AF - 42454City of Fridley�, Mi.nn.
6431 University Ave. N. E., Minneapol'xs, Minn. 55432
BUILDING PERMIT
aa�: - December 26. 1972
r
i � �
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e �
��� Darxel A. Farr Development Co.. B�der SameY �� �_� � TY.y�
�d�� 5901 Brookl.yn Boulevard Aa�ss Same _� _���__ __'��
LOCATION OF BUILDING
Na —5513 g�.�t � East Bavarian Pass N.E. �___ p� of Lot .—�.._.._.
Lot 1 Biock. � ._..___._.�.. Addition or Sub-Divisian Innsbruck _North T.H. 3rd Addition
Corner Lot
Sewer IIevatian
Inside Lot . X Setback _..�.....__._...____.._._ Sideyard
—.-.--__ _... Foundation Elevation _._�.
DESCRIPTION OF BUILDING
To be vsea as:
1200'
Tn•��nh�u.G�. Front ._...�..� Depth 24' Height ...26_�_...__ -Sq. F� _.---600! Cu. Ft ._15=600'
_�*argg�s ..__ Front ._._..10 . 5' Depth 22 � Height __1�.�____ Sq. Ft. .---.-231' Cu. Ft _2310'
Type of Co�struction _W.aud_._Exa*±+a _ Fs� Cost .._..S2Q�_Q1Q__..�____.. To be Completed __...Y_l_�4�r
8�i��$ Stipulations : � ��r% I �, � t
In consideration of the issuance to me of a permit to construct the building described above, I agree tq do
the proposed work in accordance with the desCrYption above�set-fe�h and in compliance wit all provisions oE
Qrdinances of the city of Fridley. � ,� _
In consideration of the payment of a fee of $- �a - 0� ._..._.._.., permit is hereby granted to�.7�'.-el A. Farr Dev.
to construct the building or addition as described above. This permit is granted upori
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances oi`
I;'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
Within the city limits and this permit may be revoked at fi,ii%i° on violati f y of the provisionss of said
ox'diiiances. ��
�
Building Inspector
DARREL CLARK
NOTICE:
This psrmit does not eover fhe eonstruetion, insfallation for wiring, plumbing, gas heating, sewe� or watar. Bs wn to sM
t6s Building Inspeeto� for separate permits fo� these items.
r1�'PLICATIO:� FOR RESIDENTIAL, �LL'Ct,RA'�IO�I,
OR AllllITIOi� BUILDING P�RI�9IT
CITY OF FRIDLEY, P-�INNESOTE�
0'r�2��Z' S IdA:� :,��i�r�/ � F.arr� ,C7Pvr/,�,. C'o. BU�LD�t : S�r�'+ e
x�.DD�S5 : �5'90/ .C�rook/y» �iud . ��R.c�SS : s � � e,
NO:. SS/3 sT�EE�: .��.r� �AV�rias� f�i�s,S
L�'.�: � BLLtiCK: % ADDiTION:I/7NJ�rac� /i/Or��s T.fid. 3~i�a(�i¢�oYt
CO�,.`�'. LaT: IP�SIDE IOT: !� SETB�C�: SIDr.YA.R�:��
,�r�� ? i�ant ���ach to this foxn 3�o CQrtificate� o� Surv� of Lo� 3nd pxoposec�
buildi.ng location drawn on th��L �ertifi�a��s. �
�ESCRIPTION OF BUTLDII�'G
�o Be U3�d As:
��r' r�r��.+� � �'zont : ..�� � n vpth : .2� � H�i�ht : .2��
/,2 0 0
S�ua�e Feet: C,�ta Gubic �'�et: /•S. �OC�
� �3"��P ' ?�x�n�: /E►.� � ��p�h: .2� � HY:tUi�t; /0 �
Square �'Qe?-; .Z3/ �ubic ���w�: <�3e4
�p� oz �onst:-uctio:i: ��:or,� ,��'c�os.� r;s�i:;a��d �n��: � �� f/�o.ob .
�o �� ����.��a: - 8—/ — 7,3
`i"�v un�le�r�i��s� h�x�by m�'�c�� apr�lica�i� �or � p�z�-xai'� �or �.__ _t�Q~ �C h�.� ���r�
s�wci���d, ;o�=aing �o �o all ?ao�'.�c in ��'�i�� mcca��azc� �.ai'ti �'�Y ��.�� as
� ri<1' r;.y +J�.'a? r��c°� and �.al-� r�s uw z�? ���a�c�n� oz :��:i1:��1:i.���;�, ;�r1 �ti:� Y°�y
d;�cl�x�a vna� a1� ��!� s��.�3 �nc� r.�pr�s�n���ions s�.3��d i::3 �:,:��3 �p�l���t�3n
a�-� :�!;� and cox�'?c�.
:��'.: :: /.2-,��- 7.Z ������.�~��:.;:
(S�� �-�vs�s� Si�4 �or <��cl-�}i�:i.:�'i 3nz"�:t-^.at3.ur..j
. ,
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.
560-3450
�i�o r���e
� �
ANOKA CQUNTY
6431 UNIVERSITY AVENUE NE January 31, I975 FRiDLEY, N1INNESOT�!;. 55�132
Mr. James I.ondon . -_
Darrel A. Farr.� Developrent Corp. . -
2810 County Road 10 �- -
_ Brooklyn Center, Minn. 55430 "-
Re: Status of Permits for Six.Quad Units � �
� Dear Mr. London:
The Cit.y of Fridley still recognizes the building �ermits for 5501, 550`3,
5505, 5507 & 5502, 5504, 5506, 5508 & 5509, 55Z1, 5513; 5515 & 5510, 55].2, 5514,
5516 & 5520r 5522, 55?4, 5526 & 5532, 5534, 5536, 5530 East Bavarian Pass N.E.
as being valid, howe�er, if work is no� recammenced.on or before May 3T, 1975,
we �Jill consider those nQt wor�ed on as void. They will not be renewable after
the May 31st 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,
DGC/mh
CC: Dick Sobiech
Jerry Boardman
0
DARREL G. CLARK
Community Development Adm.
�
sus�ecr PERM O.
City of Fridley 484
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T '
r
� � COMMUNITY DEVELOPMENT DIV. R��I�I�(O.
� • �
r � L � PROTECTIVE INSPECTION SEC. �
� �. �
�` � ��"1 � CITY HALI FRIDLEY 55432 NUMBER � REV. DATE PACaE � OF APPROVED BY �
`���'� � ,'� 612-560-3450
910-F15 8/10/78 � �
JOB ADDRESS 5513 East Bavarian Pass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ]_ 7 Innsbruck North Tawnhouses 3rd AdditionsHEer
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel A. Farr Develo�enent, 7286 - 72nd Lane North, Mpls., MN 55428
3 CONTRACTOR MAIL ADORESS 21P PHONE LICENSE NO.
Same 560-8110
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Cbnstruct a 24'.x 26' TownhQUSe and a 22' .x 12' Gara e
9 CHANGE QF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS AFE REQUIRED FOR ELECTRICAL, PLUMBITlG, HEATING,
VENTILATING OR AIR CONDITIONING. WOOCI F�dIIIE
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 6Fi4 'I' 264 15, 760 Total
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 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 COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S23r12S $�.�..56
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OF LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �`C3.O4 $400.00
PLAN CHECKFEE TOTALFEE
$15 $490.36
SIGNATUREOFCON'RACTORORAUTHORI2EDAGENT IDATEI WHE RL �VALIDATED THIS IS YOUR ER IT -
e
SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI � BL WSP ATE -
. . . . . . . . . _ .. . . • w 1 1\11.lt_L 1
.
APPLICATION FOR RESIDENTIAL BUILDING PERMITS ��� /Jf%
• �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS), �
�•y9�'3� .
��l '�: �rrel fi'. �/:-Plt �Ot)n�n n � •
BUILDER:� � t
--__.
I � Address : � _ � � , 7 ( �� Address : �� � )s � .
�
�I�t .,► , ,.�--.---�� 7
' Tel. No. : S'jv0 - 8' / ! (� .
----�_.._...
No. � �j��
. . LOT: �1
Street:
.
BIACK: - ��+
ADDITION: TN rH � � .i� �,,,( � -.�,��
C�RNER LOT: , INSZDE IAT: ✓ SiTBACK: SIDEXARDS:
Applicant attach ta t.his form Ztao Certificates of �urvey of Lot axid �� \
'�uilding iocation drawn on these Certifa.cates. px'O�Sed
. . . - �
DESCRIPTION OF BUILDING
4b Be Used As:
. ,
�i,vr�,%nu4 0: Front: _� � Depth: �ir� Height: .
. ,.,
Square Feet: -- ��-.�_ Cubic Feet: /$�% 0
� ; �
Front: —� Depth: / � ^ Ne3.ght: -
. . Square Feet: Cubic Fee�:�
Type of Construction: _�po�� �,��,�„ ,, �t�ated Cost: $ 3 p(�
--------
-2b Be Completed: ,P � , �/9 7 p � . . -
�
` • /Alt. A A2t. B
: Propased Driveway Width If New Opening Is Desized � �
, $ $ • -
- . --------;- __-____---
. � . (SEE REVER..Sg SIDE OF SHEETj
. : ,
_'d'he undersig:�ed hereby maSces application for a permit for the work heie�
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings af the Departm�t of Buildings, and hereby
dec],ares that.all the facts and representations stated in this application
: are true and correct. See reverse side for add�,tiona� infoxmation. �
DATE: .� 2 SIGNATURE: f
Stipulatians: , � � , .
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l-I-�S( y9o-37
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97 —8� —l�16052�
l. 1 I I UI I I�l U(_L` 1
APPLICATION FOR PWFIDING f,NU GAS FIT7IPIG PEF�f�IIT
PARTIAL RATE SCIIEDULE ' '
PLIJ?IBING FIXTURC RATES; N0, RATB
�n��r eixc�e9 x s3.00
Ev�uce F �ctura Openin9 x $2;00
1�e•� Flxture, Old Opening x $2,00
Catch Basln ' , x 55,00
Nacer fieatec - to 99,000 BTU ' x $5,00
ioo,000 a� to iss,000 aT� x slo,00
wacnr Sot�ener x $7.00
i�CM Ground faln Old 0ulldlnq x $5,00
�leccrlc Nater Iieacer � x $5,00
G�S FITTING FEES; �
lst•3 tlxcuras � x $3,00
A:]alcion�l Fl�c�ures x $1,00
Cas Ren9a co 199,00� BTU � x.$�:0.00
REP�1 RS f� ALTERATIONS
ei.sc sLOO.00
e�ch edd. 5100,00 or lractlon
$s.00
$2,00
Si:o.t� Surchnrga
' TOTAL L'CL•'
REIIISPECTIOII F[:(:
� l
TOTA1.
s
S
—�
S
S
$
S
S
S
S
S �_,
S '
$
�
S
$ , 50
S 1��
ti�
Job naar�ss 5513 East Bavarian Pass
Department ot i3ui.ldl.ngs
City oE ['ridley
Tel, 11571-3A50 .
Tho �indorsi.gnad hereby makea application tor n perrotC for th�;i �rork herain
apeelfled agreeing to do all work in strict accordance with thi3 City Codas
and rulinys oP tha De��arcmenC of Buildings, and hereby declareu thet nll
tlio facCu uud repruaonLnL•Lons st�tod in thie u��i�llcntion aro tKUO and corroce
Fridlay, ��tn � 9—�5-79 , 19
OWNCR FARR
KIN� OF IIUII,DItJG 'frame
USED AS r,�S. ' ,.
TO BE COt-1PLGTEO AfiOUT ZO-2-79
ESTIPtATED COST L1O.00
OI.D - t7L•'41 AUILDIIJG PERI4TT N0, �IT NQ? _l���g°"'t'��%
' " � � �
CompanY �f;^�N�;1;.:��0
Signed Hy
Tel, No,
rwucrt iuse.
Da to ,
Fir��. x��se,
Data .
� APPROVItL POR PEti1�tIT wE�/J
MINIMUAI FEE F'Oft RNY PLUI�BINC PEFUITI' IS 57,50 pLUS $,50 SThTE 6URC]IARGE
Ir~
�
' CITY OF FRIDLEY � . .
APPIICQTION FOR PUIMBING AND 6AS �I�'T'ING ��RMIt
� a� ' U k� rJ water
� e� ��'� � q�.�+ m o � o, u�. � Heater
w � m �° � ..�i °1 �e "� a°� �' v..°+ 6� x a ci � a�i
v"i ' u a m ai vi 3 0 �°. � g u w Q� � � c� o as lec
/ ' ' �
�st 1
2n3
3r3
4 .�.'1
(R) = Fvture Connection Opening Connected with Sewer
(*) � New Ffxture, Old Openinq Water
PARTIAL RATE SCHEDULE
PLUbiBING FIXTURE RATES: N0. RATE
N�.uaber Pixtures � x S3.00
FVture Fixture Openinq x $2.00
Ne•r Fixture, Old Opening �� X $2.00 �
Catch Hasin X $5.00
Water Heater - to 99,000 ETU �_ x 55.00
100,000 BTU to 199,000 ST�J x$10.00
Water Sof tener x $7.00
New Gzound Run Old Buildinq x $5.00
Electric Water Heater x 55.00
GAS FITTINC FEES: • .
. lst 3 ffxtures _� x '$3.00
Additional Fixtuzes x 51.00
Gas Ranqe to 199,000 BTV s ST0.00
REPAIRS $ ALTERATIONS
First 5100.00 $5.00
each add. $100.00 or fraction $2.00
SLste Surcharge
Fi�r� ���?Er
TOTAL
S
S
S
S
S
S
S
S
S
S
S
S
S
S
$ .50
S ��[_s?s1..
Job Addresa
1� �\ 1__ :, �'l�_: 1'r.1 Y? .\ a n t `iGa C' [•
Department of Buildinqs
City of Fzidley .
Tel. #571-3450 ,
The underaiqned hereby makes applicatioa for a pezmit for �hn wozk hereit�
apecified agreeinq to do all wozk in stzict accordnnce with the City Codes
and rulings of the Depart�nent of Buildings, and hereby declares �hat all
the facts and representations stated in this app cation are true and corzect
Fridley, Mn. , 19�
�R � �� .. . ,,�� � ., �
KIND OF BUILDING ` I ��
USED AS '
TO BE COMPLETED ABOUT �
ESTIMATED COST
OLD W UIL NG PERMIT NO. P,ERMIT N0. / �
� — -
Company
Signed By I� _ --_
�
Tel. No.
ROUGH ZNSP.
Date
FINAL SNSP. � ' ! —�
� Date
APPROVAL FOR PERMIT �'� Y�
MINIMUM FEE FOR ANY PLUM82NG PERM2T I3 5�.50 pLUS $.50 STATS SU�RGE
ItE;INSPECTION FEE �
(510.00)
�
GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD � -:.�=�,�`��
�- � � � , � .
ADDRESS � ��J` U ��'� f��V CITY � e
OCCUPAAIT OWNER ���k�'L T ��''��
HEAT LOSS DATE HTG
SOLD BY
I NST.
Electrical Work By w► v�
TYPE OF HEAT GA_ FA HW_ STEAM_
GAS DESIGN
MAKE _- � '� �`� �
Model � � � -�
Seeial U ��' ` � d �"
INPUT � � ��
CONTROLS
THERMOS,�AT � � Heat Plug
Valve �v Od
Limit
Limit Setting
Fan Setting __% � � '
Pilot Type L � �
Pilot Make r
Pilot Model �k S � �
Pilot Timing - S� S Q-C
L.W. Cut Off
Pressure � � �s Percent CO2 �
Input CFH �� 0 � Percent O �tiJ� ��
2
Stack Temp. � g 0 ' Percent CO - o� � yiL
Form 235
INSTALLED BY
Gas Line By �
MAKE OF BURNER _
Model
Max. BTU Rating —
MAKE OF FURNACE
Model
� /�
Vent Size
OTHER
CONVERSION
KIND OF LINER SIZE NONE
Draft Hood v p•" � � e- Reeulator
Filters Size Number
Chimney Location Inside�._ Outside
Chimney Construction
Smoke Bomb Wiring v �,
Draft � �� Test Tag
Door Pressure Lighting Inst.
Date Tested �
Company Testing �
Name of Tester
sue,ecT PERMIT NO.
City o�' Fridley ^ 2 � g
BU ILDING PERMIT L �
AT THE TOP OF THE TWINS
; � RECEIPT NO.
� �` COMMUNITY OEVEIOPMENT DIV. ���
r � � � PROTECTIVE INSPECTION SEC.
� �
i � �
� � /"'1 � CITY HALL FRIDLEY 55�432 NUMBER REV OATE �AGE OF �APPROVED 8�
�----�'� �'' 612-571-3450 910-F15 3/18/94 � �
JOB ADDRESS S.5O9 5511 5515 5 1 E n
1 LEGAL ��T NO. BLOGK TRACT OR ADDITION SEE ATTACHEO
oescR. 1, 2, 3, 4 21 Innsbruck North Townhouse 3rd SHEET
2 PROPERTY OWNER MAIL ADDRESS Z�P PHONE
VIYOUS ZIP PHONE LICENSE NO.
3 CONTRACTOR MAIL ADDRESS
Gittleman Cons r
4 ARCHITECT OR DESIGNER •MAIL AODRESS 21P HONE L E NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO.
6 USE OF BUILDING
Townhouse Gar
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATFON O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GFOUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FL
AUTHORIZED IS NOT COMMENCED WITHIN 60.DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING
I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. AtL PROVISIONS OF LAWS VALUATION SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �3s4OO �I.7O
DOES NOT PFiESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW f;EGULATING coN- Inv. Fee
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �G3.00
PLAN CHECKFEE TOTALFEE
License Sc 5.00 $136.10
S�GNATURE OF CON � RACTOR OR AUTNOR�ZED AGENT IDATE� WHEN PROPE l VALIDATED THIS IS YOUR PERM�T
c�.�, � 3 2/-9�/
SiGNAiUaEOFOWNEAIIFOWNERBUIIOEA� �OATE� G � So q47E
CIN OF FRIDLEY INSPECTION DIViSION Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas P,,j�ng�Nee��� th ew fu� e)
C.�� ,.(� i
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Others/Repai�s & Alterations (LIST ON BACt�
1% of Value of Appliance or Work
Commercial/I ndustrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30,00 $
$10.00 $ �0, �
$10.00 $
$10.00 $
$ 25.00
State Surcharge
TOTAL FEE
$
JOB ADDRESS ,�S / 3 � , ���u�u,� Pa.1.d
The undersigned hereby makes application for a permit forthe 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 tr e and co rect.
,1998
OWNER `�, ��, ��
BUILDING USED AS � L,�„ _ ��,�,�,
ESTIMATED COST ��' S q J PERMIT N0.
�-���r'�'
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
$ .50 Burner Trade Name
���.. S-� BTU
MINIMUM FEE FOR ANY HEATING/COOLJNGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25 00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be p{aced in a side yard without
written pennission from adjoining property owner.
Size No,
HP
EDR
.. , � � �_
• i. . �.� .�_ _•� - � �
Signed By , Tel No.13�" Z.S�,(, (
Approved By Rough—In Date Final Date l0�'��� ��
F1LL OUT BACK SIDE R STACK VERIFlCATION ON G�✓'�
REPIACEMENT FURNACE
�...-�.
�- ' � � Su6JEGT . � '
c�ty of Fr�a�ey
�T TNE T°P °F THE TW'NS g U I L D I N G P E R M I T
r
; :
' COMMUNITY DEVEIOPMENT OIV.
� ; V �
r � � PROTECTIVE INSPECTION SEC.
`---•�; �"' �'� CITY MALL f RIOLEV SS�J2 NUMBEp AEV D�TE PAGE O:
L 612-571-3450 9t0-Fts 9/7/99 f /
JOB ADDRESS 5509, 5513, 5515 �East Bavarian Pass . NE
t IEGAL �OT NO. BLOCK TRACT Oii AOOITION
oesca. 2,1,4 7 Innsbruck North Townhouse 3rd Addn.
2 PROPERTY OWNEFi MAII ADDRES$ 2►P PMONE
Jan Olson 574-1956
3 CON7FiACTOR MAIL ADORESS ZIP PHONE
Northern Crest, Inc. 8245 Polk St NE Spring Lk Pk 55432 792-9364
� ARCMITECT OR OESIGNER MAIL AODRESS ZIP PHONE
5 ENGINEER MAII AO�RESS 21P PMONE
Townhouses
7 CIASS OF WORK
� NEW ❑ AD�ITION
8 OESCRIBE WORK
Reroof 3 townhomes (39 Sq) Tear-off:
9 CHANGE OF USE FROM
STIPULATIONS
PER . �
30179
RECEIP .
5� ��
AVVROVEO Br
SEE ATTACMED
SHEET
UCENSE NO
20098415
LICENSE NO.
LICENSE NO
O ALTERATION � REPAIR p MOVE O REMOVE
lace 3 windows in 5515
TO
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.
SEPARA7E PERMITS ARE REOUIRED fOR ELECTRICAL, PLUMBING. HEATING.
VENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WI7HIN 60 DAYS. Op IF CONSTHUC710N
OR WORK IS SUSPENOED OR ABANOONEO POR A PERI00 OF 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO OWLG. UNITS
I HEREBY CERTIFY THA7 I MAVE pEAO ANO ExAMINEO THIS APPLICATION
ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Oi LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L 8E COMP�IED
WITM WHETMER SPECIfIEO MEpEIN OA N07. TME GRANTING Of A PERMIT �7683
DOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOLATE OR CANCEI TME pE:iMIT fEE
PqOV1510N5 OP ANY OTHEFl STATE OR IOCAL LAW REGULATING CON-
STRUCTION OR TME PERFOA ,ANCE OF CONSTRUCTION IS3. ZS
' �y PLAN CMECK FEE
� `r~� Lic
S�GNATUpE CONraA(;iOpOp�UTMOA�IEO�GENt �O�TE� _ Cu O!
�O�tE�
OCCUPANCYGROUP OCCUPANCV�pAp
SO. fT CU FT.
OifSTREET PARKING
STALLS GAiiAGES
SURTAX
3.84
SAC CHARGE
ire C 7.68
TOT FEE
5.0 �69.77
fE ALIOAT TMIS UR M /
� �
Li
r�atf
sue�etr RMIT NO.
City of Fridley 3 0244 �
A7 TME TOP Of TME TWINS g � I L D I N G P E R M I T
i � RECEIPT NO.
� �• COMMUNITY OEVELOPMENT DIV. ��� �%
V �
� �.��
r � � PqOTECTIVE INSPECTION SEC.
� . �
� _ /"'1 � CITY HALI FRIOIE� SS1�2 NUMBEN NEV OATE oAGE O� APPROVED tr
�""�' �'' 612-571-3450 9t0-Ft5 9/21J99 i %
JOB ADDRESS 5509 5511 5513 5515 East Bavarian Pass NE
t IEGAI LO7 NO. BLOCK TRACT OR ADOITION SEE ATTACMED
oesca. 1- 4 7 Innsbruck North Townhouse 3rd Addn. SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP PMONE
3 CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO
North Central Builders Inc. 7401 42nd Ave N New Ho e 55427 533-6168 3763
a ARCHITECT OR DES�GNER MAtL AOORESS 21P PHONE LICENSE N0.
5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CIASSOFWORK � NEW O ADOITION O ALTERATION � REPAIR O MOVE O REMOVE
B OESCRIBE WORK
Reside townhouse and ar
9 CHANGE OF USE FROM TO
STIPULATIOfVS
Call for building wrap inspection before covering.
tYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO
SEPARATE PERMITS ARE pEOUIREO FOR ELECTRICAL, PLUMBING. MEATING.
VENTI�A7ING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING SO. fT CU FT.
AUTHOR12E0 IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED Oii ABANOONEO fOR A PERIOD Of 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNIT$ OFFSTREET PAFKING
I MEREBY CERTIfV THAT I MAVE REAO AND EXAMINEO TMIS APPLICATION STA�LS GARAGES
ANO KNOW THE SAME TO 8E 7RUE AND CORRECT. ALL PROVISIONS Of LAWS yA�UATION SUIiTAX
AND OiiDINANCES GOVEpNING TMIS TVPE OF WOiiK Wl�l BE COMPLIED
WITH WMETHER SPEC�FIEO MEREIN Oii N07. TME GRANTING OF A PERMIT ZH %9% 9.40
DOES NOT PiiESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI TNE pEqMl FEE SAC CMARGE
PROVISIONS Of ANY OTHEFi STATE OR IOCAL lAW REGUTATING CON-
STRUCTION OR TNE PERfORMANCE Of CONSTRUCTION 3O%. ZS Fire SC ig. HO
�LAN CHECK FEE TOT FEE
� � 2o'1r',9 Lice S S. 40.45
S�GN�TUAE O� C �aACiQA O urHOp�1E •GENt iO�fE� EN ROP ALIO TMIS IS � A P RMiT
w
� �
S�GN�fUQE O� OWtiEA��� OWNEpBU�LOEp� �O�TEi B G�NS� f�ttE
NEW [ -]
ADDN
ALTER
Effective 5/10/99
[ ) CITY OF FRIDLEY
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
550� 5.5�/ S�/ 3 rS1S�
Construction Address: � Spq -- 5 S(� /-,Q„ �i¢t��/+'�tJ �A Sr
Legal Description:
�
r'f (y"'1 M7 t: / !• *J �fi.
� '1 � � !
>
�u J
Owner Name & Address: Tel. #
Contractor: �D/� T�v C�.�7`va� � „��v c MN LICENSE # 3 7� 3
Address: 7 S� o/ �2 "`l� ✓f-�.�� /i/�u' � 5s�L�,Te1. # 5 3�- G 1 L�
,
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: ,��s��� /guiu�in/ 1� .�4�=�Z��C_
av
Construction Type: Estimated Cost: $ 1���%`—"
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �
DATE: �Zo r'r 9 APPLICANT: Tel. #.`S3 3-G/ 6�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ '7,�5�°
$ � ° . 8b
$
$
$ .S.dc�
$
$
$
$
CITY USE ONLY
Fee Schedule on Reverse Side
.OUi of Yernut "v aluation (1/ lOt'ri io')
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed kesidential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [] Not Necessary [ J
$ ��b. � s�
�
�&uilding BUILDING PermitNo.: ^ `�10�
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY vate�: ,�U � 2��
763-502-4977 FAX EFFECTNE 1-1-09
DATE lo/�2AO / YOURE-MAILADDRESS i7��fZvE � UGS " NQ �V, GO,/I/�
s�TEa.D� 5�1,� E�}5T BAVARJAn/ f'A'!t� PR,IOLGY MN SS43.�,
THIS APPLICANT IS: ❑ OWNER �CONTRACTOR
PROPERTY OWNER/ NAME: K�%1 /i/q SC�}�G�
TENANT ADDRESS: �'�' J./ �AST �✓%�`1�i}%21i1� � CITY �� � L�i STATB� "�NZIP S,S`7'.3,�
PHO�:�63 � �-4-z - 879b �
CONTRACTOR NAME: N LTI M LQyV.Sr�i%� {DI� r5�i?iVJG�=S
SUBMIT A COPY OF STATE LICENSE #�L � Z D SL.fp �� EXP DATE 3 2 D I O
YOUR STATE LICENSE �� d
AND CERTIFICATE OF ADDRESS:�%ZDi� %�G�TiLDU� L��� ��-'j 1 CITYM�GJ?D✓'�STA'I'�ZIPSS3�9
INSURANCE PHONE �'�✓ �T J� S FAX %�D3 3 U%
PROPERTY TYPE � SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING �OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION
�MAINTENANCE/REPAIR T�: •,tEMODELING
DESCRIBE WORK BEING DONE: ��PGAC�i ri/� %i�' l(7h', �IZ Y ST�/ Q S
SIZE OF IMPROVEMENT ��0 LENGTH WIDTH HEIGHT S FT
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT:
SIDtNG FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim 1• Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia and proposed project.
2. Two sets ofconstruction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS ❑Yes �No LOCATION OF WINDOW S
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LA13UK A1Vll MA'1'r:K1ALS:
TOTAL JOB VALUATION $ ��� ��E 1997 U.B.0 FEE SCHOCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
$
$ ,;
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$2000 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary (
Make checks uavable to: Citv of Fridley
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
Attach Stipulations
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 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 on site; that the work will be in accordance with the
approved plan in the case of aJl work which requires review and approval of plans.
SIGNATURE OF APPLICANT���-�f( (� C�, PRINT NAME C��OY^�P �K�G'SP ► DATE �' �" 0 q
PLEASE NO'I�: SEPARATE PERMTTS ARE REQLJIREll F412 PLUMBING, ELEC'TRICAL AND MECHAl�
�sl- �Y-� - F��s G�.af��.
♦
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