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AF - 47106k� S � � ���� _ 1I' . . ' - � ' ' . - � _ _ , _ . — . :, . .._ ' �' _ k� . : .,. . . ._.. .. -..... . . .. - - - .�. _l; . - - � - ' . - � 1 ' ; � - ' Yill�ge vf Fridley, M.�.�n.. _ , � � . 1'�° 1�84 -: . _ � _ ; ,. � . BUILDII�iG PERMIT � ` - _ � ` - r . . .. , , . _ � �_ �, _ -. r_ 'i ! - nat�:,,r�.:,��' .�� :�: .�.� . - 56 ^� �j f � � � - . : � - � ' Qwner . J . . ., Suilder����':�`��' . .�r.�`°'�"'� ,�`, , , � Address ' �,,ddress � ` � .�: .. F' - , ' " _"; � 1.4GATtQN E?.F Bt�tI.,DIIVG ,.. _ Nv.. v� � ��.'� �` stree� .�� :`� i .w�r��l.��. �'art �f Lot . . . Lot .�`' . Block '.�.� Additaon nr Sui�-Dxvisfoa ��I��r.'`�.''�`".r'�`s� .�I��� i Corner Lot Ins3de.Lot Setl�ck Sxdeyard . � DESCRIP?IQ1V OF BUILDING Ta be Used as' ,�� � .�, ��'���.'���.r''-•�.,,�:: ... . Front ��.�!t�. T3ep�Ft .�.�.� Heigh� ',�..��?� S� :: � ,. : . :.. ... ... .. ..... . .. . . FrOnt _: �.. ...�.. Degth ...:..:. ' I3efght : S� �i'}�j� 6f �'OII91Tl1Ct10Ti : ',��iG:� . . ES% GOSt ��.��. � � 'i�Q �,�°�.�;:.��„�-',�,�� �� �'�,�'_�' .�`�� -; - - - � - - ,;: , .- _ , In conside�ratfon of the �SSU�nce tb me of a permit to const�uct the. buildib the proposed work in acxard�nce wif�1 i�e description abvve set fo�i -�nd in � orc�iinanaes of the, villa.ge of Frit�le� . -_ .. ... ... � ,�► : = , �_ �n �cansideratio�€ �af 'the �saymerrt �f a fee of .$,,�.°�`. .. . .:; permit is h�rekty ,. ���"�:�,� '�°" - :. to cot►struct the built7ing or additio� as described al rhe express condition th�t the persoa to whom i�. is granted and h#s agexc#s� enn� ddne in, around and upon said 'buildin�, or anq part; tbeareaf; shall ;confo�m i�i a :�'rYr'�ey, iVlinnesota regarding la�tios;=t�ristxu�ta�n, alteratio�, maintenance, reg� : - _, " � . . irx ttie village limiffi and ti�is Permit m�Y be revoked at any fune upon viclatidn � o�dinanc�s. . . � . r . . � � _ . � :� _ , � ,. �- � ,,s� __ " � � ��, -T � __ - - � � �� - :.���.. - � � - - r..� ., A10TIC�: ` 4 s& 7hi� perrr►it does nnt :cover ti�e cor;strucfxon, instailatlon �or a�teration for sewer o� water. Be su�e to see guliding Inspector for sepacate. permtts f� _ _ _ ,�� - � �. Ft. . Ct,t �ti. ��..i`1.. ♦ ���\IW 1,4� ��i����♦ __ .. be �omple#ed . .�� ; �"� t�'. +� ' _ ��. � � �k' ��.: _ ;' described abave, � agree to da ��;; `; :omPliauoe with a11 provisioiis of . .- �ranted to`�1. .�l.�� ..... , �e. This permii is �rauted.� uP� loyees and �vor�men; �un� � �vark r1I xespeets to the oidinaac�s af �ir and inuvtng =t�f bti�Ziii�gs with o� any of the 'proviai�ns. of �id � � �,��:�r`+�„'=• '�3t�i][ - , � �t� ,_. � - . �t � . ��;, 4` wiring, plpmbin9, gae heafiFn� ► �_se ##ema. ' �.'� , � � SUBJECT P . City of Fridley 2 5 J 9 2 ' ` AT THE TOP OF THE TWINS g U I L D I N G P� R M I R EIPT NO. � � • COMMUNITY DEVEIOPMENT DIV. i VV ������� f � � PpOTECTIVE INSPECTION SEC. �j � � � 1 .1 � � 1 /��'1 � CITY FIALL FRIDLE� SS4$Z NUMBER REV DATE VAGE OF APPROVED BY �.__.Jl.' '•� 612-571-3450 910-F15 4/27/9$ � � JOB ADORESS 5685 Jackson St NE 1 IEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCF. 9 5 Donnay's Lakeview Ma.nor SHEET 2 PROPERTV OWNER MAIL ADDRESS 21P PMONE Dorotliy Seaberg 5685 Jackson Street NE 3 CONTRACTOR MAIL AODRESS 21P PHONE LICENSE NO. Richard Hastings Contr 6331 Riverview Ter NE, Fridley, NIN 55432 574-9966 4051 4 ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE LICENSE NO. 5 ENGtNEER MAIL ADORESS ZIP PHONE IICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADOITION ❑ ALTERATION �7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Reroof 8ouse & Garage (21 Sq) Tear-off ' 9 CHAN(3E OF USE f ROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERI00 OF 120 DAVS^AT ANY TIME AFTER WORK IS COMMENCED. � NO. DWLG. UNITS OFFSTREET PARKING I HEiiEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of �AWS yq�UATION SURTAX AND OiiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1�751 �.$] DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pERMIi FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE Of CONSTRUCTION �,rj6. ],rj Fire SC �l .%.5 � - ��/-�. PLAN CNECK FEE TOTAL FEE __����"�.���°-�� /'-�7 l,� License SC $5.00 $64.37 SIGNATUAEOFCON'RACTOAORA � OAiZEDAGENT 10ATE1 WHEN PROP LY VALIDATED THIS IS VOUfi PERMIT �- . ��P���. � _� ��_f0 SiGNATUREOFOWNERUFOWNEpBUI�DEAI �OATE� s DG iNSP qaTE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY �ot�, ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � BUILDING PERMIT APPLICATION ��j b(� � ConstructionAddress: �� �S `S:�c � s � � .5�� Legal Description: Owner Name & Address: ���,��„�-� �/ .�� �4 h� t� �t Tel. # Contractor: jZ , c.�► r� �� � 1�-�A S'7' (�l 6 S' MN LICENSE # c�� � 0 Address: G� � ; / lLa v � ,� v i L caJ �� 2 , Tel. # .� � � —� � � � 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: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. � I s.� Construction Type: �'�,+� 1Z ��� �-1��= /� o � � Estunated Cost: $ �%S� �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �`a � 1� Permit Fee Fire Surcharge State Surcharge SAC Charge License 5urcharge Driveway Escrovv Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � �.7 $�_ ,ZS-- $ • % $ � S. al� $ $ $ $ $ .�3 7 � Tel. # � j � "✓ �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1Q00 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined b jr Engineering Agreement Necessary [ ] Not Necessary [ ] /' BUII.DING 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 amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $5� $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 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 ft�action thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,0(}0 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $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 $1,000,000 plus $2.75 for each additional $1,000 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 $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3° foot va.ide approach with 6 inch depth - Driveway width plus 6 feet times $13.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once iE has it has been constructed will be required before proceeding with the framing. _ � _� � City of Fridley 31381 AT THE TOP OF THE TWINS � � � L D I N G P E R M I T r � � RE � ; �__�__ � COMMUNITY DEVELOPMENT DIV. � s�� r � � PROTECTIVE INSPECTION SEC �� � _ � � �"'1 � CITY NALL FRIDLE� SSI� NUMBEN NEV OATE PAGE Oi AVPqOVED 8Y �""� � �'' 612-571-3450 91 a-F15 9 / 11 /00 / / J08 ADDRESS 5685 Jackson Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 Donnay's Lakeview Manor SNEET 2 PROPERTY OWNER MAIL AODRES$ ZIP PHONE Dorothy Seaberg 5685 Jackson Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PNONE LICENSE NO Richard Hastings Contractor 6331 Riverview Ter NE, Fridley, MN 55432 4051 a AfiCHITECT OR DEStGNER MAIL AODRESS ZIP PHONE LICENSE NO. 574-9966 5 ENGINEER MAII ADORESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION � ALTERATION �] REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof House & Garage (20 Sq) Tear-off 9 CHAN(3E OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARA7E PERMITS ARE REOUIRED FOR ELECTii1CAL, PLUMBING, MEATING, "rc v� VV�1.1� VENTILATING OR AIR CONDITIONING. , THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED V�!ITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED FOR A PERIOD OF 120 OAYS AT ANV TIME AF7ER WOHK IS COMMENCED. NO DWLG. UNITS I HEREBY CERTIFV THAT I HAVE FEAD AND EXAMINEO TMIS APP�ICA710N J. AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yp�UATION AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILI BE COMP�IED WITH WME7MEii SPECIFIEO HEREIN Op NOT. TNE GRANTING OF A PERMIT �2�045 DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE O:i CANCEL TH� pEqMIT FEE PROVISIONS OF ANV OTHER 57ATE OR LOCAI LAW REGULATING CON- @ STRUCTION OR THE PERFOFiMANCE OF CONSTFUC710N yr�3 . ZS ��� PLAN CMECK fEE � �� �� Licen SIGNATUAEO�CON'AACTOAO TMOA�2EOOGENT IOATE� MF pii[ �DAiE� S7A�LS $5. GROUP OCCUPANCVLOAD CU fT. OffSTREET PAqKING GAqAGES SURTAX ' $1.02 SAC CMARGE Fire SC $2.05 � TOi�' EE $f�1.32 �U—=[= �16fE N� [ ] Effective 1/1/2000 ADDN [] CI7Y OF FRIDLEY (763) 572�604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPUCATION � � � � F � '�jl Construction Address: ��� �S ��4 �i�' Sa� � � Legal Description: Owner Name & Address: �� �Z c�'� }f ,5�,4� � � �- Tel. # Contractor. `� � G� ��� }�� ��c l� � S MN UCENSE # �� S / Address:-_ � 3� l aZ ` v�� ���-•� T� iZ Tel. # S 7'� —� ��� LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application,�, a° Certificate of Survey o€ the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Leng� Width Hgt/Ground Sq. Ft 2� S�i � Construction Type:���� �t� �-����a � Estimated Cost:_$ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ ,�Q �S DATE: % C� � APPLICANT: �� Tel. # CITY USE ONLY - Call (T63) 572-3604 for Permit Fees if mailing in application Permit Fee $ ,�� Fee Schedule on Reverse Side Fire Surcharge $ �- �5 .001 of Permit Valuation (1/10th%) State Surcharge $ �, � $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ $1100 per SAC Unit $ � C7 d$5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not IVecessary [] TOTAL STIPULATIONS: $ ��� - .. �. BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, �fore 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 s�tructure, upon application therefore, require the payment by the applicant for such permit of fee.s to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,� $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,{ml to $SOO,OOA $5�,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23 .50 for first $500 plus $3 .OS for each additional $100 or fraction thereof, to and including $2t000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,Q00 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 $1,000,000 plus $3.15 for each additional $1,000 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 FOUNIDATION Pernmits 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 Houses Onlv � �-- '�J '� - � � � � G CITYOF FR[DLEY FRIDLEY MiJNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 April 24, 2006 Daniel Katnic 5685 Jackson Street NE Fridley, MN 55432 RE: Fire damage at 5685 Jackson Street NE, Fridley, MN 55432 On Apri121, 2006 an inspection was conducted to assess the damage caused by the fire. The house sustained heavy damage to the floor system, exterior wall and roof. The damage is severe enough to deem the structure a hazard. Section 1300.0180.2000 MN State Building Code, states in part "any structure that constitutes a hazard to safety or health, or public welfare by reason of disaster or damage, shall be considered unsafe. All unsafe buildings shall be declared a public nuisance and shall be abated by repair or demolition, as referenced in the MN. Statutes Sections 463.15 to 463.26." The above noted building is a hazardous structure and will be posted per MN Statute 463.17. The State Fire Marshall office will continue to investigate the cause of the fire. The investigation should end by May 15, 2006. Please submit permit applications for all fire repairs or apply for a demolition permit. No permits will be issued until all investigations are completed. If you have any questions concerning this matter, please feel free to contact me at 763- 572-3602. Sincerely, /�� � �� Ron Julkows Building O icial Cc: Scott Hickok Director of Community Development ;_ �_.. CIIYOF FIZ[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNNERSTTY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 • FAX (763) 571-1287 • TTD/I'fY (763) 572-3534 July 20, 2006 Daniel Krtnick 5685 Jackson Street Fridley, MN 55432 RE: Demolition of Your Burned Structure At 5685 Ja.ckson, Street Deaz Mr. Kritnick: Your property at 5685 Jackson Street has been deemed hazardous (by virtue of extreme fire damage) by our chief building official and is scheduled for a public hearing before the City Council on August 14, 2006. At that time, Council will be advised of the property conditions and will likely act to officially deem the property hazazdous, by resolution, and to authorize staff to begi.n the statutory process and commence toward demolition. State Statute 463 defines a process by which the demolition proceedings must move forward if the City is to proceed with the demolition. . Essential structural items such as floor and ceiling support framing have been burned beyond service. Anyone entering the home at this juncture may be in danger of injury or death. For that reason the home has been boarded up, but must be demolished to eliminate the ariractive nuisance, odors in the neighborhood, and eliminate risk to those who may enter. Thank you for your cooperation and immediate attention to this matter. An official notice will be served upon you after the public heari.ng on August 14, 2006. That notice will provide you with the option repair the structure, remove the structure, or to ask for a hearing. If you believe demolition is not required or that City staff has been in any way inaccurate in their assessment of the damage, the hearing will allow you to voice those concerns/opinions. I can be reached at: (763) 572-3590 Sincerely, F J. Hickok, AICP ity Development Director CITY OF FRIDLEY PUBLIC HEARING NOTICE BEFORE THE CITY COUNCIL TO: All property owners/residents within 350 feet of property generally located at 5685 Jackson Street. CASE NUMBER: Fire — 5685 Jackson Street APPLICANT: City of Fridle PURPOSE: Consideration of a hearing regarding a hazardous building at 5685 Jackson Street. Council to deem building hazardous and authorize staff to proceed with abatement pursuant to statute 463.161;463.21. LOCATION OF 5685 Jackson Street NE. PROPERTY AND LEGAL DONNAYS LAKEVIEW MANOR ADDN CITY OF FRIDLEY DESCR/PTION: LOT 9 BLK 5 DONNAYS LAKEVIEW MANOR ADD-SUBJ TO 10 FT DRAIN & UTIL EASE ALONG E LINE- DATE AND T/ME OF City Council Meeting: HEARING: Monday, August 14, 2006, at 7:30 p.m. The City Council Meetings are televised live the night of the meeting on Channel 17. PLACE OF Fridley Municipal Center, City Council Chambers HEARING: 6431 University Avenue N.E., Fridley, MN HOW TO 1. You may attend hearings and testify. PARTICIPATE: 2. You may send a letter before the hearing to Scott Hickok, Community Development Director, at 6431 University Avenue N.E., Fridley, MN 55432 or FAX at 763-571-1287. SPECIAL Hearing impaired persons planning to attend who need an ACCOMODATIONS: Interpreter or other persons with disabilities who require auxiliary aids should contact Roberta Collins at 763-572-3500 no later than August 8, 2006. The TDD # is 763-572-3534. ANY QUEST/ONS: Contact Scott Hickok, Community Development Director, at 763-572-3590. Publish: August 3, 2006 �}� � C�TY OF COMMUNITY DEVELOPMENT DEPARTMENT FRIDLEY pUBLIC HEARING NOTICE � � � � � � FRIDLEY HIGH SCHOOL �� i� i s�� � � i e� `� � m � �° � �'' � �0�( 59Th ��_._�M ��3 �M m � �, � �, � ; � m �� � �� m � � �2 seae seae seae seae � �— m se3� se3e se3� ss3s (n � D �0 � 6� ssz5 sez` ��4 Z� c� �'0 MARI �,3 �,: �,3 �,z � m � �, � �, 'I � .� � m � 58TH AV�� � —� � s�s� s�so � s�e� s�ee � �� � � � � � m � 5�8, s�� � S,e, � g� S,� ' 58T 5780 g g g g g ST71 8770 g�8 5770 8770 � id td 3 id I� I m 3i s�e, , sreo -' s�� sieo D - - 57b5 sTS� ' sTSO s�o� s�ao siso 'g °g � � � ; � 50 g�o5 5�� g� Z- PL 5741 5720 5703 5704 o� g; Q g ¢ 5731 ' 5700 5�� �� 8 I b I S 7i � � S 5720 � o � � � � � �I� � � � � � � � � � m � — 57 � � � � � � � � � � m � � � � � m � -- Y � I SOURCES Fridley Engineering Fridley GIS Moka County GIS Map Date: August 2, 2006 � �� � � !� i � ��' �'►,J' 1�' � L f`� (�`� � � $ � �' �1° � 6^ y0 e, — _ � ° '?, `'0 � ' / y� ^ i / ' iOLD TER y� y0"�' ym�^ %%• 0� � � � � � � h �� 910^ . _ 00 ryp � � � . O �� �� ^� 1p ym` y�o `.T y�e� i AVE �h" ^ y�9� sm � � 1� ,771� � � � i: �. pry / \ � 6781 � , �� �5�' - --. 871 S1 / e 711 �qs 6744 —� ^ q 51� 3741 �' S734 �C y 8734 D 5735 5� / ( S72S 5724 'T 5� I�� n�0 i� % J J ��Q � � 69 Public Hearing for a Hazardous Building Petitioner: City of Fridley 5685 Jackson Street 65 ., y.� � �9 �s� k9� :,��: S � S '�`\' S l �747 � � S1� /�0 5740 ^y 6895 5� � sno ' srm s�ot �s I e,o eso eeo ��� �— ea� �0 � \ �� � �� /69A� ��� � '9 � , �A N W E S NOLAN DENNIS J 8� PECK C J HINES GORDON H R A OF FRIDLEY 5733 W MOORE LAKE DR NE 5719 W MOORE LAKE DR NE 5707 W MOORE LAKE DR NE FRIDLEY, MN 55432-0000 FRIDLEY, MN 55432-0000 FRIDLEY, MN 55432-0000 HRA OF FRIDLEY 6431 UNIVERSITYAVE NE FRIDLEY, MN 55432-0000 LATAWIEC KATHLEEN M 5724 W MOORE LAKE DR NE FRIDLEY, MN 55432-0000 STOCKMAN TERRASA & TWITCHELL N 5725 JACKSON ST NE FRIDLEY, MN 55432-0000 GUSE GERALD H& INGRID K 5724 JACKSON ST NE FRIDLEY, MN 55432-0000 KOLL R A& GIINTHER T L 5725 QUINCY ST NE FRIDLEY, MN 55432-0000 AMBROSE ANTHONY 5695 JACKSON ST NE FRIDLEY, MN 55432-0000 MCCOY LEROY O& DONNA M 5694 JACKSON ST NE FRIDLEY, MN 55432-0000 YOUNG RICHARD F& DAWN E 5695 QUINCY ST NE FRIDLEY, MN 55432-0000 MEDTRONIC INC REAL ESTATE-V320 SHOREVIEW, MN 55126-0000 CURRENT RESIDENT 5695 W MOORE LAKE DR NE FRIDLEY, MN 55432 HAIDLE ROSS E& ADELINE M 5714 W MOORE LAKE DR NE FRIDLEY, MN 55432-0000 REICHEL JAMIE M 5735 JACKSON ST NE FRIDLEY, MN 55432-0000 KRUIZE ELMER P 8 IRENE A 5714 JACKSON ST NE FRIDLEY, MN 55432-0000 RUST DAVID WILLIAM 8 NORMA 5735 QUINCY ST NE FRIDLEY, MN 55432-0000 CARLINE BERNICE K 5705 JACKSON ST NE FRIDLEY, MN 55432-0000 HAUSSLER CHARLES G 8 JOANN 5684 JACKSON ST NE FRIDLEY, MN 55432-0000 HOIUM DANIEL 5705 QUINCY ST NE FRIDLEY, MN 55432-0000 MEDTRONIC INC REAL ESTATE-V320 SHOREVIEW, MN 55126-0000 GRAF FREDERICK C 8� RUTH L 5734 W MOORE LAKE DR NE FRIDLEY, MN 55432-0000 PETERSON B G 8� BJORKLUND G M 5715 JACKSON ST NE FRIDLEY, MN 55432-0000 TEAGUE DAVID C& HANSON K M 5734 JACKSON ST NE FRIDLEY, MN 55432-0000 JORGENSEN WALLACE H& N J 5715 QUINCY ST NE FRIDLEY, MN 55432-0000 SEABERG DOROTHY G 5685 JACKSON ST NE FRIDLEY, MN 55432-0000 SCHACK BETTY L 5704 JACKSON ST NE FRIDLEY, MN 55432-0000 LASSEN GARY L& CARLA R 5685 QUINCY ST NE FRIDLEY, MN 55432-0000 MEDTRONIC INC REAL ESTATE V-320 SHOREVIEW, MN 55126-0000 PUBLIC HEARING BEFORE THE CITY COUNCIL Notice is hereby given that there will be a public hearing of the Fridley City Council at the Fridley Municipal Center, 6431 University Avenue N.E. on Monday, August 14, 2006, at 7:30 p.m. for the purpose of: To consider a hearing regarding a hazardous building at 5685 Jackson Street. Council to deem building hazardous and authorize staff to proceed with abatement pursuant to statute 463.161;463.21. Any and all persons desiring to be heard shall be given an opportunity at the above stated time and place. Any questions related to this item may be referred to Scott Hickok, Community Development Director at 763-572-3590. Hearing impaired persons planning to attend who need an interpreter or other persons with disabilities who require auxiliary aids should contact Roberta Collins at 763-572-3500 no later than August 8, 2006. The TDD number is 763-572-3534. SCOTT J. LUND MAYOR Publish: August 3, 2006 1 � CX1Y C7rF FRIDLEY AGENDA ITEM CITY COUNCIL MEETING OF AUGIJST 14, 2006 DATE: August 10, 2006 TO: William W. Burns, City Manager �C � FROM: SUBJECT: 5cott J. Hickok, Community Development Director Ronald Julkowski, Building Official PUBLIC HEARING - Hazardous Building at 5685 Jackson Street INTRODUCTION The property at 5685 Jackson Street has been deemed hazardous (by virtue of extreme fire damage) by our Chief Building Official and is scheduled for a public hearing before the City Council on August 14, 2006. ELEMENTS At the public hearing, Council will be advised of the property conditions and will be asked act to officially deem the property hazardous, by resolution, and to authorize staff to begin the statutory process and commence toward demolition. State Statute 463 defines a process by which the demolition proceedings must move forward if the City is to proceed with the demolition. Essential structural items such as floor and ceiling support framing have been burned beyond service. Anyone entering the home at this juncture may be in danger of injury or death. For that reason the home has been boarded up, but must be demolished to eliminate the attractive nuisance, odors in the neighborhood, and eliminate risk to those who may enter. RECOMIVY��NDATION Staff recommends Council hold the public hearing and receive public comment. .1 � � crrr aF FRII]LEY DAT'E: TO: FROM: SUBJECT: AGENDA ITEM CITY COUNCIL MEETING OF AUGUST 14, 2006 August 10, 2006 William W. Burns, City Manager�� Scott J. Hickok, Community Development Director Ronald Julkowski, Building Official ACTION ITEM - Hazardous Building at 5685 Jackson Street INTRODUCTION The property at 5685 Jackson Street has been deemed hazardous (by virtue of extreme fire damage) by our Chief Building Official and is scheduled for a public hearing before the City Council on August 14, 2006. StafFrequests authorization to commence with statutory process toward and including demolition. A resolution has been atta.ched to provide such authorizaxion. RECOMIVIENDATION Staff recommends Council approve the attached resolution as submitted. .� Councilmember Wolfe replied as far as raising the rate , the City is just trying to pay its bills. All the City wants to do is raise the rate to what it is b' g charged. Right now the City is paying 63 percent of everyone's water bill out of our balan and we just keep going backwards. Mr. Stahlberg asked what would it take to get � out of the hole? Mr. Pribyl replied that is exactly wha.t they e looking at in 2007. We are going to be voting on a break-even rate for water, sewer, sto water for what is in place Janua,ry 1, 2007, for that particulaz budget year. We do not know ha.t will happen in future yeazs. Councilmember Billings replied ' number, based on a11 the information we have, is going to cause the water fund to get to a b eak-even point for 2007. We will be here again in 2007 if something we do not know abou happens. Three times we have asked to raise it and the voters have turned it down. Once w reak even, in theory, the cost of living should take care of it. Unless there aze some major gs that happen that we do not know about at this time. MOTION by Councilmember UPON A VOICE MOTION CARRI: AT 10:14 P.M. ` Barnette to close the public hearing. Seconded by )TE, ALL VOTING AYE, MAYOR LUND DECLARED THE UNANIMOUSLY AND THE PUBLIC HEARING WAS CLOSED 14. Consider the Building Located at 5685 Jackson Street N.E. Hazardous and Order its Removal or Repair Pursuant to Minnesota Statutes, Section 463 (Ward 1). MOTION by Councilmember Billings to waive the reading of the public hearing notice and open the public hearing. UPON A VOICE VOTE, ALL VOTING AYE, MAYOR LUND DECLARED THE MOTION CARRIED UNANIMOUSLY AND THE PUBLIC HEARING WAS OPENED AT 10.16 P.M. Mr. Hickok stated on April 21, 2006, this home was involved in a fire and sustained heavy damage. The City's Chief Building Official inspected it after the fire and determined the home sustained heavy enough damage to be determined a hazard and notified the owner. On Apri124, 2006, the property owner was contacted and informed that the Minnesota State Building Code said in part: "Any structure that constitutes a hazazd to sa%ty hea.lth or other public welfare by reason of disaster or damage, shall be considered unsafe." The Sta.te investigator from the Fire Mazshall's Office concluded his on May 15, 2006. The building owner was contacted again by the building official and a detailed message was left. On June 8, the owner called and indicated the demolition would be concluded by June 30, 2006. His insurance company then called on June 13 and indicated that their fire investigation was complete. The home remains standing after assurances by the owner that the home would be taken down by June 30. State Statute 463 defines a process for demolition proceedings. That is the point of the hearing tonight. The property will have 20 days from service of notice to respond. The attorney for the property FRIDLEY CITY COUNCIL MEETING OF AUGUST 14. 2006 PAGE 23 Councilmember Wolfe stated they aze just trying to recover what they aze William Holm, 7424 Melody Drive, approached and asked if they aze cannot be used for any other purpose. So theoretically if the City gen� they have to use that money to lower rates. Mayor Lund replied in the reality of the real world, nobody gets a it would do is keep them from raising the rates. � Mr. Holm asked how they esta.blish sewer rates. charged. �ated funds. They too much revenue, or lower rates. Wha.t Mayor Lund replied sewer rates are figured for the who year for everyone in the winter quarter which is probably the most fair because you are t watering your lawn then or using your pool. He guessed the premise is the water you are ing in the winter quarter is water that is going down the sewer line. Mr. Holm stated he did not think a lot of residents u�derstand that. Mayor Lund replied that is why that stays fi d and it is changed each year based on your consumption in the winter quarter. It would be air to charge a higher rate for sewer when you are paying for more water in the summerti.me ecause that is when obviously everybody is using the most water, watering their lawns. Mr. Holm stated right now we aze ' g deficits of $500,000 or more combined and they aze projected to increase by even more ' the coming yeaz. Has this affected the borrowing capability of the City in any way at ' time? Mayor Lund replied as our reserv s aze diminishing and depleted, since we are in a negative in raising revenues, we cannot bond or future projects. Councilmember Bolkcom sta the City actually had its bond rati.ng downgraded. Mr. Holm pointed out reg ding one of the results of the spiteful vote years ago is that there has been a lot of talk regaz ' changing the rate structure. The City does not have the authority to do that because the Ch r restricts them in terms of how much they can increase rates. So they cannot increase ra.tes b more than the rate of inflation for industrial users. Changes need to be made to give them th authority to do that. A1 Stahlberg, 805 Riverview Terrace, approached and stated people should pay for what they use. He stated uses 3,000-4,000 gallons a quarter. He is not complaining about the $13.80 but the thing is e can go around and lriple the amount and it would not cost him anymore. He stated he c t believe they are not more concerned about conserving water; that it has to cost them a lot ore to filter out 10,000,000 gallons of water than it does 5,000,000. Maybe the 3 percent pa g for half the revenue is not paying enough. � FRIDLEY CITY COUNCIL MEETING OF AUGUST 14. 2006 PAGE 25 owner has now indicated that the home will be removed within the next 7 to 10 days, and a coatractor for that property indicates that he will be deconstructing rather than demolishing the home. Staff is recommending tha.t the City proceed with the statutory process so that we can take down the house if it does not come down. Mr. Hickok sta.ted if the owner fails to conta.ct or act in accordance with the notification, the City can repair or remove the structure and bill the expense, plus the administrative expenses, to the owner. Because of the severe damage to the structure, the City has determined the building will be demolished, rather than repaired. Staf� is concerned about deconstruction. The company that is doing the demolition in this case has defined it as a deconstruction. That is to save the foundation. They would like to reuse the foundation which is a good principle and seems to make sense. However, it does take time, it leaves the hazard longer and it may make the hazard more attractive as a nuisance as the home becomes picked apart but yet some of it remains. The deconstruction site must be surrounded by a non-climbable chain link fence. The deconstruction site must be secured 24 hours a week, 7 days a week. Staff prefers that the deconstruction occur this week and be concluded by Friday, August 18, 2006. The fence should remain around the foundation until it is capped and the hazard can be secured. Staff recommended that the Council hold the public hearing and approve the resolution that will authorize staff to move ahead with the statutory process, notify the property owner, and ultimately take down the structure if necessary. Councilmember Bolkcom asked if it was realistic to have it done in a week. 1V�r. Hickok replied the property owner's attorney indicated last Friday that it would be done in a 7 to 10 days, and they would like to hold them to that. Councilmember Bolkcom asked if he is recommending that the whole thing, including the whole foundation go or if he is saying they can deconstruct it as long as they follow the stipulations of having a fence around it and cap it. Mr. Hickok replied, the latter. If the City does it, they do not save the founda.tion. Roger Avery, 600 Glencoe Street NE, approached and stated this guy has 20 days. They have issues that have been going on in his neighborhood that have been going on for a long time. Pat Carline, 5705 Jackson Street, approached and stated he lives two houses away. He wondered if they teaz it down and take the foundation down, why would they not fence the new building in. He has never seen a house under construction in the City of Fridley where they fence the foundation. Mayor Lund replied it is a temporary fence used on any constxuction site. Councilmember Wolfe stated it is for safety and typical for construction in an established neighborhood. Mr. Hickok stated there was a construction project just down the street recently and it was surrounded by chin link fence to keep people out. New construction does not require chin link �. FRIDLEY CITY COUNCIL MEETING OF AUGUST 14, 2006 PAGE 26 by law, but certain people use it if their project wazrants it for the safety of others. In this particular case the fact it has stood for so long has really aroused the curiosity of a lot of people. Mr. Carline sta.ted if they were concerned about safety it should have been fenced in a loag time ago. He said he was at the scene and he would think that with the heat of the fire, the foundation would have been weakened. Attorney Knaak, City Attorney, stated the procedure that they are following now is actually kind of exceptional yet it takes special action on the part of the City Council to even be able to access the property in this way and to protect the public in this way. So the City has to follow a process. The resolution tha.t is on the agenda for this matter actually serves as a summons. It is served on the property owner, and they have 20 days to answer. It gets immediately filed with the court and, if there is no answer after the 20 days, the City can actually go in and do what it needs to. The law is designed to protect the private property owner, and the City has to go through some really pretty extraordi.nary steps to do this kind of thing. This is perha.ps the third one which he has seen the City do in ten yeazs. MOTION by Councilmember Billings to close the public hearing. Seconded by Councilmember Bolkcom. UPON A VOICE VOTE, ALL VOTING AYE, MAYOR LUND DECLARED THE MOTION CARRIED UNAI�IIMOUSLY AND THE PUBLIC HEARING WAS CLOSED AT 10:32 P.M. NEW BUSINESS: 15. Resolution Revol�ng Special Use Permit, SP #03-14, for Central Auto Parts, to Operate a Junk Yard in an M-1 Z ing District, Generally Located at 1201— 73 '/: Avenue N.E. (Ward 2). Councilmember Bolkcom asked the City Attome 'f they needed to pass the resolution. She felt they have been working with City staff. She asked hat would be the best way to give them a few more months. Attorney Knaak, City Attorney, replied there are a co le of possible procedures they could follow. One is just to continue this action item for anothe time. A special use permit already exists on the site. Council does not have to act on it this eve g. Councilmember Wolfe asked so they could continue it, for exam le, six months. Attorney Knaak replied they could, although he would caution th on how they handle their review process of special use permits. It is important they do it re ly so that there does not appear to be any wavering. The danger that they run in a situation like this is, if they do it long enough, they will have appeazed to have waived their options. Especi if they approach one year. FRIDLEY CITY COUNCIL MEETING OF AUGUST 14, 2006 PAGE 27 Councilmember Bolkcom asked about the license. There is also a license with t's whole process is there not? Mr. Hickok replied they are separating those two issues. The license will ahead, they will continue to operate. Any corrections or modifications will come through the ecial use. Dr. Burns asked him what would be a reasonable da.te for continua.tion cyf this matter. Mr. Hickok replied, considering the progress that has been made d the comments they have heard back from and conveyed to the Rice Creek Watershed, he ould say it would be fair to set it up for 60 days. They will have their answer from the Rice reek Watershed District at that point, and they will have a better sense probably of other mo ' cations. Councilmember Bolkcom asked, knowing that they are �efore the Rice Creek Watershed near the end September, would that be 60 days from then or i�it from this evening. Mr. Hickok replied he thinks it is realistic they within 60 days despite the September date. They c Councilmember Bolkcom asked Attorney limit. Attorney Knaak replied that is a Councilmember Billings said they are Mr. Hickok replied, yes. have their answers and corrections made start the 60 days from the September da.te. if they continue it for 60 days it will set a time period of time. They have that discretion. about the October 9, 2006, City Council meeting. Councilmember Billings asked ' they are also expecting on October 9 that they would not only have approval from Rice Cree Watershed District but a tentative timeta.ble of the rest of the items in the special use permi t need to be completed. Mr. Aickok replied, yes. Councilmember Bo�lkc�om stated so basically they would have a contractor lined up and they would have their lan s,,�ape plan and everything. Councilmember �olfe sta.ted but if on October 9 the Rice Creek Watershed District has not gotten back to the , they would just continue it again until they get it. Billings sta.ted he thinks at that point in time Council would have to make some kind of MOTION y Councilmember Wolfe to table the Resolution Revoking Special Use Permit, SP #03-14, f Central Auto Parts, to Operate a Junk Yard in an M-1 Zoning District, Generally Located 1201 — 73 1/2 Avenue N.E. to October 9, 2006. Seconded by Councilmember Barnette. UPON A VOICE VOTE, ALL VOTING AYE, MAYOR LUND DECLARED THE MOTION CARRIED UNAlvIM SLY. Councilmember Billings asked attorney Kurth if she understands wha.t they are looking for on October 9, 2006, is hopefully a roval from the Rice Creek Watershed District, a tentative agenda as to when the items are unco pleted will be completed — an aggressive schedule, and asked that she nod in agreement if so. (Attorney Kurth nodded in e affirmative) Councilmember Bolkco asked Attorney Knaak if ta.bling this resolution then allows the special use permit to continue til October 9? Attorney Knaak state�, yes. Councilmember B' gs stated, just so there is no misunderstandings, he wants to make sure the property owner/fee er is understanding that these are stipulations and the special use permit is tied to the property d, if they aze not completed by the tenant or the property owner, one or the other, at some po' t in time they will be reviewing this again for a possible view towards revocation. 16. Re,solution Ordering the Removal or Repair of a Hazardous Building, Pursuant to Minnesota Statutes, Section 463, Located Within the City of Fridley, Minnesota (5685 Jackson Street N.E.) (Ward 1) MOTION by Councilmember Billings adopting Resolution No. 2006-48. Seconded by Councilmember Barnette. UPON A VOICE VOTE, ALL VOTING AYE, MAYOR LUND DECLARED THE MOTION CARRIED UNANIMOUSLY. 17. Informal Status Councilmember Bolkcom stat d food collected for the food shel great j ob as well as everyone who on the soggy National Night Out there were 2,000 pounds of s. There were 100 block parties. People from the City did a �rganized the parties. Councilmember Billings asked if th want to add another item to their agenda.. Based on the conversations he has heard tonight an those heard about four weeks ago, in review of the CiTy Council minutes from 2003, there were two special use permits on Central Auto Parts prior to 2003. In 2003 this City Council took ach n to modify those two special use permits and to issue Special Use Permit, SP #03-14. They ever actually vaca.ted the two existing special .use permits, and the property owner has azgue that as faz as he is concerned, this is the tenant's special use permit and, if it goes away, he ne er agreed to it, so he wants to go by the old special use permits. He asked if it would make sense to add an item to tonight's agenda. to set a public hearing for October 9 to heaz the revocation of ose two old pernuts and then vacate them. A F F I D A V I T I, Ron Julkowski, hereby personally served a certified copy of City of Fridley Resolution No. 2006-48 to Daniel Krtnick, owner of the house at 5685 Jackson Street, Fridley, MN on August�, 2006, informing Mr. Krtnick that the structure at 5685 Jackson Street has been declared a hazardous building by the Fridley City Council and must be demolished within 20 days from the issuance of this summons. Furthermore, I understand that I may be asked to testify, under oath, to the validity of this statement. This information has been swo�n to be true and accurate under penalty of the law. Signed: IL .«'11W�� '� • : • � • � ' � � /� Public License Number: Expiration Date: ��`._„� � �,.. ��,�%� 1 i L �. (:. KfY": ( �r .i. ..I.• i �� � .� �� ''�,, ��.����.�� ��w��� i�,. �� ; ��A; r' �iN.- �.� "?�i..#:�ih{Jt� J1P�`�'^- '•� �'� . • �a'eia'�6��i4C�Y�Il�Y�4ie�1�'�/o Ifb d-d`�f°�6ti?Y`N � 4' ��c�(� fc ��� Effective 1/1/04 1 CITY OF FRIDLEY MOVING [] WRECKING PERMIT APPLICATION 6431 University Ave NE Fridley MN 55432 (763) 572-3604 FAX (763) 571-1287 Job Address: �y �o�� ,,�%�_(� j� lV �j � � � t� � Q Legal Description: Owner & Addres s : ��JJ ( �/�J ( ��, Te 1 ���'��o � �%� Contractor: �j✓A�-�� ��c��/2�-�'t$,N Tel. # Address : j �.p ( � � 3�5�' _ /'��1 � State License # �J( ( i�( b DESCRIPI'ION OF BUILDING HOUSE: Length �� Width �C.� Height �� Sq. Ft. '��d� Cu. Ft. �'a�`1� T GARAGE:Length Width OTHER: Length Width Estimated Cost $ Height Sq. Ft. Height Sq. Ft. Approx. Completion Date Cu. Ft. Cu . Ft . CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCP,TIONS. CALL AT•T• UTILITIES FOR DISCONNECTS BEEORE WRECKING MOVING STRUCTURE. ��'� �O %'� Water Bill Paid: Yes [] or Collect [$ o%�� �� ] Signatur� Moving Route: 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 declares that all facts and representations stated in this application are true and correct. ALL �'ir� �v� Date Movin� 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 Wrec'� For each 1,000 cubic feet or fraction.. ....$1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $SOO.QO or fraction. PERMIT FEE: MINIMUM $20.00 STIP ATIONS: ��`�' ' � � i��l�/��" � ��� ������'� � � ,�,� � ��� j��la � � ✓�����Dv� .?% G'� T� i %�/� G��"�� ���%��d�/i�f' ����i�"u � � G��� � ���� � �������`� � � �� � � 07/24�'08 14:05 FA% 851 287 2343 MPCA 4TH FL.R - � - - ,, - -- - .: --�- ; . , �• _ ' !i ! I `� f��� � Minnesota Pollution Control Agency Manicipal Division Policy, Local Government Ass�atance & Solid Waste Secdon Asbestos Program . 520 Lafayette Road North St Paul, Minaesota 55155-4194 �, To: ,� Company or d�gency: , Facsimile : �fumber: �,� . ubject: ,� From: _ ection: Tel 'hone �umber:� � � Fac�imile 1lumber: Date: Pages t�i`Follow: Tl�',A11�SMITTAL SHEET Gary Rohweder Advanced Restoration 612i30�-3969 Residential Ezemption Jackie Deneen Municipal Divisio olicy, Local Government Assistance and Solid Waste Section (651) 297-5847 (b51) 215-1593 OR 651/297-2343 7/24/06 If you have ��juestions regazding this transmittal, please cail (651) 296-7282. [�ooi Gary: A;s we discussed, a single-family house (SFH) being demolis� �ed and replaced by SFH� is not subject to the .asbestos � . NE�iHA::` for inspection �or notification. requirements. However, all hazardo ��s materials must be removed and disposed of properly prior to e demolition of the house. 07/24/08 14:06 FAX 8b1.297 2343 �PCA 4TH FLR .�..----�-_.... . ..._.. _—. —._._ . � � ;Minnesota Poiiution -Control Agency :Residential Demolition Fact Sheet* C�j 002 This fact sheet address �s coverage of 40 CFR part 61, $ubpart M, also knowti as the asbestos National Emission Standards of Hazardou s, Air Pallutants (NESHAP) ta demolition project� involving residential buildings having four or fewer dw�lling �,uuts. ' The definition of Facil �y in the asbestos NESHAP is as follows: Facility meaas aiay ins'itutional, commercial, public, indiistrial, or residential shucture, installation, or building {'uicluding aay structur �, iastailation, ar building containing condominiums or individual dvcielling units operated as resid�ntial looperative, but excluding residential buildings having four or fewer dwelling units); any ship; �nd any active or (nactive waste disposal site. For purposes of this definition, any building; structure, or installation that contai� q� a loft used.as a dwelling is not coasidered a residential structure. Installation, or building. Any stntctut �� installation, or building that was previously subject to this snbpart is not exc[uded, regardtess of ifs curren �:use or function. • �The defini6on of Iasta: �tation is as follows: . � I�rstallation means aa� i�uilding or strucfure or any gro�p of buildings or structures at a single demolition or renavation site that aze der the control of the same awner or operator (or owaer or operator under common control). ' , �� � The actual owner or oF �lrator of a residentiai building is not the consideratiott for determination of whether the building is covered by �he asbestos NESHAP. The determiaation for coverage of the residential building by the asi�estos NESHAP dep �iads on the use of the property. � / DESCRIPTIQN` OF l Any urban renewal or ��ublic project invotving one or more residential buildings bE i,ng renovated or demalished over a� perioct of time: Any indust�ial, comaae : building or p�operty. I � either o or u�stnutional use of the residential es 1 or more residential properties on �rresiaenua► building 1 d�viag fou�r or fewer dwellimg ua'tts'aot p of any targer commerc: �et or public projectand is demolished to build�a new residential Iauilding: � or similaz purposes _ w aere the bu'rldsng wilt be replaced by enother residential buil :ling or the Iand will remain vacant: Aay re$idential buildin a demolition pro�ect that coasists of demolition of twct or m;>re residential buildings at a sin�le site: Any intentioaal bumin institutional use of the asbestos NESHAP: a r�sidential building constitutes an iing and is therefore subject to the REGULATED UNREGUI:ATED � . , .. � !*� G, X � This fact sheet is uot inL :�hded as a substitute for reading the regulation and malcing your own independent determinatioa of its applicability to �io�r demoli6on project Examples in the fact sheet do not cepresent an exhaustive listing of pcojects to which the cule might apply. � s � ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 163) 572-3604 FAX: (763) 571-1287 : 5685 JACKSON ST NE : 233024410009 : DONNAYS LAKEVIEW. MANOR ADD : LOT 9 BLOCK 5 : WRECKING OR MOVING : RESIDENTIAL : DEMOLITION PERMIT NO.: 2006-0158$ DATE ISSUED: 08/17/2006 � NOTE: CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. ,, � CALL ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING OR MOVING STRUCTURE. ; ALL DEMOLITION DEBRIS, INCLUDING FOUNDATION AND SLAB, SHALL BE REMOVED FROM SITE. DEMO HOUSE AND GARAGE CONTRACTOR TO PROVIDE A SECURE FENCE AROUND PROPERTY PRIOR TO DEMOLTfION. FENCE TO REMAIN UNTIL FOUNDATION IS CAPPED. HOUSE SHALL BE REMOVED TO FOUNDATTON BY 8/31/06. 8064 APPLICANT ADVANCED RESTORATION 3201 N 3RD ST MINNEAPOLIS, MN 55441- (612)522-8577 20111516 OWNER KRTNICK, DANIEL 5685 JACKSON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authoriaed is not commenced witin 60 days or if construcdon or work is suspended or abandoned for a period of 120 days at any time after work is commenced. � I hereby certify that I have read and examined this application and know the same to he true and correct. All provisions of laws and ordinances governi�g this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel khe provisions of y other te or local law regulating con�uction�e �rf9�n�onstruc;tion,� � � � ���/1�l «� ,—���� DEMOLITION FEE (CUBIC FEE� TOTAL PAID WITH CHECK # 6400 SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 20.00 20.00 ����i� S1�O�I, ��. Septembcr 5, �006 Gt��y Rohwe�ier Advanced Rest�c•a.t�an 3202 North 3rd Street Minneapolis, MN �54165eptember 5, 2Q06 Re: Structural Inspe�ction of Fxre Dama�e at 5655 Jackson Street N.E., Fridl�y, ;�il� r?ear iVl.r. Rohweder: S�,-�o1� ---�-- �MSia�E�irs ;�1fi.��CiB9Pl CO�SLIiI�� As requested i have completed an insp��tion crf he fix� damage at 56$S Jackson Streat, Fridley. Ml�. The flr� �xt�nsivzly dama�efl the wvest SidC of thc onc stc+ry walk out single f�mily house. The remainin� east side of the hous� paly sua�tained smok� dama�e and is �traaturally aound. 1'h� putpt�se fc�r rny in�pec;tinn wa4 tc� detennine if the, Pxicting enncreCr bloek foiiru�atiQn and steel �eam and colurnn can be reused when the house is rebuilt. aased on mv observtttions, the existing block foundation an� ste�l framin� did not stts-tairi any pern�nent de�mage and can be �eused to supgort the new eonstruction. The existing black foundation can be raised an additiunal block course. The new blacks sho�.ild be pinued to the top of the existing foundatian with #4 rebaz dowels at ti ft c►a center. +. recpmnc�end aU of the block walls be core filled at a maximum 6 ft oa center with 30d0 p�i concrete t� sL-et�tllcii tlic walls. Ti�c ncw woud construction abovc will matcli tlie ex istLxg fluur jaiat constivction.. Exteri�r walls sh�uld be � X 6 studs and the roof will be cle�r spaa, pre- ez�giz�eered trusses Ple�se c�ntact me wath anti� qucstions or camments. A cop,y of this report : hould be fonaarded to the City r��' Fridley Building insp��tiu�s D�partment. Sinc�r�ly, Stroh Engit�eri ��� Bemie Sao P. �`�u("�� D Ci. -••..yi�y+. lV,� �`� .....,�cSfip �i�� . ��. > � .• •.� : ,��c.r �EGIS�ERED ':;� ' : paoF�sstio�At : ' F�JGINEER :.� . ' 1a269 '' : ,sS'�,�.. .,.� �a�� �,'''%"�•�.� ��.`.•���/����` �I'///.e.�� � 1� ..�\\��� � � ��� .��..._. ._ .�..v.+r..�.� __ ,�va r�uitr uCU08�11 J�f.11W1Y LL11l�11 ��li'l1T� u� tiil�R '" h�X: �OJi� 9S�•S�{8s �II�L_: �9i�` �Sfl•9�55 � �•�ld�i� Ii1100�11U`RfL�7l�l6G:i�,�sf MEi ZC 3Jt'd �80�b5bt59 BL:bt 900Z/50/50 �. 3uildi�g BUILDING Pernut No. _i :nspec.�ions RESIDENTIAL APPLICATION R�i�� sy 763-572-3604 CITY OF FRIDLEY Date Rec'd: g �ATE � YOUR E-MAIL ADDRESS iITE ADDRESS i HIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR ' SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE �r�rnE oF woRx: 0 OWNER �CONTRACTOR 'I 1 A . . �P C1TY STATE LICENSE �10�0 // / S%� E3� DATE LE FA1vIILY/NEW CONS'fRUCTiI FAMILYMEW CONSTRUCTION � �L=� STA yt5���f � 0 BASEMENT FINISH ❑ ROOF O DRAIN TILE � DECK ❑ SIDING 0 OTHER O SWIMMWG POOL �P�1, (�°� �� DESCRIBE BJORK BEING SIZE OF NUMBER OF SQUARES _ GARAGES PROPOSm SIZE: PROPOSED HEIGHT: SID1NG ❑ Vinyi ❑ Aluminum ❑ Other WINDOWS IN EXISTWG OPENINGS �Yes ONo OR FOR NEW OPENINGS-DESCRIDE S1ZE OF OPEATIIJG CHANGES 8c TYPE OF WII�i�W TO BE II�iSTALLED LENGTH � HOUSE & GARAGE ❑ ATTAC� GARAGE 0 DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS N[)MBER OF HEIGHT �ASEMENT REMODELING SUBMIT: 1. Existing Fl�r Plan 2. Proposed floor plan 3. List of structural members to be used FL FOR NEW CONSTRUCfION INCLUD�IG DECKS, ADDITIONS, & PORCI�S SLBMTf: 1. Site Plan/Survey showing the existing structwes and proposed project 2. Two sets of cAnstrucYion pians 3. Energy Calculatio� ALL FEES ARE BASED ON VALUATION, INCLUDING TI� COST OF LABOR AND MATERIALS: (USING T1�E 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �� (�-7 , S�' OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge G�rb Gtit Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �d� �. /� See Back Page for Fee Schedule $ (,�•�� 65% of Building Permit Fee $ ��, I 10 .001 tunes the total job valuation $ c.�y� � .0005 x Permit Valuation Minimum $.50 $ S .l� $S.QO (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ r� Make checks aavable to: Citv of Fridlev Attac TFiIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; thax the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construcrion Codes; that I understand this is not a permit but only an application for a pe and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work yv�h requ'� s��vieyy an�pproval of plans. �,, � �. �, SIGNATURE OF Page 2- Building Residential Applicatioa BUILDING PERMIT FEE SCHEDULE � The Chief Buildi.ng 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 stxucture, 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: 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 conshvction site. A Certificate of Survey of the lot, showi.ng the location of the existing foundation will be required before proceeding with the framing. New Houses Oniv City of Fridley Building Inspections Depariment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 ;� A � Q� O �� O � � � � � � � � � •-• a � � � ` . � � • �. � -T•. `l ��g ''s �� � O . A� o � � o� .�, �° o '° � a a ti �,; � � � � � � � o��� ���� V � � � � � W � • U � r � � � N � y� � I � i � � � , � �� i � � � , � � ._ a � Xe �� � ,-� � `-' A � i,�- �..,. " ,1 � ri'r � � i �� �.< i � � � ,, o � ' 1 N� � ,tr1 o�/.t/! � 3�bN�v�p1 v � � � / � o _ _ � K� � � � V Oh'- N �O � ,, � � �. � N , N � �. �, �� � Z/'b �► ab sc �� �� ,a :� u�' �� � � � . � � i � � � x ! � U� �� �� i� � . �,� : \s�� ` l 0 � v � � � � � � � No�� II ' � W `� " � II � '"' o 0 °a '�q°� v�o>°ea.1 � O/ v .E i � � ? �N � � � � vi � �y` �p �° -��-�N si �.° � �' � � ,. �. k� • . �'. �:��=. �� • �" � . ,�_ �� � t � � � � . . �,�,: .. �c �� 0 � �a � � . � O Q f1' � x '� ' .� �? � • �, � � � �pz�� �z��o l�� � > � L �+ \\ � � ^ VM'1 .�� Q� \ •� Q�i � � .--� � � � � � �? r�; � � � ' 00 � �c � c� � � °� '� � ° 1 � oo �i • o ,� � ii x �r�a �_ � � Ll ! °�n° ' � � y �� � � I� � � S �; � �-z o '��' , � i � � N � � > �� o i�J '"� r, a� � ;t. �A ��.� ��� v�� �•���o �_ �C7 a�� N . z ���� �+-'� ,;Q g' -d o � �_�: � a � � °� ; � .� � � ��� .� i__I a �' `'" a� o � ����� �bo y � y � � O � ~ y �:��� ;�' �.,b � �y�.� ' � �e� � � � � , >, ���� i� B��l�i�g,g PLUMBING Permit No.• � In�iections RESIDENTIAL APPLICATION R�i��a. By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: ��>- /�� DATE OO�I ��i �9 YOUR E-MAIL ADDRESS srrE EwDxESS ,� 6 S�' �i a=k �ran 5t A�� THIS APPLICANT IS: ❑ OWNER OCONTRACTOR PROPERTY Np�: ��E� ADDRESS: CITY STATE ZIl' TENANT PHONE: CONTRACTOR NAME: �i�eS %iJ L`'p i/�c. SUBMTf A COPY OF STATE LICENSE # EXP DATE YOUR STATB ADDRESS:_`�Z 3 Wtl�h;/1 y�D?� �V� A� CITY /N T n/� l�G�t► �/�s STATE�ZIP SS�P/2 LICENSE WITH pHONE 6 i a- s a a- r i 7 L F,�x APPLICATION PERNIIT TYPE � SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: ❑ 1•rEw ❑ t�Pt.acEMEt�rr DETAILED DESCRIl'TION OF WORK ' PER MS 16B.665 the permit fee is a minimum o� $15.00 or 5% of the total cost up to $500.00,: whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This shouldrEflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = ��FOIt�'ROJEGI'S WHERE LABOIF EXCEEDS�iUO;�'BFS ARE BASED ON $10.00 PER FD�TURE, EXCEP3':1JV[�RE�011�D :RI��<._.(WDICATE T(}TAL NUMBER OF EACH BELOVi� BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING �o crrruc�rvsE) SWIlvlMING P�L WA'i'ER SOFTNER ($35) _ CLOTEIES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _` WATER NIE!'ER _ OTHER ,.. �.. �. �' _ r � � �� " � -�a�' ��� ,�� '_��`�.. ��� � ����_ . . ._ _ _ . -, ., . �. _r.Y ..,. . .,�„ ; . . . _. A . � - $ �- ,�_.�� ,-�Number _ � __..�._ ..,.. �-° �,:� _ ..: Permit Fee � of fixtures $10.00 x$10.00 =$ Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ �. , � Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicaxion for a permit and work is not to start without a permit;.that the work will be in accordance with the approved plan in the case of a11 work wl ' h req ' re d approval of plans. SIGNATURE OF APPLICANT �'6� Lj"' PRINT NAME �i o�1 a'a ��,�� n�,+�t/ DATE � I�l�d �+, �' � � k � � - � +,� :. � , ti7, � , ,_ , -, . ,. � _ � ° ,�-�� �� .� �, � � � � �., ��u __ � . .�.>: � " ' � .. �_,�_��.. � -' . .... . . - - ,w City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Pd��/s°_3/ Building MECHANICAL P6IITIlt NO.. ° Inspections RESIDENTIAL APPLICATION �'�� By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: !-'� na� O//0 3/o�? YOUR E-MAII. ADIJRESS srrE nDnxESS �'�$`; -Te.e j:so,� . S'� E'�f �a.l� z�ns �acnrrr is: o ow� ocotalltacrox PROPERTY Np,ly�: [Tp� y R e l� �s �� e r O�VNER/ —T�— TENANT Annx�ss: � S�'j 0 4leCG:�s� t�n � � i(J CiTY ��T e� 9 STATE``7K�IP 1 S yl�!/ PFIO1vE: G,1 � p� O S" b'3�-� CONTRACTOR co�a� N�: g ° ` I'1iN�S�'�/� j,'e4E:avc � �¢ :Q lo-cJQ:r°e`oireo.U� Z.cic , --T' SUBMIT A COPY OF CONTACT PERSON:�LO� s'-r u� c,�eS YOUR STATE STATE LICENSE #_�.� ��� EXP DATE ivo v i o7 r�c�sE wrrx Annx�ss: ro�o� ���Q,q.��- ��, ��,o �c-�i' crrY_iy�,.o �� G�aove sT�.�y�v z��,r�6S APPLICATION pH�� 763 +�j��d �� —�Ool FAX 763 4 J`E "8 �'l %O PERMIT TYPE �SIN(�,E FAMII.Y O TWO FAMQ.Y 0 TOWNHQUSE TYPE OF WORK: o�w �j'x�,nc�rr o ni„�TTONn�on� DETAII,ED DESCRIPTION OF WORK Rc �(4 C� �y�,e� er *�.•�r O o� t x� St%itdt- � f SYS�'S['.H PER MS 16B.665 the permit fee is a mimimnm of $15.� or 5°/a of t�e total cost np b$500.It0, whichever is greater, for the improvement, installation or replacement of a residential Sxtune, excludin� the fixt�aes. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $3� to $500 = cost of labor x.OS = FOR PROJECTS Wf�RE LABOR EXCEEDS $SW, FF�.S ARE BASFA O1V $10.00 PER FIXTURE, EXCEPf WEIERE NOTID. FIXTURES: (Il�IDICATE TOTAL NUMBER OF EACH BII.OW) EquiPmeat Installed MFG: �aYwc MOD�EL- c D 9p STLF/BTU 4 c; o�[� MFG' T— MODII.- SIZFJBT[J MFG: MODF.�.: SIZF/BT(J _A/C $25.00 _FIIZEPLACE (GAS} $1 S.� GAS RANG�dOVEN $10.00 _AIR TO AIR EXCHAI�IGEERR $15 F�LACE (WOOD) $35_OA NER1 GAS Q21[.L $10.�0 _BOILER $35.Q0 �FCTRNACE $3S_00 _GAS UN1T HTR $10.00 CHIMNNEY LIi�IIIt $10.00 GAS DRYER E10.00 POOL HEATEIi $35.OQ �DUCT WORK $10.00 GAS PIPING $1�.00 VENTII,ATOR $15.00 - �'y' -_-�, h �', �` - Surcharge $ �-•�� ` _ � _ ,� _ �- AT�ber of fixdues @ $15.OU �x $� _ � � �.._ : 1000=$ 15.(JO = $ TOTAL DTJE $ �. � N�ber of fixbu� @ �25.00 x $25.00 = $ N�ber of fixtures @ �35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICAITON FOR A PFd2MIT-NOT VALID UNTII. PROCFSSFA I hereby apply for a building permit and I aclmowledge thet 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 �vork is not to start without a permit; that the work will be in accordance with the approved plan in the case of orl� �� ch requires review and approval of plans_ SIGNATURE OF APPI.IC I'RINP NAME���`� T�]�d/'� �S DATE_ O� I � 3��, >.�: _ � -- - (:ity oi Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: p � Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY nateRec'cljr' -t% DATE 1\ 1��0 � YOUR E-MAIL ADDRESS SITE ADDRESS S �=� S ��C g a^ THIS APPLICANT IS: ❑ OWNER �NTRACTOR PROPERTY N�: OWN�' � pDD�g; CITY STATE ZIP TENANT PHONE: CONTRACTOR Np�; � �;� � �; SUBMIT A COPY OF STATE LICENSE #�� ��a'3 p M EXP DATE 1� Q�I YOUR STATE A�D � �' �r . CITY �i G' STATE ��L1P �S ��OG LICENSE WITH PHO��T zq�.' 8' �l 7� FAX °� SZ ��— I 3�' APPLICATION PERNIIT TYPE �SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW �I.REPLACEMENT DETAILED DESCRIPTION OF WORK --Wq� vrr�ce� �tCw �`cC�o j r� ��/,.• ' PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (WDICATE TOTAL N�j��ER OF EACH BELOVi� '1 BATH SINK/LAV FLOOR DRAINS � SHOWER _ WATER PIPING �BATHTUB GAS PIPING (n�ocmuc�) SW[MMING POOL _ WATER SOFTNER ($35) CLOTI-IES WASHER T KITCHEN SINK � WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER � LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGAI'lON _ WATER METER _ OTHER �.T ,.' �,.: :_. � � � a�..� �,: ,� � �' � �" �� �.v.���-`��� �.3. z �,- �.:. � _, . .,:., _._._, . . �� ° , ,.,_; _..... ,�. .� � �....�z. ... . ,,� ..�� . _.�.,.... f fi - Number o xtures �$10.00 � � �� � � �� � � ��� � . � ,,. __ Permit Fee $ @ x $10.00 = $� Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ Number of fixtures @$35.00 i x$35.00 =$��� � State Surchazge = $ 50 Tota1= $ � TH[S IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of a1�rk which requires review and approval of plans. SIGNATURE OF APPLICANT � PRINT NAME �1 i►� ��t i n DATE 1� l 1��� �� � `° : � �?. .'m_� ... : , _ r ; e � a� �� : ��. � ±�k�+�.� � �`' �_.. �_.��_. � s,, .. _. ,_.: _ , ..;zu. �.._: ...,, .�r .�� '� .� �' � � , ��^° _ a � , . City of Fridley � Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977