AF - 43053������� �� �r�e���;�',1F��.
��TT��DII�TG ���.li'II7r
I�T° 35'�
_ �f�ce ef Y1�T������� �I' BgJ�DINGS
Frid'ey, n��nn., ,"��- , is.�
F�OC�i��01°T CF BUII�DING
No. `�' �7 Street � Part of
Lot � ` 31ock Addition or S«b-Division ���
— r--
����i I�-"�Fi.;1`.7 C"�' ��J�I��Z1�,�C�
,� , f°
Front , Dep1.h �-�ei�ht � � �±orzes_ :�✓ Manner of Construction . t .,,. r,,,,.,�;% ---
-:� f � . ' ..�... �µ' ,
?'o �i� used as " To he con��l�te3_ „ : � • � ' E�i �ated �ost ��` , �.� ° � � ..
Permit is hereby granted to� ..�.!f�^!�`"�� �.,�' n.�*",�„.�;. � to d��.�+'%�1°�"..+�"G ��
the building �-�-� y,�-�_ described in the above st�tement. This permit is granted
upon the express condition that he person to whom it is granted, and his agents, employees and workm:en, in a.11
the work done in, around and upon saici building, or ar.y part thereof, shall conform in all respects to the ordi=
nances of Fridley, Minn., regarding the construction, alteration, maintena,nce, repair anfl anoving of buildings
within the city limits, and this permit may be revoked at an,y time upon violation of any of the provisions of said
ordinances.
� � ��� � �����:����
� � fi' n. nPe±Or of Buildings.
�.GREENIE�aT� Al°v°�3 ��T�1�N �'�'A�E�!�EN�
�n eoz�siderata�n of the issue and c�elavery �o me }�y thz In:=�eetor of �ui�c�anvs Qf Fridley o�
the above germii, I�ereby agree to do the pro},c��ea �vork �n ac�or.�?�.nce with the description
above set fo�th and according to the p�ovisions af �he or�din�r_ce� �f �ridl�y, and, bei=�� first dui,y
sworn, I hereby state and s�,y that the facts staied bv me and eonf;ai�ied ir the at�ove perxnit are
true as therein stated.
�
� ��s�,�f � �
Subscribed and sworn to before me at Fridley, Mirne�o�a, this ��
.:�'..��..�` fi A.D. 19�� t � �
day of� . _
�
�
City of Fridley, Minn. �s'� ��
BUILDING PERMIT No 7 l 4 8
• . - --
Date: _....�=".,f•-�.._.'���..�� ....._..._._..._._..�.
, ._ .
Owner: �.f'y��.�... r�i��. ....��E� Builder _ .�_.�!,�._.... ._ ... ...... . •�������A=�_
� � �
Address....._.._.__:..._._....�� ........_..._._.._...__...._...._...._..._..._._.._ Address _�_.__......._......._...__..__._.._..._.._.__.....___.._.__.___.__.___.
•
LOCAT N F` BU LD G
No. � �.. ...... _.. Street :.. �:��..�,����#.�..�..�.. .�a .�Part of Lot ......_.._. ... ._.__.._ ..__._ ___
� � -•r
.�.�.._......_ B�o� _._.._........._._. � � �.���._.:�����'.`
Lot ••-.._. .. _. ......._..._......._._. Additaon or Sub-Divi ' n � �
Corner Lot •--___....._..._...._.. Inside Lot .�.-1...__....._..... Setback ••---- -- �Sideyard _....._....�. /
�.._..___.___..._.._._.._..__.-_
Sewer Elevati� .._.__....._...._..._.._.._......_._.._...__.._..._..._.._...---•-----__.._ Fo dation Elevation ...__..._--•..�___...___._�...__...._..__.._...._..._
DESCRIPTION OF BUILDING
T as:
_.._. �....._ Front ��._.. Depth _y�__..�� Height ....�.[-1--.. Sq. Ft:Z.� Cu. Ft,,�L� ...�
_.___._._... . ......_._.._........_ Fro __.__........_--'._._Depth -•.._..� Heigh � _ Sq. F't. __--_.__..__. Cu. F� _._._...—
Type of Construction _ ... .. . Es� C ��..�''G�......_....._......---...... To be Completed ...__........_..._.....:.._.�.._.._____
In consideration of the issuance to me of a pernut to construct the building described above, I agree to do
th� proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinanoes of the city of Fridley.
•• - —� ° ;fu�'dI''1' -
�
In co�sfderation of the payment of a fee of �._ _.._..�....._......._.., permit is hereby granted to...._.. .-.--
._.__,......__..._�_.....__....�._..___. 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
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o�
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at ar�y ty�g upon viol�tieu,of any of the provisions of said
ordinances. f 1�. �/ 1
��
� NOTICE:
7hi� p�emit doa not eowr fh� eonstwetion, inshll�Hon fo� wtriny. P��9� Ya h�afin�, awa or wa1�r. 8� �n to a�
th� evildiag Intp�or for aparaN p�rmhs for thp� iNma
• APP'LICATION �OR BUILDING.PERMiT
. _ CITY OF FRIDLEY, MINNE30TA � _
OWNER' S NAME L�'1s0, jPG � R. ,�jLlr i�� BUILDER �FD /"I�A �fL/ . S'/� �,,;K
ADDRESS ': �.N �% 9 � ' �� ) E4 _ A�DRESS : . . _
� ��., 11�.lZ. �
� . . � � � ... . . . �. r: -;
, . LOCATION OF gUiLbING. _. ,_ .
No. .(,y.l� L��LLl�D6 b iZr�. street .�i Lot_�
Lot Block _: , Add3.tio� or Subdivieion �V1�n��, lh�N„j�M��,�l�,,f �l���d/�! .
Corner`Lot�Inside LoC �SeCback Side-Yard .
�• SEWER ELEVA�ION FOUNDATION ELBVATION
Agplicaat attach to thib form Two Certificates of Suzvey of��Lot:and-pxapoeed build-
Yng location drewn on these Certificates.
To be useii•= as ; � ` ,' �` ``: � '
_i ., ..,�, •.;. �-
� a� tt. i� A/ i:'�
DE3C$iPTION OF BUILDING
:Depth � ,.�'-F��i�ight
sq. Fc. � -�n.t'L__.. cu. Fc..
. Front ; Dspth Height
� Sq. Ft. Cu.,Ft.
Type of ConsCruction �,�?AM � Estimatad Coat �// �ln . l�(��_�,;;,
To be Compl�ted � �l �J �` � S7' ��e � �
.a. �_
The undersigned hereby makes application for a permit for�the work herein epecified,
agreeing to do all work in strict accordaace with the City of Pridley Ordinances and
rulinge of the DepartmenC of Buildings, and hereby declarea that all the facCa and
representatious stated in tihis�application are true and correcC.
D�AATE 5�' //� /G
�(Schedule of Fee Costs can be fouad oa the Reverse Side).
. .- �
C�
�. .., •
r + • T
App�iaation �oi' Pow�r MaMs and H�aHng, Coo1ing, Yeneilation. R �nd
Air Conditioning S�s c�d Devic�s
PARTIAL RATE SCHEDULE
GRAYITY WARIrt AIR: �� T�AJ,
ll�rnace Shell dc Dact Work . . . . . . . . . . . . . . . . a10.00 �
Replacement of F1�rnace . . . . . . . . . . 6.00 ;
Repairs & Alterations—up to ;500.00 6.00 a— —
Repairs d� Alterations each add. s500.00 , g.p� #_________
1[ECH. WAAl�t 11IA
Piu'nace Shell Ec Duct Work to 1f0,000 BTU ... .. .
each add. 60�000 BTU . . .. ........ . . . . .. .
RepLcement of Fti�rnace . . .
Repairs � Alterations--up to ;500.00
Repairs & Alterations each add. :500.00
. . $10.00 ;_
. . . 3.W =
6.00 f
6.00 #
3.00 ;
STEAM or HOT WATEA SYSTEi[
Flirnace She}I & Lines—to 400 sq. tt. F.DR Steam �10.�J0 �. _____
Fiunace Shell & Lin�to 640 sq. ft. EDR Hot Water 20.00 a-.—
Each add. 200 sq. ft. I�DR Steem 3.0(1 �.. -- ------
Each sdd. 320 sq. ft. EDR Hot Water 3.pp a--
OIL BIIR1�iER—to 3 gal. per hour g,pp a __
over 3 gal. per hour�ee Fee Schedule _
GA3 BURNER tup to 199.000 HTU) a.pp ;
over 199,000 BTEJ See FN Se}udul�
G1►8 FIITING FEEB: NO RATE TOTAL
lst 3 F�xtures xa 2pp a.--
Additional Fixtttres x 96 i
Gas Range to 199.A00� :i 6.0� _
AIR COIfDITIO1fI11G
F11N HEATIl�G 3YS?E1[
VFdiTILATIIfG sYSTEM
11LTERATIONa ! AEPAIR3
ROUC3H
FINAL �
. :, ,
� / � .�. � , r .is..! ',L t.�
1 ' i
1 �
City ol PYidley:
The undersigned hereby makes application for a permit for the work hereir
specified, agreeing to do all work in strict accordance with the City Ordiaance:
and ruling of the Depar�tment oi Buildings, and hereby declares that aI} tkc facts
and representations stated in this application are true aad correct.
� 0 F1�idley, Minn._�� 0 18 ��
„ n
Owner
V
Kind of Building _____ ��Q;�o
Uset� as - --.. _ _ __ �,-� .
To he compieted about _—_ ��
Estimated Cost, a_ _.__1.�. (� � � __ _
�New. Building Permit No. P�rmit No. -� ��
DEaCAIPTiOIf OF WOAR ,
��v` Cc��Cc� �""
iiEATING or POWER , No._s1_L_�_
Trade Ivame��%'l��cR�f'�/Yt� 3ize No- C_ d� -� y
Capacity__ Sq, Irt. E.D.R- �y- a G a g� Z- gp
Total Connected Load I�tad o! lh:e
BURNER — 1Yade Name Siu No
�"'����m tl � C� CaPacit3' 89. !'L E.DR BTU i�p
SN FN SCINdt�4
i
roTUi. r�ce � ,�v � r � G s ,� — �
6B \
�
Bt�s Phooe Ne- CI � n-- .�� C� (,
. (REMARKS-OVER)
sue�ecT PER .
City of Fridley 16 0 2 7 ;
�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T '
; � IPT
• COMMUNITY DEVEIOPMENT DIV. / �7
' � � Ctl d �
� � ti.---�---�
r i � PROTECTIVE INSPECTION SEG
1 i
1
� � �"�1 � CITY HALL FRIDLE� 55432 NUMBER � REV. DATE PAGE OF APPROVED BY
�'"""��� ,�� 612-571-3450 910-F15
12/2/80 � �
JOB ADDRESS 6449 D211WOOCI Drive N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 28 Moore Lake High.lands lst SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
E. Dean Vanough 6449 Dellwood Drive N.E. 571-7118
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Sussel Com 1850 Como Avenue N.E. 645-0331
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
Construct a 14" x 28` Addit"on to Dazellin
9 CHANGE QF USE FROM TO
STIPULATIONS
WARliNHG
Before digQing c�l{ local utifities
iELEPHONE - El.ECTRIC - GAS Etc.
SEPER�TE PERMIT5 REQUiRfD FOR WtRl�1G, REQUlRED BY LAW
HEATING, PLUMBING AND SIG�l�iS.
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 PEFIOD OF 120 DAYS AT 392
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEFEBY 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 14, 600 $%.3O
WITH ETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $
DO OT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE
PR SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
ST CTION OR THE PEqLF ORMANCE OF CONSTRUCTION. $90.00 NONE
/Q_ q��' �� PLAN CHECK FEE TOTAL FEE
�rV / �i
$22.25 $1�.9.55
SiG TUREOP Nra OR THORIZEDAGENT �DaTEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
�,. ti.- �U ��C�'U���-� �t_�.1�.� ��-,Z
SiGNATUREOF NERiIFOWNERBUILDERi iDATEI BLDG INSP ATE �
O�JiJCR:
11UDRES�
1'EL N0:
�
CiTY OF FRIDLEY •
ARPLICl1'fION FOR (tES:DE��TIA!_ C3U1LDiPdf'� PERh9I7S
(fdew, Alteraiions, flddii;ioris, or Repair�s)
�UILDER: -
�
I�DpRESS: ��J �. �•
TEL N0: �_�_Y �� ���/
Const;�uc�ion �ocation
S'1'P.F�x NO: � STREE7�
LO`!.': ��M_ BLOC'c::
AJDI
%t'� s� �f77 - .S-G� o
Correr Lot: Inside Lot: Setback: Sideyards:
Ap�licanf� at�:ach to this forrn two Certificates of Survey of lot and
proposed building location dra�n on certi�icates to scale.
DESCRIPTIQ(� U!" CONSTRUCTION '
�' —r • . i
� ��l ? ,�,x-� �//`1 �
���' i, Front: Depth: Heiyht: CJ i
Squa�e. Feet_: �Q �_^ C1�bic Feet: �! V'1
Frontc
Depth :
S�uarn� Feet: Cubic Feet:
j`ype of. C�nstruction e ____ ��l,_
7b Be Cbmpleted:
Height:
. I�f � Coo�
�stim�.i:ed Cost: $ � �
Alt. A Alt. B
Proposed Dra.v�way G•7idth If New Opeiiinq Is Desired: $ $
_ SEE REVERSE SIDE OF SHI',ET .
'J'he undersiqned hereby makes application for a permit for the work herein speci�ied,
agreei.ng to do all work i.n str.i.ct accorclance with the Ci�y of Fridley Ordinances and
rulings o� the Dep�r�:saeiit of �nil.ds.ngs, a hereby declar.es that all the facts and
xepresent�zt:�ons stated in this applicat�o re true and correct.
♦
DA`l'E : � /� � �� �� S I GNe'�'i'U it� : •
--_ � ��.., � �, 3� ,
s���u�<zt��n5 : 31.U'L
.�...�� ��Z
3
G'�� I�s � G= 9�b. no
�•�- '�.Z..2��
� "i',�' �:�n -
�j 9 �
�"i2 � 3�.2b�
, , .
�
r
Y�
»
,
A
��;
��
�� �• �
EX7ERIOR ENVELOPF AVERAG� "L!" COMpU11ATTON
�
SIT! ADDR,E�S 1_ �1 LJ � s
C�?L47� � � < � � � �p _ DATE � � PNONE �o S.� 3 %
� �
DETERI�RNE �IORKINC SQUARE FOOTAHE OF'�, EACN
1. Total �xpo��d vall area ......... -- 6��,�` S�. fit, x .185 �_ f�f,
, -...�..__ ..,..,,
2. TotY'1 roof / c�iling area .....:. _ ,3�j� S,q. Ft. x .04 •�g
.. � ------ ,_,,,,
; TOT11L EXPOSED WALL AREA A$OVE FLOIDR �,����
.. DETERMINE "U" VALUE OF EACH WALL S'�G?�NT ';� �ty
g ��Uu
�•', TOt,l Mtll M1TldOV area •�����..�.����• (� x � r/ r
b. ?'otal door area . . .. . . . . . . . . . . . . . . X . . . .=--3---- -- ,�:�°�? ,
. . . . .._.-.-.--- .—_•_;, r, . .
• c. Total •liding glaee door area ..,.,,., "��-� X �w� .���
d.' Total tireplace va11 area ............
----_.._.. X _._.._, . _o_ .
r.l Total Mall framing area iaverage lOX) — X �~---���
t. Total net aall area above floor ...... c x""'sj . ��,R� ,
_. Total tiv joist area ................ X O '-- -� a�
TOTAL EXPOSED FOUNDATION AREA � I ! q� , ��
�'_LQ �¢.L1=,
h. Sot�l toundation �rindow erea . .... .�';a X . �,�� ;
i. ?otal net foundation area above•grade __����� X� - j�""": �_ ��. �� I
.
., .. • , �
3 ..........................................................................T4TI1I, ��I
It itsm f3 ia ths �ame as� or lcse [han item #�1� you have �et ths iAteat of
sac bao6 tc) z.
M
'TOTAL EXPOSED ROOF / CEILING AREA � 3�
. •• DBTERMIIZB "U" VALUE FOR EACH ROOF / CB LI G SECI�NT. �
aU.�
j. Yatal.��lc�r�itht �rea ........... ............. � X . '
k. ?otal,.roof/ceiling framing area•(average lOX) 3_ � x .� .--�T'�"
1. ?otal a�t in�uleted roof/ceilint area ��"^
. . . . . . . . �r� X �..�. ' .� .
a. . . : . . . .. .. . .. .. . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. .. . roru ..1.�.2.L
Ii total of /�4 i• the •ame ae� or leas than #2� you have ioet the intent of
sac 6006 (c) i. �
ALTERNATE BUILDING ENVELOPE D�SING
?o utilise the total envelope syatem ceethod� the values �atabliahed by the �t�
of itesu ♦1 and I4 ehall not be greater than the •um of iteme #1 and %2.
1• I 11 �- � + 2. 1 S. � S • lri�(�� `��
3• ga.7 +�. - j1 5i - I l 1. �1
�
,
.,-,
�
_,
:_��_�.. �.�-_____ - _ '_' �--- ----------
T�t7d
J. C. ADAMB COITANr •LlR1iER-.AVER• [NOII�EERINO
SCARi
6.00/12 ONER 3.00/12 II02S
COPYRIOHT 1980
�-II1-1960
�.
--- --..��----�-____�-----�-------------------------���_�_�_ ____�--------------
ppF! BPAN 39•- 3` OR LEBS MINIIKM'1 LUMBER TOP Cf40RD�2X 6 DOVO FIR-LAR •1 lOTTOM CMORD�2X 6 UOVO FIR-LAR •1
JT. M 4. 9X1�. 4 JT. Al�l. �X 1. 8 JT. A2�3. 8X S. 4 JT. ��'J. 9Y S. ���l3. ZX 3. b ALL i�B8�2x � DOtKJ FIR-lAll 6TU
JT. D2•3. 2X S. 4 JT. Dl��. 1X S. �1 JT. D�9. OX •. 0 fLA?i Qfi IN� 71'�. 7 IED �RACEB 1�0. ?�0. ��0.'4L0, ��0.
.101NT E�S. BX S. 4 JOINT F��. iX S. 4 T1E MTNIMUM �EARINO� �. S INCMES
FOR BPAN 33'- �' OR IP�S MTNIHU�1 LU1�IDER TOP C►pit�X ♦ DO110 FIR-LAR •1 YOTTOM C110RD�2X 4�OIJTMERN PINE�fL
JT. A�il3. ZX 7. Z JT. A3�1. �X l. 6 JT. A2�3. ZX �. 4.lT. Y�3. YX 7. 2+2l2. 6X ,. 6 �ALL ME85�2X 1 DOUO FIR-LAR STl
JT. D2�3. 2X D. 4 JT. Dl��. ZX 5. 4 JT. 0�7. Oxl,. �i rIATE t0 t/i� �?it. • iE! �RACES 1�0. �0� �O, 4•0� 0�0�
JOINT E�3. ZX14. �IB JOINT F�1. OII 0. 4 ' TME M2NIMUM �EARINO� a. 3 tNCHEB
Fdt BPAN 32'- •' OR LE88 MINZMlR1 LtJNBER TOP CFi01tD�ZX � DOVO FIR-i.M •1 10TTOM CNORDl2X 4 BOUT►ERN PINE�tI
JT. A�2l3. 2X 7..i JT. A1�1. 3X 1. 8 J7. A2�Z. �X S. 4 JT. f�3. 9x S. ��?�2. 6X 3. ` •ALL 61EB8�2X � DOl1Q FIR-LAR 6T�
JT. D2•2. 6X S. 4 JT. OS•3. 2X S. � JT. D�7. OX11. 4� �IATE W I1�M •l0. i NE� �RACEB 1�0. Q�O, �0� ��0. l�0,
JOINT E�3.2X12.68 JOTNT F�1. 5X S.4 TWE MINIlNM /EARIIi� i. S tNC►�8
FOR BPAN 30'- 3' OR LE68 MIMINUl1 LlA1iER TOP CNORD�2X 6 DOVC FiR-LAR �i BOTiOM CHOR0�2X 4 DOVC FIR-lAR MS
JT. A� ♦. SX10. B JT. A1�1. 3X 1. B JT. AZ�3. StX 3. 6 JT. 8�3. 9X S. 4a�2. bX 3. b •All ►�B6��X � DOUO FfR-I.AR 6Tt
.R. D2��. 2:' 3. 6 JT. D1�3. 2X �. 4 JT. D�7. OX14. �IS PLATE 8A IN� �. Y 41EB BRACES 1�0, 2�0. 3�0� 4�0. �•0.
JOINT E�3. 2X12. 68__"�JOINT p�4. SX 3. 6 __TNE MINII�IM HEARINO� 9. S INC►�8
�i__�_�_w.�------��_�_.._w____- ---------��---'
FOR SPAN 29�- 6• OR LE8$ MINIMUM LUMBER TO► CHORD�ZX 1 BOIIT►#'RN PI►�E�SD lOTTOM CMORD�2X 4 DOtJO FIA-LAR M1
JT. A� �. SX10. 8 JT. A1�I. 3X 1. B JT. A2�3. 21( 3. 6 JT. 6��. 9X S. 4+2l2. 6X 3. 6 ALL �68�ZX � p0U0 FIR-lAA 6T1
JT. D3�3. �X 3. 6 JT. D1�3. ZX 5. 4 JT. D��. 81I �. 1 PLATE CO IN� 4b9• 8 1�B BRACES 1�0. 2�0. �O, 4�0. 5�0.
.IUINT E�4. 5X 3. 1 JOINT F�3. 9X �. 4 THE MINIIMI HEARINO� 9. S INCF�S
FOR BPAN 2b'- O' OR 1.E88 MINIMIM IUFtBER TOP
JT. A� 3. 9X 9. 0 JT. A3�1. 3X 1. B JT. A2�3. 2X 3. 6 JT
JT. D2•3. 2X �3. 6 JT. Dl�3. 2X 3. b JT. D�S. 8X �. 4
JOINT E�3. 9X S. 4 JOINT F�3. �X S. 4
FOR BPAN 2#'- O. OR LE88 MINIMl1M LUMBER TOP
JT. A� 3. 9X 9. 0 JT. A1�1. �X i. B JT. AZ�3. 2X 3. 6 JT
JT. D2�3. 2X 3. b JT. D1�3. 2X 3. 6 JT. D��. 8X 7. 4
.lOINT E��. 4X S. 4 _ .._. . . JDINT__F�3..ZX .�.4_ .
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FOR BrAN 22'- O' Oft LE88 MINIMUII LUMBER 7aP
JT. A� 3. 2X 9. O JT. A3�1. 3X 1. 8 JT. A2�2. 6X 3. b JT
JT. D2�:. 6X 3. b JT. D1�3. ZX 3. L JT. 11��. 6X S. 4
JOINT E�3. 2X S. 4 JOSNT F�3. �X 3. �
ClORD�2X • DOINi FIN-I.AN O1 IOTTOM CHORO��X 1 DOUO FIR-LAR �i
Y�9. ZX 0. �{2t2. 6X 3. 6 ALL MEH6�2X 1 DWC FIft-LAR STl
PU1TE BO IIV� �S. Z MEB BRACES l�O. ?�O� 3�0. 1�0� ��0.
TI�E MSNIMUM YEARINO� 3. 9 ING►fES
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CHOR0�2X 4 DOUO FIR-LAR M1 YOTTOM CMIORD�2X � DOUO FIR-LAR �1
l��. �X 0. 4�2tZ. 6X 3. 6 ALL 1�H8�2X 4 DOUO FIR-LAR STl
rLATE 80 IN� 38�. Z 1�! BRACES 1�0. Z�O. 3�0. 4•O. 0�0.
_ _. . TME MSNIrJU'1_BEARIN0�.3.� INC►�8
CMORD�2X 1 DOUO FIN-LAR •1 /OTTOM CMORD�2X 4 DOUC FIR-LAR •1
��3.2X �.4*2l2.6X 3.6 A�L MEBS•2X 4 DOUO FIR-LAR 6Tl
PLATE 80 IN� 342. 7 1�/ ORACES 1�0� 2�0. 3�0, 4�0. �0,
THE M1NIlRJN iEARINO� ,. � INC1�8
FOR BPAN 2Q'- O. OR LEBS MINIMVM LUMHER TOP CNORD�2X 4 D011O FIR-�AR •1 HOTTOM CN�tD��X 4 DOW FIR-I.AR AS
JT. A� :i. 9X 7. Z JT. Al�i. 9X 1. 8 JT. A?�2. 6X 3. 6 JT. !•3. 2X 3. 4*3l2. 6X 3. 6 ALl ►�B8�2X 1 DOVQ FIR-LAA BTl
JT. D2�2. 6X 3. 6 JT. D3�2. bX 3. 6 JT. D�S. 8X S. 1 PtJ1TE Bti IN� 331. Z NEB 6RACE9 1•0. Z�O. 3�0, 4�0. 5�0�
JOINT E�3.2X 3.4 JOINT F�3.2)I 3.6 liE MINIMUM BEARINO� 3.3 INC►IE8
------�-----------------�w_...-------------------°--- ---------------�--�-�'------------°--°-----
T1E BEST RESlA.TB IN TRVSS FABRICATION ARE OBTAINED NITH A I�CNANICAL JIC TMAT 0.IMIkATEB MARl�UL BTRESSES CAUBED
BY HAND�INO. LACKINO Bl1CN A JIO� OREATER CARE IIUST BE EXERCIBED IN HANDl.INO T1� TRUBB OR �ARO£R CONNECTOR PI.ATES
SMOUI.D BE BVBS7ITUTED. J. D. ADAMS CO. 8EAR8 NO RESPOPlBI0ILITV FOR TFIE ERECTION OF tRtl8�8. PERSONS VBINO TRVSSES
ARE CAVTIONED TO SEEK PROFESSIONAI. ADVICE IN REOARD TD ERECTION HRACTNC MID PERMANENT DRACtNQ. AL.L JOINTS MUST
BE ACCURATELV CUT AND FIT. DIMEN6ION8 MUBT �E VENIFIED. ALl PLATES CENTERED UNLE68 i►IaIN OTMERW1iE. �LATE9 ARE
MINIMVM BASED ON BTRESSE8. FADRICAT�i MAY FIND FROl1 EXPERIENCE TFIAT BGME JOLN78 M20HT REWIRE LAROER ►UTE6 FOR
MANDLTNO. ALl CONTINVOVS BRACINO ON 41EB5 Atm C►IORDS TO BE ANCH�ED AT BOTH ENDS TO A CUITABI.E CUPP�tT.
tAI.L BRACINO TO 5E 8uPPLIED BV OTHERB.) ALl WEBB 2X4 UI�ESS OTMERW28E 6PECIFIED.
" MlIiIEPIKE •t!Y J.D. ADAMB CO.) BHALL BE MADE OF �0 W►fiE BTEEL AND PRESSEO INTO �OTH FACE: Oi JOINTB.
NOTE: PLATES MITM '8' AFTER fI2E � iPLICE PLATEi •M' AFTER 822E � ib 0�.
TOTAL SQUARE INCHEB D�S NOT INCLUDE PlATE9 11EWINED TO BPLICE A TRUBC
tIULTIPLY SPAN BY FACTOiiB lELOW FOR BTRESSES
A-A1�19�.81(C1 A1-112•19�.64(C> /1�- Y�199.19(C) A-02�179.71(T) D2-01�lIQ.Y4
DS- D�111.16tT) A1-D2� 14.�OfC) pZ-D2� 41.Q7tT) A2-D1� �3.94(C) �-G1� �6.1�
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At,t,. RACINO• 11(4 (USE 9'O. C. BRACTNO ON l. C. IF �. C. f6 NOT ADEOUATELV BRAC
FOR A MINIKUN BEARiMO OREATEA Tt1AN 3 1/Z" 1VT NdT EXCE�ED�I/N1pO 7`
ADD Ot�E HEMINO BLOCK (/i[[QUme ✓rn�dt,
REMJIRED NAILS ON BEARINO B�OGK�(MIN.BRO.-3.S)7I 6.11
PLATE
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SPACED AT 84"D. C.
CENTER VERTICAL 8I2E ��2XA l�2X6 ��2X10 X�ZX12 (� /�
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. DIVISION pF VILLAUME INDUSTRIES �
, ' • 2926 LONE OA� CIRCLE
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� SuBJECT � •
City of Fridley 2 7 54 9
' , AT THE TOP OF TME TWINS g U I L D I N G P E R M I T NO.
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������_ COMMUNITV DEVELOPMENT DIV.
r � V � PROTECTIVE INSPECTION SEC. ����
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� � �"'1 � CITY HALL FRIOLE� 55432 NUMBER REV DATE PAGE Oc �PPROVED Br
�'""'�'� �'' 612-571-3450 910-F15 9/3i98 % �
JOB ADDRESS 6449 Dellwood Drive NE
1 LEGAI LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED
DESCR. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
E. Dean Vanau h -
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Owner
A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAII ADDFESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION � REPAIR p MOVE O REMOVE
8 OESCRIBE WORK
Reroof house n -
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEAEBY CERTIFV THAT I HAVE AEAD AND EXAMINED THIS APPLICATION STA�LS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVEFNING THIS TVPE OF WORK Wlll BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GAANTING OF A PERMIT $2399 1. ZO
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OF CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �]�}.]S Fire SC �Z.�1O
PLAN CHECK FEE TOTAL f EE
78.35
�NA�U^AEOf CON'RACTO ORAU�MOpQEDAGEN� �DA7E� HEN PROPERLV LIDA ED THIS IS VOUR PERMIT
� ` � � � �-� ^
S�GNnTUAEOFOWtiERiiFOWNERBU4DERi �DATEi Bl0 SP '� DFTE
NEW -. [, ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �
BUILDING PERMIT APPLICATION � �'j
r/�p 'I �1 �� ��'
ConstructionAddress: �`� i � � �^ ��� d �f - V " e � �
L.egal Description:
Owner Name & Address: �, � ��, � Ur.c.vt a.� s� C� Tel. #� 5 � � ' � � � �
Contractor: ��,c� n� c✓ MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
tot, 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 Hgt/Ground Sq. Ft.
OTHER: �2''Qmo'� �otiss P� C�zw�`��� c��3 S� ��2a✓ o��
Construction Type:
Driveway Curb Cut Width Needed
DATE: 1 3 APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �/'C� %S
� �� �O
$ r �G
$
$
$
$
$
$
�a �.�( ._
�
$ - �
�%�'�3�-
Estimated Cost: $ °� 3 � �
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x$ _$
� - � �l Tel. #� �� �— % �l L�
Z�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / l Oth %)
$.50/$1,000 Valuation
$1000 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 [ ]
Building BUILDING Permit No.: R�
Ins ections Rec ' �By: , . ,�. , � .. �� ,
P RESIDENTIAL APPLICATION 09
763-572-3604 Dat���:
CITY OF FRIDLEY
DATE � I I (/ YOUR E-MAIL ADDRESS (� 61'� G ri o�tn n"I?.�.� ��'�V%� l%�LP �(' O/M
SITE ADDRESS � d CJ • !\i
THIS APPLICANT IS: ❑ OWNER �CONTRACTOR
PROPERTY OWNER/ N,�: ( i i'� ryj O�y 1�' (j V��
TENANT �� n J �
ADDRESS: ��� � a �( r� �� ��l �(• N�,.CITY_� � Gl C� STATE/�IULIP���
PHONE� �Q� ' ZO D Z�I �S3 V
corrr�►cTOR N�: Ci�ec� v f I��� c e c�+- tit �u �� �
SUBMIT A COPY OF STATE LICE SE # w ( EXP DATE l, i f U
YOUR STATE LICENSE ADDRESS: RCZ� ���lf'i/ P D(• S LU, fi Z7 U CITY Uf�f � STATFM/t�iP SS�1 k(
WITH APPLICATION pHONE - 3' y Z' i� °� FAX
PROPERTY TYPE �n`1GLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ❑ �DITION ❑ GARAGE/SHED �7WINDOWS
❑ BASEMENT FII�IISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIIvIINIIVG POOL
TYPE OF WORK: � ��'�' ❑ ADDITION
MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: L C.c-e. i l�U
SIZE OF IMPROVEMENT ENGTH WIDTH HEIGHT . F�
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:
GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan
PROPOSED SIZE: ❑ DETACHED GARAGE 2• ProPosed floor plan
PROPOSED HEIGHT: 3. List of sWCtural members to be used
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Viuyl OSoffit ADDITIONS_ & PORCHES SUBMIT:
� Aluminum ❑ Trim 1. Site Plan/Survey showing the existing struchves
❑ Oiher ❑ Fascia and proposed project
WINDOWS 2. Two sets of construction plans
IN EXISTING OPENINGS `�1'es ❑No LOCATI N OF WINDOWS 3. Energy Calculations
OR FORNEW OPENINGS-DESCRIBE SIZE OF '���� ��\�( Y U DM . Y.�\��
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED �Y LS NUMBER OF WINDOWS
ALL FEES ARE BASED UN VALUATION, INCLUDING THE COST UF LABUK AND MATEHlALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION S �\ u�' OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surchazge
License Surcharge
SAC Charge
C�rb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ �`�. 2,� See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ �3 .001 times the total job valuation
$ Cj .0005 x Permit Valuation Minimum $.50
$ $5.00 (State Licensed Residential Contractors)
$ $1675 per SAC Unit (Plans to MWCC for determination)
$ ft+6ft= ftx$21=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessaiy ( ) Non Necessary ( )
$ /n _� l Make checks navable to: City of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in
conformance with tlie ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is nof�to start without a pernut; that the work will be in accordance with the approved
plan in the case of all work which requires review and approv�al of plans.
SIGNATUItE OF APPLICANT ���h�l �lQ (�j}�i PRINT NAME;17W� U Yl �a �Q� rcS Gn DATE S� I� O q