AF - 36490sue�ecT P E
City of Fridley 15 3 2 4
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
; � RECEIPT N .
� ' y_____�_ COMMUNITY DEVELOPMENT DIV. � 1 3 y�
r � PROTECTIVE INSPECTION SEC. �A
, � �3y
;
' � /�-�1 � CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BV
� ----�.' `.�
612-571-3450 910-F15 '7 10 79 � �
JOB ADDRESS 1625 Brenner Pass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. S 3 Innsbruck North Tawnhouse Plat S SHEET
2 PROPERTYOWNER MAILADORESS ZIP PHONE
Darr�l A. Farr Development Corp. 7286 - 72nd Lane, Brooklyn Park, 55428
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same 560-8110
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO.
6 USE OF BUILDING
Res identi.,al
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct an 18' x 28' Townhouse (C Unit)
9 CHANGEOFUSEFROM TO
STIPULATIONS party wall must be two separate 1 hour walls from bottom to roof.
Firestop soffits. Provide combustion air for furnace from outside.
�EPERaTE PERMITS REQUtREO fpR N��Rf�G.
HEATI�.G, PL�Iu1BING ANp S�(;NS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOCI FYall12
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 PERtOD 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 STALLS GAFAGES
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 $24, 360 512.18
DOES NOT PRESUME T GIV,fi AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS ANY . T ATE OR LOCAL LAW REGULATING CON-
STRUCTIO T PE O ANCE OF CONSTRUCTION. $SO. %2 $425.00
PLAN CHECKFEE TOTALFEE
. � ,, �- � 8 $ 0. 58
SIGNATUREOFC � ACTORO /THORiZEDAGENi iDnTEi yyH PROPERL V I T T IS YOUR PERMIT
f
� / /
SiGNATURE OF OWNERUF OWNER BUiLDERi IDATEI �. G iNSp ��FTE
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7,0�: � }3LOCY.: 3 •ADDI'!.'x0;7: �j �,
COit1;�:R L71': IIJSIll� IAT: �_ 5?'TPJICY.: . � SYDI:XAl2D5: '
Ap1�Iicai:t attach �:o this f:onn 1�•�o CerL•iii.catcs of Sur.vey of Lot ar�d proposed �..
bu�.lcling location draom on these Certificates. .
- � . .
� DESCRIPTIOI'd OF BUILDII�G � �L� '
To 33c Used As: " -
� I���� ;',�r��r�< . . .. - . - � � • - - - - _ .
• ��-s����--. Front: �8 Depth: .`o? � - 1�eS.gh�L-: �8 - ' -
. - . Square Feei:: /3 � 3 Cubi.c F'eet: /�y � % �'! _
_ � 'Txont: Depth:.. � Neight: • .
Squar_e T'eet: � Glibic I'eei.e '
• � ' �?�/, .��-�
7yp� o.i Construction: �.�r-tJ-z� rc....�.� Estimated Cost: $���_
'.ib IIe Co:;�pleted: �� 75 _ � �A1'�. A Al.t. B
' Proposed Drive:oay t•Tidi}i 7f l�e�o Opening Is llesired $ t
• (srr �'.��TEF•SE SIDr �F SlIi:ET}
Tiie undersignrcl he�'ei,y m�kr.s ap��ication for a 't ior i.he wor�: herein
specii�_cd, c1�1't?C�.I1CJ to c�o al� �.or}: in �strict cco�:dai�c,c �•r�t}� the Ci.t�• o� ,
Fxzdley Ordinances a�ic3 ruli.t�gs oi tlie ^t�ar mciit� of I�1311.CT111�JS, �ncl hcreby -
d�c).��zes that a11 tlic facts and r��rescn -� ��. s�t- -cd�a � t:liis il}��IlCc"1�:.lOIl
Zxe L-rue ���d coi:recL-, �See xevezse si�ie r �zcTi 'L-'onal ' � ��lati.on. _
D.'�'i�: 7/ q�7� S1Gt.ATUI:t:: i �r -
' � .
Stipt�l zti.ons : ,
�b. %
/�_ �� � �
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�/� S CT�
�oo, �g ,.
L% �
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. - �����g .�oo..� �
HOUSE HEATING TEST RECORD
ADDRESS � e� ` APT. FLOOR CITY��,�L1�S�5UBUR8
OCCUPANT OWNER � (' �QL�'P �C'��l�'�" �
HEAT LOSS � DATE HTG. INST.
SOLD BY � �• INSTALLED BY � r11,°�P,,p
Elsctrical Work By `� Gas Line By �� /l�So
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
(��� GAS DESIGN CONVERSION
MAKE GC"��d�rS MAKE OF BURNER
Model C�1n i��L� Il�.� � Modsl
Serial Max. BTU Rating
INPUT �� ��� MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT•T� Heat Plug ' O% Vent Size ���
Valve u%� KIND OF LINER �L SIZE NONE
Limit �-'y� Droh Hood �—�A% Reyulator
Limit Setting � �T Filters Sizs Number
Fon Setting U Chimn�y Loeation Inside ✓ Outside
Pilot Type �-Q Chimnsy Construetion
Pilot Make ��; �
Pilot Model 1�y Smoke Bomb Wiring
Pilot Timing ��� =��'C� `� Draft � Test Tap �
L.W. Cut Off Door Pressure Lightiny Inst. ✓
Pressure ��� Percent COZ Date Tested `
Input CFH ��� Percent 02 Company Testing
Stack Temp. ��� Percent CO � Name of Test•� �7 P� ��.�.
Form 235
CITY OF FRIDLEY-
APPLICATION FOR PWMBING AND GAS FITTING PER'�IIT
�m ro � � � � � � � Water
m o� m s+ a•-+ �n q +� a w Heater
�l a+ .� � m E-�1 �'3 1� m rt 3.� W
-.� c7 � C m x +� v ►+ .0 C E CJ �y • s+
Sa IJ N G t -.d ,!C( ^ C C 3 O U•.� O.0 U CJ
L .��/ N ,tl Nro •� �0 H O .0 .-1 itl �0 � �0 �C -Nf ym �
�n u � q co �n 3 o k. m w u m 2 3 � £ c7 O as lec
' / �
ls � •
2nd �'
3rd
4 tn
(R) = Future Connection Opening Connected with Sewer
(*) = New Fixture, Old Opening Water
PARTIAL RATE SCHEDULE
PLU�IBING FIXTURE RATES: N0. RATE TOTAL
Nu.�er Fixtures
F�ture Fixture Opening
Nea Fixture, Old Openinq
Catch Basin
water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Fain Old Building
Electric Water Heater
GAS FITTI;�G FEES:
lst 3 fixtures
Additional Fix tures
Gas Ranqe to 199,000 BTO
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
X ss.ao
� 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
$5.0�
$2.00
State Surcharge
TOT71L FEE
REINSPECTION FEE
($10.00)
$ .
$
$
$
$ — -=-
S
$
$
S
S� .=--"
S
$
S
S
S .50
,.
S�... _�.
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Job Address �(J-' �%/'--�' � � '' ��� (..% � _�.-�_-
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 Department of Buildings, and hereby declares that all
tho facts and roprosentations stated in thie application are true and oorrect .
FridleY. Mn. �i'-" , 19 % '
0'✓JNER /; � .
KIND OF BUILDING ' � �,-•
USED AS t=->;�-�- � ' � " " � �
TO BE COI�LETED ABOUT �%
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT N0. ���
ROUGH INSP.
Date
Company
Signed By -
Tel. No.
FINAL INSP. f ! - x,�" -��-
Date
APPROVAL FOR PERMZT �'��•,-y�
MINIMUM FEE FOR ANY PLUMBING PERMZT ZS S7•50 pLUS $.50 STATE SURCfiARGE
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND NEATING, COOLING, VENTILATION, REFRIGERATION ANA
AIR CONDITIONING SYSTEMS AND DcVICES
PARTIAL �TE SCHED�LE
GR,IVITY itiaR:�! AIR:
fl:=nacc S::e12 & Asct Work
'?.eplace.:.�nt of Ftizr.ace
nepaizs L ;t:teratioas-up to $SQ0.00
Re�aizs & Alterations each add. $SQ0,00
tifzCfintiIC�L �ti:1R�t ?IIR:
rsrnace Shell & Lvct Work to 100,000 &TU
eacz add. 50,G00 BTU
*P�place� = :� of Furr.ace
'e?aizs � Alteratians-up to $500.00
�.eaairs & i,lter�tions each add. $500,00
ST�.�•1 CR ii� i i'; aTER SYSTFd :
Pailer & Lines, L� to 200, 000 8�(1
eac� adc.n. SC,OCO BFU
3oiler o::ly u� to 100,000 BTU
eac:� adz.:. S0, 000 B'�'U
RAT&
si2,00
7.00
7.00
4.OQ
$12.00
4.00
7.00
7.00
g,On
$12.00
4.00
7.pq
(•AQ,
OIL BUR\EF- to 3 gal. per hour Slq.qq
- e�ci aC3. 3 gal. per hour . 1Q-QQ
G.as BTJRacR- fro� ioo,000 a�-J co i��,��� ��N s,lo.qq
(ovcr 15�,999 BTU see Fee Schedule�
GAS FITTI::G r"ELS:
lst 3 Fixt�res � X $ �.pR
;:_'�itional Pixtures x 5 �;AQ
Gas ca::se to 299�qOQ $�'U X ��L1;LiQ
AIR CO\D?TIOXING
F�\ HE:1TF \G SYSTE�iS see Fee schedule
VE\TILaTI\G SYST��,•IS
ALTER�TIQtiS � REP�IRS
State surcharge
• TOTAL FE^c
liJCGd INSP.
� Date
F�zar, r„s�. /! -?f�- �iJ
Date , ,
AP?ROVF+L FOR PER�lIT % J; �
REINSPECTION FEE
(.$10. 00)
TOTAI.
S
�
S
�
S l�.f�1�1
5
$
�
$
,
S
S
S
$
S
S . .. .
$ !'-,
�
,
$ � ��
S
$
$� .
S
�
S
$ .50
- �`�.
$ ,..;). (, . -,� c. �
�°d �
Y.T�:.'T�:;;:: FE : FOR AD,Y HEATINC PERKIT IS S7. 50 PLUS $. 50 STATB SU'2CFiARGE
•:.t.ac.:e3 stack ver:ficaLOh form •
�7ob Add: es $ " `� ��y�,'� ���j
Aepartment of B�;1d;ng$
C�ty of iridley
� Te1. #571-3450
The undersigned hereby m.:kes application for a pe= r,it `o= the or�rx here'_-�
soecified agreeing to do all work in strict accorcaace with tne Cit1 C�ces
and rulings of the Departr,ient of Buildings, and 'nereby cecla:es �zat a'_i =.e
Pdcts anp xepzesentdtiQas stated in this applicatioa are tr�e and correc�.
, F�idiey� Minn. '��:_ . =9 f! i
�WNER lC�Ir \f'A)P If)D,�iF%l�l .
ICZND pF BUILDING t,j(C�.y}1�
pS�A AS +�lA�� �II Aj�
iR �� �oM?L�T�R A:%Ri��
�5��?��R cos� 9�� � � • OZ
P�'R -����1rU��''�fNG ��F.'"•�� NQ. P�P,::7,T 2:0. /c�:_,� (
D.�SCR�PTIO:� pr F[7RNACE/BUFc:�Ebt
#����NG s�� �QP?r#i $:.�!NTSf S�e�':nr t':o� P?ax�r{ Wa^� A.}�- 10.
mrad� Name �C�C�E.f_`'j S�ze No.
CaP�Gity
Total Connected Load
BUFN°R - Trade N�e
Sg. Ft. �AA 3TU � i'w
1Cind of °uel �('��
Size No.
Capacity Sq. Ft. EDR BTU H?
ComPany ' . 't FH�% �n�t)('��
. i
Signed Sy - �-�--�--- •
Tel. xo. 1�10-554'C7"
SuB�ECT
City of Fridley 312 0 4
AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T
�
' ' RE
� � •
� ' COMMUNITY DEVELOPMENT DIV. ��
f � � �� � PiiOTECTIVE INSPECTION SEC.
i �
l.--- �;����;'� CITY MA�L FFIOLE� SS�JZ NUMBEii REV OATE PAGE Of AVPROVEO BY
L J\ 612_571-3450 910-F15 7/14/00 / �
JOB ADORESS 1621 - 31 Brenner Pass �
1 LEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED
DESCR. 1—G 3 Innsbruck North Townhouse Plat S SHEET
2 PiiOPERTY OWNER MAIL A�DRES$ ZIP PHONE
Innsbruck Townhome Association 651-224-5482
3 CONTiiACTOR MAIL ADORESS 21P PNONE UCENSE NO
Garlock-French Roofing Corp,, 2301 Eo 25th St., D1pls., NW 55406 612-722-7129
4 ARCMITECT OR DESIGNER MAIL ADDRESS IIP PNONE LICENSE NO.
00001423
5 ENGINEER MAII ADOFiESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
8 OESCRIBE WORK
Tear Off and Reroof Townhouse Buildin
9 CHANGEOFUSEfROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
�'ermi# Inspection Cards
Vlliil �e Malled
To Nomeowner% Post
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE fiEOUIRED fOH ELECTR�CAL, PLUM8ING. MEATINC�,
VENTI�ATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL ANO VOIO IF WORK Oii CONS7fiUCTION ZONING SO. FT CU FT
AUTHORIZED IS NOT COMMENCED WITMIN 60 DAYS. Op IF CONSTRUCTION
OR WORK IS SUSPENOEO OFi ABANOONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNIT$ OffSTpEET PARKING
I HEREBV CERTIfV THAT I MAVE iiEAD AND EXAMINEO TMIS APPLICATION 6 STA��S GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECi. ALL PROVISIONS OF LAWS VAlUAT10N SUFiAX
ANO OROINANGES GOVERNING THIS TVPE Of WORK WILI BE COMP�IED �22 288o4O � �1�.o1S
WITH WHETHER SPECIFIEO MERE�N OA NOT. TME GRANTING OF A PERMIT a
DOES NOT PRESUME TO GtVE AUTHORITY TO VIOIATE OR CANCEL THE pEqMIT fEE SAC CNARGE
PROVISIONS OF ANV OTMEFi STATE OR IOCAL lAW REGULATING coN• �363, 25 Fire SC �22.29
STRUCTION OR TME PERfORMANCE OF CONSTRUCTION
PLAN CHECK FEE TOTA FEE
396069
S�GN�fUQEO�CON'AA(;TOQOA�UT�Op�ZED�GENT �D�rE� EN OPE ALIO TMIS IS �OUR PE MI�
1 ��
S�GN�TU�7E O� OWNEp��� OWNEp BU�LOEAi �O�TE� Bl �NSo � r.1(
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