PRE 2010 DOCSSTATE OF MINNESOTA
DEPARTMENT OF HUMAN SERVICES
444 LAFAYETTE ROAD
ST. PAUL. MINNESOTA 55101
Date
'Zo4ng Authority, -_I
Street Address
►> . SS4�;�—
City State Zip Code
RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE
Subject:
Name o 16a -y are Home
Applicant
'7-0, b C- SJ`/�_c�
J
Street Address
7�X�c _ —
City ate Zip Code
DHS -2722 (9-85)
PZ -02722-02
Type of License:
Family Day Care
Group Family Day Care
Licensed Capacity
Phone No. Vy- � 21
This is to inform you that we are in receipt
licensure under Minnesota Rules, parts 9502.0300
Rule 2), Family Day Care and Group Family Day Care
this license is subject to compliance with the
Statutes, Sections 245.781 to 245.812 and 252.28,
the Public Welfare Licensing Act and the rules of
Services.
of an application for
to 9502.0445 (formerly
Standards. Issuance of
provisions of Minnesota
subdivision 2, known as
the Department of Human
You should note that under Minnesota Statutes, Section 245.812, Subvision
3, a licensed day care facility serving 12 or fewer persons shall be
considered a permitted single family residential use of property for the
purposes of zoning. Subdivision 4 of the same section indicates that a
licensed day care facility serving from 13 through 16 persons shall be
considered a permitted multi -family residential use of property for
purposes of zoning.
If we do not hear from you within
will consider the above-mentioned
your local zoning code.
Sincerely,
Aza�- X�L -P J ,
Licensin Worker
Street Address
30 days after receipt of this letter, we
day care home to be in compliance with
COMMUNITY HEALTH & SOCIAL
SERVICES DEPARTMENT
MUNTY OF ANOKA
'COURTHOUSE. FOURTH FLOOR
ANOKA.MINNESOTA 00999
Name of Agency/Organization
City State Zip Code
AN EQUAL OPPORTUNITY EMPLOYER
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
` RATE TOTAL
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
1% of Value of Appliance or Work
Htg. Alteration
COMMERCIAL/INDUSTRIAL
1% of Value of Appliance or Work
State Surcharge
TOTAL FEE
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp.
Date
Approval for Permit'r
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00-
PLUS
15.00PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
15,00
$
$ .50
$ 15.50
Job Address 720 NE Marigold Terrace #571-6535
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #571-3450
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.
Fridley, Minn. 14 Dec 88 , 19
OWNER Cheryl Knarfsboro
KIND OF BUILDING Frame
USED AS
TO BE COMPLETED ABOUT
res
14 Dec
ESTIMATED COST 200
OLD - X= BUILDING PERMIT NO. PERMIT NO. ®t V
DESCRIPTION OF FURNACE/BURNER
Replace 5" Class B Stack F Tee.
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name Size No.
Capacity
Total Connected Load
BURNER - Trade Name
Capacity
h1innegascO #642-D..:
700 W. Linden Avenue
p. 0. Box 1165
Mlnneapolls, MN 55440.1
Sq. Ft. EDR
BTU
Kind of Fuel
Size No.
HP
Sq. Ft. EDR BTU HP
Signed By UMBRA=
Tel. No.
P
Fill out back side for stack verification on replacement furnaces
Pr
r
f
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
I. Has been carefully examined Yes ( )
2. Is free from rust or deterioration Yes ( )
3. Has no foreign objects lodged within Yes ( )
4. Is securely supported Yes ( )
5. Meets all current Code requirements for size and
total BTU connected Yes ( )
6. Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company
Signed By
Da to
No ( )
No ( )
No ( )
No ( )
No ( )
CITY OF FRI DLEY
APPLICATION FOR HEATING REPLACEMENT
CHIMNEY AND STACK VERIFICATION
THIS FOP14 MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM.
LOCATION -*6A1A2 / CQ &6 A/6 DATE
OWNER k Al S d;&eg-,, c- ADDRESS
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined
2. Is free from rust or deterioration
3. No foreign objects are lodged within
4. That it is securely supported
S. That it meets all current Code requirements
for size and total BTU connected
6. Total Heating BTU
All Other BTU
TOTAL
e
No , 000 C w
REMARKS 1 t� .S�/� �f �C,A S ��f•� L /3�S r�S
2-, in oU
HEATING PERMIT f
SIGNED
Licensee
by
Address
Telephone
Fridley City License
u ,r!tit .., ,,,,,,,,,,,,,s,.,,,.,.,.,.,.,r,.,.,......., i... ,.,...,,,?,., a,r,,i .,a>,!.!.r xs<xs,nr,;,,,,..: Gn,.;, .. .,. ,,.,.w .,,, ..,.,.,.,r .,.,.,!a,xraa ?.>, ,, t!i!,>aa,x>t:•ar,!,:•zsir,?i?>a,•sis;?,n.aaaa,s.a:its,h85't,n:.:nirfi:.li:3`3b:iif
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
September 10, 1992
Cheryl Knaresboro
720 Marigold Terrace N.E.
Fridley, MN 55432
RE: First Notice of Noncompliance at 720 Marigold Terrace N.E.
Dear Ms. Knaresboro:
The City of Fridley has established a City Code for the purpose of
promoting a pleasant and attractive suburban environment. A recent
inspection of the property at 720 Marigold Terrace N.E. revealed
that not all Code requirements are presently being met. Listed
below is an item which does not comply with the City Code:
1. Discontinue outside storage of assorted materials located in
the utility trailer along the east side of the house.
(Fridley Zoning Code does permit storage of the trailer itself
at this location.)
Your prompt attention in correcting this situation would greatly
assist us in helping make Fridley a better place to live. An
inspection will be conducted on or about September 21, 1992, to
determine compliance.
If you have questions or would like to discuss this, please contact
me at 57.2-3595. Thank you for your cooperation!
Sincerely,
Steven Barg
Code Enforcement Officer
SB:ls
CE -92-442
SUBJECT
City of Fridley
32683
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r?
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
j PROTECTIVE
1 � �
NUMBER
REV
DATE
PAGE OF
APPROVED By
i /'�'f;•� CITY HALL FRIDLEY 55432
-__-�;
L 612-571-3450
910-F15
6/11/02
JOB ADDRESS 720 Marigold Terrace NE >
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
4
Donnay's Lakeview Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Cheryl Knaresboro 720 Marigold Terrace NE
763-571-6535
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
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (23 Sq) Tear -off
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
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
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
$2,465
$1.23
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
86.95
uREO �CTORORAUTHRi2E0AGENr iDATE,
iK.,
H PR
LY VAL 0 ED 7H1$ IS OUR P MIT
O;O�R,i AiE�
LOG NST'
DATE
NEW [j
ADDN [J
ALTER [ j
Construction Address: __,e
Legal Description: /Of
Owner Name & Address:
CITY OF FRIDLEY Effective 1/1/2002
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Tel. #
Contractor. ®r) dl p /2 MN LICENSE #
Address: 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 Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Gmund Sq. Ft /
OTHER: /.f o PA".; -c . f P e� �c/� a rye - o�� S Z7 &A /Q es —ler. ye -o
Construction Type: Estimated Cost: $ ���(o
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: 1,914Z900 Z_ APPLICANT: I Aa Tel. # ;7.� – S"
Call (763) 572-3604 for Permit Fees if mailing Application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$_ 83. ,Z-
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 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 $ (9lam- 9S STIPULATIONS:
3uilding
BUILDING
Permit No.:
nspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY°
Date Rec'd: -oo
>ATE /h �7 I (D
YOUR E-MAIL ADDRESS
ITEADDREss
'HIS APPLICANT IS:
❑ OWNER ONTRACTOR
PROPERTY OWNER/
NAME: Ll Sek _k"kAa re-5 +r-O
ADDRESS: CITY
STATE ZIP
TENANT
PHONE: `7C9 `S7 (- (o SL3
CONTRACTOR
NAME: v'� vt e e tQ `Eerr c;
5-7
STATE LICENSE # :,)0/3 3 a r EXP DATE D3 O
SUBMIT A COPY OF
7Dz9C� 5 7 1-- A/ CITY �Y
s STATIi:01LIP MLe
YOUR STATE LICENSE
ADDRESS:
WITH APPLICATION
PHONE -1—`T-3-7- `5-/t -7 FAX
PROPERTY TYPE
❑ SINGLE FAMILYINEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS
❑ BASEMENT FINISH $qROOF ❑ DRAIN TILE
[3DECK ❑ IDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR Q*EMODELING
DESCRIBE WORK BEING DONE: �2a ) e
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
pR OMG❑ HOUSE ONLY
NUMBER OF SQUARES 'S ❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
I. Existing Floor Plan
GARAGES
E3 ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
E3 DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site
Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
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 $ '5�2� 282 — OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut 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 Licensed Residential Contractors)
$1550 per SAC Unit (Pians to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks uavable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMITNOT 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(4d es f the Pity of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an appli ' n a e it d w k is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all wo whi r i s re iew oval of plans. ^ `
SIGNATURE OF APPLIC PRINT N a�('_l J✓ DATE
Page 2 - Building Residential Application
BUILDING PERAUT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in the manner herein
provided to -wit:
TOTAL VALUE
FEES
$1 to $500
$23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000 +
$23,50 for 1" $500 plus $3.05 for each additional $100 or fraction, to and
including $2,000
$2,001 to $25,000
$6925 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and
including $$25,000
$25,001 to $50,000
$391.25 for 1 $25,000 plus $10.10 for each additional $1,000 or fraction,
to and including $50,000
$50,001 to $100,000
$643.75 for 1' $50,000 plus $7 for each additional $1,000 or fraction to and
including $100,000
$100,001 to $500,000
$993.75 for 1g $100,000 plus $5.60 for each additional $1,000 or fraction to
and including $500,000
$500,001 to $1,000,000
$3,233.75 for the IN $500,000 plus $4.75 for each additional $1,000 or
fraction to and including $1,000,000
$1,000,001 and up
$5,608.75 for the I' $1,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Only
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
Building
MECHANICAL
Pernlit No.:
Inspections
RESIDENTIAL APPLICATION
Received $y= -
763-572-3604
CITY DP FRIDLEY
E 3 t g 208
DATE 2-- I Ci- DC? YOUR E-MAIL ADDRESS
SITE ADDRESS 7 z L -)461z G1 0 (d P ( of C Z_
THIS APPLICANT IS: 0 OWNER WONTRACTOR
PROPERTY
NAME: C_h e_ 2 K.n & Q& -S b o RR o
ADDRESS: -7 Z o M 0.1a._i rqo l d P 1 Ct C e, CITY - P_ - d.12 ti STATE ZIP SS 3 Z
OWNER/
TENANT
PHONE: -I & 3
CONTRACTOR
COMPANY NAME:
SUBMIT A COPY OF
CONTACT PERSON: Pe - fie C h o ur; rl a r d
STATE LICENSE # 13".1 �.1 Gl 3 ! (.11 EXP DATE Ci - Z Z -
YOUR STATE
LICENSE WITH
ADDRESS:I a 0 Lt oI> S+ tj 1,I CITY0 p j< Grc V o- STATER A ZIP55 D l
APPLICATION
PHONE � 3 ' E , Lt ((!1 0 FAX -:3 '13 2 rj
PERNM TYPE
13 SINGLE FAMILY €i TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
0 NEW WREPLACEMENT 0 ALTERATIONIREMODEL
DETAILED DESCRIPTION OF WORK k" L 0.0 e_
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $5U11.00, wbehever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) /�
Equipment mottled MFG: C, n, Pp r 0- MODEL: C'_1 M 1P D o 115 F 1-2-C Z S1ZE/HTU -7 t_=5 -3L
MFG. MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00
_AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) 535.00
GAS GRILL $10.00 _
_NEW
BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00
CHUMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER 53100
_DUCT WORK $10.00 _GAS PIPING 510.1* _VENTILATOR $15.00
PERMIT FSE PROJECTS' FOR UNDER $500
PERMIT FEE FOR PROJF=S OVER $50
Permit Fee $ 3 a .0 c
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15,00 = $
TOTAL DUE $ 35 .Sb
Number of fixtures $25.00 x $25.00 = $
Number of fixtures $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $
THIS IS AN APPLICATION FOR A PERMI r -NOT VALID UNTIL PROCESSED
T hereby apply for a building Kermit and T aelmowledge that the information above is complete and accurate; that the work will be in
r:,, ii, ,,, r� • :: t, l,.e r,=,t;,�-,,,=.�._ ,:n.t n oes 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 Kermit aril work is not to start without a permit; that the work will be in aA-�eor�larrs� with the
appro od plan in the cast of all ..� r1_ wi-juch rcquAiQ s re,, w azul ap-v' " r 1�arjs. r /^ -7
31GNATI'RF. OF APPLICANT ' PR WT NA. '�/t � C 10 � ! r)A(_4 DATE 2- J � � U C7
PLEASE NOTE; SEPARATE PERMITS ARE R.EQL71 ED FOR BLUDINO, ELECTRICAL AND kAECHAMCAL WORK
City Of Fridley
Building I< a-peCtions Department
14--11 University iversitg Avenue NE, Fndley, MN 55432
-!r3_a^t2_z((g�
FAX: 763-502-4977