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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT /0 Date: ........ _ . _ .... -- - ........_� ....._--...._...... ................... Owner: Address N° 42'72 Builder -... ......... _.f „s.L..r--..d Address......--------.._...._............._.._........._............_.. _._.._..._.._._..._._.._ _ __ LOCA I N OF BUILD No..... ...... Street... ._........ -- Part of Lot Lot ....................................... Block ........ .........-- --- ...... Addition or Sub -Division .......................... Corner Lot .................................... Inside Lot ..............------------------------- Setback ..... ............... ....................... Sideyard Sewer Elevation ........................... -............. _......................................... ............ Foundation Elevation ......------------ DESCRIPTION OF BUILDING To be Used as: �/,[ - / _.._...._.......-•--- •--- Front e .': Depth ` :.. Height � �.. Sq. Ft. (m._Rf_ Cu. Ft. ....-............................. -....................... Front .....-................. Depth ........................ Height ..................... Sq. Ft. .................... --- Cu. Ft....................... Type of Construction............................................................ Est. Cost........�f....:'... To be Completed .................................................. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. ® l In consideration of thea p yment 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 ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 97 - 8h -h 16o 51, CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE -SCHEDULE PLUISMING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x ro a c future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Water x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ h dl o $ 'jf+ x w $ New Ground Pun Old Building Heater .� o° Electric Water Heater x $5.00 $ GAS FITTING FEES: L g m x e x pa, a ci Additional Fixtures x $1.00 $ Gas .Range to 199,000 BTU O m O ' u a m a NW N ,G y S w w v wss0++ as lec 1st 2nd 3rd 4 th (P.) a Future Connection Opening Connected with Sewer M a New Fixture, Old Opening Water PARTIAL RATE -SCHEDULE PLUISMING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 193,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Pun Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas .Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $140.00 or fraction $2.00 $ Slate Surcharge $ .50 TOTAL FEE s-8-00 RF.I2dSPE^_TTC:7 FE,^•, Job Address --391— NR T.nngfPl 1 nw Gtroo+ Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby stakes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 6-19-78 , 19 OWNER SCOTT KIND OF BUILDING PH AXE USED AS TO BE COMPLETED ABOUT 6-26-78 ESTIMATED COST 20.00 OLD - NEW BUILDING PERMIT NO. PERMIT No. Iwo Company WiINNEGA Signed By Tel. No. ROUGH INSP. Date FINAL INSP. 3 Date ��,,fjj���� APPROVAL FOR PERMIT A_ 14INIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.5o STATE SURCHARPE Date: — MAY 29, 1967 Owner: Address City of Fridley, Minn. BUILDING PERMIT HERBERT H. FRIES Builder 391 LONGFELLOW ST. N. E. Address N9 9282 SONNY MILLER CONSTRUCTION CO. 4227 West 25th Street FRIDLEY, MINNESOTA MINNEAPOLIS, MINNESOTA 55416 LOCATION OF BUILDING No. 1391 — Street LONGFELLOW ST. N. E. -- part of Lot Lot 20 and 21Block._.._.7 --- Addition or Sub -Division — SPRING BROOK PARK ADDITION � Corner Lot _ Inside Lot -- — Setback --- Sideyard Sewer Elevation To be Used as: SIDING Type of Construction Foundation Elevation DESCRIPTION OF BUILDING Front _ _ Depth _ Height Front Depth Height _ ALUMINUM Est. Cost $ 1,900.00 Sq. Ft. Cu. Ft. Sq. Ft. Cu. Ft. To be Completed — In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance *ith all provisions of ordinances of the city of Fridley. A ,, ,17 j In consideration of the payment of a fee of $__I. 5 0 , permit is hereby granted to SONNY HILLER CONSTRUCTION CO. 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 ordinances. CLARENCE BELISLE NOTICE: This perm* does not cover the construction, tnstallaHon for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME i1y I,DER ADDRESS � �"SADDP.ESS FAN LOCATION OF BUILDING NO..� ���_STREET _IART F LOT e"'l V LOT cr BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE L 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 Ad: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq, Ft. Cu. -Ft. P V Type of Construction Estimated Cos To Be Completed 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 (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT P IT NO. City of Fridley 19449 AT THE TOP OF THE TWINS BUILDING PERMIT r � IPT 1, It. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE ` I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY •---� •j L 612-571-3450 910415 5/6/88 JOB ADDRESS 391 Longfellow Street N. E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20-21 7 Spring EXIM Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elaine Scott 391 Longfellow Street N.E. 784-0292 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121 x 12' Three Season Porch Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See plans for notations A R N I,� SEPARATEf3et�;r€^ c1iging call local utilities PERMITS REQUIRED V�IRIHG HEATING, -�..L��HONE - ELECTRIC - GAS Fte. a PLUMBINGAN �R REQUIRED BY LAW ® SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $4,000 $2.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $63.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $65.00 S TUREOFCONTRACT OR AUTHORIZEDAGENT (DATE) WHEN PROPERLY V ED THI IS YOUR PERMIT AS SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP TE NEW I l ADDN [ ALTER [ Construction Address Legal Description:_ Owner Name & Address Contractor: �?q City of Fridley Effective 5/1/88 R-1 AND R-2 Building Permit Application Address: —3 '? / 27 , - -J 7 - - '1/ Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF IMPROVE KW LIVING AREA; Length Width Height Sg. Ft. GARAGE AREA: Length Width Height Sg. Ft. DECK AREA: Length Width Hgt/Ground Sg. Ft. mss: � � 6� �.� 2� ►t z , `� Rcsj,,JL(-C 16 Oorner Lot I I inside Lot"R Ft. �Yd�Setba 3 -;;LW Yard Se ks Type of Construction: Estimated Cost: $ 600. (fid Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page DME: APPLICANT: ,« M r 0 11W4 Tel. # Permit Flee $—(.,-&t 30 Flee Schedule on Reverse Side State Surcharge 5 $.50/51,000 Valuation SAC Charge $ $550 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Flee $ Flee Determined by Engineering Sewer Main Charge $ Agreement Necessary I I Not Necessary [ TOTAL STIPULATIONS: 4©6 0 7 U E c WT, BLOCK ADD. Property Dine SIM a� VALUATION f/ 4t5 4C TYPE �► r 48 dc House Front .._..._............ opert�...Lim....... _..... _........ _ *A0, 04'r dam"03 ow WO I 7-a i * u C jet, cpww4jc 'r.4eS 75P 49044 0.51 _ AA/ 0 A/,0 7" rc Or Omr €4�% �► r 48 dc House Front .._..._............ opert�...Lim....... _..... _........ _ q��,, �,�_ STATE OF MINNESOTA DEPARTMENT OF HEALTH L ABANDONED WELL RECORD 1. LOCATION OF YELL• MINNESOTA ank UNIQUE UEnot WELLknown1 3 NO. P7� r� Q County Naar Anoka (leave11 Township Rama Township Number Range Mummer Section No. Fraction 4. WELL OEM (completed) Date sealed N E y h of y Fridley 30 Sr 24 Wr 03 NE SE SW 3 f`' ao I `� Numerical Street Address and City of Well Location or Distance from Road S. OkILLING METH00 (if known) IntersectionCable tool 4❑ Rover" 70 Driven 100 Dug 391 Longfellow N.E. Fridley, Mn. 55432 2❑ ilowRod So Air 80 Bored 110 Showexact location of well 30 Rotary 6❑ Jetted 90 Power Auger • (in section grid with •X•) Sketch map of well location 6. OBSTRUCTIONS N Wall bat ted Y M � S - t—� 1 w 2. PROPERTY OWNER'S RAVE Mailing Address if different than property address indicated above Elaine Scott SAME HARDNESS OF 3. FORMATION LOG COLOR FORMATION FROM TO If not known. indicate formation log from new well or nearby well. Drift 0 34' 16. REMARKS. ELEVATION. SOURCE OF DATA - CASINGS REMOVED. CASINOS ORATED, ETC. Grout 3" Well Approx. 34' Deep 2 Bags Cement 4 Lbs. Bentonite 2 Men, Labor, Rig and Cement Grout Pump OFFICIAL ABANDONED WELL RECORD (Nay be used for Property Transfer) ZROPGRINW8 VIM A0I18 4110 7OAir Conditioning ll❑ 8. Cos NB(S) Black 4 raded 70 20 8aly. ��5❑"""�Oo Melded 30 Plastic 60 Stainless Stat 3 /n. to 30 ft. In. to "_ft. 9. SCREEN M Screwed wel l from30 ft. to n. • � (If known) ❑ Opo Hole from _ ft. to _ ft. P 10. STAT PATER it. briar ❑ above and iveface Date Measured 11. WELLHEAD COMPLETION 1❑ Pities Adapter 40 Found Buried Basement offset 5❑ Well Pit 12. ZING INFORMATION Haat Cement 20 Batonite 30 material from&to ft. cu. yds 13. NEAREST SOURCES OF CONTAMINATION fat direction type Wall disinfected before aa11ug7 ❑ Ya 14. PIMP ❑ RemovedMot t Types 10 Submersible L.S. Turbine Reciprocating 20 Jet 40 Centrifugal 60 1S. EXISTING WELLS (pies" sketch locations of abandoned and active wells to remarks sec on or on back.) Other unus wil(s) on property? ❑ Yes 17110 Abandoned: Permanent ❑ Temporary ❑ mn naiad 17. WATER WELL CONTRACTORS CERTIFICATION This well was sealed under my jurisdiction and this report is true to the best of my knowledge and belief. DON STODOLA WELL DRILLING CO., INC. Lions" Business Mame tie"" ft. 27172' c Address Mi etonka MN. 5345 Signed Date 1-20-92 MarK U. a Dake I -M-97, Nama of Driller o ruc ❑ as W Obstructions removed a ❑ No If obstructions cannot be rewswo Contact MEN E T T before soling. 7. E k Demotic 413MDnitoHug Hot loop G� 213 Irrigation 5❑ Public 9Q industry O!1 t° 30 Test Wil 6❑ Municipal 10❑ CeserCial � S - t—� 1 w 2. PROPERTY OWNER'S RAVE Mailing Address if different than property address indicated above Elaine Scott SAME HARDNESS OF 3. FORMATION LOG COLOR FORMATION FROM TO If not known. indicate formation log from new well or nearby well. Drift 0 34' 16. REMARKS. ELEVATION. SOURCE OF DATA - CASINGS REMOVED. CASINOS ORATED, ETC. Grout 3" Well Approx. 34' Deep 2 Bags Cement 4 Lbs. Bentonite 2 Men, Labor, Rig and Cement Grout Pump OFFICIAL ABANDONED WELL RECORD (Nay be used for Property Transfer) ZROPGRINW8 VIM A0I18 4110 7OAir Conditioning ll❑ 8. Cos NB(S) Black 4 raded 70 20 8aly. ��5❑"""�Oo Melded 30 Plastic 60 Stainless Stat 3 /n. to 30 ft. In. to "_ft. 9. SCREEN M Screwed wel l from30 ft. to n. • � (If known) ❑ Opo Hole from _ ft. to _ ft. P 10. STAT PATER it. briar ❑ above and iveface Date Measured 11. WELLHEAD COMPLETION 1❑ Pities Adapter 40 Found Buried Basement offset 5❑ Well Pit 12. ZING INFORMATION Haat Cement 20 Batonite 30 material from&to ft. cu. yds 13. NEAREST SOURCES OF CONTAMINATION fat direction type Wall disinfected before aa11ug7 ❑ Ya 14. PIMP ❑ RemovedMot t Types 10 Submersible L.S. Turbine Reciprocating 20 Jet 40 Centrifugal 60 1S. EXISTING WELLS (pies" sketch locations of abandoned and active wells to remarks sec on or on back.) Other unus wil(s) on property? ❑ Yes 17110 Abandoned: Permanent ❑ Temporary ❑ mn naiad 17. WATER WELL CONTRACTORS CERTIFICATION This well was sealed under my jurisdiction and this report is true to the best of my knowledge and belief. DON STODOLA WELL DRILLING CO., INC. Lions" Business Mame tie"" ft. 27172' c Address Mi etonka MN. 5345 Signed Date 1-20-92 MarK U. a Dake I -M-97, Nama of Driller