PRE 2010 DOCSCity of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
PER
14301
i
`
RECEIPT N
`L ______ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
8/22/77
j
JOB ADDRESS 5667 West Bavarian Pass . N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED.
DESCR.
1
16
Innsbruck Villages SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
Darrel A. Farr Development Corp. 7286 -
72nd Lane North 560-8110
3 CONTRACTOR MAILADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAILADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
QX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 35.5' Townhouse and a 20'
x 23' Garage (Sunnenheim)
9 CHANGE OF USE FROM
TO
STIPULATIONS
Combustion air required in furnace area.
REOWED FOR
WIRINGS WARNIFI
PERM
SEPERAlT P
Before digging call local utilities
NEATING, PLUMBING AND SIGNS.
TELEPHONE - ELECTRIC - GAS Etc.
REQUIRED BY LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 120 DAYS AT
R-1
984+460
22,936 Total
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
'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
$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-
ST ON OR THE PERFORMANCE.OF CONSTRUCTION.
$91.74
$375.00
PLAN CHECK FEE
S22m.94
TOTALFEE
C� 2
IGNATUREOFCONT RACTORORAUTHORIZED AGENT (DATE)
HE P OPERLY VALIDATED THIS IS YOUR PERM.T
BLDG )NSP. DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
AP111. J CAT I O 1�UI: 1ZES I Di N'TI A1,, ALTERATION,
OR ADI)I i'ION L'U I LI)TOX PERMIT
CITY UJ I RI1)Ll�Y , ,•lli� ?I TA
RVQ,
It DRIPSS :� �Ga 7 Lake. AI ovf h ADDRUESS : J0706
N : STREET- Z&&7 .� z d.l_Q%LI�.�i�6� J"*2 �t
LOT: I BLOCK:— /C�o ADDITION•/LOMAkmelG 14&aes
COK ER LOT: INSIDE LOT: P# SETBACK:' SIDE'Y'ARD:
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
Z.
oo-+��,1iause_ Front: c24- Depth: Height: 20
Square Feet: �,�, Cubic Feet: /ice 07
*2 tdQ Front: Depth: 0 •. Heigh t ; /0
Square Feet; 430 Cubic Feet: -1300
Type of Construction W004 Ef-a e, Estimated Cost; $ *30000 . 0
To Be Completed: ulle 1927
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.
DATE: ►-3. SIGNATURE:
(See Revere Side For Additional Information,.)
o 6-0
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
M
NO.
RATE
TOTAL
N
x
ro
V0 0
v
x
x
O
New Fixture, Old Opening
Water
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
�_ x
N
Q
100,000 BTU to 199,000 BTU
b W
W
w
Water Softener
x
Heater
$
d
m
$5.00
M
m
F
M
3
GAS FITTING FEES:
of
1st 3 fixtures
�_ x
. $3.00
.roi
34
0. N
R
$
M
.!�
.0
C
REPAIRS & ALTERATIONS
Q
U ••O.1
O
First $100.00
. U
$5.00
v
each add. $100.00 or fraction
O
O
M
State Surcharge
N
R
N
•�-1 O
34
O
U
N
ro
41 N
ro
N
ro
$
ro
+'
41
v3
U
$4
0
ro
cQ
ro
R1
a
N
ro
3
o
A w
C
to
.+
w
ro
U co
o
a 3
C7
C7
0
as
lec
2
t
/
1st
I
2nd
3rd
4 th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMSBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
V0 0
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
�_ x
$5.00
$ S.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
J&D
$
REINSPECTION
FEE
($10.00)
Job Address ��� ��j¢�(J, l� /14
�5�
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. { ice' er _ /f) , 19-2�L
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company
Signed By `[
Tel. No. IP�� � �-3
ROUGH INSP.
Date
FINAL INSP. ,� 9
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUs $.50 STATE SURCHA=
D Qg3415 CITY OF FRIDL EY
< APPLICATION FOR
POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING
SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE.
�ass
CA�"ITl' 1�:\bt�l AIR:
R.\1'C
TOTAL
lob address ��� 9 L6i1. A �A��QB'3
Fsrnace Shell S Lsct Work
$12.00
$
Fepiae.>-:.e.t'o! Furnace
$500.00
7.00
7.00
$
$
Department of Buildings
ae. sirs & :,iteratio.^s-u,� to
4.00
$
City of Fridley
Re.airs & Alterations each add. $500.00
Tel. ;`571-3450
B-Cr.ANICAL WARM AIR:
The undersignedNhcreby makes application for a permit for the work, herein
$12.00
$ ® oCu
specified agreeing to do all work in strict accordance with the City Cordes
Furnace Sell & Duct work to 100,000 BTU
4.00
$
and rulings of the Department of Buildings, and hereby declares that all the
e?: aid. 5v,000 o^:
each
7.00
$
facts and representations stated in this application are true and correct.
Rc:'acaof Furnsce
-
-tip $50:3.00
00 7.
$
�- 30 19�
Fe=airs & alterations ..o
4.00
$
Fridley, Minn -
Repairs & Alteratic,ns each add.. $500-00
TES: OR IDT HATER SYSTI31:
OWNER Li•rr-,
Boiler & Lines up t0 100, 000 BTU
$13.00
$
KIND OF BUILDINjGG 11r�erY1 �
each adcn. 50,000 BTU
4.00
7.00
$
$
USED 15S PeJ 1,11 e-1 11 y!C
Boiier only up to 100, 030 BTU
-1.
G.00
$
-27
eaci. add 50,000 BTU
TO BE COMPLETED ABOUT 0®
SIL BURNER- to 3 gal. per hour
$10.00
$
&®
ESTIMATED COST �
each aid. 3 gal. per hour
10.00
$
'4kS $10.00
$
OLD - NBW BUILDING PERMIT NO. PERMIT NO.
BURX'R- from 1C1,000 BTU to 199,999 BTU
(ever 199,999 BTU see Fee Schedule)
$
;As . EES:
1st 3 Fixtures a $ 3.00
Adiitional Fixtures x $ 1.00
Gas Rsnga to 199,000 BTU x $10.00
,_R C'N37TIoNIXG -`; /,0,00 e04 'X
-A\ HZATING SYSTEMS See Fee Schedule
X71I.TI\G SYSTEMS
;LTERATIONS F REPAIRS-)
State S::rcharge
TOTAL FEE
Date
r=AL INS?. ` ;-Is -grj
)rate /
L-P.iOVAL FOR nvmmrz
REINSPECTION FEE
($10.00)
FEE FOR AhY HEA^aING PERMIT IS $7.50
DESCRIPTION OF FUF`NACE/BURLIER
HEATING or POWER PLANTS, Steam, Hot Water, arm Rir�-i,No.
Trade Name
Capacity Sq. Ft. EDR BTU H?
Total Connected Load ID Q. 77 Kind of Fuel 949
BURNER - Trade Name Size. Ito.
Capacity Sq. Ft. EDR BTU SP
GEO. SEDGWICK HTG. & AIR CONN. CO,
Company
Signed By
Tel. NO. T ��/'I
tf 8 �td`� C! 't � •� ,� Vii. ° Cry I
HEAT LOSS CALCULATIONS H 8 AP tC nFirq in) M nvu p mun. nn MINNEAPOLIS. MINN.
Weatherstrips
A.S.H.V.E.
Guide
Reference
19FI.
Construction No.
M vv Insulation
Windows;Yes-No
Doors
Out. Wall
Int. Wall
Ceiling
Roof Floor
Kind
How Applied
Yes -No
S(Room Length A ly Width ® Height
Windows and Doors-Crackage and Area
No. Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft,
-
Fir.% Room Length 1e, Width
�Nindows and Doors-Crackage and Area
® Height
liler
No. Width an I Height No. is
Int pane of pane lights
Lineal k
of crack
Area
sq. ft.
Coef Btu
Coef
Btu
Infiltration �'
Glass
Exp, waII
Infiltrations
Glass
Exp. wall
6
Net exp. wally
Int. wall
Net exp, wall
Int. wall
Ceiling
Ceiling 12-2q
1,3,1�„•
Floor . 192 I
Floor
Total Btu.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
.E3SFI.ga�44 r,+-pt,Room Lengths Width
Height �'
FI Room
Length/ Width
/a Height
Windows and Doors-Crackage and Area
Windows and Doors-Crackage and Area
No. Width Height No. of Lineal ft.
of pane of pane lights of crack
Area
sq. ft.
W�drh Height
of pane of pane
No. of
lights
Lineal ft.
of crack
Area
ft.
—Npyo—.
ygsq.
Coef Btu
Coef!
Btu
Infiltration
Infiltration
9,P 7
Glass
Glass
Exp. wall
Exp. wall
Net exp, wall Y ---
Int. wall
f/ _
�. _ .-
Net exp. wal! -
--------------
Int. waII
�_ �
� -1
6 :�
Ceiling
Ceiling 14/Wr
- -----
Floor
/�%/�;
". .
Floor 1. 7 `�y-- —�,�
-
.�-_
Total Btu.
Total Btu. - _-
r.
63 7 ` .#
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.�eyb- Room Length_ Width Height
-
FI. M�g ; Iom Length Width Height
Windows and Doors-Crackage and Area
No. Width Height No. of Lineal ft. Asea -�:`�+
o�P2ne of pane Lgthts of crack sq. 1t. ,�r'
Coefl • Btu
4"4'indows and Doors
-Crackage and Area
Coefi Btu
_ ..�--
Hr, ght T
No. I , }��wriK__l
—��-----
N� . t I Lui. al ft.
S of cr a.:k-
I
- —
Asea
sq. ft.
Infiltration
Glass - ---�
Exp. wall �� _ I
-�
—�
I
Infiltration1 j
Glass -- ------ -- -- -
Exp. wall ^---- -�
-
--�-
-
-i
Net ex wall
p
Int. wall - - }--
Ceiling`�
a
---- -
-- -----------.�.---_
Net exp. wa!I
-- - - — ------+---+
nt. wall
Cei l ln9
—Floor - ---- ----j
Total 8tu.
Floor
Total Btu.
6A-
Required sq. ft. E.D,R, or sa. ins. W,A, Leader area
Required sq, ft. E.C.R. or sq. ins. ti'.A. Leader area
I
HEAT LOSS CALCULATIONS
r -n MINNEAPOLIS. MINN.
Weatherstrips A.S.H.V,E, Construction No. Insulation f
Windows ° Doors Guide out Wall Int, Wall Ceiling Roof Floor Kind
Reference How Applied
Yes -No Yes -No 19—
F I
9FI JZ C doom I Length D I' Width Height 4 FI.�� Room Length Width a' Height
Windows and ° oors-Crackage and Area Windo s and Doors-Crackage and Area
No. Width Height' No. of Lineal ft. Area Nidrtr Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft• 6 No. of
fp --- pane of pane lights I of crack sq. ft.
u
L9
Coef
Btu
Coef
Btu
Infiltration
Glass
"
Z�vh
cel
Infiltration
—
Glass
Exp. wall
Exp, waII
Net exp. wall
Int. wall
Net exp. wall
Int. wall'
r�
Ceiling
Floor
'7
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq, ins. W.A. Leader area
*-Y-�
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room LengthWidth
Height
FI, Room Length
Width
Height
ors-Crackage and Area
Windows and Doors-Crackage and Area
4and
ht No. of
lights
AN;o.W
Lineal ft.
of crack
Areaane
sq. ft.
No• Widrh Height No. of Lineal ft.Area
of pane of pane lights of crack
sq• ft.
i
Coef
Btu
Coef
Btu
Infiltration
0
Infiltration
Glass
�
Q �
Glass
Exp. wall ®�
Exp. wall
----------
Net exp. wall
Int. wall --
_
Net exp. wall
_ -- -- - -- ---- -----
Int. wall
--- ... ---- -----
-
___
--
_
Ceiling
�
CeiIin g
Floor
Floor
_
--
Total Btu.
Total Btu. — -`—
- -` -----" --�-.�
Required sq. ft, E.D.R. or sq. ins. W.A. Leader
area
Required sq. ft. E.O.R. or sq. ups. W.A. Leader
area
FI, Room I Length
Windows and Doors-Crackage and A
Width Height
Coef! B to
FI. Room I Length Width
Windows and Doors-Crackage and Area
-- �� –-------
Nc. W'n"' Hji I N,,. of Lmeai ft. Area
of [�a•ie of pane lights of crack sq. ft.
--1—
I
-- -- - -
Height
Cnef Btu
--
,r
No. IN,
of ane
Height No. of
of pane lights
-
,Hea
_
Infiltration
Glass
Exp. wail
_
Net exp, wall
Int. wall -
Ceiling
_
-
—`-
Infiltration I
-- - - -----J- --
Glass
Exp, _ --�` — - - - --- -- -� ----
, wall
—.
Net exp. wall
-Int. wall
Ceiling
Floor
Total Btu.
--
- -Floor - -- ---- -
Total Btu.
Required sq. ft. E.D.R, or sG. ins. W.A. Leader area
Required sq, ft. E.D.F., or sq.Ins. W.A. Lead�a�re,
January 31, 1978
8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
Mr. Jim London
Darrel A. Farr Development Corp.
7286 - 72nd Lane North
Minneapolis, Mn. 55428
TELEPHONE ( 812)571-3450
Re: Final Inspections on 5661 and 5667 West Bavarian Pass N.E.
Dear Mr. London:
Final inspections were made on January 24 and January 25,'1978 of the
above addresses and the following items were noted which must be
completed before the structures can be finaled out;
5661 West Bavarian Pass N.E.
1. Provide sod in the front and side yards by July 17, 1978.
2. Provide exterior stair handrail by May 22, 1978.
3. Provide exterior rear steps by May 22, 1978.
5667 West Bavarian Pass N.E.
1. Provide sod in the front and side yards by July 17, 1978.
2. Provide handrail for exterior steps in rear by May 22, 1978.
3. Replace scuttle door (air leaks around it as it is too small)
by February 15, 1978.
We will expect the above items to be completed by the scheduled dates
when reinspections will be made to determine compliance. If you have
any questions on these items, please contact me at 571-3450.
Sincerely,
,4;2 ya�
RON HOLDEN
Building Inspector
RH/mh
I V
y �
9
1 P
r �f
June 28, 1978
No M t..
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
Darrel A. Farr Development
7286 - 72nd Lane North
Minneapolis, MN 55428
TELEPHONE ( 612)671-3450
Re: Final Inspections at 5667, 5671, 5675, 5683, and 1584 West Bavarian
Dear Sirs:
Final reinspections were made on June 26, 1978 of the above addresses
and the following items were noted which must be completed before
the structures can be finaled out;
5667 West Bavarian Pass
1. Mark sump with sticker.
2. Complete exterior handrail near back step.
5671 West'Bavarian Pass
Complete exterior handrail near back step.
5675 West Bavarian Pass
Double header over garage door.
5683 West Bavarian Pass
Double header over garage door.
1584 West Bavarian Court
Provide four posts under deck - it is now overspanned.
We will expect all of the above items to be completed by July 21, 1978,
when reinspection will again be made to determine compliance. If you
have any questions on these items, please contact me at 571-3450.
Sin2yL,
RON HOLDEN
Building Inspector
RH/mh
City of Fridley
AT THE TOP OF THE TWINS
SuBjECT
BUILDING PERMIT
PERMIT NO.
�1-4
f
RECEIPT NO.
vvv
_ __ COMMUNITY DEVELOPMENT DIV.
' • ------
' --
E - PROTECTIVE INSPECTION SEC.
r E �
E �
CITY HALL FRIDLEY 55432
612-571-3450
NUMBER
910-F15
REV
DATE
5/7/96
PAGE of
_
APPROVED BY
JOB ADDRESS
See Below
1 LEGAL
DESCR.
LOT No.
VariOU
BLOCK
TRACT OR ADDITION SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Various
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouses
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside 44 Units (11 Buildings)
9 CHANGEOFUSEFROM TO
STIPULATIONS A&_;. e 7
5600,5602,5604,5606 West Bav ian Pass; 5601,5603,5605,5607 West
Bavarian Pass; 5610,5612,5614,5616 est-Bava�laa-Pere; 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; 5661,5653,5655,5617 West Bavarian Pass; 5671,5673,5675,5677 West
Bavarian Pass; and 5681,5683,5685,5687 West Bavarian Pass
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$228,800
SURTAX
$114.40
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION R THE PERFORMANCE OF CONSTRUCTION.
PERMIT FEE
$1,532.25
SAC CHARGE
Fire SC $228.80
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$1,880.45
SSG 'OFCONT RACTORORAUTHORIZED AGENT iDATEi
WHEN PROPERLY (DATED THIS IS YOUR PERMIT
BLDG SP / MATE
S,GNATUREOF OWNEROF OWNERBUILDERi (DATEi
01
SUBJE&
P
City of Fridley
,,
AT THE TOP OF THE TWINS
BUILDING
P E R X11 I T
3 1 924
REC
___ __ COMMUNITY DEVELOPMENT DIV.
- PROTECTIVE INSPECTION SEC.
5"12-3004
r
E
NUMBER
REV
DATE
PAGE OF
APPROVED BY
_
01 CITY HALL FRIDLEY 53432
612-571-3450
910-F15
6/22/01
JOB ADDRESS 5667 West Bavarian Pass NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
16
1 Innsbruck Villages
SHEET
2 PROPERTY OWNER MAIL ADORES.
ZIP PHONE
Donald Olin 5667 West Bavarian Pass NE
572-9660
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
d ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouse
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION J] REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Remove existing deck; Construct a 14' x 8' replacement
deck
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan.
SEPARATE Run
REQUIRE® FOR:
PLUMBINd Alg® SIGNS
Before digging call for
all utility locations
454-0002
REQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING.
TYPE 00 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
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 OF COMPLIED
$
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,232
.62
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 FEE
TOTAL E
$4 5
SIGNATURE OF CONTRACTOR OR AUTHOFKZEO AGENT IDATEi
`7
NP OP R LIDAT D SIS OURPERMIT
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BOG SP
GATE
SGNA TURE OF OWNERo OWNER BWLD.ER1 IDATEI .
01
NEW [ ] Effective 1/1/2001
ADDN [ j CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
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Construction Address: R1A41 B4
Legal Description: ,ry
Owner Name & Address: Tel. #
Contractor. � - MN LICENSE #
Address: Tel. #
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 Width Height Sq. Ft.
Length Width Height Sq. Ft.
' Width Hgt/Ground, Sq. Ft. ll
Construction Type: Estimated Cost: $ Z 4-2 3 *-7
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: =Z I—CT APPLICANT: �i � Tel. #•'zZz
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee Fee Schedule on Reverse Side
Fire Surcharge $ �� .001 of Permit Valuation (1/10th%)
State Surcharge $ 6.2 $.50/$1,000 Valuation
SAC Charge $i $1150 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 [
TOTAL $ "7
STIPULATIONS:
Top View of Your Deck
The Scale is 1/4" : 1'
14'
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