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PRE 2010 DOCSSUBJECT PERN19.- City of _Fridley .� 14539 AT THE TOP OF THE TWINS g U I.L D I N G PERMIT RECEIPT L'__ -.m- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 I I 12/30/77 JOB ADDRESS 5650 West Bavarian Pass N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Development Corp. 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 MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW El ADDITION El ALTERATION El REPAIR El MOVE 1:1 REMOVE % 8 DESCRIBE WORK` Construct a 24' x 35.5' Townhouse and a 20' x 23' Gara a (Sunnenheim) 9 CHANGE OF USE FROM TO STIPULATIONS Provide combustion air to furnace area. 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 WORKOR 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-1 984+460 22,936 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $301375 $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. $504.87 SIGNATUREOF CONTRACTOROR AUTHORIZEDAGENT (DATE) If�l EN PERL VALIDATED THIS IS YOUR BLDG )NSP T VE- SIGNATURE OF OWNER IIF OWNER BUILDER) )DATE) Alli, ,It;ATIO11 FOR R}.iSl1)Ii'�'1'II;1�, AL'1-1-A'1'I'IO\', OR ADDITION BMI.M.NG I11i1Z141T CITY OF F1)1fD1,J1: , • 1jNX1:S(�TA OE:r:EI" S NAME :�,4A"14. 90+U. t `&3 p, BUILDER : ! 'S ADDRESS: ,� a �� 'r °=� Lake- All1f 4 ADDRESS: V11,4- s . fWo, %5'SW-.Z8 ii0 : -.fO& 7 ® STREET: ��AACM LOT: % BLOCK: ADDITION: �i✓�1�7�Sst�� lei/O�t��� CORNER LOT: INSIDE LOT: V0100 SETBACK : ' SI DE"'EiRD : Applicant attach to this force Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To .Be Used As: 4 daysaA a m -see- Front: a? 4L Depth: Height; Square Feet: : Cubic Feet: Front: 7,0 Depth : Square Feet; .1936) Height: /0 TO TR L,) a Cubic Feet: M660 Type of Construction: WooJ FY'a8� g� 1 Estimated Cost: $ 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 and representations stated in this application. are true and correct. (See Reverse Side For Additional Information.) • s� i 1s, /9 J ?S-, 00 SA� CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ A© Future Fixture Opening x $2.00 0 New Fixture, Old Opening Water e! $ da x $5.00 $ d a g $ 100,000 BTU to 199,000 BTU -4J a W r�g x Heater $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: d 1st 3 fixtures / x '$3.00 $� Additional Fixtures kec $1.00 tj A Gas Range to 199,000 BTU x $10.00 $ ba 8 $y3b $5.00 aoi m cn $ State Surcharge $ .50 TOTAL FEE W w r a c� 0 as 1st 2nd 3rd 4th (R) 7 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 $ A© Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ 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 $ New Ground Run 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 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 $ 'y t_5 U REINSPECTION FEE (510.00) Job Address e 2 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 USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. 17� f „� Company � �� ` U%� -�5 &M, u Signed By `�, a, . Tel. No. `7'D // �3 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT , MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE J R5`> so APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND Furnace Shell & Duct Work to 100,C00 BTU .AIR CONDITIONING SYSTEPAS AND DEVICES PARTIAL RATE SCHEDULE 4.00 $ i' GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ $ Replacement of Furnace 7.00 $ Boiler & Lines up to 100,000 BTU Repairs & Alterations -up to $500.00 7.00 S Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley each addn. 50,000 BTU 6.00 $ Tel. #571-3450 MECHAN I CAL WARM AIR: Furnace Shell & Duct Work to 100,C00 BTU $12.00 $ ® each add. 50,000 BTU 4.00 $ Replacement of Furnace .7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYST51: 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 $ OIL 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 $ /0,00 (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ 3 � .00 Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00, $ AIR CONDITIONING Alae~ $ /(9, ®G FA,\ HEATING SYSTEMS See Fee Schedule $ VENTILATI::NG SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ 0 TOTAL FEE ROUGH INSP. Date FINAL INSP. ,- 7 2 Date APPROVAL FOR PERMIT REINSPECTION FEE C$10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.So STATE SURCHARGE 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, Minn. 19 2? OWNER 49,6e e',/ /�I(f4 KIND OF BUILDING USED ASPS®�//��, TO BE COMPLETED ABOUT ESTIMATED COST �/�► ®f� s OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER % HEATING r POWER PLANTS, Steam, Hot Water, 4arai Air- No. / Trade Name . �� Size No. 6J ',K0 b Capacity Sq. Ft. EDR BTU 9,06 HP 1 Total Connected Load C:2-2 2 Kind of Fuel _Qlki BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU company Signed By HEAT LOSS CALCULATIONS Sv 7 - 7 HEATHUGA AIR CoNogTpaNg '0 C • MINNEAPOLIS, MhVN. Weatherstrips A.S.H.V,E. Cnnct.—#; ii_ Guide ~•�I�`�. Insulation Windows Doors Out. Wall Int. Wall Reference Ceiling Roof Floor Yes—No Yes—No 19— 9FI Kind How Applied Fl.V_C�l Room Length , Width B Windows and Doors—Crackage and Area Height BFI Room Length®� Width � Height Nb. Width Height No. of Lineal ft. Area Windows and Doors—Crackage and Area P Of ane of pane fights of crack sq, ft. `.� No. Width Height No. of Lineal ft. Area of pane of pane lights of crack sq, ft. B Coef Btu Infiltration 7 Infi Itration Coef Btu Glass 77 Glass Exp. wall Net exp. wall Exp. wall Net Int. wall exp, wall Ceiling Int. wall Floor® Ceiling ` ��� 2- Floor Total Btu. Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Total Btu. Required sq, ft. E.D.R. or sq. ins. W.A. Leader area �FI.�� C�c Room Length Width Height ` Q FIRoom Windows and Doors—Crackage and Area I Length/ Width /0 Height Windows and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area of ane of pane lights of crack sq, ft. No. Width Height No. of Lineal ft. Area of pane of pane lights of crack gsq. ft. i Coef Btu i Infiltration Coef Btu Glass Infiltration t B®�Jtv_� Glass 900 Exp. wall Exp. wall � a Net wall ` Wepi Net exp. wall Ceiling Int, wall Floor 1 Ceiling�� oma® _ Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. Required sq. ft. E.D.R. FI. Room or sq, ins. W,A,.Leader area Length 4L Width �4 Height FI. )7 om Length ® Width Neight Windows and Doors—Crackage and Area s Windowand Doors—Crackage and Area No. Width Height No. of Lineal ft. AreaW,dr of ne of pa a lights of crack sq. ft. .1-n He r No. q K No. of Lineal ft. Area of pane of pane li is of crack sq, ft, jr Coef Btu Infiltration Coef Btu Infiltration Glass — + Glass - ; Exp. wall Net exp, wall Net exp, wall Int. wall Int, wall ` Ceiling Ceiling ®t`�•�� -- F lour ® Floor Total Btu. ft. E.D.R. Total btu. aired sq. or sq. ins. W.A. Leader area _ Required sq, ft. E.D.R. or iris. W.A. _ sq. Leaderarea Ura .L77�. HEAT LOSS CALCULATIONS COMBOTIONO G CO. MINNEE P®LIS, MRAN. Weatherstrips A.S.H.V.E. Construction No. Insula86on - Windows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kind Now Applied Reference Yes—No Yes—No FI 19 Room Length Width ®/ Height Int. wall Room Length Width Height Ir Windows and ours—Crackage and Area Floor 62 Windo s and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area of ane of pane lights of crack sq. ft. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area No. Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. a and Area No. Width Height of pane of pane Coef Btu B 3 Ceiling Coef Btu Infiltration 2—• ' 1? 1 7R_Q V Infiltration @v-7 I B Exp. wall Infiltration Net exp. wall] Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. r4 Raom Length Width Height WindAs and Doors—Crackage and Area No. Width Height of pane of pane No. of Lineal ft. lights of crack Area sq. ft. B 3 Ceiling Floor Total Btu. Coef Btu Infiltration p Windows and Doors—Crackage Glass No.Width Height of pane of oane Exp. wall ®� Net exp. wall Int. wall Ceiling A Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room Length Width Height Windows and Doors—Crackage and Area No. of ,patne of pane ht No. ofncrack sq. eal ft. Area Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room I Length Width Windows and Doors—Crackage and Area No. Width Height No., of I Lineal ft. Area MM PIM( f Height Btu Height Coef Btu Coat Btu Infiltration Infiltration Glass Glass Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor Floor Total Btu. Total Btu. Required -sq. ft. E.D.R_ or sq. ins. II.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room Length Width Windows and Doors—Crackage and Area No.Width Height of pane of oane No. of Lineal ft. Area liahis of crark so- ft MM PIM( f Height Btu Height Coef Btu Coat Btu Infiltration Infiltration Glass Glass Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor Floor Total Btu. Total Btu. Required -sq. ft. E.D.R_ or sq. ins. II.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT City of Fridley 2 14 ®1 1 AT THE TOP OF THE TWINS BUILDING PERMIT r • COMMUNITY DEVELOPMENT DIV. r� ______ r L PROTECTIVE INSPECTION SEC. Ld ��/ 1 i NUMBER REV DATE PAGE OF APPROVED BY "11 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/15/96 JOB ADDRESS 5650 1 LEGAL LOT NO. BLOCK TRACt ORA I ION SEE ATTACHED DESCR. 1 3 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gertrude Barwick 5650 West Bavarian Pass NE 571-4864 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Columbus Exteriors Inc 2131 111 In NW- Conn Rapids, U00 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP LICE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Townhouse; Soffit Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install ventilation per State Building Code. 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 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 1 ISTALLS 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 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- STRUCTIO_[d OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE N URE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROP RLALIDATED THIS IS YOUR PERMIT BL G )NSP MATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI - " L J LLLG.UYG it ADDN C l CITY OF FRMIM ALTER , [-d SINGLE FAMILY AND DUPLEXES II -1 AND R-2 Building Permit Application ConstructionAddress: _ S-_ West Bavarian pass Legal Description: Owner Name & Address: 6 F,- T Contractor: Tel. #—x-21— '/ 4 c/ Columbus Exteriors, inc.MNUCENSE# 3509 Address:_ 2131 111th In NW, Coon Rar>ids, MN 55433 Tel. # 86$_9195 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIMG AREA: Length WKith Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECD AREA: Length Width Hgt/ Ground Sq. Ft. OTHER: Vinyl siding Aluminum trim Corner Lot f l inside Lot [ j Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ (Cos t on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = t x $ _ $ DATE: – APPLICANT: Tdl. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1110th%) State Surcharge $ $.50!$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary I l TOTAL $ STIPULATIONS: 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 f o JOB ADDRESu vy-� Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appiance or Work / Commercial/Industrial 1 1,25% of Value of Appliance or Work Effective On March 1, 1996 The undersigned hereby makes application for a permit for the work herein Rate TOTAL '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 $ 30,00 $ representations stated In this application are true and correct, $ 10,00 $ I^� 5 1996 OWNER $ 10,00 $ BUILDING USED AS $ 10,00 $� ESTIMATED COST PERMIT N0. $ 25,00 $ __. DESCRIPTION OF FURNACE AND OR BURNER State Surcharge TOTAL FEE MINIMUM FEE FOR ANY WEtiTING/ PLUS THE $,50 STATE SURCHARGE REINSPECTION FEE $42,00/Hr 'Air Conditioners can not be placed in aside yard without written permission from adjoining property owner, No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No, BTU__ HP EDP Fuel Total Connected Load Burner'frade Name BTU HP Size No. EDR' HEATING COMPANY) -tet i/� C 1o, f Signed By r'. ✓� _ Tel No. Approved By _ Rough -In Date Final Date —LI�--C� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE The undersigned hereby verifies 1. Has been carefully examm 2. Is free from rust or deteri ; 3. Has no foreign objects lod 4. Is securely supported 5. Meets all current Code re and total BT'U's connected 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided ft 8. Has combustion air been me Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: the existing chimney or stack: Yes () No ( ) on Yes () No ( ) within Yes O No ( ) Yes ( ) No { ) irements for size Yes O No ( ) water heater ded for water heater Yes ( ) No ( ) Yes( ),No ( ) SUBJECT PERMIT NO. City of Fridley n�yl F �� 418 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. � - ______ COMMUNITY DEVELOPMENT DIV. L r I PROTECTIVE INSPECTION SEC. 010- 0-CITY CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 5/7/96 JOB ADDRESS See Below I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Variou SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Columbus Exteriors - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Townhouses 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 9 CHANGEOFUSEFROM TO STIPULATIONS 5600,5602,5604,5606 West Ba v ian Pass; 5601,5603,5605,5607 West Bavarian Pass; 5610,5612,5614,5616 est-$ea#ems-Fess; 5620,5622,5624,5626 West Bavarian Pass; 5,,620,5622,5624,5626 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 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 44 ISTALLS 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 $228,800 $114.40 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE 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 OF CONTRACTOR OR AUTHORIZED OF CONTRACTOR OR AUTHORIZED IDATEI AGENT� WHEN PAOPERLY DATED THIS IS YOUR PERMIT ')� SIGNATURE OF OWNER i IF OWNER BUILDERI IDATEI BLDG I SP FIAq SUBJECT City of Fridley L 3 0 7 4 6 AT THE TOP OF THE TWINS BUILDING PERMIT r PT NO. `� ------COMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION 1 � � �'� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By L 612-571-3450 910-F15 3/17/00 JOB ADDRESS 5650, 5652, 5654, 5656 West Bavarian Pass NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DES CR. 1-4 3 1 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Stock Roofing Inc. 3840 205 Ln Anoka MN 55303 213-1455 3112 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Townhouse Garage T CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Garage Building (20 Sq) Tear-off 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. 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 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 $1,748 .87 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC RGE PROVISIONS OF ANY OTH R ST TE OR LOCAL LAW REGULATING CON. STRUCTI OR THE RFORMANCE OF CONSTRUCTION $63 , 15 F e SC $1.75 PLAN CHECK FEE T7tAL FEE Licen C $5 0 VO.77 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATED E PR VALIDAM THIS IS YOUR PERMITf�,./� Ud SD rTAT E SIGNATURE OF OWN ER.IF OWNER SUiLOERI iDATEi NEW ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY ANDDUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: `%� 6 �� </ �� Alf Us9A��- Effective 1/1/2000 (763) 572-3604 Bldg Insp k� (- A � Legal Description: Owner Name & Address: _ Tel. # Contractor: SdG �oo�,.-� ,� �"� • MN LICENSE # 3��Z Address: 3� �y oz aS '",L.v /01,o,0',E SS3o 2 Tel. # 6 t 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 I Width Height Sq. Ft Length I Width Height Sq. Ft Sq. Ft Construction Type: C� Estimated Cost: $ /17vs Driveway Curb Cut Width Needed: - Ft + 6 Ft = Ft x $ = $ DATE: 3 `/S' APPLICANT:Tel.# CITY USE ONLY Call (763) 572-3604 for Permit Fees If mailing In application Permit Fee $ of Ar Fee Schedule on Reverse Side Fire Surcharge $ %� %S' .001 of Permit Valuation (1/10th%) State Surcharge $ 917 $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ 60 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "Nor Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ j TOTAL . $ 2Q, 9 STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 t AX: ( 763) 571-1287 PERM 0.:2004-01990 DATE ISSUE /2004 ADDRESS 5650 W BAVARIAN PASS NE PIN 243024410163 LEGAL DESC INNSBRUCK VILLAGES LOT 1 BLOCK 3 PERMIT TYPE BUILDING PROPERTY TYPE : MULTI DWELL CONSTRUCTION TYPE : ROOFING VALUATION : $ 21,739.00 NOTE: INSTALL PER MANUFACTUWRS�PE5VICATIO 9. INSTALL PER STATE BUILDING CODE. REROOF BUILDING WHICH INCLUDES 5650, 5652, 5654 AND 5656 WEST BAVARIAN PASS. STATE LICENSED CONTRACTOR 1 APPLICANT ALLSTAR CONSTRUCTION 840173 AVE N STE 80 BROOKLYN PARK, MN 55428- GASSEN 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 atter 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 reguioting construction or the performance of construction. Bldg Insp SEPARATE PERMITS BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 65625 FOR WORK OTHER THAN DESCRIBED ABOVE. 349.25 21.74 10.87 5.00 386.86 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: %40 5b5 -Z- 5I,51I-,toS(v IA) e,5T- 6 AV A(g AN PA% Legal Description: Owner Name & Address: &A%6Q MANAbetAer-tr`M W4c- 6AS6e-� Tel. # q �2-'i ZZ 55�� Contractor: Ab`i-+ z onS�UC77®'JAC- MN LICENSE# 53 2- ' Address: AM A O- 2 *K0 I--- Tel. # 7103 S3 S` 7700) 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 Width Hgt/Ground Sq. Ft. OTHER: IZ+:P-6Dt= F-501bbiri6 6b1q& Construction Type: Estimated Cost: $ Z (7 3 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE:/0/9564 APPLIDATE:/0/9564S�T�E'� �oi �` '�`'✓ Tel.# W535' A 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 $ .001 of Permit Valuation (1110th%) $ r ' $.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 [ $ _ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION (763) 572.3604 REFRIGERATION AND AIR CONDITIONING` SYSTEMS AND DEVICE JOB ADDRESS r A RATE- SCHEDULE OWNER LC �'itiPa' Residential Rate TOTAL Furnace Shell and Duct Work,: Burner - BUILDING USED AS_�� .5 E Also Replacement Furnace $30.00 (Side Vent - Fill Out Back) ESTIMATED COST PERMIT NaY Gas Piping (Needed with new;furnace, $ 10.00 but not replacement) DESCRIPTION OF FURNACE AND OR abRNER Gas Range $ 10.00 No. of Heating UnitsCircle One (Steam)'. (Hot-Wa#er) ar ir) Gas Dryer $ 10.00 $ Trade Name A MC&4;;4Size No. , BTU HP EDR =. *Air Conditioning - All Sizes,' $ 25.00 Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP Commercial/Industrial 1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a permit .'for the.work herein specified agreeing to do all work in strict accordance ,with tlie, City Codes an State Surcharge $ .50 rulings of the Building Division, and hereby declares that'allAhe facts and representations stated in this application are true and o'rre' t. TOTAL .FEE $�� � - 5�' STANDARD HFAIING & AIR I FETdG CO. 410 WEST LAKE MINNE POOUS, MN 5M8-2NS DATE 612-824-2656 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO k REFRIGERATION/AIR CONDITIONING PERMIT IS 125.00 T. PLUS THE x.50 STATE SURCHARGE Signed FAX # ?� c REINSPECTION FEE $47.00/Hr *Air Conditioners can not.be placed in a side yard' without Approved By7 n,\- Rough -In Date Final Da#tg written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACE ENT -,FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENTS VENT CONNECTOR AND GOMB(ISTION AIR VERIFICATION When re la:.in an `xis in ��ran . _the undersi ned hereli verifies that the I�---B--�—�t A f -�-rP, Y, s, =` o:venting hast pen exerr%ineo and- is free from ,r0st, deteriorat ort -obstructions, r: and is securely supporfed:ano ",stopped where required. Yes O No (:) The venting system is plasticfPVC 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 cnmh ,stien .air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When required to install a new pnmht istien air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new ventinggqy_cdem, the undersigned hereby verifies that itis a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes O No ( ) Ii -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 #1 Type i�C BTU Input o d 6,00 Fan Assisted or Nat F Appliance #2 Type LJ -'L- ice- BTU Input 00 c Fan Assisted or Nat Appliance #3 Type BTU Input Fan assisted or Nat Total Appliances Total Btu input a u Common Vent Type Vent Height Diameter �� inches Appliance #1 Vent Connector Height ,c�Zft Length ft Diameter®r in Type �_r Appliance #2 Vent Connector Height <-2,S-ft Length,- ` ,5 ft .Diameter in Type 1� 7� Appliance #3 Vent Connector Height ft Length ft Diameter in Type EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY PERMIT TO.: 2004-01065 6431 UNIVERSITY AVENUE NE FRMLEY, MN 55432 DATE ISSUED: 07/12/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 5650 W BAVARIAN PASS NE PIN : 243024410163 LEGAL DESC : INNSBRUCK VILLAGES : LOT 1 BLOCK 3 PERMIT TYPE : BUILDING PROPERTY TYPE : TOWNHOUSES CONSTRUCTION TYPE : DECK VALUATION : $ 1,391.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. REPLACE A 13' X 8' DECK. STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE PLAN CHECK FEE 50.95 33.12 MATRIX CONSTRUCTION (20431447) 1204 KNOX AVE N FIRE SURCHARGE 1.39 MINNEAPOLIS, MN 55411- STATE SURCHARGE, VALUE 0.69 LICENSE SURCHARGE 5.00 TOTAL 91.15 PAID WITH CHECK # 6089 OWNER BARWICK GERTRUDE FLOWERS 5650 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 governin is type of work will be complied with ether specif e e or not. The granting of a permi oe not pres t g' e authority to violate or cance a isions f dna er state or local law regula ' c ' or the a of constction� u / °�7 Applicant ✓ r Date "' Bldg Insp, Dated ` EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. e4f- 3-7& 6 NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fddfey, MN 55432 (763) 572-3604 Bldg Insp �S ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-12874ax�C BUILDING PERMIT APPLICATION��� Construction Address: S b 5 0 uj o --'� ' Ave'i e - z w Legal Description: " f `i r-�p C'I (- rZ Owner Name & Address: G PT,- �o') a t' Tel. # :NSE # 0r0 H 31 4y Tel.# 612."5a1 �5by 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 , Width c6 ,--- Hgt/Groun C Sq. Ft id OTHER: Construction Type: C'-) U ®� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ ,�j0 .1timA aQ"- 1�2 ., S06,%,�c W�sn.c���Tel.# DATE' APPLICANT: c-�— 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. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ SO, C(5 Fee Schedule on Reverse Side $ 3 . I Z� 65% of Permit Fee $ .001 of Permit Valuation (1/10th%) $ 4 $.50/$1,000 Valuation $ $1350 per SAC Unit $ a,00 $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 [ ] TOTAL $ STIPULATIONS: CP H A Go M 0 o c rn rn C n W a 0 VJ a CO Go h 40 rt O O d <0Ab Ca O — tD m CD O S O Cs- O' d 3 CD CD 1 tC C C0 � Cb O d t0 10 CO O S d o L Cr* m ;0 rt Ll � o c °° m IE -+ N O� tq S S t CD "" •"c cc N Cl- 'm CD o rt to '• s m N N N N N N m e N a 0 3 .__ m m a L a L � 3 1 • N M E: E: q o 3 co 3 m 3 rt � rt M a a a a a a a a a a a a a a a a a a a a a a a a a C You may buy all the materials or any part at low cash and carry prices. Because of the wide variable in codes, Menards cannot guarantee that materials listed will most your code requirements. These plans are suggested designs and material lists only. Some Items may vary from those pictured. We do not guarantee the completeness or prices of these structures. Tax, labor and delivery not included. Beam layout for Your Deck The sGals is 1/8" :1' Design#:67564 Mark length Desari tion A 10'4" 2-242 Green Treated B 124" 2-242 Green Treated Illustration may depict options not included. 4 dl7 S vi, 'I livenall .11,11911-7.11,18912 Please bring these plans to the cashier to purchase. 2' 10'4" Post anM191:67564 eaimension Sheet gc�, � NASI wc��n 10'4" 10'4" 2' THIS, J ,1 ti,Y �1`.... t._ ........ ;r, L AND FIOUd- L"I 0 m ..... " Q`44 W NAIL ®- Denotes railing posts and are placed at a 48" maximum post spacing. Illustration may depict options not included. Ta 2' 10'4" Post anM191:67564 eaimension Sheet gc�, � NASI wc��n 10'4" 10'4" 2' THIS, J ,1 ti,Y �1`.... t._ ........ ;r, L AND FIOUd- L"I 0 m ..... " Q`44 W NAIL ®- Denotes railing posts and are placed at a 48" maximum post spacing. Illustration may depict options not included. Design #: 67364 b/30/2004 00 Take this sheet to the Building Materials desk to purchase your materials. You have selected a 8' x 35' deck 8' off the ground. Below is a section of the railing style ani Pressure Treated Framing Material options you have selected for your deck. Horizontal Decking S/4" x 6" UItraDea-kme sib a Plasfic-Deck_Boards. 36" Spindle Railing 2"x2"x42" Pressure Treated Spindles, Beveled 1 End 4"x4"08" Pressure Treated Utop Notched Railing Posts Poured Footings 12" Tube 4' deep DeckMount 8ft Galvanized Hidden Fasteners Go Ivan ized__Framing Fasteners --f" x 12" Joists V-02" Beams 40 PSF Deck live load i g' L(I% SPOC! 01 7e— Illustration may depict options not included & ' Stair Widths : none For Building Material's use only: 0964200960114040603000003048080200040401 Today's cost for materials estimatedin this design with options: $2048.19 *Base price may include: 40 PSF deck live load, horizontal decking, 2x6 pressure treated deck boards, pressure treated framing material, no stairs, 36.2x4 railing, pressure treated railing posts, and galvanized,box nails. * (BASE price): $1430.41 Building PLUMBING Permit No.: W?-02 Y1 Inspections p RESIDENTIAL APPLICATION Received By�� 763-572-3604 CITY OF FRIDLEY / DATE `� / s YOUR E-MAIL ADDRESS SITE ADDRESS BS td �l J dI e2 a q a� e:4 SS THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: C 6 r?_ r 9 't 6 r OWNER/ ADDRESS:S10 6 A L)AA-- ,4 „J CITY .'I L & STATEP"'d ZIP TENANT PHONE: -7 (% 3 _ NAME: CONTRACTOR Terry Overacker Plumbing, Inc SUBMIT A COPY OF STATE LICENSE # � A �a a6 P.w, 502 E Main St YOUR STATE ADDRESS: "ATE ZIP Anoka, MN 55303 LICENSE WITH PHONE APPLICATION SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE ❑ NEW *REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK m .x f. LyLi- J a 41ca Ly PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) . —BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING BATHTUB —GAS PIPING Ove crryucmm) SWIMMING POOL WATER SOFTNER ($35) _ _ _ _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREY. ($15) —DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER PERMIT Fula PROJECTS 'FOR UNDER $500 - PERMIT F11E FORMOJECTS 0VER::$500 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 1 x $35.00 = $ Seca TOTAL DUE $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME 'JA L dt, 1,C- X le-0 "i 1 DATE PLEASE NOTE; ` SPP) RATE PERMITSARE RE%M! M! FOR TKILDIN(, ELECTRICAL, AND M1*M�WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 PLUMBING Permit No.' Building Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DaREMAPR 1.4 200 763-502-4977 FAX EFFECTIVE 1-1-08 DATE YOUR E-MAIL ADDRESS SITE ADD S ��i ��!/�� ha # /✓ 7,�,rr �2'J THIS APPLICANT IS: ❑ OWNER OCONTRACTOR PROPERTY ADDS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: Vt STATE EXP DATE G SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE 4- ZIP CERTIFICATE OF ADDRESS: &Vt' _--jCITY ._A}a. STATEe!!!? INSURANCE PHONE %4.7 -AC -X - FAX 71!3 PERMIT TYPE VSINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: ❑ NEW P&EPLACEMENT DETAILED DESCRIPTION OF WORK. � , l Lim/, f��s '� PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. / BATH SINKILAV DRAINS /SHOWER — WATER PIPING _FLOOR -T BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) BACKFLOW PREV. ($15) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER > k aj Permit Fee Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 (MINIMUM $15.50) (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and ork is not to start without a permit on site; that the work will be in accordance with the approved plan in the case ofaZyrk which quires review and approval of plans. OF APPLIC PRINT NAME_ f��d�� DATE SIGNATURE D DATE APPROVED BY City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building $ BUILDING See Back Page for Fee Schedule Permit No • 7 Inspections ")• RESIDENTIAL APPLICATION Received By: 763-572-3604 [ . e' CITY OF FRIDLEY Surcharge Date Recd: L4 [1! � 763-502-49/77 FAX EFFECTIVE 1-1-08 License Surcharge $ DATE, $5.00 (State Licensed Residential Contractors) SAC Charge SITE THIS APPLICANT IS: ❑ OWNER CONTRACTOR Curb Cut Escrow PROPERTY OWNER/ ,L 2 /zz'vV 741kV 1 NAME: C7� ft + 6 ft = ft x $21 =$ �,n /� (U 5' ® [A/- 9�1'yri% *?/A UN ITY dam✓ %% � �� STATEAf WZIP :6 � f TENANT ADDRESS: � f ; — �1 �''ve Park Fee $ PHONE: .5-71ly Fee Determined by Engineering CONTRACTOR NAME: l '" ADDRESS: ��� / �� CITY STATITz-WAIPJ6� ' SUBMIT A COPY OF PHONE 7, - VZ- 06 % el' FAX Make checks payable to: Ci of Fridley Attach Stipulations YOUR STATE LICENSE STATE LICENSE # 9tf -9 ®J?' -56 6 EXP DATE -3 -151 -.?6019 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR XREMODELING DESCRIBE WORK BEING DONE:%� %�Ge� °' t✓%�L�l3-72 SIZE OF IMPROVEMENT ® 10 LENGTH ® WIDTH HEIGHT SQ FT 6� ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE cos, OF LABOR AND NtA r r mmi a: BJSING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 1®0 0 OCCUPANCY TYPE Permit Fee $ 31, See Back Page for Fee Schedule Plan Review $ ")• 65% of Building Permit Fee Fire Surcharge $ [ . e' .001 times the total job valuation Surcharge $ �J .0005 x Permit Valuation Minimum $.50 License Surcharge $ E S . t_ -No $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: Ci of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMrr-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the mnesota Construction at I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be it ;,co r 1 nqe wi th o plan in the case of all work which requires view and a�al of plans. SIGNATURE PLICAN-�"' PRINT NAME ��j DATE'V APPROVED BY �, o. DA"' Building $ BUILDING $ Permit No.: U Inspections Park Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Total Due $ Kiln e� CITY OF FRIDLEY mate Rec'd: 2�"t 763-502-4977 FAX EFFECTIVE 1-I-09 DATE Zco - 1pp v .1 YOURE-MAIL ADDRESS2��n. ItO�"T��- �a%A.��DC�• �ih1 SITE ADDRESS `J �D �� /a0. ✓� Q.vti Qp��n �� 11 THIS APPLICANT IS: ❑ OWNER 'CONTRACTOR PROPERTY OWNER/ NAME: VJ C�C.r TENANT ADDRESS: u Sb CITY tt-n STATE_ ZIP PHONE: CONTRACTOR NAME: C-4 0 A.✓a �.k- An SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # D r&P EXP DATE 3 ' 31 " 20 I o AND CERTIFICATE OF ADDRESS: -2.112.1 U aS l a y, ,,��, 11 CITY_I� STATE)A�_ZIP 56Sq? 40 INSURANCE PHONE (0ta- a f -A- 33 1 S? FAX Seo .LDktS PSC PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Q ;ti - SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 5OOSINGTHE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ O OCCUPANCY TYPE Permit Fee $ Plan Review $ Fire Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ Kiln e� See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= 6x$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Aavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application -for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case t a uires review and approval of phans. 1, SIGNATURE OF APPLICAN PRINT NAME C kflSih ri k—&- DATE �` O f7LAfJ 4-11f 9�> r�- M �� VVI w C2Vo,t I W%-rA t. -L eT- FL-A S-14 AiQra t7em Is INe' �AW 6-v-- V- -Ekt-1T4 I vino j . "sio, �` Tb tz Aftis c�{� 915 NA W/ T -x7110 -rV.P,< 7 cwt , E�tS� INJ;� F & , y � J4 !� F.lP as s'r i-"4tt76P7 'o M 6k ISS (a -3 LAj�-kd' S°fkt�A-t � T�M14114��Aw lam'' I'h"� a 61z terse LIP ' Cj i4k ��tc -) for l� Building PLUMBING Permit No.:ab"_01*3q0 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY 1� 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE "- Lk YOUR E-MAIL ADDRESS SITE ADDRESS a �� �`y �` Pa s4 L,�, THIS APPLICANT IS: ❑ OWNER bCONTRACTOR PROPERTY NAME: (}-e: �'c ee t C'.` oats " c OWNER/ ADDRESS: .S'C*TO ao,,X 1`C.✓l Paas La, I'YF rid te STATE n'„ZIP Z TENANT PHONE: �' 3` / - 4 C6 i CONTRACTOR NAME: %c -A -e Z: C. Clw of /"nm_ Ptc SUBMIT A COPY OF STATE LICENSE 8 L-LT_5- ® P i^ EXP DATE YOUR STATE LICENSE, BOND AND STATE BOND # ?0.3 CJQQ i G EXP DATE CERTIFICATE OF ADDRESS-ItAiOS' IZ"A cecI%S 5� A)C CTIYtttor 4c'.3ce- STATE/n- ZIPS��>P'2- INSURANCE PHONEgCZ- &J( -q T3'4® FAX gSZ-4469 -7-®Q t PERMIT TYPE ❑ SINGLE FAMILY ❑ TWO FAMILY 4<TOWNHOUSE TYPE OF WORK: [3 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING _ _ GAS PIPING (NEED CITY LIC) SWIMMING POOL RvATER SOFTNER ($35) —BATHTUB _ _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) _ _ —DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER i .., S, ,SY q �,7779 �£ 3t 10 3 ? 4-1a� '�•, �M1 S� � � '3 i R �' k f K! C u .r�' ''r '� 5 r � ,,- � � r.'RS '` i ''•L � � .. 4 . � '`a`l. $"ity"� `fit x THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. ii �' �% ', O SIGNATURE OF APPLICANT �!� PRINT NAME e+d`I i v DATE APPROVAL INSPECTORS SIGNATURE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977