AF - 42546City of Fridley, Minn.
6431 Univeraity Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
na�;_ December 26, 1972
.
- � - ---.,!
:
•
��
��: Darrel A. Farr Development Co. Builder Same `�� `� ��� �
Addresa 5901 Brooklyn Boulevard _� Ad�ss Same . ___�.�..��._.�
.
LOCATION OF BUILDING
Na - 55�3 Street .._._.._F�.S..t._.B.a.it.37:1.�ia,__.P.�.�...�I...�-•------•-----•--_•-• Part of Lot _�--
Lot � Biock __......_..__.3._.�__.._.._.._ Addition or Sub-Divisian __...���.�a���.�.,.�..,�„�.tion
Corner Lot .� ..�_ Inside Lot .....__._.�..._____.._.._ Setback _.___....____......__..__._ Sideyard
$ewPx Elevatian ._.�_ __�. _________,�__ Foundation Elevation _.___._
DESCRIPTION OF BUILDING
To � v�a �: i2oo�
nwnh n,5e FTOnt � Depth �._ Height ......��?.�...__ Sq. Ft. _.._600! c,l, g�, 15,.600'
Garage Front 10. 5� Depth 22 � Height .._.10 �___ Sq. Ft. ��31 �----.. Cu. Ft 2� 310 �
Type of Construction _.._.bi�za.sl._Fr�n,� Es� Cost _.....��0 .010___.____.__. 1_
.; . _ . . To be Completed _.__ 3..Tear' ____
Stipulations : �5�� � _ � �
In consideration of the issuance to me of a permit to construct the building described above, I agree tq do
'� proposed work in accordance with the description above �-fvr�h and in compliance wit all provisions o!
ordinances of the city of Fridley. / ) �
10 . Ol S t,�fe Su
In consideration of the payment of a fee of $�$...DD._._...__., permit is hereby granted to.._...I�3xs.�.1. A. Farr Dev .
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
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of built]ings
Within the city limits and this permit may be revoked a�_�y time upon violation of any of the provisions of Said
ax'dfnances. ,- - - "�, �, _
Building Inspector
NOTICE:
This psrmit does not cover the construefion, inatallation fo� wiring, plumbing, gas heating, sewer or wat�r. Bs sun to sw
ths Building Inspecto� for separate permits fo� ihese items.
.
APPLICATION FOR RESIDENTIAL, AL`I'�;RATIOi�i,
OR AllllI �'IOi�` BUILDING �'�R�1IT
CITY OF �RIDLEY, I�iINNESQTq
0;��'.�'Z' S NA:'� :_Q�j-t-c�/ e� F�ro� ,(%+vr/�. �a. BI7�LD�t : SCt t'a �.
ADD�SS: cS�'O/ ��'o�oltlitrn d3�ud• AD�R�SS• S�wtG
ivo • . SS�3 s��� • .��t.r� .C3�t �veta-:,a�s .��. ss
L(3 �' ; 3 BLCCiZ : .3 ADDiTZOt�I s ..�/alsS��-�or�i /i/a�r�di T, h�. ,�' ad ,ir/tiali �oo �
C.�`i�Y�?. LO'T: INS�D:, I.OT: E� SEi�C�Y: SZD'EXA.�z�,,,,,�,,,
,��n�licant a�tach to this fo�n T6�o CQ�tifi�ates o� Su�z�y o�£ Loz anci pxop�s��
bu;lding location dsawn c�n �h��� CeWtificates. �
DESCRIPTION OF BUILDING
�o BY �J'sQd As :
���� ��e�✓.t�. xron�': .�'�� rnp�h:
/.ZtJ�
Squar� ���t: / ��
r
.Z�° Hvight: ��
Cubic �ze�• /�". Cc��
�A�'�:,�� ' �xont: i�.•a'� �ep��: �� � �?�:i�h�: `��
5c�ua�°� �A��; ��/ �ubic a�e�te .2.�J0
-��'P'� ox �o;�s�:-i:cticn: �."�✓%r%s��✓ /�aa��,". Es�:L�a��d ����; � / �/l�.UO
To �� ��a�+Z�;:�d: %�/— %3
'±�s� und�.xsit3a2d ��xwby zr�'��s ap�li�atinn fo� �s pr��t �o.� :.� � T.�ox� hax��!?t
sD�.c�i�imd, �nb�Ai�o �o �a �:�.1 �-�or'.c in �r°:'i�+. z�cco:��;:�n.c� w��.n �t�3� �i�t:� �r
�ri.d'�:y �:L���na.-z�Y� a�.d a::?y�^.s� ox c�-� �-�?��:��� o,� �u�.lc?:�-��:�, ��.�3 �a-r��y
d���i�.�-�:� ��.a� all w'n� �a��3 �nu ��?Te�?n�a�ions �ca��d i=_z �a-��� ����.�ca��.�r:
^»° �a`Li� E.'T_1C3. �O:i? �C"�,
%.�i'. �': : /� � �G � %I�• :� U{�'si�iti l 17�..i '
�J %��c''- 1�;s'"-1'°.Li3^'-,.' J� t�.°w .i'OX' i�ii.�.a..�Oi�-3y! .a.TiGO:tii`.3��.Q1:. �j
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Number Fixtures �. x$2 .00 / f9'.U�
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 �i.0 U
Ground Run Old Bldg. x$3.25
Elec. Water Heater x $2.00
Gas Fitting Fees:
lst 3 Fixtures _�_ x$2.00 �1. U U
Additional Fixtures x $ .75
Gas Range-199,000 BTIJ x $5.00
Repeirs & Alterations
See
Description: Code
State Surcharge .50
TOTAL FEE $ . S �j
The undersigned hereby cnakes application for a permit
for the work herein specified� agreeing to do all work
in strict accordance w ith the City Ordinances and rulin�
of the Department of �iuildi,nga, and hereby declare that
a11�th� facts and representations atated in this
application are true and correct.
' II � I o�l �i �i �I �II � ��-� �C'� �—�2/ ---� �� !
'Signature Date �
�
�G���
_ �-:
/tppNcatia`n lror'owrr �M�s and H�a1i�, Cooling, Y�nh'btion. R�iq��+stios a�d
Ak Condition�g S�s ond D�vic�s . ,
F��i�Tf�1L R�4TE SGHEDULE �� � �� � �-� �
att�an�tx �r�it�t �►nt: Iu'ra zoT1►t..
� sr��r b n�c �r� . . sio.oa �
Relsiscement of P'�trnace 6.00 �
Repairs d� Altcrations--up to =5Qt}.00 6.OU t- -. __ .-
Repairs & Alterationa each add. t500.04 . 3 W 5----- - ---
�RZQi. 1YAll� AIlt
!'�rnace SheII dt Duct Wark to 290,000 BTU
e�eh add. QO�OOQ B'I'tT . . . . . . .
A6rplac�eme�2 af lh�inace
Repairs d� Alteratiot�--up to f500.00
Repdzs dc Altecations each add. =500.OQ
S�o oa i—/ v � �J
3.W t
6.00 =
6.00 �_
3.00 � _ -
ar��c � xo�r warEn sYar�
iwrnace Shell d� Lines-to 400 sq. ft. ?'.DR Steam 520.00 �_-__ __ _._
ilunace Shett d� Lin�--to 640 sq. ft. EDR fiot Water I0.00 a_ __ ________.
Each add. Z0� aq. tt. EIiR Steam �.fNt i- ---.
EarA add. 32U sq. ft. EDR Hot Water 3.00 =________
QIL BIIRNER-to 3 gaL per hour
over 3 gal. per hour�ee a'ee Schedule
GAS EtTR1fER �up to 199,0p9 BTU}
o+ret 199,000 BT[J 8k F» se2udul�
GAS FriTiI1G PEESa
3st 3 Fixtures -
Add'etlonai TixEftres _
Gas Rang�e ta 198.�0� _
ulE
T���
�TII.i17/� sli�T�[
�e.�►ttc�s t tttt�
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6.00 =.--
6.00 = ,j�� �
I�O RATE T07AL
- � 200 t-� --�
- x .76 i-- --
-:;6.OP i -
�
� PG�� � � �. a�d
u.rs� s �K���
S�
�.5��3 � h ` � CY � ,
Citr u? �idley:
The undersigned hereby makes applicatfon for a yermit f� the work Aerdr
speciiied, agreeing to do all work in strict accordance with the City Ordi�anees=
and ruling of the DepartmFnt of Buildings, and hereby decLres that aIl t�r fact�
and reUrNser►tatiuns stated in this application ase true a� correct.
t�idley, Mian_--- ----�,14 `
O`"'reer --�-�.15.��--*�� � �se � .� -
Kind of Buitding .._ . � __
fJse� ag _._ - ('L2'�'��,.2'�ff ------ -
✓
To be completed about - - -- --.------- _ .
Estimated Caat, S _ __ _
Uld-New. Bui{ding Permit No. _-__ P��it No. � p��
�'r. M. I' • . • - ��_
HEATTNG or POWL�A PI,AN1g--�t�eam, gat Water, Warm Air-No _
Trade Ivame �� -.-. .�i g� �/i� .� ,3-/i�.
Capacily--%1-G.�--.- S9. !t E.D.R BTU gg
Total Connected I.o�d � � �
BURNEH - Trade Na� giu l�iO
�=+D�ZY 3q. !t E.D R H1V S�
���
i �f
- �._��- i� i� _�,_,is
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.,
�c�►sco � . . : 53-8l�-s-915.51. � ' .
. . , Ci�r a� �i�'1cy _
, • �,���i�sr�a�a ��� �'Icr��m�r� �,�� �� � a���� Y� ��i� � .
<..�-, -------- Daprt. oi Eldpa, i'hon• "a�J0-3450 •'- -
� D�SCRIPTION OF VJOF� ' ' S51�3 East ��avarian Pass
NumSarz Kiad aad Losrt!ea of Ftx3uze� ��� . --- --
. , � � � N WATEA NTR. Cltj� Oi `�1Ci�C}�:
. �� � � t N I z N � W � � �
E • t�} t� ( Y t Z Z '
° I�y �`K �y�1�� "� � g��S� 3� u� u` u$ � M c...s ncc. '
N•30 � SF a., s. 4� �o
Ba;t .
1� � 1 ^ .
: r,d '
� 3 d �' �,
� . � 'q � � :k i . � .
���i �`� � . ` ' ` .� ; ..
� "+� – � ` Con�rci�d wi.ia � . • .
i,r ��' Futl:za. C.c�ua,r,cSca � �s . � , z>' '
�r
k i', f j ia��tFr4I �Y�
s , N.v FIx}ui�o: Old O�! °�'�«, ,d. ` � ' +� � �,.w `ry ,; kx�:.. 'a �Cc �pr.o� � +�:y ,��"
'' �.. '. + � � . . . . . � j' { . ,.
P�RTfAL RAi� S�H�DULE
' T,.. ,,.,. . �t. . _ . �.^.; NO. RA'fE TOTAL
' , . _ . . .__�_. _. _ x S2.f?,� S._,._ .
� _ , . ,- , . . . . . � _.�._._.._..�. x 51.5t' i�_.._,..�.
�.�'.•�• .r�°±�:e f';:1 U;• ;�1.,, . � .. ... • . _ x 51.50 S�__.-__._�_
Catctti Basi� . . . . . . . . . . . . . . . . . . . ..,.. x 53.25 S_�
Watcr iieater `L'p to 99tOCa B'I'L`t •••• _..� x�3.40 5 "
New Ground Run Ol� B:3g: ....•. .•. . x;3.25 3
�'rctric YYat�r fi�+stor . . . . . . . . . . . . . . s y2.Gt� S
^o1L.s FIZTiNG FEES: NO. RAT'E TOTAL
;
�3st3F1xtures .••••�a����•�• •��• X 5�..� � .
Additicnal F'ixtu.t�a! . . . . . . . ..., . . . . . _ x $ .15 "; '
C�s R�lnYe to 1�9.Ofk3 8:'il ..... ... ... . 1 x S5.C�0 L .00
1?iFr.Iii3 �c I►':?ERAT20N$—Aefsi !o Cads
: De�;ciy;tion . . . . . : . . . . . . . . . . . . ... . . . ... . . . . .... �. ... . .i .
. Taru. � s 5. 50 .
. ,
;
• Class �`A" �urchar�e .50¢
The undersigncd hereby :nakes aDplication for a permit tor the v.ozk hcrei
specificd, a6rec:ng to do all wo: k in strict accordar.ce with the City Ch�ir3net
and n.ling of the I?epartment of Build:n�, and hereby deciazes that alI the tae�
and representations siated ia this applica�osi are true and correct�
�Yid]ey, Minn 11-25-?5 �g�
Owner Darrel A. Farr Developement � ,� _
Frame e�,�,
Kind of Buitding;.. '�
��` •.. � � �4 . �e S.. �� �r : .,
Used as ,k'": � � � �° � ,� : �' --`► � ' d
�:, y � ,� ,� �, ° • >,, � '.a , n,,. ,P�`
i� � 1.,�. �,� dJ,1 �.� ¢ 1. ,"p'�1-�`t;�� ��d .,�
To be �ompleted abbut r�' 12-2-75 `"} , '°,. «r
10.G0
Estimated Cost, 3
�New. i3uitding Permit No. Prrmi o. ��
O� .
�igned .___
�y ��$i� - - - .
Business Ph�ne No
ROUGH
F2NAL '
.50 State Surcharge
• .
3-2-87
Darrell Clark
Inspection Dept.
Fridley City Hall
6531 University Ave. NE
Fridley, MN. 55432
Hi Darrell:
Just wanted to take time to send this letter to you just to
tell you how very much I appreciate everything you did to
get to the bottom of finding the problem to that horrible
smell in my townhouse. This weekend was the first weekend
since I've moved in where it didn't smell at all. What a
burden lifted off my shoulders and it's because of all the
time you spent in getting it solved for me. Thank you again
for all you've done. I now can go home every day and enjoy
my townhouse.
Sincerely,
w-
� � �,��
43 E. Bavarian Pa
, .
sue�ecr PE __
c�ty of Fridley 2 2 0 6 5'
' , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ��.�.__.,,...
r
� �
� • COMMUNITY DEVELOPMENT DIV.
. ; ,: ----- . a� � �
r � � PROTECTIVE INSPECTION SEC.
1 � /'��\ � CITY HALL FRIDLEv 55432 NUMBEp REV. OATE PAGE OF APVROVED BY
�.---'�'• •'� 612-571-3450 910-F15 �/26/93 / /
JOB ADDRESS 5543 East Bavarian Pass NE
1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHEO
DESCR. 3 3 Innsbruck Noxth Townhouse 3rd Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Geraldine Hedstrom
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dicks Fire & Storm 864 19 Ave SE, Minneapolis MN 55414 781--6170 2481
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION O REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOFK
Reroof Garage (Tear--of,f).
9 CHANGE OF USE FROM TO
STIPULATIONS �xovide smoke detectors. as per UBC 1210 adjacent to all sleeping areas
and in basement,
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTIIATING OR AIF 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 CONSTHUCTION
OR WORK IS SUSPENDED OF ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED $L�HO. OO $, SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $� 48
STRUCTION OR THE PERFORMANCE OP CONSTRUCTION. $ZS.00
PLAN CHECKFEE TOTALFEE
License SC $5,00 $20.98
. S�GNATURE OF CONTRACTOR OR AUTHOA�ZEO AGEN7 IDATEI W OP Y VALIDATED THIS IS YOU PER IT
� � �
SiGNATUAE OF pWNEA UF OWNER BUILDEL7i IDATEI BLO �NS �F
NEw
ADDN
ALTER
[l
[l
ia
CITY OF FRIDLEY
SINGLE FAMILY AND DUPL.F.��ES R-1 AND R-2
Building Permit Application
Effective 5126/93
. ..
-
COIIS(Tl1Ci10II �i�TESS: �� y 3 East Bavarian Pass NE
� %�
Legal Description: � �< <--� f� L C�� r t� � l r�� N �'�fa�zt �Cfi / � r� H � ,�� .��nlf�� ��r �,� �� � �,p,,
Owner Name & Address:
COIIrCdCLOi: Dicks Fire & Storm (Richard J. Williams
A�tESS: 864 19 Ave SE, Minneapolis , MN 55414
Tel. �
MN LICENSE � 2 4 sl
Tel. # �si�6i�o
Attach to this application, a Certificate of Survey of the 3 � s- a s so
lot, with the proposed coc�ctruction drawn on it to scaie.
DESCRIPTI4N OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length � Width HgtlGround Sq. Ft.
OTHER: Reroof Garage ( j t�1 �L - p��-- �
Corner Lot [] Inside Lot [] Ft_ 'Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: ��f �r ��
Approx. Completion Date:
(Cost on Back)
Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 8/26/93 APPLICANT: G�=�.-��Z %��,2. Tel. # 781-6170
Permit Fee
Fire Succharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Cturge
T4TAL
$
$
$
$
$
$
$
$
$
�
+ i
Fee Schedule on Reverse Side
.001 of Permit Valuarion (1 / l Oth %)
$.501$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licenseci Residential Contractors)
Alt. "A" or Alt. "B" Above
Conservation Plan Review $450.00
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS: -
�
� � • , � SuBJECT • .
City of Fridley . 3 0740
, , AT TMQ TOP Of THE TWINS g � I L D I N G P E R M I T E P NO.
f
. � ����
� ; y ����� COMMUN�TY OEVELOPMENT OIV.
f � . , �� PROTECTIVE INSPECTION SEC.
� . ,
� j �"'1 � CITY MAII FRIDLE� SS�J2 NUMBEI+ nEV O�TE ��GE OF �►PROVEO !r
' ` �""� � � �'�. 612-571-3450 910-F t 5 3 / 17 / 00 / . /
'�oe'�ooRess '�� �5541, 5543, 5545, 5547 East Bavarian Pass NE
` t'''IEGAL ,� �OT N0. BLOCK TAACT OR AOOITION SEE ATTACNEO
oescp. 1-4 3 Innsbruck North Townhouse 3rd Addn SHEET
' 2 PROPEiiTYAWNER MAII ADDRES$ 2�P PMONE
J CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO
� North Central Builders Inc 7401 42 Ave N New Ho e MN 55427 533-6168 3763
• AqCMITECT OR OESIGNER MAIL ADDRESS 21P PMONE LICENSE N0.
5 ENGINEER MAIL ADDqESS ZIP PHONE LICENSE NO
b USE OF BUILDING
Residential Townhouse
7 CLASS OF WORK
_.. O NEW O AO�ITION O ALTERATION � REPAIR O MOVE O REMOVE
� B OESCRIBE WORK
Reside Townhouse Buildin
9 CHANf3E Of USE FpOM TO
STIPULATIONS
Call for building wrap inspection before covering.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCV�pAD
SEPARA7E PERMITS ARE REOUiRE� fOR ELECTRICAL, PLUMBING. MEATING,
VENTILATING OR AIR CONDITIONING.
TMIS PERMIT, BECOMES NUII AND VOID If WORK OR CONSTRUCTION 2pNING SO. FT CU. FT.
AUTMORtZEO IS NOT COMMENCEO WITNIN 60 OAYS. Ofi IF CONSTAUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 pAYS AT
ANY TIME AfTER WOqK IS COMMENCEO. NO. DWLG. UNITS OffSTREET PARKING
� MEREBY CERTIFY THAT 1 MAVE REAO ANO EXAMINEO THIS APPLICATION �F STA�LS GARAGES
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF LAWS yA�UATION SURTAX
ANO OROINANCES GOVERNING TM1S TVPE Of WORK WILL BE COMP�IED @ •
WITM WMETMER SPECIf1E0 HEFEIN OR NOT. TME GRANTING OF A PERMIT y�iH�%9% �9.40
OOES NOT PRESUME TO GIVE AUTMOii1TY TO VIOLATE OR CANCEI THE pEqMIT fEE SAC CNARGE
PqOVIS10N5 Of ANY OTMER STA7E OR LOCAL LAW REGUTATING CON-
STRUCTION Op TNE PERfO MANCE Of CONSTRUCTION �3�%.25 Fire SC �18.80
PLAN CHECK fEE �OiAL FEE
J� �? � License SC $ .00 $340.45
S�GNA1UpEO�CON•A NOp�UTN �LEO�GENT �O�iEr WNEN RO ERIY VALIOATED TMIS IS VOUR PERMIi
' 3 - 2o-c�
S�GN�TUAE OR-0WNfp��� OWNfp BURDEp� �OATE� B� �p f�41t
�
� Sue�ECT . . . . . � � .
City of Fridley 310 9
AT TNE TOP Of THE TWINS g U I L D I N G P E R M I T
! � RECEIPT NO.
� `L _ COMMUNITY DEVELOPMENT DIV. �O / �
r � • � PROTECTIVE INSPECTION SEC. �l�
1 ; �
� � /���1 � C17V MALL FRIOLEr SSIJY NUMBER pEV� DATE VAGE OF �vvROVED ev
�..'.�: �.� 612-571-3450 9t0-Ft5 6/27/00 � �
�oe nocRESS 5541, 43, 45 ,�7 East Bavarian Pass
t LEGAL �OT NO. BLOCK TRACT OR AOOITION SEE ATTACMED
oescR. 1-4 � Innsbruck North 'Townhouse 3rd Addition SNEET
2 PROPEiiTY OWNEF MAII AODRES$ ZIP PHONE
Innsbruck Townhome Association 651-224-5482
3 CONTqACTOR MAII, ADORESS 2�P PMONE UCENSE NO
Garlock-French Roofing Corp., 2301 E. 25th St., Mpls., MN 55406 612-722-7129 00001423
� ARCHITECT OR DESIGNER MAII. ADOIiESS ZtP PHONE LICENSE NO.
5 ENGINEER MAIL ADDqESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS Of WORK
❑ NEW O ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE
8 OESCRIBE WORK
Reroof Townhouse Building (Tear Off)
9 CFiAN(3E OF USE fROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
P�rmit Inspection Cards
1Ni11 Be Matied
'�o Homeowner To Post
TYPEOFCONST. OCCUPANCVGROUP OCGUPANCVLOAO
SEPARATE PERMITS ARE iiEOUIREO FOR ELECTNICAI, P�UMBING. HEATING.
VENTI�ATING OR AIR CONOITIONING
TNIS PERMIT BECOMES NULL AND VO�D IF WORK OR CONS7RUCTION ZONING SO. F7 CU FL
AUTHORIZED IS NOT COMMENCED WITMIN 60 OAYS. OR IF CONSTRUCTION
OR WOFK IS SUSPENOED OR ABANDONEO FOR A PER100 OF 120 �AYS AT
ANV 71ME Af7ER WORK IS COMMENCEO. NO. DWIG. UNITS OfFSTREET PARKING
I HEREBV CEATIfV THAT I MAVE FiEAO AND EXAMINEO THIS APPLICATION 4 STA�LS GAfiAGES
ANO KNOW TNE SAME TO BE TRUE ANO CORRECT. A�� PROVISIONS OF LAWS VALUATION SUR7AX
ANO ORDINANCES GOVERNING THIS TVPE OF WpRK WILL BE COMP�IED �S � IO%. 34 �2 . SS
WIT►� WME7MER SPECIFIE� MEREIN Oii NOT. TME GfiANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AU7MOFiITV TO i/10LATE OR CANCEL THE pERM17 FEE SAC CMARGE
PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON• �125 . ZS Fire SC $rJ . lO
STqUCTION OA TME PERfpRMANCE Of CONSTRUCTION
PLAN CMECK FEE TOiAL FEE
32.90
� S�GN�tUpEO�LON'AACTOpOAAUTMOp�ZEO�GEN1 iD�rE, E PRO VALID D iM15 IS VO+F P�RM1�
V
S�GN�TVpEOFOWNEp��FpwNEpBw�DE:+� �O�TE� � �psp � � i��tE �
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
►631572-3604 FAX: (7631571-1287
ADDRESS : 5543 E BAVARIAN PASS NE
PIN : 243024410092
LEGAL DESC : INNSBRUCK NO T H 3RD ADD
: LOT 3 BLOCK 3
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
: HEATING
: TOWNHOUSES
: ADDITION/ALTERATION
_�_._.,_ __
�-�
PERMIT O.: 2004-00544 ±�
DATE ISSUED: 04/21/2004
VALUATION .
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER.
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A
INSTALL A FURNACE (WARM AIR, CARRIER, 70,000 BTUS) AND AN AIR CONDITIONER
# A/C UNITS 1 VALUE OF APPL OR WORK
# FURNACES 1 # GAS DRYERS
# GAS RANGES 0
APPLICANT
KNIGHT HEATING & AIR CONDITIONING
13535 89 ST NE
OTSEGO, MN 55330-
OWNER
WOLF JOAN M
5543 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 ordinances governing this type of worl�
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 f any ot er state or local law
regulating construction or the rform ce of construction.
Applicant Date_�
Bldg
FURNACE SHELL/DUCT WORK
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
HEATING REPAIRS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 5256
SEPARATE PERMITS REQUIR"ED FOR WORK OTHER THAN DESCRIBED ABOVE.
0
0
35.00
0.00
0.00
25.00
0.00
0.50
60.50
CITIr'OF FRIDLEY BUILDING INSPECTION
�6431 University Ave NE
Fridley, MN 55432
763-572-3604 FAX 763-571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
als Replacement Furnace
Gas Piping (New Furnace, Fireplace, insert)
Gas Range
Gas Dryer
*Air Conditioning-All Sizes
All Other Repairs or Alterations (List on Back)
1% of Value of Appliance or Work
Minimum Fee $15.00 for Residential or 5% of cost of
Improvement whichever is greater
��3/�l -.V'��1� o� l.e�o�ts � C�s� bet�4�% i�s � �,� L���� �, 7 j
b,�" r' �-��D�} i�lk' , Effective 4/1/2004
f���'��0� bLeQ�t��?dn� o� %�s� -
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
�Q�
JOBADDRESS �J �� �� �C�LI/G�jQ-fLJ j�G{SS
Fee Total .-�'�Q h �„ AD ��
Owner �� ��0
$35.00 $ .�� �
$10.00 $
$10.00 $
$10.00 $
$25.00 $ �� =D
$
Commercial�lndustrial/Institutional
1.25% of Value of Appliance or Work (List on Back)
Minimum Fee $35.00 for Commercial/Industrial/Institutional
State Surcharge
TOTAL FEE
REINSPECTION FEE $50.00/HOUR
Building Used As I��S/1Gt�i/Z� �`'��
ESTIMATED COST ��Gl�o�� � PERMIT NO �%�'i�C6 '� ����
DESCRIPTION OF FURNACE AND BURNER
# of Heating Units C+rcle One {Steam) (Hot Water) Warm Air
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No._
BTU HP 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
$ and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
$ � J'�
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
// ,
HEATING
FAX #
� "a"7
�r
�
Tel # � ���75
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Approved by Rough-in Date Final Date
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacina an existina furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes� No ()
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No �
The undersigned also verifies that the replacement unit is a listed assembly
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 existinq combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes (�Q No ( )
Yes ( ) No (�j
Yes � No ( )
When installin� a new ventinq svstem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes �
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
No ( )
Yes � No ( )
A�pliance Tvpe and Size/Common Vent and Vent Connector Information
� �do Fan Assisted or Nat A
Appliance #1 Type ��c-2 BTU Input 7�,
Appliance #2 Type 1�2 �t� BTU Input od� Fan Assisted or Nat N�.�F-
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Tdal Btu Input
Common Vent Type �–V�� Vent Height Zo� Diameter L inches
Appliance #1 Vent Connector Height 4 ft Length �_ft Diameter �in Type .3
Appliance #2 Vent Connector Height �_ft Length — ft Diameter �_in Type C
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS• (Describe) �'� / o � d–'� �-�
HEATING CO: i �
Signed By: K Date :
.�u'n 15 04 09:54a Knight eating a Rir 763 274-9946
� - --
`( L i��S
. ( �' �
�
�.rtig�j eatit�g att� ir �ottbitionfttg, �Snc.
13535 - 89th Street NE
Otsego, M N 55330
(763) 274-9945
{763) 274-9946 fax
- --- -- - -�-- -- --. - . .._
Customer � Description
-- --.... ..--- — ...- —...._ .. �_.. _...
SEARS Home Central
727 E Algonquin Road �
Schaumburg, IL 60173 ;
1-800-659-19 72
,
�__............ _ _..-- --.....
_.._ ._ ......._ —
Time In/Out Time Scheduled � Date Scheduled Referred Byl Manufacturer
-------�----- --.. . --- ' __.. .. ...-- ----.._ .
� - ---- -- .. —
I !
�
8-10am 6/10/2004 � Sears �
_ ----.. . .._�_.._ ._ _.� ___.. . ----- _.. _.
Item Description (
..... ..__.-- -_...___ ___. -- -_._. __
Call Back Joan Wolf
5543 E Bavarian Pass
Fridley, MN 55433
763-502-0350
"Correction no#ice from city:
*Provide worst case draft test in lieu
of combustion aic. Provide
documentation of passed test for
records.
�1aS�� ���� w,�°�'''S 'd �wdS
-}��,nsJ cyn ���'� � �j'.�-i.. �•.S�
�
-}-es;� �x �� �+� �.
.,y� "�'� � %��". .ir- � � i.� ftc�. CCIv
�{��.�� J �R'� -
.._..__. _� �
_ ...------._ _ . _. . _._ _.
n
.2
I nvo i ce
Date Invoice #
6l10/2004 1597
BACNARAC;i, INC.
FYRItE PRO ANALYZER
DATE� 6/10/2004
TIFiE� 9:10 AM
FUEL� (F11Natural Gas
EFFICIENCY 71.4 a
EXCESS AIR 33.4 :�
STACK TEHP 525 'F
PRIMARY TEMP 77.8 `F
DELTA TEMP ---- 'F
02 5.1 �
Co2 8. 6 �
CO l2 ppm
CO AIR FREE 17 ppm
Draft 0.02 WC
COhIMENTS �
'�. � ��- L�L�
c�.�.at' bte- � 1
b�;g��;o� ,g,".`� �
_,° . , Subtotal
_. . . . _-- —�I� ._...
Sales Tax on Parts (6.5%)
We guarantee only the part� nstalled by u f r a --- -- --
1�.�
r�
period of one year. Total
Payment type:
Customer Signature:
Ti
i
$0.0 �
--.._ --�
$o.00
$0.00 ;
PaymentslCredits $0.00
Balance Due $Q.00
Jus�► 15 04 09:54a
0
Knight Heating & Rir
T0'd lFi1Q1
°�,Di�y
, ��
�� �
�p � INSPECi10N REPORT
�� CITY OF FRtDLEY MtNNES T
4 A
(763j 572-36qq
ADDAESS
763 274-9946
�.5��.��
._ . .
DATE � 3 r' � O
TIME
4
_DESCRIPTION ' � )„(�// . , n � �n �--� �,
INSPECTION REPORT
�A� REPORT
If no co�ectipns are listed above, approval is hereby given to p�oceeqs, you will be in
v�v�ation of the o�dinance it you do not call for the proper inspections and make
oorrections � cafled for.
I0ii0'd 9G66d1.Z Ol J,31QI21� 30 J�1I� W021d 8I:9i h00Z-F0-.ldW
p.l
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 r'AX: (763) 571-1"lIf7
PERMIT NO. • 2004-016 1
DATE ISSUED: 09/20/2004
ADDRESS : 5543 E BAVARIAN PASS NE
PIN : 243024410092
LEGAL DESC : INNSBRUCK NO T H 3RD ADD
: LOT 3 BLOCK 3
PERMIT TYPE : PLUMBING
PROPERTY TYPE : TOWNHOUSES
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 300.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A GAS WATER
HEATER.
# ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0
# NEW FIXTURES (EXIST OPENINGS)
# GAS DRYERS
# OF NEW FIXTURES
# WATER TRMT APPLIANCES
APPLICANT
SHILOAH WATER CO
7319 166 AVE NW
RAMSEY, MN 55303-
(763)753-9244
OWNER
WOLF JOAN M
5543 E BAVARIAN PASS NE
FRIDLEY, MN 55432
0 # GAS WATER HEATERS
0 # GAS RANGES
0 VALUE (FOR MINIMUM CALC)
0
PLBG PERMIT MINIMUM FEE
PLBG FIXTURES (NEW OPENINGS)
PLBG FIXTURES (EXIST OPENINGS)
WATER TREATMENT APPLIANCE
WATER HEATER - ELEC
WATER HEATER - GAS
GAS RANGE FEE
GAS DRYER FEE
PLBG REPAIR/ALTERATIONS
STATE SURCHARGE, PLBG FLAT
TOTAL
PAID WITH CHECK # 10066
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of consiruction.
An� ,1 Date � �
Bldg
Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
1
0
300
0.00
0.00
0.00
0.00
0.00
35.00
0.00
0.00
0.00
0.50
35.50
n
,
CITY O� FRIDLEY INSPECTION DIV. Effective April 1, 2004 �� ��'j(�
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT �
(763) 572-3604, FAX (763) 571-1287
<: ;::::.<:»::>
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
.; :;:::>::>:: ;:::.;:::.:<:>::>::>:
H t�:::>::::: W I
�:>:>:::> ash ::::<:: F oor
................ :::.: > : �:»::»::>::>:: ; .:.;:.;::::;:>;;
:::.� ::......:..:... :::�.::. ::.: ::::>::>:::::::::::<:::>:::::::: :€�#�Iz;::;::..... :':�%Gh::<:»:<:: Auto. �''��::>:<:>::>::::: Gas � ::: ater Heater
r.<::
ries �(i��Bt<:':<: Urin I �'u�::'><:::;: h w
Sto a S o er �r`�ft<:::�:>`:': T
� �:<:::;::::<:><, <.:::>:€: D r i n
a ��nt ...... a
,;:.;::::;:..; :: ..: : :.;: ;:. :> <>: <:: <:» <:>: <:::>::::>: :.;:.> : : : . � :
. . ........ ....
:.,.::. Y :::::::::::::::::::::. 8�s#�:s:>:`:::::: Washer ��:::<:::::>::::: Range :;>:::.::?;`:;<:°': Gas Elec
Floor 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
BeerDispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
'v'Vater Treating Appliance
Water Heater -Electric
Water Heater - Gas"*
NO. RATE TOTAL
�
Gas Range"*
Gas Dryer*"
Back Flow Preventer Required ()Yes () No
Type
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$35.00 —?�`—^
$35.00
$35.00
$10.00
$10.00
$15.00
Reinspection Fee $50.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.25°/a of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
� .50
$ �
JOB ADD
� �� �
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
� � ��DATE:
OWNER
BUILDING USED AS____J�SI CY �/ v C�
PLUMBING
SIGNED BY
Approved By
Rough-In Date
� `�s
Final Date
COMBUSTION AIR SHALL BE PROVIDED PER UM�:'�E�'f1t5N 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE
S��U f�'Nf — Mt.sS � ss� e 5 i �ersi CS�f%
Building BUILDI G Permit Na �'� �� �
Inspections RESIDENTIAL APPLICATION Received By: ,���.
763-572-3604 CITY OF FRIDLEY n���°�IUG 0 7 2008
763-502-4977 FAX EFFECTIVE 1-1-08
DATE �� �� D YOUR �MAIL ADDRESS
STTE ADDRESS r ` �J
THIS APPLICANT IS: �OWNER ❑CONTRACTOR
PROPERTY OWNER/ NAME: Q�I �
TENANT �DxESS: � Q✓Q,/�l�c�'Z Cpfl• t STATE I�i,vGlY�s� 3L
PHONE: 7[� �`�.Z � 6 � S�
NAME:
CONTRACTOR ADDRESS: � 7��S t' Y��L`t'�CQ�'{'1 /`71/{. CTI'Y � TATE - �/ �V�ir 3,� S111—
SUBMIT A COPY OF Pxorr� ��.e t2 - q�g �- �l'f � Z F�c
YOUR STATE LICENSE STATE LICENSE # I'� C'°� D� C� � 7J �� EXP DATE
PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCITON s�
O FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE � �DTI'ION ❑ G.�xAG�s�n wIlVDOws
❑ BASEMENT FIIVISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING �COTHER
❑ SWIMNIING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCI'ION ❑ ADDTI'ION
❑ MAINTENANCFIREPAIR `�i[REMODELING
DESCRIBE WORK BIING DONE: C�.Ma�� ��u� ��XTJQ��j SII�ifLOC;K. O� 4 1��Q �M�S t 2 L.abb(,� �'11�'(• Z''��� ��
SIZE OF IMPROVEMENT LENGTH , WIDTH � HEIGHT �� �� F� S FT �
ROOFING ❑ HOUSE ONLY BASEMfi'NT REMODELING SUBNIIT:
NUMBER OF SQUARES ❑ HOUSE & GARAGE l. Existing Fioor Plan
GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DEI'ACHED GARAGE 3. list of structural members to be used
PROPOSED HEIGHT:
SIDING FOR NEW CONSTRUCfION INCLUDING DECKS,
❑ Vinyl ❑Soffit ADDTI'IONS. & PORCHFS SUBNIIT:
❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia �d ��� ����
2. Two sets of construction plans
�DpWg 3. Fnergy Calculations
IN EXISTING OPErTINGS es ❑No LOCATION 'OF� NDOWS
OR FOR NEW OPENINGS- ESCRIBE SIZE OF ��CI� C��" y
OPF1�iING CHANGES 8c '
TYPE OF WINDOW TO BE INSTALLED I� NUMBER OF WINDOWS �
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
TOTAL JOB VALU
Permit Fee
Plan Review
Fire Surcharge
Surchazge
License Surcharge
SAC Charge
Curb Cut Fscrow
Erosion Control
Park Fee
Sewer Main Charge
Total Dne
THE 1997 UBC FEE SCHEDULE)
� OCCUPANCY
$ i�.�x
$ hz?
$ $�
$
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Deternuned by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks pa_yable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCFSSED
I hereby apply for a building permit and I acknowledge that the informarion 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 o tructio C es; that I understand this is not a pemrit but only an application for a pemut and work is not to start without a
perndt on site; U►at the work will be in acco with e app ved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLIC PRINT NAME, 57�� �/� 5��� DATE �?��
APPROVED BY DATE
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