AF - 40666sue�ecr PERMIT NO.
City of Fridley a 16 8 6 5
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
, � R EC E,.� O.
� ' COMMUNITY DEVELOPMENT DIV. �(
� �.: - - ���
r � � PROTECTIVE INSPECTION SEC.
1 . �
� � ����1 � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BV
�'"'"� � ��' 612-571-3450 9t0-F15 12/7/82 / /
JOB ADDRESS 5471 East Brenner P�ass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 4 2 Innsbruck North Townhouses Plat 6 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel A. Farr Development Corp. 4600 Lake Road, Robbinsdale 55422 536-9936
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
5ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
Construct an 18' x 28' Townhouse
9 CHANGE pF USE FROM TO
STIPULATIONS
The poured in place concrete curbi.ng (B-612) to be constructed in the axeas
marked in yellow on the denelopment plan that was signed by the Darrel Farr
Development Corp. Constructi.on Supervisor on December 7, 1982. A copy of the
contract for the curbing work will be filed with the City.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOC� EL'�
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 R�.
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 $�-6.85
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 THE PERFORMANCE OF CONSTRUCTION. tiS`21�. sOO $425.00
PLAN CHECK FEE TOTAL FEE
��j � , ��12 . 5 $705.63
� IGNAT� OF CONTRAC R OR AUTHORIZED AGENT IDATEI �
, q WHE PROP L V L AT THIS IS YOUR PERMIT
� a9yryi{� ,� � ? �CJ V
� SIGNATURE OF OWNE IIF OWNER BUILDERI IDATEI iNSP nATE
�
.,,
�., t .. . , •-„
� � U►` i- i1 i i LL �
APPLICATION FOR RESIDENTIAL BUILDING PER��IITS
CNEW,,ALTERATIONS, ADDITIONS, OR REPAIRS). _
OWY7ER: DARREL A. FARR DEVELOPMENT CORP. BUILDER-• S�
Address. 4600 LAKE ROAD �- Address: � �•
R , .
. - Tel. No.: 536-9936
1Vo_s 5471 - Street: East Brenner Pass �
LOT: 4 •BIUCK: 2. ADDITION: 6th
CORNER LOTs Z INSIDE LOT: SLTBAQC: SIDEYARDS:
Applicant attach to this iorm Zt,io Certificates of Survey o£ Lot and proposed
building location drawn on these Certificates. _
. -. .
To Be Used As:
. �
� DESC��-f'TTION OF BUILDING
- � ��B�� , _ _
�
HOUSE Front: �� Depth: 0�8 Height: ��
` Square Feet: ��� C�bic Feet:
.'.
= Front:
Depth: Height=
. Square Feet: Glibic Feet: �. .
__� Zype of Construction: WOOD FRAME Estimated Costc �' T� [� _� -
-Zb Be Completed: APRIL 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
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 i nnation.
DATE: �� �%j%—P2 SIGNATURE: - �
Stipulations:
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SUBJECT P
City of Fridley �- 17 3 7 5
AT THE TOP Of THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� ; y _____ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. / /
1 . � � �
� � r'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'""� � �'' 612-571-3450 910-F15 1/17/84 / /
JOB ADDRESS 5471 East Brenner Pass N. E.
1 LEGAL LOT NO. BLOCK TRACT OH ADDITION SEE ATTACHED
DESCR. ].l 2 I'nnsbru�k Nor.th Townhouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Farr Develapment Corp. 4600 Lake 12d. Mpls., I�T 55422 536-9936
3 CONTRACTOR MAIIADDRESS Z�P PHONE LICENSENO.
S3m@
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential �wnhause Gara e
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 10' x 22' Gara e
9 CHANGE 4F USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WbOC; Fr2IIle
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STAILS 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 r349. GO $1. �-7
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 T E PERF� CE OF CONSTRUCTION. $3S. rJO
PLAN CHECKFEE TOTALFEE
` e � � /9��� $39a67
S NATUAEO CONTRACTOHORAUTHORIZEDAGENT IDATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
� C
SIGNATURE OF OWNER �IF OWNER BUILDERi IDATEI BLDG iNSP � E
Effective Aug. 1, 1581
�i��t �r �ac���eY �
�,('('LICf1TI0�1 f0�t RCSIDlitT1P,� QUlL�1�:G PLrd�]TS .
�Nc�►•�, ii1 ter�tivnsa �ldditions. �r Rc�air-s)
.
OF� I�E R: Darrel A. Farr Development Co_rv . DUI LD�:R: �� '
AD�i:ESS: 4600 Lake Rd. Mpls., MN 55422 �1D�'tCSS:
�EL G�O: 536-9936 TEL �10:
F
�onst�uetion Loeation
STtti�: �IO: 5471
��,: 11
���;T; East Brenner Pass
�LOOC : 2 �nni �zo:� : 6 th
Corncr l.ot: Insic]c �t: � �c�back: Sideyards:
Ap, Iicant att�ch t.o tl�is form f�.�o Certificates of Stirvcy of lot and
pzopose�l building locati� el�r�:+n on eertificates to seale.
DESCRIPTlO�� OF CO;�STT:UCTI01�
Fzont: �cpth: Height:
Squarc i'ee�a �bic Feet:
Front: D+epth: Heigl�t:
Sguare �c�t: Cubic Teet:
7�pe of Co..struction: Wood Frame Estisnated Cost: ^S �stn�
Zb Be Nr.:pleted: May 1983
�11t. A �1 t. 8
Propos�d Drivch��ay 6+idth If New Openinc� Is Desfred: $ S _
, S�L PEVF.R;L' SIDi OF SiIF.ZT �
'S�P unc]ersianed hereb:� :r+�):c:� �Pplic�ticn for a p^rr.it fcz the �:ozk he=ein sp�cified,
egreein3 �o eb .all a:ork ir, striet �ecordanee e�ith the City of Tridle�• Orc3i>>ances Pnc�
zulii��s of tl�e De1�.1risne��t of Bui:clin�s, and i�eaeby decl�zes that all tl�� fact:. and
sre�re`c�t..it�cns �tatcd +n ghis applic�tion �ze t.rue a.*�d co=rect.
���: �-13 -8y slcun�vr�: ,;= � -
�tij�ulatfons:
�
,
sue.,ecT P T NO.
City of Fridley 31085
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
r
; � RECEIPT NO.
� `v _���� COMMUNITY OEVELOPMENT DIV. `
r � � PROTECTIVE INSPECTION SEC �� /,y�
� i � v�
( /'�'1 � CITY MALL FFiIOLEr SSIJ2 NUMBER REV DATE pAGE O� AVPROVEO B�
�..__Jl: '•� 612-571-3450 staFls 6/27/00 / /
J08 ADDRESS
5471 73 75 77 79 81 East Brenner Pass
1 LEGAL �OT NO. BLOCK TNACT OR AODITION SEE ATTACHED
DESCR. 1_6 2 Innsbruck North Townhouses Plat G SHEET
2 PFOPERTY OWNER MAIL ADORES$ 21P PMONE
Innsbruck Townhome Association
3 CONTRACTOR MAIL ADDRESS 21P PNONE LICENS N
Garlock�French Roofing Corp. 2301 E. 25th St., Mpls., NIl�i 55406 612-722-7129 0�08142
� AqCNITECT OR OESIGNER MAIL AODRESS ZIP PMONE UCENSE NO
6 ENGINEER MAIL ADDfiESS 2�P PMONE LICENSE NO
8 USE OF BUIIDING
Residential
7 CLASSOFWOFiK � N� p ADDITION � ALTERATION C� REPAIR O MOVE O REMOVE
B DESCRIBE WOFK
Reroof Townhouse Building (Tear Off)
9 CHANGE OF USE FROM TO
STIPULATIONS
Ltnderlayment must comply with the State Building Code.
���rr�lt lnspe�tf�n Car�s
�till Ba Malle�
�o Homeowner'�� .`���z°�t
SEPARATE PERMITS ARE fiE0U1RE0 fOR EIECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD
VENTI�ATING OR AIR CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU FT.
AUTMORIZED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTpUCTION
OR WORK IS SUSPENDED Ofi ABANDONEO POR A PERI00 OF 120 OAYS AT
ANV TIME AFTER WOqK IS COMMENCEO. NO, DWIG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFV TMAT I HAVE iiEAD AND EXAMINEO THIS APPlICA710N 6 STALLS GAiiAGES
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
ANp ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED �21 6�1. OO ��.0. HO
WITM WHETHER SPECIFIEO HEREIN OR NOT. TNE GRANTING OF A PERMIT s
DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL TME pEqM17fEE SACCNARGE
PROVISIONS Of ANY OTMER STATE OR LOCAL LAW REGUTATING CON-
STpUC710N OR TNE PEFFORMANCE Of CONSTRUC7�ON $349.ZrJ Fire .SC .�2�..63
PLAN CHECK fEE TOTAL FE
$38 .68
S�GNATUpEOFCON'FACTOpOAAUTMOp�ZEDAGENT IOATEt EN ROPEp OATED T IS VOUp PEpM1T
� �_�
S�GNaTUAEO�OWNEp���OWNEpBU0.0EA� �D�rE� BL �NSv q�tE
a;, _ °
�
\
NEW
ADDN
ALTER
[l
Il
I]
Construction Address: ,_
Legal Description:
Owner Name 8� Address:
Contractor. � G G-
Address:��Dl �S'�
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLD(ES R 1 AND R 2
BUILDING PERMIT APPLICATION
�p� 3io�s'
Effective 1h/2000
612�72-3604 Bldg Insp
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Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF 1144PROVEMENT
Length Width Height _ Sq. Ft
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
Construction,Type: RO � In Estimated Cost $� I T� ��•�
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: � 2 APPLICANT: �� �1��.� Tel.# t,�a-�aa-%la'�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�604 for Pertnit Fees if malling In applicatlon
$�°��s� Fee Schedule on Reverse Side
$ o� / - .001 of Permit Valuation (1/10th%)
$ A ,� $.50/$1,000 Valuation
$ �" $1100 per SAC Unit
$ �' $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ ������ ��
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