PRE 2010 DOCSSUBJECT
PER O.
City ®f F��ai�y
14535
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
REC
COMMUNITY DEVELOPMENT DIV.
INSPECTION
9�TN0,,.,
r PROTECTIVE SEC.
q / "1 CITY HALL FRIDLEY 55432
a'J
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
"""�'� 612-560-3450
910-F15
.12/3 0/77
JOB ADDRESS 5603 West Bavarian Pass N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
22
Innsbruck Villages 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
7 CLASS OF WORK
❑
X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 27' x 29' Townhouse and a 21' x 22' Garage (Matterhorn)
9 CHANGE OF -USE FROM TO
STIPULATIONS
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
796+462
20,200 Total
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$25,795
$12.90
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$80.80
$375.00
PLAN CHECK FEE
TOTAL FEE
$20.
$488.90
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
W N P RLY ALIDATED THIS IS Y�OURYEERM/}T
/'
BLDG WSP AfE
SIGNATUREOF OWNER (IF OWNER BUILDER) (DATE) 7
AI'P1.1(;ATIO,N FOR I0.iS11)I:i`7'jA1,, ALTEIZATIOiNJ
OR /1ll1UTION BUIIAM. G [)J:M' 1T
CITY OI I'RlllLI;�', •J! N-,\`Ji.`i0"I'11
OU-NE•'R' S
NAME : IV.Ile
ON).
(a tt BUILDER :_ SeahoLf. _.
ADDRESS :����
��3�@. �ta�T�!
ADD�:ESS :�i ers . ,��
ST z EET: tom.' 5
LOT: J BLOCK: ADDITIO_J:� 000�s'� eS
CORINER LOT: INSIDE, LOT: SETBACK: ' SID-EYA D :
Applicant attach to this form Tcao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To .Be Used As: � 0
5'Le/he"Sla Front: 7 Aepth: g Height: ,2 0
Square Feet; /S
J'.. Cubic Feet:
ak-a.Qe. Front: dl Depth: 072. Height: /O
a
Square Feet; -462 Cubic Feet:
'hype of Construction: Wooct Fret e, Estimated Cost: 00
To Be Completed:
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 aftd representations stated in this application
are true and correct.
DATE:URE. 19 % 2 SIGNATURE.
(See Reverse Side For Additional Information.)
17
Ll
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
.AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Furnace Shell & Duct Work '
$12.00
$
Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
MECKa':ICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$ JQ
each add. 50,000 BTU
4.00
$
Replace=.ent of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
S E-kM OR HOT WATER SYSM1:
Boiler & Lines up to 100,000 BTU
$12.00
$
• e4ch adder. 50,000 BTU
4.00
$
Bailer only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU
6.00
$
OILL BURNER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$ dfJ•,
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures se
$ 3.00
$ 3.C14
Additional Fixtures X
$ 1.00
$
Gas Range to 199,000 BTU X
$10.00•
$
AIR CONDITION14G � Hf-%. •
$
FAX HEATING SYSTEMS See Pee Schedule
$
VENTILATING SYSTEMS
$
ALTERATIONS % REPAIRS
$
State Surcharge
$ .50
TOTAL FEE
$ � 6, S -C,
ROUGH INSP. REINSPECTION FEE
Date ($10.00)
FINAL INSP.
Date
APPROVAL FOR PERMIT "F
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
Job Address Cly [�✓�� J� f •?'�, / r";
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 Cates •.
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
OWNER
KIND OF BUILDING
USED AS cJ
TO BE COMPLETED ABOUT
ESTIMATED COST -;Z o J ;
OLD -NEW., BUILDING PER14IT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air-'�No. 1
Trade Name Vq'N0� r� Size No. 14
Capacity Sq. Ft. EDR BTU, 0,0 HP
Total Connected Load Kind of Fuel %t =`I "S'
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU, HP
Company L 611-7
• Tel. NO. 1001 X&! JIA %'AVE. SOUTH
H ,
W'MEAPOLIS, hAN 554-16
54.5 -11 091
0 V,
HEAT LOSS CALCULATIONS MHO C04
MINNEAPOLIS, MINN,
Weatherstrips
A.S,H.VX.
Guide
Reference
19
Construction No.
Insulation
Windows
Doors
out. Wali
Int. Wa I I Ceiling
Roof f Fioor
Kind How Apphed
Yes -No
Yes -No
Fl. Room Length Width
Width Height
Room Length Width /C _H., ght
Windows
and Doors—Crackage
and Arba
dindows and Doors—Crackage anil Area
N WiJth HeTght N� f 1 Dnea`7��_F_Ai;:_a'
c(a:�k
L -pane): of pane - i Sq- ft.
No.
Width Height
of pane of pane
No. f Lineal ft.
ligho
hes crack
Area
ft.
�2- 32-
12-
lCoef
Btu
C,'f
Btu
Infiltration
Infiltration
Glass
Glass
Exp. wall
Exp. wall
Net exp. wa I I
2 -
1
rT
Net exp. wal I 7
(7
Int. wall
Int. wall
Ceiling
Ceiling
Floor Xl/(,)
Fd
Floor Cl
Total Btu.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sq. ris. W.A. Leader area
_'-oT 'Zv i
Room I Length Width
Height
F I CC, Room I Length IV Width
66
Height
Windows and Doors—Crackage and Area
WinlSows and Doors--Crackage and Area
• No, Width Height No. of
of pane of pane tights,
Linea[ ft, Area
of crack tt.
No.
J Dene
Height IN of i Lineal If.
lights crack
Area
I sq. ft,
__of�pan_�e�I _2f
Coof, Btu
Coef
Btu
Infiltrbtion
I
Infiltration
Glass
Exp. wall
Net exp WE"i 6
Glass
Exp. we I i
Net exp. wall
Int. wall
I
lilt. Wall
L' i i ing
Floor (-if, -,f�
—2. -
i„tni Btu.
Ceiling
Floor
Total Btu.
r,
Required sq. ft. E.DA, or sq. ms. W.A. Leader arvl”
-
Required sr;, ft. E.D.R. or ,jcj, .rs. ?1.4. Leader area
Room ! 1,ength
f I Width
Rom 1_7,�nfith /4.1' Widt:j
height
Windows and Doors—Crackage and Area
Vjindrm-s and Door-,,, - Crackage anti A, e. a
T_ Nc� "I -1,1_11 It. Awa,
_j, ft
N, i Wf ane tnu
4-
-------
Cnef: R-10
Btu
InfiltrationI
Infimat,or
G fass SO
.
Fxpvv
Exp. waft �7- e"
Net exp. wall
Nf,t exp. vva I I 'e2
Int. well
-Ce i li ng
Int. t. vva
9
Floor. S
4-
Saw Btu. at a ep
R -
Totai Btu.
at.
e -4d sq. ft
4 quir ins W.A.. Leader area
Required sy, E.C.P. cr sq. in -s. V;.A. Leadp*r aroa'
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
lst 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS & ALTERATIONS
First $100.00
each add. $100.00 or fraction
NO.
RATE
TOTAL
x
$3.00
>.
m
S
x
$2.00
o
X
$5.00
m�
x
Water
x
$10.00
$
x
$7.00
$0.
«ci o
m
o
m
ro H
p,
�"
'$3.00
$
Heater
$1.00
N
X
'
$
3
O
A
O A
am
U
m
G
d
°
mro
C
ro
o
°c
8
-18
b
43
m
m
aL+
W
U
w
M
0
M
04
W
3
W
Q w
W
.a0
w
U W
•2 3
�d
t7
c
0
as
lec
%
1
1
1st
2nd
3rd
4th
U.
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, old opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
lst 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS & ALTERATIONS
First $100.00
each add. $100.00 or fraction
NO.
RATE
TOTAL
x
$3.00
x
$2.00
S
x
$2.00
$
X
$5.00
$
x
$5.00
x
$10.00
$
x
$7.00
$
x
$5.00
$
x
$5.00
$
x
'$3.00
$
x
$1.00
$
X
W.00
$
$5.00 $
$2.00 $
State Surcharge $ .50
TOTAL FEE $
REINSPECTION FEE
($10.00) .
%
Job Address 5( ®31j, �C J
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
OWNER
KIND OF BUILDING 11iC�pe�g
USED AS ID w P .1 � <A )q
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
�
Company if� �_,,,1_ - .
Signed By �:es6>�%a�YY'II rls�f.
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
—- ��
Date
APPROVAL FOR PERMIT ,9
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUB $.50 STATE SURCHMM
97-9),416051
CITY OF FRIDLEY
• APPLICATION FOR PLUMBING AND GAS FITTING PER41T
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
1n
$
Future Fixture Opening
x $2.00
v
.
x $2.00
b+
e
Water
m
Catch Basin
x $5.00
$
Water Heater - to 99,000 STU
x $5.00
+
y
x $10.00
q
Water Softener
x $7.00
a
w
g
$
Heater
..,
s�A
am
v�
�
ar
1ma
al
f1
q
R
� �
s
.9.5
m
a
lec
rn
U
D
in
ai
m
3
q w
rn
w
u m
4
o
as
1st
rangel
2nd
3rd
4th
(R) Future Connection Opening
Connected with Sewer
(•) New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
X $3.00
$
Future Fixture Opening
x $2.00
S
New Fixture, Old Opening
x $2.00
$
e
Catch Basin
x $5.00
$
Water Heater - to 99,000 STU
x $5.00
$
100,000 BTU to 199,000 BTU
x $10.00
$
Water Softener
x $7.00
$
flew Ground Run Old Building
x $5.00
$
Electric Water Heater
x $5.00
$
GAS FITTING FEES:
lst 3 fixtures x '$3.00
Additional Fixtures x $1.00
Gas Range to 199,000 BTD x $10.00
REPAIRS $ ALTERATIONS
First $100.00$5.00
each add. $100.00 or fraction $2.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
(S10.00)
$
$ .50
$ 10 0
Job Address 5603 West Bavarian '
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. 8-10-78 , 19
OWNER D ARR 1LL PARR
KIND OF BUILDING FRAME
USED AS res.
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.�
Company oe .
MINNEGASCO
Signed By '
Tel. No.
ROUGH INSP.
Date
FINAL INSP. .
Date
APPROVAL FOR PERMIT '
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
August 18, 1978
CITY FFRI LEY
6431 UNIVERSITY AVENUE.. N.E.,. FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
Darrel A.. Farr Development
7286 72nd Lane North
Minneapolis, MN 55428
r:
Re:. ' Final,'Inspection at 5603 West Bavarian Pass N.E.
Al
Dear Sirs:
A final inspedtion was made on August 17, 1978 of the above address and
the following items were noted which must be completed before the structure
can be finaled out;
1. Complete fire place by August 24, 1978.
2. Install heat vent grills by August 24, 1978.
3. Complete bathroom vanity and sink by August 24, 1978.
4. Hook up smoke detectors by August 24, 1978.
S. Raise kitchen light fixture as much as possible.by August 24, 1978.
6. Lower grade at house to expose blocks..by August 24, 1978.
We will expect the above items to be completed by—the scheduled date
when a reinspection will be made to determine. compliance. If you have
any questions on these items, please contact me at 571-3450..
Sincerely,
RDN HOLDEN
Building Inspector
RH/mh
CITY OF FRIDLEY
63-81i-879001
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
New Fixtures-
$ 5.00
$
Future Fixtures
I
S
Water
u�
$ 1.50
$
Beer Dispenser
$ 4.00
H
Blow Off Basin
m'
$ 5.00
m
10,
w
w
$
Rain Water Leader
Heater
H
$
Hydraulic Valve
$ 5.00
$
Sump or Receiving Tank
$ 5.00
S
Water Treating Appliance
0 m
$ 7.00
W
Hot Water Heater
e
$ 5.00
$
Gas Range
o
$
Gas Dryer
$ 10.00
$
ALL OTHERS AND/OR REPAIRS AND
ALTERATIONS
18 of Value of Fixture or Appliance
$
e
State Surcharge
$ .50
r49 a
U
D
o`�
ai
3
AW
fn
w
8999
u�
0
s
lec
Base -
1st
I•
ng
2nd
3rd
4th
71
1
(R) - Future Connection Opening
Connected with Sewer
(*) - New Fixture, Old Opening
Water
RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
New Fixtures-
$ 5.00
$
Future Fixtures
$ 3.50
S
Old Opening, New Fixture
$ 1.50
$
Beer Dispenser
$ 4.00
S
Blow Off Basin
$ 5.00
$
Catch Basin
$ 5.00
$
Rain Water Leader
$ 5.00
$
Hydraulic Valve
$ 5.00
$
Sump or Receiving Tank
$ 5.00
S
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
$
State Surcharge
$ .50
Reinspection Fee $
($15.00)
TOTAL
FEE
to- 50
Effective Aug. 1, 1981
Job Address 5603 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
Fridley, Mn. 11-20-81 , 19
OWNER HA 'SON
RIND OF BUILDING frame
USED AS res®
TO BE COMPLETED ABOUT 11-27-81
ESTIMATED COST qO _ 00
OLD - NEW BUILDING PERMIT NO. PERMIT NO.�
Company
Signed By
A18fdi99E
ROUGH INSP.
Date
Tel. No.
FINAL INSP. I/ -
Date
APPROVAL FOR PERMIT '6fi
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
SUBJECT
PERMIT NO.
City of Fridley
_
�1-1'
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
RECEIPT NO.
' • COMMUNITY DEVELOPMENT DIV.
r : � PROTECTIVE INSPECTION SEC.
1 �
S CITY HALL FRIDLEY 55432
DATE
PAGE OF
_
APPROVED By
612-571-3450
INUMBERREv
910-F15
5/7/96
JOB ADDRESS
See Below
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DSCR.
Variou
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Various
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouses
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside
9 CHANGEOFUSEFROM TO
STIPULATIONS
5600,5602,5604,5606 West Bav ian Pass; 5601,563,5605,5607 West
Bavarian Pass; 5610,5612,5614,5616 est-Beverr#ee-Pass; 5620,5622,5624,5626 West
Bavarian Pass; 5620,5622,5624,5626 North Innsbruck Ct; 1521,1523,1525,1527
Trapp Court; 5650,5652,5654,5656 West Bavarian Pass; 5660,5662,5664,5666 West
Bavarian Pass; 5661,5653,5655,5657 West Bavarian Pass; 5671,5673,5675,5677 West
Bavarian Pass; and 5681,5683,5685,5687 West Bavarian Pass
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
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
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
$114.40
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$228,800
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
License SC $5.00
$1,880.45
S�Gyj lS OF CON:RACTOROR AUTHORIZED AGENT iDATEt
WHEN PROPERLY IDATED THIS IS YOUR PERMIT
r
S,GNATURE OF OWNER.1F OWNER SUILDERi iDATEt
BLDG SP MATE
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace $ 30.00 $
(Side Vent - Fill Out Back)
Gas Piping (Nred with ew furnace) C $10.00 $ /0
Ic �—/l t` /7 � C.
Gas Range $10.00 $
Gas Dryer $10.00 $
*Air Conditioning - All Sizes $.25.00 $
All Others/Repairs & Alterations (UST ON BACK)
1 % of Value of Appliance or Work $
Commercial/industrial
1.25% of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEES_J
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.
JOB ADDRESS 6,3 10 _i�
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.
,1999
OWNER
BUILDING USED AS
ESTIMATED COST :�2 16 (0 , 00 PERMIT NO. y c S�
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Ci;747
0(Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU 1716), 'HP EDR
Fuel �a Total Connected Load
Burner Trade Name Size No.
BTU -, HP EDRI
a
HEATING COMPANY
Signed By
Approved By
FILL OUT BACK SIDE
REPLACEMENT FURP
Tel No. - D,:5-6
Rough -In Date
STACK VERIFICATION ON
Final Date
CHIIVINEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes Q No ( )
2. Is free from rust or deterioration Yes (0 No ( )
3. Has no foreign objects lodged within Yes ( No ( )
4. Is securely supported . Yes ( No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( ) No ( )
C
8. Has combustion air been provided for water heater Yes ( ) No () `
Remarks: .
List ALTERATIONS BeingDone:
HEATING CO:
Signed By:
Date:
-�,_-)_��,P
rA
07
SUBJECT <
PER - --�,
City ®f Fridley
32549
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
i COMMUNITY DEVELOPMENT DIV.
♦V ����� _
r � � PROTECTIVE INSPECTION SEC.
E �
NUMBER
REV
DATE
O:
APPROVED BY
_
I �•"1 CITY HALL FRIDLEY 5542
j 612-571-3450
910-F15
4/30/02
E;GE
/
10B ADDRESS 5603• West Bavarian Pass NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
3
22
Innsbruck Villages
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Heiderscheid Bros Construction 13025 Hwy 65 NE, Blaine, bM 55434 20060354
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
763-862-0616
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential Townhouse
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 1 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Repair 7 sq of flat roof with PVC heat welded system,
tapered
9 CHANGE OF USE FROM TO
STIPULATIONS
Install per manufacturer's specifications.
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
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
$8500
$4.25
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAWCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF f NY OT TATE OR OCAL LA REG TIN CON-
$167.25
Fir SC $8'50
STRU TIO OR E PE R E OF ONSTRUCT N4
PLAN CHECK FEE
TOT FEE
LiceSfe, C
$5.
5.00
SIGNATURE OF CONTRACTOR R AUTHORIZED AGENT IDATEI
E PRO=ATHIS
- OG INS
IS YOAURMIT
RACE
S.GNATURE OF OVVNERnF OWNER BUILDERI IDATEI
rA
07
NEW [) CITY OF FRIDLEY Effective 1/1/2002
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMITAPPLICATION
Construction Address: W 5 V VC4'Yl'A PA
Legal Description:
Owner Name & Address: Tet. #
Contractor.�jc Ir AA�� • 1 MN LICENSE #
Address: / Tel. #
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. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Lengthidth _ ggGround Sq. Ft
OTHER: _ ° � r St G�7
Construction Type: , Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft =
DATE: APPLICANT:
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-5714287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 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 [ ]
STIPULATIONS:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
(763) 572-3604 FAX: (763) 571-1287
ADDRESS 5603 W BAVARIAN PASS NE
PIN 243024410236
LEGAL DESC INNSBRUCK VILLAGES
LOT 3 BLOCK 22
PERMIT TYPE : HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
PERMIT NO.: 2004-02092
DATE ISSUFILW90h
VALUATION
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
# A/C UNITS 1 VALUE OF APPL OR WORK 0
# FURNACES
# GAS RANGES
APPLICANT
CENTERPOINT ENERGY/MINNEGASCO
13562 CENTRAL AVE NE
ANOKA, MN 55304 -
OWNER
BARR CAROLYN T & TUTT KIMBERLY
5603 W BAVARIAN PASS NE
FRIDLEY, MN 55432
I # GAS DRYERS 0
0 VALUE (FOR MINIMUM CALC) 300
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 wort
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
reg -construct' or the performance of construction.
Annl Date iJ
Bldg Ins pJ jjA -& Date!
HEATING PERMIT MINIMUM FEE
0.00
FURNACE SHELL/DUCT WORK
35.00
GAS RANGE FEE
0.00
GAS DRYER FEE
0.00
AIR CONDITIONING FEE
25.00
HEATING REPAIRS/ALTERATIONS
0.00
STATE SURCHARGE, MECH FLAT
0.50
TOTAL
60.50
PAID WITH CHECK # 6202
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
;ITY OF FRIDLEY BUILDING INSPECTION
M
a 3431 University Ave NE
9=rldley, MN 55432
L
763-5723604 FAX 763-5711287
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
-a
9
D
RATE SCHEDUL Foe Total
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace $35.00 $
Gas Piping (New Furnace, Fireplace, Insert)
$10.00 $
Gas Range $10.00 $
Gas Dryer $10.00 $
*Air Conditioning -All Sizes $25.00
wog vNftv- 0a L( ]-A�
All Other Repairs or Alterations (List on Back)
>- 1% of value of Appliance or Work $
A Minimum Fee $15.00 for Residential or 5% of cost of
Y Improvement whichever is greater on workless than $300.00
J-
:3 Commercia!lindustrialjlnstitutional
>_ 1.25% of Value of Appliance or Work (List on Back) $
Minimum Fee $35.00 for Commercial/industriaVinstitutionai
YState Surcharge $__4 5 _0
i TOTAL FEE $ ('00 .so
v
:v
REINSPECTION FEE $50.00/HOUR
IT
*Air Conditioners can not be placed in side yard without written approval
w from adjoining property owner - copy to City
Ll-
tv
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
cr
JOB ADDRESS 5�00-3 U3- PASS NE
Owner \/-i en
Building Used As
ESTIMATED COST i DO -CC-) PERMIT NO
DESCRIPTION OF FURNACE AND BURNER
# of Heating Units _ Circle One (Steam) (Hot Water(Warm Air
Trade Name �o�� r' ger S 0 Size No.
BTU `1® HP EDR
Fuel � 6L -s Total Connected Load
Burner Trade Name
BTU
HP
Size No,
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
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
CENTERPOINT ENERGY MINNEGASCO
HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304
Signed Tel # 763-757-6202
FAX # 763-757-6701 Date ---LL (_ v� -c'4- -
Approved by Rough4n Date Final Date
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, 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 (10 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 TypeC'r.1 ® c e BTU Input -? /oT_ Fan Assisted or Nat
Appliance #2 Type i, 6�e=BTU Input ` ��� Fan Assisted or Nat T
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input I uj, goo
Common Vent Type
on _e
Vent Height ;' / * Diameter S // inches
Appliance #1 Vent Connector Height _-q _ft Length _-`_,ft Diameter Ll ®. in Type LA l -
Appliance #2 Vent Connector Height _-,ft Length ___k/_ ft Diameter c in Type e /-
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe) �- �//,e d .5
CENTERPOINT ENERGY MINNEGASCO
HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 Q
Signed By: Date ; �� '0�1
FR/?Pl I A Tn)AJ.SL 01 h31(T T N� �0 AM WON -1 qF : T T i70OF-22-Nc48
CITY OF FRIDLEY PERMIT NO.: 2004-02179
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 11/29/2004
5722-36U4 YAX: (763) 571-1287
ADDRESS : 5603 W BAVARIAN PASS NE
PIN : 243024410236
LEGAL DESC : INNSBRUCK VILLAGES
: LOT 3 BLOCK 22
PERMIT TYPE : HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
# A/C UNITS 0 VALUE OF APPL OR WORK 0
# FURNACES 0 # GAS DRYERS 0
# GAS RANGES 0 VALUE (FOR MINIMUM CALC) 224
APPLICANT
CENTERPOINT ENERGY/MINNEGASCO
13562 CENTRAL AVE NE
ANOKA, MN 55304-
BARR CAROLYN T & TUTT KIMBERLY
5603 W BAVARIAN PASS NE
FRIDLEY, MN 55432
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 construction or the performance of construction.
Bldg
HEATING PERMIT MINIMUM FEE
15.00
FURNACE SHELL/DUCT WORK
0.00
GAS RANGE FEE
0.00
GAS DRYER FEE
0.00
AIR CONDITIONING FEE
0.00
HEATING REPAIRS/ALTERATIONS
0.00
STATE SURCHARGE, MECH FLAT
0.50
TOTAL
15.50
PAID WITH CHECK # 1023514
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY BUILDING INSPECTION
6431 University Ave NE
Fridley, MN 55432
763-572-3604 FAX 763-571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Other Repairs or Alterations (List on Back)
1916 of Value of Appliance or Work
Minimum Fee $15.00 for Residential or 5% of cost of
Improvement whichever is greater
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Fee Total
$35.00 $
$10.00 $
$10.00 $
JOB ADDRESS ec2gz G/1 g17
Owner
�jAs__/
Building
ESTIMATED COST �L' PERMIT NO
a
DESCRIPTION OF FURNACE AND BURNER
$10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
$25.00 $ BTU HP EDR
Fuel Total Connected Load
Commercial/Industrial/Institutional
1.25% of Value of Appliance or Work (List on Back)
Minimum Fee $35.00 for Commercial/Industrial/Institutional
State Surcharge
TOTAL FEE
REINSPECTION FEE $50.00/HOUR
$ Burner Trade Name
BTU
HP
Size No.
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
$ and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
$ /5C'0
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Tel # 601,;",3d%-
FAX #
✓`",3��" 52D 21 Date
l�44`t'e441 WIWe&I 71eQ .
Approved by Rough -in Date Final Date
d)
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, the undersigned hereby verifies that the
venting has be n examined and is free from rust, deterioration, obstructions,
and is secureV 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 () 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 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)
HEATING CO:
Signed By: Date :