PRE 2010 DOCSf1
City of Fridley,Minn- 1 1 2 3 0
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date:_ October 28, 1971
Owner:. View -con, Incorporated Builder Same
Address 590. Brooklyn B-ulmrard Address Same
LOCATION OF BUILDING
No 5502 Street West Bavarian Pass _— _ Part of Lot
T.ot 6 Block 11 Addition or Sub -Division Innsbruck North Tnhs. Site
Corner Lot inside Lot X Setback -- Sideyard
Sewer Elevation Foundation Elevation
�In�v'j%d a :
mnc,nh n„ c P lin i i- Front 201 Depth -31' Height -21!— Sq. Ft ....6201 cu. Ft. 17,36Q'
Front -2.W— Depth 22' Height 1D' sq. Ft. _440 _ Cu. Ft 4a4A0'
TAX of Construction Wand '.ramp Est. Cost — $20, 694.60 To be completed Jan. 15. 1972
Stipulations: All walls dividing units to be of 1 hour fire construction. That is
518 inch sheetrock on either side of each stud wall.
Provide 10 foot wide plato at elevation 857 for future walk around the lake. All
parking lots and street grades must be greater than .6%. Area to be platted and filed
before occupancy of units.
In consideration of the issuance to ane of a permit to construct the building described above, I agree t9 do
'the proposed work in accordance with the description above set fort4 and in compliance with all provisions of
ordinances of the city of Fridley. — 117
In consideration of the payment of a fee of $ !t --0 _ , permit is hereby granted toyi Pwc�nn. Tri r•
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
Findley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
}Within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
0
` �� ,
1� ��•r�...�j;�� Building Inspector
HANK MUHICH
NOTICIE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these items.
I
FA
5
("A" unit)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S KAM : VIEWCON, INC. BUILDER: VIEWCON, INC.
ADDRESS-,® 5901 Brooklyn Blvd. ADDRESS: 5901 Brooklyn Blvd.
NO:. 5502 STREET: West Bavarian Pass
IAT: 6 BLOCK: 11 ADDITION: Innsbruck North Townhouse site
CORNER LOT: INSIDE LOT: X SETBACK: -- SIDEYARD; --
Applicant
Applicant attach to this form Two Certificates of Surve of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Individual
Townhouse Unit Front: 20' Depth: 31' Height: 28'
jAsa Unit: 620 -V144--'-
Square
V144-_-
Square Feet; 440 Cubic Feet: 4,400
Type of Construction: wood frame Estimated Cost; $ � ,��" � 0 9 % 51-117i�7
To Be Completed: 15 January, 1972 �l
1d1�t73 0-61
7 ?0i," C v, /= l
The undersigned hereby makes application for a permit for the work herein ;t 17 4
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 stat this Annlicaxin /0 S' C'
are true and correct. s / 7`f ®�
DATE: -,10/13/71 SIGNATURE
(See Reverse Side For Additional Info tion.j r
7-6
jr
" -� r �. fie:`"
6.23�� ty11
Square
Feet :F i n :
1240 Cubic Feet:
17.360
Garage
9 f
Front;
20'
Depth: 22'
Height: 10'
Square Feet; 440 Cubic Feet: 4,400
Type of Construction: wood frame Estimated Cost; $ � ,��" � 0 9 % 51-117i�7
To Be Completed: 15 January, 1972 �l
1d1�t73 0-61
7 ?0i," C v, /= l
The undersigned hereby makes application for a permit for the work herein ;t 17 4
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 stat this Annlicaxin /0 S' C'
are true and correct. s / 7`f ®�
DATE: -,10/13/71 SIGNATURE
(See Reverse Side For Additional Info tion.j r
7-6
jr
" -� r �. fie:`"
6.23�� ty11
b
U b
_ r .
j
--- --fir------ �-----`----7----- -7 ';
Y
i
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs hq;hLe 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
G7
e
............ x$3.25
$
ROUGH
Electric Water Heater
12
i
Z
K
8 Z
Ci w Z • •
Z O 6 Z W
WATER HTR.
GAS FITTING FEES:
NO. RATE
TOTAL
1st 3 Fixtures ..........................
x $2.00
$
�Z_ —CI-)
Additional Fixtures ....................x
$ .75000
$
TU....
Gas Range to 199,000 BTU..
QQ
�o N
GAS
EIEC.
m
REPAIRS & ALTERATIONS—Refer
to Code
Base
r
1st
2nd
!
�'4
3rd
4th
—
• Future Connection Openings
Connected with
e New Fixture, Old Openings
I
Sewer
Cesspool 0
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ....... ............../ x $2.00 $ 406
Future Fixture Opening ................ x $1.50 $
New Fixture Old Opening .............. x $1.50 $
Catch Basin ...... x $3.25 $
Water Heater (Up to 99,000 BTU) ...... x $3.00 $
City of Fridley:
The undersigned hereby .makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that -all the fact
and representations stated in this application are true and correct.
Fridley, Nll= 192f
Owner / 'p � a o f
Kind of Building _—A
y� P
Used as �✓ mrd ��i�� moo'
To be completed about
Estimated Cost, $ /000
Old --"e Building Permit No. Permit No. 0 l
Signe - ® o
Byc�
Business Phone No- Ste/
New Ground Run Old Bldg.
............ x$3.25
$
ROUGH
Electric Water Heater
z $2.00
$
FINAL
GAS FITTING FEES:
NO. RATE
TOTAL
1st 3 Fixtures ..........................
x $2.00
$
�Z_ —CI-)
Additional Fixtures ....................x
$ .75000
$
TU....
Gas Range to 199,000 BTU..
.qx $5.00
$ %®,
REPAIRS & ALTERATIONS—Refer
to Code
Description ................................................$
TOTAL FEE
Appikation dor Power Pkwft and Heaft Coang. Venflkdon. Rob jai n and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Edge. Phone sea -M
GRAP*TY WARM AIR: RATE TOTAL
Furnace SheU & Duct Work ................ $10.00 $
Replacement of Furnace ..... . ..... .. 6.00 ;
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $__
MECH. WARM AIA
Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 $— each add. 60,000 BTU .................... .. 3.00 i
Replacement of Furnace .. .... 6.00 $
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 .... .. &W $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $.----
Furnace
. ___Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_
Each add. 200 sq. ft. EDR Steam 33.00 $--
Each
—_Each add. 320 sq. ft. EDR Hot Water 3,00 $
OIL BURNER—to 3 gal. per hour 6,00 $ _
over 3 gal, per hour—See Fee Schedule
GAS BUR (up to MOW BTU) 8.00 $ X
over 199,000 BTU See Fee Schedule
GAS FITTING NO RATE TOTAL
1st 3 Fixtures x$ 2,00 $ X
Additional Fixtures x .78 $
Gas Range to 199,000 x$ &00 $
=,V.
0
o 1,",:.
.
ROUGH
FINAU q— 3 6 -- _/ i
Soo Fee sebadulo
TOTAL. FEE$�
(SURCHARGE
Location, 5502 W. Bavarian Pass
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir
specified, agreeing to do all work in strict accordance with the City OrdinanceE
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated -in this application are true and correct.
Fridley, Minn_ Dec embex 1 ?i, 1 q7 . 19 _
Kind of Building - Fra>Tle
Residence
Used as
To be completed about __Ja�uax'y. 19%2
Estimated Cost,
Old—New. Building Permit No. Permit No. ®.
6)-> 1 " a• .
HEA1 ;NG or POWER team, Hot Water, Waren Air—No l
Trade Name Bryant Size No 393-80
Capacity Sq. Ft. E.D.R_ 80 . 000 BTU
Total Connected Load 46.400 Kindof Fuel Nat. Gas
BURNER. — TradeName Size No
Capacity Sq. 14'1. EZA BTU .
(REMARKS—OVER)
cation for Power Plants and Houthig, Cooling, Vents G&R, Re i�arafion and
JUr Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIA:
MTN TOTAL
Furnace Shell & Duct Work ................
.. $10.00
Replacement of Furnace .... . ..... .. .....
6.00 t
Repairs & Alterations—up to $500.00
6.00 $
Repairs & Alterations each add. $500.00
3.00 $---_ _
MECIL WARN AIR
Furnace Shell & Duct Work to 190,000 BTU ........
..$10.00 $
each add. 60,000 BTU ....................
.. 3.00 ;
Replacement of Furnace . ..
.... 6.00
Repairs & Alterations—up to $500.00
6.00 $
Repairs & Alterations each add. $500.00 .... ..
.... 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $.
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_
Each add. 200 sq. ft. EDR Steam 3.00
Each add. 320 sq. ft. EDR Hot Water 3.00 $
OIL BURNER—to 3 gal. per hour 6.00 $
over 3 gal. per hour—See Fee Schedule
GASB (up to M,000 BTU) 5.00 $
over 199,000 BTU See Fee schedule
GAS PITTING NO RATE TOTAL
1st 3 Fixtures $$ 9.00 $
Additional Fixtures x .76 $
Gas Range to 199, a$ 5.00 $
�i414,• . y
is
Dept. of slags. Phone
i � V / / j
Lo=flen, 5 a � . AQ , _! �, .,2.2 "/ALJ
.5Y0/
City of Fridley:
The undersigned hereby makes application for a permit for the work :hereir.
specified, agreeing to do all work in strict accordance with the City Ordinance.
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Kind of Building
Used as_11�_ _.
To be completed about
Estimated Cost,
Old—New. Building Permit No. Permit No.,c.r�
PEBCWTION OF WORK
EIFA77NG or POWER seam, Hot Water, Warm Air, No.14��
Trade Name Size Nm
Capacity Sq. Ft. E.D.R BTU BY
Total Convected Load Kind of Fuel
BURNER — Trade Naenp Siwe No
S./ %� ®0 Capacity Sq. Fie ZMA BTid
eee Foe Schedule
TOTAL nm $ Sim
i
By l .YL�
No 780
(REMARKS -OVER)
PARTIAL RATE SCHEDULE
PLDMSING FIXTURE RATES: NO. HATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Opening .... o ...... x $1.60 $---
New
.•New Fixture Old Opening .......... x $1.60 $
Catch Basin .................. . . x $3.26 $
Water Heater 'Up to 99.000 BTU) ®• • • x $3.00 t
City of Fridley:
The undersigned hereby makes application for a permit for the work herei,
specified, agreeing to do all work in strict accordance with the City Ordinance
and railing of the Department of Buildings, and hereby declares that all the fact'
and representations stated to this application are true and correct
Fridley. Sept„ 140 1972 -
Owner
972 OwDarrell Farr Deva Co.
Kind of Building f me
Used as residence
To be completed about Septa 18, 1972
Estimated Cost, S 10.00
Old- New. Building Permit No. Permit No. �- / 7 i✓
Signe
By
L
Business Phune No
New Ground Bun Old Bld g.x$3.25 $ ROUGH
... m m ...
Electric dater Roster .............. a moo $
GAS FITTING FEES-. NO. RATE TOTAL
Ist 3 Fixtures .......... • .... , • • 1 x $2.00 $ 2,00
Additional Ybdures........... • .... x $ .76 $
Gas flange to IM,000 BTU ....... m • ... x $6.00 $ j _ 00 ( 1) gas lite
State Surcharge $ .50
REPAIRS S AL TIO t®r to Cc&_
�i
..$Description moao..eo.e..mae.em.o..•.•moo......•.•.••e.•
TOTAL MM $ 5. L0
. 53-34-9915051 t✓j1y 0,4
Apa^••l1C:!i:lc?ii for pit11• c.:a r3 do• Irstio-3. ., ? , . ..
• —.�. Dop't. of Bldgs. Phone SM -34W
• DESCRIPTION O: V.OI:i Loratloz. ' 5502 Wast Bavaria P -as - ---
NumS:r. Xisd s-nd Loc-!!oa of Fixtures .
• FL:.::o Ccr:a:i.cn Gj:.n'.r.:• ucaa: (]
rox:-iro. Old 074zings Cc:cpaol (]
PARTIAL RATE SCHEDULE
LMABITIC F XTJI?E RATES:
HO. RATE
. TOTAL
S2.0-0.
$ -
Number Fixtures ....
Ftiture Fixture Opening
wAitx wrx.
ew Fixture OOpening.....:....
1;ki
x $1.50
x $3.25
$ —
Catch Basin.
--
Water Beater 'Up to 93,000 BTUs • • • •---.-----
x $3.00
S
• New Ground Run Old Bldg....:... •-.-------
x ,3.25
S_-
-
T, 6c t rtc
ElKtrtc V,,&. - Vestat... • .:..... • ...r.------
s $2.00
5
NO. TOTAL
FinTr
ilS FITTING FEES:
S
1st3Fixtures ••••••••••••••••"-----xS:•03
x $ .75
S
E3s
,.,z 1993 000 BTU ..... • .....--•-------
Gas R....+r to
x $5.00
,'r-.—�
,
i s'c.11
grjL1
3:d
4th
• FL:.::o Ccr:a:i.cn Gj:.n'.r.:• ucaa: (]
rox:-iro. Old 074zings Cc:cpaol (]
PARTIAL RATE SCHEDULE
LMABITIC F XTJI?E RATES:
HO. RATE
. TOTAL
S2.0-0.
$ -
Number Fixtures ....
Ftiture Fixture Opening
$1•50
ew Fixture OOpening.....:....
1;ki
x $1.50
x $3.25
$ —
Catch Basin.
--
Water Beater 'Up to 93,000 BTUs • • • •---.-----
x $3.00
S
• New Ground Run Old Bldg....:... •-.-------
x ,3.25
S_-
-
T, 6c t rtc
ElKtrtc V,,&. - Vestat... • .:..... • ...r.------
s $2.00
5
NO. TOTAL
FinTr
ilS FITTING FEES:
S
1st3Fixtures ••••••••••••••••"-----xS:•03
x $ .75
S
Ad4iticnal Fixtures ............... -----
,.,z 1993 000 BTU ..... • .....--•-------
Gas R....+r to
x $5.00
,'r-.—�
,
City of FZ'idley:.
The undersigned hereby makes application for a Permit for the, work here
specified, aC.- Being to do a'2 work is :tract accordance with the Cit? Ordiranc
and ruling of the Dt:trpar ent of Build.'n�, and hereby declares that all U f:
• and r`prese-rtations state in th.- application are true and co.
Fridley, Man 5-19-76 19_
Owner
Robort Potzold
'
Kind of Building
Used as
5-26-76
To be completed about
Estirrated Cost, $ / 9 e
Old—New. DUilding Permit No. -
SiZnc
--
By MINNEGASCO
Businc-ss Phone No
ROUGH •
FINAL. 2
R_r? l:l?S k AL T ERATIONS_?.e:es to Code
.:SO State Surcharge
.hescri;.tlon...............:........,............... � -- •-
TOTAL. Fr.:.s. $--5.50
SUBJECT
PERMIT NO.
City ®f Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT2
5i7
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
IL"'"ik"
612-571-3450
910-F15
5/18/94
JOB ADDRESS 5502 West Bavarian Pass NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
6
11
Innsbruck North Townhouse SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dicks Fire & Storm 864 19 Ave SE, Minneapolis MN 557RI-6170 2481
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 Garage (Tear -off); Install gutters
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. 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
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS I 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
$2109
$1.06
WITH WHETHER SPECIFIECFHEREIN OR NOT. THE GRANTING OF A PERMIT
9
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$54.00
Fire SC $2.11.
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$62.17
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
ERLY ALI DATED THIS IS YOUR PERMIT
gH
P ~DATE
SIGNATURE OF OWNER t IF OWNER BUILDERI IDATEI "'
NEW [
ADDN CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 5502 - West Bavarian Pass
Legal Description:
Owner Name & Address:
Contractor: Dicks Fire and Storm
Address: 864 - 19th Ave. S.E., Mpls., Mn. 55414
Tel. #
Effective 1/ 1 /94
MN LICENSE # 2 4 81
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. # 781-6170
LIVING AREA:
Length Width
Height
Sq. Ft.
GARAGE AREA:
Length Width
Height
Sq. Ft.
DECK AREA:
Length Width
Hgt/Ground
Sq. Ft.
OTHER: Remove
and replace roofing on garage.
Install gutters.
$ t*
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Roofing /gutters Estimated Cost: $ 2,109 0 0
Approx. Completion Date:
STIPULATIONS:
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: 5 S !94 APPLICANT:
Dicks Fire and Storm Tel. # 781-6170
CITY USE ONLY
Permit Fee
$ Z
Fee Schedule on Reverse Side
Fire Surcharge
$ t*
.001 of Permit Valuation (1/10th%)
State Surcharge
$ `
$.50/$1,000 Valuation
SAC Charge
$
$800 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.0 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [) Not Necessary [ ]
TOTAL
$
STIPULATIONS:
sue�ECT
\
City of Fridley
AT THE TOP OF THE TWINS
®UIL®I1\G
PER1.
�I �A TJaN
1I 1®
`L ______ COMMUNITY DEVELOPMENT DIV.
SEC
: PROTECTIVE INSPECTION
��r
E _ 1 CITY HALL FRIDLEY 55432
IL
NUMBER
REV
DATE
PAGE OF
APPROVED Br
--"A j 612-571-3450
910-F15
6/8/00
JOB ADDRESS 5502 t 06,10,14,18, 22 W. Bavarian Pass
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DES CR.
1-6
11
Innsbruck North Townhouse Site SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Innsbruck Townhome Association
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
❑ NEW ❑ ADDITION ❑ ALTERATION kE7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Building
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Permit Inspection Cards
Will Be Mailed
To Homeowner To Post
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 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
1 HEREBY CERTIFY THAT 1 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
$8.33
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$16,674.56
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-
$279.25
Fire SC $16.67
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
304.25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE,
HER P VALI AT D THIS PERMIT
FOUR
BLD ,NSP OA ITE
S.GNATURE OF OWNEROF OWNER BUILDER, IDATEi
-- k
NEW [ l Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY 612-572.3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
( 3
BUILDING PERMIT APPLICATION
Construction Address:' (O 1 l 2�- �•' Gt.� C�G'LS S .
Legal Description:
Owner Name & Address:
Contractor: I G G—
Add
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
# (65i -;Ug - 5N�'2
MN LICENSE # C D I q a3
> �Tel. # Q- 7Da-'71�
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 Width Hgt(Ground Sq. Ft.
Construction Type:
Rm�'na Estimated Cost: Lo 1) (P -7 q. S\ -a
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: (PAPPLICANT: �1� �� Tel. #
CITY USE ONLY - Call (612) 572-3604 for Permit Fees if mailing In application
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $_�_ d �� .001 of Permit Valuation (1/10th%)
State Surcharge $., $.50/$1,000 Valuation
SAC Charge $ $1100 per SAC Unit
License Surcharge $5.00 (State Licensed 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:
Building
$
BUILDING
Plan Review
Permit No.:
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
Received By:
763-572=3604
$
CITY OF FRIDLEY
Date Rec'd: d
DATE "6
YOUR E-MAIL ADDRESS
C ! s°►iL
SITE ADDRESS
$1675 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
THIS APPLICANT IS:
❑OWNER CONTRACTOR
Erosion Control
PROPERTY OWNER/
NAME:
Park Fee
TENANT
Fee Determined by Engineering
Sewer Main Charge
$
ADDRESS:
CITY STATE ZIP
$
PHONE:
CONTRACTOR
NAME: /
SUBMIT A COPY OF
STATE LICENSE # EXP DATE
YOUR STATE LICENSE
ADDRESS: y
CITY TA P , r�1
WITH APPLICATION
PHONE d. — I I Y I tj FAX
PROPERTY TYPE
INGLE FAMILY/NEW CONSTRUCTION
SIZE
❑ TWO FAMILY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED
❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF
❑ DRAIN TILE
❑ DECK WIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR &REMODELING
DESCRIBE WORK BEING DONE: I� e
SIZE OF IMPROVEMENT LENGTH
WIDTH HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
I. Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2. Proposed floor plan
3. List of structural member; to be used
PROPOSED HEIGHT:
IDINGFOR
NEW CONSTRUCTION INCLUDING DECKS,
Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
WINDOWS
2. Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No 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)
TOTAL JOB VALUATION $4 6 ® 6 OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$ j® _CTS
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1675 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
$
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 which re uir s review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME UJA.M#n ---DATE91(� !