PRE 2010 DOCSZ,
SUBJECTPE
IT NO.
City of Fridley
14551
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
R� NO.
COMMUNITY DEVELOPMENT DIV.
,� �Er
r PROTECTIVE INSPECTION SEC.
g�®i
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
12/30/77
JOB ADDRESS 1511 Trapp Court N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
6
Innsbruck Villages
SHEET
2 PROPERTY OWNER 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
XP NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 35.5' Townhouse and a 20' x 23' Garage (Sunnenheim)
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide combustion air to furnace area.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
984+460
22,936 Total
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 SAMETO 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
$30,375
$15.19
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.
$91.74
$375.00
PLAN CHECK FEE
TOTALFEE
$504.87
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
r_ W N P OP
BLDG. INSP "
RLY VALIDATED THIS IS YOUR PERMIT
A
�2 U
ATE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
Z,
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: %��G .� F�.P�? C?G�,e/El/j' BUILDER: jQXX T
Address: ���� �, �. %✓1CQ (n, AJC) , Address:
Tel. No .: ,SSD - R//O
No.: /.J// Street: e--*',yveT
LOT: / BLOCK: ADDITION: 1AW-S,6,e1,4.0Jt-1 (f( LLP' '6-'�
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
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:
Front: h:Height:
Square Feet: Cubic Feet: �®
�-WL04�� Front: 0;1jDepth: Height: ��}(,
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict 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. See reverse side for additional information.
DATE: / /Q SIGNATURE:
Stipulations:
?'000) ®� 0j)m&tSfi10AJ
p0j-piqrC6�
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings 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 repairs 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:
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x $11.75
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x $15.40
For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point 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 surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost
of all 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.
-VERIFICATION OF FOUNDATION
NOTE: 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 been constructed will be required before proceeding with the framing.
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until.a Certificate of Occupancy has
been issued.
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
.AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
1
GRAVITY WARM AIR:
RATE
TOTAL
J
Job Addressr ck 41-1 CGl.A6 1
Furnace Shell & Duct Work
$12.00
$
Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Department of Buildings
• Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
Tel. #571-3450
MECHANICAL IrAIM AIR:
.The undersigned hereby makes application for a permit for the work hereil
Furnace Shell &Duct work to 100,000 BTU
$12.00
$ :� r
specified agreeing to do all work in strict accordance with the City Caries
each add. 50,000 BTU
4.00.
$
and rulings of the Department of Buildings, and hereby declares that all the
Replacement of Furnace
7.00
$
facts and representations stated in this application are true and correct.
Repairs & alterations -up to $500.00
7.00
$
7
Repairs & Alterations each add. $500.00
4.00
$
Fridley, Minn. 19�
�.ci
STE411 OR HOT PATER SYSIBI:
OWNER Ur re
r
Boiler & Lines up to 100,000 BTU
$12.00
$
KIND OF ,BUILDING E
each addn. 50,000 BTU
4.00
$
Boiler only up to 100, 000 BTU
7.00
$
USED AS u_; co 1 ;_t .�
each addn. 50,000 BTU
6.00
$
TO BE COMPLETED ABOUT
OIL BURNER- to 3 gal. per hour
$10.00
$
_
each add. 3 gal. per hour
10.00
$
ESTIMATED COST l 9
~ GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$ o C,
OLD BUILDING PERMIT NO. PERMIT NO. O I L
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures
$ 3.00
$_ a%e
DESCRIPTION OF FURNACE/BURNER
Additional Fixtures x
$ 1.00
$
Gas Range to 199,000 BTU x
$10.00
$
HEFTING, r POWER PLANTS, Steam,. Hot Water, Warm AiY-� No.
AIR CONDITIONING `B
�
$ ���,a��:�
t
Trade Name — l� ii e f„� Size No. L`� l 4 ��.� 1) °r
FAN HEATING SYSTE iS
Is See Fee Schedule
$
-t
VENTILATING SYSTENIS
$
,
�'
Capacity' Sq. Ft. EDHP
R• � C�L�c.� BTU .�
_ ALTERATIONS & REPAIRSS
$
State Surcharge
$ .50
Total Connected Load -� Kind of Fuel
TOTAL FEE
�
BURNER - Trade Name Size No.
ROUGH INSP.
Uaze
FINAL INSP. ,� ^/ .�2 4 9
Date
APPROVAL FOR PERMIT ,f i
REINSPECTION FEE
($10.00)
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
Capacity Sq. Ft. EDR BTU HP
Company %O. SEDGWICK HTG. • & AIR CONDO CQ
Signed By
Tel. No.
GEO, SEDGWICK NEWIRIJ Cr 6-14m
1001 XENIA AVE. SOUTH
MINNEAPOLIS, MN 55416
545-1611
c /°
� o S�61 en m c'�
e 5? n
HEAT LOSS CALCULATIONS L `�➢ � MINNEAPOLIS, MANN.
Weatherstrips A.S.H. V.E. Consfr,r ti- ni
--""" '�• Insulation
Windows Doors Guide but Wail int. Wall g
Reference Ceiling Roof Floor Kind How Applied _
�YeNo Yes -No 19
Room Length ��' Width `�� Height �' FI
fi (i ;v 4 Room Length Width ® Height
Windows and Doors-Crackage and Area
No. Width Height N_00, f Lineal ft. Area
Windows and Doors-Crackage and Area
of pane of pane lights of crack sq, ft, ?
Wrdt+i Her ht r
No, q N o. of Lineal ft. Area
of pane of pane lights - of crack sq, ft. f
Coal Btu
Infi Itration_.
Coef Btu
Glass
Infiltration ( o7 R
�
Glass �r
Exp, wal I �� � �
, e Y
Exp. wall � �f �✓
f
Net exp, wall ,
' P
Net exp. wall
Int. wall
- z
Ceiling
Int. wall
Floor A »
Ceiling 2- -1 e A72,
.�
Floor
Total Btu.
—
�! �
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Total Btu. d'T
Required sq. ft. E.D.R. or s qfins.W.A. Leader area
Room Length "�v✓r Width �_
g Height
FI _. _...
-- - --
Room I Length'
Windows and Doors-Crackage and Area
Width /0 Height
Windows and Doors-Crackage and Area
No. Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft. ^e.
No, '6�dth Height No. of Lrneal ft. Area ���yyy
of pane of pane lights of crack ft.
gSq.
Coefl Btu
Infiltration
Coef Btu
Glass
infiltration
I
Glass
Exp, wall
---
Exp, wall
Net exp. wall_T
_. _..__��+'_-
Int.
q
Net exp Wali �F I l .{
- - -- ` ^.
wall I
-- - -- - --- -- - - — -i
Int. wall
Ceiling +------ ---
---
Floor'
_ {
Ceiling °a , ---'— `
I .�-
F luor
Total Btu. --
---- -- --
"'
Required sq, ft. E.D.R. or sq. ins. W.A.
---
Total Btu. c.^_;
- -- - `-�- --- -
Leader area
--------- _..--- __
Required sq. ft. E.D,R, or srl, ms. W.A, Leader area
` FI. . Room Len th
_--.�g Width �� a Her ht
_g
Fi. �R tb {< ? l$�Pom Lenrth Width Height
Windows and Doors-Crackage and Area
_
____ _
Windows and Doors Crackage and Area
_
No. Width Height No, of Llu"ea ft. A
. _ of p; ne ut pane lights of crack tq, ft.
_.---- — �, - ., c ;
j
-- ___�tf p - i_ i ,•.an r_'+i t�� of .r rack teJr
..
;i,
Y,
e I
i
----� -
I
�
Coefl
'---
Infiltration 1;6 fi
oefl Btu
Infi ltr.3t on
Exp. wall
------
Glass
--
Exp`wall
-
Net exp. wall
-_—_.---- - t_
_._. -- ----- ---- - - - - -
-
^let exp. wall
Int. wall
---- --- --- _
Int. wall
_
Ceiling �_-------
- - — - - - --
Ce' i i ng--- p �¢ ��`
Flaor-
------
Total Btu. A ..1 k' 5'
�f
Required sq. ft. E.D.R. or sq. ins. W.A. _eader
Total Btu.
—ED
_—i
area
Rr�r -p
7 C S0. at ? ^r sq. ,ns. 'v`:.A Leader area
Weatherstrips A. S. H. V. E. Construction No, v M ,
Insulation
Windows Doors Guide Out. Wall Int. Wall Ceiling
Reference Roof Floor Kind How Appliedt. y
Yes -No Yes -No 19—
gFI
JF I �- Room Length Width �� Height FI.�a Room , Length WidY^ Weight
It
HEAT LOSS CALCULATIONS
��v"flfl� r� /� SS?? �
HATOt� p U `I\\r3M E AM,
DOMM750ri)MING
Mol
MINNEAPOLIS, MINN.
Weatherstrips A. S. H. V. E. Construction No, v M ,
Insulation
Windows Doors Guide Out. Wall Int. Wall Ceiling
Reference Roof Floor Kind How Appliedt. y
Yes -No Yes -No 19—
gFI
JF I �- Room Length Width �� Height FI.�a Room , Length WidY^ Weight
Windows and doors-Crackage and Area Windos and doors-Crackage and Area
No. Width Height No. of Lineal ft. Area q No W'dih + Height No, of l..tneal ft. Area
of pane of vane of crack sq. ft.
ii +l^i^g,�,hts
� C'.
9 t" p,ene of pane !ights of crack sq. ft.
-
Coef
Btu
Ceef Btu
Infiltration
C 9
a
Infiltration,.
'
Glasse
Glass
1
Exp. wall
Exp. walls °
5
�'
-
Net exp. wall
Net exp, wall
Int. wall
Int. wall
4�
Ceiling a� ?
GCeiling
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
FI.� Room Length WidthHeight
Fl. Room Length Width Height
Wind
uvs and
Doors-Crackage and Area
VVindows and Doors--Crackage
and Area
€�
No.
Width
of pane
Height No. of Uneal ft.
of pane lights of crack
Area
sq. ft.
No. Width Hrigi�t
of pane o4 pane
N�. of
'.ghis
Lineal ft.
of Crack
Area
Sq. ft.
3 ,
- ---
Coef
Btu
I
Coef
Btu
Infiltration
_�
Infiltration
Glass
/) q
Glass
Exp. wall
---.----
Exp. wall
Net exp. wall
Int wall _-- -
Net exp. wall-..-
_
Int. wall
Ceiling
F loorloo
�
'�
,e��
C. e t I i n i -
r I
Total Btu.
Required sq. ft. E.D.R. or sr, ns. W.A. Leader area
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. Room Length Width Height
Ff. Room Length Width Height
Windows and Doors-Crackage and Area
Windows and Doors--Crackage and Area
No. Width I He�Gh!�f T inedi rt. A•Na
_ of pane J of oan_e lights --iof cracrc_ sq. ft, J
--
-;-- -- - T- r - -
N.- i t ! ri -'�'t { ".- �f I Lin -i1 ft Area
�:,ts o1 uack sq, ft.
f� ��-�-- if--
i
---- ---- ----
'-- :� -� J. -
.�
Coeflf,
�-
Btu
Infiltration
—F--- -
Glass
- �-------
-
Inf:ltr<itlon
- --------- - ----.._..-1 --- -
Glass
Exp. wall
Exp wall
- -- --- -_.. -_
--- --- - -
---+--------
Net exp' wall
p---
P
Not ex wall I
----- - ----_
lot.. w. -
-�
Int. waII
_
--t-_-..---
Ceiling
------.
_ -I_- -
-(: ming i 1
Floor I—t-----_--.
-
_ ---- - ------ -:— - ------
Floor
Total Btu.
Total Btu.
Required sq. ft, E.D.F. or sq. ins. V". Leader area
Required sq. ft. E.C.F. or s^. ins. W.A. Leader area i
-I
CHERRIER WINTER & ASSOCIATES INC.
REGISTERED PROFESSIONAL . LAND SURVEYORS
December 30, 1977
Mr. Jim - London
Darrel A. Development Corp.
7286 North 72nd. Lane
Minneapolis, Mn. 55428
Dear Mr. Londona
aA19 6 AV Telephone 561-2505
SUITE 306
VILLAGE NORTH PROFESSIONAL BLDG.
7420 UNITY AVENUE NORTH
BROOKLYN PARK, MINNESOTA 55443
Re: Location of bldg. on Block 6, Innsbruck
Villages in Fridley, Mn.
As per your request we have field checked the location of
subject building.
We find that the building is 27.2 feet east of the west line
of the plat at the nearest point.
Richard H. Cherrier, L.S.
,January 4, 1978
Darrel Clark
Community Development Administrator
City of Fridley
6431 University Avenue NorthEast
Fridley, Minnesota 55421
Dear Mr. Clark:
Pursuant to your request for a verifying survey of Block 6,
Innsbruck Villages, I am enclosing verification of the pro-
posed location for Block 6.
If you have any questions, please call.
Sincerely,
DARREL A. FARR DEVELOPMENT CORP.
James E. London
Vice President
JEL:dl
Enclosure
t R4RR
+V CORP.
WLEPRONE 641IND
/S60-8110
7286 MORTH LANE
M1NNEAMOU3 M1NNEWiA SS428
u iY Ur' FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
m.
NO.
RATE
TOTAL
N•=ber Fixtures
x
$3.00
S �
v
x
$2.00
$
New Fixture, Old Opening
Water
01
$
A
u
c .a
0
G
Water Heater - to 994000 BTU
_� x
$5.00
$.
a
x
Heater
$
Water Softener
x
$7.00
$
New Ground R.in Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
,
1st 3 fixtures
�_ x
'$3.00 1
$�
Additional Fixtures
x
$1.00
$
i
82
M
o
.
'�
t5
10
aa3
1eC
69
U
G
Vi
w
N
W
U W
R r
d.
Is
•.,
2rd
3rd
Q ttil
(R) - Future Connection Opening
Connected with Sewer
{�) - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
N•=ber Fixtures
x
$3.00
S �
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
v x
$5.00
$
Water Heater - to 994000 BTU
_� x
$5.00
$.
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground R.in Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
,
1st 3 fixtures
�_ x
'$3.00 1
$�
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
�� x
$10.00
$ �-
REPAIRS & ALTERATIONS
First $100.00 $5.00 $
each add. $100.00.or fraction $2.00 $
Stat: Surcharge $ .50
TOTAL FEE $ .y.:h0
REINSPECTION FEE•
($10.00)
Job Address f 511 c—O W.-
Department of Buildings.
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the 1+ork herei:
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 oory
A Fridley, Mn. ® , 19 �Iy
QL
OWNER &_
KIND OF BUILDING L U®o r N Yl%\4z
USED A5 ]� w Q I 1 v► a� ,
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT N0. 224
Company kQX,{M ���{CT 1
Signed By
Tel. No.®�✓r�
ROUGH INSP.
Date
FINAL �
FINAL INSP. e
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUFE
97-9)'416051 CITY OF FRIDLEY ;
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
Water
of
a�
$
i
•1
in
$5.00
a
Water Heater - to 99,000 BTU
a
w
r�
100,000 BTU to 199,000 BTU
Heater
$10.00
W 40O ,
A
x
:y�+1
1
N
x�Cq
•.I
O
$
Electric Water Heater
(gyj
N
$5.00
N
y71Z
3�y
O
V
P
1qQ
Vqql
3
O
o
w
M
a
°a�
.Ov
as
lec
N
0�
C4
y
r'.
0
c5
c�
Pam.
I
1st
ra
C
2nd
3rd
4 th
(R) = Future Connection Opening
Connected with Sewer
M - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
_
$
New Ground Iain Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures x '$3.00 $
Additional Fixtures x $1.00 $
Gas Range to 199,000 BTU x $10.00 $
REPAIRS F, ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
TOTAL FEE s10.50
REINSPECTION FEE
(S10.00)
Jab Address 1511 Trapp Court
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. 8-25-78 , 19
OWNER DARRELL FARR
KIND OF BUILDING frame
USED AS
TO BE COMPLETED ABOUT 9-2-78
ESTIMATED COST 20,,00
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Companyy�
Signed By i`JI fii`, G'A` CO
Tel. No.
ROUGH INSP.
Date
0
FINAL INSP. q - .
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURGE
GEO. SEDGWICK HTG. & AIR COND. CO. 10– =`-
HOUSE HEATING TEST RECORD
ADDRESS gy/ CITY -
OCCUPANT 17
HEAT LOSS DATE HTG.
SOLD BY
OWNER �d
NST.
INSTALLED BY
Electrical Work By Gas Line By _ 4d 01 st
TYPE OF H AT GA_ FA HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE _
Model 2 --
Serial
INPUT
CONTROLS
THERMO TA Heat Plug
Valve
Limit
Limit Setting
Fan Setting r
Pilot Type
Pilot Make
Pilot Model
Pilot Timing,
L.W. Cut Off
Pressure a Percent CO2
Input CFH920 — Percent 02 27 -
Stack Temp. yy Percent CO 9,0
Form 235
CONVERSION
MAKE OF BURNER _
Model
Max. BTU Rating —
MAKE OF FURNACE
Model
fr
Vent Size 4 4
KIND OF LIN R _ SIZE NONE
Draft Hood Regulator
Filters Sizeb:S-- N mbar
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb
Wiring,"
Draft
Test Tag
Door Pressure
Lighting Inst.
Date Tested
it a
Company Testing y,;
v
Name of Tester
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
y
PLUMBING FIXTURE RATES: NO.
>
N
Number Fixtures
b
$3.00
Uk
Future Fixture Opening
x
N
$
Water
dt
m
m
Q
x
$5.00
$
e
o
Q
$
4j
rd
w
w
$
Water Softener
Heater
of
ai
New Ground Run Old Building
x
e
m
F3�a
x
$5.00
GAS FITTING FEES:
4
x
$3.00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
C
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
O
H
4j
$ .50
N
0
O
FQ N
rd
4J N
W
0
.pt4o'
N
Uro
a
N
Q rk(0
w
U W
Rn
S
0
UN
as
lec
1st
2nd
CL
3rd
4 th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
$3.00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ Vim/
REINSPECTION FEE
($10.00)
Job Address
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. L s 'k , 19
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PEPJ41T NO. 80//7
P
Company _
14
Signed By / �nrr..st
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
CITY OF FRIDLEY
APPLICATION FOR PWMBING AND GAS FITTING PERMIT
RATE SCHEDULE
H
RATE
>
w
5.00
qa
$
3.50
Old Opening, New Fixture
$
v
Beer Dispenser
Water
,A
o�
w
5.00
Catch Basin
$
►bi
C -ci
m
5.00
Hydraulic valve
N
a
.xi
r.
tr
5
5.00
Heater
$
7.00
Hot Water Heater
$
5.00
Gas Range
$
10.00
Gas Dryer
$
r_
1
y
q
61
w
d
o
a�7
ae
'�
m
:03o
g
y 'N
100
1
e
0
cc
9`441
u
5
00
al
'n
3
o D.
vii
w
u
O
s
lec
lot
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sever
(t) - New Fixture, old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
New Fixtures
$
5.00
Future Fixtures
$
3.50
Old Opening, New Fixture
$
1.50
Beer Dispenser
S
4.00
Blow off Basin
$
5.00
Catch Basin
$
5.00
Rain Water Leader
$
5.00
Hydraulic valve
S
5.00
Sump or Receiving Tank
S
5.00
Water Treating Appliance
$
7.00
Hot Water Heater
$
5.00
Gas Range
$
10.00
Gas Dryer
$
10.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of value of Fixture or Appliance
Reinspection Pea $ State Surcharge
($15.00) TOTAL FEE
TOTAL
S
tttective Aug. 1, 19tl1
Job Address / / ®L
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 j9 )�)- I tV D e7
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company
Signed By
Tel. No..} -
ROUGH INSP.
Date
FINAL INSP. ® _
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On March 1, 1996
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
JOB ADDRESS 30--�kS L' w��
New Fixtures
$ 7.00
The undersigned hereby makes application for a permit forthe work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
Beer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated In this application are true and correct.
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
UNDERHILL LLOYD
Water Treating Appliance
$10.00
Owner 1511 TRAPP COURT
Water Heater —Electric
$ 7.00
FRIDLEY 55432H
,
Water Heater — Gas**
$10.00 (
571_6820 �
Building Usec 5"2
Gas Range**
$10.00
Gas Dryer**
ry
$10.00
_
Estimated Cost �dr� PERMIT NO.
Back Flow Preventer Required ( )Yes () No
Type
$15.00
`
PLUMBING COMPANY
Reinspection Fee $42.00/Hr
SIGNED BY TEL N0.
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
Rough—In Date Final Date
Approved BfFEER
State Surcharge
$ .50
MINIMUMNY PLUMBING/GAS PERMIT IS $20.00
TOTAL FEE
$ 0, �
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.
of Fridley
SUBJECT
IT NO.
?49`29
PCity
,AT THE TOP OF THE TWINS
BUILDING P E R M l
-
T N
Ir
'EIP
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/28/97
JOB ADDRESS See Below - Multiple Buildings
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors Inc 2131 111 In, Coon Rapids MN 55433 868-9195 3509
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouse Buildings
7 CLASS OF WORK
CJ NEW ADDITION ❑ ALTERATION l REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside 11 Buildings
9 CHANGEOFUSEFROM TO
STIPULATIONS
Install building wrap and have inspection of same unless manufacturer',
specifications state it is not required.
5600,5602,5604,5606 North Innsbruck Ct; 1511,1513,1515,1517 North Innsbruck Dr;
1510,1512,1514,1516 Trapp Ct; 1531,1533,1535,1537 Trapp Ct; 1511 1513,1515,1517
Trapp Ct; 5610,5612,5614,5616 W Bavarian Pass; 5621,5623,5625,5627 W Bavarian Pass;
5631,5633,5635,5637 W Bavarian Pass; 5651,5653,5655,5657 W Bavarian Pass; 5680,
5682,5684,5686 West Bavarian Pass; 5691,5693,5695,5697 West Bavarian Pass
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 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 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
$232,000
$116.00
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
$1,547.25
I Fire SC $232.00
PLAN CHECK FEETOTAL FEE
®
'f
— —
Lie scA,-oo/I $1,900.25
.,;,�aFC� c;vi•uni.tpn un Au�.+UnrE':AGENr DATE,
H N P ERLY YIYLIDATED THIS ISS YOUR PERMIT
of .i t: Df;DA•E, m
_—_--G.—�-- �—
.NF ,.i�pN NEN C. ,i
iCG S� F
CITY OF FRIDLEY BUILDING INSPECTION
6431 University Ave NE
Fridley, MN 55432
763-572-3604 FAX 763-5711287
C� doh- 0/0 1�9
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIG *ION AND AIR CONDITIONING SYSTEMS AND DEVICES
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Approved by Rough -in Date Final Date
JOB ADDRESS L
RATE SCHEDULE
Fee
Total
fialsova
Residential
Owner L-er-or
Furnace Shell and Duct Work, Burner &
Se,
also Replacement Furnace
$35.00
$
Building Used As Ic[/
Gas Piping (New Furnace, Fireplace, Insert)
$10.00
$
ESTIMATED COST efO � PERMIT NO
Gas Range
$10.00
$
DESCRIPTION OF FURNACE AND BURNER
Gas Dryer
$1.0.00
$
# of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
�1c
Trade Name Size No.
*Air Conditioning - Ail Sizes
$25.00
BTU HP EDR
Fuel Total Connected Load
All Other Repairs or Alterations (List on Back)
1% of Value of Appliance or Work
$
Burner Trade Name Size No.
Minimum Fee $15.00 for Residential or 5% of cost of
BTU HP EDR
Improvement whichever is greater
The undersigned hereby makes application for a permit for the work herein
Commercial/Industrial/insti'tutional
specified agreeing to do all work in strict accordance with the City Codes
1.25% of Value of Appliance or Work (List on Back)
$
and rulings of the Building Division, and hereby declares that all the facts
Minimum Fee $35.00 for Commercial/Industrial/Institutional
and representations stated in this application are true and correct.
State Surcharge
$
TING C STN G $ IR CONDITIONING CO.
410 WEST LAKE STREET
TOTAL FEE
�^ r
$ S�
i ed NIiINNEAI�QLIS, %Mjf 408-299®
612-824-266,.
REINSPECTION FEE $50.00/HOUR
FAX # Ci g-- �{3 C= Date
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Approved by Rough -in Date Final Date
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes-( No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes O No
When instaHlIng a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes () No( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type _
Appliance #2 Type _
Appliance #3 Type _
Total Appliances
_ BTU Input
_ BTU Input
_ BTU Input
Total Btu Input
Fan Assisted or Nat
Fan Assisted or Nat
Fan Assisted or Nat
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter Jn Type
Appliance #3 Vent Connector Height ft Length ft Diameter min Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By:
t
Date
CITY OF FRIDLEY PERMIT NO.: 2004-01980
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 10/26/2004
572-3604 FAX: (763)571-1287
ADDRESS : 1511 TRAPP CT NE
PIN : 243024410175 R5683
LEGAL DESC : INNSBRUCK VILLAGES
: LOT 1 BLOCK 6
PERMIT TYPE : BUILDING
PROPERTY TYPE : MULTI DWELL
CONSTRUCTION TYPE : ROOFING
VALUATION : $ 21,739.00
NOTE: INSTALL PER MANUFAC RS,§PE WICATIO 6. REROOF PER STATE STATE BUILDING CODE. REROOF
BUILDING WHICH INCLUDES 151111513,"1515 AND 151TTRAPP COURT.
STATE LICENSED CONTRACTOR 1
APPLICANT
ALLSTAR CONSTRUCTION
840173 AVE N STE 80
BROOKLYN PARK, MN 55428 -
OWNER
GASSEN MGMT CO.
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 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.
Bldg
BUILDING PERMIT FEE 349.25
FIRE SURCHARGE 21.74
STATE SURCHARGE, VALUE 10.87
LICENSE SURCHARGE 5.00
TOTAL 386.86
PAID WITH CHECK # 65625
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [ ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
71z4 p P C'DcJ 2t'
Construction Address: 15111 )'51-7
Legal
S1 -
Legal Description:
Owner Name & Address: ( A%6,1 MANAt eAerNreb �49tc. (�ASS�1 Tel. # Q�z 55-15
Contractor: Atl4az on5+2uan&,J, IA'L MN LICENSE#
Address: 013 AI IH - ✓? 2 -ft& e- Tel. # 103 S-3,5`'7706
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
i
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
i
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: l2M--P-001= E501LbtAh sljlnIt r0q]—
Construction Type: Estimated Cost: $ 2-1
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _
� '
/ s �� /Ne �� Tel. # M536
DATE:/0/Z5�0Lf APPLIC /! : ✓J���,
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
$ Fee Schedule on Reverse Side
$ 65% of Permit Fee
$ 24 .001 of Permit Valuation (1/10th%)
$ /[1�!2 $.50/$1,000 Valuation
$ $1350 per SAC Unit
$ , 00 $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 [ ]
$ 3r9 L . a� STIPULATIONS: