PRE 2010 DOCSCity of Fridley, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 55432.
BUILDING PERMIT
Date: May 18aj 1972
Owner: Robert Silseth Builder Same
.Address 24 67th Way N.E.
Address
No M 16_ . Street
Lot 2 _ Block
LOCATION OF BUILDING
67th Way N.E. _..____...__._ Part of Lot
610 9 9
11444
Addition or Sub -Division Edgewater Gardens
Corner Lot Inside Lot x Setback 35 _- Sideyard _10'
Ewer Elevation Foundation IIevation Top of footing 839.48( Approx)
sewer Location- 75 East of Manhole, Wye Elevation 836.48 Water Location 10 W. of Sewer
ervice
DESCRIPTION OF BUILDING
To be Used as:
60'
46'
House
Front 1WL Depth
a Height 20'
Sq, Ft. 1390 Cu. Ft. 27,800
att. garage
Front 22'4" Depth`
28' Height 10
Sq. Ft. _T 625 Cu. Ft. 6,250
Type of Construction Wood Est. Cost 27,000
To be Completed _ 1 year
(26,530)
Stipulations:
Provide
Hard surface driveway
Provide
verigying survey
In consideration of the issuance to me of a permit to construct thewilding described above, I agree to do
the proposed work in accordance with the description above se forth in complian th all pr visions of
Ordinances of the city of Fridley.
13-.27 State_Surchax.,&e .�
In consideration of the payment of a fee of ;_63. 00 permit is hereby granted to-- Robert
Silseth 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
$one in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of
Viridley, 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 provisions of said
44B 1
ding Inspector
Clarence Belisle
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, Bas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
: h Uf/9(-- %
SfG SL^%BUILDER:
S �n�/�
ADDRESS: b�;,7
V 67
t`/ l��ADDRESS :
S ✓"���/
NO • ! STREET • rr `� 6V : j
-777
LOT: BLOCK:_ 3 ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: `7 5—' SIDEYARD:`40
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:
P0 Front: Depth: 4-1C Height
Square Feet: -7 10 Cubic Feet: -7, 61-6
% C .o r R Front: 2 —' Depth: Height: % d
Square Feet; Cubic Feet: �, 5
Type of Construction: W v0 C7 Estimated Cost: $ v2 fZ0 U C7
To Be Completed: C ? •'
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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. ,-1
DATE: /
(See Reverse Side For Additional Information.)
r
a
Land planning sakeww" 6975 Highway No. 6S N. E.
Land SurveyingAnc. Minneapolis,
Minn 55432
Soils Testing
&��eeibW,
Telephone
'Civil Engineering T84-6066
Municipal Engineering Engineers Surveyors Area Code 612
_. ti
Certificate of Survey for
0-1
O
CV
(i •�9
Boll e : 114 _ 30 OL-
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75.0
gS�MF� i' Ro�v
nn
�oncre�e base o} tenee PO4 on P-Omev-
LOI 21 9LOCK3--f- ENEWATK QNQDEN�
/�
Amowa CowwrY
1 hereby certify that this is a true and correct representation of a survey of the boundaries of the above
described land, and of the location of all buildings thereon, and all visible encroachments, if any, from or on
said land. As surveyed by me thisday of __A.D. 19ji.
�•F�•F���� SUBURBAN ENGINEERING, INC.
Engines s Sur" yp_rs e
R
by
45 446
4(P34
6
7S- Lo �.oc�trv�J
7 5
S�
Y5
.T6 D
Fel?407)� aCOX)
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Application for Pewee Plats: and Heating, Cooling, Yentikg6nR Retdger�ation and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIA: FATZ TOTAL
Furnace Shell & Duct Work $10.00 $
Replacement of Furnace 6.00
Repairs & Alterations --up to $800.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $—_ _.
MECH. WARM AZA
Furnace Shell & Duct Work to 120,000 BTU ........ $10.00 $L_
each add. 60,000 BTU .................... 3.00 i
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
3.0(1
s.,-- _ _ -
Each add. 320 sq. ft. EDR Hot Water
3.00
$
OIL BURNER—to 3 gal. per hour 8.00 $ —
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) 6.00 $ O
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x$ 2.00 $ .2• D U
Additional Fixtures x .75 $
Gas Range to 199,000 :$ 5.00 $
AIR CONDITIONING a
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE
ROUGH
FINAL 64
Dept. of Bldgs. Phone 5O-3480
.ems /( — ('-2 -cj—
IN
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 Ordinance;
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. Minn.—n441g ��
Owners S`C
Kind of BuildingU
Used as -- - - - — -
To be completed about __ % %
Estimated
Cost,
Old_uilding Permit No. Permit No. -S-.18'?
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name Sire Pio
Capacity4V7 ®7 U Sq. Ft. F. D.R l G/� BTU Hp
Total Connected Load Hind of Fuel
BURNER — Trade Name Size No
Capaci Sq. Ft. E.D.R BTS)
ISP.
(REMARKS -OVER)
Signed
Bp
Bis Phone No 5 2� G f
Cify of Fridley
App,liccgm for Ph=bbq and Cn R"hig !fit
Deprt. of Bldoa. Phone 56063450
DESCRIPTION OF WORK tl �� �` C �� �� effLZ
Number. Kind and LocaBou of Fixtuw"
Base
• Tulare Conaselkna OpeningsI ...— sower ❑
• Now r19aure. Old Openings GManeol 1"1
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES.
NO. RATE
TOTAL
Number Fixtures ................
x $200
$
oZG OO
Future Fixture Opening .... :......
x $1.50
=
New Fixture Old Opening ..........
x $1.50
i
Catch Basica ....................
x $3.25
=
Water Heater 'Up to 99,000 BTU) ®. • •
_1_ x 53.00
$
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater ..............
a $100
S
GAS FITTING FEES.
NO. RATE
TOTAL
lot 3 Fixtures ...............
x $200
$
4-00
AddMonal Fixtures ...............
x 6.76
$
Gas Range to 199.000 BTU ............
x $5.00
$
State Surcharge
$
.50
REPAIRS k ALTERATIONS —Refer to Cede
Description ................................... « ..... A
TOTAL FEE 6 `� A
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 (Sts Ordinance
and naffing of the Department of Buildings, and hereby declares that all the fact
and representations stated in this applicatiog-Are true and correct
Fridley.
Owner
Owner .r� C) L�Z
Kind of Building
Used as
To be completed about S �� 7
Estimated Cost, $
Old New Building Permit No. P t
Signed`
ROUGH
rMAL '
By
Business Phune
(5741%fz A R -t - spi T il�ELPiA-i I
Kleve Heating & Air Conditioning Inc.
13075 Pioneer Trail • Eden Prairie, Minnesota 55347 a Phone 941-4211
V 103
Heating and Air Conditioning Estimate Sheet g
Date
�iyr�u�n�+s�� �r3c�2) fo _
Owner Office Address l G '� �%`1 _ ASE
Job Address 4111 ' 3 2 A2 VE- Q Esz1 -p C G Y SS -4-32.
;bi PLx Office Phone No. Ste- Z6 s 1 Res. Phone No.3 74 " W3 8
-Furnace Model No�2�La3e- T7c�g. BTU Output �O -`
® Direct Drive ❑ Belt Drive H.P. Filter Type and Size
Electrical Work By ❑ Kleve CO Others -
Flue Furnished By Q Kleve ❑ Others- Flue l Class "B"rc, ❑ Class "A" ❑Liner
Warm Air Register Type ❑ Lima ❑ Return Air Register Type ❑ Lima ❑
�GLv _be -C 4�13� P r17/T!G — M8 usTt.r+ A'R /A/7Arc - Ser SA{kT_-Sr+,f
Opening Schedule Information
Basement W.A. R.A.
First Floor
W.A.
R.A.
Second Floor W.A. R.A.
Plenum
Living Room
'�
�-
Bedroom 1
Rec. Room
Dining Room
Bedroom 2
Lavatory
Kitchen 4-Err-jc
Bedroom 3
Laundry
Den
Bedroom 4
Work Room
Bedroom 1
Bath 1
Trunk Line
Bedroom 2
Bath 2
R.A. Drop
Bedroom 3
Hall
Bedroom 1
Bath 1
Bedroom 2
Bath 2
/
Hall
Entry
O'Vent Kitchen Hood_
Total Ft. Underground
Family Room
Vent 7- Bath Fans
Loop Duct Ft.
Foyer
23 -Vent _ t Dryer QTaj"LY
Insulation for
❑ Clothes Chute Ft.
Loop Duct Ft.
Price Information a -ft
E-1 Complete Installation per above Schedules - /2F► ,ajG $
77 Tons air cond. Model No. 7 $
❑ Humidifier Model No. $
Cl Additional Zoning $
❑ Air Cleaner Model No. $
91Basement Heat -Sok "'�iA- I /- l'ia $
G5- (fie Ai -Ti "i $
TOTAL PRICE $
%c Respectfully submitted,
Kleve Heating & Air Conditioning l_ _.._. .
- /�th✓cr 4ze a Nq c E FVIZ
A TI -T — By lA!, �! �(ijie4Aa -- -
--Date bf-Aceeptance Signature -
SUBJECT
P
City of Fridley
27695
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
o
_ COMMUNITY DEVELOPMENT DIV.
~ PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
9/10/98
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
1L'""
-A 612-571-3450
910415
JOB ADDRESS 16 67th Way NE
1 LEGALLOT
NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
2
3
Edgewater Gardens
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Boris Boskovich Same
572-0683
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Town & Country Roofing 9403 Minnesota Axx Ln Maple Grove 55369 545-4233 20091282
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
Reroof house & garage (36SQ) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST,
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$3,085.00
$1.54
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 CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$87.25
Q Fire SC $3.08
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEKI
7s- �/'lU -�j�
License $5.00
$96.87
SIGNATURE OF CONTRACTOR R AUTHORI ED AGENT IDATEI
PR ERLY
D ED IS PE�iMIT
9L SP
-
BATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
...... AUG -13-1998
L
ADDN I ]
ALTER [ ]
ConsauctionAddress:
08:42 FROM CITY OF FRIDLEY TO
CITY OF FRIDLEY
SINGLE FAMYY,Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
8589320 P.01i02
=LMUVC !!1JJa6
Legal Description:
Owner Name &Address: Tel.
Contractor.----
LICENSE #C) (�ga
Address: fel i nVl ��b �� 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;
Construction Type: Estimated Cost: $ '36 AS
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: _ Ft. Ft = __Ft x
DATE: APPLICANT:
CITY USE ONLY
Permit Fee $® , �s
Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ l $.50/$1,000 Valuation
SAC Charge $ $1000 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 ( )
a
TOTAL $ . M
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000
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 ADDRESS
RATE SCHEDULE
OWNER f3o2i S /3o-SA—o ✓ e''c 4
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
Rate TOTAL Q
BUILDING USED AS 9e—F-S'•
$ 30.00 $
ESTIMATED COST ICDO PERMIT NO.
$ 10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00 $ Trade Name Size No.
BTU HP EDR
$ 25.00 $ Fuel Total Connected Load
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.
$ .50
$ ZS,S'b
Burner Trade Name Size No.
BTU HP EDR
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
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE SZ/Z /ov
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new venting system, 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( )No(
)
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
BTU Input Fan Assisted or Nat
Appliance #2 Type
BTU Input Fan Assisted or Nat
Appliance #3 Type
BTU Input Fan Assisted or Nat
Total Appliances
Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date: