AF - 40684sue�ecT p E
City of Fridley 16 0 9 6
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
� � REC
� ; _____ COMMUNITY DEVELOPMENT DIV. ��� �� �
r ~ PROTECTIVE INSPECTION SEC.
� �
� ��
' i '
`.--• A �r���,,� CITY HALL FRIDLE� 55432' NUMBER REV. DATE PAGE OF APPqOVED BY
i' �� 612-571-3450
910-F15 4/1/81 � /
JOB ADDRESS 5498 Ea�t Bxenner Pass N.E.
1 LEGAL LOT NO. BLQCK TRACT OR ADDITION SEE ATTACHED
DESCR. 9 15 7nnci�r�aCk, NOrth. TOWR1h�D11S@ 6t11 Addll, SHEET
2 PqOPERTY OWNER MAIL ADDRESS 21P PHONE
Darrel A. Farr Develo�ent 4600 Lake Road, Robbinsdale 55422 536-9936
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
X NEW O ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct an 18' x 28' ToHrnhouse LUnit A�
8 CHANCiE OF USE FROM TO
STIPULATIONS
Party wall must be tHro sepa.rate 1 hour walls from bottom to roof.
Firestop soffit�. Provide comhastion air to furnace from outside.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. �WLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION �' STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $28�160 yi`].4.OS
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- $56•4�J
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S�i2S.00
PLAN CHECK FEE TOTAL FEE
$14.11 $549.64
SIGNATURE OF CON i RACTOR OR AUTHORIZED AGENT IDATEI y� PROPE V V E TH YOUR PERMIT
SIGNATUREOFOWNERIIFOWNERBUILDERi IDATEI • iNSP � TE
� - CI�fY 01= 1=1t11)LLY . � ,
• /►f'�LI C/�T1 U!J f'OR RI:S 1 U(=1•JT 1/1L �U l I_D 1 h�G f'f_Rlh I TS .
' (�'�L"�!, nLl'Lft�Tl UI��, nl)llIT101J�, OR R�I'�I (2S) �
. . . . . .� .
ott�irR:,�i� � .� Z r.uiLUi>>t: ' � '
)�dc]r.c�s: yG00 ��� Ac7clxcJJi • •
� � �`iil�v • � T��. i��o. : .S'36 — 993� � ,
���. �S�{9B strectL / /1w / J►��f�l..� �e .�2..�'���
T,oT: � Rr�ocr: �_ nnnrrzori: � '�� -
COi2ldL'R L71': ✓ IIJSID� IAT: S;sTi3ACl:: ' SIDrYA12D�s •' ' .
Ap�licant attach 'L'o t-his iorn► ��o Certiiic�tcs of Survey of I.ot ar�d pxoposed .
bu�lclir,g locatian dr���n on these Ceztiiicates. - - :
. _ . t . .
- �� . . _
' DESCRI PTI OhJ OF BUI LDI t�G - " "-
- � � - . -
To 73c� Used 7�s� � � � � � � � � . �
_✓� � - � - • : . . . . _ . . _ _
���LLI
/� Fronts % � Depih: �'�_ Height: __�,Q _ • _•
' . - _ . . Sg,uare Feet:. � Z Clibic Feet: � . _
- • -- --� _. 'I7ont:. . Depth:.: • Neight: � . .
Square I'eet: � GUbic Feet�: - �
• .. . _ � ���/lo�
Zype o� Construction: �p-� �/let�L?�_ �timated Cost: $�
'lb 13e Complei:ed: , �9 � � �� . : �Alt. A . Alt. B
Proposed Driveway �:idtii Zf Iae�a Opening Is Desired $ �
. - • (SEE 3'.�VERSE SIDE OF SHE:ET)
The undersigncd hcrei�y makcs application for a permit � for ihe �aork lierein
speciiicd, agrceing to do all �cork in strict acc�rc�ance �aith tbe City of _
Fxivley Ordinances and rulings of the Dcpa�L-aicnt oi �uildings, and hcreby �
declares th�t all the facts and regresentations stated in t}iis application.
axe true and correct. See reverse side iar aAdiL•ional infozmatioi�. _
/ �
DATE- `����a(p_ SIGi�!A'i'Ul:i:: / /i •
• � -
Stiyulatio�ls: . _ . - .
, � .
��, y5� nii � - .
/ �, � l �i.�ti C�f� - _ _ .
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Sue�ECt pE
Cit}� of Fridley ° 16 0 9 2
AT TME TOP OF TME TWINS g U I L D I N G P E R M I T - -
i �
' ` RECE
; `� ����� GOMMUNITY OEVEIOPMENT pIV �� �� '
r � � PROTECTIVE INSPECTION SEC.
�
1 = .
l•--_ 1����;,, CITV NALL FRIDLE� 55�32 NUMBER REV O�TE �AGE O� APCqOVED BY
i �� 612-571-3450 9y 0-Ft 5 4/1/81 / /
108 ADDRESS See Below
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 1-5 15 Innsbruck North Ta,mhouse 6th Addition SMEET
2 PROPERTY OWNER MAIL ADORESS ZIP PMONE
Uarrel A. Farr Develop�ent 4600 Lake Road, Robbinsdale 55422 536-9936
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same
< ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 EN(31NEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Gara es
7 CLASS OF WORK
O� NEW ❑ ADDITION ❑ ALTERATION O REPAIR p MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 50'8^ x 22' Gara e Onit
9 CHANGE OF USE FROM TO
STIPULATIONS
Lot 1- 5496 Fast Brenner Pass NoEo
Lot 2- 5498 East Brenner Pass NoE.
Lot 3- 5492 East Brenner Pass NoE.
Lot 4- 5488 East Brenner Pass N.Eo
Lot 5- 5494 East Brenner Pass NoE.
Provide one row of concrete blocks under botta� plates.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUM8ING, NEATING, TVPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINE� THIS APPLICATION STALLS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yqLUATION SURTAX
AND ORDINANCES GOVERNINCa THIS TVPE OF WORK WILI BE COMPLIED $g �349. 29 4.
WITH WNETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT � 67
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 44.65
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION. �
• PLAN CHECKFEE TOTALFEE
$49.35
S�GNATUAEOFCON�RACTOpOAAUTMOA�2EDAGENT IDATE� WMEN ROPERLY T THIS IS VOUR PERMIT
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GEO. SEDGWICK HTG. & AIR COND. CO. ^ ? . � �� � -, —�
� HOUSE HEATING TEST RECORD t� �
_ ��� d� _ - �N "`Y�
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ADDRESS �;, ! . _ ' = CITY `�°. �,, -, � �' �, a ' '
OCCUPANT OWNER- �.>":; 4� f`'�' �, ; r��,;-�
HEAT LOSS�,�. DATE HTG. �RIS�T.
SOLD BY _ . - ; � , , , ,,'. ':-°, � _ INSTALLED BY ; .,. ;,� ..� '�. �:.: ;�.�
Electrical Work By ''' Gas Line By _ �, •
TYPE OF HEAT GA_. FA '= HW_ STEAM SPACE HTR. UNIT HTR. OTHER �
� GAS DESIGN CONVERSION
� "��_ .,,, � _, +�: �;*
MAKE � MAKEOFBURNER
Model '� d Model
Serial ' '��- ' Max. BTU Rating
INPUT � � -` °�° `� - MAKE OF FURNACE
Model
. � -� CONTROLS
THERI'd1C3STAT `, gHeat Plug, Vent Size '
Valve � � �° ' - �' • � - "'_ -^KIND OF LINER SIZE NONE
Limit ` Draft Hood ' ` Regulator
Limit Setting - Filters Size Number
, : �...
Fan Setting ° +" �` Chimney Location Inside ' Outside
Pilot Type � Chimney Construction �
Pilot I�lake . - '° , ,
Pilot Model �� � Smoke Bomb Wiring -
Pilot Timing __� .- -,'' s Draft _, ` Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure Percent COZ Date Tested r
Input CFH , Percen# 02 ` Company Testing �
Stack Temp. Percent CO � Name of Tester �_
Form 235
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SuB�ECi
c;ty of F��a��y 3108
AT THE TOP OF TNE TWINS g U I L D I N C P E R M i T
r
; � RECEIPT NO.
� • COMMUNITV DEVELOPMENT OIV. ��yR
� �V �"'� , O WV
r � � PROTECTIVE INSPECTION SEC.
1 � �
l---. `���° ,'� CITY MAL� FRIDLE� SS1�2 NUMBER AEV OATE VAGE �OF APPROVED BY� �� �
L �� 612-571-3460 910-F15
6/27/00 � �
JOB ADDRESS 5488, 90, 92 , 94, 96, 98 East Brenner Pass
1 LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACMED
oescp. 6-11 15 Innsbruck North Townhouses 6th Addition SNEET
2 PpOPERTY OWNER MAIL ADDRES$ 21P PMONE
Innsbruck Townhome Association 651-224-5482
3 CONTRACTOR MAIL ADORESS 21P PFIONE LICENSE NO
Garlock-French Roofing Corp., 2301 E. 25th St., Mpls., MN 55406 612-722-7129 00001423
1 ARCMITECT OR OESIGNER MAII ADORESS ZIP PMONE LICENSE NO.
S ENfiINEER MAIL AODqESS ZIP PMONE LICENSE NO
8 USE OF BUIIDINa
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION (� REPAIR p MOVE O REMOVE
8 DESCRI9E WORK
Reroof Townhouse Building ( Tear-Off )
9 CHAN(iE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
��rmit Inspection Cards
�lill �e Mailed
to Homeoa�ner To Post
SEPARATE PEFiMITS ARE REOUIRED FOii EIECTRiCAL. PLUMBING, MEATINO, rrPE OF CONST. OCCUPANCY aROUP OCCUPANCY LOi1D
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL ANO VOID IF WORK Op CONSTtiUCTION ZONIN(3 SO. fT CU FT •
AUTMORI2ED IS NOT COMMENCEO WITHIN 80 DAVS. OR IF CONSTpUCT10N
OR WOfIK IS SUSPENDED OR ABANOONEO FOR A PERIOD OF 120 OAYS AT
ANY TIME AF7ER WORK IS COMMENCED. NO OWI�G. UNITS OfFSTREET PARKING
I HEREBY CERTIfY TMAT I HAVE READ AND E%AMINED TMIS APPLICATION (� S7A��S GAFAGES
ANO KNOW TME SAME TO 8E TRUE ANO COFRECT. ALL PROVISIONS OF �AWg yp�UATIAN SUqTA%
ANO ORDINANCES GOVERNING TNIS TYPE Of W01iK WILI BE COMPLIED ,�21 631. OO .�t1O. SO
WI7M WMETMER SPECIFIEO NEREIN Oti NOT. TNE GRANTING OF A PERMIT �
OOES NOT PqESUME TO GIVE AUTMORI7Y TO VIOLATE Of1 CANCEL TMp pERMIT FEE SAC CMApGE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGUTATING coN. �349. ZS Fire SC�Z �.. G�
STqUCT10N Op 7HE PERFORMANCE OF; CONSTFUCTION
PIAN MECK FEE T A� FEE
381.68
S�GN�TUi1E OF CON'1iACTOp 0�1 AU�NOp�1ED �GENt �D�TE� E p �Y yp ED THIS i5 YOUR gER�
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