AF - 42480City of Friclley, Minn.
6431 Univeraity Ave. N. E., Minneapolis, Minn. 55432
BUILDING PER.MIT
��; _ December 26, 1972
�
-� �11872
�iWIIC1'S ilarral A_ Farr t:P1 Qo Pn .C.Q.._.. Builder ....�-�e__ •-•----_�._._..__.......4._.--••._.... ,
,Ad�g 5901 Brooklyn Bou levard _.�„ Address _ Same �__._ �_�_�u ��
LOCATION OF BUILDING
Na 5521 S�t East Bavarian Pass N.E. _ part of Lot
Lot 1 � Biock ._._._� 6 �____—.__ Addition or Sub-Division __Innsbruck North T.H. 3rd Addition
Corner Lot ..��.�w_____ 7nside Lot _._._.�...____.__... Setback __._........_..__..___--•---_ Sideyard _.._-----_._.._ � _
5ewer Elevatiori �____.___.._ _..�__.__.� Foundation Elevation __.._._____._.__._._.... ' _..__._.
DESCRIPTION OF BUILDING
To be v�a �: i2oo �
Townh ot a Front ._.2.�� Depth 24 � Height ._._2.6_� __ Sq. Ft. ._600'_� �, F�, 15. 600 � .
� ...... Front 10 �5 � Depth 22 � Height .__l� � __ Sq. Ft. _---231 �.. Cu. Ft _�.i310'
Type of Construction �LdnncL.Fxame_�..__ Es� Cost .....$2Qy.Il1D _�.___.._._ To be Completed _.._..l }�ea.r
Stipulations ; � �S�`f � �� ,�� ,
In consideration of the issuance to me of a perxnit to construct the building described above, I agree to do
the proposed work in accordance with the des4ription above ��orth and in compliance wi� all provisions oE
Ordinances of the city of Fridley. / ) l/ .
10.01 S�iate Surcharge
In consideration of the payment of a fee of $.�3$_..9.Q�._.._., permit is hereby granted to_._D.ar��.� L� �� Dev .
to construct the building or addition as described above. This permit is granted upo�i
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 of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of building8
vYithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. — ' `-�
Building Inspector
CLARK
NOTICE:
This permit doas nof cove� the construetion, installation for wiring, plumbing, gas heating, sewer or wafer. Be sur� to sw
ths Building inspecfo� for aeparate permifs fo� these items.
i
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AP�LICRTION FOR RESIDENTIAL, AL`�'rRa�'IO;�',
OR AllllI"�IO� BtJILDING P��9IT
� CITY OF FRIDLEY, I�iINNESOT�
0'v�sTER'S NA:'�:��rr�/ �r.Fs�rw /.�Pvr/�, (�o. BU�LD�t: Sab�e e-
r'�DD�ESS: cS9�/ �.7'�"oasklyn fd/vsi• ADTRESS• SGtbsal:,
�`� 0 : . �SS� / S TR.EE'?' : .�C�,T � �Cd► C�Q's-�i st rs /d� S �
L�"s ; � BLOCK : �p AD3)3TI03+I t ..t0.�/yS6�-ar.� �/av-�.�r T, �i. .,,3 -'�j�°�s�i �� a a!
CrJ��� LOT: IidSIDr, LOT: � SE'�B�C�C: SIDEI'A��DZ�^„�_
�,p�li��z�t �?'tach to this forr� ��o C��tificate� o� Su ��y o� LoL and pxo�osed
building iocation dra,an on th�aQ �e�tificat�s.
�ESCRIPTION OF BUILDING
�o �3� TJaed �� :
��.+.rr f�5o:.�s.w Fiont: .��� ��pth: oZ�� Haighr• .��a�
/<2 0O
S�uas� r°�t: toot� Cub:.c x�e�: /�.�not� .
L� ,�9'g`� � rs...' � i'Z'OTl� : �t%.v'�� L'°T���1 : �•�. � HYZJ�1� : /�% �
5qua�� ��e�; .�•�/ Cubic ��a�g> .2.�/O
�;�P° oz �onst.:uctic�n: ��lo� .�„¢"�rss�. r,s+����d �o��v $ /� //�ea.a4
�o B� �ampl���d: -- -- 7�/.�� 7.3
''?"n� un�?�,�i���d �.���by zr�?�-�:� zp�li�:ation for a p��ai� fo� a�h:�.�or?c h-�x.��x�
s n� �; i�,:�d, �>gresi �?�; .r.o c's� �,11 zaor'.t in 3 �;�i�� ��:co�danc� wi�n ��.h� �i�y o>
.cr:i,dl��.A� fl�b���x��c�� �nd �^sl-!�=�� o:� �i�-° ��z?�:���t o:� i;uiic?�ng�, :»,� }�Q��`��I
d.�cl�:vy� 4c�ag all �fi W f�c�� Znd �a_p�e��n�3�ions s�a�; si i:.. �ii�.� �p�li�a��.an
.,-�Y ���� �nd coar��t.
x a s M. /.Z -.TG - 7� s�c��a�.��n,L. �
(S�� � �?��r:�� Side xa:.� ad��.:'c�.a� �n�orratZon.)
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♦
.
Cil� O'� �'fid�e�
AP�le�ion for Pte�bing �d C� �M�aq P�
D�pt. oE Bldp�. Phon� S80•3450
DESCRIPTION OF WORE ��a � �
Humb�r, Kiad �d Locatfoa of flxtur�s ' � I'°°�°°
� M N
i� � i� i�-«� I�� o� ��0 3� �; c�� �� o� • N
I ` . , I b n
:T�������.�
�u�noa�i
� ■�■■r�i
� ■�����1
■.■.■■'
.
. ..
PARTIAL RATE SCHEDULE
�
w�tE■ �. Cit� oi �1'idley:
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c�s «cc. The uadersigned 6ereby makes appltcation tar a permit tor the Rosk Rerea•
specified� agredng to do aII work in strict accordance with the Gi� Ordinance
and ruling of the Department of Buildings. and hereby declares that att the tact
and representationa stated fa this application are lrue u�d correct
PYidley, Hina � `� ; I�
Srw�: ❑
�r� ❑
PtDI�tSING FIXTURE AATES: ••..• 1�0• x=ZA� = TOTAL
Number Flxtures . . . . . . . . . . . � �� � � �
lhiture Fixture O�>cning . . . . . . . . . . . x E1.50 i .
New Fixture Old Opening . . . . . . . . . . , x i1.50 i__
Ca4cb Basin . . . . . . . . . . . . . . . . . . . . x f3.25 =
Watet Heater 'Up to 99,000 BTU� •••• � x 53.00 t °� • O �
New Ground Run Old Bldg. . . . . . . . . x :3.25 S
`'� El�ctric Wat�r Hwt�t . . . . . . . . . . . . . . s i2.00 :
GA3 FITTING FEEB: NO. RATE TOTAL
lst 3 Fixtures . . . • • . • • • • • • . . . . • % x 5200 ; o� . � (�
i Additbwl 1�7uttu+es . . . . . . . ... . . . . . x : .7b =
Gas Raa�e to 19a.000 BTU ..,.. ....... a i5.0� 1
State Surcharge $ .50
REPAIRS � ALTER�9'IOlfb—R�i�r !o Cod� -
Deacrlption ....... . .. .... . . . ...... . .... . . .... ........_
I
TOTAL PF� � � / , S�
Owner
Kind of Buildiag ��-�-� -
v�a �
To be completed about
Estimated Cost, s �
Old—New. Building PPrmit No. P•rmit No. ���y
Signed �� �/��
PLLtMCt��►�r- �_ �..- . _-- - -
Bu �nc��ufe�T'dh Auc n�.,
, �WiNNEAPOLIS, MINN. 55428
425-4183
ROUOR
i'IPiAL d w
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�,���� ��,, ��`,���� �� ��! � � a � �Q �
, � ? ,:. � . �.
;��� � � s �!�
a!�, R�? �I' c ,� c p-n � y .,� ,m ,�.� ; .: ;a�, g z � ±r
h'iY'`a 6's2m'�L�m '�: ,6 z t`z'�� k x..,��'+„#�I6,.'�
�'� E!!�T1f �/11RM AYR; � '�'iAFRL
�arnsce 3he11 dk Iwct �'o�e� �i0.00 i
Repiaeemen4 oY lt�rnac�e . . . 6.00 �
%�pa�rs �e AiReratiaa:s--€�� Yr ��Fif3.t7f3 S.Of3 S--_. _ —
�:epaits &z Ri3rrat�ons �ae� a�sc�. �00.0U . �.i�'r �_ _ - - ----
�c�r. wnux u�
�rnscr Shell dt Duct WorT� to 1�0,000 BT[T .. .. .
e�ch add. dU�000 B'P[I ............... ....
RePlacemeat of F1�rnaee
�tepairs de Alterations--up b f500.00
Repairs k Alteratioaa each add. =500.00
.aio.00 �.�
3.W ;
�.00 �
d.00 ;
3.00 ;
.:,� i`"�Sit or i10T �I/A'!'E'R 3Y$TEM
^u�.ace Shell dc Lines--to 400 �q. ft. IDR Steam �10.00 S--------
�vmace Shel) ds F.in�—to 640 sq. ft. EDR FIot Water 20.00 ;_.
Each add. S00 aq. ft. EDR Steam A.Ofl =... ___--_
Lach add. 320 sq. !t. EDR Hot Wat+er 3.00 �._
OIL HIIANER—to 3 gal. per hour
aver 3�al. ptr hour—See 1�eE Schedule
�:AS HUAIfER �up to 199,000 BTU)
oMer 19�,000 8'P[1 � Fe. sc�dul�
GAS FI'1'1'ING FEES:
lst 3 fixtures
Additional P'1�rtutes
Gas Rang�e to 199.00�
J1IR CO1fDI'R011I11a
F�11f !!E�?IltG sTi'!EM
v�tii.�►twa s�rs�ra�r
ALTtRATIONS ! 11EPJLI31s
ROUGH
FUIlIL �' 3 � 7 .y
6.00 t —
b.00 .__,��
110 A1►TE T01'1►L
— Xi 200 t--.�=��
_ x .7a =
- � 60� i —
�.__1.��
� TM iei�b �
� ��4'/,07'�jL�ii i��zs�.�.�1
;S: ,_, ���� $ .5�'��
.��S,Sd
�t. Of 8��. �iORi6 �-�
t.OM1°��111R �.J v�- � EP�����752 il.i.�r�... �-LGiJ _
City ot llridley:
The �aasde����,� �ereby rs�aP��s appIic�4ian lz+� a petr,nit Y�se 6'-<.�z: erarla he�e.�s
specifie�, a�xee: m;� to �as� r.i3 ay�;�;z in striet a���rd:�r��e wat4s �� �:�my c�
and ruli�� �ff ti.e �epa. tmaces4 ot 8uildings, and 4�� r��y �e���e* �..��:2 a7� e�at F;;a�.�~
and re�sPesentatians staQed in Yhis application ere ts�aQ anc� c��ei.
FTidleY. 7VS�n .�-�—! _S __.—., I.S ��
(�wner __��,/z,� �� 1 � G.�
Kind of Buildins .___ _ �
U�ed a. . -- _. _ G' _"���9 ✓ - -- _ �
To be completed about __ __ _ —_____ _
Estimated Cost, �_ _ �� G'7�. -_ -- -- ---
Oid—N�v. Buildut� P�rmit Na. — p�rmit No. l0 0�. ��
v
�rrro� or woar
HF'.ATING oe POWLR Aot Wat�, Warm Air—No �
iYad! Nae11e _$jy� win_ 1/. /i� ,� 3-//�
Capacity--.� / � � _ 3Q• �'t. �,DA gTiJ gp
Total Connected Iaad lUnd et fi�e
BURNER — 'h�de Nan�e Siu �_..
Gwdb 3q. Z'e. E.DR STtT AT
(REMA�Kf—OYLR�
/� ,
�; � i_ �..,�. _-_ ,_.i. /i. .,
• _. t
• ;
:
�rNes���:sco . . 53-8t��-915.51 -
. . Cit�� �� �t-'s G1 �� y � ,
� • �.�{ .w!� !� �+ ♦»� �+yiq.�w 1��� �°,h....-� ir'!. •„t� .�M,,,,�ey .
. . �9 ��Y^a%.1L/:�li ��L� ��UYii.wfll� �rY4: L:�i.r".1 � ��SA�L� �G.idO'a3 ' '
Dopt. of Bldrs. T?hon• �M-345Q "' '
DESCRIPTIOti O� vro�.� ' S521 j�: Bavarian Pasa
Hui�bor. Y.ia� ns�d Locr; cn of Fi�h:res I'O�'�°� -.
� ;< � � l= � � �
;n i; ' 11 3
Ea�r
I st .
_ � N
Y WATf4 M7�.
N ' R V L 0 �
,: t `� z z �C
��r o � ��`� °<i7� 7=17� . N ��S fIEC.
� { �j �� 8c `v <3 u u��o
2r..'! �
3:d �
t:�
• Futti::• Coa.:e:i:,.^n O;�cirvla
* ?C�w f'i:.�h:s�. Old O.7eair.r,s
PARTIAL RATE S�NcDULE
Sa,aar �
Cc::�l ❑
?LIIMBIHC iiJCTL'RE RATES: NO. RATE TOTAL
Number F:xtures . . . . . . . . . . . . . . . . x S2.G0 S
FLture F>xture Oj�ening . .. . . . . . . . . x 31.50 S.__.-
�ew Fixiu:e Old Opening.......... , x$1.50 3_--_•
Catc� Basin . . . . . . . . . . . . . . . . . . . . x 5325 S
VCa:er Fiea:er '(.'p to 99,Q00 BTU3 •••• x S�.CA $ �
- ::ew Crcund Run Old B:dg. ........ x 53.25 S
E:�tLzit Ylatnz Hsatot. . . . . . . . . . . . . z $2.00 S
;sJ�3 FITTI:2C FEE$: 2d0. Ri+TE TOTAL
2st 3 Fixtures • • • • • • • • • ••• • • •• • • x S2.00 ; .
Addiiioaal F:xtures .. . . . . . . . . . . . . x $ .75 3
Gzs Raaze to 1S9.4�0 BTU . . ... . . . . .. , ' x 35.04 5
city ot eYidley:
Thc undersigncd hezeby srakes apallcation for a permit tcr thc aozi he:ti
specificd, a,^,ree:ng to do a:t «•crk i� s:r.c: accc:dar.�e k:th th,e C:� G`.-C:r.:aa
and ruling of the Drpar:ment ef F.u: c�'ap,s, and he: �by declares Lhat a:l L�e f:d
and rn�rese:itations sta;N L-� :i:is ap,^.tica::c+n are ir�� :.nd corrett
8-6-75
F`ridiey, D'.inn 29_.
Owner John T. Becker '
Kind of Buildir.g Frame
Res; �
Uscd az ---
To be completed about 8'13�75 ,
�Esiimated Cost. S 10.00
Old-�R. Building Permit I`o. P�rnit No. ���`1�
, Signed S.!--� � �s�t" j
. By MINNEGASCQ � --
Busin�ss Phvne �io
RO'JGFi
FINAL h!' / � ' 7 �' � .
p:"PAI:t3 �c aLTERJ►T20NS—Asf•z so Cod. .50 State Surcharge �
•Deuzi�LOn .... . . . . .Zri�tia.1.1. �. �*x'�,�.�.. . . . ... .... . .S �-� •
� ' TOTt�L 1'EE + � _ �i0 � ' .
� �,1ass'•�A,: Surcharge :50Q -
• .
. • .
sue�ecT P •
City of Fridley ✓ 2 2 0 6 2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
; � R NO.
� �
COMMUNITY DEVEIOPMENT DIV. a Q
r � L � PROTECTIVE INSPECTION SEC. CT� I�
� �
� � �"�l � CITY HAI.I. FRIDLE� 55432 NUMBEfi pEV. DATE �AGE OF APPROVED BY
�.---�'� ,'� 612-571-3450 910-F15 8/26/93 � �
JOB ADDRESS 5521 East Bavarian Pass NE
1 IEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 6 Innsbruck North To�,�rnhouse 3rd Addn. SHEET
2 PROPERTY OWNEF MAI� ADDRESS 21P PHONE
Jerry Foote 5521 East Bavarian Pass NE
3 CON7RACTOR MAIL ADORESS ZIP PHONE UCENSE NO.
D�cks Fire & Storm 864 19, Ave SE, Minneapolis MN 781�6170 248
4 ARCHITECT OR DESIGNEH MAII ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION O ALTERATION �7 REPAIR O MOVE O REMOVE
6 DESCR�BE WORK
Reroo� Garage (.Tea,r--a��2
9 CHANGE QF USE FROM TO
STIPULATIONS �,roVide smoke detectors as per UB.0 1210 adjacent to aIl sleeping areas
�I�T� and in basement.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PEFiM1T BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED Oq ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CEFiTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFiTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED $4HQ $, SQ
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE
PROVISIONS OP ANY OTHER STATE OR LOCAL LAW REGU�ATING CON- 1rJ, OO Fire SC yS. 4H
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $
PLAN CHECK FEE TOTAI FEE
License S $5 0 $20�98
S�GNATUAE OF CONTPACIOR OR AUTHOAIZED AGENT IOATEI V1/N E VALIDATED THIS IS vO('U�R ER I
V
SiGNATURE OF OWNER Uf OWNER BUILDERI �DATEI BLDG. �N P � TE
NEW
ADDN
�,�
��
[l
[l
Constivction Address:
Lega1 Description: L
CTfY OF FRIDLEY
SINGLE FAMII.Y AND DUPL�XES R-1 AND R-2
Building Permit Application
Effective S/26/93
� s •'
Owner Name 8c Address: Tel. �
CoAtractor: ' MN LICENSE #� Y y �
�.� ._.z. � d �1/.r����.. � ���� � ��
Address: 5r t Y� r%� c�..v S� `�2� -O Tel. #��/- �/��
Atzach to this application, a Certificate of Swvey of the 3'� �-�&� �
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length � Vtridth Hgt/Ground
-,�-- _ n . � _ � �
OTHER:
�
Sq. F�
Sq. Ft.
Sq. Ft.
�A ��<.�'�l�' 4 �/ � i
v 'c �,�,,..
Corner Lot [] Inside Lot [� Ft. Yd Setback Side Yard Setbacks
Type of Constivction: �az�,� Estimated Cost: � ��o =.
�
Approx. Completion Date:
(Cost on Back)
Driveway Curb (.;�t Width Needed: F�. + 6 Ft = Ft x� _$
DATE: APPLICANT: „A„ � ��/yz_._ Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrvw
Erosion Control
Park Fee
Sewer Main Charge
TUTAL
$
$
$
$
$
$
$
$.
$
�
_����+�
Fee Schedute on Reverse Side
.001 of Permit Valuation (1/i0th%)
$.50/$1,OOU Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Conservation Plan Review $450.00
Fee Determined by Engineering
Agreement Necessary L l Not Necessary (�
STIPULATIONS: -
sus�cc► � .
c�ty of Fridley 30860
AT THE TOP OF TME TWINS g � i L D I N G P E R M I T
i � RECEIPT NO.
� � COMMUNITY OEVELOPMENT OIV. � , / A/
�: - L7 � b
r � � � � PFOTECTIVE INSOECTION SEC.
� . �
� _ �"'1 � CITY HA�L FRIOLE� SS�J2 NUMBEN nEV OATE PAGE of �irnOVEO sr
�•"'�' �'� 612-571-3450 9to-Ft5 4/26/00 / /
lOBADDRESS 5517, 5519, 5521, 5523 East Bavarian Pass NE
t LEGA1. LOT NO. BLOCK TRACT OF ADDITION SEE ATTACNED
oescR. 1-4 6 Innsbruck North Townhouse 3rd Addn SHEET
2 PROPERTY OWNER MAII ADORES$ ZIP PHONE
Various
J CON7pACTOF MAII ADDRESS ZIP VHONE IICENSE NO
North Central Builders Inc 7401 42 Ave N, New Hope, Mn 55427-1219 3763
� ARCNITECi OR DESIGNER MAIL AOORESS IIP PHONE UCENSE N0.
(763) 533-6168
5 ENGtNEER MAII AOORESS ZIP PHONE IICENSE NO
B USE OF BUILDING
4 Unit Townhouse
7 CLASS OF WORK
❑ NEW O AD�ITION O ALTERATION I� REPAIR O MOVE O REMOVE
8 OESCRIBE WORK
Reside Townhouse Building; trim
9 CHANGEOFUSEfqOM TO
STIPULATIONS
Call for building wrap inspection before covering.
TYPEOFGONST. OCCUPANCY GROUP OCCUPANCYLOAO
SEPARATE PERMITS ARE fiEQUIRED fOfi EIECTfi1CAL, PLUMBING. MEATING.
VENTI�A7ING Oq AIR CONOITIONING.
THIS PERMIT BECOMES NULI ANO VOID IF WORK OR CONSTRUCTION ZONING SO. fT CU FT.
AUTHORIZEO IS NOT COMMENCED N/ITMIN 60 OAYS. OR If CONSTRUCTION
OR WOFiK IS SUSPENDEO OR ABANOONEO fOR A PERI00 OF 120 OAYS AT
ANY TIME AFTER WOiiK IS COMMENCED. NO DWIG. UNI7S OffSTREET PARKING
I HEREBY CERTIiV THAT I MAVE REAO ANO EXAMINEO TMIS APP�ICA710N 4 STA�LS GARAGES
ANO KNOW TME SAME TO BE TRUE ANO CORRECi. A�L PROVISIONS OF LAWS VAlUA710N SURTA%
ANO OROINANCES GOVERNING 7M15 TVPE Of WOFK WIIL BE COMPLIED 18 � 79� ' $9 , 4O
WITM WMETMER SPECIFIEO MEREIN Ofl NOT. THE GRAN7ING OF A PERMIT �
DOES NOT PRESUME 70 GiVE AU7MORITY TO VIOIATE Op CANCEI TME pEqM1T FEE SAC CMARGE
PROVISIONS OF ANV OTHER STATE Oii LOCA� CAW REGULATING CON• @307 . 25 Fire SC � iH . HO
STRUCTION OR TME PER HMANCE OF CONSTRUCTION W
� �LAN CMECK f TOTA� fEE
�/ �t� �,�, Lice e $5.00 $340.45
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sue.,ec* RMIT NO.
C�ty of Fridley 310 9 5
' , AT THE TOP OF TME TWINS g � I L D I N G P E R M I T RE �pT NO.
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r � � PiiOTEGTiVE INSPECTION SEC.
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� _ �-"1 : CITY MALL FFIOLE� 53132 NuMlEA REV O�iE ►�GE Of •P►nOVEO !r
�----�: `.� 612-571-3450 9t0-Ft5 6/27./00 � �
JOB AODRESS 5517,19,21,23 East Bavarian Pass
1 LEGAI LOT NO. BLOCK TFACT OR AODITION SEE ATTACHEO
oesca. 1-4 6 Innsbruck North Townhouse 3rd Addition sweer
2 PROPERTY OWNEq MAlL ADDFiESS 21P PMONE
Innsbruck Townhome Association 651-224-5482
3 CONTRACTOR MAtL ADDpESS ZIP PHONE IICENSE NO
Garlock-French Roofin Co 2301 E. 25th St. ls. NW 55406 612-722-7129 OOU01423
1 ARCNITECT OR DESIGNER MAIL AODRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAII AODRESS ZIP PHONE IICENSE NO
8 USE OF BUILDING
Residential
7 CLASSOF WORK � NEW O AD�ITION � ALTERATION �I REPAIR O MOVE O, REMOVE
8 DESCRIBE WORK
Reroof Townhouse Building (Tear Off)
9 CHANGE Of USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code
P�rmit Inspection Cards
Wili Be Ma11ed
�a Nomeowner To Rast
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV IOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICA�, PLUMBING. MEATING.
VENTILATING OR AIF CONDITION�NG
TMIS PERMIT BECOMES NUII AND VOID IF WORK OR CONSTRUCTION ZpNING SO. fT CU FT
AUTHORIZEO IS NOT COMMENCEO WITHIN 60 OAYS. OR If CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED fOR A PEii100 OF t20 DAYS AT
ANY TIME AFTER WORK IS COMMENCEO. NO. OWIG. UNITS OfFSTREE7 PARKING
I MEiiEBY CERTIFY 7HAT 1 HAVE REAO ANO EXAMINEO THIS APP�ICATION 4 STAILS GARAGES
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS VA�UATION SURTAX
ANO ORpINANCES GOVEANING THIS TYPE OF WORK WILL BE COMPUEO
WITM WHE7MER SPEGFIED MEREIN Oii NOT. THE GRANTING OF A PERMIT �8,424.G9 �4.21
OOES NOT PRESUME TO GIVE AU7MORITY TO VIOLATE OR CANCEI THE pEqMIT fEE SAC CHARGE
PROVISIONS OF ANY OTHEF STATE OR LOCAI LAW REGUUTiNG CON• '
STRUCTION OF THE PERFORMANCE OF CON57FiUCT�ON ��.6%.25 Fire SC �H.4Z
PLAN GNECK fEE TOTAL FEE
79.88
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