AF - 40662sue�ecr PERMI .
City of Fridley o 16 9 01
, ` AT THE TOP OF THE TWINS gU I L D I N G P E R M I T R EIPT .
�
� `L ______ COMMUNITY DEVE�OPMENT DIV. I
r � � PROTECTIVE INSPECTION SEC. C,� ��
1 � � d
� � �'��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�----� • •�� 612-571-3450 9�0-F15 12/22/82 � /
JOB ADDRESS 5461 East Brenner Pass N.E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �j 3 InnsYaruck North Toi,tnhouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Farr Development Corp. 4600 Lake Road, Robbinsda.le, MN 55422 536-9936
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residenti,al
7 CLASS OF WORK
X NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct an 18' x 28' TownhQUSe Unit C.C1
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBiNG, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. Ti�00C3. FraIR@
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING Sa. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CEFTIFY 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 38,600 $�.9.30
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 LOCAI LAW REGULATING CON-
STRUCTION O THE PERFO�IANCE OF CONSTRUCTION. $233.SO $425.00
� PLAN CHECK FEE TOTAL FEE
�.� �•�' �� ne 6 77 . 80
SIGNATUR OFCONT ACTORORAUTHOHI2EDAGENT IDATEI yy PROPERL V A D IS IS YOURq �PERMIT
, L}'� v�F._T �
SIGNATURE OF OWNER iIF OWNER BUiLDERi �DATE� G�NSP �/ TE
�
l.f f 1� ��,- ; ,,=1�i_L1�
APPLICATIO�J FOR RESIDEt�TIAL BUILDI�JG PERI'IITS
C1�EW, ALTERATIONS, ADDITIONS, OR REPAIRS). ,
Oh?7ER: DARREL A. FARR DEVELOPMENT CORP. BUZLDER:• SAME
Address� 4600 LAKE ROAD Addressa �•
R B ,
• Tel. No.: 536-9936
No.:' S461 Street: East Brenner Pass �
LOT: 5 B7ACKt 3 ADDITION: 6th
CORNER LOT: , INSIDE LOT: S;;TBACK: SIDEYARDS:
Applicant attach to this fozm Zlao Certificates of Survey of Lot and proposed
building location drawn on these Certificates. .
- - • ' '. .
. . - � -
�� : DESCRI PTI ON OF BUI LDI NG -� .
To,Be Used As: . - ��C�� . . . ' 3 , -� . .
� HOUSE Front: 18 Depth: 28 Height: 28
' Square Feets Cubic Feet: �
. �_ .
Front: Depth: � Height:
, Square Feet: Ctiibic Feet:
_ . . �
� Zj�pe of Construction: WOOD FRAME • ' Estimated Cost: $ ���,Qp "
•Zb Be Completed: APRIL 1983 � '
� • /Alt A - Alt. B
.Proposed Driveway Width If New Opening Is Desired ' $ I $ � _
.- - - . . � (SEE REVERSE SIDE OF SHEET) .
The undersigned h�seby makes application for a pei-rnit for the work herein
' specified, agreeing to do all work in strict accordance with the City of �
Fridley Ordinances and rulings of the Department of Buildings, and hereby .
declares that all th e facts and representations stated in this application
. are true and correct. See reverse side for additional information.
DATE: G o'L SIGNATURE:
Stipulations: .
� ���'�d _
. / 9•�° � � . � . .
�a� � a° - ' .
�"1�.��, . . " -
� � `
�
sus�ecr PERMIT
City of Fridley ° 17 3 6
AT THE TOP OF THE T4VINS g U I L D I N G P E R M I T �
�
; � REC .
� `L _ COMMUNITY DEVE�OPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. /�'��
� _ �
� /�"1 � .CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�"'"'� � ,�� 612-571-3450 910-F15
1/17/84 � �
JOB ADDRESS 5461 East Breruier Pass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oESCR. 9 3 Tnnsbrucls North Townhouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Farr Development Corp. 4600 Lake Rd. Mp1s., MN 55422 536-9936
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
Same
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residenti.al Townhouse Gaxage
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
B DESCRIBE WORK
Construct a 10" x 22! Gara e
8 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. WOOCl Fr�ICICG
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 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 CORHECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 2 349.60 �1.17
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 38. SO
STRUCTION OR T P RFO� OF CONSTRUCTION. $
PLAN CHECK FEE TOTAL FEE
_ � ����'� $3 9. 67
IGNATUREO ONTRACTORORAUTNORIZEDA6ENT T_ IDATEI WHEN PROPERLY V LIDATED THIS IS YOUR PERMIT
-" � 1
SIGNATUREOFOWNER�IFOWNERBUILDERI IDATEI BLOG INSP lIAT
iffective �ug, l, 1491
���Y ar �s�,���Y -
J�I'i'Ll(:i1`T](x1 �nf� rCS1DLi�iIP,i �IUlLD1�:G PCi'v�1TS .
��dcti•i, G11 ��r��ic�ns, 9ldditions, o�- &c�air�)
p}; ��E �; Darrel A. Farr Development Corp .'QUI LDER : S�F_ �
t'eD��:ESS: 4600 Lake Rd. Mpls., MN 55422 BID�►2CSS:
`�EL �a0: 536-9936 TEL td0:
P
�onstruction Locati�n
Si�+� ��: 5461 ��,��� Fy+' RYDTT�Y 'PaGG
1.07': 9 �L40C: 3 �niT°IO:t: �_�____ � -
Corncr Lot: Znsidc E�t: , �c�acY.: Sideyards:
Ap, licant att�c}� t.o this fo=sn t;.�o Certificates of Survcy of lo� and
p_opo�ca building locatian elra�an on rcrtificates 40 �eale.
DESCRIPTIO�� OF CO::STi:�JC710��
Garage �s��t: 10 �pth: ?7 __ NeigP�t: �
Squarc i'eeL: ��� Q�bic Feet: �()�
Front: �epth: Bieigl�t:
Square Fect: �bic I'eet:
• '. - o�, ��/,�00
7�pe of Co:.�tzuctien: �ood Frame Estimated Cost: S-��9�
Zb Bc Cbr.:plcte�: May 1983
Alt. A �►1 t. 8
Propos�d Drivc+��ay 3;idth If AJc+� Op�ning Is �sised: S S _
, SLL PiVF.R;L' SIDL OF S}l£.�T _
1S�e undessioned Aereby :ns1:c� a►y�plicZticn for a perr_it fcz the �ozk P�ezein sp�cified,
agreefn3 to cb.all �ork it, strict �ccozdir,ce d�ith the Ci�y of I'ridle�• Ordi>>ances ��id
zuliii�� of tlie Dei�.�rt�ne��t of Dui:c]inc;s. and heaeb} declazes that all �l�c tacts and
zeyre=c�t.i�iens st�5zed rn this application are tru� �nd �osrect.
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sue�ECT PE
City of Fridley 310 8 6
AT THE TOP OF TME TWINS B U I L D I� G P E R M I T
! � RE�a EJPT NO.
� `y � COMMUNITY DEVEIOPMENT DIV. �/ / � �
r � � � PROTECTIVE INSPECTION SEC. � �
i---. `�����,'� CITY MALI FRIDLE� SSIJi NUMBEA pEV OATE � VAGE � OF AVPROVEO BY
ti 1� 612-571-3450 9t0-F15 6/27/00 � �
J08_ADDRESS
5457 59 61 63 65 67 East Brenner Pass
1 LEGAL LOT N0. BLOCK TitACT ON ADOiTION SEE ATYACHED
oescR. 1-6 3 Innsbruck North Townhouse Plat 6 SFIEET
2 PROPERTY OWNER MAIL ADORES$ 21P PMONE
Innsbruck Townhome Association 651-224-5482
3 CONTRACTOR MAII ADDRESS 21P PMONE UCENSE NO
Garlock-French Roofing, 2301 E. 25th St. Mpls., MN 55406 612-722-7129 00001423
a ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
S ENGINEER MAII ADDRESS ZIP PMONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADOITION O ALTERATION L� REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Reroof Building (Townhouse) (TearOf�
9 CNANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
P�rmit lnsp � : � � : � �, t �iCards
Wi�l ��� y'Jy.�; 4 �d
To Homeo�� � t�� r�',� Post
SEPARATE PERMITS ANE AEQUIREO FOR ELECTRICAL, PLUAABING, MEATING, TYPE OF CONST. OCCUPANCY aROUP OCCUPANCY LOAD
VENTILATING OF Alq CONDITIONIN(3
TMIS PERMIT BECOMES NULL AND VOIG If WORK OR CONSTRUCTION 20NING SO. FT CU. FT.
AUTMORIZEO IS NOT COMMENCED WITMIN 80 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONEO FOR A PERIOO OF 120 OAYS AT
ANY TIME AFTER WOFK IS COMMENCED. NO. DYVLG. UNITS OffSTREET PARKING
U
I HEREBY CERTIfY TMAT 1 MAVE REAO ANO ExAMINEO TMIS APPLICATION STALLS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yq�UATION SU1iTA7(
AND ORDtNANCES GOVEqNING THIS TYPE OF WORK WILL BE'COMPLIED
WITM WHETMEq SPECIFIEO MEREIN Oii NOT. THE GRANTING OF A PERMIT y�21,631.00 �I,O. HO
OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEI TME pEfiMIT FEE SAC CNARGE
PROVISIONS OF ANY OTNER 57ATE OR IOCAL LAW REGUTATING CON•
STRUCTION OR 7ME PERfORMANCE OF CONSTRUC710N $349. ZrJ Fire SC .�2�..63
PLAN CMECK fEE TOTAL FE
$38 .68
S�GN�fUpEO�CON'p�CTOpOAAUTMOp�1E0AGENT IOATE� EN OPER IDATED T i5 rOUp PEpMi7
� -/ ��l �✓!I
S�GNATUAE O� OWNEp��� OwNfp BULLDEp� �OAfE� � Bl �hSP f�pTE
/
; �`
Building
Inspections
7. 63-572-3604
DATE _�
ST['E ADDRESS �,
�.
MECHANICAL
RESTDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
THIS APPLICANT IS: O OWNER OCONTR.ACTOR
PROPERTY Np�g: r� V�kr Vl5
owivExi AnD,�ss: 5�kio I E'�r�.�►h��
TENANT PHONE: � l0?J - S�I 1^�-��S
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERMTI' TYPE
TYPE OF WORK:
Permit Ncr,� � �
Received By:
Date Rec'd: � 1
COMPANY NP.ME: .
CONTACT PERSON:
STATE LICENSE # E}� D'°`TE
ADDRESS: CITY STATE ZIP,
PHONE
O SINGLE FAIvIII.Y O TWO FANIILY
O NEW J�REPLACEIv�N'f
DETAILED DESCRIPTION OF WORK
FAX
� TOWNHOUSE
❑ ALTERATION/REMODEL
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, far the
improvement, insta.11ation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE IABOR EXCEEDS $500, FEE,S ARE BASED ON $10.00 PER FIXTURE, EXCEPT W1�RE NOTED. FIXTURES: (IIJDICATE TOTAL
NUMBF.It OF EACH BELOV� MODEL: SIZFJBTU
EquipmentInstalled , I`'ffG: SIZE/B'N
IvIFG: MODEL: SIZE/BTU
�G; MODEL:
✓A/C 525.00 _FIREPLACE (GAS) $15.00 GAS RANGFJOVEN $10.00
_AIR TO AIR EXCHANGEER S15 FIREPLACE (W�D) $35.00 NEW GAS GRII.L $10.00
FURNACE $35.00 ,_GAS UN1T H1R $10.00
CHIMNEY LiNER $10.00 �GAS DRYER 510.00 POOL HFATER $35.00
DUCT WORK $10.00 GAS PIPING $10.Q0 VENTILATOR $15.00
_ �� �- -�as�'� �dar�r,3i�p��£a�
t+�13:?a�a, � . ?�,v;+.,.� ;�.;. �r�..,�.�.......��-;-. �.�.., A .,. . _,. ..._- - -- . . . _ _ ... _. _ _
Permit Fee $�( Q.• � � Number of fixtures @$10.00 x$10.00 =
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DtTE $�• 60 Number of fixtures @$25.00 x$25.00 =$
Number of fixtures @ $35.00 x $35.00 = $
State Surchazge = $ .50
Tota1= $
TMS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclaiowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the Ciry of Fridley 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 pemut; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLiCAN'f � PRINT NAME DATE
City of Fridley
Building Inspections Department .
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
a
. '
flate: 3l9 7>2006 Revision Date: 3/9 7�2006
Site In�ormation
Address �: 546� E Brer�ner Pass
Address 2:
City: Fridley County: Anoka
Application Information
Susiness Name:
Contact Person:
Office Ph: Fax: Cell Ph:
Address 1:
City: State: Zip Code:
Existing Construction: Rre 9994.
Project #:
Lot: Block:
Subdivision:
MN Contractor License #:
Minirr�um Mechanical Code Reauirements Met
�tl you be replacing o� adding a wa#er hea#e�, #umace, or boiler?
Will you be installing a decorative solid-fuel appliance?
Will you be installing ar� exhaust fan 300 CFM or greater?
You have met the minimum requirements for make-up air and combustion air as
required by the intemationai mechanical code� as adopted by the state of Minnesota
with amendments.
NO
NO
NO
�i- . �-�� 7�°�
Appiicant Name (print):�„I�1ft��i Yl2 �1�(�($,� Signature/Date• w;�u�� �
Cod� Official (print): Signature/Date:
,
(c� 2b04 C'enterP�int F.nergv Minnes�a.ccr►_ 2004 MechanicQl (:nde Ciuidelinec. Paee 1
Building
Inspections
763-572=3604
DATE� � e� `�
SITE ADDRESS ��
THIS APPLICANT IS:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
� YOUR E-�' ADDRESS
� S% (1°f'✓N�/� �LsSf
❑ OWNER
Perinit No.:
Received By: �
Dat�'� PR
PROPERTY OWNER/ I Np�:
TENANT ,�DRESS: CITY STATE ZIP_
CONTRACTOR N,�:
SUBMIT A COPY OF STATE LICENSE �l i�o
YOUR STATE LICENSE ADDRESS: O D
WITH APPLICATION pH0 IZ �
PROPERTY TYPE INGLE FAMILYMEW CONSTRUCI'ION
0 TWO FAMILY/NEW CONSTRUCI'ION
PERNIIT TYPE � �DITION ❑ GARAG
0 BASEIv�NT FWISH ❑ ROOF
❑ DECK ❑ SIDING
❑ SWIMM
TYPE OF R'ORK: � ��'►'
❑ 1v1A1P
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT
NUNBER OF SQUARES _
GARAGES
PROPOSID S1ZE:
PROPOSED HEIGHT:
SIDIIVG
❑ Vinyl
O Aluminum '
❑ Other .
WINDOWS
IN EXISTIIdG OPENINGS OY� �IJo
OR FOR NEW OPENWGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WIIVDOW TO BE INSTALLED __
CE/REPAIR ❑ REMODEL
^�° S n i [ ✓V
.�
LENGTH
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACI�D GARAGE
❑ DEfACHED GARAGE
OSoffit
❑ Trim
❑ Fascia
LACATION OF WINDOWS
NUMBER OF �WiM
E3� DATE ,� r � % �
So CITY
SIZE �
STORIES
❑ wwnows
❑ DRAIN TILE
❑ OTHER
)L
�
WIDTH HEIGHT
'�-� ��
BASEMENT REMODELIlJG SUBMIT:
1. Facisdng Floor Plan
2. Proposed floor plan
3. List of strucwral members to be used
Ft.
FOR NEW CONSTRUCTION MCLUDIIJG DECKS,
ADDITIONS. & PORCHES SUBNIIT:
1. Site Plan/Survey showing the exisdng strucdues
and proposed projeck
2. Two sets of �nstrucdon plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(LTSING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $_ I�% O� OCCUPANC'Y TYPE
Permit Fee
Plan Review
Fire Swcharge
Surcharge
License Surcharge
SAC Charge
G�rb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ ���?, /C�
$
$ ,- d
� �� ,
$ ,�„�] � ��i
$
$
$
$
$
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 Contractors)
$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 ( )
Make checks payable to: City of Fridlev Attac
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances cod s of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application or a e it 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 w'ch u' es review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME O �� DATE �% '� S— U%
�� -