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City of Fridley, Minn. ]BUILDING PERMIT 5 Date: July 1/ , 1970 Owner: Peter J. Ferris Builder ,Adm 5720 Polk Street N.E. Address Same Same LOCATION OF BUILDING No. 5720 Street Polk Street N.E. part of Lot Lot ._._..3 __ _ Block 2 Addition or Sub -Division . Sexter Addition Corner Lot. Inside Lot — X Setback — Sideyard Sewer Elevation ____ _. Foundation Elevation DESCRIPTION OF BUILDING N. 10750 To be Used as: Shingle, remodel & Front Depth Height Sq. Ft Cu. Ft repair Front Depth Height Sq. Ft Cu. Ft Type of Construction Frame Est Cost _ 2 000.00 m Vo -be, Completed Dec. 1, 1970 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 complian , with all pro ons of ordinances of the city of Fridley. In consideration of the payment of a fee of $---11.00 , permit is hereby granted toMrs. _Frg,s the to construct the building or addition as described above. This permit is granted upon express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any dart thereof, shall coffiorm in all respects to the ordinances of F hin the city limits and this permit may be revoked at any time upon violation of any of the Provisions of said iaance8. NOTICE: fids permit does not cover the construction, installation for wiring, plumbing, gas hang, sewer, or water. Be sure to we the Building Inspector for separate permits for these items. %, 1 APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S ADDRESS ADDRESS : S` 47? d STREET: Z-0 /l�K LOT: BLOCK: ADDITION: S CORNER LOT: INSIDE LOT:SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING %f/DJY�GLa As: S ' Front• -- Depth: Height: r� Square Feet: - Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: 1'YPe of Construction: Estimated Cost:_$ , To Be Completed': ,©c 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 • �9�® SIGNATURE (Se Reverie Side For Additional Information.) a I SUBJECT PERMIT N0. City of Fridley ® 1310"7 AT THE TOP OF THE TWINS PERMIT r BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV.��® r PROTECTIVE INSPECTION SEC. t . � CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-560-3450 910-F15 7-24-75 JOB ADDRESS 5720 POLK ST=T 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 2 SEXTER SHEET 2 PROPERTY OWNER MAIL ADDRESS JOSEPH BRANCO, 5720 • ZIP PHONE 3 CONTRACTOR MAIL ADDRESS -ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6' USE OF BUILDING RE 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION X] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK RE -ROOF 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $300.00 .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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $5.00 PLAN CHECK FEE TOTALFEE 5.50 SIGNATUREOF CONTRACTOR OR AUTHORIZED AGENT (DATE) EN PROPERLY VALIDATED IS YOUR PERMIT ppTHIS J;V"-�e • ' ��JULY 24, 1975 pG INS' DATE SIGNATURE OF OWNER(IF OWNER BUILDER) IDATEI I A•L•ST'DL''VTTAL ALTL'RATION PPLICATION FOR R , OR ADDITION•BUILDING PERMIT CITY OF FRIDLEY,-NIINNESOTA OWNER'S NAME: /L/C® BUILDER: S AM e • ADDRESS:_ pd t (< S� �'� ADDRESS: O NO:. °-'Z2STREET: 0� L� /- S7- r All C � I.OT : BLOCK: ADDITION: S �/� Pot' CORNER LOT: INSIDE LOT: SETBACK: _ SIDEYARD:. Applicant attach to this fora Two Certificates.. -if Survey .of Lot and.proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic.Feet: Front:' -Depth: Height: Square Feet; Cubic Feet': Type of Construction: Estimated Cost: To -Be Completed: The undersigned hereby makes application fora 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: �� J SIGNATURE • (See Reverse Side For Additional Information.), CITY OF FRIDLEY r APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND '. AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE specified agreeing to do all work in strict accordance with the City Codes - each add. 50,000 BTU 4.00 GRAVITY WARM AIR: RATE TOTAL Address - patK Furnace Shell & Duct Work * $12100 $ 7,00 Replacer.ert of Furnace 7.00 $ 4.00 Repairs & alterations-yp to $500.00 7.00 $ Department of BgtIc .ngs Repairs & Alterations each add. $500,00 4.00 S Clty of Fridley $ rIND PF BUILDING each adds. 50,000 BTU Tel. #571-3450 :iECHANICaL WAP -M AIR: :HUGH INSP. Date MAL INSP. "3 -tl Date APPROVAL FOR PERXITAd� REINSPECTION FEE (.$10.00) FEE FOR ANY HEATING PERMIT IS $7.50 *Attached stack verification form Capacity. ��T Sq. Ft. EAR BTU HP ®� ! J -6 E3 .,U, PLUS $.50 STATE SURCHARGE i'''r i� Company 4-L Signed By Tel. No. The undersigned hereby makes application for a permit for the work herein Furnace shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes - each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and 'hereby declares that all the *Raplacewe:t of Furnace 7.00- $ facts and representations stated in this application are true and correct. Re:airs & Alterations -up to $500.00 7,00 $ 'Minn. Repairs & Alterations each add. $500,00 4.00 $ Fri.dley, _0Z , 19 STEk%t OR HOT h'ATER SYSTEM: ouTN R ®- y -t ZA'ALL Bailer & Lines up to 100,000 BTU $12.00 $ rIND PF BUILDING each adds. 50,000 BTU 4.00 $ _1 b � G Boiler o ply up to 100,000 BTU 7. QQ S pprp AS C� A) each add.-. 50,000 BTU (• RQ S, is FQMPLLTNq AFQuT> �r �y OIL EURNER- to 3 gal. per hour each add. 3 gal. per hour }Q. QQ $ F_ST}?'{gFP CAST ./ GAS BURNER- from 100,000 BTU �o 1",qqq RTA S10•.Rq PBR - M PgTRTjG P?FPI}T N0. PERMTT N0. {over 199,999 BTU see Fee Schell le GAS FITTING FEES: - 1st 3 Fixtures x S;QQ S r Q NSRRPTOI� QF fiURNACE/BURNER Additional Fixtures K $ 1:Q� $ Gas Range to 199,000 BTU ar I?raYJP#t F:Pw$" nem' #tot- No. 1 AIR CONDITIONING � Or 6:2 � � FAX HEATING SYSTEMS $ Trade Name Size No. �. See Fee Schedule VENTILATING SYSTEMS t ALT..R4TI0\S � REPAIRS $ Capacity C9 &q. Ft. EDA BTU F� $ State Surcharge , $50 Total Connected Load �• c!�'® Rind of Fuel TOTAL FEE $ BURNER - Trade Name Size No. :HUGH INSP. Date MAL INSP. "3 -tl Date APPROVAL FOR PERXITAd� REINSPECTION FEE (.$10.00) FEE FOR ANY HEATING PERMIT IS $7.50 *Attached stack verification form Capacity. ��T Sq. Ft. EAR BTU HP ®� ! J -6 E3 .,U, PLUS $.50 STATE SURCHARGE i'''r i� Company 4-L Signed By Tel. No. CITY OF FRIDLEY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION f 7ZD POL-1-\ SZ, Q DATE 1-p -,!E� - 79 OWNER A rJC-0 ADDRESS !��72.o Pow s7. 4a i . The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined X 2. Is free from rust or deterioration X 3. No foreign objects are lodged within 4. That it is securely supported �C 5. That it meets all current Code requirements for size and total BTU connected 6. Total Heating BTU All Other BTU TOTAL 20 2 - REMARKS REMARKS O F 111`T C -e -a Ori t e — LJ�yr-- te= Fo"c--- SIGNED' e Li cen 'e by f ,4-,. Ll/- v- a Address 1,J,17t Telephone �- 7 ZCb HEATING PERMIT # Fridley City License # SUBJECT P �. Fridley City ®f F 2 0 5 3 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. f i PROTECTIVE INSPECTION SEC. 3 I 1 ; CITY HALL FRIDLEY 55432 NUMBER REV. GATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/28/90 JOB ADDRESS 5720 Polk Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Sexter Addition SHEET 2 PROPERTYOWNER MAILADDRES$ ZIP PHONE Eileen A. Branco 5720 Polk Street N.E. 571-2143 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK Ck NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 141 x 20,' Garage Slab NEW [ ] Effective 1/1/90 ADrV [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: 5P7,90 Legal Description. - Owner Name & Address: "F/Geri,/ A RR4A/ r® 'rel. We)@ I r - on an wo MKI Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LTVIM AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DDCR AREA: Length Width Hgt/Ground Sq. Ft. 07HM: P/Y' x '-V Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback ' Side Yard Setbacks Type of Construction: Estimated Cost: $ 0 Approx. Completion Date: �- .O — 9p Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLICANT: �� l .. Tel. # Permit Fee State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ 701AL $ /6T. Q CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SULI U ATICNS : �i2 � ��. ^w i- 6 Fig o iri &Ulvre�— a�0 Community Development Department PLANNING DIVISION City of Fridley DATE: April 28, 1993 TO: William Burns, City Manager John Flora, Public Works Director FROM: Barbara Dacy, Community Development Director SUBJECT: Condition of House at 5720 Polk Street N.E. Clyde Wiley, Acting Building Official, inspected the above - referenced home recently and I have attached a copy of his report. While there are no structural defects, the cost to rehabilitate the home would be fairly close to 500 of the home's value. Clyde and I recommend that prior to the sale of the home, the owner execute documents guaranteeing that the necessary code improvements be completed prior to relocating the home to another site in Fridley. While the rehabilitation costs would be substantial, there may be persons who are interested in completing such work. If there is minimal interest to buy the house, demolition may then be warranted. One final check with Steve Klein of ACCAP may also be in order. I do not know who will have the keys to this property once it is vacated; however, we could have someone from ACCAP come and make an inspection to determine their interest. BD/dn M-93-233 VEL 6 8 GUTTER AMERCIAL USTRIAL POOR DESCRIPTION-----s— "7�; SEXTER ADDITION CITY OF FkIDLEY ER I C iE—--fr—�L� R Ei�tC E�-^�—c i_'t�B LOT 3 6LK 2 SEXTER ADD—SUbi TO DRAINAGE 6 UTIL_ EASE OVER a� S 6 FT— 20 1 RESIDENTIA f ASSESSMENT SUMMARY REC. HOMESTEAD REMAINDER HOMESTEAD REMAINDER SEAS. RES. 25% 40% 33 /a �u �_.. `Y YEARNOMEsrFrm SSESSMENi ® %urK4?[d .®' • PUf7— ItAl _ I p RATIO , INSRECT FOR .. a . r �F` r BUELDING INSPECTION DIVISION MEMO MEMO TO: Barbara Dacy, Community Development Dir ed WMMO FROM: Clyde Wiley, Building Inspector MEMO A r 99 REGARDING: Condition of house at 5720 Polk Street NE The following items were noted during an inspection of the above address: 1. Arany trim boards on the outside are rotted. 2. Some windows are cracked or broken. 3. Some ceilings show signs of roof leaks. 4. I couldn't determine if the house is as originally built or if there have been additions added. 5. It has a partial basement and it was not possible to view the crawl space. 6. If moved, the house would have to be brought up to Code, except insulation, but it would require an energy audit. To summarize, I see no structure failure, however some floors seem warped and spongy. There would need to be considerable work done to have the house brought up to Code. One big .item would be adding egress windows and upgrading the electrical wiring. Perhaps one way would be to see it to a mover. This way it would be moved at no cost. Please contact me if you have any further questions. CEW/mh Engineering Sewer Water Parks Streets Maintenance MEMORANDUM TO: William �W. Bums, City Manager PW93-180 FROM: Clyde V. Moravetz, Engineering Assistant DATE: May 13, 1993 SUBJECT: 5720 Polk Street Private Utilities and Building Security The utility companies have been notified of the City's purchase of 5720 Polk Street. All private utility services will be terminated on the following schedule: On or Before Telephone 5-13-93 Cable Television Drop 5-13-93 Electrical 5-14-93 Cas 5-19-93 I finally located the house keys and made an inspection of the house. The doors are locked but some windows are missing or painted shut (not able to lock). The garage door is closed but has no lock assembly. If you desire, we could have Paul Lawrence nail these areas for better security. We are presently getting quotes for either removal or demolition of the house and garage. While the garage appears to be a candidate for removal, the house does not. CVM:cz MEMORANDUM TO: Jim Saefke, Water Supervisor ISM: Paul lawrence, Public Works Superintendent DATE: May 13, 1993 SUBJECT: 5720 Polk Street Please have the water. at 5720 Polk Street turned off as soon as possible. The City has purchased this property, and it is my understanding that the house is goving to be moved or torn dim later this summer. Q� , S-//3/9'36 DATE: May 17, 1993 TO: FILE FROM: Grant Fernelius, Housing Coordinator SUBJECT: 5720 POLK STREET N.E. This morning Steve Barg and I met with Steve Klein of ACCAP to inspect 5720 Polk St NE and discuss possible options for the site. After a walk through of the home, Steve Klein indicated they weren't interested in the property in terms of moving the structure to another site; first, he felt there were very few buildable sites in the County where a home of this design could be relocated, and second the costs of buying a parcel and moving it would be prohibitive. One possibility he suggested would be to move the home further back on the lot onto a new foundation and complete the necessary rehabilitation. ACCAP could then sell the home to a low -mod buyer, and recoup its funds; in addition the City could net some money out of the project as well (if so desired). The other option he mentioned would be to demolish the structure and then have ACCAP build a new single-family home. In either case I got the impression ACCAP would build the home with their funds; no expenditure on the part of the City would be required. We also talked about some of the other concerns related to the property, primarily the parking problems associated with the adjacent Moore Lake Apartments. One possibility might be to reduce the width of the lot to 80 feet and convey the balance (34 feet) to the apartment complex for parking. We agreed that sufficient grading and construction of a retaining wall would be required, along with the necessary screening to protect the home. If we had interest in rehabing home, Steve Klein could call out the moving contractor they work with and secure an estimate on moving costs. On Wednesday, 5/19/93 I will meet with Barbara Dacy and Steve Barg to discuss the matter. f 1 1 j 1� i I i I , I I �r.•w 1 I i I I 1 i 1 Eoo!nucnn:i Sewer - :4alef Par�S Slre;e;s Sl aifIIvoa1)Cv MEMORANDUM TO: William W. Burns, City Manager PW937188 FROM: John .G. F1orafPublic Works Director Scott Erickson, Asst Public Works Director DATE: May 24, 1993 SUBJECT: Status of Relocation/Demolition Quotations for 5720 Polk Street NE We have solicited quotations and recommendations from various salvage and demolition contractors regarding the removal of the house located at 5720 Polk Street NE. The general consensus from the contractors was that the house was not worth salvaging. Two of the four contractors we contacted did provide quotations to demolish the house and garage, remove the foundations, and. backfill of the foundation. The quotations are as follows: Renollett Trucking, Inc . ................... $6,494 Herbst & Sons Construction Co . .............. 9,000 Ernst Movers ........................... No Bid Dale Movers ............................ No Bid Grant Fernelius is currently researching the possibility of ACCAP salvaging and relocating the house for their use. SE/JGF:cz SUBJECT N 0. r City O1 Fridley WRECKING C4.-G. 21966 r AT THE TOP OF THE TWINS"Uji P E R M I T I � COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED 8Y CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/12/93 JOB ADDRESS 5720 Polk Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 2 Sexter Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE City of Fridley 6431 University Avenue NE 571-3450 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renollett Bros. Trucking 2324 153 Ln NW, Andover MN 55304 755-3126 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE [� REMOVE B DESCRIBE WORK Wreck House 9 CHANGE OF USE FROM TO STIPULATIONS Stipulations as per contract with City, Clean site of all debris. Disconnect sewer and water and call for inspections on disconnect, r �i� r i D Alr pry 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 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 $6,494 N/A WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- NO Fee STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE No Fee SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI WHEN RLY LIDATED THIS IS YOUR PERMIT n BLDG INS DATE SiGNATURE OF OWNER I IF OWNER BUILDERI IDATEI [ J moving [X J wrecking Job Address: Legal Description: Owner & Address : Contractor: v- Address: a3. /-VA�'UV msmirm HST of Buimnr. State License # Tel. # Y91 3 Tel . # 95.- 3 / Living Area: 7prth Width Height Sq. Ft. Cu. Ft. Garage Area: Length Width Height Sq. Ft. Cu. Ft. Other: Length Width Height sq. Ft. Cu. Ft. Aq (� 00 Estimated Cost of Wrecking/moving4 ! q ff Approx. Cca�letion Date l� UTILITIES TO BE NMTF I M City Water/Sewer Mpls. Gas Cm parry Northern States power Northwestern Bell Tel Co. 571-3450 L �372-4720 1 566-9120 [ 293-0665/293-1319 Water Bill paid: Yesj xAmount To Be Collected [$ J Initials a moving Rahe: e t _ � s � , FEES Moving: Principle Building into Fridley . . . . $ 80.00 Accessory Building into Fridley . . . . $ 20.00 Mini'mm Fee: $15.00 Zhrough, within or out of City . . . . $ 15.00 Wrecking: For each 1,000 cubic feet or fraction .$ 1.25 For structures which would be inpractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. Me undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordanoe with the City Ordinances and rulings of the Building Department, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and Tares J tho 1 facts and representations stated in this application are true aryl tract. _ OTI MAMONS: MEMORANDUM TO: William W. Bums, City Manager n PW93-243 FROM: Scott Erickson, Asst Public Works Director DATE: July 9, 1993 SUBJECT: Demolition of Building at 5720 Polk Street NE We have scheduled the contractor to demolish the structures located at 5720 Polk Street. The contractor will begin demolition at 8:00 am, Monday, July 12, 1993. The demolition, removal and backfill should take two to three days to complete. We would appreciate if your office would notify Councilmember Jorgenson of this schedule. I have also been notified that the original owners of the home, the Branco's, would like to be present during the demolition. We do not have a forwarding address or phone number for them. We would appreciate your assistance in notifying them of the schedule. SE:cz ri CMOF FMDLEY Engineering Sewer Water Parks Streets Maintenance MEMORANDUM TO: William W. Bums, City Manager PW93-245 FROM: John G. Flora,' Public Works Director DATE: July 12, 1993 SUBJECT: Home Demolition Renollett Brothers was retained to remove the home located at 5720 Polk St. The contractor moved his equipment to the site on Saturday, July 10, with the understanding to start demolition of the home on Monday, July 12. The contractor started the equipment at 6:50 am and initiated demolition of the home at 7:00 am. I understand Councilwoman Jorgenson came out at approximately 7:30 am. They discussed the work and the contractor then resumed demolition of the home. There must have been a failure in communication regarding an 8:00 am start. Jon Thompson, the City inspector, did not convey to Renollett Bros that demolition was not to commence until 8:00 am. I understand the property owner had requested to be present when the demolition started. She was not present on Monday morning. JGF:cz CI YOF FRIDLEY POLICE DEPARTMENT iy•.. 1' City of Fridley MEMORANDUM Minnesota nATF nv..rF.MRF.R 1 S_ 1 9 9 3 /I FROM DAVE SALLMAN PUBLIC SAFETY DIRE TO ACTION INFO SUBJECT ACCAP PROPOSAL FOR CONSTRUCTION OF DARE HOUSE BILL BURNS X BARB DACY X I contacted local realtor Dave Ryan, regarding the general market value of homes in the area of 5720 Polk Street lot. Mr. Ryan stated that based upon recent sales in the area the homes were selling in the $83,000 to $85,000 range. I then contacted Bud Rotter of Rottland Homes. Mr. Rotter stated that the materials for an $85,000 market value would be about $34,000. That would be a 1,000 square foot split level home. Mr. Rotter stated that they (Rottland Homes) has participated in these types of projects in the past. He did not know if they would have any interest at this time, but said to call them if we go with the project and he may be able -to assist with referrals. Mr. Rotter noted that this type of project is limited in that builders, labor, etc., have a finite ability to support them. DHS/ s � V -Gs --1 LEI Engineering Sewer Y.'81er Perks SI, eels w'1am nancc MEMORANDUM. TO: William W. Burns, City Manager PW94-039 FROM: John G. Flora,rrublic Works Director DATE: February 2, 1994 SUBJECT: 5720 Polk Street Mowing Since the City owns the lot at 5720 Polk St in a residential neighborhood, we will set up a mowing schedule to coincide with the Moore Lake Beach mowing program, i.e., we will mow the lot a minimum of once a week. Actual number of times will be determined based upon the weather, growth and summer personnel. JGF:cz cc: Paul Lawrence CITY OF FRIDL.EY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDREss 5 T 10 pou(__ RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — ®� rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true correct. (Side Vent — Fill Out Back) 0-6 7-7 1996 Gas Piping (Needed with new furnace) $10.00 $ Gas Range $ 10.00 $ P ®� BUILDING USED AS Gas Dryer $10.00 $� ESTIMATED COST ®� PERMIT N0. *Air Conditioning — All Sizes $ 25.00 $ 129SCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No.6u-' 7510 Commerciallindustrial BTU 7 S_6VO HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load���,��r? State Surcharge $ .60 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ r� ;511 HEATING COMP NY / MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved ByRough—In Date ` Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE R STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. 3. 4. 5. G Is free from rust or deterioration Has no foreign objects lodged within Is securely supported ~ Meets all current Code requirements for size and total BTU's connected Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater g. Has combustion air been provided for water heater Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Yes () No ( ) Yes () No ( ) Yes {) No ( ) Yes ( ) No ( ) Yes () No ( ) Yes (} No ( ) CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** / $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required { )Yes { } No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance o®. C)o State Surcharge $ .50 JOB ADDRESS 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this, application are true and correct. Owner Building Used As Estimated Cost PERMIT NO. PLUMBING COMPANY_ SIGNED,BY TEL N0. _-3 S_ 2'/2- Approved By /\A_4 Rough -In Date TOTAL FEE PLUS THE $.50 STATE SURCHARGE Final Date ®/-4 WIT IS $20.00 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. LO rn W 00 O r` N O S ac, 1r)Ce�r CERTIFICATE OF SURVEY FOR: FELIX CONSTRUCTION AS BUILT NATE: This as built survey was performed to verify the LEGAL DESCRIPTION: location of the foundation LOT 3, BLOCK 2, SEXIER, relative to property line, ANOKA COUNTY, MINNESOTA. other information has Den checked. V6, 9ani -7 ,c N 89047' 00" E 143.13• gg�Ln 1 61 1 1 I I I I I 1 I I t, X24.33 897x4 PROPOSED HOUSE -�' GARAGE � 2/•9 r w r►4, >/ SJ'U rd 8�Sr/ l v 3 23.67 I o ► i A 696.7 20.67 U, 1=1'� X ds 897x3: i� 6—------ ------- _.LA — — — — U r X23 �° �_--�••-_ :_..-� Y Qom, � cWn DRAINAGE AND UTILITY EASEMENT �$? 8 V N�� 5 S 89045' 00" W 162.99 Bearings are based on ,assumed datum o Denotes 1/21'Y Iron Pipe Set • Denotes iron monument found /--1 1� = Denotes Proposed Elevation x Denotes f dsting FJevatlon 50 N 696:1 Top of Basement Floor cn Top of Lookout . o � Lj -m ` Z rn 23.67 I o ► i A 696.7 20.67 U, 1=1'� X ds 897x3: i� 6—------ ------- _.LA — — — — U r X23 �° �_--�••-_ :_..-� Y Qom, � cWn DRAINAGE AND UTILITY EASEMENT �$? 8 V N�� 5 S 89045' 00" W 162.99 Bearings are based on ,assumed datum o Denotes 1/21'Y Iron Pipe Set • Denotes iron monument found /--1 1� = Denotes Proposed Elevation x Denotes f dsting FJevatlon 899.3 Top of Foundation 696:1 Top of Basement Floor 9".3 Top of Lookout 896.1 Top of Walkout SCALE IN FEET 1 NCH = 30 FEET We hereby certify that this is a true and correct representation of a survey of M= the boundaries of the above described land and of the location of all buildings, If any, thereon, and all visible encroachments if any, from or on said land. &ASSOCIATES ENGINEERING SURVEYING PLANNING As this day of A s surveye �W�"! 8401 73rd Avenue North, Suite 63 Minn. Reg. 14o. 6"AI j Brooklyn Park, Minnesota 55428 Lwd Suwry r Telephone (612) 533-1595 Q Job No. Book - Page °; ',' Fax (612) 533-1937 r 6 96 45 kr 7 8 6 SUBJECT PERMIT NO. City of Fridley 24236 AT THE TOP OF THE TWINS BUILDING PERMIT f � • COMMUNITY DEVELOPMENT DIV. RECEIPT NO. j %� - r 1 PROTECTIVE INSPECTION SEC. _ l �l/" C�(/ NUMBER REV DATE PAGE OF APPROVED BY I # CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/3/96 JOB ADDRESS 5720 Polk Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 2 Sexter Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Felix Construction 4410 379 Street, North Branch MN 55056 674-8546 8682 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 40' x 30' Dwelling and a 30' x 20' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide City with copy of verifying survey before capping. Provide sod in the front and side yards. Provide a hard surface driveway. SEWER & WATER LOCATIONS: See City Engineering Dept. DRIVEWAY ESCROW: 16' + 6' = 22' x $13.50 = $297.00 WARNING' BOM digging call for APA* E PERMITS REQUIRED "FOR 8110614 locations, 454-0002 WIRING, HEATING, PLUMBING AND SIGNS. REQUIRED :BY LAS/ 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 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 1 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 Fire SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $131,640 @ $65.82 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $131.64 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P F ANY OTHER PTATE OR LOCAL LAW REGULATING CON- $1,047.25 $900.00 STRUCTIO OR E P RM NCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $2,149.71 + DW SIGNA URE OF CONTRACTOR OR AUTHOR ED AGENT IDATEI WHEN PROPE VALIDATED THIS IS YOUR PERMIT ' BL G INSP MATE SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI NEW [ I 2y- 30 - 2'4 --3 z — g d Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY Fire Surcharge ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2�d .001 of Permit Valuation (1/10th%) Building Permit Application $ 65�eZ $.50/$1,000 Valuation SAC Charge ConstructionAddress: \ c 2 gra $900 per SAC Unit Legal Description:! $ < 60 Owner Name & A ess: , , Tel. # Contractor: Zu tiD MN LICENSE # Address: LA,LIW") Q � 0, RnANd, Avz� Tel. # 1S®�SC Attach to this application, a Certificate of Survey of the Park Fee lot, with the proposed construction drawn on it to scale. „� _ Sewer Main Charge G�uS7f DESCRIPTION OF EUPROVEMENT LIVING AREA: Length qO Width W Height i 3 Sq. Ft. GARAGE AREA: Length `SO Width DO Heightr Sq. Ft. k DECK AREA: Length 1 Width -- Hgt/Ground Sq. Ft. /6/ OTHER: _ _ / 3/, Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback 3S Side Yard Setbacks Type of Construction: v Estimated Cost: $ Q ``� %% Com, Approx. Completion Date: JA, 'A (Cost on Back) Drivewayurb ut Width Needed: 6 Ft -` Ft x $ $�� DATE: -�6 ,6 APPLICANT: �_ Tel. # CITY USE ONLY Permit Fee $ A 0 Y 7,2 5 Fee Schedule on Reverse Side Fire Surcharge $ ZV 6y .001 of Permit Valuation (1/10th%) State Surcharge $ 65�eZ $.50/$1,000 Valuation SAC Charge $ qui, ,o $900 per SAC Unit License Surcharge $ < 60 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ c;2e)9, 60 Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] I TOTAL $ '—� Y%> 9 kU17�:Vi [ice 9,'96 16413 PIERILA & ASSOC., INC. P. 2/2 Awwor CERTIFICATE OF SURVEY FOR: FELIX CONSTRUCTION LEGAL DESCRIPTION: LOT 3, 5LOCK 2, SEXTER, ANOKA COUNTY, MINNESOTA. 076, 8 ,t N 89047'00" E 143.13 g 'N N:rn 20.5! e 23.07 0 — -�>- GATGF. iL Bat? `'' g97�7 PROPOSED 16.00 HOUSE cr WO ° 3 3 0 50 LiJ rn z v� o S f LU ti I 16 F0 `?0o Oma'A- > .� ` o r 24.33 k �' �- t► >�' I x 896 • io! x X23 cn DRAINAGE AND UTILITY EASEMENT ]j cn S 89'45' 00" w 162.99 Bearings are based on assumed da6tum: c Denotes 1/2" o Iron Pipe Set • Denotes iron manurnent found. - Do mes PropOsed.'Eleva0m X. DenoYea Wadng Elavatlon 1399,-3. Top of Foundatlon ' 996 Q 1 Top of ftssm t Floor..- loor..2"°3 0"-3 Top of Lookout 996. t 'fop of -Wulko' to I `1 J CL 0 N L4. C c g0 w N 0 50 100 SCALE IN FEET 1 INCH = 30 FEET %. EE�LA We hereby ctrtify that this is a true and correct representation of a survey of the boundaries of the above described lard and of the location of all buildings. m: �.: ° r ASSOCIAT If any, thereon and all visible encroach+nentti if any, from or on said land. ES ENGINEERING SURVEYING PLANNING As survey this ` day of 4; ° 8401 73rd Avenue North, Suite 63 Brooklyn Park, Minnesota 55428 Lwid sv~V Telephone � (612) 533.7595 � t-.� l:, Fax (612) 833.1937 Jab No. y '� gook - Pop City of Fridley AT THE TOP OF THE TWINS SUBJECTNO. BUILDING T2 PERMIT 4 58 3 r _ COMMUNITY DEVELOPMENT DIV r ; � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 RECEIPT NO. NUMBER 910415 REV DATE 9/20/96 PAGE OF APPROVED BY JOB ADDRESS 5720 Polk Street NE 1 LEGAL DEscR. LOT NO. 3 BLOCK 2 TRACT OR ADDITION 1 Sexter Addition SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Felix Construction 4410 379 St, North Branch MN 674-8546 8682 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION a ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install 0 -Clearance Fireplace "Armstrong" 9 CHANGE OF USE FROM TO STIPULATIONS Install per manufacturer's specifications. 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $1,535 SURTAX $.77 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS. OF ANY OTHER TATE OR LOCAL LAW REG ATIN CON- STRU T ON O THE ER RM NCE OF CONSTRUCTION. $51.25 Fire SC $1.54 Q PLAN CHECK FEE L FEE GG Licens SC $ .00 T$58.56 SIGNATURE OF CONTRACTOR OR AUT ORIZED AGENT I )DAT ) PR P LY VA ID D THIS IS YOUR PERMIT .r r SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI DG INSP DATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: S��� Legal Description: — Owner Name & Address: Contractor: Address: Effective 3/l/96 Tel. # MN LICENSE # Tel. #�5- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. _ OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: n, Estimated Cost: $ l5 3 3 Approx. Completion Date: (Cdst 'on'Badk) Driveway Curb Cut Width Needed: Ft Ft x $ _ $ DATE: APPLICANT. Tel. # CITY USE ONLY Permit Fee $ Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary { ] TOTAL $ ` STIPULATIONS: FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 September 20, 1996 Felix Construction 4410 379 Street North Branch, MN 55056 Re: Final Inspection at 5720 Polk Street NE, Fridley Dear Sirs: A final inspection was conducted on September 19, 1996 of the above address. The structure is approved as constructed. The structure is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 572-3603. Sincerely, Barry /Riesch Building Inspector BR/mh F; i n A.c; A I AMINO I W ft ,-Lo Sill< it n.e- A � 64 4 -(to v� a, c it n.e- City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT ERMIT NO. 25001 r � • ______ COMMUNITY DEVELOPMENT DIV. r I ti PROTECTIVE INSPECTION SEC. I i CITY HALL FRIDLEV 55432 612-571-3450 RECEIPT NO. NUMBER 910-F15 REV DATE 4/25/97 PAGE OF APPROVED By JOB ADDRESS 5720 Polk Street NE 1 LEGAL DESCR. LOT NO. 3 BLOCK 2 TRACT OR ADDITION Sexter Addition SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Nevison 5720 Polk Street NE 572-2665 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK a ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WA Rl k N I NIG Before digging call for ail utility locations 454-0002 REQUIRED BY 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 $1,420 $.71 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 $48.50 Fre SC $1.42 PLAN CHECK FEE OT L FEE 50.63 NATURE OF CON' CTO O AUTHORIZED AGENT IDATEI E pq Y VALID T THIS IS Y U PERMIT s �gg. .. URE OF OWNER IIF OWNER BUILDERI IDATEI B G INSP DATE NEW [ ] ADDN [ ] ALTER [ ] Effective 1/1/97 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R 1' AND R-2 BUILDING PERMIT APPLICATION�`�� ConstructionAddress: Legal Description: Z043 91-0 //"Y' /m/v. 44Solt4A ;,td 4 3 Owner Name & Address: -_r4^Z'5 1. 0Z loyis Tel. #O/Z Contractor: MN LICENSE # Address: —Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length l6 F Width /® Hgt/Ground %-�-E Sq. Ft. OTHER: t� Y� % X ��od = / •� © YPeConstruction T : Estimated Cost: $ C ' l � O _ (Fee Schedule on Back) Driveway Curb Cut Width Needed:. , Ft. + . 6 Ft = Ft x $ $ � � Tel. # 61 Z ZW S DATE: Arr ',CANT: CITY USE ONLY Permit Fee $. S Fee Schedule on Reverse Side Fire Surcharge $ l oo'�F .001 of Permit Valuation (1/10th%) State Surcharge . $ . %/ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary j ] Not Necessary { ] TOTAL $ Jr®- ro3 STIPULATIONS: