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PRE 2010 DOCS52-84-s915-51 City of Fridley Application for Plumbing and Gxn Rtti•ng Permit Dept. of Bldgs. Phone 560-3480 DESCRIPTION OF WORK Number. Kind and Location of Fixtures v2 $ X $1.50 $ X $1.50 $ x $3.25 $ x $3.00 Z `j Z_ O5 S ,� 33U' Z �p x $2.00 N WATER HTR. GAS ELEC. Base 1st �- 2nd 3rd 4th • Future Connection Openings o New Fixture, Old Openings I Connected with Sower Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ...... ....... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... .................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ....................... .. Additional Fixtures .................... Gas Range to 199,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x $2.00 $ X $1.50 $ X $1.50 $ x $3.25 $ x $3.00 $ x $3.25 $ a $2.00 $ NO. RATE TOTAL x $2.00 $ x$.75 �- $ .00 x $5.00 $ Description ................................................$ TOTAL FEE $ 1.00 i Location 6131 Starlight Blvd City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Anna 10-30-67 19_ Owner haul Hu mnick Kind of Building frame Used as res To be completed about 0-5-67 Estimated Cost, $ 10000 Old—New. Building Permit No Permit No. • S gn By Business Phone No ROUGH FINAL 42 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND Furnace Shell & Duct Work to 100,000 BTU .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDUI E 4.00 $ Replaceaent of Furnace GRAVITY WARM AIR: RATE TOTAL c / Job Address /i� �31 cJ%�Cc lr�1/1 �e_, Ft:rnace Shell & Duct Work $12.00 $ , Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs S Alterations each add. $500.00 4.00 $ City of Fridley , Tel. #571-3450 MECHANICAL WARM AIR: rn L INSP. Date APPROVAL FOR PER*iIT l 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, Minn. C ® 1� OWNER dP L✓ CJI�I / C_ KIND OF BUILDING Alk, USED AS //e eel TO BE COMPLETED ABOUT�/R�(�, ESTIMATED COST �( OLD - NEW BUILDING PER14IT NO. PERMIT NO. / ,•�� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. f Trade Name Size No. Capacity Sq. Ft. EDR STU e_Y - HP Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. Lo 9c Capacity Eq. Ft. EDR BTU a. �HP RAY N. WE�LTERHEHEATM CO. Company +46@7 Qhieelse; Ave, Signed By MinneopoI14 MinneW a 55407 14 /1 � g1ej ,? /, . • Tel. No. � `( taNIKUK FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.SO STATE SURCHARGE Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replaceaent of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ srA.If OR HOT WATER SYSIDI: 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. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199.999 BTU $10.00 SU.,Kl_ (over 199,999 BTU see Fee Schedule) S GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ is Additional Fixtures x $ 1.00 S Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONI`G $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $ e BOUGH L\SP. REYNSPECTION FEE Date 1($10.00) rn L INSP. Date APPROVAL FOR PER*iIT l 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, Minn. C ® 1� OWNER dP L✓ CJI�I / C_ KIND OF BUILDING Alk, USED AS //e eel TO BE COMPLETED ABOUT�/R�(�, ESTIMATED COST �( OLD - NEW BUILDING PER14IT NO. PERMIT NO. / ,•�� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. f Trade Name Size No. Capacity Sq. Ft. EDR STU e_Y - HP Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. Lo 9c Capacity Eq. Ft. EDR BTU a. �HP RAY N. WE�LTERHEHEATM CO. Company +46@7 Qhieelse; Ave, Signed By MinneopoI14 MinneW a 55407 14 /1 � g1ej ,? /, . • Tel. No. � `( taNIKUK FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.SO STATE SURCHARGE 0 TO, John Flora Message - Date august 2, 1985 Speed From NASIM QURESHI, CITY MANAGER'S OFFICE Subject Citizen Selling out of House SM 24-85 We brought a memo to the City Council saying that it would be a violation of the City Code to sell out of this house. We should be sending this citizen a response on this also. Wilson Jones Company 17, To: Nasim Qureshi Signed From: Jim Robinson Thank you, - NMQ/ms Dated, 8/6/85 Rosemary Humnick has been informed that she can not sell consignment goods out of her home, as it is in violation of City Code. JR:jmo August 6, 1985 Rosemary Humnick 6131 Starlite Boulevard Fridley, MN 55432 Dear Ms. Humni ck : Upon reviewal of your request to sell consignment goods out of your home it has been determined that this Would be in violation of the City Code (see attached). Chapter 205.03.36 states that no over-the-counter retail sales are allowed as part of a home occupation. If you should have any questions please contact me at 571-3450. Sincerely, James L. Robinson Planning Coordinator JLR/ dm C-85-201 J SUBJECT PE City ®f Fridley 2 210 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. 9 r ' PROTECTIVE INSPECTION SEC. 1 NUMBER REV DATE PAGE Of BY i CITY HALL FRIDLEY 55432 J 612-571-345.0 910-F15 9/15/93 JAPPROVED JOB ADDRESS 6131 Starlite Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 2 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Paul Humnick 6131 Starlite Blvd NE 571-3626 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sante 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 ❑ ALTERATIONCx7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House C15 Squarest Tear--off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with.the State Building Code. Provide adequate attic ventilation. Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in Basement. 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 $810 $, 50_ 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. $23.00 Fire SC $.81 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $24.31 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT WH Q ERL LIDATID THIS IS YOUR PER IIT ,4q(DATE) OC LDG INS P DATE (4// SiG�..N1LlA'`T"UR�E O�F�O'W�N"HR IIF OW BUILDERI IDATEI J NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 4/.3 /- Effective 5/26/93 Legal Description:c Owner Name & Address: �` � ��' /� l _ Tel. -z 6 Contractor: G MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length . Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ < /U `& (Cost on Back) Ft x $ =$ A DATE: f�� l �-� APPLICANT: %� Tel. # Permit Fee $ Fire Surcharge $ ! State Surcharge $ S� SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary j ] STIPULATIONS: Building BUILDING Permit Fee PerniitNoAAN. Inspections Plan Review RESIDENTIAL APPLICATION Received 763-572-3604 $ t CITY OF FRIDLEY Surcharge D ' 763-502-4977 FAX License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) EFFECTIVE i-1-2010 $ ft + 6 ft = ft x $24 = $ *� �q DATE !.► � (p YOi3R9AII, SS $450 Conservation Plan Review Park Fee �i��rvi SITE ADORES Sewer Main Charge $ Agreement necessary ( )Non Necessary ( ) Total Due $ THIS APPLICANT IS: PO<& 13CONTRACTOR PROPERTY OWNER/ NAME: ADDRESS: CITY STA ZIP TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE 0 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE 0 ADDITION 0 GARAGE/SHED O W.iNDOWS 0 BASEMENT FINISH lF 0 DRAIN TILE O DECK 0 SIDING 0 OTHER 0 SWIMMING POOL TYPE OF WORK: 0 NEW HOME CONSTRUCTION 0 ADDITION I iTENANCEMEPAiR 0 REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING0 HOUSE ONLY BASEMENT REMODELING SUBMIT-, NUMBER OF SQUARES Iq 0 HOUSE & GARAGE L Existing Floor. Plan GARAGES 0 ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. Inst of st udmal meanlcs to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS_ & PORCHES SUBMIT: 0 Vinyl OSoffit 1. Sitc Plan/Survey showing the misting structures 0 Aluminum ❑ Trim and proposed project. 0 Other 0 Fascia 2. Two sets of cunsinwtion plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo 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 L S, (USING THE 1997 U B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYrJL Permit Fee $ i : See Back Page for Fee Schedule Plan Review $ 655/o of Building Permit Fee Fire Surcharge $ t .001 times the total job valuation Surcharge $ 1 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( )Non Necessary ( ) Total Due $ Make checks payable to: City of Fridle Attach ations 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 h i nnesota 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 w ik whid� re9tiire ecu and approval of plans. 'b /� �/ SIGNATURE OF APPLICANT Tf�ov` PRINT NAME 1� DATE PLEASE NOTE SEPARATE PERMITS ARE REQUIRED FOR PLUi1lBRiG, ELECTRICAL AND MECHANICAL WORK