PRE 2010 DOCSSUBJECT
PERMIT NO.
City of Fridley
® 15094
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
' COMMUNITY DEVELOPMENT DIV.
--------
�� J
f PROTECTIVE INSPECTION SEC.
®,,.1
r---1 CITY HALL FRIDLEY 55432
�••'- �'� %j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
3/27/79
JOB ADDRESS 5623 West Bavarian Pass N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
3
] $
Innsbruck Villages SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel A. Farr Development Corp. 7286 - 72nd Lane North, Mpls. 560-8110
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
S'hme
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 27' x 29' Tow.rlh.OUSe and a 21' x 22' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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
20, 2OO Total
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.
$25,795
$12.90
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-
$ 80.80
$425.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$20.20
$538.90
SIGNATUREOF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
'y
BLDG INSP DAT
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
APPLICATION FOR RE"SlDEN'TIAL, MAT RATION)
OR AUDITION BUILDING 111:1ZIMIT
CITY UI: l•UDLEY, 41INN};SOTA
c �:EI: � S RAI Sl; : �?,��•���i'. �'ta- ®�'d�. ['� e�� BUILDEP.: SaA% -
Ail Lake Aboi,-+4 _ADURESS :�
STREET: r
BLOCK: d ADDITION:-st
CO-107-1r, LOT: INS IDE LOT:, SETBACK: SIDEYARD :
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPT OF BUILDING
%
To .Be Used As:
7 ,,ase_ Front: Depth: Height:
Square Feet: 1 Cubic Feet: A*
a �-Q Front:
M71
Depth • ��9 . ___.Height:
Square Feet; Cubic Feet: 0
Type of Construction: 060 J Ff'awe, Estimated Cost:. $ ��'
�/� 9 .2
The
To Be Completed:
r
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stkict -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: -21 SIGNATURE
(See Reverse Side For Additional Information.)
IV 1 9'0
,2v, avo
jot -9L
CITY OF FRIDLEY
• APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
.PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
Itusber Fixtures
�� x
$3.00
Future Fixture Opening
x
$2.00
New Fixture, Old Opening
x
$2.00
a
Water
v
x
y'
A
x
$5.00
w
poi
M
q
x
$7.00
p,
W
$5.00
Electric Water Heater
Heater
$5.00
GAS FITTING FEES: °
1st 3 fixtures
�- x
'$3.00
Additional Fixtures
x
$1.00
cMx
x
a
REPAIRS $ ALTERATIONS
First $100.00
u
hIV
C1.4'xy
each add. $100.00 or fraction
$2.00
X
I c
pu
o
aui
keo
0
0
.r.J"
�
al
R
m
-A 7
O
O
3 ul
JJ to
N
N
N
O
y
u
cyi
ai
o w°
W
w
a
as
I
'
1st
2nd
3rd
4 ti
(R) a Future Connection Opening
Copnected with Sewer
0) - flew Fixture, Old Opening
Water.
.PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
Itusber Fixtures
�� x
$3.00
Future Fixture Opening
x
$2.00
New Fixture, Old Opening
x
$2.00
Catch Basin
x
$5.00
Water Heater - to 99,000 BTO
x
$5.00
100,000 BTU to 199,000 BTU
��
x
$10.00
Water Softener
x
$7.00
New Ground lain Old Building
x
$5.00
Electric Water Heater
x
$5.00
GAS FITTING FEES: °
1st 3 fixtures
�- x
'$3.00
Additional Fixtures
x
$1.00
Gas Mange to 199,000 BTU
x
$10.00
REPAIRS $ ALTERATIONS
First $100.00
$5.00
each add. $100.00 or fraction
$2.00
State Surcharge
TOTAL FEE
RE"SPECTION FEE
Job Address '
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 mapplication are true and correct
Fridley, Mn. 7` , 19
OWNER
KIND OF BUILDING
USED AS
9
TO BE COMPLETED ABOUT
ESTIMATED COST r� I
TOTAL SOLD - UILDING PERMIT NO. PERMIT NO..
$ Company
$ Signed By
S
$ Tel. No.�
S °
$
ROUGH INSP.
Date '
o '
FINAL INSP. U
Date
APPROVAL FOR PERMIT
S .
S MINIMUM FEE FOR ANY PLUMBING PEAMZT ZS $7.50 PLUS $.50 STATE SUIKSi71 M
$ .50
$
7095
..e
CITY OF
FRIDLEY
APPLICATION FOR POWER PLANTS
AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY I APM AIR:
RATIx
TOTAL
Job Address
Furnace Shell & Duct Work
$12.00
§
F.eplacem:ent of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Department of Bi#ldings
Repairs & Alterations each add. $500,00
4.00
$
City of Fridley
Tel. #571-3450
MECHANICAL WARM AIR:
The undersigned hereby makes application for a permit for the work herein
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$
M.0 O
specified agreeing to do all work in strict accordance with the City Codes
each add. 50,000 BTU
4.00
$
and rulings of the Department of Buildings, and hereby declares that all the
*Replacement of Furnace
7.00
$
facts and representations stated in this application are true and correct.
Repairs & Alterations -up to $500.00
7,00
$
Repairs & Alterations each add. $500.OQ
4.00
$
Fridley, Minn. 19
STrX%l OR HOT 1:ITER SYSTE,1:
OWNER
Boiler & Lines up to 100,000 BTU
$;2.00$
�CIND OF BUILDING q(��yr,,G..
each addn. 50,000 BTU
4.00
Boiler only up to 100,000 BTU
7.QQ
$
USES ASLQ
each addn. 50,000 BTU
j•pP
$
TP PF FQMF;ZM PPRT
OIL BUR.\ER- to 3 gal. per hour
Slq.gp
}R•AR
$
each add. 3 gal. per hour
..
cpsT q� iFlo�so
GAS BURNER- from 100,000 BTU } 'qlq RTP
$10.Aq
PR - NFW FUTRMG FFFM'TT NQ. FERMIT NO.
(over 199,999 BTU see Fee Scheg4;f!�
S
GAS FITTING FEES:
1st 3 Fixtures /` X
Additional Fixtures is
$
11
UESQRTPTiON QF FURNACE/$UP%NER
Gas Range to 199,000 BTU x
$I Q, OA
B �1NQ Pr EQIV$#I $ N S, Si e4? e #fAr. W4l:erf Warm Air- No.
AIR CONDITIONING '� �-�- "� fFSlw� �¢-��!
/O•bdo
��r ®�7d�a��,
FAX HEATING SYSTEMS See Fee Schedule
$
Trade Name Size No.
ALTERATIONS
AL,ERaTIOVS � REPAIRS
4 REP I
$
capacity sq• Ft. FAR 13TU X1 0® HP
State Surcharge
TOTAL FEE
$ .50
$
11
Total Connected Load Kind of Fuel
LO
BURNER - Trade Name Size No.e'6 0 od 47 0145- ,S.S
ROUGH INSP. REINSPECTION FEE
Capacity Sq. Ft. EDR BTU ®!� QOO HP
Date ($10.00)
FINAL INSP. •5 - 2. *
Date
APPROVAL FOR PERMIT
MINIML•M FEE FOR ANY HEATING PER141T IS $7.50 PLUS $.SO STATE SURCHARGE
*Attached stack verification form
Company 1 I 1
Signed By T1 �Z �GLI�j
Tel. No.
LL'r o
..e
Infiltration
G lass
Exp. wall 2 -
Net exp. wall
Int. wall
Ceiling ;' o , ,s
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. I r Room I Length jS Width/0 Height
Window and Doors-Crackage and Area
No. W,drh Height No. of I L,nea! ft. Area
of pane of cone lights of crack sq. ft. c
' 0_ t'.+ate of pane.1911t,;uer t crack sq. ft.
001-
Infiltration
Glass
Exp. wall
Net exp, wall -
Int. wall
Ceiling —�
Floor
Total Btu.
s
tl Btu
Required sq. ft. E.D.R, nr ;q. ins. W.A. Leader area
Room 1 Length ._/ Width/�!{: Height,''`
Windows and Doors- Crackage and Area
ofTl -L �aaI ft. T- Area ,
of Dane.,f pane lights of f crack sq. ft. !
1
--
I
Coe fT Btu -f Btu
Infiltrationi c
Infiltration. t 7
Glass ?., Q r Glass ------------=- - -,� - le
Exp. wal I- Exp. wal i
Net exp. wall -- -- I
-- ------ v== "jet exp.
d
Int. wall t. wail
Ceiling-
�" !�f _._._�� Brigr—
loor F loon
Total Btu. IotrtI Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader ares# ! R. gL,!rµti sq. ft. E,! -),R. r;, sr{. ins. W. I_eanr'r are . -3 -
Room LengY-t _ "�---'Width` �' '.'�-iq:ght �'. F 1 Hoorn ! Ler,nth --- _-._
� -' - '� r �'�!tith HP.tgtit
Windows and Doors Crackage and Area -- - -- - l':'mdow w(' Doers 14radkage and Area --� -
Nu. W dh T '9t ',io ff
uT' -•al t. ? , ! L-�11 It
roma
-i a
-.r.Ic.
#t hr o_.f —�_ q. ft• a
tT v n aCra.n _a—�—
' ,ofJ
i N,' {.- _ Bt•,, f� - Btu
_,� y -
Glass
Exp. wallNet exp. wa I i ---- -
Int. wall
Ceiling J
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. Ins. LeaCer area
a v
G lass
HEAT LOSS CALCULATIONS HEATO G2, AOR
CO DOTIONONG
CO. MINNEAPOLIS, MINN.
Weatherstrips
A.S.H.V.E.
Construction No.
Int. wail I —
Insulation
Windows
-Yes--No
Doors
Guide
Reference
-
Out. Wall
Int. Waleiiing
Roof
--
Floor
--- - -- Applied
Kind f How Applied
-
Required sq. ft. E.D.R. ar sq. ins. W.A. Leader area
Yes-- No
19—
9
Fl.
FI. Room Length 16 Width
�% Height
FI. {
Room Length Width Height
Windows and Doors--Crackage
and Area
Windows and Coors--Crackage and Area
No, Width Height
of parte , of pane-
No, of Lineal ft.
I lights of r -rack
Area
sq. ft.
--i�--r--�—T
Ne. "%,h I
f� i
H«i4ht
i au, of
-_
1 Lin„�I ft. A,ea
Infiltration
G lass
Exp. wall 2 -
Net exp. wall
Int. wall
Ceiling ;' o , ,s
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. I r Room I Length jS Width/0 Height
Window and Doors-Crackage and Area
No. W,drh Height No. of I L,nea! ft. Area
of pane of cone lights of crack sq. ft. c
' 0_ t'.+ate of pane.1911t,;uer t crack sq. ft.
001-
Infiltration
Glass
Exp. wall
Net exp, wall -
Int. wall
Ceiling —�
Floor
Total Btu.
s
tl Btu
Required sq. ft. E.D.R, nr ;q. ins. W.A. Leader area
Room 1 Length ._/ Width/�!{: Height,''`
Windows and Doors- Crackage and Area
ofTl -L �aaI ft. T- Area ,
of Dane.,f pane lights of f crack sq. ft. !
1
--
I
Coe fT Btu -f Btu
Infiltrationi c
Infiltration. t 7
Glass ?., Q r Glass ------------=- - -,� - le
Exp. wal I- Exp. wal i
Net exp. wall -- -- I
-- ------ v== "jet exp.
d
Int. wall t. wail
Ceiling-
�" !�f _._._�� Brigr—
loor F loon
Total Btu. IotrtI Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader ares# ! R. gL,!rµti sq. ft. E,! -),R. r;, sr{. ins. W. I_eanr'r are . -3 -
Room LengY-t _ "�---'Width` �' '.'�-iq:ght �'. F 1 Hoorn ! Ler,nth --- _-._
� -' - '� r �'�!tith HP.tgtit
Windows and Doors Crackage and Area -- - -- - l':'mdow w(' Doers 14radkage and Area --� -
Nu. W dh T '9t ',io ff
uT' -•al t. ? , ! L-�11 It
roma
-i a
-.r.Ic.
#t hr o_.f —�_ q. ft• a
tT v n aCra.n _a—�—
' ,ofJ
i N,' {.- _ Bt•,, f� - Btu
_,� y -
Glass
Exp. wallNet exp. wa I i ---- -
Int. wall
Ceiling J
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. Ins. LeaCer area
a
Inf!lr.3t!Ort
G lass
Exp. wall
Net exp. wall '
Int. wail I —
_. --- — eq�,nlling
I
-
a
To Btu.
-
Required sq. ft. E.D.R. ar sq. ins. W.A. Leader area
a
63-8) —879001
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLIU SING FIXTURE RATES: Nd.
RATE
>
Cr
x $3.00
ej
Puv;. a Fixture Cpening
v
$
X
N
$
Water
e n
m
:hater Heater - to 99,000 BTU
x $5.00
$
It
u
o+ c
c
M
u
o
N
•11
e u
w
-4
w
b,
ziectric dater Heater
Heater
$
e
e
n
H
o
u
c c
c
u
is !• ci
••r
-5
a 0
3
Q
U «i
U 4
U
a
0
4j
ai
ej
o°
w
w
Id a
o;
--I
s
• lec
fis=h
12nd
13rd
r
!
(-R) Q Future Connection Opening
Connected with Sewer
(�) - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLIU SING FIXTURE RATES: Nd.
RATE
TOTAL
N:=-.2:er Fixtures
x $3.00
$
Puv;. a Fixture Cpening
x $2.00
$
New _ixt=e, Old Opening
x $2.00
$
Catc Basin
x $5.00
$
:hater Heater - to 99,000 BTU
x $5.00
$
1c1J,000 BTU to 199,000 BTU
x $10.00
$
Water Softener
x $7.00
$
New Ground --n Old Building
x $5.00
$
ziectric dater Heater
x $5.00
$
G_;S FITTING FEES:
1st 3 fixtures x $3.00 $
Additional Fixtures x $1.00 $
Gas n.::.ge to 199,000 BTU x $10.00 $
REPAIRS & ALTEIATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 S
State Surcharge $ .50
TOTAL FSE $ 8.00
REINSPECTION FEE
(;10.001
Job Address 5623 W. Bavarian Pass
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a peewit for the work herein
specified agreeing to do all work in strict accordance with the C-ty Codes
and rulings of the Departrent of Buildings, and hereby declares that all
the facts and representations stated in this application are true and ecrrect
Fridley, Mn. 7-20-81 , 19
(741MR THOMPSON
KIND OF BUILDING frame
USED AS res.
TO BE COMPLE=ED ABOUT 7-27-81
ESTIMATED COST 50.00
OLD - NEW BUILDING PERN.iT NO. PERMIT NO.
ROUGH INSP.
Date
Com
Signed By
Tel. No.
FINAL INsP. 11, i ' Q�
Date
APPROVAL FOR PER:4IT rq�
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURC:-iAaxr
Lill Ur thIbLtY
Appu:-AII®N FOR PLUMBING AND GAS FITTING PER iT-.
RAJE SCHEDULE -
P!UMBING FIXTURE RATES:
NO.
L4 7E
TOTAL
New rixturea-
z
5.00
S
Future Fixture&.
5
.3.50
S
Old OpeningHew rixture
z
1.50
;
-- Be®r Dispenser _ -_- --
g
4.00
$ -
Blow Off Basin
g
Yu
;
Catch Basin ._
Nater
=.00
S
'lain zeta; Leader
$
5.00
S
Hydraulic valve
S
" D
oo ►.� - -
G
--
Heater
;
waver Treating Appliance
c
7.00
c_
Hot Mater heater
c-
S
w
.
4vYs
S
;
was Dryer
S
Q
;
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1� of value of rizture or
Appliance
Qipuc���F`
_; ♦®a
J+einapectlon Pee $
r
ca
u
a
m
(515.001
0
s
0m
Iec:
asir
t
_—
-
3rd-
-
_
--
(R) - Future Connection Opening Connected tiC-% Sever
Q•} s Nw Fixture, Old Opening Mater
--------------
RAJE SCHEDULE -
P!UMBING FIXTURE RATES:
NO.
L4 7E
TOTAL
New rixturea-
z
5.00
S
Future Fixture&.
5
.3.50
S
Old OpeningHew rixture
z
1.50
;
-- Be®r Dispenser _ -_- --
g
4.00
$ -
Blow Off Basin
g
5.00
;
Catch Basin ._
3
=.00
S
'lain zeta; Leader
$
5.00
S
Hydraulic valve
S
5.00
;
Sump or Receiving Tank
g
5,00
;
waver Treating Appliance
g
7.00
;
Hot Mater heater
5.00
S
Gas Range
S
10.00
;
was Dryer
S
1_3.00
;
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1� of value of rizture or
Appliance
___
_; ♦®a
J+einapectlon Pee $
State Surchasae
(515.001
TOTA1 FE_
s
Job Address 4�'C 43 S'st— 41je* 1401 1%s -
Department
s
Department of Br-aldings
City of FridleT
Tel. #571-3452
The undersi.� ed hereby makes applicatr,on for a permit for the work herein
specified agrr---iag 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. >� ;L® 1 �
OWNER6-0noo le pig
KIND OF BUILD
1'SED AS - -
TO BE COMPLE-LmD AsMT
ESTI�L4,rO CLS=
OLD - NEW BUIIZL_'-i•�; PER` 1T NO. PERKIT 40.
•
Company
Signed By
Tel. No. Al X1 �l a!
:ate
FINAL INSP.
:.ate
M-i+kOVAL FOR
MINIM14 FEE FOR ANY PLUMEJING PER'4IT IS 510.00
PLUS TUE S.53 STATE SURCHAkGE
City of Fridley
SDB.,ECT
IT NO.
'?4 9 `> 9
AT THE TOP OF THE TWINS
r
BUILDING PERM I
-RECEIPT
T
TN
F COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
i
CITY HALL FRIDLEY 55432
NUMBERREV
DATE
PAGE OF
APPROVED By
612-571-3450
910 F15
3/28/97
JOB ADDRESS See Below - Multiple Buildings
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors Inc 2131 111 In, Coon Rapids MN 55433 868-9195 3509
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP. PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouse Buildings
7 CLASS OF WORK
CJ NEW ❑ ADDITION ❑ ALTERATION) REPAIR MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside 11 Buildings
9 CHANGE OF USE FROM TO
STIPULATIONS
Install building wrap and have inspection of same unless manufacturer"C
specifications state it is not required.
5600,5602,5604,5606 North Innsbruck Ct; 1511,1513,1515,1517 North Innsbruck Dr;
1510,1512,1514,1516 Trapp Ct; 1531,1533,1535,1537 Trap Ct; 1511,1513,1515,1517
Trapp Ct; 5610,5612,5614,5616 W Bavarian Pass; 5621, 623 5625,5627 W Bavarian Pass;
5631,5633,5635,5637 W Bavarian Pass; 5651,5653,5655,5657 W Bavarian Pass; 5680,
5682,5684,5686 West Bavarian Pass; 5691,5693,5695,5697 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
AUTHCR!ZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WCPK 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
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
$232,000 $116.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE 1SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUC'iON OR THE PERFORMANCE OF CONSTRUCTION
@
$1,547.25 � Fire SC $232.00
PLAN CHECK FEE TC). AL FEE
'c���
Li e4 SC 5.00 $1,900.25
11A E()r (.()T4-"A1'C)R OR Al1TICIFTI;F:t AGENT IDATE,
H N P ERLY 'E:� ?.i5 IS YOUR PERMIT
W._
^.ArRf (rr no, r.F ::
VVIDA
r
.r :'.t NER ki�i "I rDATEi
97 ' -4416051 APPLICATION FOR RLJMBING AND GAS FITTING PEN -11T
n ro a C I Lry ri l 0 Water
w a ti u{{ A 1J a. w Ilea ter
J U f, i.
11 Ll I (N7 .G 0 E W �R� LS i1
a; ,Wyy •G ISA H 0 r 0 +� LA V. ' 1 0 to 41
1 M rq .h b N 0 G n N 11 a N -f mro
us x A k Ln t U x 4
I - I ..�I _ I-I—ll•an
I — —
d
N) a FuLULe Cunnec[lOn Gpenllg C .,r.acLcd with
") New Fixturn, Old Opening
PARTIAL kir 'IE S%I!EL E
LL)` IWH G FIXTURE RATES; r10, RATE
IluS;,er I IALure a
x
$3.00
(1Lurt F"tore Opening
it
$2.00
I;e r Flxt,lce, Old Opening
x
$2,00
GiLch B4sln
x
$5,00
Water Itu.1Lur - to 95,000 8111
x
$5,00
100,000 BIU to 159,000 BTU
x
$10.00
Watur 50tLenar
x
$7.00
New GLuund Kin Old buildir.7
x
$5.00
EIeGLLko Water Ileater
x
$5.00
AS h L r u.,ci FEES.
let 3 tlxLures
x
$3.00
A.1dtLto1111 Fixtures
x
$1.00
G►a Iwngn LO 199,000 BTU
x
$).0.00
tEPAIkS 4 ALTERATIONS
e1rsL $100.00
each add, ;100.00 or 1raCL1On
SLAts Surcharge
TOTAL L'CC
REI115,P£CTI01l
$5.00
$2.00
Sewer
Water
TOTAI,
$
$
i
$
Job Address 5623 West Bavarian Pass
Deparunent' Of hoLldi.nga
City of Frldlay
Tel, N571-3950
The undersigned hereby makes application for a [,a mtL for thw'work heruln
specified agreeing to d0 all work in strict tcccr:lance with tl'.+. City Codes
and rulings of tiro De(:arLmenL of Buildings, ar.d- t--ruL, declare; that 411
tiro facLu and roprneuntntiona statud in this ci,t,iicatiu. aro tluo and curroct
Fridleiy, Mn, 11-14-79 19
01-I N E R DARREL FARR
KIND OF IIUI[..GI[lu frame
USED AS res.
TO BE COMPLETED RbOU P 11-21-79
► ESTIMATED COST 40.00
OLD - NEW BUILGIIK; PLIU-11T N0. FE[v4I: aO, L
Company
Signed By
Tel. 110,
ROUGH INSP,
Oa to
FIM.(. IIISP,
Date
APPROVAL FOR PERMIT��
MINIMUM FEE FUit MY PLUKBIIIG PEMIT IS $7,50, PLUS 3.50 571:f8 6URpWex
A'•