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AF - 40678sue�ecT PE O. � City of Fridley � 16 0 9 2 �, AT THE TOP OF TME r1VINS g U I L D I N G P E R M I T RECE . � �` _� COMMUNITV DEVELOPMENT DIV. �� ^� � � � PROTECTIVE INSPECTION SEC. d r , , , � �'��1 � CITY HALL FRIDIEY SS4� NUMBER REV DATE pAGE OF APPROVED BY �'""� � �'' 612-571-3450 9t 0-F� 5 4/1/81 / / JOB ADORESS See Belaw 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. j-5 15 Innsbruck North Townhouse 6th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Da.rrel A. Farr DeveloFmment 4600 Lake Road, Robbinsdale 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 2�P PHONE LICENSENO. 6 USE OF BUILDING 7 CLASS OF WORK 8 DESCFIIBE WORK 9 CHANGE OF USE FROM NEW D ADDITION ❑ ALTERATION 0 REPAIR � MOVE ❑ REMOVE � l2�+ v 7'� � TO STIPULATIONS Lot 1- 5496 East Brenner Pass NoEo Lot 2- 5498 East Brenner Pass N,E. Lot 3- 5492 East Brenner Pass NoE. Lot 4- 5488 East Br�ner Pass N.Eo Lot 5- 5494 East Brenner Pass NoE. Provide one row of concrete blocks under botto� plates. TYPE OF CONST. OCCUPANCY SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VO{D IF WORK OR CONSTRUCTION 20NING SO. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR If CONSTRUCTION OR WC1RK IS SUSPENDED Oii ABANDONED FOR A PERI00 OP 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I MAVE qEAO AND EXAMINED THIS APPLICATION STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $g,349.29 WITH WMETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL TME pEqMITFEE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING coN- $44• CB STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. , � PLAN CHECKfEE S�GN4TUAEOFCONTRACTOaOAAUTMOR12E0AGENT ��DaTE� WHEN ROPERLV OCCUPANCYIOAD CU. FT. OFFSTREET PARKINC GARAGES SURTAX $4. 67 TOTALFEE $49.35 TNIS IS YOUR SUBJEGT P E City of Fridley 16 0 9 3� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r : � �� . • COMMUNITY DEVELOPMENT DIV. � � �: ------� r � � PROTECTIVE INSPECTION SEC. � 1 � � ' r��ti � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �"'""� � ��' 612-571-3450 910-F15 4/1/81 / / JOB ADDRESS 5488 East Brenner Pass N.E.. 7 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Ej 15 Innsbruck North To�znl�use 6th Addn.- SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Darrel A. Farr Development 460Q Lake Rflad, Robbinsda.le 55422 536-9936 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WOIiK Construct an 18' x 28' Ta�etnhouse CUnit BZ 9 CHANGE OF USE FROM TO STIPULATIONS P�.� y�ll must be two separate 1 hour walls from bott�n to roof. Firestop soffits. Provide c�ustion air to furnace from outside. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS 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 $23, 560 �X�S q�.I.. %S 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $47• 81 $425.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $11.95 $496.54 SIGNATUFiEOFCON'RACTORORAUTHORITEDAGENT IDATEI W EN PRO E L A ATED THIS IS YOUR PERMIT SIGNATUREOFOWNERiIFOWNERBUILDEF� IDATEt" ° BLDG iNSP �AT .• c� rY oi= r-iz> »i_�Y . . . ' !it'f'LIC/►T1U1� rort ItI:STI)t:f��Tl/1L CU)l_D11��G f'f_RI�iITS . . ' (�'�L"1�l, nL1"L"RAT1 UId�, n1?llIT10IJ�, OR RLI'/1l ItS) �� . . . . . oit«r�:��%s,c,� Q •�.�� J .��.s..�r�r.�,.�Z r.uz�ui>>t: ,T ' � � - )�ddr.css: �GOO �yi�� _ . Address: . • ' - a J��..��,d,l��l.�,r `7%!�v • Tcl . l��o . �3 6— 99�3� / .. - l�o. : v`Zf � � 5trect: fi��► f" , � " - - - - - X�z-�•e � 7.OT: � � }3IAC):: � .7►DDi�rzor�: _ l `{�� COi212�R L�J1': ✓. I1�SID� IAT: �_ S��n�= . ' SIDL•'YARDS: � . Apllica'r,t attach �.o this iorm T�o Certifi.catcs of Survey of LoL- ar�d pxoposcd . bui.ldir�g locatian drawn on these Certificates. - - . . , . ,` . � DESCRI PTI Otd OF BUI LDI I�G � � �� To J3�� Used Iis: - - • . .� . . ' . _ . - . . �, - . . ' '/ / �1zcJ . � - - - /1( irt-��e /� Fronts % ,� Depih c - ' Height: _ - - . • , . _ Square Feet: . /33 � Cubic Feet: • � _ . - - -- .-- •I7ont: Depth:. • Neight: ' - . � Square Feet: �_ Gvbic Feet: ' � . . - . �� s� z� Tj•pe o� (bnstruction - �i(�p-� �!! ��??-p�- �t��tea Cost: $ - - _ 1b I3e Comnleted: „ ,, � � �� . ; Alt. A_ Alt. B / - . : . - ' Proposed Drive��ay 1•;idth If I�ew Opening Is Desired , $ _ C - • (SEE }t�VERSE SIDE OF SHF:ET) The undersigned i�ereY�y makes application for a permit -for the �aork ]�erein � speciiicd, igreeing to do all �cork i.n strict acc�rdance �vith the City of _ Fxivlcy Ordinances and rulings of the Dcna�La�ent oi ruildings, and hereby decl.axe� th�t all the facts and regreseni:ations �t-ated in tiiis application a�e true and correct. See� xeversc side far acldiL•io»al _ i�iiozmatioi�. . D11TE: SIGt�A'i'UI:E: ��ll/'• , 1 � r Stipulations: . . " - �'1•S i d�� o T . . - " ��-�� d�c�-,� �� - � - //- °1� ��zc�A-�z� � . , ' . - '�%� � �� , . . . _ . . ' � ��. �� - - - . �....�. . � L fi�iW, H � d C'J z � W � J N G'] Q N-. c� � ti.. A z � E O t� z F-- p � U � 0... � O � 7' O F-� Q U' M ._.� � R Q �U . � v H H �u�$ ro H � ro � � � u � v �J � H � a1 Ci W � CU1 � . v.3,� o •� R N � v ro u u °'N�.v+i. � H U � Q o ro ro w �v . � ruw.c � � H �" 3� d-� �.1 .^� �0 t� R] .� � A 7 O �"� �QQ!! 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Q m � q a Fi � � ,� a o+ �.I y z° -: � E � � � ry �o W a a �a• °w rz �H � �G4 �� g� a 5 � w � y 0 � vi ii� a a 0 � n af� y N E � O �+ � � '.a w � m D W U w � � � �: a - '�`��j�d. �t E e'�' ? �� '�„° `i �� '_ } a'° � � � � _� � _ ` � � � . ��a �� +��at �.oss ca�cu�a,�ion�s {��9Gi�� '��I�G CO. �nir�r��ous, s�,,r�r�. Weatherstrips A.S.H.V.E. Cons4r�Qion Np. Insulation Windaws Doors �uide Out. ti"Jall Int. �'Jali Ceiling F�of Fl�r Kind t HoN+ �+pP�� Reference Yes—No Yes—No 19 � � FI. �� Room l.ength �' Width ' Height ��FI. �;1d Room Leng4h � Width /''� Height YJindows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height No. of U�eal ft. Area W�dth He�ght No, uf Lineal f[. Area ��' of ane of pane Ii hts of crack sq. ft. e � NO• of Dane of pane li hts of crack SG• f�• ! .� � �P'� �- � �� / � � �- � � � � � �� — Infi Itration G lass Exp. wall Net exp. wall � � IM. wall — — - I Ceiling I Floor • � �� ITotal Btu. IRequired sq. ft. E.D.R. or sq. ins. W.A. Leader area I F�, ,,�� Room Length ,� 411idth � Windo s an oors—Crackage and Area Widrh He�ght No. ot Lineat ft. Area NO' of ane of pane ��ghts o9 cra k sq. ft. 1 � g � I t � 2 � �- � � '�� ' Infi Itration � �P' ('? � Glass Exp. wa I I '� Net exp. wall Int. wall Ceiling Ftoor Total Btu. � e:� � Q Infil4raYion �� 1 � � Glass "� �'e Exp. wall ,� � .' � r � . IVet exp. wrall � � Int. wall Ceiling �°�s I" � � � Flow �� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Height �F1� ��g�p Raum Length Width Windo�vs and Doors—Crackage and Area Np W�dth He�ght Na �of Lineal ft, Area �� of ane of pane li hts of crack sq. ft. � � 6 tu Q �i � Infiltratian � � if Glass Exp. wall d � � � Net exp. wall Int. wall Cei I ino G �( •°�'° (s �` Floor �� -. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ' Required sq. ft. E.D.R, or sq. +ns. W.A. Leader area Ff. �i.' �r-�l Room ! Length W�dth �� Height �d �FI. �: � Room Length t Width YJindows and Doors—Crackage and Area �'Jindows and Doors—Crackage and Area W�drh He�gnt No. of ��^eat +t. Area W,tlu, �ar.�q�tt No. of Unea� h. Area N°' . of ane of Pane I�ghts c� crack sq. tt. , N�' of pane of pane I� hts oi c�ack sq. ft �► z6� �� I 1 o L `�- t v � ��,� .� Z z � � � Infiltration G lass Exp. well � Met exp. wrall 1r�t: wall �eii�ng � F tcuu ToYet B�i. � f� Coefi Btu I�ti ltrat+� � Glass Exp. tro�l! Net exp. vaelt Int. wa11 t:ei l ing _ �� Total 8tu. R�}uir�sl sq. ft. E.DP. � ns. W.A. Leader �ea � $t� / �I � � He igfit i� B tu �� Heig----� �� e � B tu� � �� , � d wO .�C U � U I '0G M � � i0 � � U � 07 y G7 N � � � � � W +i m � y 3 � p a�0 d D, ++ 1 � K � � N r-�1 �'��y � � V b �W � W � � 00 y ..i q U TA .0 � 'ajy�a � P.�. u � � "{ >, ."�.i �.�i a � � � �� w � � .i R C � � .i 0p1 O � � A � . �, o wp ro W b+ aAl � W R Q M � � d � .��1 � O� 41 N � +1 'O C'+ � 01 11� � ' m � w�-�i u�i +d'i ►�+ O �0 O 'd sr 0 O+ � m �w.'a �ob e�y � � Qqk �,°''-i �iw .a wy a�+ .�i � a�i ro a, h Gf UE � �� oa � � I � C ! , i N a� f. W a "m� � 3 x sa�0 � � y ro ebueli se� y 3 �'F3 •as}y1 •Tdd� se� � 3 seqseM ,d a��emo�tnd � su�seg m K�� =�T3 � B��iS suFe;uno3 b' o, bu��sQ � „�i adBSy qse(i� � s�s�s � o �o � � o BtrEseH � m san� u�8s c� � ei�=II � � w� z s�esoZ� o a e J� �d R7 .a. `. 68'FSO�S � N t+W1 � J � °z E � � a O 1 T � i � -► g 0 � O z � � a �q M E! (El� N �U � o � � � � I � �w o r�, % c� � �"1 , L' � � 2 II i � � z° � � � y N � M 0 a � L ��1 � � ry � � � a z M z w E M£ W a 0 w a °� 0 O 0 r-I � � H E H � a W z�H � U � a a �n Y� W � E a v� k+ � w �r W W � E Ha �a �� o • � E" v� tn ta vr vr v� v1 v� v� vr vr v� vr �n v� v1 b o 0 0 0 0 0 0 0 0 0 0 0 W o�n �r► o 0 0 0 0 0 0 0 0 0 � �n r� .a a ui ui ui �n ui n ui o o w �-1 �I b+ � f? f? N N t? H t? f? N t? f? t? t? i.i V� F+ � $$ U E = z H U y E � � � y N � a v, W � ,� � H m m o 1� U [!1 a x a � a, � � E+ � � a�i w � oG °` �, a a "°0' � $ m a � w w �, v � m Z N a ro p e b� +�+ O w � w m� m.� � a ro � o m X N 00 O m 14 �•�i N� m �0 � � D � u' .°� w a m w ro� �.•�+ a w m o� m m a � k d ,r w co �e •-i ►+ [y .0 a >, � > n z ,a m a a o a� o ro ro w � ''' °` o° w 3 o a w a v� a a H o �, � m�.roi m�-�i m�ro a� � ro o ro� ro� ��+ � a Z w o 00 a0 U a tC tA 3 dC t9 c9 r� � a ,''�' GEO. SEDGWICK HTG. & AIR COND. CO. , HOUSE HEATING TEST RECORD �'� �� " VV�� - � r ADDRESS '=;' ` ��' y�� fv -R �r,� � �,-} �''"`�' ; �, CITY "---'� � �,.� OCCUPANT OWNER �s� � ' ,, N; 3 � , HEAT LOSS_�� DATE HT�. INST. SOLD BY �'" "�=�� "� `, p'� °� INSTALLED BY '_ - � '.�� ,- � � Electrical Work By — ';',_ Gas Line By ~ �'-�' _ - TYPE OF HEAT GA_ FA .�'HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE " �� -� - =- . "-. MAK� OF BURNER Model — ` ' '� ' � - - ° Model Serial " Max. BTU Rating INPUT � . MAKE OF FURNACE Model CONTROLS THERI'dIOSTAT ' - Heat Plug Vent Size Valve _ � ` - - -• �IND OF LINER SIZE NONE Limit ' ` Draft Hood - , Regulator Limit Setting -- - Filters Size Number Fan Setting - Chimney Location (nside Outside Pilot TyPe ' ' � Chimney Construction Pilot 11�ake G _ Pilot Model— ` �` Smoke Bomb Wiring Pilot Timing - Draft Test Tag L.W. Cut Off " Door Pressure Lighting Inst. Pressure - Percent COZ Date Tested - Input CFH Percent 02 Company Testing � Stack Temp. Percent GO � Name of Tester '`' �"` ' Form 235 SuB�ECT City of Fridley 310 8 AT TFIE TOP OF TME TWINS g � I L D I N G P E R M I T r i RECEIPT NO. � � �.(O�b � `y � _ COMMUNITY DEVELOPMENT DIV. r � • � PROTECTIVE INSPECTION SEC. � . � � ` �"'1 � CITY HALI FRIOLE� SS�32 NUMBER REV O�TE v�GE Oi �vvROVED Br �""� � �'' 612-571-3460 910-F15 6/27/00 � � 108 AODRESS 5488, 90, 92 , 94, 96, 98 East Brenner Pass 1 LEGAL LOT NO. BIOCK TFACT Oii ADDITION SEE ATTACNED DESCR. (�—],1 15 Innsbruck Nbrth Townhouses 6th Addition SNEET 2 PROPERTY OWNER MAIL AODRES$ ZIP PNONE Innsbruck Townhome Association 651-224-5482 3 CONTRACTOR MAII ADDRESS ZIP PMONE LICENSE NO Garlock-French Roofing Corp., 2301 E. 25th St., Mpls., MN 55406 b12-722-7129 Q0001423 1 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDFESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WOFiK � N� p ADDITION � ALTERATION C� REPAIR O MOVE � REMOVE 8 DESCRIBE WOiiK Reroof Townhouse Building ( Tear-Off ) 9 CHANOE Of USE FROM T� STIPULATIONS Underlayment must comply with the State Building Code. P�rm1t Inspection Cards Will Be Mailed %'� Homeowner To Post TYPE OF CONST. OCCUPANCY GROUP OCCUPANCr LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIF CONOITIONING. THIS PERMIT BECOMES NUIL ANO VOID IF WORK OR CONSTRUCTION 20NIN(3 SO. FT CU FT AUTHORIZEO IS NOT COMMENCED WITNIN 80 OAYS. OR IF CONSTHUCTION OR WORK IS SUSPENOED OR ABANOONED FOR A PEFiIOD OF 12p OAVS AT ANY TIME AFTER WORK IS COMMENCED. N0. OWI�G. UNITS OfFSTpEET PARKING I HEREBV CERTIFV THAT I MAVE READ AND EXAMINEO THIS APPLICATION �� STAILS GAiiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PfiOVISIONS OF LAW$ yp�UATION SUFTAX ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED �'Z1,631.00 �t1O.SO WITH WHETMER SPECIFIEO HEREIN OA NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL TNE pEpMIT fEE SAC CHARGE PROVISIONS OF ANY OTMER STATE OR LOCAI LAW REGULATING coN• �349.ZS Fire SC.�Z�..G3 STRUCTION OR THE PERFOfiMANCE OF CONSTRUC710N PLAN CMECK FEE T Al FEE 381.68 S�GNATUpE O� CON"AACTOp Op MUTMOA�ZED AGENT IDATE� E P L1� VA E� THI$ I$ YQUR gEf1MIT - / 1r 7- � 'U S�GNSTUpEO�OWNEa��FOWNEABwLOEp� �O�fE� B OG �NSo piTE �� 3��'� N� � � _ _ � Effective 1N/2000 ADDN [ J CIT1f OF FRlDLEY 612�72�3604 Bidg Insp q�,'�R [] SINGLE FAMILY AND DUPLEXES R-1 AND R 2 � � BUILDING PERMIT APPLICATION - Construction Address: �J� �� , �a�� rr� �� Ccs� ,��'�n� ��.�� . . ._ . . -. Legal Description: Owner Name & Address: _ Contractor. � G C— ' Q,ririracc• ��n) U�.S'� # (o5i -aaU - SN�� MN LICENSE # �NSDI �a3 �S�p�Tel. # �ola- %��-�71� �'j Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF INlPROVEMENT LMNG AREA: Length Width Height Sq. F� GARAGE AREA: Length Width Height Sq. Ft _ DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: �0 �� In Estimated Cost $ � I ➢ �31 ° �� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: l� 2 APPLICANT: ��i- �1�� 0,� Tel.# ��a-�aa-i��i CITY USE ONLY - Cail (612) 572-3604 for Permit Fees if mailing in applicatlon Permit Fee $ 3� �� Fee Schedule on Reverse Side Fire Surcharge $ �� 4� .001 of Permit Valuation (1/10th%) State Surcharge $ � � ,� � $.50/$1,000 Valuation SAC Charge $ � $1100 per SAC Unit License Surcharge $ �$5.00 (State Licensed Residential Contractors) Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ �,� J , �(;�� A5� . � �"'� .� s �'"n ��! �y '� ,�-°` �` BUII,DING PERMIT FEE SCHEDUI,E The Cluef 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 stiucture, 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,�0 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEFS $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 &action 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,IX}0 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the propflsed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proce�ing with the framing, New Houses Only -�--�_ sue�etT P c;ty of Fridley 3 04 0, �� AT TNE TOP OF TME TWINS g � I L D I N G P E R M I T r ; � RECEIPT NO. � `v _ COMMUNITY DEVELOPMENT OIV. �� r � � PROTECTIVE INSPECTION SEC. 1 .1 � `--_-�; r"',.� CITY HALI FRIDLE� SSI�$ NUMBEN REV OATE PAGE Oi AVPROVED 81 L � 763-571-3450 910-F15 9/4/02 / / JOB ADDRESS 5488 East Brenner Pass NE 1 LEGAL �07 NO. BLOCK TRACT OR ADDITION SEE ATTACh1ED DESCR. 6 15 Innsbruck North Townhouse 6 Addn SNEET 2 PROPERTY OWNEFi MAIL AODRESS ZIP PNONE Margret Robach 5488 East Brenner Pass NE 571-4987 3 CONTRACTOfi MAIL ADDRESS Z�P PMONE LICENSE NO Hendel Construction 4997 Pa e Ave NE 763-428-7292 20192308 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE UCENSE NO 5 ENGINEER MAIL ADORESS 21P PNONE LICENSE NO 8 USE Of BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION 0 ALTERATION � REPAIR O MOVE � REMOVE B DESCRIBE WORK Rebuild chase - add firesto s to meet code - reside chase 9 CHAN(3E OF USE FROM TO STIPULATIONS Firestop as needed - floor/ceiling or i0 foot maximum. TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, MEATING. VENTILATING OR Alii CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING Sa. FT CU FT AUTHOR12E0 IS NOT COMMENCED WITHIN BO OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEAEBV CERTIfV THAT I MAVE READ AND EXAMINED TNIS APPLICA710N 1 STA��S GARAGES AND KNOW TME SAME TO BE TiiUE AND COFiRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOpK WI�L BE COMP�IED @ WITH WHETMER SPEC�FIED HEREIN OR NOT. THE GRANTING OF A PERMIT `P3s5OO �1.75 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEpMIT FEE SAC CMARGE PROVISIONS OF ANY OTMER STATE OA LOCAL LAW REGULATING CON• @ STRUCTION OR T PERFORMANCE OF ONSTRUCTION `P97.25 Fire .SC, �3..50 PLAN CMECK FEE TOTA� FEE Licens S $5 0 $1 7.50 S�GNATUAE OF ON'A ,TOQ OA AUTHOpIZEO AGENt IDAfE� MEN PROp VALIDA7 THIS��IT ,� r Q S�GNOTU�7EO�OWNEA��OwNEpBU��DEp� �OATEi B G �NSP ��`�f � c " NEIN [ j ADDN (J ALTER ( j CRY OF FRIOLEY Etfective 9NR002 6431 Universiiy Ave NE, Fridley. MN 55432 (763) 57Z�6A4 Bldg Insp SINGLE FANULY AND DUPLDCES R-1 AND R 2 � BUIIDING PERMR APPLICATION � Construction Address: �� Legal Description: �� Owner Name 8� Address: � ��O �� Tel. # �%��- Contracto� ��^� �,��,r�'�f7�-► MN LICENSE #�° �9�3 � S� Address: �9 � J�r,� � /�� /p <�� o�Tel. # °76�—eGZf� ��-- LMNG AREA: GARAGE AREA: OECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed consVuction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width - Height Sq. Ft Length Width Height Sq. Ft Length Vlfidth HgUGround Sq. Ft Construction Type:� �. J Estimated Cos� $��O. C�3 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: ' I� "'�L.. APPUCANT: �`°'-"�-- GT"'�`"'� Tel.# 6l'Z °`'f �-�13t� Call (763) 572-3604 fo� Pertnit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you tor card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 7� � $ 3.-s� $ / 7S - $ �^ $ �� dv $ $ $ $ ' � /Q,7. S�G Fee Schedule on Reverse Side .001 of Pertnit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ J STIPULATIONS: �2��'d/' � �rlr�� - i�� L'�'�'G/.ci� o�z_ /� '�lA�, BUII.DING PERNIIT 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 s�ucture, 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 $SW ��01 to $2,000 �'-,001 to_ $25,000 $25,001 to $50,000 �50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,OOO,U00 �1,0�,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.2� 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 additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) . Removal and replacement of curb and gutter only - Driveway width plus 6 feet"�imes $17.00. VERIFICATION OF FOUNDATION Permits for construction 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. 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 � .. � , , � 0 0 N `0 > � W � �t°(> � Z � g. 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L � � c � c�o �`o � o � � C W a � � c '� � ¢ w � c, � o m � � Q Y � m � � � � m > tL 1= ;? c w- E w �° o = o � � V N O N .� Z ` � J ri � � a ° t� ( ) oN a�ea :�Ig pau6ig , �O� JNIltf3H aqu�saQ :SNOIlV2131�d acU(1 ui �a;aweiQ }} y}Bua� �} �y6iaH ao}�auuo� �uan � a�uei�ddy ad�l w �a�aweia �} y�6ua� }} �y6iaH ao�auuo� �uan Z# a�uei�ddy acU(1 ui �a�aweiQ }} y�6ua� �} �y6iaH �o��auuo� �uan �# a�uei�ddy say�w �a�aweia �y6iaH �uan acU(1 �uan uowwo� �ndul n�8 le�l sa�uei�ddy �e}ol }eN �o pa�sissy ue� �ndul f118 a�l E# �uei�ddy �eN �o pa;sissy ue� �ndul f118 ad�l Z# a�uegddy �eN ao pa�sissy ue� �ndul f118 a�l 6# �uei�ddy uoi}ew.io�u� �o;�auuo�;uan pue;uan uowwo��azig pue a 1 a�uei� d ( ) sa� �sapo� ;uaLn� �ad se �(�a�e�edas pa�uan pue �uan uouawo� ay� woa� panowa� uaaq sey a�uei�dde ue �a�e �(��a�o� pa��e}sw pue pazis s�o��auuo� }uan pue �uan uowwo� ay� s� () oN () sa� �sa�uei�dde }}e�p �e�n�eu pue pa�sisse ue} �o} sa�qel 6ui�uan a�ewn� �e��ua� � tioBa�e� yWy�-y�y apn��ui saop siyl �suoi}e��ads s,�a�n��e�nuew pue sapa� �ua�n� ay� s�aaw pue �(�qwasse pa�s�� e si �i �ey� sa�uan �(qa�ay pau6is�apun ay} `wa;s s ui;uan nnau e u��e�su� uayM ( ) oN ( ) SaJI ( )oN ( )SaA ( ) oN ( ) oN •suoi}e��i�ads s,�a�n}�e�nuew pue sapo� �ua.�n� ay} }aaw o� pa��e�sui pue pazis aq ��w► �i �ie uoi;snqwo� nnau e ��e;su� o� pa�mba� uayM �suoi�e��i�ads s,�a�n�e}nuew pue sapo� }ua�n� ay� �aaw o� pa��e}sui pue pazis si �ie uoi;snqwo� ui;s�xa ayl ( ) sa� �sa�uei�dde }�e�p �ean;eu pue pa�sisse ue� �o} sa�qel 6w�uan a�ewn� �e�;ua� �/�o6a�e� yWy�-y�y apnpui saop siyl •suoi�e�}��ads s,�a�n�e}nuew pue sapo� �ua�n� ay� s�aaw pue �S�qwasse pa�si� e si �iun �uawa�e�da� ay� �ey} sa�}uan os�e pau6is�apun ayl O sa� •uoi�euiuua} pue snnoq�a �o aaqwnu `y�6ua� '6uizis 6uipn��w suoi�e��ads �a�n��e�nuew pue sapo� �ua�n� ��e s�aaw pue �nd��i�se�d si wa�s�(s 6w�uan ayl () oN () sa� �paamba� a�aynn paddo�sa�� pue pa�oddns �(�a�n�as si pue `suoi��n�;sqo 'uoi}e�oua�ap '�sru wo.� aa�} si pue pauiwexa uaaq sey 6ui�uan ay; ley� sa�uan �(qa�ay pau6is�apun ay� `a�eu�n� u�}sixa ue w�e� a� uay� N011t/�I�R13A 2!M NOI1Sf18W0� aNV 2101�3NN0� 1N3A 1N3A NOWWO� S11Wa3d 3�Ndl�ddd JNIN?�f18 �3f1� 1N3W3�H1d321210� Jl'1313�dW0� NI ��I� ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY PERMIT N.: 2004-oo9s4 �. s 6431 UNIVERSITY AVENUE NE �-� FRIDLEY, MN 55432 DATE ISSUED: 06/21/2004 e ►63) 572-3604 FAX: (7631571-1287 : 5488 E BRENNER PASS NE : 243024440282 : INNSBRUCK NO T H PLAT 6 : LOT 4 BLOCK 15 : HEATING : RESIDENTIAL : ADDITION/ALTERATION VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERNIISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL RANGE WITH 1/2" COPPER, FLEX CONNECTOR, TWO SHUT-OFF VALVES, AND ANTI-TIP BRACKETS. # A/C UI�TITS 0 VALUE OF APPL OR WORK 442 #FURNACES # GAS RANGES APPLICANT CENTERPOINT ENERGY/NIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- OWNER WILLIAM BARRON JR 5488 E BRENNER PASS NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The ganting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating constru tion or the performance of construction. Applican�'1 � Date / i I: � _ � �,-�._ _':_,� .� � �"�y' [Jlf� 0 # GAS DRYERS 0 HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONII�TG FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 1011069 SEPARATE PERNIITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 0 15.00 0.00 0.00 0.00 0.00 0.00 0.50 15.50 rrom: �ny or rnaiey i o: o� i too iun�► rage: u3 vaie: �r�3rtu iu r. i �:3� rm Suilding BUILDING Permit No.: � ( �� Inspections RESIDENTIAL APPI,ICATIUN R��t By: �L 763-572-3604 CITy pF FRIDLEY ��' � 2� 763-502�977 FAX g'FEGTIVE 7-1�LOlfl DATE STCE ADDRESS J� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CO1vTRACTOR SUBMIT A COPY OP YOUR STATE LICENSE AND CERT'IFICATE OF IN5URANCE PROPERTY TYPE PERMIT TYPE TYFE OF WORK: DFSCRIBE WORK BEING S�ZE OF A+IPROVIII�ENT OR OFING IN NUMBER OF SQUARES _ GARAGES PROPOSID SIZE: PROPOSED HEIGAT: � Alumirnim 0 Other XOUR E-MAIL �� • ;?l� �1: ADDRESS: CITY PHONE: STATE LICENSE # ADDRESS: �PJ� ❑ SINGLE FAlNIILY/NEW CONSTRUCTTON' ❑ TWO FANIILY/IVEV� CO1dS7'RiFCTIQN � ADDITION ❑ GARAGFJSF�D ❑ BASE1vVIE1VVT FINiSH �oOF � DECK II3IP3G ❑ SWA+IlV�VG POOL ❑ NEW HOME CONSTRUCfION ❑ DTF! ❑ MAINTENANCFJREPAIlt �dI a ❑ HOUSE ONLY ❑ HOU"SE & GARA.GE ❑ ATFA� GKRAGE ❑ DETACI�D GARACrE ffit rim asaa EXP DATE 3 ' 3 ° CPfY FAX ��—�r�� S1�E STORIES O WINDOWS O DRA1N TII E ❑ O'FI�R ATE ZIP A7'F�ZIP,S3�'� FT BASER�TT REMQDELING SUBMIT: 1. Existing Flo� Plan 2. Prapas�edflo�plan 3. List of struduia[ members W be used FORNEW C013STRUCfION INCLUDING DECKS, ADDITIONS. & PORCF�'.S SUB14x1T: 1. SiLe PIanlSurvey showing t6e eadsting strucUires and �oposed projeQ. 2. 1�o sets of constcuction plaos WINDUWS 3. F.QergyCala�latiar� IN EX[STING OPENINGS OYes O1Vo LOCATION OF VE+II�DOWS FOR WINDQW3 — PROVIDE II-VALUE AND OR FOR Nh'Rl OPENINGS-DESCRIBE SIZE OF �a�� MANUFACTURE STICKER ON UPINDOW. OPEIVING CHANGES & TYPE OF WINDOW T� BE INSTAI.LED NUMBER OF BJII�IDQWS ALL FEES ARE BASED QN YALUATION, INCLUDIlYG THE COST OF LABOR AND MATERIALS: 6�y� �[TSIlV'G� �THE 1997 U6.� C�FEoE SCHEDULE) TOTAL JOB vALUATION � d�� _� �9'� �� occZrnaNCY zYPE Permit Fee Plan Review Fire Surcharge Surcharge License 5urcharge SAC Charge Curb Cut Escrow Erosion C"Jontrol Park Fee Sewer Main Charge Total IDne I hereby permit but on�l approved plam SIGNATURE OF APPROVALINS .. . . . . . :: :: ::PL�;As5 $ �,��}. i.� See Back Page for Fee Schedule $ �� 65% of Building Perinif Fee $ �_,:� ].�� .�Ol times the total job vatuation $ 0�,�� .0005 x Permit Valuation Minimum $5.00 $ $5.� (State Licensed Residential Co�ractors) $ $ZI 00 per SAC Unit (Plans to MWCC for determiination} $ ft+6ft= 8x$24=$ $ $45f� Canservation Plan Revie� $ Fee Determined by Engmeering $ Agreemeirt necessary ( } Nan Necessary ( ) —�_ (��,� a` � Matze checl�s paya6le to: City of Fridley Attach ° THIS IS €or a build.mg germit and th th$ ordmances and c an application r a rmit �the case of all iTION FOR A PERMIT-NOT VALID UNTIL PROCESSED �dg that the mformatian a�ve is complete and accurate; tkat the wark will be in Fridley and wiRh t�e Mi�esota CoIIStruction Codes; tttat I tmderstand this is not a is not to start r�eithout a permit �' ; that the k wj,�j be in accordance with the \ / Proval of . / � i�n�G��1�� . ..v xa� � D s� / . a�eF: �s7ef .- /� ��b .i: