2015-04876Permit No.:
CITY OF FRIDLEY DATE
DATE ISSUED: 11/06/2015
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
572-3604 FAX: (763) 5UL-4977
PIN : 243024410021
LEGAL DESC : INNSBRUCK NOT H 1 ST ADD
: LOT 6 BLOCK 4
PERMIT TYPE BUILDING
PROPERTY TYPE TOWNHOUSE
CONSTRUCTION TYPE ROOFING
VALUATION : $ 15,566.12
NOTE: CODE IN EFFECT IS 2015 MINNESOTA RESIDENTIAL BUILDING CODE.
CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM, MONDAY THROUGH
FRIDAY AND BETWEEN THE HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON SUNDAYS OR ANY
LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS AFTER COMPLETION.
TEAR OFF AND REROOF MULTIPLE ADDRESSES IN STRUCTURE PER INSBRUCK TOWNHOUSE ASSN
5551, 5555, 5559, 5563, 5567, 5571
APPLICANT
BAC CONSTRUCTION
3032 MINNEHAHA AVE
MINNEAPOLIS, MN 55406-1932
(612) 721-5500
OWNER
LINDSTROM, JACQUELYN L
5551 WALDECK XING NE
FRIDLEY, MN 55432 -
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 180 days or if construction
or work is suspended or abandoned for a period of 180 days at
any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp
BUILDING PERMIT FEE 265.25
FIRE SURCHARGE 15.57
STATE SURCHARGE, BLDG VALUE 7.78
LICENSE SURCHARGE 0.00
TOTAL 288.60
Payment(s)
CREDIT CARD 1160 04876
288.60
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
INSPECTION TYPE
ICE & WATER BARRIER
FINAL
INSPECTION COMMENTS:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
5551 WALDECK XING NE
243024410021
INNSBRUCK NOT H 1ST ADD
LOT 6 BLOCK 4
BUILDING
TOWNHOUSE
ROOFING
PERMIT NO.: 2015-04876
DATE ISSUED: 11/06/2015
PERMIT APPLICANT:
BAC CONSTRUCTION
3032 MINNEHAHA AVE
MINNEAPOLIS, MN 55406-1932
(612)721-5500
VALUATION
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM
DATE INSPECTOR INSPECTION TYPE
:$ 15,566.12
DATE INSPECTOR
IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL
WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT.
THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.
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BOHPJHOF JCT NE BOHIVHOF� 1
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1510 1518 1526 I
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5514
5510
5506
5502
5486
5484
K,Y: 509774.148315, 112401.79729 Lat, Lon: Fri
5.069,-93.232 USNG: 15TVK8177290672 Scale:
1:864 v
http://fsgis.ci.fridley.mn.us/geomoose2/index.php
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11/4/2015
5571
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Output Template:
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BOHPJHOF JCT NE BOHIVHOF� 1
JCT Al r m
1y�-
1510 1518 1526 I
5538
5534
Ito 5530
5526
552$
5518
5514
5510
5506
5502
5486
5484
K,Y: 509774.148315, 112401.79729 Lat, Lon: Fri
5.069,-93.232 USNG: 15TVK8177290672 Scale:
1:864 v
http://fsgis.ci.fridley.mn.us/geomoose2/index.php
LW
Ln
Ln
4
ct.
5
04
v
1536
Q
4
7 JA
by Flat Rock Geographics
11/4/2015
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Permit No.: &W
6-572ons
COMMERCIALANDUSTRIAL
Received By:
7633-572-
73604
CITY Off' FRIDLEY
B 1
763-502-4977 PAX
$ .%
bate Rco'd:
SAC Charge
EFFECTIVE 1-1-20W
$2485 per SAC Unit (Plans to MWCC for determination)
DATE C t ! S Y UR E-MAIL ADDRESS m i k OR b 4a i- YL�iI-
sim ADDRESS - r urs � r U [•�0'4� i
TENANT Suite No.
PROPERTY OWNER
NAmp- T wis brut K No rth r n s4--- •t A . --- •- ---••-
Fee Dctcrtnined by Engineering
ADDMS:5506 / -P' v- R ITYFrU14STATE�iit&r ti 3 �~
$
PIION�: 76 3 - `�- i -� 1 p
ARCIrIITT
NAME:
ADDRESS: CITY STATE ZIP
CONTRACrOR
NAME:'P, A/
GITY
LICENSE REQUIRED
ADDRESS: 3 6 "3)- M i lilile611R A �. CITY ( STAT"—WzIP 'S y 4 b
COMMERCIAL,
PHONIC: G 1 7-�,! -55700 FAx 6 —�-
INDUSTRIAL AND
-
MULTI FAMILY
PROPERTY TYPE
TOWNHOUSE ❑ COMMERCIAI./T?`IbusnUAL ❑ INSTITUTIONAL
❑ MULTI -FAMILY
PIi}ZMIT TYPE
❑ ADDITION ❑ INEW CONSTRUCTION ❑ OTHER
❑ REMODEL 9ROOF ❑ SWIMMING POOL
PLEASE S1;113MIT:
1.4 SET SET'S OF DRAWINGS 5. CONTRACTORS OR LICENSE 8.1 SET DIGITAL OR RL8CTRONIC
2. SU] VEY/SITE PLAN LICENSE APPLICATION PLAN
3. LANDSCAPE PLANS 6. SPECIAL INSPECT= SCHEDULE
4 ENE1t„GY CALCS 7. PERFORMANCE DOND AMOUNT $
13UILDINCY TO BE USED AS: OFFICE sr WHS OTHER sp
_sr
TOTAL SIZE: STORIES FIRE PROTECTION (YIN) AC(YYN)
DETAILED DESCRIPTION OF WORK r+E
THIS IS AN APPLICATION FOR A PfirZmmNOT 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 Constnlctlon Codes; that I understand this is not a
permit but only am 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 ofplans.
L J --
L rr N �f 7
SIGNATURE OF APPLICANT:-AR0. 5 7 eA k1 -*
PRINT NAhffi:�t 1 t DATE:
APPROVAL INSPECTOR SIGNATURE: DAM.
ALL FEES ARE BASED ON VALUATION
Sq. ft. _�_x $ Cosdsq. ft = Valuation $ 15 S G . I 'J -
Sq. ft. x $ Cost/sq. ft = Valuation $
Sq. ft. x $ Cost1sq. ft. = Valuation $
TOTAL JOB VALUATION; $1T. A _ USE OCCUPANCY TYPE
i
Permit Fee
S
See Back page for Fee Schedule
Plan Review
$
65% of Building Pon -nit Fee
Fire Surcharge
$ o
.001 times the total job valuation
Surcharge
$ .%
.0005 x Permit Valuation lVlftdmum $.50
SAC Charge
$
$2485 per SAC Unit (Plans to MWCC for determination)
P-rosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Dctcrtnined by Engineering
Special Assessments
$
Agreement necessary ( ) Non Necessary ( }
Total Due _
S
Make checks unable to: City of Pridlev Attach Stipulations
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