PRE 2010 DOCSSUBJECT
P MIT NO.
City of Fridley
- - -
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
0
r 1 PROTECTIVE INSPECTION SEC.
30
1 i
7-5
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
s J \ 612-571-3450
910-F15
5/12/81
/
JOB ADDRESS 5606 ' est Bavarian Pass N.E.
1 LEGAL
LOT NO.
BLOCK
TRA CT OR ADDITION
SEE ATTACHED
DESCR.
2
10
Innsbruck Villages
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Darrel A. Farr Development 4600 Lake. Road, Robbinsdale,
MN 55422 536-0036
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
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
x
8 DESCRIBE WORK
Construct a 24' x 35.5' Town use and a 20"x 21.5'
Garacie
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
PERMITTEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
94
$561.81
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WH PROPERLY
D IS IS YOUR PERMIT
INS
Slit_ S/
DATE.
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS).
1Va.: -5� O (,�2_ Street:
LOT: -BLOCK:
t
CORNER LOT: d✓ INSIDE LOT:
SETBACK: SIDEYARDS:
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:
Front: p Depth: 35,-5 Height: 02
Square Feet: I%T3 Cubic Feet: eua 0
Front: V Depth: 41, -5 Height:
Square Feet: 3 o Cubic Feet:-
P O -D
Type of Construction: Estimated Cost: $
To Be Completed: /AJlt. 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 and correct. See reverse side for additional information.
DATE: 41�gl/ SIGNATURE: ( ,f'
Stipulations:
91"241 2y � em r T
jz • 9,y f c 4AJ
1-5� 156/. 8 /
V
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO RATE
N=iber Fixtures
Future F:xt=re Opening
New Fixture, Old Opening
Catch Basin
:•rater Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
D;ew Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS & ALTERATIONS
First $100.00
each add. $100.00 or fraction
/0 x $3.00
x
$2.00
X
$2.00
x
$5.00
x
$5.00
x
$10.00
X
$7.00
.
�
N�
$5.00
water
M
m
F
Im r.'
aym
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u
faw
Heater�
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W
m�
t
/a
pW
ist
tad
3rd
I
4 t' i
O Future Connection Opening
Connected with Sewer
(*) _ New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO RATE
N=iber Fixtures
Future F:xt=re Opening
New Fixture, Old Opening
Catch Basin
:•rater Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
D;ew Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS & ALTERATIONS
First $100.00
each add. $100.00 or fraction
/0 x $3.00
x
$2.00
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 $x:0.00
$5.00
$2.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($10.00)
TOTAL
Job Address (Oi--+ 60 _ (>L-�f
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. L��� , 19
KIND OF BUILDING
0
USED
TO BE COMPLETED ABOUT
ESTIMATED COST a
OLD - NEW BUILDING PERMIT NO.' PERMIT NO.
Company a
Signed By CL- 1 yg
Tel. No. Y2 -19r/
ROUGH INSP.
Date
FINAL INSP.�
Date
APPROVAL FOR PERMIT �f
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
SUBJECT
PERMIT NO.
City of Fridley
F
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
RECEIPT NO.„i
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/7/96
JOB ADDRESS
See Below
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
VariOU
SHEET
I
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
T CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside
9 CHANGE OF USE FROM TO
STIPULATIONS • /V/-.'. e 7
5600,5602,5604,5606 West Bav ian Pass; 5601,5603,5605,5607 West
Bavarian Pass; 5610,5612,5614,5616 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
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 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 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
�.
License SC $5.00
$1,880.45
SIG OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY IDATED THIS IS YOUR PERMIT
SLOG I SP PATE
S.GNATURE OF OWNER,1F OWNER BU4.DERi IDATEI
0/1
SUBJECT
PE
City of Fridley
31829
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
• ______ COMMUNITY DEVELOPMENT DIV.
r v - PROTECTIVE INSPECTION SEC.
572.3
J
�y®/
I CITY HALL FRIDLEV 55432
L J\
NUMBERREV
DATE
PAGE OF
APPROVED BY
612-571-3450
910 -Fl 5
.5/17/01
JOB ADDRESS 5606 West Bavarian Pass NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
10
Innsbruck Villages SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
David & Betty Bordwell 5606 W Bavarian Pass NE 763-572-1167
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
B USE OF BUILDING
Residential
7 CLASS OF WORK
NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 8' Deck
8 CHANGEOFUSEFROM
TO
STIPULATIONS
See notations on plan.
WARNING
wiENIN 10 DAYS OF WORK
(before digging call for
COMPLETION
all utility locations
454-0002
COPY TOM- PREOWNER
REQUIRED Y LAWs
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 12Q DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. OWLG. 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 W ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOE NOT REHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
P VISION ANY OTHER STA R LOC L&W REGULATING CON-
$83.25.
Fire SC $2.11
TRU 10 OR TH P CO T TION
'.�
•y�
PLAN CHECK FEE
TOTAL FEE
$86.41
SIGNATURE FCON" TOA ORAUTHORiZEDAGENr $DATES
WH N PR VAL ED THIS ISR PERMIT
+/
S.GNATURE OF OWNEROF OWNER SUILDER1 iDATEi
LOG INSo TATE
0/1
NEW
ADDN
ALTER
[ ] Effective 1/1/2001
[ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Nary
Contractor:
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: Length O' Width � Q "? Hgt/Ground �— Sq. Ft.
OTHER:
Construction Type: �Ie4 Estimated Cost: $ v�
Driveway Curb Cut Width Needed: —Ft-,+ 6 Ft = Ft x $_ _
DATE: APPLICANT: Tel # �� //Z/
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ AR 3 J.1— Fee Schedule on Reverse Side
$ // .001 of Permit Valuation (1/10th%)
$ $.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 [ ]
�
wall 1111,
' -
- ----''
-4L
�
-4
CITY OF FRIDLEY INSPECTION DIVISION �(,� LlleuLivu January L, 2003
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR GOWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287 ��l��� 0c-� I� Q SL \n
JOB ADDRESS Ul �Q SLI ry
RATE SCHEDULE. r_ j \ s Q I _ R I
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
Rate
$ 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 t;25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air.Conditioners can not be placed in a side yard without
written perrnlsiii n�'from adjoining property owner.
OWNER LJl A.A-Z 't U °�rU VV r A t
TOTAL
BUILDING USED AS
:P�C�C � 0
$30 jf.,jj:h r
00
ESTIMATED COST PERMIT N0. ,�;
$ .50
$SSP
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Ai
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU _ HP EDR
The undersigned hereby makes application for a permit fol- 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.
DATE
HI
Si
FAX #
Approved By Rough -In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED E IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
nnMMnN YENZ VENT CnNNFr-TnR ANn rnMRI IRTION AIR WRIRCATMIN
When= _pia i an avictil3g fitrann-p-, th4.:und6rsigned herebyverifies that the
venting has-been examined and is free -from rust, deterioration, 'obstructions,
and'is-securely,supported and firestopl*d wheib required. Yes 0(
The venting system is plasficIPVC and meets all current codes and manufacturer
specifications including sizing,- length, number of elbows and termination. Yes r'No
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. -This does
in;lude AGA-GAMA Category I Central Furnace Venting Tables for fan Ye�o No
assisted and natural draft appliances.
The avinfinn r-nmht ischnn nir is sized and installed to meet the current codes
o (\j2N
and manufacturers specifications. Yes Ic
When required to inafnil op rmw rnmhunfinn air it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes No(
When In-qft Ifing a new ywifing systm, the undersigned hereby verifies that
it is'a-listed assembly and meets the current codes and manufacturers
specifications.I 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
Appisanen 3�IgM and -qi7PLCnmman Vent and Vent Comm4nr Infaffnation
Appliance #1 Type, �Y BTU Input Fan Assisted or Nat
Appliance #2Type 4prAr BTU Input Fan Assisted or Nat -
2
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Type
Vent HeightDiameter in�
Appliance #1 Vent Connector Height jt Length ft Diameter in Type J
Appliance 02 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in T
I ri all, a � �,,
HEATING co
Signed By:
Date:
4
A.Z
Date:
4