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PRE 2010 DOCSCity of Fridley, BUILDING PERMIT N? .682L C�►T F (WING _ No. Street �� Part of Lot---- -- __ Lot Block Addition or Sub-►Divi�sion ��....2� Corner Lot Inside Lot �� Setback �.� _ � _ Sideyard _ , Sewer Elevation ___ — Foundation Elevation DESCRIPTION OF BUILDING • FrontDepth Height 9_ Sq. Ft. /&44 Ft2b;bf2- Front Depth Height ____, Sq. Ft. Cu. Ft. Type of Construction Est.be Completed In consideration of the issuance to me of a permit to construct the prwork in accordance with the description above set fob ordinances oposed of the city of Fridley. d In consideration of the payment of a fee of $ :t�7pe=k as hereby granted to I agree to do provisions of 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 workmen, in all work done an, aroundE duponFridley, Minnesreg within the dty ts andthis permit may be revoked at any time upon violaa of any of the provisions of said ordinances. NOTICE: M permit does not cover the construction, hutaMon for whk& pkmbtng, gas heathgl, saver or crater. Be core to we the BWWIng inspector for separate pwndis for these hems. S� . d APPLICATION FOR BUILDING PERMIT OF FRIDLEY$ MINNESOTA W -d ADDRESS �s. LOCATION OF BUILDING No. <� (� (.� Street��4� H Part of Lot P '° Lot Block -Addition or Subdivision e .1_5" Corner Lot Inside Lot Setback S Side -Yard Cp d i -',vu. $6b.93 SEWER ELEVATIONS a / & U- j6*5;S FOUNDATION ELEVATION Applicant attach to this form -Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as;, ® Front` Depth ,-r Height. a Sq. Ft.ZLQ Cu. Ft.� % --u Front Depth Height Sq. Ft. Cu. Ft. C t !i - 0 CL, Type,..of Construction Estimated To be Completed 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 S tGPTATLtRE r (Seheduie of Fee Costs can be found on the Reverse Side). W I - t __ COMMERCIAL OR INDUSTRIAL BUILDING CHECK LIST 1. Zoning eQ 2. Area Requirements 3. Parking Requirements_ 4. Front Yard Requirements 61xL, 5. Side Yard Requirements 6. Rear Yard Requirements 7. Dwelling Unit Requirements S. General Construction elll, Remarks -.7T— K.df10L rI /-lo r—z u-, �z fyc gr a JC— HAI Ehr Cf S 4 ALLEN G. JENSEN Building Inspector V WN . 4 fp MOMM A" X; v'M,M' ill D ', 1 1'r io. 1, 1965 ` W.19 .19 So City Attorney stated that he mns-an interest in this building. that the Homing Authority Administrator had asked his what Mould be required for the ming Authority to break the lease, and be Wound the Rousing Authority it would only be necessary for the Authority to quit occupency. He stated that later the Administrator called and said that he had ;discussed the ratter with the City Manager and that there was a gosoibility the City might wish to take an assignment of the lease. Us City Attorney City of Fridley, ; Y . t t' N? 8643 U.Tj �. W {{di SIGN Date: DECEmBER 29, 1965 Owner: MR. A. : T. GERMAN Builder KAUFMAN OUTDOOR ADVERTISING CO. Address Pine Tree Lake Road, White BearAddress 10, Minnesota LOCATION OF BUILDING No. 5650 Street _ _ POLK Street N. E. 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: Front - Depth Height Sq. n Cu. Ft. Front Depth Heiot/Sq. Ft. Cu. Ft. Type of Construction Neon Est. Cost � 15 0 00_ _ � To be Completed t In consideration of the issuance to me of a ��r�mi'to construct the the proposed work in accordance with the descrlgt9�on above set forth a ordinances of the city of Fridley. r ?, I above I agree to do with a�l provisions of In consideration of the payment of a fee of 8 -21 __ , permit is hereby granted to KAUFMAN OUTDOOR ADVERTISING COMPANY to construct the building or addition as described above. This permit is granted upon Vie express crondition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesotalocation, construction, alteration, mmaintenance, repair and moving of buildings wiorthi n city limits permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JEN SEN I Building Inspector NOTIC6t Thle porno don not corer the canetrecNen, Instagatlan hr wMh& p1 mbing, an heating, *ewer or water.. Be am to ase the BuNhm hopeetor for separate permhe for thea ttaw. , . W. J 1 APPLICATION FOR SIGN PERMIT Permit No. VA Location Fridley, Minn., FRIDLEY INSPECTOR OF BUIMINGS: The undersigned hereby makes application for a permit for the work herein speci- fled, agreeing to do all work in strict accordance with the City Ordinances and rul- ings of the Department of Buildings, and hereby declares that all the facts and re- presentations stated in this application are true and correct. Mr. J3$ A. T. Nom' Gearman, Pine Tree Lake Road Owner - 3,2 vo% v im Kind of Building br Used as apartments Work to be completed about Estimated Cost $ 1i -e. DESCRIPTION r r l t.r - 19_____ -- How Installed: Flatwise on Extended out from Wall Roof Dimensions: Length P Height / _� ,Thickness 1® Distance from Sidewalk Roof Constructed of:Iro Wood, Iron and Wood Illuminated4;��v Wiring Application No. L r kV/11 C AA/(fY LK:1c- - r -4,e -o Al't- c"V 17 Signed By Nk C111ty of Fridley B $�3dticT Permit No. �® � AT TK TDP OF THE TW IN$ # b PLUMBING PERMIT APPLICATION P ate--®----- COMUVNITY DMMOPMENT DIV. PROTECTIVE tNS CT*M C=,ZPT. CITY MALL F RIDL9V �'a jai GIZ-6073"o RX&ER REV. W A{m�+nweb 8Y 0®,1 0 JDATEIiAGE 2/15/73 1 1 800 Job Address Z ,t �7 $ ' Owner Address Phone k', IN - e - e- 1 eS e Q V e Contractor Address Phone S D Rind of Building _ Use R-�- tv, Comp etion Date Ys—timated Cost Plumbing Fixture Rates: NO. RATE TOTAL I� W Number Fixtures x $2.00 — I I Future Fixtures x $1.50 aoNval I i f a New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU x $3.00 •os,w Ground Run Old Bldg. x $3.25 Saa, 'MN,Va� I I Elec. Water Heater., x$2.00 � a. SNISVB ( H71V7 1 I � I .2 p , Fitting Fees; sN,daa oc _Gas .� 1st 3 Fixtures x $2.00 z 0 sa3nowsl I 1 I Additional Fixtures X$. 75 ' LNno.4 Gas Range -199,000 BTU x $5.00 �W p� A : snvail HSVM I I � I If o a R_e_pa:irs & Alterations C) ' See � SNNIS Description: Code d SN,SV®� I I State Surcharge .50 •� •� TOTAL FEE $ ®2. S 0 Sent NIve I I The undersigned hereby makes application for a permit S,vN,an� I I I ; for the work herein specified, agreeing to do all work 2 in strict accordance with the City Ordinances and ruling — 513SO,0 a31VM� ' ' I C) of the Department of Buildings, and hereby declare that all the facts and representations stated in this Sapplication are true and correct. U; GA r 4V 63 v 7 F -Signature Dat e City of Fi� 121ey WMICT Permit No. AT TV- TOP Ow' 7 THE TWINS PLUMB I JO PERMT APPLICATION LU -------- COMMVNITY DEVELOF+3EMT DIV, I PRMCTfVg VlSi%TCTIOP4 N:PT. CITY HALL FRi0L4V M QATE PA9E _0 BY 910-FI80 0 12/15/73 1 1 800 Job Address uwner Address o Phone R tz & (" Q U, 1. S� rz -%p contractor Address Phone Ve R� S + V) - Kind of building Use I\-- - zomp�letion Date Estimated Cost Plumbing- Fixture Rates,: NO. RATE TOTAL Nu tures Number Fix x $2.00 Future Fixtures x $1.50 l i i ���d�l to New Fixture -Old Open. x $1.50 Catch Bagin x $3.25 GVV 'XIq Water Heater -999000 BTU. X $3.00 i I I Ground Run Old Bldg. x $3.25 MNIVU l I II ! Elec. Water Heater x $2.00 S SNI Vel HJtVa0' IM rk Gas Fittin&Fees i '(4 — SNIvala .0 0 bh r. 1 1 1 1 " 0014 v 0 — 1.4 1St 3 Fixtures x 2.00 jOAdditional Fixtures x $ .75 "0 1 . INnO 0 Gas Range -199,000 BTU x $5.00 MRairs & Alterations See SHNISI Description: Code State Surcharge .50 n TOTAL FEE $ S 0 _� The undersigned hereby makes application for a permit s"imun I I 1 1 8 for the work herein specified, agreeing to do all work 013S0 13 0 in strict accordance with the City Ordinances and ruling U3.LVM Of the Department of Buildings, and hereby declare that- hatall allthe facts and representations stated in this application are true and correct. -3 44 co 'Signature Date 560-3450 Cif of grrialle ANOKA COUNTY 6431 UNIVERSITY AVENUE NE October 10, 1974 FRIDLEY, MINNESOTA 55421 A & G Enterprises 6225 University Avenue N.E. Fridley, Minnesota 55432 Re: Flashing Sign at 5650 Polk Street N.E. Dear Sirs: It was confirmed by an on site inspection on October 10, 1974 that the above listed property had an illegal flashing sign. Section 214.038 of the Fridley City Code states that, "No illuminated sign which changes in either color or intensity of light shall be permitted, except one giving public service information such as time, date, temperature, weather, or similar information. The City Building Inspector in granting permits for illuminated signs shall specify the hours during which the same may be kept lighted when necessary to prevent the creation of a nuisance. There shall be no use of revolving beacons, zip flashers, or similar devices which cause any of the sources of light to change in intensity, unless as noted above." Therefore, the City must require that the sign on the above listed property be repaired or replaced so the lights will no longer flash or otherwise change in intensity. A reinspection will be conducted on or about ten (10) days from the date of this letter at which time it would be expected that all matters will have been taken care of. We are confident in your cooperation in resolving this matter, but if any questions or problems arise from this letter, please feel free to contact me at 560-3450, ext. 41. Sincerely, STEVEN J. OLSON Environmental Officer SJO/mh CC: A. T. Gearman Pine Tree Lake Boulevard White Bear Lake, Mn. 55110 r � ' April 2, 1979 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.I., FRIDLEY, MINNESOTA 55432 Mr. Bill iven A & G Enterprises 160 - 92nd Avenue N.E. Minneapolis, MN 55433 TELEPHONE ( 612)571-3450 Re: Repair & Maintenance of the Rental Property Located at 5650 Polk Street N.E., Fridley, Minnesota Dear Mr. Iven: It was .confirmed by a routine on-site inspection on April 2, 1979 that the above listed rental property was being maintained in violation of Chapter 220, Residential Maintenance Code, of the Fridley City Code. Although the general condition of the property was.good, the inspection on the above date found the following list of deficiencies which must be corrected. Any repairs or improvements must be completed in a workmanship like manner. It is the City's hope that similar or other deficiencies in apartments that were not inspected will be corrected as needed. EXTERIOR 1. Provide and maintain a screened enclosure to conceal the refuse container from view by August 1, 1979. In addition, a hard surface base should be provided for easier handling by the hauler. 2. Provide and maintain a parking lot that is free of Chu k holes and large breaks in the asphalt surface. 54t/-7`1 t. 3. Provide and maintain striping for the parking lot (10' x 20' stalls are recommended) . �7 " /-77 e1 N 4. Repair or replace any broken windows (North wall, 1st floor, 4th from east) . j /f --7.f a/C- COMMON AREA - SOUTH WING 1. Current apartment. license must be posted in a conspicious location.$_ -1% 7, Gk - 2. Replace and maintain any missing fire extin u shers (1st floor / landing). C --9i-7`, res `-� P. cam.®- / 3. Adjust the stairway fire doors to completely close and .latch when - released (3rd floor, east end; 1st floor, west end)—. 9-.//-)kq sic LAUNDRY ROOM 1. Immediately discontinue the use of the improperly wired wall receptacle behind the dryer. If a receptacle is needed, it must be properly installed and an electrical permit issued prior to installation. 2. Provide and maintain locks on all storage cubicles, even the unoccupied ones. -//_-7g ®, �' } Mr. Bill Iven April 2, 1979 Rea 5650 Polk Street.N.E. Page 2 FURNACE ROOM 1. Provide and maintain approved electrical wiring for the intake fan. ,A.n electrical permit must be obtained prior to correcting. 6-1% 71 2. Provide and maintain a self -closer on the fire door so that when the door is released, it completely closes and latches. COMMON AREAS - NORTH WING 6` AN Secure and maintain the loose stairway carpeting (1st floor, east end) LAUNDRY ROOM 1. Immediately discontinue the use of the improperly wired wall receptacle behind the dryer. If a receptacle is needed, it must be properly installed and an electrical permit issued prior to installation. ,�/�-? O k 2. Provide and maintain locks on all storage cubicles, even the. unoccupied ones., �_,-71 -& APARTMENT #13 No orders this date. APARTMENT #14 No orders this date. APARTMENT #2 No orders this date. APARTMENT #24 No orders this date. A reinspection will be conducted on or about May 1, 1979 to determine compliance. We are confident in your cooperation on these matters and if any questions or problems arise, please feel free to call on me at 571-3450, extension 164. Failure to abate these violations may result in this matter being turned over to the City Prosecutor for his legal consideration. Sincerely, 440, STEVEN ISON Environmental Officer SJO/mh CC: Mr. James VanCleave 5650 Polk Street N.E., Apt. #10 lvzlf /, 1979 y� A �3 z� :. May 7, 1981 Jkv 4 6431 UNIVERSITY AVENUE M.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Mr. A. T. Gearman 6205 University Avenue N.E. Fridley, MN 55432 Re: RepOir & Maintenace of the. Rental Property Located at 5650 Polk Street N.E., Fridley, MN (FINAL NOTICE). Dear Mr. Gearman: Enclosed please find this department's letters dated December 9, 1980 and March 6, 1981 that brought to your attention various -housing maintenance violations. in the apartment building located at 5650 Polk Street N.E. A subsequent reinspection on May 6, 1981 has determined that the following items continue to be in violation of the City Residential Maintenace Code and are still in need of corrective action: EXTERIOR 1. Provide and maintain striping for the parking lot to, designate individual parking stalls (.10' x 201). / �-�`° 407 2. The parking lot asphalt surface is starting to break up. Efforts should be made to prevent further deterioration. -� --/-A i' A_� 3. All refuse containers mus be stored within the confines of the enclosure. �;, d Therefore, the City must require you to correct the above listed items on or before June 1, 1981, when a reinspection will again be conducted to determine compliance. We are confident in your cooperation and if any questions or problems arise, please contact me at 571-3450. Failure to abate these violations may result in this matter being turn over to the City Prosecutor for his legal consideration. Sincerely, STEVEN/J. OLSON, R.S. Environmental Officer SJO/mh ENC: 2 CC: Mr. William Dial 5650 Polk Street N.E., Apt. #10 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 ,March. 6, 19.81 Mr. A. T. Gearman 6205 University Avenue N.E. Fridley, MN 55432 Re: Repair & Maintenance of the Rental Property Located at 5650 Polk Street N.E.,'Fridley, MN (SECOND NOTICE) bear Mr. Gearman*: Enclosed please find this department's letter dated December 9, 1980 that brought to your attention various housing maintenance violations in the apartment building located at 5650 Polk Street N.E. A subsequent reinspection on March 6, 1981 has determined that the following items continue to be in violation of. the City Residential Maintenance Code and are still in need of corrective -action: EXTERIOR 1. Provide and maintain a screened enclosure to conceal the refu e container from view by May 4, 1981. ,11��25' -Z/ ®2. Provide and maintain striping for the parking lot to designate individual parking stalls (10' x 201) by May 4, 1981. 3. The parking lot, asphalt surface is starting to break up. Efforts should be made to prevent further det for tion. COMMON AREAA91 1. Provide and maintain a permanent grounding strap across the water meter for the electrical system (under stairs storage area #2) . •2. The fire extinguishers were last inspected in February of 1980. The fire extinguishers must have current inspection dates. Any questions on this can be directed to the Fridley Fire Department. Therefore, the City must require you to correct the above listed items on or before April 6, 1981, or when otherwise noted, when reinspections will again be conducted to determine compliance. We are confident in your cooperation and if, any questions or problems .arise, please contact me at 571-3450. Failure to abate these violations may result in this matter being turned over to the City Prosecutor for his legal consideration. Sincerel , S:N J. OLSON, R.S. Environmental Officer ENC: 1 CC: Mr. William Dial 5650 Polk Street N.E., Apt. #10 :..;as.�...o,,.,9.u..w... __. :. :., .:,y,.�..,_ _�.�...::.�w.,d.,. e_:. ..�. ,.,,,_,•...baa..,.a:s..aW'cJ.�.rcu"'ati� .s�N.17�fLJ.'vn. _ ! fr CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 86432 f, TELEPHONE { 612)871-3.450 ' December 9, 1980 i y+ y, Mr. A. T. Gearman 6205 University Avenue N.E. ,i Fridley, MN 55432 Re: Repair & Maintenance of the Rental Property Located at 5650 Polk Street N.E., Fridley, MN Dear Mr. Gearman: It was confirmed by a routine on-site inspection on December 5, 1980 that the above listed rental property was being maintained in violation of Chapter 220, Residential Maintenance Code, of the Fridley City Code. The inspection on the above date found the following list of deficiencies which must be corrected. Any repairs or improvements must be completed in a workmanship like manner. It is the City's hope that similar or other deficiencies in apartments that were not inspected will be corrected as needed. EXTERIOR ®1. Provide and maintain a screened enclosure to conceal the refuse container from view by May 4, 1981. 5-K' gi 1�-lv C ,�11 (D2. Provide and maintain striping for the parking lot to designate individual parking stalls. CIO' x 20.') , by May 4, 1981. � -c �✓ P� �-� s� ��:��� �"��,ti...�,y' �7->��,�t_'L. c` v,-Z_��.Y�•-u�+ ;J �,yY,.�� i'= MMON AREAS. _ V c's' f`�� 1. The current apartment license must be posted in a conspicuous. location. 3-,5J"/' b- k- ,�2. Provide and maintain a permanent grounding strap across the water k - ( meter for the electrical system (under stairs storage area #2).341J�:F 3. Adjust and maintain the hallway fire doors to completely close when released: North wing, lst, 2nd, 3rd floors, west end; 2nd floor, east end. i�'! - �� C Fr L i'� "fit rc� ✓ T C' %� LAUNDRY FURNACE R001�9 South Wing Laundry Room No orders this date. South Wing Furnace Room No orders this date. North Ming Laundry Room No orders this date. • `, Mr. A. T. Gearman ,December 9, 1980 Re: 5650 Polk Street N.E. Page 2 APARTMENT #10 No orders this date. APARTMENT #3 No orders this date. APARTMENT #1 Repair and maintain the leaking cold water faucet in the bathroom. APARTMENT #20 No orders this date. APARTMENT #25 No orders this date. A reinspection will be conducted on or about January 12, 1980 to determine compliance. We are confident in your cooperation on these matters and if any questions or problems arise, please feel free to contact me at 571-3450. Failure to abate these violations may result in this matter being turned over to the City Prosecutor for his legal consideration. Sincerely, d STEVEN J. OLSON, R.S. Environmental Officer SJO/mh CC: Mr. William Dial 5650 Polk Street N.E., Apt. #10. d �zJ -1 P la s7 yJJ?� AAS a "' :J z/ z Re: Repair & Maintenance of the Rental Property Located at ✓� Fridley, MN Dear It was confirmed by a routine on-site inspection on /L-�- -,Pv t,.iat. the above listed rental property was being maintained in violation of Chapter 220, Residential Maintenance Code, of the Fridley City Code. The inspection on the above date found the following list of deficiencies which must be corrected. Any repairs or improvements must be completed in a worrmanship like manner. It is the City's hope that similar or other deficiencies in apartments that were not inspected will be corrected as needed. COMMON AREAS o M on, 6rvL-64c -- dIcYc v APARTMENT # a �, A reinspection will be conducted on or about ' JiO7, / -2 / fl� i% to determine compliance. We are confident in your cooperation on these matters and if any questions or problems arise, please feel free to contact me at 571-3450. Failure to abate these'violations may result in' -this matter being turned over to the City Prosecutor for his legal consideration. ENC: CC: (� � � - ti '�.) � Y s s • �., July, 6, 1981 A. T. Gearman 6205 University Avenue Northeast Minneapolis, MN 55432 He: Exterior Site Improvements for the Residential Rental Property Located at 5650 Polk Street Northeast. Dear Mr. Gearman: On at least three occasions in the past, the City has brought to your attention the need for some minimal exterior site improvements for the apartment building located at the above address. A reinspection has determined that the following item continues to need corrective action: The asphalt surface of the parking lot and driveway has the top aggregate exposed and consideration should be given to seal coating or having an overlay applied. At this time, the City must require that the above listed item be corrected or improved and that you provide us with a proposed plan and time table for completing this work. Please return your response and license application no later than August 10, 1981 to the attention of the Code Enforcement Department. Your positive response to this needed improvement will assist, us in evaluating your application to renew the license for the 1981-82 licensing period. We are confident in your cooperation and if any questions or problems arise, please contact me at 571-3450. Sincerely, Steven J, Olson, R.S. Environmental Officer SJO sar Eno: License Renewal Application 1982 CI'T'Y OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. A. T. Gearman A & G Enterprises 6205 University Avenue N.E. Fridley, MN 55432 TELEPHONE ( 612)571-3450 Re: Maintenance of the Parking Lot and Driveways at 5650 Polk Street N.E., Fridley, MN Dear Mr. Gearman: It was confirmed by an on-site inspection on April 6, 1982 that the blacktop parking lot and driveways for the above listed property have a surface that is in need of repair and maintenance. The inspection found numerous chuck holes; large surface cracks and breaks; and badly exposed aggregate. Therefore, the City is bringing this matter to your attention so that the necessary repairs and maintenance can be budgeted and initiated this summer. Your prompt attention to this will prevent any continued deterioration and prevent the need for future, more costly repairs. Please note that if a parking lot is sealcoated or overlayed, the City Code does require that it be restriped to designate individual parking stalls and driving aisles. We are confident in your cooperation on improve the appearance of your property problems arise, please feel free to call Sincerely, P S TE N J. OLSON, R.S. Environmental Officer SJO/mh this matter and your desire to and the City. If any questions or on me at 571-3450. June 8, 1982 CITY OF FRI®LEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 A_& G Enterprises 160 - 92nd Avenue NE Minneapolis, NN 55433 Subject: Delivery of the City of Fridley's Quarterly Newsletter To Whom It May Concern: On behalf of the City of Fridley, I am requesting your cooperation in permitting a representative of the Independent Delivery Service to distribute our 1982 Summer Newsletter to each dwelling in your apartment complex. I am seeking your cooperation in this matter, so that all residences within the City will receive a copy of our Summer Newsletter. In the past, when we used this type of delivery, we also asked for your cooperation and were granted permission to distribute our newsletter within the apartment complex. This publication is not used for any advertising purposes and does not solicit from businesses or residents. A representative from our office will be contacting you or the residential manager with the specific dates that we will need admittance to your apartment complex. If you have any questions regarding this matter, please contact me. I can be reached by calling 571-3450, extension 166, between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday. Thank you for your consideration and anticipated cooperation of this matter. Sincerely, Rent Eugene Hill Economic Development Assistant REH:dw cc: Resident Manager 5650 Polk Street NE Fridley, NN 55432 .- MEMO TO: John Flora, Director of Public Works MEMO FROM: Steve Olson, Environmental Officer MEMO DATE: may 12, 1983 REGARDING: Water Problem at 5650 Polk Street N.E.,'�Apt. #1 (JF -179) Today I talked to Mr. Bill Iwen, the property manager for A & G Enterprises. He explained that after the last big snow storm, April 15, Friday, runoff from the roof seeped into Mrs. Preston's apartment. He claims they corrected the problem by adding an extension on the downspout and by trenching the ground away from the building. He also claims that the water damaged carpet was removed and the next week, after making sure there was no more seepage, they installed new carpet. The second incident happened Saturday, May 7th, at approximately 1:00 a.m. A hot water heating pipe, running under the cement floor in the hallway of this apartment, started leaking. Corrective action was initiated that resulted in the breaking up of the cement floor, repairing of the leak and repatching of the floor. My understanding is that new carpeting will be installed tomorrow. Mr. Iwen also indicated he gave the Preston's $50.00 off this month's rent for their inconvenience. I inspected the property today and there was an extension on the downspout and some trenching. There was no answer at this apartment. I talked to Mr. Dial, the resident manager and he confirmed Mr. Iwen's statement. It seems as though the property owners took the necessary corrective actions, that these incidences are something that cannot be anticipated and that any damage to personal property is a matter to be resolved between the tenant and the apartment owner. If I can be of further assistance, please call on me. SJO/mh r From ffie desk of NASIM QURESSI CITY MANAGER'S OFFICE MEMORANDUM JF -179 DATE: May 10. 1983 TO ACTION INFO SUBJECT:r W 18 8 COMPLAINT OF WATER IN THE BASEMENT APARTMENT OF 5650 POLK STREET. ACTION REQUEST BY COUNCILMAN SCHNEIDER (Kathy Preston, 5650 Polk Street has contacted Councilman Schneider about water seepage into the basement apartment. The lady indicated that the building owners took two or three days before they took any corrective action, and have done nothing to compensate for carpet and furnishings damage. Again recently some hot water pipes broke and the apartment owner is taking time to correct the situation. My understanding is that the property is owned by A and G Enterprises, 6205 University Avenue N.E., Mr. Gearman at 571-5861. Please look into"the situation to see if there are any violations of the City codes and take appropriate action. Mr. Schneider was in a hurry on the telephone and he might call you tomorrow to check on the situation. Thank you. NMQ/ms CC: Darrel Clark Steve Olson SUBJECT P City of Fridley 20374' AT THE TOP OF THE TWINS BUILDING PERMIT r 1 , NO. _ COMMUNITY DEVELOPMENT DIV. >r PROTECTIVE INSPECTION SEC. 3 �� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �•"' �'� 612-571-3450 810-F15 5/21/00 JOB ADDRESS 5650 Polk. Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3, 4, 5. Aud. S'ub. #25 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Equity Realty 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Alcar Builders 5131 Overlook. Drive, Bloomington, MN 55437 884--5054 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE x❑ 8 DESCRIBE WORK Remove patio decks and reinstall wrought iron railings for 24 apartments 8 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,000 $1.50 WITH WH THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES Nd PRES ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO' $ OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 STRUCTI HE PERF RMAN OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $55.50 SI TU E0FCONTRACTORORAUTHORIZEDAGENT (DATE) -WHEN PROPERLY V IDATED THIS IS YOUR PERMIT = BLDG it, DATE I' SIGNATURE OF OWNER OF OWNER BUILDER) [DATE) Prepaid Plan Check $ Effective 1/1/90 Estimated Cost $ CITY OF FRIDLEY Receipt # R-3, CION NERCIAL & INDusTRIAL Building Permit Application Construction Address 6-0 s" O Legal Description Z 0 A 3-, Property - Property /Address G u CONI'RACICOR & ADDRESS d'✓3/ Architect & Address Engineer & Address Tel.# Tel.. .g. # Reg.# TYPE OF WORK [ ] New [ ] Addition [ ] Alteration -Describe e-9AOy. ?70-, 3 &ee,- Applicant SignatureVI -�/ - 37 0 Tel # �� �0 Date �- length Width Height Sq. Ft. # of Stories OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: length Width Height Sq. Ft. OTHER AREA: length Width Height Sq. Ft. VALUATION 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 Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee $ Plan Check $ State Surcharge $ SAC Charge $ Park Fee $ Spec. Assessments $ Driveway Escrow $ t tL,JTOTAL $�:E�6 c) gC)®t,6 See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side $.50/$1,000 Valuation (See Sched. for > $1 Million) $600 per SAC Unit Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot �G- qz,0 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Bumer - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 $ 20.00 $10.00 $ $10.00 $ $10.00 $ 'Air Conditioning - All Sizes $10.00 S All Others/Repairs & Alterations (LIST ON BACK] 1% of Value of Appliance or Work - $ ;' Commercial/industrial 1-4 1 % of Value of Appliance or Work $ State Surcharge $ .50 w ~ TOTAL FEE $ 40.50 MINIMUM FEE FOR ANY HEATINGICOOLING/VENTILATION REFRIGERATIONIAIR CONDITIONING PERMIT IS $15.00 } PLUS THE $.50 STATE SURCHARGE w J A REINSPECTION FEE $30.00 'Cie LL_ 'Air Conditioners can not be placed in a side yard without written permission from ad]oining property owner. H JOB ADDRESS 5650 Polk Street - 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 codes and ruling of the Building Division, and hereby declares that all the facts and representations stated in ttus application are true and correct November 10 .19gt OWNER M.I.D. Associates BUILDING USED AS Apartments ICZ ESTIMATEDCOST 8,500 PERMIT NO. L4 DESCRIPTION OF FURNACE AND OR BURNER No. of Heaatinunits Circle One (Stearn) BTU�S��ui (Ht ater arm Air) Trade N Size. � � _'_ HP E Fuel Lf �Total Connected Load Sumer Trade Name � rv"- Size No. BTU HP EDR MEATI MPANY Brady Mechanical Services, Inc. Signed TeI No, 482-8357 Approved Bough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE BUILDING INSPECTION DIVISION MEMO MEMO TO: Fire Department Rental Housing Inspections MEMO FROM: Mel Collova, Mechanical Inspector MEMO DATE: February 28, 1995 REGARDING: 5650 Polk Street NE, Unit 24 Heating Controls An inspection was conducted on February 27, 1995, per a Fire Department request, which revealed the control wiring for the heating system in this unit must be inspected and repaired by an.approved agency which will apply for the proper permits. These repairs shall be completed within 15 days of today's date. Please feel free to contact me with any questions on this matter. MC/mh 01 SUBJECT N�a IT . City of Fridley 11385 AT THE TOP OF THE TWINS BUILDING PE MIT r 1 COMMUNITY DEVELOPMENT DIV. _ L PROTECTIVE INSPECTION SEC. �� NUMBER REV GATE 8/18/97 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �.' 612-571-3450 910-F15 JOB ADDRESS 5650-5660 Polk Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3,4,5 1 1 Auditor's Sub. #25 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Denetrious 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Englund Roofing Inc 384 N Smith St Paul MN 55102 290-0133 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION IR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install EPDM Rubber layover, mechanically fastened rubber roofing system 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $ 23,000 $11.50 ECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PRESU TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE OF AN OTHER STATE OR LOCAL LAW REGULATING CON -$324.75 ire SC $23.00 rDOOT OR THE ERFORMANCE OF CONSTRUCTION. p PLAN CHECK FEE T TAL FEE $359.25 SIGNAT OF CONTRACTOR OR AUTHORIZED AGENT IDATEI E PY V I TED THIS IS YOUR PERMIT B G INSP MATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 01 Prepaid Plan Check $ Estimated Cost $ Receipt # Construction Address D " Effective 1/1/97 CITY OF FRIDLEY R-3, COMMERCIAL & INDUSTRIAL �S 3 K BUILDING PERMIT APPLICATION Legal Owner & Address ivx Qvvx. wia-L-3 6 ratty ,�� �ie ;moi PTi� el# CCNTRACTOR & ADDRESS 3,s4 VC -0 q_--S10Z TEL# Architect Reg. # Er j i neer Reg. # BUILDING CONSTRUCTION +, .b,rp1 TYPE OF WORK [] % New Addition []. Alteration-Descn-3be Y4_u16_P v"_ •AREA: WHSE AREA: -Width 0`IBER AREA: Length Width Height sq. Ft. Height sq. Ft. Height sq. Ft. APPLICANT �'i�lo�� ��� 1 •�`-•'� Tel # :Zq 0`oi 33 Date VALUATION f3 - 1& -5-2 sq. Ft.. x $ Cost/Sq: Ft. = Valuation Fire Surcharge Sq. Ft. x $ Cost/Sq. Ft. = Valuation.TJE $ Sq. Ft. x $ Cost/Sq. Ft; = Valuation . `$ ) ' TOTAL Building Use Oonstruction Type Occupancy Gvoup Air cbnditioning [] Yes [] No Fire Protection Provided [] Yes [] No Performance Bond Amount $ See Reverse for Schedule Received [] Yes ❑ No Permit Fee Plan Check $ Fire Surcharge $ State - Surcharge $ /f, 0 SAC Charge $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ TOIL $ S" . •S� See Fee Schedule on Reverse Side In Excess of Prepaid Amwnt - See Reverse Side .001 x Permit Valuation (1/10th o) $.50/$1,000 Valuation (See Sched. for > $1 Million) $950 per SAC Unit (Plans to MKCC for determination) $4.50.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary feet x $13.50/foot 9 ATTACH STIPULATIONS SUBJECT PERMIT O. City of Fridley 3291 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. `y _ ____ COMMUNITY DEVELOPMENT DIV. - PROTECTIVE INSPECTION SEC. I All r : NUMBER REV DATE PAGE OF APPROVED BY IA CITY HALL FRIDLEY 55432 _--_ '� l A.763-571-3450 910-F15 7/22/02 JOB ADDRESS 5650 Polk Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEscR. 3,4,5 Auditor's Subdivision #25 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ingram Construction Inc 2705 James Ave N Minnea olis MN 55411 612-804-0836 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Replace 24 decks on building (each deck 6' x 8') 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plans (before digging call for all utility locafiona q.540002 RED Y LAW 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 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 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 $12,672 $6.33 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- Are STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $145.11f $387 6 SIGNATURE OF CON'RACTOROR AUTHORIZED AGENT IDATEI EN P PERL S IS YOUR PERMIT IZZIT �jIID�A�TED S,GNATURE OF OWNER OF OWNER BUILDERI IDATEI 9L 5P rIA� E CITY OF FRIDLEY Effective 1/1/2002 6431 University Ave NE R-3, COMMERCIAL & INDUSTRIAL Fridley, MN 55432 BUILDING PERMIT APPLICATION (763) 572-3604 CONSTRUCTION ADDRESS t�b p®t-V Ej .Nc. Zoning Legal Owner & Address "lK-S© OcAcc-E �2AARct!:_ Tel# ze-A3 CONTRACTOR & ADDRESS 2?S0/ 73 `5 Alt N ? 0IPLS Tel# (Ig.-) Vo-` dgg'� /A� Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition kJ Alteration -Describe 4;4 710 OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT 1 gA/L s Tel # 61X t©'i o3`�b Date 0-r VALUATION 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 Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee $��3•�.7 Plan Check Fire Surcharge $ 042_ 47 State Surcharge $ G ..33 SAC Charge $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ TOTAL $ PERMIT FEES See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1200per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $15.50/foot ATTACH STIPULATIONS FROM :City of Fridley FAX NO. :7635711287 Feb. 14 2006 01: QPM P2 DATE ® (0 ■ OUR E4IA!L 1N/DMM8A! f V ���0�" • !6�'TV BITE Aomms - ® C➢ �� &J� -_ TENANT SUM NO, �. NAME u f� p AJ PROPERTYOWNI�R! TENANT ADDRESS E�✓ ® elf CITY_� % • �i AJ'Tf t0 eV L/ . STATEfn A.) ZIP PHONE #�P//�� Zy1Z7,- NAME d'� D�Ai &C`IYA tt9P �j&.0 LICENSE 0. Oo -3 ADDRess4'O CONTRACTOR CITY Y�l ^l' <1 ". O6' STATF�'�'l � � � PHONE # S f - FAX_ C� S(--1'0 3f- 3S ' O PERMITTYPE ® INSTITUTU)NAL MULTI -FAMILY 0 SWIMMING POOL I:.! TOWNHOUSL ; ` OOMMERCIALMDUSTRIAL D OTHER TYPE OF WORK ❑ NEW . �' REPLACEMENT ❑ ALTJREMODEL DETAILED RIPT1OiN F WORK _ A 1 (2-�� L k )\,;E!� E tl \ � II l rA1�j PI ad ® q aD CyIIJ -T� V0 C -,L vvn FIXTURES: UNDICATE TOTAL NUMBER OF EACH) FESS BASED ON $10 PER FIt?'URE. EXCEPT WHERE NOTED CLOTHES WASH FLOOR DRAINS RPZ VALVE) ($16) URINAL —DISHWASHER GAS PIPING BACKFLOW PREV, WATER HEATER ($33) -DRINKING FOUNTAIN _GREASE TRAP ROOF DRAINS WATER MEM FAUCET ,KITCHEN SINK SHOWER WATER PIPING _A MMABL E WASTE LAUNDRY TRAY —SLOPSINK WATER SOI= iENER ($3l) TANK LAVATORY _SWIMMING POOL WATER CLOSET Permit Fee Minimum: $33.00 Plan Review $ SurottatDa XFO 41.30 on permiffi less than $1,000 Total Cue $ �C) Make Checks Payable to: City of Fridley TOO IS AN APPLICATION FOR A PERMIT - NOT VALID UNTIL PROCESSED I hereby apply far a plumbhhg permit and ! admomAedge that the lnfomhaton above to wMieth and G*Wratsi ghat the wank will be U oorhfarmmae aria ft and codes of the City of Fridley and vNtyt the Minnesota Co WWdon Codas. that I tatderstencf tela Is not permit but on an appllcaallon fora permit and work is rwt tO start WM01 t a PWMW OW the work VIII be !n aawrdance vhIh the approved plan of the case of al work MM requkes review and approval Of pwm NAmEQFAPPLICANT. � HATE SIGNATURE OF APPLICANT � l ��lre✓Jhl� 8431 UNNERSITY AVENUE NE, FRIDLEY, MN 65432 (763) 5724604 RUM COMMERCIAL RE-ROOF Permit No.:� Building Inspections 763-572-3604 APPLICATION Received By 763-502-4977 FAX CITY OF FRIDLEY Date Rec'd: �- EFFECTIVE 1-01-09 DATE 1` YOUR E-MAIL ADDRESS INSTALLATION ADDRESS: THIS APPLICANT IS: ❑ OWNER 9, CONTRACTOR ❑ ARCHITECT/ENGINEER PROPERTY OWNER NAME: go _cIz ADDRESS:cS�"J` (o� �tLK �'� CITY o " STAT IP PHONE: Cp22- ��'%� CELL PHONE CONTRACTOR NAME: G tb .. �� ADDRESS: O �UCI ff.w2r STATEN6& PHONE5 `� S� CELL FAX STATE LICENSE# 2- ®l Z, 9 1 Q EXP. DATE: -C3 - 31 /20 t ARCHITECT/ENGINEER NAME: CITY STATE ZIP PHONE: FAX STATE LICENSE # EXP DATE QUESTIONNAIRE Please answer the questions below. 1. Are all the existing roofing materials being removed to the structural deck? ❑ Yes 9No (08 2. a) How many sq. ft. is the existing roof? 5f b) How many sq. ft. are being replaced? /06 3. What type of roofing system currently exists? ❑ Built-up xmembrane ❑ Other 4. What type of roofing system is proposed? ❑ Built-ups Membrane ❑ Other -O' �. 5. Will the new roofing materials reduce or increase the current dead load? ❑ Increase ❑ Reduce tEj No change 6. If loading is to be increased, has a structural engineer been hired to review all allowable loads? ❑ Yes ❑ No If yes, attach an Engineer's r'epor't. 7. Are any new drainage devices being added or altered as part of the re-roof? ❑ Yes ONo 8. Per International Building Code Table 1505.1 what class designation is the new roof system? ❑ A ❑ B ❑ Non-classified 9. What overall R-value will the new roof produce?� 10. Per International Building Code Sections 2603.4, 2603.4.1 and 2603.4.1.5, will a thermal barrier be required as part of the re-roofing project? ❑ Yes.15 No 11. Will any electrical, plumbing, gas or mechanical items on the existing roof need to disconnected and reconnected as part of the re-roof? ❑ YesrKNo 12. Are any electrical, plumbing, gas or mechanical items being replaced in conjunction with the re-roof? ❑ Ye.5,�No RUM REQUIRED Two copies of each of the following items must be submitted with the application. 1. Full written scope of.the project submitted 7. Any Documentation from Minnesota to owner. registered structure. 2. Shop drawings/section view of new installation 3. A listing (name) of each specific manufacturer's products being installed. 4. The flame spread documentation for any foam products being installed. 5. The thickness of all products being installed. 6. The fire tested assembly number designation. (UL, Factory Mutual, ICC). 8. Copy of manufacture's installation instructions. 9. Provide design detail to meet the requirements of Sec. 1504.4 of the 2006 I.B.C. ANSI/SPRIE ES -4. 10. Provide manufacture and detail of edge sucurement per Sec. 1504.5, 2006 I.B.C. ANSI/SPRI ES -1. PROJECT DETAILS Estimated Completion date: � (5��T Estimated valuation: _ ' C�0 D, Description of work: THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a commercial re -roof permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only and application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. ' r-1 SIGNATURE OF APP A P T NAMATE L 0 4J APPROVED BY ALL FEES ARE BASED ON VALUATION TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for V $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1' $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for V $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for V $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the V $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and u $5,608.75 for the V $1,000,000 plus $3.15 for each additional $1,000 or fraction Permit Fee $ L4gl ,l See above for Fee Schedule Fire Surcharge $ '�) 0 .001 times the total job valuation Surcharge $ 15 .0005 x Permit Valuation Minimum $.50 Total Due $ LA 24 ,1 6 Make checks payable to: City of Fridley Attach Stipulations Building Inspections 763-572-3604 763-502-4977 FAX DATE SITE ADDRESS TENANT PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE Permit No. PLUMBING � COMMERCIAL APPLICATION Received By: CITY OF FRIDLEY Date Rec'd:` EFFECTIVE 1-1-2010 YOUR E-MAIL ADDRESS SUITE NO. T_ NAME: �l�N � G� ®C ✓ � STATE LICENSE y _ EXP DATE PLUMBING BOND # EXP DATE, ADDRESS: CITY ^ �fr � � �`� PHONE %b3 i d U Sri FAX ❑ INSTITUTIONAL PERMIT TYPE I n 'rnxLWUn71CF ❑ MULTI -FAMILY ❑ COMMERCIAL/INDUSTRIAL ❑ NEW �OREPI TYPE:OF:WORK: DESCRIPTION OF WORK t DETAILED < v1^^�►'� _ CLOTHES WASHER _ FLOOR DRAINS —DISHWASHER _, GAS PIPING DRINKING FOUNTAIN _ GREASE TRAP _ —KITCHEN SINK —FAUCET _ FLAMMABLE WASTE TANK _ LAUNDRY TRAY LAVATORY Total Job $ All fees are ba Valuation Permit Fee $ (1.25% of Job Surcharge $ Valuation X .( $ Make Checks Total Due THIS IS AN APPLICATION FOR A P: I hereby apply for a plumbing permit and I acknowledge that the conformance with the ordinances and codes of the City of Fridley not a permit but only an application for a permit and work is not with the approved plan in the case of all work which requires revii v NAME OF APPLICANT C7 SIGNATURE OF APPLICANT 41 .ACEMENT _ RPZ VALVE BACKFLOW PREY ROOF DRAINS —SHOWER _ SLOP SINK SWIMMING POOL STATE IP 1 ► r� ATE19!Y-ZIP [3SWIMMING POOL ❑ OTHER ❑ ALTERATION/REMODEL URINAL WATER HEATER _ WATER METER _ WATER PIPING _ WATER SOFTENER WATER CLOSET ;ed on valuation, including the cost of labor and materials. Valuation/ Minimum. fee: $35) 005 or Minimum .50 Payable to: City of Fridley 3RMIT-NOT VALID UNTIL PROCESSED information above is complete and accurate; that the work will be in and with the Minnesota Construction Codes; that I understand this is to start without a permit on site; that the work will be in accordance ,w and approval of plans. p� DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977