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AF - 45560�, City � of Fridley, Minn.. �=` � BiJILDING PEI�.MIT �o - 4 4 01 � `� � - � Date: --�-- .___.__---.._..........----------- `-`-- � .___._.------------.. Owner: � ....._......._.........._......._...._...----� ...................__-----_._...._..-•--•-�----.......... Builder �.�,-•--�.�,.�...._.._�...-•----..�.._..��..•--� �...._.._—_... Address rro. .... p..,...-� I.. %�. street Corner Lot Sewer IIevation To Used as: •�-----����'�q��-��----°-�-r-°-`--"�' .-------• �1o_.C�l.. .�.. .� .. ................... ... .. Type of Cons ction Address-�-----•�---.......-----------..._... �ILDING �-_..----._---.--.--........._ Part of Lot �!-�-.a'r.%."__-'......_............_... Addition or Sub-Division ...__...._.._....--...........-----._...-----------•---•--...-------._......_.._..-----.._. >, Inside Lot .%� ............._................. Setback ��..��...........---- Sideyard ...��. _,...��........................---............__...._.. Foundation IIevation DESCRIPTIOIV OF �UI�DING ,/ � �� P 4 6 4 v7 Front _7_/�.� Depth �...�'� Height �9..'� Sq. Ft��.�l. Cu. F����-°�� ` �, �i � � � w Front �a.'._� .Depth �'.�..I....`� Height �1�. _—�.�._. Sq. F`t. .�.. �.� Cu. F�. ��..'�C� ........_......_ ..............-� -. Est. Co�I...�OC.��...._........ To be Completed .....------�-------..._......_......-------- The �Torth 75.6 feet of �'as� 19U feet of I�ot 19, ludi.top �a Subdivi�ioa No. 129 ae measur� aloa� t,he FaBt and bTorth lines thereof. Stitbject to an easement for road, purgo�ea over the East 33.0 feet thereof and an ea.se�ent for utilit� and d�ainage oeer �he West 6.0 feet thereof, In considera.tion of the issuance to me of a permit to construct ihe building de5cribed above, I agree to do the proposed womk in accordance with the description above set forth and in compliance with all provisions of ordinances of the dty of Fridley. . � � -� �- ----__�. ._ . ��..-�� -�_—,,�....____..._._ In considerataon of the � Pa3'ment of a fee of $.��_�..., permit is herebY granted to...-----..-.----._......._.--.---------------- ...._---__....._.........._.._..._.-_-•------_..._........ to construct the building or addition as described above. This permit is granted upon the express condition 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, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation.of any of the provisions of said ardinances. _ � BUliC�lrig II1SpECtOP NOTICE: This permit does no1 cover the eonstruction, installaHon for wiring, plumbing, gas heaHng, sewer or water. Be sure to see the Building Inspeator for separete permits fo� these items. � 6 � Iond Plannin� Cund Surveryin9 Soils Testiny fivil fr Municipal En�ineermy i 1 i 370MississiPpiSt N,f. MinneoPols Zl. EN G I NEE R i�N G, I N C. Minneso% SUmei 4-6066 En�ineers � Su�vecJors certi�icate o� sutve � ' . �' � � . , T `� � s �` {� ,= �,@1 Z�° " � � 73 5��_— 5 C.�i —. /l/ a r � d � % � n ,t- . � � � � ,+' �° ;o %� � � c�� � r . ,�� �7' � 2 � I � C �. �� � i � � � �"+ +� � . n � ,� i � � � ti� '� � � r � �" � f � � 4 � �V r+ , A i� �•� :' - /�IG � ti _ .- os�. _�._..�v. _._.__..�.. _._ , _...___ ._,_.. /57eU - .� �__ �5 7� u � --_�____ _._ _� _, _ � _ � Toc� � �� =--T" 3 3, u ,�� t� . �t� t � � + l�, � 6 � �� � �: � � � � '�°� �; y � � `�� �� � � ' i I y e, � , � ;,� x r ��;, � , � z ` ` � � .� i°,; °-� 33't �j'�"''� � � Src +.,. � l � ^ � �.`. r'G"� � ' c � � ' � �•dJ w � •.5 0 <� f %, � i 'r� �. s� , . .r'v':� � ' . � '°-- .,..' �Y �� y'.. � ,'p-'i : p � �<. � / __ • ;q z -- -- -_� i The North 7506 feet of Fast 190 feet of Lot 19, Auditor�s S�nbdivision No. L29� as measured alon� the East and North lines thereof . Sub3eat to an easement for road purposes over the �'�ast 33.0 feet ihereof and an eesement for utility and dreinage over the Weat 600 feet thereof. ` /hereby �e�'fi�y ��;s � o��d ��f �ePresenfofion o�'o su�vey qi'fht ba�.,do�ies ql'�e abore a�c.cr'�6�d /and ond n�"�fi� /oc�inn o�'o// bry/din9s ,�creon , ond o// risib/e �u-ovcfimenfs , r�'am�, �rari or a� said /ond. As su�veyed � me tfiis�� 1--�by °� �� � � �� � �� �"� A'D ��`1 SUB URBAN ENGINEE2llVG , INC. �.J� �" �'a �F � �`� ' ✓ �' t En ineers Fr Surreyors , .� � �` � Z �,� � � � . �± _ �.. � +, ;��r � d � 0 � �: � �� : N . 7i : � ' m . � : ~ : o . � . � �: � : � ' {fl fi! w� QO .• � 0 � � N (n a � � � � 9 � � w ''~1i � o '� 4� � � o �� N � . o � O � : O . o . o.. �:: �o >C �! Ed N r �J O O O �� � � � � O Qa � 1 r � � 8 m c�o '� Z x � �. � � � � � o x � � � y ���� C� Gti �„a : N � �! '�d . 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St. / �l.p �.� / /7_ �' /�� ?� z.p a 0 y �./ .�. Coef. Bcu Inhltratioa c� Glass ,� � � Eap. wall Net exp. wall ,� I�►t. wall Ceiling ,p � � � Floor Z'otal Bt�a. Required sq. fe. E.D.lB. or sq. �ras. l�/.A. ��der �rea a� FI.� m � l.ength ,�/i �Jidth � � �-l�ighe � dViadows and Doors—Crack�ge r�nd 1�rea Wldth Halght No. o[ Ltaeal Yt. Area No. ot pane ot pane 11ghLa ot crack sq. f4. � � o y �D . 7-/ �� r � � , Cos¢. Etu In6ltrae�oa '�.� Gl�ss — E�p. waU ,m,�a Nee eap. wall , G Iat. wall Ceilin8 G �'loor Total �tu. I��q�aired sy. ft. E.D.l2. or aq. ias. W.A. B..eader area Fl. Itoam I Le�a�c&s �3 � �J;dth � Wendows �nd Doors-Caacks�e and Area Plldth 1Flelght 1Vo. oB Lineal 4t. Ams No. of �sne of Dane Ilgdte ot cr�ck aq. ft. lnfil�rateon � y , o Glass � Eap. wall � 1Vet ea�p. vo�al� Int. wall Cei�ing Floor i'ot�l Btu. ($ecyaaar�r� sq. Ee. 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U\ �/ �" l. LOCATIOM OF YELL• ��\' � County Nama � � Anoka Tmmahip Name TorasMp Num6e� Rei Fridley 30 0� s Nutoerieal Street Ilddress and C1ly of Wel intarsection 7342 NE Nayes, Fridley Shor e�ct location of rre11 (tn seetion g�id riLh •X•) STATE OF MINNESOTA DEPARTI�ENT OF HEALTH �`��� ABANDO(�ED 61EELL RECORD C2�����0�� �� LL MINNESOTA UNIQUE WELL N0. , (leevs btank if not knowa) iqa Numbe� Seetion No. F�actton 4. YELL DEP' 23 0� h� or k u 12 SW SW NE 80 eted) Oata aesled rc. 8-28-92 1 Locatian o� Distance from Road 5. ORILLIN6 ME'�IOD (1f kno�m) • Sketch map of well loeatlan _t. _._ .� ' � � � -' -�- '-I-�- E , , , , T . •. ti � � , ';- "; +R. .�. .:._.;... : 1 � ,� , S ►�� 1 �ri br —�---� . 2. PRpPERTY OWNER�S FIAME Nailtng Addresa if dlfferent than J i m L at h am property addreas tndlcated above xAROHE55 OF 3. FORMATiON l06 CpLpR FOpMATION FRpN If not knoxn. indicate forrmtlon log from new veil o� nea�by wall, . c�c.n�sun, � � OATA - CASIflGS REF10VE0. CASIN6S IFFICIAL ABA�Ippbgp y� ��pgp ��y p� usad fo� ProperLy Trans}e�) �94'a PILB iIITB DSBp .. TO lj$� Cabte tool 4� Rewna 7(] DMren 1� Dug 2� Hol lor Rod 5[� A1r 8[� gprad Il(] __�_ ����'YY 6Q Jstted 9� Powe� Auga� Ifel l obstn►eted 0 Yea � 610 Obatnutloas �aovad � Yea � No If obatructloas eenaot be r�oored. contut MDH baforo saellaq. � i� no�esc�e ap �,iw�ag ep x�,s �. 2Z] Irrigallon 50 Publte 9� IndusLry 3Q iest Well 8� Munlelpal i� Coameretil 7(] Air CoaditloMng 11[� 8. CASINB(S) 1� Black 4� Threaded 7� 2Lj Galr. 5[� Weldad 3L] Plastte 6[� Stalaleaa Steat , ?-� ta. to - - 7=ft. �_ �n. so __rc. 9. SCaEEd �csom�ea ..�» r� 76 re. so 80 rc. (If known) ❑ Open Nole fram _ ft. to __ }t, 10. STAT16 6 TER LEyEL 0 balor ❑ abow laad aurrau oate �rsasune 8-28-92 11. YELLHEAD COIVPLETI014 1� Pltlesa Adapte� 4� Found BuMad 2� Base�nL offset 5� 30 Walt P1t 1[�g Neae te�nt 2Q eentonita 3p srout mate�lalNt C_ mt _r� 5 c,80 rt. �,,, ya�_ ------- — — _ 13. SW OF�pp�AMINATIOIi 2 raet �oULfl die�tlae �l oor drai n t,,� Vell disiafacteA beforo aeslingp [� Yes 14. PUMP � q�pqg� (� ppt Prresent TYPe: 1(] Submeralble 30 L,S. TuMine � Reetproeating � �et 4� CentMfugal 60 15. EXISTING WELLS (pleesa skauq �Qeatiaaa oP abnndoned aad aetiw re11i ta rame�lcs seetlon o� oa batk.) Othar unuaed vnil(a) oa vropsrtY� ❑ Yes � No Abandaned: [%g Permanent � T�rary [] Not seeled . ���R ■c« wniw�crurs5 CERTIF2CATIOM TMs reil waa sealed under my jurtsdietioe and this report is true to ths beat oP my knoMledqe and balieP. Mor•k Well Co., Inc. 02133 Lleensee Buaiasaa Name Ltcense No. Addrass of � y� 5303 t_ 6��,�� HEATiNG HOUSE HEATING TEST RECORD AIR CONDITIONINd AND ELECTRIG IMC. ADDRESS '���- ��Y�S �� �� APT. FLAOR cmr ��'��"'° 3119URB OCCUPANT �- � � `��°� OWNER HEAT LOSS Dl1TE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Qae Line By TYPE OF HEAT GA FA � HW STEAM� SPACE HTR._ UNIT HTR._ OTHER (iA3 DESIGN CONVERSION MAKE �� Y�AT MAKE OF BURNER Model ��Z� ' � � � ModsO Ser(al J 9� �� O� Max. BTU Ratlnp INPUT c� O� MAKE OF FURNACE Model CONTROL3 � ` THERMOSTAT Ta � Heat Plup Varrt Siza � Valve �� KIND OF LINER /.�' � u`� g�g �/ NONE Limit ��° �' Dreft Hood � w Regulator limit setting Q� Fiftare Size I 6�2 �' �/ Number Fan Setting �°�d $ Chimnay Locatlon Insido Outslde Pllot Type 6°��' 7 e i' Chimn�y Constructlon P(lot Make � �'? � �d e � Pilot Model �� B Smoke Bomb Wlring Pilot Timing �'3 v Dreft Toat Teg l. W. Cut Off Door Pre�ure Ughting Inst. 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