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AF - 47360� L� � � City of Fridley, Mi.nn. BUILDING PERMIT No s 7 4 z , ��r799 nate: _. � i-� .� °-- __.�.� _ _.._.........._.......__.�. Owner: �� __ _ yBuilder _.._._ .____. ... _.. . . _. r.._........._.._.._._.. Addreas Address L ATION BUILDING No. .� � �.�.... Street _ ._._..._._.. . !Z�_ N��#�s".,f.. P Lot _.._._......__. - •---_._......_.......� ........ . . Lot _.._.... ..__.._._...._ Blo .......__...�_.._._.._..._..._.... Addition or Sub-Divisi� .�.._ _.�. .. _. l�._. ' .___. .__. ........ Corner Lot _.__..__._._.__ Inside Lot _.___.. �' _._.__ S.etback _. ' ..�......_.._....... Sideyard _._1�..__..�t._..�..._..._._.� Sewer Elevation __.._.._.r_..�.._..._�.....�.,.._.. .._.__.._._ Foundation Elevation r DESCRIPTION OF BUILDING �v . _._ ...... Front _..T_ � Depth _.�?._+�-� Height ._.� �. Sq. F't. �S� 1R.�Cu. Ft ^!_ �� _.. _ . � t �i,� � Depth _...�. Height _.._ � � Sq. Ft. ..�,�.� . Cu. F'� �� D .�..__ � Type of nstruction _. ._..._.. _. __...__. _ Es� C �Sti�,.�.....�...._....... To be Completed __._.__._�_ � In cansideration of the issuance to me of a permit to construct the building de�cribed above, I agree to do th� proposed work in accordance with the description abovg orth and in compliauce with all �rovi ' ns of ordinanoes of the city of Fridley. , x � ,�..� In ca�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 grauted upon the express condition that thepe rson to whom it is granted and his agents, employees and workmen, in all wark done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Minnesota regarding location, constructioa, alteration, maintenance, t�epair and moving of buildings within the dty limits and this perinit may be revoked at any time upon violation of any of the provisians of said o�ce� � � n �� • NOTICE: This p�emit do�s not wwr th� consteueNoe, �a11�Nar for wiei�. P�9. Yu Malino, s�w� er w�►. D� wn to sw th� duiWiaB Intp�eror for a�puat� p�nnNs for f6�» Ihms. . . . y �!►PPlication DESCRIPTION OF WORK Number, Kind and Lxaiion of Fixtures City of Fridley a+�Phrmbing and C,crs Fifting Permit ��y� Dept. of Bldgs. Phoae SU 4-7470 � �+ Locati �``1 h �'1 �,/�dJtrA .-�Yl/ �� I � I�6 �� ai I z�` �( K 0 I ; I j rc I<� I O c�< a I 7 Z I`? I ► I N( GASTER ELEC. 3 7 N 3 1- O LL N �L � l) < 3 W g C9 nS C9 0 Base t [ lst j J 2nd _ 3rd 4th ' Fulure Coaaection Openings * New Fixtuse, Old Opeaings PARTIAL RATE SCHEDULE 3ewer � ca�p�i n PLIIMBING FIXTURE RATES: � RAT£ TOTA �(> � Number Fixtures . . . . . . . . . . . . . . . . . . . . . . x $1.50 Future Fixture Opening . . . . . . . . . . . . . . . . —�— x 1.20 $ � � New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin .... ............. ... x 3.25 $ Water Heater (Up to 200,000 BTLn ......� x 2.00 $� , O Q New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $ I GAS FITTING FEEB: NO. RATE TOTAL lst 3 Fixtures .......................... � x$1.50 $—�ci 0 Additional Fixtures . . . . . . . . . . . . . . . . . . . . x .50 $ Gas Range to 200,000 BTU . ............. x 2.00 � City of Fridley: , �� iJ _ � The undersigned hereby makes application for a permit for the work herei speci fie d, agreeing to do a ll wor k 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. Fridley, Minn.��,� , 19�,� Owner ��!'�i�' L-�-a2�e��6C�l1(�t�:��ao Kind of Building Used as To be completed about Estimated Cost, $ � � _ Old—l�Tew. Building Permit No. ' �—Yermit No•°�" � ____ 5igne , � � � - By Bus' ess Phune No � � ROUGii FINAL REPAIRS & ALTERATIONS—Refer to Cods ' Description .........................................._.....$ '1'��.. ' � � � V a�az 0 ' Application �or Power Plants and Heafing. Cooling, Yentilation. Refrigerotion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: • Furnace Shell & Duct Work ........................... fteplacement of Furnace ............................. Repairs & Alterations—up to $500.Q0 . . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . MECH. WARM AIR Furnace Shell & Duct Work to 12U,000 BTU . . . . . . . . . . . . each add. 60,000 BTU . ... ......... ... .. . . . . . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & AIteratioas each add. $500.00 . . . . . . . . . . . . . . RATE TOTAL 8.04 � 5.00 � 5.00 $ 2.50 $ 8.00 $ �� 2.00 � 5.00 $ 5.00 $ 2.50 $ STEAM os HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... 8.00 $ Furnace Shetl & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft, EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule GA3 BURNER <up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . 5.00 $ ,� GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures .........:............ x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 20�,000 BTU . . . . . . . . . . . x 2.OU $ AIR CONDITIONING � FAN HEATING $YSTEM See Fee $chadule YENTILATiNG SYSTEM $ �r ALTERATION3 & REPAIRS ' TOTAL FEE a d• m"v ROUGH FINAL Depi, ot Bldgs. Phone $U 4-7470 •-- � � L,,o City of Fiidley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that aIl the facts and representations stated in this application are e and correct. idley, Minn. l , 19 �3` i � /.� /,� . Owner, GL�L�4�t�1 C �, -�-� � �C�-�L2.�i�, /%� _� „ �-->1 Kind of Buildin Used as +�'�-e—Q �� / To be completed about V Estimated Cost, $ `�` J� � �` v , l �'f 6 � Permit No. C� � Permit No. "��'�1 DESCRIPTION OF WORK HEATING or POWER PLANTS�team, Hot Water, Warm Air—No.�_ Trade Nam�l.� � �� T z'`-n---�--� =' Size No. �� °`�' ��-- Capacity �� Sq. Ft. E.D.R. BT(J H.P. Total Connected Load -�� Kind of Fue i BURNEA — Trade Name Size No Capacity Sq. Ft. E.D.R. BTLT H.P. (REMARKS—OVER) �qij"c'�o, +z 2M � Signe gy PERFECTiON HEATING COMPANY, i�'�'. IZ936 �OURTH AYE SO. . TA. 3.5287 Business PhM11�1P1�n��S g uiNtiF�c;�a , , Appiication for P�o�we� P�ants and He�ating. Coding. Ventilai�on. .Refrigeree�ion and � Air Canditioning Sysi,ems and Devices PARTIAL RATE S�HEDULE GRAVITY WARM AIR: RATE TOTAL , Furnace She21 & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ Replacement of Furnace ............................. 5.00 � Repairs & Alterations—up to $500.60 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. $50U.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnaee Shell & Duct Work to 12U,Q00 BTCT . . . . . . . . . . . . /each add. 60,000 BTIT ....� .................. Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 . . . :� . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . .: . . . . . . 8.00 $ 2.00 � y�__ �.00 $ 5.00 $ 2.50 $ 3TEAM or HOT WATER SYSTEM Furnace Shell & Lines--ta 400 sq. ft. �DR Steam . . . . . . 8.00 $ � Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . .. . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $� GAS FITTING FEES: NO RATE TOTAL � '— G lst 3 Fixtures ...................... x $1.5d $ �' � Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . , x 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schsdule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL F£E $��— � ROU(3H FINAL Dept. of Bldgx. �:_ ---,-- — —_��-�� f�-�� City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to da all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are rue and correct. idley, Minn. s , 19 � Owner.:� : ��-� ��u�.F_��.s�%, �-c - Kind of Used as To be completed about 7 f J � Pex'mlt NO. � ��permit No Cost, � .- ��- �� DESCRIPTION OF WORK HEATING or POWER FI.ANTS�team, Hot Water, Warm Air—No.�.. Trade N ame ��.�CR�o �-c.� � Size No!�i�/ O cj %3 Z--•� Capacity� �� Sq. Ft. E.D.R. BTiJ H.P. Total Connected Load '� �� C Kind of Fue --� BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R. BTiJ H.P. (REMARKS—OVER) Signe �4 � By �;�<z sM �.s9 Business Phone No-��- Z��,�, _ � �� ', �.�� / o , �- �-��° � �` 3 �, o � HEAT LOSS CALC TIO DEPARTMENT OF INSPECTIONS MINNEAPOLIS, MINN. � A.S.H.V.E. � Weatherstrips Guide Construction No. Insulation Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No { Yes—No 19— l.�' .s.s..c.�t,.�Room � Length � Width ' Height L� Room Length Width Height Windows an oors—Crackage and Area Windows and Doors—Crackage and Area �Vidth eiBht No. oL Lineal fL Area Wldth Height No. ot Llneal ft. Area No. o[ pane � of Dane lighta o[ crack eq. ft. No. of pane ot pane lighta of crack �ea. tt. i� ✓ '�i ! � �- � %� �C � (� � r � f d' #�Y �� !r► � � .� % � . Coei. Btu Inhltration �/ //O i ,�� i Glass �i/3 �' p / �""Q Exp. wall O Net exp. wall {� / a Int. wail Ceiling Floor (r, �t �' `f�,,...ti_. � �" ' '�-Q Total Btu. / � ( p Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area ?F7.� Room � Length / ry'Width (� Height Windows an oors—Crackage and Area Width Hefght No. o[ Lineal tt, Area No. of pane o[ pane lighte of crack eq. ft. 1 3 ° G /9 � Coef. Btu In6ltration r} � p Glasa �j' 'U G� 4 D Exp. wall Net exp. wall � �1 O Int. wall Ceiling ' Ffoor %/ / Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. ' Room � Length � J Width �' 'ndows and oors—Crackage and Area Wldth Helght No. o[ Lineal ft. Area No. ' of Da�e ot pane lighte oC crack eq. tt. /� �%' r ..S �/' a / 2 $' j �'," �' Coef. Btu lnfiltration [�''�p : p � p O G1ass '�- �"p O Exp. wall 2 Net exp. wall p � 2-a Int. wall Cei�ing Floor /�/ p S" Tocal Btu. „+�'j` Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area In6ltration Glass Exp. wall Net exp. wall Int. wall � Coef. Btu 4/`e 3r & e Floor '�j"� / �� D Total Btu. 6 G Requ'rred sq. ft. .D.R. or aq. ins. W.A. L.eader area I.I Room � Length � Width Height Windows and Doors—Crackage and Area Wldth Hefght No. ot Lineal tt. Area No. of pane ot Dane llghte ot creck eq. [tc / � io t � �� , �o � In6ltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. %�! . r IRequired aq. ft. E.D.R. or sq. ins. W.A. Leader area � � FI.� Room I Length Width Height IWindows and Doors—Crackage and Area � Wtdth Helght No. ot Llneal tt. --ilrea No. of pane ot pane !lghta of crack sp. tt. � Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. IRequired sq. ft. E.D.R. or sq. ins. WA. L.eader ana Btu ,�`'' �' . ��..�-- � ��, �,.� HEAT LOSS C ULATIONS DEPARTMENT O �Weatherstrips A.S.H.V.E, Construction N Guide Windows Doors Reference Out. Wall Int. Wall C,eiling Yes—No � Y No 19— Fl.� Room � Length idth Height 8 Win ows and Doors—Crackage and Area �Vldth Height No. ot Lineal ft. Area No. o[ pane ot Dane lights ot crack sq. ft. In6ltration Glass Exp. wall Net exp. wall Int. wall Cei�ing Coef. Btu t�6 g/�'o Floor � � ��r Total Btu. O Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room � Length Width -�, Height Windows and Doors—Crackage and Area W1dth He3ght No. o[ Llneal ft. Area No• ot yane o[ Dane Ifghta ot crack aq. ft. % 'L � o �". � Infiltration class Exp. wall Net exp, wall Int. wal! Ceiling Floor Coef. Btu ya � � z�� --Z � --- Total Btu. - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �'I. Room � [.ength Width Neight Windows and Doors---Crackage and Area Width Hefght No. ot Llneal [t. Area No. of vane ot pane tfghte ot crack aq. ft. Infiltration Giass - Exp. wall Net exp. wall Int. wall Cei�ing Floor Total Btu. ft. E.Q.R. or sq. ins. W.A. Leader area Btu sue�ECr PERMI . City of Fridley _ 16 3 0 5 AT THE TOP OF THE TWINS g U I L D! N G P E R M I T r i . � � • � • COMMUNITY DEVELOPMENT DIV. � ; .: - 3� r � � PROTECTIVE INSPECTION SEC. / � � � 1 ��'��1, � CITY HAL� FRIDLEY 55432 NUMBER REV. DATE PAGE OF - APPFOVED BY � ""'�� `� 612-571-3450 9t0-F15 / / 7/29/81 JOB ADDRESS � 6291 JackSOn Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE A7TACHED DESCR. ( 1 Irene Iienry Addition SHEET 2 PROPEfiTYOWNER MAILADDRESS ZIP PHONE Joseph Rystr�n 6291 Jackson Street N.E. 571-2940 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE X 8 DESCRIBE WORK Construct a 13.5' x 20' Gara e Addition and a 13.6" x 20' Fami1 Room Addition 9 CHANGE QF USE FROM TO STIPULATIONS s� VIi�RN�NG Pf � � RA rF pF� Befnre dig�in� cail loc�t utilities � p�� M!]'� � TEkEPHONE - EtECtRtC GAS Etc, . , MeiNG q�o ��NEO F REQi1lRED BY t�►W s�� oR ��►� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIFED 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 fS SUSPENDED OR ABANDONED FOR A PERIOD OP 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 70 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIL� BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $11� SOO �S. %S 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- S7RUC710N OR THE PERFORMANCE OF CONSTRUCTION. $(9. OO NONE PLAN CHECK FEE TOTAL FEE 17. 25 92. 00 SIGNATU OFCONiRACTORORAUTH R DAGENT IDATEi WHEN PROPERLY VALIDATED THIS IS YOUR PEF7MIT � l � Si TUREOF N RIIFOWNER ILDE fDA7El "-�tDG tN5 � E CITY or r-�iia�cY A('('l_IC/1'fIU:J FO(; (;I:SIUEi1TIP,�_ fiUILDIi1G f'EIL'fTTS (i�c��, Illler•�i:ions, /ldditions„ or I;cpairs) � 04S(lER: oSPp oN�� „-, [�I�ILQ�R: ,,Qv� .�-��2 � • ADbf;ESS: ,�� / 1�C�Sol�/ S%^ IIUDRESS: �/2c ��__�_y__ TEL h0: �/- � g'�D TCL I�dQ: ' � Construction Location ' . � . s��c�r rio : � �l I sT��:T: �.�.1� ,� d rr/ x,or.: �' sr,oac: _____�_ �nnzTZOy : 7-�� c-.v ��.,,,�.�1 i 7`� o.rr Corner Lot: Inside LoL-: � Setback: Sideyards: Ap�lican4 attach to L-his form two Certificates af S�rvey of lot and proposed building �.ocation drawn on certiiicates to scale. , � DESCRIPTIO�� OF CO�jSTR�JCT10rJ • � 13.� �'��'� � �%�' �! �� I'ront: � Depth: I�eight: Squa�e. k'eet: pG�v (�bic Feet: •/ , p� j2 � • � ��, 6� X'?� r/��"'Ly�roi t: Depth: Heiglit: —�- Squar.e• Feet: �V Cubic Teet: a�� c q.�� Zss�. �� -- � d � 3-�. �t� = 9 ,na� ,�� , � Type of Coi�struction : �,7 �� p�, - Fjga�� ,�y y1 h, ,. �q,p�stimaL-ed Cost: . $ '7�'�4 � �b Be O�r.�pleted: Q �/ L� �� / j $'/ • � � � � Alt. A Alt. 8 Proposed Dxiveway Width If New Openinq Is Desired: $� $ � ,, S�E Rc�VERSE SIDE OF SiIEET . �iie undez signed licreby ma}:e� applic�tion for a permit fcr the �:�ork� herein specified, �greeing to c� ,all work in strict accordanc� ��ith the .City of I'ridley Ordinances �nd xuli�igs oi i:lle Departmc»t. of Bui].dings, and h by declares that al.l tlic iact� and zc�resent.ztiens s�ated :s� this �.pplic�tion a�i�true and correct. n.�Tr:: �- � �- f�/______ sxcHnx�r�:: St:ipu�ltions : p��' � Sr � .. . p`�, t � � �'' _ �',�° ,Z va � � � ,1�. �� :_ � s . ....�_-_- . !. . __ _ ___ _ _ _ _ _. _. , . _. _ _ _.._ _ _ _ _ _ _ � _ __ �. . ! �. . I3�T��+ R. �r�T.��.�TG� �'�.' �IaT�'.. ENG1 NEERS AND SURVEY4RS LAtrD 9LAVEY�NO $O�1.8 7E$TING C4VtL &, Mun11ClOAL ENOfNEERiNCi LANp PLANl�IINd 6418-St�;T" AVENVE N. MiNNEQPOUS 2T. MtNt�1. . : KE ?- 3637 �C f� ll� �'i N t� 11 �C �� i +� �� I� ��; !� N""� 1�. � � C� �''' ��. �� '` i- � , .. � � �,,, ��! � 1 � �.o. �� ; � �'"" ! `' 0.6�. � ti . � � � Ei.� � . . [ , � r l.i..i � �., f � � � � �5 � . � . �, � . � . . � � � . � L � . � j �n � � � ;� %fj { � � . i � � ;F o � �� ; , `_;, , o �t- p ' a' ' �� 1`tr` �� w f/ o N Cr o( °' a �I ; v: M � r Q j ,!1 � � �7rw6Ci1 `� �'� � �� V� ; � i �� _ `' -y,_, � 1 � �(4bb,� 'yc� ---.,/ "''�' � ,Q • i �� . . ga � j � �� -� ! o � � � � . ►�, r , << , 4 ��a��: �=�� . � Oj��C��Y°� �C'0'n,�/ _� � �0�' � b�.�C'� � �K�.�a� �'��.t��`i' �ODI`t'�Oi`� � , YiE HEREBY CERTtFY THRT THIS 15 A TRUE AND CORRECT'� REPRESENTAT►OA! OF A SURYEY OF THE BOIiNlDARIES OF THE LAND ABOYE DfSCRtBED ANO OFTH� LOC�710N OF ALL BUt�DiNGS, IF AAIY, TNEREON , At�1� ALL YIS!$!.E ENC20�C}�MENTS� !F ANY� FQOM ORON SAIp �AND. �,,,.��rn c..�r_�.�r_cn�w�� rr� t�.�r i - . ' �l. ��: Y� ;, . � n. �� ., - , �� `; � ° ` ,, i.�� t�•1 1 � � � � � ' � i �i � � r�� ----- ----___ . � _ . �;.. , _ I� _ ; , �i �� i �. �? � S �I �1 � n -� � � a� -�5�� b��,,�� S 3MJ-�. �____ �— �-!—V�-_ ��.:-__ --- - � oo� � 7d ��~ ,yo�.� �'7�SK� 'Mor.� d'? 0% � �oOM��d � ��_ � l�� 6 s �r 5M'rs iv ai [ b� y' T'�1 ( h � �' �y�,o� �asNl LYb� tl �%��1 ,� I �,vip�s ��y�s�rl � � � � � � �� ;;� '�� -� �.. �. �:. y,��/ �� =5 4-' � � � � � � � � ----.�.� . AGREEMENT . Z. - R• h r�- t_.T. /"i �/� e,r , owner of the property located at G,� 3 3t► e s s ti S t. lY ,� . have no obj ection to the 4 � .l� '�' � f � +'� City allowing the construction of a�9 ). ��, e%Cs� y 3�'• � bQ located at G�� S.. K s.� •� 3 t without the required - certiticate of survey that the City ordinarily requires for all new construction. . � ' • Signature �� 3 .�� .�- f Address �3,sr7,% Q',� • � . Date , Witness , _..�, i i_ . . . � ;: E �L"NERGY C�IdSERVATION SUPL�LrMENT TO BUILDING PERMIT APPLICATION pLI�,NNING P.ND INSPECTION DEPI�RTMT'NT CITY OP T_'RIllLEX, M]:YINESOTI� This supplement is provicied to assist tiie applicant in computing EXTERIOR ENVELOPE i,VERAG� "U" I'AC`iQR INFOFSfiATION. �'his infonnation is required so the BUILDING C)FFICIAL can detennine that submitted plans comply with the L^'.NERGY CONSERVATION DESIGN CRITERIII of the STATE BUIL�ING CODE; (Section 6000}, It is the APPLICANT'S � responsibility to accurately compute the data; reflect the proper DESIGN CRTTERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction �s per approved plans. JOB LOCATION: _�� I �/gC /�,f O ry .S % /�If E. � \ �,�r d �� OWNER/CONTRACTOR: � /�YS %'/tQ /�-� _ ,[� vd ��I? /P Y -� ADDRESS : � � / � ✓ yC J�$ O!V S T PHONE : � �% � - � 9 �-� �'j A. Determine the Total �posed Wall� Area as follows: l. Total wall window area . . 2. Total door area 3. Tota.l sliding glass door area 4.. Total fireplace wall area 5. TotaZ waZl framing area (average .J�O o) 6. Total net wall area above floor(average 9Oo) 7. Total rim j�ist area Subtotal: T�tal exposed wa7.l area abovF ��or 8. 7.bta1 foundation window area 9. �Total net foundation area above grade Subtotal: Total exposed foundation area ii 6'/• � 6 °io 3,y , �� ,,q�o�,x� ��y 2s�1 � 6 r.�- �-y�- 6��x �, � D ,��5 � �".�r9SY131�0 GRAND TOTAL EXPOSED WALL Af2�A B. Multiply the GRAND TOTAL EXPOSED WALL I�RE;A X.17 = Item I C. Determine the Total Exposed Roof/Ceilir_g Area as follows: 10. Total skylight area d 11. Total roof/ceiling frami.ng area (100) �� S}� AD _��[� S9 � f 12. Total net insulated roof/r.eiling area �' GRAND TOTAL EXPOSED ROOF/GEILING AREA , D. riultiply the GR�''�ND TOTAL EaPOSED ROOFf CEILING AREA X. 05 = Item II v� � �il� P � J � . y sue�ec� P�AMIT c�ty of Fridley 8 �$� , , ��'�=3�D�4W�"S gU ILDING PERMIT No. � �' COMMUNITY DEVELOPMENT DIV. � iy� i r � L •• � PROTECTIVE INSPECTION SEC. �� / � 1 � � � �"'1 � CITY MALL FRIOLE� 55132 NUMBER pEV D�TE P�GE OF �PVqOVEO B� �""�" ,�' 612-571-3450 9t0-F15 � � 10/9/98 JOB ADORESS 6291 Jackson Street NE t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHEO DESCR. (� 1 Irene Henr Addition SNEET 2 PROPERTY OWNER MAIL ADOR�S$ Z�P PHONE John & Lynette Niewald 571-2940 3 CONTRACTOR MAIL ADDRESS ZIP PMONE UCENSE NO Ron Miller Const Inc 953 Mississi i St NE Fridle MN 55432 571-3514 6354 a ARCHITECT OR DESIGNER MAIL AOORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII AOOfiESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS Of WORK O NEW O AODITION O ALTERATION #$ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (25 Sq) Tear-off 9 CHANGEOF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYP OfCONST. OCCUPANCVGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE REOU�REO FOR EIECTRICAL, PLUMBING, HEATING. VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULI AN� VOIO IF WORK Ofi CONSTRUCTIOM 20NING SO. FT CU fT. AUTMORIZED �S NOT COMMENCEO WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANDONEQ fOR A PERIOD OF 120 OAYS A7 ' ANV TIME AFTEF WO:iK IS COMMENCED. ' NO OWLG. UNI75 OFFSTFEET PARKING I MEREBY CERTIfV TMAT I HAVE REAO ANO EXAMIN�D THIS APPlICA710N STA�LS GAFAGES AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS Of �AWS VA�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL �E COMPLIEO WI7H WMETMER SPECIFIEO HEREIN Oii NOT. TME GRAN7fNG Of A PERMIT �2142 �1.07 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CAMCEI TNE pEqMITfEE SACCNARGE PROVISIONS OF ANY OTMER STATE OR LOCAL �AW REGULATING CON- STRU N OR THE PERFO ANCE Of CONSTRUCTION �7�F.75 Fire SC �Z. L�F PLAN CHECKFEE TOTA�fFE - - License SC $5.00 $82.96 5� NATUp FCON'Pp(;TO OA�UTMOpiZEO�GENi iD�TE WMEN PiiOPER VALIOATED TMIS IS YOUR PEpMIT/� //Jj �V i `� �� f' I S�GNaTUAE O� OWtiEA�� O�NNEpBU�IDEA� iDATE� . ' ' � 8l �NS� � � ��<<E « NEW [ ] ADDN [ ] ALTER [ J CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �,� S/ f p� c../C,�j ��/ `5� , Legal Description: Effective 1/1/98 d�81 �� Owner Name & Address: JO /f/✓ �' ��h�� /r/� `e �.4-1� Tel. # , � � /— � � �_ Contractor: �� y�%,/fe� Cv�r/�'/�G/�fi�i�/ _ y�J C', MN LICENSE # (�,3��,/ Address: 9S3 �i'l,.�SS��% � .Sr`: ��C//C�' Tel. # ,�?/",�5�/� 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: �r/1 11� ��e r/^e9 � S e. �"' �/�/��e Z� �Qv�� Construction Type: Estimated Cost: $ ��a (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: O V( �' � APPLICANT: �'�� Tel. # 7� ' / � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ '7 • � $ �� $ ,d $ $ .b $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.(� (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] (� s , , . � ti CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 --`"°� PERMI �10.: 2004-01384 j DATE •--98/ZO/2004 + (763) 572-3604 FAX: (763) 571-1287 � ADDRESS : 6291 JACKSON ST NE PIN ; 143024440006 LEGAL DESC : IRENE HENRY ADD : LOT 6 BLOCK 1 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL THREE BASEMENT FIXTURES. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPEI�TINGS) 0 # GAS WATER HEATERS 0 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 3 VALUE (FOR MINIMIIM CALC) 0 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERMIT MINIMUM FEE 0.00 NIEWALD JOHN M& LYNETTE K PLBG FIXTURES (NEW OPENINGS) 30.00 6291 JACKSON ST NE PLBG FIXTURES (EXIST OPEIVII�TGS) 0.00 FRIDLEY, MN 55432 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 OWNER GAS DRYER FEE 0.00 NIEWALD JOHN M& LYNETTE K PLBG REPAIR/ALTERATIONS 0.00 6291 JACKSON ST NE STATE SURCHARGE, PLBG FLAT 0.50 FRIDLEY, MN 55432 TOTAL 30.50 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating co c ion or the �brm� e of construction. Applicant � <.� 1 Date - Bldg Insp � D • SEPARATE PERMITS Q RED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. 6431 Uaiversity Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effe�tive April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin NO. RATE TOTAL JOB � �. Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas'"' Gas Range*" Gas Dryer"'` Back Flow Preventer Required ()Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE o� 3a � � �/ ,��GY . /�✓%� �37� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in striat accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this appiication are true and correct. DATE: �TU�1"�� l � , 20 D / OWNER c � kn /L�. �%�� BUILDING USED AS ESTIMATED COST PERMIT NO. �UD�7 'O! � O � PLUMBING SIGNED BY TEL N0. �6 3 —S7 /�� (o Approved By Rough-In Date Final Date $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS 515.00 or 5% OF COST $.�� •� OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE CITY OF FRIDLEY 6431 UNIVERSTTY AVENUE NE FRIDLEY, MN 55432 - .,� PERMIT NO.: 2004-01375 , _l✓,� DATE ISSUED: 08/20/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6291 JACKSON ST NE PIN ; 143024440006 LEGAL DESC : IRENE HENRY ADD : LOT 6 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 1,000.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. BATHROOM REMODEL. APPLICANT BUILDING PERMIT FEE 38.75 NIEWALD JOHN M& LYNETTE K PLAN CHECK FEE 25.19 6291 JACKSON ST NE FIRE SURCHARGE 1.00 FRIDLEY, MN 55432 STATE SURCHARGE, VALUE 0.50 TOTAL 65.44 OWNER NIEWALD JOHN M& LYNETTE K 6291 JACKSON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating co c'on or the or e of construc io . Applicant • .� Date P a Bldg Ins � r SEPARATE PERMIT RED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [] ADDN [) ALTER [ ) Construction Address Legal Description: Owner Name & Aa Contractor. CITY OF FRIDLEY Effective 4/1/2004 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ( 6) 571-1287 Fax BUILDING PERMIT APPLICATION � , L,� �� ,1�- G � � �a-� � �/a,�l � f'�r� , ��, ,.��✓ s�r� �— �. Tel. # �� 3 -�� t - �Ya MN UCENSE # Address: Tel. # LNING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the �Q(�/-�.dl3�s� bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft DECK AREA: Length Width HgUGround Sq. Ft. OTHER: ��rr�n� �ro� Construction Type: p a'�� .e�� Estimated Cost: $ ��o � Driveway Curb Cut Width Needed: Ft. + 6 Ft = �t �$ _$ DATE: $ /? 6 5� „_ APPLICANT: � � �� Tel. # Z�� ' S7� �� a,�: 7�3 -s�y -1Y�f Call (T63) 572-3604 for Pennit Fees if mailing in application. Fax to 763-571-1287 if using credit card and w�vvi�l-saN� you for card numbe�. " CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ � � $ •� � �,00 $ �� $ .$ $ $ $ $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th°!o) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ � � � 7 STIPULATIONS: ..� t S �:�i'C� �� _ �� ^ ��V�� ...- 1 ' �`'—" 1 �� , �,� � � � ��4-� � � �� M ��1 �� ""� jV�it� � 1� �� d�� ` __ _:�.-:�_ . _ _. ._ ..__ _ a �' - '�= 5��.� � � � --t� � �x 2� 2 � � 1 �� v � 0 3� " _ � � � �� Z _ � � >c l� 1 � �. �-�.�. � s�� . ,� _--= YtrtiN 3� � cl�r Slc � a�� t�v i�� Sts`�a�,� �z� c� N�+��c2 �� u S o. � I l� �P �� `�� n� r\ ` � � ``� l � � �` � �� 6 c_ b�, � � ��°S-F°"'�`g aK� s � �- �) a�� 'b� � Ma Je �i;�e.� �� p (vt,� �� , a Jl.�. 3v •` s�,� �,,,,a. 3 � 11,� �!� t�( s-� � � l.� n s�N L'f'� ��e r•,�-'�"`� / �'� � v ��r� �-�� ti�-�.� or� 's• AJ1� 2lt�fi-,'«, a c�{- �a s��-. ,,'�l-.L ��;c�o!'� �� -�� REVIEWED � _ o�` ��' � % /��-�C FOR CODE 3 � ^ � i. . � -� ADDRESS PIN LEGAL DESC CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�z-36u4 r�aar: : 6291 JACKSON ST NE : 143024440006 : IRENE HENRY ADD : LOT 6 BLOCK 1 s�i-iz�� PERMIT NO.: 2004-01469 DATE ISSUED: 09J01/2004 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITIONIALTERATION VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114- 1C�7 NIEWALD JOHN M& LYNETTE K 6291 JACKSON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lrnow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 20.00 0.50 20.50 Building Inspections 763-572-3604 DATE �C � SITE ADD£.ESS �/G THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER ONTRACTOR Permit No.: Received By: Date Rec'd: NAME: cJo i � a ADDRESS: -��'1 � CITY STATE_ZIP, PHONE: �� L� STATE LICENSE # v� �� 9�7� D EXP DATE -� � 3�'��+ ,/ SUBMIT A COPY OF y� �ITy � STATL��°ZIP 'S`�� YOUR STAT'E LICENSE ADDRESS: � 7q w WITH APPLICATION pHONE �63 7� '� .� F� y- a�-� PROPERTY TYPE � SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES _.-- PERMIT TI'PE TYPE OF WORK: ❑ BASEMENT FINISH � DECK U DESCRIBE WORK BEING DONE: .� SIZE OF IMPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other -- WINDOWS iN EXISTING OPENINGS Yes �No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & �/' TYPE OF WINDOW TO BE INSTALLED V! /� ALL FEES ARE BASED ON ` ❑ GARAGFJSHED ❑ ROOF ❑ SIDING ❑ SWIMMING POI � ADDITION ;pAIR B'i�FIODELING � /l 8 .doc,E.�� LENGTH ❑ HOUSE ONLY ❑ HOUSE & GAR.AGE ❑ ATTACHED GARAGE � DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia TACATION OF WINDOWS ❑ DRAIN TILE Q OTHER HEIGHT d C�/ Ft. BASEMENT REMODELING SiJBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCILES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. 'It�vo sets of construction plans 3. Energy Calculations NUMBER OF WINDOWS ALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $%�/SSI� �� OCCUPANCY TYPE Pemvt Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb C�t Escrow Erosion Control Pazk Fee Sewer Main Charge Tntal Due $ ��S" a� $ � �} "' $ _ _00 $ 3.a� $ , 00 $ $ $ See Back Page for Fee Schedule 65% of Building Pernut Fee .001 times the total job valuation .0005 x Pemut Valuation Minunum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20—$ $450 Conservation Plan Review Fee Deternuned by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMiT-NOT VALID UNTIL PROCESSED I hereby apply for a building pemut and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the 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 not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE REC'D S E P 14 200T To: City of Fridley September 11, 20�7 To Whom It May Concern: My driveway at 6291 Jackson Street NE, Fridley MN 55432 is being redone. It currently sits about 12" from my property line, adjacent to 6293 Jackson Street NE, Fridley MN 55432. When the new driveway is poured it wi11 be close or on to the property line befinreen these two properties. Both home owners are aware of and give consent to this arrangement. � r ^ � / John and Lynette Niewald 6291 Jackson Street NE Fridley, MN 55432 � � .� � Don and Melanie Novitsky 6293 Jackson Street NE Fridley, MN 55432