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AF - 42542r City of Fridley, Minn. - 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: .___December .26_„_ 1972 . Owner: __Da.r.]_�1.._.A�.__.Easr_.�iL�7.SZ.pmeAt_..�.4......._ Builder SamP Address _..�.�Q1---.Br.�.�k.l.yx�._..�41x..1..e3��xs�---.�__---_ Address �.Sam� ,�'�_ � � 18 61�-� LOCATION OF BUILDING No. .:-----�.�...4.�...-------._ Street .---E�_t _$.�..V_�,1.�3b7t._�.3�.�..TI.E...___ Part .of Lot Lot .._..-----.- 2_----._._.__ Block _---.------�---...--------------------------- Addition or Sub-Division ._._.IX1A.�.12.r11.Ck�..1�I.0�$h._T_H, 3rd Addition Corner Lot ....._........--•--•--.._ Inside Lot _�...:..?�.._._._._..----._._. Setback _.._..___�__...�._ Sideyard Sewer Elevation ....---..___.._..------------••---_._...�.._..----•---•--•___....._:._._ Foundation IIevation .-- ---.------_ DESCRIPTION OF BUILDING To be Used as: 1200' .T92dI1�1.Q11.�-�-•-•--•-----.-----.._ Front _._.��k..'_._.. Iaepth __.��.�_ Height ...._....Zb � Sq. F't. _�'_ Cu. Ft 1 5i�0' .�.xs1g.�.--•_---•----•-_._._..----..... Front _14.�..?.� Depth _._.�_�_ Height .�._.�__'_. Sq. Ft _..231..�..._ Cu. F� —.2.�31.0' Type of Construction _4�Iood..�'�a�,��___....__ Es� Cost .–._�2.4�_��----.._._.__ To be Completed ] jTQar Stipulations : �� S%/ � � ,C�C�.(J , In consideration of the issuance to me of a permit to construct the building described above, I agree to do 'khe proposed work in accordance with the description above se orth and in compliance wit� all provisions of Ordinances of the city of Fridley. � _�/ In consideration of the payment of a fee of $_�$..� .�., permit is hereby granted to �rrel A. Farr Devel . __._......_.__..__......_ ..............................._ to construct the building or addition as described above. This permit is granted upori the express condition that the person to whom it is granted and his agents, employees and worl�nen, in a11 WoTk done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinaIICes Of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings ,yyithin the city limits and this permit may be revoked a t time upon viola ' n f any of the provisions of said ordinances. - � �� Building Inspector DARREL CLARK NOTICE: This permit doas nof cover the eonstruction, installation for wiring� piumbing, gas heating, aewer or water. Ba sun fo sa� the Building Inspeeto� for separafa permita fo� these items. r � f��'PLICATION FOR RESIDENTIAL, AL�'rRA�'IO,�i, OR AllllITZON EUILDIiti'G P�Rf��IT CITY OF FR�DLEY, I�IINNESOT� O:�i�R' S r7A�.� :,�a�f-v-c�/ � f�tr� /.,r�r��• c°. BUILD� : �� r� +�. ADD�SS: �590/ .C�1-o�t/y» �It�d. AD�RrSS• ��e�� N0 •. ��4 � STRiEa - �s� �! 1/�1's�iaa� f� s� �; L BLacx: 3 A��rzor�:.1''n�s��-�� /�y�•� a:'�. ,,��dd:�%�n CO-T_tl� L�T: ZidSID.:, LOT: � 5��: SIDEXr'1��t��,,,,., �p;�1i�a:�t �rtach to ti�is form �.`�ro C�rtificates o� Surv�� o� Lfl� and p�o��s�d builc�ino location dz�awn on th2s� Ce��ificat��s. � DESCRIPTION OF BUILDIi�`G �o Be U�ed As : ��s+�, .�a.��r.r� �ron�': .�'`�� D�p�.2� : ,c.s;�� g�:i.��t; .�i°A� sa�a squ�� Q�`: �� cu��.� � L��: /.�". �oe, _ �' �� : /�.s' ��: �-� ° ��:�,� �: e� ° �quax� �e�t; �•�I Cubic a�a��: ..a'�.3Jfl 'l�pa ot �onstxuc�ion: ,��d� .��'��- �s��.��d ��a� � ,da''� e'o°� C'8� . y�-- . �o B� ��P�.��a: 7- �- �3 �!'�fi? L'I1C�??'3�9,�;12C3 �'12�'?t3`j T'��-Cv''� 1;�?��.a:.39��t.'D:"i �Oi $ i,3v_�i _'.� �03' ral° ;JC�T.:� S1�6a"� i"1 Sp?�iij,�t�� 3oicEiT.?� �O �O �.�.� t7o��; 1':1 3'Y�iti.�. '�CCL.'��:3:1Cw i7f.�..'i �.tdi: ('_liJ C?"S Fa�.c�''y fl°:�a��.na_nc�� rd ral�y�;� o:c �rz� ��?�.��..TM�� o� �ull�ai�;:�y ;�.,� �:�-��y d-;c1aT�=3 that a�l �� fa�� ?�c: ��=��r�ayions sc::��d i:.. ��ai�3 apo?i�.ati:=.?� �xQ ::xue and cox�¢��. s,�'7'� . /.Z- .2G - 7z. �-w�.�,� _;t';:� . {��'_� 1l�-"��/�it�'� il�Ci? .i0i� F�:LiJ.i ti1tJ�ci.? Sl:l�.OT':;c'?�j.Di':sg r. . � s =�� Number Fixtures �� ___�__� x $2 . 00 �� L� O 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 �.0 U Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: lst 3 Fixtures _�_ x $2.00 .�.(�C� __� Additional Fixtures x $ .75 Gas Range-199,000 BTU x $5.00 Repairs & Alterations See Description: Code State Surchar�e .50 TOTAZ FEE $ �� S� The undersigned hereby makea application for a permit for the work herein specified� agreeing to do all work in strict accordance w ith the City Ordinancea and rulin� of the Department of �uildi,nga� and hereby declare that a1�'the facta and representations stated in this applieation are true and correct. �2�� '�, � �"'l � /� Date ► . 0 City of Fridley � 4T TME TOP QI� TME TWINY � i` r rL"-'^-� GOUwVNITY OEVtLOrMENT CIV, � � � 1'ROTECTIV� r1M►�CT10N Ot�T. �l � r-- � pTr ►u►�� sR�O��r �M2 L.�...� � �.J i�i'��0�3N0 ss 551�1 F. Bavarian Pass 53 -81� � -915 . 51 iw�EGT RLUMBI�Vr, PER�IIT aPPLICATI,�►� 1 �# � i�s� """' Aaares s Phone Darrell A. Farr Developement Co. 560-3550 Contractor A ress �VIINNEG�►SCO 73z /d1AFcQUETTE AVENt�1 one Kind of Building Use �� • tian '' _ I � � uI r W J i W R II W i 3 <� � a�Nral s�� '1ddY� Q�� x�� i •�siwl i � •saoil i •�nN�va � d SN19Y6� � � H�1V]I �O� PNivaol 0 3 � aoo�� o ;w:�. ,0 Vp I saaMw+gl iO �7 :[ q 'iNnodl a,D �Niaa �� p'� s�val (,� 1+ HSYM� Z s�N�sl sNisvo fYfll M1YY s�vNiyn �1i801� r�tvM Frame 12-11-73 � I i ; � il i I .___ _"_��' ! j i I I ' �I � ��;��G � � ; �i '� � � __I _ i o i ! ;i j —;�I � � �� i—�� i ; i l( i I i� I I � I � � w I � � °° I� � i 'a _I I I � � � � � I � i � � � � I I I � I I I � I I i � B li � � I � � � � �• � a .,� � �� II Re s. os t • 10.00 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 Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Faes: lst 3 Fixtures x $2.00 Additional Fixtures x $ .75 !' Gas Range-199,000 BTU x $5.00 I ! Repeirs & Alterations I See , Description: Install,Gri11 Code 5.00 IState Surcharge .50 � Cfass "�'A� SurchaCge ,50� i TOTAL FEE $ 5.50 iThe undersigned hereby makea application for a permit �for the work herein specified, agreeing to do all work . in strict accordance w ith the City Ordinances and ruling of the Depaxtment of Buildinga, and hereby declare that ' all�th� tacta and representations atated in this application are true and correct. �� r ' � � � %� � :� 'Signature �'iiI1�T°r�Gl��"t, Date ! _ R _ � ��-- � -/ � � %� t . l�pp�ica�on I�a� �owar lta�M�s ond H�g, Coding. Y�ntifa�ion. R�teiq�rsfioa a�d A� Conditioning S�ns a�d D�vie�s P�ARTiAI RATE SCHEDULE a�� Mr�aK arn: iu►n �rar�►�.. � s�rr a� �e �►o� . . . sio.uo � Itepipcement af Bt�mace 6.00 � Repairs da Alterations--up to =508.00 g.p(} _- -. __ ._ Iiepairs d� Alterations tach add. f500.OQ . 3 pp ; _. ___ i�DCtL W111t1�I AIlt lLrnsce Sheli dc Drnct Wark to 190,000 BTU e�e� add. AO,OOQ BTU . . . . . . . . R�place�t of lh�rrsace Repairs dc ATterationa-up to ;50Q.00 Repafrs 6c Altesatioos each add. =500.00 S10 OU �_.,111 , � 3.W i 6.00 ! 8.00 �_ 3•00 j�. -- - STEJ►M o: HOT iNA'!'EA SYSTEN itirrsace She2t dc Lines-tu 400 sq. .*t. f.DR Steam �l0.00 S____ __ __ ilirnace Shett d� Line---to 640 sq, ft. EDR Hot Water 20.00 S- _- _._____ __ Each add. 200 aq. tt. EDR Steam �.(N► i- ---. Each add. 320 sq. ft. EDR Hot Water 3.00 i- ---_- _ QIL sURNER-to 3 BaL pes hour over 3 ga1. per hour-See %e Schedule cns atrn� ��D eo �,000 s�rvk o� iss,000 BZ'v a« F» s�.il. GAS �ITTIlIG FEi�: Ist 3 FZxtures _ AdditieQai Tiutt�res _ Gas Rsa�e w 298.i000' _ �� Q !'�!F !�'� �ZEt� ME�'til.iZtlQ i?�T� nt.zte�►rrcaa � e�rx� �:. � ��: �w� �-/�-? � 6.0� S - � s � �'� 1fC RATE 'taTAL _ � zoo s �� -'`�— - x .7b i-- -- _ zf 6.OP i - � � � P� � � � ��ZE�!'� �� I l , o� ar. ts� �. 3 �t , �'d s r1 n.�. � �aa.. r}►�.,,. sea-�o ' /_ � �. ctcy oi FRidler: The undersigned hereby makes application for a permit for the work heni� speciiied, agreeing to do aq work in strict accordancc with the City Ordivancef= and ruling of Lhe DepartmFnt of Buildings, and hereby deelues that aI1 t� faels and repres�ntatiuns statcd in this application are true and correet. kl�idley, Minn_--- - -------�,i� ` � - ��GLQI<�.GE.f-_��1 � ..r�.t�- Kind of Building -�/� -i --�- s� _ _ �Jsed ea - - ��-q' --.` ✓ _ To }ie completed about - - -- ---- ----- - Estimated Cact, E _ _ __ -_ ---- ---------- Uld-Neyv. Building Permit No. _�_ P�rmit No. �� scn�r�nou or wou HEATING or POWER PI,AN'P�-Steam, 8ot Water, Warm A1r-No .�---. Trade Ti sme �-��-� �v�--•/ gize Np�%� 2.; -/ i,�- Capacity---�1_l�_�%?,-- 34. �'t. E.D.R BTU H.p! Total Connected Lo�d — 1�[ind ot !Le BURNER - Tr�de Na*�+e gise 1Nn_ GWdtY 89. !t �.D-1� BTtT g� �.�..��R� � �i � � � � . .. - �.,� ;• : 9'� -8t� -87 9001 �t�Y ur rniu�tr APPLICATION FOR PWMBING AND GAS FITTING PERMIT ' � � a � � � � a Water a � u .�i .� .CA xM E, .,.f�� a � n a@ w � �' � Noater N w e ..� a 4 :J A • M � q C N �.1 � � g � � 0 � � !% n 0 o w'b x�+ c� a� R x u � t� o as � lec a %u � m � v"�i � aw a w � ist co . ec � r. ng , 2�d � I 3rC ' � 4 th ' (a) • tvture Conneceion Opaninq Connsctad with Sawer (•) • t�ew Fixture, Old Opsning water �PARTIAL RATE SCHEDULE PLU�IBIKG FIXTURE RATES: N0. RATE t�1L:tieac Fixturas ` , x 53.00 FV :use FiYture Openinq � • __ x 52.00 Acw Fixture, Old Opening __ x SZ.00 Catch Sasin �_ x SS.00 � Watas Heater - to 99,000 81V, � __ x SS.00 � 100;400 81U to 199,000 82U x$10.00 Natar Soteener ' x 57.00 Ne,r Grour.d 1�n Old Building _„__ x 55.00 Electtia Watsr Heater - _,__ x SS.00 G.�S FITTI\G FE&S: ' ,� , lst 3 tixturas x �9.00 14iditio�al �ixtus�s �,� x $1.00 .Ws Asnqa to 199,000 STU __ x S10.00 REPAIRS 6 ALTERATIONS , � Yisat 5100.00 85.00 eaeh �dd. 5100.00 or tsaotion a1.00 State Surchargs TOT71L PE8 REINSPECTION FEE (570.001� • TOTAL S__ S __ S_� S __ S __ S ,__ s,� S __ $._._ g �� 8 ___ a ._,_. ; �� $ .SO � �� . . � 0 Job Addrass _ - 55l�1 EAST BI�VARIAN PASS ,� DapartmenE o! euildings • '' City o! Fridlay � Tel. N571-34S0 The undarsigned heraby makes applicetion lor.a pesmit tor tha wozk nerc mpecilied agreoing�to do ail work in stri�t accordanct with the City Cod� and rulings o! tha Departlaont o! euilding�, and Aersby daclarei tAat all ths lacts and repraeantationa seatsd in ehis applicstion are tsut acd coz Fridley, FL�. �-5-7� � 19 OwNER __,TFgN MALOCi�ER KIND 08 BOILDING _ fr me - • us� �►B res � To ss co�r.�rEO Aaou�r __ 5-12177 _.__ .= ' . ESTIN11TE0 COST ZO.00 OLp - NEW HUZLDING PERMIT N0. � PERM=T N0. �/��_ ' �� rn- . ��P� � �"ca�c��'sco . Sign�d ey � MIN_ ' Tel. No. _, __ AOUGH INSP. � Daes • FINl}L INSB. Dato 0 1►PPROVI�L FOR PERAtIT �:�� j� , y• . MINIMl1M F8E FOR 11NY PLUMSINC PSAMIT IS $7.,50 r,�, ;.; „A„ Surcl�arPe. .5 �% ' . � . n O 0 0 sue�ecr P • City of Fridley 2 2 0 6 AT 7HE TOP OF THE TWINS g U I L D I N G P E R M I T ; � R . � � � • COMMUNITY OEVELOPMENT OIV. C�G� r � V � PROTECTIVE INSPECTION SEC. � I `� � � 1 � �'��1 � C1TV HALL FRIDLEv 55432 NUMBEP REY. OATE PAGE OF APPROVED BV �""'�"� �'� 612-571-3450 910-F15 8/26/93 / / JOB ADDRESS 5541 East Bavarian Pass NE t �EGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Innsbruck North Townhouse 3rd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS Z�P PHONE 'I`h.omas Leonard 3 CON7RACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dicks Fixe & Storm 864 19 Ave SE, Minneapolis MN 55414 781--6 7 4 ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WOFiK ❑ NEW O ADDITION ❑ ALTERATION O REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Reroo� Garage (.Tear-�o�f1 9 CHANGE QF USE FROM TO STIPULATIONS pzOVide smoke detectoxs as ger UB,C 1210 adjacent to all sleeping areas and in basement, TYPE OF CONST. OCCUPANCY GfiOUP OCCUPANCV IOAD SEPARATE PERMITS ARE FEQUIRED FOR ELECTRiCAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUL.L AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $48Q $� 5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S15.00 Fire SC $.48 PLAN CNECKfEE TOTALFEE License SC $5.00 $20.98 S�GNATUF7E OF CON'AACTOA OR AUTMOAl2ED AGENT IDATEI WH PEfi ALIDATED THIS IS YOUR Ef1A �' 6 ' SiGNATUF7EOFOWNER�IfOWNERBUILDERi IDATEI "`" BLDG � AT NEW ADDN ALTER �l [l tl Construction Address: Legal Description: Owner Name & Address: CITY QF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application East Bavarian Pass NE Effective 5/26/93 �� Tel. # Contractor: Dicks Fire & storm (Richard J. willia�s) MN LICENSE A� 24a1 A�tCSS: 864 19 Ave SE, Minneapolis, MN 55414 TeI. 1� 781--6170 Attach to this application, a Certificate of Survey of the 3 � s- 2 8 so lot, wi#h the proposed conshvc:ion drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING AREA: Length Width Height GARAGE AREA: Lengrh widt� xeight DECK AREA: Leng#h � Width Hgt/Ground OTHER: Reroof Garage (_ �"t" f�- C�o � 1_ Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Fstimated Cost: �� ' Approx. Completion Date: (Cost an Back) Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ =$ DATE: 8/26/93 APPLICANT: �-�.� �c�,-� Tel. # �s1-61�0 � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge ToTAL $ $ $ $ $ $ $ $ $ �P 1 � Fee Schedule on Reverse Side .001 of Permit Valuahon (1 / lOth %) $.50/$1,Q()0 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt_ "A" or Alt. "B° Above Conseiva6on Plan Review $450.00 Fee Determined by Enginee7ing Agreement Necessary [ ) Not Necessary ( ] STIPULATIONS: � w' � 0 SuB�ECi City of Fridley 3 074 0 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � ; � �� o. � ' COMMUNITY DEVEIOPMENT DIV. ' j V �-�� , V r � � PROTEC7IVE INSPEC710N SEC. � � �'�'1 � CITY MALL fRIDLEV SS�3Z NUMBER REV OATE PAGE Oi APPROVED BY �'"""�� '� 612--571-3450 9� 0-Ft 5 3/ 17 / 00 / / J08ADORESS 5541, 5543, 5545, 5547 East Bavarian Pass NE 1 LEGAL �OT NO. BIOCK TFiACT OR AODITION SEE ATTACHEO oesca. 1-4 3 Innsbruck North Townhouse 3rd Addn SNEET 2 PROPERTY OWNER MAIL ADORESS 21P PHONE 3 CONTRACTOR MAIL AODRESS ZIP PNONE LICENSE NO North Central Builders Inc 7401 42 Ave N New Ho e, MN 55427 533-6168 3763 � ARCMITECT OR DESIGNER MAII AOORESS ZIP PHONE UCENSE NO. 5 ENGINE£R MAII ADORESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Townhouse 7 CIASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside Townhouse Building 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. TVPEOfCONST. OCCUPANCVGROUP OCCUPANCVLOAp SEPARATE PERMITS ARE FEOUIRED FOR EIECTRiCAL, PIUMBING, NEATING. VENTILATING OR Alq CONDITIONING. THIS PERMIT BECOMES NULL AND V010 If WORK OR CONSTFUCTION ZONING SO. FT CU fT. AUTMOR12ED IS NOT COMMENCED WITHIN 60 OAYS. OF IF CONSTRUCTION OR WORK IS SUSPENOED OR A9ANDONEO FOFi A PER100 Of 120 OAYS A7 ANV 71ME AFTEA WOi;K IS COMMENCEO. NO DWLG. UNITS OfFSTREET PARKING I HEFEBV CEFTIFV THAT I HAVE READ ANO EXAMINEO TMIS APPLICATION �} STA�LS GARAGES AND KNOW THE SAME TO 8E TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ypLUATION SURTAX ANO ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIED WITM WHETMER SPECIFIEO MEREIN Ofi NOT. THE GRANTING OF A PERMIT �IH�%97 �9.�FO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEqM17 FEE SAC CHARGE PROVISIONS Of ANV OTHER $TATE OR LOCAL LAW REGULATING CON• $TRUCTION OR THE PERFO MANCE OF CONSTRUCTION �3O% . ZS Fire SC � ZH . HO PLAN CMECKfEE TOTALFEE 3 �7 � License SC $ .00 $340.45 S�GNATUQEOFCON'P , qQpqUTM iZEDaGEtir iD�tE� WHEN FO EiilV VALIDATED THIS IS VOUp PERMIT . � 3 20� S�GNatUQE O� OwaEQ�� OwHEABUi�DEA� �D��E� Bl �N ��E NEVV( ) l:fl�ective 5/lU/99 ADDN [ J CITY OF FRIDLF.Y ALTER [ I SINGLE FAitil[LY A1VD DUPLEXFS R-1 ANU R-2 BUILDING PERMIT APPLIGA�'ION � 'f � �'P� Construction Adclress: S 5�1 I�' �__ �{ ��-] �, �j i�UA i2 �� P� Legal Description: J , �� +�� ,� � (�;''�� IilU�:f'>�Il�t�� <, > > � I � �_ Owner Name �� nddress: TeL # Contractor: (�U1�11� �LN�f�:/�L �?llll.f)�1�`� � �NC. MN LICENSE� 37b� �ddress:��l �}1�►d �V�. IJ� ��.W N��P�a MN ��U��1 Tel(�`#�1��.3 -I�I bF Attach to this application, a Certilicate of Survey of the lot, �vith the proposed `c?�nstruction drawn on it to scale. LIVING AREA: GARAGC ARCA: DECK ARCA: OTHER: L�ESCIZi1��ION OI� IMPrznv��r�,Nt� Length Widdi Ileight Length �Vidth IIeight Length W idth I-igVGround Sq. Ft. Sq. Ft. Sq. Ft. Constructio�l'I'ype: I�L- -��IDItiC- `' I illill': Lstimatecl Cost� $- I� r1��r�, �� -- Driveway Cw-b Cut �Vidth Needed: Ft. +(i I�t = Ft x$ _$ DA 1'r: '�' APPLICANT: Tel. I� t� ;>-�: (�- P I'ertnit I�ee Fire Surcharge State Surcharge S�C Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TorAL �TIPULATIONS: � �� '� "� `:� g_�._ ,�. � — � 9. �r� $ $ S. U t� $ $ $ $ $ .�'��. �.;� �`C1'I'Y USC ONLY I�ee Schedule on Reverse Side .001 of Perrnit Valuation ( I I I Oth �) $:,50/$1,000 Valuation $105tJ per SAC Unit $5.00 (State Licensec� Itesidential Contractors) Alt. °A" or Alt. "B" Above $450.(?0 Conservation Plan Iteview Fee Determined by Engineering A�reement Necessary ( ) Not Necessary [ ) SUBJECT , City of Fridley 310 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ; � RECEIPT NO. COMMUNITY DEVELOPMENT OIV. r� � v �� PROTECTIVE INSPECTION SEC. �� .� � � , � . , , � �� CITY HALL FRIOIE� 55132 NUMBER REV DATE PAGE OF APPROVED 9Y �----�: �.' 612-571-3450 910-F15 6/27/00 � / JOB ADORESS 5543.,43,45,�7 East Bavarian Pass 1 LEGAI �OT NO. BLOCK TRACT OR ADOITION SEE ATTACFIED oesca. 1-4 � Innsbruck North 'Townhouse 3rd Addition SNEET 2 PROPERTY OWNER MAIL AODRESS 21P PHONE Innsbruck Townhome Association 651-224-5482 3 CONTqACTOR MAIL ADDRESS 21P PMONE LICENSE NO Garlock-French Roofing Corp., 2301 E. 25th St., Mpls., NII�1 55406 612-722-7129 00001423 1 AqCHITECT OR OESIGNER MAIL AOORESS ZIP PHONE t,ICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION t� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof Tawnhouse Building (Tear Off) 9 CHANGE OF USE FROM TO STIPUTATIONS Underlayment must comply with the State Building Code. ��rmit Inspection Cards Wili Be Malied To Homeowner To Post TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OR AIR CONOITIONING. tHIS PERMIT BECOMES NULL AND VOID IF WOAK OR CONSTpUCT10N 20NING SQ. fT CU fT. AUTHORI2EO IS NOT COMMENCED WITMIN 60 DAYS. OR IF CONS7RUCTION OR WOfiK IS SUSPENDEO OR ABANDONED fOR A PERIOD OP 120 DAYS AT ANV TIME AfTER WORK IS COMMENCEO. NO DWLG. UN17S OFFSTREET PARKING I HEfiEBY CERTIFY THAT 1 MAVE READ AND EXAMINED THIS APPLICATION 4 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WI�L BE COMPLIEO �S � IO%. 34 $2. SS WITH WMETMER SPECIFIED MEREIN OR N07. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OF CANCEL THE pEqMIT FEE SAG CMARGE PROVISIONS OF ANY OTHER STATE OR IOCA� �AW REGULATING coN- �125 . ZS Fire SC $S .�.O STRUCTION OR THE PERFORMANCE OF CONSTRUCTION VI,AN CHECK iEE iOTAL FEE 32.90 S�GN�TUQE O� CON'PA(;TOpOQ �UTMOQ�2ED �GENT iD�iE� E PROP - VA�ID D THIS I$ VO=A P�R= I� �� ' �— S�GaaiUAE O� OwNEQ �i� OWNEA BU0.0EA� iD�rE� �� ' "B G�hSo ' • r�e.�f �� 0� �- N� [ ] _ Effective 1/1/2000 ADDN [] CITY OF FWDLEY 612�72-3604 Bidg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPUCATION - Construction Address: �� M � �J; '�i" S U � � � v�' � �aSs . . . . � . Legal Description: Owner Name & Add�ess: Contractor: � G �— Address: a3D I �-s� LNING AREA: GARAGE AREA: �,ssa�r,'�,liorn�i. # (�s i - aa �1- 5H� � MN LICENSE # LY�DI �ia3 N SS�-/o�Te�.# ial�- �l�a--71� �'i Attach to this application, a Certificate of Survey of the lot, wiih the proposed construction drawn on it to scale. DESCRIPTION OF IIIlIPROVEMENT Length Width Height,_ Sq. Ft. Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: � � In Estimated Cost: $� �� •� L� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: l� 2 APPLICANT: ��- �.t ��n(a �D�f'1 Tel. # t� � a-�a a-� � a� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Contro! Park Fee Sewer Main Charge TOTAL STiPULATIONS: Call (612) 572-3604 for Permit Fees if mailing ln application $ ia5� aJr Fee Schedule on Reverse Side $ �� Q .001 of Permit Valuation (1/10th%) $ � � Ss $.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 Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] _ $ • �� ;�j � CITY OF FRIDLEY iNSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTtLATION, 572-3604 REFFtIGERATI�N AND AIR CONDITIONING SYSTEMS AND D�VICE � RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Va1ue of Appliance or Work Rate TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE RE{NSPECTION FEE $47.001Hr Effective On January l, 2000 �� JOB ADQRESS J�S a-,,�.�: c.rf OW N E R U �lLc�h�:-�� BUILDING USED ASl��C�c�..�� ESTIMATED COST a�=� PERMIT N0. `"7�� DESCRIP710N OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fue1 Total Connected Load � � �� Burner Trade Name_�T „�.� Size No. $�Sc� BTU —� EDR $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representa�j�r� sta ed in this application are true and correct. � Mnee � �i� � DATE �%rY/�z.� li�e #�20090911 21� N. Fa�ew 11�, HEATING 68e�MN �113 65 2561 Signed �, _ ,� �{,c�.�� TEL # - � *Air Conditioners can not be placed in a side yard without Approved By� Rough•In Date Final Date /'��"�U written permission from adjoining property owner. � COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacinq an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where cequired. Yes O No O The venting system is plastiGPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the rep(acement unit is a listed assembiy and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. 1Mien required to install a new combustion air, it will be sized and installed To meet the cuRent codes and manufacturers specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes()No() When instaltina a new ventinq svstem, the undersigned hereby verifies that it is a listed assembly and meets the cuRent codes and manufacturer's specifications. This does include AGA-GAMA Category 1 Centra( Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () !s the common vent and vent connectors sized and installed coRectly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () Appliance Type and SizelCommon Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan As��c3 �`�1� Appliance #3 Type BTU Input Fan As�#s�� d�$ Total Appliances Total Btu Input �� • �� r:�- "� ;� R. _V.t C/' .a °�a` }(i . .�n '.. "c � ar.. 't: . �I Ii i '.:`. . r. �" ��{ C:_ �,a.i C. Common Vent Type Vent Height Diameter _�� inches -- � �► Appliance #1 Vent Connector Height ft Length ft Ciameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING C�: Signed By: Date : Building Inspections �j� 763-572-3604 � BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE 00 YOUR E-MAIL ADDRESS 4ITE ADDRESS �7.� �� .s r�G�'l � .t.r THIS APPLICANT IS: ❑ OWNER f�CONTR.ACTOR PROPERTY OWNER/ I NAME;� TENANT ADDRESS: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE PHONE: STATE LICENSE ADDRESS: PHONE ❑ SINGLE FAMILY/NE ❑ TWO FAMILY/NEW ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK TYPE OF WORK: I� NEW ❑ MAI� DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES y�_ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other _ VVINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & �-vrF. nF WINDOW TO BE INSTALLED _ ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING�HE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ I�-I� � OCCUPANCY TYPE FAX JJ CONSTRUCTION �ONSTRUCTION ❑ GARAGE/SHE; � ROOF ❑ SIDING ❑ SWIMMING P( ❑ ADDITION �AIR ❑ REMODELINC ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS Permit No.: Received By: i Date Rec'd: �i -� �- J� CITY�.�'� ,�I STAT�'N�IP EXPDATE CITY STATE_ZIP SIZE STORIES ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER �L WIDTH HEIGHT S . Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structura] members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations Pemut Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ s �P � $ -� $ �.UU $ $ $ $ $ $ ,�3�_n � See Back Page for Fee Schedule 65% of Building Pernrit Fee .001 times the total job valuation .0005 x Pemut Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $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 UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge 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 rnut 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 whic quir s eview pproval of plans. SIGNATURE OF APPLICANT ` PRINT NA JG � �f'1!Y^l�"��' n DATE ��r �