PRE 2010 DOCS9,—,2_S .
City of Fridley, Minn. 112 8 9
6431 University Ave. N. E., Minneapolis, Minn.. 55432 ,
BURDING PERMIT
Date; December 14, 1,71
owner: _.y.._i.@wcon Incorporated Builder Same
Address -.19-0—IL Brooklyn Boulevard Address Same
LOCATION OF BUILDING,
X0._555,5_ Street Waldeck Crossingpart of Lot
Lot 5 Block __...4..__. ��......__ Addition or Sub -Division Innsbruck North Townhouse Site
Corner Lot _.____ __ _ Inside Lot X Setback Sideyard
Sewer Elevation - Foundation Elevation ._.___.
To be Used as: 620 Unit
rXo_w ouse Front 20' Depth 311 Height28 Sq. Ft. 12401. Cu. Ft. 17236
Garage Front __ ' Depth __ 22'Height _ 10' __ Sq. Ft. 440 Cu. Ft 4, 400 �
Type of Construction Wnnd Frame Est. Cost An..41E _ To be Completed March, 1972
Stipulation: Owner and Contractor to be responsible for elevations and drainage
for all structures. City shall be held blameless.
In consideration of the issuance to me of a permit to construct a building described above, I agree to do
the proposed work in accordance with the description above set f pliance_ with all provisions of
ordinances of the city of Fridley.
0.71 State Surcharge
In consideration of the payment of a fee of $41.00 , permit is hereby granted to V i_wt- nen , Iri c- - -
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
wpithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector.
NOTICE:
pis permit does not cover the construction, installation for wiring, plumbing, gas heating, sawer or water. Be sure to s"
the Building Inspector for separate permits for these items.
� c �
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
D.
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: VIE C® LL AC, ILDER: V/ t c)(_'®1'V ,.tea c .
ADDRESS- 59®1 ADDRESS:
R,r
NO :. 5"S' 5 5 STREET: ),A / D C_ C- 1< d 0 55
LOT: BLOCK: 4 ADDITION:IM"45 90c -k /V097i 4
CORNER LOT: INSIDE LOT: N 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:
�
Ho 0:5E C.r,vDT
Front:
Depth:
Height:
Square Feet:
ri y: 02�Jo Cubic Feet:
1 -72
.4eq A 6 �
� �
Front : 2,0 Depth: 172-
9
Height:(7
�29-
Square Feet;
B/
Cubic Feet:
✓�
>ow
Type of Construction:
if °1a Estimated
Cost: $ V l,, 7y ®� O
To Be Completed:
MIA `� �,'
, � 7/3-�
/ �* ®.___�
l0 ®
oz.r
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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.
m
DATE: A 2— 2 r If SIGNATURE: fe 9/_t -
(See Reverse Side For Additional Information.)
BUILDING PERMIT FE'P, 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 gount herein below set forth and in
the manner herein provided to -wit -
UNIFORM BUILDING CODE- Type 1, 2 & 4— $2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5 ® $1.55 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
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 lin,-- 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 $5.00.
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 Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
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.
9
LU
LU
LU
7
I
C7 aQ
M ca
CL
411�.
k"I
t4
0&
1,n.
C®
co
C-
n
to
fD
m
7
I
C7 aQ
M ca
CL
7
I
PLUMBING FIXTURE RATES-
N�O. RATE TOTAL
Number Fixtures ................
x $2.00
$
Future Fixture Opening .... i .. • • • •
x $1.50
$ ..
New Fixture Olaf Opening ..........
x $1.50
$
Catch Basin .............. .. ... .
x $3.25
$
Water Heater 'Up to 99,000 BTU)....
x $.3.00
$ I -0d
New Ground Run Old Bldg. . . . . . . . .
x $3.25
$
ElectrLe Wats ............
x $2.00
$
GAS FITTINO FEES.
NO. RATE TOTAL
Ist 3 Fixtures • ....... • • .....
x $2.00
Additional Flatums .................
x $ .75
Gas Range to 199,000 BTU . o a. o o. o e ...
x $5.00
@$
R+
State Surcharge
$ .50
RE PAVU & AI. TIO fer so Code_
Description ................... a .......................
�
TOTAL �00.
City of FYidley:
The undersigned hereby makes application for a permit for the• work herei,
speeiffied, agreeing to do all work in strict accordance with the fSts Ordinance
and nding of the Department of Buildings, and hereby declares that all the fact
and representations stated In this application are true and correct
Fridley, Mina ie&I�
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit No.
Signed
Y
Business Phun No
ROUGH
FINAL ��d'v
SUBJECT
PERMIT IQ�
City of Fridley
r
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
T NO.
• COMMUNITY DEVELOPMENT DIV
_
r PROTECTIVE INSPECTION SEC
__JCITY
NUMBER
REV
DATE
PAGE OF
APPROVED By
HALL FRIDLEY 55432
612-571-3450
910-F15
9/1/94
JOB ADDRESS 5555 Waldeck Crossing NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
4
1 Innsbruck North TownrldWe
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Tabor & Sons Inc 3716 St Francis Blvd, Anoka, MN 55303
789-1902 20014248
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential Townhouse
7 CLASS OF WORK p
El NEW ❑ ADDITION 0 ALTERATION X REPAIR
O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroofing & Gutters
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
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
STALLS
I 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
$2,318
$1.16
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
$54.00
Fire SC $2.32
PLAN CHECK FEE
TOTAL FEE
�- �7__
��J�/7- 7 �/
License 00
$62.48
WHEN PROPERLY XPLIDATED THIS IS YOUR PERMIT
SIGNATURE O/CONT RACTOR OR AUTHORIZED AGENT (DATE)
G
SIGNATURE OF OWNEROF OWNER BUILDER) )DATE)
BLD )NSP
GATE
NEW [ Effective 1/] /94
ADDN [ ] CITY. 0111 FRIDLEY
ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 5555 - W a 1 d e k Crossing . Fridley
Legal Description:
Owner Name & Address: Tel. #
Contractor: Tab -or and 'Sons,- Inc. MN LICENSE # Pending
Address:.371h - S , Francis. B1v.d:;..Ano.ka:, Mn..:,551a3. Tel. # 789-190.2
Attach to this application, a Certificate Of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width.. Height Sq. Ft.
Length Width Hgt/Ground. Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback
Type of Construction: roofing/gutters
Approx. Completion Date:
Side Yard Setbacks
Estimated Cost: $ 2 318.0 0
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: 9/1/94 APPLICANT: Tabor and Sons, Inc. Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$800 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 [
789-1902
BUILDING PERMIT FEE SCHEDULE
'Hie Chief Building Official shall, before issuing permits for the erection of any Building or structure,
or fOr ally 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' Ices to the ainount herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE
FITS
$1 to . $500
$IS (Minimum Fee is $15. plus surcharge) '
$501* to '$2,000
$15 for first $500'plus $2for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000
.$4S for• first $2,000 plus. $9 - for . each additional $ L000
or fraction thereof, to and including $25,000
$25;001 to $50,000
$252 for. first. $25,000 plus $6.50 for each - additional $1;000
or fraction thereof, to. and including $50,000
$50,001 to $100,000
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000
$639.50 for first '$100,000plus. $3.50 for each additional -
$1,000 or fraction thereof, to and including -$500,000
$500,001 to $1,000,000 -
$2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fractidn thereof, to and including $1,000,000
$1,000,001 and up
$3539.50 for the fust $1,000,000 plus $2 for each additional
$1,000 or fraction -thereof -
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
$13.50.
Alternate "13": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION Or FOUNDATIoN
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 tiie lot, showing the location of the foundation once it has it has Iseeri
.constructed will he required Before proceeding; with the framing_
CITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Furnace SLS and Duct Work, Burner —
Also Replacement Fumalce
' t—FillO
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
(A:JrCo:ncrdIonIng All Sizes O 1�
All Others/Repairs A Alterations (LIST ON BACK
1 % of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $
$10.00 $
$10.00 $
$10.00 $
$ 25.00 $*�
State Surcharge
Ifelf11119
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On January 1, 1999
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 Building Division, and hereby declares that all the facts and
representations stated in this application are t e and co reef.
�d ,1999
®Ah -m
BUILDIN
ESTIMA'
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Q Circle One (Steam) (Hot Water)499
Trade Name T Size No.
BTU ��9 om HP EDR
Fuel Total Connected Load
Burner Trade Name
BTU
HP
Size No.
EDR
}
HEATING CHRIOND A SORTS ELEC- i11 e
dbgi: UOLDEN VALLEY HTQ & AIR
Signed P6152 WEST BROAD �o
9
612-535-2000
Approved By Rough—In Date Final Date
i
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By: •
Date:
RICHMOND & EONS ELEC. INC.
BEN V A A A ER9AT[!_B_. All
efl-fe.nom 9 RP4 664;g
592-535-2000
1:
Has been carefully examined
Yes /)
No
( )
2.
Is free from rust or deterioration
Yes (Wj
No
( )
3.
Has no foreign objects lodged within
Yes
No
( )
4.
Is securely supported
Yes
No
( )
5.
Meta all current Code requirements for si_7e
and total BTU's connected
Yes �)
No
( )
6
Has total heating BTU's of IVa OR
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes ( )
No
( )
8.
Has combustion air been provided for water heater
Yes ( )
No
( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By: •
Date:
RICHMOND & EONS ELEC. INC.
BEN V A A A ER9AT[!_B_. All
efl-fe.nom 9 RP4 664;g
592-535-2000
0
7
SUBJECT
=City of Fridley
31036
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i �
R
COMMUNITY DEVELOPMENT DIV.
' •✓f1
r PROTECTIVE INSPECTION SEC.
1 � �
NUMBER
REV
DATE
PAGE Of
APPROVED BY
CITY HALL FRIDLEY 88432
612-571-3450
910-F15
6/8/00
JOB ADDRESS . 5551 55 59 63 67 71 WALDECK CROSSING NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1-6
4
Innsbruck
North Townhouse Site SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
"Innsbruck Townhome Association
651-224-5482
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Garlock -French Roofing Corp. 2301E 25th
St. Mpls.,MN 55406 612-722-7129
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
00001423
S ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
7,. CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Townhouse Building
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Permit 1nsPecti0n Girds
Will Be mailed.
To Homeownor To Post
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 ISNOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORKIS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
6'
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
$12.544.86
S6.27.
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$223.25
Fire SC $12.54
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
zi /
242.06
SIGNATURE OFCON•RACTORORAUTHORIZED AGENT IOATEI
E PROP VALID D THISIS OUR/�RMIT�w
QLatI.SP r/Art
S,GNATURE 00 OWNER•li OWNER BUILDERI IDATEI
0
7
SUBJEGT - - '
City of Fridley
3113
AT THE TOP OF THE TWINS
BUILDING PERMIT
-
r
�
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
4/
r 1
1 = �
CITY HALL FRIOLEV 55432
NUMBER
REV
DATE 7/7/0o
PAGE OF
APPROVED BY
612-571-3450
910 -FIS
JOB ADDRESS 5555 Waldeck Crossing
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
4
1 Innsbruck North Townhouse Site SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Frank Benson 5555 Waldeck Crossing 763-574-9364
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Wellington Window & Door Co. 3938 Meadowbrook Rd., St Louis Park 55426
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
952-933-6300
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
Window Replacement
8 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code.
Permit Inspection Cards
Will Be Mailed
To Homeowner To Post
SEPARATE PERMITS ARE REOUIRED 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 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 1 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
$3,716.00
$1.86
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-
Fire SC
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$97.25
$3.72
PLAN CHECK FEE
TOT ,FEE
102.83
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi
H FIR fLy VALIDATE THIS IS.XQVRERMIIITT jam]
44�20`r -W
alhci iNSP DATE
S,GNATURE OF OWNERi1F OWNER BUILDER. IDATEI
NEW [
A [ ]
ALTER
Construction Address:
Legal Description:
Owner Name `& Af9ddre
Contractor: W t I, luv
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
/A
le Gn soy) 5555 w-xj Tel.
r,
LICENSE
Effective 1/1/2000
(763) 572-3604 Bldg Inssp
�MAMn
Tel. # q5d 933'1D3cz
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.
Length
Hgt/Ground Sq. Ft.
� i✓
Estimated Cost: $ . (// >
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: - M APPLICANT:57L,� Tel. #�✓)- �✓ pro
CITY USE ONLY: Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $_97, d' Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $1100 per SAC Unit
License Surcharge $ ;5:00-(State-Lireased-Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS: /%ov vw4e 4-,-0" 7�S Z7��J 4F
00
BUILDING PERMIT.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 buildimgor 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
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for fust $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
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 the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Only
SUBJECT
P .�_'
City of Fridley
31563
AT THE TOP OF THE TWINS
BUILDING PERMIT
`
� • COMMUNITY DEVELOPMENT DIV.
�O.
r PROTECTIVE INSPECTION SEC.
I
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BV
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
11/14/00
JOB ADDRESS 5551, 5555, 5559, 5563, 5567, 5571 Waldeck Crossing Inc
1 LEGALXOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1-6
4
Innsbruck North Townhouse SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Innsbruck North Towahomes
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors Inc 2131 111 Lane NW, Coon Rapids, MN 55433 763-757-7530
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
6 Unit Townhome Building
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION] REPAIR O MOVE O REMOVE
6 DESCRIBE WORK
Reside.Building; Install trim
9 CHANGE OF USE FROM TO
n
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions for this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the manufacturer
states this in their application guidelines. Call for inspection of wrap
before covering.
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
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
6
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
$ 42,700
$21.35
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-
$573.05
Fire SC $42.70
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
j
PLAN CHECK F E
TOTAL FEE
637.10
SIGN URE OFCON:RACTORORAuiMORiZEDAGENT iDATEs
EN VALIQATO THIS ISR NP
_Z s..
BLD INSO �1AfE
S,GNATURE 0$ OWNEROT OWNER SUILOERI iDATEI
CITY OF FRIDLEY INSPECTION DIV.
3431*University Ave NE J�'
Fridley, MN 55432 % �51(ll
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURFS Tn RF IN.RTAI I Fn nN FAM4 FI nnR
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures
Old Opening, New Fixture _
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas"
Gas Range*'
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
JOB ADDRESS RIE tS d,LZOIE�2
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 fluilding Division, and hereby declares that all the facts
.and representations stated in this application are true and correct.
BENSON,FRANK
5555 WALDECK CROSSING
FRIDLEY, MN 55432
Owner _ (763) 574-9364
Building Used As
�
Estimated Cost 0 PERMIT NO. z
PLUMBING COMPANY Q r4,QMEZ.O JV1�I AC, CZ
Reinspection Fee $47.00/Hr SIGNED BY
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
Approved By
State Surcharge $ .50
��//��
MINIMUM I
TOTAL FEE $_20._50 PLUS THE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
e Il ��T �✓� TEL N0. Z" Z - O
Rough -In Date Final Date
COMMON VENT INFO ON BACK SIDE
i
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
BTU Input Fan Assisted or Nat
venting has been examined and is free from rust, deterioration, obstructions,
BTU Input Fan Assisted or Nat
and is securely supported and firestopped where required.
Yes () No ( )
The venting;system is plastic/PVC and meets all current codes and manufacturer
Total Btu Input
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 1 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 ( ) No ( )
When Installing 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
BTU Input Fan Assisted or Nat
Appliance -#2 Type
BTU Input Fan Assisted or Nat
Appliance #3 Type
BTU Input Fan Assisted or Nat
Total Appliances
Total Btu Input
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 in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
;r
HEATING CO:
Signed By: Date :
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287
January 11, 2002
Mr. Frank Benson
5555 Waldeck Crossing NE
Fridley, MN 55432
Re: Final Inspection at 5555 Waldeck Crossing NE
Contractor: Norblom Plumbing Co.
Dear Mr. Benson:
A plumbing permit was issued on October 11, 2001 to install a water heater at your
address. According to Section 4715.280 of the State Plumbing Code, a final
inspection shall be conducted on the work authorized by this permit. As of this date,
no final inspection has been called for.
The permit fee that was paid covers the inspection to make sure the work was
completed according to the Code. We will keep your permit open for another 30
days and if we do not hear from you within this time to set up the inspection, we will
mark the permit "no inspection called for" and take no further action.
To set up the inspection or to have any questions answered, please contact the
Building Inspection Division at (763) 572-3604.
Sincerely,
m.
Inspector
DJ/mh
3uilding
Inspections
763-572-3604
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
)ATE l V ® YOUR E-MAIL ADDRESS
;ITE ADDRESS ��, A Lb
i HIS APPLICANT IS: ❑ OWNER CONTRACTOR
Permit No.:ey) 343
Received By:2
Date Rec'd:_3 -Z4,�
PROPERTY OWNER/
NAME: F
a5
See Back Page for Fee Schedule
TENANT
_ U -,A L
y�2�
ZIP CADDRESS
�3Z
Fire Surcharge
PHONE:C -] (P3) S 7 4 - 93(07
a -53
.001 times the total job valuation
CONTRACTOR
NAME:J,� LL 11J6r/DAJ l
6 f u) CO -
.0005 x Permit Valuation Minimum $.50
STATE LICENSE # )C�-�M P -r
��
EXP DATE Ste CJAL
n
e4-'A"r
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: ,,S (?&-5 A1FAlb0W 52Qn
K 21> CITYST• Lout -S 499STATEMIIZIP
WITH APPLICATION
PHONE 6SZ)930-0380 FAX
$
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION
SIZE
$450 Conservation Plan Review
❑ TWO FAMILY/NEW CONSTRUCTION
STORI
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHEDWINDOWS
$
Agreement necessary ( ) Non Necessary ( )
❑ BASEMENT FINISH ❑ ROOF
❑ DRAIN TILE
R -7. fl!c:�
Make checks payable to: City of Fridley Attach Stipulations
❑ DECK ❑ SIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:Zi-,Pte6C&M.F-� OF- I T>A' oboa-,
SIZE OF IMPROVEMENT
NUMBER OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
WMOWS
IN EXISTING OPENINGS ❑Yes ❑No
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
LENGTH
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
LOCATION OF WINDOWS
OF
Ft.
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS, & PORCHES SUBMrr:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
. (USING THE 1997.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ , S,f OCCUPANCY TYPE
Permit Fee
$3,
a5
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
a -53
.001 times the total job valuation
Surcharge
$
J-. ;t -7
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors) &jx fm p I
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21= $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ _
R -7. fl!c:�
Make checks payable to: City of Fridley Attach Stipulations
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 wh' h requires review and • ippro I of plans.
SIGNATURE OF APPLICANT PRINT NAME DATE
Page 2 - Building Residential Application
BUILDING PERNHT 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
including $2,000
$2,001 to $25,000 _
$6925 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and
including $$25,000
$25,001 to $50,000
$391.25 for 18'$25,000 plus $10.10 for each additional $1,000 or fraction,
to and including $50,000
$50,001 to $100,000
$643.75 for 1- $50,000 plus $7 for each additional $1,000 or fraction to and
including $100,000
$100,001 to $500,000
$993.75 for 15` $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 I' $1,000,000 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
- City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977