PRE 2010 DOCSS.
SUBJECTT
NO:
City of Fridley
21749
AT THE TOP OF THE TWINS
BUILDING
PERMIT
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
L
r PROTECTIVE INSPECTION SEC.
"1 CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
2/25/93
JOB ADDRESS 6422 Starlite Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3B
1
Doty/Wellner Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bauer Construction Co 1080 W Co Rd E, Shoreview 55126 483-0518 3231
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 n NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
g
B DESCRIBE WORK
Construct a 44t x 24k 0.. 'lot line Dwellin •
a 241, x 221
Garage; and a 101 x 10' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS See notations on plan, Provide sod in the front and side yards. Provide
City with. copy of verifying survey before capping. Provide a hard surface driveway.
Paid Park Fee of $406..25.
WATER LOCATION; 77,5t W of ayd, & 291 W' or
M.H.
WARNING
SEWER LOCATION; 2t South. of Water
Before digging call for
all utility locations
454-0002
THE CITY OF FRIDLEY DOES NOT GUARANTEE THE
REQUIRED BY LAW
ACCURACY OF UTILITY LOCA T IONS AND ELEVATIONS.
THIS DATA 1S FOR INFORMATEON PURPOSES ONLY,
SEPARATE
PERMITS REQUIRED I° OR
AND PERSONS USING THIS INFORMATION SHOULD
VERIFY IT ON THE SITE.
WILING, HEATING, PLUMBING AN®'8-
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
VALUATION
SURTAX
F're SC
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$92,630
$46.32 92.63
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-
$608.00
$750.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
License SC
$5.00
$1,501.95 + Park Fe
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
PR
L LID TED THIS IS YOUR PERMIT
11
C4WHE
2SIGNATURE
OF OWNER IIF OWNER BUILDERI IDATEI
LDG INSP
DATE
S.
24x Z. = 5-2 8 150.r 7f
/ox /p r, / 60 >",48
19,09000
7 2.63
96.3 Z
2SD.DO
-IL 0(a,25
r-G)-
migm-le "I -
$31d.7Z
745, e�
qX30s 10
NEW [ ] Effective 1/ 1 /93
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2
Building Permit Application
Construction Address: '10ft- lo4'?�2 S te4'- 4 "k-
Legal Description: Go 7 ` 4'M 4, /3' la de- 4-40le'l, el,
Owner Name & Address: Tel. # ®5a�
Contractor: w F da &- * t-- MN LICENSE # 3 3 1
Address: 1,9k0 I" G47 iee(4 Sia o m1 00"/V Tel. # I/F S & s `f
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:
Corner Lot [ ] Inside Lot [ ] Ft.
Type of Construction:
Approx. Completion Date:
Yd Setback Side Yard Setbacks
Estimated Cost: $
C7 , 6:g®
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE:
r�
APPLICANT:Tel. #
CITY USE ONLY
Permit Fee $ oc0 . ®� Fee Schedule on Reverse Side
Fire Surcharge $ 7 2.43 .001 of Permit Valuation (1/10th%)
State Surcharge $_ + ..322 $.50/$1,000 Valuation
SAC Charge $ 7i o ®® $750 per SAC Unit
License Surcharge $ 0 $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee f ®Gr 2- $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ 1. Not Necessary [ ]
TOTAL $ 6 . Z 0
STIPULATIONS:
� r,
rEngineering
Sewer
rot
U Y Water
QC
Cr O Parks
3- Streets
- U Maintenance
U—
W J
� CD
O =
a
MEMORANDUM
TO: Barb Dacy, Community Development Director PW93-179
FROM: Scott Erickson, Asst Public Works Director��
DATE: May 12, 1993
SU BJ ECT:
6420 -6422 Stariite Circle
On May 5, 1993,.1 performed a field inspection of the above referenced property to verify
potential drainage problems relative to this site and the neighboring property to the south. It
appears that the rear lots of 6420 - 6422 drain to the neighboring property and pond on the back
of this lot. With minimal grading, the drainage from this area could be routed to the street via
a small grassed swale. If you have any questions regarding this information, let me know.
S E: cz
1!JR
CrTY OF
FM DLB
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1; 1993
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING
SYSTEMS AND DEVICES
JOB ADDRESS �yr ,S �ar ��'�`� �`✓c��
RATE SCHE121Jl E
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 –
o�
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 20.00
$��____
representations stated in this application are true and correct.
,1993
Gas Piping (Needed with new furnace) $10.00
$ t
OWNER jam,/. I3n) ry -i, C-o,'7f -
Gas Range $10.00
$
BUILDING USED AS ,a r7�� �a ,,,
Gas Dryer $10.00
$
�
ESTIMATED COST ��o® PERMIT NO.
*Air Conditioning – Ali Sizes $10,00
$ (G•�'
•
QESCRIPTION OF FURZE AND OR S ! NER
All Others/Repairs $ Afterations (LIST ON BACK)
1% of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No. G d-i e62 SO 3
Commerciallindustrial
BTU r oCIe:?, HP EDR
1% of Value of Appliance or Work
$
Fuel/— Total Connected Loader
State Surcharge
Burner Trade Name Size No.
BTU HP EDR
TOTALFEE
v j
HEATING COMPANY
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
Signed B Tel No:
PLUS THE x.54 STATE SURCHARGE
REINSPECTION FEE $30.00
Approved By Rough–Irl Date Final Date
*Alr Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
I
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined
2. Is free from rust or deterioration
3. Has no foreign objects lodged within
4. Is securely supported
S. Meets all current Code requirements for
size and total BTU's connected
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks
Yes
Yes
Yes
Yes
Yes
(
(
(
(
(
) No
j No
) No
j No
) No
( )
( j
( )
( j
( j
List
Alterations Being Done:
HEATING COMPANY
Signed By
Date
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
. MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
New Fixtures
J Q
$ 7.00
90, C
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater —Electric
$ 7.00
Water Heater — Gas
/
$10.00
Q
Gas Range
$10.00
Gas Dryer
$10.00
Back Flow Preventer Required ( )Yes
() No
Type
-$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
State Surcharge
$ .50
TOTAL FEE $ .fib
JOB ADDRESS
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.
,/j!�4_ �O�/ , 1993
Owner
Building Used AsIP llPSle���
Estimated Cost 'K06600 PERMIT NO.
PLUMBING COMPANY 1 �?X111
SIGNED BY TEL N0. 23 `"— 131Y
Approved By. Rough—In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE