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AF - 42437City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: ��.� �?1?.� r 2 6�_ 19 7 2 owner: Darrel A. Farr Dev. Co. B��r Same _ __ _.___._.._..__.__..__. _.___.___4__..� ....._�. Aaaress .__5 9_O 1...._B r o o k 1 yn ... B 1 v d-'------- -.----.-----:_ aaaress __.._. S am e .;� � i�� -_�1885 LOCATION OF BUILDING No. ._5 5 0:5_______.____.. street _... E as .t __.B av ar %an__P as s__,_� Part og z.ot Lot ........ 1 . Biock __:._. 8 ._ . Addition or suu-ni�s�on _ I nn s b r u c k N o. T� H, 3 r d Ad d. , Corner Lot Sewer Elevation Tnside Lot .._._....--_?� ---------•-------_-- Setback _..__....___..�__._... Sideyard .�. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: TQTnirih�us-�-.----..-.--. Front .�.�..' __ Depth _ Z 4�_.. Garage 10.5� 22' _.—•--�--------•------._._...._._...-------- Front _..�_---_.� Depth ..�_._.__ Type of Construction _._.___WS).QS�_._��.�III�...__ Est. Cost �: 1200 xeight _.._..2 6_� .. . Sq. Ft. 6 0 0 �, �, 15 , 6 0 0 � Height --1 �---. Sq. Ft. _ 2 31 �. � 2 31 � �� s__...�._._ To be Completed 8.� 15 / 7 3 �� $20,010�00 ' ,' � �S %/ � _ ,� � In consideration of the issuance to me of a permit to construci the building described above, I agree to do '$he proposed work in accordance with the description above s forth and in compliance witt�y,all provisions � Orclrnances of the city of Fridley. J f/ / In consideration of the a 3 g �� D a r r e l A. F a r r D 2 V. p yment of a fee of $_._..__..� _�., permit is hereby granted to __._...._._.._._...._._.__ ................_...._._....__ to construct the building or addition as described above. This permit is granted upozi the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work done in, around and upon said building, or any part thereof, shall conform in a]1 respects •to the orc7inance8 of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of builtiiiigs yyithin the city limits and this permit may be revoke ' e upon vio 'on of any of the provisions of said oz'dinances. J B17�C11A$ �I]$�Ol' D EL CLARK NOTICE: This permit does not cover the construetion, insfallation fo� wiring, plumbing, gas heating, aswer or water. B� sur� fo tM the Building Inspeetor for separafa permits for these items. e APpLlCATIOti FOR RESIDEtiTIAL, �L�"r',RA�'ION, OR AllllI'�ION BUILDING P�%t�1IT CITY OF FRIDLEY, '-IINNESOTq O�T`i.��t' S NA3� : Dr�rre�/ �,?F�arw ,C%v�/,ta. C'o. n7JI�.D�t: sa�r �. r�,DD�SS : tS9o1 .droo//t/yr� +L�/vd : AD�iRr.SS • S a �n P� NO :. SSO s S'1'�EE i: � s� �G1 v4'ri � a�s /de2 s S L�i'i e / BLOCK : S ADDITION s.�i�i�s,t brar.� /Vad�ir T. /'�. .3 bd f��la%i'i�'� a►� G£��`I� LOT: I�dSID.� LOT: 6� SE�C�: SIDEYA.'�Ds�„�, �Y�li�ant a�tach �o �nis.foxm Ts�o Certific�te� o� Surv�Y of Lot an1 pxo�ose� bc�ilding location dra�m on gha�� Certificat�s. � DESCRIPTION OF BUILDIi�'G �o B� i;aed As : �,�r.,a � r� �r.r � � i �'�'ont: .�'�� vpth: .Z�� H�:��ht: .��n - —�.c 00 S�uar� �'eflt; l�at,� Cubic xe��: /•-`+. l,o0¢a ��''�.�� ' �'�on�: /J.S� �epLh; .�•� � H�:'t;�'�: �a � Squa�e ��; .�•03/ Cubic A��g: .2�>*� �=�``�P� of �pns��-uc�ion: �.,�o� .'"�-i-'A�+�. Es�i�a��d ��r ; �/r.�'�, //�a . o� .. ro �� p�v��: 8— �S- 73 '� n� und�Psia�2� h�x:by .�.��'_�t�� a� pli�a�inn �?=or a ne�i� �o� �:y �c�ox?�c hea w�?� :�o�cifiY�i, �ox��i�� e:a �o �.±_1 ��a�� in �?��3.:,L �cco:cd;��c: =:ri�.� �a'��: Ci`�� s �.-r?�'°:� �::d�r�ancL3 ar.d �a?-�r..�:� o� �h-� �e?�.��n� of :Eiu�l�i.��.s, ��d h�N�� d�c1�.x�� n.a� all �n� �fa�� a �zp��nr�tions s�ca��d i:: �:zi3 ap�?i�a�:aZ ;^_?'° ..4`.,y,`218. ci2f,� COxi�C�. :w�::°� . /.t- �4 • �� :��:�xs:� � (�3�:Y �?,vr�raQ Sic3� �or <'��.�i.�.Lo�a.'1 in�o.r.i:atioA .) , , . . 560•3450 �� o ��d'l� � � �WOKA COUt�TY . 6431 UNIVERSITY AVENUE NE Jaz�uary 31, 1975 FRIDLEY, 1411NNESOT'!�� 55�132 Mr. James Lond�an - � Darrel A_ Farr.• Developrent Corp. . 2810 Cauni:y Road 10 � ' _ Brook].yn Center, Minn. 55430 " ` " Re: Status of Permits for Six.Quad Units Dear Mr. I.ondon: �'he City oi Fridley still recc�gr�izes the building permits for 5501, 5503, 5505, 5507 & 5502, 5504, 5506, 5508 & 5509, 5511, 5513, 5515 & 5510, 5512, 5514, 5516 & 5520, 5522, 5524, 5526 & 5532, 5534, 5536� 5530 East �avariar� Pass N.E. as being valid, ho�b*eJer, if work is no� recommenced on or before May 31, 1975, we V�ill consider those nat worked on as void. They will not b� renewaule after the May 31st date and new permits would iiave to be taken out for any new starts. , . If yau have any questions with reference to this matter, please call me at 560-3450. Sincerely, . DGC/mh C�: Dick Sobiech Jerry Boardman DARREL G. CLARK Community Development Adm. � . 0 � SUBJECT City of Fridley 15020 ATTHETOPOFTHETWINS gUILDING PERMIT ' r ; � R T NO. � ; L�� COMMUNITY DEVELOPMENT DIV. d,-7 (�r� 7> r � � PROTECTIVE INSPECTtON SEC. 2 1 , aj i-__- � ��';,�� CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY Z '1� 612-560-3450 910-F15 11/17/78 � � JOB ADDRESS 5505 East Bavarian Pass N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 $ Innsbruck North Zbwnhause 3rd SHEET 2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE Darrel A. F'arr Develo�nent 7296 - 72nd Lane North, Mp1s., MN 560-8110 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAI�ADDRESS ZIP PHONE UCENSENp. 6 USE OF BUILDING Residential 7 CLASS OF WORK l� NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOYE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 26' Zbwnhouse and a 12' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD VENTILATING OR AIR CONDITIONING. �OQC� Fl"dllle THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CON3TFUCTION Fj(L} + 264 � 15, 760 Z'O �. OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 12� 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 GARACaES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED 23 � 126 y�+l.�.. S% WITH WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT $ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTfON OR THE PERFORMANCE OF CONSTRUCTION. ' +�63.04 S�OO.00 PLAN CHECK FEE TOTAL FEE $15.76 9 .37 SIGNATUREOFCONiRACTORORAUTHOFIZEDAGENT IDATEI WHE �� ROPERLY.V I H IS YOUR PERMIT � � i �/2 % SIGNATURE OF OWNERtlF OWNER BUILDERI IDATEI INSP � DATE " l�1 1 � Vl l 1\i17Ll..t �' APpLiCATION FOR RESIDENTIAL BUILDING PER��IITS "( I' '. � .�N�W, ALTERATIOrJS, ADDITIONS, OR REPAIRS) . '�, � � � �� ." _ i3ER: �-r tx--o � t�t-� �!-t�� e �n. �n i'�r1C.t / BUZLDER: _�� 2�� s -y- - - - Address : �I U_ S? !� �.):� �7 � h r� � �. p Address : t�� t�-i :,, � , ��--•--��'� ��' r:o. : L07': ' r � Tel . Na . : S(o O � � ( / (� --.___-______. Street :�a �,'� k'ri � 1� ,a.t � .� � 7"'r �„/ � � BLOCx: 8 �vD��ro� : �'rU rH � ,� � �� Q � -�; � „ � -CORIVER LOT: INSIDE LOT: t� SiTBACK: SIDEXARDS: ' Applicant attach ta this foxm 2iao Certificates of Survey of Lot and proposed - i�uildi.ng location drawn on these Certificates. � _ . - � � DESCRI PTIOIV OF BUI LDI NG . '�'o Be Used As: . � �u?r� t� t.�i Front: �� Depth: �� Height: � * " : Square Feet_ cja u Cubic Feet: /S , 7(n � ,; - � �cL�_ Front: �� Depth: /% .y Height: . : Square Feet: � Cubic Feet: � , 'Iype of Construction : �,('o�� n �/,,� _t � Es timated Co st � $ � y �/ �j •To Be Completed: _ l p —1 - ' / . .� —�'-----�- /tilt. A Alt. B - ----------- � Proposed Driveway Width Xf �rew Opening Is Desired $� $ - --�- -------.__..� (SEE REVERSE SIDE OF SHEET) . The undersigned hereby makes application for a permit for the �aork herein specified, agreeing to do all work in strict accordance 4J1'�1 the City of E'ridley Ordinances and xulings of the Departmerzt of Buildings, and hereby d�clares that all the facts and represer�tations stated in tnis aUplication are �ue and correct. See reverse side for additional informati.on. � � DATE: Il J`�{ 7 0 SIGNATURE: /�.�f%,fJ1 C 1!'._,� ,( �__- ___.�� Stipul�tions: . � . . . Q �� .�� .�� 1 � - � '1 �1=�°_- �go,�� . 1-J-7d Y�n_ 37 ,1=� K-��---�j��v� __ p��:�. rvsv � .lL.. /t1CU�l! iuC,,�Lr7 f'—.�7 . '��-------- �`��- ------- ��s _ _____�_ . _,�..�—.-- -��i�r.r�cG�k%/ °P'y.�'ZG ' = lo.Z �/ , � . . � � : . . . :_ : , t �"�'Y .? ° - ' � . ; . � . f`� x' 8 ' ; . � ,= � �'i.s'Z � ��" ��c�-. •� �,� � G = 6Z y � � . . .. : ;. . . - . : . �� = to . . : : _ � _. ._ � �� . _ . . . �� .r �.� ' = , :. . � . : � _ �9G 8 . . .:. : _. ___.. :��.��za� � - _ :_: <. . : .; . _._ �= /�,,,� ,�-� �` . �, G � �" .' � : x �� = � � �o �o � _ , � . _ _ . . . .. _ . . : : • . /:.� �to � _ ; . _. : _ . / � .�'"�� ` '� � ��;i'�� = : . - ; _� : ._ : _ � . .3 a , - .: �_. .__:__:_ . :. � . � � ��- �� m�►� : ; � J� �'�� . . , _ ,.' �_, _ . �� - _ . - _ __ _ ; �� _ �; '�;:_: .,_-- . . ;.. , .: . : �,,, . . , _ . _:. . . . , : � G �i�X �;,�'3 = �,�,,�. �' � . � : _._, : _ � : � :_ � : _ � . �+'"' �'�O'� �t'.,:Z�: ,� 2 �� '��'.. .,�� ;` _ . : _. � ' _ . _ � �� •�' ��y � >� , .-'� . : f � - _ � : _� . __._._ , ' , : : . ; : . . � : . �' . � ' _ � � _ , . � .., : ' . . . : .�.�, ,�'�,�, . . ' _. :. . � •� � . � . . . . : ...�'�� 'a�..� -��: � ,� � i�� = : . . � .1�: � +� � �' , � . ; ; . � . : �� . __ . _ . _ :. . .. ..��,. �� . : . ��-� � '� %. -,-h� � -� i' / _ � . e �- o��yy� � C:TY OF FRiDLEY APPLICATION FOR POWER PLA�JTS AND HEAT;NG, COOLING, VENTILATION, RE=RIG�RF�TIOPJ ANA AiR CONDITIONING $YSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: F'urnace She11 & Duct Work * Replacement of Furnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARI�4 AIR: Etirnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU * Replacement of Furnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 STF.aM OR HOT i9AT�I2 S'YSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTII Boiler anly up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour RATE $12.00 7.00 'I.00 4.00 $12.00 4.00 7.00 7,00 4.00 $12.00 4.00 7.00 6.00 $10.00 10. 00 GAS BURNER- f.rom 100,000 BTU to 199,999 BTU $10.00 (over 199,999 BTU see Fee Schedule) GAS FITTING FE�S: lst 3 Fi�ctures � x$ 3.00 Additional Fixtures r S 1.00 Gas Range to 199,000 BTU x$10.00 AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS � REPAIRS State Surcharge TOT11L FEE ROUGH INSP. Date FINP.L INSP. �v `�^� O I Date APPROVAL FOR PERMIT i�� REINSPECTION FEE (.$10. 00 ) TOTAL $ S $ $ S /01. o D $ S $ $ S $ S S $ S $ /D.00 $ S ol.DD $ $ S S S S $ .50 $ dS.So MINIMUM FEE FOR ANY AEATING PERMIT IS $7.56 PLUS $.50 STATE SURCHARGE *Attached stack verification £orm Job Address SD � � �� Department of Buildings City of Fridley Tel. #571-3450 � The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. y— y , 19� OWNER ��Z%I/1L1� "TCl/f/fJ iCIND OF BUILDING 9�� USED AS TO BE COMPLETED ABOUT ��% � � ES:IbIATED COST � �jlpf Ij � OLD - NEW BUILDING PERMIT NO. PERMIT N0. //�- Y '1�C DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Stear,i, Aot Water, Warm Air- No. % Trade Name ��JZn��/i Si2e Nn. (o %f �D �% � -� Capacity Sq. Ft. EDR BTU O O�ytjj a HP Zbtal Connected Load �,(�_ %�j '] Kind of Fuel � BURNER - Trade Name �+.l�n�wl Size No. ,`o i-� d'U � F.� Capdcity Sq. Ft. EDR BTU a�_/)Q n HP —�T—�- Company Signed By Tel. No. _ _ . �C � �'12 � _ � • ,/ � 4, �� . � z HEA7 LOSS CALGULA��ONS �E�T��;� �� TiONiNG CO. M��IEAPOLfS, M�NN. 1Neatherstrips A.S.H.V.E. Construction No. Insulation Windows Doors �uide Out. Wall int. Wall � Reference Ceiling Roof Floor Kind How Applied Yes-No Yes-No � 9 -- FI. (Ii � � L h ' ` j engt �, Width %Z,.,_ Height F1. �„� ��y Room Length v Width �' Height � VJindows and Doors—Crackage and Area Windows nd Doors—Crackage and Area N�. W�drh Height No. of Lineal ft. Area Width Heipht No. of Uneal ft. Area of pane of pane lights of crack sq, ft. No. - of pane of pane ii9hts of crack sq. ft. . � � � �L G"_ ` � / � ,� �.._- � 'z— Z .,� 2L Infiltration ' G lass Exp. wall Net exp. wall Int. wall � Ceiling � , � % � Floor �j �(� Z Total Btu. � Required sq. ft. E.D.R, or sq. ir,s. W.A. Leader area �j Fl�p fi.1,� Room I Length / Width VVindo s and Doors—Crackage and Area No. W�dth He�9ht No. of Lineal ft. Area of pane ot pa� lights of crack ^q ft � �` � I P�t Infiltration � �(� I �/�, I Y Glass � � Exp. wall �a- �/� �' � - Net exp. wall __ _�� Int, wall � Ceiling _� ,+iV�� / ��j � —� Floor �� t � _ � �C rs i ,_;� Totai Btu. Required sq. fL E.D.R, or sq. ins. W.A. Leader area �FI. � _„ Room i Len,yth W�dth ` � 1 �% VJindow -a-�nd-Doors—Crackage a, d Area N�. Widrh � Heiqht TINo. of Li•�ea: ft. � A•ea . 'of ane ot Uan I I�gh�s of crack sq• It. I *� (�_ � �� „ c -, Infiltration G lass Exp. wail Net exp. wail Int. wall ':eil�ng r !oor Total Btu. � Required sq. ft. E.D.R, or sG. ins. NJ.A. �_eader area B tu Coef B tu Infiltration � �f7 ��Q Glass �� O Exp. wall �� %l ��p'� Net exp. wal I �" � f 0(� � Int. wall (� Ceiling Ci Floor � G �Cf� tj � !` �Total Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Height i � FI. �� Room I Length �� Width Heiyht VJ�ndows and Doors—Crackage and Area No. W�� He�ght No. of �ineal f[. Area of ane of pane II hts of crack sq. ft. �) � G6 G 31 ° 1 B tu Coe( B tu %_Z� 3 Infiltration � ��JI ZZy� _�1. - /� 0�/ C3 G �ass y.� y�l �j �;1 CJ Exp. wail � � � ( � Net exp. wall --- - � � --� Int. wall � _`I _ ----� `! � Ceiling �� I'2� I -- '-i--�-�— (� (l Floor � ,��f � � Total Btu. I� "�7 � rj Required sq. ft. E.D.R, or sq. ins. W.A. Leader area � ` Height FL �_ Room Length ` Width �d Height VJindows and Doors—Crackage and Area / No.� w'ntn Hr,�qi�[ Nn. of L�neal it. 4�ea � ' o� of pane I� hts of crack Sq. ft. $ �' 3Z- �- 3 "� � �- � Coef� Btu � ' Coef ��__�Z�Q Infiltratior� -- I � ((� �',+' U tJ Gfass J EXP. W�� L � � --- -_��- � � Net exp. wal{ ___ '7 � Int. walf � — - ---Ceiling `_�-L-`�� i�V - — �,j F foor Total Btu. � Required Sq, ft. E.D.P.. or sq. ins. W.A. �eadef area Btu � � CITY OF FRIDLEY �' � . • APPLICQTION €OR PUJMBING AND C�AS FI'i'1'ING pERMIT e� >. M ' u • x• c� water d w a� A w a�.�i q p � o, w � Heater u . a� .� �� O1 H ��rC r, tr m roE Sa p, � � w � rui �C � +_+ �qG['� ,C C. c 3 �8 u«[+ O.0 a O @ � a�,+ ..��i �t+ r3 'J '+� Q H O .0 rl RT r3 ��tl N� N N .0 v� u a ca sa N 3 Q w �n u. u p a� c� �� c� � as lec . � • ist ` � / 2r.3 , 3z3 Q �1 {P.) • Flsture Conr.ection Opening Co�nected with Sewer i') = Nev zixture, �ld Openinq • Water P�IRTIAL RATE SCNEDULE � �' � PLU�iBING FIXTURL• RATES: N0. FtATE TOTAL �+' y i t�F::..Ser Pixtures o R S3.�0 S o` Fatuze F.'x:ure Ogening x S2.00 $ Ne+ Ftxture, Old Opening •� X S2.00 � $ Catch sasia x $5.00 S water Heater - to 99,000 BTIJ _� x $5.00 $� 100,000 BTU to 199,000 STU x S10.00 $ ' idatez Softener x 57.00 $ • t:ev Gsound Fa:n Old Luildis�q x $5.00 $ :lectzic hater Heater x 55.00 $ �� G:.S FITTI:dC FEES: • . �.� . lst 3 fixtures �� x'$3.00 S�,_ Addi:ional Fixtures x 51.00 $ Gas Fange to 199,000 STV x S10.00 $ RE?aiRS t, ALTE?2ATIOA'S Fisst 5100.00 55.0� S eac'� ac�3. $100.00 or traction S2.00 S 0 � /� � 1 . . c .ry� v �.�� "'_ � � ��/�. ��r�. � Job Address � o� v � �� ' .�. ■��..� . Department oP Buildinqs City oi Fridley . Tel. #571-3450 , The undersiqned hereby makea application ior a pezmit !or the vozk her� , apecified agreeing to do all work in atrict accozdance with t2ee City Cbdea , and rulings oP the Depaztment of Buildinqs, aad hezeby declaze� �hat a12 , the iacts and representations stated in thia application are true ar�d oorreCt Fridley. Mn. � r� ��7 9 , 19 ' OWNER �_!�(� �� KSND OF BUILDING USED AS s`/� i� �J �� i� _t� ' , TO BE COMPLETED ABOUT �O —�� 9 � � ESTIMATED CAST OLD -�UILDING PERMIT NO. PERMIT NO., �� Compaay Siqned Sy - ��f ' . Te�. rw. �� — �/� 3 3tatn S�zcharge $ .50 � TOTAL FEE . S �� • REZNSPECTIO:J PEg (5:0.00) L ROUGH SNSP. Date � FTNAL INSP. ..� �%'� � � Date APPROVAL FOR PERMIT ��Z�� MZN2MUM i�'E8 FOR ANY PLVMSSNG PERMIT ZS aT.SO pwg �.SO 8?11T1! SQ�E � CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PEPMIT >°. a a � x m aater y a� ,� EN+ .�i a � � n d w�p� p' a Heater GL � O � � � � ��il � � O a� a�n � m � m aq � v�i u 5 m c� a�i 3� o w° � w � � o� 3� 7� t�i o as lec lst 2nd 3rd 4th (R) ! Futnre Connection Opening Connected with Se�rer (*) � NeM Fiubure, Old Openinq Nater RATE SCHEDULE PLUMBING FIXTURE RATES: N0. New Fixtures luture Fixtures Old Openinq, New liYture Beer Dispenaer Blow Off Basin Catch Basin Rain Nater Leader Hydranlic Valve Suvp or Receiving Tank Mater Treating Appliance Hot Nater Heater Gas Range Gas Dryer ' ALL OTHER3 AND/OR REPAIRS AND ALTERATIONS 1• of Value of Fizture or Appliance Reinspection Fee $ ($15.00) RATE S 5.00 g 3.50 S 1. 50 S 4.00 g 5.00 g 5.00 S 5.00 S 5.00 S 5.00 $ 7.00 $ 5.00 $ 10.00 g 10.00 State Surcharge TOTAL FEE TOTAL S S S S S $ S S S S S $ S S S .50 $ ,d..��i r�° ''` t � Job Address �� iw f�`"�.�,,,�ryr°4 �,.'� ��.�,;� � Department of Huildinqs City of Fridley Tel . 11571-3450 The underaigned hereby makes application for a permit for the Nork herein apecified agreeing to do all work in atrict accordance with the City Codes and rulings of the Deparhnent of Buildinqs, and hereby decleres that all the facts and representations stated in this application are true and correct Pridley, Mn. �� (,�,� ` � , ig� , � UNNER KIND OF BUILDING • USED AS TO BE COI+�LETED ABOUT ESTIMATED COST ,(/� �,-- - OLb - NEN BUILDING PERMIT NO. PERMIT NO. �l�j�� C'ompany � „,.�i� �"�'�a. Signed Sy 'i� sn:�,�.,� `-''�� .�'�'' �" `y Tei. No. �'"; f�a.^ ;� _• � ,.. � � ROUGH INSP. Date FINAL INSP. j' �' '- � ` pJ Date APPRpVAL FOR PERMIT rX� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 ST�TE SURCHARGE sue�ecT PE _...:.__ City of Fridley �'"2 2 3 3 7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � RECEIPT NO. � � �(`.+ i ` • COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE tNSPECTION SEC. � � 1 � � � � /'��1 � CITV HALL fRIDLEV 55432 NUMBEP REV. OA7E PAGE OF APVROVEO B� �""'�'� �`J 612-571-3450 9t0-Ft5 3/18/94 � � JOB ADDRESS `� 5505 5505 5507 5 6 t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO SHEET DESCR. j, 2, 3, 4 22 Innsbruck Nor 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gittleman Const ' 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP ON SE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Townhouse Gara e 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 9 CHANGEOFUSEFROM TO STIPULATIONS TYPEOfCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIF 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 OFi ABANOONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTiiEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND, EXAMINED THIS APPLICATION STALLS GAFiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �3s4'OO �1.%O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAFGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �G3.00 Fire SC 3.40 PLAN CHECKFEE TOTALFEE License SC $5.00 73.10 SIGNATUREOFCON'RACTORORAUTHOAIZEDAGENi IDATEi WHEN PROPER V LIDATED THIS IS YOUR PERMIT � �_��1� / SiGNATUREOFOWNEAi�fOWNERBUILOERI iDATEi BLOG � 5P 4t�TE NEW [ ] .. . . �% Effective 1/1/94 ADDN � [ l . • � � . � CITY OF FRIDLEY � 1� � ��-� j_ �� ALTER [ ] . � SINGLE FAMILY AND DUPLBXES R-1 AND R-2 �� < � � ' � � J . � . � � � : � �uilding Petmit � Applicatiori � � ' - . . � �. � f -y�,0� �AP� G-�1E 6UI�.t'jl t�1G� FaiZ ConstructionAd ess:i SS"oSR c�� .SSo� E. 1��1�2t� �P�� . 13t-r�la ."�1 Lega1 Description: Owner Name & Address:iNI�1SF.3e.vG� t�d�Z�-�1 �(;p�(.Nt}OU.S� �559G• Tel. #(�!Z 5�7/ • �oZ.3 Contractor: L�t'�'(LEr�(,p�r1- Gc��STeUGTf o� C� 2�'' MN LICENSE # Address:�oo Y�►ZXi- ,4�1�E� � l QZv i� a0 M i r�1�'�TD I� �}�Tel. # C-f Z•�31 � Z� � _ . Attach to this application, a Certificate of Survey of the .� � �. � � lot, with the proposed construction drawn on �it to scale. �� . LIYING ARfiA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height I.ength Width Height Length Width Hgt/Ground Comer Lot [] Tnside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: �C• Sl r1 � r-1 CC - ��-L oo�r Estimated Cost: $ 3�a' Approx. Completion Date: J uL.`j � qq- (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$. DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: � TI Y USE ONLY Sq. Ft. Sq. Ft. Sq. Ft. _$ Tel. # � $ _.�. (>C� Fee Schedule on Reverse Side $ � _ �� C� .001 of Permit Valuation (1 / lOth %) $ 1, `"� � $.so/$1,000 Valuation $ $800 per SAC Unit $ �- � �n $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 [ ] � ��<<� i �,� �. . sue�ctT '. c�ty of Fr�a�ey ; _ AT THE TOP Of THE TW�NS � U( L D I N G P E R M I T r � . � �• COMMUNITY OEVELOPMENT DIV. rr� ' � �' ' � . PROTECTIVE INSPECTION SEC. .. ,,. �.... , � , , � � • _ �"'1 � CITY NAII . FRIOLEV �5�32 NUM4ER NEv �."x'�: `•� 612-571-3450 910-F/5 �, ',os'�opRess''' 5501,5503,5505,5507 East Bavarian Pass �'- �� - LOT NO. BLOCK TRACT OR ADDITION t IEGAL oescA.. 1,2,3,4 8 Innsbruck North To �� .� .2 ' PiiOPEqTY OWNER :_ . MAIL AOORE$$. Mark Kvacheim 3 CONTRACTOR MML AODRESS Right Way Roofin `` 14050 23rd Ave N. P1 m uth 5 4 AqCHITECT OR OESIGNER MAII AOORESS 5 ENGINEER MA1l AODRESS �`" ` B" USE OF BUII;OING 3�Resi denta_�1 � - " . 7 ,Cl,�1SS Of WORK �-,r �.3�..,,. ':;; O NEW,. O ADDITION `' .3 � ga,� OESCRIBE WORK Reroof townhomes (45 S } Tear-off �r ��w „��a� . � � 9 CHANGEOfUSEfpOM ' ='STIPULATIONS s` ' ERMIT NO. "� 29874� y�o 9 O�TE PAGE 0: M►►NOVED !r 7/15/99 / / SEE ATTACHEO ise 3rd Addn. SNEET V:l1�LLY�JYOG ZIP PHONE IICENSE NO -8678 3999 21P PHONE LICENSE NO. iIP PMONE LICENSE NO O ALTERATION � REPAIR O MOVE O REMOVE TO 0 ;;,��, fl- Underl ayment� must comply wi th the State Bui l di.ng Code. 4�4� ��. ��-0 �: _ . . Permit Inspection Cards - . _ , � Wili Be Mailed � � � �F _� � � _ ,. ��r� �� P,,A : �. To Homeowner To Post ��'�;_ ��;. . s , .� . . a,��_ � �� M � , � ��, TYPE Of CONST. SEPARATE PERMITS ARE REOUIREO fOA EIECTFICA�, PLUMBING, MEATING. "VENTI�ATING Oii�AIR CONOITION�NG. ' TMiS PERMIT BECOMES NUII ANO VOIO IF WORK OR CONSTRUCTION jONING "s;• ,;AUTMO�i12E0 IS NOT COMMENCED V�1ITMIN 60 OAYS; Oq li CONSTRUCTION -. - OR WOfiK IS SUSPENOEO OR ABANOONEO fOA A PERIOD OF 120 DAYS AT �" tiz' ANY;7IME AF7ER WORK IS COMMENCED. , NO. DW�G. UNI7S I.,MEREBY;CERTIF.1f THAT 1 MAVE REAO AND �XAMINEO TMIS APPUCATION 4AN0 KNOW TME SAME TO 8E TRUE ANO CORRECT. ALl PROVISIONS OF LAWS yALUATION ANO OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO $3933 WITN WHE7NER SPECIFIED HEREIN OF NOT. TME GRANTING OF A PERMIT OOES NOT PRESUME TO GIYE AUTMOa1TY TO VIOIATE Oi1 CANCEI TNE pEqMIT FEE pAOV1510NS Of ANY OTNER 57ATE OR IOCAI LAW REGULATING CON- $97 �,L5 STRUCTION Oii THE �ERF01iMANCE Of CONSTRUCTION P�AN CMECK F � - �� , Li cen S $5 .... .' -�$�GN�TUAE Oi CONCAACTOA pp AUTMOAiZED �GENT iO�fE� E PRD S�GN�TUQE O� OWNEA�� OWNE�IBU�LOEA� STALlS CU. fT. GARAGES ` $1.96 SAC CMARGE Fire SG $3.93 r TOTA� E $ 8.14 ✓ ^ Sue�ECT City of Fridley AT TNE TOP Of TNE TWINS g U I L D I N G P E R M I T r � � � �' COMMUNITY OEVELOPMENT OIV. r � � � PROTECTIVE INSPECTION SEC. � � l_-.-�; �'�'�,� CITY HAIL fFIOLE� S'S�J2 NUMBEfI pE� L 612-571-3450 910-Ft5 JOB ADDRE55 5501, 03, 05, 07 East Bavarian Pass NE 1 LEGAL ��7 NO. BLOCK TRACT Ofi AO�ITION oesca. 1-4 8 Innsbruck North T 2 PiiOPERTY OWNER MAII ADORESS 3 CONTRACTOR MAILADORESS North Central Builders Inc. 7401 42nd AveN a ARCMITECT OR OE5IGNER MAII ADOflESS S ENGINEER MAIL ADORESS 6 USE Of BUILDING Residential OATE I PAGE OF 9/21/99 / / ,P'ERMIT NO. 30246 RECEIPT NO. 5�� APPROVEO BY SEE ATTACMEO 3rd Addn. SNEET ZIP PHONE ZIP PHONE IICENSE NO 55427 533-6168 3763 ZIP PHONE LICENSE NO. Z�P PHONE LICENSE NO 7 CIASS OF WORK O NEW O ADOITION O ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WOFK 9 CHANGE OF USE FROM Q•] STIPULATIONS Call for bua.lding wrap inspection before.covering. 7YPE OF CONST. SEPARATE PERMITS ARE REOUIREO fOR ELECTRICAL. PLUMBING. HEATING, VENTILATING OR AIR CONOITIONtNG. THIS PERMIT BECOMES NULI ANO VOID If WORK OR CONSTRUCTION 20NING AU7NORIZED IS NOT COMMENCED WITNIN 60 OAYS. OR li CONS7FUCTION OR WORK IS SUSPEN�EO OR ABANDONEO FOR A PERI00 OF 120 pAYS AT ANY 71ME AfTER WORK IS COMMENCED. NO DWLG. UN17S I HEREBY CERTIfY THAT I HAVE REAO ANO EXAMINEO THIS APPlICA710N AND KNOW TNE SAME TO BE TRUE AND CORFIECT. ALL PFOVISIONS OF LAWS VA�UATION ANO ORD�NANCES GOVERNING TMIS TVPE OF WORK WI�� BE COMPLIED $18 797 WITM WHETMER SPECIFIEO MEREIN OFi NOT. TME GRANTING OF A PERMIT � DOES NOT PRESUME TO GIYE AU�MORITY TO VIOLA�E OR CANCEI TME pEqMIT FEE PFiOVIS10NS OF ANY OTMER STATE Op LOCA� LAW REGUTATING GON• STRUCTION OR TNE PERfORMANCE OF CONSTRUCTION �3O%. ZS PLAN CNECK FEE OCCUPANCVGROUP SO. FT S?AllS 5��/� � �!-Z o - �_ Lice SC $ " S�GN�TUpEO� ��pACTOp •ur..Op�2E0�GENr �O�rE� M N PR • V VA S�GN�iuAE O� OwNEa,�t OwNEp Bu�LDEp� IOATE� LOG �NS� Of OCCUPANCVIOAD CU FT. f pARKING GAFAGES $9.40 SAC CMARGE Fire SC $18.80 TOT EE $ 0.45 fM15 � �RM T - � i f�i T E NEW [ J ,4I�b1V � . _ [ l ALm�R [ � � Coi�struction Address: t..egal Description: Effective 5/10/99 �� : R.= c� x;� `- CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT AP�ICATION -Jr`. SD t- S's'v3- S s"vs = 5.s'o� 55� � — � 5'�-7 � gsr f�f�ri�� 1 Owner Name & Address: Tel. # Contractor: �,� � R7�-C'��i ��cc�� ,� �ur MN LICENSE # 3�� 3 Address: 7 40/ �Z�—° �e_ � �,w �2 �l�l Ss�z7 Te1. # G� l2- �33-��G� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. �.tVING AREA: GARAGE AREA: �ECK AREA: UmHER: Construction Type: DESCRIPTION OF IMPROVEMENI' Length Width Height Length Width Height Length Width Hgt/Ground Driveway Curb Cut Width Needed: �ATE: � zo 9 �ertnit Fee Fire Surcharge State Su�charge SAC Charge �.icense Surcharge �riveway Escrow $rosion Control patk Fee 5ev�er IViain Charge TOTAL STIPULATIONS: �ceini� d— Sq. Ft. Sq. Ft. Sq. Ft. � Estimated Cost: $ %� 7 g 7`— Ft. + 6 Ft = Ft x$ _$ CITY USE ONLY Tel. # .533- G/6� $ �.�S Fee Schedule on Reverse Side $ /S, O .001 of PermIt V�lu�tion (1/l�th%) $ , � $.50/$1,000 V�luation $ $1050 per SAC Unit $ �-0b $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 [ ] $ �� .�' �� nf � su9�ecr rC - . City of Fridley 3 3 9 3 0 AT TNE TOP OF TNE TWINS gU I L D i N G P E R M i T ---- � R E�EFP � �• COMMUNITV OEVELOPMENT OIV. /^ � r � � � PROTECTIVE INS�ECTION SEC. L� � . , ✓ i•--.�,��"' �'� CITY HA�� FRIOLE� SS132 NUMBEA AEV OATE vAGE OF APVqOVEO 8Y �� 763-571-3450 910-F15 9/30/03 / / JOB AODRESS 5505 East Bavarian Pass NE t LEGAL �OT NO. BLOCK TFACT OR AODITION SEE ATTACHED OESCR. 1 g Innsbruck North Townhouse 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Theresa Londo 5505 East Bavarian Pass NE 763-502-0034 J CONTRACTOR MAII AODRESS ZIP PMONE LICENSE NO Window Lite 8400 89 Ave N Ste 460, Brooklyn Park, NIN 55445 763-425-2227 20039258 4 ARCHITECT OR OESIGNER MAIL AODpESS ZIP PMONE LICENSE NO. 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK 8 DESCRIBE WORK Replace two 9 CHANGE OF USE fROM MAIL AODFESS O NEW O ADDITION O ALTERATION tio doors TO ziv � REPAIR PHONE IICENSE NO O MOVE O REMOVE STIPUTATIONS Provide smoke detectors in all sleeping rooms and on ail IeveZs of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. TYPE OF GONST. SEPARA7E PERMITS ARE fiEOUIqEO FOR ELECTfiICAL, PLUMBING, MEATING. VENTILATING OR AIR CONDITIONING TMIS PEfiM1T BECOMES NUIL ANO VOIO IF WORK OR CONSTRUCTION 20NING AUTHORIZEO IS NOT COMMENCEO WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO FOR A PER100 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO OWLG. UNI I HEREBY CERTIFV TMAT I MAVE FiEAD AND EXAMINED THIS APPLICATION 1 ANO KNOW THE SAME TO BE TiiUE ANO CORRECT ALL PROVISIONS OF �AWS yq�UATION AND ORDINANCES GOVERNING TMIS TVPE Of WORK WI�L BE COMPLIEO WIThi WMETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT �7,475 DOES NOT PFiESUME TO GIVE AUTMORITY TO VIOLATE OF CANCEI TME PEqMIT:EE PROVISI OF ANV OTNER STATE OR LOCA� LAW REGUTATING CON- S TIO R THE PERf�A�AN�E OF CONSTRUCTION $153.25 �S�GNATUQE OF CON'AACTOQ OA sUTtiOp�1ED eGENT d� � iD�iE� OCCUPANCVGROUP IOCCUPANCVLOAD SO. STAILS SC $5.00 PFOPERLV v tiEa ��c pwtiEQ Bu��DEQ� �D�iE� I�B�DG �tiso CU FT OfFSTiiEET PARKING IGARAGES $3.74 SAC CMARGE Fire SC $7.48 TOTALFEE $169.47 _ � LD�t�� G�=f-�� —.— �� . � �� . . . ; . . , � ��. � �� 3� . _ . � . a _ .��. ..�: , �.. .�< �:,, ; � � � � .� f,D�L-�l �� X � �� e ��1/99 '..�#ADDN [ ] ° �EIT'i� O� FRIDLEY .�.._._.,, .� � ��:��. �w� ��r.�. <_,�,� � l 3INGLE FAMII.Y AND DUPLEXES R-1 AND R 2 - 4. ` _ : ' . BUILDING PERMIT APPLICATION • . _ �"' � . �� z� �.. _� ��...�� ` : .:. ' ._ : _ s� _ - 4 . . �a , .� { '�� ""_� k: �; ` , . :.' . .. S .f' � .. •T ... .. . �# ..-0 -wz L . „ .... r .+ ' „ . , .. ._.. . . . �..... . -� ..�,c.. _ _ ... _'. ... . .. . 3 . .-_ . .. . c. .-w1 , a . v ..y.+.r .#.xii.4�JL 4 � ,ConstructionAddress. . i� :(�,I� �-'-l� � S � , _,��. �_ . . �, . -. ;.�f�� r� ,ri�;� �` :��'� ; x�t .: - ,�_... ;� :��. , . , . . , ,;. ; :.:}._n ...,y. � �;,.. : Legal Description: - y� � Own�r Name & Address: T�1,Q,1�" �, ��t�N/.�(� Tel. # .7(03 '.� • ��3 ;� Contractor: � (,�� ,� �� . MN LICENSE # ��3►: Address:�� -� �.P. � � Si�(.l. �"il, �(�C� Tel. # �03�� `�.c��? ._ _ , � ,,. Y,_ �Attach to this application, a Certificate of Survey of the � � � �: lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: •• OTHER: - . DESCRIPTION QF .IlVIPROVEMENT , _ .: Length Length Length Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type:�j� �� , � (�,�(�/�,� _ Estimated Cost: $ �� 7 S Db (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ - : . , �' e� ,: ��cU� � � � DATE: D 3 APPLICANT: ��[.�t��.� �Z i��'��iS.-�C-c Tel. # 710,3`�� % Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � 53 . �.S $ $ �.�4 $ � 5 , �c� . $ $ $ $ $ Ip�1•�� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] , I ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�z-36u4 r��: : 5505 E BAVARIAN PASS NE : 243024440036 : INNSBRUCK NO T H 3RD ADD : LOT 1 BLOCK 8 : ELECTRICAL : TOWNHOUSES : ADDITION/ALTERATION 571-12?S7 PERMIT NO.: 2004-01342 �-- �� DATE ISSUED: 08/16/2004 VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A FURNACE AND AIR CONDITIONER. # INSPECTIONS 1 # 0-100 AMP CIRCUITS 2 # 101+ AMP CIRCUITS APPLICANT DEPENDABLE ELECTRIC INC 2619 COON RAPIDS BLVD NW COON RAPIDS, MN 55433 OWNER THERESA LONDO 5505 E BAVARIAN PASS NE FRIDLEY, MN 55432 0 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� 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 provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC CIRCUIT FEE (0-100 AMPS) ELEC CIRCUIT FEE (101+ AMPS) ELEC PERMIT FEE - MiN (RESI) STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 28697 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0.00 0.00 20.00 0.50 20.50 ADDRESS CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 5505 E BAVARIAN PASS NE PIN : 243024440036 LEGAL DESC : INNSBRUCK NO T H 3RD ADD : LOT 1 BLOCK 8 PERMIT TYPE : HEATING PROPERTY TYPE : TOWNHOUSES CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT N 2004-013� .. � DATE ISSUED: 08/16/2004 VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR 5HALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIR, RWD, 50,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES # GAS RANGES APPLICANT RIVER CITY SHEET METAL 9928 BLUEBIRD ST NW COON RAPIDS, MN 55433- (763)754-2199 OWNER THERESA LONDO 5505 E BAVARIAN PASS NE FRIDLEY, MN 55432 1 # GAS DRYERS 0 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� 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 provisions of any other state or local law regulating construction or the perfprmance�bf construction. : , _ �LS��-- _ �� FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 13598 SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 35.00 0.00 0.00 25.00 0.00 0.50 60.50 0 ��TY OF FRIDLEY BUILDING INSPECTION ��` Effective 4/1/2004 6431 University Ave NE Frid�ey, MN 55432 APPLICATfON FOR POWER PLANTS AND HEATING, COOLING, VENTfLAT10N 763-572-3604 Fax 763-s71-12s� REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCH�DULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Fee Total $35.00 $ .s -d U JOB ADDRESS `J S� S� L"JAl�%j'iL( Y�-yt/ ']r%�'SS Owner ��-�'�S !� LD/1/O G Building Used As ,.I�t/.2.-�-�--� � G'- $10.00 $ ESTIMATED COST PERMIT NO o��C��'i�`I ��`�� $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating U its 1 Circle One (Steam) (Hot Water arm Air `D Trade Name��,a(�� Size No(l� K�� 4S $25.00 $aS O BTU HP EDR Fuel Total Connected Load Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR $ .(%!J Burner Trade Name Size No. , BTU HP EDR ,'.}�� . `Tn,v c,{ R z �.. S.� �h 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ . S U HEATING CO_�� S�� $ G�. s(� Signed �� Tel #71a.3 —7�i"Z � �y *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE �l IJ.,P�1 �G�aZ�� GvI-C-� �f�LU FAX # /10.� -?J `� �' a%� Date �� l Approved by Rough-in Date Final Date ��'Y $'S�DS G . �l�i r/�-Y� � w-vi.� 1�i4SS . . r��o�.� FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS . C"�MMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When realacina an existinq furnace, 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 p{astic/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 1 Central Fumace Venting Tables for fan assisted and natural draft appliances. __ - Yes � No O The existinq combustion air is sized and installed to mest the current codes and manufacturer's specifications. Yes � No () 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 () When installinct a new ventina svstem, 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 SizelCommon Vent and Vent Connector Information Appliance #1 Type r/` BTU Input � Fan Assisted or Nat � Appliance #2 Type BTU Input _�3s�'f Fan Assisted or Nat �_ Appliance #3 Type BTU Input � Fan Assisted or Nat Total Appliances _�_ Total Btu Input S�SI� Qr -- Common Vent Type Vent Height C� Diameter S inches Appliance #1 Vent Connector Height � ft Length � ft Diameter in Type Appliance #2 Vent Connector Height �ft Length ��ft Diame#er in Type � Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe) HEATING CO: �✓ �� S -f -��- Signed By: % Date : �� 7 . Building $��LD�(i Permit No.: Inspections RESII)ENTIAL APPLICATIOltiT R�"'� sy: 763-572-3604 CITY (3F FRIDLEY �5� - ~ DATE 0 6/ 3 0/ 14 Y� �_�, ��SS es therd�windowwor dmn . com srr�anDxESS 5505 E. Bavarian. Pass THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ xnME: Beth Bal l inctrud ��`�T AI3BRE53: S�ttiC d8 Sl�@ CITY STATE ZiP PHOIQE: CONTRACTOR xA�: proBuilt Aznerica SU$MIT A COP� OF STATE LICENSE # BC- 2 0 3 5 6 84 7 �p Dp� 0 3 12 YOUR STATE LICENSE Avn�ss: 2 211 11 t Ave E �� Nort h S 10 g�qTE � 5 5 7.� 9 wrrH ArPL�eA�o1v ��o� 6 51- 7 7 0- 9315 F� 6 51- 77 0- 04 95 PROPERTY TYPE Q�INGLB FAMILYltVEW CQNSTRUC'fION �rzE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑�nvrrlox o c�xAC,�s�n ❑ wlrmows ❑ BASEMEIVT FINISI-I ❑ ROOF � DRAIN TILE Ll UECK ❑ SIDiNG L7 UTHF1t � $WIMMING POOL TYPE OF WQWi: ❑ �w ❑ nnnrrtbrt O MAINTENANCFIREPAIR ❑ REMODELING DESCRIBEWORKBEINGDONE: Repla.cing 3 window,existing openin.gs SIZE �F iMPROVEMENT LENGTH WIDTH HEIGHT . Ft ROOFING ❑ HbUSE ONLY NtJMBER OF SQUARES C3 HOUSE &. GARAGE BASEMENT R��+IODELING S[ T�MIT: GARAGES a ATTACiiED tiARAtiE 1. Existing Flo� Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2' Proposed floa plan PROPOSED HEIGHT: 3. List of sVuctmai manbers tio be usod smING FOR I3EW CON5IRUCTION II�TGLUDING DECKS, 0 Vinyl C3Soffit ADDITiONS_ & PORCHES SUBMCf: Q A}uminum Q Trim t. Site P1anJSurvey showing ffic existi� �chues ❑ Chher O Fascia az�d pmposad pro,�t. 2. 1�vo aets of � �s WiNDOWS ' 3. EnergyGalcuiationc iN EXiS'fING OPENINGS DYes CINo LOCA'TION OF WINDOWS OR FdR NEW OPENINGS-DESCRIBE SIZE dF OPENING CHANGES & 3 TYPE E;F V1'INBOW TQ BE INSTALLEI} 23tIMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING TIIE COST OF LABOR AND MATERtALS: (USING THE 199? U.B.0 FEE SCREDULE) TOTAL JOB YALUATION S I 192 (�CUPANCY TYPE Pernut Fee Plan Review Fire Surcharge Surcharge License S�charge SAC Charge Cutb Cut Escrow Erosion Gontrol Park Fee Sewer Main Charge Tutsl Dae $ �'�S See Back Page far F� Schedule S 65% of Building Permit F� $ � .QOl times the total job valuation $ (G� .IX�S x Permit Valu�ian Minimum $SQ S i�} U SS.UU (Staie Licenscd Reside�tial Contractors} $ $1675 pex SAC Unit (Plans to MWCC for determination) $ ft+6fi= ftx�21=$ $ 5450 Conservation Plan Review $ Fee I�termined hy Engin�ring $ Agreement necessarY i) Non NecessarY O � `� �/;; Make �heeks oavabk to: Citv af Fridkw Attac THIS IS AN APPLICATIQN FOR A PERhIIT-NOT VALID UN1'IL PROGESSED I herebY aPply far a bui}ding p�rmit and I�knowledge th� the infarmation abave is complete and accurate; tl�at the work will be in conforenance with the ardinaz►ces and cod� of the City of Fridtey and with the Minnesata Construction Codes; thai I understand �is is not a permit bui oniy an application for a permi# and work is not to start without a permi� tt� the work will be in accordance with the appmved plan in tk�e case of all work which requires review and appmvat of pians. SIGNATUitE OF APPI,ICANT �:�� -- r�n�rr x,� Es ther Dahl nnr� 0 6/ 3 0/ 14