PRE2010 DOCS CITY OF FRIDLEY Cover Sheets
`
INSPECTION '. DEPT. REPORT Sheets Attached
MAZARDOUS
SITE ADDRESS__
WHAT INSPECTED a „�
PRINCIPAL USES
USE ZONE
LEGAL DESCRIPTIONL4
OWNER �D l..> �- �- -e/� address ,4- phone
AGENT address phone
OCCUPANTS address phone
address phone
LIENHOLDERS address phone
CONSTRUCTION OF BUILDING_ 2 d,-,_, -C no, of stories l
PERMITS ISSUED ON BUILDING
DIMENSIONS OF BUILDINGl)-- A 3
SETBACKS - front rear sides
building inspection-date inspector
C.., iNa &-s _
plumbing inspection-date s„e W t �// spector
electrical inspection-date inspector
fire inspection-date inspector
P
health inspection-date inspector
photos taken-date
RECOTTIENDATIONS OF THE INSPECTION DEPARTMENT
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Cover Shset A
CITY OF FRIDLEY - INSPECTION DEPARTMENT
RECORD OF THESE INSPECTIONS SENT TO THE CITY ATTORNEY: date
RECORD OF THESE INSPECTIONS SENT TO:
NAME
ADDRESS
NAME
ADDRESS
BUILDING CONDEMNED FOR OCCUPANCY-date �f' inspector
LTV 5, ��� Td���� date_ ._ / ?c?_._ P
(J ins ector �.- Q s
LETTER SENT FROM CITY ATTORNEY TO:
NAME
ADDRESS
RECOMMENDATIONS OF THE CITY ATTORNEY
DATE FOR NECESSARY PERMITS
DATE WHICH WORK MUST BE COMPLETED BY
RECORD OF SUBSEQUENT INSPECTIONS AND LEGAL ACTION
CITY OF FRIDLEY - INSPECTION DEPARTMENT
®Ui DING REPORT
DATE / !� - -INSPECTOR
OWNERS NAME
ADDRESS
INTERIOR PRESENT CONDITIONS CHANGES NECESSARY
BASEMENT
FOUNDATION X
WALLS
FLOORS
CEILINGS
FIRST FLOOR
WALLS 'A'1 0 5 c� 12 -t
CEILINGS
FLOORS `f
ADDITIONAL FLOORS
Roo F 51 c -�
WALLS
FLOORS G
L.
CEILINGS
CHIMNEY
DOORS y �-
L'
MISC.
CITY OF FRIDLEY - INSPECTION DEPARTMENT
BUILDING REPORT
DATE 1 7-2 INSPECTOR`S
OWNER
ADDRESS
EXTERIOR—, PRESENT CONDITION CHANGES NECESSARY
17
EXTERIOR WALLS
^e
SILLS
DOORS
WINDOWS
ROOF "
CHIMNEY
SOFFITS
ACCESSORY D ( Al�
BUILDINGS
GENERAL SITE i _
�- � � � �
b
MISC,
CITY OF FRIDLEY - INSPECTION DEPARMBNT
PLUMBING REPORT
DATE INSPECTOR
OWNERS NAME
ADDRESS
PRESENT CONDITION CHANGES NECESSARY
SEWER
WATER
WATER PIPING
GAS PIPING
WASTE AND VENTS
FLOOR DRAINS
LAUNDRY
WATER HEATER
WATER CLOSETS
SINKS
LAVATORIES
BATH TUB
HEATING FACILITIES
MISC.
CITY OF FRIDLEY - INSPECTION DEPARTMENT
ELECTRICAL REPORT
DATE INSPECTOR
OWNERS NAME
ADDRESS
PRESENT CONDITIONS CHANGES NECESSARY
SERVICE
BASEMENT
LAUNDRY
FURNACE
ATTIC
GARAGE
KITCHEN
BATHS
DINING ROOM
i LIVING ROOM
BEDROOMS
STAIRWAYS
MISC,
1
APPLICATION FOR WRECKING PERMIT
No.
Fridley, Minn.,-
Inspector
inn.,Inspector of Buildings,
6431 Univ. Ave. N.E.
The undersigned hereby makes application for permit to wreck the building as herein specified, agreeing to
do all work in strict accordance with the City 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.
LOCATION OF BUILDING
No. Street Part of Lot Lot Block Town. Addition or Sub-divisaon
DESCRIPTION OF BUILDING
Front Depth Height Stories Type of Building No.ofand Construction Dwlg. Units Taxes Paid To be Completed
3 -'5t- L
Owner '✓ '` J� Address ✓� f� �`
Content: Cubic Feet Estimated Cost of Wrecking $ 7S
Approved by:
J
Water & Sewer Department
Utilities Notified:
Minneapolis Gas Co. (date)
y
(Titl y
Northern States Power Co. (date) J
(Title)
Northwestern Bell Telephone Co. (date)
(Title)
Signed — ✓ ` � - ���GGA
Wrecker
GENERAL INSTRUCTIONS
(See Copy on Other Side)
I
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1
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GENERAL INSTRUCTIONS
4
The following must be secured before wrecking permit will be issued:
1. Tax receipt showing that all real estate taxes due have been paid. Dupe
licate receipts may be obtained at Anoka County Audtor.
2. Approval from the- ridley Water and Sewer Department showing that
bills chargeable against the property to be moved have been paid and
water connections have been discontinued at the curb line or at the
r' main. (See reverse side of form.)
3. Notification to, and signature of utility companies: (See reverse side
of form.)
(a) Minneapolis Gas Co., 739 Marquette Ave., Engineering Department,
Foart-h-door.--__`----
(b) Northern States Power Co., 15 South 5th Street, Application and
Extension Department.
(c) Northwestern Bell Telephone Co., 224 South 5th Street, Business
Office, First Floor.
CA- )�
C 0
11 250-8-58
v ��
City of Fridley, Minn. 11 ,39
6431 University Ave. N.E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: - April 27. 1972
•Owner. Kowalzek Builder --3ZMeL..................................................................
Address - 5829:_211tjLqet_.N.E. ____ Address ......
LOCATION OF BUILDING
Na 5829 Street _2? Street N.E.
................................ Part of Lot
Lot— 23 Block __......_..22_._._._._..-......__. Addition or Sub-Division Addition ...
Corner Lot Inside Lot -----.-- Setback .................................. Sideyard ..............
Sewer lClevation Foundation Elevation
DESCRIPTION OF BUILDING
To be 'Used as:
Wr.pck Rmise -_-_ Front Depth 34 -- Height
Sq. Ft. ......... Cu. Ft.
Front Depth Height Sq. Ft. ...................... Cu. Ft.
Type of Construction ................-----.Est. cost 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 provision's of
ordinances of the city of Fridley.
In consideration of the payment of a fee of permit is hereby granted to._._..Mrs. Kowalzek
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
Nithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
"Iding Inspector
CLARENCE BELISLE
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 RESIDENTIAL , ALTERATION,
OR ADDITION BUILDING RtRMIT
CITY OF FRIDLEY, MINNESOTA
ter..
OWNER'S NAME: ee C4" P91- & BUILDER:
ADDRESS: ,S—�' j �z -5 F /�� 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:
o .� Front: kDepth: j 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 for a permit for the work herein
specified, agreeing to do all work in stf ict 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: 2 SIGNATURE:
(See Reverse Side For Additional Information.)
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