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AF - 40950,., ;: . �. : . -;: J �� - _ . ;� � � _ , � r; � _ . _, . ...: : ; , .� :. , , _ _ , <. _, _�. , � � � � , .. : _� _,. , . . - , „ .. .�. - - � ` �i�8��,* ��: �'P�t�4'!�''� �. � .. f � � _ - - - _ J `��,J��s t:� �i���l��i ��` � � n ! '± ,�L.t �s `3 �U - ' - ;' - � � ' ' � ` ��iL•� ��. �ii���.i ✓��$. flY' ��m�T�� . r � �`� _ .�-� , � �W3i@x � �' a ��� p - - F � a Areb�i�Be� `���- P'r1d!e'" �i�n. ' � `'` , . , . ,.. _. _ . — Y� - , - � � � Bul�dei' �' ;�,�r - �' _ ' � � �' �C�TI43�I Ol�' .1r��TII.��TG r ��� - { � N�7 � w`�iTBE� � ��;� � p&� O� �SOt�. - } sw; _ � 8104�- 1�1.{�Cit�O�L' i)P S�ik�ii�V�$�OIk - ;3 � ,: . . , � n�� .�'L�':��41�i'{)� BiJ�13�TG = � � ' .. ': � : . ; 2 - . „ , . -. ', i . "., . : � ai.?�x�'=' f �r�nt� Dep�- JE�ei�tt� StorIes � Manaez oF�Ganstruction }��� � ��, � � .1�� � .'.�(i � CbIYJ:�T�@�et�: �� ��� � ��' �:�� a � - _ , .�,-u"" � _ �} ���.,�f t '�-'F i�. k `� d k . - - '��� , . . . , . � �' -� . r� t . . �- - '�-� .- .. � . . : ._ ' _ , � �.�r _ . . _. . ... .-. - - - , , ' - � :: . -: :. ' ' . ...,:�_ .:-. y. ::, ...::,.. <.:; - >.. . _ " .:_ a . :-...� _. . . - .:. , -�;� _ - _ - � a � ' L—� !' ` 3�6Y�i1t i8 �'82`e� �+�i� '�O �t! ���'"�t..?�`���'4+� �`�?. S , .� ! .. � '.. " : . • . , �. � : ' _' . x y `. : 't11C` buii '' �'a „ 4. ` ° t1eSCt�i'bed itt '�18 a.x70'v@ `s�atennent. '1'hfB p8raoi� ie �Z'eaied : �; upoa the r.�press �iiifilon the �ersor�: ba y�!ktoua ii is gran�ed; ea�d �iia �e�,ts, e�n�IoYees , ansl woar�mon, #n all ;- ,� �e �v'arl�t �%t{e �p;".a�t�d �nd "upuiu .s�,i6t'i�taiYc94ng;.o� any �i�,rt ther�P,;°sb,a11 etrnPd�ri; ia �Il"i��pect�'to.tt�e>��i- - '' '� -N : '• g�; `�ian�ea o� ,I'+ x�dley`, = Mi�n.r . iega�.'ding . th��' c:oristrt2et�AE; a.it�i�atiou, misititenan�e; reP�ir attt�. iui0?�iag >oE bUdld3nga �; ^ within the di�y �%, &at� 'Ehis ges�3� may' '6e revoiced at aztj� time upoa �tioii of aay oE ihe pravlsio�s ts� �aid : 5 � o�� ;�; _ - ' - _ s: r` � r�: '° t - 2 , . ,: � . � � �s.: " � � i3tOP t7i `£'. : - � . . i r . , , ' . . _ _ . __ ., � , -:.._ , � _, ' _ . : _._. ._ , ._ _ }31I�A�3. 5 � . � .. . � �� - '� ; , � j_ _ °'' ; �'s� .��r��� � 5���� ►�)i�._�.�,r±� .: . : ' " �: 73n �nsid�a�iom a� ��he i�stie, a�d <deII�ve�ry to ; �,� °b� the %�ec'�a�r of ,�tiz�diai�� cf .;��id�e� o� ; . �_ fi�� a�o�te pe�tx T h� a�e,� 'F�- s�s�. "the =�ro��. �ork ia ae�ox�ai�e� �t� ti3.e ��eseriptac�n ., �� ata ° $I�ove s�t "�o�th: �.nd � �o tite provisi+� . �� � the` vrdir�aaic� �f �'ric��y, a.r�d, beir�� fix��_ �duYy - `-s��x°iii, �,her�b� s�a.te a�t� s�.p. #h�t 'ib.e facts �a� ��';m.e a�d ��.�z�d ia 'tbe �ave;`�r�nii �e ; � y �� a� si��ie�.'s�ie�. �: - �,' ., . . _ r� , � _ ,� - "` � 5' � � „F.:. , .., . � , _: . _ � i : .. r � � � - ►.�l1�SC1Ii7L'CZ �IIt$ .�4(3Y'4 "�Q �`OP@ � � �`Plt�Bjf, `:��O�Z, - � � �` �""' +L�3i` Q` ' # ]d. 'Z.B.�..:,_..� � - ° � E �> - � - _ , ,. - t y ... ' t _ _ '; % c � ' - - � Y 'j i � �� y ' �' • _*N _ �_ �1:'. -- " _-- - - �_�`. ! t � _ .3�`Ff�.4a1.__ . _. . . ....._ ,....n .Y n � .. r . . . r- A.. , . . .- � . . . v . <_ . ... ., x . .. . _.e.. -. � . .. . .. .. . . . - _ . . .. sue�ecr pE City of Fridley � 12688 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � R EIPT NO � ; L __�___ COMMUNITY DEVELOPMENT DIV. � � / / r � � PROTECTIVE INSPECTION SEC. ' � ' i ' �� /�"1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""� � ,'� 612-580-3450 ' 910-F15 8/20/74 � � JOB ADDRESS 74�9 East River Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. I.G AIICI. SLlb• #%% SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Walter Gay 7479 East Rivex Road N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGIIVEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Garage 9 CHANGE QF USE FHOM TO STIPULATIONS 'SEPERATE PE'RMtTS REQUjREG e��;�,� � � , HEATING, PLUMBING a�yp S�G��. `�i����, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. �j]_�� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUGTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMEPICED 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVIStONS OF LAWS VALUATION SUR7AX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �`�.%S.00 . SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � �`S.00 PLAN CHECK FEE TOTAL FEE $5.50 ^, ySF1NATURE6FCONTRACTOR � UTHORIZEDAGENT �DATEI WHEN PROPERL DATED THIS IS YOUR PERMIT s`� T �i✓b sloi���° I � �C� � SIGNATUREOFOWNER�IFOW� ERBUILDERI IDATEI BLDG INSP ATE AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR AllUITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME• J BUILDER: �r ADDRESS• � � � ADDRESS: -r-- - _r- � c� �1 _--- -� NO • . � ' STREET • � G�r�,.�� /�.� - � .• LOT :� � BLOCK : �'�vv ADDITION : C�c... � ��("'dz �tieh. � 7 % CORNER LOT:�C iNSIDE LOT: SETBACK: SIDEYARD: Applica.nt attach to this form Ztao Certificates of SurveV of I,ot an.d proposed building location dra�an on these Certificates. HESCRIPTION OF BUILDING To Be IIsed As : r� Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Constxuctions �c�y, . Estimated Cost: $ / °?,� � � To Be Completed: ' ��, � ��- � g� The undersigned hereby ma.kes applicativn for a permit for the work herein specified, agreeing to do a1Z work in stzict accordance with the CiCp of Fridley Urdinances 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: -L�• �-� �_ SIGNAT[TRE• �� � (See Reverse Side For Additiona.l Informa,tion.) � �� � ,���' � � �, .�,_�.�,��� <�� �. � � �� � �. ,- �.. BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pexmits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing buildi.ng 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 herei.n provided to-wit: UNtFORM BUILDING CODE: Type 1, 2& 4-$2.15 for ea.ch one thousand cubic feet, or fraction thereof, in such cubical contents. �ipe 3& 5-$1.85 for each one thousand cubic feete ADDITIONAL INFORMATION For the purpose of camputing fees fvr building permits, the cubical contents of any building ar addition, is determined by multiplying the ground area covered from a paint six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the averaget •height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, ths fee shall be at the rate of $3.00 per each five huadred dollars ($500.00) or fractiora thereot in the cost of all proposed"work. In no case shall the fee charged for any permit as set forth in Section 2 be less tha.n $5000. � VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 houxs from the tixne of application, to allow for proper review of the proposed structure aad of the constxuction site. A Certified Survey of the lot, showing the location of the foundation, ance it hzs been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certifica.te of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. • �� • � ` `.�"tq Su6�eCT City of Fridley W R E C K I N G 2$ 474 AT TME TOP OF TME TWINS P E R M I T r � � COMMUNITY DEVELOPMENT DIV. RE r � L � PROTECTIVE INSPECTION SEC. -� �'� i � � _ � � /"'1 � CITY MALL FFiIOLE� SS��Z NUMB@il i1EV DATE PAGE Oi APPROVED BY �----� ' '•' 612-5> >-3abo s� aF� s / / 10 29 9 JOB ADDFESS 7479 East River Road NE 1 LEGAL �07 NO. BLOCK TiiACT OF AOOITION SEE ATTACMED DESCR. Par� t SNEET 16 2060 Rev. Auditor s Sub. 4�77 2 PROPERTY OWNER MAIL ADDRES$ ZIP PMONE Cit of Fridle 6431 Universit Ave. Fridle 571-3515 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO R bak Excavatin & Contractin Inc. 3134 California St NE M ls 788-6577 A ARCNITECT OR OESIGNER MAIL ADORESS ZIP PMONE IICENSE NO. 5 ENGINEER MAII ADDRESS , 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE B DESCRIBE WOfiK Wreck house and ara e 9 CHANOE OF USE FROM TO STIPULATIONS Clean site of all demolition debris and disconnect sewer and water at property line and call for inspection oi same. TYPE OFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARA7E PEFiMITS ARE REOUIRED FOR ELECTRICAL, PLUMBINCa, HEATING, VENTILATING OA AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NINf3 SO. FT CU FT AUTHORIZED IS N07 COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONEO FOR A PERI00 OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 NEREBY CEiiTIFY 7HAT I MAVE iiEAD AND EXAMINEO THIS APPLICATION S7ALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORREC7. ALL PqOVISIONS OP LAW$ VA�UATION SURTAX AND OROINANCES GOVEqNING THIS TYPE OF WORK WILL BE COMPLIED WITM WME7HER SPECIFIED MEREIN Oii NOT. TME GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTNORITY TO VIOIATE OR CANCEI TME pERMIT FEE SAC CHARGE PROVISIONS OF ANV OTNER STATE OR LOCAL LAW HEGUTATING CON- STRUCTION OR TME PERfORMANCE OF CONSTRUC710N Fee waived PIAN CHECK fEE TOTA� FEE � SiGNATU�7E O� CON'f7ACTOA OA AUTMOp�ZED OGENT �O�iEi WNEN PROPERLY � ATED TNIS IS VOUR PERMIT � 1� ° -, .— ,� c.0 ` .e S�GN4TUAEO�OWNEAiiiOWNEABWLDERi � �rE� B G�NS� I�TE OCT-29-1998 09�54 a G�TY OF FRIDLTY 6431 vuiver�ity Ave NE Fridlex;N�11. 55432 572-3604 � RYHAk� EXCAUATING 612 788 @166 P.02 LiiCtirLttG •/ aJ7V @�� • MOVII�TG [ ] V�t�CKING [,� PERMIT APPLICATION ° Jab Addresa:. .7.479 EAST RzVER RoAD, FRIDLEY, MN 55432 L�egal DeBCtiption,: RESIDENTIAL STRUCTU�E - Ows1er & Add�Ceas:�_TY oF FRIDLEY, 6431 UNivERSITY AVE.FR2DLF�1. #_57_� 51,5 Contractor• RYBAK EXCAVATING & CONTRACTING�INC. Te7.. # 788-6577 Ad�8re3a; 3134 CALIFORNIA ST NE, MPLS, MN State LiCe32se #i DESC�'l'�ON OF BYlII.DiNG HOIISB: Length � Width iieight Sq . Ft .� C1� . Ft .� , GARAGE : Lengt� Widt�: I�eigh� Sq. F't . G� . Ft . ._.�._ �.. . OTAER: Leligth � Width Height 3q. Ft . Cu . Ft . Tsstimated Co�t $ Approx. Completivn Date �TIL='r��S City Water/Sewer A4innegasco N S P U S West 1QOT_I_F_� S?2-3529 L 1 3'IZ-4720 [] 330-550a (] 663-6000 [ ] Water Sill Paid: Yes �r Collect ($ ] Signature � I O�d ���� tKo'ving �Rot�t e : � � 1be �sig�odod i�ereby malces application for a permic co wlr:ck/inov�e die buildiag describod above, &�oei� �o do aII wark in stri�cx accosdan�ce arith t� City Qrdi�oaaas and rulings of die �uildiqg Division, and tbe State Code wLich t+equires any watez wEll oa tbe prvperty to be seale� by a St�t,� liceased watsr well driller, as� he�+eby dee�ares tl�t al! fac� aad rtpr�sentations staLed in this applicativn are tiue a�d Carn�et. A,,,� ��iOL1TON �h`BR�S�ITCLUDING FO__i1NDATION & SI.A�,�. SHALL SE REMQVED FRQ SY'TE._ Da�oe Signatut+e 11�0� Pti�cipie �g i�o FrioiEy . . . . $�.00 �+ � i�o F�aYey . . . . $ �z.00 Th�oug� or wiRhia the Ciry ...... $ 20.00 I1�ov� a bIIildi�g out of Citv ...... $ 8Q.00 Wr�edon�: Far e�h 1,OQ0 enbic feet o� frachan ..$ 1.7.5 For � w�h wauld be impractical to eabe tbe f+ee sbaU be b�ed oa tht �oml oost of.amecldiog at tbe iate of 56.00 for e�c6 56500.00 ot fractioD. PSR1bIIT FEB: � SI'iP'[JLATIONS: M�nnum F�: SZ0.00 � Fee: 515.00 T07AL P.01 TOTAL P.92 /� 1 � OCT-29-1998 09�53 RYHAI� EXCAUATING 612 788 8166 P.01 � EXCAYA�IN� � CO1�J?'I�AC�T'N�, IN� .�139� C�IF01'�"VIA ,�3�?EE�'N.E. POL�I�S',1�IN ���Y�1 SO8 P�'01V.E: (6�1j 788-6577 DAN� RY�A� FAx• {bl�j 788 8166 DATE � ��C T�: FRC3M: �'AX TR�►NS�lITTAL _ l ol�+ 1 � � � � '� � - � N t� . 4F PAG E� : � (Inciudng this pagej �UBJECT: �C�Mf�tENT�: �`. � �� \ v"�� , '�e IffiS 3�SSA�S IIV'�F�TD�D 1�GRl1��5EOF TE�II�D�VIDUALO�RP2RItY ?O �tIIQi l! L4 AD�AliD b4AY008ilAIId IIIFOR�1�dN?�A� LS81�II�l,d�D 1F T�RL'AiDFROF iiffi�1i�ISNO! !� IIT'lFND��lY.04t !I� �OiRJ�TT �FO'RD�LNFRII�IG it� b�45A�t'd! SO lSFII�ii�D RFC�'�I�l. Y17i7 AItL� ti�0lII�IIlA !HA! Al��AlDOTi OR.D�StI�'OZIAN OF !�S ta03�A+�C�►tDON LS Sl1�ClLYF�?FD. II� YOro' HAQF.li�PI9FD'C� OdLImROl�IDCATmti 1N ER'RDR F1Fl�1SENCtIIR IIS �AiPLYBY � AII�ID RETU1dT!!�O'1�Tl1L�AC�lO USBY M!lu., SiiA'l1��OiQ. If you do n� rr�cceive alt of the pages, plea� call (612) 7$$-7655 as sooa as posstble. WELL OR BORING LOCATION � �e � Township Name TowrYSliip No. Renge No. �i�//�Lc ,�f da� , __ _ . ------,r---- � � _.____.. --�-- — . _— �`� � �.ie;+�� c��r r�� � j — �-- �� �° � , � , - MINNESOTA DEP�ENT OF HEALTH Minnesota WeU and Bonng WELL AND BORING SEALING RECORD Sealm9 No. . H � A� 3 S�� Minnasota S►aMes, Cha te� 1R?i Minneso!a Unique No. P or W-series Itio. ��eeim�aom�� . 1ion No. Fraction (sm. -► Ig.) p� � Date We0 w Borinn Cancrr,,.y.o,i . =1 c�rnrivc p' - �d Numerical S ress m Fre N r and Ciry of Well or Bonng Locatlon �� .5T dE /�G£ � �eer�� �� n. �� Show exact loeation ol Nrell or bori g Sketch map of ell or boring pp�g) STATIC WATI �^ ��^ 9� �'X�� locetion, sh wing property � q�e� � Mui�aqu�er lines, roads, and buildinps. � N �t; WELLBOi�IG Meas�ued ❑ Esmrta�ed � � � � �! Waterp,..,��� We0 " -T_ -T_ -T- _T- `^'W'I ❑ MOflll. WCO � �jj � � 0�- eo�e "°�e p oo�► rc o eew., ❑ an�re �a �e jr�/�'� " Eebr W 'T_ 'T' ' _ '_l__ E /•� Vi� �y _ 1 V �y{�5, : --7-- -i-- -i-- -i-- A� S�d ❑ PI�C Q T�e ❑ Otlrer 74 mde "l' 'l" '�" '�" I `.� 1 S ' �� $EI III OVQfSQO �? /�1tl413�3/ S�3C@ tl� �Z �— ��—� S AS T J U� fL � m. r.� � m� n. O Y� � n►o p re5 ❑ n►o ❑ un� — � PROPERTV OWNER'S NAME � u�. tran m R ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unlan�n T� O r �li�CL � i P�ve+�r �8 �e aaaress N man wen iocaeon aaaress i�tea a . u�. ham m �. -❑ Yes ❑ IYo -�" 0 Yes O No ❑ uniaawn SCREQ�YOPEf011iD1,E S�reen fiom � to �o (L Open Fble Uan m R 1 OWNER'S NAME ownePS ma�r�g eGdress H difiererq tl�an �Operry mmete adtlress indicatetl above. GEOLOOIC�L YATERIAL COLOR ��NESS OF FR06! TO FOR6A/1TION B naA Ivnwn. � asLmated formeGOn Wg: hom nearby we0 m bari�. . SOUNCE OF DATA, DffFlCULTIEB IN BEALING 9��-���� A�w�ow d��v°�-Fi�� tivir� ��nren i v �. ��:3 2� Pf��GE3�-UV� �1fJGdG�s� �'�E"r H HE�OtI34-03 ❑ �oP�Pe ❑ p�¢ckYaheis) ❑ De�is ❑ FiB� No�on Type of Obstructims (Deseri�e) O�n�ms remaved9 � Yes ❑ No Des��be. PU� ' Type ���• ,� � o nma � ' ❑ oa�. I�TFtOD IISED TO SEAL AMWILAN SPACE 8�1NEEN 2 CAS9�IGS, OR CASNG AI� � t10LE: No Ara�uFar Spece Ew� ❑ Amadar spap {Rauled � tre�n� �pe v`�9 P�bnlR�r�ovai �n. ¢0'" ro a ❑ Pa.roraoee O Renmea in. tram l0 9. ❑ Pa[uaeed ❑ Re�ed Type d perFpramr ❑' ORier GA011i�iG YATERIAL(S) � �y ��� %�i� � � to � R YmLLv � begs kom b a. �dy p� � m a � � tratn �o B. yardv psps OiHEB �iiE1.L.S Alm BOI�IGS . Oti�r �Ied m�d upuetl we0 � baring m �xapertyR ❑ Yes �] No Hav mam/t TFds weY ar bo�6g a� sealed im e000rdan� v�1h IYGru�esota Rules. (9�ptm 4725. 'Ihe 6� oo�ed in tlio �eporte 6ue to 9iehest d my IuqNedge. ���G��s011%' �5(s1/G�e ���.�� cormaedo.e� lY�ne Li�ae araey�an r:a � � a . /o �7 1J � � � %F d'' �E"�`l�lP � r�6 nrmnefl/verson saeig x�aloreor.g 2a97 R \