PRE 2010 DOCSSUBJECT PE
City of Fridley
_ 161
AT THE TOP OF THE TWINS
BUILDINGr D [RvI
�
RECEIPT N
• __ COMMUNITY DEVELOPMENT DIV.
i
r PROTECTIVE INSPECTION SEC.
7 5
/---1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF APPROVED BY
612-571-3450
910-F15
5/12/81
JOB ADDRESS 5600 West Bavarian Passe N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
10
Innsbruck. Villages SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel A. Farr Development 4600 Lake Road, Robbinsdale, MDT 55422 536-9936
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Resi-..den tial
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 24' x 35.5' Townhoime and a 20' x 21.5' Garage
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
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
$ 44,251 $22.13
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-
$91.74 $425.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$ 5 .81
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN P OPERLY A T IS YOUR PERMIT
SP GATE
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS).
Address,: 00 Address:
No.: -
No.: �1r�/i'�iLriC�h■
LOT: BLOCK: eD ADDITION:
,%
CORNER LOT: . y INSIDE IAT: SETBACK: VSIDEYARDS:
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:
i
&Iz & Front: a Depth: Jam; J� Height: oZ D
Square Feet: Cubic Feet:
Front: o Depth: S Height: l
Square Feet: Cubic Feet: `/3 V V
C-0Type of Construction: Estimated Cost:
To Be Completed: /Alt, A Alt. B
Proposed Driveway' Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true land correct. See reverse side for additional information
DATE: 02 % l SIGNATU
Stipulations:
91. 7V
X. 9-1
aa. 1.3
4az5
CITY OF FRIDLEY
APPLICATION FOR PUIMLI'NG AND GAS FITTING PEWIT
PARTIAL RATE SCHEDULE
t
NO.
RATE
TOTAL
Nu -v* er Fixtures
16 x
$3.00
$ 30, 0 (3
Future Fixture Opening
x
K
d
New Fixture, Old Opening
Water
$2.00
$
m
R
$5.00
$
�S
r3ro'
Z_ .0+
m
N
a
100,000 BTU to 199,000 BTU
•i
o,
�.14m
w
'rater Softener
x
Heater
$
New Ground Run Old Building
x
$5.00
cm
Electric Water Heater
x
u
GAS FITTING FEES:
CE
lid
vrtf
¢�tl
lst 3 fixtures
$3.00
$ 3.0O
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
C
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
0
O
State Surcharge
0
$ .50
N
+i
$ 3 L s -p
4�
M
N
.0$C4
A.►ta
wcn
W
U m
�G 3
0
t
O
as
lee
ll
�
1st
2nd
3rd
S
4`, '7
(R) = Future Connection Opening
Connected with Sewer
() = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Nu -v* er Fixtures
16 x
$3.00
$ 30, 0 (3
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
— x
$5.00
$
slater Heater - to 99,000 BTU�_
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
'rater Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
lst 3 fixtures
% x
$3.00
$ 3.0O
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ 3 L s -p
REINSPECTION FEE
($10.00)
Job Address ri O C,r U ) A i Tv- t *n - - ��0 N k
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, Mn. 19
KIND OF BUILDING
USED AS e \
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO.' PER14IT NO.
Company K
G
Signed By r
Tel. No.
A"--iZj% ca
ROUGH INSP.
Date
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
CITY OF FRIDLEY
63-8h-416051 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
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Water
Heater
s
lec
1st
2nd
3rd
4th
(R) = Future Connection Opening
(*) = New Fixture, Old Opening
Connected with Sewer
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures• $ 5.0U $
Future Fixtures $ 3.50 $
Old Opening, New Fixture $ 1.50 $
Beer Dispenser $ 4.00 $
Blow Off Basin $ 5.00 $
Catch Basin $ 5.00 $
Rain Water Leader $ 5.00 $
Hydraulic Valve $ 5.00 $
Sump or Receiving Tank $ 5.00 $
Water Treating Appliance $ 7.00 $
Hot Water Heater $ 5.00 $
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
18 of Value of Fixture or Appliance $
Reinspection Fee $ State Surcharge $ .50
($15.00) TOTAL FEE $ 10.50
E tective Aug. 1, 1981
Job Address 5600 W. Bavarian Pass
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
OWNER V KILL1.
KIND OF BUILDING .frame
USED AS res.
TO BE COMPLETED ABOUT
Fridley. Mn. 12-30-81 , 19
1-6-82
ESTIMATED COST 50.00
OLD - NEW BUILDING PERMIT NO.
ROUGH INSP.
Date
FINAL INSP.
Date
PERMIT NO. 81"Hon
Company
Signed By
Tel. No.
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Water
Stories Closet
Bath
Urinal Tub
Shower
Wash Drink. Floor Catch Auto.
Sink Tray Fount. Drain Basin Washer
Gas Gas Misc.
Appl. Range Fixt.
Water Heater
Gas lElec
Basemen
Floor 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES:
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
NO. RATE TOTAL
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
$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
State Surcharge .50
JOB ADDRESS UO -0 t 6
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 true and correct.
,199L
Owner ::!5:' `- A-)
Building Used As S 6J
Estimated Cost PERMIT NO. o ��
PLUMBING, COMPANY��
�MBNTo EGASM
Approved By-- Rough- n Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
TOTAL FEE PLUS THE $.50 STATE SURCHARGE
SUBJECT
PERMIT NO.
of Fridley
PCity
AT THE TOP OF THE TWINS
BUILDING PERMIT
Ir ,
RECEIPT NO.
• _ COMMUNITY DEVELOPMENT DIV
a. PROTECTIVE INSPECTION SEC.
r s ;
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED 8Y
612-571-3450
910-F15
5/7/96
JOB ADDRESS
See Below
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
V
SHEET
Iariou
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Various
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Columbus Exteriors Inc 2131 Ill T.n,. ronn Rapids MN 55433 868-
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Townhouses
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside
9 CHANGE OF USE FROM TO
STIPULATIONS
5600,5602,5604,5606 West Bav ian Pass; 5601,5603,5605,5607 West
Bavarian Pass; 5610,5612,5614,5616 est-Raver-#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; 5661,5663,5665,5667 West Bavarian Pass; 5671,5673,5675,5677 West
Bavarian Pass; and 5681,5683,5685,5687 West Bavarian Pass
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
44
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
@@
$228,800
$114.40
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-
$1,532.25
Fire SC $228.,80
STRUCTION R THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
Zrz_89�
License SC $5.00
$1,880.45
5F CONTRACTOR OR AUTHORIZED AGENT IDATEI
1Gy/ l�1 O
HEN PROPERLY DATED THIS IS YOUR PERMIT
V/�
-
BLDG SP DATE
-
S,GNATUREOFOWNERoFOWNER BUILDERI IDATEI
1511
1513--T5'5
5697
SS6gf
13
5693
-(50
N
65 ,
-'- — - - --T 4
31-535r L �'
1533 1535
TRAPp COURT
5126 3624
4
5620 5622
1510 1 1516
5616 614
;N
1511 1517 5610jj
612
5 604
1513 1515 ( I n
00 5602
INNSBRUCK ]DRIVE
NORTH
INNSBRUCK VILLAGES 111
t
15
Lot Block 24
CTT: 11/9^9
NEW [ J
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress:
Legal Description: _
Owner Name & Addr
Contractor: C, L�
Address: -9%3 / /// 7'11
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
r
�J � ✓='� �
Effective 3/1/96
Tel. #
L MN LICENSE # s �U
Tel. #��-
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Comer Lot [ J Inside Lot [ ]
Type of Construction:
Approx. Completion Date: _
DESCRIPTION OF IMPROVEMENT
Ft. Yd Setback
Driveway Curb Cut Width Needed:
DATE %- f�-
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Width Height Sq. Ft.
Width Height Sq. Ft.
Width H�t/Gro d 3q. Ft.
r� l�A-) l It U_IaI C)(9
Side Yard Setbacks
Estimated Cost: $ 9 900
(Cost on Back)
Ft_ + 6 Ft = Ft x $
= $
Tel. # ,/ i Z - (55X
CITY USE ONLY
$ 153.2.a-5'-
Fee Schedule on Reverse Side
$ t66
.001 of Permit Valuation (1/10th%)
$ 411)
$.50/$1,000 Valuation
$
$900 per SAC Unit
$ ,Jr. DU
$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 [ ]
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432 /0f a,
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On May 10, 1999
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
JOB ADDRESS 5600 W A4V#4i4AJ i0.4.CS
New Fixtures
$ 7.00
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
Beer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated in this application are true and correct.
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Owner �Au f Pru 14
Water Heater -Electric
$ 7.00
Water Heater - Gas`*
$10.00 _�
Building Used As Aln z
Gas Range**
$10.00
Gas Dryer*'
$10.00
Estimated Cost S65-'00 PERMIT NO. � �
Back Flow Preventer Required ( )Yes () No
Type
$15.00
PLUMBING COMPANY T &A$e 0Ve4,4 cde_A,2_ J04,64
Reinspection Fee $47.00/Hr
SIGNED BY E TEL N0. S1a -cPFfe)
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
2�'6
�12'�'�
Approved By Rough -In Date Final Date l
State Surcharge
$ .50
TOTAL FEE $ oZ _50
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
CITY OF FRIDLEY INSPECTION DIVISION 1O/ /41
6431 University Ave NE l
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
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
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
JOB ADDR
OWNER_
Rate TOTAL
$ 30.00 $
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ 25.00 $
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
$ .50
BUILDING USED
Effective On May 10, 1999
C
ESTIMATED COST R600.00 _0.00 PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units—t _ Circle One (Steam) (Hot Water)arm Air
Trade Name R-o!2� 5 i_ Size No.aq
BTU, _HP EDR
Fuel=f� Total Connected Load
Burner Trade Name 1 a Size No. aut)000
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
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are•true and correct.
TING
Approved By
Rough -In Date
Final Date I �d`9
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed. By:
Date:
CHD4NEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney or
stack:
1.
Has been carefully examined
Yes (4)
No
( )
2.
Is free from rust or deterioration
Yes (K)
No
3.
Has no foreign objects lodged within
Yes ()
No
(y�)
4.
Is securely supported
Yes O
No
(' )
5.
Meets all current Code requirements for _size -
and total BTU's connected
Yes
No
(4-1-
6
Has total heating BTU's of
All other BTU's �� a
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:
SUBJECT
MIT NO. '
City of Fridley
31835
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
'vim%
RECEIPT NO.
�• COMMUNITY DEVELOPMENT DIY.
r PROTECTIVE INSPECTION SEC.
m
5723604
V.3
� '
1 � CITY HALL FRIDLEY Sbd32
IL 1 "
NUMBED
�
REv
DATE
PAGE OF
APPROVED By
---- 612-571-3450
910-F15
5118/01
JOB ADDRESS 5600 West Bavarian Pass SNE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
10
Innsbruck Villages SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
David/Jamie Pfuhl 5600 West Bavarian Pass NE 763-574-0622
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
8 USE OF BUILDING
Residential
7 CLASS OF WORK
a NEW Q ADDITION 0 ALTERATION 0 REPAIR 0 MOVE C3k REMOVE
8 DESCRIBE WORK
Remove existing deck; Construct a 24' x
8' Deck
9 CHANGEOFUSEFROM
TO
STIPULATIONS See notations on plan.
WARNING
Before digging call for
SEPARATE PERMITS
all Olity locations
REQUIRED FOR:
454-0002
AEA
WWRE Y LAW
PLMIN G, RNIG
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
SQ. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
I
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS A7
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
$2,112
$1.05
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-
$83.25
Fire SC $2.11
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$86.41
SIGOWCT 0 rr, RiZEOAGENT iDATE
yy N PR Y VALI TED THIS IS YOUR PERMIT
&VGNKTURE O O"NER,f OWNER gUltDER,
LOG NSp patE
NEW [ ] Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
s
Construction Address: �,
43n
al Descriptione� 1�'°am`�'�'tld'rJss:.i 6®® t,�r - ���.►� a�a.,� �'E d� J Tel. #_ �% �� mS 7= C�6Q
Contractor: (?, ].. MN LICENSE # n/�
Address: Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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. r
Length ! thC� i Hgt/Ground Sq. Ft /
E
O
Construction Typel ] r / % 7te,,X Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: — I --Q APPLICANT: R Tel. #-7 6S -S -7q- 06oZ
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 (763) 572-3604 for Permit Fees if mailing in application
Fee Schedule on Reverse Side -
$ oS .001 of Permit Valuation (1/10th%)
$ 4 $.50/$1,000 Valuation
$ $1150 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 [ ]
$ dlv - /-//
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__________
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CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 FAX:
ADDRESS
5600 W BAVARIAN PASS NE
PIN
243024410191
LEGAL DESC
INNSBRUCK VILLAGES
LOT 1 BLOCK 10
PERMIT TYPE
BUILDING
PROPERTY TYPE
: MULTI DWELL
CONSTRUCTION TYPE
: ROOFING
VALUATION
: $ 21,739.00
571-1287
PERMIT NO.: X004-01983
DATE ISSUED: 10/26/2004
NOTE: INSTALL PER MANUFACTURS_,SPECJFICATIO�dS. INSTALL PER STATE BUILDING CODE. REROOF
BUILDING WHICH INCLUDES 5600, 5602, 5604 AND 5606 WEST BAVARIAN PASS.
STATE LICENSED CONTRACTOR 1
APPLICANT
ALLSTAR CONSTRUCTION
840173 AVE N STE 80
BROOKLYN PARK, MN 55428 -
OWNER
GASEN MGMT CO.
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating constRaction or the performance of construction.
Bldg
BUILDING PERMIT FEE 349.25
FIRE SURCHARGE 21.74
STATE SURCHARGE, VALUE 10.87
LICENSE SURCHARGE 5.00
TOTAL 386.86
PAID WITH CHECK # 65625
SEPARATE PERMITS REQUIRED FOR�ORK OTHER THAN DESCRIBED ABOVE.
NEW [ ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: 5066 5b b Z. Sbo y 54961.p jJ E,�77- 6 Pru we w��1 PA
Legal Description:
Owner Name &Address: N6h6Q MANAL 'AVPr t1 K4AL-6A;� Tel. # q�2-- ZZ
Contractor: A115MZ on�ifRUCPOPJ, IA'C- MN LICENSE# 3
Address: Sqbl 3IZ6 A O -P d Zfi -ffKD Tel. # 705 536"7706
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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.
R ,0-06F E5ylLt)lA X19' 1& s ���T
Construction Type: Estimated Cost: $
2-1-7-3c)-
0.41
-113c)
Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $ = $.
DATE:/d% aAPPLIC&5)AL CD ��/ � Tel. # 74 535-- MU
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
$ �� Fee Schedule on Reverse Side
$ 65% of Permit Fee
$ i. % .001 of Permit Valuation (1/10th%)
$ / $.50/$1,000 Valuation
$ $1350 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[ ]
51 /�
$ �(� - C�le� STIPULATIONS: