PRE 2010 DOCSAPPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
DONALD F. SWER
OWNER'S NAME BUILDER SEXTER REALTY
M1NP+POLIS 22, MINNESOTA 3600 France Avenue N.
ADDRESS. ADDRESS MINNEAPOLIS 22, MINNESOTA
LOCATION OF BUILDING
NO.' STREET Polk PART OF LOT
LOT $LOCK. ADDITION OR SUBDIVISION S p sri Pr A,9,1 i f, i nn
CORNER LOT INSIDE.LOT__Z_SETBACR B5 SIDE YARD jn'
SEWER ELEVATION FOUNDATION ELEVATION
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;
One fnmi l g r1wPj i j ng Front ?41 Depth 4L Height, , Gtnr
Sq. Ft.- a()()' Cu. Ft.
Front Depth Height
Sq. Ft.
Type of Construction tn,nod framP� Estimated
To be completed M,-) E 1�6
Cu. Ft.
Cost
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 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
Date: OCTOBER 20, 1965
DONALD F. SEINER
Builder SEDER REALTY
Address 3600 France Avenue North AddressSAME
Minneapolis 22, Minnesota
LOCATION OF BUILDING
No. 5725 Street POLK STREET N E Part of Lot
Lot 3 Block 1 Addition or Sub.Division — SWER ADDITION
Corner Lot _ Inside Lot — R Setback 35' — . Sideyard lot
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
N? 8549
To be Used as:
DWELLING Front 24' Depth 40' Height 20 Sq. Ft. , 960 Cu. Ft Ja.0
CARPORT Front 20 Depth =20 Freight Sq. Ft. Cu. Ft.
Type of Construction ERM ME► Fst. Cost 10 45 0 _ _._ To be Completed —
In consideration of the issuance to me of a permit to c the building described above I agree to do
the proposed work inaccordance with the description above set forth sad is ccs provisions of
ordinances of the city of Fridley. ",
In consideration of the payment of a fee of q 23.00 , permit is hereby granted to SE.MMR-
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 in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
withinothhee city limits and this permit may be revoked at any time upon violation of any of the provisions of Bid
ALLEN G. JENSEN Building Inspector
NOTICE:
This perndt does not serer the eendtrustion, hut&Won for wiring, plumbing, gas heating, sown or waver. Be sire to ase
tiro Building hupeftr for sopmdo pwmtis for these hems.
'5 AP.PLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAM: Z - A/t�,E BUILDER :
ADDRESS : ,5 e,)�7 -,5' 6 1-" ADDRESS:- 514'rs
NO :. T /% as STREET • sr, /J/e .
LOT:- BLOCK: ADDITION: r )qn Q .
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.
DESCRIPT
To Be Used As:
��9rzt Front: J.?
Square Feet:
Front:
Square Feet;
Type of Construction:
To Be Completed:
OF BUILDING
l ad Height:_/O
Cubic Feet:
pth :
Height:
is F
Estimated Cost: $ �, Y32—a
The undersigned hereby makes a p icati-on for a permit for the work herein,
specified, agreeing to do all w(RryN in sttict accordance with the City of
Fridley Ordinances and rulings ox e Department of Buildings, and hereby
declares that all the facts and re esentations stated in this application
are true and correct.
DATE: / SIGNATURE:
(See Reverse Side For Additional Information.)
PWea/Z 750
r C 6N., 0 77Z <--r` J
y
LondPlomny 6h7S-NiOwy *q ALE.
Lad Sirvetyhy ArJidtneo�a/s32,
Sods Tesidnty /llirntcso/a
Clvd & Alumcpol. S�tset d 606&
ineers Sur
or6
,J ,J
coot" a � � SEXTER REALTY
� �=�6 :ter er�'r°''� ili�r✓ s."�.�'���H�'1 Y� � u
Team?
4.0
13,3"OR
• c�
Ti SCALA'-- 11=40
a-0ENOTE 9 IRON
LIN
6 ADP
int ��k 1 Sexter Addition,
o
9 3a
/A
S®9
/ hereby WN'y that 66 As a five wd cavr�c¢ AtPresenfafdr�n 'Ira sd�ve y qrt*. hmndarres gPlhe a&&- &xr; d lead, and
A¢^ftp' li�wbon 'all tlUdtdllt(�f , &fron ord ol/ rrsdb/e (l1CrPzbfflcnfs ,11,, 9j, fnvn or &r odr� land. AS .wrt EA�ed 6U ePdG�
J
r1gC1NEEl?lN6 , INC.
Lrl irteers fr' Stdrrtr�ors
.m
i®
SUBJECT,:
PE NO.
IT
City of Fridley
t? 135
AT THE TOP OF THE TWINS
BUILDING
PERMIT
`
N
►v ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
i i
= CITY HALL FRIDLEY 55432
%j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
76
JOB ADDRESS
5725 Polk Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
3
1
Sexter
Pddi 'on SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
Robert Lehner 5725 Pol Street
N.E.
3 CONTRACTOR MAILADDRESS
ZIP PHONE LICENSE NO.
SAME
4 ARCHITECT OR DESIGNER MAILADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITI N ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X=
6 DESCRIBE WORK
construct a 24 x 3\2crara e
9 CHANGEOFUSiIRM
O
STIPULATIONS 4
1. Owners o submit release from losest
neighbor prior to construction.
2. Provide a and surface drive.
R SIRE® FOR lNI6tP
PEFt6�ITS
tN
MBMG
AN, SIGNS,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood frame
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
768
7,680
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 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,
2.84
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5,683.20
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS ANY OTHER STATE LOCAL LAW CON-
$15.00
$15.00
STRUCTION ORFTHE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$17.84
aA UREOFC 7 ACTO O ORIZEDAGEN7 ATEt
HEN PROP R Y VALIDATED THIS IS YOUR PERM T
BLD3. INSP D TE
- - SIGNATURE OF O NE IIF OWNER BUILDERI (DATE)
City of Fridley
SUBJECT
P®13604
AT THE TOP OF THE TWINS
r
Z
BUILDING PERMIT
ECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
y
qw1
CITY HALL FRIDLEY 55432
/
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-660-3450
910-F15
6/22/76
JOB ADDRESS 5725 Polk Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRA CT OR ADDITION SEE ATTACHED
DESCR.
3
1
Sexter Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Lehner 5725 Polk Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
SAME
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW X1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Addition (dining room & entry from garage) plus 21 x 26 garage
9 CHANGE OF USE FROM TO
STIPULATIONS
1. Provide a hard surface driveway
--IMPG T -
zl-; SEPMTE PERMITS REQUIRED FOR WIRING
NOTIFY THE FRIDLEY ENGR,
:
DIVISION REGARDING CURB MEATI, PLU•MRING AND SIGNS.
REMOVAL AND REPLACEMENT
AT DRIVEWAY OPENING&
Credit from Building Permit #13,518 15.00 permit fee
2.84 Surtax
17.84 Receipt 194123X 81093
Fee for this permit 39.50
4.50 surcharge
44.00
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
wond frame
THIS PERMIT BECOMES NULL AND VOID, IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN�60 DAYS, OR IF CONSTRUCTION
ZONING
sfT +546
CU FT
9,144+4,368
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.
9, QOO
2.16
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 ANY OTHER STATE OR LOCAL
OREGULATING CON-
24.00
STFTHE PERFORMANCE OF CONSTRUCTION. IT
RUCTION OR
PLAN CHECK FEE
TOTALFEE
26.16
N TUREOF TRACT THORIZED AGENT (DATE)
)64hqlik
W N PROP LY VALIDATED THIS IS YOURPERMIT
T V
BLDG. INSP DAT
SIGNATURE OF.OWN R(IF OWNER BUILDERI IDATEI
•
s��
Land Planning
Land Surveying
Sails Testing
687S Highway No.65 N.E.
• • Minneo lis
C1 iri`ie Minn. 55434
Civil Engineering
Telephone 7114-6066
Municipal EngMeering
Engineer®
do Surve"ri Area Cede 614
Mortgage
Loan Survey
a
for Robert', Lehner
--- 155;02' pike} �etice �
leans alon9line, 0.1%
80.02
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rnow hence
on line 1'3.
Scale: 1°-30"
LOT
3 , BLOCK 1
SF -)(TER ADDITION
,
ANOKA COUNTY
This is a true and correct representation of a survey of the boundaries of the land above destribav! laid 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 4 mortgage lean 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.. It is
understood and agreed monume is have been plated for the purpose of establishing lot lines of boundary
earners. Dated this, °LUay ofA. o. 192A
SUBURBAN ENGINEERING, INC.
L...3�6--2- e' Engine sKGS �. urveyers
by 64.
r
2.17
APPLICATION FOR RESIDENTIAL, ALTERATION,.
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
4' _
OjdNER S NAME : VA,_9 kL .' 0- BUILDER: SAW&.
ADDRESS :_ 5 1' 2�� � ADDRESS:
NO:. STREET: '
LOT:_ ,' BLOCK: ADDITION:�
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
To Be Used As:
,_ ,`T, ®r Front:_ Depth ,� Height
R,rn ya I� m � MYe q�S uaree F � •t • %� � Cub Feet:
Front: C / Depth: Height:
Square feet; �� Cubic Feet:
Type of Construction: Estimated
To Be Completed: / yr
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stxict 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: gat
(See Reverse Side For Additional Information.
' �-� �• �� � a � d--ems.-N �
1
5 j 2_ K.
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Job Address
PARTIAL RATE SCHEDULE
N
NO.
RATE
�,
m
—— x
m
cry
$�
Future Fixture Opening
x
X0
$
New Fixture, Old Opening
Water
$2.00
$
Catch Basin
A
$5.00
$
rd $4
z
$5.00
q
100,000 BTU to 199,000 BTU
x
C4
G
Water Softener
x
Heater
$
New Ground Run Old Building
x
$5.00
C
N
F
X 41
v
$4
N
C C
b
F. N
C
f
$4
.Ui
:w
U
U N
,s
G
4
a
aC
Z O
3
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O X
U
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14
•,i
4j
N
ro
C
ei
N
ro
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1J O
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i
4J N
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lJ N
N
N
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ro
"
leC
to
-
U
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A
ro
R7
W
In
3
L1 W
tfI
W
U R7
•'C $
(9
£
C7
O
a5
1st
F3rd
t
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
—— x
$3.00
cry
$�
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x $3.00
x $1.00
x $10.00
$5.00
$2.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($10.00)
Department of Buildings
City of Fridley
Tel. #571-3450
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 Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
r�
Company -
Signed
Tel. No. YL % --s- 5 -
ROUGH
ROUGH INSP.
Date
FINAL INSP.
Date
$ APPROVAL FOR PERMIT
S
$ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
$ .50
Cni 0-4 F"a'6GIOl� -
q�:!
�a'" �u . °7lisr . r.r �v.l� S?brit die.:S:
mos i Tol�`s: vsr:L ::. C..a t
Dopt. of Bldaa, Phon® 50.3;50
DESCF IPTIOIi GF V,'Or,—
Kim n-nd L—r'ioa of Fixtures
`;
"TO. RATE
TOTrL
�-
GO,
cue.
?' :.:.bAr Fixtar�s ................
fl::ure r xtu.e 0;,cr.ing ............
x 51.50
g .
-•
New ix: .re O':' O*>er;ng.... • • • • • •
t- ,
x x1.50
C3 1 C h Ba in ......................
Water Heater 'Up to 99.000 BTU±- - • -
x S3 00
S
sew Ground Dun Old B!dg.........
FiR3:d
-
N 0. -
iJ.S r., TI1G FEES:
°
x
Is; 3 Fixtures ............ • • ' "
y-----
--
.75
x S5.00
S
I
I
--
F�....:6
� i•taer : ;:::•1:•a, Old C.r��: i^.La Cc::;�col
PARTIAL RATE 5vN1=DU'_E
;LiBI'tC F;aC7u B RATES:
"TO. RATE
TOTrL
GO,
g
?' :.:.bAr Fixtar�s ................
fl::ure r xtu.e 0;,cr.ing ............
x 51.50
g .
-•
New ix: .re O':' O*>er;ng.... • • • • • •
t- ,
x x1.50
C3 1 C h Ba in ......................
Water Heater 'Up to 99.000 BTU±- - • -
x S3 00
S
sew Ground Dun Old B!dg.........
^ ;1.25
-
N 0. -
iJ.S r., TI1G FEES:
°
x
Is; 3 Fixtures ............ • • ' "
y-----
--
.75
x S5.00
S
City of Fridley:.
The undersigned hereby ::^.ayes aDptjcation for a per- it Ycr the- work her
specificd, a- eeinr to do a'.1 work in strict accordance with the Cid C--dLn
^d ruling of the Depar tMe^.t of But:"n r , ar.3 heresy declares L` at a:T the Y:
a. •
and represmtrtions stated in :.':is applicziPon sre true and co=rer-:
r idley, bliI5_
Owner �i��F�P7 a/V -
Kind o: Build .�^a
'.
.74
C as
Used as 'A)
To be completed about
Estimated Cost, S 600
Old --Nevi. Bu"Iding Permit No.
SignedoaAA�®r
Busini:s Phone N.0
• r CUQF$
FI:I: ?j
P::?.t:DS �.L:ERA:IOY•S---?amnr
.;,0 State Surcharge
10 Ccda
.Z,cw:if::on
................
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5.
6.
6A.
6B.
all voting aye, Mayor Nee declared the motion carri
Mr. Flora, Public Works Director, ted the Council earlier this evening
approved a mutual agreement for elopment of these Loft Homes and adopted
an ordinance for rezoning th property for this development. He requested
the Council now consider proval of the final plat.
KMON by Councilmap4itzpatrick to approve final plat, PS #84-03, Loft
Homes of FridleySeconded by Councilman Hamernik. Upon a voice vote, all
voting aye, Mayor Nee declared the motion carried unanimously.
Mr. Flora, Public Works Director, stated this is a request for a special use
permit to allow construction of a second accessory building at 5725 Polk
Street. He stated the petition wished to use this building for storage and
for his woodworking hobby, and it is not intended to use this garage for any
home occupation.
Mr. Flora stated the Planning Commission has recommended approval of this
request for a special use permit.
MOTION by Councilman Schneider to concur with the recommendation of the
Planning Commission and grant special use permit #84-14. Seconded by
Councilman Barnette. Upon a voice vote, all voting aye, Mayor Nee declared
the motion carried unanimously.
11
Mr. Flora, Public Works Director
ted this property is located at the
southwest corner of Fairmont and River Road. He stated the petitioners
wish to' use the property for a s;ervi.ce station and convenience store and a
special use permit is required for the service station.
Mr. Flora stated the petitioners have agreed to extensive landscaping along
East River Road and a major remodeling of the existing structure.
Mr. Flora stated ,there was considerable discussion at the Planning
Commission meet ig about the lighting and traffic.
Mr. Flora stated the plans submitted for the property would gliminate the
driveway,off Fairmont and reduce the driveway near the intersection of East
River Fad. He stated there would also be additional landscaping along the
south property line.
-4-
3.
4.
developed addressing the construction of 28 Loft Home units by Mr.
DeGardner. He stated in consideration of the rezoning request, the
owner/developer agrees to the following: revise the berm layout on 61-1/2
Way so as to block headlights from shining into the adjacent homes; relocate
the emergency egress to the east; construct new garages; provide to the
City, and register with the County, a copy of an executed Townhouse
protective Covenant; sutmit a landscaping and irrigation plan for approval;
sit a drainage plan for approval; purchase and rezone to R-3, Lot 11,
Blk 20, Fridley Park; provide a performance bond of $10,000; pay park fees
of S14,000 ($500 per unit); and to build only the types of units submitted
as i,4t Hanes.
Mr. Flora stated both the owner, Mr. Nielson, and the developer, Mr.
DeGardne�k, have signed this mutual agreement.
MDTION by dquncilman Fitzpatrick to authorize the City to enter into this
mutual agr ent with Mr. Nielson and Mr. DeGardner for development of the
Loft Hanes. nded by Councilman Barnette. Upon a voice vote, all voting
aye, Mayor Nee declared the motion carried unanimously.
MOTION by Councilman Fitzpatrick to waive the second reading of ordinance
No. 817 and adopt it, on the second reading and order publication. Seconded
by Councilman Schne'der. Upon a voice vote, all voting aye, Mayor Nee
declared the motion carried unanimously.
MOTION by Councilman Hamernik receive the statement of canvass. Seconded
by Councilman Schneider.
Mr. Inman, City Clerk, stated there was a computer error in the results for
Ratte and Simoneau in Ward 3, Precin .s 3 and 4, and the results should be
exactly opposite of what is presented: He stated the canvass board for the
County will meet regarding this issue.
It was the consensus of the Council to wait\,;until the canvass board met to
determine their action, before receiving this' tement of canvass.
Councilman Hamernik withdrew his motion with permission of the seconder,
Councilman Schneider. �•
`e
MOTION by Councilman Barnette to not receive the statement of canvass at
this time. Seconded by Councilman Schneider. Upon a voice vote, all voting
aye, Mayor Nee declared the motion carried unanimously.,
MO'T'ION by Councilan Barnette to waive the reading and approve the ordinance
upon first reading. Seconded by Councilman Schneider. Upon a voice vote,
-3-
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING P E R M I T
P
NO _ -17739
i
�
� t
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
i = I
CITY HALL FRIDLEY 55432
L
NUMBER
REV.
DATE
9/25/84
PAGE OF
APPROVED BY
612-571-3450
910-F15
JOB ADDRESS 5725 Polk Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
1 Sexter Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Lehner 5725 Polk Street N.E. 571=4290
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 2nd accessory building a 22' x 26' garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Special Use Permit, SP #84-14 approved by City Council September 24, 1984
No stipulations.
to be used for storage and hobby use -.no driveway
SIGN ,
514.pvr0'G,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. w
od frame
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
572
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
$69,412.12
3.50
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-
62.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
66.00
SIG UREOFC TR TORO A H I EDAGENT (DATE)
JW PROPERLY VALIDATED THIS IS YAU PERMIT
`9
e,&�+0 o2_!51
SIGNATURE OF OWNER(F O ER UIL ER) TDATE)
BLDG INSP DATE
_
11
`Ma1M v*,
q.�T'rvi rr rt: x� {� y, e l,�,v ' '�,a•t �i` �,r M' 4=' `�':�"
SP #84-14 Robert Lehner �10
Land planning AwAfe iLWG n N75 Itlghcray Ne. 65 N.1.
tonil 5wveyi*0 �M//�� �•,y� rs�s/� '• ��1 �s Minneapolis,
Sells Testing /I�L�L/�C/(/7i%�i�'t tonic. Minn. $5434
Civil tngineering v ((// Telephoto 7"-6066
Municipal I ighteerIng Engineers h Surveyors Arae Cede 614
Mortgage Loan Survey for Robert Lehner
leans along line O.Z.=
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Scale: Ir•30'
LOT 3 , BLOCK I , SEXTER ADDITION
ANOKA COUNTY
Ibis b a true and correct representation of a survey of the boundaries Nan an tland above de"ribod a" ei t
btcath„ N all buildings, It any, thereto, and all risible entreachments, M any, from or
�4• •1 in connection with a mortgage lean aow bei-- -�---� -
sun"" to rhe balder Of a...► _
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Scale: Ir•30'
LOT 3 , BLOCK I , SEXTER ADDITION
ANOKA COUNTY
Ibis b a true and correct representation of a survey of the boundaries Nan an tland above de"ribod a" ei t
btcath„ N all buildings, It any, thereto, and all risible entreachments, M any, from or
�4• •1 in connection with a mortgage lean aow bei-- -�---� -
sun"" to rhe balder Of a...► _
godtrstaed a-• --
NEW
[ ]
City of Fridley Effective 4/1/84
ADDN.
[ ]
�R-1 AND R-2
ALTER.
[ ]
Building Permit Application
Construction Address:
Legal Description: --sem l
Owner Name &Address: �i✓ - Tel. #
Contractor: Tel. #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length .2-- Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction:.
Estimated Cost: $ � �� °2' • ��
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: APPLICANT: Tel.
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
G o� Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS:
Building
BUILDING
PermitNo.: fo1.
Inspections
RESIDENTIAL APPLICATION
Received By: tl6
763-572-3604
CITY OF FRIDLEY
Date
763-502-4977 FAX
EFFECTIVE 1-1-2010
DATE—?- o —
YOUR E-MAIL ADDRESS
SITE ADDRESS 57? Z-5 Ca (—1, S -C- )1J - E a �� \ {a `� `r MW SSS '-1 1 Z—
THIS APPLICANT IS:
❑ OWNER 'CONTRACTOR
PROPERTY OWNER/NAME:7�1Y
ics��Gj F
/p� T' db' V� - '�S LC' a
TENANT
ADDRESS: `I "- -n Fir Qa ST- I� .� , CITY Q' CA 'T� e STATAQI ZIP
PHONEO (,,3 '-'� �k (— L41 S'S
CONTRACTOR
NAME
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # �� 1 EXP DATE A —
��
AND CERTIFICATE OF
ADDRESS: ..r S 7-- CITY�.,� "STATICis� ZIP S ZA
y
INSURANCE
PHONE -7'(63:7_FAX
PROPERTY TYPE
ING E F MI /NEW CONSTRUCTION % I +I SIZE
❑ TWO FAMILY/NEW CONSTRUCTION C—: (Z I " STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER.
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIREMODELING L Ott c
pR
DESCRIBE WORK BEING DONE: C' tet' C gR7N g `p H Cl",3 D�
SIZE OF IMPROVEMENT
0
LENGTH WIDTH HEIGHT SQ FT
ROOFING
❑ HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
13 HOUSE & GARAGE
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS []Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS - PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE
SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ "e �' J OCCUPANCY TYPE
Permit Fee $ 1 1' Vila See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Fire Surcharge $ .001 times the total job valuation
Surcharge $ .0005 x Permit Valuation Minimum $.50
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x $22 = $
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( )
Total Due $ .fit Make checks Davable to: Citv of Fridlev Attach Stiuulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building 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 an application for a "nit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all or ichrequires review and approval of plans.
SIGNATURE OF APPLICA ®c�lit PRINT NAMEE �=a i3� DATE 1� —)
Building
PLUMBING
Permit No. i 6 _ ll
Inspections
RESIDENTIAL APPLICATION
Received ByeE
763-572-3604
CITY OF FRIDLEY
Da d B 19 0
763-502-4977 FAX
EFFECTIVE 1-1-2010
DATE � i /0 YOUR & 51 ASA ePMAIL ADDRESS ,\ SVey o (_9 a`o
SITE ADDRESS J i S� r} I.
THIS APPLICANT IS: ❑ OWNER RCONTRACTOR
PROPERTY
NAME:
OWNER/
ADDRESS: CITY STATE ZIP
TENANT
PHONE:
CONTRACTOR
f
NAME: w2 CA IN U L
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE
LICENSE, BOND AND
STATE BOND # EXP DATE 2
CERTIFICATE OF
ADDRESS: 16 v) CITY c: p^ STATEit!�t.—ZIP ✓D
INSURANCE
PHONE 6? 1 - 6 I `i - �' �� FAX
PERMIT TYPE
Ed SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW VREPLACEMENT
DETAILE D SCIRIPTION OF WORK l G�h a� 5 � �� � L),J(% � � � > > � '�L FIE.
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
BATH SINKJLAV FLOOR DRAINS SHOWER _ WATER PIPING
_ _
PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35)
—BATHTUB —GAS _
CLOTHES WASHER KITCHEN SINK —WATER CLOSET _ BACKFLOW PREV. ($15)
DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
WATER METER —OTHER
� k s ✓ 1 �- : r �, t 3 .ter € K ` ,�.� '� �,",� .� F� � 1 '�
�• .a - '�^ � + 3 ,r as P'W .� s
s'
w
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 an application for a permit and work is not to start without a permit on site; that the work will be in accordance
with the approved plan in!;)case of 1`°work which requires review and approval of plans.
J� �-
SIGNATURE OF APPLICANT t �GiA.c; r 0 PRINT NAME � r� C' 1� DATE L(�
-'e .JL
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Engineering
WATER AND SEWER
Permit No.: 2A
763-572-3552
PERMIT APPLICATION
Received By
763-571-1287 fax
CITY OF FRIDLEY�
EFFECTIVE 1/1/2010
APPLICATION DATE:/ Al YOUR E-MAILJFAX:
_
THIS APPLICANT IS: ❑ OWNER COCONTRACTOR
JOB ADDRESS: .:!�-7.2 5` eoIlL
NEW CONSTRUCTION PERMIT# (IF APPLICABLE):
PROPERTY
NAME: v- , C- r' n r ( c - l< S
OWNER/
TENANT
ADDRESS: $ 7 Z S_ QB \ l� S r\I CITY cI STATE ZIP
PHONE. -_L(03
CONTRACTOR NAME: S ®W v
SUBMIT A COPY OF DRESS: 77-7 '- 0 `��y �� gay` -' CITY e STA P SS 3 1-1J..
YOUR STATE
LICENSE WITH PHONE ,6l) 1 t CELL PHONE: f 2 --L S [� -- Co S S_ Z-AkeV
APPLICATION � a o
STATE LIC # STATE BOND: `� (a'F EXP DATE:
1. Narr tive/written description: l
L/'
- #o 04 C -e—
N C 7-0 QC k�Yt
2. Please attach sketch showinlIg curb line, utility line, building, etc. with distances on back page.
r
3. Stipulations:
C, /Vo-reF,/ Po" (IC- Tt-�T ZO W wli-L rp CLoS� 57 2 -35752-
572.56 zc( 3-72-3(.e 3 '40d2 ort
PERMIT TYPE
❑. SEWER CONNECTION PERMIT $50
❑ WATER CONNECTION PERMIT $50
❑ WATERLINE REPAIR $40
❑ SEWER LINE REPAIR $40
❑ ADD STATE SURCHARGE $.50 po So
❑ SAC CHARGE @ $2100 =
TOTAL $ qO. �;-o
OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING
NEW WATER METER COST - SEE UTILITY BILLING
SPECIAL ASSESSMENTS - SEE FINANCE
WATER TAP - SEE ENGINEERING
NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / EVENINGS, WEEKENDS & HOLIDAYS $125/HOUR-BILLED
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a water or sewer (new connection or repair) permit and I acknowledge that the information above is complete and
accurate; that the work will be in con fbraiance with the ordinances and codes of the City of Fridley. I understand this is not a permit but
only an application fora rmit an k is no start ithout a permit.
% Q� g
SIGNATURE OF APPLI ANT PRINT NAME: f k`�''� V' !-i ( fa )L � DATE: 1
APPROVED BY: DATE:
[COPY G T ❑ UT LITY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGINEERING
City of Fridley
Engineering Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3552
FAX: 763-571-1287