PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: 119=14! l.P _
Owner:(.....�_...�,�K��.-..+�.:.��`_"�! .__.._..._.._._.
Address
Builder
Address
/ ,��ly LOCAT ON OF BUILDING
IfCZNo. Z.0.77— Street __.�� +t�__ SEt._..._._._...._ ... Part of I.e ....._...__..__.___.. __._......___------ _
Lot .......... ....... Block ....._.................. ................. ddition or Sub -Division ....._... .. . .......:_......-• ..........e... ..
Corner Lot .......................... -........ Inside Lot ....._ .... Setback ....._. .,, .� .._........ eyer .....�e ._.......................................... _...........
Sewer Elevation....._............._............._......._..._..........._......._...._......._...._........ Foundation Elevation
DESCRIPTION OF BUILDING
To Used f �j�' .. Cu. Ft.._.- •- ----- ,�i
Front .�,��_. Depth ....i� . Height ....'L-_.. Sq. Ft. l X.-iG�
.... ................... ..---------------._.......----.. Front ....._............._.. Depth ........-..eight ............ Sq. Ft. .... _............. _ Cu. Ft.......................
Type of Construction ......: .._............-._. Est. Cost....................._._........ To be Completed ._.._................................
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 set forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $., ..__..:._ .:.., permit is hereby granted to. ..................... _........._.
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 violatign of any of the provisions of said
ordinances. ,-I A .n 1' )
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these Nems.
1b
i
Owners. Name Builder
Address~ Address -LleO 464 oula W.1c.94
LOCATION OF BUILDING
No. Street Part of Lot
Lot 3 Block Addition or
Corner Lot Inside Lot_Zi_ t Back / Side -Yard l�
SEWER ELEVATION FOUNDATION EMATION
Applicant attach:to-this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Front VDepth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction ' Estimated Cost
To be completed.
The undersigned hereby makes application for a permit for the -work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa=
tions stated in this application are true and correct.
DATE SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
i 41
M11NDERF.4wGrqEEiapqcy CO.,INC.
ENGINEERS AND SURVEYORS
LAND
®URVEYING SOILS TESTING
CIVIL &. MUNICIPAL HNGINEERING LANO PLANNING
6418 -SGT" AVENUE N.
MINNEAPOLIS 27, MINN.
KE 7- BG377
(�
copiptificalit 41pU Q qpwv41vY
SURYE`I FOR Tom 5I L+I.115
N
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rr,
SC
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In, I
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LCAT 3-7 BLK. 2 UPLAND 2"'D ADO'N.
WE HERESY
CERTIFY THAT T1415 IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF T.NE
LAND ABOVE
DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF NMY, THEREON, ANO ALL VISIBLE ENCROACHMENTS,
IF ANY, FROM OR ON SAID LAND.' MINDER ENGINEERING CO., INC.
DATED THIS
[MY M Nov- A0.1�59 EN611IfiE,,RS AND YOR
• //,Q
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
110,
DESCRIPTION OF WORK '� �- f%
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
®!�
Y F:
z z
`e2
Q
VI
tTj z
W
O
J
W
O
z
z
New Fixture Old Opening ..............
N
WATER M.
GAS ELEG
Catch Basin ............................
3Ei
x 3.25
$
...... Z
3�
cu
New Ground Run Old Bldg . ............
�o
c3
$
t9 °d
O
(�0
RATE TOTAL
x $1.50
$
1st 3 Fixtures ..........................
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
Base
1st
2nd
_
3rd
4th
• Future Connection Openings
Connected with
Sewer �
New .Fixture, Old Openings
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
®!�
Number Fixtures ......................
x $1.50
$-6?
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
Water Heater (Up to 200,000 BTU)
...... Z
x 2.00
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
x $1.50
$
1st 3 Fixtures ..........................
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
TOTAL FEE $
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all thefac
and representations stated in this application are true and correct.
Fridley, Minn. eon1
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No Permit No. 3
ROUGH
FINAL
d a 2M 7-59
No
loll
Application for Pourer Ptants and Heating, Coding, Ventilation. AeFrigeratlon and
Air Conditioning Systems and Devices ? , 1- /) ) 7
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470
GRAVITY WARM AIR: RATE TOTAL,
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 9-G
3 each add. 60,000 BTU ........................ 2.00 $
Replacement of Furnace ............................. F.00
Repairs & Alterations—up to $500.00 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
FTEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ )
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $ LLL
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $- �
ROUGH
FINAL
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Mrinn-�� 19W
Owner moi^ "C—L 1 i u )
Kind of Building r
Used as
To be completed about
Estimated Cost, $
Old—New. Permit No.
Permit
DESCRIPTION OF WORK
HEATING or POWER PLJANTS--Steam, Hot Water, Warm � No
Trade Name 0�nMQ-k:iS–' � !�Adei.:- Size No- I 0 Q G tj
Capacity Sq. Ft. E.DD.R� BTU G H.P.
&
Total Connected Load 3 0 " t `� Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Sign SSW
By c ,.
42 2M 7.59 Business Phone No
10
HEAT LOSS CALCULATIONS DEPARTM!iNT O BUILDINGS 1�1H�FRIDLEy, MINN.
Weathe:d:,ips Construction No. f Insulation
Guide I - - - -- -- ! . -7__
Windows Doors Reference Out. Wall Int. W.III T ('oiling Roof Floor i� )iind How Applied
-- -- - - _ -
,
es
-1 F1.1 J&.L,,1 U_4 Room I Length J Width I Z - Height i -F.., - � - Room j Length `4 Width J l u Height
Windows and Doors---Crackage and Area - Windc,ws and Doors--_Crackage and Area
,_— 1 0
1I Wt11 }Irt6hl Nn of Llurai f[ Area - �5 •Ith II tghl No of Llneel et. Area
No. of pane of pane Itgh1a of � rack eq ft No rt . ne of tenr• Ightn of Brack sq. ft
-2— — -
- --- Coef. Btu
Z-Coef. Btu ,
Infiltration Infiltration
-Glass -- E L Glace
$>ep: wail e•, c' ►� � ty t= t t- ._ I �-' (" t ; -� , � � � -- - - - -. - --- -- -- -- --- - - ___ ._.-
Fap. wall
Net exp. wall -- - p j U X74
i✓ 11 t _ Net ex wall
Int. wall !� Int. wail
Gelling ------ �Ls,:, IL, -,_� ;" �I Ceiling-_____.._..-.-----_-- - (7 t IG IZ Int
Floor L t 1Floor - -�—� 121 l
_Total Btu. _ 1 i a Total Btu. __ 5
Required sq. ft. E.D.R. or sq. ins. W.A. Lead,, area _ �J _ Required sq. ft. F.D.R. or sq. ins. W.A. Leader area
I — - - --- -- --- --
Fl�� Room Len th b
Height
ht E Room I -
_ I - g t--5 iLength d 1 I - Width Height z
Windows and Doors---Crackage and Area ` L — -� _
Width Height No pe Lineal ft Area , I Wind ws and Doors-Crackage and Area
No of pane of pane Ilghts of crack aq. ft. I imv1, Height No of Lineal ft Area
- 14-
I
Nn. of peon M pane light s t of crack eq ft.
L L G L 4- t
L L4 30 1- 1� 16 tt
Infiltration --- —
5 :
Coef.
L•
Btu
c t G
Glass
( cc,
I
y C- r ,
S
Net exp. wall
I
Coef. Btu
-
Infiltration _
Int. wall
4 C
Glass
Ceiling
_Exp. wall _
Floor
14 ;
C �,r,
r 0 c' f
Total Btu. -
----
ailing
� F
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
N.1 Koom I Length `- �-- W Idth
} = Height ; "• ' -
Windows and Doors---Crackage and Area
Width— Height No. of T Llnel e[t. Area
No. of pane of pane Ilghta of crack sq. ft
—
12. t C
St`
( cc,
„ C,
G
I
Coef. Btu
-
Infiltration _
_
4 C
Glass
0
_Exp. wall _
-Ti . C` .1-tA tI Room l Length F
Net exp. wall
Height c`'W'l
C �,r,
_
Int. wall
-----
ailing
;,r69
LL „
Infiltration I___ ._
_Glass _
- Fxp. wallNet exp. wall
Int. wall
3 Z
Z Z
3
I k,
12. t C
St`
( cc,
„ C,
G
I
jG
Floor
,
Floor
Btu.
9 (t
_Total
Required sq. ft. E.D.R. or sq. itis. W.A. Leader area
-Ti . C` .1-tA tI Room l Length F
Width F
Height c`'W'l
Windows and Doors---Crackage and Area
Coef. Btu
Width Height - No of Lineal ft. Area
No of pane or pane light, of crack eq. ft.
- Infiltration - -- 4
Glass - -- ---.-
-.Gla-ss wall
Net exp. -wall _ ------ __
In_t. wall
Ceiling
„ C,
G
S C
jG
Floor
,
7 alai Btu.1 3 4B I) Total Btu. CI
Retlli)red sq; ft. F_D.R. or sq. ins. W.A. Leader area Required aq. h. E.D.R. or ns. WA der
TYPICAL SLAB DETAIL10
_
4
C
C 2
2 66 x 10 LLZ
io ~tire m esh
Grade,
2-v 4 Re -Bars c
C - -
to
: 45°
12" Min, e,, Min.
The above is a substitute design for frost footings, however, itis not yet
accepted by the State as an amendment to the Uniform Building Code, Section 2905,a.
Therefore upon using this method of construction, I agree to hold the City of Fridley
harmless of any possible claim for foundation failure or structural damage caused by
foundation failure.
mess Property Owner
77
Date Address of rriperty/Legal Desc.
s
• .. ,. - is
City of Fridley, Minn.. T7�
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: October 31,1972
Owner: _ Don Nelson Builder Su.ssel_ enmPany
Address 6271 -5th Street N.E. Address 1850 Como Avenue
LOCATION OF BUILDING
No. _.._b2.7_l_ _..._ Street — Part of Lot
Lot .__.....37_._._.._ Block _. _ _._..._ _ _.___.9.._...._ Addition or Sub -Division _ upland 2nd Add i t iota
Corner Lot ___._ _ _ Inside Lot — X Setback — Sideyard
Sewer Elevation Foundation Elevation _...._.
DESCRIPTION OF BUILDING
To be Used as:
- Garage Front 181 _ Depth _2.21 _ Height _ _LO' _ Sq. Ft. 1915' Cu. FL _3960.:
Front . — Depth Height Sq. Ft. Cu. Ft.
Type of Construction Wood Frame Est. Cost _ $1793 To be Completed 60 days
Stipulatinns: Set garage elevation to drain to street. Provide a hard surface driveway.
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 set forth and in compliance with a'11 provisions of
ordinances of the city of Fridley. \
.70 Stafie Surcharge
In consideration of the payment of a fee of $--Z-- 50 , permit is hereby granted to SusSel CDMMaUy
to construct the building or addition as described above. This permit is granted upon,
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
'Within the city limits and this permit may be revoked at any time upon violation of any of the)? of ss3d
ordinances.
Inspector
CLARENCE BELISLE r
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to an
the Building Inspector for separate permits for these items.
APPLICATION FOR RESIDENTIAL, ALTERATION#
OR ADDITION BUILDING PERMIT
CITY Of FRIDLEYj MINNESOTA
OWMIS Lj 1-_j E L__S <2, &,j BUILDER : fs U -!F-s Cg'.4
ADDRESS %'Z_::Z i 5� k S - ki - E_ - AVORES9: ( 9 —43cD <c c2 1-1%,o ay E- -
W4
LM 3 7 LOCK: z AIMITION i u P
COMM LOT., XMM LOT; k S$TBACKS SIDEY44RD.
Affji,vAtqt attach to tbAg fo3=_Vo Certificates of Survey of Lot and proposed
ImAlding location dress 4m the" Car-tificates.
To Be 110" As:
DESCRIPTION OF BUILDING
I S - �Depth Z -Z-' 'Height: I
Square Feet; _3q4 Cubic Feeti - 34 C. o
_fi'ront-. Depth; Height: -
square Feet; Cubic Feetj_
Tyfe of constructions ea &Stimated Cost: -7q11-
s���//�j sem,/ji
� l I L R
To
7q1q-
To ft "toted; G4 0--4 5,
TM undarpigned hereby makes application for, a pe=it for the, work herein
*pepjfj*,c1, agreeing to do all work is stftct accordance with the My of
fft4jey 0r4$*ances and TutSW ipf Oe Department of Bui�dinss, ayW hereby
dealareq that all the facts 4wd representations stated In this application
axe true, =4 correct,
PAT&; SIGNATURE:
(Om Revwva S14e For Additional Inforap-ti
r
�01
SUBJECT
P
City of Fridley
23361___
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�•
_ COMMUNITY DEVELOPMENT DIV.
� PROTECTIVE INSPECTION SEC.
r �
NUMBER
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7�_
5/11/95
JOB ADDRESS 6271 5 Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
37
2
Uplands 2
Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Nelson 6271 5 Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Right Way Roofing Inc 16475 45 Ave N Plymouth
MN 55446 557-8678 3999
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 0 ADDITION ❑ ALTERATION p REPAIR O MOVE ❑ REMOVE
xx
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code. If 2nd layer, it
can be the 2nd but not the 3rd.
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
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
$2,240
$1.12
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
$54.00
Fire SC $2.24
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$62.36
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PAOPERL VALIDATED THIS IS YOUR PERMIT
n
,
BLDY INSP F)A E
_
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
r
�01
NEW (] Effective 1/1/95
ADDN [ J CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2-� s�
Building Permit Application
ConstructionAddress: (o c-7
Legal Description:
Owner Name &. Address:. �Q, l��i-^ . ....(�� ( S_ / •.. Tel..#
Contract
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
MN LICENSE # .
VV(Tel. #���
Attach to this application, a Certificate of Survey of the
lot, with. the proposed construction drawn on it- to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Corner Lot (]. Inside Lot [ 1
Type of Construction:
Approx. Completion Date: _
Sq. Ft.
Sq. Ft.
Sq. Ft.
Ft. Yd Setback Side Yard Setbacks
Estimated Cost: $ �QL <40
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT:Tel. # J!� -,7(9
CITY USE ONLY
Permit Fee $-Sq- 0E) Fee Schedule on Reverse Side
Fire Surcharge $ Q .001 of Permit Valuation 0 / 10th % )
State Surcharge $, ,�, $.50/$1,00 Valuation
SAC Charge $ $850 per SAC Unit
License Surcharge $ 5, CD $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.0 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary I ] Not Necessary [ ]
TOTAL $k4� '7�L
STIPULATIONS:
. s '
SUBJE4T
City of Fridley
29137
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
S
CEIPT
• COMMUNITY DEVELOPMENT DIV.
-7 (�
r PROTECTIVE INSPECTION SEC
< /
1 �
NUMBER
REv
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIOLEY SS432
612-571-3450
910-F15
4/2/99
/
JOB ADDRESS
6271 5 Street NE
1 LEGAL
BLOCK TRACTOR ADDITION SEE ATTACHED
DESCR.
ILOTNO.
37
2 Uplands 2nd Addition SHEET
I
2 PROPERTY OWNER MAIL ADDRFS$ ZIP PHONE
Howard Osgood 6271 5 Street NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
To Gun Inc 5014 Parrish Ave NE, Rogers, MN 55374 428-4559 20155030
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 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
B DESCRIBE WORK
Reroof House & Garage 22 SO Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
Permit inspection Cards
Will Be Mailed
To Homeowner To Post
SEPARATE PERMITS ARE REOUIRED 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 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
ISTALLS
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
@
$.94
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,885
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHAR E
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEETOTAL
E
Lice $5
.32
SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT ,DATE,
ENP P 0 T IS IS YO PER IT
- G
BLD ,NSP f DATE
S-GNATUREOFOWNEA,If OWNER SURDEA, ,DATE,
MAR -25-1999 16:14 FROM CITY OF FRIDLEY TO
NEW [ ]
ADDN [ J CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
4226 P.01i02
Effective 1/1/99
ConstructionAddress: 6271 <.5-'1* S-1. _ \�
Legal Description:
Owner Name & Address:
Contractor: TOP GUN, INC.
Address • n n„
PA RISH AVE NE
Ej
Tel. #
UCENSE/1 20/63030
Tel. #M012-) g2.8—�S�g
•, -rill JU%2114^yV(Jy
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF RWROVEBIENT
LIVING AREA: Length Width Height I Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: %� - : 7..42CvZ - Estimated Cosh$
UU (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft — Ft x $ _ $
DATE: .30 q APPLICANT: Tei. or6 /2
Permit Fee
$ 0, f6
Fine Surcharge
$ /1-915
State Surcharge
$
SAC Charge
$
License Surcharge
$ ,- C)
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ 6 7,
STIPULATIONS:
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.501$1,000 Valuation
$1050 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 [ J Not Necessary [ ]
CITY OF FRIDLEY INSPECTION DIVISION `� Biu
Effective On January 1, 1999
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
e .
JOB ADDRESS
RATE SCHEDULE
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 —
rulings of the Building Division, and hereby declares that all the facts and
Ai§o Replacement Furnace $ 30.00 $6
representations stated in this application are true and c��
Side Vent — Fill Out Back) k)
Gas Piping (Needed with new furnace, $10.00 $
- but not replacement)
OWNER
Gas Range $10.00 $
BUILDING USED AS
Gas Dryer $10.00 $
PERMIT NO. / 1
ESTIMATED COST%�®®� ®� L
*Air Conditioning — All Sizes $ 25.00 $
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (UST ON BACK)
1 % of Value of Appliance or Work $
No. of Heating Units Circle One (Steam) (Hot Wate arm Ai
Trade Name Size No.A m1a.07 —3
Commercial/Industrial
BTU HP EDI
1.25% of Value of Appliance or Work $
Fuel A�S Total Connected Load
State Surcharge $ .50
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE $ •�
ANDERSON HEATING & AIR GOND
HEATING COMPANY 4.347 Oentra9 Avenue N.E.'
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
®1q$S, 52';
By el No. #7
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
ned
PLUS THE $.50 STAT -'SURCHARGE
REINSPECTION FEE $42.001Hr
Approved By Rough—In Date __ Final Date
*Air Conditioners can not be placed in a side yard without
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURJA
written permission from adjoining property owner.
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1: Has been carefully examined Yes a No ( )
2. Is free from rust or deterioration Yes (I.-I'lNo ( )
3. Has no foreign objects. lodged within Yes (y�'No ( )
4. Is securely supported Yes No (. )
5. Meets all current Code requirements for size
and total BTU's connected Yes 41d No ( )
6 Has total heating BTU's of 0 00
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( ) No
8. Has combustion air been provided for water heater Yes ( ) No (rte
R Pm arlrc
List
List ALTERATIONS Being Done:
ANDERSON HEATING & AIR
HEATING CO: 4347 Central Avenue N.19=1C"WIRW�M
Signed By:
Date: 7—
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (763) 571-3450 • FAX (763) 571-1287
February 11, 2002
Howard Osgood
6271 5d Street NE
Fridley, MN 55432
Re: Final Inspection at 62715" Street NE
Contractor: Anderson Heating & Air Conditioning
Dear Mr. Osgood:
A mechanical permit was issued on July 6, 2000, to install a furnace 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 Code. 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 mark the permit "no inspection called
for" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/ls
G►YOE
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
February 18, 2002
Russell Ofsthun
6271 5t' Street NE
Fridley, MN 55432
Re: Final Inspections at 6271 5 h Street NE
Contractors: Anderson Heating & Air Conditioning
Dear Mr. Ofsthun:
Mechanical permits were issued on July 6, 2000, to install a furnace at your address. According
to the 1991 Uniform Mechanical Code, final inspections shall be conducted on the work
authorized by these permits. As of this date, no inspections have been called for.
The permit fees that were paid covers the inspections to make sure the work was completed
according to the Codes. We will keep your permits open for another 30 days and if we do not
hear from you within this time to set up the inspection, we will mark the permits "no inspection
called for" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
ENSEN
Inspector
DJ/ls
O
CIlYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
February 11, 2002
Howard ood C .�� io
6271 Streeeet NE
Fr' ey, MN 55432
Re: Final Inspection at 6271 5t' Street NE
Contractor: Anderson Heating & Air Conditioning
Dear Mr. Osgood:
A mechanical permit was issued on July 6, 2000, to install a furnace 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 Code. 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 mark the permit "no inspection called
for" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/ls
:;i i Y OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES "
JOB ADDRESS of
RATE SCHEDULE
OWNER C) 6i lQ If
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner - BUILDING USED AS Re's i CQ c,&
Also Replacement Furnace $ 30.00 $ / (—
(Side Vent - Furl Out Back) ESTIMATED COST PERMIT NO.
Gas Piping (Needed..with new furnace, $ 10.00 $
but not replacement) DESCRIPTION OF FURNACE AND OR BURNER
Gas Range $ 10.00 $
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Gas Dryer $ 10.00 $ Trade Name Size No.
- BTU HP EDR
*Air ConAiionniin-g - All Sizes $ 25.00 $ Fuel Total Connected Load
t-i"l 11 �1R a -H-eN
All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No.
1% of Value of Applia=nce or Work $ BTU HP EDR
Commercial/Industrial
1.25% of Value of Appliance or Work $ 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 an
State Surcharge $ .50 rulings of the Building Division, and hereby declares that all- the facts and
representations stated in this application are true and correct.
TOTAL FEE
DATE �OLO
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO �PAZ
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.56STATE SURCHARGE Signed s52�, TEL #
FAX #
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date00�
written permission from adjoining property owner.