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AF - 42497City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT .: : ,. -�„- . • �-� � �� 190� p��; Darrel A. Farr Development g�der _Same ._ � wM_ ��."� Addre�s.s ._52�_ Brook.lxn�nulevard �.._. Address Same..__..._.__.. __.__.__..__._._..___. LOCATION OF BUILDING Na 5524 S�� _ Eas t Bavarian Pas s N.E .� �__ _ part of Lot Lot - 3 Biock .�.. �� .._....__� Addition or Sub-Division Tn�.ahrticl5.,..�.]�.�ry..Z_H_ �$ Additl.oil Corner Lot ..._ _._ Inside Lot X.__�..__....�.. Setback _....__..._...._......____._ Sideyard _.....__.._____ ._.._ Sewer IIevatian .__ _...__...._.��_ Foundation Elevation __.._..�__..__._.__..._ _ DESCRIPTION OF BUILDING To � v�a �: 1200' T.aTu�nh n» c P Front _.� Depth �2.4 �._ _ Height ....�52.�-•._ _ Sq. Ft. 600' _ 600' _ ....___ _ cu. Ft .��,.._.._. „�arage ...._ Front 10.: �5 � Depth 22 � Height .._l� � ____ Sq. F't. •--_23.1 �_ Cu. F� _2310' Ty,pe of Constxuction _.TeLQS�.�.. Frame __ Es� Cost .,.�20�010___.._...__._.... To be Completed _._..1.._Y_ear Stipulation: � �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 description above set and in compiiance with �jl provisio � o! Ordinances of the city of Fridley. l/ rcha In consideration of the payment of a fee of $ 3$� �� _�...�.., pernzit is hereby granted to.�D.aT��l. A-Farr nev . _ 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 woTk done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinancea oi �'ridley, Mix►nesata regarding location, construction, altera ' maintenance, repair and moving of buildings vyithin the city limits and this permit may be revoke any ti upon vi tion of any of the provisions of said oxdinances. --- Buildin8 Inspect� DARREL CLARK NOTICE: This permif doea not eover the construction, installation for wiring, plumbing, gas heating, sewer or wate�. Be sur� to sN ths Building Inspecfor fo� sepawta parmits for these items. r`7 ,. _ . . . a r�PpLICATIQ:� FOR RESIDENTIAL, �L`��RA'I'ION, OR �llllI'�IOivr BUILDIidG P�R�IIT' CITY OF FRIDLEY, i�fINNESOTP, Ow�r�'s NA�� Z Q�rrP/ .'��6�7�'N �Otur%, C'o, BUILD�t: S�e� �- r�DD�ESS: �S90f .Qi-ov/t/yaa �lNS�• AD�RcSS: s�w:e. NO:. Sar.Z¢' STREET: �s� ��t/A's�i��a ��SS I.a�: 3 BLOCK: // ADDiTTON:.�/r"IS.t6r-aot.� /�/or�✓i T. /�. ,,3�i�m/e�i �'io+�t C�iZ,.�T.�'_�t LOT: I1�SZDE LOfi: /� SET&�C�: SID�.1'A�R�t,�,^,,,,,,,,_, ��? i�ant a�tach to this ionn �o C��tifi�ate� o� Surv:eyo u� i�ot an.d gzo��s�d builc�ino location dra�n on tha�� ertificat�s. � DLSCRIPTION OF BUILDING do Ba U�ed As: �SSr.�-a.�7oes..s� r• ' I:�pth: .2�� H�`�.��; ��+� �'ron _ . .Z°% /.ZOO Squaxe :��t: CpO� Gub�.c A �e�: /.�. �nn00 _ ��'��'� ' �zon�: /.i..S� �ep�h: s2-� � HY��h�, /d � S�uax� �'��; .Z3! Cubic r•��t: •��/D .�yP� of �onst;-uc�ion: �� t'.��. E�i-��d ��° � .OGs dltis.vC? � . .. . To �3� +�cmnl��dt , � �/� 73 Ti�� un�e�'�a�nzd ��b� ��k�� <�.p�lica�inn for a ae�i� ��x �� ro��C ;he�.�� s��ifiYd, Lozea3.r� to -�o �11 t�oY�C in �r-�i:.� �cco:rs�-�nca ��:,� �y Ci�� ox iriK-ii ��r �`Adixza�ce� 3r,t3 �slir..�� ox" �iz=� L'��ax#.�ent oz ��il�?;ing:�, y�d i��s ��y c?��1�� tna� all �'n� �ac�� .�ci �apxe��n��ions s�a��d iT: �� p�l�.ca��.�n n-�r ��+.� �.ad cox��c�. �`�?';: . �.� � IZ �i � ZL a � �� t� 1 iJ.F.i? ° • (S-,� ?t�v�z�4 ;ide :or .�d�i"ios�,a'! Ir.ir�.�.ation,j 3 . 560-3450 ��0 �s�i� � � ANOKA COUt�TY 6431 UNIVERSITY AVENUE NE Jaz�uary 31, 1975 FRlDLEY, NUNNESUT�!, 55�t32 Mr. James London Darrel A. Farz�� Develogr�nt Corp. �. 281Q County R�ad 10 . _ - Brooklyn Center, Minn. 55430 . ' - Re: Status of �ern�.its for Six Quad. Uni�s � Dear Mr. London: _ The City at Fridley still recognizes the building permits for 5501, 5503, 5505� 5507 & 5502� 5504/f55a6, 5508 & 5509� 5511� 5513� 5515 & 55I0� 5512� 5514r 5516 & 5520, 5522., 5524, 5526 & 5532, 5534, 5536, 5530 East Bavarian Pass N,E. as being valid, however, it work is no� recammenced on or befors May 31, 1975, we 4ri11 consider those not wor?ced on as void. They will not b� renewable after - the May 31st date and new permits would have to be taken out £or any new starts. . If you have any questions with reference to this matter, please call me at 560-3450. Sincerel.y, DGC/mh CC: Dick Sobiech Jerry Boardman DARREL G. CLARK Community Development Adm. � . � . � i�'�gr �� ' i �'s � y � . � q ` M 9 � . x�;;`�L�3G!..i:lc'J� �L�� h�lt�wfc:: i"� t�� '�:�; u bt�;ie� mf��'::'sa . r � • �,___.__.__�: ,_...,._._.._ D�pt. of Bld�s. i'hone S,:'YJ•3450 , � D�3C�IPTIO:� 6c^ V;OI;i: �,�.�,,,t • <-�a�� i Ku�Saz. Ki:� n^.d Lccr!:cn o! Fix?��es N I �� • � � ti � „ ; 't ;� � z�� z y i N i; `' � 1� 7 �� s� l �'� I��_ o � �� I� E 3 :t � 1 s: I � . � 2r,3 t — 3:d � :� • Fu �.:o Ccr.ax•.:..-a Cr,�:��?r_: Cc_... t Nsv �s:`.�:9. O;d CT-,•or_:r-�s — -------- z � Z z u� uaic7i�i ::+: PAP.TIAL RAT� 5�HLLU�E WAT£4 Nrlt O 0 � N C�S tl[C. Jc^".�J: � Cc::pcol (-j ; L�iBI?iG FI:CTU�E RATES: �td. P.ATE TOTAL ?d;:rz,ber FZ t . . . . . . . . . . . . . . . . � x �?.Cr�. : ��• C1C) X ll:2$ F1�ture F1xtu:e C�;,cning . . . . . . . . .. . . x 52.50 S , -. 1ew Fixture Olci Oyening.......... x S..�Q 3-----• Catch B3sin . ................... x 53.25 S j e �> c:: C� . Water Fieater 'Up to �s9.000 BTU� •••• x 3 G0 b �es� G:ound Run Old B:dg. ....•.... x:3.25 S E:.�ct.� vr.:.r Y..�t.0 . . . . . . . . . . . . . . : s?.co s - — .?rf.S FITTI`iG FEr3: � NO. RI,Ti T07AL • lst 3 Fixtures • • . • . • • • • • • • • • • • • • -----�-- x S2.G� 5 v��0� . Ad,'.lticaal FZztt:.res .. . . . . .... . . ... x $ .75 5 � Gaa Ra: Yr to 199.OG0 HTU . . ... . . . . .. . x SS.CA .�. City oi F'ridley:. ) �'�_ �' � . � / �� 1 r1 C2�L,i-�--� T?ie undersigned hereby :^.akes e��cation fot a per.�nit fer thr �orY herti specifi^d, a� eein� to do all «•erk in st:ict acco:�ar.ce w;th th� Ci�f Ch:'sr.:r:e ar. d z- u Ii n g oi ti:e De pa::mcat of Euil�.'n�s, a^d hereby decla:es LhaL a:I L`:e fad and r2pres�r:tations s:ated in L�::s apD'.icat:on are trLe and co:'rec�� _ V - �� }g� tYiatey, bunn . � � i Owr,er �. ' �.�571 �f '��. ��/t,�r � — Kind of B::ildi.^.g �%'� � j ��'� Used as To bc co:rapleted abaut Es:irr:ated Cost, S Oid—New. f3ui:ding Permit ;vo. ?•r�it ::o. • • Sig^cd ,G �/J'" , r / . ' . By�� y�i�"'� � `� •_-� -- . Busincss F'h�re No,_ � � � r .3 0 �OUGH Fix�w� - 3 - 77 � . . .50 State Surch�ge ' ;��:R3 ic �LTE°a710MS---P.a:�r So Cocs . .I�C:.C:S�.:SOA • � � . � � . . • � . . . . • . • . ... . • . �.. . . . ..... . ..• . -S . . ' ' z�o � az. �-*�r.: s�1 /• S O • i� � • • - ' • A7T8NTION OF: _ _ _ � , __ _ _ __ _ - - 6431 U niversity N. . r_ _ . 7o Harriet Buechner .__ _ -.---_..--- Minneapolis Mian. 55421 _ : _ __ 612-560-3450 L_ __ _ __ _ _ __ J SUBJECT Refund af`Buildina Pe�mit Fee.& SurchaYa� Fe.e DATE Anr�� (} 1976 , __ _ _ _ _ __ __ _ _.. _. _.... __._. _. _ __ _ . _ ___ _.. plesse make out a check in the amount of $162. 04, payable to Darrel Farr._ Develop�tet�t. . -- -.....__. __ _ _ 72$6 North 72nd Lane. Minneapolis �, i�'i. 55428 eee��$}Qr-M�rr�ree��s�°°g��""55439_ - _ _ _ — .�. , Corporation. . 28�8-2�rctp'�ie _ _ . _ - - _ _ ____ _...._.___ . __. This amo�nt anvludes. $30.5U in _permit fees __a.ncl $1C��(��._ su�cl�arqe an_e.�ir,.1t_of _��_foux`__--�._ , _ _.._.. ' add�essesi 5520. 552�. ._5524 ..& 5526 �ast �av�ian Pass__N.�� _ __.. . ___.---- ------ ____ __.___.. _____. __ _._�. _ � Thi� amount reflects that we_hav�_xe�ained _$7.50_irom..each_bui:lding pertni.t:.€ee. to __-------- , ___ . __ . . i . _ _ _ --_ _. ___.-- -- : _ __. __ __._ .--- cover grocessing cha�rges� _ _ , _ __ . _ _ _ _. _. _ __ __ __._ _ __.__. - 7'haxilc_ y. ou r _ _ ___. _._ __ __ __ _ _ . _ . _ . ._. _._ _ _ � �t "� r,, __ , _ ___ _ � r?� _�C.�,,�c�? _ _ __ _ _ � � � 4 StGNATURE REPLY: __ __._ _ _ _._ �ATE, SIGNATURE • hEP��ii'S �s., . - �:'' ^ R�TAIlVi u � � YCf'v � #3�. :� SUBJECT P City of Fridley ° 1350 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • r � � � � • COMMUNITY DEVELOPMENT DIV. ' � ti: ----- r � �� PROTECTIVE INSPECTION SEC. i---- � �r��.;', cirv HA�� FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BV Z J � 612-560-3450 910-F15 5/7/76 � � JOB ADDRESS 5524 East Bavarian Pass N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 ]_], Innsbruck North '1'.H. 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Development 7286 - 72nd Lane No. Brooklyn Park 560-8110 3 CONTRACTOR MAII ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE X 6 DESCRIBE WORK Construct a 24' x 24' Townhouse and a 10.5' x 22' Gara e 9 CHANGE QF USE FROM TO STIPULATIONS See 5536 Ea,st Bavarian Pass for calculations. —l11ti�;�P��NT— NOTIFY THE Fr�IDLEY ENrR. DIVISCON F�EGARDlNG CiiRB REMOVAL AND REPLACEMENT AT DRIVEWAY OPEIVINGS, S EPERATE PERMITS REQU�RED FOR W�R�� HEATING, PLU(�B�NG AND StGNS� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONS7. OCCUPANCY GROUP OCCUPANCY LOAD _ VENTILATING OR AIR CONDITIONING. r THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITH�N 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERI00 OF 120 DAYS AT 6OO -F 231 1 006+2310 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICAT�ON 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 1 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 THE PERFORMANCE OF CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDnrE� HE PROPERLY VALI TED THIS IS YOUR P RMIT � �� . SiGNATUfiEOFOWNEAIIFOWNERBUILDERI IOATEI BLDG.INSP D E � � AP.PLICATION FOR RLSIDENTIAL, ALTERATION, OR AllllITION BUILDING PERDZIT CITY OF FRIULEY, NiINNESOTA OWNER'S NAME:_QArrr�/� fw�r �tve�opn.e.�� BUILDER: .SQi+.C� ADDRESS:%.�8�0 %R�� ahe h%: ADDRESS:_ Miwv�eatpoiiS /hinn. $S42$ NO:. 3S•'t� STREET: �as'� �auarian PasS N E. LOT : 3 BLOCK : /I ADDITTON : I/�r�s�'�+�� /Vo�'f/j T, IS� 3�'= /�ddi'�/'a+z CORNER LQT: INSIDE LOT: ✓ SETBACK: SIDEYARD: � Applicant attach to this form �ao Certificat^-_s of Survey of Lot and p�oposed building location drawn on these Certificates. HESCRIPTION OF BUILDING To Be Used As : �.��ioNSe. Front : o?�¢� Depth : 0?4 � Height : c� lo� Square Feet: /�oo' Cubic Feet: /5�aon vQ r'a�,G Fxont • /D. S � Depth • .Zl � Heighti • /D � �. Square Feet; .?30 Cubic Feet: �T3/O Type of Construction: �/ood Fra.��, Estimated Cost:_ $,28,500 -T To Be Completed: �u�us T 1 � /�17(0 The undersigned hereby makes applicatinn for a permit for the work herein� specified, agreeing Co do all work in stiict accoxdance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: �e�J-r- /�I7G� _ SIGNATURE: � ' (See Revarse Side For Additional Information.) , �, �,2, .S',� ,�6 �, .,� �R�/ �9-n� �°a-�- , � � � `-�t`7' �3.� , � G �. � � , 3/ �f�- ,j�, J o _. � �od. � � _. � �, � � �-- H if] �' W � dl a Zi 'd F--I x � � cn N [ L!� � tt� .d a .i ~' m �, d pM N O � O � U d � x � L t4 � u a b � U � � �1 � N ~ A m M .0 .� 3+ p a+ U io W .a N 3 '� C � U A � y, c d rt p, v a�, a H X � i° c°� �o a {� U C N W � p N u . -.� o-�u+ �+�' -.t L+ G y� a� �.a C q� tll R7 �.7 e-1 �.i C -•-1 'O w'�� '° o o a�i 0 3 � � ae .-� e e � � � O N >, o s� a '4er � w c uHi u o � x d�.�a a� a�, � �' d . " O�� .�1 1 r-�1 1 r-I � � m .� b � w \ \ ` . � E� F W a i � � � °z H F M � E � � o a � � z H rz, °w H a � H (Q H � � e b z° � tr r+ a�i H m ✓ c� O � . n N N • H • N w � a 0 � z N � a , :� y H r � � � � a o � OG w i __ W � __ �. __. � GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD %�� cf ADDRESS ''�'�� ,r�,�;�; ��-J , OCCUPAMT CITY �� ,jC'�� HEAT LOSS OWNER �'/�C� � i ,��,�, ---- DATE HTG. INST. SOLD BY Electrical Work By INSTALLED BY _ TYPE OF HEAT Gas Line By // " ��' � GA_ FA HW,_ STEAM SPACE HTR. GAS DESIGN UNIT HTR. OTHER MAKE —A.��'��i.','�'�' CONVERSION Model� � /G - � (ji MAKE OF BURNER Serial Model INPUT _ ��''�i ��•i Max. BTU Rating .Q MAKE OF FURNACE _ Model — THERMO TAT�L(.� Heat Plu �° i Valve � 9 Vent Size � �' � Limit '/[� KIND OF LINER �� S12E � NONE__ Limit Setting �� ; Draft Hood 1��'�%`l.�a►�r Regulator _ i'..��'�� Fan Setting C.i -%�u Filters Size�� .�'�c? �►''/ N�er � , Pilot Type � Chimney Location Inside ---_ Outside o Pilot Make Chimney Construction � 0 Pilot Model ' y Pilot Timin C� Smoke Bomb Wiring s '�`,`�.'`�'G' Draft �� .W. Cut Off Test Tag ` Door Pressure Lighting Inst. " Pressure _ _ �' '? Percent CO �.;' �� ' ..� In ut CFH_ /•�;' 2., , Date Tested "�Z "�.� P Percent 02 '.-` • � `�i Company Testing , ,.u�� - Stack Temp.—��"�.�::� � Percent CO � '-` �'.,%' � ---�`5.—�� Name of Tester ,:� Form 235 � - _ —,_ � - - � SCZRL �pfl sjru�sp. , S3�so1� T7 I' SJ710�$ � I N I �N I L� -.pz _ .. _ _ _ U M N W � � � � a � e- aC w c� H � � .. � ._ .... N� �' �.,z'. " y w� a°'+ °o u�0 3 i ww x m i o' v°� �..�+ F"' iai ►�. w �C ►r .-°� f� t�7 ali ..�r i] � s uq.�i a�i :s u u' �� 6 U. 3 3 S�G W � y " +7 d d+ w � o [ N � � � a � u b m � u u .�i � t�i w a .dr a � �L�.L..�.�.,.�.� �, �� ..,�� . ' ��.��. ��` ,�� r� � rt �� ;�, t;.' August 15, 1977 � �� > -:�� ; . 6431 UNIVERSITY AVENUE N.�., FRIDLEY, MtNNESOTA 55432 TELEPHONE• ( 612)57i-3450 Darrel A. Farr Development Corp. ?286 - 72nd Lane North Minneapolis, Mn. 55428 Re: Final Inspections at 5524 and 5534 East Bavarian Pass N.E. Dear Sirs: k'inal inspections were made on August 11, 1977 of.the above addresses and the following items were noted which must be completed before the structures can be finaled out: 5524 East Bavarian Pass N.E. l. Protect combustible trim adjacent to fireplace by Auqust 24, 1977. 2. Provide third stud in garage wall corners by September 15, 1977. 5534 East Bavarian Pass N.E. Provide third stud in qarage wall corners by September 15, 1977. We will expect the above items to be comgleted by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sin e y, RON HOLDEN Building Inspector RH/mh SUBJECT . P E City of Fridley 2 2�3 3 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � RECEIPT NO. � �` _��_ COMMUNITY DEVELOPMENT DIV. �Y1 � r � v � PROTEC7IVE INSPECTION SEC. L�� ( 1 /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE CAGE OF APPROVED BV �""'�'� �'' 612-571-3450 910-F15 3/18/94 � � J08 ADDRESS 5524 5526 5526 5532 E t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2,3,4 25 Innsbruck North Townhouse 3rd SHEET 2 PROPERTYOWNER MAI�ADORESS 21P PHONE Various 3 CONTRACTOR MAIL ADDR£SS ZtP PHONE IICENSE NO. Gittleman Cons r c ' ' 4 ARCH�1?�CT OR DESIGNER MAIL ADORESS ZIP H E L C O. 5 ENGINEER MAIL A�DRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Gara es 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE 8 OESCRIBE WORK Reside 9 CHANGE OF USE FROM TO STIPULATIONS � TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OR AIR CONOITIONING. THIS PERM{T BECOMES NULL AND V01D tF WORK OH CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OH WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTAEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PFOVISIONS OF IAWS VAI.UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WI�L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT �3 � 4OO � 1.%O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �63. 0� Fire SC �3. �F� PLAN CHECKFEE TOTALFEE License SC $5. 0 $73.10 S�GNATURE OF CONTRACTOR OR AUTHORIZED AGENT �DnTE� �yHEN PR ERLY � 1.1,pATED THIS IS YOUR PERMIT `_� � 3--2��9y SiGNATURE OF OWNEA��F OWNER BU�IDEAI iDATEi B �NSP D°TE �W [ ] . Effective i/�1/94 ADDN. [. ] � . CITY OF FRiDLEY � � ` � ��-''sl�,��. ALTER [) .� SINGLE FAMILY AND �DUPLEXES R-1-AND R-2 � � � � _ � � �� Building Permit Application . � . ,�,�� S . . '' . .1�'. �� , . C�AP�-�!"'�- $t�11_Tjli-1 � l��` ��i�/�� Construction Address : S 524 , S � Z� � � S �Z � • ��1 A 2«►J- ..p� � �. 8 L�Ei ►Z- Legal Description: �� Owner Name & Address: l,►.ln1s ��C�. � • '�0�_�l )S�F �SSt� Tel. #�I • ( dZ� Contractor: G l� 1 L� 1`�-t� �� C1�t� S�iiZU�Ti o�- f�P�Y MN LICENSE # Addres`s�qo 01(C.�-t�� s �-�! � . � ,d-V � 1 GZZv �t--�►r��. SSq�� Tel. # (c� 2 - �3 � 2 5d � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of. the � lot; with the proposed construction drawn on it to scale. � Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ j Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: ��r7� r1G -��OO� Estimated Cost: $�-.�-od � Approx. Compledon Date: J uLy �G1't� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ DATE: Pemnit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL APPLICANT: _$ Tel. # CITY USE ONLY ��-00 $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/lOth%) $ r $.50/$1,000 Valuation $ $800 per SAC Unit $ � ° D1� $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 [ ] �� STIPULATIONS: • ° ` sue�ec� PEF3MIT NO��:�,,� c�cy of Fridley � 2 2 3�� AT THE TOP OF THE TWiNS g � I L D I N G P E R M i T � � RECEtPTNO. � � � • COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. � � � � � � � � �"'L � CITY HALL FRIDLEY 55432 NUMBER REV DnTE PAGE OF nPaROVEO 8r : _._..I`•� �.J 612-57t-3450 s�o-F15 3/23/94 � � J08 ADDRESS � 5520,5522,5526 5524 East Bavarian P s E t IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1, 2, 3, 4 11 INnsbruck North Townhouse rd A SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Gittleman M t & Constructio ' 4 AFiCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE U EFfSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION � ALTERATION � REPAIH ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK � Re lace re air sid'n n 9 CHANGEOFUSEFROM TO STIPULATIONS TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZOMNG SO. 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 COMMENGED. NO. OWLG. UNITS OFFSTREET PARKWG I HEREBY CERTIfV THAT I HAVE READ AND EXAMINED THIS APPLICATtON 4 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VAI.UATII�N SURTAX AND OFiDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPUED WITH WHETHER SPECIFIED HEREFN OF NOT. THE GRANTING OF A PERMIT � 1� SOO �.%S OOES NDT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiTFEE SACCHARGE PROV{SFONS OF ANY OTHER STATE OR LOCAL LAW fiEGULATING CON- `. STRUCTION OF THE PEFFORMANCE OF CONSTRUCTION. �3S.00 Fire SC �L.SO PLAN CHECKFEE TOTALFEE License SC $5.00 $42.25 S�GNATURE OF CONiRACTOA OR AUTMOR�ZED AGENT IDATEI WHEN PROPE � VALIDATED THIS IS YOUR PERMIT � � 3 �- 2 y-� `I S�GNATUAE OF OWNERI�F OWNEA BU�LOEA� iDATE� LDG � ��6TE SUBJECT c�ty of Fr�aley 2 2 3 6 0 ' , AT THE TOP OP THE TWINS g � I L D 1 N G P E R M 1 T RE� I T O. r wm�M � � �� • COMMUNITY OEVELOPMEN7 DIV. v PROTECTIVE INSPECTION SEC. � "' � r ; �; 1 � �"�1 � CITV HALL FRIDLE� 55432 NUMBEii REV. OATE PAGE OF APPFlOVEO BY �"""�' �'� 612-571-3450 9t0-Ft5 3/28/94 � � JOB ADDRESS 2 E 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCF. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS 2!P PHONE IICENSE NO. a C. ES M L A S ' '' Z�P LICE 5 ENGINEER MAIL ADDRESS ZIP PHOIVE IICENSE NO. 6 USE OF BUILDING Residential Garage 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE O HEMOVE 8 DESCRIBE WORK Remove and Re lace Gara e Roofin and Install utters 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUM8ING, HEATING, VENTILATING OR Alii 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 CONSTFUCTION OR WORK IS SUSPENOED OR ABANDONED FOF± 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 APPLICATtON 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 �SOH �. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOI.ATE OR CANCEL THE pERMIT fEE SAC CHARGE PFiOVISIONS OF ANY OTFiER STATE OF LOCAI LAW REGULATING CON- 17 . OO Fire SC �. S 1 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE License SC $5.00 $23.01 SIGNATURE OF CON'RACTOR OFl AUTHOA�ZED AGENT IDATEI HEN ER� VALIDATED THIS IS YOUR PERMIT �� 3� --`�� SiGNATURE OF OWNER iiF OWNER BU4DEA� �DATEi �� B�DG itiSV �a7E I�tEV'J ADDN ALTER (1 fi (I Cvnstruction Address: L.egal Description: Owner Name 8i Address: C[TY OF FRIDLEY SINGI.E FAMILY AND DUPLEXES R-1 AND R-2 Buildin�; Permit A�plication 5524 - East Bavarian Pass Tel. # Effective 1 / 1 /94 �ld�� Contractor: D i c k s F i r e a n d S t o r m MN LICENSE # 2 418 Adtlress: 864 - 19th Ave. S.E., Mpls., Mn. 55414 Tel. # 7g1-6170 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIYING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft.� DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Remove and replace garage roofing. Install �utters. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: R o o f i n g/ g u t t e r s Estimated Cost: $� �� n n Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$_ DATE: 3/ 2 8/ 9 4 APPLICANT: D i c k s F i r e_ a n d S t o rm Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � I'7 �� , $ . �% $ � �', $ $ � .C`C� $ $ $ $ � �� ('ITY USE ONLY _$ _ Tel. # 781-6i7o , Fee Schedule on Reverse Side .001 of Permit Vaivation (1/ lOth %) $.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 [ � _..r sue�ecr P MIT; . City of Fridley 22 3`'8.9; , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� i � RECEIPT NO. � � � • COMMUIJITY DEVELOPMENT DIV. ' � V ""' , ' r � � PROTECTIVE INSPECTION SEC. � � � � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE VAGE OF APPR VED BV �'-"�'� �'' 612-571-3450 910-F15 3/30/94 � � 108 ADDRESS 5524 East Bavarian Pa s t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 j Innsbr SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTFACTOR MAIL ADDRESS Z�P PHONE �ICENSE NO. Dicks Fire & Storm 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP O LI N NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUfLDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Townhouse Te r- 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED fOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONDITIONING. 7HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OH 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 ], STALIS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT �1 � 9JO .9H DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ��FS.00 Fire SC 1. PLAN CHECK FEE TOTAL FEE �� Ur�lYC_ 3- 30 -� t/ License SC 5. 00 SIGNATUREOFC N'RACTOFlORAUTHOA�ZEDAGENT IDATEt RO ERL VALIDATED THIS IS YOUR PERMIT �3� � SiGNaTURE OF OwNERUf OWNER BUiLDERi �DATEi BIOG WSP paTE I�TEW ADDN �� [l tl t� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Consbruction Address: 5 5 2 4 - E A s t B a v a r i a n P a s s Legai Descript[on: Owner Name & Address: Effective 5/26/93 Tel. # COtTtt'dCtOF: D i c k s F i r e a n d S t o r m MN LICENSE i� 2 4 81 AddteSS: 864 - 19th AVe. S,E„ Mpls. Mn. 55414 Tel. # 781-6170 Attach to this agplication, a Certificate of Survey of the lot, with the proposed constcuction drawn on it to scaie. DESCRIPI'ION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. F� GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Lower roof: Remove and replace shingles. Upper roof: Remove and replace rubber membrane, install gutter Corner Lot [� Inside Lot [ j Ft_ Yd Setback Side Yard Setbacks Tjrpe Of COtIS1TttCttOn: R o o f i n g F.,stitriated COSt: S 1� 9 7 0. 0 0 Approx. Compledon Date: Driveway Curb Cut Width Needed: DATE: 3/ 3 0/ 9 4 APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TUTAL $ $ �. $. $. $ $ $. $ � (Cost an Back) Ft. + 6 Ft = Ft x� Dicks Fire and Strom M 1.L Fee Schedule on Reverse Side .001 of Permit Valuation (iilOth%) $.50/$1,OOU Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt_ "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreetneat Necessary [ ] Not Necessary ( ] STIPULATIONS: - . -� � _$ Tel. # 781-6170 ..CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 (763) 572•3604 RATE SCHEDULE . � DIViSION �� Effective On January 1, 2002 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEV E�� -� '� JOBADDRESS ��Zt"I �vQ-�10�-Y� ' �SS N� . Residential Furnace Shel! and Duct Work, Burner - Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning • All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1QJo of Value of Appliance or Work Commercial/Industrial 1.25°Jo of Vatue of Appliance or Work Rate TOTAL $ 30.00 $�O, L�O $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ $ � $ State Surcharge $ .50 TOTAL FEE $�1 `- MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. OWNER � �h\ BUILDING USED AS W�,1 1 1 l�q � ESTIMATED COST ��. U� PERMIT N0. S *,�. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating mts�_ Circle One (Steam) (Hot Water) ( m A' Trade Name��` � 1�P �V' Size No. � i�L-{�O`1 -- BTU 1 -rS �OC�O HP EDR Fuel I�� '� - Total Connected Load Burner Trade Name Size Na BTU HP EDR The undersigned hereby makes apI� ication for a permit for the work herein specified agreeing to do all work in'strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. '�ATE I 2- � -02- Center Point Energy MGCO 13562 Central Ave NE . ♦ HEATING CO Anoka, MN 55304 TEL # � ��'�57�QZ�7i Rough-In Date Final � � THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED ' •�,i�•► ► ► •►► •: �►. •�,� •► � - : � r•► When _r� la _infl an Pxic inA f�ranc�, the undersigned hereby verifies that the venting has been examined and is free from nast, deterioration, obstructions, and is securely supported and firestopped where required. Yes (�, No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (� No () The undersigned also verifies that tt�e replacement unit is a listed assemb{y and meets the current codes and manufacturers specifications. This does inGude AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The PY�� ng c�mh ,�tinn air is sized and installed to meet the current codes and manufacturers specifications. When required to instat� a new cemh��ien air�,it will be sized and installed to meet the cuRent codes and manufacturers specifications. Yes (� No ( ) Yes � No ( ) Yes � No ( ) Wh@ft inetallinQ a n_w v_n ina,yy� m, the undersigned hereby verifies that it is a listed assembty and meets the cuRent codes and manufacturers speafications. This does include AGA-GAMA Category I Central Fumace Venting Tables %r fan assisted and natural draft appliances. � • Yes (� No () Is the common vent and vent connectors sized and installed coRectly after an appliance has been removed from the common vent and vented separately as per current codes. Yes�No () ��i• .Ir1�1�1=i ��' _ � � - • 1� 11 • � ' � . � • " � • � � ' M • � • �11 . 1 • � Appliance #1 Type �1�1�('Y�O.C� BTU Input �� Fan Assisted or Nat��_ Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches AppGance #1 Vent Connector Height ft��gth ft Diameter in Type App(iance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ' � -• •► �.- ..- � _ .. Center Point Energy MGCO 13562 Central Ave NE HEATING CO: /�oka, MN 55304 • . Signed By: � Date : � Z" � o"(� Z � ^ CenierPoint.� Energy Minnegasco ; ADDRESS �Z- - !l'�"�� OCCUPANT � t �i� HEAT LOSS Yes DATE HTG. INST.I�_�,. SOLD BY Ce t rP int En r Minne a o �lectrical Work By �j��11 � � TYPE OF HEAT FA �' SPACE HTR, � GAS DESIGN MAKE _�fl�'L� _ Modei � ��;�1 Serial L'.\�i`' ?)'�I NPUT _� �� fii;L� CONTROLS 7HERMOSTAT �� Heat Plug Value � �imit �^ �� Limit Setting � Fan Setting � Pilot Type 1 Pilot Make�_ Pilot Model '1�� Pilot Timing � � Pressure �• `� Percent CO2 �_ � nput CFH � Percent OZ =_� Stack Temp. � � Percent CO HOUSE HEATlNG TEST RECORD APT. � �V'C ` FLOOR CITY v`- ` OWNER INSTALLED BY CenterPoint Energy Minnegasco Gas Line By UNIT HTR. OTHER CONVERSION Vent Size �` �" � KIND OF LINER .� �JWJ �� SIZE NONE Draft Hood " � Regulator �_ Filters Size '� ��,� Number Chimney Location Ir}si�ie � Outside Chimney Construction � Wiring Test Tag Lighting In/�t. Date Tes1�d- % �' �2, Company %sting— CenterPoint Enerqy Minneaasco Name of Tester �--� � sus�acr P R NO. • City of Fridley 3 0 7 41 A7 TME 70P OF TME TWINS g � I L D! N G P E R M! T i . RECEIPT NO. � �• COMMUNITY OEvELOPMENT DIV. /�/O � ; V �...� r � � PROTECTIVE INSPECTION SEC. � . � � i /'�'1 � CITY MALI fRIDLE� 55132 NuMtEN NEV OATE oAGE O� Ai►11pvE0lY �""'~'� �'� 612-571-3450 9t0-F15 � � `�oe �ooRess ` ,�520, 5522, 5524, 5526 East Bavarian Pass NE ` t LEGAL " �OT NO. . BLOCK TNACT Oq AODITION SEE ATTACHED DESCR. 1-4 11 Innsbruck NorthTownhouse 3rd Addn SNEET 2 PROPERTY OWNER MAIL AOORES$ Z�P PMONE 3 CONTRACTOR MAIL A�DRESS Z�P PHONE IICENSE NO North Central Builders Inc 7401 42 Ave N, New Ho e, MN 55427 533-6168 3763 s AItCHITEC7 OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. S ENGINEER MAII AODRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Townhouse i CLASS OF WORK O NEW O ADDITION O ALTERATION �1 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside Townhouse Building 9 CHANGE OF USE FiiOM T� STIPULATIONS Call for building wrap inspection before covering. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAO SEPARATE PEqMITS ARE REOUIREO:OR ELECTRICAL. PIUMBING. MEATING. VENTIIATING Op AIR CONOITIONING. THIS PERMIT BECOMES NULL ANO VOIO If WORK OR CONSTRUCTION 20NING SO. FT CU FT. AUTHORI2E� IS NOT COMMENCEO WITHIN 80 OAYS. OR IF CONSTRUCTIpN OR WORK IS SUSPENOED OR ABANDONED fOR A PERIOD OF 120 DAVS AT ANY TIME AfTER WOiiK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING 1 HEREBV CERTIfY TMAT 1 MAVE REAO ANO EXAMINEO THIS APPlICA710N �F STAlLS GAFAGES ANO KNOW TNE SAME TO BE TiiUE ANO COpRECi, ALl PitOVIS10NS OF �AWS yp�VATION SUfl7AX ANO OiiDINANCES GOVERNING TMIS TVPE Of WORK WILI BE COMPLIED • WITM WME7HER SPECIf1E0 HEREIN OA NOT. TME GRANTING OF A PERMIT �iH�%97 �9.�FO OOES NOT PRESUME TO GIVE AUTMORITV 70 VIOIATE OR CANCEL TME pEqMIT fEE SAC CNAAGE PROVISIONS OF ANY OTNER STATE OR LOCAI �AW REGULATING GON- STRUCTION OA 7ME PERFO ANCE OF CONS7RUC7lON �3�% . 2,5 Fire SC � 18. $� / PLAN CMECK fEE TOTA� FEE Lce� ��% G� L ense SC $5.00 $340.45 S�GN�iUpfO�CON' NOp�U1l �ZEO�GENr iDATEi WMEN PR Epl VAU�ATED TMI$ IS VOUQ pERMIT � �-_ 3 -�-� ^-S�GN��uAEO�OwHEp��OWNEpBU�IOEAi iOATf� Q(� �h50 f�ilt PLUMBING RESIDENTIAL APPLICATION City of Fridley ( � ��,� ►� ,�� v I�-. it mber ceiv B ate R ceived NOi'E: IF PROPERTY IS NOT OWNER/OCClJPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE �/',�(�/"� f/ �� SITE ADDRESS �—��-'� THE APPLICANT IS: (CIRCLE ONE) PROPERTY OWNER/ TENANT CONTRACTOR PERMIT TYPE TYPE OF WORK NAME � ADDRESS CITY _� PNONE # NAME • �..- �r' /� -� ��% - v �• • • " �7�,s�"7�� i _ _ i �� : �� t� � � � � � � � � � � ZIP �'�' 7�� r/� . i i � r , . CITY_��ITP�I'/�L f_P �,��_STATE ZIP `�-�c��'% PHONE #�� l'�,��- � �5 9L/ FAX# ❑ NEW DETAILED DESCRIPTION OF WORK FAMILY FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINK/LAV FLOOR DRAINS BATHTt1B GAS PIPING (Need Cify License) CLOTHES WASHER KITCHEN SINK DISHWASHER LAUNDRY TRAY Permit Fee Plan Review Surcharge TOTAL DUE $ J� �_('�'� $ $ .50 � ,�� .�� 7W0 FAMILY � REPLACEMENT SHOWER SWIMMING POOL WATER CLOSET �WATER HTR ($35) WATER METER TOWNHOUSE WATER PIPING WATER SOFTENER ($35) BACKFLOW PREV. ($15) FOR IRRIGATION OTHER 1 MINIMUM: $15.00 or 5% of cost of the improvement-whichever is greater on work less than $300 Make checks payable to: City of Fridley �� u.� w i+n rvr��v�� wi� rvn n rcnm� �- i�v � Y/1LIV V�`� I IL I�RVVGJJGV I hereby apply for a piumbing permit and I acknowiedge 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 peRnit but only an application for a peRnit 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 pl�AS� � _ �� NAME OF APPLICANT SIGNATURE OF APPLICANT DATE ! r�D r // � or 6431 UNIVESITY AVENUE NE, FRIDLEY, MN 55432 (763)572-3604