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PRE 2010 DOCS879.01 City of Fridley Application for Pk=Mng and Gas Ruing Permit Dept. of Bldgs. Phone 5W-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ........................ Additional Fixtures ................... Gas Range to 199,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code — x $2.00 $ — x $1.50 $ — x $1.50 $ 0°1 (�'�o� 0 Z �O F N WATER HTR. GAS ELEC Base — x $2.00 $ 2.00 —x$.75 $ — x $5.00 $ 1st 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings Connected with Sewer El I Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ........................ Additional Fixtures ................... Gas Range to 199,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ — x $3.25 $ _ z $2.00 $ NO. RATE TOTAL — x $2.00 $ 2.00 —x$.75 $ — x $5.00 $ Location 710 Marigold Terrace 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, Alin NOV 13 1968 19_ Owner 000ulant Kind of Building Frame Used as Residence To be completed about No 19 1968 Estimated Cost, $ Old-ANew. Building Permit No Permit No. ,17 q% s, ede.7MINNEAPOLISYS CO. or • [ Business Phone N i` ROUGH FINAL --j:: Description ................................................$ TOTAL FEE $ 2_00 42 CHIMNEY AND STACK VERIFICATION VENT DAMPER INSTALLATIONS LOCATION CI�Z -@ V DATE ,s OWNER '� �� ADDRESS S 5. That it meets present current code Chimney properly sized and in safe condition y .e 3 Is liner installed yes no Heat exchanger test yes no _ Vent connectors properly sized >< yes no _ Vent connectors need replacing yes' no _ Vent connectors properly supported and fastened >( yes no Furnace/Boiler replacement necessary yes no — Are other appliances tied into vent )< yes no The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examinedye s 2. Is free from rust or deterioration ,s 3. No foreign objects are lodged within 4. That it is securely supported S 5. That it meets present current code requirements for size and total BTU connected `1i 6. Total Heating BTU .S& ,0 0C) All other BTU �� , 60C TOTAL � io e) 0 Diagram of existing.installation: (include proposed damper location). --Additional work necessary on existing installation --Install combustion air per SBC 7722 (Note fireplace and exhaust fan installations that may create back draft conditions on chimney or vent.) --Electrical work necessary for installation (list). (Electrical permit" required for electrical work.) --Installer certification when required by vent damper manufacturer --Contractor license when required by municipality Vent damper installation instructions must be left at job site. REMARKS: Heating Permit # SIGNED��� Licensee By Address _ Telephone License # SUBJECT ER City of Fridley 19733 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEI • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ® �� 1 � � e-"1 CITY HALL FRIDLEY 55432 ' %.j NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/27/88 JOB ADDRESS 710 Marigold Terrace N.E. 1 LEGAL LOT NO. 10 BLOCK 4 TRACT OR ADDITION Donnay vs� Lakeview Manor SEE ATTACHED SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP O �1+E765 Herb Ford 710 Marigold Terrace N.E_ 5�/ 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R.J. Peterson & Sons Construction 4005 5th-Street N,E.s Cal, Hgts. 7816884 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 52 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121'.x IV Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Use treated sill Plate with-1/2" anchor bolts 6F on center. Before digging call 1001 SEPARATE PERMITS REQUIRED FOR TELEPHONE - ELECTRIC -CAS Et' WIRING, HEATING` PLUMBING AND SIGNS. REQUIRED BY LANty 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 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 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 $37 101, 76 $1.55 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 COW $63.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $64,55 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERE VALIDATED THIS IS YOUR PERMIT BLDG INSP SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI T1ATE NEW [ ] ADDN [ ] AMER I ] Construction Address: 671 Legal Description City of Fridley R-1 AND; R-2 Building Permit! Application I Effective 5/ jqq LAKE -Via. Owner Name & Address: RG -AE, P2�2L/� TO MAR16OLD TakR/aC', Tel. #671 -4 -765 - Contractor: R.J. pa-r6p oC '( e Tel. 7 Address: 400, 5ftf S7. Al. c. C`,OL�-i�'113� 1461!�7 ft7s Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. �sauPrloN � IMpRova�r LIVING AREA: Length Width Height 511. Ft. GARAGE AREA: Length /� � Width �_ Height � � Sq. Ft. �® DECK AREA: Length Width Hgt/Ground Sq. Ft. Corner Lot I ] Inside Lot V Ft. Yd Setback Side Yard Setbacks Type of Construction: <-iAR�at-:! Abpl% -Al Estimated Cost: # Approx. Completion Date: 31- 00 `� ®r • �� Proposed Driveway Width If New Opening Is Desired: $_ DATE: l .a2 -g8 Permit Flee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Charge T ML LP0 v• M Y 1 '1 •. Alt. A Alt. B See Back Page Tel. # '751-66 Free Schedule on Reverse Side $.50/51,000 Valuation $550 per SAC unit Alt. W or Alt. "B" Above Flee Determined by Engineering Agreement Necessary I I Not Necessary I ] �5 To LA -11 - P. a 6 6 c- " S . . Sold To: R. J. PETERSON & SONS CONSTRUCTION 4005 - 5th St. N.E. Minneapolis, Minnesota 55421 (612)781-6884 h� Totalili`.'housar��; _:andr2d _fifty ?.�t�-r "?�:ar��±:.v�. rice Down Payment, if any -/5 down ;.71 F $ Manner of Payment THIS ESTIMATE IS GOOD FOR 30 DAYS ONLY Of the above contract price; no recovery, however, to be in excess of the entire contract price unless extra work is done. It is further agreed that in the event of default in any payment or payments, the entire balance at the time of such default shall immediately become due, that the owner or other contracting agent hereby agrees In event of default to pay reasonable attorney fees and costs of collection. You, the buyer, may cancel this purchase at any time prior to midnight of the third business day after the date of this purchase. See attached notice of cancellation form for an explanation of this right. Date Signature PERSONS OR COMPANIES FURNISHING LABOR OR MATERIALS FOR THE IMPROVEMENT OF REAL PROPERTY MAY ENFORCE A LIEN UPON THE IMPROVED LAND IF THEY ARE NOT PAID FOR THEIR CONTRIBUTIONS, EVEN IF SUCH PARTIES HAVE NO DIRECT CONTRACTUAL RELATIONSHIP WITH THF OWNER_ IUINNFSnTA LAW PFRMITR TNF nWNFw Tn wlTuunl n cone Tule rf%UVOArTnn Date 19 We propose to do the following work at Specifications as follows: 'Id 'L'• C:� ..'] :Steri.. Ll - 1 ., ., iJ 1. r �.: v 1 _� �. J .. . f _ I,;*) ' t r. . . ... _ 1� . 1'.i [ ' 9 .. � 'r � l 4, f 1 [ t L .. .. W,` -y .. ,. J Li :v . r; . C.. .. _ .. : e C t u • '.� .. T .... .. .' 1 t ., i.: �:' C ri • [ . _ ., _ �1 ♦ .. L :� lr.�! '_t 11 (' ., .:r:I ! t', e.1 1�� �� j L. �'�.�� / \ ,.., }�� /C'� .1 lJ _. v a t .1 IJ '„ .).. L .: +l ... 1 1. .11 u L t. h, 6-1 ` 1. i1,..t I 'L 6,1--r) 21dir,.�. o .. .t. n, ..x_.:ating an --j_•is)�. `•. i '7 = i01l.�i) ®C rdt31 L ?n�i C) A li L�J'P 1i11 ,. r'.) 1341 iw)r3tEd .�earr,. ,CJc�C A r_.:'. i,lurn.L3h .fir +gin s an'1 p� .: it ��:7.L.i red bj tii, u_. t,/ of r'ri3iey. h� Totalili`.'housar��; _:andr2d _fifty ?.�t�-r "?�:ar��±:.v�. rice Down Payment, if any -/5 down ;.71 F $ Manner of Payment THIS ESTIMATE IS GOOD FOR 30 DAYS ONLY Of the above contract price; no recovery, however, to be in excess of the entire contract price unless extra work is done. It is further agreed that in the event of default in any payment or payments, the entire balance at the time of such default shall immediately become due, that the owner or other contracting agent hereby agrees In event of default to pay reasonable attorney fees and costs of collection. You, the buyer, may cancel this purchase at any time prior to midnight of the third business day after the date of this purchase. See attached notice of cancellation form for an explanation of this right. Date Signature PERSONS OR COMPANIES FURNISHING LABOR OR MATERIALS FOR THE IMPROVEMENT OF REAL PROPERTY MAY ENFORCE A LIEN UPON THE IMPROVED LAND IF THEY ARE NOT PAID FOR THEIR CONTRIBUTIONS, EVEN IF SUCH PARTIES HAVE NO DIRECT CONTRACTUAL RELATIONSHIP WITH THF OWNER_ IUINNFSnTA LAW PFRMITR TNF nWNFw Tn wlTuunl n cone Tule rf%UVOArTnn SUBJECY PE City of Fridley 9222 2 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECepriko � • COMMUNITY DEVELOPMENT DIV. ,®� _ ___ r PROTECTIVE INSPECTION SEC. O( NUMBER AEv DATE PAGE OF APPROVED By CITY HALL FRIDLEY 53432 L 612-571-3450 910415 4/15/99 JOB ADDRESS 710 Marigold Terrace NE 1 LEGAL BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1LOTNO. lO 4 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Winberg 710 Marigold Terrace NE 502-0803 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 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (26 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. 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 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 11 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,228 $1 • 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- $74.75 Fire SC $2.23 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TO L FEE If 78.09 Si '.44PkC N- ACTOR OR AUTHO iZED AGENT IOATE, • HE P O Y VALID THIS IS Y' R gERMI /�v S-G4ATURE OF OWNEROF OWNER BUILDER, 10ATE1 GATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION -x,ConstructionAddress: 7/6) %1%� Effective 1/1/99 Legal Description: Tel. #qZ Owner Name &Address: / ' ontractor: ����2�' MN LICENSE # Address: 7%4` 1v/,�il,/� %a tis Tel. # LIVING AREA: GARAGE AREA: DECK AREA: �7 xOTHER: 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. Length Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $��� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ `iDATE• _ `S1 4 - APPLICANT Te1. # CITY USE ONLY Permit Fee $ 2�,a— Fee Schedule on Reverse Side Fire Surcharge$3 .001 of Permit Valuation (1/10th%) State Surcharge $ , l / $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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: