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AF - 40660SUBJECT P City of Fridley ° 16 9�� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � r �� REC IPT NO. � `y ____�_ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. pi� A(. 1 = � a `�r � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �----� • •'' 612-571-3450 9t0-F15 12/22/82 / / JOB ADDRESS 5457 East Srenner Pass N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 3 Innsbru�k North Town.house Plat G SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel A. F�,rr Develo ent Co 4600 Lake RQad, Robbinsc3ale, �T 55422 536-9936 3 CONTRACTOR MAIL ADDRESS • Z�P PHONE LICENSE NO. Sc'4IClG 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK r � n n 9 CHANGE qF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. �iTOOC; F.C�CIe 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 HEREBV 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 �33, 750 $16. 88 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $211.00 �`42S.00 STR CTION R T E PERFORMANCE OF CONSTRUCTION. � � PLAN CHECKFEE TOTALFEE /� -� -�'� $652.88 SIGNAT EOFCONTRACTORORAUTHOR12EDAGENT IDATEI yy N PROPE L AT THIS IS YOUR PERMIT �° 2�� SIGNATUREOFOWNERUFOWNERBUILDERI IDATEI � - BLDG WSP DATE �. i 1 �," � ,,..,�.�_1 , , APPLICATIOtJ FOR RESIDEr�TTAL BUILDIi�G PERt�I1Ts �t�EW, ALTERATIONS, ADDITIONS, OR REPAIRS) . . OWt7ER: DARREL A. FARR DEVELOPMENT CORP . BUILDER:� S� Addresss 4600 LAKE ROAD � Address: • R B , • Tel. No.: 536-9936 No.:� 5457 • Str eet: East Brenner Pass . LOT: 4 BIACK: 3 ADDITION: 6th CORNER LOT: . X INSIDE IAT: S;:TBACK: SIDEYARDS: Applicant attach to this form Ztao Certificates of Survey of Lot and proposed building location drawn on these Certificates_ . ' . . • _ ". . .. . - - � � _ - .. �- - DESCRI PTI ON OF BUI LDI NG � -"� � . - nBn - . - - - To Be Used As: ' . ' •s . . . • HOUSE Front: 18 Depfh: 28" Aeight: �R ' Square Feets C�bic Feets T =. Fron t: Depth: � Height: , Square Feet: Ciibic Feet:� - • . � _� � Rj►pe of Construction: WOOD FRAME Estimated Cost: $ �- �� •Zb Be Completed: APRIL 1983 � ''� • -_ /Alt_ A - Alt. B Proposed Driveway Width If New Opening Is Desired ' $. $ • . ' : . (SEE REVERSE SIDE OF SHEET) . . . .. - • . _ -- T'he undersigned hereby makes application for a perrait for the work herein specified, agreeing to do all work in st�rict accordance with the City of � Fridley 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: I G �� SIGNATURE: Stipulations: _ � all-� �� - t �-Sg � � . �� °° - - - . (�� '�o - � - r �- F � sue�ecr PER City of Fridley 17 3 6 5 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r i � RECEIPT NO. � ; L ______ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. /� � Q� � i � �� l_---� ��'��,,� CITY HALL FRIDLEY 55432 NUMBER fiEV. DATE PAGE OF APPROVED BY i 612-571-3450 910-F15 1 17 84 � � JOB ADDRESS 5457 East Brenner Pass N. E. 1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ],], 3 Innsbruck North Townhouse Plat 6 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Darrel A. Farr Development Corp. 4600 Lake Ttd. Mpls. ,.NIl�t 55422 536-9936 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential Townhouse Garage 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATIOId ❑ REPAIR O MOVE ❑ REMOVE S 8 DESCRIBE WORK Qonstruct a 10" x 22` Gax e 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WO� Fr�@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 22O ZZOO 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 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 $2 r349. GO $1.. �.% 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 T E ERFORI�p.NCE OF CONSTRUCTION. $3S. rJO PLAN CHECK FEE TOTAL FEE ° � � �P g $39.67 SIGNATURE FCONiRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY IDATED THIS IS YOUR PERMIT SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLOG iNSP �AT Effective a,ag, 1, R98Z C1iY or ��ez�r�LCY � �P'f'L7C/1TIa� FO�t �;CSIDLi�TIP,�. QUILDI�;G Pi.f�•�ITS . (P�c-►•�. �1 te��t��ns. t�ddit�ons. �r Rc��ai�s) OF�I�ER: Darrel A. Farr Development Corn. •QUILDER: g t� � �iD`JRESS: 4600 Lake Rd. Mpls., MN 55422 �DDiZCSS: �EL �0: 536-9936 TEL I10: F Construction L�c�ti�n g�y�� O: 5457 �,p�•; 11 S�t�F.T: East Brenner Pass ��c: 3 �nY�iO:i: 6th Corncr Lot: Insicic I�t: � �etback: Sideyards: �►p, lic�nt �ttach Lo this form 4�.�o C�rtificates of Stirvcy of lot �nd p_opo�ed building locatioa� dra:+n on ecztificates �o scdle. DESCRIPT]0„ OF CO;�Si�:�JCTION Garage F'gont: 10 9epth: 22 lieight: 20 Squarc i'eet: �)�ic Fcet: �rront: Square Fc�t: . • S7�pe of Co:.struction: Wood Frame 9b Be Cbr.:plcted: May 1983 �pth: Dieight: �abic I'eet: _ �stimated Cost: S 1,800 Alt. J1 �+1 t. S �ropos�d Drivet-ray S;iath If New Op�ning Is Desised: ' $ S _ , Si� PiVF.FLE SIDL OF S}IE�T _ �iie unclersioned hereb�� l:c� arplic�ticn for � perr_it icz t�,e �ork ?�crein sp�cificd, �c�zccin3 to cb .all aork i�► strict accordzncc Hith the Ci�y of I'ridlc�� Ozdi>>anccs ��ici �ruliu�� of the Del�.�rtme��t of Dui:c]ings, and hereb}• �ec]��es ghat all Schc: tacts and ge�resc��.'►�iens statcd :n 4his �ay�lic�tion �re �rue �.�d �a_rect. �: �z: I -13 -8y sic,2inzvr�: �'� Q � . �til�ulataons : B , .n� il J '° sue�ECT PE . c�ty of Fridley . 31086 AT TME TOP Of TFIE TWINS g � I L D I N G P E R M I T � ; � RE E PT NO. � ; y ��_ GOMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �- � 1 = , � /��'1 � CITY MALL fR10LE� SS�3Z NUMBEii REV DATE PAGE O� APPROVEO BY �'"""� � ,'� 612-571-3460 g10-Ft5 6/27/00 � � JOB ADDRESS 5457 59 61 63 65 67_ East Brenner Pass t LEGAL LOT NO. BLOCK TiiACT OR ADDITION SEE ATTACMED oesca. 1-6 3 Innsbruck North Townhouse Plat 6 SNEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Innsbruck Townhome Association 651-224-5482 3 CONTRACTOfi MAIL ADORESS 2lP , PHONE UCENSE NO Garlock-French Roofing, 2301 E. 25th St. Mpls., MN 55406 612-722-7129 00001423 4 ARCNITECT OR DESIGNER MAIL AODiiESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADORESS ZIP PHONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION l� REPAIR � MOVE O REMOVE B DESCRIBE WORK Reroof Building (Townhouse) (TearOf� 9 CHAN(iE Of USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. P�rm1t Ins�� : � t . `s{? '�jar�s i�1" 6� ?i�`;;�'��d To Homeo�w�� Pp� SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING, HEATIN(i, TYPE OP CONST. OCCUPANCY GROUP OCCUPANCV �OAO VENTILATING OF AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTMORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DYVLG. UNITS OFFSTREET PARKING b I MEREBY CERTIFV THAT I MAVE READ ANO EXAMINEO THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND COFRECT. AlL PROVISIONS Of LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING TNIS TVPE OF WORK WILL BE COMPLIED WITH WMETHER SPECIFIEO MEREIN Ofl NOT. TME GRANTING OF A PERMIT yi21,631.00 ��.0. HO DOES N07 PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMtT f EE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TNE PERFOFMANCE OF CONSTFUCTION $349. ZrJ Fire SC �21. 63 PLAN CMECK FEE TOTAL FE $38 .68 S�GNGTUpE OF CON'AAC10p OA AUTHOA�ZED OGENT io�rE� EN OPER LIDATED T IS YOUF PERMIT S�GN41UqE O� OWNEA�� OWNEp BU40Ep� �DATEi Bl0 �NSD ` �• q�Tt_� � � /� B � N� [ ] - _ Effective 1h/2000 ADON [] CITY OF FRIDLEY 612�72�604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXE3 R-1 AND R 2 ' � BUILDING PERMIT APPLICATION - Construction Address: �� u �� I �,�� , � � ( � � � ��- � rL°�'�'`r � �I � � - Legal Description: Owner Name 8� Address: Contractor. � G C— LMNG AREA: GARAGE AREA: DECK AREA: OTHER: ss ��,-��.#ros�-aau -s�� Mrv ucENSE # D�bol �a3 N 5S�-1o�Te�. #� l�- 7�a-"71� �'i Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height __ Sq• Ft Length Width HgUGround Sq. Ft Constru�tion Type: R�o � In Estimated Cost $� 1, L� �`•�b - Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: � 2 APPLICANT: ��- � L�X� Tel. # � � a-� a a-% ( a'!'i CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (612) 572-3604 for Permit Fees if maiUng in application $ $. Fee Schedule on Reverse Side .001 of Permit Valuation (1 /10th%) $.50/$1,000 Valuation $ � $1100 per SAC Unit $ � $5.00 (State Licensed Residential Contra�tors) $ Ait. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ j �/ �, ��` �� a � � .�!�,> Building Inspections i63-572-3604 DATE L O `� � —O SITE ADDRESS � THIS APPLICANT IS: PROPERTY UWNER/ TENANT CONTRACTOR ' PLUMBING RESIDEI�TL�L APPLICATION CTi'Y OF FRIDLEY YOUR &MAII, O OWNER '�ONTRACfOR annxESS: SaV�'t� � PHONE:��C7� � 7 �— U�� Permit No.. Received By:� Dat�?�eb�d0 C T ATEMM�Z�, SUBMIT A COPY OF STATE LICENSE # EXP DATE �2'� t�� YOUR STATE .�nnxESS: �a�n n,,.aa Q� crnt s�ra� z� LIC�xs� v�x Pxor� Eagan. MN 55� � PERNIIT TYPE TYPE OF WOBK: �SINGLE FAMII Y o rrEw DETAII.,ID DESCR�TION OF WORK O TWO FANIII.Y � TOWNHOUSE . �rLacnumvr i � PIIt MS 16B.665 the pemut fe� is a mmimum of $15.00 or 5% of the total cost np to $500.00, wlrichever is greater, for tb improvement, installation or replaceme� of a reside�ial f�ane, excluding the S�mu�es. ( Tl�is shonld ieflect only the cost of Labor cost under $300 =$15.Q0. I,abor cost between $30a to $500 = cost of labor x.OS = FOR PROJECTS Wf�RE I-ABOR EXCEEDS $500. FEES ARE BA3ED ON $10.00 PER F1XTiJR$ EXCEPT Wi�RE NOTED. FIXTURES: (INDIi NUMBER OF EACH BELOVi� . BA1Ti 3INK/LAV " FLOOR DRAINS � SHOWER WATER PIPING BATATUB GAS PIPING l,� carr,�v�) SRrA�II+4IlVO POOL � WATER SOFI'N] CLOTf�S WASHER KITCI�IV SINK WATER CLOSET _ BACI{FLOW PR DISHWASHER LAUNDRY TRAY WATER HEATER ($3� FOR IItRIGATi� — — WATER METEA _ OTHEIt TOTAL (�s) . ($1S) PERMIT FEE PROJECTS FOR T7NDER $500 PIItMLT FEE FOR PRO�EC;TS Vr K��ut►. PeffiitFee $ 3ra° . (� � Number of fixtures @ $1,0.00 x $10.00 = S e .50 Nnmber of fix4ues @$15.00 x$15.Q0 = TOTAL DIJE $�. 5c� Number of fixhu�s @$35.00 x$35.00 = Statie Surcharge = .50 Tota1= THIS IS AN APPLICATION FOR A PERMIT NOT VALID UN1�. PROCESSED I��Y �PP�3' for a building pemut and I acl�owledge that the i�ormation above is complete and accurate; tbat the wo will be in co�ormance with the ordinances and codes of the City of Fridley and with the Minnesota Constiraction Codes; that I this is aot a permit but only an applic.ation for a pem�►it and work is not to stazt without a permi� that the wo�C will be m�° �� approved plan in the case of all work wl�h _' and appmval of plans. -- t; :; : A f . , ' .� _.�,.-.�-._,! � _ _ � r � � - - — ( i'1_I 1� 1 � `� SIGNATURE OF APPLiCANr PLEASE City of Fridley � Bnildi�ng Inspections Department 6431 Universiiy Avenue NE, Fridley, MN 55432 763-572-3604 ��v- �« cnn .tn�� .rs