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AF-ASSESS - 42015O �nl 2�3 �Z�JJoo �; City of Fridley Assessment Agreement Voluntary Assessment for Additional Project Work I, 1�t�2x. S,t uu�5. , owner of the property located at ►5�� Dat� �VE �� Fridley, MN, zip code ��`� 3 Z- , request that the City of Fridley provi e the following / additional ir�n.provement to my property: � �IV�!� l�` bi�� l� �Uj � r�� I� �� /��a� . I hereby authorize personnel of the City or its agents to enter onto my property for the purpose of completing the work listed above. I further release the City of Fridley from a.ny claim other than negligence on the part of the City or its agents. I affirm that this work is requested due to the immediate need, schedule, and my financial condition, and that this request is only being allowed at the sole discretion of the City of Fridley. I understand that I am responsible to the City for all costs related to the work listed above as established by the contract cost(s) to the City of Fridley for all work completed, plus 12% for Engineering and Administration. I am also requesting that these costs are added to my special assessment for City of Fridley Project �jZp I�^(� 1 and assessed to my property consistent with the special assessment for this project, including certification to my property taxes, and any and a11 interest required. I also agree to waive all my rights to appeal the special assessment for the project named above, including for the work requested. � � 5��,� A��; ��^ �� V� Signed• ��_ Date: O� �S av�'� Cc: Engineering Division Finance Department � 2� (6 Buildi�g BUILDING Pe�it lvo.: 'Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FR.IDLEY vate xec'd: 763-502-4977 FAX �FECTTVE i-�-zoio � DATE f� S I a� I aD �� YOUR E-MAIL ADDRESS C A�t S 1@ U S� A rvt I LY . tJ E 7-- srt�,4nDxESS 15 �� F�Ei�tJD.4 LE AU� I�1E. THIS APPLICANT IS: C�hOWNER ❑CONTRACTOR PROPER OWNE N,e,ME: ��, Q� � ��S �N``�� a,DDRESS: S�i�iE 115 t46oV� CTTY S'CATE ZIP PHONE: '7�:3 — S7 1-7 S,S 2 CONTRACTOR N�: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE AATD CERTffICATE OF ADDRESS: CITY STATE ZIP WSURANCE PHONE F� PROPERTY TYPE ❑ SWGLE FAMILY/NEW CONSTRUCTION SIZE � ❑ TWO FAMILYRVEW CONSTRUCTION STORIES PERMIT TYY'E 0 ADDITlON 0 GARAGFJSHED ❑ WINDOWS O BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMNIING PO�L TYPE OF WORK: � NEW HOME CONSTRUCTION ❑ ADDTIION �MAINTENANCE/REPAIR OREMODELING DPIV�f�L� Cu2b-CUT DESCRIBE WORK BIING DONE: SIZE OF IIvIPROVEMINI' LENGTH WIDTH HIIGHT S FT pR OFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQllARES ❑ HOUSE & GARAGE �, �i�ng Floor Plan GARAGFS ❑ ATTACHED GARAGE 2.. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of strucdual members to be used PROPOSED HEIGHT: FOR NEW CONSTRUC170N INCLUDING DECKS, S�� ADDITIONS. & PORCHFS SUBMI'I': ❑ Viuyl OSoffit ❑ piuminum ❑ Trim 1• Site Plan/Survey showing the existing structures ❑ p�� ❑ Fescia � Pro� P%I� 2. Two sets of consnuction pians �p� 3. Energy Calculations IN EXISTING OPEMIlVGS OYes ONo LOCA110N OF WINDOWS FOR WINDOWS — PROVIDE U-VALLTE AND OR FOR NEW OPENWGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLID NUMBER OF WINDOWS ALL FEES ARL�' BASI�'.11 V1V VALUA"11V1V,1NC:LUli11Vl� ltl� l.u�i vr i.�svn uvu ►��►i r��a: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUA' Permit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Tota! Dne ANCY $ 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 Residential Contractors) $ $2 D� O�z SAC Unit (Plans to MWCC for determination) $ ;' i•a/ ft+ 6 ft= ft x$24 =$ $ t $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ Make checks payable to: City of Fridley Attach THIS IS AN APPLICA7'ION 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 on site; that the work will be in accordance with the approved plan in the case of a11 work which requires review and approval of plans. SIGNAIVRE OF APPLICAS�II'`�2�� PRINT NAME�if�Q� �S/�9S DATE OS Z� /ZO /O Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any altera.tion or repair to any existing building or structure, upon applic�tion therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: VERI�'ICATION OF FOUNDATION Permits for constcuction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 4 � 0 .. May 18, 2010 Mr. James P. Kasluchar Public Works Director City of Fridley Mr. Kosluchar, � .. , ,__. - � _, , . � ; �; MAY 1 9 2010 CfIY OF FRIDLEY' ENGIiJEERIN� We are wri6ng regarding the 2010 Street Rehabilitation Project No. ST2010-01. Our home is on Femdale Avenue, included in the project. We are having our outdated asphalt driveway removed and replaced with cement We feel it is also important to replace the curb-cut prior to the mill work and overlay of the street. It is our request that you consider authorizing the $480.00 cost of the curb-cut to be included with the special assessment our property will incur upon completion of the street rehabilitation. If you will include the $480.00 cost of the curb-cut with our street special assessment, wre waive any and all rights to appeal any or all portions of the ST2010-1 special assessmeni PropertylD 243024110085 We appreciate your time and consideration, Maria del Carmen Guerra de Sims Mark Sims �' a��-- �� '7� 3-.,� 7 c-� s s z c�.s� � us�� '/�. � zf '\F LV\`�-�rt` ! �� 1 ✓ ' � � �, L �j �;G�SS n t�� h�� J�►�> > � o��J �J �.��. � � � t � October 8, 2009 Notice is hereby given that the City Council will meet at 7:34 P.M. on October 26, 2009 in the Council Chambers, Municipal Center, 6431 University Ave. NE, Fridley, MN, to consider the proposed assessment for the 2009 Street Improvement Project ST2009-01. Adoption by the City Council of the assessment may occur at the hearing. The area to be assessed for the improvement is legally described as follows: Pin(s) all located in the City of Fridley, County of Anoka, State of Minnesota. The amount PROPOSED to be assessed to your properly is as follows: $ 1023.00. It will be payable over 10 years at 6.5% interest (See page 2 for payment options). T'he proposed assessment roll is on file for public inspection at the City of Fridley Finance Office. Written or oral objections will be considered at the meeting. People who desire to be heard regarding the proposed improvement and assessment shall be heard at this meeting. If you wish to preserve your opportunity for appeal of the assessment, you must present your objections in writing. Minnesota Staxutes, Section 429.061, Subdivision 1, provides in part: "T�10 appeal may be taken as to the amount of any assessment adopted pursuant to Subdivision 2, unless a written objection signed by the affected property owners is filed with the Clerk prior to the assessment hearing or presented to the presiding officer at the hearing." No appeal of your assessment will be accepted by t6e district court unless this written objection is properly filed. An owner who has properly filed a written objection as provided in the preceding paragraph may appeal an assessment to the District Court, pursuant to Section 429.081, by serving notice of the appeal upon the Mayor or Clerk of the City within 30 days after the adoption of the assessment and filing such notice with the District Court within 10 days after service upon the Mayor or Clerk. ��'Zr�'�_Gf � S��c,t�� ,s5!�-�S�i�►� � . . Minnesota Statutes Sections 435.193 through 435.195 and Council Resolution 14-1995 authorize the City to defer the payment of special assessments against homestead properties owned by persons older than 65 yeazs of age and disabled persons for whom it would be a hardship to make the payments. Under this arrangement interest WILL accrue from the date of adoption. For fiu�ther information about this deferral prograzn, contact the Finance Department at 763-572-3526. 1. Various options aze available for �aying the principal amount of the assessment after the City Council has accepted the roll: A. Payment of the pri.ncipal either IN FULL or AT LEAST HALF will be accepted until November 25, 2009. B. Allow the entire assessment to be certified to the Anoka County Property Records and Taxation Division for collection with real estate taxes in 2010. 2. Interest is charged in the following matter: A. No interest is charged if full paymerat is received within 30 days of adoption of the special assessment roll or by Noverrnber 25, 2009 (if the assessment is adopted on October 26). B. After.30 days: from adoption, interest will be chazged on the remaining balance on a daily basis from the adoption date. 3. If you do not prepay in total prior to November 25, 2009, the rema.ining principal along with interest from the d.ate of the adoption of the resolution through December 31, 2010, will be collected with your 2010 taxes. If you would like a detailed explanation as to how the assessments were calculated, you can conta.ct the Finance Department at 763-572-3526. Greg Tirevold Special Assessments City of Fridley