PRE 2010 DOCSCity of Fridley, Minn.
BU L,DING PERMIT
Date: ....' .-A /:.�-ry ...............
owner .......................................
Address ......................................
N® 398'7
Builder ....... ....... ..... ... ... ...........
Address .............................................
LOCATION OF BUILDING
,Q a
No.. °�.. ®.��//�:... Street / . ��. o... ... Part of Lot ................................
Lot ... j.7:.... Block � .... Addition or Sub -Division 6A-ve~-� a.�
Corner Lot
............ Inside Lot ............ Setback:. �. ®Sideyard . /i. ®. . ®. �............
DESCRIPTION OF BUILDING
To be Used as
............ ...... Front-W.'.Depth07� r Height�� . ® "Sq. Ft./q� Cu.
............ Front ........ Depth ..... .. Height ........ Sq. Ft. ........ Cu. Ft.
Type of Construction ................... Est. .� �.%�,,7.�. ®®. To be Completed ................
In consideration of the issuance to me of a permit to construct the buildin de bed above, I agree to do
the proposed work in accordance with the description above s forth and ce with all provisions of
ordinances of the city of Fridley.
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 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
...... Building 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.
City of Fridley, NHnn.
BUILDING PERMIT No s78
Date:
Owner: Suilc
Address Address
AA
r
No. Street�r ' P Lot
AA
Lot Block..,- Addition or S onee
Corner Lot—��Inside Lot __tbac ideyard�`t�'a'—�'+
Sewer Elevation F dation Elevation
DESCRIPTION OF BUILDING
Tgas:
...L Front Depth L: eight Sq. Ft. Cu. Ft
<,o—"
DepthIT fight Sq. Ft. _. Cu. Ft.
Type of Construct[ Est, Co 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 21 provisions of
ordinances of the city of Fridley.
it
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 any part thereof, shall conform in respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, main ce,;re moving of buildings
within the city ]units and this permit may be revoked at any' Ston any of the Provisions of said
ordinances.
NOTICE:
Thk pecan does not cover the construction, hutaliation for whdne, phunbine, on heating, $MW or water. Be sure to see
the Building lnspwar for npmft permha for these Dena.
r
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' s NAME 4 , W � 6- 9- BvILDER, I'V,
ADDREss 7gP6 A11,"'Pd.,0DfAbDR Ss�®-,r,��i�c
LOCATION OF BUILDING
No. 20 14AIAote* 0X/'j)jStve t Part of Lot_
Lot Block Addition or Sub ivision�,�� c -
Corner Lot`,, -/Inside Lot .Setback Side -Yard Z 4
4
SEWER
ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be�, d
Front Depth�� Height 16
Sq. Ft. 0 Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft
� G
Type of Constructi Estimated Cost
r
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 ar rue and correct.
DATE_ZL--�SIGNATURE '
(Schedule of Fee Costs can be found on the Reverse Side).
01
SUBJECT
P
City of Fridley
24285
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
RECEIPT NO.
" v
• ______ COMMUNITY DEVELOPMENT DIV.��
PROTECTIVE INSPECTION SEC.
r �
rBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEV 55432
���
612-571-3450
910-F15
6/18/96
JOB ADDRESS 700 Pandora Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
5
Brookview Terrace 3rd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Jim Wolf 700 Pandora Drive NE
571-2617
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Tabor & Sons Inc 3716 St Francis Blvd, Anoka MN
789-2901
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
20014248
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 1 REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (24 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
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
1
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
@
$1,980
$.99
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
AL
License SC
$5.00
$70.22
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
WHEN PAOPER��VAILLDATED
THIS IS YOU PERMIT
B DG INSN
F)ATE
SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI
01
NEW [ ] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application D
ConstructionAddress: e! oC��Rd �zL
Legal Description:
Owner Name & Address: %L'r, Tel. #
Contractor: MN LICENSE # G �'
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: Lei Width /Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setbac c Side Yard Setbacks
Type of Construction: Estimated Cost: $
Approx. Completion Date: 19(fln 0
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: �� z— Tel. # % 8 5 –/S 0 .L
CITY USE ONLY
Permit Fee $ �� WSJ Fee Schedule on Reverse Side
Fire Surcharge $ 1.�� .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $900 per SAC Unit
License Surcharge $ 57-60 $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:
Permit No.
Building PLUMBING •'
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY
DATE/11YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: ❑ OWNER CONTRACTOR James Wolf
PROPERTY NAME: 700 Pandora Drive Northeast
OWNER/ ADDRESS: Fridley, MN 55432 'EZIP
N`NT
PHONE: 7635712617
CONTRACTOR NAME:
SUBMIT A COPY OF STATE LICENSE # :TIQ570 EXP DATE
YOUR STATE ADDRESS•ti CITY i' D�S STATEAa/LIP S7 -09Z
LICENSE WITH PHONEZS24- y03 FAX -
APPLICATION -
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ T(jwNHousE
TYPE OF WORK:
O NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. CT-his.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:EROJECTS WHERE LABOR EXCEEDS%500,TM ARE BASED ON $10.00 PER FDn URE,•EXCEP`f W,iIERE NQTED ..FrjM-3 •ES,,, INDICATE TOTAL
NUMBER OF EACH BELOW)
BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING
_
—BATHTUB _ GAS PIPING (NswcrtrucerE) _ SWIMMING POOL _ WATER SOFTNER ($35)
_ CLOTHES WASHER _ KITCHEN SINKWATER CLOSET _ BACKFLOW PREV. ($15)
_
_DISHWASHER _-LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee $ Number of fixtures @ $10.00 x $10,00 = $
Surchar a .50 Number of fixtures @ $15.00 x $15,00 = $
TOTAL DUE $ Number of fixtures @ $35.00 _j x $35.00 = $ 35'.Oo
State Surcharge = $ .50
Total = $ O
THIS IS AN APPLICATION FOR A PERMIT -NOT 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 and codes 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 permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case o 1 ork which quires review and approval of plan's.
SIGNATURE OF APPLIC PRINT NAME Jed' AlQI'�IOrly! DATE D
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977