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PRE 2010 DOCSCity of Fridley, Mam BUILDING PERMIT Date: Owner: Address Builder ........ _.._ . ._:.:._. Address --.--_-- TION OF WILDING No. L'" ` I Street F ' of Lot Lot _ Block_ _ Addition orPo Sub-Divisio, ,f Corner Lot ----- _ _ r Inside Lot Setback —�- Sideyard- Sewer Elevation _ _ _ __ Foundation Elevation DESCRIPTION .OF BUILDING To Front pth Height / Sq. Ft f Cu. Ft. Front pth r eight Sq. Ft. Cu. Ft. t'ffp.s k Type o Construction �� Est. Co To be Completed 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.r In consideration of the payment of a fee of $ 9 _ _ _ ., 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, repair and moving of building within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. o "O''. Buil _.._... dint Inspector NOTICE: This permit does 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 items, .OW4 ,,y APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owner's Name LOCATION OF BUILDING No.Street 1 f ;�,�.�L, APart 09 Lot a Lot �Block _ Addition or Subdivis.on . _ JT Corner Lot inside Lot SetbackSide-Yard SEVIER ELEVATIO14 FOUNDATION %LEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be Fused as.- Q� s I a d � J Front l De th � `tI Hsi ht .. p sq. Ft. i i r �.�� �qu . Ft. ,Front,Depth_ �'„ Height sq. Ft. cu* Ft Type of Construction _ 420q.in Estimated Cost To be Completed �+ r •r r r r. n The undersigned hereby.makes application for a permit for the work herein,speci.fied,,agreeing to do all work in strict accordance with the City of Fridley Ordinancesand ruling of the Department of Build- ings, and hereby declares that all the facts and representations ._stated An this application are.true and corn DATE SIGNATURE r (Schedul of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit.- 2.1. o-wit. 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the' rate of $1.90 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classi#ied as "fireproof" by section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof build- ing other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GMAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing, building or for each such building -or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits the cubical con- tents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00} or fraction thereof in the cost of all proposed work. 2■.6P in no case shall the fee charged for any permit as set forth in section 2 be less th, $4000. Appication for Power Plants and* Heating, Cooling, Ventilation, .ReMgeratioo 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 $ t/ .each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace ............................. P.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 .......:....... 2.50 $ PTEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam- ...... 8.00 $ r 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 $ I-� 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 Dept. of Bldgs. Phone 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. Fridley, Alinn- ,/ ' aa 19 4 Owner Kind of Building Used as 4::C ' e To be completed about tj_' Estimated Cost, $ z 6--d HEATING or Trade Permit No. Permit No. Z 711K - DESCRIPTION OF WORK RPLANTS--Seam_, Hot Wa , Warm Air—N, Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load `f Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signer RAY N. WFI TER HEATING EC 4637 CHICAGO AVE. By MINNEAPOL143 7, MINNES©TA x.'42 2M 7-59 Business Phone No r � D•76 7-Q0-9 4_0e wb g- � P HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS I• A.S.H.W.E Weathersmos Guide i F' Construction No. Insulation Windows ( Doors Reference Out. Wall Int. Wall Ceiling Roof I FloorFjj--� ind How. Applied es . No No 19_ r t n o, F1.1 . - a < m . ° =Room Length -7 Width /I"W Height "7 :' II F1J � � � Room I Length P V ` Width ' �.�. Height f Windows and Doors—Crackage and Area WidthHeight Noof Lineal ft, Area No. of pane of pane lights of crack sq. ft. �e a' Ite, �9 1 14, h Btu Coef. Btu Infiltration IL C/ Glass }'121 -7 f . Glass Exp.wall F �. to L Exp. wall i .> Int. wall Net exp. wall Net exp. wall Ceiling v Int. wall Floor ` `21t ' Ceiling ♦ , Floor Floor ILL L fi Total Btu. ,. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl s Room I Length's I Width , ' Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. I Area No. of pane of pane lights of crack ft. vsq. �9 1 14, Coef. Btu Infiltration 4-/ Infiltration IL C/ Glass }'121 A, F,' a Exp.wall Net exp. wall Exp. wall i .> Int. wall Net exp. wall Ceiling v ; Floor ` `21t ' Total Btu. N� f Required sq. ft. E.D.R. or sq. ins. W.A. Leader. area FI '; Room I Length . _` Width ' Height 7 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. e.1 �9 1 14, lCoef.1 Btu Infiltration a Infiltration IL C/ Glass }'121 A, F,' a Exp. wall 2 e,. � <{ Net exp. wall Exp. wall /0 Int. wall Net exp. wall Ceiling ;T Floor ' Total Btu. 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 No. of pane of pane lights of crack sq. ft. e.1 �9 1 14, Coef. Btu Infiltration a Infiltration IL C/ Glass }'121 A, F,' a Exp. wall ` Net exp. wall Exp. wall Int. wall Net exp. wall Ceiling - •` ;T Floor° ' Total Btu.' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area M I e --'ti 7 R....... 1 i ..th * dJ q WrIth % Y 14.4aht �7,. _. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �9 1 14, Coef. Btu Infiltration Btu Infiltration i Glass }'121 6L Glass Exp. wall Net exp. wall'' Exp. wall Int. wall Net exp. wall Ceiling_ ;T Floor+` ' Total Btu. ,) Via. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1,110 / Fl.l Room I Lenatl>t' -� '' Width 21Height' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �9 1 14, Coef. Btu Infiltration r<' }'121 6L Glass Exp. wall Net exp. wall ;T Int. wall Ceiling" Floor ILL L fi . Total Btu. 41"f - q A Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Gas i=N°hing Perm Dept. of Bldgs. Phone SII 44 DESCRIPTION OF WORK //z/W Number, Kind and Location of Fixtures Location �d PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: iii RATE TOTAL Number Fixtures ...................... x $1.50 $ G 6 Future Fixture Opening x 1.20 � t�°d t9 (�0 1.00 $ WATER HTR. x 3.25 Base 2J x 2.00 $9 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... 1st .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ G 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 $9 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 Description ................................................$ TOTAL FEE '�P-- City of Fridley: The undersigned hereby .makes application for a permit for the work heren 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. Owner Kind of Used as Tobec Estimated Cost, $ Old—New. Building Permit No. ROUGH --I s Z / > 6 I FINAL By e<Lk2f2 Business Phone or J Application for Power Plants and Heating. Cooling. Ventilation. ReMgeration 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 $ 500 Repairs & Alterations—up to $500.00 ................. 5.00 $vW a Repairs & Alterations each add. $500.00 .............. 2.0t! $ 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 BEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH— OUGH FINAL— FINAL See See Fee Schedule T%—+ of TIIAe CTT e_7A7f1 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 applicatio e tarue�and correct. /� f 1 / Fridley, Bifinn`,�®, �✓� ` g`� Owner 7v4 14 Kind of Building Used as To be cc Estimated Cost, Building Permit No. 017 Permit N OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No- Trade Name Size No Capacity Sq. Ft. E.D.R. BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D (REMARKS—OVER) BTU H.P. U1 SUBJECT P I T NO. City of Fridley o 15663 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT N • _ COMMUNITY DEVELOPMENT DIV. �L ----- r � � PROTECTIVE INSPECTION SEC. /`� sE9 0 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/15/80 / JOB ADDRESS 1410 Trollhagen Dr. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 1 3 Innsbruck 2nd Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald D. Hagfors 1410 Trollhagen Dr. Fridley 55432 571-3109 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 8 DESCRIBE WORK Reroof with cedar shakes. 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second but not third covering. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Cedar THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT, AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R—_1 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 $2,250.00 $1.13 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. $15.00 PLAN CHECK FEE TOTALFEE 16.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PR PERLY VALID ED THIS IS YOUR PERMIT f q - SI NATWREOFOWNER tIF OWNER I ERI IDA TEI BLDG INSP DATE U1 CITY OF FRIDLEY APPLICAT10i'l FOR RI SIDI:NTIN_ BUILDING PERMITS (New, Alterations, Additions, or Repairs) ADDRESS: TEL NO: ti -11- '2Sl0 BUILDER: o `•" `" e - ADDRESS: TEL NO: Construction Location STREET NO: i'+ o STREET: LOT: BLOCK: 3 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 �= C oy i Front: square Feet:____ Depth: Cubic Feet: Front: Depth: Square -Feet.- Cubic Feet: Type of Construction: e e S To Be O mpleted. Proposed_ Driveway Width If New Opening Is Desired: Height: Height: Estimated Cost: $ c;L -16-0 Alt. A Alt. B 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 declares that all the facts and represnamtations stated in this application are true and correct. DATE: , 1 �j �b rj SIGNATURE: Stipulations: -1�4 "� /, f3 DUJLJJINU I'1=1U'IJ 1 1'L'(:. 0l.II1:IJULV: .;i1C1ft0H 2. The In.:;pector. of Bui.ldi.11us, shall, ),eforo ia:::;Ling permits for -the erection of any building o7: :.;ta ticture, oa: for ally ;Iddi.t.i.un to ally exi.:;ti.11g building or, structure, U:' for any alteration or- repair.,; to any exi.r;ging bu.i.ld.i.nd or st).ucture, upon application tIlcrefore, require tJlc payment, by the appl.i.csant: for :;uch permit of fees to, elle amount herein below set forth and in the mranner he ci_n providod to -wit: 14EW COI1S`IRUCTIO11: Si_nglu 1amil.y llomes and Garages: $4.00/1.,000 cubic feet. . }?JAN C111:CK: 2.5 pcsrcent of building permit fee. D111VEI-IAY DEPRL•'SSI01.1: (Concrete. Curb Streets Only) 7�lternrit:e n: Removal and replacement- of concrete curb and gutter only; Driveway width plus 6 feet x 15®75 Alternate 13: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet X $17.85 For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below. the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 pbr each five hundred dollars _ ($500.00) or fraction thereof in the cost of all proposed. work. In -no case shall the fee charged for any permit asset forth in Section 2 be less than $7.50 plus $.50 state.surcharge. - VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. -CERTIFICATE OF OcUPA !C_y_ Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for whirl: a building laenitit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. City ®f Fridley SUBJECT PER. - _ 16697, AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. e CITY HALL FRIDLEY 55432 ij NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/27/82 JOB ADDRESS 1410 Trollhagen Drive N.E. 1 LEGAL LOT NO. 1 BLOCK 3 TRACT OR ADDITION SEE ATTACHED Innsbruck 2nd Addition SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald Hagfors 1410 Trollhagen Drive N.E. 571-3109 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 B DESCRIBE WORK Construct a 24' x 14' KIN Deck 9 CHANGE OF USE FROM TO STIPULATIONS �� � �d� `�`�.. ERATE PERMITS REQUiRIED FOR WRQ >� SEi'� �,Ei�• a��`"��, Gt�'�'. t HEMI, PLUMBING .AND SIGN& TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Redwood 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 $2,900 $1.45 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $35.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $39.95 SIGNATURE OF CONTRACTOR AUTHORIZED AGENT (DATE) WHEN PROPE Y VALIDATED THIS IS YOUR PERMIT AiGNATURE BLDG INS ATE OF OWNER OF O R BUILDER) (DATE) 0 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL QUILDI11G PER14ITS (thew, Alterations, Additions, or Repairs) OTHER: L�V_ eAL,� �a k4; cz� P_S ADDRESS: A(o TRQLL14A4 z J a - BUILDER: ( C9LJe.)CA- ADDRESS: TEL NO: _ 5 -2 L e 3wq TEL NO: Construction Location STREET NO: 4 ZLL O STREET: 1- (U L L i) 10, 6 Z�) (a , LOT: BLOCK: ADDITION: Z Corner Lot: Inside Lot: X Setback: 37� Sideyards: 9� 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: [ -1 Height: Square. Feet: Cubic Feet: Front: I cl Depth: 10 Height: Square -Feet: ►-2 ® Cubic Feet: _ Type of Construction: q O) w o v p Estimated Cost: $ �9 Rb Be Completed: 19 S t Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Mie undersigned hereby make: application for a permit for the t,ork' 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 applicationare true and correct. DATE: '� -Za� 6 _ B� SIGNATURE: 1� Stipulations: *;9�' BUILDING PERMIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alteration or`repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUATION FEES $1.00 to $500.00 $10.00 Minimum Fee $15.00 plus surcharge $501 to $2,000 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $32.50 for the first $2,000 plus $6.00 for each additional $2,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building permit fee DRIVEWAY DEPRESSION ESCROW: Concrete Curb Streets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 feet x $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. �o • � 32.�� I GEORGE E. HOPKINS • Registered Land Surveyor and Civil Engineer Phone SO. i-eeS6 10701 Nicollet Avenue South Minneapolis 20, Minn. ;4 PLAT OF SURVEY Scale 1 loch _-40 feet PROPERTY OF 19/sPrP2,am V Described as Eot 1 Block 3- Innsbruck god Additlast denolcs iron monumen% This survey was made and certificate dram for the purpose of showing the boundaries of the lot and the easement of reaerd. There are no encroachments. Building stakes were not set by the surveyor. CERTIFICATE OF SURVEY I hereby certify that on DQ- 19—,% I surveyed the property described above and that the above plat is a correct .... __ � representation of said survey. ! -�_ � A 41�� � � �TJPf/�`,''/V/istt, UT R3-To3 480 89 '4TMracT AM mm7 r,,Mv" ^OQ^b$--q4--e8ej eq Z UOT4009 34 "4 011 42 RIGLA Sao, 12'. S'l 6 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace . $ 20.00 $ -24LC-CG Gas Piping (Needed with new furnace) Gas Range Gas Dryer $ 10.00 $ $10.00 $ $ 10.00 $ "Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1% of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $ 2 �U, S: MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB AD na 19 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 ruling of the Building Division, and hereby declares that .all the facts and representations stated in this application are true and correct. 8&F iz 7 199g,1991 OWNE BUILDING USED wn,� ESTIMATED • G-L�'& • DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One Steam) Hot Water (Warm Air) Trade Name Size No. BTU O HP ED R_ Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR Richmond & Sons Elec., Inc. dba. Golden Valley Mg. & Air Cd HEATING CO ANau Crus _(. i,".ti 55125 Signed By ; / I By Co't�rL Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE s 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 nm All other BTU's `{�'� r�`)''�J� TOTAL BTU's ) v ''' " Remarks List Alterations Being Done: HEATING COMPANY ii_;f liCn v4of Htg.. lS' it 1;(. Signed By FQ(;� 2 7 199 Date "'Id. n Valley Richmond & San AliAli Gd. g 513�roadway Crystal. M 5500 Phone 535.2000