AF - 36493sue�ecr PER ---
City of Fridley °+ 15 3 2 3
AT THE TOP OF THE TWINS g U I L� I N G P E R M I T ��
r
; � IPT N
� • COMMUNITY DEVELOPMENT DIV. �/ 3
r � y � PROTECTIVE INSPECTION SEC. «�
� , 96�y�
� ,
, � /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED 8�
� '---�: `.�
612-571-3450 g10-F15 7/10/79 � �
JOB ADDRESS 1629 Brenner Pass. N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
DESCR. 6 3 Innsbruck North Zbwnhouse Plat S SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Farr Development 7286 - 72nd Lane, Brooklyn Park, 55428
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same 560-8110
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Re s i.den ti al
7 CLASS OF WORK
❑ NEW
X
8 DESCRIBE WOFK
9 CHANGE OF USE FROM
❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
0
ro
STIPULATIONS party v.rall must be two separate 1 hour walls from bottom to roof.
Firestop soffits. Provide combustion air for furnace from outside.
SEPERA'FE PERMlT� kEQU1RED FOR I�111fit1�,
NCA1'JPfG, P�UIVIHiNG ANn SIGNS,
TYPE OF CONST. OCCUPANCY GFiOUP OCCUPANCY �OAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOO(3 FY'�e
THIS PERMIT BECOMES NULL AND VO�D IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS 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 OR NOT. THE GRANTING OF A PERMIT 1]_ %$
DOES NOT PRESUME TO GIV.E AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS�F A�OT ATE OR LOCAL LAW REGULATING CON-
STRUCTI .' OR F PE ANCE OF CONSTRUCTION.
r,/` s`" PLAN CHECK FEE TOTAL FEE
� --� - � � $496.54
SiGNaruaE FCONTRACT RAU7HORIZEDAGENT �Dn7E� � �/yH PROPE V LI AT THIS IS VOUR PERMIT
� 'i /U ,
SiGNATUREOFOWNERIIFOWNERBUILDER� IDATEI ` BLDG INSP �1tiiE
� • l.l 1 I VI 1 111 UI L l .
' /�('f'l._i C/�'f 1O!1 t-UR RI:S i 1)(:flT 1 �L L'U J Lll I I!G f'f:ltl�i I TS . .
' ���[:W, �L'I�I:R/��(�1 U(;�, IIl?UI71 Ui��, OR �Z�I'/1I ftS) .
• , . . .
OS•;�2rR: f� rt��r_[.-� �. �'�--:I..-';,-'':,� �C.:r �"'. F.UIT�ll3.12: �,� �s'.�� _
�'.� � .�I • '�,�s. ..�' �-,r � � '� Ac]clr. ess � .
� %iCI C21: C 5 ;; : � � ' • - "-° • .
��y� ; � �c�-�� ,t� v7� C — �
iC ��- r' �3�d 8 Tc�. 1•;0.: � //-d
��0. a�� .��it.l'CCt: ��il�i'''`�..��'cc'�'"''�.—.-. _�w • •
r,�T : � �3r�ocr,: 3 _ nnnx�r. zo; � : �''',
COitl;}.it LOT: %� I1JSIll� LO'�: Si.TPAC}:: SIUEY1112Di: '
1spt�licai;t attach 't-� ihis f:o�rrn 7�vo Certifi_cate� of Survey o£ LoL- and proposcd �
builclir,g locatian dra�+�n on these Certificates. -
.
� � DESCRI PTI Of'J OF BUI LDI I�G �-wr� �
To 73c Used As: . � � �
� %C�CAl,l,�f�<`if���� � . �
• %,���, ,`� � Fxon � z �� Depth : ' �a� ' Nei_c�ht : a� - .
. Sc]uare Feei:: �3_3a Cubic Feet: ���J�� �
'I7ont: Depti,: � Neight: - -
Square T'eet: �. LUbic Feet: ' `
/,, ' e2�, 5�0
xyp� o� Construction: UJ�-D-�-�' �4��^�--�r-ri..� Esi:imated Cost: $�� �'J'
xb Be Coi;�plei�ed: OC-�. '7..L . �Alt. A AI.t. B
� Pro�osed Dr�veway l��idt}l 7f I�ew Opening xs Desired _ $ S
' (sr•.r: 12�VERSE SIDE OF SIiL•'ET)
Tile ill1C3C2:Sl�Jll(�d hereLy mak�s a�?pl.ication for a pc�mit for L-he worJ: herein �
specii�.ed� ar,rcei_ng ro do all c�or}: in strict ac �rdan e�•1i.t.l� the City of .
Fxidley Ordin.,nces and rulings o� tlie DcL�a�:ta t�t oL rnildings, ancl licreby �
decl_aies that a_ll the facts and r�resen,-.< '.ons st� this appl�cation
a�_e true .znd correct-. �See revc�: e sic�e�� r a z�i � o� a ���:zation. _
DI1TE: %�9/�I `f S�GI�A'i'UR2;:
stxk�t��ztxo�l,: , P�ery c,�A-u.. m�sr s�p�eAr� ���cx�.c'• u��-c�s
� Fe�n't �nvm Tc� �P_�F, - %��hSi d{� SUFF� rS , ��cJ✓-o� -
��. �1 �ri�� % � • sr�F , .
�/. 4s �t.��l �Ntc� C'c��s�v�J A��Z �ae F���✓�c;�, F2�m a�.s-� -
. « �8 �� . . -
��.s oo _ _ .
�91� , ��% ' : . . � .
' " , . S� � �/� � �f �JG.S�
sue�ecT P E
c�ty of Fridley _ 15 6 0 3�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� -
r
; � IPT NO.
� COMMUNITY DEVELOPMENT DIV.
� 1 L��"�� ,
r � � PROTECTIVE INSPECTION SEC. �� ��
1 ; �
'� � /��'1 � CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPiiOVED BV
i.�����./ �.J
612-571-3450 gi0-F15 12/26/79 � �
JOB ADDRESS See Below
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. %-11 3 Innsbruck North Townhouse Plat S SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Da.rrel Farr Development 7286 - 72nd Lane No., Brooklyn Center, MN 55428 560-8110
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USEOF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
O�nstruct a 54'8" x 22' 5 stal a
9 CHANGE OF USE FROM TO
STIPULATIONS
Lot 7= 1629 Brenner Pass N.E. � F-�-�`4 �� '�
Lot 8= 1625 Brenner Pass N.E.
Lot 9= 1627 Brenner Pass N.E.
Lot 10= 1621 Brenner Pass N.E.
Lot 11= 1623 Brenner Pass N.E.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APP�ICATION 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
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. $45.20 ' NONE
PLAN CHECKFEE TOTALFEE
NONE $53.24
SIGNATUREOFCONTRACTORORAUTHORIZEDP.GENT iDA7E� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
l�
SiGNATUREOFOWNEAiIFOWNERBUILDEPi IDATEI BLDG iNSP �iFTE
Ol�� fdE R:
ADDRESS:
TCL N0:
CITY OF F{tIDL[:Y
Af?PLIL'/1TI0N FOR RFSID�:('�"CI;'lL I3UILDIPIG PE=R(�1TTS
(fdew, Alteratic�ns, Add�itions, or Repairs)
BUILDER: ��,�',��L r�,��� �F- �- L
�DDRCSS: ���c� — �)�-1�` C,�� ,�-. �� � �� z .
TE L I�d 0: '�/ Q- c� / � L�
�� � .� � �� � Construction Location
S`PRi�`�' N0: STI��T:
. 1, �_
L07`: �% ��� BLOQC: � ADDITION: '.ti. �' .�� iC l? i� �
COY'I]2Y' Lot: Inside Lot: Setback: Sideyar_ds:
Applicant attach to this form two Certificates of Survey of lot and
proposed bui.lding locai:ion d.rawn on certificates to scale.
DESCRIPTIOId OF CONSTRUCTION
�'L t}�°,� Front: A��� �CQ �� �P.� • � �1-� � Height: �C� �
���? u-)C C�� Squar.e Feet: i.2 ��y Clzbic I'eet: !-x��:> �—
I'ront : Depth : H eight:
Square Feet: Cubic Feet:
Type of Construction . �_.�.'C'�_�� l.,�'L-�:9�1 .0 Estimated Cost: $ f�`, ;.' �� b� ^
� F1e Cbm�leted:
Alt. A Alt. B
Pr.oposed Driveway Width Tf New Opening Is Desired: $ $
SEI: REVGRSE SIDE OF SHEET _
�'he undersigned hereby makes application far a permit for the work herein specitied,
agreeing to do all work in str.ict accordance with the City of Fridley Ordiiiances and
rulizigs of tlze llepartment of I3uildings, and hereby declares that all the facts and
repres^ntations stated in this application are true and correct.
DATE: /.� �� ��,% �% SIGNATURE :
StipulaL-ions:
�� �ic, xC���
��y
� --._'." -".
�,���y
� ��
� _ ��°� 1
8 - � �a�`
q _ ��a�� .
iv�i��
ii - i�..�
�k't a�,��-K' /-��SS
�,
,,
;
�
. BUII_1)IIJG f'�R��1IT (=Lt� SC![E])ULL .
S)i:C`rIUIJ ?.. '1']�e 7nr;J�ecLor_ of_� l�u:a.�<li.ii<1, sha).1, ).�cfor.� a.�; ,uing 1�r..nniL-s for Ltxe erect:ion
c�f any buil.d:i.tirJ oa: :�t:ruci:uzc, or. �or. aily ac1clS.t�a.c�n to aiiy er.S_�t.S_ng uuilding or strucLure,
o.r, fo�' any altcration or a-r�>ai.r.s to •any exi.;;L.i»g )�uzlcli.ng or sLr.uct-urc, u����n ap��lication
i:her.�for.e, requir_e tJ�e �?<�ymer�Y. by tlie applicaiit- for- such }�er.m9_i: of fee� to tlir a�nount
hcrcin be].ow set for.th ancl in t.tie ma��ncn c�reiti Z�rovic7ccl Lo-w5_L: �
21)'sDJ CC.1�;TI:GC7'ION: Siilgle ]?ai;ii].y IIomes and Gar.aqes: $4.00/1,000 cubic feet. '
PL11N CII]:CI:: 2.5 I�c'LCCI1� of l�u�.ldi.n<� T�ermit fee.
DItIV�i�1AY Dis'PI2L•'SSIUI�: (Concret.c, Curb StrecLs Only) '
� I�li�cr_nate l�: Removal and YCj��i1C:CIl1C'1'li: of concrete cuxb and
guL-L-er. onl.y; nriveway width plus 6�ee� X �:�,�e 75
11].ternat:e 13: Removal and replacemeilt- of cancrete curb and
. ' gutter anci itistall. a 3 fooi. wa.de approach wii.h
' 6 irich depth; Drive�•ray width plus G ieet x$17.85
ADD1_ TI��l�.�� Il`l.FQ3i�11� IO
J'or the purPose of compui:ing fees for_ building permits, tlie cubical conteni:s of any
building or addition, is determined by rnu1L-iplying i:he ground area covered from a
poi�li: si>: (6) inches bel_ow the iloor line of the basement or th� cellar to the
average heights oi i�he upper surface or to the average tieiglit of the roof surface
of the i�ain gable of a pitched roof.
lor repairs or alt�rations to an existing structure, the fee shall be at ttie ra�e
oi $3.00 rer eacli �ive hundred dollars ($500.00) or fraction tllereof in the cost
o� al_1 proposed work. .
2n�no case sha].1 the fee charged for any pexmit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge. '
.�CRIFICH�OV Of= FOUNDATI01�
NOTF:: Permii�s �or construction �oill be issued a minimum of 24 hours fr.om the time
of ap��]_ication to allow for proper review oi the proposed structure and of the
constructioii site.
11 Certiiicate of Su�.-vey of tlie lot, showing the location oi the foundation once it
has been construct,cd will be required befor_c pr.oceeding �vith the f-raming.
...._G�RTIF C L�OF OC��1°�NCY
1lpplication for a Certificate of OCCi1��.3I�Cj� shall be made L-en (10) days prior to the
use or occupanc}� of any structure for wliich a buildiiig perriit lias been issued; and
s.�id structure shall i1oi: be used or occupi.ed until a Ceri�ificate of Ocr.upai�cy has
been issued.
0
� HOUSE HEATING TEST RECORD
ADDRESS +���I w" �-7� e1�1�e-(� !"0.<`1i,o61 APT. FL00 CITY �,c�R�SUBURB
OCCUPANT � � '� OWNER �� p � ��!L7..�/nell�f'
HEAT LOSS �'� Ob�—DATE HTG. I ST. � ' �
SOLD BY INSTALLED BY `'� r1'1Q-
Electrical Work By "— Gas Line By ��='1!'►'�{�
TYPE OF HEAT GA FA 1�HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE , ���� � MAKE OF BURNER
Model �-C�'-ln(7��1��� Modsl
Serial Max. BTU Rating
INPUT �? �f� MAKE OF FURNACE
Modsl
CONTROLS
THERMOSTAT � Heat Plug �v� Vent $ize �Q ��
Valve �� KIND OF LINER SIZE NONE
Limit %- y�-�� Draft Hood Reyularor
Limit SsNi�g ��C�) Filters Size �% N '�ber
Fan Setting �� Chimn�y Loeation Inside ✓ Outside
Pilot Type 1- Chimnsy Construction
Pilot Make �
Pilot Model � Smoke Bomb Wiring �
Pilot Timing �� Draft � K- Test Tag
L.W. Cut Off Door Pressure Lightiny Inst.
Prossure �� � Percent CO2 Date Tested
Input CFH F Peresnt 02 Company Testing 1
$tack Temp. Percent CO � Name of Tsstsr �p� � i� �. A�
Form 235
CITY OF FRIDLEY
APPLICATION FOR PLt3MBING AND GAS FITTING PEFi�1IT
.n ro tT C N .,�� r; � � water
at m m s� c•.+ y o �+ a w a Heater
d y .+ E� m F•.+ ro s, m ro s� a
+i CJ r� C m .X � Gl l+ .0 C E C1 �Q • �
s+ 'u w c t � � c c 3 o u•-+ o.[ u ai
� w� w � y � m�s'�+ o.°c .° ro ro � ro ro � ro �
�n U � A a� rn S o w cn w U w a 3 c� � c� O as lec
� � �� �
lst � f ��
2nd I
3rd
4 `.h
(R) = Future Connection Openinq Connected with Sewer
(*) = New Fixture, Old Openinq Water
PARTIAL RATE SCHEDULE
PLUAfBI�'G FIXTURE RATES: N0. RATE
Nu.�er Fixtures � x S3.QO
FUture Pixture Opening x $2.00
Nea Fixture, Old Opening x $2.00
Catch Basin x $5.00
Water Fieater - to 99,000 BTU i x $5.00
100,000 B:U to 199,000 BTU x$10.00
i�ater Softener x $7.00
New Ground i�n Old Buildinq x $5.00
Electric Water Heater x $5.00
GAS FITTI�vG FEES:
lst 3 fixtures x $3.00
Additional Fixtures x $1.00
Gas Fange to 199,000 BTU x$�:0.00
TOTAL
g --
$ ,..
$
$
$
S
S
S
S
- t:'
g , i _�
$
S
REPaIRS �, ALTERATIONS
First $100.00 $S.Op $
each add. 5100.00 or fractton $2.00 $
' State Surcharge $ ,50
/ �• ,
' TOTNL FCE $ �/ /' . _ —
REINSPECTION FEE
' ($10.00)
0
;� � �� .
Job Address / s0 , �`�� -� � � � � � . - -
��.ia '
Department of Buildinqs
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the rrork herein
specified agreeinq to do all work in strict accordance with the City Codes
ahd rulings of the Departr.ient of Buildings, and hereby declares that all
ttio facts und ronrosontations stated in this application are tzue and correct
Fridley, Mn. � , lg ,,+1' �
0'r1NER ?'/ Of ," ,
r
KZND OF BUZLDING �.-
USED AS ` ,!. ! .. . , _�.., i - -
TO BE COMPLETED ABOUT ' ' /� �
ESTZMATED COST
OLD —�NE�W SUILDING PERMIT NO. PERMIT NO. C.��
Company ' �•'� '
Siqned By �� �' -
Tel. No.
ROUGii INSP.
Date
FINAL INSP. � - �J -" � �
Date
APPROVAL FOR PERMIT �71�
MININ,UM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS S•50 STATE SURCiiARGE
97-8!!—�t16051 ''��",'�_I�;,TIOi`! FOR f�L1Ji�lIIlhl� E,�d� Gns �'I fffh�G �'I:t��ll I
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{I� � I��l�itt C..f1f�C.:llJf� G(�cf�l� J ' �:. .:.cC:c� NiCil —.
SCHt'C
') -��cw t lntuie, Ol� D�.tn;n.] Wntcr
� f'I,RTI�'�,� t��, � ��� ��L��c�
'LU)�111t�i� f�IX1Uf�li fi,�TC-5; ��0. RATE
" 11�i�,Lcl f Iwl��[t9 X 5�.00
��� � Fill�IlC f�:rCUCt (J(,�fiill� % $Z.�O
he� i't,t.i�e, O1J uper l: , x $�,CO
G�t�n ��sin x $5,00
�+'«< i�c��er - co 95,000 6111 x $5,00
►ui1,000 E�]U to 159,OJ0 bTU x SiD.00
Nrcur �„(cenuc x 51.00
Nev Gtuund FL�n Old B�ll�lr.) x $5,00
I.ICGL�IJ NattC IledtCC X S+.00
' nS I�I I fI�;G htES;
l�t 1 t�4tu[es x $3,00
A.1,tlt1on�1 Flwtures x 51,00
��•>> �����•�n W 199,OOu 6TU x $j0,00
►E�'•����ti t, AI.TEH.;TiGNS
Pi:sc �IOO.oU S5.0o
c�.:h e.1.1. SIJO.uO �r lracuon $2,00
S��ta Sur.horge
TUrn� � r.�
I�LIIiSf-L';,T IGiI F'I:I:
TOTAI.
S
S
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$
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$
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$ ----_
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S 10
�
---�
Jo� r+��«�; __ 1629 Brenner Pass •
Depar[n�r:nt cC I��i.l.ilr�y .
C1Cy ot f�'rldl�:y '�
Tel.. 11571-3•15G
'I'hu ui�dor�1 �i,d.9 I�,cruLy �..;he� a�:plicac:;,r f,:c e � .
e eelfted u, : �: c;� t�r ti�,:, r�cck I,erelr�
P �]i��li�� �o �io' : l Nork in stri.t ..c,:ci.1.r.::n ti1u�, U,� City C:�,���:u
dnd ru1ln��s oP tl�e pe��sr��nent of Bu:.itn�;, �,-; r,���� „�„i,re� Cte[ nl�,
tlio faclu n��d r�� r,,:;,,rt;��tor�s s[�co,i i� thid
;.i,;..1c�t1;,��, �ro t���o nn�J c��ii�rci
F':_.11e}, ,�r,. �.2-28-7`� _ 1�----
ci�Ner� D-�rr-;1 F rr
� ,
KTND OF 11UIL.LI,;.� ` frame
-�-�..�y�_�,
USLD AS Y'2S, �
— - � --
TO �E CCIIPLfT'E:G l.t,;;J!' 1-3���
ESTIPtA'I'LD CO5'P L�0 00 �
OLD - IJI�{i f]U7LGI;1:; (':I�r'�I:' ;1:,, � F�(,.::� � : �_ _
_.. ��"� -J � �
....11�(;111y' i����^�r - ,-
�<<,
� St�ne.i �y
':el, I��,
ROUGIf IIISP.
Do Ca
FIU/11. i115P,
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h1�PflUVnL l'pli FE:lu9I'P ��
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sue�ecT PER
City of Fridley 2 0 3 4 5
' , AT THE TOP OF THE TWINS g U i L D I N G P E R M I T T NO.
f
� �
� • COMMUNITY DEVELOPMENT DIV.
' j V �""-� p
r � � pF10TECTIVE INSPECTION SEC. 3� I v
� ' /'�'1 � CITY HALL FRIDLE� SS43Z NUMBER REV DATE PAGE OF APPROVED BV
�""'�"� ,'� 612-571-3450 9t0-F15 5/9/90 / /
J08 ADDRESS 1629 Brenner Pass N, E.
� IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. F� 3 Innsbruck North Townhouse Plat S SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Nancy Johnson 1629 Brenner Pass N.E. 571-9552
3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO.
D& P Builders Inc. 2370 - 3rd Street N.W�., New Brighton, MN 55112 633-8375
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
CI NEW ❑ ADDITION O ALTERATION �J REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace rotted siding qn £ireplace chase
9 CHANGEOFUSEFROM TO
STIPULATIONS
Call �or inspection after tear-off.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIFED FOR ELECTRICAL, PLUMBING, HEATINC�,
VENTILATING OR AIR CONDITIONING.
THIS PEfiMIT 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 PERI00 OF 120 DAYS AT
ANY TIME AFTER WOFIK 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 VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK Wl�l BE COMPLIED 70
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 51,400 $•
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 33.00
STRUCTION OR THE PERFORMANCE OF ONSTRUCTION. $
Q� PLAN CHECKFEE TOTALFEE
z�_ (.�' S�- 9�- 9U $ 3 3. 7 0
SIGNATUAEOFCON'RACTOAOFlAUTHOAIZEDAGENT IDATEi WHE PROP Rl LI A THIS IS YOUR PERMIT
�-4 -9C�
SiGNATURE OF OWNEAUF O�NNER BU�IDE�:I iDATEi INSP qF7E
� []
�N [ J R-1 AND R-2
ALTII2 [✓J� Building Piermit Application
����� �: i�6 a9 � ��
Legal Description:
Owt�er Name & P,ddress :
n
Contractor:
�S: a,3�o .��!
� ��
0
/6a
Effective 1/1/90
Tel . # S�� � ��S S o2
Te1. ��3 -8'.�75 .1
S.� �/�
Attach to this application, a Certificate of SuYVey of the
lot, with the proposed construction drawn on it to scale.
DESC�tIPTIO�T OF
LN.II�IG AREA: Length Width Height Sq. Ft.
C� ARE�,: Length Width Height Sq. Ft.
DEGZC ARE�: Length Width-�f— Hgt/Gro�uxi �• Ft. �-���
OTFIER: /tl� .(J.C7s4'��c�� .3yr J �.vLP �.y�=� G'�s�.�-�.-
Corner Lot [] Inside Ir�t [] Ft. Yd Setback Side Yan� Setbacks
Type of Construction: Estimated Cost: $/S�oD �`�
Approx. Ca�letion Date: .5 - /� � �U
Proposed Driveway Width If New Operiirig Is Desired: Ft. $ $
idth + 6' See Back Page
nA�: ,� �- Q d ��cArrr: � � � �re1.. # �.3� 83 �s�
0
Permit Fee $ ,��� C� L>
State S�urcharge $ % �'
SAC Criarge $
Driveway Escrow $
Park Fee $
sewer Main criarge $
�, $ ��.� . 7l ��
srz�TTOrrs :
CITY USE �II,Y
Fee Schedule on Reve.rse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Abvve
Fee Determined bY F1�gineering
Agree�nent N�ssary [ J Not Neoessary []
�
,��1� � �,_ �a�;�y�y �� :�;�r�_1�
�e Chief Buildirig Official shall, before issuing permits for the ex�ecstion of any
building or structure, or for any addition to any existing building or structure, or
for any alteration or repair to ariy e�cisting buildirx� or structure, upon application
therefore, require the paymez�t by the ap�plicant for such pennit of fees to the amotuzt
herein belvw set forth and in the manner herein provided to�ait:
'ICrI'AL VP�Ii.TE
$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
��.
$15 (Minurnun Fee is $15 plus surcharge)
$15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$45 for first $2,000 plus $9 for each additional $1,000
or fraction thereof, to and including $25,000
$252 for fi.rst $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to and includir�g $50,000
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and includir�g $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 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 thexeof
DRIVEWAY DEPR�SSION FSCl�FI
(Concrete G1irb Streets On1Y)
Alternate "A": Renx7val arid replacement of curb and gutter only - Driveway width plus
6 feet times $13.50.
Alternate "B" : Removal arid replac�zt of curb and gutter ar�d install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
►+/� i�al �+c Y�J� • a�. l�i� : Y���I
Permits for construction will be issued a minitrnun of 24 hours froa�► the time of
application to allow for praper review of the proposed structure and of the
construction site.
A Certificate of S�zrvey of the lot, shawing the location of the foundation once it has
it has be�n constructed will be required before proceedir�g with the framing.
0
SUBJECT
City of Fridley 312 0 4
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
' ' RE
� • •
.
COMMUNITV OEVELOPMEN7 OIV. ��
� ; V ����� ,
r � � PROTECTIVE INSPECTION SEC.
� �
, � �"�1 � CITV NALL fFIOLE� SS�JZ NUMBER pEV OATE VAGE Of AVVqOVED 0�
�""'�"� �'' 612-571-3450 9t0-F15 7/14/00 � �
�oe �o�Ress 1621 - 31 Brenner Pass �
1 IEGA� �OT NO. BLOCK TRACT OR AOOITION SEE AT7ACHE0
oesca. 1-6 3 Innsbruck North Townhouse Plat S SMEET
2 PfiOPERTY OWNER MAIL AODRES$ ZIP PHONE
Innsbruck Townhome Association 651-224-5482
J CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO
Garlock-French Roofing Corp,, 2301 Eo 25th St., Dipls., NW 55406 612-722-7129
� AFCHITECT OR OESIGNER MAII ADORESS ZIP PMONE LICENSE NO
00001423
5 ENGINEER MAI� ADORESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION B REPAIR O MOVE O REMOVE
6 DESCRIBE WORK
Tear Off and Reroof Townhouse Buildin
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Permit Inspection Cards
1�liil �e Mai�ed
To Homeowner To Post
TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAO
SEPARATE PERMITS ARE REOUIqEO FOR ELECTRICAL, PLUMBING, MEA7ING.
VENTILATING OR AIFi CONDITIONING
THIS PERMIT BECOMES NULI ANO VOIO IF WOqK OF CONSTRUCTION ZONING SO. fT CU FT
AUTMORiZEO IS NOT COMMENCEO WITNIN 60 OAYS. OR IF CONSTRUCTIpN
OR WORK IS SUSPENDED OR ABANOONEO FOA A PERIOD Of 120 DAYS AT
ANY TIME AFTER WOpK IS COMMENCED. NO DWLG. UNIiS OFfSTREET PARKING
I MEiiEBY CERTIfV THAT I HAVE READ ANO E%AMINEO THIS APPLICATION 6 STA�lS GARAGES
ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS VALUATION SURiAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED �22 288,40 ' $11,iS
WITM WHETNER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT s
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE Oi; CANCEL THE pEqMIT FEE SAC CMARGE
PROVISIONS Of ANY OTMEFi STATE OR LOCAL LAW REGULATING coN. �363, 25 Fire SC �22.29
STRUCiION OF TME PERfOfiMANCE OF CONSTRUCTION
PLAN CHECK FEE TpTA FEE
396069
S�GN�fUAE O� CON�iiA(;TOa Op �UTMOp�ZEO A(�ENf iO�rE, EN OPE AIID THIS IS VOUR PE M1�
f ��
S�GN�TUpEO�OWNEQ���OWNEpBU�IDEA� �OATEi Bl �h5� �i/f
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� SEP-23—L�JUS i l:��7 AM� /b�� A� �,icaTER CU � S� 763 537 188 Q 2
�un��rucc�un ��aress: fo J�f ,�, �� � f��
Legal Descriotion'
Uwrit�r N�m� � P:�1��r+:�s:
Lu�I����IGC.
A rr.�. ��°$:
/ � �.1 I J
I_lvltd�.� i!I�L-'�"�:
�i�lL��G A(`t�ti;
t�ECK ARE�:
OTHER:
T�1. #�� �� � �%i y � �1�-�", /�i
Nl�d LICE�IS� � /�Jc�c,�.
Oi � TBi. �7/�'1��' �'� i 'Y/r1 4��
Attach to this application, a Certificate of Survey of the
lot, wlth the proposed construction drawn on it to scale.
D�SCRIPTION OF I(�ll�Fi010EMENT
�����u� ,.,.,�„r,-.�,�_.�, �viatn Nelght Sq. Ft.
Lvii�tti
L.eilyth
VViqttj Height Sq. �t.
Width HAUGround Sq. Ft.
Construction Type: Estimated Cost:
Driveway Curb Cut Wldth Needed: Ft. + e Ft �
/ ,
cr j , ���,�.
1?a�TE: �a�(�,' � AWP�.IGAId7i�" �1�'�/
�a11 (763) dT2-36b4 for Aerrnit FeQS !t melling In appllcation
call you for ce►cJ nun�bcr. !
Permit Fee
'�ii � U�-if�vf ic�f:;:;
State Surcharge
CA,(` (`I1�r��10
L��: �I IS� �! I? �.;� I�! �E.'
l.ul � �,Ul F��I lJW
L-`rosia� ��ntrol
ParK Fee
Sewer �vlain Charge
TOTAL
$ c�'�. �'
�w..w...�.....�...-
$ /� I �
W��`�'D�
�
�
�
$
� g�.�l
CITY US� ONLY -
a
�
Tol. # �u i �1 y/���'
to 763�T1-1287 li using credit ca�d and we will
Fee Schedule on Reverse Slde
.���1 �f �arn-�it V�lu�tie�n (1/10th%1
5.50/$1,000 Valugtion
?127� ���r �/1G Unit
�5.i.�u (�tate Licensed F2esidential Contractors)
Alt. ��A�� of Alt. ��6�� �bc�Ye
$�50,Qq Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
�
�'S
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�_ _ _
, SEP-23-2005 11:46 AM STANDARD WATER CONTROL 763 537 1882
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Phone �:
Pax ►�:
Phone At:
Fax ,aD�:
763=�87-484�
763-537-1882
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'`i'j� � viic�ENT � hZEP�.�' OII�:IG ' j � NL;�ASE COh1M�'NT 1 1 R�,�'ASE REV7�"W � FYZ
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5337 Lokeland Ave N
�:rystul, iv11�� 55�2y
II Phone�763-537-4849
.,,;';;!:^�,���(iih, Fax� 763-537-1882
Email mlke@standardwnter,com
.5tanda,rd Website: Stnnoardwater,com
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