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PRE 2010 DOCS-�J%3f City ®f Fridley, MnmN° 8 8 81 BUILDING PERAUT Date: JUNE 10, 1966 Owner: Builder RODNEY BILLMAN, INC. Address Address 3000 - 36TH AVENUE N.E. MINNEAPOLIS, MINNESOTA LOCATION OF BUILDING No. 1583 Street TROLLHAGEN DRIVE N.E. Part of Lot Lot 13 Block 3 Addition or Sub.Division ?NNSBRUCR, 5TH ADDITION Corner Lot — X . _ Inside Lot — Setback __ _ Sideyard Sewer Elevation _ _. _ _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DWELLING Front 48 Depth 26 Height 24 Sq. Ft. 1,248 Cu. Ft. 29,952 GARAGE Front 24 Depth 22 Height 13 Sq. Ft. 528 Cu. Ft. 6,864 Type of Construction FRAME. Est. Cast _ $25, 000 _ To be Completed — In consideration of the issuance to me of a permit to the buil e I agree to do the proposed work in accordance with the description abo set and pli th ail revisions of ordinances of the city of Fridley. ® , In consideration of the payment of a fee of3$ 6 •OCA , permit is hereby granted to RODNEY BUMAN, INCORPORATED 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 buil�n within the city limits and this permit may be revoked at any time upon violation of any of the provisions of Bald ordinanoss. WILLIAM H. SANDIN I Building Inspector NOTICE, ft pwO does not cover the eons mWen, iasftWon for whh,g, phmbing, gn heating, sower or wafer. So wre to me the Wgdb* hapemr for separate permNa for these Nona. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER RO DNE Y BI L LN AN , INC. ADDRESS ADDRESS 3000 36TIi AvE . N.E. a LOCATION OF BUILDING NO, /LfSTREE ' P T 0 LOT 13 BLOCK 3 ADDI1 ON OR SUBDIVISION 5TH ADDITION o CORNER LOT,X INSIDE LOT _SETBACK. SIDE YARD SEWER ELEVATION 70--FAT-ION LEVATI ON Applicant attach to this form Two Certificates ot Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; Front_- DepthHeight Sq. Ft. ® Cu. Ft.j, Front- Depth -1, Height __Zr�' Sq. Ft. Cu. Ft. 46 Type of Construction 7pa MR Estimated Cost $25,000.00 To be completed The undersigned hereby makes application for a permit for the work herein specified,, agreeing to do al,l.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 representatio stated in this application are true and correct, _ DATE_ JvN 7� 1966 (Schedule of Fee Costs can be found on the Side), BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector -.of Buildings shall; before..issu2ng any permit for the erection of any buiiding 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.t'he 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 elevator, 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,"'Cl4asified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3_ For any such permit for the erection of any non -fireproof building, other than a garage, warehouse, factory or grain elevator, or any non -fireproof 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-fireproofgarage, 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) 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 per 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 forthXer Yfi Section 2 be less than $4.00. N/ STORM REPAIR DAMAGE ?EES Residential: Estimated Cost of work'up 'to $500.09 -•$5.00, Estimated Cost of work over $500.00 - $0.00 /y�� Commercial; EstimateC -)st of work up to $5x10.00 - $lr 1 T Estimatec, ,ost of work over $500.00 - $2L_ J� Application for Power Plants and Healing. Cooling, Ventilation. Re1frigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 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. 80,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or NOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ r Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ i 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 1°O'1'AL 1st 3 Fixtures ...................... x $1.50 $ A 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 '/? VL/ Dept. of Bldgs. Phone SU 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. �`ridley, Minn AUG2 91966 19 — Owner Kind of Used as To be completed abotit� OCT 2 9 1966 Estimated Cost, $ 'f:2 'r' `® e'w. lding Permit No. Permit No. DESCRIPTION OF WORK HEATING arm Air—No — Trade Name � Size No z11 -*1_:r a Capacity. Sq. Ft. E.D.R �'�� BTU H.P. Total Connected Loa A ,tiT -?l Kind of Fuel - a BURNER — Trade Names%� Sze Capacity Sq. Ft. E.D. -- n!� 01 TLT H.P. VIKING HEATING & AIR GOND. Cm 6409 GOODRICH AVE. S. BINNE"OLIS 26, MNX, Signed Y _ - 4Z YM Business Phone N� FINAL, �',_ (REMARKS -OVER) ^' 71 HEAT LOSS CALCUIATIONS DEPARTMENT OF INSPECTIONS hUNNEAPOLIS, MW. Weatherstrips A.S.H.V.E. Construction No. Insulation -Guide I Windows I Doors Reference Out. Wall Int. Wall Ceding Roof Floor Kind How Applied Yes—No Yes—No 19— �tE J. F1.1 is Room I LengthWidth Height F1.1 L' ,j:V1 Room I Length iff ) Width Windows and*boors—Crackage and Area Windows and Doors—Crackage and Area No. I I*rV= I Herlgh No f I Lineal ft. I Area Width Height I No. of Lineal M Area of . ts sq n. IiW of crack . ft. No. of Dane of pane lights of crack SQ. ft. Btu Infiltration I '' I'- -)-�L I 4-e'VE: Glass - Exp. wall Infiltration Coef. 1 ilt Net exp. wall Int. wall Exp. wall Int. wall Glass Net exp. wall Int. wall 0 a 0 Ceiling: Ceiling Exp. wall 71ZF TA I T— Floor WQO 12 mo Net exp. wall - Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area t FI -1 Wdth 14.;.ht Windows an ours—Crackage and Area Width Height No of Lineal ft. Area o. of pane Trans, ligitte of crack sq. ft. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. a 4z Coef. Btu Coef. 1 Btu Infiltration Coef. 1 ilt Glass Int. wall Exp. wall 1#9) - Glass Net exp. wall Int. wall A 5-11-11 Ceiling Exp. wall 71ZF TA I T— Floor ITA mo Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I. FIA 41i4 Room 11-en.th ILI Width it a Height 'V Windows and Doors—Crackage an Area Area Width Reigns 't* ne 0, pa Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. a 4z Coef. Btu Infiltration Glass 1"A3 i6i Coef. 1 Btu Infiltration Int. wall 'A 1 1#9) - Glass Floor KJAS 57 0 A 5-11-11 qf Exp. wall 71ZF TA I T— ki� Net exp. wall • Int. wall 15i6n, Ll 1 4-7- Ceiling Floor 1 bY 1 (4- 11 T-1� L Total Btu. 1410 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area r.1 0 ]�U mm. 77 1 ml '717:3 Windows and Doors—Crackage and Area Area Width Reigns 't* ne 0, pa A, 14 J-6 'T a 4z Coef. Btu Infiltration Glass 1"A3 i6i Exp. wall.. Btu Net exp. wall Int. wall Coef. Ceiling, Infiltration Floor KJAS 57 0 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area r.1 0 ]�U mm. 77 1 ml '717:3 Windows and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area of pane of pane lights of crack S!, .q. Coef. Btu Infiltration Coef. Btu Infiltration Glass TA I T— ki� Exp. wall Net exp. wall 15i6n, Ll 1 4-7- Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. itis. VA. Leader area L-1 I D--- I T ---.L k3 W. 14.;ehi, iik-So=and Doors—Crackage and Area Width Height No f Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall TA I T— ki� Net exp. wall Int. wall Ceiling 1A. Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes -No Yes—No 19— 1 1 1 1 :1 F1.1 . Room I L.enath Q ` Width X.' Height II Fl.l Room I Lensrth Width Height Windows and Doors—Crackage and Area Coe Coef. Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Glass Exp. wall Coef. Btu Coef. Btu Infiltration Glass I VA B% Exp. wall. a Floor Net exp. wall Total Btu. a •" Required sq. ft. E.D.R. or sq. ins. W.A. Leader area a Int. wall Floor Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room l Length 1, Width .k Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area (o. of pane of pane lights of crack e" ft. �tA�, Coe Coef. Btu Infiltration4 Glass Exp. wall Coef. Btu Net exp. wall _;S1 19MI Int. wall Ceiling ° Floor ' Total Btu. a •" Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Aoel Room I Length i Width Hearht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. . R 'Air . Coef. Btu Infiltration 14 _;S1 19MI Glass Exp. wall 1 , Net exp. wall ' Int. wall . Ceiling Floor Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width HeightNo. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. Coef. Btu Infiltration Glass j Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length , Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp, wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. his. W.A. Leader area F1.1 - . Room I L.enath - Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area SUBJECT -::- PER City of Fridley 1 4296 AT THE TOP OF THE TWINS PERMIT r BUILDING ECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION 1 SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ,'J 612-560-3450 910-F15 8/18/77 JOB ADDRESS 1583 Trollhagen Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE orris Wiste 1583 Trollhagen Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Leo O. Sanders 7813 Jackson Street N.E. 786-2860 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 X 8 DESCRIBE WORK Install drain tile 9 CHANGE OF USE FROM TO STIPULATIONS WARNIMU"* Before digging call local uilitie'S TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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. $.85 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,700 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON - $12.00 STRUCTIO OR THE PERF¢RMANCE C NSTRUCTION. OF_� PLAN CHECK FEE TOTALFEE (�) _ $12.85 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN PROERLY VALIDATED THIS IS YOUR PERMIT I Ili �� .rv1 /.��l��-� �•� �j�"��r BLDG INSP DATE n SIGNATUREOF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEMITS (NEW, ALTERATIONS, ADDITIONS,.OR REPAIRS) OWNER: �0 CiLti( Address: i BUILDER: D `� Address: Tel. No. No. ;`, 0-1 Street: r /��-? '��7` C-� -- . / . <<` C , s �/` r ill LOT: BLOCK: ADDITION: C CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: 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: " Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet:` Cubic Feet: Type of Construction:Lf /, g Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side fir additional information. f; DATE: Q^ SIGNATURE: Stipulations: s �r@ m BUILDING PERMIT FEE SCHEDULE SECTION 21 The Inspector of Buildings 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 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: NEW CONSTRUCTION: Single .Family Homes and Garages: $4.00/1,000 cubic feet.. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $15.40 For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or 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 $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. A Ikm APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND $ .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEME $ $10.00 $ GRAVITY WARM AIR: RATE TOTAL Job Address �� 4_'e' Furnace Shell & Duct Work $12.00 $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3. gal. per hour each add. 3 gal. per hour The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes -- 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application a true and correct. 7.00 $ 4.00 $ Fridley, Minn. $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS State Surcharge TOTAL FEE ROUGH INSP. FINAL INSP. REINSPECTION FEE Date ($10.00) APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT U 11 /-9— 7 / ESTIMATED COST ( �� OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER BEATING or POWER PLANTS, Steam,.Hot Water, Warm Air- No. Trade Name Capacity Sq. Ft. EDR Total Connected Load BURNER - Trade Name Size No. BTU HP Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HP/ imp '4-,67 ✓ � n Signed By�� LKs� ��Tel No. �� suaJEcr PER City of Fridley 23367 5 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC ii r � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/12/95 JOB ADDRESS 1583 Trollhagen Dr NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DescR. 13 3 1 Innsbruck 5 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Morris Wisti 1583 Trollhagen Drive NE 571-4391 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sela Roofing 4100 Excelsior Blvd St Louis Park MN 55416 823-8046 1050 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 ❑ ElElNEW ADDITION O ALTERATION X REPAIR ❑ MOVE O REMOVE X 6 DESCRIBE WORK Reroof Dwelling & Garage (Tear-off) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,999 $2.00 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- $63.00 Fire SC $4.00 STRUCTION OR TPA PORMANCE OF TRUCTION ' _U AN CHECK FEE License SC $5.00 TOTAL FEE $74.00 S NATURE OF CONTRACTOR UTHORIZEDA NT DATES ROPER WHEN PLY BL INSP ALIDA ED THIS IS YOLIR PERMIT �)A E SIGNATURE OF OWNER SIF OWNER BUILDERI IDATEI Effective 1/ 1/95 NEW j ] NEW[ ] CITY OF FRIDLEY ADDN ALTER ( ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z Building Permit Application Construction Address: SF 3 Ro LC. f` 47] e- C/t% 0 Legal Description: `,' - ` 5-71 Tel. # Owner Name & Address: 5�3 �� u �'�� i2 Contractor: 5eL� MN LICENSE 2 Address.tbj,�� C&,v CTi c � Tel. # —�� 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. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot j ] Inside Lot j ] Ft. Yd Setback Side Yard Setbacks 1 1. 1 11111r Estimated Cost: $ 9 Type of Construction:1'��t Approx. Completion Date: (cost on Back) Driveway Curb Cut Width Needed; Ft 6 Ft = Ft x $ — $ DATE: L APPLICANT: e Tel. CITY USE ONLY r Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ k c- .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $L � $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary (] Not Necessary ( ] TOTAL $ STIPULATIONS: - CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 554352 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �'� a::�ta�� JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) % % Gas Piping (Needed with Dew furnace} $ 10A0 $ , 11996 �Lti OWNER w� Ga�� $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST DC) PERMIT N0. *Air Conditioning — All Sizes $ 25.00 $ QEESCRIETION OF FURNACE AND OR BURNER, All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR' 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge Burner Trade Name Size No. BTU HP EDR TOTAL FEE _ � HEATING COMPANY MdNIMUM FEE FOR ANY HEATING[COOLINGN NTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed BTel No. S3 -7 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved BRough—In Date Final Date 3 "Air Conditioner; can not be placed in a side yard without FILL OUT BACK SI OR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FU NACE List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIMNEY 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 O No ( ) 4. Is securely supported. Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( 1 No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 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, 2002 JOB ADDRESS 156.3 Tfr I A-4el-, OfitrC, OWNER #bWe 5 -ti-_Tt'1 t Rate TOTAL ' BUILDING USED AS -144) 6li_. $ 30.00 $ ESTIMATED COST 126P, 6V PERMIT NO. f � $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units_/_ Circle One (Steam) (Hot Water)( arm Ai $ 10.00 $ Trade Name r-atri Cr Size No. iPAl P Q BTU IQQJ (5W HP EDR $ 25.00 $ Fuel A.J44um4f &4.5 Total Connected Load 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. Burner Trade Name Size No. - $ BTU HP EDR $ 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. E center Point Energy MGCO , 13562 Central Ave NE HEATING CO Anoka, MN 55304 Signed �- TEL FAX # Approved By Rough -In Date Final Date �� 02 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT, VENT CONNFCTOR AND COMBI IRTION AIR VFRIFI CATION When re In acing an existing furanee, 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 K 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 9ssisted and natural draft appliances. Yes ( No( ) The existing cnmbuctinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When required to install a new r-nmhi ictinn air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( No( ) When installing a new ventingsayc_tem, 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 kNo ( ) Applianee Type and Sime/Common Vent and Vent Genn peter Informatinn Appliance #1 Type 6krriace— BTU Input /00,CD Fan Assisted or Nat4Gr 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 ®9- 54grx dJ ELECT., MG 62�0E. HEATING CO: Nd � MdAVE. 4 Signed By: Date: HEATING AIR CONDITIONING WBOWLAINEAND ELECTRIC, INC. ADDRESS—M17-1-__ _ 1 1'w LL '44 6 VkJ N?- (1i F3- OCCUPANT.&I&L S jr7- W J:5 r- I HEAT LOSS A J .-i I DATE HTG. INST. SOLD BY Electrical Work By TYPE OF HEAT GA FA STEAMS_ SPACE HTR. a GAS DESIGN MAKE Model � Serial INPUT In in e e ROLS THERMOSTAT 6w i D A CO Heat Plu Pilot Timing L.W. Cut Off Pressure Percent CO2 Input CFH Percent OZ t_ Stack Temp. 1 Percent CO HOUSE HEATING TEST RECORD 1P ' APT. -- F�LPQR CITY SUBURB OWNER a V INSTALLED BY tIIrr Gas Line By UNIT HTR. OTHER CONVERSION sw '01 11 Vent size KIND OF LNER 041 R.°'6'L°lG SIZE NONE Draft Hood Regulator Filters Size Number Chimney Location Inside Outside Construction Consction _ Smoke Bomb Wiring e Draft Test Tag Door Pressure 0 Lighting Inst. Date Tested Company Testing / j& g ✓ i eyf- Name of Tester Input CFH_ Stack Temp. Percent CO2 Percent 02 Percent CO CITY OF FRIDLEY i 6431 UNIVERSITY AVENUE NE FRIDLEY, MIN 55432 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1583 TROLLHAGEN DR NE PIN : 253024110072 LEGAL DESC : INNSBRUCK 5TH ADD : LOT 13 BLOCK 3 PERMIT NO.: 2004-02327 DATE ISSUED: 12/23/2004 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES # WATER TRMT APPLIANCES APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S MINNEAPOLIS, MN 55408-2173 (612)827-4033 OWNER WISTI MORRIS D & ELLA I 1583 TROLLHAGEN DR NE FRIDLEY, MN 55421 0 # GAS WATER HEATERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) IC 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 worl 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 loca law regulating construction or the performance of constructs Applicant Date Bldg PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 29737 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 1 0 400 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.00 0.50 35.50 1TY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 431 University Ave NE 'ridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BF INSTAI I Fn nm f=Ar..H 1:1 OOR 'LUMBING FIXTURE RATES: NO. _ a • JOB ADDRESS_ AAAA e ' O -S o'W NAW- � $10.00 .spa • )Id Opening, New F'udure .a.;- 5 �®I specified agreeing to do all work in strict accordance with the city codes Seer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts flow Off Basin $1.0.00 and representations stated in this application are true and correct. :atch Basin $10.00 wISTI, MORRIS I 15 Iain Water Leader $10.00 1583 TROLLHAGEN DRIVE N.E. .20 ;ump/Receiving Tank$10.00 FRIDLEY, MN 55421 Vater Treating Appliance $35.00 OWNER (763) 571-4391 Vater Heater -Electric $35.00 Vater Heater - Gas** � $35.00 e� 11 BUILDING USED AS S a e ylGe_ Sas Range#* $10.00 Sas Dryer** $10.00 ESTIMATED COST �� o`o PERMIT NO. lack Flow Preventer Required ( )Yes () No 'LUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_ AAAA e ' O -S o'W NAW- Jew Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein )Id Opening, New F'udure $10.00 specified agreeing to do all work in strict accordance with the city codes Seer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts flow Off Basin $1.0.00 and representations stated in this application are true and correct. :atch Basin $10.00 wISTI, MORRIS I 15 Iain Water Leader $10.00 1583 TROLLHAGEN DRIVE N.E. .20 ;ump/Receiving Tank$10.00 FRIDLEY, MN 55421 Vater Treating Appliance $35.00 OWNER (763) 571-4391 Vater Heater -Electric $35.00 Vater Heater - Gas** � $35.00 e� 11 BUILDING USED AS S a e ylGe_ Sas Range#* $10.00 Sas Dryer** $10.00 ESTIMATED COST �� o`o PERMIT NO. lack Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY NO (_\Okawl cants r teinspection Fee $50.00/Hr SIGNED BY TEL N0. ((a 12) 927— cI033 ►LL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $ 3s• OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. -OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY.FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 cunt 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 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 Wednesday, June 08, 2005 7:29 AM Wade or Inger Tern pesta 320-963-5590 Q ®� JUN -07-2005 15:42 CITY OF FRIDLEY J 14EW CITY OF FRIDLEY S7Z-3604 Bldg lnsp 6431 University AvQ NE, Fridley, MN 55432 (763 ) (763) 571-1297 Fax (J &TER SINGLE FAMILY AND VUPLE-XCR-1 AND R-2 [ ] BUILDING PERMIT APPLICATION �5� 3 `�ro li�►� ., r, r�cr!(L� Construction Address: T _ L®gal Description: Tel. 0. 9/ Owner Name & Address: —I MN LICENSE e Contractor. c___�------ rJ N9b/e Cl' /yl/t) , S'�"3Tet. xc s Address: - D r .ei idle > O 3 Co c. '70-370-034-p(4, (v 3 � � a o Atte .h to this application, a Cartificato of Survey Of the bt, with the proposed construction drawn on it to*scaie. DESCRIPTION OF IMPROVEMI_W LIVING AREA: Length _ Width _ _ Heigh Sq. Ft Width Height _ ---�--- GARAGE AREA' Length �_ ---�� Hgt/Ground Sq. rt _ DECK AREA., Length Width _ OTHER: �'��-!moi Estimated Cost: $�� C3 Gonstntotion Type:rtr �- Driveway Curb Cut Width Needed Ft. * 6 Ft = Ft x r � Tel. I't APPLICANT: -Ia "� DATE: Call (763) 572-3604 for Permit Fees If Mailing in application. Fax to 763971-1287 if using Credit card and we will call you for card number. CITY USE ONLY - $_�J 5 Fee Schedule on Reverse Side Permit Fee Plan Review "t! 650% of Permit Fee $_ .001 of Permit Valuation (1/10th%) Fire Surcharge State Surcharge �_ e $_50/$1,000 Valuation SAC Charge $ $1450 per SAC Unit $5.00 (State Licensed Residential Contractors) License Surcharge Curr Cut Escrow $-_ $ _ Alt "A" or Alt "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $. Fee Determined by Engineering Sewer Main Charge Agreement Necessary [ ] Not Neceesary I l TOTAL g D b 99 STIP .TIONS: P.05