PRE 2010 DOCSCity ®f Fridley, Mian.
BURDING PEPMT
Date: MAY 16, 1966
Owner: VERNON STEGEMAN
Builder
N° 8830
SUSSEL GARAGE COMPANY
Adm 6350 Van Buren St. N. E. Address 1850 Como Avenue
Fridley, Minnesota 55421 St. Paul, Minnesota,
LOCATION OF BUILDING
No. 6350 Street Van Buren St. N. E. Part of Lot
Lot 4 and 5_ Block 5 Addition or Sub -Division ____ Florence Park Addition
Corner Lot Inside Lot X Setback — Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Att. Garage Front 1818 Depth 24' Height 10 Sq, Ft. 432 Cu. Ft. 4,320
Front Depth Freight Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost _ 10300.00 To be Completed
In consideration of the issuance to me of a permit toconstruct the building cmcribed above, I agree to do
the proposed work in accordance with the description above se ,forth and in co g ce all p ons of
ordinances of the city of Fridley.
In consideration of the payment of a fee of4-00 , permit is hereby granted to SUS SEL GARAGE
COMPANY to construct the building or addition as described above. This permit is granted upon
the express conditiontFWdley
e , around and Minnesota rthin the dty limits permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
WILLIAM He SANDIN Building Inspector
NOTICES
rob penny don net sever the densfrudlon, hwhliatlen hr Widne, phmhlno, ge heating, sewer or water. Be sues to see
the Buihilu8 bqm for for separate pnrmNs for then tte n.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S
NAME Q X10y�
# C Q Vel C�.. vl_
BUILDER��
�.
INSIDE LOT
ADDRESS
Ar4y�
ZU Y-cy'
ADDRESS
0 - ,0
\A ® CLye.
LOCATION OF BUILDING
NO, �� •' STREET \[C', V%- lidu Y -e— PART OF LOT
LOT
BLOCK
ADDITION
OR SUBDIVISION
CORNER LOT
INSIDE LOT
SETBACK
SIDE -YARD J -
SEWER ELEVATION FOUNDATION ELEVATION
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
Frontt8" '�" -Depth Zq' ' Height O
Sq. Ft. T%� �� Cu. Ft.�
Front
Sq. Ft.
Depth Height
Cu. Ft.
Type of Construction_Estimated Cost
To be completed S v 1.0
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.
(Schedule of Fee Costs can be found on the Reverse Side).
U
P
IVA
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing any permit for
the erection of any building'or structure, or for any addition to any existing
building or structures or for any alterations or repairs to any existing
building' -'6r 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;
2,1."' -For any such permit for the erection of any fire -proof building,
other than nana a garage, warehouse, factory or grain elevator, or for the erection
of any fire -proof addition, for similar occupancy,. to any existing building,
shall be at the rate of $1.40 for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2 For any such permit for the erection of any fire -proof garage,
warehouse, factory or'grain elevator, or for the erection of any fire -proof
addition, for similar occupancy, to any existing building shall be at the
rate of $1.25 for each one thousand cubic feet, classified as "fireproof0/
by Section 502 of the Minneapolis Building Code.
HOUSES
2.3. For any such permit for the erection of any non -fireproof
building, other than a garage, warehouse, factory or grain elevator, or
any non -fireproof additionf for similar occupancy, to any existing building_ -
permit $1.00 for each one thousand cubic feet.
GARAGES _.
2,4. For any such permit .for .the erection of any non -fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non -fire -proof
addition, for similar occupancy., .to any existing building or for -each -such
building or addition - ninety cents ($.0,90) for each one thousand cubic feet
or fraction thereof, in'the cubical'coritents thereof with the minimum of $4.00.
For the purpose of computing fees for building permits, the cubical contents
of any building or addition to a uniform height throughout by multiplying the
ground area covered from a point six (6) inches below the floor line of the
basement or cellar to the average height of the upper surface or to the average
height of the roof surface of the main gable of a pitched roof.
2.5. 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.
2.6. In no case shall the fee charged for any permit as set forth in
Sectio 2n be less than $4.00.
STORM REPAIR DAMAGE FEES;
Residential; Estimated Cost of work up to 85C0,00 - $5.00
Estimated Cost of work over JV-1JJ
Commercial; Estima.r-a Cost of ril. 16 up to t5i'��CO - P, ^,CO
Es tima Cost of work over $500.00 - , .00
1-n — I C"-)1 Z -L
LOT --------
NAME -------
SIZE
19 x 24
BLOCK
ADDRESS
VALUES
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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,
672-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
Fumace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Others/Repairs.& Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
Commercial/industrial
1 % of Value of Appliance or Work
JOB ADDRESS to 3 S -o 4 �j r e� f ti
The undersigned hereby makes application for a permit for the work herein
Rate TOTAL 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
$ 20.00 $ U0_ representations stated in this application are true and cc
ct,
'J ,1993
$ 10.00 $ n _
OWNER
$10.00 $
BUILDING USED AS
$ 10.00 $
®o
$ 10,00 $ ESTIMATED COSTU�,� PERMIT NO.
l ��
DESCRIPTION OF FURNACE AND OR BURNER
$ No, of Heating Units_ % Circle One (Steam) (Hot Wate (Warm Air)
Trade Name Size No. 'I a
BTU n HP `L- EDR
$ Fuel Nv�Total Connected Load (1 V® d
State Surcharge $_.____.50
SO
TOTAL FEE C�
MINIMUM FEE FOR ANY HEATINGlCOOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS 115.00
PLUS THE $.60 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed In a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP EDR
HEATING COM PAWTON HEATING & EALING
Signed By BROOKLYN PARK, MN 55443 Tel No, e�
PHONE 424-8333
Approved By Hough—In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
4
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes (Ir -No ( j
2. Is free from rust or deterioration Yes (-No ( j
3. Has no foreign objects lodged within Yes (No ( j
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 000
All other BTU's lot ®y
TOTAL BTU's
Remarks 1
List Alterations Being Done:
HEATING COMPANY
Signed By
Date
ROYALTON HEATING & 660UNG
4 - 85 1 R AVENUE N.
BROOKLYN PARK, MN 55443
424-8333
HOUSE HEATING TEST RECORD
ADDRESS APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY
Electrical Work' By
TYPE OF HEAT GA FA HW STEAM
_INSTALLED BY
—Gas Line By
SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE MAKE OF BURNER _
Model Model
Serial Max. BTU Rating —
INPUT 3_ MAKE OF FURNACE
CONTROLS
THERMOSTAT Heat Plug
Valve
Limit
Limit Setting
Fan Setting
Pilot Type
Pilot Make
Pilot Model _
Pilot Timing
L.W. Cut Off
Model
CONVERSION
Vent Size
KIND OF LINER SIZE NONE
Draft Hood Regulator
Fi Iters Size Number
Chimney Location Inside Outside
Chimney Construction'
Smoke Bomb Wiring
Draft Test Tag
Door Pressure Lighting Inst.
Pressure Percent CO2 Date
Input CFH Percent 02 Coml
Stock Temp. Percent CO Name
Form 235
Tested
any Testing "
of Tester _
'
SUBJECT
PE
City ®f Fridley
2 8123
AT THE s
BUILDINGPERMIT
4
COMMUNITY DEVELOPMENT DIV.
` INSPECTION SEC.
r E PROTECTIVE
E
NUMBER
E1EV
DATE
PAGE OF
APPROVED BY
_
-" Ik CITY HALL FRIDLEY 55432
ti____Jl% �•� 612-571-3450
910415
10/6/98
JOB ADDRESS
6350 Van Buren Street NE
1 LEGALLOTP&
4,
BLOCK
TRACT OR ADDITION
1
SEE ATTACHED
DESCR.
5 Pt. 6
5
F
SHEET
2 PROPERTY OWNER MAIL ADDRESS
2 P
PHONE
John Nelson
572-1846
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Top Gun Inc. 5014 Parrish Ave NE Rogers MN 55374-
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 O ADDITION ❑ ALTERATION � REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (22 S 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
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
$1885
$.94
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
$59.50
Fire C$1.88
PLAN CHECK FEE
IOTA E
Lice S
$5,0
.32
SIGNATURE OF CONTRAC TOR OR AUTHORIZED AGENT (DATE,
EN DP
AT IS IS YOU ER
I
SIGNATURE OF OWNERIIF OWNER SUILDERI IDATEI
SL
NEW -[ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 6350
Legal Description:
Effective 1/1/97
(sera � a
Owner Name & Address:. J,66/Y2 /I lyso-, Tel. # 57a _ 1941do
Contractor: TOP 60/u Z�Ue MN LICENSE # -?6 AP 8-2//
Address: 50-1q iS`t t2tm fiJC e0c
jgAs 5.5 3 7 L/ Tel. #
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:
4,29 A
Construction Type: t2- ROor ( J-,e&/N 6�4 Estimated Cost:
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: J /®/ qy APPLICANT: Tel. # V55 9
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
$ -5-Y. S'-0 Fee Schedule on Reverse Side
Sewer Main Charge $
TOTAL $ to % 3.: 2
STIPULATIONS:
91Y
. 00 1 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$950 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 [ ]
r
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 mariner 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 for first $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 fust $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
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 VAX: (763) 571-1287
ADDRESS
6350 VAN BUREN ST NE
PIN
143024410082
LEGAL DESC
UNAVAILABLE
TOTAL
LOT BLOCK
PERMIT TYPE
: ELECTRICAL
PROPERTY TYPE
: RESIDENTIAL
CONSTRUCTION TYPE
: ADDITION/ALTERATION
PERMIT NO.: 2004-01651 C bq
DATE ISSUED: 09/22/2004 J
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. EXTERIOR LIGHTS; 100 AMP
SERVICE UPGRADE; ADD BATH FAN.
1;1 # 0-100 AMP CIRCUITS 2
APPLICANT
BOE ELECTRIC CONTRACTORS
25119 140 ST
ZIMMERMAN, MN 55398
I%=AV
NELSON JOHN G
6350 VAN BUREN ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
ELEC AMP SERVICE FEE
30.00
ELEC CIRCUIT FEE (0-100 AMPS)
12.00
STATE SURCHARGE, ELEC FLAT
0.50
TOTAL
42.50
PAID WITH CHECK # 5393
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.