PRE 2010 DOCSv° c o ti oro o
W q4
CQ
to
91-4
ill e�
R$ V F
.so o,a, a A3 0
Cd ''0 * CL
o � E
goy° m
Y'd ".Cd44,
1�1 ,•� a .° a w r°n�
°a
o eo + s
O O .0 �' . i- .S1 r.Qj is it (d td L
rte+ Z �3 v1 Z+ qy O o� c
�cc
phi)`
`ate.; � (j � A A a, � •'� .+� � m •� -a
° a
W i ° o ami ° 400
;
° m
:0°'.'449
sa.cabs..
o b$ d a 3
w v p, U k v V c°
° •a c 0 0 0 s * 4 w
r`
City of Fridley, Minn.
BUILDING PERMIT
N° .7398
LQCA
No. Street
Lot __ Block
Corner Lot _ ew�� Inside Lot
Sewer Mevation
Address
-Lg/ L&A-4 /11S.VP A I.ot
Addition or Sub -Division
— Setback `— ® Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
J
To be aed
VA
Front Depth - — Height Sq. Ft Cu. Ft. L6-7
Fro t DepthHeight_ Sq. Ft. Cu. Ft.
Type of Construction) _r Est.. Iv�� ��!'o be Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to
the proposed work in accordance with the description above set or¢h and ffi comp with i o
ordinances of the city of Fridley. f}�C l
In consideration of the payment of a fee of $ `permit is hereby granted to
the
to construct the building or addition as described above. This permit is granted upon
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 �axt thereof, shall conform ir► aII respects to the ordinano� of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits and this permit may be revoked at any tune upon violation of any of the provisions of said
ordinances. a�''i
NOTICE:
This psrm(t does not corer the construcilon, Inift foe for wiring, plumbing, ges hentieg, awsr or wrier. Be tors to as
the Building bqm for for apish permits for then Itsna.
2_0
City of Fridley, Minn.. 10796
BUILDING PERMIT
Date: uaust 20. 1970
Owner:
Jerome Manley
Builder Leo Sanders
Address
660 Marigold
Terrace
Address 7813 Jackson Street N,E.
LOCATION OF BUILDING
No. 660 Street Marigold brace ____ part of Lot
Lot _ 15. __ Block — 4___ _ Addition or Sub -Division D9nnay'_.G Lakeview Manor
Corner Lot .__ X .. _ _ 1 Inside Lot — Setback ____ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Patio Front _15' _ Depth 29. 4 Height Sq. Ft. Cu. Ft
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction i _M Cement Est. Cost __90(L. 0Q __.. To be Completed 2 weeks
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/orth and in a npliance with 1 provisions of
ordinances of the city) of Fridley. l/ (�
In consideration of the payment of a fee of $ 5.00 _.., permit is hereby granted to Leo Sanders
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 regarding location, construction, alteration, maintenance, repair and. moving of buildings
ate city limits and this permit may be revoked at any time upon violation of any of the provisions of said
Inspector
CLARENCE BELIS
NOTICE:
This permit does) not cover the construction, Instailailen for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for them items.
4
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : _ I F Kos L /&"//i%L BUILDER: ✓�
ADDRESS:2C ADDRESS: Z 0/3 9�PE .
N0:. 6 (P Q STREET:_ 12) dCl Coo Ld / (I e�Pl9C <, -.
LOT: /6 BLOCK: ADDITION: .JO /UA,A /s Lm, ,116" 197,#,vele
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front• Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction:
�'p d_66!0 Estimated Cost: $ /"o
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinancefs and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE:*SIGNATURE: O
(See Reverse Side For Additional Information.)
City of Fridley, Minn. C!!6 6
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERWr
nate; _ Anril 5. '1972
1
Owner; _-- TPr= Manley ey Builder Amber rongtruction Tnr-
Address 660 Marigold Terrace Address 6070 Stinson Boulevard N.E.
LOCATION OF BUILDING
No 660 Street Marigold Terrace part of Lot
iAt __ 15Block 4 Addition or Sub -Division _ 1)nnnaV r c mit i nn
Corner Lot X inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: Sunil rch
Addition & Front 20' Depth 14 t Height 12' Sq. Ft 280' Cu, F, 2, 240'
Front Depth Height Sq. Ft. _ Cu. Ft.
Type of Construction Frame Est. Cost $3,950.00 To be Completed NK y 15, 1972
Stipulation Cut hold in existing f roof for fire access to new attic space.
In consideration of the issuance to me of a permit to construct building described
the proposed work in {accordance with the description above se o din compliance
ordinances of the city of Fridley. %
agree tq do
roS,ioions of
In consideration of the payment of a fee of $ 15.00 , permit is hereby granted to. Ambexconstrnu tion
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 regarding location, construction, alteration, maintenance, repair and moving of buildings
nthe city limits and this permit may be revoked at any time upon violation of any of the provisions of said
NOTICE:
this permit does not cover the construction, installation for wiring, plumbing, gas beating, sower or water. Be sure to see
the Building Inspector 'for separate permits for these items.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PiRMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAM:
X01 /'� y �F�i�:c �.
BUILDER:__ A�/9
-EjZ aArs 7
- 41V.
ADDRESS: 4/o ely
1111W e& d 4 49 -
ADDRESS: dO 70
-5 T / /Y.5o ,,r
NO:. 0 STREET: ®G U "- ;9
LOT: / S BLOCK: ADDITION : .(/o-'
CORNER LOT: C/ INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: !S2L -'� OAC r4 _
A 1Z / l A y Front:
C9
Depth: 1`% Height: / 2
Square Feet: 2 '6- d Cubic Feet: -2, z V0
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Ey{ ig.,,i - Estimated Cost:_$ ' j . 9' 5--c' =�
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stfict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE: SIGNATURE:
(See Reverse Side For Additional Information.)
19 �0RfA�
o. 65
Land Planning �t�C`LC�� j't 6875 Highway neap N.E.
Land Surveying • nt � Minneapolis,
Soils Surveying
) Awe. Minn. SS432
Testing'
:Telephone 784-6066
Civic Engineering
Municipal Engineering Engineers & Surveyors Area Code 612
Survey for �J C Pe, R_ /\A ` A N
L 1--Y
Certificate of Su y
MnDUcToLo TL_t�QQce
W
LOT 1S, BLOC k 4)
DG N N AY`S LN►_EV 1 EW
M \NO Q b ODITION
At -AQ KA COL NT`(� MI
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
said land. As surveyed by me this-!'Lday of A.D. 1970.
SUBURBAN ENGINEERING, INC. �
Engineers // upeyors
o
,
a1�o
O
E I
NI t
— icL _ f ri t
\\
0
Mst
*CCO a
i
ilY.
to- - I
� �.a _
k
LA
t I
M
LA
4J:,
J
LtuTtL`TY—? T_6.'v
�P
`
;Is
r
v
Q.6
_
I �
ttt� v
1 I
t i( Ft Jary E To`f
S, L4i1itu * T i r 42.
oratnQC: :Sm� 11 T
a �t
U
W
LOT 1S, BLOC k 4)
DG N N AY`S LN►_EV 1 EW
M \NO Q b ODITION
At -AQ KA COL NT`(� MI
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
said land. As surveyed by me this-!'Lday of A.D. 1970.
SUBURBAN ENGINEERING, INC. �
Engineers // upeyors
SUBJECT
PERMIT NO.
City of Fridley
6 5 4
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
_ COMMUNITY DEVELOPMENT DIV.
v
/ p �/
7/ l`
PROTECTIVE INSPECTION SEC.
S o
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/31/90
JOB ADDRESS 660 Marigold Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
15
4
Donnay's Lakeview Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jerry Manley 660 Marigold Terrace N.E. 571--6963
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & D Home improvement 7401 Central Avenue N.E, 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 Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (22 Squares) Tear -off
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 lb. felt,
mopped together, be installed to a point 24 inches
lip from exterior wall line, or the use of other
aPPrQved underlayment membrane.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. 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 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
$1,100.
$'55
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
PROVISIO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$ 27.00
STRUC ON R THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
Fire S.0 $1.10
$28.65
SIGNATUR OF CONT FACTOR OR UTHORIZEDAGENT IDATEIWHEN
PROPERLY V LIDATED THIS IS YOUR PERMIT
`
BLDG /r)AT
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATEI
NEW [ ] Effective 8/16/90
ADDN [ J R-1 AND R-2
ALTER [ ] Building Permit Application
Legal Description:
Owner Name & Address: �.J C.���I /i'//���G % Tel.
Contractor: (� ��� i/!� �/�7� Tel.
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVIM AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Bgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside lot [ Ft. Yd Setback Side Yard Setbacks
Type of Construction: -, �aM-d Estimated Cost: $
Approx. Ccupletion Date: ® (:qC;L sox,_
Proposed Driveway Width If New Is Desired: Ft. $ $
Width + 6' See Back Page
DATE: ?� APPUCANT: � � Tel. #
Permit Fee $
Fire S► rduir,7e
State Surcharge
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
slzPLMATIONS:
CITY USE CMLY
Fee Schedule on Reverse Side
.001 x Permit valuation (1/10th �)
$.50/$1,000 valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Detendmed by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
T NO.
City of Fridley
79---n'7n 8
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.o
D
NUMBER
REV.
DATE
PAGE OF
APPROVEBV
'n CITY HALL FRIDLEY 55432
..J 612-571-3450
910-F15
2/6/91
JOB ADDRESS 660 Marigol d Terrace NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
15
4
Donnay�s Lakeview Manor SHEET
DESCR.
2 PROPERTY OWNER MAIL ADDRESS ZIP
571-6963
Jerome Manley 660 Marigold Terrace NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Ave N., Mpls., MN 55412 588-9401
Concord Builders. 4538 Lyndale
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
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Kitchen Remodeling
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Call for structural inspection after demo.
SEPARATE PERMITS RFQUIRED FOR
MIRING, HEAPING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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 80 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 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
$14x000
$7.00
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-
$153.00
Fire SC $14.00
STRUCTION QR THE PE FORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
b !
.1
$174.00
WHEN PROPERLY V IDATED THIS`` IS YOUR PERMIT
sIG TUREOFCONTRACTOR ORAUTHORIZED AGENT ADATEP
U
d
IN5qA E
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATEI
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ]
R-1 AND R-2
ALTER. Building Permit Application
Construction Address: �o 6-41- AlLf A-' LOe-P-h-e
Legal Description:
Owner Name & Address : eQ5zA Aly -'ML / a /rif er/4'o'l//� z2 Tel. # s
Contractor: �i7�/� o�l� rAL/��� S Tel. #�G7yo/
Address: S i 3' '.� Ala' i' Al-
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.
ry u,am'�✓ s!` /P n �r n P ���a� ��`" `� % I -W cOTHER: 'jvv Sffru)
N4 G✓
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: & I-V AfexlBLd-1o12M1- Estimated Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE:.-� ',,. ,OPLICANT: Tel.
CITY USE ONLY
Pt Fee $ r S,pC� �'"�: Fee Schedule on Reverse Side
YLCi hAP-CX-a r
$ 1 Lf to �.4fi,;?5% of Building Permit Fee
State Surcharge$ i,UcJ y,,,,,,4 50/$1,000 Valuation
SAC Charge $-mere W
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ ► / q /0o
STIPULATIONS:
lq, 000
a ®oo 44 ,W
I2,�a�
/090
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
New Fixtures r� as
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater - Electric
Water Heater - Gas
Gas Range
Gas Dryer
Back Flow Preventer Required ( ) Yes
Type
RATE TOTAL
$ 7.00 - S -", j
S
4.00 -
$
H
5.00 -
$
s
m
$
q
7.00 -
U
S
x
m
S
Water
.1
H
N
S
S
7.00 -
w
C
N
Q
S
-4W
$
F.a
10.00 =
$
Heater
w
w�o
O
d
O
y
C
•a
Y�
C
+
IA
vl
+�
t
IA
Y ai
C C
•.4 y
w
e
s
w
g
w
.0 C
U •+
Y
ro w
H d
C t
O.
.(
U
w
e
a
u
a
a
Q
p
w
m
0
1
a�
a�
Ii
r.•
tll
1st
2nd
3rd
4tn
(R) - Future Connection opening
Connected with Sewer
(�) - New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
New Fixtures r� as
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater - Electric
Water Heater - Gas
Gas Range
Gas Dryer
Back Flow Preventer Required ( ) Yes
Type
RATE TOTAL
$ 7.00 - S -", j
S
4.00 -
$
S
5.00 -
$
S
7.00 -
$
S
7.00 -
$
S
7.00 -
$
S
7.00 a
$
S
10.00
S
S
7.00 -
$
S
10.00 a
$
S
10.00 -
$
S
10.00 =
$
( )
No
S
5.00 -
$
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance
REINSPECTION FEE $30.00 State Surcharge
TOTAL FEE
Effective Date January 1, 1991
Job Address go A<,'601d /(•i�C/S,4C,`
Building Inspection Div. 6431 University Ave NE
Tel. No. 572-3604 Fridley MN 55432
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.
OWNER
KIND O
USED A
—IZ a 19-aL
TO BE COMPLETED ABOUT -5'— 1 6 t
ESTIMATED COST t -12-0o' O d
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
CompanyY \� �i5 �w v4
Signed By ` �J
Tel. NO. � Z
ROUGH I17SP.
Date
FINAL INSP.
Da to
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBI•iG•/GAS PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
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
QESIDEdTIAL
RATE
TOTAL
Job Address Nur l o Id I °
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $
20.00
$
Building Inspection Div. 6431 University Ave NE Fridley MN 55432
Tel. No. 572-3604
Gas Piping $
10.00
$
(piping needed with new furnace)
Gas Range $
10.00
$
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
Gas Dryer $
10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
*
Air Conditioning (all sizes) $
10.00
$_
19
All Others/Repairs and Alterations
OWNER
1% of Value of Appliance or Work
$
KIND OF BUILDING �a�
COMMERCIAL/INDUSTRIAL
USED AS
li of Value of Appliance or Work
$
TO BE COMPLETED ABOUT 2,
�/�� )
ESTIMATED COST (/N A
State Surcharge
$ .50
FEE
_ �i—p
1 ,
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
TOTAL
$
REINSPECTION FEE $30.00_
$
Rough Insp.
Date
Final Insp.
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING/COOLING/VENT_ING PERMIT
IS $15.00 PLUS THE $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, rm Air-
aT
Trade Name A M I N � Size No. ?
Capacity Sq. Ft. EDR BTU HP
Total Connected Load LI3 V2 --J Rind of Fuel AJIT
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company
Signed By
Tel. No. 7 `v' Q XV— /J 3,13
Fill out back side for stack verification on replacement furnaces
CHIMNEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing
chimney or stack;
1.
Has been carefully examined
Yes
(�o ( )
2.
Is free from rust or deterioration
Yes
(.4e""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 connected
6. Has Total heating BTU's of
All other BTU's
TOTAL
Yes (&4-,�No ( )
P U C V1,q,
Remarks �J QC-. �4P-0A-el
�(\,Cq s 3 6
Company _
Signed By
Date
U
Il
SUBJECT
PE
City of Fridley
217T7:33
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r I ~ PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPR VE By
612-571-3450
910-F15
3/29/93
JOB ADDRESS 660 Marigold Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15
4
Donnay's Lakeview Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Jerry Manley 660 Marigold Terrace NE
571-6963
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Loon Builders. Inc. 4816 W 110th St, Bloomington, MN
881-6030 5776
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 O ADDITION ❑ ALTERATION (� REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling, soffit & fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
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
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS
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
$9 360
$4.68
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SACCHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PR OVI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$117.00
Fire SC $9.36
STRU 10 OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
[aA I C8
License SC $5,00.
$136.04
SIGNATU EOFCONTRACTORORAUTHORIZEDAGENT ATE)
EN
TED IS IS YOUR PERMIT
LDG INS'
7OPY7VAID
rV/ ��
MATE
S)GNATURE O� OWNER )F OWNER BUILDER) IDATEI
NEW Effective 1/1/93
ADDN CITY OF FRIDLEY
ALTER VI SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: (06(o I Ci :Leer
Legal Description:
Owner Name & Address: Tel. #
Contractor: L) I I MN LICENSE #
Address: 4 1 LO l L 0 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
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER:
-i NC -y-.-'
Comer Lot Inside Lot Ft. Yd Setback
Type of Construction:
Approx. Completion Date:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Side Yard Setbacks
Estimated Cost: $, . Cf �4)
(Cost on Back)
Driveway Curb Cut Width Needed: —F + 6 Ft = Ft x $ $
DATE: 3 APPLICANT: Tel. # GZ30
Permit Fee
Fire Surcharge
State Surcharge
$ 7,
$ I?"
$ 411.6
SAC Charge $ -E9-
License Surcharge -$ 0 0
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.501$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary t I Not Necessary
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On March 1, 1996
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS �C0.J ��"/ �l�b�� % %`i�
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Apli ce
$10.00
er eater —Electric
$ 7.00
Water Heater — Gas
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
199
Owner e
Building Used As
Estimated Cost PERMIT NO.
P
L
®2
PLUMBING COMPANY �I�i�L—O pLL(►'�( 1l%.
' 1n
SIGNED BY �%1 �'"/iy/6�— TEL No.. % %� `1�.1: 5
Q3 ...
$ .50
Approved By Rough—In Date Final Date 0
MINIMUM FEE OR ANY PLUMBING GAS PERMIT IS $20.00
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
CITY OF FRIDLEY INSPECTION DIV.
C3 6431 U_nlvetsity Ave NE
' Fridley, MN 55432
572-9604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BF IN3TAI I Fn n>v EACH 1:1 nnra
Effective On January i, iego
ilYater;"
RATE TOTAL
8aih
$ 7,00
=
Wash
Drink.-
Floor Catch
Auto.
Gas -
Gas
Misc.^
Water Heatee
Stories Closet'
Urinal
TO.;
Shower
Sink
Tray
Fount.
Drain Basin '
Washer
Appi.
Range
Flx(, � .
Gas
Elea
Basement :;'
Type
%'= =�
Ar -&*CF okp p2w -;�-AAC'k 'Q't 0r/4't&4178--X cj^''%
'' ••
ALL OTHERS ANOJOR REPAIRS AND ITERATIONS
1.5% o1 Value of FIKture orAppilance
�0• %�
Fioar 1
-
Floor 2 A
Floor 3','`.%'
t�,.
�;`_'
_
----
Flocr 4
FA
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
New Fixtures
$ 7,00
Old Opening, NewFkluae
$ 4.00
Beer Dispense;
$ 5.00
Blow ON Basin
$ 7.00
Catch Basin
$ 7.00
Rain WalerLeader
$ 7.00
SumpJReceMng Tank
S7.00
WalerT'reating AppYrance
$10.00
Water Heater -Electric
$ 7.00
Waler Heater - Gas"
$10.00
Gas Range"
$10.00
Gas Dryer"
$10;00
Back Flow Preventer Requited ( )Yes { No
Type
$15.00
Ar -&*CF okp p2w -;�-AAC'k 'Q't 0r/4't&4178--X cj^''%
Reinspection Fee $42.00/Hr
ALL OTHERS ANOJOR REPAIRS AND ITERATIONS
1.5% o1 Value of FIKture orAppilance
�0• %�
JOB ADDRESS Relfl6d'(40
The undetsigned heteby makes application %t a permit for the work herein
specified agreeing to do all waik to strict accordance with the city codes
and rulings at1he Building Division, and hereby declares that all the facts
and representations stated In this application are true and correct.
Owner
Building Used As
Estimated Cost PERMIT NO. A2, -�-/
PLUMBING COMWtdY Oy/�� f f r`7 T G -�-
SIGNED BY )��TEL N0,6s7-u6_71 VG
Approved By Rough -In Date_
State Surcharge $ .50
r MINIMUM E�FR NYPLUMBING/
-a TOTAL FEE $ a� PLUS THE $.So STATE SURCHARGE
m
Y '
Final Date
MIT 13 A20.00
•"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A� AND TABLE 6-A. MINIMUM SIZE 0 SQ INCHES.
m
m
N
I
n
-1
0
sueJEer
City of Fridley
7=9
AT THE TOP OF THE TWINS
BUILDING PERMIT
TN
�
w_.--� COMMUNITY DEVELOPMENT DIV.��
r � PROTECTIVE INSPECTION SEC.
NUMBER
AEV
DATE
PAGE Of
APPROVED BY
CITY HALL FRIDLEY 55432
1 612-571-3450
910415
9/22/98
JOB ADDRESS 660 Marigold Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15
4
Donnay's Lakeview Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Jerry Manley
571-6963
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
LLoyds Home Improvement Inc 1012 42$ Ave NE Columbia Heights 55421- 788-5602
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP JIJ9
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house ( 18 SQ) Tear -off; Install ridge vent
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
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
$1,542.00
$.77
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 CMA E
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
$51.25
F e SC $1.54
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
�
PLAN CHECK FEE
TOTA EE
%
Licens $5.00
$58.56
SIGNATURE OF CON'RACTOR OR AUT MOpI E AGENT (DATE(
EN 1 1110PE
OL09FINSP
T HI IS IIT
gAtE
S-GNATURE 09 OWNER,IF OWNER BUILDER( (DATEi
NEW [ ] CITY OF FRIDLEY Effective 1/1/90
ADM [ ] R-1 AND R-2
ALTER [ ] Building Permit Application��
Construction Address: 660 MARIGOLD TERR. NE
Legal Description:
Owner Nene & Address: JERRY MANLEY 660 MARIGOLD TERR. NE
Tel. # 571-6963
Contractor: LLOYDS HOME IMPROV. INC. Tel. # 788-5602
Add1012-422 AVE. NE. COL. HGHTS, MN. 55421-3159
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVIM AREA: Lezx3th Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Gro u d Sq. Ft.
07HER: TEAR REROOF HOUSE ONLY' INSTALL RIDGE VENT
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback
Type of Construction:
Approx. Completion Date:
Side Yard Setbacks
Estimated Cost: $ /
18 sq/
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 6' See Back Page
DATE: SEPT. 22, 1998 APPLICARr: Teel. # 788-5602
au
CITY USE OINLY
permit Fee $ !j -l. ?h,
State Surcharge $ C - f-,(
SAC Marge $ . 2-7
Driveway Escrow $
Park Fee $
Sewer Main Charge $
ex'e- F-4,-7- -s-.00
$ S^�6-s-irp'
STIPULATIONS:
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE Effective On January 1, 200(
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS to Co O Lq-LQ)
SC,� �, 0 0 �E
RATE HEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning • All Sizes PwwD
-a JiTbn ikArn4 03osAZ
AII Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.250/0 of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
OWNER `
TOTAL
BUILDING USED AS
ESTIMATED COST=�U00 , Od PERMIT NO. i°as-611
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$ Trade Name Size No.
BTU HP EDR
$ S. Od Fuel Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
$ 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 an
.50 rulings of the Building Division, and hereby declares that all the facts and
representations ,� t �IWjgl' ifieCtrue and correct.
9928 Bluebird St.
Coon Rapids, MN N44%3
HEATING
CO '763-754-2199
Signed TEL # 3 - `7 5 — d 19?
Approved By Rough -In Date Final Date
FROM :City of Fridley
Building
Inspections
.763-572-3604
DATE Cep
SITE ADDR'FSS
•PHIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SiJ13WT A COPY OF
iYOUR STATE LICENSE
WITH APPLICATION
FAX NO. :7635711287 Mar. 27 2006 12:34PM P2
BUILDING 1'el'mit No.:.
RESIDENTIAL APPLICATION Received B;
CITY OF FR.ID LEY Date Recd:
YOUR E-VAIL ADDR.F&S---
❑ OWNER
NAME: r/ I �......J _.....`/
.�ASTAT, F
AI]DRFSti:
PHONi::
—.._...,.Zi _ ROOFING & REMODELING, INC
NAME:_ 41 EXCELSIOR BLVD.
STATE LICfiNSjy 1 -P -W—
� 5�1
ADDRESS: .. , . _ I, CITY_— . __.. _ STATE 7rn_. ... _
PMWP.. FAX_„_, .,, - ..... .. .....
PROPERTY TYPE -X-SINGLE FA.MR.Y/NFW CONS'I'kticnoN 1z I-;-.
❑ I'WO I-AMI'LY/NEW CONSTRUCTION STORIES _
PERMIT TYPE CI ADDlTiUN 0 GARAGI:JSHSb 0 WINDOWS
❑ BASEML•NTFINISH do(..')F ❑ DRAIN 11A
❑ DECK ❑ SIDING ❑ OTHER
_ ❑ SWIMMING POOL __—
TYPE OF WojUY .: ❑ NEW _ ❑ ADDITION
AINI'1iNANCVR0,AIR ❑ I2L?MOT)F..LING
DESCR.ME WORK BEING DONE: �' ..._ .. _.. .
OF IMPROVEMENT
OF SQUARES
GARAW
PROPOSED IIEIGHT!
SIDING
❑ Vinyl
* Aluminum
❑ Other
_ LENGTH
0t.ISF ONLY
❑ 14OUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
O Trim
❑ 171,WC a
H)rIGHT
$ASLMEA, REMQ> D`1S St1RMTr:
1. Existing llnnr Plan
2. Proposed fluor plin
j 3. List of structural member: to he used
FOR NFW (;ON$TRUCTION INCLUDING Dr,CKS,
ADDrrIQ2a &J L)RCFmFS stiRm rr:
1. Site Plun/Survey showing the existing Structures
and proposed project.
2 Two seta of construction plans
WINDOWS 1. rMegy Calculations
IN EXISTING OPENINGS Oyes ONO LOCATION OF WINIX)WS
OR FOR NEW 07F.N1N0.")1-*SCI MI1 SIZE OF
OPEWNO CHANGES &
TYPE OF WINT)OW TO RA INtiTALL]ED NUI MFR OF WINDOWS
ALT. FEES ARE BASED ON VALI:TATTON, INCLUDING THE COST OF LABOR AND MA'IT;TtiALS:
(USING THE 1997 UX.0 FEE SCHEDULE)
TOTAL .JOB VALIDATION $ Na (�- CCUPANCc TYPE _.—
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License •Surcliaage
SAC Charge
Curb Curt 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 Liccnscd Residential Contractors)
S 1550 per SAC Urdt (flans to MWCC for determination)
ft+bft= ftx$20=$. _�._....
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non N&cassary ( }
Make checks payable to: City of Fridley A.ttac
THIS IS AN APPLICA'T'ION FOkAP'LRMTr-NOTVALMT-TNTII•PR0(%%SED
T hereby apply for a building poratit and I acknowledge that the information above is complete attd accurate; that the work will be in
conformaasce witd) the ordittances and codes of the City of Fridley and with t1le Minnesota Constatrction Codes; that. T understand this is not a
I�ennit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan, in the case of, all work which requires rcvi • a pproval of plans, // �I
SIGNATURE OF APPLICANT Vis` PRINT NAMLr . G'DATE��A Le'
From: 7635020227 Page: 1/2 Date: 12/10/200911:17:35 AM
Building
BUILDING
SIN5T1997 U.B.0 FRE SCHMULE)
Permit No.:e5V0/
Inspections
0 S OCCUPANCY TYPE
RESIDENTIAL "PLICATION
R v dB el
763-572-3604
Plan Review
CITY Off'LEY
n '
763-502-4977 FAX
EP E I.l.os
.001 times the total job valuation
Surcharge
DATE O "
YOUR EMAIL ADDRESS 1 L 1,�I�F�
l ILO
SITEADDRESS /7120
Mar- Qold %c�� %�jt/�
re
SAC Charge
$
$2000 pct' SAC Unit (Pians to MWCC for determination)
Curb Cut i3scrow
THiS APPLICANT 16;
O OWNER XCONTRACTOR
Erosion Control
PROPERTY OWN1EPJ
NAME;�,J^
Park Fee
TENANT
ADDRESS; F CITY .-r, l,, ATIONZIP �Y3
Sewer Main Charge
PHONE;
Agreement necessary ( ) Non Necessary ( )
CONTRACTOR
NAME;
Make checks able to: M of Eftdlg Attach Sti "Isdans
STATE LICENSE 0 A 3 .1"'Y
EXP BATE
SUBMIT A COPY OF
YOUR STATE LICENSE�--^
AND CERTTPTCATE OF
ADDRESS: 7ff Gc�°/I fD%
�—
INSURANCE
PHONE 3 s l f -
61� �
PROPERTY TYPE
JNiSiNGLE FAMILY
SIZE
04
13 TWO FAMiLY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
0 ADDITION EI GARAGE/SHED
C3 WINDOWS •
13 BASEMENT FINISH 0 ROOF
G DECK Q SIDING
0 DRAiN TILE
OTHER-
, ,,Q��
a PI,
❑ SWIMMING POOL
/^Q / !`D %Pr
TYPE OF WORK:
C NEW IiONM CONSTRUCTION D ADDPPION
1NTENANCE/REPAIR 13REII+IODI�Ei.TNO
�ie
!
DESCRIBE WORK BEiNG DONE; Re v C Pen
) 4.4 Is 10'6 x CZ chert I h I �a411P�1��
SIZE OF IMPROVEMENT
LENGTH WiDTH
HEIGHT
ROOFING
NUMBER OF SQUARES
0HOUSE ONLY
13 HOUSE & GARAGE
$AaP.MM �AEMODELING„S,Li6�x;
1, Existing Floor Plan
ATTACHED GARAGE
Z. Proposed floor plan
PROPOSED SIZE:
O DETACBIED GARAGE
3. fist of stmcW l members to bo uacd
PROPOSED HEIGHT!
POR NEW CONSTRUCTION INCLUDING DECKS,
Cl Vinyl
09oflit
AADITIONS. Pb1,t$S�SI L9>�iT:
• Aluminum
CI Trim
t . Site Plntt/5uivey showing the existlrryt structures
O Other
G Fascia
and proposed project
2. Two sets orconstmOlon plans
W9QW_S
3. Energy Cnlculations
iN EXISTING OPENINGS OYes 0No LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DF,SCRTBE SiZE OF
OPENING CHANGES 4,
TYPE Or• WINDO TO BE INSTALLED NUMBER OP WINDOWS
ALL FEES ARE BASED ON VALUATION, ]INCLUDING THE COST OF LABOR AND MATERIALS:
SIN5T1997 U.B.0 FRE SCHMULE)
TOTAL JOB VALUATION $
0 S OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit .Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
��.0005 x Pet -mit Valuation Minimum S.50
License Surcharge
$
$5.00 (State Licensed Rosfdential Contractors)
SAC Charge
$
$2000 pct' SAC Unit (Pians to MWCC for determination)
Curb Cut i3scrow
$
ft + 6 ft = ft x $21= $
Erosion Control
$
_
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks able to: M of Eftdlg Attach Sti "Isdans
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 allh
ah r review and approval of plans,
SIGNATURE OF APPLICANT y
/es
J
1j % -.–PRINTNAME. t'' p� /Wl 1- r I ll f -r'. DATE 12Z! 0Z0 J
04
From: 7635020227 Page: 1/1 Date: 12/10/200912:0 PM
N 1%
Building
$
BUILDING
Permit No.: 0-b eco
Inspections
$
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDL Y
(.0005) times the total job valuation —Minimum $.50
'ire Surcharge
$
/ 2 96
.001 x Permit Valuation (1/10%)
,E/
DATE /10 YOUR E-MAILADDRESS
SITE ADDRESS
5.0(3
$5.00 (State Licensed Residential Contractors)
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
PROPERTY OWNER/
NAME: !' 011) Mot) e
(- r o l !' n %. CITY T i f el�e V STATE 9 5 S y 3
TENANTADDRESS:�L
PHONE: 76 3 1157!' f& 3
NAME._ Jodi d) E(dl i t J d n 4 5
CONTRACTOR
$
STATE Ll Pella Windows & Doors q $a l Yc� _ ('0147
SUBMIT A COPY OF
15300 25th Ave N. Ste 100
YOUR STATE LICENSE
ADDRES! CITY STATE ZIP
WITH APPLICATION
PHONE Plymouth, MN 55447
q SING, Lic # 20165884 Ph. 763/745-1400, ;E
PROPERTY TYPE
❑ TWO FA .ORIES
PERMIT TYPE
QADDITION ❑ GARAGE/SHED 75 WINDOWS
Y G _ L '7
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
®9,MAINTENANCEOMPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: I O (,� I !1 ('IOW e S 1A I X
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
3ARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
2. Proposed floor plan
?ROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
'ROPOSED HEIGHT:
3IDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
D vinyl
[]Soffit
ADDITIONS. & PORCHES SUBMIT:
:3 Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
7 Other
❑ Fascia
and proposed project.
JVINDOWS
2. Two sets of construction plans
N EXISTING OPENINGS -Wes ❑No LOCATION OF WINDOWS
)R FOR NEW OPENINGS -DESCRIBE SIZE OF b u i n %i
3. Energy Calculations
OPENING CHANGES &
/ -buw Q. D H S
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)
TOTAL JOB VALUATION $ l 2, 2 S 3 OCCUPANCY TYPE
Iermit Fee
$
07 a 3.
See Back Page for Fee Schedule
Ilan Review
$
65% of Building Permit Fee
>urcharge
(.0005) times the total job valuation —Minimum $.50
'ire Surcharge
$
/ 2 96
.001 x Permit Valuation (1/10%)
,icense Surcharge
$
5.0(3
$5.00 (State Licensed Residential Contractors)
;AC Charge
$
$1450 per SAC Unit (Plans to MWCC for determination)
:uro Cut Escrow
a
n _ o ft = R a $20 = o
3rosion Control
$
$450 Conservation Plan Review
'ark Fee
$
Fee Determined by Engineering
ewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
'otal Due
$
Y G _ L '7
Make checks Davable to: Citv of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
onformance with the ordinances and codes of the City of Fridley and with the Minnesota.. Construction Codes;.that I understand this is not a
ermit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
Ian in the case of all work which re quire re ie and approval of plans.
IGNATURE OF APPLICANT\� " y PRINT NAME ` (� ° / -� �I DATE [ ( y