PRE 2010 DOCSCity of Fridley, Mian..
BUILDING PERMIT
Date: April 16, 1968
Owner: _. Ray Swens on Builder
Address _5615 Camden Ave. N. Address
Same
Same
LOCATION OF BUILDING
No
No. — 5963 Street Oakwood Manor _____, part of Lot
Lot ____ 6 Block 1 Addition or Sub -Division Van Cleave Addn.
Corner Lot —_ Inside Lot —.. . X _ Setback 35 ' _ _ Sideyard —_ & 10
Sewer Elevation 967.06 970.06
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
4l f�a/
9669
Dwelling Front 40' Depth 24 + 7 Height 20' Sq. Ft. 1051 Cu. Ft. 25,420
Garage Front 20' Depth 22 ' Height 10Sq Ft. 440 Cu. Ft. 4400
Type of Construction Frame Est. Cost __.. $12, 000 __ To be Completed Aug. 1968
SEWER LOCATION - 30' North of Manhole (Wye Only)
WATER LOCATION Tap
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 forth and in compliance with a'll provisions of
ordinances of the city of Fridley. /� / n
10Tf.00rOewer Connection Charge
In consideration of the payment of a fee of E 45. 00 .,permit is hereby granted to Ray Swenson Blders .
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 vi tib of any of the provisions of safd
ordinances. / 1 �1 (' i - -'r
Official
Gast
NOTICE:
This permit don: not cover the construction, Installation for whIng, plumbing, gas heating, sewor or water. Be am to see
the Building Inspector for separate permits for these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
ADDRESS_ ADDRESS
LOCATION OF BUILDING
NO.- STREET Cng:��- _
LOT �p BLOCR ADDITION OR SUBDIVISION4/X-x
CORNER LOT INSIDE LOT,SETBACK ,SIDEYARD
SEWER ELEVATION TOP OF FOOTING
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: lr;� r
Front- Depth
�r i4 +mow [,
Square feet Cubic F
Frond Depth , ?Height ( D
kuas'e feet_ ,.& , Cubic Feet�d�
Type of Construction�.�� �,.�� Estimated Cost1�
To Be Completed CG���- 2! �/go
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.
DA ?__,SIGNATUREa4t
(Schedule of Fee Costs can be found on the Reverse Side).
r /A
City of Fridley
Application for Plumbing and Cas Rntng Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location.�
I
rn
I K
3
Number Fixtures ......................
— x $2.00
0
$ / �e
32
in
u�<S
3
Y
z
aC�9
p
C Z
8
Z
<-
�
ox
x $3.25
w0
c�
0�
z
z
(1 O
•
F
•
N
WATER HTR.
GAS
ELEC.
Base
x $2,00
$
GAS FITTING FEES:
NO. RATE TOTAL
go
1st 3 Fixtures ...... ........... .......
x $2.00
•
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
1st
Af-
2nd
3rd
4th
• Future Connection OpeningsI %Ionnecsea wun
New Fixture, Old Openings
PARTIAL RATE SCHEDULE
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.
Owner
Kind of ot"IuLur'
Sewer Used as
Cesspool
PLUMBING FIXTURE RATES:
NO. RATE TOTAL6
Number Fixtures ......................
— x $2.00
0
$ / �e
Future Fixture Opening ................
x $1.50
$
New Fixture Old Opening ..............
x $1.50
$
Catch Basin ............................
x $3.25
$
Water Heater (Up to 99,000 BTU) ......�
x $3.00
•0
$•
New Ground Run Old Bldg . ............
x $3.25
$
Electric Water Heater
x $2,00
$
GAS FITTING FEES:
NO. RATE TOTAL
go
1st 3 Fixtures ...... ........... .......
x $2.00
•
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ...................................TOTAL FEE
$ .? J•
To be completed about
Estimated Cost, $
Old Ne Building Permit No Permit No.
ROUGH
FINAL
4z
By
Business Phone No
19
FINAL
(REMARKS—OVER)
Application for Power Plants and Hearing,
Cooling, Ventilation. Refrigeration and r
,
Air Conditioning Systems and Devices `
PARTIAL RATE SCHEDULE
Dept. of Bldgs. Phone 560.3450
GRAVITY WARM AIR:
•
RATE
TOTAL
Location—
Furnace Shell & Duct Work ..........................$10.00
$
Replacement of Furnace ..........................
6.00
$
City of Fridley:The
Repairs &Alterations—u to 500.00
Alterations—up $ • • • • • • • • • • . .
6.00
.agreeing
$
specified, undersigned hereby makes application for a permit for the work herein.
to do all work in strict accordance with the City Ordinances
Repairs & Alterations each add. 500.00
p $
3.00
$
and ruling of the Department of Buildings, and hereby declares that all the facts
MECH. WARM AIR
"'
and representations stated in this application are true and correct.
Fridley, Minn_ (v) "' y ZZ 19&-
Furnace Shell & Duct Work to 120,000 BTU ............
$10.00
$
each add. 60,000 BTU .......................
3.00
$
Owner 1A, 's, ,�
if ag)�
Replacement of Furnace ..............
6.00
$
Kind of Building��i
Repairs & Alterations—up to $500.00 .................
6.00
$
�����
44-kRepairs
&Alterations each add. $500.00 ..............
3.00
$
Used as �
���
STEAM or HOT WATER SYSTEM
To be completed about ,b,��®�✓�
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ......
$10.00
$
Estimated Cost, $
Furnace Shell & Line --to 640 sq. ft. EDR Hot Water
... 10.00
$
Old uilding Permit No. Permit No.
Each add. 200 sq. ft. EDR Steam ......................
3.00
$
Each add. 320 sq. ft. EDR Hot Water . ................
3.00
$
DESCRIPTION OF WORK
OIL BURNER—to 3 gal. per hour ........................
over 3 gal, per hour—See Fee Schedule
6.00
$
HEATING or POCK PLAINTS -steam, Hot Water, arm No
GAS BURNER (up to 199,000 BTU) .......................
5.00
$
Trade Name ��� �`� Size No -
over 199,000 BTU See Fee Schedule
Capacity Sq. Ft. E.D.R-,✓��i BTU H.P.
GAS FITTING FEES:
1st 3 Fixtures ......................
NO RATE TOTAL
x$ 2.00 $
'
Total Connected Load ��/ Kind of Fue ✓ `� -f
Additional Fixtures .................
x .75
$
BURNER —Trade Name—(��' �'� Size No-
o
Gas
Gas Range to 199,000 ...........
x$ 5.00
$
Capacity Sq. Ft. E.D.R ® BTU H.P.
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS TOTAL FEE
$
$ /
sip&Y N.WELTER HEATING C ® .
463377 CHICAGO AVE.
By
ROUGH
��AOI
ae Business Phone No-
FINAL
(REMARKS—OVER)
Width eight No. of
w o! ane of ane 11gV&
Lineal ft
bf crack I
Area
sq ft.
-,
pts of North Central `Pc Service Go„
pd
d
el
» �
CITY q
rTy,9
1fA88 FCALCUL=0148
,.;
�- --T TOWN //
DEPARTMENT OF BUILDINGS VILLAGE
Btu
yi
S.I3.V.E.
•
Construction No.
Insulation
h
Coef.
Guide
Reference
fnfiilt, anon,` u,
Coef. Btu
Infiltration '
N
656
$off "" " boars
Out. Wall Int. Wall
Ceiling
Roof Floor
Kind
L� How Applied
!
Noy, No
19........
Inti.. wall
I1
Vlei
lam'
-7
Floor
oom I Length ®q id,-
Height
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area IF
Fl. �; m I Length idth .2 ht
f
„ Windows and Doors—Crr�ckage' and Area
and Area
Windows andb0ors—Crackage and Area
`.
Width eight No. of
w o! ane of ane 11gV&
Lineal ft
bf crack I
Area
sq ft.
-,
-
pd
d
el
» �
het eaP. wallIV!O
rTy,9
Chef.L
Btu
:��i�+H4{WNv+:'.-rad r .,a: '
M
•
Y
Coef.
Btu
fnfiilt, anon,` u,
Coef. Btu
Infiltration '
e"
656
Glass
qu9i d*,ft-E.D.& or
.ins. W.A. Leader area
Exp. wall
Net exp. wall
r. -
.:wa'il
Inti.. wall
I1
Vlei
lam'
-7
Floor
G
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area IF
FL IJ34jr Room I Length "Width VLMIght
Windows and Doors—Crackage
and Area
Width Height
No. of pane of pane
No. of
lights
q%4-, ed s4., int. E.D.R. or sq. ills. W.A. Leader area
°fit . " ., Room'. Length -):-Width Height
.11wUldows and Doors-Crackage and Area
' iflth eight • o. of Lineal ft.
Of of p 1 ht8 of crack sq.tL
Coef.l Btu
' .dovvc aOc►ira--'Crackage and Area
2
3
ght o. of Linealftl
ane of ane lights of crack
Area
sq. ft.
-
pd
d
el
» �
het eaP. wallIV!O
rTy,9
Chef.L
Btu
:��i�+H4{WNv+:'.-rad r .,a: '
•
Y
0 V `�
Coef. Btu
Infiltration '
e"
,Tet "p. �
Glass
qu9i d*,ft-E.D.& or
.ins. W.A. Leader area
Exp. wall
' .dovvc aOc►ira--'Crackage and Area
2
3
ght o. of Linealftl
ane of ane lights of crack
Area
sq. ft.
. Height'" "
Windows dnd Doors—Crackage
d
rw
» �
No. of Lineal ft.
lights of crack
rTy,9
Chef.L
Btu
:��i�+H4{WNv+:'.-rad r .,a: '
•
0 V `�
Coef. Btu
Infiltration '
,Tet "p. �
Glass
O
�
Exp. wall
Net exp. wall
$7-r
Inti.. wall
I1
Vlei
lam'
-7
Floor
G
Total Btu.
Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
e �
y
Coef.
"Tnffitration 10 1,
Glass
Exp. wall
Net exp. wall
Int. wall
ON®
Ceiling ? T
Floor -1
Total Btu. �'
�,
Required sq. ft. E.D.R, or sq. ins. W.A. Leader area 4
FL I @ Room I Length',— WidthT
. Height'" "
Windows dnd Doors—Crackage
and Area
rw
No. Width Height
of pane of p/a/ne
No. of Lineal ft.
lights of crack
Area
sq. ft.
Coef. Btu
Infiltration '
% `
Glass
(
Q'
Exp. wall
Net exp. wall
$7-r
Inti.. wall
I1
Ceiling ys
lam'
-7
Floor
G
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area IF
FL IJ34jr Room I Length "Width VLMIght
Windows and Doors—Crackage
and Area
Width Height
No. of pane of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Coef. Btn
Infiltration
Glass
! t
Exp. wall TY
®O
Net exp. wall
® 79
Int. Wall
Ceiling i y
Floor
Total Btu. A-73 00
ft, E.D.R. or sq. ins. W.A. Leader area I /
SUBJECT
PE
City of Fridley
17274
AT THE TOP OF THE TWINS
BUILDING P E R M I T
_
r
ECEIPT NO.
`L ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATEPAGE
OF
APPROVED BY
L 612-571-3450
910-F15
10/3/83
/
JOB ADDRESS 5963 Oakwood Manor N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
6
1
Van Cleave Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Chester Burmis 5963 Oakwood Manor 571-8527
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 X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
ElQ
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Fiberglass
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
1
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
$600
$.50
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.
$15.00
PLAN CHECK FEE
TOTALFEE
$15.50
.01
SIGNAT E CONT ORO TH900,011i DAGENT IN IDATEI
N PROPS LIWNSDAT THIS IS YOUR PE IMIT
gBLDGINSP I fOATE
SIGNATURE OF OIIF NE ERI IDATEI
CITY OF F1tIDLCY ' Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDIING PELMITS
(New. Alterations. Additions. or Repairs)
ADDRESS: f 4 A N
'BUI LDER : i
ADDRESS:
TEL K0: 7 /— 5 a 7 TEL 110:
Construction Location
STRMT NO: 6-� 3 STJtEF.T: ed C?t1
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: _ Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
G DESCRIPTION OF CON'STPUCTJON
�.� 6 Front:
Cr_(Jj-quarc Feet:
Depth:
Cubic Feet:
Height:
Front: Depth: Height:
Square Feet: Cubic feet: _
A e of Construct- "" r�
A Estimated Cost: S
Zb Be Cbr-pleted:
Alt. A Alt. S
Proposed Driveway Width If New Opening Is Desired: $ S
SEE P.EVF.R T-:' SIDE OF S}IEET
2be undersigned hereby makes application for a permit for the %:erk herein specified,
agreeing to do .all work in strict accordance with the City of Tridley Ordinances and
rulings of the Department. of Buildings, and hereby declares that all the facts and
representations stated :n this application are,true and correct.
Stipulations:
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Stories Closet _.Urinal
Basement
Floor 1
Floor 2
Floor 3
Floor 4 -
Effective On January 1, -1997
PLUMBING FIXTURE RATES; NO,
RATE TOTAL
New Fixtures
$7.00
Old Opening, New Fixture
$4.00
Beer Dispenser
$ 5.00
oiow Off Basin
_
$ 7.40
Catch Basin
$ 7,.00
Rain Water Leader
$7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
Water Heater -Electric
$10.00
`
$7.00
Water Heater - Gas** 1/
$10,00 jD
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes (} No
Type—
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS ANDIOR REPAIRS AND ALTERATIONS
1.54 of Value of Fixture or Appliance ` b z
State Surcharge $ .50
TOTAL FEE $ 20-,q
JOB ADDRESS SU -1 Dttwm� 1u0ty
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 Bu€lding Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner Ckp-� kknMLS
Building Used As j\LStj@fnCE
Estimated cost bsob . aT1 PERMIT NO.
PLUMB IN 9,ChRMgAN YJA6 tk(pe) � S(IYIS
Approved By 1�—"-4- Rough -in Date Final Date do 1%
. vn rants—,..it31 GAS PE
PWS THE $.54 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SEC71ON 504(A) AND TABLE 6--A. MINIMUM SIZE 9 SO INCHES.
T
C,
c
SUBJECT
City of Fridley
FT�6�
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
R I TNO.
`v _ ___ COMMUNITY DEVELOPMENT DIV.
Cl
r PROTECTIVE INSPECTION SEC.
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
L J\ 612-571-3450
9t0 -F15
9/23/99
,oe ADDRESS 5963 Oakwood Manor
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
oEscR.
6
1
Van Cleave Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Chet Burmis
571-8527
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Midwest Cedar Timberoof 1001 E Cliff Rd
-
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 24 S Tear -off
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Permit Inspection Cords
Will 110 malled
To Ho' memor 16 Pest
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
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
$2098
$1.05
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
$83.25
Fia SC $2.10
PLAN CHECK FEEXI
L FEE
Licen C$5x/.40
SIGNATURE OF CON'RACTOR OR AUTHORIZED AGE NT (DATE,
HE PR Y VALI O THIS IS R R I
SIGNATURE OF OWNER,IF OWNER BUILOM - iDATEN
BLJFG INS" O E
NEW_[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY �
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (p rA
BUILDING PERMIT APPLICATION ?,
��v1
Construction Address: 5qU�) K\good Wnar
Legal Description:
Owner Name & Address: Tel. # UQ -5q I-' �(
Contractor: �/i MN LICENSE # 1LI1
Address: IW �-. 0Y&( 'Qd. NO. Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
Construction Type:
Driveway Curb Cut Width Needed:
DESCRIPTION OF EVIPROVEAIENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Estimated Cost: $ �� �� ®q
Ft. + 6 Ft = Ft x $
DATE: APPLICANT: .i �: Tel. #
TOTAL
STIPULATIONS:
S q I •�-I�
CITY USE ONLY
Permit Fee
$ 3, S
Fee Schedule on Reverse Side
Fire Surcharge
$ 10
.001 of Permit Valuation (1/10th%)
State Surcharge
$ /, D S-
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ 5 v
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
1450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
S q I •�-I�
- '-
SUBJECT
City of Fridley
3215 1
AT THE TOP OF THE TWINS
BUILDING PERMIT
� w______ COMMUNITY DEVELOPMENT DIV.
`
572-3S0�4
RECE O.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
9/10/01
JOB ADDRESS 5963 Oakwood Manor
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
6
1
1 Van Cleave Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Chet Burmis 5963 Oakwood Manor NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Greg Wills Exteriors 4246 Royce St NE, Columbia Heights, MN 55421 763-788-0529
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
20037840
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION 0 ALTERATION l REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside House
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions for this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the manufacturer
states this in their application guidelines. Call for inspection of wrap
before covering.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
a
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12Q DAYS AT
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
$8,380
$4.19
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•
STR CTION.P,§ THE PERFO MANCE OF CONSTRUCTION
$167.25
Fire SC $8.38
I
PLAN CHECK F
Licens SC $5.0 /1$1
TOTAL EE
4.82
GNA uRE OF ON'RACTOR OR AUTHORIZED AGENT iDATEP
EN OPE V IDAT IS ISn/jIT
y
SIGNATURE OFOwNER sic OWNER BUiLDERi iDATE.
BLD -NSP - gAtE
NEW I l Effective 111/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: �� S Tel. #
Contractor:�/� MN LICENSE # 2 D ® 3 -7, ?-//0
Address: ��% /c.d�� �S'%—iJ� Tel. #_�3—
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:
Construction Type: f��,�/ty 91'L 7Z?/ W Estimated Cost: $ b 3 90
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$
DATE: APPLICANT:%�,Q Tel. #
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$ Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ 19 $.50/$1,000 Valuation
$ $1150 per SAC Unit
$ S--.
_. do $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 [ ]
U0
'11TY OF FRiDLEY INSPECTION DIViSION
1431 University Ave NE
=ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
tesidential
Rate
TOTAL
Furnace Shelf and Duct Work, Burner
Also Replacement Furnace
$ 30.00
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
$ 10.00
$
but not replacement)
Gas Range
$ 10.00
$
Gas Dryer
$ 10.00
$
'Air Conditioning - All Sizes
$ 25,00
$
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
$�
:ommercial/Industrial
1.25% of Value of Appliance or Work
$
State Surcharge
$ 50
TOTAL. FEE
$
AINIMUM FEE FOR ANY EATiyGICOOt,INaiVEidTiLATipM
IEFRIGERATION/A1_R.CONDITG PERMIT IS S25 00
'L US THE $ SO STATE SMROAM
!EINSPECTION FEE $47.00/Hr
Air Conditioners can not be placed in a side yard without
mitten permission from adjoining property owner.
JOB ADDRESS_�f-"—
OWNER CA/a—IL
BUILDING USED
Effective On January 1, 1�00
dln'-' KJ
C-0—
ESTIMATED COST 6D PERMIT NO.
DEl. IP ION OF FURNACE AND OR BURNER
No. of Heating Units l Circle One (Steam) (Hot Water) {WarmAi
Trade Name Size No.
BTU- HP �EDR
Fuel __ Total Connected Load
Burner Trade Name_ Size No.
BTU __ HP
1i
b�
3
0
M
d
A
The undersigned hereby rakes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes aro
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct. 0
0
DATE
HEATIN C SWT
Signe 1—
c
Approved 3 R6ugh-In Date Final Dat
U rr PAnl< SIf1C cn v
11,
ZO ' d -MM
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VRRIFICATIO
When replacing an existing furancs, the undersigned hereby verifies that the
venting has been examined and is free frorn rust, deterioration, obstructions,
and Is securely supported and firestopped
where required.
Yes Vj""No ( )
The venting system is plastic/PVC, and meets all current odes and manufacturer
spechlcations Including sizing, length, number of elbows and term{nation.
Yes C Y No ( }
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA -LAMA Category 1 Central Furnace Venting Tables for fan
assisted and natural draft appliances.
Yes (vYNo ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes WNo { )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturees
specificattons.
Yes P(No ( )
When Installing as new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does Include AGA-GAMA Category i Central Furnace
Venting Tables for fan assisted and natural draft appliances.
-
Yes M No ( )
M
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
�
separately as per current codes.
�)
Yes t'No { }
Appliance Type and SizelCommon Vent and Vent Connector Information
Appliance #1 Type BTU Input an Assisted or
Nat
Appliance #2 Type OTU Input fisted or
Nat
Appliance #3 Type BTU Input _ Fan Assisted or
Nat
Total Appliances Total Btu Input „
Common Vent Type Vent Height Diameter_ inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter,, _ _in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
AL?ERATIONS: (Describe) /Z/")C' ca,
14 I-V ` e-- , --7--
✓— S A-- //-- (-Y- ("Y /� �., I /nom
HEATING CO.
Signed By: Date:
ZO/ZO'd S09868L 01 A31aldJ d0 Ai13 W08J BS:ZT 0002 -TE -ADN
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
December 6, 2001
Chet Burmis
5963 Oakwood Manor NE
Fridley, MN 55432
Re: Final Inspection at 5963 Oakwood Manor NE
Contractor: Dave's Appliance Heating & Air Conditioning
Dear Mr. Burmis:
A mechanical permit was issued on August 17, 2001, to install a furnace and an air conditioner at
your address. According to the 1991 Uniform Mechanical Code, a final inspection shall be
conducted on the work authorized by this permit. As of this date, no inspection has been called
for.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permit open for another 30 days and if we do not hear
from you within this time to set up the inspection, we will file the permit and no further action will
be taken.
To set up the inspection or to have any questions answered, please contact the Building Inspection
Division at (763) 572-3604.
Sincerely,