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PRE 2010 DOCSCity of Fridley, Minn. N° 8895 • BUILDING PERMIT Date: JUNE 21, 1966 owner: DUANE W. NELSON Builder SUSSEL COMPANY— Address 7542 - 5th S t . N. E. Address 185.0 Corso Avenue. Fridley, Minnesota 55432 St. Paul, Minnesota LOCATION OF BUILDING No. 7542 Street 5th Street N. E. Part of Lot Lot 5 Block 1 Addition or Sub -Division .__ _QS$ORN7+ MANOR Corner Lot Inside Lot — X Setback —_ Sideyard Sewer Elevation f— Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Detached Garage Front 20 Depth 24 Height 10 Sq. Ft. 480 cu, Ft, 4__;__800 Front Depth Height _. Sq. Ft. Cu. F't. Type of Construction FRAME Fst. Coat $1,370 _ _ To be Completed i1 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 rth and in compliance with ell provisions of ordinances of the city of Fridley. Q @In consideration of the payment of a fee of $ 5 .00 , permit is hereby granted to SUSSEL COMPANY to construct the building or addition as described above. This permit is granted upon the express condition that the peon to whom it ie graated and his agents, employees and workmen, in aII work. done in, around aad upon said building, or aay pmt thereof, shall conform in aII respects to the ordinaaces of Fridley, Mlnaesota g location, construction, alteration, maintenaace, repair and moving of buildings within the dty ]imitsn athis permit may be revoked at any tizne upon violation of aay of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: ft pumlt don not cow the eonatruadon, hatalladon for wMb& ph mbine, on headne, ower or water. Be am to as the Bulldhm Mspaator for aperab permbs for thea Nene. APPLICATION•FOR BUILDING PERMIT CITY OF FRIDLEY0 MINNESOTA OWNER'S NAME�;r a C11 llr'� �.s.. BUILDER 8r.VT5°W ADDRESS e ADDRESS 1,0'5'c� LOCATION OF BUILDING N0, STREET PART OF LOT LUT_ �� BLOCK / ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height % Sq. Ft. Y 10 Cu. Ft. 0. 0 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction � Estimated Cost /a 7 To be completed I �c d1 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. DATE_ 40 ®- / `j SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 7f�1., _ 1225 LOT 5 NAME pu,ap,E \.N. N�sow SIZE 20 x 24 BLOCK r ADDRESS - 7542- 5114- VALUE 1370 -'00- 0-AREA AREA TYPE PP_4M S OSf301Z!`tE M�NOIZ F21 5' 1 20° To fzc--Moves -F C -LOT 14 ESS Po t_E O2 5QuArtE. W 1T 1-1 WOL)5e N1ESN "s:sH - t C.or.1bujT Comtwa '6, Door-. 2' .�P2ow BOLTS wc)L)5 E PZON4 T _ • City of Fridley Application for Plumbing and G, n Ruing Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location Number, Kind and Location of Fixtures Vi — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 00 Z • F • N WATER HTR. GAS ELEC. $ _ x $2.00 $ NO. RATE TOTAL — x $2.00 $ —x$.75 jO — x $5.00 $ Base 1st 2nd 3rd 4th • Future Coaaection Openings Connected with New Fixture, Old Openings Sewer I Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ........ ....... New Fixture Old Opening .............. Catch Basin ...... .................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures ................... . Gas Range to 199,000 BTU .............. NO. RATE TOTAL — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 — x $3.25 $ _ x $2.00 $ NO. RATE TOTAL — x $2.00 $ —x$.75 $ — x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 52 V, 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 facl and representations stated in this application are true and correct. Owner Kind of Building Used as Ce To be completed about Estimated Cost, $ Old—New. Building Permit No PermitNo. "Y �o Signe By L�Z Business Phone No ROUGH FINAL 2 53-84-S-915.51 City of FvUltey AMAcoflm for Phmbbq and Gas D*Vt- of ludv nwas SID -M DESCROnON Or WORK Mumbov. limed moA LAcaflos at FIntu"a in 10,1 1 ..111.,$1 ����Is il! �ri iOs PARTIAL RATE SCHEDULE em RAIM rcvr" mimm.. ............ .. -Maw a - MOM ........... Est-* &—. M" .......o. ram g rate% Balft ..................... Ram L Rater Mwwr :'Up to MAW N' D . _ � New Gromd Rom CW Me ........ • $ Ma Q nwbbe wale¢ a I= E CAA i'trro P. rum. W& Raw TMAL MS Mtum .................. _mSM s Addolioaa! MAIM ............... a 9.75 S w nma to mon vm ........... 1 : ss�ao s. 5.00 State Surcharge $ .50 Maus a �u spa w a w. �..f.. i►.iii.I.♦R..I.I R..1�wwi.►R iR...�!- r r^ Ulm rad® Surcharge .50v a 7542 N. E. 5th. Street city of rddw7-. Kind of Buildift Frame s P+p�ln�A*-nT� �. /✓�.� .. y F"% . -, l" tt T^ -.•'L-.. gra .. y VC;d: Ali- .L^s+a r�C �iir.°t� d` 3yiiaLLd aza D \.ikdtv+eJJ PnRTIAL 2ATE SCHEDULE GRAVTTT WAR -14 A:R: TU%*a TOTAL 11.-22ce Sl.ell knuct Bork 4 $ Replserme^.t of 'e`.rrnaee fr8p b P.epairc !: Altcat.ons- up to 5500.00 •61)8 $ Repa.rs !1 Alterations each add. 5500.00 DQQi WARM AIR 7/ F1:rrace S.*.cll & Duct Work to 120,000 BTU ez-=`i add. e0,0+00 BTu If 4:4 s RrP'.a re -nest of i s.^n a ce -,76-90 $ Rt -pairs do Alter9tiors-up to $500.00 '1 S_W_ S Re-,rairs It Alterations each add. SSM.00 -XW S S:EAX-ex HOT WATER SYSTEMA 7-1 i'.•rn.ace Shell & litres --to 4?0 sq. tt F.DR, Steern Turnace Shelf & Line•--te 645 sq It. EDR Hot Water 1000 5, Each add 200 sq, ft EDR Steam 8O(l S Each add. 320 sq. It EDR Hot mater 3.00 S OIL BURNMP-to 3 gal. per hour G!6 S. over 3 gal. per hour -See ree Schedule A0, 6S BURXZFt (up to LN.000 BTU) • - over IS3.MQ = 3" roo Sckodule GA3 FITTI:4C ri_r_Z. ;IO RATE TOTAL x'o 100 S ---�--(,+-� State Surcharge .50 5 In.�rrJ Is% 3 F.xtures Additional FIrtures Gas Range to I.M.00G AIR Vv.�°/. a ♦V113•x= 1PAIn Z =0 J a 371—f -M JLLT J:TOR3 & REPi.= . •1iz so* Fen+ TOiAL. Dept, of 31 , -j. i?: *r o • t• City of Fridley: The unders`;rned hereby makes application for a perr.:lt for Lie work herb spectlied agr�eirg to de all work in strict accordance with the City Ordssacev and ruling of the Depattment of Iluildiras, and hereby declares that an the L:cta and rvPrrvrsPn1atiuns statrd in this application are true and corce,cL Fridley, !Minn (.owner Find of BuildinZ Used 83 Tn+ be complef ed about P _ CAO Estimated Cost; S - 6 -New. Building Permit No. ._ permit No. C0 OF WORT HEATING or POOR P4 /,9%5 Feet Fater, Flarm Air-NoT— ?rade Name1hC?3� Size No- lf%f 5 /o� Capacity &J -6.n. F-D.R BTU XP Total Connected Lc.fi d �/ Kind Of n= BUMMR - TraidQ Name Size No Capacity Sq. FL ED R irm I P tsaA4xaxs-_O"23 i I i ass ''• ,4E HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide F' WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No 19— I F1.1 aw Room Length Width ,,j- Height 5? II FLI Windows and Doors—Crackage and Area Width Height No. of No. of pane of pane lights Lineal ft. Area of crack sq. ft. 1 691,167-1 /r 3 A or - !8 2,D/ 13.3 �. Glass . 5' 6 jCoef. Btu Infiltration Int. wall at r Glass 35 S,5cl Glass Exp. wall Net exp. wall Exp. wall Int. wall .2 Ceiling Net exp. wall1 Floor `f F14Int. 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenitth Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Wld'th Height No. of Lineal ft. Area No. of pane of pane lights of crack aq.//ft. 1 691,167-1 /r a.30, Coef. Btu 2,D/ Glass . 5' Coef. Btu Infiltration Int. wall at r Ceiling 35 S,5cl Glass Exp. wall .2 Net exp. wall1 `f F14Int. wall Ceiling 3 6,6 Floor 1 otal Btu. I Jf 7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenath Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor — Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FRIDLEY, MINN. Insulation Kind How Applied Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane tights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor — Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Heiaht Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor — Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1.1 Room I Length Width Heiaht Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor — Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area CITY OF'FRIDEY INSPECTION DIV. Effective On.fanuary 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - AlAo Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ cc $ 10.00 $ a%-. All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $166) MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS /�" � �� / )E 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this applica 'on are true and correct. '5'"L1 ,1991 OWN BUILDING USED AS / ESTIMATED COST 150D; OD PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed ByA��� Tel No. Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No 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 All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date 0 01 SUBJECT T NO. City of Fridley 25051 AT THE TOP OF THE TWINS BUILDING PERMIT EIPT NO. Ir • __ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC s r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 5/12/97 JOB ADDRESS 7542 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Oltman 7542 5 Street NE 786-6495 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 X 8 DESCRIBE WORK Replace windows and siding 9 CHANGE OF USE FROM TO STIPULATIONS Must meet egress requirements in sleeping rooms for replacement bedroom windows. Install smoke detectors on all levels and adjacent to and in all sleeping rooms. 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 SQ. 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 $5'000 $2.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE P$107.25 ITOTALFEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDA EI H P RLY V ATED THIS IS OUR PERMIT DG INS n aJ:7 [ OA7E SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI 01 NEW ADDN [ ) CITY OF FRIDLEY ALTER [ ) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: /► `� Legal Description: Owner Name & Address: s'f tP 2 l7� rn Contractor: Address: 2 �- z-12 Effective 1/1/97 Tel. # MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgtpround Sq. Ft. OTHER: 60 � 6 0 Construction Type: Cee Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /W�;PL ICANT: D Tel. # Arj Permit Fee $ %� Fire Surcharge $ f, 6yj State Surcharge $ 2,-5-0 SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ fQ 2 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation1/�,G d . $950 per SAC Unit l $5.00 (State Licensed Residential Contractors Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Pll, nj Agreement Necessary Not Necessary[ ] � SUBJECT ITN City of Fridley2 945 AT THE TOP OF THE TWINS ?-,e:R1-PTNO. BUILDING PERMIT f COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC 710 1 � i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 5/12/99 JOB ADDRESS 7542 5 STREET NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Oltman 7542 5 Street NE 786-6495 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (15 Sq) Tear -off; Replace chimney vent 9 CHANGEOFUSEFROM 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. 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 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1 419 $.71 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 FIGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $54.00 FiCH SC $1.42 7956.13 PLAN CHECK FEE TOT L FEE SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IdArE, HE PR P VA IDAT THIS Ir-R PET T �oSIGNATURE OF OWNERpi OWNER BUROERi iDATE, 9L- G"i'NSo r)ATE NEW[ ] Effective 5/10/99 611,ADDN [ ] CITY OF FRIDLEY \ ALTER [ ] SINGLE FANMY AND DUPLEXES R 1 AND R-2 w BUILDING PERMIT APPLICATION Construction Address: 7 Legal Description: Owner Name & Address: /I '4S7h fel. # Cl; ��6 6 Contractor: MN LICENSE # Address: 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: / /s Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:/j g 9 APPLICANT: Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ Y6. /.3 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] NO. 29547 SUBJECT "PERMIT City of Fridley ' AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. 313`1 1 ` � CITY HALL FRIDLEY 55432 J NUMBER REV DATE PAGE OF APPROVED By L 612-571-3450 910415 15/25/99 JOB ADDRESS 7542 5th Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Stephen Oltman 786-6495 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sussel Corp. 1852 Como Ave. St Paul MN 55108 651-645-0331 1934 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 O NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construction of a 20' x 22' detached garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. See notations on plan. 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. 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 $8514 $4.26 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- 167.25 ST UCTION OR THE PERFORMANCE OF CONSTRUCTION F, a SC $8.51 PLAN CHECK FEE TAIL FEE Iic C 0 $185.02 SIGNATURE OF CONTRACTOR AUTNORIj 0 AGENT (DATE, HE P B G ,NSP Y A I D THIS IS YOUR��A1 OA1E SIGNATURE OF OWNER,iF OWNER BUILDER, iDATEl NO. 29547 NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ^ l� BUILDING PERMIT APPLICATION Construction Address: s, -Lia ' —!'>',f, Al C Legal Description: Owner Name & Address: Tel. #ry Contractor: L, 3 MN LICENSE # 17-31 Address: �l S^�, C m M .A> vim, S 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 2 b Width. .2- -:2 Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. 57 DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: f%,e 't, 6- ,a,, I _ Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �'� 1 9 °l APPLICANT: cj, A. ' Tel. # o ' CITY USE ONLY Permit Fee $ d 5' Fee Schedule on Reverse Side Fire Surcharge $ 1?, S/ .001 of Permit Valuation (1/10th%) State Surcharge $ % Z $.50/$1,000 Valuation 'SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION 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 FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective January 1, 2003 JOB ADDRESS :�-5f 2 S'r/u G: OWNER S'Iww-� Rate TOTAL BUILDING USED AS $ 30.00 ESTIMATED COST Gam' PERMIT NO. 0� $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units__ Circle One (Steam) (Hot Water) arm $ 10.00 $ Trade Name Size No. _ BTU HP EDR $ 25.00 $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE /-6- Z`� —a3 f�u- lJ HEATING CO. �� fb'� Signed A TEL # -763 - 7eY- 6 / c U FAX # 7 Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED r-nmmnm VFNT- VFNT QNNFGTQR AND r.QMBI rRTIQN AIR VFRIMIATIQN When :rnl-ina an ax;atino fiwamp, the undersigned hereby verges that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes XNo ( ) The venting system is plastic/PVC and meets all current codes and manufacturer A/ specifications including sizing, length, number of elbows and termination. Yes 1 ) 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-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( No ( ) The ovIcH ,r-nmhi istinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes tNo ( ) When required to install a new cnmhiistien airy It will be sized and installed to meet the current codes and manufacturers specifications. Yes 0" ( ) When jpntaJ ng a n wgveriting.iystem, 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 §� No 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 WNo ( ) Appliance #1 Type &"WA LL r 4-rP- BTU Input ?5S 000 Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU InputFan Assisted or Nat Total Appliances Total Btu Input Common Vent Type P 01-55 u° Vent Height 0 Diameter 3 inches Appliance #1 Vent Connector Height _,j_ft Length �3 ft Diameter min Type _J Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Id, �®9 4L -)s I.0 o4, dd 1 Ir Signed By: Date: