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PRE 2010 DOCSDate: June 7, 1965 Kerr Ackerman j N? '7'748 -_- Builder Carlson Ia Fine, Inc. Address 6,370 Washington N. E. Addre� 2851 Colnmbmbia, Ave, So. LOCATION OF BUILDING No 6370 street 'Washington Street N. EsPart of Lot ,at 2 Block 3 Addition or Sub -Division Christie Add. Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation ____ Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft Front Depth Height Sq. Ft Type of Construction Est Cost 102000000 _ To be Completed Storm damage repair Cu. Ft Cu. Ft 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, forth and in compliance with all provisions of ordinances of the city of Fridley. % e In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to Carlson Lavine, Inc. 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 location, construction, alteration, maintenance, repair and moving of buildings within the city limits permit may be revoked at any time upon violation of any of the provisions of said ordinances Allen Jensen NOTICE 'ibis pwu* doss not cover the coasrvefim, iaataiiatiee for whug, phmi+ing, pas heaNns, sewer or water. Be ane to we the BuMiag kspeeter for sopor to permth for thea items, APPLICATION FOR BUILDING PERMIT CITY. OF FRIDLEY, MINNESOTA OWNER S. NAME / '. I(✓. � C��� �_..� BUILDER ear `• s5',4,PV. ZZ el ADDRESS_ j % W4,SA, /� t✓ ADDRESS s2q '�4C ; LOCATION OF BUILDING No. Street Part of Lot LOT BLOCK ADDITION OR SUBDIVISIONe� .a�•� Cotner.Lot Inside LOT Setback Side -Yard, SEWER ELEVATION FOUNDATION ELEVATION 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 Sq. Ft. Cu. Ft. Front Depth Height Sq, Ft. Cu. Ft. Type of Construction ' F timated Cost jjQ o o®'— To.be completed The undersigned.heieby makes application for a permit for the work herein specified, agreeing to do a1.1"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 – d,C _SIGNATURE f ��r i -� F TF. (Sch'dule of Fee Costs can be found on the Reverse Side). 1 j I a "..ID d SUBJECT P City of Fridley 2 1 4 3 9 AT THE TOP OF THE TWINS BUILDING PERMIT" r CEIPT NO. _ COMMUNITY DEVELOPMENT DIV. �0 PROTECTIVE INSPECTION SEC. o , NUMBER REV. DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910415 7/13/92 JOB ADDRESS 6370 Washington Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken Ackermann 6370 Washington Street NE 571--1677 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc. 7401 Central Avenue NE, Fridley 784-7543 4840 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK , Reroof Fuse (18 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd lager but not the 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $954 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 Fire SC $.95 STRU ON R THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5,00 $31.45 S URE OF CONT R U ORIZEDAGENT (DATEi WH E PR PE L VA DATED THIS IS YOUR PERMIT 7BLD5 ,NSP 2ATE SIGNATURE OF OWNER IIF OWNER BUILDER, 1DATEI NEW [ l ADDN [ ] ALTER [ ] Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3/1/92 <<. Legal Description: ) � -3f rSi7 L. Owner Name & Address: `� /�� �� Tel. #_ Z -7 Contractor: D & D Home Improvement, Inc. MN LICENSE # 4840 Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543 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: Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd . Setback Side Yard Setbacks Type of Construction:9 A4oalgq 01��2_ Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Sewer Main Charge $ TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ) SUBJECT City of Fridley51 AT THE TOP OF THE TWINS ? BUILDING PERMIT : RECEIPT NO. COMMUNITY DEVELOPMENT DIV. P r PROTECTIVE INSPECTION SEC. / l NUMBER REV DATE PAGE OF APPROVED BV CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7-8-98 JOB ADDRESS 6370 Washin tonSt. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 2 3 Christie SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken Ackerman 571-1677 Lisc # 201387 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofing & Remodeling, 7930 University Ave, Fridley, 55432 795-9410 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 Remove & Replace roof (23 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 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 $1,918 $.96 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 THER STATE OR LOCAL LAW REGULATING CON - U TI O PERFORMANCE OF CONSTRUCTION. $62.25 Fire SC $1.92 PLAN CHECK FEE TOTAL F License $5. $6 5 111NATL RYUFCONT TOR 09 AUTHORIZED AGENT IDATEI 6-1 PPE v BLDG SP LIDAT S I$ Y R PERMIT s MATE SIGNATURE OF OWNER OF OWNER BUILDERI IOATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY.,OF FRIDLEY ALTER [ ] SINGLE FAMILY -AND DUPLEXES R-1 AND R-2 Z l� BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: KeAn L—ker- ma'ti'1 Contractor: po u LO- MN LICENSE # 0138780 Address: �� 1.� ��t� a ���� il/®� 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: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �P�VV1®�! @._d 3 Sq 6 -f `5h d r\ ei- le -'s Y Construction Type:®o-F _Estimated Cost: $ (Fee Schedule on Back), Driveway Curb Cut Width Needed: Ft." + 6 Ft = Ft x $ _ $ I I / % � . � �r�.► � � �����.. ter, - ( ,ti l CITY USE ONLY TOTAL $ 2.6-12 STIPULATIONS: t Permit Fee $ ��-�S� Fee Schedule on Reverse Side Fire Surcharge $ 4 9 '-.001 of Permit.Valuation (1/10th%) State Surcharge $ $:50/$100 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 $ 2.6-12 STIPULATIONS: -SUBJECT c P City of Fridley 2989 0 AT THE TOP OF THE TWINS BUILDING PERMIT r F , O 1 L COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 6 1 ; CITY HALL FRIDLEY 5532 NUMBER 11EV DYE GE Of APPROVED By 612-571-3450 910-F15 7/19/99 JOB ADDRESS 6370 Washington 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Christie SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Ken Ackerman 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Premium Roofing 6680 Lucia Ln Fridley 55432 571-3973 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO Q USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XM REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (22 S Tear -off 9 CHANGEOFUSEFROM 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 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 $1923 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $.96 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHA G PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $69.25 $1.92 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION Fire PLAN CHECK 50nTOTA F E .� Li ce e S 5 .X11 177. 3 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI EN RO VA ID T is IS pie,' BL INS OF 2�fT�ATE S.GNATURE OF OWNERJF OWNER BUILDERI 'DATE, NEW[ ] ADDN [ ] ALTER [ ] Construction Addm Legal Description: Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,pp BUILDING PERMIT APPLICATION QED Owner Name & Address: Ley /A'-- Tel. # Contractor: MN LICENSE #�'�/$`� Address: fiUi 110 1- r l& G,y Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT 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: AaySE z �2�f/ _ 0 -?r!5/ Estimated Cost: $ f 90 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: 7—Z'I- 72/ APPLICANT: Z"4c ' Tel. # 2 Y%26 ?� Permit Fee $ 69 07 �� Fire Surcharge $ State Surcharge $ 9L SAC Charge $ License Surcharge $ Soo Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ - STIPULATIONS: 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 [ ] CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F63) 572-3604 FAX: (763) 571-1287 ADDRESS 6370 WASHINGTON ST NE PIN 143024420030 LEGAL DESC CHRISTIE ADDITION LOT 2 BLOCK 3 PERMIT TYPE HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION PERMIT NO.: 2004-00251 DATE ISSUED: 02/23/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A REPLACE FURNACE (WARM AIR, RHEEM, 75,000 BTU'S) AND AIR CONDITIONER # A/C UNITS 1 VALUE OF APPL OR WORK #FURNACES # GAS RANGES APPLICANT RICCAR CORP 2387 STATION PARKWAY ANDOVER, MN 55304 (763)754-4000 OWNER ACKERMAN KENNETH W & MARY M 6370 WASHINGTON ST NE FRIDLEY, MN 55432 1 # GAS DRYERS 0 ENTER VALUATION 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 worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regula ' onstruction or the performance of construction. Dlicant Date . Bldg Insp HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS PIPING FEE GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 50219 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 5000 0.00 30.00 10.00 0.00 0.00 25.00 0.00 0.50 65.50 ;ITY OF FRI E -Y fNSPBI TION IV'iSIO 431 U.nivergitY AX0 ��"; .. . ridley.,.MN ° 3, ! w ARPLICATIOM FOR POWER PLANTS At P:HEATING, CQOLING, VENTILATION, '63-572-36"R JGERAT101�i A if A>II Cd"q!T!"�NJh1G SYSTEMS AND DEVICES ' y JOBADDRESS iESS la R 1 1 16 x H RULE Resldepial'; Furs a SI I� and Ou Work,134rn r Also Replarriar�ku►ace. ide op ¢ Fill D E3acl ` Gas Piping -'Ne -,ed ;rjlh°new furnace, but rift r+�})acement) , . Gas H nge Gas pryer *Air Conditioning - All sizes All 0 &,Alterations (LIST ON BACK) 1%Q Qf Value pf Appliance or Work` CoMrll rciai/lrldustri i , 1.25QJo of Yp l ie of Appliance or Work :Rate $ X00 $ 10.00 $101.. 00 $ 10:00 $ 25.00 State Surcharge TOTAL FEE r MINKMEE HING/VENTILATION R REFRIGERATION/Alti:�6.IiNbiTIONING PERMIT IS $25.00 PLUS THE $.503TAU `S `JRCHARGE REINSPECTION :FEE'$47.00/Hr. *Air Conditioners :can -not bei,placed in a side yard without written permission from adjoining property owner. Effective On January 1., 2001 t BUILDING USED qS ESTIMATED COST PERMIT.NO. DESCRIPT19,tOF FUR ACS ANP OR BURNER No. of Heating Units Circle One (Steam) {Hot Water) Trade Rema inn Size No. BTt! '`lam �® HP s EDR _ Fuel Total `Connected Load Burner"Tradia Name Size No. BTU HP EDR Th6 undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Buildipg Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE-c:;>1+dd HEATING Approved By TEL #103 '-1 91 'Y Rough -In Date Final Date BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CUNNEGIUKS AND COMBUSTION AIR VERIFICATION _ 02/23/2004 08:25 7637540132 FEB -20-2004 11:20 FROM CITY OF FRIDLEY RICCAR HEATING TO hf . . . . . . . . . . . . . been w T��,Qw-s gym[ on. w7wi -yFx r df spamiamom irld unu TtjjwdeTslVM-d, iiw does Rdj. 0-- Mbdu Nn .--r(teeu CLA TOM pA areoe in&W.A -GAMA C-a%M- ,ond nowd drait 9004nm- UaOsd to MW ft The CW ,nd iiiiiFuftdures C. D4 O pea. wtoos. am- r- Noo .- =-Vjtwt*-- to meelt. en YV,h*n y I CftW F*w is and �gtw* dra# a*.='- CBS vqnlVMn'94,.,- Wstrlan ventand, V&A and �M�, -cavic4y Is n fro M. ire common vwt and veyftd ht 0. b MM, a** d* w ieper current =ds"s... 2 ?G37540132 y I" , 7c` 41. y Yes ( ,No ' or 'N Toe O:L &64ft wt A4*lsrl6i�R T* Nat", pl pMn66 to T We I. to"t vent Type Went Haig M. Cornmoh, Ai& Vgnt Car4na�'r Applianti #3 Verlt COrmctar HLqbM F, a JANA MA w Kamm co: Goed By. W.T T VIM.. no in n&hft Dim I PAGE 03 P.03/03 I TOTAL P.03 Building BUILDING Permit No.: bib 41, Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date 763-50�2/-4977 FAX EFFECTIVE 1-1-2010 DATE �-/ — 6 — /® YOUR E-MAIL ADDRESS SITE ADD/1 6 — d j 104Z THIS APPLICANT IS: '010'WNER ❑CONTRACTOR PROPERTY OWNER/ NAME: — TENANT ADDRESS: 5 ��� 6?I T ��fCITY Z!; , � 4 STATE PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE W -SINGLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STO PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED OWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION &OAUn'ENANCE/REPAIR '❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT - 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS// 3. Energy Calculations IN EXISTING OPENINGS DY/, ON, LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & �® TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) COTAL JOB VALUATION $tel 1-- OCCUPANCY TYPE Permit Fee a Fire Surcharge ,-,'Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work whi h requires review and approval of plans. �/ SIGNATURE OF APPLICANT PRINT NAMEA6! �C-�/O, DATE !!y < NA -02792-07 MINNESOTA CLIMATOLOGICAL NETWORK VMinnesota Board r Water and Son Resources �am Soil and Water Conservation Districts m 2 FT3 2 4 - Name Ken Ackerman Tear mmm Vo time i ownsrup Menge Section County name Anoka Address 6370 Washin ton Street NE. Fridley, MN.55432 Township name Oman Telephone No. (7 63 ) 5 71-16 77 24-HbUR AMOUrM gain, snow snow Milted On $. & on tic {Ins. Tenth) Ground a 14dth} {Inches) REMARKS: Gime times and commentscAnder about events. (Temperature and Phenology! items are very useful}. Ga u e Woe Chet* One): Gatch *Wt"9 �neler/slze (omes) ma)d mum oatdu depth (inches} / I ]' `— boatd1ruler t� for snow IpaSt �Yeg gDoIngbucket test tube weighIn me a Other .32 01 02 .5 4 0 a ' 04 05 06 07 08 09 10 12 �dZ 13 14 16 /3 17 .73 18 Ls19 _, r Z2 r , 20 21 dz 22 v l23 r� 24 12 A 25 26 27 28 29 2 30 ' ,2 31oqg7g5,d a TOTAL$ State Climatology Office, 439 Borlaug Hall, 1991 Upper Buford Circle, St. Paul, MN 55108-6028