PRE 2010 DOCSr
11 SO 111111 G
i
City of Fridley, Mian.. N° 8773
•
BUILDING PERMIT
Date: APRIL 15, 1966
Owner: ROBERT L. ANDERSON Builder SUSSEL COMPANY
Address 7574 - 5th St. N. E, Address 1850 Como Avenue
Fridley, Minnesota 55432 St. Paul, Minnesota
LOCATION OF BUILDING
No. 75774, Street 5th St. N. E. Part of Lot
Lot Block Addition or Sub -Division . Osborne Manor
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation ___ _ _ _ _ _ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Det. Garage Front 20 Depth 22 Height 10 sq. Ft. 440 Cu. Ft 4,400
Front Depth Leight Sq. Ft. Cu. Ft.
Type of Construction FRANE Est. Cost _ $1, 3 00. 00 To be Completed
n
u
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above forth and ffi compliance with a'll provisions of
ordinances of the city of Fridley. go
In consideration of the payment of a fee of S$4.00 , 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 theSt�hot
t is granted and his agents, empdonein,around and upon sair parithereof, shall conformFridley,Minnesota ggactfon, alteration,nce,reord�anc :city limits this bevoked at any time upon violation of aay o4 the provisions of said
ALLEN G. JENSEN Building Inspector
NOTICE:
11d, pwmit don not cww the comtnation, kshMdtlon hr wMbW plumbing, ga hating, awor or water. Be an toao
tin Butldi" le:pOdor for soparato pom ift for dwn Nora.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY9 MINNESOTA
OWNER'S NAMEE0 DER 94, -iS� C�
ADDRESS 7-5'7K— r=Tt ADDRESS / &S'0 Cern e A -e
y
LOCATION OF BUILDING
N0, STREPART.OF LOT
LOT BLOCK // ADDITION OR SUBDIVISION
CORNER T _ 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.
DESCRIPTION OF BUILDING
To be used as;
-� d Front ® Depth Height
Sq. Ft. ¢ 0 Cu. Ft.
Front Dept Height.
Sq. Ft. Cu. Ft.
Type of Construction 17)- Estimated Cost
To be completed 0 d s��s
The undersigned hereby makes application for a permit for the work herein
specifiedo 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).
0
--In w 1_QA'9
LOT
NAME
SIZE
�/'.(�
. ,o F—m L � I.� �E:Z.�jO1J
'X.0 ';ro r.,I
BLOCK
ADDRESS II
VALUE
I -boo
ADD'N.
AREA
TYPE
rz1 C)
CL&IM
RE A2 2a,P—PEC7i
36
NMEs14
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A
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#D Smoa me V\ 41 -r" koos s
MESH `.OuovlT
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1
Fra c, C.) r
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Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SM -34500
GRAVITY WARM AIR: RATE TOTAL Location s
Furnace Shell & Duct Work ..........................$10.00 $
Replacement of. Furnace ............................. 6.00 $ City of Fridley:
The undersigned hereby makes application for a permit for the work herein.
Repairs & Alterations—up to $500.00 .................. 6.00 $ 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
Repairs & Alterations each add. $500.00 ............... 3.00 $ and representations stated in -this application -We true and correct.
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line --to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam .................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $
OIL BURNER—to 3 gal. per hour ........................ 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) 5.00 $ o 'o -V
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x$ 2.00 $ . a
Additional Fixtures ................. x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
$
See Fee Schedule
TOTAL FEE • o
Kind of Build -
Used as
To be completed about
Cost,
Building Permit No.
NJ
��. �..
Permit No. �5 i f4
DESCRIPTION OF WORK
HEATING or POWER. PLANTS --Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load.Rind of Fuel
BURNER — Trade Name y� Size No
Capacity 5- Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
eu • . � �r...a .Ly i_ -sJ��l
C411DO.42 Business Phone No a
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PE194IT
Sa
In
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t
,
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•
fwt
%' a.
•
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v
a
gnaw
u
v
s•
li
r'
•
g
••,
water
Heater
$__
slow Ott Basin
d 5.00
$
Catch Basis
= 5.00
$
Kale water Leader
i 5.00
i�—
Hydraulio valso
$ 5.00
•_
soup or Receiviag.laat
$ 5.00
$
water Treating Appliaaea
$ 7.00
$
Not water Neater -
lot
$
Gas Range
S 10.00
$
Ga• Dryer
$ 10.00
$
2nd
3rd
4th
to - fbturs, oofflneccion evening
1'I - am Fixture. Old "Going
connected with sower
water
RATE SCHEDULE
PUDDING FIXTURE RATES: NO.
RATE
TOTAL
now Fixtures e
$ 5.00
_�_
Future Fixtures
' 3.SO
$
Old Opening, New Fixture
$ i. SO
$�_
Beer Dispenser
$ 1.00
$__
slow Ott Basin
d 5.00
$
Catch Basis
= 5.00
$
Kale water Leader
i 5.00
i�—
Hydraulio valso
$ 5.00
•_
soup or Receiviag.laat
$ 5.00
$
water Treating Appliaaea
$ 7.00
$
Not water Neater -
$ 5.00
$
Gas Range
S 10.00
$
Ga• Dryer
$ 10.00
$
A• 0TH1= AM/OR XMTRS AND ALTERATIONS
1s of value of Fixture or Appliance
Reinspection FState Surcharge
« �
1$15.001 TOTAL FEE
.SO
a (D -5D
4tteCciVe Awq. /. lYtll
Job Address Z -I :J
Departstent of Buildings
City of Fridley
Tel. IS71-34SO
The undersigned hereby oaken application for a permit for the work Mein ;
sPacified agreeing to do all work is strict accordance with the City Codes
and rulings of the Doper of Sa-ldings. and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley. Ib.��_��• 19�
O WMR G e �C
KIM OF BUILDING 6e
USW AS
TD BE COUPLv= Ason
EBTiNAMW aosT
O&D - WN BUILDING PSIsuT ND.
oxqwy
signed Br
z,
Tel. No.
Date
FINAL IMP.
Dat
APPROVAL FOR PERMIT
,_ PsfnllT No. /D��
ROE MER PLUMBIN-0
GARFIELD AVENUE SOUTH
MINNEAPOLIS, MINNESOTA 55403
827-4033 - 827-4311
MINIMU14 FEE FOR ANY PLUMBING PERNIT S $10.00
PLUS THE $.50 STATE SURCHARGE
9
SUBJECT
P IT NO.
City of Fridley
2167 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
i?
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
_
fr PROTECTIVE INSPECTION SEC.
r
CITY HALL FRIDLEY 55432
IL"""K
NUMBER
REV,
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
11/20/92
JOB ADDRESS 7574 5th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
1
Osborne Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dennis Plack 7574 5th Street NE 784-1070
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
8 DESCRIBE WORK
Install basement egress window
9 CHANGE OF USE FROM TO
STIPULATIONS
Window must meet the State Building Code requirements.
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
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$400
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$15.00
Fire SC $.40
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$15.9.0
SIGNATURE OF CONTRAC OR THORIZED AGENTl ATEI
N P PER VALI TE THIS IS YOUR PERMIT
URE OF OWNEROF OWNER BUILDERI IDATEI
- DG IN gA7E
9
NEW [ ] Effective 3/1/92
ADDN [ ] CITY OF FRIDLEY
ALTER[) SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 25- 7 q- 5-'l S 4 '�j C
Legal Description:
Owner Name & Address: D,F/U,y i S dL9. ;E�4W - Tel. # %7f
Contractor: A=t'l, 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: �(',Qt3 s
w�.v) acyE�tir�uT
Corner Lot [/,I Inside Lot [ ] Ft.
Yd Setback
Side Yard
Setbacks
Type of Construction:
Estimated Cost: $
=�
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft =
Ft x $
_ $
DATE: APPLICANT:
Tel. #
CITY USE
ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge $
Driveway Escrow $
Park Fee $`
Sewer Main Charge $
TOTAL
STIPULATIONS:
ge
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary j ] Not Necessary [ ]
I.
C*n&QF FRIDLEY INSPECTION DIV. l
Effective On August 1, 1995
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS
AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESSZ5.7,LZ ` AJ G ''
RATE SCHEDULE
-04Z
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
Also Replacement Furnace $ 30.00
$ so,00
representations stated in this application are true and correct.
(Side Vent - Fill Out Back)
X1996
Gas Piping (Needed with new furnace) $ 10.00
$ . �c%
OWNER ro Y.� "' 3, Y
Gas Range $ 10.00
$
- -
BUILDING USED AS_.
Gas Dryer $ 10.00
$
ESTIMATED COST PERMIT NO.
*Air Conditioning - All Sizes $ 25.00
$ S
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
$
No. of Heating Units_L Circle One (Steam) (Hot Water) arm Air
Trade Name % Size No. s5 -z-,
Commercial/Industrial
BTU (0, cc,0 HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load'
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
.50
Burner Trade Name
BTU
HP
Size No. -
EDR
STANDARD HEATING AND AIR CONDITIONING M
410 WEST LAKE STREET:
HEATING COMPANY MINNEAPOLIS, MN 55406-1?998
s1z aza-2s5s.
Signed By c� „�i�r� Tel No.
Approved By Rough -In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
�HIMNEY 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
7.
Has a liner been provided for water heater
Yes ()
No ( )
8.
Has combustion air been provided for water heater
Yes ()
No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
410 W. LAKE ST.
MINNEAPOLIS, MN 55408-2998
612/824-2656
(LCI I byl B a OWN
EATING ANDAIRCONDITIONINGCO
'Serving The Twin Cities Since 1930'
ORSAT TEST RECORD
1072 Ri0kYN E AVE.
ST. PAUL, MN 55101-3892
612/772 449
ADDRESS%�% --� % ,LJ - CITYi�a/�1
OCCUPANT OWNER �, ,/ C
DATE HTG. INST.-_"-,INSTALLED BY
GAS LINE BY_._ C--
TYPE OF HEAT: GA_, FA HW STEAM SPACE HTR. UNIT HTR. OTHER
MAK
MOD
SER
INP
CONTROLS
CONVERSION
MAKE OF BURNER -----
IODEL
IAX . BTU RATING
dIAKE OF FURNACE
MODEL
THERMOSTAT �� - H-f}LUG'�,�a . VENT
VALVE� - KIND
LIMIT _<-�✓' DRAFT
LIMIT SETTING CHIMNEY CONSTRUCTION ` (/.0
FAN SETTINGDRAFT` '' ' TEST TAC
PILOT TYPE LIGHTING INST.'_
PILOT MAKE
SIZEOF LINER SIZE NONEI,
HOOD --- REGULATOR
119 ,
PILOT MODEL
PILOT TIMINGS
PRESSURE ; _PERCENT CO2 5 DATE TESTED
INPUT CFH PERCENT 02
STACK TEMP. PERCENT CO NAME OF TESTER..; -L
C_
CITY OF FRIDLEY INSPECTION DIV.
-1141010W University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH F1 nnR
Effective On March 1, 1996
PLUMBING FIXTURE RATES: NO.
RATE TOTALJOB
ADDRESS �jYq-�+✓I�
New Fixtures
$ 7.00
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
Beer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated In this application are true and correct.
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
'1996
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Owner KIWI BRUCE
Water Heater –Electric
$ 7.00
—
7574 STH STREET NORTHEASTFRIDLEY
Water Heater – Gas**
$10.00
55432
Building Used As H 786-3240 IV- 3
Gas Range**
$10.00
OC
Gas Dryer**
$10.00
Estimated Cost 7006 PERMIT NO.
Back Flow Preventer Required ( )Yes () No
Type
$15.00
PLUMBING COMPANY 0115
Reinspection Fee $42.00/Hr
SIGNED BY TEL N0. Z%- 033
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
v
1.5% of Value of Fixture or Appliance
Approved By Rough–In Date Final Date
State Surcharge
$ .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
TOTAL FEE
$ ZA-50
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SQ INCHES.