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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PER Wr Date: .... ?4". 24#. 19.. .................. . Owner ....................................... Address ...................................... N® 3972 Builder ... WMl® U=$©II ...... .................. ............ Address ............................................. LOCATION OF BUILDING No. .14 ...... Street .... 44OF 8, X#fk Vis. FP ......... Part of Lot ............................... Lot . A....... Block ....... l4......... Addition or Sub -Division .....nT�'�;©�s.. . MOP - Corner Lot ............ Inside Lot .. g...... Setback . WP!.... Sideyard 10.�l! ................... DESCRIPTION OF BUILDING To be Used as: . ?iT611j.1Y� ....... Front (l. %H . Depth AIM". Height ?:9V!. Sq. Ft. .304 . Cu. Ft.'s.m. . .................... Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft. ........ Type of Construction ................... Fast. Cost... $1.4964.00 .... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the descriptionMt t forth pliance with all provisions of ordinances of the city of Fridley. ':....................................... In consideration of the payment of a fee of $..MtW..., 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 vrovislons of said ordinances. NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gag heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items Date: Addres - <'3j6,3 City of Fridley, Minn. BUILDING PERMIT N° 6995 L TION F �AA a Uil�NG No. Streetff Part of Lot in Lot _ Block Addition or Sub-TU Corner Lot _ Inside Lot __ *tback a� Sideyard Sewer Elevation DESCRIPTION OF BUILDING T as: Front ,Depth —,1,9r1 -Height An Sq. Ft. IZCu. Ft. Front Depth — Height Sq. Ft. ._ _ cu. Ft. Type of Construction G � 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. 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 within � city limits and this permit may be revoked at a � upon vicie%ion of any of the provisions of said Building Inspector NOTICE: M permh does not cover the coashectton, hmtaWen for wtrhM phmnhine, ees hsadne, sewer or water. Be sure to as the Bsildh* kapector for separate permUs for these hems. APPLICATION FOR;BUILDING PERMIT y CITY 0�' F^.IDLEit.,NNESqTA LOCATION OF ,BUILDING '.. Street _ _. Pw /r art, of..Lot 71 AW B1ocTc . Add4goa. or Subd4v�ision 4 ®1��dcs Corner, Lo€ Maide Lot_X_Setbeck ;Side=lard SEWER ELEVATION FOUNDATION ELEVATION Applicant: attach .to .thio form Two Gertifipates: of ;Survey ,af Lot •and proposed build - Ag .lbcatoi dr'a�in. ori'�t�rese Ces,tificatos... DESCRIPTION OF BUILDING To be used as: � J� � •-;,� �, grout s Depth ;,� >? 17, . Height fedi.. •.— Sq. Ft;'.` . - -,-r Cu . ' Ft Front: beptf Height Sq. Ft.. Cu.. Ft : - Type or ConstructEptimaterd Cost To be C6414ted7 The undersigned' •herebya ,Makes a " licatioa. 'for . * .permit for the woft' hercia specified, agreeing to do all work is strict accordance with tfie City of Fridley Ordinances and rulings ef•,the ,.Department of Buildings, aad,,hereby ,iecleres that all , the facts and representations stated in this application are tree and eorrect. (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT City of Fridley 26609 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. I v PROTECTIVE INSPECTION SEC. r � I NUMBER REV DATE PAGE OF APPROVED BY { CITY HALL FRIDLEY 55432 L J` 612-571-3450 910-F15 JOB ADDRESS 721 Pandora Dr. N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18 4 Brookview Terrace 3rd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert b. webster 721 Pandora Dr. N.E. 586-9562 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO owner 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 O ALTERATION X] REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Rjeroof House 17 s Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the StateBuilding Code. 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 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 I 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,417 • 70 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. $48.50Fire SC $1.41 PLAN CHECK FEE TOT EE 1111117 5 .61 �IGNATU 0 C N. CT RORAUTHORIZEDAGENT IDATEI - -- N P OP BLD INSP ALIDATED HIS IS YOUR PERMIT ')ATE SIGNATUREOFO R00 BUtLDEAj IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 6� BUILDING PERMIT APPLICATION ConstructionAddress: 7� 1 f��L��=�� �n �IDL E, Legal Description: Owner Name & Address: Tel. # '�Vo " Contractor: MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EM PROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Lengthidth Hgt/Ground OTHER: — Rc� F �t S� S Construction Type: Driveway Curb Cut Width Needed Ft. + 6 Ft = Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ (Fee Schedule on Back) Ft x $ = $ DATE: '� �`f �✓ APPLICANT: Permit Fee $ • �D Fire Surcharge $ f , State Surcharge $ '7(� SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 001 of Permit Valuation (1/10th%) Tel. # 1586, - 9�56 &_ $.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 [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR N Urinal ?.<....'.. Shower .Wash Tray .............Floor .. Drain �t:W Auto. .: :.:.::.. ... .* Washer # : Gas Range ..:..:..Water Heater Stories .<.i.'.. lec Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS SA -mc A_5 D p k)E �- New Fixtures Old Opening, New F Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliar, Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE 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 Building Division, and hereby declares that all the facts and representations stated in this apDlication are true and correct. WEBSTER, ROBERT 3/31 / CrD 721 PANDORA DRIVE NORTHEAST FRIDLEY, MN 55432 (763)586-9562 Building Used As r -e -!S i J eA%C-Q— Estimated Cost qc , PERMIT NO. PLUMBING C NY CJY L l ��l PI GI4I b o SIGNED BY TEL N0. &l Z 927 Approved By Rough -In Date Final Date $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS 520.00 $ 20•` -0 PLUS THE S-50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. GiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 May 25, 2001 Mr. Robert Webster 721 Pandora Dr NE Fridley, MN 55432 Re: Final Inspection at 721 Pandora Drive NE Contractor: Norblom Plumbing Dear Mr. Webster: A plumbing permit was issued on April 11, 2000 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the State Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, alli'M J'M/7 NSEN. Buil 019 Inspector DJ/mh Building BUILDING Permit No 2c-' v - - v Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: 10,0 DATE SITE ADDRESS THIS APPLICANT IS: E-MAIL ❑CONTRACTOR PROPERTY OWNER/ NAME: TENANT �rrr CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION STATE LICENSE CITY EXP DATE on M ADDRESS: CITY, PROPERTY TYPE >'SINGLE FAMILY/NEW CONSTRUCTION 5 &t ❑ TWO FAMI Y/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH WOOF ❑ DRAIN TILE ❑ DECK 1311DING OTHER ❑ SWIMMING POOL TYPE OF WORK:❑ NEW U .wurltUN '3fMAiNTFNANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT. NUMBER OF SQUARES t O GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE DETACHED GARAGE ❑Xoffit Trim Aaaftgetp- *f-scia WIDTH HEIGHT ATE ZIP Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures 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 $ _ 0� OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 001 times the total job valuation Surcharge $ o [ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ I Agreement necessary ( ) Non Necessary ( ) Total Due $ W,-, ,,, 7 Make checks payable to: City of Fridley Attach Stipulations 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 applica������PRINTNAM ' o permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all woof plans. SIGNATURE OF APPLICAN �EPrfi DATE � /� o Building BUILDING U Permit NO.: InspectionsRESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date f : 763-502-4977 FAX EFFECTIVE I-1-09 DATE (-4J7/07 YOUR E-MAIL ADDRESS 70 Qm , COn-, - SITE ADDRESS 7 N /00088 'Ve- ii =L- THIS APPLICANT IS: bKOWNER ❑CONTRACTOR PROPERTY OWNER/ NAME. D. q- ,(-L?k) J T z� TENANT n ADDRESS:Vi / P40"A DR A) a= CITY t'f STAT Z[P O� PHONE: �— CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE WSINGLE FAMILY/NEW CONSTRUCTION SIZE loon W ❑ TWO FAMILY/NEW CONSTRUCTION STORIES_ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHEDWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK )(SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ EW HOME CONSTRUCTION ❑ ADDITION MAINTENANCE/REPAIR' ❑ REMODELING n DESCRIBE WORK BEING DONE: SJ E Pt ACC A6 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES IJ HOUSE ONLY El HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SFOR 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 R'INDOWS 3. Energy Calculations es ❑No LOCATION OF WINDOWS IN EXISTING OPENINGK-D OR FOR NEW OPENINGSCRIBE SIZE OF OPENING CHANGES & 1�U�lE t TYPE OEWINDOW 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 $ cT,® Cc) , 2 I 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) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev Attach 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 1 understand this is not a permit but only an applicatio a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case a w •1 which I'S uires review and approval of pl SIGNATURE OF APPLICANPRINT NAME F -RT °✓' "4,`-1-C- 47203 RDATE $ U 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) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev Attach 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 1 understand this is not a permit but only an applicatio a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case a w •1 which I'S uires review and approval of pl SIGNATURE OF APPLICANPRINT NAME F -RT °✓' "4,`-1-C- 47203 RDATE