PRE 2010 DOCSCity of Fridley
SUBJECT
P
Pi 15299'
AT THE TOP OF THE TWINS
BUILDING PERMIT
P
R T N�
11 `y -------- COMMUNITY DEVELOPMENT DIV.
INSPECTION
X1,9
r I e PROTECTIVE SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L J\ 612-571-3450
910-F15
6/28/79
108 ADDRESS
5433 West Brenner Pass N.E.
1 LEGAL
LOT NO.
TRACT OR ADDITION SEE ATTACHED
DESCR.
6
[BLOCK
4
Innsbruck North. Townhouse Plat 5 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel A. Farr Development Corp. 7286 - 72nd Lane North Brookl3m Park 55428
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
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construrt an 13c 281 To-sombouse (R un it-)
9 CHANGE OF USE FROM TO
STIPULATIONS Party wall must to be two separate.l hour walls from bottom to roof.
Firestop soffits. Provide combustion air to furnace from outside.
SEFERATE PERMITS REQUIRED FOR IWIRIN WAIN"
HEATING. PLUMBING_ AND .SIGNS. 'Before digging call locat ,tilip.
TELEPHONE. ELECTRIC • GAS Ett.
REQUIRED BY LAW
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
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
J
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
$231560
$11.78
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 O NY HE E OR LOCAL LAW REGULATING CON-
STRUCTIO RF CE OF CONSTRUCTION.
$47.81
$425.00
PLAN CHECK FEE
TOTALFEE
$11.95
$496.54
SIGNATURE O CO ACTORO A HORIZED AGENT (DATE)
a r/HEN PROPERLY VALIDATED THIS IS YOUR PERM�IIT
l(o/jo/
BLDG )NSP TE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
01
CITY 0I= FRIDLEY
'
APPLICATION i OR I2I:5II)f:IfFIAL BUJ I_DI NG PEIZI4ITS
(WEw, ALTL'•RATIOUS, ADDITIONS, OR RLPAMS)
&P" DUILD.1:13t:
Address: i • ` �c �a�f. Address:
Tel. M6.
Street: • LCJ . `x-�' ::t�/r✓
LOT: l3LOCY.: 4 -.,ADDITION:
CORNEM LOT: X INSIDE LOT: S TBACK-i SIDEYARDS:
Applicant attach to this form 'INzo Certificates of Survey of Lot and proposed
building location dra4rn on these Certificates...
DESCRIPTION OF BUILDING �.�►�
To Be Used As: .
Mal _ Fronts Depth. Height: a
Square Feet: 33 Cubic Feet: 1195
'Front: Depth Height: -
Square Feet: Cubic Feet:
Type of Construction: A -r? -k _rzC-ems. Estimated Cost: $
To Be Completed: C "7 9 .Alt. AA . Alt. B
Proposed Driveway I.7idtl If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
%he undersigned hereby makes application £or a permit for the work herein
specified, agreeing to do all work 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. 'See reverse side for additional information.
DATE: /� 7 SIGNN.VURE:
Stipulations:
0®
S1 717? '1V1,..rAf
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.QO
$
Future Fixture Opening
x
K
N
New Fixture, Old Opening
Water
ut
m
m
x
$5.00
$
N
c -c+
m
m
�
M H
w
a
w
100,000 BTU to 199,000 BTU
x
Heater
m
k
++
W m
1
r-
X
m
-riC
New Ground Run Old Building
E
.a 0
q
yy�
3
O
U ••t
0 .0
$
U
d
lst 3 fixtures
_ x
$3.00
0
-4
0
m
$
Gas Range to 199,000 BTU
�H
$�0.00
$
REPAIRS $ ALTERATIONS
in
m
m
F
$5.OQ
$
2
u1
U
a
a]
P
»{C
m
ro
3
o
Q w
.eC
N
w
U W
p
RC s
ro
c�
c
O
aBs
lec
1
�
A
1st
2nd
3rd
n
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.QO
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
lst 3 fixtures
_ x
$3.00
$ �--"
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$�0.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.OQ
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
.
$ 2
REINSPECTION FEE
($10.00)
O
Job Address' ",9.r , --��
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. � Z� � , 19
OWNER
KIND OF BUILDING
o r
USED AS I,:--�:. < ^ • "� " =',F..-.
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BU�ILDINGERMIT NO. PERMIT NO. �C�1
Company
f �
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP. //°
Date
APPROVAL FOR PERMIT`.1--
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
CITY 'UF FRIDILEY
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEN,S AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Job Address Zb2— l�,/'&Ql2eE
Furnace Shall & Duct Work
$12.00
$
' Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Department of Buildings
Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
Tel. #571-3450
MECHANICAL WARIM 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
i' each add. 50,OCO BTU
4,00
$
and rulings of the Department of Buildings, and hereby declares that all the
*Replac=ent of Furnace
7.90
$
facts and representations stated in this application are true and correct.
- Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
Fridley, Minn. 19
STEVM OR WT WATER SYSTEM:
OWNER
Boiler & Lines up to 100,000 BTU
$12.00
$
KIND OF BUILDING
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
USED ASj
each addn. 50,000 BTU
6.00
$
TO BE COMPLETED ABOUT �Q �' -79
OIL BURNER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
ESTIMATED COST IOCJt�(�
GAS 'BURNER- from 100,000 BTU to 199,999 BTU
$10,00
$ )0.®C7
OLD - NEW BUILDING PERMIT NO. PERMIT NO. t7r742
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures x
$ 3.00
$ C)b
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.
AIR CONDITIONING
$,
FAN HEATING SYSTEMS
$
Trade Name ���� size No.
See Fee Schedule
VENTILATING SYSTEMS
$
ALTERATIONS f REPAIRS
$
Capacity Sq. Ft. £DR BTU �( �/ HP
-e-'T--"
State Surcharge
$ .50
Total Connected Load �O DICD Q Kind of Fuel
TOTAL FEE
$ `)
BuRNEP. - Trade Name Size No.
ROUGH I2.SP. REINSPECTION FEE
Capacity- Sq. Ft. EDR BTU HP
Date C$10.00)
c'
F�dAL INSP.� 7- % ^ a
Company �lv ,
_- Date
Signed By
APPROVAL FOR PERMIT
Tel.
No.
M.IN'IXU`M FEE FOR ANY HEATING PERMIT IS $7.50
PLUS $.50
STATE SURCHARGE-
'
-Attached stack verification form
SUBJECT
PERMIT
City of Fridley
15600
AT THE TOP OF THE TWINS
B U I L D I N G P E R M I T
.
r
�
RECEIPT NO.
` ____"_ COMMUNITY DEVELOPMENT DIV.
L
1 PROTECTIVE INSPECTION SEC. ,
r
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
112/26/79
JOB ADDRESS See Below
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7-11
4
Innsbruck North Townhouse Plat 5 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel Farr Development 7286 - 72nd Lane No. Brooklyn Center, MN c;9'428 56n-811()
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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 5 stall (-r;4'R" '
9 CHANGE OF USE FROM TO
STIPULATIONS
Lot 7 = 5433 West Brenner Pass N.E. -cec.F-0 �6
Lot 8 = 5429 West Brenner Plass N.E.
Lot 9 = 5435 West Brenner Pass N.E.
Lot 10= 5425 West Brenner Pass N.E.
Lot 11= 5431 West Brenner Pass N.E.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Woad 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
1205
12,050
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
$10,08!5-.85
$5.04
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-
$48.20
NONE
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
NONE
$53.24
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
o '
BLDG INSP OA TE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
OWNER:
ADDRESS:
TEL NO:
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
BUILDER: r1>ja � 'Ja� ���e,Q
ADDRESS: 9.86, iPAi kJ
TEL NO: �Lj[) - (9 l l o
Construction Location
STREET NO: STREET:
LOT: - // BLOCK: ADDITION: Y)L14 7
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
'q(0Front: ` r® Depth: ��' Height: o['
Square. Feet_ Cubic Feet: 0S 6)
Front:
Depth:
Square- Feet: Cubic Feet:
Height:
Type of Construction: �� �k' Y >� r ���� Estimated Cost: ^$ PCS, OSS , f
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET .
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work 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: /� i� SIGNATURE:
Stipulations: 9:7 SV,32 `'6 S`
8 -
t
sl
APPLlCiJIOl FOR PUPIDING AND GAs FIT'rIMG Pi- f',jI'r
L
III °° Is,tns� Cunticvctun Glacnlr., � Ce.r,Lct�d with ,'.
Sewer
®) ° laces I lntutF�, Old Water
Fh'RTIr,,L Rvtib d'e'C!a leC
"Lll�lllltl6' hlilll(tl: ksTES IaO. RATE
Ihl11Sct I I^Wr6'a
IuLsitn E'Satura Ghunin7
lied 1'Ixtuse, .Old Oper'l:,a
C-flt,,ll Isap111
Nates Iluaf;tr o c® d�,000 b11J
IU0,000 DIIJ to 15 Od0 BTU
Chtar s,tfsenmr
Hew G6u11nJ kin Old bulldiro7
IACLLAk; 6faleg lie 6L0g
AS FIIrING FEES;
Iat I tlatuaaa
d1.IJ1 t loalal I'la turea
t.ta lass .1st lCe 1ae2,00u 6I 11
,L11,jllo 4 ALTERATIONS
1I; 151oU.®U
�s�h ®,9.9. 3IOt1:u0 ur frsctdan
tt
53.00
M
$2.00
$2.00
$
$5.00
55,00
® $
510.00
17.00
ri
15.00
I
u ai
s
y
Water
Ile:att:g
;45 :lec
L
III °° Is,tns� Cunticvctun Glacnlr., � Ce.r,Lct�d with ,'.
Sewer
®) ° laces I lntutF�, Old Water
Fh'RTIr,,L Rvtib d'e'C!a leC
"Lll�lllltl6' hlilll(tl: ksTES IaO. RATE
Ihl11Sct I I^Wr6'a
IuLsitn E'Satura Ghunin7
lied 1'Ixtuse, .Old Oper'l:,a
C-flt,,ll Isap111
Nates Iluaf;tr o c® d�,000 b11J
IU0,000 DIIJ to 15 Od0 BTU
Chtar s,tfsenmr
Hew G6u11nJ kin Old bulldiro7
IACLLAk; 6faleg lie 6L0g
AS FIIrING FEES;
Iat I tlatuaaa
d1.IJ1 t loalal I'la turea
t.ta lass .1st lCe 1ae2,00u 6I 11
,L11,jllo 4 ALTERATIONS
1I; 151oU.®U
�s�h ®,9.9. 3IOt1:u0 ur frsctdan
tt
53.00
M
$2.00
$2.00
$
$5.00
55,00
® $
510.00
17.00
a8
15.00
$5.00
P
TOTAL.
tt 5],00 3
is 51, 00 S �
x $1.0.00 3
35.0® 3
SLALA 5urcharga 3 50
Torr,L tLL 5 8.00
byllaSt•L'C1I�u Pr•n
Jou Addkcss 5433 west Brenner Pass
Dep arLill rnt c iaat,l.iila,a E
City cif Prldlvy "
Tel, 8571-3.150 '
i
• F
Thst•undaryicInda I-ri!by rr;:kea applicetScr f r e ;.arrctt fir the eaark I,erulas
®peclfiad a7t:es:lny to da' 11 work in strict �De6rurr, a blrt..tl,r. City c:c,Lum
and rulings oP tins Del;jrLmcnt of 9alld9n)6, m -er�rB •iLdlarss c1:®t all
Cllca faa:lil p,ld rcl,rua.r.tatton� ytatrad Ir,, t1116 aI; �Ica[Irn aa® teu® 4nd,tuse x i
Freala�', P:r,. 3-10-80
OWNCti
KIND OF 11UILLIN6 frame
US.CD AS res.
TO BE C01•IIILLTED I%LCu P 3-17-80
ESMIATCD COS,r 40.00
OLD NEW BUILDIN.; I1: ht•fI1• 110,
CJmpany MINNEGASCQ.
StgnLd 9y
r 1, Na.
ROUGH 1115P .
Data
FIllu ItiSP,
Data
hPPRUVAL I'Oh PEINII'r tAa
11IIII11Ull I'LE Vuj% 11th PLUI:vINO Ptru;Ir IS 67,5a PLUS 5,50 1.1y.Te 6Uft0VICGK
0.p
rr. April 8, 1980
6431 UNIVERSITY. AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
Darrel Farr Development Corp.
4600 Lake Road
Minneapolis, MN 55422
r
a
Re: Final Inspections on Fountain Oaks Townhouses
Dear Sirs:
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.
5413 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.
"r,;'^�mg---�-'e�s�^-'..._.`rP�R�'�"a..��.rr„,R...c,,.-..e—.,.-�•.--'.'�±",-t.�°^-�1"?•--�?s+..�'T"". .. ce "�--.^'-"�. ... -. - •._. .. --<
Darrel Farr Development Corp.
Apvil 8f 1988
Re: Final Inspections on Fountain Oaks
5417 West Brenner Pass
1. Complete final grading.
2. Install a ball check in the floor drain.
t 3. Obtain a final inspection on the heating work.
Page 2
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 pimp 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.
1
cats ut:v C.LvjJj(jenL C;Orp.
•
April 8, 1980
Re: Final Inspections on Fountain Oaks
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
Page 3
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
P
20279
r
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
t i ,
"1i CITY HALL FRIDLEY 55432
�•j 612-571-3450
RECEIPT NO.
1.5-70�
NUMBER
910-F15
REV.
DATE
4/3/90
PAGE OF
APPROVED BY
JOB ADDRESS 5433 Vilest Brenner Pass N.E.
1 LEGAL
DESCR.
LOT NO.
6
BLOCK
4
TRACTOR ADDITION SEE ATTACHED
Innsbruck. North Townhouse Plat 5 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Mary Jane Green 5433 West Brenner Pass N.E.
574-1487
3 CONTRACTOR MAILADDRESS ZIP
PHONE LICENSE NO.
D & P Builders Iric. 2370 - 3rd Street N,W.,, New Brighton 55112 633-8375
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Townhouse
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION CX REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Replace rotted siding on fireplace. chase.
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for inspection after tear-off.
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED,
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$I f, 500.
$.75
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,4F CONSTRUCTION.
$35. GO
PLAN CHECK FEE
TOTAL FEE
$35,75
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WH N PROPER Y
G INSP
E HIS IS YOUg PERMT/JI
f1ATE
SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/90
ADDN [ ] R-1 AND R-2
ALTER Building Permit Application
Croner Name & Address: i//4•� CTS � 3 • 'Pel . # .� '7`/
Contractor: t� �� �/✓4{, r v Tel. # 6.33 -91S 7s --
Address: ;2,720 YA., tee% �„�ct/,�� �yj • 5.S'! l
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LTVIM AMM: length Width Height_ Sq. Ft.
GARAGE AREA: - • • Height_ •
ESEM AREA: Length Width Hqt/Ground — sq. Ft
Corner Lot [ ] Inside Lot [_] Yd Setback Side Yard Setbacks
Type of Construction:Estimated Cost: $
Approx. Cmpletion Date: Al- 6 —1`76
Proposed Driveway Width If New opening Is Desired: Ft. $. $
Width + 6' See Back Page
DATE: e1'3- i C9 APPLICANT: �� .CE�t Tel. # 633 - ,j".5—
CITY USE ONLY
Permit Fee $ -3,), U Q Fee Schedule on Reverse Side
State Surcharge $ % $.50/$1,000 Valuation
SAC Charge $ $600 per SAC Unit
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Marge $ Agreement Necessary [ ] Not Necessary [ ]
$
STIP LATICNS:
FA
SUBJECT
RMIT N
City of Fridley
312 0'3
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
_ /�
r
NUMBER
JREV
DATE
[j;GE OF
APPROVED BY
"1 CITY HALL FRIDLEY ,55432
IL----
612-571-3450
910-F15
7/14/00
/
JOB ADDRESS 5425 = 35 West Brenner Pass
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1-6
4
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 2301 E. 25th
St Mols., M 55406 612-722-7129
4 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 O ADDITION O ALTERATION CX REPAIR O. MOVE 'O ;,REMOVE
8 DESCRIBE WORK
Tear Off and Reroof Townhouse Building
8 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code,
Permit Inspection Cards
Will 0e Mailed
To Homeowner To Post
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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
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
$11es0
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF. A PERMIT
$22A594o75
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
' ' $363.25
Fire SC $22.59
PLAN CHECK FEE
OTAL FEE
. /
y $397.14
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEj
EN P RLY VALI ATED THIS IS YOUR PER T
LDG MSP
S.GNATURE OF OWNER,IF OWNER BVILOER, iDATP
FA
CITY OF FRIDLEY PERMIT N �2004-006070�,)
6431 UNIVERSITY AVENUE NE
FRMLEY, MN 55432 DATE ISSUED: 04/28/2004
572-36U4 t'AX: (763)571-1287
ADDRESS
: 5433 W BRENNER PASS NE
PIN
: 243024440148
LEGAL DESC
: INNSBRUCK NO T H PLAT 5
: LOT 6 BLOCK 4
PERMIT TYPE
: PLUMBING
PROPERTY TYPE
: RESIDENTIAL
CONSTRUCTION TYPE
: ADDITION/ALTERATION
VALUATION : $ 300.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A
INSTALL A WATER SOFTENER
# ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENINGS)
# GAS WATER HEATERS
# GAS RANGES
# WATER TRMT APPLIANCES
APPLICANT
SHILOAH WATER CO
7319 166 AVE NW
RAMSEY, MN 55303-
(763)753-9244
MARILYN, NEWBORG
5433 W BRENNER PASS NE
FRIDLEY, MN 55432
0 # GAS DRYERS
0 # OF NEW FIXTURES
1
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 construction or the performance of construction.
ADDli wir--- /"\ Date
PLBG PERMIT MINIMUM FEE
PLBG FIXTURES (NEW OPENINGS)
PLBG FIXTURES (EXIST OPENINGS)
WATER TREATMENT APPLIANCE
WATER HEATER - ELEC
WATER HEATER - GAS
GAS RANGE FEE
GAS DRYER FEE
STATE SURCHARGE, PLBG FLAT
TOTAL
PAID WITH CHECK # 9823
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0
0
0
0.00
0.00
0.00
35.00
0.00
0.00
0.00
0.00
0.50
35.50
&.255-9
CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT kjjt:,,
(763) 572-3604, FAX {763} 571-1287
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOORSo
'
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range'"*
Gas Dryer**
JOB ADD
$10.00
The undersigned hereby makes application for a permit for the work herein
$10.00
specified agreeing to do all work in strict accordance with the city codes
$10.00
and rulings of the Building Division, and hereby declares that all the facts
$10.00
and representations stated in this application are true and correct.
Back Flow Preventer Required ( )Yes ( ) No
Type
$10.00
$10.00
$10.00—
$35.00✓
$35.00
$35.00
$10.00
$10.00
$15.00
Reinspection Fee $50.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.25% of Value of Fixture or Appliance
DATE: )—/— Z7 -0c( , 200!j
OWNER D /A i^ @ I,
BUILDING USED AS Re51 1X C,,e-
6.
ESTIMATED COST 3CQc PERMIT NO. 0a00q- e (J 60
PLUMBING COMPANY_
SIGNED BY C/ TEL NO.
ApproveBy Rough -In Date Final Date e410
State Surcharge $
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST
TOTAL FEE�-) —
� 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 :
yr
Building
BUILDING
Permit No.: 1:5 14
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Dat d i
DATE k ®
YOUR E-MAIL ADDREpS�S� 1�50.'c�ci@ p2D1.�
i'JC C,yw1
SITE ADDRESS 3-3 W . -Ft \y�
�%
THIS APPLICANT IS:
❑ OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME. ( C i I . '6CDC
TENANT
^
ADDRESS: CITY
STATE—ZIP
PHONE:ILP-3a0 51 8
NAME: Renewal By Andersen
CONTRACTOR
SUBMIT A COPY OF
STATE LICENSE # 1920 County Road "C" West
YOUR STATE LICENSE
ADDRESS: Roseville, MN 55113 {
STATE ZIP
WITH APPLICATION
PHONE
❑ SINGLE FAMILY/NE� License #20130983
PROPERTY TYPE
❑ TWO FAMILY/NEW G 651-264-4777
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
PERMIT TYPE
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:❑
NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
o
e
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT S . Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT
REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2.
Proposed floor plan
PROPOSED HEIGHT:
3.
List of structural members to be used
SIDING
❑ Vinyl
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Aluminum
❑Soffit
❑ Trim
ADDITIONS.
1.
& PORCHES SUBMIT:
Site Plan/Survey showing the existing structure
❑ Other
❑ Fascia
and proposed project.
towm
2.
Two sets of construction plans
EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
NI Z FOR NEW OPENINGS -DESCRIBE SIZE OF
PENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL F1ES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE17 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $� 99
q — OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= 8x$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
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 ben
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not.
permit but only an application fo a permit and work is not to start without a permit; that the work will be in accordance with thea vet
plan in the case of all work wh' fires re i and approval of plans. r-11
UqO7SIGNATURE OF APPLICANT NT NAME p� _1nSc'� �7 DATIC"