AF - 40682S�B�ECT P E .
Cit�� of Fridley � 16 0 9 2
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T �-
! � RECE .
COMMUNITY OEVELOPMENT OIV. �
r � ~ � � PRO7ECTIVE INSPECTION SEC. �(� ��
' i '
� ����1 � CITY HALL FRIDLEY 55432 NUMBER pEV 04TE PAGE OF APPROVED BY
�""� � �'' 612-571-3450 9t0-F15 4/1/81 / /
lOB ADDRESS See Below
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ],-5 15 Innsbruck North Townhouse 6th Addition SHEET
2 PROPEiiTY OWNER MAIL ADDRESS IIP PMONE
Uarrel A. Farr Develo�nent 4600 Lake Road, Robbinsdale 55422 536-9936
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNEF MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGtNEER MAILAODRESS ZIP PHONE LICENSENO
6 USE OF BUILDING
Gara es
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION O REPAIR p MOVE O REMOVE
%
B DESCRIBE WORK
Constsuct a 50'8" x 22' Gara e Unit
9 CHANGEOFUSEFROM TO
STIPULATIONS
Lot 1- 5496 East Bresuier Pass No Eo
Lot 2- 5498 East Brenner Pass N,E.
Lot 3- 5492 East Brenner Pass N,E.
I,ot 4- 5488 East Bre�nner Pass N. E,
Lot 5- 5494 East Brenner Pass NoE.
Provide one row of concrete blocks under bottoan plates.
SEPARATE PEF±MITS ARE REOUIRED FOR ELECTRICAL, P�UMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIFi CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCEO WITNIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING
I HEREBV CERTIFY TNAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF LAWS yALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $g �349• 29 �`4a C%
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL Th1E pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 44. CS
STRUCTION OR THE PERFORMANCE OF CONSTHUCTION. �
. PLAN CMECKFEE TOTALFEE
$49.35
SiGNATUFIEOFCON7RACTOAONAUTMOp�2EDOGENT �On7E� WHEN ROPERLY T THIS IS YOUR PERMIT
r I
S�GNn�UpEO�O�tiNER�i%OWNEABURDEN� iDeTE� g_�� �.,5o ry�iE
SUBJECT P
City of Fridley � 16 0 9 7
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ��
i �
� �
R .
� ; L ______ COMMUNITY DEVELOPMENT DIV. �� ��
r � � PROTECTIVE INSPECTION SEC.
� i � �L�' Z
( /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED V
�'""�� � ,�� 612-571-3450 910-F15
4/1/81 � /
JOB ADDRESS 5494 Ea.st Brenner Pass N. �''�.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1,0 ].�j Innsbruck North To�anhouse 6th Addn. SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Farr Develo�ent 4600 Lake Road, Robbinsdale 55422 536-9936
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
$3IDC.'
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
RES7. CZP11't].1�.
7 CLASS OF WORK
O� NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct an 18' x 28' Tor�rnh�use Unit D
9 CHANGE QF USE FROM TO
STIPULATIONS p�.ty �er.all inust be t�o separate 1 hour �ra11s frcmn bottom to roof.
Firestop soifits. Provide combrusti,on air to furnace fr�n outside.
SEPARATE PERMITS ARE REQUIRED 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. F7.
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 CORRECT. A�L PROVISIONS OF LAWS VAL TION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $26,300 $],�.],S
DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $425• OO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �`52.99
PLAN CHECK FEE TOTAL FEE
$13.25 $504.39
SIGNATUREOFCONiRACTORORAUTHORI2EDAGENT �pATEI pROP qL I A D THIS IS YOUR PERMIT
, F � �
SfGNATURE OF OWNERIIF OWNER BUILDERI IDATEI INSP �PTE
• � CI�fY U1= 1=1Z11)I_L"Y . . �
' /tf'I'L1C/�71UI� fOtt Itl:�1l)(:f•JT1/1L LUILDlh1G ('f:RI�iITS . � �.
' ( �'�L"W, nLl'L R/1T 1 U(15, %11)ll I T 10IJ�, OR R� I'/11 RS �
• . - . - . _ .
ow�trR:,� . � r.uxLU>>>t: � � � '
.
7►ddr.ess: yG00 ,,x��� Ac7clres�: . � -
l�/-G �`%%I ti• Tcl . 1�20 .:,S'3 6- 99..3G .
)�o. S�i/ � 5� 5treet: ��J Xy�'� � �..�� � 1���c��/ � --
I.OT: �� � B7ACY.: /J`— )1DD2'PIOTl: (�`f1�
COi2litiR L71': � IIJSIU� IAT: � r S; Ti3ACY.c ' SiDL•'YARDS: '
Apl licai;t attach % this form ��� Certifi.catc� of Survey of Loi: ar�d pxoposcd� �.
builc3irig locatinn drawn on these Cex'tilicates. - . ,
. . . . .. . ,. .
� .� . - - - . � _
� DESCRI PTIOhJ OF BUI LDI I�G �- �� --
To 73a Used � As- " . . . � • . . . . . . ' .
- ��� " • - . - . " Nei ht: - - � . _ - -
- �._r�,e /� Front: _ % d Deri.h c - ' g _�,p •
� - ' . - _ Sguare . Feet: . !� �/S! (� Cubic Feet: - . "
'I�cont: Depth:., �� Height: - -
. Square Feet: � GUbic Feet: ' �
• . . . _. � � � �CT�
iype o� Construction: ��Q-� �/)��n�� Estimated Cost�: $
'1b Iie Comnleted: , . � � � - . - : �Alt. A Alt. B
' 2�roposed Driveway t•;idi-h xf Neia Opening Is Desired $ $
� � ' � (SEE 32�VERSE SIDE OF SiiEET)
The undersigned hereLy makcs ap�lication for a pc:'mit for the ��ork herein �
specificd, agreeing to do all �cor}: in strict acc�rdance �,rith tl�e City of _ .
Fxivlcy Ordinances and rulings of the Dcpart•�ient oi ruildings, and hereby .
decl.axe� th�t all the_ facts and re��reseni:ations stated in tl�is application �
a�:e true znd correct. See reverse side iar acldit-ional iufozmation_ �
DATE: SIGt�11'!'UI:I.: �%� / 1 . �
. —7'7 � .
Stipulations : .%��z2; z1 C�.i� L�. f/? � � �Q� f c.�J c� �S�.a7p'�2,4 ��, /���2 �il-LLS
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GEO. SEDGWICK HTG. & AIR COND. CO. �,
HOUSE HEATING TEST RECORD V� `���"� "�
ADDRESS ���� ��" ���,� �� � - �- CITY ��9�' q� �� �_ , ,%�'�'��,�
OCCUPANT � � OWNER 9 �� , `���
�.i f ��F�;� e T �. �t'�r
HEAT LOSS � DATE HTC�. INST. � ,
SOLD BY _ ��,���� p�°. ���t'�%�� INSTALLED BY� J . ,�� � ; a �� , ''
Electrical Work BY � . - Gas Line By - - � �,,�- � � 4 �` , 1 �_ _f �
TYPE OF HEAT GA= FA�,.�HVV_ STEAM SPACE HTR. UNIT HTR. �OTHER `';� �
GAS DESIGN CONVERSION -
MAKE ���-an„ � a ; ��.�.�
Model _ �; �! ` � `� � �
�
Serial �" �=� <�`� � 0.� � �t' �r
INPUT -- �.�, �,� -��_�� � ,�
MAKE OF BURNER
Model
Max. BTU Rating
MAKE.OFfURNACE
Model
CONTRO LS
THERMOSTAT ` ;' � Heat Plug Vent Size.
Valve _ � ,� r ';.�F � ; '^ � � r=� ��a(IND OF LINER SIZE NON'E _
�---�`�—' �r � r s� �
Limit _ ° �' � � ' �'.` Draft Hood- ' `� k �' - ��-=rReguletor
Limit Setting �,,�-� Filters Size ' Number
Fan Setting _ ,� __�,y' `_; G= Chimney Location (nside� `_ Outside
Pilot Type � Chimne Construcfon ; - "-
Pilot Il�ake t- d � �4�- �,�r_ y _�
n
Pilot Model "`'' ��f ;g �,�" Smoke Bomb 1Niring'_ �i
Pilot Timin9.— �-i° ' Draft . T
_ ��.:��. est Tag
L.W. Cut Off Doar Pressure Lighting (nst "
Pressure "_'- - µ� E� !° � _.
. Percent CO2 Date Tested
Input CFH .��` Percent OZ �� Company Testing _
Stack Temp. � ` Percent CO ��-- '� Name of T�ster: � � ` " ' � _ ' �
Form 235
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Su9�ECT
City of Fridley 3108
AT TME TOP OF TNE TW�NS g U I L D I N G P E R M I T
r
� � f1ECEIPT NO.
� �y ����� COMMUNITY DEVELOPMENT DIV. �Q�q
r � � PROTECTIVE INSPECTION SEC. O
i.--•� �'° �.� CITY MALL FRIOLE� 33132 NuMBEA pEV O�TE PAGE Oc AvvNOvED 6r
i 612-571-3450 910-Ft5 6/27/00 � �
JOB ADORESS 5488, 90, 92 , 94, 96, 98 East Brenner Pass
t LEGAL LOT NO. BLOCK TWACT OR ADDITION SEE ATTACMEO
oescR. 6-11 15 Innsbruck North Townhouses 6th Addition SHEET
2 PROPERTY OWNER MAI� ADORES$ 21P PNONE
Innsbruck Townhome Association 651-224-5482
� CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Garlock-French Roofing Corg�., 2301 E. 25th St., Mpls., NW 55406 612-722-7129 00001423
� ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE IICENSE NO.
S ENGINEER MAIL ADDRESS 21P PNONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WOIiK
O NEW O ADDITION ❑ ALTERATION C� FiEPAiR O MOWE � REMOVE
B DESCRIBE WORK
Reroof Townhouse Building ( Tear-Off )
9 CHANOE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
�ermifi Inspection Cards
Will �e Mailed
�'o Homeowner To Post
. ,
SEPARATE PEpM17S ARE REOUIREO FOR ELECTRICAL, PLUM8ING, MEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAO
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONINCi SO. FT CU FT
AUTHORI2ED IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANOONEO fOR A PERIOD OF 120 pAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWL�G. UNITS pFFSTREET PARNING
I HEFEBY CERTIfV TMAT I MAVE READ ANO EXAMINEO TMIS APP�ICA710N �� S7A�LS GARAGES
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PpOVIS10N5 OF LAWB yp�UA'f10N SURTAX
AND ORDINANCES GOVERNING TMIS TVPE Of WORK WI�� BE COMP�IED �21 631.00 .�,IO.BO
WITH WMETMER SPECIFIEO MEAEIN OR NOT. THE GRANTING OF A PEFiMIT �
OOES NOT PRESUME TO GIVE AUTMORITV TO VIOlA7E OIi CANCEL TME pEqMiT FEE SAC CMARGE
PpOVISIONS OF ANY OTMER STATE OR LOCAI LAW REGULATING CON-
STqUCTION OR 7ME PERfORMANCE Of CONSTRUCTION $349. ZJr Fire .SC�21 . 63
PLAN CMECK fEE 7 AL FEE
381.68
- S�GN�TUpE O� CON'aACTOp OA �UTHOpiIED �GENt 1DAiE� E P �V VA ED TMIS IS � F,BERMIT
/ ]i!
fD°
► G�
S�GN�TUAE O� OWNEA��� OWNEABU�LOEA� �D��Ei B OG itiSo r�att -
Building
Inspections
763-572-3604
763-502-4977 FAX
DATE / - / -
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRID�LEY
SITE ADDRESS dS `/ � . �
THIS APPLICANT IS: ,�' ❑ OWNER
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
AND CERTIFICATE OF
INSURANCE
PROPERTY TYPE
PERMIT TYPE
Permit No.: 1_�
Received By: '
Date Rec'd: `� � �
YOUR E-MAIL ADDRESS ��� s1P� �v+� 9� ` j�l'31ZYJ L� Cc�lr7
i�A �S � �sz i.aL �Y , �J � S5'�132
L�O SA�
5: �' �ii� �
PHONE: Co / � - SG}' i! ° ) Fl (o �
�2 P�ss
�IQ�D2 �� STATE�NZIP_���
NAME: L �J'S i-L e
STATE LICENSE # �l� (�, 3 So�7 I EXP DATE ! / a
ADDRESS:��T dS �L�G1fa� L� CITY�Lyiltpu�/t� STAT�!'li✓ZIP S�S'��-{L
PHONE �1 So� a� I 3 a� a% FAX
❑ SMGLE FAMILYMEW CONSTRUCTION SIZE
C�IWO FAMILY/[JEW CONSTRUCTION STORiES
❑ BASEMENT FINISH
Ct�CK
TYPE OF WORK: ❑ NEW HOME WNSTRUC'CION
❑ MAINTENANCE/REPAIR
DESCRIBE WORK BEING
S1ZE OF IMPROVEMENT
ROOFIIVG
NUMBER OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED I-�IGHT:
SIDING— -- - - ---- -
❑ Vinyl
❑ Aluminum
� Other
� ROOF
❑ SIDING
❑ SWIMMING POOL
o an�rri
❑ HOUSE OATLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
OSoffit
❑ Trim
❑ Fascia
U1t.M�
❑ DRAIN TILE
❑ OTHER
BASEMENT REMODELING SUBMIT•
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCI,UDING DECKS,
ADDITIONS. & PORCHES SUBMIT•
I. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
M EXISTWG OPENINGS OYes ❑No LOCA1'ION OF WINBOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIAGS:
(USING E 997 U.B.0 FEE SCHEDULE) �
COTAL JOB VALUATION $ �4 Q� �� OCCUPAI�TCY TYPE
Permit Fee
Plan �Review
Fire Surcharge
Swcharge
License Surchazge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
� (� See Back Page for Fee Schedule
$ ?�� � 65% of Buildin$ Permit Fee
$' P, t�-y .001 times the total job valuation
$ : ?pj .0005 x Permit Valuation Minimum $.50
$ ,�c� $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 c6ecksQayable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a buildin� permit and I aclmowledge 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 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 on site; that the work will be in accordance with the
approved plan in the case of all ork w i h requires review and approval of �lans.
SIGNATURE OF APPLIC PRINT NAME r � /✓�9,�� 7�S Q'Z,
Page 2- Building Residential Application
BUILDING PERMIT 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 nunimum of 24 hours from the time of application to
a11ow 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
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