AF - 40661sue�ecr PERMIT NO.
City of Fridley ° 16 9 0 3
' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RECEIPT .
r
� `� _.��� COMMUNITY DEVELOPMENT DIV. G ���j
r j � PROTECTIVE INSPECTION SEC. � �
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I
l._-. � �����,•� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPqOVED BV
L J� 612-571-3450 910-F15 12/22/82 � �
JOB ADDRESS 5459 East Brenner Fass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 3 3 nnsbruck North 'I'ownhQUSe Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel Ae Farr Development Corp. 4600 Lake Road, Robbinsdale, NIlJ 55422 536-9936
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residenti.al
7 CLASS OF WORK
X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construc t an 18' x 28" Townhouse Unit C'A")
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOO(3 FrdIItE.'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO 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 ], 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 $4O ZSO �`ZO.�.3
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OF HE P RFORMANCE OF CONSTRUCTION. 2L�2. �jO $425.00
PLAN CHECKFEE TOTALFEE
/v� -/°Z -'22 ��°� None 6 .63
SIGNATUREO CON7RACTORORAUTHORIZEDAGENT IDATEI WHEN P PEFiLY A AT I I YOUR PERMIT
�z-�-��
SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI � BLD iNSP �ATE
.- a 1 1 � 1 � �: • -_ _ �
� �
APPL 1 CAT I Ot� FOR RES I DENT I AL BU I LDI fJG PER��1I TS
(�rEW, ALTERATIONS, ADDITIONS, OR REPAIRS). .
Oi,?7ER: DARREL A. FARR DEVELOPr�NT CORP. gUILDER:�. S�
Addresss 4600 LAKE ROAD Address: �-
R B ,
• Z'el. No.: 536-9936
Tlo ::' S459 Street: East Brenner Pass ,
L�'= 3 BI�OCKc 3 ADDITION: 6th
CORNER LOT: x INSIDE IAT: S;:TBACK: SIDEYARDS:
Applicant attach to this foxm Z1ao Certificates of Survey of Lot and prol.�osed
building location drawn on these Certificates. . .
. " • -
. ' _ - `-
- � DESCRI PTI ON OF BUI LDI NG "� �' .
To Be Us ed As : . nAn , . � � . " - -
� NOUSE Front: 18 Depth: 28� Aeight: 28
,,
' Square Feets Cubic Feet: -
Front: Depth: Height: .
. Square Feet: C�ibic Feet=� .
. - . s �
•Type of Constructions WOOD FRAME Estimated Cost: $ 32..,25D `����d
_ � . . . . .
-Zb Be Completed= ApRIL 1983 . . /Alt A� Alt. B
Proposed Drivewaj► �iidth 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 �
Fridley Ordinances and rulings of the Departm�t 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.
DATEe � t�6�� SIGNATUREc
Stipulations: _
� ���,5� � . .� ' -
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0
sue�ecT PER
City of Fridley �� 17 3 7 2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� ' COMMUNITY DEVELOPMENT DIV.
, �,: ----- 1 ��$3
r i � PROTECTIVE INSPECTION SEC.
� i �
� /��'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPHOVED BY
�'"'"� � ,'' 612-571-3450 9� 0-F15 1/17/84 / /
JOB ADDRESS 5459 East Brenner Qass N.E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 4 l�nsbruck. North Townhouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A, Farr Development Corp. 4600 Lake Rd. Mpls., MN 55422 536-9936
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
Same
4 ARCHITECTORDESIGNER MAI�ADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential ToFZnhouse Gara�e
7 CLASS OF WORK
�l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 10.' x 22' Garage
9 CHAN(iE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LQAD
VENTII.ATING OR AIR CONDITIONING. TAtQOC� Fl"�q.0
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING S�. 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 ZZO Zi�O
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 2 349.60 �`�..�.%
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ^� �
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PqOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTI N OR H PERFORMANCE OF CONSTRUCTION. yfi38a'SQ
� PLAN CHECK FEE TOTrA3L�F;EG,,
_ 9_ Y
SIGNATUR oFCO TRACTORORAUTMORI2EDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
�
/
SIGNATURE OF OWNER IIF OWNER BUILOERI IDATEI BIDG INSP DA
��tY �r Fr�'��cY �
G�t'f'LIC/►TIC�� FO(t RCSIDCi�TIR�. DUlLD1J;G P�R;�11TS
�1�c-r�, �il i��aiions, �idditions, or �c�airs)
o����E�� Darrel A. Farr Development Corp.
�1DJf:ESS: 4600 Lake Rd. Mpls., MN 55422
7EL �0: 536-9936
��.�� �p; 5459
�.07': 2
•QUI LDtiR: S�
ADB►'2CSS:
TEL N0:
f
�onstruc4.ion Location
S�ptEF,°�; East Brenner Pass
�I,OCK: 4 �nITlo;t: 6th
�ffective Aug, 1, 1941
Corncr a.ot: i»sii3c %�t: � �cYbacY.: Sideyazds:
B�p,�licnnt a�ttnch 9�o this form b:.°o Certificates of Svrvcy of lot �nd
pzopo�ed builclfng locatiaz e9za:+n �n cc�rtifica�es to �cale.
DESCRIPT)0�� OF eO;;STF�JCTION
Gara�e Fzont: 10 �P�= 22 8ieight: _ ��
Squarc i'�t: Out�ic Fcet:
Front: �p� =
Square Fect; Clibic I'eet: _
. � e of Co ,structicn:
7 P _ T�.o.o.d-��a��
Zb Be Oer.:plcted: Mav 1983
iieigl�t:
Estimated Cost: S 1,8�_
�►lt. J► A1 t. S
�ropos�d Drivc���ay �i�dth If New Opening Is D�sired: S s, _
, ��� PiVFR;L' SID% OF St]F.�T .
95��► une]essagncd hereb}� :n�l;c:a �Pplic�ticn foz a perr_it icr the �ozk herein spe�cified,
agreefr�3 to cb.all �:ork it, strict accordznce d�ith the Ci�y of iridle�� Ordi>>ances �»�
zulii��� of tl�e Del�.irtmc»t of Dui2din�s. and hercby decl�res th��t all tiu: facts and
ge}�resc°�t.i�ieas sta4cd er, ghis ��pli��2aon �ge tgue and dovrect.
�.`.1'�': 1- l3 - �jI SI(�rAiVIr: �'� � .
dtii'ul�taons :
sue�ECT PE .
City of Fridley 310 8 6
AT TNE TOP OF TME TWINS , g � I L D I N G P E R M i T
r
RE E PT NO.
� �
� • COMMUNITY DEVELOPM@NT DIV. � iC�
' j L �".�', i!
r � � PROTECTIVE INSPECTION SEC.
1 . �
� S �•�'1 � CITY NALL FRIOLEr SS132 NUMBEA pEV D�TE PAGE Oi APVROVED 8Y
�""� � �'� 612-571-3460 910-F15 6/27/00 � �
108.AOORESS
5457 59 61 63 65 67 East Brenner Pass
1 LEGAI ��T NO. BLOCK TIiACT OR ADOITION SEE ATTACMEG
DESCR. 1-6 3 Innsbruck North Townhouse Plat 6 SNEET
2 PROPEiiTY OWNEN MAIL ADORES$ 21P PHONE
Innsbruck Townhome Association 651-224-5482
9 CONTRACTOR MAIL ADORESS Z�P PHONE UCENSE NO
Garlock-French Roofing, 2301 E. 25th St. Mpls., MN 55406 612-722-7129 00001423
4 ARCMITECT OR DESICiNER MAIL ADORESS ZIP PMONE LICENSE N0.
S ENGINEER MAII AODRESS IIP PHONE UCENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION L$ REPAIR O MOVE O REMOVE
B DESCRIBE WOIiK
Reroof Building (Townhouse) (TearOf�
9 CNAN(iE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
P�rm�t InsR � : � : � a �? Car��
� flVilt �` � �. f �d
��� y�,� �
To Homea��;���� "�� Post .
TYPE OF CONST. OCCUPANCY aROUP OCCUPANCY LOAO
SEPARATE PERMITS AqE REOUIRED FOR ELECTRICAL, PLUMBING. MEATIN(i,
VENtILATING OR AIR CONOITIONING.
TMIS PERMIT BECOMES NULL AND VOID IF WORK Oii CONSTRUCTION ZONING S�. fT CU FT.
AUTNOR12E0 IS NOT COMMENCED WITMIN 80 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOEO OR ABANOONED FOR A PER100 OF 120 DAYS A7
ANY TIME AFTER WORK IS COMMENCED. NO. DYVIG. UNITS OfFSTREET PAiiKING
b
1 MEREBV CEiiTIFV THAT 1 MAVE REAO AND EXAMINEO TNIS APPLICATION STALLS GARAGES
ANO KNOW TME SAME TO BE TRUE AND CORREC7. ALL PiiOVISIONS Of �AWS yp�VAT10N SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMP�IED
WITN WMETNER SPECIf1E0 MEiiEIN OR NOT. THE GRANTING OF A PERMIT y�Z1,631.00 .�IO.HO
OOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOIATE OR CANCEL TME pERM17fEE SACCMARGE
PaOVISIONS OF ANY 07NER S7ATE OR IOCAL LAW REGULATING coN• �349.ZrJ Fire cJC .�2�..63
STqUCTION OR TME PERFORMANCE OF CONSTRUC110N
PLAN CMEGK FEE TOTAL FE
$38 .68
S�GN�fUpEO�CON•AACTOpOAAU1M0�1i2EDAGENT IDATEi EN OPEA IDATED T IS YOUR PERMIT
S�GNatUAE O� OwNEp��� OWNEpBU0.DEA� � �D��E� 8l0 �NSO� ` � � �' �` T�
e
Bu�.ding
Inspections
763-572-3604
DATE i�/ /�
SITE ADDRESS �
THIS APPLICANT IS:
��
C°,��'� �(r
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS ��
O OWNER �CONTRACTOR
Permit No�D'7 �
Received By:
.�..
i�;�� �
PROPERTY OWNER/ I Np�: ,(Y,�,,� �qe,.-h�+7'
TENANT ADDRESS: �S S�-s°l z��..ST ��f�!'�'`� CITY 'F� t O I.C�Y STAT�ZIP S.S�Y � Z
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERNIIT TYPE
�rE oF woRx:
PHONE:
STATE LICENSE # �oSZ p 70 Y _ � DA� .3 3 [ - � �
ADDRESS: ��.�C�i� iafP(,�� CITY Nd�Lf STAT��%LIP ssl�Y�
PHOAiE roj2 � So l.�d��i� FAX %1Z - 7ti' l.'-�'`� Yp
❑ BASENI�IVT FINISH
DESCRIBE WORK BEING DOT
SIZE OF IIVViPROVEMENT 7.S
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDIIVG
O Vinyl
❑ Aluminum '
O Other .
wnvnows
IN EXISTING OPENIIJGS OYes ONo
OR FOR NEW OPENIIVGS-DESCRIBE SIZE OF
OPENING CHA�3f'rES 8c
TYPE OF W1AdbOW TO BE INSTALLED
❑ ROOF
❑ SIDWG
❑ SWA�IlvIDVC
❑ ADD1TIOtd
❑ REMODEL]
�
❑ HOUSE ONLY
❑ HOUSE 8c GARAGE
� ATTACI�E� GARAGE
O DFfACHED GARAGE
�Soffit
❑ Trim
❑ Fascia
LCCJCATIOld OF WINDOWS
NUMBER
//S�'�
l��� •
❑ DRAIN TILE
❑ OTf�R
BVIDTH ��f �' HEIGHT �v E
BASEMII�T REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floar plan
3. List of strucbual members to be �sed
F�
FOR NEW CONSTRUCTION INCLUDING DECKS,
,ADDITIQNS. & PORCHES SUBMIT:
l. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of constrnction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $____�-���' OCCUPANCY TYPE
Permit Fee �
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Ma.in Charge
$ j'�-�, . E�O
$
$ � ���
$ ��
$
$
$
$
$
$ `
�
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Coniractors)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
1Vlake checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UN'fIL PROCESSED
I hereby apply for a building pemut and I aclrnowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances a.nd codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
pemut 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 wh' equir� view and approval of plans.
SIGNATURE OF APPLICANT �/( �Q PRINT NAME /� !� �� r� DATE �`�� D�
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