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AF - 36489sue�ecT PER City of Fridley 15 3 2 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f ' ' RE � � � ' COMMUNITY DEVELOPMFNT DIV. Cf'� ,3 3 � � a.-------� r � � PROTECTIVE INSPECTION SEC. � 3� � A� /'��1 � CITV HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BV � ��_.J �.i �.J 612-571-3450 910-F15 7/10/79 � � JOB ADDRESS 1623 Brenner Pass N.E. 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCF. 3 3 Innsbruck North Townhouse Plat S SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Darrel A. Farr Development Corp. 7286 - 72nd Iane, Brooklyn Park, 55428 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 560-8110 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Construct an 18' x 28' Townhouse (A Unit) 9 CHANGEOFUSEFROM TO STIPULATIONS party wall must be two separate 1 hour walls fram bottom to roof. Firestop soffits. Provide combustion air for furnace from outside. SEPER�ITE PERMITS --REQUtRED. FQR W1RA� H�ATING, PLUMQIN� AND SIG(�lS,. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC; FYaICIE.' 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 HEFEBY 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 WITH WHETHER SPECIFIED HEREIN OA NOT. THE GRANTING OF A PERMIT 2$ ICO 14. OH DOES NOT PRESUME TO GIVE.AUT ORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF NY /YHE ST E OR �OCAL LAW REGULATING CON- STRUCTION H ERF R NCE OF CONSTRUCTION. 56.L}rj 425.�� / P�AN CHECKFEE TOTALFEE � � c, , �f ''""" _ ,' " 4 SiG TUREOF T CTOROR T ORiZEDAGEN7 IDATEI W N PROP R I AT THIS IS YOUR PERMIT V✓ ✓'/O� SiGNa7UREOFOWNERUFOWNERBUILDEP� iDATEi LDG wSP ��FTE " �• ��r>�� c��rr olt r-ort ii�_s 11)(_t�l�f I/�L PU J I_D 1 f�iG r>r_iz�� -rs , . � (I�Jc:�r, I1i_�rcr�n�� o��s, /1>>l�i �� 10«,, o�i R�:rn} as> � � . , , . . o;��ct, rt:.l�.riLt.�!'li.�� !?: f'� j�,�f�� L�=1� r.uxr,t�r�t: �„c-�- � . O �� • I-l7 / ) /7 �1 �A. J ]� i�1�T.CJJ� /� �i0 �!. /�'fI y�f ��/1.�•� /1��%�GJJ� • Y� f ` � � -��yt_f--�_,E--E• Jr• �_.• i- j�L�x�.+c.. tr 9 � , -. .; U L� Tc �. . 1•:0 . : / !.0 i.o. i � a 3 str��t : ��u.s, � � �� ..�o � � � . r,oT : ,3 � �r�oc�:: �3 � . ADDx�r. xo, i : � � � ' C0�2lliiR L7T: ✓ iIJSIU� ZA'P: S; 7.'i�11CY.: . SxllliXl�RDS: ' Apl�lica'r,t attacl� �:a this fonn �•�� Certiii.cates of Survey af LoL- and pxoQosed � _ bui.lclir,g locaL-ion drawn on these Certificai�cs. . " �� . . . ' � DESCRT PTT O�J OF BUI LDI �G �-,C} �v,t-�-� _' . . .. . . . ., _ , xo J3c Used As: � . � . � /c�<< ,c'//<;�(`�� . ._. , - - � . • ��-E�c��:--- Fxont: /� Uepth: a � • Ne�.ght: a _ ' -_ . _ . • , . Squar_e Feet: /� �a . Cubic Feet: �/ �i//� - - . 'Txont: Depth:. � Nexc�ht: • • Squar.e i'eet:� CUbic I'eet: ' , � . . . a&, �� }�p� o� Construction: �u�;� �_ ,z�r�u�� Estimated Cost: $ �- '� I3e corip�ei:efl: /o/� 9 ' - ' � 711t. A� Alt. B -------�--- ' I'xaposed Dxiveway t•;idtii 7f_ 2�tew Opening Is %h�sired $ $ - • � (srr 1'.�V�P•SE SID7: OF Si�E�T) Tiie undersicJned hercLy mak�s appZication for a pe: mit io�� L-he �oork herein � specif�_cd, ar,r�eing to do al.l �.or}: in strict acc� -��c� ��r�.Ui tbe Ci.t}• o� _ Fxidlc�� Or_dinances and ruli.nc�s of the Dct?azinici - of l::uildings, and hereby - c�ec�.��es ih.�t alI the £�zcta clll(� regresent:ati z� �t�ite 'n a��plicaL-ion axe true .-u�d co�_xecL-. �See xeverse si - g� c3iLion �iifo :�'itioi�_ . . - .� '�'� . . ..�/,/� � � D�11:: p S7Ghn'.CUI:i,: �� ,f Stz��ulations : . � • �� ` � S /�/. i/ %�/, �° � �as : c�o ' � so � -�� . . ... _ � � � � -�7 �/� � sa � � � HOUSE HEATING TEST RECORD ADDRESS / APT.�� FL�OOR CITY ��SUBURB OCCUPANT � Q OWNER _S�(^ 1 P,1)PI ilte�� f' HEAT LOSS DATE HT,�lG. iNSqT. SOLD BY 11� � I ��l'L�'}�f�(� L�`�� INSTALLED BY ��rn� Electrieal Work By ,��- Gas Line By ��-� e TYPE OF HEAT GA FA V HW STEAM SPACE HTR. �j GAS DESIGN MAKE ��'�uPr� MAKE OF BURNER _ Model c� r•�a ,�3 � Model Seriol Max. BTU Rating — INPUT ��t� MAKE OF FURNACE Model CONTROLS THERMOSTAT �—� Heat Plug 'v � Valve �� Limit - Limit ��+�� Fan serfiny 9� Pilot Type �-L Pilot Make Pilot Model - Pilot Timing � � � L.W. Cut Off Vsnt Size UNIT HTR. OTHER CONVERSION i/ KIND OF LINER_ L — SIZE NONE — Drah Hood '" Reyularor Fi Iters Size Numbsr Chimnsy Location Insids 'L� Outside Chimney Construction Smoke Bomb Wiring � Draft —��' Test Tay � Door Pressure Lightiny Inst. � Pressure ��—Psrcent CO2 Date Tested Input CFH ��LT Peresnt OZ Compony Testing ,\ � Stack Temp. �"�-�—Percent CO � Name of Tsst�► uP� r =�� Form 235 CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT m � N �ro u • X a� Water cl m m 'yQ u c�.�+ �n q u p, �. [ Heater �J a� � F m E•� �J l� vf b S� W �d ,� (� c� a c m x a� c� u � C E c� �y a O W O C t ••a .fC .0 C C 3 O U••� O.0 U c�J �.1 J� N C tn -.� � O O +� m +� u: N tq N .[ � , U ..")� �.�i � •'1 �0 H O .G .-1 �tl �0 � ro ro M1f 11 �d5 LeC tn 3 0[v tn t+. U W d 3 (7 � C7 O J ' i / i i � i lst 2ad 3rd 4 �h (B) = r^utu:e Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUb1BIVG FIXTURE RATES: N0. RATE hli..-�her Fixtures FUture c^ix ture Opening Nea Fixture, Old Openinq Catch Basin Water Heater - to 99,000 BTI1 100,000 B:J to 199,000 BTU Water Softener New Ground �n Old Buildinq Electric Water Heater G;,S FITTING FEES: lst 3 fixtures Additional Fixtures Gas Range to 199,000 BTU x S3.40 x $2.00 x $2.00 x $5.00 x $5.00 x $10.00 x $7.00 x $5.00 x $5.00 x $3,00 x S1.00 x $�:0. 00 TOTAL �� % S�" S ;.��' S S $ . �� $ S $ $ __ S ,� `�� S S REPAIRS F, ALTERATIONS First 5100.00 $S.OQ S each add. $100.00 or fraction $2.00 $ ' State Surcharqe $ ,50 TOTTIL FEE $ .__!_L� � RESNSPECTION FEE ' ($10.00) 0 ✓, ' Job Address • � � �t - �� ' , Department of Buildings City of Fridley Tel. #571-3450 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 Departsnent of Buildings, and hereby declares thaL all tho fact:� nnd roprosentationa stated in thia aYpllcation aze true and correct Fridley, Mn. , 19_� OWNER " KIND OF BUILDING � � USED AS TO BE COMPLETED ABOUT " ESTIMATED COST OLD - NEW BUILDING PERN.IT N0. PERMIT NO. �Q�I Company . �. Signed By Tel. No. ROUGH INSP. Date FINAL INSP. �' � ` � V Date APPROVAL FOR PERMZT �GG�!11SL 0 MINIMUM FEE FOR ANY PLU.'�IBING PERMIT IS $7.50 pLUS $.50 STATE SURCH}1RGE CITY OF FRIDLEY APPLICATION FOR POW�R PLANTS AND HEATING, COOLING, VENTILATION, REFRSGERATION AND AIR CONDITIONING $YSTEMS AND DcVICES PARTI�� TE SCHEDULE G.TLI�%ITY itiaR�i AIR: fl1^:dCC Shell s Duct {4ork * P.e�lacec.ent of Flirnace rie:aizs E :+lterations-up to SSQ0.00 Rc�ai:s s Alterations each add. $Sq�,00 �f�CEiaVIC�L iti!1R�1 AIR: ilirnace S::ell &�sct Work to 100,000 BTU ea:a a�d. 50,C00 B;U *?.eplacev � :t of Furr.ace �2:31SS S Alteratior.s-uo to $500.00 �e:airs & :.lterutions each add. $SOO,Op STr�•f CR FiOT �':.aTER SYST'E�1: 3oiler & L?nes Lp to 100,000 B�tJ each ac.a..z. SC.000 BiU =oile: o:iy u� to 100,G00 STU each azzn. 50,000 BTU RATT �iz,00 7-Q0 7.00 4.oq $12.00 4.00 7.00 7.00 4,00 $12.00 4.00 �.oq �•AA OIL BUR?:ER- to 3 gal. per hour $lq.qq • c�c: afld. 3 gal. per hour . 1R.qq G.4S s�R��R- f=o� ioo,000 aTO �o i�s,�� K Sip.RA (over 1:9,999 BTU see Fee Sche ule . �'t.. . . � G�S FITTI`�� cEcS: lst 3 Fixtures ' x ;� �.Aq ::��itio�al Fixtures x N �:pq Gas �.^.c� e to 199 � OOQ �'�"J X y�.Q. QQ AIR CO\DITIO\ItiG F�\ HEaTI\G SYSTE�SS See Fee Schedule V�\TILaTI\C SY'STf:,•iS AL:ER�TiO�;S F� REPAIRS State Surcharga • TOTAL FEE It�UG'd INS?. � Date F�iAL ZhS?. �_� C7 Da te , � � . AP?RD4FS. FOR PERuIT�� R�INSPECTION FEE (.$10. 00 ) TQTAI. S � $ $ $ f �-(i� $ C$ Y 4 $ S S $ S $ . ._ . $, �Q . C3(.) S ?_�.is�_ S � $� $ S $ .50 $� �J � Jz: r�.�' , YS�II:ti:; F:� rOR AkY BEATZNG PcRw.IT ZS 57.50 PI,US $,50 STATE SURCiiARGB •:.ttae•,e3 suck vezificatiaz form • Nob Add.esS ��7� (�j'�il�l 0.� � �� DepaXtmeZt of Bu��c��ngg C}ty of Fridley � Tel. �571-3450 Tne undersigned hereby ma;ces application for a pe�:it for t�:e wor;; h�=e�z specified agreeing to do all work in strict accordaace with t'r.e City G^.ces aad rulings of the Departr,tent o° Buildir.gs, and 'r.ereby ceclzres �'^.a� a�i �... �acts and xep�'esentatiqns sta*ed iz this appZication are true a.^.d corzec�. ' F:idley� :ti.nn. /� U v�. i �r� . '-9 �� WNER �c�,r � �.�e (�om e�.��-. �CZND pF BUZLDING " (h,i'yl�, us=� � 1�e i I; ,��o � $Y FQMPL�T�I� ,�Oj:T �s��?�TYR �P,s� �� • 0� R{.D - rI �� $L��,pI�G ��R"I�T :7Q. ?�?�•SIT NO. �/C�l,�� AESCR�PT�OK pF FpF.�ACE/BUR:+�R #�F��'�HG R� �AP�Y#� �?��`T�� .s.xe?=�{ uox Y?��erf Wa� Ai�- No. T:ad� Name �(�(��"� S�ze No. .. Capacity Zbtal Connected I,oad BURNER - Trade Name Capacity $q. Ft. �A:i BiJ �l,r[)()n 1� 1Cind of °uel �� Size No. Sq. Ft. EDR BTU HP Company �_ ��_ c- , Siqned By � • Tel. I�o. ��in-��1�� , _ _ __ _______ ____ ____ _ _ ___ . --- - - � . 97-8��—�.t16051 . ''i• °� I �;,T 10?I f� O R PL�Ji•lIl l ivti !,N p Gns F I T�f f fru ��I: tt•; I!- -1-- r - • ---•—�__._ i � , ' , _: • . i ti Il 1 I I �� J I� I. t y ' � _ � i � � I -� r I � � n ! ` �' ' � � � �� I .7. � ' `. � '. �' � / I t. ,7 y _ ; t �. � C. E � : _: .". � I � � � ? � � U ' ;; � I � i c , :� I .. .� �7 � 3,.. .. � L. ,., � � I G 1( J �1-- � -- �-.—;�_� �—�_,-_�__i-�_;�_�__ L-i--- , -- I —""I_'i— —�—•— ____.�---j__ 4 +_' r •_ i�_��_I��i1��i �� 1 ' I . I —i—�— � � � � I. ^', - � - � ---�...+ __�_� � _1 i . I 1f ,__i�_ l � - { I — i— _i—t— , t II i —' � — --�-- _t_ ' ' - ' i . __L�_ � — . , __ M) ' t, t,�tt :,,r�nc�tluo G(•�nlr.3 � _. �.. .: cc:cd Mlth 'J ` .:.. t 1,I4to� G1.1 O�:en:r.) t'ttfjTir,L ;tr•, � .... _.,..�C � ' ' 1 �: ;;hli h-,TL� :,�. ��._. _, t 1.t..cta t,,..<< i:�t.��c G�.cr:r.) I,c, t ..t.,ie, v1J Gpe:.t: , C_�t.' uaali� ,:�:.: �C,<« - w yy,c�o 6T`J 1�.�,JJJ L•IU W 1S C:,O 6:U .+,t.r a„tten•c �'�� .:c..��n•1 k�r.. Old b�1111r.) 41e.►, �,; 11,tct I�s�tet ItiJ � � ( 1 li�li (LL.7. �+t 1 t1�lu�s! � ►.t.Ici�,,;,�1 Fl.ture� �.�, �• ��• t:. 159,GUu 6Iu .!•.�I�� t, A1.1tknTluNS t i..i :I��u.ou c,_ . •�.1. yl�...�J �c Ica.:u�n X I , I ;�� s ' : V i I � �i�:�: iIlcator � �, i--�—� N I,4S I.L�C� � —I I �I__j_i —I_i_; �-I•_��—i i � I _I_i_i Sct�ec Hntct RATE TOTAI. x 5J.00 x 52.00 x ;2.00 x SS,00 � 55.00 _� x S10.00 �_ x i1.00 __, x 55.00 { SS.00 5 S S—� i � 5 ---- S i i x 53.00 S x 51.00 S —T� x S10.00 5 ___ ss.oa ' $ 52.G0 S S�scn S..tci,orgc 5 .Su T:.i1,L � i.0 $ B.�Q ► -- ------- -- -- _--- -- ----wr; Jo� n�a«„ 1623 h Brenner 06��ar�n;r:rC ct b��.:,+.li��r CICy �t ['ridl�y • Tel. I1571-�•;Sp Tha uiidorylgn,;,1 I�,.:rcLy �r.:ke� apf11._[LC- :_r e _r2tt (;,e thd �.eik Lerclr� epeclfied 'gC��fi�y �� ;,' wi: work !r. 5.c:.-. �._;,r,;:�.,;a wiU. CL� Cll'/ C..�cs and rulln� � J tl�o G�;::,r�m�nc oE B�i,�irJ;, _�� _:ct� ,1c,:i,re, tLet e1! tllQ fdClu O��d rC��C��„r[.1�IJr,d eC�lo.� lr [!i1. u : ,�; .. :tic�, �co t��a anJ ,��.� i,,,:� Fr:,11oY. ::c. �-1-28-�0 , C{INCR _�'igr=• K2ND OF IIUILG:;;� fI''3IR8 usco ns res. � TO DE CC�IFLL:'t.G 1.:.;;;;r 5"5'�� esTir�,�r�o cos: I�0,00 OLD - t1L'4! Bi;ILG::I,; f•:.h;;il' ;7J. r• ^r F_;�'.. ..... CJ" ...,��:��,y — ::��,� � _..._-�-� ` � Sl�n�.l Cy !.'!�,��.-�.,.,-„ :al. I��. t�oucii iuse, D�[o �' FItIhL III�P. 6 -25-�rD Da[o l�i'l•Ii�VAL F'GN FEtu1i 1' �� MIIIII�UrI I�L'L t�.i, !,i'c I•LUi.ulu:, FCf�,IP IS S%.:J p��y �.,p �;�.TC iUkL'1U.IJ:C � c1 � v: `:S .". 2 r: i 3r� 4 �.� c � y i � c Y o -� v� o c� '� I s+ c e`��+ •� E •a c w x .e •.� x ' _ �i �� 3,� (ti} = r^,:t�re C�^.nec:ioa Cpe,^.ing t*) _:�c•.: r_� �ure, 01d Opeaing N U 1.+ x � m :� . _ _ _ �� , __ . _ _ .r. ._ _ �� . � r � � � `� CITY 0� FRiDLEY � �, �C A?PLI�i�y rOR �Js�i3ING A�D �AS FiT'Ii�G �t'?�'NIT � C, � � � ' � ��N"�17i��'i ��lS� o • a� hater Jo:, Addres� �9�� I� a i � I Heater I G-: � ro l; Cw -�_ � �� p c� C ��;�, '� � Depart~�,�nt o_` Buildings �' �� =' �^j N I� N �� City o: 'r'rid'_ey ro `� ' `� `° � `° " as lec U ca, a s� �� c� � o Tal. ��71-3450 Coruaected w:.th rP,?TiAL RRTt SCK�D'�LE ?Lli�L"-.I\� GIXTUR:: RA;ES: \i0. �:'.'..^.WE.: FlJ(t1::25 � . �.:��re : ��ct�re Ope^ing :;��a Pix�ure, Old Gpening Catch Basin :vater :eate� - to 99,Ou0 STU _C�,�Op D:J to 199,C00 B:U '.;ate. Softener :�e•.� vrour.d �n Old Building Electric Water fiea.er G�S �ITTI:�`G FEtS: Ist 3 fixtures Ad3itio :al _T•':Xtures Gas i,3^.ee to 19°, 000 c'.TJ �cP_.I�S F� ALTE;.4TI0\S First Si00.00 eech add. ;100.00 or fract:oa Sewer WdteY RATE TOTAL ?i .S.'i . l�� x $2.00 __ x $2.00 X $7.�� __ x 55.00 ! _� $io. co _� X s�. o0 � a�.00 :c $5.00 -� X ss,00 ._ x 51.00 x $j:G.O� St�:te Surc:harge TOTA:. FEE REINSP£CTION FEE ($]0.00) $ S $ $ $ $ ,� c,t� $ $ s � .CU $ S $5.0� $ $2.00 S $ .50 -, � � - /�, �� ; The n�3ersi.gned hereby :nakes apolication for a permit zer the wor;c ::erein sneci..f.ied agree�ng to do all kork in st=ict accorcar.ce w?t:z tae City Co�es and ruliags of tne Denarts!eat of Buzldi.^.gs and hereb� de.' ares that ai2 t}ie i,c::i; atid represeiitatio:�s .,.�t�d in tnis application are �^�c �.^.d correct ,/ n �:, Fridley, ,In. c-7,!%r�� , i9 �%�� _ �=� � �' ' � 0�7N�R l7 1 �Y� xz�� or suzL��r;c �l�u:l� /Ic�.�S P . USE� AS � , U � :'G $E Cbi:PLETT:D A3CUi Cq ��y�'O �) E.iTIMAT�;� CCST ___j�:ti��.i`vr��.�,'a �/%�rJ� �� 4/ ��'�,�J ,. � -,�- .� _ �.� �LD E- NEW BiIILDING PER+:I7' NO. ^rER:4ZT N0. �_ ROUGH INSP. Date �; i:o:*: u.ny -� �� f/ . ;,igned sy — _ -' L� ,.� 7'el. No. 5/� ��/1� !.�'% c-�// '�� /��l "�= FINP.L INSH. � � Q Dat2 APPROV.-" FO?t PER�IIT �� __ — - -. __, N,.T.NIMUM :'EE FOR n.YY P:. MEING PZR�2IT IS $7.50 pLUS 0 STATE SURC"tir?R�E ��'' "� ",.'.'�,�' .. ;�!�-�,r.. ,S sue�ecT PE O. City of Fridley o 20289 AT THE TOP OF THE TWINS g U I L D i N G P E R M I T f ; � R IPT NO. � • COMMUNITY DEVELOPMENT DIV. ' j L "'_'-� r � � PROTECTIVE INSPECTION SEC. 3��1 � � � 6 i ' � /'��1 � CITY HALL FRIDIE� 55432 NUMBER REV. OATE PAGE OF APPHOVED BV � "'"�� ,�' 612-571-3450 910-F15 4/9/90 / / JOB ADDRESS 1623 Brenner Pass N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3& 11 3 Innsbruck North Townhouse Plat S SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Maloney 1623 �.renner Pass N.E. 572�-0303 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D& P Builders Inc. 2370 ^ 3rd Street N�W�, New Brighton, MN 55112 633-8375 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C}� REPAIR O MOVE ❑ REMOVE 8 DESCFIBE WOFK Replace rotted siding on �ireplace chase 9 CHANGEOFUSEFROM TO STIPULATIONS Call for izspection when opened up. TVPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUM8ING, HEATING, VENTILATING OR AIR CONDITIONING. THiS PERMIT BECOMES NULL ANO VOID IF WORK OFi CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OFi 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 7HIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1-�400 $� 70 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF - NSTRUCTION. $33,00 PLAN CHECKFEE TOTALFEE , j r � y- � _ �Q $33. 70 siGNnruaeocCON-RncTORORauTHOaize�n�eNr IDATEi NYFiEN PROPERLY LIDATED THIS IS YOUR PERMIT c� Q>Z 2 l�, �-C../i�. �C 1"t _ J 'C S�GNaTUREOFOWtiERUFOWtiERBUiLDERi iDATE� BLDG WS� �� TE � [ ] AD�J L � ALTER � � Construction A�ddre.ss Legal Description: Effective 1/1/90 R-1 AND R-2 Building Permit Application OwnFx Name & Ad�dress: /��4 i� /�,¢ Ld �r e�i 5:�� .e .� s.Q.fic/Q. Z�el .#.� 7a - a3 03 Cbntractor: �T� 13c��.45 ,Li�'� . Zp1. # �.33-�'375�- Address: �37� .�.g �. s' % /1! �*%� /f'�= uJ .i3s9 � q � � � � / � n � .s S ( / a• Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. D�ESCRIFI'IO�I OF LIV�iG AREA: I,etx�th Width Height Sq. Ft. GAR�GE AREA: I,ength Width Height Sq. Ft. DF3CR AREA: Length Width Hgt/Gronu�d Sq. Ft. OTf�R: /�-2a� �cT! / ecX S!' �c� K c, dYl 7`iRt ��i¢�� l.9�Se_ Corner Ir�t [] Inside LAt [] Ft. Yd Setback Side Yan3 Setbacks 'Iype of construction: Estimated cost: $ /��CC! Approx . Oca�q�letion Date : � - /Y- ,�o Proposed Driveway Width If New Openir�g Is Desired: Ft. $ $ idth + 6' See Back Page DATE: �%- Y- lc' Ci APPLICIINT: iG� �� Tel .# 3--�''3 T S— Pexmit Fee $ ,:��, D�� State Surchan�e $ 7 �j SAC Crian�e $ Driveway Escraw $ Park Fee $ sewer Main charge $ . �• srz�crtATTOrrs: S ��-'70 CI'!'Y IISE �II,,Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" AUc7ve Fee Determit�ed bY �J�r�J Agreement Necessary [ ] Not Neoessary [ ] � � :�I �� • 91'. � ]1' : M 1�1� 1 . The Chief Buildir�g Official shall, before issuing perntits for the erec.•tion of any building or structure, or for any addition to any existing buildiryg or structure, or for ariy alteration or repair to ariy existir�g building or structure, upon application the.refore, r+�xire the payment by the applicant for such peYmit of fees to the amotuzt herein belvw set forth ar�d in the manner herein provided to-wit: TO►I'AL �1P,IIJE $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 �a: $15 (Minim�mi Fee i.s $15 plus suYrharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and includir�g $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 arxi includirig $50, 000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to ar�d including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $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 DRIVEWAY DEPt2ESSION ESCRO�fil (Concrete Curb Streets On1Y) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet t�mes $13.50. Alternate "B": Rempval arid replaceme.nt of curb and gutter ar�d install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. �+• � v • • • i� • •� Pernuts for construction will be issued a minimimi of 24 hours froan the time of application to allaa for proper review of the proposed structure and of the oonstruction site. A Certificate of Survey of the lot, shvw.ir�g the location of the fourydation once it has it has been constructed will be required before pra�eding with the framiix�. s�a�ecT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T �� ,t ;V� ;�� f ; � RECEIPT NO. i ` _ COMMUNITY DEVELOPMENT OIV. r � y � PRO7ECTIVE INSPECTION SEC �7�� . ' � ��1 � CITY HALL FRIDLE`/ 55432 NUMBER FlEV DATE PAGE OF APPROVED BY �""'�"� ,'' 612-571-3450 9�0-Ft5 9/20/94 � � JOB ADDRESS 1623 Brenner Pass NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 3 Innsbruck North Townhouse Plat 5 SHEET 2 PROPERTY OWNER MAIL ADDRESS IIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Gittleman Construction Corp 7900 Xerxes Ave, Bloomin ton MN 55431 571-1023 4 AACHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Townhouse 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION OX REPAIA O MOVE ❑ REMOVE 8 DESCRIBE WORK Deck Repairs 9 CHANGEOFUSEFROM TO STIPULATIONS Deck construction including handrail, guardrail, spacing, etc. must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMI7S ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEAT�NG, 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 WOfiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING Of A PERMIT �Z7O.00 .SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION THE PERFORMANCE OF CONSTRUCTION �LS.00 Fire SC .27 PLAN CNECK FEE TOTAL FEE � � �� $15 . 7 7 S�GNATU:7EOFC N�RACTORORAUTMORIZEDAGENT �DATEi WHEN PfiOPERL VALIDATEO THIS IS VOUR PERMIT � �!Y��F SiGN/+TUAEOfOWNEpi�FOWNEABUILDEAi iDATE� B�DG SP ��4TE NEW ADDN ALTER �l [l �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: I� Z3 ��.�. �.,,) ti..) � 12 �-'A� Effective 1 / i /94 �� Legal Description: ' ,L�.SS G Owner Name & Address: I t�1 N 5� 2u G K NO 2T !-� "f Ov.l t�l N U U S�. Tel 1� �312 SoS Contractor: C 1-r-rL� M� til c�►JST tz-UG71 ��! Go iz P MN LICENSE # Address: �� ca `�l� F.? XE 5,a�l E. B�oo M I r�l Ca"rOrJ �� 3 2 Tel. #�i I- I D 2�S LIVING AREA: GARAGE /1REA: DECK AREA: OTHER: Attach to this app(icadon, a Certificate of Survey of the lot, with the proposed constructivn drawn on it to scale. „Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height HgtlGround Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot (] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construcdon: D�GI�. tz�,P�.I 2S Estimated Cost: $�� —�z7� r1�,� Approx. Completion Date: i a- 3 �- 9�1- (Cost on Back) Driveway Curb Cut Width Needed: �t. + Ft = Ft x$ _$ DATE: �-��- APPLICANT: � Tel. � s'7l -1 oZ� Permit Fee Fire Surcharge State Surchdrge SAC Charge License Surcharge Driveway Cscrow Erosion Control Park Fee Sewer Main Charge TO'1'AL S"('IPULA"TIONS: $ $ $ $ � $ $ � $ � $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1I10th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A ° or Alt. "B" Above $450.00 Conservation Plan Review Fee Determineci_ t�y Engineering Agreement Necessary [ j Not Necessary (] � SuB�ECT - � - City of Fridley 312 0 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RE . � ; v._�_�� COMMUNITY DEVEIOPMENT DIV. �� f � � PROTECTIVE INSPECTION SEC. 1 . , 1 � � �"'1 � CITY MALL FRIOLE� SS�J2 NUMBEN AEV OATE PAGE OF •vvnOVED Sr �----�•• •,' 612-571-3450 9t0-F15 7/14/00 � � J08 ADpRESS 1621 - 31 Brenner Pass � 1 LEGA� �OT NO. BLOCK TRACT OR AOOITION SEE ATTACMEO oesca. 1-6 3 Innsbruck North Townhouse Plat S SMEET 2 PROPERTY OWNER MAIL AODRES$ ZIP PHONE Innsbruck Townhome Association 651-224-5482 J CON7RACTOR MAIL ADDRESS ZIP PHONE IICENSE NO Garlock-French Roofing Corp,, 2301 E, 25th St., D�pls., MN 55406 612-722-7129 � ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO 00001423 5 ENGINEER MAIL AOOfiESS ZIP PMONE IICENSE NO 6 USE OF BUIIDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION (B 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. P�rr�it Inspection Cards �liil �e Mal�ed �'o Nomeowner To Post TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE REOUIRED FOi; EIECTRiCAL. PLUMBING, HEATING. VENTILATING OR AIR CONOITIONING. TMIS PERMIT BECOMES NUIL ANO VOIO IF WORK OR CONSTRUC710N ZONING SO. FT CU FT AUTNORIZEO IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONS7RUCTION Ofi WORK IS SUSPENOED OR ABANDONEO fOR A PERI00 Of 120 pAYS A7 ANY 71ME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING 1 MEfiEBY CERTIfV THAT I HAVE pEAO ANO EXAMINED THIS APPLICATION 6 STALLS GARAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS yq�UATION SURTAX ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WI�L BE COMPUED �22 288a4O �IIo1S WITH WHETMER SPECIFIE� HEREIN OA NOT, THE GRANTING Of A PERMIT s DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEpM1T fEE SAC CNARGE PROVISIONS OF ANY OTHEA STATE OR IOCAL LAW FEGUTATING coN- .�363o2S Fire SC .�ZZ.Z9 STRUCTION OR THE oERFORMANCE OF CONSTRUCTION PLAN CHECK fEE TOTA FEE 396069 S�GN�TUAEO�CON"A�CTOQOp�UTr�OQ�1E0�GENf �DATE� EN OPE ALID TNIS IS VOUR PE MI� • �� S�Gw�TUQEO�OwNEQ��OwHEpBU0.0EQ� iOATE� BL �NS� �r.�f °�,�� sue�ecr P E , c�ty of Fridley 331 1 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � RECEIPT NO. � � � • COMMUNITY DEVELOPMENT DIV. /� � V"'_"- r � � PROTECTIVE INSPECTION SEC J� � � � � �""1 � CITY MALL FRIOIEV SS�32 HuMBER REV D�TE PAGE OF �PVROVEO Br �"""'�� ,�' 763-571-3450 910-F15 9/25/02 / / !OB ADDRESS 1623•i�t Brenner Pass NE t IEGAL �OT NO BLOCK TRACT OR AODITION SEE ATTACMED DESCR. 3& 11 3 Innsbruck North Townhouse Plat 5 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Wallace Rogers 3 CONTRACTOR MAI� ADDRESS Z�P PHONE LICENSE NO Hendel Construction 4997 Page Ave, St Michael, MN 55376 763-428-7992 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 201923-08 5 ENGINEER MAIL ADDRESS Z�P PMONE LICENSE NO 6 USE OF BUILDING Resider.tial 7 CLASS Of WORK O NEW ❑ ADDITION � ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Repair Chimney Chase 9 CHANGE OF USE FiiOM TO STIPULATIONS Firestop all fireplace chases per Section 708.2.1 1997 Uniform Building Code. TYPEOfCONST OCCUPANCVGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, P�UMBING. HEATING, VENTI�ATING OA AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING S�. FT CU FT AUTHORiZED IS NOT COMMENCED WITMIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTEF WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS APPLICATION 1 $TALLS GARAGES ANO KNOW THE SAME TO BE TRUE ANO CORRECT ALL PROVISIONS OF LAWS VAlUAT10N SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIEO $3�000 �L..SO WITH WMETMER SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pEqMiTFEE SACCNARGE PROVISIONS Of ANV OTHER STATE OR LOCAL LAW REGULATING CON- $83.25 Fire SC �3.00 STRUCTION OR THE PERfORMANCE OF CONSTRUCTION +�� / l. PLAN CHECK F TOT l FEE (S, � �� I,icen $5.0 $92.75 �. S�GtiatuAEO�COti' aCTOQO auTHOA�ZEDaGEtir � �tE� EN PROP VALI At D THIS IS UR PERMIT � �� S�GtiatUQE O� OwNEQ�� OWtiEa Bu��DEQ� iD�TE� 8�0 �NS� ��<�F N� II ADDN [ ] ALTER ( J Construction Address: � � 2- Legal Description: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Effective 1 /1 /2002 (763) 572�604 Bldg Insp � �`1� Owner Name 8 Add�ess: 1�1 I�,,�,� 11 s� iG� �c Tel. # Contractor. I��eu �� ..c �a ��►�-�-� MN LICENSE #�(9a3og Address: `fq9'�- �e-�c �-�.e � r� �c,�� fL(n.J '�� Tel. # 763-��-75'9�- INING AREA: GARAGE 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. Length Wdth Height Sq. Ft. DECK AREA: Length Wdth HgUGround Sq. Ft OTHER: " Construction Type: � (2� � � Estimated Cost: $ �0 • C�3 Driveway Curb Cut Width Needed: F� + 6 Ft = Ft x$ _$ DATE: 1 2� o�- APPLICANT: Tel. # 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 $ 3 �S $ .3. O� $ /� �d $ $ �-�0 $ $ $ $ $ �- � CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Necessary [] STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $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 widtli plus 6 feet times $17.00. 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Ontv � Building Inspections 763-572-3604 DATE C7. � SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TEN ANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH ' APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CIT�' OF FRIDI.�EY i �❑ NAME _ ADDRESS: � • �� " � � � • • � •' I I �� i � �� l'� .'�.'��' -.. • • Permit No.: Received By: ZIP COMPANY NAME;_ _ CONTACT PERSC ,��i! ,(.,� 4 � O WEST L sTn.�L1c�sE� �f��, MN 55408 2�82,' STATE ZIP ADDRESS: PHONE `�SINGLE FAMILY ❑ TWO FAMILY ❑ NEW �PLACEMENT DETAILED DESCRIPTION OF WORK FAX ❑ TOWNHOUSE ❑ ALTERAI'ION/REMODEL PER MS 16B.665 the permit fee is a mi�imum of $15.00 or 5% of the total cost up to $500.00, 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 WHERE LABOR EXCEEDS $500, S ARE B�N $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOWj 3 l U SIZEBTU �� Equipment Installed MFG: �/v'''' MODEL: MFG: MODEL: SIZE/BTU �G: MODEL: � SIZE(BTU --�c�y �\ A/C $25.00 F ACE (GAS) 515.00 GAS RANGFJOVEN SIO.d �� _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL 510.00 BOILER $35.00 �F[JRNACE 535.00 GAS tJNIT HTR 510.00 CHIMNEY LINER $10.00 _GAS DRYER 510.00 POOL HEATER 535.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR 515.00 . . s�a,sa � 4aTF�ts�& PerrYit Fee � $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixiures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 � x$25.00 =$ S� Number of fixtures @ $35.00 _L x $35.00 = $ ., Ob State Swcharge = $ .50 Tota1= $ Q ,S6 TI�S IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge 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 �onsiruction Codes; that I understand this is not a permit but only an a�plication for a pe t work is not to start without a permit; that the work will be in accordance with the approved plan in the case of r ch uires eview and approva] of ans. �� /? /O �rYl ATE ( SIGNATURE OF APPLICANT City of Fridley Building Inspections 1}epartment 6431 University Avenue NE, Fridley, MN 55432 . 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS EXISTlNG HOME ❑ MAKF-UP AIR REQUIRED FOR NEW/EXISTING H��lfES ..: - . ., . .� < : .. . �i' . . _ . 1. Combustion Air (See note belou�) a. Oil or solid fuel IMC Cha�ter 7 with MN Amendments b. Nahu-a1 Gas or Propane/IFGC Chapter 3 with I�R1 Amendments 2. Make-up Air (See note below) a. lMC Chapter 5 with MN Amendments 3. Venting a. Gas a}�pliances ]FGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 - a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building Inspections 763-572-3604 763-502-4977 FAX DATE � ! � SITE ADDRESS 6� � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE II�1 � i�Z�7,11`�'l�] :7:� BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE I-1-2010 ❑ OWNER �ONTRACTOR NAME: ADDRESS: PHONE: STATE LICENSE # ADDRESS: / 'J,(? ADDRESS � �� ''� GG � ('" S � 5 ✓�', � CITY t S �i✓ [ � c� ✓1 �G_ � � EXP DATE � 1�--Irc l(iL- f'1� CITY �� PHONE �5 L"`��S ° i b`( 1 FAX [ 7 L' ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE 1X`I'WO FAMILY/NEW CONSTRUCTTON STOR]ES ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION �XMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: vt q— �Y.0 �2 �:. r�c.t� S �— ! �� SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS p HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE Permit No.: Received By: ' � �� Date �ci�: � z C�w,SJ�'�c,,�j'o� .,cv� STA7'E ZIP /3� �11 �STATE�ZIPSS 3 C �u_ i � c FT BASEMENT REMODELING SUBMIT: 1. Existing Floor Pian 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1. Site Pian/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of construction plans 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LO ATION OF WIN OWS FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF �t� �j"' r�I ��CG � MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & /� TYPE OF WINDOW TO BE INSTALLED � vt � NUMBER OF WINDOWS i�� ALL FEES ARE BASED ON V LUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due (U�SI�IG THE 1997 U.B.0 FEE SCHEDULE) 6�D — OCCUPANCY TYPE $ t)" ;"�_ See Back Page for Fee Schedule $ 65% of Building Permit Fee $ �� L- .001 times the total job valuation $ ',�'a, �:_.� .0005 x Permit Valuation Minimum $.50 $ ' , c '� - $5.00 (State Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ fr+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ 1 f �,:�`� Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT1L PROCESSED 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 applicatio for a pe work i n t to start without a permit on site; that the work will be in accordance with the approved plan in the case o work ich re ires rev and approval of pl s. SIGNATURE OF APPLICANT RINT NAME � f(�,f/') �J �(.��'La'v"D7�I E A�� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or - structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 151$500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 15` $2,000 plus $14 for each additionaL $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 151$25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 15' $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 151$100,000 plus $5.60 for each additional $],000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 15` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 15` $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certifcate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New'Houses On}v City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977