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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N® 1 Date: ..... __.F„-_ _ Owner: _ Builder _. _.._ .,, .._.......... r Address --•--..._._ . _.._:..__ ._. _..__...._. _._ _ .. _._ Address:_...... - Cg BUILDING No. .,f...:... ........ Street,.- r ..__ : ..' .. _._.. ........ ........ ...... P of Lot ....._.._.__.........-__...._ .._....__._._..._.._..._.... __. d , Lot -......... Block ...__. __. dition or Sub -Division .... Corner Lot ...---.,............. Inside Lot ................. ..._................. Setback ..3, ...... Sideyard---•-..� Ir/ Sewer Elevation ...... ............. .............. _....... _... .............. ......... _......................... .... Foundation Elevation DESCRIPTION OF BUILDING T be Used as. 00 . Front _.. Depth , . _ ,"' Height ..; - Sq. Ft.IA4,1-„ Cu. Ft. ��.Gf p ront .. Depth .., Height Sq. Ft:j,041... Cu. - ,. Type of Construction ...:.. Est. Costp` .:.:..:..... To be Completed .................... ............................. ���� C' R"�4, t ALI �-110R17E V10LAI _ - COVE" AND f0w OF A'V i r i�,,', ,�� L;`�[W' � 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 compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ ",y.......,, 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 workmen, 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, re and moving of buildings within the city limits and this permit may be revoked at anyl� 'olat f any of the provisions of said ordinances. / Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA loin Owners Name C90 ��I- C.. Builder &Q' ®n/Ck ��,'%/ L� Address S-ZYY -,%> , r -z- Px? L.—Address _iO0 0-- ? LOCATION OF BUILDING No. Street�� r�i r-� Part of Lot Lot ��_, Block Addition or Sub.Div, L80,vc Corner Lot_A—Inside Lot.Set Back 40 f o - Se Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: 15;. rc �� �&e_IA� C_ 64f° T Front Ft S9. • • Cu. Ft _tee 'fir Front Z� 4> _ Depth --.2-9C (' Height / (9 -,b e: Sq. Ft. !z Cu. Ft.yS:05/c;,�, Type of Construction tgam Estimated Cost ,2,,4_ To be completed Z9,V a,S d4 o a , 44U(51 As 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 representa- tions stated in this application are true an or eec� a a / DATE / / SIGNATURE (A Schedule of Fee costs can be found on thVReverse Side.) 4�K Application for Power Plants and Heating, Cooling. Ventilation. Refrigeration and " Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Locatio Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ City of Fridley: Repairs &Alterations—up to $500.00 .................. 5.00 $ 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 Repairs & Alterations each add. $500.00 ............... 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. MECH. WARM AIR Fridley, ,Minn_ JUL 1 19®� 195— Furnace Shell & Duct Work to 124,000 BTU ............ 8.00 each add. 60,000 BTU ....................... 2.00 $ Owner 195— Replacement of Furnace ............................. 5.00 $ Kind of Building / 195_ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs &Alterations each add. $500.00 .............. 2.50 $ Used as ��� � � ���� STEAM or HOT WATER SYSTEM To be completed about Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Estimated Cost, $_ Furnace Shell & Line--to 640 sq. ft. EDR Hot Water ... 8.00 $ Qjgew. uilding Permit No. Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ DESCRIPTION OF WORK OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule HEATING Warm Air—No GAS BURNER (up to 400,000 BTU) � ) ��S.�J���/ Trade NameSize Note ....................... 5.00 $ Capacity GAS FITTING FEES: NO RATE T�AL Sq. Ft. E D.R®� BTU H.P. O _ 1st 3 Fixtures x $1.50 $ Total Connected Loa a^ d Kind Fue ...................... , of Additional Fixtures ................. x .50 $ DD BURNER —Trade Name Size No Gas Range to 200,000 BTU ........... x 2.00 $ Capacity Sq. Ft. E.D.RAA9' BTU g.p AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule $ GE®. SEDOW, K {-ATG. % AIR-CO CO 1001 )(onia Av. S. VENTILATING SYSTEM �® Minneapolis 16, Minn. erl ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: e By �A 11 POST IM-12-58 Business Phone o _S c ycc.t.. �' 0-0 3 s 14&,4r L &S3- Z`9 b -r D-46 79 ' - Pin/ �_&.2.2. /✓Er_._ #r 4-r- 40.s� ._. AIS 4 , HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips --A.S.uid Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied e No es No 19- -f md r " R,...,., I t e,,..rl, a h MAO, 1 7_ W.; -M- CV a n R...,,,, I I,.notb Q Width A/ Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. No. of pane of pane lights of crack Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Coef. Btu Infiltration Infiltration Exp. wall JZS- Glass ® 4-41000 Net exp. wall Exp. wall Exp. wall 16ZL Int. wall Net exp. wall Int. wall Net exp. wall ' Ceilingto— g Int. wall Floor Floor Ceiling41,612— 2 Floor 9 Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 'S M WA -0- J% O___ 19 ---L . '% v_:_L. f9► Windows and Doors—Crackage and Area h Width Height No. of Lineal ft. No. of pane of pane lights of crack Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. a JI Coef.1 Btu Infiltration Glass 3 NAM ar Infiltration Exp. wall Glass Glass ® 4-41000 Net exp. wall Exp. wall ®® 16ZL Int. wall Net exp. wall Int. wall 1.316 Int. wall Ceilingto— Ceiling jo Floor Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area M ..R —rAl J R.. IL .nett, f9 W;kh . 4- i-1 .h, indows and Doors—Crackage and Area h Width Height No. of Lineal ft. No. of pane of pane lights of crack Area sq. ft. y u Coef. Btu Infiltration' Infiltration Coef.1 Btu Infiltration Glass Glass Glass ® 4-41000 Exp. wall Exp. wall ®® Exp. wall Net exp. wall Net exp. wall Int. wall 1.316 Int. wall Int. wall Ceiling Ceiling Ceiling Floor Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area -I Windows and Doors—Crackage and Area - 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 eq. ft.t y u Coef. Btu Infiltration' Infiltration V), Glass Glass S ® 4-41000 Exp. wall Exp. wall ®® Exp. wall Net exp. wall Net exp. wall Int. wall 1.316 40 Int. wall Ceiling Ceiling Floor My y Floor Total Btu. Ma ly 13 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 4 m 1,07 ac i) Rnnm I Length d Width // Height Windows and Doors-Crackage and Area 1 - Width Height No. of No. of pane of pane lights Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft.t y u Coef. Btu Infiltration V), Infiltration Glass e exoV Glass Exp. wall ®® Exp. wall Net exp. wall Int. wall Net exp. wall F; �e6t Ceiling Ceiling Floor Floor 9 Total Btu.a-1 -� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ® L1 I .2—P P D__— IT ---41: Ad W.Att, /NP {aa;a{,► t7V dEe---I fir ----- , -- o - - 1 Windows and Doors—Crackage and Area 1 - Width Height No. of No. of pane of pane lights Lineal ft. Area of crack sq. ft. Coef. Btu Infiltration e exoV Glass ®® Exp. wall Net exp. wall F; Int. wall Ceiling Floor 9 Total Btu. Required sq, ft. E.D.R. or sq. ins. W.A. Leader area HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor —No I e No 19— I F1.1 I Room I Length, 9 /) Width 9 4 Height JPO II A Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. ®� 3 tip Glass Coef. Btu Infiltration Coef. Btu Infiltration aL Exp. wall 7 31 yj 3 - Glass Int. wall 4'0 4—:70 A600 Exp. wall ly Net exp. wall Int. wall , 9 Floor Net exp. wall Int. wall Total Btu. Floor �mMM9I Ceiling Floor o 0 , AlAte® Total Btu.` Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ® F1.I f)lAll P14 Room I Length /_ ? Width ®P.t Height Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ®� 3 tip Glass Coef. Btu Infiltration UL Glass aL Exp. wall 7 Glassl Net exp. wall Int. wall " Int. wall Ceiling Floor �- Net exp. wall Int. wall Total Btu. J - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ® FI:I P, I Lena"th ®,e Width Heiaht Windows and Doors—Crackage and Area Coef. _ Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 3 tip Glass o Coef. Btu Infiltration aL low Glassl /0 Int. wall Exp. wall'/t°+ Ceiling Net exp. wall Int. wall , 9 Floor Ceiling Total Btu. Floor �mMM9I Y I o 0 , Total Btu. 1A A -I n Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Windows and I Width H; of pane I of 'd_1 , MINNEAPOLIS. MINN. Insulation Kind How. Applied Room I Length YWidth ors—Crackage and Area ht No. c% Lineal ft. Area ne Baht. of crack eq. ft. I Coef. Btu Infiltration 3 A Glass o 1,000 Exp. wall Z, Net exp. wall 2, 1 P /0 Int. wall y Ceiling bf , 9 Floor Exp. wall Total Btu. Net exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area AlAte® Int. wall Fl.l .4 Room I Length Width Height Windows and Doors—Crackage and Area A Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration y Glass bf , 9 66 ISO Exp. wall 13 all, Net exp. wall AlAte® Int. wall Ceiling Floor (® Total Btu. I AM P10-6— Required sq. ft. E.D.R. or sq. ins. W.A. Leader area if F'I_I Q'P V Rnnm I Length JA Width A Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass y Exp. wall bf , 9 Net exp. wall . Int. wall Ceiling Floor A Total Btu. Required sq. ft. E.D.R. 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 WORE ,J Number, Kind and Location of Fixtures Location _5 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE ' TOTAL Number Fixtures x $1.50 $ %6 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 6 t_ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ —� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code City of Fridley: P 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. Fridley, .Minn Owner Kind of Building Used as W_' To be completed about (� U Estimated Cost, $ e 0 Old—New. Building Permit No Permit No. Signed_ By- Business y Business Phone No. t� c— — 7 `� ROUGH 9 7_6 6 FINAL Description ............................................... 6!r TOTAL FEE $ �� 42 2M 7-59 Zz Nj Z O W o Z » * ER HTR. x} O �Qz S� Q �Gd �4a z �O R N GAS ELEC. m Base 1st L 2nd _ 3rd _ 4th ' Future Connection Openings Connected with Sewer � New .Fixture, Old Openings Cesspool EJ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE ' TOTAL Number Fixtures x $1.50 $ %6 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 6 t_ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ —� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code City of Fridley: P 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. Fridley, .Minn Owner Kind of Building Used as W_' To be completed about (� U Estimated Cost, $ e 0 Old—New. Building Permit No Permit No. Signed_ By- Business y Business Phone No. t� c— — 7 `� ROUGH 9 7_6 6 FINAL Description ............................................... 6!r TOTAL FEE $ �� 42 2M 7-59 SUBJECT City of Fridley ri7,1 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIP � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i---a � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L , \ 612-571-3450 910-F15 4/21/82 JOB ADDRESS 5198 St. Moritz 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Innsbruck 2nd Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Robert Schell 5198 St. Moritz 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Award Roofing 7801 Regent Avenue North 560-8849 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 6 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Fiberglass 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 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 $1,295 $.65 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- RUCTION OR THE PERFORMA F CONSTRUCTION. 22..00 PLAN CHECK FEE TOTAL FEE �� ► e, $22.65 NTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATUR k9l WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT r / I-�i� �� BLDG INSP p�! 0AT' SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIOJ FOR RESIDENTIAL BUILDING PL-RMITS (New, Alterations, Additions, or Repairs) OWNER: �®��; ��Q QQ BUILDER: ADDRESS: 5 (S Clia ADDRESS: 9s TEL NO: TEL NO: - g�V Construction Location - STREET NO: STREET: LOT: !2 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: Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square- Feet: Cubic Feet: Type of Construction: c Estimated Cost: $ 12,15 Rb Be completed: ;L9 (Qa= Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Mie 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: 1 s -2- SIGNATURE: Stipulations: ©C) 7 r Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ 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. EDR 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 FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures .................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL 0 - 14il- / Dept. of Bldgs. Phone SU 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. 1/1 ,,,Frodley^Minn— AUG 5 -1966 , 19 Owner A'/21 �C Kind of Building Used as — To be completed about SEP 5 -1966 Estimated Cost, $ ® 7 S Old ew. Building Permit No. Permit No 141-0– a;31,1 D DESCRIPTION OF WORK Warm Air—No.�_ Trade Name— Size No7we - -ell Capacity. Sq. Ft. E.D.R'�' ® BTU H.P. Total Connected Load s:!�� "--[D Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. YXING HEATING & AIR C oND. CO. 6409 GOODRICH AVE. S. b=NEAAIOLIS 26, AU NN. She 929- Ss$ By - w 42 2M Business Phone (REMARKS—OVER) - SUBJECT P City ®i Fridley 17 5 4 AT THE TOP OF THE TWINS BUILDING PERMIT _ Ir • COMMUNITY DEVELOPMENT DIV. v-------- PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/12/84 JOB ADDRESS 5198 St. Moritz. Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Innsbruck. 2nd Addition SHEET 2 PROPERTYOWNER S-,TUp MAILADDRESS ZIP PHONE Brian 5198 St. Moritz Drive N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. L. C. Contracting Inc. 2316 Central Avenue N.E., Mpls., MN 781-2623 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 29.' x 24' Addition to Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS Provide products of combustion alarms on all sleeping levels and in the basement. Provide outside combustion air for furnace or fireplace. Provide check valve in sump pump discharge. WARNING S.EPERATE PERMITS REQUIRED FOR WIRING Before digging call local utilities HEATING, PLUMBING AND SIGNS. TREPNONE • ELECTRIC - GAS Etc. REQUIRED BY LAW 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 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 $ 37,250 $18.63 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OT ER STATE OR LOCAL LAW REGULATING CON- $229.00 None ST UCTI E PE ORIyIANCR)OF CONSTRU ION. PLAN CHECK FEE TOTAL FEE C(/ L1�$ 57.25 $304.88 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) LIDATED THIS IS YOUR PERMIT �f�WHENERLY f7A E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI pw/Ap NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: Owner Name & Address: 15 ry1 r-,1 J ,,<<_ Q _=, �� t-7- Tel. # Contractor: ' �' � �` ,n �° Y Vi c ' Tel. # �77 Address: 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: OTHER: Corner Lot Length Width Hgt/Ground Sq. Ft. Inside Lot [ ] Ft. Yd. Setback Type of Construction: Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Side Yard Setback ��� � Estimated Cost: $ �-F-������ Alt. A Alt $ $ See Back Page for Explanation DATE:' APPLICANT:' 4 A' Tel. #� L-1 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ n $•50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ �� Agreement Necessary [ ] Not Necessary [ l TOTAL $ A �N SUBJECT PERMI City of Fridley 223 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. p® - ` `y 1 � I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/10/93 JOB ADDRESS 5198 St Moritz Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bryan Stout 5198 St Moritz Dr NE. Fridley 571-6242 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 �7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 12' Shed 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 $2 $1, 10 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT f200- 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- $54.00 Fire SC $2,20 STRUCTION OR THE PERFORMANC OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ® License SC $62.30 SIGNATU OF CONTRACT RORAUTHORIZEDAGENT DATEIl� WHEN OP R VA ED THIS IS YOUR PERMIT 4NR (t BLDG INSP DATE OF OWNER�IF OWNER BUIL ER ATEI NEW pq Effective 5/26/93 ADDN [ ] CITY OF FMLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 X3944 Building Permit Application Construction Address: 5198 St. Moritz Drive Fridley 55421 Legal Description: Lot 9, Block 3, INNSBRUCK 2nd ADDITION Owner Name & Address: Bryan D. Stout, 5198 St. Moritz Dr., Fridley Tel. # 571-6242 Contractor: V i d c o (concrete only) MN LICENSE # Address: 3531 Nevada Ave. No., New Hope, MN 55427 Tel. # 537-2559 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 11"R.OVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Out Blda, 14 ft 12 ft 14 ft 168 Corner Lot [ I Inside Lot [ ] Type of Construction: Frame on Approx. Completion Date: Ft. Yd Setback I Side Yard Setbacks slab Estimated Cost: $ 2,200.60 6,, mo. max. Driveway Curb Cut Width Needed: DATE: ' ' �� l 3 APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL (Cost on Back) Ft. + 6 Ft = Ft x $ CITY USE ONLY $� , C O Fee Schedule on Reverse Side $�,�.�?C7 .001 of Permit Valuation (1/10th%) $ /, l D $.50/$1,000 Valuation $ $750 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ Conservation Plan Review $450.00 $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] e $ C� STIPULATIONS: x 36.63 Tel. # 571-6242