PRE 2010 DOCSCity of Fridley
AT THE TOP OF THE TWINS
SUBJECT
PERMIT N-G.-----
K-14548
BUILDING
PERMIT
RECETT NO.
0017 IV 7.0
COMMUNITY DEVELOPMENT DIV.
1 i PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
612-560-3450
NUMBER
910-F15
REV.
DATE
12/30/77
PAGE OF
APPROVED BY
JOB ADDRESS 1523 Trapp Court N.E.
1 LEGALLOT
DESCR.
NO.
4
BLOCK
5
TRACT OR ADDITION
Innsbruck Villages
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAILADDRESS
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
j NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 27''x 29' Townhouse and a 21' x 22' Garage (Matterhorn)
9 CHANGE OF USE FROM TO
STIPULATIONS
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
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
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
VALUATION
SURTAX
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
$20.
488.90
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
OP R LIDATED THIS IS YOU P IT
BLDG IN
fa
DATE
SIGNATUREOF OWNERUF OWNER BUILDER) (DATE)
. ,.. - • . _ . . 11.1 • ... V J .... ♦ . . ILII , .. - . .... \ • . � V . ♦ ,
01: AUI)JTIO�X L'UILI)ING I'1:121.11T
Cll'y OF FJ'Zf.UL11:Y,
OM%IER' S TAME: :?i°,i►�►� . FQd^� UPtJ. �� gyp,.W ILDER :_
liLi3I:L'SS : H&. '7 ADDRIESS : 1,�7JOIJ . ZWN, ,S,S_4-2.8 --
_:0 : 01:�707J S l r E%1' :
LOT: -4 - BLOCK:
a�
ADDITION
MILNER LOT: INSIDE LOT: iof-' S) TRACK:SIDE_'�iF.D:
Applicant attach to this form Tcwo Certificates of Survey of Lot and proposed
building location drawn an these Certificates.
DESCRIPTION OF BUILDING
To ..Be Used As:
/�a�r���►cr�� Front:c2,9Depth: Height:_a O
Square Feet: Cubic Feet:
GaD-a?+.L. Front: 07 / Depth: c?a- Height: /'0
Square Feet; 'moi �.� Cubic Feet:
Type of Construction: Wooti Fina WP-. Estimated Cost:_$
To Be Completed:
The undersigned hereby makes application for a permit for the -work herein
specified, agreeing to do all work in stiict accordance faith the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated iu this application
are true and correct.
DATE: SICNATURE-
(See Reverse Side For Additional Information.) _ -
® -1
_�,�
Altr
Al
L-74
ftelo- 64rd4A)
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Job Address
5
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 Ccees
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. 111/// , 19�
OWNER
KIND OF BUILDING
USED AS�c
e
TO BE COMPLETED ABOUT
PARTIAL RATE SCHEDULE
M
ESTIMATED COST
U�
N0.
RATE
TOTAL
OLD - NEW BUILDING PERMIT NO.
Water
a
i
4
.mac,
Number Fixtures
�
q
A
d $4
W
w
$2.00
$
Heater
Vew Fixture, Old Opening
x
•
$2.00
e9
f+
•.oi
x
u
N
Signed By
Water Heater - to 99,000 BTU
x
$S.00
$ '5
ror
c
100,000 BTU to 199,000 BTU
-c+�q
$10.00
C'
G3
' Water Softener
u a
x
$
o
ani
x
$5.00
$
ROUGH INSP.
Electric Water Heater
x
$5.00
'
$
Date
-
GAS FITTING FEES:
v
n
-
ist 3 fixtures
� x
$3.00
V
$ �,
g
u
a
x
$1.00
$
o
as
lec
va'i
$10.00
$
APPROVAL FOR PERMIT
ci
Tri
n$' u°.
v[i
First $100.00
$5.00
c
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.SO PLUS $.SO STATE SURCRAICP
State Surcharge
$ .50
SC
15 6
"•
TOTAL FEE
Ist
$
2nd
1
3rd
-EE1
4th
I
I
(R) = Future Connection Opening
Connected with Sewer
{�} = New Fixture, Old Opening
Water
Job Address
5
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 Ccees
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. 111/// , 19�
OWNER
KIND OF BUILDING
USED AS�c
REINSPECTION FEE
tG1A AAI
TO BE COMPLETED ABOUT
PARTIAL RATE SCHEDULE
ESTIMATED COST
PLUMSIh'G FIXTURE RATES:
N0.
RATE
TOTAL
OLD - NEW BUILDING PERMIT NO.
PERMIT NO.
.mac,
Number Fixtures
x
$3.00
Future Fixture Opening
x
$2.00
$
Company
Vew Fixture, Old Opening
x
•
$2.00
• $
Catch Basin
x
$5.00
$
Signed By
Water Heater - to 99,000 BTU
x
$S.00
$ '5
Tel. No.
100,000 BTU to 199,000 BTU
x
$10.00
$
' Water Softener
x
$7.00
$
New Ground lain Old Building
x
$5.00
$
ROUGH INSP.
Electric Water Heater
x
$5.00
'
$
Date
-
GAS FITTING FEES:
.
FINAL INSP.
-
ist 3 fixtures
� x
$3.00
V
$ �,
' Date
Additional Fixtures
x
$1.00
$
4�
Gas Range to 199,000 BTU
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 $7.SO PLUS $.SO STATE SURCRAICP
State Surcharge
$ .50
SC
15 6
"•
TOTAL FEE
$
REINSPECTION FEE
tG1A AAI
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
$
STEM OR HOT WATER SYSTB1:
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 199099 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
FAIN HEATING SYSTEMS See Fee schedule
VENTILATING SYSTEMS
ALTERATIONS 4 REPAIRS
State surcharge
TOTAL FEE
ROUGH nap. REINSPECTION FEE
Date ry (.$10.00)
FINAL INS?.
Date
APPROVAL FOR PERMIT
$
S
$ .50
MINIMUM FEE FOR MY HEATING PERMIT IS $7.50 PLUS $.SO STATE SURCHARGE
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, Minn. 19
OWNERg491Ze'Z 05?o e�
KIND OF BUILDING
USED ASd�e�.
TO BE COMPLETED ABOUT -26
ESTIMATED COST c� 70 QO
OLD - NEW BUILDING PERMIT NO. PERMIT NO. C�
DESCRIPTION OF FURNACE/BURNER
EATING or POWER PLANTS, Steam, Hot Water Warm Air- �No. _
Trade Name A d- Size No. OhOTIO
rh
Capacity Sq. Ft. EDR 00OBTU HP
Total Connected Load c Kind of Fuel
If ff
BURNER - Trade Name
Size No.
Capacity Sq. Ft. EDR BTU HP
company GE®. SEDGWICK HTG. & 41P COHID rO
Signed By delo
Tel. No. C=1
Weatherstrips A. S. H. V. E, Construction No. v . Insulation
Windows Doors Guide Out. Wali Int. Wall Ceiling Roof Floor Ktnd HowAltplied
Reference
.r
¢j FI. /Cf iL► Room Length a-�-Width Height FI.Gq Z,.E� om I Length % Width Height
HEAT OSS CALCUtATIONS
HEATUNG&AOR
C (i. ►NJ(1 ►i ► t i
Weatherstrips A. S. H. V. E, Construction No. v . Insulation
Windows Doors Guide Out. Wali Int. Wall Ceiling Roof Floor Ktnd HowAltplied
Reference
Yes -No Yes -No 19 I -
¢j FI. /Cf iL► Room Length a-�-Width Height FI.Gq Z,.E� om I Length % Width Height
Windows and Doors-Crackage and Area
Windows andboors--Crackage and Area
No. W-dth Herght No. of Lineal ft. Area -
of pane of pane li h r Width Hei ht Nri, ofof ; Lineal ft. Area
8 is of crack sq. ft. ;� No. - 9
y p9�� r2 of pane I of 11,111. 1 lrght5 of crack sq. ft.
10
Coef Btu I C(mfl Btu
Infiltration p
Infiltration
�s ?
Glass Glass
Exp. wai I � Exp. wa I I �
Net exp. wall , °� o Net exp. wall 6-1 I
- Int, wall ----
Int. wall
Ceiling
Ceiling a°�
Floor �CD,
®
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
'IFI. Room Length Width Height
F1, . g Room i Length Width Height ,` —
Windows
and Doors-Crackage and Area
99
Windows and Doors-Crackage and Area
No. Width Height No. of Lineal ft. cArea
of ane of pane lights of crack q. ft.
Width H.tghq No._ f Ltneal ft. Area
No• of pane of pane pghrs of crack sq. ft.
Coef ' Btu
Cot: f
Btu
Infil#ration
1 �
Infiltration !
Glass
Glass
Exp. weIl d/ �(
Exp. waIl - --
-
Net exp. wall
Net exp. waII
Int. wall - --- ----
Ceiling --g
-
Int. wall
Ceiling
Tr
_
Floor 1�
,;ate
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
FIM.AR L-a� Room Length Width I / Height
F. s ° Room Le nth Width ®�Height-6
Windows and Doors-Crackage and Area
Windows and Doors-Crackage and Area
_
No. Wtdrh Herght No. of Ureal £t. Area
of pane of pane lights of crack sq, ft.
- -
— No. j -
W'dttt�Hr.'ght-T Nr; : 4 i ineal ft. Area
of p^a�ng, �c,f para fights ! of crack sq. ft.
�!
I
Coef, Btu
I Cttesf Btu
Infiltration
Infiltration
_�
Glass I
-- -
— -
Glass �a
�
Exp. wall
Exp. wall
Net exp. wall
---
Net exp. wall
Int. wall
Int. wall
Ceiling
d
Ceiling �_6r
----
F lour
AT
Floor
-'
Total Btu.
�`ngired ft.
Total Btu.
Required sq. ft. E.D.R, or sq. ins. W.A. Leader area
/ sq. E.D.R. or sq. ins. W.A. Leader area
1•_
GEO. SEDGWICK HTG. & AIR COND. CO. —D
HOUSE HEATING TEST RECORD
ADDRESS 45a3 c2t CITY `d
OCCUPANT OWNER- =
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By t &°
TYPE OF HEAT GA_ FAX HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE d°
Model
Serial
INPUT
CONTROLS
THERMOS®�� Heat Plug
Valve
Limit 4 a
Limit Setting U 0-0
Fan Setting
Pilot Type _�—
Pilot Make
Pilot Model
Pilot Timing
L.W. Cut Off
e
Pressure 19.5-
Percent CO
7. '20
Input CFH-2.5�
Percent 02
Stack Temp. '3 0 ® (—
Percent CO2
- m�
Form 235
MAKE OF BURNER _
Model
Max. BTU Rating —
MAKE OF FURNACE
Model
(r
Vent'Size
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Number
Chimney Location Inside— Outside
Chimney Construction
Smoke Bomb Wiring o K
Draft ® < Test Tag
Door Pressure Lighting Inst.
Date Tested '! e3
Company Testing C
Name of Tester
• CITY OF FRIDLEY
97-8b-416051 APPLICATION FOR PLUMBING AND GAS FITTING P8VIT
Job Address 1523 Trapp Court ' .' ' • '
Department of Buildings
'City of Fridley
Tel. 0571-3450
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. 11-21-78 , 19
OWNER DARRELL FAM
KIND OF BUILDING ffame
USED AS res.
M
TO BE COMPLETED ABOUT
PARTIAL RATE SCHEDULE
ESTIMATED COST 30.00
PLUMBING FIXTURE RATES: N0.
a
�Aj
TOTAL
t"
141=ber Fixtures
watex
$3.00
9
.2"o '
Future Fixture Opening
x
•
H
•�
New Fixture, Old Opening
x
$2.00
$
NflNNMASCO
w
0
Heater
Signed By
N
'
$5.00
v1
m
' Water Heater - to 99,000 BTU
.,4
a
a�
u
Tel. No.
Q
9Cu
$10.00
$
v
' Water Softener
x
$7.00
.°
'
S'
x
$5.00
$
x
Electric Water Heater
x
8
.4
4j 0
41 W
3
o
n
U
D
m
c�
vi
3
o W
'$3400
as
u w
a-
x
$1.00
$
Gas Range to 199,000 BTU
lee
$10.00
$
APPROVAL FOR PERMIT
REPAIRS $ ALTERATIONS
t
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SUSS
State Surcharge
$ .50
10.50
. TOTAL FEE
$
i
REINSPECTZnN r".
'
1
�Tr4m
Cou
2nd
3sd
,
!R) - Future Connection Opening
Connected with Sewer
(°) . Nev Fixture, old Opening
Water
Job Address 1523 Trapp Court ' .' ' • '
Department of Buildings
'City of Fridley
Tel. 0571-3450
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. 11-21-78 , 19
OWNER DARRELL FAM
KIND OF BUILDING ffame
USED AS res.
M
TO BE COMPLETED ABOUT
PARTIAL RATE SCHEDULE
ESTIMATED COST 30.00
PLUMBING FIXTURE RATES: N0.
RATE
TOTAL
OLD - NEW BUILDING PERMIT.NO. PERMIT N0.•
141=ber Fixtures
k
$3.00
$
.2"o '
Future Fixture Opening
x
$2.00
$
Company
New Fixture, Old Opening
x
$2.00
$
NflNNMASCO
0
Signed By
Catch Basin
x
$5.00
$
' Water Heater - to 99,000 BTU
x
•$5.00
$
Tel. No.
100,000 BTU to 199,000 BTU
x
$10.00
$
' Water Softener
x
$7.00
$
'
New Ground Run old Building
x
$5.00
$
ROUGH INSP.
Electric Water Heater
x
$5.00
. ,.
$
Date •
r
GAS FITTING FEES:
-3o -FINAL INSP. f ,:. .4
1st 3 fixtures
x"
'$3400
J. Date
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
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 $7.50 PLUS $.SO STATE SUSS
State Surcharge
$ .50
10.50
. TOTAL FEE
$
REINSPECTZnN r".
'
SUBJECT
PERMIT NO.
City of Fridley
8
?4 14,
AT THE TOP OF THE TWINS
BUILDING PERMIT
L
f
RECEIPT NO.„i
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1
CITY HALL FRIDLEY 55432
NUMBER
REV
DATEPAGE
OF
APPROVED By
L 612-571-3450
910-F15
I
5/7/96
I
JOB ADDRESS
See Below
1 LEGAL
LOT NO. BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
Variou
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Various
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouses
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside 44 Units (11 Buildings)
9 CHANGEOFUSEFROM TO
STIPULATIONS A&”
5600,5602,5604,5606 West Bav ian Pass; 5601,5603,5605,5607 West
Bavarian Pass; 5610,5612,5614,5616 eek-$a;,*e#ee-Pees; 5620,5622,5624,5626 West
Bavarian Pass; 5620,5622,5624,5626 North Innsbruck Ct; 1521,1523,1525,1527
Trapp Court; 5650,5652,5654,5656 West Bavarian Pass; 5660,5662,5664,5666 West
Bavarian Pass; 5661,5653,5655,5657 West Bavarian Pass; 5671,5673,5675,5677 West
Bavarian Pass; and 5681,5683,5685,5687 West Bavarian Pass
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 1 HAVE READ AND EXAMINED THIS APPLICATION
44
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
$228,800
$114.40
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-
$1,532.25
Fire SC $228.80
STRUCTION R THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
G
License SC $5.00
$1,880.45
SIG OF CONTRACTOR OR AUTHORIZED AGENT L
WHEN PROPERLY IDATED THIS IS YOUR PERMIT
r
BLDG Sv OATE --
SIGNATURE OF OW NER�IF OWNER BURDERI
0
SUBJECT
PERMIT NO.
City of Fridley
26225
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO. J
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
i CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
---- """'k
612-571-3450
910-F15
6/12/98
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 iiE 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 ❑ ALTERATION �] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof (147 Sq) Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
ADDRESSES: 5600, 5602, 5604, 56220624 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.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
21
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
$12,259
$6.12
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
PERMIT FEE
SAC CHARGE
TION OR THE PE OR ANCE OF CONSTRUCTION
$199.75
Fire SC $12.25
PLAN CHECK FEE
TOTAL EE
LicenWq $5.00
$223.12
SIGNATURE OF COfTRACTOR OR AUTHORIZEDAGENT MATEI
N P P V IDATEO T IS IS YOYR PERMIT
f)ATE
S,GNATURE OF OWNERIIF OWNER BUILDERI iDATEi
0
Building
PLUMBING
Permit No.:�
Inspections
RESIDENTIAL APPLICATION
Rec ' e
763-572-3604
CITY OF FRIDLEY
763-502-4977 FAX
EFFECTIVE 2-19-09
DATE �% YOUR E-MAIL ADDRESS
SITE ADD SS _ � � %/(�-j C / a
THIS APPLICANT IS: OWNER OCONTRACTOR
PROPERTY
NAME:
ADDRESS: / ID CITY L,/�L �- STATELIP -
TENNANT
PHONE:-
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE, BOND AND
STATE BOND # EXP DATE
CERTIFICATE OF
ADDRESS: CITY STATE ZIP
INSURANCE
PHONE FAX
PERMIT TYPE
13 SINGLE FAMILY O TWO FAMILY TOWNHOUSE
TYPE OF WORK:
0 NEW REPLACEMENT
EDD �_ION�OFWORKI�,������Iz
FEES SED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER- OF EACH BELOW). MINIMUM FEE
$35.50.
_ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING
_ _
BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL WATER SOFTNER ($
_
_CLOTHES WASHER _KITCHEN SINK WATER CLOSET BACKFLOW PREY. $1
_
DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIG N
_ WATER METER THE
r
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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.
_ / ,/� ) , 1
SIGNATURE OF APPLICA RINT NAME%�drYy�J y%�I�/}ATE O
yx m „E
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977