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PRE 2010 DOCSVillage of Fridley, Mimm. BUILDING P1911IN T 11T® 31'7 Office of INSPECTOR OF BUHMINGS ' ,Architect FridEey, Minn., , Builder �.Ol`d OF TJILDING ` No. ` street0µ f' V P"a�rt of Lot Lot- Block Ad taion or Sub -Division" a p' DESCRIPTION OF BUILDING Front _Dep Height--L—Stories er of Construction To be used asp` y,r�^" To be completed" "� Estimated Cost SIIA Ago..) Permit is hereby granted to °� " rs «a. �� 7 w." y"i to �ba ► � w ,, t the buildin 4"l bed in the above statement. This permit is granted upon the express condition that the per4m to whom it is ted, 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, rnm, regarding the construction, alteration, maintenance, repair and moving of buildings within the city limit, and this permit may be revoked at any time upoi°� violation of any ,of fiche provisions of said ordinances. r Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inpector of Buildings of Fridley of the above permit, I hereb3i . agree to do the proposed work in accordance with the description above set forth d according to the provisions of the ordinances of Fridley, and, being first duly sworn, 'I hereby s to and say that the facts stated by me and contained in the above permit are true as therein s ted. i p Subscribed and �worn to before me at Fridley, MinneNgta, thi day of � .D. 19— Q Village of Fridley, Minn. Office of INSPECTOR OF BUYI.IDINGS Architect it Frid'_ey, Minn.. II 1 �- Builder (I I �i LOCATION OF BUILDING No. treet » Part of Lot Lot I Slock A dation or Sub -Division i DES UPTION OF BUILDING Front Dept Height Storieser of Construction�,,_ To be used as r� "`AV o be compl eted ry,%a' Esiimated Cost Permit is hereby granted to to the building a2 ascribed in the above statement. This permit is granted upon the express co 'clition that the personwhom it granted, and his agents, employees and workmen, in all the work done in, a ound and upon said lding, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, ' ., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limit, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. D � ' ector of Buildings. r I AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Bui'din s of Fridley of the above permit'I hereby agree to do the proposed work in accoral.�.nee with the description above set forth and according to the provisions of the ord.ira.nceo of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein s I'ted. Subscribed and'sworn to before me at Fridley, 11innesota, this day of.1A.D. 19-—y^4�.n� 0 is i WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring Sealing No. WELL AND BORING SEALING RECORD Minnewta Unique Well No. Minnesota Statutes, Chapter 1031 or W -series No. H 160588:::� County Name II Township Name ftid1QjV Township No. 1 30 Ra a 1 W Section No.TFaction 1 12 (sm. -v, Ig.) 1 % N 1. Date Seated 11/4/99 Date Well or Boring Constructed Numerical Street Address or Fire Number and City of Well or Boring Location 1.485 -- 73rd AVO $9, FridleY Depth Before Sealing 28 - —ft. Original Depth 211 Show exact location of well or boring Sketch map of well or boring in section grid with "X". location, showing property N F -8 lines, roads, and buildings. W E 4- S f nye ------- AOUIFER(S) ,Single Aquifer [I Multiaquiler STATIC WATER LEVEL QWeasured El Estimated 12 ft. 9 below C1 above land surface WELL/BORING [Nater Supply Well El Monh. Well 1❑ Env. Bore Hole 0 Other 1 CASING TYPE(S) Cateel E] Plastic 0 Tile C] Other CASINGM) Diameter Depth Set in oversize hole? Annular space Initially grouted? in. from to ft. E] Yes a No 0 Yes E] No [I Unknown in. from to ft. ❑ Yes 0 No- ❑ Yes []-.No ❑ - Unknown in to El Yes C] Unknown in. from No ❑Yes ❑ No PROPERTY O%VNEFrS NAME R'State Of Ruth Saba Property owner's malting address 4 different than well location address indicated above. c/o carexile Stewart 10977 - 101st Place North Maple GZ*Veo M: 55369 SCREENIOPEN HOLE Screen from 24 to 28 ft. Open Hole from — to h. OBSTRUCTIONS [3 Rods/Drop Pipe ❑ Check Valve(s) ❑ Debris ❑ Fill []Vo Obstruction Type of Obstructions (Describe) Obstructions removed? Yes No Describe WELL OWNER'S NAME Well owner's malting address If different than property,*wner's address Irtficated above- PUMP Type 0 Removed Ekfilot,Present [I I -Other GEOLOGICAL MATERIAL HARDNESSOF FROM TO . I COLOR' FORMATION I If not known, estimated ftmation log froiri nearby wellorboring. — METHODUSED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE. Annular Space Exists 0 Annular space grouted with Vernle pipe [I Casing Perforallon/Rernoval in, from to it. 0 Perforated 0 Removed In. from to ft. 0 Perforated 0 Removed Type of perforator ❑ Other drift. 28 GROUTING MATERUII (One bag of cement 94 His, aft bog of bentorifte o 60 WQ Grouting Material Portland -from 28 yards bags from to ft. yards bags from to ft. yards bags from to fL yards bags REMARKS, SOURCE OF DATA, DWRCULTIES IN SEALING OTHER WELLS AND BORINGS Other unseated and unused well or boring an property? 0 Yes_[No How many? LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was seated in accordance with Minnesota Rules, Chapter 4725. The Information contained In M report Is true to ft best of my knowledge. IMS Well. ftilling 27276 Catirector Business Nam License or Rr"No. 99 Auffia&ed Repmserialtis ft -4 - James Lea LOCAL COPY IH 16A50I Name of Person Seaft welt of S=V SUBJECT PEO City of Fridley 3 0 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO.'3100� COMMUNITY DEVELOPMENT DIV. ty INSPECTION SEC. r PROTECTIVE 1 ; 1 1 /---1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �'' 612-571-3450 910415 5/18/00 JOB ADDRESS 1485 73 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Lot 29 1 1 Auditor's Subdivision #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Timothy J Van Auken 1475 73 Avenue NE 763-0253 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 Rental 7 CLASS OF WORK O NEW O ADDITION 0 ALTERATION 6j] REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Reroof House & Garage (14 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ORDINANCESAND I OF WITH WHETHER SPECIFIED HEREIN OR NOT. THE OF AO PERMIT $1,224 $ .61 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- TR TION OR THE PERFORMANCE CT ON $47.90 Fir SC $1.22 OF ONSTR PLAN CHECK FEE TOT FEE JI')% /T7y / (�� OY $ 9.73 NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE. EN PRO i 9l �N D E Y ALIDAT THIS IS YOUR PL&MIT r BATE S-GNATURE OF OWNEROF OWNER BUILDER, iDATE, NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: f `-t J 7:3e o Ave , �)e Legal Description: Owner Name & Address I rntrrK Y ZS,yA N A -c -t i{zjJ Tel. # Contractor: — Q W ft" 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 I Width Height Sq. Ft GARAGE AREA: Length DECK AREA: OTHER: Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $ 65 I•. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 60 APPLICANT: -2 Tel. # CITY USE ONLY - Call (7663)) 572-3604 for Permit Fees If mailing in application Permit Fee $ 7 % © Fee Schedule on Reverse Side Fire Surcharge $ l• .001 of Permit Valuation (1/10th%) State Surcharge $ r'o l $.50/$1,000 Valuation SAC Charge $ $1100 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: �y�9Y 9 SUBJECT R City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 3 5 6 R CEIPT NO � LCOMMUNITY DEVELOPMENT DIV. V _____ �O ��® f PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 8/3/01 1013 ADDRESS 1485 73rd Ave 1 LEGAL LOT NO. OLD KI ADDITION SEE ATTACHED DESCR. 1 29 (Parcell1880) Auditor's Subdivision #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Timothy VanAuken, 1475 73rd AVe, Fridley, MN 55432 763-717-0253 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Timothy Van Auken 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 ❑ XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK New doors and 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. Caulking & flashing for all exterior openings. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $4,000.00 $2.00 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- $97.25 Fire SC $4.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT F/EE ?-3-01 $103.25 SIGNATURE OF DON'RACTOR OR AUTHORIZED AGENT "OATEN ENOP VALID THIS IS yPJ�RMIT -D "NSA flAiE SIGNATURE OF OWNEAOF OWNER BURDERI "DATE"I 9 ,Pkepaid Plan Check $ Effective 1/1/2001 Estimated Cost $ CITY OF FRIDLEY (763) 572-3604 Receipt # R-3, COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION Construction Address l`7j:5— � ® i7 ilE ILIfg zoning _ Legal A0_r 4_U 10l6��S/U6 A16 %2 owner & Address--717--/n,0-r#,/ w AffFit / % 73-p® lka XE- Tel# (-716.3-) -71-7 02 5 CONTRACTOR & ADDRESS Architect Reg.# Engineer. Reg.k BUILDING CONSTRUCTION _ TYPE OF WORK H New 0 Addition 10 Alteration -Describe JnS74- ,4,_ OFC. AREA: Length WHSE AREA: Length OTHER AREA: Length Width Width Width Height Sq. Ft. Height Sq. Ft. Height Sq. Ft. APPLICANT — -m \Ak) A t&w e_ i Tel ('7103 Date VALUATION Building Use Air Conditioning H Yes [] No Performance Bond Amount $ Construction Type Occupancy Group Fire Protection Provided []Yes []No See Reverse for Schedule Received PERMIT FEES []Yea []No Permit Fee $ 4?;7,,2,er' See Fee Schedule on Reverse Side Plan CheckdD In Excess of Prepaid Amount - See Reverse Side Fire Surcharge $ .6o .001 x Permit Valuation (1/10th o) State Surcharge $ $.50/$1,000 Valuation (See Sched. for > $1 Million) SAC Charge $ $1150 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined By Engineering Spec. Assessments $ Agreement Necessary [] Not Necessary H Driveway Escrow $ feet x .50/foot TOTAL $ ATTACH STIPULATIONS 15: �&Vlalo Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Air Conditioning H Yes [] No Performance Bond Amount $ Construction Type Occupancy Group Fire Protection Provided []Yes []No See Reverse for Schedule Received PERMIT FEES []Yea []No Permit Fee $ 4?;7,,2,er' See Fee Schedule on Reverse Side Plan CheckdD In Excess of Prepaid Amount - See Reverse Side Fire Surcharge $ .6o .001 x Permit Valuation (1/10th o) State Surcharge $ $.50/$1,000 Valuation (See Sched. for > $1 Million) SAC Charge $ $1150 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined By Engineering Spec. Assessments $ Agreement Necessary [] Not Necessary H Driveway Escrow $ feet x .50/foot TOTAL $ ATTACH STIPULATIONS 15: �&Vlalo 7 SUBJECT P City of Fridley 3291 1 AT THE TOP OF THE TWINS BUILDING PERMIT 1 1 1 V. r `v _.��__ COMMUNITY DEVELOPMENT DIV. RECEIPNO. r ! PROTECTIVE INSPECTION SEC. i ` CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ,��'�'� _-_- L JAI, ` 763-571-3450 910415 7/22/02 JOB ADDRESS 1485 73 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29 (Parce 1880) Auditor's Subdivision ;'129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Timothy Van Auken 1475 73 Avenue NE 763-717-0253 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same TVA Contracting 1475 73 Avenue NE, Fridley, MN 55432 763-717-0253 A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Rental 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Gj REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 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 $2,000 $1'00 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 $72 5 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ENROPE ALIDATED IS IS YOUR PERNJA _Ize_ S-GNATURE 09 OWNER „O OWNER BUILDER, (DATE, BlhrINSp pA E 7 NEW (J CITY OF FRIDLEY Effective 1/12002 ADDN (j 6431 University Ave NE, Fridley, MN 55432 (763) 5722604 Bldg Insp ALTER [ ] SINGLE FANGLY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION \ Construction Address: 14,q s- -73rd Ave - Me; Legal Description: Owner Name & Address: htofkW UC -o A-gkm Iu?5" 73(-d k Je-. 09- Tel. #(70:-3�71?-®a5� Contractor. ` ` ' ' 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: G;,4 r vl a Construction Type: u l A u 1 S i ck v,n at Estimated Cost: $ a '00c2, 00 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: - 1 Oa APPLICANT: ��rZz 1�� ?,�.11l�.. Tel. t(_7 & 3�7 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - 1' N Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ TOTAL $ 0.05- STIPULATIONS: