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PRE 2010 DOCSSUBJECT IT NO. City of Fridley r.096, THE TOP OF THE TWINS BUILDING PERMI T1 iAT ECEIPT NO COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.33 1 . � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910-F15 3/29/77 JOB ADDRESS 1542 West Bavarian Court N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 17 1 Innsbruck North Townhouses Plat 4 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 (Alpenhof Design) 7 CLASS OF WORK Ej NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26' x 32' Townhouse and a 22' x 21' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Before dig0tng CAN local v+m:1 titEMONE - ELECTRIC - GAS E REQUIRED BY LA SEPERATE PERMIfS REQUIRED ''FOR WRING, HEATING, PLUMBING AND SIGNS. 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 27, 916 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $ 44,770 $22,38 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- $111,66 $375.00 STRUCTION ORJHE PERFORMANCE OF CONSTRUCTION- PLAN CHECK FEE TOTALFEE $27.92 $536.96 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)EN PR PERLY A�'A'TED THIS IS YOUR PERM) BLDG INSP IJA E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR R>;SIDIiNTJAL, ALTEItATJOiN, � Olt ADD1TION BUILDING PERIMIT CI�'Y OF FRIDLEY, MINNESOTA L':�,.:ER T S A:A?•IE : PFA-jw Deo. �O t&. BUILDER : IJ Ah. e. ADD�.ES5: 729& 7,Z' La-ve itlo,-A• ADDRESS: M1;- 6-J428 ?;0: /S4 A STREET:__ e5l 464 !/A`ia-y &tot. -f LOT: ®7BLOCK: ADDITION: P/4 A 4- COF.I;ER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed. building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: '491"Vewh �t.�.,.7ocase_ Front: Z.G� Depth: 3 Z.' Height: Z$' Square Feet: $'-3 2- Cubic Feet: .Z 940 aA-a R e_ Front: 2 ZDepth: Z ► Height: /O Square Feet; '46 Z Cubic Feet: 2 O 'supe of Construction: ,i000t o4 -4-*Pqe: Estimated -Cost: -4x,77 4 T To Be Completed: Slaft& 19T). The undersigned hereby makes application for a permit for the xiork 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. "-,,A-'.0 DATE:% SICNATUP.E :99M� L (See Reverse. Side Tor Additional Information.) d 14 6_9 _ _Z z � � - Y� z... a ,� �� = y� .zcs - 3 3 - -- c2 o s,Viz. 38 a • CI1Y OF FRIDLEr APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address is- Z -�• 2,. _ Dopart-ont 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 •.cork in strict accordance with the City Cedes and rulings of the Dopartriont of Buildings, and hereby declares that all the facts and rearesentations stated in this aonlicatio^. are true and carrer: Fridley, :r. 3 -ate , 19-2-7— OWNER—W/ ��`,�,✓� KIND OF BUILDING USED AS 4/ oz u)1 `°l lJ u—, - � TO BE C0,14PLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST NO. RATE TOTAL X( o hater OLD� NE BUILDING PERMIT N0. PERNIT NO. x $3.00 $ -,29 0 y Future - fixture Opening x $2.00 ?c.atcr Company 14 :;c« ,fixture, Old Opening x $2.00 $ Signed By Catc szn x S5. CG S Wates ..cater - to 99,C00 BT'j x $5.00 a 14 1C:1G3^1 B:j to 199,000 BTU x $10.00 $ i:ater Softener r. $7.00 $ .;ew Grote: 3 Old Building x $S.00 $ ROUGH INSP. o a rt :aF, aec x $5.00 $ GAS FIT:I::G _—ES• FINAL INSP. 1st 3 fixtures o x 53.00 S �•y Date Acditio .a1 Fixtures x $1.00 $ APPROVAL FOR PERMIT t Gas Rage to 193,000 BTU lot nd r. ! I I t I 3rd ( ) Cc: section Gpenina Co:_:ected with Sewer .,ut:"e (*) a _+ iit re, 0`d 01.e ing Water Job Address is- Z -�• 2,. _ Dopart-ont 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 •.cork in strict accordance with the City Cedes and rulings of the Dopartriont of Buildings, and hereby declares that all the facts and rearesentations stated in this aonlicatio^. are true and carrer: Fridley, :r. 3 -ate , 19-2-7— OWNER—W/ ��`,�,✓� KIND OF BUILDING USED AS 4/ oz u)1 `°l lJ u—, - � TO BE C0,14PLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST NO. RATE TOTAL PLj%ING FIXTURE R^ -.TES: OLD� NE BUILDING PERMIT N0. PERNIT NO. x $3.00 $ -,29 0 y Future - fixture Opening x $2.00 $ Company 14 :;c« ,fixture, Old Opening x $2.00 $ Signed By Catc szn x S5. CG S Wates ..cater - to 99,C00 BT'j x $5.00 $ Tel. No. 1C:1G3^1 B:j to 199,000 BTU x $10.00 $ i:ater Softener r. $7.00 $ .;ew Grote: 3 Old Building x $S.00 $ ROUGH INSP. Date Electric +;atcr Heater x $5.00 $ GAS FIT:I::G _—ES• FINAL INSP. 1st 3 fixtures / x 53.00 S �•y Date Acditio .a1 Fixtures x $1.00 $ APPROVAL FOR PERMIT t Gas Rage to 193,000 BTU r. $20.00 $ REPAIRS & ALTERATIONS -irst �,!Go.Co $5.00 $ each a4d. $:.00.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ •S Cl RF;NS?ZCT:0:: FEE E ($10.00) MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 CITY OF FRIDLEY �-�,,-57 - APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU . OIL BURNER- to 3. gal. per hour each add. 3 gal. per hour RATE $12.00 7.00 7.00 4.00 TOTAL $12.00 • $ 4.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 4.00 7.00 6.00 $10.00 10.00 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ uJ (over 199,999 BTU see Fee Schedule) $ • GAS FITTING FEES: v� 1st 3 Fixtures —L x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00- $ AIR CONDITIONING/5�'~ $v.s FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS ALTERATIONS & REPAIRS $ State Surcharge $ .5o TOTAL FEE $_-3 s - 5' V ROUGH INSP. uace FINAL INSP. 1 -2Z 1, - 77 Date APPROVAL FOR PERMIT Job Address �J �' �� "L ter• - 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 Cordes 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 7 "7 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT % ESTIMATED COST ti O v OLD - 6PBUILDING PERMIT NO. PERMIT N0. 6qkb DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam,.Hot Water, Warm Air- /No. Trade Name �'^^ G , rem Size No. y �J - 3, ,'o J o Capacity Sq. Ft. EDR ` BTU HP Total Connected Load y Jf:2 1.1 Kind of Fuel r BURNER - Trade Name Size No. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP _ ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE �ompany Signed By Tel. No. H T LOSS CALCULATIONS HEATING&AIR CONDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Guide Reference 19 Construction No. Insulation Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No F1. Room Length Width / Height J Q FI0, Y!!�N Room I Length Width /y Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area _ of pane of pane lights of crack sq, ft. No W�drh Height No. of Lineal ft. Area of pa a of pane lights of crack sq. ft. ,- y� 1 3 61 �- 2-2- 1 ? 1 2S 1/0 V -S— 139 Coef Btu Coef Biu Infiltration_32-)(W7-t 2-� 93 Infiltration Glass _�U Glass j ® de.J Exp. wall sq y02 Exp. wall / Net exp. wall 3�� .* Net exp. wall / l; c U C Int. wall Int. wall Ceiling Ceiling Floor (Ga ® Cf r2 Floor Total Btu. Total Btu. 0 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 SFI. w, RoomLength Width j Height t FI(g I Length 2.G Width Height Windows an Doors—Crackage and Area W ndows and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No of pane of pane lights of crack sq. ft. Coed Btu Coefl Btu Infiltration Infiltration % 1201 0 Glass Glass �G •fir ®v t� Exp. wall Exp. wall /4/ Z Net exp. wall iZ/ -2 -2 Net exp. wall Z Int. wall Int. wall Ceiling 6 )e/4; -LOQ 4 3 �'� �` Ceiling Floor Floor Total Btu. q03 2 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 FI. I I v i Room I Length % C Width ®d� Height j FI. 14- Room I Length 12_ Width %) Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No. Width Height No. of Lineal ft. A•ea of pane of pane lights of crack sq. ft. No W�drh He�yht Nu. of Lineal ft. Area of pane of pane lights_ of crack sq. ft. Z.- 'L Z 3 e / l ` Z f J' Coef Btu jCoef1 Btu Infiltration y� G� V Infiltration Glass } �y u Glass d �O o Exp. wal I 2-4-Kif 2-4— Exp. wal l Z 2 (o Net exp, wall G `r Net exp. wall Gl U Int. wall Int. wall Ceiling '--"— Ceiling ___-- Floor - -- Floor ��- Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 6 ^equ!red sq. ft. E.C.P,, or sq. ins. W.A. Leader area I SUBJECT 0. of Fridley 23492 AT THE TOP OF THE TWINS BUILDING PERMIT Ir?City IPF NO. • COMMUNITY DEVELOPMENT DIV r � � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY O ---S CITY HALL FRIDLEY 55432 612-571-3450 910415 6/27/95 JOB ADDRESS 1542 West Bavarian Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 1 Innsbruck North Townhouses Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Damon Patton 1542 West Bavarian Court NE 586-0924 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Imperial Siding Inc 140 Hudson Ave N, Big Lake, MN 55309 378-2345 8510 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 O MOVE ❑ REMOVE X 8 DESCRIBE WORK Remove existing deck; Construct 6' x 16' Deck; Reside Dwelling; Aluminum trim 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Townhouse Association approved plan. 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 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 1 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 $8,000 $4.00 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 P RFORMANCE OF CONSTRUCTION $92.00 Fire SIS $8.00 PLAN CHECK FEE TOTAL FEE may.. Licen SIGNATURE OF CONTRACT OR - IZEDAGENT ID EI WHEN PROPE Y VALI ATED THIS IS YOUR PERMIT BL INSP 7iv DATE �- SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW ( ] Effective 1/ 1/95 ...... .ADDN:.:......(.] ............... CITY -•OF FRIDLEY-. - ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2�, Building Permit Application 7 ConstructionAddress: 15�V 41_�• �� C77 - on: Owner Name '& Address:/V1 fly 1�T ,A)c imo-. Tel. # 5Y'6 �I Contractor: MN LICENSE #�D •�� > Address•%�i�'d/fir .��.r,/o��•� Tel. # ��V -- Attach to this application, a Ceitificate'of Survey. of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Width Length Width Length Width t Co Height Height Hgt/Ground Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:°��i`i vim "i Estimated Cost: $ Approx. Completion Date:v (Cosi on Back) Sq. Ft. Sq. Ft. Sq. Ft. Driveway C Cul Width Needed: Ft. + 6 Ft Ft x $ _ $ DATE: 7a APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY- USE ONLY $ 9. () Fee Schedule on Reverse Side $ cc 06 .001 of Permit Valuation (1/10th%) $ 406 $.50/$1,000 Valuation $ $850 per SAC Unit $ S-0 0 ® $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 [ ] S INNSBRUCK NORTH TOWNHOUSES ASSOCIATIO APPLICATION FOR EXTERIOR CHANGES Complete this form and forward it to: Architectural Control Committee 5506 Meister Road Fridley, MN 55432 -- Owner's Full Name: -bNM dm La G Address: ( S 14 Z W. -R tt if A R, (G�t\\j C --c (- - k -r Address of Proposed Construction (if different from above): Owner's Telephone: Home: Work: �3 7?0 x L� ?5 Proposed Construction. Use the reverse side of this form for a drawing to show exact location, 7 if necessary. �� L S (d tJli w t t -u 8r- 60tfi �'� c9r- 4W?- 6 ALv --4 kF--P „�C� w 1 T tt-1'�-- �'t n N G oma` GAS r, fat."r l -f, &/N i) lit, r cr S' f b as , Rj-=P LP-yc�J4/'�-l��i E � i NNA.t t rt -(4 Planned Completion Date: (Required for Exterior Structural Changes) M N) �--- Usm L E -C w 1 0'-'-KAC--- cop(/ PLEASE _READ THE FOLLOWING COMPLETELY BEFORE SIGNING: c i h-,reby understand and agree to the following: 1. To obtain as required by the Committee and/or Board from any of my immediate neighbors who might be affected by my proposed exterior change, preliminary approval, in writing. This preliminary approval shall be obtained and supplied to the Committee upon request. 2. That in the event that final approval to my proposal is given to me by the Committee and/or.by the Board, I hereby agree to assume and be responsible for any costs and liabilities for personal injury or property damage which might arise, both during the construction phase and thereafter. Furthermore, I shall indemnify and hold harmless the Innsbruck North Townhouses Association and all other owners from any such costs or liabilities which might arise. -4- 3. I hereby acknowledge that I will obtain certificates of insurance from any contractors hired to perform the proposed construction. 4. I hereby acknowledge that I must obtain a building permit, when applicable, prior to w beginning any construction and I agree to do so and to abide by all local laws and f,. k regulations which might affect the proposed construction in any way. 5. I hereby agree that the change will be completed in a timely fashion and that any construction project will not continue in an uncompleted state for an indefinite period. 6. I hereby agree to sign a Maintenance Release Form, if requested by the Committee or by the Board, prior to beginning any construction. 7. I understand that under Article 1:X of the Declaration of Covenants, Restrictions and Easements which apply to the Innsbruck North Townhouses Association, the Committee and/or the Board must either approve or reject my proposal or request additional documentation within thirty (30) days after my plans and specifications have been submitted to the Committee. 8. 1 further understand that a waiver by the committee or by the Board of any of the guidelines or conditions which might apply to my proposal shall not constitute a waiver for purposes of any future proposals which might be submitted bym if her owners. Owner ,19�1� --———————————— — — — — DO NOT DETACH — — — — — — — — — — — — — — — — — The undersigned hereby releases I.N.T.A. (Innsbruck North Townhouses Association) from all maintenance responsibility to 'the exterior change proposed on .the attached Application for ;.terioi -Charge; and fsrthcr states that said change will be maintainedei a time period not to exceed normal I.N.T.A. maintenance cycle (once every four years). In addition, the undersigned acknowledges that any potential future buyer shall be provided with a copy of this agreement prior to closing of sale. Owner —5— 19 t • a� - + N ' I , --� - ---ter-� `�\ - SUBJECT c 'oPIM City of Fridley _Z 1 � i AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. �� PROTECTIVE r " I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/14/00 108 ADDRESS 1542 - 44 W. Bavarian Pass 1 LEGAL LOT NO. BLOCK TgACTOR ADDITION SEE ATTACHED DESCR. 17,18 1 Innsbruck North Townhouses Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRES nnS rUC OWn Ome Associatmen PHONE x&3dmzkxRxwEzkxRmafjmBx>zm :;x8 xgxx2tkc2 x xNXxxn 651-224-5482 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Garlock -French Roofing Corp., 2301 E 25th St., Mpls., MN 55406 612-722-7129 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 00001423 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION O ALTERATION IN REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Tear Off and Reroof Townhouse Building 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code Permit Inspection Cards Will Be ailed To Homeowner To Post SEPARATE PERMITS ARE REOUIREO 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 I HAVE READ AND EXAMINED THIS APPLICATION 2 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 $P 17 90O 2O $8o95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ` s a DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL EE $320.10 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEi ENP OPE ALIDA ED NIS IS =R�MI �� _ff 1/0 BLO qf,NSP TE S-GNATURE OF OWNEPoF OWNER BUILDERI 13ATEI 1 7-12-200 11:SSAM FROM 6127229754 NEWADDN I l CITY OF FRIDLEY ALTER (� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: _ Owner Name & Address: Contractor: 5g2,- fME3 `%2� Effective 11112000 12-672-3604 Bldg Insp �ssac; �i>�rnel. # y - 511t MN LICENSE # =01 qa3 S Al N SS�In Tel. # (0l,2 - lap - -70 9 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. FL GARAGE AREA: Length Width Height Sq. FL DECK AREA: Length Width Hgt/Ground Sq. FL OTHER: Construction Type: Rg0k. n a Estimated Cost: S o Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x S = $ DATE: (P/2 0 J2 APPLICANT: Ui )I ,10�n Tel. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (612) 572-3604 for Permit Fees If mailing in application 3. Z - Fee Schedule on Reverse Side $ l`%. 96 1 .001 of Permit Valuation (1/10th%) $ S •9S— $.50/$1,000 Valuation $_$I 100 per SAC Unit $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ N ,A ITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002 of 43`1 University Ave NE `;ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES a. .c� J �� JOB ADDRESS /5 ,2 I.U`�5� i IG(34 rf Wl�1_ n RATE SCHEDULE A c - N esiden'tial Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Q ~ Gas Dryer "Air Conditioning All Sizes Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work -'n :ommercial/Industrial 1.25% of Value of Appliance or Work LLw o State Surcharge TOTAL FEE 0 U- 9INIMUM FEE FOR ANY HEATING/COOLING/VENTILATION ,.., tEFRIGERATION/AIR CONDITI®KING PERMIT 1S $25.00 �? 'LUS THE $.50 STATE SURCHARGE 03 m ;EINSPECTION FEE $47.00/Hr m ry '� Air Conditioners can not be placed in a side yard without iritten permission from adjoining property owner. OWNER MIL I).d sVV CA11A-Q TOTAL Tt BUILDING USED AS 41 $ - Oa 'D ESTIMATED COST 5 ' ao PERMIT NO. DESC IPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) ( ar it $ Trade NiTe Size No. 3 ® 07� BTU I HP EDR $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE c�- iBLAINE HTG. Ate ELECT., INC. 13562 CENTRAL AVE. N.E. HEA`f"ING CO AMMA RA i rranA Signed FAX # .Approved By / tiv� Raugh-In Date Final Date J�'_t-i-16-2002 08:32 FROM CITY OF FRIDLEY TO ?5?6?01 P.02/02 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR -THE APPLICATION WILL BE RETURNED COMMON VENT, VENT C NNECTOR AND COM611STION AIR VERIFICATION When nepjarinj3 an exp tang furan _ , 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 K.) 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-GAiMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes � No( ) The existingrsom�i��#'�n air is sized and installed to meet the current codes and manufacturer's specifications. Yes ) No( ) When required to install a caw_ camhusttion air, itwill be sized and installed to meet the current codes and manufacturer's specifications. Yes No ( ) When ' " a new venting system, the undersigned hereby verifies that it is a listed assambly and meets the current codes and manufacturer's specifications. This does include AGA-GANIA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes h'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. Yesi. No( ) A3213lianep Ty pp and Si p/Common Vent and Vent CnI313 =r, Informafinn Appliance #1 Type rnact BTU Input 30, M 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 Stu 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 HEATING CO: Signed By: `9356?. CENTRAL A!!E. N. ANOKA, ION 55304 E. ,, rs Date : 4 TOTAL P.02 ADDRESS _10 (— R vaN,&vl t-4 AJC OCCUPANT` �D, r aA HEATLOSS 9 DATE HTG. INST. SOLD BY� ` N _ _ . l IAs `PG Electrical Work By S TYPE OF HEAT GA_ FA -4— HW STEAM-- SPACE HTR. t ►,� f fL� rr :'moi 1�i+i THERMOST'kT f Value LA/ 14 l CONTROLS U Heat Plug tf Limi O Limitsetti 260 Fan Setti Pilot Type Pilot Make Pilot Model I Pilot Timi lr LA. Cut Off Pressure Percent CO2 T Input GFH Percent OZ Stack Temp. Percent CO 0 APT. FLOOR CITY& SUBURB OWNER a w, 1 INSTALLED BY Gas Line By UNIT HTR. OTHER CONVERSION �� l Vent Size KIND OF LINER 141Vli SIZEE NONE Draft Hood Ul � e Regulator Filters Slze Gt }� [L( Number Chimney LocationInsi� Outside Chimney Construction s� UCS S Smoke Bomb Wiring 7� Draft Test Ti Door Pressure Lighting Inst. S Date Tested Company Testin r'L-- 4W,t; P� Name of Tester t t - Pressure Percent CO2 Input CFH Percent 02 Stack Temp. Percent CO CITY OF FRIDLEY INSPECTION DIV. 3431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK Nt]MRFR OF FDM IRFR T(l RF 1WRTAI I Fr1 [IPI FA(_u GI nnC? 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 NflIF itS &401E12— The 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 Bauilding Division, and hereby declares that all the facts .and representations staters in this ,e and correct. DURAND, PHILIPS 1542 BAVARIAN COURT f '20 3 FRIDLEY, MN 55432 (763)571-3361 Owner _ Building Used As j e6 lD�%J Com. Estimated CostLlf\oPERMIT NO. PLUMBING COMPANY Oi iat�M PLO A)& Reinspection Fee $47.00/Hr SIGNED BY S� Lam- TEL N0.4/0 -NZ% -410 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -in Date Final Date State Surcharge S .50 R ANY PLUMBINGIGAS PERMIT IS $20.00 TOTAL FEE $ M- PLUS THE S.50 STATE SURCHARGE .COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT.. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 O 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 () 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 appliancehas been. -.removed from the common vent and vented. separately aspercurrent 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 in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe)