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PRE 2010 DOCSN? 543 Dwner Village of Fridley, fin. i :1 1; F1 I f, , �%, ?; ..1 Office of IINSPF MB OF BUILDINGS Architect Fridley, Minn., it J1 '_, 1 Builder , LOCATION OF BUILDING No. C Street 912. 0249 h 0 Part of Lot Lot Bloc Z �r_ Addition or Sub -Division J:'e Dhl 3C IPTION OF BUILDING Front_ De ,kHeight Stories_ Manner of Construction��r'r" To be used 42 To be completed) JAM. •tr4d Estimated Cost 920 Permit is hereby ted to to. `� +^► the building -described in the above statement. This permit is granted upon the express c indition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of. Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city li= Lts, and this permit. may be revoked at any time upon violation of any of the provisions of said ordinances. /_LUT ector of Buildings. 1n eonsidei the above perp above set forth sworn, I 'herebj true as therein Subscribed "day of_ AGP.EWMT AND SWORN STATEMENT ,tion of the issue and delivery to nye by the 1 izpector of Buildings of Fridley of t, 1 hereby agree to do the proposed work in accordance with the description and according to the provisions of the ordinances of Fridley, and, being first duly state and say that the facts stated by me and contained in the above permit are sworn to before me at Fridley, Minoecota, this A. 19 0 0 City of Fridley, Minn. N4 8864 • BUILDING PERMIT Date: MW 11 1966 Owner: LESLIE TMANEN Builder THE SUSSEL COMPANY Address 1400 - 69th Avenue N. E. Address 1850 Como Avenue Fridley, Minnesota 55432 St. Paul, Minnesota LOCATION OF BUILDING No. 1400 Street COUNTY ROAD H Part of Lot Lot _ Block Addition or Sub -Division Corner Lot _ Inside Lot _ Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ATTIC ROOM -DORM t Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction 'Frame Est. Cost _ $ 1,400 __ To be Completed U • 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 aft provisions of ordinances of the city of Fridley. /1/ In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to THE SUSSEL COMPANY to construct the building or addition as described above. This permit is granted upon the exption that the person to whom it is granted and his agents, employees and workmen, ffi eII work donLin,Vand upon said building, or any pari thereof, shall conform is all respects to the ordinances of Fritawitmits ordces. NOTIM 'lids psrmh does not cava As condruedon, hutallaffm for wlrtns, plumbing, ges boating, own or water. Be ars to see the soilding hupector for esparale permits for thea Num. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ZE SL! .&/,C. ,#e-& BUILDER ADDRESSl�ADDESS*em :�OL ® LOCATION OF BUILDING NO, L -:toe STREET /Fa f< ��. PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; /y -ti 1 e /Y--7 R/veR- FrontDept Height Sq. Ft. Cu. Ft. Front Dept i Height Sq. Ft. Cu. Ft. Type of Construction s %�f E Estimated Cost To be completed--A4�� /9'" 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 (Schedule of Fee Coate can ba avuuu 'vu �.uc ytcVcaOG �7.��ac�. (y C � V 01 SUBJECT ER 0. City of Fridley 19965 AT THE TOP OF THE TWINS BUILDING PERMIT _ ' ' R `____ COMMUNITY DEVELOPMENT DIV. v r PROTECTIVE INSPECTION SEC. 3 7Y7 1 i �CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY'j 612-571-3450 910-F15 6/23/89 JOB ADDRESS 1400 - 69th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 Auditor's Subdivision #k10, Parcel 940 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leslie Tikkanen 1400 - 69th Avenue N.E. 571-3152 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 Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 141 x 30' Addition & a 301 x 241 Garage 9 CHANGE OF USE FROM TO -STIPULATIONS See notations. on plan. Remove existing garage within 30 days of completion of new garage. Provide a hard surface driveway. Provide fire alarms on all levels of dwelling. WARN EPIARATE PERMITS REQUIRED FOR I:RJNG, HEATING, PI UM9ING AND SIGNS. Before d►ggi� calt,t °0I "@tilitiIs TELEPHONE . ELECTRIC .GAS Et REQUIRED By LA 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 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 $35,800 $17.90 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $323.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION, LAN CHECK FEE TOTAL FEE 7 $341.40 SIGNATOR OF CONTRACTOR OR A HORI D ENT MATE) _ _ ,A WHEN PROP RLY A IDATED T IS IS YOUR P RMIT t BLOC INSP r1AT iGNATURE OF OWNER IIF OWNER BUI DERI IDATEI 01 NEW [ ] ADM ALTER [] R-1 AND R-2 Building Permit Application Effective 5/3,/88 Construction Address: b ®� `— Ccs �v 1j, F Legal De 3ptim: /1®T�?` , V l o v 5 �, (Y,'.a i 5 r`6 4L owner Name & Address:IPA % e '� A 116c:— 9t, /tJ Tel . R�d � � Address: (.)(I Attach to this application, a Certificate of Survey of the lot, with the prq=ed construction drawn on it to scale. D�CRIPTIM Cr II►PSOMM LTVM AREA: length Width 0 Height � � Sq. Ft. ; 0 GNU= AREA: Length '3 Width Height a -p Sq. Ft. Z= AREA: length Width Hgt/G=znd Sq. Ft. 07m: Mrrer lot [ ] Inside Lat [ ] Ft. Yd Setback Side Yard Setbacks Type of bion: a A4 Estimated Cost: $ Approx. Omapletion Date: Proposed Driveway Width If New Opening Is Desired: + 6' See Back Page DATE: J .� �.� �, �� AP'PLICAt�rr: - - ---Tel . # 5-7/- 3is -. Permit Fee $ 333.90 State Surcharge $ 1150_ SAC charge $ Driveway Escrow $ Park Fee $ Sewer Main Qsarge $ $(43gf, qd SrIPIJIATIONS: aoL,.40- eL 09LLOI.U-NA1. w 4 y ��_i- rr,11 Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by > 11- : aAgreemmt *+� 7 Necessary t ] Not NecessarY [ ] 4,1�L qLo X 4q G) s 28,V-1-* 140 : y,389 PA �� Zya27ajb�c 9F(,'L It3rSJb.`!� 3S,'�e.8u 3S,gao as,000 = 2x2.00 3o23,Sd is %61 Li AM A Ltc W Sc4f.c 14,11 40 3-tt a 7-e 0 1 by 4r 4 4�- for I-JerAvlo W6 MIMMAWMEMAIMAM 4r ablyA as &W ad *A puds I* kqvw&7l*ftdopmftmvo OvjLbpwd"*"swL - Oni e7 0 j ti aR 0 'IrO got CPT .-0 "Sours E-! SU Of h h flA�+D F.►�1++ao RA� IL W6 "ae. Y� rO - - ti CA } - d � Lp s z I 10 c _ vo ail ( b Com.ve - V MEA $KReM��T jo APfty - iy •a+'c:7itPUri,�fFD ,)atrn: .oriT,Y 7th, .1989 c � .r?rr_L r!r FOP r Gt.R "�P_NLNAr70P'S 7 6 t;JJ N.i I' � K V; l q, ^,N " .1301(612)427 6100 4IN10:50 i A DLPAR i o•;F.NT OF 1"1_!'H 117 SE DELAWARE STREET DIVISION OF ENVIRONMENTAL HEALTH MINNEAPOLIS, MINNESOTA 55440 ATTN : r1r Jim Nye (612) 623-5339 SUBJECT: IIELL ABANDONMENT RE: NOTIFICATION Dear Mr Nye, SITE D t_AGI'. ,M NORTH Cerci A v P , C . U)ell This letter is to notify you of a water well in your district that should be sealed acco,•ding to the Water Well Construction Cude MCAR §4725.2500-2900. E.H. k:�7-AILR & SONS, INC has been notified by L.he owner of this property or an interested party and have subsequently submitted to them an estimate for the ,cal ing of this well under our LICENSE u11015. We have also included a _-oo. of the i;ode , th our ostfi7ate. In 1,L,b!11i �t.ing ,. it ustiinate, 'lie owner may also receive additional estimates and hire ,,y number of Minnesota licensed water well contractors in the area to s:_,al this -,iel 1 . However, there is a possibility that this well may not be properly •_,c.iled and thus jeopardize the ground water and Public Health. E.H. RENilER & SONS, INC. wishes to provide you this information for future reference with the abandonment report when submitted. PROPERTY ,OWNER:_LES TIKKANEN _ �_ _ PHONE # 571-3152 �rrnpESS 1 100 -6911, AVF.. E. _ _r:RIDLEY-, _WL____.5_5432 --- DATE 6-28-89 LOCATION: S`�°-..� -.. , " - WELL DIA. 30 --------------------- -- DEPTH: ux Sincerely Submitted, f Raymond T. Renner, V -President E.H. RENNER & SONS, INCORPORATED STATE LI LNSE #71015 CC: TTY _ QF.. FRIDLEY 6431 UNIVERSITY -.A . UE, FRIDLEY_, MN. 5542— ATTN:_ DARRYL CARR __... __. PHONE # 574-3450 STATE OF MINNESOTA DEPARTMENT OF HEALTH ABANDONED WELL RECORD 1. LouTiON Of WELL MINNESOTA UNIQUE WELL H0. (leave blank if not known) County Name Anoka .i, Township Name Township Number Range Number Section No. Fraetton 4. WELL DEP1 Fridley N or k is of 4 98 or 7 S W Numerical Street Address and City of Well Location or Distance from Road Intersection 1400 69th Avenue N/N' Fridley 1"4n. W Show exact location of well (in section grid with "X" P-. 1 .i L 2. PROPERTY OWNER'S NAME Lesley Trikken etch ap of well location ENE C tkG v✓ E P-. 1 .i L 2. PROPERTY OWNER'S NAME Lesley Trikken Mailing Address if different than property address indicated above Same HARDNESS OF 3. FORMATION LOG COLOR FORMATION FROM If not known, indicate formation log from new well or nearby well. T! ,0 TO 6. REMARKS. ELEVATION, SOURCE OF DATA - CASINGS REMOVED, CASINGS PERFORATED, ETC. Removed deep well jet pump, 54ft 14in drop pipe and jet package. FFiCIAL ABANDONED WELL RECORD (May be used for Property Transfer) IXPMrA61Ya PILE WZTE DMW eted) Date sealed ft. 7/10/89 S. DRILLING METHOD (if known) 10 Cable tool 40 Reverse 70 Driven 100 Dug 2)] Hol low Rod SoAir 80 Bored 110 30 Rotary 60 Jetted g® Power Auger 6. OBSTRUCTIONS Well obstructed�l'es O No Obstructions , veg>3 Yes ® No If obstructions cannot be removed, contact MOH before sealing. 7. USE 1D Domestic 4[:1 Monitoring 80 Heat Loop 2® Irrigation So Public U Industry 3(] Test Well 6[—] Municipal 100 Commercial 7[:l Air Conditioning 11Q B. ING(S) Black )0 Threaded 70 2C1 Galy. So Welded 3E] Plastic 60 Stainless Steel 1n. to QR ft. in. to ft. 9. SCREEN 0 Screened well from_ ft. to _ ft. (If known) [] Open Hole from ® ft. to _ ft. 10. STATIC WATER LEVEL U-7 ft IM below ® above land surface Date Measured 11. WELLHEAD COMPLETION ip Pitless Adapter 40 Found Buried Basement offset 30 Well Pit 12. GROUTING INFORMATION Neat Cement 20 Bentonite 30 Grout material neat from ,UtoDL ft. cu. yds_ cement 13. NEAREST SOURCES OF CONTAMINATION feet direction type Well disinfected before sealipg? t Yes 14. PUMP 0 Removed 0 Not, Present Type: 1L7 Submersible. '3[] L.S. Turbine SQ Reciprocating Ulet 4E3 Centrifugal U 15. EXISTING WELLS (Please sketch locations of abandoned and active wells in remarks section or on back.) Other unused wall(s) on property? ® Yes M No Abandoned: ❑ Permanent ® Temporary (] Not sealed 17. WATER WELL CONTRACTORS CERTIFICATION This well was sealed under my Jurisdiction and this report is true to the best of my knowledge and belief. ..P �,Jahrlsnn fir �on� T)ril l ink �7 is sLicense No. 637 ����Yin��me So® Address nneapo S. Mn. Signed _Oate �. e Name of Ori etch ap of well location C tkG v✓ E Mailing Address if different than property address indicated above Same HARDNESS OF 3. FORMATION LOG COLOR FORMATION FROM If not known, indicate formation log from new well or nearby well. T! ,0 TO 6. REMARKS. ELEVATION, SOURCE OF DATA - CASINGS REMOVED, CASINGS PERFORATED, ETC. Removed deep well jet pump, 54ft 14in drop pipe and jet package. FFiCIAL ABANDONED WELL RECORD (May be used for Property Transfer) IXPMrA61Ya PILE WZTE DMW eted) Date sealed ft. 7/10/89 S. DRILLING METHOD (if known) 10 Cable tool 40 Reverse 70 Driven 100 Dug 2)] Hol low Rod SoAir 80 Bored 110 30 Rotary 60 Jetted g® Power Auger 6. OBSTRUCTIONS Well obstructed�l'es O No Obstructions , veg>3 Yes ® No If obstructions cannot be removed, contact MOH before sealing. 7. USE 1D Domestic 4[:1 Monitoring 80 Heat Loop 2® Irrigation So Public U Industry 3(] Test Well 6[—] Municipal 100 Commercial 7[:l Air Conditioning 11Q B. ING(S) Black )0 Threaded 70 2C1 Galy. So Welded 3E] Plastic 60 Stainless Steel 1n. to QR ft. in. to ft. 9. SCREEN 0 Screened well from_ ft. to _ ft. (If known) [] Open Hole from ® ft. to _ ft. 10. STATIC WATER LEVEL U-7 ft IM below ® above land surface Date Measured 11. WELLHEAD COMPLETION ip Pitless Adapter 40 Found Buried Basement offset 30 Well Pit 12. GROUTING INFORMATION Neat Cement 20 Bentonite 30 Grout material neat from ,UtoDL ft. cu. yds_ cement 13. NEAREST SOURCES OF CONTAMINATION feet direction type Well disinfected before sealipg? t Yes 14. PUMP 0 Removed 0 Not, Present Type: 1L7 Submersible. '3[] L.S. Turbine SQ Reciprocating Ulet 4E3 Centrifugal U 15. EXISTING WELLS (Please sketch locations of abandoned and active wells in remarks section or on back.) Other unused wall(s) on property? ® Yes M No Abandoned: ❑ Permanent ® Temporary (] Not sealed 17. WATER WELL CONTRACTORS CERTIFICATION This well was sealed under my Jurisdiction and this report is true to the best of my knowledge and belief. ..P �,Jahrlsnn fir �on� T)ril l ink �7 is sLicense No. 637 ����Yin��me So® Address nneapo S. Mn. Signed _Oate �. e Name of Ori CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND ' AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL ` RATE TOTAL Job Address ��®® ��ia.� Ae Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ .%, 00 Department of Buildings, 6431 University Ave. N.E., Fridley, INN 55432 City of Fridley Gas Piping $ 10.00 $ , Q Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. A> All Others/Repairs and Alterations OWNER 4 1% of Value of Appliance or Work $ _ RIND OF BUIL/D�ING J COMMERCIAL/INDUSTRIAL USED As 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT 10-31 ESTIMATED COST ��Z / �i State Surcharge $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. ! LLQ TOTAL 1FLE $ .®is-® Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATIN ` or POWER PLANTS, Steam, Hot Water, Warne Ai - No. Date /1 �� P r� ,s Trade Name Final Insp. OkJ Size No. J/,90 /tel Date Capacity Sq. Ft. EDR BTU HP // Approval for Permit Total Connected Load �(o.1y®® Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00- Company(A U PLUS $.50 STATE SURCHARGE Signed By Tel. No. ��� �97 *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes ( ) No ( ) , Z. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Company Signed By i Date 16 i ;URPU1 T D L e: MAR 15 1990 MINNESOTA DEPARTMENT OF HEALTH 717 SE DELAWARE STREET DIVISION OF ENVIRONMENTAL HEALTH MINNEAPOLIS, MINNESOTA 55440 ATTN: tir Jim Nye (612) 623-5339 SUBJECT: (:CLL ABANDONMLNT RE: KO -i IFICATION 0-1 ;.; ORILLING FOR FOUR GENERATIONS 15688 p, � 0S S I RFET N.W. / ELK RIVER, IAN 55330 / (612) 42.1-6100 SITE DIAGRAM NORTH Q k V I° - F- Dear Mr Nye, This letter is to notify you of a water well in your district that should Construction Code MCAR §4725.2500-2900. be sealed according to the (dater Well E.H. RE SONS, INC has been notified by the owner of this property or r han s#71015ed estimateto them an an interested party this and We have also included well uderuour �LICENSE the sealing of of the current code with our estimate. a copy In submitting our estimate, the owner may also receive additional estimates contractors in the area and hire any number of Minnesota licensed water well is a that this well may not to seal this well. However, Lhere possibility thus jeopardize the ground water and Public Health. be properly sealed and wi to provide you this information for future E.H. RL'N{NdER & SO the abandonment r ort when submitted. reference v PROPERTY( OWINER:__ TIKKANI;N ADDRESS: 1400-69thAVE. E LOCATION, --SAME Sincerely Submitted, /1114 Raymond T. Renner, V -President E.H. RENNER & SONS, INCORPORATED STATE LICENSE #71015 PHONE # 571-3152 DATE 6-28-89 WELL DIA. 3____ "___ — DEPTH: UK r,, L k/ cc: _CITY OF F_ R!FY — 6431 UNIVERSITY AVEN J1�E - — FRIDLFY, MN 55423 ARRYL LA �- — PHONE # 574-3450 ATTN: D Effective Date January 1, 1991 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 - $ Old Opening, New Fixture $ 4.00 - $ �. a C 5.00 - $ a $ u Catch Basin x b Rain Water Leader Water a Buep/Receiving Tank w 7.00 a $ Mater Treating Appliance $ 10.00 - $ Mater Heater - Electric a 7.00 - $- Water Heater - Gas N 10.00 - $ lei. 1d1, Gas Range $ 10.00 - $ Neater $ 10.00 - $ Back Flow Preventer Required ( ) Yes ( )• No Type $ 5.00 - $ �t t t d F3r d 4th (R) - Future Connection Opening Connected with Sewer V) - New Fixture, old opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 - $ Old Opening, New Fixture $ 4.00 - $ Beer Dispenser $ 5.00 - $ Blow Off Basin $ 7.00 - $ Catch Basin S 7,00 - $ Rain Water Leader $ 7.00 - $ Buep/Receiving Tank $ 7.00 a $ Mater Treating Appliance $ 10.00 - $ Mater Heater - Electric $ 7.00 - $- Water Heater - Gas i $ 10.00 - $ lei. 1d1, Gas Range $ 10.00 - $ Gas Dryer $ 10.00 - $ Back Flow Preventer Required ( ) Yes ( )• No Type $ 5.00 - $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of value of Fixture or Appliance REINSPECTION FEE $30.00 State Surcharge TOTAL FEE Job Address S8346 Building Inspection Div. 6431 University Ave HE Tel. No. 572-3604 Fridley MN 55432 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct TIKKRHEN LELIE 19 1400 iiM RUBM M E owNER _ FR I MjV, M KIND OF 1 H 57 1-3 W 14 USED AS _ TO BE COMPLETED ABOUT ' /7,'•2- 2t-- ----- ESTIMATED COST 7L�)o OLD - NEW BUILDING PERMIT NO. PERMIT 90. ROUGH INSP. Date Company—f.-ZZ 27z�7'�� signed BYZM5, GARFIELD AVENUE N(0,4- � u Tel. No�IINNEAP®LIS, MINNESOTA fZ--- FINAL INSP. / —6 — Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT I8 $15.00 PLUS THE $.50 STATE SURCHARGE o.v Elf SUBJECT City of Fridley 4 i �5 , AT THE TOP OF THE TWINS BUILDING PERMIT r REC L • ______ COMMUNITY DEVELOPMENT DIV I PROTECTIVE INSPECTION SEC 77 r NUMBER REV DATE PAGE OF APPROVED BY -11 CITY HALL FRIDLEY 55432 �.; 612-571-3450 910-F15 10/30/9 JOB ADDRESS 1400 69 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 2 I 1 Rev. Auditor's Sub. #10 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leslie Tikkanen 1400 69 Avenue NE 571-3152 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO David Schweich Construction 17160 Hamilton Dr Lakeville MN 55044 447-8808 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 3607 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK a ❑ NEW El ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x 8 DESCRIBE WORK Install egress window 9 CHANGE OF USE FROM TO STIPULATIONS Window must meet State Egress 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 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 $1,000 .50 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- 1 (NOT PAID) STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $34.75 .00 PLAN CHECK AL FEE ;WS Lice sC doo 7$40.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIyy pR YeVIED THIS IS YOUR PER/MIT G -N DATE SIGNATURE OF OWNERS IF OWNER BUILDER) (DATES Elf L J ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application t ConstructionAddress: / V Legal Description: Owner Name &Address: `,t� -c� � ,, S,p c 4- e0.6t) wrel. # ',-2 Contractor. __,D 9 U i® Czokj r �. MN LICENSE # 3 6 � Address: / i / G o Abo ,,,,17 r Gf� jg1c_ 'i/i'C � yt-✓ S -,s -o 49 Tel. # d A / asp" �� ©�'' r — ,/ Attach to this application, a Certificate of Survey of the lot, with the proposed constttction drawn on it to scale. DESCRIPTION OF BIPROVEIVIENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ?` s 10dv-e' !2J -s- /'V Iry ® "'t", Corner Lot [,I Inside Lot [ ] Ft. Yd Setback Side Yard -Setbacks Type of Construction; _ Estimated Cost: $ _ zero Approx. Completion Date; ecog..r.' 6d cJs) T�r�vwcvnyr t .,rL+ ate wLath Naada3j Ft. t I`r �N DATE: c APPLICANT: Tel. # van ONL''Y ' Permit Fee r $ 41 s% S' Fee Sched le on Reverse Sade Fire Surcharge I _ .001 of Permit Valuation I/10th% State Surcharge $Z $.50/$1,000 Valuation SAC Charge $ $900. per SAC Unit License Surcharge $ . c. `Z $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 [ ] <e40,24_ TOTAL $ STIPULATIONS: 04- J 4�>- I U 4�-, 3 A q 01 SUBJECT - P NO. City of Fridley2 2 2 4'1 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. b� 572®6®�I�� E � 1 . � NUMB" FIE'DATE PAGE OF APPROVED BY ' 1 -"'I CITY HALL FRIDLEY 55432 I'' 612-571-3450 910-F16 10/5/01 JOB ADDRESS 1400 69 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 2 Rev. Auditor's Subdivision #10 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Beverly Tikkanen 1400 69 Avenue NE 763-571-3152 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION ❑x REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install two Replacement Windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REOUIREO 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 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 $2 OOO @ 1.00 `Y 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- Fire SC $2.00 STRUCTION$69.25 OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE T TAL FEE $72.25 S1GNATUBEOFCONTRACTOR ORAUTHORIZEDAGENT 10ATEj ENVALI ED THIS IS YOUR PERMIT IROY 4L1041 SGNATURE OF NER OWNER BUiLOERi IDAiE� OAfE 01 NEW [] ADDN [] ALTER [ ] Construction Address: Legal Description: Owner Name & Address: Contractor: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 'q 6 4u,, N . Effective 1/1/2001 (763) 572-3604 Bldg Insp MN LICENSE # Address: 1400 Ic1 t -h A-z,� Tet. # 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: Y Construction Type: &4J Estimated Cost: $ cl C G) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DA CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Tel. # %.3 —.S�/— Call (763) 572-3604 for Permit Fees if mailing in application $ JFee Schedule on Reverse Side $. DU .001 of Permit Valuation (1/10th%) $ 1,00 $.50/$1, 000 Valuation $ $1150 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 [ ] $ W- 02f CITY OF FRIDLEY INSPECTION 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 Water Heater - Gas** NO. RATE TOTAL Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type Reinspection Fee $47.00/Hr 'r $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE $ .3 �S JOB ADDRESS / �d 0 (p % A /d 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. !' 44a4 /q ,20092 Owner Building Used As Estimated Cost PERMIT NO. ��(to PLUMBING COMPANY ��/lf, �Y� r �j/�Jr1�l✓I�1zc../`�� SIGNED BY `? /s- TEL N0. FAX # S — , q2 D Approved By 1i - - . Rough -In Date Final Date v 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 CnMMON VENT VENT CnNNFCTnR ANn CnMBUSTIM AIR VFRIFI _ATInN When re In acinajan existing fu�nnp, 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 plasticJPVC 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 px�g r_omhustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new rnmhy ,ction air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new v _n ins system, 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 I 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( ) Appliance TypA and Saxe/Common Vent and Vent Connector Informs ion 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: