PRE 2010 DOCSSUBJECT
PER"jff�.
City of Fridley
4255
AT THE TOP OF THE TWINS
PERMIT
BUILDING
RECEIPT NO.
`L --_--- COMMUNITY DEVELOPMENT DIV.
-
r PROTECTIVE INSPECTION SEC.4i
1
{ �
1 "1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-1715
7/29/77
JOB ADDRESS 5673 West Bavarian Pass N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
15
Innsbruck Villages
SHEET
2 PROPERTY OWNER MAIUADDRESS
ZIP PHONE
Darrel A. Farr Development Corp. 7286
- 72nd Lane
North, Mp.s 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 13ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ElREMOVE
X
8 DESCRIBE WORK
Construct a 27' x 29' Townhouse and a 21'
x 22' Garage (Matterhorn)
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide combustion air or a window in 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 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
R-1
796+462
$20,200
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.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$25,795
$12.90
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.
$80.80
$375.00
PLAN CHECK FEE
TOTAL FEE
20.20
1 $488.90
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLYVALIDATEDTHIS IS YOUR PERMIT
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
BLDG. INSP
DATE
Al'1' 1,1 CATION FOJZ
Olt A11)lUTION BUILDING I'l:RMIT
(;I'1') OF l PrllLl<i'e :•1li;1:SO7'ra
O : eL• R' S NX -1E : 4AP.-
ADDRESS : efp_,d at a. Not --f h ADMIESS :/W�..0 13.
STREET:
LOT: ,3 BLOCK: /Jr ADDITION:
COltti'ER LOT: INS IDE LOT:- � SETBACK : ' SIDEYARD :
Applicant attach to this form Tcro Certificates of Sue of Lot and proposed
building location drain on these Certificates.
DESCRIPTION OF BUILDTN
To Be, Used As:
ds✓n�7o+casL Front: J% Depth: o29 Height:
Square Feet: AT%M Cubic Feet: AM��
t� a "69 P_Front : ® Depth : HAi.gh t
Square Feet; °9&.v Cubic Feet: a� �
Type of Construction. Estimated Cost:_ $ 4701)
To Be Completed: Z,-,.3 L
The undersigned hereby makes application for a permit for the, work herein
specified, agreeing to do all work in stfict -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: SIGNATURE
(SeeReverse Side For Additional Information.)
to
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CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
RATE
x $3.00
x $2.00
x $2.00 a
K $5.00
x $5.00
x $10.00
x $7.00
x $5.00
x $5.00
x '$3.00
x $1.00
x $x:0.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($10.00)
$5.00
$2.00
Job Address _.[a
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. �� — � , 192Z
OWNER _42 � r
KIND OF BUILDINGQ—
y s
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. �2 / 0 0
s
$ ComPanY
$gn '// —ec�
G
Signed B
$ Tel. No.�- p
$ ROUGH INSP.
Date
FINAL INSP. t -2— — 2
Date
$
$ APPROVAL FOR PERMIT i
$
$ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7,50 PLUS $.50 STATE SURCHARGE
$
.50
$
M
>,
m
N
o
k
m
Water
N
m
t0
m
rl
F
N
H
r.
.1
m
41
14
04
W
tP
Heater
�►1
14
m o
5m
-q
0
$$4
A Z
0
0
N
�
s+
mm
'UA
,!�
R
N-1
g
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O
40, N
11
a
A
10
m
a w°
u�i
w
U P
a 3
ch
U
0
as
lec
t2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
RATE
x $3.00
x $2.00
x $2.00 a
K $5.00
x $5.00
x $10.00
x $7.00
x $5.00
x $5.00
x '$3.00
x $1.00
x $x:0.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($10.00)
$5.00
$2.00
Job Address _.[a
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. �� — � , 192Z
OWNER _42 � r
KIND OF BUILDINGQ—
y s
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. �2 / 0 0
s
$ ComPanY
$gn '// —ec�
G
Signed B
$ Tel. No.�- p
$ ROUGH INSP.
Date
FINAL INSP. t -2— — 2
Date
$
$ APPROVAL FOR PERMIT i
$
$ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7,50 PLUS $.50 STATE SURCHARGE
$
.50
$
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
pur::ace Shell & Juct Work to 100,000 BTU
AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
4.00
$
Replacewent cf Furnace
EUVITY WARM AIR:
RATE
TOTAL
,lob Address ���' � � [sem _ %� � '� � - e, � ��✓ f
Flrnace Shell & Duct Work
$12.00
$
$
Cplace-ent•o= F-urnace
7.00
7.00
$
$
Department of IIuildirgs
Re -=airs & Alterations -up to $500.00
.
400
$
City of Fridle
y
Re_3 :rs & Alterations each add. $500.00
Bailer only up to 100,030 BTU
7.00
Tel. =571-3450 \
£CFANICAL kAF\-\l AIR:
pur::ace Shell & Juct Work to 100,000 BTU
$12.00
$ ✓�� 0 'Z'
each add. 5^0,030 BTU
4.00
$
Replacewent cf Furnace
7.00
$
&egairs & alterations -up to $500.00
7.00
$
Repairs s alterations each add. $500.00
4.00
$
TES, OR HOT XXTER SYST01:
Boiler & Lines up to 100,000 BTU
$12.00
$
each ad-'. 50,000 BTU
4.00
$
Bailer only up to 100,030 BTU
7.00
$
each addn. 50,000 BTL'
6.00
$
III. BURNER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
AS BL'R\LR- from 103,000 BTJ to 199,999 BTU
$10.00
$
(cver 199,599 BTJ see Fee Schedule)
$
;AS FITTING FEES:
ism 3 Fixtures_ x $ 3.00
Additional Fixtures x $ 1.00
Gas Range to 199,000 BTU x $10.00
LIT.' CONDITIONING �~j ids-v,erJc, � i�e�
AN EATING SYSTEMS See Fee Schedule
NTILATING SYSTEMS
,L T ERATI ONS $ REPAIRS _ J
State Surcharge
TOTAL FEE
RO:W. INSP. REINSPECTION FEE
Date (,$10.00)
Pive`.- INS2. /® ` ,3 - 2 b
Date
rPPR71?.: FOR PER111-IT Yd&Z
`.3I.1NL1EL 4 FEE FOR ANY HEATING PE&MIT IS $7.50
The undersignedNhuroby mares application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City CDaes
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. P 19
OWNER
KIND OF BUILDING
USED AS
r
TO BE COMPLETED ABOUT 9 -
ESTIMATED COST �'� '9
OLD -(0)BUILDING PEidIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Hot Water, rm P.ir= No.
Trade Name
.� �Size No.
Capacity Sq. Ft. EDR ` BTU ?
Total Connected Load Kind of FuelIe
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP _
Company
Signed By
Tel. No.
s �
Weatherstrips A.S.H.V.E.
Construction No.
Insulation
Windows Doors Gude Ceiling
Out. Wall Int. Wall g
Reference Roof Floor Kind How Applied
Yes -No Yes -No 19-
9
HEAT LOSS CALCULATIONS
nr))
F I.
FI. Room Length y° Width
MINNFAP()I iS_ MINN-
Weatherstrips A.S.H.V.E.
Construction No.
Insulation
Windows Doors Gude Ceiling
Out. Wall Int. Wall g
Reference Roof Floor Kind How Applied
Yes -No Yes -No 19-
9
F I.
FI. Room Length y° Width
Height
Fl.Room Len th
&- 9 Width /0 Height
Windows and Doors-Crackage and AreaWindows
and Doors-Crackage and Area
No, Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
9
Width Height No. of Lineal ft, Area
No. of pane of pane lights of crack sp. a
t.
Coef
Infiltration a%7
Btu
a
Coef Btu
Infiltration
Glass
Glass
Exp, wall /0
Exp. wal I
Net exp. wall � �
•
� �
Net exp. wall 7
Int. wall
Int. wall
Ceiling
Ceiling
Floor is- X1/0
.�
Floor j°®
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.��� Room Length Width
��
Height
F� - -
Room Length oc� Width
Height
Windows and Doors-Crackage and Area
Windows and Doors-Crackage and Area
No. Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq, ft.
Wtdrh Height
No. 9 t No. of Lineal ft. Area
of pane of pane lights of crack sq, ft.
Coef
Btu
1Coefj Btu
Infiltration
Infiltration
Glass
Glass
Exp, wall `--
Exp. wall
Net exp. wall
Net exp. wall
Int. wall
Int, wall
Ceiling --
Ceiling
Floor
Floor J`9 "�-
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
� Room Length 9 Width
Height
FI Room Length `� Width
Height
Windows and Doors-Crackage and Area
Windows and Doors-Crackage and Area
k Area
No. Wt andth Height No. of of crack
of ane of pane lights of crack sq. ft.
6y.
Width Height No. of Lineal ft. Area
No. Of pane of pane lights of crackjq
g,tcr
I
Coef
Btu
Coef
Btu t
Infiltration
Infiltration
Glass
Glass
Exp. wall ��
(�
®
Exp. wall ZX
Net exp. wall
Net exp, wall
Int. wall
Int. wall
Ceiling
Ceiling A
Floor /�
ig
79,0
--Floor
F7—
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
December 29, 1977
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
Mr. Jim London
Darrel Farr Development Corp.
7286 - 72nd Lane North
Minneapolis, Mn. 55428
Re: Final Inspection at 5673 West Bavarian Pass N.E.
TELEPHONE ( 612)571-3450
Dear Mr. London:
A final inspection on December 28, 1977 of the above address noted the
following items which need to be completed before the structure can be
finaled out;
1. Provide sod in the front and side yards by June 30, 1978.
2. Provide double header over garage door by January 12, 1978.
We will expect the above items to be completed by the scheduled dates
when reinspections will be conducted to determine compliance. If you
have any questions on these items, please feel free to contact me at
571-3450.
Sincerely,
PON HOLDEN
Building Inspector
RH/mh
SUBJECT
City of Fridley
2407
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
Ir
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
M
`----/"-;'� CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L J` 612-571-3450
910-F15
1/18/96
JOB ADDRESS 5673West Bavarian Pass NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
3
15
Innsbruck Villages
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Loraine Skog 5673 West Bavarian. Pass NE
571-0029
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Columbus Exteriors Inc 2131 111 In 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
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑R REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Vinyl Siding, Aluminum Trim
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
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
$)r 200
$2.60
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$125.05
ATURE OF CONT CTOR OR AUTHORIZED AGENT �DATEi
WHEN PROPER VALI ATED THIS IS PERMIT
NSP
YR
"T; -
SIGNATURE OF OWNER, IF OWNER BUILDER) (DATEi-
C L,Gt [ $ W&Utll FLYdSedmk Sid( Ymd Sdbacks .
Ty@t Of Mmated Cod: $
mac. Ca PWM Date.
(Cost oB Back)
Driveway Cbatb Girt �. b Int � Ft � $ = $
pftmk Fee$
o /l� •> 5�Fee
SdmdWitat Revem Sib
Me Seudsme
$_ �5". �Zb
.401 Of V (1/104,%)
Stale Smtba, p
$.MS1,0m Vaboon
SAC Chap$
$Soo per SAC Unit
bites( S' =
k—,5- 00
$5.00 (Stfe Lbxmd R=Wenft rs)
Driveway Eamw
$
AIL "A" or Ali. "R° Above
Erosion a
$
.+0 chawradon Fun Resew
Park P'et
by Bugimmft
Sewn bflgu CWVNmemyI
l Not I j
TOTAL $► s�
UVULA1i\ NS..
SUBJECT
PERMIT NO.
City of Fridley
8
?-,BUILDING
4 14
AT THE TOP OF THE TWINS
PERMIT
r
RECEIPT NO.
� • _____ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
0/0 -
0 -CITY
CITY HALL FRIDLEY 55432
NUMBER
REVGATE
PAGE OF
APPROVED 81
612-571-3450
910-F15
5/7/96
JOB ADDRESS
See Below
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
Variou
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Various
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouses
7 CLASS OF WORK
0 NEW 0 ADDITION O ALTERATION 0 REPAIR 0 MOVE O REMOVE
8 DESCRIBE WORK
Reside 44 Units (11 Buildings)
9 CHANGE OF USE FROM TO
STIPULATIONS %y �z'�'�
5600,5602,5604,5606 West Ba/estan Pass; 5601,5603,5605,5607 West
v
Bavarian Pass; 5610,5612,5614,5616 -$e 5620,5622,5624,5626 West
Bavarian Pass; 5620,5622,5624,5626 North Innsbruck Ct; 1521,1523,1525,1527
Trapp Court; 5650,5652,5654,5656 West Bavarian Pass; 5660,5662 5664,5666 West
Bavarian Pass; 5661,5653,5655,5657 West Bavarian Pass; 5671,5673,5675,5677.West
Bavarian Pass; and 5681,5683,5685,5687 West Bavarian Pass
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$1,532.25
Fire SC $228.80
STRUCTION R THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$1,880.45
SOF CONTRACTOR OR AUTHORIZED AGENT CONT RACTOR OR AUTHORIZED AGENT IDATEj
WHEN PROPERLY DATED THIS IS YOUR PERMIT
:,
BLDG SP qA TE
SiGNATUREOF OWNEROF OWNER BUILDERi IDATEi
9
SUBJECT
PERMIT NO.
City of Fridley26225
AT THE TOP OF THE TWINS
BUILDING
PERM-IT
RECEIPT
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
I
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/12/98
JOB ADDRESS ( See Below ) 21 Various Addresses
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Various
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Innsbruck North Townhouse Association
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Stock Roofing Inc 289 Liberty Street NE
780-3561 3112
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
O NEW ❑ ADDITION O ALTERATION REPAIR O MOVE ❑ REMOVE
B DESCRIBE WORK P
Reroof (147 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
ADDRESSES: 5600, 5602, 5604, 5622, 5624 North Innsbruck
Court NE
1513, 1515, 15171523, 1525, 1527, 1531, 1533,
1535 & 1537 Trapp Court
5633, 5635, 5673, 5675, 5693, 5695 West Bavarian Pass
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 BO 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 1 HAVE READ AND EXAMINED THIS APPLICATION
21
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
$12,259
$6.12
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
PROVISION6 OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$199.75
Fire SC $12.25
TION OR THE PE OR ANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL EE
�eqV
Licen
$5.00
$223.12
SIGNATURE SIGNATURE OFCO��TRACTORORAUTHORIZEDAGENT IDATEI
N P P
V IDATED T IS IS YOYR PERMIT
I
GATE
S,GNATURE OF OWNER0F OWNER BUILDERI MATE)
9
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
763-572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping. (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $ A > 00
$ 10.00 $-
$10.00
$10.00 $
$ 10.00 $-
$25.00
$25.00 $
State Surcharge $ .50
TOTAL FEE $3D.9D
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On January 1, 2001
JOB ADDRESS 5673 W IBAVARIAN PASS
OWNER LORAINE SKOG 763/571-0029
BUILDING USED AS
ESTIMATED COST
PERMIT • ,
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units ---L— Circle One (Steam) (Hot Water))Warm Air
Trade Name C-0-yVtiex Size No. SSU. V
BTU HP EDR
Fuel AZ Total Connected Load
Burner Trade Ne Size No.
BTU TO,HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE 7 -1&-Of
HEATING CO RON' S MECHANI�C�AA/L, INC.
Signed �' TEL #952-445–��5
Approved By Rough -In Date Final Date
IBACK SIDE MUP BE FILLED IN ON VENT SIZE, VENT CONNECTORS
AND COMBUS ON AIR VERIFICATION
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required.
Yes ( ) No ( )
The venting system is plastic/PVC 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 combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes () No ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes () No ( )
When installing a new venting system, the undersigned hereby verifies that
it 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 ( )
Is 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 Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Blur Input
Common Vent Type
Vent.Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :