AF - 47362�' f Fri Minn. •
�ity o dley,
BUILDING PERMIT No 6553
� ...
Date: _._..� � .��. -" "..'...� � .._.. __._
r��` � � �0 2--
_ ._�.
,.
Owner: ,. _..____ ._._. . __ 1 Builder ..._._.___..._. .._..:../...._....._...___...._..._.._...__
Address_..._.._..�._..�_._.._._._..�....,......_.._......_...Y..__....__._.._..._.._.._ Address _�__ _.__..._......___._..._._�._.._._..__.�__________._
•
LO TION JUILD NG
.
No. .�'., .._.�.�_�_ Street ...__ ..__ _ __ . .. .:_ ...� .'e�'�,�� .rf . Part f Lot ._.._._.__._..__. __._..._.__.�
Lot ...._.... � _..._.__ Block ._._._._._.._._...�._......_.._ Addition or Sub- ivision ..... . .. _ _ . l����'LC
r /
Corner Lot .__.___..._..._ Ins3de Lot ._..t�� ..._.._. Setback � _...._.._.__.__..... Sideyard _._...�..___s ..-•-- �.....
Sewer Elevatioa ._.._..._._.._..__.__..r.._.._.__.______._.____...._ Foundation IIevation
� DESCRIP'�ION OF BUILDING
To Used
_ Front __.�� Depth _.�!� . Height (:�._.. Sq. F� ��/_,� Cu. FL �..i�--,�-'�
t_..�..,�.,. Depth _..� fieight ...��� Sq. F't. ��..5� ._. Cu. F� .��` ��
Type of truction �... ._.__..... . :.___ Es� Co�, �,�-. �.._ ......%'��o be Completed _.�.
f" � -
In consideration of the issuance to me of a
th� proposed work in accordance with the d�sc�
ordinances of the city of Fridley. /
In co�afderation oP the payment of 1� fee of
E�to construct the
above set forth s
pex�nit is hereby granted to�
to c�nstruct the building or addition as described above, This permit is granted up�
the express condition that the person to whom ft 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 of
Fridley, Minnesota regarding location, construction, altera.tion, maintenance, repair and moving of buildings
��ce& city limfts and this permit may be revoked at any tim�'upon vfol�tion of any of the provisions of said
l) �'" )
Bt�ilding Inspecto�
• NOTICE:
ihk p�ea� do�s not eowr � eonsteue�ion, tnshll�tkn Mr wtdny. PW�WnW Yn hwNe�, aww er wN�r. d� wn fe a�
fh� Buildin� Intp�elor for ap�enN p�nnils for fMa i1Mm.
" � _ w
. Appiication f�or Po�wer Pk�nts and He�eling, Coo�ing, Ventilption. .Refrigercei�ion c�nd
Air Canditianing Systems and Device�s
PARTIAL RATE S�HEDULE
GRAVITY WARM AIR: RATE TOTAL .
Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $
Replacement of Furnace . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 5.00 $
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. $50U.00 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 1?A,000 BTU . . . . . . . . . . . .
each add. 60,000 BTU . . . . � . . . . . . . . . . . . . . . . . .
Replacement oP Furnace .............................
Repairs & Alterations—up to $500.00 . . . :-_ . . . . . . . . . . . .
R.epairs & Alterations each add. $500.00 .. .... .: . . . . . .
8.00 $ �j'O O
2.00 � ��___
�.00 $
5.00 $
2.50 $
STEAM or HOT WA1'ER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR 5team ...... 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 BTL1) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
GAS FITTING FEES: NO RATE TOTAL
lst 3 F�xtures ...................... x $1.50 $
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU . . . . . . . . . . , x 2.40 $
AIR CONDITIONING ¢
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS 8c REPAIRS TOTAL F$E $�— �
ROUGH
FINAL
'\.
Dept. of Bldgs. Phone SU 4-7470
/> -
�
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 Ordinanc�
and ruling of the Department of Buildings, and hereby declares that all the fact:
and representations stated in this application �fe'�true and correct.
�
Qwner `�
Kind of Building
Used as
To be completed about
e
19 ��
,
�al-v v
Estimated Cost, $ ' 7� % �_ \
New. uilding Perxnit No. ��—�� Permit No.�, ��j�
DESCRIPTION OF WORK
HEATING or POWER PZ.ANTS-�team, Hot Water, arm No.�.—
Trade luame �� ��•, Size No.•�%�i�%DO� �-
Capacity�� �� Sq. Ft. E.D.R. BTLT H.P.
Total Connected Load—� %��'--� Kind of Fue
BURNER — Trade Name Size No.
Capacity Sq. Ft. E.D.R. BTU H.P.
(REMARKS—OVER)
0
�+r� a z 4M 7-59
Sfgn
1lFEtriON HEATING COMMNY, lNC,
By
so. . ii�. �-s�n,
Busine���- � 1YNNES�A
�' � ��-�- �-�,
�.�� .�� �. � �� �
' HEA OSS CALCULATIONS DEPARTMENT OF INSPECTIONS MINNEAPOLIS, MINN.
�
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—No 19—
,r�Fl. Room � Length � Width Height �iy(iFl.� ,p ' Room Length - Width Height
Windows oors—Crackage and Area Windows an oors—Crackage and Area
\Vidt Height No. o[ Lineal f[. Area Wldth eiBht No. ot Lineal tt. Area
No. o[ pan of pane lighta of crack eq. ft. � No. of pane o[ pane llghta oL crack eQ. tt.
.� ' l� ,d / 7-a � � /' /
�' � .S D
y� S� i �
Coef. Btu Coef. Btu
Infiltration �2 Infiltration / 8 �0 2z�
Glass D–o Glass / �0 5' a
Exp. wall 6 5� Fxp. wall
Net exp. wall o Net exp. wall �/ i o �/ o
Int. wall Int. wall
Ceiling Ceiling
Floor o/'� oLa Floor �� f'a ZO
Total Btu. O Total Btu.
Required sq. ft. E.D.R. ot sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
f�l.� oom � Length /D Width " Height ,�; F'�,� ���, Room I Length � Width � Height �
Windows and rs—Crackage and Area Windows and Doors—Crackagt and Area
Width fght No. ot Lineal [t. Area Width Helght No. of Lineal ft. Area
No. ot pane of pane llghte ot crack eq. ft.
No. ot Dgne o[ Dane Itghte ot crack eQ. tt.
r �7 /� 'G lS f 6
Coef. � Btu
Inhltration
Glass
Exp. wall
Net exp. wall � /p d
Int. wall
Ceiling
Floor p /'� �
Total Btu. 3
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
�/'FI. �, Room � Length ` j� Width Height
Windows and Doors—Crackage and Area
Width Helght No. o[ Llneal tt. Area
No. ot pane ot pane Ifghte o[ crack aq. [t.
7 � / 9 /�
Infiltration � ,�,
Glass
Exp. wall �"'
Net exp. wall
Int, wall
Ceiling
Floor i
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area
Inhltration
Glass
Exp. wall
� Net exp. wall
Int. wall
Ceiling
�v Floor
�I
ef. Btu �
O /3 �
• J
Total Btu.
/�
�o
�d
0
�a
Required sq. ft. .R. or sq. ins. W.A. Leader area
FI.� Room I Length � Width /� Height
Windows and Doora—Crackage and Area
Wldth Helght No. of Llneal tt. Area
No. of pane ot pane lighta ol crack eQ. tt.
'r� / � /�
, �� ��/ � /� /$
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
IRequired sq. ft. E.D.R. or sq. ins. W.A. Leader area
Btu
Lt�
c�` Gi��� , , '
r ��
", HEA�' LOSS CALCULATIONS DEPARTMENT O
Weatherstrips A.S.H.V.E, Construction N
Guide
Windows . I Doors Reference Out. Wall Int. Wall Ceiling
Yes—No Yes—N 19—
1.� m � Length Width j� Height
Windows and Doors—Crackage and Area
�Vidth Height No. oI Llneal tt. Area
No. ot pane of pane lights o[ crack aq. tt.
�f
Coef. Btu
Infiltration 6
Glass y
�tp. wa�� •
Net exp. wall Q
lnt. wall
Ceiling
Floor
Total Btu. �- �..o
Required sq. ft. E. .R. or sq. ins. W.A. Leader area
.� Room � Length Width / p Height �
Windows and Doors—Crackage and Area
Wldth Helght No. o[ Llneal ft. Area
No. of pane o[ pane 1(ghte ot crack eq. ft.
G �1J 2 l /
Coef. Btu
In6ltration / U D
Glaas �"b a
Exp. wall � d
Net exp. wall � 6 a
Int. wall
Ceiling
Floor
' Total Btu.
S� Iu % TJ
' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.� Room � Length Width
Windows and Doors—Crackage and Area
Wldth Hefght No. ot Lineal ft. Area
No. of Dane o[ ➢ane Ilghta ot crack eq. ft.
�
In6ltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Btu I
�uired sq. ft. E.D.R. or sq. ins. W.A. L.eader area
�
Appiication for Power Piants and Heating, Cooling. Ventiidtion� Ref�igera�ion and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RA1'E TOTAL
Furnace Shell & Duct Work ........................... 8.00 �
Replacement of Fumace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 �
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 $
MECH. WAAM AIR
Furnace Shell & Duct Work to 120,000 BTIT . . . . . . . . . . . .
each add. 60,000 BTU . ... ...... ... ..... .. .. .
Replacement o! Furnace .............................
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . .
R,epairs & Alterattons each add. $500,00 . .. . ... . . . . . . .
8.00 $
2.00 �
5.00 $
5.00 $
2.50 $
STEAM os HOT WA'PER 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 HURPiER—to 3 ga2. per hour . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ ° �`"v
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures ...................... x$1.50 $ �� S�
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU . . . . . . . . . . , x 2.OQ $
AIR CONDITIONII�G �
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE � �' ��
ROUC3H
FINAL
Depi. of Bldgs. Phone SU 4
�i�
i
1 �
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 Ordinances
and ruling of the Department of Buildings, ax�d hereby declares that all the facts
and representations stated in this applicatio true and correct.
idley, Minn. 'Z� , 19 ��
� �Owner _ '
Kind of
�
Used as
To be completed about
/-- /l'G�
,/ �,. v
Estimated Cost, $ �" � \,
t�'1 New. uilding Permit No. ���� Permit No. v2-�-`'
DE$CRIPTION OF WORK
HEATING or POWER i'I.ANTS�team, Hot Water, W m No. �
Trade Name �'� � � 5 �--+ -�� � -� �-t- � Size No g� D-n � Z
Capacity j�� Sq. F't. E.D.R. BTLT � H,P.
Total Connected Load "7 �� ��'"U Kind of F�xe
BURNER — Trade Name Size No.
Capacity Sq. Ft. E.D.R. BTi7 H,P.
(REMARKS—OVER)
�<z aH►
0
Signed �� / � �-9 L �-�
�
By
Business Phone No �'-
n
, , Applicarion for Pawer Plants und He�ing. Cooting, Ventilc�tioe. .Refrigera�ion and
Air Canditioning Systems and Devices
PARTIAL RATE S�HEDULE
GRAVITY WARM AIR: RATE TOT1ilL .
Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $
Replacement of Furnace ............................. 5.00 �
Repairs & Alterations—up to $50Q.00 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & I?uct Work to 120,Q00 BTCT . . . . . . . . . . . .
each add. 60,000 BTU . . . . . . . . . . . . . . . . . . . . . . .
Replacement of Fi�rnace .............................
Repairs & Alterations—up to $500.00 . . . :. . .. . . . . . . . . .
Repairs & Alterations each add. $500.00 . . . . . . .: . . . . . .
8.00 $ ��
2.00 � �—__
5.00 $
5.00 $
2.50 $
3TEAM or HOT WATER SY3TEM
Furnace Shell & Lines—ta 400 sq. ft. EDft Steam ...... 8.00 $
3 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 $
c'iIL BURIvER—to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gai. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
GAS FITTING FEES: NO RATE TOTAL
lst 3 �xtures ...................... x $1.5� $
Additional Fixtures ................. x .50 $
Gas R.ange to 200,000 BTU . . . . . . . . . . . x 2.00 $
AIR CONDITIONING �
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FErE $�r a•'�
ROUGH
FINAL
Depf. of Bldgs. Phoae $U 4-7470
��
�
�
,
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 Ordinances
and ruling of the Department of Buiidings, and hereby declares that all the facts
and representations stated in this application � true and correct.
. .., �
Owner -
Kind of Buildin
Used as
To be completed about �
��
�/ �+-.. ✓
Estimated Cost, $ �` r �
Old e ' g Permit No. Permit No. d` /
DESCRIPTION OF WORK
19 ��
.�
HEATING or POWER PI.ANTS�team, Hot Water, azm ' No. �
Trade Namc�'��'t�° Size No.,li�°�/`°'°� `L—
Capacity ��� � Sq. Ft. �.D.R. BTLJ H.P.
Total Connected Load � 3,, ��> Kind of Fue
BURNER — Trade Name Size No.
Capacity Sq. Ft. E.D.R.. BTLJ H.P.
(REMARKS—OVER)
��.az 4M 7-59
9 �
Signe "
P FfCTiON HfA�ING COM►ANY, iNC�
sy
..
Business Plione-1Qb• � �
0
� Application tor Power Plants and Hetrting. Cooling. Yentilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . 8.00 � "
Replacement oi Furnace ............................. 5.00 #
Repairs & Alterations—up to $500.Q0 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 1?A,000 BTI1 . . . . . . . . . . . .
each add. 60,000 BTU .......................
Rep2acement of Furnace .............................
Repairs & Alt,erations—up to �500.00 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . .
8.00 $
2.00 ;
5.00 $
5.00 $
2.50 $
STEAM or HOT WA?EA SY$TEM
Fumace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $
• Furnace Shell & Line—to 640 sq. ft. EDR iiot Water ... 8.00 $
' Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2,50 $
� , Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $
'bIL SU33NER—to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gal. per hour--See Fee Schedule
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ �, m''a
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures ...................... x$1.50 $ �• � b
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTLT . . . . . . . . . . . x 2.00 $
AIR CONDITIONING ;
FAN HEATING SY$TEM See Fes Schedule
VENTILATING SY$TEM $
ALTERATIONS 8� REPAIRS TOTAL FEE a��=
ROUGH
FINAL
Dept. oi Bldgs. Phot►e SU 4-7470
0
�
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 Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner
Kind of Building
Used as ___SL�
To be completed about
.�
Estimated Cost, $,z_
19 ��
�
Permit No
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Wate azm Air No. �
Trade NamP�-r� ����<--�-+�-�--�—� Size No„�1��1� �' �
Capacity �� n% • Sq. Ft. E.D.ft. BTCT H,p,
Total Connected Loaci�� 'L ��� ' Kind of Fue1.�'�
BURNER — Trade NamP Size No.
Capacity Sq. Ft. E.D
(REMARKS—OVER)
�"�c a z 4M
BTU H.P.
Signe `~�✓ 4�
sy
Business Phone No,/ � 2" l��.�
� �
�
� �-C: -o-�� �. � /
D¢6 9 ' � � 9 � --t.��c.�-�-y� � � (� � * • '��
\, LOSS CALC ' IONS DEPARTMENT OF BUILDINGS ���� MIN1VEp►P01.IS. MINN•
Weatherstrips A.S.H.V.E, Construction No. Insulation
Guide
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Appl
Yes—No Yes—No 19_
l. ' Room � Length � Width /3 Height �' FI.� -��' Room Length Width '
Windows a oors—Crackage and Area Windows and Doors—Crackage an Area
�Yldth eight No. o[ Llneal ft. Area Wldth Height No. of Lineal ft. Area
No. of pane � of pane lights of crack aq. f[. No. of pane ot Dane ltghte ot crack aQ. ft.
� G � � (� � �
'" 3 c� f�
/' 1? � 47� / / .Y �
Infiltration ya � � �' �
Glass _�j"'l, �,
�cp. wa�� �
Net exp. wall d / �
Int. wall
Ceiling
Floor 6 / � � p
Total Btu, e
Required q. f_ t,_ D.R. or sq. ins. W.A. Leader area
�.� Room � Length Width Height �'
Windows and Doors—Crackage and Area
Width Height No. ot Ltneal tt. Area
No. o[ Dane ot pane lighta ot crack sq. ft.
� � �
� � � /� � i�/ .P
Coef. Btu
Infiltration �,/ t,/ �
Glasa �"Z► �,.�
Exp. wall ,�
Net exp. wall �'(r, / D S" � Q
Int. wall
Ceiiing
Floor / /5 � (o � �
Total Btu. � 1% d
Requ� q. ft. E.D.R. or sq. ins. W.A. Leader area
f � Room � Length Width �- Height
� Windows a D ors—Crackage and Area
Width Helght No. oL Ltneal tt. Area
No. ot pane of pane lighte ot crack aq. ft.
/ /�
2 �� � 'y �� aG
Coef. Btu
1n61tration �„� �p � � a-U
Glaas �,/</ ,S' � �, �--�
Exp. wall �r
Net exp. wall % / o / �
Int. wall
Ceiling
�loor � /� �� c°�
c'
Total Btu. •r 6 D
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Infiltration
Glass
E:xp. wall
Net eap. wall
Int. wall
Ceiling
Floor
�
:oef. Btu
� % 4�-r�
S"v SB-�
S'
/�a 3eo
Total Btu. �` o S �
Require sq. ft. E.D.R. or sq. ins. W.A. Leader area
,s�/�FI.I oom ( �ngth � Width / / Height
Windows and Doors—Crackage and Area
Wldth � HelSbt No. ot Ltneal [t. Area
No. of nane ot pane llghta ot crack eQ. tt.
Inhltration
Glass
Exp. wall
Net exp. wall
Int. wall
Cei]ing
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
r� Fl.� Room I Length Width �
Windows and Doora—Crackage and Area
Width Height No. ot Ltneal [t. Area
No. of pane of.Dane tlBhts ot crack eq. tt.
� i-v �— J (v / 6
� ,� � i G � / +�
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wafl
Ceiling
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Total Btu.
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HEAT LOSS' CALCULATIONS DEPARTMENI
Weatherstrips A.S.H.V.E. Construction h
Guide
Windows Doors Reference Out. Wall Int. Wall (;eiling
Yes—No Yes—No 19_
1.� -� Room � Len$th / Width /a. Height �'
Windows and Doors—Crackage and Area
�Vldth Height No. of Lineal ft. Area
No, o[ pane o[ pane IiShts ot crack aq. it.
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% �i -'7 _ � �, � �% / '7
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Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
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Required sq, ft. E.D.R. or sq. ins. W.A. L.eader area
Fl.� Room � Length Width Height
Windows and Doors—Crackage and Area
Width Helght No. o[ Lineal ft. Area
No. o[ pa�e o( yane � lighta of crack aq. !t.
�
In6ltration
Glass
Exp. wall
Net exp. wall
Int, wall
Cei�ing
F1oor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.� Room � Length Width
Windows and Doors—Crackage and Area
R'fdth Helght No. ot Lineal ft. Area
No. � of oane o[ aane ltRhte o( crack sa. ft.
�
Infiltration
Glaas
Exp. wal!
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Btu
Btu
sua�ecr PERMIT N
City of Fridley ° 12180
AT THE TOP OF THE TWINS gU I L D I N G P E R M I T
;,
,� .
� `y �����_ COMMUNITV DEVELOPMENT DIV. /� S�
� � PROTECTIVE INSPECTION SEC. ��
1 . �
'4 � /��'1 � CITY HALL FRIDLEV � 55432 NUMBER REV. DATE PAGE OF APPFOVEO BV�
""'� � ,�� 612-560-3450
910-F15 6/14/73 1 /
JOB ADDRESS 6293 Jackson Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ] 1 Irene Hen Addition SHEET
2 PROPEFTY OWNER MAIL ADDRESS ZIP PHONE
Robert J. Miller 6293 Jackson Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
s a.IIl2
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
X7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBEWORK �onst;ruct Swimming Pool( 24` in diametex)
9 CHANGE QF USE FROM TO
STIPULATIONS See Health Inspector's memo dated June 13, 1973
SEPERATE PERMITS REQtiiRED FQR �`�IRING,
�t�ATING, PLUMBING AND SIGNS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIFiED FOR ELECTRICAL, PIUMBING, HEATING, Steel/Vin 1
VENTILATING OR AIR CONDITIONING. Y
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 IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT R��.
ANY TtME AFTER WORK {S COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMiNED THIS APP�ICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORD�NANCES GOVERNING THIS TYPE OF WORK WILL BE COMPL�ED
WITH WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT �F)ZS.00 .5O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � ySE) . OO
/� 1�� PLAN CHECKFEE TOTALFEE
�� �ly?��.3 6.50
S16L1ATUREOFCONTRACTORORAUTHORIZEDAGENT I ATE� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
� �� �Q �� a� � � �
SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG. INSP DATE
A�PLICATION FOR RESIDENTIAL, ALTERATION,
OR AllDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME :-�,�°� ��QQ qll , BUILDER • s c��
ADDRESS :� �93 4 6. I� s� •, .°�-� ADDRESS ; S g m z-
NO:. � 3 STREET:
v
LOT • BLOCK • ` ADDITION • „� � �j �-, ;� \
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach Co this fonn Ttao Certificates of Survev o£ Lot and proposed
building location drawn on these Certificates.
�IESCRIPTION OF B[JILDING
To Be Ueed Aa:
-� Fronts , Depth: Height:
Squaxe Feet: Cubic Feet:
Front• Depth• Height:
Square Feet; Cubic Feet:
Type of Constxuction; �� -�,,,,,,,_P Estimated Cost; _$ � a—°`
To Se Completed: `7 — j — %3 .
Tha undersigned hereby makes applicativn for a permit for the work herein
apecified� agxeeing to do all work in stiict accordance with the City of
Fridley pxdinancee and xulings of the Department of Buildings, and hereby
declares that all the fACts and representations stated in this application
are txue and correct.
. r
naT�: 6 — � 3 — '13 sicz�aTUx� �
(See Revexse Side For Additional Information.) +
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ENGI NEERS AND SURVEYORS
��,NO 9uRVEV�NO gO1L3 TESTINO
GVIL 6�, MUNIG�PAI ENOINEERING LANp PLANNINO
G418-56T" AVENVE N.
W11tJNEAPOUS 27, MINN.
• � KE T- 3637
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WE HERE9Y CERTIFY THAT TNIS IS A?RUE ANO CORRECT REP2ESENTATIO!J OF A SU2VEY OF Tf�E BOUNDAR�ES OF TM'�
�AND ABOVE �ESCRI[�Fa AND OFTHE LOCA7ION 0� nLL BUItD�tiGS, �� '��`�, �KEREOrJ , AND ALL v15t8LE F�C�lOP,CHh1E��T5,
IF ANY� FQOM OR ON SA�U �A1VD.
�,,.,,,'-, ,._. -MINQER �cJGINEERINC� CO., IN�,.
D�rnD"�n�s ! onYoF ^ �.o�,�-,')
FNG�13 � R.$( AND SURvE Y(3RS
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Plan Revi�w Of �riv�te pool For
6293 Jaekedn Stz�et N.E.
The iollaraing it�! need consideration;
�. YaYd or pool shali be fenced (miniu�um of 4 foot �ith a�e1f-a].nsi.ng snd
s81�-latr,hing gate.
�. Pump�, fiiter and ikium�er rhail be N.S.F. apprrnred. �ughboy has approved
equipwent,
�, A mi.nimum of a 3 foat x 3 foot deck �rhal.l be loc�►ted at bottam oi ladd�r
to paol. ,
4. Nc overhegd electrical wixes within gt least 10 to 15 feet a� edge of poo1.
Drawing indie;atee adequ�te distance.
S. Pool �hall h�ve onQ �ki�er and about 3 inlets. 1�o inlets on tap and on�
et bottom. (Locate abaut 12" belaw suxfaaa and t2" �bove bottom)
6, Provide � b�ak�law preventor in�ide hause on watex li�t� ta outeide •pigot
used to EiXI pool.
i'. Electrical ahall be approved bp the Electrical Inapsctor.
8. Pravide � mini,m�ua of a 12 hour turnover. �
Appraved subject to abava commentR.
June 13, 1973
H�RVEX 3. t�PI3EE
�iEALTli ZtdSPECTOIt
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� �Doughboy Recreational
■ Domain Industries, 111C. 10959 JERSEY BLVD„ CUCAMONGA, CALIFORNIA 91730
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THRU-WALL
SKIMMER
CAUTION: AI� parts are very carefu�ly
checked and packed pr�or to shipment.
All parts necessary for assembty are in-
cluded. Be careful not to misv�ace any
parts.
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• ASSEMBLY
• OPERATING INSTRUCTIONS �
� • PARTS LIST
FOR MODEL # 2 O 9 0
Doughboy RecreationaI � Domain Industries, Inc. 10959 Jersey Boulevard, Cucamonga, California 91730
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BACKWASH
SPIN FILTERS
RPad voatr pool ca�-e booklet
>>riof� ro operating this frlter
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• ASSEMBLY
• OPERATING INSTRUCTIONS
FOR MODELS
• PARTS LI ST
#'1403-77 #�424_7►� #'1445-77
Doughboy Recrcational � Domain Ind�,scricti. Inc. 10959 Jersey E3oulevard, Cucamonya, Cafifornia 91730
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F.?ASi F:'...A'TE: CJMF'LE-:1�F FOR Mr�'�jF_'.. �4':�:i-�i'i
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* BACKWASH VAIVE OPERATING INSTRUCTIONS iSpecial Five Port, Three Position Backwash Valve)
IT IS RECOMMENDED THAT THE PUMP BE TURNED OFF WHEN
THE VAIVE POSITIONS ARE BEING CHANGED.
This v�lve !o¢K5 ci all thrr_e opeiaUns; post�ons to insu�c p�oper ope; �
ation: By rotY+t�ng the h.3ndlP rJ<,ckvnse arid et the s3rre L�i�e ra!s�nk
or lowe��ng *he handle. onE •ds!� tk: ;ahl�e to t;u�dc it � each nt th�
three p;�s�t�ons
1 WY�en the �dalve handle �33A��iS ����the futl ��WN Ups�t�un tFir f�i!e;
�s set to ope�ate for f,!tration of the pool end al�n in the <.o;iec?
posit�on lo .+(1d D,ato-��,�::enus �arth_
2. To go fror•� the filter pnsit�on [o the hac' ���isf� p;- t�r,;�i, tur<, the
handle Ciork�,,lsa �.vilh d s'�YI��( u�,�.rar[( pu �. The h<� � ic :�.. :;ut:)-
ai�rt ra!iy_�select �ts t, � �v�dc�;�ay and s'�de uu� ��': to .a �,trp
�os�t�on. You �+�e now I� ,.'Kw,ish.lne ,i�rp.se of 1� s: pos�t����n �s
to allew thc 11u�.•� an;i p���ssucP of thF� {,u���n t i,issist ��n tLe t:�e,r�-
�ng of the f�lter unit a, expi.,�ined�on back page_
3 vac��m ro w,3ste Pos�i�o�� - t�,�s Exclusive DOUGHBOY Feature
�a��ows bne [o vacuu!n an erLr:e��ly _.��f.y �<<:'�� �7�.�r�t.v !t :.:i�to
w�!h0ut cOn!a�nina�in� Ihe `ilter un:t It , I�„�� r.� v i�t �ee�:��;_ - �
the event thal th�;. pnof �.y N; bc.Etnt7tied. ',�� !h:it. une '�� d�.: . thr�
wate� through N vrcuuc' cle.,;��er 5 t.�� s�_:,t �b�e ��:�-e ect�y i.�:t Le
;t�s;h:ir,:,e �n-��hout iun:i�nK tlie enhre volwne of �ro�ater through the
r�itr�:�rn :e��,�_
To pf;i�e the v,,IVe i!� the vacuum to �.•.aste posit�on. aga�n rotate
d�e ham;ile �Ip�K.:�,�� .�ith a slight i.J-.vard pu�l. Again the ha+�d�e
�r,�Jl ,3utor,;,it;e� 'y seiect its p�opor gu�dev>av ind ,�ise to a �ull
stol i�i thF v.a �,..�,� tr, r�,3ste pn,s;:ior1.
Up�i [h- cc il t*on vt �� opeiat�np� Cvcle sUCh ;i5 backwa:;h oi
.., ,w ,. ,.�_;v�.. the i.3rr.1�c .i .+y. he �n�veied in a si:.^.ilar manne�.
Thit ��S_ ',,. n.,. «.:Ith 3 5�.{��tt rio��,n�,'�ard�P�c'SSUre. the han-
di� -i�a __.' tti F�uider._ry <�nd drop to Ihe ipwer position.
If h ,�.,.. .. ::.i5 �� p���<�;iori nns been used, rt will obv��u5�y
tab�. .,�i�� �ni.t�. .��nd ��...an�.vurU �iuve�„en! to b���ng the vaiv� to the
Da�r,_isl! P.�, on ,i� i.m a�Uirr%n.il rpt:�ihon and downwtirD move-
�� �! ta b�li�t I'�� :dI�J, � r,.'n l0 ihc h!ter ,,;?S�t�Jn.
�he handle will rotate 360 �a full.turnl in each of the three posi-
tions. The quideways are located approximately 90" apart (one
quarter turni I, s recommended totake advantage of DOUGHBOY'S
exdusive locking fe:+:ure when the filter is in the filter position.
This can be accompiished by tuming the handle away fran the
guideway so that the handle cannot move upward until it is man-
ually returned to the guideway posilion.
i..
SUBJECT
City of Fridley � 16 8 0 0
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T �
r
; � R .
� ; L _��„� COMMUNITY OEVEIOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �� G O
1 � i /
1
, � /�"1 � CITY HALL FRIDLEY 55432 NUMBEF REY. DATE PAGE OF APPROVEO BY
� ----�: `.�
612-571-3450 g10-F15 10/4/82 � �
JOB ADDRESS 6293 Jackson Street N.E.
t LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
DESCR. %A & 7B 1 Irene Henry Addition SHEET
2 PROPERTY OWNER MALL ADDRESS 21P PHONE
Robert J. Miller 6293 Jackson Street N.E. 571-8909
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Sazne
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUIIDING
Residential
7 CLASS OF WORK
O NEW X ADDITION ❑ ALTERATiON ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a Gara e Addi..tion/Family Roan Addition with Basernent (24'.x 30')
9 CHANGE QF USE FROM TO
STIPULATIONS
SEP�RAT£ PERMITS REQUiREO FOR V�IRt'�Gw,
HEATING, PLU(�181NG AND StGN�.
Baf ������C7
ot'e diggtnY cait lo�al utilities
TEf.EPHOIVE - ElEC1RtC • G�4S Et�.
��QUIREL� gY �qw
TYPE OP CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PEf;MITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILAT{NG OR AIR CONDITIONING. WOOCI FLc3ICt2
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTFiUCTION ZONING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR If CONSTRUCTION 1256
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTflEET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TNtS APPL�CATION �- 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $23 �SOO $1�-.75
DOES NOT PRESUME TO GIVE AUTHOFiITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OF THE PERFOFMANCE OF CONSTRUCTION. $I.F)4. SO NONE
PLAN CHECK FEE TOTAL FEE
$ 41.13 $217.38
SIGNATUREOFCONiRACTORORAUTHOAIZEDAGENT IDATEI � / yyHEN PROPERLY VALIDATED TFFIS IS YOUR PERMIT
� + n�y �� /(S
SiGNATUREO O NER�IFOWNERBUILDERi � AT 1 BLDG WSP E
A
CITY OF FRIDLLY Effective Auq. 1, 1981
At'PLICATIOEJ FOf� RESIOCh1T1/lL BUlLO1fJG PCFL'�iITS
(N�►r. Alterations. Additions, or Repairs)
OwHER: o��2-r .� . (�%.,�� _
ADDP.E55: �� 01`�.3 � Pr c-!� s d.� S I, n1_�
t3UI LDER : � �
ADORCSS: �
�L�o: ,'S�I— P`�,o`j � TEL t�0:
Construction Location
• ST1tITT NO: �� a� 3„� STJtEET: � l4 c..1�5a oJ �'�� /l� �
i.o�r: i ewac: .__Z__---- �nniT� : �=2 �.,� rz � � �.Q , -r,�
-
Cornex Lot: Insicie I,ots Setback: Sideyards:
11p�licant attach to tl�is forn two Certificates of SUrvey of lot aa8
proposed building location drawn on certificates to scale.
��r��bE �no „�oa, OESCRIPTIOi�t OF COFJSTRUCTIOt�
S�L��_ ��-�2.s�.�Front: ��� , Depth : ,3 (� � Height:
a r�se� �-�- .
Square Feets Qibic Feet:
. Front: Depths Height:
Square Feet: A�bic Feetr _ � `,�•��
LJaao FR(�r�E .
R�►pe ef Cor,struction : � D o ��o �J ,_,�
'!b SQ Cbr.�pleted: �Ec, � ;_,�,L C $ �--
Estimated Costs —
7�ilt. A I►lt. B
proposed Drivc�aay kidth If New Opening Is Desired: $' S
� . , SE� �VER;E SIDE OF SHi�T .
�ie undersigned hereby maf;es applic�tion for a pez�nit for the work herein specified,
agreeing to cb ,all vork ir, strict accor8anec with the City of Fridley Orainances tnd
xulia�g� of the DeZklrtanc�t of Duildings, and hereby declares t}utt all the facts and
represr,ntxtiens stateS ir� this npplication are true and correct.
� ,
n.��:: q--1 i� -B a- sit��zvr� :
Sti�sulatiot�s: � ,
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p,� 4I ,13
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13
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Figure S. Ba�ement Wa1l �th Kneewall Supporting
Garage or Porch F'loor Slab
.
sl►�4LE ?op pLATE MAY BE usED
uSED WNEN TRUSSES BEAR
DIREGTLY OVER STUDS
2 x4 dLo�kiN4
BETNIEEN
� T2USSes �
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AWWFJ
'rRE11TED Pl.YWDOD
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ALTEI2NATE END
wa�L • sECTioN �
A
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Iod NAi 1,5 � 3'�
ioa NaiLs � 4'
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PLYwooD
T�EATED PLY-
WOOD � I,t1M8ER
0
LYWOOD
END WQLL • SEGTION Q
MAY BE DELE'�EC WNEN LON4ER
SjUGS ARE USED. SEE 'Al.'(ER-
NQTE END WALL"- pE'rQIL FI4.2G
iod Nau.S � 4' "�
3-2od NAiLS
EXYRI► GNORA A�iD WEB MEM6ER5
A5 R.EQIlIQED 6Y TRlJ55 MANtJFAL'jURER
DLOGk-TOE NA�L To pLaTE
Vv�d-�oa NAit.S oR FRaMtN4
ANGIJOR W/405 # GAPALI'�Y.
FLooR TRUSs
IOeI PlAILS � 4' O. G.
3-�oa NA��S (PRE- :.;�
Di�ILL LEAD NOLES).
jREATED p(,YWOOD � L11M6ER —
fOR tE1L1NG EX�'END LOWER GuORD AS SNOWN
� PR��uat :'10EaT� w�D
SIDEWALL • SEGTION �
NOTE fASTENER SLNEDULE SNOWN
�OR 7� FILL. �ASjENER.S MAY bE
REDUGED �OR LESSER F�I.L
NE�Gtl75. FOR 4' FILL, fASTEN-
ERS MAY P�E REDUCED 50�L
�8ure 25. C7ear Span Trusses — Attachment Details
0
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65
66
�1VVY � 1.�M1-IVL�
F2AMiN4 AT coRNE2
3/8' G-D 44/0. BLockIN4 RE-
qU1fZEC �N ou7ER TRU55 SPAGE ONLY
SPAGE 24� (OR LESSER F�LL IJE�GN'f5
aLOGkIN4 M4Y BE SpAGED 48'.
5 -8d NA�1.5
EAGU 51DE
{�11
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END ST�F�ENEQ
AS (tEQt11RE0 B`(
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0
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LE4
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51DE WQLL • SEGTION A
IOd NAiLS � 4'
�od Nai�S @ 3'
3-�od NA�LS -
PREDRIU. LEAD 410LE5
TREATED PLYW00�
� Lu M eER
END W4LL •� SEC?ION �
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TQEATEG PLY-
WOOD 4 LUMBER
ALTEQNQIE END W4LL
(WI?U LONGER STUDS)
I�I PRESSU2E TREATED WpOD
NOTE FAS7E�lER SPAG�Nl. �OR SIDE .
AND END WALL IS BASED ON 7' _
FILL. SEE NOTE I, F�G. Z5 fOR
FAST�NERS FOR OTuER FILI. '
NEI�,tJTS.
TRU55 - TO WAI.L GLiP
( NAIL P GENj�R OF SLOT�
Figure 26. Ctear Span Trusses — End Wall Blocking Deta�s
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WE HEREOY CERTtFY THI17 T1115 iS � TRUE �MI� CORRECT QEpRESENTNTiON OF A SI�RVEY OF TM� B�OUNpN21E5 � TyE '
tANO h80YE OESGR18Ep AND OF TNE LoGATIptJ OF 1�Li„ StJt�DtNGS, IF lWY, TNEREON , P►1V RLL V15181E ENCROACNMENTS, ,
If ANY. FROw1 oR oN SNO LAND." , .. f ..' ; _ , ' ,
o��r TM�s — o�•Y�__ �JoVE�'.��q �,;�_�6t} MINDER ENGINEERlNG CO., ING. �.
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SUBJECT ...- -vP.����I�.,NO. �
City of Fridley 2 7 5 2\9
' , AT THE TOP OF TME TWINS g U I L D I N G P E R M I T R -�-f�6�
r
� �` ���� COMMUNITV DEVELOPMENT OIV. ��jO/
� L � PFOTECTIVE INSPECTION SEC. �
r , ,
� _ ,
� �"'1 � CITY NALL FRIDLE� SS1.32 NUMBER NEV DA7E PAGE OF APPROVED BY
�""� � ,'J 612-571-3450 9t0-Ft5 9/2/98 � �
�oe nooRess
6293 Jackson Street NE
t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHEO
DESCR. ]A� 7B 1 Irene Henr Addition SMEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert J. & Mar E. Miller � 571-8909
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
Owner
C ARCHITECT OR DESIGNER MAIL ADOFESS 21P PHONE IICENSE NO.
5 ENGINEER MAIL AODRESS ZIP PHONE IICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (34 S) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING Sd. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 OAYS AT
ANV TiME AFTER WORK IS COMMENCED. NO. DWLG, UNITS OFFSTREET PARKING
I MEREBY CERTIFV THAT I HAVE REAO AND EXAMINEO 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 WI�L BE COMPLIED
WITH WHETHEF SPECIFIED HEREIN OFi NOT. THE GF:ANTING OF A PERMIT 2913 �.46
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ]�F.75 Fire SC 2.91
PLAN CHECKFEE TOTA EE
� .12
� AtURE OF CONTRACT�R A T Oq�IE� IOATEI EN P P ALIDAT NIS IS �RMI
�
'l,- i �
SiGNOTURE OF N UF OWNER BUILDER� IDATE� BLD �NSP �iFTE
NEW .� � ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
— �� 1�'��
ConstructionAddress: �U ac13 S f}C._.kSO� � ) /�� �
Legal Description:
Owner Name & Address: p 6�-r �, �.}- � �72.,y' � , � / � r �� Tel. # S % � — � � O °i
Contractor: Q {,v�� MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
DESCRIPTION OF IMPROVEMENT
Width Height 5q. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width HgdGround Sq. Ft.
OTHER: K EfLo O F �o KS C �1- � fl-fZfr �� ���� .
�-��1-(Z-o�
Construction Type: �OD F�C���9`��'1�T� Estimated Cost: $�;-���' �=-__ ��j'/�
�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$.
� $
DATE: ��- � g APPLICANT: , Tel. # S 1 � g°I O�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ '?� �
$ -�
$ � �
$
$
$
$
$
$
$ _ �%c' /
�e
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
sue�ecr PEFi :_
c�ty of Fridley 3 i 592
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T
r
� .
� � •
� • COMMUNITY OEVELOPMENT DIV.
� �y-_-.__ ,
r � � PROTECTIVE INSPECTION SEC. �� g y
, � �'�'1 � CITV MALL FFIDLE� 55132 NUM9EP REV OATE PAGE OF APPROVEO BY
�""'�"� �'' 612-571-3450 9�0-F�5 12/11/00 / /
�oe nooaess 6293 Jackson Street NE
t IEGAI �OT NO. BLOCK THACT OR ApDIT10N SEE ATTACMEO
oesca. 7A & 7B 1 Irene Henry Addition SNEET
2 PROPERTY OWNER MAII A00RES$ 21p PMONE
Beth Miller 6293 Jackson Street NE 763-571-8909
3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO
North Central Builders Inc 7401 42 Ave 1V', New Hope, MN 55427 763-533-6168 3763
4 ARCNITECT OR DESIGNER MAI� AODRESS ZtP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS 21P PHONE LICENSE NO
6 USE Of BUIIDING
Residential
7 CLASS OF WOFK
O NEW O ADDITION O ALTERATION �{] REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside House; Soffit & Fascia
9 CHANGEOFUSEfROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a we�ther
resistive barrier be placed over exterier sheathing to protect the interior
wal� covering. Exceptions for this provision would be if sheathing is an
approved weatherproaf panel or when the s�ding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the mar_ufacturer
states this ir. their applic�tion guidelines. Cai1 for inspection of wrap
before covering.
Pern�it Insp���tion Cards
Will Be Mailed-.
To HQ��o���� To Post
SEPARATE PEqMITS ARE REOUIREO FOR ELECTRICAI, PIUMBING, MEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV �OA�
VENTI�ATING OR AIR CONDITIONING
THIS PEFMIT BECOMES NULL ANO VOIO If WORK OR CONSTRUCTION 20NING SQ. fT CU FT.
AUTHOR12ED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANOONED FOR A PERIOD OF 120 pAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO DWIG. UNI7S OfFSTFEET PARK�NG
I HEREBY CERTIfY THAT I MAVE REAO ANO FXAMINEO THIS APPLICATION 1 STA��S GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Oi LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMP�IED
WITH WHETHER SPECIfIEO HEFEIN OF NOT. THE GFiANTING Of A PERMIT �6,936 $3.�F%
DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEL THE pEqM17 FEE SAC CMARGE
PROVISIONS OF ANY OTMER STATE OR LOCA� �AW REGULATING GON-
STqUCTION OR THE PERfOfiMANCE Of CONSTRUC710N ��-39.2.5 F' re SC �6.9�F
PLAN CMECK FEE T iAL FEE
Lic s SC 00 $154.66
$�GN�iUQE OF CON'aAC.TOa Op AUTMOA�2E0 �GENt 10ATE,
H R Y VA A�D TNI$ I��UR i�ji�
• l �/i �
S�GNaTUAE Of OWNEAi�� OWNEABU40EAi �O�TEi B DG �hSo � � ���TE
NEV1/ [ j Effective 1/1/2000
ADDN [ j CITY OF FRIDLEY 612-572-3604 Bldg (nsp
ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMITAPPLICATION
Construction Address: �p � 9 � �A��� �I � � ��
Legal Description:
Owner Name & Address: „�i`i-�- � � 1 � ���� — �Al�� �rL�� Tel. # %d �—J%� '0 7�g
Contractor: ��7� ( '�iV 1� C� �t�lt� �,� , �/�.��- _ MN LICENSE # �
l 1 , �f�
Address: `7�D1 ���uD �}UE Na l�� i�P�, �ii�-% Tel. #%�3 53��
LII�ING AREA:
GAIt�iGE AREA:
DECK AREA:
OTHER:
. ' �(�a,7
Attach to this application, a Certificate of Survey of the
lot1 with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length , Width Height Sq. F�
Length � Width Height Sq. Ft.
Length . Width _ HgtlGround Sq. Ft.
Construction Type:Q,F5) ��. ��F I T FA9Llf1' Estimated Cost: $ toq "�b � �� _ �_
Driveway Curb Cut Width Needed: _
DAT�: �' � APPLICANT:
CITY 11S� ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge � �
License Surcharge
briveway Escrow
�rosion Control
�all (612) 572-3604 for Permit Fees if mailing in a�ation
Te�. � �763- S3 �°�
$ Fee Schedule on Reverse Side
$_���� .001 of Permit Valuation (1/1Qth%)
$ $.50/$1,000 Valuation
$ � � � -°— $1100 per SAC Unit
$ �� DO $5.00 (5tate Licensed Residentia) Contractors)
$ � Alt. "A" or Alt. "B" �►bove
$ � $450.00 Conservation Plan Review
����-�L.
��� �
Park Fee $ � Fee Determined by Engineering
SevVer Main Charge $ Agreement Necessary [ j Not Necessary [�
TOTAL $ � �
STIPULATIONS: �����/lj� /�?1
G'��s .�� � ��
�� ��. 310. 9. /, y
r
t�� �������-� /.cr �L�C fL�-`�/.�/�
,��y��� ar ���- /���
/997 ��.c.
_ _ __
`�,i+' n�qu�:•:1��, UC) NIi11rIC_IiI VI �.ViNi.��_1��.�
k'� �
133 �Aet �evr�,lh ��.
_ :3t. �nul, Mtt SS1�t
i ��, 4'�:a�S lt;51� 19E-E�19
, u��TiTiNm�h' g��Tl.,������ C���.%�'�0�?
i��r��<�
: �UiLb�tt
IfibiVlbUAt, �r?o��hl�Tott
Nokcau�� �ar���•r c�
�tpire�: 3/3 V2W i
b�A� N� r_ �►rrRAL st.��s
� 'l4tli d2►JU AV� N
11LW Etot�� Mt� ss42�i-r�000
Qp: I20��N1' Cl 1�uRCR09�
�I�i
I�
.f ..
__ _
ina��s.3 , . , ��, "'.���
UtItLbE(2 ( ''� ' :
�
niblviuUAl.aaopniEroa ��►`�y
NOi2Cf20:� kO�ERt (� 1�.��.6
btlA: Ilo cE1ltaAL �Lnas �
1A01 d2t1U AV E N
N�wl�or�tin� ssa:�0000
Qp: ao��atd uoacao�
y}�g r� �I�c by 3/31/11x�1 S�A1� OF MN U�pi. �F COfAMEnf,E
l�� C1�J����lUIJ1
5� p.,d. ��111 sslbl
�si�i9a��is
n�A uo c�a��'.�. n�ar.s
E�pirce �171l2001
� Il��r,� d��e b� l/�1l1001 �
�
��p S�P 14 2001
To: City of Fridley
September 11, 2007
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 will be close or on to the property line between these two properties. Both
home owners are aware of and give consent to this arrangement.
.
� �
�
John and Lynette Niewald
6291 Jackson Street NE
Fridley, MN 5432
�
Don and Melanie Novitsky
6293 Jackson Street NE
Fridley, MN 55432