PRE 2010 DOCSJ
SUBJECT
IT NO.
City of Fridley
21751
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
RECEIPT N0.
_ COMMUNITY DEVELOPMENT DIV.
L
t
PROTECTIVE INSPECTION SEC.
-y1 b
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
2/25/93
JOB ADDRESS 6430 Starlite Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4A
1
Doty/Wellner Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bauer Construction Co. 1080 W Co Rd E, Shoreview MN 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
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Construct a 241 x 43.5( 0 lot line dwelling; a 22' x 24' Garage; and a 10' x 10' De
9 CHANGE OF USE FROM TO
STIPULATIONS See notations on plan. Provide a verifying survey before capping. Provide
sod in the front and side yards. Provide a hard surface driveway. Paid $406.25
Park Fee.
SEWER LOCATION: 21 S of Water
WATER LOCATION: 77.5' W of Hyd. & 291 W of M.H. NOT GUARANTEE THE
1THE CITY OF FRIDLEY DOES
s
� = OF UTILITY !_01 A T IONS AND ELEVATIONS..
-� ACCURACY PURPOSES ONLY*
"-"�°F
Before digging call f0r THIS DATA IS FOR IiI�FOR'I,gTIC3N
HIS INFORMATION SHOUL0
ING
utility locations AND PERSONS THE
all SITE
454-0002 VERIFY IT ON
REQUIRED QV SEPARATE PERMITS REQUIRE® FOR
WIRING, FIEATIIVG® PLUMBING AND SIGNS,
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
$Q. 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
1 STALLS GARAGES
VALUATION
SURTAX
Fire SC
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$91,532
$45.77 $91.53
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-
$
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$1,495.80 + Park Fe
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HER R V ID TED THIS IS YOUR PERMIT
2
t
BLDG INSP GATE
SIGNATURE OF OWNER (IF OWNER BUILDERI IDATEI
J
NEW []
ADDN [ ]
ALTER[]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: k lff®
Legal Description:
�-- It-34so -
Effective 1/1/93
Owner Name,, &'' Address: (,U dj �--� Tel. # q Y � O l�
U
Contractor: ) . -7, MN LICENSE #
Address: 16 9 4) W C. -p � �Gi U-�' Tel. # !x n d S-/
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
24
Z4
�
LIVING AREA: Length..
Width 24 Height Sq. Ft.
GARAGE AREA: Length
Width Height & Sq. Ft.
DECD AREA: Length ot7
Width Hgt/Ground Sq. Ft.
OTHER:
SAC Charge
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback. Side Yard Setbacks
Type of Construction: nay ��f' Estimated Cost: $
Approx. Completion Date: 1 911S--5
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT. Cep- --
Tel. # q?R -6El
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$Cj/ S,-
1
.001 of Permit Valuation (1/10th%)
State Surcharge
$ , *7
$.50/$1,000 Valuation
SAC Charge
$ 4,00
$750 per SAC Unit
License Surcharge
$ 6 o ® a
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt "A" or Alt. "B" Above
Park Fee`,
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
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 fees to the amount herein below set forth and in the manner herein provided to -wit:
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 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. L
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.
TOTAL VALUE
FEES
$1
to $500
$15 (Minimum Fee is $15 plus surcharge)
$501
to $2,000
$15 for first $500 plus $2 for each additional $100 or
fraction thereof, 'to and including $2,000
$2,001
to $25,000
$45 for first $2,000 plus $9 for each additional $1;000
or fraction thereof, to and including $25,000
$25,001
to $50,000
$252 -for fwa $25,{100 plus $6.50 for each additional $11000
or fraction thereof, to. and including $50,000
$50,001
to $100,000
$414.50 for first $50,00 plus $4.50 for each additional
$1,000 or fraction thereof, to .and including $100,000 ..
$100,001,
to $500,000
$639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001
to $1,000,000 -
$2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 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. L
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 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
�(:A�.s/�•:AAs� {{tt
//��.
Urinal
Shower
:<:>::
Wash
T
•::•;�,,:�(.(>'�'�>
Floor
Drain
Washer
.G
`'«ra
s ...... Water Heater
ge GasS
Elec�
Ran
ones
e e
-Bas m nt
I
Floor r 1
Floor 2
Floor r 3
Floor 4
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures /Q
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas
Gas Range
Gas Dryer
Back Flow Preventer Required ( )Yes () No
Type
$7.00 9iG,U0
$ 4:00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$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 $C;r
JOB ADDRESSe 4e
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.
�4a; �'1993
Building Used As /e ,e��lP
1
Estimated Cost PERMIT NO.
PLUMBING COMPANY
SIGNED BY , ✓ate TEL N0.
Approved By CWE, Rough -In Date Final Date 12 --lo- 943
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
PLUS THE $.50.STATE SURCHARGE
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r-- -C DJ'S HEATING & AIR CONDITIONING, INC. 3 O O w y
O C HOUSE HEATING TEST RECORD N N a;
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m DI CD � GAS DESIGNED UNIT d o p, Z
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y Rated Input 0 016 C o
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Pressure °� s -a;= � Percent COa _, p� =r o
+ ID � in
Input CFH Percent Oa .5" 1 m 0 tp
'5' . O w
Stack Temp Percent CO '` 0
l 0
Heat Anticipator Setting
CA
Date Tested R0.
Name of Tester
i
k
CHIMNEY AND BTACK VERIFICATION
The undersigned hereby verifies that the existing
chimney or
stack:
I.
2.
Has been carefully examined
Is free from rust or deterioration
Yes
Yes
( )
( )
No
No
(
(
)
)
3.
Has no foreign objects lodged within
Yes
( )
No
(
)
4.
Is securely supported
Yes
(.)
No
(
j
5.
Meets all current Code requirements for
size and total BTU's connected
Yes
( j
No
(
)
6.
Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks
List Alterations -Being Done:
HEATING COMPA]
Signed By
Date
k
BAUER CONSTRUCTION 6124830518
Nome oesign Frew Estimates
Horne Builoing Addii}drtg
W. F. BAUER
CONSTRUCTION 00.
9080 West Couni't Podel E.
Shorevlew, PAN 55925
483.0518
Display Home 734.1748
FACSIMILE COVER LETTER
DATE: 0/
THE FOLLOWING RAGES (PLUS THIS COVER SHEET)
BEING SWT TO: 'f r
NAME
BY NAME ✓-ra+yv,�r' 1l
WHOSE FAUX NUMBER IS 483-9057
YOUR FAX NUMBER IS G -71-J?- S7
0
I -
C441
r
6124830518
BAUER CONSTRUCTION 6124830518
88-16-i"I size ANALYM& pap t of 1
16:47=24 T RUR Sol Ila ZM1 1, Fil
Frojeot Hams NuEh CONMICT1O( No Titles 4439-6432 &'CARUNT CiRO
------ T3 WORT" v3.41 --- MUNI Cad# UK Tyke of $elf pistributian
Ap iicationr
befiaatian Critvis
(MR)
TL hil
mactsbet Us
NOW To
k#sidential F140? {LDU
stras3 to"
Spas i
LL ball
L/M
L/240
Roof glop
Live Lnid(saf}+a..tYiiie/aa 48.9
Span 2
L/368
0241
Floor 869
Repetitiv
12.8
Total 8tfl.{in}
9.30
Rti,ntoTta
partition Lardtpsf}.,....... 8.6
--- --.. r�cr��-L►l��s, L�v��a�a=--�e�5s
-
$a�d.�,d-.._..
aldtl►_....
_ St:rking Point to
.__.
itsi-18.5Q"+-
a rcz of 1.75" x iM.375" Mw:CROai•AM <"> CS LVL 2.1DE 0 1
P. 02
slapetin/tt}..• Moo
WA
WA
;nd" Addtftt�i
s. [4
6 11 i1
ikfCf►TA}iT: The analyst: pr#s�C.ttd alae i9 ot+tpat Erns 5ditw3rt= dovelaped by Trufi Joist fld toil A{; clifitlproduat
—p1`ald4iC vilugz sh3'd16. iY@-1r11.�tCCt1�� it$_1( ? CtIY�!IM� S 11tol els amt coda arcoptd @esi8n velu� Ye oot uI-checked for
------ - applicationf input desiyft IDA45 and stat@" diEteneians h&ye - n P1.6"dsd-'br other#f
eoltfataznce kith the d9sign d-miing,s of tilt buildingf aid have not been Iftyle"d by TJm Cngin@ar ng.
The load conditioeo conafdated in this design inelud4 AlfxrtrAte ee b#f loading.
M1111a
%ign
Alicwa910
( 6899
WWI
261%
LEFT end Spas, E under 10% stress EDT
shear(h) 3662
kma'AtUt-lb} 4373
3441
6573
t 15511
10
RIGHT find $pan l undif 109s skrrss 10
Live Load aritatia
Lave B"fl.(in)
$.P49
( 6.4i8
i B.fZ7
L16d4
L/39
Wib Span a undot
MID $,sac 2 under 'fatal Load atiterae
Total 8tfl.{in}
9.30
His, Reaction Total{lb} V23 7347 8787
Liv UM 1433 5762 2165
hitt. Bq. W10(id) 1.5 1.6 2.4 3.5 1.5 1.5
&T. wbueed Length(in) 335 189 286
t`. Oright r"' 1993 by Trus joist hIciiillan, a Limit." pirtnsruhip, 9498, Ydahm
XlWaLAWRI is a registered tratil#ei+k of Trus Joist 1(a��fillari,
T,islzingT" it a tra45eark of Tt+1s TOiat l4toft1 AO—
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