AF - 39498SUBJECT P
c�ty of Fridley o-16 8 8
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIP O.
� ; L ____ COMMUNITY DEVELOPMENT DIV. �?
r � PROTECTIVE INSPECTION SEC. G 'Jt'�
� � 0� 7
I � �
� /��'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�"""'� � ,�� 612-571-3450 910-F15 12/22/82 � �
JOB ADDRESS 5443 Ea.st Brenner Pass N.E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 4 6 Innsbruck North Townhouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Farr Development Corp. 4600 Lake Road, Robbinsdale 55422 536-9936
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
%
8 DESCRIBE WORK
Construct an 18' x 28' Taurnhouse Unit C"gn)
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. �OOd Fr3�De
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 PERIOD 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 VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $33,750 yy`ZG.SS
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-
STRUCTION OR HE ERFORMANCE OF CONSTRUCTION. $ZI.�..00 $425.00
/ PLAN CHECKFEE TOTALFEE
,/ /:�,�-�,a -��-
None $652.88
SIGNATURE CONTRACTORORAUTHORIZEDAGENT IDATEI WH PROPE Y A D THIS IS YOUR PERMIT
_ %� °�'�`�
SIGNATUFEOFOWNERiIFOWNERBUILDERI IDATEI BIDG iNSP DATE
CI1-Y OF FKIllLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
CNEW, ALTERATIONS, ADDITIONS, OR REPAIRS)_ _
OWC7ER: DARREL A. FARR DEVELOPMEATT CORP. BUILDER:� S�
Address.: 4600 LAKE ROAD' Address: �
R ,
� Tel. No.: 536-9936
1Vo.:� 5443 . Street: East Brenner Pass
LOT: 4 BI�OCK: 6 ADDITION: 6th
CORNER LOT: g INSIDE IAT: S;TSACK: SIDEYARDS:
Applicant attach to this fozm Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates._
DESCRIPTION OF BUILDING
- � nB�� .
To Be Used As:
:�
HOUSE Front: 1$ Depth: Z$ Aeight: 28
� Square Feet: 1332 Cubic Feet: -
+ -- -
.
Front: Depth: Height:
Square Feet: Clibic Feet: �
� Zj►pe of Construction: WOOD FRAME Estimated Cost: $ ��� �%,� '
Zb Be Completed: �y 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 Department 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: 0 Z�/¢�� Z SIGNATURE: �
Stipulations: -
���, U � i _
i%- � � .
/�o'�, . fS � '
�sa-� °� � .
sus�ecT PER .
c�ty of Fridley "� 17 3 6 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
, �,: - --- �! �
r � � PROTECTIVE INSPECTION SEC.
� ` �
� /�"1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�•---� • •`� 612-571-3450 910-F15 1/17/84 / /
JOB ADDRESS 5443 East Brenner Pass N. E.
LOT NO. BLOCK TRACT OR ADDITION
1 LEGAL SEEATTACHED
DESCR. 4 5 Zrmsbruck North Townhouse Plat 6 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Da.rrel A. Farr Development Corp. 4600 Lake Rd. Mpls., N�T 55422 536-9936
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECTORDESIGNER MAILADURESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO.
8 USE OF BUILDING
Residential TownhQUS�e Gara,ge
7 CLASS OF WORK
l� NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Q�nstruct a 10.` x 22' Garage
8 CHANGE OF USE FROM TO
STIPULATiONS
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. ��Od Fr�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 22O ZZO.O
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 CEHTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALIS 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 $2 �349. GO y�1.1.7
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE Oii CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �'3S.SO
STRUCT ON OR PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
� $3g, 67
SIGNATURE Co RACTORORAUTHORIZEDAGENT IDATEI WHEN PROPER�Y V LIDATED THIS IS YOUR PEFMIT
II
SIGNATUFE OF OWNERIIF OWNER BUILDERI IDATEI BLDG INSP nA E
Effective �ug, l, 1961
�'YTY �F FItIDLCY '
Ri'f'1 1C/iTl�� �Oft 6'.CSIDL�aT1P,� aUlLD1t:G P�f�SITS .
(ilch�r, 011�eratic�ns. /lddit�ions. or �c�airs)
�ti, NE R: D�rr�l A. Farr n��Pl n= mP,,,- r.,,-.,�
r1DJRESS: 4600 Lake Rd_ M}��G_, MN 554��
YEL �0: 536-9936
g2�� �p; 5443
,
QUILD�Ft: sar� �
ADDRCSS:
TEL i10:
f
�onstruction Location
�T7tEF�: East Brenner Pass
���; 4 �i,oc�c; 5 �ni�a�.i: 6th
Cozncr I.ot: Ynsicie %�nts . Setb�ck: Sideyards:
Ap,�Iicant at4.ach to tliis form t�,�o Certificates of S1�=vcy of lot �.nd
p=opo:,ed building locatio� eiraun on ccrtificates to seale.
DESCRIPTlO�� OF C0:l57i:UCT101�
Garage Fzont: 10
Squarc �eeLs
�p�: 22 9ieight: 20
Q�bic �'cet:
�ront: �pth: Height:
� Square Fent: �bie Y'eet:
7�pe of Co.,�truction: Wood Frame Estimated Cost: _S,,,rg,(�p
9b Sc Cbr.:plcted: Ju�e 19� _
�►1�. A �1 t. S
Propos�d Drivct��ay 3►idth If PNew �p�ning �s D�sa.red: S � —
, Si� PiVF.R:L' SIDi OF S}IE�T ,
15�e unc]ccsioncd hcreb:� :nal;r� ��+plic�ticn €or a p^zr.it icz the �ork hc-cin sp�cificd,
egreein3 to �o .all �ork ii� strfct accordsnce `�i�h the Ci:.y of I'ridley Orcli��ances z�ic]
rulin�� of the Del�.�rtmc��t of Duil�in�s, and hexcby decl�res �hat all �hc tact� �nd
�Cj�3T��G'1�.li3CS1S statcd :si �his applic��?on ase �.rue and Gosrect.
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Su9�ECT P
City of Fridley 310 8 7
AT TFIE TOP OF TME TWINS g � I L D I N G P E R M i T
! � RECEIPT NO.
� `v _ COMMUNITY DEVELOPMENT DIV. ��
r � � PROTECTIVE INSPECTION SEC.
1 = �
' ����� � CITY NALL FRIOLE� SSIJi NUMBER pEV DATE PAGE Oi APPROVEO 8Y
�----� � �•� 612-571-3450 910-Ft5 6/27/00 � �
J08 ADDRESS 5443, 45 , 47, 49 , 51, 53 East Brenner Pass
1 LEGAL ��T NO. BLOCK TRACT Oii ADDITION SEE ATTACFIEO
DESCR. 1—(� 6 Innsbruck North Townhouse Plat 6 SHEET
2 PqOPERTY OWNER MAIL AOORES$ ZIP PNONE
Innsbruck Townhome Association 651-2.24-5482
3 CONTRACTOR MAIL ADORESS IIP PMONE LICENSE NO
Garlock-French Roofing Co ., 2301 E. 25th St., ls., MI�TT 55406 612-722-7129 000014
d ARCHiTECT OR DESIGNER MAIL ADDRESS ZIP PMONE IICENSE NO.
S ENGINEER MAII ADORESS ZIP PMONE LICENSE NO
8 USE OF BUILDIN(i
Residential
7 CLASS OF WORK
❑ NEW � ADOITION O ALTERATION C$ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Townhouse Building (Tear Off)
9 CHAN(iE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
���tt Inspcction Cards
Will Be Malled
�'� ����own�r To Ro�
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO
SEPARATE PERMITS ARE REOUIREO FOR EIECTFICAL. PLUMBING, FIEATIN(i,
VENTIIATING OR AIR CONDITIONING.
TMIS PERMIT BECOMES NULL ANO VOID If WORK OR CONSTRUCTION 20NING SO. FT CU FT
AUTMOq1ZE0 IS NOT COMMENCED WITMIN 80 DAYS. OR IF CONSTRUCT�ON
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOO OF 120 OAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DYVLG. UNITS OfFSTREET PARKING
U
I MEREBY CERTIFY TNAT I MAVE REAO AND EXAMINED TMIS APPLICATION STA�LS GARAGES
ANO KNOW TME SAME TO BE TiiUE AND CORFiECT. ALL PfiOVISIONS Of LAWS yp�VATION SURTAX
AND ORDINANCES GOVEFiNING THIS TYPE Of WORK WILL BE COMPLIED �2].�G31.00 ��.O.HO
WITM WMETHER SPECIFIED MEREIN Ofi NOT. TNE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL THE pEqMt7FEE SACCNARGE
PROVISIONS OF ANY OTMER STATE Ofi LOCAL LAW REGUTATING coN- �349. ZrJ Fire .SC, .�21.6�
STRUCTION OR TME PERFOAMANCE OF CONSTRUC710N
PLAN CNECK FEE TOTAI E
$ .68
S�GNATUAE O� CON'A4CTOA OA AUTMOp�ZED OGENi IDATE� EN ROP L ALIDATED IS VOUR PEAMiT
S�GNATU�7E O� OWNEA ��� OWNEi1 BUILOEii� �DATE� B G�NSP �` /1�T�
� p� � I o�'7
NEVV [ ] . Effective 1/1/Z000
ADDN (] CITY OF FRIDLEY 612�72�604 Bidg Insp
ALTER [] SINGLE FAMILY AND DUPLD(ES R-1 AND R 2
' BUILDING PERMIT APPLICATION -
Construction Address: �U � � ; � 5 ,� � �d . � d �� � �5-�- ��� '�� : P� S S ��� . :
Legal Descrip6on:
Owner Name 8� Address: ���1S�YVC,�C.. I fY.�l��nOM� f iSSL1Gi Q,ii0tlsel. #�OS �'�� �i - 5�/� �
Contract
Address
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
MN UCENSE # �bDI �ia3
>Syo�Tel.#_[O/�- ��a—%l� �'j
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IIIf�PROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
Construction Type: � b � Y� Estimated Cost $ � � p � � � ° ��
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: � 2 APPLICANT: �� �7�,�P� Tel.# ��a-�aa-��a�
CITY USE ONLY - Call (612) 572�604 for Permit Fees if mailing in application
Permit Fee $����- �� Fee Schedule on Reverse Side
Fire Surcharge $ �/- '� .001 of Permit Valuation (1/10th%)
State Surcharge $ � �� $.50/$1,000 Valuation
SAC Charge $ $1100 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow
Erosion Control
Park Fee
$
Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL
$ ���` ��'�
STIPULATIONS: r���
, � ��4, �r
� _
.� � �� �
� ,`� .
BUII,DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing �rmits for the erection of any building or structure, or for any
addition 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 f�s to the amount herein
below set forth and in the manner herein provided to-wit: . . _ �..
TOTAL VALUE
$1 to $500
$501 to $2,OOU
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,�0
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEFS
$23.50
$23.50 for first $500 plus $3.05 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 $500,000
$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 addidonal
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete G�rb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Altemate "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 constcuction site.
A Certificate 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. New Houses Onlv