AF - 36492sue�ecT P
c�ty of Fridley _- 15 3 2 7 l
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � IPT NO.
� i L_______ COMMUNITY DEVELOPMENT DIV. 9�
r i � PROTECTIVE INSPECTION SEG ��
�
i
, � /��'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE Of APPROVED BY
� '---�.' `.!
612-571-3450 910-F15 7/10/79 � �
JOB ADDRESS 1627 Brenner Pass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oESCR. 2 3 Innsbruck North Townhouse Plat S SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel A. Farr Development Corp. 7286-72nd Lane, Brooklyn Park, MN 55428
3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO.
5ame 560-8110
4 ARCHITECT OFi DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Re sidential
7 CLASS OF WORK
l� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct an 18' x 28' Townhouse (D 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.
SEPERATE PERMITS REQUiRED FOR WiRI'NG,
NEA7ING� PLUM8ING ANb SlGNS,
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOC� Frdffi2
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONiNG SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OF IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- 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 $26,300 y�13.15
DOES NOT PRESUME TO GIV�y AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHAAGE
PROVISIONS Of ANY H -S E OR LOCAL LAW REGULATING CON-
STRUCTIO TH PERF R NCE OF CONSTRUCTION. �52. 99 $425. ��
PLAN CHECKFEE TOTALFEE
� �-� -- " 25 $ 5 4. 3 9
SIGN TUREOf � CTORO THpRIZEDAGENT IDATEI �I�/H PROPER V E TH IS YOUR PERMIT
_ �/0�
SIGNATUREOF OWNERiIF OWNER BUI�OERi IDATEI INSP ��FTE
� ' !tl'f'L1 C/�'f I Ul! l�UR IZI�S 1 U(:I�l�r l/1L P,U J Lll l f!G f'F_(:f'it 7S •_ .
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ot;c2rft: ,Q-�h.c__� Cl . ��-f- �Q.?. �- �-�t� r.uxLUl;)t: � -�•-�-c-� .
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Adc2r.ess: 7� a� 7�. %-.-_„/ L-7c--.�, r.� Address: . .
�:1-E�--ec-..�-�e ,, f!2�►-r;' :'�_ �- n ..� Tc 1 1•`0 .� c�.� � • � � // d �
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�OT: o� ALOCY.: � ADDI`�xO;J: �'�' _ � '
COiZt}.R L7�': I1�SIll� I,O'�: �� S; 7'J311CY.- . SxllI:YARDS: '
Ap��lica'r,t attac:h �o this £arm n�� Certifi.cates of Survey vt Lo.t �r�d pxop�sed
bui.2zlir,g locaL-ian dra�.�n on these Certificates. .
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� DESCRIPTIOtJ Of BUILDI�G � J-.-u���
- � . .' . . . . - - .
�0 33� Used As.: � - - - . . . . �
. /�`� � s,�`�r!(��� f`f��— � � �. � • - � . _ -
• ����1- Txont: J � Depth: ' -a � ' Nexght: a ' - �
- . . Square Feei:: /�5�0 Cub�c Feet: . /.3, a �� _ -
� 'I7ont: .. Depth:. � }leiclht: - -
Square I'eei.: �. C.Ubic Feet: ' .
.7yp� oi Construction: (� t�.c��' _-,v_r, ,�; Esti�nated Cost- $ a�,,�,g�
,
'.�b I3c Cor,�nleted: lPi'�` '!% . . -- j�lt. A Al.t_ B
' 1'ro�osed Driveway �•?idth 7f I�e�•r Opening Is Desired $ $
� • (sr•.r 1:�U�FwE SIDI; OF SHL�T)
Ti�e undcrsigned he_'e}.,y m�kes ap�Iication ior a permit ior ihe i�o.rl: herein �
specii�.cd� agrceing Y:o do all e.or}: in strict ac zdance a�.t31 filie C�ty of _
Fr_iulcy Orditi:anccs and rulings o£ the Dc??.�ztal �zt. oi ).iiildi�igs, and hcreby .
decJ.azrss th�t al�l ihe f�cts and repr _.eni:�1 '�ns st�� - � �is applicatS.on
a�_c true �-n�d coxrccL-. 'Sce xc�vc�sc idc fo a� �L-io al _� f�� � tion. ' � _
n���l�: �ll ti�7q sxc�.n�rv�a.: �
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HOUSE HEATING TEST RECORD
ADDRESS APT. FL00 �CiTY��SUBURB
OCCUPANT OWNER 0.t f F'l��/�'?ed�f-
HEAT LOSS DATpE HTG. �NST.
SOLD BY � � � � -• � fs1� f' ��' ��C' ' INSTALLED BY ��"►"�Q-
Electrical Wo►k By — Gas Line By ���m�
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE �P�c�ErS MAKE OF BURNER
Model i�� ['� n� d.�iV�1 Modsl
Ssrial Max. BTU Rating
INPUT �� MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT � Heot Plug •�'7 Vent Size ��
Valve � KIND OF LINER SIZE NONE
Limit ���� Drah Hood —a—�—Reyularor
Limit Setting Filters Size Number
Fan Setting � Chimn�y Location Insids � Oufsid•
Pilot Type �r Chimnsy Construetion
Pilot Make � /�
Pilot Model =���\ Smoke Bomb Wiring V
Pilot Timing ��✓�U �`����� Draft �r Tsst Tay ✓
L.W. Cut Off Door Pressurs Lightin9 Inst. 1�
Pressure ��� Psreent COZ � Date Tssted
Input CFH �� � Percent 02 Company Testing 1
$mck Temp. �%1 Percent CO Name of Tssts► �,,, P �
Form 235
e
. CITY OF FRIDLtY
APPLICATIO� FOR PWMBING AND GAS FITTING PERMIT
A ro a� c s�, .,�� ,� � � water
at a, m � s� c•a N o +� a, G. a Heater
� a� .-� m H•.� � s� �n rtf s� W �p
++ C7 q . C m .k a� �J t+ .0 C E v FC • a
7�+ C1 c� c .0 •� ,sC t C C 3 O U•�+ O.0 U G�i
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m u � m ai cn 3 o w rn w U m rt 3 c� as lec
lst r
2nd ,�
3zd
4 t'�
(R) = Future Connection Opening Connected with Sewer
(•) = New Fixture, Old Opening Wates
PARTIAL RATE SCHEDULE
PLUDiBING FIXTURE RATES: N0. RATE
h`.:.�^�er Fi+ctures � x S3.�0
F�ture c^�xture Opening +'' x $2.00
,�'ew Fixture, Old Openinq x $2.00
Catch Basin x $5.00
Water Heater - to 99,000 BTU ' x $5.00
100,000 BTU to 199,000 BTU x$10.00
Water Softener x $7.OD
New Ground 13in Old Building x $5.00
Electric Water Heater x $5.00
GAS FITTING FEES:
lst 3 fixtures x $3,00
Additional Fix tures x $1.00
Gas Range to 199,000 BTU x$10.00
REPAIRS �,�ALTERATIONS
First $lOQ.00 $S.OQ
each add. $100.00 or fraction 52.00
State Surcharge
TOTJIL FC�
TOTAL
S;;�G_'v
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S �C� e �'
$
$
$ � �
$
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$
$
$ � -
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Job Address �� .,' -
Department of Buildinqs
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
the facts atid roprosontations stated in this npplication are true nnd correct
' � ,
Fridley, Mn. � , lg!�%
✓
OWN�R �
KIND OF SUILDING
USED AS � -
TO BE CONIPLETED ABOUT " � '
ESTIMATED COST
OLD - NEW BUILDING PERMIT N0. PERMIT NO. C� O�(�
Company
Signed By / �
Tel. No. `-� , � = � _
ROUGH INSP.
� Date
FINAL INSP. i� � � ' �5 �
Date
APPROVAL FOR PERMIT �7�/V
0
MINIMUM FEE FOR ANY PLUMSING PERMIT IS $7.50 pLUS $,50 STATE SURCHARGE
REINSPECTION FEE
($10.00) �
� 97-81,—).�16051
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� � , f'�i�1�r�L �ti�, � ...�'L!�....0
; 'LU�Ililt��� FIXTUf�fi fi,�TL�; !�u, RATE
.:< 1f�i�,:,ci t IA��«ea x 53.00
tv���cu FLa�ure Gi.cnin7 x $2.00
I�e. f'l+�t.�ia, Old �per,l: � x $2.G0
C.1t:.11 B.1ylll X $5.00
�+�<<< �����C� - �0 95,coo b1v � ss.00
lu(�,000 GlU Co 159,C�0 BTU x 510.00
N��ur �„ftenur x 57.00
I�cy l�iu�in�1 (L�n Old B�ll.flr.7 x $5.00
��.4 1.�LGLIIJ HaliC I�tdICC ' X 5:.00
:inS I�I I fII;G f•hES;
;, l�t 1 t���ures x 5�.00
A.t;l�tion�l tl.turea x S1,00
'�i
� t.�a I�.����u cJ 159,OUii GTU x $j0.00
',tLl',�li�ti t, �I.TEK.;TIONS
: t'i:►� �Inu.00 SS,00
t�.l� e.f.1. y1JJ.L0 oc l[�CUJn , $2.00
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�o� �,��,�«,� 1627 Brenner Pass
DcparCm�:nt c1' f��i..,�lq�y
Clcy cL ['ridl�y �
TeJ.. 11571-3•150
'I'hu uiiduralgi,�:.1 I,cr�:Ly �,.:ke� ,i:�1icsc:or, f;,r ��.�r.clt t;,r tl�.a �+o[k I�erclr�
epeelfled �gie;�fii� �� ,i�' ; i'. wcrk in strlct e,.cr.is�;;,n ��1c1, [1,� Ctly C:c,�.,;�
dnd rulln��s o� tl�n �e.::,r�men� oE e��i:11n.�s, nr' recc[,i ,1c,:l�rei tP,eC nl l
tli0 f�cLu n�id r���r„s�rt,��lons eC���,� tn [I�lu u�,�„tc�tici� oro [�uo nnJ a,rr�,ci
er..ii�,-, .•,�„ 12-28-79 _, � �_----
ei�Ner� pARR�L FARR y`
KTNO OF uuic.�i;;,; frame
USGD AS Y reS ^
TO �E COIdPLCTE:G I.L'.;;1 P 1-3-80
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esTirv,�r�o cos r L�0.00
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o�o - t�e�i uut�.rt,�.; r•:.i,ru: ;i�. Fer,. t: :, ��, �
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11IIIIMUII I'CC Y�:i� l.Il FLUi.ulll.; FLf�';IP IS 57.SJ pLUS �,SO :;':�.TY 6UhC1U.l�f.r
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: t��I�ISI•L'.:? Ii.il FI:C ti�
� _
SUBJECT PERMIT NO.
c�ty of Fridley ��,��8
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
f
; � RECEIPT NO.
� COMMUNITY OEVELOPMENT OIV.
r � L � PROTECTIVE INSPECTION SEC �
� �
1 _
' � �'��1 � CITV HALL FRIDIE� 55432 NUMBE�7 REV DATE PAGE UF APPROVED BV
�'""�"� ��' 612-571-3450 9t0-Ft5 9�20/94 � �
JOB AODRESS 1627 Brenner Pass NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 9 3 Innsbruck North Townhouse Plat 5 SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Gittleman Construction Corp 7900 Xerxes Ave, Bloomin ton MN 55431 571-102
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE UCENSE NO.
5 ENGINEER MAII ADDFiESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential Townhouse
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Deck Repairs
9 CHANGEOFUSEFROM TO
STIPULA710NS
Deck construction including handrail, guardrail, spacing, etc. must comply with the
State Building Code.
TYPEOFCONST OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTf;ICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTpUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSTFEET PARKING
I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMP�IED
WITH WHETHER SPECiFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2%O.00 �.SO
DOES NOT PFESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTIO OA THE PERPORMANCE OF CONSTRUCTION �LS.00 Fire SC .Z7
��� PLAN CHECK FEE TOTAL FEE
� $15.77
S�G aruaEO CON"RACTOAOFIAUTHOR�ZEDAGENT �DATEi WHEN PfiOP LV VALIDATED THIS IS YOUR PERMIT
$�GNATUREOFOWNERiiGOWNERBUILOERi iDATEi B DG �NSo p4iE
NEW
ADDN
AL.TER
[l
[1
��
CiTY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 1 / 1 /94
��7��
Construcdon Address: ( �2� .,P� �t � ti.) � � )=�sa.�
Legal Description:
,ca.ss G
Owner Name & Address: I r�l N 5 B 2.0 C K NU 27 I-� 7Uv�1 r�l N O v 5�. Te� # 831 Z SdS
Contractor: C 1�-rL� MA til co►..I57 R-UC-r10�! Gc> tz-P MN LICENSE #
Address: ��n �a 1l� �.? XE. 5,�.�! Er g�oo h�i I r�l C-�"rOr�l ��( � Z Tel. #�� I- I O 2�
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this applicadon, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
.L.ength
Length
Length
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construcdon: I�GIC. �Z�P�.� 2S Estimated Cost: $�—' �2�7�pii���
Approx. Compledon Date: I v- 3 �- 9�f-
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + Ft = Ft x$ _$
DATE: � Za-�4 APPLICANT: � Tel. #�71-1 ��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Cscrow
Erosion ConU�ol
Park Fee
Sewer Main Charge
TO'I'AL
S"I'IPULA'E'IONS:
CITY USE ONLY
$ Fee Schedule vn Reverse Side
$ .001 of Permit Valuation (1/lOth%)
$ $.50/$1,000 Valuation
� � $800 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Abave .
� $450.00 Conservation Plan Review
$' Fee Determineci hy Engineering
$ Agreement Necessary (] Not Necessary [ J
$
� ;
- - - �
CITY OF FRIOLEY INSPECTION OIV.
6a3t UniversRy Ave NE
Fndley. MN 55432
572- 3604
Stories
Basement
Ftoor t
Ffoor 2
Floor 3
Floor 4
3a ��
APPIICATION FOR PLUMBING ANO GAS F17T1NG PL=RMIT
MAFiK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Water � 8ath Wash Orink. Floor Catch Auto. � Gas
Closet Urinal Tub Shower Sink Tray Fount. Orain Basin Washer App
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures S 7.00
Old Opening, New Fixture S 4.00
Beer Dispenser S 5.00
Btow Off Basin S 7.00
Catch Basin S 7.00
Rain Water Leader S 7.00
Sump/Receiving Tank $ 7.00
Water Treating Appliance $10.00
Water Heater -Electric S 7.00
Water Heater - Gas•* � 5�0.00
Gas Range" tt0.00
Gas Dryer" $t0.00
Back Flow Preventer Required ()Yes () No
Type St 5.00
Reinspection Fee 542.00/Hr
ALL OTHERS ANO/OR REPAIRS AND ALTERAIIONS
t.596 of Value of Fixture or Appliance
State Surcharge
Effedive On January 1, t 997
Gas �Misc. Water Heatet
Range Fixt. Gas Elec
I
JOB ADDRESS ��v � � ���'�'�'�'� ° " " `��
The undersigned hereby makes application tor a perrni for the work herein
specified agreeing to do all work in strid accordance with the city codes
and rulings of the Building Division, and hereby declares that all the tacts
and representations stated in this a�plication are true and correct.
��� . , 9�
oW�er l�c�i
Building Used As
Estimated Cost
;� C°��f�r
/
,
PLUMBING COMPANY
PERMIT NO. / � LI ! �-`
,�.,..��.c/�
�
SIGNED BY TEL N0. SJ �����1/
�0 y� �--� .
qpproved By ' Rough-In Date Final Date t� ��'��'����'�{ ", i_, �('����
3 .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS 520.00
_...� �...� � �.. ..t�Tr n���7�^UAO(�C
.
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_
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Ct1YOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
March 16, 2001
Occupant
1627 Brenner Pass NE
Fridley, MN 55432
Re: Final Inspection at 1627 Brenner Pass NE
Contractor: Mr Rooter Plumbing
Dear Occupant:
A plumbing permit was issued on March 2, 1999 to install a water heater at your address.
According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted
on the plumbing authorized by this permit. As of this date, no inspection has been called for.
The permit fee paid covers the inspector's time to make sure the appliance was installed
correctly. We also check to make sure combustion air has been installed and that the vent and
vent connectors have been sized properly.
You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from
you, we will expire the permit and any further inspection on this installation will require a new
pernut.
Any questions can be addressed to me at (763) 572-3603.
SuB�ECi . � �
City of Fridley 312 0 4
�
AT THE TOP OF TME TWINS g U I L D i N G P E R M I T
; � RE .
� ; y_����� COMMUNITY OEVELOPMENT OIV.
r � � PFiOTEC7IVE INSPECTION SEC. ��
1 � �
� � �"'1 � CITY MALL FRIDLE� 9S�J2 NUMBER pEV D�TE v�GE Of •VVROVEO !r
�""�'� �'' 612-571-3450 9t0-F15 7/14/00 / /
J08 ADpRESS 1621 - 31 Brenner Pass �
t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACMED
DESCR. 1—G 3 Innsbruck North Townhouse Plat S SMEE7
2 PROPERTY OWNEF MAIL ADORES$ ZIC PMONE
Innsbruck Townhome Association 651-224-5482
J CON7RACTOR MAIL AODRESS ZIP PMONE LICENSE NO
Garlock-French Roofing Corp,, 2301 Eo 25th St., Dfipls., MN 55406 612-722-7129
� AFCNITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO.
00001423
5 ENGINEER MAII ADORESS ZIP PHONE IICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ AODITION ❑ ALTERATION (B REPAIR D MOVE O REMOVE
8 OESCRIBE WORK
Tear Off and Reroof Townhouse Buildin
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Perr�it Inspection Cards
�Vill �e Mailed
To Nomeown�r To Post
TYPEOFCONST. OCCUPANCVGROUP OCCUPANCY�OAO
SEPARATE PERMITS ARE REOUIRED FOFi ELECTRICAL, PLUMBING, HEATING,
VENTILAT�NG OR AIR CONDITIONING
TMIS PERMIT BECOMES NULI ANO VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT
AUTMORI2ED IS NOT COMMENCEO WITNIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONEO FOR A PER100 OF 120 OAYS AT
ANY TIME AFTER WOiiK IS COMMENCED. NO DWLG. UNITS OFfSTREET PARKING
1 HEREBY CERTIfV THAT 1 HAVE REAO AND E%AMINED THIS APP�ICATION 6 $TA�LS GARAGES
ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS y��UATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED �'22 288o4O �11o1S
WITM WHETMER SPECIFIED MEREIN OR NOT THE GRANTING Of A PERMIT s
OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME PEqM1T FEE SAC CMAWGE
PAOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING coN. $363, ZJr Fire SC �22.29
STqUCTION OR THE PERFORMANCE OF CONSTRUCTION
PI.AN CHECK FEE rOia cEE
396069
S�GN�fUQEO�CON'AA(;TQqOpAUTMOAi2ED�GENT �O�tE� EN OPE AL�O THIS IS VOUR PE M1�
� ��
$�GN�TU�7EO�O�NNEp���OWNEpBUI�DEA� �DATE� Bl �NS� ���f
°�A
sue�ecT P
City of Fridley 331 15
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
f
� �
� �
� • COMMUNITY DEVELOPMENT DIV_
� ; �.- - �� 6
r � •� PROTECTIVE INSPECTION SEC �
i �
� � �"'1 � CITY HALL FRIOLE� SS�J2 NUMBER pEV D�iE PAGE O� •vanOvEO Br
�'""'��� ,�' 763-571-3450 910-F15 9/25/02 � �
JOB ADDRESS 1627 Brenner Pass NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
DESCR. 2& 9 3 Innsbruck North Townhouse Plat S SMEET
2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Hendel Construction 4992 Pa e Ave NE, St Michael, MN 55376 763-428-7992
� ARCMITECT OR OESIGNER MAIL ADDFESS ZIP PHONE UCENSE NO
20192308
5 ENGINEER MAIL AODRESS ZIP PMONE LICENSE NO
6 USE OF BUILDING
Townhause
7 CIASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION p REPAIR O MOVE O REMOVE
X
8 OESCRIBE WOFK
Repair Chimney Chase
9 CHANGEOFUSEfROM TO
STIPULATIONS
Firestop all fireplace chases per Section 708.2.1 1997 Uniform Building Code.
TYPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING,
VENTILATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION ZONING SO fT CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS A7
ANY TIME AFTER WORK IS COMMENCED. NO OWLG. UNITS OFFSTREET PARKING
I HEREBV CEFTIFV THAT I HAVE READ ANO EXAMINED TMIS APPLICATION 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT ALL PROVISIONS Of LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMP�IED @1•
WITH WHETMER SPECIFIED HEREIN Of: NOT THE GRANTING OF A PERMIT �3 �OOO �p SO
OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMITfEE SACCHARGE
PRpVIS10NS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- @ @
$TRUCTION OR THE PERFOfiMANCE OF CONST TION y�83 . ZS Fire SC �p3 .00
PLAN CM�CK FEE TOTAL FEE
��s Lice C $5.0 ' 92.75
SiG�+stuA O� COti' a,iOQOA aur.�OQ�2 •GEHT i•iE� EN ROP AUDATE THiS IS P RMIT
' � �
S�GN47UQE O� OWNEQ��� OWNEQBU�LOEQi �O�fE� BlD �NS� ����f
NEW ( j
ADDN [ j
ALTER ( )
CITY OF FRIDLEY Effective 1/1/2002
6431 University Ave NE, Fridley, MN 55432 (763) 572�3604 Bldg insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�I ���/ �
Cohstruction Address: � 1� �% � r zr � c��,c
Legal Description: �.,��, �.--�
Owner Name & Address: Tel. #
Contractor. l��t ��.�-��. MN LICENSE #�<�/�� a�
Address: `{'�l q�- �j �r� f�. SS� P�l��� Tel. # 7��' �%-�'�%1 �
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Ce�tificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length
Length
Width
Width
Height Sq. Ft.
HgUGround Sq. Ft
Construction Type: �c �C� �i Estimated Cost: $ � ��'� • ��
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � 2-� v Z APPUCANT: Tel. �%��—�a-'�(���
Call (763) 572-3604 for PeRnit Fees if mailing in application or Fax to 63-571-1287 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
� �
$ .�.aS
$ .� d0
$ � �v
$
$ • l� d
$
$
$
$
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 Consenration Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ �• � 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 dle 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 widtl� 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 Onlv
6
t-rom:Gityott-ndley Io:6�1Z5Fi1U64 I'age:2/3 Date:8/10/20109:08:47AM
Buildirlg BUILDING Permit No_���` 1� "� �-
Inspections RESIllENT IAL APPLICATIUN R�e�� � �
763=572-3604 C'jTY �F FRIDLEY Da��eG�d:
763'S�2-4977 FAX �Fr•�c.�riv� �-i-zo�u .
I�AT� ir� —
�IT� ApllR�SS
? �t� ;>PPLICANT l�: ❑ OWN�Ii
�ROPERTI' O�VNER�' ,�a��, ��v'�''
TENANT . __._._.�,. //�.�,
CO�tTRACTOR
SUBM[T A COPY C)F
1`QL;R STATE LICE'.vSE
�ND CERTIFICATE OF
(NSL�RANCE
PROPERTY TYPE
PER:�IIT TYPE
7'Y'PE aF WORK:
i il��::K1B� lL'nlZk t3�ING
! c���- r�:- t�,9�'ROV�,�ItNT
; KErUtIVC;
i V`,J);IB�R Or SQUAR�S _
! C;�RAGE4
� p�e;�osrnsizr_:
; F?ZC?PC)S�.11 HL:ICHT:
�
PHnNE:
NAM�: �/j���
STATti LICENSE+?
YOUR E-MAIL AllURESS
RA(.�TOIZ
rHON� bS -! �S6-/Obj
❑ SWGLE FAMILY?NE1�' CnNSTKUCT1nN
❑ TWO NAMILYr7V�W CnNSTKUCTiON
❑ AllllITION G GAJL1GhJSH�.11
❑ k3AStMtN F FINISH ❑ ROOH
❑ UECK ❑ SIll1NG
❑ SN'1MMLNG POOL
G N�.W H(7MtC:ONSTRUCTI�N
❑ MAtNT�hIANCFIR�:PAIIi
LbNGTH
❑
❑ HOUSEONLY'
❑ HOUSt & GARAG�
❑ ATTACH�ll GA]L4Gt
❑ UETACHED GARAGti
tXP DATt
_GTY d STATti��IP,�Q��
H�Ax k��� ����5�
S1L�
STOKItS
❑ WINL)OVJS
C Uxniv n��
�OTNtiK
�N
ELl NG
b'1llTH H�1GHT
rT
BASEMENT REM011ELING SUBMIT:
I. Existing Floor Plan
2. Prcrposed floor plan
3. List of slructural memberc to be used
� yj ��v�� rnlZ N�:�Y CON5TRUCT1nN INCLCI ll}NC, ll�C'KS.
; �= Yinyl GS��t ADlllT10NS. & PnRCHES SUBMIT:
',�' Aii�mimim ❑ Trim I. Site Pluv'Survey showing the existing stmctur�,
; C{:ther ❑ Ha.uia arn1 pmposed project.
2. Tw�o sets ofconstn�ction plans
'' �`�1�'DOtiVS 3. EnergyCalculations
' ;�F.h!�T(NGC)PENihGS GYes ❑No LnCATIONOb'WINDOI�'5 HQRWtNDOb15—PRnVID�U-VALUEAND
,:);? F'(lIZ ��:W or�r::�inc,s-UESC:x�se su,r or MANl1F'AC."TUIt�, STICK�R ON w'1NllO�t'.
i c��r.hivccti.�r,c�se�.
T:`4`r QH' W'INDOW' TO t3� INSTALL�,D NUMB�IZ ON WlIVUOVJS
ALL FEES ARE BASED ON VALUATION, [NCLUDING THE COST OF �.ABOR AND MATERIALS:
(USIPIG 7'HE 1997 U.B.0 FEE SCF[EDULE)
T'�3�'AL 3(3B ti'�LCiAT[dN ��, Ua,Y.i OCCUPANCY TYPE
P�;cr.ii Fcc
f'��r. RCV�Cw
, . _;�:_c;ar:.'L
�� f.� c n arg�.
i_.ic:;nsa Surchargc
5 �C CY=.argc
�.�t�rb Cut Bscrow
�;resion Control
:a:i:Fcc
Sc��, cr l�tain Chargc
Fc►taf Due
� i hcroby apply
i ;:rnfc�rmancc �
i :�crnrit but on i�
- a��3�rc�vcd plan
i -7=:r�.1TUK� Oh' A
$ ° j� �;,�� Sa; Back Pagc for Fcc Schcdulc
$ .K-T=— f,5`% of Building Pca'mit Fcc
$ �► �� .001 rimcs thc. tatal job valuation
$ � .0005 x Pcrmit Valuation Minimum $.50
S $5.00 (Statc Liccnscxi Rcsidcntial Contracmrs)
$ $2100 pc;r SAC Unit (Plans to MWGG for dc,�tcrmination)
$ {{+6ft= ftx$24=$
� $450 Conscrvation Plan Rcvicw
$ Fcc; Dctcrmincd by Enginccring
$ Agtccmcnt nc:ccssary ( ) Nan Ncccssary ( )
S I L.�. !� I Make checks aava6le to: Citv of F'ricDer Attach
TH]$ IS AN APPLIC:.4TION NOR A PERMIT-NOT VALIU UNT1L PR�CES5Ell
�rf a building permit no lcdgc that thc information abo�•c is c:omplctc ar�d accuratc; that thc �i�oric �vill bc in
rh thc ordinanccs and s of c iry of Fridlcy and with thc Minnc,�ota Construction Codcs; that t undcrs�tand this is not a
an application for perm t ork iti not to start without a pcnnit on sitc; that thc work wiIl bc in accordanci with thc
thc casc of all r i' ires cvic and appmval of plans.
` 1 . �
°PL VT _. PR1NT 1VAM�. .. 1 � `' l�' ` 1/ �__� �� � tl. UAT�. � � � �
_ . se --
ALE�A�� �C�
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D't R e n�t J e r s^/w s��t. �/pq� /
S�IS IS�G�T,�I.�� .
.
, � G��f rr� S/L(i4-�.L ���%
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�
RESIDEhT.qL
501 \ Concord St.
J'o.5c Yaul\I� 5i0"5
Cell� Gr�1�34b-a'_'07
H's��v.rikin ge xteriurs. com
E �mail: johnmeperu�yR�e>tr�ffice.net
//'JI�-' R vK
5 � r� -'�
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MULTI FAMILY
Vi�ing Exteriors
LICE\SE = 37?3 LEAD �ICEXSE L1�ikJ
111PR01'ItiG HO�fES Sl.10ES 1962
SIDf.\G :� TR1:14; N'I\Dp�\'S � DOORS � ROOF7\G
GC I�-![RS � 3 �10RE
C:-�LL FOR A FREE EST1S1:�7'ES
6�1-256-1(161
John Meyer
President
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APPROVED PIANS
BLOG
EC R106.3.1
�ry - VWt�� �xL�.2���
f :._ _:�
� ,�'�� �i UCENSE 113773
,-�d.. 901 N. COt��G'PD ST. S�JITE #2
SOtlTfi ST. °AUL, MN 55075