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pre 2010 docsSadEGT Permit No. {��..jj CRY AT THZ TOP OP THC TWINS \ Ra PLUMB111 G PERMIT APPLICATION b -------- CO"HWITY DEWL 4EWT ON, [ 1 PnOTeCTIVL 0,1111-"ZCTIOM MPT. CITY HALL MUD1.4Y Off'M -Gel ^300 hkw—,;A Aqv. BY (B$ l0 - 1R . 1 0 12/15/73 1 1 800 Job Address C9 0/1 w ner Address Phone e –' "Woo� Contractor Address Phone g9oee& �/A- ® ZAv0o,& Find of Building Use Completion Date11-stimatedCost o® f I. ► I Rates: Plumbing Fixture Ra; p�0. RATE TOTAL I -� o 0 _j It,. W _f i i Number Fixtures x $2.00 Future Fixtures x $1.50 C' 4 1.50 New Fixture -Old Open. x $1.50 0 iddtll ® Catch Basin x $3.25SWO i illi Water Heater -99,000 BTU x $3.00 3-06 1 •791W1 I Ground Run Old Bldg. x $3.25 Saa, { 'MNIV2,� I I I Elec. Water Heater x $2.00 I SNISvS H71VJ1` 1 1ltf ! 1 I) k�i _ Gas .Fittin.g Fees- sNlvaol �I .0 o I I 1st 3 Fixtures x $2.00 o a 10 V SU31AOHSI ( I I I Additional Fixtures .75 x $ ®° _ •iNnoa I xwlxa I I I I Gas Range -n1999000 BTU x $5.00 �q HSVM a Repairs &Alterations i _I See sHwlsl �� IA I Description: Code d I I State Surcharge .50 swlev®) I % JD I TOTAL FEE $�: I I Hsani :e•s ` I' The undersigned hereby makes application for a permit 9,ewla°I I I I for the work herein specified, agreeing to do all work �+; In strict accordance with the City Ordinances and ruling M31VM� I �I ' I of the Department of Buildings, and hereby declare that - — i all the facts a-nd representations stated in this a application are true and correct. r c� Vl � J � '-.2 Z / `Signature Date �_ I . City ®f Fridley 4T THE TOP OF THE TWIN$ ------ COMMUNITY DEVELOPMENT DIV, i PROTECTIVE INGAKCTION DEPT. 1 CM "LL FRIOLKY 004IR �- -jJ 44-600-3W 53-811 -s-915.51 iup'JECT ss 201 N. 7. Sylvan Lane PLUMBING, PERMIT APPLICATION -••---- Aaaress Phone Rodney B. Hogetvedt Contractor 4;r '_,Addeess Phone MCNNID7ASCO MPLS,, MG6q6a9. Kind of Building Use Frame Res. Completion Datestimate Cost 5-21-7�� 10.00 Plumbing Fixture Rates: NO. RATE TOTAL FI j` — Number Fixtures j x $2.00 -- --j' n l i II I� Future Fixtures x $1.50 eve New Fixture -Old Open. x $1.50 O! ,ddrl Catch Basin x $3.25 Qro + i f Water Heater -99,000 BTU x $3.00 'DSIH I Ground Run Old Bldg. x $3.25 •MNlval m Elec. Water Heater x $2.00 SNISVO I��fffQQQ ft 1II � a i Gas Fitting Fees: io C aNraa l I aoc,ae , 1st 3 Fixtures x $2.00 (i u !o,s l saaMONSI I I I I I Additional Fixtures x $ .75 � •1NflOdl I � I I � >1NIaa Gas Range -199,000 BTU x $5.00 V sAvaa NsrM ... Repairs & Alterations See s�N181 I I I I Description: Install Gas Grill Code 5.00 c3 iNle1lYl 1 I I I I State Surcharge r� , Class ` A - Surcharge ,500 .50 I I I TOTAL FEE $ 5.50 Have I ► slrNla" !The undersigned hereby makes application for a permit I I I I for the work herein specified, agreeing to do all work �ae>son in strict accordance with the City Ordinances and Tulin gJ a�a�M I I 1 of the Department of Buildings, and hereby declare that all`the facts and representations stated in this application are true and correct. Iva "-Sign atu Date City of Fridley SUBJECT P 12361 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 10 1 JOB ADDRESS 201 Sylvan Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 1 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rod Hn evit 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lee -Do Construction Company 8430 Laddie Road N.E. 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 DESCRIBEWORK Construct a 54' x 40' Dwelling and a 22'. x 20' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a. verifying survey before capping. REQI�IRED FOR 1�tiR1N��. �P .1. E pER`MITS SIGNS.. "EATING, MUMBING AND 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R_1 26,960 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $21,952 10.98 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- CONSTRUCTION. $50.00$275.00 STRUCTION OR THE PERFORMANCE OF �` %G''17 PLAN CHECK FEE TOTALFEE V 1„�'" 1 5.98 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT )DATEI HE PROPERLY VALIDATE THIS !y YOU PERMIT 2•' BLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DAT oil I APPLICATION FOR RLSIDENTIALP ALTERATION, OWNERIS NAME OR ADDITION BUILDING PERMIT CU11' OF 1-)"JDLI Y, MINNESOTA ADDRESS: ADDRESS: NO.*. C,? ®o STREET:— Z-IqKJL AJ -e, LOT, 13LO K ADDITION: CORNER LOT INS INS IDE. LOT: SETBACK: .3 SIDEYARD; Applicant attach to this form Two Certificates of Survey of Lot and proposed buildirig location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: —Front: Depth: C- 6) Height: re), J� -1 /DA Square Feet: Cubic Feet: C 1-f e-0 Depth: Height: Pnt /0 Square Feet; Cubic Feet: - Type of Construction: LV,,fa L2 Estimated Cost: j To Be Completed: 4— -- The The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stticL accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that ill the facts and representations stated in this application are true and corrt-ct. 4 2 3 1, , �r DATE: 0 - - SIGNATURE: (See Reverse Side For Additional Information.) l] BUILDING PER1,11T FEF. SCHEDULE SECTION 2. The Inspect:)r 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 ._iny ,41terati.on 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 -edit: UNIFORM BUILDING CODE: Type 1, 2 & 4 -- $2.15 for each onu thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. 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 $5.00. VERIFICATION OF FOUNDATION NOTEI Permits Lor 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OI' OCCUPANCY Application for a Certiiicate 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. LandPlanning 6whi LandSurveying ee�i Soils:Testing �J Civil Engineering Municipal'Engineering Engineers & Surveyors Certificate of Survey for I JOUCILhAs k/1GL I± 6875 Highway No -65 N.E. Minneapolis, • Minn. 55432 Telephone 784-6066 Area Code 612 CONST, CO. n 5cu I =-3o Njio�s iron rnanuo vn� Lo -T 10, BLOCK 2, SYLVAN PPL&; 41 A 10ka to Lill I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all buildings, thereon, and all visible encroachments, if any, from or on ;aid land. As surveyed by me this_le-' day of ill-± A.D. 19jj. SUBURBAN ENGINEERING, INC. Engine a , Sylry r bc y �;{..;t4. ...�` m 1 le c City of FrIeffley Permit No. �2:0 AT THE TOP OF THE TWINO r P. AXI 1 1.4 HEATI.NG PERMIT & i APPLICATION 16_-._-__, COMMVNITY DEV9LOPMENT DIV, POOTECTIVZ V!:P9CTI014 MPT. CITY HALL FRIDLEY MZ:32 N1_w_ZR nev, ®ATE _A �noVE0 0y 910-1717A 0 2/15/73 1 1 800 Job Address Owner ;5-V Aress Phone Contract ;�qk dres-7 d Kind of i ldl_ng Use Comp etion Date _I� sty e ost /V o GRAVTTY WARM Ain: RA T Heating/Power Plants Furnace Shell & Duct Work $10.00 -4 Steam Hot Water Warm, Air Replacement of Furnace 6.00 Repairs & Alterations—up to $505.00 6.00 Trade Name Repairs & Alterations each add. $500.003.00 Size No. MECYL WAIMI AM Capacity Sq. Ft, Furnace Shell & Duct Work to 120,000 BTU ...... . ..$10.00 EDR BTU 0 Ton. each add. 60,000 BTU ................. .. 3.110 Total Connected Load Replacement of Furnace .. . .. ..... Repairs & Alterations.—up to s300.00 SM 6.00 Kind of Fuel Repairs & Alterations each add. M0.00 3.00 Burner STEA14 or HOT WATER SYSTE11 Trade Name Furnace Shell & Lines—to 400 sq. ft. FMR Steam $10.00 Furnace Shell & Line—to 640 sq, ft. EDR Hot Water 10.00 Size No® Each add. 200 sq. ft, EDR St"m Capacity Sq.Ft Each add. 320 sq. ft. EDR Hot Water M EDR BTU Ton. OIL SUBNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to IS3,M BTU) 5.00 $ w'rer IMOM = See reo schedulz GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $ Additional Fixtures X .75 $ Gas Range to 12-19,0M AIR C016"DITY0111.170 FAN MATM70 SYSIM4 VENTILATIVIG SYSTEM ALTERATIONS & REPAIRS ROUGH. rimu, 7171 $ "A .50 State Surcharge Be* Fee scmdtda TOT.A,L r= 0-u-burban Air Conditioning Co. 8419 Center Drive Minneapolis; Minnesota 55432 Signature M r HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V. Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No I Yes—No 19_ Kind FLS Length Widtheight II Room Windows and s— g Cracka a and Area Windows and Doors -4 ! otal 13tu. Required P. ft. E.D.R. or sq. ins. W.A. Leader area % Fl.l Room I Length l ay Width 1/ Height Windows and Doors---Crackage andArea „r.a,., Width HeightNo. of Lineal ft. Area No. of Dane of pane Ilghts of crack sq. ft. Width .Height No. of Lineal ft. Area No. of pane of pane lights of crack sp. ft. s 91- C) C? e :�L Coef. Btu Infiltration Glass Net exp. wall Int. wall Glass Exp. wall Ceiling Net exp. wall P. Net exp. wall Int. wall Int. wall Floor Ceiling Floor ! otal 13tu. Required P. ft. E.D.R. or sq. ins. W.A. Leader area % Fl.l Room I Length l ay Width 1/ Height Windows and Doors---Crackage andArea „r.a,., Width HeightNo. of Lineal ft. Area No. of Dane of pane Ilghts of crack sq. ft. in Width Height No. of Lineal ft. Area No. of pane of pane Ilghte of crack sq. ft. 91- Net exp. waU TM 04 1 0..70,5' -Coef.1 Btu Infiltration , ja Glass Exp. wall Glass Net exp. wall Int. wall Exp. wall Ceiling Net exp. wall P. Floor Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area a ry 1 � I r .2 t w — v■ o ..r • �� . • _ --1 49,64,r ,..,..... I,.�..a... .r..,.,, „r.a,., Windows and Doors—Crackase and Area in Width Height No. of Lineal ft. Area No. of pane of pane Ilghte of crack sq. ft. 91- Net exp. waU TM 04 1 0..70,5' Coef. Btu Coef.1 Btu Infiltration Ceiling Floor Glass (� Exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Net exp. wall P. f zh 1 Y ZY n__— 11 __—L I" .w/:5.2 / Int. wall Ceiling Floor Tntal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area No. Insulation How Applied Width Height and Area seal ft. Area crack eQ.ft. Coef.1 Btu Infiltration ` -W= Glass in Exp, wall Net exp. waU TM 04 1 0..70,5' Coef. Btu Int. wall Ceiling Floor Total Btu. C� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area G f zh 1 Y ZY n__— 11 __—L I" .w/:5.2 / LI—:..L. ...I ... «0.. WincYows and Doors—Crackage and Area ` -W= Width Height No. ofLineal ft. Area No. of pane of pane lights of crack sq. ft. in Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling G Floor Total Btu. 579 L2 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 9 F1.1 , or R..1 Length J11 Width i6 Height Windows and Doors—Crackage and Area 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. .fes Coef. Btu Infiltration % Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. h. E.D.R. or sq. is. W.A. Leader area BROOKLYN PRINTING 8 ADV. CO. 560-3450 City • +.yet,. {, r ANOKA COUNTY 41 t 6431 UNIVERSITY AVENUE NE March 25, 1974 FRIDLEY, MINNESOTA 55421 Lee -Do Construction Company 7837 Madison Street N.E. Minneapolis, Minn. 55432 Re: Verification Survey Dear Sirs: According to our records, your home being built at 201 Sylvan Lane N.E. on Lot 10, Block 2 , Sylvan Hills has not been resurveyed since your foundation Was completed. If you have a copy of this required survey in your file, will you please forward a copy to us. If you have not yet had the survey made, please -let this be a reminder to you that these verification surveys are a City requirement and that they are essential to meeting the City Code. We hope that this matter can be taken care of within the next 15 days so that more drastic steps will not have to be taken to gain compliance. If you have any questions, please feel free to call me. Sincerely, 33MR51f G. CLARK Community Development Adm.. DGC/mh 97-91,416051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PEPMIT PARTIAL RATE SCHEDULE PLUaffiING FIXTURE RATES: NO. ba[ TOTAL Pumber Fixtures x $3.00 o Future Fixture Opening x o $ Water x $2.00 m64 Catch Basin x $5.00 • [.+a °/ ap $ mgO x wN $ Water Softener Heateru $7.00 Ob ci .i C x $5.00 m Electric Water Heater a ; $ q iwNt 1st 3 fixtures l�l '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 ETU -4 % $10.00 C N •-4 O 2 Nd 13 tll each add. $100.00 or fraction rO -i .04 U $ qa 3 14 fn wUen M a 3 o as leo 1st d e 2nd 3rd 4 th (F) n Future Connection Opening Connected with Sewer f•) - New Fixture, Old opening Water PARTIAL RATE SCHEDULE PLUaffiING FIXTURE RATES: NO. RATE TOTAL Pumber Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 • $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Pan Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 ETU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ ,50 TOTAL FEE $ 8.00 REI27.rpE�Ir�.7 FE? Job Address 201 Sylvan Lane Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. -22-78 , 19 OWNER Ho etvedt KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 5-29-78 ESTIMATED COST 20.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. G� Company Signed By MINTXGA$Co Tel. No. ROUGH INSP. �y Date ss� FINAL INSP. ® /® // Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT I3 $7.50 pLUS $.50 STATE SVRCMUt= Effective Uate May I, 1988 • . CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT m° m too, r Mp� ESTIMATED COST._ 7Sf) PLUMBING FIXTURE RATES: N0. � � r4 .4 t" OLD - BUILDING PERMIT NO PEPJUT NO. New Fixtures Water Heater 5.00 $ .4 Future Fixtures m 1��( H b Old Opening, New Fixture $ a r. N po', �gg Beer Dispenser Blow $ 4.00 S Tel. Minnegasco #342,6337 I O y+ J-1 U q ra .1:1 O O B N $y} 4y1 N $ N M ROUGH INSP. �e �� 5 .1165 Valve $ c�11 v !�1® W t� ai 3 a wo to w u M a 3 FINAL INSP. /y Hot Water Heater $ .0 sol as lec Haar— $ 10.00 $ Gas R5W Fireplace one $ 10.00 $ 15,00 APPROVAL FOR PERMIT lst F-LejLlai e 2nd 3rd 4th (R) Future Connection opening Connected with Sewer (*) New Fixture, old opening Water Job Address 201 NE Sylvan Lane Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 23 Nov 89 19 1- OWNER 'Rodney B Hogetvedt #571177 KIND OF BUILDING Frame USED AS R P S TO BE COMPLETED ABOUT 23 Nov 89 2:1 RATE SCHEDULE ESTIMATED COST._ 7Sf) PLUMBING FIXTURE RATES: N0. RATE TOTAL OLD - BUILDING PERMIT NO PEPJUT NO. New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ naa pan Old Opening, New Fixture $ 1.50 $ Signed By mMWIROAM• Beer Dispenser Blow $ 4.00 S Tel. Minnegasco #342,6337 Off Basin$ 5.00 $ No. Catch Basin $ 5.0070U $ Vv. L"'U011 ^ 0. 11165 Rain Water Leader Hydraulic $ 5.00 $®®i�� ROUGH INSP. �e �� 5 .1165 Valve $ 5.00 $ !�1® Sump or Receiving Tank $ 5.00 $ Date Water Treating Appliance $ 7.00 $ FINAL INSP. /y Hot Water Heater $ 5.00 $ Date Gas Range $ 10.00 $ Gas R5W Fireplace one $ 10.00 $ 15,00 APPROVAL FOR PERMIT Back Flow Preventer Required. . . yes ( ) No ( ) Type $ 5.00 $ ALL OTHIrRS AND/OR REPAIRS AND ALTERATIONS 1s of value of Fixture or Appliance $ Reinspection F"e $ State Surcharge $ .50 ($15.00) TOTAL FEE $ 15.50 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE MEMORANDUM TO: William Hunt, Assistant to the City Manager FWK:. Paul Lawrence, Public Works Superintendent DATE: January 21, 1994 SUBJBCT: 201 Sylvan lane Sewer Problem I had Jim Brindley research sewer stoppage reports to determine the frequency of sewer backups at 201 Sylvan lane. Records indicate main sewer line stoppages occurred on April 19, 1983, January 10, 1988, and January 16, 1994. Sewer Stoppage reports are attached. Records also indicate that the main was cleaned August 31, 1989, in conjunction with a sewer service replacement at 6240 Jupiter Drive. SEWER STOPPAGE 4DDRESS Rodney Ho etvedt 201 Sylvan Lane 571-1177 DALL RECEIVED BY Robert Small DATE 3REW LOCATION WHEN NOTIFIED Home TIME EQUIPMENT TAKEN TO SITE . Truck & jetter 1-16-94 9:30 a.m. CAUSE OF STOPPAGE Unknown. Set up ietter at manhole going Lift Station, 350' to Sylvan and Jupiter. into Sylvan TIME STOPPAGE RELIEVED 10:•20 a.m. DESCRIBE DAMAGE Entire basement had about one inch of water. One room tile floor. One room 101x12' carpet. NN 0 NOTE ANY STATEMENTS MADE REGARDING DAMAGE OR POSSIBLE CLAIM Homeowner was not happy that cleaning service could not come out right away.' CREW AND HOURS Robert Small and Greg Kottsick - 2 hours each. ►NS -.City. of Fridley SUBJECT AT THE TOP Of THE TWINS f 1 SEXIER STOPPAGE i L-------INTER-DEPARTMENT REOUEST 1 PUBLIC WORKS DIVISION 1 ---� CITY HALL FRIDLEY 55432 612-560-3430 NUMBER REV. DATE PAGE OF APPROVED BY SEWER -STOPPAGE ADDRESS�iJ DATE CALL RECEIVED BY �j�iC-� = Y AT 1d,* 3 A (AM (PM) CREW LOCATION WHEN NOTIFIED_ /�/ �_5 EQUIPMENT TAKEN TO SITE CAUSE OF STOPPAGE TIME STOPPAGE RELIEVED DESCRIBE DAMAGE (IF ANY)NO pc, r�ly J% �J f 7 014 NOTE ANY STATEMENTS MADE BY CREW OR HOMEOWNER REGARDING DAMAGE OR POSSIBLE CLAIM 111ds7' /9.r'= Sif� 7o- D 'i7 i , CREW AND HOURS Ijz-9-1Jr' y "A i SEWER BACKUPS 1980-1988 Page "1983 4 -7_T 6580 Hickory - wouldn't let crew in to check for damage - unknown if claim e 5-10 5336 NE 6th - 7-1/2" of water - City hadSy er�v cemaster clean basement 12-31 7509 NE 46 - water in unfinished basement - said no damage 1984 1 5734-5735 Jackson St. - samll amount of water - no damage 4-4 Office building by City Hall -.8" existing line from east blocked off by concrete during new. construction 4-9 6951 Old Central (Medtronics) - no damage 7-8 290 - 61st Ave. - water in basement - unknown if claim 11-22 6201 Sunrise - small amount of water around floor drain - unknown if claim 1985 2-4• 6459 NE 5th (Village Green) - small amount of carpet in 2 apts. wet - care- taker said no problem 2-25 Lafayette - wet basement - no damage 2-25 7698 Jackson - wet basement - no damage 4-17 7090-7101 Highway 65 - 7101 garage floor & electrical shop wet & 7090 carpet wet - unknown if claim 4-28 6341 Jefferson - water on floor - unknown if claim 7-23 6424 Able - 1" of water. - wanted to be reimbursed for 2 sewer cleaning companies bills & have basement cleaned 9-18 6675 East River Rd. '= 1-2" water, wet carpet & misc. - City sent Servicemasters out, they refused service & said they were going to sue • 3-18 290 -61st & 6061-6071-6073 NE 3rd - minor water damage - Servicemaster cleaned 290 -61st & 6073 -3rd 3-24 614 Cheryl - 2" water, wet carpet etc. - called Servicemasters - unknown if claim 5-19 70 NE 70th Way - wet floor &misc. - called Servicemasters - probably made claim 10-1 7436 McKinley - no damage 10-3 6270 N.E. 6th St. - no damage 10-7 6270 N:E. 6th St. - no damage 10-16 5310 NE 4th - water in basement - Servicemaster cleaned up $360.72 12-4 5606 NE 4th - no damage 12-28 281 NE 67th - Churchill Sewer cleaned out sewer line $60 1•:l 3-26 6675 East River Road - floor & carpet wet - Servicemaster cleaned $225 - unknown if claim 3-31 6631 Channel Road - wet carpet - Servicemaster cleaned $201.08 - unknown if claim 4-29 6170 Carol Dr. (also W. Moore Lk. Dr, Carol Drive & Circle, Van Buren, Baker, Able, Mississippi & Jackson) caused by Jr. High emptying 1/4 of swimming pool into sanitary line 12-13 590-600-610-615-617 Hugo - Servicemasters cleaned - average cost $225, except for 617 - they complained/had to do over cost would be over $500 1988 1-10 201 Sylvan Lane - 1/2" water - Servicemaster disinfected & deodorized i t 1 +. t�1 �: w F�- ri .S�f t., � 11/�i"rra '•r. j ('�� .yt..{`' / M4''�... •. �T ,'1•'l irYi;'�'�W .}r^t�w{►�'1i'I.,t"Ii�1L 4 .?jE r�lT� •t !T.1 ti y t77i►�'�}r ��1 y.�l Fri �tj�p,7fF!'xh �. i.ti'j: ['7"ry tii.vA,, �; ('.l ILt.3„ .w� ••t F�.ly,rI ,'.'i �a i.0 Li1�L�.,?kkkI� �iw1r�,S.��{ta •.et ]+t1,r .av .} . o;.r. ..,r',.. ..+r�iJ >ri•. 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IF r+ , ' Y F T.c r erM� }- 'T, ":F� G r. r.l / •R 11 c 1. 7627 East River Road 1-31-89 2. 1564 Gardena Lane 4-20-89 3. 123 Talmadge Way 4-24-89 4. 5885 Tennison.. 5-1-89 5. 740 Kennaston Dr. 5-16-89 6. 6711 Madison Street 5-17-89 7. 6361 Jefferson Street 5-18-89 8. 5611 - 6th Street 5-23-89 9. 115 Craig Way 5-25-89 10. 5675 Jackson Street 6-29-89 11. 305 Longfellow 7-13-89 12. 5643 - 4th Street 7-27-89 13. 1061 Hathaway Lane 8-9-89 14. 1051 Hathaway Lane 8-10-89 15. 1091 Hathaway lane 8-18-89 16. 1050 Hathaway Lane 8-21-89 17. 1049 Gardena 8-22-89 18. 148 Horizon Circle 8-22-89 19. 5445 Horizon Drive 8-23-89 20. 143 Crown Road 8-23-89 21. 4537 - 3rd Street 8-24-89 22. 6261 - 6th Street 8-28-89 23. 6360 Washington Street 8-29-89 24. 6044 - 4th Street 8-29-89 25. 6034 - 4th Street 8-30-89 26. 645 - 57th Avenue 8-30-89 28. 7011 Hickory Drive 9-5-89 29. 450 Liberty Drive 9-6-89 30. 115 Talmadge Way 9-22-89 31. 640 Janesville 10-17-89 32. 515 - 57th Avenue 10-18-89 33. 800 Kennaston 10-23-89 34. 614 Cheryl Lane 11-14-89 35. 6000 - 2-1/2 Street 11-28-89 36. 6424 Pierce Street 11-29-89 37. 617 Hugo Street 12-1-89 1-4-90 19 8'i. MEMORANDUM / W//'V / 6 TO: William W. Bums, City Manager PW94-031 f/ FROM: John G. Flora, Public Works Director DATE: January 27, 1994 SUBJECT: 201 Sylvan Lane Sewer Backup On January 16, 1994, the resident at 201 Sylvan Lane experienced a sewer backup at approximately 9:30 am. It appeared that a stick had been lodged in the manhole, causing the backup. The stoppage was relieved at 10:20 am the same day. Service Masters was contacted to provide cleaning and disinfecting of the residence. On this extremely cold day Service Master was involved in a number of water breaks and was unable to respond immediately. They did, however, show up to clean and disinfect the property as their manpower became available. This home is serviced by a sewer line on Sylvan Lane which enters the manhole that receives sewage from two additional lines at the intersection of Sylvan Lane and Jupiter Drive. Our records indicate that over the last 10 years there have been three backups on the property: April 19, 1983, January 10, 1988 and January 16, 1994. This sewer line was last cleaned in August, 1989. There have been no indications of problems with this line since then. Information is not available as to the depth of the basement of the residence. It would appear that due to the amount of flow entering the manhole and the possible deep footing of this residence, any stoppage in the manhole will result in a backup of this property. No other properties in the past have been affected. W" MEMORANDUM TO: William Hunt, Assistant to the City Manager FROK: Paul Lawrence, Public Works Superintendent DATE: January 21, 1994 SUBJECT: 201 Sylvan Lane Sewer Problem I had Jinn Brindley research sewer stoppage reports to determine the frequency of sewer backups at 201 Sylvan Lane. Records indicate main sewer line stoppages occurred on April 19, 1983, January 10, 1988, and January 16, 1994. Sewer Stoppage reports are attached. Records also indicate that the main was cleaned August 31, 1989, in conjunction with a sewer service replacement at 6240 Jupiter Drive. LA I Y Ur t-HIULLY SEWER STOPPAGE ADDRESS Rodney Ho etvedt 201 Sylvan Lane 571-1177 CALL RECEIVED BY Robert Small DATE CREW LOCATION WHEN NOTIFIED Home TIME EQUIPMENT TAKEN TO SITE . Truck & jetter 1-16-94 9:30 a.m. CAUSE OF STOPPAGE Unknown. Set up jetter at manhole going Lift Station, 350' to Sylvan and Jupiter. into Sylvan TIME STOPPAGE RELIEVED 10:•20 a.m. DESCRIBE DAMAGE Entire basement had about one inch of water. One room tile floor. One room 101x12' carpet. r+r •iL -�- a�ti• crr. i 9,y - 9// y NOTE ANY STATEMENTS MADE REGARDING DAMAGE OR POSSIBLE CLAIM Homeowner was not happy that cleaning service could not come out right away. CREW AND HOURS Robert Small and Greg Kottsick - 2 hours each. I p_-1 1: , - City of Fridley SUBJECT r AT THE TOP OF THE TWINS I SEINER STOPPAGE } y-------- INTER-DEPARTMENT REQUEST I A ,PUBLIC WORKS DIVISION CITY HALL FRIDLEY $6432 612-560-3450 NUMBER REV. DATE PAGE OF APPROVED BY SEWER-STOPPAGE ADDRESS � �� y ��'� DATE Ald"99 CALL RECEIVED BY Y Z OIV6-ATA0,30 (AM (PM) CREW LOCATION WHEN NOTIFIED 1451/C EQUIPMENT TAKEN TO SITE CAUSE OF STOPPAGE TIME STOPPAGE RELIEVED DESCRIBE DAMAGE (IF ANY) ,,T P19-�. NOTE ANY STATEMENTS MADE BY CREW OR HOMEOWNER REGARDING DAMAGE OR POSSIBLE CLAIM I 1414W UIE0 CREW AND HOURS, A t IIUMLL -01-2-11 AYI- 'I �vk tw 21 Al 93 Mir M M VIM= "M aim -194r mVImVfdlv1R qq� ^�✓ �' ^way �' � , j � 6 6 .*a ,, I W OD 1 \` ..• I ! W J�� • I Oc CO ►- 6 7 '?4 t O L I - 'r4 r Q I , f� :� Lj :. MiSC.'s,pp 8 rVAY W I J. W II > PRIVAT LINE df II i of 8ua LI IMEpCURY 8 OMvE 8 I;• 64 T H WAY 8" -0 oP 6 3 V2 WAY VA. N a) [� I ' r - y M �Y 8., I f �j to J' 4tif 63RD WAY 0 TRINITY � CIDISI SYLVAN HILLS V W LIFT S-fc• .Ico� v • � S c 6T -1- I 8' � I COWET LAME 4,R, `TA.IFT r` S - 62ND WAY •i Op'�E I I f ►- 8" u: I • _ o • � ar r � 0 _ • I I ` � m� 2 h III 6i./2 w u: ~ r q z LAN I1 f •Cn r dim, SEWER BACKUPS 1980-1988 'Page 1983 4-15 6580 Hickory — wouldn't let crew in to check for damage - unknown if claim 5-10 5336 NE 6th - 7-1/2" of water - City had Servicemaster clean basement 12-31 7509 NE 4th - water in unfinished basement - said no damage 1984 3-15 5734-5735 Jackson St. - samll amount of water - no damage 4-4 Office building by City Hall - 8" existing line from east blocked off by concrete during new construction 4-9 6951 Old Central (Medtronics) - no damage 7-8 290 - 61st Ave. - water in basement - unknown if claim 11-22 6201 Sunrise - small amount of water around floor drain - unknown if claim 1985 2-4' 6459 NE 5th (Village Green) - small amount of carpet in 2 apts. wet - care- taker said no problem 2-25 Lafayette - wet basement - no damage 2-25 7698 Jackson - wet basement - no damage 4-17 7090-7101 Highway 65 - 7101 garage floor & electrical shop wet & 7090 carpet wet - unknown if claim 4-28 6341 Jefferson - water on floor - unknown if claim 7-23 6424 Able - 1" of water - wanted to be reimbursed for 2 sewer cleaning companies bills & have basement cleaned 9-18 6675 East River Rd. - 1-2" water, wet carpet & misc. - City sent Servicemasters out, they refused service & said they were going to sue 1986 3-18 290 -61st & 6061-6071-6073 NE 3rd - minor water damage - Servicemaster cleaned 290 -61st & 6073 -3rd 3-24 614 Cheryl - 2" water, wet carpet etc. - called Servicemasters - unknown if claim 5-19 70 NE 70th Way - wet floor & misc. - called Servicemasters - probably made claim 10-1 7436 McKinley - no damage 10-3 6270 N.E. 6th St. - no damage 10-7 6270 N:E. 6th St. - no damage 10-16 5310 NE 4th - water in basement - Servicemaster cleaned up $360.72 12-4 5606 NE 4th - no damage 12-28 281 NE 67th - Churchill Sewer cleaned out sewer line $60 1987 3-26 6675 East River Road - floor & carpet wet - Servicemaster cleaned $225 - unknown if claim 3-31 6631 Channel Road - wet carpet - Servicemaster cleaned $201.08 - unknown if claim 4-29 6170 Carol Dr. (also W. Moore Lk. Dr, Carol Drive & Circle, Van Buren, Baker, Able, Mississippi & Jackson) caused by Jr. High emptying 1/4 of swimming pool into sanitary line 12-13 590-600-610-615-617 Hugo - Servicemasters cleaned - average cost $225, except for 617 - they complained/had to do over cost would be over $500 1988 11-10 201 Sylvan Lane - 1/2" water - ery ccemaster disinfected & deodoriz0'd January 24, 1994 To: Marcy Everette; Secretary of the Finance Department From: Rod Hogetvedt 201 Sylvan Lane N.E. Fridley, MN. 55432 Re: Insurance reimbursement On January 16, 1993, the city sewer malfunctioned causing human waste to back into our basement. The cost to repair the damage is estimated at $4335.93 (see attached), plus 450.00 in personal loss. Our insurance coverage carries a deductible of $500.00. I am requesting reimbursement in the amount of $500.00. Thank you, a pc: Bill Hunt; City Manager Paul Lawrence; Superintendent of Public Works Steve Billings; City Council Representative Bill Nee; Mayor of Fridley MEMORANDUM Municipal Center 6431 University Avenue Northeast Fridley, Minnesota 55432 CITYOF (612) 572-3507 FRIDLEY FAX: (612) 571-1287 Memo to: William W. Burns, City Manager William C. Hunt Assistant to the City Manager From: William C. Hunt, Assistant to the City Manager /j1 Subject: Sewer Backup at Hogetvedt Residence Date: January 20, 1994 Today I received a call from Cindy Hogetvedt, 201 Sylvan Lane N.E. , Fridley, 55432, (571-1177). There was a sewer backup in her home on Sunday morning, January 16, 1994. Apparently, it was quite a mess with junk in the basement and no way to open the windows with a thirty degree below zero temperature outside. She claims that this is the fourth time that their sewer has backed up in recent years. She wants the City to pay the $500 deductible on her homeowner's insurance policy. She further claims that there is thousands of dollars worth of damage to her home. Mrs. Hogetvedt also wants to appear before the City Council to air her complaint. I informed her of the February 7 date for the next council meeting and the open forum time. She said she will be on vacation at that time but very likely -will appear at the council meeting on February 22. I will get in touch with Paul Lawrence to get further background on this matter. In the meantime, I informed Mrs. Hogetvedt about the process for making a claim against the City. _ WCH/ j b IN 1. 7627 East River Road 1-31-89 2. 1564 Gardena bane 4-20-89 3. 123 Talmadge Way 4-24-89 4. 5885 Tennison 5-1-89 5. 740 Kennaston Dr. 5-16-89 6. 6711 Madison Street 5-17-89 7. 6361 Jefferson Street 5-18-89 8. 5611 - 6th Street 5-23-89 9. 115 Craig Way 5-25-89 10. 5675 Jackson Street 6-29-89 11. 305 Longfellow 7-13-89 12. 5643 - 4th Street 7-27-89 13. 1061 Hathaway Lane 8-9-89 14. 1051 Hathaway Lane 8-10-89 15. 1091 Hathaway Lane 8-18-89 16. 1050 Hathaway Lane 8-21-89 17. 1049 Gardena 8-22-89 18. 148 Horizon Circle 8-22-89 19. 5445 Horizon Drive 8-23-89 20. 143 Crown Road 8-23-89 21. 4537 - 3rd Street 8-24-89 22. 6261 - 6th Street 8-28-89 23. 6360 Washington Street 8-29-89 24. 6044 -4th Street 8-29-89 25. 6034 - 4th Street 8-30-89 26. 645 - 57th Avenue 8-30-89 -2'7---- ------- --62-40 28. 7011 Hickory Drive --- 9-5-89 29. 450 Liberty Drive 9-6-89 30. 115 Talmadge Way 9-22-89 31. 640 Janesville 10-17-89 32. 515 - 57th Avenue 10-18-89 33. 800 Kennaston 10-23-89 34. 614 Cheryl Lane 11-14-89 35. 6000 - 2-1/2 Street 11-28-89 36. 6424 Pierce Street 11-29-89 37. 617 Hugo Street 12-1-89 1-4-90 EngInee"ng Sewer Water Pafks Sweets rv:dinIenancc MEMORANDUM TO: William W. Bums, City Manager PW94-031 tf/ FROM: John G. Flora,( Public Works Director DATE: January 27, 1994 SUBJECT: 201 Sylvan Lane SewerBackup On January__ 16, 1924? the resident at 201 Lane experienced a sewer backup at approximately -4:3-0- am, It appeared that stic had been. lodged in the manhole, causing the backup. The stoppage was relieved at-10-2G-Am'the same day. Service Masters was contacted to rovide cleaning and disinfecting--of-the residence. On this extremely cold day ,-Ser—Vic—e-Mastei was involved in a number of water breaks and was unable to respond `-immee iately. They did, however, show up to clean and disinfect the property as their manpower became available. This home is serviced by a sewer line on Sylvan Lane which enters the manhole that receives sewage from two additional lines at the intersection of Sylvan Lane and Jupiter Drive. Our records indicate that; o er �e lasF-lam year' there have been ,three -backups' on the property: April 19, 1983, J anua- ry -10; T9$8 and January ] 6, 1994. - ---- - This sewer line was last cleaned in August, 1989. There have been no indications of problems with this line since then. Information is not available as to the depth of the basement of the residence. It would appear that due to the amount of flow entering the manhole and the possible deep footing of this residence, any stoppage in the manhole will result in a backup of this property. No other properties in the past have been affected. Arm W I CIiYOF FRIDLEY1 MEMORANDUM Municipal Center 6431 University Avenue Northeast Fridley, Minnesota 55432 (612) 572-3507 FAX: (612) 571-1287 William C. Hunt Assistant to the City Manager Memo to: William W. Burns, City Manager 4� v From: William C. Hunt, Assistant to the City Manager. /e/ Subject: Sewer Backup at Hogetvedt Residence Date: January 20, 1994 Today I received a call from•Cindy Hogetvedt, 201 Sylvan Lane N.E., Fridley, 55432, (571-1177). There was a sewer backup in her home on Sunday morning._January 16, 1994. Apparently,_it was quite a_ mess with junk in - the`. basement and no way to open the windows with a thirty degree below zero temperature outside. She claims that this is the fourth time that their sewer has backed up in recent years. She wants the City to pay the $500 deductible on her homeowner's insurance policy. She further claims that there is thousands of dollars worth of damage to her home. Mrs. Hogetvedt also wants to appear before the City Council to air her complaint. I informed her of the February 7 date for the next council meeting and the open forum time. She said she will be on vacation at that time but very likely will appear at the council meeting on February 22. •I will get in touch with Paul Lawrence to get further background on this matter. In the meantime, I informed Mrs. Hogetvedt about the process for making a claim against the City. WCH/jb ---- --- - 1 •. / . -. MEMORANDUM TO: William W. Burns, City Manager PW94-063 FROM: John G. Flora, Public Works Director DATE: February 24, 1994 SUBJECT: 201 Sylvan Lane Sewer Backup The resident at 201 Sylvan Lane experienced a sewer backup on Sunday, January 16, 1994. We were notified of the problem at 9:30 am. The crew arrived at the site at 10:00 am and the blockage in the downstream manhole was cleared by 10:20 that morning. The basement had about 1 -inch of water in a tiled floor room and a 10 x 12 ft carpeted room. January 16 was an extremely cold day. When we called Service Master to come to the scene and assist in cleaning and sanitizing the basement, they were unable to respond immediately because of other broken waterline projects they were involved with. As a result, we called two other firms but they could not respond. We therefore requested Service Master to come to the residence as soon as possible. They arrived at 9:30 am Monday, the following day. Their initial effort was to vacuum, clean, dry, sanitize and deodorize the basement. The bill for that work was $150. The residents indicated they were concerned with the dirt on the steps as a result of the cleanup. Service Master returned on February 12 and cleaned the carpeted steps in the residence for an additional cost of $55. The residence experienced a total of three backups: the first on April 19, 1983 was a result of the downstream manhole blockage. The second was on January 10, 1988, exact cause was not known, and the most recent one on January 16, 1994 was a result of the downstream manhole blockage. It should be noted that there are three lines entering the manhole downstream of the property, with a fourth line which transports the flow from that area. As a result, any blockage in that manhole does receive a considerable amount of water from the three lines. It appears that the residence at 210 Sylvan Lane must have a relatively deep basement as this is the. only residence that experiences backups as a result of problems in the downstream system. It is not known whether or not this residence has a backflow preventor in their floor drains. If the traps are designed for a backflow preventer, this item should be installed or the trap could be considered for modification for a backflow seal. JGF:cz -E -D 1p V3 10 O'o 0 0 Tc) -, T* -TV4 1!5 o X -) :)� 1; .CL + S. , 44 1. e -- i t rocol 10 -cod) SEWER STOPPAGE 201 Sylvan Lane 57171177 Small DATE 1-16-94. ED Home TIME 9:30 a.m.. Truck & jetter Unknown. Set up letter at manhole going into Sylvan. Lift Station, 350' to Sylvan and Jupiter. TIME STOPPAGE RELIEVED 10:•20 a.m. DESCRIBE DAMAGE Entire basement had . about one inch . of water. One room tile floor. One room 10'x12' carpet. NOTE ANY STATEMENTS MADE REGARDING DAMAGE OR POSSIBLE CLAIM Homeowner was not happy that cleaning service could not came out right away. CREW AND HOURS Robert Small and Greg Kottsick - 2 hours each. '�-r 1`7 w St. Paul M �5�0 Date Last Namn -:First Initial Address Street f ApL IV city (erred By �Z?/ Syte zip Code Complete rt -u Z I List Furn)ture By Room And Type Of By te ell 611piboMd 813 Carpet Sanitizing 826 Wall & Ceiling CIng. 836 Floor Maintenance 825 Other Services 870 Disaster Restoration .875 House -Wide Cleaning E� oil, I I ler,pp?cnicallons Horne Care Products AA oAV_-AA.;01 r Home Odra DR Old.. New pon e 891 Cirpet Groomer WNW. -892 Other Products M T" 891 Total UNA Pre Totall Total Units 't .. - ., I _r — — — — — --- — — — — — kccl. No. Sale 441 Sales Tax Total SjW 'I b -r ji,nal Invoice Very1C. e 173 W. STER,:��. No I s.en..,7.re urq:s,tub-.with remittance Terms: Net on completion. Service charge on past due accounts. �o-A - 289.7,86.7- Pay This Amount....- �_�e Sid, 2. INVOICE-00PY-----_ City of Fridley SUBJECT �' a r AT THE TOP OF THE TWINS SEWER STOPPAGE. ------- INTER-DEPARTMENT REQUEST ry I I ; PUBLIC WORKS DIVISION CITY MALL FRIDLEY 55432 j 612-560-3430 NUMBER REV. DATE J PAGE OF APPROVED BY SEWER STOPPAGE ADDRESS�l DATE CALL RECEIVED BY AT./d, (AM (PM) CREW LOCATION WHEN NOTIFIED EQUIPMENT TAKEN TO SITE�� CAUSE OF STOPPAGE TIME STOPPAGE RELIEVED /Z .v /w/ DESCRIBE DAMAGE (IF ANY) �/� i/Il �'�',Cf- /�/!� j�j/,►/1/�Y��?�Y� 'a"p, �'C-f k7Dd it 1A,14 NOTE ANY STATEMENTS MADE BY CREW.OR HOMEOWNER REGARDING DAMAGE OR POSSIBLE CLAIM ) 61 A /_ 6 r_1 �r�e , - p c-A %D f��J01�/'i r' 40,6 CREW AND HOURS r�,�V "A)67i �%E9 /P) 4-Mrll ��..�� _t 1 —��,,-----� , I , —.r A M 1 ii .i r! 7 CDAlaG: ,/✓�� . • .. , ... 1 vtt Authorized By ls - = A.M. revs ,Job No TraveMlime pate-+ 71, :f If6: i�c'ii .�. • uodi 219�ty1 6i i, Ras. Bust , t bolifT-11 81'19fIra91J 'R,: r t i OhasJ 2J111801. C9d,8 Q(11( wte '� I P.M. <�ii:r;'slir9 Date till; . i i:, 11 l3'} =d' 'e' 7 ,r� lnommo }2ciirl•ot� doldnf er ' iiibnoo natlrtt lo,t�. - A.M. CI R C DR NI OI RRF UCi .i3�3g36'vr59'—ti13�$ s��i • , •s.tled U.N ��, or 312 ;I.AS�`44�^@2 blor4 #on:lliw `7,: e &L1f aep1gfi 1®mcJhhiab_ sr, go,,.1vw 1o1 bnn P. : "1 Z ,Ij19ww r p,�@afi 2• hb�is�i jl�l%�Or. i�J1�:} %:•� .,�� /�v�s' 1•'=� , �1p`:9101?31 t�1+B1Ci 82l�',/ ' �. ;fr . •w'1Cert1Ifm "1 .C$t : ,' u > rOdu S '• PlniShad U.N.- ,sc y ►Itw;lUtlrlA ml� r3litar $ to tls>1 437-29 I , 't2lStre > ow 1J -h Refer t , R thele Par+$peciticati0 Ir 1, >.,•, b5i: ulna os -9d nr1v� vsrrl 2�tnrt'f,3 t1 s ttatalnt n c -�: �, L nlnssltr a sn 2st r r brae �� ' teM tN t; price r eBSFR� ' e �e udJ # N L � t.•i�f, ti>..,�-„ 1'r r",.:'t� A i'°.•' s ^�It''4 C '>•a.; t r13•�.4 9111f T��ftt ��N 1rs`rL�'•_ . v ,• 'SOS ► + t-m�pr21:ctlr�peittUC�e!bM1968fi0ifl i`at'1 tp 19 f r ase % ;21 t..`s3''It1 i�+r otfd 1iw tt] sans">7?ti)lQ�oon fltvisr>a,�c:it1 { (1�IBOpYi�4�.RS�t'atci�n�Pr t}i'r!Ei`�$' l�,ilw>;i 4,a.a.atoVitl.t• .orUDbr .1sr o$MOW) 1� 281.1.;SoilProoUn9 bind un tt. Af ten rdttl6i t 141{OJCtfi lit i " v . 3. lslistsm bsteiAhsi d� vd1 fila rA : .. ,. , � �• ill $��l:r$M gn eff1��t3s} t ,. • t i .��1 s It s `� F�nl I' inonarni :, tt�ori }t3 tl 3rt1 e �uhe Ilrw r "n11oC l this r�7h5t1 i 1 4 1� rer f U5 tenla.Rs,s 825�tfl�frSetvlCBS=.` iblls r;tn I aiat ' 870 Disaster Restoratioq 5. ' ouse;Wide Cl6nm _ b 10 eaiv't 201 1 tam 91041 3str �Wei :fin it �i sut3 6. ' Fr Home Care Products rr - j "'} 891 First'Aid Kit s _. / 891 'ftberFr6sh Gal;x • HomeCerq•-Pt9d�5t1�- y�'�`,iz ••,. Pries' �•-a91"St)tV01t G< r' ' .y � ,.89} 891;Urin 891 Ghent Gl'ide•SpAge•-- ,}. 891 Carpet Groomer' to --'•892--8ther Products-�-�-�'- -- �' •� z r atc0 B91 Total -='--- - It o ern R►is= _=_ — _,.. 64I Sales Tax Tot e 198, gnii,t9ft#.L eAcct Nofii $!��l`Srnss;>•esYtizAs.e2�g'>!iuSs?€>isaoi1dt . zCjrirrsgl ii -Ma. '31 <.2atrs!`nsBaoan,?s '• ,� hl 9!c!e?-0q•es 06 ec ;$1,e Acca. Rec. flAPOW ,our scheduled ho��; glea i g,ori is .�..,. ton. o �e.Wid CW* >call d "�-f, y ¢ ��fa9�4�'i1 arts o>�z+sg�es N��rf►lTu•,��`()��i� to Isvills`t)ri't Ips emlt-�Itioeci� �"•�lub ttox j4is�ir�F�� t> �,an �. � .:,+� �.•> r v } ,.� �yvitsfn9astGe�1 eaiv�sa grtf'ttfitl b9ens11s-etq PLEASE SIGN THE REVERSE SIDE' ' see Reverse Sid 4. CUSTOMER'S COPY OF THIS CONTRACT. ^ City of Fridley SUBJECT AT THE TOP OF THE TWINS I rP`. �Y------t INTER -DEPARTMENT REQUEST 1 ; PUBLIC WORKS DIVISION �L--. CITY MALL FRIDLEY 55432 612-560-3450 NUMBER SEWER STOPPAGE SEWER STOPPAGE ADDRESSL,�,,,�� DATE GALL RECEIVED RY°� c�- -- --- AT{PM CREW. LOCATION WHEN NOTIFIED EQUIPMENT TAKEN TO SITE CAUSE OF STOPPAGE 41, TIME STOPPAGE RELIEVED )ESCRIBE DAMAGE (IF ANY). A A I NOTE ANY STATEMENTS MADE BY CREW OR HOMEOWNER REGARDING DAMAGE OR POSSIBLE CLAIM //C -h. ' �� /yl �i, f:G�/`t'�ti .LUY.� a�Kra��.X.LZ� �� 1� .C�•.L��/...�L .C�,rrvw v CREW AND HOURS 47_ 42 9 MEMORANDUM TO: William W. Bums, City Manager PW94-078 FROM: John G. Flora, �ublic Works Director DATE: March 7, 1994 SUBJECT: 201 Sylvan Our address files do not indicate basement elevations of the homes on Sylvan Drive. As a result, the basement elevations cannot be determined without entering each home and taking elevation shots. 201 Sylvan is the closest connection to the manhole on Sylvan Drive. As a result, any blockage in that manhole will result in the 201 Sylvan service being the first affected. This does not have a direct relation to the actual basement elevations as the sanitary line rises from that location. JGF:cz E Or h'lN CITIES TEL=612-490-9686 Mar Ur ':�4 11=u6 tvo•��u .u1 League of Minnesota Cities March 7, 1994 3490 Lexington Avenue North St. Paul, MN 661264044 (612) 490-5640 Mr. and Mrs. Rodney Hogetvedt 201 Sylvan Lane Fridley, MN 55432 .1;: RRS Dile No.: 11004311 Trost Member: City of Fridley Claimant: Rodney Hogetvedt Hate of Occurrence: 1/16/94 Dear. Mr. and Mrs. Hogetvedt: Post -it" brand fax transmittal memo 7671 koip"as ► Rro a _ � Dept. Phone 8, 1 aQj/ '� Fain Fax N _ ( Dro As you know, our office is handling the investigation of the above captioned sewer back up on behalf of the City of Fridley. Our investigation into this sewer back up has been completed. It is important for you to understand that in order for the City to be at fault for your damages, there are four areas that must be considered. There must be a defect in the City's sewer line; the City had to have had knowledge of a defective condition in their main line; the City had to have failed to properly respond to their notice of a dt,fective line; and as a result of the City's failure to respond, the damages occurred. Our investigation has revealed there was not a defect in the main line; the City did not have prior knowledge that there was anything wrong in their line; and accordingly, the City did promptly respond, and the damages you sustained were not a result of a defect in the municipal sewer line. our investigation has shown there was a sewer back up at your home on April 19, 1983, January 10, 10,83, and the most recent on January 16, 1994. In reviewing maintenance records provided by the City, we feel the City has exercised reasonable inspection and maintenance of their sewer lines. The of the back up in 1.933 was a stick found in a manhole. Because your home is close to a park, e City installed anon -vented manhole cover at the intersection of Sylvan Lane and Jupiter. This was a ,,r<_vcntative measure in the event. children may be putting this type of debris into the sanitary sewer tint:, The cause of the blockage in the main line in 1958 is unknown. This is not unusual. When tt,-Ire are cold temperatures and considerable steam when the manhole cover is lifted, it is often iifficult to determine the: cause when the blockage is relieved. It should be noted that the main line vas inaintained by a rodding procedure less than one year prior to the 1988 back up. Our investigation into the January 16, 1994 back up reveals a 2 foot stick that was also removed from the manhole. The City has a maintenance program where the City is divided into several areas. The 01 L WJU `3 t7 tib -AGUE 0P l''N CITIE't TEL:612-490-9686 Mar 07 94 11:03 No.002 P.02 Mr. and Mrs. Rodney Hogetvedt March 7, 1994 Page 2 Xca where you reside is scheduled in 1994 as the City's preventative maintenance schedule. There has not been a history of grease or roots found in their maintenance and the schedule does appear to Lie reasonable for this line. Therefore, after careful consideration of your claim against the City, we must respectfully decline payment as we do not see fault on the part of the City. iucerely, {I'rene Boese kii1►is Adjuster DB: rhe%4311 PRI.IL CC: Marcy Everett Hadtrath & Associates City of Fridley SUBJECT P 5 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV v PROTECTIVE INSPECTION SEC r ; CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BV 612-571-3450 910-F15 8/29/95 JOB ADDRESS 201 Sylvan Ln NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rodney/Cindy Hogetvedt 201 Sylvan Ln NE 571-1177 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Woods Construction Co 7728 Knollwood M Dr, Mounds View 55112 786-2321 8737 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 (27 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 ISTALLS 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 $2,160 $1.08 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 $2.16 STRUCTION OR THE PERFOR NCE OF CONSTRUCTION $74.75 PLAN CHECK FEE TOTALFEE ® License SC $5.00 1 $82.99 SIGNATu EOF CON7RAjVOR OR AUTHORIZED AGENT tDATtl WHEN PROPER g G INSP VALIDATED THIS IS YO R PERMIT( �� /. DA 1VE _ SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW (] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application owner r Contract, Address: ►/ 1z civil GARAGE AREA: DECK AREA: OTHER: Tel. # -7Z MN LICENSE # J Tel. # o o Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks (71,06 Type of Construction: — Estimated Cost: $ �-�7�Z, Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �e APPLICANT: f f ,l Tel. #ez STIPULATIONS: s • . CITY USE ONLY Permit Fee $ 2g "%f Fee Schedule on Reverse Side Fire Surcharge $ Q • 14, .001 of Permit Valuation (1/10th%) State Surcharge $ /. O g $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $. 0 $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 $ c` • 7 STIPULATIONS: s • . 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 $50,001 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. NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Z 1 Legal Description: Owner Name & A Contractor: Effective 1/1/98 MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Length Length Length DESCRIPTION OF IMPROVEMENT Width f6 Width ,26o Width Height Height Hgt/Ground Sq. Ft. % Sq. Ft. Sq. Ft. Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = x $ _ $ DATE:-// 1 APPLICANT: Tel. # CTIT i ISE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] ti r 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. c s. 01 SUBJECT P •"�. . City of Fraley 2 5'9 5 8; AT THE TOP OF THE TWINS r BUILDING M I T -114- �� COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 . � NUMBER REY DATE PAGE Of APPROVED BY CITU HALL FRIDLEY 55432 612-571-3450 910-F15 4/22/98 JOB ADDRESS 201 Sylvan Lane I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Sylvan Hillsplat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rod Rogetvedt, 201 Sylvan Lane, Fridley 55432 571-1177 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rod Hogetvedt (same as above) 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 QY ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Converting existing garage to living space; adding front entry 10' x 10` - onstruct a x Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plans. SEPARA FE � : ►;� 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 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $20,000 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- $287.25 $10.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE $20.00 Fire SC TOTAL FEE $317.25 SIGNATURE O TRATOR OR UT ORIZED GE T IDATEI WHEN PROPER6ryALIDATED THIS IS YOUR PERMIT 44 1 iGNAT RE RUF WNER UI E IDATEI - BL G INSP PATE 01 CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (N 2ded with ew furnace)7 Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial(I ndustrial 1.25% of Value of Appliance or Work Effective On January 1, 1998 JOB ADDRESS \• r► The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 30.00 $ representations stated in this application are true and correct. /D ,23 11998 $10.00 $ OWNER ®c� $10.00 $ BUILDING USED AS ela; k ('_ c e_ $10.00 $ ESTIMATED COST PERMIT NO. $ 25..00 $ DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air Trade Name(� Size No. BTU ') ;W1 HP EDR $ Fuel �1�c21 .(cps Total Connected Load State Surcharge $ .50 Burner Trade Name TOTAL FEE $ "Z-10 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BTU Size No. EDR HEATING COMPANY. .J Signed By Tel No. Approved By Rough—In Date Final Date FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE CHDdNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported , Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being; Done: HEATING CO: Signed By: Date: May 24, 1999 To: City of Fridley From: Rod Hogetvedt Re: Building Permit #25958 dated 04/21/98 We are requesting a 3-4 month extension. We had to delay scheduled work until after a variance hearing which took place the third week in July of 1998. Due to the delay caused by the hearing and the 1998 storms, some of the work could not be re -scheduled until spring of 1999. We appreciate your consideration in this matter. Thank you, R'40ceoc Rod Hogetvedt 201 Sylvan Lane NE Fridley, MN. 55432 NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN (j 6431 University Ave NE, Fridley, MN 66432 (763) 672-3604 Bldg Insp ALTER j j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763 571-1 F87 Fox BUILDING PERMIT APPLICATION Construction Address: 2 G l _-!�-Y I Vow Legal Description: Owner Name & Address: Tel• Contractor. ' MN LICENSE # L� C : � f' 11, P6; ®ddrpm ' /I / / ! 1 -1 E ��er ��"'-f - TSI. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNlNG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: .'J 1 : / 11) Estimated Cost: $ ::5�3 oo_ Driveway Curb Cut Width Needed: Ft. * 6 Ft = Ft x $ = $_ DATE: 3-31- 0 CAPPUCANT: C ' <"3 o" Tel. # LP S' 1 7 7c,�a �°Y7b Call (763) 672.3604 for Permit Fees If mailing In application. Fax to 763-571-1287 If using credit card and we will calf you for card number. CITY USE ONLY - Permit Fee $ e Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $s .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ _ $1350 per SAC Unit License Surcharge $ ,moo OZ� $5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ greement Necessary [ ] Not Necessary [ ] TOTAL $ �Q STIPULATIONS: £0/Z0'd ATIQI3d d0 Al I0 bS:ZZ b00Z-L0-03a CITY OF FRIDLEY PERMIT o.: 2004-00800 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/28/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS 201 SYLVAN LN NE PIN 143024320036 LEGAL DESC SYLVAN HILLS PLAT 4 LOT 10 BLOCK 2 PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 1,000.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. REPLACE SIDING ON PART OF DWELLING. APPLICANT BUILDING PERMIT FEE 38.75 HOGETVEDT RODNEY B & C FIRE SURCHARGE 1.00 201 SYLVAN LN NE STATE SURCHARGE, VALUE 0.50 FRIDLEY, MN 55432 TOTAL 40.25 OWNER HOGETVEDT RODNEY B & C 201 SYLVAN LN NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulatinc n u ,tion o • ie-performance of construction. Appli�ant Dat agBldg Insp Dat SEPARATE PERMITS REQUIRED FOR WORk-,)THER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION CS co Construction Address: "20t SxlUa� (mac �� Legal Description: Owner Name & Address: Tel. # �6'? • 71.1 7 7 Contractor. MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: GARAGE AREA: DECK AREA: QTHER: Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft r Construction Type: nf)"D Estimated Cost: Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x / DATE:l APPLICANT: Tel. # /9� . S�l • l �,� Call (763) 572-3604 for Permit Fees if mailing in app cation. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side $ 65% of Permit Fee $ 1,06 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1350 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 [ ] 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 $23.50 $501 to $2,000 $23.50 for'first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only