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PRE 2010 DOCSdvi ,a- t' 6431 UNIVERSITY AVENUE N.E.., FRIDLEY, MINNESOTA 55432 October 31, 1977 F S• '`'� Mr. Leslie Miller 7560 East River Road Fridley, MN 55432 Dear Mr. Miller: TELEPHONE ( 812)571-3450 We are in receipt of your letter of October 31, requesting authorization to perform necessary repairs to the existing sanitary septic system serving the residence at 7560 East River Road. Please be advised that existing city ordinances require connection to the city sewer system where and when available. Presently, connection to our sanitary sewer system is available at the southwest corner of this referenced property in Alden Way and also, along the east side of East River Road adjacent to the easterly edge of said property. With the passage of this ordinance, the city is allowing all existing houses exhibiting economically restrictive service connections, to retain their existing septic/cesspool sewer systems until such time as corrective repair is required to maintain an operable and sanitary sewerage disposal system. When corrective repair is required, that property .shall provide for direct connection into the available city sewer utility. Due to the size and location of this property, it is feasible to plat and sub- divide to provide for several homesites; therefore, it is understandable that the new sanitary sewer service should be planned to coincidently provide for - any future development. Since you indicated in your letter to us that you intend to subdivide and plat this property within 11-2 years, the temporary repair to the existing septic system will be allowed with the understanding that a sanitary sewer service connection to the city sewer system will be provided before October 1, 1979, regardless of the condition of the private sewage system at that time. If you concur with the stipulations as set forth in this letter, please execute the attached statement and return, prior to any corrective repair work being initiated. It is also recommended that contact be made with the Anoka County Health De- partment regarding any requirements or permits associated with this proposed repair work. If you have any questions or concerns regarding this information, please contact me. Sincerely, CITY OF FRIDLEY Thomas A. Colbert, F.E. Assistant City Engineer TAC/grs cc: Les Miller Enclosure 118 Main Street, Rockford, IA I L I hereby agree to provide a sanitary sewer service connection for the existing or future residences located on lots 40 and 41, (Parcel 5660) Revised Auditor's Subdivision No. 77 (7560 East River Road), prior to October 1, 1979. I also agree to notify all successors, agents, assigns and/or heirs of this requirement. o F WNER-HUSBAND Leslie Miller Z 2M e -) OWNER-VIIFE Ruth Ann Miller CIlYOF FRIDLEY CIVIC CENTER • 0431 UNIVERSITY .AVE. N.E. FRIDLEY. A1lNNESOTA 55432 • PHONE (0122) 571 4511 May 22, 1986 Ms. JoEllen Lewis 7560 East River Road N.E. Fridley, MN 55432 Re: Change of Address - Effective Immediately Dear Ms. Lewis: It has become necessary for the City of Fridley to change the address of your dwelling to the following: NAME: Ms. JoEllen Lewis FROM: 7560 East River Road N.E., Fridley, MN 55432 TO: 133 - 76th Way N.E., Fridley, MN 55432 LEGAL: Lot 4, Block 1, Oak River Estates We have notified the following companies of this change and also various departments in the Civic Center. If you have any questions on this change, please contact me at 571-3450. Sincerely, DA G. CLARK Chief Building Official DGC/mh CC: Minnesota Gas Company Fridley Water Billing Dept. Northern States Power Co. Fridley Assessing Dept. Northwestern Bell Telephone Co. Fridley Police Dept. Minneapolis Post Office Fridley Fire Dept. City of Fridley SUBJECT Pwffwo G 18442 AT THE TOP OF THE TWINS BUILDING PERMIT r - RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. J�� � 7 r PROTECTIVE 1 i � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/22/86 / / JOB ADDRESS 133 - 76th Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Oak River Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE JoEllen Lewis 133 - 76th Way N.E. 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. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEWT ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 22' Attached Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Park Fee of $1,500.00 Paid. WARNING � i it FD FOR Before Digging Gall local utilities SEPARATE PERMITS R �? R TELEPHONE-ELECTRI6. GAS Etc. WIRING, HEAVING, ;''S.,' .iu�o.G Ao`�� J1l��v` REQUIRED BY `LA\i! SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,478 $3.24 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. $62.50 ��� ✓� PLAN CHECK FEE TOTAG5F �4 SIGNATURE FCONTRACTOROR UTHORI ED GENT IDAT ) �' WHEN PROPERLY V DATED THISYC'fl IS YOUR PERMIT it 4 �� . SiGNATUREOF OWNERIIF OWNER ILDERI IDA Ei BLDG INSP ryp TE 01 NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address: Legal Description:_ Owner Name & Address: Contractor: Address: City of Fridley �R-1 AND R-2 ding Permit Application Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: OTHER: i Length DESCRIPTION OF IMPROVEMENT Width Width Length Width Height Height /4111 Hgt/Ground Effective 4/1/86 Tot. # Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot] Ft. Yd. Setback Side Yard Setback Type of Construction: �tJdD%� �%r� Estimated Cost: $� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE. �-' � • wAPPLICANT: �- ��'i„A Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL CITY USE ONLY $' Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ °.r $.50/$1,000 Valuation $ $475 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: ; fVI IN Fee- OP K V . NA N F\ I v "some CITY OF FR DLEY ,'14186- i��f�2 �%�9a�� l/fi�.ANC'� S/o"ry ,�r3• o� ,"'tel Al `/ f.) �. y9r\f`'�1 i !� v II% o� Lo: I.nvtiE 1 o� gTORY Flr; ME o 1� rnN% N OVEIZUEL%D WIQE�. P ' ' i 1� OAK id, OWL A �' 81RW •Lp'OL.v-- NEW [ 7 ADDN [ ] ALTS [ ] Construction Address: Legal Description: R-1 AND R-2 Building Permit Application 7 / --Ah /. )n. / A Effective 1/1/90 1p' # 36 3,ps— / > Owner Name & Address: / uG 1 a, /� �, �/� / c/ Tel. # 5 % / - `/ 77 Contractor: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF ncPROVENERr LIM G AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Grp Sq. Ft. OTMM: Corner lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $IM 'tro Approx. Cmpletion Date: )b A if Proposed Driveway Width If New Opening Is Desired: Ft. $ g $ Width + 6' See Back Page DATE: APPLICANT: Tel. # Permit Fee $ State Surcharge $ SAC Marge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ S'T'IPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation "z h3 1 $600 per SAC Unit ` /4 Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CI"IYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 October 27, 1986 Ms. Jo Ellen Lewis 133 - 76th Way N.E. Fridley, MN 55432 Re: Private Well and Septic System at 133 76th Way N.E., Fridley Dear Ms. Lewis: Our records indicate that you have connected to City water and sewer. This having been accomplished, you must now pump and fill-in your old cesspool and septic tanks. If you have abandoned your private well, you must contact a State licensed water/well contractor to properly seal the well. I am enclosing the State requirements on the rules governing this procedure, If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, DA CLARK Chief Building Official DGC/mh ENC: 1 �6® l aK a�� TO: s 22 s7, '-3 Z- Ji��-- SUBJECT: MESSAGE: MEMO FROM:, ANOKA COUNTY COMMUNITY HEALTH AND SOCIAL SERVICES FINANCIAL SERVICES -THIRD FLOOR HEALTH & SOCIAL SERVICES -FOURTH FLOOR COURTHOUSE A N O KA, MINNESOTA 55303 DATE: /G/�3/k4 SIGNED: 'rS-\w. W f� (0m, S 3�3 5 Department of Health 7 MCAR § 1.217 ` ground water from leaehates discharged from the waste landfill or waste stabilization ponds (lagoons). It is recommended that wells not be located in an area between the landfill or waste stabilization ponds (lagoons) sites and the point of ground water discharge to a surface water source. 3. Any well that may intercept leaehates from a waste landfill or waste stabilization pond (lagoon) by water withdrawal from the well shall not be used for potable water. 4. Wells installed for ground water quality monitoring purposes are exempt from provisions related to safe depths and isolation distances from sources of contamination; however, their construction shall otherwise be in accordance with Minn. Stat. eh. 156A and rules adopted thereunder. All observation wells shall be protected from damage. a. Temporary observation wells (as defined in 7 MCAR § 1.218 D. 1.) shall be protected with a 6 foot high steel post and flag marker or sign. b. Permanent observation wells (as defined in 7 MCAR § 1.218 D. 2.) shall be protected with 4 steel posts as prescribed in 7 MCAR § 1.224 F. 4, b. S. The administrative authority may modify the Isolation distances in this rule for individual well Installations. The request for modifications shall be made according to the provisions of 7 MCAR § 1.210 D. 3. A request for modification of the Isolation distance from existing wells shall be submitted and signed by the owner. in addition any experts or persons involved in pro- viding documentary evidence In support of the request shall sign the request submitted by the owner. The request shall also include: the well depth, geo- logical formations encountered, casing type and depth, method of construc- tion and grouting, and location of the well on the property In relation to possible sources of contamination. D. Wells adjacent to buildings, gas lines or overhead electric power linea. 1. A well shall be located: a. At lent 3 feet horizontally from a building or any projection thereof, except for a pumphouse, unless modified in writing by the adminIs- trative authority. b. Accessible for cleaning, treatment, repair, test inspection, and other attention as may be necessary. 2. No well shall be located within the footing of any building or room beneath the floor under which there are buried sewers. 3. A well shall not be located within fifteen feet (13 ft.) of a gas line or overhead electric distribution line or twenty-five feet (25 ft.) from an elec- tric transmission line which Is In excess of SO kV except for the underground 17 7 MCAR § 1.217 Deparbneat of Health electrical service lite to the well. These distances should be observed when lo- cating a gas line or overhead electric line in the vicinity of an existing well or known proposed well. Where there is a question of the voltage in an electrical line the 25 foot distance should be observed or where leap distance Is required the utility company should be consulted for their recommendation for safe distances. E. Areas subject to flooding. 1. A well shall not be located In areas subject to flooding union the casing extends at least 2 feet above the level of the highest known flood of record or otherwise protected as prescribed In writing by the administrative authority. 2. The ground surface immediately adjacent to the well eating shall be graded so that surface water is diverted away from the casing. 3. The well shall be located at least SO feet horizontally from the nor- mal high water mark of a stream, river or lake and at a higher established ground surface elevation than the soil absorption system, septic tank, or other source of contamination. 4. For a community public water supply: a. The surface of the ground at the well site shall be at lent two feet above the highest known water level of any lake, pond, river, stream or any other body of surface water, the waters of which at the highest level would approach to within SO feet measured horizontally of the well. b. The earth surfaces shall be doped to drain away from the well and be to graded as to prevent the accumulation and retention of surface water within SO feet of the well. c. Filling dull be protected from erosion by rip -rap or other suit- able Meana. S. Radial water collector. Projection of collecton dull be In areas and at depths approved by the director. The exact location of all ealssott eonstruo. tion Joints and porthole assemblies stall be indicated. The caisson wall shall be substantially reinforced. Procedures shall be employed which will assure minimum vertical rise of the collectors. The top of the calsson shall be covered with a watertight floor and pump openings shall be curbed. Pump discharge piping shall not be placed through the caisson wall. There shall be no construction Joint within 10 feet of the original ground surface. 7 MCAR § 1.218 General protection of ground water quality and resources. A. Recuse of water, disposal, recharge or gas storage wells. 1. A well for the storage of gas or liquid under pressure may not be 18 peparOmt of Neslth 7 MCAR § 1.218 7 MCAR § 1.218 Department d Ilealdi f . drilled without first having secured a permit therefor from the Commissioner of Natural Resources in accordance with Minn. Stat., § § 84.37.38. 2. Water used for cooling Verb of engines, air compressors, or other equipment or water used for air conditioning, shall not be returned to any part of the potable water system. 3. A well shall not be used for disposal of surface water, near surface water, or ground water or any other liquid gas or chemical. B. Maintenance and repair of wells. 1. Every well shall be maintained In a condition whereby it will con- serve and protect the ground water resources, and whereby it will not be a source or channel of contamination or pollution to the water supply of that well or any aquifer. 2. All materIAU used in maintenance, replacement or repair of any well shall meet the requirement of these rules for new Installation. 3. Broken, punctured, or otherwise defective or unserviceable casing, screens, fixtures, seals, or any part of the well head shall be repaired or re- placed. The well shall be abandoned in accordance with the requirements of these rules U such repair or replacement is not performed. 4. Repairs to wells completed with the well head terminating below ground (buried seal) where practicable, should include extending the well casing, pitless adapter, or pitless unit above the land surface. Extension of the casing above grade shall be accomplished In accordance with rules for new wells. S. Before acid treating a well, 7 MCAR § 1.218 B. 4. shall be compiled with to prevent a hazardous condition caused by release of H2S (hydrogen sulfide) or other toxic gases in a pit or confined space. All confined spaces shall be blown out with fresh air before entry and a supply of fresh air pro. vided during occupancy. Pits or chamber should not be entered without a lifeline and adequate lifting power on the surface to quickly haul up a work- er. Where there is any question whether the air supply procedure has provided ■ safe atmosphere, a self-contained breathing apparatus shall be worn (ordi- narily canister -type gas masks do not protect against atmospheres low in oxygen). C. Abandonment of wells. Any water well which Is to be abandoned must be abandoned in accordance with these Hiles. The owner of a well which is no longer being used will be ordered to sample the well and to disinfect or other- wise pump or remove the contamination before the well is plugged. If a well provides a potential or actual source of contamination for the aquifer, the commissioner may order that the well *be permanently plugged and aban- doned. 1. Temporary. a. Prior to placement into service or when temporarily removed from service, the well shall be sealed with a water -tight steel cap. A well re- moved from service and not permanently abandoned may be temporarily abandoned if approved in writing by the commissioner. The licensee and the owner shall submit a request for temporary abandonment on forms provided by the department. b. The well shall be maintained whereby it is not a source or channel of contamination when not in service. c. Until a well is permanently abandoned by sealing procedures, all provisions for protection of the water against contamination and pollution and for maintaining satisfactory sanitary conditions around the well shall be carried out to the same extent as though the well were In routine use. 2. Permanent. a. General. A well that is to be permanently abandoned shall be dis- connected from the system and the hole filled to prevent contaminating ma- terials from entering the water -bearing ground formations. Concrete or cement grout shall be used for sealing material; however, if the well Is to large that the use of. these materials is not practical, the filling materials should be selected so as to restore natural conditions as nearly as possible. Neat cement grout or concrete as defined in 7 MCAR § 1.220 C. (grouting) and 7 MCAR § 1.210 C. 13. are satisfactory for filling pub of wells in rock formations. Sand and heavy drilling fluid may be used in sand and gravel sections of wells. b.. All materials, debris and obstructions that may interfere with sealing operations shall be removed from the well. Liner pipe shall be re- moved or perforated when necessary to assure placement of an effective seal. The administrative authority will be consulted for instruction in eau of aban- donment of a contaminated well or where there Is a question of proper pro- cedure. c. All casing and semen may be salvaged except casing that has been cemented In place. The well shall be filled with appropriate sealing materials as described in 7 MCAR § 1.218 C. 2. prior to removal of the easing. d. The top of the hole shall be filled with 10 feet of cement or con. crete grout to within 2 feet of the land surface. Casing remaining in the hole shall be cut off at least 2 feet below land surface. The remaining top 2 feet of hole shall be filled with native top soil. e. An abandoned well shall be filled and sealed by one of the follow- ing methods In accordance with the materials penetrated, in such a manner as to prevent it from acting as a channel for pollution. A report of the method of sealing shall be filed with the commissioner on water well record forms provided: 19 20 Deparownt of Healdu J 7 MCAR § 1.218 7 MCAR § 1.218 Deparbneat of Hatt% (1) A well in unconsolidated deposits shall be filled with clean and and puddled clay, neat cement grout or concrete grout to provide a permeability no greater than the natural condition. (2) The action of a well In a cavernous or creviced rock (such as cavernous limestone or basalt lava rock, creviced granite, etc.) shall be filled with concrete or neat cement grout or alternate layers of concretd or neat cement grout, gravel or stone aggregate. The filling shall be completed at the top by a layer of neat cement grout or concrete grout extending at last ten feet (10 ft.) into the above overlying formation and finished as provided in 7 MCAR § 1,218 C. 2. (3) When concrete, cement grout, puddled clay or heavy drilling fluid Is used for sealing an abandoned well, it shall be inserted in the well through a grout pipe from the bottom of the well upward to the surface under pressure and in one continuous operation. (4) Teat wells shall be sealed to prevent the well from being a channel for the vertical movement of water and a source of contamination to the ground water supply in accordance with -well abandonment provisions of 7 MCAR § 1.218 C. (S) The flow In a flowing well shall be confined, if possible? and the well filled In accordance with well abandonment provisions of 7 MCAR 11.218 C. f. The owner shall be responsible for the permanent sealing of an abandoned well except: (1) As mutually agreed upon in a written contract between the owner and licensee and In accordance with these rules to protect the ground water aquifer. (2) When the licensee Improperly locates, constructs, or com- pletes the web or falls to meet the conditions of his contract; in which case the licensee shall be responsible for the sealing of the well. g. A licensee shall permanently abandon pry well that he removes from service in accordance with 7 MCAR § 1.218 C. and shall report such abandonment to the commissioner. A licensee shall report to the commis• sioner any unsealed abandoned water wells, D. Observation wells. SProper judgment shall be exercised in the feasibility and practicability of sealing flowing wells. In some cases the confining formation may have been so badly disturbed that sealing may only cause the now to discharge in a less ap• propriate location. In other situations. the flow may have eroded so much . material that the landscape has taken on the appearance of a natural spring. • The sealing in this can maybe impracticable, if not impossible. 1. Observation wells Installed for a temporary (not to exceed a period of six (6) months) purpose of obtaining hydrologic or other data shall be con- structed by such methods and of such materials that they are not a source or channel of pollution or contamination to any ground water supply or aquifer. All observation wells shall be abandoned in accordance with procedure de. scribed in rule 7 MCAR § 1.218 C. 2. Permanent observation wells (exceeding a period of six (6) months) constructed for the purpose of obtaining hydrologic or other data shall meet the standards of construction for water supply wells except when prior per- mission has been obtained in writing from the commissioner exempting the well from meeting specified standards established by these rules. E. Teat holes and borings. Test holes shall be permanently abandoned and sealed by the well contactor after the drilling. logging and testing have been completed unless: 1. The owner or his agent has submitted a request to the director and obtained his written permission to extend the time limit, or 2. The well is being completed as a water supply or other approved type well. F. Dewaterint and depressurising wells. 1. Dewatering and depressurizing wells shall be constructed in a manner and with such materials to prevent the contamination of the ground water system. Discharges from the dewatering system shall not be cross connected to a potable water supply. 2. Temporary water supply. There may be incidents during eonetruo• tion where nearby residences with private water supplies will lose their am mese of supply during dewatering operations. If such a situation occurs, the licen- see shall cooperate with the homeowner as may be required to provide a temporary supply of water during construction operations. Including, but not necessarily limited to, supplying bottled water for drinking and cooking pur• poses and potable bulk water for other uses. '3. The commialoner shall be notified prior to commencement of a ground water dewatering operation by the licensee. The licensee shall report the approximate area to be dewatered, the maximum depth to be dewatered, the number of wells to be affected. and the measures that will be taken to provide potable water to persons adversely affected by the dewatering opera- tion. This may be reported by phone. 7"he licensee shall retain the name of the commissioner's staff member taking the Information and shall report this information in writing to the commissioner within three days of commence - meet of the ground water dewatering operation. 4. The licensee shall comply with any orders laced by the eommtssion- er which may include but not be limited to the collection of water samples 21 11 WELL DRILLING FOR FOUR GENERATIONS ■ I Renflor I sons 15688 JARVIS STREET N / ELK RIVER, MN 55330 / (612) 427-6100 INCORPORATED Date: July 31st, 1987 MINNESOTA DEPARTMENT OF HEALTH 717 SE DELAWARE STREET DIVISION OF ENVIRONMENTAL HEALTH MINNEAPOLIS, MINNESOTA 55440 ATTN: Mr Jim Nye (612) 623-5339 SUBJECT: WELL ABANDONMENT RE: NOTIFICATION Dear Mr Nye, e�c --vit This letter is to notify you of a water well in your district that should be sealed according to the Water Well Construction Code MCAR §4725.2500-2900. E.H. RENNER & SONS, INC has been notified by the owner of this property or an interested party and have subsequently submitted to them an estimate for the sealing of this well under our LICENSE #71015. We have also included a copy of the current code with our estimate. In submitting our estimate, the owner may also receive additional estimates and hire any number of Minnesota licensed water well contractors in the area to seal this well. However, there is a possibility that this well may not be properly sealed and thus jeopardize the ground water and Public Health. E.H. RENNER & SONS, INC. wishes to provide you this information for future reference with the abandonment report when submitted. PROPERTY OWNER: Mr. Doug Peterson PHONE # 537-25-51- ADDRESS, 37-2551ADDRESS: 5637 Brooklyn Blvd. Brooklyn Center, 14N 554NTE July 31st, 1987 LOCATION: 141 76th Way WELL DIA. 3" Fridley, MN. DEPTH: UK Sincerely Submitted, Raymond T. Renner, V -President E.H. RENNER & SONS, INCORPORATED STATE LICENSE #71015 cc: City of Fridley 6431 University Ave. NE. Fri ey, MN. 55432 ATTN: Darrel Clark & Don Larrigan--571-3450 J SUBJECT PERM of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT Ir?City RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC c r � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED V -•' 612-571-3450 910-F15 10/16/9 JOB ADDRESS 133 76 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 40,41 1 Revised Auditor's #77 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William/Elizabeth Brown 133 76 Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Regal Builders 1840 English St Maplewood MN 5510 771-8305 1168 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 E] ADDITION ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 6 DESCRIBE WORK Convert 22' x 24' Garage to Living Area; Construct a 32' x 30' Garage; Construct a 7'6" x 9'9' Entry 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations SEPARATE 454-0002 IV pE,,,,,*rS REQv�tf� HEAijNGFOR REQUIRED 13Y LAV PLUMBING . AHS S/ 6Nz, 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 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 $40,000 $20.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR AW REGULATING CON- STRUCTIO THE PERFORMANCE CONST CTI N it $484.75 ire SC $40.00 PLAN CHECK FE FEE ;7TAL L n S .00 549.75 URE OF CONTRACTOR 6BA6THORIZED AGENT ILIA It) P RLY L TED THIS IS YOUR PERMIT r DGPI NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI J NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit ApplicationQ� ConstructionAddress: Legal Description: �� J- ' ,q 'n C} Qy Owner Name & Address: Tel. # Contractor: %:?L5,0 1 'd MN LICENSE # Address: % R 4/i 'Cn/G h -A Sfi h-, k oL ,-.,m jt1 j, .•--. _ _Tel. # 7 -2 as Attach to this application, a Certificate of Survey 'of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF H"ROVEMENT ,C-7ArfP-1 hERM AREA: 1611 Length Width ° 11 Height Sq. Ft. ).3 �8 GARAGE AREA: Length Widths D Height Sq. Ft. q'( O DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: p ru'e r T � S� a e � '_1242V GHQ TV i4 -e0* Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: ::;614 M �e_ Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ 4�2 ®© e . T (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: _ Tel. # 271 -,?30_s CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: S Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $900 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 [ ] r y �,— l�� a D 1%4,e� sy' ro �s o� 3 rl Lo A LOP ' , 14•• K � S' BIR(11 r ,p \ z4" El.l•'1 14" M[\VLE f: 13tttt.0 s' t-inruF- IZ• ons tiAW VIAVLF- 1� _ Z TCR`( � F 1 I fes.. K BANE.?o l`�� 9 r+ V % -� � � � p fy�5 - '� � J j • .�' Rk 3 'a�hu• •• •• Eli's vor.r�Q vel.E• �� i �y `,, J j W. QLM _ ONERl1ELNV v/IQE�' `► Contractor -r'�►- Information Sheet Company Name : &. 1 2,12) f a=j jcd V--, de lei J�-c - Contact Person: J,o-.ss HO a's h Company Address: 0 2!�z 41,j r c —� w�+�► - Phone Number: i7/ -moo �;- Cellular Phone PI 2 Yg Date of First Meeting: Proposal Due Date: Communication Log: State License Number :- Insurance Company and Policy Number: Tru cL J;L., iF rLs )a 3 BoN-D- Company Background : c �e,-, �'�5�d'I ��e.%- �' �L� hater-►� 3�9/ 4 l�� c� ,�•Ca�� , �� • 1.�.-� � ..tom^ °� r e /1 �!" � . �i/�vYL,r e lse•,, �� : v�t'�f1� % r `�i�yx.� • Jae wp - eo--A 9,9- PA.J, 16A)lf3, 95 4)1+s, ()Sw tF ; PPS, N60W- , mA-, N6 -PA I, we V AGREEMENT BETWEEN PROPERTY OWNERS owner(s) of the property located at eN > 74/2' GL� , agree that the property line is at least the minimum distance of ( 5 ft) from the proposed construction at 133 -16'11' WcA�A NC c\U I, we hereby give permission to construct the-"°`�e- without having the required survey of the property. (1z,X14 ILW // &,,z C-� O TY WNER PROPERTY OWNER SUBJECT=22 city of Fridley AT THE TOP OF THE TWINS BUILDING PERMI T i � RECg;PT NO. ►v __-_-. COMMUNITY DEVELOPMENT DIV. SEC. f � � PROTECTIVE INSPECTION _ I CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF APPROVED BY j 612-571-3450 910-F15f' 10 12 O1 JOB ADDRESS 133 76 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 40,41 Revised Auditor's Sub. #77 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill Brown 133 76 Way NE 763-502-9495 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Cedar Valley Exteriors Inc 9920 Zilla St NW, Coon Rapids, MN 55433 763-755-2221 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20177285 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (35 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspection Cards Will Be Mailed To Homeowner To Past SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OFC NST. 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 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 $3,752 $1.88 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 PLAN CHECK FEE TO AL FEE hicen S $ 0 $107.88 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI EN/Rq Y VA D ED THIS IS YOUR PERMIT _ K ` SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI -NSP BATE NEW H Effective 1/1/2000 ADDN CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER 0✓ SINGLE FAMILYAND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Construction Address: 133 76TH WAY NE Legal Description: Owner Name: Bill Brown Tel. # 7635029495 Address: 133 76th Way NE Fridley MN 55432 Contractor: Cedar Valley Exteriors Inc MN LICENSE # BC -20177285 Address: 9920 Zilla Street NW Coon Rapids MN 55433 Tel. # 7637552221 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. DECKAREA: Length Width Hgt/Ground Sq. Ft. OTHER: tearoff/reroof Number of Squares: 35.0 Construction Type: Residential Estimated Cost: $ 9 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ 1 DATE: 10/08/2001 APPLICANT Ah CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Call (763) 572-3604 for Permit Fees If mailing In application Tel. # 8883301777 $ q �L Fee Schedule on Reverse Side $ 3 -W .001 of Permit Valuation (1/10th %) $ - $.50/$1,000 Valuation $ $1100 per SAC Unit $ > C C $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[] $ I r9 - STIPULATIONS: fI `b R37_6/15 ;ITY OF FRIDLEY INSPECTION DIVISION 3431 University Ave NE 1.3.oi =ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS /23 %''� RATE SCHEDULE tesidential Furnace Shelf and Duct Work, Burner Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer 'Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work :ommerciai/Industrial 1.2570 of Value of Appliance or Work Effective On January 1, 2000 Rate TOTAL BUILDING USED AS �S 1 C_" �� �'�f 12 30.00 j 5� $ ESTIMATED COST ..Z7 3 `71 C-0 -_ PERMIT NO.—AA 2S� 1RPTION OF FURNACE AND OR BURtIER $ 10.00 $---- � No. of Heating Unites _ Circle One (Steam) (foot Water) (Warm Air) � $ 10.00 S ___ Trade Name ,( Size No._ BTU _ HP EDR—. $ 25.00 $ _ Fuel__. Tota! Connected Load Burner Trade Name_ _. Size No. _ BTU ..M—__ HP EDR State Surcharge TOTAL FEE NINlMUN FEE EOR ANYHEATING/COOLIN-WVENTILATION tMM98ATIONZIMRPONDMMING PERMI IS 251M I= THE $.50 STATE SURMANE 1INSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without tritten permission from adjoining property owner. The undersigned hereby makes application 'or a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an 1— .5 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 0 DAT,F HEATINWW Sign TEL OD M CD Approved 13y Rough -In Date Final Dat 2,-. EILL OUT BACK SIDE FOR SIPACK YERIFLQUION ON REPLACEMENTN m Z0 ' d 1H101 COMMON VENT. VENT CONNECTOR AND COM(JUSTION AiR VERIFICATION Wheneplla_cing an existing %afance, the undersigned hereby verifies that the venting has been examined and Is free front rust, deterioration, obstructions, and is securely supported and fcrestopped where required. Yes No ( ) The venting system is plaaWPVC and meets ail current codes and manufacturer specifications Including siring, 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 -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( No( ) The ex!g§na combustion air is sized and Installed to meet the current codes and manufacturer's specifications. Yes ( No ( ) When required to install a new combustion j1O will be sized and installed To meet the current codes and manufacturees specifications. Yes (4 No ( ) When installing a new venting astern, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications, This does Include AGA -LAMA 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 ( ) Annlianae TyW 1Md SimfCommon Vent and Vent Connector Information Appliance #1 Type _ A A Y) BTU Input Fan Assisted or Nat Appliance #2 Type RTU Input Fan Assisted or Not 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 ALTF-RATIONS: (Describe) l \ \ i nn a- -7r ,"PM - -1 CYAQCWA). 01 AT INA X A.11-3 woaJ SS : Zti seen-TZ-nW CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 11, 2002. Bill Brown 133 76`h Way NE Fridley, MN 55432 Re: Final Inspection at 133 76" Way NE Contractor: Dave's Heating & Air Conditioning Dear Mr. Brown: A mechanical permit was issued on January 3, 2001, to install a furnace at your address. According to the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. CITY OF FRIDLEY PERM NO.: 2004-01350 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 08/17/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS 133 76 WAY NE PIN 103024120083 LEGAL DESC OAK RIVER ESTATES LOT 4 BLOCK 1 PERMIT TYPE BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 5,182.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL 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 OR TAKE PICTURES. SOFFIT VENTILATION TO MEET THE STATE BUILDING CODE. RESIDE HOUSE & GARAGE; SOFFIT & FASCIA. STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE 125.25 NORTH CENTRAL BUILDERS INC -20265918 FIRE SURCHARGE 5.18 740142 AVE N STATE SURCHARGE, VALUE 2.59 NEW HOPE, MN 55427-1219 LICENSE SURCHARGE 5.00 (763) 533-6168 TOTAL 138.02 PAID WITH CHECK # 20803 OWNER BROWN WILLIAM F & ELIZABETH M 133 76TH WAY NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulatin construction or the performance of cons ctio . Applicant Date Bldg Insp 044 40A _Dat�h, r It SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. k # 41qq3 NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ j 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 Fax BUILDING PERMIT APPLICATION Construction Address: 1� 3 -7� TFC k)4Iy Legal Description: Owner Name & Address: JS)IL, + Et-/ Z A 8CGJ -i 4LQUD0 Tel. # �'/��/�3�5��� of, Contractor. uoru-�I-(- ��nUTl l/1L & 1 LO Ee S , :GJ� • MN LICENSE # !�C" � (D 591 t Address: 7 � 0 q 9 OO A ULLu E 0D,7�f, Tel. # -163-533-6 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Length Width Height Sq. Ft Width Hgt/Ground Sq. Ft Em$Construction Type: 5FF(TFAW 51 D Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: I 'i APPLICANT. Call (763) 572-3604 for Permit Fees if mailing In appl tion. Fax to 76 1-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 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. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] $ o c VC STIPULATIONS: