Demo'd Bldg DocsCity of Fridley, Minn.
BUILDING PERMIT
Date: . ..
....................
owner .......................................
Address......................................
N® 3864
Builder .. .....
Address .............................................
LOCATION OF UILDING
No. ... Street ....... Part Lot ......... .Z�. ........... . Aaj
Lot ..... (r�..... Block .../ ............ Addition or Sub -Division �:5�...!%%Zs'1....... .
�z �
Corner Lot . A........ Inside Lot ............ Setback .,�. 3.. Sideyard .�� :� ................ .
DESCRIPTION OF BUILDING
To be Used as: �f
.. Front .`I� Depth —� Height l.. jSq. Ft...7,(� Cu. Ft./f�n.
r
Front .......� Depth Height I.d. -!'0 Sq. Ft �.�,1. Cu. Ft.�
Type ofCons coon ................... Fst. Cost... /.�/ . ... To be Completed ....................
In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do
the proposed work In accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
.X .................................................
620
In consideration of the payment of a fee of $. W. 6
:...., permit Is hereby granted to ...................
......................... to construct the building or addition as described above. This permit Is granted upon
the express condition that the person to whom it Is granted and his agents, employees and worlmnen, in all work
done In, around and upon said building, or any part thereof, shall. conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
. *Building
NOTICE:
This permit does not cover the construction, installation or alteration V , wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separatt`Oery4s for these Itema.
Land Planning 570Missnsippi.StAlf.
land Surveying Minneofo/s 21,
Sols Te5h;?y ENGINEERING, INC. Minncsola
Civil b Municipo! SUnsel.44066
Eng,neerm9 Engineers Sur ve ffs
r;
certificate of survet � Y T;'
T
_ n n 2 N E ROAD
//fv
I
1/ IM
LO
/hereby cerfiry fhat this is a true and cor/ect representation o.'a swvecy e& bnw►der4s gr.4e abate &SC"kd farad, o/)d
#P& lawlVan a/'ol/ turldin95 , tfirmen , w da/l ns* ib/e a awc imenfs , Irony, frmrr or en said /arnd. As surveyed this _doff
U e P� P A.
fZ SUB UR BAN ENGINEERING, INC.
Ln9inetrs' • E Sw',recfW5
:?.
q C%
Application for Power Plants and Heating. Coaling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
Y
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $
Furnace Shell & Line --to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
PIL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00�i 8 O
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
� x $1.50
$--4,"Z,—O
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee` Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$
REMARKS:
F"." f_v��%����
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true band correct.
Fridley, 1yi,'nn at,&195
Owner ��z�r ,��� 195—
Kind of Building 195—
Used as
To be completed about
Of o40
Estimated Cost, $ -:S�'A O
Old Building Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, fir—No.�/
Trade Nam Size No rAL=10®
Capacity Sq. Ft. E.D.Rl&�-O,p®® BTU H.P.
Total Connected Load 3o ;�<ST Kind of
BURNER — Trade Name —�� Size No- ;?ZAP/d9 10
Capacity Sq. Ft. E.D.R /o a�&V-09 BTU H.P.
Signed SIBMAN HEATING & SHEET MAI
By--�� �dor�
11 POST IM -12-58 Business Phone No. 96S%2
D•S6 z� s
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.uide
H. e.. Construction No.
G
Windows I Doors Reference Out. Wall Int. Wall I Ceiling Roof Floor
Yes—No Yes—No 1952
/ F1.I 0qa,,&*0 Room I Length /4id-,' Width,0/a// Height k/f6// II
Windows and Doors—Crackage and Area
Room L.eng o 1p f'
Width
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
y o o a- ,
y ;t o .10 91 5z
&-V& A/ A / // '
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.
Btu
CoeE
Btu
Infiltration
! �
Coef.
AO
8"pp
Glass
Int. wall
Net exp. wall
,L,5-1,0
,334
Exp. wall
Net exp. wall
/qy
Ceiling
Exp. wall
Net exp. wall
Floor
,
/D
?i
Int. wall
3
o
1 -
Int.
Int. wall
eiling
O
2
Floor
S'
91315 --
Floor
Total Btu. S
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ FI.I 'R r n Room I Length /��� Width -76t, -" Heiaht -9 /d>r
Windows and Doors--Crackage and Area
Room L.eng o 1p f'
Width
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
3o 4/0 Y
y ;t o .10 91 5z
&-V& A/ A / // '
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.
Btu
Infiltration p
�®
p -V
Glass �(
Coef.
Btu
Exp. wall 174
4,70
Int. wall
Net exp. wall
®
S 7�
Int. wall
Net exp. wall
's,
Ceiling
Exp. wall
Int. wall
Floor
Vo
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /�,
Fl.
Room L.eng o 1p f'
Width
&- Height p
Windows and Doors—Crackage and Area
y ;t o .10 91 5z
&-V& A/ A / // '
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
ams 3® y o s,
CoeE Btu
Infiltration
Infiltration
Glass
ao
Coef.
Btu
Infiltration
4,70
Int. wall
o
9-0
Glass
Floor
Net exp. wall
's,
3754
Exp. wall
Int. wall
Vo
Floor
Net exp. wall
3
o
1 -
Int.
Int. wall
eiling
S'
91315 --
Floor
[47-
Tbtal Btu. / ye
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
4O o o4�si eiL e, RALoe,
FRIDLEY, MINN.
Insulation
Kind How Applied
FI.I Room I len /moi Width
101" t1elghW1g0-,1
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane tights of crack sq. ft.
y ;t o .10 91 5z
&-V& A/ A / // '
CoeE Btu
Infiltration
Infiltration
Glass
ao
Exp. wall o
Glass
Net exp. wall
4,70
Int. wall
Exp. wall
Ceiling /n
Net exp. wall
Floor
Net exp. wall
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
i F1.1, .._ .." 'fe Room I Length//_//_ i/ Width 1e/d11 HeightQGa•
Windows and Doors—Crackage and Area
Room ILength I 2/,trWidth&b0
Height ,0/
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
30 2, o
®mrr I N 1213 ARVO
O yao, o
Coef.
Btu
Infiltration
"l'Pi
ao
aO ' -v
Glass
.
4,70
Exp. wall'
Exp. wall
7i
Net exp. wall
APL 1/0
Net exp. wall
Int. wall
/O
a
Int. wall
Vo
Floor
- Ceiling
Floor
Total Btu. Rx 3
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I a z1
F1cI' Rmo
Room ILength I 2/,trWidth&b0
Height ,0/
Windows and Doors—Crackage and Ana
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. fL.
O yao, o
Coef. Btu
Infiltration
O
aO ' -v
Glass
.
S — ,57
Exp. wall'
Fo
Net exp. wall
APL 1/0
p
Int. wall
eiling
Vo
Floor
Total t3tu. -3643
Required sq. k. E.D.R. or sq. ins. W.A. Leader area A.
.30,P 2-.s7
52-84-5915.51
City of Fridley
Application for Plumbing and Gas Rtting Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK 400 Osborne Rd
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ....... ...... ......
Future Fixture Opening ...............
New Fixture Old Opening .............
Catch Basin ...... ....................
Water Heater (Up to 99,000 BTL) .....
New Ground Run Old Bldg. ...........
Electric Water Heater
GAS FITTING FEES:
x $200
3
x $1.50
75Q_i
�F
x $1.60
$
= f^
3�
Z L
c�
a
z<Tj
8o
Z_jO
S
u�<�ii
<3
gd
("'7
gf,
0
Z
.U' O
•
F
•
N
WATER HTR.
GAS
ELEC.
Base
1st
2nd
3rd
4th
• Future Connection Openings
a New Fixture, Old Openings I
Connected with
Sewer El
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ....... ...... ......
Future Fixture Opening ...............
New Fixture Old Opening .............
Catch Basin ...... ....................
Water Heater (Up to 99,000 BTL) .....
New Ground Run Old Bldg. ...........
Electric Water Heater
GAS FITTING FEES:
x $200
$
x $1.50
$
x $1.60
$
x $3.25
$
x $3.00
$
X $326
$
x $2.00
$.
NO. RATE TOTAL
1st 3 Fixtures .......................... x $200 $
Additional Fixtures .................... x $ .75 $
Gas Range to 199,000 BTU .............. x $m
REPAIRS & ALTERATIONS—Refer to Code
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the facl
and representations stated in this application are true and correct.
Fridley, Minn 11-27-68 19—
Owner W Adams
Kind of Building fram
Used as
To be completed about 12"2-68
Estimated Cost, $ 10.00
Old—New. Building Permit No. 1- P�rmi o. v
Sign" a �`
a., MINNEAKOLIS GEIS Lw.
ROUGH
FINAL � – Z S — % �"
Description ................................................$
TOTAL FEE $ 3.00 42
Business Phone
MERM STATE OF MINNESOTA DEPARTMENT OF HEALTH
"°"°`r "&A10 —
Anoka
WATER WELL RECORD
MINNESOTA UNIQUE WELL N0,
rufaaaerasmlalalsatoJ.os
far wow sa� [ABAN66MENT
RAW FrNum! E Bastian N ion
4. WELL DEPTH (aomppt Vale of cii
Sets ra kaa Rena
.
"1
rL '�
MerwE ev Sweet fty a< waw Loa
}�
& o oD
400 0 s b o r nE R d .
J
10 Como tad 40 Reverse M Driven 10O Dq
enact R we sect a
t p w
>� Hallow rod gD Ab 80 Eared l 110 �_
1 ems
�- -,
S6esFG1e
bowery 90Jatted flop wepugar
I)RWNG num
'plod �'
W •' - - E um r
eJ
��
7. USE
-•'- s
umbar
N
!O Domatk 10 ManftorGtg 80 Hat Pump
( W
E
- ; - -i -r
1
30 Ted Wen w Mampsi 1100 Commercial
y0AirCandltloft 1t0—
�- �—�
adfr
S
a EASWO
HEICHTt Abovellildw
HOLBDlAb1
S. PROPERTY OWNER'S NAME
Anoka County Community Action
10111119k 40 Thraded
surface rt.
Address 8008 N. E. Hwy. 65
80 Wetded Drive shoe? Ya_- No_—
Spring Lake Park, Mn. 55432
M Plast.
30�a"� 8O
im to IL Weight IbsAL
_.Jn, to.
3. FORMATION LOG
COLOR
110
FROM
TO—into—ft.
Weight IbsAL
_Ja to
In. to rt. Weight .ftaAL
--hh to-_
9. SCREEN Or open hak
Make from --has, It.
`� >�
�d ®� . ����
��,
Type
CIL��[�
01414
Q-
Set betwee° IL sad (L
rL O below O above DaleMeaurw
lead surface.
C�
IL PUMPING LEVEL (below lead rafaos!
O
c!Y
IL afar hm p—ping gp.m.
IL after hrs. pumptag 9 m.
1g. HEAD WELL COMPLETION
J
10 mlaa adapter. mauufa turer made_
Easement
�Z
®.
f� oHsp 3D At ked l9" than gtwmd
W IHaatia waiag potedla�
13. WELL OROUTEDI
O Yes O No
10 Nast Cement m Eentoatte 30
Grout material from to—It. cu. yds_
fa. NEAREST SOURCES OF POSSIBLE CONTAMINATION
feet direction
wen disinfected upon complellod 0 Yes OND
IL kdMP
Date iadaned 0 Not Installed
Manufacturers nems
Mudd number HP VWu
Length of drop pipe rL capacitygp m,
Material of drop pipe
Type H] Subm arsine 3a L.S. Turbine 50 Reciprocating
2OJd 413 CeakUugal 00
I& EXISTINO WELLS
!Joe
rti srrde4
Unused wall an property? O Yes 0 No
Abandoned O Permanent O Ta moraryO not sealed
• A , ata,
119. WATER WELL CONTRACTORS CERTIFICATION
This WOR was dAW under myJurledclon Aad this report It true to the but or my
knowledge and belle!. -
MORK WELL CO., INC. 02133
Ave. N.W. Aft ff-, Mn.
a �
•
Au Rspresenuu+m
Name ofDrnkr Date__
Ir1ir-C)RTANTi
6;Lr %VIT11 P11C1l--WELL OWI%!r.n
and9oM
- - rc)py
-
ylye gotw
..rte ...�......� .:..caw. ME srxf
CITY OF FRIDLEY .
• APPLICATION FOR PUJMBING AND GAS FITTING PERMIT
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
to
Number Fixtures
X
$3.00
U
Future Fixture Opening
x
00
$ '
Water
x
$2.00
$
I
Fi
r
C ri
m.
$5.00
0
14
1:4
w
$
100,000 BTU to 199,000 BTU
Heater
$10.00
$
' Water Softener
x
$7.00
$
New Ground Run Old Building
y
$5.00
>a
r!
x
$5.00
'
�
w
tea
U
a
14
, 9
U w�
y
u
�
ur
o
Masl,,
a
c�
is-
2nd
3rd
4 th
(R) - Future Connection Opening
Connected with Sewer
(•) - New Fixture, Old Opening
Water
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
X
$3.00
$
Future Fixture Opening
x
$2.00
$ '
New Fixture, Old Opening
x
$2.00
$
I
•
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
' Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
GAS FITTING FEES:
1st 3 fixtures x '$3.00 $
Additional Fixtures x $1.00 $
Gas Range to 199,000 BTU x $10.00 $
REPAIRS $ ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
TOTAL FEE $ 8.00
REINSPECTION FEE
($10.00)
Job Address loo Osborne Rd; '
,Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby stakes 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
Fridley. Mn. 9-25-78 , 19
OWNER tsLruw
KIND OF BUILDING frame
USED AS res.
TO BE COMPLETED ABOUT 9-30-78
ESTIMATED COST 20.00
OLD - NEW BUILDING PERMIT NO. PERMIT NO. .
Company
Signed By .
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
' Date
APPROVAL FOR PERMIT ^%
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATS SVRCHARGS
SUBJECT
PERMIT NO.
City of Fridley
o 1910
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
EIPT N
`L �_____ COMMUNITY DEVELOPMENT DIV.
r i -- PROTECTIVE INSPECTION SEC.
1 �
`
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/11/87
JOB ADDRESS 400 Osborne Road N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
1
Osborne Manor 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Anoka County Community Action 8008 N.E. Highway 65, Spring Lake Park
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Saone (,ACCAP I
784-2443
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION D REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Egress windows
9 CHANGE OF USE FROM TO
STIPULATIONS
tiS
REQI�`RFD FOR
A�';D SIGNS-
ATE PERM
PAR Pt-
��g �C�G
VIEATITSS'
V'JIRI�G,
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 1 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
$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-
STRUC R THE PERFO CE OF CONSTRUCTION.
$17.50
P N CHECK FEE
TOTAL FEE
$18.00
SIGNATURE OF CONT FACTOR OR AUTHORIZED AGENT (DATEI
_ HEN PROPERLY VALI A%TED THIS IS YOUR PERMIT
VI
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
BLDG INSP
ATE
NEW [ ]
ADDN. [ ]
ALTER. [ 4 --
Construction Address:
Legal Description:_
Owner Name & Address:
Contractor:
Address:
City of Fridley
R-1 AND R-2
Building Permit Application
Effective 4/1/86
G
Tel. # %� 7
1
Attach to this application, a Certificate of Survey of the "
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT P
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Le th
OTHER:
Width
Width
Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [ ] Inside Lot [ ], Ft. Yd. Setback Side Yard Setback
Type of Construction: ` Estimated Cost: $ ty u
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: 7/// APPLICANT: Tel. # zf / Y-3
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
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 [ ]
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any
building or structure, or for any addition to any existing building or structure, or
for any alteration or repair to any existing building or structure, upon application
therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
Total Valuation
$1.00 to $500.00
$501.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
$50,001.00 to $100,000.00
$100,001.00 and up
Fees
$10.00 (Minimum Fee is $15.00)
$10.00 for the first $500 plus $1.50 for
each
additional $100 or fraction thereof, to and including
$2,000.
$32.50 for the first $2,000 plus $6.00 for
each
additional $1,000 or fraction thereof, to
and
including $25,000.
$170.50 for the first $25,000 plus $4.50 for
each
additional $1,000 or fraction thereof, to
and
including $50,000.
$283.00 for the first $50,000 plus $3.00 for
each
additional $1,000 or fraction thereof, to
and
including $100,000.
$433.00 for the first $100,000 plus $2.50 for
each
additional $1,000 or fraction thereof.
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 feet times $13.50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of
application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450
December 16, 1987
Mr. Steve Kline
Anoka County Community Action
8001 Highway #65 N.E.
Spring Lake Park, NN 55432
Re: Final Inspections at 400 Osborne Road N.E. and 7601 - 5th Street N.E.
Dear Mr. Kline:
Final inspections were conducted on the above addresses on September 4, 1987
and October 9, 1987 and the construction has been approved and our permits
f inaled.
The structures are approved for occupancy.
If you have any questions on this matter, please feel free to contact me
at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
DRILLER SIZE
LIST OF WATER WELL ABANDONMENTS
FOR ANOKA COUNTY
LISTED BY CITY
THEN NUMERICALLY BY ADDRESS
FOR THE CITY OF
*** FRIDLEY ***
6431 UNIVERSITY AVE. NE.
B.I. MR. DARREL CLARK & MR. DON 9ARRIGAN
574-3450
NO PERMIT FEE OR INSPECTION
OWNER -CONTRACTOR SITE ADDRESS
DATE SEALED
TORGERSON
1%
BORDEN
260 Longfellow.St.
Jan.
88
E.H. RENNER
2
SHARON ANDERSON
380 Longfellow St.
May.
86
MORK
3
ANOKA CO. COMM. ACTION
X400 Osbornf-Rd.
Sep.
87
MORK
.3
ANOKA CO. COMM. ACTION
401 -76th Ave. NE.
Sep.
87
A -WELL
4
ELLEN KARI
511 Ironton St. NE.
Mar.
88
E.H. RENNER
2
FRIDLEY SCH. DIST #14
611 Mississippi St.
Sep.
87
E.H. RENNER
lk
HARLIN & MAXINE SUND
776 -63rd Ave. NE.
Sep.
87
TORGERSON
3
Robert Knudson
1322 Hillcrest Dr.
Jul.
88
E.H. RENNER
1k
LOIS HLAVINKA
1500 Osborne Rd.
Apr.
88
E.H. RENNER
lk
LOIS HLAVINKA
1500 Osborne Rd.
Apr.
88
E.H. RENNER
2
ONAN CORP
1600 -71st Ave. NE.
Jul.
88
E.H. RENNER
2-
OMAN CORP
1600 -71st Ave. NE.
Jul.
88
E.H. RENNER
3
JERRY McKNIGHT
4607 -2nd St. NE.
Nov.
87
E.H. RENNER
3
SYLVIA McGUIRE
5928 Oakwood Ave.
Sep.
87
E.H. RENNER
1%
SYLVIA McGUIRE
5928 Oakwood Ave.
Sep.
87
E.H. RENNER
3
BINCKNER BUILDERS
5980 Stinson Blvd.
Apr.
88
E.H. RENNER
3
TIM FAHS
6105 Woody Lane
Feb.
88
E.H. RENNER
4
TIM FANS
6105 Woody Lane
Feb.
88
DON STODOLA
4
ENEBECK CONSTRUCTION
6222 Old hemawf Rd.
Aug.
88
MORK
2
CLARENCE GRAVES
6229 Sunrise Drive
Oct.
87
LUDWIG
2
CARL CHRISTENSEN
6509 East River Rd.
Jun.
88
E ". RENNER
1-t
ANOKA COUNTY PARKS DEPT.
6666 East River Rd.
Jul.
88
1
E RENNER
It
RICK MALACHEK
E., RENNER
1%
BOISE
CASCADE
CORP/BARR
E.H. RENNER
1t
BOISE
CASCADE
CORP/BARB
E.H. RENNER
14
BOISE
CASCADE
CORP/BARR
E.H. REHM
13k
BOISE
CASCADE
CORP/BARB
E.H. REMM
1%
BOISE
CASCADE
CORP/BARB
E.H. RENNER
l3k
BOISE
CASCADE
CORP/BARR
E.H. RENNER
14
BOISE
CASCADE
CORP/BARR
E.H. RENNER
1t
BOISE
CASCADE
CORP/BARB
E.H. RENNER
1%
BOISE
CASCADE
CORP/BARB
E.H. RENNER
14
BOISE
CASCADE
CORP/BARR
(10 WELLS..FP7, FP10, FP18, FP11,
FP13, FP9,
[ALL OF THE
ABOVE
10 WELLS FOR NATIONAL POLE
E.H. RENNER
1k
JAMES
L. SCHLEY
A -WELL
2
JIM HAM
ANORA/018
END NOVEMBER 16th, 1988
NU14BER OF WELLS SEALED IN THIS CITY TO DATE:
2
7136 East River Rd. Aug. 87
7300 Block & Old Central Aug. 84
7300 Block & Old Central Aug. 84
7300 Block & Old Central Aug. 84
7300 Block & Old Central Aug. 84
7300 Block & Old Central Aug. 84
7300 Block & Old Central Aug. 84
7300 Block & Old Central Aug. 84
7300 Block & Old Central Aug: 84
7300 Block & Old Central Aug. 84
7300 Block & Old Central Aug. 84
FP1, FP8, FM8, FP3 Less Than 30')
& TREATING SITE/MEDTRONICS SITE]
7512 East River Road Sep. 87
7551 Alden Way NE. Jun. 88
35
I
SUBJECT
PER a
City of Fridley
'(
32015
AT THE TOP OF THE TWINS
g U I l D I N G P E R M IT
r
T NO.
r • _ _ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
672®364
��&
r PROTECTIVE
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L J` 612-571-3450
910415
7/19/01
10B ADDRESS 400 Osborne Road NE
I LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
6
1
Osborne Manor 2nd SHEET
2 PROPERTY OWNER MAIL ADORE" ZIP PHONE
Unity Hospital 550 Osborne Road NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Julian M Johnson Construction 6190 Industry Ave NW, Anoka, MN 55303 763-323-2900
a 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 ❑ REPAIR ❑ MOVE f REMOVE
8 DESCRIBE WORK
Wreck House, Garage, Breezeway
9 CHANGEOFUSEFROM TO
STIPULATIONS
Disconnect sewer & water services at property line and call for
inspection before covering. All demolition debris, including foundation & slab
shall be removed from site.
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 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
N/A
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-
$33.75
STRU TI N R THE PE RMANC OF CONSTRUCTION
PLAN CHECK F
TOTA F E
3 .75
SIGNATURE Or CON'RACTOR OR AUTHORIZED AGENT IDATEI
EN RO E Y ALIDAT D S IS YOUR PERMIT
SIGNATURE Of OWNERIIf OWNER BUILDER, [DATE-
BLO INSo rLTE
I
Effective 1/l/01
CITY OF FRMLEY MOVING [ ] WRECKING [..PERMIT APPLICATION
6431 University Ave NE
Fridley MN 55432
(763)572-3604
Job Address: `1 ®® 05 6 d �-N 6 P-0
Legal Description: Lo- (a ae-\C- 1 BOP -ye W "0 \f-- c�- W
Owner & Address:E-1069� i pt 5D Of(id"& �Z-0 Tel. #
Contractor: U Li '� O" 050th Tel. #2b3 3a-3 a -9o0
Address: A -IO & N Vy State License #
DESCRIPTION OF WELDING
HOUSE: Length 4 ( Width a- (D Height Sq.
GARAGE:Length 3 c� Width � `I— Height Sq.
Ft.
Ft.
OTHER: Length Width Height Sq. Ft.
Estimated Cost $ ? GOC) Approx. Completion Date
Cu. Ft.
Cu. Ft.
Cu. Ft.
-3^O
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL
UTILITIES FOR DISCONNECTS BEFORE WRECKING/MOVING STRUCTURE.
Water Bill Paid: Yes [/or Collect [$
Moving Route:
Signature
The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to
do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State
Code which requires any water well on the property to be sealed by a State licensed water well driller, and
hereby declares that all facts and representations stated in this application are true and correct. ALL
' oate Signature
Moving Wrecking
Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction ...... $1.25
Accessory building into Fridley ...$ 42.00 For structures which would be impractical to
Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost
Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00
or fraction.
PERMIT FEE: 13, '? '�5- MINIMUM $20.00
3S'06 bCtA)-SL
STIPULATIONS: