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AF - 41854.. ; . .£, .: _ ! "� .�n , .- �� � � � � ;. , � � � w;��4.�s ,� � _ • � a> � - w - �F p' �1qECT01aiA .".�� �ue��� �rv�c �,. � Y DATE Au�us FROM D.P.W. .inF �6UBJECT 81 ,, Sanitary Sewer Assessment for 6409 fast River Road v �t „ 1"�� O 1Y ' /1�� h' vn ��K�E7► ,�� �� TO Si ney C. inman. � -= 1#/IEMOF�ANDUM ��_ �:s �� ACTION I INFO • Mr. Roy.J. Gillette, the owner of tfie property at 6409 East River Road. has petitioned the City to instala a sanitary sewer service on his pro- - perty. In his peti4tion, he waived his ri�ht Lo a public fiearing and re- quested that the cost of the sewer service be assessed`against his pro- perty according to our standard procedure. Due to the fact that �his instaitation had to be con�let�d within a few days of Mr. Gillette's request, due to the scheduie:of t4�e cc�nstruction on East River Road, we ab�a�ined telephoae quotations for this�work and proceeded with the construction. 'T�he �ota1-cast of'the construction`is as follows: �erghorst Plumbing artd 1�eatittg $2,2U0.00 Warning Lites, Ir�c. 40.00 Total Froject -Cvst . , . $2,240.00 �'''N G1�' � f 3 JGF/MLB:i jk j. --�." �3"".� � ��" f���F� � t.-.�7`_`� � , � , . . . � �� .. �_. - . .��� �..;�, ,,�� ' � 3 . .*� � ���� � r . . . . � n . , ; . . . �` ,; . ..� _ ;�' ; ,.� ,;, „ S � ¢ '�D , , - , � �- �� ' � _• � �r � _ , . . -k� f�. ' � � . .. . . . - '��, :�, . . . � . � , �_ . . „ ' . _. . .. � � A . . . � ..+'�'.� . a CITY OF I'RIDL�Y P�TITION COVER SIiEET Petition No. 7-1981 Date Received July 15, 1981 object Request that the City put in a sewer connection to the lot line for the property at 6409 East River Road. petition Checked By Date Percent Signing Referred to City Council ' — Disposition — . July 15, 1981 Mark Burch Assistant Public Works Director City of Fridley 6431 University Avenue N.E. Fridley, MN 55432 I request please, that the City of Fridley put a sewer connection to the lot line at the property at 6409 East River Road. I waive the Public Hearing and I would like the cost of the instailation of this work be put on my taxes as an assessment payable over ten (10) years or thereabouts. Taxes or any correspondence should be addressed to: Roy J. Gillette 6208 Lakeland Avenue North Brooklyn Park, MN 55428 Sincerely yours, � , c������� Ro J. Gillette s s �- 8�� 9�R- s33 - isZ � w-,.� /� A 1 i: 1. 1. 1' n ri il t. T1 11 �1 I/t I 1 Ii• 11 .. .... .... .� _.. ... .� ... ... ... �. .. ..� ... ... ... .. 0 n.� � �.....����1.,��'� i1G'ql __ __. _. ------• .___._.____....._ __ ,. . . . . n������; Ly� . . . . . . . ;• ' . YCt�I)�R -z ` (� 'B�OST PC!? UclIT . /�UD"C�S ,���?�,, TOTAL COST ���� v �• �r--- . .. � — iEl�'i'(t�tlt 7SS� J� .�l DELIVCI:Y t)11TE • _ . , � .. . . . _ -�-��� �y .-.; ..;� �J«I.�t;�� ' -C ��l) :ESS . , T����;;�JP;� • � �755"— .3Z.5-� — --- . . ' � • . c 0 1�CI:G�J.` • 1'�:3i:;�I:�S ' . 7L-1 CFF!�1?:� . . . • � :• . � CnST PCR UilIT ' TOTJIt COST ��'-Z1?C� �': �l DL•LIVERY D.4TF ' � � CQST pER U��IT • � _ TOTAL �COST • QEI.IVC('.Y D�1T� ti�t�: ATTI1Cil :;r.roX co;�t� or liits sitcCT 'r� .rlc,t; c�r1' 4F I'l�f?CIUISL �f?OCP.. 11T7!',Cil 711; S CI.Uf CUPY Tt) 711L' (.;OL[�!:tl (:Oq Ci�1�Y Q!' 7lIL 1'U!:C11,1SC �1�DC1?. 0 . SOLD TO: � L CUSTOMER P.O ITEM NO. BERGHORST��6IMBING & HEATING N�� 6 5 2 9 10732 HANSON BLVD. • COON RAPIDS, MINNESOTA 55433 (612) 755-3250 1 Vz % PER MONTH SERVICE CHARGE ON PAST �UE ACCOUNTS JOB NAME 8 LOCATION: � � City of Fridley 64th & East River Rd. 6431 University Ave. NE FRIDLEY, MN 55432 Att'n Mark Burch DONE: DESCRIPTION � � TERMS TOTAL CONTRACT PRICE Labor and material to extend sewer service across East River Road at ��8; 64th � ���,�� � � ��� � ,� ,� � �.. �,� ��� .. �� i �� �. �; �;<. � � f �, � = � , Per quotation �� �°� # � , � � � �x� � � � . � �_ � � � ��� �� ,_ '����� � � �, �=v � �� � ..�: � �, . �" g �`�g � � �:;, ��` INVOICE DATE OF INVOICE BILLED AMOUNT PREVIOUSLY THIS INVOICE � � $2,200.00 .� INVOICE � �C�1� ��• IZ�%�%'l�GIGlZ�% � 801 SECOND AVENUE NORTH (g�2) g74.42p0 MINNEAPOLIS, MINNESOTA 55405 To: ❑ CITY OF FRIDLEY 6431 UNIVERSITY AV. NE. .FRIDLEY, MN. 55432 � DEL ZENT.GROF 3-12•81 �ICE DATE CUST. ORDER NO. UNITS ON HAND -20-81 UNIT DEL�VERV JNiTS OAYS USEO DAVS OADER NO. 1 1 8-12, 8-12 1 18167 1 INIMUM JO61 COMPLETE 18050 RGE INVOICE XOTA4 • � � � � MINNESOT'A ,, G�a arFiu�rE TERMS: NE7 30 DAYS JOB LOCATION(5) 64TH 8� E. RIV.ER ROAD RATE RENTAL TAX DCNARGE 25.00 15.00 15.00 15.00� 1 �25.00 �'{MPORTANT WE SHOW THE ABOVE UNITS ON HAND. CONTACT US AT ONCE �F THIS IS NOT CORRECT ---- ORIGINAL TOTAL 40.00 � �-�°'- ?'�� �� � �lzzlS� �. � � �. ,s X 9 - Z3�5 , � �� , _ 3,s-v �?�� � s- z .� , , �. �, ; �� ; ;. E,� y �k .` � , . . .- : Y .�. .�. ' � . . . . ,. . . . . . . : . : . �- �.. . ... .. . #.., . . � � , �.. �4a. . . � � . � � � . . � � . C I �y . . .. . .. .. . .. .. . , ' . . .. .. � , , : . . . . . . .� . . � . �.. . _ . . �� . _ . . � � � , . . .. . ..� � � . .� � � � . � �. . � � . �.:��' � . 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F - - ' _"____ �_ 4 - 2'S � 18 19 Z O Z 1 2 2 23 2_ _ ---� -- - - --- m�____�__._ _.....�..._. QESIDENTIAL C1TY OF FRIDLEY Effective Date May 1, 1988 aPPLICATION FOR POYIER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE ` RATE TO'PAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Pipinq (pipinq needed with new furnace) Gas Ranqe Gas Dryer * Air Conditioning (all s'izes) All Others/Repairs and Alterations 18 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1B of Value of Appliance or Work $ 20.00 $ O.�U $ 10.00 $ $ 10.00 $ s la.00 S $ 10.00 $ $ State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. � � G � / O � Date Approval for Permit JC:�- ��� ��� � � 9 � _zs MINIMUM FEE FOR ANY HEATING PERMIT I:i $15.00' PLUS $.50 STATE SURCHARGE Job Address c�K'�� �`E,�} /( /�(Oj�v �(� Department of Buildings, 6931 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Cades and rulings of the Department of Buildings, and hereby declares that all the facts and representations :;tated in this application are true and correct. Fridley, Minn. I I /� r 19Q( OWNER KIND 0 USED A $ TO BE COMPLETED ABOUT �� UO . U A � ESTIMATED COST ��'� 3 Q� o/ S .50 '��� �I� OLD - NEW HUILDING PERMIT NO. PERMIT NO. s a a,s� S DESCRIPTION OF FURNACE/HURNER HEATING or POWER PLANTS, Steam, Hot Water Wazm Air- No. Trade Name �`Q 1/S /"1 � � i� Size No. �/�f � l �. Capacity �,pp4 e��� S9• Ft. EDR BTU A oav Np 'lbtal Connected Load Kind of Fuel ��i�, BURNER - Trade Name Capacity Size No. Sq. Ft. EDR BTU HP Company t'Idl� �2�^�f � �'12 t.t'��"^''9' Signed By F�l'X/Y4 � /'�W'" Te 1. No . � 3!D �� b h/ *Air Conditioners can not be placed in side yard without written permission fran adjoining neiqhbor. Fill out back side for stack verification on replacement furnaces CHIM�JEY AN� STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,�j' 2. Is free from rust or deterioration Yes (�j 3. Has no foreign objects lodged within Yes (� 4. Is securely supported Yes (-� No ( ) No ( ) No ( ) No ( ) 5. Fieets all current Code requirements for size and total BTU connected . Yes (v� No () 6. Has Totai heating BTU's of All other BTU's TOTAL Rema rk s .s• Com pa ny /�%3� %'�ATZ�F ¢ R1ec Ca � d�"fi a�� S i g n e d By ��� ��'��-�- � oa te I I,L� 9%89 SUBJECT - pE���- City of Fridley 2 218 8 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � . . � � COMMUNITY OEVELOPMENT DIV. � � �7� � `v------� r � � PROTECTIVE INSPECTION SEC. 1 � �"�1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �'"""�� ,�� 612-571-3450 910-F15 10/18/93 � / JOB ADDRESS 6409 East River Rcaad NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Anderson 8547 S Maplebrook Circle, Brooklyn Park 424-1194 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO. Milton L Johnson Co 525 Lowry Ave NE, Mpls. 55418 781-9548 2083 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential ' 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION C� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WOHK � Reroo� rear hip and flat entry (Tear�-off) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must c�nply with the State Building Code. Provide adequate attic venti_lation. Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMB�NG, HEATING, VENTILATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Ofi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINEO THIS APPLICATION 1 STAILS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED $],'1,00 $.55 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2'� �OO F'ire SC $1. ZO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAI FEE License SC $5,00. $33.65 SIGNATURE OF CONTRACTOA OR AUTNOAIZED AGENT IDATEI WHEN . ERLY IDATED THIS IS YOUR PERMIT !�' -/Q- �� SiGNATURE OF OWNEP iIF OWNEA BUILDEA� iOATE� ' � W � ��°TE NEW ADDN �.� [] il il Conshuction Address: Legal Description: CITY OF FRtDLEY SINGLE FAMILY .AND DUPLEXES R-1 AND R-2 Building Permit Application 6409 E. River Boad Effective S/26/93 --�.�,7�- Owner Name & Address: James Anderson 8547 S. Maplebrook Circle Bk1yn.Pk. Tel. # 424-1194 CO�tCdCtor: Milton L. Johnson Company MN LICENSE # 2083 AddTess: 525 Lowry Ave . N. E. Tel. # 781-9548 Attach to this application, a Certificate of S�uvey of the lot, with die proposed construction drawn on it to scale. DESCRIPTION OF IIIRPROVEMENT LIVING ARE�: Length Width Height Sq. Ft. GARAGE AREA: Leng�th Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Ft. � ' �3 < �r -- _ - OTHER: 1�- !� n �� t� ����'��' �� Y�t r� �-� r�� � ��l <--� / Y.� � v��' , Corner Lot [� Inside Lot [] Ft. Yd Setback Side Yard Setbacks 'I�+pe Of ConStruCtion: Roof repairs Estitiiated COSt: � 1,100.00 Approx. Completion Date: � (Cost on Back) Driveway Curi� Cut Width Needed: Ft. + 6 Ft = Ft x S —$ DATE: 10/13/y3 APPLICAIVT: Tel. # 781-9548 Permit Fee Fire Surcha�rge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ $. $ $ $. $ $ $ $ C-��i�`�iI►Y�t�:�=J �%. �� Fee Schedule on Reverse Side �� � � .001 of Permit Valuation (1/1(�th%) , � ���' $.50/$1,000 Valuation $750 per SAC Unit `� ^ �0 $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B° Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary { ] � � 3�� �' a � STIPULATIONS: : ,__ . _ . _ — . . _ _ . __ _ . , .-.... —r ...;=Ya . . . . ... . . � . . . . . ' •'�._�yd,.... . . . . r# ,� ' Minnesota Well and Boring ' WELL OR BORING �OCATION MINNESOTA DEPARTMENT OF HEALTH Sealing No: W' 6$� O ' �oU��y Name WELL AND BORING SEALING RECORD Mi��eSOta u�i9�e No. .. - - �Q� Minnesota Statutes. Chapter f031 or W-senes Na . � � � ILeave blank If not known� Tq�!y�h�,,�i Townsh o. Ra No. Se i n No. ion sm. I Date Sealed Approximate Dale WeN , l�lfilli#R� � �� �� �; ��¢ �i�� �ffLY 29� �9�'� orBoringConstmcled �.���� �;� . . la Ja ra � . . .. . y�. Numeric eet Address or Fire Number and CiYy of Well or ing Location ���� �,�.��,i�� ,�� Depih Before Sealing 2� ft. Original Depth � ft. � i'` Show act locati well or boring � Sketc map o� onng � � � Static Water Level � ccurate ��� � � . in secti grid�with'X". � locatio o perty line �� � . . � � and bui ' ❑ Approximate � � , � a� �ia�r -� -,- -,-- -� � Single Aquifer ❑ Muhiaquifer ft: below above land surface � i i i -�- -' - - i - -�- CASING TYPE W � i i i E � , � T i � � i � ' .� • t}�. Steel ❑ Plas�ic ❑ Tile ❑ Other �I���+� ,. � _I � I I I_ � '� � .. .. . . r '� -' - ' 22 25 S Screen from to ft. Open Hole from % fi. '.�--- f mi�e --� OBSTRUCTION/DEBRIS/FllL � ' , ❑ Obstruction ❑ Debns ❑ Fill ! PROPERTX OWNER'S NAME CZ?Y Op 1�RIQLBY Type of debns/obstruction Mailing Address iF different ihan propeAy address indicated above. � � � � . � � �. . 6431 'QFIY�SI?Y �YSN�Bi Obstruction/Debris/Fill remove�? ❑ Yes ❑ No FitI1%L1CYy �i '354.�3 PUMP 1!'�'l1i: C%YD� l�lO�i�TB - ❑ Removed Not Present � ❑ Other CASING GEOLOGICAL MATERIAL COLOR FORMA ONF FROM TO � Diameter Depth Set in oversize hole? Annular spece initially grouled? If not known, indicate estimated formation log from nearby well or boring. ��� &'Fit% 1 S �'' r� in. from � to �� ft. ❑ Yes �lo ❑ Yee � No ❑ Unknolvn . C��[ B�e� 1 3t� . in. from to fl. ❑ Yes � No Q'Xes . 0 ho � UNcemwn `"' S�� �'r�g � ��J in. from lo ft. 0 Yes � No ❑ Yes � No ❑ linkraWn A�IETHOD USED TO SEAL ANNUTAR SPACE BETYVEfN 2 CASINfa3, OR CASING ANO FlQRE MOCE: �lo Annular Space Exists � . . � � � � � - � .; l� ❑ Annular space grouted with tremie pipe ❑ Casing PerforatioNRemoval Z ' in. from to ft. ❑ PG�#aated` � Renwved' in. from to f[. ❑ Perfwated . Q Rerrmved. Type a�p�O� ❑ Other GROU77NG MATERIAL Grouting material��s�aD from Z5 to $� ft yards r x b� � . . � . � . � � . � � from .to iL ' yards � be� . . REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING ��'3� GSt3LOGY FR�N: 72 Z�� ��% �I�� ��% from to R. yards bags 1111?6R I.S�1FL I� ll80YE il$I.L a 25' DA?E M�l�Bit LE'VSL ?�g �? I28 J 53 r�«;, �� �. �� � >_..�. _�._. _...�..,....�....... UNSEALED WELLS AND BORINGS � � � � A � � � Other unsealed well or boring on property? ❑ Yes . o � � � � � U L Z 9 � LICENSED OR REGIST@RED CONTRACTOR CERTIFICATIdN This well or boring was sealed in accordance with Minnesota Rules, Chapter 4>25. The information contained in this report ig � � � � --- •- � true to the best of.my knowledge. � � � � . � � � � � .. __ . .. +� __ . . _ . S. H. RSii�ER & S41�8, II�C . 71�35 � Con Business Name Liaense or Re,gistratio� N0. �. ; �1 9. � uthonzed Repr ntative Signature �ate IMPORTANT— FILE WITH PROPERTY ��w �/"� JOH M� �RIREiYI� �}P�P� PAPERS—WELLOWNERCOPY H �� V V Name ol Person Sealing Well or Bodng . . . HE-01434-01 � � . . . � .... ... . . INCORPORATED WELL DRILLING FOR FOUR GENERATIONS 15688 JARVIS STREET N.W./ELK RIVER� MN 55330 PHONE: (612) 427-6100 / FAX: (612) 427-0533 INVOICE XNVOICE N0.:4C�6!'a� CllSTOM�;R NO ,: 41 l 9 u�x�: r�s�e�i5� 5(�J.,i? TU : aH7:1? TQ : CI'TY OE' �'k:LDI,EY �4:�1 UN7:VERSZTY AVI�;NiJE 64t�9 �AS'P R7:VER R4AI> ATTtd : CLYDE M . • _._...... F1�Ti7LEY, MN !i54:3�� k'RT:llL�Y, MN SALE;S_ {iRIiFR Sii 1 P ��A'!'1:; SI�IYPEi7 Vl:k r' , O.!� . '1'ERt�S PI�akSciN 11F'I'�: �. t? . NUM�3�;R tc:='r. ;: � � a�a:sx acs.�m�s-r.-� scr c<ca.� _.... s...= rc�xas. acsc `�'sII2i':� SrS:tIR�S��:.Sr �[L e:.Si:�.�.�f. 3 Y:� C S'.:. �» �SeS�S �.�. G�' �.�.0 �.2' % � -=—�T- 3� > H4 t�'� / 2 `:� / 94 ..�a*-�-^�._—..•-:--rr�.•-z:.c-�--sa�x� sn�,----.—.x�u_Tx�cxrss �r..^�s.aas�<.--,._.a�x�s-..--zer.r,r.��z�sssi-s.r-.r_sx-s�r�xx-�.. �� 1\ � 1 � �i.IAN'�'l:'1'�i DE�3C'.RI}'�TT+7N {?R.I:("_F AMQUNT .� _. ._ ... __ � _ ._. �. .�. t ..� .." _. .; .� r.. z � :.. i.. ._. :.. _.. .. ,.,, _ ... ... .. ... ,. ... ._. . ._ . �. . ... ... .. __ , _ _. . . _ .._ . .. � . _ . _ _ _.. ,._ _, . ... ... .. a .._ _. _ .... �. _. . _ ... _ _... . _.. .. —a �--n�--rs...�x.--�.`�..._..� _, r.r..- 1-��-r-r�a^� -^rxs__ _._..t� l Si�:7' UF= �-'H�ut;r7 �'4R (TkQ1lTTNG /TT�'l:[� , i �i@ . �k� i 5f1 . �I.10 1 WELI� A�iANnONMFNT i2��ORT /EA , 5� . 0t� 50 .@0 1 t�E;MF;A1T `Pi�`}��F; 1 }?c)RTT�AN11 �i ki . �4�1 :3 . F10 � -. C�` .r � r �c � 5 , k : , ��r�� �� r r� � �'t:, j f f ���: t ' '� � . � , M R' 1w }6 �111 ! ! �f rF �1 ���� i��M .tirY � 4 `. . ; �a � �"'^ y7 � T H � �� � , ,F, $�3 i .y"� �, `6i'�#` i -�- : -""y� d 5 : ���y�� r t �- � � �}?�� �e;: I.�� . ., �; +,��};.�. �v���.�v�aSex.�, ` ����� � �� ,,�-, .... ���. . � ��� �� �,,r,,.,�. _ ._ . �_, .. ...i '7 �` .w..r:,+,r•:•: „+.. ;:.. �- + .. .... �. / SUBJECT . . . �� c�ty of Fridley 2 2 7 9 O AT THE TOP OF THE TWINS g � I L D I N G P E R M I T i � RECEIPT NO. � �• COMMUNITY DEVELOPMENT DIV. r � ~ � PROTEC7IVE INSPECTION SEC. � � � � � � /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �""�'� �'' 612-571-3450 910-F15 8/16/94 � � JOB ADDRESS 6409 East River Road NE 1 LEGAL ��T NO. BLOCK TRACT OR ADDtTION SEE A7TACHED DESCR. Pt 17,18,1 12 Fridle Park SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Fridle HRA 6431 Universit Ave - 3 CONTRACTOR MAI� ADORESS Z�P PHONE LICENSE NO. Veit & Co Inc 14000 Veit P1, Ro ers NIN 553 4 428-2242 4 ARCHITECT OR DESIGNER MAI� ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE X REMOVE 8 DESCRIBE WORK Wreck House & Garage (818 sf & 144 sf) 9 CHANGE pF USE FROM TO STIPULATIONS Per City contract. SAG Credit to be City Wide. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOF ELECTFICAL, PLUMBtNG, HEATING, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED N�A WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIQNS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- NO Fee N/A STRUCTION OR THE PERF MANCE OF CONSTRUCTION. � � PLAN CHECK FEE TOTAL FEE �Q_ IGNATUAE OF CbN � CTOA OR AUTHOA�ZED AGENT A EI - WF{E R�Y VAIIDATED TNIS I$ yOU PE�IT Y _�L SiGNATUREOFOWNERUFOWNERBUILDERI IDATE� BLDG � �1tiTE • , <_ Jcb Addr�ss: Legal �escription: �� i Y �'; �i�IPL� f �ntralJ� � ' �:� €�I�:'ECKI'`iii ;�� r'PI�I�.� : �'t,':`d ����' ,�aS-� (R�%Q.�' /2�, �-�2-e �c"*�iC�q� _ � G�is,a� � �iddress : I��«i Tei . � �C?i; �:�"�.C'y ,�i : ���'T q�� �L�C. TQ� . � �G�O _'22T� Address : ��� �� � ���-..T� ,� �%� �.ate License r � 55�7� DESCRIPTION OF BUILDING ✓Living Area: Length Width Height ✓ Garaqe c�-�-c1� Sq. Ft. ��O Cu. Ft. Area: Length I�`'� Width Height Sq. Ft. Cu. Ft. `� Other: Length Width Height Sq. Ft. �� Cu. Ft Estimated Cost $ Approx. Completion Date �� 9 ���-� C�'�z-r���r'�--t /S�7 ll� �.S�, c��-9 U�� � i.�- �u�� UTIL IES TO BE N TIFIED � � e � City Water/Sewer Mpls. Gas Company 571-3450 ['� 372-472Q [✓j- Water Bill Paid: Yes [�or Collect Moving Route: Northern States Power - U S West 566-9120 [�-}� b63-6000 [� i [ $ ] Initials �"15-� The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and r+ulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and regresentations sta in ttus application are true and correct. � �Z �S! _ f�uS� " Date Si�na e e, _ N1QVing: Pri.nciple Buiiding into Fridley ... $ 80.00 Ar�Cessory Building ].nto FYidley ... $ 20.00 Mi ni��m Fee; $15.00 'Ihrough, within or out of City ...$ 15 . DO Wrecking: For each 1,000 cubic feet or fraction ..$ 1.25 _ Fbr s�xuctures whicll would be impractical.to cube, the fee shall be based on the total aast of wrecJcing at the rate of $6.00 for each $500.00 or fraction. P�II'P FI�- �.�W�:i� : N �..� � TRHIBIT A The west 48 feet of Lots 17, 18 and 19, Block 12, Fridley Park, Anoka County, Minnesota, according to the recorded plat thereof; together with the East 1/2 of Grand Avenue, now vacated, lying between the extension Westerly of the North line of said Lot 19 and the extension Westerly of the South line of said Lot 17; also that portion of Lot 35, Revised Auditor's Subdivision No. 23, Anoka County Minnesota, according to the recorded plat thereof, lying South of a line parallel with the South Iine of said Lot 35 and distant 144.15 feet North as measured along the West line of said Lot 35 from the Southwest corner thereof; together with that portion of the West 1/2 of Grand Avenue, now vacated, lying East of the East line of the above described portion of said Lot 35, the northerly boundary line of which ? s Yna?-ked ��� ����i�� a� J N � nari�ers . "Line A" is a line drawn from the most westerly corner of the above described portion of said Lot 35 to a point on the North line of said Lot 19 distant 25.00 feet East from the Northwest corner of said Lot 19. _. , A7 C1t1YCO.JCib►h►..A�OOaN�c � co� � Co cu�� � owv .... .a..... ..s .,� ....:.... ...... .a.,s..�_� __�. __._.' '' " � _ •• - . , . • . . SUBJECT � City of Fridley � �� � ��,. AT THE TOP OF TME TWINS g U I L D I N G P E R M I T =-� f � � , � RECEIPT NO. � COMMUNITV OEVELOPMENT OIV. ' ; L �"��'� � r � � PROTECTIVE INSPECTION SEC. . i � _ ' 1 /���1 � CITY HALL FRIDLE� 55432 NUMBER AEV OATE PAGE OF APPROVEO B� �"""�"� �'' 612-571-3450 910-F15 7/18/95 / / JOB ADDRESS 6409 EAST RIVER RD NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 17-19 12 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Whitney Homes Inc 3 CONTFACTOR MAIL ADDRESS Z�P PMONE UCENSE NO Felix Construction 4410 379 St, North Branch, MN 55056 674-8546 8262 a AFCHITECT OR DESIGNEF MAIL ADDRESS 21P PHONE UCENSE NO 5 ENGINEER MAiL AODRESS ZIP PMONE UCENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 40' x 26' Dwelling and a 30' x 20' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide City with copy of verifying survey before capping. Provide sod in the front and side yards. Provide a 3€I€i� hard surface driveway. CHECK WITH TAE CITY ENGINEERING DEPT FOR SEWER AND WATER LOCATIONS. 1�ARNfNG �efore digging cail for all utilify ►ocations 454-0002 SEPARATE PERMtTS REQUtRfp Fp� REQUiRED BY L./�W WIRNNG� MEA�'�NG, PLUMBtNG ANO �St�IY,S. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOfi ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CER71fV THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $89 62Q y+�F�1.81 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEfiM1T FEE SAC CHARGE Fire SC PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- N OFi T E RFO AN OF CONSTRUCTION rj9L}.5� $SO.00 �H9.62 �/" "'` PLAN CHECK FEE TOTAL FEE License SC 5.00 1 583.93 S�GNATUAE OF CONTF pa Oa THOAIZED AGENT �DniE� WHEN PROPE QY VALIDATED THIS IS YOUA PERMIT ���, �� � j� ' SiGNATURE OF pWNEA i�F OWNEA BU�LDERI IDATEi Bl G �NSP ���'TE NEW (� ADDN [j ALTER [] ConstructionAddress: v Legal Description: � Owner Name & Address: Contractor: f� Address: ��� �� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAM[LY AND DUPLEXES R-1 AND R-2 Building Permit Application �' �'.���J . �� /�� �� , ! - i��� Effective 1 / 1 /95 ���� �� �_ Tet. # -��'3 ? 7 � _ MN LICENSE # �� Tel. # � �4`= ��� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT I.ength � Width �-b Height 1 � �ng� `� � Width �_ Height � � �ng�h Wldth Hgt/Ground � � ����� k /y9'2 �rG,�sz,3a1 � �9 � s� �� Sq. Ft. ����}��� 3crI,G�) Sq. Ft.-E3t7v �o' � x ��, �� /0 9'�� G 9 Sq. Ft. i � Corner Lot (] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction: 1 U �-W �� �.,,� Estimated Cost: $ � � �. C � Approx. Compledon Date: f. — f `�� (Cost on Back) Driveway Curb Cut Width Needed: . = Ft x$ _$ DATE: C�' .��'�� APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL 'TIPULATIONS: � $ 59`� � $ ,�Z. � l $ ��� � ��� $ $ $ '�' $ � ;, �;' s CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation { 1/ lOth %) $.50/$1,000 Valuation $850 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 [ ] _ � Cl I I �F FRI DLEY FRIDLEY MUNICIPAL CENTER - h4� I UNIVERSITY AVG. N.E. FRIDLEY, MN SS432 •(61?1 571-3450 • PAX (612) 571-1287 October 18, 1995 Felix Construction 4410 379 Street North Branch, MN 55056 Re: Final Inspection at 6409 East River Road NE, Fridley Dear Sirs: A final inspection was conducted on October 18, 1995 of the above address. The construction was found to be in compliance with the approved plan and ou� records have been finaled. The structure is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 572-3603. Sincerely, Barry Riesch Building Inspector BR/mh �Y� �Tti L. J CER�'IF1CAl"� a�' SURVEY �'OR: WFi1Tl�tEY �1C7�VI�S, tNC, ,� .� , �-�`. � , ��r N"Z-� � J «,`-. - � , � 1 � :�l �r . � `°` - �,� . „� � . a! a,?�' `_ ...�+ r 1 1.� w�.. �� O • ' at v .>'� ~ Fjly9°riS�tO�I: ,�_ . � Sw-° � w-- --- 23. � 9 r a � � � .�-���- T:.�,� _ �.,, , : � 1�--t :2..� �- : ,..4_ ,�... , . .— . - �f�� . zo„ � ���2 o.� X t .� � �,,; �.�.$3 n`� ,. : � !s"r ` t 1 ---� � �i �-'^"•r' � •L.. �!✓F' � ' ��� � � � 1 n � o t � � :�.y-•• �'"J i . t. � �� -r' . �-� C 7� t.� +%� . o� L_ �... 1 , � ~/ �.1 ��. � ' 1 �> v-� _ . .� �r, �.. i� �-'�o � �yelv t^� �' = - v c } . ° � ��' `; . . 1 . %-- � ��' �"� L z � �-- �,� . � f}�'I:�7 � 8¢/�6x , � �� :, y � x$4�1 �!.'f so.00 1 ° � . l� �r 9 .O- - 8d dQ ` r- _ � . il�o.' o� '�"�' �� "�_ � , �, � � ,J �.,y 1 e � S i }� � � ' ' tl Ji11! ar` � � �, � J •9� , � ' � � PR P08E0 NOU8E � M �`'X1 •• 1' , �� � S . . Y x % � . � . 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' � il� ' `°� . x�8�9,i� �G . . � \ � r�� � � d ��� ��53�; .'8�� (��-�1��-1 V�l/�.�1 ��°'��`^�� � �...�-"'�^� • �'CK 41�lrL , �0'S '�s,��Y1i�p . • ,�. y��AVD� W�• r.t6 �'L3 ' .. • SCd1G }" ���, . ��� A.'.__�D�lIOUb3 FY6�16ild EtiNilb(1 1 . x Denotes_Exlstinp Etavat�on f Searings are bd5ed o a:sumed'da, . . ., . • . ay,z.3 TopdFOUndalkxs _ l o Qanotes i/2" � Ir n P1pe Set ��q.l Tap d Basemerx Float « Denotes iron uwnu nt-found - �,�,z,3 TapdLOOicau� , ;. � , � � � � ` � a�� Ts�'�w� � m.H, E, LEGAL QESGRIP71�t� - - � Th�t par= of•C�a folZowxn�flescrib�d lsrd lying sauChezl.y of the herdis�after described "Liae A"; She Weat 48 teeL a£ Lot� 17, 19, ar�d �.9; Bicck I2, Fridley Paz�k, Fuaoka Caint,y; xinnesota, accardf.mg to the raca�ded p�.at tnereof; togetl�ar uitn tha E�st l/2 at �� A���. �++��� lying betaeEn the e�ctansion Wasterly ai the North line of said Lot 14, anr� ttte extansion WesterlY �£ ��� lina af said Lct 19; also that yortian of Lo= 35, Revise�� Auditar's Su#�d=vision Ne. Z3, Anoka CoUntY� ����. ��4��! t� x1u► recaXddd p7.at ttiar6ol, 1Ying 5autkl 4f a lino paralLal wixri �e South line 4E �id Lot .35 and distant 144.15 faet North aa mea�sc�ed along the West 1.ine of 9aid Lat 35 fram tt�a Swthwast carner therteo#; toqether with that poYti.on o! the We�t 1/2. of Grand Avenue, now vacated, Lying Edsti oE the �ast 7.iUa 4f the abova CIG1aGYl�Yi p9Tt10R Of said Lat 35, Che r�rtherlY houru.tarY line a£ which is markecl bY judieial x,a�kers. °Li,ne A" is a zine draun from the aASt xaaterly rnrner of the abova das�:riUod poC[i.on oF sRi.d IAt 35 Co a point on the 1�11orth line� of ssid Lot 29 distdsit 2b.00 feet East iram the �Sorttn�.:st cotr,�r of seid �Lot 19. 1W Mnpy ontNy tMt tl�s is s uw a.a earree tiw�wnutbn.of + wrwv ot ���� 840173rCAra.NO..Suite63 t�aowid�.�a�u�.,no..a.re.w.a+a+o,ndad�.wc.dana�aueeila«�a. �� � 6rooWyn Park MN 55428 if a�nc ��1 wW rl/ r}NpN �.wdu�«�k N.av. han or on u�d =Mtl. Fax (� 61� 533-�937 7595 � Mrwyw ehk �-�`" dw ett��`"� -.�gq% � &��'SSGCIAT�S � . .� . .}... �,. �. �. � �NGIN�ERfNC SURV�YING PiANNtNG , • - t � �. 9 —O � - rv. _,..._.......^.- ClTY OF FRIDLEY INSPECTION D.IV. 6431 University Ave NE Fr�ilsy, MN 55432 572 —3504 Stories Sasement Floor 1 Ftoor 2 Floor 3 Floar 4 PLUM6ING FIXTURE RATES: ■ w Effective On August 1, 1995 APPLICA710N FOR 1'tUMBiIVG AND GAS FiTTtNG PERMIT MARK NllMBER OF FIXTURES TO BE iNSTALI.�D f3N EACH F1.00R t, = Wash �t'�S� ' ; ' F(aot �a�fi�h; Auto �aas Gas ' Shower ��n�, ; Tra �t�it�lt�. ' Drain ��in ; ; Washer '' 1� Ran� � �°"``!T � ' . . . j � +� NO, RATE TOTAL New Flxtures � Oid Opening, New Fixture Beer Dispenser �low Off Basin Catch Sasin Rain Water Leader Sump/Receiving Tank Water Trea#ing Appliance ^____ Water Heate� --Electric Water Heater — Gas** �_ Gas Range** , Gas Dryer** Back Flow Preventer Required ()Yes () No Type $ T.� %C. U�% $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.04 $ 7.00 $ f 0.00 $ 7.00 $10:00 /C%. U C,, $10.00 $1p.00 $i5.00 Reinspection Fee $42.00/Hr A1,L OTHERS ANtJ/0R REPAIRS AND ALT�RATIONS 1.5% ot Vaiue of Fixture ar.Appiiance State Surcharge TOTAI. FEE ,50 $ �,iC, S.Z Water Heater Gas Elec � � �' JOB ADDRESS � � `�' �S� %�%!� ` /° 1�--�/,-�i"�' The undersigned hereby makes application for a permit for the work herein specified agreeing to do ali wark t� strict accordance with the city codes and rulings of the Building Oiv{sion, and hereby declares that ail the iacts and representations stated in th(s application are true and correct. � ,�� � � ��---� -� ,1995 , -�, Owner _ �£ � < k ����s� Buitding Used As Jr�.� % L �: �,� %:_-��/� C,, � Estimated Cast PERMIT NC7. �� y��� �, ,. PLUMB(NG COMPANY �G /�'' " /�;/' �+•!: � �cz,m �jiF'� SIGNED BY � ��,c��E��--'y'� 1 TEL N0. �� 7'—� 2-c� j � Approv+ed Rough—!n Date Final Date � PLUS THE 5.50 STATE SURCHARGE **COMBUSTION AIR SHALL SE PROViDED PER UMC SECTIC�N 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. CtN QF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 . ��TE SCHEnUtE Residential APPLICATIOI� FOR POWER PLANTS AND HEATI(dG, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS A�ID DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACl� 1�0 of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ � $10.00 $� $ 10.00 $ $ 10.00 $ $ 25.00 $ State Surcharge TOTAL FE� Effective On August 1, 1995 , JOB �4DDRESS (J Y� � ��r /C. � ��%!�- /� l� 7he undersigned hereby makes application for a permit for the work herein specified agr�eeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and represeo�tations statad in this application are true and cor ect. ,1995 OWNER���C l � l ,�usf1 � BUILDING USED AS_ �� ( �-�iil � ESTIMATED COST PERMIT NO. ���C>'f ��Z D�SCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) arm ' Trade Name 2,� Size No. BTU HP EDR $ Fuel Total Connected Loa� / ys,0� � .50 �l��l MiNIMUM FEE FOR ANY HEATING/CQQLi�i�lYENTILATION REFRlC�RATiON1AIR CONDITIONING PEpMIT IS $25.00 PLUS THE 5.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, Burner Tr��e Name Site No. BTU HP EQR � ��� HEATING COM Cl C� Signed By Tel No. � �� � Approved B Rough—In Daie Final Date :'Q� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE SuBJECr P O. City of Fridley � G� �`� 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � �•, COMMUNITY DEVEIOPMENT DIV. RECEIPT NO.� ' j L' - � r � PROTECTIVE INSPECTION SEC. �� i 1 ' 1 /'��l � CITY HAIL FRIDLEV 55432 NUMBEF REV DATE PAGE Uf APPROVED BV �"""��� ,�� 612-571-3450 910-F15 5/28/96 / / JOB ADDRESS 6409 East River Rd NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 17-19 12 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDHESS 21P PHONE David Skavnak 6409 East River Road NE 572-2297 3 CONTRAC70R MAIL ADDRESS ZIP PHONE UCENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDFESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZiP PHONE UCENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION p ALTEFiATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WOFK Construct a 16' x 12' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTfiICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTqUCTION ZONING SQ. FT. CU. fT. AUTHOFIZED IS NOT COMMENCED WITHIN 60 DAYS, OF IF CONSTRUCTION OR WORK tS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE fiEAD AND EXAMINED THIS APPL�CATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AN� CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIfIED HEREIN OF NOT. THE GRANTING OF A PERMIT �1, 645 �•$2 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO R THE PERFORMANCE OF CONSTRUCTION �S�F.00 Fire SC �I.C)S PLAN CHECK FEE TOTAL FEE �a � 56.4� SIGNA�TUAE OF CON'RACTO R AUTHOAl2ED AGENT � IDAT 1 E P(�O VA IDA THIS IS R PER IT V ' � �� i SiGNATUAEOFOWNEAi1FOWNEABUILDEFl� �DATEi G �NSP ��4iE NEW ADDN ALTER C] L] [l CITY OF FRIDLEY , _ � SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � Buiiding Permit Application ConstructionAddress: � �T C�� ��5� �l�/P� /2crx�� �'`�/��� Legal Description: fZ t�S��,L� �.� Owner Name & Address: �� V / l � �!� �9 V�/ftll (v �D 9 � � vPr,2� Tel. # -� ?a - � �°j � Contractor: Address: �, �O �' �; /Z�v'�� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Tel.# �72�225� DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length � Width � Hgt/Ground �� Sq. Ft. � ^ �, � = � � ys yy Corner Lot ] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of C nstruction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Cur Cut Width Needed: Ft. + t= Ft x$ _$ DA'I'E: -..5 c�U APPLICANT: ----�El. #,S 7 2--z Z 5' � /L�63� Ff D / - O �-� 2 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � �% � � /- G� � , A�. $ $ $ $ $ $ �'� , CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] t � .t r, , � �yf�\ J� \i � ��AS � �u�LT " C:ERTIFICAT� CJ�' SURVEY FUi�: WHITNEY HaM�S, INC. �� .r � r-'�� � �Y` , L .� ' J�4� � 4K�1 _;._a. 0 � :� ��: -�- � .�. �`�.. �C � !j `,i� � _1�~t�:2��„.�_'" : �.s, s3' a5 „ ; t : �.��A/F� � i' ,i t� , 1. . :�.�� IC `a �`r. �l . � vo !,`i . ��,�.�L . y-� - i ,:' ';,,, :7 �v - ' . `>'� % �p� F/ J• � �, �i. `�^ . �.O' "'� 23. L `a � �-..�..---� *A � ., � �. �.� � � _� r �r,� - a �� � ��1 � {_� � i ti . �,� � •�� � {� �� tA . �� ' r, . . . � J. � . �' N 2 �, iG7JL=J � 17 � : . -t^', l w 6. w,� r, ..� 1 � �'"� 1� ��- . a \ ��> � •e � t- y,� •.a � . �.1 � '� � � '� . . 4 � �'�/�Sx ' W�... �` � � +- x 94� � ao.p� 4 � �� � r�� ` 7 .0-- 8 00 —�j�� � �. h .�. 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I Q �� � •.�/i , ' �' , � . . ~ � � t � � i .��� N `J �1 y ��� '�1d.y . � � � / � Y a '�a � �`i (� a . . / . w ' M � G� &��, �� . d � .'�` ' . . `•y � . � • ' • ►/ (�%j ' ' a 3� �. ���,d r . . , j• �' a � fia '' ?� �y`. � -� � . . � . � . � � -f. . � . � -� ' J i� � Z t. � ��1 `A.i&1'� 1�.._,:. ..� ' .O � oc'� , }'S� ' J�� ' 7 � . .� ��12�J.�� `__ . -^'� ' . � �� . a a�. . • rtf��y� ; • � u °�o� �" w ' . � i� � ' � � 'F� . ��'�."'" � � J' ` . . ' �t'KHM��LOJb W0.b'Z ��.t {.� ca, w.! ,. li ' ��� �� �, V . . , � �. . . x 839� i � � G ( ' �� � � � � ~ � � � ,�� � "F�3� ��� (o�`�' �r-1 �V�l�`1 {..t�a'R-1w� �:�►.r' "'rr.. 'aw�rK �-r N e, �o� 36. R� v 1 s6o - ' '. • � �� �.7 AU9. bu�. NO �LyJ �- , � \ , aCa3$ 1« �`.�jj . / -� �,07�: ThtsasbuBtsuNey `..;-�% Denotes.�tipEte�a�ton ; ' 1 � ; J3eariags are based on �ss�aed'da. �' was performecFtvverity the. � 84z,3 7apotFa�a+daeo� -� :. �. � ' o D�ote3 1/2" o Iron i�ipe S�eL �eatian of thq four�Hon 834.� Top af Baaemeit Hooe ,� ' x Drnotrs f ron mon�mrent • fa�rr+d rel8iive !O p!'o[1e►tj( iit19, ; 9� Z'3 ToD d L,aoko�t . 1� � � f�4 OEh61' irdPffl'1�Off h8S' � a�.7 TS�W ��r4 '/�7�/f�� �� � ����►� a�sc��tor�. . That paict of� Lria to17.a+iss9 dascribed iand 1Xing sauthArly o! tha hexeinafter d�acribad "L1sfe 1►N7 'lYY9 RlsL 48 Iteat of t.ots 17, i8, arxi 19, 81ock 12. F�ialay Park. Anotca CauntY. l4i.nnesota, a�ccordiny to tt� racosded plat ` thezeal: taqetk�er vi.tri the East 1/2 of orand Avanua. npw vACated, ZY� botwa�n kho ext�nsian i�teatatlY o# th� 4 Narth lix�a of said Lot l9, an4 t.he axtensios� Wester3.y ai tha 9outh �fne of said GoC �7; also that poYCioA Of � Loe 35, itevised 7►uditor'» �diviaion No. 23, Anoka Canutty� MintSesaC�►� acc�ais�p co rxse reaoxdsd p].ot triazaoi� iyir�q South o# a lins parallol with the gouth line ot r�aid Lot .35 end disCanC 144.i5 !ut llozth �s m�ae��s�d a2osu� ttsa west l�ne o! said Lot 35 iro� the SauLhWesC Gort'�r th�reaf; together With thdt �+orti,pn ot tha 1i6ut 1/Z. o# Grand Avenus, s�ow vacated, lY� �t of tha �aaC I.SY►e of thg abovo da�crilxad Ppri;i.an at aaid Lot 3i, tha �xt21e�J.y bo�LY 7.ine of which is marited by judicial markars. "Lflle A�r '1!� a line tiirawn fran tlis most westerlY �tnar of the abave desc:riLad porcfon ot shid LoC 35 to � point an ti�e taprth Line-ai sttic] tat 19 dist�u'st 25.Ob feet East fraa the herttnW�t cocrrer of said �LoC 19. - W� MrNW a�h � O�M k � uw �n0 eanet e�w�a� e1 � w�v�y d ����8407 73rd Ave. No.. Suile 83 ah�.bound.ri�efrwatwwaMU7wdlw�dr�det�Iwleaetenal�ICbu�einM., 8rooklyn P1Nk. 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