AF - 40665sue�ecr PE : �-,,
City of Fridley A 16 9 0 5`�
' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RECEIPT
r
� �,L ______ COMMUNITY DEVELOPMENT DIV. �a'��
r � � PROTECTIVE INSPECTION SEC.
� ` ; a3 .
� ����1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�----� • •'J 612-571-3450 9�0-F15
12/22/82 � �
JOB ADDRESS 5467 East Brenner Pass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ]_ 3. Innsbrnck North Townhouse Plat E) SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel A. Farr Development Qorp. 4600 Lake Road, Robbinsdale, NIl�T 55422
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Same 536-9936
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
%
8 DESCRIBE WOHK
Construct an �.8' x 28' Tov�tnhouse Unit �'kA'" �
8 CHANC3E OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE RE�UIRED FOR ELECTHICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. TPTOOCZ Fi�@
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 WOFiK 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 I. 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 $40,250 �`ZO.�.3
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR HE PER�ANCE OF CONSTRUCTION. y�`242.SO $425.00
� PLAN CHECKFEE TOTALFEE
- � �s� a� _�2 87.63
SIGNATU E� ONTRACTOROFAUTHORIZEDAGENT IDATEI , WHE � PROPER V LI A E T IS YOUR PERMIT
SIGNATURE OF OWNER tlF OWNER BUILDER) tDATEI "����
BLDG INSP pATE
�- : I 1 .' 1 1,1 .... l_ 1
AF'PLICATI01� FOR RESIDENTIAL BUILDIiJG PER�'IITS
C��c�t', ALTERATIONS, ADDITIONS, OR REPAIRS) . ,
, Oh?7ER: DARREL A. FAFR DEVELOPMENT CORP. BUILDER:• S�
Addresss 4600 LAKE ROAD' Address: �•
R B ,
- Tel. No.: 536-9936
IJo.:' S467 " Street: East Brenner Pass
. •
LOT: 1 B7ACK: 3 ADDITION: 6th
CORNER LOT: X INSIDE IAT: S�:TBACK: SIDEYARDS:
Applicant attach to this form Ztao Certificates of Survey of Lot and proposed
building location drawn on these Certificates. , ,
. . - •.
. . • � � _ . . •-
�- - DESCRI PTI ON OF BUI LDI NG -. � �
To Be Used, As: � . ��A�� ' . � - �
. ' _ . .
� � NOUSE Front: 18 Depth: 2$ Height: 28 '
' Sa_ruare Feet: 1512 Cubic Feet: �
• •:
Front: Depths Height:
. Square Feet: C�ibic Feet:� •
. of Construction c WOOD FRAME �
'�'Pe Estimated Costc $ � �i0,�2g`b
-Tb Be Completed: ApRIL 1983 � '�
• . /Alt. A - Alt. B
Proposed Driveway �7idth If New Opening Is Desired � $' $ �
' � � . (SEE REVERSE SIDE OF SHEET) .
The undersigned hA�eby 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 Departme�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.
DATE: (�/G��'Z- SIGNATUREc -
Stipulations: .
-a��.�� _ .; . -
aC�,�� �X . .
�las"�° " _ �
� �8�.�3 -
a
0
sue�ecr PER
City of Fridley 17 3 7 4
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.
� � ti: ------�
r � � PROTECTIVE INSPECTION SEC. `�
1 = �
� ��'�1 � CITY HALL FRIDLEV SS432 NUMBER REV. DATE PAGE OF APPROVED BY
�"'""� � ,�� 612-571-3450 910-F15 1/17/84 � �
JOB ADDRESS 5467 East Brenner Pass N, E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 8 3 Innsbruck North �tiwnYiouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS 21P PHONE
Darrel A. Farr Development Qorp. 4600 Lake Rd. Mpls., NIl�T 55422 536-9936
3' CONTHACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO.
8 USE OF BUILDING
Residenti.al Townhouse Garage
7 CLASS OF WORK
4 NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
� �
8 OESCRIBE WORK
Construct a 10' x 22' Ga,ra e
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. WOO(3 FY'�e
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHORI2ED 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 BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,349. GO �S`�.. �.%
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PFiOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR E PERFORMANCE OF CONSTRUCTION. �`3S.SO
� PLAN CHECK FEE TOTAL FEE
/ �� -�� $39 .67
IGNATUR O CONTRACTORORAUTHORI2EDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER�IF OWNER BUILDER� IDATEI ����� �� ���� �
BLOG iNSP � E
£::ec�ive Auq, l, 1981
�«� �r FItIDLCY �
�r('LIC/1T10�� FO(t RCSlDL�1T1P.� QUILDt�;G PCR;�IITS .
�rrc.h��, Al�er��iuns, �Idditions� �r �c�airs�
.
�1�� I�E R: Darrel A. Farr Develo� nt Corn . H3UI LOkR : �� �
flDJi:ESS: 4600 Lake Rd. Mpls., MN 55422 B1DB�ZCSS:
iEL �0: 536-9936 iEL 020:
�
Construction Loeation
STItL�T A�O: 5467 ��7t�i�: East Brenner Pass
���. 8 �i,opc; 3 ��nz�ao:�: 6th
Corncr I,ot: %nsic]c I�ts � 5etb�cY.: Sideyards:
Ap� licant �ttach to tl�is foim b.�o Certificates of S1�zvcy �f lot r,�nd
g�zopo�ed ?�uilding locati� e�za:+n on eertificates to seale.
��SCR1PTl0�� OF CO;�STF.UCTIOti
Garage g'ront: 10 �pth: 22 Height: ��
5quarc �'e��: �bic Fcet:
Front:
Square i'c�t:
;)�pe of [o..�tzuc[ion: �nlood Frame
Zb Be Cbr..pleted: Ma.y 1983
�P�=
C.Vbic Teet: _
Meight:
Estimated Cost: `S 1,800
�.lt. A A1 t. 8
Proposec] Drivey�ray i�+idth If Nc� Opening Is �sised: S �, _—
, S�� Pi.VF.R;L' SIDE OF S}IELT .
'i�e� unclersioned hereb:� :n�);�a t►rplic�ticn for a perr_it fcz the �ozk herein sp�cified,
egreein3 to do .all �:ork it, strict accor�ince `�ith the Ci�y of 1'ridley Ordi>>ances a�id
�ulin�s of tlie Del�.�rtm��t of Dui:c7in�s. and hexcby decl�res th��t all tl3c- f�cts and
�c}�recc7 �.iticas s�atcd �n '�is �pplie�kion �,ze �zue a�d co_gect.
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s�e�ECT pE ,
City of Fridley 31086
;' ` AT TME TOP OF TME TWINS ; B U I L D I N G P E R M I T qE E PT NO.
,
� `v ����� � COMMUNITY DEVELOPMENT DIV. �� % �. �
r � � PqOTECTIVE INSPECTION SEC. � �
1 = ,
� �"'1 � CITY NALL FRIOLE� 35132 NUMBf11 pEV o�TE PAGE oF �nvrtOVEO Br
�.---� • •,� 612-571-34b0 9t0-Ft5 6/27/00 � �
IOB.ADORESS
5457 59 61 63 65 67 East Brenner Pass
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
oesca. 1-6 3 Innsbruck North Townhouse Plat G SMEET
2 PROPERTY OWNER MAIL AOORES$ 21P PHONE
Innsbruck Townhome Association 651-224-5482
9 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO
Garlock-French Roofing, 2301 E. 25th Si. Mpls., NIIV 55406 612-722-7129 00001423
� ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO.
S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUIIDINCi
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION L� REPAIR p MOVE O REMOVE
8 DESCRIBE WOIiK
Reroof Building (Townhouse) (TearOf�
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
P�rm1t 1nsR � ; � f : �;; � .;�a��
� Wili ��� _��,��l+�d
To Homeo��►�� � r �'�� P��t
SEPARA7E PERMITS AiiE REOUIREO FOii ELECTRICAL, PLUMBING. HEATINO, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL ANO VOID If WORK OR CONSTRUCTION 20NINf3 SO. F7 CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 GAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONEO FOR A PER100 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DyVLG. UNITS OFFSTAEET PARKING
b
1 HEREBY CERTIfY TNAT I HAVE READ AND EXAMINEO TNIS APPLICATEON STA�LS GARAGES
AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AW$ ypLUATION SUR7AX
AND OROINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED
WITH WMETHER SPECIfIEO MEREIN OR NOT. TME GRANTING OF A PERMIT y�Z1,631.00 .�IO.SO
DOES NOT pRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL TME pEFMIT FEE SAC CMaaGE
PROVISIONS OF ANY OTMER STATE OR IOCAI lAW REGULATING CON•
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION $349.ZrJ Fire SC �21.63
PLAN CMECK fEE TOTAL fE
$38 .68
S�GN�fUt1E0iCON:A�C�OpOi1�UTNOp�2EO�GEN1 �O�TEi � EN OPEp LIDATED T IS VOUR PEAMIT
S�GN�TUAE O� OWNEA��� OWNEp BU�lDE�7i � � �OAfQ� ' BLO MSP ` �f_�
/
Build�.ig
[nspections
763-572-3604
763-502-4977 F�
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE I-I-08
Permit No.� � �
Received By: /C
Date Rec'd:
DATE I��-! I 7� YOUR E-MAIL ADDRESS •- � _(� L� G, 0,-� l� ?� n.�„ • .
SITE ADDRESS ��-1( .°7 (� ��,� �,2 r rf<ne�.� -Fr i eJ ��_� ,1w n � �,� �l� �i
THIS APPLICANTIS- ❑ OWAIER �CONTRACTOR �
PROPERTY OWNER/ N/�ME: C �,n � %, .� S�� ^.a. �r � �o •�-�
TENANT ,qDDRESS: = Y�� � � �.--..a �� � re +' � �: i CITY i��� ,e�.� ° h STATE .� i ZIP �� u � �
PHONE: r C / � > �% °l � ' °7>i S
CONTRACTOR AnDRESS: „2 � 3 �' ,�/ �'� /� . � � �r-� CITY ��c.y�•'yr . STATE�ZIP ,S' '
SUBMIT A COPY OF pHONE �; a o� )�o� -- �ac`ai�a �' PAX �'1/ ,'`
YOUR STATE LICENSE STATE LICENSE # ���C a S�S� %�� EXP DATE �✓r �' �o' �..�� ,� �?c' s
PROPERTY TYPE I�SINGLE FAMILY/NEW CONSTRUCTION S1ZE
❑ TWO FAMILYMEW CONSTRUCTION STORIES
PERMIT TYPE ❑ �DITION ❑ GARAG
❑ BAS�IvIEA1T FINISH ❑ ROOF
DECK ❑ SIDTNG
0 SWIMM
TYPE OF WORK: I❑ NEW HOME CONSTRUCTION O ADDITION
❑ MAIlVTENANCFJREPAIR �'REMODEL:
O DRAIN TILE
O OTHER
DESCRIBE WORK BEING DONE: �.� �n/in ��� � d t� P'',�i -r� /'� � ���-�-�
�
eT�� nF mnvunvFt�t�.rr �?' c .�,,,.r� t.F.NC:TH e � a WiDTH f� HEIGHT �
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED STZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
VI'INDOWS
IN EXISTING OPENMGS ❑Yes �No
OR FOR NEW OPENII�IGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
SING� 991 U C FEE SCHEDULE)
TOTAL JOB VALUATION $ � `' �� `'% II V � � " � � OCCUPANCY TYPE
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
O DETACHED GARAGE
BASEMENT REMODELING SUBMIT:
I . Existing Floor Plan
2. Proposed floor plan
3. List of shvctural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
OSoffit ADDITIONS. & PORCHES SUSMIT:
❑ Trim 1• Site PlazdSurvey showing the existing structures
O Fascia and proposed project
2. Two sets of construction plazu
3. Energy Calculations
LOCATION OF WMDOWS
Pertnit Fee
Plan Review
Fire Snrcharge
Surchazge
License Surcharge
SAC Charge
Curb Cut Eserow
Erosion Control
Park Fee
� Sewer Main Charge
Total Due
$
$ _ .
$
$
$
$
$
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)
$1825 per SAC Unit (Plans to MWCC for determinaxion)
ft+6ft= ftx$21 =$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledg that th ' f ad ve is complete and accurate; that the work will be in confom►ance with the ordinances and codes
of the City of Fridley and with the Minnesota Con o I u derstand this is not a permit but only an application for a permit and work is not to start without a
permit on site; that the work will be in accordane o ec !an i the case of all work which requires review and approval of plans.
SIGNATURE OF APPLI _ . __ _ PRINT NAME ���,�F ;!T', ��,,-� �,� DATE �� ' ' �e'
. . . . � � : ������ � • �
�
SK�TCH ESTIMATE
" - , Proposed� Layout for:
• � N�ME
�. � ' �e��� � �
ADDRESS -
��i'1 /��� � dV► nl �t'LJ � '1 �
� � , , d �.� �.., e . . �
ESTIMATOR DATE ',
� ��I �. �it �'
G �
s �;���4�
$CaIB,'/4" _ �
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 S 19 20 21 22 23 24 25 26 27 _28 �� 30
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