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PRE 2010 DOCSSUBJECTPE N0. City of Fridley ? 14331 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 812-560-3450 910-F15 8/29/77 JOB ADDRESS 6181 Starlite Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 2 Sylvan Hills Plat 2 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Archie L. Lindgren 6181 Starlite Boulevard N.E. 571-4624 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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 12' x 14' Utility Shed 9- CHANGE OF USE FROM TO STIPULATIONS Keep building at least 5 feet off rear lot line. SEPERATE PERMITS REQUIRED FOR WIRING, 'HEATING, PLU.WING AND SIGNS A I NG Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etc. 'REQUIRED BY LAIN 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. T. 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. $475.00 $.50 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE ti $8.00 SIGNATURE OF CONTRACTORORAUTHORIZEDF, ENT (DATE) WHEN PROPERLY. VALIDATED THIS IS YOUR PERMIT • r� � � �, �� (, I� � ter` I o � =1 � 1�, `.' i BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: BUILDER: Address : 4/ft/ .V l- / �� � 8f V J Address: . Tel. No.: -r71 ` q e' LZ No. Street: Street: LOT: L BLOCK: ADDITION: 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: a '9�- ront: Depth: ! _ Height: % Square Feet: 1CP� Cubic Feet: fG T Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ ®® To Be Completed: 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE- � SIGNATURE: Stipul tions: q d —j 1z 0 0rF - mw, r, f) BUILDING PER141T FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $15.40 ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In -no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior use or occupancy of any structure for which a building permit has been issuec said structure shall not be used or occupied until a Certificate of Occupanc3 been issued. . 10 AGREEMENT owner of the property located at ,lao XEa have no objection to the City allowing the construction of of c l° / .o be located atwithout the required certificate of survey that the City ordinarily requires for all new construction. Witness t �j Signature Address /s= Date a CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL $ 20.00 $ $ 10.00 $ .00 $ $ 10.00 $ $ 10.00 All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work Commercial/industrial 1 % of Value of Appliance or Work State Surcharge TOTAL FEE JOB ADDRESS ;tel e�Z �; 2'" 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ,1991 OWNER0?6110E, BUILDING USED AS -- il�e!5- ESTIMATED COST 0 000a—'PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam (Hot Water) (Warm Air) Trade Name eD e4 M6 N o. BTU -6 e �C)C HP EDR $ Fuel-"= Total Connected Load MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR HEATING COMPA Signed By Tel No. Approved By _ (� Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks X/, , ` rl., v List Alterations Being Done: HEATING COMPANY Signed By Date SUBJECT P City ®f Fridley ?7669 AT THE TOP OF THE TWINS BUILDING PERMIT i � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r t L PROTECTIVE INSPECTION SEC. 672 t � t � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 1', 812-571-3450 910415 9/10/98 JOB ADDRESS 6181 Starlite Blvd 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ lvan Rlkiibm Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sylvia Lindgren 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. New Haven*r Construction Co 4208 83rd -Ave N Brookhm Rark 95443 566- 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 0 NEW 0 ADDITION 0 ALTERATION LJ REPAIR O MOVE 0 REMOVE 6 DESCRIBE WORK Reroof house & garage 20S Tear -off CHANGE OF USE FROM TO STIPULATION S Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 $1714.00 �y`"Z 86 $ 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 PROVIS OF ANY OTHER STATE LO LAW REGULATING CON- $ 56.75 Fire SC $1.71 STRU ION R THE PER RMANC C RUCTION. PLAN CHECK FEE TOT FEE Lice e $5.0 $64.32 ATURE OF CO RA TOR OR AUTHORIZED AGENT IDATEI EN ROP VALID T HISUR M I ;FUR SIGNATURE OF OWNER (IF OWNER BUILDERI IDATEI INSP OATS If Shp OS S8 06:22a Kerri 566-7183 p.2 [ I Effective 1/1/98 AWN [ CITY OF FRI DLEY AL'TER [ l SINGLE FANCY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION A ConstructionAddress• Legal Description: Owner Name & Address: ��'f'�' Z''"-) r' 6, Aj Tel. # S -J !'r- C/&';� C/ Contractor: /L/C- C --j �� veo-) C g n S MN LICENSE # Address: � o� �-�` ' � � e /� , Tel. # � 2- 2_ Attach tofthis application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGR "AREA: DECK AREA: J :i DESCRIPTION OF IMPROVEMM Length Width Height Sq. Ft. Length Width height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type. "/� " a � r ,ec. re C, v - Estimated Cost: $ ®S q c- L, ► e l / `L/ '(Fee Schedule on Back) Driveway Curb Cut Width Needed: DATE: APPLICANT Ft. + 6 Ft = Ft x $ = $ Tet. # CITY [TSR ®T�LY Permit Fee $ qS Fee Schedule on Reverse Side Fire Surcharge $ % i .001 of Permit Valuation (1/10th%) State Surcharge $� $.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 Determines) by ]Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary TOTAL $ ( STIPULATIONS— vv4W4 Lot V. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories (1 11 Urinal Basement Floor 1 Floor 3 Floor 4 PLUMBING FIXTURE RATES: Effective On May 10, 1999 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARKNUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR i Wash . FI OOr Shower `: > .11.1. .:..... Tra :�t��ti�l�<;<::;:; Dram Auto.Gas -:: ��' :> �.:•<.::.�. Water Heater Washer ":`"r< Range . }"` Gas Elec NO. RATE TOTAL JOB ADDRESS_ IOU �5 New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance C50 Ferner) �- Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes {) No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $z0___50 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. --z=0 ( z 2% . LINDGREN, ARCHIE Owner_ 6181 STARLITE BOULEVARD N.E. FRIDLEY, MN 55432 ;763) 571-4624 Building r� 00Estimated Cost PERMIT NO. PLUMBING COMPANY FZ_010&1AJC, SIGNED BY TEL NO.(61 lJZ7- gO33 Approved By Rough -In Date Final Date-la?_Q **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.