AF - 42518City of Fri:dley, Minn.
6431 Univeraity Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
�}�; _ D�cember 26� 1972
�
�11866
Owner: ..Darx.eLA -Farr nPVP1 n}�.mPnt �.n Builder ...Sam.e_. ____._ __..._..___..._.._.�...
,Address 5901 Brooklyn Bouleyard _�, Address _Same_��_����_���_._
LOCATION OF BUILDING
Na 5533 S�t �East Bavarian Pass N.E. ._._...._,.__ part of Lot
Lot 3 Block �_..!�.__.�._._.._.____ Addition or Sub-nivisian ...�A3nsbruck ]Q.orth T,,�i�_ 3rd Addition
Corner Lot ,_______.�. Inside Lot _ ..�_._._.�.. Setback _..__.....__.._..__..__.... Sideyard _...._._...�__. __.___
Sewer IIevatian .�._._�..�__...__._ Foundation Elevation __._�._.._...__..-••....- ---•.�..`
DESCRIPTION OF BUILDING
To ue v�a �: i2oo �
Townhous e ��ont 24 �_. Depth 24 � Height 26. �_..._. Sq. F� ___600' � Ft 15, 600'
GaYage ___ Front 10�. 5� �p� 22 � Height ._ 10 �__.. Sq. Ft. __231 �.__ Cu. Ft 2 0 310'
Type of Construction �I.00d _�rame �_ 20 O10____... 1 ear
Es� Cost .T _s.__ . _.__.___ To be Completed _.._._ .Y..� � ._...�..
Stipulations : �S/7/ (� , �a� !
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
'ihe proposed work in accordance with the description above �°�i�th and in compliance � all provisions a!
Qrdixiances of the city of Fridley. / ) ,�
Ea consideration of the payment of a fee of $"�g - �� .._..._....., permit is hereby granted to_�2�.��1 _.Q. Farr Dev .
to construct the building or addition as described above. This permit is granted upo�t
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 ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of building�
Within the city limits and this permit may be revoked a t any time upon violation of any of the provisions oi �aid
a�rdinances.
..�._ Building Inspector
— DARREL C RK
NOTICE:
This permit dosa not eover the construetion, instaliation fo� wiring, piumbing, gas heafing, sewer or water, Bs sun to sas
ths Building Inspecto� for separate permits for theae items.
>
r1PPI,ICATION :OR RESI�ENTI�IL, �L`�'rRAI'IO�,',
OR AllllITIO � BUILDING ��R.�1I"I'
CITY OF FRIDLEY, i�1INNESOT�
o ��rr�' s rr�.� :�,�r,�c�/ � F�.-� ,�P����. C'o. n����� : Sa ti, e
r�DDRESS: �S�aO .Q�'ookdya7 B3Aue�i• ADTa�SS • S��•a�
r,o :. SS33 s�.�E� :�.r� �l3.� vas�: a.� �c.� ss
I.�� .•' � BLC�CK : 4 ADDITi(33J • r/�ts.t•�raic.� Nar��i T. �i. .3 ~d s"�r�r/i l�Pa di
Cfl�.ii'� Lt)T: IPdSiD� LtJT: � SE�C�: SID;EYARD:,,�,,,,,,,,,___„
�'�e�ali�ant ��tach to this foxn 1�o C?.�tificates of Su� of Lo�. a.�d pro�os�d
Du31c�i.no lacation dra•,�m osi th��� �ertificatzs. �
➢ESCRIPTION OF BUILDING
�.a �� U�ed As : �
`~�.�+.�r s��a�>s�. �'�on� : .�� � ��p�h : .�''� � Hv:iaht ; ..�la�
/.� O D
Squa.�z :�:°et: GOO Cubic �'ee�. /�. �O�"J
����.�� ' x�ca.�;.• ✓�, a"� �epLh:
SquarL � n�� ; �.�1
��i
Hwz.g�.t • /Q �
Cubic x���° a23/�
y��� of �o�st:-u�ti.on: ,�f%OG+� �.t'�.�•� Es���pd ��3�: � � ¢//�.��
�o B� �cc�,mp1����3: 7� /� 73
��a und2P�i;�z�d h�x��� ��.'�c=�s ��pl�ca�i� �-ot � oY�i� io� ?-�� vanx'� h�x.��±:z
so��3.�i�ci, �v:.��in3 �o �o �:�1 tro�-:c in st;�iti� ��cfl��.:�.nc°a �a:L?=n a'h-`r �y�;� c��
r Y-t �� ��y +J':�d3na_�c�� a .d �:i? � r�,;� of �i�-s ��;����*�� o � �i.�-? lc? �n,;�, �i�.d i ��N��
d4�1���� tna� aii �n� ��.c�:� �nci r�p��s�nr��ioz� >�i�a�wd is: '�''zia �n�1�c���=�n
�r� �;�uz a�.rl caxr�c}.
�x�:,.,. I� ��G� ��• JTVi�r�.l�U.i�i..` •
(S�.,_ {?��rar�s� Si.da �or �.ddi�iona'? snio�-::atio�:.)
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City of Fridley
r �T T11R TOP 0� TME TNrINi
�
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t'L-�--'"-^� GOMMVNITY OEV[60/MCNT OIV,
� �1 � MOTECTtVR NtI�CTIpN O�K,
� i �."•� � pTt MAII iAIOLRY �Mi
�.'•'�.� .J �1�' �SO' 3N0
Job Address
.�'�' 3.� . ; ���
ner
/ '
on actor -�
�'� � �2
ind of Building
omp etion Date
.,5°- �. 7 - �� '_
I!
�
I�
I
.w��CT
PLUM�IiUf, PERf1IT APPLICATIOi�d
�
A ress
7 �� <
A ress
Use
, � �� :
�
�
.�)
Plumbing Fixture Rates: N0. RATE TOTAL
Number Fixtures � x $2.00 $� �
Future Fixtures x $1.50
New Fixture-Old Open. x $1.50
Catch Bastn x $3.25
Water Heater-99,000 BTU � x$3.00 �', d�
Ground Run Old Bldg. x$3.25
Elec. Water Heater x $2.00
Gas Fitting Fees:
lst 3 Fixtures � x $2.00 _�.�
Additional Fixtures x $ .75
Gas Range-199,000 BT[J x $5.00
Repeirs & Alterations
See
Description; Code
State Surchart�e .50
—�
TOTAL FEE $ �
The undersigned hereby makes application for a permit
for the work herein specified� agreeing to do all work .
in atrict accordance with the City Ordinances and rulin
af the Department of �uildinge, and hereby declare that
�11�the �acta and repxeaentationa etated in this (
�pplica�ion are true and correct.
� � �3
Date
f
.
l�pp�fcatia►n !br'o�wrir Ma�rts and H�rt�e�. Cooling, Y�n+ibtioe. R�trig�nsNos a�d
A� Condhionisg S�n�s ard D�ric�s
P�I�R�tA1 R�4TE SChtEDULE
a�v±Tt wau� �: tur� mr�t�..
r�n�n� sr�n � n�e �vo� . . sia.oa �-
Replacement of Pitrnace 6.00 �
Repairs d€ Alterations---up ta �540.OQ 6.00 i- ___ --
Rep�irs & Alterations each add. sS0p.00 . 3 pp �._._ . ___ _
I�LCH. WAll�t AUR
P1�rnac.�e Sheli dc Durt Wark to 190,000 B1V
e� add. A0,00o BTU . . . . . . . .
RepIaeee�at c►f 1�lirnace
Repairs de A}terations--vp to s500.pp
Repairs dc Altesations each add. =SOO.Op
. El0 00� :_� 0 • �U
3.W i
6.00 !
6.00 s--
3.00 � _ __
ar�►x � xoT wa�x sYar�st
i�srnace Sheti dc Lines—to 400 sq. !t. F.DR Steam �20.�J0 �._____ ___
F�rnace Shelt d: Iane--to 640 sq, ft. EDR ffot Water 20.00 S- __-.____ __
Each add. =00 aq. tt. EnR Steam A.(x1 :- ---
Each add. 320 sq. it. EDR Hot Water 3.pp =_ _____ _
DIL EIIRISER—to 3 BaL P�' hour 6.00 S._--- —
over 3 gal. per hour�ee a'ee Schedule
GA� 3UR1fEA t up to 199�OOp BT[J)
o+r�e� 19�4.00Q Bi'[T S�e F� sclNdul�
G1l$ �ITTINC PEES:
ist 3 Fixtures _
At}dEtioaai l9x4�rea _
Gas Ran�e t� 19�.i0i0R _
ult a
���
vES?n.asa� s�
�rt.n�►rrc�s t �xu�s
�..���:
�� �-? �
s.00 i S �
I�Q AATE T07AL
_ =t 2oQ S -� �_`�'
_ x .76 i--- --
- :; �00- i —
i
s» r« s�.a�.
���r�� �--�L . �
xc rs� s � � � �
s r�
n.�. � �aq.. �. �eo.�
/_i , �
City ad 1Md1ey:
The undersigned hereby makes appllcation for a permit 1or the work Aerd� _
speciiied, agreeing to do all work in strict accordance with the City Ordisance�
and.ruling of the DepartmFnt of Buildings, and hereby decLres that sIi t� fac!€
and reyresentatiuns stated in this application ane true and correct.
Fridley, Minn_----- -----„1� v
� --1���1�31-�� - �b�'��-���"-
Kind of Building G%�
Used as _ _ ��¢�r.%
To l�e completed about _ _ _. _
Estimated Cact, E _ __ __
Uld—New. Building Permit No. _— P�rmit No. _ ��� /
..--
DE�CNIP'tlOif OF �IW!=
HEATING or PpWL�R pi,.AN'!g_$teatn. got Water� Warm Ais—No .
T'rade Namer , % g� I�Ie_.1L/d�,7 3/>fr
Capacity----�-/-�— S9. !'t E.D.R $'�j gp
TotaI eonnected I.o�i Riad ot 1Ru �
BURNEIi — Trade Na� g� t�
C�D�tY S9. !t. E.D R B1V g�
���
- � - � � i_'�.�.
— - �
�. . �-�/
�
.
SUBJECT
City of Fridley 2 2 0 7 6
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
� � RECEIPT NO.
� �• COMMUNITY OEVELOPMENT DIV.
� ��------- a�,�, �
r � � PROTECTIVE INSPECTION SEC.
� � �'��1 � CITV HALL FRIOLE� SS4JZ NUMBER REV. OATE PAGE Of APPROVED BY
�.---� � �'J 612-571-3450 910-F15 8/26/93 / /
J08 AODRESS 5533 East Bavarian Pass NE
1 LEGA� �OT NO. BLOCK TRACT OR ADDITION SEE ATiACHED
DESCR. 3 4 Innsbruck North Townhouse 3rd Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Rex Shaffer
3 CONTRACTOR MAIL ADORESS Z�P PHONE IICENSE fVO.
Dicks Fire & Storm 864 19 Ave SE, Minneapolis, MN 55414 781-6170 2481
4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUI�DING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION C� REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroo,f Garage (Tear^o��)
9 CHANGEOfUSEFROM TO
STIPULATIONS provide smoke detectors as gex UBC 1210 adjacent to all sleeping areas
and in ba,sement.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTIIATING OR AIR CONDITIONING.
THIS PEFMIT BECOMES NULL AND VOID IF WORK 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 PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAIIS 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 $405 $, SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $]_�j.00 Fire SC $.41
STRUCTION OF TNE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
License SC $5.-00 $20.91
S�GNATUFlE OF CON'PACTOR OR AUTHOAl2ED AGENi IDATEI W R Y VALIDATED THIS �S �YOjU PER T
V
SiGNATUAEOFpWNERiIFOWNEABU�LDEAI IDATEI p� IN 14TE
NEW [ ] .
ADDN [ ]
�,�R t l
CITY OF FRIDLEY
SINGLE FAMILY AND DUPL.EXFS R-1 AND R-2
Building Permit Application
Effective 5/26/93
, .-
COIIShltCtt011 A�TCSS: � �� East Bavarian Pass NE
I.Cg1I DCSCT1ptlOII: � C../
Owner Name & Address: _ _ Tet, �{
C01]tCdCtOi: Dicks Fire & Storm (Richard J, wiliiams) MN LICENSE �# 2481
At�(�t'CSS: 864 19 Ave SE, Minneapolis , MN 55414 Tel. � 781�6170
Attach to this apptication, a Certificate of Survey of the 3 � s- 2 a so
lot, with the proposed consrivction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width �Igt/Ground Sq. Ft.
OTHER: Re roof Garage / f'���T - C' � 1-
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setfiacks
Type of Construction: Estifnateii Cost: ��o �`J'
�—
Approx. Completion Date: �
� (Cost on Back)
Driveway Curb Ctet Width Needed: Ft. + 6 Ft = Ft x$ _�
DATE: 8/26/93 APPLICANT: /.D��,���'-7'��,,vv Tel. # �sl-6i�o
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ /.� . C� C°�
$ , y/
$ , .��
$
$ a � C���
$
$
$
$
� �� •�j�
1 �
Fee Schedu�e on Reverse Side
.001 of Permit Vatuation (1 / lOth �6 )
$.50/$1,Of10 Valuation
$750 per SAC Unit
$5.00 (State Licen�ed Residential Contractors)
Alt: "A" or Alt. "B" Aiwve
Conservation Plan Review $450.OQ
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS: -
SuB�EtT �.. . . . .
City of Fridley 30682
AT THE TOP Of THE TWINS g � f L D I N G P E R M I T
f
� �
� � .
� ; y ����� COMMUNITY OEVEIOPMENT DIV.
r � � PROTEC7IVE INSPECTION SEC. �� �
�•--- �;����;'I CITV MALL FRIOIE� SS13i NUMBFR REV OATE oAGE O� AVPNOVEO BY
1� 612-571-3450 9�0-Ft5 2/24/00 / /
�oe aooaess
.� 5535, 5537, 5539 East Bavarian Pass NE
t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACMED
DESCR. ],,2,3,4 4 Innsbruck North Townhouse 3rd ADdition SNEET
2 PROPERTV OWNER MAIL AOOR�S$ ZIP PHONE
Various
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
North Central Builders Inc 7401 42 Ave N New Ho e MN 55427 533-6168 3763
a ARCHITECT OR OESIGNER MAIL AODRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PMONE UCENSE NO
6 USE OF BUIIDING
Townhouse Buildin
7 CLASS OF WOFK
❑ NEW O AD�ITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside Townhouse Buildin
9 CHANGE Of USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAO
SEPAiiATE PERMITS ARE REOUIREO fON ELECTf;ICAI. PLUMBING. MEATING.
VENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULI AND VOID If WORK OR CONSTfiUCT10N ZONING SQ. FT CU fT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OF IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED fOR A PERI00 OF 120 DAYS A7
ANY TIME AFTEF WORK IS COMMENCED. NO DWLG. UNI7S OfFSTREET PARKING
1 HEREBY CERTIFV THAT 1 HAVE FiEAD AND EXAMINEO THI$ APPLICATIpN LF STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND COiiRECT. ALL PROVISIONS Of �AWS VALUATION SURTAX
AND Ofi01NANCES GOVERNING THIS TVPE Of WORK WILL BE COMP�IEO
W�TH WMETMER SPECIFIEO MEREIN OA NOT. THE GRANTING Of A PERMIT �iH,797 $9.�FO
OOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OF CANCEL THE PEpMIT fEE SAC CHARGE
PROVISIONS OF ANY OTNER STATE OR LOCAI lAW REGUTATING CON-
STRUCTION OR THE GERf MANCE OF CONSTRUCTION �3O7.ZS F'T2 SC �IH.HO
PLAN CHECKf E iALFEE
� Lic se SC . 0 $340.45
S�GNATUQE OF �ON . CTOQ OR oUTt1 iZED sGENt �D�rE� M PR V VAL ED THIS IS UR PERMIT
.�j � ��G./ ���
S�GN4TUAE O� OWNEp��� OwHEQBWIDEQ� iD��E� �DG ��v5� - ���TF
NEVV [ )
Effective 5/10/99 j �� — `j (�(,;�(
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAivIILY AND DUPLEXES R-1 AND R-2 `�,.�� L��� I
BUILDING PERMIT APPLICATION �W �
� ���
Construction AddrE:ss: S � �J 3 -- �js ` 3� -" � I � - �ji� �� � � �1 ��S
Legal Description:
Owner Name & Address: Tel. #
��fi(U�j �i(z� NE
��� �i� �� �
Contractor: �Dk�rN C.�r��rKA� �l! ILf���S � �NL, MN LICENSE # 37�3
Address: `�� > ��zil[,� �VF . N� ��.W �._�b4�� , �'�N `�S���Z�� TeIC#1�33-bi bY
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Length
Length
Length
LZESC�RiPTION OF LMPRO`IEM�:NT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Construction Type:_ uE -SIDit�G `i� � f�1i1') Estunated Cost: $ � ���, 00
Driveway Curb Cui Width Needed: Ft. + 5 Ft = Ft x$ _$.
DATE: ���' y �'1� APPLICANT: Tel. #� (o I ol � 3 3- b i�- R
�
CITY USE ONLY
Permit Fee
�ire Surcharge
State Surcharge
SA,C Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
M I[�� I/:l IJ
STIPULATIONS:
$ ������
$_ lg�8o
$ . 6
$
� �y0o
$
$
$
$
$ �`��, �S`
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 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 [ ]
sue�¢c* PER
City of Fridley 31093
AT TFIE TOP OF THE TWINS g � I L D I N G P E R M I T
r
; � RECEIPT NO.
', ; V ����� ,
COMMUNITY DEVELOPMENT OIV.
f � �� PR07ECTIVE INSPECTION SEG
1 ; �
� � /"'1 � CITY HAL� FRIOLE� 55�32 NUMBEN REV DATE VAGE Oi APV OVED BY
�"'"�� �'' 612-571-3450 gt0-F15 6/27/00 / /
�oe nooRess
5533 35 37 39 East Bavarian Pass
1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED
OESCii. �_4 4 Innsbruck North Townhouse 3rd Addition s"EET
� PROPERTY OWNER MAI� ADDRESS ZIP PHONE
Innsbruck Townhome Association 651-224-5482
3 CONTRACTOR MAIL ADDRESS 21P PHONE UCENSE NO
Garlock-French Roofi;�g Corp., 2301 E. 25th St., Mpls., MN 55406 612-722-7129
a ARCHITECT OR DESIGNEii MAIL AODRESS ZIP PMONE IICENSE NO.
OOQ01423
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WOF;K
O NEW O ADDITION ❑ ALTERATION C� 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.
Permit Inspection Cards
Witl Be Mali�d
To Homeowner To Post
TVPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD
SEPARATE PEfiMITS ARE REOUIRED FOR EIECTRtCAL, PLUMBING, NEATING.
VENTI�ATING OR AIR CONDITIONING
THtS PERMIT BECOMES NU�L ANO VOIO IF WORK OR CONSTRUCTION 20NING SO. fT CU FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 OAVS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 �AVS AT
ANV TIME AFTER WOi;K IS COMMENCED. NO DWIG. UNI7S OfFSTpEET PARKING
f HEAEBY CERTIFY THA7 I MAVE READ ANO EXAMINEO THIS APPLICATION 4 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECi. ALL PROVISIONS OF �AWS VALUATION SUiiTqX
ANO ORDINANCES GOVERNING TMIS TYPE Of WORK WIL� BE COMPLIED ¢S � IO%. 34 �p4 �q�•/ �L.SS
WITM WHETMER SPECIFIED HEFEIN Oii NOT. THE GRANTING Of A PEiiMIT w
DOES NOT PRESUME TO GtVE AUTHOR�TY TO VIOLATE OR CANCEL TME pEqMIT fEE SAC CHAFGE
PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGULATING CON-
STqUCTION OR TME PERFORMANCE OF CONSTRUCTION �IZS . ZS Fire SC ��l�q ��F . HO
PLAN CNECK f E T TA� FEE
132.60
S�GN4TUAFO�CON'F4�TQqOQAU�NOR�ZEO�GENT �O�iE� EN ROP VA� ED THI$ I_VOUR EQMI �
k � �r
S�GNATUpE O� OWNEQi�� OWNEpBUROEAi iD�tE� MSo.. qr.�E �
NEW
ADDN
ALTER
[ � �-
CITY OF FRiDLEY
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address �
Legal Description:
Owner Name 8� Address:
Contractor: �7.��
Address: a��D I �-s�
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
� �J"�: �5 . �� � :� � ►�/�1�� i l,Yl �Q�S
g�, 3��y3
Effective 1/1/2000
612-672�604 Bldg lnsp
�
ssc�c; a,+ron��. # (�5 i - �a u - s�l � �
MN LICENSE # LY�DI �ia3
N SS�-/o�Te�. # � /�- �/��-�71� �'i
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRlPTION OF 111!lPROVEMENT
Length Width Height Sq. Ft.
Length Width Height _ Sq. Ft
Length Width Hgt/Ground Sq. Ft.
Construction Type: R � In Estimated Cost: $ 5; I b'7 • 3�i
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: l� 2 APPLICANT: ��•i.- �.t�In�,� �O�f"� Tel.# c,�a-�aa-��a�
C1TY USE ONLY - Call (612) 572�604 for Permit Fees if mailing in application
Permit Fee $ 10�5. �� Fee Schedule on Reverse Side
Fire Surcharge $ -�� .001 of Permit Valuation (1/10th%)
State Surchargea s3$ ,-1$.50/$1,000 Valuation
SAC Charge $ �$1100 per SAC Unit
License Surcharge $ $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
Sewer Main Charge $ Agreement Necessary [] Not Necessary [] _
TOTAL
STIPULATIONS:
$ �• �
�4� � � ..
� �'�� ' � �
J
•. + � A
R ' � �
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 N'AX:
: 5533 E BAVARIAN PASS NE
: 243024410096
: INNSBRUCK NO T H 3RD ADD
: LOT 3 BLOCK 4
: ELECTRICAL
: TOWNHOUSES
: ADDITION/ALTERATION
571-1Z2i7
PERMIT NO.: 2004-00369
DATE ISSUED: 03/22/2004
VALUATION .
I NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE.
INSTALL NEW SERVICE AND 11 CIRCUITS
# 0-100 AMP CIRCUITS
APPLICANT
B C ANDERSON ELECTRIC INC
, 3640 PENROD LANE
�, MINNEAPOLIS, MN 55418-
OWNER
CROLIUS JOAN R
5533 E BAVARIAN PASS NE
, FRIDLEY, MN 55432
11 # 101+ AMP CIRCUITS
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
ELEC AMP SERVICE FEE
ELEC CIRCUIT FEE (0-100 AMPS)
ELEC CIRCUIT FEE (101+ AMPS)
STATE SURCHARGE, ELEC FLAT
ELEC PERMIT FEE - MAX (RESI)
TOTAL
PAID WITH CHECK # 12888
SEPARATE PERMITS REQUIK�D FUK WUKK U'1H�K 1HA1v t���c:luts�li �tsvv�.
0
0.00
0:00
0.00
0.50
85.00
85.50
( �t,
r�
Building
Inspections C�"��'
763-572-3604
DATFi� �OG/ �
SITE ADDRESS S�3
THIS APPLICANT IS:
PROPERTY OWNER/ '
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
❑ OWNER
PHONE:
STATE
PHONE��'���'�r�
❑ SINGLE FAMILY/NEW CONSTRL
❑ TWO FAMILY/NEW CONSTRUC�
❑ BASEMENT FINISH
❑ DECK
TYPE OF WORK: ❑ NEw
❑ MAII�
DESCRIBE WORK BEING DONE:
SIZE OF IlvIPROVEMENT_
acvvr ai. v
NUMBER OF SQUARES �
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
VVINDOWS
IN EXISTING OPENINGS ❑Yes Dl�io
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
-rvnc nc WijqDOW TO BE INSTALLED
AX
Permit No.:
Received By:�,
Date Rec'd: �
T�i��
EXP DATE
CITY ,c L STATE�IP� ' � �
u Uwxwc�rrsri�li
� ROOF
� SIDING
❑ SWIMMING POOL
�
LENGTH
� HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
LOCATION OF WINDOWS
NUMBER OF
SIZE
STORIES
O WINDOWS
U DRAIN TILE
❑ OTHER
WID'TH HEIGHT
BASEMENT REMODELING SUBMIT:
1. Existing F7oor Plan
2. Proposed floor plan
3. List of structural members to be used
Ft.
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of constrvction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ (n /�-I C) ) OCCUPANCY TYPE
Pernut Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ ��-�O
$
$ � (o !
$ '�Z�
$ �.pV
$
$
$
$
$
$ . �l
See Back Page for Fee Schedule
65% of Building Pernvt Fee
.001 times the total job valuation
.0005 x Pemut Valuation Minimum $.50
$5.00 (State Licensed Residential Conttactors)
$1550 per SAC Unit (Plans to MWCC for deternrination)
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: Cit� of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
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; that I understand this is not a
permit but only an application for a pernut and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work w' re uires rev' and approval of plans.
SIGNATUREOFAPPLICANT ^ TNAM{�r/�= /yI� DATE�I��!�
Building BUILDING Permit No.: j�-�? I G
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY nate Rec'd: �%� C� `�'"'
763-502-4977 FAX EFFECTivE �-i-os
DATE ��° ��� OUR E-MAIL ADDRESS � A�i�/�'�w LJ/Y( C l{/.�✓ IiLiC4.��
SITE ADDRESS `7 � � - �✓�YI�rI ��c SS
THIS APPLICANT IS: ❑ OWNER �CONTRACTOR
PROPERTY OWNER/ NAME: � Nil. SZL��/T
TENANT ADDRESS: �S��J� �- ��ir�� •��ITY i"Y � STATF�i� ZIP
PHONE: �� � � 3Z � f�� S �
NAME: C:. �/' L .✓� -
CONTRACTOR ADDRESS: � s'F�� j �[� % L/�I N� CITY /� IG��/2�5�'ATFi�ZIP �
SUBMIT A COPY OF pHONE �D `% I� I FAX 7�� l%�lo ��GT�(
YOUR STATE LICENSE STATE LICENSE #��i`7 /(� EXP DATE O3 ° d-/
PROPERTY TYPE �H SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORTES
PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ,eH REMODELING
DESCRIBE WORK BEING DONE: � vV� �l` !� _ %i0 "� �V I'V �C
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES ❑ HOUSE & GARAGE
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 ADDITIONS. & 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 P
ALL N1:1�:.�' AKL�; BASl:ll U1V VALUA7 lU1V, ilVCLUll1Nli I H@. CUS'l UP LA1fVK AIVU MA 1 L� K1ALJ:
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ �. -� 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
$ !q �'���
$ _
$ �
$ r�
$ � .�
$
$
$
$
$
$ . �
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Vatuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$2l=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks pavable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
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 Minne ota n ruction Codes; that I understand this is not a permit but onty an application for a permit and work is not to start without a
permit on site; that the work will be in acco dan ith t ap ved plan in the case of all work which re review and ap rov I of lae . �/ �� ��
SIGNATURE OF APPLICANT PRINT NAME���YI/(�/'� �t ��V DATE 6
APPROVED BY DATE
�7