AF - 40668City of Fridley SUBJECT _ _ �
AT THE TOP OF THE TWINS g U I L D I N G P E R M �� _ � 5 5 9 6
i �
� �' �_.__ COMMUNITY DEVELOPMENT DIV. � y� N��
� PROTECTIVE INSPECTION SEC. �
r ' ' �y� 3
� � ,
l----� �����;'� CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BY
i 612-571-3450 910-F15 12/26/79 � �
JOB ADDRESS 5474 East Brenner Pass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. % ],$ Innsbruck North Townhouse Plat 5 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel Farr Development 7286 - 72nd Lane, Brooklyn Paxk, MN 55428 56Q-8110
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 BUILDINC3
R@5 ].d@ITtic1].
7 CLASS OF WORK
X NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 OESCRIBE WORK
Construct an 18' x 28' Tokmh4use B Unit
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
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 FOFi A PERIOD OF 120 DAYS AT 1332 11, 952
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 TVPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 23 9OO 1�.. %S
DOES NOT PRESUME TO GfVE 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. 4%. $], 425. OO
PLAN CHECKFEE TOTALFEE
11 9 4 4
SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT �DATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
� �
° �� �..�., �� 4
SIGNATURE OF OWNER�IF OWNER BUILDERi IDATEI BLDG INSP �qT
• � CI fY 01= 1=1ZIllLCY .
• /�PPLICl�71U11 fUR RI�SIllf�tdT1/�L PU11_DlI�1G f'l�fZf�iITS .
' (�'�L'4�, �L'I'LR/1T1Uid�, nI?llIT10I��, OR R�PJIIRS) �
. , . . .
OWtt�R: �J-tli'�o�e..G-�' � . �'�°.-��r.�P�' �C.:�.P °° TUILUI:)t: � � �,. e.r..' —, - -
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r,OT : '% HLOCY.: / � . ADDx�r. xor� : � �
CO�21d2iR L�JR': %� . I1�SIll� LOT: S,^:TJ3ACY.: SYUL•'YARDS: '
Applicart attach ta ihis form 71�o Certiii.cates of Survey o£ Lot ar�d proposed �
- bui.lding �.ocatian dra�m on these Ccrtiiicates. .
. .
� � DESCRI PTIOPJ OF BUI LDI �G �-��•�
To Be Used )�s: . � �
' ��s:��e- Fxont i �� Depth : • a� ' Height : a;A '
� . Square Fee�: ,33 Cubic Feet: ��95�
'I'xont: DePth: � Neight: �
Square I'eet: � Cubic Feet: ' �„
�.`ype o.f Construction: �J �-r,��. .�,.�_�c. j�.2_-�__.�. Estimated Cost: ��SQ
rJ . .
xb }3e ComPleted: �/�D �A].t. A Alt. B
Y--� -
Proposed Driveway [�Jidi:iz If I�leia Opening Is Desired $ $
� ' (S�E 1'.�V�RSE SIDE OF SIiE�T)
The undersig»ed he�eLy makes applicai.ion for � permit for the �oork lierein
specificd, agreeing to do all �cor}: i.n strict acc�r �aiLh tl�e City of .
Fx�dl�a► Ordinances and ruli.ngs of tlie Dcpaztme� oi Lui ings, �nd hereby �
decl.azc� L•hat all tl7e facts and xe�.�resen - st • is application
axe true ��d co�:rect-. �See xeverse �.de ia iL- nal ;.ai onnation,
DnTE: /a �/ �'/'I R
Sti�ulations: , � .
� 'S�`l 8 / ��`-��' ` . .
l l - qs ��.fr� ��t�c �. � .
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GEO. SEDGWICK HTG. & AIR CO�UD. CO.
/� HOUSE HEATING TEST RECORD
`�' f��/�:% � � F `�'' �,^ °
c° c , �'�, � �,
ADDRESS f _ >• .��,%•,� .� 'r�r 'i.��u�� ,��:� �.'� CITY �,% - ���
� �'/�'�
OCCUPANT OWNER °�`��� � r�r' i �r �-r fi �
HEAT LOSS DATE HTG.�ANST. /
SOLD BY -" ;' INSTALLED BY,:-• rt`-%� '� �+ `� d�
Electrical Work BY - -- �"�'�'�C � t� L�' Gas Line By �'� ��'�'� �+��`'-- �'�:`.�
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER_
.� GAS DESIGN CONVERSION
MAKE -:'---: � u%�' � t�-- �: MAKE OF BURNER
Model � �'= '� � ,- �l ,�°.�'.- "`" —; _`' `. �-.
� Model
Serial � ) �1, �F °� ; �-`' �=�� Max. BTU Rating
� f� T
INPUT �`" = �'�'�� MAKE OF FURNACE
'� Model
.-- s, ��
THERIOIIOSTAT ��` -
Valve n' !"�'� � �
Limit �
Limit Setting
Fan Setting
Pilot Type �-
Pilot Make �'.�`` .
CONTROLS
,�,' Heat Plug
�-
Pilot Model "•- � ',` , , ��'�E°�- !�'A
Pilot Timing ".°'° ' �,:�= ',�,�,_`''='' °`;' i' °
L.W. Cut Off
� �� y� ,..V �� e. ,
Pressure / ` � Percent CO2 �' ,%' ~�%�
P i`� �s�
Input CFH ,:_r Percent 02
Stack Temp. ��' ' Percent CO F�,� •� -?. %
e
Form 235
f / �.
Vent Size —,��°'
KIND OF LINE�i',�� L�� .� SIZE NONE
Draft Hood �` 'f'� �' � � ��� � ' a�iegulator
Filters Size Number
Chimney Location lnside � � .=°� Qutside
Chimney Construction _ A�r%� � S� �
.
i�
Smoke Bomb rs Wiring _ f`-?�l d'
Draft G'=-'�'� TestTag _ �'�� ''� �
Door Pressure Lighting Inst. ��
Date Tested ���--- ' � � ��� d� a
Company Testing �= :"`�'> � �=`- ���'A' s`'�
Name of Tester ��� � ��,��%�'/ ���
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sue,,¢cT PER .
Cit�� of Fridley �" 16 0 9 9
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T ��
r
; � RECEIPT NO
• COMMUNITY DEVELOPMENT DIV. ,, 9
� �a: ----- � d�V
r � � PROTECTIVE INSPECTION SEC.
i1 = �
.--_ A �'�h'� CITY MALI FR�DLE� 55a32 NUMBER REV DATE PAGE OF APPqOVED BY
ti � � 612-571-3450 910-Ft 5
4/1/81 � �
JOB AODRESS See Below
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
oESCa. 1-6 13 Innsbruck North Townhouse 6th Addn. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE
Darrel A. Farr Develo�ent 46Q0 Lake Road, Robbinsdale, luH�T 536-9936
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Sa�e
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE Of BUILOING
Garages
7 CLASSOF WOHK NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
�
B DESCRIBE WORK
Construct a 54'8" x 22' Garage Unit
9 CHANGE OF USE FROM TO
STIPULATIONS
. Lot 1— 5482 East Brenner Pass N.Eo
Lot 2- 5478 East Brenner Pass NoEo
Lot 3- 5480 East Brenner Pass NoE.
Lot 4- 5474 East Brenner Pass N.E,
I,ot 5- 5476 East Brenner Pass N.Eo ,
Lot 6- 5480 East Brenner Pass NoE,
Provide aaie raw of concrete blocks under bottom plates.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, NEATING,
VENTIIATING OR AIR CONDITIONING.
TNIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTEF WORK 15 COMMENCED. NO. DWLG. UNITS OffSTREET PARKING
I HEREBY CERTIFV THAT 1 NAVE READ AND EXAMINED TF11S APPLICATION STALLS GARAGES
AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX
AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED �'lO�GOO $S.3O
WITN WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pERM1T FEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGULATING CON- 48.OS
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION. $
PLAN CHECK FEE TOTAL FEE
$ 53. 38
S�GNATUREOFCON�RACTORORAUTMORIZEDAGENT �DaTEi W N PRO E ID ED TMIS IS VOUR PERMIT
S�GNATURE7�0�':NEA���OWNEABULLDEA� �OATE� B.pG �!.SG ���TE /
sue�ecr RMIT NO.
City of Fridley 310 8 3
AT TME TOP OF THE TWINS g U I L D I N G P E R M I T
�
; � RECEiPT NO.
COMMUNITY DEVELOPMENT DIV. ���
r� � v � PROTECTIVE INSPECTION SEC.
, ,
� , ,
� S /'�'1 � CITY NALL FRIOLE� SS132 NUMBEP pEV DATE ' pAGE OF APCilOVEO BY
�----�: �.� 612-571-3450 910-F15 6/27/00 � �
�oe nooRess 5474, 76, 78, 80, 82, 84 East Brenner Pass
1 IEGAL ��T NO. BIOCK TAACT OR AODITION SEE ATTACNED
DESCR. %-IZ 13 Innsbruck North Townhouse Plat 6 SNEET
2 PROPERTY OWNEFi MAIL AODR�SS 21P PHONE
Innsb�uck Townhome Association 651-224-5482
� CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Garlock-French Roofing Co.rp., 2301 E. 25th St., P.1pls., MN 55406 612-722-7129 00001423
d ARCNITECT OF DESIGNER MAIL ADDRESS ZIP PNONE LICENSE N0.
5 ENGINEER MAII ADDRESS tIP PNONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADOITION ❑ ALTERATION � REPAIR D MOVE O REMOVE
8 DESCRIBE WORK
Reroof Townhouse B�ilding (Tear Off)
9 CHANdEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMI7S ARE REOUIREO FOp ELECTRICAL, PLUMBING, NEATIN(3,
VEN7ILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING SO. FT CU FT
AUTHOR12E0 IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTFUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT
ANY TIME AF7ER WORK IS COMMENCED. NO OWLG. UNITS OFFSTREET PARKING
I HEREBY CEpTIFV TNAT I MAVE READ ANO EXAMINED TNIS APPLICA71pN 6 STA�LS GARAGES
ANO KNOW ?ME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of �AWS yq�UAT10N SUqTAX
AND OIiDINANCES GOVERNING TNIS TVPE OF WORK WILL BE COMPLIED
WITM WMETMER SPECIfIED HEREIN OR NOT. TME GRANTING OF A PERMIT �2�:,631.00 ��.0. HO
DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE
PAOVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON-
STRUCTION OF THE PERFORMANCE OF CONSTRUCTION $349.ZrJ Fire sC ��1.63
PLAN CFIECK fEE TOTAL FEE
$3 .68
S�GNATUpEOFCON"AACTOQON4UTMOA�ZEDOGENT io�rE� E PpOPE A�IDATED �S IS VOUR PERMIT
\� �_� �
S�GN4TUAE O� OWNEp i�� OWNEA BWLDEpi �DAiE� IhSP q6 tE
N�n► Il
ADDN [J
��R I ]
CITIf OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R 2
BUILDING PERMIT APPLICATION
.��`���o ��
Effective 1/1/2000
612�572�604 Bidg insp
onstruction Address: _T�° � � � �
�°L - ' : ��I�� '?�v �U �S� �� � � �Y�-(���' ��S
�� . �.
Owner N
Contract�
Address:
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
�rn��. # l05 i- aa u- s�l ��
MN LICENSE # �bD I � a3
>Syp�Tel. # lv/�- %��-%/� �'j
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTI�N OF 111�PROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length Width HgUGround Sq. F�
Construction Type: RO � fn Estimated Cost $��. ��_3 ����
--�-�
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: l� � APPLICANT: � � �1 �� ,�P�f'� Tel. # � � a -� a �a -i I '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 mailing in application
$ �'�g.�J� Fee Schedule on Reverse Side
$ � � , � � .001 of Permit Valuation (1 /10th%)
$ /(�A g � $.50/$1,000 Valuation
$ $1100 per SAC Unit
$ $5.00 (State Licensed Residential Contra�tors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ] ``�---
$ 3�� �d��� ��
��
�� � o,
�
��� _�`"� "
BUII.DING PERMIT FEE SCHEDiJLE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existiag building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit: . _ �.. �: .
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,0�
$25,001 to $50,000
$50,001 to $100,(�0
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEFS
$23.50
$23.50 for fust $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,OQ0 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each addidonal
$1,OD0 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete C�rb Streets Only)
Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issu� a minimum of 24 hours from the time of application to allow for proper
review of the propflsed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Onlv
R .
SuB�ECi
City of Fridley 3356
AT TNE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV. ��/
� ��: —
r � � � PROTECTIVE INSPECTION SEC.
1 = �
1 /"'1 � CITY HALL FRIOLE� SS13i NUMBER pEV OATE PAGE Oi APpqOVEO BY�
�'"""� � �'' 763-571-3450 9/0-F15 3 / 6 /03 / /
lOB AODRESS 5474, 5476, 5482, 5484 EAST BRENNER PASS NE
t LEGAI L07 N0. BLOCK TRACT OR AOOITION SEE ATTACMED
DESCR. ]� 9� 1� � 12 13 Innsb SMEET
2 PROPERTY OWNEA MAIL AODRESS 21P PMONE
Various
3 CONTpACTOR MAIL ADDRESS ZIP PMONE LICENSE NO
Loon State Construction C 6-
d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP P ONE LICENSE NO.
20282972
5 ENGINEER MAIL AODiiESS 21P PMONE LICENSE NO
8 USE OF BUILDING
Townhouses
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION � REPAIR p MOVE O REMOVE
8 DESCRIBE WORK
Chimney Repair
9 CHANGE OF USE FROM TO
STIPULATIONS Corrections per Building Official inspection.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING. HEATING,
VENTILATING OR AIF CONDITIONING
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAVS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FON A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO D1NLG. UNITS OFFSTREET PARKING
I MEREBV CERTIfV THAT I MAVE REAO AND EXAMINEO TNIS APPLICA710N 4 STALIS GARAGES
AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PFOVISIONS OF LAWS yp�VATION SURTAX
ANO OROINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED
WITH WHETMER SPECIFIEO HEREIN OR NOT. THE GRANTING Of A PEFiMIT �7sSOO $3.]S
DOES NOT PRESUME TO GIVE AUTMOqITV TO VIOlA7E OR CANCEI TNE pERMIT FEE SAC CNARGE
PROVISION$- ANY OTHER STATE OR LOCA� LAW REGULATING coN- �153.2.5 Fire S�,' �7..rJ�
STRU�7ION O PERfORMANCE OF CONSTRUCTION
i
PLAN CNECK FEE TOTAL FEE
` .3 (� �� License SC $5.00 $169.50
S�GN4 �iCON'AACTOpOA1U1MONQEOOGENT �DATE� WHEN PROpERLY VALIDATED TMIS IS VOUp PEpMl7
� v _
S�GNATUAEO�OWNEA��cOwNEABUi�DEAi �01TE� BLD � S q�lf
1
NEW [ ]
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY Effective 1/1/2003
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: 5y i `�, � `�7�, � y ��, ���y ,� - >3�c�v,v�� �� ss �vd � _ �,� � � �L �
Legal Description: U!� � io�S
Owner Name & Address: ��14 �� a v� _ ` Tei. #
Contractor. ��^� � � �� � �' ST�e v� � � °� � � MN LICENSE # ��a �a � � �-
Address: �� �O �7"Y . r�/G.� r°, /o a�=iiv6• z��'� PAe��c Tel. #'7�3- 7�D-�'� � C�
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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 �dth Height Sq. Ft.
Length Width HgUGround Sq. Ft.
� °�
Construction Type: ��i��'�y ��'���� Estimated Cost: $ ��a �'
Driveway Curb Cut �dth Needed: Ft. + s Ft = Ft x$ _$
. � f.� 3
DATE: � 0-3 APPUCANT: � Tel. #��� -� �S� 7
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ ��.�� o��
$ %���
$ t=
$
$ ��Ov
$
$
$
$
$ �l0 9> ��
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
�r��m�r.�,
BIJII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building ar structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,OQ0
$25,001 to $50,�
$50,001 to $100,000
$100,001 to $5�,000
�, 11 11 � ', 111 111
FEE5 �
�
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to a.nd including $25,0�
$391.25 for first $25,000 plus $10.10 for each additional $1,�
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1, 000 or fraction thereof, to and including $100,000
$993.75 for first $100,(�0 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,0�,�1 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00.
Permits for const'ruction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
, VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
. �
SuB�EGi
City of Fridley 3338 �
AT TNE TOP OF THE TWINS g U I L D i N G P E R M I T
�
; � R .
� `y � COMMUNITY OEVELOPMENT DIV. �
r � � � PqOTECTIVE INSPECTION SEC. ��
� . �
� _ �"'1 � CItY HALL FRIOIE� SS�J2 NUMBEP REV O�TE vAGE Oi �VVROVEO Br
�'""'� � �'� 763-571-3450 910-F15 3/24/03 / �
J08ADDRESS 5474, 5476, 5478, 5480, 5482 5484 East Brenner Pass NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED
DESCR. 7-12 13 Innsbruck North Townhouse Plat 6 SFIEET
2 PROPERTV OWNER MAIL ADDRESS 21P PMONE
Various
� CONTRACTOR MAIL ADORESS Z�P PMONE LICENSE NO
Loon State Construction 1600 Co H 1 763-286-6757
d ARCMITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
20282972
S ENGINEER MAIL ADDRESS IIP PHONE LICENSE NO
6 USE OF BUILDINO
Residential
7 CIASS OF WORK
O NEW O ADDITION O ALTERATION L� REPAIR ❑ MOVE � REMOVE
8 DESCRIBE WORK
Reside Garage Building
9 CHAN(iE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, P�UMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTI�ATING OR AIR CONOITIONING.
TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS7RUCTION 20NING SO. FT CU FT.
AUTHORIZEO IS NOT COMMENCEO WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOF A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I MAVE READ AND EXAMINED TNIS APP�ICATION STA��S GAFAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX
AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED @
WITH WMETMER SPECIFIEO MEREIN OR NOT. TME GflANTING OF A PERMIT W9 fOOO ��F.SO
DOES N07 PRESUME TO GIVE AUTHORI7V TO VIOLATE OR CANCEL TME pEqMITFEE SACCNARGE
PROVISIONS O OTHER STATE OR LOCAL LAW REGULATING CON- @
STRUCT R TME P f ANCE Of CONSTRUCTION W167.25 Fire .SC �9.�0
PLAN CHECK FEE TOTAL FEE
c- i ��i Q icen e SC $5 .00 $185 . 75
Si 4TUAEOF " ACTOpOAAUTNOAIZE04GENT o• Ei � W EN PFOPERIV VALIOATED THIS IS Y R PERMI
1
S�GN4TUaE 0� OWNEA ��� OWNEp BU�IDEFl� IOA1E� BL G�NSO p6tE
NEW [ ]
ADDN [ ]
ALTER [ ]
CIIY OF FRIDLEY Effective 1/1/2003
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:��/7'Y� 7(, 7`�:�, �`� �. l_���NN� ��455 �-� �
Legal Description:
Owner Name & Address: Tel. #
Contractor. �� �� ���K. a MN LICENSE #�G� ��.� 7�
Address: /Co� �� ,��e��„�d�. ����� ����e �� � Tel. # `��� -� �� -� '��7
� �''�r�.��'; - � �p - ��� � �
LNING AREA:
Attach to this appiication, a Certi�cate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length �dth Height Sq. Ft.
GARAGE AREA: Length
DECK AREA:
OTHER:
Width Height Sq. Ft.
Hgt/Ground Sq. Ft.
� G. .e i .S � � o , ��
Construction Type �i'�� - �a��i r�+ �, _ Estimated Cost: $ �� C�U ��
Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x$ _$
r <� �
DATE: � � � � �� � APPLICANT: � �'!�' Tel. #��.��� rSZ� " ��l��i-
0
Call (763) 572-3604 for Permit Fees if mailing i application. Fax to 763�571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$,� .� �J
$ 9- DO
$ �.SO
$
$ , _ l) �
$
$
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
TOTAL $ ! � SP. ��� STIPULATI�NS�
BUII.DING PIItMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1, 000 or fraction thereof, to and including $1,000, 000
$1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
cuxs cv�r �,scxow
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00.
Permits for constivction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
sua�ecT PERMIT NO.
City of Fridley 3 4 0 2
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
r
; � IPT NO.
� `y � COMMUNITY DEVELOPMENT OIV.
r � � � PROTECTIVE INSPECTION SEC `,A �
� . .
i.--.� ��'�' �'� CITY NALL FRIDLEV SSI$2 NUMBER pEV DATE PAGE OF APVROVEO BY
i 763-571-3450 9t0-F15 4/1/03 / /
108 ADDRESS 5474, 76, 78, 80,82, 84 East Brenner Pass NE
t IEGAI LOT NO. BLOCK TRACT OR ADOITION SEE ATTACMED
DESCR. ]—].2 13 Innsbruck Nor�h Townhouse plat 6 SNEET
� PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Various
3 CONTRACTOR MAIL ADORESS 21P PHONE LICENSE NO
Loon State Construction 1600 Co Hwy 10, S rin Lake Park, MN 55432 763-780-5666
e ARCMITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO.
20282972
S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Townhouse Building
7 CLASS OF WORK
❑ NEW O ADOITION ❑ ALTERATION C� REPAIR p MOVE O REMOVE
B DESCRIBE WOiiK
Reside Townhouse Building
9 CHANOE Of USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this g�ovision would be �Lf sheathing is an approved weatherprooi
panel or when the siding is an approved weather barrier. Viny� siding is not
a weatherproof covera.ng unless the manufacturer states this in their application
guidelines. Call �or inspection of wrap before covering. Caulk and fZash a�l
exterior openings.
SEPARA7E PERMITS ARE REOUIRED FOF ELECTiiICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANC� IOAD
VENTILATING OR AIR CONOITIONING
TMIS PERMIT BECOMES NULL AND VOID If WORK OR CONS7RUCTION 20NING SO. fT CU FT.
AUTHORI2ED IS NOT COMMENCED WITMIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FON A PERIOD OF 120 DAYS A7
ANV TIME AFTEF WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING
I HEREBV CERTIFY THAT I NAVE READ ANO EXAMINED THIS APPLICATION 6 STA��S GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUiiTAX
AND ORDINANCES GOVERNING THIS TYPE Of WOFK WILL 9E COMP�IEO
WITM WHE7MER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A pERM1T �2OyOOO �IO.00
DOES NOT PRESUME TO GIVE AU7HORITV TO VIOLATE OR CANCEL TME pEFMIT FEE SAC CMARGE
PROVISIONS OF A STATE OR LOCAL LAW REGULATING CON-
AUCTION� ME PER CE OF CONSTRUCTION $321.2.5 Fire .SC �20.0�
� PLAN CMECK fEE TOTA FEE
L � � � License $5.0 $ 56.25
SiGN ruaEO�C TOpOAAUTMOAIjEDAGENT iO�iE� N O VALIDA ED HIS IS VO R PERMIT
.
_ �
S�GNeTU�7EO�OWNEA���OWNEpBU�LDEii� IDATE� el� �NS� f�p/E
a
NEW [ ]
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY Effective 1/1/2003
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: _ �`"�� 7 � '7���� �a, � �/ �s-� �/'e ri�P�- ��t ss .
Legal Description:
Owner Name & Address: � Tei. #
Contractor.�� � �%6� C'�'Jd� '�'u%�'�a�✓ MN LICENSE #�� �o� °/ %�
Address: _��0� � - .�u.� ��, SP"'Ir� �G �CP Gtr,� Tel. # 76 �" 7 gd ���fo
LNING AREA:
Attach to this application, a Certificate of Survey of the
lat, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
GARAGE AREA: Length
DECK AREA:
OTHER:
Width Height Sq. Ft.
Width Hgt/Grq,und Sq. Ft.
Construction Type: _// cY lr �����e / Estimated Cost: $� d� ��
Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x$ _$
J1 �G3
DATE:T �`"d� APPLICANT: � Tel. � �6 —C� �-s� 7
Call (763) 572-3604 for Permit Fees if mailin in application. Fax to 763�571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ ��1, �s�
$ o�DdQb
$ ID•�C�
$
$_ �� �C7
$
$
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
TOTAL $ p�S�(0�S STIPULATIONS�
BUII.DING PERNIIT FEE SC�ULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,Ot�
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional$100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $1U.10 for each additional $1,Q00
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000, 000
$1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
cuRB cv�r EscROw
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00.
Permits for consfruction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
f . . .