PRE 2010 DOCSCity ®f Fridley, Minn.
BUILDING PERMIT
Date: NOVEMBER 12, 1965
-14 ,q;'g 7--;2-
N? 8597
Owner: DR. JERON13M Builder RODNEY B$LMAN, INC.
Address Address 3000 s 36th Avenue N. E.
Minneapolis, Minnesota
LOCATION OF BUILDING
No. 1575 Street _ TROLLHAGEN DRIVE „__._, Part of Lot
Lot ._.__14—.._..___ Block 3 Addition or Sub -Division . _ nnsbruck, .nth ,addition
Corner Lot Inside Lot — X Setback 35' _ _ Sideyard 11'
Sewer Elevation ____ — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
HOUSE Front 52-22- Depth 23.8 Height 16 Sq. FL 1,196 Cu. Ft. 19,136
GARAGE Front 23 Depth 163,- Height 14 Sq. Ft. 368 Cu. FL 50152
Type of Construction Frame Est. Cost_ $ ,10 0 To be Completed
In consideration of the issuance to me of a permit to construct the building described above I agree to do
thb proposed work in accordance with the description above sd forth and in compliance with Q1 provisions of
ordinances of the city of Fridley. 17 0
In consideration of the payment of a fee of 24.00 permit is hereby granted to RODNEY DR&W, 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 part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings
within the city limits a� permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
ALLEN G. JENSEN
Building Inspector
NOTICE
Tho ponNt dos not cover the construction, InstalNNon for widne, phmbine, on heating, sewer or water. Be am to we
the Building Inspector for separate permth for thea Sena.
J,T
7 T-
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAMED: c2iriwl
,.
BUILDER
Rodi2pr4
9W-stuat,,.
,io2e,
ADDRESS
ADDRESS
3001,
36th Rue
N.C.
LOCATION OF BUILDING
NO„ d "s� STRE�PART OF LOT
LOT lit BLOCK 3 ADDITION OR SUBDIVISION 9nwzb u 12 5th Rd uZon
CORNER LOT_ INSIDE LOT SETBACK SIDE -YARD r'
SEWER ELEVATION FOUNDATION ELEVATION
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;
Front Depth �'3° Height
Sq. Ft. Cu. Ft.��
Front. Depth_/rHeight
Sq. Ft. Cu. Ft. �
Type of Construction -9yame Estimated Cost `' -5 z CC'
To be completed l 1966
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE_ Noue bet 12 1965 SIGNMRE.f
(Schedule of Fee Costs can be found on theReverse Side).
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before.issuing any permit for
the erection of any building or structure, or for any addition to any existing
building or structure, or for any alterations' or repairs to any existing
building or structure, upon application 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;
2.1. For any such permit for the erection of any fire -proof building,
other than a garage, warehouse, factory'or grain elevator, or for the erection
of any fire -proof addition, for similar occupancy, to any existing building,
shall be at the rate of $1.40.for each.one thousand cubic feet, or.fraction
thereof, in such cubical contents.
2.2 For any such permit for the erection of any fire -proof garage,
warehouse,.factory or grain slevat-or, or for the erection of any fire -proof
addition, for similar occupancy,.to any existing.building shall be at the
rate of $1.25 for each one thousand cubic feet, classified as "fireproof"
by Section 502 of the Minneapolis.Building Code.
HOUSES
2.33. 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 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, factory or grain elevator, or for the erection of any non -fire -proof
addition, for similar occupancy,to any existing building or for each such
building or addition - ninety cents ($0.90) for.each one -thousand cubic feet
or fraction thereof, in the cubical contents thereof with the 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) inches7 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 gay,le of a.pitched roof..
2.5. For repairs or.a terations to ad exist'structure, ure, the fee shall_
be at the rate of.:$3.00 per each Five h+indeed Dollars (000.'00 or fraction
thereof in the cost of 'all ,proposed . wo:rk,
2.6. In no case shall the fee charged for any permit as set forth -in
Section 2 be less than $4.00.
STORM REPAIR DAMAGE FEES;
Residential; Estimated Cost of work up to $500.00 - $5.00
Estimated Cost of work over $500.00 - $10.00
Commercial; Estimated C of work up �to $500.00 - $10.01
Estimated C. of work over $500.00 - $20.0,
PERMIT for Power Rants and Heating. Cool-
ing. ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of Heating Plants to be installed—altered—repaired
Make. , Size
Oil fired—,- Coal fired—, Gas fired_-?' ; Gas Authorization
- - 4
Remarks
Approved
Final Inspection Date , 19._
Inspector
-7ad�-d
Permit N° 4478
Fee $ I C9
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. , 19
OwnerCL
-
Location
Kind of Building
How Occup iedA
Work to be Commenced—, 19—
To be Completed !O ,19-&jr
Estimated Cost, $ !�? ft < A-2)
Old -New, Building Permit
Permission is hereby granted to k-A-ILQ-� a 'GC� to install—erect—use the material and devices described in the
above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this
permit on file in the office of the Inspector of Buildings.
1, , Inspector of Buildings
4z 2M 11-67 v
All
City of Fridley
F529103
AT THE TOP OF THE TWINS
BUILDING
PERMIT
p�
1 9
1 L
L COMMUNITY DEVELOPMENT DIV.
_
INSPECTION SEC.
j 1 PROTECTIVE
e �
NUMBER
rEV
DATE
PAGE OF
APPROVED BY
i
,•� CITY HALL FRIDLEY 55432
-_--
L J` 612-571-3450
910415
3/29/99
10B ADDRESS 1575 Trollha en Drive NE'
1 LEGAL
LOT NO.
BLOCK '
TRACTOR ADDITION
SEE ATTACHED
DESCR.
14
3
Innsbruck 5 Addition
SHEET
2 PROPERTY OWNER MAILA.DORES$.
ZIP PHONE
Robert Jeronimus 1575 Trollha en Drive NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
New Haven Construction 4208 83 Ave N Brooklyn Park MN 55443 566-5225
a ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
20077950
5 ENGINEER MAIL, ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION j] REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (34 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday
thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
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 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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1 1STALLS
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
$P 2,913
$1.46
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 CHA GE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STR 10 OR THE PERFORM CE CONSTRUCTION
$ 74.75
Fir SC $2.91
PLAN CHECK FEE
TOTA F E
Licens C
$5.0 84.12
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN ROP
13L26 INSP A
Y A DAT IS IS UR RMIT
'- 99
PATE
S-GNATURE OF OWNEROF OWNER BUILDERI IDATEI
01
D
Mar 26 99 10:57a Kerri 566-7183 p.2
NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: / �2�
Legal Description:
Owner Name & Address: tree hel-1 Tel. #
Contractor:./f/-9Z4-) 2. 4f �7�i'?% �/t MN LICENSE # 00 -7 "7 9S'6
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type�2 Q,4�� Vic✓ kOe.I-a'"y Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE.<3,A(p ej 5 APPLICANT: �� 1x Cd a-tf Tel. ##
io
CITY USE ONLY
Permit Fee
$�
Fee Schedule on Reverse Side
Fire Surcharge
$ 9/
.001 of Permit Valuation (1/10th%)
State Surcharge
$ / k%�
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ GO
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt, "A" or Alt. "B" Above
Erosion Control
Park Fee
$
$450.00 Conservation Plan Review
0
$
Fee Determined by Engineering
'
Sewer Main Charge'
$
Agreement Necessary [ ] Not Necessary [ ]
0
TOTAL
$ /-z
SA
STIPULATIONS:
io
:,ITY OF FRIDLEY INSPECTION DIV.
3431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUIVIRFR OF FIXTI IRFR TO RF INGTAI I Fn nN FArw GI nr)p
Effective On Jan 1, 2000
61 1 tl
• •
iQ
r 4
'.�R
•
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'k*
Gas Range *
NO. RATE TOTAL . JOB ADDRESS__ '54RIF ✓-e- dt E
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
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 fluilding Division, and hereby declares that all the facts
.and representations stated in this application are true and correct
JERONIMUS, ROBERT
1575 TROLLHAGEN DRIVE N.E. J�l , 204)1
FRIDLEY, MN 55421
(763)571-4594
Owner _
Building Used AsF)S-61y4yi cz
00 /
Estimated Cost PERMIT NO. d ��
PLUMBING COMPANY OIZC'�L�J�/( ZiJM�tAJG
SIGNED BY TEL N0. Z- Z O .
OT
Approved ByRough-In Date Final Date
.50
C=C rCO AS
MINIMUM FEE OR AN PLUMBINGLGAS PERMIT IS $20.00
$ a. _550 PLUS TH EAS ITATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
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 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 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 asper 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
PLUMBING
RESIDENTIAL APPLICATION
City of Fridley
d --®C 8
7-rer
!761-75 Sr
ate a ived
NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT.
DATE �? $'^ aYOUR E-MAIL ADD2rSS
SITE ADDRESS
THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRAC OR
NAME �- o �+ i rnCA r
PROPERTY OWNER/
ADDRESS%577
TENANT
CITY /t 0 eATE/ r-1/ZIP
-Of
PHONE #
NAME Q A - c LICENSE #
ADDRESS
CONTRACTOR
CITYS TE ZIP
PHONE #' FAX# �� 3
PERMIT TYPE
—1—)SINGLE FAMILY TWO FAMILY TOWNHOUSE
TYPE OF WORK
p NEW EPLACEMENT
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED
FIXTURES: (INDICATE TOTAL NUMBER OF EACH)
BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35)
CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15)
DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee $ MINIMUM: $15.00 or 5% of cost of the Improvement -whichever is
Plan Review $ greater on work less than $300
Surcharge $ .50
TOTAL DUE $ /0-160 Make checks payable to: City of Fridley
THIS IS AN APPLICATION FOR A PERMIT - NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 with t 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
p
NAME OF APPLICANT /2/t P DATE O
or print
SIGNATURE OF APPLICANT
x��.`+�IM�� �A7+�A�1'� �`I[��'F 4 � '•"p 1�, r �y 6 �r.�(:a i ' Cpm +�} kp� s' s" ?ave �
g,,'{v„ f�r'*�y"
CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT
6431 UNNESITY AVENUE NE, FRIDLEY, MN 55432
(763)572-3604