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PRE 2010 DOCSCity of Fridley, Munn.. BUILDING PERMIT N° :56:29 Builder .i -...---..----.----- Address ---- '' CATION OF 1 DING No. St -" " _ _ of Lot Lot _ Block_ Addition or Sub -Division, __ - Corner Lot _ Inside Lot Setback a�r-.__ Sideyard Sewer Elevation ___ _ _ Foundation Elevation DESCRIPTION OF BUILDING To Used Front` + Depth; Is Height Sq. Ft '•AVK�r Cu. Fts o s Front Depth ei S . Ft .... Cu. Ft ght q �1� Type of truction _ Est. Cost _.. `" �"3'o 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. 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 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 violati fnay 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 no the Building Inspector for separate permits for -these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA .-/�4. j Chiner I s Name Builder Address 0 LOCATION OF BUILDING No. - Street A&:�_Part of Lot Lot Block Addition or SubdivisioA Z Z- 9� Corner Lot Inside Lot Setback, `� �-----Side-Yard ®d %4--5" 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: ' Front ` Depth Sq. Ft. - Front 2 -22 -Depth_ / S Ft. � Type of Construction�R�v To be Completed I if 31 IV2-1 Haicht 2-2, . Ft. 1 P- -r7 . Cu. Ft. ted Cost 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 a facts and representations DATE SIGNATUR stated in this application are true and correct. E r (A Schedule of Fee Costs can be found on the Reverse SO//.") 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 build- ing 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 canner 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- proof addition, for similar occupancy, to any existing building shall be the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the than a garage, warehouse, factory addition, for similar occupancy, each one thousand cubic feet. GARAGES erection of any non -fireproof building other or grain elevator, or any non -fireproof to any existing building. Permit $1.00 for 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 contents 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 for each Five Hundred Dollars ($500.00), or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. r 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 �� TQTAL Number Fixtures ............... .......- x $1.50 $�U Future Fixture Opening .... . . .......... a� x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ CJ U New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: RATE TOTAL_ 1st 3 Fixtures .......................... x $1.50 $ i Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ay/��6 Dept. of Bldgs. Phone SII 4-7470 1 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 and correct. Fridley, Wnn '0"o-- Owner 0"-Owner ��°� Kind of Building /T' Used as To be completed about Estimated Cost, $ Old New. uilding Permit No Permit No. 0 4 Signe By Business Phone No ROUGH /L r I ®(® FINAL 8 o � < �U � 00 � F N WATER HTR. GAS ELEC. F� Ln c � S 3 � 4n 0 Base 1st 2nd 3rd 4th • Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool °] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE �� TQTAL Number Fixtures ............... .......- x $1.50 $�U Future Fixture Opening .... . . .......... a� x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ CJ U New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: RATE TOTAL_ 1st 3 Fixtures .......................... x $1.50 $ i Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ay/��6 Dept. of Bldgs. Phone SII 4-7470 1 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 and correct. Fridley, Wnn '0"o-- Owner 0"-Owner ��°� Kind of Building /T' Used as To be completed about Estimated Cost, $ Old New. uilding Permit No Permit No. 0 4 Signe By Business Phone No ROUGH /L r I ®(® FINAL Application for Power Plants and. Heating. Cooling. Ventilation, .Regi and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU. 4-7470 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 ............................. §.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 $ A 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 City of Fridley: I V The undersigned hereby makes application for a pernut 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 true and correct. Fri" , 1dinnn / C � y 194 Owner r Kind of Building t' Used as To be completed about DESCRIPTION OF WORX— . � __ _ HEATING or POWER PLANTS --Steam, Hot Water,(,Wam�A 6 Trade Name_ 'lam a � '"e $Size No Capacity. Sq. Ft. E.D.R- �-� 4 BTU H.P. Total Connected Load® `� Kind of Fue �"� �% F BURNER — Trade Name . Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS-OVER) SignecRAY N a W E LTE R HEATING CC 4637 CHICW130 AVE. By— MININEnPQ IB 7 MINNESGTPA_ o z 2M 7-59 Business Phone No �- e 4+ w n D•56 s ►8719 @a '4.9a 4id �t$ 6";,.e ' ` HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS -7 5V ° MINNEAPOLIS. MINN. D•56 i s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS.. MINN. Weatherstrips A•S.H.V.E. Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes—No 19— F1.1 eig t4 Room Length Width ✓ Height Fl.1,,4Room Length 1 4 Width /,t leiieightrt 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 sq. ft. No. of Lineal ft. Area -,-sq. Coef. Btu Coef. �- Net exp. wall ft. �~ dBtuInfiltration Glass Ceiling 4 A- 4 Exp. wall ele 7 1 vro + Net exp. wall Int. wall .�. Int. wall Infiltration r Ceiling ;' ,d Floor " 1'otal btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.lk,';z, W Room I Length Width L/!P Height indows and Doors--,Crackage and A>wea Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area -,-sq. Coef. Btu Infiltration Glass Exp. wall Xrx �- Net exp. wall ft. �~ Int. wall Ceiling 4 A- 4 Floor 7 1 vro Windows and Doors—Crackage and Area Coef.1 Width Height No. of Lineal ft. Area -,-sq. 7. No. of pane of pane lights of crack sq. ft. ft. �~ Exp. wallK ` Net exp. wall + Int. wall Coef. Btu Infiltration r ;' ,d Glass " v ,/? rc' Exp. wall.„, � Net exp. wall 1 z) 1 Ap.76 1 otal Utu. Coef.1 Btu Infiltration -,-sq. 7. No. of pane of pane lighte-j of crack ft. �~ Exp. wallK ` Net exp. wall + Int. wall Coef. Btu Infiltration �' Glass'" Exp. wall tPt` Net exp. wall jGp I ZI.( . Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 Int. wall Ceiling'",Lv ,f Floor lat 77 &Z Total Btu. 0 /. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FLI Room ( Leng 9, Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. I Area No. of pane of pane lights' of crack sq, ft. Coef. Btu Infiltration Glass >� Exp. wall 7t La— Net Net exp. wall Wit. wall gsf is 1 Floor Total Btu. ,-.,� No. of pane of pane lights of crack eq. it. -Sol er�,l Opel Coef.1 Btu Infiltration 7. Glass Exp. wallK ` Net exp. wall + Int. wall Ceiling ;' r Floor —o, , Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area c-e� .1Zol67 N® 6487 Address No. Stiff Lot _ Block Corner Lot Inside Lot Address adrt--1 of Lot Ition or Sub -Division . Setback ..-- Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING Wy t From Depth Height Sq. Ft. Cu. Ft. Front Depth ae Height Sq. Ft. Cu. Ft. Type of Construction _ _ _..._._ Est. 1 To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do thh proposed work in accordance with the descriptionset _�r--t�_in co ; ' ce with all Of ordinances of the city of Fridley. -- In consideration of the payment of a fee of It ._.., " is hereby granted to to construct the building or additi�off 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, Ii?3nnesota regarding location, construction, alteration, maintenance, re and moving of buildings within the city limits and this permit may be revoked at any pon v�p ' n o of the provisions of said ordinances. or �d NOTICE: This permit don not ewer the construction, installation for wiring, phtmhing, an heaths& sewer or water. Be sur® to we the Building Inspector for separate permits for these Items, CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Job Address / 4 4 3 Te -&x e—Ho 9 A% RESIDENTIAL RATE TOTAL F Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ 10.00 $ /0"a . Tel. #571-3450 $ 10.00 $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct.. $ 10.00 $ Fridley, Minn. � i L �. 7 , 19 D s /'T OWNER O b E RLT 4 ER -60 N $ KIND OF BUILDING l *---% G USED AS S 7 A.,!5 ;L + T $ TO BE COMPLETED ABOUT State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit 1� MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. ESTIMATED COST $ .50 go - OLD - NEW BUILDING PERMIT NO. PERMIT NO. �Y $ $ %5,�t� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- yNo. C Trade Name �Q i% [ Size No. J O 55 a 0O�I O — IS C Capacity Sq. Ft. EDR BTU �OG�j HP Total Connected Load Kind of Fuel AIA -r J&oe BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company 5AA &V 4y Signed By Tel. No. Fill out back side for stack verification on replacement furnaces CHIM14EY 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 connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Da to FIRE DEPARTMENT MEMORANDUM DATE: JANUARY 15, 1991 TO: ✓BUILDING INSPECTION ASSESSING SUBJECT: FIRE DAMAGED STRUCTURE FIRE HAS OCCURED AT: 1463 TROLLHAUGEN DRI` ON: 1/15/91 FD -7 SUBJECT Pp�' City of Fridley 20717, AT THE TOP OF THE TWINS 1 BUILDING PERMIT t CCCL R COMMUNITY DEVELOPMENT DIV. Tr ______ r PROTECTIVE INSPECTION SEC. '3 NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 2/14/91 JOB ADDRESS 1463 Trollhagen Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Anderson/Mary Neuma 1463 Trollhagen Dr NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Giertsen CO. 860 Decatur Ave N, Golden Valley 55427 546-1300 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING XMIN Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �l REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Fire Repair 9 CHANGEOFUSEFROM TO STIPULATIONS Call for inspection after demolition. Provide smoke alarms on both levels. AT 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 80 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 l 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 $65 00.0 $32.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT F 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- $482.00 Fire SC $65.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE _. / p V,/ i l $579.50 s WHEN PROPERLY V (DATED T IS IS YOUR PERMIT s)G ATURE OF CONTRACTOR OR AUTHPIZED AGENT (DATE) BLDG INSP rw SiGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] Effective 1/1/91 AD L ] R-1 AND R-2 ALTER [ ] Building Permit Application Ccnstructian A. dress: / 7��,'�- -�,�' b r, M, , 1 r• w . � ' y - � I � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTICET OF II�YMM LIVIDO AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width H#/Ground Sq. Ft. 07MER: Corner Lot [ ] Inside IDt [ ] Ft. Yd, Setback Side Yard Setbacks Type of Construction: —A�,2_ /�-e a-tA� Fstipated cost: $ �O �, 06 6, O � Approx. Ccupletion Date. 0 /05 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: o�l� APPLSCANT: - Tel. # ��®O Permit Fee $ . Fire Surcharge $ State Surcharge $ SAC charge $ C� .no Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOM CITY USE ONLY I Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined byi* Agreement Necessary [ ] Not Necessary [ ] r >b,00c, L111f,S0 'QC1 The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, re ,;a the payment by the applicant for such permit of fees to the amount herein below set forth and in the marmr herein provided to -wit: $1 to $500 $15 QUnimmmm Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to arra including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof UIRIVEIM SSICK ESCROW (Cmxmvte Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $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 times $15.75. [ii , n �_ 4 (c; Ili 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 it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES HATE SCHEDULE Job / / 1; RESIDENTIAL RATE TOTAL Address Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 Gas Piping $ 10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. b 9 * Air Conditioning (all sizes) $ 10.00 $ , 19 All Others/Repairs and Alterations OWNER 16 of Value of Appliance or Work $ KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS 1 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT ESTIMATED COST State Surcharge $ 5 OLD - NEW BUILDING PERMIT NO. PERMIT NO. TOTAL r= REINSPECTION FEE $30.00. $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date Final Insp. Date Approval for Permit HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. lJ , MINI FEE FOR ANY HEATING/COOLING/VENTING PERMIT I $15 _00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. A Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP W �f g� Company wmafmmamemw Signed By 8060M YE Tel. No.�� Fill out back side for stack verification on replacement furnaces Rema rk s Company Signed By Date it Y CHIMNEY AND STACK VERIFICATION E " The undersigned hereby verifies that the. existing chimney or stack; j 1. Has been carefully examined Yes (,) No.( ) 2. Is free from rust or deterioration Yes (i) No (..) 3. Has no foreign objects lodged within Yes ({) No (.) 4. Is securely supported Yes (i) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes (;) No 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Date it Y CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. A►roi TOTAL New Fixtures C $ 7.00 - Old Opening, New Fixture a -4 „x � b , Beer Dispenser Water W d W H � 7.00 = '� N $ 7.00 = $ Rain Water Leader $ Heater $ O 7.00 $ Water Treating Appliance � $ p C@M� V•OCO Water Heater - Electric U Ol Water Heater - Gas $ 10.00 = $ Gas Range CI p 00 to 3 O W $ 4 �Uy) $ Back Flow Preventer Required ( ) Yes 0 No Type S 5.00 = $ fA W U 3 U- Y C7 O 1 1st 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures C $ 7.00 - Old Opening, New Fixture $ 4.00 - $ Beer Dispenser $ 5.00 m $ Blow Off Basin $ 7.00 = $ Catch Basin $ 7.00 = $ Rain Water Leader $ 7.00 = $ Swap/Receiving Tank $ 7.00 $ Water Treating Appliance $ 10.00 $ Water Heater - Electric $ 7.00 = $ Water Heater - Gas $ 10.00 = $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 = $ Back Flow Preventer Required ( ) Yes ( ) No Type S 5.00 = $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS li of Value of Fixture or Appliance . REINSPECTION FEE $30.00 State Surcharge $ 50 TOTAL FEE $'lia,50 Effective Date January 1, 1991 Job Address � ® �1(_, Al ell Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. OWNER d' -S _ fS 72) 0, KIND OF USED AS TO BE COMPLETED ABOUT 6.119,141111 ESTIfN1TED COST .-,7,/, -5, 30-- NEW BUILDING PERMIT NO. PERMIT NO. Company Signed Bp Tel. No. ROUGH INSP. Date FI14AL INSP. Date Q APPROVAL FOR PEP -MIT O MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range NO. RATE TOTAL JOB ADDRESS- The DDRESS $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 Gas Dryer $10.00 - Back Flow Preventer Required NYes () No Type (a 20 S6 -05cO $5.00 fZy n. k Ll,,A_ Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance 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 that all the facts and representations stated in this application are true and correct. �T 2 , 1991 owner 4jrjT&i 065 7_2676P Building Used As -2&51 D � Estimated Cost -PERMIT NO. D�® PLUMBING COMPANY SIGNED BY!" e TEL N0. S %_ • Approved By Cr,2 -r-- Rough -In Date Final Date j0 "3O State Surcharge $ .50 _ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $.15.00 TOTAL FEE 9 ---PLUS-THE STATE SURCHARGE r Wash Tray `".. FIoo r Drain A to. W sher ::. >Gas ::.:...... 9al W atr Heater ' :..::.:..:. Gas EI ecShow Ba same n Floor 1 Floor 2 FI or 3 0 I r4 F o0 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range NO. RATE TOTAL JOB ADDRESS- The DDRESS $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 Gas Dryer $10.00 - Back Flow Preventer Required NYes () No Type (a 20 S6 -05cO $5.00 fZy n. k Ll,,A_ Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance 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 that all the facts and representations stated in this application are true and correct. �T 2 , 1991 owner 4jrjT&i 065 7_2676P Building Used As -2&51 D � Estimated Cost -PERMIT NO. D�® PLUMBING COMPANY SIGNED BY!" e TEL N0. S %_ • Approved By Cr,2 -r-- Rough -In Date Final Date j0 "3O State Surcharge $ .50 _ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $.15.00 TOTAL FEE 9 ---PLUS-THE STATE SURCHARGE SUBJECT PE City of Fridley 216 011 AT THE TOP OF THE TWINS BUILDING PERMIT i ? RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. 4L'� i NUMBER REY DATE PAGE Of APPROVED BV = CITY HALL FRIDLEY 55432 IL'""' %J 612-571-345.0 910415 10/8/92 10B ADDRESS 1463 Trollhagen Dr NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 2 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenton/Patricia Oestreich. 1463 Trollhagen Drive NE 571-7631 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 251 x 12 k. Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, SEPARATE PERMITS REQUIRE® F®R,r�' WIRING, HEATING, PLUMBING AND SIGNS. Before digging call for all utility locations 454-0002 REQUIRED BY LAW 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 $2 112 $l, O6 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r 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 $2.11 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $57.17 I NATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI W LI ATE HIS IS YOUR PERMIT®SIGNATURE �Pv OF OWN R OWNR BUILDERI IDATEI G BATE NEW [ ] Effective 3/1192 ADDN [ ] CITY OF FRIDLEY ALTER M SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 1,46 3 2 &u� J44 AgAj 'ID?2 o vF Legal Description: Owner Name & Address: - ��-*'�'c' 5. or- P4,pi2 tc j 4 •7o OES'D2ac-F j Tel. # '571-7 Contractor: S'A Q6 '4-T r1 MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the K 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 2 b- Width i z Hgt/Ground Sq. Ft. 27 )r OTHER: Comer Lot [ ] Inside Lot [0c] Ft. Yd Setback _ Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ 2112 6 6 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ DATE: / 0 & APPLICANT: 6U - S,2&rG d Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee $ -6-4i©0 Sewer Main Charge $ �— TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) Tel. # 5-7/-76,3/ (-4) 37e -t&60 -1z0VCW $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair 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 VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to 32,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,101 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,060,001 and up $45 for first $2,100 plus $9 for each additional $1,000 or fraction thereof, to and including . $25,010 $252 for first $25,000 plus $6.50 for ' each additional $1,000 or fraction thereof, to and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $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 times $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 it has been constructed will be required before proceeding with the framing. -- -- - — - - - �' ", rOr► ^_. ...- -- - - - 36" MIN. h' E I G 1pf EIFY PIA". x fr VFk - - - �-a N - - - t Y _ O n D-_ - -A_ Ila ,o Iz - m__Tl 99A.T.—E _ .SQ57 v� y _� VL S r' ' 1��� x O N Z ir F m lop - --7 - - CAI rn rl r 11A 5 �L lria E 2 �d - -- --- - -- - SDR I QUANTITY DESCRIPTION FEET PRICE AMOUNT - { g - _ 4. .. -' 10 11 c) _ ►'L Z +c 10 -T r_ c;, . Ja%S-re4_ r• 12 1g 5C- L. Z -A its 13 14 c C. c-.1. 15 F, 16 17 18 - 1 bt y •� 1.�: G ' 19 t ~� Z CC 'S -r m t•.• C-� C 9 Z 20 QS {.Co ZG� :.•� `: t>,c.rt. Ot' Ie -t r 1': 1 Z t' 21 22 '�T LA. i 23 4-1co' Z,,cG, S4cEt> x r -e. `7:zEf��� 24 _ I Z.4 Cc ` el. G oA-rz– lZ• L Tni� 26 27 10 � tre 'L�4 545 e-EVArz-. fi r -V- .-r 5 !11;+ I cd, 28r 1 G- . • i `T. �' •� -1 C, h � G E t> P: � Lr• � t, t � t +_ + C•.- 1 ? •-� 1 1 - + •� "� 5 G E c.: t . !. C_. Y .•,, ► =- r . `) 32 Z 17-' TOTAL GEORGE E. HOPKINS • Registered Land Surveyor and Civil Engineer Phone SO. 1-8856 10701 Nicollet Avenue South Minneapolis 20, Minn. PLAT OF SURVEY PROPERTY OF Described as _ Scale 1 inch — 40 feet Bohn H. Pa/mer 7117 We rl Whore Drive — Mp/s 24, W7/7 - L01 3, Block 2, 11717f6ruck Znd McWion fas e fief ®Bay° M � Q N 0 . o" denotes iron monument This survey was made and a cerfifcafe prepared for John N. Pa/mer' for fhe purpose of showing 1he boundaries of fhe /o and fhe ufiGfy easemen . There are no encroachmenix CERTIFICATE OF SURVEY I hereby certify that on �oY�mber ^ Ig CO I surveyed the property described above and that the above plat is a correct representation of said survey. J