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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 3093 Date: . ......... ........ Owner �� �`�l• • • p �I ._. Builder ... .n. Address !� o . ' !�? .r9!'d .. /V``!.. Address ...... � — .7 n ..... ,.:..........�� .0 . � s �+ / �ATIOIV OF BUILDINGNo.[...� Street 69.x. `.... 1 .................... Part of Lot ............... .s ..... Lot .. ...... Block ...� .. ..... Addition or Sub -Division .. ... ����,. f Corner Lot ............ Inside Lot ............ Setback DESCRIPTION OF BUILDING T be Used as: � A ` .... Front / ® Depth .... Height �Zf'Sq. Ft. ../r.�.(q� Cu. Ft. ........ ........ nt /. !.� Depth ..®�.. � Height Sq. Ft. sem•!. � C/u Ft ........ Type of Construction ..... .......... Est. Cost. f�. L�.�®..... To be Completed ...16............. . 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. In consideration of the payment of a fee of $.../ .permit is hereby granted to ...�!4 .... . ......................... 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. NOTICE: This permit does not cover the construction, Installation or alteration for wiring, piumbin§, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items f A J, i ,A Vey .--� /V 10 a y IAIN Og �ppq Ig �j 3 rl QS Aft fmw ¢y City of Fridley, Minn. �9�-) of BUILDING PERMIT N? 7456 Date: —May 20s 1965 owner: Hainr Fmickaga Builder Hugo Skrandies _ Address . 5948 6th Ste, N.E• Address 195 Hugo Street LOCATION OF BUILDING N0,594E street 6th st. N.E. Part of Lot Lot 5 _ Block 4 Addition or Sub.Division __B©�d3tioA Corner Lot _ Inside Lot — Setback _ _ _ _ Sideyard W Sewer Elevation —____ _.._ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front — Depth Height Sq. Ft. Cu. n Front Depth Height Sq. Ft. Cu. Ft. Type of Construction __._ Est. Cost —AIA2,00 __ To be Completed • 8@—TODYBd 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 compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $—.00 , permit is hereby granted to HUM the SkraAdies to construct the building or addition as described above. This permit is granted upon 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 pmt thereof, shall conform in all respects to the ordinances of F hin the city limits an� permit may be revoked at any time upon violation of any of the provisions of said inances. • NOTICE: This permit does not cover the construction, hutailation for wlrbt& plumbing, gas heaths sewer or water. Be Sure to sen the Building hupecter for separate permits for these ham. APrILICAT�M FOR BUILDI'31*.T PERMIT CITY OF FRIDLEY, M0MESGTA OWNER'S NAME�r. 0 h BUI'LDrm /0"Fi v J ��",� i & ADDRESS S9lys' ADDRESS ��+ IV 51Y LOCATION OF BUILDING No. Street. Part of Lot Lot 'Block _Addition or Subdivision _WA_ Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of,Survey of Lot and proposed build- ing location drawn on these Certificates. ESCRIPTION OF BUILDIZ?G To be used as: Fro'i'apth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. ry Type of Construction Estimated Cost}o- To be Completed 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. DATE C� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT PER �. City of Fridley 142 19063 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEI COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i ,', CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ----� L 612-571-3450 910-F15 7/10/87 / / JOB ADDRESS 5948 - 6th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald Drangeid 5948 - 6th Street N.E. 571-9530 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 j7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 18' x 141 Deck a� 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan WARNING SEPARATE PIAT- REQUIRED FOR Before digging ca, utilities WIRING,. HEATING, PLUMBING AND SIGNS TELtp140A - ' GAS Ete. iRM .h t�AW 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,750 $.88 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. $29.50 PLAN CHECK FEE TOTAL FEE 37.76 OF RA TOR RAUTHORIZED E T IDATEI t WHEN PROPERL V D T S IS YOUR PERMIT CURE SIGNATURE OF O N I OWNER B DERI IDATEI INSP BATE NEW [ 11 City of Fridley Effective 4/1/86 ADDN. �R-1 AND R-2 ALTER. [ 7 Building Permit Application Construction Address: �T , �f -57- A)- �- Legal Description: �" Owner Name & Address: �� e�°��Q �����-`% ` Tel. #S71-21-30 Contractor: 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 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. /-' Width 7-71 Hgt/Ground �� Sq. Ft. ZS Z DECK AREA: Length _ OTHER: Corner Lot [ ] Inside Lot [✓r Ft. Yd. Setback Side Yard i Setback Type of Construction: ss �Rsis Estimated Cost: $ Approx. Completion Date: -7.3 r l 7-V7,00 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation 7 DATE: APPLICANT: r Tel. �7� CITY USE ONLY Permit Fee $��� Fee Schedule on Reverse Side 1 Plan Check $ / 25% of Building Permit Fee State Surcharge $ $•50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering � Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: (e),.-7 i7'�'73-<•Si y �' oiilVtR E�-�V VA cR� 35 Ilk o / :o '3 SUBJECT PERMIT N City of Fridley 213 94- AT THE TOP OF THE TWINS BUILDING PERMIT -REQEIPT COMMUNITY DEVELOPMENT DIV. ' /�� r I ti PROTECTIVE INSPECTION SEC. L�/1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/11/92 JOB ADDRESS 5948 6th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Sonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Gabler 5948 - 6th Street NE 571-9505 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 Reroof House & Garage (12 Squaxes) Tear--Off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayxent must Comply with State Building Code. 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. OWLG. 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 $636 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $19.00 Fire SC $.64 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $20.14 SI TURF FCONTR T RORf T RIZEDAGENT iDATEI ERL VALID TED THIS IS vOUR PERMITTSIGNATURE JA�WHNPR INSP f)ATE OF OWNE i OWNER BUILDERI IDATEI NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: y$ �h �• ..� Legal Description: 1,0-r 'Y, 3/0GAC' 4ck IN i Owner Name & Address: Iobc v-4- G�t.� I y` SCt fte- Tel. # 6-7/ - 95"c 5— Contractor: Q W tJ F - J -Z MN LICENSE # Address: 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: Length Width Hgt/Ground Sq. Ft. OTHER: Zo At A% • % eora Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ =��' 1�3 (Cost on Back) Ft x $ = $ DATE: 611) 9 7- APPLICANT: Ct Tel. # �j l " I S�✓� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Sewer Main Charge $. TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary t ] e SUBJECT MIT NO. City of Fridley 23551 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir ' � � .COMMUNITY DEVELOPMENT DIV. r 1 ______ L - PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/14/95 JOB ADDRESS 5948 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Gabler 5948 6 Street NE 571-9505 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rite Way Waterproofing 448 Lilac St, Lino Lakes, MN 55014 786-0550 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 Ox ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install interior basement drain tile system 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,350 $1.18 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- STRUCTI MAN E OF GON T UCTION $54.00 Fire SC $2.35 ATHEFO ,``� �T"" PLAN CHECK FEE TOTAL FEE 57.53 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL LIDATED THIS IS YOUR PERMIT BLD .INSP qA TE SIGNATURE OF OWNER0 OWNER BUILDERI IDATEI e NEW (] Effective 1/ 1/95 ADDN (] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ' Construction Address: 9"1'18 ST �J E Fel i-) Lz--qM N • S5430, Legal Description: -WB 6A&Tel_ # S'71 - q So 5 Owner Name & Address: Sq (4 R I TH ST OG 624 e u - q. M tj ss y 3 a Contractor: R , -- -1A A�(d) A - Z,22 0oF 1 Q C MN LICENSE # Address: L -I y$ W-Ao ST L1 iyo LA -KC-, , y)Q 550H Tel. # '726 -D590 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 4 (I onz-Mo e Dr,,AI A) --RL-C- 'S�STFrni LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ 1 Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. Completion Date: rl - I S - P 5 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: Tel. # 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 $ $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: . CITY OF FRIDLEY INSPECTION DIV, s' / Effective On January 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT �q 572-3604 U A MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Water Bath Wash Dfink.'�tir Floor Catch Auto. Gats" Gas Misc ti Water Heater Stories 0110041-K. Urinal Tub Shower Tray Dram Bann ; Washer Old Opening, New Fixture Range Flx,;.,� Gas Elec Basement ... _ ; Beer Dispenser $ 5.00 , :; Blow Off Basin Floor 1 HiNT qlili„ ,.... Catch Basin $ 7.00 ... Floor 2 $ 7.00"`� }. 7 ,1995 Sump/Receiving Tank Water Treating Appliance $ 7.00 $10.00 Floor 3 Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 Floor 4 Building Used As A^19 Gas Range $10.00 0� I ?�� ` C ' o Gas Dryer TOV PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS S7,l F, - (; ST 4JE New Fixtures -� $ 7.00 'f The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 ` Rain Water Leader $ 7.00"`� 7 ,1995 Sump/Receiving Tank Water Treating Appliance $ 7.00 $10.00 _ Owner, .90 fl G �/31,,Er- 4 %/ ' ^1yo ` Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 Building Used As A^19 Gas Range $10.00 0� I ?�� ` C ' o Gas Dryer $10.00 Estimated Cost PERMIT NO. t Back Flow Preventer Required ( )Yes () No X9Q/4419Xy Type $5.00 PLUMBING COMPANY Reinspection Fee $30.00 SIGNED BY ��s�' TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance v� Date ' Final Date Approved Rough—In State Surcharge .50 � S ��� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE SUBJECT PERMI City of Fridley 1 356 8_, AT THE TOP OF THE TWINS BUILDING PERMIT r IPT NO. _ COMMUNITY DEVELOPMENT DIV. L r ; PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 NUMBERREV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/24/95 / / JOB ADDRESS 5948 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 1 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Gabler 5948 6 Street NE 571-9505 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO M.R.E. Construction Inc 10928 Jersey Ct, Champlin MN 55316 424-5083 2902 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 Remodel Basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 $8,000 $4.00 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 $99.00 Fre SC 8.00 PLAN CHECK FEE TOTALFEE License SC $5.00 $116.00 SIGNAT E F CON ACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLYV IDATED THIS IS YOUR BLDG NSP/ 4:4,�,i�f ���yy / V vim! 1 PATE _ SIGNATURE OF OWNEROF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/95 ADDN (] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 -7 Building Permit Application ConstructionAddress: scNA, r(,, Si` A[ Legal Description: Owner Name & Address: Pn B EQ -T Tel. # S- 71- 95 - Contractor: /n k —' G V5 MN LICENSE # al 200_ Address: 109d8 --�-&5t_C`C 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 Q:�> -�r Width .20 fr Height Sq. Ft: GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 2= rc n - Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Awr ¢ t=�n�`r� � 6 Estimated Cost: $ alX� r Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ftx = $ DATE: APPLICANT: Tel. # TOTAL STIPULATIONS: J 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 $ $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 FR.I i5(,c � � �IJ 5531(0 57� -%sOs 1:5 PLOO< . r r CIOFFt - tt / ;6 R- J3 IYNS ✓�-fl�±`Giv i�ac. y w ��°� . c �t� �- 5 P�j �n • Com'% � PLU Wl,�3 �1 IZL>J� k 1J S Dg -i Aa WELL OR BORING W 9 Minnesota Well and Boring H 59339 MINNESOTA DEPARTMENT OF HEALTH Sealing No. County Name WELL AND BORING SEALING RECORD Minnesota Unique No. Minnesota Statutes, Chapter 1031 or W -series No. ANOKA (Leave blank if not known) Township Namewnship No. Range No. Section No. Fraction (sm. , Ig.) Date Sealed Approximate Date Well ERID Totr or Boring Constructed � 29 24 231 SE WWLY 14 199 QSO 6 Numerical Street Address or Fire Number and City of Well or Boring Location D59413 6TH S72EET HEepth Before Sealing a ft. Original Depth ft. Show exact location of well or boring Sketch map of well or boring Static Water Level Accurate y in section grid with "X". location. showing property lines. N N roads, and buildings. ❑ Approximate W rEMS MEMO Screen from to ft. open hole trom to R. OBSTRUCTION/DEBRIS/FILL ❑ Obstruction ❑ Debris ❑ Fill MEMO PROPERTY OWNER'S NAME NEON Type of debrislobstruction Obstruction/Debria/Fill removed? ❑ Yes 11No Mailing Addressif different than property address indicated above. *Single Aquiter ❑ Muitiaquifer ft. below above land surface r 4' CASING TYPE I smiteF --� (� ,Steel ❑ Plastic El Tile ❑ Other S N — r mile —� Tj}1 t Screen from to ft. open hole trom to R. OBSTRUCTION/DEBRIS/FILL ❑ Obstruction ❑ Debris ❑ Fill PROPERTY OWNER'S NAME BOB SLE Type of debrislobstruction Obstruction/Debria/Fill removed? ❑ Yes 11No Mailing Addressif different than property address indicated above. 194848 6TH STREET °r '1 g�E PUMP FRIDLEY, NN 55432 ❑ Removed I(NotPresent ❑ Other CASING Diameter Depth --t4. from to ft. in. from to ft. in. from to ft. Set in oversize hale? Annular space initially grouted? ❑ Yes W No ❑ Yes ❑ No ❑ Unknown ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown GEOLOGICAL MATERIAL COLOR HARDNESS OF FORMATION FROM TO If not known, indicate estimated formation log from nearby well or boring. FINE SANT) BRO FINE S .9 p ^¢ SHAKOPEE 3W -I-rk 3-- OD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: RNo Annular Space Exists ❑ Annular space grouted with tremte pipe ❑ Casing Perforation/Removal In. from to in. from to Type of perforator ❑ Other ft. ❑ Perforated ❑ Removed ft. ❑ Perforated ❑ Removed GROUTING MATERIAL Grouting material dafi'iY,TS A%HTOfrom !9 yards bags from to ft. yards bags REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING GEOLOGY FROM:FRIDLEY SR HS from to ft. yards bags MATER LRVEL IN ABOVE WELL: 651 from to ft. yet& bags ` DATE WATER LEVEL TAKEN: 09/24/( SEALED WELLS AND BORINGS Other unsealed well or boring on properly? ❑ Yes 5& No LICENSED OR REGISTERED CONTRACTOR CERTIFICATION IPAL SD This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725. The information contained In this report is true to the bestof my knowledge. Contractor Business Names>+ License or Registration No. 7/17®C -?,5 Authonzedeprentatfve Ignature Date LOCAL COPY JH593394. Name o/ Person Sealing Well or Boring HE -01434-01 SUBJECT , City of Fridley _ .P �6426 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. Y6® NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/2/98 JOB ADDRESS 5948 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Vukonich 5948 6 Street NE 571-9622 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LI ENSE NO. Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove MN 55311 416-4804 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (21 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 1 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 $1,751 $.87 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- RUC ION OR THE PERFORMANCE OF CONSTRUCTION. $56.75 Fire SC $1.75 (�- PLAN CHECK FEE TOT FEE I--d C 0 Licens $5 0 $64.37 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI N P O BLO INSP VALIDATEOTHIS IS YOURPERM ��•V//qAT SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: %e! -ter - - V ti ko%')t Tel. Contractor: Ju hfs � , 5 , d P YI 11006 CC),? G l MN LICENSE # �1001®d ?? Address: �(� `� r� �e S k -~c 7 ✓L'c�, A4 az / e- Tel. # Attach to this application, a Certificate of Survey of the S j lot, with the proposed construction drawn on it to scale. / DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width GARAGE AREA: Length Width DECK AREA: Length Width OTHER: ,_'� / of Permit Valuation (1/ 10th %) Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: 7c ar - ®dl_'� Estimated Cost: $�, 1 17s� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ _ $ DATE: APPLICANT: G Tel. # TOTAL $ L STIPULATIONS: 1: � � 5; � ///:&`6d CITY USE ONLY Permit Fee $ � Fee Schedule on Reverse Side Fire Surcharge $ 9,S--.001 of Permit Valuation (1/ 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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 $ L STIPULATIONS: 1: � � 5; � ///:&`6d