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: