AF - 42993City of Fridley, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
��; __ Decembe� 22,,_,.1972
� � ��
,. �11850
_.. .._ �. _/
py��; `DarreL A. Farr Development Co. gu;lder Same __._M___�___.._____._M_�__�
,�d�� 5901 Brooklyn Boulevard Address _..Same ��___.w_��_._..._____.__...
LOCATION OF BUILDING
Na 5577 S�t �East_Bavarian Pass_N.E..-----.._.__...--..----. Part of Lot ._.._..___..__.......�,
Lot 4 Block .A__ 1._ ___. Addition or Sub-Divisian __Innsbruck_ North Townhouse 3rd Addition
Corner Lot .�: ._.� Inside Lot �._ x _...._ Setback _.._._____._...___._._ Sideyard
Sewer IIevatian
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: 1200
Townhouse Front 24 �._ Depth 24 � Height ...26 �...__ Sq. F� ..._600' �. �.� 15, 600
Gara�.e -- _.__ Front 10. 5' Depth 22 � Height _.10.� __.. Sq. Ft. ,---231:.__ Cu. Ft. _ 2� 310'
Type of Construction �nl.and_Fx.asne_..._._...._ Es� Cost ...J$2.�.rQ.1�...1i7.._..._.._.... To be Completed _.�._� }�P �,X
Stipulations: 1. Owner and s,ffi� contractor to be responsible for elevations and for
drainage for all structures and the City shall be held blameless.2.Construction must
comply with U.B.C. 505 C1, C2 & C3. See attached sheets - use figures 5� 9 or 10.
3. Wood foundations to meet all requirements of technical report No. 7, the all weather
wood foundation system as recommended by the National Forest Products Association.
4. Submit a stairway detail that meets S� B3� State Code for a provaT before
installation. ^',�;.� �,�} Q��� �j �'S�� �`. �,�i?��.cJ /-���.eJ
j- -- �
In consideraiion of the issuance to me of a permit to construct the building described above, I agree tq do
'ihe proposed work in accordance with the description above set and in compliance wi.th all provisions ot
o�dinances of the city of Fridley. �
10.01 Sta e Surcharge
In consideration of the a ��� Darrel_ A. Farr Devel.
p yment of a fee of $ _, permit is hereby granted to__._. __
_ to construct the building or addition as described above. This permit is granted
the express condition that the person to whom it is granted and his agents, employees and workmen, in all �
dOne in, axound and upon said building, or any part thereof, shall conform in all respects •to the ordinances oi
Fridley, Minnesota regarding location, cons#xuction, alteration�_, maintenance, repair and moving of builditlgs
}yithin the city Jimits and this permit may be revoked y time on violatio f y of the provisions of sa�d
ordii►ances.
— --� Builaing Inspector
-- DARRF.T C RK
NOTICE:
This permit doea nof eover the eonsfrucfion, installation for wiring, plum6ing, 9as heating, sewer or wafar. Be sun fo sas
ths Building InspeeTo� for separate permits fo� these items.
1
0
�ri
r\PPLICATIOti F0� RESIDENTIAL, ALTf;RA`�'IOi�,
OR AllUI �'IO\ BUILDING �'�R�'�1I"I'
CITY OF FRIDLEY, 1iIi�'NESOTq
O��t�t' S Nt�.� :�r�i/'rP/ .�r'. Fdtrs� ��v�/�. C�o. Bi3 i LD�R : vCQ �'s �.
r1DD�SS : <S'�l�/ �B'�e�e/�o� �9t��• .AD�Rs.SS : � � s� �•
ii0:. S.T7% S�P.EEi: .�Qs� ,(3s�!✓�!'o-�i�� f �SS
?.,�:� ; '¢ BLOCiC : � ADD.�TI(3�t Y -�•`3�tS�1>-ssc� f2/�r�.�r T. /5'r. ,,�'rd t�o�e�a ��o �'t
Cfl�:']� LCYT: INSIDs. ZOT: 6� SL��'_�: SID�1'A��A:�,��,
Ag�li�ant ��tach �o c.his fo�n, '�o C�rtifi.c�tes o� SL'�r�Y o� I,oL an� pxo��sed
buildi.no loc�tion dr�,an oaa �h��� �erti�i�a�.�s.
�ESCRIPTION OF BUILDITyTG
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�','"9il�t►►'d'X W11R1�! A,YR: !6J►� `�'�AL
�arnace Shell & Duct �'�rk . . . . . =i0.00 �
Aeplacement oY �tasasee . . . . 6.00 =
��paArs & �:ierat3o�as--�� 40 �SOI►.00 6.0(p $-_ __ _ _
=a�pair� �e Ai3.rra2ions �ch a�, �btD13.04D . �.(3d� �-�.�--. -----
g��. w�ar u�
..'�Lrnace Shell dc Ihut Worl� 40 1�0,000 HT[T . . . . . . . . aiQ.00 $—�
e�Cb add. 60,000 BTU .. ........ ... .. .... 3.W 1�
ReAlacernm! of �rnace g.00 �
Repain & Alte�ations--up to ES00.00 �.00 {
�iep�irs & Alteratfona each add. :500.0p 3.pp j
;r:-'d'�a�i or NOT rN111'E�l sYSTEI�t
3�`Y�ace She21 de Lines-to 400 �q. tt. l�3Ft Staun �10.00 �—�---.---
*�ixrnace Shell & L'en�-to 640 sq. ft. E7JR Hot Water 20.00 S_-
Esch add. Z00 aq. R. EDR Stesm 9.(xt :... _____
Each add. 320 sq. ft. EDR Hot Water 3.00 �_._
OIL EIIANER-to 3 gal. per hour
over 3 Qal. �ssr hour�ee !'ee Schedule
�AS 1dIIAl�ER tup to 199,000 BTU)
over 199,000 B1'[I � Fe� �c�dul�
R�. ,t:. ��l
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City ot !lidley:
The un€4e�s��a� hereby m�_'ses applic�B[��► g�ra � gserre�it P�s ���:-�: ���Hc ����
�pecified, �ig�c�ir� to do .�1➢ w�s�z in striet aec���ce wa4h �:�: �C�sy c�
a�d sul�nm af the �epaa4rsers8 et �uildings, a3id taer��y ai�A�=�w 4.t�i€1� �3�' g�ae £�;���
and rey�resentations sL�Qed in 4Tais applieation �re true �and �r2M.
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P4�idley, Mia�n _��-�L___F E�%�
L P4 .
OwnPl ���1�� �L ' �7_�t ? �,�� ��' � l-.' r � 1 .1 . � %"'C'' (r- r' '�
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Kind of Buildin� ..___,��
v� ., __ �� �'�.-t'��.�.�- — _ _
To be completed about ____�___�__._..
t �zJ
Estimated Cost, ;__.._J_'�G�'-'_--- --
Oid-Neru. Bulldin� Permft No. — P�rmit No._ �� L�
��rrar o: woac
8.00 ; - __ ._.t '
H!'.ATING ae POW!`1t PLANI'P�a3te�m. Aot Water� Warm Air-Nc
{�.00 _ r � i'lade Naltle , -�-;- -,.� _-v� _� Sjye uin F�,�/�„�� �� //�_
GJ1s FITI'1lIG FEF.a: 1�0 R1►TE TOTAL
Ist 3 FSxtures x: 200 t •/'°�
Additional Pixtutea = ,� :
Gas Range to 199.00G � 6 0� _ —
J1IR C011DI'R011Iwa
PAIi liEJ►TI1�0 sT!?Dt
YE117'ILA1'UIG aTL'!'aM
ALn�u►riors � �r�ns
AOi1(3H
�at. 9- /a - 7 �j
#� ' �
� !» /�i�l� •
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� To�rai. rss � ��
:5:. ._, . "r $ .5'11
Capacity-- // l> ✓>;- SQ. !'t. �.D.R B'1'U i%P
Total Coanected Load lUn� �� G
i
BURNER - Te�de N�me Siu Nio�.._._--
C�P�b S9. !'t E.DR ST(J i�i*
(lEMARkf-OY[R)
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. ' . 53-�3l�-9915051 � � ' • �ifi�► ��t �ic`ie`l .. . . . � ' .
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' � . ���rlic:�:i�n ���r �'lc���� :x �:� �.;� ��1:, � ie�;;�� �'CT�::•i� . � ' . . .
� • ' �,.,�_l..,...,..._. Doy�t. oi IIldqz. phone S:'J.3S�i0 ••
D�SC?IP:I021 O: �701�% � � ��� • •p
2:uasS.:. Y.i,s.3 n..Zd I.ecr:i�» o! Ff�t�_:es , .. � . •
City of Fridlcy:. �
� � � .c ' V s O � wAtt� MYX.
L s" r t '� '� T I= Z Q V 2 , • .•
�;~ �: ? � I �.I: $� i� --�� 7� 7- � w r.�s ncc. T'hc undcrsi�ncd hercby makes s�p�.ication tor a r.ermit Icr thr aosY he
� M i� � i� ��, : o �w ��� �u � o. tu $ speci:isd, a� cc:ng ta do �1 �vc:k :n st�ict �cco:Car.ct wlth tFe CE�7 O:'�s�
rn ii � 3 �S � � ,
1 a^d ruIing ei the Dcp:►::r..c:�t of IIuil`la�� a:►d hueby declares ��►at s:t t-`�e 1
g�:e 1 .�, and reP=escr.t; tlons s:atc� !n L`::: xpDScai:oa :re trLe srd co:rct�t' .
1.. � ins 1 .... � 6-25-?6 19
-' r''Z-'idley. b:ius�
2: � � -- I� arris Levine ` _�
Owncr
3td
�.y � ' Kind of B;iilcfing fr .
• - Cca ::s::d �it's res.
• FL`.::e Gc: :�:'.:�:a CrT.c!r.:- ucc�o:
❑ Uscd as
t?{av FS:::ura. Old a'is:ir.�s Cc:.:�c.ol [] . . 7-2-7ii
_, ..^__. ..---, ------ • , To be co:r+pleted about .
PARTIr�L RATE S�H�DULE
: L�SSII�G F'1:CTU?F. R1lTES: . 2:0. RATE , T07AL
��'���T �XiULQS • • � • • • • • ► • • � • • • • .,.`�••.� X v�•d'�• s
�1it�T! flX:tl[C njlCiltil$ • • • � • • s • � � • .��- X �Ji.��iQ S , �....��
1!W Fiz.�re O;ci Oy�rJnY• � � • • i • • • • -- x S1.`5� _"'�'••'•'���
C�tch i3asin • • • • � � � � • • � • • � • • • • ♦ •
_ X �.ZrJ S
c
�Ystet i{e�ter 'L'p to �v9.OG0 BTU� • • • • ----- x .3 fA S
c
' �ew G:o��d Rua 013 B:dP. ... :.. ••• ----- X.1.2 S
e� r,;� S
�:�Ct!'d.0 vi1:�S �ASti!• • •� • � i � � � � � � � • �.. s v�.
��.S :T?Tt1G FL�'3: ' ii0. R:, � 't07�L
. 1st3Fixtcres •�•••••����•••••�• .��XS2.� ♦,.
,
. Ac:.altl�aal F'ixtuses ..:.....,...... --......-- x $ .75 S - �
I ' . ^ .... ._._-..--- x S5.00 L.._.-.--
`w B� •��.��•
Ci.t R.._a2 t0 l�.OG� ,
0
Estimated Cost. S 10 00 �
P•so9t :�a. � �
Otd--Iv'ew. flui:ding Permit Na. , —
• SiZr'�cd
• . , gy G9a��..� •
Busia��.s F'h�r.e �I�IN F(`ACrn
� � ROUGH
FIN.iL � ' Z �?�-
. � . . •
� • . .50 S'tate Surcha:5e .
P.r'?i:.°•3 k J►L:F°J�TIOXS--P.�:•r !o Cods . • ' .
4 '�.-�,
.I�e:ctly:�oA ............... :........,........«......$ . � '_ . . ��H , _ �
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.97—$�t—�t16051 /�PPLICATION FOR PWMDING tiN� Gns FlT'f[NG �EW�11T ,
' � >, �� �� u yC v ' Hater 7ob Address 5577 East B�'varian Pass
n w A p ��C a A � p� t�v � � lieater ".
�° � u � � � m �• .� � � N � G F v � � � Department oC 6uildln9s
4 � H e f, x c c 9 Q l� �.� d,c u � Cily oE ['ridley
p � O +1 � {n �C. IA �.1 � 0 0 l+ VI U u` N �'lA Vi
,�+ .. u m q ..+ d u o.c .1 ro a a m b N ;as :lec Tel. N571-3�50 ,
'I u1 �. c U � q p7 N- � A 4. u1 G. U 0.7 R 3 � � l� O
� Tha undorsl,gned hereby makes application tor a permlt for th�� �+ork hereln
�� -- — — — _ .
epeclfled egreeing to do all work in strict accordance wlth thr City Codae
� lst � . �21 �T' pl Ce �rit� and rulings ol Cha DeparcmenC of Huildings, and heraby declarer thet ell
f, , — -- tlio facC:i and repr�aunl:nLlons et�tod Ln thie o����llcation aro tkuo and eorroct
� 2nd � .
' --------,---- — - FridlaY� ��tr�, 9-10-79 , 9
` ] rd -- 1.
t---- — ------ — —
� 4 J� ' OWNER I,CV1110
KIND OF QUILDINC � �a�
f(H) o Flrture Connectlon Opening Connacted wiCh Sea�er "� ,
� •
i('1 � Neu Flxtura, 01d Opening W�t� USL•'D AS I'��. �
' , To a� co�-c�c.c��e� Anou�r 9'17'79 '
� PARTIAL RATE SCI-iEQULE ' � ,. ,� ESTIDIATCD COST l�O.00
PLU�IBING FIXTURC R.1TES� N0. RATE TOTAL OLD - NG4� QUIL�ING PERh1IT �ao, eeti�rr c�o. _�,(�_
1 �ua�:� et F lx t ur e s x S 3, � 0. $ ' ���� ,� j��' �ri..
Fv[ura F:xcura Openin9 x $2.00 $ Company �
, �,�NfV�vA�CC�
l�e. Flxture, Old Openln9 x $2,00 S Signed Hy
Catch Basln ' x �55,00 $ , ,'�
Nacer fleatar - to 99,000 BTU ' x $5,00 $ Tel, ldo, •
100,000 81L to 199,000 BTU x 510.00 $
W��uc Sotcener x $7�00 $
New Giuund Fa�n Old Buildirq x $5,00 $ AOUGN INSP, • ,
' � Da Co , . '
Glcccrlc N�ter liea�er • x $5,00 $ '
G�S FITTIh'G FEES; � � ' Flr��r. u�se,
lst 3 tlxturas � x $3,00 5 Data , • ' � �
A:1.11c1on�1 FLxcuras x 51.00 ' S • ,f�( �
• � APPROVAL FOR PEii�1I'P � 1't'�
Ws x�n9a to 199,000 9Tll � x $j:0,00 $ �
REP�IRS $ ALTERATIONS ' ' ,
Fl:st 5100.00 $5.00 $ ' '
eech add. i100,00 or traction $2,00 $ MINIMUtI FEE FO(� /,t�Y PLUISBIhIG PEN�I'C �S 67,50 p�US $,50 ST}.T8 6UfiQU,f�G¢
. Seat� Surchar9e $ ,50
� TOTAL ��re S $.00 �
� ,r,�
ti�
ftELIISPECTI01� F(:�
� '
sue�ecr PER
City of Fridley 2 2 0 7 5
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
� � N�.
� �` ____ COMMUNITY DEVELOPMENT DIV. �n - (
r � v � PfiOTECTIVE INSPECTION SEC. `l��
i_---�; /""{,,� CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APP1iOVE0 BY
Z 612-571-3450 910-F15 8/26/93 / �
JOB ADDRESS 5577 East Bavarian Pass NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE AT?ACHED
oescR. 4 1 Innsbzuck North Townhouse 3rd Addn SHEET
2 PROPERTY OWNER
MAIL ADORESS 21P PHONE
Renee Rivera
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dicks Fire & Storm 864 19 Ave SE, Minneapolis, MN 55414 781�6170 2481
d ARCHITECT OR DESIGNER MAIL ADDF;ESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRtBE WORK
�roo� Garage (Tear-o���
9 CHANGE QF USE FROM TO
STIPULATIONS provide. smoke detectoxs as per UBC 1210. adaacent to all sleeping areas
and in basement,
TYPEOfCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED 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 VAIUAT�ON SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO $480 $. SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $1rJ.00 Fire SC $, 4S
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE T07AL FEE
License SC $5.00 $20.98
S�GNATURE OF CON'RACTOA OR AUTHORIZED AGEN1 IDATEI ROP Y VALIDATED THIS IS �VjO R PJER 911T
V C.� V
SiGNATURE OF OWNER iIF OWNER BU�LDEA� iDATE� � �BL NSP �1A7E
rtEw
ADDN
ALTER
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[l
iJ
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application �
Effective 5/26/93
+. .
Conshtiction Address: �� �% East Bavarian Pass NE
Legal Description: G. � r �,/ ,�Lac �� 1�;�5t� clr � 11��ftr�..����- ���D
�wner Name 8c Address: Te1. #
COIItCdCtOF: Dicks Fire & Storm (Richard J. williams ) MN LICENSE # 2481
A�i'eSS: 864 19 Ave SE, Minneapolis , MN 55414 TC2. # 781--6170
Attach to this application, a Ce�tificate of Survey of the 3 � a- 2 s so
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROYEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Leng#h � Width HgtlGround Sq. Ft.
OTHER: Reroof Garage ��,� ,��� �
Corner Lot [] Ia�ide Lot j] Ft_ Yd Setback
Type of Construction:
Approx. Completion Date:
Driveway Curb Ct�t Width Nceded: Ft. + 6 Ft =
Side Yard Setbacks
Fstimated Cost: � y�'o `°
(Cost on Back)
Ft x S = $
DATE: 8/26/93 APPLICANT: -�� ���� , Tel. # �a1-61�0
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
0
T�TAL
C��F`��1�:l���
$ Fee Schedule on Reverse Side
$ .001 of Permit Valuation (lll(�h9�)
$ $.50/$1,000 Valuation
$ $750 per SAC Unit
$ $5.00 {State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Alwve
$ Conservation Plan Review $450.00
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary ( ]
� STIPULATIONS:
.
- sus�[tr �
c�ty of Fridley
AT THE TOP OF TME TW�NS g � I L D I N G P E R M I T
i+
i �• COMMUNITY DEVEIOPMEN? OIV.
v PROT@CTIVE INSPECTION SEC.
, _"'
r s ;
, � .
� /'�'1 � CITY HALL fR10lE� SS1�2 NUMlEp pEY DATE P�GE Of
�.._.� ' '•� 612-571-3450 910-F15 2 / 24 /00 / /
�os �ooRess 5571, 5573, 5575, ast Bavarian Pass NE
t IEGAL �OT NO. BLOCK R AOOITION
oescR. 1,2,3,4 1 Innsbruck North Townhouse 3rd Addition
2 PFiOPERTY OWNEii MAIL AODR�S$ ZIP PHONE
Various
3 CONTRACTOR MAIL ADORESS ZIP PHONE
North Central Builders Inc 7401 42 Ave N New Ho e MN 55427 533-61
4 AiiCHITECT OR OESiGNER MAIL AODiiESS ZIP PHONE
5 ENGINEER MAII ADOfiESS , •' ZIP PHONE
6 USE OF BU�LDING
Townhouse Buildin
30684
IPT NO.
�a�
vNOvEO ��
SEE ATTACMED
SHEET
LICENSE NO
3763
LICENSE NO.
IICENSE NO
7 CIASS OF WORK
_ O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside Townhouse Building _
9 CHANf3E OF USE FROM TO
STIPU�ATIONS
Call for building wrap inspection before covering.
TYPE OF CONST.
SEPARATE PERMITS ARE iiEOUIREO FOR EIECTNICAL, PlUM81NG, HEATING.
VENTIIATING OR AIR CONOITIONING.
TMiS PERM�T BECOMES NUII AN� VOID IF WORK OR GONSTRUCTION ZONING
AUTMORI2ED IS NOT COMMENCEO V�/ITMIN 60 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOEO OR ABANOONEO fOfi A PERIOD OF 120 OAYS AT
ANY TIME AfTER WORK IS COMMENCEO. NO -0WLG. UNI
1 HEFlE9Y CEfiTIfV THA7 I HAVE pEAO ANO EXAMINED TMIS APPIICATION
ANO KNOW TME SAME TO BE TRUE ANO COpRECf. ALL PROVISIONS OF LAw$ yALUA7tOrv
ANO ORDINANCES GOVERNING TNIS TVPE OF WORK WILL BE COMPLIEO
WITM WMETMEA SPECIFIEO MEREIN OA NOT. TME GRANTING OF A PERMIT �IHi%9%
OOES NOT PRESUME 70 GIVE AUTMOii1TY TO VIOIATE OR CANCEL 7ME pEqMITfEE
PROVISIONS OF ANV OTMER STATE OR IOCAI LAW REGUTATING CON-
STRUCTION OA THE PERFOfiMANCE Of CONSTRUCTION �3OZ.ZS
P�AN CHECK FE
2-Y ++,� Licen
S�GN�TUpE OF CON' Op Op �UTMO EO �GENT �D TE� ME I
S�GN�IUpE O� OWNEp��� OwNEp BU�IDEA� IDATE� _ G�N!
OCCUPANCVGROUP OCCUPANCYLOAO
SO. fT CU FT.
OffSTpEET PARNING
STA�LS
¢• V VA
r
GAfiAGES
$9.40
SAG CMARGE
ire SC $18.80
TAL FEE
$340.45
ED fH15 IS �OUp PEpMtT
i �
� �
nut
CI-I�Yi�F FRIDLEY INSPECTION DIViSION
,b'431 U:�iversity Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRiGERATiON AND AIR CONDITIONING SYSTEMS AND DEVI�:ES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fili 0ut Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - AIF Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1�Jo ofValue of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 3Q.OQ $ 0���
$ 10.00 $
$ 10.00 $ �
$ 10.00 $
$ 25.00 $ ���
$
$
State Surcharge
TOTALFEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $�5.00
PLUS THE $.50 STA7E SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
�
,
$ .50
� � . ���
Eiiective On January 1, 2002
5126�� 3
J08 ADDRESS '7'7 �''�"5°T �DA1If3+�t A� �}}-5�
OWNER ��'4'c� ��tf�c�s��
BUPLDING USEDAS -7�-�''�-� �`�"
R
ESTIMATED COST _�'r PERMIT N0. ����
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating�nits l Circfe One (Steam) (Hot Water (Warm �
Trade Name v�'� Size No. ��•z-N-E�7
BTU N1�'� ��F-s HP EDR -
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP ____ ED
The undersigned hereby malces application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
HEATING CO t��'
�
Signed
FAX #
' A rov B � �
pp ed y� Rough-In Date
DATE �5��-�
,Q� � N �
TEL # %L�.��--�.�'�—�`l4 %
�-�-
�,
��Z�- ..
Final Date � � � ��
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
C'(�MMnN VENT,,IFNT CnNNFCTOR AND COMB�1STInN AIR VERIFICATI(�N
When rPUlar-ing an existing f iri anr.P, the undersigned hereby venfies 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.
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 existing como ,� ion air is sized anc� instialied to rre�t the current �,odes
and manufacturers specifications.
When required to ins all a n w_omh ,� �on air�,it will be sized and installed
to meet the current codes and manufacturer's specifications.
When installing a new ventin�yVS�, the undersigned hereby venfies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent conneetors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes ( ) No`(�j
Yes (�' No ( )
Yes ( ) No ( )
Yes� No ( )
Yes �j No ( )
�
Yes (�f No ( )
:•• .� •- .�• •uu•� -� .�. -� •��- . � •u�. .�
�
. r
Appliance #1 Type � f'Cs'R�� BTU Input 'Z.�� Fan Assiste�,0r Nat '
Appliance #2 Type Cc�/�H BTU Input �� Fan Assisted o `�
Appliance #3 Type BTU Input Fan Assis or Nat ° � r
Totai Appliances Total Btu input �� ��_ ���
�
Common Vent Type ��-�5 � Vent Height /,�-� Diameter � inches
r
Appliance #1 Vent Connector Height .� ft Length 3 ft Diameter _�in T pe C��s �3
Appliance #2 Vent Connector Height _� ft Length ? ft Diameter �in e s �
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
l� t�.;,� � Z� l!� 7�-�-r 'T� �<<
HEATING CO: �' «� � ���'Tl'�'� c7�A.S' / N �
Signed By: Date : ��E�-�
_
_
CITYOE
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
Apri16, 2004
Mr. Bryce Johnson
5577 East Bavarian Pass
Fridley, MN 55432
Re: Final Inspection at 5577 East Bavarian Pass NE
Contractor: Superior Contractors Inc
Dear Mr. Johnson:
A mechanical permit was issued on May 20, 2003 to install a furnace and air conditioner
at your address. According to the 1991 Uniform Mechanical Code a final inspection shall
be conducted on the work authorized by this permit. As of this date the inspection has
not been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permit open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification and the permit will be expired.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh
:ITY OF FRIDLEY INSPECTION DIV.
431 University Ave NE
'ridley, MN 55432
763) 572-3604, FAX (763) 571-1287
Effective Aprit 1, 2004
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOQR
�j��._ �,.��
��"
'LUMBING FIXTURE RATES:
Jew Fixtures
)Id Opening, New Fixture
9eer Dispenser
tlow Off Basin
;atch Basin
tain Water Leader
>ump/Receiving Tank
Vater Treating Appliance
Vater Heater -Electric
1later Heater - Gas'*
�as Range*•
NO. RATE TOTAL JOB ADDRESS �t�vw�z •�.S o'L�) y��
�
�as DryerY*
3ack Flow Preventer Required ()Yes () No
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$35.00
$35.00
$35.00
$10.Q0
$10.00
Type $15.00
teinspection Fee $50.00/Hr
�LL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.25% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
The undersigned hereby makes appiic:ation 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.
CLOUTIER, MICHELLE
5577 BAVARIAN PASS EAS"i
FRIDLEY, MN 55432
OWNER �763) 502-7638
� BUILDING USED AS �51 ��✓lG�
�/� , 20 � ✓
ESTIMATED COST �� D� PERMIT NO.
PLUMBING COMPANY O �i �1 �►� r
SIGNED BY � _ TEL N0. �%12� 1TZ%—�033
Approved By l Rough-In Date Final Date
$ •�
MINIMUM FEE F ANY PLUMBING/GAS PERMIT IS 15.00 ar 5°� OF COST
$�S � OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE.
I�OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. *;PROVIDE COMMON VENT INFO ON BACK SIDE
��r S
ivEVV [ ) �
ADDN []
ALTER [ ]
Construction Address:_'S�%�
Legal Description:
Owner Name & Address:
Contractor:
Address: �G?"i C
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction
CITY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�
��� -�1 �'L��-
Effective 4/1/2004
(763) 572-3604 Bldg Insp
(763) 571-1287 Fax
Tel. #
MN LICENSE # �C'>� �
Te�. # l' l.2 S��—�' �J �
�.
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width
Length Width
Height Sq. Ft.
HgUGround Sq. Ft.
Cost: $ lG��) �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: ��� �„�, APPLICANT: - Tel. # �I� ��,T�����
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-579-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
� ��-S�s�
$
$ � �
� E . �
$
$ � , �(�
$
$
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
TOTAL $ � � � STIPULATIONS: