AF - 36495_ _ : �, . �. ., _
sue�ecr PERMIT NO.
City of Fridley _ 15 3
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T:- '
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, � RECEIPT N'/O.
� COMMUNITY DEVELOPMENT DIV. �� 3 Y3
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r � � PROTECTIVE INSPECTION SEC.
1
1
1 � ����1 � CITV HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�'"""��� ,�' 612-571-3450 9t 0-F� 5 7/10/79 � �
JOB ADDRESS 1631 Brenner Pass N.E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1. 3 Innsbruck North Townhouse Plat S SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Da.rre.l A. Farr Development Corp. 7286-72nd Lane, Brooklyn Park, NAi 55428
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Same 560-8110
4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct an 18' x 28' Townhouse (A Unit)
9 CHANGEOFUSEFROM TO
STIPULATIONS party wall must be two separate 1 hour walls fran bottom to roof.
Firestop soffits. Provide combustion air for furnace from outside.
5EPERATE PERMlTS REQUIR�D FOR W�ftIN�G,
HEATING, PLUMB(NG AND S�GNS,
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOC� FYc.1Ill2
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCEO WITNIN 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 1 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 yS2H� ZFO �14.OH
DOES NOT PRESUME TO GIV� AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE
PROVISIONS OF NY Fi ST E OR LOCAL LAW REGULATING CON-
STRUCTION � �A R NCE OF CONSTRUCTION. �S`'rj6.4�j $425.��
PLAN CHECKFEE TOTALFEE
� --� .11 509.64
SiGNaTUREOFCO � CTOAO HOfiIZEDAGENT ioaTEi EN PROP R V ID TE HIS IS YOUR PERMIT
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SiGNATUREOFOWNERi�FOWNEABU�LDEF7� �DA7E� BLDG �NSP ��tiTE
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Ap;.�licai;t ati:ach �o this iorm ���o Certiii.cate� o£ Survey of Loi� and propascd � . .
bui.lcling �.ocatian drar�n on tiiese Ccrtific�tes. .
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� � DESCRI PTIO�d OF BUI LDI I�G •{� G�,u.� .-
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To Ac Used 71ss • . . � ' , - � .
. - -r�.(l.�,C,/-�CrtS<.' . ... . .. •' . . - . , � o{O '
- �r . Fxonti /� Depih: • •a � ' 3lea.ght: ' -
._ - . _ .
. ' . . . Square Feei:: /5�/0� . Cubic Feet: �/ ti///� � . -
. � 'Fxont: Depth: � Nex�ht: . . . � .
Squa�:e I'eet: �. Gvbic I'eet: __ _
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�.yp� a� Constxuction: A-�;� ....dirn.2.� Fstimated Cost: �
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7v Be coi;�nleted: , �� % 9 ' .� i�lt. A� A1.t _ a
Pxop�sed Drive�.vay t•iic3L-}i xf New O�ening xs Desired $ �$
� � • � �srr I:�V�F•SE SIDI: OF Si3EET)
�ic �:n3ersignrd hc�'eLy maT:�s application for a pc�mit ior the �oorT: lierexn
sp�cifi.cd, ��,rcei�ig to do all �:ork in strict ac _�dai�ce ��rith tl�e C�.t�• of
Fzidley Ordiiiances and rul�uic�s of tlie Dc��az .icc�t o� ��UlI.CIlI1CJS, ai�d licreby .
c3ec].ares that a�l the facts and rep� ° ���jl : st- � d' i:his Ei��jJi1Cc'2L'1021
a�:e true �-u�d coxrecL-. �See xeve�s si.de r�•1clit ona �' nuat-ioi�_ . _
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Dl•iE_ i� `I/79 SZGt�A'i'U}::. -
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HOUSE HEATING TEST RECORD
ADDRESS � APT. FL00 CITY � SUBURB
OCCUPANT OWNER
HEAT LOSS �.—DATE /H�T�G�,-., INnST. �a- a�-�Zq
SOLD BY �—� 't Ist! Ll��• T INSTALLED BY `1�.me.
Electrieal Work By _ Gas Line By ��
TYPE OF HEAT GA FA ✓ HW STEAM SPACE HTR.
(� jj GAS DESIGN
MAKE \P(�►'P�� MAKE OF BURNER _
Model � � � � � Modsl
Sxial Max. BTU Rctiny —
INPUT MAKE OF FURNACE
Model
UNIT HTR. OTHER
CONVERSION
CONTROLS
THERMOSTAT T��— Heat Plug '�� Vsnt Size —�.Q ��
Valve Id1-� /- KIND OF LINER ��- SIZE NONE —
Limit �'���F Draft Hood �'D�Rsyularor
Limit Setting � Filters Size Number
Fan Setting � Chimnsy Loeation Insids � Outside
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Pilot Type �� Chimney Construction
Pilot Make �'L'
Pilot Model � $moke Bomb Wiring �
Pilot Timing �' Draft � �' Test Tay
L.W. Cut Off Door Pressure Lightiny Inst.
Prossure .J- � Psrcent CO2 � Date Tested �
Input CFH t0 � Percent 02 Company Testing � `�
Stack Temp. �,� Percent CO � Name of Tests� —�� i� �
Form 235
. CITY QF FRIDLEY
APPLICATIOiV FOR PWMBING AND GAS FITTING PERMIT
A ro a+ c N .,�� ,.� .,�� tr, water
cT m m a w c•.� m q +� n, r=+ � Heater
� +� � F m E•�+ �s l� m b s� W
.a o r c a1 x t� c� i, .0 C E c� a • �+
sa !G t'1 C Y •-� .k L' C C 3 O U•-� O.0 U C1
O W O M L N C N '.1 � O O JJ N 1� U: N N N .0
y .� w b ro •.� ro s+ o.c .1 ro m� m ro ^� " as lec
v� U a G W �n 3 � t++ uI G4 U al rt 3 c7 � c9 O
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3rd
4 �h
(R) = F1�ture Connection Opening Connected with Sewer
('; = New Fixture, Old Opening Water
PARTIAL RATE SCHEDULE
PLU��I�iG FIXTURE RATES: N0. RATE
Nu.^�ber Fi�ctures x S3. C10
�ture c^ix ture Opening x $2.00
Ner Fixture, Old Openinq x $2.00
Catch Basin x $5.00
Water xeater - to 99,000 BiU _ L x $5.00
100,000 STU to 199,000 BTU x$10.00
Water Softener , x $7.00
New Ground Fain Old Building x $5.00
Electric Water Heater x $5.00
GAS FITTING FEES:
lst 3 fixtures _� x $3,00
Additional Fix tures x $1.00
Gas Range to 199,000 BTU x$�:0.00
REPAIRS F,��ALTERATIONS
First $100.00 $5.0�
each add. $100.00 or fraction $2.00
. State Surcharge
TOTAL F�E
REZNSPECTION FEE
($10.00)
TOTAL
$ ,�-
$ lC ',�
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$
$ � ` �i=
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Job Address � • } '
Departnent o£ Buildinqs
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the Work hezein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the fact� and reprosnntations stated in this appl cation are true and oorrect
Fridley, Mn. / , lg��i
OWNER '.
KIND OF BUILDING
USED AS
TO BE CONIPLETED ABOUT -
ESTIMATED COST
OLD - NEW BUILD31dG PEILKIT NO. PER+IST NO. (����
Company
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Signed By
Tel. No.
ROUGH INSP.
� Date
FINAL INSP. ,� ",��� `S�
Date
APPROVAL FOR PERMIT ��_ f-�"_
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCFiARGE
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sus�ecr RM
City of Fridley _ 15 5 9 8
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �-�-
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; � PT N
� • COMMUNITY DEVELOPMENT DIV.
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r � � PROTECTIVE INSPECTION SEC. p p�
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l � /�-�1 � CITY HALL FRIDLEv 55432 NUMBER REV DATE PAGE OF APPROVED BY
.��..�•i �.J
612-571-3450 9i0-F15 12/26/79 � �
JOB ADDRESS See Below
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCF. 1-2 2 Innsbruck North Townhouse Plat S SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel Farr Development 7286 - 72nd Lane No., Brooklyn Center, MN 55428 560-8110
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USEOF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
6 DESCRIBE WORK
Construct a 2 stall garage (20'8" x 22' )
9 CHANGE QF USE FROM TO
STIPULATIONS
Lot 1= Townhouse Association Storage
Lot 2= 1631 Brenner Pass N.E. ,c.- f� ,. ��.•. ,�;.: �;
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS AFE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOC� FY'3IR0
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 457 4570
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 $3, 825. O9 $�.. 9�-
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $IH. ZH NONE
PLAN CHECKF.EE TOTALFEE
_ NONE $20.19
SiGrvn7uaEOFCON'aqCi0a0aaUTHOaiZEOnGEN7 �DnTE� , WHEN PROPERLY VALIDATED THIS IS VOUR PERMIT
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SiGNA7UREOFOWNERiIFOWNERBUiLDERi �DATE� B�DG �NSP ��4T
OWIdER:
ADDRFSS:
TEL N0:
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CITY OF FRIGLEY
ARPLTC/1TION FOR RCSIDE=.PdTIAI_ QUILDIhdG PERMITS
(fdevJ, Alterations, Addi�;ions, or Repa�irs)
�l1TLDFR: ,����,��L t-,-s'� �r �+�( .-_._
/IQQRESS: ')��'(s.-'7����. Cri,to /�� , �S � C_-', �� `
TEL N0: ' S! �`� ci l lC�
�-� ; Construction Location
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STRI�T N0: STRELT:
�,
LOT: / �" :��_ i3LOC�C: �_ ADDITION: �'� l � �' �_ f� � � _
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of loi. and
proposed building location drawn on certificates to scale.
DESCRIPTTO(d OF CONS7RUCTION
— f.
�,f � � % � o ��_, Front: - �'.. �� �� Depth : -�1-� ` Height:
�� � �' °`� ` '` - -� Square- Feet:_ � � `7 � � Cubic Fcet: '--�:� ' j �
/'.
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Front : Depth : H eight:
Square I'eet: Cubic Feet:
Type of Construction : � L'(���C�, �/' � � � % ) l � � Estimated Cost: $ ��5 � %
Zb Be Cbmpleted:
Alt. A Alt. B
Proposed Driveway Width If New Op�ning Is Aesired: $ $
SEI: REVERSE SIDE OF SHEET .
2'he undersigned hereby makes 3pj�IlCdt1011 for a permit for the work hezein specitied,
agreeing to do all work in strict accordance with the City of T'ridley Ordinances and
rulinys of the Department of F3ui1_dings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE : ; � � / l, � �� ' l y _ _ _ S IGN7ITU F2E :
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Stipulations:
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• I3UJLDIP�G f'CR1�11T FC� SCl([:DUL�
S]�CTIOIJ 2. 'i')7e ):ii:;pector. o!_� 13uilc�iri�t� :;h�i).)_, l�cfo�:e :i:;suing pc}�n9.�s f-or the er.ecLion
of any )�uil.d:i.nc7 or :,truct:urc, or. S:UJ= �tllx acld�.tion L-� aiiy cr.i:;t:i.n� buildS.ng or stnicture,
or. foa� any alter�at.i.or� or. z�el>ai.r.s to •any cr..i.�Li�ig }�u�.].c35.�iq or sLructurc, llj)GIl ap��licaLS.on
L-]icr.efor.c�, requiie Lhe ��aymenL• by tiie ��r�r�a.�.<,����L for- :;ilcl� ��er.mi.t of fees to. tlie amount
hcrcin be].ow set for.L-h and in i.1�e manncn c�rein pr�va.�lcd to-wiL: •
1�]sW COI�� �'iP,UC`J'ION: Single 1'amia.y IIomes and Gar.aqcs: $4.00/J.,000 cubic ieet.
J.'L1�N CIi1;CY.: 2.5 percenL- of bu�.lding �_�ennit fee.
n�zzvLt-rr�� DLP)tLSSXOi�: (Concretc, C�rb Streets Only) "
• niternai:e A: I.emoval and �-ep]_acemenL of concrei:e curb and
guLl:er only; nriveway widtli plus 6 i'eet x Y�,�.75
111ter.natc B: Removal and ieplacemenL oL concrete curb and
. � gutter and i.nstall a 3 foot wide approach with ��
' . 6 inch depth; Driveway wi.dth pl.us G fee� x$17. £i5
ADI)I T I ON/1l_ I.L�FOR�I/1�LI �N
For_ the purpose of comput�_ny fees for_ building permits, the cubical contents of any
buildinq or. addition, is determined by multiplying L-he ground area covered from a
poiJlt �i>: (6) inches below the floor line of i�lze basement or th� cellar to the
average 2ieights of the upper surface or to the average height of the roof surface
oi tlie ;�iain gable of a pitched roof .
I'or zepairs or alterations to an exista.nq structure, the fee shall be at the rate.
of ;3.00 Per each five hundred dollars-($500.00) or fraction thereof in the cost
o� all pzoposed ti�ork. . '
In •no case shal.l the iee charged for any peYmit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge. '
V�RIFICATION OF FOUNDATIOfJ
NOTI�: Permits �or construction will be issued a minimiun oi 2� hours £r.om the time
Uf applicai:ion to allow for proper review of the proposed structure and of the
construction site.
11 Certificate of Survey of the lot, showing the location oi the foundation once it
iias been constnicted will be required before pr.oceediiig with the iram�ng.
C��T I F I CATE OF ��I�PANCY
11�plicli.�_on for � Certificate o� Oceupancy sha11 be made ten (10) days prior to the
use or occupancy o� atiy structure for wliich a buildiiig pc�rnlit has been issued; and
said sLructure shall �iot be used or. accupied unt-il a Certif:icate o� Occupancy has
beeii issued.
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• ��rr�l..r cn�r r oil rOft IZI�S 1 ll(�(�1�f 1 �I_ PU 1 I_ll I i�lG f'[�It(�f I T> . .
` ' (j'��W, �I_'I�L(il11'1 UfdS, nUllI T 10(��, 0(Z R�I'�I RS) �
• . . . .
OWtlJ�lt: Darrel A. 'Farr De�elopmentCorx�.__ T�U7T�llI;IZ: �.,i11P
Adclr.�ss: �286 N. 72nd Lane Addr.eJJ: ' �
Brooklyn Park, Minn. 55428 �'cl. 1�Io.:��
110. : 5trcet : .
r�Or: �ee below gi,pC};; ADDI7' . P�. th
CO1tW1:R LO�': I1dSIll� I,OT: �;:TF311C c I•Y71RD5: _
Ap�,�licar�t attach to Lhis forn:► 2�•�� Certifi_cate; ,e�f Survey of L L and pr.oposed
bu�.].cling location drar�n on these Certiiicat y./ •
DESCRI PTI O(�d OF nU LDI i�G �
Block 9 Lots 7, 8,_.9_=;_10 & 11 '`�S `8'"x22' � Block Lots 1,2 30'$"x22'
xo 33e Used As: Block 8 Lots 1,2; & 3`� '8"x22' � Block 4 Lots ,_,9,10 &11
� B1oek J Lots 1,2�3,4, & 5 5 8"�c22' , 54'8"x22' ,.
� Gara�es � . Fxont: , epth: � ' . }iei. t: �
-- �� ockSqu res F7� 8�; 9,10 &11 54 ���� � Feet: Blo k Lots 1&2 ��20' 8" 22' �.
' B ock l Lots 7, , 9, 10, 1&12 64�8"x22'
'I'ront: epth: ____ eic�ht: .
� Squa�-e Feet: � CZibic Fe . .
i -
7'y�e o.f C�nstruction: E-imated Cos :$ •
; ,
`�b I3e Coil,�'�.eied: Jan 80 � _ ��1�, A Alt. B
Pxopo �ed Dr've�aay t•7idi� 7f Iae� Opening Is sired $ �
' (ST'T: 12�VEF.SE SIDI. OF SIiE:�Tj
r •
The undersig»rd he_ y niakes a��plica - on for per_mit- for the wor}: herein
sper.i��.ed� ar,z:eeing to do all ecor}: n stric acc�r - e �•rit.h the City of .
Fxzdlcy OJ"CIl11�a11CCS a»d ruliiigs o� the Dcp� .-t��ten - of: ]�u ldi�igs, a»d hcreby
dec�_�ires Lhat all tlie facts and -e��re_ei :rii:ic�n:- sta - i:liis applicaLioil
a�'e true �vzd co�:rect. �See x'ev rse �i �21 ' _ latioi�. _
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DA'��: 12/18/79 S N31'1`U1:1:: / .
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$�]�J�LIY.11:1O11S : � �� -
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BUILDI(JG PER�'IIT FCr SCHEDULE
SECTION 2. `19ie Tnspector oi BuilQings shall, before issuing peiznits for the erec�ion
o£ any building or �trucLure, or for any addition to any ex.isting buildiny or structure,•
. or for any alteration or repairs to any er,i�ting building or str.ucture, upon application
therefore, require the payment by the applicanL- for-such permit of fees to the amount
herein below set forth and in tiie manner hereiii provided to-wa.t:
NEPI CONSTF.UCTION: Single I'amily Fiomes and Garages: $4.00/1,000 cubic feet.
PLAN CIiLCY.: 25 percent of building permit fee.
DItIV�4JAY D�PRLSSION: (Concrete C1ir_b Stree.ts Only)
• Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x$�ly,?5
� Alternate B: Removal and replacement of ccsncrete curb and
. gutter and install a 3 foot wide approach with ��
' 6 inch depth; Driveway width plus 6 feet x$17.85
- ADDI T I ONAL I NFOR�1 I 0 � •
-For the purpose of computing fee5 for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line of the basement or.th� cellar to the
average heights of the upper surface or to the average height of the roof suriace
of the r�ain gable of a pitched roof. � �
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 per each five hundred dollars�($500.00) or fraction thereof in the cost
of all proposed work: _ �
In�no case shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge. '
VERIFICFlTIO�! OF FOUNDA IT OtJ
NOTE: � Permits yor construction will be issued a min3.Miun of 24 hours from the time
of application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey oi' the lot, sho�aing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
CCRTIFICA�� OF OCCUPANCY_
Application for a Certificate of Occupancy shall be made ten (10) days prior to�the
use or occupancy of any stnzcture for which a builcling permit has been issued; and
said structure shall not be used or occupied until a Certificate ot Occupancy has
been issued.
�
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CITY OF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNNERSITY AVE. N.E. FR[DLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
June 4, 1991
Mr. Mike & Ms. Kim Simmons
1631 Brenner Pass NE
Fridley, MN 55432
Re: Chimney Chase Fire Stops
Dear Mr. & Ms. Simmons: �
According to our records and after a field verification, it has
been determined that your townhome has an exterior chimney chase.
As you probably know by now, there has been a lot of discussion and
code research on how many fire stops are required in exterior
chimney chases.
In your townhome development there are five, six unit townhouses
for a total of 30 units. Each of the five structures have four
units with exterior chimney chases for a total of 20 units in all.
Our records indicate that 15 of the 20 units have had siding
replacement work done on them. During the repair it was determined
that most had no fire stops and some had only one. During the
repair of 14 of the 15 units, one fire stop was installed at the
first floor that the chase passed by.
The current interpretation for the number of fire stops for an
exterior chase is that one stop must be installed for each
floor/ceiling or ceiling that it passes by (this is for a new chase
only). We have now adopted a policy that if and when exterior
chimney chases are being repaired (opened up and restored) we will
strongly recommend that a code complying fire stop be installed for
each floor/ceiling that it passes by at the time your chimney is
being worked on. These fire stops do not prevent fires, they will
however slow the spread of a fire up the chimney chase if one
occurs.
j<
Mr. & Ms. Simmons
June 4, 1991
Re: Chimney Chase Fire Stops
Page 2
Buildinq permits are required for work done on chimney chases and
your cooperation in this matter will be appreciated.
If you or your contractor have any questions with reference to this
matter, please feel free to call me at 571-3450.
ly, '
DARREL G. C
Chief Building Official
DGC/mh
�
_
C�TY OF
FRI DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FR[DLEY, MN 55=432 •(612) 571-3450 • FAX (612) 571-1287
June 28, 1991
Mr. Wayne Gergen _
10835 Linnet Street NW
Coon Rapids, MN 55433
Re: Chimney Chase Fire Stops at 1631 Brenner Pass NE, Fridley
Dear Mr. Gergen:
According to our records and after a field verification, it has
been determined that your townhome has an exterior chimney chase.
As you probably know by now, there has been a lot of discussion and
code research on how many fire stops are required in exterior
chimney chases.
In your townhome development there are five, six unit townhouses
for a total of 30 units. Each of the five structures have four
units with exterior chimney chases for a total of 20 units in all.
Our records indicate that 15 of the 20 units have had siding
replacement work done on them. During the repair it was determined
that most had no fire stops and some had only one. During the
repair of 14 of the 15 units, one fire stop was installed at the
first floor that the chase passed by.
The current interpretation for the number of fire stops for an
exterior chase is that one stop must be installed for each
floor/ceiling or ceiling that it passes by (this is for a new chase
only). We have now adopted a policy that if and when exterior
chimney chases are being repaired (opened up and restored) we will
strongly recommend that a code complying fire stop be installed for
each floor/ceiling that it passes by at the time your chimney is
being worked on. These fire stops do not prevent fires, they will
however slow the spread of a fire up the chimney chase if one
occurs.
�
0
Mr. Wayne Gergen
June 28, 1991
Re; Chimney Chase Fire Stops
Page 2
Building permits are required for work done an chimney chases and
your cooperation in this matter will be appreciated.
If you or your contra�tor have any questions with reference to this
matter, please feel free to call me at 571-3450.
si ,
DARREL G. CLARK
Chief Building Official
DGC/mh
�
�
_
CITY OF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 643] UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612> 571-12R7
July 24, 1991
SECOND NOTIFICATION
Mr. Wayne Gergen
10835 Linnet Street NW
Coon Rapids, MN 55433
Re: Chimney Chase Fire Stops at 1631 Brenner Pass NE, Fridley
Dear Mr. Gergen:
According to our records and after a field verification, it has
been determined that your townhome has an exterior chimney chase.
As you probably know by now, there has been a lot of discussion and
code research on how many fire stops are required in exterior
chimney chases.
In your townhome development there are five, six unit townhouses
for a total of 30 units. Each of the five structures have four
units with exterior chimney chases for a total of 20 units in all.
Our records indicate that 15 of the 20 units have had siding
replacement work done on them. During the repair it was determined
that most had no fire stops and some had only one. During the
repair of 14 of the 15 units, one fire stop was installed at the
fir�i. tlour that the chase passed by.
The current interpretation for the number of fire stops for an
exterior chase is that one stop must be installed for each
floor/ceiling or ceiling that it passes by (this is for a new chase
only). We have now adopted a policy that if and when exterior
chimney chases are being repaired (opened up and restored) we will
strongly recommend that a code complying fire stop be installed for
each floor/ceiling that it passes by at the time your chimney is
being worked on. These fire stops do not prevent fires, they will
however slow the spread of a fire up the chimney chase if one
occurs.
,
Mr. Wayne Gergen
July 24, 1991
Re: Chimney Chase Fire Stops
Page 2
Building permits are required for work done on chimney chases and
your cooperation in this matter will be appreciated.
If you or your contractor have any questions with reference to this
matter, please feel free to call me at 571-3450.
ncere ,
J
D G. CLARK
Chief Building Official
DGC/mh
P5 Form 3tf7 7, Mar. 1988 * U.3.Q.P.O. 1�88-212-885 DOMESTIC RETURN RECEIPT
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P 662 237 08�
�Certified Mail Receipt
No Insurance Coverage Provided
�� Do not use for International Mail
EDST�TES (See Reverse)
POSt�LSERVICE
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� Certified Fee
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.. Reslricted Delivery Fee
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� to Whom & Date Delivered
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`" Return Receipt Showing to Whom,
� Date, & Address of Delivery
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� TOTAI Postage �
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THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY
_ SUPPLIER ��/ %% i �'
_ ADDRESS S •� . � 1 �
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CITY OF
FRIDLEY PHONENO. 1��� � ��j-�sns
6431 UNIV. AVE. N.E. �� ��^�� �� C n n�
FRIDLEY, MN 55432-4384 CONTACT fi 1,���
612-571-3450
PRINTED ON RECYCLED PAPfR.
F 37247
THIS NUMBER MUST APPEAR
ON ALLCORRESPONDENCE
SENT TO US
PAYMENT VOUCHER
BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE
PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN
RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE
BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW
STATED ITEMS.
DATE RECEIVED
PAYMENT AUTHORIZE� BY
ACCOUNT aTY. UNIT PLEASE ENTER OUR ORDER FOR THE FOLLOWING UNIT PRICE AMOUNT
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THIS AGENCY HAS AGREED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION,
OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATIVE ACTION TQ RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES
FIRMS AND OTHER AGENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE.
WHITE, VENDOR —� YELLOW, PURCHASING — PINK, ACCOUNTING — GOLDEN ROD, DEPT. HD.
• � vt,... � J .. �.,.•._o--
EMR/bas
cc: Mary Heint �
Sue Taylor
Jim Reding
;
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�
s�e�ecT PERMIT NO_...,_,
City of Fridley v��j;: :,���; 6�
AT THE TOP Of THE TWINS g U I L D i N G P E R M I T �
f
� l -���� —
i ` COMMUNITV DEVELOPMENT OIV.
r � � � PROTECTIVE INSPECTION SEC � 3���
i �
i -
' 1 ����I � CITY HALL FRIDLE� 55432 NUMBEA REV DATE PAGE F APPROVED B�
�"""�"� ,'� 612-571-3450 910-F15 9/14/94 � ��
JOB ADDRESS 1631 Brenner Pass NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oESCa. 1 3 Innsbruck North Townhouse Plat 5 SHEET
2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE
3 CONTRACTOFI MAIL ADORESS ZIP PHONE ' LICENSE NO
Gittleman Corp. 7900 Xerxes Ave ��1920, Bloomington, MN 55431 831-250�,
4 ARCHITECT OR DESIGNEF MAIL ADORESS ZIP PHONE UCENSE NO
5 ENGINEER MAII ADDFESS ZIP • PHONE LICENSE NO
�'
6 USE OF BUILOING
Residential Townhouse
7 CIASS OF WORK
❑ NEW ❑ ADDITtON p ALTERATION �1 REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Repair chimney fire stop
9 CHANGEOFUSEFROM TO
STIPULATIONS See letter dated 6/4/91 by Darrel Clark.
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
ANV TIME AFTER WOFiK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STA��S GARAGES
AND KNOW THE SAME TO 9E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � 1 s%HO �. H9
DOES NOT PRESUME TO GIVE AUTHOR�TV TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATtNG CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION ��FL.00 Fire SC �1.%H
PLAN CHECK FEE TOTAL FEE
$43.67
- SiGn+nruaEOFCON7RACTOROAAUTHOR�2EDAGENT IDATEi �yyHEN PfiOPERLY IDATED THIS IS �OUR PERMIT -
� � �-ld-� %
S�GNarURE OF OWNEA�ii OWNER BUiLDERi iDATEi BLOG SP ��°iE
NEW
AllDN
" ALTER
Il
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[J
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 1�� I B 2�—� �� �Z P.4 �S
Legal Description:
Owner Name & Address : � �1 � � t3 �U GK ti-I.t� • Tel. #
Contractor: G� 1"T'TL�—►--�I�� Go(Z� MN LICENSE #
Address
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this applicadon, a Certificate of Survey of the
lot, with the progosed constructian drawn on it to scale.
Length
Length
Length
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Effective 1 / i /94
�s'�-7 �-
Tel. # �3! Z���
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot (] Tnside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction: ��i S:��_ G�+ �> �►�l � s � o� Estimated Cost: $ 1-1, ��
Approx. Completion Date: � �l �-( � �-S �� �i2-�-�s �b��C —L � � ��
(Cost on Back ) 3v`� 4� l q°f' I
Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x$ =$
DATE: �-1.3 -�4- APPLICANT: Tel. # �S�[ [ D �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Conti'ot
Park Fee
Sewer Main Ch�rge
TOTAi_
STIPUC.ATIONS:
$
$
$
$
$
$
$
$
$
�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$800 per SAC Unit
$5.00 (State Licensed Residential Contractars)
Alt. "A" or Alt. "B" Above
$450.00 Conservarion Plan Review
Fee Determined hy Engineering
Agreement Necessary ( ) Not Neces�ary ( )
0
s�e�ecT PERMIT NO.
c�ty of Fridley - - -, ; .� � 4
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� t
r
� � — _F�EG�IP.I_I�IO.
� COMMUNITY DEVELOPMENT DIV
r � y PROTECTIVE INSPECTION SEC a�
� � `-'� _
' 1 �'��1 � CITY HALL FRIDLE`/ 55432 NUMBER AEV DATE PAGE UF qPVROVED BY
�""""�"� ,'' 612-571-3450 9�0-F15 9/20/94 / /
J08 ADDRESS 1631 Brenner Pass NE
1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 3 Innsbruck North Townhouse Plat S SHEET
2 PROPERTY OWNER MAIL AODRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Gittleman Construction Cor 7900 Xerxes Ave Bloomin ton MN 55431 571-1023
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO
5 ENGINEER MAII ADDf;ESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential Townhouse
7 CLASS OF WORK
O NEW ❑ ADDITION p ALTERATION X REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Deck Re airs
9 CHANGEOFUSEFROM TO
STIPULATIONS
Deck construction including handrail, guardrail, spacing, etc. must comply with the
State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEAT�NG.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FL CU fT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOA A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV 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 WOiiK WILL BE COMPLIED
WITH WHETHER SPECIfIED HEREIN OR NOT. THE GfiANTING OF A PERMIT 2%O.00 .SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL TME pERMIT FEE SAC CHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTIO OF THE PERFORMANCE OF CONSTRUCTION LS.00 Fire SC .2%
PLAN CHECK FEE TOTA� fEE
j�ti � � 20 �� $15 . 7 7
SIGNATURE FCOM'RACTOAOAA.UTHOR�ZEOAGENT �onrEi WHEN PfiOPERL ALIDATED TNIS IS VOUR PEFMIT
� _ ' �f7 C(�'� � � ' !
SiGNaTUREOFOWNEF�i�OWNEABUiLDERi iDATE� g� INSP �4TE
�
NEW
ADDN
ALTER
[l
Cl
�)
CtTY OF FRIDLEY
SiNGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 1�� I P(��. ►�.I r-J � r2 f='A�
Legal Description:
Effective 1 / 1 /94
� ��
p.SSQ G
Owner Name & Address: I r�l t�.l 5 B 2u C K NO 2�T 1-� �"Ov.l N N U u5 � Tel. # 831 Z SoS
Contractor: C i�`rLEt��A r-1 cor.15TFZUG-r10�.1 Go R-P MN LICENSE #
Address: �c� v`�l� �.? XE 5,a•�! E �3�.pp t`�1 I te� �TPf�I � �,� 3 Z Tel. # 5-11 � I D 2�3
Attach to this applicadon, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE t�REA:
DECK AREA:
OTHER:
.Length
Length
Length
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. F�
Sq. Ft.
Corner Lot (] Inside Lot [ J Ft. Yd Setback Side Yard Setbacks
Type of Construcdon: ��� �z.E,p�� 25 Estimated Cost: $- �z7� —
Approx. Completion Date: I a- 3 �- 9�-
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 F- Ft x$ =$
DATE: �-�� -Gt� APPLICANT: � Tel. #1 � 1- I D Z-��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TO"TA L
$
$_
$
$
$
$_
$
$-
$
$
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$800 per SAC Unit
$S.Op (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
ree Determined_ by Engineering
Agreement Necessary [ j Not Necessary (]
S"fIPULA"I'IONS: _ . , .
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432
572•3604
RATESCHEDULE
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Furnace Sheii and Duct Work, Burner
Also Replacement Furnace
(Side Vent • Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1 Jo of Value of Appliance or Work
C�mmercial/Industrial
1.25yo of Value of Appliance or Work
Rate TOTAL
$ 30.00 $
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ 25.00 $ S.vO
$
$
State Surcharge
TOTALFEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25 00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
$ .50
$� S.S D
Effective On January 1, 2000
q�o�
�� �,
JOBADDRESS ��o� I ��2N�N�'.R�V',,pSS
OWNER � ) 1 � YY1 P�.S� �
BUILDING USED AS � vJ � '
ESTIMATED COST � S o0 . 0 U PERMIT N0._ ���C ��
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
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 an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
River City Sheet Metal, 6�,TE S-- 4� — o�
9928 Bluebird St. N.V'V.
HEATING C(��Qrt Raoids, MN �54�:�
754-2199
Signed TEL #
Approved By Rough•In Date Final Date c� ,�j UO
x
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacinQ an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ()
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
The existinq combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
When required to install a new combustion air. it will be sized and installed
To meet the current codes and manufacturer's specifications.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
When installinp a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. Yes () No ()
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes () No ()
Appliance Tvpe and Size/Common Vent and Vent Connector Infonnation
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :
�
_
_
CITY OF
FRlDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
August 9, 2000
Dave Emerson
1631 Brenner Pass NE
Fridley, MN 55432
Re: Final Inspection at 1631 Brenner Pass NE
Contractor: River City Sheet Metal, Inc.
Dear Mr. Emerson:
A mechanical permit was issued on May 4, 2000 for the property located at
1631 Brenner Pass NE for an air conditioning unit. According to Section 305(a)
of the 1991 Uniform Mechanical Code a final inspection shall be performed on
the mechanical system. As of this date no inspection has been called for.
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 inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
D��NSEN
Buil i Inspector
S�B�ECT � - �
c�ty of Fridley 312 0 4
AT TME TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RE .
' COMMUNITV OEVELOPMENT DIV.
� ; L--.--- . �3
r � � Pp07ECTIVE INSPECTION SEC.
� . �
� � �"'1 � CITY MALL FRIOLE� SS132 NUMBEN nEV O�TE v�GE o� •6naovEO sr
�.---�: �.' 612-571-3450 9t0-F�5 7/14/00 � �
�oe �ooRess 1621 - 31 Brenner Pass �
1 LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. 1—G 3 Innsbruck North Townhouse Plat S SHEET
2 PROPERTY OWNER MAIL AODRES$ ZIP PMONE
Innsbruck Townhome Association 651-224-5482
J CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Garlock-French Roofing Corpo, 2301 E, 25th St., D�pls., NW 55406 612-722-7129
� ARCMITECT OR DESIGNER MAIL ADORESS ZIP PHONE IICENSE N0
00001423
5 ENGINEER MAIL ADDRESS 21P PHONE IICENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WORK
O NEW O ADDITION ❑ ALTERATION [S 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.
Permit Inspection Cards
�Ilili �e N1a�0ed
To Nomeowner To Post
TYPEOFCONS7. OCCUPANCYGROUP OCCUPANCvLOAO
SEPARATE PERMITS ARE REOUIREO FOF ELECTRICAL, PLUMBING, HEATING,
VEN7I�ATING OR AIR CONOITIONING
TMtS PEtiMIT BECOMES NUII AND VOID IF WORK OR CONSTFUCTION 20NING SO. fT CU �T
AUTHORiZEO IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONS7RUCTION
OR WORK IS SUSPENDEO OR ABANOONEO fOR A PER100 OF 120 DAVS AT
ANY TIME AfTEfi WORK IS COMMENCED. NO DWIG. UNITS OfFSTREET PARKING
I HEREBV CERTIFV THAT I HAVE READ ANO EXAMINEO TNIS APP�ICATION 6 STA��S GARAGES
AND KNOW THE SAME TO BE TRUE AND COpRECi. ALl PROVISIONS Of �AWS VA�UATION SURTAX
ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WI�L BE COMPLIEO �22 288,40 ,$11o1S
WITH WHETHER SPECIfIEO MEREIN Op NOT. TFIE GRANTING OF A PERMIT f
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OF CANCEI TME pEqMIT FEE SAC CHARGE
PROVISIONS Of ANY OTHER STATE OR LOCA� LAW REGULATING coN� $363o ZS Fire SC .�Z2.29
STRUCTION OR THE PERFORMANCE Of CONSTRUCTION
PLAN CHEGK FEE TOTA FEE
396,69
S�GN�TUAE O� CON'A1�TOp OR AUTMOQ�ZED �GENT �O�iE� EN OPE ALIO THIS IS `/OUR PE MI�
1 ��
$�GN�TUqf��OWNEp���OWNEpBUI�DEAi I�ATE� BL �N$� <<�k
��
sue�ecT PE :
City of Fridley 2 2 2 9
AT TNE TOP OF THE TW�NS g � I L D I N G P E R M I T
� ` �a RECEIPT NO.
� ` � COMMUNITY OEVELOPMENT DIV. ���o�y����
r � y � PROTECTIVE INSPECTION SEC. � V � 7� �J"/
� � �"'1 � CITY HALL FRIOIE� 55�32 NUMBER`�.,� REV O�TE v�GE OF �pvROVED Br
�"""�"� �'' 612-571-3450 910-F15 10/9/O1 / /
JOB ADORESS 1631 Brenner Pass NE
t LEGAL LOT NO. BLOCK TRACT OR AOOITION SEE AT7ACNED
DESCR. 1 3 Innsbruck North Townhouse Plat 5 SHEET
2 PFOPERTY OWNER MAIL AODRESS ZIP PMONE
Dave Emerson 1631 Brenner Pass NE 612-636-5386
3 CONTRACTOR MAIL AODRESS ZIP PMONE LICENSE NO
Same
l ARCHITECT Ofi OES�GNER MAI� AOORESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII ADORESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
�7 NEW ❑ ADDITION � ALTERATION 0 REPAIR p MOVE O REMOVE
8 DESCRIBE WORK
Construct a 24' x 10' and 19'6" Y 8', 28' x 8' & 24' x 10' Decks
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan.
�� ���
�efore digging call fo�
SEPAR ali utility locations
ATE pFRMIr� 454-0002
REQUIRED FQR, REQUIR�� ��( L�11�/
P�UwIV1��N�• � EATING
R!G �dG�S
TYPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAO
SEPARATE PERMITS ARE REOUIFEO FOR ELECTFICAL, PIUMBING. MEATING,
VENTI�ATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULI AND VOID IF WORK Op CONSTRUCTION ZONING SO. fT CU iT
AUTHORI2ED IS NOT COMMENCEO WITMIN 60 DAYS. OR If CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONE� fOR A PERIOD OF 120 DAVS AT
ANV TIME AfTER WOfiK IS COMMENCED. NO DWLG. UNITS OFfSTiiEET PARK�NG
I HEREBV CERTIFV THAT I HAVE REAO AND EXAMINEO THI$ APPLICATION 1 $TAILS GARAGES
ANO KNOW TME SAME TO BE TRUE ANO CORfiECT. ALL PROVISIONS OF �AWS yqLUAT10N SUi:TAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPUED @
WITH WMETMER SPECIFIEO MEREIN OA NOT. THE GRANTING OF A pERM1T y��F�.312. �2.16
OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CMARGE
PROVISIONS OF ANV OTHER STATE OR LOCAI �AW REGUTATING CON-
STRUCTION OR THE PEFfORMANCE OF CONSTFUCTION $111.2.5 Fire SC ��F.31
---.� � PLAN CMECK E iAl PEE
$117.72
$�GNOTUAEO� N Qa�TOQOR�uTHOQ�ZEO�GEtiT D• E� H N P RLV V LI A7ED THIS IS VOUR PERMIT
� ,�� a, �o_,d �-�
S� NA7UqE O� OWNEQ��� OWNEpBU�LDEAi iO�TE� Bl G� ��°1E
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NEW [J
ADDN []
ALTER [ J
Construction Address: '
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
��P� O� SS
Effective 1/1/2001
(763) 572-3604 Bldg Insp
� ;l
<_ � ,�� 1
'�� I
Owner Name & Address: �Aue �.r, «SG. Tel. # ln/o? -(�� -5� �(o
Contractor: �c..vfY F—C,� MN LICENSE #
Address:
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
L NG AREA� � � Length � Width � Height Sq. Ft.
GA G��EA: Length _�z�� Width �� Height Sq. Ft. �o�
� ��'�-i .?) '
D AR A: �Length � 9' � Width _� Hgt/Ground Sq. Ft. 3-�U�2� ��js
OTHER: ��'C � n � �,—L c� � x ?�� �C � ��D�PC �.T c ��
��GC��' � �r�Pi� —�7"c�t-�P /O ( 9� C'o
, 1 �
Construction Type: Estimat Cost: $
— l�c�-�-e
Driveway Curb Cu Width Needed: . x$ _$
DATE: < `� G� APPLICAN • � Tel. # � �� � b� '��
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$%�/� ca�� Fee Schedule on Reverse Side
$ < � .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1150 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 [ ] Not Necessary [ ]
$ � / �! 1�
BUII,DING 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 pernut of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or 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 iirst $500,000 plus $4.75 for �ach additional
$1, 000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Onlv
'
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MECHANICAL
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Date:
Job Number:
877 SW 3rd Street, Suite b �.,-~ __ _ ��� • — �� ��
New Brighton, MN 55112 �
(651) 697-1700 Volce ���'�
(651) 697-9011 Fax ---------- Project Manage�
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FOR ACTION
NATURE OF REQUEST:
❑ Common-area Maintenance
❑ Enforcement Rules & Regulations
❑ Current Insurance Information
❑ Car or phone #:to Add or Delete
to Master List
❑ Request for Resale Certificate
(Please request before Purchase Agreement)
Request: �
�.____ _ � �
_._.' C,<JC�v i`# � i c .
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. _.. . Date: By:
Association Copy(white) Answer to Homeowner(yellow) Work copy (Pink)
INTA
5506 Meister Road
Fridley, MN 55432
612/571-1023
, _ _._..-
From: � �1'.-� C_' �'" r� <' �J C/`�
Address:l�2� � �rP� �� f'� %�n SS
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City: t� �� � cj �' � State:�^ �'� Zip: 5� 3�
Date• � C�' �
Ph�ne:Home�ol U �����-Sj ork_ �`
❑ Newsletter
�pproval
❑ Suggestion
❑ Other:___
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Item
Needed
for Improvement
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City of Fridley
AT THE TOP OF THE TWINS
f
� �
� �
� ' COMMUNITY DEVELOPMENT DIV.
' ; V'�"��',
r � � PROTECTIVE INSPECTION SEC
1 � �
� � �"'1 � CITY HALL FRIOIE� 55�J2
�"""'��� ,�' 763-571-3450
SvB�ECT
BU ILDING PERMIT
572-3604
NUMBE:i i1EV DATE PAGE O�
sio-F�5 9/10/02 / /
J08 ADDRESS 1631 Brenner Pass NE
1 LEGAL LOT N0. BLOCK TRACT OR ADDITION
DESCR. 1 3 Innsbruck North Townhouse Plat 5
Y PROPERTY OWNER MAIL ADDRES$ ZIP PHONE
David Emerson 1631 Brenner Pass NE 502-9592
3 CONTRACTOR MAIL ADDRESS Z�P PNONE
Hendel Construction 4997 Page Ave NE, Rogers, MN 55374 763-428-7992
1 ARCHITECT OR �ESIGNER MAIL ADDRESS ZIP PNONE
5 ENGINEER
6 USE OF BUILDING
Residential
7 CLASS OF WORK
MAIL ADDHESS
❑ NEW ❑ ADOITION O ALTERATION
ZIP
�1 REPAIR
8 DESCRIBE WORK
Rebuild chimney chase; add firestops to meet code; reside chase
9 CHANGE Of USE FROM
TO
33062
RE EiPT NO.
��
AVVROVED 8Y
SEEATTACMEO
SHEET
LICENSE NO
20192308
LICENSE NO
PHONE LICENSE NO
O MOVE O REMOVE
STIPULATIONS
Firestop per section 708, 1997 Uniform Building Code.
TYPE OF CONST
SEPARATE PERMITS ARE REOUIRED FOR ELECTFICAL. PLUMBING. MEATING.
VENTILATING OFi AIR CONDITIONING
1HIS PERMIT BECOMES NUII AND VOID IF WORK OA CONSTRUCTION 20NING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS. Ofi IF CONSTRUCTION
OA WORK IS SUSPENDED OR ABANOONEO FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED NO DWLG UNITS
I HEREBY CEATIFY TMAT I HAVE REAO AND EXAMINED THIS APPLICATION 1
AND KNOW TME SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVEf;NING THIS TVPE OF WOFK WILL BE COMP�IED @
WITH WNE7HER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT `I'3�SOO
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMIT fEE
PROVISIONS OF ANV OTHER STATE OF �OCAI LAW REGULATING GON•
STRUCTION OR NE PERFOFiMANCE Of CO TRUCTION �9%.ZS
�' PLAN CHECK FEE
Licens
$�GNG7UAEO� ON-A CIOQOQ�UT OA�ZEDsGEtiT IDATE� EN A�
S�GNnTUAEO�OwtiEQ��FOwr�EpBU��DERi iD�TE� pi G INSD'
PANCVGROUP �OCCUPANCVLOAD
STA�LS
$5.0
�Qj7L VAU
CU FT
OFFSTREET PARKING
IGARAGES
$1.75
SAC CHARGE
Fire SC $3.50
TOTA FEE
07.50
THIS IS �OUF1 PEQMIT
� 9-/�-a �-
r�c�t
rvEw [ l
ADON (j
ALTER ( J
Construction Address: ( � 3�
Legal Description: /��,JN
CITY OF FRIOLEY Eifective 1/1/2002
6431 University Ave NE, Fridiey, MN 55432 (763) 572,3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATiON
/1 G!t %��.t' �
Owner Name 8 Address: �cc� cc�( �M2�s � Tel. #��'� �`r�Z-
Contractor. �G��� Cvh s�i-iu-��-. MN LICENSE # 7� l�r �-� b�
Address: �9 � �� �c �� ii%'? �a�h- Tel. # �L4"��`3'��
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to ihis application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width - Height Sq. Ft
Length Width Height Sq. Ft
Length Wdth Hgt/Ground Sq. Ft
Construction Type: `� t�i�-� Estimated Cost: $ 3 S`b �. oJ
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
�ATE: � �� d � APPUCANT: Tei. # � �1--~Y�"7��v
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
$ � �S�
$ � .S�
$ /- 7 S�
$
$ _v�
$
$
$
$
� �d 7. ��lJ
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 [ ] Not Necessary [ ]
STIPULATIONS:
�•e�' < i�� •�e�_ 74� ll`�? G/. � C.
,
BUII..DING PERNIIT FEE SCHEDULE
The Chief Building Official sha(1, 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 app(icant 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
��01 to $2,000
�'_.001 to. $2�,000
�25,001 to $50,000
��0,001 to $100,000
$100,001 to $500,000
�500,041 to $1,000,000
FE ES
$23.50
$23.50 for first $500 plus �3.05 for each additional $100 or
fraction thereof, to and inctuding $2,000
�69.2� for tirst $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 width plus 6 feet�times $17.00.
VERIFICATION OF FOU�IDATION
Permits for construction will be issued a minimum of 24 hours from the time of applica.tion to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be
required before proceeding with the framing. New Houses Onlv
..