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PRE 2010 DOCSCity of Fridley suadEcr ER O. 14369 AT THE TOP OF THE TWINS BUILDING PERMIT rp � EIPT _ r COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. /---1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/16/77 JOB ADDRESS 6150 Starlite Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 3 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles Aspenson 6370 Starlite Boulevard N.E. 574-9706 3 CONTRACTOR MAILADDRESS 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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Xclam 8 DESCRIBE WORK VW Construct a 42' x 28' Dwelling and a 20' x 24' Garage SEPERAM PERMITS REQUIRED FOR- WIRING. TELEPHONE • ELECTRIC 9 CHANGEQFUSEFROM� tf[9CR1 HEATING. PLUMBING -AND VD SIGNS. ARG V U STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. Provide City with copy of truss design. SEWER LOCATION: 21' S. of Manhole (Inv. 841.90) WYE ELEV: 842.19 TOP OF FOOTING: 845.19 Minimum WATER LOCATION: 9' N. of Sewer Service DRIVEWAY DEPRESSION COST: Alt. "A" 16' + 6" x $11.75 = 258.50 TNe CM OF FMOM DORS NOT GWARAN R INE ACCURACY 4F trMM, to"T ON ..-AND. ELEVATFO- TjjIS DATA IS FOR pVFORMAWN PURPOSES ONLY Af 6 -- PERSONS USING. Ii "SHOULD ViROY THE INfdRMATION ON THE. WL 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, ORIF CONSTRUCTION R-1 1144 + 480 27680 Tota 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. $38530 $19.27 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE LOCAL LAW EGULATING CON. PROVISIONCON- ANY $110.72 $375.00 STRUCTION ORTHEPEOTHER FORMANCE OFRCONSTRUCTION. PLAN CHECK FEE TOTALFEE $ 27.68 $532.67 PSI/ARE OFC TRACTOR OR AUTHORIZED AGENT (DATE) HEN PROPS LY VALIDATED THIS IS YOUR PERMIT W� -1�- BLDG. INSP DATE ` A R O OWN R( F OWNM BUIVPER) (DATE) S 1// II utilities GAS Etc. LAW CITY OF FRIDLEY RESIDENTIAL BUILDING PEMITSY 10 APPLICATIONFOR R (NEW, ALTERATIONS, ADDITIONS,- OR REPAIRS) OWNER: Address: BUILDER: Address: Tel. No.: -77 No. — No.: �l!:� Street: LOT: G' BLOCK: ADDITION: ��! J (d 0 G') /� � 1 �`r u ✓ � � C) CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: 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: W Front: Depth: f :Height: pi Square Feet: Cubic Feet: lark Front: �� I Depth: 2�t Height: Square Feet: Cubic Feet: Type of Construction: /N/ Estimated Cost: $ 31.000� To Be Completed: Alt. A. Alt. B (� Proposed Driveway Width If New Opening Is Desired f .__L f $ $ (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 0�declares that all the facts and representations stated in this application are true and correct. See reverse side foreadditional information. r DATE: _ SIGNATURE: z Stipulations: �. ?,UJjaE C.try -Ma" Per, tgFpj L X58,-6ej z: CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS 'FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures � x $3.00 $ f a x . 0% New Fixture, Old Opening Water $2.00 $ Catch Basin x fMa $ E� [ m A G e W .4 2 �'' Water Softener x Heater $ New Ground Run Old Building tof�y $5.00 $ x x $5.00 $ GAS FITTING FEES: Id N � O 1st 3 fixtures x '$3.00 O Additional Fixtures x N C. N x O S 1U7 W li N N First $100.00 $5.00 $ each add. $100.00 or fraction U a wb ani lin 3 A w° vii w U w 3 V O as lec 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 $ f 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 $ 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 $ 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) Job Address / /Sa) �L/�ia��✓si 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 representatio/ stated in this application are true and correct Fridley, Mn. /�� '1972 OWNER KIND U] USED Ab TO BE COMPLETED ABOUT l ESTIMATED COST��� OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company a `� Signed By Tel. No. ROUGH INSP. Date FINAL INSP. c� Date APPROVAL FOR PERMIT d MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.30 STATE SURCHARGE t June 2, 1978 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 56432 Mr. Charles Aspenson 6370 Starlite Boulevard N.E. Fridley, MN* 55432 TELEPHONE ( 812)571-3450 Re: Final Inspection at 6150 Starlite Boulevard N.E. Dear Mr. Aspenson: A final inspection was made on May 31, 1978 of the above address and the following items were noted which. must be completed before the structure can be finaled out; 1. Provide garage step. 2. Fire block lower bearing wall. 3. Block or add joist hangers on deck. 4. Lower grade where sod touches siding. 5. Provide house numbers on structure. We will expect the above items to be completed by June 8, 1978 when a reinspection will be made .to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerel RON HOLDEN Building Inspector RH/mh CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 September .18, 1978 Rey's Electric. 2632 - 8th Avenue North Anoka, MN 55303 Re: 6150 Starlite Boulevard N.E. Dear Sirs: An inspection was made on September 15, 1978 of the electrical work you did at the above address. It was noted that the running boards under the garage wiring was missing. We will expect this to be completed by September 29, 1978 and a reinspection called for. You will need to make an appointment with Mr. Valborg Vollmer at 574-9229 in order to obtain entrance. Sincerely, LEONARD EICHMILLER. Electrical Inspector LE/mh 0 SUBJECT ' -- City of Fridley 21678 ZIP AT THE TOP OF THE TWINS BUILDING PERMITT r ' , NO. � • COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. ) �� F7� r � ILCITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �""" �'� 612-571-3450 910-F15 11/30/92 JOB ADDRESS 6150 Starlite Slvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shirley Hultin 6150 Starlite Blvd NE 571-4415 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & S Construction 480 206th Ave NW, Cedar MN 55011 434-5748 6652 3 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 Clx ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove Existing Deck.; Construct a 12'• x 12'• Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 80 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 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 $1,106 $,55 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 Fire, SC $1,11 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE License SC $5. .00 TOTLFEE $41.66 $ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN \Y VALIDATED THIS IS YOUR PERMIT "PPRRgO/SPE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 'L§P DATE NEW [ ] Effective 3/1/92. ADDN { ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -i ' AND R-2 Building Permit Application Construction Address: 1K/";-0 : S -4 /-, Z- -7€ BGG ' fi Legal Description: LoT 6, & O Ck -SV L 'qyj /4�-&! ' Owner Name & Address: S�1 / /; 4- 141 01- Tel. # Contractor: �� s C��� �S 7 MN LICENSE #c900 Address: � � - go C �� 4 r 1� �' �� Tel. � L21f 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 2Z — Hgt/Ground Sq. Ft. / OTHER: Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ Ft. + b Ft = Ft x $ (Cost on Back) =$1, DATE: / APPLICANT: (meg ,.1 --Flt �"/Tel. # 4`241S'7,�:� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee a - Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 March 18, 1994 Shirley Hultin 6150 Starlite Boulevard N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 6150 Starlite Boulevard N.E. Dear Ms. Hultin: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 6150 Starlite Boulevard revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Discontinue outside storage of a trailer located along the north side of the driveway in the front yard. (Fridley Zoning Code does permit such storage in the side or rear yard.) Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about April 4, 1994, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls CE -94-86 City ®f Fridley' AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT -'I--" 2 5 9 6 6 ` _ COMMUNITY DEVELOPMENT DIV. t -- L PROTECTIVE INSPECTION SEC. �'--1 CITY HALL FRIDLEY 55432 ti--•-�.• ,<, 612-571-3450 RE- C�fPTNO.� ��� NUMBER 910-F15 REV DATE 4/22/98 PAGE OF APPROVED BY JOB ADDRESS 6190-6156 Star Lane 1 LEGAL DESCR. LOT NO. 15 BLOCK 1 TRACT OR ADDITION Sylvan Hills SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Winiecki 3 CONTRACTOR MAIL ADDRESS T & G Builder Inc., 2159 Silver Lake Rd, ZIP New Brighton 55112 PHONE LICENSE NO. 635-9946 20098731 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 ❑X REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Re -roof (2nd layer) 9 CHANGE OF USE FROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $1,378.52 SURTAX $.68 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. $45.75 Fire SIC $1.37 PLAN CHECK FEE TOTAL FEE s� l-zz-9"0 License SC $5.00 XXXM $52.80 SIGNATURE({ C NTRACTOR OR AUTHORIZED AGENT IDATEt WHEN PROPERLY ^LIDATED THIS IS YOUR PERMIT BL G tNSP �/��/ DATE SIGNATURE OF OWNER IIF OWNER BUILDERt IDATEI NEW ADDN ALTER ConstructionAddre Legal Description: Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �Ip BUILDING PERMIT APPLICATION t Owner Name & Address: ljsj,)r &5r l<- / Tel. # Contractor: - RV,4-1>e5I2 MN LICENSE# Address: 2t5-1 41-N_ a2/���✓ � tG-��T �� _ - - - - Tel. # :3 S - 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: C " d X0.7 i 17 fL�. (�f 0 Construction Type: 2 ,,6 7 J/1 Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE:- �C9' APPLICANT: Tel. CITY USE ONLY Permit Fee $ IQ L16 Fee Schedule on Reverse Side Fire Surcharge $ ,. z .001 of Permit Valuation (1/10th%) State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control .Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $.50/$1,000 Valuation $ $1000 per SAC Unit $ 5, n r, $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ rjA cl ' SUBJECT City of Fridley2 8 8 2 8 AT THE TOP OF THE TWINS BUILDING PERMITC/"" r COMMUNITY DEVELOPMENT DIV. i _____ r t PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 1/11/99 JOB ADDRESS 6150 Starlite Boulevard NE 1 LEGAL LOT NO. 6 BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shirley Hultin 571-4415 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Construction Co. 4208 83 A-ve N Brookl= Park 5S441 566-S2?i 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 XR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage2:ear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 ABANQONED 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING MIS TYP, OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HE E N OR N . THE GRANTING OF A PERMIT $1714 $.86 DOES N07 PRESUME TO IV UTHOR Y O VIOLATE OR CANCEL THE PERMIT FEE SAC PROV NS OF ANY H SATE O CAL LAW REGULATING CON- CHGE FirC $1.71 STRUC NOR THE P RF M NCE O C NSTRUCTION $56.75 PLAN CHECK FTOT L FEE l - Lic $5. $(/4.32 ATU OFCON' ACTORORAUT tORIZED AGENT iDATEiMEN PRO VALIDA D THIS IS YOURPERMIT !� -77 S,GNA TUBE OF OWNEROF OWNER BU4DE R� iDATEt BL INSP T Jan 11 99 03:00p Kerri 566-7193 p.2 NEW [ } ADDN. t } ALTM [ l CITY OF FPJD1.EY S'NGLE FAMILY AND DUPLEIM R-1 AND R -z BUILDING PEgMrr APPLICATION CorrsauctionAddress: /�Ci `..S��Gt'!'"�(�Q, �.(j�� Ugal motion: Owner Nome &. Address: I/2L: Conmactorhlle"I co s7/ 7 Effective 1/l/98 Tel. p��— MN LICENSE # -3�cc -)-2 9,S- G Tel. a�'�"��-7--�-- Attach to this application. a Certificate Of Survey of the lot, with the proposed cons tion drawn on it Io scale. DMRUMON OF IlKFIi.O VEMENT SING. ARRA: GARAGE ASA: `—` Width �_, Height Sq. Ft. Height DFA. Width !�` Heig ~� SFt. Le l OTHER: Width Hgtt/Ground- Sq. Ft. conswction Type; Tz,32- e OCF r %�C �/20D� Estirilated Cost: l Driveway Curb Cut Width. Needed: (Pee schedule on Back) DATE. �/✓ �%� Tel. # -s� �s— _ My ICF -ONLY Permd Fee $ �' �7S Fite Surcharge $ Fee Schedule on Reverse Side State Surcharge $ 'OU' of Permit Valuation (1/A{lth9l;) $.SO/$1S-50/$1.000Valuation SAC � License 5uitcharge $ $ S � D $1000 Per SAC Unit Driveway Escrow$ $3.00 (State Licensed Itesid Baal Contractors) Erosion Controa $ Alt. "A" or Alt. "BAbove Abo Park Fee $450.00 Conservation Plan iQ eview Sem Main Charge $ $ Fee Determined by Eagjmerjng Agreement Necessary [ ] Not Necessary [ I TOTAL. S-MMATIQNS: , .. w A "ITY OF FRIDLEY INSPECTION DIViSION 5431 University Ave NE =ridley, MN 55432 AP'PUCATION FOR POWER PLANTS AND HEATING, CO®I.IN% VENTILATION, 763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHERM lesidential Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent • fill Out Back) Cas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (.LIST ON BACK) '1.9%® of Value of Appliance or Work rormaercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $ 10.00 $ OWNER s UILDI NG USED ESTIMATED COST Effective On January 1, 2000 PERMIT N0. — 141A,21 ®ESCRIPTitON ®F FURPdACE AhIO OR BIIR $10.00 No. of Heating Units ---I-- Circle One (Steam) (Hot Vater) arrri Air $ 10.00 $ Trade Name —\.9MJn D -!fit Size No. BTU n C1 i — HP EDR, $ 25.00 Fuel Total Connected Load ~ Burner Trade Narne_ _. Size No. BT'V _ HP � � EDR State Surcharge TOTAL FEE ANIMUM M FEE FOS HIEATINGLCOOLIM-WIMEi DILAYIONI 1EFRIGERATIO-MIR 90-0111 ONING PERMIT- IS S25 OA IM THE SA -0 STATE SURCHARGE !EINSPECTION FEE $47.00/Hr Air Corditioners can not be placed in a side yard without iritten permission from adjoining property owner. ti 3 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all worts in strict accordance with the City Codes an 50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. c DINE a ZO'd -1H1Ol MMON VENT. VENT CONNECTOR AND COMBUSTION Alai VERIFICA When m–Placingan existl S fiarance, the undersigned hereby verifies that the venting has been examined and is free from, rust. di;,W4 joration, obstructions, and Is securely supported and firestopped where required. Yes (o ( ) The venting system is plasW- PVC and meets all current codes and manufacturer specifications Including sizing, length, number of elbows and termination. Yes {'No ( } The undersigned also verifies that the replacement unit Is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Fables for fan assisted and natural draft appliances. Yes (--(No( ) The e91stina combustion air is sized and installed to meet the current codes and manufacturer's specifications, ations, Yes (4 No { ) When required to Install a neer combustion air. it will be sized and installed To meet the current codes and manufacturers specifications. Yes (--KNo { ) When Installing a newt ventinaLsystem, the undersigned hereby verifies that it Is a listed assembly and meets the current nodes and manufacturer's specifications. This does Include AGA LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ("KWo ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the Common vraric and vented separately as per current codes. Yes ( No ( ) Aooliance Type and SizelCommon Vent and Vent Convector information Appliance #1 Type BTU Input Pan Assisted or Nat _ Appliance #2 Type rAl r 13TU Input :&Al:?Q Fan Assisted or Nat , Appliance #3 Type ____ BTU Input Fan Assisted or Nat Total Appliances Total E to Input Common Vent Type Vent Height _ _ Diameter inches Appliance #1 Vent Connector Height ft Length ft i)iameter in Type Appliance #2 Verrt Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height Length ft Diameter in Type AE.` EM- ONS: Qescribipl HEATINGCO Signed By: Date: 2!0/Z0'd S09868L 01 A31al dzl .4 AILD WO2d3 8S:ZZ 0002-1•Z-rION AM G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 28, 2003 Ms. Shirley Hultin 6150 Starlite Blvd NE Fridley; MN 55432 Re: Final Inspection at 6150 Starlite Blvd NE Contractor: Daves Heating & Air Conditioning Dear Ms. Hultin: A mechanical permit was issued on October 18, 2001 to install a furnace and air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building $ 3k",15 ' BUILDING Plan Review Permit No.: Inspectims Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ 5.00 n V& APR 1 2008 1763-502-4977FAXFAX $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control EFFECTIVE 1-1-08 $450 Conservation Plan Review Park Fee DATE © d E-MAIL ADDRESS Sewer Main Charge SITE ADDRESS cY�OUR STA lZ t V\Ja Q 6 5 Total Due THIS APPLICANT IS: OWNER ❑CONTRACTOR Make checks payable to: City of Fridley Attach Stipulations PROPERTY OWNER/ NAME: "( on TENANT _ ADDRESS: LpUb S�(3�Y Lk-, f0`\i Q 6, CITY J' C k -LX STATEL& Zip PHONE: 62 I 3s a50 — '-) i r NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE l SINGLE FAMILY/NEW CONSTRUCTION SIZE fj TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING *OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR PEMODELING DESCRIBE WORK BEING DONE: Kr�AV Ql ota il-.A V/ W QMd l\I1�CA Yp®irYl SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING 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: 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 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $\MO, C)O OCCUPANCY TYPE Permit Fee $ 3k",15 ' See Back Page for Fee Schedule Plan Review $ 95. 149k 65% of Building Permit Fee Fire Surcharge $ 1.60 .001 times the total job valuation Surcharge $ .50 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5.00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ t1Q, Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a build' 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 an wia 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 in ac rdance wit the proved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APP A T U>'1 PRINT NAMEQ(` W Lcdson _DATE '� 3'(� DA 4 . l a APPROVED BY