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PRE 2010 DOCS`e ' ®f Fridley, .BqWI PERMIT si1� Date: ' .i Owner: Address _ Address -- ---- s;sws� v No. Street 7 Lot _.__�B ek Addition. or Corner Lot Lot ° Setback Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING AZ Front Depth Height Sq F't.' t Depth eight Sq. Ft. Cu. Ft. Type Construction,. Est. Cost%! V To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with ah provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, .shall conform in all respects to the ordinances of Fridley, Minnesota regardinglocation, construction, ' alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at upon vio of any of the provisions of said ordinances. 1:.` ., Building Inspector NOTICE: Thk permit don not corer the eondrutdoe, hnt*Mon for Wig, plumbing, gas hoatht& sewer or water. Be sure to no the Building Mqm for for separate permits for than boom A . ti- A APPLICATION FOR BUILDING PM41T CITY OF FRIDIEY, MINNESOTA Owner's Name Charles as Mary Martin Builder Western Homes, Inc. Address 942 Oak Ridge, St. Paul Address 90 Craig Way, N.E. LOCATION OF BUILDING No. 133 ^ Street Stonvbrook Lane Part of Lot Pearson's Craigway Lot 16 Block 7 Addition or SubdivisionEstates 2nd Addition I i Corner Lot X Inside Lot Setback ? Side. -Yard i� 9L SEWER ELEVATION `' FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: 0 ry Sq. Ft. r � 2 Cu. Ft. +� � �g.l. ��4�'_t' C •"-..-<'�"' °/ fey Front Depth 7 "� Height Sq. Fte z1- Cu. Ft. Type of Construction °' z Estimated Cost To be Completed CP The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. P DATE'` SIGNATURE r , (A Schedule of Fee Costs can be found on the Reverse Side.) BUILDING PERMIT FEE SCHEME Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building -or structure, or for any addition to any existing build- ing or structure, or for any alterations or repairs to any existing building or structure; upon application therefor, 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: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate .of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse, factory.or grain elevator, or for the erection of any.fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. - 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of 64.00. For the purpose of computing fees for building permits the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For r§pairs or alterations to an existing structure, the fee shall be at the rate of $3.00 for each Five Hundred Dollars ($500.00), or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. Application for Power Plants and Heating. Coaling., Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ....... ° ..................... 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ x $1.50 $ Cel Furnace Shell &Line•—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ w VENTILATING SYSTEM 6IL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ �-- GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM A� ALTERATIONS & REPAIRS TOTAL FEE REMARKS: Dept. of Bldgs. Phone SU 4-7470 Location / i 3 c �' )", &W el_ C_ City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application a7truedcorrect. Fridley, Minn �� .�7,1,2- 195— Ownery `'/��'195— Kind of Building Used as X_–L- To be completed about1� Estimated Cost, $ �— Old—New. Building Permit No. 61 DESCRIPTION OF WORK HEATING or POWER PLANTS Steam, Hot Wate , Warm Air—No 195— Trade Name 4 Size No Capacity. Sq. Ft. E.D.R BTU H.P. Total Connected Load mind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Sign1-1 By 11 POST 7M-12-58 B ness Phone No .. D -S6 s 9 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS �® Weatherstrips A.S.H.V.E. Construction No. Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind Yes—No :. Yes—No 19— MINNEAPOLIS, MINN. Insulation How. Applied rn I ,.-'a n _ _ __ I 1pl]J.L t A TJ_L_L. II -- I -_ n - _- I T _-_.L r9 141:JJL i l.l��' � � ' B' 1\wlll l LGllglll TT JULIA l iGlgilL Windows and Doors—Crackage and Area 4s ✓® Width Height No. of Lineal f . Area ff9pane lights ofcrack sq. ft. No. of pane of L !/ Z— m d - 2-Z— Coef. t1yy- Coef.1 Exp. wall Infiltration Glass ICoef.1 Btu Infiltration Sb - Net exp. wall ZT Floor ri 6, Glass Net exp. wall Ceiling cam" Z Exp. wall 2-1/64 Int. wall /0' Net exp. wall Floor Ceiling Int. wall 77-77) Floor Ceiling �9 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 �_ '' Room I Length Width 1 Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Windows aril Doors—Crackage and Area 4s ✓® Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Glass / C Coef.1 Exp. wall Infiltration Glass Net exp. wall J Int. wall Sb Ceiling Net exp. wall ZT Floor 61 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area rl l rI /I Pr — n - -- I T _.T a i. avr T.I ®mss r •_T Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ue hf- Windows aid Doors—Crackage and Area Windows aril Doors—Crackage and Area 4s ✓® Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Coef.1 Btu Infiltration Glass ld J Exp. wall Sb Net exp. wall ZT 7 61 Int. wall Net exp. wall Ceiling cam" Int. wall Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ue hf- Windows aid Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 4s ✓® Coef. Btu Infiltration tt�e/ 9 ld Glass Sb Exp. wallI 4 V 61 / Net exp. wall B6 cam" Int. wall Ceiling Int. wall /0' Floor Ceiling Total Btu. G Required sq. ft. E.D.R. or sq. ins. W.A. Leader area " i e - — : A... J n--- 1 T ---.L \W/:.LL / / Lie:..l,• Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 4s SP --9 Coef. Btu Infiltration Infiltration vG ld Glass Sb Exp. wall 4 V 61 Exp. wall Net exp. wall B6 cam" Int. wall Ceiling Int. wall Floor Ceiling Total Btu. 17 r" r'" Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.02 , Al -7 Room I Length Width //% Height" Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. ft. d77— Coef. Btu Infiltration Glass 61 Exp. wall Net exp. wall Int. wall Ceiling 77-77) Floor Total Btu. I ®P, j7-.,,' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area q < nss • HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.uidH.e V.E, Construction No. G Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No I9— D FLI A w o. A , nom I Lenathr") Width `A ,/_ Height II FLI Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall V el 32- Glass Int. wall A' Exp. wall® Floor Int. wall Net exp. wall Floor 9 P Int. wall Ceiling Floor 7, �' S 7 j Total Btu. 17 Z t/a C/ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room ( Lenath Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. No. of Lineal ft. Area lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Infiltration Net exp. wall Glass Int. wall Exp. wall Ceiling Net exp. wall Floor Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 Room I Length Width Height Windows and Doors--Crackage and Area Width Height No. of pane of pane No. of Lineal ft. Area lights of crack sq. ft. Coef. Btu Infiltration Glass Coef.1 Btu Infiltration Net exp. wall Glass Int. wall Exp. wall Ceiling Floor Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area MINNEAPOLIS. MINN. Insulation Kind How. Applied Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of pane of pane No. of Lineal ft. Area lights of crack aq. ft. Coef. Btu Infiltration Glass Coef. Btu Infiltration Net exp. wall Glass Int. wall Exp. wall Ceiling Floor Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Noo of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane ot.pane lights of crack eq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu City Of Fridley, AEnn. N? 8884 BUILDING PERMIT Date: JUNE 14, 1966 Owner: CHARLES WILLIAM MARTIN ode, Address 133. S t ony%rook Way N. E. Address Fridley, Minnesota 55432 M LOCATION OF BUILDING No. 133 Street STONYBROOR. WAY N.E. part of Lot Lot 16 _ Block 7 Addition or Sub -Division .____ PEARSON ' S CRAIGWAY ESTATES, 2ND ADDN Corner.Lot _. X Inside Lot — Setback OF GARAGE Sideyard 17 Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: STUDIO Front 20 Depth 22 Height 8 Sq. Ft. 440 Cu. Ft. 3,520 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _$1,600 _ To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with a�l provisions of ordinances of the city of Fridley. �tr In consideration of the payment of a fee of $ 4.00 , permit is hereby granted t, CHARLES W. TIN to construct the building or addition as described above. This Permit is granted upon the express condition that the person to whom it is granted and his agents, employees anworkmen, in sII work done in, around and upon said building, or any part thereof, shall conform in an respects to the o�cdinaacres oP Fridley, Minnesota regar�ng location, constructtion, alteraifon, maintenance, repair and moving of buildings within the dty limits end hist permit may be revoked at any tiaae upon violation of any of the provisions of said ordivanoes. WILLIAM H. SANDIN Building motor NOTICE M pormh docs net cover the sonormMee, hu tatiatton for wiring, Plumbing, gn hating, sewer or wobr. Be am to no the Building Impostor for spm to pwffdu for thus hems, APPLICATION FOR CITY OF FRIDLE MIT OWNER'S NAME C hii d e J i f t e1 V3'1 a r 1 BUILDER same ADDREss / 3 3 Seonybroo k W-4 Y; P701 41914 ADDRESS LOCATION OF BUILDING NO. i 33 STREET SionYbY'Ook Cd''ey -PART OF LOT LOT 14 BLOCK '7 ADDITION OR SUBDIVISION . r, o o:2rai2uJa)e 6-3-1 t-eS inclAali CORNER LOTx_INSIDE LOT SETBACK g- c.- t IDE -YARD 1 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; �"reewo" j �ti�dL® Front a0 Depth aA Height b' Sq. Ft. Cu. Ft.,�r Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Flrame_ Estimated Cost x&00 To be completed_ jaI y The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE June 7 1 q6 � SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). s� C 9 P 01 - .^ BUILDING PERMIT FEE SCHEDULE SECTION.2. The Inspector of Buildings shall-, before issuing any permit for the erection of any building or stricture, or for any addition to any existing building or structure, or for. any alterations. or repairs ,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; 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or.grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building, shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2 For. any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified- as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building, other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition., for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erectidin of any noa-fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fire -proof addition, for similar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a.pitched roof.. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. STORM REPAIR DAMAGE FEES: Residential: Estimated Cost of work up to 8500.00 - $5.00 Estimated Cost of work over`;::::. ti:;; 9 w� ' ' : , F: ' :0 Commercial; Estimate' -ost of ��� •u. �.,� c ,` a^{:; L°� $4 r '� Estimates ost 1'10:.uo - of work oz::r le- YG\ J R_ - 1 SUBJECT: CLAIM OF MARY I CHARIES NARTIN AGA114ST CM OF F11101EY ON DATE: August 24, 1073 FOLD STONYBRUM WAY See attached letter from AdJtester of the City's Insurance Company. Please review and take appropriate action. You can work with Mary on this. Thank you for your assistance. PLEASE REPLY TO SIGNEDusim tL. %Rml f#IQ/MS CC: Mr -lin Bruns -el I SEND WHITE AND PINK COPIES CARBON INTACT PINK"'COPY IS RETURNED WITH REPLY. v.. General Adiustment Bureau Inc 6424 54th Avenue North crystal Minneapolis Minnesota 55428 Branch office August 23, 1973 City of Fridley 6431 University Avenue N.E. Fridley, Minnesota 55432 Re: Our Insured: Claimant: Address: GAB File No: D/Occurrence: City of Fridley C arles & Mary Martin X133 N.E. Stonybrook Way Fridley- Minnesota 56528-13270 July 23. 1972 Attn: Mayor Leibl Dear Mayor: JuLy 24, 1972. We have reviewed the Council meeting m�laced on nutes ° notice by Mrs. and find that we have apparently been p a creek. Mary Martin in regard to the watcoperofrtheeoriginaliwritten tice We would appreciate having a copy by Mrs. Martin® Also. if you have copies of the photographs d to that particular Council meeting presented to You in regar we would appreciate receiving copies of those. Of We are currently and Surety investigating this situation I°nsurancer the �PolicY• Fridley under the Western Casualty If you have any questions you may contact me at my business phone at 533-2516. cooperationooneraon® gard tO these requests We would appreciate your and thank You for Your anticipate c p (Sincerely yours# Craig Corah Adjuster CCC/hbb 10. MEMO TO: MEMO FROM: DATE: SUBJECT: Nasim M. Qureshi, City Manager Richard N. Sobiech, Public Works Director July 9, 1976 Martin vs. City of Fridley - Lawsuit Attached please find correspondence and a release pertaining to the referenced lawsuit. As noted in the correspondence the attorney for the insurance company has negotiated a settlement of the case. The settlement as it affects the City of Fridley would require that the Public Works Department perform certain maintenance on the creek banks abutting the affected property. It is anticipated that the work performed by Public Works will amount to approximately $800 which is for labor and equipment cost since materials consisting of railroad ties and backfill material can be obtained without cost. The $3,000 consideration noted in the release is to be paid by the insurance company. The letter attached to the correspondence is a statement of certain maintenance activities associated with Stonybrook Creek that are cur- rently being followed. These items were placed in letter form since the. attorney felt that existing activities being performed should not 01 be included in the release. Since the negotiated settlement has resulted in a requirement to perform work that the City had offered to perform prior to the law- suit, it is recommended that the documents be considered for execu- tion by the City Council at the regular meeting of July 12, 1976. RNS/jm Attachments l . Nasim M. Qureshi, City Manager Richard N. Sobiech, Public Works Director July 9, 1976 Martin vs. City of Fridley - Lawsuit Attached please find correspondence and a release pertaining to the referenced lawsuit. As noted in the correspondence the attorney for the insurance company has negotiated a settlement of the case. The settlement as it affects the City of Fridley would require that the Public Works Department perform certain maintenance on the creek banks abutting the affected property. It is anticipated that the work performed by Public Works will amount to approximately $800 which is for labor and equipment cost since materials consisting of railroad ties and backfill material can be obtained without cost. The $3,000 consideration noted in the release is to be paid by the insurance company. The letter attached to the correspondence is a statement of certain maintenance activities associated with Stonybrook Creek that are cur- rently being followed. These items were placed in letter form since the. attorney felt that existing activities being performed should not 01 be included in the release. Since the negotiated settlement has resulted in a requirement to perform work that the City had offered to perform prior to the law- suit, it is recommended that the documents be considered for execu- tion by the City Council at the regular meeting of July 12, 1976. RNS/jm Attachments CARROLL, CRONAN, ROTH & AUSTIN, P.A. ATTORNEYS AT LAW 6OO MINNESOTA FEDCRAL OUILOIND (RANK X. CRONAN—(1912.197+1 SIXTH BTRCCT AND MARgUETTC AVCNUE GEOPGE S. ROTH RODEPT M.AUbTIN MINNEAPOLIS, MINNESOTA 55402 THOMAS A. fO57EP RICHARD W. SLINDC TELEPHONE (6 1 21 33S-4 273 HAROLD J. CARROLL. IRETIRED) July 8, 1976 Mr. Richard N. Sobiech Public Works Director 6431 University Avenue N.E. Fridley, Minnesota 55432 10 A MICHACL C. TIERNEY TIMOTHY W. WALDECK MICHAEL P. MCDONOUDH JOHN A. DOYLE PETER E. LIND Re: Our File L-1514 - Martin vs. the City of Fridley, et al Dear Mr. Sobiech: Please find enclosed a copy of the Release that has been mutually worked out between myself and the attorney for the Martins in the above entitled matter. you will also find enclosed a Temporary Construction and Work Easement with reference to the work as outlined in said agreement and further, a form of the letter that would be provided to the Martins to the effect of those things that are normally done by the City of Fridley and I would appreciate if you could have the appropriate signatures by City Officers relative to both the Re- lease and the letter I have included. Thank you for your cooperation. Sincerely, 17 rQZ Timothy K. Waldeck TINA '/J mb Enclosure 10B STATE OF MIN14ESOTA COUNTY OF ANOKA Charles Martin and Mary Martin, DISTRICT COURT TENTH JUDICIAL DISTRICT Plaintiffs, STIPULATION VS. AND RELEASE The City of Fridley and the Village of Spring File No. 36972 Lake Park, ` Defendants. -WHEREAS, Charles Martin and Mary Martin, herein after referred. to as the Martins, sustained damage to their property as a result of water damage on or about the 23rd and 24th day of July, 1972, and the 15th day of August, 1972, and the Martins have a lawsuit pending in the District Court of Anoka County, TeAth Judicial District, as set forth in the aforementioned title hereof for the recovery of damages and for said injury to their property; and WHEREAS, the Martins have been offered the sum of $3,000.00 on behalf of the City of Fridley and further, the City of Fridley has offered to perform certain work and furnish certain materials at the residence of the Martins at 133 Northeast Stoneybrook Way to include the following: (1) Backfill existing wood and concrete ties at 'said location and to provide the appropriate lining thereto. It shall be of plywood or that material which is deemed appropriate by the supervising officer; (2) Add additional ties for terracing immediately north of concrete ties already existing at said -1- a ,tu v location; and (3) Add two additional tie sections at creek level, one on the southeast side third section from culvert, and one on the northwest side. WHEREAS, the above is in settlement of the claims by the Martins against the City of Fridley and it is the desire and intent of the Martins to make settlement with the City of Fridley on that basis, but at the .same time to preserve the right of action against all other named Defendants in said caption, and non-parties ,which hereinafter shall include but are not limited to all individ- uals, corporations, or entities upstream of the Martins; and WHEREAS, it is recognized that the sum of $3,000.00 to- gether with the above described work at 133 Northeast Stoneybrook Way which the City of Fridley proposes to pay and perform in settle- ment, will only partially satisfy the amount of damages which the Martins claim to have sustained on account of the incidents in which they are seeking to recover in the alleged lawsuit, and the Martins are willing, as part of the settlement, to give assurances to the City of Fridley that in the event the Martins recover additional damages from any other named party to this action or non-party, the City of Fridley will not be subjected to liability for any part of the same through indemnity, contribution or subrogation. NOW THEREFORE; in consideration of the sum of $3,000.00 together with the labor and materials as stated above, the receipt and sufficiency is hereby acknowledged, the Martins and the City of Fridley covenant and agree as follows: (1) That the Martins hereby release and forever discharge the City of Fridley of and from any claims or causes of action, for any damages of every kind, nature and description, past, present and future, known or unknown, -2- AW L resulting from injuries sustained'by the Martins in the aforementioned incidents which occurred on the 23rd and 24th day*of July, 1972 and the 15th day of August, 1972, and as the result of any action or inaction by the City of Fridley with reference to the water flowing through the land above described. (2) The Martins hereby credit and satisfy that portion of the total amount of their damages which were caused by the alleged negligent and unreasonable use of lands a and waterways owned or controlled by the City of Fridley, for the providing of an inadequate or un- feasible storm sewer system, and any and all tress - passes by the City of Fridley or any unjust taking for public purposes without just compensation alleg- edly constituting inverse condemnation, if any, by the City of Fridley as may hereafter be determined in the trial of the aforementioned lawsuit or other- wise. (3) The Martins hereby release and discharge that fraction, portion or percentage of their total cause of action and claims for damages against all persons on account of said incidents which may hereafter be allocated in the trial of the aforementioned lawsuit or other- wise to the causal negligence, fault or wrongful conduct on the part of the City of Fridley. (4) The Martins specifically contemplate that this Release has the same effect as the releases used in the case ( of Pierringer v. Hoger, 21 Wisc. 2d 182, 124 N.W. 2d 106 (1963) . -3- (5) And for further assurances that the City of Fridley will not by reason of the pursuance of the Martins' claim against any other Defendants or non-parties be required to pay either directly or indirectly more than the aforesaid sum of $3,000.00 together with the work, above described with respect to the total damages recovered by the Martins for said incidents, the Martins hereby agree to indemnify and save the City of Fridley harmless from liability to the other named parties to this action and non-parties for contribution, indemnity or subrogation because of a determination being made in the Martins' aforesaid lawsuit or otherwise that the City of Fridley was • ;ti chargeable with a greater, larger fraction, portion or percentage of the Martins' total damages on account of the incidents that are represented by this payment of the aforesaid $3,000.00 and the work to be performed by the City of Fridley. i (6) The Martins do hereby agree the work as outlined above to be performed by the City of Fridley will be done so by the City of Fridley and under the supervision of City. Engineer Richard Sobiech and to his satisfaction; and at such time that a determination is made by the City Engineer Richard Sobiech that the job is completed, same will constitute total acceptance by the Martins. Said work will be completed not later than October 15, 1976 and further, shall be completed within 30 days after same is begun or as soon thereafter as is reason- able and feasible. The work to be performed by the ' City of Fridley is to be done in a workmanlike manner -4- 10 V and within the terms of this agreement. It being further understood that the work being performed by the City of Fridley is not guaranteed, nor warranted. (7) The Martins do hereby release and forever discharge the City of Fridley of and from any claims or causes of actions for damages of every kind, nature and description, past, present or future, known or un- known, resulting from injuries sustained by the Martins as the result of waters flowing through their land known as Stoneybrook Creek. -(8) The Martins hereby authorize and direct their attorney, Will Hartfeldt, to enter into a Stipulation of Dis- missal of their above mentioned lawsuit and on the merits without cost as to the City of Fridley. IN WITNESS WHEREOF, we have hereunto set our hands and seal this day of , 1976. In the presence of:' -5- Charles Martin Mary Martin City of Fridley STATE OF MINNESOTA_ COUNTY OF ANOKA CITY OF FRIDLEY This AGREEMENT entered into this A TEMPORARY CONSTRUCTION AND WORK EASEMENT day of , 1976.by and between Husband and wife, hereinafter referred to as the "Owners", and the City of Fridley, a municipal corporation, Anoka County, Minnesota, hereinafter referred to as the "City". WHEREAS, the City desires to do certain construction and maintenance work on the owners property, and WHEREAS, in the process of performing the aforementioned construction and maintenance work the City must obtain temporary easement rights over the property of the owner, NOW THEREFORE, it is agreed between the Owners and the City as follows: 1. That the Owners do hereby grant a temporary construction and work easement to the City over the North 50 feet of Lot 16, Block 7,. Pearson's Craigway Estates 2nd Addition. 2. That said temporary construction.and work easement shall remain in effect until October 15, 1976. This agreement 10 G i A TEMPORARY CONSTRUCTION AND WORK EASEMENT day of , 1976.by and between Husband and wife, hereinafter referred to as the "Owners", and the City of Fridley, a municipal corporation, Anoka County, Minnesota, hereinafter referred to as the "City". WHEREAS, the City desires to do certain construction and maintenance work on the owners property, and WHEREAS, in the process of performing the aforementioned construction and maintenance work the City must obtain temporary easement rights over the property of the owner, NOW THEREFORE, it is agreed between the Owners and the City as follows: 1. That the Owners do hereby grant a temporary construction and work easement to the City over the North 50 feet of Lot 16, Block 7,. Pearson's Craigway Estates 2nd Addition. 2. That said temporary construction.and work easement shall remain in effect until October 15, 1976. This agreement 10 H may be extended by mutual -agreement of both parties. 3. That the easement rights granted to the City shall include the right to enter said property to construct additional erosion control, including the filling of material along the creek walls, without further consent from the Owners of said property. • 4. That the Owners hereby relinquishes any right to any claim against the City for reasonable damage, in _connection with said construction and -work performed within the time limit of this agreement and that the City will replace any sod or vegetation destroyed or injured in the course of the work. IN TESTIMONY THEREOF, the Owners have set their hands and seal this Witness Witness Witness ' LVi.tness day of . 1976. Fee Owner - Husband Fee Owner - Wife Contract for Deed Holder - Husband Contract for Deed Holder - Wife 10 I TO WHOM IT MAY CONCERN: This letter is to provide that it is the custom and practice of the City of Fridley to provide railroad ties and fill dirt for repair at no cost to residents along Stoneybrook Creek when same is available to the City and for so long as same continues to be available to the City. Further, it is the custom and practice of the City of Fridley to remove large objects from the creekbed when provided with the appropriate temporary easement from the land owner and same will be done when warranted and within a reasonable time. SUBJECT City of Fridley li?YC3850 AT THE TOP OF THE TWINS BUIL DING PERMIT f r CE-IPTNQ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-660-3450 910-F15 10-29-76 JOB ADDRESS 133 Stonybrook Clay N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCA . 16 I 7 1 Pearson's Craigway Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles W. Martin 133 Stonybrook Way 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. § ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING sidential 7 CLASS OF WORK NEW 0 ADDITION EX REPAIR El MOVE 0 REMOVE El 13 ALTERATION 8 DESCRIBE WORK block repair 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, masonry VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $200 INIX .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE: PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.- 7.50 STRUCT N OR THE PERFORMANCE OF CONSTRUCTIO . PLAN CHECK FEE TOTALFEE. 60, 1/7 8.00 W EN PR PE Y I AT THIS IS YOUR PERMIT SIGINATURE OF CONTRACTOR OR AUTHORIZED WGYNT (DATE) C- rA / 0 - d�-? 6 -----I!rLOG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NAMEa r l eS tJ ► I&r t1 BUILDER: �Q 1 ADDRESS : J S�C� Yl V N r1 c� �-FJ a �z ADDRESS: r TEL. NO.: "L 72 P' NO: , STREET • AJ1Y Od #P LOT:_ BLOCK: I ADDITION: 16 4e !1 &d -2 A40-0 CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ® �t 16 c n Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: _ ��S% Estimated Cost: $ Z00, O -Q To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE: (See Reverse Side For Additional Information.) s 9. . SUBJECT PERMIT City of Fridley T AT THE TOP OF THE TWINS BUILDING PERMIT" .13 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ick PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-560-3450 1 910-F15 6/6/77 JOB ADDRESS 133 Stonybrook Way NE. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 I 7 1 Pearson's Craigway Estates 2nd Addn. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Charles W. Martin 133 Stonybrook Way N.E. 571-8770 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Palmer 1329 Gardena Avenue N.E. 574-1283 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 77 CLASS OF WORK 1-1 NEW El ADDITION 0 ALTERATION 11 REPAIR El MOVE El REMOVE x 8 DESCRIBE WORK Construct a 201 x 241 Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Provide 1i inch anchor bolts 6 feet on center. Contractor to obtain license within 10 days (by June 16th) or work will be stopped. Mote digging call local VON"- TELEPHONE - ELECTRIC •W Etc* SEPERM PERMITS REQUIRED FOR. WIRING, REQUIRED BY LAW HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 IHEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ' STALLS IGARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUAJT8, SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, 848 $5.42 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.- $25.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $30.62 SI AT E OF CONTYACTOR OR AUTHORIZED AGENT (DATE I VJHEN PINK VALIDATED THIS Is YUR PERMIT 0 Ai 0 PLD1, WSP ATE -61GNATUME OF OWNER (IF -OWNER BUILDEW) (DATE) CITY OF FRIDLEY. APPLICATION FOR RESIDENTIAL BUILDING PERMITS. (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: '( e �] BUILDER: �Lr 'aVkCj 'Pal M-&,-rN Address: 13.3 `on MP0_ Address: /3,.;a9 'Ta,l - 57 % —16110 Tel . No .: 7 41 No.: ._�1._3 Street: !�3ny6rooli 00y LOT: Ito BLOCK: ADDITION: -To ns 0'r- GW a CORNER LOT: X INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING ront: 20 Depth: _� Height: Square Feet: 4,80 Cubic Feet: S ® � Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: AJJ@bcrl Estimated Cost: $ To Be Completed: Alt. A All-. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side f r additional information. O6 DATE: May Q 8 a1177 SIGNATURE: Stipulations: P miry l e �sy _7ae6z BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings 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 repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount hereinbelow set forth and in the manner herein'provided to -wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $15.40 _ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 Per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: Permits for construction will -be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION r OWNER: [ hales. Martin DATE MA Y SITE ADDRESS: I 3 S*g:,rwhtaa".oY PHONE:1 IF til ��• %�Q CONTRACTOR: t t_-� INCJ ?at M e h Determine working square footage of each 1. Total exposed wall area...... ,'� sq. ft. x .17 = Z 17,0, 9' Y 2. Toal roof/ceiling area ...... 1ti J sq. ft. x .05 - 3 7 Total exposed wallarea above floor a. Total wal, ' ndow area. Ids b • Tot door are A'01 0� c. Total s Ing glass door area ...................... 0 d. Total fireplacea�r _ 0 , e. Total wall framing area (average 10%) .................. ;',', f. Total rim joist area .................................. (y �-o g. wall area above floor .......................... h; wall area above floor .......................... i. wall area above floor .......................... j. wall area above floor .......................... Total exposed foundation area = k. Total foundation window area ........................... 1. Total net foundation area above grade .................. Determine "U" value of each wall segment (e.g. window, door, each separate wall section) a. N! X fluff _ b. 00 X nu„ _ C. X "u" d. X nun = e. L7 X ..u..:, T_ f . X flu, v _ g. r X flu„ h. X "u" _ i X . "u" _ jx flu" _ p'. 01 4 if item #3 is the same as or less than item 41, you have met the intent of SBC 6006 (c) 2. k X fluff _ 1 X flull _ 3• ••. •..a.•o.s•••..s••••ra••♦.• Total if item #3 is the same as or less than item 41, you have met the intent of SBC 6006 (c) 2. Total exposed roof/ceiling area m. Total skylight area n. Total roof/ceiling framing area (average 10%)..., o. Total net insulated roof/ceiling area............, Determine "U" value for each roof/ceiling segment M. X foul* n. X "U" `9 =r27 o. X "Un � C)'q 4 ........................... Total = ti If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. 11OTE: Us02 0 opaque wall area for fre o ruction -1 G. #3 TOPVILM OF FRAM STALL 1---*,r_`=4� Construction 1. Interior air film R -Value 0.68 2. Total_ 3. jel41 ja e.5 ?— U • `7 4. Interior air 5. J s t& d 6. Exterior air film 0:17 1. Totalp 14334 Interior air film 13 0.68 2.1 eB 5. ✓ ! 4. e �as m1:yW%bC ,6" 5. WON Dt-1 a 6. Exterior air film n17 FIG, #9 1!( k • W :—;!/( NOT -0 Indicate type, "R" W11M, depth and Placement of insulation. Total_ jel41 ja e.5 ?— U • `7 1, Interior air film 0.68 3. 4. 5. ✓ ! �, 6. Exterior air film 0.17 Total 15-60 1. Interior air film 0.68 2. 3. 4. S. 6. Exterior air film 0.17 Total oe-r> P , IN FIG, #9 1!( k • W :—;!/( NOT -0 Indicate type, "R" W11M, depth and Placement of insulation. ROOr/CEILING Vented Heat flow up FIG. n5 J Heat flow up- Z. -vented• ..FIG. #6'.... rot; Hent £lova up • ' . PPG. 47 Construction R -Value 1. Interior air film 0.61 2: 3.��®® 4. Exterior air film (still) 0.61 Total A U . o 1. Interior air film 0.61 2. 3. 4. Exterior air film (still) 0.61 Total 1. Inside air film 0.61 2. 3. 4. 5. outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations 8 - SUBJECT City of Fridley ® 1422$ AT THE TOP OF THE TWINS BUILDING P E R M I T r CEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r � � SEC. 1 . � _--'� CITY HALL FRIDLEY 55432 IL %J NUMBER REV. DATE PAGE OF APPROVED BY ---- ik"y 612-560-3450 910-F15 7/19/77 JOB ADDRESS 133 Stonybrook Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 6 7 Pearson's Craigway Estates 2nd SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Charles W. Martin 133 Stonybrook Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Palmer 1329 Gardena Avenue North 574-1283 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct -a 12' x 4' Addition 9 CHANGE OF USE FROM TO STIPULATIONS SEpERATE PERMITS REQ RED Fpm WIRIN04 I�EA1' I� 4 Pui1 fr1G AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 1 STALLS GARAGES 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. y�`]-� OOO �`. SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 SIAIATURE OFC RACTOR OR AUTHOR AGENT > (DATE117155� q. � �EN OP L ' VALI BLDG. INSP ATED THIS IS YOUR E IT DA E SIGNATURE OF OWNER IIF OWNER BUILDE 1 (VAT93 LIT Y OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEM1ITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) %L J ► 'L rr, ',1L1 Address:/—J--'5 &VOL)AAddress: y No. 1,3 3 LOT: � CORNER LOT:_ Street: BLOCK: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: % Depth: _� Height: Square Feet: 1�' Cubic Feet: Front: Depth: Square Feet: Cubic Feet: Height: Type of Construction: Q 7Z� . . Estimated Cost: $ i ® ® e) To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: 19 1911 SIGNATURE: Stipulations: If J.>Cll (.. LJI 1f 1.7 1 t.. 1', I'1! 1 I 1.. 1, ., v111.. 1✓t+l. l.. SECT1014 2. The Inspector. of buildings shill., before i.ssuiny hermit:: for the crection of ilul� i;ui..tc1_iY.'i or ::iru :'._ui t , or for any ttrl3i.t-i<,r, tr, any ox 1::la nrt Luildi;, jl or strta .ttn r , or 1 -or rai,y alLc:a:atic,n or r,.j,c.ir : to any czj.'Ain(7 '.)ui.1cli_n,3 or rtructut.e, upon appl.ic :,ti.on therefore, rc<c{ui.re the payint:nt by the applicant for such Lll.rvi it- of fees to the am,.'unt heroin below scat forth and in Uic mariner iicrein pr.ovidud to -wit: NEW C011STRUCTION: Single I zunil.y Homes and Garages: $4.00/1,000 cubic fcet. PLA14 CHECK: 25 percent of I,uilding permit fee. DR VFWAY DEPRESSI:OId: (Concrete Curb Streets Only) Al.tcrnrltF. A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet r. $11.75 Alternate y: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $15.40 ADDITIONAL I NFORI",IAT I ON For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of'Occupancy has been issued. July 18, 1983 Mr. John Flora, City Engineer City of Fridley City HaLL Fridley, Minnesota 55432 Dear Mr. Flora: Permission is hereby granted to the City of Fridley to come onto the property at 133 Stonybrook Way N.E. in order to remove the gabbions which were destroys y the flow of water in the creek at the rear of the property. This permission is based on the premise that no Large or heavy machines or trucks are needed to complete the job. Please contact me when you plan to do the work. If large or heavy machines or trucks are needed for this job please cell me to discuss entry and exit to the property. Yours truly, Mary . K. a n 133 Stony oak Way N.E. Fridley, Minnesota 55432 571-8770 571-5300 ,.-'c no : COUNTY OF ANOKA Office of the County Board of Commissioners COURTHOUSE ANOKA, MINNESOTA 55303 612-421-4760 44itr jt� PAUL WCARRON Anoka County Commissioner March 29, 1988 District N6 - Fridley Spring Lake Park MEMO TO: Paul Ruud, County Engineer Chairman, Highway Committee FROM: Commissioner Paul Ruud SUBJECT: Culvert - Stonybrook Creek I have had a communication from a resident of Fridley whose name is Mary Martin of 133 Stonybrook Way. She tells me that the Stonybrook Creek culvert running un er Last River oa was damaged last year. At this time there is no evidence of repair. I need to know what responsibility Anoka County has in this matter. — Paul McCarron P M:pae cc: Councilman Ed Fitzpatrick Mayor Bill Nee `City Engineer John Flora Office: Suite 103 Commerce Park Office Building, 7362 University Ave. N -E., Fridley, MN 55432 - PHONE: 571-7976 Affirmative Action / Equal Opportunity Employer City of Fridley TO: William W. Burns, City Manager FROM: John G. Flora, PPublic Works Director DATE: September 18, 1996 ' -L o'(L-n 0 - SUBJECT: Mary Matthews Complaint PW96-195 �-I Kazr-, s) Councilwoman Jorgenson gave me a note from Mary M : ew-s who resides on Stonybrook Way in regards to the easements that we obtained from her for the improvement of Stonybrook Creek. Attached is an outline of the easements we requested, one being a 30 foot permanent easement for the pipe and other one being a temporary easement in order to fill her property. I have also attached the executed easement that was .recorded at the county. . If there are any questions regarding this issue, please let me know. JGF/jv Attachments suaJEcr PF�'�=� :_ City of Fridley � � ,� 4 U AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ____�_ COMMUNITY DEVELOPMENT DIV - PROTECTIVE INSPECTION SEC r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 �'' 612-571-3450 910-F15 5/29/96 JOB ADDRESS 133 Stonybrook Way NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 7 Pearson`s Craigway 2nd I Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Martin 133 Stonybrook Way NE 571-8770 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Whitetail Construction 7435 Oakley St NE, Fridley, MN 55432 783-9519 40626 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (17 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. ti TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 1 STALLS GARAGES 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 $.68 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,360 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $45.75 Fire SC $1.36 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FE OTAL FEE Licens SC . 00 i $52.79 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)92P RLY A ATED THIS IS YOUR PERRMIT SIGNATURE OF OWNEROF OWNER BUILDER) IDATEI MATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMELY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: '44 aJle Effective 3/1/96 Mm� Legal Description: r� Owner Name & Address: 1*9-r-AIA Tel. # 5-7! — 8`7?6 Contractor: �a`�� �'���f-�,��f,(�� MN LICENSE Address: `'7Y" eekley ��� . 25rid l V V. Tel. # -75r-3- Attach -3- Attach to This application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il"ROVFAIENT LIVING AREA: Length Width Height Sq. Ft. /l® GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: - Width Hat/Ground Sq. Ft. OTHER: Corner Lot Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: q (Cost: on Back) Driveway Curb. Cut idth Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ f- 3 .001 of Permit Valuation (1/10th%) State Surcharge $ j $.501$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ 5-,00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $�9 STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $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 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 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. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes JOB ADDRESS__11 33 STONYBROOK WAY �=6 The undersigned hereby makes application for a permit for the work Rate TOTAL herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares $.0.00 $30.00 that all the facts and representations stated in this applicatio ar true and correct. � � ,199 $10.00 $10.00 OWNER MR CHARLES MARTIN $10.00 $ $10.00 $ All Others/Repairs & Alterations (LIST -ON BACK) 1% of Value of Appliance or Work Commercial/industrial I% of Value of Appliance or Work State Surcharge TOTAL FEE 1 BUILDING USED AS RESIDENCE ESTIMATED COttc 900.00 PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER �Q6'� 4✓ C+=�'it �. �� a $ No. of Heating Units Circle One (Steam) (Hot Wate (Warm Air) Trade Name SLANT FIN Size No. 12 0 BTU 120,000 HP EDR $ Fuel GAS Total Connected Load 112, 0 0 0 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. .50— Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed ING &AIR COND INC. 786-5530 Approved By Kq Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (x) No ( ) 2. Is free from rust or deterioration Yes (x) No ( ) 3. Has no foreign objects lodged within Yes *x) No ( ) 4. Is securely supported Yes (x) No ( ) 5. 6. Meets all current Code requirements for size and total BTU's connected Has total heating BTU's of188,000 btu All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY NEIL HEA NG A AIR, COND INC Signed By (==::�Z Date 12/28/98 Yes fx) No ( ) SUBJECT City of Fridley .I 2 � 9 3 '13 AT THE TOP OF THE TWINS BUILDING PERMIT RE NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f PROTECTIVE 1 . � CITY HALL FRIDLEY 55432 NUMBER NEv O TE PAGE OF APPROVED BY L J` 612-571-3450 910-F15 JOB ADDRESS 133 Stonybrook Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 7 1 Pearson's Craigway Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles Martin 133 Stonybrook Way NE 571-8770 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Affordable Window Systems 9309 L ndale Ave S, Bloomington, MN 55420 881-5325 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20106910 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION J7 REPAIR O MOVE O REMOVE B DESCRIBE WORK Install two replacement windows 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of the house. SEPARATE PERMITS ARE REQUIRED 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 ZONING SO. 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES 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 $2,700 $1.35 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. Fire SC $2.70 STRUCTION OR THE PERFOR NCE OF CONSTRUCTION $74.75 PLAN CHECK FEE TOTAL FEE '/ - :��g &I—'�,� License SC $5.00 $83.80 SIVCATURE OF CON' ACTOR OR AUTHORIZED AGENT ,DATE, WHEN PROPERLY LIGATED THIS IS YOUR PERMIT _ '9 _q, zv BLDG ASP gAiE S,GNATURE OF OVVNERoF OWNER BUILDER, ,DATE, NEW ADDN ALTER ConstructionAddress: Legal Description: Owner Name & Address: Contract Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/99 Tel. # ENSE# aD!Q (e-7/0 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IldPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ '4'-100 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: S Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 66a 2-� 2 3 -- g� BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or "repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit) TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,400 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 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 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. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1998 PLUMBING FIXTURE RATES: NO. RATE TOTAL e � l � New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ JOB ADDRESS 1j,3 E576011V,Dro The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. J 1111 , 1998 Owner Building Used As___Iq 0 M P Estimated Cost ��� =� PERMIT NO._ PLUMBING COMPANY ® Lo %'i e -r SIGNED2;4�,"El_ N�/ Approved By Rough—In Date Final Date PINJ MINIMUM FEE FOR ANY PLUMBING/GAS PERM6 13 $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. -1a-7.q� BUL�.C�1ng BUILDING , a �See Back Page for Fee Schedule P;.t Inspections RESIDENTIAL APPLICATION Fire Surcharge v R7ateiVR 763-572-3604 CITY OF FRIDLEY $ D DATE YOUR E-MAIL ADDRESS $5.00 (State Licensed Residential Contractors) srrEADDRESS >S oi'dd/S /V6' $1550 per SAC Unit (Plans to MWCC for determinati > ) Curb Cut Escrow $ ft a- 6 ft = ft x $21 = $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: ��Q f I e f 0i � �� n Fee Determined by Engineering ADDRESS: -CITY ST TENANT Total Due PHONE.�%c3 0/1 — Mahe checks payable to: City of Fridley Alt ch CONTRACTOR NAME: g Ond u. THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED STATE LICENSE #_ per EXP DATE 5110 A SUBMIT A COPY OF ADDRESS:)-IP'17 Manar,W CITY ` SCOUR STATE LICENSE WITHAPPLICATION Z `3. FAX t067' "/ �% PHONE (��/ f PROPERTY TYPE 0 SINGLE FAMILWNEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑,GARAGE/SHED ❑ WINDOWS 0 DRAIN TILE ❑ BASEMENT FINISH /RROOF 13 DECD SIDING O OTHER 0 SWRWM NG POOL TYPE OF WORK:[I� ADDrrION ANC 4kEPA1R 0 REMODELING 2a- v p al?el rel eo DESCRIBE WORK BEING DONE: 7 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT ROO G ❑ HOUSE ONLY NUMBER OF SQUARES E3 HOUSE & GARAGE BASEMENT REMODELI _ 1. Existing Floor 1 GARAGES ❑ ATTACHED GARAGE 2. Proposed floor PROPOSED SLZE: 0 DETACHED GARAGE 3. List of structur. PROPOSED HEIGHT: FOR NEW CONSTRUCT SIDING o vhryl ElSoflit ADDTTIONS & PORCM Q Aluminum ❑ Trim 1. Site Plan/Surve and proposed p Q Otw D Fascia 2_ Two sets of cot WmOWs 3. Energy Calcula INEXISTING OPENINGS QYes L7No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ♦ATf1 ILS A gM*DT ALL kL'EN AKk. ]JANE'!) VPI YAJ.UAI1VI4, L`II.I.UAl1U."v 1 (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 3 F Q 7, 0 ® OCCUPANCY TY] .1 E ZIP So. Ft. i SUBMIT: it 1 wrobers to be used 1 INCLUDING DECKS, iUBMrr: howing the existing structures xt. action plans 'is 11 S; Permit Fee $ , a �See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ _ — .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determinati > ) Curb Cut Escrow $ ft a- 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 0/1 — Mahe checks payable to: City of Fridley Alt ch 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; iat the work will be m conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; the r '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 aco ,i lance with the approved plan in the case of all work w c requiresriev . d approval ofplans. ' SIGNATURE OF APPLICANT -PRINT NZ &/'I a J_DATU _ � 4' CJ