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PRE 2010 DOCSVMage of FrIdleyq NUmn. BUHMING PERXff 321 ii Office of INSPECTOR OF BUILDINGS Ownerti J Architect Frid!ey, Minn., Builder_ CATION OF B LO. 47' a of 4. 4 '�tm'7y 0, " NO. Street, of Lot— e Lot Block— Addition or Sub -Division DESCRIPTION OF BUILDUM '4 , Height Stories Front—, Depth' Manner of Construction To be used as To be completed Estimated Cost. J'� Permit Is heroby granted to �4 the building_ 11' . described in the above statement. This permit is granted upon the expr ss condition that the pe','@Ion to whom it is granted, and his agents, employees and workmen, in all V the work don ,� in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fr . ley, Minn., regarding the construction, alteration, maintenance, repairyand moving of buildings within the cit, limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. J X, 12,1' 1,,Inspector of Buildings. ii AGREEMENT AND SWORN STATEMENT 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 vAth the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hebystate and say that the facts stated by me and contained in the above permit are true as the'�einstated. Subscribed and sworn to before me at Fridley, Minnesota, this -V day of A.D., 19 — 4,-) Village of Fridley, Minn. B�ITHDU%TG PERMIT N® 458 Office of INSPECTOR OF BUILDINGS Owner .. 'u;,ry s"� „yq 'i 4 �' s' Y �•c.'iacc... '� _, �.t-T t'�,✓�: �i`� � "°R Architect Fridley, Minn., 19 LOCATION OF BUDDING a, , a ►. Street Part of Lot t Block Addition or Sub -Division DESCRIPTION OF BUILDING Front Depth Height Stories 41 Manner of Construction To be used as, : pr To be completed--L- Permit ompleted ';� Estimated Cost`=" 54 .,a .Permit is hereby granted to the building a a'"°Y- described in the above statement. This permit is granted upon the expre s condition that the person to whom it is granted, and his agents, employees and workmen, in all the work donein, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the citvh'I ii limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. __ AGREEMENT AND SWORN STATEMENT In const eration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above p rmit, 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 heipby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota, this day of ``{ = A.D- 1%1:.-_-L U VMage of FrIdleyq Hium BUILDING PFJLUW 1778 Office of INSPECTOR OF BUILDINGS Owner d - Architect — Fridley, Minn., -- II Builder it LOCATION OF BUILDING street. Of Lot LotBlock_ Addition or Sub -Division Il DESCRIPTION OF BUILDING Front (D'epth—� Height ----L— Stories ­7.r Manner of construction To be used as. To be completed .,! Estimated Cost —L" -L III -7 Permit Is hereby granted to to, L II the building ---4described in the above statement. This permit Is granted e I upon the exprss condition that the person to whom it is granted,. and his agents, employees and workmen, In an the work done in, around and upon said building, or any part thereof, shall conform In all respects to the ordi- nances of FrOey, Minn., regarding the 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. U Inspector of Buildings. AGREEMENT AND SWORN STATEMENT 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 f�rth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the, above permit are true as therein stated. NA, Subscribed and sworn to before me at Fridley, Minnespt% _this A.D. 19- day City of Fridley, Minn. WELDING PERMIT N® 3595 Date: ... ...................... Owner` ... Builder ...... ..... .............. Address 44:: 1- ... .. ......... Address ............................................. 1� ' ® LOCATION OF BUILDING No. 0? /. Street ... 6.6e,.. .... . 0.� .. Part of Lot .. . . Lot ...1! ....... Block / _®�P 05.10.. ................. Addition or Sub -Division LTJ• ../�i.GrP... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ............................ DESCRIPTION OF BUILDING To�Usedate ng Front . Depth ...... Height .. i . Sq. F't. � Cu. Ft .. ... 7-44A�4� !-0� �: Depth ,/..�. �p Height s �.� �Sq. Ft.. !..�.. Cu, Ft. �/� Type of Construction ................... liist. Cost..................... To be Completed ..............:.... 4 - In consider. on of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance all pro ions of ordinances of the city of Fridley. S...... .......... ............ In consideration of the payment 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 bas 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ®� NOTICE: This permit does not cover the construction, Installation or alteration for wiring, 1 sewer or water. Be sure to see the Building Inspector for separate permits for these :..� Building City of Fridley, Minn. BUILDING PERMIT N® 4188 Date: _...__ _.._._. /---__ _� __..._...._..-•--•_.-- Owner: ± G ..._.._.. ...... =r Qom ................ --. Builder .................. _...__........ Address..... ........ ... _...... _ ..«.._._.___.._.__.._...__ ... __... Address ................ ......... ........... ._. _.._.......... __...__ ___.._._.__.«._.._.._..._ � // I LOCATION OF BUILDING NO...(-.J'-�/_.. Street _..._ _:..._........................ ----------------- - -- - --------------------- . ........... . Part of Lot Lot-.._ ...................... -........ Block ..... -............ .............. _....... .......... Addition or Sub -Division .... ..................... Corner Lot .................................... Inside Lot ..... _................................ Setback ....................... .......... ......... Sideyard Sewer Elevation ..... . ............................ _....... _...._..................................................... Foundation Elevation . ................ DESCRIPTION OF BUILDING j To be Used as: '(� �......._..... - . Front .............. --.. e Depth ...................._.. 4 Height ................. 4* Sq' Ft. ...-- � -.. Cu. Ft. ................... ... _......._............. Front ...'.._� Depth C) Height Sq. Ft. .p Cu. Ft. ...+ Ar .................. . C -C` Type of Construction............................................................ Est. Cost.....�..W...................... 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 compli with provisions of ordinances of the city of Fridley. /'v f In consideration of the payment of a fee of $ .fid..... �z ...:..., 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. i' APPLICATION• FOR BUILDING PERMIT J CITY.,OF FRIDLEY, MINNESOTA Owners Name ` = Builder 1�® Address Address LOCATION OF BUILDING No. Street Part of Lot Lot ^^' Block Addition..or. Sub.Div. Corner -Lot Inside Lot Set Back Side -Yard SEWER, ELEVATION Ae FOUNDATION ELEVATION Applicant attach to this form Certificate of,.Survey of Lot and.proposed building location. DESCRIPTION OF BUILDING To be used as: - Front Depth Height Sq. Ft. Cu. Ft. _ ontDepth Height Sq. Ft._j � .? .Cu. Ft. Type of Construction ® C, Estimated Cost To be completed om &L�, 'C, The undersigned hereby makes application for a permit for the work herein specified, agreeing to.,do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all'the.facts and representa- tionsstate in th's application are true and corr ct. DATEa SIGNATURE g. (A Schec}nle of Fee costs can be found on the Reverse Side.) 1 City of Fridley, Minn.. BUILDING PERMIT X® 4442 Owner: filtw -1----_--- Builder . . ....... aecxe) Addressb Address - . _ i o _ =--- _ LO M.--ec F BUILDING No.......�i_.�Street _ _--- . ....._ Part of Lot Lot ...................---.........--.... Block ................................... I............... Addition or Sub -Division Corner Lot .................................... Inside Lot .................... - ....... _........ Setback ............................ ............ Sideyard Sewer Elevation ..... ............................. --........-----------------------------------..._.............. Foundation Elevation ................. DESCRIPTION OF BUILDING To be Used _.......... .._° Front ....._..... -.._.. Depth ....................... Height .....-................. Sq. Ft. ......... ...... .._.. Cu. Ft. .... -................ - ........._.............- Front ...................... Depth ........... Heig/h�t ........................ Sq. Ft. .................... ... Cu. Ft. ..... -................. y7l Type of Construction.......................................................... Est. cost... .4AQ..40._6..iy To be Completed ................................................. 7 THIS PERMIT DOES NOT ADTHORID COVENANTS AND ION Y PRIVATE LAN OF BML RESTRICTIONS In consideration of the issuance to me of a permit to construct °buil ' esc 'bed above, I agree to do the proposed work in accordance with the description above set i an fud wiu,all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of......x................... permit is hereby granted to.....- . ...... ............. ......... . o....._ .._..........._...._._...._.......- ............. 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 violaof any of the provisions of said n 6I ordinances. '_-' 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. 4 APPLICATION FOR BUILDING PERMIT . CITY OF FRIDLEY, MINNESOTA Owners Namee-_ Builder , AddressAddress /,-/ LOCATION OF BUILDING. No. �/ Street.( \�� e-� Part of Lot Lot Block Addition or Sub.Div. Corner.Lot Inside Lot Set Back " Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be'. used as Front Depth Height ` , • . . Sq. Ft. Cu. Ft. Front Depth Height: Sq. Ft, Cu. Ft. Type of ConstructionEstimated Cost,C0 To be completed 4 1 4? / c The undersigned hereby makes application fora permit for.the work herein specified, agreeing to do all work in strict accordance 'with the City .Ordinances and ruling of the Department of Buildings, and hereby declares.-, t all the. facts esenta tions stat d in t s application are .true and"co DATE SIGNATURE _ (A Schede e of Fee costs can be found on a Revers de. m / / SUBJECT PE IT NO. City of Fridley 1 17917 AT THE TOP OF THE TWINS BUILDING PERMIT Ir � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. o 1 � � ">;•j CITY HALL FRIDLEY 55432 REV. DATE PAGE OF APPROVED BY L 612-571-3450 [NUMBER 910-F15 4/19/85 JOB ADDRESS 6850 Siverts Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt. Tract C RLS #3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Finde.11 6850 Siverts. Lane N.E. 571-0467 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 x❑ B DESCRIBE WORK Construct a 101 x 161 Addition to Dvelling and a 321 x 334 Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. WARNIN(; SEPARATE PERMITS REQUIRED FOR Before digging call local utilities WIRING, HEATING, PLUMBING AND :SIGN.Sy TELEPHONE - ELECTRIC. GAS Etc. REQUIRED By LAW 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 $21'1750 $10.88 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- $152.50 None STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $ 38.13 $201.51 TOR OR AUTHORIZED AGENT IDATErf WHEN PROPERLYIS YOUR.P RMIT XSa1TUREOFCONTRA BLDG INSP OA AU RE OF OWN RII OWNER BUILDERI. IDATE) / / NEW [ ] City of Fridley Effective 4/1/84 ADDN. t R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: v�S (nr�� Pyr Legal Dez scription.: 7-9+e—,r L � Owner Name 6 Address: 6 0 N4- Tel. # Contractor: S L Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT a 23 � � s, 3 r LIVING AREA: Length �i® Width �� Height Sq. Ft. l� GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [9g 1 Ft. Yd. Setback /75 Side Yard Setback �`?` Type of Construction: r-'e+f +F?- - s c,'*d ®'�° `�` '� Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation -(6 �® V/6 DATE: APPLICANT: Tel. # / Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS• CITY USE ONLY $® Fee Schedule on Reverse Side $i ��► 3 25% of Building Permit Fee $ DC7, g� $.50/$1,000 Valuation $ $425 per SAC Unit $, Fee Determined by Engineering �I Agreement Necessary [ ] Not Necessary [ ] 'to L51 KURTH SURVEYING, INC. ,ISON ST. N.E. HEIGHTS 55421 ItRTIFY THAT THIS SURVEY. PLAN, OR, REPORT WAS PREPARED MY ME OR UNDER MY DIRECT SU► A A DULY REDISTERK0 LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. 4 s G,AS arms l CES (u.ros p) 'i 1 `l -i` DATE -F- : Xultrptw- 1• •r _ T m TricLEPN0�1C' „ SCALE 1 SOT REGISTRATION X83 e 7��) NO. 5332 4 r'd�o°P ch'. ti 4. D� y4RT,` ,- wee Nny� , 1 2y N Two ZV 14 - • • =IRON MONI (R� = RV-,CoKb D%6% .. �c,� = c.Ot�lpl�"CE'b btsrr-A�lc a Fb�1KDA-ctot� LOCA"C'te rl 1 � J'1% Ict 4r�'� i O u• �; '„ IC �` i -•� / 1 �r .00. + � NCT vf l _ I S-rpRY qME E M �R 140 ,' `' qrafill I p4 O Z I� 4{ < it k1 � Qkw 4-4 1 tz ,r r r 6' 9-g \U . - //, r 0 t� - ti 4 _+- T rn T 1 * + + r - - /7� ILF i ii Al 7 r TO P1411; RAL 6.0 Tom' Svr At a D t /,6ntor Cts - M�ztts 'g, E F' _ 3 �few r - T - - _ TF +- ----- ------- 44 -= - - }t 1 1 r�- - i - T 1 }# � � O r, J n°ti 44 E_ - '�' l,l �fi s dj 7a ILI mw 41 qL 0 to , 1 F � I I i f�C�L rl t � o ate. � 1C I � n s CITYOF FRIDLEY CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450 April 22, 1985 Mr. & Mrs. Donald Findell 6850 Siverts Lane N.E. Fridley, MN 55432 Dear Donald and Zofija Findell: This letter is being sent to inform you of the City of Fridley's POSSIBLE interest in acquiring your property at 7890 Broad Avenue N.E., as part of the Riverview Heights Park Acquisition/Development Project. The City is in the process of applying for 1985 grant monies. These funds Would enable us to purchase land in the flood plain for park purposes. This is a continuation of a process which began in 1983 which resulted in the City purchasing two other homes in your immediate area. If the City does acquire your home, it would be on a voluntary basis. As a displaced party you may be entitled to relocation benefits. In order to determine your feelings about this effort and to ascertain what relocation benefits you may be entitled to, I have engaged a relocation consultant. A Mr. Jack Bagley will be calling you soon to set up an appointment to discuss this proposal. I want to emphasize that our continued interest in your property is contingent upon receiving the aforementioned grant. We will not know if our application is successful until some time in October, 1985. If you have any questions regarding this inquiry please do not hesitate to contact me at 571-3450. Tours truly, James R. Robinson Planning Coordinator JLR/de 3/5/19/7 C-85-85 cc: Jack Bagley E CITY F CIii Ol FMDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-34.50 June 3, 1986 Donald and Julie Findell 6850 Siverts Lane N.E. Fridley, M 55432 RE: Non -Compliance of the Fridley City Code at 6634 Central Avenue N.E. Dear Mr. and Mrs. Findell: On May 23, 1986 it was confirmed by an on-site inspection that your property at 6634 Central Avenue N.E. aces not meet the minimura standaras necessary to maintain a pleasant and prosperous suburban environment. Wnile major cone requirements are satisfied, the following item does not comply with the performance stanaards of the City Code: 1. 2 refrigerators, 10 tires, old stereo cabinet, 2 car seats and wooden tranes stores in the year and sine yards. 2. Weeds growing along fence. 3. Blue 1974 Cadillac with expired license CEB 506 registered to Leo Holscher. 4. Orange 1975 VW with expired license AUW 329 registered to Emory Solie. 5. Blue 1967 Buick with expired license DKE 418 registered to Vernon Jonnson. 6. Brown 1970 Chevy with expired license APR 525 registered to Donald Findell. 7. Blue 1972 Ford Torino with expired license BCH 535 registered to Donalu Findell. Please dispose of the above items properly. The vehicles should be licenses, street operable and parked in a proper location. I uncerstand that there ray have been some extenuating circumstances for this to have occurred, however, your quick action to correct this situation would be a great improvement for your property and the entire community as well. An inspection will be conducted on or about June 16, 1986 to determine compliance. If you have any questions or concerns, please feel free to contact me at the Fridley Civic Center, 571-3450. Sincerely, Richard W. Wiersma Code Enf or cement WW/sk C-86-240 GNOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 June 18, 1986 Donald and Julie Findell 6850 Siverts Lane N.E. Fridley, MN 55432 RE: Second Notice of Non-Canpliance of the Fridley City Code at 6634 Central Avenue N. E. Dear Mr. and Mrs. Findell: On June 13, 1986 a second inspection of your property at 6634 Central Avenue N.E. revealed that it still does not comply with the performance standards established within the City Code. Rhe following items still do not comply with the City Code: 1. Tao refrigerators, tires, wooden box or cabinet, two car seats and wood frames stored on the premises. 2. Weeds growing along fence. 3. Blue 1974 Cadillac with expired license CEB 506 registered to Leo Holscher. 4. Orange 1975 VW with expired license AUW 329 registered to Emory Solie. 5. Silver Chevy Monza with expired license ALV 834 registered to Patti Parks. 6. Brown 1970 Chevy with expired license APR 525 registered to Donald Findell. 7. Blue 1972 Ford Torino with expired license BCH 535 registered to Donald Findell. 8. Blue AMC Hornet WAgon with expired license BRT 987 registered to Amanda Peterson. Regardless of extenuating circumstances, this situation must be corrected promptly to maintain a pleasant and healthy environment. A third inspection will be conducted on or about June 30, 1986 at which time it is expected that these items will be in compliance. If corrective action cannot be completed by this time, please submit a schedule indicating when this deficiency will be corrected. Should a third notice be necessary, and you have not contacted me, I will submit all records regarding this matter to the City Council who can approve legal action. .. - kl�, C[1YOF FRIDLEY _ CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (612)571-3450 July 7. 1986 Donald and Julie Findell 6850 Siverts Lane N.E. Fridley, MV 55432 RE: Final Notice of Non-Comfliance of the Fridley City Code at 6634 Central Avenue N. E. Dear Mr. and Ms. Findell: On June 30, 1986 a third inspection of your property at 6634 Central Avenue N. E. oonf irmed that the following items still do not comply with the City Code: 1. Two refrigerators, tires, tarp, branches, wooden cabinet, two cars, seats, and wooden frames stored on premises. 2. Weeds growing along fence. 3. Blue 1974 Cadillac with expired license LEB 506 registered to Leo Holscher. I understand this is being used as evidence for an accident. 4. Orange 1975 VW with expired license AUW 329 registered to Emory Solie. 5. Blue 1972 Ford Torino with expired license BCH 535 registered to Donald Findell. 6. Blue AMC Hornet Wagon with expired license BRT 987 registered to Amanda Peterson. A fourth inspection will be conducted on or about July 21, 1986, or complete an approved plan for oompliance before that date. Should this inspection confirm that these deficiencies still exist, legal action will be approved. If corrective action cannot be completed by this time, 'contact me to coordinate a schedule to complete this requirement. If you have any questions regarding this matter, please contact me at the Fridley Civic Center, 571-3450. i4 , Sincerely, Richard W. Wiersna Code Enforoement RPM/ln C-86-288 3/21/95 TO: John, City of Fridley RE: Sod Borings Finders, 6850 ShwW bane FROM: Peter M'lli er 333 East Main Street P.O. Box 388 Elk River, MN 55330 (612) 441-7509 (800) 554-7509 Fax: (612) 441-9176 John, I completed two sod borings at the Findell residence and the profile descriptions are enclosed. What follows is a brief overview of the sods found on the properly and general evaluation of 1he she for the pressed 1m3ett- The sods are representative of outwash sands found on the Anoka SandplanL The Sane sand textures are common for the Zimmerman Series. Sods of this series are well drained having a water table deeper than ten feet. These sols have a good bearing capacity for foundations. They have low volume changes with changes in moisture and have a low susceptibi1it' y to frost heaving As you can see Zimmerman sods are very stable and have proven to work well with foundations and footings. Kyou have any furkher questions feel free to give me a call. cm-ly, Peter Amer Sod Scientist 333 East Main Street P.O. Box 388 Elk River, MN 55330 e (612) 441-7509 d S1fSTEMS (800) 554-7509 ECOSYSTEMS ENGINEERING, INC. Fax: (612) 441-9176 LOG OF SOIL BORINGS PROJECT FOR: LAST NAME#FINDELL FIRST NAME#DON & JULIE ADDRESS#6850 SIVERTS LANE CITY#FRIDLEY MN LEGAL DESCRIPTION OF PROJECT 40CATION3 BORINGS PERFORMED BY#PETER MILLER DATE OF BORINGS#03-21-95 TYPE OF AUGER USED#4" HAND DEPTH OF BORING#96" MOTTLED SOIL FOUND AT#NO BORING FINDINGS# FILE NUMBER# S95CO22 BORING # 2 CLASSIFICATION SYSTEM#USDA—SCS WATER TABLE FOUND AT#NO 00-05" BLACK (10YR 2/1) LOAMY FINE SAND 05-64" DdARK BROWN (10YR 3/3) FINE SAND 64-80" BROWN (10YR 413) FINE SAND 80-88" LIGHT YELLOWISH BROWN (10YR 6/4) FINE SAND 88-96" YELLOWISH BROWN (10YR 5/6) VERY FINE SAND INFORMATION IS CONSIDERED TRUE AND ACCURATE. DATEa03-21-95 PETER MILLER MN. STATE CERTIFIED SITE EVALUATOR CERTIFICATION # 2341 333 East Main Street P.O. Box 388 Elk River, MN 55330 (612)441-7509 (800) 554-7509 Fax: (612) 441-9176 LOG OF SOIL BORINGS PROJECT FOR: LAST NAME:FINDELL FIRST NAME:DON & JULIE ADDRESS:6850 SIVERTS LANE CITY:FRIDLEY MN LEGAL DESCRIPTION OF PROJECT LOCATION: BORINGS PERFORMED BY:PETER MILLER DATE OF BORINGS:03-21-95 TYPE OF AUGER USED:4" HAND DEPTH OF BORING:90" MOTTLED SOIL FOUND AT:NO BORING FINDINGS: FILE NUMBERS S95CO22 BORING # 1 CLASSIFICATION SYSTEM:USDA—SCS WATER TABLE FOUND AT:NO 00-04" BLACK (10YR 2/1) LOAMY FINE SAND 04-54" BROWN (10YR 4/3) FINE SAND 54-66" DARK YELLOWISH BROWN (10YR 4/4) FINE SAND 66-90" LIGHT YELLOWISH BROWN (10YR 6/4) FINE SAND DARK BROWN (10YR 3/3) ORTSTEINS STARTING AT 80" INFORMATION IS CONSIDERED TRUE AND ACCURATE. DATE:03-21-95 PETER MILLER MN. STATE CERTIFIED SITE EVALUATOR CERTIFICATION # 2341 1 SUBJECT City of Fridley ' 232' AT THE TOP OF THE TWINS BUILDING PERMIT `�2 r � IPT NO. • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.1379 r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Of APPROVED BY 612-571-3450 910-F15 14/18/95 JOB ADDRESS 6850 Siverts Lane NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. pt • Tract I RLS #3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Findell 6850 Siverts Lane NE 571-0467 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. CastleBrook Construction 3945 169 Ln NW, Andover MN 55304 753-4446 9262 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 l ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct second story; interior alterations; add turret 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations 454-0002 REQUIRED BY LAW, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 ND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING IS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SP CIFIE HER N OR OT. TH GRANTING OF A PERMIT $79,590 $39.80 DOES OT RESU E TO GIVE UTHO ITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROV IONS F Y O ER ATE AV REGULATING CON- S U TION R T E NCE' FCO TRUCTION $549.50 Fire SC $79.59 PLAN CHECK FEE TOTALFEE License SC $5.00 $673.89 SIG TUREOFC ITRACTOR OR AUTHORIZE AGENT MATEi WHEN PROPE VALIDATED THIS IS YOUR PERMIT - BLbG INSP DAT SIGNATURE OF OWNER pF OWNER BUILDER) (DATEi 1 NEW ( J Effective 1/ 1/95 ADDN CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Is-(() k' titT LAA-) Legal Description: Owner Name & Address: _ 17 a A / 1� fz (— Tel. O Y6 2— Contractor: C A 5 4- I t � Vcl cz 1 C (6 � 5 +--t' c� i ofj MN LICENSE # f' 6 Address: 3 11l 5-- / % f '-'- �-co cA e /`9 %--tJ a, 4 G o c V- Tel. # '76- 3 ' y V YG Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 'r6'0 c)1� © acs ` LIVMG AREA: Length Width 2i, U Height Sq. Ft. /6�o _ �y GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ?ego 8 e P/cue. r - Estimated Cost: $ Approx. Completion Date: e- ig 1 c ynA'-/ - (Cost on B ck) _; Driveway Curb Cut Width Needed: F + 6 = Ft = $ DATE: 7- /(- APPLICANT: Tel. # i 5^ 3 - CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ 2b, $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 E49-:11cering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: V CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 EffectIvQ,On•JaMuary.1;1995 .. APPLICATION FOR PLUMBING AND.'GAS FITTING PERMIT; MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Water Stories Closet :Urinal RATE Tutt' ;Shower New Fixtures � Wash Irt„ Trayi'.._ , _ Floor Drain Washer WWI Gas Misc. ' Ran a 1~ixt�a 4�, Water Hater. Gas Elec. Basement �� .: � � Blow Off Basin : � INi,,lq $ 7.00 Rain Water Leader $ 7.00 Floor 1in Floor 2 $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas go ��� Vas Floor Floor 4 ryer �`®p0 $10.00 Back Flow Preventer Required { )Yes {) No Type PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures � $ 7.00 f d Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas go ��� Vas $10.00 $10.00 ryer �`®p0 $10.00 Back Flow Preventer Required { )Yes {) No Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE $ 71 s� JOB ADDRESS The undersigned hereby -makes application fora permit.for.the work -herein specified agreeing -to do. ail work in strict accordance with- the city codes.. and rulings of the Building Division, and hereby declares that all the facts and representations statedin this applicaticn:are•true and correct. ,1995 '. Owner ���� ''�'� �� r a dam. �� 1o Building Used As Estimated Cost PERMIT NO,. PLUMBING COMPANY . SIGNED BY %�t�%/ / K� .� • TEL N0.. Approved By Rough—in DateFinal D•ate� MINIMUM FEE FO ANY PLUMBING GAS PERMIT • IS. $15.00 .. ! V� PLUS THE $.50 .STATE SURCHARGE �� 0 UTILITY AND DRAINAGE EASEMENT THIS EASEMENT is made and granted this 13'' day of October 1999, by and between Donald H. and Julie Findell, husband and wife, Donald H. Findell husband to Julie Findell and Julie Findell wife of Donald H. Findell, owners of the property at 6850 Siverts Lane, City of Fridley, County of Anoka, State of Minnesota, (the "Grantor"), and the City of Fridley, a public body corporate and politic, located at 6431 University Avenue NE, City of Fridley, County of Anoka, State of Minnesota, (the "Grantee"). RECITALS The parties recite and declare: A. The Grantor is the owner of certain real property commonly known as 6850 Siverts Lane, City of Fridley, County of Anoka, State of Minnesota, and more specifically described as: Tracts C and F, Registered Land Survey Number 3, according to RLS thereof on file in the office of the Registrar of Titles in and for said County of Anoka, State of Minnesota. (hereinafter called the "Servient Property") B. The parties hereto have determined that it is in their best interests for the Grantor to grant and the Grantee to accept easements for surface water drainage and for utility purposes in, over and across that portion of the Servient Property described as follows" The North 10.00 of that part of Tract C, lying westerly of Tract F, all in Registered Land Survey No. 3, Anoka County, Minnesota (the "Easement Tract") The parties hereto mutually agree as follows: 1. Grantor hereby conveys and quit claims to the grantee perpetual, exclusive easements, under, and across the Easement Tract for the sole purposes of sanitary sewer installation, maintenance, repair, replacement and operation thereof. 2. The Grantee, or its representatives, shall have the right of free access to the Easement Tract for the purpose of the installation, maintenance, repair and replacement of items described above. 3. The Grantee agrees that the Easement Tract shall be used in a manner as not to cause any damage or destruction of any nature whatsoever to, or the interruption of the use 'of, adjoining lands owned by the Grantor and others. 4. The Grantee agrees that the Grantor shall have the right to grant other easements in over, under, and across the easement tract; provided, however, that any such other easements shall be subject to the easement hereby granted; and provided, further, that the Grantee shall have first consented in writing to the terms, nature, and location of any other such easements which consent shall not be unreasonably withheld or delayed. It shall be deemed unreasonable not to consent to any grant, which does not interfere with the rights granted under this Utility and Drainage Easement. 6. The Grantor hereby reserves the right to modify and change the location of the Easement Trac6 providing that such relocated Easement Tract shall be in the same character and subject to the same uses as herein described in favor of the Grantee and equally suitable for the purposes pursuant to which these easements were created. 7. All rights, title, and privileges herein granted including all benefits and burden shall run with the land and shall be binding upon and insure to the benefit of the parties hereto, their respective successors and assigns. 8. The easements granted herein shall not be deemed a public dedication; the use of the Easement Tract shall be restricted solely to the uses set forth herein. 9. The Grantee shall cause any improvements constructed in, over, under, or across the Easement Tract to be maintained in good condition and repair. IN WITNESS WHEREOF, the parties hereto have caused this instrument to be duly executed as of the date first mentioned above. GRANTOR: Donald H. Findell Julie Findell Attest: OR , The foregoing instrument was acknowledged before me this 24th day of October,2000 by Donald'H. Findell and Julie Findell, marr persons. Donald �H,,F ��e husband to Julie Findell and Su wif of nh 1. y' wirew u AWE M, TMENSO� Pr `� NUiAQr S,�rA -�tP E': .R:.._ ..a �Ai4f11 RY31 rfl This instrument was prepared by the City of Fridley, Minnesota, or 6431 University Avenue NE, Fridley, Minnesota. I ppoppp- _ASPECTION DIV. _...say Ave NE i .�rtey. MN 55432 763) 572-'604 tD M V N C` APPLICATION FOR PLUMBING AND GAS FITTING PERMIT E1lieeUve On Jan 1, ZULU 3LUMBING FIXTURE RATES: NO, RATE TOTAL O ~ vew Fixtures $ 7.00 Old Opening, New Fixture $ 4.aO Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 w Rain Water Leader $ 7.00 A Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 o Water Heater -Electric $ 7.00 Water. Heater - Gas"" $10.00 Gas Range" $10.00 Atm Gas Dryer"" $10.00 Back Flow Pmventer Required ( )Yes (} No Type $15.00 19 Reinspection Fee $47.00/Hr ALL OTHERS ANDIOR REPAIRS AND ALTERATIONS 1.5% of Value of Facture or Appliance r� tD State Surcharge TOTAL FEE $ l j JOB ADDRESS ^J l L/ (f Y7 ' The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the CRY codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct owner(c�(v fluRdmg Used As - 4V C rCast PERMIT NO /V4 c&, -. ®/ " e-- PLUMBING COMPANY A/y D 1'f SIGNED BY FAX# PLUS THE $.50 STATE SURCHARGE COMBUSTION HIR SHAH BE PROVIDER PER UMC SECTION 504(A) AND TABLE 13-A. TEL NO`G 7 !Q d S Flnw D COMMON VENT INFO ON BACKSIDE o+ F+ N CD µ OD OD to OD CD OD N 0 W N m F+ 7U m Bt.�Idifig $ BUIL NG Permit No.09 —(alp Iris ections P 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: =' 763-572-3604 Surcharge CI'T'Y OF FRIDLEY' -,. Date Rec'd: 763-502-49777 FAX $ 5-'00 $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 1-1-08 Curb Cut Escrow DATE / ` 96)6) 3 E-MAIL ADDRESS ft + 6 ft = ft x $21 =$ YYOUR SITEADDRESS CL5D S/oeIL - 4A& z2.z�21 $ $450 Conservation Plan Review Park Fee $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR Sewer Main Charge PROPERTY OWNER/ NAME:G/ �1' Total Due ADDRESS: _5,-41-7j9- �i ,� 4,6& &'kY— CITY STATE ZTP TENANT PHONE: NAME: U CONTRACTOR ADDRESS:_ d3 e_"'V `/ YY F;f - CITY � G/`' d'i STATIZ ZIP SS✓2 y SUBMIT A COPY OF PHONE !Z r - N ✓ el -d � FAX YOUR STATE LICENSE STATE LICENSE # 9 Cyd 7,F�S 66 EXP DATE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH -OROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 2 ❑ HOUSE & GARAGE 1, Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: rE `' - - FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit I. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �(iJSvING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION S-)< OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 61.001 times the total job valuation Surcharge $ .3 , ys .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5-'00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( } Total Due $ 6W5 , / _ Make checks payable to: City of Fridley Attach Sti ulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I nd tand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordancip with the approv I t e case of all work which requires review and approval of plans. SIGNATU FAP I / PRINT NAME APPROVED BY p� J. %� DAT pr--cinr- ►ITIAI A P_AMMFRICIAL r% BUILDING CONTRACTORS 1'' K V F' V 5 A L F �Q PROPSAL NO. j PO Box 44488 /f `yamVdert Prairie, MN 55344 SHEET NO. ` 952.454-0872 ��' j � � �f� • " ' DATE ,/ Lic#20578366 PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT NAME ADDRESS ADDRESS �" / CITY, STATE CITY, STATE��� � ` A ® DATE OF PLANS � r IF� PHONE NO. ARCHITE T O � C) We hereby propose to furnish the materials and perform the labor necessary for the completion: 7 klE 4 LA ?V &Cd0 6d1 CCf7- ,SLAC Cl::) dA j /11I41*9 li 44 .i r "A X106 Jr e >0 � �' r es- .400 t✓�y'� � �i% �e�J,ed f.2 1 nt C U-/ 7-6 G�� m /�^�.�"?'�t7�� Lir � AI '�-a C4a/.2 SIsorl0le- mac— B 0 e6 -o 1,, 55 7 (G ,c A��y'/ � d'Z eVLd % d C' e�a/✓aJ1i A/ry� I®q�/ p&JIV%/� /� �g ♦� . ,y�— +�r, "V '0' d°V e, �% / A0®6 / 1� 87 Q //o`" `Jg� �qan I r' ✓ f >94' — J V +J��I "�.d' .. � //�.✓" A4t A� � rV i�`'t� a�c.A�.1Q � /els � �°�.S 7"/�'[. Z �r�� 6-' fi' --4 14 "'-T6 .7(� /7' /J 1v&&,� Q iA-en)V41V�r Ae.4 V JAZ , 7'S ZC A�"®rI- C ✓ 7- Ye A 3'- 4CO 6 S 7 -A A, -L r— 4,VO4,14 -�'d �c3.� /C 1 �- ��s�r/ r7 � ,.1 „?a All material is guaranteed to be as specified, and the above to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of: .s'1 k 7-8/d U1v '1,14— Yfre2,0461't-,0c 4,0,r "`T" dollars ($ � �&V) Payment to be made as follows: Q 40 0 L> � 0 U 1,) okj OAQ � / �J � F L � d��✓ C°�� A�8 ��7� A tai to A lo 45' . o0e, / Cd Respectfully submitted 6 e4 �ed?n!C dW°' .®Ce �Aal CGiJ`7P�4&M6 �d Any alteration or deviation from above specifications involving extra costs will pe�.•�� be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Note: This Proposal may be withdrawn by us if not accepted within days. Acceptance Of PrOpOSA -The above pries, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as Signature specified. Payment will be made as outlined above. { "� 2- ` Date of Acceptance Signature CONTRACTORS NOTICE•TO OWNER -- A. A. Any person or company supplying labor or materials for this improvement to your property may file a lien against your,pfogZ-1 i that person or company is not paid for the contribution. ( B. Under Minnesota law, you have the right to pay persons who supplied labor or materials for this improvement directly andct this amount from our contract price, or withhold the amounts due from us until 120 days after completion of the improvement unless we give you a lien waiver signed by persons who supplied any labor or material for the improvement and who gave you timely notice. g WATER AND SEWER Permit"No.:. / 551 PERMIT APPLICATION Received Bc 7 1-1287 fax CITY OF FRIDLEY Dc'N EFFECTIVE 6/9/09 API LACTATION DATE: 1J (log YOUR E-MAIL ADDRESS: _ THIS APPLICANT IS: ❑ OWNER C> � � JOB ADDRESS: �� � C.O � � NEW CONSTRUCTION PERMIT# (IF APPLICABLEE): PROPERTY NAME: OWNER/ TENANT ADDRESS: .,CITY— STATE ZIP PHONE: CONTRACTOR NAME: L I= iyty k e o ae t l SUBMITA COPY OF YOUR STATE DRESS: �rt s-i tixq t rs � ! CITY 19 L "ly it STATE ZIPS 5_ LICENSE WITH PHONE W dl- q/17- 'a4 I R CELL PHONE: &-f L-9/9- ;1011 APPLICATION STATE LIC # STATE BOND: E DATE: 1. Narrative/written description: JV S T4 i L r /r 0- t= &N e- s V S T e.I~-. i(j 8EUsEQ 114a d411 hl 2. attach sketch showing curb line, utili line, build_%, etc, with distances. j,,,,Please lip .%jgf iFt-r 5b Fsr �� PERMIT TYPE Deep &AUI y Fpm°► M.41W ' ro X SEWER CONNECTION PERMIT $50 )11z" Fray CvWa6C-��01j ❑ WATER CONNECTION PERMIT $50 ❑ WATERLINE REPAIR $40 ALL ®s� K c ee ec,'n'vL EjE� 6A) Ti�Es® oC.i2c $ (®d 27� J; ❑ SEWER LINE REPAIR $40 dV �'T3e�rl ❑ ADD STATE SURCHARGE $.50 56 ❑ SAC CHARGE _j @ $2000 =� a 65O OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST - SEE UTILITY BILLING SPECIAL ASSESSMENTS - SEE FINANCE WATER TAP - SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / WEEKENDS & HOLIDAYS $125/11OUR-BILLED THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the,City of Fridley. I understand this is not a permit but only an application for a p'ennit and work is not to start without a permit. SIGNATURE OF APPLICANT PRINT NAME: ',� C - f-'l C°'1/. e-DATE: APPROVED BY: DATE: d (� COPY GIVE O: ❑ UTIL Y BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGINES ING City of Fridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-355.1 FAX: 763-571-1287 Or W m milmomm Visit our webs! a at: www.royalen erprises.net