PRE 2010 DOCSsueJEcr
PE O.
City of Fridley
®13938
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
REC<EIPT NO.
COMMUNITY DEVELOPMENT DIV.
r L PROTECTIVE INSPECTION SEC.���
-�
1 = �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
3/4/77
JOB ADDRESS 1564 West Bavarian Court N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
20
1
Innsbruck North Townhouse Plat 4 SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Darrel A. Parr 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
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 48' x 26' Townhouse and a 21' x 22' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS Submit specifications on proposed siding before framing inspection.
Provide truss design.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Prame
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
Fel
X" 1248+462
29,580 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
$37, 24O
$15.62
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
PRqY-L=NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$115.32
$375.00
UCTIO OR THE PERFORMANCE,91` CONSTRUCTION.
_22
PLAN CHECK FEE
TOTALFEE
�— —
$29.58
$541.52
GNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
HEN RO ERLY VALIDATED THIS IS
PERMITvalvK.
J ,�YYOUR
`J
r - 41-
BLDG 1 SP DATE r�
SIGNATUREOFOWNER IIFOWNER BUILDER) (DATE)
AP111,1CATION I:OR RLS1DL's"I'JAI., ALTI:IZATION1
OR ADI)1TION BUILDING 111i1ZI.1IT
CITY OF l-RIDLJ,:Y, 1.11j\`XJ:SOTA
Or -%BP.'S NAME:,j0Q.*Pe1 j , AAo- DeU. aY BUILDI'R:_ SabIt
�%DT) ;L- Ss :7 8&. 7.?Ibj LAke- Nay+h ADDRESs /.� s • j �, SSd9-�
;0 STRE1,1'•_�e a.*
LOT: BLOCK: ADDITION :_
CORIKER LOT: INSIDE LOT: V010 SETBACK : ' SIDEYARD :
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION/ OF BUILDING
To .Be Used As: %34h 4u/-
/ 1:W-0AdVSE. Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: food Frame, Estimated Cost:_ $
To Be Completed: &jay /, /9717
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 :3� �77 SIGNATU
(See Reverse Side For Additional Information.) ,
S
3 2�
0c-
0
ad-4� 15-6q. (,Jo 13-odlew,
I L 11 Y Ut F16 bLEY , _ -y 3 -r--o �--
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
.LXVITY WARM Al R:
RATE
['OTAL
?Ijrnace Shell & Duct Work
$12.00
$
R•z_=_ace .e nt of Furnace
7.00
$
e�airs s ;,1terations-Lp to $500.03
7.00
$
Repairs S Alterations each add. $500.00
4.00
$
ECrU.NICAL 1;A1'..%1 AIR:
Furnace Shell & Duet Work to 100,000 BTU
$12.00
$
ea:., add. 5..,JC3 B=..
4.00
$
RE ..Z=e nt .._ Furnace
7.00
$
Fey _rs & Alterations -up to $51J.00
7.00
$
R� _rs & Alterations each add. $500.00
4.00
$
i`A: OR HOT WATER SYST131:
Boiler & Lines up to -100,000 BTU
$13.00
$
• eacn _md .. 50,03J, BTU
4.00
$
: oiler on, up to i:.0,0:.J BTU
7.00
$
each a^..an. 50,000 BTU
6.00
$
IL'BU R.C-_ER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
:AS SLRNz-R- from 100,000 BTU to 199,999 BTU
$10.00
$
(ever 133,999 BTU see Fee Schedule)
$
;AS PITTING :EES:
1st 3 .ixtures / x
$ 3.00
$
3, o p
Additional Fixtures x
$ 1.00
$
Gas Range to 199,000 BTU x
i
$10.00
$
'1X .E :TI\G SYSTEMS See Fee Schedule
SYSTEMS
.LT_=RATIO\S $ REPAIRS_
Date
ISSP.
Date
.PPRO' =*. FOR PE -11 -}:IT
$ O. V
$
State Surcharge $ ..50
TOTAL FEE
REINSPECTION FEE
1.$10.00)
� t
:SIaZ`a.L:3 FEE FOR A\'Y HEATING PERMIT IS $7.50
Job Address / �� / �✓ - �� vc .- ; _• rJ
Department of Buildings
City of Fridley
Tel. "?571-34501
The undersigned hereby mares application for a permit for the work herein
specified agreeing to do all work in strict accordance with t:,e City Codes
and rulings of the Department of Buildings, and hereby declares that all t.e
facts and representations stated in this application are true and correct.
/\ Fridley, Minn. F/ . 29 7
OWNER �C / r f �� �' ✓
KIND OF BUILDING \ C -•�
USED AS
TO BE COMPLETED ABOUTJA// J/ % %
—�
ESTIMATED COST ti O U U -,
OLD -BUILDING PER:dIT NO. PEn4IT N
DESCRIPTION OF FURNACE/B=NER
HEATING or POWER PLAITS, Steam, Hot Water, Warm Air- No. /
Trade Name %�?' - _j = Size No. C, 0 6 ~ --:�
Capacity
?° owv
Sq. Ft. EDR ' BTU
Total Connected Load / % xind of Fuel
BURNER - Trade Name
Size No.
Capacity Sq. Ft. EDR BTU HP
Company
)! Tel. No.
CITY OF FRIDLEY-
r APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PL'U%i3I G FIXTURE R, -'.TES:
NO.
y
p,v7
TOTAL
^�
r,
U
$3.00
L
Y.
o
x
Water14
$
::e•» Fixt..re, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
4
r.
$5.00
$ S.bU
100,000 BTU to 199,000 BTU
r.
$10.00
$
Water Saf terser
x
$7.00
$
.::-w Gro-und ?Ln Old Building
x
$5.00
S
Eleczric Nater :seater
x
$5.00
1
GAS FITTING
..
Is= 3 fixtures
/ x
O
v •. G :-.
A--ditio nal Fixtures
o
$1.00
�
Gas Range to 199,000 BTU
x
L
S
R' -.PAIRS $ ALTER;TIO?:S
First $1G0.100
$5.00
S
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .5-07
TOTAL FEE
$•s V
1t`
12nd
I
I
I
i 3rd
M) a . -t:.re Co^ section Opening
Connected with Sewer
..e:r in re, Old O: _ :irg
Water
PARTIAL RATE SCHEDULE
PL'U%i3I G FIXTURE R, -'.TES:
NO.
RATE
TOTAL
N.=2:er Fixtures
�_ x
$3.00
$ --27Q
_ .,__re C_ aning
x
$2.00
$
::e•» Fixt..re, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
ria __ 'eater - to 99,000 BT'J
r.
$5.00
$ S.bU
100,000 BTU to 199,000 BTU
r.
$10.00
$
Water Saf terser
x
$7.00
$
.::-w Gro-und ?Ln Old Building
x
$5.00
S
Eleczric Nater :seater
x
$5.00
$
GAS FITTING
Is= 3 fixtures
/ x
53.00
$ 3
A--ditio nal Fixtures
x
$1.00
S
Gas Range to 199,000 BTU
x
$10.00
S
R' -.PAIRS $ ALTER;TIO?:S
First $1G0.100
$5.00
S
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .5-07
TOTAL FEE
$•s V
($10.00)
Job Address !;-61
Jopartmcnt of Buildings
City of Fridley
Tel. -r71-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance wr th the City Codes
and rulings of t1he Departnent of Buildincis, and hereby declares that all
the facts and representations stated in this aoolication are true and correct
Fridley, X.I. 7'0 )CjLej� c) , 19 1)7
OWNER
KIND OF BUILDING
USED AS / 1/�� m h(iu, SL_�
TO BE CO.XPLETED ABOUT
ESTIMATED ST
-��
OLD - NEW B ' LDING PERMIT NO.
MIT NO.
ROUGH INSP.
Date
Company t
Signed By
Tel. No. y� S —S//k 3
FINAL INSP.
Date
APPROVAL FOR PERMIT Ag4a
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
01
SUBJECT
City of Fridley
30508
AT THE TOP OF THE TWINS
BUILDING
PERMIT
COMMUNITY DEVELOPMENT DIV.
�/
r PROTECTIVE INSPECTION SEC.(�jJ
• /
1
t
NUMBER
REV
DATEPAGE
OF
APPROVED BY
1 = 1p"'S CITY HALL FRIDLEY 55432
%'' 61,Z-, 71-3450
910415
11
15 99
108 ADDRESS 1562- 1564�'
5 -es B Trian Court NE
t1fil ke's
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DES CR.
19
1
Innsbruck North Townhouse
Plat 4 SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Giertsen Co. 860 Decatur Ave N Golden Valley 55427 546-1300 1796
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Townhouse
I CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION AM REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Reroof townhome and garage 40 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State 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 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
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
$3496
$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
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$97.25
Fiy4 SC $3.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FE
T TAL FEE
Lice S $5.
107.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEi
HE PY
VA ED THIS IS YOUP YOUP.ERryRkW-
SIGNATURE OF OWNER,iF OWNER BUILDER, IDATE.
80bG ,NS
oArE
01
NEW[
ADDN
ALTER
Effective 5/10/99
Q JD
[ ] CITY OF FRIDLEY
[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: TjYw9e. cot- � � /,�� �' -� Tel. #
Contractor: �T � MN LICENSE #
Address: P v -0, 2. ld-v4 /to (,'o��P� v�y SSya'1 Tel. # .546 -1 3 o v
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:
e_-
if-- 549
Construction Type:
Estimated Cost: $
Driveway Curb Cut Width Needed:
Ft. + 6 Ft =
Ft x $ _ $
DATE: -�/F
APPLICANT:
�,�
Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ /D7 So
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]
CITY OF FRIDLEYIINPECTION DIViSION
6431 University Ave NE
Effective On January 1, 2002
Fridley, MN 5543.2 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS W, hw GT
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ 25.00 $ Z5.60
State Surcharge
TOTAL FEE
$ .50
90.6)(-)
OWNER �IGt� %--' Pl771� ®AJM/SoN
BUILDING USED
ESTIMATED COST
-34o®, 050
PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units t Circle One (Steam) (Hot Water)arm )
Trade Name3-!V Size No.
BTU Boa HP EDR
Fuel N 19TH 9--L Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and orrree t.
/� / U
DATE -2—
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATI
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 /'� S-, Sb
PLUS THE $.50 STATE SURCHARGE Signe(
REINSPECTION FEE $47.00/Hr
>�o6pus
FAX # -5 Ar')F_
*Air Conditioners can not be placed in a side yard without Approved ByRough-In Date
written permission from adjoining property owner. /
C---14Gv,-
TEL #r
Final Date
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
COMMON VFNT- VFNT .ONN CTOR AND r-QMR1 ISTION AIR VFRIFI ATION
When re la _ing an axis ing furanca, 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 D4' No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yeses No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes f-)f'No ( )
The exec ing.cnm6 ustinn air is sized and installed to meet the current codes
and manufacturer's specifications. Yes No( )
When required to install a naw comhustonn air.itwill be sized and installed
to meet the current codes and manufacturer's specifications. Yes t>'No ( )
When installing a new venting�system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes°j,-j 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 J<T No( )
Appliance #1 Type FyPj7fC - BTU Input 80� OGb4ian Asses r 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
SignedHEATING CO: 6061k`� QNY7,��eu
D_ _ r