AF - 39490SUBJECT PE .
City of Fridley � 16 8 9 7
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� 1 L__���_ COMMUNITY DEVELOPMENT DIV. s
r � � PROTECTIVE INSPECTION SEC. � �� , /
� . , "r'
� � /��'1 i CITY HALL FRIDLEV 55432 NUMBER iiEV. DATE PAGE OF APPROVED BY
�----� • •�' bl 2-571-3450 910-F15 12/22/82
� �
JOB ADDRESS � 5427 East Hrenner Pass N.E,
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ( 11 Innsbruck North Townhouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Farr Development Corp. 4600 Lake Road, �bbinsdale, 55422 536-9936
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
$dIILE.'
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Cons truc t an 18' x 28' Townhouse Uni t G"B." )
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOQ(3 ]!'rd�e
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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 HEFiEBY 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 $33, 750 y�`�.F).8B
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OFi LOCAL LAW REGULATING CON-
STRUCTION OR TH PER� ANCE OF CONSTRUCTION. 2],]..QO 425.00
PLAN CHECK FEE TOTAL FEE
� '''� %d ��01 g�' $ 52 . 88
SIGNATU FCONTRACT�RORAUTHOR12EDAGENT � IDATEI WHEN ROPERLY D IS IS YO�UR� P�jERMIT
• ' �lfiP¢�FJ�
SiGNATUREOFOWNERiIFOWNERBUILDERI IDATEI OG iNSP �ATE
CITY OF FKIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PER��ITS
CNEW, ALTERATIONS, ADDITIONS, OR REPAIRS)_ _
OWt7ER: DARREL A. FARR DEVELOPMENT CORP. gUILDER:� S�
Addresss 4600 LAKE ROAD' Address: �
R ,
� Tel. No.: 536-9936
IJo.: 5427 Street: East Brenner Pass
LOT: 6 B7ACK: 11 ADDITION: 6th
CORNER LOT: X INSIDE IAT: S^TBACK: SIDEYARDS:
Applica.nt attach to this form �5ao Certificates of Survey of Lot and prol.�osed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
- . nBn
To Be Used As:
H USE Front: 18 Depth: 28 Aeight: 28
• �,
� Square Feet: 1332 Cubic Feet: -
Front: Depth: Height:
Square Feet: C�ibic Feet: �
�Type of Construction: WOOD FR�ME Estimated Cost: $�� �3`�s� -
-Zb Be Completed: June 1983 �
-- � Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $ '
(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
Fiidley Ordinances and rulings of the Departsnent of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for additional information.
DATE: r SIGNATUREc s� �
Stipul tions: . �
i-
��1�a0
i �, �g
��
�
�. ��
SUBJECT PERM IT
City of Fridley ° 17 3 9-2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �� RECEIPT NO.
� `v ______ COMMUNITY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC. / �
� ;
i
L_--- A �����;'� CITY HALL FRIDLEY SS432 NUMBER REV DATE PAGE OF APPROVED BV
i � � 612-571-3450 910-F15 1/17/84 / /
JOB ADDRESS 5427 East Brenner Pass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 9 Tnnsbruck North Townh�ouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Faxr Development Corp. 4600 Lalce Rd. Mpls. , NII�i 55422 536-9936
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
S 3IILE
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential Townho�se Gara e
7 CLASS OF WORK
X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Cbnstruct a 10' x 22' Gara e
9 CHANGE pF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. Tf�LOOC� Fl^aIR@
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ZZO ZZOO
ANY TIME AFTER WORK 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 8E COMPLIED
WITH WHETHEfi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 349. GQ y5`l. �.%
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCT ON O T P�RMANCE OF CONSTRUCTION. 3S a�JO
PLAN CHECKFEE TOTALFEE
��`��� 3 67
S�GNATUR oFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
L
SIGNATURE OF OWNER iIF OWNER BUILOERI IDATEI - �� BLDG INSP D E
�ffective P:ug. 1, 1981
E'�� �,r FftIDLCY -
�('PLlCA71�d �Oit RCSIDI'�1T1/'.I. QUILDI�.G ��r��]TS .
�I�c-►•�, �l�er���e��s, lidditaons, or Rc�ai�s)
.
O��I�ER: � Darrg,? A. Farr T1Q Tt.r ��*,mP..�+- Gurr �UILDER: SAME .
�p�(;��5: 4600 Lake Rd. Mpls., MN 55422 �ID�'2CSS:
�EL �dD: 536=9936 TEL �a0:
c
�onst�uetion l�cation
STJ2I,�T �O: rj/a.2] �T�� Fact RrAnnar Pacc
�07�: 3 �i,oc�c: g t►nni�io:i: �-h
Coxner Lot: Insicie Lot: _ �etback: Sidey�scds:
.___--e
Ap, licant �ttsch Le this gorm ta.-o Certificates of S1�zvey of 3ot and
p_opo�ed building locatioa� elra:+n on ccrtificat�s to seale.
OESCRI P710�� OF CO;;S i F�JC� 10t�
Garage ��oni: 10 �pt,}l: 22 Height: 20
�guarc Feet: Wl�ic Fcet:
3r�ront: �epth: D;eight:
Square Fect: �abic Teet:
;ype of Co,structi�n: Wood Frame Estimated Cost: S 1•80Q_
9b Bc Cbr..plcted: `�ovgmbe�98�
Alt�. �! A1 t. �
Propos�d Drivc���ay S;i�th If Alcv Opening Is �esi�ed: � ' S a!
. , Si� Pi�%F.R;L' �IDE OF S}IE�T �
1S�e unJersioned hereb:� ��l:c:� a+Pplic�ticn foz a perr.it fcz the ��zk he=ein spc�cified,
8greein3 to cb .all �:ork it� strict �ccord�nce yith the Ci�y of 7'ridle�• Ozdi>>ances eiicl
zulfi��� of tlie Del�.irtr�cnt of Bui:c]inrs, and hescby decl�zes th.iL all t)u: facts �nd
�c�re�:c°�t.iticns s�atcc3 � �his a�plic�2�on are �rue �.nd sosrect.
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SuB�ECT
c�ty of Fr�aley
AT THE TOP OF THE TWINS g � � L D 1 N G P E R M I T
f
i �
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� ; L _.���_ COMMUNITY OEVEIOPMENT OIV.
r � � PfiOTECTIVE INSPECTION SEC.
� . .
`---.� ��"" �'� CITY MAII FfiIOLE� SS�32 NUMBEA pE�
i 612-571-3450 910-Ft 5
IOB ADDRESS 5427 East Brenner Pass N.E.
t LEGAL LOT N0. BLOCK TRACT OR ADDITION
oescA. 6 11 Innsbruck North '
2 PROPERTV OWNER MAIL AODii�S$
William W. Burns
3 CONTRACTOR MAILADDRESS
Owner
4 ARCNITECT OR OESIGNER MAIL AODRESS
5 ENGINEER MAIL ADDFiES3
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION � ALTERATION ❑ REPAIR O MOVE O FiEMOVE
8 DESCRIBE WORK
Finish basement of Townhome
DATE PAGE OF
10/22/99 / /
ouse Plat 6
ZIP PHONE
572-1658
21P PHONE
IIP PMONE
30433
� f ,� �
I10vE0 Br
SEE ATTACNED
SNEET
LICENSE NO
IICENSE NO.
LICENSE NO
9 CHANCiE OF USE FROM
STIPULATIONS
See stipulations on plan.
�i4l�ATE PERIUIOTS R�QUIR�'D Fl?R
�IRING, HCATifltG, �Ll�Pria�l�G ANip �«�
SEPARATE PERMITS AqE HEOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONOITIONING
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED V�IITHIN 80 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONEO POR A PERIOD OF 120 DAYS A7
ANV TIME AFTER WORK IS COMMENCE�. NO. OWLG. U
I HEREBV CERTIFY TMAT I HAVE READ AND EXAMINED TNIS APPLICATION
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF �AW$ VALUATION
AND OfiDINANCES GOVERNING TMIS TVPE OF WpRK WIIL 9E COMPLIED
WITH WHETMER SPECIFIE� MEREIN Ofi NOT. TME GRANTING Of A PERMIT �3000
OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT FEE
PROVISIONS O: ANY OTNEp STATE OR LOCAL LAW REGULA7ING CON-
STRUCTION OR THE PERfOfiMANCE OF CONSTRUCT�ON $83. ZS
SIGNATUAEOFCON'aACTOpOASUTHOA�2E0pGENT IDAip�
S�GNAiU�7E O� OWNEA ��� OWNEp BWLOEN� �OAfE�
g / a
OCCUPANCY
SD.FT
STALLS
OCCUPANCVLOAO
CU fT.
f PARKING
GARAGES
r $1.50
SAC CMARGE
' Fire SC $2.50
TOTALFEE
$87.25
E�`1S '�� R �.-tM
s G
�[ ]
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
(� SINGLE FAMII.Y AND DUPLEXES R 1 AND R 2
BUILDING PERNIIT APPLICATION
Construction Address: - � y.,� ? � �s � �.,,,p,�, rr e� �a c�
Legal Description:
Owner Name & Address : /„ %r f�, �,�, « /„�. � r� � Tel. # � /�_� � -/�s`�
Contractor: S� �,� NIN LICENSE #;� c�o� �� ha� Br� c�
Address: �/� Tel. # �1/`/�
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to tUis application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Length
DESCRIPTION OF IlVIPROVEMENT
Width Height
Width Height
Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: �,;, ,s`;,, � ,6 �sp � � �, � Estimated Cost: $ �-� ���
Driveway Cbrb C�tt Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: /� ° /�� APPLICANT: f �'�:,��R r����� ,�-A � ,,, � c_ �' , ;�;�'.�; Tel. # � � �� _ «�6 �,�2 °�',�°; �°� .�
CITY USE ONLY
Permit Fee $ ,�5� Fee Schedule on Reverse Side
Fire Surcharge $ , '�•`��001 of Permit Valuation (1/lOth%)
State Surcharge $ l. ,$U $.50/$1,000 Valuation
SAC Charge $ $1050 per SAC Unit
License Surcharge $�� $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
� � 7-as
BUII�DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addirion to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,0�
$1,000,001 and up
FEES
$23.50
$23 .50 for first $500 plus $3 .OS for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional$1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100, 000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $SQ0,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW �"
(Concrete C�rb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificaxe of Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing.
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sue�etT P •
City of Fridley 310 8 9
AT TNE TOP OF TME TW�NS g � I L D I N G P E R M I T
; . RECEIPT NO.
� �` ���� � COMMUNITY OEVELOPMENT DIV. ����
r � V � PROTECTIVE INSPECTION SEC.
� �
1 . �
� ` /'��1 � CITY MA�L FRIOLE� SS1�2 NUMBER pEV DATE PAGE Of AVPROVED B�
�""� � �'' 612-571-3450 910-F15 6/27/00 / /
J08 A�ORESS 5419,21,23,25,27,29 East Brenner Pass
t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACNEO
oescR. 1-6 11 Innsbruck North Townhouse Plat 6 SHEET
2 PROPERTYOWNER MAILADORES$, ZIP PMONE
Innsbruck Townhome Association 651-224-5482
J CONTRACTOR MAIL ADORESS 21P PMONE IICENSE NO
Garlock-French Roofing Corp., 2301 E. 25th St., Mpls., NW 55406 612-722-7129 0000142
1 ARCNITECT OR DESIGNER MAIL AODRESS 21P PMONE LICENSE NO.
S ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
p NEW � AODITION O ALTERATION C]t REPAIR O MOVE ; O REMOVE
8 DESCRIBE WOqK
Reroof Townhouse Building (Tear Off�
9 CHANdE OF USE fROM T�
STIPULATIONS `
Underlayment must comply with the State Building Code.
�etrnit Inspection Cards
�Vill �e Mailed
�� Nomeo�rner To Post
SEPARATE PERMITS ARE REOUIqED fOfi ELECTRICAL, PlUM81NG. NEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING Ofi AIR CONDITIONING
THIS PEAMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION 20NING SO. fT CU FT.
AUTMORIZEO IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPEN�EO OR ABANDONEO FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS QFFSTREET PARNING
I NEREBY CERTIFY THAT I HAVE READ ANO EXAMINED TMIS APPLICATION 6 STALLS GARAGES
ANO KNOW TNE SAME TO BE TRUE ANO CO�iRECT. ALL PFOVISIONS OF LAWS VA�UATION 22 � O6%. OO SURTAX
ANO ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPlIEO . '� �11.Od
WITM WMETMEA SPECIfIED HEREIN Oii NOT. TME GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CMAFGE
PROVISIONS OF ANY OTMER STATE OR LOCAI LAW REGULATING coN• �363. ZS Fire SC �ZZ . OO
STqUCTION OR TME PERFORMANCE OF CONSTRUC710N
PLAN GMECK fEE TOTA� FEE
96.25
S�GNATUREO�CON:1i�CTOp0�1�U�MOA�2E0AGENT �D�rE� EN RO VALID T THIS IS VO R P RMIT \
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S�GN��UpE O� OwaEp ��� OwNEp BW�DEA� �D�tE� ' BLO �h5o � � 4att �
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THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
Ct�MMnN V NT� VFf�T nf`R C`TnR ,4A!D (`nll"RI1STInl� AIR t/ RIFI �1TInf�!
When � la _ing an _Yic+inQ furancP� the undersigned hereby verifies that the
venting has 6een examined and is free from n.ist, deterioration, obstructions,
and is securely supported and firestopped where required. Yes � No ()
The venting system is plastiGPVC and meets all cuRent codes and manufacturer
speafications 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 px�g�er»t�„�t�en a�r is sized and installed to meet the current codes
and manufacturers specifications.
When required to ir,�+au a ne�•� _err,e ic�en ;,;r,�it will be sized and installed
to meet the current codes and manufacturer's specifications.
WhEt1 inctalline a n_��� ��PnfinA�cf .+m, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does inGude AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances.
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.
Yes� No (
Yes � No ( )
Yes � No (
Yes ( ) No.( )
Yes() No()
Yes( )No( )
►��. .. .- .- .�. - .����.� -. ... -. .�.-.,. ��..��. ..
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Tatal Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
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