PRE 2010 DOCSSUBJECT
P 0.
City of Fridley
1419
AT THE TOP OF THE TWINS
PERMIT
BUILDING
ECEIPT NO.
S
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1 �
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
= I CITY HALL FRIDLEY 55432
,.j 612-560-3450
910-F15
7/6/77
JOB ADDRESS 4631 - 2nd Street NE (566-4684)
1 LEGAL
LOT NO.
BLOCKCT
OR ADDITION
SEE ATTACHED
DESCR.
23 & 24
11
7PlymouthAddition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Martin 4631 - 2nd Street NE
3 CONTRACTOR MAILADDRESS
ZIP PHONE LICENSE NO.
Dale Movers Inc. 7816 Central Avenue
784-4269
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Garage
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 99 MOVE ❑ REMOVE
8 DESCRIBE WORK
Move existing arae from 126 Ventura.
9 CHANGE OF USE FROM TO
STIPULATIONS
Routing; Ventura to Main to 47 th to 2nd Street to destination.
TYPE OF CONST,
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
308
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 PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED,
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES .NOT PR LIME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIO ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCT R TH P MANCE OF CONSTRUCTION.
$10.00
PLAN CHECK FEE
TOTALFEE
$10.00
VNATUREE0'A_ NT � -fDATEi-7
ROPE.
BLDG INSP
Y VALIDATED THIS IS Y T
r BATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CRY of Fndq, 1, e Y
SUBJECT
Permit Na.
AT TKF TOP OP THE TWINS
MOVING PERMIT APPLICATION
Receipt No.
�,,-------1 COMWMITY 0EVELM4ENT DIV.
BI 1 PflOTECTIV2 LM"I"IXTIOM IM
CI TY HALL FRIPLgY WP2
-0,1 -34,00
Va SO
KWZzR RZV.
6ATE
DY
1910-F21 1 0
2/15/73
1 1
800
Property Owner
Address Phone
resent
Lot No
Block No
Tract or Addition
Legal
zz ex
To Be
-4
Moved To
Mover
Address one License No.—
Expecte7d Time in or Thru Fridley
lEstimate d Cost
Routing
Approved By:
X, 16
Utilities Notified: State whether
notified and date
Minneapolis Gas Company
Engineering Department
372-4850
Northern States Power Company
Customer Business Office
330-5540
Northwestern Bell Telephone Co.
Business Office
332-4112
Approved By Water & Sewer Department:
All Bills Are Paid
Service Disconnected
SZ
&UhV__'L_
The undersigned hereby makes application for a permit to move the building
;described above, agreeing to do all work in strict accordance with the City
Ordinances and rulings of the Department of Buildings, and hereby declares that
all facts and representations stated in this appli tion are true and correct.
Contractor
Date
SUBJECT
PERMIT.
City of Fridley
14211
AT THE TOP OF THE TWINS
BUILDING PERM
r
ECEIPT NO.
i L __��__ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
1 ; �
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-560-3450
910-F15
7/11/77
JOB ADDRESS 4631 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
23, 24
11
� - Plymouth Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Lee Martin 4631 2nd Street N.E.
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
8 DESCRIBE WORK
Construct a 14' x 22' garage slab and remove old garage
9 CHANGE QF USE FROM TO
STIPULATIONS
Provide a hard surface driveway. 1X Letter signed by
neighbor for building without survey.
SEPE'RATE PEWTS REOUIRED FOR WIRING.
HEATH , PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Cement
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
R-1
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.
$500
$.50
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-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$8.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PRORLY VALIDATED THIS IS YOUR PERMIT
X /P 1��
!J ., ,
BLDG INSP DA rE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS.
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER:
/,
/W
BUILDER:
Address:
INSIDE
LOT:
Address : .
Tel. No..
No.: l63 / Street: ____ �7 mal ), �
LOT: 2 3 — �2 4-/
BLOCK:
ADDITION:
CORNER LOT:
INSIDE
LOT:
SETBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
1
B
DESCRIPTION OF BUILDING
To Be Used As:
L-3Front: � � Depth: ��� Height:
Square Feet: Cubic Feet:
�cJ1�11 C1 L] 0_A/1,Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: O -Ln F&1 % Estimated Cost: $
To Be Completed: I %}lnk31( Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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. See reverse side for additional information.
DATE: r �� �- ���� SIGNATURE:
Stipulations:
1
AGREEMENT.
Ir , owner of the property
located at 'j have no objection to the
City allowingr the construction of a_ to be
"��1
located at 3 wi out the required
certificate of survey that the City ordinarily requires for all new
t
construction.
Sig ure
`(UE
Address
Witness
, r
7-6 - i
Date
97. - 1,z
Cp 3z�G<�
9
f
G 3q 35', em
23
� � s
I
3 97
� r CT c 4�
r.
u
s.
.x 6431 UNIVERSITY AVENUE N.•E., FRIDLEY, MINNESOTA 55432
July 22, 1983
CITY OF FRIDLEY
Mr. Lee I. Martin
4631 - 2nd Street N.E.
Fridley, MN 55421
Re: Storage in Alley Right of Way
Dear Mr. Martin:
TELEPHONE ( 612)571-3450
It was brought to the City's attention and confirmed by an on-site
inspection on July 21, 1983 that the unimproved alley right of way
in the 4600 block, between 2nd Street and 2-1/2 Street, was being
used as a depository for the adjoining property owner's vehicles,
trailers, tree and yard waste and other personal property.
Although this is an unimproved right of way, each property owner,
the City and any utility company has the right of access to this
area. The storage and disposal of materials on the right of way
does interfere with this access and can hinder necessary utility
work, e.g. Northern States Power electrical repairs after a storm.
Therefore, the City must require that the adjoining property owners
clean their portion of the right of way and maintain this area free
of any material that might limit access.
We are confident in your cooperation on this matter and if any
questions or problems result from this letter, please feel free to
call on me at 571-3450.
Sincerely,
STEVEN J. OLSON, R.S.
Environmental Officer
SJO/mh
W
.- c-®
leingle Aquifer ❑ Multiaquifer ft. below above land surfs
CASING TYPE
E
V mile Vied ❑ Plastic ❑ Tile 0 Other
L
S
N rmile--
1�1
T") Q ��a�� _m '
Minnesota Well and Boring
WELL OR BORING LOCATION .
MINNESOTA D PARTMENT OF HEALTH
Sealing No."
H
County Name , ;
F -
WELL AND BORING SEALING RECORD Minnesota unique No.
Ad ss if dt stent than property address, dicated above.
❑
This well ring w sealed in accordance with innesota
true to a st of m'k owledge.
Minnesota Statutes. Chapter 103/
or W -series No.
Y`
d ✓' -
-
(Leave blank it not known)
To ship
Towns p No.- Range. No.
Section No.
Fraction (sm. g.
Date Se ed
Approximate Date Well
COLOR',
HARDNESS OF
FORMATION
FROM
TO
Diameter Set in oversize hole? Annular space initially grouted?
in. fr o ft: Yes 0 ❑ Yes ❑ No Unkno
or Boring Constructed
�i
a
�
_20
a Y
7
-
m rical Street A
s ire Number and ity of
ell or oca'on
' } 3
.o
Depth Before Sealing
nai Depth "
_
in. from to 8. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unkno
d
Shjw exact 11 till of we ring �-y m
o r boring
METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE:
Static Water Level
n section grid with "X:
.
Petmap
o in ii s,
o Annular Space Exists
Annular space grouted with tremie pipe
A
W
.- c-®
leingle Aquifer ❑ Multiaquifer ft. below above land surfs
CASING TYPE
E
V mile Vied ❑ Plastic ❑ Tile 0 Other
L
S
N rmile--
Screan from to. ft. Open Hole from to
OBSTRUCT ION/D BRIS/FILL
from
Obstruction ❑ Debris ❑ Fill j �?
OPER^ OWNER'S NAME
from
1 d •,
F -
Type of debris/obstruction
Ad ss if dt stent than property address, dicated above.
❑
This well ring w sealed in accordance with innesota
true to a st of m'k owledge.
Obstruction/Debris/Fill removed? as No
PUMP
❑ Removed VoNot Present ❑ Other
CASING
GEOLOGICAL MATERIAL
COLOR',
HARDNESS OF
FORMATION
FROM
TO
Diameter Set in oversize hole? Annular space initially grouted?
in. fr o ft: Yes 0 ❑ Yes ❑ No Unkno
of wn, indicate estimated formation log from nearby well or boring.
�i
�
a Y
7
-
in. fromto 11 Yes ❑ No ❑ Yes ❑ No ❑ Unkno
Y•
.i f+
' } 3
in. from to 8. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unkno
METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE:
o Annular Space Exists
Annular space grouted with tremie pipe
❑ Casing Perforation/Removal
in. from to ft. ❑ Perforated ❑ Removed
in. from to ft. ❑ Perforated ❑ Removed
Type
of perforator
❑ Other
-
GROUTING MATE `LAA
Grouting material_ from t yards 4�
I t i
SOURCE OF DATA, DIFFICULTIES IN SEALING
i-- r i,
V ' �
LOCAL COPY JH 54.
HE -01434-01
to ft. yards bags
to ft. yards bags
to ft. yards bags
Rules, Chapter 4725. The information contained in this report is
License -5r Registration No.
4
ate y
from
from
-
from
UNSEALED WELLS AND BORINGS
Other unsealed well or boring on property?
❑ Yes
LICENSED OR REGISTERED CONTRACTOR CERTIFl Al
This well ring w sealed in accordance with innesota
true to a st of m'k owledge.
�, •' /�o, t' A A �, L
� ,
to ft. yards bags
to ft. yards bags
to ft. yards bags
Rules, Chapter 4725. The information contained in this report is
License -5r Registration No.
4
ate y
[W WL RE LAKE
TBE... i, R
MAPLE LAKE MN 55358
PHONE 983-3812
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