtARED BY LAW o Der►oes iron tnonvment Lec�a1 descripi-ion : 1o1- 4) Block % INNSBRUCK WORTH, Anoka County 5 Wy ne-wAa- �J� 1 I hereby certify that this is a true and correct representation of a survey of File No. the boundaries of the above described land and of the location of all buildings, $,115Z DEMARS - GABRIEL if any, thereon, and all visible encroachments, if any, from or on said land. LAND SURVEYORS, INC. Book — Page As surveyed by me this 21 S+day of Feb. , 193Z. Harbor Lane Ply y L�� Plymouth MN 5544141 Phone: (812) 559-0908 - ' Scale 1u�w Minn. Iteg. No. 10944 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3. Q0 $ U . $2.00 • t New Fixture, old Opening Water y $ p) x $5.00 $ M C m Q 100,000 BTU to 199,000 BTU V p, w Water Softener x Heater $ d x $5.00 $ Electric Water Heater x +q? 3 GAS FITTING FEES: X 0 1st 3 fixtures r x '$3.00 $ 3,0() Additional Fixtures leC o O Gas Range to 199,000 BTU x roN $ C N .1 a O, O pw O pC •V m U 4 N N m .r0 �W U O fyA U '.H7 State Surcharge U N .'bi W W N mro i0Y' .'� Uro" £ a3 1st �a 2nd q / 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3. Q0 $ Future Fixture Opening 3 x $2.00 $ c New Fixture, old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures r x '$3.00 $ 3,0() 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 $ State Surcharge $ .50 TOTAL FEE $ y9.0 REINSPECTION FEE ($10.00) 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 applicati+n are true and correct Fridley, Mn. OWNER (/ra v.__ KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. Compan Signed Tel. N ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT 1� J MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RINE SCHEDULE _ �J ZPAI S,,WU Gle /_ 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: d The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $�a specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ Gy, ® 0 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 $ 7 ''//� 19 / 7 Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. . STEAM OR HOT WATER SYSTEM: OWNER A��i'licsi= co'a__ P, - Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDINGeach addn. 50,000 BTU 4.00 $ y� P 4LI 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 $ ®-f� each add. 3 gal. per hour 10.00 $ ESTIMATED COST �.G'GC, GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ Go OLD - NEW BUILDING PERMIT NO. PERMIT NO. (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 CONTDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ ..y50 TOTAL FEE $ a s C, ROUGH INSP. uate FINAL INSP. q - z.5 Date APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) 4 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 DESCRIPTION OF FURNACE/BURNER � HEATING or POWER PLANTS, Steam, Hot Water, arm Air No. 3 3 -/-?S- Trade Name 9i�y9X//7/?G e Size No. .3 — � LP— Capacity -Capacity 1 3 k,,®G u Sq. Ft. EDR BTU HP Total Connected Load % e Kind of Fuel /�!� C,4S BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company A,66 sr/j�SG'✓h✓ �Q/�1�'Ce/�/ice, Signed By Tel. No. (o 3e —_?1 k k 71 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS VILLAGE OF CHAMPLIN Weatherstrips Guide Construction Pio. Insulation Vindows Doors Refererce Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied rs—No Yes—No— FLI i i';,-..;LRoom I Lenath 4 _ Width z c, Height 4; II FI.I 4-14vopit-ILcngth Y 1-- Width < Hei„ht Windows and Doors—Craekage and Area Width Height No. of Lineal ft. Area No. of pans of pane lights of crack eq. ft. Width Helght of Dane or p►ne No. of Lineal fl. Area lllrhta of crack eq ft. �4 lL Z a, i:, r S' L i dz S% Coef. Btu Infiltration Coef. Btu Infiltration 'le -1 :a. •,;� ,' ,-, Glaze ' % ) 3 k -, Glass S�t' �_ / L- C ; Fzp. wall 7 0 S -9 s C? o Exp. wall Net exp. wall 5 Exp. wall Net exp. wall? 2 Int. wall Net esp. wall Int. wall % / 1/611 b' C=eiling Inc. wall Ceiling Floor Floor Floor Total Btu. 5 3 C Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l tRoom I Lenath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pans of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack p/. ft. Infiltration �4 lL Z a, i:, Coef.1 Btu S' i a� lei Coef. Btu Infiltration Int. wall 7 C' 'le -1 :a. •,;� ,' ,-, Glaze Floor ;2 S�t' �_ / L- C ; Fzp. wall ` f- L J L Glass Net exp. wall Exp. wall 2 Int. wall Net esp. wall % / 1/611 b' C=eiling Inc. wall Floor Floor Total Btu. (.; o Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I / I ! 'Rnorn I L enath Width Height Windows and Doors--Craekage and Area Width Height No. of Lineal ft. Area No. of pans of pane lights of crack eq. ft. B.0 Infiltration j Y" -C, a, i:, Coef.1 Btu Infiltration Glace ` C: 3 i Exp. wall Net exp. wall Net exp. wall Int. wall Ceiling Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Winfta)xs and Doum—Crackage and Area N kith I IjtMN^ of neal fl. &. Are No._yy of !i®rta of V.n�Li ilghto of crack sq. ft. �4 - r Windows and Doors—Crackage and Area Cocf. B.0 Infiltration j Y" -C, a, i:, Glass ,sr- Exp. wall Net exp. wall L i 1 Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ci z ]Ei 3 l Room I Lenvth SGS- Width C" Height % Windows and Doors—Crackage and Area No. Width of pane Height of pane No. of Lineal ft. Area lights of crack sq. ft. L i 1 to Infiltration ` f- L J L Glass Exp. wall 2 Net esp. wall % / 1/611 b' .z Inc. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 .1 `C �' L Room I Length Width Windows and Doors—Crackage and Area Width Height No. of Lineal it. Ares No. of pane of pane lights of crack EQ. ft. 1 a i L 5' Height Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 9ROOKlrN PRINTING 6 ADV. CO a ay 11, 1978 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 r. Dave Ficek 3verne Corporation 2200 Silver Lake Road New Brighton, MN 55112 Re: Final Inspection at 1454 North Innsbruck Drive N.E. Dear Mr. Ficek: A final inspection was made on April 28, 1978 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Install garage handrail. by May 17, 1978. 2. Shim under two deck support posts with weather resistant shims by May 17, 1978. 3. Caulk around all bath fixtures upstairs where water may enter by May 17, 1978. 4. Reduce deck rail spacing to 9 inches maximum by May 17, 1978. S. Please monitor moisture problem in northwest corner of basement - we can suggest that rain gutters may help reduce this problem. We will expect the above items to be completed by the scheduled date when a reinspection will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, RON HOLDEN Building Inspector RH/mh CC: Mr. Cellitti 1978 CITY OF '!° 3f„ 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. David Ficek DaVerne Corporation 2200 Silver Lake Road New Brighton, MN 55112 TELEPHONE ( 812)571-3450 Re: Final Inspections at 1454 North Innsbruck Drive and 5567 East Danube Road Dear Mr. Ficek: Final inspections were made on the above addresses on June 28, 1978 and the following items were noted which must be completed before the structures can be f inaled out; 1454 North Innsbruck Drive 1. Install metal shims or redwood shims under deck posts. 2. Caulk around all bath fixtures upstairs. 3. Adjust grade at house to help aleviate wet basement wall. 5567 East Danube Road Provide house numbers on structure. We will expect the above items to be completed by July 21, 1978 when a reinspection will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. z ce , RON HOLDEN Building Inspector RH/mh SUBJECT PERMIT NO. City of Fridley o 15236 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. L ______ COMMUNITY DEVELOPMENT DIV. SEC. 7,5-y y r PROTECTIVE INSPECTION ,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 6/5/79 JOB ADDRESS 1454 North Innsbruck Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 8 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dr. Cellitti 1454 North Innsbruck Drive N.E. 571-4895 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Patio Village 3918 W. 491� Street 926-2771 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 191 x 121 Porch Enclosure and a 12' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS S'EPERATE PERMITS REQUIRED FOR IAiAINGI, HEATING, PLUMBING AND SIGNS. WARNING 8ef0re digging call 10Caf ugli#e$ TELEPHONE - ELECTRIC • SAS EIL REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 ] STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6,950 $3.47 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES N RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ON- PROV ON OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $42.00 T CTIO OR THE ERFO MANCE OF CONSTRUCTION. 'TI PLAN CHECK FEE TOTALFEE S'79 $45.47 GN RE OFCONiRACT RORAUTHO Z DAGENT IDA ij/Wy■HE,N'(ySP�RO�PERLY ALIIDDA/TTED�TH)(IS IS YOUDR PERMIT - BLDG WSP DA E SIGNATURE OF OWNER OF OWNER BUILDERI (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: E L - L_ -r 1 BUILDER: a L -L -44i F_ ADDRESS: / ADDRESS: 49s' 0 TEL NO: 5 / - 41g--3 -6- TEL NO: Construction Location STREET NO: STREET: In • 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 &JC _Front: I' 9 Square. Feet: ��- ��� Front: /-2- Square Feet: 14-41 Depth: / ?v Height: l� Cubic Feet: /c8 2 Depth: i I-- Height: Cubic Feet: CO Type of Construction: TYP � Estimated Cost: $ � S� Rb Be Oompleted: 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 do all mork in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and herd 9 declares that all the facts and representations stated in this application are ue and gorrect. DATE: A11K17 2 SIGNATURE: xl� Stipulations: U 44 ;. 0 0 t3.gq i/ l q P-�'-.Q-) CPLD ��� SUBJECT - PER City of Fridley_ 20128 AT THE TOP OF THE TWINS BUILDING PERMIT r R • _ ___ COMMUNITY DEVELOPMENT DIV. � VV r PROTECTIVE INSPECTION SEC. �� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/25/89 JOB ADDRESS 1454 North. Innsbruck Drive N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 8 Innsbruck North SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE David Rogosheske 1454 North Innsbruck Drive N.E. 571-8801 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richgels Brothers Const. 1310 Kendon Lane, St. Paul, MN 55120 452--1616 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 f ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121 x 12' Deck Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1,050 $.53 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. $27.00 PLAN CHECK FEE TOTALFEE $27.53 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIWHEN PROPERLY V IDATED THIS IS YOUR PERMIT t I BLDG INSP �S� DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 5/1/88 ADDN [ ] R-1 AND R-2 ALTER n Building Permit Application cmnstruction Address:44rZ A� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. s O ECOMIP17M CF LIVING AREA: Length Width Height Sq. Ft. GRACE AM: length _ Width Height Sq. Ft. DECK AREA: Length ! Z— Width e__ Hgt/Ground Sq. Ft. OMER: �T VY?. /. c;) corner Lot [ ] Inside Lot [kj Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated cost: $ Approx. Completion DateT_® i D Proporsed Driveway Width If New opening Is Desired: Ft. Width + 6' DATE: APPLICANT: CITY USE O1�Y See Back Page Tel. # Permit Fee $ O a Fee Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $575 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Sewer Main Charge $Agreement wry [ ] Not Necessary [ ] 70M 3� c STIP ULATIMS : CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 ;..:. t APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent Fill Out Back) Gas Piping (Needed with new furnace) Gas Range 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 On August 1, 1995 M4 SKI - Mai The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 30.00 $ �� representations stated in this application are true and correct. ,1995 $10.00 $ A- $10.00 OWNER 0� $ BUILDING USEDAS $ 10.00 $ M ESTIMATED COST - C & PERMIT NO. $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) arm Air) Trade Name Size No. BTU _ HP EDR $ Fuel y Total Connected Load State Surcharge TOTAL FEE $-----.50 $ 66 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, Burner TrName Size No. BTU HP EDR HEATIN Signed Approve FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: I s ALTERA.._TIONS Being Done: HEATING CO: Signed By: Date: Yes () No ( ) Yes () No ( ) 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 ( ) S. 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 8. Has combustion air been provided for water heater Remarks: I s ALTERA.._TIONS Being Done: HEATING CO: Signed By: Date: Yes () No ( ) Yes () No ( ) 0 SUBJECT T .._._ PERMI. . City of Fridley J�'3 8 7 AT THE TOP OF THE TWINS BUILDING PERMIT � � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ,,y _ ~ PROTECTIVE INSPECTION SEC. Q NUMBER REV DATE 8/19/97 PAGE OF APPROVED BY CITY MALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 1454 North Innsbruck Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 8 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Rogosleske 1454 North Innsbruck Drive NE 571-8801 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO 1st Class Construction 4616 Edinbrook Ter, Brooklyn Park MN 55443 20055534 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 Cjj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House, Front Only (21 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 $1,751 $.88 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• 6i $56.75 Fire SC $1.75 IO ORMANC F CONSTRUCTION. STRUCTN PLAN CHECK FEETOTAL FEE License SC $ .00 $64.38 SIG URE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI H N P ERLY IDATED THIS IS YOUR PERMIT LDG INS- GATE SIGNATURE OF OWNER OF OWNER BUILDER$ IDATEI ,. 0 NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: / Y S y Legal Description: a Effective 1/l/97 Owner Name & Address: �-C %fid f d f�.c, �� e- Tel. # 7/ �� V Contractor: Arx ('%ss MN LICENSE # Address: e. .4 ro oP T-, nn..e e. ?r 04/,. y j°(� Tel. # f r* 9 oZ, 31e 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: Construction Tyre: fknb.� %ra� 0'�1, Estimated Cost: $ p2 % S5 117,51 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft. -x $ — $ DATE: C / APPLICANT: Tel. # STIPULATMNS: Crff USE ONLY Permit Fee $ 17a� Fee Schedule on Reverse Side Fire Surcharge $/, 7 .001 of Permit Valuation (1/10th%) State Surcharge $ • cl')O, $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $____,f21- 6P $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 $ �� STIPULATMNS: Building BUILDING Permit No.: C07- 3� Inspections RESIDENTIAL APPLICATION Received I By: 763-572-3604 % Da d. CITY OF FRIDLEY DATE 2-3— ®% 9 YOUR E-MAIL ADDRESS i—V r RVS 4-s-, d �✓v q Corte SITE ADDRESS l `i's�/ ivuS 6fvC(.e Dr . S�orev, t^ CIJ Mw J SW 3 2 THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME; CA v Pae' CSP +vim S k ; TENANT ADDRESS: X( Sy l,rj-,I rvc- k V i CITY S�r 2 V :E W STATE +tOIfIP �� V� 2 PHONE: CONTRACTOR NAME: $• CQ z o ,M cw q STATE LICENSE w Z 8 y EXP DATE 11/09 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 13 10 124 CxQfc CITY #ct Lcr Ate STATEiAn, 5-5'3 ® V WITH APPLICATION PHONX-qt 3— O S O O FAX 7( 3- W 3-/ 3 8 —7 PROPERTY TYPE ❑ SINGLE FAMILYMEW CONSTRUCTION SIZE JO TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK {SIDING ❑ OTHER �❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: 1 jug4ctil I �►� Ny l . 5'tQi �n1 a w,4k TQc,\r o" ioj,,k d Wf-, qo SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. 3 y ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: 5 ING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl )$offit ADDITIONS, & PORCHES SUBMIT: ❑ Aluminum 13 Trim 1. Site Plan/Survcy showing the existing structures ❑ Other � Y ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ad, 000 OCCUPANCY TYPE Permit Fee $ 3a J . 5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ /0 , I;D .0005 x Permit Valuation Minimum $.50 License Surcharge $ O -D $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due. $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicatiorl for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wic)h requires review'and approval of plans. SIGNATURE OF APPLICANT �', I PRINT NAMEDATE Building PLUMBING Permit No. 6� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D W 763-502-4977 FAX EFFECTIVE 1-1-M DATE I� 0 �, YO E-MAIL ADDRESS r SITE ADDRESS j i S� N THIS APPLICANT IS: ❑ OWNER XONTRACTOR PROPERTY NAME: Ajy_, P_60 5 S , 9 �1- P15 CITY ( a e 4 STATE !qIP 3:� OWNER/ TENANT ADDRESS:��� /y , tdCl� PHONE: 2 to 3 -!9-21 - 7Y0 CONTRACTOR NAME: Til f U �° �P a. -C �^- `^ STATE LICENSE # EXP DATE SUBMIT A COPY OF MI YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDS; CITY STATE ZIP INSURANCE . PHONE FAX PERMIT, TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE OF WORK: 0 NEW <I REPLACEMENT TYPE DETAILED ESCRIPTION OF WO !(%ee-.'n wa, C� Lam' 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. SINKIL.AV DRAINS —SHOWER _ WATER PIPING —BATH _FLOOR _BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _CLOTHES _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER g. , ANumber Permit Fee $ 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 only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of al work which requires review and approval of plans. SIGNATURE OF APPLICANT4- PRINT NAME Ctil rc� I C- lam- DATE U l 0 APPROVED BY DATE ti- b i City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 From: IMPROVE MOORPage: 2/4Date: 8/11/2009 3:08:14 PM Building BUILDING Permit NO.: Inspections RESIDENTIAL APPLICATION Received ByLVE 763-572-3604 CITY OF FRIDLEY Dfltte AUG 2 763-502-4977 FAX EFFECTIVE 1-1439 DATE 8 _11— � YOUR E-MAIL ADDRESS Moor 0 0. COM SITE ADDRF.S,S..-,Jt ,fav ©r1AA Sbnw THIS APPLICANT IS: DOWNER (CONTRACTOR PROPERTY OWNER/ NAME: Ro44o6laffe- TENANT ADDRESS: 14Sq. A1VrJ%n CITY , .x'STnTEII/iJ1� 2IP SS43 PHONr:: o — CONTRACTOR NAMEr SUBMIT A COPY OF YOUR STATE. LICENSE S'I ATE LICE SF..>V Z�b � s iy EXP DATE - 10 AND CERTIFICATE OF ADDRESS:2SIO Airmq.%,j I) AmL Delve CrfY C , ._ STATyy Vj�ZtP INSURANCE PIIONE S0 - Q FAX 6 PROPERTY TYPE RrSINOLE FAMILY/NEW CONSTRUCTION SIZE D TWO FAMILY/NEW CONSTRUCTION STOREFs_ - PERMIT TYPE Cl ADDITION ❑ GARAGE/SHED D WINDOWS 17 BASEMENT HNiSH xlko F 0 DRAIN TILE O DECK ❑ SIDING t7 OTHER ❑ SWIMMING POOL TYPE OF WORK: D NEW HOME CONSTRUCTION Cl ADDITION D MAWTENANCEMEPAIR REMODELING DFSCKIBE WORK BEING DONE: 2 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SOFT ROOInNG CIHOUSE ONLY BASEMENT REMODELING SUBMIT NUMBER OF SQUARES ❑ HOUSE & GARAGE t, Existing Floor Plan CRARA(M D ATTACHED GARAOh z. Proposed floor plan PROPOSED SIZE: D DIiTACHFD GARAGE 3. Lust ofswctural manbers to be used PROPOSED IIFIGHT; • .... SIDING __ FOR NEW CONSTRUCTION INCLUDING DECKS, I] Vinyl usoffit ADDITIONS. 1. & PORCHES SUBMIT' Site PIaNSurvey showing the existing sVticNres Alum ❑Al Aluminum 11 Trim and p`0� projwt 1] Cl Fascia 2. Two un of ca tom -tion purrs WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYeS 13NO LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CI IANGF.S & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.C�FEE SCHEDULE) TOTAL JOB VALUATION $ tlh ti ♦14ws OCCUPANCY Si Tyr Permit Fee See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ LAI. 1001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $-50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ R + 6 ft = R x $2l =S Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necmary ( ) Non Nccessary ( ) Total Due $ 1575Make cheeks payable to: City of Fridley Attach Sti Mations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED 1 hereby apply for a building permit and I acknowledge that the infOrnation above is complete and accurate, that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all worjy►ahich requires review and approval ofplang. SIGNATURE OF APPLICANT J PRINTNAME �s�1 car - DATE - -Q 7' •r —T