PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 3925
Date: .... .......�...d..\ �........
Owner ....................... .............. Builder..............:pOl....ut..:.`..`v:. .....
Address ...................................... Address .............................................
7 ` LOCATION OF B ILDING
No. .'. : treet .......... .. Part of Lot .....
...... Addition or Sub -Di ... .... ..
Lot ... ... Block ...... .. .�°� ...
Corner Lot ............. Inside Lot ..A........ Setback a„Ie;JI.: .ideyard .I®.��. �................
DESCRIPTION OF BUILDING
To
.... Front .. /. . !0 Depth Height ! 7. ' Sq. Ft. A Cu. Ft., �.1.
...
Front ........ Depth .... .. Height ........ Sq. Ft. ........ Cu. Ft.
Type of Construction ................• •Fst...,le�i��.�.. ' 1 o be Completed ..............:... .
In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do
the proposed work in accordance with the description above set. fo In compliance with all provisions of
ordinances of the city of Fridley.
.....:. ........: .
In consideration of the payment of a fee of permit is hereby granted to ...................
......................... 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
SUBJECT
M O.
City of Fridley
12542
AT THE TOP OF THE TWINS
1 1 I L 10 PERMIT
r
L fid' � ,
REC .
• COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
.y
13,4 b
CITY HALL FRIDLEY 55432
NUMBER
REV. -
DATE
PAGE OF
APPROVED BY
`•--• ,"� 612-560-3450
910-F45
JOB ADDRESS
6241 Starlight Blvd.
1 LEGAL
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
ILOTNO.
11
SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Lyman Temkins 6241 Starlight R13zd
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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Construct a 20' x 22' garage
9 CHANGE OF USE FROM TO -
STIPULATIONS
Provide a hard surface driveway
SEPERATE PERMITS REQUIRED FOR WIRIN0,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED, FOR A PERIOD OF 120 DAYS AT
440
4,400
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
$2,332.00
1.16
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SAC CHARGE
PRO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
ST U TIO OR THE P RFO ANCE OF CONSTRUCTION,
8.50
PLAN CHECK FEE
TOTAL FEE
SWj NA RE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
W EN P 0
THIS IS YOUR PERMIT
=ED
-
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
BLDG. INSP DATE
-•
iHARVEY A. CARTWRIGHT
- ANOKA COUNTY SURVEYS
- HENNEPIN COUNTY SURVEYS
MINNEAPOLIS SURVEYS
8410 PALM STREET N W
SUNSET 4-7683'
OWNER
INDUSTRIAL JUDICIAL nclrrenrllr AI J1A.IM MIf4NEAFQLI5 3. MINNESOTA na=at,.i.rrswev igai,}:
'BUSINESS — TOPOGRAPHICAL + 'METROPOLITAN i,.ANb
ttr�eporertiftcatt
CITY LOTS - PLATTING ,}. : ..SURVEYORS. t3YAa4/St+rb a",a ,`'
.'i1s�i �:� _�. ar -.,� l 1::,'. lire G'_"'�•J ;� . .. .Ti.i�ia•v Z�� ��-.,��
_ '-aby ^vi��r �n �hi� Tr;aa ..r� ccarr�c � ro_�r: rren -.— on o �<.
s1,-- v . .
..;I:, C).. �..•3-i:;.._i;iG:? J: ? ._ t:'.'.:;._....:?'� ;� i' r''_� u... :O;' j :1 , t ,.1 zI . ....ii' G.�^.:'.^1'':('J''--
L. of ,n
r < ,
• r _
SIGNED
(;- 1p.ARTWRIGHT, ANIi'OLSON .-
Is
)owner
(
of the property located
G at
have no objection to the City
allowing the
construction of a�
to be located at'.
'
.49
without the required certificate of
. survey that
the City ordinarily
requires for all new construction.
Si cd
`l
Address
Date
C •
Witness
I
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S N BUILDER:/0..1to��,r 2
ADDRESS : LA ADDRESS :_
NO:. L � STREET: L. L -S \ SYS "'
LOT: \ \ BLOCK: \ ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDE -YARD:
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:
Q, o. Ck k, Front:.* a a Depth: Height: \ c,
Square Feet: y Cl Cubic Feet: a c,
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: �, f6 °� �, o a-r� Estimated Cost:
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: _ \ '\ - ` j SIGNATURE:
.(See Reverse Side For Additional Information.)
BUILDING PERMIT 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:
UNIFORM BUILDING CODE: Type 1,.2 & 4 - $2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for
each one thousand cubic feet.
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 $5.00.
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 Certified 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
to the use or occupancy of any structure for which a building permit has been
.issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
CEMENT TICKET
WESTERN CONSTRUCTION
D Date
City—
�ZiiL•L' t
Address
Name �`�°i'�✓ l
T—
Telephone c (R." Office
Permit Obtained By
Date Promised &
Salesman I
Cement Man—
Cement From—
Fill
rom
rill From
Garage Side 0:9X 2��X 2 -Apron
-Detached El Attached
k Wiremesh ❑ 1/2" Rods (a. -Conduit Pipe
Overhead Door Size ! Offset
,
Service Door Location ' "
Old Garage Removal By
Old Cement Removal By
Driveway Size
!`
Blox Si ze Jan c tion
Waterproof i0 1 Backfill
Excavation By
Gradual
Grade Fiat /N,Slope_
PLOT PLAN DETAIL
M
Steep
Slope
560.3450
co
it
.y of 7rijley
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55432
September 16, 1974
Mr. Lyman Lemkins
6241 Starlite Boulevard N.E.
Fridley, Minnesota 55432
Dear Mr. Lemkins:
This is to inform you that after a preliminary
study by our Engineering Department, it has been
arranged for a contractor to come in and lower the
entrance grade to your driveway. This should alle-
viate the problem with your driveway that you
brought to our attention. The work is planned to
be completed by September 20, 1974, weather permitting.
If I can be of any further assistance, please
do not hesitate to call me at 560-3450.
TAC/pl
Very t y yours,
Thomas A. Colbert
Assistant Engineer
SUBJECT
P
City of Fridley
26370-
AT THE TOP OF THE TWINS
BUILDING PERMIT""
r
fi
Vfr �s COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
//�
M
/
1
NUMBER
REV
DATE -'
6/29/98
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
JOB ADDRESS 6241 Starlite Boulevard NE
I LEGAL
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
ILOTNO.
11
3
Sylvan HMs Plat 3
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Lyman Lemkins 6241 Starlite Boulevard NE
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Premium Roofing 6680 Lucia Lane #11, Fridley, MN 55432
571-3973 20097688
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
O NEW ❑ ADDITION ❑ ALTERATION X REPAIR
X
O MOVE O REMOVE
6 DESCRIBE WORK
Reroof House & Garage (21 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS Underlayment must comply with the State Building Code.
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
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
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
$1 751
$.87
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
TOTAL FEE
License SC $5.00
$64.37
_.:�L
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY LIDATED THIS ISeYUR PERMIT
10,4
8L C INSPs
BATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: � / J TA &6R7
Legal Description: &LOFIA6
Owner Name & Address: % KZU4 i G,,LM 9Y l A,-5 (5-1410 Tel. #_
Contractor: P&�fQ/Gi /t'/%� MN LICENSE #
Address: c/p kO �, u e—i j I %/ 1fiiY�`t ./LI -lr Tel. # J �/` �%
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF LAPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
-) I � -i 6��ar"(�
G
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: 80(1 %lam Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $
DATE: Gl PCF APPLICANT: 1,4-/N1 c- c, j,-96- 'st/ Tel. #Hyl
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee $
Sewer Main Charge
TOTAL
STIPULATIONS:
5
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$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 [ ]
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 fees to the amount
herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$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 fortrst $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012:25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
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 it has been constructed
will be required before proceeding with the framing.
CITY OF FRIDLEY INSPECTION DIVISION
Effective On January 1, 1999
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEA`fING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS d41/0
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential
Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
3Q
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00
$ wo
representations stated in this application are true and correct.
(Side Vent —Fill Out Back)
A&,; s 1998
Gas Piping (Needed with new furnace,
$10.00
$
but not replacement)
OWNER ��Aq A Al cC—,4A k1 N 5
Gas Range
$10.00
$
BUILDING USED AS - j � ��; 6
Gas Dryer
$10.00
$
*Air
ESTIMATED COST PERMIT NO.
Conditioning — All Sizes
$ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (UST ON BACK)
1% of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water)
Trade Name Size No.
Commercial/Industrial
BTU HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge $ .50
TOTAL FEE $x.5.1
MINIMUM FEE FOR ANY HEATING/COOUNG/VE14MLATTON l a S`,
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Burner Trade Name
L -11J
HP
Size No.
EDR
HEATING COMPANY /e'er
Sig el No.����iA
Approved By Rough—In Date Final Date /
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
written permission from adjoining property owner.
List ALTERATIONS Being Done:
HEATING CO: Q /lee- V- 41 ie c o /V a
Signed By:
Date: z� HCl
CHMEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney or stack:
L
Has been carefully examined
Yes ()
No
( )
2.
Is free from rust or deterioration
Yes ()
No
( )
3.
Has no foreign objects lodged within
Yes
O 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
7.
Has a liner been provided for water heater
Yes (
) No
( )
8.
Has combustion air been provided for water heater
Yes (
) No
( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO: Q /lee- V- 41 ie c o /V a
Signed By:
Date: z� HCl