PRE 2010 DOCSSUBJECT
PERMIT NO.
City of Fridley
® 1
AT THE TOP OF THE TWINS
P E R
r
BUILDING
RECEIPT NO.
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 5682 West Bavarian Pass N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACH ED
DESCR.
4
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
DA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 27' x 28' Townhouse and a 21'
x 22' Garage
(Hapsburg Model)
9 CHANGE OF USE FROM
TO
STIPULATIONS
PERMITS RFOUIRED r.w WIRING,
WIRNIN6
SEP�� AND SIGNS-
Before digging tail W utilities
tiEgIN� P<- t11i�R1NG
TOMNE. aECTMC - GAS Etc.
RFOUIRED 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 N.ULL 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
796+462
20,002 Total
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
1 STALLS ° GARAGES
AND KNOW THE SAME TOBETRUE 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
*2 $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
$488.90
SIGNATUREOF CONTRACTOROR AUTHORIZEDAGENT (DATE).HE
PROPERLY VALIDATED THIS IS Y�yOU PERMIT
- BLDG INSP
DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) - (DATE)
AP1' 1,1 C' TI ON I:Ol: PIES I Dl;N' MI,, AL•1-1:1"ATION )
Olt ADD1'1'10.\ BUILDING 1'1:11141T i
CITY OF FRI:DLE) , '.1fj\-X1;S0TA
0:�I:I:' S .�AI•.L•' : �i��,�_ �d•���t�. y BUILllI:I.:_ �,�Dg°b�. ._
:�.SS :7 LaKe iii sib° ADDIZESS :
:C) :
STREET:
•_ C 5�4.2 lii�Grtf 2.Ld el�'�1Lf /-
e
LOT BLOCK: ADDITION: nsh -m 1r,tlt-llatntes
CORN -ER. LOT: INSIDE LOT:-. V-00 SETBACK: SIDE"'1aD ;
Applicant attach to this form n -7o Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESC4IPTION OF BUILDING
To -Be Used As: ��'�' 1
75&zj tej te- Front: Depth: eZQ Height:
Square Feet: Cubic Feet:
e— Front: 621 Depth: Height: 140
Square Feet; Cubic Feet; 0 ,
Type of Construction: W004 Feawel Estimated, Cost:
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all cork 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:
SIGNATURE:
(See Reverse Side For Additional Information.)
w * r •
..
CITY OF FRIDLEY
APPLICATION FOR PWMBING AND GAS FI'T'TING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
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:
let 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x
$3.QO
x
$2.00
x
$2.00
>,
m
x
itu�a
x
o
x
x
0
$5.00
Water
N
W
m
u
H,i
id
d!
C�
m
1$4
W
w
Heater
w�
m
0
4j
$4
'rt 4�
x
$4
A U
�
I
N
C
-1
I
4M
a��
ci
to
ra
rd
O
01
M
pq
3
A W
i
U 9
3
c7
lec
C
l
a
f
1st
I
[
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
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:
let 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x
$3.QO
x
$2.00
x
$2.00
x
$5.00
x
$5.OQ
x
$10.00
x
$7.00
x
$5.00
x
$5.00
x '$3.00
x $1.00
x $10.00
$5.00
$2.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($10.00)
Job Address 66- CJS 'b aw OL. -'(q q- 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. lam; ` �� , 19_=
OWNER /D(1c--Ck- _�
KIND OF BUILDING ICJG� U 0 `� SSE l
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO. 90
Company LLe b,
Signed By
Tel. �£ 0
ROUGH INSP.
Date
FINAL INSP. f ®
Date LL//
APPROVAL FOR PERMITH�
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
o CM OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
VITY WARM :SIR:
F•.irnace Shell & Duct Work
R•2 :aca-.er of Furnace
Re_ _rs & Alterations -up to $500.03
e airs & Alterations each add. $500.00
HANICAL KAR?S AIR:
Furnace Shell & Duct Work to 100,000 BTU
each add. 50,003 BTU
Be^lace=en- of : urnace
Re -t -airs & Alterations -up to $50J.00
Re: airs & Alterations each add. $500.00
TEAM OR IST WATER SYSTDI:
Boiler & bines up to.100,000 BTU
each add:.. 50,000 B'ZU
Boiler only up to 100,000 BTU
Each adder. 50,003 BTU
RATE
$12.00
7.00
7.00
4.00
$12.00
4.00
7.00
7.00
4.00
$12.00
4.00
7.00
G.00
)IL BURNER- to 3 gal. per hour $10.00
$
each add. 3 gal. per hour 10.00
$
:-%S BURNER- frcZ 100,000 BTU to 199,999 BTU $10.00
$
(over 199,999 BTU see Fee Schedule)
$
;AS FITTING FEES:
1st 3 Fixtures x $ 3.00
$
3. Q
Additional Fixtures X $ 1.00
$
Gas Rang to 199,000 BTU x $10.00
$
IIP. C.ONDITION:NU s�/rh ,-,� �- �•�
$
=iN HE:�TZNu' SYSTEMS See Fee Schedule
$
'=NT IL�TING SYSTEMS
$
'ITERATIONS $ REP aI RS 1
$
_
State Surcharge
$
.50
TOTAL FEE
$ 3 �
:--Ti INSP. REINSPECTION FEE
Date (.$10.00)
?Z1AL INSP. -
Date
+PPsZOVAL FOR PER?:IT
MI.\IMMM FEE FOR ANY HEATING PER.'KIT IS $7.50
Job Address � � � '®6� � ." � � 'ev`"'
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 Cages
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. - .a . 19 � -)
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT 3
ESTIMATED COST
OLD - BUILDING PERMIT NO. PER4IT NO.
DESCRIPTION OF FU?VACE/BUR!TER
HEATING or POWER PLANTS, Steam, Hot Water, Warm ir- No.
Trade Name �d "�� �� Size :Io. �� J
V 4 cs .e
Capacity Sq. Ft. EDR ` BTL' EP
Total Connected Load —B, / (, — Kind of Fuel
BUR.'QER - Trade Name
Size No.
Capacity Sq. Ft. EDR BTU HP
Wmpany
D iA 9aI
Signed By ' r C
a
Tel. No.
e;C,:r� x;17 •
c' o _ �✓ sem°
HEAT LOSS CALCULATIONS ME-TI]PR CORI DETOWN4 11 Mr. (CO_ MINNEAPOLIS, MINN..
Weatherstrips
A.S.H.V.E.
Guide
Reference
9
Construction No.
Insulation
Windows
Doors
Out. Wall
Int. Wall
Ceiling
Roof
Floor
Kind
How Applied
Yes—No
Yes—No
Length d Width �"�
Height
FI.Q� �e� om Length `�.`� Width
Height
Windows and
Doors—Crackage and Area
Windows andboors—Crackage
No, Width Height
of pane of pane
13 6
® :—
and Area
No. of Lineal ft. Area
lights of crack sq. ft.
2
p1 1-0q
No. Width
of pane
Height No. of Lineal ft. Area
of pane lightsof crack sq. ft.
�
Coef
Btu
Coef Btu
Infiltration
Infiltration
Glass
�
� ®
Glass
Exp. wall
Exp. wall
Net exp. wall
®
Net exp. wal I
L
Int. wall
Int. wall
Ceiling
Floor
®
Ceiling
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
AFI. Room Length Width
®
Height
F1. f Room
Length 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.
W,drri Height No. of Lineal ft. Area
No. Of pane of pane Lits of crack sq, ft.
Z 9
Coef
Btu
jCoef Btu
Infiltration
Infiltration
Glass
®
®�
Glass
Exp. wall
Exp. wall
Net exp. wall
8
Net exp. wall
Int. wall
Int. wall
Ceiling
Ceiling ®2—
� Q
Floor le®
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI ffi4 1 P�.y�, Room Length �i Width %1
Height
FI. o Room Length® Width �� HeightZ
Windows and Doors—Crackage and Area
Windows and Doors—Crackage and Area
No Vt,dih He ght TNo. of L Heal ft. Area
of pane of pane lights of Arack sq. ft.
� d�
No.Width Height No. of Lineal fl. Area
of pane of pane flights of crack sq. ft.
Coef
Btu
Coef Btu
Infiltration
Infiltration
Igot IY?
Glass
Glass
Ar 4
Exp. wall
Exp. wail B
®P
Net exp. wall
Net exp. wall
L
Int. wall
Int. wall
Ceiling
Floor
Ceiling
Floor
Tota I Btu.
Total Btu.
0
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
PARTIAL RATE SCHEDULE
PLUM NG FIXTURE RATES: NO, RATE
lA► ,3er Fixtures - ....._-._.x $3,00
Future flicure Opaning $3,00
New Fixture, Old Opening x $2,00
Catch 9iein +x $5,00
%.water Heater - to 99,000 BTU, x $5.100
100; C00 'BTU to 199,000 BTU x 510.00
Hater Softener x $7,QO
' New Ground tin Old Building x $5,00
Elact.rlc Hater Naater - x 55,00
.CAS FITTING FEES; '
x 53.00
- x 51,00
x $10,00
1st 3 fixtures
Mditional tixturas
:Gas lunge to 199,000 BTU
REPAIRS d ALTERATIONS
rirst 5100.00
each add. $100.00 or fraction
State Surcharge
TOTAL FEE
TOTAL.
S
$5.00 5
$2.00 $
$ 8.00
97-8 —879001 '
Job Address � g oWgt Ravvainn
Department of Buildings
City of Fridley I
Tot. M571-3450
, I
Tho undersigned hereby makes application fora permit for the wo
specified agruaing•to do all work in strict accordance with the Cl
and rulings of the Department of Buildings, and hereby declares tl
the faotu and reprquuntations stated in this APPlicntlon Are true
Fridley, M,'1, 3-6-78 ,
OWNER DONALD TONN
KIND OF DUILOINO frame -
USED AS res. .
TO BE C014PLETED MOUT 1-13—`18'
ESTIMATED COST .20.00
OLD - NEW UUILDIIIG PERMIT N0. ...... -PE IT 110,
---p—Compn
MINK CASCO
Signed By'
' Tol. No.
ROUGIL INSP,
Data
PI144L INSP,
Data '
APPROVAL FOR PERMIT ,
MINIMUM PEE FOR ANY PLUMBING PERMIT 19 $7.50
I'll
a
Hato r
f O ■■
•t~'
h
o► c
•c+ a
w
n
u
N
'
w
o.
liaata r
,
r
Y
Aj
D
.aDi
(A
A
U
C
.D 0
N
ic
..1
a
h
8
M
1A
1A
1A
0
a
A
uci
w
ti w
K x
ae
Lac
'1st
•
.a
'
2 i.d.
..
-a
701
3rd'
A
14 th
- (R) - rutura Connection Opening
Connected with Sugar
1.1 - Nev Fi9m ra, Old Opening
Hater
PARTIAL RATE SCHEDULE
PLUM NG FIXTURE RATES: NO, RATE
lA► ,3er Fixtures - ....._-._.x $3,00
Future flicure Opaning $3,00
New Fixture, Old Opening x $2,00
Catch 9iein +x $5,00
%.water Heater - to 99,000 BTU, x $5.100
100; C00 'BTU to 199,000 BTU x 510.00
Hater Softener x $7,QO
' New Ground tin Old Building x $5,00
Elact.rlc Hater Naater - x 55,00
.CAS FITTING FEES; '
x 53.00
- x 51,00
x $10,00
1st 3 fixtures
Mditional tixturas
:Gas lunge to 199,000 BTU
REPAIRS d ALTERATIONS
rirst 5100.00
each add. $100.00 or fraction
State Surcharge
TOTAL FEE
TOTAL.
S
$5.00 5
$2.00 $
$ 8.00
97-8 —879001 '
Job Address � g oWgt Ravvainn
Department of Buildings
City of Fridley I
Tot. M571-3450
, I
Tho undersigned hereby makes application fora permit for the wo
specified agruaing•to do all work in strict accordance with the Cl
and rulings of the Department of Buildings, and hereby declares tl
the faotu and reprquuntations stated in this APPlicntlon Are true
Fridley, M,'1, 3-6-78 ,
OWNER DONALD TONN
KIND OF DUILOINO frame -
USED AS res. .
TO BE C014PLETED MOUT 1-13—`18'
ESTIMATED COST .20.00
OLD - NEW UUILDIIIG PERMIT N0. ...... -PE IT 110,
---p—Compn
MINK CASCO
Signed By'
' Tol. No.
ROUGIL INSP,
Data
PI144L INSP,
Data '
APPROVAL FOR PERMIT ,
MINIMUM PEE FOR ANY PLUMBING PERMIT 19 $7.50
City of Fridley
SUBJECTIT
71t
vt NO.
n g
AT THE TOP OF THE TWINS
f
BUILDING PER l
-
IPT N
1 1
'
' COMMUNITY DEVELOPMENT DIV
r PROTECTIVE INSPECTION SEC.
1 �
i
-T
CITY HALL FRIDLEY 55432
NUMBER
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/28/97
JOB ADDRESS See Below - Multiple Buildings
1 LEGAL
LOT NO.
BLOCK
TRACTOR 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 REPAIR O 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"
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; 5680,
5682 5684,5686 West Bavarian Pass; 5691,5693,5695,5697 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
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
'C7�r
PLAN CHECK FEE
TOTAL FEE
Lie SC 5.00
$1, 900.25
S,GNA EOF CONTRACTOR OR AU HORIZED AGENT iDATE6
H N P ERLYV (DATED THIS IS YOUR PERMIT
S,GNATURE OF OWNEROF OWNER BU,L DER, ,DATE,
fiLDG ASP F/ATE
CITY OF FRIDLEY INSPECTION DIVISION
W1 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILA
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Rate TOTAL
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace $ 30.00 $
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace) $10,06 $
Gas Range $10.00 $
Gas Dryer $10.00 $
Tern eat -&A ;kTo L i
*Air Conditioning -All Sizes C A 9 c a 4 V kp $ 25.00 $c)5-00
Ail Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
62a
0�
Effective On January 1, 1998 9'
1.`
lAgikss �e,'%,DLe
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 Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
D) a e.a A-- -,19mi
BUILDING USED A 109.
ESTIMATED COST NOD. O D PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air►
Trade Name Size No,
Commercial/industrial BTU HP EDR
1.25% of Value of Appliance or Work $ Fuel Total Connected Load
State Surcharge $ 50 Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
N111MMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REF .AIGERATION/ IR CONDITIONING PERMIT 118 425-09
PLUS THE $.60 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjolning property owner.
River City Sheet Metal, Inc.
HEATING COMPANY 9920e
C®On Rapids, 85433
Signed By
Approved ByA Rough -in Date Final Date
FILL OUT BACKSIDE FOR STAC VERIFICATION ON
REPLACEMENT FURNACE
I
GiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287
August 9, 2000
Kathy Benson
5682 West Bavarian Pass NE
Fridley, MN 55432
Re: Final Inspection at 5682 West Bavarian Pass NE
Contractor: River City Sheet Metal, Inc.
Dear Ms. Benson:
A mechanical permit was issued on May 3, 1999 for the property located at 5682
West Bavarian Pass NE for an air conditioning unit. According to Section 305(a)
of the 1991 Uniform Mechanical Code a final inspection shall be performed on
the mechanical system. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
DAT/E/JUNSEN
Build(4inspector
Building
PLUMBING
Permit No.:�7
InspectionsRESIDENTIAL
APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Recd
DATE Ah' YOUR E-MAIL ADDRESS
SITE ADD SS KATHLEEN OLSON
THIS APPLICANT IS: 0 OWNER CONTRACTOR 5682 WEST BAVARIAN PASS
PROPERTY NAME: FRIDLEY, MN 55432
OWNER/ ADDRESS: 7635717191 ZIP
TENANT -
PHONE:
CONTRACTOR
NAME: NO LOM PLUMBING CO.
STATE LICENSE # .'r6 &!r- l ®�Y 18274D33--
7'4D 33YOUR
SUBMIT A COPY OF
YOURSTATE
ADDRESS: c o n a- aEmI�Y t r a e� ae a rem c+ ESTATE ZIP
LICENSE WITH
PHONE F '
APPLICATION
PERMIT TYPE
SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
0 NEW X.REPLACEMENT
DETAILED DESCRIPTION OF WORKcT�act LtJaft✓ y�Q C✓
PER MS 16B.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 =
fo",ROJECTS WHERE LABOR EXCEEDS5500,TEES ARE BASED ON $10.00 PER FIXTURE,'EXCEPT-YaMRE'NO:TED :FIXT-UM:.(INDIGATE TOTAL
NUMBER OF EACH BELOW)
BATH SINK/IAV _FLOOR DRAINS _ SHOWER _ WATER PIPING
_
_ GAS PIPING (vFzDcrrrumm) _ SWIMMING POOL _ WATER SOFTNER ($35)
—BATHTUB
CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREY. ($15)
_ _
_ LAUNDRY TRAY ,WATER HEATER ($35) FOR IRRIGATION
—DISHWASHER
WATER METER OTHER
`✓ y . b i
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surchar a .50
Number of fix-mras @ $15.00 x $15,00 = $
Number of fixtures @ $35.00 /_ x $35.00 = $ 35.00
TOTAL DUE $
State Surcharge = $ .50
Total = $ 3S. ro
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 ordinTces and codes of the City of Fridley and with the Minnesota Constniction Codes, that I understand this is
not a permit but only an ap 'cation for a p rmit and work is not to start witlouf a permit; that the work will be in accordance with the
approved plan in the case o 11 work wh' requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAMEPi��//!!� DATE AbO X67
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977