AF - 46015M. O. WATSON. Citq Mana�er � � r�,y WARREN ARM3TItONG, Mayor
ROSELLA C. LAWSON, Clerk & Tresenser �'�� ,(X� ��,���,�'� �'[Q,[1�.� EDWARD CHIES, Conncilman
W. E. COTTftELL, Chief of Police .c� i ROBERT KING. Conncilmaa
FRANCI3 W. BA33ETT, Fire Chief COLUMBIA FiEIGHR'1�5, iVIII�. C. L. McCLINE, Coancilmsa
FLOYD C. LAWSON, GYty Asseseor 590 - 40th Avenue N. E. JOE J. OREND01iFF. Conncilman
SUnset 8-1613
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August 29, I961
Builciing Imspector
Fridley�, l�tinnesota
Dear Sir;
Following i5 an excerpt From the minuies of th� Colu�bia Heights
Citg Cowaeil, August 28, 1961:
"Motion by Bing seconded by l�awrocki that the request of
Graden E. Ervi.n for prieate water an.d se�+er �in connections
to sexwe �.021 California Streei be gx�nted upon pay�aent oi
the proper feesn.
Iours trul,ya
U 1�.� �� . � ,%��j�
/ � �/
Mrs. g. H. �tygaard, Secretar� pro-tem
to the City Council
City of Fridley, Minn.
BUILDING PERMIT N� � s s s
Date: .......: � ""."�:, �.� �'""_..�iiC..�. ._.__-__ .
�Y � _
Owaer: . � . ._.'��"��� ' Builder _. ..:�._:..___._..
Ailclress._.._.._....___..___...._._..._._... ._..._._.._. _ _.._._..___._._.. AdBress _._..._.._...._.._....._._.._.�_____..r.r..__�_..__�.__
, ' - � � . _..._._..
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x�� W > : ON�OF �
� No. �'�;� �attree+�t _ ._ ..... Pafct` ` ' f.ot � �
, . , � ..._..
_. .� _... � .M.
.. /�� I
� �/2 �i % ._ .._.__...._. Block ._...�.._.. ..... ._... Additian or Sub- vis�i�� �.i'i+�.-
/ �
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� _.____.:......_.._w �de Lot ....:�:� __. Setback . _...__.._._ Sideyard _.:��._....���
Sewer Elevatta�t _.._.. ..._.._.._..._.._ .,� Foundation IIevatio� _.._.._.._
,�''`�, . .... .� '''`
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. .. DESCRIPTtON OF BUILDIlt��� �`� � :� ".''� �'` '
*7,��q � � � - � ' � .r � :Y
T VDC�i .` J ,•
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Front �� . Depth ...� Height _.�:. Sq. Ft. Cu.
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___ �.. Depth t' � Sq. Ft Ca. Ft.
Type Construction _. �..���.. Est� Co�t . _._..._ To be ComPleted _.._ ,
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In consideration of the issuance to me of a permit to construct the buiIdinB de�cribed abov+e � a8rei'! � dc�
the Proposed work in accordance with the descxiption above se�t forth and in• caompliance with sl�l p�av�� n!' .
ordinances of the city of Fridley. ' •
_� .�..
_ .,.
, Ea consideration of the PaY�eni of a fee of $.�.�..5"�_�.._�.._.., permit is t�ereby granted ta
.�.__...._._._.._____.__._._._.._._.__.. to construct the buiiding or addition as described above. Thia permit i� ie� uQon ,
�he express c�sdition that the person to whom it is granted and his agents, emp2oyees and wor�,� �ii w�`k
done in, around and upon said building, or any part thereof, shall confortn ia all x�s �,� ��
k'ridley, Minx�esota regarding locatfon, construction,. alte� tion, maintenance,
, withia the city limits and this permit maY be revoked at t�nv ' u o/V��i�n���tny a� the pa�ovi�c� oE
ordinances. �r �
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NOTICE: � �i'
Yhis pan�it doa not eov�r tt+� een�ruetion, LutalLiia► for wlriiY. �W f+� 1�NAY, �r�t er wahr. /� wn N aN
fh� Buiidiu� letp�elsr fe� sqarN� p�hs for 1ha� il�an. Y -;,'
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Owner's
APPLICATION FOR BUILDII3G PERMIT
CITY OF FRIDLEY, 1�tINi�ESOTA
�' � �
Name ( ��,���� �i � r � /��/�' � Bu ilder r ,
�� I��r��l I
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Address � d � f/�� s,�, Address
LOCATI�N OF BUII�DIN
• I' � , �
No.�-,��� Street , Part of Lot
Lot 1 Bl.ock Addition or Subdivision
..1 ��/�.
Corner Lot Tnside Lot Setback-:�Side-Yard � ,
SEV�ER ELEVATION FOUNDATION ELEVATION
Applicant attach to th is �orm Certi�icate of Survey of Lot and
proposec� building location.
DE�CRIPTION OF BUxLDING
To be used as<
�� „�__„____ Front_�, Depth ,� f� Height �
s�. Ft. /! � P� c�u. Ft. -
i��t Front�Depth t' �Ieight � �
Sq . Ft . ?" ,� �% Cu . Ft . U�
i��Type of Construction .�i�•-i � Estimated Cos ����
To be Completed � 6 �a�� �'
......., _�_ ...� .
The undersigned hereby makes application for a permit for the work
herein specitied, agreeing to do al]. work in strict accordance with
the City of Fridley Ordinances and ruling of the Department of Build-
ings, and hereby declases that all the facts and representat3ons
stated in this application are true and correct.
o / _,
DATE � � � ✓` � Gv f SIGNATURE �LGL�� r � y;��, -1-,���,
0
(Schedule of Fee Costs can be found on the Reverse Side}.
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City of Fridiey
App�t�c�ian for P'lumbing and Gas Fitting Pern�it
Depi. of Bldgs. Phoae SU 4-7
DESCRIPTION OF WORK �
Number, Kind and Location of Fixlures Locatio
p y� � N Qp: '� �n w w Z � ` WATER HTR.
FO �'- F=-�m = Y=} Z� 3 O< �<? � �ny z w
3t� � o� � � 3� o� N LL o u� <3 �at� ��C �p F N GAS ELEC.
Base (1� � �L
�st ►
2nd
3rd
4th _
• Fuiure Connectioa Openings
* New Fix2ure, Old Openiags
PARTIAL RATE SCHEDULE
Sewer �
Cesspool ('j
PLUMBING FIXTUAE RATES: NO. RATE TO'FAL
Number Fixtures • $ � � '� a
.....................� x $1.50 �—
Future Fixture Opening . . . . . . . . . . . . . . . . �1 x 1.20 $ � ' G
New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $
Catch Basin . . . . . . . . . . . . . . . . . . . . . . . . . . . x 325 $
Water Heater (Up to 200,000 BTLT) .... ..—� x 2.00 $:� r U v
New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
lst 3 Fixtures . . . . . . . . � �_�
..................�_ x $1.50 $�
Additional Fixtures .................... x .5U $
Gas Range to 200,000 BTU . .... ... .. .. .. x 2.00 �
REPAIRS Sc ALTERATIONS—Refes to Code
Description .................................. .........$
TOTAL FEE $�v
City of Fridley:
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The undersigned hereby makes application for a permit for the work hereu
sgecified, agreeing to do all work in strict accordance with the City Ordinance
and ruling oP the I3epartment of Buildings, and hereby declares that all the fact
and representations stated in this application ,Are true and correct.
Owner �8(/'-�^
Kind of Building �
Used as
To be completed about
Estimated Cost, $
Old Ne uilding Permit
ROUC3H I n" I �"�+' �
FINAL
0
az ]M
0
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�91
` AP'PLICATION FOR HEATING OR POWER PLANT AiV'D S�ECIAL DEYiCE PERM�T
0
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE
Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . 8.00
Replacemen�t of Furnace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.00
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . 4.00
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.00
MECH. WARM AIA
Furnace Shell & Duct Work to 120,000 BTU . . . . . . . . . . .
each add. 60,000 BTU .................:......
Replacement of Furnace ............................
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 ... ..........
TOTAL
$
$
� --
$ —
8.00 $��.�i
1.00 $
4.00 $
4.00 $ _
2.00 $ _
t
SZ"EAM or HOT WATER SY3TEM
A
' Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ _
r Furnace Shell & Line�—to 640 sq. ft. EDR Hot Water ... 8.00 $ _
Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.00 $ _
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . : 2.00 $ ___
OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 4.00 $
- over 3 gal. per hours—.See Fee Schedule —__
GAS BURNER .......................................... 4.00 $
GAS PIPING (Up to 5 Fixtures) . . . . . . . . . . . . . . . . . . . . . . . . . . 1.25 $ _
AIR CONDITIONING �
FAN HEATING SYSTEM � See Fee Schedule
VENTILATING SYSTEM �
TOTAL FEE $�C,��-
REMARK$:
,
Dept. of Bldgs. Phone'9�- �'
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The undersigned r by makes application for a permit for the work herein
specified, agreeing' to all work in strict accordance with the Village Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations s ed in t's pplication are true and correct.
inn. _- —, 195—
Owner
Kind of Building —_
Used as —
To be completed about
0
195__
195____
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Estimated Cost, $—/ �.k,�
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Ol New. uilding Permit No. __��� � G __ � 5
�—`_._.
DESCRIPTION OF WORK
HEATING or PO ,ft PLANTS—Steam, Hot Water, Warm Air—No.__
Trade Name . Size No�d.—�__
Capacity � d�Sq. Ft. E.D.R. BTU H. P.
% ,� �-, %
Total Connected Loa� ��� — Kind of Fue�
���
BURNER — Trade Name—_____.___ __.-_ Size No.—_—.______—___
Capacity Sq. Ft. E.D.R. BTU H. P.
1 1 2M-5-58
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`f t ..`,, �1 e T. %�T(�(. �"'� 7�' �.-1
D-J6 ��9 i�'�r6.�
HEAT LOSS CALCULATIONS DEPARTMENT QF BUILDINGS M1NNE.A�'t'�,15. MIN�1• `
Weatheratrips A.5.H. . Conatruction No. InauiaEiat
� _ Guide
ws rs Reference Oat. Wall Int. Wall Ceiling Roof Floor Kiad Mo!�� �
e No e No 19_
Fl.� ' Room 'Caen�th .�,1 Width Height Fl.� 9 m Lea�th �.�€idt#� Height
Wtn ows and Doors—Crackag� and Area Win wa and Doors--Crackage a Are�
SV1dth Height No. ot Llneal t. Area Wldth Helght Na oi L1AN1 Lt. ,�"t�.��
No. � ot yane of pane �lights of crack � sq. 1t. No. ot pan� ot pane Ilihts Ot Crtck. . t�- �. �
.. � � q �� v � . .
i, � _
� + •� y yp Coef. Btu
1n61tration f 3 „� �- 3 0
�aaa � p �
.Exp. wall ,� �,,
Net exp. wall jj a,2,
Int. wall
Ceiling
Floor
Total Btu.
Required sy. ft. E.D.R. or sq. ina. W.A. Leader area
Fl.� Room Length Width Height
Windowa and Doors—Crackago an Area
Wldth Hetght No. ot Ltneal tt. Area .
No. ot pane o[ pane ll[hts oL crack �Q. tt.
�%" y .S�
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.�•� ,p�
Coef. Btu
In6ltration ,?,�
Glaaa ,Zi ?.� 1 D
Exp. wall �'3
' Net exp. wall Z .i 1 O
: Int. wall
Ceiling
Floor
?otal Btu.
Required . ft. E.D.R. or sq. ina. W.A. Leader area
Fl. Room � Length � Width Hei
Windaws and Doora—Crackage an Area
Width Height No. o[ Ltneal ft. Aree
No. of pan ot pane llghte ot crack eq.� ft.
y �? v .�
Coef.
Infiltration � , j
Glaaa J'b
Exp. wall -
Nec exp. wall p
Int. wall
Ceiling
.
}� loor
. Tota1 Btu. '
Requirtd aq. ft. E.D.R. or aq. ins. W.A. Leader area
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Infiltration
G18fE ,
Eap. wall
Net ezp. wall .�
Int. wall
Ceiling
loor
F
Total Btu. �
Required sq. ft. E.D.R. or �q. iaa. �NN.A.•I.a►e�' are�
Fl.l Room ( � : �'� � � �
Wincbws and Doom�--Cracka� aaid A�ea ,
W18th Hel;ht No. ot' n�Rl
Na ot pane ot yane Ilrhb ot ctack ik. "
Exp. wall y
Net ezp. wa11 a .
Int. wall
Ceilin .
Floor
r
Total Btu. s
Re ired . fG E.D.R. or . ies. W.A: Leader a� :- "-
I
9u s9 sA
�.� �� � c��� w�► i t�g�,r
Win�wa and Dcors--Crackage �d Area
Width Heljht Na of aaai it AtM
No. ot psne ot.paae Il�his ot crack , tt;
Coef Bcn
Infiltration �
Glaas ,�j"� �
Exp. walY ' ,�'�
Net exp. wall p �
Int. wall
Ceiling ' .
Floor�".
Total Btu. „�
Required aq. ft. E.D.R. or sq. ina W.A, i�eadrst at+�a '' `
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THE MINUTES OF TI� REGULAR C()UNCIL MEET:liVG OF r1AY 7, 1973
APPROVAL OF MINUTES:
SPECIAT COI:iVCIL 5?'SSIOIJ, MARCIi 5, 1973-
PAGE 2 .
MOTION by Counci.iman Starwalt to adopc !i�e mi tes of the Special Council Session
of March 5, 1973 �,> presented. Secondcd by ouncilman Nee, lip�n a voice vote,
all voting aye, rtayor Liebl declared the tion carried unanimously,.
G OF API2IL 2
MOTION by CounciLman Nee to adopt ia minutes oY the regular Gouncil Meeting of
Aprii 2, 1973. Seconded by Coun lman Breider. l:pon a voice vote, al1 voting
aye, Mayor Liebl declared the tion carried unanimously.
G NIEE'lING �F AP.�I1. 9, : J73:
:1{�'�ION by Councilmat� Bre"� er to adopt the minutes o£ the Yub'.ic i{earing Meeting
:�t r�pril 9, 1973 as pre ente.d. Seconded by Councilman C�.��r. Upon a voice vote,
alI voting aye, i�1ay��r .iehl declared the n:otion carried unanimously.
AGENDA
MOTION by Counc' man Starw.,.lt to adopt tt�e agenda as prese�ited, Seconded by
Councilman Utt . U2.r�n a voice vote, all voting aye, Mayor Liebl decldred the
moCion carrie unanimously.
VISITORS:
�R, HENRY Z I1�II�IER , 4021 CALIFORN TA :
Mr. Zimmer said he had called the Mayor and asked him to look at the area in the
vicinity of his home. He said Mayor Liebl had visited the area the previous
SaCurday in his absence and he thanked him. He said there are many problems in
the area and the main concern is the drainage. He added, the Railroad had promised
to take care of the dra.inage problems, but had done nothzn�. He said he had also
talked to the Engineering Department and they had promised to do something about
the water standing in the area. He said at this time, they plan to do nothing.
He said the area ha.� been seeded, but it had grown uver with weeds. Mr. Zimmer
said he had hoped this matter could be placed on the agenda for Council consider,
ation, Mr. Zimmer said he had talked to a few of his neighbors about the prob-
lem and they were in agreement with him that somethiag had to be done, but they
did not attend the present meeting. '
Mayor Li.�bl said if the Administration can handle the matter, there would be
no need tp bring the item before the Council.
Mr, Kohlan addressed the Co il stating the process of establishing the Islands
af PeaGe as a non pro£it founda had been completed.
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REGULAR COUNCIL M&7ING OF NOVEMBER 4, 1974 PA�E 2 �
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The City Attorney said this is destructian of private property•an is should be �
dealt with by the Po1i Department or Prosecutor. He stated t s would be !
trespass and destruction of private property. f�
± Mrs. Pat Brennen, 6717 7th St., said whe had written etter to the Sun. She f '
- �� . .
recalled that she had heard sane men talking belo er bedroom window at 2:00 A.M. -
and then saw them drive off. She sa�d this h not allowed hert� sleep well since ;
this time and she felt that this was a mat of sheer terror and fear. �
I ,
� PROCLAMATION: .
"H�LP YOUNG AME�A WEEK" - EMBER t7 - 23 1474:
P4ayor Liebl called on uncilman.Utter to read the Proclamation. - _
MOTiON by Counc lfiian Utter to adopt the Proclamation, "Help Young America Week", i _
November 17 rough November 23, 1974.-Seconded by Councilman Nee. Upor,.a voice
. vote, all voting aye, Mayor Liebl deciared the motion carried unanimously. �
NEW BUSINESS: • ."�, _----._-_,,,� �
RE UEST FOR DISCUSSION REGARDING DEVELOPMEN IN BURLINGTON NORTHERN�7Y, 43RD 4
AND EAST RIVER ROAO RE UEST BY HENRY ZIMMER :— - �'
•�Mayor Liebl explained he had talked to Mr. Henry ZiRmer and had directed Mr. Zimmer ; �
ta prepare a tetter to the City Cauncil concerning this so he would not supersede �
the Ward Councilman. � _ _ . '�
Mayor Liebl read the letter as submitted by Mr: Zimmer with the four listed areas i
of concern. !
Mayor liebl referred to the first area of concern, liability for the damage to the ��
,,: 2immer property caused by blasting. He asked Mr. Zimmer if he had submitted any
claims, or had his neighbors submitted any claims.. Mr. Zimmer said he had no-� .
isubmitted a claim, but there were cracks in the plaster and stucco. He said he had ; -�
`�' talked to a representative of the railroad who had indicated the damage had been : �
� done by settling of the house. ;
The City Attorney advised the resident that he should initially talk to the railroad � 4.
jand submit this claim. He further advised him that after this, the matter should �
� be referred to the railroad's insurance company. He said if there is no action
after this, the individual could file-a claim n conciliaL�on court or municipal : �
� court. ; . �
i � i
� Mr. Zimmer indicated that this may be from �500 to $600. The City Attorney said �
if the amount were $500 or under, this could be sett1ed in conciliation court, �
� and if more, this would have to be taken care of in municipal court. The City •
j Attorney advised Mr. Zimmer to check with the Clerk of Municipal Court during the �
�' warking hours. He further explained that each side would present their evidence ; �
� and the judge would make a decision. - ' `
{ g
� Mayor Liebl questioned the Attorney's fees in such a case for a$500 claim. The : �
City Attorney said this would not be true if this v�ere conciliation court, there �
1 is only a$2 filing fee. ;�. K
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' Mayor Liebl asked if there are any others who would have such claims for damage' �
4 done.by the blasting. � �
I � Mr. Anthony Pikus, 4036 Main Street, addressed �the Council and said he lives in I'
I� the same area as Mr. Zimmer and he also has damage. hir. Pik��s said he did not ;
� know the dollar amount of this damage, he could not say. �
:
ICo,uncilman Breider questioned if there had been meetings ��ith the people of th�, .
( area and the railroad. He recalled that this had been the case and asked if the !
minutes could be researched to determine this. He recalled that the people of the � �
area had come in and voiced concerns about the blasting and they were assured by ;
the railroad that any claims would be taken care of. �_ A���e O F ��- /r'�1J �
a 9'�' ��► • � a��,rrG - d
The representative of the Railroad, Mr. Qonald E. 0_ �7 6 5 t h, S t. Pau l, sa i d t he
` insurance company for the blasting contrac� tor wou5d handle such claims. k{e stated �ir+�C�/; 0�' �
t that it had been some time since the pmpletion of this work, and if this insurance
{ is not in effect, the railroad insurance would take care of this. �
4
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156
. REGULAR COUNCIL MEETIPJG OF NOVEMBER 4, 1974
PAGE 3
the Administration work with the people of the �
Councilman Breider suggested having
area in obtaining the estimates, and if there is no action from the railroad, they i
could qo to court action after this. : .
MOTION by Councilman Breider to direct the people of the area to work with the
Administration to formulate the plan for submitting the claims with copies of these . :
claims being retained at City Hall to keep track of the action taken. Seconded hy -
Councilman Utter. Upon a voice vote, all voting aye, Mayor Liebl declared the :;
motion carried unanimously. . ` i �
Mayor Liebl mentioned the lighting of the.area.and_asked.if it would be possible � .
to regulate and control this so it does not shine in the homes of the area people. ' i
Mr. Pikus said when it is dark and no lights are on, he is able to walk around his �
house beeause it is lighted by the railroad lights. _
Mayor liebl asked if the berm had been instalTed and Mr. Zimmer said it had, but the �
� lights are higher than this and shine over it. Mayor Liebl asked if the fencing i
had been instalied. Mr. Zimmer said yes, but they would like.to have the strips �
instalied in the fence.
The City Manager said.the railroad.had.talked.about:some.fencing and.strips.for the ` `
- fence and also some planting for this area.-_He.mentianed.that the landscape plan �
had not been approved by the railroad at the present time, but would be done in'the . �
near future. He said they would be working on this plan in the spring. 4
The Representative of the railroad assured the area residents that the landscaping
would be carried through this area. He also mentioned that the flood lights are
still in the construction stage and perhaps are not focused and directed proper�.y �
at the present time. �
Mayor Liebl asked Mr. 0'Leary if it would be possible to have a meeting with Mr. �
Zimmer to enable them to reach a satisfactory conclusion to the lighting problems. ��
Mr. 0'Leary said he would do this.
Mayor Liebl said he hoped the landscaping plan would call for the planting of trees
; on the berm to reduce the amount of ]ight and noise. Mr. 0'Leary said the land-
� scaping plan would be brought to the City for approval before the work is done. f�
? Mayor Liebl asked if Mr. 0'Leary would furnish a copy of the plan to the area j
j property owners for their approval. Mr. 0'Leary said this could be done. +
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,� C DERATION OF A RE UEST BY TRI-CO BUILDERS, INC. CONCERNING L07S l AND 2, BLOCK :
5 SPR BROOK PARK ADDITION: �
�
MOTION by Counc' an Utter to receive the letter from Tri-Co Bui7ders, Tnc., James
E. Gearge, Treasure ted October 30, 1974. Seconded by Councilman Starwalt.
Upon a voice vote, all v'ng aye, Mayor Liebl declared the motion carried unanimously.
Mayor Liebl questioned the Assess on this type of action and whether or not it
would conform to policy. -
The Assessor answered he would recommend tha he special assessments not be
reduced or the residents of the whole City woul able to bring up the same
request. _ .
A representative of Tri-Co Builders said the letter of re st had stated that the
• Company would pay all of the special assessments, but in the ter they had asked
that the back taxes and penalties be waived.
The representative said the property would be a buildable site without e additional
30 feet which is being referred to at the present time. „
The Assessar said this would have to be done at the County level with approval b he
State.
The City Attorney said there is no guarantee that this could be done by the County.
He suggested the Assessor work with the County for this type of action. The Assessor
., said he owuld help in anyway he could to get the taxes waived at the County level.
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F�larch 10, 1975
Mr, Donald E. �`Leary
Manager of Construction
Planning-Engineering Dept.
176 5th Street
St. Paul, Minnesota
�U�� Pr�
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Re: Damage claims submitted as a result of blasting operations
at the Burlington Northern Northtown Yard.
Dear Mr. 0'Leary,
On March 3, 1975, Mr. Henry Zimmer submitted a copy of his
report of damage and relating correspondence to the Glty of Fridley,
Ne indicated that he has been in contact with the blasting contractor
and Burlington Northern regarding his alleged damages as a result of
the blasting operations. He further indicated that he has not
received any response from either party regarding his claim.
At the City of Fridley Council meeting of November 4, 1974,
you stated that the insurance company for the blasting contractor
�ould handle such claims. However, you did caution us that it had
been some time sinee the completion of the blasting wor[c and this
insurance may not be in effect. You assured us that if this is the
situation the railroad insurance would take care of it.
We are expecting pr•ogress reports from you regarding the
varlous unanswered claims submitted as a result of the blasting
project. we are certain that you desire to resolve these problems
as soon as possible. Thank you for your cooperation in this matter.
CVM/as
Enc: 6
CC: Mr. Henry Zimmer
4021 California St.
Fridley, Minn.
f�,,�i,�C /
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Sincerely,
d"' �'
CL E U. MORAVETZ
Sr. Engineering Aide
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REPORT OF DAMAGE
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Name�s� of Property Ownerjs�
2. ����-'�—'.,_�� � _i_y� C� � ��_ C� , _S �i �
' Address of Property OwnerLs�
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Address of Damaged ProperFy � � ' ,
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'Date Damage Occurred „ '
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Description and Locafiion of Damage �-. ��•- �►� L�� r� r r�,r f�, �� P �� .� 'y �,
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Date: :'t1L."3[�- �.'�' - �—_ , 1972 % ` , . �
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Signature of Prope`rty Owner � �; �
RECEIVED by �,.��L� ' "c � -_ y_ ��!'� 5��-,�, ,,�
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City Manager of Columbia y � Signature'of Property Owner ` S �� � h
���/ Y � S'� C �" O Q� Q c� J ./ o r� f' � c �.
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Date: -- ---- ----� 1972 i%�a /` � ��' �f� �s'
THIS FORM IS IN THREE PARTS. THE PAPER IS SELF-CARBONIZING.
NO CARBON PAPER NEED BE USED IN MAKING OUT THE FORM.
� INSTRUCTtONS
I. The form should be completed and signed,by 1hs Properiy Owner[s]. The whi+s end yellow copies should b• filed wi4h the Ci+y Manager of Co- '
lumbie Haighfis and the pink copy reteinod by the Property Owner[s].
II. Item 3, "Address of Demeged Proper+y", need not be filled in if the answar to thaf question wquld be ihe same as the answer fo 14em 2, "Address
of Property Owner(s]". , •
111. As ot Item 5, "Description and Loca4ion of Damags", 1h� informefion should identify the room[s) and erea[s] wh th�mage exists end e
general descrip+ion of +he damage should bs given. t �s
HOMI: OWNEkS COi�iSTP.UCTIQN StiRVEY
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ADDRESS:
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DESCRIPT'IO`� 0?' F]Ct:"�'d: ' � ..
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DESCRIPTION pF �;XISTING DAMAGE, IF ANY;
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DESCRIPTION OF DA1`L�1GES aLLEGED SINCE START GF THE PROJECT;
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DATE ` � �/ ' � V
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SIGPIATURE OF $Orf� OT•TNEP. • � L,i?� �`"'`� �/"� 'r
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SIGVATiJRE OF IriSUP..�.IvCE COMP REPKF�IT�T �' �;.' =; , T
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"Nel.rtonc Your Home "
Joe Nelson Stucco Co., Inc.
1150 98TH LANE N. W. • COON RAPIDS, MINNESOTA 55433
PHONE: 757-1820
a
Janua ry 10, '.975
"rr. Henry "irnmer
la021 Californi a St. N. P,.
i�:'inneapoli�, }�n. 55l�21
Re: Stuccc bid
Dear 1�r. Zimmer:
P7e are nleased to su *�it the followi n� bid for
trvo coat redash at the a- o�rR addre�s .,,,,�f�7.00
WE, anpr�ciate your contacting uG.
V�z`v�/t�`ulY �ours,
^ � �G? c.t�c-Q Q��.(!a..v✓
,T�e Nelso�ucco Co., Inc.
F;velyn B�. Ne� s�n, SeCy.
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lNSURANCE DIV(S10N
�uint �ttul, �,�inn_ 551Q1
• ' • a ii�>n_ • - �i:�imer
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Cc�i�:;i�>Tl'?(: 7_?1: ,1"�T1CP Cpi:i?7c321��l.
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State oi Minncaota
In�urencc Divisi�
St. Pi�l, Minnasota 55155
Attention: Wm. J. Elliott, Supervisor
Claime S�ettioa
Ite : Mr� . Hsary Zi�ansr
4021 Ca2ifoznia N.E.
Fridle�, Mi�3ota
M$rch 24, 297?.
5542i
awr �'i�e: a.o�o�L-i�ess5
Owc ia+tured: Barton Contracting Co.
Geatlemen:
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x have ywr inqdiry o! tlarch 14Ch snc2ositLg copy of camplaiat bt Mr�. Nenry
Zi�er.
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TAis ie ate of s are�tC av�eber oi cl.nims that ��re have received. The gvrling•
toa Noxthern, Iac. Reiitoad Fure t�akiug a t'wther extenaive exp�nsiaam tt�ir
yards ia �t area �h�th involv�es rou�hl� a$3S uillicm expatieioa. Partc
Cvnatru�tion Campa�r nr� Che gaaeral coatruct�r� an thia jab aad our insured,
Bazton Cvatrec�ia� Conq�anq Arq ss�bcontrsctora. Pert of their werk iwolvem
rea�val of a rock 2�ga whlch istn+olvea blasting. Thia project rune thtaagh
Coimnbia fleighte, Ftid2e� aad ppst of l�ia�epoli.e. As expectad, oa a job
of thia maguitude, tAe�xs is goi�g to be saae camplaints of ivaanv�nieaco from
the rseighbors in Ehe a�re� and oo thie particular Job the res:ldeuts of the
Village ef Fridl�y t�� beca the big c�eaplainers �nd thJ.s has mota or l�ss
Curaed into a politie�� faotboll �ilh tht ca�laia�s Aade Co the vil].ag�e
offiai�ls. •
AI1 pa�aibZs pr4c�utiops twe be�n �ake�j e� thia job, teaCs and �eismagraph
re.adinga �de by •�wiu Citq �nglct�zing eompeny oad whecz th� eoeplais�ta
bagan to come in c,e �a11od in en mtpe=t tsrom Vibra�ian Da�oag� 8p�ecialiete of
Lauisvillm, IU�tu�akY, i�r. $tx�htt,�et i€eee�oa. Mr. Ma;�az� ia oms of the most
qu$1if33d man we eanid fiAd io ths tqMqtrq. H@ ia regi�tered erchiteCt, a
�gr of the /tn�eric.sa �ts�itests oi Ate2liC�cts, a R�giatered Engineer, a
M�m�sr of the Na�ioa,at So�iety orf P�ofsaeianal Lngiaeera, Director of the
2nternationel SocioCy o! E�icalv� Specislieta,a Member o! the Saida�oiogicel
5v�leCy o! 1lceer�c.e a�d �ar oi tiis Arserican Ceologicsl Znstitute. He spent
twa dtya in thi� area insyectiag tho bleating opsrstions and, sccatpanied �y
th� Gity Cansulting Laginee�r. ivapected aa�eroue houses wherQ co�plain v�f
demage had be�u mede. �e c�f the reaidaata that he inapected �se the Zla4er
hama located at 4�22 CaliEorni� Street� Ftidley. Thia ia a ona story h�ms
dwelling �:ith baeetient, areCted !�ar• a,�p, The daauge d�;�igaoted by I�t.
Zi�aer was ee �ollaws:
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Mr. 'Wm. J. Eliiott II. 3-24-72
1. SheettoCk ctscics !.n the livittg room, kitchen, hall, t�e
bedroaor� aad basa�raac stairwny.
2. Crack ia �he bteaoen�.
3. Crec� intlbe atCsched garage sleb.
4. Crecks i�► eact�riar stucco.
With r�gar.d Go tY!eoe co�rplaints 1�. �on reporta following hie inspection:
Itrm i. The st�e►atrock cracks er� tow and very �light anci a� cert�inly norm�l !or
a hvuse of this cyp� and �a. Svr rre �a c�y .aa cQ bs d�.fflcu�t ka se�e. 0�L
thaae cracke togethaz coald ba lost in on� of the smaller cracka in �y �ouee and
it'a amazing th�t s�atsaaable advlts wauLd co�cern ttremselvee ���h �u4h iasigui-
ficanC thictga. T'hay are c�ed by taormal expanaivn end contraation� shriakage
of the wooden atruct�ur�l o�or� �ud i�zoper ap�licatiaa ef �he aheetroak.
Item 2. �'h,� cracls� in tt�s baeemmnt are in n vertical corner where en interior
p�:itioti m�e�s the pcLQSier focmci�►tioa wall. IE alao i� vecy diffieult Eo �ea
and could hardly bo dignified b� beiag ealled a"heirliae crack". It le cauaad
by d�fferantial expane3au creaCed by tb� exterior wall boiug eold and rhs intexio�r
parti,ti,om► being waxm.
Itam 3. Th� cracks in the atttat�d 6etrtse slab are ser.ious being almost an iac.h
wi(le. �a City coaA�Caat en$in�e�c wha Acc�nieci us �teked ttiat fresb w�� havs
"heaved" �p the fvundatfaa (�ch .�e shallow here) end cracloed it a�aay fxue� ttu
81.ub. IC is ay oplaioa th�t tha f�ll un�Qr tha alab kae not p�oD,O�� aa#�pacted
(ie i� ubove t�a �du) aud �attle�at reeulted. In either cese, bleating
vi.brmti.oas could not causp thiQ dr�ma�e �rlthaut complet�ly demolishing tbae upper
(ar�d we�sk.er) past oi tt� ha��. Aa it waa, uot mvan a window y�s was �rscked
ia t2� houee.
Item 4. xt�e stucva eraoks wlrre es�teed by the same reasans es the p3+,�t�ft. This
top te norcmal and I h��re never seen a sl�sco hos�e 4�ithout crtcka. The priaci�al
fallacy in Mr. zimae�r'a claie ie tAet he canteads ttuat hia hauee �avld b� frew
of cracks except fos tha blastl.tt�. ?bese ara no house� of thia type aad age �rte
of crncko.
This �ou9n ts abaut 340 teat frva� the blsating. At thie distance ��000 tbs. ot
dyuern.tee cauld b� wed wiY.t� each delr� cap Wi ttiout cre_�ting �ny cracks. Oaly
8�: lbs . waxa aaLuall�r. �,�actd pss da�a� e�,p sud I e�cperie�teed a�erlrs of aach
bleste in frone of �hia hoaee arer a�+o daq period. Atl were of insigcrifict�nt
ta�agait�de and eompletalY iucapsbls ot ds�ragin� tt:;s house.
^�3 1�'rc�aa the alaiws Chat exe bein� pze�eoted ws suepect that �t�et� thi� blastiag et�rtad
s�reat ne�or o! peo��e 1n the urna atartcd go�ng ovor their t�o��se finding eracka
t�,�,}► had naver aotioed bafor� and blsmad them on the blasting ope�ation. Tha
smau�nt of dynnmtte usad ip e�taD bl�et and the seis�graph read�,s►gs that are beieg
taken subatantinlly eupporb auc t6eory that with the� small amaunt o� dyn�emtto
beittg nsed it w�ou2d b� is�posstblc to cortsidaz thie alleged dasaa�e. �' -.
4n5IXi��--n � n
Wa have no f�tet�tiena of peying a�r of Chsse claiu� and will defenQ them vi6orousl�
unlear Ct�re caa be s�e pasitive evidenc� that damage actunlly did re�ult frae
our operatian.
Very truly your�,
�• ,1' /�,y//��,�f,d'
A.,.. ,., a 'r�r...•r
� BURLINGTON NORTHERN
�
ENGINEERING DIVISION
City of Fridley
6431 University Ave. N.E.
Fridley, Minnesota 55432
Attn: Mr. C. V. Moravetz
Gentlemen:
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t�
176 East Fifth Street
St. Paul, Minnesota 55101
Telephone (612) 298-2121
March 19, 1975
We have received your letter of March 10, 1975, concerning damage claim
submitted by Mr. Henry Zimmer. We have forwarded this correspondence to
our General Claims Department for their further handling.
Very truly yours,
�,, ��
B. G. Anderson
Assistant Vice President-Engineering
DO�L:blw
File: AFE 72-746
� BURLINGTON NORTHERN
�
ENGINEERING DIVISION
City of Fridley
6431 University Avenue N.E.
Fridley, Minnesota 55432
Attenti on : Nir. C. V. Nioravetz
Gentlemen:
176 East Fifth Street
St. Paul, Minnesota 55101
Telephone (612) 298-2121
April 7, 1975
Please refer to your letter of March 10, 1975, concerning damage claim
submitted by Mr. Henry Zimmer covering alleged damages during
construction of our Northtown Yard.
The claim was submitted to our General Claim Department and reviewed
by them. �Je are advised by the Claim Department it is apparent the
insurance company handling the claim has made a thorough investigation
and declined payment because of lack of positive evidence damage was
caused by the contractor's operation.
The insurance company's report of March 24, 1972 to the State of
Minnesota, Insurance Division, indicates the studies made in determining
damage due to blasting. It is apparent there is still no positive
evidence cracks in Mr. Zimmer's house was caused by the contractor's
operation, therefore, we must consider this matter closed.
Very truly yours,
�
/ � � �
B. G. Anderson
Assistant Vice President-Engineering
DO'L:sp
cc: P4r. F. T. Heimdahl
Mr. C. D. Archibald
File: AFE 72-746
,
MEMORANDUM
To: Clyde V. Moravetz, Senior Engineering Aid�, City of Fridley
i
From: Virgil C. Herrick, City Attorney G��'�
Subject: Damage Claims Submitted as a Result of Blasting Operations
at the Burlington Northern Northtown Yard,
Date: April 10, 1975
I acknowledge receipt of correspondence between your
department and the Burlington Northern Railway Company regarding
the above subject.
It would be my opinion that the city has done what it
can to resolve this matter and that if any homeowners claim
damages, it will be necessary for them to institute legal action.
I believe that I recently saw in the newspaper that at least one
homeowner has brought action against either the railroad company
or the contractor or both.
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Mr. Henry Zimmer
4021 California St.
Fridley, :�1inilesota
Dear 24r. Zimmer,
Agril 21, 1975
In =agard to your damage claims against Burlin�ton
Northern, Inc. I am enclosing a copy of my correspondence
from Mr. L�nderson, Assistant Vice President-Engineering for
Burlington Northern, Inc. �
Also, enclosed please find a copy of the memorandum
from the City Attorney indicating his opinion in this matter.
If you should have a.ny further questions please ca11
our Public Works llepartment at 571-3450.
CVT�i f as
Enc: 2
Sincerely,
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Sr. Engineering Aide
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TME CITY OF
FRI L Y
DIIaECTORATE
C�
PUBLIC WORKS
DATE January 22, 1982
FROM �D.P.W. John G. Flora, Publ ic Works Di r.
SUBJECT
Columbia Heights Water
Rate Increase
TO
Nasim M. Qureshi, Ci
MEMORANDUM I
Manaaer
ACTION I INFO.
The City of Columbia Heigh�s passed a resolution on January 4, 1982,
reinstating a previous water rate charge for non-residents at 125% of
the residential rate. Currently, the residential rate is $0.80/100 cu.
ft. ($7.07/1,000 gal.). The non-residential rate is $1.00/100 cu. ft.
($1.34/1,000 gal.).
There are thirteen Fridley residents being serviced with Columbia Heights
water and sewer along Main Street between 43rd and 40th Avenues.
The Columbia Heights water and sewer 7ines were assessed only to the
Columbia Heights residents. These assessments are used to pay the
general obligation bonds which paid for the improvements. The water
and sewer use charges defray the cost of operation and maintenance of
the system. (The sewer rates are not being raised or modified for non-
residents at this time.)
The average water bi]1 for the thirteen residents using Columbia Heights
water projected for 1982 will be approximately $123. The average Fridley
water bi71 during the same period should be $69 or a difference of $54.
An average sewer and water assessment in Fridley would be about $2,700
for a period of 15 years at 9q interest. This amounts to an equal annua7
principle payment of $180. If the residents invested the total assess-
ment at 9%, the annual interest received would be $243. In either case
it is more economically beneficial for the residents to continue purchasing
their water from Columbia Heights.
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1982
��
CITY OF FRIDLEY
8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
Mr. Henzy 5. Zimmer
4021 California Street td.E.
Fridley, NtN 55421
Re: Columbia Heights Water Rate Increase
Dear Mr. Zimmer:
This past January I had prepared a cost analysis of water rate charges
as a result of the City of C7olumbia Heights resolution to increase the
rates for non-city residents.
Councilman Fitzpatrick asked me this week tr� provide you information in
regard to this subject. Attached is a summary of information I had
previously prepared.
The cost of continuing to purchase water from Columbia Heights is
significantly cheaper for you than tr� have the City of Fridley construct
a water and sewer line to service your residence.
If you have any questions pertaining to this subject, I will be glad to
discuss thern with you. I can be contacted at the Civic Center or by
calling 571-3450.
Sincerely your,
��
JOHN G. FLORA
Public Works Director
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ENC: 2
sue�etr MIT .
City of Fridtey 3 2 2 � 6 �
AT THE TOP Of TME TWINS g � � L D I N G P E R M I T
;,
o.
i� � COMMUNITY OEVELOPMENT DIV.
♦y �����
f � � PROTECTIVE INSPECTION SEC. ��,��
� .
� � �'�'� • CITY NALL FRIOLE� SS132 NUM9ER pEV OATE PAGE OF APPROVEO BY
�'""�" ��' 612-571-3450 9t0-F15 10/24/O1 / /
�oe aooaess 4021 California Street NE
t IEGAL �OT NO. BLOCK TpACT OR Ab01TION SEE ATTACHED
DESCR. 3 1 Wilson's Addition SHEET
2 PFOPERTY OWNER MAIL ADORES$ ZIP PMONE
Henry Zimmer 4021 California St NE 763-788-7942
3 CON?RACTOR MAIL ADDRESS Z�P PMONE LICENSE NO
Builders & Remodelers Inc 3517 Henne i:� Ave S M is., MN 554Q8 612-827-5481
� ARCMITECT OR DESIGNER MAIl. AOORESS ZIP PHONE UCENSE NO.
11��
5 ENGINEER MAII ADOfiESS Z�P PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WOi;K
O NEW O AD�ITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WOiiK
B�� Reroof House & Garage (26 Sq) Tear-off
9 CHANGEOfUSEFROM TO
STIPU�ATIONS
Underlaymert must comply with the State Buildir.g Code.
TYPEOFCONST. OCCUPANCVGROUP OCCUPANCY�pAD
SEPARATE PERMITS ARE REOUIREO fOR EIECTqICAL, PLUMBING, NEATING,
VENTILATING OR AIR CONUITIONING
7HIS PERM17 BECOMES NULL AND VOID IF WORK OR CONS7RUCTION ZONING S0. f7 CU FT.
AUTMOR12ED IS NOT COMMENCEO V�1ITHIN 60 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED fOq A PERIOO OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTqEET PARKING
1 HEREBY CERTIFV THAT I HAVE fiEAO AND EXAMINEO THIS APP�ICATION I STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND COpRECT. ALL PROVISIONS Of LAWS VALUATION SURTA%
ANO ORDINANCES GOVEFNING THIS TYPE OF WORK WILI BE COMP�IED
WI7H WMETHEfi SPECIFIEO HEfiE1N Oi; NOT. TME GRANTING OF A PEpMl7 �2 � 787 � 1.39
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI TME pEqMIT FEE SAC CNARGE
PROVISIONS OP ANY OTMER STATE OR LOCAL LAW F;EGUTATING CON• �8� � 25 Fire SC �2. 79
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
P�AN CHECK fEE TOTA� FEE
' er�se C $5.00 $92.43
S�GN�TUAE O� CON'AACTOA OR �UTHOR�2ED �GENT IDATEi M PROPER�Y VALIDATED TMIS IS YOUR ERMIT
i �''
S�GtiaTUAE OF OwNEQ��F OwruEQBW�DEA� �O�TEi G�ti5 ����E
OCT�24.2001 11�26AM BUILDERS/REMODELERS
NEwr � j
ADDN [ � ', CI7Y OF Fi�IpLEY
ALT�R [] SING�,E FAMII.YAND pUPLEXES R-1 AND R-2
BUII.pING PERMIT APPI.JCqTION � ,
Canstruction Address; _
Legai Descrlptiipn; � �
Ovyner lyame & Address:
N0.103 P.2i2
Effective �J�/20Q1
(763) 6T2�3604 61dg lnsp
, , . , ,..... •r: � , �� �.,
� , ,
Y�r. # 1 f o 3� 7 ��� �Z...
Contractor: BUI�DERS & REMODELERS, INC MN I.ICENSE# `
Address; �p� c M�anA �;R?1•�811 , �„ Tel. #
�icENS� #aooiioa
Attacl� to this application, a Certificate of Survey of the ,
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAG� AREA:
D�CK AR�A:
DESCRIPYI�N O� IMPROV�MENT
l.ength Width ,,,� Hefght Sq, Ft.
Length ,,,_„_,_ Wfdth . Height ��,,,, Sq. Ft.
Length Width HgdGround ,._ Sq, �t.
OTHER; � �
I y �� /� r7
Co�strvction Type: � � . Estimated Cost; $ � �' /
Driveway Curb Cut Wdth Needed; Ft. +� Ft = Ft $ R$
r
DATE; APPI.ICANT; Tel, # ' ��- y �g�
, , .
C�TY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
Lioense Surcharge
Driveway Escraw
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS;
Call (T63) 57z•3604 for Pernrit Fees if maiUng in application
�� ��iS Fee Schedule on Reverse Side
$_ �, � 9 ,00� of Permit Va�uation (1/10th%)
$ / � ,��, _ $.50/$1,000 V�luation .
$ $1180 per SAC U�it
$ � . OZ� $5;Q0 (State l.icensed Residential Co�tractors)
$ Alt. "A" o� Alt, "B" Above
$ $450.00 Conservation Plan Review
$ Fee petermined py Engineering
$ Agreement N�cessary [ ] Not Necessary [ ]
$ .3
Building MECHANICAL nermit Ivo.: �'
Inspections RESIDENTIAL APPLYCATION Received By:
�63-s�2-3604 CITY OF FRIDLEY vat�jdMA �� 1.13 20 s
763-5�2-4977 FAX EFFECTIVE 1-I-08
DATE "I � � ` YOUR E-MA]L ADDRESS
S[TE ADDRESS �� � � � � ` 5
THIS APPLICANT iS: ❑ OWt�JER ❑CONTRACTOR
PROPERTY NAME: /` 'e �
OWI�TER/ ADDRESS:�2. � C1� !���dY'1 �/'�` S� CITY -�t� r� l.-eT STATE�i'�IP�2
TENANT PxorrE:�%�^7�' %q��
CONTRACTOR COMPANYNAME: � I' �i�'�7� �
NOTE: CONTACT PERSON: ►(_.I�t 14N� � L�L1 S S%7� N"1
SEPARATE CITY
L[CENSES ARE STATE L[CENSE #! EXP DATE
REQ�UINRD HVOAC.GAS �DRESS: S � �'( /�LT� � S vV � - C[TY �S�lil % /n STATE i�IrLIP�
SUBMIT COPY OF BOND pHONE 7%�ia�i` �I ��% � � � �7 FAX %��`t � � �(���
AND INSURANCE
PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: O NEW �REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK ' � t��-2 �
PER MS 16B.665 the permit fee is a miniarum of $I5.00 or 5% of the total cost up to SS00.00, whichever is greater, for the
improvement, installation or repIacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
OR
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: {INDICATE TOTAL
NUMBER OF EACH BELOW) `��f �/ � d�
Equipment Installed MFG:�C.Ih ��( IEK MODEL: '' /�J N� SIZE/BTU ✓� ���
MFG: MODEL: SIZEBTU
R�IFG: MODEL: SIZEBTU
A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15 FiREPLACE (WOOD) $35.00 ^NEW GAS GRILL $10.00
�BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00
CHIMNEY LINER $10.00 ,GAS DRYER $10.00 POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $l5.00
_ R,� ,
� � �,,
Permit Fee $ Number of fixtures @$10.00 x$10.00 =$
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ OR Number of fixtures @$25.00 x$25.00 =$
Number of fixtures @$35.00 1 x$35.00 =$��
State Surcharge = $ 50
MINIMUM $I5.50 MINIMUM $15.50 Total = $ 3s•
THIS IS AN APPLICATION FOR A PERMIT-NOT VAL[D UNTIL PROCESSED
I hereby apply for a mechanical permit and 1 ackno e ge that the formation 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 M� eso a Construc i odes; that I understand this is not a permit but only an application for a permit and work is not to
start without a permit; that the work will be in cor ce ith th oved plan in the case of ail work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME ���t.I��q✓�i7 ��15 STVa1i,� DATE /�3
APPROVED BY DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977