AF - 42442City of Fridley, Minn.
- 6431 University Ave. N. E., M:inneapolis, Minn. 55432
BUILDING PERMIT
Date: December 26�_1972 �
Owner: Darrel A. Farr Development Co. g�lder Same
_ . _.. _ _._. _ ___. ______ _ _____.---._._ _._....
Address 5901 Brooklyn Boulevard Same
_-------------------------_._.....------•--------------•----_..._...._.._.._..._....-----_' Address ._.._...,____...._.
1 i��
�187
LOCATION OF BUILDING
No. ..._.5509 .__.__,___._ S�.�t ____Eas t_Ba_v_ar ian__ _Pas s N. E.___�_ part of Lot
Lot ._.........._2...�..._._._...,..., Block ._._._.......__�_._..._ ............................. Addition or Sub-Division .._Innsbruck North T.H,�, �rd �dditotZ
Corner Lot _-----------..-----... Inside Lot .._._.-X-----•--._.--------_-• Setback _.___..�._.__....__�_ Sideyard _
Sewer Elevation .-------:._..---•----------.--------•----------•---••--•_--••-___---._....__ Foundation Elevation .__� --.--------
DESCRIPTION OF BUILDING
To be Usea as: 1200'
_.__.TQ�hQ�zS-e------.------ ,Front _..2_4' _. Depth __24-.'_---- Height _._26._'___ Sq. F� _.f.QII � ._ Cu. F� ._L5.�.6II0 �
_._.Garage-----....._.------------ Front ..�-�..-5' �P� —22 �--_. Height •-----10 �_.. Sq. Ft _ 231 � Cu. Ft 2310'
Type of Constxuction ----_L�T.�SI_...E�BUt�.__._...__ Es� Cost .......�2.Q�-�:1Q.____.__ To be Completed �L 3rPar
Stipulations : ,� �S �%( �•
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
'�he proposed work in accordance with the descriptian above se orth and in complianc�th all provisions o#
Ordinances of the city of Fridley. ,,,'
In consideration of the payment of a fce of �_.3�8...�Q._._._._.., permit is hereby granted to Dc3.L�� A- Fa rr Dev .
_..__.----..--.__•._._...._._ .............................__ to construct the building or addition as described above. This permit is granted upoli
the express condition that the person to whom it is granted and his agents, employees and worl�nen, in ali work
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinanCeB Of
�'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of builtiiligs
vyithin the city limits and this permit may be revoked at upon violation of any of the provisions of said
ordfnances.
uilding Inspecto�
D�it7tFL CLARK
NOTICE:
This permit does not cover the conatruetion, installation fo� wiring, plumbing, gas heafing, sewer oe waNr. Be sun to sw
th� Building inspeeto� for separate psrmits for these items. s
, r
APPLICATIQ,� FOR RESIDENTIAL, AL'�'tiRATION,
OR AllllI�'IOi� BLiILDING �'�RI�II��'
CITY OF FRIDLEY, TiINNESOTE�
0�ti���t' S NA.�iE :�%�'t��/ �i? fe�'s'-W %a�vr/�a. C�o. BIT�LD�i : �Q sss e
r1DD�.E.ESS: �S90f .��'o.�lt/yri �/�vz�. ADi'i�SS• s�e��°•
N0•. sS09 STREEa• �,ri� {�e��/�ii-'i�to-s �tzsS
I.�3°� : •Z• BL4CIC o % ADDZTZ0�1 •.,���sSbs-ra��¢ i�/or��s T. Iy�. ,�rei�t#�{e ¢�o rt
Gfl�t:Y�^_�t LOT : IKS ZD�, LOT : %O SETB�CK : SI Dr,XA.�p :_,___�T
Ap�licant a�tach �o this foz�n T�o C�xtiii�ates of Ssz�v�y o� LoL :nd p�o��s2�
buildin; location drasrzi on �h��� �ertificat�s. �T
➢ESCRIPTION OF BUILDII4'G
�o Be U�ed As:
�as>oa �ae,vs� ��on�: .��� nvpih:
/.Z D !�
.S+�111i� s',4?�• ':g�� --
C.i�V+��� � si0i1�: /1�.�� r'L'T�?��Cl;
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. �
�o Br ��mpl�v�d: 8�/.t� %.3
'!iz� und:�?'�i.,zad 'n��=by ��'��� ap�li�aLi� -roy a ;��:�ai� :��� _��� ?;r��r?� �:�x��!r�
8D':'.�..'�.i? :::�y ..ZUT?��:?� �O �O e�,.�.� �liJ�':i 3.Y1 3'�.:,".:� i.'� .�3.: �Q'.:`x:a.i1C� ;.+7.�.�'1 '��; 7.;:y y.� c>�L
r:ici'�� fl�dir,a����� ;ird a.�:!-Tn.�� o� �iz-a �a�;�a�-�:�� o:� :�u�.s:ls�z�5�3 <,.�nL� ��.�y��l
d�c1a�'�Y� �i�at All ��SL �a�t3 ���ct ���pr��an�a�ions s�:���d ?��. ��z�.� �;�p? ��.�i~:��
a.�� �A-c:� ar.d cox�Ac�.
t �`.�' ; , /•Z—Z !i ' �iZ. S�G,t.;�iJ^L< .
{� ��e R��t��a� �id� r or ��.c::.���;�.��, �n�t�r.�_a�ior, j
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.
' , 560-3450
��� o ���1�
� �
ANOKA CQUI�TY .
6431 UNIVERSITY AVENUE NE Jaz�u��ry 31, 1975 FRIDLEY, 141tNNESOT�;, 55�332
Mr..James London .
Darrel A. Farr� Developrent Carp. •
2810 Cotuity Road 10 � � -
Brooklyn Center, Minn. 55430 � ''
Re: Status of Pex-�r�its fo� Six .Quad. Units �
Dear Mr. London: _
The Cit.y of Frid3.ey still recognizes t�e building permits for 5501, 55Q3,
5505, 5507 & 5502, 5504, 5506, 5508 & 5509; 5511, 5513, 5515 & 5510, 5512, 5514,
55I6 & 5520, 5522, 5524, 5526 & 5532, 5534, 5536� 553U East Bauarian Pass N.E.
as being valid, howe;rer, if work is no� recommenced on or befors May 31, 1975,
we will consider those nat wor�;ed on as void. They will not be renewakile after
the May 3lst date and new permits would have to be taken out for any new starts.
�
. If you have any questions with reference to this matter, please call me
at 560-3450.
Sincerely, -
DARREL G. CLARK
Community Development Adm.
DGC/mh
C�: Dick Sobiech
Jerry Boarcir.►an
, .
SUBJECT
c�ty of Fridley ° 14844
AT THE TOP OF THE TWINS g U I L D I N G P E R M I;
r
; � R TN
� i �: ------�
COMMUNITY DEVELOPMENT DIV. !�a '7
r � � PROTECTIVE INSPECTION SEC. � G�
� �
14 � r"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
"""�'� ,'� 612-560-3450
910-F15 $ 10 78 � �
JOB ADDRESS 55Q9 East Bavarian Pass N.E.
1 IEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 7 Innsbruck North_ Townhouses 3rd Additi.on SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel A. Farr Development 7286 - 72nd Lane North, BX Mpls., 1�Il�T 55428
3 CONTFACTOR MAI� ADDRESS ZIP PHONE �ICENSE NO.
Same 560-8110
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MA�L ADDRESS ZIP PHONE LICENSE N0.
6 USE OF BUILDING
Re S 1C�Pri't la 1
7 CLASS OF WORK
❑ NEW ❑ ADDITiON � ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 24` x 26' 7.bwnhouse and a 22' x 12' Gara e
9 CHANGE QF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE FEQUIREO FOR ELECTRICAL, PIUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOC� FrdIIl@
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT F)64 + 264 15, 760 �btal
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 LAWS VALUATION SURTAX ,.
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $23►�-25 yS`�.�.. S6
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. yfi63.O4 �400.00
PLAN CHECK FEE TOTAL FEE
$15.7 $490.36•
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WH N PR RLY YALIDATED THIS IS YOUR 'EFi T�
� ad
SiGNATURE OF OWNER IIP OWNER BUILDEFI IDATEI BIDG INSP TE �
,
.
APPLICATION FOR RESIDENTIAL BUILDING PER��fITS
iNEW, ALTERATIONS, ADDITIONS, OR REPAIRS), ,
���
�
90. 3 �
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OItTNER: � y„_.o � �-_ , �,yr,r 4,p un (n �rrt� � BUILDER:- _�.p.�� S . `
_.�_.__. -�..�.,�
° Address : `-t 4 �„ � o , '� �'�,,j � n ,.� e Address : �� � � s � ,� � ,r-���i_
"-'i'T"� . , �'
. • Tel. No.:_ Slp� ~ 8� //��
No. :�'� CI " Street:�'�' (�t ,� �n �i � � ,
% �.�„� .
LOT: �— BLOCK: �` ADDITION: T IU T N � r� �`...!<< __ ,
u.r.st�,.�,.
CORNER LOT: �_ INSIDE IAT: ✓ S�TBACK: SIDEXARDS:
Appl.icant attach to this faxm Two Certificates af Survey o£ Lot and pro,�osed
• bui2ding location drawn on these �er�ifa,cates.
. , �
�
� : DESCRIPTION OF BUILDING
To Be vsed As: . � .
.,
�wr� � n ii � r,� Front: __ a� Depth: a,�o Height:
� Square Feet: __�7oZS� Cubic Feet: /S%(a0
' •; . —
n . . ,
b Front: _ a 2 Depth: /Z ileight: '
. � Square Feet- Cubic Feet-� -
Type of Constructian: _�oo�� �'n ,�„� 1 Estimated Cost. $� p�p . _
�x+o Be Completed: � � - g � . ,r- �
� �� a 2�____�_' /Ait. A Ait. II
' Pxoposed Driveway Width If New Opening Is Desized $� $ _
------___--
, � _ � (SEE REVER.;E _SIDE OF SHEET}
. �- . ,
,_ The undersigned hereby makes application for a permit £ar �he *.3Q�y ;�erein '
specified, agreeing to do all woxk in strict accordance with the City ot
Frid2ey prdinances and rulings of the Department of Buildings, and hereb�y
.de�].ares that.a21 the facts and representations stated in this applica�ion
are true and corxect. See reverse side for additional information.
DATE: � .2 Q SIGNATURE:
Stipeil.ations: . ' ' •
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� CITY OF FRIDLEY � � .
• APPLICQTION FOR PUJMBING AND GAS �IiTIHG P�RhSiT
�, fn U k• C7 Water
� � A � � fi C•� ol q y ro� a w � Heater
L 'J N A +Cd � .0 C� 3 H U��.�C a U � G�7
oi i � m � � 3 o u°. v�i g t�di w a y � � � o'as lec
lst
2n3
3rd
4 th
(R) = F1�ture Connection Opening Connected with &ewer
(*} . Nev Fixture, Old Opening Water
PARTIAL RATE SCNEDULE
PLUhiBING FIX'fURE RATES: N0. RATE
t�.�ber Pixtures _� x S3.�0
Ftiture Fixtvre Open3nq x S2.00
2te+ Pixture, Old Opening �, x S2.00 �
Catch Basin x $5.00
Water Heater - to 99,000 82V � x $5.00
100,000 BTU to 199,000 BZV x S1Q.00
Water Sof tenez x $1.00
New Ground Iain Old Sullding x $5.00
Electzic Water Heater x $5.00
GAS FITTINC FEES:
. lst 3 Eixtures l x'$3.00
Additional Pixtuzes x S1.00
Gas Range to 199,000 STV x 57:0.00
REPAIR5 $ ALTERATIONS
' Pirst S100.00 $5.0�
each add. $100.00 or traction 52.00
3tate 3uzcharqe
TOTAL FEE
REZNSPECTION FEE
(520.00)
TOTAL
S -� U
S
S
S
g ,� . CTU
S
S
$
$
s �-6c�
$
S
S
S
S .50
s �/ 1 � SZ�
Job Addresa
Department of Suildinqs
City of Fridley
Tel. #571-3450
� . v r� v H r� � � i� � I��� �� �: . .
The undersigned hezeby makes applieatioa for n permit !or tha wrk herein
specified agreeinq to do all wozk in strict accozdance With the City Cbdes
and rulings of the Departsnent of Huildinqs, and hereby declares that all
, the facts and representations stated in this application aze true and correet
Fridley, Mn. •o� , 19 /�
OWNER 1J A!` R� I �R �' 1� �
KIND OF BUILDING �p ��s „� � o� t�
USED AS
TO BE COMPLETED ASOUT
ESTZMATED COST
OLD - W HUIL ING PERMIT NO. PERMIT N0. ��/I � �
� ComPanY C ( �
�
s�gnea sY Y .
Tel. No.
ROUGfi INSP.
nate
FINAL INSP. I.� - �c�' �n
' Date
APPROVAL FOR PERMIT �
MINIMUM FEE FOR ANY PLUMBING PERM2T IS S7.50 pL(� 5.50 STATE SVRf�1�E
�
GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD � � � -S � ��
ADDRESS �-S d � � � ��v�%e� � � CITY F � e
OCCUPANT OWNER ���-?��1- ����
HEAT LOSS DATE HTG. INST. –
SOLD BY INSTALLED BY �
Electrical Work By � V3 ��+I` Gas Line Sy e
TYPE OF HEAT GA_ FA� HW._STEAM SpACE HTR. UNIT HTR. OTHER_
GAS DESIGN CONVERSION
MAKE � r� � n% � MAKE OF BURNER
Model �' � �f� i� � – 3 Model
Serial ��� � �� --�� 7 Max. BTU Rating
INPUT �� �f MAKE pF FURNACE
Model
THERMOST/
Valve —�
Limit
Limit Setting
Fan Setting _
Pilot Type —
Pilot Make —
Pilot Model _
Pilot Timing _
L.W. Cut Off.
�CONTROLS
— Heat Plug
Pressure � Percent COZ �
Input CFH ` Q� Percent 02 �
Stack Temp. � ° Percent CO m� a
Form 235
l(
Vent Size
KIND OF LINER SIZE NONE
Draft Hood �)E' � � Reaulator
Filters Size Number
Chimney Location Inside �_ Outside
Chimney Construction
Smoke Bomb Wiring _ � � ,
Draft � � Test Tag
Door Pressure _ J,ighting Inst.
Date Tested � v'
Company Testing
Name of Tester
�
sua�ecr PERMIT
City of Fridley 16 0 31 �
AT THE TOP OF THE TWINS g U I L D I N G P E R I T �
r
� ,
� � •
� • COMMUNITY DEVELOPMENT DIV. /�/ ^
r � L � PROTECTIVE INSPECTION SEC. v
� �
1 A� �'���1 � CITY HALL FRIDLEY 55432 NUMBEii REV. DATE PAGE OF APPROVED BV
.. : -���J ��i `. J - .
612-571-3450 910-F15 � 12/5/80 � �
JOB ADDRESS 5509 East Bavarian Pass N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 7 Innsbur�k North T.H. 3rd SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Patricia Ode 5509 East Bavarian Pass N.E. 571-6684
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT 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 O REMOVE
X
8 DESCRIBE WORK
Install free-standin fire lace Ma'estic
9 CHANGE OF USE FFiOM TO
STIPULATIONS
SEPERATE PERMITS R�QUiRED �OR �Yi����,
HEAT1iVG, PLUMBtNf AND SK�1+lS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO_ DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANGES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y��.�QOQ y5. SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. $%. SO
PLAN CHECK FEE TOTAL FEE
�8.�0
��SiG REOFCONTRACTORORAUTHORIZEDAGENT �Dn7E� i WHEN PRO ERLY VALIDATE THIS IS YOUR PERMIT
�� �Q�.� � �
� GNATUREOFOWNERUFOWNERBU�LDERI iDATEI B�DG iNSP DA E
CI7Y Of� f=itIDLCY •
l�Pf'L�I(;/1"fIC�"� I"(l(t f?4:�;Iil(-ii�('I��t_ �3UIl_[lItiG (��('��iITS
(tde►�r, A1 �c.r��i.iuns, /ldditions, or {tcpairs)
� Gt�tll�R:��i R �e iA .D �"
ADDRESS : s'�' o � E. �
_ S1�7YR,�/N/V �A.s .3
TE� r�0: � �/- b 6 � �
�UI LQER : . . �lYl �
ndnRCSS: � .
TCL fd0: '
� Construction Location � '
• STI2L'�T fIO: ,.f��o y S2'ItEf:T: �, ,C�3/�yAR/AN �.sS -
L07': . �'c BLOC'iC: 'J � 1�DITTON:
Corner Lot: �:Lns�de Lot: SetbacY.: Sideyards:
Ap�licant att-zch to this form �L•70 Certificates af Survey of lot and
. praposed building location dra�an on certificates to scale.
DESCRIPTIOi� OF COt�,STRUCTIOfd -
_ �p�� ��
� �S<<C� Fror�t: Depth: Height:
Squa�e. Feet: C�ibzc Feet: .
Front • De�th : Heigtit:
Squar.e� reet: Cubic Peet:
�pe of Construction: �iRF ��Hd E Estimated Cos�: $(�ac
Zb Be Cbr,�plete�:
Proposed Drive�•�ay ividth If New Opening is Desired:
Alt. A Alt. B
$� $
S�� �.VE:RSE SIDE OF SHEET
�.iie undersigned hereby maF;e� applic�ticn for a pernlit £cr the �:vrk� herei.n specif.ied,
agreein� to c?o ,all wor3: ir� sErict accordunce ���ith tl:e Ci�y of I'ridle}� Ordiriances a�id
xulitigs of i�lie De��arlmciit. of I3ixiJ.dinc�s, and Izereby declares that all tlie iaci.s and
representztiens stated ;n this applicatian are true and correc�.
D.'�Tfs': _ I�'-s "_ C� � SIGI�T7ITUF�:: _ 4 Gv�-�Ca—� C-��
St:ipulaCions :
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�uti_n�r�c t>er<<�1 r� rr��� :�t:�ir:r�ut.�.� �
;);C"!�':t01� ?.. 'J.'1�� 7n•.c��eci:c�r of: )3u.i.).c?i�i�i ;:clui).J., hcf.ol:c: �.c�;taa.�u1 a�enna.L:; fc>r i:l�e crect:i.on
c�f: ����y i�tii1.c�.i.r��� ax :�t::.-uct:urc, c�r l:01: t�na� ��cicil:t:.i��n L•o t�l�y cr..i_�t:i.tc�J l�iiilcli.i�cJ oL :>tzlicLur.�.,
. ciz f.c»• zuiy t�l.t.c_�r..�t:ic-,n or. r.cl,ai.r.:: �� �any c.:,i.c:t:incj 1nii.t.di.�i-J or. :;L�:ucturc, uJ�c,n �r�J��a.cai:.i.on
�L1�c.:r�:i�or.c, r.cqu.i.�:c tJ�c l�r�ymci�t: }�y tl�c ar�p7.i.c�zr�t�. f:ar. s�icl� per.�ni.L• oJ' tcc.^, to tl�c arno�ant
)3c:r_u.in bc,l.a�•i ac:L for.th �incl a.�i 1�.11c inannc�: hcr.c�.n �,�:ov.icl�:c1 L�-�•r.iL: ,
l3)�:1•] CON�;�1'):UC'.iIOI�: Sing).e 1'�7mil.y ll�iacs and Ga�-�zc�es;: ;4.00/)_,000 cul�ic teat:. .
I'7,l:td (:1i1•l't;: ?.5 I�crcc��t: aL bul.lcli_ng }.>e�-miL fee.
U12I:��I:t•?AY llL•'1'P.i:5SI01•;: (ConcrcL-c, C.�.irb : trcets Onty} �'
' J1�.L"C:l'I)�li:(, A: ltc:moval .1I1C� replaccment of concrete cur.b and
quLL•cr. only; .l�riyeway vic2tli pl.us b£eei x y:1,�,�75
1�IL•ernat•e I3: Removal and rep�ac:emcnt of concrete curb and
. gut�tcr and iiistall a 3 foot wide approach �.�ith
' . 6 a.nch depth; nrivcway a�idth plus G feet x$17.85
• . A�I3I i Z on�n� t r�r��.Z.T or
I'or tlie purl�se of co�nput-i_ng iees for_ building Permits,. L-he cubica3. co;:tents of any
bua.Id�.n� or. addition, is deter.:nined by rnultiplyi.r�g ':he ground area covcred from a
pa�.n� si�: (6) inches belo°�� the' floor J.5_ne oi' L-he basement or th� cellar to tiie
average heights oi the �upper su�-face or i;o the average height of t.'�e roof: surf:ace
of- i:iie r�ain gabl.e oi a pitched roof. �.
For. ze��ai.rs or aJ.terations to an existang strticture, the fee shall be at the rate
. af $3 .00 z�ex cach �i.vc l�undred dollars °($500.00) or fraction '�.liere:af in the cost
oi all. proposecl wor.k. . � . '
�
Ir. �nn c.ase sha�.l_ th� fn� cliarged fcsr_ any pPnnit as s�t �orth i.n Sectiun 2-;a:. �:.ss � -
ttian $?. SO pI.us $.50 state swrcliarge. � • �
0
V�RT F I CATIO�! OF FOUi�IDl1l"I Otd
NOTE: Permits �or construction caill be issued a minimur,i of 24 hours f_r.om the ti.me
af applica�ion to al.l.ow £ox proper review of i:he proposed si.�ucture �nd o� the
construction site.
A Certificate of 5uivey of the lot, shoc,�ing the locatS.on oi tiie foundation once it
has beei2 cons�n2ctcd ��Till be required be. ore pr.ocecdinq witti the �rami.ng.
.�i:j-�I FI C T/1 E OF Q��UPAi�CY � �
' I+ppZS.cati.on for a CeLtificate of Occul�ancy shal.l be mac3;� ten (10) days pri.or t:o the
u�e or. accug�ncy oL- an}� stz-ucture for �.vhich a kiuilcli.ng perr,iit l:as been issued; and
s�iic2 stiuci.ure ahall uot be used or. occukaied tuitil a Ceri��.f:ica�e of Occui�:incy h�s
�3C:CI7 1SSU�'.CZ.
0
n
� — . F
•
�
sue�ecr IT N O.
City of Fridley 2 2 3 3 8
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T -
i � RECEIPT NO.
� �
COMMUNITY DEVELOPMENT DIV. �/yn
r � L � PROTECTIVE INSPECTION SEC. ��vt
� , �
� �
� � �'�'1 � CITY HALL FRIDLEv 55432 NUMBER pEV. DATE �AGE OF APPROVED BY
�""'�' �'' 612-571-3450 910-Ft 5 3/ 18 / 94 � �
J08 ADDRESS 5509 5511 5515 551 n
1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHEO
DESCR. 1, 2, 3, 4 21 Innsbruck North Townhouse 3rd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Varous
3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO.
Gittleman Const
4 ARCHITECT OR DESIGNER •MAIL ADDRESS ZIP HONE L E NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Townhouse G r e
7 CIASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOFK
Reside
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING S�. 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
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINEO THIS APPLICATION STAIIS GARAGES
AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �3 ��+OO � 1.%O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFMITFEE SACCHAFGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- Inv. Fee
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �63.00
PLAN CHECK FEE TOTAL FEE
License Sc 5.00 $136.10
SiGNATUFlEOFCON�RACiOAOAAUTMOAIZEDAGENT IDATEI WHEN PROPE L VALIDATED THIS IS YOUR PERM�T
� 3- 2/-��/
SiGNATURE OF OWNEA i�F OWNER BUILDEAi IOATEI G i SP �1aTE
NEW [ ] . Effecti�e 1/1/94
ADDN � [ ] . � � � CITY OF FRIDLEY � � �
ALTER � [ ] � SiNGLE FAMILY AND DUPLEXES R-1 ANb R-2 � � � �_ / ; �
. Buildmg Permrt Applicat�on . � � � , i
�1��C—�� SuILDI N C �a�
CoristructionAddress: 55d�i �� 1 i;�Sl S� 5SI3 �• �.��t� "L> t�t�l �'i�s-5 -�� a�
Lega1 Description:
Owner Name & Address: I NNSSR.I.Ir� N �iZT�k -T'OW.ti1 kkc(�t,j S� l��G�• ���Z• 571� I C�2�
Contractor: C� (-i"� r� t� � f`-lST 2..UeT � o� Ct� IZ. P� MN LICENSE #
Address: e GUG XEIZXES �v��, 5-r.I�'IZ� u�-�1NC--t7"N SS431 Tel. #�3!-2SoS
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTI�ER:
Attach to this application, a Certificate of Survey of the ..
lot, with the proposed construction drawn on it to scale. . �
Length
I.ength
Length
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Height
Height
HgtiGround
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction: �S 1[7 l r�G-�- V�l-oo t7 Estimated Cost: $ 34-� °
Approx. Compledon Date: J vL� ��¢
(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:
�,� c��
$ �,�. c�
$ �-`ib
$ �, �C�
$
$ ,�- c�c�
$
$
$
$
� J��./�
CITY USE ONLY
Fee Schedule on Reverse Side
_$
Tel. #
.001 of Permit Valuation (1 / 1(�h %)
$.50/$1,000 Valuation
$800 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 [ )
, • BUILDING PERMIT FEE SeHEDULE
The Chief Building Official shatl, �efore issuing permits� for the erection of any� buitding or structure,
or for any addition to any existing building or structure, or for any alteration or repair to ariy existing
building or structure, upon application therefore, require the payment by the applicant 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
$501 to $2,000 �
$2,001 �to $25,000
$2.5;001 to $50,000 - .
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000 �
$I,�OQ,001 and up
FEES
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 plus $2 for each additional $100 or
fraction ttiereof, to. and �including $2;000� . .
$45 for fi�st $2,000 plus $9 for eacn additional $1;000
or fraction thereof, to and including $�5,000 �
$2S2 �for first� $25,Q00 pl�s $6.50 for each additional $1;000
or fraction thereof, �o. and including $50,000
$414.50 far fust $50,000 plus $4.50 for each additional
$1,000 or fractioa thereof, to and including $100,000
$639.50 for fust $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$2039.50 for the first $500,000 pius $3 for each additional
$1,000 or fraction thereof, to and inciuding $1,000,000
$3539.50 for the fust $1,000,000 plus $2 for each additional
$1,000 or fractioa thereof -
DRIVEWAY DEPRESSION ESCROW
(Concrete Ctiurb Streets Only)
Alterna�e "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
$13.50_
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 $15.75_
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 honrs from the time of applica�ion to allow
for proper review of the proposed structure and of the constiuction 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.
� � a�e�cc.� �. r c n .
C;ty of Fridley 3 0179
AT TNE TOP OF THE TWINS g U I L D I N� P E R M I T
� ` RECEIP
� � •
� � ____ COMMUNITV OEVELOPMENT OIV.
f � v � PFiOTECTIVE INSPECTION SEC. 5� ��
� �
l._-- �,��'��;'� CITY NALL FRIOLE� SSI,Z NUMBER REV OATE PAGE Oi APiROVEO 8Y
L J\ 612-571-3450 910-F15 9/7/99 / /
108 ADDRESS 5509, 5513, 5515 East Bavarian Pass NE
t LEGAL �OT NO. BLOCK TfiACT OR ADDITION SEE ATTACNEO
oesca. 2,1,4 7 Innsbruck North Townhouse 3rd Addn. SMEET
2 PfiOPERTY OWNEF MAIL AOORESS ZIP PMONE
Jan Olson 574-1956
3 CONTRACTOR MAII ADDRESS ZIP PHONE IICENSE NO
Northern Crest, Inc. 8245 Polk St NE Spring Lk Pk 55432 792-9364 20098415
� AFiCHITECT OR DESIGNER MAIL ADDRESS 21P PNONE LICENSE NO.
5 ENGINEER MAII AODRESS ZIP PMONE LICENSE NO
6 USE OF BUILDING
Townhouses
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATIpN �X REPAIR p MOVE O REMOVE
8 DESCRIBE WORK
Reroof 3 townhomes (39 Sq) Tear-off; Replace 3 windows in 5515
9 CHANGE OF USE F
STIPULATIONS
Underlayment must comply with the State Building Code.
Install smoke detectors to meet the State Building Code - in each sleeping
room and on each level of the home.
TYPE OF CONST.
SEPARATE PERMITS ARE REQUIRED FOR ELECTNICAL, PLUMBING, HEATING.
VENTI�ATING OR AIR CONOITIONING.
TMIS PERMIT BECOMES NUIL AND VOID If WORK OR CONSTRUCTION 20NING
AUTMORIZEO IS NOT COMMENCED V�IITHIN 60 OA1'S, OF IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO fOfi A PERIOD OF 120 DAVS AT
ANY TIME AFTEF WOFK IS COMMENCED NO DWLG. UNITS
I MEREBY CERTIfV THAT I HAVE READ ANO EXAMIN�D TMIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION
ANO ORDINANCES GOVERNING 7HI$ TYPE Of W(�RK WI�� BE COMPLIED
WITH WMETHEfi SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT �7683
DOES NOT PRESUME TO GIVE AUTMOFiITV TO VIOIATE OR CANCEI TME pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGU�ATING CON-
$TRUCTION OR TME PERFOfiMANCE OF CONSTRUCTION �ZS3. ZS
� � r / � �r-��.
PI,AN CNECK fEE
�
� �f� ��' ���'�'4/�' `�`- Lic C 5
S�GNATUQE QF CON'AAC10Q OA MUTMOQ�ZEO �GENT IDATE� . Cu pnn�
OWtiEA��� OWNEABUiLOERi �D�TEi
OCCUPANCVGROUP OCCUPANCVLOAD
SO.FT CU iT
Off51REET PARKING
STA�LS GARAGES
SURTAX
3. 84
SAC CHARGE
� ire/�C $7.68
Au�� �
nctf
NEW [ ] � Effective 5/10/99
ADDN [ 1 CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ��! ����
BUILDING PERMIT APPLICATION ,�-�
`�� ���'i
ConstructionAddress5515 East Bavarian Pass Also 5509& 5513
Legal Description:
Owner Name & Address: Jan olson
Tel. # 574-1956
Contractor: Northern Crest, Inc. MNLICENSE# 20G98415
Address: 8245 Polk 5t. NE Spring Lake Park, MN 55432 Tel. # 792-9364
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIP'TION OF IlVIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OT�IER• ���! ear off and re-shingle house and garage. 39 square
Replace 3 windows in 5515. $ 4,275.00
Construction Type: Estimated Cost: $
a�S.�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 9-7-99
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT:
$ �;.aS�
$ % ��
$ �
$
� �:�ov
$
$
$
$
�_ ! � �
Lill Olson
CITY USE ONLY
Fee Schedule on Reverse Side
Tel. # �92-9364
.001 of Pernut Valuation (1/lOth%)
$.501$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 [ )
. �
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 permit 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
d �
$100,001 to $500,000
$500,001 to $1,000,�J00
$1, 000,001 and up
FEES
$23.50
$23 .50 for first $500 plus $3 .OS 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 iust $25,000 plus $10.10 for each additiona.l $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
$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
Pernuts far 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 construcied vvill
be required before proceeding with the framing.
sue�etr RMIT NO.
City of Fridley 3 0 2 4 4�
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
; � RECEIPT NO.
.
COMMUNITV DEVEIOPMEN7 OIV.
� ; V ��..� , n�
r � � PFiOTECTIVE INSPECTION SEC. "rj ��
1 � �/
� � �"'1 � CITV NALL FRIOLE� 55�32 NUMBEN i1EV D�TE PAGE Of AvnROVEO 8�
�----�•' �•' 612-571-3450 910-Ft5 9/21/99 / /
JOB ADORESS �509,5511,5513 5515 East Bavarian Pass NE
t LEGA� LOT NO. BLOCK TflACT OR ADOITION SEE ATTACHED
oesca. 1- 4 7 Innsbruck North Townhouse 3rd Addn. SHEET
2 PROPERTY OWNER MAI� ADDRESS 21P PHONE
3 CONTRACTOF MAIL AODRESS 21P PNONE LICENSE NO
North Central Builders Inc. 7401 42nd Ave N New Ho e 55427 533-6168 3763
� AiiCHITECT OR OESIGNER MAIL ADORESS ZIP PMONE LICENSE NO.
5 ENGINEER MAIL ADDRESS 21P PMONE IICENSE NO
6 USE OF BUIlD1NG
Residential
7 CIASS OF WORK
O NEW O ADDITION ❑ ALTERATION � REPAIR p MOVE O REMOVE
8 DESCRIBE WORK
Reside townhouse and ara es
9 CHANGEOFUSEFROM TO
STIPULATIONS
Call for building wrap inspection before covering.
TVpE OF CONST. OCCUPANCV GROUP OCCUPANCv LOAO
SEPARATE P�RMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING. MEATING,
VEN7tlATING Ofi AIF CON01710NING. �
THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION ZONING SO. fT CU FT.
AUTHORIZED IS NOT COMMENCED WITMIN 60 OAVS. OR IF CONSTqUCTION
OF WORK IS SUSPENOED OR ABANDONEO fOR A PERI00 OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO DW4G. UNITS OFfSTFEET PARKING
I NEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPIICAT10N STALIS GARAGES
AND KNOW TME SAME TO BE TRUE ANO COiiRECT. ALL PROVISIONS Of �AWS VA�UATION SUFiTAX
ANO ORDINANCES GOVEqNING THIS TVPE OF WORK WILL BE COMPLIED
WITM WMETHER SPECIFIED HEREIN OFi NOT. TME GRANTING OF A PEFMIT $18 %9% 9.40
DOES NOT PRESUME TO GtVE AUTMORITY TO VIOIATE Oii CANCEL TME pERMI fEE SACCNARGE
PROVISIONS OF ANV OTHER STATE Op LOCAL LAW REGULATING CON-
STRUCTION OR THE PERfOfiMANCE OF CONSTRUCTION 3O%.ZS Fire SC iH.BO
PLAN CHECKFEE TOT FEE
� � Z� "�C,% Lice S 5. 40. 45
S�GN41Uf7EOFC CRACTOQO i uT.+OQ�ZE •GENT iO�rE� EN ROP AUO THIS IS V R P RMIT
+ / I
S�GN4TU�iE O� OWNEQi�F O✓�NEQBU�LDEAi �O�TE� B G�tiSP ����E
NEW [' � � ~ Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
550g 5��/ SS/ 3 rSl �
_ p
Construction Address: � SQq — 5'-S(� /=�¢Si �/i9v�� � ��,
Legal Description:
�� � %���
��
Owner Name & Address: Tel. #
Contractor: �D/t T�l C���va,% „�iv c MN LICENSE # 3 7G 3
Address: % S1 p/ �Z '�` � /j/.�w r�c� �'��z� Tel. # _; 3 � - l� 1 (o`
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIP'I'ION OF IlVIPROVEMENT
LNING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: ��,°S �,/ � �u � uJ � n/� J�- �'iA�4 �. - %�,v,c� ��
Construction Type:
Estimated Cost: $ C � � � 7 �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �
DATE: �o �r 9 APPLICANT: Tel. #.�3 3-G! 6�
Permit Fee
Fire �urcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ '�,�5�°
� 1 �_ 86
�—��d
$
$ � dc�
$
$
$
$
CITY USE ONLY
Fee Schedule on Reverse Side
.UOi of Yermit Vaiu�tion (1%il�7t[Y°%j
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractars)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary ( ] Not Necessary [ ]
� � �b. � S�,
�
� . ti .
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing pernuts 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 first $500,000 plus $4.75 for each 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
Pernuts 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.
Building
Inspections
763-572-3604
DATE � �
SITE ADDRES =.
THIS APPLICANT IS:
PROPERTY
OWNER/
TENAI�IT
CO1vTRACTOR
SUBMIT A COPY OF
YOURSTATE
LICENSB WITH
APPLICATION
PERMIT TYPE
TYPE OF WORK:
PLUMBING
RESIDENTIAL APPLICATIQN
CITY OF FRIDLEY
ER ❑CONTRACTOR
NAME: LV �
ADDRESS: ,r
PHONE:��,�. ,
NAME:
STATE LICENSE #_
ADDRESS:
PHONE
❑ SINGLE fAMILY
❑ NEW
fON OF WORK
CITY
Permit No.:
Received Byr
Tl..�,. D..,.�.].
STAT�ZIP,
EXPDATE
CfTY STATE ZIP
� FAX
❑ TWO FAMILY
❑ REPLACEMENT
TOWNHOUSE
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WH�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEAT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUM$ER OF EACH BELOW)
BATH SINK/LAV FLOOR DRAfNS SHOWER WATER PIPMG
BATHTUB GAS PIPING rh�r:i:nrirr�.�r��,NS•r) SWIMMING PQOL WATER SOFTNER ($35)
CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15)
_ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee $
Surcharge
TOTAL DUE $
Number of fixtures @ $10.00 x $10.00 = $
.50 Number of fixtures @ $15.00 __�__ x $15.00 = $�(�
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ 50
Total = $ ��
THIS IS AN APPLICATION FOR A PERMIT-NOT VAUD UNTIL PROCESSED
I hereby apply for a building permit and f acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case qf �II vKork which requires review and approval of plans.
SIGNATURE OF
PRINT NAME
City of Fridley
Buildir►g Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
F�4X: 763-502-4977
1�7`�
Building PLUMBING Permit 1vo.: � - �
Inspections RESIDENTIAL APPLICATION Received By: 'f
763-572-3604 CITY OF FR�DLEY D��'�F
DATE �� O� YOUR E-MAIL ADDRESS
SITE ADDRESS ��� �(� Ya i I Gi.1'� �Gl SS
THIS APPLICANT IS: ❑ OWNER C�ONTRACTOR
PROPERTY NqME: LU f'1 ��C�,L� r
OWNER/ �DRESS: �'G�VYLQ_ CITY �Ii Q��i-1 STATE✓��LIP SS-1 3�'
TENANT pxoNE: � I�-a �' �oy b a
CONTRACTOR NqME:
SUBMIT A COPY OF STATE LICENSE # GF1a111pI0n ('�o�� � P/yl�j{p DATE 1 a-�`�
YOUR STATE �nitESS: -�5-1340 CTTy STATE • ZIP
LICENSE WITH pgpJJ� FA7{
A.PPLICATION �
PERMIT TYPE ��GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: � �W �pLACEIv1ENT
- DETAILED DESCRIPTION OF WORK
PER MS 16B.665 the permit fee is a minimum of $15.04 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost beiween $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOVI�
BATH SINK/LAV _FLOOR DRAINS SHOWER _ WATER PIPING
BATHTLTB GAS PIPING � crrr�c� SWIMMING POOL WATER SOFTTTER ($35)
CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15)
DISHWASHER LAUNDRY TRAY �WATER HEATER ($35) ! FOR IRRIGATION
— WATER METER ! OTHER
�.- �
„ � .�- . ,
:,` � � �� ° : , . .. . .; � . � . : .
, ,"�� .,'.
Permit Fee $ . �JO Number of fixtures @ $10.00 x $10.00 = $
Surchar e .50 Number of fixtures @$15.00 x$15.00 =$
TOTAL DUE $ 5.� Number of fixtures @$35.00 x$35.00 =$
State Surcharge = $ .50
Tota1= $
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construcrion Codes; that I undexstand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT _ PRINT NAME� �� r�DATE 1� � O
. ,.. .. ,.... ,. .., ,. .. .,._. _ ,. . . ,� .
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977 � -�j ( j / �
r♦
�
B�ilcling
Insp�Gtions
763-572�3604
7�3-SU2-4�77 FAX
z�nx� �,o --� � ��-
s�r�c nnnx�ss 55�A �L�
Tf•YTS APPiCCANT IS: 'R( O'4�+N�R
PROPERTY OWNERI NAMR;_
TENAN'r . _.....�...
From: 763 765 0750 Page: 2/4 Date: 6/5/20081:06:55 PM
�rUXXID�.NG Pc�mit No,�
RESIDENTIAL APPLICATI�N lteceived By:,
CITY QF FRIDLEY ijate Rec'�.: �
'YOUTt E-MALG ASiD�tFS3
�55
❑GON!'1thCI4R
r� 1 Q.,r`
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0
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CUNTRI�CTOR ADDRESS• Cl'1'Y STA7'E 7..fP_
SUBMx'I' A, COPY l3F PHONR .. .. ....._ FAX
ouR sT.aTr, Lrc�vs�
--...._... .. . . .
RTATii L[CFSNSA � , _, _. _ ,,,,,,_ _, EXY DATE
......._—.
PROFERTY TYPE �SRYf:LF. RAMfLYMBW CONSTRUGT[UIV svr-. ��n�.anar�.
❑ TWO AAivtiLYlNBW CONSTRUC.'TfUN $'1"OKlY�S�
PERMIT TYPE ❑ ADDLYLUN -� O GARAGL'/S1iP,fJ ❑ wIATDOWs
❑ BASEMBNT FIPUSH O RUUI' ❑ 1J1tA1N'ftY.�
❑ DBCK � WI141NllMCi PUUL �0'rITE1Z �" [ �+ � � � �l� ■tiT�4��_
O.l� 'V�''OX��: �❑ NLw ��OML CON51]tT1CTTDN �J AnniTTON
BMauv�rii[vANCtlxGriAi1L n REMOAFr.r�YG
A�SC�E WOii�C FtETNQ F�O�IF::�
SuL Or uKYxOV�rN�r �g �tn5 d- re
xooKUV� �
NUM$ER OF SQUARES
GARAGES
PROPOSHD S[ZE:
PRQPOSRD HRIGH7;
8Ci. )17VG
G Vinyl
CJ Altuninum
❑ cxi�e�
Wii�lnOV�!S
1N RXISTiNG O�N�NC�S L']Yes 1-1Tio
QR FOR NRW OPFiNINCr3-DFiSCRIF3R S1Z13 AF
OPBNiNC CHANCBS &
A,X.X, lF9E�S A,1R�t �3A51�ri
Pormit Tcu
Plan Rcview
Nu•e Surcl�orge
Surcharge
Lieen.se Surcharge
5AC Chrugc
Curh Cut Escrpw
�ro�iun Coatr�l
kark k'ee
Scwcr Maia Chargc
�O IIOUS� OM.Y
❑ iiousL � c3n�tn4E
❑ AfTA(:HL'll QAltAO�
L] DETAC;HEU LiALtAGL
❑SAftit
Q Trim
O Pascia
Ul[:AT[OiV OF WINDOWS
�
��
RA3F.MAtdT RRMnbRLIA'C SUSMIT:
l. Existing p�oor rlan
?. P�aposed f�oor plan
3. List ufstn�clunl numbcrs w be nsed
���K [vLw CONSTKUCCtON [NCiUIDING AECKS,
jV��,, ,wurriu�s..�.�tl3�'��:c s� ���Mr��-
1. Sila PIatJSutvcy siww'uy,* Ihe exisliug StrtiCtui+eS
�d P�r�d �i�:�.
2. I'wo eets of s:onstmcliam pl�s
3. f:nergy Cal�ulalivns
A'ItD MATCRIALS;
SWG TFI� 1997 UBC FEE SCHEDULE)
_ UC'.CUYAIVCX '1'�fA'!:_
„ . ._... .
__ ........ ... . . .
$ " See i3ack Yage for r'ee Scliedule
$._....(.�. ,�j„ _._� 65% of Duitding l�erinit kee
$�� � �� � .00] ti�ne.s the tc�tal joh valuatian
� : ;=, .QOOS x Pern�it Valuation Minimum $.SO
$ $5.00 (Sfidtc Lic:cn�od Rcsidcntial Ccmtractoss)
$_____. $1825 per SAC UcuC (Plai�s t� MWCt; for deoerminatio�z)
$ ft+6ft= i�x$21=$
$ $�15d Ccrost;rvation Plan Rcvicw
$ lree lletex•mu�ed by J3ngiueering
$ Ageement necessary ( ) Non Necessary+ ( )
T3iL5 i5 AN APPLI(:A710A! PUR A PERM[1'-NUT VAL[ll UNT1L PRUGFtiSED
I l�er�by apPly for a buildin�; pnr,nit eacl l ueVuwwle�n �hai the infarmatioa abvvc ts wmplr�e und uccuruie, ihui rhn work will be in eonfo�manee wilh �he anlimnca�a and �rodrs
OP Qie City of T'ridtey uaJ with Ihn Mianr.sola G'onsttuc.riun (:odes; that 1 undecst�nd this ix aat a pennit but only un applicudan %r u permii and wark is not ta start without u
perWil ou sile: lhal lbn wcuk will be in � �e with t e epp�ovcd plaa in thc casc of all work which mquirea roview aad a�ipmval oPplan.a.
STCrNA'1'U 0 PPLICANZ � 11 PR1NT NAME L�J�.i fc..lf QQ,1� DA S r
� . _ . : . _ _ . � _ i�
APPRaVED BY
PLfiASB NOTE: SEPARATE
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