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PRE 2010 DOCSCI* ®f Fridley, No. Street P f Lot Lot __ Block Ad tion or Sub -Division y--= ti � Corner Lot. Inside Lot !� Setback ,[ v .— - Sideyard Sewer Elevation Foundation Elevation In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in com ante th all pro of ordinanoas of the city of Fridley. ��� �"'�--� �z �a In consideration of the payment of a fee of $.��� ,permit is hereby granted to. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time uponviolations of any of the provisions of said ordinances. ---1%w / i Building Inspector NOTICE: Ibis permit doss not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these item APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA o. r, I s NnAmEw_j�w- SeA.) BUILDER I -Ito ADDRESS 4ro 44 NO ADDRESS g - LOCATION OF BUILDING No.dr Street Part of Lot Lot Block Addition'or Subdivision Corner Lot Inside Lot Setback 3.°F Side Yard SEWER ELEVATION POU14DATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and.proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: 9 Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed 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 a and correct. DATE 9� SIGNiATURE - (Scbedule of Fee Costs can be found on the Reverse Side). i# T 4 a rte Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systennm and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ sr Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 each add. 60,000 BTU ....................... 2.00 $„ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations --up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $ OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $—, GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule r VENTILATING SYSTEM $ 'ALTERATIONS 8c REPAIRS TOTAL FEE REMARKS: Dept. of Bldgs. P�o�? SII 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. UN 191963 Fridley, Minn) , 195_ Owner �`l r!d��d�l//��/i�� / 195— Kind of Used as 195.— AUG 191963 To be completed abou Estimated Cost, $®® " A�ew uilding Permit No. DESCRIPTION OF WORK HEATING , Warm Air—No.,— Trade Name�� � � SizeNo-XF -Ilp-lp Capacity Sq. Ft. E.D,R BTU H.P. Total Connected Load 02 --!F, Kind of Fuel 4'r -4Z BURNER — Trade Name 1%i' Size Capacity Sq. Ft. E.D.R -7q97 4011 BTU H.P. ,.IXING HEAVING &- AIR GOND. CO. 5409 GOODRICH AVE. S. / a MINNEAPOLIS 26, MINN. SIgned 929-5538 By - 11 POST 1M-8-58 Business Phon No L ,7 D•56 s _- ,- tar. I� e 4f t'�.1 �` Ew '✓ y0 HEAT LOSS CALCULATIONS 4� DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How. Applied Yes—No I Yes—No 19— I. 1 .. .�"n r I e _, J4 lOi• 7.1 rr_•_La d.e. rl.lratt t y . Koom I Length Width ' Height r Windows and ours—Crackage and Area Doors--Crackage and Area Width Height No. of Lineal f . Area: No. of pane of pane lights of crack sq. ft. . a - AP No. of pane it 77 " 0 , Total Btu. _ A. Coef. Btu Infiltration Glass _ ° - ra Exp. wall 1'9981 Floo ' 0 1 Net exp. wall Int. wall , Ceilin r4 I Ceiling Floor Floor - Total .Btu. r I- z i 1,0 r Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length Ig Width Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft- Coef.I Btu Infiltration Glass r I- z i 1,0 r Exp. wall ...8... Net exp. wall Int. wall Coef. Btu Ceiling Coef. Btu Floor " 0 , Total Btu. _ A. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area l t•ta' Koom I Length jj Width Z Height Windows and Doors—Crackage and Area ...8... Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq, ft. Coef. Btu Infiltration_ Coef. Btu Infiltration ' Glass Exp. wall 0 z `- Net exp. wall q Int. wall Ceiling-,,. Floo ' 0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area rl.� a�wua a..cugua � •.. Windows and Doors—Crackage and Area -�•o.- Width Height No. ofLineal ft. Area No. of pane of pane lights of crack sq. ft. ...8... Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq, ft. Coef. Btu Infiltration_ Glass Exp. wall Net exp. wall 0 z `- Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F. I .-. _, SOH III - rr--_L.,va rl.l %.' 11 In i a.cSAN 10 n.....a ...8... Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq, ft. Coef. Btu Infiltration"' a� Glass ' 0 Exp. wall f� Net exp. wall Int. wall r4 I Ceiling Floor I - LOD— Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI.1 P " Rnnm l l .math t -'� Width In Height . Windows and Doors—Crackage and Area Width Height No. of pane of pane No. of Lineal ft. Area lights of crack sq. ft. Coef. Btu Infiltration a� Glass 0 Exp. wall Z' Net exp. wall Int. wall r4 I Ceiling X Floor I - LOD— Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Dd6 ' 9 - HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E, _ .Guide Construction .No. Insulation Windows Doors Reference 'Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No I Yes—No 19— Fl. Room I Length I ; : Width I,, t* Height FI. 4 lt rRoom Length 17 Width , Height Windows and Doors—Crackage aril Aiea Width Heght No. of Lineal f,**' .' Area No. of pane I of pianne lights of cragc�k sq.. ft. �s �� t i 1�& �,: -ate" Coef, Btu Infiltration '"g 15 Glass ZO I SO 1 0 G a. Exp. wall Net exp. wall 19 x ,wall Total Btu. Required sq. ft. E:D.R. or sq. ins. W.A. Leader area Fl. A#j.4F Room Length '41L Width t'- Height Windows and Doors-�Crackage and Area Width b Width Height No. of Lineal ft. Area No. of pane of pane lights of crack '' sq. fit.. Windows and Doors—trackage and Area 7.J IFK I Z�6 -,Lo Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. t i 1�& Coef. Btu Coef. Btu Infiltration Coefl Btu Z_ -1*7 Glass Exp. wall 2.7 x /Elt Glass -7 o 0, Exp. wall ZC )r S ., Exp. wall 6 )G 0 71 'R Int. wall Net exp. wall y Ceiling j Int. wall Floor Ceiling Ceiling Floor ( ioell 1ao" Irk Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Tx FI. 4;ATKO Room (Length TO Width b Height N Windows and Doors—trackage and Area yIa i� r 2. 6 A 67 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. t i 1�& Coef. Btu Infiltration.�� Exp. wall Coefl Btu Infiltration Int. wall 0p0 Exp. wall 2.7 x /Elt Glass -7 o 501 46a Exp. wall 6 )G 71 'R Int. wall Net exp. wall;, Ceiling Int. wall Floor Ceiling I C) -Z' 0 Floor ( ioell 1ao" Irk Total Ift. Required sq. 'ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area ne of pane lights 'of crack sq. ft. No. ofpane f Z® ®� IZIL 2dfl 40 yIa i� r 2. 6 A 67 Coef. Btu Infiltration Coef. Btu Infiltration.�� Exp. wall Glass Int. wall 0p0 Exp. wall 2.7 x /Elt -7 o Net exp. wall 71 'R Int. wall Ceiling Floor I C) -Z' 0 Total Btu. .7619 - Required sq. ft. E.D.R. or sq. ins. W.A. -Leader area Fl.l Room I Lenath Width Height Windows -,and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights sq. ft. 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 I Fl.l P71 1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall , Net exp. wall ° Int. wall Ceiling Floor Total Btu. Required sq. ft. E.DR. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 3 RATE y ® Number Fixtures ...................... yy Y u<f 3 F Z n? a S Future Fixture Opening ................ Z S o <� Z U< o 3 1 �U' •� x a W O P N WATER HTR. GAS ELEC. Base ' d Water Heater (Up to 200,000 BTU) ...... x t $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL I lot 2nd r 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer ❑ Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ ' d Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x $1.50 $ x .50 $ x 2.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true andect. -11 -Fridley, Minn Ycoi� jr 191-3 Owner Kind of Building Used as t To be completed about Estimated Cost, $ J 0 Old—New. Building Permit No / Permit No. Signe By Business Phone No ROUGH IL FINAL Description ................................................$ JA TOTAL FEE $ d 42 2M Cify of Fridley + Applicd&m for Kmbbig and C"n Dept. of Ridge. Phone 3490 DESCRIPTION OF WORK � Number. Kind and Location of Fixtures Umnlml �NE090 • MEN 0:I ■OEM al PARTIAL RATE SCHEDULE I TEN M 91.I N G SLEC Sewer cesspool n 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 98,000 BTU) . • • . x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures . • ........ • ... • x $2.00 ; Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU ............... x $5.00 $ REPAIRS & lALTERATIONB —Refer to Code Description ...............................................$ TOTAL FEE City of Fridley: i The .undersigned hereby awakes application for a permit for the- work herei specified agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. 457a11'2 Signed. By - - Busin one o -'el �l ROUGH FINAL N? 5226 Original Permit for k-LUMBING AND GAS WTING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for IPermit permit., inspection shall be phoned in to the plumbing Inspector, 560-3430 giving number of this Fee $-4S-0 D DESCRIPTION OF WORK; II Number, Kind and Location of Fixtures Permission is hereby granted (11 A UA 4 �n j to do the plumbing and gas fitting in the building described in the hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. 4z IM—"9-v City of Fridley],19-f-0 Owner Location __ 4-113 Rind of Building Usede� To be Completed A- — , 19-�-70 Estimated Cost $ !Z& Old -New. Building Permit No. Date f Inspector of Buildings. w m o x m m m x z D O z to ZStories m O WATER HTR. GAS ELEC.m I- m 0 o I N o a J a o � a m a K m a LL m z a s rc Basement 1st 2nd 3rd 4th Connected with Sewer Cesspool Gas Piping for Openings Permission is hereby granted (11 A UA 4 �n j to do the plumbing and gas fitting in the building described in the hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. 4z IM—"9-v City of Fridley],19-f-0 Owner Location __ 4-113 Rind of Building Usede� To be Completed A- — , 19-�-70 Estimated Cost $ !Z& Old -New. Building Permit No. Date f Inspector of Buildings. m"V SUBJECT PE City of Fridley ® 18047 AT THE TOP OF THE TWINS BUILDING PERMIT r RE •COMMUNITY DEVELOPMENT DIV.W. INSPECTION �� r PROTECTIVE SEC. 1 � i CITY HALL FRIDLEY 55432 �.j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 /6/85 JOB ADDRESS 5173 St. Moritz Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 5 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE W. C. Keefer 3647 McKinley Street N.E. 781-4108 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 Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Dwelling and add back window 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Cedar Shake 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 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 $51000 $2.50 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- $50.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $ 53 .'0-0 SIGNATU OF CONTRACTOR OR AUTHORIZED AG NT ID TEI WHEN.PROPERLY VALIDATED THIS IS YOUR PERMIT .LOG INSP D E GN URE UF OWNER I OWNER UILDE I IDA EI m"V NEW [ ] ADDN. [ ] ALTER. [ ] Construction Addri Legal Description City of Fridley Effective 4/1/84 �R-1 AND R-2 Building Permit Application Owner Name & Address:_ Contractor: Address: LIVING AREA: nAMAnF ARRA DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground A Tel. # 'Zel-Wo cr Sq. Ft. Sq. Ft. Sq. Ft. CA,4 _ Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ �� (S-�, © b Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 4 �� APPLICANT: f Tel. # CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT - MIT NO. City of Fridley ?4 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. "------', PROTECTIVE INSPECTION SEC. r 1 1 � i CITY HALL FRIDLEY 55432 NUMBER DATE PAGE Of APPROVED BY 612-571-3450 910-F15 7771 11/4/96 JOB ADDRESS 5173 St Moritz Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 .5 1 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Hargweld 5173 St Moritz Drive NE 572-3935 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renslow's Decks & Gazebo's 1746 E Co Rd B, Maplewood MN 773-9707 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 14' x 16' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING SEPARATE PER�II[T$ Before digging calf for 1�VIF�ilVG, HEA�'ifVG REQUIRED FOR all utility locations P1.UMBINIG AND454-0002 slGNs• .w., REQU 9 RED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $4,155 $2.08 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLqIf OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL L#414 REGULATING CON- Fire SC $4.16 STRUCTIO OR T PERFOR ANCE OF CPNST CTION. $99.75 PLAN CHECK FEE of TOTAL FEE Licen $5. $110.99 SIGNATURE OF CONTRACTOR OR AUTHORIZ DAGENT (DATE) N PERL ALIDATED THIS I�RP BLDG INSP SIGNATURE OF OWNER OF OWNER BUILDER( (DATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: /7 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # S �7 �- MN LICENSE # C A , , Tel. # '7 7 3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Length Width Length I `j Width � L Fv ca Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Height Sq. Ft. Height Sq. Ft. Hgt/Ground S / Sq. Ft. 'j a �)CU X F7 Side Yard Setbacks Estimated Cost: $ "'(Cost on Back) Driveway Curb Cut Width Needed: Ft. + Ft = Ft x $ _ $ DATE: Cy APPLICANT: - Tel. # "7'J 3 --<:j 70 7 70 Ct CITY USE ONLY STIPULATIONS: Permit Fee $ !�% �i Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ��®� $.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 $ 0 `'► STIPULATIONS: GEORGE E. HOPKINS • Registered Land Surveyor and Civil Engineer Phone SO. 1-8856 10701 Nicollet Avenue South Minneapolis 20, Minn. PLAT OF SURVZY Scale 1 inch 40 feet PROPERTY OF aWn -y LY B /'/I M An .7000 — 24'01A Described as Lot 4 Block 5- Innsbruck 2add Addition deno}es iro, monument' a� N ;n t •.. ..... 272 wz N /�., UfiWx n� Drainage ea5emen4 30 ! 1 N This surrey was made and certificate dream for the purpose of showing the bo=daries of the lot and the easement of record. There are no encroachments. Building stakes were not set by the surveyor. CERTIFICATE OF SURVEY I hereby certify that on Dec. 19-59 I surveyed %_& " Y do above and that the above plat is a correct representation of said survey. J yt CITY OF FRIDLEY INSPECTION DIV: Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 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 (UST ON BACK) I% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $10.00 $ $10.00 $ $10.00 $ $25.00 $— $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without 50 JOB ADDRESS 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 Building Division, and hereby declares thatall the facts and representations stated in this application are true and c ect. ,1997 I BUILDING USED AS cel �—Ci a Q, V onipj ESTIMATED COST ' �'� PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER 7 No..of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP HEATI COMPANY b Slgned.By �x Size No. EDR . I& Tel No. -41Tg —�5SG� Approved By Rough—In Date Final Date FILL OUT BACK SIDE FOR TACK VERIFICATION ON� written permission from adjoining property owner. REPLACEMENT FURNACE �: CEtIlVINEY AND STACK VERIFICATION The undersigned hereby verifies that the -existing chimney or stack: 1. . Has been carefully examined = Yes O No ( ) 2. Is free from rust or deterioration Yes O 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: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: - SUBJECT P City of Fridley 312 8 0 AT THE TOP OF THE TWINS BUILDING PERMIT i � COMMUNITY DEVELOPMENT DIV. INSPECTION SEC `® l r I PROTECTIVE "1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE O: AOPROVEO BY 612-571-3450 910-F15 8/3/00 JOB ADDRESS 5173 St Moritz Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 5 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roxanne Kavaloski 5173 St Moritz Drive NE 763-572-3935 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Amek Construction 140 W 98 St #103, Bloomington, MN 55428 612-888-1200 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20164402 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION C REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (30 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 1STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,622 @ $1.31 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CH GE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 Fire SC $2.62 l�' ,_ , PLAN CHECK F TO FEE ---�'- Licen S $5. $92.18 N R PE ALIDAT D NIS IS Y.QW= P'I�MIL 1 SIGN y! E OF CON'RACTOR OA AUTHORIZED AGENT IDATEi S,GNATURE OF OWNER,IF OWNER SUILDERI IDATEI BLD NSv PATE NEW [] ADDN [] ALTER [ ] Construction Address Legal Description: Owner Name & Address: Contractor: km( -- n ,i.a____. % (..16 G j CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/2000 (763) 572-3604 Bldg Insp 10 \0 L- �'7 )) &' ®�- MN LICENSE # 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 I Width Hgt/Ground Sq. Ft. OTHER: a (� b Construction Type:u'`0�Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # A cam- � CITY USE ONLY - Call (763) 5572-3604 for Permit Fees If mailing In application Permit Fee $ 83,-?�-- Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ I $.50/$1,000 Valuation SAC Charge $ $1100 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: $ �io