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PRE 2010 DOCSDate Owner 04,.l ]BUILDING Village of ............................... .... `°..i" ...... !... .......... . PERMIT Fridley, Minn. N° 2468 Builder../............ ............................ Address..... Address ......................................... LOCATION OF BUILDING No. ..74 41 ... Street .4920 ! ......................... Part of Lot ....................... Lot ... ?'.f ..... Block.... `!�.`" ....... Addition or Sub -Division :'K .................... Corner Lot ...... ... Inside Lot . 16-011, ...... Setback ! '. Sideyard %Q..:...... .............. . DESCRIPTION OF BUILDING To be Used as: .... Front SM Depth ..14f ... Height ta'S. f..;. Sq. Ft.. /r ! Cu. Ft. ........ ... ....... Front Depth PQ.... Height Sq. Ft., d1. Cu. Ft.... ... . dW Type of Construttio .+:�!� 'Est. Cost p ,%+............ To be Completed In consideration the proposed work i ordinances of the vi I nsideratio, the express conditic done in, around anc Fridley, Minnesota In the village limits ordinances. 0 of the issuance to me of a permit to construct the building. described above, I agree to do i accordance with the description above set forth d in compliance with all provisions of [age of Fridley. r of the payment of a' fee of $. P;. -.,"permit is hereby granted to rw... 47 .......... to construct the building or addition as described above. This permit Is granted upon that the person to !whom it is granted and his agents, employees and workmen, in all work upon said building, for any part thereof, shall conform in all respects to the ordinances of egarding location, constructions alteration, maintenance, repair and moving of buildings with- ind this permit may: be revoked at any time upon violation of any of the provisions of said . ze,# NOTICE: This permit oes not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water, a sure to see the Building Inspector for'separate.permits for these items. BUILDING PERMIT Village of Fridley, Minn. N? 2922 Date .. ... c....� .... ...................... Owner Z .t �✓ Builder .......... .v� -�c. ....... ..• Address..�.. ........ ... Address .......................... LOCATION OF BUIP.DING No. l.Street .......... ....... . Part of Lot ..�.................... . ....... Block ... P ........ Addition or Sub -Division . ... . �!! .`. .... . Corner Lot ....... Inside Lot ... ........ Setback ... �... Sideyard 4 ! DESCRIPTION OF BUILDING To be Used as: r .... Front �.f Depths. °?�/ Height , Sq. Ft. 1. Cu. Ft. ........ �.. .. ?'. Front ........ Depth ...... Height ...... Sq. Ft......... Cu. Ft........ . Type of Construction .............. Est Cost d.......... To be Completed ................... */ ff / In consideration of the issuance to me of a permit to construct the proposed work in accordance with the description above se tor ordinances of the village of Fridley. � � lding described above, I agree to do In compliance with all provisions of .......:r....p.. ........... . In consideration of the a_.I d p yment of a fee of $ .... permit is hereby granted to $e ..... 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, Mimiesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any o!�he provisions of said ordinances. • ..ar • • .,dry -r - • a6 iaaat+c NOTICE: This permit does not cover the construction, installation or alteration for wirin �gaheatlng, sewer or water. Be sure to see the Building Inspector for separate permits for th ems. SUBJECT P MIT NO. City of Fridley 17-598 AT THE TOP OF THE TWINS BUILDING PERMIT I RE ' COMMUNITY DEVELOPMENT DIV. LV ------, (J r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 7/6/84 JOB ADDRESS 7550 - 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24 2 Osborne Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Vincent Lanners 7550 - 4th Street N.E. 786-2287 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 ElNEW ❑ ADDITION ❑ ALTERATION ElREPAIR ❑ MOVE [:1REMOVE X 8 DESCRIBE WORK Construct a 28' x 26' Detached Gara e 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. B Convert existing garage to living area (remove overhead door). Do not start deck or roof construction before submitting plans and getting a building permit. SEPERATE PERMITS REQUIRED FOR WIRING, Before digging call local utilities TELEPHONE -ELECTRIC -GAS Etc, HEATING, PLUMBING AND SIGNS. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 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 $8,160 $4.40 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- $74.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $78.90 SIGNAT REO�FCO�NTR�ACT OR AUTHORIZED AGENT (DATE) 1il�i�OY WHEN PROPERLY LIDATED THIS IS YOUR PERMIT ai n BLDG ,NSP DAIE J SIGNATURE OF OW NER OF OWNER BUILDER) IOATE) f NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description:(;�r A�- Owner Name &Address : i/.�, �A _ Tel. # t /ir�rritl� Contrac or. l- �,� Address: ?S�� y-fk Fr' ��� �l,'`[ 117 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 Length Length IROP-; /'VV4— Type of Construction: S�uccy Approx. Completion Date: _.t-- 72801.1( --72801.Zr C 21110.8d+ Proposed Driveway Width If New Width Height Width Height Width Hgt/Ground .'Yd. Tel. # Sq. Ft. 41 Sq. Ft. 2ZKk� Sq. Ft. 29 f -2 - Side 2 -Side Yard Setback Estimated Cost: $ ring Is Desired: $ $ See Back Page for Explanation DATE: �� APPLICANT: wry `% Tel. 8% Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL CITY USE ONLY $W 5V $ MMMMr $ ya, W_ ' $ 0000, $ $ $ • STIPULATIONS: 4A A• 1 e O' Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PER City of Fridley 17991 AT THE TOP OF THE TWINS BUILDING PERMIT _ r ECEIPT NO. `v ______ COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 7 6 1 i / ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/21/85 JOB ADDRESS 7550 - 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24 2 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE XM Vince Lanners 7550 - 4th Street N.E. 786-2287 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 8 DESCRIBE WORK Construct a 20' x 12' Porch.a.nd a 9' x 16' Deck 9 CHANGE OF USE FROM TO STIPULATIONS Use Treated Woad 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 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 l 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 $3,900 $1.95 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 PROVISIO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $44.50 ST RUC O OR THE PER RMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 4L Y"� 2% — �/�, - $11.13 $57.58 SIGNATURE'CYF bOINITRACT19OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V IDATED THIS IS YOUR PERMIT BLDG INSP f MATE oF SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) NES [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AHD R-2 ALTER. I ] Building Permit Application /7 Construction Address: 75 C5 6 fS� Legal Owner Name s Address: Tel. # 7E6- 22-9 7 Contractor: A��//�. Tel. # Address: ��_-S� �` s Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF I"NOVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: ������/Leenyngth DECK AREA: u -a* ength Width Width Height Hgt/Ground Sq. Sq. Ft. Ft. OTHER:=� �� ���iC�2. 2 Sv►2 Corner Lot [ ] Inside Lot [ ] 9 Z cu � a7 Setback �1( qyX� Ft. Yd. Setback Side Yard Type of Construction: bu wo Estimated Cost: $ Approx. Completion Date: 5M IM M_ ® t- 0,5-- 5�6 ?j Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS• r _, APPLICANT L.�'"r'�� `��— —Tel. # 7 P6_2 ZO, CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] i /( eT1,A— SSR. riE r 1 A rs�� SUBJECT PERMIT NO. City of Fridley 25349 25 34 9 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. e r NUMBER REV DATE PAGE OF APPRO ED BY CITY HALL FRIDLEY 55432 �j 612-571-3450 910-F15 8/5/97 JOB ADDRESS 7550 4 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 24 2 I Osborne Manor I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vincent Lanners 7550 4 Street NE 786-2287 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 [j REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (12 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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. 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 $1 084 $.54 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $39.12 NATURE Of CONTRACT R OR AUTHORIZED AGENT IDATEI ' WHEN PPERL 26�. BLD )NSP ALIDATED THIS IS YOUR PERMIT GATE i NATURE OF OWNER OF OWNER BUILDER) IDATEI NEW ( ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER ( ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name &Address: A eR-S Tel. # 7 06 Contractor: MN LICENSE # Address: 7S� -� ti Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len Width Hgt/Ground Sq. Ft. OTHER:E /� 1 4-12 - U/;� Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE:4j' APPLICANT: Estimated Cost: $ 0 -- (Fee Schedule on Back) —Ft -ix $ _ $ Tel. # ?%- CITY % - STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ f , y o .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 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: 70-1 WELL OR BORING LOCATION V MINNESOT DEPARTMENT OF HEALTH Minnesota Well and Boring Sealing H 13 5 7 u Co ty Name WELL AND BORING SEALING RECORD to s Minnesota Unique No. - - Minnesota Statutes, Chapter 1031 or W-series No. l (Leave blank Of not known) Township frame Township No. Range N0. Section No. Fraction (sm. -s Ig.) Date Sealed Date Well or Boring Constructed FRIDLEY u 4 30 23 SW NU X-AX 07, 1994 Numerical Street Address or Fire Number and City of Well or Boring Location Depth Before Sealing ft. Original Depth 70 ft• Show e §ftn _oMl Sketch map of well or boring AOUIFER(S) STATIC WATER LEVEL in section grid with -X'. location, showing property ja Single Aquifer ❑ Multiaquifer N N lines, roads, and buildings. � WELL/BORING Measured [:1 Estimated r �'rWater Supply Wel) ❑ Monit. Well ❑ Env. Bore Hole ❑ Other ft. CA below C1 above land surface t T W-i-- --i- E r CASING TYPE(S) i - 1 - - - I -i-- R`Steel ❑ Plastic ❑ Tile ❑ Other x mAe - L- -�-- - I-- --i-- CASING Diameter Depth Set in oversize hole? Annualar space initially grouted? S i mile _ in. from �— to— ft. ❑ Yes ❑ fJo ❑Yes ❑ Na C] Unknown PROPERTY OWNER'S NAME I in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown different than well location address indicated above. in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown SCREENIOPEN HOLE 7 550 4TH ST NE Screen from to ft. Open Hole from to ft. FRIDLEY MN, 55432 OBSTRUCTIONS WELL OWNER'S NAME ❑ Rods/Drop Pipe ❑ Check Valve(s) ❑ Debris ❑ FIII ❑ No Obstruction Sam, mailing address ft different than property owner's address indicated above. Type of Obstructions (Describe) Obstructions removed? ❑ Yes ❑ No Describe PUMP Type GEOLOGICAL MATERIAL COLOR HARDNESS OF FROM TO 1:1 Removed `Not Present Other FORMATION 7-1 If riot known, indicate estimated formation log from nearby well or boring. METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: PIr No Annular Space Exits ❑ Annular space grouted with tremae pipe ❑ Casing Perforation/Removal CLAY IT W In. from to ft. ❑ Perforated ❑ Removed GRAVE/STONES GRAY 50 89 in. from to fL ❑ Perforated ❑ Removed JORDAN WHITE 268 30 Type of perforator ❑ Other GROUTING MATERIAL(S) Grouting Material PORTLAND from 25 SURF ft Tarda 1 balls from to ft. yards bags from to - it—"— bags from to It. yards bags REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING OTHER WELLS AND BORINGS Other unsealed and unused well or boring on property? ❑ Yes No How many? LICENSED OR REGISTERED CONTRACTOR CERTIFICATION GEOLOGY FRON: 6536 NUN ST. This well or boring was sealed In accordance with Minnesota Rules, Chapter 4725. The information contained in this report is WATER LEVEL IN ASE' WELL : 26 r true to the best of my knowledge. DATE WATER LEVEL TAXEN :11 /9/fi0 QUAD# E-24 &. SCM.S' INC.SEALED �4i9a1°�egtsnett°" tyo. Authorized ReprosenteNve Slgnature S / 15 / 9 9,M According to NDN State Replati011s ' LOCAL COPY TH 135709 HE-0143403 2/97 R