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AF - 47179l � City of Fridley, Minn. �, BUII.DII�G PERIVIIT N° 3 5 4 2 ��. ``'^'�.�, 4; �te: ..��. �� -.�� ......... .� .�:� Owaer....................................... Builder .� .� .. .. . . .... ..... . � . .. Addre� ..................................:... Address .... ........................................ LO�CATIQIV OF BUILDING No. � ��.�. Street .. . ... . . ...�!��........ Part of Lot .................. .......... Lot . . . . � . . . . . B2ock . . . �. . . . . . . . Addition or Sub-Dfv3sion . . . . . . . . . .� . . . � Corner Lot . . . . . . . . . . . . Inside Lot .� . . . . . . . . . Setback .v�� .�. . : :�. � Sideyard . � � � � ..� .............. DESCRIPTION O� BU[LDING To Used as: c . . .. . . . From �� .a�..�`�. � �:� �� 4x�t `�� sq. Ft. �� c�. Ft. �� 5 ........ .. ...... Front ........ Depth .... .. He3ght ...... Sq. F't. ........ G�. F't. ........ Type of Construction ........... ...... . .. �st C��,�fB ��. To be Completed ................... In consideration oE tihe issuance to me of a permit to co et 1 the proposed work in accordance with the descriptton above t for ordinances of the dty of Fridley. �. . .� above, I agree to do with all provisions of ................................ /� In consideration of the payment of a fee of $. �<...'., permit is hereby granted to ................... ... .... .. ................ to construct the building or addition as described above. Thia permit ie granted upon the express condition that the person to whom ft is granted and his agents, employees and worlmnen, fn all work done in, around and upon said building, or any part thereof, shall c�nform in all respects to the ordinanc�s of FYidley, Minnesota regarding loca.tion, construction, aiteration, maintenance, repair and moving oP buildiugs with- in the dty limits and this permit may be revolced at any time upon violat3on of any of the provisions of said ordinances. � � m NOTICE: .... s Building Inspector Thia parmlt does not covar the construaRlon. inatallatlon o� al4erat(on fo� wiring, plumbing, gaa heating, sewe� or water. Be su�e to see the Bulidln� Inspeoto� fo� sepa�ate permlts for theso Itoms ;�-�. ,., a. MINDER ENGIN�ERING CO., INC. ENGI NEERS AND SURVEYORS LAND 9URVeY1N0 GIVII. !�, MVNIGIDAL HNOINEERINO 6418-56T" AVENUE N. ,{�° MIAIlVEAPOLIS 2T, MINN. � �� , � � KE T- 3�037 �� A �� C �' R��i U� i1 �C� 1�i �� t� IF !i 1� N'�►1!• � .� ��o�; � � I i ++ I� Id t� �� i� �v I� � �_C � iq� � i� �-� i.+ � Ijp I v tl ,�_.. \ i � V,7 n ��`'`�"e� ��' � „C�% ��r' � �%�'�,;' .-107 — � I I✓Ol'. In ___ 35 _ �1�.��, � � � c , �v� �,% �+•' t� �. r � p �� Z r� , '� —�— � 1 J ' - _i � ��„ � �� —)00 � 1 O � i � i--�-..� ��. E— U� � �� l� ) ..a�� . I v J 801L'J TE9TINO LANp PLANNINO ,, � I� ii f� ;, a` � i. � i ��.�I� !"=��6 � � s r� '�" ' ' ' �� T '� L'dr�:'�:r'�:. � � �k,.;s „'I�U��b�l ��fb,t.�.� WE HERE6Y CERTIFY THAT THIS IS A TRUE AN� CORRECT REPRESENTATION OF A SURVEY OF THE BOUNpAR1ES OF TNE �A{yD ABOVE OESCRIBED AN� OF THE LOCATION OF ALL [itlll�INGS, IF A1.1Y, TNEREON , At+10 ALL VISlB�E ENCROACHMENTS, �F ,w,r, FROM OR ON SAID lArfD. MINDER ENGINEERiNG CO., INC. o� tuhe rr OATED TNIS pP`!dF A.O.I�j� EAIGIKTcERS AND SURV6YOR5 __ c ^ .:..�a ,^\ a": �� s� � ��.,. w r�- ;- n.. �?V y �r � i . -' _ i ,��" !/ �.- Date: Owner: Address City of Fridley, Minn. BUILDING PERMIT Builder Address N° 6015 � / �.�.� 1 LO� OP DING ' No. ..r��_��; L Street —_y Lot � ,�� Lot --.[�.__ Block Addilion or 5ub-Di am � �"' '- � Corner Lot _ Inside Lot —.�+"� �back ".:�Sideyard - ��— Sewer IIevation _._.__. — � Fo tion Elevation DESCRIPTION OF BUILDING To U ea: Front �� Depth .�!��Height .�`��— Sq. Ft. ��` Cu. Ft �'� '�;� � � Front Depth ITeight Sq. F� G�. F'� ' Type of Conatructton _ � t �� _�__.,,,.._,�„�.._. Es� CUlE��.,.�_-� To be Completed / In consideration oE the issuance to me of a permft to construct the building described above, I agree to do th� proposed work in accorc�ance with the description above set forth and in compliance with all provisions of ordinancea oP the dty of Frfdley. � +� In conafderat4on of the payment of a fee oP �,��° � , perniit is hereby granted to to construct the building or addition as desc�ibed above. This permit is granted upon the express condition that the person to whom ft fs granted and hia agents, employees and worl�nen, in all work done in, around and upon said building, or any �art thereoP, shall conform in all respecta to the ordinancea of Fridley, Minnesota regarding location, construction, alteration, maintenance, repa.ir aad moving oP bufldings �th�e& dty ]imits and this permit may be revoked at any time upon violati� oY any of the provisiona of aeid � � �!': i�ll�..;./,i�'l' - _ ,.r�/�� :� � � • � ;,.:- w .� �s - NOTICE: '1'6b permH dea aot eovu ths comhoaitoe, In�allaHoe ier �rteieo. Plumbing, aa h�aHeo, s�w�e ee wahr. 8� suro to a� t6� Building le�puto� fo� ppant� p�emhs h� t6u� hxes. ,: rt�s:.� � %"`, �- `,.. - '� - '�� ^ �� APPLICATIO�T ]E'OIt BUIi,D%NG PERP�IT CITY OF F'RTDLEY, 1�NLVES�A LOC�iT N OF HUI�DTNG No. �%�� '� 8treet Part of Lot Lo� Slock Addition or Subdivision _.�._.._.._� Co�ner Lot Inside Lo�c �` Setback�Side-Yard .� �� SEWE�t ELEVATIOLV FOUNDATTOL�T ELEVATYON Applicant atfiach to this form Certificate of Survey of Zot and proposec� hu3lc�ing location. l 0 1oe used as o DE�CAIPTION OF BUTLDING Front�`,�_Dep �-„i�eight - S� s J: 1� • �� \rY a �� • �/ li if � Front_______ Dep•�h Height Sg. Ft. Cuo Ft. � � `e-� Type of Construction ��,r�o Est�.mated Cos� � \_ �_�..��..�..._ .m -- ,��.,.._..__ To be Completed �- ��----�� , The undersigned hereby makes application �or herei� specif�.ed, agree�.ng to do all work in the City of Fridley Ordinances and ruling o� �ngs, and hereby declares that a11 the facts , s�tated in this apgalication are true and c� D1�TE � � / / �'l� Z SIGNAT'i7I2� / . � (Schedule o� Fee Costs can be founa on n y �- � a permit �or the work strict accordance with the Deparf.�ne�t of Build- s�ae� . � _ _ t. �UILDING PERF�T I�EE SCHEDULE secicion 2. The Tnspector o� Buildi��s ahall, �eiEore issuing �ny peg�i'c �or the e�ec�ion o� any build�tn� or struc�ure, or �or any addi�tion to any ox3.s��n� bu3lding or st�cuc�ure, or for any altera�ions or repa�.rs �to any oxistin� bu�lding� or structu�e, upon application �h�ge�`or, require �he payaaent by the appl�.cant �o�c such permit of rees to the amount he�e:tn below .set �orth and �n the manner herein pxov�.ded to-�vv�tto 2.�, �or any such permit for the erection o� any fire-prooi bu3.id�.ng, o�her than a garago, waacehouse, �actory or grain elevator, or for fihe erec�ioa or any f�re-p�oo£ ao1c13tion, �'or similar occupanc�, to any exis�ing building shall be at the ratce o� $1.40 for each ono thousand cu2oic �eet, or �rac�tion thereof, �n such cubical contents. 2.2. For any such p�rmit �or the erec�ion of any fire-proof garage, warehouse, �ac�ory o� gra3n elevator, or �Eor the erection o�c ar�y f�.re- p=oo� ad�it�.on, �or similar occupancy, �co any existing bu�lding shall Ioe a� the ra�� or $1.25 �or each one thousand cubic feet, classi c3.ec'� �s "�ireproo�" by Sect�.om 502 0� the M�.nneapolie �uilding Code. I�iOUSES 2.3. For any such perm�.t gor the erecicion oi any non-gfxeproo� Tou31d- ir�g other than a garac�e, warehouse, �ac�ory or grait� aleva�cor, or any non�rireproof add�t�ion, for similar occupancy, �o any e�cisting build3ng- Permi� $1.00 for each one thousand cubic feet. GAI2AGEa^. 2.�. For any such permi� for the erection o:� any non-firep�oo�E garage, warehouse, �actory or gsain elevator, or for the erection of ariy nom-fireproox adol3ti.or►, �or aimilar �occupancy, to ari� exietiag building or �or each such bu3lding or adc3itione N3noty Cents �o� each one �housand cubic ieet or fraction �chereof, in the eubical contents thereof wi:h a mini�num o� $�:00 0 �or the pur�oae o� computing fees for building permits the cubical con- icen�s o� any building or addition to a unifo�cm height throughou� by mu3.tiplying the g�cound area covered �com a po3nt aix (6) in�hes loelow �t:he floor T ine o� �h� basement or cellaac to the average he�.ght o� the upper sur�ace or to che average heighfi of the roof susface of the tnaia gable of a pitched roo�. 2.5. For repairs or alte�ationa to an existiing structure, the fee shall be at �the ra�e o� $3.00 per each Five Hunclred Dollars ($500.00) flr �raction thereor in �he cos� o� all proposed work. 2.6e Tn no case ahall. �he fee charged �or any pesmit a� eet forth in �ection 2 _ he leas tI� $4.IJ0 . � �.._ <.�„ � � ._� � �"�� City of Fridley, Minn. BUILDING PERMIT .1: = r _ , -� �•I:s N° 8019 J� � �� ,: R. Gerrataon �� Smith Lumber Go. Adareas 673o Jacksoa st. N. E. Ad� 1333 �sborne Roa.d. N. E. LOCATION OF BUILDING �vo 673o street Jackson : treet N. E. part of Lot Lot 6 _ 81ock - 5 Adclition or Sub-Div3slon --Brook�3.ew Terraee Coraer Lat Inside Lot 5etback Sideyard Sewer geaat4� Foundation IIevation To be vsed sa: � DESCRIPTION OF BUILDING F`ront Depth Height Sq. FL Fmnt Depth I�eight Sq. Ft Type of Construct[on Fast. Cost �1�500.00 To be Completed Cu. FL Cu. Ft ,�orm eia�age r�pair In constderatton of the isauance to me oP a permit to camstruct�he building described a e I agi�ee to do the praposed work ffi acxordance wYth the d�scription above set for�h and in �pliancae ��h afl �ons oP ordlnanoes o4 the dty oP Fr1d1eY L�' _ Ia ca�sdderatlon of the payment of a fee of $�..Q..S� , Permit ia hereby to conatruct the builaing or additfon as d�cribed abrn►e. Thisp�� t fa granted upon the exAre� condition that thepe�on to whom it 4s graated aad hfs agents, employ►ees an� worl�en, in all work done fn, aro�md and upon eaid building, or any thereo� shall coffiorm in aII r�spects to the ordinances of pect FrI�IIeY, Mian�ota g local3on, constru on, alteratton, mainteneace, repair and moving oP bufldings wl�� dty limits�tbis permft may be revoked at any tfine upon violation of ar�y of the P�viaiona oE said �..i1en Jensen g�� NOTIC6 11ds � doa ee1 eer� t6� w�tro�lee, ��or wtr�n& P��& Ii� 6e�e8. sswar er watu. B� wre to a� tla eu�ldia9 �O� fa ap� P�e�ib �a tMa (�. .� � OW1�II:R' S �� APPLTCATION FOR $UILDING PERM[T CITY �F FRIDLEit, MINNE30TA LOCATI�ON OF BUILDING �� P�rt of Lot .._.___,._�., OR SUBDiVISrON � � >�., � �a ��'�� ,r._ Corner Lot`Tlnsic�e LO _„ Setback Side-�Yard . �SEWER �EVATIOII� , � �:F{?UNDATTON -�Y.EVRTION_ _ _.�._..__ _..._.._ Applicant attach to ti�is form Two CerCificates of Survey vf Lot and p�opo�ed bui.lding location drawn on these Certificates. DESCRIPTION OF BUILDIl�TG To be used as ; � �`� h % � /� D � .S � � � � � � � � � '� `� �" � �i� Front Deptt� Seight Sq. Ft.�_ � Cu. Ft. Fr'°nt _ DeFt __,__�_geight . Sq. Ft. Cu. Ft. Type of Construction � Estimated CosC�� j� � r To be ccm►pleted S �'he undersigned hereby makes application for a permit for the wvrk herein apecified, agreeiag to do all work 3.n etrict accordance with the City of Fridley Orci nances and ruliage of the Department of Buildings, and hereby decla s that 1 he facta and representations stated in ehia application are true and rre � � ,� DA�L- , i��t�„�.t� ��L�'�GPATURE (Schedule of Fee Coats can be found on the Reverse Side), y�� ' �' � s- � B�DING PFBLr�x F_$� . SCHED�I.E " SEG°r----I��• Th� I�P�tQ; of Buildings ahall � before isswta� anp ��,t for the erectiou of any buildiag or atructure, or for any addition to any exieting build- ing or structure, or for anq alterations or repairs to anq eaiatiag build3ng or structure, npon applicaCion thereiore, require the payment.bq the applicant for such permit of fees to Che amount hereia below set forth aad in the_manser�hereia prov9.ded tb-wit; . 2•1• For any such permit for the erection of any fire�praof buildin�, other than a garage, warehouse, factary or grein elevator, or for the erection of any fire•proof addition, for aimilar occupancq, to any existin� building, ahall be at the rate of $1.40 for each one thousand cubic feet, or #raetion thereof, in such cubical coutenta. , 2. �a• For any such permit for the erection of $gy fire-proaf garage, Warehauee�•�_fBCt�y, or grain elevator, or for the erectioa of any fire-proof addition, for simiZar occupa,ncy, to any euiating building sha11 be ae the rate of $1.25 for each oae tbousand cubic feet, classified as "firaproo�� by Section Sp2 cg the Min�eapolis Building Code.� HOIISES � 2•3• For any auch perm;Ct for the erection of any noa�fireproaf bnilding., �ei�other than a garage, warehouae, factory or grain elevator, or anq aon-fireproof ion, for similar occupaacq, to any existing building - permi,t $1.00 for�each houaaad cubic feet. . • GA�RAGES 2 4_ For any euch permit for the erectioa of anq aon-f;reproaf garage, warehou�e, factory or graia elevator, or for the erect3on of any noa-fireproof addieion, for aimilar o�cupancy, to aay existin buildi buildiag or addition - ninety cents g � or for each such or fraction Chereof, iu the cubicel contentsft�er of withtthe minimumiogf$4t00. For the purpose of computing fees for build3ng permits, the cubicsi content� of anq building•or addition to a uniform hei�ht througbout liy'multiplyin� the ground area coversd fram a point six (6�} inchea beLow"�the floor liae of the basement or cellar to Che average height of the upper surface•or to the average height of the roof suxfaee of the main gable of a`pitched roof. a. �5• For regairs or alterations to an ex3ating etruct�re, the fee shall be at the rate of $3.00 per each i�ive Huadred Dol�ars ($500.00) or fractioa thereof in the coet of a11 proposed work. 2. 6: In no case sha,ll the fee charged for an Section 2 be les� than $4.00. Y l��it as set fort.h ir� � � � s _ .,�- � � Da.te: October ?, 1980 �_A Time of Call: 12:4U p.ni. ��a �. Responding to Call: Chet Swanson got messa�e froin Lois iii Garage Time Back� received: 12:50 p.m. �Equipment at Site: Jetter . . Crew Menibers : Chet Swanson Addresses: 6740 Jackson and b730 Jacl:son �/�v Findings af Crew: A 2 1/2 foot length of roots (4" di�uneter) i,�acrecl , in bo�th horizontal and ver�ica.l pipes an outside "di-ap" of manhole at 68th $ Jackson Histo of the line alon Jackson: ' . The line was �urcharged backed up) in i965 (spring). It has been cleaned twice, as a result of routine cleaning, since 1972, when tire bouglit the jetter. It recei.ved special attention on two other occasions w}ien fresh. sand tivas not�d by Chester Sw�uison in the n�anhole at Kennaston and Jackson (it was televised and sealed then). It was cleaned from Nlississippi Street to 68th in 1978 by Chet and Bruce because of a large i•oot mass tliat lfldged in the .li.nes after a backup 0I7 Ai1SS 1551�)�)1 St reet . (1Ve cle;ariecl i r a11 because we wantecl to make sure it clic.��'t lu�l�;c• :L1VtV11E:I'C� ii� thc �" lines) , The line ha� received careful atteiitiu,i l��cause of t�ie aniow�t of _ flow in it. The Junior High School dis�:t►ar�es a large amount. of water in- to it at tiVest Moore Lake Drive. The line is visually checked zppruximately t'L'i'T'Y iuuittIl. It is tiot included in the "high ma.intenance area" li�t� Uc��:au5e of so few backup problems with it. However, the "drop" n�ihole at G8t1� �u�cl Jdckson is part of a group of "drop" manholes checked monthly as a precaution. The other drop maiiholes are at Lynde and Polk; Rice Creek Road just east of Carrie Lane; 52nd apart�nents; and all those along 73rd Service Drive iii N1elodp Manor. Television records and routine cleaning recards are available on th� line. The manhole at 68th and Jackson was last visua.11y checked by_Chet and Art on October 3, 198D. , , e� r //l•� �-- - ( ,i�.,�..��t� U� �:' `L`�'C�Gt•-�;�,E1-:.- C}iester Swans n � r � } ;� +. . �� y h r CityofFri��ey AT tME TOP OF TNE TWiNS j �.Y��N�� iNTER�OEPARTMENT REQUEST � � ;' Pueuc WORKS o�vis�oN �` � �.»� ; CiTY MA�L FRIOLEY 33432 l��J�.� SJ 612�580'3430 SUBJEGT S�kVER STOPPAGE • _� SEWER STOPPAGE ALIDRESS 6730 Jackson Street .. kOVEO � DATE �tober 7, 1�8u CALL RECEIVEQ BY Public Works Department pT 12:40 (q�,;j t�',.;; CREW LOCATION �IHEN NOTIFIED Public Works Garage '�,EQUIPMEt�T TAKEN TO SITE Jetter CAUSE OF STOPPAGE An acciunulation of roots that supposedly Roto-rooter type � companies.have cut from house services and dropped into the City line artd flowecl down stream to 68th and Jackson, getting caught in the drop manhole, causi,ng the 'IME STOPPACE RELIEVED 1:00 p.m. ' iESCRIBE DAMAGE (IF ANY) �en we came on the scene it appeared. that water had covered the entire floor. Hawever, the ca.rpet in the family raom was not 100� there were some dry spots. Some clothing and miscellaneous boxes were . I wa.ter soaked.. The basement floor is all tiled. , ANY STATEMEPITS MADE BY CREW OR HOMEOWNER REGARDING DANIAGE OR POSSIBLE CL/�IM - � AP�D HOURS ' a ; '',`�,y<<'6�'�-��; ;r` •` .•µ . . , .''� ' � .''r• PUBLIC WUttKS DL•'1'ARTML:N'1 ° � - i'.. ` . . �;,,i,3,.r r . � � � • � c�Z�r or' FKTllLL•'Y . . :� . �,piq,_ ' . . :� ,,`��A j�� , � y� ��l.�..�U'�t. .�, � . `�y� :�:. u�►T� G% �.� t _� / / � � 7 � � � �` . 1�,f o�.., �+I�J �1� • �11�.. �d rrr ��i:'�,; ��TION L•�o- ' i � .,;; ,;; � ; , �'�CPE 0�' S t!t ..;�� ^��.�6�. . r;:�'� � ..S�ZE , OF SEh►�R �_ •;�:,'� �,; : �, S1:Wl:lt CI.h:ANI tJC OY�:LtATU1tS __( .� ��" - LG.�CVz..� �ir �L•r•rLV �( � inches 1tUUlllill -. �;�::�.n `:�NGZi1 OF ,EtU11.....,�..+1�,� ��}.�_. fee k R`;�:>F;'°`v:MATER7AL R�1lOVFiD • t :�7�.'r. � •�.�`,�. �� ;.��i;l ��UK� �e '.� �� `'�' ,START �vr�` '� `� }''�r�� FINiSti a S � � �f -:,:.�: '::: .—.._. �.�_.,�:.�.....,.. - ;�,r,�� FrQUIP!!F.[�IT NO.�(L MILr:At;� �L .3 � � ':�;;�'` A�IARKS OR RCPAI.ltS . ` r ' ^ . : r.;� •� .�_ � `,:'" _ � � `. ., �� . ,. c � . ui...r�...��.:. ��«:* �. • � �` I�UCt:�T�'ll �� o_ c� gels. WATEk lisLU ��5 : ; �1 UM1SL R t:ALS . rui;cu��::Ln AT . Y1t1�:L'/Gal. UlI_ . Gl�t:fl51: � YUISLIC WCl1:K�; Ul;l'At;lt•1LtJ'1' Gl'1'Y Ul� FI:lUL1•.Y Sl:1Jl:li t'I.I•'t\i� 1 f.l: ; , iaATE /� � Q � � ��`� ��I �1' (�f tI ± _^ ' `'.�'�._- { _ ...._ �t:A'1'u�;a �, .(` --i y .. .,. �.: ,.T� I . , ,;:•�;� . . .: �►,ciav %1 ��a _ __ . � Z��.� � C`v�t � � ✓ � �`�'' � :�xpa; o� s�:w�R �" Y , ' - -- , � :o :.:i'gxZE W?' Sk:WEli � � � iiiclu�s ,: � :'_ ��.,, �c�t� �oF aun� ,�T � o f �� t ,' °,y , � � � . �';`';� �1,TE1tL1L Iik�34Vkll �� ic.d_.t�c--r.. ,;r�. .,�,.� .� ;. � JTT �iouit r�TrR: : �� .•.�t , `� .;;�`�iT�A1iT �,�,! � � �f�- FINISII_ o? .l `� �/ (� �:;r:.:�;►��Rvx�rsr:ivT Ho. h� Mzi.�:�►c� G�� 3 ..j'. �•,�. .r .�.#� `�: .�Ai�K�S , 08 REPAIttS : t' �. �, �H: •, .'; "_i ' . . . , . �. : '�.`��s 't•. � I,► , ' . � �; : . ��,i:f ; . .� • . ;,-.;; • . . ..LV. , . � � �' . . . . • � ' . ' " �! t:�r�ri:u � � _._. I<UUlltill ,iuc�:►_r,:u t;u Ls . L![�'1't•;i: 1•:; i.: � (:A`; . iJUt•I1;1•:K C;AL;; , i�ui;c��ns,;u A�r 1'Kt(:l:/ G:� 1. Y- U1L � (..l�I.l►Jl; _, _'.__."' "_ � at . I��,A� ��q�.,��. F � � ,��_�rt�t�� •1 �. , i '' �, � ' ly. R k .. �.��: a:. t � �� t� � i 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Octo6er 15, 1980 Western Insurance Company 630 Plymouth Building 12 South Sixth Street Minneapolis, Minnesota 55402 Attention: John Allbright Supervisor, Claims Department Reference: Sewer Backup at 6730 Jackson Street, Fridley D/,I: October 7, 1980 Claim of Mr. and Mrs. Kenneth Steies City Claim No. PL-8/80 Dear Mr. Allbright: Attached is the claim of P�1r. and Mrs. Steies in this matter, and a report of the•sewer backup at 6730 and 6740 Jackson Street submitted by Chester Swanson of the City Public Works Department. This is the matter about which we telephoned you yesterday. Mr. and htrs. Steies were out of town at the time the incident occurred. P�r. Steies recently returned home and asked yesterday that a claims adjuster be sent to his home as soon as possTble. John Flora, Qirector of our Public llorks Department (571-3450 X 159) has viewed the premises and talked with the Steies sons who were at home at the time of the incident. Ralph Volkman, Superintendent of the City Public Works Department (571-3450 X 157) is another contact for you in this matter. We suggest that you contact our Public 4lorks people prior toFinitiating any other action in this matter. - <<1r. Steies indicated verbally to us that it is likely his neighbor at 6740 Jackson Street will also file a claim against the City. Please keep us advised and copy us on all correspondence regarding this incident. Thank you. Yours truly, Nasim M. Qureshi City Manager andE' Acting Finance Director cc w/attachments: cc: �ohn Flora Ra1ph Volkman City Attorney � Dale Hadtrath, Transcontinental Brokers � � a r ,- �� t�,,.;� � �ii�- i�i+ , ��i�' � _a. .s;r• .,;, ;° #' �x ,�� - r ��;� � � . ��; � .�, 'r� �. _`�r' �',�?^ctw."� � ,_''i ' � �1,. .� �.�� 'Y - '.- ��S�J_...-iJ.i1 ' .:5��.'��:��:- ." . 0 [:C/3-]. . 80 . ti.. 9 4. � �� 6431 U3hi1VERSITY AVEP1tJE' N.E.� FRIDLEY. P6�IfNN�50Tt,k 55432 . TELFpyOME ( 612)571-345U October 20, 1980 . . . :Ir. Dale •J. Hccitrath Transcontiner:�Ca1 Broker� �i0 Flymouth B��il�ing � � � � 12 South Sisth Str�et Mfnneapolis, r��in.*�esota 55�12 Re: Warkers' Com.pensation Polir_y No. t:C 239 ��9 Employee Nane: Chester C. Swanson � � City Depart1nent: Pub71c Works Date of zncident: October 7, 1980 � City Claim lvo. 38-1980 Dear A4r . Hacl �rath : Attached is a first repozt of =��rkers' �o�pensation ?tem for the above-capt�on�d emFlovee. Please process tY�is claim. Thank you. Yours truly,.. . . ' . . Nasim M. Qureshi City Manager znd � , Acting Fina.zce Director - Attach: Original and 2 copies of claim �' v / � � �, !� 1 l' 7r� � ` ✓ V � '' 10/20/80 To John Flora From Jean Christianson Re: Sewer Backup Claims against City I passed on your questions to Dale Hadtrath, our insurance agent, and he advises the following: � 1. Re the Public Works people helping the homeowners who have suffered a sewer backup: yes, this could be construed as an acceptance of liability. 2. The best thing to do in the case of a sewer backup is to notify the insurance company as soon as possible so they can get an adjuster to the site•irranediately* - , 3. The insurance company criteria for City liability are standard. Tt is not up to the City to determine liability; it is up to the in�urance company. Any change the City might have in philosophy toward such incidents would have no effect on the insurance procedure; no insurance company would consider it. " 4. As in other areas of insurance that we carry, the monies that are paid out on claims has an effect on our future insurance rates. There is no way to predict what that effect will be without actual figures. *This backs up what we were discussing this morning. I think there is a misunderstanding in the Public Works Department aboutfhis. For instance, if a� City vehicle is damaged, I do get after the department for estimates' and often the claim is�submitted with the estimates rather than beforehand and we haven't been getting after people about that. But maybe we should. My understanding of insurance claims in general is that general policy should be to get a claim submitted as soon as is possible after an incident occurs, no matter what type of claim it is. .In the case of the sewer � backup homeowners, it can be a simple claim wherein they state that they - do not yet have any estimated value to the damage. Any claim will get the insurance company invol�ved and the process started. Rusty and the others are not�incorrect in advising people to make/get estimates and keep track of things. They are however in error in telling people that they should hold off su6mi�ting a claim until they have all pertinent information. When people are interested in making a claim against the City, they should be told to put their claim in writing and deliver it to us, or they should be told to call me for information. Thanks. . � � ; t 0 MEMOftNNDUM TO THE �'ILE: PI.-8/8U and PL-10/80 October 22, ig80 cc: PJasim Qureshi John Flara �r. , �� . �[ . �� -� �1� 1 taiked this morning with John Allbright of Western, Mr. Steies and Mrs. Wozny. 7he adjuster met hir. and Mrs. Steies at their home about 3 p.m. yesterday and tocak pictures. The adjuster told them to get someone in to malce estimates re the floor. Mr. Steies said he thinks they can clean off the wall and is hoping t.hat there is not a serious tvall problem that will me�n ripping them apart. Mr. Steies' atiitude was much different today and he thanks all people at City Hall for getting the adjuster out there. He said the adjuster told him he had to leave�in a hurry as he had to be in the City offices�before closing time. t1rs. Wozny said the adjuster didn't know about their backup problem, th�t Yhe adjuster had stopped by because of what he had been told by P1r. and Mrs. Steies. The adjuster took pictures so they can start �nore cleanup and made an appointment to get back to them on Friday. Mrs. Wozny said they will have their list of estimated expenses by Friday and will try to� get a copy tc, us as well as the adjuster. E � (� ¢ r 0 ��'!° f � � OGT�s�Ft 31, 19ao �::ilt.,,�� U:' :'al.; ;R.C::� - C1TY u;' Fi:I::L.;Y �:...._.:� i;.�.C?:U�� d TGr_',:1)f:Y UG'TOrER 7� 19$0. ;;UBPv:?!'T�:U LYa i:i:;:id�TH J. !�!J I�EI.U:iLS sr�i�, 673� J��CKSU.�i ST. i�1.E.� F1tIDL1:Ys NG1. ITEPI, : Ca0ld�PLL-TE T'ILE FLOflR ( Fii:PL.�aCi:I.S�:iT GtiS�' LSTIP�ATE ) 1�577.00 23 5�.2. YA�'tiD5 � DESTROY� )(il 3m95 per yard 90.85 fiGX SPRT��G �1i'sD h'�`4TTRE�S ( D�5?RGYEll ) 1 yr. old reQlacement cost 289.00 TAPES (llF5Tii0YED) RiCOR�� ( D: STP.OY� ) LLriT�IL1: I-iLrTI�i � T'i0�T5 2 PAZR f�;c'7 S?iRIO SPEAKw::� ;,��::1 2 • L�r1THLR LUGGAGE 2 PIECES DFSTr.OYED CIAT1i1;�;G (DLS'T ;Ol'�) 14 ��%6.95 3 ��9.95 3 ��12.9., 76 R':I�Lr`�Cti;.��`T COSI �JATif� UIu:J;GE tv L,Clyi�Y O�;G/'.�J P�P,°�I�: '� ;�'.�`,+� REPLfiCEPdlrfTf 3�900.'-� d S��'�PTi:G BAGS (DRY Gi.�F1v�) 3 q'1TS LF,Sl,^-.0',li:D 4 �'AI!'.S L�DI�S SHOES D�Si'ROY}� TOYS� G$�zES� 8 STiJ�FED �'�iA'WLS DfiSTROYID . :;�:�°�x- 20 I.OF,a5 OF LAU:��Y� '�►�5,: £� DRY (c2UILT� ��, :si:�:i�i.�) . Sr�. ifIi'IG SUPPLI}:Ss F�'iBRIC' YAI'ti1' PATT�;JS ALL PIEE�iI -r��sT�oYID) CI.El1P1It:G L/130R 151 H�JUF;S � �::3.75 - CLE.'��TI+G £UPPLIES �j ii ; � -?. � .�� d2�- � a�� r �zzC G�� G� � - `��r� � ��. �! �'�. � � � • �. �c� , ; ` _�-�.,� --�G-tit.-�c�-�✓ _--__� � � �.� / �i` � ��j�, L ��;�'-1 �- 1 --- 0 9'F.30 79.60 38.�5 G08.00 70.00 2:,�.00 150.00 20Q.00 300.00 32.QQ 15Q.00 80.00 246.OG 25.OU 250.00 566 d2;'i 30.U0 ..`.: T�i@ CITY �; � � �� , i ,•°.� ' x �.� -�-„ � ' - � � �' � ��R �'^'' . �, � � �s f .�cF'."'.''_ !fF � _ ��"`�'' � i - . �. ��'��'� Dl��c:'i'oR�►`i�� '�', - : , s�:..� ��, oa �� ?,as,��.�"� r-c.� ��, . . �-,� � K�� a, °a�.�,�� ' .o: '-O � �z-� �,' �iF� .. 'c-Sro pitF" r�Fsra' x�"J'JS- ^�+'��"c' -�M.- Fd, . a. .�0 s*�'k 4.�''ii�q }{_ .g*.g+.1 ��t o� a�.tg✓'�i� �b't 3�.+�1'� �s. ; .,} - Ci (ri�� <r.±!i: �itq��e�� t �i�e.ttY � +4 .l..w^} � 1.Y4�. ' 1 e�9��`�r � lr.�5�..:^'" _, i.°��'k :'� _ ,.,,`�'t°c . t�" � FaU�L.1�.�� 6�'��lKS = �� ' '�� It,l'� j,S- a �h 4,SC �'- i�.si� ?��a�tm 'ti`'4 s ��'�`SY�'v �'� Y-ii r�.?� � -� � � t ;. �� ' �� x x �'�� k�,; ��.'"�.t,«� �r sa� '�:� ;�y"`'.�.,a,l��v��s��:��'�"#h."'�+"a'i� <. w,. �*� • . _.. _ . , .ri�� h��;tiasemerrts�s `�the Yrs. .. . s and Fiaul ing.:.:he �y;'``U ��cn . npany; ,atr � �k�th.ei r ba5 le 6730 �apE . �� ,��; ., �.�{ , y . . :tion `:ass1 s" t�of`:the .6� i tett� �.f r�oi� �e- nex�,-�day r �}�� *�� ibmi tted. �tc �cei pt:a:��:We icident��:was , ,� �t�s'��! �. : ��;�. ;er'with Mr ' a�vi sect, �th �i Taw� n � v� �ncu. : b> > rsch, ��, ty :.remai r� �' � .� DATE 2/2$/65 3/1/65 3/1/65 3/ 1/fi5 3/1/65 3/ 1/65 3/ 19/65 5/i0/65 6/1J65 6/1/65 6/10/65. 1/27/66 68 68 9/17/69 70 70 2/26/70 3/ZO/70 SEWER BACKUPS CLAIMANT & ADDRESS CLAIM Margaret Zuber $ 3,000.00 278 - 57th Place Robert Byrne I50.00 6020 - 4th Street James L. Campbell 581.75 ' 6102 Star Lane David W. Olson 6072 - 4th Street Glen Wilkes 290 - 61st Avenue Richard Wood 6054 - 4th.Street Max Hopka � 281 - 57th Place LeRoy A. Bushey 6899 Channel Road LeRoy A. Bushey 6899 Channel Road Dennie Eckholm 1081 Rice Creek Terrace Harold Dawson 6817 Hickory Street 1170 - 52nd Avenue Richard J. & Bernadine Stawski 588 - 53 2�Avenue. Jane Wojci-ak 6031 - 2nd Street Bruce Hoch 7815 Apex Lane Darrel A. Klein � 851 Mississippi Street R.L. Newman 1501 Rice Creek Road Ellsworth Hinz 384 - 66�th Avenue Brian W. Porter 6870 Channel Road � 129.OQ 100.00 702.50 25.00 86.00 86.00 415.07 15.00 112.75 143.38 200.00 AMQUNT PAID BY I�VS. C0. CITY $ � 112.75 143.38 rage Lwo � SEWER BRCKUPS � CLAIMAfJT y� DATE & ADDRESS . 9/16/70 Steven Mast 6034 - 4th Street 2/24/71 A1 Johnson 6745 Channel Road 4/14/71 Oliver Erickson 6056 Woody Lane 5/1/71 i�ax Hopka 281 - 57th Place 9/27/71 Bi�l Hlavinka 5923 Main Street lOJ6/71 frank Sarazin 5017 Clearview Street 72 Kenneth E.•Gill 4638 - 3rd Street 7/23/72 Donald B. Moldenhauer 5380 - 6th Street 7/23/72 Richard Stawski 588 - 53 2 Avenue� 9/26/72 Mrs. Bruce Estenson 581 Buffalo Street 10/26/72 Bruce Estenson 581 Buffalo Street 12/9/72 Dr. James Gilbertson 6801 Channel Road 4/6/73 Carl E. Gabriel 401 - 76th Avenue 5/9/73 Mervin Christensen 5239 Greenfield Avenue 11/2J73 Elsie Schleiman � 5700 Hackmann Avenue 11/22/73 Roland Morin 650 Hugo Street 11J22/73 Gunter Zinkermann 640 Hugo Street 3/6/74 Richard Haugen • 1080 Hathaway. Lane � CL.AIM $ 38.18 106.70 � 178.00 250.00 30. 00 207.78 51.11 6,000.00 243.00 ]:41.97 n �: . AMOUNT PAID BY I . . TY $ $ 60.00 Rage three ° SEWtR BACKUPS , CLAIP�IANT DATE & ADDRESS 4/6/74 Judith Wilson 1050 - 52nd Avenue (#4) 4/7/74 Douglas K. Johnson 1050 - 52nd Avenue (& Wm. Bergstedt) 5/2/74 Richard J. Hatcher ��. 1608 Berne Gircle , ..: °� 5/2/74 Ronald Finley �°� , 1694 Berne Circle , ; ,,, 6/6/74 Richard.Clobes 5908 Anna Avenue . 7/16/74 Bev�rly Wilson 1319 - 75th Avenue 8/6f74 Richard S. Silverstein �-- --- -� 6675 East Ri ver Road � � 12/1/74 John Leschisin, Jr. 840 - 66th Avenue 5/13/75 . Peter. Schenk . 576 Rice Creek Terrace � 5/13/75 James Gibbs 577 Rice Creek Terrace 5/31/Z5 Robert J. Vandenberg 609 Rice Creek Terrace 6/19/75 � Byron B. Davis 170 - 62nd Way 6/20/75 Thorrras W. � McGraw 605 Rice Creek Terrace 6/26/75 Kazimierz Gazda 627 Cheryl Street 6/26/75 H.C. Hudyma 641 Cheryl Street ��/26/75 �y_ `� Bl ai r V. Berg �° 6809 Hickory Street 7/1/75 . Leroy Tovsen �; 1356 - 64th Avenue 7/1/75 Walter C. Egler - �;' 1456 - 64th Avenue � CLAIM $ 3,831.00 2,500.00 575.39 30.00 AMOUNT PAID BY INS.�CO. CITY � $ 700.00 11.70 34.00 5,235.00 2,152.00 40.00 645.20 250.00 81.62 193.45 485.00 1,009.00 959.79 34.00 34.00 40. 00 230.20 � 395.00 . � Paa� four F SEW�R BACKUPS � F �� CLATMANT � DATE & ADDRESS 7/1/75 Donald C. Anderson � 3319 Belden Drive 7/1/75 Ken Hollister I466 - 64th Avenue ✓ 7/1/75 Marvin Nevala I476 - 64th Avenue � 11/16/76 Mrs. E. Walski 1631 Rice Creek Road 3/17/77 T.W. Hanson 610 Hugo Street 3/26/77 Richard S. Silverstein 6675 East River Road 12/11/77 Hjalmer Anderson 1491 Rice Creek Road 5/8/78 Newton Larson 1361 Mississippi Street 1/15/80 Ellsworth Hinz 384 - 66th Avenue (see 1970) 4/5/80 Harlen Hanscom 6000 Stinson Boulevard : 11/ 7J80 _ CLAIM � 1,482.60 495.46 50I.45 150.00 200.00 2Q.00 685.00 170.95 � 973.38 200.00 65.00 t� AMOUNT PAID BY INS. C0. CITY $ $1,482.60 zoo.ao 32.50 20.00 154.95 973.38 32.50 sus�ecT pE City of Fridley -17 02 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � RECE PT NO. � • COMMUNITY DEVELOPMENT DIV. � ; V �� . r � � PROTECTIVE INSPECTION SEC. �'D 9� 1 i A C/ i , � /�"1 � CITY HALL FRIDLE� 55432 NUMBER � REV. DATE PAGE OF APPROVED BY �""'�� ,�� 612-571-3450 910-F15 6/29/83 / / JOB ADDRESS 6730 Jackson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Fj 5 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Steies 6730 Jackson Street N.E. 571-7461/786-4020 3 CONTRACTOR MAII ADDRESS 21P PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 22'. Additi.on to Dwelliag 9 CHANGE OF USE FROM TO STIPULATIONS WA�NING Defar� digj�ng c�ll loc�t! u#i�fie� TELEPWONE - ELECTRIC - C�'� ftC� �EPERA� PERMITS REQUIREO F�CI� ��'ih��i.� �E`QUIR�D BY L�11A� HEATING. PLUMBI�NG AND SIG�iS. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]_ STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED `� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8i7OO �S`4.3rJ _ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCA� LAW HEGULATING CON- STRUCTION OR THE PERFORMANCE OF ONSTRUCTION. y�%4. SO NONE � PLAN CHECKFEE, TOTALFEE 18.63 $97.48 SiG TUREOFCONTFiACTORORA ORI7EDAGENT �DaTEt � WHEN PROPERL VALIDATED THIS IS YOUR PERMIT n �+ ' _ � O �..s S GNATURE OF OWNER �IF O ER BU�LDER� ID TEI BLDG iNSP fjA OtJt�ER: ADJRESS: TEL n0: e CITY �t' FItIDLCY Effective Aug. l, 1981 APPLICATIO:J FOft RCSIDL'i�ITI/l� I3UILQIttG PEfL'fITS (Wer�, A1ter.zLions, AddiLions, or Repairs) ��/�� • ��T"/%� �� l �� [3UI LDER . l� �� ADDRESS: �/- ��/ — STRITT 2d0: � STItEF•T: TEL f10: ion Location �G i.OZ�: sLOac: AnniTioi�: � �� Corner Lot: Insicie Lot: SetbacY.: Sideyards: Applicant attach to tl�is form tcao Certificates of S�rvey of lot and proposed building location drawn on certificates to scale. ` � DESCRIPTIO�� OF COi•JSTP.UCTION Roo „�. p�co ►T�t�, �o,, � ,¢S / v il �� Front: � V Depth: �� Height: , ....�---- r � �� Square Feet: ��► v Qibic Feet: Front: Depth: Height: � Squar.e Fe�t: _ CZibic Teet� _ � Z2� � '35.� �-� ��t Rype of Con►truction : ��7` ��0 � Rb Be Oor.�pleted: � � � �� S7ao Estimated Cost: $ � Alt. A Alt. S Fropos�:d Drivec�ay �r'idth If New Openang Is I�esire8: �" �� $__, $ g�� pEVF.R�L•' SIDE OF SFIEET , 9iie undersigned hereby ma):e� applicaticn for a permit fcr the �:�ork herein specified, agreein3 to @o .a�l ko��: iag strict accordance with the City of Fridle}� Ordinances a�id rulin�s of the IIe1hlrtmei�t of I3uilciings, and hereby declares that all tl�e facts and repr�sesz�iti�i�s stated ;n this application are true and corr ct. r D.�TE: �°" � — '" SIGNATUF.E- y C`/ � S £tii�ulations : P�� y, s� �.c. i �,�� T �o � � �7� �� 0 m . �, �1.. � � ' a yi� - - � _ • - The Chief Building OPficial shall, before issuing permits for the erection of any building or structure, or for any addition to any existiag building or structure or for any alteration or riepairs to aaq euisting building or structure, upon applieation therefore, require the paymerit by the applicant for sueh permit of fees to the amount herein below set forth and in the manner herein provided to-�it: . .� �1.00 to �500.00 Fees �10.00 (Minimum $15•00) $501 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additioaal $100 or fraetion thereof, to and including $2,000 �2,001 to �25,000 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or Praction thereof, to and ineluding $25,000 �25,001 to �50,000 �170.50 for the first $25 � 000 plus $4.50 for eaeh additional $1,000 or fraetion thereof, to and including� 550,000 ,� $50,001 to $100,000 $283.00 Por the first $50, 000 plus $3.00 for each additional $1,000 or fraetion thereof, to and ineluding $100,000 $100,001 and up .� � $443.00 for the first $100,000 plus $2.50:,for each additional $1,000 or fraction thereof Plan Check: 25 percent of building permit fee. Drivevay Depressioa EscaroW: Conerete 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 replaeement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 ��_ .� �� -. ,._ .� Permits for construction Will be issued a minimum of 24 hours from the time of application to al1oW for proper revieW of the proposed strueture and oP the construction site. A Certificate of Survey oP the lot, shoWing the loeation of the foundation once it has been constructed Will be required before nx�oeeedina with the f'raming. ��a � �,o • ` �- ��` �z. � c�z,o� i�.� d � � � � - . , �` ��-t-- i - ?-; . -�-�--�- -_._1_-i_ �� i -- -- -- _ -----..'--�-------�--- � ' . ' � _ � � � � _ � I- ' --�.��_ � . � , . � . . . . � � . . -r- -•- -- • � . . _.- __._----------- � � � � . 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Z� g� � �"lo�n 5c,«r S rt,�c I�`'C� ��, o � 6 „�. G '� � Q� . �'p.0 �� ,b �%1 � . • � �.�.�-.. i � 2 �� `/ � �— . �x� � 1 2� r .�,,. �Z`' �► �� • SUBJECT ,:. P��NO. ° City of Fridley 213 4 5 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T � REC � � • � `L _ __ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �f �� S � � , � � _ /'�'1 � CITY H ALL FRIDLEY 85432 NUMBER REV. OATE PAGE OF APPROVED BV �""'� � �'� 612-571-3450 910-F15 5/19/92 / / JOB ADDRESS 6730 Jackson Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steis 6730 Jacks.on Street NE 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Bill Foy Construction 9808 Faley Blvd NW, Coon Rapids MN 55433 784�0786 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDHESS 21P PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Reside Dwelling 8 CHANGEOFUSEPROM TO STIPULATIONS Per Chris Pihaly at S.tate Licensing Dept - this contractor does not need a State license as he makes less than $15�000/yeara TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOH ELECTRICAL, PLUMBING, HEAT�NG, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED, NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION �" STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6�500 .,S3.ZS WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $90.00 Fire SC yfiFi.SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $99. 75 SIGNATURE OF CONTRACTOR OR AUTNOR12E0 AGENT IOATE� EN OP Y A 14 ED THIS IS VOUR PEFMIT 6 =/9-�� SiGNATURE OF OWNERI�F OWNEP BUR�ERI IDATEI `�9 OG �NS� OATE 1'�EW [ ] Effective 3/ 1192 �� ADDN [ J CITY OF FRIDLEY � � �� -�� ALTER [] SINGLE FAMiLY AND DUPLEXES R-1 AND R-2 a� c S Building Permit Application C� ) � L� _ � I� Construction Address: P ,� i ''_'% Lega1 Description: l�C� l Ovvner Name & AddreSS: Contractor: � � Address: LIVING AREA: GARAGB AREA: DECK AREA: OTHER: J��eiS � �%�✓�� ' .'o��Q � >/� 1%��.(� / �c�P�� _ � # S T NIN LICENSE # � �a��i �f ��Ji� S. /�iy Tel. # %��7C�,� Attacfi to this application, a Ce�tificate of Survey of th� lot, with the proposed construction drawn on it to scale DESCRIPTION OF IIVIPRO�i�EMENT Length Width Height Length Width Height Length Width Hgt/Ground Corner Lot [] Inside I�ot [� Ft. Yd Setback Ty� of Coashvction: Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + b Ft = �ac • �? � � �� I� �2 � � Sq. Ft. Sq. Ft. Sq. Ft. _ Side Yard Setbacks Estimated Cost: $ ��(�O � (Cost on Back) Ft x $ _ $ DATE: �/9 9� APPLICANT: , TeI. #��-4 7�',� CITY USE ONL� � � - Permit Fee $ �G�. �� F� Schedule on Reverse Side Fire Surcharge $ (� . SC' .001 of Permit Valuation (1/lUth%) State Surcharge $ �. �� $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. °B" Above Park F� $ Fee Determined by Engine�ring Sewer Main Charge $ Agreement Necessary [] Not N�essary [] TOTAL STIPULATIONS: $ �/ - .� �,�,,00 �l � __° �7-�' - � � 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 siructare, or for any alte�ration or repa.ir to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of f�s to the amount herein t�low set forth and in the naanner here�n provided to-wit: $1 TOTAL VALUE to $500 $501 to $2,4100 $2,IX�1 to $25,0� $25,001 to $50,()00 $50,001 to $100,000 $100,001 to $500,000 �, r� � � ��, � �.� �'r'� $1,000,001 and up FEES $15 (Minimum F� is $15 plus surchazge) $15 for first $500 plus $2 for each additional $100 or fraction ther�f, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction ther�f, to and including $25,000 , $252 for first $25,Q00 plus $6.50 for each additional $1,400 or fraction thereof, to and including $50,000 $414.50 for first $50,000 plus $4.50 for �ch additional $1,000 or fiaction thereof, to and including $1�,(l00 $639.50 for first $1�,000 plus $3.50 for each additional $1,0� or fraction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for eaGh additional $1,000 or fraction thereof, to and including $1,000,0� $3539.50 for the first $1,(�0,000 plus $2 for �ch additional $1,000 or fraction tt►er�f DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacemert of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate °B": Removal and replacement of curb and gut#er and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. 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 propose.d 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 beforc proceeding with the framing. � - r -�