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City of Fridley SUBJECT PERM 4945 AT THE TOP OF THE TWINS PERMIT BUILDING ECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � 1 1 /"'1 CITY HALL FRIDLEY 55432 -* ``j NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 10/4/78 JOB ADDRESS 6140 Starlite Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 I Sylvan Hills Plat 2 SHEET _I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Francis G. Plautz 5851 2nd Street N.E., Fridley, MN 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Company, Inc. 1850 Como Avenue, St. Paul, MN 645-0.331 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 Ej NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 42' x 26' Dwelling and a 18' x 221.Garage 9 CHANGE OF USE FROM WERATETPERMITSWIRING,RED FOR STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide combustion air to furnace. Provide let-in bracing per Code. SEWER LOCATION (Approx. 9' Deep In Street) 75' S. of Manhole CInv. 841.90) WYE ELEV: 842.95 May not be extended to property line. TOP OF FOOTING: 846.45 Minimum WATER LOCATION: 20' S. of Sewer Service DRIVEWAY DEPRESSION COST: 18' + 6' x $14.50 = $348.00 WARNING THE CIN OF FRIDLEY DOES NOT GUARANTEE THE Before dIgg}ng call focal utilities ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. 1"115 DATA TELEP"A • ELECTRIC - IS FOR INFORMATION PURPOSES ONLY AND REQUIREDGASEtC, P'LRSONS USING IT SHOULD VERIFY THE INFORMATION Y LAW' ON THF SITE. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 1176 + 396 27,480 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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 $38,900 $19.45 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $109.92 $400.00 PLAN CHECK FEE TOTAL FEE 27.48 556.85 SIGNATURE OF CONTRACTOR OR AUTH013LZED AGENT (DATE) j WHEN PR PERLY VALIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDE IDATEI BLDG. INSP DATE CITY OF f~RIDLEY APPLICATION FOR RESIT irrIAL BUILDIrIG PERMITS NEW, ALTERAT IUIdS, ADDITIONS, OR REPAIRS) V- 47 5- 1C/Z-1 7 OWNER: MILDER: Address: Address: Cl le— 7 1'10 5y.�oZ.1 Tel . No. 3:3'/ No. / Street: LOT: `% BLOCK: 1-1 I ADDITION: � 14&L -P(.o-1 2. CORN3_R LOT: INSIDE LOT: V1 S TRACK: 35- SIDEYARDS: /0" -,- S f Applicarnt attach to this font _%Vo Certificates of Survey of Lot and proposed building location dram on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: aA, Depth: ,z ( Height: QCT Square Feet: Cubic Feet: 'Front: /'� Depth: 24.2Height: Square Feet: Cubic Feet: Type of Construction: me- Estimated Cost: To Be Completed: Proposed Driveway Width If New O-aning is Desired Alt. A Alt. B $ $ "' (SET REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all cork 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 re true and correct. See reverse side for additional information. b DATE: �- -7— '1s- SIGNATURE: � Stipulations • 0®�� o s out / i zleol 00 IP47 85 �� a qz 117 ,- 4c ,.:z ooh / s d -a J /9 4e�.— HARVEY A. CARTWRIGHTAM win COM91'NING THE RECORDS OF ANOKA COUNTY SURVEYS I J. E. HILL, CIVIL ENGINEER HENN COUNTY SURVEYS YtlD SURVEYORS O S E.STABLISHED 1096 MINNEAPOLIS SURVEYS GF. SANDHOFF 8410 SHADY OAK LANE N.E. REGISTERED UNDER LAWS OF STATE OF MINNESOTA CIVIL ENGINEER SUNSET 8-0079 LICENSED .BY ORDINANCE OF CITY OF MINNEAPOLIS ESTABLISHED 1906 OWNER 345 PLYMOUTH BUILDING LINCOLN 5721 JAMES NELSON r SURVEYOR INDUSTRIAL - JUDICIAL ESTABLISHED 1922 BUSINESS - TOPOGRAPHICAL burbc Or'S CertificateMETROPOLITAN LAND CITY LOTS - PLATTING SURVEYORS. ESTABLISHED 1931 I Fridley Building Corp. l C1 NOTICE TO CITY EI4C p�,Y 30 FOR CUR- DW- P-P-QU1RED ©VAL AND REPI.ACElPeOS. x Qlt1Vf 'y OPEN IN. 150, Inv. 13534 .iron I►on a Nt LZ '- 4CO w` �eOt� di���� gt1C - Ela '1E4,E�HQ�E r �V LAM tRE'� _AV_ f ,� S hereby certify that,.. this is a true ,..andT co rest plat of a survey of: 3 .; DI`s® Lot ?, Block 3, Sylvan. Hills Plat 2. As surveyed by me in Decembbej.1{ 4 A. D. ,t GUA N�; Qf FRIDt AooNS AND �t'f E,�VA{10 7�, Fut+ ®N ruc Oses °Njt ,SAND ®Ay NOTICE TO ACCUMC to% V002mg'aw ZyE INF®� ' RE® FO . i iS DAtaUS►t�1G It 5"Outo F��SONs ;EmoVAt OPIL;.%..... oN �cw SIS �►t ttt��`Y SIGNED QAAT*R1GHT AND OLSO A, I I M r I n .iron I►on a Nt LZ '- 4CO w` �eOt� di���� gt1C - Ela '1E4,E�HQ�E r �V LAM tRE'� _AV_ f ,� S hereby certify that,.. this is a true ,..andT co rest plat of a survey of: 3 .; DI`s® Lot ?, Block 3, Sylvan. Hills Plat 2. As surveyed by me in Decembbej.1{ 4 A. D. ,t GUA N�; Qf FRIDt AooNS AND �t'f E,�VA{10 7�, Fut+ ®N ruc Oses °Njt ,SAND ®Ay NOTICE TO ACCUMC to% V002mg'aw ZyE INF®� ' RE® FO . i iS DAtaUS►t�1G It 5"Outo F��SONs ;EmoVAt OPIL;.%..... oN �cw SIS �►t ttt��`Y SIGNED QAAT*R1GHT AND OLSO A, C. e s civil _municipal planning environmental land surveying soil exploration e. Denotes Iron Monument O /H-1401# Scale WV MM FRANCIS G. 4Au-nz am LOl 77 BLOCK 3 5Y1_V" ANOKR COUIV rY, M11VIV6,SOVA ` F I We hereby certify that this is a true and. correct representation of a survey of the boundaries of the land described above and of the location. of all buildings thereon, and all visible encroachments, if any, from or on said land, that this survey was prepared by me or under my direct supervision- and that .I am a duly Registered Land Surveyor under the. laws of the State of Minnesota. As surveyed by me this ,3f Tis day of ocToBG,P '19 /0 , �i1C�lt'1�fS p.o. box j. osseo, minnesota 55369 a (612) 425-2181 di\/6 by �ld�-j----�,�+'-moi hc. o File No. 5115-1 Book 621 Page S Minnesota Registratid11 No. ��Z93 I 00ZZ.00 4.70 I W F�I �\k) I�Ztio o 01 �s t t i-' 37• /S I We hereby certify that this is a true and. correct representation of a survey of the boundaries of the land described above and of the location. of all buildings thereon, and all visible encroachments, if any, from or on said land, that this survey was prepared by me or under my direct supervision- and that .I am a duly Registered Land Surveyor under the. laws of the State of Minnesota. As surveyed by me this ,3f Tis day of ocToBG,P '19 /0 , �i1C�lt'1�fS p.o. box j. osseo, minnesota 55369 a (612) 425-2181 di\/6 by �ld�-j----�,�+'-moi hc. o File No. 5115-1 Book 621 Page S Minnesota Registratid11 No. ��Z93 4 d4 �0A1av CIT`( OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND herein AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE Codes 4.00 $ GRAVITY WARM AIR: RATE TOTAL Job Address 61 ® Furnace Shell & Duct Work $12.00 $ _ * Replacement of Furnace 7.00 $ Minn. Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU *Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU 1 each addn. 50,000 BTU $12.00 4.00 7.00 6.00 OIL BURNER- to 3 gal. per hour $10.00 Y each add. 3 gal. per hour 10.00 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures � x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAN HEATING SYSTEMS VENTILATING SYSTEMS ALTERATIONS & REPAIRS ROUGH INSP. care FINAL INSP. IJa lC APPROVAL FOR PERMIT See Fee Schedule State Surcharge TOTAL FEE REINSPECTION FEE 010.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form KIND OF BUILDING S $ $ $ USED AS TO BE COMPLETED ABOUT /®Cs y � - 7 ESTIMATED COST ®® ®n)�--- OLD ^NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. / Trade Name I - ye n co X Size No. d lw j - ! / 4, CapacitySq. Ft. EBR BTU HP Total Connected Load 47.191 Kind of Fuel G"✓Z BURNER - Trade Name Size Size No. Cp / Capacity Sq. Ft. EDR BTU HP Company _ Signed By Tel. No. The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 4.00 $ $ Q Fridley, 197,40 Minn. OWNER $12.00 4.00 7.00 6.00 OIL BURNER- to 3 gal. per hour $10.00 Y each add. 3 gal. per hour 10.00 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures � x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAN HEATING SYSTEMS VENTILATING SYSTEMS ALTERATIONS & REPAIRS ROUGH INSP. care FINAL INSP. IJa lC APPROVAL FOR PERMIT See Fee Schedule State Surcharge TOTAL FEE REINSPECTION FEE 010.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form KIND OF BUILDING S $ $ $ USED AS TO BE COMPLETED ABOUT /®Cs y � - 7 ESTIMATED COST ®® ®n)�--- OLD ^NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. / Trade Name I - ye n co X Size No. d lw j - ! / 4, CapacitySq. Ft. EBR BTU HP Total Connected Load 47.191 Kind of Fuel G"✓Z BURNER - Trade Name Size Size No. Cp / Capacity Sq. Ft. EDR BTU HP Company _ Signed By Tel. No. � o HEAT ISS CALCULATIONS HLUp NQ Q COMO`iOOMORG 00� MINNEAPOLIS, MINN. Weathorotrips 3 indoors Doors TI— A.S.H.V.E. Guide Reference 19 Construction No. Insulation Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No Room Length Width Height Windows and Doors—Crackage and Area =--- -- - 0- Width Height No. of Lineal ft. Area of anar of pa lights of crack sq. ft. FI � ��� Room Length � Width/ Windows and Doors—Crackage and Area Height No Wid4h of��pppa ne Height of pane No. of lights Lineal ft. of crack Area sq. ft. _136 2 _'. 1-3 oe° z Coef Btu Coef Btu Infiltration Glass Exp. wall P i� a Infiltration Glass Exp. wall_,6';7 12 3 Net exp. wall �,� � �� Net exp. wall Int, wall Int. wall Ceiling /fr �' Floor �2 Total Btu. — Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 2 c" i Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �+ 4=1. Room Length Width HeightFI Room Length/,3Width ��Heigh4 Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No. Width Height of petit) of pane No. of lights Lineal ft. of crack Area sq. ft. No. W Of pane ht Height 9 of pane No. of lights Lineal ft. of crack Area sq. ft. Coef Btu Coef Btu u Infiltration Infiltration ry Glass Exp. wall � Glass Ex5115-6 p. wall Net exp. wall �� ® Net exp. wall Int. wall Int. wall Ceiling /r 44e 0 Ceiling o / r > Floor,. Floor Total Btu.t Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Lead area /Fl.� �.0 Room Length ) Width. Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No of pane of pannpe lights of crack sq. ft. Room Length ® Width/0 Windows and Doors—Crackage and Area Height No Width of ano Height of pane No. of Lineal ft. lights of crack Area sq. ft. Infiltration Glass Coef Btu �d Infiltration Glass Coef Btu 'x -p. wally Net exp. wall ` � � �� Exp. wall _ Net exp_wal I ----- e S�3 Int. wall Int. wall �' _ eiPlnn— ._ ._ V' !l%i� yj rC-✓' I,+t �j lJ /i �� «quired sq. Q. E.D.N. or sq. ins. W.A. Leader area Ceiling rte. a `Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $,2/ v Future Fixture Opening Water N i .di New Fixture, Old Opening m $2.00 E ro o A m m ►+ nw, w � x $5.00 Heater $ m x $10.00 $ Water Softener xdi a a 3 $ n�fi ox x ci $ ani Electric Water Heater x' $5.00 $ GAS FITTING FEES: x 1st 3 fixtures _� x g $ j, L)� Additional Fixtures x $1.00 $ roU x $10.00 ro U 3 A W w Ucq 3 as lec we W 10 c` 1st 2nd 3rd 4th (R) Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $,2/ - 1 O Future Fixture Opening _ x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ _ Water Heater - to 99,000 BTU � x $5.00 $ • 0 L' 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old 'Building x $5.00 $ Electric Water Heater x' $5.00 $ GAS FITTING FEES: 1st 3 fixtures _� x '$3.00 $ j, L)� Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.0Q $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 7 2S S® REINSPECTION FEE ( $10.00) Job Address 6 / 1/6 . � , %, , A- i -,J 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 correct Fridley, Mn. l , 19-7 9— OWNER KIND OF BUILDING ''ll� v USED AS >U-111 TO BE COMPLETED ABOUT 3 C7 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No. S y m - 0 a O� ROUGH INSP. Date FINAL INSP. - 1 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE x 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Sussel Company, Inc. 1850 Como Avenue St. Paul, NN 55108 TELEPHONE ( 612)571-3450 Re: Final Inspection at 6140 Starlite Boulevard N.E. r Dear Sirs: A final inspection was made on May 30, 1979 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards by July 1, 1979. Cxi OG7 ; i i ?/I 2. Provide a hard surface driveway by July 1, 1979. �� r . �jC r • �, i4�9 3. Provide.a front step by July 1, 1979. 4. Post address on structure by June 15, 1979. 5. Provide a closer on the door between the house and garage by June 15, 1979. 6. Repair the garage wall by July 1, 1979. 7. Complete the fire wall by July 1, 1979. 8. Install handrail and guardrails on steps by June 15, 1979. 9. Install ball check in bath floor drains by June 15, 1979. 10. Provide combustion air to furnace area by July 1, 1979. 11. Provide frost footings for deck posts by July 1, 1979. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, DA G. CLARK Chief Building Official DGC/mh CC: Mr. Francis Plautz SUBJECT PERMIT NO City ®f Fridley 7 5 91 AT THE TOP OF THE TWINS 1 BUILDING PERMIT V RE • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE r t � = ` CITY HALL FRIDLEY 55432 I•J NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/29/84 JOB ADDRESS 6140 Starli.te Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Francis G. Plautz 6140 Starlite Boulevard N.E. 574-0542 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sable 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a class A masonry chimney 9 CHANGE QF USE FROM TO STIPULATIONS Provide combustion air for wood burner or existing furnace. Provide fire alarm in lower level and level of sleeping in home.. Masonry must be 1 420 from all m combustibles. is c�.N 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 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 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 $500 $.5o 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15.50 SIGNATURE OF IAUTRDRIZED AGENT IDA7EI WHEN PROPERLY ALI DATED THIS IS YOUR PERMIT )TpT�,� SIGNATURE OF OWNER IIF OW R BUILDER) (DATE) BLDG INSP GATE NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 61,5m s 4)eL-1-C 914,01 F ®e 'fin'. S5 1j_z Legal Description: °4®7 7 A/ 3 ZZA77 AS T' 44 Owner Name & Address: Cis e A114 7� Tel . # �?7dl vat - Contractor: Tel. Tel. # Address: 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: eiZ4-1_5 A /114o a.� � V 6 1 A, e Corner Lot [ ] Inside Loft [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: X4,FA."4e q Estimated Cost: $ '4_64 Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: 6'���APPLICANT:/ Tel . ��-4✓ �3— Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ 0 U Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ S7J $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] rtsa a, ��R, aA7e.m0..��H CITY OF FRIDLEY Effective Date May 1, 1988 t • APPLICATION FOR PO ER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping a (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work RATE TOTAL Job Address $ 20.00 $ $ 10.00 $ $.'10.00 $ $ 10.00 $ $ 10.00 $ SSr $ State Surcharge $ .50 TOTAL PEE $ /s. SZ Reinspection Fee ($15.00) $ Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace peamits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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 correct. Fridley, Minn. OWNER ' / C 5 q�'%q cT-Z.d KIND OF BUILDING /P'B,•g/ USED AS TO BE COMPLETED ABOUT ` JJ? I g ESTIMATED COST / Z} — OLD - NEW BUILDING PERMIT NO. PERMIT NO. V O DESCRIPTION OF FURNACE/BURNER 'HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Total Connected Load BURNER - Trade Name Size No. Sq. Ft. EDR BTU HP Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HP Company .1;tandard Heating & A/C Signed By _ Tel. No. 824-2656 i ' SUBJECT P City ®f Fridley AT THE TOP OF THE TWINS ?1 BUILDING PERMIT 2 0 3 r I , RECEIPT 6 COMMUNITY DEVELOPMENT DIV. fr _e___ r �� PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 NUMBER REY. DATE PAGE OF APPROVED BY %j 612-571-3450 910-F15 6/24/91 JOB ADDRESS 6140 Starlite Blvd NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 3 Sylvan Hikls Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Francis Plautz 6140 Starlite Blvd NE 574-0542 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 G� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 0= Construct a 19.E x 10` Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations On plan. WARNING Before digging call for all utility locations 454.0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $11450 $.73 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- $35.00 Fixe SC $1..455 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 37.18 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEt WHEN VROPERL V EDT IS IS YOUR PERMIT 1NSP MATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) Y [ ] f ADDN R-1 AND Rr2 ALM ] Building Permit Application Effective 1/1/91 construction Address: L i)4a Sn4g L tte NA NF . Legal Description: 7 B L ®ck,�3 .��, Z&nlm 11e t Ls RZ4 f 41 Owner name & Address: �&Zal6 PL Ako z Tel. # 5"711-O SJI.Z c�trac.-tor: SAM E Tel. # Attach to this application, a Oertificate of Survey of the lot, with the proposed corstructicn drawn cn it to scale. DESCR=C K OF 1101 MEN= LIMB Alii: Length Width Height Sq. Ft. G FaM AREA: Length Width Height Sq. Ft. DECK AREA: Length / Width /6 Hgt/Ground _9 Sq. Ft. / 90 07M: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Omstruction: 10eyij f)ejC FsUmated Oust: $ 9,0 Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page HTE: 6-.2-q aR 1 APPLICANT: Tel.. # v 744-®S�12 9 Permit Fee Fire Surcharge $ l f `i l�' State Surcharge $ `7 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPUTATIC NS: t. QTY USE Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT P City of Fridley 26901 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �® 1 . � NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3460 910-F15 7/29/98 / / JOB ADDRESS 6140 Starlite Blvd 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Francis Plautz 6140 Starlite Blvd 574-0542 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK NEW 0 ADDITION 0 ALTERATION 10 REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK gprnnf house and garage (25 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply ith State Building Code. 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2085 $1.04 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $74.75 Fire SC $2.08 PLAN CHECK FEE TOTAL FE $77 SIGNATURE OF CONTRACTO R ORiZEDAGENT MATEi EN BL NSF' pV offDATED.TH S YO R PER T GATE SIGNATURE OF QWNERJF OWNER SLMERj IDATEI NEW [ l Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 61 BUILDING PERMIT APPLICATION 6 010A L� ConstructionAddress: A141j) -5-1Z?,QZI1e Legal Description: Owner Name &Address: SAC►7 45 Tel. # a57S/--QS_ Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlYIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OAR: AaM04- hQUS,c- Y go/`00E- and. /Pa%-0jo-F Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 7-�q- 9e APPLICANT: Tel. # 57'1-05542- STIPULATIONS: r CITY USE ONLY Permit Fee $ % Fee Schedule on Reverse Side Fire Surcharge $ 08 .001 of Permit Valuation (1/10th%) State Surcharge $ . Q4 $.50/$1,000 Valuation SAC Charge $ $1000 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 s-22,52 STIPULATIONS: r