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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn, No 2220 Date :, f/;LVA 3',':o- ........... ................. . 0`7Builder ..... Owner A.....4— ......... 1, . . �VnnA-nON Address .. f,., • ,,r,3�.. Address ......................................... OF BUILDING No. ..... /. ..... Street ... ! !. l...r . ................. Part of Lot ....................... dj Lot ................ Block ................ Addition or Sub -Division ....................................... ..w Corner Lot ............ Inside Lot ............ .Setback P Sideyard .. f ............. In consideration of the issuance to me of a permit to const the proposed work in accordance with the. description above set ordinances of the village of Fridley. /�' building described above, I agree to do kd in cgrnpliance with all provisions of A. . con ider tion of the payment of a fee of $: :'!.. , permit is herebygran .. to construct the building or addition as described abov the express ndition that the person to whom it is granted and his agents, empl done in, around and upon said building, or any part thereof, shall conform in all . Fridley, Minnesota regarding location, construction, alteration, maintenance, repair in the village limits and this permit may be revoked at any time upon violation of ordinances, r d Pr eAQtAs granted upon workmen, in all work to the ordinances of ving of buildings with - the provisions of said . Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. J\�J DESCRIPTION OF BUILDING To be Used as: .... Front :.. M. Depth .2-t. Height /:`*?'. . Sq. Ft......... Cu. Ft........ . f .................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft......".... Type of Construction Est. Cost ;+ ..... , . To be Completed ...i :! .. In consideration of the issuance to me of a permit to const the proposed work in accordance with the. description above set ordinances of the village of Fridley. /�' building described above, I agree to do kd in cgrnpliance with all provisions of A. . con ider tion of the payment of a fee of $: :'!.. , permit is herebygran .. to construct the building or addition as described abov the express ndition that the person to whom it is granted and his agents, empl done in, around and upon said building, or any part thereof, shall conform in all . Fridley, Minnesota regarding location, construction, alteration, maintenance, repair in the village limits and this permit may be revoked at any time upon violation of ordinances, r d Pr eAQtAs granted upon workmen, in all work to the ordinances of ving of buildings with - the provisions of said . Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. J\�J 3F,/ X City of Fridley, Minn. BUR DING PERMIT N® 6997 Date: 0 Owner: wilder Address Address ( LOC OF NG No. Street � — / Part Lot Lot _ . __ Block Addition or Sub- Corner Lot _ Inside Lot -- ,Setback deyard M �� Sewer Elevation — Fo dation Elevation DESCRIPTION OF BUILDING Front � Depth Height � � Sq. Ft. Cu. Ft. (��d Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. 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 set forth and in compliance with all provisions of ordinances of the city of Fridley. e ev - 7 " . In consideration of the payment of a fee of $*900� , 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 any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon vio]�rttan of any of the provisions of said ordinances. A A� NOTICE: ihb permh don sof cover the construction, haftWon for wmhm phnobine, on hosting, sower or wstsr. Be sura to no tho BuMns hopeetor for apsraM permits for thus hems. APPLICATION FOR-,, BUILDING: PER14T i :.... CITY OF FRIDLE',Y,• MINNESOTA, OWNER'S NAME .v BUILDER .&�.� ADD+w.7S_�.�✓// AD6R WS LOCATION OF BUILDING:' No.� �� �s�21/�D,�✓ Streetart•: ofo Lot, Lot:Block ,Addition oi;,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 build- ing location.d;awn,,on these Certificates. DESCRIPTION OF BUILDING To be used as: _. Front Depth, eight Sq. Ft. Cu; Yt a Front Depth Height Sq. Ft. :Cu. Ft:. Type ofl Constructicon Estimated -;Cant 4�0e,f e67 To be Completed - - -- - The undersigned hereby makes applica'ti'on for-a•permit for the work,�herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings.ef the.Department of Buildings,,and hereby declares that all. 'the .facts and representations stated in this application are true :and correct.. DATE_l�'� oZ%'= ' �� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side. R COUNTY OF ANOKA COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT FOURTH FLOOR COURTHOUSE ANOKA, MINNESOTA 55303 612-421-4760 SL I Ext. 1390 Public Health Nursing Services Environmental Health Services Mental Health, Mental Retardation, Chemical Dependency Services Family & Children's Services Volunteer Services Developmental Achievement Centers Ms. Shirley Trowbridge 701 Marigold Terrace Fridley, Mn. 55432 Dear Ms. Trowbridge: May 7, 1980 It has recently come to our attention that you are operating a catering establishment. The Anoka County Food and Beverage Ordinance requires that a license be obtained for the operation of a catering establishment. Enclosed is a partially completed license application to operate a catering establishment in Anoka County. Please complete both sides, and return it to us, together with the appropriate license fee (.$53.00 for an establishment 0-3000 square feet). If the establishment is a sole proprietorship or partnership, the application must be signed by the owner. If the establishment is a corpora- tion, the application must be signed by an officer of the corporation or evidence provided that the person signing the application is authorized to act on behalf of the corporation for this purpose. If you have any questions concerning this matter, or if I may be of service to you, please feel free to call on me. Yours very truly, _,Ie� t14, ? eL� (Mrs.) Karen A. Casale Public Health Sanitarian KAC:jfs cc: City of Fridley Affirmative Action / Equal Opportunity Employer CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 ADDRESS : 701 MARIGOLD TER NE PIN : 233024140033 LEGAL DESC : DONNAYS LAKEVIEW MANOR ADD : LOT 11 BLOCK 3 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING PERMIT NO.. 004-01183 DATE ISSUED: 07/28/2004 VALUATION : $ 2,200.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (19 SQ) TEAR -OFF STATE LICENSED CONTRACTOR 1 APPLICANT ANDERSON ROOFING CONST (4126) 366 ROSE LANE LITTLE CANADA, MN 55117 OWNER TROWBRIDGE GENE R & SHIRLEY 701 MARIGOLD TER NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law Bldg Insp ,F BUILDING PERMIT FEE 83.25 FIRE SURCHARGE 2.20 STATE SURCHARGE, VALUE 1.10 LICENSE SURCHARGE 5.00 TOTAL 91.55 PAID WITH CHECK # 10006 SEPARATE PERMITS REQUIRED FOR WORK OTHER YHAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1/0 Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Ro ® � - fel 1 �� Legal Description: Owner Name & Address: � u c31� �c'ICg� Tel. # Contractor. _ A) -'A 92L, 5c-- d ��'i MN LICENSE# Address: ���Lit-'� Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach 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 Hgt/Ground __, Sq. Ft Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $, DATE: �/ 0'4 APPLICANT: Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ as Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ 9/.4-4 STIPULATIONS: