AF - 42502� L r��
�ity of Fridley, Minn. _� 1 8 6
6431 University Ave. N. E., Minneapoiis, Minn. 55432
BUILDING PERMIT
nate: .------..D�.�.�.m� �.�_2.fz�._1..2z.z_.____..
Owner: -----I?��x.�.1....�1.,---.F�,�_I2�3L.�l�SL�?IA��Q.._ Builder SamQ . _..__
Aaaress ----SS.o.1.....$�ao.k.l�Z�a._�oaa.l.eu.a:z.d_...___._._...:.._._� aaaress ._��__.....
LOCATION OP BUILDING
No. ...._5525..----....... Street •--------Eas.�....�a_v_.a.�i.�,n....g�ss �L..�_.._ Part of Lot
Lot .-----.------2-.--------_._._ Block .-----------.-5-----------•---------.---._..----- Addition or Sub-Divisian ..�11.S.��IS_.NS2x.�Y1.._T..H. 3rd A�ldi �iori
Corner Lot ...-.- .............---.----- Inside Lot _._._......:----X.._.........__.. Setback ---•------_......._.___...__ Sideyard .��
Sewer Elevation ..--------.-----__------.._..___..._..._..---.---.._.._.--------------------.. Foundation IIevation .._
�
DESCRIPTION OF BUILDING
To be Usea as: 1200'
.__T.atanh[1us 8...----.-•--... Front __24. � ._. DePth �2�. � .._.. ., Height ._.._2b..�._. Sq. Fk .—iZQ� Cu. Ft .-15.�•G.00 �
Garage ____ Front _ 10. 5 � Depth _.__�� �___ Height .__.10 � .. Sq. Ft. _..._..231�� � �.� 2Z310 �
Type of Construction __.._WoA.d.��ame,._____. Esk Cost .._._�2Dr_Q.1.Q._......._..___ To be Completed 1;�ear
Stipulations : S�� � � �
In consideration of the issuance to me of a permit to construct the building described above, I agree to d0
thg proposed work in accordance with the description above�� and in compliance with�ll provisions o!
Ordinances of the city of Fridley. y �� �
10.01 St� Su
e
In consideration of the payment of a fee of $_.,3$.,.II,Q.—.__.., permit is hereby granted to Darre 1 g� Farr Dev .
____.._..._.._.._..__._._ ............................_._ to construct the building or addition as described above. This permit 3s granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, ia all VPOrk
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances Of
�'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bttilt3in�
yyithin the city limits and this permit may be revoked ' e upon violation of any of the provisionA of sAid
oz�dinances.
/
� Builains �
DARREL CLARK
NOTICE:
This permit does nof cover the eonstruetion, installafion fo� wiring, plumbing, gas hsafing, sswer or wat�r. Bs sur� to sN
ths Building inspeefo� for separate permifs for fhese items.
t
I'
��PPLICATIO� FOR RESIDENT'IAL, AL�rRAt'IO�,
OR AllDITIO� BUILDING �'�R,��1IT
CITY OF FRIDLEY, l�IINNESOTE�
0'r���' S NA.'� : Q,��yP/ �s�. �ArN �OPv�/�+. C'o. BU1'LD�R : S� a�►� �.
r�DD�S5 : cS9o/ .Qf'ooJt/y� l4��a✓d • .AllrR�S3 : S' �t �reG
NQ : . 'f.sit .� S fi�'�EET : �l.i.J'.`� �A v�i'/-'i � yr /�t�. SS
�� ; �Z �Lecx: S a�n,��r�o�r : -.�"r��►.rb,-�,�� N9•.�� �:'H. .� ��,�dJ,-��.o n
Cfl�Y� LOT: I�dSID.� LOT: b� SET�C�: SIDEYA.�.p:��
�p�li�ant G�tach �.o this fo� ��o Cprtific�t�� o� Su^��y of Lot a..�.d propos�e�
building location drawn on �.ha�� Ce�tificat�s, � .
�ESCRIPTIO�I OF BUILDING
do �Q U�ed As:
�.�r�-r .�c�st� ��on�: .�''�� r�pth; �2�� H°i.�ht; .���
! /,2 � G► - —
.S^�L13it �'.°..°"�� 0's��� �'11�1C. i�Q�: I�J�i �J' �i� .
���'��E� ' �xon�.: /d..>'���epth: ��� H�i��Y: ���
�L��13�'�L' �'na�; .�•,�s' Z'.11t�].0 .�.t,'s�'L: s�e:i%�i
�;�p4 of �onst�uction: `J�r�c� /�p°'.�.��;� E�'-���r3 ����:_� ��'� l�� a��
. � .
�o �3� ��apl���r�: %'/� � 73
�� unfi��si,�:iad hax�by ra'�c�;� ap��ira?�i�n ro� a��:��ai� :�o� .rh� �oxk ;��r�'.�
s�� ci��.�d, .�or�4i�!� Lo 30 �11 �ao�k in a��wi�.�. aLC�::����:�c� T-�3 :..°� �.�: �i�� c�.=
�'�-i,d':y flddir.a�c�� a?:d �.�li��;� o� �th. D�a�°r-�:�:.�:i o:� �uila�.a�,.s, :.t:�� �°�.:��y
d�cla��� ��:a� all ��� f.���� �nc� T�p:��s�nr_��ions sie�i.��i i-. ;��j 3�p? ��.ca��.�n
axa t�uz a.nd cozrec}.
l ��';: , �i� � /Z ` � 7 Z. i ��r'•:'u1.i J',�'.0
_�.. •
(S�� R���za� �id� ,�o� t�=3�i;`_:i�yza'± �nz�.r.ratio;?,�j
�
s
. ��
�
�`- Z % _ 7 �' �����
� � ����
Number Fixtures � x $2 . 00 �j, o.-�
Future Fixtures x $1.50
New Fixture-Old Open. � x $1.50
Catch Basfn x $3.25
Water Heater-99,000 BTU � x $3.00 �
-..r
Ground Run Old Bldg, x$3.25
Elec. Water Heater x $2.00
Gas Fitting Fees:
lst 3 k'ixtures �_ x$2.00 �, o�
Additional Fixtures x $ .75
Gas Range-199,000 BTU x $5.00
Repairs & Alterations
See
Description; Code
State Surcharge .50
TOTAL FEE $ � � ��
The undersigned hereby makes application for a permit
for the work herein specified� agreeing to do all work
in strict acco�dance w ith the City Ordinancea and rulin�
of the Department of Buiidinga, and hereby declare that
a11'the tacte and representations atated in thia
application are true and correct.
►
�
53-s�-s-915.51
�iiy of Fridlmy �
. ���s��"�� �ar �'���g t�d � �� �� P�.�� - .
��c. of sia�,. �hon. seo-saso . � .
D£SCRIPTIAN OF WORK ' 5525 E. Bavarl�an Pass N. E.
Numbar, Kind and Lvcttlon of Fixturas ���°°
N
� t �
� �3� � S� i � �� c�
Base
3rt
2nd
3rd
fth
• Fu�ur� Conn�ct3oa �%D�ninQs
t N�a Fixlur+, Old O�ninys
� I� � I� = lO � I� <�7 ' i� � I � I N I G STEN MTEC.
� ~
r olt�.i �3 c� ua� V$
S�ve�r ❑
u��� �
PARTIAL RAT� SCHEDULE
PLUMBING FIXTURE RATE3: NO. AATE TOTAL
Number Ftixtures . . . . . . . .. . . . . . . . x $2.00 $
Flature Fyxture Opening . . . . . . . . . . . . x a1.50 E
New Fixture Old Opening . . . . . : . . . . . x a1.50 ;�____
Catch Basin . . . . . . . . . . . . . . . . . . . . x �3.25 $
Water Heater :lJp to 99,000 BTU1. ••. x$3.OQ $
New Ground Run Old Bldg. ....�. .�. . x a3.25 $
Electric Wat�r ii�at�r. . . . . . . . . . . . : $2.00 S
�AS FITTING FEEB: NO. RATE 70TAL
lst 3 Fixtures • • . • • • • • • • • • • • x 52.00 � .
Addit3onal FYxtures . ... . . . ..... . . . . . x = .75 ; .
Gaa RanQe to 199.000 BTU ..... .... .... , x 55.00 4
City of Fridley:
The undersigned hereby snakes appllcation tor a permit tor the vrork herei
specified� agreeing to do aIl work in strict accordance with the Git,f Ordinance
and ruling of the Department of Buildings, and hereby declares that a1I the tact
and representations stated in this applicatio�► are true and correct
P�idley, Mian b-28-7it , lg_
Owner � Darrel A, Farr Developement.
Kind ot Building Fram�
Used as �S•
To be completed about 7-5-7�'
Estimated Cost, a 10.00
Xidk�E-New. Building Permit No. P•rmit No. ��
ROUGH
i'INAL 3 - % � % �
REPAIRS Ac ALTEAIITIONB—R•f•s !o Cod• .50 State Surcharge
. Description . . . . . . Ins tall , Ga s . Gr il l , :. . . . . . .. . ..! . ,� . 00
TOTAL FEE • 0 ,
, Ciass "A" 5urcharg� ,50¢,
Signed
. By � � - -� -
Business Phune � I N N EGASCO
%�C�OI� ��' � OAd � COOi�itg, Yl1111�OA� R1��N�0/ ad
Air CondhiOni�g S�ns aid D�vi�s
P�R�fAt R�4TE SCHEDULE
a�uv*r� ar�►�sc Anr: �u�a rorx�.
�e s�� � �c �r� . . . tio.00 t
R�placement af fianace 6.00 �
Repair:� d� Alterations—t�p to f5fltl.00 6.00 i_ __. ._
I%p�irs dt Alferations each add. t500.OQ . 3()(1 �._ . __ _
ItCCH. W1111K �Ilt
lLrnace SheII � D�t Wark to 170,000 BTU
�n �aa. eo,000 s�rv . . . . . . . .
Rep�iace� 02 Flirnace
Repairs dc Alterations—np Eo t5�0.00
R�epafrs d� Altecatfoos each add'. =30'0•00
.51000 �1� �
�.uU :
6.06 �
6.00 �—
3.00 � ___
a�►M � xot was� sYa�x
flrrnace She11 3� Lines—to 400 sq. !t. F�R Steam �10.�JQ S---_ __ _._
ilunace She�ti d: Line--to 640 sq. it. EDR Hot Water I0.00 s- _. _____ __
Each add. =00 aq. tt. EliR Steam A,(10 s_ _.__.
Each add. 320 sq. it. EDR Hot Water 3.00 5-------
�IL BDRMEA—to 3 gal per hour
ovec 3 gal. per hour—See �ee Schedule
cns strn�n �uD to t�s,aoo srv�
o,� i9s,oao Bz'v a.. F« s�h.a.�.
GAS FI1TIIfG PEEa:
Ist 3 flxturea _
Add'etioaai Z1xEures _
Gas Rat�e ta 190;0� _
� C�a
t1llE R6i�II+G �Tl�lt
vr.wtn.aT��G s�lsza�t
JIl.'tE� � UEt�1H
I';�,1'T'•
� �Yf !� -J - � V
6.0� 5----- —
� i ��
310 RA7E TOTAL
_ x� 200 S —� —`�
_ x .76 :__ _
_ s; 6�OQ : —
t�L.��'�
� PN feMid�
� -i��� �� 1 I . �►
'I�Ei'tiL � � 3 �� �
�
���5�
n.�. � �a�. r�.�. eea.�eo
� � . �
City ot Fiidle�:
The unciersigned hereby makes appllcatfon for a Dermit f� the wori[ �_
specueed, agreeing to do ap work in strict accordancc with the Citp Ordiaaneet�
and ru)ing of the Departm�nt of Buildings, and hereby declares that aII t� fac!€'
and represr_ntatiuns statcd in this application are true and t�Orteet.
FYidleY. Mian__ _ -------.,14 �
� ---�r��.�-�-.�. �.��,,--.
Kind ot Building ___ � -��.�� _
tJsed a� -- - ��� ,---- -
To Fie compteted about _--- --.--- ---_ .
Estimated Cact, E _ �� lJ - --- ----_._ ---__
Uld—New. Building Permit No. _�_ P��it Alo.
D�T[01� OF i1011t
HEA7'ING or PO�VL�R PI.AN'18-.�t,e�m, Hot Wtter. Warm A1r—No�
Trade Ivamec� -+�-�M � g� I�ie�/G'� �3 - 1/I.�
Capacity�..�.1�._— 89. !t E.D.R B1'(I Hp
Total Connected Lo�d lUnd a� !'uet �;.t�
BURNER — 'hade Iia+�! giu Nd
caD.ctci s4. �t- �.D R srtf $�
��
�� / �
_ � i�� �- �� !� �i �
_ '
♦_ , �
/
sue�ecr PE13MaI-I�lt2.
City of Fridley � 2 2 3 5 0
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� � .
� �
COMMUNITY OEVELOPMENT OIV.
r � ~ � PROTECTIVE INSPECTION SEC. �a6
i �
( � �"�1 � CITY HALI FRIDLE� 55432 NUMBER REV. DATE PAGE OF APVROVED BV
�-"'�'� �'' 612--571-3450 910-F15 3/22/94 � �
J08 ADDRESS 5525 East Bavarian Pass NE
1 LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. 2 5 Innsbruck North Townhouse 3rd SHEET
2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS Z�F PHONE LICENSE NO.
Dicks Fire & Storm 864-19th Ave SE -
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW � ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof Gara e Tear-off install u ers
9 CHANGE QF USE FROM TO
STIPULATIONS
TYPE OP CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CEIiTIFV THAT I HAVE FiEAD ANO EXAMINED THIS APPLICATION STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED �.SO
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pEFMITFEE SACCHAFGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I7.00
J
PLAN CNECK FEE TOTAI FEE
�.,.y„_�,�- ' � ` '°�''`,�_� � ~,�� � $5. 00 License S $23.01
SIGNA7URE F CONTRACTOR OA P.UTHORIZED AGENT IOATEI HEN PRO Y AL 0 TED THIS IS YOUR PERMIT
� 3�a�-9y
SiGNATUAEOFOWNERi1FOWNEpBUILDEA� i0ATE1 •BLDG �NS� � OFTE
Prepaid Plan C�eck $
Fstimated c7ost $ � .
os
R,eceipt # �� gO�
!I �� ' !��
' •i yiuiM'. ,'� i I� ''� �
:� � .,.� i �r ' . � � �/
Effecti.ve 1/1/94
���i� �.� 5525 - East Bavarian Pass �
f
Legal Descriprti.on C� � r � � �� 5 � r� � l �'7 � _
Owner & Address � T�l.#
QON�l�Offt & p,pD�SDicks Fire and Storm 864 - 19th Ave. S.Eqip�,.# 781--6170
A�hitec.'�t & A�'ess Mp s., Mn . 5 5 414 �. #
�igineer .& Address � � . 12�g • #
TYPE OF W�2K [] New [] AG'�d 'ltion �[� AlterBtion -De�'.�'ibe R e m o v e a n d r e v 1 a c e
roofing, install gut�ters on Garage.
Applicant signature Tel # �'�
�lnn� DIl�1'SION'S
I,e.rigth Width Height Sq. Ft. # of Stories
OFC. Al2EA: Length Width
W�iSE ARFA: Length Width
dli�t ARFA: Lgngth Width
�1�
I3eight Sq. Ft.
Height Sq. Ft.
Height Sq. Ft.
Sq. Ft. x$ c)ost/Sq. Ft. = Valuation $ )
sq. �t. x S c�st/sq. Ft. = vaivation $ )_� s o a. o 0
sq. Ft. x$ Oost/Sq. Ft. = val.uatior► S ) TO�AL vAI�JE
Building Use Ooa�.stru�ctio� 7.�pe OoQapaYx-'y C�rouA
Ai r Oonditioning L]Yes []No Fi.re Prote�cti.� Provicled [ lYes []No
Ferformance Hond Amamt $ See R�verse far �le Reoeived [3Yes.._[]No
Pe�mi.t Fee $ 1', C C
Plan CiZeck $
Fire S�u�m,harge $ � /
State SLtrcharge $ • � �
S�AiC C�large $
f
t C � �osinn ��. S � � � � �
Park F'ee $
Spec. Assess�ne�i:s $
Driveway EsGraa $
Z�0►!'AL $ � . �' �
See Fee Sc�Ciu].e ar� Reverse Sit�e
In Exoess of Prepaid Amaunt - See R�vezse Side
. 001 x P�exmit Valuatio� (1/10th � )
$.so/$l,000 valuatiori (see sc�yea. for > $1 rtillioai)
$800 per �C Unit (Plans to r+ti1�OC far de�tei^minatioaz)
$450.00 Go�se,rvati� Plan R+�view
Fee Determined BY Ehgineerin9
Agre�merit NeoessarY [l � N�Y [l
feet x $13.50/foat
sue�ecT PERM.I�- ,
City of Fridley ,�' 2� 3 8 5
AT THE TOP OF THE TWINS g U I L D i N G P E R M I T ''
i � F��GEIPT_bFO: �
� � COMMUNITY DEVEIOPMENT DIV. �
V PROTECTIVE INSPECTION SEC. � l.`
i __
i � ""'
r ; ;
� ,
� � /'�'1 � CITV HALL FRIDLE� 55432 NUMBER REV. DATE PAGE Of APPROVED BY
�""�' �'' 612-571-3450 910-F15 3/30/94 � �
)OB ADDRE55
5525 East Bavarian
1 IEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. SHEET
2 5 Inn
2 PROPERTY OWNER MAII ADORESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO.
Dicks Fire & t 781-6170 2481
4 ARCHITECT OR DESIGNER MAII ADDRESS Z1P PHONE IICEtJSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION [� REPAIR � MOVE O REMOVE
8 DESCRIBE WORK
Reroof Townhouse (Tear-off); install gutters
9 CHANGE OF USE FROM TO
STIPULATIONS Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCY CaROUP OCCUPANCY �pAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB�NG, HEATING,
VENTILATING OR AIF CONDITION�NG.
THIS PERMIT BECOMES NUII ANO V�IQ IF WQRK OR CONSTRUCTION ZONING SQ. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PER�OD OF 120 DAYS AT
ANY TIME AF7ER WORK iS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED �].�OC)O �.53
WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PEFMIT
DOES NOT PRESUME TO GIVE AUTHOFiITY TO VIOLATE OR CANCEL THE pERM1T FEE SACGHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2],OO Fire SC �I.00
STRUCTION OR THE PERFORMANCE Of CONSTRUG�ION.
PLAN CHECK FEE TOTAL FEE
L��� � �lz��z- �` -�°-- `�`i License SC $5.00 $33.59
SIGNATUFE Of CON'RACTOR OR AUTMOF�ZED AGENT IOATEi �/�I�•{ �.J p �Y VA IDATED THIS IS YOUR PERMIT
�E q
[ I 3-��j �- G
�.�c _..
�_ SiGNATURE OF OWNEAUf OWNER BUILDEA� IDATEi BLDG �NSP �aTE
NEW
ADDN
ALTER
[l
[1
O
Construction Address:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
5525 - East Bavarian Pass NE
Owner Name & Address:
ContCaCtor: Dicks Fire and Storm
AddreSS: 864 - 19th Ave. S.E., Mpls., Mn. 55414
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Tel. #
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Effective 1 / 1 /94
���� � i �
2481
Tel. # 781-6170
Length Width Height Sq. Ft.
Length Width Height Sq. Ft:
Length Width Hgt/Ground Sq. Ft.
Lower Roof: Remove and Replace Shingles. TnGta11 T��tter
Upper Roof; Repair Rubber Membrane Roof.
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction: R o o f i n g Estimated Cost: $ 1, 0 6 0. 0 0
Approx. Completion Date:
(Cost on Back}
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 3/ 3 0/ 9 4 pppLICANT: Tel. # 7 81- 617 0
Permit Fee
Fire Surcharge
State Surchatge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �i,��
� 1�c��
$ , ,�3
$
$ �°�C�
$
$
$
$
� .3� � � 1
CITY USE ONLY
Fee Schedule on Reverse Side
.�1 of Permit Valua.tion (1llOth%)
$.50/$1,000 Valuation _ -
$800 per SAC Unit
$5.00 (State Licensed Reside � � � �s 'v°-
Alt. A or Alt. B Above `, � ���
\�
$450.00 Conservation Plan R
ri � �
Fee Determined by Enginee �,�
..�.
Agreement Necessary [ ) N�
sue.,ecT MIT NO. •
Cicy of Fridley 0861
AT THE TOP OF THE TWINS g � I L D 1 N G P E R M I T
r
; � RECEIPT NO.
� ; y._..__ COMMUNITY OEVEIOPMENT DIV. ,I �
f � � PFiOTECTIVE INSPECTION SEC. �LL 1
� � �
� � �"'1 � CITY MALL FFIOLE� 55132 NuMBEF� NEV D�TE P�GE OF •PVi10vE0 Br
�""��� �'' 612-571-3450 9tQ-Ft5 4/26/00 / /
JOBAODRESS 5525, 5527, 5529, 5531 East Bavarian Pass NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1—L} 5 Innsbruck North Townhouse 3rd Addition SNEET
2 PROPERTV OWNER MAIL ADDRES$ 21P PMONE
Various
3 COlY7AACTOR MAIL ADORESS ZIP PHONE LICENSE NO
North Central Builders Inc 7401 42 Ave N, New Hope, MN 55427-1219 3763
a ARCHITECT OR DESIGNER MAI� ADDRESS ZIP PHONE LICENSE NO.
*763) 533-6168
5 ENGINEER MAII ADDf;ESS 21P PMONE LICENSE NO
6 USE OF BUIIDING
4 Unit Townhouse
7 CIASS OF WORK
O NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Reside Townhouse building; trim
9 CHANGEOFUSEFROM TO
STIPULATIONS
Call for building wrap inspection before covering.
TYPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTi;ICAL, P�UMBING. HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PEFMiT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT CU fT
AUTHORIZED IS NOT COMMENCEO V'IITMIN 60 DAYS. OR IF CONSTRUCTION
Ofi WORK i5 SUSPENDED OR ABANDONED FOfi A PER100 OF 120 �AYS AT
ANV TIME AfTER WORK IS COMMENCEO. NO OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIfV TMAT I HAVE REAO ANO EXAMINED THIS APPLICATION �F STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAlUAT10N SURTAX
ANO OFiDINANCES GOVERNING 7MIS TYPE OF WORK WI�L BE COMP�IEO
WITH WMETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT �18,797 $9.�FO
DOES NOT PRESUME TO GIVE AUTMOAITV TO VIOLATE OR CANCEL THE pEqMIT fEE SAC CMARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON• $3O7 . ZS Fire SC � LH .$O
STRUCTION OR TME PERFOR NCE OF CONSTRUCTION
' PLAN GNECK FEE TOTAI EE
C �ee.ca� Licens $5.00 $340.45
$�GN4TU�7E O� CON"R , q �q oUTN i2ED 4G �o�TE� EN ROPE ALIDAT TMiS IS fi ERMIT
S�GHaiUQE O� OWtiEQ��� OwNEpBU��DEA� �D�iEi � iN$0 � ��LI
�
NE1N ( j
ADDN Ct
ALl'ER �Q
Construction Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMITAPPLICATION
Legal Description:
Ov�ner Name & Address: � ��� � �
Contractor:
�
��vin,� aaEA:
cAa�c� aa�A:
b�CK AREA:
OTN�R:
Tel. #
MN LiCENSE # 3%Yv3
�a/y Te�. # �'63-5�3-6/�'
Effective 1/1/2000
612-572-3604 Bldg Insp
�
D�IP ,�t�
� r % nN
r.�/� _ /> p.
Attach to this application, a Certificate of Survey of the
Iotr with the proposed constn.iction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length , Width Height Sq. Ft.
Length � Width Fieight Sq. Ft.
Length . Width Hgt/Ground Sq. Ft.
Construction Type: ��- Si�NG ,¢/Z�/ i� Estimated Cost: $ f� �'�/ %dD
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
uAte: —aSD� APPLICdNT: � i� �,��-�� Tel. # ��3 —� .�3 �� /��
CITY U§� ONLY - ��all (612) 572-3604 for Pel�mit Fees if mailing In appltcation
permit F'ee $�D �; c? .5 Fee Schedule on Reverse Side
Fire Surcharge $ ��. �U .001 of Permit Valuation (1/10th%)
State Surcharge $ �. �O $.50J$1,000 Valuation
SAC Charge �� $ ��� $1100 per SAC Unit
License Surcharge $ � o� $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
SevVer Main Charge $ Agreement Necessary [] Not Necessary [ j
TOTAL
STIPULATIONS:
g L� �S"
e
� SuB�EGT � .
City of Fridley 310 9 4
AT THE TOP OF THE TWINS g � I L D I N G P E R M i T
�
; � RECEIPT NO.
� • COMMUNITY OEVELOPMENT DIV.
� VV ������, � ��
r � � PROTEC7IVE INSPECTION SEC.
�
� . ,
l---_ �; ����;'I CITY MAL� FRIOIE� SS�JZ NUMBEP AEV OATE PAGE Of ACPROVEO BY
L l\ 612_571-3450 6/27/00
910-F15 � �
108 ADDRESS 5525,27,29,31 ��x�xz� East Bavarian Pass
t LEGAL LOT NO. BIOCK TRACT OR AOOITION SEE ATTACHED
DESCR. 1—� 5 Innsbruck North Townhouse 3rd Addition s►+eer
2 PROPERTY OWNER MAtI AODFiESS ZIP PHONE
Innsbruck Townhome Association 651-224-5482
� CONTRACTOR MAIL ADDRESS 21P pHONE IICENSE NO
Garlock-French Roofing Corp., 2301 E. 25th St., Mpls., NII�1 55406 612-722-7129 00001423
1 ARCHITECT OR DESIGNER MAIL ADOqESS ZIP PHONE LICENSE NO.
5 ENGINEEp MAtL ADDRESS ZIP PMONE IICENSE NO
6 USE OF BUIIDING
Residential
� C�nss oF woaK �7 REPAIR O MOVE O REMOVE
0 NEW ❑ ADDITION p ALTERATION
8 DESCRIBE WORK
Reroof Townhouse Building (Tear Off)
9 CNANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Permit Inspection Cards
Will Be Mailed
'% Homeowner To Post
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVIOAD
SEPARA7E PEfiMITS AFE REOUIREO fOF± ElEC7RICAl, PIUMBING, HEATING,
VENTILATING OR AIR CONOITIONING
TMIS PERMIT BECOMES NULI AND VOIO IF WORK OR CONSTRUCTION IONING SQ. PT CU FT
AUTHORIZED IS NOT COMMENCED WITMIN 60 DAYS. Ofi IF CONSTRUCTION
OR WORK IS SUSPENOEO OR ABANOONEO FOFi A PERIOD OF 120 OAYS AT
ANV TIME AFTER WOiiK IS COMMENCED. NO. DWLG. UNITS OFfSTqEET PARKING
I HEi:EBV CERTiFV TMAT I HAVE READ ANO EXAMINEO TMIS APPLICA710N 4 STAILS GARAGES
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPlIEO
WITH WHETHER SPECIfIED MEREIN OA NOT. TME GRANTING OF A PERMIT �7�308.64 �3.65
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMITfEE SACCMARGE
PROVISIONS OF ANY OTHER STATE Oii IOCAL LAW REGUTATING CON-
STRUCiION Oii TME PERFOqMANCE Of CONSTRUCTION $153.%Jr Fire CJC �%.3�
PLAN CMECK FEE TOiA� FEE
$164..
S�GN4TUAEOFCON'AACTOQOA�UTNOQ�ZED�GENT �D�iE� EN OPER V IDATEO TMI 5 YOUR PEQMIT
�+ ��
S�GN4TU�:EO� OWNEA��f OwNEa8u�l0Eii� � iD�TE� � � . iNSo qcrE
�� ��o��f
Effective 1/1/2000
N� �� CIIY OF FRIDLEY 612�72�604 Bidg Insp
ADDN []
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION -
Construetion Address 5 a � ; .� �7.� o�G} � � .�� �,'�"`� ��� . . . . ' . -.
Legal Description:
Owner Name & Address:
Contractor:
S�
ssac� a,-�rn��. # (05+ -aa� - sN� �
MN LICENSE # �NSOI �a3
N 5S�/o�Te�.# � l�- �I�a--11� �'i
Attach to this application, a Ce�tificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROYEMENT
LNING AREA: Length Width Height _ Sq. Ft.
GARAGE AREA: Length Width Height _ SQ• Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: � � ln Estimated Cost: $ �1. ��� • �N
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: l� 2 �_ APPUCANT: ��- �7� L��r'� Tel.# t��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
STIPULAT(ONS:
Call (612) 572-3604 for Permit Fees if mailing in application
$%J�3. �� Fee Schedule on Reverse Side
$ —7. 3� .001 of Permit Valuation (1/10th%)
$ , $.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 DeteRnined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
� ��
l�
..,, ._ ,
CIN QF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridiey, MN 55432
572-3604 .
RATE SCHE�ULE
—��� L� , Effective On August 1, 1995
,� ���:t l �'S � -�
APPLICATIOl�f FOR POWER PLANTS AND HEATIMG, COOLING, VENTILATION,
aFFRirFRaTi�N antn aiR C�NOITI�NING SYSTEMS AND DEVICES
Residential �,2�I rt� r
Furnace Shell and Duct Work, B'urner`—
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace}
;=_Gas Range
Gas Dryer
*Air Condftioning — All Sizes
`� �Rate
G/c.t� -U�fT
�,l-�L<<�_
$ 30.00
$ 10.00
$ 10.00
$ 10.Q0
$ 25.00
All Others/Repairs & Alterations (LIST ON BAGI�
1% of Value of Appiiance or Work '
Commercial/Industrial
1.25% of Value of Appliance or Work '
State Surcharge
TOTAL FEE
TOTAL
$��.
$
JOB ADDRESS r� � � � �l� ��
-_z �, ,r,e.
The undersigned hereby makes application for a permit for the work herein
specitied agreeing to do all work in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true nd correct.
� � � , #S�
. � � . i Z�GZ
$ � ,.
. BUILDING USED AS ��� �
$ /,�,
ESTIMATED COST� %�� W PERMIT NO. �� �
$ '
DESCRIPTICIN OF FURNACE AND OR BURNER
$ No. of Heating Units _ Circle One {Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
$ Fuel _ Total Connected Load
�•b0
$ ��s.�a-;
MINIMUM FEE FOR ANY HEATING/COOLI�JGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS 25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Burner Trade Name � Size No.
BTU HP EDR
HEATING COMPANY � . .N �,p
Signed By Tel No. _� ,3 • S�l •����
A roved B Rough—In Date Final ��
Pp Y
�
*Air Conditioners can not be placed in a side yard without F1LL OUT BACK SiDE FOR STACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FURNACE
�H[M1VEY AND STA K VERIFICATION
The undersigned hereby verifies that tHe existing chimney or stack:
1. Has been carefully examined Yes () No ()
2. Is free from rust or deterioration Yes () No ()
3. Has no foreign objects lodged within . Yes O No O
4. Is securely supported Yes () No ()
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ()
6 Has total heating BTU's of �
All other BTU's
TOTAL BTU's � .
? 7. Has a liner been provided for water heater Yes () No ()
8. Has combustion air been provided for water heater Yes () No ()
Remarks:
v �
I.
List ALTERATIONS Being Done-
HEATING CO:
Signed By:
Date:
....
�•t
%/ . >l
Y
,
�
Building BUILDING Permit No.•
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Daj�
763-502-4977 FAX
EFFECTIVE i-1-08
DATE �/ �� �"L�� YOUR E-MA1L ADDRESS L��/'�l'�/"/.y%ti/� G�J /G "/�G`'Y'/J'�L'-��X��"���`��} �-`�
SITE ADDRESS �5� �' a��'— � ��/�v�i� � �-,�s
THIS APPLICANT IS: Q OWNER �CONTRACTOR
PROPERTY OWNER/ NAME:
TENANT ,qDDRESS: CITY STATE ZIP
PHONE:
NAME: - �
CONTRACTOR ADDRESS: ' �y/c�3 ��� �'�-'. �!� CIT .�� STAT��ZIP__2�
� SUBMIT A COPY OF pHONE ���'-���-�=�''�� � F� ��' �- � � �6''�
YOUR STATE LICENSE STATE LICENSE # EXP DATE .� "-.�/ -�
PROPERTY TYPE ❑ SfNGLE FAM[LYRJEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ❑ �DITION ❑ GARAGE/SHED ❑ wlNDOws
❑ BASEMENT FINISH �ROOF , ❑ DRAIN TILE
❑ DECK ❑ SIDiNG C7 OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION
� MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: �e-' . J'`t° �'c'Lr' —/' i i''�'E'*�
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT
ROOFING O HOUSE ONLY
NUMBER OF SQUARES G�` �` ❑ HOUSE & GARAGE BASEMENT REMODELfNG SUBMIT:
I . Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT:
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl ❑Soffit ADDIT[ONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, 1NCLUll1N(i 1�H�: CU5�1� UN' LASUK AIVll MAIEKlALS:
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $�, ,�t'� �" OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ �3.a
$ ^
$ a' • �
$ I . �--kC�
$ 5.�
$
$
$
$
$ i
$ �.
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L PROCESSED
lations
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes
of the City of Fridley and with the Minnesota Construction Codes; th understand this is not a permit but only an application for a permit and work is not to start without a
permit on site; that the work will be in accordanc with e appr�ed an in the case of all work which requires r view and approval of plans.
SIGNATURE OF APPLIC ``i'� PRINT NAME ���� ��l.�v,�^l�'lG�� DATE j�`�*-d�
APPROVED BY
�