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PRE 2010 DOCS„,Vi age of Fridley, Minn:. - BUILDING PERMIT ° $ 3 2 8 Date: Owner .. Buildera Address ........... Address..... .,....... y,0 I ISI Q BUILDING No. +'. Street .. .. ........ Part' of t �. . Lot .... ,d Block Sdn or Sub -Division . M . . .. . .. . . .. ...,.. Corner Lot .... . Inside Lot Setback ..V Sideyard . 117 • .. ... ... DESCRIPTION OF BUILDING To be Used a,%:, .✓ ° � .... Front Depth . s;L.: Height .:. jL Sq. Ft. Cu. Ft. . . .. .... .. Front ..... Depth Height Sq. Ft. Cu. Ft. Type of Construction �:.... Esta Cost To be Completed ................ In consideration of the issuance to me of permit, to construct the "building .described :above, 1, agree to do the proposed work in accordance"with the description above set forth and in compliance" with allprovisions of ordinances of the village of Fridley. Ae z” - ... .. ..�,r ... .�, In consideration of the payment of a fee of $..°.. " permit is hereby granted to ....... .. to construct the budding .or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked: at any time upon violation of any of the provisions of said ordinances. ....&:; • .":'' :f"` Building Inspector - F NOTICE: This permit does not cover the construction; installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspeotor for separate permits for items. BUILDING In consideration of the issuance to me of,; a. permW to construct the buildingdescribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. onsideration of the payment of a fee of $. `�, . permit is hereby granted to I(ed, Y11({,� to construct the building or addition as described above. This permit is granted upon the express AY that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction; alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any: time upon violation of any of the provisions of said ordinances. ...`. + .... ....... Building Inspector u NOTICE: This permit does not cover the construction, installation or alteration foe wiring, plumbing, gas heating, sewer or water. Be sure to see the Building, Inspector for separate permits for these Items. N® 2186 Village of Fridley, 11�mn. Date,/ ................................. Owner :� ". .:" .=': Builder .......... Address ...%f:°� .. . �t",��.. Address ......................................... LOCATION OF BUILDING No. J'AMOStreet INS:................... Part of Lot ........................ Lot ............. Block ......'...... Addition or Sub -Division ....................................... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard vo*wv`e.................. DESCRIPTION OF BUILDING To be Used as: Front ... Depth :' :. Height gt�'sl Sq. Ft......... Cu. Ft........ . ...... .... Front .... Depth Height ........ Sq. Ft......... Cu. Ft. ........ r� :Oe ` x * Est. Cost .. ............... To be Completed .............. Type of Construction.... . In consideration of the issuance to me of,; a. permW to construct the buildingdescribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. onsideration of the payment of a fee of $. `�, . permit is hereby granted to I(ed, Y11({,� to construct the building or addition as described above. This permit is granted upon the express AY that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction; alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any: time upon violation of any of the provisions of said ordinances. ...`. + .... ....... Building Inspector u NOTICE: This permit does not cover the construction, installation or alteration foe wiring, plumbing, gas heating, sewer or water. Be sure to see the Building, Inspector for separate permits for these Items. v City ®f Fridley, Minn. /�73 PERMITBUHDING N® 6423 ` ;_ I 5 , Lot Block Addition or Sub -Division Corner Lot -- Inside Lot . Setback 1 , Sewer Elevation Foundation Elevation DESCRIPTION all- F!ront Depth ?If 7r Height Sq.r Ft Type of A 4 Est. o be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in Bance th all provisions of ordinances of the city of Fridley. /� \� / In consideration of the payment of a fee of permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that thele to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridlwithin theMinnesota ty, olimits Bandings d 4 1permit ocatiomay l revoked at ratio sintenance, ono yof theand Provisionof s of said ordinances. NOTICE Thb permit does not cover the constrocdon, hwbBWon for whing, phrahing, gas hsadng, er or wafer. Be sore to we the &dhling Inspseter for separate permits for these hems. SUBJECT - PERMIT NO. City of Fridley 2 961 AT THE TOP OF THE TWINS BUILDING PERMIT r R NO. y______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ((.•119 r I ,•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L J\ 612-571-3450 910415 3/1/99 JOB ADDRESS 6100 Starlite Boulevard NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11 3 Sylvan Bills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jane Von Bergen 6100 Starlite Boulevard NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Design Inc 6391 Monroe St NE, Fridley, MN 55432 571-3220 3237 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 Reroof House (12 Sq) Tear -off; Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. 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 BO 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 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 $2,228 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- $74.75 Fi SC $2.23 STRUCTION OR THE PERFORMANCE Of CONSTRUCTION Ae PLAN CHECK FEET L FEE Li C $5 0 $83.09 IGNATURE OF CON -R OR OR AUTHORIZED AGENT iDATE, HE P LY VA A D THIS IS OUR PERMIT ^ AG NA TURE OF WN R,iF Q NEA BU4 DERiI iOATE lIG 'NSo pA� NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �oo Legal Description: Owner Name Effective 1/1/99 o MN LICENSE # C� �/ Contractor• Address: � �� Tel. # -7l 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. OTHER: Construction Type: —&�;Jtimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE:" `^ APPLICANT--790K,�,W�'�—�� CITY USE ONLY Tel. # Permit Fee $ �y �� Fee Schedule on Reverse Side Fire Surcharge $ r ,3 .001 of Permit Valuation (1/10th%) State Surcharge $ %. / $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 3 ©� STIPULATIONS: CITE OF FRIOLCY INSPECTION nIV OAS lJ1I14rPt0V 1\'J' NF" Frilley, MIDI ':r`C'1. !"' ", i �r't! l='')FF g'41.1b."T17!!!a nPl+1 r-�•`: r t ! ;lf,Ce t�EOI!'tist 1 41AS141C hil IhAng:"'I7r- PIV*111r1174Z -M RF Irk -`IPM I Fri ON F -AC: I I -t OODI Ftl(-r-tIVP Of4 JlnlC'ry 1 1990 Water Balk Stories Closet Urinal Tub Shower Sink Wash Tray Drink. Floor Catch Fount. Drain Basin Alito, Gas Washer Appl. Gas Range Misc. Fixt. Water Beater Gas Elec Basement $ 7.00 T $ 7.00 _.--._-.- Hain Water Leader $700 Sump/Receiving Tank _ $700 ._..._...._. Water Treating Appliance Floor 1 Water Heater - Electric _ $ 7 ,00 Water Heater - Gas" $10.00 Gas Range'" $10.00 -- Gas Dryer" $10.00 Floor 2 Type - _--. $15.00 Floor 3 Floor 4 ._ PLUMBING FIXTURE RATES: NO, RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser _ $ 5.00 Blow Oft Basin $ 7.00 Catch Basin $ 7.00 _.--._-.- Hain Water Leader $700 Sump/Receiving Tank _ $700 ._..._...._. Water Treating Appliance $10.00 _ ..._...___... Water Heater - Electric _ $ 7 ,00 Water Heater - Gas" $10.00 Gas Range'" $10.00 -- Gas Dryer" $10.00 Back Flow Preventer Required ( )Yes (' No Type - _--. $15.00 Reinspectlon Fee $42,OCIHr ALL OTHERS ANDIOR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance 0 State Surcharge !L,50 JD n TOTAL FEE $ r� JOB ADDRESS LO 00 {�eL i •d The undersir q-1 !, ---kby makes application for a permh for the work herein specitierl ?'7,, ' ' -!! -.vork in strict aercordavce voth the city Codes Ans9 Yt1Ilf'�('' <., e 1,' . ,c,t-,p, �tanl ,.ti ,,- •.�, ,, ;! tPn f.... and root Eik1i1<lifgfj Estimated Cost x_00 _lT... PF-roAl f NO. � 7f PLU MI31NG COMPANY_a��%� r SIGNED QY _ TEL Approved 0T Rough -In Date __ Final Date MINIMUM FEER ANY PLUMBING GAS PERMIT IS $20.00 -\ PLUS THE $.50 STATE SURCHARGE y *'COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. :ITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999 5431 University Ave NE • . =ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS�I 'DO l� ��D� - RATE SCHEDULEr- OWNER I J -lesid ential Rate TOTAL Furnace Shelf and Duct Work, Burner • , BUILDING USED AS Also Replacement Furnace $ 30.00 $„� CDU _ eL�' ESTfMATED COST (Side Vent . Fill Out Back) —PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range. $ 10.00 $ - No. of Heating Units---L— Circle Cne (Steam) (Hot Water) a Air Gas Dryer $ 10.00 $ Trade Name � I Size No. 15? w AV Ej I. - - r-Z' 71A` BTU HP EDR *Air Conditioning All Sizes $ 25.00 $ �Fuel_ S �✓ Total Connected Load i. All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDF; v Commercial/Industrial 1.25% of Value of Appliance or Work $ 55,. DO 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 ar State Surcharge $ 50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $61QI" MR-FC• 261 O RAPIpS SOLM C06N RAPIDS. MN 55433 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING 42 7575040- REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 _ PLUS THE $.50 STATE SURCHARGE Sig REINSPECTION FEE $47.00/Hr •Conditionersn n laced in a side and without Approved By Rough-In Date Final Date Air ca of be p Y written permission from adjoining property owner. • FILL OUT BACK SIDE F 1R STACK VERIFICATION ON REPLACEMENT FURNACE ALTEMTION• -Dgi g Done: : n ~� ra rn n�uy t�5a4 DEPE Z6191 i HEATIN CO: 2> Signed By. Date: MW .CHBINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No 2. Is free from rust or deterioration Yes ( ). No ( ) 3. Has no foreign objects lodged within Yes O No ( ) 4. Is securely supported Yes ( .).-No (' ) 5. Meets all current Code requirements for size _ Y and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's ' 7. Has a liner been provided for water heater Yes'o No ( ) 8. Has combustion air been provided for water heater Yes No ( ) Remarks: ALTEMTION• -Dgi g Done: : n ~� ra rn n�uy t�5a4 DEPE Z6191 i HEATIN CO: 2> Signed By. Date: MW Am G7YOE FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 June 22, 2001 Ms. Jane VanBurger 6100 Starlite Blvd NE Fridley, MN 55432 Re: Final Inspection at 6100 Starlite Blvd NE Contractor: Dependable Indoor Air Quality & Conner Plumbing Co Dear Ms. VanBurger-: A mechanical permit was issued on August 14, 2000 to install a furnace and an air conditioner, and a plumbing permit was issued on December 15, 1999 to install a water heater at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, and section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by these permits. An inspection of August 14, 2000 noted a correction needed to be made on the condensation drain and as of this date, no reinspection has been called for. The permit fees that were paid cover the inspections to make sure the work was completed according to Code. We will keep your permits open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permits and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, Building Permit Fee BUILDING Permit No:: Inspections $ RESIDENTIAL APPLICATION Received By: 763-572-3604 .001 times the total job valuation Surcharge $ 11 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY Dat 'd: - 763-50�2-4977 FAX SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ EFFECTIVE 8-19-09 Erosion Control $ $450 Conservation Plan Review Park Fee DATE (� r�' { YOUR E-MAIL ADDRESS Sewer Main Charge SITE ADDRESS �'�QO S l -I T€ 51- t� 1JE D2.E`( h f stl �'� �{ 3'L Agreement necessary ( ) Non Necessary ( ) THIS APPLICANT IS: OWNER ❑CONTRACTOR Make checks savable to: Citv of Fridlev Attach Stiuulations PROPERTY OWNER/ NAME: ROr—1 K -1-Q P-9 C, TENANTADDRESS: (; /0® STitK► TE CU0 N€ CITY r -7e4 b uc-y STATE W ZIP 5�91-i32 PHONE: 7.G 3- Lf q CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH VIROOF ❑ DRAIN TILE ❑ DECK ASIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION 0,MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:__90� S(r)(AX l 2 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 1XHOUSE ONLY NUMBER OF SQUARES_ ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: ✓^ 1. Existing Floor Plan GARAGES + ` _ ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE:DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIODI N G FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ]�Vi=nyl ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other 13 Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ (USING �TI997 U.B.0 FEE SCHEDULE) OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ > .001 times the total job valuation Surcharge $ 11 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks savable to: Citv of Fridlev Attach Stiuulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case ofwor vyhtch requires revieN� and approval of plans. SIGNATURE OF APPLICANT / ��/(J,t rev 0 PRINT NAME ROPY K �FUC' DATE