PRE 2010 DOCSCity of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING P E R M I T
PERMIT NO.
152
r
• ___ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
0 = I
CITY HALL FRIDLEY 55432
612-571-3450
ECE P O�
NUMBER
910-F15
REV.
DATE
6/25/79
PAGE OF
APPROVED BY
JOB ADDRESS 5413 TRtest Brenner Pass N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
6
1 Innsbruck North TOwnbouseS Plat 5 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel Farr Development Corp. 7286 - 72nd Lane Brooklyn Park 55428
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same 560=81 10
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
C=gtruni- an IRI t rrinw-nbouse CR Unit)
9 CHANGE OF USE FROM TO
STIPULATIONS Party wall must be two separate 1 hour walls from bottom to roof.
Firestop soffits. Provide combustion air to furnace from out6lde.
�p�R� �/Vt E�N�T��iPo f .Il.
i
N��� jp ,.
yrs
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYP SOF 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
1332
11,952
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
VALUATION
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$23,560
$11.78
DOES NOT PRESUME TO GIVE,,AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISION F O STATE OR LOCAL LAW REGULATING CON-
STRUCTI P RMANCE OF CONSTRUCTION.
$47.81
$425.00
PLAN CHECK FEE
TOTALFEE
®
I
IS496- 54
SIGNATOR O NTRAC ORAUTFiORIZEDAGENT )DATE)
��WHENSOPER Y V ID TE THIS IS YOUR PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
SP DATE
• CITY OF HIRLY
•- APPLICATION FOR Rt-SII)ENTIAL BUILDING PERMITS
GIEW� ALTERATIows, ADDITIOtJS, OR REPAIRS)
OS,I2rR: Lti� •• vim• � Z-Pl, MILDER:
Jsddress: r� x.r j4A,, �t.e ,- Address: .
TeX No.:
Ho.
S413 Street: • Lfi . `�- lisr�_.-tt�/t..�% ,
LOT: BLOCY.:� ADDITION:.
COMER .LOT X 114SYDE LOT: S',.•:TBACY.: SIDEYARDS:
Applicar:t attach to this form 9N -7o Certificates of Survey_ of Lot aid. proposed
building location drawn on these Certificates. -
DI_SCRIPTION OF BUILDING
To Be Used As -
Frond_ L Depth z neigh -t: a�
Square Feet: J.P3 Cubic Feet:
Front: Depth Height:
Square Feet: Cubic Feet:
Type of Construction: L,-6� Estimated Cost:
To Be Completed: V-7-7 - Alt. A Alt. 13 -
Proposed Driveway tiidth If Neil Opening Is Desired $
• - (SEE REVERSE SIDE OF SIIE:ET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all xcork in strict accordance wit i the City of
Fridley Ordinances and rulings of the Dcpartment o. 'ldings, and hereby
declares that all the facts and representations -tate in 's application
are true and correct. *See reverse si for � 'tiot 1 'iif-o a on.
DATE:s� SxGh11'i'URi::
Stipulations:
1'% oo
CITY OF FRIDLEY
APPLICATION FOR PWMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
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
NO.
RATE
TOTAL
>.
+�
$
ro
$2.00
0
x
x
0
x
Water
a
41
.i
$
x
$10.00
$
x
$7.00
O
x
y �H
$
W�dtl
p�{
$
Heater
$3.00
$ 4�
x
$1.00
n
x
$10.00
X
L
gC
u
.
c
rn
«i
9
8
rd
U
A
yyy
NE3
Q W
EQ
Lv
U P9
Q 3
C�7
C7
O
a5
16C
'1
B
1st
2nd
Q
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
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
NO.
RATE
TOTAL
x
$3.00
$
x
$2.00
$®
x
$2.00
$
x
$5.00
$
x
$5.00
$
x
$10.00
$
x
$7.00
$
x
$5.00
$
X
$5.00
$
x
$3.00
$ 4�
x
$1.00
$
x
$10.00
$
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
TOTAL FEE $�
REINSPECTION FEE
($10.00)
Job
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 alp; ation are true and correct
o
Fridley, Mn. 19
KIND OF BUILDDjING
USED AS'=may
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDIN ERMIT NO. PERMIT NO. vel, O
Company /'���:.,'' _ �✓�
Signed By
Tel. No.
ROUGH IMP.
Date
FINAL INSP. 9-3c% ` Y/
Date/1
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCHARGE
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARIM AIR:
RATE
TOTAL
Job Address
Furnace Shell & Duct Work
$12.00
$
*Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.04
$
Department of Buildings
Repairs & Alterations each add. $500.00
4.04
$
City of Fridley
Tel. #571-3450
MECHANICAL aiAT04 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
each add. 50,000 BTU
4.00
$
and rulings of the Department of Buildings, and hereby declares that all the
*Replace.^ent of Furnace
7.00
$
facts and representations stated in this application are true and correct.
Renairs & Alterations -up to $500.00
Repairs
7.00
4.00
$
$
n
Fridley, Minn. % ''o 19
& Alterations each add. $500.00
,
ST.A:d OR HOT WATER SYSTEM:
I
OWNER � (�� /�')/111iO O-}-
Boiler & Lines up to 100,000 BTU
$12.00
$
KIND OF BUILDING y
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
USED AS
each addn. 50,000 BTU
6.00
$
TO BE COMPLETED ABOUT
OIL BURNER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
ESTIMATED COST �,®(
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$_jC) - Q
OLD -BUILDING PJERRMIT NO. PERMIT NO. � —
(over 199,599 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures x
$ 3.00
$
DESCRIPTION OF FURNACE/BURNER
Additional Fixtures x
$ 1.00
$
Gas Range to 199,000 BTU x
$10.0C
$
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- NG.
AIR CONDITIONING
$
Trade Name @ �> Size No.
FAN IfEATING SYSTHMS See Fee Schedule
VENTILATING SYSTEMS
$
Capacity Sq. Ft. EDR BTU HP
ER
ALTATIONS f REPAIRS
$
-------
State Surcharge
_
$ .50
Total Connected Load 60A)f) Kind of Fuel rte^;_ a,
TOTAL FEE
$ 5
BURNER - Trade Name Size No.
ROUGH INS?.
uar.e
FINAL INSP. 17(" sn-
Date
APPROVAL FOR PERMIT
REINSPECTION FEE
($10.00)
YaNI2UM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 -STATE SURCHARGE
*Attached stack verification form
Capacity Sq. Ft. EDR BTU HP
Company e r
Signed By
Tel
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
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
Job Address ----
Department of Buildings
City of Fridley
Tela #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
12
Fridley, Mn.` 19
OWNER;""
KIND OF BUILDING - -
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
NO.
RATE
TOTAL
OLD - NEW BtTILDZINGG PERMIT NO.
PERMIT NO..�
x
$3.00-
Water
at
i
97-8)1-1116051. _.IiPPLICATION FOR PWh1BING AND GAS FITTI WG PEK'11T
.iL
npE
•.�1� �_. - .. - I I I tr
, R1 I t Lute Cunncccian Gl•enir 3 C: :r•uCLnd with SewL r
14tw t IRtuLO, Old Optning Water
PART I AL wl I l+Lu t
LIN1i1Nl; 1.1 XIUkE RATES; 140, RATE
IIu�.:,cL I is.Lures
N
n
$3.00
VutuLo FLAtura Ol,ening
LA
�^
�'
b
x
L
C°tt,I) hasin
,�.
$5.00
WA L41 heater a to 99, 000 bTU
a
$5.00
IU0,000 BTU to 159,000 ®TU
x
$10.00
c
�t
U,
i
b
x
55.00
o.
x
$5.00
LS I IITIt"G FEES;
%st 1 ftaLures •
tt
$3.00
AAA iLIunal PIALuraa
s3
$1.00
tiLa k.t,,.,a La 199,006 15TU
x
$1.0.00
I'.0110 4 ALTEkATiONS
L 5100.00
$5.00
es�h ad9, 5100.00 or lracu on
w
w
a
a
in
d °'
` w
ux
�'s
,n
4
w
c
.iL
npE
•.�1� �_. - .. - I I I tr
, R1 I t Lute Cunncccian Gl•enir 3 C: :r•uCLnd with SewL r
14tw t IRtuLO, Old Optning Water
PART I AL wl I l+Lu t
LIN1i1Nl; 1.1 XIUkE RATES; 140, RATE
IIu�.:,cL I is.Lures
x
$3.00
VutuLo FLAtura Ol,ening
x
$2.00
"a'd FiatLlLa, OId..0per,lr.a
x
$2,00
C°tt,I) hasin
x
$5.00
WA L41 heater a to 99, 000 bTU
a
$5.00
IU0,000 BTU to 159,000 ®TU
x
$10.00
WAtor S-ftenor
x
$7.00
Ilew GtOkinJ Pun Old buildir.1
x
55.00
f1csLLlm W.Lter tleatere
x
$5.00
LS I IITIt"G FEES;
%st 1 ftaLures •
tt
$3.00
AAA iLIunal PIALuraa
s3
$1.00
tiLa k.t,,.,a La 199,006 15TU
x
$1.0.00
I'.0110 4 ALTEkATiONS
L 5100.00
$5.00
es�h ad9, 5100.00 or lracu on
$2.00
SL®LO Surcharge
i
.i TOT/.L if.L'
$
Ila ter
Ilea ter
1
TOTAL.
$
i
f�tdiISPCCTIOU k't:C •'
Job Address 51113 W. Brenner Pass
Department of but,1.91p33j
City Of Vridlsy
Tel. 11571-3.150
The undar91gn4d Loreby rr:tkea spplicscion f r a ,.ermtL C r Lt>� wcrk tteruln
Specified agr:taing Lo do' all work in strict s;ccr isr, n with, tt',t. City Co un
and rulings of Lhe DeltarLment of I3,1111ings, ere reretl duzlaret that all
tho fac L:I R,Id ropruz t]t7L[Ott9 9t3tai in thIS Gt,,
,Lcalicn sro tiuo and curr,xi
Fr-dley, tu;, 1-11-80 1 .
OWNER uarreil r"arr
KIND OF BUIL5ING —' frame
USED AS ..
TO BE COI4PLGTED RL:;UP 1-18-80
ESTIRATGD COST 110.00
OLD - 101 UUILCYN.i PEI�t•idT tt0, FE(�
Py;.tJAJ��,;�CQ
Slyned By
'fel, Ila.
ROUGH ItISP.
Data
FINAL
Data
API'RUVAL 1'Oft
P9YIIIMUtI fl'EC I'I;IL J1tY fl LUI:uItl.; P£IU;%T %S $7.50 PLUS $.50 STI.Te 6UNC1tAILGe
FIA
^. -17
'April 8, 1980
Y/
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
Darrel Farr Development Corp.
4600 Lake Road
Minneapolis, MN 55422
Re: Final Inspections on Fountain Oaks Townhouses
Dear Sirs:
TELEPHONE ( 612)571-3450
Final inspections were made on April 4, 1980 of the following addresses
and the items noted must be completed before the structures can be
finaled out;
5401 West Brenner Pass
1. Regrade to provide proper drainage and lower grade to expose
concrete slab.
2. Provide a ball check in the floor drain.
3. Obtain a final inspection on the heating work.
5403 West Brenner Pass
1. Complete the grading.
2. Repair and install the ball check in the floor drain.
3. Obtain a final inspection on the heating work.
5405 West Brenner Pass
1. Install a ball check in the floor drain.
.2. Regrade front to provide proper drainage and lower grade at
garage to expose concrete slab.
5407 West Brenner Pass
1. Provide a ball check in the floor drain.
2. Plug future water closet run in lower level.
3. Obtain a final inspection on the heating work:.
5409 West Brenner Pass
1. install a ball check in the floor drain.
2. Regrade and expose concrete garage slab.
3. Obtain a final inspection on the heating work.
J5413 West Brenner Pass
1. Provide a ball check in the floor drain.
2. Complete grading properly.
3. Obtain a final inspection on the heating work.
5415 West Brenner Pass
1. Install a ball check in the floor drain.
2. The discharge hose from the sump pump must discharge to the outside
and not into the sanitary sewer.
3. Obtain a final inspection on the heating work.
Darrel Farr Development Corp.
• ' Ap.Vil. 8 r 19BG
Re: Final Inspections on Fountain Oaks Page 2
5417 West Brenner Pass
1. Complete final grading.
2. Install a ball check in the floor drain.
3. Obtain a final inspection on the heating work.
5419 West Brenner Pass
1. Install a ball check in the floor drain.
2. The discharge hose from the•sump pump must discharge to the outside
and not into the sanitary sewer.
3. Obtain a final inspection on the heating work.
5421 West Brenner Pass
1. Install a ball check in the floor drain.
2. The discharge from the sump pump must discharge to the outside and
not into the sanitary sewer.
3. Obtain a final inspection on the heating work.
5423 West Brenner Pass
1. Install a ball check in the floor drain.
2. Obtain a final inspection on the heating work.
5425 West Brenner Pass
1. Nail treads on stair leading to the basement.
2. Install a ball check in the floor drain.
3. Obtain a final inspection on the heating work.
5427 West Brenner Pass
1. Install a ball check in the floor drain.
2. Obtain a final inspection on the heating work,
5431 West Brenner Pass
1. Install a ball check in the floor drain.
2. Sleeping is prohibited in the basement unless an escape window is
installed and a fire alarm.
.3. The discharge hose from the sump pump must discharge to the outside
and not into the sanitary sewer.
4.. Obtain a final inspection on the.heating work.
5433 West Brenner Pass
1. Install a ball check in the floor drain.
2. Obtain a final inspection on the heating work.
5435 West Brenner Pass
1. Install a ball check in the floor drain.
2. Obtain a final inspection on the.heating work.
1629 Brenner Pass
1. Install a ball check in the floor drain.
.2. Provide an access panel for the upstairs bathroom.
1621 Brenner Pass
1. Support the basement stair at mid -point.
2. Install a ball check in the floor drain.
L C%LLU-L carr uevelapmenu corp.
April 8, 1980
Re: Final Inspections on Fountain Oaks Page 3
1627 Brenner Pass
1. Install a ball check in the floor drain.
2. Obtain a final inspection on the heating work.
1643 Brenner Pass
1. Install a ball check in the floor drain.
2. Obtain a final inspection on the heating work.
1633 Brenner Pass
1. Install a ball check'in the floor drain.
2. Obtain a final inspection on the heating work.
We will expect the above items to be completed by June 2, 1980 and
reinspection called for. If you have any questions on these items,
please contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
SUBJECT
PERMIT NO.
City of Fridley
2053
AT THE TOP OF THE TWINS
BUILDING PERMIT
i �
RECEIPT NO
1
COMMUNITY DEVELOPMENT DIV.
L e
r i PROTECTIVE INSPECTION SEC.
o�
NUMBER
REV-
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/28/90
JOB ADDRESS 5413 West Brenner Pass N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
6
Innsbruck. North Townhouse Plat 5 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Lewis Boone 5413 West Brenner Pass N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & P Builders Inc. 2370 - 3rd Street N.W.; New Brighton, MN 633-8375
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 � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace rotted siding on fireplace chase
9 CHANGEQFUSEFROM TO
STIPULATIONS
Call for inspection after tear -off.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1,400 $.70
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTI OR THE PERFORM E OF CONSTRUCTION.
$33.00
PLAN HECK FEE TOTAL FEE
Fire. SC 1.40 5.10
S NATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHE PROPER V D I IS YOUR. PERMIT
•BL -W INSP OAT
SIGNATURE OF OWNER(iF OWNER BUILDERI IDATEI
NEW [ ]
ADEN [ ] R-1 AND R-2
ALTER [ ] Building Permit Application
Construction Address: -5
Legal Description:
Effective 8/16/90
Owner Name & Address: sL 0 is ? U b n W. #
Contractor: P 1 L0 otc, 1 I\l C . W. # b"3 3 4 3 7S�
Address:, `� 0 cP ST. K3yJ
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCR=CN OF Il VII�iP
LIVngG AREA: Length Width Height Sq. Ft.
GMRAM AREA: length Width Height Sq. Ft.
DECK AREA: LengthWidth Hgt/Grmid Sq. Ft.
omaD: �CVE-Al cCg R ®Trot siD io.►6 64 -NaCYI-A-ce C-R*SZ
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: llEstimated Cost: $ %'fU 0 . 0-b
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
/J �%® dth + 6' See Back Page
DATE: �'/- %b APPLICANT L.l ti"` Tel, # .33-t�7.1—
Permit Fee $ 3A 00
Fire Surcharge $ /'110
State Surcharge $ 70
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOM
R=ONS: :
CITY USE ONLY
Fee Schedule on Reverse Side
.001 x Permit Valuation (1/10th o)
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary.[ ]
-
SUBJECT
City of Fridley
3120
AT THE TOP OF THE TWINS
BUILDING
P C D A A I
�
6
L"'v 1
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
W,33
1 � �
I =---1 CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
7/14/00
JOB ADDRESS 5413 - 23 West Brenner Pass
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1-6
6
1 Innsbruck North Townhouse Plat 5 SHEET
2 PROPERTY OWNER MAIL ADDRESS.
ZIP PHONE
Innsbruck Townhome Association
651-224-5482
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Garlock -French Roofing Corp., 2301E 25th 612-722-712-C)
ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
00001423
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION (M REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Tear Off and Reroof Townhouse
Building
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State
Building Code.
Dim
Fertnif Inspection Cards
Fill Be Mailed
To Homeowner To Post
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 80 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
6 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
$21,914.75
$10.96
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
$349.25
Fire SC $21.91
PLAN CHECK FEE
/OTALFEE
$382.12
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 10ATEt
N PR�YVTEDTHIS IS YOUR PER IT
SNS IfHATE
S,GNATURE OF OWNEROF OWNER BUILDER, tOATE-LOG
7-12-200 11:48AM FROM 6127229754 P.3
Effective 1/1/2000
ADDN [ j CITY OF FRIDLEY`� 612 72-3604 Bldg hmp,
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-24' 2�
BUILDING P MIT APPLICATION
Construction Address: .4 2 5
Legal Description:
Owner Name & Address:
Contractor: I pa --
Add
MN LICENSE #-Q(20-01 YQ3
)L9
yokTel. # g - J ,;� a - -71.;? 9
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. FL
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type:
RU Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x
DATE:, j`'"-- APPLICANT: ifTel. # �� I c1-ia off ' %1 a-1
CITY USE ONLY - Call (612) 572-3604 for Permit Fees if mailing in application
Permit Fee $ - �� Fee Schedule on Reverse Side
Fire Surcharge $ - Qi .0010 f Permit Valuation (1/10th°/a)
State Surcharge $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ $1100 per SAC Unit
$ �� $5.00 (State Licensed Residential Contractors)
"A" or Alt. "B" Above
$,$450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ I Not Necessary L ]
$ 2 %,,2,
SUBJECT
PERMIT N
City of Fridley
3306
AT THE TOP OF THE TWINS
BUILDING PERMIT
t
S �
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC
572-3604
✓�
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
; .."'; CITY HALL FRIDLEY 55432
1 J` 763-571-3450
910-F15
9/10/02
JOB ADDRESS 541ASt Brenner Pass NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
2
12
Innsbruck North Townhouse Plat 6 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Louis Boone 5413 East Brenner Pass NE 571-2450
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Hendel Construction 4997 Page Ave NE, Rogers, MN 55374 428-7992 20192308
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Rebuild chimney chase; add fire stops to meet code; reside chase
9 CHANGEOFUSEFROM TO
STIPULATIONS
Fire stop per Section 708, 1997 Uniform Building Code.
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 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
$3,500
$1.75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$87.25
Fire SC $3.50
STRUCTION TH ERF ANC _ F STR N
PLAN CHECK FEE
TOTAL FEE
Licens S $5.0
07.50
SIGNATURE OF COkRACTO OR AUTHORIZEO GENT IDATEI
EN�OPVALIDATEJVTHIS IS Y R PERMIT
01
S-GNATURE OF OWNER,.F OWNER BUILDERI IDATEI
BLD IN FATE
NEW [ J CITY OF FRIDLEY Effective 1/1/2002
ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg hwp
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: =L_
�— r� �s
Legal Description: � k
Owner Name & Address: Loui c 73-00 1.O Tel. #
Contractor. MN LICENSE # 90r%'2% b3'
Address: Tel. #
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:
Construction Type: r c-9— 6oeQ Estimated Cost: $ WO,00
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: t{� �2- APPLICANT: Tel. #
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$•0�.5�
$
$
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Resideritfal Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by'Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $®% S`'d STIPULATIONS:
�l
CITY OF FRIDLEY PE NO.: 2
04-00542
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE IS
/21/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS 5413 W BRENNER PASS NE
PIN 243024440160
LEGAL DESC INNSBRUCK NO T H PLAT 5
LOT 4 BLOCK 6
PERMIT TYPE PLUMBING
PROPERTY TYPE : TOWNHOUSES
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 700.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A
INSTALL GAS WATER HEATER
# ELEC WATER HEATERS 0
VALUE OF FIXTURE/APPLIANCE
0
# NEW FIXTURES (EXIST OPENINGS) 0
# GAS WATER HEATERS
1
# GAS DRYERS 0
# GAS RANGES
0
# OF NEW FIXTURES 0
# WATER TRMT APPLIANCES
0
APPLICANT
PLBG PERMIT MINDAUM FEE
PLBG FIXTURES (NEW OPENINGS)
0.00
0.00
RIVER CITY SHEET METAL
9928 BLUEBIRD ST NW
PLBG FIXTURES (EXIST OPENINGS)
0.00
COON RAPIDS, MN 55433-
WATER TREATMENT APPLIANCE
0.00
(763) 754-2199
WATER HEATER - ELEC
0.00
WATER HEATER - GAS
35.00
GAS RANGE FEE
GAS DRYER FEE
PLBG REPAIR/ALTERATIONS
0.00
0.00
0.00
OWNER
BOONE LEWIS ALLEN
5413 W BRENNER PASS NE
STATE SURCHARGE, PLBG FLAT
0.50
FRIDLEY, MN 55432
TOTAL
35.50
PAID WITH CHECK # 13052
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 y other state or local law
regulating construction or the pe orm a of constructs .
Applicant Date
Bldg Ins e �L
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
IA
ITY OF FRIDLEY INSPECTION DIV.
31 University Ave NE
ridley, MN 55432
(763) 572-3604, FAX (763) 571-1287
Effective April 1, 2004
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
JOB ADDRESS 5L1� )e1 s� �ilTrrl��
New Fixtures
$10.00
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$10.00
specified agreeing to do all work in strict accordance with the city codes
Beer Dispenser
$10.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$10.00
and representations stated in this application are true and correct.
Catch Basin
$10.00
Rain Water Leader
$10.00
DATE: 20
Sump/Receiving Tank
$10.00
Water Treating Appliance
$35.00
OWNER
Water Heater -Electric
$35.00
Water Heater - Gas** �_
$35.00
:3O=,op
,D
BUILDING USED AS
Gas Range**
$10.00
))� c`�
Gas Dryer"
$10.00
ESTIMATED COST ��®. ®,0 PERMIT NO. (( '60
Back Flow Preventer Required ( )Yes () No
Type
$15.00
PLUMBING COMPANY
Reinspection Fee $50.00/Hr
SIGNED BYE® TEL NO .74�''F4 -7/ 9
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.25% of Value of Fixture or Appliance
C' _Dz)
Approved By Rough -In Date Final Date
State Surcharge
$ Ps®
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST
TOTAL FEE
$ �S-b
OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE.
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, 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 Btu 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