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PRE 2010 DOCSCl City of Fridley, Minn. BUILDING PERMIT N® 7460 Date: Akzo.;_ 1965 owner: Gnome White Builder SpM (ham a owner) Address 6032 21 St. A ,Ee Address LOCATION OF BUILDING No. 602_ Street 2 St. •E• Part of Lot Lot 6.7 __ Block a' Addition or Sub -Division . _ Park , � Corner Lot — Inside Lot Setback _ __ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height -A Z Sq.: Ft. cu. Ft. Front DepthH�--;z dSq. Ft. Cu. Ft. Type of Construction t�Cost---11109.1 To be Completed home s .d 4j In consideration of the issuance to of a permit to construct the building described above, I agree to do the proposed work in accordance with to description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 5100 , permit is hereby granted to George White 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. ��`� R.rilaine• rr,ar,ae.tn,• • NOTICE: This permit don not cover tits construction, iestaMen for wbing, plumbing, gas heating, sewer or water. Be seer to see the Building Inspector for separate permits for these hems. W. - July 7, 1965 George kbite 6032 * St. N.E. Fridley, Minnesota. Res suiiding Pace, g®0 7460 Address 6032 2'j Ste eentlo The above captioned 'wilding Peumi.t h&w been ready in Gur office for q"ite Sam time, and we mmld appro late it Very wuh if you old kindly take Care Of the matter at your earliest convenience. As you Imm, the building pemit shco&d be meted as so= as aenstructien starts, • Tema very trulys A gh's • - Allen 0. Jenson Buildins tw— APPLICATION FOR IM PERMIT j CITY OF FRID%EY6 1ENNESOTA OWNER'S NAME �'� BUILDER � - ADDRESS Ap `` bADDRESS . LOCATION OF BING No, Street Part of Lot. Lot Block Additioor or Subdivision Corner Lot Inside Lot SEWER ELEVATION FOUNDATION ELEVATION Applicant.attach.to thin form, Two Certificates of. Survey of Lot and proposed build- ing location'drAwn on these Certificates. i DESCRIPTION OF BDING Yo be used as: $"ronC Depth Height< f.. Sq. Ft. Cu. Ft. Front Depth Height Sze. Ft. Cu . Ft. Type of Construction s Estimated Cost �y ro The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work iti 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. 0 JSchedule.of Fee Costs can be found on the Reverse Side). F"'M.064- w_... M_ 8,u f IRS C) so 44� n 2 /z S-r2ccr A-L� 14 AGREEMENT ,x owner of the property located at have no objection to the City allowing i the construction of a 40�ITw�,,,y to be located at SmCcor without the-required certificate of survey that the f . City ordinarily requires for all new construction. t Signature Address,,- . • • _ �a, ,�� / �� Date Witnes 53 -e4 -S915.51 City of f-ridley Applic0lon for Mmbbig and Gm MMkq Pamb w Dept. of Bldgs. Phone 9®0-3450 DESCRIPTION OF WORK6032 N E 2z St Number, Kind and Location of Fixtures Poco PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ -- New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.26 $ Water Heater (Up to 99,000 BTU) . • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........ • . • • • • . • • • x ;2.00 ;- Additional Fixtures • • ...... • ......... I N WATER NTq. GAS ELEC. REPAIRS & ALTERATIONS—Refer to Code Description ....................-.......................; TOTAL FEE = 5.00 Base Insl G s tncinela6ir 1st 2nd _ 3rd + 4th J— I I I __ - Future connection Openings Connected with Sewer ❑ + Now Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ -- New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.26 $ Water Heater (Up to 99,000 BTU) . • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........ • . • • • • . • • • x ;2.00 ;- Additional Fixtures • • ...... • ......... x $ .75 $ Gas Range to 199,000 BTU .............. x $6.00 $ Gas Incinerator 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ....................-.......................; TOTAL FEE = 5.00 City of Fridley: The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the CRY Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, NUn 11-16-70 19, Owner Geo White Kind of Building frame res Used as To be completed about 11-21-70 Estimated Cost, $ 10s()0 Old—New. Building Permit _ itaN" Signed ByB Business Phone No ROUGH FINAL. J - _i' % l SUBJECT PER NO. City of Fridley 132 2 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIP COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 I i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 812-580-3450 910-F15 10/17/75 JOB ADDRESS 6032 - 2h Street N.E. 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6,7 7 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George White 6032 - 2h 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct an 18' x 24'. Addition to house 9 CHANGE OF USE FROM TO STIPULATIONS Stipulations on plan W, ARM HINI Before digging cell local utilities TELEPHONE - ELECTRIC - GAS Etc. PERMITS REQUIRED FOR WIRING, 111-_C� Ur,8IFz17'.) 1 y SEPERATE HEATING, PLUMPING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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, $11,700 $5.85 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, $43.09 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $48.94 41G ATUREOFCONTRATORORAUTH Z GE (DATE)' HEN (JP;�D THIS I$UOUPERMIT \ BLDG IN P DATE - L SIGNATURIVOF OWNER 0F OWNER BUILDERI (DATEI APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING 'PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NIVE :BUILDER : N10� ADDRESS : gC) N a . - 'Z �'6 (LQfTrDDRES S : NO • . STREET • ZA, !RJ r_j:]C LOT: BLOCK; ADDITION: 1dnc RAAe-, CORNER LOT: INSIDE LOT:. ETBACK.. SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and propos-A building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: (L 4pj,ftj6jFront: Depth: Height: L. %&Mr' -4r '�/3� Cubic Feet:_!&!4d Square Feet: �(® Front: Depth: Height: Square Feet; Cubic Feet: J type of Construction: FIR, Estimated Cost: To Be Completed: 60-5 W 06 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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 : SIGNATURE (See Reverse Side For Additional Information.) K. ?A • d 2 q R. = 4 3, 05 • y 3.�5 City c.4 Fridley Applicallan for Plurr"bnng and Gm i s)f -0 PMM,k - Dept. of Bldpa. Phone M-3430 DESCRIPTION OF WOrM. Location 6�3 Numgar, Kind and Lecr!km of Fixtures ° Futti::eCcnra •'...a Gpanir,s New Fixture. Old 070n:ncs PARTIAL RATE SCHEDULE Savor ccs—spool P LMABING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00. $ Future Fixture Opening ........... x $1.50 S _ N (� x $1.50 $--:-- WATER MTM. Z� $ Water Beater !Up to 99.000 BTUI• . • • x $3.00 $ New Ground Run Old Bldg......... x $.3.25 $ N N • S W aN z � e r,As fuG Additicnal Fixtures .......... , .... x $ .75 $ _ U Gas Range to 199.000 BTU ........... . X $5.00 5 Bs:r 2nd 3rd 4th ° Futti::eCcnra •'...a Gpanir,s New Fixture. Old 070n:ncs PARTIAL RATE SCHEDULE Savor ccs—spool P LMABING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00. $ Future Fixture Opening ........... x $1.50 S _ New Fixture Old Opening.....:.... x $1.50 $--:-- Catch Basin .................... x $3.25 $ Water Beater !Up to 99.000 BTUI• . • • x $3.00 $ New Ground Run Old Bldg......... x $.3.25 $ Electric Water Haatar.....:...... o . a $2.G0 S 3J.S FITTING FEES: N0. RATE TOTAL Ist3Fixtures ......•••••••••••• x$2.00 $ Additicnal Fixtures .......... , .... x $ .75 $ _ U Gas Range to 199.000 BTU ........... . X $5.00 5 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, aCreeing to do all work in strict accordance with the City Ordirarca and ruling of the Department of Buildings,. and hereby declares that all the fad and representations stated in this application are true and correct - /Z -/l - FYidley, Bunn 7S— 19_ Owner �^L �— ✓�''� Kind of Building g Used as �n To be completed about S 7 Estimated Cost, S 01d New. Building Permit No.—pal =it No. U Signed By Business Phone No — 3 y 3 • . � 3 a, to to .�h G4"r� . /d�d ROUGH 3J i"INAL L - Z 4 - 7 6. RM`?AURS' 3f ALTERATIOMS—P.of•r to Coda .50 State Surcharge r Ike;cription....................................... TOTAL ME 3 V- ''•. ;r.-. �.,ri,a .-•�...,.� �','�.... y� �-�. �. f: '�...._. n,,,,, px.-.. .-1 [�', !!,,., ..T.,. ,� J('�r,,.R°.may �� °�+ v'�.-�'0-. St... .- ..-�.'z1 „� :a .0 _. �._.., i'•.+ a .. .. _.,. t o....,nr .._.. n.. .... ....r yo `u:'t✓...a>. �� li .:L...,. �.7y� Lia.. ... «'ku:,t•.:6� w'.eJ VraY'.r+ iii+:� r,..:.%c,r :�'�•• •S` �..•�`"�, e• •. • e j*� ,.,'^° � oui�dG'r:9a0�.� 4ad��.� S:GL: Siyli%.D PAIRMAL RATEE.SCI OIEDU E G= VI a Y 'Io 171724 Ara: E.. i aLa " OIZIPJ • 2^'.unizce Seal tar ?o:cr41 Vora ... ... .$10.03 Replacerrerst of F`-mca 6.00 Repairs & Alterations --up to $500.00 6,00 $ Repairs & Alterations each add. 3500.00 300 $ Furnace Sell & Duct Work to 123,000 BTU each add. 60.000 BTU . .......... 11-n!acement of 1"urnace -, .. & Alterzticns—up to $500.00 zt�;:ztrs & Alterations each add. $500.06 STEAM or HOT 4s12117ER CY3=11 Banat. of B1;�s.so-+� 1 villi l City o1 Fridley: The undersigned hereby manes application for a permit for tt:e work herein• specified. agreeing to. do all work in strict accordance with the City Or ina ceS and ruling of the Department of Buildings, and hereby declares that all Me falcU and representations stated in this application are true and correct. 3.W S Owner 6•0 $ Kind of B 6.00 $ Used as 3.00 Furnace Shell. & Lines—to 400 sq. ft. EDR Steam 510.00 $ Furnace Shell & Line ---to 640 sq. ft. EDR Hot Water 20.00 $, Each add 200 sq. ft. EDR Steam Each add. 320 sq. ft. EDR Hot Water 3.00 OIL BURNER—to 3• gal. per hcur 6.03 S. over 3 zal. per hour ---See Fee schedule Gp.S 3iTt':r ER (tip io 2w.= BTU) 6.t;3 $� Over 1;3,000 B'M so* Fns schodule GAS FITTING : LES: 14f0 RATE TOTAL 1st 3 nxtures xS 200 $ Additional Fl ura.•s x .75 $_ Gas Range to 1_043.= x3 SAD $ AIR FAIT 1=191=0 : W'1"I r =G SYST11b•5 ALTZRATrON-3. a R^r.*PAIRS �Q:TZ3)<II State Surcharge .50 % 0. TOTAL F=I Fridley. - A 2, ?*57- To De completed about Estimated Cost, S -rev : "n Por=it No.� ON or WOZZ HEATYNG or POWER P'IANM—Stearn, Hot Water, Warm Air—No Trade Name Size XOL� — Capacity._._.. _ Sq, n E.D.R Dyu 23P Total Connected Load Kind of F?Lt_ BURNER — Trade Alantp Sire No Capacity Sq. rL Lr.I3 R B's'U In traocm�a-omtal Suburban Air ConditiWhg Co. Minneapolis, Minnesnr3 5,5432 City of Fridley SUBJECT P 0 19 415 AT THE TOP OF THE TWINS BUILDING PERMIT _ REC `L _ COMMUNITY DEVELOPMENT DIV. )-1 r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY i 612-571-3450 910-F15 4/27/88 JOB ADDRESS 6032 - 2h Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6,7 7 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arene White 6032 - 211 Street N.E. 571-2004 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D.F. Williamette Roofing Co. 6004 - 2h Street N.E. 572-9740 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 Q REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. On all new roofs or tear-af,4 and re meat roofs, State Code requires that 2iay>s fad ett, mopped toget, be installed 144_°`,es up from exteriw 1J iim, or approved uenf a�ett►rar►e. 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 ISTALLS 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 $700 $.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 SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 S UCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE t� _j94 $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ID EI W ENMPRORL LI A THIS IS YOURP//ERMIT F^ ��DG )NSP q� E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 01 NEW [ ] ADDN. [ ] ALTER. [ ] Construction Addri Legal Description City of Fridley Effective 4/1/86 L R-1 AND R -2I Building Permit Application Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ ] 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 Length Width Height Length Width Hgt/Ground Inside Lot [ ] Type of Construction: Approx. Completion Date: Tel. # 2� i i - Gaya (31_c Tel. # 1 Sq. Ft. Sq. Ft. Sq. Ft. Ft. Yd. Setback Side Yard Setback Estimated Cost: $ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation Alb DATE: 0 Tel. APPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY 00 E? P 's-0 a'.a Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 5,5Q per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] WELL OR BORING L CATION County Name ANORA T-W�stltpaN�rr� Towns_Liip�(Vo. N�,,jj,, ttrreel AddreYgr Ft" jVjycj Show exact location of well or borings �Y� in section grid with "X'. kl W n mite f I mile — o PROPERTY OWNER'S NAME ESTATE OF IRENE WHITE g" 7` OTM Minnesota Well and Boring J A MINNESOTA DEPARTMENT OF HEALTH Sealing No. H 1 `LJ WELL AND BORING SEALING RECORD Minnesota Unique No. Minnesota Statutes, Chapter 1031 or W -series No. (Leave blank it not known) Vo. S ctloll No.fwl,,0yff cI Date Sealed Approximate Date Well �?'DECE ER Q j, 19 R 5 or Boring Constructed 1950's tl4 14 . ity oWell orl'Boring Location 1 4.1 ketch map of well or boring Iota on showing property lines. roads. and buftings. Mailing Address if different than property addre.. indicated 82219 219 1 32"D "Al i i ANNANDAM, HN. 554302 V) Depth Before Sealing Single Aquifer ❑ Multiaquifer CASING TYPE teel ❑ Plastic ❑ Tile ❑ Other ScrOen from 37 to 40 0 B1STR UCTION/DEBRISWI LL ❑ bbstruction ❑ Debris ❑ Fill ft. Original Depth ft. Static Water Level 7,kc—curate ❑ Approximate 26 ft. - below Type of debris/obstruction Obstruction/Debds/Fill removed? ❑ Yes ❑ No PUMP ❑ Not Present ❑ Other ft. Open Hole from to aboveland CASING Diameter Depth Set in oversize hole? Annular space initially grouted? 2 in. from � to �� ft. 11 Yes to ❑ Yes ❑ No ❑ Unkno n. from to ft. ❑Yes 11 No 11 Yes 11 No [3Unkno in. from to ft. ❑Yes 11 No ❑Yes 11 No ❑ Unkno GEOLOGICAL MATERIAL COLO MEMO FROM TO If not known, indicate estimated formation log f m nearby w II or boring. NEEM GRAY I � 64 MEMS H 1 n mite f I mile — o PROPERTY OWNER'S NAME ESTATE OF IRENE WHITE g" 7` OTM Minnesota Well and Boring J A MINNESOTA DEPARTMENT OF HEALTH Sealing No. H 1 `LJ WELL AND BORING SEALING RECORD Minnesota Unique No. Minnesota Statutes, Chapter 1031 or W -series No. (Leave blank it not known) Vo. S ctloll No.fwl,,0yff cI Date Sealed Approximate Date Well �?'DECE ER Q j, 19 R 5 or Boring Constructed 1950's tl4 14 . ity oWell orl'Boring Location 1 4.1 ketch map of well or boring Iota on showing property lines. roads. and buftings. Mailing Address if different than property addre.. indicated 82219 219 1 32"D "Al i i ANNANDAM, HN. 554302 V) Depth Before Sealing Single Aquifer ❑ Multiaquifer CASING TYPE teel ❑ Plastic ❑ Tile ❑ Other ScrOen from 37 to 40 0 B1STR UCTION/DEBRISWI LL ❑ bbstruction ❑ Debris ❑ Fill ft. Original Depth ft. Static Water Level 7,kc—curate ❑ Approximate 26 ft. - below Type of debris/obstruction Obstruction/Debds/Fill removed? ❑ Yes ❑ No PUMP ❑ Not Present ❑ Other ft. Open Hole from to aboveland REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING GEOLMY FRUM:6431(, 1 I rITY AVE WATER, LEVEL Iii[ i NP;LL : 70 g DATE WATER LEVEL TAKEN t 12/17/69 N0451004.698 W093D .6"033 E-44 SEA' LED According to MN Stade Re-gulations LOCAL COPY I H 01 in. from to ft. ❑ Perforated ❑ Removed Type of perforator MATERIAL lerial PORTLAND from 40 to SURF ft. - yards 1 from to ft. yards from to ft. yards from to ft. yards UNSEALED WELLS AND BORINGS Othor unsealed well or boring on property? ❑ Yes NO LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725. The information contained in this report is true, to the best of my knowledge. E -H , RENN.E;R SOWS INCA 71015 Contracts 4PAiness Nan"011,� License or Registration No. Authnr(7ed Renr entative Sianature Date of Person Sealing Well or Boring CASING Diameter Depth Set in oversize hole? Annular space initially grouted? 2 in. from � to �� ft. 11 Yes to ❑ Yes ❑ No ❑ Unkno n. from to ft. ❑Yes 11 No 11 Yes 11 No [3Unkno in. from to ft. ❑Yes 11 No ❑Yes 11 No ❑ Unkno GEOLOGICAL MATERIAL COLO HARD ESS OF FOR ATION FROM TO If not known, indicate estimated formation log f m nearby w II or boring. GRAVE t 0 STONE GRAY I � 64 22 H 1 � � d �y ST . PETER MUT 12 3i� ST.PsIFIREr * LOW METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: to Annular Space Exists El Annular space grouted with tremie pipe ❑ Casing Perforation/Removal in. from to ft. ❑ Perforated ❑ Removed SHAK-C , € r j 9j,5 SHAKOPEE BUM 195 265 JORDAN YES "OW 2 65 REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING GEOLMY FRUM:6431(, 1 I rITY AVE WATER, LEVEL Iii[ i NP;LL : 70 g DATE WATER LEVEL TAKEN t 12/17/69 N0451004.698 W093D .6"033 E-44 SEA' LED According to MN Stade Re-gulations LOCAL COPY I H 01 in. from to ft. ❑ Perforated ❑ Removed Type of perforator MATERIAL lerial PORTLAND from 40 to SURF ft. - yards 1 from to ft. yards from to ft. yards from to ft. yards UNSEALED WELLS AND BORINGS Othor unsealed well or boring on property? ❑ Yes NO LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725. The information contained in this report is true, to the best of my knowledge. E -H , RENN.E;R SOWS INCA 71015 Contracts 4PAiness Nan"011,� License or Registration No. Authnr(7ed Renr entative Sianature Date of Person Sealing Well or Boring SUBJECi P City of Fridley 28647 QF THE TWINS BUILDING PERMIT r? 572-360 •COMMUNITY QEVELOPMENT DIV. VV �� r � � PROTECTIVE INSPECTION SEC 1 1 CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF APPROVED BY �'' 612-571-3450 910-F15 11 24 98 JOB ADDRESS 6032 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6, 7 7 1Hvde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE LLe��ii x?ffxekaxeg N 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Top Gun Inc. 5014 Parrish -42R-4";E;Q 2012R211 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION ❑ ALTERATION gix REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 18 S Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ` NO OWLG. 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 1542 .77 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- STRUCTIOfy OR THE PER NC F CONSTRUCTION 51.2rj Fire SC 1.54 PLAN CHECK FEE TOTAL FEE icense S 5 0 58.56 S�GNAT RE cCON'RACr'R OA AUTHO LED AGENT �� Ei WHEN PROPER D THIS IS YOUR PERMIT BL G NSP �ALIDA p�ptJtp��/,jOJ( S-GNATLWE 09 OWNERdF OWNER BUILDER! tDATE, NEW () Q (a Effective 8/ 1 /95- ADDN (( CITY OF FRIDLEY ALTER (j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 , ) 41 Building Permit Application 43 I S� �° r � Construction Address: 6403 . 2 Legal Description: Owner Name & Address: ov—lm - o -� L� ��'`'� Tel. # Contractor:G_ C — MN LICENSE # ,?01 2- 82 /l Address: /0h&,?/SA� ��Tel. # eiZf - ySs'7 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of S&vey 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. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 1,2,e 11407r Estimated Cost: $ Approx. Completion Date: • !.0 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Z&S APPLICANT: Tel. # TY USE ONLY Permit Fee $ 7 Fee Schedule on Reverse Side Fire Surcharge $ a' .001 of Permit Valuation (1/10th%) State Surcharge $ r %% $.50/$1,000 Valuation SAC Charge $ $850 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: J SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING P E R - M I T-( 572-3604 RECEIPT N r,: --••-- COMMUNITY DEVELOPMENT DIV. r E � PROTECTIVE INSPECTION SEC. �� 1 � � 1 =�'•'1 CITY HALL FRIDLEY 55432 It"•'11.� "'' NUMBED REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/21/98 JOB ADDRESS I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 7 ] 1HVde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Zeien 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO uarve Contracting Inc. 8427 Center Dr Lk Pk 55432 85-1472 6016 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 X1 REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace windows/doors; Misc. interior remodel 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling. 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 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 $9800 $4.90 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. Fire SC $9.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $162.25 PLAN CHECK FEE TOTAL FEE License SC $5.0 $181.55 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, WHEN PROPERLrVALIDATED THIS IS YOUR PERMIT LL„ S-GNATURE OF OWNEROF OWNER BUILDERt iDATE, BL NSP DATE J NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER W [ ] SINGLE FAMILY AND DUPLEXES R=1 AND R -Z BUILDING PERMIT APPLICATION ConstructionAddress: 603,9- c- V Ia Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: c�f�"nom /mac Tel. # MN LICENSE # LQ D/ LA Tel. # -� SGJ' / 07'�, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: 9&2 Vj1-,r)61ou)<JdooVS,Estimated Cost: $ fi,ti5e- ly`Y10�[ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $1000 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 [ ] STIPULATIONS: Ra)LEY HNSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2002 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric NO. RATE TOTAL --b- Water Heater - Gas`* Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance M State Surcharge .50 TOTAL FEE 21.50 JOB ADDRESS x+052 24L Svc 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Soa��+��,2�z Owner kmv. Building Used As Estimated Cost PERMIT NO._ Umuddau� PLUMBING COMPANY 'Numbing and heating One. 9174 I ti . NE •Blaine, MN 55449 SIGNED BY 4— TEL NO.� . IqZ FAX# a '1 . ®4 136 (�I►. Approved B Rough -In pp y ugh -In Date Final Date PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED r.QMMQN `FK1T, VFNT pNNECTQR ANn COMMIRTIMI AIR VFRIFICATIoN When re In acing an existing furw=, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes( ) No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The avenfing enmhnsfinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new cnmbtisfion ai_r_ it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When ton-4alWl: a newyantingiyggym, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category 1 Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes() No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) A pnlianen Tyg M and S'7-a1Cnmmnn Vant Vanand Vent nnnecfnr Informatinn Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input- Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date: