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PRE 2010 DOCSCity of Fridley, Wfinn. BUILDING PERMIT N° Date: Owner: s"'Builder Address Address-- TION ddress TION OF !r -0 - IG l� A4 -a-° No. S _ _._ P .,of Lot Lot -------_- Block _ dd'tion or Sub -Division . .. Alf 0110 Corner Lot _ . ___ _ Inside Lot '" Setback _ 1: _ Sideyard Sewer Elevation ___ _ Foundation Elevation _ DESCRIPTION OF BUILDING To " Used JFf �C Front. Depth Height _ Sq. Ft. Cu. Ft. _ Front Depth Height _ Sq. Ft. Cu. FLL40 Type of nstructio ri Est.W U: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. X 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 thexpress. 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 buildings within the city limits and this permit may be revoked at any time upon violationg any of the provisions of said ordinances. A _ 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. d APPLICATION FOR BUILDING PffdW CITY OF FRIDI.EY, M DZWOTA Owner's Nam 1".��%� �� Builder1 Address ev6 'f pe Address LOCATION OF BUILDING No. of Lot Lot Block 4e�/' Addition or Subdivision, Corner Lot Inside Lot Setback '9 ^ Side -Yard_ SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form. Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Denth E� 3 Sq. Ft. 6 P Cu. Ft. -/ Y,.,3? -5- 4V' d Front nom/ Depth 7 Height Z V . Sq. Ft. Gu. Ft. Type of Construction Estimated Cost 10420 - 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 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. DATE - 1616 - — - - -- - - SIGNATURE G� (A Schedule of Fee Costs can be found on the Reverse Side. . W . UILDINQ PERMIT, FEF.. XIMUIE 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 build-. ing-or-st ore; or--€•or-any alterations or -repairs to any existing building or structure, upon application therefor,._require the payment by the applicant for - sueh-permit-of-Esse to -the amount herein below -set -forth and in the mariner herein provided to -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- pooe-addition`for similar occupancy, to--wr-existing building shall be at the' rate of $1.1.0 for each one thousand cubic feet, or fraction thereof, in such --•---•�ub�:•c�al•--eo�tte�tts:•° ...r.. • • ..._...... �__ ..__........... ..... w ..2•.2.•--For`•-any tush permi for the er®otion oi` any fireproof garage'; �,rarahouse, factory or grain elevator, or for the erection of any fireproof additign—i:•,•far; •. , _.....-s a . occupancy, to any existing building shall- to -at - the -rate 'of"" 1'.25 for each one thousand cubic feet, classified as !lfireaprpq�," by..• Seotion, ;502 of thee;, Minn eepcSTisr Bui'Cding Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof, A.,.. addition, for similar occupancy, to any existing building. Permit $1.00 -for each one thousand cubic feet. GARAGES 2.4._ For any such permit for the erection of any non fireproof garage, warehouse, -.. fa.c toxy...or grain elev tor, -or -for tie' `ersct3 on of.•ariy n6n7f1-reproof addition; .mar - similar occupancy, to any existing building or for each such building or addition. _._.Ninety Cents for each one thousand cubic feetor- fraction thereof, in the cubical contents thereof with a minimum of $4.00. - For the purpose of computing fees for building permits the cubical contents,of�any .......buLUding- ,or• addition to a uniform height throughout -by multiplying the groundarea covered froma ppoint six (6) inches below the floor line of the ba wment.:or, cellar..,_;., to the : a�'srage �YiAght' -gf 'the"' 4 leper. , surface or:' to the average . heiPt .of the roof s , t, surfaeej bf them gable of` :pitched roof`:' t.._. Y . 2.5. For repairs or alterations to an'exieting structure, the fee shall"be at rate of $3.00 for each..Five.Hundred Dollars.($500.00), or fraction thereof in the;••:,�. .--cos"f-all--preposed work -r. _._. . 2.6. In no case shall the fee"'ch6i6foi"ni''p®rmit as set fort$ in "Section 2 be less than $4.00. City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................— x $1.50 $ _ Y Z $ Z gG ?j Z lt�� p ?u°d�ff Catch Basin ............................ �U' Z • F ® N WATER HTR. GAS ELEG $ GAS FITTING FEES: �� 1st 3 Fixtures .......................... x $1.50 o u"S $ Gas Range to 200,000 BTU .............. 63 C�9d (�90 W Base 1st 2nd < _ 3rd _ 4th • Future Connection Openings Connected withI Sewer � New Fixture, Old Openings Cesspool 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 .$ Water Heater (Up to 200,000 BTU) ...... ' x 2.00 $ 0 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......................................I.........$ TOTAL FEE $/[� U 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. Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No. _ Signe BY— I / . " Business Ph e No. OO 7 -- ROUGH ROUGH -j/-- a dl — L 1 FINAL dz 2M 7-59 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 $ e. 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 $ y � r .each add. 80,000 BTU ... — .................. 2.00 $ _ Replacement of Furnace %.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 408 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 $ FZN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FF E �® 4 ROUGH— OUGH FINAL— FINAL Dept. of Bldgs.. Phone SU. 4-7470 � r 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. Owner Owner Kind of Used a: To be c o� Estimated Cost, $ "RTew. uilding Permit No. Permit No. DESCRIPTION OF WORK HEATING Warm Air—No- 9 Trade Nam z Size No— = .? Capacity Sq. Ft. EMMA; BTU H.P. Total Connected Loa `1/2 Kind of BURNER — Trade Name" Size Capacity Sq. Ft. E.D. D®BTU H.P. GEO. SEDGWICI I-ITG. & AIR-COND. CO 4,91 1001 ?penia Av. S. Minneapolis 16, Minn. Signe m 42 2M 7-59 Business Phone No (REMARKS -OVER D•46 79 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Kind How. Applied P-00—r Yes—No I Yes—No 19— C 11.1 )-:�". +.J Room I Lenitth `7 Width L -i_ HeishtP, II 9 R.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 A.ft. Coef. Btu Infiltration F Glass Coef. Btu Infiltration Infiltration7'-. Net exp. wall Glass Int. wall Glass Ceiling( Exp. wall Floor Exp. walla Net exp. wall / '_l%'"_`, Net exp. wall Int. wall Ceiling Room I Length � !V�,—Width I `L Height '_i :"� 1 Ir. Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 /-,two Room ( Length tQ A'' Width 3 ' Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack aq. ft. 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 F Glass _' U Coef. Exp. wall Infiltration7'-. Net exp. wall Glass Int. wall Glass Ceiling( Exp. wall r _ 'A Floor Exp. walla Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Net exp. wall � F1.1)) n 3, v 1, _' Room I Length � !V�,—Width I `L Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft.' 9 - B F I K Coef. Coef. Btu Infiltration7'-. Glass Glass Exp. wall r _ 'A Exp. walla Net exp. wall Net exp. wall , '_i :"� 1 Ir. Int. wall Ceiling Floor Ceiling Floor Floor G Total Btu. , 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 No. of pane of pane tights ofcracksq. ft. 9 - B F I K Coef. Btu Infiltration Infiltration Glass Glass Exp. wall r _ 'A Exp. wall Net exp. wall Net exp. wall 41 '_i _44L_ Ceiling Ceiling Floor Total Btu. �'ra Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Rnnm 1 Length ;moi Width -? �_ Heitrht i"I Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lighta of erack sq. ft. Coef. Btu Infiltration Glass ; Exp. wall Net exp. wall 41 '_i _44L_ Ia-.-wali' r h f P ;rs�F Ceiling Floor G Total Btu. I .� 7 7 l= Required sq. ft. E.D.R. or sq. his. W.A. Leader area FI a. r Q ,: B Room I Length a °' ;_ Width l % Height 'i-, 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 7 ? C Glass -' Exp. wall to Y7, �i + Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq.. ins. W.A. Leader area D46 HEAT LOSS CALCULATIONS 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 Kind How. Applied Yes—No I Yes—No 19—. Room I Length / 9 Width 1'2— Height R II � Fl.l Room I Lensith / LO Width j' Height 6 Windows and Doors—Crackage and Area I 4 `/' `1 �s+� Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. "o Height Windows and Doors—Crackage and Area Width Height No. of Ltneat Yt. Area Coef. Coef. Btu Infiltration Infiltration ; 17--) Glass 1 d 0 Glass Total Btu. Exp. wall �j _% 15011 '.00 Exp. wall F1.1 Room I Length Net exp. wall Int. wall Height r (1 r16 Ceiling 5, 15(o ` / AL Floor ra ,9 1546 Total 13tu. I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 111 '` Room I Length 4 Width 1/ Height Windows and Doors—Crackage and Area I 4 `/' `1 �s+� Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. q ft. "o Height Windows and Doors—Crackage and Area Width Height No. of Ltneat Yt. Area Coef. -Coef.1 Btu Infiltration Infiltration ; 17--) Glass 1 d 0 Glass Total Btu. Exp. wall, 15011 1 'i Exp. wall F1.1 Room I Length Net exp. wall Height r / Int. wall Floor r Ceiling re ` 1 ra ,9 1546 Floor Ceiling f 'a 777 -7 - Total Btu.1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 171.I T-3 e Room I Length A Width A n Height Windows and Doors—Crackage and Area I 4 `/' `1 �y Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq ft. �> p ' _ C` qt4 Height Windows and Doors—Crackage and Area Width Height No. of Ltneat Yt. Area Coef. Btu lCoef.1 Btu Infiltration 3,25 1 � � 1 d 0 Glass Total Btu. 1-6 15011 (0,c) . Exp. wall F1.1 Room I Length Int. wall Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane ofpaae light. of crack sq. ft. Net exp. wall Floor Int. wall Ceiling f 'a 777 -7 - Floor Total Btu. 1 —15 01'D 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area I 4 `/' `1 �y Width Height No. of Lineal ft. Area No. of pane of pane tights of crack sq. ft. �> p ' _ C` qt4 Height Windows and Doors—Crackage and Area Width Height No. of Ltneat Yt. Area Coef. Btu Infiltration �4 fy Glass Floor Exp. wall / co X Total Btu. Net exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Int. wall Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane ofpaae light. of crack sq. ft. Ceiling Floor Total Btu. I 4 `/' `1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Glass F1.It . Room I Length � /�- Width Height Windows and Doors—Crackage and Area Width Height No. of Ltneat Yt. Area Net exp. wall No. of pane of pane lights of crack sq. ft. Int. wall Infiltration Glass / „5, Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. =s Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane ofpaae light. of crack sq. ft. Coef.1 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 :s Zvi A,6 � � G F w L— --Iks �zo� !IOL - THE E. B. McDONOUGH CO. IFE. S-8911 AVE.. SAINT PAUL 41111 SCALE, 11NCH-90 FEET 4099NATIONAL BIUILDING. MINNEAI'OLt$ 2 TY TELEPHONESI MI. 9.8072 PLAT OF SURVEY I OF PROPERTY OF-6&..'%/y_/v� DESCRIBED AS FOLLOWS /�/��j LJ/�� •-•rr�-�.5._L._QJGLLi��,, '� k CERTIFICATE OF LOCATION OF BUILDING CERTIFICATE OF SURVEY I hereby certify that I hereby certify that on___._.._.....___. ---19. -- I made a survey of the iocntinu of the Luilding(s) on the I surveyed the property describcd above and that kho above above described property and that the location of said tat fa a correct representation of sold survey. buildings} is correctly shown on the above plat. p p ` _ _ - --- -'--_--_- E. B. MCDONOUGH. REGISTERED SURVEYOR No1990 PAULJ.CFtANF_. No.4449 JOHN J. RYAN. No. 4489 mn X. IM 2M I -ea Tho I.eslla Sefiuldt C . 1 CERTIFICATE OF LOCATION OF BUILDING CERTIFICATE OF SURVEY I hereby certify that I hereby certify that on___._.._.....___. ---19. -- I made a survey of the iocntinu of the Luilding(s) on the I surveyed the property describcd above and that kho above above described property and that the location of said tat fa a correct representation of sold survey. buildings} is correctly shown on the above plat. p p ` _ _ - --- -'--_--_- E. B. MCDONOUGH. REGISTERED SURVEYOR No1990 PAULJ.CFtANF_. No.4449 JOHN J. RYAN. No. 4489 mn X. IM 2M I -ea Tho I.eslla Sefiuldt C . Arpfczevda RQ. -z an4 Ngec;bIMfg, vern2mia0® ' :s WA, g ares ^o Dei= ark �"w9suw:' �� GRAVITY WARM RATE TOTAL Flarnwe Shell & Duct Work .510.00 $ Replacement of Furnace 6.00 $ Pr -par -s & Alterations ---up to $500.00 600 S Repairs & Alterations each add. $500.00 300 $ OL WARM AIR Furnace Shell & DuctWork to 120,000 RTU .$1000 $ eta add. 60,000 BTU 3.W 8 Replacement of Furnace 6.00 $ Repairs & Alterations --up to $300.00 0.00 � Repairs & Alterations each add. $800.00 3.00 $ STEAM ex HOT WATER SYSTEM Fum.ace Shell & Lines—to 400 sq. ft FZR Steam ?10.00. $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $. Each add 200 sq. ft. EPR Steam A on $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL SURNEF.—to 3 gal per hour 6.00 over 3 gal. per hour—See Fee Schedule GAB BURNER (up to M,000 BTU) &00 $ over 199,000 B7V So* Fes Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 fixtures x$ 200 $ Additional Fixtures x .98 Gas Rano to 39AW a4l &00 $ r�t rmte,� -1,4/- % State Surcharge x.50 lace Fee schaduk TOTAL t Dept. Otl B1dS. lI City of lridley: The undersigned hereby makes application for a permit for the evork herein specified agreeing to do all work in strict accordance with the City Ordixiz=er- and reeling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 1-19 F;dley, Mnn- 6-2 Owner Kind of Buildinr To be completed abouty �� Estimated Cost, $ Old—.New. Building Permit No. —._ Permit No. - BEATING or POWM NTS --Stearn, Not We Warm �No Trade Name Sine No Capacity___._ — Sq. rL E.D.R BTU HP 'total Connected Lmrtd I Kfnd of rMl BURNER — Trvde NaSize N� (W aa--oveal of Fridley SUBJECTr?i -IVO"City 3831 AT THE TOP OF THE TWINS BUILDING PERMIT r ;, ECEIPT NO: • COMMUNITY DEVELOPMENT DIV. r L - --- PROTECTIVE INSPECTION SEC. 1 =� 0'---1 CITY HALL FRIDLEY 55432 �'--' ,'j NUMBER REV.GATE PAGE OF APPROVED BY 612-560-3450 910-F15 I 10/18/76 JOB ADDRESS 1460 Trollhagen Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Innsbruck 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rollo R. Black 1460 Trollhagen Drive N.E. 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 l ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 24' Garage and a 22' x 28' Family room and porch 9 CHANGE QF USE FROM TO STIPULATIONS Provide City with copy of truss design. Call for fireplace roughin before setting damper. WARNING Bfte digging call local unfits SEPERATE PERMITS REQUIRED FOR WIRING,TELEPHONE- ELEGitztG - GAS Etc. HEATING. PLUMSING AND SIGNS. 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 R-1 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, $12,000 $6.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $74.48 SiG I EIpF-Gp CRORAUTH RIZEDAGENT (DATE) -7 6_-� WHEN P OPE�R(LYnVgALIIfIATED THIS IS YOUR PERMIT(/may Z k) BLDG. WSP DATE +7 SIGNATURE OF OWNER IIF OWNER BUILDER) (DATEI l,l i i yr rRLULGf APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PEPJ1IT OWNER'S NAME: �-oC � 'x BUILDER: F TV -0 ADDRESS.: I C k2 e j �`r ADDRESS: NO:. STREET: LOT: BLOCK: ADDITION: CORNER LOT- INSIDE LOT: SETBACK: SIMARD: Applicant attach to this form Teio Certificates of Survey of.Lot and proposed building location drawn.on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 4�s. Fxa _ � Depth ��- Height • Square Feet: Cubic Feet: 'Fr -2 Depth: 2-4S Height: / Square Feet;_I6 _Cubic Feet:_. Type of Construction: Estimated Cost: $ To Be Completed: �enrd—� 1 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby \ 1 declares that all the facts and representations stated in this application are true and correct. u I ATE: SIGNATURE: (sea Reverse Side l' r Additional Information.) 'eA x. i'ea'-j C ®10 y r �0 ! 7`V ka r 1 Ax'. P BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any additiari to any existing 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: 14EW CONSTRUCTION: Single Family Homes and Garages: $4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFORMATION 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 per each five hundred dollars ($500.00) or fractionthereofin the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50. 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 Certified 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 OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use 6r occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. sue�Etr P City of Fridley 30300 AT THE TOP OF THE TWINS BUILDING PERMIT R a COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. � 1 � � PROTECTIVE 1 ; � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 9/28/99 JOB ADDRESS 1460 Trollhagen Drive I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Innsbruck, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rollo Black 571-0474 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Constr. Inc. 4208 83rd Ave N Brooklyn Pak 55443 566-5225 20077950 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 O NEW O ADDITION ❑ ALTERATION M REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (19 S Tear -off 9 CHANGE OF USE FROM 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 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 $1661 $.83 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER TATE R LOCAL LAW REGULATING CON- $60.10 Fire SC STRUCTION OR THE PERFOR NCE f NSTRUCTION $1.66 / Q �O__77 PLAN CHECK FEE License 5.00 TOT EE 7.59 SiGNA EOFCON.aAC QORAUTHOpiZEDAGENT ipATEi EN ROP ALIDA E/ THIS IS � UR PERMIT - Ile& BL -NSP ' ! . �.�C�C� ��ATE S,GNATUAE OF OW NEP aF OWNER BUILDER, DERi ATEA ,Zep 28 99 09:47a Kerri 566-7183 p.2 NEW[ ADDN [ I ALTER [ ] Construction Address: Legal Description: _ Owner Name & Addrf Contractor:& Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: . Effective 5!10199 CITY OF FRIDLEY b� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION d� I Y� Tel. # 5 71-- 0 V7 V MN LICENSE #_ 2-00 9S?� Tel. # 4* —04a, r Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. 3 Construction Type: e timated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: d APPLICANT: V V'1 FMQL�Tel. #67if TOTAL STIPULATIONS: CITY USE ONLY Permit Fee 6o. $ % o Fee Schedule on Reverse Side Fire Surcharge $ (� �v .001 of Permit Valuation (1/10th%) State Surcharge $ c`.� $.501$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 0 $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: CITY OF FRIDLEY PERMIT N.: 2004-01888 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 10/14/2004 571-36U4 YAX: 1 7(33) 571-1257 ADDRESS : 1460 TROLLHAGEN DR NE PIN : 253024120042 LEGAL DESC : INNSBRUCK 2ND ADD : LOT 5 BLOCK 3 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 6,873.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. PARTIAL REROOF AND RESIDE HOUSE. STATE LICENSED CONTRACTOR 1 APPLICANT NORTHLAND HOME EXTERIORS INC 308 SW 15 ST FOREST LAKE, MN 55025 BLACK MARLENE & R R TRUSTEES 1460 TROLLHAGEN DR NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby cern t I have read and examined this application owV�?e true d correct. All provisions laws anv ' g this type of worl will be complied wi ed herein or not. The granting of a rmit goesa to give authority to violate or c cel the y otherstate or local law regulating oqq uc oance of consVQgtioil.® , Bldg Insp BUILDING PERMIT FEE 139.25 FIRE SURCHARGE 6.87 STATE SURCHARGE, VALUE 3.44 LICENSE SURCHARGE 5.00 TOTAL 154.56 PAID WITH CHECK # 3019 u SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [) CITY OF FRIDLEYIC-95y '54ctive 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: /460 OJ -2 9"— Legal ir Legal Description: Owner Name & Address: ,6ffo /347,1 /4 &0 1212D190eI &- Tel. #76.31 S? -I- ® y Z� Contractor: /yc->rz�eU'/ EX/ v MN LICENSE # Address: j Tel. # 6 �C^r 4,6 K=C2 - LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction 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 Sq. Ft. Length Width Height, Sq. Ft. Length Width Hgt/Ground Sq. Ft. /017 cl� ('-� 0U Ale �axw Pes;o/,irz? Estimated Cost: $ T O Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: I OWM APPLICANT:�Or�C2� ,��3%7i� Tel. # r% � i2 If Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ Fee Schedule on Reverse Side $ 65% of Permit Fee $ Lj°7 .001 of Permit Valuation (1/10th%) $3 y $.50/$1,000 Valuation $ $1350 per SAC Unit .$ . $5.00 (State Licensed Residential Contractors) $ Alt. "A or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $� d� STIPULATIONS: 1+ I -1 Cr S- MOM: %,ILy or rnuley 10-. 001-404-U/UU rage: uo Vale: IU/LO/LUUO I I : a I: /_0 HIVI ® IA)do Building Permit Fee BUILDING Page for Fee Schedule Permit No.0Gv1-0p y Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION $ _ Received By: i 763-572-3604 $4jjj CITY OF FRIDLEY License Surcharge DatcRL" ,l_90 DATE ` Q YOUR E-MAIL ADDRESS SAC Charge SITE ADDRESSL(� �h nC d Curb Cut Escrow THIS APPLICANT IS: ❑ OWNER ONTRACTOR Erosion Control PROPERTY OWNER/ NAME: Park Fee TENANT ADDRESS: ic CITY STATE)JIZVIP_S 5aj $ PHONE:(® �=�7 J 'C/ 7 SL Total Due CONTRACTOR NAME:--.-/ i STATE LICENSE # 'a ® el Cj EXP DATE— 3 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: i D`� /41-7 CITY R2�_ STATF W'1IP 2- 195 WITH APPLICATION PHONE (o FAX (0 / - & — ()"/®® JS SINGLE FAMILY/NEW CONSTRUCTION SIZE _ PROPERTY TYPE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ''WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEMEPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. OIi 0M ❑ HOUSE ONLY tdUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING ❑ Vinyl ❑Soffit FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Aluminum ❑ Trim ADDITIONS 1. & PORCHES SUBMIT: Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS )dYes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF �40cyy� OPENING CHANGES & Rre S e l I' V"% TYPE OF WINDOW TO BE INSTALLED G/tt'tQIA,_ NUMBER OF WINDOWS ♦ T T 'fTTTfV ruji, rr,,0 rust, JDA0V,11 VA VA1,UA11U14, nULUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ Q( -)n -,QC Q(—)—,QCOCCUPANCY TYPE Permit Fee $Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ _ .001 times the total job valuation Surcharge $4jjj .0005 x Permit Valuation Minimum $.50 License Surcharge $ C'� _ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 T 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 application 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 which requires review and approval of plans. SIGNATURE OF APPLICANT w 1 _� PRiNT NAME �1 i1�� _DATE ��