AF - 43002City of Fridley, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
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p��; Darrel A. Farr Dev. Co. Bt,iiaer ....._.._ Same _�� �W�N� �
�a� 5 9 O 1 B r o o k lyn B lvd . Aaaress _.__.__ S a�e�`�_ _�u y� ^�
LOCATION OF BUILDING
Na 5582 S�.�t East_Bavarian Pass . Part of �.ot _
._...._.__.._._.__. _._._
Lot 2 Biock _.14_._ ......—. Addition or sub-nivision Innsbruck No .__T . H. 3rd Add .
Corner Lot _ Tnside Lot .._._ X._._._. Setback _____._..._.._�_.__ Sideyard __.__.____ ...
Sewe�r IIevatian ..�_ .___. ...._ Foundation Elevation ....._ ____....___..
DESCRIPTION OF BUILDING
To be Used as: 12 0 0
T ownho u s e �nt ? 4 t._ Deptn 2 4� xeight ___ 2 6'� Sq �`6 0 0 � F� 15 , 6 0 0
G a r a g e µ� �at 10 . S' �p� 2 2' Height _ 1�_:.� ._.. Sq. Ft. _2 31 � F� 2 310
Type of Constxuction Wo o d_. F r am e__ �� �t $ Z 03 0.10 . 0 0 _ To be Completed __ �� 1/ 7 3
:.,� � , . �• • ♦
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
'the proposed work in accordance with the descrlption above rth and in compliance witb, all provisions o!
OTdinances of the city of Fridley. � 1/ _ ,
In consideration of the paymettt of a fee of $ 3 8'�� _._.., permit is hereby grantea to D 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 upoA
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
dAne in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinanCes oi`
I�'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildingS
pYithin the city limits and this permit may be revoked a t any time upon violation of any of the prnvisions of said
o�'diiiances.
�..� ; Building InspectoT
DARREL CLA
NO'fICE:
This permif does no! aover the consfrucfion, installation for wiring, plumbing, 8as heafing, sewer or water. Ba sun To sw I
fhs Building Inspe�tor fo� sepawte permits fo� these items.
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��PPLICATIO�� FOR RESIDENTIAL, AL��RATION,
OR AllDITIO� BUILDING ��RI�1IT
CITY OF FRIDLEY, biINNESOTq
C��tER' S NA..� : �,�t�-rP/ f,� Far,+-� ,C7�vr/,a�. C'o. �3r.iILU� : �Q �+ �°.
r1DD�ESS : �S9o/ .C�/'aolt/y� �1 uci. ADDR�SS : S � �'s "`
NO :. Sa� 8�L STREET : .EQs� .C3Al�A's�i 4h f Q SS
IAiI L BLG�CK: /'¢ ADDiTION•..r/�ss.fgr.�c� /l/'orf•i T, h�. .,�~1�Ii�cl�li'�j��'t
CQ�'T�'_�t LOT: IPiSIDE LOT: d� SE3'B�C�: SIDEYA.�:��
Appli�ant a�.t2ch to this farn "s�o C��tificat�e� of Su�sr�y of Loi �.nd pxo��sec�
buildi.ng location dra�m ozi 2has� �ertificat�s. �
DESCRIPTION OF BUILDING
To Ba U�ed As:
�t,arr� 6lor,s.t� F�on'�: .Z�� ��pth: .Z�� H�ia��: •�/��
/.2 e7 0 -----
Squaxe �'�ett GOO Cubic �'�et: /s. tc�0�7
�' Ay��� ' Fxoxtt: fd,S� �epth: .Z.� � Aei,;hL: �d �
Squar� �'°e�; .Z�! �ubic r�Y�t: .Z3/D
�Pe of �onst:-uc�ion: �%do� �I�"�.�•� Es�i3a�ed �o��; �
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To B� �ompl���a: 7- / — 73 °?6, ° �� . �
ThV unde��i��zd haraby r�a'�c�� apolj�a�izrn fo� a���sai� �o� �,�o _work her��r�
�paci�i�d, agre�ing to �o �all �0�4 in sy�i�t ��co��anc� �ri:� t�*�a ��.�y ��:
k'ridl�y {i;��ina�ces a�d �uJ.��� oz ��� ��?�rt���t o� �u�.l�ii�g.s, ar.d ��'�:�'�y
cl�cla��� tnat all �h� fac�s �nd rLpxA�On�a�ions sta}��. in �i�is �po1�.�3,:N.an
nxQ tzu� end cozrQc�.
I'�T� : /� ;./.�.�– 7i1. �a�' �>i�'sti �'.r. :
{S�? R^v�r�sp Side i�o� ��ddi�iona."! ��zo:�.ation.}
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Plumbing Fixture Rates: N0. RATE TOTAL
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I� Number Fixtures /Q x$2 . 00 07$ p.p �
iFuture Fixtures x $1.50
�' New Fixture-Old Open. x $1.50
Catch Bastn x $3.25
� Water Heater-99,000 BTU / x$3.00 �-U v
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Ground Run Old Bldg, x$3.25
� Elec. Water Heater x $2.00
;i Gas Fitting Fees:
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lst 3 Fixtures / x$2.00 0?. UU
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Additional Fixtures x $ .75
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i Gas Range-199,000 BT[J x$5.00 !
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! Repairs & Alterations
ISee j
� Description; Code �
' State Surcharge
.50
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I TOTAL FEE $ aS^. S�
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�The undersigned hereby makes application for a permit
�for the work herein specified� agreeing to do all work
in strict accordance with the City Qrdinances and rulin
of the Depaxtment of Buildinge, and hereby declare that
a11'th� tacts and representationa atated in this I
application are true and correct.
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City of Fridley
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Job Address
wner —'
Contractor
. 53-8��-5-915.51
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PLUMBI�Vr, PER�IIT P,PPLICATI����
55�2 �,ast Bavarian Pass
Darrell_ .A, Farr Developement
of Building
etion
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Use MPLS.� MINN.
Res.
stimate ost
10.00
Plucnbing Fixture Rates: N0. RATE TOTAL
Number Fixtures x $2.00 �^
Future Fixtures x $1.50
New Fixture-Old Open. x $1.50
Catch Bastn x $3.25
Water Heater-99,000 BTU x $3.00
Ground Run Old Bldg. x$3.25
Elec. Water Heater x $2.00
j Gas Fitting Faes:
I
lst 3 Fixtures x $2.00
� Additional Fixtures x $ .75
j Gas Range-199,000 BTU 1 x$5.00 5.00 ,
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� Rep,airs_ & Alterations �
See I� Description; Code
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I A l.i3l.0 �urcnarge Class �'A� Surcharge .50� . 50
� TOTAL FEE $ 5.�0
!The undersigned hereby makes application for a permit
'for the work herein specified, agreeing to do all work
in strict accordance w ith the �ity Ordinances and rulin;
of the Department of Buildings, and hereby declare that
a11'the tacts and repreaentations atated in this
application are true and correct.
„���'�' �� � ,�
� "Sig • ' � Date
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�CA:;OII � �O`w/ir' �!! � �, �`►00��!!4� rM�'1�. R�l�f0�00 ad
� �:011l��OA� S�IIK � �l1I�C�!
PAti�`IAL R�4TE SCHEDULE
a�� ar� �►nt: �ra rotxr..
llans�cc 51�11 dr Ilhict �e�?c . . . . . il0.A�0 �
Replacement of F�rnace 6.00 �
Repairs d� Alterations---up to fSflp.00 6 00 S- ___ --
ReD�irs dc Atteratton� each add. t5d0.00 . 3 U(1 f--- . ---
MLCii. WA11i[ AIIt
�iiDiCC .�l� a[ Ti11C'� W6!'T[ t0 1i0,�Q B�
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eae� add. A0.000 B'I'tT . . . . . . . . .
Repltcement of l�rnace
Repairs d� ATterations--np to �.QO
Repairs & Altesations each add, s500,OQ
G�
E10 0(3 :� U .
3.W ;
6.00 =
6.0a i--
3.00 =_ __�
STEAM o: HOT WATBR 8YS'tE1[
fl�rnace ShelI 3� Lines-to 400 sq. !t. �'.DR Steam �20.40 � --- - - _- -
i�unace Shc�i1 & Line--to 640 �q, it. EDR fiot Water 24.00 s_ _________
Each add. 200 aq. tt. EDR Steam �.fxl ;_ _..___
Eact� add. 320 sq. tt. EDR Hot Water 3.00 S-- ----- _
�IL SIIRNER-to 3 Ba1. P�' hour 6.00 S--- -- --
over 3 gal. per hour-See �'ee Schedtile _
GAS EIIR1fER (up to 199,OOQ HTU} 6,p0 = �S.' �
over 199.00Q i3'1'[I SK FM 8cladul�
GAS FI?TII�iG FEES: 1�Q AJ►TE TO?AL
1 st 3 Fixtures -- x= 20Q S-- �-�
Additiarrat lf� _— x .76 i-- ---
Gas Ran�e t�r 199.000� :; b.00 i �
�IIE CO�tOI�I�Q
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CitY � �'idle�:
The undersigned hereby makes application for a permit for the worf� herei� _
specified, agreeing to do a❑ work in strict accordance with the City f)rdioance�
and ruling of the DepartmFnt of Buildings, and hereby decLres that aIl tbe fact�
and representatiuns stated in this applicatioa are true and COrteet.
Fl�idley, Minn_--- - - ----.,14 �
� ,�`p
Owrnr __ _ ��t_%Ln � U' ,� �r-
Kind �f BulldingL���.�o _
�Jsed a_c - - -G�a�!�GEik✓✓±�' ---- -
To Fie completed about - - -- --.-_-.--- _
Estimated Cact, S _ _ . - ---_ ---
Uld-Nerv. Building Permit No. -_--- P�rmit No. ��� �
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D'E�CAIpT[Ol� OF WOII[
HF..ATING or PO'WEA Pi,ANTB....Bteam, got Water, Warm Air-No _
Trade Tiame�-�--- - -�/ g� �,����� 3 -//h
Capacity_..1_L1�— 3q. t't. E.D.R B'!'I7 g,g-
Total Connected I.o�d 1[ind e� iLe
BURNER - Ttade Nan+�_ giu Np
GDadtY 34 !R �.D R BTU $�
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SUBJECT
City of Fridley
AT THE TOP Of THE TWINS g U I L D I N G P E R M I T
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:� A� �""1 � CITY HALL FRIDLEY 55432 NUMBEA
��_'J\.� �.J
612-571-3450 910-F15
JOB AODRESS
5582 Eas.t Bavarian Pass N.E.
1 LEGAL �OT NO. BLOCK TFiACT OR ADDITION
DESCR. 2 14 Innsbruck
2 PROPERTY OWNER MAIL ADDRESS
Harland Petree 65 Jackson Stree
3 CONTRACTOR MAILADDRESS
FGiSCO %� � W-S � T.��CP S'I'.YPPt ��� C
4 ARCHITECT OR OESIGNER MAIL ADDRESS
5 ENGINEER MAILADDRESS
6 USE OF BUILDING
Residential (Townhouse)
7 CLASS OF WORK
PER
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RECEIPT NO.
REV. DATE PAGE OF APPROVED BV
6/5/ 79 / /
SEE ATTACHED
.. _ __ ,. . SHEET
ZIP
ZIP
ZIP
PHONE
PHONE
UCENSE NO.
LICENSE NO.
LICENSE NO.
❑ NEW O ADDITION ❑ ALTERATION X REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Fire Repair
FIRE DEPARTMENT MEMO
T0: BUILDING INSPECTION �
ASSESSING
SUBJECT: FIRE DAMAGED STRUCTURE DATE: June 5, 1979
fIRE HAS OCCURRED AT
5582 East Bavarian Pass
DDRESS �
June 1, 1979
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FPB-6
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CITY OF FRIDLEY
APPLICATIOP� FOR RESIDENTIAL BUILDING PERMITS
(New, Altera tions, Additions, or Repairs)
. �
� ��OWNER: �-�i� %%
/ �
ADDRESS: �� �l �
J��c. ��Z��v
TEL NO : ��5 - � � ��
,:-
BUI LDER : � � ����,.fi--
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ADDRESS: /% 12.�• �,��,� �,a�,
TEL N0: �-� 3 -�-�%%
Construction Location
STi2 .�+ T NO : � .S c�-� STREET: � �GIiL'zl-v1� �-Z ��_-Q/.J
LOT: � BLOQC: � ADDITIONs ��L�,;�2�� /Gd • ��� � 3YX,
Corner Lot: Inside Lot: �_ Setback: Sideyards:
Applicant attach to this form two Certificates of Surv�y of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOtJ OF CONSTRUCTION
' �Zl' % � �ti� Front: Depth: � Height: _
'_'.�C/��
Squ��e Feet: Qzbic Feet:
Front: Depth: Iieight:
Square Feet: Cubic Feet:
Type of Construction:
Zb Be �mpletedc
Proposed Driveway Width If New Opening Is Desired:
0@
Estimated Cost: $ ��- ��i � "�
Alt. A Alt. B
$ $
SEE REVERSE SIDE OF SHEET
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances and
rulings of the Departmerit of Build�ngs, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE : (n � S�� J S IGNATU RE :
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Stipulations:
�X � ` ��.C�c�
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CITY OF FRIDLEY .
APPLICaTION FOR PWMBING AND GAS FI�TING PERMIT
m >. y �ro o . k v Water
N y m � s�i c.,�i m p +�i p, w � Heater
N a� �-t m H.+ rtf S.� N b sa CL
s�i a�"i N � � �.�i � ,C '� e 3 o c'�i �.�i o x � o w
O O •� N N•'1 � O O � d1 1� [0 N N N ,L'
N ro � � � � •.� ro s+ o x � ro ro a ro ro �+ � �' as lec
y S f] G. vl G.i U GG � 3 C9 � C7 O
lst
2nd
3rd
4th
(R) = Future Connection Opening Connected with Sewer
(*) = New Fixture, Old Opening Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: N0.
Number Fixtures
Fixture Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BT[J
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
lst 3 fixtures
Additional Fix tures
Gas Range to 199,000 BTU
RATE
x S3.�0
x $2.00
x $2.00
x $5.00 •
x 55.00
x $10. 00
x $7.00
x $5.00
x $5.00
x '$3,00
x $1.00
x $�:0. 00
$
$
$
S
S
S
S
S
S
$
$
S
TOTAL
REPAIRS $ ALTERATIONS
First $100.00 $5.0� $ �_
each add. $100.00 or fract.i.on $2.00 $ �
State Surchar.ge $ .50
TOTAL FEE $ �• BD
REINSPECTION FEE
($10.00)
Job Address •5 s � a � � ~ ��,...�
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit £or 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. (� - :.� � , 19�
OWNER ��-G�C ( '_b�-�' �
KIND OF SUILDING �ti[�!
USED AS � �
TO BE COMPLETED ABOtIT /-�G ` 7 y
,.-.�
ESTIMATED COST �1 �,�/� D �
OLD - NEW BUILDING PERMIT NO. PERMIT NO. ���J� �(
Company D��1 T � ` �-� '
Signed By ��� i��_�LE'z-�
Tel. No. j� 5 ' � o� 0 7
ROUGH INSP.
Date
FINAL INSP. j� � %' p �
� Date
APPROVAL FOR PERMIT ����}7�
MINIMUM FEE FOR ANY PLUMBIt3G PERMIT I3 $T.50 pLUS $.50 STATE SURCHARGE
C1TY OF FftIDL�Y
. � �PPLICATION FOR POWER PLANTS �ND HEA�I�lG, COOLIN�, VFN":"ILATION, REFRI�ERATION AND
RIR CONAIT:OtiIN� SYSTEMS AND AEVIC�S
PnRTIAL RATE SCHEDULE
GRl'�V:TY 19ARM AIR: RA'1'E TOTAL ��t Address ����� � t A�
Fiirnac^ Shell & Duck Work ++2•�� $ �����J �T
"ReplacemenC of Furnace 7.00 $
Repa.irs & Aiterations-up to $500.00 �•�o $ Aepartment. of Buildinqs
Repairs & Alterations each add. $500.00 4.00 $_ City of Fridley
Tel. Ii571-3450
MECHANICAL 'NARM AIR:
E'�a�nace Shell & Duct Work to 100,000 BTU
each add. 50,000 BTU
*Re�lacement of Furnace
Repairs & Alterations-up to $500.00
Repairs & Alterations each add. $500.00
STF.�hi OR IK3T WATFR SYSTEb4:
Boi?er & Lines up to 100,000 BTIJ
each addn. 50,000 BTU
Hoiler only up to 100,000 STU
each addn: 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
GAS BURNE R- from 100,000 BTU to 199,999 HTU
(cver 199,999 BTU see Fee Sciledule)
T!-.e unde.rsigned hsreby mak�s application for a permit for the work hereir_
$12.00 $ specified agreeing to do all wcr.k in strict accoraance with the City Codes
4.00 $ and rulings of the Department of Buildings, and hereby declares that all the
7,C0 $ facts and representations stated in this application are true and correct.
7.00 �J �J�,j
4.00 $ r, F'ridley� Minn. / "' � � , 19 //
/! s� "7`
$12.00
4. 00
7.00
6.00
$10.00
i0.00
$10.00
GWNEF.
<J
$ KIND OF BUILDING �/L(LivK%i--
$ � ' ,
$_ USED AS
$
TO EE COMPL^cTED ABOUT I�
$ �STIMAT�A COST r�� L�� G�"�
; OLD - NEW BUILDING PERMIT NO. PEFSIIT N0. ��(�
S � � ,, i
GAS F�IT'IING PI:�S:
lst 3 Fixtures x$ 3.00 $
Add.itior.al I'ixtures � x $ 1.00 $
Gas Range to 199,000 BTU x$]0.00 $
AIR CONDITIOi�ING $
FAN HEATIRG SYSTEMS See Fee Sciiedule $
�'ENTILATING SYSTEMS $
ALTERATIONS � REPAIRS g
Stata Surcharge $ .50
TO�'AL FEE $--r��
ROUGH INSP. REINSPECTION FEE
Date ($10.00) i�INUQ'^�`�� �`t�!
EINAL INSP. �p � 3 ^O � �
Date L/"' - �
APPROVAL FOR PERMIT �� .
� ����
MINZMUM FEE FOR J1NY HEATING PERMIT IS $7.50 PI.US $.50 STATE SURCHARGE
*Attached stack verification form
DESCFtIPTTON OF FURNACE/BURNER
HEATING cz POWER PLAhTS, Steam, Hot Water, Warm Air- No.
Trade Name
Capacity
Total Connected Load
BURNER - Trade Name
Size No.
Sq. Ft. EDR BTU HP
_ Kind of Fuel
Size No.
Capacity Sq. Ft. L'DR BTU HP
� `"' C�� � ��.�0 ",�f� ` ��-
f�� l Company
����� � � b
Siqned By
/,� . �Jp /'
C�CL1�Gt� ��I����� Tel. No. / Q�� �le� 3E�
�
' C ITY OF FRI DLEY
� APPLICATION FOR HEATING REPLACENfENT
�
CHIMNEY AND STACK VERIFI�ATION
THIS FORM MUST ACCOP9PANY STAPaDARD APPLICA7ION �OR HEATING PERMIT FORM.
LOCAi I ON �S=�i��� ��-��2G�u--� '� � DATE 7•-�� ,9
�, .
�WNER c�-2.2 �; 2c��,� ADDRESS ,Q�v,�-�-z---
(
The uRdersigned hereby verifies that the existing chimney ar stack:
1. Has heen carefull,y examined
2. Is free from rust or deterioration
3. t�o foreign objects are 1odQed within
4. That it is securely supported
5. That it meets all current Code requirements
�or size and total BTU connected
6. Total Neatinc� BTU
�'ll Qther BTU
REMARKS
'fOTAL
������" �� � �
C`y' C'Z� OY«-- �L �L�
���--
ti�
� —
���
�
'��� ,� �,� .
��
w
H�ATING PERMIT # "
SIGNED �,�0 �9��C� � �-..�
Lb�ensee
by _ c�Cdt�i .%--t
Address �/�• � ��1�°
Tetephone ��/— C��
Fridley City License � %����
. , / �`'d ��
� �"
CITY OF FRIDLEY
aPPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONIN6 SYSTEMS AND DEVICES
PAR?IAL �TE SCHEDULE
GRAVITY 1VARM AIR: RATE TOTAL Job Address 1S��s � � , ✓���
Fsrnace Shell & Duct Work $12.00 $
P.eplacement of Ftxrnace 7.00 $
Repair.s & Alterations-up to $500.00 �•�� S Department of Buildings
Repairs & Alterations each add. $500.00 4.00 $ City of Fridley
Tel. #571-3450
i�fECHANICaL WAR�t AIR:
Ftirnace Shell & Duct Work to 100,000 BTU
each add. 50,000 IITU
Replacement of Furnace
Repairs & Alterations-up to $500.00
Repairs & Alterations each add. $500.00
STF��2 OR FiOT wATtiR SYSTI:.�f:
Bciler & Lines up to 100,000 STU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each addn. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
The undersigned hereby makes application for a permit for the work here�n
$12.00 $ specified agreeing to do all work in strict accordance with the City Codes
4.00 $ and rulings of the Department of Buildings, and hereby declares that aIl the
7.00 $ facts and representations stated in this application are true and correct.
7.00 $ -�J �
4.00 $ Fridley, Minn. r , 19 /
OWNER C-�[.V��'./�--- �����✓J�/ —
S12.00 $
4.00 $
7.00 $
_ 6-00 $
slo �o s
10.00 $
GAS BURNER- fro;n 100,000 BTU to 199,999 BTU $10.00 $
(over 199,999 BTU see Fee Schedule) $
GAS FIiTING FEES:
lst 3 Fixtures __ x$ 3.00 $
P.d3i�ional rixtures x $ 1.00 $
Gas Range to 199,�00 BTU x$10.00 $ _
aIR CONDITIO�I?�G � S�
FAN NEATIN% SYST'E�tS � S
VENTILATIN� SYST�MS � see Fee Scnedule $
ALTERaTIONS y REPAI RS _ ) $
State Surcharge $ .50
TOiAL FEE $�C3
�—
✓
KIND OF BUILDING
�� . . .
USED AS
TO BE COMPLE4'ED ABOUT� a �' ��� //
��� '
ESTIMATED COST
OLD - hEW BUILDING PERMIT NO. � PERMIT NO. �"/(po(
.��
DESCRIPTIO*S OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name
Capacity
Total Connected Load
BURNER - Trade Name
Size No.
Sq. FY. EDR BTU HP
Kind of Fuel
Size No.
,:�. •,��
FtOUGH ZN5P. REINSPECTION FEE Capap�ty��,f,LUp Sg. Ft. EDR BTU AP
Date (.$10.00) , �,�f t ��j /%��., � � � ,
����V� � "'""Ldi:l�*�� Company .
FINAL INSP. � � ,I'�w�7,
Date ��e��� C„ '/% � �.,n.,2 ��� �^ Signed By �
APPROVAL FOR PERMIT � � � � /. „ C� r�� �,/�%?��� Te1. No. /�/ ' �f�✓�
� y`'x. �
.
MINIMUM FBE FOR ANY HEATING PERMIT IS $7.50
�
_
UTYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FR[DLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
July 15, 1993
Liz Reach, Property Manager
Innsbruck North Townhouse Association
5506 Meister Road N.E.
Fridley, MN 55432
Dear Ms. Reach:
This letter is to follow up on our telephone conversation from
earlier this week. At that time, I re ested your assistance in
resolvin a maintenance \f �� ��'
g Problem at: ,
Currently, there is a large hole ir�=`+he garage between the garage
doors for these two properties. You stated that you would look
into this situation further and contact me so that we may resolve
this matter.
Please call me at 572-3595 after you have had a chance to research
this situation further. I look forward to working with you in the
future on matters pertaining to Innsbruck North Townhouses. Thanks
for your cooperation.
Sincerely,
Steven Barg
Code Enforcement Officer
SB:ls
CE-93-361
sue�ecT rP�=RaVr}.3�3''.°"'�"°�, ;�,:yL
City of Fridley '
AT THE TOP OF THE TWINS 2 2 371
; , BUILDING PERMIT ��RE� No.m�y-rv
� �• COMMUNITY DEVELOPMENT DIV. � � �
r� � v � PROTEC7IVE INSPECTION SEC.
, ,
� � �"'1 � CITV HALL FRIDLEv 55032 NUMBEF REV. DATE PAGE Oi APPROVED BV
�.---�•� �'' 612-571-3450 910-F15 3/28/94 � �
JOB ADDRESS
5582 East Bavarian Pass
t LEGAL LOT NO. 9LOCK TRACT OR ADDITION SEE ATTACHED
SHEET
DESCR. jS Innsbruck Nor
2 PROPERTY OWNER MAIL ADORESS 21P PHONE
3 CONTRACTOR MAIL ADDRESS ZIP pHONE LICENSE NO.
Dicks Fire & Storm
4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP HON LICENS NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO.
6 USE OF BUIIDING
Residential Gara e
7 CLASS OF WOF;K
O NEW � ADD{TION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE
8 OESCRIBE WORK
Reroof Gara e te r- f
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTFiUCTION
OR WORK IS SUSPENDEO OR ABANOONED FOR A PERIOD Of 120 DAYS AT
ANY TIME AF1ER WOFK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY 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 OR NOT. THE GRANTING OF A PERMIT �SOH . SO
DOES NOT PFESUME TO G1VE AUTHORITY TO VIOLATE OR CANCEL TH£ pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � L 7. OO Fire SC . S 1
PIAN CHECK FEE TOTAL FEE
License SC 5.00 23.01
S�GNATUFE OF CONTRACtOA OR AJTHOR12ED AGENT I�ATE� yy ROPERLV VALIDATED THIS IS YOUR PERMIT
�- 3 r�°I . �z �f
�S�GNaTUREOFpWNERUFpWNERBU�lDER1 �OATE� ' gl0 ��FTE
rrEw
ADDN
AL'TER
i�
[l
��
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building P�xmit Applicatiion
CO1lStr11CtiOD A�TeSS: 5 5 8 2 — E a s t B av a r i a n P a s s
�S� �C5CI'1phOII:
Effective 5126193 � �,%
I �
Owner Name & Address: Tel. #
Cp��pi: Dicks Fire and Storm MN LICENSE i� 2481
A��: 864 - 19th AVe. S.E., Mpls., Mn. 55414 'j'el. # 781-6170
Attach to this agplication, a�ficate of Survey of ihe
lot, with the proposed construction drawn on it t� scaie.
DESCRIPTION OF iMPROVEMENT
LIWING AREA: Lxatgth Width Height Sq. Ft
GA�RAGE AREA- Length Widtti Aeight Sq- Ft.
DECK AREA: I.ength - Width �igt/Ground Sq. Ft.
OTHER: Remove and replace roofin� on �ara�e. Install �utter.
Corner Lot [ j Inside Lot [� Ft_ Yd Seffiack Side Yard Setbacks _
T�C Of COIIStNCt10II: R o o f i n g/ g u t t e r s EStiiil3t� eOSt; $ 5 0 8. 0 0
Approx. Completion Dat,e:
(Cost an Back)
Driveway Curb Ctiit Width Needed: Ft. + b Ft = Ft x�
DATE: 3� 2 8� 9 4 APPLICANT: D i c k s F i r e a n d S t o r m
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Parlc Fee
Sewer Main Charge
TOTAL
$
$
$
$
$
$
$
$
$
�
M ��
Fee Schedule on Reverse Side
.001 of Permit Valuation (i!1(}th%)
$.5a!$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B° Above
Conservation Plan Review $450.00
Fee Determined by Engiueering
Agreement Necessary [ ] Not Necessary [ )
STIPULATIONS: �
_$
Tel. # 781-6170
CIN OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOUNG, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BAC�
196 of Value of Appliance or Work
Commercial/I ndustrial
1.25°� of Value of Appliance or Work
Rate
$ 30.00
$10.00
$10.00
$10.00
$ 25.00
\
Effective On January 1, 1998 �
JOB ADDRESS sj'~g,� � �Fl �4+C ��' � 7�F� ��
The unde�signed hereby makes application for a permit for the work herein
TOTAL specified agreeing to do all wark 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.
'� - /�` ,1998
$
$
$
$ ���
$
$
I` ��ilC� v� Q F Q taTS �D �
��� � N �� D �,t � State Surcharge` �50
TOTAL FEE , ���
MINIMUM FEE FOR ANY HEATING/COOLJNGNENTIIATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditione�s can not be placed in a side yard without
written peRnission from adjoining property owner.
OWNER �� I�A-rf��1-
BUILDING USED AS IP�Sr � L�� �
ESTIMATED COST � 7�J� PERMIT NO. �,�lr-
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle 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
SUPERIOR CONTRACTORS I�'.�
HEATING CA P 6121 42nd Avanue No.
,
Signed By Tel No. S� %- c�'� �/
Approved By Rough-In Date Final Date �I
�
FILLOUT BACK SIDE FOR STA VERIFlCATION ON
REPLACEMENT FUHNACE
- sus�ctr PERMIT
City of Fridley 3 0 6$1
AT TNE TOP OF TME TWtNS g � I L D I N G P E R M I T
�
� � .
� � COMMUNITY DEVEIOPMENT DIV. /� +�
y _ � OC
r � � � PROTEC7IVE INSPECTION SEC.
� . �
� _ /'�'1 � CITY MALL fRIOLEr SS132 NUMBER NEY DATE oAGE Of AVIROVEO !�
1.---�' •'' 612--571-3450 910-F15 2/ 24 /00 / /
JOB ADDRESS 5576-5578-558 � st Bavarian Pass NE
t LEGA1. LOi NO. BLOCK TRACT Oii ADOITION SEE ATTACNED
oesca. 1,2,3,4 14 Innsbruck North Townhouse 3rd Addn SHEET
2 PROPERTVOWNEp MAILAOORQS$ II� PHONE
Various
J CONTRACTOR MAII ADDRESS 21P PMONE LICENSE NO
North Central Builders Inc 7401 42 Ave N, New Hope, MN 55427 533-6168 3763
� ARCMITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS . IIP PHQNE UCENSE NO
B USE OF BUtLDING
` 4 Unit Townhouse Building
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION l� REPAIR O MOVE O FIEMOVE
8 DESCFiIBE WORK
Reside Townhouse Building
9 CHAN(iE Of USE FROM TO
STIPULATIONS
Call for building wrap before covering.
TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED fOR ELECTRICA�, PLUMBING. MEATING,
VENTII,ATING OR AIR CONOITIONING.
TMIS•PERMIT BECOMES NUIL ANO VOID If WORK OFi CONSTfiUCT10N XONING SO.fT CU FT.
AUTHORIZED IS NOT GOMMENCED W�THIN 60 OAYS, OE1 IF CONSTRUCTION
ON WORK IS SUSPENOEO OR ABANDONEO fOp A PEfi100 Of 120 DAVS A7
ANV TIME AfTER WORK IS COMMENCE�. NO. OWIG. UNITS OfFSTREET PARKING
I MfREBV CERTIFV TMAT i MAVE READ ANO EXAMINEO TN15 APP�ICATION 4 STALLS GARAGES
AND KNOW 7ME SAME TO 8E TFUE AND COARECT. ALl PAOYISIONS OF �AWS yALUA110N SURTAx
ANO OROINANCES GOVERNING TMIS TVPE Of WOFiK WILL 8E COMPIIED 18 797 r �(� ,(�O
WITM WNETMER SpECIF1ED MEREIN OR NOT. TNE GRANTING Of A PERMIT � �
OOfS NOT PRESUME TO GIVE AUTMOi±ITY TO VIOLATE Op CANCEI TNE pEqMITfEE SACCMARGE
PROVISIONS OF ANY OTNER STATE OR LOCAI LAW REGULATING CON• $3O% . ZS Fi e SC � 18 . HO
STRUCTIpN OR THE PER RMANCE Of CONSTRUC710N
P�AN GMECK fEE T � FEE
,�ay ls� Licens C $ . 0 $340.45
S�GN�tUpfO%CO •GiOpOp• MOp�ZED�GEhr �o�rE� M p Y VA EO TNIS IS YOUR PEpM�T
l,� ,�-�"�"�
S�GN�TUAE O� O�NNEp��� OWNEpBWIDEp� ��ATE� G�NS� � ����t
CITY QF FRIL]LEY BUlLDING INSPEGTION
6431 University Ave NE
Fridley, MN 554:32
763-572•3604 FAX 763-571-1287
RATE SCH D L
Re�idential
Furnace Shell and Duct Work, Burner &
aisa Replacement Furnace
Gas Piping (Ne�v Futnace, Fireplace, Insert)
Gas Range
Gas Dryer
�
��oS - 6����
Effective 4/1/2004
APPLICATION FOR POWER PLAtdTS ANQ HEATING, COOLING, VENTILATI4�S
REFRIGERATION AND AIR CONDITIQNING SYSTEMS AND DEYICES
Fee
J08 AbpRESS ��� �7� �/�"1�/i't2l l�}►1/ / /�%"SS
Total �
Owner �_� .
$35.00 $ ,�S�G 8uiiding Used As l �"'" �'C'��
$iQ00 $ ES7IMATED COST
�10AR �
$10.00 S
*Air Conditloning- All Siies $25.00 $
All 4ther Repairs or Aiterations (List on Back}
1% of Value oF Appfiance or Worlc �
Mlnfmum Fee $15.00 for ReSidential or 596 of cast a�
lmprovement tivhichever is �reatEr on work less than $500.00
Commercialjlndustrial/lnstitutional
1.25% of Yalue of Appllance or Work (tist on Back)
hl�nirnum Fve $35.�0 for Com:nerciat; !nd�.:strial; lr.s!itukien?I
Slate Surcharge
TOTAL FEE
REINSPECTION FEE $50.00/HOUR
$
PERMIT NO
DESCRIPTION OF FURNACEAND BURNER
# of Heating Units�_ Circle One {Steam) (Hot Water) (wanr Air)
Trade Name Site No.
g� HP EQR
Fuel Total Connected Lvad
Burner Trade Name 5ize No._
8TU HP EDR
the undersigned hereby makes applicalion for a permit for the work lierein
speci(ied agreeing, to do all work in st�ict aeoordance with the City Godes
and ruli�gs of the Building Division, and hereby deciares th2t a11 tite facts
and repre5entations staled in lhis application are true and correc[.
`
$ . so HEar�rvG!��o '� Sheet Metai Inc.
� S , So signea
8290 Main St. N.E., Suite 39 Te, �? 3_ 75 4�— �l �C �j
Fq)c �(763) 754-2199 j Fax (763) 754 8
�4� ��� ��o
*Air Conditioners can not be placed in side yard without writtert approval
from adjoining property owner - copy to City
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMEN7 FURNACE '
Approved by Rough-in Date Final Date
\
�
\
,���� �l-sr ��-v�A�e r r�-n� �r�-�s
I�—�z � � �-�y
�0 `d '1d101
FILL IN COMPL�ETELY FOR REPLACEAAEidT FUEL BURNING APPL{ANCE PE�tMiTS
COMMON VEN7 VENT CONNEGTOR AND COMBUS710N AIR IFICATION
When �alacincf an ex�stina fumace, the undersigned heceby vet�es that the
venting has been ex�mined a�d is free from nist, deterioration, obstructions,.
and is securely supported and firestopped where required. Yes � No ()
The venting system is plasticJPVC and meets all wrrer�t oodes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes Q�j'
The undersigned also verifies that the repiacEment unit is a listed asseml�{y �
and meefs the currerrt codes and manufacturer's spec�cations. This does -
includ� AGA-GAMA Category I CeMral Fumace Venting Tables for fan "
assisted and natural draft appliances. Yes (�
-,`:
The existincl combustian air is sized and instailed to m�et the cucreni codes
and manufacturer's specifications.
When requined to install a new combustion air, i� will be sized and inst�lled
ta meet the current codes and manufactur�r's specifications_
Yes {�
Yes�(�
No ( )
No ( )
No ( )
No ( )
When installinc� a new ventina svstem, the undersigned hereby verifies that
it is a listed assembly and meets the cur�errt codes and manufactute�s
specifications. This does indude AGA-GAMA Category I Gentral Fumac�
Venting Tables for fan assisted and �atural draft appliances. Yes No ()
ts the common vent and vent Cennectors sized and installed coRectly after
an appGance has been removed from the common vent and vented
separately as per current codes.
Yes No ( )
qpQli�nce 7Yc�e and S'�ze/Common Vent and Vent Cannector 1�ormation
Appliance #1 Type �✓�'� BTU Input ^� an Assiste Nat �
Appiiance #Z Type � ""� BTU Input ,�e sisted ��
Appliance #3 Type BTU Input Fan Assisted or Nat ,�
Tota! Appliances Tdal Btu lnput ��
, rr
Common Vent Type � Vent Height �_ Diameter � inches
App(iance #1 Vent Connector Height Z� �ength 3��Diame#er �,,,in Type ��
Appiiance #2 Vent Connector Neight �! ft Length �rft Diameter �_in Type —�
Appi+ance #3 Vent Connector MeigM ft Length ft Qiameter �in Type
ALTEitATItaNS: DesCribe
HEA�ING CO: �f(i2.�/t �% ��-'� ,
Signed ey: �t� :
au�` � t ns � t:�t„
�
I2I�%f'�3.t CZTX S�'�,+"iT MET�„ �,VC.
f�rv �z� cz� ��r�rr,�c� ,�.r+�a rr�rL�,c�
82�1) �7�Il�T STI��x N.�., ST� �3�
FItiD��Y, NiINNESOT.� S5� Z
���j,� - ,
tU�" �
` ��
hun�: i�+��754-2�9J
,
Fsx: '16� 75� 2908
��
��
k'AX COVF� SI��T
����: � �� �a �-'
��: ��
�"�`f
F:�� � ���- �rc��- -- �/� > >
�r�m: .
SuJ.�.�sa41 . ��•�'+��i' ��6, 7-�w��C
`�..
J
�
1*Tumbrr uf P�g� (i,nciud'uo�� caver) �
��)OOl�1C'�fs: 11 �_ �� ..,(,,�� �.rc�
�T .�-. � •rJ'C�c
� �`�l �,f� �I�ItQ_.�
�..��� ' .
����
p.1
Rug 11 Q5 1 L:�1 e
S0'd lki.lUl
ALIDRTSS: 5582 E I3J1VA WAN PASS N�
����: sisi2oos T1M�; o4:oa �M
ur's�gc�nax �: HEATING FKNAL
N07'�S:
Provide dpcumentatian ar vcrifica�io� of btawer door ust.
STATUS: INS�6CTaR:
ZNSP�ION 1VdTE$:
�����
p, ;,
� ����
PF.RMI7' NO. 2005-01078
INSPE(.'TOR: DAV� JENSEIV
�y ��-3�'� r�
r �
�''° �_��°
��
L0�I8'd 1�3�Ql2l� �Cl Jllla �2:0T S9GiC-E1G�-�J(1F1
n�,� � i ns 1�: 4�„
Da�tE: 8I91120Q5 R�+evision Date: 8111f2005
Sit�e Information
ACICIT�Sg �: 55�2 East 8avati�n P�ss
J°►ddleSS 2:
City: Fridley Gounty:
Ap�Iication iMo�'irnation
Business Namc: CcnterPaint
Coc�taet P�rson:
O�ce Ph: Fax: Cell P11:
Atld�S51:
City: $t�te: Zip Code:
Ex�sting Gonstruction: Pre 1994.
Project #:
LOt: BIOCk:
$ubdivi5ion:
MN Contractar t.iccn se #:
Combusttoe Ap iar�ce
Water Heat,er. Natural Draft Input BTUs: 3d,p00 Common Vent
Furr�celBoilcr. Fan Assisted i�put BYus: 75�000 Gomrnon Vent
Other Cambu$lion Ap►pliari�es
Gas Fred Direct Vent Fir�eplaoe(s�: Na Gas Fired Power Vent Fireplace(s}: Na
Ga� Fired N�tural Draft Firepl�ce(s): No SOIi� F41@I Appli8r1C�1'S): N4
Exhaust �auipmant
Cvntinuous �cttiaust Vcntilation Capacity (cfm): N�1
Exhaust Fan Rating (cfm): sd
M�kC-U� Air
No Make-Up Air Required by Cade
Minim�m Cornbusticn P►ir Requ�remertls neet,
Appiicant N�me
Glothes Dryer (cfm): 135
Signature/Oz�te:_,
Code Oiiicial (prir�t): SignatureJDaU�:
p 2Wq f;ent,aPoint �'userg�r Mienegnsca. Z004 Mcchanical Codc Guidclints.
p. �
Pagc 1
TOTAL P.00t
Building
Inspections
763-572-3604
DA� !D � I — E
STTE ADDRESS S�Sa '
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
-. "') O .,
❑ OWNER
anDxESS;33'8� �?$ d- 76 � S� CITY
SUBMIT A COPY OF STATE LICENSE
YOUR STATE LICENSE �DRESS:�
WITH APPLICATION pHONE T�
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
❑ TWO FAMILY/NEW
❑ ADDITION
� BASEMENT FINISH
❑ DECK
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGH7:
SIDING
❑ Vinyl
❑ Aluminum
� Other
Vi�INDOW S
IN EXISTING OPENINGS �Yes ONo
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
2
Permit No.:
Received By:
Date Rec'd:
AT�IP
,`
EXP DATE � D ,�7
ITY �p� STATFJ�P � 4 � �
�� "78�' ��� %
S1ZE
❑ GAR.AGE/SHED C7 WINDOWS
�OOF ❑ DRAIN TILE
CD�3�ING ❑ OTHER
❑ SWA�IIvIING POOL
0
iTH WIDTH V HEIGHT
❑ HOUSE & GAR.AGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
IACATION OF WINDOWS
NUMBER OF WINDOWS
$ASEMENT REMODELING SUBMIT:
l. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
Ft.
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
� (USIN THE 97 �.� FEE SCHEDULE)
'' TOTAL JOB VALUATION $� O OCCUPANCY TYPE
Pertnit Fee
Plan Review
Surcharge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation — Minimum $.50
.001 x Permit Valuation (1/10%)
$5.00 (State Licensed Residential Contractors)
$1450 per SAC Unit (Plans to MWCC for determination)
$+68= $x$20=$
$450 Conservation Plan Review
Fee Determined 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 PROCESSED
I hereby apply for a building permit and I acirnowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridiey and with the Minnesota Construction 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; that the work will be in accordance with the approved
plan in the case of all work which require rev' w and approval of plans.
;� SIGNATURE OF APPLICANT _�7� �'� PR1NT NAME�/�Q,(� K�BLy-'S DATE�� D�
�
�
�uilding
� nspections
"763-572-3604
. _�TE � r a d
iTF_ ApDRESS '�j
'HIS APPLICANT IS:
?Rt7t ERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYP�
PERMIT TYPE
TYPE OF WORK:
BUILDIIVG
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS i�
8a —_ BL�v4f ��n Q `
❑ OWNER �60NTRACTOR
ADDRESS:_ _�j �j $ a r_ r5 av t, r r c� �
PHONE: L I:. � Q� (i b' � V`` �.e
N,�E: I'HD At- Home Services, Inc.
sTaTE Lic 2690 Cumberland Pkwy, Ste 300
aDDttESS Cumberland Office Park
PHONE Atlanta, GA 30339-3913
�rGLE Lic# 20268257 Ph. 763/542-8826
❑ TWO FA
QADDITION ❑ GARAGE/SHED
❑ BASEMENT FINISH ❑ ROOF
� DECK ❑ SIDING
❑ SWIMMING POOL
❑ NEW ❑ ADDITION
L�MAINTENANCE/REPAIIZ ❑ REMODELING
�ESCRIBE WORK BEING
'IZE OF IMPROVEMENT
? OOFIlVG
�UMBER OF SQUARES
=:4RAGES
'ROPOSED SIZE:
'ROPOSED HEIGHT:
;EDING
7 Vinyl
] Aluminum
7 Other
i'INDOWS
'1 EXISTING OPENINGS �'es C]No
!R FOR NEW OP£NINGS-DESCRTBE SIZE OF
?PENING CHANGES &
"YPE OF WINDOW TO BE INSTALLED__ �l
,—
;E
. OI
Permit No.:
Received By:
Date �� � _ �
5GJ �(de rt_on�5. Co�
lV� F
� 1 r STATE ZIP �5Y � .?
b � ►� b S
4'S'� 34s - G e 4�
CITY STATE_ZIP
ES
WINDOWS
❑ RA1N TILE
❑ OTf�R
LENGTH WIDTH
❑ HOUSE ONLY
❑ HOUSE & GARAGE
O ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
LOC�Io Q t l��r t�s
t�f-
NUMBER OF WINDOWS �
HT
BASEMENT REMODELING SUBMIT:
I. Existing Floor Plan
2. Proposed floor plan
3. List of siructural members to be used
Ft.
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project
2. Two sets of constrvction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
([JSING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $_____ �� 3�j OCCUPANCY TYPE '
' ermit Fee
'lan Review
urcharge
ire Surcharge
icense Surcharge
AC Charge
:urb Cut Escrow
-osion Control
ark Fee
�wer Main Charge
'otal Due
$ �( �, 8 S See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ ;�� (.0005) times the total job valuation — Minimum $.50
$ /. � 3 .001 x Permit Valuation (1/10%)
$ 5. b u $5.00 (State Licensed Residential Contractors)
$ $1450 per SAC Unit (Plans to NIWCC for determination)
� ft+6ft= ftx$20=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$ �(;{��, Make checks payable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID IJNTIL PROCESSED
hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in
�nformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
�rmit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
! an in the case of all work which requires r v', w and approval of plans.
GNATURE OF APPLICANT i�� PRINT NAME ` I/" l ������ DATE � I/� d�
-- ir