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AF - 47095Village of Fridley, Minn. BUILDING PERMIT �°• 19 7 9 Date: ���� .�/'��/...+1,.(�e'......... � s Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Builder,/� ✓.c . . �:% �. :�: . . J.��. .�.�. .'� � � � � ; •��'��� � Address...................................... Address ............................................. a, OCATION OF BUILDWG No. � !P.'!+ � . . . . 5treet ,�.: .. .°:i�'�:�%./ .......... .. .... ... Part of Lot ...... .. .. . . . . . .. .... .. .. . Lot �4�. . . . . . . . . Block�,i: . �i. . . . . . . . . . . . Addition or Sub-Division �'� �''��r :��E�, , :�!t:�.��! ,Q'''�, , , , , , , . Corner Lot . . . . . . . . . . . Tnside Lot . . . . . . . . .. . Setback ���i � �".�},/� Sideyard /'�.�. � . r??��:�'`' . ... .. ... . . . DESCRIPTION OF BU(LDWG To be Used as: . ��.�+����: . . . . . Front . t,�.�P. . . Depth �r;v � Height �,..�i��� 5q. Ft. . . . . . . . . Cu. Ft . . . . . . . . .......... ......... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. F� ........ � Ts�pe of Construction .�;;,�: s�, s:�: t.�. . . . Est. Cost ,r?�r,�.�?.+r�. . . . .--.�.�. . . . To be Completed �t.°%���.�. � ---'"'�� � L- � f�� ^,�-7qGs-�,f:/ � '"�>�j/ � In consideration of the issuance to me of a permit to construct the building descxibed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. ..................................................... Tn consideration of the payment of a fee of $.,f� .�-. ., perniit is hereby granted to lC�: .�+..�.°.'�� .. ��.�:�. . f�'.�.'t``'��"�:a°'.' 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 worlunen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of F'ridley, Minnesota. regarding location, construction, altera.tion, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. d . .,��:�'�.�. • .� ..�dr: . . . Building InspeCtoT NOTICE: � This permit does not cover the eonstrucfion, fnstallation or aiteration for wiring, plumbing, gas heating, sewer or water. Be sure to see #hri,Building Inspector for separate permits for,t�se items. Sy � i �, � � � � �. � r o '� p � . M : °x : � ' M . y : o . � 0 ' � : � • � � � 0 � N 0 � � N � � � :� � � � � w � � p � � � b+ � �p w � � . O ' o � o � : o . . � : : 0 51 >C �C � � � O Q O � g� {fl {p 0 � r � z� � z� z x � y � $ � � 4] � x � � � � N �� ��� � H � � � � � � � � � � a ; � � : r�i .. �' � . � . � GJ _°o : � : � O . � . . o,a a : . ' : : Gd : : : : . � . . . . � 0 �a �e �a �a �a � . W N tr9 F+ �-+ �-+ � C�71 O C�7� O O O � ffl {i! {� {fl {fl H! �y � o O� � � i� ua � O � � �' i� �' � � p � u � � � � m N n m °c r m � �o � E � O � A � � � � a o�a �' � g � � . �. ..�. ' : .�.. � .. ... • ■■■ • • ■�■ � +:� ���� ' ���� � � 8 .. ; m � ¢ � O �'�9 aosErs ua�wus e�t►r �� ewS�Ns SINKS W� ranrs ORINK. io�M. �► sr+tivRS, FLOOR DRAINS GTGi B/ISINS auro W�R GAS APPL GAS RANGE GAS OPENINGS 'O • Z • � � � � n � ¢. �. � M � � � ��,� ����. ���o o�b' � � � � � � ��.o� � � � ��E� � � � � �a � � �b � �� o- �� p�'mo -�i p' p p � � y O � � � � � � � � � ����� 0 f�e�D � � y st- � W �,* R" � � � � O et � � . ~ � r� � i� ��� � � fA rA � tQ�b � �a � �' d �� � � wo � x � M � � M �'*l .� �� � � a � � � � �� 0' � � Q iO � � � r C9 �,,, �- � � � � M bd � Ve � . �� aror� � � "o � � V � 0 � � �� �� SUBJEC7 City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f i � � ; y ______ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 . � � � �"'1 � CITY HALL FRIDLEY 55432 NUMBER REY. DATE PAGE OF �""'� � ,�� 612-571-3450 910-F15 � � 7-30-79 JOB ADDRESS 5664 Jacks.on St. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. ].,LJ, Ej Donnay's Lakeview Manor 2 PROPERTYOWNER MAILADDRESS J'un L�cker 5664 Jackson St. 3 CONTRACTOR MAILADDRESS Baklund Contracting, Inc 15710 Xvlite St. NE. 4 ARCHITECTORDESIGNER 1 MAILADDRESS 5 ENGINEER MAILADDRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK 8 DESCRIBE WORK Putting in a ZIP ZIP ZIP 15359 ;EIPT NO. APPROVED BV SEE ATTACHED SHEET PHONE LICENSE NO. 434-5348 PHONE LICENSE NO. PHONE LICENSE NO. ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 CHANGE QF USE FROM room and a TO STIPULATIONS 1. Install fire door betwreen house ancl gasage. 2. If bottomn plate is on garage floor it must be treatedwood. TYPE OF CONST. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. F'r�IDing THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOF; A PERIOD OF 120 DAYS AT R�. ANY TIME AFTER WOFiK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT I.1.�%OO.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VtOLATE OR CANCEI THE pERM1T FEE PROVISIONS O ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU HE PERFORMA OF N TRUCTIO . y5`G4. SO PLAN CHECK FEE � � 16.20 IGNATURE OF CONTRACTOR OR AUTMOR12ED AGENT �DarEi WHEN PR qi IDATEI `�p OCCUPANCY GROUP OCCUPANCY LOAD SQ. FT. CU. FT. 720/224 OFFSTREET PARKING STALLS IGARAGES � 5. 85 CHARGE TOTALFEE Y VALIDATED THIS IS YOUR PERMIT Q�S,d „F— a � 02 0 � � OWPJER: AODRES TEL NO CITY OF FRIDLEY • ARPLICATION FOR RESIDEf�TIAL QUILDIPdG PERMITS (tdew, Alter�ations, Additions, or Repairs) - . BUILDER: ADQRESS: TEL N0: Construction Location � STRF:ET NO: ��� STREET: �-�`'��•��'B,�f?"! . . � . ,� � , �T: _ � BT,p�: � ADDITION: Gorner Lot: I� Inside Lot: __ Setback: _ Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. / � DESCRIPTIOtJ QF�CONSTRUCTIO�I � , • �,; �� Front� � �P�� � _ Height: • � � ' Squa�e.Feet: � C�bic Feet: �I . p . Front : �� Depth z �� H eight: � ' � Feet: � Cubic Feet: d � � Square . j� �• . � _ Q� �l' Qw�" � ; o Type of Cor,struction : -� Estimated Cost: $ �� �, � , • (p(� C9c�a 0 �O � - `, Zto Be tbmpleted: � � n` �(° ���� � . Alt. A A7-to R Propoaed Driveway Width If New Opening Is Desired:� �� $ - $ . S�E REVERSE SIDE OF SHEET , �e und�x signed hereby makes applicatian for a permit for the work herein specified, � agreeing to do all work in strict accordance with the City of Fridley Ordina.nces and rulings of th� Department of nuildings, and hereby declares that all the fa�cts and representations stated in fihis app'licati.� ar� true and cc�rec� � � ( � �� /O Dr�TE: ° � � '� � SIGNATURE : Stipulations: r C� �2��- �� •�� ��.ti. t�� . �� �� � �a,�- �a �� � p.�_ 0 6. � � � � � �� ;.R4� � � > �r ;�r `,�� � � �1' ,, ��'� � 1 J I, .., / �^ ) ___, �;,%2� " � ��� � � � � � , � . IIUILDI(JG� PERt�IIT FCr SCiiEDULE�. ,. _ � S�CTION 2. The Ynspector ot Uuilclinga shall, before issuing rermiL•s for the erection oi any building or sL-ructure, or for any addit5.on to any exist-ing building or strucL•ure, . or foz any.alteration or repairs L•o•any existing building or �L-ructure, upon apL�lication �therefore, require the p�xyment by thc applicani� for such pezmi.t of fces to_ the amount herein below set forth and in the manner hercin pravided tio-wit: � N��•J CON5TRUCTION: Single ramily iIomes and Garages: $4.00/1,000 cubic teet. PLAt�T CIiLCY.: 25 percent of bui.lding permit fee. bRIV�4JAY D�PI2ESSION: (Concrete, Curb Streets Only) � ' , ' A].ternaL-e A: Femoval and replacement of concrete curb and gutter only; Driveway widtlz plus 6 feet x�1.5.75 Alternate B: Removal and replacement of concrete curb and .� gutter and install a 3 foat wide approach with �' ' ',� 6 anch depth; Driveway width �plus 6 i'eet x$17.85 :1) � : . ► �• ' �► I'or the purpose of computing fees'for building pexmits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a , point six (6) inches below the floor line oi the basement or the cellar to the average heights of the upper surface or to the average height of the roof suriace of the r�ain gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at fhe rate of $3.00 per each five hundred dollars�-($500.00) or fraction ihereof 5n the cost of a11 proposed work. In•no case shall the fee charged for any permit as set forth in Section 2 be less� than $7.50 plus $.50 state surcharge. • °.. _�ERIFICATION QF FOUNDATION " NJT�: ��ermits for construction will be issued a minimum of 24 hours from the tame of applica�ion to all�w for proper review of the proposed structure and of the consl.ruction site. A Gertificate of Survey of the lot, showing the location of the foundation once it has been constructed will be requixed before proceeding with the framing. ��1 : _ � ' ' ► ' Appli.ca�ion for a Certificate of Oceupancy shall be made ten (10) days prior to the ,, use or occupancy of any structure for which a buildiz�g permit has been issued; and said structure shall no�.be used or occupied until a Certificate of Occupancy has been issued. 0 m ' , / • ''��q^Y'�7H R . • "" � ' . . � . • . . . . ' . . ���+: �� �� �� � �' F� r5' d. `�_. c ,fy'�, � ,iw� � �'.�, ptl� Y�? � �. � '�' � a :�.� ::f . ���, � . �� - �ti � � j � �� ,,, ,. . '� � m �':.. ' .. � � A; '�` 4 'y'R ��yy' Cti11' t'1� feO�Q�i 7��t1�l.L�'. iNSP£�3`�� ��1l�'�r �, d EXTERIOR E(�1iEl�l �#VE�� : "�"' ' C��'�'ATi�I k � ' (to be submit�ed �iih �uiidts� �er�it Applicatla►�. � �:, �,,� ��u �t'�'{`" ;� � .'� :, e • �-� �,,� � . � . �: ;��' This supplement is provscTed to ass��t the appZicant 3n ��� ����M �� S1C?ERIOR ENVELOF� AVER�GE "l!" FAC�`OR INFOR1�11iTI0,11. ?hiS 3l�o:c��'. :. ��� � �,imn �� required so the �UI&DING OF�%CIAL can determiqe tisat ' � �;� � , �-�� �ubmitted plans compIy witF� �ss EAt�RCY C'��NSER�1ATIaN D�SIvN CRI� r� � "�y,,,�t; ef th� STATE BUILDIAIG CODE (���taon 600i1. It is the RPPLI '�� '�` r: ;''���3 �a=��..v °� responsibility to accnrately ��c���� the data; reilect the pra�e ` UE�Iv^N CRYTE�IA in the plans; su�t Product speciFication�. 3�''' , I r� s�� c l e d . t o s u p p� r t the "R" �nd "U` f�ctors used�. and to e�a��� :,;� ,� d�nstructien is �r approved pl�rt�r. � , A .►�� �� . , . . . �G � __ r-_-_ -_--- __ __� _ --�- CIW.JE?.r�v� . .,...:,rT(�f� . � _---_____ e --- _—__ __ ° � �/J � . �'� ���� 0 ALL.Kr.j'` __ I ��� � _ /E �'' " o O �. `�s F'HONt: `� � � � }�. fYt�term�nu� the Total Ex�osed ti�� • .., follows: 1, n,r_al wall windaw area 2. To ta 1 door azea 3. Total slidinq glass door a�� �, ��yal f ireplace wall area 5. To tal wall f raminq area (ave ���� � �"i ) 6. Tc�t.al net wail asea above f, •�v��r�+ �e 90i) 7, Tc�tal rim joist area � Subt�ot.al: Total c�x�osed.wa.l :,.��-: �GOVe gloor d. Total foundatior� window area g. Tbtal net founda:ian area above 9�a�e cubtotal: 'Mtal exposed foundation area GkAND TOTAL EXPOS�:D 6tALL AREA �b _,�g 3 S� � �% 3. � �� � � g. Mu2tipi}• trie GRANL T�TAL EXPOSED WXLL ARgA X.17r, ' C. DetPrm�ne *_he. Tu�a1 Ex�s� R�f/Ceil�rbg 11�ea �e follows: lU. Total sk}�1 iy'�t area � ll�. T:,t�l raof;'cc�i 1 in� framinq a=ea (1t�1) �'� 1�. Tr,�.z: r+��� i��sulared roof/ceilirg area► ZO-� vi:rL�!) •1'u'�AL. �:f+t' '�SF:D ROOI'/CEIIsYIVG i►RFA —�� D. M.�:Lij.�1, L':t :�W�t�iL :..TAI� �XPUSED RQOF/CEILII�iG P►REA X.OS r � . �, e.;/� S" _.�..� � It� I �C�.� I tem I I ��, �I 9 G ;' ,rt � ,- .g sAC4 . ", � q. .yress�{.. t�+r t � �, i n a ' � . � � ' '- . ; _' , _ ' ' .4 1 l� y ` : , 3 4V �'4 � . . : y ,g I. 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S{ � � � %.f�.v'i� � �>� "� � 4 i1 � .. i h 5 -�l �'' ..- �tp � r -a�Y�qa ��Y r �: "�`' tl `�21` ��p 4� rp�' "` �F �. . ,� � , � �� a ; i9 y� _ � ' - 4 �.c t� �, �r r� � °a`°�i;'�`+� '� y rp �'���� �ti�.�l� � 4� �{.� , } �, Y � :�t ��� p , � P R{3,0+` � �ay�f w�'�^ #�` y�' l t � y.. � � � e� �'� �, 4�a � Gk,� �r a�u� � =P.�+"t �. �'r� � 3� -� t'1'"'�' � e��� rt.&r� #� ( � t� � r �r{ �S ��. a ��r'�� d''i�n , ; �'�` �r;. �"�4� �` i��"'�'` d , � �.�'�1 n i.a?,. �,d.�!� i ..>?!a ���. �i `�;±� St���','�'?> i,'$�� � ., �: � � e DIFaECTOIaATE ..O F pue�ic woR�cs MEMOFIANDUM I DATE g � FROM 'D.P,W. TO ACTION INFO• SUBJECT I�as ' Street Light Relocation 5664 Jackson Street � On April 5, 1982, I responded to Coun�ilman Schneider's request for information pertaining to the street lights located at 5664 Jackson Street. . We have received the estimates from NSP for relocating the light poles. To remove the two poles on Carrie Lane and relocate the street light to the southeast corner of Jackson Street and Carrie Lane is approximately �675. To remove the pole on Carrie Lane between the two properties and restring the power line to the corner light is approximately $200. Request guidance on which proposal we are to follow up on, if any, and how this work will be fundedo JGF:ijk ,, �.• TN� c�Tr oF � �� Fq1�LEY DATE FROM SUBJECT � DIRECTORATE _t'] F PU�LIC WO�KS 1 5, 19$2 Councilman Schneider's Memo re Street Light Relocation at 5664 Jackson Street Nasim M TO � MEMOAANDUM ACTIONI INFO• This memo is in response to Councilman Schneider's memo dated April 2, 1982, pertaining to the possibility of relocation of the street light at 5664 Jack- son. We {�ave�visited the area and initiated coordination with NSP on costs and possibility of relocating the street light at the intersection of Jackson and Carrie Lane. It appears that the street light wiring could be modified in such a way as to eliminate the pole between the two properties on Carrie Lane. There i� also the possibility of relocating the street light to the southeast corner of Jackson and Carrie Lane, which would result in two poles being removed from the residential property. In the past whenever we requested street lights to be changed from mercury to mor� efficient sodium vapor, NSP has accomplished this work at no cost. Their policy now is to charge for the manpower and materials involved in such work. Accordingly, we have requested these figures from NSP. Also in- volved with this request, is the string of new lines, pole relocations and replacements. We have requested NSP provide us their recommendation pertain- ing to this problem, an associated costs with new alternatives they might provide. We anticipate to receive this information later this week. Once �he costs have been received, we will provide this information to Councilman Schneider.and for City Council's consideration of this request, provided the Gosts we are provided are substantial. �Gf: i j k � ;. , . .;. . � _ �s FI�OM: Stl&THL't': DATE: t ►- �� . � a.�. � �; � ��•i �.:�• � CITY OF FiZ_�� 1rlE1rIORAPDDlI POSSIBLE REIiOCATIOiN �' STREET LICHT AT 5664 JACRSaQ APRIL 2, 1982 �> �, % - -` • ... tJ � ;_i I was contacted by Jim Locker of 5664 Jackson Street regalyding the street light in the corner of his lot. Mr. Locker is on the corner of Jackson and Carrie Lane. There is a street light on his corner which is at the intersection of Jackson and Carrie Lane. '�here is another street light at ti�e intersection of Jackson and Quincy Street. Zfie wires for the street light on Mr. Locker's property came fram a p�le in the northwest corner of his lot in the back. Z'he wire then runs to a pole in the southwest oorner of his lot and fram there goes to the pole that contains the street light in the southeast corner of his lot. Mr. Floyd Aessevick who lives to the west of Mr. Locker recently called NSP and askec� th�n if it was possible to move the wire which is between his and Mr. Locker's property. Z'he reason for removal of the wire is because the wire causes successive tree trirraning on trees that are on the property line. NSP indicated that they would move the wire so that the street light on Mr. Locker's property would be served from the wire which is now serving the streetlight at Quincy and Carrie Lane. Mr. Locker has four telephone poles in his yard (one in each corner) . Ae was wonciering if it would be possible, as long as NSP is moving wires, to move the two poles in the south of his yard across the street. Z'here is nothing across the street except the guardrail so the traffic does not go into the 100 �ain Drive-In. If these two poles were moved, the street light could be placed across the street fram Mr. Locker and the wires running along the southern border of Carrie Lane not over anyone's property. I inc3icated to Mr. Locker that the movement of the poles would probably result in cost to the city but that I would investigate and see if anything could be done. I would like to find out first of all: A. Is 3.t possible for us to accorranadate Mr. Locker's wishes? B. If not, what is the cost of moving the poles anc3 would there be some possibility of sharing that cost with Mr. Locker. Finally would it be possible to move the pole that does not have the street light but that is on the southwest corner of Mr. Locker's lot across Carrie ��1 , .,., r ; . . . � . • wa ' Lane ancl then nm the wire diagonal from that pole to the street-'light? This taould involve anly moving ane pole and wauld still eliminate the wire over l�lr. Locker's yard. ; I realize this is unusual, however if you take a look at the lot, it is bounded on three sides by wires and an all four corners by telephone pol�. I believe if there is anything that we oould c7o that I would be in favor of at least b�ding some rules to try to make the situation a little bit better. I'd appreciate any response that.�ou could have for me at Monc7ay's Council Meetinq. Thank you very nuch! D6/ba ��: Jol�� �/ora. 0 0 6 B 0 � � ��y,� q � � J � �6e� . �� �i �ii /� �`,- � �� L �' S` �1�° r� �r � �i T >���� � ��� � ���� �� � 7�" / --. ;' '1 �.v�r � _ ��� 1 , � ��-T�•�>,����- �i���z ���-� _,�, ���� /1J� ���. � r � � �a� --��oo SOBJDLT: POS.SIBLE RELOCATI�J OF SPREET LIGHT AT 5664 JA�CKS� DATE: APRIL 2� 1982 '"�, ��o - `s/ 0 �-� , Y I was contacted by Jim Locker of 5664 Jackson Street regarding the street light in the corner of his lot. Mr. Locker is on the corner of Jackson and Carrie Lane. There is a street light on his corner which is at the intersection of Jackson and Carrie Lane. There is another street light at the intersection of Jackson and Quincy Street. The wires for the street light on Mr. Locker's property came fram a pale in the northwest corner of his lot in the back. Z'he wire then runs to a pole in the southwest aorner of his lot and fram there goes to the pole that contains the street light in the southeast corner of his lot. Mr. Floyd•Hessevick who lives to the west of Mr. Locker recently called NSP and asked th�n if it was possible to move the wire which is between his and Mr. Locker's property. �he reason for removal of the wire is because the wire causes successive tree trimming on trees that are on the property line. NSP indicated that they woulcl move the wire so that the street light on Mr. Locker's property would be served from the wire which is now serving the streetlight at Quincy and Carrie Lane. Mr. Locker has four telephone poles in his yard (one in each corner). Ae was wondering if it would be possible, as long as NSP is moving wires, to move the two poles in the south of his yard across the street. Z'here is nothing across the street except the guardrail so the traffic does not go into the 100 Ztain Drive-In. If these two poles were moved, the street light could be placed across the street fram Mr. Locker and the wires running along the southern border of Carrie Lane not over anyone's property. I inclicated to Mr. Locker that the movement of the poles would probably result in cost to the city but that I would investigate and see if any�hing could be done. I would like to find out first of all: A. Is it possible for us to accoimnoc3ate Mr. Locker's wishes? B. If not, what is the cost of moving the poles and would there be some possibility of sbaring that cost with Mr. Locker. Finally would it be possible to move the pole that does not have the street light but that is on the southwest corner of Mr. Locker's lot across Carrie �' _ . ,,�� ��� O I,A � 0 Lane and tt�en nui the wire diagonal from that pole to the street' light? This would involve only m�ving ccie pole and would still eliminate the wire aner 1Mlr. Locker's yard. I realize this is unusual, however if you take a look at the lot, it is bounded on three sides by wires and an all four corners by telephone poles. I believe if there is anything that we could do that I would be in favor of at least bending so�ne rules to try to make the situation a little bit better. I'd appreciate any response that.you could have for me at Monday's Council Meeting. Thank you very uuch! DS/bd �� : J'o�r � �/ora.. 0 9 '_' � _ - F : . ; •; � i ,�� � ��> . .. :� ns' . �� %,� � _ . � • � _, �s FR�I: SOB.THCT: DATE: CI'1'Y � FR]DLEY 1r1SI40RAPDIIIri NASIM QUR�I DE�INIS 9(�iEIDER ppSSIBLE RErACATION OF STREE�T LIGHT AT 5664 JACKSON APRIL 2 � 1982 0 I was contacted by Jim Locker of 5664 Jackson Street regarding the street light in the corner of his lot. Mr. Locker is on the corner of Jack son and Carrie Lane. There is a street light on his corner which is at the intersection of Jackson and Carrie Lane. 'I'here is another street light at the intersection of Jackson and Quincy Street. Z"he wires for the street light on Mr. Locker's property came fram a pole in the northwest corner of his lot in the back. Z'he wire then runs to a pole in the southwest oorner of his lot and from there goes to the pole that contains the street light in the southeast corner of his lot. Mr. Floyd Aessevick who lives to the west of Mr. Locker recently called NSP and asked th�n if it was possible to move the wire which is between his and Mr. Locker's property. The reason for removal of the wire is because the wire causes svccessive tree trirrnning on trees that are on the property line. NSP indicated that they would move the wire so that the street light on Mr. Locker's property would be served from the wire which is now serving the streetlight at Quincy and Carrie Lane. Mr. Locker has four telephone poles in his yard (one in each corner). He was wondering if it would be possible, as long as NSP is moving wires, to move the two poles in the south of his yard across the street. Z'here is nothing across the street except the guardrail so the traffic c�oes not go into the 100 R�ain Drive-In. If these two poles were moved, the street light could be placed across the street fram Mr. Locker and the wires running along the southern border of Carrie Lane not over anyone's property. I inc7icated to Mr. Locker that the movement of the poles would probably result in cost to the city but that I would investigate and see if anything could be done. I would like to find out first of all: A. Is it possible for us to acconanodate Mr. Locker's wishes? B. If r�ot, what is the cost of moving the poles and would there be some possibility of sharing that cost with Mr. Locker. Finally would it be possible to move the pole that does not have the street light but that is on the southwest corner of Mr. Locker's lot across Carrie . ;� , � Lane and then nm the wire diagonal from that pole to the street�light? This would involve aaily moving ane pole and would still eliminate the wire over Mr. Locker's yard. I realize this fs unusual, however if you take a look at the lot, it is bounded on three sides by wires and on all four corners by tele�phone pol�. I believe if there is anything that we could do that I would be in favor of at least bending soqne rules to try to make the situation a little bit better. I'd appreciate any response that.you coulcl have for me at Monday's Council Meeting. Z'hank you very nuch! DS/bd �� : Jol� r� �/ora. � 6 • 9 0 � :T ,� -. t` � -:�,•w- -- � - „ r� srA�s Pa� oa�� (rm�u�sorA) sz�t rTo: 5- 39 j�°r��,�, �='� . gL�rrRTC RA'� HOC[C - N�'fJC L�A. . 1 . .. Revisian: 4th . MIl�.SOPA ' � ' ' . • ' Vblu�e I sTx�r r�c�sn�c sE�c� (corr��nt o��D E�n�r) Availability: Available far year-raurid illiani.nation of public streets, parkways and highways by electric lamps in ltmninaires supported on poles, where the facilities fooc this service are f�ni.shed by Ccm�any. �stdn Undergro�md Service under this schedule is limited to areas having a Co�any awned underground electric distribution syst�n. ' • Rate: Designation of I� 175W Mereuty 250W Mercury 400W Mercury 700W Mercury 1, OOOW Mexcury 70W High Pressure Sodi�n 100W High Pressure Soditmt 150W Iiigh Pressure Soc�i�n 200W High Pressure Soditun 250W High Pressure Sodi�an 400W Htgh Pressure Sod.itan N/A - I�Tot Available Nbnthly Rate Per Laam.naire C�stcan Overhead Underground $ 8.60 9.60 12. 50 17. 75 21.70 $ 9.20 10. 00 10. 80 12. 85 14.55 18. 20 $11.05 12.15 N/A N/A N/A $11.60 12.10 13. 00 N/A 15. 80 N/A Service Included in l�te: Company shall own, operate, and maintain the overhead and custcdn underground street lightirig systens usirig Cmnpany's standard street lighting equi�anent. Fuel Clause: Bills subject to adjustment provided for in F1ie1 Clause Rider No. 1. (Continued on follaving sheet) Rate Code Clistcdn Underground IQ�TT409 Overhead KV308 Issued: 9-18-81 By: R. A. B�glimd, Effective: 9-29-81* V. P. Cb�rnercial Operations MP(JC Dodcet No: E002/GR-81-342 *Interim �tes �der L�te: 7-24-81 & 9-4-81 � � sr�s pa�r.t apr��r (r�m�.9or�) st�eet No: 5- 40 � Fr�Tc � Boo[c - r�c ru. 1 �aevts3,on: 3ra :' . _ , . � . ' � Vbltme I � - �r � � • STl�'T LIGii�IlJG SERVI(E (QON�AIVY OGJL�D EQUIPMENP) (aDtitinued) � Surcharge: �In certain ca�r�urLities bills are subject to a surcharge provided far in StiircY�arge Rider. • Daily Operat;ra Schedule: The daily opeacating schedule of the above lamps shall . be fran approxi�tely , one-half ho� after sunset until one-half hair • befor� sunrise. . � Outages: If illtnnination frctn any lai� is interrupted and said� illtaninati� is not resLUned within 24 hours fro�►the time Conpany receives notice thereof fran custaner, 1/30th of the m�nthly rate for such la� shall be deducted fooc each night of nonillinnination after such notice is received. Issued: 7-27-81 By: R. A. B�glimd, Effect.ive: 7-31-81* V. P. �o�rci.al Opc�rations 1�'[7C Dodcet Ib: E002/GR-80-316 & E002/D-79-756 (�rciPS Eate: 7-16-81 *Effective an bills based on regular meter readings on arid after July 31, 1981. Prepaid Plan C�eGk $ Fstimated Qost $ �lPt # :3� rl 1 ' fl ' �1���.�tM �. :_ I�I1. .y1C : ��isi �y��it.., �� Effective 3/1/96 ��i .n � �i�i �/'/�- � �(% C� 't� Construction Address ����✓�C',�.So.Y/��� �nin g rc�a1 Description Owner & Address .���E /�� ���Y� Tel.# .�r�l 7s�� �NTRACInR & ADDRFSS � �/�I oG'��',e Tel . # ArGhitect & Address � Reg.# �g�neer & Address Reg.# TYP� OF WORK ❑ New � Addition ❑ Alteration -Describe / Applicant I�ngth Tel # ✓�J� ����Date � �/- �� S[TB,DIl�G DIl�15IC8�'S Width He:i.ght Sq. Ft. oFC. �: TP*�h wiath in�SE ARF�Pi: r P�h Width � �: �n w�� ��� # of Stories xei.ght sq. Ft . �-� �- � - �� �. �. � �C ,�3� S� ����� sq. Ft. x$ c�ost/sq. Ft. = vali�ation $ , Sq. Ft. x$ . Cost/Sq. Ft. = Valuation $ )_$ sq. Ft. x$ •� oost/sq. F't. = valuation $ ) z+oTAL vaLVE �;lding Use Air Gonditioning ❑ Yes [] Perfoztnance Bond Amo�t $ PeYmi.t Fee Plan Check Fire SurchaYge State Surr.l�ar.ge SAC Chan3e Erosion Gantrol Park Fee $ $ $ $ $ $ $ Cbnstruction 'I�pe OccupancY GrouP No Fire Protection Provided ❑ Yes [] No See Reverse for Schec�ule Received ❑ Yes [] 1� 0 See Fee Srliedule on Reverse Side In Excess of Prepaid Ampunt - See Reverse Side .001 x Pezmit Valuation (1/lOth %) $.50/$1,000 Ualuation (See SGhed. for > $1 Million) $900 per SAC Unit (Plans to MinTCC for detennination) $450..00 �nse�vation Plan Review Fee Detezmined. BY Erig�neering Sp�C. Assessments $ Agreemetit NeCessazy ❑ Not NeCessary ❑ Driveway Esc�..row $ feet x $13.50/foot TO►l�iL $ ' � �` ` ��� $1 to S�ifl 501 to 2,000 2,001 to 25,000 25,001 to 50,000 50,(?Ol to 100,000 100,001 to 500,000 500,001 to 1,000,000 1,000,001 and up $1 to 2,000 2,001 to 25,000 25,001 to 50,000 50,001 to 100,0(}0 1t�,001 to 356,000 Over $356,0{}0 BUII.DING PERMIT FEE SCHEDULE $21 (Minunum Fee is $21 plus surcharge) $21 for 1 st $500 plus $2. 75 for each addn' 1$100 or fraction, to and including $2,000 $62.25 for lst $2,000 plus $12.50 for each addn'1 $1,000 or fraction, to and including $25,OOU $349.75 for lst $25,000 plus $9.00 for each addn'1 $1,000 or fraction, to and including $50,000 $574.75 for lst $SO,OQO plus $6.25 for each addn'1 $1,000 or fraction, to and including $100,000 $887.25 for 1 st $100, 000 plus $5 .(� for each addn' 1$1, 000 or fraction, to and including $SOO,OQO $2887.25 for the lst $5(}0,000 plus $4.25 for each addn'1 $1,000 or fraction, to and including $1,000,000 $5012.25 for the 1 st $1,000,� plus $2.75 for each addn' 1$1, 000 or fraction PREPAID PLAN CHECB FEE SCHEDULE $29.25 $29.25 for lst $2,W0 plus $5.85 for each addn'1$1,OW or fraction, to and including $25,000 , • $163.80 for lst $25,000 plus $4.225 for each addn'1$1,0(� or fraction, to and including $50,000 $269.43 for lst $50,000 plus $2.925 for each addn'1$1,000 or fraction, to and including $100,000 $415. 68 for 1 st $100,000 plus $2.275 for each addn' 1$1, 000 or fraction, to and including $356,OOQ $1,0(� (Balance due with issuance of building permit) PERFORMANCE BOND POLICIES When a building permit is issued for a commercial, industrial or a multiple dwelling residential project wluch.requires outside improvements,a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cover all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences, lighting, a.nd storm drainage systems. Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3% of the building permit value up to a 2 million dollar project or a$60,000 bond. Actual amounts will be rounded to the nearest $1Q0. The Ciry reserves the right to require greater or lesser bond amounts based on unusual circumstances. Projects with no outside improvements, generally will not require a bond. BondQ must remain open until the project is fully completed. All bonds will be held over one winter and through the next growing season to insure the survival of all landscape installations. The City will then inspect these progerties in August of the year following the initial planting. Bonds may then b� released in October of thax year if all improvements are satisfactorily completed. SuBJECT N , c�ty of Fridley 25 43 7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � EIPT NO. � • COMMUNITY DEVEIOPMENT DIV. f � v � PFOTECTIVE INSPECTION SEC. j; �� � i � UC' � /"'1 � CITY HALL FRIDLEV $S43P NUMBER FEV OATE PAGE OF APPROVEO BV �----� • •'' 612-571-3450 910-F15 8/27/97 � � JOB ADDRESS 5664 Jackson Street NE t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCF. 1�+ 6 Donnays Lakeview Manor SNEET 2 PROPEHTY OWNEF MAIL ADDRES$ 21P PMONE Jim Locker 5664 Jackson Street NE 3 CONTRACTOR MAIL ADDRESS • ZIP PNONE LICENSE NO. Richard Hastings Contr. 6331 Riverview Ter NE, Fridley MN 55432 574-9966 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 4051 5 ENGINEER MAIL ADDRESS IIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADOITION O ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Partial reroof of House (13 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. fT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF /20 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALlS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WOFK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A pERMIT � 1� O84 �. S4 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON- Q STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �p.37. SO Fir SC � L. OS �,� � ��— PLAN CHECK FEE TOT FEE � e �.�,�� � ����i ._� � � ? �`'°" License $5. $44.12 SIGNATUREOFCONTRACTORO "UTHOR12EDAGENT ID TEI N OPE ALIDATE NIS IS VO PERMIT W ! SiGNATUREOFOWNER�iFOWNERBUILDERI IDA7E� o BLO INSp f�pTE NEW ADDN AL,TER [] [] [l CTT� OF FRIDLEY SINGLE FAMILY A1�TD DUPLEXES R-1 AND R-2 BUILDING PERMIT APPL.ICATION ConstructionAddress: ���C � �� ��5��� S� � �i � �� . Legal Description: Effective 1/1/97 Owner Name & Address: '�; � �. c � �-� � Tel. # Contractor. �� � G� H,�.r� ,� �q- � f��e S MN LICENSE #��� S� j Address: �,3� I c�. � �= � �,� �L,� 7`� r� . Tel. # :S � !� -�y�G,G � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: Length Length Length DESCRIPTION OF IMPROVEMENT �Vidth� Height Sq. Ft. Width Height Sq. Ft. Width Hgt/�round Sq. Ft. OTHER — � � ,� F �� ��� � � � Construction Type: _ _,/��- P�7' 6' �1 �L i-� � R �° �i'' �� Estimated �ost: $ �' (� �� �� (Fee Schedu�e on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ � =$ DATE: �'lZ. � j i APPLICANT: (�.�.�� e���,� Tel. #� � � y - � � �,G Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL S"i'IPULATIONS: $ �`�.�� � /,0� � • � �1 $ $ �• D�� $ $ $ $ $ �-,/. CITY USE ONLY Fee Schednle on Reverse Side .001 of Permit Valuation (1/lOtli%) $.50/$1,000 Valuation $950 per SAC Unit $S.� (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450:00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] [3U[[,D[�\G PERMI"C FEE SCHEDC'[,E "1'1ie Chief.Building Official sliall, before.issuing perniits for the erection of any building ar structure, or t��r any addition to any existing building or structure, or for any alteration or repair to any existing buildin� or stcucture, 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 $2,001 to �2�,000 $25,001 to $50,000 $50,001 to $100,000 $100�, 001 to $500, 000 $SOO,OOi to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 �62.2� for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,Q00 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $�0,000 $574.75 for fust $50,000 plus $6.25 for each additional �1,000 or fraction thereof, to and including $1(}0,� $887.25 for fust $100,00D plus $5.00 foreach additional $1,t�0 or fraction thereof, .to and including $SOO,OQO � $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,OQ0,000 plus $2.75 for each additional � 1 (1(li1 nr frartinn thPrPnf DRIVEWAY DEPRESSION ESCROW (Concrete C�urb Streets Oniy) , � � Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a � foot�wid,e t approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Pct-mits for construction will be issued a minimum of 24 hours from the time of application to allow for prop�r review of the proposed structure and of the construction site. �� Certiticate of Sun�ey of the (ot, sho�vin� the location of the foundatio�i �ince it ha� it has hcen consiruct��;_+. �=r�;, I�;� r�yuircd i,el�c�re I��-ut;c�din�� u•ith tt�e framin�,. _ - _ _�, s�e�eeT � R E C K I N G T No. c�ty of Fr�a�ey �` AT TME TOP OF TME TWINS P E R M I T 3 0 � � 2 � ! �; L__��� COMMUNITY DEVEIOPMENT DIV. NO. f � � PROTECTIVE INSPECTION SEC. ���� l� _ � ._--� ��'�','j CITY MALL fRIOLEV SS�32 NUM�EA NEV DATE VAGE OF AVPROYED BY L 612-571-3450 910-F15 8/24/99 / / lOB AODRESS 5664 Jackson Street NE t LEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED oescA. 14 6 Donna s Lakeview Manor SFIEET 2 PROPERTY OWNER MAtL ADDR�S$ 21P PNONE Medtronic Inc. 7000 Central Ave NE Fridle 55432 586-0531 3 CONTiiACTOF MAIL ADDRESS ZIP PNONE LICENSE NO A. Kamish $ Sons Inc. 6010 Concord Blvd. Inver Grove H ts 4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE IICENSE NO. 5 ENGINEER MAII ADOFiESS 21P PMONE LICENSE NO 8 USE OF BUILDING � Residential 7 CLASS OF WORK O NEW 0 ADOITION O ALTERATIpN O REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Wreck house ara e and shed 8 CHANGEOFUSEFROM TO STIPULATIONS � Clean site of all demolition debris. Remove curb stop and double crimp the water service. SEPARATE PERMITS ARE REQUIfiED FOR ELECTRICAL, PLUMBING. NEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCr LOAD VENTILATING OR AIR CON�ITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT. AUTHOFiIZED IS NOT COMMENCED V`I�THIN 80 OAYS. OR IF CONS7pUCTIpN OF WORK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AF7ER WOAK IS COMMENCED. NO DWLG. UNI7S OiFSTREET PARKING I NEREBY CEFiTIFV TFIAT I HAVE REAO ANO �XAMIN�D THIS APPLICATION STALLS GARAGES AND KNOW TME SAME TO BE TRUE ANO CORREC7. ALL PROVISIONS Of LAWS yp�UAT10N SUR7AX AND OROINANCES GOVERNING TNIS TYPE OF WOpK WILL dE COMPLIED � WITH WHETMER SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT OOES N07 PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI TME pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTMEFi STATE OR LOCAL LAW REGUTATIN(3 CON- STR CTION OR T ERFOflMANCE OF ONSTRUCTION w3O.00 PLAN CNECK FE TOTA FEE X -�o-��-� �P•�i•9� o.00 �GNATUpEOFCON'AACTOpOA0UTH0�7iZEDsGENT IOATE� EN RO V ALIOATE HI I Q Efi I I"i S�GNATUNE O� OWNEp��� OWNEABWIDEp� �O�TE� BL �roSP � q`1E � s CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 572-3604 Job Address : ��G Legal Description:_ Effective 5/10/99 MOVING [ ] WRECKING [�ERMIT APPLICATION %DL Owner & Address : �Y12�T�N/ G �� �aoo C¢�L f�. �J_C 1��:�o��.a Contractor: �.,K,Q.r,���, .�-Se�s �.� 5����D Address : �,�^�J � ��,�,�„�.� �/�p_ �„�,_ ��./.�,� ��'State License # _ DESCRIPTION OF BUII.DING HOUSE : Length �ia Width 2� Height /2 Sq . Ft ./6 YO GARAGE:Length Z� Width � Height � Sq. Ft. G'7 Z OTHER: Length l� Width /G Height � Sq. Ft. �S � Estimated Cost $ �,doo Approx. Completion Date IITILITIES City Water/Sewer Minnegasco N S P NOTIFIED: 572-3529 [ ] 372-4720 [ ] 330-5500[ ] Water Bill Paid: Yes �J or Moving Route: Collect [$ ] ��(���� � � Tel . # S°Rl - 6S3/ Tel . . # C�sT �s'��� Cu. Ft. /z, yso Cu . Ft . p� Cu . Ft . 3, O'? L / w/t S U S West ��/ Business-603-6000 Home-244-11 1 [ ] , Signature � // .'�`� 0 The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declazes that all facts and representadons stated in this application are true and conect. ALL DEMOLITON DEBRIS. INCLUDING FOUNDATION & SLAB. SHALL BE REMOVED FROM SITE. �'-2y s� 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 ...... $ 20.00 Wrecking: For each 1,000 cubic feet or fraction .. $ 1.25 For structures which would he impracdcal 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: �D STIPULATIONS: Minimum Fee: $20.00 Minimum Fee: $20.Q0 CITY OF FRIDLEY INSP. DIV. �431 Univer�ity Avenue NE Fridley, MN 55432 (612) 572-3604 � JOB SITE : � � �O i �/ /� G�� HYDRANT RENTAL AGREEMENT (Effective May 1,1999) % �� �j �` "� � (* r Applicant : V � ' i�`vi�l. �-H �' ��c.,Z(Z( Tel . # : \f J /, `7�,5/ %38 / Addr e s s: (�� O/ D C-� N�n.� /� ��,p Lcu �� G�iz�.,._ �= . Y1�� �SU'7�� RENTAL CHARGES Service Charge: $35.00 ' $ ���� Water: Minimum $10.00, $1.00/1000 gal. with meter $ �Q-�D TOTAL CHARGES $ � UU Receipt # � �" /'� 8 /�s/ �9 �O���v�� � � �,�� ` ` E UIPMENT USED & DEPO ITS HELD � Meter Deposit: $200.00 Meter # $ Meter Reading: Start End TOTAI, GALLONS x $1.00 = $ Equipment Deposit: (wrenches) $150.00 TOTAL DEPOSIT C�CK List Equipment Borrowed: $ $ Above Equipment Returned to: � Signature Date I/We agree to make the above deposits and pay the water and service charges for the use of hydrant connections and equipment borrowed. In the event that the above meter or equipment is damaged, the cost of repair or replacement shall be made by the applicant stated in this agreement before the deposit is refunded. Date Deposit Check # Signature Deposit Amount Returned By Date See other side for instruations �on picking up and returaiag equipmerit borro�ed. TO: FROM: DATE: svsjECr: MEMORANDUM Mary Hintz Jon H.,�aukaas, Assistant Public Works Director � September 2, 1999 Properties Acquired for Right-of-Way The following properties have been demolished and will no longer use water and sewer services: 5665 Quincy Street 5675 Quincy Street 5655 Jackson Street 5664 ac on Stree 5665 Jackson Street 5674 Jackson Street 5675 Jackson Street PW99-163 The properties were acquired for use as street right-of-way. They will no longer be residenaal properties. JHH:cz