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AF - 36487sue.,ecT PERMIT NO. City of Fridley _ 15 3 2 AT THE TOP OF THE TWINS g U I L� i N G P E R M I T � ; � ECEIPT NO. � ' COMMUNITY DEVELOPMENT DIV. � r� � y � PROTECTIVE INSPECTION SEC. , , � � , ' � �-��1 � CITV HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED B� ` ��i �.J 612-571-3450 910-F15 7/10/79 � � JOB ADDRESS 1621 Brenner Pass N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 4 3 Innsbruck North Townhouse Plat S SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Development Corp. 7286 - 72nd Lane, Brooklyn Park, 55428 3 CONTRACTOF MAIL ADDRESS Z�P PHONE LICENSE NO. Same 560-8110 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 B DESCRIBE WORK Const t an 18' x 28' Town ouse B Unit 9 CHANGE QF USE FROM TO STIPULATIONS party wall must be two separate 1 hour walls from bottom to roof. Fize stop soffits. Provide combustion air for furnace from outside. SEPER�TF PER�+fITS REQUIRED fOR �WIRtMG� I��ATIf1G� PLti-MdING �t�D SIG�NS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCl FY1I[t@ 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 I HEREBY CERTIFY THAT I HAVE FEAD 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $23, 560 $11. %H DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF V HE TE OR �OCAL LAW REGULATING CON- STRUCTION RF NCE OF CONSTRUCTION. $4%.81 $425.00 '� PLAN CHECK FEE TOTAL FEE „+- � -K+' -'�-- ,��,%j 11.95 496.54 SIGNa7UREOfCO CTORO HORiZEDAGENT IDATEI / N PROPE Y A ATE THIS IS YOUR PERMIT f SIGNa7UREOFOwNERiIFOWNEPBUI�DERi �DATE� G iNSP r�4 E � l.l I I Vi 1 I(11J1 L' 1 . • �,r�i_t cr,�rr o�l 1=UR IZI�S 1 ll(_I! (� 1/�L P,U J l_ll I i�lG ('[:i;f'i I T> . " (�'v�ti�l, �LTL ft111� 1 U!! �, nl?1) I 710(�J�, OfZ RC: I'fl 1 t� S) � . . � � , O:•�i2TR: �1-t!/Yv�t_li% Cf , �:C.-•'t/�C/ �s � �' T3U7LU1;1Z: �-� � � r ! - . ��'� . n�ar��: 4�� .:��.'��>r..�.� ��-:�c_.�..�� naa�-��,: �` ' ��-- � o � � �'�-�-� s s �+a 8 To l. . r:v . : � � -� ' ��0. I % vZ % StY'CCt:�tt ,�!.�t, /-2-�1� „__,.._,,,..,�_�� • - r,pT: �t }37AC1:: � •ADDX'1`ION: S�h CO�t1J2:R LrJ2': �C II�SIll� TA'P: S;:7'J3ACY.: Sxll):YA12D5: ' T,pplicai:L- attach 't-o this S:oxm Z1�o Certif-i.cates of Survey o� Loi: ar�d pr.apased builcling locaL-ian dra4m on these Certificates. . � � • DkSCRI PTIOCJ OF BUI LDI nG �-�:�-r•� 9 To Rc Used As: . � � / %<,, � �:. r i�,<.��=. . � �� - %Y2�,� ,. ,� ' F'xon'�: Depth: �a� ' Ne�.gh�: a� - � . Square FeeC: _f�33� Cubic Feet: ��%5� 'I�ront: Depth: � lieic1ht: - - Square I'cei:: � CUb�c I'eet: ' w - a�, s�o 3` .� ' `�' ^ Estimated Cost: $ Type o.i Construci:i.on: `�' c,-�-�. ��-��,�..�• �b I3e Coizinleted: :'f�! ?s . � �Alt. A Alt_ B ' Proposed Drive��ay [•;idt}i 7f I�ew Opening xs Desired $ $ . • � (srr 1'•EVERSE SIDF. OF SHEET) Tiie undersignrd hc_eLy makes application for a specifi.ed, ar,rceing to do all <<ork in strict a Fxidlca� 0�-dinances and rulings of the Dct?ar - c decl_axes that all thc facts and re sen . a.an axe true .-uid coxrecL-. �See xeve�-s sis - �-�. / Dn'rE: 'I/?,%'�� SXGNA'1'U1:L: r' �-�--� . � � $t1j�U�..'li:1011S: . �/�.�3/ ��m`' � . ii, �'S" Pt.�� . , i�. �8 �-�' � , �/�s .- ov � _ � -v�� .�/ . pexn��,for L-he work herein �dancc� ��ith ttie Ci.ty of . t oi Fuil 'ngs, and hcreby - d, i this applicai:�on ' i:ion�il nia��tation. �. i� ' / i ' .. . , . s/i�/�9 '��IL.S� 97-►�-1,16051 ��.f-��,_i�r,r�o�� r-ua Pw�-iUir�� ti�dp Gn; Fi�r�rti�;� Nrt��;i�r ��:'�. I � ' � � � � I � b I i, I • I+� I' � y ��ac�r .� -� o. �� I K I � I� "n "��" � .i'' a, I �.� ' Ileatnr � � n �c ti � �� i C. (' P� I �' .' . L � � U H I (°. .>' � (J GI ;.i ti c� 'a I � � ' 1 yl �� N � � � .� C � ) ^t 1� L' ,A UI L'1 � a V .. , C c�� -� �:1 .n �� 3 �� wl _. '^ U zl4 s � sy � C;4s ;lec '=- -- — — _�_I_ _' ;,` ------- � ___ ._ _ _I r1�� _.I_----- _ i1 I i �—� —�— — — — �_ _ _. — —f—t—T�—�— — d � , I — -- — -- _- - -- — —'— — � — — — j—�—�--I— ' n --- __�___,` � � I � ---�—�-- — — — — il) � li,iuir C„nnc�tlun G�.enir J ! �' .; ��ted Hi[h Sewer '1 - i�cu t lnt��ie,, Old Ol:on:r.� � Water i °----- ---- F Y�' � '''4 f ' fJ/1�TIr�,L �tr„� �'�i'Ll:..�C 'LU�ilil�� f�itlul�l: k�TLS; !+u. R�aTE �'.;: If�i:i,:,c� tlwtu[ea x S3.G0 Ftitui�: F�Anirt G�,cr�irJ x $�.00 I�e. l'Iat,i�e, Ol� Oper,l:,, x $2,C0 G�t,,h ��sln x $5,00 He�ei Ila�ter - to 9y,u00 61U a 55,00 lui1,000 F�]V Go 155,C�0 BT� x 510.00 Wa[��r 5„�cennr x $7,00 Ncw G�uun�1 fL,n Old B�ll�lr.) x $5,00 I.lCC4�l,; HalaC I�tstCC ;� S�,pO ;.S I I I flr;G htES, l�t 1 ti.tuces • x 53,00 A.1,fitional Flstur�y x 51,00 l.ta N.+i,�o tJ 155,OOu GTU x $j0.00 ,. tL•I',11��ti ;, ALTEIt.;T1uN5 , Yl:�i >1��u.oU $5,0� ea..i� 0.1.1. y1J�.u0 ar lc�cuon $2,00 S�acd Surchcrgo ; TGre[. � r.L : I�LIIISPL':.TIGII FI.I: TOTAI S 5 S ---� S S $ S � S S S �— $ S S S .50 s io.5o ► �o� r,aa<<„ 1621 Brenner Pass Deparcmr:nC cC b��:...i:r�y ctcy �e r�i�i�y, . "' Tel.. 11571-3•150 T'hu undr,ral�n�:.i I�,ur�:Ly ir.;ke�a applicac:or. f�r e er,ct� (;,r U�.a �rk I�ercln epeClfled agce�fi�� d;,' ; 1'. Nork in strict e,,:cr.1�r,;;n ��leF, [1�� Clty (r,�1,;� flnd rulin��s oP tl�e �e�,.lrunent oE ��ii:iln.�s, �n' rercr� �1c,;lerei et.et el! tliU f�cC:i n�id re��r�,s„i�,[�1LlJfl9 sC�CU�7 In [t�1n t,�,:,,tca[1cn aro t�uo nnJ,a.ir�rc;i F::.11ey, ;.r,. �-28-79 _, 1�---- CPINCR D rrell Farr K2t�Q OF ��ur�..�i;;� Y' frame ~ USED AS r.PG TO DE CGI4PLC'fE:G 1.:,;;UP 1�3—�� - ESTIDU�TI:D CO51' ��D,�C OLD - tJi��l i�ur�.r.i��„ i,�i,;�,r; ;�,;. �. • r .. r� . . , . . C�;�,�1 �.�_�.�____--- �. .— _ � !%l."-Q�..,/' � - . C_ J' `G''';'V"Yt. ��mpany �, � � St�nc.1 �y ':d: � IiJ, ROUGH IIISP. D� to ' FIt!!�L IIISP, DaC� hhPliUVnL L'pli FEIU•II P 7�`--`i MIIIIMUii 1'CL' Y�:i� /.:11' f•LUi.ulllu FE'fu;IP IS 57.50 FLUS �,SO :;":I.TC 6UHC)U.IU:r �h 0 CITY OF FRIDLEY APPLICATION FO R PLUM3ING AND GAS FITTING PERMIT A m ti+ c u .°i ,� .,�� , water at m m N a•.+ y q a+ cL r. q Heater � � .+ � m F•.+ �s s, m ro s� a rtt � +� cl rs C vl X a.� fJ N .0 C E C) Q cx 4 �U N C .0 -.1 ,y .r C C 3 O U•� O.0 U Cl u r7 .-�i N �tl N � �tl fN O .�C .�i rt1 b 7�0 �'J N �tl N �n v a w a� �n 3 o w N w u m.s 3� � � o as lec � � % / d lst 2nd 3rd 4 �h (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening • Water PARTIAL RATE SCHEDULE PLU�IBING FIaTURE RATES: N0. RATE Nu..-�es Fixtures � x S3. QO c�ture e^:xture Openinq �� x $2.00 tve�r Fixture, Old Opening x $2.00 Catch Basin x $5.00 Water Heater - to 99,000 BTU x $5.00 1G0,000 BTU to 199,000 BTU x$10.00 Water Softener x $7.00 New Groi:nd f�n Old Buildinq x $5.00 Electric water Heater x 55.00 GAS FITTIhG FEES: lst 3 fixtures _L�x $3,00 Additional Fi3:tures x 51.00 Gas Range to 199,000 BTU x$j:0.00 TOTAL S S' $ $ < S $ S $ $ S 1 �-�`` S S REP�IRS �, ALTERATIONS First $100.00 $5.0� S each add. S100.00 or fraction $2.00 $ State Surcharga $ ,50 —,-- .� TOT/\L FS� $ � i J' REINSPECTION FEE ($I0.00) Job Address �1J �,/ " Depart�-nent of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work hezein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all tho facL-s and roprosontations stated in this npglication are true and correct . Fridley, Mn. �6`� � lg� . • _ L, 0'+JNER _ . � r KIND OF BUILDING �-" I' . � �� ' I USED AS �,, i�/� �, . . . . � ' ,� TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. C�CJ /o� ,r Company " � �'r' � i ; �` Signed By ROUGH INSP. Date Tel. No. ` - � F2NAL INSP. � - � - �v Date APPROVAL FOR PERMZT '�j��=+`= MINIMUM FEE FOR ANSt PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCHARGE HOUSE HEATING TEST RECORD ADDRESS re� APT. FLOOR CITY��-�`�-SUBURB OCCUPANT l OWNER ��r �� T/n��L-. HEAT LO55 DATE HTG INST SOLD BY INSTALLED BY ``�KY.LP Electrical Work By '�` Gas Line By �me TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER ,J GAS DESIGN CONVERSION MAKE �r�Pr� MAKE OF BURNER Model ��2[7�A?� Modsl Ssrial Max. BTU Rating INPUT �� MAKE OF FURNACE Model CONTROLS (D �� THERMOSTAT �'� % Heat Plug •�� Vsnt Size Volve l�� Q KIND OF LINER— SIZE NONE — Limit L-�C'%Q Draft Hood Reyularor Limit S�tting Filtsrs Size Numbsr Fan Setting �� Chimn�y Loeation Insids � Outside Pilot Type Chimney Construction Pilot Make Pilot Model �� Smoke Bomb M�iring Pilot Timing ��'j��'�'CJ1L-� - Draft �� Tsst Tap L.W. Cut Off Door Pressura Lightiny Inst. C Pressure �' L—Peresnt CO2 Date Tested � Input CFH ��%� Percent 02 Company Testing ,\, Stack Temp. �� Percent CO — Name of Test.r �11� �5�`i/l Form 235 _1 1` "� Jl,��W��_�: �=_Y � �; /�%' ,,,� __-�__�=�� ,{;f` ,� �� `�; n� �; .��'• � . � ` d.` j� }'''/ . ;f �� , � f \�� 1pri1 8, 19£i0 fl s � ��.� �� 6431 UFIIVERSITY AVEiJUE N.E., FRIDLEY, I+i1fJNESOTA 55432 Darrel Farr Development Corp. 4600 Lake Rc�ad Minn�apolis, P4N 55422 Re: Final Inspections on Fountain Oaks To�anhouses Dear Sirs: TELEPMONE ( 612}571-3450 Final inspections were made on Anril 4, 1980 of the following addresses and the items noted must be cor,ipleted before the structures can be finaled out; 5401 jti'est Brenner Pass l. Regrade to provide proper drainage and lower grade to expose concrete slab. 2. Provide a ball check in the f loor drain. 3. Obtain a final inspection on the heating work. 5�03 Wes� Brenner Pass 1. Complete the grading. 2. Repair and install the ball check in th e floor drain. 3. Obtain a final inspection.on the heating work. 5405 �aest Brenner Pass 1. Install a ball check in the floor drain. 2. Regrade front to provide proper drainage and lower grade at garage to exi�ose concrete slab. 5407 L7est Brenner Pass l. Provide a ball checl: in the floor drain. 2. Plug ruture water closet run in lower level. 3. Obtain a final inspection on the heating work. 5409 West Brenner Pass l. Install a ball clieck in the Floor drain. 2. Regrade and expose concrete garage slab. 3. Obtain a final inspection on the heating �aork. 5413 jJest Brenner Pass 1. Provide a ball check in the floor drain. 2. Complete grading properly, , 3. Obtain a final inspection on the heating �aork. 5415 t�Test Breilner Pass ' 1. Install a ball check in the floor drain. � 2. The discharqe hose frcm the sump pump must dischar�e to the outside and not into the sanitary sewer. � 3. Obtain a final inspection on the heating work. � �" . _. . _ , . .. ._- . �T+r�.......�....-R+��!r,nt.....'•,�,s.,y...,e,a.�,..,,e..�,..—n�...:--�;�e•r� 7�••-..�,..�-a;+�-�+�r>r:•--:'Rre.+n+r!�,r,T.+.±v�e^.t.e�.�-. -•�t�-. . _ .:!!�C': � . �b .s��-. , � Darrel Farr Development Corp. - � AI?�i.1 8 � 19�30. � Re: Fixial Inspections on Fountain Oaks � 5417 West Brenner Pass , 1. Complete final grading. � 2. Install a ball check in the floor drain. � 3. Obtain a final inspection on the heating work. Page 2 5419 [�Test Brenner Pass 1. Install a ball check in the floor drain. 2. The discY�arge hose frc�n the•sump pumP must discharge to the outside and not into the sanitary sewer. 3. Obtain a final inspection on the heating wor�c. 5421 [�est Brenner Pass 1. Install a ball check in the flocr drain. 2. The discharge from the siunp p�p must discharge to the outside and not into the sanitary sewer. 3. Obtain a f inal inspection on the hea ting work. 5423 West Brenner Pass l. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating �vork. 5425 t�est Brenner Pass 1. Nail treads on stair leading to the basement. 2. Install a ball check in the floor drain. 3. Obtain a final inspection on the heating work. 5427 6�Test Brenner Pass 1. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating �aork. 5431 West Brenner Pass 1. Install a ball check in the floor drain. 2. Sleeping is prohibited in the basement unless an escape window is installed and a fire alarm. 3. The discharc�e hose from the siunp p�p must discharge to the outside and not into the sanitary sewer. 4. Obtain a final inspection on the heating work. 5433 T�'est Brenner Pass 1. Install a ball check in the floor drain_ 2. Obtain a final inspection on the heating work. 5435 Nest Brenner Pass l. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating work. 1629 Brenner Pass 1. Tnstall a ball check in the floor drain. 2. Provide an access panel for the upstairs bathroom. � ✓ 1621 Brenzier Pass 1. Support the basement stair at mid-point. 2. Install a ball check in the f loor drain. arr_2 Farr Deve�opment Corp. � • April II, 19f30 .` Re: Final Ins�ections on Fountain Oaks Page 3 � e 1627 Brenner Pass 1. Install a ball check in the iloor drain, . 2. Obtain a final inspectiori on the lieating work. � 1643 Brenner Pass 1. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating work. 1633 Brenner Pass 1. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating work. We will expect the above items to be completed by June 2, 19£30 and reinspections called for. If you have any questions on these it�n.s, please contact me at 571-3450. Sincerely, � DARREL G. CLARK Chief Building Official DGC/mh --�-�-� s,-,+-�...--�-e-'....-e4t-.Ne'.�f.!•�.A.�=ra�+.e�-.;r.-...��rc'.-�..s..��.�,....;.z�,-.•.-x..,...,-,�.�rror-.��-�-...�--•�:>.T--.w-`,.^.- :.._,��.-a . -.,,-.. . .. - ' . . . . . .. . ^w`m+!^.�t^cr--�r.-xr..-._"�"-..'.— _ � . _ ... sue�ecr PERMIT NO. c�ty of Fridley �2 0 315 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � �_ RE.�E . � � � ; y _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 3�g��i � ' /'��1 � CITY HALL FRIDIE� 55432 NUMBER REV DATE PAGE Of APPROVED BY �""�"� ,'� 612-571-3450 910-F15 4/24/90. / / JOB ADDRESS 1621 Brenner Pas:s N.E., 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 4& 10 3 Innsbruck North_ Townhouse Plat S SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marsha Featherstone 1621 Brenner P�ss N.E, 571-9736 3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO. D& P Builders Inc. 2370 -- 3rd Street NRr�7„ New B.righton 55112 633-8375 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 6 USE OF BUILDING Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION C}� REPAIR ❑ MOVE � FiEMOVE 8 DESCRIBE WORK Repair rqtted siding on �ireplace chas.e 9 CHANGE OF USE FFOM TO STIPULATIONS Call �ox inspecti:on after tear-off. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTAICAL, PLUMBING, HEATING, VENTIIATiNG OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING 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 OFFSTFEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1' STAILS 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 $l�[�O.O 5.7� 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- $33.00 STRUCTION OR THE PERFORMANCE F CONSTRUCTION PLAN CHECKFEE TOTALFEE �,,�i-,.. 3 � ��r�, `i— /`,C� \ $33 � 70 S�GNATUREOFCONTRACTORORAUTHOi7qEDAGENT ionrEi WHEN PROPER�V VALI TED THIS IS YOUR PERMIT - `l��C'2-� � P ��-� � � SiGNATUF7EOFOWNEFliiFOWNEABUILDEA� iDATEi BLDG �NSP D TE � [ ] ADQ1 � � �� [ ] Cbnstructia� Adcir+es.s : Legal Description: CITY OF FRIDLEY R-1 AND R-2 � Buildir�g Pezmit Application Effective 1/1/90 o�r rr� & r�aar�: Zie1. # 5 �� 9��C cbr�tractor: � f ��:c,�=�� iy�G , T�e1. � C� -�"3 �s - �a�: �.3�0 ��. sf' �t,�� 1��'��, _ �'�% . �s -7la Attach to this application, a Certificate of S�rvey of the lot, with the pz�q�osed oonstruction drawn on it to scale. LIVII� AREA: Lerigth C�,RAGE ARF�,: Lelx�th DDCit AREA: Ler�gth o►rf�x: h��. � r= �• •: • - � �• •.� • a �� Width Width Width Heic�t Height �v-�'� � Sq. Ft. Sq. Ft. SSx. Ft. oorner Lat [] Inside Lot [ J Ft. Yd setback Side Yara setbacxs Z'ype of Construction: �j Estimated Oost: $/i`OO a c� Approx. �letion Date: .S =/- 90 Proposed Driveway Width If New Openi.ryg Is Desired: Ft. $ S dth + 6' See Back Page LIATE: `� ��i - `�'C� APPLICANT: ks��'L� � . � .�,� Tel . # �-3 -�� .� — P�ermit Fee $ �� State �an�e $ 7C'� SAC �azge $ Driveway �scrow $ Park Fee $ Sewer Main Charge $ ��- °%C� • v -- �� $ CITY IISE ��II,Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" AUove Fee Determined b'Y �4�r�4 Agree�neizt Neoessaty [ ] Not NevessaYy [ ] :��_ � �y i�;�„� � �+- _ �:i�� - The Chief Build.ing Official shall, before issuing permits for the erec.�tion of any buildirg or structure, or for ariy addition to ar►y existing building or stnxcture, or for arty alteration or repair to ar�y existir�g buildiz�g or structure, t�xan application therefore, r+equire the payment by the applicant for such permit of fees to the amaint herein belnw set forth ard in the manner herein provided to--wit: Z�dTAL VAI.LJE $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 i,��a., $15 (Mini.m�IIn Fee is $15 plus surd�arge) $15 for first $500 plus $2 for each additional $100 or fraction the.reof, to aryd ir�cluding $2, 000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to ar�d includir�g $25, 000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to arid includir�g $50, 000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for earh additional $1,000 or fraction thereof, to ar�ci including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $l, 000 or fraction thereof, to ar�ci includir�g $1, 000, 000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DdtIVEWAY DEPRFSSIOTI ESC3�ON7 (Concrete C1irb Stxeets On1Y) Alternate "A" : R�noval ar�d replaoement of curb and gutter only - Drive�ray width plus 6 feet times $13.50. Alternate "B" : Removal and replac�snent of cur% ar�d gutter ar�d install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. � �• ■ M• •; • • i i� • •; F�ermits for oonstruction will be issued a miniirn�n of 24 ha�s frcan the time of application to allow for prcyper review of the propo�-.�ed structure arid of the oonstniction site. A Certificate of 5lirvey of the lot, shcxair�g the location of the fautxiation once it has it has bee.n oorLStructed will be regiired before prooeedirx3 with the franting. 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 Effedive On .lanuary 1, 1999 PLUMBING FIXTURE RATES: New Fixtures Old Op�ning, New FFxture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** NO. RATE TOTAL � � 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 � i l Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5°� of Value of Fixture or Appliance ��', C��' State Surcharge TOTAL FEE $ .50 $��: ��:' •" ' ��' �� ♦. / L ��.�+ The undersigned hereby makes application for a permit forthe work herein specified agreeing to do all work in strir.r acr,r�r�a�ce 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. � ,1999 ' � �: i � � � � Building Used As /��, Estimated Cost � 7� F'ERMIT NO. ,�-,�C �r(>� � , PLUMBING COMPANY � SIGNED BY � TEL N0. �T`�-��- �l� � Approved By �� Rough—In Date Final Date �� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 ��_ PLUS THE $.50 STATE SURCHARGE � **COMBUSl10N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SGl INCHES. SuB�ECT City of Fridley 312 0 4 AT TME TOP OF THE TWINS g � I L D I N G P E R M I T r ' ' RE � � • � COMMUNITY DEVEIOPMENT DIV. ♦V��' , / f � � PROTECTIVE INSPECTION SEC. L/� � , � , ! � � � �"'1 � CITY MALL FRIOLE� SSIJ2 NUMBEp pEV O�iE v�GE O� •vPaOVEO Br �'""'�"� �'' 612-571-3450 910-F15 7/14/00 / / JOB ADDRESS 1621 - 31 Brenner Pass t LEGAL LOT NO. 9LOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1—C� 3 Innsbruck North Townhouse Plat 5 SNEET 2 PROPERTY OWNER MAIL AODRESS ZIP PMONE Innsbruck Townhome Association 651-224-5482 3 CON7RACTOR MAIL ADORESS ZIP PHONE LICENSE NO Garlock-French Roofing Corp., 2301 E. 25th St., D4pls., MN 55406 612-722-7129 a ARCMITECT OR DESIGNEii MAIL ADDRESS ZIP PMONE IICENSE NO 00001423 5 ENGINEER MAIL ADDFESS ZIP pMONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Tear Off and Reroof Townhouse Buildin 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. �ermii Inspection Cards Will Be Mailed ro Nomeowner To Post TYPEOFCONST OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS AfiE NEOUIRED FOR ELECTFICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID If WORK OF CONSTRUCTION 20NING SO fT CU FT AUTHOR�ZED IS NOT COMMENCEO WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 OAYS AT ANV TIME AFTER WOiiK IS COMMENCED. NO� OWLG. UNITS OfFSTREET PARNING I HEREBY CERTIfV THAT I MAVE READ AND E7(AMINEO THIS APPLICATION 6 STALLS GAfiAGES AND KNOW THE SAME TO BE TiiUE AND CORRECI. ALl PROVISIONS Of LAWS VALUATION SUFTAX AND ORDINANCES GOVERNING THIS TVPE OF WOiiK WILL BE COMP�IEO �22 288.40 �11.IS WITH WNETMER SPECIFIED MEREIN Oii NOT THE GRANTING OF A PERMIT � DOES NOT PFiESUME TO GIVE AUTHORITY TO VIOLATE Ofi CANCEL THE pERMI? fEE SAC CHARGE PROVISIONS OF ANY OTHEF STATE OR LOCAI LAW REGULATING coN- �363. ZS Fire SC �22.29 STRUCTION OR TME PERFORMANCE OP CONSTRUCTION PLAN CMECK FEE TOTA FEE 396.69 S�GNGiUAE OF CON"AACTOQ Op AUTMOp�ZED �GEHt �D�TEi EN OPE Allp THIS IS VOU�MI� 1 -' $�GN47UQE��OWNEQ��FQWNEpBUI�OEQ� �DATE� 8� itisp rciE 7-12-200 11:d7AM FROM 612722975d NEW ADDN ALTER i�l � Il �. �° '�� E�rectwe ��n000 [] CITY OF FRIDLEY 612-672�i' 604 Bldg Insp �] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION - Construction Address: [ �� a I� � � t� � 1 '1 '�uZS.s � . . . � Legal Description: Owne� Name & Add�ess: Contractor: ( G G— Address: a�� 1 �S� LNING AREA: �n�.#�psi-a�u-SN�� MN LICENSE # (��DI �a3 � S�/(�Tel. # lo �� - �� a - ��a � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRlPTION OF IMPROYEMENT �ength Width Height Sq. Ft. GARAGE AREA: Length DECK AREA: OTHER: Width Height Length 111fdth Hgt/Ground Sq. Ft Sq. FL Constn,cfion Type: � 1� Estimated Cost S a��y 2S •�� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: l� 2 APPLICANT: �'� �i��,�p,Y� Tel.# �1�a-�aa-�la� CITY USE ONLY - Catl (612) 572-3604 for Permit Fees if mailing 9n applicatlon Permit Fee $ �-3 �f �Fee Schedule on Reverse Side Fire Surcharge $ �. �.001 of Permit Valuafion (1/10th%) State Surcharge $ � /, %S~ $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Paric Fee Sewer Main Charge TOTAL STIPUTATIONS: $ $1100 pe� 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 I j $ ��.� sue�ecT P City of Fridley 32386� AT THE TOP OF TME TWINS g � � L D I N G P E R M i T r � . � � � � ; V� � COMMUNITV DEVEIOPMENT DIV. � r � � PROTECTtVE INSPECTION SEC. / �C� � i-.•. A,��"'1,•� CITY HALI fR10LE� 55�32 NUMBER REV O�iE P�GE OF �PnROvEO Br 1 '� 612-571-3450 9t0-Ft5 1/11/02 / � J08 ADDRESS 1621 Brenner Pass NE t LEGAL �OT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. L}—lO 3 nnsbruck North T SHEET 2 PROPEFTV OWNER MAIL ADDRESS ZIP PNONE Stephanie Haubert, 1621 Brenner Pass, Fridley, MN 55432 763-502-6759 J CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rite-Way Waterproofing, 448 Lilac St, I,ino Lakes, MN 55014 651-786-0550 � ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CI.ASS OF WOFK � NEW ❑ ADDITION I' ALTERATION ❑ REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Interior basement drain tile system 9 CHANGEOFUSEFROM TO STIPUTATIONS Extension cord cannot be used to hook up pump. TYPEOfCONST OCCUPANCVGROUP OCCUPANCvLOAO SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL. PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING TNIS PERMIT BECOMES NULL AND VOID IF WORK Oq CONSTqUCTION ZONING S�. FT CU FT AUTHORIZED IS NOT COMMENCED WITMIN 60 DAYS, OR IF CONSTpUCT10N OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING I MEREBY CERTIFV THAT I NAVE READ AND EXAMINEO THIS APPLICATION STA��S GARAGES AND KNOW TME SAME TO BE TRUE AND CORFlECT ALl PROVISIONS Of LAWS VA�UATION SURTA% AND ORDINANCES GOVEf;NING THIS TVPE Of WOiiK WILL BE COMPUED WITH WNETHEA SPECIFIED HEREIN OA NOT TME GRANTING Of A VERMIT �2�000.00 �I.00 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqM11 fEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• $TRUCTION OR 1HE PERFOiiMANCE OF CONSTRUCTION �G9. ZS �2.00 Fire SC P�AN CHECK fEE TOTA� FEE �%2.2.5 S�GNS7UAEO�CON'AACTOQOQOUT�+OQ�2EOAGENT iD�iE� yyH PROPERLV VALIOATED THIS IS �OUR PER IT / /� O QC $�GNAiUAfO�OWNEQ��FOWNEpBU�IOEA� �D1TE� BL G �NS� /1��f < NEW ADDN ALTER CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� ?��4 Effective 1/1/2001 (763) 572-3604 Bidg Insp Construction Address: 1 lQ � l ��' e.r��La� �( S� Legal Description: �,�„ c�' i�5 c.,�nn,�,r�fi- �Dr�L,�., -�-lLo �,<�.t,�•�,.� Owner Name & Address: S-1-T M,,..� n, L-, ._,}- Tel. #�� 3- S� a- Co 7S y Contractor: ,��r --l�,w► L.Y.�-ea��n�!i .;,� MN LICENSE# Address: �1�l� % .ia �. . �'' e � � ( � �c (,��,P� � fS��/ Tel. # �� /- ��G U �`;�� LIVING AREA 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. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA OTHER Length Width Hgt/Ground Sq. Ft. i� •n l �v I� / Construction Type: Estimated Cost: $ �� . °o Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _� � DATE: I-�-C� � APPLICAN . Tel. # lf f/- 7� -�'zSSU ' �i� � CITY USE ONLY - Permit Fee Fire �urcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ (o a. a 5 Fee Schedule on Reverse Side - $ a• cx� .001 of Permit Valuation (1/10th%) $�_].OV __ $.50/$1,000 Valuation $ $1150 per SAC Unit $ .a r �. �S� $�. esidential Contractors) $ Alt. "A" or Alt. "B" Above Gya 4� $�a.aS $450.00 Conservation Plan Review Fee Determined by Engineering ; Agreement Necessary [ ] Not Necessary [ ] BUII.,DING PERMIT FEE SCHEDULE The Chief Building O�cial 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 pernut 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,OC1 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 fr�cti�n thereof, �.� ��?c� inclu�i�n� $2�,0�?0 $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 Onlyl ' 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � City of Fridley AT TNE TOP OF THE TWINS r � . � � � COMMUNITY DEVELOPMENT DIV. i ; V��'�� , r � � PROTECTIVE INSPECTION SEC. � � � � �"'1 � CITY HALL FRIDIE� 55�32 �'""'�� ,�' 763-571-3450 S�B,IECT BU ILDING PERMIT 572-3604 NUMBER pEV DATE PAGE O: 9t0-F15 9/10/02 � � fRMIT NO. 33063 RECEIPT NO. APPRO�ED BV J08 ADDRESS 1621 Brenner Pass NE t LEGAL LOT NO. BLOCK TRACT Ofi ADDITION SEE ATTACHED DESCR. �F S� 10 3 Innsbruck North Townhouse Plat 5 SHEET 2 PROPERTY OWNER MAIL ADDRES$ 21P PHONE Stephanie Haubert 1621 Brenner Pass NE 502-6759 3 CONTRACTOR MAII ADORESS ZIP PHONE LICENSE NO Hendel Construction 4997 Page Ave NE, Rogers, MN 55374 428-7992 20192308 � ARCHITECT OR DESIGNER MAII ADDRESS ZIP PHONE I.ICENSE NO 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WOFK MAII ADDRESS ❑ NEW O ADDITION ❑ ALTERATION �I REPAIR 8 DESCRIBE WORK Rebuild chimney chase; add firestops to meet code; reside chase 9 CHANGE OF USE FROM STIPULATIONS TO PHONE LICENSE NO ❑ MOVE O REMOVE Firestop per section 708, 1997 Uniform Buildir�g Code. TYPE OF CON; SEPARATE PERMITS ARE REOUIREO fOf± ELECTAICAL, PLUMBiNG, HEATING. VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PEFIOD OF 120 �AYS AT SO. fT ANV TIME AFTER WOFK IS COMMENCED. NO DWLG, UNITS 1 HEREBY CERTIFV THAT I MAVE READ AND EXAMINEO TMIS APPLICATION 1 I STALLS ANO KNOW TME SAME TO BE TRUE AND CORRECT ALl PROVISIONS OF �AWS VA�UATION AND ORDINANCES GOVERNING TMIS TVPE OF WOFlK WILL BE COMPLIED $3�SOO WITH WMETHER SPECIFIED MEREIN OR NOT TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMOAITV TO VIOLATE OR CANCEL THE pEqMIT FEE PROVISIONS OF ANY OTHEFi STATE OR LOCAL LAW FEGUTATING CON- $97.25 STAUCTION OR Th1E PERF RMANCE OF ONST ION PLAN CHECK License $�GNAiUQE OF CON'PA('TOQ OQ 4UTHOA�ZE ��iENT IO�TEi � S�GNa*UAE O� OWNEp•�� OWNEpBU�LOEA� �D�7Ei e �� P IOCCUPANCVLOAO CU FT OFFSTREET PARKING IGACiAGES SURTAx $1.75 SAC CNARGE /Fire SC $3.50 TOTA� F E $1 .50 /T i5 iS � R PEQ iT � � � r�(, t F NEW [ J CITY OF FRIDLEY Effective 1/12002 ADON ( J 6431 University Ave NE, Fridley, MN 55432 (763) 572,3604 Bidg Insp ALTER ( j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Canstruction Address: ' � Z ( �7►�n�+-K Pc�ss Legal Description: 6 Owner Name 8� ddress: 5'+�- P�- ��xu�L,.ea-�' _ Tel. #�'2-�`� 7� �_ �.e Contractor. �� ( �s�}r.� c.�� MN UCENSE # 2° C°l �3'��' Address: � `I �' � �� v-e j� _ �Zo src,u Tel. # '��' � 1 `i 1 'Z LMNG AREA: GARAGE AREA: OECK AREA: OTHER: 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 HgtlGround Sq. Ft Construction Type: �hc. � � Estimated Cost: $ 3�b9 , ov Driveway Curb Cut Wdth Needed: Ft + 6 Ft = Ft x� _$ DATE: � l�'' U L APPUCANT: �-� N�-r'�� Tel. # G(t -Y�1v �7 /3 7 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 CITY USE ONLY - $��5— Fee Schedule on Reverse Side $ �3. So .001 of Permit Valuation (1/10th%) $ /. �S $.50/$1,000 Valuation $ /— $1200 per SAC Unit $ . �oo $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 [ ] � /O �• �� STIPULATIONS: - i��- ��,� . �'� ��7 Gl .�. C- �?i��,�x� BUII.DING PERNIIT 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 S�O1 to �?,000 �'_.001 to. �2�,000 �2�,001 to $50,000 ��0,001 to $100,000 $100,001 to $500,000 ��00,001 to $1,000,000 FE ES $23.50 �23.50 for first ��00 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 �69.2� for first �2,000 p(us $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 $�0,000 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 �1,000,001 and up $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) Removal and replacement of curb and gutter only - Driveway width plus 6 feet-times $17.00. 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 �vith the framing. New Houses Onlv � l f.>>�, � �� . Building Inspections 763-572-3604 � 2 � c�� DATE SITE ADDRBSS ( �O c� I � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WTTH APPLICATION PERNIIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY _ YOUR E-MA1L A.DDRESS - ��'� nnc :` i��SS T 0 OWNER �ONTR.ACTOR Permit No Received By: Date Rec' d: TIAME: i.'� c� ;��; z•t k- ADDRESS: � o�� Qttnnt r pa �5, CITY -�` �� STATE I'�?i1 ZIP� PHONE' %iG � " S % I " y �I � I COMP.�NY Tt.A1vIE:_ CONTACT PERSON: STA7'E LICENSE q_ EXP DATE ADDRESS: CITY PHONE F� �SINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE �W ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK �: �Ci1 �4( � _ w' t, ❑ ALTERATION/REMODEL � cnu PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the totai cost up to 5500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS VJI-IERE 1ABOR EXCEEDS $500, FEES ARE BASED ON S] 0.00 PER FIXNRE, EXCEPT WHERE NOTED. FIXTU1tE5: (II IDICATE TOTAL NUMBER OF EACH BELOV� S�., rr;r c� ��r SIZg/g'TIJ �'u� EquipmentInstalled . MFG: �� r� �� MODEL: S��g,i,U �G: MODEL: MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) 415.00 GAS R.ANGFJOVEN 510.D0 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 _FUR1dACE 535.00 _GAS UN1T HTR $10.00 GAS DRYER $10.00 POOL HEATER $35.00 _CHIMNEY LINER S10.00 —GAS PIPTNG $]0.00 VENTILATOR S15 00 DUCT W ORK $ ] 0.00 - � _ �. _ .t'..rr'r:�i-+r�Y'+ 1"Y17]:;3fD�Y'�"(li'1'.--'_s.7"C'�r`�-. il�ai3,n;�'��i .__.„w..�...�.�,...;..�.-..�a� � -�^..,-+.�... -- ----...._. _. .mx.....�:_ �v'�iil'e'Z'.i%`."rX`�.�7..��!lQ3v�J,�.i'�,1:7na:il�i:�uic�!,;.�,v nr-:...:r•. .�...-:...: ..,r,..,., ,.:..._.-- ____...._._- __ Permit Fee $ Number of fixtures @$10.00 x$10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ 7'OTAL DUE $ Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ " .50 Tota] _ $:�-`i �v THIS IS AN APPLICATION FOR A PERMTt-NOT VALID UNTIL PR�CESSED I hereby apply for a building 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 without a permit; that the v�rk will be in accordance with the approved plan in the case of all wo k which requires review and approval of plans. SIGNATURE OF APPLICANT - -- � --� PRINT NAME /'�t�. /� �(, � � C DATE �/ �� Sr I r! �% � ,_ �..,...,.,.. _._.._. -..�_,.:. .<�,-;..,..s_:;��s, City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �. REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERfVIfT APPLICATION HVAC ❑ NEW HOMES/ADDI�'IONS ❑ EXISTlNG HOME ❑ MAKE-UP A!R REQUI.�'��G NOMES — — �ss ,as�z 0�0lCr� 1. Combusti��elow) . a. Oil or so�� C C�t� �� ents b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments • 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting � Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapier 8 with MN Amendments RE(�UIRED FOR NEW HOMES 4. Heat loss & cooling load per room a Required on new covstruction IMC 1346.0312 5. Ventilation a Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 �. AccA �� D NOTE: Centerpoint Energ� Mechanical Code Guidelines software may be used for combusfion and make up air: calculations From: City of Fridley To: 6512561064 Page: 2J3 Date: 9/23/20101:11:32 PM Building BUILDING Permit No.: ��G V-(, r?v Inspections RESIDENTIAL APPLICATION Received By: � 763-572-36Q4 CITY 4F FRIDLEY D�Q'�'� � P�� 763-502-4977 FAX EFFECTNE',-1-2010 DATE STTE ADDRESS 1� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY Tl'PE PERMIT TYPE TYPE OF Vb'ORK: YOUR E-NIAIL ADDRE'sS5 ❑ OWNER NAME: ADDRESS: PHONE: NAME:_�� STATE LICENSE # �D�SS: 96/ , PHONE ��/-� �.��,�� ❑ SINGLE FAMILY�NEW CONSTRUCTION ❑ TWO FAMILY(NEW CONSTRUCTION ❑ ADDITION ❑ GAR.AGE/SHED ❑ BASEMINT FINISH ❑ ROOF ❑ DECK �SIDING ❑ SWI:WIIvIINU POOL ❑ NESV HOME CONSTRUCTION ❑ ADDITION ❑ MAINTEI+1r1NCF/REPAIR �(REMODEL DESCRIBE WORK BEING DONE: SIZE OF IMIPROVEMENT ROOFIlVG NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: S�Vinyl ❑ Alumirium ❑ c�ther ❑ HOITSE ONLY ❑ HOUSE ,� GARAGE � ATTACHF,D GARAGE ❑ DETACHED GARAGE CITY_ STATE ZIP EXP DATE ^' �O_�_ _ _C[TY,��. �_STATE�I.[P;�Q� �� SIZE STORIES ❑ WINDOWS ❑ DRAIN TII,E ❑ OTHER WIDTH HEIGHT FT BASEMENT REMODELING SUBMIT: i. Ea�isting Floor Plan 2. Proposedfloorplan 3. List of sW cWral members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, �b°affit ADDITIONS. & PORCHES Si7BMTT: m 1. Site Plan/Survey showing the e�sting structures � cia and proposed project. 2. Ttvo sets of consuuction plans WINDOWS 3. Energy Calculations IN EYISTING OPENINGS QYes ❑No LOCATION WINllOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF __��__ ______ MANUFACTURE 5TICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BF, INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VAI,UATION, INCLUDING THE COST OF LABOR AND MATERIALS: (CTSING THE 1947 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATIOI�T � , OCCirPANCY TYPE Permit Fee $ ��.jl ,'7 .`� See Back Paga for Fee Schedule Plan Review $ � 65% ot Building Permit Fee Fire Surcharge $ �� r .001 times the total job valuation Surcharge $ ( . (� � .0�5 x Permit Valuation Minimum $5.00 License 5urcharge $ $S.t�O (5tate Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Pians to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$24 =$ Erosion Control $ $450 Conservation Plan ReView Park Fee $ Fee Detemuned by Engineering Sewer Main Charge $ A�greem�nt necessary O Non Necessary O Total Due $ i i, !. I. i r � Make checks payable to: City of Fridley Attach 1 hereby ap➢�' for a building p� conform• e with the ordinances permit b only� an applicat� c approved lan in the case of w SIGN4TURE't�F AFPLICANT APPRO VAL INSI'ECTOR SIGN PI,EAS� N4�T . �EPAR: THIS IS AN APPLICATION FOR A PERMIT-NOT VALID iJN'I'IL PROCESSED m and I acknowledge that the information above is complete and accurate; that the work will be in es� f the City of Fridley and with the Mumesota Construetion Codes; that I understand this is not a a ' an�n� is not to start wifl�out a permit on site; that the work will be in accordance with the � h re ires view and approval of s. ,i ��}F�F- PR1NT NAM�4-"��----DATE_�•— ��O �—^ A�tE REQUIRED FC�R PLi.JMT�ING, ELEC�'RICAL AN. D MEGHANICAL WORK