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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. 10TH 2452 g Y Date .. .. ... . Owner Address I .... ........ . j, Lot ...... . Corner Lot . . . Builder . `.� .... ............... Address .. .. ..... _ ... , LOCATION OF BUILDING Street . ....`. ]?art of Lot ...... ..... ........ Ri Block ..... ...... Addition or Sub -Division ..� . .. ... .... inside Lot ............ Setback "+...� ! Sidgyard '.�•' ........... DESCRIPTION OF BUILDING Tie Used as: �g . !.�.M....... Front . ;tl"`:� .. Depth Height d�.'.... Sq. Ft. : Cu. Ft..... .. . ............... Front ........ Depth ....Height Si Ft......... Cu. Ft .... . Type of In consideratic the proposed work ordinances of the i )n ......... Est. Cost ................ To be Completed Al .....10-8's fi n of the issuance to me of a -permit to construct the building described above, I agree to do in accordance with the description above set forth and in compliance with all provisions of illage of Fridley. ..................... .. • cons do ati tithe 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 con dit n that the person to whom it is granted and his agents, employees and workmen, in all work done in, around an , upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota egarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village lima and this permit may be revoked at any time upon viol on of any of the provisions of said ordinances." a ... �. �Y'. Building Inspector NOTICE: This permit oes not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. a sure to see the Building Inspector for separate permits for these Items. City ofFridley, mn6 B_ D ll' Date: June 7s 1965 owner: Larxx $tickler Budder Wallace Be Johnson Address N. E• Wasnton Street Address Nine a Greek LOCATION OF BUILDING No. 6825 street Washington Street No Be Part of Lot Lot 1$ _ Block l Addition or Sub -Division Rice Creek Terrace, Plat 4 Corner Lot Inside Lot Z Setback Sideyard Sewer Elevation To be Used as: Type of Construction Foundation Elevation DESCRIPTION OF BUILDING Front _,____r Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Gia. Ft. Est. Cost—st9r�+W--QQ __ _._ To be Completed Storm Damage repair 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 21 provisions of ordinanc�a of the city of Fridley. In consideration of the payment of a fee ofl$ C0� , permit is hereby granted t-WaUace E Johnson to construct the building or addition as described above. This permit is granted upon the expressgd dition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, arand upon said building, or any Bart thereof, shall conform in all respects to the ordinances of deY, 1lfiota regardi� location, construction, alteration, maintenaace, repair and moving of buildings within the limits and this permit may be revoked at any time upon violation of aay of the Provisions oP said ordinances. Men JensenBuildingInspectcir NOTICE: W& permN does not corer the construction, lostaMon for winos, plumbing, ®as beating, sewer or water. Be sure to we the sanding le""wer for Separate permhs for dtm Rama. 0 251 APPLICATION FOR'BUILDING-4E CITY OF FRIDLEY, MINNESOTA OWNER'S NAME Tarry ic_kler BUILDER Wallacl E. Jnhnaga ADDRESS6825 ff, *- Washington rent ADDRESS 4708 Nine pile Creek Pkyr. LOCATION"OF BUILDING No. 6825 StreetX k. Ww hg�tog Part of Lot LOT /+ {� ..BLOCK,. ADDITION OR.SUBDIVISION Corner tot__,, Inside LOT Setback Side -,Yard SEWER:ELEVATION FOUNDATION ELEAfATION Applicant attach to this form Two Certificates of Survey of Lot and proposed buiiding.locetion-drawn on these•Certificates. DESCRIPTION OF BUILDING To be used as; Front. Depth, Height, Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Cowtruction Wim_ Estimated Cost 621,000, Ta be completed norms e3gte r 1x965_ The undersigned hereby"'tnakes application for a permit for the work herein specified, agreeing.to.do•all work in 'strict accordance with the City of Fridley,Ordinances an$ rulings of the Department of:Bu�.lding,..and hereby declares that all the facts and representations stated in this application are true and correct. (Schedule of Fee Costs can be found on the Reverse Sid ). r3/eel City of Fridley, Hinm N° 8532 EUDITG PERAUT Date: OCTOBER 15, 1965 Owner: D. LARRY STICELER Builder _ _ SAME ,Address 6825 Washington St. N...' • Address Fridley, Minnesota 55432 LOCATION OF BUILDING No. 6825 Street Washington St, N. E. part of Lot Lot ._ _ 18 -- Block I_ Addition or Sub -Division RICE CREEK TES., E,AT 4 Corner Lot , Inside Lot X Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DET. GARAGE Front 20 Depth 22 Height 10 Sq. Ft. 440 Cu. Ft. 4400 -- Front Depth freight Sq. Ft. Cu. Ft. Type of Construction Frame Est Cost _ $1,320 To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above se forth and in compliance with afl provisions of ordinances of the city of Fridley. ` In consideration of the payment of a fee of S 4.00 , permit is hereby granted to D- TARRY STICHLER to construct the building or addition as described above. This permit is granted upon the expressgta dition that the person to whom it is granted and his agents, employees and workmen, ffi aII work. done in, arand upon said building, or anyctippoaanrtt thereof, shall conform in all respects to the ordinancedi�ofe Fridley, Mioa�etlardinng tau, revoxed� t e time uponla�tian of r heo Po I the limits and thin ordinaaoa. ALLEN G. JEN'SEN Building Spector NOTICE: M permit does not aver the construction, hoWla inn for wbtng, plumbing, on boating, sewer or water. Be sure to as the Building b qm for for separate permits for thea Nems. OWNER'S ADDRESS APPLICATION FOR BUILDING PERMIT CITY OF F$IDLEY, MINNESOTA LOCATION OF BUILDING NO./01,2 S- STREET . �_ PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE YARD SEWER ELEVATION FOUNDATICFN 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; Front Depth Height Sq. Ft. C' Cu. Ft.�� Front' Depth Height Sq: Ft. Cu. Ft. Type of Constructn Estimated Cost�� To be completed 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_Z d 5 0 S SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side).. SUBJECT PERMIT N City of Fridley 19583` AT THE TOP OF THE TWINS BUILDING PERMIT _ r ECEIP ;, ___ COMMUNITY DEVELOPMENT DIV. g r � � PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE OF APPROVED BY 612-571-3450 910-F15 7/7/88 F;PAGE / JOB ADDRESS 6825 Washington Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18 1 Rice Creek Terrace 4th Addn, SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stickler 6825 Washington Street N.E. 571-4963 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue N.E., Fridley 784-7543 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 Dwelling (21 Squares) 9 CHANGE OF USE FROM; TO STIPULATIONS On all new roofs or tear -offs and replacement roofs, State Code requires that 2 layers of 15 16. felt, mopped together, be installed to a point 24 inches UP from exterior wall line, or the use of other approved underlayment membrane. 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 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 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ,ORDINANCES WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,050 $53 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. $27.00 PLAN CHECK FEE TOTALFEE 1 $27.53 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN PROPERLY VA LI A ED THIS IS YOUR P RMI /. e I BLDG INSP A E SIGNATURE OF OWNER(IF OWNER BUILDER) IDATEI NEW City of Fridley EEfective 5/1/88 ADDN R-1 AND R-2 ALTER t/(j Building Permit Application Construction Address: 665 lq- 5h;n� */u :5-�A16- legal Description:. Owner Name & Address:_ JW Tel. Contractor: lno- ` at p ev a epAte'lt Tel. # -7gg5 Address: 0 -eelA AV e Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. LIVING AREA: Length Width Height Sg. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. ODrner Lot [ ] Inside Lot M Ft. Yd Setback Side Yard Setbacks Type of Construction: _" S/N ,P -e 1 -'3'"�� q Estimated Cost: Approx. Completion Date:�� 5� Proposed Driveway Width If New Opening Is Desired: I $ Width + 6' DATE: —7 _ T $ APPLICANT: aZw Permit Flee $ `�, o State Surcharge $ 153 STC Charge 5 Driveway Escrow $ Park Fee 5 Sewer Main Charge 5 TOTAL STIPULATIONS: CITY USE ONLY Alt. A Alt. B See Back Page Tel. 5 7SY 75 -YS' Fee Schedule on Reverse Side $.50/51,000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] , 0 CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Gas Piping $ 10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer S 10.00 $ ' Air -Conditioning (all sizes) _ $ 10.00 $ W D D All Others/Repairs and Alterations 1% of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL li of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE $30.00. $ Rough Insp. _ Date Final Insp. Date J Approval for Permit MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address O " Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 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. g-a� ,19.91 OWNER L S KIND OF BUILDING USED AS l­� TO BE COMPLETED ABOUT - a - 9 l ESTIMATED COST a O . OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU -75-,"1• HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company ym Me&ASW CONDMON NO MGMMAVE Signed By 9EIM PAM MN 55425 am 1214M myltr Tel. No. r5 Zt Fill out back side for stack verification on replacement furnaces E CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. Has been carefully examined Yes (,) No ( ) 2. Is free from rust or deterioration Yes ( )E No { ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes O. No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes (�'j. No 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Com pa ny e R-e� �R .� '-- Signed By Date f HOUSE HEATING TEST RECORD ADDRESS �(_ It, L/ APT. FLOOR CITY SUBURB A, ® � OCCUPANT OWNER HEAT LOSS D E HTG. INST. 04 SOLD BY INSTALLED BY \16 ' _ f t / Electrical Work By Gas Line By a TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS ESIGN CONVERSION MAKE 1w bL 0 MAKE OF BURNER Model — Model Serial 920 Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS I/ THERMOSTAT a Y21 Heat Plug Vent Size Valve )too KIND OF LIN SIZENO k Limit & 714Draft Hood t I ReguleTor i T ) Limit Setting Lino 0 Filters Size Number Fan Setting Chimney Location Inside Outside Pilot Type Chimney Construction (�� 66 Pilot Make Juul Pilot Model Smoke Bomb Wiring Pilot Timing � & Draft Test Tag L.W. Cut Off ® Door Pressure Lighting Inst. Pressure 3 e � Percent CO 2- Date Tested /o— - ql Input CFH 7�Percent 02 Company Testing �.4 :77 Stack Temp. Percent CO .—a(,Name of Tester �$ Form 235 SUBJECT City of Fridley r'726 AT THE TOP OF THE TWINS BUILDING PERMIT r? RECEIPT NO. F r. r • COMMUNITY DEVELOPMENT DIV. _ __ PROTECTIVE INSPECTION SEC. a �� r f1QJ 8 r r NUMBER REV DATE PAGE OF APPROVED BY � CITY HALL FRIDLEY 544.32 L J\ 612-571-3450 910-F15 19/28/98 JOB ADDRESS 6825 Washington Street I LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18 1 Rice Creek Terrace 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Stickler 571-4963 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B & B Roofing Service 6760 Madison St Fridley - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION 0 ALTERATION 2& REPAIR O MOVE - O REMOVE 8 DESCRIBE WORK Reroof house and garage (22 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlaymen¢t must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPLOFCONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 WITHW ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1885 DOE OT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- RVISIO UCTI N OR THE PERF RMANCEV CONSTRUCTION $59.50 Fire SC $1.88 PLAN CHECK FEE TOTA11FEE Licen C 5. 001,f $ 6 .32 SIGNATUR F CONTRACTOR OR AUTHORiZEO AGENT IDATFi ENP OPE Y ALIDAT D HISUR P R - S-GNATURE OF OWNER OF OWNER BUILDER, iOWTE' rNSo gArt NEW [ ]` ADDN [ ] CITY OF F UDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: ,14 71 Owner Name & Address: �/�%� % G�/G'L G'?L Tel. # ..3'7/- Contractor: MN LICENSE # Address: ��A4 /�ii/�--17/Y1 --s- / Tel. # ..S%'"d 9 yoi' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Effective 1/1/98 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Construction Types;1 -;' / fW Ot5"— Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: APPLICANT: APPLICANT: Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $�� (Fee Schedule on Back) Ft x $ = $ Tel. P CITY USE ONLY Permit Fee $ ` Fee Schedule on Reverse Side Fire Surcharge $ 'd .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ �e `� $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 STIPULATIONS: ` SUBJECT of Fridley PCity AT THE TOP OF THE TWINS BUILDING PERMIT ` RE . • ______ COMMUNITY DEVELOPMENT DIV. r v PROTECTIVE INSPECTION SEC. 512-3604 1-16� 1 , �'�•1 CITY HALL FRIDLEY 55432 °•j NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 7/12/01 JOB ADDRESS 6825 Washington Street NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. ] $ 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Glenda Stickler 6825 Washington Street NE 763-571-4963 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Northern Crest Inc 7401 Central Ave NE, Fridley, MN 55432 763-792-9364 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20098415 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION fel REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building 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. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAO 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO OWLG. 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 $3,875 $1.94 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- SC $3.87 STRUIC.LAN OR THE PERFORMANCE OF CONSTRUCTION $97.25 Yire PLAN CHECK FEE T AL FEE Licens SC $5 0 $108.06 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI H PR 7, LY VALIOA D THIS IS YOUR PERMIT 664bG INSP - MATE S.GNATURE OF OWNERIIF OWNER BUILDERt t ATEI NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY 612-572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6825 washi naton St ATF Legal Description: Owner Name & Address: Glenda Stickler Tel. # 571-4963 Contractor: Northern Crest, Inc. MN LICENSE# 20098415 Address: 7401 Central Ave. NE Fridley, MN 55432 Tel.# 763-792-9364 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: re -side house ted' garage 18square Construction Type: SFD - wood Estimated Cost: $ 3,875.00 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: 7-12-01 APPLICANT: Bill Olson Tel.# 792-9364 CITY USE ONLY - Call (612) 572-3604 for Permit Fees if mailing In application Permit Fee $ 97 Fee Schedule on Reverse Side Fire Surcharge $ 3.9-0 .001 of Permit Valuation (1/10th%) State Surcharge $ k 2 $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ _ $1100 per SAC Unit $ � - 00 $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 [ ] $ / 0(s` C6::, 10 Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: ld l w 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE - // gg L1 YOUR E-MAIL ADDRESS J /? Gl ` n W SITEADDRESS G l/t /`/ THIS APPLICANT IS: ❑ OWNER KONTRACT PROPERTY OWNER/ NAME: 1'• TENANT ADDRESS: . ) 1 1AVUIE CITY l STATE"ZIP S 2K PHONE: CONTRACTOR NAME: S SUBMIT A COPY OF�i YOUR STATE LICENSE L STATE LICENSE # ^�v �� EXP DATE AND CERTIFICATE OF ADDRESS: `� e0 h CITY _ / J STATF%UTA P INSURANCE PHONE 9S - Cf)—J-- FAX PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED .'WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAINTILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION UMAINTENANCE/R(EPAIR gREMODELING o1 DESCRIBE WORK BEING DONE: a ' A (J(,J� S .S 9 S i-• �C - SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING Q HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 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 Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS- SCRIBE 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: f (U$JN)G THE 1997 U.B.0 FEE SCHEDULE) Permit Fee $* See Back Page for Fee Schedule P Plan Review $ >�65% of Building Permit Fee Fire Surcharge $ 04f) .001 times the total job valuation Surcharge $P l0 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = R x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 875 '�.� Make checks savable to: City of Fridley Attach Stipulations 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 I work which q res/review and approval of plans. / SIGNATURE OF APPLICANT �/ PRINT NAME �/' //yy,� EY Ae/9 1i'k DATE d V -/ J"ll