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AF - 42536� City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT ��: December 26, 1972 I / Qyynp„�; _ Tl a r r a 1 A, F a r r Tl P vP 1 (', o� Builder ._.._.._ S Zm P �d� 5 9 O 1 Br o o k 1 yn B 1 vd . � Aaaress __..__S ame � __ ��ww��.Y � , •- LOCATION OF BUILDING Na ..�.�.g_,. street �a.s�--�ata�.�----�-�ss._..------•-----------------. Part of i.ot _ Lot 2 Biock _.� 1? .__..�. Addition or sub-ni�ision ._I nns b ruck No r th T. H. 3 rd Add . Corner Lot ._ ..�_ Tnside Lot � X—_....� Setback _••---..._...__...__..._._._ Sideyard _---•_•---_.__._._. ._.._._ iSewer Elevatian _.�.�..�. . Foundation Elevation __..w.. DESCRIPTION OF BUILDING To be vsed as: 12 0 0 Townhou s e _� �-�.ont _�? 4 t_ neptn 2 4� Height ._.?_6_ t...._.. Sq. Ft. _..�._6 0 0 � F� 1 S, 6 0 0 ri.� a g.? _.._ Front _�� ..� tDepth 2 2� Height ._l �_� .._.. Sq. Ft. _-----? 31 Cu. Ft __z 31 � TyY�e of Canstruction Wo o d F r ame $ 2 0 O 10 1 Y e ar .___.._.....__ Es� Cost ....___._? _.....__.___.._.._..__ To be Completed ..—._...�.� . . � � �i i �r r ,-, .i• In consideration of the issuance to me of a perxnit to construct the building described above, I agree to tio the proposed work in accordance with the description above/��th and in compliance wit.k;„ all provisions of Ordinances of the city of FridleY• 1J i In consideration of the a 3 8• 0 0 v D a r r e 1 A. F a r r D e v. p yment of a fee of $_ _..._..�., pernrit is hereby granted to.�_�..._... _ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of Iiiidley, Minnesota regarding location, construction, alterati n maintenance, repair and moving of buildiIIgs vyithin the city limits and this permit may be revoked y upon violati of y of the provisions oP Said oz'diiiances. � � Buildin8 Inspecto� � NOTICE: This permit does nof eover the construetion, instaliation for wiring, plumbing, gas heating, sswer or wafer. Bs sun to sN ths Building Inspeeto� for separafe permits fo� these items. � APPLICATIOti FOR RESIDENTIAL, AL�'rRATION, OR AllllI�'ION BUILDING P�RNJIT CITY OF PRIDI.EY, �-iINNESOT� OT�iER t S I�IAi'� :,�,r�rr�/ g? F�rN ,drt�r/�v. %. BUILDuft : �Q i�+z G. r1IlI3�S5: S9t�/ .d/'ookt�l» �lv�. ADTR�,SS: SEdes-e!°. 1;0:. .'j.13�o s�E:: .,�as� .C3�tvar:a�-, `'�ss L�3'i ; z BLOCK: IZ ADDiTI023 :.Z�J�J'J�asrc� Alor�fi �"�. 3=-,/�i�l,�i �� 'i CO�,.''T�� LOT : IPdS IDE LOT : � S Littr'�C?� : S I D�1'A��D :�� Ap�li�ant attach to this foz-�n T�+o C�:.tifi�ates of Su�v�Y o� i,oi and p�o�ose� buildino location drawn on tha�� Ce�tificat2s. � DESCRIPTiON 0� BUILDING do Be U��d As e �o�s�+,rr ,��oa,�se+ Fx�on� : .�`'� � TJPp�n : �'� � H°:ig'�t : a�� /.ZOD Squar� F�v�: �oOc7 Cub�c: iF�t: /.S'� ��00 - �a �Y�� ' �xon�: /e�.S� �epth: .�Z-Z � H�i.ili t: %� � Squar� �:er; .23/ Cubic ��t: •�•�0� �P� of �onstsuc�iont �tl�ai �i'��sb.� s;si�na�?d ��a�> $ %.�m� 1l�.e�!� �-----4.,-.-- _ . ^so Be +Cc�spl��d: 8�� %3 ih? und�?-�i�:i2d 'nax�by r�'�c�� a�oli�a�i�n foz a n�.�� o� 3:.�� ;,��r;�c hex�:�� p��i�i�d, aor��.ng �o ��o ull ti:�oYk in a�wi�� ccor�.�nc� 2ai;.� �.:n : Cir,;� ca;r x ric�? :y fl:'dir�ces ar,d a�al� ��;.,;� oz �i� ��e��.��nt oz :�ulld_i.�g:a, :��1 s;:'�r��l dacla�� wn.�t all ic'n� ra�� d �?��n��ior_s sc��-��1 in i�zi3 a��l�.c��:=.an �.r� t::u� �;zd coxr�c�. ��?'ti. �il"�li�%.Ti S��G;;,�:�"J''.:; {�.�a �?��r�� Sid� z��< A1di�:�on.a'1 �nfo?_-sacio.r..) . .� . ' > , �i4y o� Fridle� A�Plicc�tion � Pte�bi�tg ard G� �itfii� � Drp�t. of Bldq�. Phon� �0-34.'30 DESCRIPTION OF WORE �� Humb�r, Kind aad Locatioa of flxlur�s • � t�'�M � � � I � I N � INy+ � O ` � � �;� S i� �� I;� �. ��i3� �; u�� c�� n� fS � :: ��1 r�r��re�i . ■��i ' ■■�■■■' ■■■.■■1 . . .. PARTIAL RA?E SCHEDUL�E w�rc� �. � Clt� 01 llidley: � ��s e�cc The undersigned hereby makes eppltcalion tor a permit tor the vsork Rerei= specificd� agreeing to do atl woric in strict accordance with the Ca� Ordicssnce and ruling of the Department of Buildinga� and hereby declares that at1 the facf and crpresentatlons stated la thls applicatioo are true and correct PYid1eY. Liina ��I `° ,Ig�� Owner � Kind of Building �s � Used at M.IIMHiNG F1J[?URE AATES: • • . • • • • . • • If0• � :2A� = TOTAL Number F`ixtures . . . . . . (6 /�. b O PLture Fixture O��cning . . . . . . . . . . . a E1.50 i . New Fixture Old Opening . . . . . . . . . . , x =1.50 t—_ Catch Basin . . . . . . . . . . . . . . . . . . . . x i3.25 i Water Heater 'Up to 99,000 BTU1 •••• � x 53.00 i �` U� New Ground Run Old Bldg. ........ x i3.25 S Ebctric W�t�r ilMt�e . . . . . . . . . . . . . . : :2.00 = GQS FITTING FEEB: NO. R11TE 1'OTAL lst 3 Fixtures . . . • . . . • • • • • • . . . • • 1 x 5�.00 = °z•U v Additional P9aturea . . . . . . . ... . . . . . x = .T6 i (3a� Rante to 18Y.000 BTU . . ,.. . . . . ... : :5.00 f State Surcharge $ .50 RE?AIRS 1� ALTEAI1TIOlfs--R�br !o Cod� _ Deicriptfon . . . . . . . . . . . . . . . . . . .... . . . ..... . ... . .. ... . � TOTAL !�'EE � � / . � To be completed about Estimated Cost, s Old—New. Duitding Permit No. P•rmit No. �/ �, _ / � _ ROUOit FI1�fAL �/ "'' Signed By Phune No �t�C �;�� o - ri�l�ti , c� � � �iJOKA COUi�TY . � 6431 UNIVERSITY AVENUE NE January 31, 1975 FRIDLEY, N1INNESOT� 55�332 � . • , , . .;, � Mr. James I�ondon � . . - ° - : Darrel �. Farz° Developrent Corp. � . • .. : . 2810 Couni:y Road 10 . ' ' . . � .� x .�' � Brook].yn Center, ; iin�n. 55430 . y' _ : - . Re: Sta�u� of Permits for. Six.Quad.Units � �-. Dear Mr. London: ... . � The City ot Fridley still recognizes the building permits for 5501, 5503, � 5505, 5507 & 5502, 5504r 5506, 5508 & 5509,�5511,/�513, 5515 S� 5510, 5512, 5514, 5516 & 552Q, 5522, 5524, 5526 & 5532, 5534; 5535"; 5530 �ast Bavarian Pass N.E. as being valid, howe;rer, if worl: is not recommenced on or before May 31, 1975, we will consider those not wortied on as void. They will not be renewable after �.the ria}• 31st date and new permits would have to be taken out for any new starts. - . if you have any questions with reference to this matter, please ca].1 me at 560-3450. � � � . ' �� Sincerely, . ' DARREL G. CLARK Community Development Adm. DGC/mh CC: Dick Sobiech - Jerry Board.-;�an � � ,� ._........_._.. .. . . .. .�..,.-� �� i \ SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � � ; L ��_ COMMUNITY DEVEIOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � . , �` � �"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE ""'� � ,�� 612-560-3450 910-F15 1/30/ JOB ADDRESS 5536 East Bavarian Pass N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 2 12 Innsbruck North T.H. 3rd 2 PROPERTY OWNER MAIL ADDRESS Da.rrel Farr Developcnent 2810 County Road 10, Mpl 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW X 8 DESCRIBE WORK n�......�,......a. .. �c � 9 CHANGE QF USE FROM MAIL ADDRESS I PAGE OF 76 � � ° 13369 T ! � 7 `79� 7 APPROVED BY SEE ATTACHED SHEET s. 55430 560-8110 ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO. ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE � REMOVE � TO 1 .. 7'f t STIPULATIONS See 5530 EAst Bavarian Pass N.E. for stipulations. NOTE; Application for this permit was submitted January 16, 1976. TYPE OF CONS7. SEPARATE PERM�TS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� FL'dM@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �, AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $42�610 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $35.16 PLAN CHECK FEE � ..3 O � GROUP SQ. FT. 600 + 231 OF STALLS SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT ( ATEI WHEN PROPERLY . , � SiGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG WSP � '� 4 . OCCUPANCVLOAD CU. FT. 19, 006 + 2310 fREET PARKING IGARAGES AX 521.31 YJ.JV� VV TOTALFEE 406.47 DATED THIS IS YOUR PERMIT � � �v -�� nATE 1 ' R I i • T AI'PLICATION FOR R�:SIDI:NTTAL, AL1'I�RA'TION, OR AL)llITiON BUILDING PiRMIT CITY OF FRIDLEY, NtINNFSOTA OWNER' S NAME : Qq��tl FA'sr D��t/o� . BUILDER: $c[M+e.. ADDRESS : �B/O �o. �d 10 /Kp/s SS430 ADDRESS : $d.w.L NO:, s.�.�(e STREET: �O.l� �i�/wI-iwh /�RSl LOT :� �. PLOCK : /�i ADDITION : Ii�ur,r6�+rie,� ,�//rfii %/�% 3 �= CORI�iF'R LOT : IPdS IDE LOT : X SETBACK `< SIDEYARD : Apnlicant ai:tach to this form '3.`-wo Cer.tificates of Sux�.TeY of T ot and. proposad buildir,g locati.on drawn o�z these CertificaL-es. � vESCRIP'TIOI�i CP BUILDING T.o Te Used As : / °� i r r T,,� ii�..s� Front :_� Deptl� : 24 }iei�ht : Z(� Square Feet: Cubic Feet:�� VA�Rg�. Front: /O.S� Depth:_ _t2.� Hea_gr�t: /p � _ Square Feet : �3 / Cubic Feet : o�� / U Type of Coxxstruction: �1raw.L Estimated Cost: $-�"d ��T— To Be Conipleted: � y«M `� ya, f°/�' °2d Tlae undersigned hereby makes applicatinn for a permit for the work he�°ein specifi.ed, agreeing to d� a�l work in st-'rict accoidance with the City of Fridley �rdinances and ruling� of the Dep�rtment �f.}3ui.ldin�s, and here.�3> d�ciares that all the facts and representations sta�ed in i:liis applicaYiox�. are txue and correct. D�7� : � 7�i ,_ STGNATURE : .��( ,,`� (See heverse Side For Addit:ional Information.) Qt�.K ,�5, /� � �� ar. 3l . .�� • 3 y�y , o � � . . . - � ��- t�� a __ __ ___ __ .� � � ��:� - � � , �C�-'f1Q.4�E = 3 = 3 — _ la..s' �Z_--�z3/ _ `__�� o_� �� _ ; ; _ 1'S?"___�_�°'e__ a3_ X _ °l ii "_-�oo f�_ � X 8 - _� �Qd 3' �` _ --- -w - _____ _ J — r.r`��.Gf _ ��.._ �i'.� �I' 02 ( z __ � ..S'd� zk � = ,��2 Q v 3 • a� x a6 = �.��1' L,� _. : ...__ _ --------- ----- �.ef� ,: ti � ,�`sA� !o X � 3" 3 ' ; � n�- ; , � � _ yZ- ,3`3- �- -- �-- � =-�f- � g �' 3 x �z �� - �9.aa�.ti-' _ a � �� % �:60� _ . __ X �__`� �aoo -- — -- �� i � � , _ ---- -- �:,_--- -- --._ ___— _ _ �,.__� _-- - -------_- _ �- °� �� X___-�.�!c�.__ __�7a 9, �a -- �-------- _ 1 '.__�j_o __ �'--a�.?,_60_ _ /3� _6o!'._aa --- _---------__ -� � 6 ,3��i ..�� ,_4 0 / --- ------- --;__ j� � 9� r Q c� _._._ X�._ _ _---- - _ __ _ ___ _--- -__._ � ,t. - .5'.3'8 x .2 z, 6 0_ --/.2 (, ec7 8D _ �_ _ _ , ___ _ ._. __ _ _ i �: - ______.— � ` ___ �.�- �a ° --------___ ------ � �- -..�.� - — _---_ — ' _ _ ___�'�-�'—_ _ _ - --_ _ -------__ - _ - ------ -'� y _ �. . _ � ____ r_�-a�__=-- �'.,a � iQ�o_�_ _ _ sd �� ___ -- ___ - , _ ��G �3.�la . 4 � _ _ - _ _ __ � L _ _ . _ ___ __ _ _ , __ __ _ _. _ _ __ _ -_ �� `�� 7� _ �� .� . _.. _ _ ____ _ ,� . _ _ _ _ , � i _ � ; _.. _ ____ _ _ _. _,_.---. -- s ,- _ _ _ _ REPLIER — Return YELLOW copy and retain WHITE copy. FORM G-1. MANUFACTURED BY HOLDEN BUSINESS FORMS, 807 WASHINGTON AVE. NO., MINNEAPOLIS, MINNESOTA • FEDFRAL 9-0241 � � AT"iENTIQN OF; CITY OF FRIDLEY - r __ ____ ___ ___ _ __ � _ _ _ _ .. __. 6431 University N. E. TO __.. xarriet $uechner_._- ____ ___._. .,___._ _____ . __..._.____. Minneapolis Minn. 55421 612-560-3450 � --- __ -- -- - - - � ----- � L .._ _ _.__. . _;____ � SUB.IECT Plumbing Pe�emit Refund for 5530, 5532, 5534 & 5536 DATE March 12, 1976 East Bavarian Pass Please find attached a request for a permit refund on the above addresses from Key Plumbing and_ Heating, 7717 77th Avenue North, Minneapo].is, Mn 55428. _ M________�__ __, ____ __ _ On Novemlaer 16, 1973 the City issued four permits, each being $21.00 plus $_ _.50._surcharge,. __ ____ The City policy has been to retain $7.50 on permit refunds_plus in this case, the__.S .50_________,__ __ __ _ _. _ _ _.. __ ___. _----- surcharge._ Therefore, would you please_remit to Key Plumbing & Heating,_ $13.50 on each.___ _____ permit, making a total of $54.00. __.._._ _._.__ _.____._ _._ . , ____._. _ _ ..... - -..._ ____. ... _ __ __.._ _ _ ._ _ ___. __-- --- --------.__._-- .__Tha u � __ _ _ , - � , ____.._.. ._ _ ____� ___... _-- �� ___- - __.___ -----______ --- , ,%, f �� ' , __. __..._ _ . _ _._ .__ � . _ ..__ __ , `, � _ � _ . _ _ __ __ _ . .. ._ _ _ . . ��'�_. _ _ . _ L : .�l�✓� ____... __ _ __._ _ _ _. _..... � SIGNATURE REPLY: __ _. _ _,. _ ___ ._. _ _ _ __ ___ _. _.. _ _ __ _ . __. _ _ _ _.._. .__.. _. _ _ _ _ . _ _._._ _ _ _.___ _ _ . . . _.. . ._____ ____ . . _ __ _ DATE SIGNATURE F.Ya'tl�r�'S i�pY— �:�7AfI�] s=�tr� YDil4 FiL�S f PLUMBlNG AND H�ATING INC. , „ 7217 77TH AVENUE NORTN ■ MINNEAPOLIS, MINNES07A 55428 ■ PHONE 425-4183 March 9, 197� City of Fridley Co�r¢�tunity Offices University Ave. No. �i.dley, Minnesota 55�t33 Gentlemen: On November 16 1973 permits were taken out by us for the plumbing work a� 5534, 32, 3�, 36 E. Bav arian Pass far a total price of $85.00. The only work ever completed a.nd subsequently inspected by 3rou was the �round work. The job was then halted because of ii.nancial problems incurrad by Darrel A. Farr Development Corp., the general contractor on the job. Now the 3ob has started up again and you have charged.us double on the permits. We feel that we should receive sarne cred�.t on these permits. It was �hrou�h no fau].t af otLx�s tha.t the construction. was halted. Pleass check into this matter. Thank you for your cooper- ation. Also, p3ease find enclosed the additional $1. y�u axe chargi.ng for the second set oi permi.ts. Very truly yours, KEY PI,UMBING & HF,�ITTNG� INC . `�:� �_ _ ��.L� David L. Faxr DLF/cb . � ' � . . � . � . �;y�� i�ley I � _ . � ' , , ,, . _ � 3��3G{5ilc?i� �� P�C3�fi :ryx� t:.ir �::� u i�,�:�� s• - . � �`�n . • - �.._____,��: .�..,�._.._._ Dept. of Btdq:. phone �:.�•3SS0 . - •- _ . , ,� 3 � D�SC�IP7IOT( O: V10IT� ja:��;oZ � 5 5 � �¢s' � z' fL i��v _ 21u�:`�.--, i;i� d^.d I.ecr!��n of Fixh.::'es . . L� + N I u w �] N R v,' ~ Z I� Y� ,.� �" r t `.1 p z � F T p� U Y 'C � z y = ? o i � � ; < � � 7 .� 7 � N I; � � S� 2 N I� �{G O � � r O IV < 3 �U _ U a LIJ i '� �3.� � i:: ! � � � ��: i 3:d s :� • i'u`..:a C:.=.=:.c'_:..-.. �rT:ni.r_r- t ?tav �_�aro. Gld C>ys:?^.�s l� � P�R i !A!, RAT� 5�HEDULE WtiTE4 H7K. o e / N . G�S [�(C. 5caaz ❑ Cc::,pcol (�] ; L�iBI*iG FI:C: JRE R.4TE5: 2t0. R1�TE TOTAL :.�:�:,ber �X:u:�s . . . . . . . . . . . . . . . . � x �?.a�, g � � � F�t�re F1'xture (��cning . . . . . . . . . . . . x 52.� S . -• 1ew FixtLre O;ct Opening.....:.... . x 51.50 S_:__. Catch Ba<_in . . . . . . . . . . . . . . . . . . .. x 53.25 3 -- Walec Iie�ter 'l.'p to 99.000 BTU�• ••• � x e3 fi� S� . `:ec+ G:aund Run Old S:d x;3.25 S - g. . . . r . . •. ., E'.�t!�.c Y1a:ar HasLu. . . . . . . . . . . . . . s �?.CJ � ,"s�'S F27TI�G FEES: :10. RnT:,' T07AL • • lst 's Fix:ures • • • • • • • • • • • • • • • • • • / � x S2.Cn� � °� � �.dditicnat F>ztt:res ............... x 5 .75 S � G�s � :Fe to 199.OG0 BTLT . . ... . . . . .. .---- X SS.CA .ri City of �-idley:. The undersignrd hereby tna'�ces e�71lcaLon for a prrmit fer the vorY herd specificd, aG:eeinE to do all «.�c:k in stric: acco:�o^�e with t!:c Ci� O^.:s-%�� ar.d ruling of the r.epartment of �:uly..'n�s, a.^.d re:eby decli.es t�hat i:I �'=e 1:e •, and raprescr,�tioas siated ia L�is a�pl:caion are true a.nd �:reet ' �*.-idley, bsnn �/ � � � 7 '� _, i9._ Ow r,e r_,,, L� /� ��1' �' � f%-P/� �� v o.� - Kind oi Building ��'y"�� °°" Used 'as �o /L�v c, S/" To t�c coT�pleted about ��'"`�'�Q /�'� �� -----""` 0 Estimai2d Cast, S • , Y.smi! No. („ � ;,�� Oid ew.�3ui:ding Permit Ir'o. " / • Signed '�° �"�`� °��`� � . $y � ' _ _ c�. /L�L.� • -- Bwin��..s Ph�ne .lo � 1 � � �/ / � � ROUGH FINAL �' �l�^ 7 � _. � � : .50 State Surcharg2 ?�?1::i3 ic ALTrP.AT1�MS--P.�:sz to Coda • .Ik ;cri;.tian . . . . . . . . . . . . . . . . . . ... . . . ,.. . . . . ... . ... . .S � �. . 717I'A.L Fr'.�. $ `s ' . . � , • _ . GEO. SEDGWICK HTG. & AIR COND. CO. �,r� Z-�, 3S 3 HOUSE HEATING TEST RECORD ADDRESS 5-�� -r��-�. �c+-a.a- CITY ��! OCCUPAPJT OWNER � �� HEAT LOSS DATE HTG. INST. SOLD SY INSTALLED BY Electrical Work By Gas Line By �� ' `� TYPE UF HEAT GA_ FA HW_ STEAM SPACE HTR. UNIT HTR. 07HER GAS DESIGN CONVERSION MAKE (:� Model_f-.?�',--�d;S_- !�� Serial INPU7 /D. � ao � CONTROLS THERMOSTAT Tr�>� Heat Plug Valve - �� Limit -_ � T �, Limit Setting - � ° Fan 5etting qD - /�� Pilot Type T �'J Pilot Make Pilot Model Pilot Timing -- rl��-� . L.W. Cut Off MAKE OF BURNER _ Model Max. BTU Rating — MAKE OF FURNACE Mode{ S �� '� Vent Size `' KIND OF LINER �� SI2E�� NONE Draft Hood 1L�� r� � Regufator e�/ �c rUd / Filters Size /L.r�n a-/ Number / Chimney Location Inside �� Outside Chimney Construction Smoke Bomb Draft � � Door Pressure Pressure �� % Percent CO2 �� 4 Qate Tested - 7 Input CFH l�' � Percent 02 �C' p Company Testing 4 Stack Temp. '�E � Percent CO �� '� �•� Name of Tester Form 235 Wiring � Test Tag Lighting Inst. � CITY OF FRIDLEY APPLICATION FOR PWMBIN6 AND �AS FITTING PERMIT N � m �ro o • x v Water al m m 'Qy sbi C-.�i m o �a�+ o, [�. � Heater ar a� � F y E �aC rt H m Ero H W m ii w oi � -.�i q .0 C� 3 O u� O� � o a a�i O O •� � N � N +1.� O O � N 1r N N N N .0 v�i U � m w ai 3 Q w ai r�., U croa a 3 � � � o as lec � lst 2nd 3rd 4th (R) = Fvture Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PLUMBING FIXTURE RATES: RATE SCHEDULE N0. New Fixtures Future Fixtures Old Openinq, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receivinq Tank Water Treatinq Appliance Hot Water Heater 6as Ranqe Gas Dryer RATE TOTAL $ 5.00 s 3.50 g 1. 50 S 4.00 $ 5. 00 $ 5.00 $ 5.00 S 5.00 S 5.00 � $ �.00 g 5.00 g 10.00 $ 10.00 Back Flow Preventer Required. .. Yes () No () �e $ 5.00 S S S S S S S S S s $ S S $ Etfective Uate May i, 19�� Job Address �� Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct �., n Fridley, Mn. 9' "' llJ —' . 19� OWNER f (�-�[/f/j; KIND OF BUILDING _�� USED AS ------� TO BE COMpLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. �GJ, �S� CompanY (/C/G�%t�/` �-n�c.�J' r Si�� : By ��- u►�4�C�- ��'-�N�I�l�1NINC Tel. No. 0 Q � ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT '�! �` I� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS �4INIMU!K FEE FOR ANY PLUMBING PERMIT IS 515.00 l+t of Value of Fixture or Appliance $ PLUS THE $.50 ST�.TE SURCHARGE J�1;�' �� State Surcharge S .50 Reinspect.ion Fee $ � ($15.00) TOTAL FEE $ SuBJECT . . .. City of Fridley 2 2 3 6 4 BUILDING PERMIT ` AT THE TOP OF THE TWINS � i� REC . ""M" � � � ` __.__ COMMUNITY DEVELOPMENT DIV. 1�y � r � y � PROTECTIVE INSPECTtON SEC. I�/� � � ( � r'�'1 � CITY HALL FRIDLE� SS4$I NUMBER REV. OATE PAGE OF APPROVED BV �""'�'� �'' 612-571-3450 910-F15 3/28/94 � � JOB ADDRESS 5536 East Bavarian Pass NE 1 LEGA� LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2( Innsbruck N Y SHEET 2 PROpERTY OWNEF MAIL ADDRESS ZIP PHONE Various 3 CON7RACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dicks Fire & Storm 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LIC NSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential Gara e 7 CIASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION O REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Gara e tea - 9 CHANGE QF USE FROM TO STIPULATIONS TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OF AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TVPE OF WORK WIL� BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �SO$ . SO 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. � 1%. OO Fire SC . S1. PIAN CHECK FEE TOTAL FEE License SC 5.00 23.01 S�GNATUFE OF CON'RACTOA OA AUTHOA�ZED AGENT IDATEi HE ERLY VALIDATE THIS IS YOUR PERMIT � ^�� SiGNATUREOFOWNEAi�FOWNERBU�LDEA� �DATEi �BIDG WSP ��pTE IvEW ( I ADDN (� ALTER � � Construction Adciress [.egal Description: Owner Name 8c. Address: Eftective 1 / I /94 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 5536 - East Bavarian Pass Contractor: Dicks Fire and Storm Adciress: 864 - 19th AVe. S.E., Mpls., Mn. 55414 Tel_ # MIV LICENSE # 2 4 81 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT �j v �� Tel. # 781-6170 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA= Length Width Height Sq. Ft. s DECK AREA_ Length Width Hgt/Ground Sq. Ft. OTHER: Remove and replace garage roofing. Install gutters. Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Tyge of ConstCUCtiOn: R o o f i n g/ g u t t e r s Estimated Cost: $ s� s o o , 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= $ $ $ $ $ $ $ $ $ $ ('ITY USE ONLY _$ Tel. # 781-6170 Fee Schedule on Reverse Side .001 of Permit Valuation (1/1{)th%) $.50/$1,000 Valuation $$00 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 ( ] SUBJECT c�ty of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � � � � • COMMUNITY DEVEI.OPMENT OIV. r � V � PROTECTIVE INSPECTION SEC. � � � � i�"1 � CITY HALL FRIDIE� 55432 NUMBEF �'""'�" ,�� 612-571-3450 910-F15 JOB ADDRESS 5536 East B r' 1 LEGA� LOT NO. BLOCK TRACT OR ADDITION DESCR. 2 12 In 2 Pf±OPERTY OWNEF MAIL ADDRESS 3 CONTRACTOR MAILADORESS Dicks Fire & Storm Rh4 19 AtTP CF._ M 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL AODRESS 6 USE Of BUILDING Residential — HEV IOATE 3/30/94 ZIP ZIP PERMIT.,NO..--- ._ 2238�4 Il�l PAGE OF APPROVED BV � � SEE ATTACHE� SHEET PHONE LICENSE NO. PHONE LICENSE NO. 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE X 8 DESCRIBE WOFiK 9 CHANGE OF USE FROM STIPULA710NS TO Underlayment must comply with State Building Code. TYPE OF CONS SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VO1D IF WORK OR CONSTRUCTION ZONlNG AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOFI A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. U I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINEO THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �730 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Z L. OO PLAN CHECKI �i�G�c,i�� % ��2 3 -3�- 9 `l L'cense S�GNATURE OF C iRACTOR OR AUTHOR�ZED AGENT IDAT6 wHEr SiGNATURE OF OWNER uF OWNER BUI�OERI iDATEi � EtDG OCCUPANCY GROUP OCCUPANCYLOAD SO. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX .50 sac c►,aace F're TOTALFEE TED THIS IS YOUR PERMIT :� 3-31- rtEw ADDN �,�t [� il il crr�r oF Fxm�Y SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Pennit Application Constcuction Address. S'� ( F� c t R r i� n p a c ,�' L,egat Descnption: Owner Name & Address: Effective S/26/93 �� ( � � Tel. # COtltraCtoi: D i c k� F i r e a n d S t o r m MN LICENSE # � �, R,L Address: Tel. # . . ., . Attach to this application, a Certificate of Survey of the lot, with the proposed conshvction drawn on it to scale. DESCRIPI'ION OF IMPROVEMENT LIVING AREA: Leaigth Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgtJGround Sq. Ft. UTHER: Lower Roof• Remove and Replace Shin�les. Install Gutter Corner Lot (] Inside Lot [] Ft_ Yd Setback Si� Yard Setbacks Type of Construction: �4� }�____ Estimated �: � . Approx. Comp2etion Date: (Cost on Back) Driveway Curb Ct�t Width Needed: Ft. + 6 Ft = Ft x� DATE: 3/ 3 0/ 9 4 APPLICANT: Permit Fee Fire Sarcharge State Surcharge SAC Charge License Sarcharge Driveway Escrvw Erosion Coatrol Park Fee Sewer Main Charge TOTAL $ $ $ $ $ $ $ $ $ � M � .L_ Fee Schedule on Reverse Side .001 of Permit Valuation (1/li}th96) $.SO/$1,OOU Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessa�y [ ] Not Necessary [ ] STIPULATIONS: � �, � _� Tel. # 781-6170 � SuB�ECT �^` i City of Fridley 30742 AT THE TOP Of TNE TWINS g U I L D I N G P E R M I T � � � EIPT � `v � COMMUNITY DEVELOPMENT OIV. ` � �/) r i;: ,,. � � � PROTECTIVE INSPECTION SEC. � �� 1 . . � j �"'1 � CITY MALL Fii101E� SS�J2 NUMlEN NEV OATE /AGE OF ANROVED �� ""� � � � �'' 612-571-3450 910-F15 3 / 17 /00 / / �oe �ooRess � 5530, 5532, 5534, 5536 East Bavarian Pass NE t LEGA�' ' �O7 NO. BLOCK TiiACT Ofi AODITION SEE ATTACHEO oESCa. 1-4 12 Innsbruck North Townhouse 3rd Addn s►+eer 2 PROPERTY OWNER MAIL A�OiiES$ ZIP PMONE J CON7RACTOR MAIL AOORESS 21P PHONE LICENSE NO North Central Builders Inc 7401 42 Ave N New Ho e MN 55427 533-6168 3763 a ARCMITECT OR OESIGNER MAIL ADORESS 21P PHONE LICENSE NO. S ENGINEER MAIL ADORESS ZIP PMONE LICENSE NO 6 USE OF BUILOING � Residential Townhouse 7 CIASS Of WORK O NEW O ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE X 8 OESCRIBE WOiiK Reside Townhouse Buildin t ,: 9 CHANGEOfUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. �:. � -; , ; , . � ��, -r��_ � , , SEPARATE PERMITS ApE REOUIRED FOFi EIECTiiICAL, PLUMBING. MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV 1,OAD VENTIIATING OR AIR CONOITIONING. (NtS PERMIT BECOMES NUIt ANO VOIO iF WORK OR CONSTAUCTION 20N�NG S�. fT CU fT. AUTMORIZE� IS NOT COMMENCEO WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED FOfi A PER100 OF 120 OAYS A7 ANY TIME AF'fEq WOqK IS COMMENCED. NO OWLG. UNITS OfFSTREET PARKING 1 MEREBV CERTIFV TMAT I MAVE REAO ANO EXAMINEO TMIS APPLICATION 4 STALLS GARAGES ANO KNOW TME SAME TO 8E TpUE ANO CORRECT. ALL PROVISIONS OF t,AWS yA�UA710N SURTA% ANO ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMP�IED 1H,797 � $9.�FO ' W17M WMETMEfi SPECIfIEO MEREIN OF1 NOT. TME GRANIING OF A PERMIT � DOES NOT PRESUME TO GIVE AU7NOfi1TV 70 VIOLA7E Oii CANCEL 7ME PEpMl7 FEE SAC CMAFGE PROVISIONS OF ANY OTNER STATE Oii IOGA� lAW REGUTATING CON- $307.25 Fire SC �LS.HO SiR IQN OF TME PEpf MANCE Of CONSTRUCTION P�AN CHECK FEE TOiA� FEE � �� cense SC $5.00 $340.G5 S�GN�T�yqEO�CON: pOA�Ui» EO+GEN� �OATE� � WHEN RO RLV VALIDATED TMIS IS VOUp PEpMIi t S�GN�TUAEO�OWNEQ��OWNEp8U40Ep� �0�1E� a�p � ��FTf sue�ac* PERMIT N . City of Fridley p AT TME TOP OF TME TWINS g U I L D I N G P E R M I T r � ` iiECEIPT NO. COMMUNITY DEVELOPMENT DIV. �� • , � ; V � .�� ' r � � PROTECTIVE INSPECTION SEC. 1 . � _ �"'1 � CI7V HALL fRIOLE� SS�J2 NUMBEA NEV O�TE P�GE O: AVVROVED !v �----�: �.' 612-571-3450 9�0-Ft5 6/27/00 / / JOB,ADDFE55 5530 32 34 36 East Bavarian Pass 1 IEGAL �07 NO. BLOCK TRACT OF ADDITION SEE ATTACHED oescR. 1-4 12 Innsbruck North Townhouse 3rd Addition SNEET 2 PROPERTYOWNER MAllA00RESS ZIP PHONE Innsbruck Townhome Association 651-224-5482 J CONTiiACTOp MAIL ADDRESS ZIP PMONE LICENSE NO Garlock-French Roofin Co 2301 E. 2.5th St. ls. NW 55406 612-722-7129 00001423 4 ARCNITECT OR OESIGNEii MAII AOORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDFESS ZIP PHONE LICENSE NO 8 USE OF BU1l01NG Residential 7 CIASS OF WORK O NEW O ADDITION O ALTERATION �J REPAiR O MOVE O REMOVE 8 OESCRIBE WORK Reroof Townhouse Building (Tear Off) 9 CHANGEOFUSEfROM TO STIPULATIONS Underlayment must comply with the State Building Code. �ermit lnspection Cards �Ilill Be Mailed �'o Hon�eowner To Rost TYPE OF CONST. OCCUPANCY GROUP OCCURANCV �OAD SEPARA7E PERMITS ARE REOUIREO FOR EIECTfiICAL. PIUMBING. HEATING, VEN7I�ATING OR Alp CONDITIONING. THIS PERMIT BECOMES NULI ANO VOIO IF WORK OR CONS7RUCTION ZONING SQ. FT CU fT. AUTHORIZED IS NOT COMMENCEO WITMIN 60 DAVS, OR IF CONSTRUCTION Op WORK IS SUSPENOED OR ABANDONEO FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN175 OFFSTREET PARKING 1 MEREBY CERT{FY TMAT I MAVE REAO AND EXAMINED THIS APPLiCAT10N 4 STALIS GARAGES ANO KNOW TME SAME TO BE 7RUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SUR7A% AND OROINANCES GOVEiiNING THIS TVPE OF WORK WILL BE COMPUED �S � H31 . S4 �2 . 91 WITM WMETHER SPECIFIEO MEREIN Oii NOT. TNE GRANTING OF A PERMIT . OOES NOT PRESUME TO GIVE AU7MORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CMAfiGE PROVtS10N5 OF ANV OTHER STA7E OR LOCAI LAW FEGULATING CON• d�125. 25 Fire .SC, .�rJ .$3 STRUCTION OF THE PERFOFiMANCE Of CONSTRUCTION '� PLAN CHECKfEE TOTALFEE 133.99 S�GN�tUAE O� CON7iiAC10pOp �UTHOp�2E0 AGENT �o�rE� - EN ROP VAU D TMIS IS VOUp PERxMIi �e�V � _—S�GN�TUAEO�OWNfp��OwNEp8w�0Ep� - iO�iE� 9� iNS� ��<<E - � � SUBJECT .. � . City of Fridley 3 2196 AT THE TOP OF TME TWINS g � i L D I N G P E R M I T r CEIPT NO. ; �� _ ��°��04 /../�// � • COMMUNITY OEVELOPMENT DIY. � / � Ly'�'�� 1 /� r � � PROTECTIVE INSPECTION SEC. i_-_- A;�'��;.� CITY HALL FRIDLE� 54�J2 NUMBER REV OATE PAGE OF APPROVEG BY Z '� 612-571-3450 9�0-Ft5 9/24/O1 / / �os nooaess 5536 East Bavarian Pass NE 1 IEGAL LOT N0. BLOCK TRACT OR AODITION SEE ATTACMED oescR. 2 12 Innsbruck North Townhouse 3rd Addn SHEET 2 PFOPERTY OWNER MAIL AODRESS 21P PHONE Carol Larson 5536 East Bavarian Pass NE 763-502-0294 3 CONTRACTOR MAIL ADDRESS ZIP PMONE IICENSE NO Garlock French Roofing 2301 E 25 St, M Is., MN 55406 612-722-7129 1423 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PNONE UCENSE NO 6 USE OF BUIIDING Residential Townhouse 7 CLASS OF WORK ❑ NEW � AO�ITION D ALTERATION � REPAIR ❑ MOVE ❑ f1EMOVE 8 DESCRIBE WORK Reroof Townhouse (6 Sq) Tear-off 9 CHANGE Of USE FROM TO STIPUTATIONS Under�ayment must comply with the State Building Code. TYPEOFCONST OCCUPANCYGROUP OCCUPANC�IOAp SEPARATE PEAMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING. YENTILATiNG OR AIR COND�TIONING THIS PERM17 BECOMES NULL AND VOID If WORK OR CONSTRUCTION 20NING S�. fT CU fT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAVS. OR IF CONS7qUCT10N OA WORK IS SUSPENDEO OR ABANDONEO fOii A PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFV THAT 1 HAVE READ AND EXAMfNEO 7H15 APPLICATION 1 STA�LS GARAGES AND KNOW TME SAME TO BE TRUE ANO CORFlECi. ALL PROVISIONS OF LAWS yq�UpTION SURTAX ANp ORpINANCES GOVERNING THIS TVPE Of WORK Wlll BE COMP�IEO WIThi WMETHER SPECIfIED HEREIN OF NOT. TME GRANTING OF A PERMIT $643 $.SO OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PFOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29 � 6O FZ SC �. G�F $7RUCTiON OR THE PERfOFMANCE OF CONSTRUCTION PLAN CNECK fEE T T L FEE Licen SC $ . 0 35.74 S�GNITU�7EOFCON'RACTOQOA�UTMOQ�2ED�GENT iO�iE� WM N PR V VAU A D THIS IS ' F PERMIT ,.��,= �l S�Gtin7UAE O� OWtiEQ�i� pWtiEQ BU�IDER� iD�TE� B OG �tiSO � qc1E �l I ! cQ`? �NEW [ j Effective 1/1i2001 '�S ADDN [) ', CITY OF FRIDLEY (763) 572�604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: SS3� �,ri S 7'`� �.�l lllll�"�Qf'� I"lj�S' Legal Description: Owner Name 8� Address: �Q�O � 1�� Te�. #(7(o3)5�Z �Z� f�- Contractor: �'�l�l�/� Fri°�c`I ��{�h MN LtCENSE# �DO l�%�3 Address: � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: �- 2 5� S��'P� f- L.S SS�D � Tel. #,��vl Z� %2 2-7/2-9 C Attach to this application, a Certificate of Survey of th(e' �- �� z' J lot, with the proposed construction drawn on it to scale. 7 Z 2� j' % S� Length Length Length DESCRIPTION OF IMPROVEMENT /�� • Width Height Sq. Ft. Width Height Width Hgt/Ground Construction Type: �C�v �r� ��''�Estir�ia�ed�ost: $� °� �h� O $lc�� v�Gr�GS. Driveway Curb Gut Width Needed: �t. + 6 Ft = Ft x$ _$, Sq. Ft. Sq. Ft. i �� i r� � �' � � DATE: C' �APPLICANT: Tel. Z ZZ�� CITY USE ONLY - Permit Fee Fire Surcharge St�t? S�arrh�t'g� SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $.� 9 Go Fee Schedule on Reverse Side _ $ � .001 of Permit Valuation (1/10th%) $ �C"'P� $.50f$1,�Q0 Vast��tion $ � $1150 per SAC Unit $ `c'-oo $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ j Not Necessary [] � . Building BUILDING Permit No.: ��/� 'Lv /1 Inspections RESIDENTIAL APPLICATION Received B�v:�� 763-572-3604 CITY OF FRIDLEY Dat��'d? 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE ( �� 1O YOUR E-MAIL ADDRESS /�r �C�iCII• �1✓i.-sn� �� tiqn f�n'lC0 n/GS .�Or,Z s�Te a�eRESS S'S�36 � Gsa v�,�,�,� �'ass �"�%�,l /e� M N S5-t� 3� THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY OWNER/ NAME: Ca �pl L��'son TENANT nDD[tESS: _S�S 3E 1=. G�a vU�,'an Pass CiTV r;d /ev SIn�[ /�%�ziN SSy�� PHONE: E!�'- S i�} - ii �%jL� --� CONTRACTOR NAME: ��'K� e5 to ��'en SUBMIT A COPY OF STATE LICENSE # a Q��%�S S EXP DATE 3 3r /� YOUR STATE LICENSE ) e AND CERTIFICATE OF ADDRESS: (�S�$� NQ��Sh%�e T��e. S, CITY ��D/yl�%1�'�pq STATE NNZIpSSy3� 1NSURANCE pHONE t�l �- ��6�%6� � FAX 9s� -.��6-�5696 PROPERTY TYPE �SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES 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 O REMODELING DESCRIBE WORK BEING DONE: %ie/�a%r %�O✓✓12 p�.ne f"D W�+e/' p°� �'1 �� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY BASEMENT REMOUELfNG SUBMIT: NUMBER OF SQUARES � HOUSE & GARAGE l. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION [NCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit ❑ Aluminum � Trim L Site PlaniSurvey showmg the exisun�. ,[ruciurc, ❑ Other ❑ Fascia and proposed project. 2. Two sets of construciion plans WINDOWS 3. EnergyCalculations IN EXISTING OPENINGS ❑Yes �No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPEN[NG CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $'� ��{G� �� 'S OCCUPANCY TYPE Permit Fee $ , See Back Page for Fee Schedule Plan Review $ �'�, 5 7 65% of Building Permit Fee Fire Surcharge $ ��, ,`( O .001 times the total job valuation Surcharge $ �v1- � 45 .0005 x Permit Valuation Minimum $.50 License Surcharge $ �L;�� $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft = ft x$22 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge —$—�� Agreement necessary O Non Necessary O Total Due � /(�-� Make checks payable to: Ci of Fridle Attach Sti ulations THIS IS AN APPL[CATION 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 permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SiGNATUREOF APPC.ICANT �,/��%�/` I //� PRINTNAME �� C%je(( /�'��Ai f� DATE //°��I 1Q PLEASE NOTE: SEPARATE License lookup License/Certificate Detail Here are the details for the license/certificate you are currently looking for: License name: QUANTUM COMPANIES INC License doing business QUANTUM FIRE WATER RESTORATION as: License address: 10525 HAMPSHIRE AVE S, SUITE 100 City state zip: MINNEAPOLIS, MN 55438 License number: 20267086 License type: RESIDENTIAL BUILDING CONTR Company structure: CORPORATION License status: ISSUED License original issue 4/20/2001 date: License expiration date: 3/31/2010 License print date: 4/6/2009 Qualifying person: DAVID L. ELLINGS Continuing education hours required to renew 7 license: Contractor's phone g52-9434357 number: Page 1 of 1 Yes. A final enforcement action has been taken against this licensee. For more Enforcement action: information, check the enforcement action page of our Web site, send an e-mail inquiry to DLl.contractor@state.mn.us or call (651) 284-5069 to speak to an investigator. Another Lookup? RBC Renewal Form https://secure.doli.state.mn.us/licensing/licensing.aspx 2/2/2010 Pottebaum, Ricky Lee, dba Pottebaum Construction and Powder River Homes Lanesboro, MN '�Findings of Fact: $3,000 fine — 9/01/06 *BC2505302/CC Premier Bathrooms USA, Inc. Kent, WA *Consent Cease and Desist Order — 6/21/06 *BC2604127/CC Quantum Companies, Inc. — Lic. #20267086 Bloomington, MN '`Consent Order: Three year license suspension stayed on the condition that Respondent complies with a payment agreement to satisfy an outstanding judgment. $10,000 civil penalty must be paid by the end of stayed suspension (April 1, 2009) — 6/01/06 *Judgment satisfied October 10, 2008 *Fine paid March 31, 2009 ""BC2505647/CMW Quilling, Jason Warren, dba Quality Trusted Commercial Constr. 8� Roofing 3940 Minnehaha Ave. S., Mpls., MN 55406 *Consent Cease and Desist Order — 11 /29/06 *BC2605865/TMS Quality Trusted Commercial Constr. 8� Roofing — see Quilling, Jason Warren Raiche, Richard L., dba Quality Basement Waterproofing Orono, MN *Cease and Desist Order — 10/09/06 *BC2604947/CRD Rainbow Builders & Remodelers — see Port, Gary Rainy Lake Exteriors — see Lundemo, Mike R. Ramsey, Dean C. — Lic. 20389216 Maple Plain, MN *Consent Order: License revocation — 2/16/06 *BC2503081 /GMW RDG Quality Exteriors — see Gilligan, Richard D. RDM Remodelers — see Mark, Ross D. Re-Bath Minnesota see Cobb, Ron _ � �, �� z� ��s QUANTUM FIRE AND WATER RESTORATION �C�A_�NTU�M 10525 Hampshire Avenue South, Suite 100 ! ` Bloomington, Minnesota 55438 �� 952.943.4357 Fax:952-826-0696 To11:800.920.1826 www.quantumcompanies. com BC Lic#20267Q86 FIN:41-1769557 Client: Larson, Carol Home: 5536 E Bavarian Pass Fridley, MN 55432 OperatorInfo: Operator: SMM Estimator: Sean Miller Type of Estimate: Water Damage Date Entered: 11 /9/2009 Price List: Estimate: MINNEAPO Restoration/Servi ce/Remodel LA946394C Cell: (612) 819-8464 Date Assigned: �...!•�'"� fr y��,y�� ,�,. �-F � ., ., , _ _.. a s � ., u v �:.a , . , . ._ :�. �_ . _ • , ��c�=t�L.i-.;�,"�_�-`, ��,� `:}'i-'�. :.. ,' - _) Si i �: ��; ';�:; � �-�. ... °j.E��• qp� i f 1 . . i1 f': ,. /i!�!D �f�� 4I�.�J�"�.� E�ivi`aJ - — ,...3 Jeff, Attached is the preliminary structure estimate for Carol Larson's town home. Please review and call me with any a uestions. Thank you, � M �� i � '.. �� ! t� . . s.E. . � � . , � . . .. . .. . .� i \ -S1j �j :.`� �(:• . L, Sean M. Miller �'""' °` "` �' ` ""'"' ' Project Manager Quantum Companies Tnc. Direct (952) 826-0621 Fax (952) 826-0696 Cell (6t2)490-2297 Email sean.miller@quantumcompanies.com � _ ►'V�� F � 'r�'� '�"� � '�. - ��.�t � - �I V1Nt � • _,�� S wee�� d,�-�-�t�-��-5 1� ��" �J �`l.. �dP�� 4�V�1 0� rLZ�.V 1 � d � �v� �� - �� t,.. . ` ��1J ��. `=� �,',-' . Co. c��-� � a�� 5�a ' N � �- 6� I �.ovrt ' ' � _ I�2,-�a� �, 1 � oN Wr�l� � l �S o�' � � �. v l. l�S�- �l� �. � ` ^ s �.� � S�� C'�.�� • - `�. . � �� c5 —__ f- . QUANTUM FTRE AND WATER RESTORATiON UANTUM 10525 Hampshire Avenue South, Suite 100 ' Bloomington, Minnesota 55438 �� 952.943.4357 Fax:952-826-0696 Toll:8U0.920.1826 www. quantumcompanies. com BC Lic#20267086 FIN: 41-1769557 LA996394C General Condirions DESCRIPTION QNTY 107. PERMIT ( OPEN ITEM ] 1.00 EA This is for the building permit. Once purchased this will be actualized. The are building systems in the town home that do not meet today's building, electrical, plumbing, insulation, and HVAC code requirements. There will be some code compliance upgrades needed cu restore the property. The city inspectors may accept some existing systems, but until then there may be future cude compliance additions to this estimate. 111. INSULATION, FRAMING, DRYWALL- code compliance [ OPEN ITEM ] 1.00 EA There may be additional insulation repairs beyond sound insulation that wiU be included. Since this is a town home and there are other units attached the city may require additional fire roofing of penetrations, incr e framing and�all in areas that do not have it to comply for the current fire codes for town omes that have other units attache 108. PLLJMBING - Per Proposal [ PER PROPOSAL ] 1.00 EA 109. ELECTRICAL - Per Proposal 1.00 EA 114. CABINETRY - Kitchen and 1/2 bath - Per Proposal [ PER PROPOSAL ] 1.00 EA 112. Dtunpster load - Approx. 12 yards, 1-3 ton of debris 1.00 EA 115. Clean duct system 1.00 FA 151. Content Manipulation charge - per hour 5.00 HR 2 techs 2.5 hours to reset contents in home. 1 l3. Final cleaning - construction - residential 1,261.00 SF All 3 levels of the condo. Upper Level Utility DESCRTPTION 116. Batt insulation - 4" - R13 117. 5/8" drywall - hung & fire taped only 118. 5/8" drywall - hung, taped, with smooth wall finish 120. Shelving - wire (vinyl coated) - Detach & reset 122. Baseboard - 3 1/4" hardwood 123. Stain & finish baseboard 124. Mask and prep for paint - tape only (per LF) 21. Interior door - reset - slab only 125. (Install) Casing - 2 1 /4" 126. Paint door or window opening - 2 coats (per side) 127. Paint door slab only - 2 coats (per side) 121. Seal then paint the walls (2 coats) 119. Underlayment - 5/8" particle board ]28. Floor preparation for sheet goods 129. Vinyl tile 130. Detach & Reset Water heater - 40 gallon - Gas - 12 yr 131. Water softener - Detach & reset 133. Furnace - forced air - Detach & reset Ceiling Height: 8' QNTY 65.05 SF 65.05 SF 65.05 SF l 2.00 LF 32.53 LF 32.53 LF 49.53 LF 1.00 EA 17.00 LF 1.00 EA 1.00 EA 260.20 SF 47.20 SF 47.20 SF 47.20 SF 1.00 EA 1.00 EA 1.00 EA LA996394C _ 1/28/2010 � V h �v �G'� � �2 t l �,"'� -�i � . � �,J `� Page: 2 QUANTUM FIRE AND WATER RESTORATION UANTUM 10525 Hampshire Avenue South, Suite 100 � ' Bloomington, Minnesota 55438 �� 952.943.4357 Fax:952-826-0696 To11:800.920.1826 www. quantumcompanies. com BC Lic#20267086 FIN: 41-1769557 CONTINUED - Utility DESCRIPTiON This is a ballpark estimate at this time. I am getting a proposal to do this. 132. Furnace - heavy clean, replace filters and service - w/ AC l3. (Install) Dryer - Gas 14. (Install) Washer - Top-loading Full Bath DESCRIPTION 136. Mortar bed for tile floors 25. Tile floor covering 139. Grout sealer 29. Threshold - natural marble 28. (install) Baseboard - 3 1/4" hardwood 162. Mask and prep for paint - tape only (per LF) 161. Paint baseboard - two coats 24. (Install) Casing - 2 1/4" 145. Interior door - reset - slab only 163. Mask and prep for paint - tape only (per LF) 137. Paint door or window opening - 2 coats (per side) 138. Paint door slab only - 2 coats (per side) 26. (Instail) Toilet Vanity DESCRIPTION ]46. Interior door - reset - slab only 144. Mask and prep for paint - tape only (per LF) 140. Paint door or window opening - 2 coats (per side) 141. Paint door slab only - 2 coats (per side) 31. Carpet - Detach & relay 142. Carpet pad 143. Clean and deodorize carpet Hall DESCRTPTTON QNTY 1.00 EA 1.00 EA 1.00 EA Ceiling Height: 8' QNTY 27.86 SF 27.86 SF 27.86 SF 6.00 LF 10.58 LF 10.58 LF 10.58 LF 34.00 LF 1.00 EA 34.00 LF 2.00 EA 2.00 EA 1.00 EA Ceiling Height: 8' QNTY 1.00 EA 51.00 LF 3.00 EA 3.00 EA 35.00 SF 35.00 SF 35.00 SF Ceiling Height: 8' QNTY LA996394C 1 /28/2010 Page: 3 QUANTUM FIRE AND WATER RESTORATION UANTUM 10525 Hampshire Avenue South, Suite 100 � ' � Bloomington, Minnesota 55438 �*�� 952.943.4357 Fax:952-826-0696 To11:800.920.1826 www. quantumcompanies, com BC Lic#20267086 FIN: 41-1769557 CONTINUED - Hall DESCRIPTION 147. Clean and deodorize carpet Bed�•oom 2 Subroom 1: closet DESCRIPTION 150. Clean and deodorize carpet Traffic, boxes, and appliances were stored in here. Entry Stairs DESCRiPTiON 80. Clean carpet - cleaning charge per step QNTY 35.46 SF Ceiling Height: 8' Ceiling Height: 8' QNTY 136.88 SF Ceiling Height: 13' 4" QNTY 8.00 EA Entry Ceiling Height: 20' Subroom 1: closet Ceiling Height: 8' DESCRIPTION QNTY 173. Seal then paint the surface area (2 coats) 200.00 SF 174. Additional cost for high wall or ceiling - Over 14' 200.00 SF 175. Two ladders with jacks and plank (per day) 0.50 DA This area needs to be painted due to the temp lighting attached to the walls in areas. This one wall only to be painted is 22 feet high with 3 large hanging lights in the way. Lower Level Sunken LR DESCRIPTION 158. Contents - reset Ceiling Height: 8' QNTY 1.00 EA LA996394C 1/28/2010 Page:4 QUANTUM FIRE AND WATER RESTORATION UANTUM 10525 Hampshire Avenue South, Suite 100 � ' � Bloomington, Minnesota 55438 �� 952.943.4357 Fax:952-826-0696 To11:800.920.1826 www.quantumcoinpanies. com BC Lic#20267086 FIN: 41-1769557 LR Subroom 1: os .�----r DESCRIPTION 159. Contents - reset 153. Clean and deodorize carpet 152. Clean carpet - cleaning charge per step 168. Mask and prep for paint - tape only (per LF) 167. Seal then paint the walls (2 coats) DR DESCRIPTION 16U. Contents - reset 67. Carpet - Detach & relay 154. Carpet pad 155. Clean and deodorize carpet 70. (Instail) Baseboard - 3 1/4" hardwood 164. Paint baseboard - two coats 165. Mask and prep for paint - tape only (per LF) 166. Seal then paint the walls (2 coats) Kitchen DESCRiPTION 170. Fluorescent - two tube - 8' - strip light [ Included J 97. (Install) Fluorescent - one tube - 2' - fixture w/lens - reset [ Included ] 95. (Material Only) Suspended ceiling grid - 2' x 2' 94. (Material Only) Light diffusing panel - High grade (i.e., mist white) 169. Acoustical Treatments Installer - per hour 176. Batt insulation - 4" - R13 S d insulation on common wall Ceiling Height: 8' Ceiling Height: 8' QNTY 1.00 EA 171.26 SF 4.00 EA 33.50 LF 309.22 SF Ceiling Height: 8' QNTY 1.00 EA 47At SF 97.01 SF 97.01 SF 15.00 LF 15.00 LF 19.92 LF 171.56 SF Ceiling Height: Tray QNTY oun 177. 5/8" drywall - hung & fire taped only � �� ` 178. 5/8" drywall - hung, taped, with smooth wall finish ••- �a�� j� \ Fire wall �.1 �� •.�� 179. 5/8" drywall - hung, taped, with smooth wall finish � N�� Tray ceiling 180. Mask per square foot for drywall or plaster work �LSYy�V11�� V�'�'� � 181. Seal/prime the ceiling - one coat �R"" C 182. Acoustic ceiling (popcorn) texture - heavy `��'��% �, ' ' ` - � ` Tray ceiling n 2� � +G� u� l 83. Seal then paint the walls (2 coats) \ �� 92. (Install) Range hood ` c 2� � ' 1 LA996394C �� ^��j�, �, � 1/28/2010 Vt.,�` ♦�..t �V �W� � __ '�� 1.00 EA 2.00 EA 123.70 SF 50.00 SF 3.50 HR 50.00 SF 64.00 SF 64.00 SF 163.70 SF 352.00 SF 123.70 SF 163.70 SF 241.00 SF 1.00 EA Page: 5 QUANTUM FIRE AND WATER RESTORATION UANTUM 10525 Hainpshire Avenue South, Suite 100 `' ' Bloomington, Minnesota 55438 �� 952.943.4357 Fax:952-826-0696 To11:800.920.1826 www.quantumcomUanies. com BC Lic#20267086 FIN: 41-1769557 CONTINUED - Kitchen DESCRIPTION 91. (Install) Disl�washer 90. (Install) Range - freestanding - gas 93. (Tnstall) Refrigerator - top freezer - 18 to 22 cf 99. (Install) Sirilc - double 100. (Ins[all) Garbage disposer ] 04. (Install) Toaster mounted to cabinet - reset 172. (Install ) Cabinet mounted can opener - reset 171. Countertop - post formed plastic laminate Budget price for now. There was a step up overhang that may be additional. There will be a proposal. 102. Cabinetry - upper (wall) units Budget pricing only. There will be a proposai. i 03. Cabinetry - lower (base) units Budget pricing only. There will be a proposal. 188. Baseboard - 3 1/4" hardwood 189. Paint baseboard - two coats 186. Paint door slab only - 2 coats (per side) 187. Paint door or window opening - 2 coats (per side) 197. Floor preparation for sheet goods 201. Vinyl floor covering (sheet goods) This cut includes the 1/2 bath. 1/2 Bath DESCRiPTiON 44. lnterior door - oak veneer - pre-hung unit 184. Paint door slab only - 2 coats (per side) 185. Paint door or window opening - 2 coats (per side) 45. Baseboard - 3 1/4" hardwood 190. Paint baseboard - two coats 47. Vanity - Custom triangle shape 48. (install) Vanity top - one sink - cultured marble 50. Detach & Reset Hanging light fixture - reset [ Included 51. (Install) Mirror - 1/4" piate glass - reset 74. Batt insulation = 4" - R13 191. 5/8" drywall - hung & fire taped only 192. 5/8" drywall - hung, taped, with smooth wal] finish 193. Mask per square foot for drywall or plaster work 195. Seal/prime the ceiling - one coat 194. Acoustic ceiling (popcorn) texture 196. Seal then paint the walls (2 coats) QNTY 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 21.00 LF 22.00 LF 17.00 LF 20.00 LF 20.00 LF 1.00 EA I .00 EA l 11.00 SF 235.20 SF Ceiting Height: 8' QNTY 1.00 EA 1.00 EA 1.00 EA 17.88 LF 17.88 LF 3.00 LF 3:00 LF l .00 EA 14.00 SF 159.69 SF 159.69 SF 159.69 SF 159.69 SF 16.68 SF 16.68 SF 143.01 SF LA996394C 1/28/2010 Page:6 � QUANTUM FIRE AND WATER RESTORATION UANTUM t p525 Hampshire Avenue South, Suite 100 � ' � Bloomington, Minnesota 55438 �*� 952.943.4357 Fax:952-826-0696 To11:800920.1826 www. quanhimcompani es. com BC Lic#20267086 FIN: 41-1769557 CONTINUED -1/2 Bath DESCRIPTION 203. Bath accessory - TPH 46. (Install) Toilet 199. Floor preparation for sheet goods 202. Vinyl floor covering (sheet goods) [ Included ] 15 % waste added for Vinyl floor covering (sheet goods). Grand Total Grand Total Areas: 3,381.49 SF Walls 1,014.84 SF Floor 0.00 SF Long Wall 1,014.84 Floor Area 1,920.63 Exterior Wall Area 0,00 Surface Area 0.00 Total Ridge Length LA996394C Sean Miller 1,009.81 SF Ceiling 112.76 SY Flooring 0.00 SF Short Wall ],114.17 Total Area 236.62 Exterior Perimeter of Walls 0.00 Nwnber of Squares 0.00 Total Hip Length QNTY 1.00 EA 1.00 EA 16.68 SF 19.18 SF 28,903.05 4,391.30 SF Walls and Ceiling - 399.99 LF Floor Perimeter 456.40 LF Ceil. Perimeter 3,362.60 Interior Wall Area 0.00 Total Perimeter Length 1/28/2010 Page:7 / Lower Level i` . �, ,�" /;� a�>. . ; `,j�\,\'"�. . ,� il' ,y' a. \ I y < 10" --1 1 �. � ._. _ ......._.. _._..... ... . . 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Up�re�� l�evw; 1/2R/2010 Page:lc) Building MECHANICAL Pe�it No.: �?li�'(1C) Li I Inspections RESIDENTIAL APPLICATION Received By:!ti�' 763-572-3604 CITY OF FRIDLEY D��'�AR � a � 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE 3/ �JV / l� YOUR E-MAIL ADDRESS SITE ADDRESS J�S �� c� v� i_� ^� ia �- THIS APPLICANT IS: ❑ OWNER �,CONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: SS 3�o a r�' u� µ C[TY STATE ZIP TENANT PHONE: CONTRACTOR COMPANY NAME: 1G ��.�P S �liP � c��^ � c�% .�ct � SUBMIT A COPY OF CONTACT PERSON � u c� �a l� a� YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH pDDRESS:� S�l �-( � S i 1 ve u �� 5�-- �� CITY � �io v�,� STATE'Z�c, ZIP553 u�l APPLICATION pHONE 7�0 3- 4 Z �- Z`l l�' FAX PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW �REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �/. � �v��. � fi /� /� �� .� /,�u,�� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HAND$OOK. Equipmentlnstalled MFG: J pHK�� MODEL: �%Oj�%F✓ ,�i(,i4-D7t� SIZE/BTU (o�a� �J _ MFG: �wµ MODEL: ��{ A C-x -�W SIZE/BTU Z�-o ^� MFG: MODEL: SIZE/BTU �, A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGFJOVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 �FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $] 0.00 -`V ENTILATOR $] 5.00 _ � ��°"� �`� � y � 3 � � �� Y {I�, F �{�l�, 4' ��.: �, ' �, �' `a �; Y J�, � � i .. f'i, � t X: . � : W� t� $ti°. � Y� -��s�� lu� ? �� g., � ; ""H�' �f� ..8.� �y� �� ? Rm 4Y� rsr' s4,�+"�'-�•"'� ..4.,. R. �. - 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 permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which reyuires review and approval of plans, SIGNATURE OF APPLICANT �n� o��"�"'�, � PRINT NAME�Y/.t r /%� DATE�f 3/> //v APPROVAL INSPECTORS SIGNATURE DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit Ivo.: " C�(1L� S Inspections RESIDENTIAL APPLICATION xecei�ed sy: � 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 1-I-2010 ��e� � ,'1_ � r� DATE 'f SITE ADDRESS _� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: ADDRESS ❑ OWNER y�ONTRACTOR NAME: ADDRESS: CITY PHONE: STATE LICENSE # V STATE BOND # _� ADDRESS:�� PHONE � � SINGLE FAMILY ❑ IVEW DETAILED DESCRIPTION OF WORK ❑ TWO FAMILY. � REPLACEMENT TE ZIP EXP DATE aC l V EXP DATE Z �J Z� _CITI STATE N ZIP. _ FA%K _L� � �-�''`�� ❑ TOWNHOUSE FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMLTM FEE $35.50. I BATH SINK/LAV �FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK Z WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LALJNDRY TRAY �WATER HEATER ($35) FOR IItRIGATION _ WATER METER _ OTHER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 Consiruction Codes; that I understand this is not a permit but only an application f r a ermit and work is not to start without a permit on site; that the work will be in accordance with the approved plan th case o wh uir review and appro al of plans. SIGNAT'URE OF APPLICANT PRINT NAME � [,..3�/ 1 DATE �� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, NIN 55432 763-572-3604 FAX: 763-502-4977