AF - 42992Ci�ty of Fridley�, Mirm..
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
��. December 26, 1972
� � �/d'�
1a
��. Darrel A. Farr Develop. Co. B�aer Same
. _...._._..._..__.. ..._...._..___�____.__....__.....____
�d� 5 9 O 1 B r o ok 1 yn B 1 vd . Aaaress _W___.._ S ame ___._____..___.___._....�.__
LOCATION OF BUILDING
Na S S 7 6 s�t E a s t B av a r i a n P a s s --- ... ..----- -----. . P� og r.ot ___._.._._...._._
4 �___...�..�_�....._.____.___..__._._. _- Innsbruck No . T. H. 3rd Add .
Lot Biock �_ ____._._..._._� Addition or Sub-Division __..__ .._..,____._.__.�.._.
Corner iot ..._��.._ Inside Lot - x.�_.�__ Setback _..___._._.__...._______ Sideyard
Sewer IIevatian _� _.__..� Foundation Elevation __......__
DESCRIPTION OF BUILDING
To be Used as: 1 Z 0 0
Townhouse _� �nt � 24' �p� 24' Height 26 �.._.� sc�. Ft, _.6_00 �� F� 15,600
G a r a g e _._ Front 10 . 5' neptt► 2 2� Hei�ht _1 ��...__ sq. Ft. ----2 31----_ cu. Ft. _ 2 310
Type of Construction Wo o d F r ame W Es�. cost ��.���..__.. To t�e compietect �� 1�.? 3
$20.010.00
►
, .
s.� �/ � . ,8�.� .
In consideration of the issuance to me of a permit to construci the building described above, I agree to do
t� proposed work in accordance with the description above and in eompliance wi ll provisions of
Ordinances of the city of Fridley.
_ $10.01 ate Surcharge
.
In consideration of the payment of a fee of $� 3 8. 0 0_���t is hereby grantect toD a r r e 1 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 workmen, in all work
done in, around and upon said building, or any part thereof, shall confoxm in all respects •to the ordinanees of
Irridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiIIgs
}qithin the city limits and this permit may be revoked at any_ ' on violation of any of the provisions of tiaid
a�rdiinances.
� ... - � ��� '
� � � �{,�t- " �����-�'�--� Buildin
DA� L CL RK a��
NOTICE:
This paemif does not eover the eonstruetion, installafion for wiring, plumbing, eas hsating, sewer or water. Bs sun to sN
ths Building Inspeetor fo� aeparate permits for these items.
Y
r�PpLICATIO� rOR RESIDENTIAL, AL��RA�'ION,
OR AllllITIOi� BUILDING ��R��IT
CITY OF FRIDLEY, I�iINR'ESOTq
OS�i�t�R' S NA.'� : ��lrra9/ /q: Fsrw ,(,��r�. C�n. BUILD�2 : SQ �'►'4 �
�DD2�ss: �.�°9a� ,C�roo.�ilyn �dvd. .AD�Rt.BS• SQ�+�+�,
N0 : . ss 7� S �LEE �T : � .t ¢ •(311 v!t'ri �t s-r /�Q. S S
IAd : � BLG'�K: �� ADDITiO�J L..�'rlJlJG�'+�st� /Uor�� T, hr. �~d �,olali �'oo ri
CO��'� LOT: INSTDc I.OT: !� SE'T&?.C�: SID�XA..�p:��:
Applicant a�tach to this �o�m 3'�ro C��tifi�at�s o� Su�-v�y o� Lot �.nd pro�os�d
buil�ing loc�tion drawn on the�� Ces�ificat�s. �
�ESCRIPTION OF BUILDING
�o Be Uaed As :
�a�.+ey hoeos� F�ont : �Z"� � �Jggth : aZ� ° H�i��t : 'Z4o'
�,zoo
Squa�� Fe��: Goo Gubi� F�e�; /-S. (004�
�' a�ra��,� ' r+'�ont: /0.3'' I;epth: .Z•Z � H�:ight: ��'
Squax� ��et; .Z3/ Cubic �'����: .�.3/O
�Pe of �onstr-uctiant �dmc� /�t'.�.�+� Es�i�s�d �aa�: � /� �1Go.00 .
To Be �c�mpl���si: i-- ♦ — 73
'!�� und� �'sig��d hexwby zr�'�c�� �.p�licat,irsn fo� a ozrtai�. for ��� ;�ox?�c �,ex��irt
sp�c:if i_d, anr�aina '�o �.o vil �oz!t in at�i;.�. accord�nc� �i�:n :.�a. :�ity oi
Fri.c�' �� Q�dizza�ce� and �li:-z.�;� o� �'n� ��nax���nt o� :°uilding�, ��d he'w�'�y
d�clax�a tnat all th.a is��g f3�sci rzpres�ntations s�.���ad i_n ��:zi� �ppli.�a'�-�an
�xa txue �nd corr�ct.
�'?'� : ,�i� ��1► �,�iZ S�GiI� ± J^.i.
(��� �Z��raA 5-�zie xo� �.�r3i��.or.a�. �nfo:�-�r.ation.)
. �
.
,
. . ��078
Number Fixtures /� x $2.00 $ o�U.U�
Future Fixtures x $1.50
New Fixture-Old Open. x $1.50
Catch B�stn _r_ x $3.25
Water Heater-99,000 BTU �_ x $3.00 .pc>
Ground Run Old Bldg. x$3.25
Elec. Water Heater x $2.00
Gas Fitting Faes:
lst 3 Fixtures / x $2.00 �.c�v
Additional Fixtures x $ .75
Gas Range-199,000 BTU x $5.00
Repeirs & Alterations
See
Description: Code
State Surcharge .50
TOTAL FEE ,S �� �
The undersigned hereby makes application for a permit
for the work herein specified, agreeing to do all work
in strict accordance with the City Ordinances and rulin�
of the Depaxtment of Buildings, and hereby declare that
a1�'the tacts and representationa stated in this
application are true and correct.
0
'Signature
.�_-��-%�
Da te �
,
.—
t
.
/IppRcat�idn 1ro� �ow�r lla�ls and H�at�g, Caoling. Y�nh'taeion. R�tri�ra�ioa a�d
Air CondM�ioni� S�rstNns and Dfric�s
P�AitTfAL it/4TE SCHEDULE
a�v*r� v��►n� �►rn: �un To�r1►r..
rt�n� �u � n�t wo� . . =io.aa �
Replacement � P1�rnace &.00 #
Repairs de Alterations---up ta �Sflf}.00 6 pp =-_. _ --
Repairs & AlteraUon� each add. f:f00.OQ , g pU ;__, . __
�I. iIV11111�I �ilt
Furnace Shelf dt Dvct WarTt to 1�0,000 B'TtT
e�ch add. AO,OOQ B'I'IJ . . . . . . .
Re�Iace�t ot Flsrnace
Repairs dc Alterations�-vp f.o ;500.00
R�e�airs & Alteiatioos each add. =500.00
S10 Od :.� U � �
3.t1O i
6.00 !
6.OU ;--
3.00 =— --
�TEJ1l�l or HOT WATER SY3TElf
F�rrnace Shetl 3c Lines—to 400 sq. !t. F.DR Stenm �20.�J0 s____ __ __
i�unace Shetl & Lane--to 640 sq. ft. EDR Fiot Water I4.00 a_ __ ______ __
Each add. 209 aq. tt. EDR Stesm �.(1(1 =- ----
Earh add. 320 sq. ft. EDR Hot Water 3.00 i— _____ _
QIL BIIRI�IER—to 3 gaL pes� hour g•pp =-- -- —
over 3 ga1. per hour--See r'ee Schedule
G118 dIIRIfEA 1 up to 189,OOQ BTU} 6,p0 =�', �
o+r�r 199.00Q B'!'tJ Sk FM Seladul�
GAS g'I7TINC PEES: 1�Q RATE T07AL
1 st 3 F�xtures xi 200 t--�• .—''�'
Additi�ai Pl�nres — x .7S �_— --
Gss Rsn�e ta 19�,00� :i 6.OP S _
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City ofi i�ridley:
The undersigned hereby makes appllcatfon for a permit tor the work Aerd�
speciiied, agreeing to do a❑ work in strict accordanc� twith the City Ordiaancer°
and ruling of the Departm�nt of BuildinQs, and hereby deelares that aIl the fac�:
and representations stated in this application are true a� c�rect.
FYidley, Minn_--- - -- --- -y,14 �
O`vner --�l�GG�� - � �s �% L� .,P�.�
Kind ot Buiiding .___ _ _
fJsed ac ___ � �.a. �.-�-
_ �%���� ✓ ___ _.
To be completed about _ - -- --._ _---- -
Estimated CaCt, S _ _ . _ _ .-- -------------
Gld—New. Building Permit No. _—_ P��it No. _ ���
��
D�RIPTi01� OF VIOlU[
F�!►7'ING or PO'WER PI,ANTg-_$te�n, Hot Water, Warm Air—No
Trade Nam � g� ]�p,,�[/� .rr�� 3 --%/�
Capacity—/--1�-- S9, !t E.D.R BTU g,g
Total Connected I.o�d — � � �t
BURNER — Trade Na.n� g� pp
aD��cY s9. !i. a.n R H'r�f sr�
(M�ARRi-�M[R}
- /� � �// �e_
_ , _,
_ �
�� � � ��-,��..,;�° ��� ��a� �� �T��ti� �'n �, �3�������, ��������� r
��� �����;�� ������ ���
PARTIAL RATE SC���3t�LE
QRROIT4 WAAfl+� AIR: A16'Y� TO�"AL.
Pliraace Sl:el2 & Dvrt B�ork . . . =10.00 �
Replacement of Pt�mace 6.00 �
Rcpairs & Altcrations--up 4o SSOQ.00 6 00 S
Repairs 6� AltereUon� each add. 5500.00 . 3 W E
IQCH. W11.Ryt AIR
iltrnace Sheil ac Duct Work to 1:50,600 BTU
� saa. Bo,000 B�rv . . . .. .. .
RepLcement o4 Flirnace
Reflaira & Atterations--up Eo a500.00
ReT,airs &� Alteratious each add. ¢500.OQ
. a�a oo t
3.W i
6.00 f
6.00 �
3.00 ;
STEAM oz HOT WATER SY!lTEB!
Ftirr.ace Shell Sc Lines--to 4Q0 sq. it. F.DR Steam �!0.04 S
Furnace Shell & Line---to 640 sq. ft. EDR fiot Water I0.00 S..
Each add 200 sq. tt. E1�R S?eam 3.()0 ;.
Each add. 320 sq. tt. EDR Hot `Vater 3.00 �
OIL BIIRPiER—to 3 gai. per hour g,pp s.
over 3 gal. per houc—See Fee Schedule
GAS �U1txER (up to L�9.000 BTU) 6.00 =
ov�¢ ?9J.0�0 BT'CJ Sa� Fe� Sch�dul•
GA3 FITTINC FiFB: !tQ RATE T07AL
lst 3 F`flxtures xg 200 S
Additfonat Fixtures x .76 t_— _
Gas itange tb I99.00f! x$ 6.0� _
ua co�rr�oxgr�o
PAA HE1iTI23G SY�1"�t
�TIL1'IYA� SYili�'
�2.TLRA4IQ2Q43 t REPAIIffi
-�fe.
FI1tAL� .1�- C % - 7 �
State Surcharge .50
� �-t�=->"'•-�
� F» �c�al�
�
TOT�L F�B.' S
�,,c. o� �aa�.. �«�. �-�
i
.�.�..
G��
J
City o4 ihiciley: �
The undessigned hereby makes applicatfon 4or a permit for the woric taerdr•
speciiied, agreeing to do ail work in s2rict accordance with the City Or�iibancef=
and ruling of the Departm�n2 ot 8uildings, arid hereby declsres that aIl tbc fa�
and reyresentatiuns statrd in this applicat9on are true and correet.
I�`ridley, 11tis�n L.� L'eL�. ,"l4 {n,�
Clwner .. Ey,��_lV �'i1r
Kind of Building ���-� -
Use� as . y��� -
T� be completed about, _
� • �73
Estimate�3 Cast, � (�� i.�-�
Old—New. Bui{ding Permit No. _.�__ � p��mit No. 1�17�'�
�R%�""TimA OF Wp�
HF.ATING or POWER �.ANTS--S4esnm, iiot Water, Wum Air—No
Trade Name�--'�+��/-_ Size No- ��5 W�{ –2 ,�
Capacity�....�-_`�- � Sq. Ft E.D.R BTU H.P
Total Connected Load .— Kind ai !Le
BURNER — 'hade �aamQ 3iu No
Cap$city 3q. FR E.D.R B1R7 �
(��ncs–ov[Rl
I ' � �. /..
�
/ �. J ` .�
i
�
SUBJECT �� ��"..`:":4';°�.
City of Fridley 2 2 3 6 '
AT THE TOP OF THE TWINS L D I N G P E R M I T ��$� �'
� � BU I RECEIPT NO.,
� �
� • COMMUNITY DEVELOPMENT DIV. /�
r � L � PROTEC7IVE INSPECTION SEC. l v�
i �
�
� � �"'ti � CITY HALL FRIDIE� 55432 NUMBER REV. DnTE PnGE OF nPPROVED Br
�---'�"� �'' 612-57t-3450 910-F15 3/28/94 � �
J08 ADDRESS
5576 East Bavarian Pass NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. Innsbruck North SHEET
2 PROPER7V OWNER MAIL ADDRESS 21P PHONE
Various
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Dicks Fire & Storm 86 1 781-6170 2 81
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDFiESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential Garage
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Garage (tear-off) and install gutters
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OFCONST. OCCUPANCV GROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE FEQUIREO FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZEO 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STAILS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �SOH . SO
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �1%.00 Fire SC .51
PLAN CHECKfEE TOTALFEE
License SC 5.00 23.01
S�GNATURE OF CON'RACTOA OA AUTHOAIZED AGENT I�ATEI NJH�PERLYC`�ED THIS IS YOUR PERMIT
3 �g��
SiGNATUREOFOWNEAi�FOWNERBUiLDERi IDATEI BLOG INS� ��ATE
��� fI
ADDN ( � CITY OF FR[DLEY
ALTER ( � SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Cc�nstruction Adclress : 5 5 7 6 - E a s t B a v a r i a n P a s s
Legal Description:
Owner I�1ame &c. Ac�dress:
Contractor: Dicks Fire and Storm
Tel_ #
Effective 1 / 1 /94
MN LICENSE # 2 4 81
�� �
AdclreSS: 864 — 19th Ave S.E , MQls.. Mn Te1. # 7�1-61�0
Attach to this application, a Certificate of Survey of the
lot, with the proposed conshvction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.� ________�
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: Remove and replace garage roofin�. Instal� gutters
Comer Lot [ � Inside Lot [] Ft. Yd Setback Side Yard Setbacks
TypO O� COriStruCh011: R o o f i n g/ g u t t e r s Estimated Cost: $ 5 0 8. 0 0
Approx. Compledon Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$_
DATE: 3/ 2 8/ 9 4 APPLICANT: n 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 Controi
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$
$
$
$
$
$
$
$
$
$
CITY USE ONLY
_$
_ Tel. # 781-6170 ,
Fee Schedule on iteverse Side
.001 of Permit Valuation (1/lOth%)
$.50!$1,000 Valuation
$800 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
sue�ecr MIT N .
c�ty of Fridley � � � ��
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
f
i � ��� F�.
� COMMUNITY DEVELOPMENT DIV.
� `�: ------� T "�, �
r � � PROTECTIVE INSPECTION SEC. 5 S U
i �
� � /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE �AGE UF APPROVEO Bv
4 ____11,I �.1
612-571-3450 910-F15 9/1/94 / /
JOB ADDRESS 5576 East Bavarian Pass NE
r LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. /{ 14 Innsbruck North Townhouse 3rd Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS Z�P PHONE
3 CONTRACTOF MAI� ADDRESS Z�P PHONE UCENSE NO
Tabor & Sons Inc 3716 St Francis Blvd., Anoka MN 55303 789-1902 20014248
d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP pHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Residential Townhouse
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTEfiATiON � REPAIR ❑ MOVE O REMOVE
8 OESCRIBE WORK
Roofing Repairs
9 CHANGEOFUSEFROM TO
STIPULATIONS
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PEFiMITS Af7E fiEQU1RE0 FOF ELECTRICAL, PLUMBING, HEA7ING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING
I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION ], 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
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMiT �3HO �
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 TNE PERFORMANCE OF CONSTRUCTION. LS.00 Fire SC .3H
PLAN CHECK FEE TOTAL FEE
L���i-z--,-� x� Gti%Z-- °l -'`� "�% License SC $5 . 00 20. 88
SIGNATUPiE OF ON'RACTOA OA AUTMORIZEO AGENT iDniE� WHEN PROPERL ALIDATED THIS IS VOUR PERMIT
` 9
,
SiGNnTUREOFOWNEA�iFOWNERBU�LDEAi iDATEi BLD �NSP , ��tiTE
I�FW
ADDN
ALTER
CIi'Y OF FitiDLEY
SINGLE FA11+�ILY AND DUPLEXES R-1 AND R-2
Building Permit APplication
ConstructianAddress: 5576 - East Bavarian Pass, Fridley
Legal Description:
Owner Name 8i Address_
Tel. #
Effective t / 1 l94
�3s��
ContrdctUr: T a b o r a ri d S o n s,� I ri c: MN I;ICENSE # P e� d i ri g
Address: 3716 - st . Francis Blv.d. , Anoka 55303 TCI. # 789-190.2
Attach to this application, a Certificate of Survey of the
lot, with the proposed constructian drawn on it to scate.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Lengkh
Length
Length
DESCRIPTION UF iMPROVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot (] inside Lot [] Ft. Yd Setback Side Yard Setbacks
Tyge Of COnStrUCtioit: r o o f i n g r e p a r i s ESttmatCd COSt: $ 3 8 0. 0 0
Approx. Compledon Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 9/1/94 APPLICANT: Tabor and Sons, I�c. Tel. # 789-1902
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Controt
Park Fee
Sewer Main Charge
TOTA�I.
STIPULATIONS:
$ t----��- �,�%
$ , � �=
c,�
$ . �Z%
$
$ `� � C C%
$
$
$
$
$ ��-, c� �:
`,�,
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / l Oth %)
$.50!$1,(�0 Valuation
$800 per SAC Unit
$5.00 {State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservarion Pian Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necess�ry [ ]
^ ��
U�
�''t�
sue�ecT PERMIT
City of Fridley 3 0 6 81
AT THE TOP OF THE TWINS g � I L D 1 N G P E R M I T
r
� �
. � ���.
� • COMMUNITY OEVELOPMENT pIV.
� tV��".�
r � � PROTECTIVE INSPECTION SEC.
�--_- �;�'��;', CITY NALI FRIOIE� 55�32 NUMBER REV OATE PAGE OF APPROVEO 8Y
1� 612-571-3450 91Q-F15 2/24/00 / /
JOB ADDRESS ��,�5578-5580=5582 East Bavarian Pass NE
1 LEGAL LOT NO. BLOCK TRACT OR AOOITION SEE ATTACHED
DESCR. 1,2,3,4 14 Innsbruck North Townhouse 3rd Addn SHEET
2 PROPERTY OWNER MAIL AOOFlESS 21P PHONE
Various
3 CONTHACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
North Central Builders Inc 7401 42 Ave N, New Hope, MN 55427 533-6168 3763
d ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
4 Unit Townhouse Building
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION C� REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside Townhouse Building
9 CHANGE OF USE FROM TO
STIPU�ATIONS
Call for building wrap before covering.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV IOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATING.
VENTI�ATING OR AIR CONDITIONING
THIS PERMIT BECOMES NUII ANO VOID IF WORK OR CONSTRUCTION 20NING SQ. FT CU FT.
AUTMORIZED IS NOT COMMENCED WITMIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OffSTREET PARKING
1 HEREBY CERTIfV THAT 1 HAVE FEAO AND EXAMINEO THIS APPLICATION 4' STA�LS GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of �AWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WOFK WILL BE COMPUED �iH,797 $9.�FO
WITM WHETHER SPECIFIEO MEREIN OF NOT. THE GRANTING OF A VERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI TNE pEqMITfEE SACCMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION Oii THE PER RMANCE Of CONSTRUCTION �3OJ . 2S Fl 0 SC � 1H . HO
PLAN CNECK FEE T � FEE
a s.a Licens C$. 0 $340.45
S�GaatuQE OF Cp ACtOQ OA s �OA�2ED eGEHt �O�TE� M P lV VA ED TNI$ IS VOUR PERMIT �
L� �-,�v�-�"t�
S�GtiaiuAE O� OwaEQ��� OWNEABw�OEA� iDATE� r� �� DG iN$P ' ���TF
NEW [ 1
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ALTER
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Construction Address:
Effective 5/10i99
CITY OF FRIDLEY
5INGLE FAI�II�.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION ,
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I,egal Description:
Owner Name & Address: Tel. #
Contractor: i�ORTN �.EN'iRAL �lilLf)��ZS � �NL, MNLICENSEft 37�3
Address: ' I�� �� � t I Z t) f,l %VF .�1 � ,` I� E�N 11�P� ,1��1N 55�,2'7 TeIC # Z�'33-- b i bY
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
L�ESC1Ri�'TION OF LMP�(_IVEM�F:NT
Length Width Height
Length W idth Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: uE -SIDINC� `'� �����Tl Estimated Cost: $� ���, 00
Driveway Curb Cut Width Needed: Ft. +�,Ft = Ft x$
_$
DATE: �'� ��- y�� APPLICANT. Tel. �( � ��) 53 3- 6 l� R
�
CITY USE ONLY
Permit Fee $�� Fee Schedule on Reverse Side
Fire Surcharge $_ l g"�(� .001 _ of Permit Valuation (1 / lOth%)
State Surcharge $ 9"�° $.50�$1,000 Valuation
SA�C Charge $ $1050, per SAC Unit
License Surcharge $ .� � � � $5.00 '(State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreexnent Necessary [] Not Necessary (]
TOTAL $ � 7 d � ��
STIPULATIONS: