The URL can be used to link to this page

AF - 42543City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn..55432 BUILDING PERMIT na�: Decemb.er_.26�1972 �r. Darrel A. Farr Devel. Co. SAME --------------..__._�._________�.___._..__�...._.______� Builder ..._.__.._. aaaress _5..-9 0_1---. Br o o k l�n_B 1 vd .�__________..-----:... aaaress __ SAME /J�� i19 7 LOCATION OF BUILDING rro. 5.�.4-.2.-----......__ str�t �E_�._�t__B�?vari.an_Pass `_ part of i.ot 3 13 .. Innsbruck No. T.H. 3rd Add. Lot .--------------_------.._._._. Block ------------------------------------.........----.. Addition or Sub-Division ---__.:..------- -._..___�.� Corner Lot ------------------------- Inside Lot ----•---X------___...----_ Setback _:�_.�_______ Sideyard Sewer Elevation ----------------------------------------------------------------------__.-:. Foundation Elevation ._- ---------- DESCRIPTI4N OF BUILDING To be Used as: 12 0 0 `�Q[�FF��.43L1-S-8--------------- Front -----Z-�: �_. Depth .._._.Z.4_.�.__ Height __Z.C..� __ Sq. Ft. �QD Cu. Ft. 1�., 6 � � G a r ag e---_----------.------.- -- -. Front ._._ 1�; 5� neptr, _..._2 2'_ xei�ht _.10 �__ sq. Ft. _._ 2 31 cu. Ft. 2 310 Type of Construction __._WQ.4S�._�Z.3I11�..._._ Es� Cost �_.�_Q.a..Q_��_y.._.-_____ To be Completed 1 Year STIPULATIONS:� • �.S"'i l �� ,c/ In consideration of the issuance to me of a permit to construct the building described above, I agree to cIo �ing proposed work in accordance with the description above �f�o�rth and in eompliance wit.t�. all pro�visions oi Ordinances of the city of Fridley. � ) ,� 1'/ In consideration of the payment of a fee of $� g'��—.__., permit is hereby granted toD a T T@ � A. F a r r D e v. ____......_...._......_...._ .:.....................__..___ 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 worl�nen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinanC� Oi` �'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildirig8 yyithin the city limits and this permit may be revoked at upon violation of any of the provi�ons of Said ordinances. L Building Inspecta� NOTICE: This permif doea nof eover the eonsfruction, installafion for wiring, plumbing, gas heating, sewer or wafer. Be sur� io tN fhs Building Inspeetor for separafe permits for these items. * . � 0 r�PPL,ICATION FOR RESIDENTIAL, A�,`�'rP,ATIO�I, OR AllllI`�ION BUILUIi1G ��RI`��IT CITY OF FRI.DLEY, ��IINNESOTq 05�i�t ' S NA,.*� t�e9rrt/ � fsrrw ,��vr/�v. C'o. BUTtLD�t : s� �"+ � r1.DDRESS: �590/ .C��'9o✓t/yn +E31vsi• ADT�Rs.SS• S�vn!°, N`J: . SSQ�• STP.EEi : �L?l� �d1lJQ'i�i�vs �� SS Lt3� ; +� BL4CiC: �.� ADDITION I.I/7IyS6�-s�t.E /i/ora%%i Tii. 3-.,i�' t/r�i �'�O +'t C�zi:'T�'_�t LOT : IidS iDE LOT : � SETB.i�� : SI DEl'A�D ;�R�_ �g�� icant attach to lthis foa�a Two C�itifi�ates of Su�v�y of Lo� a.�d pro�osed buildino location drawn ozi th��A Certifi.�at�s. � DESCRIPTION OF BUILDING �'o B� iJ��d As : ��vn .�i�d✓.re. ��ont : .Z'�� p�p�h : .:`�' Hai.��t : �� /,Z O O S�u�x� �'�s�: GQO Cubi.c �'ae�: /s. l000 - � �"� 3� ' �xo�s�.: /D,S'' L`ep�.h: .Z� � Hazg��: /O � Square �Qet; .Z.3/ Gubic ��t: .aZ3/� �,�P� or �onst:uctiozi: ��%a9oti /{t'�4ss.� �s*��d �n�g: �i�,�✓�o.oG . �. �....,.- �o B� ��snpl�t�d: %�/�� %3 s"n� un��T�i�:iz� hex��y r�.a'�c�� ap�lica�ion fo� a oa�i� bo� �ri� .�aor?� h�x�'i� s��.f f.�ci, :�gr�ai�!a to �o �11 �ao�k in s��i�� accox�lanc� wi�n :,h; �i�.� o� �'tid�v� 0;'dix�.�c�� a�d �.zl;�� of �i�a L��?a�nt o.s Bu�.ic?�.z�.s, n��l h�'::v�y dL�la;�� nat all ��5� fac�� ana. r�pre��en�3lion� s�cst�d i.�c �a�i� �ppl:�ca�;_�n �xQ trus and coxs�a��. �?.T�:. �.�� G- %�. SI�z'�iJ�.E: �J�� ??��r�� Sid` � or F�c13iw�ian:�.�. �.r�io:r��.ation. ) � . , r : 0 �_._.� � - 7 S�. I � L 0 Number Fixtures x $2.00 �U�� Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BTCi x$3.00 �•U d Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: lst 3 Fixtures x $2.00 ��U � Additional Fixtures x $ .75 Gas Range-199,000 BT[T x $5.00 Repairs & Alterations See Description; Code State Surcharge .50 TOTAZ FEE $ �S SZ� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in atrict accordance w ith the City Ordinancea and rulin �f the Department of Buildings, and hereby declare that �ll�the facts and representationa atated in this �.pplication are true and correct. 'Signature Date � .— ( � • 53-8L-s-915.51 MiNNEGAS�O (;1� O'f FPIC�I@�/ . • ��'r�l��'Pi �f' �.�.'"�� O9�C� � �� . n��. ot siaq,. phon. seo-sago --- D�3CHIPTION OF WORK � 55L�2 E. Bavarian Pass N, F. tiumber, Kind and Locaiion af Fixiurea �a� p N � � C9 . • WATER M�. � t = N Z O ! 3 � � S � � � � � O � . � .r O I V �� < 3 C�Y � U�' Z V � � N GAS FIEC. c : ■■■.�■� ■.■■■�' • ■��i • �■.��I �� . .. . . I PARTIAL RAT� SCHEDULE S�wor Ccsspool FL�NIBING FI7CTURE RATE3: • ' • • • , NO. X $2 � � TOTAL Number Fixtures . . . . . . . . . . F1�ture flxture O�>ening . . . . . . . . . . . . x a1.50 a New Fixture Old Opening . . . . . : . . . . , x a1.50 5-----.- Catch Basin . . . . . . . . . . . : . . . . . . . . x �3.25 S Water Heater :Up to 99,000 BTU) .••• x$3.00 S New Ground Run Old Bldg. ... . x a3.25 $ Elactric wat.: x.acu. . . . . . . . . . . . : a2.00 s �AS FITTING FEES: NO. RATE TOTAL 1sL 3 Fixtures • . . • • • • • • • • • • • • • x 52.00 i Additionai Fixtures . ... . ... . .. . . . . . . x ; .7b i . �� ' 1 Gas RsaQe to 195.000 BTU .. .,.. .... .... . x 35.04 i City of Fridley: The undersigned hereby makes application tor a permit for th� vrork herei specified, agreeing to do all work ia strict accordance with the Cit,T Ordinance and ruling of the Department of Buildings, and hereby declares that ati the tact and repzesentations stated in this appllcation are true and correct Fridley, Minn 9-25-7� lg� Owner n�rrel A. Farr Developement � Kind ot $uilding ��' ftes. Used as To be completed about 10-2–'j�. Estimated Cost, � 10.00 / � �� -New. Buitding Permit No. Rrmit No. ��:..�,,, . SigF,Ari�./ i�!►.�� By �1l I QI�6JIc�n - - • - Business Phone No ROUGH FINAL i�� L- 7 y . AEPAIR3 ic J►LTERATIOI?8—R.f•s !o Cod• .50 State Surcharge • Description . . . . . . . . . . .. . . .. . .. . . .... . . . .... . . .. . ... . ... . _ TO'PAL FEE s 5. 50 � � �13c� @'f��' I�ijr�fjae'd� _�n2 _• o-� - - 0 0 �� n� �a �, c��, v«��, r��. a.a Air Co�rionieq S� n s a�d D�vic�s . RARTt�tl RATE SCHEDULE ciltl4r±"r� v�l►�x I�IR: 11i� TOTltS.. ltin�nuc S6eli dr iTh�ct �f►ork ... ilO.OQ = �Placerneret ot �raace s.00 � Repairs da Altcrations—up to =SOfl.00 6.Oa f_ ____ -- Re�irs dc AlteraUons each add. f5�.00 . 3 W i-�-- . __ _ Ift�Cii. NfAlllt �I1t �lusace SheIi � DuR Warl� tQ 290,000 BTU eae� �aa. eo,000 arv . . . . . . . Replace� M Furnace Repairs dc Alterations--vp to =500.01} Repairs 6e Altesations each add. =300.00 . E10 00 =_�U . � �.ar : 6.00 � 6.00 �-- 3.00 � --- STEJ1i[ � HOT rNATER 8YSTEK Furnace She21 6c Lines—to 400 sq. !L. !�R Steam �lO.�JO � _--- _ , _ ._ i�rnsce Sh�ti d: Line—to 640 sq. ft. EDR fiot Water 20.00 s_ _. _.____. __ Each add 209 aq. ft. EDR Steam A.Of) :. _.__. Each add. 32U sq. ft. EDR Hot Water 3.00 5------- QIL SDRNER—to 3 gal pes hour ovet 3 gal. per hour--.See �'ee Schedule GAS SUR1fER lup to 199�OOQ BTtJ3 oyet 199,000 BT[J S�e Fw dcladul� G11S FI1TIl�fC FEEa: Ist 3 Fixtures _ Add'etienai �l�vres _ Gss Ran�e to 198,00� _ � rus � s�rsr� ��.as� s�c u.nuno�s � ��►nrs �.. r��• � �� - ,-S =' � .5 6.0� ;--- 6.00 = � < �'7J 110 RATE TOTAL - x� 200 t-_a` � - x .T6 f--- -- _ � �.oa s _ i.-- � Fi� ��s�d��.�a' �� , . � zarr�. ra � �k--� s �� "� � n.�. � s�aq.. rt.�,. seo-�eo L«.�ie.. 5s'f � �(�r .,.,,� „1,�.,,,, �i � � cccy ot �er: The unctersigned hereby makes application for a Dermit f� the v�orfn t�erdc: specified, agreeing to do al] work in strict accordance with the City Ordidanee� and ruling of the DepartmFnt of Buildings, and hereby declates that aIl t� fac!€ and reyresentatiups stated in this applicatiop are true and correct. i�idleY. Minn__ _ _ —_�y,14 � c�►� ___��_ �_� �-�.-i-- Kind of Building .��( _ _ tJse� as _ __ _ � To }ie completed about . __--------- �L� Estimated Cact, S _ ��-!i . - -- ----------- Uld—New. Building Permit No. ___ P�rmit No. _ �C%LJy.L� �. D�fCEUPTiOIf OF �IORR HF.ATTNG or POWL�A PI,AN'P��t�eam. got Water. Warm Air—No- � 1'rade Tiame�,i��-+��L _ 31se Ne ,Q/i3Q.� 3//i� Capacity--.-�-�-- sq• �t E.D.R BTU g,p! Total Connected I.o�d Eind ot T►�eL_��,,, BURNER — Tt�de N�*M+� g� � GD�dtY 3q. !t Lr.D R- B1V � t�1 � / � : �,` �_, �� .i� , � � � L� ,. .� .��i �, � CITY OF FRIDLEY APPLtCATION FOR PWMBING AND GAS FITTING PERMIT �n >. � ro u k w Water � u� � � � F G ro w G1 y ro� a w � Heater �►�i ar u°'i b �.�+ �"e.c '� a 38~ u�.�+ �.c a u � a"i v�i ro U P oq Iq v��i 3 n-N c�v ai !.1 u aroa � 3 Cro7 � c7 O as lec on G s r r 1 lst 2nd 3rd 4 th (R) = Future Connection Opening Coruiected witl► Sewer (*) = New Fixture, Old Opening Water RATE.SCHEDULE PLUMBING FIXTURE RATES: N0. RATE New Fixtures� Future Fixtures Old Operting, New FiYture See r Dispenser Blow off Basin Catch easin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treatinq Appliance Hot Water Heater Gas Range Gas Dryer � �_ ALL OTHERS AND/OR REPAZRS AND ALTERATIONS 1• of Value of Fixtnre or Appliance ReinspeCtion Fee S ($15.00) $ 5. 00 $ 3.50 S 1. 50 S 4.00 g 5. 00 $ 5.00 s s.00 S 5.00 S 5.00 $ 7.00 $ 5.00 $ 10.00 g 10.00 State Surcharge TOTAL FEE TOTAL 8 S S S S S s S S S S S s is.n� S $ .50 S� Effective Aug. 1, 1y81 T'O '`f��0/�c63 Job Address 5542 E� Bavarian Pass #571_0247 Departaent of Buildings City of Fridley Tel. k571-3450 The undersiqned 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 Fridley, Mn. ��f�X�DQ�f�FX 16Dec$$9 p{�gg COSS1 KIND OF BUILDING Frama USED AS RpG TO BE CoMPLETED ABOUT 1 F, T1PrRR ESTIMATED (bST '� n� _ OLD -� BUILDING PERMIT NO. PERMIT NO. �(�,�Q �p �� ny ed By Tel. No. " ____._..:«...�.....+�r.�. ROUGH INSP. Date FINAL INSP. Date APPR(ri/AL FOR PERMIT I Minnegasco #342-5337 700 W Linden Avenue P: 0. Box 1165 Minneapotis� MN 55440-1165 � MINIHUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 ST?�TE SURCHARGE / sue�ecr R� IT NO.� c�ty of Fridley .�2 � 4 � AT THE TOP OP THE TWINS g U I L Q I N G P E R M I T i � RECEIPT NO. � � � • COMMUNITY DEVELOPMENT DIV. r � ti � PROTEC7IVE INSPECTION SEC. q�-� � � ( � ��'�1 � CITY HALL FRIDLE� 55432 NUMBER REV. OATE PAGE OF APPROVED BV �"-"'�' �'' 612-571-3450 9t0-F15 3/22/94 � � �oe nooaess 5542 East Bavarian Pass 1 LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED SHEE7 DESCR. 3 13 Inns 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PNONE LICENSE NO. Dicks Fire & Storm 781-6170 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION OX REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Reroof Gara e Tear—of 9 CHANGE OF USE FROM TO STIPULATIONS TYPEOfCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONDITION�NG. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIFlG SQ. F7. 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 AF7EFi WORK IS COMMENCED. NO. DWLG. UNITS OFFS7REET PARKING I HEREBY CERTIFY THAT I NAVE READ AND EXAMINED THIS APPLICATION STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION SUHTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WII.L BE COMPLfED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �SOH . SO DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OA CANCEI, 7HE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �1%.00 Fire S PLAN GHECK FEE TOTAL FEE �,��.� �� 9 7U �'.� �" `i License SC 00 2 SIGNATUREOFCON'RACTOROA�+UTHOR�ZEDAGENT IOATEi WHEN P P RL VALIDATED THIS IS YOUR PERMIT � �y�a�� `SiGNATUF:E Of OWNER ��F OWNER BU�LDEA� �DnTEi r- DG iN � � ��FTE Prepaid Plan Cherac $ Estimated Cost $ - �i� # � � �- � . GTI'Y OF FRIDIEY R � ; 00��. & Il�IDIJSTRiAt�'__ BUII.DIIVG PIItMTT APPLICA110N Effective 1/1/94 (�pri5�lod1 A�'ess 5 5 4 2 - E a s t B a v a r i a n P a s s � Zo17111g Legal D�criprtion �� , � �, � `� �`7-� -� Owner & Address �+el.# OON'II�CPO�t & ADD�2F5S Dicks Fire and Storm 864 - 19th AV�. S�el.# 781-6170 A�hi.t�,,,t &�dd�,ess Mp 1 s., Mn . 5 5 414 �. # �gineer & Ad�dress R,�g. # . TYPE OF W0�2K [],- New [] Addition (] Alt�ratio�n -Describe R e m o v e a n d r e v 1 a c e roofing and install gutters �n garage. Applicant Signature Tel # Date BtT�Tn'�'� DIl�LSIQ�S I,e„ngth Width Height Sq. Ft. # of Stories OFC. ARFA: Length Width H�eight Sq. Ft. Tn�iSE ARF.A: Length Width Height ScI- Ft. 0►Ii�2 ARFA: L�ength Width Height Sq. Ft. `TAi�iATIC1N Sq. F't. x$ c�ost/sq. Ft. = Valuation $ ) Sq. Ft. x$ Oost/Sq. Ft. = Valuatic� $ )_$ 5 0 8. 0 0 Sq. Ft. x$ Oost/Sq. F`t. = Valuatiot't $ ) TO►rAL VATIIF. Building Use Ooa�struction 'Ijipe �1P�Y �P Aiz' Conditionin9 []Yes []No Fire Protection Provided []Yes []No Ppxformance_ Bond Amr.xmt $ See l�vpxse far Sc�edu7.e R,ec:eived []Yes [�No Permit Fee $ , �, � � �� Plan CYiec�c $ Fire Su�rcharge $ • � / State Surcharge $ •-� C SAC (�arge $ � C� •�'.rosiarr. �l $ .�� C ` C Park Fee $ spec. Assess�nents S Driveway F�craw $ q�Otl'AI, $ -� �. C` ( See Fee Schedul.e aai Reverse Side In Excess of Prepaid Amount - See R�evexse S�de .001 x Ppxmit Valuation (1/10th �) $.50/$l,00o valuation (see sr,h�. for > $1 Million) $800 per' SA�C Unit (Plans to r�baOC for deterntinatio�) $450.00 donservatiarl Plan R�view Fee Det�ermined BY �3xJineex'ux! Agre�nnent Neaes.sary [ ] � N�'Y [ ) feet x $13.50/foat .� ' sus�etr • E . City of Fridley � ' AT TME TOP Of THE TWINS g � I L D I N G P E R M I T 3 0 7 3 9 r � � • � �• COMMUNITY OEVEIOPMENT DIV. /'�/� � ; V ��•� � r � �� PROTEC7IVE INSPECTION SEC. ' 1 = i � �"'1 � CITY HALL FRIOLEr SSIJ2 NUMBEII NEV O�TE vAGE Of A6vNOVEO !r ; ti....� � ,., at2—s»—saso s,o-F,s 3 li�/oo � 1 �os �ooRess 5538 5540 5542 44 E '�1 `� LEGAI` ��T N0. BLOCK TRACT OR ADOITION SEE ATTACMEO DESCR. 1—G 13 Innsbruck North Townhouse 3rd Addn SHEET 2 PROPER7Y OWNEq MAIL ADORES$ ZIP PHONE 3 CONTqACTOR MAIL ADDiiESS Z�P PMONE IICENSE NO North Central Builders Inc 7401 42 Ave N'New Ho e MN 55427 533-6168 3763 1� ARCHITECT OR OESIGNER MAIL AOORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS , ZIP PHONE LICENSE NO 8 USE OF BUIl01NG Residential Townhouse � CLASS Of WORK O NEW O AODITION ❑ ALTERATION L� REPAIR O MOVE O REMOVE B DESCRIBE WORK Reside Townhouse Building 9 CMANGEOFUSEfROM TO ' STIPULATIONS ` Call for building wrap inspection before covering. TVPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO SEPARATE PERMiTS ARE REQUIREO FOR EIECTA{CAL, PLl1MBiNG. HEATING, VEN7ILATING OR AIF CONOITIONING. TNIS PERM17 BECOMES NUIL AND VO�O IF WORK Ofi CONSTRUCTION 20NING SO. FT CU fT. AUTMORIZEO IS N07 COMMENCED WITMIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONEO fOR A PER100 OF 120 DAYS AT ANY TIME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING i M£REBY CERTIFV TMAT I HAVE READ ANO ExAMiNED TMIS APPIICATION �F � STA��S GARAGES ANO KNOW 7ME SAME Tp �E 7RUE ANO CORRECT. ALl PROVISIONS OF �AWS ypLUAT10N SURTAX ANO OROINANCES GOVEANING THIS TVOE OF WORK WIIL 9E COMPUED r @ WITH WMETMER SPECIFIEO HEREIN OR NOT. (ME GRANIING Of A PERMIT � 1S f 797 ' W 9.40 DOES NOT PRESUME TO GIVE AUTMORIfY TO VIOIATE OR CANCEL THE pEqMIT fEE SAC CNARGE PROVISIONS Of ANY OTNER STATE OR LOCAL LAW flEGULATING CON• STNUCTION OR THE PERf RMANCE OF CON57RUCTION �3O% . 25 Fire SC � LS . HO �/, 7/� PLAN CNECK FEE. TOTAL FEE 'cense SC $5.00 $340.45 51GNATUpEO�CO R�f.tpAOa�ut �ZE��GENt �O�TE+ WNEN P PE V VALIOATED THIS IS VOUR PERMIT 1 S�GN�tuAE O� ON�NEp�� OWNEp BU�IOEAi �OATE� BIOG �N$� �� E sue�ecT PE City of Fridley 310 9 9 AT TNE TOP Of THE TW�NS g � I L D I N G P E R M I T r ; � RECEIPT NO. � �y �� COMMUNITY OEVELOPMENT �IV. �� r � • � PROTEC7IVE INSpEC710N SEC. 1 . � � i �"'�1 � CITY MAL� FHIOIE� SS��2 NUMBEA NEV OATE OAOE Of APPROVEO !Y . �"""�" �'' 612-571-3450 9t0-F15 6/27/00 � � ,oe �ooaess 5538,40,42,44 Sauaxi�ap[xitaas East Bavarian Pass t LEGAL �OT NO. BLOCK TiiACT OR AODITION SEE ATTACHED oescR. 1-4 13 Innsbruck North Townhouse 3rd Addition s►+eer 2 PFOPERTY OWNQR MAII AO�RESS ZIP PHONE Innsbruck Townhome Association 651-224-5482 3 CONTRAGTOR MAII ADDRESS ZIP PMONE LICENSE NO Garlock-French Roofing Corp., 2301 E. 25th St., Mpls., I�IN 55406 612-722-7129 00001423 � ARCMITECT OR DESIGNER MAII. AODRESS ZIP PMONE LICENSE NO. S ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUIIDING Residential 7 CIASS OF WORK O NEW ❑ ADDITION O ALTERATION �] REPAIR O MOVE O REMOVE 8 �ESCFi1BE WORK Reroof Townhouse Building (Tear 0£� 9 CHANGE OF USE FROM TO STIPUTATIONS Underlayment must comply with the State Building Code _. ��rmit (nspecfion �ards dvill Re Matled To Homeowner To Rost 7YPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAU SEPARATE PERMITS ARE REOUIiiED FOR ELECTfi1CAL, PLUMBING, HEATING, VENTILATING OR AIR CONOITIONiNG. TNIS PERM17 BECOMES NUII AND VOIO IF WORK OR CONS7RUCTION ZpNtNG SQ. FT CU fL AUTHORIZEO IS NOT COMMENCEO WITHIN 80 OAYS. OR If CONSTRUCTtON OR WORK IS SUSPENDED OR ABANOONEO fOR A PENIOO OF 120 DAYS AT ANY TIME AfTER WOfiK IS COMMENCEO. NO. OWLG. UNI7S OfFS7iiEE7 PARKING I HERE6Y CERTIfY TMAT 1 HAVE READ ANO EXAMINEO TMIS APPUCATION 4 STALL$ GApAGES ANO KNOW TME SAME TO BE TqUE ANO COapECi. ALL PROVISIONS OF LAWS yAWAT10N SURTAX ANO OR�INANCES GOYEFNING 7HI5 7YPE OF WORK WILL BE COMPUED WITM WHETMER SPECIFIEO HEREIN Oii NOT. THE GRANTING Of A PERMIT �S OH1. 34 $2.54 OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI THE pEqMITFEE SACCHARGE FfiOV1510N5 OF ANY OTMEA STATE OR LOCAL LAW REGUTATING GON- STRUCTION OF TNE PERfpRMANCE Of CONSTiiUCTION ZZS.25 Fire .SC �rJ.O$ P�AN CMECK FEE TpiA EE 32.89 S�GN�TUpE O� CON'pACiOp Op �UTqOp�2E0 �GEN1 �OATE� EN ROP VALIpATED MIS IS �OUR PEQMIT S�GN�TUpE O� O�NNEp�� OWNEpBU��DEAi � aO�TE�� BlD �h50 � � !'Lf�� r � 9 CITY OF FRIDLEY PERMIT �-0 4 � �� 6431 UNIVERSITY AVENUE NE .---' � FRIDLEY, MN 55432 DATE ISSUED: 04/13/2004 � �63) 572-3604 FAX: (7631571-1287 ADDRESS : 5542 E BAVARIAN PASS NE PIN : 243024410110 LEGAL DESC : INNSBRUCK NO T H 3RD ADD : LOT 3 BLOCK 13 PERMIT TYPE : BUILDING PROPERTY TYPE : TOWNHOUSES CONSTRUCTION TYPE : WINDOW/DOOR REPL VALUATION : $ 3,700.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE 3 WINDOWS WITHIN EXISTING OPENINGS STATE LICENSED CONTRACTOR 1 APPLICANT PELLA WINDOWS & DOORS (20165884) 15300 25 AVE N STE 1 PLYMOUTH, MN 55447 (763)745-1487 OWNER PITT, ADAM 5542 E BAVARIAN PASS NE FRIDLEY, MN 55432 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 ardinances 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 con�ruction or the performance of construction. Bldg BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 34506 SEPARATE PERMITS REQUIRED FOR WORK QTHER THAN DESCRIBED ABOVE. 97.25 3.70 1.85 5.00 107.80 04/OZ/2004 FRI 13:21 FAX ;ii ELDER JONES �001/001 ..:�. ... . . . . . .. . . ... •�.. . .. .. . . .. . . . . . . . .. . . �� . � � � (.� � � . .. _. .. NE1N [] CITY OF FRIDLEY Effective 4/1/2004 ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] SINGI�E FAMILY AND DUPLF�ES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: 5�� • io,.t��O.SS Legal Description_ � Owner Name & Address: �..Y`r�� ' Tel. #�103 -S�' o`� -0� 1l Contractor. PELLA WINDOWS & DOORS MN LICENS� # Address 15300 - 25TH AVE. N. ST'E. #100 Tel. # PLYMOUTH, MN 55447 763-745-1400 ;ertificate of Survey of the LICENSE # 20165884 iction drawn on it to scale. LNING AREA: GARAGE AREA: DECK AREA: OTHER: D�SCRIPTION OF IMPROVLM�N7 Length Width Height Sq. Ft. Length Wdth Height Sq. Ft Length Width HgdGround Sq. Ft. � 1Q n� 1 1 i� ICY: �C X 7� � LJ�[ !(,� � i J�V\CA �1✓i,� 11 �• oa Construction Type� Estimated Cost: $ J� � �— _ priveway Curb Gu# Width Neaded: Ft. + 6 Ft = Ft x$ _$ DATE: � C � -O APPLICANT: //1 1 �� Tel. # 7�r�"3 �I S'tS�O� � Call (763) 572-3604 for Permit Fees if mailing in application. F�x to 763-571•1287 if using credit card and we will call you for card numbe�. Permit Fee Plan Review Fire Surcharge 5tate Surcharge SAC Charge License Surcharge Curb C�t Escrow Erosion Control Park Fee Sewer Main Charge 707AL C�lilF-�=i•1►v� $ Q� • o�j Fee Schedu{e on Reverse Side __ - $ 65% of Permii Fee , $ �v. �'C� .001 of Pennit Valuation (1/10th%) $ I . BS _ $.50/$1,000 Valuation $ $1350 per SAC Unit $ S. C� O__$5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Ner.essary [ ] Not Necessary [ ] 0 $ O� -- STIPUUiTIpNS� 0 04/02/2004 FRI 13: 21 FAX �� ELDER JONES � �� ` �D ! � . [�j 001/001 -. (� �•�•.. NEW ADDN ALTER . [] CITY OF FRIDLEY Effective 4/1/2004 [) �6439 University Ave.NE, Fridley, MN 55432 (763� 572-36Q4 Bldg Insp -- -- - �� SINGL.E FAMILY AND DUPLEXES R-1 AND R 2 (763) 571-1287 Fax BU{LDfNG PERMITAPPLICATION ConstrucEion Address: Legal Description_ Owner Name & Address: NCaO�.YY1 � ��}- ' Contractor. --- PELLA WINDOWS & DOORS Address: 15300 - 25TH AVE. N. STE. #100 PLYMOUTH, MN 55447 763-745-1400 LICENSE # 20165884 LNING AREA: GARAGE AREA: DECK AREA: oTMe�: # MN LICENSE # Tel. # a Certificate of Survey of the ;truction drawn on it to scale. DESCRiPTION OF IMPROV�MEN7 Length Width Height Sq. Ft. Length Wdth Height Sq. Ft Length �dth HgUGround Sq. Ft ' � ili V. Construction Type: Estimatec! Cost: $�.� y�D . 3 3 priveway Curb Cut Width N�eded; Ft. * 6 Ft = Ft x$ _$ DATE: � S APPLICANT: Tel. # q.J� ��I.� • L d�� Call (763) 572-3604 for Permit Fees if maiiing in applicaEion. Fax to 763-577-1287 if using credi! card and we witl call you for card number. Permit Fee Plan Review Fire Surcharge Sta�e Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TO7AL CtTY USE ONLY - $ q�, a S Fee Schedute on Reverse Side � 65% of Permit Fee $ 3.9� ,001 of Pennit Valuation (1/10th%) � -9�' $.50/$1,000 Valuation � $ $1350 per SAC Unit $ �.00 $5.00 (State Licensed Residential Contractors) $ AI�. "A" or AFt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ D , I T STIPULATIpN _ Building Inspections 763-572-3604 763-502-4977 FAX DATE O SITE ADDRESS y�', THIS APPLICANT IS r�� BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE I-1-08 YQUR ❑ OWNER �ONTRACTOR �..�b PROPERTY OWNER/ Na.ME: e:, (s�,.,�„ �..� TENANT pDDRESS: �J~ � oZ. � • CITY .,,,r.�,.,. '"� s '� _ C �"7 7 .� o� '-� / l CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Viny! ❑ Aluminum ❑ Other a.DDxESS: ��, �� d�� PHONE �� "�� ' Permit No.: 1�� '� •- - -� : ►•,i� � . - .�, �� 1 � � � ATE %�ZIP�� CITY STA F.ax �6 � — 9 / - � 5-�_ STATE LiCENSE #�C o2� � Q� 6%� EXP DATE �� "3 I— I� �J SINGLE FAMILYMEW CONSTRUCTION SIZE � TWO FAMILY/NEW CONSTRUCTfON STORIES ❑ ADDITION ❑ GARAGE/SHED WINDOWS O BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION F�MAINTENANCE/REPAIR ❑ REMODELING _��Q�ir WINDOWS IN EXISTING OPENINGS J Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE HEIGHT BASEMENT REMODELING SUBMIT: I. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER OF WINDOWS � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: U�, NG THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ � 7�-- _ 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 $ ��J See Back Page for Fee Schedule $ 65% of Building Permit Fee $ c3 .001 times the total job valuation $ � 5 .0005 x Permit Valuation Minimum $.50 $ �� $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ � Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID LJNTIL 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 Minnes nstruction 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 a ordanc ' h t a ro e p m the case of all work which requires review and approval of plans. SIGNATURE C1�; �A,ICAN „�� __ _ _ _ ' PRINT NAME � D� C � � L A '� � DAT ` � 'b% APPROVED BY ^ - _ DA��