PRE 2010 DOCS'01
SUBJECT
PERMIT NO.
City of Fridley.
�16AT
THE TOP OF THE TWINS
BUILDING
P E R M I T
r
ECEIPT NO.
`y ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1
= �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
6/13/77
JOB ADDRESS 5680 West Bavarian Pass N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1
Innsbruck Villages
SHEET
2 PROPERTY OWNER MAIL ADDRESS
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
JJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Construct a 24' x 35.5' Townhouse and a 20' x 23' Carage (Sunnenheim Model)
9 CHANGE OF USE FROM
TO
STIPULATIONS
W�NING
SEPER 1T PERMITS REQUIRED FOR
.1�tIRINC,
Before digging 0891001 utilities
HEATING- PLUMBING AND SIGNS.,
TELEPHONE - ELECTRIC • CAS Etc.
REQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
1800 + 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
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
$30F.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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$91.74
$375.00
PLAN CHECK FEE
TOTAL FEE
$22.94
$504.87
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI1-11
F{N
L`t; VALIDATED THIS IS YOUR PER
WHO
7LDG. INSP
,qy.
D 7E
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) -
'01
Allj,LI(,:1'1'1O,N I:01: 1tl.:S]1)1s��7'l�:L, A1,'1'l:ltATION11
OR AJ)lll'1'I0:\ 13UI1.U11G PJAZI,IIT
CITY OF FRIl)LI:Y, `•I:1jMIMSOTA
O;d:�l;I:'S I\E�I•il::,��3°B°t��. �°YF°Y�•,�- AI'a�PJ. i��►cO.I;UTLll):R:_�f�'6*a�
AI?i)1;1:SS : L e3tKz A$1�'i t:DDI,LSS :1a3
�-,--
3;�� : STF.EE'I' •_ Sri �� ��C��L � ��� /
J, OT • , BLOCK • ADDITIO_a • -�.�
COPD ER LOT: INSIDE LOT:- SETBACK:' SI DI -'ARD :
Applicant attach to this form'Ttio Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To .BP Used As: � e pb
��4Atoaxe- Front: 24- Depth:. �� Height: Ck
l'
Square Feet: Cubic Feet: lea 93�
Is a b -CL a elFront :__r__ �� Depth : Height ;
Square Feet; Cubic Feet:
Type of Construction: Wo o J Prows, Estimated Cost.
To Be Completed:.
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stxict 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:
(See Reverse Side For Additional
��j�jrl e0
e,
Su
Ste -
0-0
Information.)
CM OF FRIDLEY
�>--2-3Z:.
> APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
' PARTIAL RATE SCHEDULE
S 6' Y L) ��
;IkVITY WARM AIR:
IIATE
TOTAL
Job Address 13 --1 _j �'✓
Furnace Shell & Duct Mork
$12.00
$
•_?'-acme nt of Furnace
7.00
7.00
$
$
Department of Buildings
e_ sirs & ,,iteratio.^s-up to $500.00
4.00
$
City of Fridley
Retairs & Alterations each add. $500.00
Tel. ;`-571-3450;
IEC'HANICaL h*ARti AIR:
The undersigned hereby makes application for a permit for the work herein
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$
specified agreeing to do all work in strict accordance with the City Codes
4.00
$
and rulings of the Department of Buildings, and hereby declares that all the
each add. 50,000 BTU
7.00
$
facts and representations stated in this application are true and correct.
Rez, ace-ert ce Furnace
Repairs & Alterations -up to $500.00
7.00
$
L
� � 19 � 7
Repairs & Alterations each add. $500.00
4.00
$
Fridley, Minn. .
;Twp i OR HOT WATER SYSTF31:
OWNER
Boiler & Lines up to 100,000 BTU
S12.00
$
KIND OF BUILDING
each add-. 50,0x0 BTU
4.00
$
Boiler onlyup to 100,000 BTU
7.00
$
USED AS
each adcn. 50,000 BTU
6.00
$
v 3
� -
TO BE COMPLETED ABOUT
)IL BURXER- to 3 gal. per hour
$10.00
$
� �J
each add. 3 gal. per hour
10.00
$
ESTIMATED COST
1AS BURNER- frca 100,000 BTU to 199,999 BTU
$10.00
$� '� � °'
l/'77s
OLD -(Q BUILDING PERMIT NO. PERMIT NO. gkbI
(over '_99,999 S.0 see Fee Schedule)
$
:SAS FITTING FEES:
1st 3 Fixtures x
$ 3.00
$
DESCRIPTION OF FURNACE/BURNER
Additional Fixtures x
$ 1.00
$
Gas Range to 199,000 BTU x
$10.00
$
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
;I CONDiTTONINu �; ��" ®., �- 7�,.>
$ o �.�,.
Trade Name ,s Size No. ✓� ® ��-
.AN riEATIXG SYSTEMS$
See Fee Schedule
'-NTI:ATINu S:'ST=�iS
$
° ss
Capacity Sq. Ft. ED / BTL' ?
kLTE;ATI OXS & REPAI RS _
$
,i
State Surcharge
$ .50
Total Connected Load _ % 1 i :rind of Fuel c�
TOTAL FEE
$ J S. S °8
BURNER -Trade Name Size No.
tiZ*U-iH INSP. REINSPECTION FEE
Capacity Sq. Ft. EDR BTU HP
Date (810.00)
ry
•.,Company
Date
_ Signed By �s
f ap, e.
;PPRDVAL FOR PERMIT
r,l Tel. No.
FS.\I:.= FEE FOR AN"Y HEATING PERMIT IS $7.50
TcA v, m
vA A a P __� Y/?
,a
qW.
HEAT LOSS CALCULATIONSIFS :` i 3 N G ;' U &
2
MINNEAPOLIS, MINSI!,
Weatherstrips
A.S.H.V.E.
Guide
Reference
19
Construction No. Insulation
Windows
Doors
Out. Wall
Int. Wall
Ceiling
Roof
Floor Kind
How Applied
Yes—No
Yes—No
FI. 0� Room Length Width Height
BFI Room Length Width ® Height
Windows and Doors—Crackage
and Area
No. of Lineal ft. Area
lights of crack sq. ft.
Windows and Doors—Crackage and Area
No. Width Height
- of pane of pavane
W di Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
C
jCoef`j Btu
Coefj Btu
Infiltration 7
Infiltration
Glass f�
Glass (.
Exp. wall �°
Exp. wall Al
exp. wall
Net exp. wall Z Z 7.
32.InNet
1332 -
Int.
t. wall
Int. wall
Ceiling
Ceiling f `��
17 2—
Floord 0
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
Room Length a Width Height
FI �. Room 1 Length/ Width Height
Windows and Doors—Crackage and Area
No. Widrh Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
Windows and Doors—Crackage and Area
No Widrh Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
, 1 7- 33
i
Coef Btu
jCoefl Btu
Infiltration
Infiltration 7
Glass
Glass 0
Exp. wa I I
Exp, wa I I �!
Net exp. wall
Net exp. wall
Int. wall
Int. wall
Ceiling
Ceiling
Floor �.
Floor
Total Btu.
Total Btu. -7!2
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. -+ Room I Length �� Width ®s Height
p FI. y�7 A 6om I Length — Width Height
Windows and Doors—Crackage and Area
Windows and Doors—Crackage and Area
No. Width Height No. of Lineal ft.
of pane of pane fights of crack
Area
sq. ft.
W�du, He.ght No. of Lineat ft.
No. of pane of pane li ts_ of crack
Area
sq. ft.
Coef B to
jCoef
Btu
Infiltration I'T
Cl
Infiltration
Glass
1000
Glass
Exp. wall
Exp. wall
Net exp, wall
�,
®
Net exp, wall
Int. wall
Int. wall
Ceiling
_Ceiling ��°�
J�
Floor
®
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
w.
HEAT .SS CALCULATIONS
c
MINNEAPOLIS, MINN.
Weatherstrips
A.S.H.V.E.
Guide
Reference
19
Construction No.
Insulation
Windows
Doors
Out. Wall
Int. Wall
Ceiling
Roof
Floor
Kind
How Applied
Yes—No
Yes—No
FI Z 0 Room Length Width ®/ Height
Fl �o Room Length Width sr'3 Height
Windows andboors—Crackage
and Area
Windo s and Doors—Crackage and Area
No. Width
ofpane
Height
of pane
No. of Lineal ft. Area
lights of crack sq, ft.
Width Height Na.of Lineal ft.
N°• of pane of pane lights of crack
At ea
sq, ft.
Coef Btu
Coefj Btu
Infiltration
1 ,Sf)
Infiltration
2 z
Glass ®
OCs
Glass
xt7i/3
Exp. wall r
Exp. wall x r
Net exp. wall
+
Net exp. wall
67
Int. wall
Int. wall
Ceiling �°
�',
Ceiling
Floor
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
FI. Room Length Width
Height
Fl. Room
Length Width
Height
WindAs and Doors—Crackage and Area
Windows and Doors—Crackage and Area
No. Width Height No. ofLineal ft. Area
of pane of pane lights of crack so. ft.
yy,dth Height No. of Lineal ft.
No. of pane of pane lights of crack
Area
sq. ft.
p
3 Qv
Coefj Btu
jCoef Btu
Infiltration
Infiltration
Glass
f)
Glass
Exp. we I I ®�
Exp. wa I
Net exp. wall
Net exp. wall
Int. wall
Int, wall
Ceiling D
z
Ceiling
Floor
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
Fl. Room
Length Width Height
FI. Room Length Width Height
Windows and Doors—Crackage and Area
No. Wtdrh Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft,
Windows and Doors—Crackage and Area
No W,dth
of pane
Neignt No. of Lineal ft. Area
of pane lights of crack sq. ft.
Coef
Btu
Coef Btu
Infiltration
Infiltration I
Glass
Glass
Exp. wall
Exp. wall
Net exp, waI I
Net exp. wallLd
Int. wall
Int. wall
Ceiling
Ceiling
Floor
-
— Floor — —�
Total Btu.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.P. or sq. Ins. W.A. Leader area "I
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
ai
$
Water
x
$2.00 e
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00.
$
N H
pa,
w
$
Water Softener
Heater
.i
0
id
x
$5.00
M
Electric Water Heater
- 43
al
H
GAS FITTING FEES:
lst 3 fixtures
x
'$3.00
$
Additional Fixtures
x
$1.00
$
b
x
I
$
s
to
b
U
D
(A
m
a1
3
a w°
a1
3
-'do
as
lec
t
1st
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 e
$
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:
lst 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 $ $ Z1
REINSPECTION FEE
($10.00)
Job Address
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. 11 , 19_2
OWNERGd�' �'L2
KIND OF BUILDING>
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO.
PERMIT NO.
Company lL4ti . J
Signed/, .0
Tel. NBy 77 L- / rjp'?
ROUGH INSP.
Date 7
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Effective Hay 1, 1990
Job Address < :J22221=�E 26 L-9 ALJ
Department of Buildings
Ctty of Fridley
Tel. 1571-3450
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. zzz�/& , 19�
OWNER _.._ _._.._..._ ,_:.._..._...._
KIND OF BUILDINGtiLID! ...1:.'' ,,
USED AS
TD BE COMPLETED ABOUT
RATE SCHEDULE ESTIMATED COST 7�
PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO.
New Fixtures g 5.00 i 7r
Future Fixtures $ 3.50 S Company �� -
Old Opening, Now Fixture $ 1.50 $ Signed By -
Beer Dispenser $ 4.00 $ _
Tel. No.
Blow oft Bain i 5.00 g
Catch Basin $ 5.00 $
Rain Nater Leader i 5.00 $ ROUGH INSP.fC/
Hydraulic Valve $ 5.00 g
Date
Sump or Receiving Tank $ 5.00 $ f �J
Mater Treating Appliance j 7.00 $ FINAL INSP.
Not water Heater i 5.00 $ Date
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT
Back Flow Preventer Boguired. . . Yes ( ) No 1 )
Type
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
!1IN1HII4 FIX FOR ANY PLUMBING PERMIT IS $15.00
l� of Value of Fixture or Appliance $ PLUS THE S.50 STNTE SURCHARGE
State Surcharge
Reinspection Fee S /
(S1S.OD) TOTAL FEE S
p
U
It
W
Water
ya�
j,Nj7
j��N
a
N
N
M
a
Heater
Mto
to
•.R
.k
F.
,Gt
C C
Yi
O
U •.Ci
G
OC
U
L
•lec
w
o w
u
a
1�
is
u�J
ii
H
w
u
o
;as
Mae -
lot
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
18) - New Fixture, Old Opening
Water
Effective Hay 1, 1990
Job Address < :J22221=�E 26 L-9 ALJ
Department of Buildings
Ctty of Fridley
Tel. 1571-3450
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. zzz�/& , 19�
OWNER _.._ _._.._..._ ,_:.._..._...._
KIND OF BUILDINGtiLID! ...1:.'' ,,
USED AS
TD BE COMPLETED ABOUT
RATE SCHEDULE ESTIMATED COST 7�
PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO.
New Fixtures g 5.00 i 7r
Future Fixtures $ 3.50 S Company �� -
Old Opening, Now Fixture $ 1.50 $ Signed By -
Beer Dispenser $ 4.00 $ _
Tel. No.
Blow oft Bain i 5.00 g
Catch Basin $ 5.00 $
Rain Nater Leader i 5.00 $ ROUGH INSP.fC/
Hydraulic Valve $ 5.00 g
Date
Sump or Receiving Tank $ 5.00 $ f �J
Mater Treating Appliance j 7.00 $ FINAL INSP.
Not water Heater i 5.00 $ Date
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT
Back Flow Preventer Boguired. . . Yes ( ) No 1 )
Type
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
!1IN1HII4 FIX FOR ANY PLUMBING PERMIT IS $15.00
l� of Value of Fixture or Appliance $ PLUS THE S.50 STNTE SURCHARGE
State Surcharge
Reinspection Fee S /
(S1S.OD) TOTAL FEE S
City of Fridley
SUBJECT
IT NO
24929
AT THE TOP OF THE TWINS
r
BUILDING
D Iv r
U I L ®I N G n E R I
N ,
'EIPT
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC
1 �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910-F15
3/28/97
1
JOB ADDRESS See Below - Multiple Buildings
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors Inc 2131 111 In, Coon Rapids MN 55433 868-9195 3509
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouse Buildings
7 CLASS OF WORK
• ❑ NEW ❑ ADDITION ❑ ALTERATION l REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside 11 Buildings
9 CHANGE OF USE FROM TO
STIPULATIONS
Install building wrap and have inspection of same unless manufacturer TK
specifications state it is not required.
5600,5602,5604,5606 North Innsbruck Ct; 1511,1513,1515,1517 North Innsbruck Dr;
1510,1512,1514,1516 Trapp Ct; 1531,1533,1535,1537 Trapp Ct; 1511,1513,1515,1517
Trapp Ct; 5610,5612,5614,5616 W Bavarian Pass; 5621,5623,5625,5627 W Bavarian Pass;
5631,5633,5635,5637 W Bavarian Pass; 5651,5653,5655,5657 W Bavarian Pass; 680;
5682,5684,5686 iciest Bavarian Pass; 5691,5693,5695,5697 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
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
$232,000
$116.00
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
$1,547.25
Fire SC $232.00
PLAN CHECK FEE
Lie SC 5.00
TOTAL FEE
$1,900.25
- SIG NA EOFCON;R�,LlDAGENT tDATEt
H N P ERLY VVIDATED THIS IS YOUR PERMIT
SIGNATURE OiFO%ro NER,if OWNER BUIL R, .DATEtLDG
IF95P DAtf
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
f,.Yr�GI11L'! � ♦:4�rL�])E•Y/Q�2:Yl
PE NO.- 2004-01995
DATE ISSUED: 10/26/2004
ADDRESS 5680 W BAVARIAN PASS NE
PIN 243024410155JK
0
LEGAL DESC INNSBRUCK VILLAGES
LOT 1 BLOCK 1
PERMIT TYPE : BUILDING
PROPERTY TYPE : MULTI DWELL
CONSTRUCTION TYPE : ROOFING
VALUATION : $ 21,739.00
NOTE: INSTALL PER MANUFACTURERS SPECIFICATIONS. INSTALL PER THE STATE BUILDING
CODE. REROOF
BUILDING WHICH INCLUDES 5680, 5682, 5684 AND 5686 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
OWNER
GASSEN COMPANY INC
W
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 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
regulating cons ction or the performance of construction.
Applicant Date
Bldg InspjJ�Date -)—% d' )
SEPARATE PERMITS REQUIRED 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:Si l 6kz 1 49L11- gosh W E,,5 - 6 pry A(zj AN Pfll�-G
Legal Description:
Owner Name & Address: &A%6Q MANAbefijeW!fc,) J4 P4c-6A�4-e,:�1 Tel. # q' 2- 9 u 557775
Contractor: A([5'i-R12 onS&RUcira,J Ac, MN LICENSE# 39-�7
Address: AM -73" AWAIP,'— d 2 Acc) Tel. # -7 - 3 5- 77 OCA
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: P-ei.601= E501LbiA& -5&-)q& It rtAP'
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed:
y� Ft. + 6 Ft = Ft x $ _ $
DATE:/0/Z/b4 APPLIC/f►Ni:sem �Tel. # M5 535'7M)
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 -
$
$ t
6°
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 $ e' STIPULATIONS:
Building
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Inspections
TOTAL DUE bo . O
Number of fixtures @ $25.00 x $25.00 = $
763-572-3604
Number of fixtures @ $35.00 x $35.00 = $
DATE D
SITE ADDRESS
O
THIS APPLICANT IS:
PROPERTY
NAME:
OWNER/
ADDRE!
TENANT
PHONE:
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERNIIT TYPE
TYPE OF WORK:
MECHANICAL Permit Nom
RESIDENTIAL APPLICATION Received By:
CITY OF FRIDLEY Dat dj
E-MAIL
❑ OWNER
CITY
COMPANY NAME:_«l
CONTACT PERSON: <G M4 W I L L I AMS
STATE LICENSE # MIA— .p EXP DATE r
L
A1)1)RF.SS- N24& IVtz &ri CITY 11T.L TATBM&T I.3
PHONE (7D1 •di'Mf'9,745 FAX
FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
❑ NEW [$REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK
PER NIS 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) .
MODEL:
Equipment Installed MFG: O SIZE/BTU 7�
MFG: � MODEL: SIZF/BTU ri( 0
// MFG: MODEL: SIZE/BTU
'/A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15LACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOILER $35.00 i JkF�ACE $35.00 _GAS UNIT HTR $10.00
CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE bo . O
Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
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 1 work w ' res review and approval of plans. j�!
SIGNATURE OF APPLIC PRINT NAWJ R a G4?"4!!!-DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building
MECHANICAL
Permit No.: a G - U)
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
D '
763-502-4977 FAX
EFFECTIVE 1-1-2010
DATE�Z 0 fi 0
YOURE-MAILADDRESS
SITE ADDRESS Jr &%O I/`�Bi�s tGtr i cae. 1 N S f
THIS APPLICANT IS:
❑ OWNER flCONTRACTOR
PROPERTY
NAME:_An A/`c,.i PG; K
OWNER/
r
ADDRESS: 5lego v --KA 8&yninan CITY FPIdl STATEMNZIP �a
TENANT
/e 3 S 71 7
PHONE: - 570
CONTRACTOR
COMPANY NAME: 14j" & Home T-sehnale
CONTACT PERSON: dba Fireside Hearth & Home
SUBMIT A COPY OF
License 20512060
YOUR STATE
STATE LICENSE # n'nn hi c t a .eve EXP DATE
LICENSE WITH
ADDRESS: F$oseville, MN 55113 CITY STATE ZIP
APPLICATION
PHONE5511533-2001 FAX
PERMIT TYPE
0 SINGLE FAMILY ❑ TWO FAMILY TOWNHOUSE
TYPE OF WORK:
KNEW 0 REPLACEMENT 13 ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK i 13� �� fj& S F �� ^ `4S ��t ^ e -
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PROVIDE HEAT LOSS CALC'S PER MANUAL 2006 ASHRAE HANDBOOK
is I o MODEL: I- C O 6 IreQ SIZEBTU �Or_VZM
Equipment Installed
MFG: e.4 n
MFG: MODEL: SIZEBTU
MFG: MODEL: SIZEBTU
$25.00
FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00
_A/C
TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00
_AIR
BOILER $35.00
_FIREPLACE
$35.00 GAS UNIT HTR $10.00
_FURNACE
CHIMNEY LINER $1000 GAS DRYER $10 00 POOL HEATER $35.00
DUCT WORK $1000
=G S PIPING $10 00 VENTILATOR $15.00
alvA l •fi � cY' T,� s`-" r � '. �i ��
y'z
� � �
e-
Of
`d- l
c.H 'iE 5i a�,+tt.. Ezi 3Y1l i -f
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.
011
SIGNATURE OF APPLICANT , ^� PRINT NAME AA tN 6 it e- DATE I 40 �7
APPROVAL INSPECTORS
SIGNATURE DATE
14
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
0 NEW HOMES/ADDITIONS 0 EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments MN Rule 1346 Sec. 501
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
4. Heat loss & cooling load per room
a. MN Rule 1322, Sec. N 1104.4.13
5. Ventilation
a. Per MN Rule Chapter 1322. Sec. 1104
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.