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PRE 2010 DOCSCity of Fridley, N° 8561 BUILDING PERMIT Date: October 25, 1965 per: Donald F Sexter Builder Sexter Real Address Address 3600 France Avenuejgrt;h Mp1s . 554.22 LOCATION OF BUILDING No. _5115 . Street Polk Street N.E. Part of Lot Lot Block____ Addition or Sub -Division Sexter Addition Corner Lot __________ Inside Lot R Setback15 � . _ _ Sideyard 10 a 20 Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Alt Front Depth Height -- Sq. Ft. Ca. Ft. Front Depth _ __ Height Sq. Ft. _ _. ___._ Cu. Ft. Type of Construction Est. Cost 2 0 M_______M_ To be Completed -20-65 In consideration of the issuance to me of a permit to c tru the building the proposed work in accordance with the description abov set fo and in ordinances of the city of Fridley. Ido do provisions of In consideration of the payment of a fee of $ 4 _ nn , permit is hereby granted to- to oto 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 in, around and upon said building, or any art thereof, shall conform in all respects to the ordinances nof Fridley, Minnesota regarding location, mays be revoked alteration, time upon violation of repair the moving of of said ordiz=� city limits and this NOTIM ihts permit don not emr the coni oedoe, Inft9ntlon for wiring, plsmble®, on hefting, "war at wd w. Be am to M the Balming Insp9mr for ppersts pwmih for thus Itmmu. -. - r APPLICATION FOR BUILDING PERMIT CITY OF FRIMEY,, MINNESOTA OWNER'S NAMEV" � �F 5s �e— BUILDER ADDRESS ADDRESS ,V-C_Q '2 tel® LOCATION OF BUILDING 15 q a -a NO, STREET � � !�1 PART OF LOT LOT BLOCK. ADDITION OR SUBDIVISION 4J z -r,. _0 I? CORNER LOT INSIDE LOT�SETBACR je� SIDE -YARD / ® SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. 0-0 0/ ETyre of Itrucva,41ms�r. Estimated Cost � 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 sta ed in this application are true and correct. DATE_ , ✓ SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Hearing. Cooling. Ventilation. ReMgeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 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 $ ® O 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 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour -See Fee Schedule <-/��j GAS BURNER (up to 400,000 BTU) 5.00 $� GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... . x $1.50 $ Additional Fixtures . ............... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule TOTAL FEE $ Dept. of Bldgs. Phone 560-3490 City of Fridley: '90 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 gre true and correct. Frldley, mann —, ig lr� -1— . > Owner v� Kind of Building Used as Ale To be completed about Estimated Cost, $ Old New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water arm Air o Trade Nat:21?A01- Size No Capacity Sq. FL E.D.R BTU H.P. Total Connected Load �` Kind of Fue BURNER —Trade Name Size No Capacity Sq. Ft. EM.R BTU H.P. (REMARKS—OVER) CV Signe,% - �% i✓�� i% //� i// Business Phone No- i 52-84-8515.5 84 0,11 Number Fixtures ...... .. .. ....... x $2.00 $ Future Fixture Opening .... ... ...... x $1.5o New Fixture Old Opening ......... .. x $1.50 u2 x $3.25 $ �U' f / f N WATER HTR. GAS ELEC. Base = $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures ............ , ....... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ 3.00 lot 1 2nd 3rd -- 4th ® ruwrecaIIIIeCt;e11 openings a Noir F'ixtum, old Openings l c0llaecfed With ce.spo Sewer ❑ O PLUMBING FIXTU RATES: NO. BATE TOTAL Number Fixtures ...... .. .. ....... x $2.00 $ Future Fixture Opening .... ... ...... x $1.5o $ New Fixture Old Opening ......... .. x $1.50 $ Catch Basin .. ... ... ... x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. . .... ... x $3.25 $ Electric Water Heater = $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures ............ , ....... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ 3.00 AIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL Flims $ 3, 00 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 fact and representations stated in this application are true and correct. Fridley, Minn. 10-21-69 ., -19— Owner S Kevval Kind of Building frame _ les _ Used as To be completed about lo -26-69 Estimated Cost, $ 10.00 Old—New. Building Permit No. Permit " '0. a S' By Business Phone No ROUGH FINAL City ®f Fridley, Minn.. BUILDING PERMIT Date: September 15, 1970 Owner: Stanley Kowal Builder Same Address 5715_. Polk Street X - E Address came - LOCATION OF BUILDING No. 5715 ____ Street Polk Street N.E. _- Part of Lot Lot 4 Block 1 Addition or Sub.Division _ Sexter Addition Corner Lot Inside Lot ____ X Setback --- Sideyard - Sewer Elevation — Foundation Elevation 414-iol Nil To be Used as: Ggragg . Basement Front - 30' Depth 20' Height 20' Sq. Ft. 6 00 cu. Ft. -21,_Q.00 Amusement Room Front Depth Height Sq. Ft. Cu. Ft. Type of Construction N-asonry & Frame Est. Cost $4, 00 _ To be Completed July 1971 Garage Floor - 18" above grade of Street Minimum 4211 Frost Footing Hard surface driveway to be installed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. 11 c _ D In consideration of the payment of a fee of $-Q. 00 , permit is hereby granted to Stanley Kowal to construct the building or addition as described above. This permit is granted upon the express condition Haat 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, maintenance, repair and. moving of buildings within the city limits permit may be revoked at any time upon violation of any of the provisions of said ordinances. Biding Inspector HANK MUHICH NOTICE: The permit does not cover the construction, hwwla8on for wiring, plumbing, gm hen8ng, rower or water. Be are to see the Building hupector for mperate permits for these items. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME :�a°�> tk�1�� BUILDER: ADDRESS:, -!:1-7/4-'- ADDRESS • NO:. STREET: LOT: BLOCK: 1 ADDITION IF CORNER LOT: INSIDE LOT: -SSETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: root:®� Depth: �� I Height: 6� Square Feet: 9 Cubic Feet: I AMU �1)) �" Front: Depth: Height: �C) rn Square Feet; Cubic Feet: Type of Construction: /� d%%��� �Y�Q�/�,�� Estimated Cost: AC-G y-,* it) To Be Completed: �f -e The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: SIGNATURE: (See Reverse Side For Additional ' Information.) / �[ 6,1'Ya�p F100 — /�r/ F40 u I'd ClP o f S7(r �p /' ��P f r r w a� Jo /2P , /UC7G c -r 7' � ta»d,PlgnnL 9 6875 Highway No. 65 N- fond Surveying , /.�/�p h/�'�• ����ii j Minneapolis,' Sails Testing �Il/�YiC�/1G��� V7G�i• Minn, 55432 Civil Engineering Telephone 784-6066 Municipal Engineering Engineers & Surveyors Area Code 612 Mortgage Loam Survey �for: . � gyi l `( iv� — 154,1Xo LOT 4- E Lc)ck-- f � �; i x7xrepA DD ITk: A<J®OCA �O11 �T `i This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land: This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. if is understood and agreed o monuntents-have been placed for the purpose of establishing lot lines cw boundary corners, Opted this day of e j A. 0. 191#_,, .` SUBURBAN ENGINEERING, INC. f - �t1°7 Engineer by «mak..� �+ c° F�t�aitJ ✓�.t .ro�Ar0in. LP :74f 1 t , 1.5t '.\ rre�uKt^ 5nrw {.eu¢ ' eeic -ne iprce_ Pc y} 143.4-(, — LOT 4- E Lc)ck-- f � �; i x7xrepA DD ITk: A<J®OCA �O11 �T `i This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land: This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. if is understood and agreed o monuntents-have been placed for the purpose of establishing lot lines cw boundary corners, Opted this day of e j A. 0. 191#_,, .` SUBURBAN ENGINEERING, INC. f - �t1°7 Engineer by rvR&VETT WARM AER- RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—tap to $500.00 .................. 6.00 $ Repairs & alterations each add. $500.00 ............... 3.00 $ Furnace Shell & Duet Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTu ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—tap to $500.00 ................. 6.00 Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. FDR. Steam .... . $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $ Each add. 200 sq. ft. EDIT Stearn ...................... 3.00 Each add. 320 sq. ft. EDR. Hot Water ..... 3.00 $ OIL BURNER—to 3 gal. per hour ....` .......... ..... 6.00 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 199,000 BTU) .......:................. 600 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..................+.... x$ zoo $ Additional Fixtures . ............... x .75 $ Gas Range to 199,000 ........... 6AE1 $ AILS CONDITIONDIG $ PAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS, TOTAL Films $ 59M Dept. of Bldgm. Phme OW City of Fridley: E The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinanm and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Y / Owner Kind of Building Used as To be completed about ;ed Cost, $ -=� lo�) ew. Building Permit No. Permit No. 4 96 0>: • 4 HEATING or POWER PLANTS—Steam, Hot Water, Warn Air—No Trade Name Size No Capacity Sq. Ft. E,D.R BTU- H.P. Total Connected Load Hind of Fuet BURNER — Trade Name Size No Capacity Sq. Ft. ILD -R- BTU HP: (R AARn—OYER) SUBURBAN AIR CONDITIONING C% S 8419 CENTER DRIVE WNIVNEAPOLIS. MINNE!;0TA 55433 By Business Phone No 14t11� . ' City of Fridley� 53-8tc915.51 Applicefan for P3unribing cimd Gas MV;'Tl•3 Permit - Dept. of Bldpa. Phone 560-3450 DESCRIPTION OF Wori: Number, Kind and Locr.2ion of Fixtures Lae$ w+ 5715 POIk Street Ai �+ ° O i a$ o S WATER MTA. GAS WC. t~t d n G r r < 3St t id d h_ Futuza Cannactirrs Opaain,Ts Co=ac:od with New Fixtum. Old Openings Be�ssz.� Ccr--pool (� PARTIAL BATE SCHEDULE City of Fridley: The undersigned hereby makes application for a permit for the- work herei specified, a6ree•:ng to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct • Fridley, Man 19_ Owner Gus E. Hageiran Kind of Building FraM6 Used as Residence To be completed about 12-31-75 Estimated Cost, $ 10.00 Old --NM. Building Permit No. permit NO. LtTMBING FIXTURE RATES:' NO. RATE TOTAL . Number Fixtures ................ x $2.00 $ Signed Future Fixture Opening ............ x $1.50 S _. By Nev Fixture Old Opening.....:...: x $1.50 Businl= Phone No Catch Basin .................... x $3.25 $ . Water Heater 'Lip to 99.000 BTU).... x $3.00 $ New Ground Run Old B:dg......... x ; '25 3 ROUGH ElectricWat®r Hmat:ar...... ......... x $2.60 $ �1PIXI, AS FITTING FEES: NO. RATE TOTAL 13t 3 Fixtures .............. • • • • x S2.00 $ . Additional Fixtures ................ x d .75 $ 'Class W- Surcharge .5.0¢, Gas Range to 199.000 BTU ........... 1 x S5.Oo L 5.00 AIRS � & A� LyTERATIONS--Refer to Code Q .50 State Surcharge L/ • eac 1p Yon . ....... . O R . 1 ........ .. ° .. .. .... M •O . •.. p TOTAL. M lo— 5.50 ° s r1 r'n SUBJECT City of Fridley 24089 AT THE TOP OF THE TWINS BUILDING PERMIT RECE P Ir `L COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 � i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 4/22/96 JOB ADDRESS 5715 Polk Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Sexter Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gus Hafeman 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Olson Construction Inc RR2 Box 186 Braham MN 55006 396-4248 200 6602 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 ❑x REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage 28 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,240 $1.12 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE OTAL FEE Q 1� � 41=)�'o. LicensAl SC .00 $83.11 SIGNATOR FC TORO AUTHORIZED AGENT IDATEI NPR LY V TED THIS IS YO R PERMIT LDG INO GATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI- r'n NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF, FRIDLEY �v ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application y l ConstructionAddress: ► �o L� Legal Description: -'N Owner Name & Address: Tel. # Contractor: �s�,� C �^,sz_ z,.,c MN LICENSE # Address: �.tt°� �rs�� ��, , P -W. Tel. # I _ -meg ce� 14 ave 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 GARAGE AREA: Length DECK AREA: Length OTHER: &U Sy - Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: —k , Estimated Cost: $ Approx. Completion Date: y 1-:�, y 1 c, b (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 4 APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ `' °%�~ Fee Schedule on Reverse Side $ �` o� .001 of Permit Valuation (1/10th%) $ $.501$1,000 Valuation $ $900 per SAC Unit $ O $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $ E'.3. l l $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ j Not Necessary [ ]