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• City of Fridley, Minn. N° 7800 BUILDING PERMIT �F .2- S6 yY Date: dune 9, 1965 Fritz 02berg Owner: 10 Builder s and Company Address _3.95_ 53rdAye. N- E. Address 1618 W. Lake Street LOCATION OF BUILDING No. Street -- Part of Lot Lot Block Corner Lot _ Inside Lot Sewer Elevation To be Used as: Type of Construction Addition or Sub -Division — Setback __._ Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Est. CostA__ To be Completed Storm damage repair 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 an pliance with ail provisions of ordinances of the city of Fridley. � In consideration of the payment of a fee of $_ 1Q.CiQ , permit is hereby granted to McCall and Co • to construct the building or addition as described above. This permit as granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, an 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 ii - d ordinances. Allen Jensen Building Inspector NOTICE This perry t does not eever the candrueHoe, I ntahHHon for tdrh* phnnbine, on heath % sewer or water. Be sure to as the BulMh* Impactor for separate permits for these Henn. I 4 � 1 . l ' APPLICAT'ON FOR BJAING PERMIT CITY OF FRIDLEYO LNESOTA OWNER'S NAME FRITZ 01BE9G BUILDER �_� /40 _ - ADDRESS 195 - 53rd AVt. NE AnnREss 7z-) -_ LOCATION OF BtTNMNG No, Street Fart of Lot Block Additionr or SubdIvibion Corner Lot Inside Lot _._ etUack Side -Yate SEWER ELEVATION FOUNDATION 'A170N ..`..r.r�W. Applicant attach to this form, Two Certificates of survey of Lot and proposed-' - ing location dr&wn on these CA-ttificates. To be used as: DESCRIPTION OF BUILDING Front Depth H -...fight y J' Sq. Ft. Cu. Ft. Front`_ Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost $ 6000.00 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work Bei strict accordance with the City of Fridley Ordinances and rulings if the Departmz;ar of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. _of:Fee Costs o4a be found on the Reverse Side). Replace garage roof. Siding. Glass, screens. General repair. SUBJECT City of Fridley pi 7 3 3 3AT Em:, THE TQP QF THE TWINS BUILDING PERMIT rT NO • _____ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE 7 ---I CITY HALL FRIDLEY 55432 i NUMBER REV. DATE PAGE OF APPROVED BY ----� L 612-571-3450 910-F15 11/14/8 . JOB ADDRESS 195 - 53rd Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 2 Carlson'ammit Manor North Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barb Olberg 195 - 53rd Avenue N.E. 572-1030 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. All State American Concrete/D.F. Vizecky Contr. Co. Inc. 377-1742 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 323 West 48th Street 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Repair artial foundation 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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 $3,500 $1.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $44.50 TRUCTION OR THE PERF MANCE F CONSTRUCTION. PLAN CHECK FEE TOTAL FEE S AIM & t1 Ap.7 $46.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER VALIDAT D THIS IS YOUR PER IT 40� BLDG INSP fATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL BUMMING PEMlITS (New, Alterations, Additions, or Repairs) Effective Aug. 1, 1981 061NE R: BUILDER: ely ADDRESS: �— ADDRESS: TEL NO: i 2 — A/ J TEL 110: STMT NO: J IAT: Construction Location STREET. La V- BLOCK .2 ADDITION: 0 SUAJ' S &A6j.0'C /J®- Aa l) Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF CON'STRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: _ lype of Construction: �'Oof�7�ir, d(✓ � Estimated Cost: $ ®� Rb Be Cbr.pleted: Z/ Alt. A Al t. B Proposed Driveway Width If New Opening Is Desired: $ $ SED p.F.vFR;D SIDE OF SHEET . 2be undersigned hereby makcs applicaticn for a permit fcr the %:ork herein specified, agreeing to do.all work in strict accordance with the City of rridley Ordinances and rulings of the Department. of Buildings, and hereby declares that all the facts and representzitiens stated in this application are true and correct. V DATE: J --Z SIGNATUIE: Stipulations: � 61 SV fi SUBJECT 0. City of Fridley 0 19162 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT N • COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. �b 1 ",--I CITY HALL FRIDLEY 55432 �.j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/10/87 JOB ADDRESS 195 - 53rd Avenue N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Carlson's Summit Manor North Addn. SHEET _T PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duwayne Skoglund 195 - 53rd Avenue N.E. 572-1030 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Action Design Remodelers 3049 Oregon South., St. Louis Park, 55426 927-4743 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 j7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install Patio Door and Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Separate building permit needed to build deck. Render patio door inoperative until deck is constructed. WARWINIG Before digging call local utilitij,.� TELEPHOK.-ELECTRIC - GAS Etc. SEPARATE PERMITS REQUIRED FOR REQUIRED BY LAW' WIRING, HEATING, PLUMBING AND SIGNS. 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 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 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 $5,800 $2.90 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- $56.50 STR CTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE AO�GNATURE $59.40 OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPEFL LI DATED THIS IS YOUR P RMIT G SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) BLDG INSP E NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address: Legal Description: City of Fridley �R-1 AND R-2 Building Permit Application r Effective 4/1/86 Owner Name & Address: ?l 14 W/ -Q ` it L E -6 & Iu "` °tTel. # Contractor: r 7�i �.-. e c. a A h a Je �2s r Tel . ,# Address: %4 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: Corner Lot [ ] Inside Lot ] Ft. Yd. Setback Side Yard Setback �[ Type of Construction: Estimated Cost: $�<%� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ `15 • 54.40 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] :5800 2 _ ��, so N. City of Fridley SUBJECT )rl 9241 AT THE TOP OF THE TWINS BUILDING PERMIT r � CEIPT N COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. / n E✓ CITY HALL FRIDLEY 55432 %J NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10987 JOB ADDRESS 195 - 53rd Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Carlson's Summit Manor North Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE D. Skoglund 195 - 53rd Avenue N.E. 572-1030 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 C ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 10' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan ` I' Hetowdigging call local utililie TELEPHONE - ELECTRIC - GAS Etc. SEPARATE PERM17'S REQUIRED BY LAVA/I��NG, ��TING, FOR PLEQUIRED U'WBISG AND SIGNS. 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 ANYTIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 $693 $•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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $ 3.75 - WHEN $19.25 Y V IDATED THIS IS YOUR PERMIT SIGNATURE OF CONTRACTOR OR U HORIZEDAGENT IDATEI BLDG WSP BATE - SIGNATURE F WNERIIF OWNER BU I RI IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 I ALTER. [ ] Building Permit Application Construction Address: QS S 1 (2-0 'qV F► "If Legal Description: o % 8161`C "Ca r/5ofs Sum,n,�k �U. AQDAl, Owner Name & Address: -:D, S kb j l(A V1 n Tel. # % a ' 16- 6 Contractor: S c L 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. DECK AREA: Length 10 Width / 6 Hgt/Ground c9i? Sq. Ft. (U O OTHER: Corner Lot [ ] Inside Lot [ 7 Ft. Yd. Setback Side Yard Stback Type of Construction: -kms t! W _ Estimated Cost: $ Gc� 3 Approx. Completion Date: I W -ee Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: %©-�'cf `� APPLICANT: Tel. 722'/�3 CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge Vie) STIPULATIONS: $ $ A Fee Schedule on Reverse Side 25$ of Building Permit Fee $•50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] c u s s c� Xce — )r_ t� l qv - - 2 ,ea "4u, Vee e p MED M : Jock Robertson, Cutm pity Development Administrator AED FRDM: Darrel Clark, Chief Building official MEND DATE: August 4, 1988 RWzAMIlU: Foundation Problems in Carlson's Summit Manor North Addn. Please be advised that since July 21, 1988, I have received calls from six hameowners who own homes in the vacinity of the 5300 block of Horizon Drive, requesting that I inspect their house foundations because of apparent differencial settlements. Prior to these calls we had inspected 5 other foundations during 1987 and 1976 that were in this general area. There appears to be a pattern of things that probably have caused these settlements to occur or are present at each location: 1. They have all occured during long dry spells (1976, 1987 & 1988) . 2. All have had mature trees growing in the general vacinity of the failure. 3. Yard and street settlement has also occured in front of those homes that had mature trees in the front yard near the failure. 4. All those that have bad soil tests done have had a layer of moisture receptive or active soil at or below the footing elevation. 5. All bcmeowners have been advised to contact a soils engineer to test and report their findings and to suggest the method of correction. 6. All of the homes were built in the mid 19501s. The cost of repair will depend upon the extent of the failures. We estimate the cost of such repair to range between a minimum of $500.00 to a maximum of $20,000.00 or possibly higher. one home repaired in June, 1987 paid an estimated $3,000.00 to a contractor to replace the back wall (32 feet) of their basement. That repair consisted of the following: temporarily supporting the structure on post and timbers; removing the back foundation wall and footing; digging down through approximately six feet of clay or silt to granular gravel at three locations (each hole was about 4'x 2' ); pouring each hole full of concrete; pouring a reinforced concrete grade beam over the top of the new pads to form a new footing; laying up a new block wall; and setting the house back dawn. A camposit map is being maintained that shows the reported dates and addresses of all reported problems. If anyone wants more information on this subject, please contact aur department arra we will be happy to review our files. We do have individual records on each reported problem. Its possible that there could be more failures that have not been called in for our review. DGC/mh ATTACH: Map CC: Mr. John Flora, Public Works Director PIS* ' 0 'fes 7`fi :; A w r� ._ i to) ' mel. ./:•..:• :�: G%y 101 op 346P Z (a% Ull 14.9 Hoc, 17 -.1A.10P) 010 -WAM /p%~ AUO SUB S3ea �1�� D� • ; j CO NO 155 -ST471 .,Jai urs` NO loa MWAr— /00, H C, o Irn t ow 0 -2- L-LLj 77" rl + QD t V-7 V.F j A Ll 149 Noon o,, j W1.0 e) v IP r — ol ANWcfa L3 - RFP Av 0 d1P /. 1- I- � d 43S � / ff oo •moi .: ✓ / ,: . aE� I o1z.11 ol J-, Ir A UDIroR, cc, Its" fiC L P Vo�'�� in I , oesee s s� 00 i P s � ♦m 8 ." d �,- in 3 L ," 1• C] �2 ,J � ��. �1• ^� '�r� ' � l� � �� � � O� � �' � 135 58.14 � � : � � �: ori • N`5 e/ ,_.---=�-�' �- 6 --53�— ,s —ST. , B t 1 T tIVM.N. r- �d ---------------- to 1 G 3 M.N. r— nri — _ 0 t 500 W1 55.12 00 Ln Io I� s� MOVE IN R HYD, � �3 To CLF.Ag Urr N I CC ° ti 0 � 30•. P1• 6° q a;. 0 Goo I..y � Z DESIGN 77—F177 - G �t.LT. O.T.�10t $� _. TIN SSS i Fl , ,; atn ACME CONCRETE & UNDERPINNING CO. FREE ESTIMATES a LICEI Ft o r BONDED a INSURED PHONE: 825.1881 AGREEMENT 361210TH AVENUE SOUTH MINNEA LIS, MN. 55407 Owner's Name.L:r Telephone �" i 'L % D�D Mailing Address 1 /J — IF Job Address 4.4� City state The Contractor hereby agrees to furnish all labor and/or materials as hereinafter set forth at above job address Terms S_ as a deposit; $ / ra/ "" cempbtl. of saw works and the balance of $ plus carrying charges payable irt_ equal eonseMhra payments of f first payment shall commence days after completion Upon completion of above work all undersigned agree to deliver to Contractor o completion certificate as requested by Contractor. It Is farthw agfgO That this contract may be assigned by the Contractor. CONTRACTOR AGREES THAT Att WORK Witt RE PERFORMED IN A WORKMAN-tIKE MANNER. The Owner hereby certifies that he has read this agreement; that the terms and conditions and the meaning thereof have boon explalmd to him and that he fully understands them; that there is no understanding between the parties verbal or otherwise than that contained in this agreement; and that the Owns shall maintain no action on any new substituted contract except the some be in writing and executed by the parties heretes that no stotemeets, premise, commitments or representation• not contained in this agreement have been made b1r the Contractor, or any of his agents to Induce Owner to execute this ogreement; Owner agrees that the said Contractor is not responsible nor bound by the representation not contained in this agreement, made by any of his agents unless the same be reduced to writing and signed by the Contractor and the Owner. Since the materials used in the fulfillment of this contract are selected or fabricated by the Contractor on special order, and since the Conhoeter Incurs considerable expense in negotiating this agreement, the amount of which cannot be presently determined, it Is understood} by and between the WIGS hereto that in the event of cancellation by the Owner prior to the application of the oforedescribed labor and materials, he will flay to Contractor a sues equal to 30% of the contract price as liquidated damages for such cancellation. CONTRACTOR shall not be liable for delays caused by strikes, weather conditions, delay in obtaining material or ceases beyond his control. IN WITNESS WHEREOF th CONTRACTOR and OWNER have hereunto signed their names ibis of 19Die> '• o s Y SUBJECT PE City of Fridley19718 AT THE TOP OF THE TWINS BUILDING PERMIT i � COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. - 79 r PROTECTIVE 0 1 ..3 `_J CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/17/813 JOB ADDRESS 195 - 53rd Avenue N.E. 1 LEGALLOT NO. 1 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Carlson's Summit Manor North Addition DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE D. Skoglund 195 - 53rd Avenue N.E. 572-1030 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. XNKKK Acme Concrete 3612 - 10th Avenue South, Mpls., MN 55407 825-1881 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 IR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace approximately 361 of basement foundation 9 CHANGE QF USE FROM TO STIPULATIONS Grade beam must have xebars as shown on attached sketch. Rebar inspection required. SEPARATE PERMITS ARE REOUIRED 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 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 $6,350 $3.18 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEESAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $90.00 �AtAj STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $9.3,18 _ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT - (DATE4 f WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT 463- LOG WSP pA SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)F Y PURCHASE ORDER PURCHASED BY THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY F 11519 THIS NUMBER MUST APPEAR ON ALL CORRESPONDENCE SENT TO US SUPPLIER SA� LL�nA1� �' AnoM &L)eW rL _ �� -• 3� � .34ja - l®�A ADDRESS /� _ AgCS J 6VO 1 CITY I OF FRIDLEY PHONE N0. oS%� - /C��® y° ��� 18�� 6431 UNH. AVE. N.E. FRIDLEY, MN 55432-4364 CONTACT 612-571-3450 PAYMENT VOUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW STATED ITEMS. PA ACCOUNT OTY. UNIT PLEASE ENTER OUR ORDER FOR THE FOLLO PRICE AMOUNT �aaeU uAJb QF' lZt.. ;�,e- 56A Ai 0U AA8A-%7®ry Ai 196-- 5, of Ta 4. T s 7- Scc xi o B&I o ro Aorw TOTAL THIS AGENCY HAS AGREED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATNE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FIRMS AND OTHER AGENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE. EXEMPT FROM SALES TAX AS A POLITICAL SUBDIVISON OF THE STATE OF MINNESOTA CITY OF FRIDLEY NO. 8030301 WHITE, VENDOR — YELLOW, PURCHASING — PINK, ACCOUNTING — GOLDEN ROD, DEPT. HD. CIIYOF FRIDLEY CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450 November 17, 1988 Ms. D. Skoglund 195 - 53rd Avenue N.E. Fridley, MN 55421 Re: Refund of Building Permit #19718 Fee For Foundation Repair Dear Ms. Skoglund: The City Council at the November 7, 1988 meeting, waived the permit fee for any foundation repair caused by the clay compaction that was due to dry weather. We are refunding the building permit fee to both you and your contractor. We are retaining the State Surcharge of $3.18 that was remitted for the permit. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, / l.' i L)L DARREL G. CLARK Chief Building Official DGC/mh CC: Acme Concrete NEW [ ] AMN [ l ALTER I ] Construction Address Legal Description:_ Owner Name & Address Contractor: Address: 73 4 City of Fridley R-1 AND R-2 Building Permit Application Effective 5/ Iq jz Zr-•/991 Attach to this applications a Certif scatof Survey of the lot, with the proposaed construction drawn on it to scale. Lenath Height Height Hat /GraimA Sg. Ft. Sg. Ft. Corner Lot [ i Inside Lot I ] Ft. Yd Setback Side Yard Setbacks Type of Construction:Estimated Cost: $ Approx. Completion Date: /"i `!S—g 0 (Pr�SS Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page OATS: APPLICMU: Tel. # Permit Flee State Surcharge SAC Charge Driveway Escrow Park Plee Sewer Main Charge TOTAL ?ULATIONS: $ , 00 Cal bri's) G �7 Free Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. 'A" or Alt. 18" Above Flee Determired by Engineering Agreement Necessary 17 Not Necessary 17 J ( i2. ,00 15s -5mw- 0+0 Cos 1 Lt �—T OU N 3 � 11 7 — -2��5 Ma�S�. 1✓idr ���� l� �.. . �i✓�S � 6 f}TTSb iJ �C ���� � � r fie. --------------- 1.56 4- ,?,o _ 1,3D VV a4 v I . t ,,- I C90 r I . SG '%/I 43 1 i df-eg S S5 VK 15 7J� �G �L nn Ila {'S . j 5 •,#5 PLS. ; c- , - T-5 \ Loancm 12" I .t,�c0)a -rk,/ginr?ce: . SECTI-cso 1 Hereby Certify That This Plan Was Prepared By Me Or Under My Direct Su4129 Ion And That 1 Am A Duly noed Protesslo�j�Ineer Under Ths Ot'p�e SlaLii011Mlhoaaot■ DATE w MWN ' w q1 xay 1 v ,,y s Ct SA IYV 1/41 00 w MWN ' w q1 xay 1 v ,,y s Ct SA IYV 04/02/2004 FRI 13:21 FAX ELDER JONES ®® - _ 60 7 ? o1/oo1 NEW [ CIN OF FRIDLEY Effective 4/1/2004 ADDN [ ] .6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Pax BUILDING PERMIT APPLICATION Construction Address: I q rJ - s� 1�0,e P& Legal Description-- Owner escription_ Owner Name & Address: - ' k� C�y\ Tel. # b 3 • S } (- 94 OC) Contractor. RMA HOME SERVICES, INC. MN LICENSE # Address: Home Deopt Installed Sales 3200 Cobb Galleria Pkwy.Ste. #200 Tel. Atlanta, GA 30339 1 Certificate of Survey of the 763-542-8826 BC -20268257 tru6tion drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width+ Height Sq. Ft. GARAGE AREA: Length Width Height_ Sq. Ft. DECK AREA: j�Length Width Hgt/Ground Sq. Ft. OTHERi rT n J1 I i�A A I r,\ \ l Vl f1 A /1 . � C ^ 1 . \ / , w . - _ _ t-, _ _ .. _ Construction Type: Estimated Cost: $_ 111. Driveway Curb Cut Width Needed: Ft + e Ft = Ft x $ —=$ DATE: b APPLICANT: r.,� Tel. # Q S o'1 - 34 S- 1004 }- Call (763) 572-3604 fer Permit Fees If malting In application. Fax to 763-571-1287 if using credit card and we will call you fvr card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $-12L. 9 -1b $ .0® CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt 'W or Alt 'B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 5-11, lk s T STIPULATIQNS: 0100 1W CINOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 August 10, 1989 Ms. 'Vicky Skoglund 195 - 53rd Avenue N.E. Fridley, MN 55421 Re: Foundation Repairs at 195 -53rd Avenue N.E., Fridley Dear Ms. Skoglund: On October 17, 1989 a building permit was issued to Acme Concrete for the repair of the foundation at 195 -53rd Avenue N.E. The southeast corner of the foundation had settled due to the shrinkage of the clay soils underlaying the footing of the house. Inspections of the corrective work were conducted by the City. The old foundation and footing were removed; the clay was then removed and a new reinforced footing was poured. The area involved in the repair was the southerly 12 feet of the east wall and the easterly 20 feet of the south wall. Eight inspections were recorded on the repair; the last one being done on November 3, 1988 when final approval for the repair was made. If you have any questions on this matter, please feel free to call me at 572-3602. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh Building A MECHANICAL Permit No.bUQFj0WT Received syr Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY Da P 2 200 DATE � � YO L ADDRESS- DDRESSSITE SITEADDRESS THIS APPLICANT IS: O WNER ONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: CITY STATE ZIP TENANT — PHONE: CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LIC TE , STA P LICENSE WITH ADDRES /. CITY APPLICATION PHONE — FAX PERMIT TYPE *SINGLE FAMILY O TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW 0 REPLACEMENT 0 ALTERATION/REMODEL . w r DET ED DESCRIPTION OF WORK PERMS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fDawes. (This should reflect -only the cost of labor ) Labor cost under $306 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 (GAS) $15.00 _GAS RANGE/OVEN $10.00 _FIREPLACE TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR $35.00 $35.00 _GAS UNrf HTR $10.00 _BOILER �FCE CHIMNEY LINER $10.00 RYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 PING $10.00 VENTILATOR $15.00 � y1. 4 ,IrOR', 5D0� 9s U''R'tit•Ta,Rf a, "t . Y C� Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ IZ71 Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an I* t* n for a permit nd work is not to start without a permit; that the work will be in accdrdancer with the approved plan in the case of ajl ork w ich re as review and approval of plans 0/14—DATE NAME�C�� SIGNATURE OFAPPLICANTtll\A PRINT % A"r T T. a CAL i?u'b City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Aar (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropaneUGC Chapter 3 with Ml -IT Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation . a_ Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. RCCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations