PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PERMIT ° 1922
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Date:. d .1 .. .........
Owner C. �'.. i d,� . ° Builder - ... £.sit.. ............ .......
Address .. �./ .... lF . iA . IAC t j Address „� � : ' � �:�:(w" .. ................... .
LOCATION OFF''"�BUILDING
No. 4"? . +. ... Street , � .& 72"Fi 2 ..... Part of Lot .............................
Lot .............. Block ... ...... . Addition or Sub -Division .... ........ ...... •............
6.
Corner Lot ........... Inside Lot .. .. .. Setback ........... Sideyard wtfz e, tom":......... .
DESCRIPTION OF BUILDING
To be Used as:
W.: ... Front , ... Depth .... Heightr Sq. Fi. .. Cu Ft. ........
.. Front ........ Depth........ Height . Sq. Ft. ........ Cu. Ft. ......
Type of Construction .. ... ... Est. cost.: i t. To be Completed0 '&-'r:l�..`."�
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 all provisions of
ordinances of the village of Fridley.
o.
.✓ r
consideration of the payment of a fee of $.. :r77'., permit is hereby granted to .• .:i ..........
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 with-
in the village limits and this permit may be revoked at any time upon violation of the provisions of said
ordinances. � / x —
.. '�.. K':LaWBuilding Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see"uilding Inspector for separate permits foe items.
SUBJECT
City of Fridley
o 16 47
AT THE TOP OF THE TWINS
BUILDING PERMO
_
r
ECEIPT N
�
•_ COMMUNITY DEVELOPMENT DIV.
Lv -----
r PROTECTIVE INSPECTION SEC.
_!57-'0
1 �
i CITY HALL FRIDLEY 55432
a--""11.� ���
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
12/9/81
JOB ADDRESS 661 Marigold Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
7
3
Donnay's Lakeview Manor SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Anita Maurer 661 Marigold Terrace N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
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
X
8 DESCRIBE WORK
Reside Dwelling
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.
Steel
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$3,000
$1.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$35.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
rs-/
$40.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP AT
SI NATUR F OW RIIF WNER BUILDERI (DATE I
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATI94 FOR RESIDENTIAL BUILDING PEW41TS
(New, Alterations, Additions, or Repairs)
BUILDER:
OWNER: A� �/�Gr/re/� r�rQ
ADDRESS: (6 l !-�� ADDRESS:
TEL NO: TEL NO:
Construction Location
• STREET NO: STREET:
LOT: 7 BLOCK: J ADDITION: ooypy 'S J HWLLW-- /h/Wc'i�
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
-' / DESCRIPTION OF 111TP.UCTI11
LSiDLFront: Depth: Height:
Squame .Feet: Cubic Feet:
Front:
Depth: Height:
Square- Feet: Cubic Feet: `
Type of Construction: c�Estimated Cost:
Zb Be Oompleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET .
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do,all work in strict accordance with the City of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
Stipulations:
Effective Date January 1, 1991
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MW
651 t'fAFI f G
FF I DLEY , I'111 55432
o water Job Address H 571-20M W
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
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 �►� - Y 7C) U
KIND OF BUILDING '
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST Li ® O - a 0 - �^
OLD - NEW BUILDING PERMIT NO. PERMIT 80.
New Fixtures
$
7.00 - $
Old Opening, New Fixture
$
�
a
Beer Dispenser
e
5.00 - $
Signed By i2,� ;y I,-
Blow Off Basin
Ai
7.00 - $
jr
Tel. No.
Catch Basin
a
7.00 - $
m
Rain Water Leader
$
7.00 - $
r �c+
a
7.00 $
a+
W
°
Water Treating Appliance
Heater
10.00 - $
o�agab�y
Water Heater - Electric
$
7.00 - $
43_
Water Heater - Gat
$
10.00 - $
_5
FINAL INSP.
Gas Range
S
10.00 - S
Date
Gas Dryer
$
10.00 - $
042
Back Flow Preventer Required ( ) Yea
( )•
NO
APPROVAL FOR PERMIT
Type
$
5.00 - $
lot
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
(�) - New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
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 �►� - Y 7C) U
KIND OF BUILDING '
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST Li ® O - a 0 - �^
OLD - NEW BUILDING PERMIT NO. PERMIT 80.
New Fixtures
$
7.00 - $
Old Opening, New Fixture
$
4.00 - $
Company
Beer Dispenser
$
5.00 - $
Signed By i2,� ;y I,-
Blow Off Basin
$
7.00 - $
jr
Tel. No.
Catch Basin
$
7.00 - $
Rain Water Leader
$
7.00 - $
Sump/perceiving Tank
$
7.00 $
a
ROUGH INSP,
Water Treating Appliance
$
10.00 - $
Date
Water Heater - Electric
$
7.00 - $
43_
Water Heater - Gat
$
10.00 - $
_5
FINAL INSP.
Gas Range
S
10.00 - S
Date
Gas Dryer
$
10.00 - $
042
Back Flow Preventer Required ( ) Yea
( )•
NO
APPROVAL FOR PERMIT
Type
$
5.00 - $
ALLOTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance S
S
REINSPECTION PEE $30.00 State Surcharge .50
TOTAL FEE $ s� !-6
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT I8 $15.00
PLUS THE $.50 STATE SURCHARGE