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AF - 45882City of Fridley, inn BUILDTI�TG 1'EFiMIT N° 5 3 2 6 � � Date: °'°"' � Owner: Buflder � � �.. _._..r�..� F� Address . _ Address ._._ � � L , TION , BUILDi(VG No.��"��Sfreet ..._....... Pari of Lot , _._..�,._..� Lot —�.__ Block �-�--W.- - -Addition or Sub-Division _. -�'' ,� �. ,� , �, � Corner Lot Inside Lot ��` Setback Sideyard Sewer IIevai3on �_ ._ Foundation IIevation � DESCRtPT10N OF �UILDING To r'� Used . � � ;, ,�,� • Front _,.�'_�Depth � Height ..��:LL Sq. Ft.� Cu. " on Depth eaght f Sq.. F't. � Cu. Z�pe of �nstructio�l .: Est, Cost,�� - � To be Completed _____.� � �. s �, i Ea consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compHance with all provisions of orrlinances of the dty of Fridley. � -. In consideration of the payment of a fee of $.�'.r._._.., permit fs hereby granted to to constrvct the building or addition as descxibed above. This permit is gra.nted upon the express condition that the person to whom it is granted and kus agents, employees and worl�nen, in all work done in, around and ugon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardiug locaiion, construction, alteration, maintenance, repair and moving oE bufldings within the city limits and this permit may be revoked a t any Lime upon viola.� of any oP tlae provisiona of said ordinances. ,r► Building Iaspector NOTICE: T61s permit doee nof eove� �he construcHon, installation for wiring, plumbG+g, eaa heating, aewer o� water. Be sure �o aee fhs Bufldi� laapeero� for separate permifs Po� �heae Items. �, .. 4 " /-1 � �,, .s'" �. F• �` �,�.>, � APPLIGATION F� BUILDIATG P,ERNaT CITY OF FRIDLEY, MINNE.SOTA Owner's Name . �Bu37.der �ddress �ddress BIISLDING No. /� d' `°/ 3treet �< Part of Lot , Lot � Block Addit3on or Su�ivision .��c�o,,,_� � � �� Corner Lot Ins3de Lot 8� Setback Side-Yard� SEWER ELEV�TION FOUNDgTION ELEVgTION �pplicant attach to this form Certificate of Survey of Lot and proposed building location. . To be u� as: �. P Sq. Ft. DESCRIPTION OF BUILDING / Heieht � � Ft. A/ . Ft. Cu. Ft. Type of Conatruction �-��'�'-� Estimated Cost �� To be Completed The unders3gned hereby makes application for e, permit for the work herein spec3fied� agreeing to do all work in atrict accordance with the Citg ardinanoes and ruling of the Depar�Gment of Build3ngs, and hereby declares that all the facts and representations stated in thia application are true and correct. DAR� SIGN&TtJRE _ �` ��'�% (A Schedule of Fee Costs can 'pe found on the Reverse Side.) � � . > ' \ � _ s / 1 s�< , � BUII�ING PERMIT FEE SCHEDDI� Section 2. The Inspector of Buildin�s aha7.1, ' erection of any building or structur�, or for , ing or etructure, or for any alterationa or re;. structure, upon application therefor, require auch germ3.t of feea to the amount herein below provided to-wit: efore 3ssuing any permit for the ny addition to ana► ex�.stin� build- airs to any existing build3ng or �he payment by the applicsnt for aet forth and in the metiner herein 2.1. For an� such permit for the erection of any firerproof building, other than a garage, werehouse, factory or grain eleeator, or for the erect3on of anv fire- proof addition, for aimilar occupe,nc�, to aa�y existfng build3ng shall be at the rate of �1..1F0 for each one thousand cubic f�et, or iraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse� factory or grain elevator, or for the erection of ar�r fireproof addition, for similar occupancy, to any existing building shall be at the rate of �1.25 for each one thousand cub3.c feet, classified as ��fireproof'� by Section 502 of the Mirmeapolis Build3ng Code. HOUSE3 � 2.3. For any such permit for the erection of any no�fireproof building other than a garage, warehouae, factory► or �ain elevator, or any nor�-fireproof additiori, for similar occupaney, to an�r exi�ting buildin�. Permit �]..t?0 for each one thousand cubic feet. GAR.A(�S 2.4. For ar�p such permit for the erection of any norr-fireproof gara�e, w�ehouse, factory or grain elevator, or for th� erection of ariy non fireproof addition, for sim3lar occupancy, to any existing building or for each such building or addition. Ninety Centa for ea.ch one thousand cubic £eet or fraction thereof, in the cubical con�,ents thereof with a minimum of �L�.00. For the purpose of computing feea for bu31d3n� permits the cubica7. contents of any building or addition to a uniform height throughout by multiplying the ground area covered f`rom a point s3x (6) inches below the floor line of the basement or �sii� to the anerage he3ght of the upper surface or #,o the average height of the roog surface of the main gable of a pitched roof, 2.5. For repairs or alterations to an existing atructure, the fee shal.l be at°the rate of $3.00 for each Five Hundred Dollars ($500.00), or fraction thereof in the cost of all proposed work. 2.6. In no case ahall the fee charged for any permit aa set farth 3a_Section 2 be lesa �han �4..00. � s , - - .. ^ �N6UfTR1AL austNSSs emr t�ors TC!'ODRAP111C MAPPINO �IOCK 2 � OSTMAN'S TI�►1�D ADD1T1oN C. E. COULTER LAND SURVEYOR RE618TERED UNDBR'LAWS OP STATE OF MINNESpTA ' LIQ6MSBp BY OI4DINANC6 OP CI'fY OF MIN(iG/O{.IH 8300 LYNDALE AVE. 60. MINtJEAPOLIS 8. MINN. TAYI.OR 4-0970 �+ururgntc's �[prtiftr�tr �urriao �nrtr sumr�ra uKisrioee JUDICIAL �� N SCRLE 1`' =4Q� , �, � o � 1 � k�RY R=�69 �R�vF _ a _9a _ 93 �� d � r ��T ;:� _ � .. , - , Z �QoN— ,9 � � � _ Utility Ea�a.v�nuht , � � - � 1. �� — — — � VQo�I . �Qo� --s — — — — — � .�1� � �� r' � . � v. , I hereby certify that the above is a true and correct plat of a survey of: ,ot 2, Blocic 2, OSTMAN'S THIRD ADDITION,� Anoka County, Minnesota. As surveyed by me this 19th day of �'anuary 1957 A.D. Signed � � , :�,� Minnesotia Registration No. 2584� - — -- --- — - _ � _ _ . �s.. d-�- � -_ _- _ _ _ _ � r", _ " �v14`1 � �'T'C' U� QSTMAN � � �;� ._ .- G � f� p �1 : � : � • � . N � s � � � y N � � W � � � � � � b� m � � � o � o � o : o . o . . W : : � : : � O 5C 9C i4 � � � O O O � � {i H O � z � tro" � bo Z � w m � z � 8 �- � 8 � � � � � � � � y �� '�d : O � � �� o� �° ¢ a : � � : � � . . bd „o°o : �' °$ : D��II � . . . . � . . . . 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R° � �7 � p� � d � O �� m�!� ro � o W � a � � � � � . . en . . � o : : o $ . . o . . $ : : : � � � � � � o 0 0 0 0 0 0 � O t' o �� Q'�� y �i'�� M �� N p�,�� ) o � p �. �° � d� � �� R+ � p y � � �l � �s p G� � i ... �* ¢ �oo�p�� y�yP"i � � ��p'b � � �� Ej.y � n � p� �� m �� ' o �' y ~ i �, o. � w N �`` `°� � � w a��. , �� f ��ry �� o � �� o� � w fD I� �� 0 V v � D � r � � m � 2 m C r m d » M �e � � � ,Q A A 0 :� ' � .1 _ � � � � �� 7 � Q. ¢ � • . . � � �CH � a � O.� v< �• � � � �• � � � • � <� �. ��, R .- ANOBA HEATING & AIR CONDITIONING HEAT LOSS CALCULATIONS �� _ l�� 7 VAN BUREN, ANORA, MINNESOTA � � Weatherstrigs A.S.H.V.E. Construction No. Insulacion Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof �loor Kind How Applied Yes—No Yes—No 19_ Fl.� �%j , Room � Lengt6 /'�- Width 9' Height ,f , Fl.� �Q , Reom Lengch // �lidth He�gh�, f , Windows and Doors—Crackage and Area Windows and Doors—Cr�ckage and Area \Vldth He1Bht No. o[ Llneal ft. Area Wldth HelBtit No. ot Llneal [t» Area No. o[ Dane ot Dane Iighta ot crack eq. ft. No. 04 pane ot Dane IiBhte oY crack ea. tt. A ��/ :�f �� _C _ �B- � °� � � i. 'P° e /4� / 1 Coef. Inbitration �f� r �- Glass �v� Exp. wall Net exp. wall // Int. wall �: � Ceiling � ��' Floor T'otal Btu. '7�-/�`'% � � �� Required sy. ft. E.D.R. or sq. ins. W.A. Leader area F7,� ,�Q Room ( Length � Width /d Windows and Doors—Crackage and Area Wldth Helght No. ot Lineal fl. Area No. of pane ot pane ilahta ot crack sq. ft. z �. e�.� � � I �'o :2l1 A'� �lo� �Z° Btu � ��~ Infiltration �� Glass C X ' Exp._wall � Net eap. wall °y Int. wall �d. Ceiling ,Lr _ Floor .'�'�1�� Tetal Btu. r�F"r Coef.� Btu In6ltration Z� = � Glass � � e Exp. wall Net eap. wall �•� � Int. wall Ceiling � Floor 1�otat Btu. Required sq. $e. E.D.R. or aq. ins. W.A. Leader area F7. ,,,Pso�?. Room � Length f �/idth / Windows and Doora—Crac6cage and Areas Wldth He16ht No. oI Lineal tt. Area No. ot Dgne ot Dane IlBhts ol crack eq. ft. L ?y !� �a ° /2° e a i/ 4/ /BIIS 71�i /2� � � Coef. Btu In6ltration �� ' o � �, Glass � �Cp. w811 'K x x x Net eap. wall / �• Int. wall � Ceiling � / �' Floor Tbcal Btu. �- Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i .�� . �m� �Lv Re4uired sq. ft. E.D.R. or sq. ins• W.A.1.eader area �,� Room I 1-eA�► Width Windows and Doors—Crackage and p►rea Wldth Helght � Alo. ot Llneal tt. Area No. ot D,ne of pane fighte oY crack eq. [t. Infiltration Glass Esp. wall Net ezp. wall Int. wall Ceiling Floor 7'otal Btu. Requieed aq. ft. E.D.R. or say. iIlis. W.A. Leadee area �°►,) Room I LenBth Width Windowe aad Doors—Crackage and Area Wtdth Haliht No. ot Llneai ft. Area wn. et nane ot tonne lighto ot crack aa. tt. Height Coef. ' Btu ; ' Infiltr�tion C,lass Esp. �all Net exp. wall Int. wall I, Ceiling Floor II, Tota! Btu. Required aq. ft. E.D.R. ot aq. ins. W.A. Leader area ' I r •� HEATING & AIR CONDITIONING HEAT LOSS CALCULATIONS��i� 327 VAN BUREN, ANOgA, MINNESQTA t �m.�� Weatherstrips �►•S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall 1nt. Wall Ceiling Roof Floor Kind d-Iow Applied Yes—No Yes—No 19_ Fl.� oom � Length � Width �f Height o Fl,� � y� Room Leagth �� Width �,3 Heigh � Windows and Doors—Crackage and ATea Windows an Doors—Crackage and Asea �Vidth Height No. o[ Llneal ft. Ares 'Wldth Hel6bt No. ot Llneal ft. Area No. ot pane of Dane Ilghte ot crack ep. ft. No. ot pane ot Dane Ughte of crack eQ. tt. f � ..� C'.. • °.� O � �' a� � � � V (% e � �s Coef. Bcu Coef. Beu In6ltration � ,� �f In6ltration Glass a j � � /�- �' Glass 3T! 2/�< Exp. waJl ��@ .Z X Eap. wall jNet exp. wall �� e e � D. Net esp. wall `� ��. tas.wall �e � ° G: Int. wall �( Ceiling Ceilin8 � � �� 2�O IFloor � D Floor �(' Total Btu. 1� �- Total Btu. p Required sq. ft. E.D.R. or sq, ins. W.A. L.eader area Required sq. ft. E.D.R. or aq. ins. W.A. Leader area �I.� itoom � Leagth .'�,3 Width ��, Height �' �„ �.I � , Room I Length /O Width �D Heighr/'/��.t Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Wldth Hefght No. o[ Llneal ft. Area Wldth Helght �To. of L1nea1 [t. Area No. ot pane ot psne I1Qhte ot crack ep: tt. No. ot pane ot pane Ilghte ot crack aq. tt. 1 �� fi' .ed �. ^i � . / � �Dii� /d � /9.I t. i v d ni I I a�S �'S ,D - � o� � �S / � � �D �:2� Coef. Btu I Infiltration I Glaaa � Eup. wall �� Net eap. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.fi. or aq. ins. W.A. Leader area 1 FI. Room � Length �r Width !r � Windows and Doora—Crackage and Area Wldth He1gAt No. oE Llneal tt. Ares No. of pane ot Dane Ilghts o� crack eq. ft. � � • 1 /Q °� � �� D ' Infiltratio� � ��'s C Gt�sa �� E�p. wall Net eAp. wall ,'�Q�,�, �� lnt. �vall Ceiling Floor 1. Tbta! Btu. Required sq. ft. E.D.R or aq. ina. W.A. I.eader area /f Bcu � f9a� � � Infiltration Glaaa �p. Weu Net c:p. wall Int. well Ceiling Floor 'fotal Btu. � t fdequued aq. ft. E.D.R. or sq. ias. �/.�►. l.eader area Windows an�'b Wtdth He1 No. of paee ot p �� . �. r�� Infiltration Gla�s F�cp. svall Net exp. wall Int. wall Ceiling � � Floor Total Btu. // � Z Room I Length �/idth / f Hei oors—Caackagc and Area Bbt No. ot L1nea1 tt. Area ane Ilghte p! crack eQ. tt. �" . � LXl� �1Cr 4r3 �i � ■ Required �q. ft. E.D.R. o► aq. ins. Q/A. L.eader arra �_ r� Btu 4 " � + O{�A ;HEATING & AIR CONDITIONING � . HEAT LOSS CALCULATIONS �� ¢ � �,�� _ 327 VAN BUREN, ANOgA, MINNESQTA � .� ��'�€ ,'�'' . a �., Weatherstrips A.S.H.V.E. Construction No. Insulation � - � Guide Windows I Doors R�ference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applaed Yes—No Yes—No 19 "— Fl •� :t,�3., ,.;,�, p�, oom Length , � '".� Width � �� Height �'i" Fl.� � Room Lsngth � ,� Width �'„�► Heigh �''�; Windows and Doors—Crackage and �4rea VVindows an Doors—Crackage and Area \Vidth Helght No. o[ Llneal tt, Area Wldth Helght No. o[ Lineal [L Area No. nt yane ot pane 1{ghta o[ crack sp. [t: No. ot Dane o[ Dane ll6hte of crack eq. tt. � �' � � °' , . �;"� , � �� , � �, I � ,�.2 ['� .+� �'' �e"�_ � ��': � we'fl,�.,� Btu Infiltratioa � � , ,; ., � ?�' �� Glass �;:�; �'� � ,'r� � Exp. wall .��t':.� �.�° '-�i, ,_� �� , ,°, ,,' °�,;, �;�; Net exp. wall � • ` ►P fi ,,.r�r�° .Z,; -Q° �c.►� k� wall `'�,� ;._,, y ➢. .� �'. � t Ceiling ;s�: 7;, r.�` Floor �'; �" � � � a;>,' Total �tu. Required sq. $t. E.D.R. or sq. ins. W.A. Leader area Fl.� .�,�*- ;��i' Room � Length `� r� Width �;{ Height . Windows and Doora—Crackage and Area Wld h Hetght No. o[ Lfneal tt. Area ' No. of pane ' o[ pane llQhta of creck eq. fL � � � � F-� � �`� a� �`� 'a� '� �r' - �;,'i' !'x' �.^�1 T b .s�. N : � f` . �'4 .;."0 r{ � p� ��' 7 „�, _ >. t ., f'a �.".�.. i11 � a � 1 e�° �' �� ,� ,{a �,�' �:�, r'� :;;� �D ,� R ,}� t,.w� ;i�'" �� r-. �. �1 � � �OGf. B�Il In6ltration � Glasa � Eap. wall �, ; Net exp. wall � g � Int. wall � Ceiling �id , r �, Floor '� Total �tu. � Required sq, ft. E.D.R. or sq. ins. W.A. L.eader area FI. ,„� ;,�_„�,�, ' Room � Length �t Width f� Hcight �� Windows and Doora—Crackage and Area Wldth Helght No. oL Llneal tt. Area ° No. ot pane of Dane ' Ilghts ot creck ep. ft. "� � l.� � �N � ,�qp� u � _� � �r � � ��Yu" �"'e � r�.:� '£� l'�� -'�: y� _ Coef. Btei In6ltaation � (��,� �� - Glass �� ,�' „ � �ep. mval! `. � `:-,, ;;�: -�, 1`1eB C:dp. a,a� ��_� a R�a Z�� ` tf � a T;" ' '°'�': �� `d �'.�.. ,� �.d' � � � ..'!°i� �a I�t. wall '� �� Ceil�ng � � ��, ; . ` .�`q. - - . 3 C'�0� �-' C �. ��• �TmtalwBtu. , �° Requared sq. ft. E.D.R. or sq. ins. Q/.A. L.eader area .y i Infiltration Glass Exp. wall Net eap. wall Iat. wall Ceiling � Floor � Total Btu. ,f. `�: IRequired sq. ft. E.D.R. or aq. ins._ W.A. L.eader aee� Btu / �' fi +[�t.�- �' � �� s�� i�: �� n F1.1 ��,� � Room I L.eneth �t,:► Widt6 ,r""'� Windows and Doors—Crackage and Area No. o[ va� e ot pane fl6hte o�f crack ar tt. Infiltration �' Glasa ! Esp. wall � Net eap. wall Int. wall Ceilin8 r�'�'�'.:�� i'��c,+�; �'„ Floor � �' Total Btu. �_�� F7.� ;�� r,� ,� ftoom I_Length �'�, �idth � � Height� ��t' Wiadows an oora—Crac�age and Area W►dth Helght No. of Linmal [t. Area No. ot D�ne ot pans IigOte o[ cracB eQ. ft. C � �. ,� `'� „�l.:� !� �f 4 �� . �•� �� Caef. � Btu Infiltration ,�f�; � i(� ��;�"' � Glass _ '�t�'Y � y ��,, Net eap. wall Int. wall Ceilin FIOOI 1'otal Btu. Required i : ft. E.D.R. o► mq. ins. WA. I.eader area / T �,�° � ANOBA HEATING & AIR CONDITIONING � �IEAT LOSS CALCULATIONS 327 VAN BUREN, ANOgA, MINNESpTA Weaeherstripa A.S.H.V.E, Construction No. Insulation ' Guide Windows I Doors Eteference Out. Wall Int. �/all Ceiliag Roof Floor Kind I-Iow Applied Yes—No Yes—No 19_ FI.� ��'� q Room � Length a�� Width �i°- Height ,�'�"a Fl.� �� Room l.�ngtla ,�/ Width � Hei�he�"e Wind�ows and Doors—Crackage and Area �lindows and Doors—Crackage and Area \Vidth Height No. ot Llneal Lt. Area Wldth Height No. at L1nea! ft, Area N'o. of paoe of vane Ilghta ot crack ep. [t. No. of Dane ot Dane IlBbte of crack eq. ft. � a�,�� '' �� r� b�r �k'�. f� � � 1 �L/ a � �� ,i� #� tP. Coef. Btu Infiltration �� -�,. � ,�j+�• Glass � �' +►' � �. Fap. wall - « •.,r a I ., Net esp. wall i /,! Int. wall �►;. . �!. Ceiling f� m�'� Floor � ?otal Btu. 'i�`��°�`� �:.,. � �'d`� Required sq. ft. E.D.R. or sq. ins. W.A. Leader aeea � F7.� ,�,,� Room � Length• {� Width �p Windows and Doors—Crackage and Area - Wld'th Helght No. o[ Llneal ft. Area No. o[ Dane ot pane Ilahte of cractc sp. tt. J� �/6r. i�s� - �= � � �. �� - � . � .. � Coef. Btu In6ltration �° '�, �_ -. Glasa ,? ° � - Exp. wall _ °� � Net esp. wall �:� �►% " ° fr�, Int. wall � � '�s Ceiling � ' � � Floor � ` Total �tu. '' - 1�. Required sq. ft. E.D.R. or aq. ina. W.A. b.e�der are� Fl. „��, R�m � Length ;,% QVidth . ae►,� t-�ei�ht � e� i1Vindows and Doora—Cracka�e and Area Width HelBht No. oL Llneal ft. Area -• No. ot Dsne o[ Dane lights ot crack eq. ft. - � °P� �� m�!�'` .: �`�-'� ► `�� "' ��° �� r r I � 1n61tratioat Glaas ��p. waU N�t ex�. wall int. watl �eiling Floor T�tal �tu. � t� � � �.��e.aa.� � . ft. E.D.R. ot �q. ins. W.A. L.eader area �eu �� / ��. � � � �� i I Infiltraeaon Glass �Sp. wall IVe¢ esp. wall Int. wall Ceiling Floor Total Bcu. � ��- � � �� Required sq. ft. E.D.C�. or aq. ins. W.A. d.eader area � F7.� Room ( L�ength Width Height � i`lindows and Doors--Ceacka�e and Area Wldth Helght Dto. ot Llneal tt. Area No. of yane o[ pane ftghte ot crack eq. ft. Coef. Btu In6ltration � � Glass. � � F.�sp. walt � Idet ezp. wall Int. wall Ceiling , F1oor ToEal Btu: l�,equired aq. ft. E.D.k�. oa scy. i�s. �I.A. B.sader area $•l.� F3oom I l.engch �lideh �{eight �- � Windows a�d.�oors—Craeka�e and Area WtdtC Eielght No. ot Lin¢ml tt. Area " No:' of pane ot pone Ilahte of crack ep. [t. " i:oef. Btu In�iltration Glass � - Eacp. `va�ll Net exp. wall int. wall Ceiling Floor - 'total Btu. Required sq. h. E.D.R. o� aq. ias. �/.A. L�eadee �rea � � � � �>,.. '� u ��:��-�� -�.Y � �` �E� °" " , - • : +�.. ,�, �- � _ _ ._, . ... ,.�. �� t� �� '��r - t � 3 `.�'. _ F F "s a e, . . r �, � ��:�, �: .L�F � >., - . - . .� s �. - . ..- c._. - �- . , . ..... .• . -. �+2 ..t � '.> ': f ".y-3� "^"°�ac°3.n1'�t'� '� _ � .. 'M� -�n'�� +Sn4 , 'b"i'- . , w' X�LS'+.� . . 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MINNEHOTA r y,a ": 'T .. , . . ` � - ; � ,��jGi^/^�� {��c'�� l0''��-` - r� rv��. firt��..e ��z �/l�a:. � _� �T' i.OSS C�.CiJ�'l�OAiS DF.P� 0� �LI91Dfl�1CS ��P 2� 7 � l�lcatberstrips �'�.�.�. • Coeaatruceaoa l�o. ��a�A ; Wieadows Dooes E�eference Out. W�all Int. �Iall Ceiling Et�f Floor ICind `� E$owr Applied ` ` Yea-ldo � Yea—N� 19.�.... � ' Q� S �° C� ` �1�' `• fr'��,Roam I.en�ch ._ �i/idch /3`-He�i,e � - Fl.� (�Q �ffi L��clt �lideh .� -�.r'�Ieighe 8'c ' �/endows and Doors—Ciaska�e a�ed Area �!'sn�ow� �d �a�aac�a�e �nd .4re� Width Helght No. oY Lineal Y. Ares W1dth kIIeigle� 1l10. ot Lfaeeal Si. Aras ` No. ot Dane o[ Dane U�h4m ot ceactc aq. %t. Na oS Hano aC ��n9 d18�ta o8 eraeC3 eQ. tt. G r /��,�' D -� '� S /� (P �, � :�„ '�' / � /q v . � , t�7 � ei ! '� �i � � C��_ �� 6:oef. �tt� Infil¢racion �l�as ' _ F.xp. w�au � � ' Net esp. vvall In¢. waU � .. _ _ Ceiling / �X t F'laor s- ° Total �tu. �� i� �� , 12equired sq. k. �.D.It. oe �o imss. �.A. I�eadee as� '` j'� - F7.� � R�a�s 1..cn�th �- �lidth 1.. , `dindows and Doors---C�cl�� wnd Ar�� Wldth Helght PIO. 08 I.Baen6 SY. .9rer� No. ot pane o[ paee llghta oQ craoF2 00. 8�. ,.` , yo � 5` G G f � n., j�tC881�II ; ' �I�sa � � : I ` F.slo. wa9� �' .:� j� : Net eap. aaall • :. Int. wall " ` Ceiling '` / � 5 ` 1Fleor T:,ssl R:�._ � G � uired �q. ft. E.D.E�. or sq. ina. �Bl..d►. i�m�r ana � �z� % 4 �tli �7, ..vL( I (,eea�t� �idt� ��i�B �" �lindowa and Doors--Cracka�e a�ad �rca o� P/idlh Helg4e FIo. 04 Llns !� Ares A`o. ` ot pens ot pane A�hte ot oreek ea. !t U , � 1_ CoeE. Btu Infiltraeion ` S 3 6T l' �� ; Glaae � Ex�, wal! � . Nrt exp. w�ll ;, , �nt. wall _ Ceiling `S Floor r � 7'otal �tu: 4 �g1�C�6� %�a �te C' .�.�. b[ bq�-!I� ... .,. l�rYr� f � � . .. . � a Yn66era�io� S� / r C�� S-v �� F.��. w�t �' Y.� l�ee xs�o w�9! / S � � a Ine. �all c��n� /'.� x �o /-�° � F'laor / -u 7 / .S� Total �cRa. - R�ed sq. f8. E.LB.l2. or aq. ins. �.A. l�der area �`l.� � I Len�h �- �lideh - Hei�ht �`- �liudoews �d �r�aae �nd AYe� W98tb �YeS�9�¢ Eda. ot Llaeal [t. Area Na o[ pawa �an0 19��to ot crnck aa. fG � �.� 3 �a � �I.G �3.� '7 6 � G � In6l�aatian �Z I ff �lasa i� S O 7 a v ��. w�ll , � � w Afet esp. t�+all - f ` a Iat. �Il � Ceilin� Z � � �' b� �'loor _ G � �� , _ �_ � .._ , _ . . Reytaia� ec�. ft. �.D.Et. or a�. i��. �.�. ��a area �1.) r v a� � I L��ge�� - �lideh Z E$ei�ht . �Y'�d�rva � �go--Crmmclkm�� and Area Wldth Iiod��t 1Va oi Lin�cal It. Ae¢s 1Va o! pane b! psne 1i61+te ot ceaek ea. [t �� - ! % 1�, � o � J lr� o �% � . "L �/ .'Ln `� �, �. � Is�OQra�ion � 3 ° � � �j CEaae � fa Eap, wall � -N G i Plmt oxp. w�U �D / e '.. �� Int. wali d Ceilin� l � `� < � ` � � � %( Floor � � � � � % (o< � / � Total �:u. �' �-��.r_+�_ _, _-- -_ Re_ eired eq. ft. E.D.R,_or �g, ine. �1�. Le�dge ar�a ' � ��..,.� ,.... � :.. .�.� , ��... ., , y F'�� ;r�'j�� Room � Length �� `'� Width Windows and Doors—Crackage and Area W1dth Helght No. ot Llneal ft. Area ,`` No:'` ot uane ot pane ll8hte ot crack ea. tt. In6ltaatioa �855 E$p. W8�� Net exp. wall I�. waU � , c� d� , Floor /��/,� Total Btu. Required sq. ft. E.D.R. or � Fl.l f�'. Room I Length Windows and Doors—Crackage Wldth Helght No. ot L No. ot DQne ot pane, llghte � Coef. Bcn 1 � � ^ Infiltration �jG' ��`� Ca�85S - � FJCp. W8�1 ��7/` � 'e> CJ Net exp. wall p d �C� �I� wall �� j��d < i,lj C� < < ''Gi Floor „� � h'/, -, /�/� Total $tu. ine. W.P'. Leader area Required aq. ft. E.D.R. or and Area �eal ft. Area crack ep. [t. iris. W.A. l.eader area L�Cf � � � � 8 , � � m° , � � � � � 0 � x r��M � y x � � � y r � o � y x x x � N �% fi� 0 � y � z ��n � �y " � � � o �e � F 0 � �, � . � m � � M 41 GZ 9 � "j �f � ¢ � y x �: ~ „�1 o W 'n e° � ^ � � �M C � ro m k p ►� � � c� o 1� � y • $ � � � � �� : y � • m . . � : : : � : . . . � . . . . A . : • • � . . . . 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Q (C�Ay M � H W G O � � � d ° � � C O �y� �~+ L'~" H t�3 �-�i ►°+ ° n � o m � � � H O • �± 1 � 1 � ro H . v o �, � N r�r '�O � s�cM� �on a o rrc �nro� hp, ��G a� 1 M R t� � ��C 3 AG6 � p"r�n� �o om r° M fD � 'C ht n � �o °� � �d�4 5 �b°� � Ma ao� m mKO�e W � � ¢�t r��o �F�~+m " �1 '� O F�+� Or � iC � �'` a � a+ � aw� � � :° �•. a ao a - o r- n n n � n� w O o. ~ � � � �R ro°'oa� b O\ o n �, � �t � o � m � ' 1 � yat ' �° a n ro . , M rx►t � � � � A . . • . � � r O � � n`�~s l a�aA a " �' . � Ju�gment an� N�tice �f Ju�gment STATE OF MINNESO�i�, County of ANOKA NAME AND ADDRESS Dale Koe� Plaindff 7084 Hickory Drive #1 Fridiey, MN 55432 vs. NAME City of Fridley AN D ADDRESS 6411 University Ave oetendant F�dley, MN 55432 #1 Appearances: C Plaintiff .V Conci i i n C � � at • •UI't Mmn. Gen.R.Prac.514 CASE # S 1-99-1442 JUDICIAL DISTRICT TENTH NAME AND ADDRESS Plaintiff #2 NAME AND ADDRESS Defendant #2 Charlene Koel 7084 Hickory Dr Fridley, MN 55432 D Neither Pa is entitled to judgment against _ _, disbursements of $_� for a total of $`L�h `ti cY'—' ORDER FOR 0 �udgment shall be entered in favor of JUDGMENT ❑ 's claim is dismissed without prejudice. ON CLAIM p 's claim is dismissed with prejudice. CO N�TER � shall immediately retum CLAIM vs. O Default �Cl`��`�"� for the sum of conditional costs of $ , (without damages). to the , and that the Sheriff of the county in which the property is located is authorized and directed to effect repossession of such property according to M.S. § 491A.01 subd. 5, and tum the property over to n � L►►� � �-y � �C�Wt /� 0�u.c�(`�9 r �' �J�-eoZ .��,� w-,�,�..r�,.0 � Dated: � � Judge: JUDGMENT is hereby declared and entered as stated in the Court's rder for Judg ent set forth above, Judgment and the judgment shall become finally effective on the date specified in the notice of judgment set forth below. Dated: s:-30-1999. Court Administratvr/Deputy: .Tnx[? F xo Rnra/R FLEI1gy THE PARTIES ARE HEREBY notified that Judgment has been entered as indicated above, but the Judgment is Nobce stayed by law until _�_� , �o,�_, 4_� p.m. (to allow time for an appeaUremoval if desired). Of DATE TIME �udgment THE PARTIES ARE FURTHER NOTIFIED that if the cause is removed to district court and the removing party does not prevail as provided in Rule 524 of the Minnesota General Rules of Practice for the District Co rts, the opposing party will be awarded $50 as costs. %,/, Dated: R��, e�,e Court Administrator/Deputy: FrmS208(6/97)Forms(rcj) . ' August 31, 1999 Doug Gronli, Claim Manager League of Minnesota Cities 145 University Avenue West St. Paul, MN 55103-2044 RE: Trnst Member: Your File No.: Claimant: Dear Mr. Gronli: City of Fridley 11026152 Dale and Charlene Koel Attached is the Judgement and Notice of Judgement from the Conciliation Court in the above case. The Court ruled in favor of the Koel's in the amount of $6,418. Please review the court's decision and recommend the direction that the City should take in this matter. If the City's decision is to appeal we will want representation by the League. If Jim Brindley's services are required again, he can be reached at 572-3565. Sincerely, cr Marcy Everette Finance Department 612-572-3533 cc: Jim Brindley Sewer Supervisor ` John Fior� Public Works Director � _ C�TYOF FRIDLEY FRIDLEY MUMCIPAL CENTER • 6431 UNNERSITYAVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 May 3, 1999 Charlene Koel 7084 Hickory Drive Fridley, MN 55432 RE: Building Permits for 7084 Hickory Drive Dear Ms. Koel: Our records indicate that no building permits have been applied for or granted sir��e the original building permit issued on June 5, 1961. If you have any questions, please feel free to call me at 612-572-3602. Sincerely, /�� v �.- Ron Julkows ' Building Official RJ:Is � � .% i � � /� � � / ,� , + �. � i � � �� f� �� -J �arlene Boese, Ac Lengue of Minnes� 145 University W� St. Pnul, MN 55103 Darlene Boese: s� ��:�.Q. - � ' , / ; �/ ` L� -�� - C�dVE�? APR p 2 1�S � /��r�� _ /' r- � Charlene Koel 7084 Hickory Drive Fridley, MN 55�32 612-571-1946 This is a letter of appeal in response to your denial of our° claim of the damage to our basement from the sewer back-up we discovered on March lOth,1999—the day we came back home from our vacation. We didn't know where all the water was coming from, so uve called the plumber. He came over right nway. He discovered that it wns the sewer that was backed-up. We immediately called the city of Fridley and they came out nnd unplugged the sewer system. The city foreman, Mr. Brimley came to our home 2 or 3 times. He felt really bad thctt this happened to us. He really felt bad when we told him we had to cancel the rest of our vacation to clean und salvage what was left of our 4-room finished basement. Judging by the smell, the sewage had been there for many days. We left 7 days prior to finding this catastrophe and I hnd put a pile of clothes next to the wushing machine th� day that we left. I was going to wash them when we returned. Obviously, they were irreparably damaged. Since my father has been in insurance for several decades, I called him right awny. He instructed us to take photos and videotape everything. Now I am very glad he told us this. Mr. Brimley was very kind and compossionate. He called SERVICEMASTER and they nrrived later that day. With their tools they discovered the exte��° of the sewage damage. The sewage soaked into all 4 rooms and extended f� within 5 feet of the farthest corner of the rec room. Since it wns Q finished basement, we had a eontinuous roll of carpeting, so to get ctt the foarn � padding undernenth they had to CUT UP all of our carpet to get nt nll %!�� foam padding which held most of the sewage. Now we have no fonm padding and our carpet is in shreds. Furthermore, we do not have sewnge back-up --- coverage on our State Farm homeowner s insurance. The next day, Mr. Brimley came back at 9 n.m. to check on us and told us that the city's insurance company would be in contact with us. Again, he expressed how awful he felt about what happened. His concern made us f��l a little better; we 4ppreciated his kindness. That Fridoy, when you nrrived I said that we were interested in just being reimbursed for what was actually damaged, such as the carpet (since our new carpet was in shreds from the carpet cleaners), the clothes thnt were in front of the washer, the trim that got wet, nnd our two wooden desks. Fortunately, the computer and printer were set up high so they weren't damaged. Also, we had set most of our boxes in the storage closet up on cement blocks, so they weren't dmm�ged either. When you responded, "We don't automatically reimburse for new carpet." I again stated thnt I was a fair person and only listed whnt was octually damaged. You replied, "Well, but how mvch time do you actunlly spen� down here anyway?" Aside from being n very unprofessional question and attitude, I listed all the activites thnt my family participates in when we are in the basement. First of all, I use our computer room (which was completely flooded) every day to check our e-mQil, type my notes for the college class I teach, and our two daughters have all their computer games on that computer. Sometimes they play their gnmes for hours at a time. Additionally, the rec room contains o�r 2"d tv, all the girl's board games, their toys, a dresser, a futon, and nl) my Mary Kay product that I sell. Additionally, we hnve a bathroom in the basement and, of course the furnace room with our washer and dryer. ih� sewage got into every room extensively. After we received your deninl letter, I called you to ask for an arbifra�i�n and you said that was not possible, that you do not offer that. I said that � know that legally we DO have recourse. You replied that we could, '°... ju�t � hire a lawyer.'° I responded that hiring n lawyer would be more expensive thnn our entire claim. You replied, "It's your choice," and hung up. After that, my husband took off our trim in the basement and discovered that there was extensive black mold growing up the drywall. Since we had all been sick we figured it might be mold growing in the basement. Sure enough, it wus. We are all terribly allergic to mold (both my husbnnd nnd I und our two young daughters, ages 8 and 4). With a mask, my husband removed the trim and pninted over the mold with "Kilz" paint. The next week we were all STILL sick, so I called n contractor and he came to look at the basement and chisled three wide holes in our drywall nll in different rooms of our b4sement and discovered that mold hnd grown up several inches on the INSIDE of our drywall. Just so we can LIVE in our house (we just bought it 7 months ago) we now have to have all the drywall replaced. Additionally, he picked up the bottom of the carpet next to the stairs and discovered thaf too was nlso binck with mold. We have all this on videotape. I wondered why you refused to see the videotnpe when you were here previously, now perhaps you would be interested in seeing it. If the initinl claim would have just been paid, we could have just fixed everything immediately, now we have more serious problems. Even John Hockus, an administrator for the city of Fridley was sensitive to our plight. Even he claimed that our initiol claim was reasonable and he couldn't figure out why it wasn't paid. When I told you that I couldn't even stand the smell long enough to wash our° laundry, you thundered, "I told you to get all of your boxes and things out in the yard nnd let them nir out!" The point is that all of our boxes were already upstairs. We put them upstairs the dQy we found out about the sewnge. The smell is coming from the residual smell from sewage soaked into all of our carpet, into all 4 rooms. It's a smell that cannot come out and we have no windows in the basement to open to even air it out. How would you feel if this wns YOUR basement nnd YOU were being treated so awfully by an insurance compnny after your life had been so traumatically altered and your basement smelled so bad that you couldn't even go into it much less work in the cornputer room or allow your kids to go down there and play �aAth 0 their toys and games? You can never get little pet odors completely out of the carpet, imagine 4 rooms full of sewage...the smell won't come out. As for appealing your denial of our claim, my sister is married to a claims nd juster and he strongly suggested thnt since we live in a heavily wooded area, that the city should be clenning the streets more often thnn every 2+ years. You claimed that the last time our street wns cleaned was Februnry 4th, 1997. My brother-in-law claimed that heavily wooded areas should be cleaned every 6 months to a year. I am enclosing an estimate from the contractor. Please add this to our initinl claim of carpet and clothes. We need to have this matter resolved before we all end up in the hospital. Last week I contacted the Insurance Commissioner's office. They were very interested in receiving a copy of youw denial letter and my nppeal letter. Vnrious other agencies will also be contacted. I am also sending this to our mayor. I believe that she needs to know how her tax-pnying citizens are being treated by the insurance compnny thnt is supposed to be representing the city. I am recommending that our city look ut a different insurance compnny to represent them—one that acts more like the people who work for our city, Mr. Brimley and Mr. Hockus who demonstrated concern for our situation. Sincerely, � �� i � � i i Charlene Koel cc: Bob Lnne, Insurance Commissioner's office Dept. of Commerce, Enforcement Division 133 Eost 7th Street St. Paul, MN 55101 cc: Mike Hatch, Stnte Attorney Gener4l 102 State Cnpitol St. Paul, MN 55155 cc: Star Tribune—Newsroom 425 Portland Ave. South Minneapolis, MN 55488 cc: Rob Leer, Investigntive Unit—Channel 5 3415 University Ave. West Minnenpolis, MN 55414 cc: The Honorable Nc►ncy Jorgenson, Mayor of Fridley 6431.University Ave. N.E. Fridley, MN 55432 cc: Mnrcy Everette Finance Dep4rtment City of Fridley 6431 University Ave. N.E. Fridley, MN 55432 cc: Corporate 4 Insurance Agency 7220 Metro Boulevard Edina, MN 55439 cc: Dennis Filas Berkley Risk Services, Inc. 920 2"d Ave. South Minnec►polis, MN 55402 Kirby Gobernatz 12303 Evergreen rat. NW Coon Kapids, MN 55448 612.755.8857 612.862.3646 Fax Apri16, 1999 Dale or Charlene Koel 7084 Hockory Drive Fridley, MN 55432 Re: Sewage Damaged Basement Labor and Materials Estimate Materials 11 ��12 Dr��vall 6 Dc�vwall Mud 3 Drytivall Tape 10 Comer Beed �6 ft. Insulation 12� ft. Base Trim 11 Door Trim Sets 1 2'4" Door 1 Stain � Primer 10 Paint (2 coats) 7 � ard Dumpster Total Materials S1,681.00 Labor 73 Hours a $35.00 Total Materials S2,SSS.OU Total Cost for Sewage Damaged Basem�nto �4�2360�� i %Qagrra o%MimrQSOto �tras C►e;es �roenoting ezcal�er,ce 145 University Avenue West, St. Paul, MN 55103-2U44 Pkone: (651) 281-1200 • (800) 925-1122 F�: (651) 281-1299 • TDD (651) 281-1290 Mazch 18, 1999 Mr. and ll�irs.l�ale Koei 7084 Hickory Drive Fridley, MN 55432 B� #: 11026152 TRUST MEMBER: CITY OF FRIDLEY CLAIMANT: KOEL D/OCCURRENCE: 3-10-99 Deaz Mr. and Mrs. Koel: As you la�ow, the League of Minnesota Cities Insurance Trust provides coverage to our trust member, the city of Fridley. My investigation into the sewer back-up is now concluded and this letter will provide you with a written response to your claim for damages. There are several azeas that we look at when determining if the city was negligent in causing your back-up. When the employees were notified of the back-up they promptly responded to the scene and relieved the blockage. Unfortunately they were unable to determi.ne the cause. This is not unusual as there are head waters built up and when the blockage is relieved, the debris plugging tue main line is �arried downstrsam with the flow. The city has a cleaning maintenance program for their sanitary sewer lines. Records will show Hickory Drive was last jetted February 4,1997. The employees did not run into any problems during this routine maintenance. Additionaliy, there is not any prior history of problems on this sanitary sewer line. A city is not-automatically liable for resulting damages whenever a sewer backs up. The city is only liable for those damages if the back-up was caused by their negligence. The city cannot guarantee that its sewers will never back up. A sewer system is not a closed system. Any resident that is hooked up to the system dumps waste in it. Some things can clog the systerri which can result in a sewer back-up. AN EQUAL OPPORTUriITY/AFFIRMATIVE ACTIOIV EMPLOXER My investigation reveals the city has exercised reasonable care in inspecting and maintairung its sewer lines, therefore, I must respectfully deny liability. We regret we cannot provide you with a more favorable resolution of your claim. Sincerely, � !' '. ��— -�x�� Dazlene Boese Adjuster 651-215-4077 cc: Marcy Everette Finance Department City of Fridley 6431 University Avenue NE Fridley, MN 55432-4383 cc: Corporate 4 Insurance Agency 7220 Metro Boulevard Edina, MN 55439 cc: Dennis Filas Berkley Risk Services, Inc. City of Fridle� � AT TME TOP OF TME 7WINS g u 1 L D I N G P E R M I T ,, , .� � ; v�_��_' COMMUNITY DEVEIOPNIENT DIV. C��r2.�604 � � PROTECTIVE INSPECTION SEC. 1 . , � � j /'�'1 � CITY HALL FRIOLEV SS�32 NUMBER REV DATfi PAGE OF �'""� � ,'' 612-571-3450 9t0-F15 5/3/O1 / / J09 ADDRESS 7084 Hicicory Drive NE . � LEGAL �OT NO. BLpCK TRACT OR AODITION oescA. 2 2 Ostman�s Third Addition 2 PROPERTY OWNEq MAIL ADDR�S$ Dale Koel 7084 Hickory Drive NE 3 CONTRACTOR MAIL ADDRESS Sammy's Construction 425 97 Ave NW, Coon d ARCHITECT OR OESIGNER MAIL AODRE3S 5 8 USE OF BUILDING Residential 7 CLASS OF WOHK � NEW I�IAIL 3i791 �� avNOVEO Br SEE ATTACNEO SNEET 571-1946 21P PHONE LICENSE NO , MN 55433 612-251-4025 ZIP PHONE LICENSE NO. 20183207 ZIP PHONE IICENSE NO 0 ADDITION O ALTERATION C� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WOFiK Reroof House & Garage (24 Sq) Tear-off 9 CHAN(iE OF USE fROM S7IPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OH AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OF CONSTRUCTION ZpNING AUTHORI2ED IS NOT COMMENCEO V�1ITMIN 80 OAYS. Oii IF CONS7RUCTION y OR WORK IS SUSPENDED Ofi ABANQONEO FOR A PERIOO OF 120 DAYS AT " ANY TIME AFTER WORK IS COMMENCEO. ` NO. DWLG. UN 1 MEREBV CERTIFY THAT I MAVE REAO AND EXAMINEO THIS APPLICA710N 1 AND KNOW THE SAME TO 8E TAUE AND CORRECT. ALL PROVISIONS OF LAW$ VA�UATION AND OROINANCES GOVERNING THIS TYPE OF WORK WILL 8� COMPUEO 2 454 WITM WHETMER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT �� DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqM17 FEE PROVISIONS OF ANY OTMER STATE OR LOCAI LAW REGULATING CON- TR CTION OR TME PERFOiiMANCE OF CONSTiiUCT10N �83.25 � PLAN GHECK FE n � 5.3 a � Lice e S�GN E OF CON'� T R AU�MOp�ZED nGENT IDATE� ME S�GNAtUAE O� OWNEp��f OWNEpBU�IDEp� I�ATf� C� � STALLS sc $5. OCCUPANCVLOAD CU OFFSTREET PARKING GARAGES SURTAX $1.23 SAC CNARGE Fire SC $2.45 TOT FEE $91.93 )A D TNIS`IS��Eii� � NEW [] ADDN [ ] ALTER [ j Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Construction Address: � �g � �� G K�� '�' J�' 7�2 �� L �- `�/ m� S S�I 3 a Legal Description: Owner Name & Address: �� K-o �� 5� r`''t �' Tel. # 511 - �°'I `� � Contractor. S�Flmm�'S Cp,�i STl� u �-�7a N MN LICENSE # aC� ( g3o��^7 Address: �oZS G�1� �I� Nu� Gc�oG�1 2�}('�OS rn�v ss�133Te�. #(S�(a oZSi -4�a S LNING AREA: Attach to this application, a Certficate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: ,��:�1 Length Width HgUGround Sq. Ft. d�E /�Ot� r �E F12 p F� 0°1 �S� � Construction Type: ��a� c5-��' / fLc �c�o � Estimated Cost: $ � � 7� 7 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: J�I3 l°� APPLICANT: �.�X)d's� �% Tel. # t� � a�� oa SJ CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �3• �� Fee Schedule on Reverse Side Fire Surcharge $ �• �� .001 of Permit Valuation (1/10th%) State Surcharge $ /-� _ $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ �� d D $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fe� $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: $ �� q.3 � BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pemuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application 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: TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,0� $50,001 to $100,000 $100,Q01 to $500,000 $500,001 to $1,OQ0,000 $1,000,001 and up FEES $23.50 $23.50 for first $SQO plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,0� plus $14.00 for each additional $1,Q00 or fraction thereof, to and including $25,0� $391.25 for first $25,Ot?0 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.Q0 for each additional $1,000 or fraction thereof, to and including $100,0(� $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,Q00,000 plus $3.15 for each additional $1,OQ0 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Howses Onlv F Building Inspections 'i63-572-3604 srrE �nDxFSS �"U �`i THIS APPLICAN'T IS: PR�PERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE � WITH APPLIC�4TION PROgERTY TYP� PERNIIT TYPE z�rE oF woxx: � � DESCRIBE WORK BEING SIZE OF IMPRflVEMENT OFSQUARES �ARAGES ?ROP(?SED SIZE: ?ROPOSID HEIGHT: BUIIIDIl�TG RESIDENTIAL APPLICATION CITY OF FRII�LEY YOUR E-MAIL ADDRESS -' - 0 ow�x '' �orrrRacTOR e HAME: � " aDDx�ss: � Pxoi•rE:_ �- le 3- �- 11 O N��— The Home Depot A.H.S. Inc. sTa.� �c 3200 Cobb Galleria Pkwy. �wDx�ss: Atlanta, GA 30339 PHONE '763-542-8826 ❑ S7NGLE ❑ �eao FA License #20268257 ❑ BASENIENT FINISFi ❑ ROOF � DECK ❑ SIDING ❑ SWA�IM � � LENGTH fl HOUSE & GARAGE � ATfACI�D GARAGE O DEfACI�D GARAGE � Pernait No.: Received By:� Date Rec'd: �3 , STATE ZIP �TTY STATE ZIP ❑ DR�,IN TILE ❑ OTf�R HEIGHT �ASEMIIJT REMODII.ING SUBNIIT� 1. Existing Floor Pian 2. Proposed floor plan 3. List of struchu�al members to ise used 3IDING FOR NEBJ CANSTRUCITON INCLUDING DECKS, � Ymyl �Soffit ,ADDTTIONS. & PORCHES SUBMTT• ��'� � T� 1. Site Plan/Survey showing the existing slructures ❑ Fascia and Proposed pro�e� J4'I1�TDOR'S 2. Two sets of coashuction plans N E3�STII•IG OPETTINGS OYes ONo IACATION OF WII�IDOWS 3. Energy Calculations )R FOR NEW OPEI111�TGS-DESCRIBE SIZE OF >PENING CHANGFS & . 'YPE OF WINDOW TO BE INSTALLED NUMBER OF WII�IDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERiALS; (USING THE 199 .B.0 FEE SCHEDULL+� TOTAL JOB VALUATION $ J ��J �� °— pC�p�Cy TypE 'erm.tt Fee 'lan Review 3urcharge � ire Surcharge .icense Surcharge �AC Charge :urb G�zt Escrow :rosion Control 'ark Fee ewer Main Charge 'otal Dne $ $ � $ $ v�� O6 $ $ $ Q $ See Back Page for Fee Schedule 6S% of Building Permit Fee (.000� times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determi.ned by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of FridIev Attach TEIIS IS AN APPLICATION FOR A PERMTf NOT VALID UNTII, pROCESSED hereby apply for a building permit and I acl�owlec�ge that the information above is complete and accurate; that the work will be in �nfonnance with the ordinances and codes of the Ciiy of Fridley and with the Minnesota. Construction Codes; that I understand this is not a srmit but onIy an application r a permit and work is not to start without a permit; that the work wiil be in accordance with the approved lan in the case of all work w' h requires re ' and approval o�plans. 'GNATURE OF APPLICANT DATE � � �,Q Page 2- Build.i.ng Residential Application BUII�DING PERNIIT FEE SCHEDULE The Chief Buil.d3.n.g Official shall, before issuing permiis for the erecti.on of any bui].ding or structure, or for any ad�di.tion to any e�i.sting building or strU.ctvre, ar for �any al#-erati.on or repair to any existing building or stru.cture, upon application therefore, require the payment by th� applicaut for such permit of fees to the amount herein below set forth an.d in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Pernuts for constructinn will be issued a mi.nimum of 24 hours from the tim.e of application to , allow for proper review of proposed structure and of the construction site. A Certifi.ca.te of Survey of the lot, showing the location of Yhe existing foundation will be required before proceedi.ng with the framing. New Houses Onlv City of Fridley Bui.ldi.ng Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX DATE -� ._ � Z � l� BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECCNE 1-1-2010 SITE ADDRESS �O � e1 �� %.a,r� THIS APPLICANT IS: [e�WNER YOUR E-MAIL ADDRESS �CONTRACTOR Pernut No.: Received By: � �. �,.�..��. PROPERTY OWNER/ N,�: �-� &� �. � �� -� TENANT ,e,nnxESS: �v $ % �� e� �,. � �r o�i� crrx �i d/�y STATE�'1!1 ZIP S�srE/,� �. PHONE:_ � �, 3 . - � e� �' - �/�/'� CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE STATE LICENSE # EXP DATE ADDRESS: CITY STATE ZIP �SINGLE FAMII.Y/NEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION ❑ BASEMENf FINISH ❑ DECK TYPE OF WORK: � NEW HOME CONSTRUCTION ❑ MAINTENANCE/REPAIIt 0 ROOF ❑ SIDING ❑ SWIMMING POOL SIZE ❑ ADDTfION 'C�EMODELING ❑ wn•rnows ❑ DRAIN TILE �'�'fHER DESCRIBE WORK BEING DONE: �C ,%L,Lc.,� �-� n, A�/ SiZE OF IlVIPROVENIENT LENGTH WIDTH HF.i['.T-i'r ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit O Trim ❑ Fascia wnvDOws IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & HASEMENT REMODELING SUBMIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be uced FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT• 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations FOR WINDOWS - PROVIDE U-VALUE AND MANUFACTURE ST[CKER ON WINDOW. TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �QJ�iiNG THE 1997 U.B.0 FEE SCHEDi]LF, TOTAL JOB VALUATION ; Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due �� $ � , .�o $ $ $ $ $ $ $ �'_.�\[A'1 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) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks payable to: City of Fridlev THIS IS AN APPLICATION FOR A PERM[T-NOT VALID UNTIL PROCESSED Attach I hereby apply for a building permit and I aclrnowledge 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 an site; that the work will be in accordance with the approved plan in the case of all work which re uire�,�review and approval of plans. SIGNATURE OF APPLICANT -.= PRINT NAME /�4 4. �S ��!, � DATE_,,� � Z�- P`d Page 2- Building Residential Application BUILDING PERMIT 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 alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the aznount herein below set forth and in the manner herein provided to-wit: TAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $23,50 for 1� $500 plus $3:05 for each additional $100 or fi-action, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $39125 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for ea.ch additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�' $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing founda.tion will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridle.y, MN 55432 763-572-3604 Fa�c: 763-502-4977 I ruv;S l�3od�� n � � -10$� � i Gl� 1D(` i�S'E �-�dl�y , Nt� ss�Z v �+�—r��, �'� rn FQ5 �,� � G� � �� ` -, - —. _:�.� J i�S -- � . $�� V � �. . P �� % ! � Qivw� � . - v�1�c(�t � , � -- �i��, �p �<< < � �,,�,�� 5��. ,��:. ,�� _ : -•� _� k��: �,��,., -- ��k� ��-�R � �2ch s l�� C� �2Gy\ �.V � � �g � I�o�s�, � ° G� c��.-�� s s�- Z�a , F• sd ivoce:'re;s a�wi� � � �c;c n�;8uea: sii6�zoio interpretahon of tha g�acal eppe��oe of ihC aCB�$tl. IL 18IIOL 7IIEJ8p[ [p {� ��[g�[ �ECHrvOiOG�Ei J�� 3/20/2010 rendition. 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