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PRE 2010 DOCS,N e23 City, ®f Fridley, Afinne 1093` BUILDING PERMIT Date: February 2, 1971 C Owner: Rodney Billman, Inc. Builder Same Address 151 .S leer Lake Road N.W. Address Same LOCATIbN OF BUILDING No. 1550 Street Trollhagen Drive N.E. part of Lot Lot _._..6______ _.__ Block 4 Addition or Sub -Division . _ Innsbruck 5th Addition Corner Lot — Inside Lot — X Setback __ _ Sideyard ,4jgPg Mevation 976.61^ NO = 979.61 , (Approx. ) evauon Wye Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwel 1 i'ng Front ____57L Depth 27-25' Height S..I?..li-t Sq. Fi^ 1486' Cu, Ft. 29,730' Front Depth _ _ Height Sq. Ft. Cu. Ft. Type of Construction Frame . Est. Cost _$27, 000 To be Completed May 1. 1971 SEWER LOCATION: -201 E. of Manhole WATER LOCATION: 9.2' E. of Manhole. 10.8' W. of Sewer Service In consideration of the issuance to me of a permit to co ci the buil *Wdescribed above, the proposed work in accordance with the description above t o . and with all r visions of ordinances of the city of Fridley. In consideratidn of the payment of a fee of $ 55.00 , permit is hereby granted to . Rodney Billman, Inc. 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 thereof, shall conform in all 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 time upon violation of any of the provisions of said ordinances. Building Inspector CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME BUILDER ADDRESS 50 ADDRESS LOCATION OF BUILDING NO. ® STREET LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT `/ SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form. Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Frontu� Depth % J Height Square feet o� Cubic Feet 7 Front Depth Height Square feet Cubic Feet Type of Construction - � ��Estimated Co 2- , -! To Be Completed �!'/G'�.2 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department o. Buildings, and hereby declares that all the facts and r-epresentations stated in this application are true and correct. e DATE �/ / SIGNATUREcc_c�c� (Schedule of Fee Costs can be found on the Rev e Side.) BUILDING PERMIT FEE SCEEDULE SECTION 20 The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or building, 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: Uniform Building Code. Type 1, 2, & ¢ - $1075 for each one thousand cubic feet, or fraction thereof, in such cubical c ntentsa Type 3 & 5 - $1050 for each one thousand cubic feet. For the purpose of computing fees for building permits, the cubical Mhtents of-m=iYig oY`"8Adi-t1b'TY to a uni-form heig`tit-tl Lou-'ltout_-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 height 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 ($500000) or fraction thereof in 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 $50000 NSSSD Connection Charges based on location - Area 1 or 20 Application for power Plants and Healing, Cooling, Ventilation, 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 $ 149 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 $ 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 ...................... 3.00 $ 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 GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE 44XOT� 1st 3 Fixtures ......... x$ 200 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule A__�2 TOTAL FEE Dept. of Bldgs. Phone 560-3450 Locatfon 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 declare —that all the facts and representations stated in this application are true and correct. Owner Kind o: Used a: To be c Estimated Cost, $ e Old ew Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POOR PLANTS—Steam, Hot Water, Warm Air No Trade Name - ��I Size No - Capacity. Capacity Sq. Ft. E.D.R.AV BTU . l Total Connected Load Kind of Fuel- BURNER ue BURNER — Trade Nam - �Size Capacity Sq. Ft. E.D R��'�p BTU H.P. (REMARKS -OVER) RAY N. WELTER H EATI N G CO Signed 4637 CHIESA130 AVE. ByPOLIS 7- MINN EBOTA 4121�.42 Business Phone No� �y,,r suru��ie•u�,�iiiL�tttk�uuuy t(1q��f'i �rl�%,.:►�_��/��w.��ww4�w .,...._ ..p- ... ...._ CALCULATIONS DEPARTMENT OF BUILDINGS / _ MINN—.— R 4trt_' Construction No. Insulation Guide How Applied Door! Reference Out. Wall Int. Wall Ceiling Roof Floor Kind `'`' r:l•'l.�'` ?' ' Room I Length idth "Height inddws ;and Doors -Crackage and Area r109Pt'; Y �; I 1t Height Wo. of Lineal ft. Area ?gt�pan& : OL pane lights of crack sq. Lt. ` o q N. Coef fw Infiltration .,.Coef. Btu n6jtatiot>i;;Ig S® r Zoo Net exp. wall Int. wall r�►t . �Va1R , Ceiling 77Q Floor Ceiling Floor or sq. h6 YklLeader area Room Length Width tf Height ;;" ',Windows aad Dors—Crackage and Area ea lights of crack sq. r ft. i Coef. Btu iF ", Infiltration , � 2 P , o C7 �" �+� ;cup• ,'w�Il �o �� "inti tarail Total 'BCaax<. ,. r egiitied`$4. ft. E.D.R. or sq. ins. W.A. Leader area � : P Room Length _Width7,&r '" eight l lFl, „Win and Dors—Crackage and Area ' v Wldt sight No. oY Lineal ft. Area of pane lights of era eq. ft. lrr+ b s a {�iY of.aiti > r—'g g4 Coef. Btu R iifiltratiott _ �f ,�ivall' ^ •�c iip. twat!' To?tnl Btu,, J#71 -f#0y irgdst • #t. EAR. or sq..in& W.A. Leader area I f f ��',- 1-rit�•t�em Windows and Doors—Cracl Width Height No. of of pane of pane lights i Infiltration Glass Exp. wall / Net exp. wall Int. wall Ceiling Floor Total Btu. and Area neat ft. i 'crack e red sq. ft E.D.R. or sq. ins. W.A. Leader area Fj• Room f Length C. width r109Pt'; Windows and Doors—Crackage and Area ' ` WidthHeight No. of Lineal ft. ' Area No. of pane of pane lights of crack sq. ft. Coef Btt! Infiltration Coef-L BMW Infiltration Glass 2– 56,1 S® Exp. wallet Exp. wall � X Net exp. wall Int. wall ' , Ceiling 77Q Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. itis. W.A. Leader area r1 I r — 1 t --th ft/.. Width Heiiaht Vim. Windows and Doors—Crackage and Area ! G r Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft Coef Btt! Infiltration e l Of to r Glass "� oc . Exp. wall � X Net exp. wall [ / 2 Int. wall Ceiling Floor Total Btu. / a / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ► sr ro GOLDEN VALLEY, MINN. �T.L*: CALCULATIONS BUILDING DEPARTMENT a A.S.H.V.E. - .00strips Construction No. Insulation 0 . Guide Wil v — L—Doors Reference Out W811 Int. Wall I Ceiling Roof Floor Kind How Applied, '. Ye ,Yes—No 19— I 1Ge—t*,--Room I Length Width -r — Windows, and DoorsCrackage and Area - "—"a- 11 ' Fj_ * 1Room I Lenffth Width HeiLrht J �4 th Height No. of Lineal i Area Width — — -4� I of crack sq. ft. of are of pane lights I Coef. Btu Infiltration . 04 s� � of p6e of pans J, of crack sq. ft. r,,•Int wal l"i Btu Net exp. wall Infiltration 2- "Glast; Floor °° ttequirad sq ft.' E.'O.R. or sq. ins. W.A. Leader area �,,A [OcW Room I Lenvth Width Height I I ndowt'and Doors—Crackage and Area �4 th Height No. of Lineal i Area Width — — -4� I of crack sq. ft. of are of pane lights I W;dt�: �eight No. of Lineal ft. Area Fl. Room I Length Width � of p6e of pans J, of crack sq. ft. Coef. Btu Net exp. wall Infiltration 2- "Glast; Floor 16'd Exp. wall X 1 v. 0 - Net exp. wall Coef. Btu Floor ,,e 761 Ceil. Total Btu. Required sq. ft. E.D.R. or, sq, ins. W.A. Leader area, Total 00 ED.R. or so. ins. W.A. Leader area J 1-K 'FCTPPA -Room 1 LenLyth !'7 Width zTy Heieht in owt; and Door or' Crackage and Area �4 WidthH eight 1, 0. 0 L-1111 ft Area No. of pane of pane lights of clIx sq. ft. W;dt�: �eight No. of Lineal ft. Area Fl. Room I Length Width Coef. Btu of p6e of pans lights, of crack sq. ft. Exp. wall Coef. Net exp. wall Infiltration Int. wall Floor Ceil. Exp. wall X 1 v. 0 - Net exp. wall Coef. Btu Floor ,,e 761 Ceil. Total Btu. Required sq. ft. E.D.R. or, sq, ins. W.A. Leader area, a 00 J 1-K W WX ax Sir �4 Windows and Doors—Crackage and Area �4 WidthH eight 1, 0. 0 L-1111 ft Area No. of pane of pane lights of clIx sq. ft. j%NUjjrA0_V ft Frl,p nrj;o .ins, KA. Leader area Fl. Room I Length Width Coef. Btu Infiltration Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane light, sq. ft. Glass Exp. wall Coef. Net exp. wall Infiltration Int. wall Floor Ceil. Exp. wall X 1 v. 0 - Net exp. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl- I Room I Length Width Height, Windows and Doors—Crackage and Are a �4 -Vkl1th— Height—No. -�of Lineal ft. Area ofpane lights No. of pane ane of crack sq. ft. j%NUjjrA0_V ft Frl,p nrj;o .ins, KA. Leader area Fl. Room I Length Width Coat Btu Infiltration Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane light, sq. ft. Glass Exp. wall Coef. Net exp. wall Infiltration Int. wall Floor Ceil. Exp. wall X 1 v. 0 - Net exp. wall Total Btu. j%NUjjrA0_V ft Frl,p nrj;o .ins, KA. Leader area Fl. Room I Length Width Height YL-?',' Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane light, sq. ft. Coef. Infiltration Glass Exp. wall X 1 v. 0 - Net exp. wall Int wall Floor ,,e 761 Ceil. Total Btu. Required sq. ft. E.D.R. or, sq, ins. W.A. Leader area, HOUSE HEATING TEST RECORD ADDRESS - �^` 04rhe APT. F 00 CITY SYBUR OCCUPANT OWNER HEAT LOSS DATE HTG. INST. GAS CO. METER BAD' ' # SOLD BY INSTALLED BY Electrical Work By Gas Line By — TYPE OF HEAT GA FA !L H STEAM SPACE HTR. �` GASESM, MAKE ��%-sr �'� /�2�- MAKE OF BURNER Model Model Serial —Max. BTU Rating INPUT MAKE OF FURNACE — Model UNIT HTR. OTHER CONVERSION Vent Size KIND OF LINER IZE NONE Draft Hood �, Regularor Fi Iters Size Number Chimney Location Inside L_'r Outside Chimney Construction Smoke Bomb Wiring Draft ��— Test Tag L.W. Cut Off OVA I Door Pressure Pressures PerP�ent CO Date Tested Input CFH PeYeit!`�-%F %6mpany Testing 2 Stack Temp. Percent CO`s Name of Tester Form 235 Lighting Inst. &__� CONTROLS THERMOSTAT H t Plug Valve Limit - - Limit Setting Fan Setting Pilot Type �— Pilot Make Pilot Model Pilot Timing -- UNIT HTR. OTHER CONVERSION Vent Size KIND OF LINER IZE NONE Draft Hood �, Regularor Fi Iters Size Number Chimney Location Inside L_'r Outside Chimney Construction Smoke Bomb Wiring Draft ��— Test Tag L.W. Cut Off OVA I Door Pressure Pressures PerP�ent CO Date Tested Input CFH PeYeit!`�-%F %6mpany Testing 2 Stack Temp. Percent CO`s Name of Tester Form 235 Lighting Inst. &__� c fi, of wiai.y DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE FLUNKING FIXTURE RATES:• • • • • • • • . x $2100$ Number Fixtures ...... . Future Fixture Opening ............ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin ..................... x $3.25 $ D® Water Heater :Up to 99,000 BTU) .... x $3.00 $--1— New 1 New Ground Run Old Bldg......... x $3.25 $ Electric Water heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........... • • • • x $2.00 ; Additional Fixtures .................. x $ .76 $ Gas Range to 195,000 BTU ... , ......... x $5.00 ll_ REPAIRS & ALTERATIONS—Refer to Code Description ...............................................$ C l TOTAL FEE Dept. of SUkFL Phone 560-34.90 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 Ci%r 0imlinance 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, Minn3/Z P 19� Owner Kind of Building Used as To be completed about e� Estimated Cost, $ Old New Building Permit No. > Permit No. g-� _ ROUGH FINAL r�,✓� Signed. By. �✓tis� --- - Business Phune y uN� • • WATER On. i< �G 9 / M GAS ELEC. Base 1st Z.. l % 2nd 3rd 4th Future Connection Openings Connected with * New Fixture, Old Openings Sawa Cesspool ❑ PARTIAL RATE SCHEDULE FLUNKING FIXTURE RATES:• • • • • • • • . x $2100$ Number Fixtures ...... . Future Fixture Opening ............ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin ..................... x $3.25 $ D® Water Heater :Up to 99,000 BTU) .... x $3.00 $--1— New 1 New Ground Run Old Bldg......... x $3.25 $ Electric Water heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........... • • • • x $2.00 ; Additional Fixtures .................. x $ .76 $ Gas Range to 195,000 BTU ... , ......... x $5.00 ll_ REPAIRS & ALTERATIONS—Refer to Code Description ...............................................$ C l TOTAL FEE Dept. of SUkFL Phone 560-34.90 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 Ci%r 0imlinance 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, Minn3/Z P 19� Owner Kind of Building Used as To be completed about e� Estimated Cost, $ Old New Building Permit No. > Permit No. g-� _ ROUGH FINAL r�,✓� Signed. By. �✓tis� --- - Business Phune SUBJECT City of Fridley 2 9 9 41 A7 THE TOP OF THE TWINS B U I L D I N G P E R M I T RECEIPT NO. DIV. it __--__ COMMUNITY DEVELOINSPECTION PROTECTIVE INSPECTION SEC. ��®� f ER nEv DATE OF APPnOVED BY CITY HALL FRIDLEY 534x2NUMB-FIS 612-571-3450 910 7/27/99 1:;GE / JOB ADDRESS 1550 Trollha en Drive NE I LEGAL LOT N0. BLO CK TRACT OR ADDITION SEE ATTACHED DESCR. 6 4 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leo Jochum 571- 8557 3 CONTRACTOR Construction MAIL ADDRESS ZIP PHONE LICENSE NO Vern Jurek 7329 SE Ct . 23 Becker MN 55308 612-261-4776 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 0 NEW O ADDITION O ALTERATION X® REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage (23 Sq) Tear -off 9 CHANGEOFUSEFROM 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 ISTALLS 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 $2010 $1.01 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHA E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 Fir C $2.01 PLAN CHECK FEE Lice S 5. TOT' F E . 27 SIGNATURE OF CON'RACTOR O AUTHORIZED AGENT IDATEI MEN OP ALIDAT HIS U S,GNATURE OF OWNER,1F OWNER BUILOERi IDATEI BL INSP If W T1ATE NEW'"[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 I�( BUILDING PERMIT APPLICATION Q ®� Construction Address: /%Ir -M -rrd1 Aa 9 -e- & Legal Description: Owner Name & Address: t -e0 ZY6C4V- Tel. # S-7 I - Contractor: Vl--V I", -1E U41,eA MN LICENSE # Address: 77 3 ,D q S a 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: ✓� ,� , .' I�, _ r _ �-- n Construction Type: -7 -9� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ W Sq. Ft. Sq. Ft. Sq. Ft. rC DATE: -2 - APPLICANT: Tel. # -:16 CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 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 [ ] Not Necessary [ ] .. .1w 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,00 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 . $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/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 (des () No TOTAL JOB Type C $15.00 A7 OeO Ith ash r7a S� Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE 0 AA/9,4 g.L Al" AR 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. Owner Building Used As Estimated Cost PERMIT NO. 4;2 PLUMBING COMPANY / 7 SIGNED BY TE N� � 71-k0J / Approved By jM j Rough -In Date Final COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK S 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 () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () 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 installing 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 Appliance #2 Type Appliance #3 Type Total Appliances _ BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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 : CITY OF FRIDLEY PERMIT NO.: 2004-00084 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/22/2004 572-36U4 YAX: (7(33) 571-1287 ADDRESS 1550 TROLLHAGEN DR NE PIN 253024110080 LEGAL DESC INNSBRUCK 5TH ADD LOT 6 BLOCK 4 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL XCEL ENERGY SAVERS SWITCH # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORP 2300 TERRITORIAL RD ST PAUL, MN 55114-1614 (651) 646-2911 JOCHUM LEO A & IRENE R 1550 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 certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 113375 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 SUBJE,6T PE City of Fridley 3 0 6 7 2 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �ql 1 NUMBER REv DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 59432 612-571-3450 910-F15 2/23/00 JOB ADDRESS 1550 Trollhagen Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 4 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leo/Irene Jochum 1550 Trollhagen Drive NE 571-8557 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tim. Foy Exteriors LTD 40677 Hemingway Ave, North Branch, MN 55056-6025 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. (612) 245-2354 20046999 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside House & Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. 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 1 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 $4.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,990 DOES NOT PRESU TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF THER STATE OR LOCAL LAW REGULATING CON- Fre SC $7.99 TWCTION OR E R ANCE OF CONSTRUCTION $153..25 � 'r23- PLAN CHECK F Licen C $5,,.0/ TO AL FEE $170.24 NAT E OF CON -AA A OR AUTHORIZED AGENT IDATEi _ HEN PR P BLD -NSP L VALID E THIS'I UR PERMIT � 11A1E S,GN4IURE OF OW NEA,iF OWN Ep BUILDE Ri -.DATE) 1 NEW I ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION r� Construction Address: Legal Description: Owner Name &Address:�v Cu�vt Tel. # IT?/- 05'557 Contractor: LIVING AREA: GARAGE AREA: DECK AREA: 4'�'b MN LICENSE #�� Tel. # low/- (: 5? 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. OTHER: /e �r � � Construction Typetus-r� 4*1, oal► '�WYAT p�rr=stimated Cost: $:�-W4�q-�o Driveway Curb Cut Width Needed: Ft. + 6 F = Ft x $ _ $ DATE: 3 oo APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �� .�� Fee Schedule on Reverse Side Fire Surcharge $. �'i .001 of Permit Valuation (1/10th%) State Surcharge$ , 0 $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ $1100 per SAC Unit $C$5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: S - 1190,dv BUILDING PERAM. 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,00,000 plus $3.15 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 $15.50. 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 $23.25. 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. New Houses Only