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City of Fridley SUBJECT - PER 14402 AT THE TOP OF THE TWINS BUILDING PERMIT r REC • ______COMMUNITY DEVELOPMENT DIV. U PROTECTIVE INSPECTION SEC. r 1 i � CITY HALL FRIDLEY 55432 ,'j NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 10/5,177 JOB ADDRESS 6130 Starlite Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 3 Sylvan Hills Plat 2 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE James LaVictore 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Plywood Minn. Homes 5401 East River Road N.E. 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 24' x 42' Dwelling and a 22'6" x 2216" Garage SEPERATE PERMITS REQUIRE® FOR WIRING& 9 CHANGE OF USE FROM HEATING; PLUMBING ARID MNS. STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide treated or redwood basement floor plates. Provide on ecopy of section through within days. SEWER LOCATION: (Approx. 8' Deep in Street) May not be extended to property lin 199' north of manhole (Inv. 847.08) WYE ELEV: 844.30 TOP OF FOOTING: 847.30 Minimum WATER LOCATION: 8' South of sewer service. DRIVEWAY DEPRESSION COST: (Alt. A16' + 6' x $11.75 = 258.50 THE ,MS. CITY OF ' FRIDLEY DOES NOT GUARANT6 Before digging Call local ACCURACY OF UTILITY LOCATIONS AND ELEVATION TELEPHONE - ELECTRIC G THIS DATA IS FOR INFORMATION pURpOSES ONLY AND PERSONS USING IT SHOULD VE THE INFORMATION REQUIRED BY SITE eI4 4141 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 1080 +,520 26,032 Tota OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AN CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING TH TYPE OF WORK WILL BE COMPLIED. $18.18 WITH WHETHER SPECIFIED HERE OR NOT. THE GRANTING OF A PERMIT $36,365 DOES NOT PRE E TO GIVE UTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO 1 Y OTHER ATE OR LOCAL LAW REGULATING CON- $375.00 STRUCT HE RFOR NCE OF CONSTRUCTION. $104.13 PLAN CHECK FEE 03 TOTAL FEE 9 $559.34 SIGNAT ONT CTORORAUTHORIZED (DATE) 7�216. HEN. PR PERLY VALIDATED THIS YOUR PERMIT 0�� 16�S--01 _ BLDG INSP - DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 101 tilctles 6 Etc. M "D BRUNSWICK AVE. & 'LOT SURVEYS COMPANY GOLDEN VALLEY. MINN. MINN. REG. NO? 4741 LAND SURVEYORS X*MWIM0.1. W*M Ir MB 00 WATS qF WISOMMIA 146MOOD a Gamom or an or ONN&U-mm 6747 -W— &"dwiy S33.M2 INDUSMAL — JUDICIAL Mirtheap4s. Mlmmol* SS428 COMMERCIAL — TOOOGRAPHICAL CITY LOTS — KATTING JAMES LAVICTOIRE, FF I w a Le, IIA'WCW'A. FRASCH 6917 IDA140 AVE. N. BROOKLYN PARK MINN. MINN. REO. NO. 6743 IWV0= RM 6151 scms r to30' 0 — DENOTFS IRON 0 Denotes hub set for excavation only r- A 1,,1 T 11 Proposed - I" befo 1+/( can4korr m call vol d"Ile 6199, tc. GAS Etc- To Cl"'y CURB s fats Ay "Cr I ME - tmn- 301) V40 i- Fol 6 DW- REQUIRED M0 E R % JAL, AN®D REpL eWAY OpEt4INGS- Lot 8, Block 39 SYLVAN HILLS PLAT 2 THE CITY OF SLI YDOSSNOTGUARAHM 'HgACCUP'ACYOFyLOCATIONS AND ELEVATIONS 36 -[IiIS DATA IIN,ORMATION pURpOSES ONLY AND PERSONS USING g SHOULD VERIFY THE INFORMATION A ON THE SITE. we k*M* certify that his Is a fm and C*"*d mpresw4afion of a surM of the boun0arin of the above detcribed land and the kwoom af.all butWinv avid vWble soem4ment& If avwr 0m of an sed WUL A*/ S.,.y j by . "1,8&y f Septer m M � LOf SURVM COMPANY moo. . -. / r ,r ` r r v q r Ll I Y, Ut` I-KIDLLY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) 64 OWNER: AVV lBUILDER: Address: Address: I T 6130 No. LOT: CORNER LOT:. Tel. No.. Street: q%&tt rif— /;(-') e) BLOCK: � ADDITION: INSIDE LOT: SETBACK •: SIDEYARDS : 6 S M r n -G 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: QAJ Front: Depth: Height: Square Feet: �Q� is Feet: .704 93 Front: 7i li Depth: ZZ Height:�( 0 Square Feet: SAC Cubic Feet: IftIME:4 JF Type of Construction: Estimated Costd a 6 To Be Completed: (,y "1 �iti. A Alt. B C 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. See reverse s for addit-16nat information TE: SIGNATURE: Stipulations: I 97 $.r X, l Jd� s 3 o2G , lJ' 3 1 C�,2" .16 917. e L o2'2X o1 z _ '�� ! ay�o I a6l 03 ! I S, z J -- 1480�� d i I I GERALD T. COYNE 300 BRUNSWICK AVE. S. GOLDEN VALLEY, MINN. MINK. REG. NO. 4741 INDUSTRIAL — JUDICIAL COMMERCIAL — TOPOGRAP141CAL CITY LOTS — PLATTING JAMES LAVICTOIRE L4T SURVW c+WjiY LAND 8MVETORS UMU ZAW8 OF $TA'll'i 41 XV40067A UCW82D 6Y 02MANCIII OF C['lT OF MIRO10APOUS $74`/ W. Broadway 533-9922 Minneapolis, Minnesota 55428 ���nrs t�prire Lo+L r RAYMOND A. BCH 6917 IDAHO AVE. W. BROOKLYN PARK, MINN. MINN. REG. NO. 6143 iwom No. 6151 �,._ F. t N0. WALE I" a Q — DENOTES IRON rd ® Denotes hub set For excavation only ,�- 14LT C A, N17 --1Ca.0- Lot 8, Block ", SYLVAN HILLS PLAT 2 212.5 m. �r 7.0 Y W tb Ca l-rS- � � e o0 � •S, /,� e � levet" w h d F r m� r w 43 0 C A, N17 --1Ca.0- Lot 8, Block ", SYLVAN HILLS PLAT 2 212.5 m. �r 7.0 Y W tb Ca l-rS- � � e o0 � •S, /,� e � levet" w h d F r m� r C A, N17 --1Ca.0- Lot 8, Block ", SYLVAN HILLS PLAT 2 212.5 m. �r 7.0 Y W tb Ca l-rS- � � e o0 � •S, /,� e � levet" w h d F t SUBTERRANEAN Phone: 646-6938 GINC . Date Y E&Co� 1179 L 7415 Wayzata Blvd., Suite I I I Minneapolis, Minnesota 55426 ob Name CL/%t'' 40"A'1195 Job No. 6 — -77 3%® ® Job Loca n d1,4 ( / ri A n . Earthwork � �/ Contractor CR V . Client //cgrTR`o/jp CQYw 'ArriveJob i `� Mileage 30 IN b . �.., L apart Job : CSC Travel Time Total Chargeable Hours Total H s Lab. Time On Jo Report Time Summary of Technical and/or estimated: I t Services performed, including Reld Test Data*. Locations, Elevations, and Depths are vd. at the snnrh and 1-7 hgg been rA ^tired to a suitable inorganic subsoil prior to fill placement. DISTRIBUTION /- / tic f"/'1 /k 144 e 46T CAVA A let rCd, d! r ,7t4 By e. E .% SUBTERRA N ENGINEERING INC. Field Test Data is estimated pending final laboratory test results. -SUBTERRANEAN ENGINEERING INC. I MINNAAP0L15, MINNRNO$A. Ph. 646 - 9988 Compaction Quality Control Teets --- Project Single Family Dwelling Report No. 1 6130 Starrl i.ght Mud-, Fri 1gy, Minn- Job No _S-77310 Sand Cone Method Nuclear ❑ Other Notes: All tests corrected for stone content, where applicable. ASTM Indicated Percent Compaction 0% Max. Modified Proctor Dry Density D-=7 ❑ % Max. Standard Proctor Dry Density D-698 Distribution: 1 cc Fridley Bldg. Insp. Dept. 2 cc Fratt,alone Excavati Depth � • ow � date Dec. 2 1977 test no. 1 location See Plan mow sY hde wet density Y Pct 130.1 moisture content % 7.1 dry density ydry 118.3 maximum lab y 127,5 90 Compaction 92.7 reconnnendalions APPROVED below fill surface L1 6!' Dec. 2 1977 2 Below 6" 129.9 7.8 119.0 127.5 93.2 APPROVED 'MEMO ENIA710 N LN-MUMMEM-MM11100 Notes: All tests corrected for stone content, where applicable. ASTM Indicated Percent Compaction 0% Max. Modified Proctor Dry Density D-=7 ❑ % Max. Standard Proctor Dry Density D-698 Distribution: 1 cc Fridley Bldg. Insp. Dept. 2 cc Fratt,alone Excavati NONE 00.illm 'MEMO ENIA710 N LN-MUMMEM-MM11100 J" SUBTERRANEAN ENGINEERING INC. i x " 7415 Wayzata Blvd., Suite I I I Minneapolis, Minnesota 55426 . Job Name d- M (. Job Lo tion ! ® �'q A ildr Earthw k Contrac %fie Ede4V. Client rA Arrive Job ��e `�j DepartJob1222 f /Ss Total Hours J� hr - On Job Mileage Z 5 - Travel Time Lab. Time Report Time Phone: 546-6938 Date 'ee' V!J /97-7 Job No. -5'7731 at6.re Total Chargeable ��� �r Hours Summary of Technical and/or Engineering Services performed, including Field Test Data*. Locations, Elevations, and Depths are estimated: Inspected aitp fnr p7npnsed single family= dwgllj'ng Fill has been placed to final grade and compacted with a vibrating sheepsfoot roller. The fill is a brown silty fine to medium sand with clay traces and a little ravel. Performed 2 field density tests. See Compaction Quality Control Test Report No. 2 for test results and locations Based on our inspections and tests we would recommend approval for footings by the building inspector. DISTRIBUTION )ec- rra'lla-kAt &Cava l Ao By (dam GE.T SUBTERRANEA ENGINEERING INC. Field Test Data is estimated pending final laboratory test results. SUBTERRANEAN ENGINEERING INC. !; MINNEAPOLIS. MINNESOTA. Ph. 646 - 6988 Compaction Quality Control Tests -- Project Single Family Dwelling Report No. 2 6130 Starlight Blvd., Fridley, Minn. Job No S-77310 Sand Cone Method ID Nuclear ❑ Other ❑ Notes: All tests corrected for stone content. where applicable. ASTM Indicated Percent Compaction 01% Max. Modified Proctor Dry Density D-=7 ❑ % Max. Sta:idard Proctor Dry Density D-698 Distribution. cc Frattalone Excavatin cc Fridley Bldg. Insp. Dept. Depth • ow ❑ data test no. location ❑ wet density y pcf moisture content % dry dpi ty maximum laboratory f compaction recommendations below fill surface ❑ Dec. 21 1977 3 See Plan 6" 126.3 5.6 -- 119.6 127.5 93.8 -COMMISSION APPROVED Dec. 21 1977 4 Below 6" 127.0 9.1 116.4 127.5 92.0 APPROVED Notes: All tests corrected for stone content. where applicable. ASTM Indicated Percent Compaction 01% Max. Modified Proctor Dry Density D-=7 ❑ % Max. Sta:idard Proctor Dry Density D-698 Distribution. cc Frattalone Excavatin cc Fridley Bldg. Insp. Dept. i • R a � � d CITY OF FRIDLEY APPLICATION FOR POWER PUNTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE � 0c) GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ 7.00 $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 %IECHANICAL WARM 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 Code each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts sand representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ n Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. _1 c'_ v"i a , 197_? STEAM OR HOT WATER SYSTEM: OWNER Boiler &.Lines up to 100,000 BTU $12.00 $ KIND BUILDING each addn. 50,000 BTU 4.00 $ zav Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT - 7 OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COSTz�� - — GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ OLD - NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 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 $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water, 0Warm Ai - No. 12 Z? 3 ®®"� AIR CONDITIONING $ size No Q FAN HEATING SYSTEMS $ Trade Name GEiv.�y ®� �.�� VENTILATING SYSTEMS See Fee schedule $ �s ®OO Tev Sq. ALTERATIONS $ REPAIRS $ Capacity //0 ,, Ft. EDR BTU ® rm© HP State Surcharge $ .50 Total Connected Load a O Kind of Fuel All G/i C TOTAL FEE $� , BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP .Date O ($10.00) Company FINAL INSP.-� �y� Date ((,�,""jj a `-�"-• � Signed By I 1 - � � •� ��-...f�_..a-. APPROVAL FOR PERMIT �.v� �S Tel. No. �M) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATly SURCHARGE OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE m NO. RATE a m p x $3.00 $ OW 00 u x C) New Fixture, Old Opening Water u $ Catch Basin x $5.00 $ E c n u a 100,000 BTU to 199,000 BTU .14 m u x $10.00 w Water Softener Heater $ a� C) q - a C 0 L 0 W m .0 r G1 U / x '$3.00 $.0 Additional Fixtures s, c c c .c -+ $ e c 3 8 u •.+ 4j O c $5.00 $ each add. $100.00 or fraction m $2.00 V a s y 3 4k N $ U0 wa'3 U a 4j ;as lec u�i Ci O elL4 1A1l l / tad 3rd 4 th (R) = Future Connection Opening Connected with Sewer (•) a New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL N•=her Fixtures p x $3.00 $ OW 00 Future Fixture Opening x $2.00 $ U® 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 Pan Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures / x '$3.00 $.0 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) . R n w Job Address 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 eorrec Fridley, Mn. ��� s 19 OWNER KIND OF BITLDING USED AS TO BE COMPLETED ABOUT 1(51 ESTIMATED COST OLDNEW ILDING PERMIT NOY� PERMIT NO. Company 42 Signed By i✓�-moi_. Tel. NO. ROUGH INSP. Date FINAL INSP. 31 - Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STA= Spm APPLICATION FOR POWER PARTIAL RATE SCHEDULE GRAVITY WARIM AIR: F"—.ace Shell & Duct Work Replace== t of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE TOTAL Job Address �� -�� `'"' $12.00 $ 7.00 $ 7.00 $ ` Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 Furnace Shell & Duct Work to 100,000 BTU $12.00 S each add. 50,000 BTU 4.00 $ Replacerent of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ a"T:Alt OR HOT PATER SYSTL-Al: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. ppr hour $10.00 $ each adds gal. per hour 10.00 $ GAS BURNER- fres 100,000 BTU to 199,999 BTU $10.00 $ A (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures $ 3.00 Additional Fixtures is $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAX HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS • State Surcharge TOTAL FEE RDUGH INSP. Date PLVAL INS?. Date APPROVAL. FOR PEF,4IT REINSPECTION FEE 010.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARCE The undersigned hereby makes application for a permit for the work hereLn 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, Minn. , 19 OWNER J3 u -e S /i 2 V,6,� KIND OF BUILDING / ;-, u4 -4L USED AS TO BE COMPLETED ABOUT �/ ESTIMATED COST s� 7 OLD - NEW BUILDING PERMIT NO. PERMIT K0. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air -`No. Trade Name Aei4n0 Size No. . 6,/4 ,3110 - Capacity lCapacity ���, Sq. Ft. EDR BTU HP Total Connected Load ry-0 Kind of Fuel C� BURNER - Trade Name'�w-ee Size No. Capacity I1 Sq. Ft. EDR BTU % HP Company rvl/-)M a Signed By • Tel. No. -%e .1-7 1978 I did" no, 6431 UNIVERSITY AVENUE I .E., FRIDLEY, MINNESOTA 55432 Mr. James LaVictoire 5124 South France Avenue Minneapolis, MN 55410 TELEPHONE ( 612)571-3450 Re: Final Inspection at 6130 Starlite Boulevard N.E. Dear Mr. LaVictoire: A final inspection was made on July 19, 1978 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Correct drainage at left front lower window. 2. Lower grade at rear middle corner near deck. 3. Post house numbers on structure. 4. Adjust garage door to fit tightly. 5. Caulk. under cantilever. 6. Anchor bolt nuts in garage are missing. 7. Grout cracks in bath area. 8. Install ball check in floor.drains. 9. Reduce deck rail spacing to 9 inches maximum. 10. Remove roof vent plugs. We will expect the above items to be completed by August 10, 1978 when a reinspection will be made to determine compliance. Please note also that; 1. The crawl space would be more useable if finished, 2. Sill cocks would be more functional if away from front entrance, and 3. The fan motor in the bathroom sounds bad. If you have any questions on the above items, please feel free to contact me at 571-3450. Sincerely, R0 HOLDEN Building Inspector RH/mh CC: Plywood Minnesota Homes '� ry a October 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 17, 1978 TELEPHONE ( 612)671-3460 Mr. James LaVictoire 5124 South France Avenue Minneapolis, MN 55410 Re: Final Inspections at 6130 and 6180 Starlite Boulevard N.E. (SECOND NOTICE) Dear Mr. LaVictoire: Final reinspections were made on October 16, 1978 at the above addresses and the following items have still not been completed; 6130 Starlite Boulevard 1. Lower grade at rear middle corner of structure near deck. 2. Provide garage anchor nuts. 3. Grout cracks in bath area. 4. Install ball check in floor drains. 5. Reduce deck rail spacing to 9 inches maximum. 6. Remove roof vent plugs. 6180 Starlite Boulevard 1. Provide crawl space access. 2. Install ball check in floor drains. 3. Repair foundation leak near basement fireplace. 4. Insulate plastic plumbing from heat run. 5. Adjust lock to secure patio door screen. We will expect all of the above items to be completed by October 31, 1978 when reinspections will again be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sinc , RON HOLDEN Building Inspector RH/mh CC: Mr. Ken Meyer Plywood Minnesota SUBJECT City of Fridley 2 9 0 8 2 AT THE TOP OF THE TWINS BUILDING PERMIT T NO. COMMUNITY DEVELOPMENT DIV. _____ /� PROTECTIVE INSPECTION SEC. a � ICITY HALL FRIDLEY 53432 NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910-F15 3/25/99 JOB ADDRESS 6130 Starlite Boulevard NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 3 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ACCAP 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Enviro Therm LLC 35499 DolRhin St NW Princeton MN 55371 389-9521 9141 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 O NEW ❑% ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 8' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. BILE WARN1116 Before digging calf for all Irtifity locations 454.0002 r- RYU RED 13Y LAS/ SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 1 I HE Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNO THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND O DIN CES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $.50 ITH W HE ECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $885 D ES NO ES ' TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VISION O A Y HER STATE OR LOCAL LAW REGULATING CON- $32.00 W F e SC $.89 TR TION E PER RMANCE OF CONST CTIO PLAN CHECK FEE TDXjL FEE q9 Lice e SC $5 0 $38.39 Sill E O CON'aaC R AUTHORIZED AGENT i ATEA HE pq VALI T D THIS IS O UR PERMIT 'f SIGNATURE OF OvvNER,w OWNER BUILDER, tCATE, )Ay/ G ipso q�TETE Mar.15 '99 15:21 NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: Owner Name & Address: N 9Ix C& C° Q2 Tel. #i Contractor: Q -7 L..,.L MN LICENSE! FAX CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION . Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT P. 3 Effective 1/ 1/99 U� Tel. 1W2,)38S• 95 Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length12,. Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: DAM-41151APPLICANT: Estimated Cost: $ (Fee Schedule on Back) &Ax $ =$ Tel. # 389 Permit Fee $ , CITY USE ONLY Fee Schedule on Reverse Side Fire Surcharge $ ® .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 $; STIPULATIONS: 10 Mar. 15 '99 15:20 FAX 4 c� s� a t a It a �7 a� r FAX 4 c� s� a t e a P. 2 cyo a It o a y x —42 9 x e a P. 2 cyo sem. "04:6" rs - i. Building $�,�?_ BUILDING Plan Review $ Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By 763-572-3604 oy CITY OF FRIDLEY $ Date Rec'd: � '763-502-4977 FAX $ Curb Cut Escrow $ EFFECTIVE 1-1-09 - $ O c+ $ DATE � .5 — — YOUR E-MAIL ADDRESS ®_ SrrEADDRESS i! 3 c O0 l -r15— RWA- ®1e>'Q _am THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: AW01<0- 4!21gn f)/ C04-uftOrY Z AFsPA ADDRESS: �Zo� 89f``/ (' - CITY1!!!.!A u . STATE / .. ZIP Sy3 TENANT PHONE: CONTRACTOR NAME:�'d STATE LICENSE # EXP DATE 3-10 SUBMIT A COPY OF YOUR STATE LICENSE 80-7 eyle- Tiff- Z4C AND CERTIFICATE OF ADDRESS: &;(J e- CITY STATE ZIP INSURANCE PHONE S!- 02-066 FAX 6 i— q301-8991 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION 0 GARAGE/SHED MWwS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: /�CPORlCs�'trjL7t ta.flKeLISW S SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELPlanING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures O Aluminum 13 Trim t. and proposed project El Other 11 Fascia 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS )(Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 11400 u 0 _ _ OCCUPANCY TYPE Permit Fee $�,�?_ Plan Review $ Fire Surcharge $ Oy Surcharge $ oy License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control - $ Park Fee $ Sewer Main Charge $ Total Due $ ®1e>'Q _am 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 +6 ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) checks THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED Attach 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 rk which requires review and approval of plans. SIGNATURE OFAPPLICANPRINTNAME�/Ast/C DA ��