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PRE 2010 DOCS0; O i Vi age of Fridley, 311=6 O �UILDING PERMT 8 8 Office ai INSPECTOR OF BUIWMGS Lot Front ��Depth Heil To be used as Permit is hereby granted to -2I ° t +- Fridley, Minn., ' I rpt ,✓ 19 LOCATION OF BUIIIDING Part of Lot the building upon the express condition that the person i the work done in, around and upon said b maces of Fridley, Minn., regarding the cc within the city limits, and this permit may ordinances. or Sub -Division OF BUILDING Stories y `"' ` Manner of Construction, To be completed 1 . Estimated Cost r' described in the above statement. This permit is granted whom it is granted, and his agents, employees and workmen, in all dlding, or any part thereof, shall conform in all respects to the ordi- astruction, alteration, maintenance, repair and moving of buildings be revoked at any time upon violation of any of the provisions of said AND SWORN STATEMENT -.-:Inspector of Buildings. In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to „do the proposed work in accordance with the description above set forth and according to the 'provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that t�e facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before n day of1�,, A.D. at Fridley, Minnesota, this ' - w.+ O IIS ISI V' a of Fridley, Minn. ING PERMIT N° 1019 Office of INSPECTOR OF BUMIMMGS :ct No. �r Lot Fridley, Minn., OF Addition"or Sub -Division OF BUILDING ,Part of Lot Front, Depth —="'? Height_ Imo_ Stories Mannerof Construction r To be used as ": -°` 11— To be completed Estimated Cost Permit is hereby granted the building upon the express condition that the person the work done in, around and upon said nances of Fridley, Minn., regarding the within the city limits, and this permit ma ordinances. to r F,"::<a-�_,e-,.tee`""• described in the above statement. This permit is granted to whom it is granted, and his agents, employees and workmen, in all wilding, or any part thereof, shall conform in all respects to the ordt- onstruction, alteration, maintenance, repair and moving of buildings r be revoked at any time upon violation of any of the provisions of said AND SWORN STATEMENT ! c- Inspector of Buildings. In consideration of the issue d delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree t do the proposed work in accordance with the description above set forth and according to t�Be provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that jthe facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before day of .:, A.] r fe at Fridley, Minnesota, . tb isP CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3. gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: ppt� 1st 3 Fixtures Con Fixtures Gas Range to 199,000 BTU AIR CONDITIONING FAN HEATING SYSTEMS RATE TOTAL Job Address 6630 McKi nlejz St _ NE $12.00 $ 7.00 $ 7.00 $ Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City C6des 7. 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 8-4-77 4.00 $ Fridley, Minn. . 19_ OWNER Leonard R. Wood $12.00 $ KIND OF BUILDING framia 4.00 $ 7.00 $ USED AS 6.00 $ TO BE COMPLETED ABOUT A-30-77 $10.00 $ 10.00 $ ESTIMATED COST _ $10.00 $ j6, V 0 f OLD - NEW BUILDING PERMIT NO. PERMIT NO. S s x"� nn a /L DESCRIPTION OF FURNACE/BURNER x $ 1.00 00 $ x $10.00 $ BEATING o POWER PLANTS Steam Bot Water Warm Air- No. VENTILATING SYSTEMS See Fee Schedule ALTERATIONS $ REPAIRS 3 State Surcharge TOTAL FEE ROUGH INSP. Date FINAL INSP. aao w APPROVAL FOR PERMIT L� $ Len=Urade Name T-pnnox Size No. G120-110 $ A/C $ HS9-261 Capacity 110M _Sq. Ft. EDR BTU BP $ .50 2 ton Total Connected Load rp 1mt . Kind of Fuel gas $ ® BURNER - Trade Name' same Size No. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP ($10.00) #3259 Alan Malley MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Company �Q Signed By G Tel. No. FRED OGT & Cc RPMG &AIR CONDITIONINL V40 Gogh= Area 929.67n, I►. to d -s @04 twnneswo 55426 97-8l,-879001 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 fd x $2.00 $ New Fixture, Old Opening � 0, Catch Basin Water at m m a 100,000 BTU to 199,000 BTU x $10.00 0 u b r c •.+ t3 m A New Ground Run Old Building .o4 +1 RJ $4 a w x $5.00 $ Heater 0 k 1i N C ^ $ Additional Fixtures E ,�.i C $4 3 O m O a CL U First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ G 4 $ .50 -.4 N .X Z 4 .� 0 -.Hi 4J0 J y N 0 .°a m ,a ro o x M 0 X Fl m u w c° to S o w v� w U w ¢ 9 c� c� O as -c R— Ist I I anetreilademenO 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING 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 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run 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. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 REINSPECTION FEE ($10.00) Job Address 6630 McKinley; NE Department of Buildings 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 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. 6-4-79 , 19 OWNER WAW IS KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 6-11-79 ESTIMATED COST OLD - NEW BUILDING PERMIT N0. PE� NO Company ��tAIINNEGAsno Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT W/ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE WELL DRILLING FOR FOUR GENERATIONS ■ ■ Refiner I sons 15688 JARVIS STREET NA/ELK RIVER, MN 55330/(612)427-6100 INCORPORATED ` I 1 Date: MARCH 21, 1990 MINNESOTA DEPARTMENT OF HEALTH 717 SE DELAWARE STREET DIVISION OF ENVIRONMENTAL HEALTH MINNEAPOLIS, MINNESOTA 55440 ATTN: Mr Jim Nye (612) 623-5339 SUBJECT: WELL ABANDONMENT SITE DIAGRAM RE: NOTIFICATION Dear Mr Nye, NORTH we II 6630 i e This letter is to notify you of a water well in your district that should be sealed according to the Water Well Construction Code MCAR §4725.2500-2900. E.H. RENNER & SONS, INC has been notified by the owner of this property or an interested party and have subsequently submitted to them an estimate for the sealing of this well under our LICENSE #71015. We have also included a copy of the current code with our estimate. In submitting our estimate, the owner may also receive additional estimates and hire any number of Minnesota licensed water well contractors in the area to seal this well. However, there is a possibility that this well may not be properly sealed and thus jeopardize the ground water and Public Health. E.H. RENNER & SONS, INC. wishes to provide you this information for future reference with the abandonment report when submitted. PROPERTY OWNER: BILL KURN PHONE # 574-9075 ADDRESS: 6630 McKINLEY FRIDLEY, MN 55422 DATE 3-20-90 LOCATION: _ SAME AS ABOVE/WELL ROOM OFF SET WELL DIA. 3" ON WEST SIDE OF HOUSE. DEPTH: (est)90' to 125' Sincerely Submitted, Raymond T. Renner, V -President E.H. RENNER & SONS, INCORPORATED STATE LICENSE #71015 CC: CITY OF FRIDLEY 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN. 55432 _- ATTN: DARREL CLARK PHONE # 571-3450 STATE OF MINNESOTA NNE DEPARTMENT OF HEALTH ABANDONED WELL RECORD 1. LOCATION OF WELL MINNESOTA UNIQUE WELL NO. (leave blank if not knmm) County Name ANOKA , Township Name Township Number Range Number Section No. Fraction 1 4. WELL DEPTH E At 4 of FRIDLEY 30 23 or 13 NESENE y 90 W S Numerical Street Address and City of Well Location or Distance from Road Intersection 6630 MCKINLEY STREET N.E. Show enact location of well (in section grid with 11•) Sketch mop of well N N MEMS 9Black Threaded 70 ®® 50 Welded 30 Plastic 1(3 Stainless Steel M®OM in. to 87 1t. 1n. to ft. MEMO well from 8 7 ft. to 90 ft. 19Screened E IWELL 4 2. PROPERTY OWNER'S NAME Mailing Address If different than BILL KUM property address indicated above 6630 MCKINLEY FRIDLEY,MN. 55432 HARDNESS OF 3. FORMATION LOG COLOR FORMATION FROM TO If not known, indicate formation log from new well or nearby well. :Y r r 0 26 26 110 110 123 eted) Date sealed it• AUGUST 8, 1990 S. DRILLING METRO (if known) P[Cable tool 40 Reverse 7C3 Driven IC Dug 20 Moilow Rod 50 Air 80 Bored 110 30 Rotary 60 Jetted g0 Power Auger 6. OBSTRUCTIONS Well obstructed 0 Yea V No Obstructions removed 0 es 0 No If obstructions cannot be removed. contact NDN before sealing. 7. USE 9 Domestic 40 Monitoring 00 Heat Loop 20 Irrigation ED Public g0 Industry 30 Test Well GD Municipal 1Cp Commercial 70 Air Conditioning 110 S. CASING(S) 9Black Threaded 70 20 Gal v. 50 Welded 30 Plastic 1(3 Stainless Steel 3 in. to 87 1t. 1n. to ft. 9. SCREEN well from 8 7 ft. to 90 ft. 19Screened ():f known) 0 Open Hole from _ ft. to _ ft. 10. STATIC WATER LEVEL _1t, lfbelow 13above $-8-90 land u ace Date Measured A 1L1LV I I -LZ / 1.J 0 11. WELLHEAD COMPLETION 10 Pltless Adapter 40 Found Buried Basement offset 50 Well Pit A. REMARKS. ELEVATION. SOURCE OF DATA - CASINGS REMOVED. CASINGS PERFORATED, ETC. 12. GROUTING INFORMATION THE GEOLOGY WAS TAKEN FROM THE WELL AT: Meat Cement 20 Bentonite 30 5 BAGS 69th AVE. N.E. Grout materialPORTLANDfrom" taSURFAiCFds_ WEST SIDE OF OLD CENTRAL AVE. NEAT AIEDTROMICS BUILDING ._ WATER LEVEL IN THE WELL ABOVE: 58.31 DATE WATER LEVEL WAS TAKEN: 5-21-84 AUG g 1990 SEALED According to MN State Regulations r!4i AA9RQ^'+4P HE1.', RV^RC Ike • ,- p.nd fa+ R-..,^nP'• -n^� W— feet R direction CITY SEWM6 Well disinfected before sealing? X Yes MAIN 14. PUMP gRemoved 0 Not Present Type: 10 Submersible 30 L.S. Turbine 0 Reciprocating Jet 40 Centrifugal GD 15. EXISTING WELLS (Please sketch locations of abandoned and active wells in remarks section or on back.) Other unused wells) on property? 0 Yes No Abandoned: 0 Permanent 0 Temporary 0 NItlealed 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. E.H. RENNER & SONS, INC.71015 Licensee Business Macro License No. Y.� SUBjECi City of Fridley 29361 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBERREv GATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/30/99 JOB ADDRESS 6630 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. lO Moore Lake Park 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Len Jordan 6630 McKinley Street NE 571-4740 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems 9199 Central Ave NE Blaine, Mn 55434 717-0700 20093688 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 12 REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Ga Reroof House & e(22 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 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 $1,885 $.94 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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 PLAN CHECK FEE TOTAL F Lice s SC $5.067.32 SIGNATURE OF CON'RACTOR OR AUTHORIZEO AGENT i0ATEj N P OP R IOATEP - ! INSo IS I$ Y - P OA TE S.GNATURE OF OWNERIIF OWNER BUILOER, iOATE, NEW I ] Effective 1/1/99 ADDN ] CITY*OF FRIDLEY <. ALTER ' SINGLE FAMELY AND DUPLEXES R-1� AND R-2 BUILDING PERMIT APPLICATION _ \ ConstructionAddress:UAM M C6 ntAJ Legal Description: Owner Name & Address: Fes! 1 :Tadd& -O Tel. # Contractor: Sta) (- d 6U6knqb MN LICENSE # Address: f �%� UnlraJ AJ e N / 6U" '5✓ Tel. # b/;- %/ %67L)D Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: 9C -P114 c� Estimated Cost: $ 1 jUft (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: A/ 14 APPLICANT:f &L6L Tel. #%Z7 6-7 (L CITY USE ONLY Permit Fee $ , ,�0 Fee Schedule on Reverse Side Fire Surcharge $-LID .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ !� STIPULATIONS: