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AF - 35272V�ll�e of F�it�.l,ey, l�i�t. . � � ` � � 1 , B�II��i�`G P��E�i'� :(Did'iee 'mf I�ts�'�� (�F aB�7�i.HlENCi-S �` 3 .� ./.�^ !`�'� � � OWI2EP-�� ' y � . � . fir�liitect Fridley, �2ihn:, . � . �� Builder • .1 I.C3C'.�,�(�l'� ��' �i7IL'DZNG' � .. 1V'o. r , � u Street q�„ � , � , �'ari �f -1:,bt . � , � � � � � ` � '� Loi_�� I3Iock Additian ar Su�-Divisioa ,+�� .; D�*'G��s:-`��l'� O�' �'�T��JI�G ; t � � ; P`z�snty� L)e�th_�,_ Hei�ht� Stories_� �2�uner of Constrizction ��e � Tct be useci &�_�� ,_,_, 'lb be campleted �..'"� . � �+ '',�� -Esti�ated Cpsr �. � � �� Permft fs itesrebq grauteel t�r to�l�"li�� the buiId�rtg' yp� da�eribed in t�te above stat�m�nt. '�hfs pex�tiit is g�ean�ed - upon tlae express condition that the persan .to wk�om it is �ra,nted, a,nd 2�fs agen#.s, e�u;plo�*e2s : amd wor�ae�i, iu ail : the work done in, arqund and upon, saicl buiiding, or axr:y part thereqf,' �hall conforr�: fn atl `respects to �,he urdi� nances of �'ridley, Minn., reg'a,rd#ng tha coastru�tibn, a,tt�ra,t4an; mai�terl�z�ec, r�p�fr . a�rid inavzng of buiit�gs . wiihin the city l�mits, snd t.his per�riii �,nay b�e reval�ed a€ any ti�e upda vivl�ion ofi any e�f th� grrsvi�ions.of said ordivances. � .� � - ��!!� trr8 C�t)f .�Of $Lil14Y�l2 S. �'. . . . � .. �.. ... � AGREEMENT A._�iij �W(�i�1V ��A'I'�1�ENT . : In cQ;�siderat�ton af t�e issue a� dlel�Yery to �ze �i�r ��e ��ctor €�f �uaie�inus �€ I+'rid�e�r e�i : � th� a1�ve permit, � hereb,y �g�ee to da the pro�oseci. $,r�rk �� ac�or��ncc �� ae deseription . above se� fort�z az�d aceordin� tt� ihe grovisiorzs �f �he c�rc�'s*�n�ce� of Fric�ev, �,r�d, �e�ng ftr�t d�tly sc�►ox�, I Iiereby siate and say �h�.t the �acts stated �a;� tr.e �nc� car��inea in the �.br��e p�e��t ��e �' true �as tizerei� stated. � Y. C��!� � l Suhscr�b� �,d sworn �'he.fare �ne at Fridiey, �Jii�,�±�ai�, t�if � d�y csf , �.�3. '1� �� , � � �� ,. �.: � ;'� � � � �� b � .,s,..� - �. �-. �-. City of Fridley, Minn. BUILDING PERMIT AUGUST 2, I965 Date: _.._.._._�____._`_..___ ;� ' •i ?, �, N° 8294 p�r; CURTIS BOSTROM Builder S� _ _ _.____....__—_-----�--..._....--�---�---........--��--------...--��----�-----_.._.._.---�--- Addr�ess __6382_ Baker Avenue N. E. . Address ._._._.�.._._._.....__.–•---..._....__----. _ _..__._..._..---....._.__....__ ._._.---------•-•--•----�--..._..---..__.._....___.._ Fridley 21, Minnesota No. ._ 6382_._.__ Lot _.___. � .._...._._.. Corner Lot _.__._ Sewer Elevation LOCATION OF BUILDING Street .._.__ Baker Avenue N. E......--------------_......._...._ Part of Lot Block Inside Lot Addition or Sub-Division Setback ._.--••------•.._......._._._.._ Sideyard ----•---_ Foundation Elevation .---_..._._ DESCRIPTION OF BUILDING To be Used as: Addn..�to Garage �t �9_�.�. �p� ..._ 22.` Height -•---•_1_�-_-• Sq. F� _198_--- �. � _1 980 __._.�..._.._.._._.._._..__ Front __.._______ Depth _.._._._..__. I�eight ---•--_...--•----- Scl. F't. ._..__._._.__. Cix. F't. _.._._..__� Z�ype of Constxuction __.._......_.._..___.__...._...._.___.. Est. Cost __�400.,.QQ_. • -•-•---...._........ To be Completed _..._.......__._...._.._....___..._.... In co�ideration of the issuance to me of a permit to construct the building described above, i agree to do the propoaed work in accwrdance with the description above set f and in compliance with all provisions of ordinanoes o! the dt,y of Fridley. t-tr�� G'��2�,,�. In comsfderation of the payment of a fee of � 4. 00 __��t is hereby granted to CURTIS BOSTROM to construct the building or addition as described above. Zfiis permit is granted upon the expresa c�dition 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, shali conform in all respects to the ordinances of FridleY, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked a t a�y time upon violation of any of the provisions of said ordinances. AT•T.F.N G. JENSEN B�� r NOTICE: �s p�rmit doa nM iowr th� eonskueNon, tn�t�llNion fer wieiny. P�+UO, o�s hNiinY. swv�r or wN�r. B� wn to s» 1h� BvtWino Ia�pKtor for pp�nh p�emits for fhq� ihnq, APPLICATION FOR BUILDING PERMIT CITY OF �RIDLEY, MINNESOTA OWNER' S NAME ��tY� i i'� �'� i�' t� /�"� t* � r - � � BUILDER ,� , � ,� ,� ADDRE S S�_� �� " j:� /# J; �!.? �� ' i�f : C- ADDRE S S LOCATION OF BUILbING N0._�� 3 � .�.. STREET � .�- �; ��_ c= /�% �- �_. PART OF LQT �� BLOCK ADDIZ'ION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE-YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; ��'.,�!-� � �i id i T i c � v' �" � � s � ' Front f- �' Depth �` �_c:�1 Height � c�� Sq. Ft. %f �' s r Cu. Ft. :2C� CCJ �'G�� , Front Depth Height Sq. Ft, Cu. Ft. Type of Construction_j�-��c-r f-`,.�,��-r� Estimated Cost ''�� c� <"' To be completed_ �,r,� f/ ,r' ;� r' �; � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. _. _ �" -, DATE �' � �' _ E_.S� � � y SIGNATURE '�-t�G'�-, � J r: ��'-�:-rvr� (Schedule of Fee Costs can be found on the Reverse Side}. i'`., j ,, . - �►• � � BUILDING PERMIT FEE SCHEDULE SECTION 2. The InspecCor of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon applicatioa therefora, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: 2,1. For any such permit for the erection of any fire-proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof add:ition, for similar occupancy, to any existing building, shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2 For any such permit for the erection of any fire-proof garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. �. HOHSES � 2.3. For any such permit for,the erection of any non-fireproof building, other than a garage, warehouse, factory or grain elevator, or any non-fireproof addition, for similar occupancy, to any existing building � permit $1.00 for each one thc�usand cubic feet. GARAGES 2.4. For any such permit for the erection of any non-fireproof garage, warehouse, factory or grain e2evator, or for the erection of any non-fire-proof addition, for similar occupancy, to any existing buildiag or for each such bui2ding or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction Chereof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permits, the cubical contente of any building or addition ta a uniform height throughout by muitiplying the ground area covered from a point six. (6) inches below the f7.00r line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing struature, the fee shall be at the rate of $3.00 per each Five Hundred Uollars ($SOO.GO) or fraction thereof in the cost of all proposed work. �" 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. STORM REPAIR DAMAGE ^EFS: . Residential; Estimated Cost of work up to $500.00 -$5.00 Estimated Cost of work over $5��.00 -$i0.00 , Co�ercial; Estimatcr'�CosC of work up;tc� �`��00 -$��0 •- .� Es timatc Cos t of work over $5 G0. 00 -$:. 00 _.._ � �� RIC:�-;I'tRC P;. S03IEC�i -------�, Pi�t>? �i c t!orks D-i rector 0 0 Ltl N � LL, .� � � 0 � 0 J �� 0 � 0 ��9E�•i0 P;O._ T,C. 35 - �;��4 Oct. 23, 1974 fZEPOi�T �Y: 11-6-74 � � �. r f�38i�. �C-'' � .. ;1 �.S'�: SUBJ�CT: Request for shal io�,r tvzl l, Kenne�h f�lorroav, .��a�er �Ve. �� e. gv, a�i � . c� t � � See attacned Le'cter �j P�etiji�� tat:e appro- p?^i c: �� uC �i oit � Reviei� � ca�me�lt � fro�e & c#iscuss wi-�n rne j� t�ior� �� i �h (_J Rush, im:rediate nC�1Gi1 des i r�d h�iake reports, �rjhack,ro��d ��aLeri?1 as canpleie as poss- ib�e. P�1are interin repar� ir necessary. f--- � � �L �� Rcti on cai�.nl eted, no � fur��her revie��t need�a 0 � (___j Fur�her ac;,ior� necessar,y� Q [� See attac�eci 1 ettei P,E+iF'iP,�S: Please revie« attached request & reco�m�nd procedure to -Fo11o�� which cou7d allo►� this gentlemarr's construction� C eck rules and regul ati ans ��i th F�PCA �;�R� r.,, -,i, L!-,+„ � ,.i_ n�,..� ' �� . Thanks �1��„- Please cor�tact property owner regarding what he must do to cet his well in and let me know after your contact has been made on what he intends to do. RNS CO"��IE��ti�� S: � �u � � /Vl /� C �'i a-L. �. �l.2 • ,�...�._�._ � _ . � �� . - �= � �� I n�. � r i� r t� e p o r � � c-�.•.�.•.a�L.. w-c�.� �, y� �O ,/ / , i --- �-�-�,;,s...� �4.�.�.�.a , �-�-y , o._.,..,o C,+�c-C�v. U . ��r� �-- -'-� �- ' c� a..�..� D � ��ti.�-� r � / j) �"� �-�.-.-� � Q ��.-�-�r- �,a�..-v„�e.. - ' l / — /�r --�7 9L � � �- D;�T E:/(1 -- Z�_ S I G t��,�TU � E ��C�� . . �/i%�'2'��- � �' I "C�°'��rv � � �.�� .� .�, /� � � �'� - � • � = � -- - � � .,c � .� � ! � � �� ! . �� -� ; �� . � � �c�'—� � ,r��-�--�-�-�' G� - ' �� .� � d� �� °" � . "�j�, c�i. � �'`.L � ,� � ` �,' � � � � � l,� �.� �� . � � �� '� `"� T ��'.�'�/d�—� -��-. Z� �—�� . �,2� � -�� ` .G-�'C�-' �'�y� ' �� ' �� ' �.��-�� _ �� .� �-�- �� _��r� � � .-�-�z- �� i � i �� I � ��.� ��- � °t '� / � y �e� ��,� � ,� . .-L / � �'L- -�i'D L 4 / / /n /L� � /` 11 " �. V��` Ii ---,- -r�� L � ` �-�� 't�.�"�''�. � ' � - 1 ��:� . _ ��,� a� � -� � ' _� �- �� -�- ��,� ,�.�-� i �� -� - `�-�� i .�.�� . _ �/ �� ; .� _ � ��,�� . ��,�,� � � � � �� rr�r-�o t;o. �s-gs . �. REPORT QY: i�av. 6, 1974 OFFICE OF TNE CITY ��iAf;AGER CITY OF rRIDLEY t�1Eh10t�ANDU��i T0: PUBLIC WOi2KS DIRECTOR FP,Oiri: CITY f�IAiVAGER . - DATE: OCTOBER 28, 1974 . SUBJECT: REQUEST FOt2 SHALLOW WELL TO WATER THE GARDEN BY KEN MaRROW 6323 BAKER AVEi�UE Review the attached letter and take appropr�ate�action cansisterrt with City policy. Thank you for your assistance. NMQ/ms CC: Cormnunity Development Director November 7, 1974 Please see the attached letter which indicates the appropriate information for installation of a shallow well. City policy to date has been to rely on the State Statutes & the only stipulation in our City Code ensures that the private system is separate from the municipal water suppiy. _ No further City�action required. RNS/ j m � � _� -' S60-3450 �r� o �`�lle� � � ANOKA COUN7Y 6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55432 November 6, 1974 i�ir. Kenneth I�lorrow 6382 Baker Ave. N.E. Fridley, �linnesota 55432 Re: Request for a shallow well. Dear Mr. Morrow, Your let�Er rec{uesting information concerning ir_stallation of a shallow well for irrigation purposes was brought to r..y attention. I am enclosing excerpts from the state and city code book t?�at would apply to your situation. At this time the city has only one ordinance concerning private wells. This is found on the last sheet, Ordinance No. 402.24. The remaining pages contain excerpts fro*� the I�linnesota State Code Book for water well construction. -� have underlined in red those codes that would be most pertinent to your situation. After reviewing these regulations, would you please inform us if you still intend to construct your shallow well. If you have any questions, please feel free to contact me, TrIC/ as Enclosure . Sincere l}r, � � I Thomas ,�. Colbert Assistant Engineer -�3- t�lATER ,�1EI,I, COi;STRT�iCTIO�! CGJc, l1�T7� �t) T� .i� \ ' t 11:1/ �yr( .UJCaI��..�i� �f SY°il,.i (a) G�neral Considerations A well shall ba 3ocated consistent with the ger_eral Iafokt and surrau�+ctir_� area g�.vir.g dua consider.�Lion of the size of the ?ot, contour of the land, slope of tr� �;a�Ar ta�le, roc'.�c formati.on, porosity ar.d absorbzncy of tre soil, 1oca1. orou��d ti�ater conditions, ancl otaer factors r_ecessary �o zm�l°ment the b�sic .pol_icies tiiat follows . ('a) A �.rell or spr?ng or buried reser�oir sha11 be: iI} Zocated o� a si�ie �jhici2 has g�od surface drainage, at a higher eleva-tior. t'aan, ard a� a suifici,e�zt dis�ance fro�, cesspaols, buried .�e:•�ers, septic �an'�cs, pr;.vie�, barnyards and feedlots, or other possi�le source� af conta�irzation so that the supp7�y canno� be afiected. thereby, ezth�r underg�•ou:id ar from tn� surface of the groun�', . �2) Located so that the c��el� anci its surraandirso area can 'ne kept in a sani�i;ary conditiono �3i �dequate in sizz, d2sign ar_d development f�r the�in4ex!ded useo � ��+) Constructed so as to main.tain existir_� natural protection agairzst - pollution of t�;ater beari no forr��tions and to excZudg all l�o�,rn sources of gollu�ian from entering thz ,aello �5) A i�rell snould be located at least feet fram a�aro��rty lina A ��rell constructed ta r, eet r.;z,in, cipal. ��ater sup�ly standards sr�.l be loca�ed at ].ea�t �0 feet fro�n a pr�perty lineo- In locating tre ��rell cansideration shall ba given ta sourc� of contaminatia� fron adjace�t propertyo ic) Distu,�ce from polluzion or Contamir_atioz� So�:rces . il ) A trsl 1 shall b� at le�st : (aa) One r,,��aT_'�'C�, flity fe�t (150 ft, ) from a prep�ration area or storage area of spray r:�teriaZs, commerical. fertilizers or che*a�cals that rr�ay result in pollution o� the soil or ground t�ratero ib'�) C�e hundrec� feei (1C0 fi,) from a belo�� rade r!anure starane area. if in cc�nfar,:,ance c��ith P-Iin.nesota Pallutior_ Control Reo �latior S;�l52(2) (� ) o l (cc) SeventJ-five feet (7j ft,) fror� cess7ools, leaching pits and - GT'f t•;°�iSo 7 � t�"l�'r� orade rn.ana.re storage area may preser.t a special ha�ard to grou.*2a t�ater ��u�-�-1�3' L--^-ich .:�ay reauire a greater iso� ation distance than arovided for in this rule deperdinc ,z��n }1��-�,�ngic and geologic cor_diLionso `1 1 �- �,,�r.-ti- .r.r.�c.�-.�.y:- �%�.. ,.,.:.... 7---� _ ��- ' � , (dd) Fifty feet ( 0 fz o) fro �+�a bu�� p�.;� ,op'z � � t�,� tis osur- face disposal field, �ra�,�e, �r.i��a? ar pouliry Yard or bsilc��r.S, pri.Try, pe-�roleu„� stor��y� tan�, or any other sec,;aoe or Izquia �•rastes that may c'�rain ir��o t�e soi? , - . u...-�.�. .,�'�-..�w�1Z- - `'?�v- -�..-�r--�-�f' �-M- (ee) T?�1°Zl�'�LfP�� Q fL,i �'�"C'^�2 bU � S�*T°T' COriStY'L�C�'2CI OFrCaS� �*�""".�'!/ iron ��pe ti�lith tps �ed ��!�. �ertig'rzt j o� nts or other �-�a ��r� a? =r. �..,�Q , accep�abl.e to �ne Board; or a pit or ur�filled space bela�.� f grour.d suriace, excep� an approv�d basemer.to (ff� laiells Iess tnan 5� feet in deptn an,d not encourter?n� a� leas� 10 feet of i?�pe.� vvious r:aierzal s:�a�.1 be locaie�. a ��? east 1�0 feet fror� cesspools, lea^hi.�g pits, or dry wel�s and. at le�s� 1C0 iezt fro;n a su'osurface dis�as�1 field, r�ariure s�orage pi?A or other source �r con-car�.rtai� ono� i2) Tlza sa�e c�istartce tr�t a i�r�l3. s�0�1iC2 tiilva Iacated from. a�•�aste 1��3�i11 or �•raste stabil:�za}ion pond (la000n) ca..nri.a� be assigneci a fixed num�°r �ec�use of the var�etie� af hyd,;olo��c and geolo„�c para�ietQrs associate� urz�h the. undatermi�ac3 c;rpes and amaun-ts of .:.aterials t�at �?ay be carried by g�OLLn� E•i��gx' ira� l?acrates discna_�ge� �ram thP tiva�te Ianc�zily or �a�stz stabiliza�ion p�n�s ila�oons } a Tt a.s rzca L- rilended thai �•rells no�� be iocaw�u irz a.�. ar8a bet;�reen �c�� landfi?1. o�r ��raste sta.'oiliza�ion po�as (laooar_s} sites and the poirti af grou�xd teater aisch�r�e io a surface Tf:a±er sourceo �3) Any �•rell that maJ in�erc�pt ?eac�_ates frorn a waste Ian�Till or �ias�e stabilization pond (laQo�r_) by i�;ater wi�h�raT�al irom trQ w�L sral? not be used for potable ti•rater> . (�_) GTells install�d for g; ound F��ater quali �y �onitoring pu�as�� r� � exempt fror► provisions rela�ed to safe dsptrs and isolatic�� dis��cces frorn souress of co��.�arinatia�� o;rever, �heir constr�.zc�ia.r_ sra?1 otherrrise be in accordar_ce With 1`2inrzasota �Statutes Cn�;:.�er 156a ��!� x'ules adopted thexetLndere . �5� ihA �clmin� strative autror? t;� �.v �odify �he isolatio� ��staac�s ir,. t��-s ru? e�'or individual rr�l� iLs�allat; or_sv i'he mo�?ii=cation� shal.l p� rr:ade in �rri �i�7g �o t?:e o:�.�r, caiz�Z a copy �o t:�e Boa� d, ei�her increas�n.g or dscreasino t?�e r�ir_i:num ?sola�ion ciisi�u�!ce a�d s�aZl. state the reason for the !�oc?iiicatian bas�d on oti•erburde�, d.ep�h oz �well., c�:aracter ni Gquifer, r�.a:{ir�um pum,n�nb rate, cr o�her 2aciors ai�'ec�ing che rovemert_o� �ol�utioae . : �" . (d) t•lells A3jacent to Buila�r_;s, .Gas Lires or Ctier;_ead �I.�c�ric t'�tyer T,:nes {�-� � t•jel,l s'nall be located: �a�) A� least 3 feet horizol�t��1�r irc� a b�:ilcling or ar_y� �ro; ��Lia_� thereoi, e�ceot for a pur-phouse, �zn ess r.:o�iiis� __ .� ..-:�� hy th� a��?r!inis�rative a�:��oritS�o . _ (bb) Acc�ssible for c?ear.ina, �reatr�ent, repa�r, test :��s�s:.ti�*�, and o�cher atte�tion as r�a� be necessaryo ; ?F.OT' af;�,3'i-�]_2 � a marf.ure StOY'�g2 pli° L,,ou1 c b� COT?S1C�2i'eC� �S c't FOt�n c'-.lc"t.�i SO:1'_'C� oi co��a-air.�A't,Zpn to the wel?; hoj�r�ver, t?�� presence of ani�als in o�srx ^�sture i;z an area :;oulcl not nece;sari.�y cor�ren}rate co�taminants �o the d�grea thar �?�uld Catts� cor,*.3.mi�a±i_an F.o er,`raY- tr:o �;i•�,2n�i �•ratel'o v -lj- (2) ?`;o �apll sha�� be ? oeatec? ��rithin the iootir_� of �nz �. buil dyr ; or ro�.;r ber�ea�h the floor und�r ti��hich t:aere are buried se�,��rse � , t, . (3) A 1�e11 s��1,1, not be located c,ritl2in fifteen fee�: (15 fta ) of a�as lin� or o;r�rPeac� electric distribution 1ir_e or t�.rilntv_?; ve f�;et _(2� fto ) from an electr? c trai,sm� ssion ? ine �•f'r:icn is irn. excesa c�:.° 50 kV e,{ce�� o� the u,�cier;rot;r.d e1PCL?'ZCaI ser✓ice 1;�� to the t�a].1 These dist��ces shoulc} be observecl ��'r_en locatino a oas line or over'�ead e� ectric Iine in the vz.ci.xzity or an ex; s �? no �.,e11 or kr.own pro�osed ti�r I�o ��Ihere th�� e is a au�stion of tl�� ralta�� in an eiectrical l�ne th�_� foot d�stance s^ou�d b� ob��rv�d or wn�re less distar_ce is re�Lired the u�i �tjt c��a.-?�y should b� corsult�d for tneir recom.�endation fc� saTa dis�cancps (e) k�eas Subject to �.00dino �l) A �a°I.? s'naI? not be Ioca�ed in areas subjact to ilaod?.�o u,�zl,ess �he casino exte�ds at luast 2 feet a�ove zh� 1,evel ai �n� hiahesz �i�c•m. flood of record or oiheruiise protected as pre�c_rYbec3 in w�i�i.ng by the administrati�e authorityo (2) 1ne grour?d �urface im�ecl�.ately adjace?�t ta th� �.�el � casino s��..all be graded so th�� sur�ace t�rater is diverted a�ay �rom the casi.n.�o �3) Tn° i.�ell s'r�ll be �ocated at least �0 feet .iior�.zauta?iy yrora the normal hio�� aater mark of a svreaar, riber Qr lake and at a hi;her established ground surface elevation tna..,�. the soil absorption system, septic ta��2k, or other svurce of contamina�iane (4) Radial l�Tater Colle�tor Project�on of collectors shaZl ba in areas and at deptas az�graved by the Directa�e The exact ioca�Eion of alI caisson cotts�ructior. joi?zts and porthole ass�r�'�3?ss shall be indic�iedo ��e cazsse:� w�lZ sha�.l be sLibstar.tially reir.forcedo Prncedures sha11 b� e*�ployed zo�?ch ti�r�ll assure mi��r�u� v�rtica? rise of tne collectors> .i_z_top of tr.e caisson s'r.all be covered U�it� a ��ratertioht floor a.nd -eu .rr�i opening� shal? be cur�edo Fum� discr�rge pipiztg shall not b� nl�ced throuo� th° caisson walls; �;�ere sha?1 be no co�.struct�c� joint �-it�in 10 feet of tr,e crio�nal gr��..Lnd surTaceo . i-:�ID 218 General PraL�c �ion of Gro�:nd tdazer Qual� �y arid �esot:� ces (a: Re-use of 6�Jate?�, Disposa? , Recharoe or. Gas StoragA 4-I�IIs i�) 1� t�,�ell for t�:e s�or�oe of gas or liauid und�r p~essu_re r�ay r_ot be draZled ��,i;.hout first ra�,rin�; securen a�armit therefo� �rom tne Coir.-�? ss? oa,�� of T•�atui•aI. I3esoua�ces in accordance ��i �h iiinre�o�a S'catutes, Sections 8�0,57.-5�, t2} S�aater us�d �or coolir.g parts of en�ires, air co::pressors, or otrer _ equipment or �•fater used f.or air conditionino, s�^al? ro� be returnec: to any pa.rt of the pot;able water syste�a i3} A��1e11 .�ha.11 no� be us�� for disposal of surface �•ra�er, r�ar surface �,rater, or �ro�zrzd ti•rater or any other liquid gas or che�ical., -22- (dd) Casirgs to be grouted s:�a,11 be providsd �rith su�iicient centerir.o o ides, welded to the easing, to ppr�iz �,obs�ructed f'�.Ol�i and d�position of the groutv (8) A well drilled far ir?~igation pu,:poses in shallo�,� cor_tiLuous g? a�i�.l - out�oash material pe�.etrati�o r.o:?-artesiatz �rater may be cons�z-ucted . of pipe as specifi�d i� Table 2, 2he a�nular space s�?1 bz closed by washing thz fin.e grained cavin; material arQUn.d �h� casinos Table 2. Gauo�s for S+e�1 or Cal.va�-�iz2� SZeeZ Casir�.o Irrigation t•I�Ls L� SLa�.�.o� �:Orl�I.TIL10l2S Glaci3�. �iti�'nc�S�'1 :�`a�eriaZ Per_��T'c'it'".1.II� T'�O?2—aZ'i,G�S7.3.� .'�3tit�L^ Diar.ie � er o f Plain and Periarated Ca�:.s�a (inchss) 12 14 �.6 z8 Diay:�eter of Corrugated :�e �a� Pipe (incnes} Z2 15 18 . o . > Gauge . . . e e 12 10 10 10 o. e n Catt�e . o e Z2 l2 12 �Te11 ca.sing in Ta'ale 2 shalZ be new pipe, ho�aever, sa� Jag�d �= r�s r�ay be used if thz canditicn of t�e salvaoed pipe is yet o� ne�a pi�� qua.litye �9) Und�r no conditions sha11 th� casin� i.nside diameter ba 1.ess tnan 2 incnes except for a d7'��'ez2 ,re.3l �oir�,�h�',c'rt ha11 be eauia�ed j:ri�� a casing pipe of at least 1r+ inches i�sid� d? a�neter, i�.� well s�:a? i a.so be of suificient dia.�a�-cer to receivQ a pumg or p��in5 a��ara�us of sufiicient size ia discna.rge tne deswgn capacity ir.c�u�?ino a..��ici- patecl decline in water levelss (10) t•iiniraum Proteciive Dep�hs cf 'riel? s (aa) A11 4T2�.�S shall be wate�i;ht to sueh depth as �ay be �:.�cess�:y to excludz po1_lution. Ground water structures s'na?1 �e so designed as to seal off iorna�ior�s �inat are, or �z� bz, contaminated or undesira�lza R�quiremen�s will b� fa�F�?Ied to the minimum exte�:� whe:� tre p�otective casing has b?�r il-�Lta�l�c? in conformity t�,i �h the ��Iicab? e cons�ruction sa � for�� i�? P�IHD 220, t��nare it �� n�-� feasib? e to fo11o�,� ire st��r�s con-tainec? zn tnis 5ectioL, th� Zicensee shall ob�ai� appr�•r�I of the admi�istrative au�hority as to th� desigr_ or tY�e lsdl.� before proceedin�, T'r.e accepi��ilirf of the for�:a�ion f�r' ��al.l development s?�all be base� on tnn sa4is_�actory re.�u'ts ot analyszs of th� water, ��:y l�ater-bearing forrr.atic� �riel.zil�b urater cr�.ich is cantamin�r�d, as evidenced by the -�, e�e�?ce et' chemic�l„ or bacteria o�' sewage origitzT s_nall be �a��,d'd �� unsa�isiactory for 4tell �evelop�r:e�t tinless adeqi�a 4e t� ea��:an � is pro�ric}ecl, (bb) Tne casin� of any well for a potabZe water suppl� co��trict;�cl entirely in glacial out:•J��'fI or aZluviu� eartn ��o°�.~atio=ls sha?? extend to a depth of 50 izet below establ��hed g�o�d l°c'e-� or tY�rou�h at least 10 feet of i��ex-vzozzs soil Yo_ r�-.at? az �� a at least 5 fee� bel ow the pumpinoA ida�er level an� i.n accor�a.-� �e with i'iHF1 2_17�c)(1}Cee). 0 � . -32- , casing is pro-�ec �ed as p._rovi.ded �n 220 b �' �.�� ) � o- .�.-_lu of an inch ( 3TICZ CI1@ C'iiZ�i �u-�Y' dia�e ter Cc'iS1Z:o or c"l. S O �Il°Z"rl? S? y rp �2C �Et�. �O 1.'P_^Lti 0' tha� cor_ �a:�inatecl. water t�til2 no�c enter t`r.e ?�rel� �at us; �g a i�r�� pipz VC?:�Znj is r_ot req�.tired �v%e� equzpped t�ri �h a suc �ior_ pue!� , pro�rided tne cas;r� is pro�ected in ac�orda�ee c�r? �h ?•i�7 220{�)0 (2) Ii toxic or fla;:v�r.able �ases are pres�n�c, �ney s'r_� 'o� ven�ed fro;a �he t•�el10 T�,e ver_� snall e:�teud to �h? auz�ide 2�cos�uere abov� th? roof ].eve1 at a noint wrjera the gases t•rill Lo� produce a ha��.d. �°�inQs in p�;nrp bases s�+�11 be 5paled LJ3�eZ'iZoh�o � f ti�e i:ype o� g�s is n�t kno�an a�c� is to be carr.i.ed througii tl:e :��ter su�p�.Y, t_ie administr��Ez=�e au�'rsority shall �aa consul�ed �'ar proaer iden:tizcica- �io�. and treat�enta (11) 5�� ing Faucet In a pressure water systera proyi,s;,on sha�l �e ma�e for CO�� ?C �7.:J22 ai: wat�r s��rplPS by 3nsta? 3at; on o� a�auc�� or sa�n�l?.�g derice iu � conv�:�ie�� location as near to the ti�,el�..a:� po�siblea Ci) Disinfect�on . . : . (1) A net�r, repaired, or recondi�i�ned �fell or �pu� i�:'��??�tio� s�a�.1. be tnoro�~�i.�' �u��d to wasi� i;nt�l thb c�rater is as c E�a� as -; s reasonaaly �oc�saiblP den�ndent t��+n �round tia�er co�±3itions �n t�!s areao T��ereafter the �se1.1 an,d �u�nin� equi��t sP�L'• b� a�.sin�e�te1 w.� �u C:Il! Oi`121:.' vQ �U� �'s8t�. ��"? 3� a cancen �raticr OI' c�t �. �un e, j S P 'l' �O�'� . per r�z� lion oi cn3arine shall b� o'otai�.�c3 ix� a31 �� s of the �v�1J.> The chi o�: zn� solu��cn s�!a].1. be irttro�.uced in.ta t_^_e ��lall iu a li:ary~�er to flush �?�4 ��e13 surf�ces a'�ov_e the sta�ic levei �•,-? �� c��.or� nQ so� u �iano �A r:inirsa� coni�ct -pQriod of 2 hours s`�=_I�. �z ;;~�ovi�ed before bumt�in�^ tre �re1�. to <<;aste and flush�.r� ±re cn� ari�e solutic�� irom the dis �rzbutiozz sys�em, --_— —__ t�) k�ice�sea s�a3.i be respors?�3n for chlorina�i�g ti�� rrork h� p�rfor�,:a on tha ��rQli , pu�y or pu�ping equinmert, �3) Disir_fectiorz ,n a�.;el� r��air aperation ma� be �ccc�oiis��d a� �;he 'oeoin;�ing o= ine operation e�it� ciii.orine applyed �o o�ta�� a cor.�entrai; or. of �0� parts, per r:illion for t�e per; Qd os t�!e V�4Il �'epair o;�erationa lne tJa�er s�all be pu�t�ed to •-�asz.e �rior to ta'_-�in� of ��ater sa::rolzs or use being m.ade of ��e ,•;a�e�o J � � \ i municiFal sew2r syst2m, any pipe or connection of any type or part theraof, shal{ be fiable for the damage or foss to ihe City caused ther�by. 4D2-19. Surface �yate► into Sanitary Sawer It shali b2 uniawful for any owner, occupant or ussr of any premis�s to direct into ar alio�,v any storage water or surface �vater to drain into the sanitary sewer systam of tha City ot .Fridley. 402.20. City I�spaction A11 instailation �vork or repair of connect�ons to the rAunicipal ssav�r and �r�ater syst2m, including grades, bends and back-filiing shafl be perform2d under tha direction and suparvision of the City Inspector. No work sha(1 ba covered or back-fillad untii diracted by said Inspactor. All tvork ard axcavations shaU be protected by barricadas and warn'sng markers and lights reasonable and suitabla to th� purposa. The City shall be hstd harrniess oE any claim, or loss as might othsrwis2 arise for damag�, loss of injury caused by or arising by reasort of such tivork being periormed; and the applicant, owner or user Ferforming or causeng such work to be don� shall give an ur,dertaking to the City tivith respect theretb. No digging on any permanent type street shali be permitted except by special perm�ssion from the City. Wh2never a water usar questians the accuracy of the meter, and d�sires that his meter be tested, he sYtail pay a fee of $5.00 if the metsr testsaccurate within a range af minus 3 per cent to pfus on4 and ane hatf per cenY. If i4 is not accurate within this range, no charge wili be made for testing and an adjustment on the water bili will be made for the pariod of time that the meter is assumed to be inaccurat�. 402.21. Sprinkiing Controf In order to insure an adequate avater suppiy for human consumption, sanitary purposes and fire fighting purposes, �vater conservation regulations shall be in effect each yaar from May 15 to September 30, both inclusive, as foilows: ho psrson, firm or corporation whose premises is assigned an odd numbered house number or address shati use evater from the muncipal system for the purpose of lawn sprinRling or irrigation of other vagetation exce�t on odd numbered czlendar days. No person, firm or corporation whose premises is assigned an even numbered house number or address shail use water from the municipa{ sy;tem for the purpose of lawn sprinkling or irrigation of othPr vegetation except on evan numb�red calendar days. The Gity may impose additionat emergency regulations by resolution of ih2 Council and hy giving notice by publication thzreof or by posting in tha Ciry Hall and such places as the Councii may direct. 402.22. Termination Notice Requests for turning off the �vater shall be made in vrriting 30 days prior to the time for which payment has b�ert made: Othenvise, the o�vne� of premises shall be liabla for �vatsr rent for the next period. 402.23. �?ighi to inspect , �"; The City Manager or any authorized emplo�2e or agent of the City, shal! have the riy^ht to enter ar,d be admit[ed to any lands and property in the City for th� purpose of inspection of matsrials, piumbing work and fixtures of all kir,ds used by or in connection with the waEer and se�ver sys'ams. 402.24. Ssparation r'rom Privaie b'Jater 402.25 Surface k��sy� Into Sanitary Saurer Gty Ins�sction Sp►inklirsg Conirot Termination Pdoi+cs Righi Ta Ins�ect Sapara4ion �Vher,sver any premi;�s are connected to th? municipal evater system thsre s'�atf be maintained a compl�ta From physicat separation betvre2n the municipal ��ter supply sys!em and ;h� private water supp;y srystem, so ;hat it pt»�ta ' is �rnpossible to in±antionally or urrinEe.ntionaliy allow an� water produced by a private sy,tam to be introduced ��atar into the suppty line from the municipa! syst�m. 402.25. Charges 4�/hsre Not hie2erad Any water obtain2d by any persan, €irm or corporation from the municipai water system which is noi paid f�r by the consumer or the user thereof by payment of �vater charga; or rates determrned by a meter shall be chargad at Cfiarges W h$ra tJot histerad 402.-5 � � � US-�6 PUBLIG WORKS i?IRECTQR CI7Y MA�IA6ER t?CTt}B�R 2t3, 197� REQUEST F(1� 5HALLOW WEIL TO WATER THE GARDEN BY KEN �ORROW ��`. �KER AYE��IE �teview th� attached lett�r and take appr4priate action consistent with City poticy. Thank yc�u for your �ssistance. �Qlms / C�: Conmunity Development DirectQr ✓ 1` ��r,�. ti < �_ ,� ��1 � No�r. 6, 1974 �� sue�ECT pE c�ty of Fridley � � � � � � . AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � fl}$ _.- � ' COMMUtVITY DEVELOPMENT DIV. 1 � L � PROTECTIVE INSPECTION SEC. °f� � (� � / i , � � � � � �'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED 8V �'"""�� ' 612-571-3450 910-F15 4/26/90 � � JOB ADDRESS 6382 B:ak.er Avenue N. E � 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 8,9. 2 Moore Lake �i��i�� Highlands SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Jon Johnson 6382 B'aker Avenue N>E. 572R9425 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Same 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 O NEW �] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE B DESCFIBE WOFiK Construct an 18'` x 8'' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCY�OAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTiLATING Oii AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHOFIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. AL� PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $]_ � O4'� $, SZ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGU�ATING CON- $2'],OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $27.52 s crvaruRe o O'ancr OR AUTHO zEO nGENT iDn7Ei WHEN PROPERLY VA ATED THIS IS YOUR PERMIT _ . ' � 'aTUREOFOWNE i OWNERBUIL iOATE� BLDG �NSP �a7E � [] � [ l ALTE� � � Constzuction Addre�s: R-1 AND R-2 Buildir�g Pennit Application �--- , , ., . ,� . , _ _ � ._ - . �� Effective 1/1/90 Legal Description: " �� , � �r� - �-�- V Wl !GL 1�IQ1lC � !'11..R.il. C.:�7 : _; � ' / .,. � � ! ..,. �% fY�,' _ _ � . ty_ � • � _..�^ � . ,..��`'/`� .% Contractor: :... s� LIYIIJG AREA: GARAGE ARE�,: DE7CR AREA: O'I�R: '� • # Attach to this application, a Certificate of Suxvey of the lot, with the proposed construction drawn on it to scale. D�ESCRIPTIaTT OF �'h Width Height Sq, Ft. �h Width Height Sq, Ft. Lengtl'1 � Width � Hgt/Grotu�d .� r' Sq. Ft . / Y Corner I,o�t [ ] Inside IAt [v') Z�pe of Construction: �_' Approx. �letion Date: Ft. Yd Setback Side Yard 5��]� Estimated Cost: $ � . Proposed Driveway Width If New Opening i , Ft, $ $ Width + 6' See Bac3c Page nA�: �� U ��cAt1r. �rel. # � %c�- ` 7 t/a�� CITY USE �iI,Y �� P�ermit Fee $ -:?� State Surcharge $ -�� SAC Chan�e $ Driveway F�crcxa $ Park Fee $ sewer Main c�an�e $ • v STIPULATIONS: irw�.� ��= �i Fee Schedule on Reverse Side �`�'�� X�� $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by F7�gineeru�g A�nt Necessary L� Not Neoessaiy �� o� ,3-� D - /u� - _ 6.Q � � � � 2�7°-� :+1 • � • :il'. � ]I � M'1�1� 1 Zhe Chief Building Official shall, before issuing permits for the erec.�tion of any buildirg or structure, or for ariy addition to any existing bui.lding or structure, or for ariy alteration or repair to ariy existing building or structure, upon application therefore, require the payment by the applicant for suc3i permit of fees to the amotu�t herein below set forth and in the manner herein provided to�ait: �AL VAII.TE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 ��. $15 (Minim�un Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and includirig $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and incl�is� $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRF�SSION E.SCwEK'JW (Concrete C�rb Streets On1Y) Alternate "A" : Renx7val and replacement of curb ar�d gutter only - Driv�way width plus 6 feet time.s $13.50. Alten�ate "B": Removal and replacement of curb and gutter arxl install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet t�mes $15.75. �• ■ �+• • • • i i� • •; P�ermits for construction will be issued a minim�uY► of 24 haurs frcan the time of application to allaw for proper review of the proposed structure and of the construction site. A Cextificate of Suzvey of the lot, shawing the location of the fau�ation once it has it has bee.n oonstnicted will be required before pra�ecling with the framing. �� :� � � r �� : � � � � \ �,,, �_ � i�7 �t , �.:, � i �. � S d': _t.. � �_ � `. j . i e� a.`=,, � f -, � � i„ ; � j. ► � � f. 4 � � � i 65ti� ._�_. i' � t_ � -- ��. ��J , ' l� ' � .., � ,.� �.�..��4.YY �.. � ;;�4-. .=� � .� .,� 1�� ±�: ,: . w._. --� r V • V .'� � __._.__�__-._.... _ �.._._.,. 4. _ i��•! R y l':� � � O � , j � i, � � o �` . N i � = �` + '`O ,11�� , // � �.b�l � ` .. . - X �� •J � i l9 t� � _ ='� '� - " � �. .. __.. . 4 ,,� �•�J � � . ;��°� � � ; � i � • � . � ' ` i \,: `, ` � ` � < '`s y 1 ! � 9 ,' � —s ` _� � . `�, � ; SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � ' ' COMMUNITY DEVELOPMENT DIV. ' � �: ----- � r � � PROTECTIVE INSPECTION SEC. � , i_-__��"'�,� CITY HALL FRIDLEv 55432 NUMBER i 612-571-3450 9/0-F15 J08 ADDRESS �� 6382 Baker Ave NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. t8 � pt . 9 2 Moore Lake ] 2 PROPERTY OWNEfi MAIL ADORESS Mary Johnson Same 3 CONTFACTOR MAIL ADDRESS Moon Roofing 3709 Welcome Ave N Crystal a ARCHITECT OR DESIGNEFi MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUIIDING Residential 7 CLASS OF WORK REV O NEW O ADDITION ❑ ALTERATION B DESCf±IBE WORK Reroof house & garage (21SQ) Tear-off 9 CHANGE OF USE FROM TO DATE PAGE OF 9/14/98 / / 27741 �� naaAOVEO Br SEEATTACHED SHEET Z�P PHONE 572- 425 Z�P PHONE LICENSE NO ZIP ZI PHONE LICENSE NO. PHONE IICENSE NO. � REPAIR ❑ MOVE O REMOVE STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT�ON ZONING SQ. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOqK IS COMMENCED. NO. DWLG. UN17S I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINEO THIS APPLICATION STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION AND OFiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A pERM1T �1,799.00 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pEFM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION HE PERFORMANCE OF CONSTRUCTION �S6.7S 2-- �fU PLAN CHECK FEE �/ / � . License SC $5. ' SIGNATUREOFCON'RA(;TQqORAUTHpRI AGENT �OA7E1 N ROP VA S�GNnTURE OF OWNEa iiv OWNER BUiLDERi ipqtEi CU FT. OFFSTREET PARNING IGARAGES SURTAX $.90 SAC CHARGE Fire SC $1.80 TOTA�FEE $64.45 D HIS IS V R PERMIT � �� iE NEW ADDN ALTER �� [] �� ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 0 Effective 1 / 1 /98 �. �'�� ,� � `' � � yjV, n t � -�., Owner Name & Address: �j��, ��„��,,,,� Tel. # S%�-�y�,� Contractor: ��,�, o�;� � — �� iJ��yey MN LICENSE # ,��,,�',� Address: �37Q�j /��P/a,,,Q ,�_ �, Tel. # S33 �3�� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT c� � Width Height Sq. Ft. Width Height Sq. Ft. Wid�h � T Hgt/Ground Sq. Ft. �� . �� - — � Construction Type: ��. ��„�% Estimated Cost: $ �� l�g .-- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �,� - APPLICANT: _ Tel. # � j,� �v,.�l � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��-��s" $ � • `v� d $ c� $ $ .� . Ov $ $ $ $ $ �� -�" 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 [ ] n BUILDING PERMIT FEE SC�IEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100, 000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � � SuB�ECT c;ty of F�ridley AT TME TOP OF TME TWINS B U i L D i N G P E R M i T r � . � � COMMUNITY pEVELOPMENT DIV. r j� � PROTECTIVE �NSPECTION SEC. , . ; , `--_.��""1�'� CITY MALL FRIOLE� SS132 NUMBER i 612-571-3450 910-Ft 5 J08 AODRESS 6382 Baker Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OF ADDITION oescR. pt . g� pt . 9 2 Moore Lake I� 2 PiiOPERTY OWNER MAI� AODRESS Jon Johnson 3 CONTRACTOR MAIL ADDRESS Twin City Exteriors Co 060 7. har� Tn 4 AfiCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER kAA1L AODFESS 6 USE OF BUILDING Residential 7 CLASS Of WOFK REV � O�TE ZIP PAGE OF � � PNONE +2.5� PHONE PHONE 2�8041 RECEIPT NO. (05�� ' APVROVED BY SEE ATTACHEO SHEET LICENSE NO 2sq� LICENSE NO. IICENSE NO ❑ NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK _ Storm damage reuair (West side �f rlwPl l ina .,,,1 �T1 9 CHANGE OF USE FROM STIPULATIONS TO SEPARATE PERMITS ARE REOUIRED FOq ELECTRICAL, PLUMBING. HEAT�NG, TYPE OF CONST VENTI�ATING OR AIR CONOITIONING THIS PERMIT BECOMES NULI AND VOID If WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS. OR li CONSTRUCTION Ofi WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AfTER WORK IS COMMENCED ' NO DWLG. UNITS I HEREBY CER7IFV THAT I HAVE REAO ANO EXAMINEO THI$ APP�ICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION AND ORDINANCES GOVERNING THIS TVPE OF WOFK WILI BE COMP�IED WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT SOO DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEtiM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERfOFMANCE Of CONSTRUCTION �21.00 OCCUPANCYGROUP OCCUPANCvIOAD SO fT CU FT STA�LS S�GN47 R +.�c Ua_r WJ. u EO�CON'FnCTOAORnuTNOAiZEDaGENT �OetEi WHEN PROPERL S�GNSTU�7E O[ OWNEP��v OwtiEQBUi�DEQ� __ iO�TEi o� nc �..ee��v s' OfFSTREET PARKING IGAAAGES SURTAX .50 SAC CHARGE Fire SC .50 TOTA�FEE �ATE� IS vOUi7 PERMIT " �l% �/ ��c r f NEW _ L ) ADDN [ J ALT�R [ ] ConstnictionAddress: CITY OF FRII)L�Y SINGLE FAMILY A.ND DIJpLEXES R-1 A,ND R-2 BUILDING PERMIT APPLICATION Effective 1/1/97 �� / �Q `�� .egal Description: � Owner Name & Address: _ �.ip �� Tel. # - Sr Contractor: ��,� C i T-y �X T�-� /� S MN LICENSE # a��r Address: '�!p ( Zj �j�CHr42Y .� fl #�'lp g �1��, �'S,3C� Tel. # �p� �c�7��_ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK Ai2�A: OTHER: DESCRIPTION OF IlViPROVEMENT �n� Width Height �ng� Width Height �ng� Width Hgt/Ground Sq. Ft. Sq. Ft.. Sq. Ft. Construction Type:_ d,� ,D�/yj/�6'E ��ated Cost: $ � [) (Fee Schedu.Ze on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: G%- - APPLICANT: Tel. #�a s= y�3� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � �%ov � . �"b $ �5v $ �_ � �� O� $ $ $ $ Fee Scheduie on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1;000 Valuation $950 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 [ ] �d $ � � -�b �/li . g,�� l e * � D m � -` Z � o � � � � � � C7 � � � �• � O N. � Z N . _ � .. . m -�. � , m � � �P 0 . .. � .,.�.. , .,,� O o � ° ..n � _ �• a� -. � A (D � � � � (�D � � N � � o fD � � � Q . � r« � O C r+ a �'• � � � � co � a � � � � � � 0 � 00 � � � � � (�D ( r �k T � y v; p \1 N � �(p`y� �t � �1 � \ � _ D � Z � n O � aNZ x�mP DZ . 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ADDRESS "� �� 7 OCCUPANT �,i�-e� .- S�- �j' (,-=- HEAT LOSS � � � SOLD BY_ ��: �� DATE HTG. INST. 3� - Electrical Work By �'s4� TYPE OF HEAT Gq ' l�'"ry. __ FA_ H __ STEAM —_ 3PACE HTR. MAKE � GAS DESIGN Model � �e� � Serial ' i^.. "� -� CONVERSIUN INPUT �¢Q&', j "� Vent Size -� - " ' KIND OF LINER Draft Hood SIZE � � Filters n � L"�� -- N�E Size _ / �,, Re9ulator —'---- Chimne L � � � ! Number Y ocation Inside � Chimney Construction �'— �utside `�� HOUSE HEATING TEST RECORD AP7. ---�-._ FLOOR �—' a� �WNER �— C�N � SUBUpg ---.__ INSTALLED BY � le,.-.�-._. Gas Line By UNIT HTR. _� pTHER � ! THER '� CD�ROLS MOSTAT_ / � ( .+�n Heat Plug�_ �s Limit Setting `� �c��.. Fan Setting Pilot Type "� Pibt Make -�� Pilot AAodel , --� - f •� Pilot Timing L_1N. Cut Off �� Pressure Input CFH �'� p Pefcent COZ_ (;,, � �j Percent O Stack Temp. 'j -7 (�.� 2_ �_ �Y Percent CO p Smoke Bomb Draft Wiring -- Door Pressure TestTag Date Tested , �ighting Inst. — Company Testing � r` Name of Tester � Pressure �nput CFH Percent COZ Stack Temp. _ Pef�ent OZ_ Percent CO Building IriS�@CtlOriS 7b3-S72-3604 763-502-�977 FAX DATE -r3+'� "t � SITEADDRESS .�s� THIS APPl.lCANT I5: From: 651 281 0358 Page: 2/2 Date: 2/9/2010 8:19:34 AM PLUMBING RESIDENTIAL AP�'�,XCA'�`�ON CIT'Y' OF FRIDIa�Y �FFiG7IVE 1-I-2U10 YoU�t E-MAiL ADDRE55 ��p k� n R'� _ ❑ pWNGR 19�ONTR.hCTbA OWNER/ wDPR6SS�� , ��y ��j� � T�NA,N'x' PHONE�`9 � `�. a � ��`�- ��j CON'�'RACTOR N,qM . �n�e � . ; ,'', � ' �! Permit No:: �� , ;� < P t , : Received By ,,"_ -'�` �_� j Date R�� . � �1��„_`ST 1��' SUB3VIIT A GbPY OF r� YqjJR STATF, $TATE LICENSE # � EXP DATE�� "� 1� c� ti � Cl ,� LYC�.rrs�, HdND AND STATE S�ND i! °\`a`� � Exn �nrC CERTTFfCATE OF aDDR�S� CITY �_L... z D INSURANCE PHONEWfij � �a.`�+�1 �� CA7{ � ° 6�w�. `� � �� PERMlT TYPE I �T�'�GLE FnMtLY TYpE dF WORK: I ❑ �'w O TWO FAMILY ❑ TOWNHO�J$$ ��r�.AC�MErv-r 17ETAILED DESCRiPT10N OF WORK �„�-.��q�� `��'�� 'jLj� �� s.�'��—�.,�sh`.'�,�L � f EES AI2E �ASEb ON $16.00 PER'FIXTURE, EXCEPT WHERE NpT£D, FJ}('j'[JRES; (TNI7ICATE T07'AL NUMBE`Z bF EACH BELpW), MJNIA4UM FEE � 533,50. BATH $CN1t/�,a V r LOO R DRAINS SHQ W ER W ATER PEPING SATHTUB GAS PIPIIdG (NEED �ITY %C�) SW 1MMING POOL WA'C�R SOrTNLR (�35) _ CC,O'fHES WASHER _ KlTCHEN S1AlK ,_ WAT�R CL03ET BACKFLpW PREV, {$I $) _ DISHWA$HER _LAUNDRY TRAY WATER HEATER ($35} FQR IRRIGATION WATER ME'f8R OTHER ,'�'��,�I ,�� ,:. �� , �` 4. �. I I,i�t �.' I. li I�I`�. � � I', li. �lii I i I.I . I. i ,, , , . �,��',, � ��,� � ,�, �C �� '�i ., � �, �i,� � � � �� ,' �� i ,�,i ,i, 11'. 1 I I I „ '� T~ ' ri �-•--•�� I I,: I � I � � I I( ' I r! I �. ' II I`I' I' i I; I I I� ;� I'I II . �t�ui�b� o��tures�; S10 QO x �i0 4b � � , : � � i , � �, � ,� i � '�i�i iI �, . i i �I, i .I� � � I i � il �,.ly , ��.I�i II I� �i� �,i,� � :� i q�:. '� � �i � '�i' ii i . . �. , . I ' .' � �, , i I�! �� I I I I� �. ... �' � 1�I i i ��; i i� � i, , �� I i� �' I �, `�, � ;T`��i�' nf �tur�s �,$15� Oi�,: ' I �e; $ i S'0� $�� I; �� i �I ','� , ' , � ;, , � I ,; � , � y � i„ � � � ;' i � � , �, , �.. � � u � �� , � � � �' j � , � f :��, � � . �i. � �: J � qll�.�.l. , d' � . � . k � � tt I . i : i � I � ,i' i I , � � � � i � . � � i � �, ; � i I � � � . I � ��: I i i ., .� I � �i �. ��'� ��II�'� .I° �� ,��i I I� �.� IU: II ` �. � �� ii i i � i i � �i! I i!. � i , i .i I� '. j I i, i��ir�' it , i�. I ,i II ��, �N�1rr�� p� res �$3S 00 .; � ��C IS35 �� $ t+i I �� i i � � -„ , ,� Tf � ' I .. i. i . i � d I � ,'i1 I �I �I i . r I ! i i i II�� ..: . li � ti � � � I l � � , , ��I I. , i , � I. I � � n i I: � i q�� I' .' , � �� i� 1 � �' ' i i' ! i i i i �� i �' i i �� i �i� ��. I i i �l��l i i i i � 1 1 i �I < <1 �, i i ( t r � �'�I t i ��E� I �� , � i�'' { Jli� �li I I ii� �� I� i. i n I� Iliq � f�i II'' .I� ��. �� ItYC�� ; �: � � �' �� t 1 � �� ' i I 4: IIt i � � � i �, i I, II� II � �� , � ,I:,. 1r, '.,I.� � I, I., 'i � � � �'' � I �� , I ,i1<<i ii�Ill � �i��411 �ll�j`�h � �ll�ai►i:4�y.�"J�.�Q�' � . �� I �,� �:� � . �Ot[7� _ � �� :� � - � � � .. il I . � ri'll j 4 � � . li� I � , ..;i �i f. � � �"j� � :'i �� . i �. .i .� i . i i � .� :i��!��I 'ii� THIS IS AN APPLICATIpN FOR A lyERh�117-NOT VqLI� UNTIL PAOCESSI:D ^�� I hereby epply for a plumbing perrnit and I acknowledge that the inforrnaCion above is complete �,d aceurate; that the work will be in can�ormance with the ordinAnees and eodes ofthe City of Fridley arrd with the Minnesota Constru�.tian Codes; that 1 understand this is not a permit but only an application for a permit and work is not to start without a permiY on sitc; that the wprk wilC be in aecordance wish the approved p thc case o work which requlres revie��f approval of ��s, STCNATURL` OF APPLI�r t�`'ty tit�-.�'v�-�C�� `�(� �� PRINr i� 'A �-. ��A�� " �j �ity af Fridley Building Ynspections Departmen� 643 t LJniversity Avenue NE, Fridley, MN SS432 763-572-3604 FAX: 763-502-497'7