PRE 2010 DOCSur r i c I.0 L%i
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
.AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Job Address
Furnace Shell & Duct Work
$12.00
$
o
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
YXCHANICAL WARM AIR:
The undersigned hereby makes application for a permit for the work herein�
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$ ,C)&
specified agreeing to do all work in strict accordance with the City Codes
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
$
_
�� 19
Repairs & Alterations each add. $500.00
4.00
$
Fridley, Minn.
STEV.1 OR HOT WATER SYSTEM:
OWNER ����,d:�
Boiler & Lines un to 100,000 BTU
$12.00
$
KIND OF BUILDING ;r/-,:-'_
"1?e
each addn. 50,000 BTU
4.00
$
Boiler only un to 100,000 BTU
7.00
$
USED AS
each addn. 50,000 LTU
6.00
$
-i �' 7L
TO BE COMPLETED ABOUT
OIL BURNER- to 3 gal. per hour
$10.00
$010
'°
each add. 3 gal. per hour
10.00
$
ESTIMATED COST
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$ 16'6)e
OLD k'BUILDING PERMIT NO. PERMIT NO. /2(q
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures x
$ 3.00
$ L'
DESCRIPTION OF FURNACE/BURNER
Additional Fixtures x
Gas Range to 199,000 BTU x
$ 1,00
$10.00
$
$
7
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air -)No. /
AIR CONDITIONING
Trade Name P4�� � Size No. /?QTL% -
FAIN HEATING SYSTEMS See
See Pee Schedule
$
VENTILATING SYSTEMS
$2
Capacity Sq. Ft. EDR BTU �)C3 HP
.ALTERATIONS $ REPAIRS
$
State Surcharge
$ .50
Total Connected Load (39, 7 7 G- Kind of Fuel 2
TOTAL FEE
$_3-S_- _I,- 4
BURNER - Trade Name Size No.
ROUGH INSP.
nate
FINAL INSP. 2 / i 7 5
Date
APPROVAL FOR PERMIT ,
REINSPECTION FEE
($10.00)
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
Capacity Sq. Ft. EDR BTU HP
UO. SEDGW/ICK HTG. & AIR CON
Company
Signed By
TelNo. 6 %) u
E0. S ®GVVICi19 �aa�e6 � e`° " W' 0 d�adNW,,`G CO.
1001 XENIA AVE. SOUTH
MINNEAPOLIS, PIN 5541E
545-1611
ztl
_
HEAT LOSS CALCULATIONS
MINNEAPOLIS, M[NN.
Weatherstrips A.S.H.V.E.
Construction No.
Windows Doors Guide Out. Wall
- Reference
Insulation
Int. Wall Ceiling Roof Floor Kind
Yes --No Yes -No 19
How Applied
FI, Room Length Width B �f
Windows and Doors-Crackage and Area
Height " FI .
Q I , Room LengthB9;�, Width / / Height
No. W;tlrh Height No. of Lineal ft. Area
Windows and Doors-Crackage and Area
of pane of pane lights of crack sq. ft.,,
o-, c
ell
��
No. Width Hc --ht No. of Lineal ft. Area
of pane rof�pane lights of crack sq. ft. p
-
Infiltration -��
Coef
Btu
Coef Btu
Glass
Infiltration
Glass
Szxp
Exp. wall �
Net exp. wall
. wall f`l
Net
Int. wall
exp. wall
-
Ceiling
Int. wall
-
Floor f
Ceiling
�2
-
Floor
Total Btu.
-
-
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
'SFIqA�pzEza¢,v Room LengthsP Width'
Height �'
FIA Room !Lengthoa
Windows and Doors-Crackage and Area
Width
/a Height
Windows and Doors-Crackage and Area
-
No. Width
-Height No. of
Lineal ft,
Area
No. Height
of pane of pane
No. of
I.ghts
Lineal ft.
of crack
Area
sq, ft.
of pane
of pane lights
of crack
sq, ft.
7
Coef Btu _ j I Coef Btu
Infiltration I Infiltration
_ n �}
Glass e
Exp, wall°
NPt exp. wall
Int, wall
Ceiling
Floor — — — ---
—Total Btu.
Required sq. ft. E.D.R. nr sq. ins. W.A. Leader area
FI. a` bom Length ��,Width
--- ------�___ ---
Windows and Doors - Crackage and Area
l;nr'' 7ti __Area
Jf_clack sq. ft.
Infi IYrBtiOr' !
Glass
Exp. wall
Net exp. wall C --
Int. wal! -
-Cei -,t3 - --- - i
-ot
Flpor I
Tota+ Btu. -
?equ:red so, ft. or sc. ;ns. 6"..A. Leader area
— I
Glass
Exp. wall
Net exp. wall — q �✓
Int. wall ----- - - -- +--------...
Ceiling — --�- -- —� - - -------
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area -
' FI. tom. Room Length WiWidthVit. � Height
_
Windows and Door C ackaye and_Area
NoMdih __eal ft. A
M70 of �gtof sq,•t ft,
rak. ,M
�'s
I C7
Coet' Btu
Infiltration - -- R
Glass1—-=-
Exp. wa1I — —T— A% iNet exp. wall
Int. wall
Ceiling --- ----
Floor
Total Btu.
R
p' equired sq. ft. E.D.R. or sr,. ns. t'J,A. Leader area
• K
z
f ?,
Height
Btu
W
SUBJECT
,PERMIT NO.
City of Fridley
-14554
AT THE TOP OF THE TWINS
r
PERMIT
r
BUILDING
r
RECEIPT -NQ,
COMMUNITY DEVELOPMENT DIV.
P99-71
r i PROTECTIVE INSPECTION SEC.
1
5t%?
�-"1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
112/30/77
JOB ADDRESS 1517 Trapp Court N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
2
6
Innsbruck Villages
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Darrel A. Farr Development Corp. 7286
- 72nd Lane No. 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
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ElMOVE ElREMOVE
X
8 DESCRIBE WORK
Construct a 27' x 29' Townhouse and a 21' x 22' Garage
(Matterhorn)
9 CHANGE OF USE FROM
TO
STIPULATIONS
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
796+462
20,200 Total
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
Z
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
$25,795
$12.90
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.
$80.80
$375.00
PLAN CHECK FEE
TOTAL FEE
$20.20
$488.90
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT _ (DATE)
PR
R Y LIDATED THIS IS YOUR PER"
BLDG. SP
ATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PEMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: 'DA&TE%e ,t�, g j] EVEOPMEOT BUILDER: IF Frr
Address: ���(� - '20,7oQ fa&t' Address:
%7�Q& 'M17 Tel. No.
No.: `5 17 Street: 7-iP,4PP g:gM&& T'
LOT: Z BLOCK: `p ADDITION: &A-] S6eaC_k_1 &s
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:
16-W- L.J e�tAS �'� Front: c?, 7 ' Depth: o?9 Height: a?O
Square Feet: Cubic Feet:
r9�AC�a Front: Depth: o2a` Height: 16 ' 0
Square Feet:��^^^^ Cubic Feet:
Type of Construction: -ak-08 F` ��/� f , 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: 41A—'012;' SIGNATURE:
Stipulations:
PEL/y} i
8018C CA&
ecwt kc�
�a .90 C
-�RfI TI-Ftt - $�--��L
,
IqN ctdr of ui in�js shall, be or isu' g'pe i s or th e ec ion
{ I
}..._ .. ..build n a ru to 'e, r for any s�eitio to, ny �xi t' ui z g � ct�e;
II
or,or{/ at�i or existii i�d cture, upo, a 1 ca ion .
..itfireor , req it a aym t� by:�apl' canes 1_; o e s o he am un -
j
!- Ih to d-� tha . p i 4- i
K__ T N: i tgl * Fa�nil' I o d arages : $4' 00,11, 00 c is f t s
II - c t_- -.bui di - ier it -Le s - -- ..--- —f
- - -t P
�D VE AY DE1 RE SI N: (C cr;et rb tr� t O ly�
AA-ltteri ate A: av l and re la em t of co cr to cub nd '
evii 4-,m
rv7ate B :j{'Req l_ ATM r la� - r ' sit t= ! I
- --- - C
�gu to a%d ns al a S oo w de ap roAch with
-_--gyp: w i 1u e
I
AbD Yf
I �N IO
Fo _ _ f! co�4npu-ts7�ief!-ii in..� __ yet e Qub ca c
I ibu'ld'ng'or ad i'ti n, is! e rmir dkfa inul� ip yl lg gr un a ea co e d kro a -
- Pe' rrt
six -{6) w i a rrt { tht � Y- o - f
iave� e eights of -upe s f ce or toy th a er heg_ o e oo _ _
- - -- --
fo a main ab e f cdl `Q I '�
_.. r - -
+.-- - -C �-
t Fo r xs dor _it ratios o �n xi t' Lt ct re the ee sh 11 e at; the rote
$3.00 er each five h
and ed do la s ;($5 0. 0) or fr ct on thereof n $ t
�In - e hal the ch'-r rm t s et fo th in i Se ti ._
Pc m I be e s
4T] ON
--' def rmi, f r c I on w 17 a- I u -- f 4 how s r� e im
o tr ct�ioni
_ f (fat .� i�!Q ot,. 1;he�Ln lb
' has been pon' t ct d 3- b� r�qu 3 e W: th ith ram
� I
,
Carl f r' �e"'t .i c- tic- t sh�1_ . be I ma e en f 1�- a- i x ' ` t the �
- .��
t .!
sai s�Eru tuFe hall oto bei usgd r ¢cc pi d nt 1 C rt fioat o O cu any blas
. i I
i
rr
aAl
i t 1
I � -
i,
� i I
I
e
• Lt I r ' OF FRIDLEY .
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
m•
RATE
2.`.i:ber Fixtures
a
m
Future Fixture Opening
x
$2.00
v
x
$2.00
Catch Basin
m x
Water
A
�- x
e
100.090 BTU to 199,000 BTU
x
$10.00
so+
t•• '.•
e 4
�
M
u
c
y
u
q w
a
O.
W
a
.Ileater
e
es
++
m
u
c C
u
.
u
o
ow°.�
g
U
e3
ci
y
'
uw
:a9
lee
r
1
1
ist
!�.
L2:d
(R) - Future Connection Opening
Connected with Sewer
{�} -New Fixture. Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
2.`.i:ber Fixtures
x
$3.00
Future Fixture Opening
x
$2.00
New Fixture, Old Opening
x
$2.00
Catch Basin
m x
$5.00 •
Water Heater - to 99,000 BTU
�- x
$5.00
100.090 BTU to 199,000 BTU
x
$10.00
Water Softener
x
$7.00
New Ground Ran Old Building
x
$5.00
Electric Water Heater �
x
$5.00
GAS FITTING FEES:
lst 3 fixtures �, x • $3.00
Ayditional Fixtures _�- x $1.00
Gas Range to 199,000 BTU u $10.00
REPAIRS F ALTERATIONS
TOTAL
First $100.00 $5.00 $ •
each add. 5100.00.or fraction $2.00 $
State Surcharge $ �5o
- TOTAL FEE $ .�
REINSPECTION FEE•
#Stn nno
Job Address. l_l ? 7r -.,-Q C
Department of Buildings.
City of Fridley
Tel. 9571-3450
The undersigned hereby makes application for a permit for the work her
specified agreeing to do all work in strict accordance with the City Cedes
and rulings of the Department of Buildings, and hereby declares t%at all
the facts and representations stated in this application are true and corri
n Fridley# Mn. -;k 19-7P
OWNER
KIND OF BUILDING _ Woo F,r arise
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD -NEW BUILDING PERMIT NO. PERMIT N0. _ �^ AID
.Company _ d\-e� 9IL -6. 77 LA
signed By
Tel. No.o�
ROUGH INSP,
Date
FINAL INSP.
# Date r
J:
APPROVAL FOR PERMIT
• 6
MINIMUM FEE FOR ANY PLUMBING PERMIT XS $7.50 pl= $.So STATE SQRCiDI�
1
9
.7 -8b-416o51
• CITY OF FRIDLEY
a
APPLICATION FOR PLUMBING AND GAS FITTING hVIT
Job Address 1517 Trapp Cour
Department of Buildings
'City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
speoified 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. 1-12-79 , 19
OWNER DARRELL FARR
KIND OF BUILDING frame '
USED AS res. ,
TO BE COMPLETED ABOUT 1-19-79
PARTIAL RATE SCHEDULE
A
c
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
OLD - NEW BUILDING PERMIT. N0. r PERMIT N r
Aj
b,
Water
$3,00
.�
'
•
$2.00
$
H
b�
$2.00
uI
ri
w
Signed By
Catch Basin x
Heater
$
Water Neater - to 99,000 BTU x
45.00
['•
Tel. No.
100,000 BTU to 199,000 BTU x
,tC( Aj
a�
Water Softener x
d
.1�q�
.
Iiew Ground Run Old Building x
N
$
ROUGH INSP. '
lee
$5.00
7 dl
S•
u.
r
-5
n
N
N
n
a
.1 0
u 0
9
,c
Qw
0
.•�
L N
ropy
�
$1.00
$
1!�
Gas Range to 199,000 STV x
$10.00
• U
APPROVAL FOR PERMIT •.
m
c�
v1'
.3
0 44
W
w
u w
..
t7
$
1J
O
as
$ .50
• TOTAL FEE
$ -8.00
REINSPECTION FEE
'
:.
r
.n
ti
(R) - Future Connection Opening
Connected with Sewer
(•) - New Fixture, Old Opening
Water
Job Address 1517 Trapp Cour
Department of Buildings
'City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
speoified 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. 1-12-79 , 19
OWNER DARRELL FARR
KIND OF BUILDING frame '
USED AS res. ,
TO BE COMPLETED ABOUT 1-19-79
PARTIAL RATE SCHEDULE
ESTIMATED COST 30.00
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
OLD - NEW BUILDING PERMIT. N0. r PERMIT N r
)timber Fixtures X
$3,00
$
�1
Future Fixture Opening x
$2.00
$
Company WNNEGASCO
New Fixture, Old Opening �� x
$2.00
$
Signed By
Catch Basin x
$5,00
$
Water Neater - to 99,000 BTU x
45.00
$
Tel. No.
100,000 BTU to 199,000 BTU x
$10.00
$
Water Softener x
•$7.00
$
Iiew Ground Run Old Building x
$5.00
$
ROUGH INSP. '
Electric Nater•Heater x
$5.00
.A
$
Date
GAS FITTING FEES:
FINAL INSP.
1st 3 fixtures x'
'$3.00
$
' Date
Additional Fixtures x
$1.00
$
Gas Range to 199,000 STV x
$10.00
$
APPROVAL FOR PERMIT •.
REPAIRS $ ALTERATIONS
,
First $100.00
$5.00
$
'
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PERMIT IS 57.50 PLUS $.50 STATE SVRCWJ=
State Surcharge
$ .50
• TOTAL FEE
$ -8.00
REINSPECTION FEE
'
- -7�3- -//-7/,m�5 a
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION. REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RATE TOTAL
Furnace Shell and Duct Work,
Burner
$
20.00
$
Gas Piping
$
10.00
$
(piping needed with new furnace)
Gas Range
$
10.00
$
Gas Dryer
$
10.00
S /6 • D -a
Air Conditioning (all sizes)
$
10.00
$
All Others/Repairs and Alterations
18 of Value of Appliance or Work
$
COMMERCIAL/INDUSTRIAL
18 of Value of Appliance or Work $
State Surcharge $ .50
TOTAL In $
Reinspection Fee ($15.00) $
Rough Insp.
Date
Final Insp. /6 - J"'- r 77z,
Date
Approval for Permit ,
MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00
PLUS $.50 STATE SURCHARGE
Attach stack verification foxy with replacement furnace permits
Effective Aug. 1, 1981
Job Address / 6 / 7 &', C"-- � C�e
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
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. `9/7 , 19
v'
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
2OLDNEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No.
Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company
Signed By i
Tel. No. '/1
GEO. SEDGWICK HTG. & AIR GOND. CO.
HOUSE HEATING TEST RECORD
ADDRESS ���� CITY
;"
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED
Electrical Work By Gas Line By.
TYPE OF H AT GA_ FA J1_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER,
GAS DESIGN
MAKE MAKE OF BURNER
Model. Model
Serial Max. BTU Rating —
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug
Valve
Limit
Limit Setting
Fan Setting
Pilot Type
Pilot Make
Vent Size
(,
CONVERSION
KIND OF LIN71Rft SIZE F—
Draft Hood Regulator 1V,141
Filters Size Number
Chimney Location Inside Outside
Chimney Construction
Pilot Model Smoke Bomb Wiring
Pilot Timing ZMDraft'Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure Percent CO2 10 1 � Date Tested z �� ® Z
Input CFH _ Percent 02 ` Company Testing
Stack TempPercent CO of Tester
Form 235
City of Fridley
SUBJECT
ItRMIT NO.
_ 49 29
AT THE TOP OF THE TWINS
'PERM
BUILDING l
�-
EIPT N
Ir
' COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FFiIDLEV 55432
NUMBER
REV
DATE
PAGE OF
APPHOVEO 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
a 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, 51'
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
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
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
Fire SC $232.00
PLAN CHECK FEE
TOTAL FEE
Lj qe;k4 S CA 5.00
$1, 900.25
5.6va EOF ('.On'aaiipca iiR a,. F:aGFHr �DATE,
H N P ERLY V (DATED THIS IS YOUR PERA1IT
—
DATE,
lCG i 50 rye rl
R
SUBJECT
PERMIT NO.
City of Fridley
26225
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 I
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
�""� �•� 612-571-3450
910-F15
6 / 12198
JOB ADDRESS ( See Below ) 21 Various Addresses
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Various
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Innsbruck North Townhouse Association
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Stock Roofing Inc 289 Liberty Street SIE
780-3561 3112
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION JJ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK a.
Reroof (147 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
ADDRESSES: 5600, 5602, 5604622, 5624 North Innsbruck
Court NE
1513, 1515, 1517, 1523, 1525, 1527, 1531, 1533,
1535 & 1537 Trapp Court
5633, 5635, 5673, 5675, 5693, 5695 West Bavarian Pass
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
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. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
21
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$ 12,259
$6.12
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -
$199.75
Eire SC $12.25
TION OR THE PE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL EE
®RANCE
le -
Licen
$5.00
$223.12
SIGNATURE OF CO (TRACTOR OR AUTHORIZED AGENT IDATEI
N plop
V IDATED T IS IS YOUR PERMIT
P
�7A TE
S-GNATURE OF OWNER OF OWNER SUILDERI IDATEI
R
Building
BUILDING
Permit Fee
$ 2`'5
Permit No.:
Inspections
$
RESIDENTIAL APPLICATION
Fire Surcharge
$ ;
Received By:
763-572-3604
$ 119.0005
x Permit Valuation Minimum $.50
License Surcharge
$
J U, 0 20
SAC Charge
$
CITY OF FRIDLEY
Curb Cut Escrow
$
Date
763-502-4977 FAX
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
EFFECTIVE 1-1-0 1-1-0 9
Agreement necessary ( ) Non Necessary ( )
Total Dae
$ Cf p. —7 ir
OctYOUR
DATE 6
E-MAIL ADDRESS
SITE ADDRESS 1
THIS APPLICANT IS:
O O ONTRACTOR
PROPERTY OWNER/
NAME:
TENANT
ADDRESS: 1'r2 IA* ')! (fit'
,�5 —3
CITY
;
STATE ZIP
PHONE:
NAME: budget Exteriors
CONTRACTOR
SUBMIT A COPY OF8017
YOUR STATE LICENSE
Nicollet Ave S.
TE LICENSE #
STA_ %
DATE
Bloomington, NIN 55420 ( /� `(
AND CERTIFICATE OF
ADDRESS:
1-877-310-1742
i y
STATE ZIP
INSURANCE
-PHONE F: 952-887-1659
INGLE FAMILY
PROPERTY TYPE
TWO FAMII.YM.. %,t ma i itua, i iuuv
PERMIT TYPE
O ADDITION , ® GARAGE/SHED
WS
O BASEMENT FINISH O ROOF O DRAIN TILE
O DECK O SIDING O OTHER
O SWIMMING POOL
TYPE OF WORK:
O NEW HOME CONSTRUCTION O ADDITION
ONAINTENAN O REMODELING
. 7'� �✓
DESCRIBE WORK BEING DO E: —'
SIZE OF IMPROVEMENT
LENGTH WIDTH 0
HEIGHT SQ FT
UMMBE
0 HOUSE ONLY
NUMBER OF SQUARES
O HOUSE & GARAGE
BASEMENT
REMODELING SUBMIT:
1.
Existing Floor Plan
GARAGES
O ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:
O DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
O Vinyl
OSoffit
ADDITIONS.
& PORCHES SUBMTT:
O Aluminum
O Trim
1.
Site PlardSurvey showing the existing structures
O Other
. O Fascia.
and propos proJect'
2.
Two sets of construction plans
WOWS
IN EXISTING OPENINGS PYes ONo LOCATION OF WINDOWS
3.
Energy Calculations
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 MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
I U IAL JUJU V AJ6tJ l'1UN $
OCCUPANCY TYPE
Permit Fee
$ 2`'5
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$ ;
.001 times the total job valuation
Surcharge
$ 119.0005
x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State_ Licensed Residential Contractors)
SAC Charge
$
$2000 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 8 = ft x $21= $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Dae
$ Cf p. —7 ir
Make checks oavable to: City of Fridlev Attach Stinulations
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 case1 work w ' requires review and approval of plans. ,q
SIGNATURE OF APPLICANT PRINT NAME (� �!� DATE q1 �✓
IN
Page 2 - Building Residential Application
BUILDING PIERIViIT 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:
TOTAL VALUE
FEES
$1 to $500
$23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000
$23,50 for 1" $500 plus $3.05 for each additional $100 or fraction, to and
includin 000 -
$2,001 to $25,000
$69.25 for 1"$2,000 plus $14 for each additional $1,000 or fraction, to and
including S$25,000
$25,001 to $50,000
$391.25 for 19325,000 plus $10.10 for each additional $1,000 or fraction,
to and including $50,90
$50,001 to $100,000
$643.75 for I' $50,900 -plus $7 for each additional $1,000 or fraction to and
including. $100,000
$100,001 to $500,000
$993.75 for 1 $100,000 plus $5.60.for each additional $1,000 or fraction to
and including $500,000
$500,001 to $1,000,000
$3,233.75 for the 1- $500,000 plus $4.75 for each additional $1,000. or
fraction to and including $1,000,000
$1,000,001 and up,
$5,608.75 for the V $I,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow, 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 Only
0R-1979
Building
MECHANICAL
Permit ivo
Inspections
RESIDENTIAL APPLICATION
Received By: C
763-572-3604
CITY OF FRIDLEY
Da d• `d
763-502-49`71 FAX
EFFECTIVE 1-1-08
DATE r® ®® YOUR E-MAIL ADDRESS
SITE ADDRESS (5I 7 PP C f
THIS APPLICANT IS: ❑ OWNER *CONTRACTOR
PROPERTY
i"
NAME: Ch,16, WA -S"K IV,s
OWNER/
ADDRESS: -/,S'/ 7 T2A,P'P Cf CITY STATE M-4 ZIP 55'/ 3Z
TENANT
PHONE: (0/z— —/jo — 0365
CONTRACTOR
COMPANYNAME:,VsH #&
NOTE:
SEPARATE CITY
�/� �A
CONTACT PERSON: i'6 SI,✓
LICENSES ARE
STATE LICENSE # EXP DATE
REQUIRED FOR GAS
�q
DRESS: ® �r
649 L4&th,,2 1142 CrrY �hR) PA STATER ZIP 55,1/219
AND HVAC.
SUBMIT COPY OF BOND
PHONE -7 3 - S 3p - ® IP4- '% FAX `'Ay,*— SNP b
AND INSURANCE
PERMIT TYPE
❑ SINGLE FAMILY ❑ TWO FAMILY `ltTOWNHOUSE
TYPE OF WORK:
❑ NEW 70 REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK Z#>r4?VI Akedmk ., Ar 4oltA9M944t 40- 02it9L
PER MS 16B.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 )
OR
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: kvmw MODEL: GWS 70 SIZE/BTU _70,,0—
70,,0 -"MFG:
MFG:t€9yw" MODEL: X( I—V-4%1 SIZE/BTU 2Vj 104P
MFG: MODEL: SIZE/BTU
_A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
_AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOILER $35.00 FURNACE $35.00 UNIT HTR $10.00
_GAS
_CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00
_POOL
_DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
PERWT FEE-PItOIECTS`FQR" NDl SUO .:. :) : EER71 iT FEE`FOR PROJ$CTS OVER $500
Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ OR Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
MINIMUM $15.50 MINIMUM $15.50 Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL, PROCESSED
I hereby apply for a mechanical 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; thatahe work'll be in accordance with the approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APP C i> PRINT NAME DATE
APPROVED BY� DATE tte�
`'PLEASE NOTB, ° . ATTE )'S ARE RE i11D QR B I12Iil.id,ND CICAI::WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
LTJ