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ENGINEERING, INC. ���°'°
Sfkix/ 4-6066
-- En9ineers � Surve�/ors —
1l�or�gage L�an Survey ior _ �� y �� r� - � � _, -'_ ` = } {
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wrh,nriyw� fr. Na r�sfad �dayrtYdm�s�aer.fs /are bm�reG�r dfeP`"rps` �'�°d'ishr� 1aflv,rs er� �rners.
q,/� y;f �d-�= �,�_ A� 1+ �Dn�? SG19G6Rl�AN EN6lNfERING, INC.
t�xrn amd fer�cyors
�� � ,.S rf �, i �
} ��C4�C ��� 1.0� � . bY� i �.__—_._J .
City of Fridley, Minn.
BUILDING PERMIT N� �i � �
na�: �_ —1 -- � %
��: T _ B,�a� - ----
Address � —.--� ...__ .._.._ Address .1_.--.—.
�� L CATION O-yF�yj��l.)�G
No. _.. �[�:���/�S treet-- - w ��� �`t-{d Part t -.—_. —.�._—
Lot ��"" �l._ Blodc — � ��_._._ Addition or � -Di� on _ � � ,` �
Corner Lob._._.---- Inside Lot _.._.E��� _ Setback �%—_ Sideyard ,�_�t3�!�`t_.._!�7 �
5ewer IIevaH� -`--�--.-.-._--- -_..._ Foundation IIevatioa _..�__._.. ....__._..._._ �_ .
DESCRIPTION OF BUILDING
: �
K �
�.f% P,'j� I� CG,� � � ��y
S
..:U' " � ' ._.... . Fmnt '-f`.. ' .._.. DePth � �%✓..._ Height .��_ Sq. F't f:.Jr_.iE-- Cu. Ft _ � �� - �G�(..f
.. .
............._._..........._.._._.�....__..._ bYo __... Depth -.__.........st' eight _ 5q. Ft. .....__.......... Cu. Fk _
. .�., / _. ._---
_
� -- � ,'• �_ Fst. Cos�� � !�l�� ��;Zl-
Type of ConstruMion __. ...._i�� .� � i�.i`<�-!._,,�_.~ -- To be Completed ..._.__.----.._..-----
� Ia consideratton of the issusnce to me of a permii to construM the bnilding described above, I agree to do
t6e proposed work in accordance with the description ahove set forth and ia compliance with all provi�ons of
ordinances of the city of Fridley.
In con�deration of the psyment of a fee of $,G{.�_"��� , permit is bereby granted to—
� � to conshvet the building or addition as describ¢d above. Tlvs permit is granted upon
fhe express conditioa that tbe person to whom it is granted and tus agents, employees and worlunen, in all work
done in, around snd upon said building, or any part themof, shall conform ia all respects to the ordinancea of
Fridley, blinnesoffi regarding location, conshvction, aiteration. maintenance, repair aad moving of buildings�
wio '��& city limiffi and this permit may be revoked at aqy time upon violati � any of the pxovisions of said
Building 7napeMor
NOTICE:
Th& pamit deas nof eever 1h� . oonurvefien. inshl4ebn for wirfny plumbinp, yu MNing� cower or waNr. 6� sun To aM
IM Buildio0 Inqwcror fx wpanro prmds fer rhna ihmc.
�4
� �
�. . : _
dddreaa
� - f • : i i � • .a•� �t
� �CATION OF BII2LDING
n n i
Corner Lot Inaide I,ot �Set
,,, /A...P /li�i Part of Lot
i q
Addition or Sub.Div.� �.-ua � ,
�\
SEf�t Ei.EVATION FODlIDAT7DN ELEVATZON
Applicant sttach to thia Yorm Cert3Yicate nf S1u^tey of Lot and gropoaed building
lo�tiott.
DS3QtIPTIOh OF BtTIIDING
•� - '-
. �
� � �� � �:
, � � � � �
F�oat Depth Height
Sq. P't. L�. Ft. �
Rjrpe of Conatruction J� ��i.� p Ssti.mated Cost�
���// �
To be completed
The underaigned hereby meikea application for a permi.t for the work herein apecified,
agreeing to do all work in striet accordsnce rrith the City Ordinances and ruling of
the De�rtmen't of Buildinge, aTUd hereby declerea that a].7. the Yacts and representa-
tions atatsd in thia application are trne and co ect.
DATf� SIGNATIIRE �- ,��"
(A Sahedule of Fee coata c�n be found on he Raverse Side.)
► � � N `� �
d r�::....
s
. sue�ecr � � PERMIT N0. �
City of Fridley � 2990
�
AT THE TOP OF THE NJINS g U I L D I�.N�.G -�. P E R M I T
: �.� � � RECEIPTNO.
� COMMUNITY DEVELOPMENT DIV.
� 1 1' '
r � PROTECTIVE INSPECTION SEC. y��O/
1 i �
1� /"'1 � CITY HAIL FRIDLEw 55432 NUMBEF nEY_ DATE PqGE OL ePVPOYED eY
..�.Jli �'J 812-5803950
910-F15 6-3-75 � �
- J08 AODRESS �
1 LEGAi . ��H�'4 a�OCK T � TRACTORADDITION SEEATfACHED
DESCR. SHEET
2 PR07EiiFVOWNER MAILADDRESS Z�P PHONE
�3 CONTRACTOR MAILADDRESS . ZIP PHONE LICENSENO.
d ARCHITECTORDESIONER MAILADDRESS � Z�P PHONE LICENSENO.
5 ENGINEER MAILADORESS ZIP PMONE LICENSENO.
8 USEOF.BUILDING �
RESIDENCE — �
7 CLASSOP.W09K
� C�} NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCPIBE WORK
CONSTRUCT TA D 1 x 32 x 1
9 CNANGEOFUSEFROM TO
�$TIP�LA710NS � .
� PROVIDE A HARD SURFACE DRIVEWAY & �
� REMOVE EXISTING GARAGE NOW ON I.(YP. ��@ p��£e��
�4 i`�l
'� i�re di;ai�g cafl local utili6es
�i tLENHONE - ELECTRIC -GaS EtC.
REt�UIRED BY LAW
SEPERATE PERM��S REQUIRED FOR WIRING,
HEATII�tGG, PLUMB[fVG RNa SiG�tS.
� TYPEOFCONST. OCCUPANCYGROUP OCWPANCYLOAD
S�PARATE PERMITSAR� REQUIRED FOR ELECTflICAL, PLUMBING. HEATING,
. VENTILATWG OR AIR CONOITIOWNG. FRAME
�THIS PERMIT BECOMES NULL AND VO10 IF WORK OR CONSTRUCTION ZONING SO.FT. CU.FT.
� AUTHOR4ZED IS NOT COMMENGE� WITHIN 60 OAYS,.OR 1F CONSTRUCTION �
OR �WORK IS SUSPENDEO OR ABANDONED fOR A PERI00 OF 120 DAVS AT � R��. SI.2 S� �.iO
ANY TIME AFTER WORK IS COMMENCED. - �� ..�NO. � DWLG. UNITS OFFSTREET PARKING
I HEREBY CEHTIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION STALLS GAflAGES
AN�KNOWTHESAMETOBETRUEANDCORAECT.ALLPqOVISIONSOPLAWS yALUATION SURTAX -
��AND ORDINANCES GOYERNING THIS TYPE Of WORK WIIL BE COMPLIED
WITH WHETNER SPECIFIED HEREIN OR NOT. THE �RANtING OF A PERMIT ��S3 � SSZ.OD 1. �J$
DOES NOT PRESUME TO GIVE AUTHORITY TO ��OLATE OR CANCEL iHE pERMITFEE SACCHARGE
PFOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ��
STRUCTION OR TME PEHFORMANCE OF CONSTRUCTION. .00 � �
. - PLANCHEGK�FEE � TOTALfEE � � � �
� SION0.TUAEOFLONinACT RAJTHOnIZEOnGENT IDATEI yyHEN PR PER VALIOATED THIS IS YOl1R PERMIT
SIGN EO OWNERIIf NEH ULOER PTEI B��G INSP DPiE
. .. .+. _ _ .. . _ , ,:.�, , . . �, -
APPLICATION FOR RESTDE�TIAL., ALTERATION,
OR Al)ll?TION.BUILDI'�G PERMIT
CITY OF FRIDLEY, h1INNESOTA
ow[vYx's rrar�: SOQ� �t�rnnhv avzr.vEx: Utvner
nDnx�ss: h�� (�-I.�ncr�� S-F-. �1� . nnrn�ss:
NO:. STREET:
zoT: 3'� � BLOCK: � ADDITION: �� �QY V i 2 W tt21 clii`�'S
CORNER LOT: INSIDE LOT:_ � SETBACK: SIDEYARD:
Appl.icant attach to this form ltao Certificates of Survey.of Lot and-proposed
building location drawn on these Certificates.
HESCRIPTION OF BUILDING
To Be Used As:
d�'0.Ch� C�Gt'�` }'ront:�Depth: 3�-� Aeight: !(� -l-I-
Square Feet: `6 / a— Cubic.Feet: �� i�
Front: Depth: Height;
Square Feet; Cubic Feet:
Type of Construction: -}f(,�p�,Q. Esti.mated Cost:�y��(�.DO
To Be Completed• ��� �'S a,° U
The undersigned herehy makes application £or a permit for the work herein
specified, agreeing to do all work in stiict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all Che facts and representations stated in this application
are t=ue and correct.
IlATE: lo - � - ��S SIGNAT[JRE:
(See Reverse Side For Additional In£o�atio .)
� oa
�-�� �ti c.,�.�
-� _ ��,� _ ,--
.
�
WORK ORDER
HOMEPHONE•
,q�xoF� NAME S�� �v� �`� � BUS. PHONE:
SIISSEL611Rl16ES �«a.....
Permit by JOB ADDRESS
Legal Description BLDG CODE AREA
Lot
Blk
Add'n SALESMAN CONTRACT DATE SIZE
VeluC FOR OFFiCE USE ONLV
Type Const.
Slab: In By Sussel CONTRACTOR JOB #
� By Owner Approx. SUSSEL JOB # CONTRACT #���
❑ Send Concrete Manual -
❑Don'tsend.ConcreteManual - t � ' ��k ��� � - , ���. ' ' '� � � . � ��. � . �
i � , . : ,
2-STARTINGS POINTS ONLY . � �. _, -. ! �_' � ��_. j�. �
S.P. L. , _ �2ra�s
,. �
S.S.P.L �
R.P.L. � . _ ` . : ; _
� Alley .. . ...... _ __ .. _ '. _ ._, ;.. . __._ . .
� .-._. , ..�._. _ _ __... �
�
House ._._:. . � .. � . . . : . . , ... � .
F. Street ' '
Other ' �j � . ��+ �
i i
❑ Square With � ` ' �' �.
❑ Rods _ ; _ ! � ! Q �f �
❑ Mesh h . � , : . iZ , r. :.. ; . ;
- _.,. ' .. __ ..
'-- —_-.� . _� .
❑ Sod Rem. - By. ... ..` _. . � . �, � — . �
� 5-Bag Mix � .. �� � . :.., . . , . . ; .-'- . -. . ; �
O 6-Bag Mix : {. � a _
❑ Tamping . _. , � _ . _ . - { !.. � .. I- _ . .
� No Tamping � : _. .. . _ .. . . . ,.. : . :. : � . _ . :. � �
� � A.B.U. = i � . ' ` . . . . =-.
� � �Grade Point --- �_� - �. �. _ : i
❑ Conduit — , ,
❑ Blocks QBY Owner[]BY Sussel „ ;. .� . ._ .' �., . �. . . � �. . �. !. . , :.. � , '.. i
❑Maintain8'TotalWall ` . : J. _ . . i . ' ' : . . .� - �
� Height including Blocks :. _�..� , , . � .. . .._� � , .. -.. '. _ � . ! � � �� �
OMaintain 8' Wall Height on - ' � - '� � � - �. �, � .
Top of Blocks , ...�... . - : . _^ 1 � ._ - . . . . �
❑Other _' ' .� ��' . � " .` i 1 .:. `�' �. . . j
. ___ � _ . �. __ . .
❑ O.H. Dr Offset �.__ _� �... __. , _ --_.. w �_ _ �_. _. ��� s
❑ S.D. Location � ._ . , . � i , `
.. _ { ,
O Windows .._j ._� .: _. . _ , i . ;... . �. ...,.. : i
Existing garege: No O ' ' �� :' � '� � '�' . � ^_. "" . j .. i .
❑ Detached T]Attached Yes ❑ . � .. � + , . ...t � . . . � .�. i � . . - ,.� , . ! , ..
Size of existin x — � . ._.. ' . . . .. . � � � i ' � � :.
9� � 1 . { � . . ; , : 4 .. �
Existinggaragewi116e: ,___. � �„m��.._ _,...... _,._ _ � _ ,
T _ �_ �.�_ k _. _. _ .. _
❑ Left as is ; � � : '� � � 3 � �
❑ Converted to L.S. - sv owner � � �
_ � ;
� ,
❑ Removed6Y: Owner❑ . ,.. ..._. _, i -' , . t .... . . _. . �...� ,
.... . ' . ' °.
Sussel ❑ , � . .�..� . ___ .. . . �. ..... � , { { , . ' . . �;
.. ,_ . _ _ . - i i
Junk Must Be Removed By Owner ' ; � { ' �
. . .. ...� _ , . _ * ; ' � . -, ; ; , �, , .. 's
D Spec'�ty removals bY Sussel —"--- _ ._� _.._._._..`._ .�i.� ' . �.lF— _ . . .. _. ,..
or Owner - trees, bushes, etc. .-. . . ..,. � . . , . .: . . .. _, . , .�
D Show approx. dis[. garage to - -��. -.- � r �� . .� + .. .. - ; , . � ��
,_. � �.. , . _ . .
house and all prop. lines - ���. • ._ � �; � ;
Stakes visible - ❑ Yes O No � . , � . . � . . ' ' i -
Survey available � O Yes ❑ No � � � .. E . . , .. } , .... � .. _ �,. , .. . . '
� ❑ Special instructions from �... -:-.. — ....- � -- --..—, .- _.�_ . _ k .._ � . . '.._ ..;
owner. , _ . ; _ . � . � . ' r _ G _ ; F
;
' { ,;,', 1° , � � ! ,
�: _._ .._ . . n % � � I , - , . F
_ t , ,. J ' � ., i
}��� -t
. . . . . i R'R"�. � � � , � Y.�. . . �}� �..N , . . .. - . . t . �
: t . � . . . : � � � �.
� , _ _ « _ _ _ . . _, i . � . . _ �._
, � , � r ;
`PJlRL¢FS.4i1SEL�CT� . ' .•� _ � ._. _ .,.__ � �t�_.? �. � —. _ .� :__ �._ ... � i _Il��B.�T10N ;.
P-4
�
SUSSEL GARAGES ":�ssEL°�o9:0'<�.
��- 1" x 8" Ridgeboard
� 2.,ks�
\ Raft��s
�
��
1" x 6" W-Bracing —
when applicable
per Minn. State Code
�
\
2" x 6"
Cross Ties
ROOF: GABLE REVERSE GABLE Hlf
EAVE OVERHANG:
RAKEOVERHANG:
240# SEAL DOWN SHINGIES WITH PLYWOOD
ROOF SHEATHING
Plywood Sheathing
240# Seaf Down Shingles
3/8" Plywood Trim
G ussets
2" x 4" Double fascia
Top Plate ' 1" x 4" 5ub
Fascia
Soffit
3/4" Gove
NOTE: _
1) Trusses set 48" O.C. (Gusset - 3/8" Plywood).
2) Intermediate rafters are 2" x 6" 's braced with 2" x 6" collar ties.
3) On 20' and narrower garages, eliminate the W-bracing and collar
ties.
4) Roof approved for 30# sr�ow loads by Minn. State Building Dept.
5) Hip,roofs consist of 2" z 6" rafters, 2" x 6" cross ties 48" O.C.,
2" x 8" hip rafters and nQ plywood gussets are used.
; # ._
�.
RAFTERS: 2" x 6" T6" O.C. 24" O.C.
STUDS: 2" x 4" 16" O.C: 24" O.C.
WALL SHEATHING:
SIDING:
OVERHEAD DOOR HEADER: Double 2"x 12" with without steel
plate, plywo0d filler. ;
Slab on grade construction approved per Minnesota State Code. Refer
to StateBuilding Code Letter Number 13.
SLAB: 4" WITH MESH 6" x 6" #10 Gauge
�►�:�i�
�
�
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2" x 4" Studs
Siding
'h " x 7" Anchor Bolt
per U.B.C.
2" x 4" Bottom Plate
Grade Line
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' ' GENEHAi OFFICfS: -. � �
1850 Como Avenue MaM�aro, Minnew�a
� � � � SI Paul,Minn.551p8 118So.FrontSt.,Fifi001
� ���i���i<w°Fwir Phone:612-685-0331 Phone:15071367-8247
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Purdwsers
oFFices: ORDER CONTR
Focheuer. Minnesota E3u Cleire, Wisconvn � Date;�
821 - 3rd Ave. S.E., 55901 T316 Fairfaz St.; 58701 �
Phone:l5Q112&5-U44Q . Phone:(7151835-4351 �� NO:
.. HOm@ �IOIIC: � � ? � �.
� Businas Phone• �
..+- L_
Zip Cod
Deliver To• ' Building Code Area -
1. $ize of Gmage rc
�etached ❑"All-BiIY' — Built by SUSSEL
� Attached 'Un-BiIY' — Built by Purchaser — Pre-Cut Materials �
❑ Replacement �'Near•BiIY' — Framed by SUSSEL — Framing includes installing all framework (dimension lumber); The Purchaser
instalis the remainder of the materials including windows and doors.
2. Roof Style: Hip ❑ Reverse Gable Eave f .s Rake d❑ One End Roof �
� �ahlefl [lther OverhanalZ OverhanaE�� J�..Two Ends Pitch �Z
3. 240 Lb. Seal Down l�'RCpfhr
Roof Shingles: C�Siherre
4. � Wall Sheathing �� � :j
5. Type Siding � ;��
Gable End Siding �
Front Wall Siding — Hip Roof
6. Overhead Door Size
& Type: ,/i� �I�
and
Windows:
and Quantity ��+�" 3*� ��
Rafters�r X ���1.C. ncl�ed
Number of Wal! °� 15# FelY�t �„�i,
15# Felt �- ��'�`�°OC1 Studs�F O.C.
Incl Wed
S�d�n9 - Matcfi fwuse Exposure �,�,_
� - Don't match Nouse The exposure shown
ne End above may vary so
oth Ends that all rows have
Wall equal exposurewhen
Full Wall applity,
oysuSSE� Glass Overhead door
by Purchaser No Glass header �j
�� edwoodJa'mbs �❑ eelPlaty�
u Windows: Quantity
Glass $tYle
...__� �__�_
8. Cement Slab: ❑(ncluded ❑ Mesh ❑ 6 Bag Mix y��sofconcret�erTncluded-
(TwoFOOtApron—Conduid ,�Votlncluded ❑Rods ❑5bagMix �tobeappliedbyowner
9. Ground Preparetion ❑ Included Excavation & Dirt Removal: ❑ Included
for �lab build-up� C�,S Included �lot Included __
10. 42" Frost Footings: ❑ Included TYP
8"Met Included Lin. G! � �� — -
12. Or�'
� r-1 e�....ar '=-- S9�
Sidewalk: Sq. Ft. Patio Slab with Mesh: --
........`-...�-�_
A. The Purchaser agrees to purchase the above improvements and/or materials at the time price, which is the sum of the cash down
�payment, if aoy, and the total of payments, as set fonh in instaliment Sale Note exec.uted this date by urchasers, and the Purchaser
agrees to pay the total of.payments rding to the Installment Sale Note signed 6y Purchaser in�equal monthly installments.
The first in Ilment d`du � 10-15-20-25-30, 79�. Purchaser may paY.�all or any part of the amount ordered on or
before
B. ❑ The Purchaser agrees to pay cash on receiptof invoice. .
C. Unless otherwise stated, this contract does not inctude painting, staining, electrical, gutters, or fireproofing.
D. Lum�ber, millwork, carpentry, and concrete specifications as outlined in our Brochure.
E. The 8ussel Company Satisfaction and Performance Guarantee and the Terms �and Condl4ions as set forth on the reverse side hereof, are
hereby made a part of this agrfement. r- � �
Purchaser'sSignature �` ' ' ' "` ` AMOUNTORDERED ............. S ��3Z_
THE SELCOM Y �'""�� TOTALOFPAYMENTSw�wa�gF���cna,g�i S
gY i READ REVERSE SID�
(DISTRICTSALESMANAGERI ` �
$� � VJjnle ,- Qif���CqpY Pink - Qifice C�.�pv Yellow - f�stomw CoIN Yelbw - Cusame� Copt ,
THE SUSSEL COMPANY FIVE YEAR SATISPACTION AND PERFORMANCE GUARANTEE
A. The Sussel Company guarantees all materials and workmanship furnished by us for continuing satisfaciory
performance under normal usage and will promptly repair or replace substantial defectiue materials or
workmanship at no charge within a period of five (5) years from the date of delivery or installation, ezcept as
otherwise set forth ir this paragraph. Roofing and siding workmanship is guaranteed for two years from date of
our installation. Roofing and siding materials, household and mechanical appliances and fixtures are guaranteecl to
the extent of the manufacturer's warranties. Proper operation of enclosures, doors and windows is guaranteed for
one year from the date of our installation.
B. If we do the concrete work, we guarantee to properly locate your unit complying with all local building codes
and zoning ordinances.
C. We guarani�e the expert workmanship throughout construction of our entire unit.
D. We guarantee to carry workmen`"s compensation and public liability insurance protection.
E. We guarantee to carry all necessary licenses and bonds as required by the applicable building code and
zoning ordinances.
F. Our responsibility under our guarantee is limited to the repair or replacement of defective materials and
workmanship and we shall not be liable for consequential damages. It is understood that we are not liable for water
damage to any building or the contents therein, nor are we liable for any damage caused by water seepage into
basements. Further, our guarantee does not cover cracking, peeling, or pitting of cement work, or any other
damage to concrete or asphalt from ground settling, frost heave, road salts, or other conditions beyond our
control.
G. If you do any portion of the outside or inside finishing work, we guarantee to replace free of charge, lumber
or material originally purchased from us that you may damage during construction; and to fumish free help if you
run into a problem with your work
H. We guarantee to supply you with all materials needed to fulty complete the unit as purchased.
TERMS AND CONOITIONS
1. This contract is subject to approval and acceptance by the General Manager of the Sussel Company.
2. This contract re{�resents the entire understanding of the parties hereto. There are no verbal understandings or
representationsin addition to or modifying this contract. "
3. The cost of changes, if any, required by building codes; variances, if required by building codes; a survey if
required to determine boundary lines; and changes in work resulting from unusual sub-soil conditions and
obstructions, above or below grade; are not covered by this contract and shall be paid for by purchaser.
4. All surplus materials remain the property of the Sussel Company.
REQUIRED NOTICE TO DEBTORS
A. Do not sign this before you read the writing on the reverse side even if otherwise advised.
B. Do not sign this if it contains any blank spaces.
C. You are entitled to an exact copy of any agreement you sign.
D. You have the right at any time to pay in advance the unpaid balance due under this agreement, and you
�may be entitled to a partial refund of the finance charge.
' , . . _ .