AF - 43350�
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City of Fridley, inn
BUILDING PE�:MIT
nat�: Ju7.� 6, 1965
�r: C. 0, �7oight �� Carl 0. 9oigh�
Adaresa 11120 Haason Bl�rd. Ad� 17�20 Aa.nson Blvd.
���9�
N° 8120
LOCATION OF BUILDING
No. 195 street - G�`aigbraok �Ta4 Part of Lot
Lot 16 _ Sl�k - 6 Addition or Sub-Div3tafon Pe8.2�80718 Cx�.ig tr�� Est',a.tesa �d �ddu�
Corner Lot _ Inaide Lot � Setback gPProg. 35 Sideyard ��2'�i'OS�. l�� both c3 dp�s
Sewer IIevatiam
Fotmdation IIevation
DESCRIPTION OF BUILDING
To be Used as:
7. �'am�.1� �,,e11��t �_ neptv �.�! . x��t �.! _ sq. Fc. �� c�. � �
�ont Depth FTeight Sq. F't. Gti, Ft,
Type of Constructfon WoOd FP� F�t. Cost �25,�0.00 To be Completed
New House
In consideratlon of the 9sauancae to me of a permit to construct the bmilding descril�d above I agree to do
t]� proposed work in accordance with the d�scrlption above set forth aad ffi �ompliance with afl pravisions of
ordinancea oP the dty of Fr1d1eY• � fl ..,
In cansiderat[on of the paqmeat oP a fee oP �30•� , P�t 9s hereby granted to ��'1 Q. Voig�t
to construct the buflding or addition aa described above. Thispe rmit is granted upon
the express cwndition that the peraoa to whom it is granted aad his agents, employees and worl�}en, 9n all work
doae iq around and upon said building, or any �art thereo� shall conform in all respects to the ordinance� of
FridleY� Minn�ota location, construchon, alterabton, mafntenance, repair end mov3ng of bufldings
wlo��� dty ]im�tts� permit may be revoked at any time upon violation of aay of the P�visiona ot eaid
A1.16II JC'%�eII Bufldin8 rns�etor
NOTICEs
iYt p�rmB doa ee1 eowr f6s eoestrneHoe, inshllaHen h� vr6de9. P�+�9. 6n 6�9, ss�ru or rrmr. B� sure fo a�
Nn Boildlne I�uter tar aParah p�rmtis /er �ha� h�ms.
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APPLICATION F08 PEBMIT � �,�-��
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� . CI'Tii OF FR�DI�Y� �iiNA1�SOTA
� d � �� ��Ci�' �,¢�� D. �/'����t
oWN�R' 3 NAME HUILDER �� - Y�i�/�
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ADDRESS •,C'- ,_ �� , AbDRFsSS �. ,. _ � � °
,� � n � � .�.��..:w.
' yjr// �"'� �j� °"�:d �'� f� /v r� �� � � � �,! � _, s a .* �, �i l e.'�
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' LOC�TTON OF �t�il� .
Lot B1ock Addit.it�nc or
Cora�r Lot�_Inside %ot
�'�� ��` v���'�J,, Pa�t of Lot,
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Subd�1�'i�+3� �.,�.. %..� ��a C��Z� � � �
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SEWLR E�E"VA�IQN OIQ. �A'CT�
, a , .�..i��Yiri.�� ir.�....rrw .
Applicaat ateach to tt�.i� form;,T�o Certificates o£- Surv�yr of �o� aas�.px�tpEC�sed=vb��,7;cE� ��`
iag location , d��,wa oti the8e- �2�'ti f icates�. ' � � ` ' � '
DESCRIPfi`IOAT OF BiTILDING
Tsv be used �s : , � .
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� � ��� �� . �ronC �'� i DePth , "� � r #i�...ight ,��--
, - , .. ��� " �i� R
9�. Ft. ��� � Cu. Ft. J�����_��'����
.
� �,,,�ont Dapth I�eig�t .
; �q. Ft. � Cu. Ft.
Type a� Constructiotl �3.�� �/ ,�;��,� �, Estimated Cost ��� t�
y
Ta,.be_�amml.ete+d � a,�, � � �'• D _ .� . � �, ,� _ � �
The undeTSigned hereby mskes applicat3on for a germit for the worlc her�eia spec�fie$,
agreein�g �c� c�c e11 wor.�Z at� str�ct accordaac� with Che City of Fri3ley prd3.s��nc�s aad
�uliags i� ehe Depa��.��z �of Buildiags, and herel�y declares tT�at aIl the f�cts and
repres.egtations stated in tkia applicatioa are true and correct. . .
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���e _of I+'ee CoaCs can be fauad on the Reverse Side).
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� S�etion 2. The Inspector of Bu3.ldin�s •sha��, be�ore `i'se�u,�� aoq permit for
, th� erection of any buildiag or stru�t„ure., ssr�for aay add$t3� ts any exist-
. ing building or etrucCure, or fa'r: anq a�,t��gt��i,s,':or�:repa�a� to any e�iaeing .
buildi�g or structure u a a licat�:�s '���
, Pfl PP �er��or, ��q�aire the Payl�3�rt by �ha
applicaut fos such permit of fese �tt� �lie amouat •her�in�••below set �forth...�l
� � in the mauue= _hegeia provided to-w�t:� ��::
_. . . . . . . . . • _ . _ ._j. . _. .
�=r�- --� 2L.1. F�r aaq $uch permit �or the Q�e�,tion o�` an� fire�pr�€ bu��.d�.ag, QCher �,
'��•�� -t�an a gar�ge, war• ehouae, factory or� g�%i �ev�iE�c; ,� - F�r. the e��tiaa�`�f .'" �
,' aaq ' fi�e-p�of addi��on� fo�. ain,�,�,ar°�oi�P�ncY, �a a�q �xis�t�i�g b�.id�ag ' ?;::� • : . ..
�heit d�e at the ra�e Rf $I,.4Q for �asb:,,cac� t��ate�d �c�i� fee�, or�fr�ri4a
,�r- .. thereof, in auch cubical cont�n�e.� .:�� ''`:= ' . ,. , : ' � �
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. ��. 2�2._._�'or.aay such permit f�c:..,��e..erection o� anq firergroaE gi�.raee.=-��^p�^,.�'
�orq �r grain elevator, or fq�•the e�e�tion e� act�-����o� t,. ,.�
• f0r slmila�' _otot�partoyy_ .�0 8ny, eiciet�#t� �t�ld�7pg s�Y1� •be �t .t'�ie �,.
. ..-�:f��'��h vne .thc►usend cabic .feet;�..c�Iaesi.#3eet as.!'firepra►o�" hy� .S�
the-MiaaGa.p�e►i.ie•-�Buiidl.�o!g. CoflE3..ia�.v�e,��; ° � . � ' �
. .4y HOUSES ,. � . . . . . . ,. . � � . .. _ .
. � 2,�:� Fcix� �q s.utla permi,�� :fot tlxe �er�ctioa o# e.ny naa-firep�o�f ,�'uildiaRg � .
''' �= --.than a gaigge, warehouae, factory or, grain elevator, br any �toa-fi�f, ,�`'°��
addition, gor aimfd,�r oc�up�'ti4y, to an�r ef�iatCi�tg tit�ildia# - pe�Cmit $�:�00 fos .- �
each �one thou�ap2� �c�i.�, fee�.. .
CARAGES .• . , . . . . 0�
�"= Fo� any such pes�i,t €�r the e=ection �f anq non-fireproaf ga�rage, .
warehouae, €actory or graia el�v�tor, or fvr the erection'of anynoa-firepra�f'� -
�T-�c-s3milai occupancq, eo as�► existing building, br far eec�x such �
-��� - a--�a�ng or additio�r - niaety cents {$0.90j far.-each one thousadd ctibic feet
�r �=�ion thereof. �iu tbe cubical� contents thereof with. a minft�mo of $4.OQ,.���
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For tbe purpose .of computatag feea foY bui],diag pezmits, th�. cubical c�t.e�t�� �
of auy bufldiag or addition eo a�uniform height ChroughoLtt �'Isy �Ltip�ying t�_� '
grouad arest tovered .f�om a pcint sis (6) 3ach�� bel�3ra Ehe �],oar line asf.the;_y��.
basement or ceLlar to the.average height of.the tipper sur�face or to tbe �
average"height of the rpof surface of the mai� gable of a.��itched roof.
. 2_.9_��. For repairs or alteratione to an exist '� . ��.;' . ,.. , , .�'`� .
at Che rate of 3. �$��� �'� gee ai�12 ,b��<� �.
. $ 00 pe; each Five I�uadred Do11ar..a .($5ti�'s�)� o= 3�rac�tiasa '.
�therebf in �he cost �of ,�11 proposed �ork, . . . . - .
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Z.� In no �ase ehali the . . . . �� ' . ; . ' : ,.. - • �, � '�
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City of Fridley
� 4T TIIR TOP 0� TII( T�INa
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� rti-------� GOM�WNITY pEVit.O�MIENT CIY,
� � MO�r�CT�v� wf�tCrlpp Ot►r,
�.--.� ,.• - � Cm �uu.� siuo�RY �MR
J�.� �.� �q-b�0-sN0
53 $��-s-915.51
iw�[GT
Address
195 �T. E. Crai.gbrook �n1a�r
er
Edwin R. Hinden
tractor
�pCSCO
d of Building
p etion Date
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PLUMB I�Vr, PERf1 I T APPL I CAT I O�d
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78l�-0231�
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11-15-7l� 10 00
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(1 Plumbin Fixture Rates: N0. RATE TOTAL
! Number Fixturea x 2.00
I � $ � ____—
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Future Fixtures x $1.50
�' New Fixture-Old Open. x $1.50
i
� Catch Basfn x $3.25
i-_._.,
� Water Heater-99,000 BTU x $3.00
(
� Ground Run Old Bldg. x$3.25
__ _�
IE1ec. Water Heater x$2.00
� Gas Fitting Fees:
lst 3 Fixtuxes x $2.00
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' Additional Fixtures x $ .75
i
Gas Range-199,000 BTU x $5.00
Repairs � Alterationa
See
Description; Install Space Heate�ode 5.00
Warm Morning V-3o-P�
S tate Surchart�e [�Iass �A� . 50
��xcfiarge7 ,��0¢
ITOTAL FEE $ 5.50
!The undersigned hereby makes application for a permit
for the work herein apecified� agreeing to do all work
ia strict acco�da,nce with the City Ordinances and rulinE
oE the Department o� �uild�nge� and hereby declare that
a1l�the ta�ta and representationa etated in thi�
application are true aad correct.
���.,�/ .� ����-
'S ignature �s� Da te
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� FiOUSE HEATING TEST 62ECORD /
ADDRESS} 19 Crai brook Wa APT. FLOOR CITY susuRS Fridleq
OCCUPANT Edwin R. Hlqdet3 OWtdER �
HF�AT LOSS DATE HTG. INST. GAS C0. METER BADGE �
SOLD BY �inne�as �O INSTALLED BY
Elsetrieal Work By Gaa Line By
"1�"`?PE OF HEAT GA FA HW STEAM SPACE HTR. �5_UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE �A � MAKE OF BURNER
M°de� � � Model
Serial � Max. BTU Rating
INPUT � � MAKE OF FURNACE
� AAodel
CONTROLS �/
THERMO TAT He �ug Vent Size
Valve KIND OF LI SIZE NONE
Limit Draft Hood Regularor
Limit Sef4ing Filters Size Number
FO^ �ff�^9 Chimney Loeation Inside Outside
Pilot Type Chimney Construetion
Pilot Make
P�lot Model Smoke Bomb Wiring
.'ilot Timing ' Draft Test Tag
W. Cut Off Door Pressure Lighting Inst.
Prossure Pereent CO2 Date Tested - J�' ��
(nput CFH Pereent 02 Company Testing
Staek Temp. Parcent CO Name of Tester _� �� -
Form 235
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MIN�ER ENGINEERINC,� CO. INC. ,
ENGI NEERS AND SIJRVEYORS �
' I.wNO 9U0.�/EYiNO � , SOIL3 TESTINO
�GVIL b, MIJNIGIOAL ENOINEEIi1Np LANO RLANNINO
6418-56TM AVENUE N.
MINNEAPOLIS 'rf, MINN. •
KE T- 3637
��i_ ��l'8��'i11if 11�C�'�i� 1�I� � 1�Q�.`1'��
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VV� HEREBY CERTtFY TNRT TNIS 15 A TRUE AN� CORRECT REpRESENTAT101�1 OF A St)RVEY OF THE B4UN�ARIES OF THE
I.Ar1D RBOVE DESCRI�p AND OF THE LO�ATIDN OF ALL B11l�DINGS, IF AI�tY, THEREON , AN1D ALL VISIBLE ENCROACNME[�lTS�
IF AnfY� FROtVI OR ON SAID LAND. '�
6aTER Tx�s= .a,•r�_ SPn�-Pm��r� � MINDER ENGtNEERlNG CO., INC.
A.0.175.� g�Gl� ANp SU Y�YOa.S
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