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PRE 2010 DOCSCity of Fridley, l BUILDING PERMIT M 5585 Date: _ —f:t Owner:a p ,�. ��.�,�%_..._ Builder w._....M.._......._.._.._.___.___ . Address Address -- LO TIO - BYJLDING No. Street y J _ w of t Addition or Sub-I�ivsion _ _ z Corner Lot _ _ _ .. _ Inside Lot "aback a "" r Sideyard— Sewer Mevation Fc&dation Mevation DESCRIPTION OF BUILDING i,be "ATO Front Jr:!� Depth - ;2--A ' Height J-40 Sq. Ft . C: L Ft. From Depth Height _. Sq. Ft —. Cu. Ft. Type of Construction -, Fust. Cost .=TO 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 compliance with 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 the person to whom it is granted and his agents, employees and workmen, in all work one in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of dley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings w dty limits and this permit may be revoked at any euponviola tion of any of the provisions of said p- Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owner `s Name .eiP/Vr f�i�dc'r,/AJ Builder Address_ /// ST�1f z 17e_ Y�4 A'Z-. Address 5% LOCATION OF BUILDING No. ,6 4 // street S7Wfc /J e ALV-b��Part of Lot Lot Block Additio / or ubdi.vision_�,_______ Corner Lot Inside Lot ack ide-'Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. be used as: DESCRIPTION OF BUILDING Front Depth � Z Height sq. Ft cu. Ft. Front epth -------_Height sq. Ft. CU. Ft.— J Type of Constructions a Estimated Cost r To be Completed 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE ®? r- / SIGKATURE� _ 0-1.te (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley SUBJECT PER 1311 AT THE TOP OF THE TWINS BUILDING PERMIT r RECE w_ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � i "1 CITY HALL FRIDLEY 55432 I czlop NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 7-30-75 JOB ADDRESS 6111 Starl i to Blvd. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITI N, QHi l l Plat 2 SEE ATTACHED DESCR. 13 3 Syl van s SHEET 2 PROPERTYOWNER MAILADDRESS Bob Martin 6111 Starlite Blvd. ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP NE LICENSE NO. Westlund Bras Construction 1823 Sky HIGH Drive New Brighfb 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 1R x 20 addition to hnmp 9 CHANGE QF USE FROM TO STIPULATIONS S�p�ROE PERMITS REV se's w� HEATING, PLUMBING AND SIGNS- 0 TYPE OF CONST. OCCUPANCY GRIJ CUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, frame VENTILATING OR AIR CONDITIONING. wood �.;. 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 360 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 �p $8,136 4.07 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- $28.40 STRUCTIO R THE PERFORMANCE F CONSTRUCTION. ' A PLAN CHECK FEE TOTAL FEE (.c/j� a 32.47 SIG URE OF CONTRACTOR OR AUTHORIZED AGENT ID TE) HEN PROPERLY V BLDG INSP D.aED T IS S YOUR PE IT - DATE. . SIGNATURE OF OWNER IIF OWNER BUILDER) )DATE) F� •APPLICATION FOR RESI•DL'NTIAL., ALTi:RA1'ION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA : BUILDER: & 1e1 �? C!' 45rcI� OWNER s NAr�E : � .� �. r � ,� . ADDRESS :� SiL dam-! t��L , ADDRESS: • '- ��-2 STREET: LOT; j BLOCK:- � ADDITION: S J /P -L,121- Wi,115 R--'-11 Z, CORNER LOT *INSIDE LOT: SETBACK: _ SIDEYARD: Applicant attach to this fora. Two Certificates. -if Surve ..of -Lot and•proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: / b Depth:• Height:_ .• Square Feet: -3 60 Cubic. Feet• • Front Depth: --Height: Square Feet; Cubic Feet': Type of Construction: �a4 Estimated Cost: �e TO -Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeingto do all work in stiict accordance with the City of Viidley 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. . A )ATE; % �� SIGNATURE- (See Reverse Side For Additional Information.)* •q SUBJECT PE City of Fridley 1.6808 AT THE TOP OF THE TWINS _ BUIL ®I N G P E R M I T 'l i I COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/5/82 JOB ADDRESS 6111 Starlite Boulevard 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, g 2 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Robert Martin 6111 Starlite Boulevard 571-1999 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Steve's Roofing 3631 Penn Avenue North 529-5356 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Reroof Dwelling 7 CLASS OF WORK ❑ NEW ❑ ADDITION C� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, AS halt VENTILATING OR AIR CONDITIONING. P 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 I I 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 $l� S32 $.9O 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- $ 3l.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. CHECK FEE TOTAL FEE --- ;LAN ---�_ %®®e�` 0" $31.90 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY LIDATED THIS IS YOUR PERMIT �) SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) BLDG WSP DA E CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIO14 FOR RESIDENTIAL BUILDING PERMITS (Neap, Alterations, Additioni, or Repairs) OWNER: ADDRESS: _ 6 �lI 6 L V0. TEL NO: BUILDER: 577E UE 6516' ADDRESS: 3CP )!?Z n IN, N> TEL 110: ✓;,z 1-5'3 G t j Construction Location . STRECT NO: V �` 1 STREET: j, rAA t-;rc. 01..1%4 LOT: BLOCK: ADDITION: Corner Lot: Insiiie Lot: 17? 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 Front: Depth: Height: Square Feet: Cubic Poet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ 1,732. 4b Be Cbr.ipleted: 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 Delkxrtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: �J � g*Z SIGNMM: Stipulation s all 1 City ®f Fridley SUBJECT ,.P•�TV� 22719 AT THE TOP OF THE TWINS y h4, U I L ®I PERMIT BUILDING 1�I \ tj RECEIPT NO. by------t COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. c; �'�� r � � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/14/94 JOB ADDRESS 6111 Starlite Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 S lvan Hills a SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Martin 6111 Starlite Bl NE -vd 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Exteriors Co 9060 ZA9q-A7q7 2535 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 RO 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Check smoke detectors by bedrooms. fixi Any change in sash in bedrooms shall meet rescue size. 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 $5 LOO $L. 6O 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- $90.00 Fire SC $5.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License sc $5.00 $102.80 SIGNATURE OF CONTRACTOR ORAUTHORIZED AGENT (DATE) PRO RLY ALIDATED THIS IS YOUR PERMIT -1s -� !z SIGNATURE OF OWNER IIF OWNER BUILDER] IDATEIBLDG INS ryATE all 1 NEW [ J ADDN [ l ALTER [ ] Construction Address: Legal DescA+ tian- Owner Nam Contractor: Address: 5 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 3/1/92 Tel. # 5-7/- / �lG% MN LICENSE # R!577,3 Tel. # z1%3 Z Attach to this application, a Certificate of Su vey of the K with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft .Yd . Setback Side Yard Setbacks Type of .Constraaran: _ Estimated Cost: $,tel' � - ApproR Compielron Date ¢ - Y (Cost on B�ckJ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: _ l APPLICANT: Tel. #�L7� ®® CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ;3 �� $.50/$1,000 Valuation SAC Charge $ $704 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ TOTAL $ STIPULATIONS'�� a� 6Qy�� sari""" M K,- 1 DS a - Building BUILDING Permit No.: 7�3 Inspections RESIDENTIAL APPLICATION Received B A29 763-572-3604 CITY OF FRIDLEY to 763-5024977 FAX EFFECTIVE 1-1-09 DATE 14 0- 1 S - O c1 YOUR E-MAIL ADDRESS SITE ADDRESS % I I S4 ote- c k+ R 1JL 12 d � >J THIS APPLICANT IS: ❑ OWNER *ONTRACTOR PROPERTY OWNER/ NAME: D 14 y - & �f- t �J '� 6 ADDRESS: 61I1 S+#n�,2Lt9k4- gLoc,., CITYyZ.,G, STATE MP -ZIP SS4�I TENANT PHONE: 7 Col- 5-36- D So CONTRACTOR NAME: SIO 12►m STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: �S; % (p 14,,,A SOYi R&, %v-- 0 CITY W oOd L'L4,9:t STATE Mru ZIP 5S I 25 INSURANCE PHONE (o `5 (- i $ - I S FAX &S -1 - s1 -PROPERTY PROPERTY TYPE rMINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH AR OF ❑ DRAIN TILE ❑ DECK OS ING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION (fir-e-,(��5� R ❑ MAINTENANCE/REPAIR ❑ REMODELING n DESCRIBE WORK BEING DONE: Ta -.VZ cj 4 lA 0�' � P- 1 `c£-- PLP -Ry0 �- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY PHOUSE & 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE IgM i�.1 C FEE SCHEDULE) TOTAL JOB VALUATION $�rC� v���r �C``�N llgg OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due E WA ZM �Kvo� 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) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Dayable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMrr-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 of all work which requires review and approval of plans. — SIGNATURE OF APPLICANT ( L-Zk A.1 - �JI -- PRINT NAME P u,�,rUill LUkTTtary.DATE S