The URL can be used to link to this page

AF - 40679sus�ecr PERMI - . " � City of Fridley _" 16 0 9 8� AT THE TOP OF THE TWINS B U I L D I N G P E R M I T � r ; � RECEI . � ; y ___.__ COMMUNITY DEVELOPMENT DIV. /h� � r PROTECTIVE INSPECTION SEC. �� ' �i" � � , � /�"1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PpGE OF APPROVED BV �""-'� � �� 612-571-3450 910-F15 4/1/81 / / JOB ADDRESS 5490 Ea.st Bxenner P3S3 N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ]_], 15 Innshruck North Townhouse 6th Addn♦ SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Darrel A. Farr Development 4600 Lake Road, Robbinsdale 55422 536-9936 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSE,NO. Same � 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATiON ❑ REPAIR 0 MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct an 18' x 28' Tas�nhouse �Uni.t A� 9 CHANGE QF USE FROM TO STIPULATIONS p�ty �nra.11 must be L�nro separate 1. ]aour Hralls fr�n bottc� to roof. Firestop soffits. Provide combustion a:i.r to furnace from outside. TYPE Of CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATINCi, VENTILATING OR AIR CONDITIONING. 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 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 WQRK WILL BE COMPLIED $28�160 $�.4.08 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 LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �`SGs4'rJ $425.00 PLAN CHECK FEE TOTAL FEE 14.11 5 9.64 SIGNATURE OP CON i RACTOR OR AUTNORIZED AGENT IDATEI yyH � pROPERLY A T TH IS YOU PERMIT ��% � SIGNATUREOFOWNERIIFOWNERBUILDERI �� SP �pTE c � � CI�fY U1= 1=1Z11)I_CY . • � /�rrLlcnTto�� r-o�t iti_sl»r.r�iTln� ru�t_n�r�� r�r_i�i�tTS . • (I�dcw, /1�7�crin-r� o��s, I�I)lllTl O(JS, orz Rcr�ni ris) • y . • - , � . . ot•t��r-.R:�i�� .� . TUILUi;�t: o,�n��%x,[ � , . . . '— � �►dc]r.css: yG00 �,�..�r��.�-a�eC na�ress: � 1� ' .. . -.. ' . - . ��ti' T��. �:o. . ,.s��d - 99�3� � l�o. :__��-.—_ Street: ��,1� �� -- e - �`-'��a � J,oT: / 1 � Hr�ocr.: _ /S . •.nnnz�r�or�: `{� - COi2111'R L7'1': � �/ . I1�SID� IAT: � � S;;Ti3ACl:a . ' SIDEYARDS: ' Apllica'r.t attach �o this ionn T�o Certiiicatcs of Survey of Lot ar�d pxoposcd� . bui.ldirig location drawn on these Certificates. - - � • � ", � �. - - . . - n - � 0 DESCRI PTIOId OF BUI LDI G . . To }3� Used ]ls: � � � = ,. ' _ , _ . . � � - . ' � " - -: . - �/�� % � Height: �� _ ' . �� Front: Depi:h: _�'�_ -�-- _ _ • _ , _ Square Feet: . • / Z Cubic Feet: � � - -- -- � - _�ont: Depth:, � - . Height: � ' - � � Squa�-e Feet: � Gvbic Feet: � - � - . .��s, 1l� � Typz o� Construction: �_a-� �/l ef_�??-�2�_ �t�ated Cost: $ � ��, ,�-�O --�-- •lb I3e Comnleted: „ . � � � � � ; Alt. A . Alt. B � � .' ' S - Proposed Driveway t•;idi-h If l�e�a Opening Is Desired �! $ + _ - • (SEE 3'.�VERSE SIDE OF SIiEET) The undersigned heYeLy makes ap;�licat-ion for a permit �for the ��orl: herein � speciii.cd, agreeing to do all �cork in strict acc�rdance �vith tbe City of _ Fxidlcy Ordinances and rulings of the Dcnazi:�ient oi �uilclings, and hcreby - deelares that all the facts and regresenL-ations stated in tiiis application a�:e true and correct. 'See reverse sicie iar aclditional iniormation_ � DATE: .��/ �8� Stipulations: . � � �. �� ' � � y . �i p�.�-� �-�.o£� �� - �/�� . v � � � �� , l� . SIGI�)1't'Ul:i:: /// Q,J / 1 �''" . , +, ` ' F- � W d c� z � F- W � J tn A Q .--� cD � lJ, L3 � Q � O C7 Z �q � U � � O � � O F- Q u rr J a Ll.. Q �p . .�N yj O r-� �j � � U b 'C7 � Hp � ro ro � 3UN ty� ,dG ,GGl N S� y J� N � ro � ►� .a .a w W M C7 � 3 ro a • y o � U A+� ��av�a a ro u u a''dx-�i 1 � U 'd C�L �o �ro �d °� 1� • +i � U N .� � M N � � 1� N •� C IQ N Rf +� � � � v � � O O N �'+ �•((f � ro � ° � y .qv° ro� � v � � Q o ` �° ,�-r z� a r�° a � d +-1 U � �-�1 u�i �.d'i H O 'tl N 1� 3+ �I �N ro 0� Q � N�s � r � m -.�� +� ro jJ o� �w'� a µ' f�/ OJ �-i � W h QU£-�� H �� 1 °�.% vI W °z H � a z° y � �a a O a z - H w H a HW v! H H �-7 U pq � � H � o `� � x Q � w� � � � �4 � H W O U d � � � �x m .zaqa0 � a� � 3 +� m �d abu�T sr� N � �x?3 �asTy� . .f: •Tdd� sa� � 3 zauseM ,� �T�EUIO�Afj � Sli'�SEH U N �{��E� � v trzQ aooT3 s . s,zar�oyS sa�e�unog � b, buiXutzQ '� „�� SRLSZ liSP(� ,� f3. � O r. S�FS o b +� O su�seg ,o (� � ai sqny uaeQ u i'� H w aTeirFxn a�i s sao ,ot� � � a3?�' � ' � _.. n _ p c a� �e �f r � V �a�xo�S � a r�'i �r w � � x° a q U t� H y z H 0 a � � A ¢ � o E�+ �!% � � � � � �� ro N � c� � 1 � a O N w �a a H W w � � � � � � � � N W � N 0 N � 5 a a O N n t? O � � vf� v� vr vr w o 0 0 0 00 0 0 0 0 0 0 00 E-. o 0 0 0 0 0 0 0 0 0 0 0 0 0 p� M N N tfl �!f O 1� If1 �f1 P1 r{ O tf1 N N 4► t? t? 4? ri 4f t? t? t? !? :-► V} t? N N >C K}1 k �>C k k DQ k X k m � z° "� � � Q \ I I (� I I I I I I � t��7 I W � w z � � N � H W y � � _J m�o �r{ � ¢ N � O O �O .7 � � F b+ •� o rn .,'�.i P�9 � W '¢ � •.�i . a�i oi ,.°i-� � oHi o � H � �.y wp g' O1 o b a ^ a°fi o E-� ° c+C O' �7 a°r � 0 5C µ�j � o� � °o X ►� H° � w v � o� w ar '� '� E-• °° w '� � N �.�i � °o N �tt � c� � �" ag � ° as � a� ,-r o � ��j 01 .1 f�A x � tA � .V}i.� F"' w O !�i�y � �'�d c� �+ %! iV J: H rl �I U' !-� N M i� W R: J� � � � u g�rt1 u N o w .� �..� m� � .�'`�', G� z c) 3 .ro z W � �•� c� W [w aroi �• . C7 P4 � 1 � O � o 0 W o a .i z `: HW W \ � Ca Z a 1 z 0 a � � W C7 � � � �f ' z' o � g.� � .. � � W > Q �j , c, A � Q � J vl � O � y O t9 � j Z � M F- Z .. � z o � p 1-- a ZQ � c..i za J � d Q � W � d � � � e F N c.i � J � a . • 4 Q � d � �o � 1 � 0 m � O h N M v � � � m .i � w w x D � � � � � 5 � � � � G � � ,a � a�r o o�a �Wrl r o� f� CS E a E� 0 H t?Nt?N O O O O W O O O O �NPP� V' � � a� � I � �p7 � N ,C U e0 1d � x �. a+ o s� u A u �SU.�+�o m d m m a'� " ro d w "i a�i � 'h � 3 � ►�+ `1 3 uA�� V' .+ R d R � O � �0 V V C +UI W � � G C U tll b � M G m � a mb"� � o .a � � 'i a�a +�i m a �� .�i NH 0 � c � 1i m c �o pep, ° N i� Q � v v� �' � � =+ s°1+ o w � ��,� v � e �a �� m � � E Qm,�ou N � W b � \ 0 0 o �°n N O O N � ux w a� 3 m � � �� a � � rs: a� N u d a �ov,� � �'d .c a�� 3 rngwa 3 � � � w Q ��•�� aaa � w�aa� �' U � � 0 r t?tl}NNN !� � � � a0 -` � 0 z E H W a � � � 1 $ � y N D W � � � � � � � c� oa pq � O � o � 8 � i � H � � � � `� o Q b Q o O o O o O O O O O N V� P l� V' .-1 � � V � � S 0 O � O � O •-OI � N � � +� $ x "o o�a � a a� +�°o ro C e � �°�°O � � w N � � .� ti o � � u°Ci � ro [a�a � V1 .0 Ng tL ta � 9 NV 1U N N odus�N �y aww o W � a � � t? i?N(? 0 0 0 0 O O O O �V�P�O � � °oE�of� o°pqOO°q �o°OO°o � �tii ON y vro �b �ro.iat y1 U O U m � � � � � a � U PG 0 � � U 0 O Q � h h � � i �9 w �� w � 2 � � i� � a '� o z° � z° 0° �o m � � N �4 f�l1 � � s� m L � �+ w � � ag �' �► °w �i � y � W � � a '� z a � v �o � ,m � O 0 � � .�' �3 ' � a -+ -� � H c� � � � Q � � . � . � m `? O o `! � � � � � h `� fM 41 t? f? f/1 f? t? t? N i? 41 N t/F °o°o o °o°o°o � O O O el �-1 O � � � f�/} tlf f/Y � � W � k K 9Q 0 a V a � � � � � � I I � � �-�1 � W � 7 � � � y �x �� a '� m °a m o� o° N C. O W d0 �' .i ° ami � rn � � � o � �� G E en M �� W'� �y � C � F Er W � ,r� � � zcn�na a� � w m w w�� z v�i v�i �.r ce' o a� z+� a q Hzzz � m z'' �� R c�n 7E H° a "v E� z¢¢H¢ � a�0 O W U x rar tY F f=� �. t=1 �e Q ef ra-� C'.:�.7 .-a C C7 C7 . "Q 'tr. > a � 0 �° 0 a ° y � z � HW P4 � � a � � y .� E \ 1 a�+ � a� � c� a � 0 z 2 � � � � 'F4 W �C _. � i 1 , � •- ,,� . � �� J T' �� .* - , i�_ v? , � . l� . 1� 4 ' � � � � y W a y 0 � v� a a O � � � � N H � o z �d � � w �m PS � x °w � � � �� { � � £.# SUBJECT PER . City of Fridley � 16100` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r ; � REC NO. � ; y _ COMMUNITY DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. a� a� ' i ' � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �'""� � ,�� 612-571-3450 910-F15 4/1/81 � � JOB ADDRESS See Selo�r 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1-3 14 Innsbruck North Townhouse 6th Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Da.rrel A. Farr Develogment 460.Q Lake Rnad, Robloinsdale 55422 536-9936 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 6 USEOF BUILDING Gaxages 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ,p MOVE ❑ REMOVE S DESCRIBE WORK � Construct a 3�'8° � 22` Gara e Unit 9 CHANGE OF USE FROM TO STIPULATIONS :`-�/G,'p Lot 1-�5�4'°Ea.st Brenner Pass N.E. Lot 2- 5484 East Brenner Pass N.E. Lot 3- 5484 East Brenner Pass N.E. Provide one row of concrete block� under botto� plates. 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORFiECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH VJHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S 6sOOO $3.00 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. �26.�6 PLAN CHECK FEE TOTAL FEE � • $23.96 SIGNATUREOFCON7RACTORORAUTHORIZE�AGENT IDATEI y� N PR PE Y A ID ED THIS IS YOUR PERMIT /f / SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI LDG iNSP �ATE � . _ • • � CZ'fY OI= (=1tIUI_CY . � • �,rr��.ic��rro�i rori �i��srnr_r�lTI/�L PUI!_Dlt�ic f'�I2MITS .. � ' (�'�G41, nLl'L"(i111"IU(dS, nl)llIT10(JS, OR RL:f'A1RS) � . . . . . oWt2rR: � a �.Q Li ��1e� �O�_D.�L�%ec��►�uxr�ui:lt: � �-,�,.�,� � . `_T__ ��aar��s:.�l�l�_.��'�' � ��XCJJ: ' . 7Cc �. . A2o . �"�/� — Q93� ��a, ; Strect: � . T�07' : — � BLCICY.: ��_ • ADDXTION : � � L.� � �11 �t.° � .� C0121�t2.R L01': IIJSIll� LOT:. S; Ti311CY.: SIULXI�RD�: ' . �pplica'r,t afi.tach ta this iorm R�ro Ceri:ii�.cates of Survey of LoL- .ar�d.proposet3 . aae bu�.�dir,c� locat-ion drav�n on these Certificates. • d' � Lafi / �B/oa� � E 8�-enn�-P.�.ss I . � i.- �; � � � DESCRI PTIOf'd OF BUI LD.I J�G �,t � „ � � �°y ' `� To 33e Used� As: � � , Fronte �J�� Depth: o� �-` ' iiei.ght: �a ' � - � , Square Fee�: (oi�i .,,_ Cubic Feet: �%y� . � "1'�cont: DePth:.. � Neight: � Square I'eet: �. Cubic Feet: " �ype of Construction: /� � . �r� Estimated Cost: $ "�' �of�OQ �b IIe ComPleted: /�-3�— �',� � . Al't. A Alt. B !�'roposed Drivetaay ��;idth 7f I�ew Opening Is Desired $ S • (SE� 12�VERSE SIDE OF SHEET) The undersigned he�-eby makcs ap�2ication for a permit for the work llerein s�eCa.ii.ed, zgreeing to da all �.ork in strict acc�r_dance �aith the City of . Fxxdlcy Ordinances and ruli.ngs of the Det�ar�ment o� ruildings, znd hcreby � declares L•hat a�l tha facts and 1C�.�YCSC17�:11:1C)I1S stated in this c"1��.]-Cc1L'lOIl axe true and correc�. �See reverse side for acldii:ional infonnat�ion. pl�`p,E- ��/a9�� SXGNA'i`URI:: �—�,----�•--- SI.A�ulail.l�ils: ��• ��V � ��d�Vd � M�� •�ti I �,I�e • � ' �.00 �i . aQ .�� . . • �� Pci.o�,o� 0� Ra�,.� � v�. eo,�,c.�,.e.� I�.oycs u�,�a 0�.,9�s�,5, • . , . s BUILDING PERt�1IT FEr SCHEDULE SECTION 2. The InsZ�ector oi }3uildings shall, before issuing pei-miL•s for the ercction of any bui].ding or struc�urc, or tor any addition to any existing building or structure, . or for an�+ alteration or repairs to any er.i�ting building or structure, upon ap�lication therefore, require t•he payment by the applicant for•such permit oi iees �o �he amount herein below set forth and in the manncr herein provided to-�wit: N�W CONSTRUCTION: Single 1'amily iiomes and Garages: $4.00/1,000 cubic fee�. . PLAN CH�.CY: 25 percent of building pexmit fee. DRIVE47AY D�PRES5ION: (Concrete Curb Streets Only) � ' Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$��.75 Alternate. B: Removal and replacement of ccrncrete curb and gutter and install a 3 foot wide approach with �' 6 S.nch depth; Driveway_ width �plus 6 feet x$17.85 ;11 � :. ► �C : �l For the.pux�s�_of com�uting fees for bui.lding permits, the �ubical contents of any buildi,ng or addition, is determined by multiplying the ground area covered from a paint six (6) inches below the floor line of the basement or.the cellar to the average heights of the upper surface or to the average height of the roof surfac� of the main gable of a pitched roof . - � For repairs or alterations to an existang structure, the fee shall be at the rate of $3.00 per each five hundred dollars-($�00.00).or fraction thereof in the cost of a11 proposed work: , _ � In•no case shall the fee charged for any permit as set forth in Section 2 be less• than $7.50 plus $.50 state surcharge. ' ' : � � 1 ►1: � NOTE: Pennits for construction F�iZl be issued a mi�ai_mwn of 24 hours from the time of application to a11oV� for proper review of the proposed structure and of the canstruction site. A Certi.ficate of Survey of the lot, showing the Iocation of the foundation once it has been constructed F:ill be required before proceeding with the framing. ► : � � ''� Application for a Certificate ot Occupancy shall be made ten (10) days prior to�the use or occupancy of any structure for which a builcling permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. -=.�.. H � a t7 Z � �LL N A Q .� t� L�L A Z Q L.L O t9 z � � t..) � d � O � Z O H Q :.i J a � Q � e � � x�ro8 �o H � ta�tl � � � U � d � �� I M .0 .� M W -.�i m � .N 3 � 0 O�O ��'�ro N � U � � �� p O � N � � � �i a o W �J . �.�i � � N p � � �r � b1 �.i Q � �p 1p 'p �rd � �� o� �� o� � W y J� N � s � � ..�°� � p, O N � � d � � � .�-r � b+ ,d� N � ?� C � W ++ w .�i u�i � M O �O m °�� ro�m � � �w� '� d�� s �� ,�C��iw h � U E E m ro� r"� � � � i+ � � 1"� � � rn � ��y � °z E N W 1"� Q O' • • z � � N O � W � a � U' � M �� N � � a � a ° � w � � � � � � r� o � � � 3 x W ze�p � � ebued se� � 3 ��3 '�B�W . Zdd{( yg� � 3 sauseM ,d 0�3��ft y su'�s8g o t��E� � �� =�T3 � B��IS su�E�uTto3 d' � buF�sQ � BI►82J, Lj88p� � s��s � o �o � � o SfI�68H C C � �+s uaee 3 � � � si�F=Il s�esot� � � ll U �N Q M � a `. ��x�S .i N M V� r, �� l �� ,� '�' � � � O+ .� � � �' 0 � N O a � � � m ° v � �� ( W a a � H it 2 C+ M � w O 0 0 � � N H E N � aW z� H m U a a u�i Dz+ W Q aE', a ai (� O k+ � Wt/% wW � E �a 0 a `^ N O E N N N f? N N y N N f? y f? t? t? N N o O o 0 0 0 0 0 0 0 0 0 0 W o in u� o 0 0 0 0 0 0 0 0 0 E" - If1 �"1 '-I @ IA �f1 IA 1f1 Y1 1� If1 O O W � ri rl b+ W1� N f? N N N N N N 01 N t? f? f? � a ',� U E � Z E U N E 8 �� N �t a �n W � ,� � M m o 0 N � C itl 1-i M W +pi E .i � ++ o OG � w � w °..�° �; � m bm�'� m a°" �'� � m 2 N C �d 0 p b+ �+ p W p� � M m+i m.� +I Q �0 \ O G) m.'+ o+ a� a a a o� as � v °` � M k 6 CI RI +� M m �d p � w O +1 +i W 60 01 O P4 Y! M m N ri � .IJ W p Ol W rt y+i M m O+ 41 V� i0 i� � m+� W o0 etl .-1 M E++ Q p+ f� > U z .+ m a a o �� o ro w w � a py w � � � � M s o C t�i W m � E 0 m m 'J ��-I m .��1 i0 �d 'h ^�J ro O 4t � � � � „a Z � o RI RI U oG iq tn 3 m c9 t9 r-1 .� a�' a � SuB�ECr City of Fridley 3108 AT TNE TOP Of THE TWINS g � I L D I N G P E R M I T r RECEIPT NO. � � COMMUNITY OEVELOPMENT DIV. d �0�� V � f� r � � PROTECTIVE INSPECTION SEC. 1 . � `-__• A��'��',.; CITY NALL FRIOLE� SS�S2 NYMBEN REV OATE VAGE Oi APiROVEO B� L �� 612-571-3450 910-F15 6/27/00 � � �oe nooaess 5488, 90, 92, 94, 96, 98 East Brenner Pass 1 LEGAL �OT NO. BLOCK TNACT ON ADDITION SEE ATTACNED oesca. 6-11 15 Innsbruck North Townhouses 6th Addition SHEET 2 PROPERTY OWNER MAIL AODRES$ 21P PMONE Innsbruck Toumhome Association 651-224-5482 3 CONTfiACTOR MAIL ADDRESS 21P PHONE LICENSE NO Garlock-French Roofing Corp., 2301 E. 25th St., Mpls., MN 55406 612-722-7129 00001423 a ARCNITECT OR DESI(iNER MAIL ADORESS ZIP PMONE LICENSE NO. S EN�3INEER MAIL ADDFESS L�P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE B DESCpIBE WORK Reroof Townhouse Building ( Tear-Off ) 8 CMANOE Of USE FROM , TO STIPULATIONS s • Underlayment must comply with the State Building Code. �ermit Inspectfon Cards `� Will �e Mailed to Homeowner To Rost TVPE OF CONST. OCCUPANCY dROUP OCCUPANCY tOAD SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING. HEATING, VENTIIATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK Oii CONSTRUCTION ZpNIWG SO. FT CU FT AUTMORIZED IS NOT COMMENCEO WITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF tpp DAYS AT ANY TIME AfTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I MEREBY CERTIFY TMAT 1 HAVE REAO AND EXAMtNEO TMIS APPLICATION �� STAILS GARAGES AND KNOW TNE SAME TO BE TqUE AND GORiiECT. ALL PROVISIONS Of LAWS yp�UATION SURTAX ANO ORdINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIEO �21,631.00 �IO. HO WITM WMETMER SPECIFIEO MEREIN Oq NOT. TME GflANTING OF A PEFiM1T OOES NOT PqESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEI TME pEqM1T FEE SAC CMAFGE PFOVISIONS OF ANY OTMER STATE OR LOCAL. LAW REGULATING coN. �349. LS Fire SC.�21 . 63 STRUCTION OR TME PERfORMANCE. OF CONSTRUCTION PLAN CHECK f EE T A� f EE 381.68 S�GNATUpE O� CON'aACTOpOp �UTMOp�2E0 AGENT IOAfE� E p �Y VA EO TNIS IS �U�EA� � S�GN�TUpE O� OWNEp�� OWN6ABU4DEp� iD�TE� �B OG �NS� � �- qttE � � O O N 2 .-� i y� � eo � c � t0 i � O ' � � � � v > � � U � W W . � V � � �C, � z� 0 H N W .� � ~ W z 0 9G �Z za � � � W V � z`� C9 � W Z .-.� S p •a C F' l/ c� .a Z J�� Z V � � .�a< a.� ,,�, �� z ,� � a z � ap � �� ^ �m,y Z CW7 -�' _ • � 1�a.. . --� W - r v� '� J a z a O a cn > 0 Z � �U wW °- z N Z j N Q � O � � O � �Zm • 4.'c�N � = a�i � � ._ y Ut�D�in .. • � �� , � J � G � _ G) N W Q � Z 0 0 W � � � z 0 J � m � V` � . � z � � W a � b ' � � v � W Q � � w J Q 0 � � � i a � ... . � i ..r�., .. .�_'•' . 0 :-. Z °w � � N 'CS v `� U a� °' = c � Ua� i � U � _ ~ _ � CO C � o � =Z o � O � F— � Z�co� � � � � � a o 0 0 0 0 � .. �o o �ci o N � � � � � c e�o � � � r. m � � G d Y � � � 3�m�� .., � ��'� . >>�3d -p .- LL' °� o C C • 'p C l0 d ~'' � r L U � Z � ;ov� aa c c°'�o = c°�i °' v .a m a+ �a� a � �C ` O N N ONi ti Q C7 C? � � d O N �o C9 N cn a C�D c ._ '� c C..�) Q z 0 W 0 d � d 2 a� � z d '� �a � � a� c m m � Y Q m Z O H cn v s O 0 3 _ i =- o � C o2f a ►y. Q '� .r 0 � � � � i � L O ¢ � = C •� � C a�°'� � O N �c U , � _ O 'A �0 3 ."' '� n>Ut • � "� r ""� V Q . . 0 �" l0 i ` o- ,t�, "� G � � �$ .�C U \ E � H = � ��°'10 � a� � �, � i i � � .-� '.� t1 'C i c � A�a �• ° — a � Qzui °�' c� � O p— d � ��r � .Q N � v �,:� C a�ca �C vi Y � la0 a C 41 O C V ..1 Y p v� � � E�>� t�W ��• �� 01 '� m � , �o=°' - �� a� -- :n ,� '� m •- N Ni � � m N g� a�io�=o m0 •� �� U\ � � � d N N Z ��c.°.' Q a� d •- n „� .c a � c� _ � � � � O �u'� � � � � s 0 3 O a� U .Q �a N � � O C 3 � ; �o i � 0 � � N v ~ d 00 � '= W � � V% J r � � N O � � � . � J W ► �- 0 � � a� 0 � � 00 � O d' � O OQ Z V 0 � J W � � � W Q m — � �� Q O -� o Y v � a aZ � Q m¢ Qo �� Z� W y U' ~ Z � J a � ? CW7 zoa Q ~ V W � � Z � U N Q�H Qa OZN W O � � Q fN �� N ��a _ � � O � c � W W � Z � U W a cn z W � � 0 3 � �. 3 � o 'fl ,«�. N � `° o c .� � � � m u � co . d � � � r � = o c � V C y O O �� c n U � Q .3 p � � : a�e� .� e�(g pau6ig � . . � .. . � � tio�s5 �O� JN11.d�M � � . •a•N and °�vvainr�a z�i � '�NI ''.L�3T �M 'D1H 3NIV'18 " eq..�saQ :SNOIlb'�31'1�/ �J�� ` . .�^. -..� - ad�(1 ui .ia�aweia �{ y�6ua� }� �y6iaH �o�auuo� �uaA £# �uei�ddd � ad�(� w - �a�aweiQ }} y�6ua� }� �y6iaH �o}�auuo� �ua� � a�ue��ddy ad�(1 ui'--1a;awei� �} �}6ua� � �y6iaH �o�auuo� �uan y� a�uei�ddy sat�ui—'—'�a�au.��ip ;y6iaH �uan ad�(� au�� uoww�� - _ �ndu� n�g �e�ol sa�ueildd� �e�ol 3EN �o Pa�!sst/ ue� 3ndul fLL9 ad�l ��uei�ddy 3eN �o pe;s�ssd ue� �ndu� �,g ad�(,� �t aauei�ddy �eN �o pa;srssy ue� , ;ndu� �g ad�S,y �,� a�uei�ddy uope�wo�u��o�auuo�;uan pue �uan uowwo�/aziS pue a 1 a�ue�� d ( ) oN ) sa,� ( ) o� j�sa� ( ) �N ��Jl { ) oN sa� ( ) oN (� sa� �� •sapo� �ua�n� ��d se lC�a�e�edas pa�uan pue �uan uowwo� ay� wo� panowa, uaaq sey a�uegdde ue �a�}e �(�o� pa��e�sui pue paz�s s.io�auuo� auan pue �uan uowwoa ay� s� •sa�uei�dde �e�p �em�eu pue pa�sisse u�� o� sa�qel 6uquan aaewn� fe.�ua� � tio6a�e� yWy�-y�y apn�w saop si� °suo�e9��ads s�a�n�e�nuew pue sapo� �ua�n� a43 s�aaw pue /��qwass� pa�s�� e si �i �ey� sat}uan l�qa�ay pau6isJapun ay� wa�s s uquan iv►au e u�s�e�su� uat�/� •suope�4r��s s,�a�ry�e�nuew pue sapo� }ua�an� �y� �aaw o� �Ile;st�� pu� p�zis eQ ��ua► �� e uo�snquio� N►eu e 11�'3sui o� pa�mb�J uat�/� ' •suoqe��ads s�a�r�e}�uew pue sapo� aua�rn� a�};aau� o; pa��e�sui pue pars si �ie uor�snqwoa ur�s�xa ay1, •sa�uei�dde }�e�p ��r�eu pue pa}sisse ue� Jo� sa�qel 6ui�uan a�ewn� �e�}ua� �/Go6a�e� b�ryy;�-y;�� apn��ui sa�p siy,l •suoqe��i�ads s�a�n}�e�nuew pue sapo� 3ua�n� ayl slaaw pue ��qwasse pa�si� e si �iun �uawa�e�da� ay� 3ey} sa�}uan os�e pau6isaapun at�,l () oN �(j saA °uoqeuiuLaa pue siu►oq�a �o �aqwnu 'y�6ua� '6urns 6uipn�ui suor�e��r�ads �� la�n�e;nuew pue sapo� �ua�n� ��e s�aaw pue �nd�pse�d si �ua�s�Cs 6uqu�n ay1, () oN �Sa�l •pa�m� alaynn paddo}sa�� pue pa}aoddns �(�aJnaas si pue 'suot�ru�sqo 'uor�e.ioua�ap `�sru wo� aa�} si pue pauiwexa uaaq sey 6ur�uan ay3 �ey� sayuan l�qauay pau6is�apun ay� 'a�ue�n� uqsixa ue ur�e� a� uayM NOLLt/�l�la3/► al�f NOt1Sf19W0� ONb� 2�01�3NN0� 1N3A 1N3A NOWWO� � _ CI"IYOF FRIDLE,Y FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 January 31, 2003 Mr. Scott Terhaar 5490 East Brenner Pass NE Fridley, MN 55421 Re: Fina1 Inspection at 5490 East Brenner Pass NE Contractor: Blaine Heating Air Cond Electric Inc Dear Mr. Terhaar: A mechazucal permit was issued on Ju1y 16, 2001 to install an air conditioner at your address. According to the 1991 Uniform Mechanical C�e a final inspection shall be conducted on the work authorized by this pemut. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make svre the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please conta.ct the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh sua�ecT P VO. City of Fridley 306 � AT THE TOP OF THE TWINS g � I L D I N G P I T � 5�ff�� RECEIPT NO. ! �` COMMUNITY DEVELOPMENT DIV. � �� r � V � PAOTECTIVE INSPECTION SEC �0�� /�"1 � CITY HALL FRIDLE� SS�JY NUMBEP REV OATE PAGE OF APiROVED 8Y �'"""� � �'' 763-571-3450 910- F 15 9/ 10 / 0 2 � � JOB ADDRESS 5490 East Brenner Pass NE t LEGAL ��T NO. 9LOCK TiiACT Oii ADDITION SEE ATTACMED DESCR. 11 15 Innsbruck North Townhouse 6th Addn SHEET 2 PROPERTY OWNER MAIL ADORESS 21P PHONE Scott Terhaar 5490 East Brenner Pass NE 763-571-8980 J CONTRACTOF MAIL ADORESS Z�P PHONE LICENSE NO Window Lite Home Improvement 8400 89 Ave N, Brooklyn Park, MN 55445 763-391-8334 4 AfiCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO 20039258 5 ENGINEER MAIL ADORESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WOHK Replace windows within existing openings 9 CHANGE OF USE FROM TO STIPUTATIONS Provide smoke detectors in all sleeping rooms and on a11 levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTFiICAL, PLUMBING, HEATING, VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITNIN 80 DAVS. OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOO OF 120 DAYS AT ANV TIME AFTER WOiiK IS COMMENCED NO OWLG. UNITS OfFSTREET PARKING I MEREBY CERTIfV 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 yq�VATION SUpTAX AN� ORDINANCES GOVERNING THIS TVPE Of WOFK WILL BE COMPLIED $4' 487 �2 � 24 WITM WMETMER SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TNE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHEFi STATE OR LOCAI LAW REGULATING CON• �111.25 Fir SC y��F.�F9 STRU TME PEFfORM f CONSTRUCTION P�AN CNECK FEE TOT FEE .- Q-� icen S$5 0 $ 22. 98 5 GNATUAE O� CON • CTQA Op AUTHOp�ZED OGENT iD�rE� EN OP VALIDA D H'S IS V R PERMIT // � S�GN4TU�7EO�OWNEA��fOWNEABU�LDEp� IDA�E� BIOG N$ fjL1f NEW ADDN ALTER II [l [l �-er �la ��o� �.� a��.�� CITY OF FRIDLEY Effective 1/12002 C IT � O�p 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: � Owner Name & Address: Add MN LICENSE # �L1'�9�•�c� �,q�Tel. # %[��/.��/ � ��r Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT � LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. F� Construction Type: � Estimated Cost: $ � `�'�7 `� Driveway Curb Cut Width Needed Ft + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # / � � Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for 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 � � o? S $ $ o � $ $ �, a� $ $ $ $ _ $ �,�i Fee Schedule on Reverse Side .001 of Permit 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 [ ] STIPULATIONS:� BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, ixfore issuing �rmits for the erecrion 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,OOQ $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,�0,000 $1,000,001 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 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,(�0 $391.25 for first $25,000 plus $10.10 for each additional $1,0� or fraction thereof, to and including $50,000 $643.75 for first $50,0(}0 plus $7.00 for each additional $1,000 or fraction thereof, to and including $1(K?,000 $993.75 for first $1�,0� plus $5.60 for each additional $1,000 or fraction thereof, to and including $5�,000 $3,233.75 for the first $5�,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for fhe first $1,000,000 plus $3.15 fur each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) � Alternate "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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv m sue�ecr N O. . c�ty of Fridley 3 3 8 2 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T ! � RECEIPT NO. � `y _ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEG. 1 i � � �""1 � CITY NALL Ffi�OLEY 53432 NUMBER pEV D�iE v�GE OF �avnOVEO Br �'"""�� '' 763-571-3450 910-F15 8/22/03 / / JOB ADDRESS 5490 East Brenner Pass NE t LEGAL ��T NO. BLOCK TFACT OR ADDITION SEE ATTACMED DESCR. ],1 15 Innsbruck North Townhouse 6th Addition SNEET 2 PROPEfiTY OWNER MAIL AODRES$ ZIP PHONE Scott Terhaar 5490 East Brenner Pass NE 763-571-8980 3 CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS tIP PMONE LICENSE NO. 5 ENGINEER MAIL AODRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS Of WOFiK C� NEW O ADO�TION O ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct an 8' x 14' Deck; Remove existing deck 9 CHAN(3E OF USE FROM TO STIPULATIONS See notations on plan. � �efor� di89ing call fo� all utility locations ��,��'�54-0002 �D �� LA1�V TVPE OP CONST. ' OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE FiEOUIqEO FOR ELECTRICAI, PLUMBING. HEATING, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITMIN 60 OAYS. OR IF CONSTHUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOR A PERI00 OF 12p DAYS AT ANY TIME AFTER WOqK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING 1 HEf:EBY CERTIFY THAT I MAVE READ AND EXAMINEO TMIS APPLICA710N 1 STA��S GAFAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION SURTAX AND OfiDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED �1 391 �.69 WITH WHETMER SPECIf1ED HEREIN Ofi NOT. THE GRANTING OF A PERMIT � DOES NOT PiiESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT fEE SAC CMARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGUTATING CON- �SO.9S F�i SC �1.39 STHUCTION OF TME PERFORMANCE Of CONSTRUCTION PLAN CMECK F TOT L FEE 53.03 iG �Aiu i0 OA AUTMOpIZEO AGENT iD�TEi E pq V VALI D TMIS I�UR RMIT t NatUQ O� OWNEQ�� OWNEA BUILDEA� �OATEi 8 G�NS ��T q_ - NEW [ j CITY OF FRIDLEY Effedive 1h/2003 ADDN [] �. ,\,\✓ �� 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp ALTER [] �� c� � INGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax GL l� BUILDING PERMIT APPUCATION "� , �"�/ c� � � � Construction Address: �'J / / o � �� sj , �--��,1d�e� /��td ��Y3 Legai Description: Owner Name & Address: SG��° � ��ha��. 01��V�'�'� `� �Tel. # �� °��""�� Contractor. �6` �� MN LICENSE # Address: Tel. # � I' C rt'f t f Sunre of the � l�� LN1NG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this app ication, a e i ica e o y lot, vuith the proposed construction drawn on it to scale. DESCRIPTIOIV OIF iMPROV�MENT Length Width Height Sq. Ft. Length Width �dth � � � � S J 1,�� Height Sq. Ft. HgUGround � Sq. Ft. Z _ ,/ � C�nstruction Ty'e:�.�-�'�� v Estimated Cost: $ �� Ia �i Driveway Curb Cut Width Needed: + 6 Ft = F =$ �. DATE: � � �� APPLICANT: Tel. # �� ^ g�� Se Cr `� ( �r�r�e-✓ Call (763) 572-3604 for Permit Fees if mailing in app ication. Fax to 763-571-1287 if using credit c�rd and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � � � � $ � t�9 $ s (�� $ $ $ $ $ � 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 Revievv Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ TOTAL $ �� °� STIPLILATIONS� \ 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 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 $5�,0(� $500,001 to $1,000,000 $1,000,�1 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 $69.25 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,Q00 plus $10.10 for each additional $1,OQ0 or fracdon 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 $SOO,Oi� $3,233.75 %r the first $500,000 plus $4.75 for each additional $1,000 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,OOQ or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the tune 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 , „ , :i .. . � . � �` ' Q ..9' Z � . � � .� � � . °`� — `' �, • r �S ` ��. � `� ��.�� _ � � � � � 9� k � � � �. :�� - �. � � � � ..__ �.. � � . . ..�� . � . C� w : � . \ ~� � � � � - r�■� � � � � :: � � ' . . , � � �. ? O :.w � � •r v � . � � _ �� .., I . � � c` . � • �� 6 7 � �1 . .� °' .� ■�.��W �.�. � �� .N z o� o�� s� � w°'a � W � a � y J qZ.. . g.� o 'c� c t- ty �_ Q. . .. " O Q y, t� q p . z i., o.. oag J p N i �� a Q. . • v• �A �~ 1 � � � _ �1 _ ; .� . \ `\ 1 . � � • • � �-�, ,2 �cr� � � G` O��W � � � �� .. � � �` . � � ��`� � �� ' � �� o . � � ' �.� �� . � � �. �i s� . >�„ � `�'� � =�2 Q„�n �M � � � . � Q� � � . -:r �.? � `�� . � � � , ` � � --� � , . � � 2 � �. k 3 .� � � � � , � � . �, f1 . �� .� � ' � � �\ ��r�. � � � . t� �� `� ` � � �-� � .� +Q� � � �p� � . � �, � m �. . � � � � � 4 . � D�1 � . � � (', � `� � � x � N � � � J � � � � , o, � ` .. � �"� � � � � l � _ �� a ,,� � = $M v . ,,� �� .� �� . � �� . � � �.. ; � � � � c�-- � � �s � � �� ._ � � ,. . c� � �. �� -.�-, : (�� _ `1- ' ��.. � i:.� �..; 'a.. �� ,� � � ; �., � �� :.�� - � ' .- � z_ •�� : �,. � � �a� :. , ; ., ti 4.1) ' , �}�.... _ . .� 0 � � � � � � '� � � � � � � Jw � J \ � � � d U s d _ � �� . � �� r � , �. � _..._. .'^ . . ' e . � �_` I V . l � Building pLT,T1VjBING Permit ivo.: � 7 Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 .N�V O 763-502-4977 FAX CITY OF FRIDLEY n$t EFFECTIVE 2-14-09 DATE, �� O"C%�I YOUR E-1VIAII. ADDRFSS srrE nuDRESS ��Jg� �, ��2�vw c2 �i�� , TEIIS APPLICANT IS: O OWNIIt �CONTRACTOR PROPERTY N�: �'l�m,�g �, �zF� ow�vE�t/ .�nn�ss: >� r�l�5 P� crt�r �3 l��,%vE STATEiZYZIP�L/ �N� rxor�: 7�3 -�.3oz -9.�� CONTRACTOR 1vnME: % u/�i✓ �er�+., �£r��.viC� l_ i'- , SLIBMIT A COPY OF STATE LICENSE �1 ,S'�j�l fo EXP DATE � o� 3�-� % YOUR STATE LICENSE, BOND AND STATE BOND #`% �Db 3 �%3Sa� 7 EXI' DATE /� ',3 %-!3 q CERT�ICATE OF �D�ESS: �/y/ - IO f3'`—``Gv,. CI'['St e3%�✓£ STATE /li/✓ ZIP,S,S�/� INSURANCE PHONE %.Im� `��el O.S%6 FAX %6.S- %�I' 6SO� PERMIT TYPE � SINGLE FAMII.Y ❑ TWO FANID.Y �TOWNHOUSE TYPE OF WORK: ❑ 1vEw �i.nCEME►vT DETAILED DESCRIPTION OF WORK I�%�_ ��,z�� FEES ARE 9ASID ON $10.00 PER FIXTURE, EXCEPT WIiERE NOTED. FIXTURES: (INDICATE TOTAL ANMBIIi OF EACH $ELOR�. MINIMUM FEE $35.50. oZBATH SINK/I.AV FLOOR DRAINS SHOWER WATE[t PIPING 1 BATHTUB GAS PIPING (NEED CITY LIC) SWIlVIl47IlJG P(�L WATER SOFIIVER ($35) CLOTf�S WASHER � KTI'CHEN SINK �WATER CLOSET BACKFLOW PREV. ($15) � DISHWASI-IER � LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION _ WATIIt MEfER _ OTHER Number of fixtures (�a, $10.00 � x $10.00 = $ �d ' Number of fixtures @ $15.U0 x $I5.00 = $ Number of fixtutes @ $35.00 � x $35.00 = $ 35 � State Surchazge $ .50 �s.so To,�t = � C Q 50 THIS IS AN APPLICATION FOR A PIItMIT-AiOT VALID UNTII. PR�ESSID I hereby apply for a plumbing permit and I ac�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota. Construcrion Codes; that I understaad 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 accordance with the approved plan in the ca all ork reqwres review and approval of plans. SIGNATURE OF APPLICANT G� PRINT NAME hEZ Gl/� ��KUYS DATE !� �� PLEASE NOTE: SEPARATE PERMITS ARE REQUIRID FOR BUII,DING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building �i C�IC�, Permit No.: � Inspections RESIDENTIAL APPLICATION R��i�� By• 763-572-3604 CITY OF FRIDLEY D�� q0 763-502-4977 FAX EFFECTIVE 2-19-09 DATE /� IG "!�'/ YOURE-MAILADDRESS S1TEnDn�ss _.5�90 �i. QIi.YNNE2 �i�-S5 THI5 APPLICANT IS: O OWMER J�iCONTRACTOR PROPERTY NnME: J r�a�(a i�Zt.✓ OWNER/ ADDRESS: /� J l�/S/GCF.. P�i9�L CITY-- Q�i�-/oVE STATEOZ�ZIP $ l �N�v�r 7�?_ �� ' PHONE: CONTRACTOR coMP,41vSr IvAME: �GUi�v �i,��r., /'%18e�✓a.iec,el-/ .vc � SUBNIIT A COPY OF CONTACT PIIiSON: LE 2 W�Tdi %a/S , YOUR STATE STATE LICENSE # (�D �C� 3 E}CP DATE I�-�,3I'�% LICIIVSE wITH nnnxESS: ai�// — l��'n` G,yv � crnr L�.e�vt STATE /l0 ZIP�y APPLICATION PHONE 2C9'� -%ise/- ��-r,fa , FAX %f�.3- 78'y- C�.sO 3 PERMIT TYPE � SINGLE FAMII.Y ❑ TWO FAMILY �'TOWNEIOUSE TYPE OF �VORK: 0 NEW �REPLACEMEN'P O ALTERA1TON/REMODEL DETAILED DESCRIPTION OF WORK � � I/ FEES ARE BASED ON 510.� PER FIXTURE, EXCEPT WHERE NOTED. FIICfURES: (INDICATE TOTAL NUMBER OF EACH BELOR� Eq�ripment Installed MFG: MODII.: SIZF/BTU MEG: MODII,: SIZE/BTU MFG: MODEL: SIZEBN A/C $25.00 _FIREPLACE (GAS) $15.00 1GAS RANGF/OVEN $10.W AIIi TO AIIi EXCHANGEIIt $15 _FII2EPLACE (VNOOD) $35.00 NEW GAS GRII.L $10.� _BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 CHIIVINEY LIlVER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.� VIIVTII.ATOR $I5.00 Number of fixtures @ $10.00 � x $10.00 = $ �� P Number of fi�ctures @ $15.00 x $15.00 = $ Number o�fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 FEE 535.50 Total = $ �J�, 'J�� THIS IS AAT APPLICATION FOR A PERM[T-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 and codes of the City of Fridley and with the Minnesota Construckion Codes; that I understand this is not a permit but only an applic�tio or a pemvt 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 w ch review and approval of plans. SIGNATURE OF APPLICANT G'i/ � � PRINT NAME /C £ i !.'Y � /�,J�/i!/S DATE �� D �/ PLEASE NOTE: SEPARATE PERNIlTS ARE RE UIRED FOR BUII,DING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 EAX: 763-502-4977 !i Building Inspections w 763-,�72-3b04 763-502-4977 FAX DATE � �5 SITE ADDRESS TENANT PROPERTY OWNER ARCHITECT CONTRACTOR * NOTE: CITY LICENSE REQUIRED COMMERCIAL, INDUSTRIAL AND MULTI FAMIL,Y PROPERTY TYPE PERMIT TYPE PLEASE SUBMIT: BUILDING RCIAL/INDUSTRIAL CITY OF FRIDLEY YOUR E-MAIL ADDRESS � �,.( u �� sS Suite No. �.E S ADDRESS: 5�-t 7C� �j (��n � �ft�SCITY PHONE: /�3" �3�. ' �S $'Z CI7'Y ADDRESS: ��7 I� j�� 1�1-E-.�e CITY� PHONE: ��' �3g^Z�� FAX '— TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ MULTT-FAMILY ❑ ADDITION ❑ NEW CONSTRUCTION �EMODEL � ROOF 1. 4 SETS OF DRAWINGS 5. CONTRACTORS LICENSE OR 2. SURVEY/SITE PLAN LICENSE APPLICATION 3. LANDSCAPE PLANS 4. ENERGY CALCS BUILDING TO BE USED AS: TOTAL SIZE: DETAILED DESCRIPTION OF WORK OFFICE Permit No � `1 � Received By: Date �� J C � � � �� o�STAT�LIP ��3v� STATE ZIP �STAT'E`�� ZIP S�,S �I3 ❑ INSTITUTIONAL ❑ SWIMMING POOL 6. SPECIAL INSPECTION SCHEDULE 7. PERFORMANCE BOND AMOUNT$ _SF WHS SF OTHER SF PROTEC'TION (Y/1� AC(Y/l� �'i�i<rL�� TION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a buil ' permit and I aclrnowledge t the information above is complete and accurate; that the work will be in conformance with the inances and codes of the City of Frid y and with the Minnesota Construction Codes; that I understand this is not a permit but only an plicatio a permit and work is not start without a permit on site; that the work will be in accordance with the approved plan in e cas ' all work w' requires revi d approval of p SIGNATURE OF APPLIC PRINT NAME f L V 22�c�,'� �'S� Q� ALL FEES ARE BASED ON VALUATION Sq. ft. x$ Cosdsq. ft. = Valuation $ Sq. �. x$ Cost/sq. ft. = Valuation $ Sq. ft. x$ Cost/sq. ft. = Valuation $ COTAL JOB VALUATION: $ SC7U — USE ?ermit Fee 'lan Review � ire Surcharge Surcharge >AC Charge :rosion Control 'ark Fee ipecial Assessments Cotal Dne $ ��J _ -$ $ . Sv $ � $ ��9.�5� $ $ $ �1 OCCUPANCY TYPE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $2000 per SAC Unit (Plans to MWCC for determination) $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable to: Citv of Fridlev Attach Page 2- Building commerciaVIndustrial Application BUILDING PERMIT FEE SCHEDULE TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surchazge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $SOO,OQO $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the ls` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the ls` $1,000,000 plus $3.15 for each additional $1,000 or fraction PERFORMANCE BOND POLICIES When a building permit is issued for a commercial, industrial or multiple dwelling residential project which requires outside improvements, a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cover all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences, lighting, water & sanitary sewer services, and storm drainage systems. Calculation of bond amounts will be deternuned by the building pernut values. The bond amount will be 3% of the building permit value up to a$2 million dollar project or a $60,000 bond. Actual amounts will be rounded to the nearest $100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Projects with no outside improvements generally will not require a bond. Bonds must remain open until the project is fully completed. Reproducible "as-built" drawings of all exterior underground utilities must be submitted to the City Engineering Department before the project is considered complete and the bond released. All bonds will be held over one winter and through the next growing season to insure the survival of all landseape installations. The City will then inspect these properties in August of the year following the initial planting. Bonds may then be released in October of that year if all improvements are satisfactorily completed. City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 License lookup License/Certificate Detail Here are the details for the license/certificate you are currently looking for: License name: LEVEL INC License doing business as: License address: 507 1ST AVE NW City state zip: BUFFALO, MN 55313 License number: 20317256 License type: RESIDENTIAL BUILDING CONTR Company structure: CORPORATION License status: ISSUED License original issue date: 3/14/2002 License expiration date: 3/31/2010 License print date: 5/4/2009 Qualifying person: PAUL D. WURZBACHER Continuing educa6on hours required to renew license: 7 Contractor's phone number: 763-4382900 Enforcement action: No Attflt�lt'f L00�C!!�!� https://secure.doli.state.mn.us/licensing/licensing. aspx Page 1 of 1 9/25/2009 Building Inspections 763-572-3604 763-502-4977 FAX DATE �D ' s � � SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER! TENANT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR � OWNER �ONTRACTOR ADDRESS: CITY PHONE: ��_ Permit No.: �� Received By: �"� DatR�d TE 7h+ ZIP S� CONTRACTOR NA1vtE: ,L L��2 �-�„ SUBMIT A COPY OF STATE LICENSE # p��,'3 I� oZt��O EXP DATE ��.� °" /C� YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: S�7 / S�' �� OI�.V • CITY a.lo STATE ��LIP �,�3 INSURANCE PHONE �(i,3 — ��'iZ9G� FAX PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCR[BE WORK BEING SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING � Virryl ❑ Aluminum ❑ Other 0 SINGLE FAMILY/NEW CONSTRUCTION �!�'WO FANIILY/NEW CONSTRUCTION O ADDITlON � GARAG ❑ BASEMENT FINISH ❑ ROOF O DECK ❑ SIDING O SWIMM ❑ NEW HOME CONSTRUCTION 0 MAINTENANCE/REPAIR .. � 5�� ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE SIZE � DRAIN 7'ILE �OTHER HEIGHT fa�i BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCI'ION INCLUDING DECKS, ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINBOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ d'a, �� o n' OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due '� L�IY�c�s - $ ��. � $ � `�� $ � afS�— $ $ $ $ $ $ �q � _� See Back Page for Fee Schedule 65% of Building Permit Fee ,001 times the total job valuation )OS x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATTON FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit ow e ge e information above is complete and accurate; that the work will be in conformance with the ordinance codes of the City of Fridle and with the Minnesota Construction Codes; that I understand this is not a permit but only an applica ' for a permit and work is not start without a permit on site; that the work will be in accordance with the approved plan in the c of all work which requires rev' and approval of pl SIGNATURE OF APPLI A PRINT NAME�� r0 L I 1��1 r�.a�ATE ��` S'— �� Page 2- Building Residential Application BUILDING 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 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: 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 proposed structure and of the construction site. 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 City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 �a � �.� .J � � � �� ° � � � > � ,w �� \� � � � �',� � .� �.a i , , � � .� � � � � � �� G . �� :/ '° �r �'� ,� � � _ _. :�� o . i �(.. ��-�°. .A°°� � � ��° ��:�� - � `� ' �� %r : , ✓: � �j�� O �'( �� 1��i■■ii : � �_ �;�` . �`A., � �...-� m� W ,., : � `iT� �, �� '`�.� ,,�' � '�'.•�, s�` � -�y� � ;,�� —^, .. rj ✓ • s � \. � ., y : \. { �� / •.✓ �� _..- �� .-�' �� ..,.1� �?� ., �`� �y-� ; i �� w; ` � �� I ` ��' � � � ► � �' � � ; � - � i -- r Y m � � � ,� � � �� -.-...� � � � �� . � .� 1 �e N � � d��^-' � � j�'�� y�' `� . ; ------� -- ------ � ----, , .� �� ry� � � : � �� ' � - �'' � i�, � / � � `�w �-- .! � ` � ! _._.�.---?yr,� �� I� �A� � � • i � � ,t. rr f/ -� � �/ ;�. %u � � I _ ; � �� ;� r,� �o �, I � :!��-�'� ��" �J' ill �',X �v��, � �..s , . i ��" ; �� _ �� C i • � � � i -�--`� ? �� w � ; , � . (-� �. t --------� ------ / � � 4 a ti `��'`� J � a ` � � � � � 0 � � i \ Scope of work Bedroom 1: Drywall TapeFinishPrime Re-texture ceilingCarpetTrim window/door/floorpoorCloset doorPaint Bedroom 2:Drywall TapeFinish PrimeRe-texture ceilingCarpetTrim window/door/floorpoorCloset doorPaint Bath 1:Drywall Tape FinishPrime Re-texture ceilingTile/Durarock floorTilelDurarock shower wallsTrim door/floorpoorVanityTubToilet Paint Main Level great room:DrywallTapeFinishPrimeTexture ceilingCloset doorTrim doors/floorWood floor Stair railingPaint Main level Bath:DrywallTapeFinishPrimeTexture ceilingDoorTrim door/floorVanity ToiletPaint Kitchen:DrywallTapeFinishPrimeTexture ceilingBase cabinetsWall cabinetsCountertop SinkWood floorTrim windowPaint Basement:DrywallTapeFinishPrimeTexture ceilingTrim window/floor/door CarpetPaint . �'� �- `1 � "� l lZ� �C.� L�l�v � � ^ �� _.., lrv t'�in Z i� �. IMb�iQ �� .CS . �� ti �� o��a N W��I c� 2. s�, _ C�l� �� w - �s�w.S�1 �Plz'� .- _ `lS�� `� � Dct �5 2009 1:Z9PM Drywall Supply ,_ �J .�..�.' '�..- Sounder�ak 6yp,s�n �oa�+d A�al �ete�or Guid� StN� i.� �AY�R •• ax� ��r�� NJA � ----- hr �I� S�f°Altpl3l'f'�id �iP►1,�. f� WA N1A 763-4�8-7665 p.l � 4 �n � � � ` �� J,�I ��5�' � P �� = �� - %'V��?� �S'�- �9" SOU��eelc Gy�srn� 8ond� �d verd�9y RAL TL�r333 t� eech �e of 2W sh� sp�l 24' a[. Wdfi 1•t/�" 1�" t 3-112" � � � QWi , � u� u� r,�o �ns ot t°��sr� �,�� 24�d, d r�cc e��1.� SN�61r� ftP I�Wmd'm Z H-�fuds at Min�tNim 9/4" �r spame beh� sh� �d adj�aer�G�on. �° Sp�k �d app%d verdr�l� soou�otbc4�spaoBd t6' ncwNh 1•114 �� ♦Z� OG TIlL� �O�S �WC� � TW �� ' ?r1 „^\ J.4 ! 3 ►,f 9fi��f1.�i��Q.t�,�e 9tI4��if�49��aPf�3 � 1 i O.o.�.� �,� b.� d:6.b � t�� s b.l.� l.�.l.i i.�.! 8_i �.6�1 b�� ..,...,,m,�.�.d.k.�r [1.��OR�(��y,��piv'�� f±f:��!�ao�.vP�fit►I � I,i �,p.E,� 11 i 1 i 1�,�.�.6l.!1r;.�.6.i.i,l ! 10 i b.l.t.� 4 E I.E.ir R•. 1 :._�,-. . a�i�'iRf!1SF ir+wv.or.-a•v.t�aoe.r+a��a�dEtlRV�tt4d�W�y+�vuo.�u �1! i��b�F�l�� i�l�l i e�l�I�f'1�4t� �� I��I�I�aq��l�lgl�bfE��Pf�i� ��<.,.�.��,.,M� '...°°"�'""„"` �I��LE l.A�`fER , G" SYIPi�� ,� �.,.ofl.�-v..�.,�.� ` � '��,0 4I,�.��:�.�.�,��.�.�,��.�. � ��I �1� i,1�1�.96E1��1 � .�.�,� . . � .�,�.� �,�.�.� �. .�.�.� �. _ , � , . , � _ . �� s�8°s��„aoa,d,e�g,�d Ra�na6-3� :. wid�"t t� 5 wEwS �2�" ��nl�s ��ag� �� 2d on op�sim �es 3-t12" g�s flbet fn � 8a��5B°50�dEt�ltGypaanBoar+dvetl• RAI. �yap� � 331�' �d sOt� 5pa�l 14° OrC. waf+ S 90l3N5 Z4" oe. Fia� �t 5J8" F��rr�moard+r�tica6ya�edv�h �•5ta° tyae5so�u+a12° na 5B° Fir5hidd �� r� IA�IErAnd 12' oc.11�ti�l 24° � appo�oes'sles.3v2° c��er��ud� G.G YHRK� �lf q! oppo�te �fdes.3- N �k (i��t1h 6t�1d derS�- RJ� TLOQr-335 '.,` '� Y ..'Jhs?.: d atud� �d 24 ac �r��sr�hi-51a" � � ' �' f�� twolay�rs �;�;."� ��ra�pGed. 8a5e ``:;�.::: a5 sce�rs7a° ac„ •:'- 8�" t�e SsQans tI' :.�=;`:.�:: K17d uxh Isnar and _ . . . �35a k7yer �° 5owidB�c C�ypsam 80�od N�tl• Nfl[G 8-3456.2 i;, ,��,'� c� ap�rf'�edm fi' Sb�el�nrdsape�i 24" ac �"'`��"� wlp��1��(jf�� 5�ews 24' ac.fate i3y��e,rr. �5d8° �;��»t FIRaT7�afi 11�� YF.��u7� f'�� !:.,a•. �p�e ssa�1? acp�q�ad�on�o .�'s;, � iKf: ;r. � 5B° Fire�Stiddw��bt�2fdVp�e�Ued.B�ae S;"�� p�re�d I+�tl i`cy�e s SO�YIS'Z4' QG• r. �= iaae byer a4md�ea{ wglt 51B" type 5 sv�v� 12" • u•' p� `:: s •: aappo�sl� }t�f�r m �� 1 � �ui��adre� .zoop/ioo�/nnopuinn uzu,j,�utjta� aan�xa,l,auzu�siul3ad�Zli�nn�.rQ:�uauzas�g �.utEdnnopuu,n uzu,I,.zoo� poom�nS doa.za�uno�s}auiq�� ire�s�auiq�� aseg�utita� a.zn1xaZauzu�stut3ad�ZjTen�.zQ:uau�� l�?�d�aiT�,L ��AaooJ�/aoop uau,I,zooQ�uiita� a.zn�xaZauzu�stut,�ad�e,I,i�nntizQ:��g janaj urey� �.ut�d�utTtez .�re�s .zoo� poo�ioo��s.zoop uzus.zoop �asoj��uijia� am�xaZauzu�stul3ad�,I,il�nn�.zQ:uzoo.z ��a.z� jana7 urey� �ured �.ajtoZqn,I,�tuen.zooQ.zoo�/ioop uzussjj�nn �annoc�s xoo.reinQ/aitZ.zoo� x�o.reznQ/ajiZ�uiita� azn�.xa�-a� auiu�stuT3 ad�eZ � ti��Q� i u��g �uredaoop �asoj�ooQ.�oo��aoop�MOpuim uzu,I,�ada��utjta� a.znl.xa�-a�auzud uslui,�ad�Z ti��Q�Z �oo.zpag �uredioop �asot�ooQ�zoo��.�oop/nnopu� uzuZ�adiz��uiita� ama.xa�-a� auzu�s�3ad�Z ii��Q : i uzoo.zpag x.zonn �o ado�s Building Inspections 763-572-3604 763-502-4977 FAX MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE �Z 2 '- �� YOUR E-MAIL ADDRESS SI1'E ADDRESS � 4�' ��, �Jresnn �-� PQ 5 S � THIS APPLICANT IS: ❑ OWNER I�ONTRACTOR PROPERTY N�: c4�e� .�Zt.v� owrr�x� ,�n�ss: i z�6 S � e��e r� /��e TENANT PHONE: _%�3 - z.� Z'� Sc� Z CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION COMPANY NAME: CONTACT PERSON: Permit No.: , �� - -. : �� ;:i ;._ : i ` y 1 � � '� �� 5543 ,��t�i✓L�e ss�.s�l STATE LICENSE # EXP DATE ADDRESS: �� ss �i %S�Gt C/SC ��'� N� CITY � T��xo STATF�ZIP S 5,3� PHONE %i � ^ � �� O I % FAX PERMIT TYPE � SINGLE FAMILY ❑ TWO FAMILY TYPE OF WORK: � ��' ��CEMEtv�' DETAILED DESCRIPTION OF WORK �TOWNHOUSE ❑ ALTERATION/REMODEL FEES AHE BASED ON $10�0. PER FIat7'URE, EXCEPT WHE,��iQ��t?::•FIaFTURES: (i1VDIGA'FE Y'ti7':4L;NUMSER OF £fiCIf:BEi,fl)I?j .__: PROV�DE AEAT LO�S CALC'S PER MAIVIFA J ZOa6��1S �A�FDBOQK._ Equipment Installed MFG: � v C° Yv�� MODEL: �d �� C/� � SiZEBTU �%O�p a o A/C $25.00 _AII2 TO AIIt EXCHANGEER $15 _BOII.ER $35.00 _CHIlvINEY L1NER $IO.QO _DUCT WORK $10.00 NffG: MODEL: MFG: MODEL: _FIREPLACE (GAS) $15.00 ��LACE (�i!OODj $33.00 ACE $35.00 . _GAS DRYER $10.U0 GAS PiPING'$10:� SIZF/BTU SIZF/BTU _GAS RANGE/OVEN $i0.00 NEW GAS GRILL $10.U0 ' _GAS iJNI7' H7'R $10:00 _POOL HEATER $35.00 VENT[LATOR $15.00 ' THIS IS AN APPLICATION FOR A PERMTf NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordittances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requi es review and approval of plans. SIGNATURE OF APPLICANT �, e PRMT NAME J o""�" +� +��f$� DATE � 2- Z 5' -° � APPROVAL IIVSPECTORS SIGNATURE DATE City of Fridley Building Inspections Deparhnent 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERNIIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Cha.pter 5 with MN Amendments IVIN Rule 1346 Sec. 501 3. Venting _ a. Gas ap�liances IFGC Cha.pter, 5 with MN Amendments b. _Fuel.other:.xhan gas IMC Chapter $ with MN Amenclments 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N1104.4.13 5. Ventilation a. Pex MN Rule Chapter 1322. Sec. 1104 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energ,y Mechanical Code Guidelines software may be used for combustion and make-up air calculations.