AF - 41861Date:
Owner
Addres
� Cit of Fridle , Minn.�
y y
BUILDING PERMIT N° 403'7
�-
.. ....................... -�.- ..�.. �5...��_............._............ . � ..... ....
....... . .:. �f/1 ...-.-�v..!�..".1 ............ . ........ Builder .......... ...........
s........................................................................................................................... Address .............................. � ............................................................................................
LOCATION O�UILDING
No. �f__..1...�a........... Street ....:�C'.__�.�-r�v'�� � . ............... .... Part of Lot � ..... .......................... ....._......................._.....
. - .. ... ....... ......... .........
Lot .....�_...�.._- .... Block ..........___..........._............_......._.. Addition or Sub-Division .��.��^'�.�/. L/..z.✓..'.......a� ....................
: e. t i/
Corner Lot .- ......___............_.... Inside Lot ...,?i......_.._..._........... Setback ...��� .. � .............. Sideyard ..._�.�:_.'8
.. ................ ............
Sewer Elevation
Ta be Used as:
' v.l�.-G�� ...................
Foundation Elevation
DESCRIPTION OF BUILDING
�/,�/� � , �' � , � v �/' q
Front ..: .1....11...._ 6 Depth .�t�-_�! Height .I. �f�.'--D Sq. Ft. .��_Y, _T.. Cu. Ft. �.�./....��
_........_ _ - _ ........................_. Front .....- .........._... Depth _._............_ Height ..__.._....._.__... Sq. Ft. _.. Cu. Ft. .................._....
Type of Canstruction�=�........._....._...._..._......._-- - Est. CosC�,,C�j._.r0../__�.....--... To be Completed .._..�P.�l...�(�...C.
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed wark in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley. A� /J �� � n
� '
In consideration of the payment of a fee of $_�� `er�..........., per 't is hereby granted to .........................................................._..
....._ ....................... 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 e-�rovisions of said
ordinances. �. � _ ,
NOTICE:
Building Inspector
This permif does nof cover fhe cons�rucfion, installation for wiring, plumbing, gas heating, sewer or wafsr. Be surs fe sN
fhe Building Inspector for separate permifs for these items.
4
Village of Fridlcy, Minn.
BUILDING PERMIT
N° 119
Office of INSPECTOR OF BUILDINGS
�� ` �-�-- +�
Owner � �� ' �
ArcLitect ' Frid'.ey, Jiinn.,��� / , 19�
LOCATION OF BUILDING
No. �''`�/C 9treet C�Ut� /�N-�_�._�;`� �f<�riGl� Part of
Lot Biock Addition or Sub-Division
D�SCRIP7'ION OF BUILDII�'G
Front� Depth Height� Stories!��' Manner of
TO be
used as ��.L�c�G,^e.-£��•+i.�.'..;W' To be
� �., *t �ad3'( +.� �°w.�.^-
! c- �.�, _�+, -t`..:,
Coustruction '�r� R-�� -°-Qp,,,�
, • 3/ Estlmated Cos���
: ib}�s . >:',
< •<r «r �._,,
� /�� h
Permlt is hereby granted to to �;;�-L•!����^��-��
the bulld3ng '_���E�°��''�"r"' described in the above statement. This permit is granted
upon the expresa condition that the person to whom it is granted, and his agents, employees and workmen, in a11
the work done in, around and upon said building, or any part thereoP, shall conform in all respects to the ordi-
nances of Fridley, Minn., regaxding the constructloq alteration, maintenance, repatr and moving oP buildings
within the city limits, and this permit may be revoked at any t�me upon violation of any of the provisions of said
ordinances. � -�,�
s,r����
� =�[,.iCf Znspector of BuSldings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Ir.enector of Buildings of Fridley of
the above permit, I hereb,y agree to do the proposed �a�oriz in accordance vrith the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated b,y me and contained in the above permit are
true as therein stated. J/1, J�% ,!
. /�-ll .-Y-n%l / J ' . , iv.w'`w�,'�j�
Subscribed and sworn to before me at Fridley,
day of t�� A.D. 19�
?viinne/sqka, this_ ��
-..v �,�( r %��_„aL��f�-
• .
, r, . .
� :::
_ ' APPLICAT _ , ..
_,
ION FQR HUILD�NG PF,�tMTT ` �
- - C3TY OF: FRIDLEY, M3IJNES4TA - ; � �- _, ; �:
� � _
Owners Name x�� �. i .%� �1 �"l>//�",C� Builder ^ � � Yv� /� /- a�'.17
Addreas � �/Q ,��5 /� .f�/1Y�=� �Or� ,U!Ad.dress;,;;;,,;,,� �/� �'/1S% �!/f� . ' �0,4 /�
� �
c.. . � �..._
LOCATI-fIN QF BUILDING ' " '
No. (o �! U Street %S % /�l�F �' �� ,l�Paxt of Lot
_ �, _
.. ,.. ._... ,
.
Lot ` ' B1ock ,_ ' Addition or 5��.�iv �' i��'� S(,�'8. �!'�i��ciYa J'
. .. — .
,: , ,. .
.. /
Corner Lot ., 'Tnside Lot ' 1� Set Back ` ��de-Yard . V.
SE'WER. ELEVATION FOUNDATION ELEVATION
Applica.n� aita;ch to tTiis form Certificate of Survey of Lot �and proposed build�.ng
. ,- -,..:
.. . . . ;.
, , . _ . ;_�. :
loca.tion,� . , : .
. � , �E5CRIPTIOIG OF BUILD7�3G . , �
To be used as : :%� � E1- L%/1� �
, .. .. , ^
..� -: Front � 3�, . Depth �; - He�-ght �'
.� , � .
Sq. Ft. ��� Cu. Ft« %,�%2- . ., . �
Front Depth Height.
Sq. Ft. Cu. Ft.
; �,. � , _ �
Type of CorJ��ructicm �/P�/1�l � Estimated . Cost __ �� D� Q
. . . . .. - Y. -F .
r
To be compl�ted.. �,�/ /+�v U : �
� __-.—�
The underaigned hereby makes application for a permit for the work.herein apecified�
agreeing to�do a11 work in str�ct;accordanee with:the.City.Ordinances.and rul.ing of
the Depar�nent of Buildings, and hereby declares that all the facts.and representa-
tions stated in this applicatj.on are true and correct. �. � •
DATE � G S : SIGATATURE
(A Schedule of Fee costa can be found on the R erse Side.)
• . � ! . ,� ,
N° 676
Village of Fridley, Minn.
BUILDING PERMIT
Ofiice of INSPECTOR OF BUII.DINQ$
Owner t�.� � �' � ���r8„�
;-�
,�
Architect Fridley, Minn., ,.� t��`�`> � Yg ��
Builder ��
LOCATION OF BUILDIlVG
c✓ ����
Na �� , Street �•�:��'t, Part of Lot
Lot �+t� Biock Addition or Sub-Division ��_ �
�
DESCRIPTION OF BUILDING
.�'�`,�' , .� �
�ront ~"`'µ"'` pepth ''`` P Height '�` ` Stories -`��- Manner of Construction
�t �' f' �-R' �,
To be used as �*`�""` "" �o be completed_�`�`-�=:� ip �'`� ° i' � Estimated Cost { r E'`' `
�'t.^,„.1 ,� a t�" .�s �..�` i.
Permit is hereby gra.nted tp_ �"'�"�, t,.,� + {"'� +� � x' y,� �
r � � ...�-�.�..- w.�
the buiiding ��� described in the above statement. This permit ia granted
upon the express condition that the person to whom it is granted, a,nd his agente, employees and workmen, in a11
the wprk done in, around and upon saict buiiding, or any part thereof, sha.11 conform in a11 respects to the ordi-
nances of Fridley, Minn., regarding the eonstruction, alteration, maintenance, repair and moving of buildiags
within the city limits, and this permit may be revoked at any time upon violafion of any of the provisions of said
ordinances.
AGREEMENT AND SWOftl�T STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, T hereby sta,te and say that the facts stated by me and contained in the above permit axe
true as therein stated. �{�� ..r,, ...._ .,;,`
� .�``��rf�` � i ;W:..,�.�'"`�. .- � �
!_' A
Subscribed and sworn to before me at Fri
�� .
day of.� � A.D. 1�-� .
dley, Alinnes ta, th' -��
�`��:�.��::�'«:�,e. �� .
i�
t �
� ,�� a�''
�.
City of Fridley, Minn.
BUILI)ING PERMIT of�� ^ � �
. 4 7'71
Date: ...._..��......_�..I..-......:"`ti C.iG' �
.. ....................._.---......-------.............................
Owner. . � . ���=�'� ...._�r�� .... ��......__ f
,t� p •- ...._ ............................_............._
_ .. Buiider ... .... .....
Address :...... ...l.._� . � S,./�"'~�,i Address ............._...----
-- •-� � .....--• -
. .....--- _ ..... �......
............. ....._ ' ._L.�_�..--•�---•�--
,r,.�* L CATION :(-�F BUILDING
No. �p. �/::_/.,.,..�--.. Street ....._.. ,�i.--`"'�.. r`�. '���t .................... Part o Lot . ..................-------�-�
...
..........................._..- ---...---_.....
Lot ...... ::._ .�....�.._- Block ........... - ...._ _ .................... Addition or Sub- ivision ._......._ ...�'",r �
.. ...(..._....---....
.�.• fi - .....................................-------.............
Carner Lot ......._..._..._...: ' /
- --- Inside Lot _..-._:.. - ...... -...._...... Setback .._ ....� -
........_- -- Sideyard ... ...._ ...�� _ ................ -
..... .... � -.... -....
Sewer Elevation ......- - -- ........�--- - .................. .............................. Foundation Elevation ..................................._.
.......................... .--- ....-- ...............
DESCRIPTION OF BUILDING
To be,.,Used as. �,,, �
[� ��jjJ r�; {I,����t
N .�.��^� �'..#M::L� f �� �F P . � #' .
Front �.i�.M�___. De th { •
- A _ ...� r,.� --- Height � . tt�"�.....
__...._ _ _... _ .._.__. Front _ Depth _____ �:. Height
;, � _ _...
, ,�,'e'"
Type of Canstruction ;�,�'"''`"°.,-�°''�* �.,;_; �_ Est. Cost � f��'_ "`""�
� %�
C" '" �c�'`'� ,%` ..-�-
. "0,� t, :
Sq. Ft. ..,�°� � `._ Cu. Ft ��' ,,A!'f*,a �'
Sq. Ft. _...... . . ... Cu. Ft. ... . _..._...
To be Completed ..... ... .. ....
.::, -- � �,.
'z��t.�G�"'���'',�L�t. ,�,�,.,�. ��,�,.�? -�,,t"�
�
, ,._.
.
, ,
�., _ . .
In consideration of the issuance to me af a permit to construct the building described above, I agree to do
the proposed wark in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $... .�.,..:__�.._: �:..._..� pe�t is hereb
Y�'anted to ....................... .. ��- - - � ...-- - �� ��-- �-�-
--��•-----��-•�---�-------��-����-•-•----•--�-�--�� ..................... to construct the building or addition as described above. This
the eatpress condition that the person to whom it is Permit is granted upon
done in, around and u bTanted and his agents, employees and workmen, in all wor�
pon said building, or any part thereof, shall confarm in all respects to the ordinances of
FridleY, 1Vlinnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any t��e u�or�,.��violation oi� any of the provisians of said
ordinances.
Building Inspector
NOTICE:
This permit does not eover fhe construefion, insfallafion for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspecfor for separate permifs for these items.
4
City of Fridley, Minn.
BUILDING PERMIT
�� �����
�
i;
° 4'�71
.
Date: . . ........ ...... .:. ....---.. ..._.. _....._....__.._..._...._..._.___.,
. , .. , ;
. •
�
' Builder � . ,
Owner: ` .. _ . __ �__�._..
. . ...... ...-- -- - --- . .
._ ..- •----
�„ _ _._
, ._ .
/�,� . ,
� �W �
_
, .
.
.r . � �.. +.` 1 + , �}
Address _... ., .:1��r .f...� ., at_.. . . ��.: . ..lt�:... Addresa ........--.•_ .. •---�_ ..�.:__._._.._.._......_...�.,�__.._.
. .r�o a��NC �
�J �
� f
No. ` .
.
stt�t . .�_ .
�� �:5�►' ... .. -._: .. ._ . ..... �._ . -- � -...........---.-. Part Lot- .....�..._ .�.. ._.r.:�._.__
. ,.
, .;..;.....--;
Iat ----:.- ' . . . _ Blo� .......:. ..._�: . ..V ...:.:..' Addition or Sub- ivisiou .:..._... ._�.�.:� '
� �� , -
� �:� � � . :
Corner Lot ....... ...... ......... Inside Lot ....�. ._ ...... Sctliack ... .::�......_.----... �ide�rard ..... ...
._.._ � ._.. .
SewerElevation ...................... .. .•--��----------....---...----........._........._....--•--......_....... Foundation Elevation ...---..._........_..__...�_._.�...._.._..__._._...__
rs �
�t• �
� DESCRIPTIQN OF BUILDtNG "� �';
To v�a �: � � , �: , ��
,
. '
, : ,. ..
..
: ' Front ... ..c�`.. I3epth ...���.: Height ....��... ' Scl. F't � ..' �.'� Cu. Ft. ,' " :
_ ................_ . . . . . .. ... .:. . F t ... .. Depth .... .:.. Hei�ht , S9. Ft. .....
...... _. ...
,
....�.. Cii. F�.
Type of Construction :.��.x�...��.:.___ Est. Cos��� �....... To be Completed .. ._....._.
� � � f �+�1����'"'� "'� � #� � <.�
, '�w�� i �� '��'��..�" �; ,e. x �. �
� e a_ � ,� � �` a",� �
� . . ';$ i . ... _ . ..y . .__•_• ��._�
Qf� �, 'fi: + ' i .
� � , , _�. �
_ �,; _a, ,�
_ � . _ , ,.��,._.F V{(7LAT-
l�� � ` ' � �- ���ai�vD COVci���;N�iS AND
� JM' ,�r .P,�''LL,�i`, ,�c�; tl;v�i
� ONS.
:.,,.
In consideration of the iseuance to me of a permit to constxuct the building deecribed above, I a,gx�ee to do
the proposed woa�k in accordance with the description above set forth and in compliance with all prouLtions of
ardinances of the cfty of Fridley. �;
In consideration of the payment of a fee of $.._�_�".'�...., permit is hereby granted to...._ ............._...._
_
..--- ............._------......_........---..........._.........._.. ta construct the building or addition as described above. This pern►it is grented upo�:
the express condition that the person to whom it is granted and his agents, employees and workmen; in "all work
done in, around and upon said building, ar any part thereof, sha11 confarm in all respects to the oi+dina,aaee ot
Fridley, Minnesota regarding location, construction, al�eration, maintenance, repair and maving oi �
within the city ]imits and this permit may be revoked at any oiati , a�y of the providal� d�aid
ordinances. t. �
....._. ._ ':::... � :,$uilding Ine�ector
NOTICE: �,.�, r,
This psrmit does nof eover fM� eonsNuciien, inshfiallon for wi�ing, ��Iymbin�;' � Msdi�' swrer�„wshe. p snn f� N�
ths Building Inspeetor for s�parah permi�s fo� fh�u iMms. , �' '` F;
-.� `�'� ! _ �,
�,
_ ��
,
,
Owners N
Address
APPLICATION FOR BUILDTNG PERMIT
CITY OF FRIDLEY, MINNESO�A
LOCATION OF BUILDING
3 '',-.�
No.�,��� Stxee� �,,,-��,��%�.��- � P$rt of Lot � '`
Lot � ° Block . Addition or Sub.Div. � � � ��-�-�,� �,o:,�.:. :�~��
-�
Corner Lot Inside Lot_�,Set Ba.ck �.�', �`j Side-Yard � f-��,�._ ��
SEW.�R ELEVATTON FOUNDATION ELEVATION
Applicant at�tach to this form Certificate of Survey of Lot and proposed build3.ng
Ioca.tion.
DESCRIPTIOIV OF BUILDING
To be used as:
..__=� ��.��!.�1a�. � - -�--�=------ � �
�' , F`ront �� ` C? Depth c� � C� Height ,�� ,
���. Ft. � �� ,.
5q. Ft. ,d
Front Depth Height
5q. Ft. Cu. Ft.
Type of Cons
To be compl
/
ted Cost /� lu ���
The undersigned hereby makes application for a permit for the work herein specified,
agree3.ng to do all work in strict accordance with the City Ordinances and ru].ing of
the Depaxtment of Buiidings, and hereby declaxes that all the facts and representa- -_ +
tions stated in this application are tru� and correct. ,
DATE � ,� y � SIGNATIkiE •�- •� r� �' -
--�-.._. -.r--
(A Schedule of Fee costs can be found on the verse Side.)
���:c�t�o .�'�o .+ '
. �
��
.._.� � .�..�
Appiication �or Power PlaMs and Heerting, Cooling, Yentilation. Re�rigerarion and
Air Conditioning S�Istems ond Devices
PARTlAL RATE SCHEDULE
GAAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . .. . . . . 8.00 �
Replacement of Furnace ............................. 5.00 �
Repairs & Alterations—up to $50Q.Q0 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace Shell & I?uct Work to 120,OOQ BTU . . . . . . . . . . . .
each add. 60,000 BTU .......................
Replacement of �Zrnace .............................
Repairs & Alterations—up to $500.00 . . . . . . . .. . . . . . . . .
. Aepairs & Alterations each add. $500.00 . ... ... .. . . . . .
3TEAM o: HOT WATER SYSTEM
� Furnace Shell & Lines—to 400 sq. ft. F.Dft Steam .... .
F'urnace Shell & Line—to 640 sq, ft. EDR Hot Water ...
Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . .
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . .
OIL BURI3ER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . .
over 3 gal, per hour—See Fee Schedule
O�
8.00 $�
2.00 �
5.00 $
5.00 $
2.50 $
8.00 $
8.00 $
2.50 $
2.50 $
Oj
5.00 $�
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
GAS FITTING FEES: NO FtATE TOTAL
lst 3 Fixtures ...................... x $1.5d $
AdditionaI Fixtures . ............... x .50 $
Gas Range to 200,000 BTU . . . . . . . . . . , x 2.OQ $
AIR CONDITIONING �
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM �_�,�_
ALTERATIONS & REPAIR$ TOTAL FEE $�`�
ROUGH
FINAL
Dept. of Bldgs. Phone 560-3450
L��on L y�o � � ��` ,�—�- ��
�
� (
�
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
FridIey, 1VIinn. , 19� �
Owner � �/1'Grsl'
Kind of Building
Used as
To be completed about
Estimated Cost, $
Ol New. vilding Permit No. Permit No� ��C�
DESCRIPTION OF WORK
HEATING or PO PI.ANTS–�Steam, Hot Water, Warm Air—No, �
� �O O
Trade Name � Size No. i
Capacity Sq. F't. E.D.R. BTLT H,p,
Total Connected Loa Kind of Fuel
BURNER — Trade Name Size No.
Capacity Sq. Ft. E.D.R BTU H,p,
(REMARKS-OYER)
�y"��42
'/ / � �
•�-. .L .i // �L/�
/
Business Phone No.
. � �-1 .�Ti� �� � ��- __ L'�.C'yDE --�� � ,!�
H�AT LOSS CALCULA'iInN5 SEARS-RO�BiJCK and CO. MINNEAPOLIS, MIPdN.
r Wr.atherstripa A.S.H.V.E. Conatruction No. Ineeal�tion
�Jindowa LAoore G�g�° 4ut. Wall dnt. Wall Ceiling Roof F1oas Kind It-low Applied
_ Rcference
Ye�---Nr� Yes—No 19___.....
� F'1. �_�� T-_ R�oom � L.engt� �� idt / a eight FI. �,(; ��yG. Room I Len�th / 5 Width /c7 Height �
Windowa and D�ore--Crackage and Ares `�Iindawa and �oors—Craokage and Area
Width $ei�ht No, ot Liaeal fk, Ares Width Height No, of Lintal ft. Aren
No. of pane of panA Lighte of oraok q. ft. No. of pane of psne I.ight� ot ctack eQ. it
— _.. � _ _. o �_ _ . . .
t.u.
Intiltration
Exp. wall
Gla,>s
Net exp. .n
Exp. wall
Glasa -
Net e$p. �
Int. wall
�
/ (y O
N
// 4
Si.t.u.
' 3a
� .? 3o-0
� //f�n
Glass Glaas
Net Int. �wall Net lnt. wall
Ceilin8 F/G X% �-, ;�.0 f y '�!� Ceilin8 5 X/O /'L /��
F�loor Floar �
otal b.�.u. �/� Total b.t.u. ,f
equired aq. ft. E.D.R. or sq. ins. W.�. Leader area �equised �+q. £t. E.D.R. or a�{. ix�a W,�#. L.cader area
FL j',��; j� yRoorn I Length �� Width � Height FL ���0 �/�da� I Length %(o Width /?� He.ight
Windows and Doors—Crackage and Area Windowa a�nd Doora—Csackage and Arca�
Width Height No. ot Linenl ft. Area yVidt,S Seight No. of Linexl ft. Area
No. of yane of DBns Ltgbts at orack eq. 4t, No, of Dane of Dane I.ights ot crack e6, tR,
_ ,� �y �c �— � /�/ � 2� � Z ,Z3 �
/ o�� 3` � � / Z
exp.
Coef. B.t.u> Coef: B.t.a.
� cf '�. � Infilt�ation �. 3 Io y']Z
a k O Exp. wail �,' x' �o
.�`U u�C, Glasa yp ,S o� u-.o.o
a v � v Net eap. wall � � 0 �,�
Int. wall
----------- ---
Glass � ��
Nee Int. waPl
X t v 3 y y Ceiling X� y� B
— F1oor
1"otal b.t.u. °�'? �y Total b.t.u. 7�
Required sq. k. E.D.R.. or aq. ina, W.A. L.eade� area Required sq. k. E.D.FZ. or sq. ins. W.A. Leader area
F1.I' i�t/iti/ Room � Leaagth j Width ) HeAght Fl.� �j� yRuom I Le�gth J 3 waach /o Hei�*ht
Windows and Doora--Cr�ckage and �1rea Windows and Daors—Crackage and Area
Wid�h Aeight No, of Lineal tt. Area �Width Height No. of Lineal ft. Area
No. of Dane of Dsne I,ights af erieck aq. xt, No. oP pane of �rane Y.ighte of crack eq. ft.
s Y� i C. �� .� f'r y v �- Z 3 �
/
% �va 3' G /5 �G
0
eap.
t. u. ____�_�
� 3 � lnfiltratY
Exp. wa
' 75 o Glaa,
;3�� Netexp
Int. WaI;
t,eiiing � X I �f .S%
ooz
Total b.t.u. � � a y
Required eq. ft. E.D.R oz sq. ins. W.A, Leader area
DSb .
1
�
�
t.u.
d eq. ft. E.D.R or eq. ina.
�.c.u.
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o��
_
. �,CYDC viz r
HE.AT L�SSS CALCUT.ATiONS SEARS-ROEBUCK and CA. MINNEAPOLIS, MINN.
� �f'catherstripa A.S.H.�f.E. Constauction Na. ta�oulution �p
_�findows �oorn Guade put. Wall Int. Wall Cciling Roof F1oor Kind How Applied
� Refersnce
Ye�---No Yc�------I�to 19_._.....
Fl. � �q.T/�[ Room ! Length idt eight Fl. � Room I Len�th Width Height
Windowa and Uo�ra—Crackage an�d Area `JVindowa and I?oors--Cradcage and Area ^
VPldch $eight No, of Lineal ft. Ares Width Seight No, of Linesl ft. Aren
No. oi pane of psna Lighte, of orack p. ft. No. oY Dane of psne Ltahb et creck sq. it,
/ � /� �- l t� �
Net exp. wa
dnt. wall
Glass
Net [nt. wa;
Ceiling
F�loor
�tal b.t.u.
�eqnired sq.
X� � �
or aq. ina.
��.�w
er area
U
7�
�
D5F ,
F1oor �
i`otal b.t.u.
Rec�ui:ed eq. ft. E.I?.R. or aa�. ir�s. W.Ao i..e:
Fi. � ��o,� i Le�,�:� w��aa
Wi�idows and Doors�---Craekage anrl Area
Widt,Fi Height , No, oi Lin�eal tt. Aran
No. of pane ofDena I Liehte oY crack p, !t,
4--
dn6ltration
Exp. w�Jl
Glass
Net exp. en
Int. wall
area
atal b.t.u.
�quired �. ft. E.L).�d,. or sq. ine. W.A. Leader area
� Roc�m � Lengtta �Rlidth �
indows and Ga�ors--Crackage and Area ��
Width Heisht No. of Lineal ft. Area
No. of pana of pene � LiShte of crack aq. 4t,
F1oor
Tot�l Ix. t.u.
or aq.
t. u.
B.t.u.
Ii.t.u.
�
City of Fridley //
Application for P'lambing and Gas Fitting Perm�t
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK � ��� ��cz/,LL �-�/U`e�-� �
Number, Kiad and Location of Fixtures �OCa�on
Ol y� y 1- et N v� u�i w ? t • WATER HTR.
'�,+ F� = xu� � � xy iz d ,Q <z�z os 1 c� z
� ~ °� � ; " at ~ � � � < a � z � a F N GAS EIEG.
� 3� ��� �� 3� a° ��a 5m <3 c�< c�� c�o
Base
� — �
lst
2nd _
3rd
4th
• Fuluse Coaaeciion Openings Connected wilh
* New Fixture, Old Openings I 3ewer �
Cesspool �
PARTIAL RATE SCHEDULE
PLIIMBING FIXTURE RATES:
Number F`ixtures ...... .....
Future Fixture Opening ................
New Fixture Old Opening . . . . . . . . . . . . . .
Catch Basin . . . . .
Water Heater (Up to 200,000 BTiJ) . . . . . .
New Ground Run Old Bldg. . . . . . . . . . . . .
NO. RATE TOTAi.
— x $1.50 $
— x 1.20 $.—
— x 1.00 $
— x 3.25 $
— x 2.00 $
_ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
ist 3 Fixtures .......................... x $1.50 $
Additional Fixtures .................... x .5Q $
Gas ftange to 200,000 BTU ............ .. x 2.00 $
REPAIRS & ALTERATIONS--Refer io Code
Description ................................................$
TOTAL E'EE $ J �
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the I3epartment of Buildings, and hereby declares that ail the fact
and representations stated in this application are true and correct.
^ i Fridley, Minn. �� � , 19l��.O
Owner
Kind of Building
Used as
To be completed about
Estimated Cost,
Old—A'ew. Build
ROUGH
FINAL
az
City of Fridley�, Mirm..
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Da�; __ January 10, 1972
�� Clyde R. Ford Same
Builder_______ .____.��_._....._.._._____.___...._
ast R ver Road� ��' Saine
Address.._ Address .____._.._._..____._...___.._.._..__..____�.___._...�.�.�
LOCATION OF BUILDING
Na 6410 Street �_Eas t. River _Road _ pa� ag I,ot __
-.----..__._....__------ _ __..
ypt 30 Block _... �_ Addition or Sub-Division ..._Auditor�s Subdivision ��23
__._�.____ ._ .___
Corner Lot �___..._.._...._ Inside Lot ___ X____� Setbaek Existing W Sideyard ._._._.___._ �._,.
Sewer Elevation _-_. -_ Foundation Elevation _ _.___._____ _.._
DESCRIPTION OF BUILDING
To be Used as: Finishing work of residence
_._._ Front �_...�_. Depth fieight .__.._.._.._ Sq. F� •---.______..� Cu. Ft ._.._
__...._ Front ._.._..�.. Depth Hei�ht ___.._.._.___ Sq. Ft •-------_.._.___ Cu. F� ._.._..
'I'yPe of Construction ___....----•.wood ��_�__ Es� Cost ��,.. . .._._.__.. To be Completed _...I.�cl.us37C.�L_?..�._? 973
In consideration of the issuance to me af a permit to construct 'the building described above, I agree to do
� proposed work in accordance with the desc:ription above set forth and in compliance with all provisions of
Ordinances of the city of Fridley. -- — � -
---- ---- -------o-
In consideration of the a 12.00 Clyde R Ford
p yment of a fee of $ __...__., permit is hereby granted to�.._.__. _._ '
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 af
i+'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of builcli11g8
Within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
axd#i►ances.
K .�� C _ �_� Buildin8 �P��
NOTICE:
This permit does noT cover the eonstruetion, installafion fo� wiring, plumbing, 9as heating, sewer or water. Ba sun to �w
ths Building Inspecta� fo� separate permits for these items.
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APPLICATION FOR RESIDENTIAL, ALTERATION,
OR AllDITION BUILDING P,ERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME : C���,C /� /�U /`�� BUILDER: SA/I/� _F
�....�.,
ADDRES S:_ cp �/0 �, /i'lUf Ir' /�Of� .17 ADDRES S: S/,1��'f
��
No:.Cv�/D STREET: .�'�'s T- �'/C',E�' �ao �1?
��
LOT: ,� ('j BLOCK: • ADDITION:� '�}G�f7%TO � S fl P� " a.�, �
CORNER LOT : INS IDE LOT : Y SETBACK :"',�/ �/1�DEYARD :`��
Applicant attach to this form Zfiao Certificates of Survey of Lot and proposed
building location drawn on these Certificates. �
�ESCRIPTION OF BUILDING
To Be Used As:
r//{�/5 j� l/I/ C�y ��r on�� Dep th :
Height:
U%� /�'�.5 /!� �S/�L'� ,
quare Feet: Cubic Feet:
Front:
Depth• Height•
Square Feet; Cubic Feet:
Z`ype of Construction: �U ��Q� Estimated Cost:_ $�, C� u U r
To Be Completed: ��ifl/l / �`�'j� y
The undersigned hereby ma.kes applicativn for a permit for the work hex'ein
specified, agreeing to do all work in stfict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hexeby
declares that all the facts and representations stated in this application
are true and correct.
DATE : /C� ;1- S IGNATURE :
(See Reverse Side For Additiona.l InfoYmation.)
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� SUBJECT ��VC3. .
City of Fridley � � � � �
AT THE TOP OF THE TWINS g� I L D I N G P E R M IT
r
� � f-IPfi-
� �
� • COMMUNITY DEVELOPMEN7 DIV.
� �L'�'���',
r � � PROTECTIVE INSPECTION SEC. �J %%�
� � `
' � ����1 � CITY HALL FRIDIE� 55432 NUMBER REV DATE PAGE Of APPROVED B�
�----'�•� ,•' 612-571-3450 9�0-F�5 8/21 f 95 � �
JOB ADDRESS 6410 East River Road NE
t LEGAL LOT NO. BLOCK TRACT OA ADDITION SEE ATTACHED
oESCa. 30 Auditor's Subdivision �f23 SHEET
2 PROPERTV OWNER MAIL ADDRES$ ZIP PHONE
Lydia Ford 8350 24 Ave N, Mpls., MN 546-1064
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WOfiK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPA{R ❑ MOVE �7 REMOVE
8 DESCRIBE WORK
Remove 20' x 20' Building from Site
9 CHANGEOFUSEFROM TO
STIPULATIONS Clean site of all demolition debris.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMiTS ARE REOUIfiED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OF AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFUCTION ZpNING SO. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OF IF CONSTpUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE ANO GORFECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE QF W�RK WILL BE COMPLIED
WITH WHETHEF SPECIFIED HEREIN OF NOT. THE GRANTING OF A PEFiM1T
DOES NOT PRESUME TO GIVE AUTHORI7V TO VIOLATE OR CANCEI THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING corv- �15.00
$TRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
VLAN CH K FEE TOTAI FEE
$15.00
SIGN.4TUREOFCON'RACTORORAUTMOF7i2EDAGENT IDATEI HEN FiO Y V IDATED THIS IS YOUR PERMIT
� � 7 /
� C-�
�SiGNATUREOFOWNERUFOWNER8U4DER� iDATEi OLDG iN P ��4TE
CITY OF FRIDLEY
�431 University Ave NE
Fridle MN 55432
572-4604
Effective 8J1/95
MOVING [] OR WRECKING [tJ� PERMIT APPLICATION
� 3t 73
Job Acldress :.,�o �id G r� � t�t -��
Leqal Description: L.�T 30 2Ev�sE� ;'�•�lx��t-s S�/3���rj�c N F�z3 -i9no,rvr-CevK.-y
Owner & Address: LY�r�4 J - �v� 8�5"a �u��� �. ►ticPLS, �,� _ Tel. # 5t16-/GYo�
Contractor- Tel. �
Address: - State License #
DESCRIPTION OF BUILDING
HOUSE: Length �� Width ^� Height '�-- Sq. Ft. � Cu. Ft. �
GARAGE: Length Width Height Sq. Ft. Cu. Ft.
OTHER: Length � Width � Height B'" Sq. Ft. `�'� Cu. Ft. 3 u'°
Estimated Cost $ Approx. Completion Date ��Z 71�.�"'
UTILITIES City Water/Sewer Minnegasco N S P U S West /�
�TUTIFIED: 571-3450 [ �� 372-4720 [� 566-9120[� 663-6000 [✓ )J
Water Bill Paid: Yes [] or Collect [$ ] Signature
Moving Route:
The undersigned hereby makes application for a permit wrec move the building described above, agreeing
ta do all work in strict accordance with the City Ordinances d rulings of the Building Division, and t}� State
Code which requires any water well on the prc�periy to be sealed by a State licensed wazer well driiler, and
hereby declares that all facts and representations stat d in this application are true and correct.
� _`_ /I � _ �
�'/�- f� _
Date
Moving: Principle Building into Fridley .... $300.00
Accessory Building into Fridley .... $ 42.00
Through or within the City ...... $ 20.00
Move a building out of City ...... $ 80.00
,
Wrecking: For each 1,000 cubic feet or fraction ..$ 1.25
For structures which would be impractical
to cube the fee shall be based on the
total cost of wrecking at the rate of
$6.00 for each $500.00 or fraction.
PERMIT FEE: STIPULATIONS:
.,, _ . .,
Minimum Fee: s20.00
Minimum Fee: 515.00
� �' W Q�7'p , �(')„' �o" t j �i� _ AAinnesotaiNell Emd Boring � �, ���""°"s� r"�-�� -'�` � �
_ �`
�. `� ^ MINNESOTA DEPARTMENT OF HEALTH Sea(in No. . �'�
� N1ELL OR BOWiN LOCATION ° � 9 �'�� �`;. � �€ ` ' � �� �
,.
WELL AND BORING SEALING RE��RD � � ��
County Name MiifltteSQta Unique NO: -- • . _ -
:. . .r�. ' � 3
�pj�g � �.? Minnesot�,Statutes.'Chapterf03t '• ` ' orW-seriesNo �� � e
t, ;
� ..�, � . Ileave 61ank d ne! knnwnl -. -' � � .` � .
�, : . -� � : - � . :-. �.,.. ;: ' ` > . - ....:;: �.: , - z :�� «. i�.
TowrasfHpName �� Township No- Range No Sectioc� Np., Frai�4p(srtt. ,� Ig.) ateSealed , . � . .. ApRfrox�maf� f?'d e� 6i1 � + �.�� --
� „*}y� ����.@g _ � � t � ` � i _ ��f v`s r•�Q' ot8oringConslructeQ �� ��,� � � �:Y�
, � � _' �;
� ^ f4_.., f4' l4 � .. sk° :'.'� s,,,, -_':aF S ' ' .. r. .;_
Numefc8l Sireet Address or FireNumber and City o( Well ar Bonng�{.ocation � . . �. � -. '� '`° ��" '
���. V ���s �riV�i� �i�� � �iLx.:��� . Deplh BeforeSealin9 9 �eP�h 4 -�C-- �����£ �` ��' �
�+� N. On �na4 .,.._ s�� � i
`"'�,,T,»'. �., � : '�;
StWwexad bcation of well or baring Sketch map ot weN or boring � SfaticlAFater Level -� ��v
� ..�
' in s+�ct�on grid with 'X'�. � Ixation. showing property lines. . � � � ' - � ; �,fca � #a,. ..
�w �
roads. and bui�dmgs -
N ' _ ..
#�� �� z
� � _� �_ , .
-i - � - � - , i �j� g s� .,�=�
. ' Smgle Aqui(er ❑ Multiaqwfer �3� ft. � }pd '
i i � i ,. . . ,,� ^
� �_� _� __ ♦ GASING TYPE � . '�
i - �i i i E _ , j�.� a,�`* � : � �� ;
- � �� . i � i . . , � .. . � . . ."'���^ � ,.,a, ,� � ,�� � .. a. � ¢:
- -r -i- -r- -r � . \ si � aa .�.�.�.
i. 1� t i � �� StBel � � Q P18SttC - � Tilf? ': � O1hEt :^+' w.a'�" �
. . - . %[nik� . ', . . Y
. . � . � t i . `�: . < . ,� .
� - � - - i - '.i � ` �,')� _ �� ;� � - �. . � � _ . . . .<: n � � `',..�. -�` � -,£-, °
'r �} }0 Screen from fo " N. (�per� Hoie frpns- ' r� - j
,
� _, ..
S �, _�_ �� � -.
� �--- t miM --►� � � OBS:'�FJCTqDW'E8RIS1RlL ,�,. � =�,� �'', �� ."
p€� ._ r ,irs
❑ Obstrudian ❑ Debris ❑'Fill `� . ��T"'�� t� � "� f
�`��''t'�� tiA�it}�+iAL �!�S�4GIATIO�i ' '� � ��� " � � '
��. �� �a- �'- �,
Typ�r aen�,a�ons��n. " . .�
. �M2�iliin� Address if differen/ than�property address mdicafeil-above. . � � . ..., . •` .. � t: �„ r�- � = �.'�- - �%
, p� ' Obstruc[ion/�ebris/Fitl removed? ❑ Yes ,Q N6 `�- � ' _ ��
�;�i 1 � � i _ il�����i! tl�c36J�� i A 1 �LJt'� PUMV � ' . . ; � � `� `�,,,,,.
i►
1�$ N8t'I. $nk �Itci� " �t} 8'�).42 P�c'iK�T T@�lQY@ii St� �!� h,���,��; °�; � ��� -�:
't Petu1 � A!u 552�Qi4-U14?� o R��a ��e ► o ou+� "` •�"�
�'. °; ��� �„� _ `,�`'. � � "` � , � '�,�,
. . c�srt�c , : �,.. ,, . � ,;� , = -
GEOLOGICAL MATERIAL ' COLOR HFORMATlON FRdM 1b �. � ��� �. ��`
� If not known, indicate estimated formatiori bg irom nearby well or botieg. # �y Q� � f} . �� � � +�
�
-.. � -� � ���
- � � in. hom _...;,,_.,�la..�.....^._� ft, � Yes-- -. .v ,�-
- .. . ' . . � � �;�� ' � kt�a
' iri: from to ft. ❑ V6s_, ��. �
� � � � � � � ' ek `�-rs -rz �.- � ..�. ''.y �_.
.,;,;��._ in_ frprr ��.,._ to fC. � Yes
' � ►� � Ya�- �X1R T <
METtWD�t�EO SEXC A/Aitil.�ACE8E�12 CA$1fi� tMt� : ��� �
� ; . . � . . . .. . . � � � - � . " ' �No AmWar� 3pa�ce El�, ` � v=.` ',n-: � ,. : � �:. " . �. �;, �.� .:,a
� , . . � . . :. . . . _. ` - � . . �' � d
� ❑ Aruiul�r space grouted wtth tremiepipe `. ��. �*�� r x3 � �;'
. . _ � ❑ Casing P�Y(wation/Removal � �. . '�',x` M�` � �g,�� � r . ��
. . . . , . . "�, . ,�m"�.�, � � -�.
in. from to --�.,- tL ��� (� �lr6e+�IBd•- � � � �` '�
� �� w ' � � � �
� . •} m � '� � .� aa s-„ ?
' �� ' ;. � �, ,�-�-sf �'�' _� +
.. � -��inyfrom _,,.T._..:.�e— 40 �, ..._..�— tt � - is�;5��",�'�'';..
- . . � . ' . . � . �'� € '�
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� _;� � ' � �
- . � � n`� � ,at�' '�; + � '�`
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'[yp8 d pBrkSrator - �� r +ty �, �` r.� � Yr. *�;�
, °' ' ` _
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- � � . .. , � � �,
❑ Ofkier ' ���. � � � .$ '�.
GROUTING MATERUL . '� •r � ` .s'� -' � .�;#
� � � -.
..., i��E�t� C�� A , ' � � � �� fi � ; a >. '� �:
: .. � � ;
- Grouting materiai '- , irom te► e��'1�``� ._ ` 1'
. . .:: _
o- '�t!'ttf.x"t5►pl�l�# , � �,';�,�,� '� .�;�� _�- _
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rra„ �. -�•-��`� j § � �
6IkRKS, SOURCE OF DATA, DIFFICULTIES IN SEAIJNG ,;�� ���.s.� `�_" � � ;s
- - �- y. �_ � �` -,T
� . � --. � � � � �fr<m to � `_ �R —.—,-�- � ' .� � :
� a�� � � . •.
Lc>caLed in �E corner c� f b��t . _ d �,. �.'�` � � $,�` '
, . � . .. . � from � -��- to .:: ft ,�..,.�+�;_�.. , :�
?� UNSEALED WELIS AND BORINGS , y'�
��`?
` Other unsealed well or boring on property? ❑ Yes No � ;. �. _.: > ' ' ", ., . , �
LICENSED OR RE(�187EREDEQN17iACTQq �EAi19N " "'' " «: ' a''
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03-Apr-01
City of Fridley
6431 University Ave. NE
Fridley, MN 55432-4383
763-571-3450
Special Assessment Search And Statement of Charges
TO:
On all that tract or parcel of land lying and being in Anoka County, Minnesota described as follows to wit:
Parcel No: 15-30-24-42-0022 6410 E RIVER RD Lot: 30, Block: , AUD SUB NO 023 (REV)
LEVIED SPECIAL ASSESSMENTS
This is to certify that I have examined the records in the office of the Clerk, City of Fridley, Anoka County, Minnesota, and for
such search, certify that the following special assessments appear unpaid with respect to the above described tract or parcel of
land:
Term Certified Initial Interest Remaining Current Current
Proiect Number Proiect Descriution TYPe (1'rs) Date Amount Rate Balance Princioal Interest
9100-0000-00 OOREG SA(Water/Sewer 3100 15 12/31/1960 $178.21 5.00% $0.00 $0.00 $0.00
Amount Certified to Anoka County Auditor for Current Year Taxes Is: $0.00
PENDING SPECIAL ASSESSMENTS
For the purposes of this document, the City of Fridley has determined that an assessment is considered pending after the City
Council passes a resolution ordering the improvement, the approval of plans and the advertising for bids. This is prior to the
City Council adopting the final assessment roll. If you seek further information, you should do so upon your own independent
inquiry. Any amount given as to pending assessments is informational only and may or may not be the amount ultimately
assessed.
Term Initial Interest Estimated
Proiect Number Proiect Description (Yrs) Year Rate Pending Amt.
NONE
MISCELLANEOUS FEES
Description Status Date Fee Amt.
Note $0.00
UTILITY CHARGES
You shall be responsible to verify the status of any outstanding utility charges. To check utility charges
( water and sewer) contact Fridley Utility Billing Department at 763-572-3529.
The records referred to above are public and may be inspected by anyone during regular business hours. The search of these
records was made by the undersigned as a public service on request. The undersigned certifies that the above indicated
searches were made and are believed to be accurate, however, the undersigned or the City of Fridley does not insure the
accuracy of the above statements and does not assume liability for errors and/or omissions.
The above figures are good through November 15, 20
Date Prepared: Tuesday, Apri103, 2001 By
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6410 East River Road
What we know about this property:
fl�dr�� ���k �
• The original plat, dated 8-29-49, Revised Auditors Subdivision 23, shows a 10' easement around
lots 28 (along north and west side of 6414 ERR), lot 29 (along south side of 6408 ERR), and lot
30 (along west and south side of 6410 ERR). The official recorder, Anoka County, has said this
easement is only for drainage. The owner(buyer will need a separate legal opinion to dispute this
in order to use the easements for any other purpose.
• The property is land-locked, but it has shared a driveway along the 10' easement along the north
side of 6414 ERR. This driveway is also shared by the property at 6420 ERR.
• As of Mar. 2005, the home is not connected to City water or sewer (per 402.07.2) and must be
connected.
• City water and sewer lines exist in East River Road, 64 '/z Ave., and Riverview Terrace. The
water lines are on the other side of ERR from the lot, making it difficult/costly to connect. The
sewer lines appear to be on the near side of ERR, however. There may be a utility easement along
the north side of 6419 Riverview Ter. and there is a sanitary sewer manhole close by to that lot.
• Connection to city utilities must be done by directional drilling to eliminate the need for surface
restoration when crossing under adjacent private properties. Water service must be a 1" copper
line. Sewer service must be a private sewage ejector/grinder pump and a pressurized line to its
connection to the city's sewer main. Ownership and all future maintenance of these service lines
will be the responsibility of the property owner from the house to its final connection to the City
lines. The water/sewer line connections will likely cost $10,000-25,000, depending on where it
gets connections from.
• We need to make sure the old well gets properly capped or used for irrigation.
• There is also no gas service to the property. It has been heated by fuel oi) in the past.
• Lot is 91' x 240.75', large enough to subdivide, but cannot be divided without street frontage.
• Property has been going through foreclosure since fa112004. A caller on 3-1-OS indicated that the
redemption period ended 3-1-05.
�
__ i iiiiii iiiii iiiii iiiii ii i
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' � Record ID 1517864
STATE OF MINNESOTA
COUNTY OF ANOKA
CITY OF FRIDLEY
)
)
)
4$1194.�41
In the Matter of: Prohibition of Individual Sewage Treatment Systems
Owner: Patrick W. Kessler
CITY COUNCIL PROCEEDINGS
The above entitled matter came before the City Council of the City of Fridley and was heard on the 29th day of
March, 2004, on a petition for a change to the City's Code of Ordinances, related to Water and Sewer
Administration, for the following described property, which has not connected to City sewer and water:
Lot 30, Revised Auditors Subdivision No. 23, subject to easement of record, generally located at 6410
East River Road NE.
IT IS ORDERED that this notice be filed:
�
Approval with no stipulations. See City Council meeting minutes of March 29, 2004.
STATE OF MINNESOTA )
COUNTY OF ANOKA
)
CITY OF FRIDLEY )
OFFICE OF THE CITY CLERK
I, Debra A. Skogen, City Clerk for the City of Fridley, with and in for said City of Fridley, do hereby certify that I
have compared the foregoing copy and order granting a change of an ordinance with the original record
thereof preserved in my office, and have found the same to be a correct and true transcript of the whole
thereof.
IN TESTIMONY WHEREOF, I have hereunto subscribed my hand at the City of Fridley, Minnesota, in the
County of Anoka on the ___��__ day of , 2005.
DRAFTED BY:
City of Fridley
6431 University Avenue N.E.
Fridley, MN 55432
Debra A. Skogen, City Cler
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ORDINANCE NO. 1191
AN ORDINANCE AMENDING CHAPTER 402. WATER AND SEWER ADMINISATRATION
OF THE FRIDLEY CITY CODE
The City Council of the City of Fridley hereby finds, after review, exainination and recommendation of
staff, that Chapter 402, Water and Sewer Administration, of the Fridley City Code, be hereby amended and
ordains as follows:
FRIDLEY CITY CODE
CHAPTER 402. WATER, STORM WATER AND SANITARY SEWER ADMINISTRATION
402.01 CITY MANAGER RESPONSIBLE
The City Manager in the City of Fridley shall have the responsibility of the management and operation of
the municipal water system, sanitary sewer system and storm sewe� water system in the City of Fridley.
The City Manager shall have immediate control and custody of all properties, be responsible for their
safekeeping and their proper storage and care, and shall provide for the keeping of a full and accurate
recard of all work done with respect thereto, the cost thereof, the names of persons employed, hours worked
and such other information and records as may be required by the City Council. Further, the City Manager
sha11 have immediate charge of all employees necessary to the operation of the said utilities of the City.
(Re£ 113)
402.02. POLICY
The City shall eliminate hazards to safety and health arising from defective water systems, sanitary sewer
systems, and storm seweF water systems in the City of Fridley; and for such purposes shall e}rtend its
municipal or public sewers to all lands of the City and require connection of all failing Individual Sewage
Treatment Systems (ISTS) to said systems.
402.03. CONNECTION SERVICE
No person shall make any type of connection to the municipal water system, the sanitary sewer system or
the storm se�ve� water system except upon making an application therefor on a form provided by the City
and receiving a pernut issued by the City for such purpose. The application shall include an exact
description of the property to be served, the uses for which the connection is requested and the size of the
service lines requested or to be used. At the time of making such application, there shall be paid to the City
a fee as designated in Sections 402.04, 402.05, and 49�-9Fr, 402.15, which shall be applied to, paid for, and
received by the City for the purpose indicated.
402.44. PROPORTIONATE SHARE
No connection shall be made or continued in use at any time with respect to any sewer or water connection
serving property if any person or occupants of the land, parcel ar premises affected have not paid or
provided for the payment of the full and proportionate share of the systems, services or improvements to be
used as determined by the City Council, which share of the cost of said system, service or improvement
shall be payable as follows:
Ordinance No. 1191
Page 2
A. For service to property to which service lines have not been previously run from the street laterals to
the property line, the owner, occupant or user shall pay into the City Treasury (Water and Sewer
Utility Fund) an amount not less than the cost of making connections, taps and installation of necessary
pipe and appurtenances to provide service to the property and necessary street repairs. Alternatelv,
the Citv shall allow the owner to contract directiv with an approved firm to install such
connection and restoration subiect to approval and insuection bv the Citv.
B. For service to property to which service lines have been run previously to the property line but have not
been paid for, the owner, occupant or user shall pay in cash or agree to pay charges in the form of
Special Assessments to be levied against the property to be spread over a number of years coincident
with the maturity requirements of any Special Improvement Bonds sold for the purpose of financing the
construction of such water and sewer lines and service connections serving the property. Said cash
payment or Assessment charge shall be in principal amount not less than the payments made by or
charges placed against comparable properties for like services of such water or sewer, i.e. FOR AN
"EQUIVALENT LATERAL ASSESSMENT", or an amount as may be esta,blished by the City
Council. In the instance of services run to the property lines as provided under Section 402.03.A, the
payment to the City Treasury of any amount required under Section 402.03.B shall be reduced by the
amount paid to the City under Section 402.03.A. Payment to the City Treasury in the form of a Special
Assessment charge shall be in the form of equal annual installments together with interest on the unpaid
balance from year to year, which interest shall be computed at the current rate of assessment.
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the e�usting municipal system and any
house or building for which the application is made, the owner or contractor shall be required to obtain a
pernut for such connection, and shall pay a pernut fee as provided in Chapter 11 of this Code. After such
connection has been made, the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto
has been approved by the City as a proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the
property line or a water service or sewer lead has been extended to the property line for connection, the
applicant, owner, or the occupant or user of such premises shall be liable for all repairs required to any
water line or any sewer lines necessary for connection of the premises from the �ep�e main to the
premises. � �
. If the uroqertv owner repuests maintenance services or renairs be nerformed
bv the Citv the propertv owner shall be char�ed for the costs of the maintenance andlor repairs,
including anV aecessary street repairs at a rate set annuallV by an administrative policV �ed
'�-�','"°-�*°� ". It shall be the responsibility of the applicant, owner, occupant or user to perform standard
maintenance of the sewer service line from the premises to the main including debris clearing or root cutting
and to maintain the water service curb stop box for ouerabilitv and at such height as will ensure that it
remains above the finished grade of the land or property. (Ref. 638, 1156)
402.07. CONSTRUCTION OF PRIVATE SEWER SYSTEMS PROHIBITED
The construction of new individual sewage treatment systems (ISTS) is prohibited in the City of Fridley.
Existing individual sewage treatment systems meeting MN Rules Chapter 7080 standards may and shall be
Ordinance No. 1191
Page 3
permitted to continue in use and operation until system is deemed failing by a licensed inspector during a
biennial inspection or the property owner expands kitchen, bathroom, or bedroom areas. The use of a
cesspool, outside toilet, or any other individual sewage treatment system not meeting standards set forth in
MN Rules Chapter 7080 is strictly prohibited.
1. New Construction. All new houses, buildings, businesses, facilities, etc., producing wastes or
discharges must be properly connected to the City of Fridley sewer system. Application for
connection shall be made to the City Building Department and all connection fees shall be paid as
provided by City Ordinances. No building permit sha11 be issued by the City after the effective date
of this ordinance, unless the applicant shows compliance with the terms of this ordinance.
2. Existing Structures. Any existing houses, buildings, business or facilities presently utilizing their
own septic systems, drainfield, soil absorption system, etc., shall be inspected by November 1, 20Q0
by a licensed inspector. After the initial inspection, systems must be inspected biennially by a
licensed inspector and inspection results presented to the City of Fridley Building Department. All
systems shall also be inspected prior to sale and/or transfer of title. All properties utilizing on site
sewage treatment shall be connected to the City Sewer system prior to the issuance of any building
permits for kitchen, bathroom, or bedroom expansions. Further, any such system presently in use,
but which is revealed to be a failing system by inspection, shall be connected to the City of Fridley
sewer system as soon as is practical but within 6 months of the time of failure. If the system is
determined to be an immediate health hazard, the system must be connected immediately.
3. Abandoned Sewage Treatment Systems. All e�sting cesspools, drywells, septic tarilcs, or any other
on-site sewage treatment systems which are abandoned and not in use shall be properly removed
and/or filled immediately to State standards so as not to pose a danger to health and safety.
402.08. NUISANCE
Hereafter, whenever and wherever any such private septic tank, cesspool or other type of private sewage
system is damaged or defective and as a result thereof operates improperly creating an immediate health
threat by exposing raw sewage to the grounds surface, then except as is further provided herein, connection
shall be made to a public sewer unmediately. Use of a defective system, or one in need of repair to
eliminate a hazard to safety or health is deemed maintenance of a nuisance and is prohibited; and such
nuisance may be abated according to law.
402.09. FAILURE TO COMPLY; NOTICE
The City Manager may cause written notice of sewer and water requirements to be given to any person
required by subsection �n� no rn �,- mm �� 402.07 or 402.08 to make such repairs and connections. Such
notice shall be mailed by certified mail or delivered by the Building Official or Code Enforcement Officer
by order of the City Manager. In the event that (I.) any person, required by subsection 402.08.9� to
connect an existing building to sanitary sewer mains where there is not an immediate health danger, fails to
complete the making of such connection within 6 month after such written notice is given, or (11.) any
person required by section 4�:�9 402.08 to connect an e�sting system to sanitary mains due to system
failure and immediate health threat fails to complete the making of such connection with 5 da,ys after the
written notice is given, the Council may by resolution direct that the required connection be made and the
cost assessed against the benefited property as set forth in section 49�-�4 402.12. From the time of failure
until connection, outflow must be plugged and tank pumped on a regular basis. Work must be done by a
Certified septic installer and pumping schedules must be filed with City Building Department.
Ordinance No. 1191
. 402.10. HEARING
Page 4
In any case where an owner deems himself or herself aggrieved by an order of the Building Official of the
City or other representative of the City with respect to a private sewage disposal system and its continued
use, the owner is entitled, upon giving notice and demand, to a hearing before the Council with respect
thereto and before the order shall become final. Such notice and demand sha11 be made promptly and in no
case later than five (5) days after receipt of any order from the City.
402.11. SEWAGE AND WASTE CONTROL
The "Waste Discharge Rules for the Metropolitan Disposal System" as adopted by the Metropolitan
Council Environmental Services (MCES), is hereby adopted by reference and incorporated into and made a
part of this Code as completely as if set out here in fu1L
40212. INSTALLATION BY CITY
Wherever the notice provided for in Section 402.09 is not complied with, the Council may, by resolution,
direct the connection of such building or property to the public sewer system. The cost of all necessary
appurtenances and the connection to public services shall be paid initially from the General Fund and then
assessed by the Council against the property benefited. If the assessment is not paid to the City within ten
(10) days after the City Clerk has served written notice in the same manner as provided for notice referred to
in said section, the City Clerk shall certify the amount of the assessment to the County Auditor for collection
in the same manner as other special assessments. The Council, by resolution, may provide for payment of the
assessment in one (1) annual installment bearing interest at the current assessment rate from the expiration of
such ten (10) day period.
402.13. STATE & METROPOLITAN COUNCIL REGULATIONS BY REFERENCE
There is hereby adopted by reference, and shall be in full force and effect in the City of Fridley as if set out
here in full, the following rules, regulations and recommended practices as set forth in pamphlets published by
the State of Minnesota, rules, regulations and recommended practices which shall be considered and construed
as minimum codes and standards of the City of Fridley:
1. Rules, regulations and recommended practices for the design, construction and operation of sewage
systems as set forth in Minnesota Rules Chapter 7080, dated 1995, published by the Minnesota Pollution
Control Agency, as amended to date.
2. Rules, regulations and recommended practices on the type, design, construction and location of wells for
potable water supply when connections to the municipal water system are not feasible as set forth in
pamphlets entitled "Manual of Water Supply Sanitation", Section 11, dated 1956, Section V, dated 1956,
and Section VII, dated 1957, all as published by the Minnesota Department of Health, Division of
Environmental Sanitaxion, as amended to date.
402.14. CONSENT TO REGULATIONS
Every person applying for water or sewer service and every owner of property for which any such
application is made shall be deemed upon making such application to consent to all rules, regulations and
rates set forth in this Chapter, and such further rules, regulations and rates as may thereafter be set forth
and adopted by the Ciry Council.
Ordinance No. 1191
402.15. WATER METER
Page 5
Before any water conveyed through the municipal water system shall be used or utilized on the land or
premises of any person, firm or corporation, there shall first be installed a water meter that will
accurately measure the water consumed on the premises, except and unless such installation shall be
exempted by the City. The applicant for water service shall pav an
amount to the Citv at the time of application for permit as set forth above, an amount deternuned by
the City to be sufficient to cover the cost of the meter. (Ref. 566)
At such time as there is a change of customer or property ownership for existing customers, all
new customers to the svstem will be required to pav a one-time administrative set-uu charge at
the rate set annuallv bv an administrative policv
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A. Those persons who naid to purchase a meter prior to the effective date of this ordinance
mav have the purchase nrice returned upon satisfactorv proof of transfer of title and
possession of said premises. The purchase price shall be first deducted from the bill if
there are unpaid bills or charges.
B. The liabilitv of the Citv for return of said nurchase funds however shall be limited to the
funds as are available in the water fund and shall not constitute a general obli�ation to the
Citv
All water meters installed under the provisions of this Chapter shall remain the property of the City of
Fridley. The meters shall be repaired from time to time as is necessary to ensure accurate measuring of
the flow of water. The City shall pay far the cost of repairs except when a meter has been damaged due
to negligence on the part of persons other than employees of the Water �er�ke Deqartment.
The owner, occupant or user of the premises or such other person desiring use of the water sha11
reimburse the Water Department for the expense of repairing any such damaged meter. Upon failure to
reimburse the Water Department within a reasonable time and upon demand therefore, the water
service and supply to said premises may be shut off or discontinued as determined to be in the best
interest of the City.
A. Ri�ht of entrance. Everv person owning imuroved real estate that has had a water meter
installed shall allow dulv authorized emplovees of the citv or a designated representative
of the Citv bearing prouer credentials and identification, to enter all pronerties for the
purpose of readin� repairing or replacin� the meter or for the purpose of installing an
automated meter reading device (AMR).
402.16. TAMPERING PROHIBITED
It shall be unlawful for any person to tamper with, alter, by-pass or in any manner whatsoever interfere
with the proper use and functioning of any water meter owned by the City.
Ordinance No. 1191
402.17. METER READING AND PAYMENT FOR SERVICES
Page 6
The City may provide a system of water meter reading , ,
deemed suitable +� +'�° r„rn�°° by the City Council. T'he City may also establish billing areas or
districts and provide for the readings of ineters and billing charges by month, by calendar quarters or
monthly quarters, or such periodic intervals as the City Council shall determine suitable and necessary
from time to time to the needs of the City. In the case of a post-card meter reading, each consumer
shall mail or return the meter card on or before the due date.
2. Each consumer shall be assessed a one dollar ($1.00) penalty for any card not returned within seven (7)
days of the due date.
3. A charge of ten dollars ($10.00) will be added to the bill if the meter reading qOSi card is not returned
to the City for the second consecutive quarter billing.
4. A charge of fifteen dollars ($15.00) will be added to the bill if the meter reading pOSt card is not
returned to the City for the third consecutive quarter. Such penalty and any use chaxges (based on an
estimate of the water consumed) will be added to every quarterly billing thereafter if subsequently not
read.
5. If the meter reading post card is not returned to the Citv for the fourth consecutive quarter, an
ARM shall be installed on the propertv. The qrouertv-owner shall pav a penaltv epual to the full
cost of the meter and installation which will be added to the bill. If the plumbin� is substandard,
the propertv owner will be responsible for brin�ing the plumbin� up to code at their own
expense.
A. Refusal of Entrv. Anv uerson refusin� to allow entrv of a dulv authorized emplovee or
desi�nated representative, as described in 402.15.3.A., shall be required to pav a penaltv of
$50.00 per month which shall be added to every subsequent utilitv bill. The penaltv shall be
added everv month until the prouertv owner is in compliance with this section.
� 6. The water rate charges shall be considered net charges and shall be the charges payable after the last
day of the month or billing period in which the billings are sent out.
b- 7. Payments not paid within thirty (30) days from the date of the bill will be assessed an additional ten
percent (10%) penalty. (Ref. 662, 988)
402.18. DISCONTINUANCE OF SERVICE
The City reserves the right to discontinue service to any customer of the water and sewer system without
notice when necessary for repairs, additional connection or reconnection or for non-payment of charges or
bills or for disregard of any rules or regulations in connection with the use or operation of said system.
Whenever any service has been discontinued for non-payment of charges or bills or for disregard of any
rules or regulations, it shall not be resumed, except upon payment of the charges of bills accrued together
with compliance with the rules or regulations previously violated and payment to the City of a restoration
fee . . . .
set annuallv bv an administrative policv ^° "°`'~ `'`'°^`°" ".. (Re£ 565)
Ordinance No. 1191
402.19. LIEN
Page 7
In the event a water or sewer bill is unpaid at the end of the calendar quarter or the billing period under
which the billing is sent out, the bill shall be considered delinquent and the service may be discontinued as
provided in Section 49�-�� 402.18 above and the City Council may cause the charges noted in such billing
to become a lien against the property served by certifying to the County the amount of said delinquent bill
in accordance with Minnesota Statutes, Chapter 444. A penalty of ten percent (10%) will be assessed to all
amounts certified to the County for collection. (Re£ 113 and 565)
402.20. WATER, �#B SEWER, AND STORM WATER RATES
1. Water consumption3 � sewer, and storm water use charges to the consumer shall become due and
payable quarterly each year on a calendar schedule or by monthly intervals or periods of time in
accordance with a schedule prepared by the City Manager. (Re£ 464)
2. The water rates per quarter shall be set by Council Resolution.
3. The sewer rates per quarter shall be set by Council Resolution.
4. The storm water rates per quarter shall be set bv Council Resolution
4. 5. Whenever the period of billing of charges for ei�ke� waterl e� sewer, or storm water services er�e�k
is altered or changed, the minimum charge payable for such water, e� sewer, or storm water service may
and shall be prorated as necessary in equity to the consumer for any period of time less or more than a full
quarter of any period used. Such prorating is also authorized whenever the rate, muumum or otherwise, for
°.� water1 e� sewer, or storm water services, er�et�r is charged.
402.21. DEFECTIVE METER
If a meter fails to register or accurately measure the water, the charge for water consumed shall be paid for
at the established rate based upon past average billings as deternuned by the City Manager.
402.22. NOTICE OF LEAK
Any owner, occupant or user of a premises who discovers a leak in a service line to the premises shall
notify the Water Department within 24 hours. Any water wasted due to failure of such person to comply
with this regulation shall be estimated by the City Manager and charged against the owner of such premises
at the established rate. (Ref. 113)
402.23. STOP VALVE
There shall be installed in every connection to the City water system one stop and waste valve which shall
be installed at a point between the water service stop and the meter so that the water may be turned off and
the meter and house plumbing entirely drained. There shall be installed another stop and waste cock in the
pipe on the house side of the meter. All service pipes connected to the City systems shall be of a T1TPE K
copper or its approved equal and shall be laid at a depth not less than 6.5' below the finished grade, or as
low as the street mains.
Ordinance No. 1191
402.24. PERMIT
Page 8
Any applicant, owner, occupant or user in applying for permission to connect to the City water and sewer
systems shall have all work in connection therewith performed under the supervision of a plumber, licensed
to do plumbing in the City of Fridley, except that nothing in this Chapter shall be construed as to prohibit
an individual owner from obtaining a permit therefar provided that a person, firm or corparation actually
performing the work be a plumber licensed to perform such work in the City.
402.25. OPEN CONNECTION FOR FIRE PROTECTION
Any applicant, owner, occupant or user who sha11 apply for a connection to the City water mains which
connection shall be open at all times for the purpose of fire protection, shall apply in writing to the Water
Department giving detailed information as to the size of main required, location of main and a copy of the
plans of the system that shall be served by such connection. Such applicant shall furnish and insta.11
between the point of connection to the City main, a shut off valve or if the same be installed by the City, the
cost thereof shall be paid by the said applicant. Such shutoff valve shall at all times be open for inspection
purposes to the Water Department personnel, but maintenance and cost of repair of the valve and tap shall
be the sole responsibility of the applicant desiring such service. In the event a single connection is made for
the joint purpose of fire protection and potable water use, applicant shall split the connection line and
provide separate shut off valves for each use, a miniinum distance of 20 feet from the outermost point of
the building. Such permit may be granted by the City upon such conditions as may be deemed by the City
Council to be in the best interest of the City including requirement by the City of the installation of any
valve and meter for water use detection purposes.
402.26. RESTRICTION
It shall be unlawful for any person, firm or corporation having such an open main for the purpose of the
protection to make any connection to such main for any purpose other than the one noted in the original
request to the Water Deparhnent.
402.27. CITY NOT LIABLE
The City shall not be held liable at any time for any deficiency or failure in the supply of water to the
customer whether the same be occasioned by shutting off the water for repairs or connections, or for any
cause whatsoever.
402.28. RATES
The City Council shall have the authority to prescribe the rates to be charged for water and sewer service to
the customer from time to time and may prescribe the date of billing, a discount for the payment of any bill
within a reasonable time, and such further rules and regulations relative to the use and operation of such
systems as it may deem necessary from time to time.
402.29. INDUSTRIAL USER STRENGTH CHARGE
1. Recitals.
The Metropolitan Council Environmental Services (MCES), a metropolitan commission organized and
existing under the laws of the State of Minnesota (the "MCES"), in order to receive and retain grants in
compliance with the Federal Water Pollution Control Act Amendments of 1972 and regulations thereunder
Ordinance No. 1191 Page 9
(the "Act"), has deternuned to impose an industrial user sewer strength charge upon users of the
Metropolitan Disposal System, as defined in Minnesota Statutes, Section 473.121, Subdivision 24, and to
recover operation and maintenance costs of treatment works attributable to the strength of the discharge of
industrial waste, such sewer strength charge being in addition to the charge based upon the volume of
discharge. In order for the City to pay such costs based upon strength of industrial discharge allocated to it
each year by the MCES it is hereby found, determined and declared to be necessary to establish sewer
strength charges and a formula for the computation thereof for all industrial users receiving waste treatment
services within or served by the City. Furthermore, Minnesota Statutes, Section 444.075, Subdivision 3,
empowers the City to make such sewer charge a charge against the owner, lessee, occupant ar all of them
and certify unpaid charges to the County Auditor as a tax lien against the property served.
2. Establishxnent of Strength Charges.
For the purpose of paying the costs allocated to the City each year by the MCES that are based upon the
strength of discharge of all industrial users receiving waste treatment services within or served by the City,
there is hereby approved, adopted and established, in addition to the sewer charge based upon the volume
of discharge, a sewer charge upon each company or corporation receiving waste treatment services within
or served by the City, based upon strength of industrial waste discharged into the sewer system of the City
(the "Strength Charge").
3. Establishment of 5trength Charge Formula.
For the purpose of computation af the Strength Charge established by Section 49�� 402.29.2, there is
hereby established, approved and adopted in compliance with the Act the same strength charge formula
designated in Resolution No. 76-1972 adopted by the governing body of the MCES on June 15, 1976,
such formula being based upon pollution qualities and difficulty of disposal of the sewage produced
through an evaluation of pollution qualities and quantities in excess of annual average base and the
proportionate costs of operation and maintenance of waste treatment services provided by the Commission.
4. Strength Charge Payment.
It is hereby approved, adopted and established that the Strength Charge established by 5ection ^"��
402.29.2 above shall be paid by each industrial user receiving waste treatment services and subject thereto
before the twentieth (20th) day next succeeding the date of billing thereof to such user by or on behalf of
the City, and such payment thereof shall be deemed to be delinquent if not so paid to the billing entity
before such date. Furthermore, it is hereby established, approved and adopted that if such payment is not
paid before such date an industrial user shall pay interest compounded monthly at the rate of two-thirds of
one percent (2/3%) per month on the unpaid balance due.
5. Establishment of Tax Lien.
As provided by Minnesota Statutes, Section 444.0'75, Subdivision 3, it is hereby approved, adopted and
established that if payment of the Strength Charge established by Section 49�?� 402.29.2 above is not
paid before the sixtieth (60th) day next succeeding the date of billing thereof to the industrial user by or on
behalf of the City, said delinquent sewer strength charge, plus accrued interest established pursuant to
Section ^��T 402.29.4, shall be deemed to be a charge against the owner, lessee and occupant of the
property served, and the City or its agent shall certify such unpaid delinquent balance to the County
Auditor with ta�es against the property served for collection as other taxes are collected; provided,
however, that such certification shall not preclude the City or its agent from recovery of such delinquent
Ordinance No. 1191
sewer strength charge and interest thereon under any other available remedy. (Ref. 629)
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402.30�. TAMPERING
Page 10
It shall be unlawful for any person to tamper with, use, alter or damage any water line ar connection of any
type or part thereof or any fire hydrant, water service curb or valve box ar street valves or any sewer line
or connection of any type or part thereof without authority from the City. Any person who shall damage
any part of the municipal water system, or any pipe or connection of any type or part thereof, including any
hydrant or valve, or any part of the municipal sewer system or any pipe or connection of any type or part
thereof, shall be liable for the damage or loss to the City caused thereby.
402.31�. SURFACE WATER INTO SANITARY SEWER
It shall be unlawful for any owner, occupant ar user of any premises to direct into or allow any ste�ge
surface water to drain into the sanitary sewer system of the City of Fridley.
402.32�. CITY INSPECTION
All installation work or repair of connections to the municipal sewer and water system, including
grades, bends and back-filling shall be performed under the direction and supervision of the City
Manager or the City Manager's designee. No work shall be covered or back-filled until directed by the
City Manager or the City Manager's designee. All work and excavations shall be protected by
barricades and warning markers and lights reasonable and suitable to the purpose. The City shall be
held harmless of any claim or loss as might otherwise arise for damage or loss of injury caused by or
arising by reason of such work being performed; and the applicant, owner or user performing or
causing such work to be done shall give a report to the City with respect thereto.
Ordinance No. 1191 Page 11
2. No digging on any permanent type street shall be permitted except by special permission from the City.
3. Whenever a water user questions the accuracy of the meter, and desires that such meter be tested, such
person shall ^^^ � r e„c a.,o a,,,,....� iec nm reimburse the citv for all testin� costs plus an
administrative fee set annuallv bv an administrative policv if the meter tests accurate within a range
of minus three percent (-3%) to plus one and one half percent (1-1J2%). If it is not accurate within this
range, no charge will be made for testing and anv administrative costs incurred. � An �
adjustment on the water bill will be made for the period of time that the meter is assumed to be
inaccurate.
402.334. WATER CONSERVATION
In order to ensure an adequate water supply for human consumption, sanitary purposes, and fire fighting
purposes, the City Council may establish by resolution water conservation regulations as they may be
required from time to time. (Ref. 922)
402.34�. TERMINATION NOTICE
Requests for turning off the water shall be made in writing thirty (30) days prior to the time for which
payment has been made. Otherwise, the owner of the premises shall be liable for water rent for the ne�
period.
402.35g. INSPECTION & CORRECTION
The City Manager or any authorized employee or agent of the City sha11 have right to enter and be admitted
to any lands and property in the City for the purpose of inspection of materials, plumbing work and fi�rtures
of all kinds used by or in connection with the water and sewer systems. Any and all work, construction,
alteration, repair, addition to, remodeling, moving, use, maintenance and occupancy of any building and the
work and installation of any utility and appliance thereof and in use therewith to which the codes herein
referred to apply shall be done and performed strictly in accardance with this Code. If, after inspection,
any of the same are found not to be in accord with this Code, then the same shall be corrected upon notice
from any duly authorized representative of the City of Fridley authorized to give such notice. If, after such
written notice to any person performing any work which requires conection thereof, such person neglects
or refuses to correct such work and fails to make the same conform to this and to the arder of the City's
representative, the City by any of its duly authorized representaxives may remove such work and charge the
cost thereon to the person installing the same. No person shall cover any such work without the same being
first duly inspected.
402.36�. SEPARATION FROM PRIVATE WATER
Whenever any premises are connected to the municipal water system, there shall be maintained a complete
physical separation between the municipal water supply system and the private water supply system, so
that it is unpossible to intentionally or unintentionally allow any water produced by a private system to be
introduced into the supply line from the municipal system.
402.378. CHARGES WHERE NOT METERED
Any water obtained by any person, firm or corporation from the municipal water system which is not paid
for by the consumer or the user thereof by payment of water charges or rates determined by a meter shall
Ordinance No. 1191
Page 12
be charged at and paid for by such consumer or user upon an estimate of the quantity of water used as
computed at the established rate for such purpose or use, except that the Council may waive payment of
such charge where deemed by the Council to be in the interest of the City.
402.38�. ENFORCEMENT
It shall be the duty of such administrative personnel as designated by the City Manager to ensure compliance
with the provisions of this Chapter.
402.3948. PENALTIES
Any violation of this Chapter is a misdemeanor and is subject to all penalties provided for such violations
under the provisions of Chapter 9 of this Code.
PASSED AND ADOPTED BY THE CITY COUNCIL OF THE CITY OF FRIDLEY THIS 29� DAY OF
MARCH 2O04.
��� r�.�
—�ottT� Lun , Mayor
ATTEST:
�
Debra A. Skogen, Ci Clerk
First Reading: February 23, 2004
Second Reading: March 29, 2004
Published: Apri18, 2004
,
CITY OF FRIDLEY
� _ CITY COUNCIL MEETING MINUTES
MARCH 29, 2004
The regular meeting of the Fridley ity Council was called to order by Mayor Lund at
7:30 p.m.
PLEDGE OF ALLEGIANCE:
Mayor Lund led the Council y(nd audience in the Pledge of Allegiance to the Flag.
ROLL CALL:
MEMBERS PRESENT: Mayor Lund, Councilmember Barnette, Councilmember
Billings, Councilmember Wolfe, and Councilmember
Bolkcom.
MEMBERS ABSE�T: None
City ouncil Meeting of February 23, 2004.
Ci Council Meeting of March 8, 2004.
OLD BUSINESS:
1. Ordinance No. 1191 amending Chapter 402, Water and Sewer
Administration of the Fridfey City Code (Tabled March 8, 2004).
Mr. Burns, City Manager, explained the amendment includes three main changes:
a. It provides that the property owner is responsible for the portion of the water
and sewer services that lies befinreen the property line and the main.
b. It replaces water meter purchases by a new customer with a set-up fee.
c. It establishes that the City wiN install an Automated Meter Reading device for
customers who have neglected to send in their meter readings for four
consecutive quarters. 1f we are not permitted in the house to install the new
meter, the property owner will be assessed a$50/month penalty until such
time as we are permitted entry.
�
. '
FRIDLEY CITY COUNCIL MEETING MINUTES OF MARCH 29, 2004 PAGE 2
Staff recommends approval of the second and final reading.
�-
WAIVED THE READING AND ADOPTED ORDINANCE NO. 1192 ON THE SECOND
READING AND ORDERED PUBLICATION.
2. Spe ial Use Permit Request, SP #04-02 by Kevin and Paulette Holman to
cons uct a detached garage in the rear yard which is located in a Flood
Fring District, generally located at 571 — 79'" Way NE (Ward 3).
Mr. Bur , City Manager, explained that there had been some question regarding
the minu s for this particular matter. Motions will be made later in the meeting
to addres those issues.
THIS ITEM WAS MOVED FOR THE COUNCIL MEETING AGENDA.
3. Resolution 2 4-26 rescheduling a public hearing to amend Section 7.02 of
the Fridley Cit Charter by Ordinance.
Mr. Burns, City
posted as requ
rescheduted for ,
ADOPTED
NEW BUSINESS:
ager, said the public hearing notice for this item was not
by law. Staff recommends that the public hearing be
12, 2004.
4. Receive the minutes
RECEIVED.
5. Special Use Permit Re
relocation of their yard
NE (Ward 1).
NO. 2004-26.
the Planning Commission meeting of March 3, 2004.
SP #04-03, by Menard Inc., to allow for the
ce, generally located at 5351 Central Avenue
Mr. Burns, City Manager, explained th t Menards would like to move their yard entrance
from the south side to the north side o their building. The action before the Council is
to replace a Special Use Permit grante in 1996. The Planning Commission approved
the new Special Use Permit at their M ch 3 meeting. Staff recommends Council's
approval with 18 stipulations.
APPROVED SPECIAL USE PERMIT RE �
WITH THE FOLLOWING EIGHTEEN STIP
BUILDING SHALL COMPLY WITH ALL
REQUIREMENTS; 2. FENCE INSTALLED
AND THE SKYWOOD MALL SHALL HAVE
FRIDLEY CITY CODE CHAPTER 108.11.3;
IEST, SP #04-03, BY MENARD INC.,
.ATIONS: 1. PROPOSED ENTRANCE
TATE BUILDING . AND FIRE CODE
3 TWEEN THE MENARDS BUILDING
A GATE INSTALLED AND MEET THE
3. HE PETITIONER SHALL OBTAIN
,
alvokr� coL�vT�- MINNESOTa
. �
Document No.: 481194.OD 1 TORRENS
I hzreby certify that th� within instrument was tiled in this
office for record on: U1/04/20U5 1:�3:00 PM
Fees/Taxes In the Ainount of: $19.50
I�IALJREEN DEVINE
Anoka County Property Tax
Administrator/Recorder/Registrar of Titles
JMD, Deputy
Record ID: 1517864
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CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
. � FRIDLEY, MN 55432
' 'j (7631572-3604 FAX: (763) 571-1287
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
NOTE: CONT:651-248-0707
REPRINTED ON 8/29/2006
: 6410 E RIVER RD NE
: 153024420022
: AUD SUB NO 023 (REV)
: LOT 30 BLOCK ?
: SEWER & WATER
: RESIDENTIAL
: SEWER/WATER CONNECTION
SEWER/WATER CONNECTION
APPLICANT
CAPRA'S UTILITIES INC
2382 LEIBEL ST
WHITE BEAR LAKE, MN 55110
(651) 248-0707
OWNER
JOHNSON, ANDREW
6410 EAST RIVER RD 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 work
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.
Applicant Date
Bldg Insp
Date
PERMIT NO.: 2006-01390
DATE ISSUED: 07/26/2006
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SEWER PERMIT FEE
STATE SURCHARGE, OTHER SEWER
WATER PERMIT FEE
TOTAL
PAID WITH CHECK # 121
50.00
0.50
100.50
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SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Fridley
� 6431 University Ave NE
_ Fridley MN 55432
~ (763) 572-3602 or Fax {763) 502-4977
_ - _ - _ _,-Water__and Sewer_Permit Application
� New Connection
❑ Existing
Date: 7 � � 6" b�'
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❑Utility Line Repair/Relocation
❑Water and Sewer Connection
3ob Address: ��f � C ��"�' �`�
Name of Applicant (Plumber): �� �a 1' U�-� /���� �ti c
Name of Property Owner: �/' �� S�I�� Sa n
Existing Structure Permit # _
Permit Type:r Sewer Fee: J��-�
� Water Fee: �� - OU
Meter Fee:
Repair Fee:
Relocation:
State Surcharge: . ��
SAC Charge:
Special Assessment Fee:
Total: $ �El�'�J O
Applicant Signature: �
Inspector approval:
Water Meter Repair — Weekend & H
Water Connections Pernut
Sewer Connections Permit
Inspection Fee for Water/Sewer Line
Special Assessments
Cost of Water Meter '
SAC Charge
State Surcharge
Water Tap
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f =��.�:: t651) 762-26pa
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CITY OF FRIDLEY
� 6431 UNIVERSITY AVENUE NE
- " FRIDLEY, MN 55432
(763) 572-3604 FAX: (763) 571-1287
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
: 6410 E RIVER RD NE
: 153024420022
: AUD SUB NO 023 (REV)
: ' LOT 30 BLOCK ?
: SEWER & WATER
: RESIDENTIAL
: SEWER/WATER CONNECTION
NOTE: SEWER/WATER CONNECTION
SAC UNITS
APPLICANT
JOHNSON, ANDREW
6410 EAST RIVER RD NE
�RIDLEY, MN 55432
.�.►_:
JOHNSON, ANDREW
6410 EAST RIVER RD 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 ]rnow the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
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.
Applicant Date
: � : � /�_.'n',".1T1////L� � . -
1
(�}��PY
PERMIT NO.: 2006-01726
DATE ISSUED: 08/28/2006
SEWER PERMIT FEE
STATE SURCHARGE, OTHER SEWBR
WATER PERMIT FEE
SAC CHARGE
TOTAL
PAID WITH CHECK # 24214019
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
50.��
0.50
50.00
1,550.00
1,650.50
� -
�
City of Fridley
' 6431 University Ave NE
Fridley MN 55432
(763) 572-3602 or Fa�c (763) 502-4977
� � �'`:�• ��
�� �
O4�
/G%�
�
--- -- Water and Sewer Permit Application
New Connection ❑Utility Line Repair/Relocation
Existing `�Water and Sewer Connection
G '
Date: �
Job Address: ���_z� /! � `��— ��'•
Name of Applicant (Plumber): � r'z^� ,��''"" g°"�
Name of Property Owner: �'�' �v �� �'"^ S J�
Existing Structure Permit #
Pernut Type: Sewer Fee: ,.�'U. ba
Water Fee: SU. ob
Meter Fee:
Repair Fee:
Relocation:
State Surcharge: . .��
SAC Charge: /�,�Sb °a
Special Assessment Fee:
Total: $�_�
Applicant Signature: ��'�J
Inspector approval:
Water Meter Re ap ir – Weekend & H�
Water Connections Permit
Sewer Connections Permit
Ins ection Fee for Water/Sewer Line
Special Assessments
� Cost of Water Meter
(� (� SAC Charge
State Surchar e
Water Tav
04/04/OS
�
__�.�__..�
_ _ ..�.,�
--=_.,.r
$125/hour
$50
$50
$40
See
$1550
$ .50
See Engineering
Building
Inspections
763-572-3604
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
pp� ( `� - �— � �9 YOUR E-MAIL ADDRESS
SITE ADDRESS ��� �° � 2- "� r �"'�
THIS APPLICANT IS: OWNER ❑CONTRACTOR
Permit No.
Received By:�
Date Rec' d: � � " �
PROPERTY OWNER/ Np�:'��� 5�� � -r—
TENANT ADDRESS: ��% [t' � 1Z:•1�.r' 2 CITY �r: ���"� STA _ IP S`� ��� °Z
PHONE: �! 2 � "� q � - `1 Q a- � ...
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
STATE LIC6NSE #
EXP DATE
ADDRESS: CITY STATE ZIP.
PH(1NF. FAX
PROPERTY TYPE ��GLE FAMILY/NI
❑ TWO FAMILY/NEW
PERMIT TYPE � �DITION ❑ GARAG
� BASEMENT FINISH ❑ ROOF
O DECK ❑ SIDING
o swn�M
❑ DRAIN TILE
�0�6'THER
TYPE OF WORK: � NEW o�Ul"1�1UN
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: S �� � '� r� � l � = �^ > � � � � = �^�
SIZE OF IMPROVEMENT
LENGTH
HEIGHT
Ft.
ROOFING 0 HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:
O ATTACHED GARAGE 1. Existing Floor Plan
GARAGES 2. Proposed floor plan
PROPOSED SIZE: � DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT:
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
O Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT:
O Aluminum O 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 OYes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES 8c
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 $�"�`� `?— OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surchazge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ � ��_
' � r
$ � t..<� _ L f
$ . �U
$ l. vc;
$
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Resident�ial Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
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 permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT ���� PRINT NAME DATE
Building PLUMBING Permit No.: �
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date Rec'd:
, , , _- � _ ,E, �.
DATE YO`JR E-MAIL ADDRESS
SITE ADDRESS � �l 1 c� � ti'�`�' l� �
THIS APPLICANT IS: WNER �CONTRACTOR
PROPERTY NAME: ` �' � `1 � ��" "� S `� �
OWNER/ ,,�DRESS: ��� t O 1= �2:�'� �C'� CITY �'� �`J STATE ZIP sS ��
TENANT pHONE: �' � � - �� a�� °� t 3 �"
CONTRACTOR NAME:
SUBMIT A COPY OF STATE LICENSE # EXP DATE
YOUR STATE ADDRESS: CITY STATE ZIP
LICENSE WITH PHONE FAX
APPLICATION
PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: � ��'�' �REPLACEMENT
DETAI DESCRIPTION OF WORK �
� • �
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00,: whichever is greater, for the
impro�ement, installation or replacament of a residential fixture, excluding the fixtures. (This shouldreflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor �_ x.OS =
: FORTPROJEGTS WHERE LABOR EXCEEDS �$500;�'EES ARE BASED ON $10.00 PER FIXTURE, EXCEPT �V3iERENQT£D:::RI�:i1R�E�s•=(INDIGATE TOTAL
NUMBER OF EACH BELOV�
BATH SINIULAV FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING pv�Cirrz�CFrrsE) SWIMMING POOL WATER SOFTNER ($35)
CLAT'[�S WASHER KITCHEN SINK WATER CIASET BACKFLOW PREV. ($15)
DISHWASHER � LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee $ . L1U Number of fixtures @$10.00 x$10.00 =$
Surchar e .50 Number of fixtures @$15.00 x$15.00 =$
TOTAL DUE $ �>S .,�6 Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $
THIS IS AN APPLICATION FOR A PERMTf-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 permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICAN'f '-J�' ~ PRINT NAME ��7`� �``J -' � L`� S°'-' DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building MECHANICAL Permit rro.:. .�- �
Inspections RESIDENTIAL APPLICATION Received sy:
763-572-3604 CITY OF FRIDLEY nate Re�'d: %-%7�
DATE l � � , � � � � YOUR E-MAIL ADDRESS
srrE anDx�ss � `11 � � �-�"��' i�
THIS APPLICANT IS: �'OWNER ❑CONTRACTOR
PROPERTY N�E: -�,�,J 5 �L S"�
OWNER/ qDDRESS: �� v�'�'c'����-� L"�- CITY �`r� �"� �� STATE��ZIP �S �"/ 3
TENANT pHONE: � � �' T� °"`� `3 �-r
CONTRACTOR COMPANY NAME:
SUBMIT A COPY OF CONTACT PERSON:
YOUR STATE STATE LICENSE # EXP DATE
LICENSE WITH qDDRESS: CITY STATE ZIP
APPLICATION pHONE FAX
PERMIT TYPE ��GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: ��W P�CEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK �� r`^��� � �� C'�-u'��� ��
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
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 BELO�
Equipment Installed MFG: MODEL: S1ZE/B'TL1
MFG: MODEL: SIZEBTU
MFG: 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 L1NIT HTR $10.00
CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $I5.00
Permit Fee $ Number of fixtures @$10.00 � x$10.00 =$ i�. i,�
Surcharge $ .50 Number of fixhues @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @�25.00 x$25.00 =$
Number of fixtures @ $35.00 _� x $35.00 = $ - L�
State Surcharge = $ .50
Total = $�'�,
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclmowledge 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; that the work will be in accordance with the
approved plan in the case of all work which require view and approval of plans.
SIGNATURE OF APPLICANT �M`�, PRINT NAME �re `"� '�`� �� S�" DATE 1 I- 1�^�b
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977