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PRE 2010 DOCSA y BUILDING PERMIT Village of Fridley, Minn. N° 2943 Date....... ...Y ........ ....... . Owner `. s✓.... �.... . Addressa. c V'-el. tBuilder .............................. Address .. % ® , , , , , . . . I� . Com. �. _ .� . . LOCATION OF BUILDIWb� No. .0..... Street ................. Part of Lot ....................... v Lot .... ........... Block .. T� ........... Addition or Sub -Division .. ...:...... , % e Corner Lot ............ Inside Lot ... f ....`.... Setback ' ... Sideyard�... DESCRIPTION OF BUILDING To be Used as: . .. Front *38 !00',Depth a� �. Height,4474 Sq. Ft. /0 .07 ! Cu. Ft, ........ .... ....... Front J. .: � Depth , � . Height ......... Sq. Ft— /X- X . Cu. Ft. Type of Constructio ........ Est. Cost ,� .. To be Completed � In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above .set forth and in compl' ce with all provisions of ordinances of the village of Fridley. W _ In consideration of the payment of a fee of $.1.1!5�:.� p rmit is hereby granted to .k. ....... ._ : k •... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _-) NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. heating, Date: City of Fridley, BUILDING PERMIT Nov. 8, 1967 l 7 -!!5' - N9 9545' Owner: MartlnRasseth Builder — A.B.C. Blacktop Co - Address 6221 Starlite Blvd. Address ___. 1308 Main St. N. E. LOCATION OF BUILDING No. 6221 StaN Blvd. . _ _ Part of Lot Lot 9 _ Block 3 _ Addition or Sub -Division _r _ S Ivan Hills, Plat 3 Corner Lot — Inside Lot Setback --- Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Asphalt Drive Front _ _ Depth Height Sq. Ft. Front Depth _ Height _ _ Sq. Ft. Type of Construction Est. Cost —_ $225.00 ___ To be Completed Cu. Ft. Ca. Ft. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above pet forth an�sr--compliance with all provisions of ordivanoas oY the city of Fridley. r 7� L In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to A.B . C Blacktop Co. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinance& CLARENCE BELaLE Building Inspector NOTICE: Thio permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or wafer. Be arra to no the Building Inspector for separate permits for these items. AP?' -LICA' ICY.1 CR BIPI ,DING 1` '-s'd.T CITY W i .ri+_�?:,'�, Pi"YNNESGT'A 011YER'S NAMEC- 7- 9 _ w_ Fiz'lf'�.w P, ADDFtiESSt�. L�_� L ®. 1J- tQ & AT)DRE.SS 0 LOCA:�'I.O�S Ot BU?}:DT? G 110. S TPM TX7,9 ' �f T' z & b, jV , e _PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT -INSIDE LOT SETBACK SIDE-YARD— SEWER ELEVATION FOUNDATION FLEVA'f' ON Applicant attach to this forai Two Certificates of'Survey of Lot and proposed building Location dram on these Certificates. DESCRIPTION OF BUILDING, To Be Used Ag: Front Depth Height ' Sq. Ft. —Cu. Ft.— Front t.Front Depth Height Cu. Ft. Type of Construe tion_&p4/yL T Estimated Cosh To Be Completed_ 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. DATE SIG1TATURE ,� -C . .T. - (Schedule of Fee Costs can be found on the Reverse Side). Y 53-84-S915.51 City of Fridley Applicaflon for Phunbing and Dept. of Bldgs. Phone 860-3490 DESCRIPTION OF WORK 1.ea 6221 Starlight Bled Number, Kind and Location of Fixtures ° `� y1 Q New Ground Run Old Bldg......... x $3.25 $ Electric Water heater ............. s $2.00 WATER HTR. N GAS ELEC. Base NO. RATE TOTAL 1st 3 Fixtures • • • • • • • • • • • • • • • Y Stk' 3 DW Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU .............. an $ Gas Dryer 1 5.00 2nd 3rd 4th Future Connection Openings * Now Fixture, Old Openings 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 fact and representations stated in this application are true and correct Fridley, Minn 10-19-70 19® Owner M Kasseth Kind of Building frame Sewez ❑ Used as Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $-- New _New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water heater ............. s $2.00 S GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures • • • • • • • • • • • • • • • x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1 5.00 REPAIRS is ALTERATIONS—Refer to Code Description ......................... , ..............• ..... $ TOTAL FEE $— 00 To be completed about res 10-24-70 10.00 Estimated Cost, $ Old—New. Building Permit No/,�j. Pera4it No. Signed /' f d Business Phone No ROUGH 01 SUBJECT City of Fridley a AT THE TOP OF THE TWINS BUILDING PER ' I T Ir COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 2/5/97 JOB ADDRESS 6221 Starlite Boulevard NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 3 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark/Elly Wheeler 6221 Starlite Blvd NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Design Enterprises Inc PO Box 49637, Blaine MN 55449 783-8562 8311 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 O NEW ❑ ADDITION 1� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace wall/tub in bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,000 $3.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU 10 OR TH PERFORMANCE OF CONSTRUCTION. $124.75 Fire SC $7.00 PLAN CHECK FEE TOTALFEE License SC $5.00 $140.25 IGNATURE OF CONTRACTOFrOR AUTHORIZED AGENT IDATEI WHEN PROPERLY V I &TED THS IS YOUR PERMIT SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI BLDG I SP TIATE 01 NEW [ ] Effective 1 / 1 /97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 9 L ConstructionAddress: F14 Ir - Legal Description: Owner Name & Address: 4,'= �/��• Tel # z Contractor: es �� L�� -� ./S� c t I� MN LICENSE Address: /f&Lnx Tel.# 78- Attach b' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length / Width Hgt/Ground/ � li�+l_ /7 C� 1? ✓ 9o�3 L �i1 iced° 1� " e--/ eC J)1. �7-4 Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. (Fee Schedule on Back) Driveway Curb. Cut Width Needed: Ft. +.. 6 Ft = Ft x $: _ $ DATE: X CITY USE ONLY Permit Fee $ fFee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ S $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ , (-')0 $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 $ Agreem-piit Necessary[ ] Not Neces j ] TOTAL $ • '` ---- STIPULATIONS:�� BUILDING PERMIT FEE SCHEDULE The Chief Building Official 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 repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of femto the amount herein below set forth and in the manner herein provided to -wit. - TOTAL VALUE s FM $1. to $500-.- $21 (Wirdimum Fit*:Is $2 . Jplus'surcharge) t--" $501 to $2,000 $21 for first $500, plus $2.75 for each additional $ 100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50.for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000. $349.75 for first $25,000 plus $9.00. for -each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000:plus $6.25 for eachlAdditional $1,000 or fraction thereof, to and including $100,-000 $100,001 to $500,000 $887.25 ._$5 00 fol each additional $1'.000 or. fraction thereof, $5,000 $500,001 to $1,000,000 Iwo $2887.15 ---- -- --- for the ----- Ph .25 r ch' additional $1,000oi- MI - $1,000,001 : and up $501215 for the first $1,000,000 Plus V".15 for each additional $1000 or I fraction thereof,._ DRIVEWAY(Concrete ' 1) n-cre te, (c� Alternate "A": Removal and replacement of curb and, gutter `ohii "Priveway Vidth plus 6 feet times $13.50. A 3 fbot wide "i Alternate "B": Removal and replacement of curb an&gutter- 4nd-,install approach with 6.in,ch depth -. Driveway width,plus 6 feet tines $15.75. VERIFICATION: OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time I o I f 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 it has been constructed will be required before proceeding with the framing. ZAW5. AAJ9CGvt!" 77-) 700' DDS -- 0 D &3 D, APR 8-2t�05 M32 CITY 13F PRIDL'EY ' P. 04015 ADONNEW ] CITY OF FROLEY ALTER SI1VQtt.� iF� hawv A v EI rPLt �r � '5{422 �� i ri�4IjM9 kap $UlLIaING AMMjTAppLjCA77QAN0 ) 77-72$T hex OonstrlxWnAddre i (Adt mai De.sc,�iptivn: OWrter Name & Address: hka,& 4 'p' I L9 U..) k ---I er �.aa� . � 1;4,e0O*aetcr. Y---YJesN r1,e t'= �" Address:' I C? .� r r MN L1Ct=lldSEhi 3'F Bch to this applic2tion, a Cet t icate cf Supmy of the rot, wfth dw propmeo coir. trtu tipn ftw on it to swie, ,II LJVJNG AWA: LOnoth Width OAR'AGE AMA:ength Height _ Sq. Ft a�cr� L ` wift Height. Sq,Ft, t77N ; Length •— Width 149ft►ou"d Sq- Pt. CO"Sttudon Type: . cr Estimated Cast; $ U,-) . q �7 t7+tiv+y C Cut W Needed: `__,_Ft a Ft = JMATM .,..�._ .� APPIICigN'i*, T � - Sq 4 -.'S TOL C211 til .lti' Qd Psarmf# tf Sir n :�pllca tan. ' 7OWl 12x7 If !l ing arson COM and We Wlft MR 3rau far c9rd t��laer. cny Use ONLY Permit Fee $ F+ee Schedule on Reverse Side Plan Roviow --�. 156% of Palmit Fm Fire Surcha/Qcti$ rge .ODI of PeM* Valuation (1/1 Oth%) State Surcharge, `.,_ a $.60!$1,000 Valuation SAC Chane $1450 per SAC Unit License charges, _� � $9.00 ( Liwn"d Residential Contractors) Curb CutFscrv�nr Aft. ",a►° or Alk " f3" Above erosion Control _ $460.00 COMOIVatlon Plan Review Park Fee $ Fee Determined by Engin ring S®vuar Main Charge Agreement Newssmy ( I Not Necessary I l � fMJL6UA % /n v �. M/ bR --MVr1 (Tn?H NNTW 1R79-bFR-7qA RG:FT RRGIZ/RZ/bR PLUMBING pem-dt No.: Oulu 0 U 1 "n Building - R ce�" d inspections RESIDENTIAL APPLICATION6 763-572-3604 CITY OF FRIDLEX D YO E-MAIL ADDRESS DATE SITE ADDRESS THIS APPLICANT IS: O OWNER '"CONTRACTOR PROPERTY NAME: OWNER/ STATE 1�/LIP CrrY ADDRESS: '�"��— TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # 651-365-1 �� n —EXP DATE I �'- (�� SUBMIT A COPY OF 3670 Dodd Rd. # 100 CITY STATE ZIP YOUR STATE ADDRESS: agan MN 55123-133PAX LICENSE WITH PHONE APPLICATION PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: ❑ NEW WPLACEMENT DETAILED DESCRIPTION OF WORK chever is PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% oft eettot l cosg the�tt up xtureso $55000.00, wh. (is should reflect only eater, for the the cost of labor ) improvement, installation or replacement of a residential , x.05= Labor cost under $3'00 = $15.00. Labor cost between $300 to $500 =cost of labor ICATE TOTAL FOR PROJECTS WHERE O OR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT �'' NOTED. NUMBER OF EACH W) SHOWER WATER PIPING _BATH SINK/LAV FLOOR DRAINS — SyJIA,1MING POOL —WATER SOFTNER ($35) GAS PIPING aX&D cn-rLj A BACKFLOW PREV. ($15) BATHTUB — KITCHEN SINK WATER CLOSET FOR IRRIGATION CLOTHES WASHER — WATER HEATER ($35) OTHER _DISHWASHER LAUNDRY TRAY �_ ` WATER ME"M w_ .. ri Number of fixtures @ $10.00 x $10.00 = Permit Fee $ --— Number of fixtures @ $15.00 x $15.00 = $ Surcharge 50 Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ - b State Surcharge = Total = $ 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 I understand s is conformance with the ordinances and codes of the City of Fridley a d with rt withoutMinn permesoit; that the work wConstruction ill be in accordance with lthe not a permit but only an application for a permit and work is approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT > \PRINTNAME l•(• City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ��/ 0 CP