AF - 42465City of Fridley, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 5b432
BUILDING PERMIT
Date: .._.__......December 26� 1972
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Owner: _...Da�xel_A.__.E.axx....I2e.ti.�.a...Qnment GQ..� Builder �S.am? _
Address ---5-11�-1-.-$r-o��.].3z�-•-$ata.l�.u�x-�------•__.------._ Address _. GSmP.—
LOCATION OF BUILDING
No. .----�.�1.7..-------...... Street _._.�as t..��:�L��i��n._�'�:s s j�I,.�._..�... Part of Lot
Lot ----------2.._:.__._._._..___ Block ----.---•----b.
-----._..._...-----.•---•------.--. Addition or Sub-Divisian .....��a��.y,� *T�+-rt� m v ���,z,tion.
_ Corner Lot _--:-----------------.--_ Inside Lot --�--_?�-_---___...--•---. Setback _.._. _�____ Sideyard
Sewer Elevation .....--...:._.._..----------.-----__..._..___....____._�.___..__.W_ Foundation Elevation -- --•-------
DESCR(PTION OF BUILDtNG
To be Used as: 1200'
--�-oz�z�ht»ase---------�-�----._ Front __-..2�_. Depth .--.-2�� Height _.,2.6-�..__ Sq. Fk ..�L10 � Cu. Ft �..1�.�.�a+pp'
-.�xa.g e---_.------.._..--------- Front ...1Q..-5. � Depth ___2.2! _.. Height __.1.0. �.._.. Sq. Ft. _._231.'_ Cu. F� ._.231LL:
Type of Construction _Wood___Frame ___..� Es� Cost ..._a�.203010___��;___ To be Completed 1 year
Stipulations : � �S�f % �, „Q�
In consideration of the issuance to me of a permit to construct the building described above, I agzee to do
the proposed work in accordan� with the description above rth and in com� ance � all provisions ot
Ordinances of the city of Fridle
In consideration of the payment of a fee of $_�$_� , permit is hereby granted to Darrel A. Farr Dev.
�..._._..._._.__._..._..._ ....................._._....� to construct the building or addition as described above. This permit is granted upon
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 buiiding, or any part thereof, shall conform in all respeCts •to the ordin�IICes Of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildi�igs
tyithin the city limits and this permit may be revoked at any time upon violatio of any of the provisions of Said
ordinances. �--. '--_� /� �
Buildili$ InspeCtor
NOTICE:
Thi: permit doea not cover the construetion, installation for wiring, plumbing, gaa heating� aewe� or water. B� sur� to tN
ths Building Inspecto� for separate permits for theae ifams.
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APj?LICATIOti FOR RESIDENTIAL, ,AL'�'t;P.ATIO�',
OR AllUI'TION BUILDI�JG P�R��I'I'
CITY OF FRIDLEY, I�IINNESOTq
o�d?t�'s NA��. ,��-rP/ s�FAra /..�r�r/,�. C'o. BU�LD�: 5�m e.
r1DDRESS : S90/ .C�rook/y» �/ud • ADD�rSS • SGt an �
NO : . �'iS/ 7 S TREET : .L��.s¢ •C�a? (/�t�'i �v, /�t� S.S
I.�� : � BLG�CK : �O AD33�TZ{3i+i • .�/'�.tb��ac� Ii1o��� %/�• ,3Y��c�tii'i��ty �'i
Cfl�'� LO'I': INSID; LOT: � SE'�3���: SIDc.'IE1:�:,Y,�,�
,Ap�? icant a�tach �o ti�is foan T4ao C��tiii�c�tea fl� Sui°vtiy oi Lo� and pro�o�ed
builcling location drawn on tha�� Certificat�s. �
i�ESCRIPTION OF BU3L�ING
�o �3a U�ed As :
��u�r r�ocvs�'. ��ont: .��� �'vgth: ,��i Hvijht; ���
- /.Zd►O
Square �'°°t: C,,O� �ubic �'�e�: /��. ��� _
���'�,�'� " �xant: /fi.•5'° Deptn: .��" � H��.��,t: �o � -
Squax� ;°eL; �Z.:�I Cubic : ��L: .2.»►it'
�'P� of �onst�zction: .��De�� �P •�,�.�. �;s�;.�.a;.Td ���� a � /��/°� . do
. � .
xo �� �������a: 7- �S— 73
' e�w und��si�2� n�x?by �3k�:s ap�l�.ca�inn ror a pv��i� �o� :..hr caq.r�C ��;,�i_�
s;�zc�.fi�d, �gL��i�� Lo ao v�.i ��or:� in s��i��� accow~�a:�c�; �ai�� t:�-r �Gi�� o�s
Fri.c�' ;� O�:d?r..a��es and �alj.z,�s or" �'n� Lze?v����� o� ; u-� l�?.i���, �z,d , n-s��y
d�cla?°�3 i�.at all �i!� fac�3 snci r�prea�n�..��.ions �c:a��:d ir. r�z�.� 3p�1i..�'�;:..;�n
c.�..w.�.. ��..�i�L �.li� C�xiQ��• �
d �rCi . I^ ��G- �� i./��A3�,7.U::`i �
(5°� � �?���x�� 5ida i ar _i�3i.�� o�a'1 �r�+�:?�:^a`ci:�n, )
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Basc
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tnd
3rd
4th
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City of Fridle�
APPlic.�ion Ior Pt�bin� �std G� � Pat�fi
- I?�pit. oi Bldp�. Phon� �0-3f�
DESCAIPTION OF WOR1C .
Numb�r, Kind and Locatfon at flxtu:�s "
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:� � s� � �I�� o �0 3� �� �� �� n�
I , � I
Ftitur� Co�oa Op�niiqs
N�w flxtur�, Old Op�d�s
PARTIAL RA?E SCHEDULE
w��E� �n. C'tb oi �1'idley:
i I _ M G�S
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c�cc The uadersigned hereby makes epplication tor a permit tor thc work herei�
— specificd. agreeing to do all work in strict accordance with the Ci� Occtirsaace
and ruIing of the Department ot Buildinga. and hereby declares that aIt the tact
— and representaUons stated in this applicatio� are true and correct
� Ptidley, Hinn /��� � ,1y�3'
S�nr
�P�
PLOMBIIIG FIZTURE AATE3: IIO. AATE TOTAL
Number Fixtures . . . . . . . . . . . . . . . . _._S.L. a i2.00 = � • CJCr
Pliture Fixture O��cning . . . . . . . . . . . x a1.50 i -
New Fixture Old Opening . . . . . . . . . . . x =1.50 =__
Catch Basin . . . . . . . . . . . . . . . . . . . . x :3.Z5 =
Waler Heater ;Up to 99,000 BTU1 •••• �_ x=3.00 t�• � �
New Ground Run Old Bldg. ........ x i3.25 S
El�ctrie W.t�s Hw4r . . . . . . . . . . . . . . s =2.00 =
G/18 FiTTING FEEB: NO. RJ1'tE TOTJIL
lat3Fixtures ••••••••••••••• . • �—xs'1.00 � �•�O
Additional !'l:turea . . . . . . . ... . . . . . x = .76 =
(3at Ran�e to 19Y.000 BTU ..... ....... a i6.0� i
State Surcharge $ .50
REpAIRS � 11LTEAA?IOtfb-R�i�r !o Cod� _
Deaerlptlon .............. .... ........................i
TOTAL TEE �'2 / . �
Owner
Kind ot Building ��H�Z`�•6ZGd�J
Used as
To be completed about
Estimated Cost, s
Old—New. F3uilding Permit No. P•rmit No. �U
Signed �� � � �"` 'G'� �C--�
y Y PLUM8ING_& HE�TtNr
8��2�7__7��h AVE. N0.
�i�L , INN. 55428
� 425-4183
ROUGH
i'II�iAi� or�v
��O . 53-84-5-915.51
City of Fridl�y
��a�o���� fi� ��� �d � ��r���� h� "
Aept. of Bldys. Phone S8'0-3450 -�- -
D£�CRIPTION OF WORR
. Number, Kind aad Locat4on oi Fixlures Lotat� 55�-7 E. Bavarian Pass �. E.
r�{ N „
W ■ � y1 ; 1{
i �g � �
� �3 � 1 � 3 � ; � o � �
Base
l�t
2nd
3rd
4th _
• Futuz� Conasclioa Oponings
t N�w Fixlus�, Old Oy�niags
o�s�l��l��l��l�$
�
PARTIAL RAT� SCHEDULE
WATEN MT11.
� �
/ N GAS ELEC.
Svw�s
Ccsspool
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures . . . . . . . ... . . . . . . . x a2.00 E
Future FSxture Opening . . . . . . . . . . . x a1.50 S -.-
New Fixture Old Opening. ... .: .... . x a1.50 a._--_-
Catch Basin . . . . . . . . . . . . . . . . . . . . x �3.25 �
Water Heater '.Up to 99,000 BTU) .•.• x 53:00 $
New Ground Run Old Bldg. ... . x�3.25 $
Ei�ctric Wat�s H�at�z. . . . . . . . . . . s a2.00 S
�AS FITTING FEEB: NO. RA?E TOTAL
1st3Fixtures ••.•••...•••••• • xS2.00 ;
Additional Fixtures . ... . ... ..... . . . . . x ; .?b ;
Gas Ran�e to 199.000 BTU ., .,.. .... .... 1 x a5.00 a 5.00
�
City of FYidley:
The undersigned hereby makes application for a per[reit tor thr vrork herei
specified, agreeing to do all work in strict accordance with the Cit1 Qrdinance
and ruling of the Department oi Buildings, and hereby declares that aIt the tact
and representations stated in this application are true and correct
Ftidley, Minn 8��7� 19,
�wner �rrel A. Farr Developement �
Kind o! Building Fral�l�
Used as ne r �
To be compieted about 8�13-7�
Estimated Cost, a 10,00
�Ld�E--New. Building Permit No. l,......_ Perm' No. � _
5ign� �74� �
B,, MINNEGASCQ - - _
Businrss Phune No
ROU(3H
FINAL � ! �l - % Y
REPI�IRS dc 11LTERATIOHB—R•f.s so Cod• . .50 State Surcharge
Description ....... . .................. ..... ..............�
• . TOTAI. FEE = 5. 5� _ �
� �tass �'A�' :�urcha�ge .5n;
e
ItppQcatia� �or � lio�ls �d t�g. Coding f Y�n�iia�eios� R�td�io� a�d
Air Ca�tio�i� S� a�d D�ric�s �
P�ItRTf�11. R�lTE SC:HEDULE
c�v►z°t �r� Arn: iu'rs ro�ru.
r�n� st�u � n� �o�r� . . sio.oa �
Replacement of F�rnace s pp t
Repairs � Atterations—ttp to f54f).00 6.(p s- --__ _�
Repairs dt Alteratlon� each add. t500.Q0 . 3 W �_ . __ _
1f�Cil. W1111�[ �IIR
�� sbeu a� n�c wa� co i�o,000 �v
e�eh add. A0�000 BTU . . . . . . . . .
Replace� of l�rnace
Repairs dc Alterations--up to �500.00
Itepafrs dc Altecatio�ns each add. :500.A0
. aio oa �l o . �'D
3.tlt� _
6.00 !
Q.Oa 5�--
3.00 � _
STEA1[ or HOT WATEA SYSTEI[
i�rrnace ShetI dc Lines--to 400 sq. ft. Z�R Steam s10.00 �.--- __ __
F�rnace Sheti ���to 640 �q. it. EDR fiot Water 20.00 s- _- _—__ __
Each add. 20�1 aq. tt. EDR Steam 3.(1(1 ;_ _.__,
Each add. 320 sq. tt. EDR Hot Water 3.00 i— ------
OIL DIIRKER—Lo 3 gal, pes hour 6.Op i.---- --
over 3 gaI. per hour�ee i'ee Schedu3e _
t'.AS a�R1fEA tup to 19a0pp B'T[T} 6.00 s , 5�. �
on�r 19�,000 B'T[T � F» sc�dul�
GJ►8 FTl"PIIfG FEEa: 110 A1►1'E TOTAL
Ist 3 Fixturea xi 200 t--�,.-`-�
Add'etioaat lixtw^ea x .7� t --
Gas Range to 199.00� � 6.Oo- i —
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sss�x
�e.zsa�►t�raaa� � �tt�►us
nu
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n�u� G - � - � il —
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n.ps. � e�a�.. n.a.�. eeo-�eo
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ctcY ot lridle�:
The undersigned hereby makes application for a permit !o� the work Aereiz-
speciiied, agmeing to do alt work in strict accordance with the City Ordiaaneer
and ruling ot the Departm�nt of Buildings, and hereby declares that al1 tAt fad�`
and representatiuns stateci in this application are true and caerect.
Fridley, Minn_- - ----„1� `
C�ume* --1���,��-��r11�1L�..e�,r-
Kind �f Building . _ _ � _
tJse� e� -- - C'�d1Z��� — -- — _
To be completed about _ - -- --._ -.---_.
Estimated Cact, S _ /�cS�. - ---- ----- -----
Uld—New. Building Permit No. _—_ P�rmit No. �
��
D6/QUPTtOif OF 1�10ltt
HF.ATTNG or P�OWEIi PI,ANT&�te�n. gat Water. Warm A1r—No�.
Trade Namr.--�S� �.�r� g{y� I,ip Ge.�3-//�
CapacitY--�-�-- 84. �'t. E.D.R BTU Hp-
Total Connected I.wd � � �
BURNER — Trade Na+�+p giu pp
�D�tY 34. !t. E.D R B1Zi $�
�
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.
., . � � .i1
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SUBJECT . P '
City of Fridley 2 2 6 0 i
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T `�
; . RE PT NO. J
� �; y_�����_ COMMUNITY DEVELOPMENT DIV. ��p,�f
r � � PROTECTIVE INSPECTION SEC. � �
( ' /"'1 � CITY HALL FRIOLEV 55432 NUMBER faEV. DATE PAGE Of APPROVEO BY
�----�•� �•� 612-571-3450 910-F15 8/26/93 / /
JOB ADDRESS 5517 East Bavarian Pass NE
1 LEGAL �OT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
oESCR. 2 6 Innsbruck North Townhouse 3rd Addn. SHEET
2 PFOPERTY OWNER MAIL ADDRESS ZIP PHONE
Beverly Swanson 5517 East Bavarian Pass NE
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Dicks Fire & Storm 864 19 Ave SE, Minneapolis MN 781-6170
4 AFCHITECT OF DESIGNER MAIL ADOF;ESS Z�P PHONE LICENSE NO.
5 ENGINEER MAII AODRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
R�roof Garage (.TearQf�j
9 CHANGE OF USE FROM TO
STIPULATIONS
Provi.de smoke detectors as per UBC 1210 adjacent to all sleeping areas
and in basement.
TYPEOPCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PEFiMITS ARE REQUIRED FOR ELECTRICAL, PIUMBING, HEATING,
VENTIIATING OR AIR CONDITION�NG.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED tS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OF ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING _
I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPIICATION 1 STALLS GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND Oi±DINANCES GOVEFiNING THIS TYPE OF WORK WILL 8E COMPLIEO �•48O Se�Q
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $�S.00 Fi,re SC $..48
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CNECK FEE TOTAL FEE
License SC $5.00 $2.Q,98
S�GNATUAE OF CONTRACtOFl OA AUTHOA�2ED AGENT IDATEI WH E ALIDATED THIS IS. YOUFi PE MIT
` �
SiGNATUREOFpWNERNFOWNERBU�IDEP:� �DATE� Bl+DG �NSP �> E
i1EW
ADDN
AL1'ER
[�
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[)
CITY OF FRtDLEY
SINGLE FAMILY AND DUPL�XES R-1 AND R-2
Building Permit Application
Effective 5/26/93
, ..
Constcuction Address: S,�' l'� f'.��� �3 cr�cra..�, �:� 1 a� �'1 �
I,egal I�scription: `_ � � , _ — - �
Uwner Name & Address: Tel. #
Cotrtractor: �.�,��� T �v����,.�,. ,n,�.� � . �., ,,,,,�. MN LICENSE � � �/ � ( %`�
Address: �� v-/��t, �,,-e S� �,� Tel. # � 8/ - 41- 7�c h
Auach to this application, a Certificate of Survey of the 3 y y° ���°
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
_%�pTHER: ��
DESCRIPI'ION OF IMPROYEMENT
Width
Width
Width
0
Heigh#
Height
Hgt/Groiu�d
Sq. Ft.
Sq. Ft.
Sq. Ft.
. . „ _
� <�<''^�'��y�Av � � � �/ ..
(S�'j'l
Corner Lot [ j Iaside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction: r���., �,.�'.%.�_�-,� � Estimaied Cost: � Y k� °—�
Approx. Compledon Date:
(Cost on Back)
Driveway Curb Cut Width Nceded: Ft. + 6 Pt = Ft x S =$
�DATE: APPLICANT: ��� � � �vz� Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$
$
$
$
$.
$
$
$.
$
�
�,
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / 1(Xh %)
$.501$1,000 Vaivation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" At�ove
Conservation Plan Review $450.00
Fee Determined by Engineering
Agreement Necessazy [ ] Not Necessary ( ]
STIPUI.ATiONS: �
, -
.
:, •
� SuB�ECT . � � � .
City of Fridley 3 0 8 6 0
AT TME TOP OF TME TWINS g � I L D I N� P E R M I T
f
; � RECEIPT NO.
� ; � ___._ COMMUNITY DEVEIOPMENT DIV. �� �/
r � � PR07ECTIVE INSPECTION SEC. Kl
� � �
� � �"'1 � CITY NALL fRIOLEY 55132 NUM�EN pEV D�TE P�GE Of AvvnOVED Br
�""'�' �'' 612-571-3450 9t0-F15 4/26/00 � �
JOBAODRESS 5517, 5519, 5521, 5523 East Bavarian Pass NE
t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMED
DESCR. 1—LF 6 Innsbruck North Townhouse 3rd Addn SHEET
2 PROPERTY OWNER MAIL ADDAESS 21P PHONE
Various
3 CONTRACTOR MAIL AOORESS ZIP PHONE IICENSE NO
North Central Builders Inc 7401 42 Ave N, New Hope, Mn 55427-1219 3763
1 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE IICENSE NO.
(763) 533-6168
5 ENGINEER MAII ADDRESS IIP PHONE IICENSE NO
6 USE OF BUILDING
4 Unit Townhouse
7 CIASS OF WORK
O NEW ❑ ADDITION � ALTERATION � REPA{R O MOVE O REMOVE
8 DESCRIBE WORK
Reside Townhouse Building; trim
9 CHANGEOfUSEFROM TO
STIPULATIONS
Call for building wrap inspection before covering.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, P4UMBING. HEATING,
VENTILATING OR AIR CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONS7RUCTION ZONING SO. FT CU FT.
AUTHORIZEO IS NOT COMMENCED WITMIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOii A PERIOD Of 120 pAYS AT
ANY TIME AfTEF WORK IS COMMENCED. NO OWIG. UNITS OFfSTiiEET PARKING
I MEREBY CERTIfV THAT I HAVE REAO ANO EXAMINEO THIS APPLICATION 4 STA�LS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of �AWS VA�UATION SURTAX
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED @
WITM WHETHER SPECIFIEO HEREIN OR NOT. TME GRANTING Of A PERMIT W1H,797 $9.�FO
�OES NOT PFESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMl1 FEE SAC CHARGE
PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON• $307.25 Fire SC �IH.HO
STRUCTION OR THE PER RMANCE OF CONSTiiUCTION
. Pt,AN CNECK F TOTA� FEE
Y z�- c�, Lice e $5 .00 $340 .45
S�GNGTUQE OF CO Q.tOQ Oa �u* OQi2E0 • Etir iD�iE� HE PROP %VAUOAT TH�S IS Y U P RMIT
�
S�GNnTUQE O� OwaEQ ��F pwHEp 8ui�0EA� - �O�iE� B� G�tiSo � ��<<E
NEW [ J Effective 1/1/2000
ADDN r� CITY OF FRIDLEY 612-5T2-3604�Idg� sp
ALTER � SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION ��� �t� �
Construction Address: ��- / l - o� / - o� � � ��//.��/o9/(I %�F�S 5 /�F ��G. � %
Leg�l Description:
Owner Name & Address: v��'o �-5 Tel. #
Contractor: /{'��7 `7 ��'n/ f�'r�� �Ur�����5, ��IC, __ _ MN LICENSE # � �'�63
r
Address:^%��/°/-�o��lv�.�idL-- � /�£w /��,o��/%/!�✓`^�5��/�/9Te1. #76-� �.�3 6 /�d'
LIVING AREA:
GARAG� AREd:
DECK bREA:
OtHEFt:
Attach to this application, a Certificate of Survey of the
lotr with the proposed constn,iction drawn on it to scafe.
D�SCRIPTION OF IMPROVEMENT
Length � Width Height Sq. Ft.
Length � Width Height Sq. Ft.
Length . Width Hgt/Ground Sq. Ft.
Construction Type: //,s�� ,��I� ,�/Id //�/i1'I _ Estimated Cost: $ �� %9� d d
driveway Curb Cut Width (Veeded: Ft. + 6 Ft = Ft x$ _$
C�At�: "o�.� li� APPLICbNT: �� / / /. i ( _ Tel. # �%6� "�3-3 "b ��'�
CITY USE ONLY - ��a�i (612) 572-3604 for Permit Fees if mailing in application
Permit Fee $��p� a�" Fee Schedule on Reverse Side
Fire Surcharge $�� �G .001 of Permit Valuation (1/10th%)
State Surcharge $ 9-'�� $.50/$1,000 Valuation
SAC Charge �� $,.�� $1100 per SAC Unit
License Surcharge
briveway Escrow
Erosion Control
$ 5�oa $5.00 (State Licensed Residential Contractors)
$
Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
Park F�e $
Fee Determined by Engineering
S�wer IVlain Charge $ Agreement Necessary [ J Not Necessary [ J
TOTAL
STIPULATIONS:
$ ��D. �5
sue�ec* RMIT NO.
City of Fridley 310 9 5
AT THE TOP OF TME TWINS g U I L D I N G P E R M i T
r
� � COMMUNITV OEVELOPMENT OIV. RE��j I-PT /{NO.
' j V'�"�� , ��� � �
r � � PROTECTiVE INSPECTION SEC. f��
� . ,
j, .--•�'��'�' �•� CITY NA�L FRIDLE� 5S1J2 NUMBER pEV O�TE v�GE O� �VVROVEO Bv
i 612-571-3450 910-F15 6/27/00 � �
JOB ADDRESS 5517,19,21,23 East Bavarian Pass
t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMED
oescR. 1-4 6 Innsbruck North Townhouse 3rd Addition SNEET
2 PROPERTY OWNER MAIL ADORESS 21P PHONE
Innsbruck Townhome Association 651-224-5482
3 CONTRACIOR MAIL ADORESS ZIP PNONE LICENSE NO
Garlock-French Roofing Co 2301 E. 25th St. ls. MN 55406 612-722-7129 00001423
� ARCNITECT OR OESIGNER MAIL A�DFESS ZIP PMONE LICENSE NO
5 ENGINEER MAIL ADDFESS ZIP PHONE LICENSE NO
6 USE Of BUILOING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WOHK
Reroof Townhouse Building (Tear Off)
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code
Pe�mit lnspection Cards
Wiii Be Mailed
ia Homeowner To Post
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE RE�UIREO FOFi EIECTRICA�, PLUMBING, NEATING.
VENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULI AND VOIO If WOfiK OR CONS7RUCTION ZONING S�. fT CU FT
AUTHORIZED IS NOT COMMENCED WITHiN 60 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PER100 OF 120 DAVS AT
ANY TIME AfTER WORK tS COMMENCED. NO. DWLG. UN175 OfF5Tfi6ET PARKING
I HEAEBV CERT�fV THAT 1 MAVE READ ANO EXAMINEO THIS APPLICA710N 4 STALIS GARAGES
ANO KNOW TME SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF �AWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIEO �g 424.69 �4.21
WITH WHETHER SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT �
OOES NOT pRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCE� THE pEqMl? fEE SAC CMARGE
PROVISIONS Of ANV OTMEFi STATE OR LOCAL lAW REGULATING CON�
S7RUCTION OR TME PERFORMANCE Of CONSTRUCTION �IC)%. ZS Fire SC $8.42
PLAN GMECK FEE TOTA� FEE
79.88
S�GN4TUpEO�CON'AACTOAOA1UTwOQ�ZEOoGENT iO�TE� EN ROP ALIOA THIS IS VOUR PEpMIi \
i� �Lj{/
S�GNATUAE O� OWNEQ��F OwHEABUi�OEA� iD�iE� � g� iN$D r�arE
- - -
� ��O�S
N� [ ] . _ Effective 1/1/2000
ADDN [] CITY OF FRIDLEY 612-572-3604 Bldg Insp
AlTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION -
Construction Address: � I� 2. 3 � i G2,h P�C°Ss ...+ � . .
� T
Legal Description:
Owner Name & Address: _
Contractor: � C �— �
Address: ��Q i �st
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
ssac; a,iiorn��. #(�5 i- aa �! - sH� �
MN LICENSE # �N50I �ia3
N _S5�lo�re�.# � l�- �l�a--71� �'i
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction d�awn on it to scale.
DESCRIPTION OF IAflPROYEMENT
Length Width Height ______ Sq. Ft.
Length Width Height ______ Sq. Ft _
Length Width HgUGround Sq. Ft.
Construction Type: � � Y� Estimated Cost: $ � � � � � • � -
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: l� 2 APPLICANT: ��i- �.t�% ���f'� Tel.# ��a-�aa-��a�
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (612) 572-3604 for Permit Fees if mailing in application
$ , ��Fee Schedule on Reverse Side
$ � �/o .001 of Permit Valuation (1/10th%)
$ �. a/ $.50/$1,000 Valuation
$ �' $1100 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 MECHANICAL
Inspections RESIDENTIAL APPLICATION
763-572-3604 CITY OF FRIDLEY
763-5�2-4977 FAX EFFECTIVE 2-19-09
DATE �����'(/ C�
SITE ADDRESS ��.i I�' G. ['� Q. �'�[j'/ �iL�
THIS APPLICANT IS: ❑ OWNER �
PROPERTY NAME: /�,�'( �����
OWNER/ pDDxBSS: `�GLY'Yl�
TENANT '-7i�� ._ �-.,�">:
nunwr�.
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERMIT TYPE
YOUR E-MAIL ADDRESS
COMPANY NAME: U OC� I. I��G'� ��� � W� I
CONTACT PERSON �1 L4Q.{�, �. .
STATE LICENSE # EXP DATE
PxorrE
�SINGLE FAMILY
TYPE OF WORK: I� NEW
DETAILED DESCRIPTION OF WORK
❑ TWO FAMILY
V'C� CITY��� Li1l,U
FAX � �Z.�/ZG'"'1"' ��
❑ TOWNHOUSE
O ALTERATION/REMODEL
1 A L��� /,1r,�
Permit No.:
Received By:
D��'� i
STATE ZIP
�
FEES ARE BASED ON $10.00 PER FIXTiIRE, EXCEPT WfiERE NOTED. FIXTURES: (INDICATE '�TAI,1YI11YIBER OF EACH BELOV�
Equipment Installed MFG: l.(� 1� 1'1(� MODEL: (5� QDi"" �:�` �' ��� SIZEBTU �(�pG %3 '�7--�.
MFG: �-�C _ MODEL: �Z�I-- SIZE/BTU L f„L I�l
MFG: MODEL:
�A/C $25.00 FIREPLACE (GAS) $15.00
AIR TO AIK EXCHANGEER $15 FIREPLACE (WOOD) $35.00
BOILER $35.00 �FURNACE $35.00
�CHIMNEY LINER $10.00 GAS DRYER $10.00
DUCT WORK $10.00 GAS PIPING $10.00
SIZFJBTU
GAS RANGE/OVEN $10.00
_NEW GAS GRILL $10.00
GAS LJNIT HTR $10.00
POOL HEATER $35.00
VENTILATOR $15.00
THIS IS�7CTION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowlcdge that the information above is cornplete 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 pernut and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of al ork w'c �r uires review and approval of plans. �, C;�,I+��irj
SIGNATURE OF APPLICANT � �� PRINT NAME '� � � DATE ` � 2`I — �'/��
City of Fridley
Building Inspections Department
6431 Universi±�� A��enue NE, Fridley, MN 55432
763-572-3G04 FAX: 763-502-4977
�uilding
rnspections
i 63-572-3604
�ATE � % 5 � C�
�iTE ADDRESS "rJ "rJ' �
i i-iIS APPLICANT IS:
SUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY �
YOUR E-MAIL ADDRESS j' o d i s ca e��� �
avo��on Pass � �f
❑ OWNER �CONTR.ACTOR
s'Rt7�ERTY OWNER/ I N,�:_
TENANT
ADDRESS:
CONTRACTOR
SUBMIT A COPY OF
_ OUR STATE LICENSE
WITH APPLICATION
�ROFERTY TYPE
PERMIT TYPE
�
1.3 ! S0� - /G 8
N,�: I'HD At- Home Services, Inc.
sTATE Lrc 2690 Cumberland Pkwy, Ste 300
.e.DDxESS Cumberland Office Park
PHONE Atlanta, GA 30339-3913
s�.s�rGLE Lic# 20268257 Ph. 763/542-8826
❑ TWO FA �
❑ BASEMENT FINISH
❑ DECK
TYPE OF WORK: � ��'�'
�SCRIBE WORK BEING
::-ZE OF IMPROVEMENT__
._'MBER OF SQUARES _
�RAGES
: ;OPOSED SIZE:
:OPOSED HEIGHT:
: 3ING
i Vinyl
: :Sluminum
�_ Other
❑ GARAGE/SHED
D ROOF
❑ SIDING
❑ SWIMNIING POOL
� ADDITION
AIR ❑ REMODELING
l.•� ! i% (1�0 LJ r �
LENGTH _
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GAR.AGE
� DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
Permit No.:
Received By: " �,1 �
D����:�N � � �e
D !�i
STATE_ZIP 'S S^ �3 �
qS� �3Y5- C.o47
CITY STATE ZIP
rE
.'ORIES
WINDOWS
❑ D TILE
❑ OTI-IER
� e 4�o a!' �tDl� G�"1 �!1 rn ,
WIDTH HEIGHT d p� n� n C��`
" "F`vDOWS
'�XISTING OPENINGS "9�Yes �No LACATION OF WINDOWS
'::FORNEWOP£NINGS-DESCRIBESIZEOF [-D� --iqM,t� j�0ap'L f is:`j/•�lr
'TIING CHANGES & �� M
X
BASEMENT REMODELWG SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
Ft.
FOR NEW CONSTRUCTTON INCLUDING DECKS,
ADDITIONS. & PORCHES SUSMTT:
1. Site Plan/Survey showing the existing structures
and proposed project
2. Two sets of construcdon ptans
3. Energy Calculations
:'E OF WINDOW TO BE INSTALLED vQ � NUMBER OF WINDOWS � �
ALL FEES ARE BASED ON V UATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
_ TOTAL JOB VALUATION $ E. S I L OCCUPANCY TYPE
�rmit Fee
':an Review
:�: charge
re Surcharge
��ense Surcharge
_ :C Charge
"_rb Cut Escrow
_osion Control
ark Fee
cwer Main Charge
�tal Due
$
$ 3. � c.
$ G.52
$ �, b u
$
$
$
$
$
$ /S4_o3
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation — Minimum $.50
.001 x Permit Valuation (1/10%)
$5.00 (State Licensed Residential Contractors)
$1450 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks pavable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID LTNTIL PROCESSED
hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in
�nformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
-�nit but only an application for a permit d ork is not to start without a permit; that the work will be in accordance with the approved
:an in the case of all work which requir�s re e� ndapproval o€plans. ��! ��/�
'JNATURE OF APPLICAN'� ,� PRINT NAME (/ /'t S C/ ���i � DATE