The URL can be used to link to this page

AF - 42468r. City of Fridley, Minn. 6431 .University Ave. I3. E., Minneapolis, Minn. 55432 BUILDING PERMIT ��; December 26, 1972 �1�1 �� : p��; _pa.rrel A. Farr Development Co. g�der Same _�_ ___.______._�_ ,A,�S _ 5901 Brooklv_n B�u levard ____ ,��s Same � _��,� . LOCATION OF BUILDING N� 5519 Str.�t �East Bavarian Pass N.E.__..__.____ Part of Lot Lot 3 Block ._..� 6..��_. Addition or Sub-Divisian .__Innsbruck North T.H. 3rd Addition Corner Lot ._ Insfde Lot ....._...__�.____._.._ Setback _�__.___._.__�.___ Sifleyard .___.___..._.. _,__ +�Sewer IIevatibn �_._._. .___._..._. Foundation Elevation DESCRIPTION OF BUILbING To be vsed as: 1200' '�wnhrni Gc� Front __.,�.�k �__. Depth � Height .__ 26 �._ Sq. Ft. _._600 `_ �, Fti, 15. 600 � r_arag,e ___ Front .....�,.SL...2.' Depth � Height __10 �_.. Sq. Ft. ___231' _�, Ft, _ 2310' Type of ConstrucLion ...�IQS?�_.��]�1�.. Es� Cost ..�?._0�010___.__�.__._ To be Comp2eted 1 year Stipulations : �QC-LCl ' \ ,�., SS'�/ � In consideration of the issuance to me of a permit to construet the building described the proposed work in accordance with the description above set forth and in compliance � �'dinances of the city of Fridley. �� _ 10.01 St�a'Ee Surch I agree to do provisions oP In consideration of the payment of a fee of $-38 . 00 .,._.., permit is hereby granted to_....DS]G'x.��...� 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 m, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of iiidley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiIIg� Within the city limits and this permit may be revoked a t an ' e upon viol 'on of any of the provisions of Said o�rdfnances. - _.�� Building Inspecto� DARREL CLARK NOTICE: This permit does not eover the eonsfruetion, insfallation for wiring, plumbing, gas heating� aewe� or water. Be sun to sN ths Building Inspeeto� fo� separate permits fo� these items. � ��'LICATIO,'� rOR RESIDEI�'TIA.L, AL`�'rR�1�'IOtI, OR AllUITIOiv' EIJILDING P��I'I' CITY OF FRIDLEY, P-SINNESOT� C;J�t�' S NA�'� :�Ai'.r4"� /% /��e-s-� ,�Pur�. (�a. }3iJILD�t : c�� t�+t C'. r�D13�SS: �S9o/ .C�ro�a:r/yrr �dud. AD�Rr.SS• ��a�� r;o:. SS/9 sT?�.EE�: .�a.r� �C3��/�r.-.a.s-, .oc�ss L�`.�; 3 BLGiCK: i0 ADDITIOi+13..�i,dsSd�s��r+t� /�/oa�•�r T, /�. 3aJ�e%�i �';o �t C�3�,.Y� LOT: I1dSID�. LOT: d� SETB,�C�: SID�Y�t�� ,��licant u�tach to this foxm �o Ce�tifi�at�s ab Suxv�y of Lo� and pro�qse� build-i:�o location drawn on �ha�� Certificatzs. � �ESCRiPTION OF BUILDING �o �s U3�d As : . �.�rrv ��c�..�c� ��ont: .�� .np-r_h: .�2`�� H�:i.�h�: .2� � -- - -- - /.200 Sc�uax� �4Y�; GoOO Cubic xeet: /-�. rao0 ��"�►,�'� ' bros?t: /rJ.S� �epth; .Z-�� H�i?� t: J�' � ��, Squa>� ��; �� -Cubic �^��t. .Z�Jt� ��pz of �onstHuczion: ��ea� e��'�v�� s}i;��a��d �a��: � ��,!/€�.00 , . �Q �A ��.��a: 7-�5- 73 +"�� u��.��?-si�n2d h�:ctiby m�.�L� apr�lica�i� for a p�r�i� �o� `h� �ox?c hex��f•r� sn�cifA�d, �gr��i�!� �o �o ��i �ro�'„ in ��;�'iti� ��coc��nc� wi� �:r Ci�y gs rtidlw� �:ad�xza_�c�s anc3 �a7i;�� o� t�� •�?a.r��nt o� i3�:;tl:l.i^ds, ::_��?� 'r:y��5;� d�clar�� Lnz�� ail �i�� fac�� nc� ��r��n�a�ions S'C:l��{� �.T: �x��3 �p�1:�..-�: �an �x� �z�ua �:nd cozr?ct. �1,T�:. /�- �(�-7Z S:�.�,',�a::J�'�i,; (S�� ?-�v°ta� Sia� ;cor A3�!_�..i��a'1 ?'�nfo�.atia^,) . , . , �►pplication fa' !'ow�r !'to�t�s and H�o�ing. Cooiing. Ventilatioe. R�ig�rs�ion aed Air Condttioning SYst�nis a�d Devic�s PARTIAL RATE SCHEDULE �iRAY*TY WARM AIR: �� T�� !'urnace She1] & Durt Work . . . . . . . . . . . . . . . . a10.00 � Replacement oi I+tirnace . . . . . . . . . . 6.00 ; Repairs & Alterations--up to ;500.00 6.pp s-- — Repairs dt Alterations each add. =500.00 , g_pp �__ __ ____ 1�[ECH. WAttlt AIR �Lrnace Shell 3� Duct Work to 190,000 BTU ... .. . L . . �10.00 ;— / / � each add. Q0,000 BTIT ............. .. .... .. 3.W i Replacement of F�rnace . 6.00 � Repairs d� Alterations--up to ;500.00 6.00 ; Repairs & Alterations each add. :500.00 3.pp = STEAM or HOT WA1'6R SYSTEI� Ftirnace She�l & Lines-to 4Q0 sq. ft. F�R Steam �20.00 �. __.__ Fiu�nace Shell & Line--to 640 sq. ft. EDR Hot Water 20.00 a_ Each add. 200 aq. ft. EDR Steam 9,(1(! �__ _____ Each add. 320 sq. it. EDR Hot Water 3.pp s-- OIL BIIRNER-to 3 gal, per hour g,pp ; ^ over 3 gal. per hour-�ee Fee Schedule `L� GAS BUiiIiER (up to 199,Op0 BTU) 6.pp S �, ovet 199,000 BTET 8ee FN Sch�dul� GAS FITTING FEEB: Ii0 RATE TOTAL ist 3 i�xtures . xa Z00 i�. � Additional Fiattues x .7a i Gas Range to 199.00� ;= b,pp = _ AIR COIEDI'l101RIIG � � / L� , �� FAN HEATII�G SYSTlJI SN PN 3eh�da4 YEIiTILATIIfG sYSTEM � „��(1�� -� 1►LTERAI'IOIfs t REPJLIRS Tp �, gag �,�� ROU(3H FINlIL (/�- //- 7 �/ r. .�,��.��..:te„ , n � _e�� n.pt. o� �a9.. r�,,. Seo-s+sa . � � Lec.fien � S° % �i � � /f��rG=��, f% A.y (�s �,.v..�� . l �.r-.� � � ctty or �xai�: The undersigned hereby makes application ior a permit for the work hereir specified, agreeing to do all work in strict accordance with the City f)rdihance: and ruling of the Depai•tment of Buildings, and hereby declares that aIl tbe facts and representations stated in this applicetion ere true and correet. n F1�idley, Minn��f -� >.� vz lp_i lg ��; � Owner �Q (� � s� ��.n.-� �� .�i�� .�,� Kind �f Building . �•--�-,-._( . Used as _ ___ ._ _�4%��+-�--- — � To be compieted about ___.-__�_ G'Z. Estimated Cost, a-_---_ �_.� L-�''-!� Building Permit No. P�rmit No. �JS�� DESCAIPTIOIf OF WOAa HF.ATING or POWEB p7,AN15-.gteam, got Water. Warm Afr-No Trade Name____�'/�✓j,a/�� 3ize No- �� - 3GS< �rJ 1 CapacitY—�--- Stl, i't E.D.R g� gp. Total Connected Load �� at � a' BURNER - Trade Namp Siu No CapacitY S9. !'t. E.DR BTU i�! (�EMARKS-OVERj � � _� /l/� � �Lal �tl� �t, � 1 . . � �� ° �'�:,� �� ,�� :�'��e R��;;��:�� A�� :v�� P�RTI�L RAT� SC�E�3�LE (iR1lPI1T RTJIRA�[ ATR: RA'� T03'1�L. Ftirnace Sisz1I dc Dvct Wori� . . . . . . =IQ.00 � Replacement of Furnact g pp � Rcpair� & Aitcrations—up to s500.00 g,pp �, Repairs & Alterations each add. 5500.00 . 3 W ; KLCii. WARB�I AIR flunsce She1Z & Duct Work to 190,006 BTU rash add. 60,000 BTU . . . . . . . . . R.epLcemmt ot FLrnace Rrpaira & Alterations--up to ;500.00 ReF,airs 6c Alteratfoos each add. $50Q.00 .E10.o0 i Il� • °� 3.W ; 6.00 ; 6.00 = 3.0o i $TEAM or HOT WAl'ER SYSTEM 1R�rnnce Shet] Sc Lines—to 400 sq. ti. F.DR Steam �IO.�JO j F�rnace Shell & Line--to 640 sq. ft. EDR Fiot Water 20.00 s. Each add 20p aQ. tt. EI�R Steam a.tlft ;_ ___ Each add. 320 sq. ft. EDR Hot Water 3.00 S OIL SURriER—ta 3 ga1 per hour 8.pp s_ over 3 gal. per hour-$ee Fee Schedule G11S EIIRIQ�R (up to I99,pOp BTU) 6.00 = a� �� over 199.000 BT'[T 3�e F.. aehadul� G148 FITTdNC FELS: 1i0 Rl►TE TOTAL lst 3 flxtures __ xE Z00 E a, � Additionai Fiztures x .46 =__ _ Gas Range ta 199.000 :; B.OP = State Suxcharge .50 �IR CO#�DITLQHYI�G � � F1lR i3%�[il�G S?�YL!! � Feo Sc�a�1e Rtmzn.�r�a s�rar� � �.,�� i i, � �►l.r�►.rroRS s�uas rni. �a s� SI. . si) :r��. � IlIAi. � � � � 7•S� n�t. o¢ �i��. �� -� i. � , v " Cttr oi �"ridlry: � The undersigned he�reby makes application for a permft for the wori� hereiz : spectSied. a�reeing to do alI work in strict accordance with the City Ordfnancer and reiling of the Depa; tm�ni oi Buitdings, and hereby declsses that s21 tht faclt and re�resentatiuns stat?d in this application are true and correct. �edley, Minn 1� �_ �7 � (.lwner . �� `C�s l�f i� Kind of Building , �-��•-+-�-t �1se8 as . ---=%��C�j'- - / To tie complete�i about, Estimated Cas�, S /t-� Otd—New. Building Pezmii No. _�_ _ p�rmit No. a� � �x�*X'» �f; :`1�11 • � • - r E _ HF..ATING or FOWER PLaANT''s�-vtcam, fiot Water, Warm Air—No- %� T'rade Name�=�r�-� Size No�l�� 3�- �� Capacity__.1 � O/Yi Sq, P'i, E.D.R B'i'U gp TotaI Connec4ed Load ltind ot F1xt - l%v�� BURPFER — T7r�de Namp Siu No ' Capacity 3q. F!. E.DA BTt) � (NM4RIIE—OVER� i _ t, _..i�. � •. .Gr. ' � ... . i./: �i/ i i �� ; City o� Fridley �PPlicalion for Ple�bi�� td � �it�'iaq � Drpt. oE Bldq�. Phon� 9�0-34.'30 DESCRIP'['ION OF WORE `�"� j � Humb�r, Kiad and Locatioo of flxfut�s " � J ontioti � � Z � � � • �;�� i� � �I�� 3� �� v� � N . I . , I n ,/� �� ■��■' � ■��i � ■��1 ■■■..■I . . .. PARTIAL RATE SCHEDULE w��E� ,n�. � Cit� oi fi'idley: c�s «cc. The undersigned t►ereby makes application [or a permit tor the �ark hrre+ specificd. agreeing to do aIl worlc in strict accordance with the (:it�r Ord'znsuce and ruling of the Department ot Buildings. and hereby declares that ali the tact , and repnsentationa stated in this applicatiop are true and correct S�w�r � M.IIMIlING FIXTURE AATE3: I�O. AATE TOTAL Number Fixtures . . . . . . . . . . . . . . . . n a i200 = � � C) O Pliture Fixture O��ening . . . . . . . . . . . a E1.50 i . New Fixture Old Opening . . . • . . • • • • . x =1.50 t—_. Calch Bastn . . . . . . . . . . . . . . . . . . . . x =3.25 f Water Heater 'Up to 99,000 BTU► • • • • � x �3.00 i �' � � New Ground Aun Old B►dg. ........ x i3.25 S El�ctric W�t�r Hwtv . . . . . . . . . . . . . . s :2.00 = GAS FITTTNG FEE8: NO. RJ1TE TOTJ►L lst 3 Fixtures • . . • • . . • . • • • • . . . • __1_ x a200 = °� . U O Additioual l7:turea . . . . . . . ... . . . . . x i .T6 i Gat Ranse to 19Y.000 BTU ..... ....... x 55.00 i State Surcharge $ .50 nEr�►ina � ALrEx�►noxs—x.t.� m coa. - nexrlptfon ..........................................i � TOTAL Z'F.L� � °?� ••� Ptidley. lilinn . I 5.,,_ � Owner Kind o1 Building Used as To be completed about Estimated Cost, s Old—New. nuilding Permit No. P•rmtt No. Signed -- ;.,-�:t:� ° .L��'`– sy�,� �LtJMgiNG & HEATING Busin�•ss ��n7e Na7th AVE. N0. , MINNEAPOLIS, MiNN. 55 425•4183 ROUGH i'IPiAL o' "" sue�ecr PER City of Fridley � 2 2 0 61 � AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � • • � � � � COMMUNITY DEVELOPMEN7 DIV: Q� q, r � V � PROTECTIVE INSPECTION SEC. �( t�'� � � �---- A;/'�';.j CITV HALL FRIDLEr 55432 NUMBEp pEV. OATE PAGE OF APPROVED BY �� 612-571-3450 910-F15 8/26/93 � � JOB ADDRESS 5519 East Bavarian Pass NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 6 Innsbruck North Townhquse 3rd Addn. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Gary Odegaard 5519 East Bavarian �ass NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LiCENSE NO. Dicks Fire & Storm 864 19 Ave SE, Minneapolis MN 781-6170 2481 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE iJO. 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION l� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroo� Garac�e (.Tear�o��) 9 CHANGE QF USE FROM TO STIPULATIONS prouide smoke detectors as �er UBC 1210 adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD SEPARATE PERMITS ARE REQUiREO FOR ELECTRICAL, PLUMBING, 1iEATING, VENTIIATING 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 CONSTpUCTION OR WOfiK IS SUSPENDED OR ABANOONED FOfi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFY THAT 1 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 $C�HO $.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING Of A PERMIT DOES NOT PRESUME TO G�VE AUTHOFiITY TO VIOLATE OR CANCEL THE pEqMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- $1S . QO Fire SC $, 4H STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE License S $5.00 $20.98 SIGNATURE OF CONTRAGTOR OR AUTHOfiIZED AGENT IDATEI 1/�I R PE VALIDATED THIS IS YOUR PER IT SiGNATUREOFOWNER�iFOWNERBUILDER� �DATEI BLOG � � ATE NEVv ADDN AL'i'ER [l [l �a CITY OF FRIDLEY SINGLE FAMILY AND DUPL�XES R-1 AND R-2 Building Permit Application Effective 5126/93 �!-a�� Constivction Address: G��.. f 5 �.��r�" %3 ,.a��r. . s 1°c� °L! .� _ L.egat Description: f� 7� fzp, Owner Name 8c Address: Tel. � Contractor: �„�.P,�.�...Q ,� 2,�`�� , �,�.1.� � ^ � �� MN LICENSE �# .? 2l g l Address: �� y-/%L5'� �,�-P S t 3,r�� Tel. #% 8' /- G i� o ` 3�y-aFB� Attach to this application, a Certi ficate o f Survey o f t h e lot, with the proposed cocestr�ction drawn on it tp scale. DESCRIPTION OF IMPROVEMENT LIYING AREA: Le�gth Width Height GARA�GE AREA: Length Width Height DECK AREA: Length Width HgdCn'ound UTHER: .a�'�. _ �� .�,�=�. .. .�.�� < t , _ ,,;..� � Sq. Ft. Sq. Ft. Sq. Ft. � ��J � � � � Corner Lot [� Inside Lot [� Ft. Yd Setback Side Yard Se�tbacks Type of Construction: �� _ �_�� Estim�ated Cost: � Y S� �" �" - Approx. Compledon Date: (Cost � Back) Driveway Curb Ctit Width Needed: Ft. + 6 Ft = Ft x� _� DATE: APPLICANT: �,.� ��,�z� Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosian Control Park Fee Sewer Main Charge TOTAL � $ $ $ $. $ $ $. $ � M �. Fee Schedule on Revers� Side .001 of Permit Valuadoa ( i/ 1(�h %) $.SO/$1,000 Valuation $750 per SAC Unit $5.00 (State LiceQSed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary { j Not Necessary () STIPULATIONS: � �. CITY OF FRIDLEY INSPEC710N DIV. 6431 University Ave NE Fridley, MN 55432 572- 3604 Eftective On January 1, i 993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR a PLUMBING FIXTURE RATES: NO. RATE New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas � Gas Range Gas Dryer Back Flow Preventer Required {)Yes () No Type -- -- - $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERAI'IONS 1�o of Value of Fixture or Appiiance n State Surcharge TOTAL JOB ADDRESS � � � � �Q V(�; ��y� � _ I�' � $ .50 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that ail ttie facts and representations stated in this application are true and correct. 2-� , 198..� Owner U �y� Building Used As , i�2�1�:C�vIl�G2� Estimated Cost �� PERMIT NO. ��(c%� � PLUMBING COMPANY ' SIGNED BY ��.e=-C �/;Y.�,.�� . � TEL N0. �.5��`�O ��' � Approved By Rough-in Date Finai Date v V � � MINIMUM FEE FOR ANY PLUMBI G GAS PER IT IS TOTAL. FEE $ i�� PLUS THE $.50 STATE SURCHARGE sus�ch � • C�ty of Fridley 30860 AT TNE 70P OF THE TWINS g � I L D I N G P E R M I T i ` RECEIPT NO. � • COMMUNITY OEVELOPMENT OIV. � , / w/ y _ • /7 � � r � � �� PROTECTIVE INSPECTION SEC. � s �"'� � CItY NALL fRtQLE� SSIJ2 NUMBEA pEV O�TE PAGE OF �►opOVEO !r �""�' �'' 612-571-3450 9t0-F15 4/26/00 / / JOB AODRESS 5517, 5519, 5521, 5523 East Bavarian Pass NE 1 IEGAL �OT NO. BLOCK TRACT OR AOOITION SEE ATTACHED DESCR. 1-4 6 Innsbruck North Townhouse 3rd Addn SHEET 2 PROPERTY OWNER MAIL ADORES$ 21P PHONE Various 3 CON7RACTOR MAIL ADDRESS Z�P PHONE IICENSE NO North Central Builders Inc 7401 42 Ave N, New Hope, Mn 55427-1219 3763 • ARCNITECT Oii OESIGNER MAIL AODRESS ZIP PHONE LICENSE N0. (763) 533-6168 S ENGINEER MAIL AODRESS Z�P PMONE IICENSE NO 8 USE OF BWLDING 4 Unit Townhouse 7 CLASS OF WORK O NEW O ADDITION O ALTERATION I� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside Townhouse Building; trim 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. TYPEOFCONSL OCCUPANCVGROUP OCCUPANCVLOAO SEPARATE VERMITS ARE REOUIRED fOR ELEC7RICAL, PLUMBING, HEATING. VENTILATING OR AIR CONOITtONING. TMIS PEAMIT BECOMES NULI ANO VOID IF WORK Oii GONSTRUCTION jpNING SO. F7 CU FT. AUTHOR12E0 IS NOT COMMENCEO Vy1TMIN 60 DAYS, OR IF CONSTRUCTION OR WORK t5 SUSPENOED OR ABANDONEO fOR A PERI00 OF 12p OAYS AT ANY TIME AfTER WOHK IS COMMENCED. NO DWLG. UNI7S OFFSTREET PAqKING I MEREBY CERTIFY THAT 1 MAVE READ ANO EXAMINEO TMIS APPLICATION 4 S7A��S GARAGES AND KNOW TME SAME TO BE TWUE AND CORRECT. ALl PROVISIONS OF �AWS yALUATION SUFTAX AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILI BE COMPLIEO 18' 797 r $9 .(FO WITM WHETNER SPECIf1E0 MEpEIN OA NOT. TME GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AU7HORITY TO VIOLATE Ofi CANCEI THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANV OTMER STATE Op LOCAL l:AW REGULATING CON• $3O7.2S Fire SC �IH.HO STRUCiION OR THE PER RMANCE Of CONSTRUCTION a PLAN CNECK F TpiAl, FEE � t�-ch, Lice e $5.00 $340.45 S�GN�1UpEO�CO ,fOpOp�UT p�2ED• ENt �D�TE� ME PROp -�VALIOAT TMIS IS V RMIT � . S�GN�TUaE O� OWNEp�� OWNEpBWIDEp� iD�TE� Bl G�N$� � Or.rE . l�'"°^"�` . sueaECr RMIT NO. c�ty of Fr�a�ey 310 9 5 , ` AT TME TOP OF TNE TWINS g � I L D I N G P E R M I T RE ,PT No. � � • COMMUNITY DE�EIOPMENT OIV. � ; V �••��'� ,A r � � PROTECTIVE INSPECTION SEC. �j/ � _ �"'1 � CITY HALI FRIOLE� SS�J2 NuMSfR pEV o�TE P�GE Of �PVnOVEO Br �_'_.�: �.' 6i2-571-3450 9t0-F15 6/27/00 � � JOB ApDRESS 5517,19,21,23 East Bavarian Pass 1 IEGAL �OT NO. BLOCK TRACT OR AOOITION SEE ATTACHED oesca. 1-4 6 Innsbruck North Townhouse 3rd Addition SHEET 2 PROPEiiTY OWNER MAI� AOORESS ZIP PHONE Innsbruck Townhome Association 651-224-5482 J CONTRACTOp MAIL ADDRESS ZIP PMONE LICENSE NO Garlock-French Roofin Co 2301 E. 25th St. ls. M�1 55406 612-722-7129 00001423 � ARCHI7ECT OR OESIGNER MAtL ADORESS ZIP PHONE LICENSE NO. 5 ENG�NEER MAII ADDRESS Z�P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION �f[ REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reroof Townhouse Building (Tear Off) 9 CHANGE Of USE FROM TO STIPUTATIONS Underlayment must comply with the State Building Code permit Inspection Cards Witi Be Malled �'a Nomeowner To Rost TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAO SEPARATE PERMI7S ARE REOUIRED fOR ELECTfiICA�, PIUMBING. MEATING, VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZpN�NG 50. F7 CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANOONEO fOR A PERIOD OF 120 OAYS AT ANY 71ME AF7ER WOfiK 15 COMMENCED. NO. DWLG. UNITS OffSTREET PARKING 1 MEREBV CE:iTIFV TMAT I MAVE REAO AND E%AMINED TMIS APPt,ICATION 4 STA��S GARAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF �AWS yA�UATION SURTAX ANO ORDINANCES GOVEqNING THIS TYPE OF WORK WI�L 8E COMPUED �8 424.69 $4.21 WITM WME7HER SPECIFIE� MEREIN Oii NOT. TME GRANTING OF /1 pEqM1T � OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TNE pEqMIT fEE SAC CMARGE PROVtS10NS Of ANV OTMER STA7E OR IOCAL LAW REGUTATING CON• ��67.25 Fire SC .�H.4Z STRUCTION OR TNE PERfORMANCE Of CONSTRUCTION PLAN CHECK FEE TOiAL FEE 79.88 S�GN�TUpEO�CON'AACTOAOp�UTMOA�2ED�GENT �O�iE� EN ROP ALIOA TNIS IS VOUp PEpMIT �� S�GN�TUpE O� �WNfp�� OWHEp BU�IOEp� ��ATE� IN$� ��<<f l� Permit No.:�l�'? � �� Building MECHA�.NICAL Inspections jZESII)ENTIAL A�PLICATION Received By: 7.63-572-3604 CITY OF FR�LEY D��'A DATE � I— a� YOUR E-MAIL ADDRESS S.ITE ADDRESS s� � dt,V�� A3S �l2/ D� THIS APPLiCANT IS: O OWNER �CJCONTR.ACTOR ' PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERNIIT TYPE TYPE OF WORK: NAME: 0.n v►"� w�•- _ _ ADDRESS: S•i/ g E �3d�-V 0-2�A,+� 1'�ASS CITY�f�►�/t� STATEF�„►� ZIP�S_?3`L. PHONE:(p/o'l-- �a- 35 g 3 COMPANYIIAME:12t V« C.(�, S� ��- 1`i�-��-I CONTACT PERSON: C�+�� S n/J - STATE LiCENSB # EXP DATE ADDRESS: �c2 0 (�1 1- �E CTTY �R-� O/c�.�, STATEM�ZIP��- PHONE �/ 63 •�s � a► g FAX �iSINGLE FAMILY ❑ TWO FAMILY IJ NEW �REPLACEMENT � TOWNHOUSE p ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK, l nS�A � l �,�.P� a«'-� �-''� ��' 2 hA �-i 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 residenrial fixture, excluding the fixtures. ('I'his 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 A�RE LABOR EXCEEDS $500, FEES ARE BASID ON $10.00 PER FIXTURE, EXCEPT WI�RE NOTED. FIXTURES: (AiDICATE TOTAL -NUMBER OF EACH BELO ��t R U* C�- Equipment Installcd ,� MFG: ,�r'�A''''� MODEL: p h(� E AA 63 6d7 0 g��g� r� 0 u u o NffG: MODEL: SIZEBTU MFG: MODEL: SIZFJBTU A/C $25.00 _FIREPLACE (GAS) $15.00 . GAS RANGFJOVEN 510.00 _AIR TO AIR EXCHANGEER $l5 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL 510.00 BOILER $35.00 gFURNACE $35.00 _GAS UMT HTR 510.00 CHIIvQdEy LINER $10.00 GAS DRYER $10.00 POOL HFATER $35.00 _GAS PIPITJG $l0 00 _VEN'TIL.ATOR 515.00 DUCT WORK 510.00 , ....,.:.,.. a.n,...� •, ..��-,,�;��,.,;�.,.� �.��r-r:,�a;3�1�i�.�t�8'�}it�xait 1,„,�� ,�'�`'�r'L'c.iG�"WJIGU.slnui. �nv:l�v.i�va6aa:��r ..?w.. "�...na ..ya° +s.�'.. ...�: � .a�T .. ._.,._:.... .. ..._.,. .. ._._....... . Permit Fee � $ �• o � Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures (n; $15.OU x $15.00 = $ TOTAL DtTE $�S •yZ, b Number of fixtures (a3 $25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surchazge = $ _50 Total = $ THIS IS AN APPLICATION FOR A PERM�T-NOT VALID UNTIL PROCESSED I hereby apply for a bnilding 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval6f plans. SIGNATURE OF APPLICANT �/�-(o �� PRIN'C NAME l,f'�r (S I,C b�y0 p DATE rT' 3 j^ O� -- City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: ?63-502-4977