PRE 2010 DOCSSUBJECT
RMIT NO.
City of Fridley?
1453'7
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIF�T N0.
L-_ COMMUNITY DEVELOPMENT DIV.
r. PROTECTIVE INSPECTION SEC.
c
1
t CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
,.j 612-560-3450
910-F15
12/30/77
JOB ADDRESS 5607 West Bavarian Pass N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
1
22
Innsbruck Villages
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Darrel A. Parr Development Adm. 7286
- 72nd Lane
No. 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
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
x
8 DESCRIBE WORK
Construct a 24' x 35.5' Townhouse and a
20' x 23' Garage (Sunnenheim)
9 CHANGE OF USE FROM TO
STIPULATIONS
Providecombustion air to furnace area..
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Pram
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
22,936 Total
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
984+460
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
0
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
$30,375
$15.19
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-
$375.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$91.74
PLAN CHECK FEE
TOTAL FEE
$22.94
$504.87
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
ER
E Y VALIDATED THIS IS YOUR PERMIT/
BLDG. INSP
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
APPLICATION FOR RLSIDEN'TIAL, ALTERATION,
OR ADDITION BUILDING PIMMIT
CITY OF FRIDLEY, MINNESOTA
OZ-RtEP.' S NAI iE :Q¢B►&i fib+ a[laV. BUILDER : Snove.._
ADDI:ESS: MB& 71041-AhG. Al. ADDRESS: , „"l. / '�. Ira,-A-za
N70: STREET: A4 &V0A®;W 002i7ass
LOT: BLOCK: ADDITION: ,F sar'oj.4,,mA
CORNER LOT: INSIDE LOT: �/'� SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To .Be Used As: �`��� �� ���•
�nhoo&4Sf,,, Front: Z4 Depth: 36.T' Height: X®.
Square Feet • 17493
Cubic Feet: 18200
A/`ot g . Front: 2. 0 Depth: Al,.dr- Height:,
Square Feet; ® Cubic Feet: -4300
Type of Construction: Estimated Cost: $ ��
To Be Completed:
s
The undersigned hereby makes applicatian for a permit for the work herein
specified, agreeing to do all work in stxict 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.
DATE :�-9 2 2 SIGNATURE
(See Reverse Side For Additional Information.)
. /' A'41-� 6' .VAS eu; 1 11; w-
.01
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
.AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WAIR 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
$
MECHANNICAL {HAP -%l AIR:
Furnace Shell & Duct Work to 100,000 BTU
$12.00
C '
each add. 50,000 BTU
4.00
$
R.eplace=ent of Furnace
7.00
S
Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
STEAIM OR HOT WATER SYST-(:
Boiler & Lines up to 100,000 BTU
$12.00
$
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU
6.00
$
O,IL 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
(over 199,999 BTU see Fee Schedule)
S
GAS FITTING FEES:
1st 3 Fixtures X
$ 3.00
$
- _16
Add•itioral Fixtures Y
$ 1.00
$
Gas Range to 199,000 BTU x
$10.00-
$
AIR CON'DITIONI,NG s"%M�,�� ����-/
�
$
FAX HEATING SYSTEMS See Fee Schedule
$
VENTILATING SYSTEMS
$
ALTERATIONS % REPAIRS
$
State Surcharge
$
.50
TOTAL FEE
$JLt) . - 8
AD= INSP.-__ REINSPECTION FEE
Date ($10.00)
MAL INSP. /_ 4Z t - 7
Date
APPFOVAL FOR PEP -HIT
MINIMUM FEE FOR ANY HEATING PERMIT IS $7:50 PLUS $.50 STATE SURCHARGE
Job Address �(�� 7 u,� • Vim) r,
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work here-1%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, Minn. r 19
OWNER ID C"' rezr r
KIND OF BUILDING F1_ C= ay y e.
USED AS 2)C I i I r c
TO BE COMPLETED ABOUT _=� - 713
ESTIMATED COST C .7c!r c,,,
OLD - NE�W;BUILDING PERMIT NO. PERMIT NO. (J
DESCRIPTION OF FURNACE/BURNER )
HEATING/or POW/ER PLANTS, Steam, Hot Water, arm Air- No.
Trade Name /-f?�a: '.:� Size No. Y Ar w'
Capacity Sq. Ft. EDR BTU HP
Total Connected Load '�;'`e f' Kind of Fuel ,; s
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR B HP
Company
S ane By
"I
• Tel . xaj1d o t I �J F - A P ` '
Weatherstrips A.S H.V.E. Construction No. Insulation
el.d
Reference -- - -
HEAT LOSS CALCULATIONS
M_FEMZ&A
CON00 00MONG„"C
AIIINNEAPOLIS, MINN.-
Weatherstrips A.S H.V.E. Construction No. Insulation
Guide
Windows Doors Out, Wall Int. Wall Ceiling I Roof p'Floor Kind How Applied
Reference -- - -
Yes -No Yes -No 19-
• Fi, Room Length Width ® Height FtF Room 1 Length#, WidthHeight
Windows and Doors—Crackage and Area Windows and Doors—Crackage and -Area.
Width Heigh` 'No. of Linea! ft. Area YJ,dih T Haight No- of-. i.r�ea! ft. Area
Na. of pane of panr, li his of crack sq. ft. iN0. nt Pane I rf pcna !rghts of crack sq. f;, ;
_
Coefj
Btu
Coef
Btu `
Infiltration 7_0E_
_-
,
. .� ,'
infiltration "
I"r
.Glass
Glass
ZVI
4
Exp. weIIcyg° r.
�� '
Exp. wail
-
.Net exp, wal l
'
C,
Net exp. wal l
7 Int. wall
--
Int. wall
-
Ceiling
Ceiling
�- -
Floor a "¢err
{ �'`
Floor
-Total Btu.
n
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
�FI.S oom L
r,, 5 � Rength g Width Height 3
Fi° ( Room
I Lengthy Width ��� Height s
Windows and Doors—Crackage and Area
°:
Windows and
Doors—Crackage
and Area
i
No Width
of pane
Height
of Dane
No. of
tights
Linea! ft.
of crack
Area
sq• ft.
W din
NO l of pane
Height
of pane
No. of Lineal ft.
lights of crack
Area
sq. ft.
—_
I
~�
Coef
B to
Coef
Btu . .
tnfiltration I
Infiltration
Glass
r
'
Exp. -watt ------ -
Net exp. wa!i � � �'
----�------ --- - -
_. -
j ��
�--�
--
r----�-_-___
��-�”
�Exp_wai!_----- ---- -
_ Net exp. mall _
- -- -- - -
I-
_
v
_ f
�
'
-
Int. wall
i,,i, vti•ali
_.
Ceiling
Ceiling
Floor 'f-
fa$
i°� �-
Fluor ----------- __ --
or -
Required sq, ft E.D.R or sn. Ins. W.A. I ender area
-
Total Btu. -
_ -
E.U.R. ins. W.A. Lead
Required sq. ft. or sq. area
F1, Room I Length Width
p4 : Height
�_T Width Height
Fi, ALenu ti
,��-z
�
_l. —
Irrti!ndovis and Doors-Crackage and Area
4 of I' r i.. ;ir v„ •st lineal ft. r- Area m�
----_I`.?f p:, le I cf r -,n 7kats _cif c:rack Sq• -ft.
Windows and C7oors—Crackage and Area
- �.s
No. j KiV drh THelght �V lye. viea; ft SA'•ef'
hof pFe 1F of pane lights ..f crack• }
----
—
lk 1 I
Btu
i
: -Infiltration
Coef. Btu
I r`
infiltration
Glass
j -,P U 11P
Gia-is
Exp. wall ��-- -- _
Net exp. wall �
-
i i
Exp. wall
Net exp. gyral{ I -- ,
i _ y ...
—
-
- _exp. -�-- -- ----
4 !
Int Matt
I t. wail
Flgor t.-
a
I ..
Ft xJr
s
p-�-
1 , 1
Total Btu� _
grred scs.:fit. �.D;f3: or sq.'ans. 14.,A. Leader area
1:.
ts: u Q-ins." W.A.Leader area
��, � q•
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS PITTING PERMIT
Job Address 5� ® -7 ei , 'S MA/- P��
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 %p
OWNER _D .-v - V op J
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
PARTIAL RATE SCHEDULE
ESTIMATED COST
PLUMBING FIXTURE RATES:
>,
m
TOTAL
OLD - NEW BUILDING PERMIT NO.
PERMIT NO.
o
x
4 -i
b+
Water
Future Fixture Opening
x
$2.00
$
Company
'-
New -Fixture, Old Opening
twom
$2.00 o
S
a
$4
to4J
a�
W
Heater
.
Catch Basin
x
$5.00
$
!14
x
14
0
Tel. No.
100,000 BTU to 199,000 BTU
x
$10.00
$
4) viC[
Water Softener
x
-9011
$
New Ground Run Old Building
pi
.0
(�
$
ROUGH INSP.
Electric Water Heater
x
$5.00
$
Q
O
GAS FITTING FEES:
•
N
'^
O
8
B N
11 N
' Date
Additional Fixtures
x
N
v
o
m
!
w
S
o w
N
w
U fn
3
U
•�•{•
O
as
lec
1st
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) a New Fixture, Old Opening
Water
Job Address 5� ® -7 ei , 'S MA/- P��
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 %p
OWNER _D .-v - V op J
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
PARTIAL RATE SCHEDULE
ESTIMATED COST
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
OLD - NEW BUILDING PERMIT NO.
PERMIT NO.
Number Fixtures
x
$3.00
'q
Future Fixture Opening
x
$2.00
$
Company
'-
New -Fixture, Old Opening
x
$2.00 o
S
Signed By
.
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU_
x
$5.00
$ 0
Tel. No.
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
ROUGH INSP.
Electric Water Heater
x
$5.00
$
Date
'^�
-
GAS FITTING FEES:
•
FINAL Imp.� �"� �- " / e5�
,
1st 3 fixtures
1 x
•$3.00
$ 3 U 0
' Date
Additional Fixtures
x
$1.00
$
/
Gas Range to 199,000 BTU
x
$x:0.00
$
APPROVAL FOR PERMIT V Fa
REPAIRS $ ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
TOTAL FEE $ -.50
REINSPECTION FEE
($10.00)
MINIMUM FEE FOR ANY PLUMBING PERMIT I9 $7.50 PLUS $.SO STATE SOLE
SUBJECT -
PERMIT NQ.
City of Fridley
�-
41 4-_8_,
AT THE TOP OF THE TWINS
BUILDING PERMIT
`'
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
0/ 0-��
It
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
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside
9 CHANGEOFUSEFROM TO
STIPULATIONS %
an Pass; 5601,5603,5605,5607 West
5600,5602,5604,5606 West Ba/eat-Bever4am-Pass;
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
SI('itJ/ OF CONTRACTOR OR AUTHORIZEDAGENT IDATEI
WHEN PROPERLY IDATED THIS IS YOUR PERMIT
4 ^ I —'
BIDG 1 SP MATE -
S,GNATURE OF OWNEP,-F OWNER BUILDERI IDATEI
•Gi-FY OF FRIDLEY INSPECTION DIV.
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
Effective On March 1, 1996
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
$15.00
jOB ADDRESS -7
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.
% If , 199®
Owner /V&V2 �i�losi-�% ^ 7/ — 15- 3 7
01
01
Building Used As Sia 1�l_ ___�
Estimated Cost SIM e9 PERMIT NO. f�
PLUMBING COMPANY Z11Vdn,%A"%) V/Ka
Reinspection Fee $42.00/Hr SIGNED BY
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance®
State Surcharge
$ .50
Approved By
Rough—In Date
TEL N0. SS'7 �P63 7
Final Date
TOTAL FEE $- PLUS TH `$.50 STATE SURCHARGE
t? 5 -
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.
1
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace $ 30.00 $_
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace) $10.00 $
Gas Range $10.00 $
Gas Dryer $10.00 $
*Air Conditioning - All Sizes $ 25.00 $�
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
Commercial/Industrial
1.25% of Value of Appliance or Work $
State Surcharge
TOTAL FEE
.50
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.
Effective On January 1, 1997
a, L
JOB ADDRESS.., C)% A\J A (?—I V% ),�A W
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 corr
",1997 ,1997
OWNER. C e I�-� c.� 5-7/ -� 5"3 7
BUILDING USED AS -"!Z1 rV\Z'
ESTIMATED COST 1 c 00 PERMIT N0. �t �
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) arm A'
Trade Name
v `ate Size No.
BTU
Fuel
Burner Trade Name Size o.
BTU
HEATING CO
Signed By
Approved By
FILL OUT BACK SIDE
REPLACEMENT FUR
STACK VERIFICATION ON
Final Date l V1tLo a.
Remarks:
HEATING CO:
Signed By:
Date:
cEnAINEY AND STACK VERIFICATION
The
undersigned hereby verifies that the -existing chimney or stack:-
1.
Has been carefully examined
Yes
No
2.
is free from rust or d(iefl66fion
A
Yes
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 40 C)
All other BTU's
TOTAL BTU's 0 C> 0
7.
Has a liner been provided. for water heater
Yes
No
8.
Has combustion air been provided for water heater
Yes
No
Remarks:
HEATING CO:
Signed By:
Date:
l
suaiEtTMIT
NO.
City of Fridley
32305
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
VV ------ ,
�✓/J y��µ�
r � PROTECTIVE INSPECTION SEC.
(ems �ff��
e i
CITY HALL FRIDLEY 55132
NUMBER
AEV
DATE
PAGE Of
APPROVED BY
612-571-345p
910-F15
11/7/01
JOB ADDRESS 5607 West Bavarian Pass NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADOIT16N
SEE ATTACHED
DESCR.
1
22
Innsbruck Villages SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Noel Ryan 5607 West Bavarian Pass NE
763-571-8537
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Wellington Windows 3938 Meadowbrook Rd, St Louis Park, MN 55426 952-933-6300
a 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
O NEW ❑ ADDITION Ck ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Replace windows within existing openings
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk
and flash all exterior openings.
Permit Inspewon Cards
Will Be Mailed
To Homeowner To Post
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 ABANOONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO; DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 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
$4,304
$2.15
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
PLAN CHECK FE
T AL FEE
Cit c nse
$117.70
SIGNATURE OF CONTRACTOR OA AUTHOR4ED AGENT iDATEr
HE PROLY VA DED THIS IS YOUR PERMIT
BL G INSP - DATE
S,GNATURE OF OWNERof OWNER SURO.ERI IDATEI
l
NEW [ ] 5�� Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description: / � /
Owner Name, &� Address: �ti oc Tel. # "�5���
Contractor: W U i IllnMN LICENSE #
Address:,
SS�aG Dv
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. 1
GARAGE AREA: Length Width Height Sq. Ft. 1`
DECK AREA: Length Width Hgt/Ground Sq. Ft. `
OTHER:
Construction Type: I've o� timated Cost: $_ 00
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: 10/30/o,' APPLICANT: U6 W ` Tel. #
13is�00
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Call (763) 572-3604 for Permit Fees if mailing in application
$ �'S Fee Schedule on Reverse Side
$ % - U .001 of Permit Valuation (1/10th%)
$ a. $.50/$1,000 Valuation
$ $1100 per SAC Unit
$ r 'dential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
r�0
STIPULATIONS: dim 7 V;, �EC: 3/�. �. /. �-® %�♦ %G� !3• C.
��4Gl�i��-- ��f,�sa✓�- ,�Z^ G e�X�`L�tr�� Lir ��r-,��j
f
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE Effective On January 1, 200(
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE
JOB ADDRESS_ S�®7 0), 2514/`121,�,� AxS
SCHEDULE
Residential
Rate
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
$ 30.00
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
$ 10.00
but not replacement) ft)M-esTic
Gas Range Aks -trISe&T
$ 10.00
Gas Dryer
$ 10.00
*Air Conditioning - All Sizes
$ 25.00
All Others/Repairs & Alterations (LIST ON BACK)
1%Q of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
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.
OWNER_ MdE. LIA-0
TOTAL
BUILDING USED AS Pwz U-! X"G-
$ o�
ESTIMATED COST ��®� PERMIT NO._
DESCRIPTION OF FURNACE AND OR BURNER
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$ Trade Name Size No.
BTU HP EDR
$ Fuel Total Connected Load
Burner Trade Name/%,1 -edit Size No.etkpy"3�`e-ru
$ BTU HP EDR
$ OV The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
.50 rulings of the Building Division, and hereby declares that all the facts and
$ representations stated in this application are true and correct.
DATE
HEATING C(�iver City Sheet Metal, Inc.
5z..6 owetwo bt.
Signed Coon. Rapids, IVIN 5543' +rEL
- .,
Approved By� Rough In Date Final Date 0 4 6?;