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City ®f Fridley, Mini BU11DING PERMIT Date: OCTOBER 20, 1965 DONALD F. SEXTER Builder SEXIER REALTY Address 3600 France Avenue North Adm SAME ]MINNEAPOLIS 22, MINNESOTA S,7gl -AeL'k 'Sr LOCATION OF BUILDING No. _ Street L jjxuln Part of Lot Lot 2 __ Block Addition or Sub -Division SF.r",R ADnTTTON Corner Lot —_X _ _ Inside Lot — Setback 35' _ Sideyard . ,, 10 Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING N° 8550 To be Used as: DWRG�INC — _ Front 42 Depth 2_ Height 20 _ Sq. Ft. , 008 Cu. Ft. Front Depth Freight Sq. Ft. _____.___ Cu. F't. Type of Construction FRAME, Est. Cost _ _..Q To be Completed In consideration of the issuance to me of a permit to et the building des bed above I agree to do the proposed work in accordance with the description abo a set orth and in p ce with ;h provisions of ordinances of the city of Fridley. z In consideration of the payment of a fee of $--2l . 0 permit is hereby granted to SEXIER REALTY 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN Building gym° NOTICE: 'This peneh don not eever tho eendrueHoe, butaWan for rrlrlee, plumbing, on heating, sewer or water. Be an to an tho Building Inspoeter for aparate permits for thea hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY,. MINNESOTA OWNER'. S. NAME -DONALD F�.'� �6� BUILDER SEXTER REALTY 3666 F iance Avenue N. 35 7i rice Avenue north MINNEAPOLIS 22, MINNESOTA ADDRESS MINNEAPOLIS 22, MINNESOTA ADDRESS LOCATION OF BUILDING NO, 34. STREET T,anp- PART OF LOT LOT____p BLOCK 7 ADDITION OR SUBDIVISION q pY%p r d [i rl i tj on CORNER LOTINSIDE LOT SETBACK �,�SIDE-YARD ln� 9 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 family dwelling Front 42, Depth ?q.t Height I qtory-- Sq. Ft. 10081 Cu. Ft. 6 d Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood frame Estimated Cost t 11160 To be completed May 1, 1966 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). M ' s City of Fridley, Mian.. BUILDING PERMIT Date: -� July 18, 1969 Owner: Charles F. Buzzell Jr. Builder Same LOCATION OF BUILDING No. 5741 street Enkkx2l, PQ1k Sr, N, E.— Part of Lot Lot _ z _ Block 1 Addition or Sub -Division _ Sexter Addn. Corner Lot Inside Lot Setback __ _ Sideyard Sewer Elevation Foundation Elevation �-7 N° 10342 DESCRIPTION OF BUILDING To be Used as: Repair Steps Add Front _ Depth Height _ Sq. Ft. Cu. Ft. Brick Front &PlantVront Depth Height Sq. Ft. Cu. Ft. Type of Construction Est, Cost_ _ 600.00 To be Completed 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. n ter, In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to Charles Buzzell 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. e Clarence B1�LZ NOTICE: This permit does not cover the construction, Installation for wiring, Plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNEB Is NAM2L//����6��-�BUILDER ADDRESS, J�r I LOCATION OF BUILDING NO o ,!%/ STREET LOT a2 BLOCK / ADDITION OR SUBDIVISION SAX Leg] CORNER LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING 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: ,���� s ���i��G Front Depth Height Square feet Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction Estimated CostozqQe To Be Completed A/C? 10 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 /�;E SIGNATURE �r- (Schedule of Fee Costs can be found on the Reverse Side.) 0_ City ®f Fridley,Minn.o 7 Y N. 10443 BUILDING PERMIT Date: Oct. 6. 1969 Owner: Charles Ra»7_P11 .7r Builder Same Address _ 5495 Mi i n St. _ N_ E. Address Same LOCATION OF BUILDING No. 1&5 7 4 ]Street Polk S t . N. E, ____. Part of Lot Lot _.._Z __ Block 1 Addition or Sub -Division .__ SAX t e r Addition Corner Lot Inside Lot Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage & Front 3.4.1_6" Depth X11 Height 10 Sq. Ft. 7 8 0_ Cu. Ft. 7800 Re c , Room Front Depth Height Sq. Ft. Cu. Ft. Type of Construction F r a m P Est. cost 48 , 000 . Q_Q__ __ To be completed 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 a'11 provisions of othe city of Fridley. 10!P 1-2 In consideration of the payment of a fee of $._L 9 0_ —, permit is hereby granted to Char 1 e s Bu z z e 11 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 buildiags within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gat hosting, sewer or wafer. Be sure to we the Building inspector for separate permits for these home. -. - P APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME����»��BUILDER /11 LOCATION OF BUILDING NO. STREET _ y/ Za Z,/� S f LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING 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: a s"� Front _ V -f Depth 22,/,--/e�1 '-c Height Square feet �2 ,15'G Cubic Feet G / Front Depth Height Square feet Cubic Feet Type of Construction Estimated Cost 49 � �� -T To Be Completed (T14- It/ — IM 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.) 0. Td—A Z % -"I thereot in tne cost oL 2.6. in no case all the fee charged for any r.. --.r 't z. a i, Section 2 be less than v '00. 'uOT4Tpp'V 61 NOOTR z� 31- VD 0 'IJO qjdotj.l kU3 to 9!�, 7g 4 `7 FU"'"Dlcf P'07 z� 0 'IJO qjdotj.l kU3 9!�, 7g 4 `7 FU"'"Dlcf P'07 Ciiy of Fridley 53-84-S915-51Appcation for Plumbing and Gas %ting Permit li Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location 5741 NE. Polk- s t Gi C Number Fixtures ...................... x $2.00 Vl Future Fixture Opening ................ x $1.50 Y F New Fixture Old Opening .............. QC Z Z O W x $3.25 W 0 Z 0 ` r WATER HTR. GAS ELEG Base a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... ................... l x $2.00 $ 2000 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (l) gas lite 3000 1st 2nd 3rd 4th ' Future Connection Openings e New Fixture, Old Openings I Connected with Sews: Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ 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 a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... ................... l x $2.00 $ 2000 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (l) gas lite 3000 REPAIRS & ALTERATIONS --Refer to Code Description ................................................$ TOTAL FEE $ 5 n 00 City of Fridley: The undersigned hereby makes application for a permit for the work here! 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. Oct. 1, 1970 , 19— Owner Charles Buzzell Kind of Building frame Used as residence To be completed about Oct, 5, 1970 Estimated Cost, $ 10.00 01J—New. Building Permit No Permit No.o��% SigneAlf By Businesson E POLIS GAS CO. ROUGH FINAL CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION.AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE Furnace Shell & Duct Work $12.00 Replacement of Furnace 7.00 Repairs & Alterations -up to $500.00 7.00 Repairs & Alterations each add. $500.00 4.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU $12.00 4.00 7.00 7.00 4.00 TOTAL $ Job Address Department of Buildings City of Fridley Tel. #571-3450 ��2� The undersigned hereby makes application for a permit for the work herein $ specified agreeing to do all work in strict accordance with the City Cordes $ and rulings of the Department of Buildings, and hereby declares that all the $ facts and representations stated in this application are true and correct. $� $� Fridley, Minn. . 19 77 OWNER $12.00 $ 4.00 $ 7.00 $ 6.00 $ OIL BURNER- to 3.gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING 1 1 1$ FAN HEATING SYSTEMS See Fee schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $1 % _ ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT /� REINSPECTION FEE C$10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE KIND OF BUILDING USED AS TO BE CC ESTIMATED COST O- NEW BUILDING PERMIT NO. PERMIT NO. _ 9'21 . DESCRIPTION OF FURNACE/BURNER HEATING or POWER LANTS, Steam, Bot Water, Warm Air- No. Trade Nam Size No. ZZ Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR #„.. _Hp —Tg — Suburban Air Conditioning Company8419 e ! •; Signed By � %neaRolisdnnesota 554' �. Tel. No.� 7e�/-0: � CITY OF FRIDLEY , APPLICATION FOR PLUMBING AND GAS FITTING PENUT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. a. a► Number Fixtures X $3.00 u Future Fixture Opening x 0 $ Water x $2.00 $ e Catch Basin x $5.00 $ Water Heater - to 99,000 BTC x $5.00 $ 100,000 BTU to 199,000 BTU Heater $10.00 Lf N Water Softener x $7.00 $ . New Ground Run Old Building C $5.00 8 t x � $ p� d s4 o v -4 1 A� W 4W 3 -11 6 4J W U o vii U ai a W W o wo y 4 u a t� as lec 1st el 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer M m New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures X $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ e Catch Basin x $5.00 $ Water Heater - to 99,000 BTC 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: lst 3 fixtures x •$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS & ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REINSPECTION FEE (S10.00) Job Address % iort. 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 Fridley, Mn. (� , 19-Z& OWNER - 1 KIND OF BUILDING _ ��'�• USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company -- is d Signed By Tel. No. . ROUGH INSP. Date FINAL INS?. .0 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SCRCHARGE SUBJECT PERMI City of Fridley 15655 AT THE TOP OF THE TWINS BUILDING PERMIT _ r O. ( • _ COMMUNITY DEVELOPMENT DIV. wEIPTio r I PROTECTIVE INSPECTION SEC. I � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY `� L 612-571-3450 910-F15 9/22/86 JOB ADDRESS 5741 Polk Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Sexter Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Wayne 5741 Polk Street N.E. 571-4167 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Don R. Benson Construction Co. 2006 - 55th Avenue North, Brooklyn Center 55430 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 560.0808 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Reroof Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof over 1 layer of roofing 9 CHANGE QF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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$2,400 $1.20 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 P VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST R THE PERF M E OF CONSTRUCTION. $38.50 4911 a w PLAN CHECK FEE TOTALFEE $39.70 SIG NATKE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) Z,,WHERPROPE BLDG )NSP RLY^LIDATED THIS IS YOUR PERMIT I DAVE SiGNATU RE OF OWNER IIF OWNER BUILDER) (DATEI NEW [ ] City of Fridley Effective 4/1/86 r R-1 AND R-2 ADDN. [ ] ALTER. [ ] Permit Application Building Permit `7-< Construction Address: e Legal Description: � � l� r7 ` Owner Name 4 A s: Tel. � Tel. � Contractor: 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 ____ 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: Q�-iiL Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation �� —�� APPLICANT: Tel. 4 DATE: CITY USE ONLY Permit Fee $�-�� Fee Schedule on Reverse Side Plan Check $ 2% of Building Permit Fee State Surcharge $ % $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ [ ] Agreement Necessary [ ] Not Necessary TOTAL 5 STIPULATIONS:S' MEMORANDUM TO: William W. Burns, City Manager PW90-202 FROM: John G. F1ora,(Public Works Director Mark A. Winson, Asst. Public Works Director A?Ah*-� DATE: May 18, 1990 SUBJECT: Councilwoman Jorgenson's Concern Regarding Driveway at 5741 Polk Street The curb and gutter at 5741 Polk Street sank causing water to collect at this location. As part of the 1990 Miscellaneous Curb, Gutter and Sidewalk project, the curb and gutter were replaced this weekjn preparation for sealcoating Polk Street later this summer. Water should no longer collect at this location JGF/MAW/ts �;D 0 SUBJECT IT NO. City of Fridley 29955 AT THE TOP OF THE TWINS BUILDING P PERMIT M I T r RECEIPT NO. i VV COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. i NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/28/99 JOB ADDRESS 5741 Polk Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 ISexter Addition. SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Robert Wayne 571-4167 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Pennington Const. 4347 Central Ave NE Columbia Hjzts 55421 788-4889 20169391 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION 0 ALTERATION XM REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garae 2 e 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2447 $1.22 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER S,74E OR LOCAL LAW REGULATING CON. STRUO OR TME P FORM N E OF CONSTRUCTION $53.25 Fire SC $2.45 PLAN CHECK FEE TOTALF E Lice 5.0 .92 SjGNATUREO CONTRACT ROR AUTHOR ED AGENT IDATEi MEN RQ IS UR P R IT 8L G1NSP MEALIQATEDZ)I�IS GATE S.GNATURE OF OWNERilf OWNER BUiLOERj iDArE, - 0 NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: _ CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 5? Owner Name & Address: k Contractor: Ike 14 t? r 0 Address: 0 LIVING AREA: GARAGE AREA: DECK AREA: OTHER• po�'&'t cow ( .4 /e Effective 1/1/99 Tel: # 9 0 -0/ Y / 6 MN LICENSE # 0 (6 (7,37 / Tel. # 6 (2 W_e Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. 4+aC'.4 eld 6q'-'Qge P a �- � Construction Type: Q 6 V'0�� ®r `� �`"i Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ - Tel. # 6raQi9�1® DATE.. a APPLICANT. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ 83.0s" Park Fee $ Sewer Main Charge $ . TOTAL STIPULATIONS: $ 91, 907 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050, per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Data :::<: ...�::.::: I:: ...Shower ...... Wash Tray :::-: �.;:i.:.:..: .. F loot Drain: �:.._ ..:.: .. ;�.::... t�=��Washer ut . :.:�.:;><::::` A o . Gas Range "'�"'=><;;; Water Heater Stones ..Unnal .::1:Gas Elec Basement <:<<< ........ Floor 1 Floor 2 r Floo 3 1 F o0 r4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" NO. RATE I Gas Range" Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS_ 5A 5 ©(x AJt5P- 13�G4J 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. $,20.50 Owner Building Used A: WAYNE, ROBERT 5741POLK STREET NORTHEAST FRIDLEY, MN 55432 (763) 571-4167 ;A7 ,Z� Estimated Cost TV PERMIT NO. i- PLUMBING COMPANY L(0 KbL-0/7 PI-OM131AJG SIGNED BY TEL N04 i2 t��7- x/0 3 I(V Approved By Rough -In Date Final Date "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. suelEti PERMIT NO. City of Fraley 32802 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � VV _____ COMMUNITY DEVELOPMENT DIV. 4/ 4/091 r � � PROTECTIVE INSPECTION SEC. 7 1 . , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 L 612-571-3450 910415 7/18/02 JOB ADDRESS 5741 Polk St NE t LEGAL LOT NO. BLOCK SEE ATTACHED DESCR. 2 1 jTAACTORAbDITION Sexter Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Wayne, 5741 Polk St, Fridley, MN 55432 763-571-4167 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Vizecky Contracing LLC, 323 W 48th St, Mpls, MN 55409 612-825-6616 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20218977 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential CLASS of woaK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Concrete work 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 WITE41N 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO DWLG. UNITS OFFSTREET PARKING 1 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 $69900.00 $3.45 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,PF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $139.25 Fire SC $6.90 STRUCTION R THE PERFORMA CE OF CONSTRUCTION PLAN CHECK FE TOTAL EE /6'®� $5.00 c nse $1 .60 SIGNATURE OF NTRACTOR OR AUTHORIZED AGENT IDATE, HEN DROP VALIDATED MIS IS YOUR PERMIT _ S%GNATURE OF OWNEROF OWNER BUILDERI IDATE. ' BL -NSF' - BATE NEW [ ] CITY OF FRIDLEY Effective 1/12002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: qI 00 k) Legal Description: r 11 Owner Name & Address: HL lm�- i,$2e ate- Tel. #1763) 71- W /o I Contractor. VIZ-eC.kt-k OynfiaPhtiCa MN LICENSE # $977 Tel. #„(jaw) Ity Attach to this application, a Certificate of Survey of the Ginnt/ Olr o lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: utio r Estimated Cost: $ 1e 9��' Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ e DATE: : log APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ (P6 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by'Engineenng Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: SUBJECT City of Fridley (r 33299 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. r • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. &t?.R4/ r NUMBER REV OTE vAGE OF APPROVED Br CITY HALL FRIDLEY 55432 L „ 763-571-3450 910415 12J18/02 / / JOB ADDRESS 5741 Polk St NE T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 1 1 Sexter Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Wayne, 5741 Polk St NE, Fridley, MN 55432 763-571-4167 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Vizecky Contracting LLC, 323 W 48th St, M ls, MN 55409 612-825-6616 20218977 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 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Soffit & fascia & gutters (front of house only) 9 CHANGE OF USE FROM TO STIPULATIONS Ventilation must meet State Building Code. 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 I 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 $2,496.00 $1.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SA CHARGE PROVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $83.25 Fire SC $2.50 STRU TI OR THE PERFORCE OF CONSTRUCTION � /d' PLAN CHECK FEE Licens$5.00 TO AL FEE 92.00 SIGNATURE OF NRACTOR OR 4UTMORIZEO AGENT iDATEi EN PRO�VALI, THIS IS YOUR P MIT BLD �NS� r�Ar S-GNATURE OF OWNERiF OWNER BUILDERi iOATE, c (74,3),5-7/ - 128 :�- NEW [ ] CITY OF FRIDLEY Effective 111/2002 ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. 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 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: i Construction Type: Q50fff f-0- -C?�c� 6 WkP25 Estimated Cost: $ 4/ 9 G fico of- how5e 01\)L\1 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: 12- 0 2-- APPLICANT: Tel. # &f� ` C Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $ -3 : 7-6Fee Schedule on Reverse Side $ -;Q,,50 .001 of Permit Valuation (1/10th%) $ 1 t Zf:-) $.50/$1,000 Valuation $ $1200 per SAC Unit $ F, , o o $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by*Engineenng $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ a 2.OU STIPULATIONS: ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY PERMIT NO.: 2004-00670 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/10/2004 572-3604 YAX: (763)571-1287 5741 POLK ST NE 243024320062 SEXTER ADD LOT 2 BLOCK 1 BUILDING RESIDENTIAL ADDITION/ALTERATION VALUATION : $ 3,300.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. INSTALL INTERIOR DRAINTILE SYSTEM. APPLICANT STANDARD WATER CONTROL SYSTEMS INC 5337 LAKELAND AVE N CRYSTAL, MN 55429- (763)537-4849 OWNER WAYNE ROBERT J & BARBARA J 5741 POLK ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Appli Date Bldg lnsp�,"N Da4� I 1 -0'k BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE TOTAL r .r j. � r S SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 97.25 3.30 1.65 102.20 MAY -07-2004 08:335 AM STANDARD WATER CONTROL 763 537 1882 .5/aa/oq P. 01 1/2003 NEW [ ] CITY OF FRIDLEY Effective (763) b72-3604/Bldg nsp ADDN [ ] 8431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571.1287 Fax BUILDING PERMIT APPLICATION �n ®Oq t0 Construction Address: ,_`q 7 �I L ZA d ,y Legal Description: Owner Name & A dress 00 AL,16, Tel. # ?/ 3 -_�` 7f -VVI 7 r MN LICENSE # f _ 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 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Dr oL in 1 4p.--- Estimated Cost: $ _333 0 IT) - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Call (763) 672.3604 for Permit Fees N mailing In application, Fax to 763471-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ Fire Surcharge $ ;,A tate Surcharge $ (�uIt icense Surcharge $ Curb Cut Escrow $ Erosion Control $ Park Fee $' Sewer Main Charge $ TOTAL $ 0-- 1-120 Fee Schedule on Reverse Side .00:1 of Permit Valuation: (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 n o Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK N1 imRFR nF PIXTt JRFI; TO RF INgTAI I Fn oN r-A(H F1 ()nP Ks' W sh RX Floor .1 Gas Water Heater Stories Urinall Shower • Drain 1-0 Tra Washer Range Gas Elec Basement ---- --- Floor 1 ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Floor 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . Floor 3 REM ... 1 11 .... 22 ..... . . . . . Floor 4 M, PLUMBING FiXTURE RATES: NO- RAT` TOL ezcw —1--jx6r6S-) OW�Opetvn`g, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rair, Water Leader SlArnp/Receiving 7:94 Viater 7reating i'ppi�ance 'ji?,qt(H. ter -Electric Ir ea Vv'.ter Heater - Ga:�'*' Gas Dnier— &13--iov' prevc;'Itec Rt-quffefl )Yes NO TV, -- ----- sik�.00 90,00 $1000 — $10.40 $10.00 $10,010 $10.00 $i'0.00 0T.1 REFS Ai"I'DVCIR IRErPAIRS AND AL.TE-l"A111ONS, 1.25-% of 'Value, of Pixture orAppliance JOB ADDRESS�ZqL_ 1-90 L/ --f 57. IV, E, "Che Undersigned hereby makes application f6r 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 BUJiLiNGUSED,ek-S LtiTWA COSI*.- C L) Apptoved B Y.: 0 State Surcharge MINIMUM F F DME: --- --�-- 1�96 - 0,5- --'20 F 1E F'N iT TEL Rough -In Date— -- sinal Date TOTALFEE OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 IT �'7' , . COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 5()4(X) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE 0 C a , NEW [ ] CITY OF FRIDLEY ADDN j ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: 6-2-11 N i' 0 i__)cs'F - Legal Description: Fac L L L, j x (jL li v 2 (- jr Owner Name & Address: 9 o Sn A -s w A y&) I:r- Tel. # 7,f-& S71 - Y 167 Contractor. gc.as _S LIVING AREA: z MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to'scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length . Width Hgt/Ground Sq. Ft OTi;ER: 9&-r 1''o a n-. S P )c / o ` 9 Construction Type: Amy w v a - 5 9i r t fl- a` - Estimated Cost: $ � q 00C3, ® d Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ INA DATE: f.- / 5' APPLICANT: Q. Tel. #KGs 6 Call (763) 572-3604 for Permit Fees If mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 319. 75' $ Q5, ICj $ 1.00 Fee Schedule on Reverse Side 65% of Permit Fee 001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ � 6, q r STIPULATIONS: