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PRE 2010 DOCSCity of Fridley SUBJECT FM416. 1 AT THE TOP OF THE TWINS BUILDING PERM IT/ � ECEIPT NO. I `L -------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i � �l /••'1 CITY HALL FRIDLEY 55432 L"'•� � ,'� NUMBER REV. DATE PAGE OF APPROVED BY 812-560-3450 910-F15 6/14/77 JOB ADDRESS 5464 Meister Road N.E. 1 LEGAL LOT NO. 3 BLOCK 1 TRACT OR ADDITION Innsbruck SEE ATTACHED North Townhouse Plat 4 DESCR. SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Development Corp. 7286 - 72nd Lane North 560-8110 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK R NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a '26' x 32' Townhouse and a 22' x 21' Garage (Alpenhof Model) 9 CHANGE QF USE FROM TO STIPULATIONS WARNING SEPERATE PERMITS REQUIRED FOR WIRING, 6etore digging call lW-1 W ihties 7 PI"OME - ELECTRIC' HEATING, PLUMBING AND SIGNS. GAS Etc. RCWWRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 832+462 27,916 Total 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 ISTALLS 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, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $44,770 $22.38 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $111.66 $375.00 PLAN CHECK FEE TOTALFEE 27. 536.96 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)EN )NSP RLY VALIDATED THIS IS YOUR PERMI DA E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 1� APPL.ICATION F01111 1ZI'SIDENTHM, A1,'fliMTJO`, A Olt ADDITION BUILDIc\G PIiM1,H i' CITY OF FRIDLEY, MINIIMSOTA OWNER'S S ITAmE : ,9,ae*e/A �a, Deu . Co rp. BUILDER: J at" e.. ADDRESS : 7,ZBlo 7.Z "—d Lane A/op//? ADDRESS: IZI /r. Pln. TJ -428 STRE-ET: 6NI q .[.Q r LOT: BLOCK: I ADDITION .& lkl W- CORNER LOT: INSIDE- LOT: {/ SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As :®fie.V,4® �i;.9iiouse- Front: Zloe Depth: 3 Z Height: Z 13' Square Feet: $-32, Cubic Feet: �ara g e --Front: 2 Z' Depth: �' Height: /®Ap Square Feet; '¢42, Cubic Feet: Z Type of Construction: Aooaof e!!2t4�e- Estimated. Cost: -- ,77 O To Be Completed: The undersigned hereby makes applicatinn for a permit for the work herein specified, agreeing to do all'work in stkict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE : S (See Reverse Side For Additiona a17 q -v inst ae <5 QST- 3z ac' = 83ZI' -32 02� 3�- J -z Z, 38 jr.3 : x �/ 5,j = L.I % V e.1, a s 'r-22,6,6 =Cr J -z Z, 38 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. APPROVAL FOR PERMIT $ 3, u J MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address y �� ✓ �� " Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. l . 19 7 7 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT // / 7 7 ESTIMATED COST OLD7,L1j!PUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. % Trade Name G ` Size No. v Qv.0 Capacity Sq. Ft. EDR BTU HP Total Connected Load �S py Kind of Fuel ✓ BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By� t i Tel. No. Boiler & Lines up to 100,000 BTU $12.00 each addn. 50,000 BTU 4.00 Boiler only up to 100,000 BTU 7.00 each addn. 50,000 BTU 6.00 "OIL BURNER- to 3. gal. per hour $10.00 each add. 3 gal. per hour 10.00 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING'^ FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. APPROVAL FOR PERMIT $ 3, u J MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address y �� ✓ �� " Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. l . 19 7 7 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT // / 7 7 ESTIMATED COST OLD7,L1j!PUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. % Trade Name G ` Size No. v Qv.0 Capacity Sq. Ft. EDR BTU HP Total Connected Load �S py Kind of Fuel ✓ BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By� t i Tel. No. Pf T U 2r T Hia LOSS CALCULATIONS M A k 0 M r -z A L n WIDI U POMM CO. MINNEAPOLISI.WNSM Weatherstrips A.S.H.V.E. Guide Reference Construction No. insulation Windows Doors Out. Wa I I Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19 Fl. Room Length Width Height J' Room Length Width It Height /2 -- Windows and Doors—Crackage and Area C Windows and Doors—Crackage and Area No. Width Height No. of Linealft- of vane of pane lights of crack Area sq. ft. of pave Height 0. of Ltneel ft.I Area No. Width Height lights ft. t 'g e of pane 6 , 2- 2_7 2- 2,6y Vo "2— CI'S L Coef Btu Coef N Btu i fi i- Infiltration -57 O_ .3 �(_ Infiltration 3S - -, Glass Glass S-0 . Exp. wa I I Exp. wall( &V Net exp. wall Net exp. wall 0 L4 Int. wall Int. wall Ceiling Ceiling Floor y Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. I or sq. ins. W.A. Leader area 'Width Room �5FI. L7 Length ;,C, Width Height Vn I Length Weight Windows anDoors—Crackage and Ar a WFndows and Doors—Crackage and Area No. Width of pane Height No. of Lineal ft. Area of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. tsq. ft. 0 pane of ane, lights of crack Coefj Btu Coef Btu I nf i Itirbit i on Infiltration 76 )330 Glass Glass i5,7 / 0 C) o Exp. wat I I Exp. wa I I Net exp. wall %IT 4i!l -9 Net .p. wall Int. wall Int. wall Cei I ing dlf 3 Ceiling Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ff. coD !n Room I Length Height G Fl. � Imo- Room I Length 12 Width Height7' Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No.I Area . Width he Height N f Lineal ft. 0 -ho of crack sq. n of vane Jig is_ ft. No. Width of pane Height No. of Lineal ft. Area ho crack sq. ft. f pa lights of Coef Btu Coef Btu Infiltration Infiltration (.30 Glass Glass Exp. we I I Exp. wa I I j—, Net exp. wa I I r. Net exp. wall —Z q Int. wall Int. wall Cei I ing Floor E.D.R. or sq. ins. W.A. Leader area Total Utu. Required sq. ft. E.D.P. or sq. ins. W.A. Leader area k FIEA Loss CALCULATIONS iii"s • _ H EATING ff AIR CON D OM Ma CO MINN. EaPQo.is, MIrvlu: 'Weatherstrips A.S.H.V.E. Guide Reference 19 Construction No. Insulation Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No FI r I Room Length �(� Width/ f) Height' f. Room Length Width Height Windows arld Doors—Crackage and Area Windows and Doors—Crackage and Area Lineal ft. Area of crack s®q: ft. i No. Width of pane Height No. of Lineal ft. Area of pane li hts of crack sq. ft. I Width Height No. of No. of ane of pane lights 1 ® 2- ZZ_ Coefj Btu Coef Btu Infiltration �� ) d'-7 �� r Infiltration �� Glass�'.� �� Glass ''(} Exp, wall Exp. wall �j Net exp. wall / io/ Net exp. wall p C;. Int. wall ° Int. wall Ceiling e--- Ceilingi On°- Floor Floor Total Btu.S -7 Total Btu. A 'S 5 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area VFI.�„Q �C( Room LengthilpeWidth jP Height FI. oom Length Width �e Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of paane- of pane lights of crack sq. ft. G ® �-z- Windows and Doors—Crackage and Area Width Height N° of pa a of pane Nb. of Lineal ft. Area lights of crack ft. —sq. Coat Btu Coef Btu Infiltration y ® Infiltration d Glass SZ e(�o _S_() Glass %1SC) Exp. wall Exp. wall Net exp, wall S Q 2 Net exp. wall 4 �-� C.:0 Int. wall Int. wall Ceiling Ceiling Floor Floor Total Btu. $ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 2_FI A - Room Length Width `� Height k" FI. Room Length Width Height Windows and Doors—Crackage and Area Windows and Doors—C ackage and Area fl I� I I No. Width Height No. of Lineal ft. Area of ane of pane lights of crack sq. ft. No W�dih Height o. of Lineal ft. Area of pane of pane li hts of crack sq. ft. Coef Btu Coef Btu Infiltration Infiltration Glass Glass Exp. wall Exp. wall Net exp. wall ifyd�, 7 2- Net exp. wall ET::: Int. wall Int. wall Ceiling ?fu� Ceiling r Floor Floor Total Stu. Total Btu. Required sq. ft._E.D.P.. or sq. ins. W.A. Leader tae , Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FI\TUi:F. RATES: NO. RATE TOTAL Number Fixtures � x $3.00 $ ,33.OU Future Fixture opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catzh Basin y $5.00 $ Wator Heater - to 99,000 BTU (n $5.00 ro 10J, 0.`0 BTU to 199,000 BTU v $10.00 x 0 x Water $ New Ground Run Old Building x A $ Electric Water treater N e $ GAS F1Tr1NG FEES: 1st 3 fixtures e x '$3.00 $ -V � Additional Fixtures x $1.00 $ Gas Ra::qqe to 199,000 BTU x $10.00 $ o Q 41 w w c $ Heater $2.00 $ State Surcharge $ .50 r 41 H 0 (0 $4 W f+ C •+ C3 O 0 ••a O 0 N O 0 +j U1 .0 N •.i _C O 0 4J Ui .0 4J N N N N .0 cn a cJ ai in S H O o w .0 W .-4 w b PJ U w O b 4 3 NA LD xd 0 4J O dS lec is` 1 2nd Z 3rd 4 t. (F) = F:.ture Connection Opening Connected with Sewer (*) = N,w Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FI\TUi:F. RATES: NO. RATE TOTAL Number Fixtures � x $3.00 $ ,33.OU Future Fixture opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catzh Basin x $5.00 $ Wator Heater - to 99,000 BTU x $5.00 $ _ 10J, 0.`0 BTU to 199,000 BTU _� x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water treater x $5.00 $ GAS F1Tr1NG FEES: 1st 3 fixtures e x '$3.00 $ -V � Additional Fixtures x $1.00 $ Gas Ra::qqe to 199,000 BTU x $10.00 $ REPAIRS 6 ALTERATIONS First 5100.00 $5.00 $ each arid. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE REiNSPE,-TION FEE ($10.00) Job Address ,Sy�j� lQ tS't� (fes (rVLV14LDA �/A Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 19 OWNER] I Au� -- - l-- --� KIND OF BUILDING i JlnnL�\\ USED AS i -, r TO BE COMPLETED ABOUT LA - --)-k--- ESTIMATED -COST OLDNEW )BILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. ' Date APPROVAL FOR PERMIT / MINIMUN FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE L977 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Darrel A. Farr Develoloment 7286 - 72nd Lane North Minneapolis, Mn. 55428 Re: Final Inspection at 5464 Meister Road N.E. Dear Mr. London: TELEPHONE (812)571-3450 A final inspection was made on October 28, 1977 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Reduce span between deck posts to 12 feet maximum. 2. Provide sod in the front and side yards. 3. Provide house numbers on structure. 4. Sheetrock garage wall adjacent to house wall. 5. Trim siding to above grade and provide drainage for area adjacent to entry on south wall. We will expect the above items to be completed by November 19, 1977 when a reinspection will be made to determine compliance. If you have any questions on the above items, please feel free to contact me at 571-3450. Sincerely, _e RON HOLDEN Building Inspector RH/mh SUBJECT R City of Fridley 9 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ~ r PROTECTIVE INSPECTION SEC -13 ""1 CITY HALL FRIDLEY 55432 ___[* NUMBER REV DATE PAGE OF APPROVED BY 1'J 612-571-3450 910-F15 4/3/95 JOB ADDRESS 5464 Meister Road NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 Innsbruck North Townhouse Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John/Ruth Steimle 5464 Meister Road NE 571-6752 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Imperial Siding Inc 140 Hudson Ave N, Big Lake MN 55309 378-2345 8510 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof/Reside Dwelling & Garage (30 Squares) Tear -off; construct 14' x 6' Deck; remove existimgdeck 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Plans for new deck must be submitted and approved by Townhouse Assoc and City Hall. 'ig `i Wore diagin? call for all utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $10,000 $5.00 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- $117.00 Fire SC $10.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE ' License SC $5.00 $137.00 SIGNATURE OF CONTRACTOR OR ED AGENT (DE) WHEN PROP Y_VALIDATED THIS IS YOUR PERMIT el�Y Bj5G INSP 0ACE SIGNATURE OF OWNER of OWNER BUILDERj (DATE6 NEW [ ] Effective 1/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-Z(� 3 Building Permit Application ConstructionAddress:�`1Z6141 Legal Description: Owner Name &. Address:� h �U l �} � � I/� � ��t�iyt£ ��fD Tel. # S-71-6-2 5-2 Contractor::Z7217(�e.a1 J`} MN LICENSE # S'�iC) Address: !'y6 %(��Oa�, /'9 z KE1 Ali , r. # LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Sq. Ft. OTHER: -'�' tC�� f ', ) /� -- - 1 Corner Lot [) Inside Lot [) Ft. Yd Setback SfdeFarracks ==' Type of Construction: �C'C) F 4- ft 5 It C--- Estimated Cost: $ Approx. Completion Date: 5' (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft — Ft x $ _ $ DATE: l% A/-� APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: S CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $850 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 ( ] . . .—A BEBAILEY ENTERPRISES, INC. PROPERTY MANAGEMENT • REAL ESTATE SPECIALISTS March 27, 1995 Mr. & Mrs. John D. Steimle 5464 Meister Road Fridley MN 55432 RE: APPLICATION FOR EXTERIOR CHANGES Dear Mr. & Mrs. Steimle; This is to advise that your recent "Application for Exterior Changes/Repairs" has been approved. You may proceed with your project as submitted. I am returning for your records a copy of the application, any brochures, plans and material samples you included. Sincerely, BAILEY ENTERPRISES, INC. fMal S. K lheim Property Manager INTA MSK/sg Enc. 484 NORTH WABASHA STREET / ST. PAUL, MINNESOTA 55102 / PHONE: (612) 224-5482 6 INNSBRUCK NORTH TOWNHOUSES ASSOCIATIONJ"Og�4 APPLICATION FOR EXTERIOR CHANGES this form and forward it to: Architectural Control Committee 5506 Meister Road Fridley, MN 55432 Owner's Full Name: To ►t W _J) Address: _ 5-(a L{. M r i S i� Address of Proposed Construction (if different from above): Owner's Telephone: Home: ET I — _"7 _9 a O O Work: Proposed Construction. Use the reverse side of this form for a drawing to show exact location, if necessary. L SIDi1-4G -A GH s V 0. t WOOL -2) Tfii�E ART �+1c.'EEKrj CRN Planned Completion Date: fDi Rp.; u �; TI -4, N_ (Required for Exterior Structural Changes) ' .' = E PLEASE .READ THE FOLLOWING COMPLETELY BEFORE SIGNING: I hereby understand and agree to the following: N VENDOR 1• To obtain as required by the Committee and/or Board from any of my immediate neighbors who might be affected by my proposed exterior change, preliminary approval, in writing. This preliminary approval shall be obtained and supplied to the Committee upon request. 2. That in the event that final approval to my proposal is given to me by .the Committee and/or.by the Board, I hereby agree to assume and be responsible for any costs and liabilities for personal injury or property damage which might arise, both during the construction phase and thereafter. Furthermore, I shall indemnify and hold harmless the Innsbruck North Townhouses Association and all other owners from any such costs or liabilities which might arise. -4- tv`'"^` ii`il. HrS ,;e�'tie 'r rt 0\ CoU)E .iNC, FPON 1' Sji �Cvr;�EN C-eRE NT SRD Lv N 1= u1 E> L"- H e S $ &S I E C �1S�i IN L, C'Nt✓S APE b &Ab e N C u,r ROOF —Liio u-'tfAT ASE �EQU! R�M1✓-N �UP- FP -40N i LUA�� 1 s 36_ y /rt55N t�Rc-�'c��1 Nl• hN1' Fix iNG of LN T FST Dui R&SF�oNSIB«IT1 5 1 T 7-1- •-P oN GROu N -b IN �2C�-� A�E,� B&TWEE—N PR TN, HGC�SE, �f��RC1C IN r�ON 1 vA �i 2Ass H A-5 Rn(�3Lc G f?OU.►1 NCt t-?cl2 E. ° FQ'ONT �ii7k►�t mon 3. I hereby acknowledge that I will obtain certificates of insurance from an cont hired to perform the proposed construction. Y ractors 4. I hereby acknowledge that I must obtain a building beginning any construction and I agree to do so and to abide by allllocalelawsoanto d regulations which might affect the proposed construction in any way. 5• I hereby agree that the change will be completed in a timely fashion constructionproject will not continue in an uncompleted state for an indefinite tperiod hat Y 6. I hereby agree to sign a Maintenance Release Form, if requested by the Committ the Board, prior to beginning any construction. ee or by 7• I understand that under Article IX of the Declaration of Covenants, Restrictions Easements which apply to the Innsbruck North Townhouses Association, the Committee and/or the Board must either approve or reject m r documentation within thin Y p °Posa1 or request additional submitted to the Committee. (30) days after my pians and specifications have been 8• I further understand that a waiver by the committee or by the Board o f aguidelines or conditions which might apply to my proposal shall not constitute na �of ,a• the for purposes of any future proposals which fight be-s�bmi�ed by myself or other ow ever � Hers. Owner ,19 — ---- — — — — — DO NOT DETACH — — — — — — — — — — — — — — — — — MAI ffENANCE-RELEA511-EQRM The undersigned hereby releases I.N.T.A. (Innsbruck North Townhouses Association) maintenance responsibility to the exterior chane tion) from all Exterior Change, and further states that said changepwi' 1 be maintained at a imPPiriod n for exceed normal I.N.T.A. maintenance cycle (once every four years), ca Period not to In addition, the undersigned acknowledges that any potentialfy buyer shallture a copy of this agreement prior to closing of sale. be provided with Owner -5— Building MECHANICAL Permit No.: 3W Inspections 763-572-3604 RESIDENTIAL APPLICATION dB O NO. 1. CITY OF FRIDLEY ( DATE to {O- YOUR E-MAIL ADDRESS `r1,0'wd r, -^ i r- tr-. COVK I SITE ADDRESS S 4 64 IMG 1 s+r V' P4 . c v . kkgj VN Al SS 4 3 a k THIS APPLICANT IS: ❑ OWNER OrONTRACTOR PROPERTY NAME: 7zS6n Si e OWNER/ ADDRESS: 'T' WLe,i ,ieY '� CITY ��+i STATEyNNZIP S5y3� TENANT PHONE:.--? S `j - 572 [ - (6- S_ a CONTRACTOR lI 1^ COMPANY NAME: W6 i i- ct i'-- S u c s SUBMIT A COPY OF CONTACT PERSON: r �, u .,� _ ( k.,Q w4 - STATE LICENSE # QC3 `d') W q P &L"t- EXP DATE 143 ( O? YOUR STATE LICENSE WITH ADDRESS: S05- r"" Wp In. AVe„ CITY ST q'u STATE O ZIPS'SiO g, APPLICATION PHONE 6(A-'U6-28'&r0__FAX -763-')16-1- 1- $%3 -Te' PERMIT TYPESINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW PLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) - Equipment Installed MFG: \v'ahC. MODEL: SIZE/BTU'60t000 MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU _A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _NEW _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 GAS GRILL $10.00 _BOILER $35.00 FURNACE $35.00 UNIT HTR $10.00 _GAS _CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $10.00 3GAS PIPING $10.00 VENTILATOR $15.00 OR i'R+GI :t ." "ER Permit Fee $ Number of fixtures @ $10.00 1. x$10.00=$ 10.00 Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 d. x$35.00=$ 3 S a o State Surcharge = $ .50 Total = $ tkS'.50 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT vin PRINT NAME v ,T DATEALq1- "i �. _.1 °N " . �,:$ .:;, i 1%R'i l` ' ' ARE, MAT'i�f��; �VUING,' 3LEC`1 ICALAND ME CHANI�AL:Wt�T2T� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building $ BUILDING $ Permit No.. q' Inspections Erosion Control RESIDENTIAL APPLICATION Received By: 763-572-3604 Sewer Main Charge CITY OF FRIDLEY Total Due Date Rec'd: - -�� 763-502-4977 FAX EFFECTIVE 1-1-09 DATE6-1-01 YOUR E-MAIL ADDRESS SITE ADDRESS g aI 6 ii /4E- 1 �4c'� THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: JD R N -I- pQ ' 6 TENANT ADDRESS: l f� �� ' CITY o' ted , �) STATE kvZIP PHONE: CONTRACTOR NAME: I& kf ally SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE #�v ' 01 f4;EXP DATE AND CERTIFICATE OF ADDRESS: C, i 1'�3 CITY 6!//ew�° VdLU—STATE 8V NP INSURANCE PHONE FAX FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED INDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ D IN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR. REMODELING DESCRIBE WORK BEING DOIa � Y Pig -;PV ---5 o'3 t� iS �• i��t.� P� SIZE OF IMPROVEMENT i LENGTH WIDTH HEIG T`lS FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: l . Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑Fascia and proposed project. 2. Two sets of construction plans WINDOWS ALL I 3. Energy Calculations IN EXISTING OPENINGS Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS ESCIM SIZE OF OPENING CHANGES & B� f I L9 TYPE OF,WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $_ � -7, 6 `/ OCCUPANCY TYPE Permit Fee $ '3(9 '3 e a 5 - Plan Review $ Fire Surcharge $ 5'S License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ ZRI.Q . n-7 See Back`Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 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 APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge 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 work which requires review and approval of plans. of SIGNATURE OF APPLICANT PRINT NAME �� DATE