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PRE 2010 DOCSSUBJECT PEFJ.. .. City of Fridley i4254 AT THE TOP OF THE TWINS PERMIT BUILDING Fi EIF'T N0. 1 ` COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-660-3450 910-F15 7/29/77 JOB ADDRESS 5671 =X West Bavarian Pass N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 15 Innsbruck Villages SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Darrel A. Farr Development Corp. 7286- 72nd Lane North 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 CR NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 241-x 35.5' Townhouse and a 20' x 21.5' Garage (Sunnenheim) 9 CHANGE OF USE FROM TO STIPULATIONS Provide combustion air in furnace area or window. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Woad Frame 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 R-1 1800 f 430 22,936 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. $30,375 $15.19 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- $ 91. %4 $375.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $22.94 $504.87 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROP RALLY VALIDATED THIS IS YOUR PERMIT sd 'd) ,? -��- SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG. INSP DATE Its I I.lt.;`I )U,N; PUK ICL;Z)JM;NI I/i1., ALIJ.K\l IUB, Olt ADI)I 1'ION J;U 11.1)I NG I11i1ti<I I T s Ok s CITY OF FRIDLEY, :•l1i\X1:50TA fl ME''I0 S N�iI 1E :�,Q�yJ►�®�. i �,� DPU. ng j A.BU ILDFR : _ ADURLSS:291 7.?q Lae,s No;& ADDRESS -. /3•---,�9:�. �3" LOT: v2 BLOCK IS ADDITION: �/7.►�3 lout � �./��J✓Qq _ COM ER LOT: 1111S IDE LOT: Po' SETBACK. SIDL'VMD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates DESCRIPTION OF BUILDING To .Be Used As front: 24- Depth: height: 20 "Square Feet: 44Cubic Feet: aalpaiap_ Front: A2A2 Depth: a.+r Height- • /0 Square Feet; 410 Cubic.Feet:. 4.30 Type of Construction: /���� k amp, Estimated_ Cost: To Be Completed: LrAen 19 7-7 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 atatfd in this application are true and correct.- DATE: orrect.• DATE: �2—. — i SIGNATURE: (See Reverse Side For Additional. Information.) .0 6_04.87 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE M PLUMBING FIXTURE RATES: NO. �, m Number Fixtures x $3.00 o Future Fixture Opening 43 $2.00 $ Water x $2.00 $ Catch Basin m $5.00 E3 -H C x S m 0 $4 a $10.00 �u! Heater $7.00 $ New Ground Run Old Building x gy $ Electric Water Heater x' $5.00 $ g N 0 4 0 y O Q -P N N Ni5O U � O y a W9 m w U 9 9 8 � 5 as kec v M c� lst 2nd 3rd 4th (R) 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 $ 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 $ 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 $ 4/itZ REINSPECTION FEE ($10.00) y Job Address 6 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_2— KIND OF BUILDING T6 LAJ USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company L /+ Signed By Tel. N I ` ROUGH INSP. Date FINAL INSP. / 'L Date APPROVAL FOR PERMIT____=C¢ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE s s CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE. ICLXVITY WARM AIR: RATE TOTAL Job Address Furnace Saul & Lsct Work $12.00 $ R _p:acx»-a nt of Furnace 7.00 7.00 $ $ Department o£ Buildings :e_airs & Alteratio.^s-up to $500.00 4.00 $ City o£ Fridley R.e;airs & Alterations each add. $500.00 I'ECrANICaL Tel. x571-3450 \ h'ARM AIR: The undersignedNhcrc:,y makes application for a permit for the work herein $12.00 $ � �' � � specified agreeing to do all work in strict accordance with the City Codes Furn=ace Shell & Duct Z:ork to 100,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the each add. 5v, 000 B^: 7.00 $ facts and representations stated in this application are true and correct. :ep'ace.ent of Furnace R< --rs & Alterations -up to $500.00 7'00 $4.00 Fridley, Minn. O 19 } R.:, airs & Alter --tions ns caca .. add. $500.00 $ _ TI:A:.! OR IHOT WNT R SYST131: OWNER $12.00 $ FIND OF BUILDING Boiler & Lines up to 100,000 BTU 50,000 BTU 4.00 $ each a..dn. 7.00 $ USED AS J - Boiler onlyupto 100,00O BTU eac'r. addn. 50, OOO BTU 6.00 $ TO BE COMPLETED ABOUT III. BURNER- to 3 gal. per hour $10.00 $ ESTIMATED COST .� 0 each add. 3 gal. per hour 10.00 $ aS $I:R\LR- _rcZ 1CO,000 BTL' to 1]9,999 BTU 510.00 $ / u. OLD BUILDING PERMIT NO. PERMIT :IO.®!�� (aver 199,999 BTU see Fee Schedule) $ ;AS FITTING I:T:ES: 1st 3 Fixtures x $ 3.00 $ 72. `' DESCRIPTION OF FU?,.'DACE/BURP1zR Additional Fixtures Gas Fame to 199,000 BTU x $ 1.00 x $10.00 $ $ HEATING or POWER PLANTS, Steam, Hot Water, arm Ai No. ,IR CCINDITIONING �; �'%� -�- sa --� $ /0- a Trade Name `���� v; Ee Size No. :�\ HATINu" SYSTL�iS '_ See Foe Schedule $ `' -N T I L.`% IN' SYS T :IS$ Capacity Sq. Ft. EDR BTL' = ? ILTERATI ONS & REPAIRS� - State Surcharge $ $ .50 Total Connected Load �� 7 Kind of Fuel 4 TOTAL FEE $ BUR,14ER - Trade Name Size No. ;O Gni INSP.— REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date Company . 6 AP -73a Date -Signed By .PPFuDL'iu FOR PERMiT r Tel. No. 1•S'+.til :L.'3 FEE FOR ANY HE=ATING PERMIT IS $7.50 FiEAi' LOSS CALCULATIONS 0� Weatherstrips C(Do _ MINNEAP®I P A.S.H.V.E. Construction No. Windows Doors Guide Insulation Reference Out• Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No i9 Kind HowAppli®d FIg 3 , oom Length D IF Width D/ Height FI.Z_p Room Length Width v` Windows and cors—Crackage and Area No. width Height No. of Windows and Doors—Crackage and Area of pane o/ pane lights ofnc wickArea No. Width Height No. of Lineal ft. Area `L� of pane of pane lights of crarb <� c. MINN. y Infiltration Coef Glass Infiltration Exp. waI I A Exp, wa I G lass Net exp, wall Infiltration Int. wall Z Ceiling Glass Exp. wall Floor Total Btu. FF 1. Room I Length Required sq, ft. E.D.R. or sq, ins. W.A. Leader area FI. _ Room I Length Width Wind s and Doors—Crackage and Area No. Width of pane Height No. of Lineal ft. of pane lights of crack Area sq, ft, Area c f. a Btu dzo� -U uc Height EN Infiltration Coef Glass Infiltration Exp. waI I A Net exp, wall, G lass Int. wall Infiltration Ceiling Z Floor Glass Exp. wall Total Btu. Required sq. ft. E.D.R. or sq, ins. W.A. Leader area FF 1. Room I Length Width Windows and Doors—Crackage Exp. wall Int. wall and Area No. Width of pane Height No. of Lineal ft. of pane lights of crack Area c f. Height Btu L2??E /goo Ir Height - Infiltration Glass Exp, wall Net exp, wall Int, wall Cei 1 ing icor otaI Btu. ',equtreo sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu Coef Btu Infiltration Glass Exp, wall Net exp. wall �— Int, wall Ceiling — Floor — Total Btu. Required sq. ft. E.D.F., or sq. ins. W.A. Leader area Coef Btu Infiltration Coef Btu G lass Infiltration Glass Exp. wall Net exp. wall 41 Exp. wall Int. wall Net exp. wall Ceiling (1 Int. wall Ceiling Floor Total Btu. Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �" Total U. Ff. Room Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Length Windows and Doors—Crackage and Area Width Height FI, Room Length Width Height No, Width Height No, of Lineal ft, A Windows and Doors—Crackage and Area of pane o/ pane lights of crack rea sq, ft, No. W, (it He,gnt No. of Lineal ft. Area of Pane - of pane lights of crack sn_ ft - Infiltration Glass Exp, wall Net exp, wall Int, wall Cei 1 ing icor otaI Btu. ',equtreo sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu Coef Btu Infiltration Glass Exp, wall Net exp. wall �— Int, wall Ceiling — Floor — Total Btu. Required sq. ft. E.D.F., or sq. ins. W.A. Leader area December 27, 1977 S- 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 Mr. Jim London Darrel Farr Development Corp. 7286 - 72nd Lane North Minneapolis, Mn. 55428 TELEPHONE ( 812)571.3450 Re: Final Inspections at 5677 West Bavarian Pass & 5671 West Bavarian Pass Dear Mr. London: Final inspections were made on December 20 and December 22, 1977 of the above addresses and the following items were noted at both addresses which must be completed before the structures can be finaled out; 1. Provide sod in the front and side yards by July 16, 1978. 2. Exterior handrail to be completed by January 30, 1978. We will expect the above items to be completed at the noted addresses by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, RON HOLDEN Building Inspector RH/mh 6 N! IC17-10rUff-011 6431 UNIVERSITY AVENUE N.E., FRI®LEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 May 22, 1978 Darrel Farr Development Corp. ^ 7286 - 72nd Lane North Minneapolis, MN 55428 Re: Final Inspections at 5671, 5681, 5683, 5687 West Bavarian Pass N.E. Dear Sirs: Reinspections were made on May 22, 1978 of the above addresses to check if all items were completed to final out our records. The following items were noted which must be completed 5671 West Bavarian Pass N.E. Complete exterior handrail on or before June 1, 1978. 5681 West Bavarian Pass N.E. Complete deck and exterior handrail on or before July 10, 1978. 5683 West Bavarian Pass N.E. Provide double header over garage service door by June 1, 1978. 5687 West Bavarian Pass N.E. Complete deck and exterior handrail on or before July 10, 1978. We will expect the above items to be completed by the scheduled dates when reinspections will be made. Please contact us if the above items are not completed by the scheduled dates. Sincerely, 2 L RON HOLDEN Building Inspector RH/mh 6431 UNIVERSITY .AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 June 28, 1978 Darrel A. Farr Development 7286 - 72nd Lane North Minneapolis, MN 55428 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. Sincerely, RON HOLDEN Building Inspector RH/mh City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT =An7*.Q _. r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 RECEIPT NO. 1779 NUMBERREV 910-F15 DATE ?+/18/96 PAGE OF APPROVED BY JOB ADDRESS 5671 West Bavarian Pass NE I LEGAL DESCR. LOT NO. 2 BLOCK 15 TRACT OR ADDITION 1 Innsbruck Villages SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lucille Weatherbee 5671 West Bavarian Pass NE 574-1531 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Columbus Exteriors Inc 2131 111 Ln NW, 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 r Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C. REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Vinyl Siding, Aluminum Trim 9 CHANGEOFUSEFROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. 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 1 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 $5,200 SURTAX $2'60 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 FEE License SC $5.00 $125.05 sl URE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPE VALIDATED THIS IS YOUR PERMIT BOG INSP / DATE E SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI Legal Description: Owner Nome & . C ,c 11r IA.) 1.4+, e& 17 9'—Z > �� Coutracto►r. Columbus Exteriors, inc.MNyjCENSE# 3509 Addzessa 2131 111th In NW', Coon Rapids, M1.0 55433 Tel•# 866-919--5--- Attach 6 -9195 Attach tD this ' , a Cerdfk= of Survey of the lot, with the 'on drawn on it to scale. 4,14 h .t1Z. # ik_,1' ' / "�i' I �N Zy IJMG ARE& L940 W Sq. Ft. GARAGE AREM LABA W' Sq. Ft. Wf1 Hgtf Sq. Ft vinyl siding Aluminum trim Type 7Construction: Estimated ,1 sa' s i, Approx. Completion Date: (Cost on Back) Driveway Curb CutWidth 1 cdc 1 ��'/ STiPUI.ATIONS: CM UN Q►NiG'Y Permit Fee $ le on Reverse Side Fme Surcharge $ : 2-a .001 of Permit Valuation (linitis%) State SUrcWge $ a. U $.50J$1,000 Vaination SACC $ $90D per SAC unit License Surcharge $ -S, CIO $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Coon Plan Review Park Fee $ Fee Determitwd by Engineering Sewer Main. Charge $ Apacment Necomaryt } Not Necewmy� } TOTAL os- STiPUI.ATIONS: SUBJECT MIT N01 of Fridleyd�PE 7 1$ AT THE TOP OF THE TWINS BUILDING PERMIT rCity RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. f 1 � CITY HALL FRIDLEY 55432 NUMBER REV DATER AGE OF APPROVED BY 612-571-3450 910 -Fl S 5/7/96 JOB ADDRESS See Below 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Variou t 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 44 Units (11 Buildings) 9 CHANGE OF USE FROM TO STIPULATIONS V�`� �. .5600,5602,5604,5606 West BaJan Pass; 5601,5603,5605,5607 West v Bavarian Pass; 5610,5612,5614,5616 est-$eee-Pees; 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; 5660,5 62,5664,5666 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 @ $114.40 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $228,800 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 R THE PERFORMANCE $1,532.25 Fire SC $228.80 OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $1,880.45 SIG OF CONT RAPTOR ORAUTHORIZED AGENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT r BLDG I SR /'D) SIGNATURE OF OWNER,IF OWNER BUILDERI IDATEI CITY OF FRIDLEY INSPECTION DIVISION l V Effective On January 1, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES HEATING COMPANY_ � rill /6, °� .Q6.i, ;� ?&I / L MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. sS�� PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS S'6 V 1301 V Q )1� 1' 01i lass RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Fumace Shell and Duct Work, Bumer — �j rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ 30 representations stated in this application are true and correct. (Side Vent — Fill Out Back) /l/ Gas Piping (Needed with new fumace, $10.00 $ / �GL �!2 � but not replacement) OWNER �� f? 0,, b,P� Gas Range $10.00 $ /J leesi' dadt BUILDING USED AS o Gas Dryer $10.00 $ �,tl� ESTIMATED COST SD %S PERMIT NO. *Air Condltioning — All Sizes $ 25.00 $ -25 DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs &Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units_ Circle One (Steam) (Hot Water) 0 CarmAir Trade Name Size No. Commercial/industrial BTU _ CO -'rtJ HP EDR 1.25% of Value of Appliance or Work $ Fuel G o s Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. s' � sS � BTU HP EDR TOTAL FEE $ HEATING COMPANY_ � rill /6, °� .Q6.i, ;� ?&I / L MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. sS�� PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: L Has been carefully examined Yes (--� No ( ) 2.- Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes ( No ( ) 4. Is securely supported Yes (. No ( ) 5. leets all m Trent Code requirements for size and total BTU's connected Yes (—)'No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No 8. Has combustion air been provided for water heater Yes ( ) No Remarks: List ALTERATIONS Being Done: /ems cvzg Ce 9 HEATING CO: Signed By: Date: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 (763) 572-36U4 JFAX: (763) 571-1287 PENO.:2004-01994 AZDATE ADDRESS : 5671 W BAVARIAN PASS NE PIN : 243024410207 �y LEGAL DESC : INNSBRUCK VILLAGES �( : LOT 2 BLOCK 15 PERMIT TYPE : BUILDING PROPERTY TYPE : MULTI DWELL CONSTRUCTION TYPE : ROOFING VALUATION : $ 21,739.00 NOTE: INSTALL PER MANUFACTURERS SPECIFICATIONS. INSTALL PER STATE BUILDING CODE. REROOF BUILDING WHICH INCLUDES 5671, 5673, 5675 AND 5677 WEST BAVARIAN PASS. STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE FIRE SURCHARGE 349.25 21.74 ALLSTAR CONSTRUCTION 840173 AVE N STE 80 STATE SURCHARGE, VALUE 10.87 BROOKLYN PARK, MN 55428- LICENSE SURCHARGE 5.00 TOTAL 386.86 PAID WITH CHECK # 65625 GASSEN MFG CO K OWNER 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 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 provisions of any other state or local law regula ' construction or the performance of constru5lion. Applicant / Date Bldg SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 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:50-71 503, 5VI-7 Slo-76 VJE,5T- 6pfv A(z-j awl Pr3�-S Legal Description: Owner Name & Address: &A%&,1 AANdt(sPjtyer -r !N K4 R& - Tel. # q�2- q u 55-7.5 Contractor: A115MV—nS&RUO-776A,A'c.- MN LICENSE# '59—L�7 Address: 801 3 AUC'- d 2 -ftQ naiI--- Tel. # -7055,5-7706 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: 12-4�P-OD t= F-5 t7 /L,61A 6 *I)J& t F�7- Construction Type: Estimated Cost: $ 2] -151 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:/d1/D� APPLICANI`:5�Z G'`�°"�` �� Tel. # IBJ 5J 7W 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 CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.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 [ ] TOTAL $ STIPULATIONS: