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PRE 2010 DOCSCity of Fridley, Minn. V 9405 BUILDING PERMIT Date: August 18, 1967 Owner: Rodney Billman Inc. Builder Rodn.en Bi11man Trac - Address 3000 36th Ave. N. E. Address Same LOCATION OF BUILDING No. 1538____ get Trollhagen part of Lot Lot — 9 __ Block 4 Addition or Sub -Division Innsbruck 5th Addn Corner Lot W Inside Lot _ _ Setback _ ___ Sideyard Sewer Elevation ____ 977.41 . _R969 980.43 DESCRIPTION OF BUILDING To be Used as: Dwelling Front 65 Depth 26Z28' Height 20 ' Sq. Ft Cu. rt Front Depth Leight Sq. Ft Cu. Ft Type of Construction Frame Est Cost —....a�2 00__ To be completed'-.., Noy, 15, 1967 SEWER LOCATION- 8' East of Manhole WATER LOCATION - 10' East of Sewer 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 a& provisions of ordinances of the city of Fridley. $7 00.00 Sgwer .onn anti nn Charge In consideration of the payment of a fee of $__A8. 00 , pmt is herby gated to Rodney Billman, Inc. to construct the building or addition as described above. This permit is granted upon the express onndition 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 pmt thereof, shall conform in aII respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any tune upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Bundwgjnqxwt= NOTICE. Uh permit doss not cover the construction, histalWon for wiring, plumbing, gas heating, sower or water. Be sure to we the Building Inspector for separate permtM for them items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME�� BUILDER r ADDRESS �e�� ,.Z ,�,��/�1 /® ADDRESS ... edPtq - LOCATION OF BUILDING NO. ` STREET PART OF LOT a� LOT BLOCK 41 A))ITION OR SUBDIVISIO _ CORNER LOT INSIDE LOT SETBACK SEYER ELEVATION TOP OF FOOTING SIDE -YARD_ d s - ' 14 Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. 'DESCRIPTION OF BUILDING To be Used as; _Depth �iF%it�� 2 4 Height e/ Sq. Ft. Cu. Ft.- Front t. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �`�� Estimated To Be Completed The undersigned hereby makes application for.a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this appl.icat n are true andcref DATE c SIGNATURE l� (Schedul of Fee Costs can be'found on the Reve Side). a (0 City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Loaati n 473 �U' in � c v�Qpz O � az U 6 � °d �U' aS z �G 0 • F • N WATER HTR. GAS ELEG Base 1st .2 i e 771 2nd 3rd 4th • Future Connection Openings 1Sewer New Fixture, Old Openings J Connected with Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $2.00 $ le - Future Pcture Fixture Opening ................ x $1.50 $-3,e,6 New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... .................. .. x $3.25 $ Water Heater (Up to 99,000 BTI) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater -, $200 $ • ® G GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code 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, Minn `� "i —, 19— Owner j Kind of Building Used as To be completed about Estimated Cost, $ Old �Newuilding Permit No Permit No. Signe By Business Phone No ROUGH FINAL Description ................................................$ TOTAL FF.E $ .2-3.-o6 42 Application for Power Plants and H i pp eating. Cooling. Vent,laton. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ 10 ®® each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ Dept. of Bldgs. Phone SM -3450 Location 157>6��+�� City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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, fBE= 19 _ Owner Kind of Building Used as STEAM or HOT WATER SYSTEM To be completed about Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Estimated Cost, $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Old—New. Building Permit No. q410 Permit No. 36)9-7 Each add. 200 sq. ft. EDR Steam ... .................. 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ DESCRIPTION OF WORK OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule HEATING or POWER PLANTS -steam, Hot Wa ,Warm Air No 1 `.� , © a Trade Name I'A•",J� Size No T�C� a'q_ GAS BURNER (u to 199,000 BTU) ............ p over 199,000 BTU See Fee 5.00 $ civ�3Q. T 3 Schedule CapacitySq. Ft. E.D.11BTU H.P. GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 2.00 $ Z Total Connected Load er `� `a` Kind of Fuel ij &M GiWb Additional Fixtures ................. x .75 $ BURNER — Trade Name- Size Gas Range to 199,000 ........... x$ 5.00 $ i'A- Capacity Sq. Ft. E.D.R H.P. AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM I $ '1 CA ALTERATIONS & REPAIRS TOTAL FEE $ 1'Z< �a Signe A tJ to 1_ r J Q at$y e a ROUGH _ 041&.42 Business Phone No- FINAL (REMARKS—OVER) Appiicat%n for Power Pfants and Heating, Cooling, Ventilations Itetrige- allon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: IRATE TOTAL Furnace Shell & Duct Work .. $10.00 $ Replacement of Furnace 6.00 ; Repairs & Alterations—up to $500.00 6.00 $___ Repairs & Alterations each add. $500.00 S.OU $__ MECIL WARM AIA Furnace Shell & Duct Work to 120,000 BTU ...... . $10.00 $_ each add. 60,000 BTU .................... 3.00 ; Replacement of Furnace .. .. .... 600 $ Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... .. 3,00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam $.00 $ _ Each add. 320 sq. ft. EDR Hot Water 3,00 $ OIL BURNER—to 3 gal. per hour 6,00 $ over 3 gal. per hour -See Fee Schedule GASB (up to 199,0co BTU) ...... &00 $ over 169,000 BTU See Fes Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .. . ..... x$ zoo $ Additional Fixtures x .75 $ Gas Range to 199,000 x$ 600 $ AIR CONDrrIONINa FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL f-/0- _791 I Q "�-o ISO* Fes schedule $ TOTAL FEE $ (SURCHARGE $_.50) Dept. of Bldgs. Phone 880.3480 City of Fridley: The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn � — / S? 19 7 ?- Owner 9 m O .��AAr® Kind of Building ._ —z -L e Used as To be completed about Estimated Cost, Old—New. Building Permit No. Permit No. DSSORIPTION OF WORK HEATING or POWER PLA415--steam, Hot Water, Warm Air No Trade Name Size No, - Capacity Sq. Ft. E.D.R BTU H.P. Total Connected load Kind of Fuet BURNER — Trade Name Size No Capacity Sq. FL Emit 11$BTU— By- TU A (REMARKS—OVER) $ieetcel � ; By i ° A ....!N, Business Phone No-- E2 kf - L 6 SUBJECTO - City of Fridley 22258 AT THE TOP OF THE TWINS BUILDING PERMIT i COMMUNITY DEVELOPMENT DIV. 6AIla_ ----- I PROTECTIVE INSPECTION SEC. r , NUMBER REV. DATE PAGE OF APPROVED BY 1 CITY HALL FRIDLEY 55432 612-571-345.0 910-F15 12/6/93 JOB ADDRESS 1538 Trollhagen Dr NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 4 Inns -truck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Scott/Terri Black 1538 Trollhagen Dr NE 574^9688 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. New View Construction Inc 2406 Grand St NE is 55418 789-8704 3894 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 14'x 121 Three Season Porch and an 18° x 101 Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, WARNING KTQ BefOre digging call for all WHO 10cafions 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 SO. 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 $15,000 $7.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF NY OTHER STATE OR LOCAL LAW REGULATING CON- $162.00 Fire SC $15.00 TRUCTI N O HE PERFORMANCE OF PONSTRUCTION. PLAN CHECK FEE TOTALFEE o 7 License SC $5.00 $189.50 GNATURE OF CONTRACTOR OR AUTHORI E A IDA 1 W H E71ERL LIDATED THIS IS YOUR PERMIT 9 i GATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW (] Effective 5/26/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPI.EXES R-1 AND R-2 Building Permit Application Construction Address: k ,: ,R -7-75(� 1 t A 4 C, F.t-) I )1e.11 -�- P-! 0 LE,y Legal Description: Owner Name�Bc Address: ` `i Z" 7- � { j jC Tel. # 6 Contractor: /jEhj 1//j MN LICENSE #000 Address:_�� ('Jc5 �� CC, rkj P LS Lel � 5J q/ 9 Tel. #75?c� LIVING AREA: Length Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Width Height GARAGE AREA: Length Width DECK AREA: Length / Width OTHER: Corner Lot [ ] Inside Lot Ft Yd Setback Type of Construction: ()()I) - p, C � Approx. Completion Date: �� mos Height Hgt/Ground >X/fir Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cast: $ I5, d C) oma° dam' (Cost on Back) Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ $ DATE: / / /30/' l3 APPLICANT: Tel. # 7S / 37O \y CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ �✓, 4;-0 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th`) $.50/$1,000 Valuation. $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary ( ] TOTAL $�, r� �%,�„ STIPULATIONS: WARRANTY TITLE INCORPORATED UNWERSITY AVENUE WEST, SUi'rE 7d0,.ST. PAUL. UN. $5111 COM PLAT DRAWING (This is not a survey) File # �� ..� �+.�J��tr^�►'i- /�t�"'O� Legal Description: . G! Address of Property: t>r "?A—I i'vf Scale. N • /� as ��Lt G p`_t s I� n - a P "Mm location of the 3�shoran an this d�n9 i°°atethe are based an visial inapection of the premises. The lot &)mens' cm are taken frm recorded plat or county records. "" c -aging is for infvrmtional pwpOles and should not be used as a survey_ It does Dot Constitute a liability of the vmTanY Ona is inteWW for mortgage purposes ooiY-" ERMIT NO. SUBJE& City of Fridley 3 0209 AT THE TOP OF THE TWINS BUILDING PERMIT RE EIPT NO. COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 0 � � {{// CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BY L J\ 612-571-3450 91aFl! _ 9/13/99 10B ADDRESS 1538 Trollhagen Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 9 4 Innsbruck 5th Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Terri Black 574=9688 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Constr. 4208 83rd Ave N BrooklynPark 55443 566-5225 20077950 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION INX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 33 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $2884 $1.44 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STA OR CAL LAW REGULATING CON- STRUCTION R THE PERF A OF NSTRUCTION $83.25 Fire SC $2.88 ' f�'� PLAN CHECK FEE TOTAL F � License C 5.0 $9 .57 pE F CONTA ORO AurHp IZED AGENT (DATE. EN OPE ALIOATE IS IS Y R PEpMI iO� �p 1P p.TE /-�f S.GN4TUAE OF OW NEF�iF OWNER BWIDE%�i IDATEI ERMIT NO. APR -14-1999 11:34 FROM CITY OF FRIDLEY TO 5667183 P.01i02 NEW" It 1 CITY OF RUDLEY ADDN C l ALTER C ] SINGLE FAMILY AND DUPLEXES R-1 AND R•z BUILDING PERMIT APPLICATION 3 0� ConstrucdonAddress: Legal Description: Owner Name & Address: Contractor•s2/ Address: c LjmG AREA: GARAGE AREA: DECK AREA: Z Tel. # 5-) MN LICENSE # Zoo 220 Tel. # —z7a(O Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MPROVEMENT Length Width Height !� Sq. Ft. Width Height Sq. Ft. Length Length Width Hgt/Ground Sq. Ft. OTHER: 3 0 - Construction Type: . I Y��y Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ . Tel. DATE: 0 APPLICANT: Permit Fee Fire Surcharge State Surcharge $_ $--.z2- $ _State SAC' Charge License Surcharge $ $ - Driveway Escrow $ Erosion Control Park Fee $ Sewer Main Charge $ TOTAL $ 2, S 2. STIPULATIONS: CITY U� Fee Schedule on Reverse Side .001 of permit Valuation (1 / 10th %) $.50/$1,000 Valuation $1050 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 [ j Not Necessary [ j CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective On January 1, 2000 JOB ADDRESS OWNER � O-" Rate TOTAL BUILDING USED AS RESIDENTIAL $ 30.00 $ ESTIMATED COST PERMIT NO. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load FIREPLACE --- Burner Trade Name Size No. q1 4a — $2L BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ 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 an .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE �-?-oma HEATING CO _ ALLIED FIRESIDE dba FIRESIDE CORNER Signe & I-J,v— TEL # Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required.. Yes O No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes O No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (} No ( } The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No { When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installina a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: SUBJECT 0. > City of Fridley tj3069 AT THE TOP OF THE TWINS BUILDING PERMIT t � RECEIPT NO. • COMMUNITY DEVELOPMENT DIV.— r PROTECTIVE INSPECTION SEC. 7® /� 1 . � CITY HALL FRIDLE`1 55432 NUMBER REV DATE PAGE OF APPROVED By 763-571-3450 910-F15 9/10/02 JOB ADDRESS 1538 Trollhagen Drive NE 1 LEGAL L07 NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 4 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Scott/Terri Black 1538 Trollhagen Drive NE 763-574-9688 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Murphy Bros Building & Remodeling 1613 93 Lane NE, Blaine, MN 55449 763-780-3262 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 3416 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 6'6" x 11' Front Portico 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plan. WAR111 Before digging call for SEPARATE PERMITS all utility locations REQUIRED FOR: 450002 WIRING HEAnN6 REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1, 623 $.81 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$60.10 OR THE PERFORMANCE OF CONSTRUCTION ��9X if f PLAN CHECK FEE TOT FEE r G 9, Licens C $5.90 7.53 SIGN A TURE OF CONTRACTOR OR AUTHORIZED AGENT [DATE, EN THIS ISU��MIT - WOP%ALIDAII�Ey I BLDG IIIISP fMATE SIGNATURE OF Ow NEA.a OWNER BUILDERi (DATE, NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �r( v -e, 'mac °✓• `�� l Legal Description: Owner Name & Address: 9- 'r�e_-r o - s a 4,--) Tel. # 76y 3 -a5` 4 - 91,26 Contractor. ✓'�1� �..� , `� r e �. MN LICENSE # 3'-1 i (,a Address: /f9 /3 % "'Cf ZG /7)v� 31�t�, �/z,,V '��j Tel. # °?l 7 �t'� 3,R lob Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height _ Sq. Ft GARAGE AREA: Length Width Height Sq. Ft -70 DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: ro 6121 X ll -fro., Co S4r, �ou+n� dao ►� f }L Construction Type: Estimat Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Flt = Ftx $ Q= $ 1 DATE: C.J � 3U � APPLICANT: /k4 k erAec5 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ C 0o CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ STIPULATIONS: 7 .. "` uc required before -" wing the location of proceeding with the framing.e foundation once it has it has been File # �� Legal Description: Address of Property: t> 1Q PLAT DRAWING (This is nota survey) X��- CA44t. AiA� ,"Nt. scale:/13Q fAe 0 --rw loeation of the ice- . shown an this dravin9 aM approsimnte and . VW lot &1mensiom are taken frau the are based on visual inspection of the premisesis Lor ; ttfon�ational P=POS a$ aid should L ecorded plat er county records. This drawing not be used as a survey- it does not constitute a liability of the company and is intended for mortgage puLTOMB only.