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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3 3 5 8 Date: .17 6.... ............... owner........... . .. ..... ........ ................ Budder ...... Address / ,.... ...._...... ... s� ..� Address ............................................. OCATION OF BUILDING T e o.VA?... Street ...... .. ..... .............. Part o t ......... ......... .... ..... of ... Block .... .... ...... Addition or Sub -Division :.. y®. ®� Corner Lot ............ Inside Lot .. ....... Setback :1 S eyard .. ��: ir�'..� ............. 4ore DESCRIPTION OF BUILDING T be sed as: '�A ....4�. Front . "al.. Depth 4.4. Height .. /. 0. Sq. Ft. ®. Cu. Ft:—N?!r9 .................... Front ........ Depth ........ Hei ht ........ Sq. Ft. ........ Cu. Ft. ........ q Type of Construction ................... MgtCost.. ./.. y.......... To be Completed ................... In consideration 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 with all provisions of ordinances of the city of Fridley. ®� �- -� -01 d� 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 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector a NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. SUBJECT -722122' City of Fridley AT THE TOP OF THE TWINS I \\'' BUILDING I PE MIT V R O. � t -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 � 1 I NUMBER REV DATE PAGE OF APPROVED BY i 1 "1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/21/93 JOB ADDRESS 4732 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6i 7 i 8 5 Plymouth. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chester Levander 4732 2 Street NE 572-8991 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Western Construction Co 4301 Hwy 7 is, M.55416 920-8888 4238 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 �{7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 26R x 261 Detached Garage and Remove Existing 141 x 241 Garage 9 CHANGE OF USE FROM TO STIPULATIONS Oldarae to be removed within 34 days of completion of new g g y p garage. Provide a hard surface driveway. See notations on plan. WAN all SQUIRED By LAV TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1Qf816 $5.40 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OR THE PERFORMANGf OF CONSTRUCTION. $126,00. Fire SC $10.82. PLAN CHECK FEE TOTAL FEE License SC $5.00 $147.22 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WH5NXOP VALIDATED THIS IS YOUR�'7PpERMIT Com/SIGNATURE CDG DATE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] CITY OF FRIDLEY Effective 1/1/90 ADLN [ ] R-1 AND R-2 ALTIER [ ] Building Permit Application 05 - Construction Address: 4732 -2 -STREET N. E Legal Description: Owner Name & Address: CHESTER LEVANDER Tel. # 572-8991 Contractor; AIESTERN CONSTRUCTION COMPANY�412 �,)8 Tel. # 920-8888 Address: 4301-HIGH4AY .SEVEN MINNEAPOLIS, 1_ N, 55416 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to sole. - DESC RIMC K OF nartomew LTVIM AREA: Length Width Height _ Sq. Ft. GRRAM AREA: Length Width Height Sq. Ft. DECK AREA: Length WidthGround Sq. Ft. Off: 261.26 -DETACHED GARAGE - 4 mnoT w y-ILI 047 Corner Lost [ ] Inside Lot [ ] Ft. Yd Setback 3 Side Yard Setbacks Type of Construction: iRX E Estimated Cost: $ 0 Approx. Cmipletion Date: 11/1/93 16 eg Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: 9/3/93 APPLICANT: C.,4L&� Tel, C_920-8888 M i LT DIN CHAZitl Permit Fee fs0 Cre S 5-.0 0 Park Fee $ Sewer Main Charge $ $ /q'%. C�A SI'IPUTATIONS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. °BP1 Above Fee Determined by Engineering Agreement Necessary [ ] Not 7[ ] 7 � MIT N City of Fridleydz'T�349SUBJECTP AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. v______ INSPECTION SEC. n r PROTECTIVE � 1 . � i KJUUU i ��"" ,•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY _-_- L J\ 612-571-3450 9 4/29/99 JOB ADDRESS 4732 2 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6,7,8 5 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lester Levander 4732 2 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Kodiak Construction 2607 Brighton NE, M ls., MN 55418 781-0286 8608 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 Ek REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House (8 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 OCCUPANCY LOAD 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $685 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CH RGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fi SC $.68 STRU TIO OR THE PERFORM CE OF CONSTRUCTION $26.50 a C PLAN CHECK FEE TO L FEE Lice S $5.0 2.68 SIGNATURE OF CON ACTOR OR AUTHORIZED AGENT IOaiEi MEN PR P V LI G INSP �� �I$ I$ 0 o/i• BATE S,GNATURE OF OWNEROf OWNER BUILDERi i0ATE'B NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 0� Q ConstructionAddress: 9-7 3 Z f @4EZI a' Legal Description: Owner Name & Address: Tel. # Contractor: K-0,0 'YA--r Ct'ej S V-. MN LICENSE # ® S' Address: LIVING AREA: GARAGE AREA: DECK AREA:. #,A 4 44 _ C<�S. —VY/Al Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. OTHER: 8' s�`A-k-e—_ Construction Type: ' 4-r $ ®rr— Estimated Cost: $ �; a (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 2 APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] I' MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring �""" ION f WELL AND BORING SEALING RECORD Sealing No. No. �i�wi jI Minnesota Statutes, Chapter 1031 (L— blank kR etskNo. 1 �} e owgnshhi_p No. Range No. Sectiionn No. Fraoil (sm. –� lg.) Date Sealed Date Well or Boring Constructed 11 _ ; $! GPS Latftude degrees. minutes_ seconds Depth Before Sealing ft. Original Depth Pr LOCATION: Longitude_ degrees-- minutes seconds AQUIFER(S) STATIC WATER LEVEL Numerical Street Address or Fire Number and Cit of Well or Boring Location ;Single Aquifer ❑ Multiaquifer qw�t WELL/BORING ❑ Measured Dj Estimated Date Measured XWater-Su 1 ppy Well ❑ Mortit. Well Show exact location of well or boring Sketch map of well or boring in section grid with "X - location, showingg property E:1 Env. Bore Hole El Other ft. ❑below ❑above land surface N II lines, roads, and buildings. CASING TYPE(S) w V Steel ❑ Plastic ❑ Tile ❑ Other WELLHEAD COMPLETION E T C { F L Outside; ❑, Well House ❑ At Grade Inside: ® Basement Offset 'h M7e ❑ E]Pitless Adapter/Unit Buried ❑ Well Pit 1 i ❑ Buried Well Pit s !i �, Mne_ ❑ Other F-1 Other PR ERTY OWNER'S E/COMP Y NAME CASING(S) " 'r Dia eter Depth Set in oversize hole? Annular space initially grouted? in. from to ft ❑ Yes [R No ❑ Yes ❑ No ❑ Unknown Properly owner's math g address If different than well ocati n a . rasS indicated above `4L ;V4 L in. from to ft. ❑ Yes [_]No ElYes ElNo ElUnknown t I 11 In from :... to — —ft El Yes ElNo El Yes [INo ❑Unknown WEVJ OWNER'S NAME/COMPANY NAME $CREEFUOPEN HOLE _, r ofi+Zn,, "i s� s i t }!a Screen ir4-m ,� to ft. Open Hole from to - ft. Wetl owner's mailing address if different than property owner's address Indicated above, OBSTRUbTIONS ;. RodsiCitop Plpe❑ Check Valves) El Debris ❑ Alf, [INo Obstruction I' Type of pbstructtons (De ritie * F`r4' P 4 411- � +c f Obstructions removed? E]Yes DiNo Describer �fl -• `. 5 f , GEOLOGICAL MATERIAL. , COLO R HARpNE$S OR' FORNAnON FROM TO If not known, indicate estimated formation log from nearby well orbdfing. PUMP ' . , T� Removed jNot Present ❑ Other METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2'CASINGS, OR CASING AND BORE HOLE: Space Space Grouted with Tremie Pipe El Casing Perforation/Removal NOAnnularS ace Exists ❑ Annular In. from IDto ft. ❑ Perforated ❑ Removed in.,trom---. —to ft.El Perforated [j Removed _ l Type of Perforator Other GROUTING MATERIAL($) (One bag of cement c 94 lbs., one bag, of bentonfte = 50 Ibs.) /� / 4— Grouting Material vi4 of -A, Lam, from to ft. yards"Y bags from to _ ft. yards bags from to ftL yards bags I, OTHER WELLS AND BORINGS REMARKS, SOURCE OF DATA, DIFFIOUL71ES IN SEALING { t c 1 Other unsealed and unused well or boring on property? ❑ Yes [*No How many? LICENSED OR REGISTERED CONTRACTOR CERTIFICATION [n ( 4L_ .' k ) This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725. Thg information contained in this report is true to the best of my knowledge.;~; #i tA- ; r2fA LL censee Business Name o �r License or Registration No. R Lt.l 2 # Cert+ Representative Signature Certified Rep. No. Date r LOCAL COPY F S 30000 Name of Person Sealing Well or Boring HE -01434-12 IC# 140-0423 ! 9f09R