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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Address ro_" LQCATI OF BUILDING No. Street li— Part of Lot 7. Lot _Block Addition or Sub -Division Corner Lot — Inside Lot — Setback Sideyard i Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To Front Depth-Ak.ri>i a Height Sq. Ft. Cu. Ft. t Depth Height Sq. Ft. Cu. of Conatruction Est. o 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 set forth and ffi compliance with all provisions of ordinances oY the city of Fridley. In consideration of the payment of a fee of E C , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the eFy ess condition that the person to whom it is granted and his agents, employees anworkmen, in all work doneFridlMinnesota regarding location, construction, alteration, maintenance, repair and moving. of buildings within the dty limits and this permit may be revoked at any time upon viplatof any of the provisions of said ordinances. Building Inspector NOTICE: This psrmh does not cover the eonstroetioe, hoaWan for whim ph mbk& ga heatt & Serra or wafer. Be sun to ae the Buibib►e bqmtor for aparate pamhs for thea hems. Owner's Name Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Builder Address LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision Corner 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. DESCRIPTION OF BUILDING To used as; Front Depth Height Sq, Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction 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 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). Y LOT BLOCK ADD. 10 SIZE 4 VALUATION�� TYPE (l l"l- -l-p— le'- .SA Pt,,c ADO e r vS,— l N 46 /5 /+ 0- !L av /Z (-- :4 LA -0 / Id+ /s A 0 a� � /2 + (5:s� 1 Zy �W-0ST �c�e i /A.a S -u.- -ru 13 t' ® /< c 1-4 i- ® /S E- L -c- v' 7- C, -I-- ° A P k ©eJ ra DK r N tZ- L S' C-7 y i=ce L I Is C Q K t -r lel pv/_,` t4-AXJC,- -- bc� eFl-fit= i4 Mi�S LJ i .• Z Z al -- 91 eL---r3 M � Y e Al sr -/+t- I o, x 0 s../ �pe Sam ®c41 s�l�oL®lL ° A P k ©eJ ra DK J r-- 7— —J T 42�- 1 Q, nJ S -rA LL (� / Y. i es, VA -1 AL k- r,q 7-0 LA-) I%-) % IZ- �aE� liI .D City of Fridley, Minn: BUILDING PERMIT N® 022- Date: 22 t: - l Owner: Builder Address lr-F=1 r LOCATI F BUYT, G NO. street Lot Lot _ .__ Block - Addition or Sub -Division . Corner Lot _ Inside Lot 0­1Setback 2 6 _....._ Sideyard w Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be U o Front 1 Depth Height 40 Sq. Ft. Cu. Ft Front Depthfreight � Sq. Ft. Cu. Ft. Type of Construction, ._.... Fist. '�_L _ ® l _ To be Completed In consideration of the issuance to me of a permit to construct the building described above, agree to do the proposed work in accordance with the description above set forth compliance th provisions of ordinances of the city of Fridley. �a In consideration of the payment of a fee of $��® , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or anypart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardinglocation, construction, alteration, maintenanMO pair and moving of buildings within the city limits and this permit may be revoked at any time upon vioof any of the provisions of said ordinance. /`� A A Building Inspector NOTICE: 7hb permh don not emer the construction, hwh Won for vihh , plumbing, gw hearing, wwer or water. Be euro to we the BulhUng hupector for wparah permhs for thew items. APPLICATION FOR BUILDING PEMMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME .' BUILDER ADDRESS /� ADDRESS LOCATION OF BUILDING. No. 0 Street. �d � �`�� ��^ Fart of Lot Lot_ %: Block Addition or Subdivision j tz& Corner Lot -—Inside Lot. Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. ,_} DESCRIPTION OF BUILD G To be used Fronta th r ' Height 4f /-, �. Sq. Ft,� ;z�(� Cu. Ft. � � � Front Depth Height Sq. Ft. Cu. Ft. Type of Construction � ��Z�tf��+ Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. r DATE f• SIGNATURE, -(Schedule of Fee Costs can be found on the Reverse Side). Af City of Fridley, Minn. BUILDING PERMIT Owner: Gurdon jnl l3 van Builder — Address %$Z Harim1d Address LOCATION OF BUILDING N® '7458 2 o 0,7? No. Street — Part of Lot Lot 9 _ Block _ _ 3__ _ _ Addition or Sub -Division . Xmmt s Lakeview Manor Corner Lot _ Inside Lot _ _ Setback Sideyaid Sewer Elevation _. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height _ _ Sq. Ft Cu. Ft Front Depth �,Ht `eight Sq. Ft Cu. F Type of Construction Est Cost _ _ _ To be Completed Reroof south side of the roof. In consideration of the issuance to me of a permit to cons et the building described e, I agree to do the proposed work in accordance with the description above inpliance tit all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ ____ r2 a_QQ _., permit is hereby granted toO'Bmn Qaast=et on 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 oP 7dley, hin thiflanc m NOTICE: This permit don not cower the construction, I mshBstien for whdng, plumbing, gas heating, scorer or water. Be sure to we the Building Inspector for separate pwm% for these hems. APPLICATION FOR BUVTNG PERMIT. CITY OF FRIDLEY0 IENNESOTA Mlww, MWO ADDRESS ADDRtSS s LOCATION OF EUMDING No. StreetPart of Lot_T oq i Lot C 1 Block -3 Addit.iow or Subdivision Corner Lot Inside Lot _z,Pet.sack Side Yard SEWER ELEVATION - - - FOUNDATION ELM17ON_ -- - - - - -- - - Applicant attach to thin form, Two Certificates o,f..Survey of Lot and proposed build- ing location.drAwn.on these CA-ttificates. 1b be used as: DESCRIPTION OF BUILDING PronC Depth Height sq. Ft. Cu. Ft. T `Front Depth Height Sze. Ft. Cu. Ft. Type of Construction Estimated Cost / �la The undersigned hereby makes application for a permit for the work herein specified, agreeing to coo all work int 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. JtSchedule.of Fee Costs can be found on the Reverse Side). Y 53-84-5915.51 City of Fridley Applica" for Plumbing and Gay Rnbg Fem* Dept. of Ridge. Phone 800-3490 DESCRIPTION OF WORK 681 Marigold Terr Number, Kind and Location of Fixtures • e m / N WATER MTII. GAS ELEC. Base 1st a I 2nd 3rd 4th • Future Connection Openings + New Fixture. Old Openings Connected with Sewer cesspool °a PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) . • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures ................. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Incinerator 1 5.00 REPAIRS A ALTERATIONS—Roger to Code Description ........................................... TOTAL FEE s• 00 City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do All work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn 7–i5-70 18, Owner Gordon Sullivan Kind of Building frame Used as res To be completed about 7-20-70 Estimated Cost, $ Old—New. Building Permit N . Pe �l �C Signed By _ Business Phune No ROUGH 53-84-879.01 PARTIAL RATE SCHEDULE "Tu. >e06. KATZ Sarni. lwmwwr MUM ................ r� $ am > ...®...... z=1.60Km Mkiwe Old op"km ......... _w" Z .............:,...... a an cits of ate: rte undersigned heroy nukes mVpMcmUon for a pn=t for thr warb hemd specified, agsedne to do &A wwk its strict mecardamme with the Cltv - and rulimS of the Depart of and heneby dedarm that ari the fes: and representatlaw stated im this appbemdm aye true and earnest 7/18/73 t G. Sullivan Kind of BuildiuR Frame Used as Res. To bE eae vkw about 7/23/73 Estimated cost„ i 10.00 0MANe. Building Pe nft t Water Waster 'Up to WAM>1°Fti1.... : S3,o New S;ronnd RM ON 9kw ........ • r Wa it EledwW wad ummom ............._1�/.�: an $ �raiti,g- ? fC RATZ TOTAL ht 3 lUtom .................. mood lrdduM ............... State Surcharge $ .SQ sass a of stasarCBS- khr f. owl* Replace. (1) . Range.,.................. � 3-00 -A® iSurcharge .ubg ? TOTAL3.5o 1bmw a� 53-P9915051 X9915051 A15plic:-,ioa for PIaTrt�s �Z W60- G�� � �fis�1z� I�crL9 • Dopt. of B1dgm. Phone SSO.34S0 DESCRIPTIO11 O? V1011r. I.o:at: 681 Marigold Torraco Humber. KL, d end Locr-110A of Fixtures r KO. RATE TOTAL Number Fixtures ....... • ........ I K Future Fixture Opening .. • • • • • • • • • ----- x $1.50 N • x $1.50 wAT[a Mt+�. I< - � � � � � � •' � � , O � � � V i N � e � e Ft SAS [LLC. O K0. RAT':. TOTAL 17.5 FITTING FEES: (M d L1 5 - • 1st3Fixtures ••••••••••••••••'• ------'x32.00 AddlUenal Fixtures ............ • • • ---- x .75 $-.-----= G:s Razznza to 199.000 BTU ..........• ----r-- x $5.00 6_. ----- Essr I 68 ri of Te ra o I A `4' 2nd - coj inn t ryo ._- 3:d 4� - •;d itis . -• - Cca..ss. a • Fu`.:as Gc:.-�:t.:a C�.L=!r. uc aoz Q s Nav Fi::turo, Old O -es -_Inns Cs:spwl [� PARTIAL RATE SCHEDULE P LLMMUC FIXTURE RATES: KO. RATE TOTAL Number Fixtures ....... • ........ �-.- Future Fixture Opening .. • • • • • • • • • ----- x $1.50 $ , -.---- Nrw Fixture Old Oprning. ••• • • e • • • ---- x $1.50 i.--»-• Catch Basin .................. •. x $3.25 $ - Yater Ifeater'L'p to 99.000 BTU,.. • • _�— x $00 $ . Nes+ Ground Run 013 Btdg....:.. •. • ----- x ;3.25 S.------ l:;a<tr'.e Y.atar l:a,tar. a $3.00 S K0. RAT':. TOTAL 17.5 FITTING FEES: 5 - • 1st3Fixtures ••••••••••••••••'• ------'x32.00 AddlUenal Fixtures ............ • • • ---- x .75 $-.-----= G:s Razznza to 199.000 BTU ..........• ----r-- x $5.00 6_. ----- City of Fridley. 9 The undersigned hereby makes applkaUon for a permit for the- work he specified, ag;ee:ng to do all work in strict accordance with the Cil? 0:dir-2 and ruling of the Department of Euil'Sngr, and hereby declares that all the • , and representations stated is his applIcat900 are true and co. -red, , i'ridley, Lilac 6 -1k -7h 19 Owner Gordon Sulliv^n Kind of Building framo Uscd as ros 6-21-76 To be completed about Estimated Cost, $ 10.00 Old--I+i Building Permit Na. Signed By- Business; y-Business; Phjrc No • ROUGH .50 State Surcha: ge ps?<:R3 kIL ERATIONS•—Rafot to Code . TOTAL FF.s. . SUBJECT PER City of Fridley 18036 AT THE TOP OF THE TWINS BUILDING _ PERMIT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BY 612-571-3450 910-F15 6/5/85 JOB ADDRESS 681 Marigold,I.Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Donnay''s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gordon Sullivan 681 Marigol d Terrace N.E. 571-4056 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lloyd's Home Improvement Inc, 1012 -- 423 Avenue N.E., Col.. Hgts. 55421 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 788-5602 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be the 2nd layer but not the 3rd. Install ridged galvanized valleys. 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 $1 600 $.80 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 P OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $26.50 ST CTION OR THE PERFORMANCE OF CONSTRUCTION. � �� PL N CHECK FEE TOTAL FEE $27,30 SIGNATURE OF CONTRACTOR OR AUTHORI D GE" NT (DATE) M WHEN PROPERLY L ATED THIS IS YOUR PERMIT BLDG INSP FIA E SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] City_ of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address 6 k/ Legal Description: OwnerName & A dress: Tel. $ Contractor # `7 S 6Oa Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: RARAP.R 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 [ ] Ftp, Yd. Setback Side Yard Setback Type of Construction: ,Q -,e --f ��•(�¢/ O�l � Estimated Cost: $ O _ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: / APPLICANT: Tel. # CITY USE ONLY / Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 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 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 $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations l% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL li of Value of Appliance or Work State Surcharge TOTAL IF= REINSPECTION FEE $30.00: Rough Insp. Date Final Insp. Date Approval for Permit TOTAL Job Address ARI Mari and ci Tarrara $ 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. $ 15.00 March 19, , 19 91 S 1.25 OWNER G^XfJQn Sill 1 icgan KIND OF BUILDING frame USED AS residence $ TO BE COMPLETED ABOUT ESTIMATED COST $1,923-00 $ . 50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. / CJ $16.75 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No -Air rnnditinning Trade Name Carrier Size No. 2 Ton Capacity I®� Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel 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. BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company — — — TUT Ahl C A 4 -Cfl -1 Signed By Tel. No. 757-5040 Fill out back side for stack verification on replacement furnaces SUBJECT of Fridley 23664 AT THE TOP OF THE TWINS BUILDING PERMIT Ir?City • COMMUNITY DEVELOPMENT DIV.�� PROTECTIVE INSPECTION SEC. r � � CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPROVED By 612-571-3450 910-F15 8/25/95 JOB ADDRESS 681 Marigold Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gordon Sullivan 681 Marigold Ter NE 571-4056 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minnesota Exteriors Inc 8600 Jefferson Hwy, Osseo, MN 55369 391-5514 2877 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 Reside Dwelling; Install soffit/fascia 9 CHANGE OF USE FROM TO STIPULATIONS Ventilation must meet the State Building Code. Siding installed per manufacturer's specifications. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.47 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,947 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $2.95 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 PLAN CHECK FEE TOTALFEE Licens SC $5. $84.17 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N PR PER V LI TED THIS IS YOUR PERMIT I g INSP 1i- ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ l ADDN [ ] ALTER Construction Address: Legal Description: Owner Na e,&,,-, Address: Contractor: %% Address:4 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/ 1/95 4?�3- z(Ig LIVING AREA: GARAGE AREA: DECK AREA: OTHER: �7 Tel. # MN LICENSE # Tel. # Xkach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. T pnuth Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ z Approx. Completion Date: le9ll (Cost on Back) Drivewayp,AC Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 0 APPLICANT:Tel. # CITY USE ONLY Permit Fee $-1�/ % S" Fee Schedule on Reverse Side Fire Surcharge $ _ ` .001 of Permit Valuation (1/10th%) . State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ J!' $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: I SUBJECT PERMIT Q City of Fridley 2 65 0 2 AT THE TOP OF THE TWINS BUILDING PERMIT r 06 COMMUNITY DEVELOPMENT DIV.®� i VV r PROTECTIVE INSPECTION SEC. 4 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 7/8/98 JOB ADDRESS 681 Marigold Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Donnay ' s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gordon Sullivan 681 Marigold Terrace 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove MN 55311 416-4804 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 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 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 1 VE REA AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES ANDKNOW THE M T UE AN CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINA OV NIN TH TYPE OF WORK WILL BE COMPLIED $1.16 WITH WHE E EC ED H RE OR NOT. THE GRANTING OF A PERMIT $2,335 DOES N P UM O E THORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROM ONS OT R ATE OR LOCAL LAW REGULATING CON- STRU F TIO CONSTRUC $74.75 Fire SC $2.33 TION R ��� r PLAN CHECK FEE T TAL FEE (((((( Lice $5. $83.24 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN RO VALI 10 THISIS O,UR PERMIT SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI B 1 INS PATE I NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: fil ( A 0 , Address: C Qr r 6171�I T ! ' ,J ,n, 7 ( �9 T l G Tel. # MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlAPROVEMENT Effective 1/1/98 Tel. # —;//& " �/ 2?d '/ LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq.Ft. moo_ DECK AREA: Length Width Hgt/Ground Sq. F . �9 . (4 OTHER: % ` O Construction Type: e 6 -� `1°L m L "Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 2.2 _'� 3 APPLICANT: Permit Fee $ '74), .Fire Surcharge $ - 33 State Surcharge $ 1. SAC Charge $ License Surcharge $ ' _C)0 Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 3- L( - STIPULATIONS: Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J , - . r CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS _ &01 MR -216o tD Tele'-RAf C 1 RATE SCHEDULE OWNER CV9Dorz SJl i.l t/�N Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Cz�► pENc;F, Also Replacement Furnace $ 30.00 $ 30.00 (Side Vent - Fill Out Back) ESTIMATED COST 377 /. 00 PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units_ Circle One (Steam) (Hot Water) (V ir) r� t Gas Dryer $ 10.00 $ Trade Name CA -C -9-i M Size No. BTU ( 00 0 C HP EDR *Air Conditioning - All Sizes $ 25.00 $-Z-5- 00 Fuel Njt-rLn-R-c- 6.-5 Total Connected Load All Others/Repairs_& Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $ SS.rb DATE I ilZ MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO hdA)( ivWt+Jg-,,JI REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed TEL # 651- U -%22 REINSPECTION FEE $47.00/Hr FAX# 6Q — b_'Z%— L47 q-7 *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final' Date S C� written permission from adjoining property owner. FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE �1 v1 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNT, NT_ONN TOR AND COMBUSTION AIR VIPRIFICATIMI When re la _ing an pxie ingf� ramp, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes W No( ) The venting system is plastictPVC and meets all current codes and manufacturer BTU Input specifications including sizing, length, number of elbows and termination. Yes No ( ) The undersigned also verifies that the replacement unit is a listed assembly Fan Assisted or Nat and meets the current codes and manufacturers specifications. This does BTU Input include AGA-GAMA Category I Central Furnace Venting Tables for fan Total Appliances assisted and natural draft appliances. Yes No ( ) The existing enmb istinn air is sized and installed to meet the current codes Vent Height and manufacturers specifications. Yes No ( ) When required to install a new nnmhim inn Mr.itwill be sized and installed ft Diameter in Type ft Diameter in Type ft Diameter in Type to meet the current codes and manufacturers specifications. Yes No ( ) When installing a new v _ntina syg em, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes QQ No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Appliance Type and Size/Cnmman Vent and Vent Cnnn _etnr Informs Yes) No ( ) inn Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height Appliance #2 Vent Connector Height Appliance #3 Vent Connector Height ft Length ft Length ft Length ft Diameter in Type ft Diameter in Type ft Diameter in Type HEATING CO: MFt�C M�Gcrt/dn/l� Signed By: — Date: