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PRE 2010 DOCSCity of Fridley, Minn.. BUH DING PERMIT Date: .... Aln®.24,.1959 .............................. Address..................................... N® 3981 Builder .. ®. BeWn .......................... . Address............................................. LOCATION OF BUILDING No. . PR ...... Street ........ Part of Lot ............................... Lot ...8........ Block ...... 3 .......... Addition or Sub -Division Corner Lot ............ Inside Lot ............ Setback 35W.... Sideyard ...10:01 ................. DESCRIPTION OF BUILDING To be Used as: ...�►.qUJxg ...... Front AM&! Depth 25W. Height 19W. Sq. Ft. .2054 . Cu. Ft. . 2 123 .................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Ca. Ft. ........ Type of Construction ................... Fist. Cost -412#96"00 .... To be Completed ................... In consideration of the issuance to me of a permit to construct the ;brFg�isrlbed above, I agree to do the proposed work in accordance with the description abp�reget forth /liance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $..:44lFW..., 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 Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, or water. Be sure to see the Building Inspector for separate permits for these Items. `4. SUBJECT PERM City of Fridley u 13689 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT NO. � COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r � � SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBERDATE RE7 PAGE OF APPROVED BY L 612-560-3450 910-F15 JOB ADDRESS 800 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elaine Marriner 800 Pandora Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Homeowners Services Co. 5942 Kentucky Avenue No., Crystal 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 ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK End gables, crown moulding, soffit and facia 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR iu% HEATING, PLUMBING AND 5IGN& 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 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $840 .50 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- $7.50 STRUCTION OR THE PERFORMANCE CONSTRUCTION. ti PLAN CHECK FEE TOTALFEE . $8.00 SIGNATURE OF CONTRACTOR ORA HORIZED AGENT ( ATEIWHEN PR PERLY VALIDATED THIS IS YOUR PERMIT • k) f46( -A -9-9,0 BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) `4. CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: jE1_1j) d E ► ` I . 'Q" ►AIM r � E& --BUILDER: l�o�"iEo �,✓ed Fyz� `��/z�ic�Ef ADDRESS : f5oo PAA -0oA,,4 'DZ! VF AIE_ ADDRESS: , q y7- 1Vrr✓T,.1C"_ / II VF IVAj nn �R-u� r� �� M�✓ NO:. Pj a STREET: 1N-� q0(2f} iOOy �, LOT: a BLOCK: Is- ADDITION: '&U Ge U/6,cz / 6e 3� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: (fAjb C9&6s.) C&OC)W�1 inOUL0Ik1C0 j 90FFt7' Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Square Feet; Cubic Feet: Height: Type of Construction: Estimated Cost: $ A46-00 .To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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 are true and correct. DATE: SIGNATURE: (See Reverse Side For Additional Information.) .4 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND ;.AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR IVT WATER SYSTEM: RATE TOTAL $12.00 $ 7.00 $ 7.00 S 4.00 $ Job Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance With the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ . _ Fridley, Minn. dT Zl d , 1 9 OWNER � •'TT— Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Co. Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING �$ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS .ALTERATIONS F REPAIRS $ State Surcharge $ .50 TOTAL FEE $ CX) • _e� 0 ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM YZE FOR ANY HEATING PERMIT IS $7.50 PLUS $.SO KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST el OLA NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water Warm Ai No. Trade Name a Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Sq. Ft. EDR BTU HP Company d- Signed By Tel. No. ��- It 97 -8h -►,16051 • CITY OF FRIDLEY * * • • APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures k $3.00 Future Fixture Opening x $2.00. New Fixture, Old Opening x $2.00 U Catch Basin A; 0 x $5.00 Water x $10.00 ' Water Softener x $7.00 New Ground Run old Building x $5.00 Electric Water Heater E GAS FITTING FEES: O �p x '$3.00 oro 1+ p, w x $10.00 REPAIRS $ ALTERATIONS Heater First $100.00 $5.00 A $2.00 State Surcharge TOTAL FEE REINSPECTION FEE N 0 14 OO S S t1 0 y y E1 O fa r1 M A A O G W W +� U M 4+ leC y u � m H' tn r O a3 le I e 2nd 3rd 4 tti (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures k $3.00 Future Fixture Opening x $2.00. New Fixture, Old Opening x $2.00 • Catch Basin x $5.00 Water Heater - to 99,000 STU x $5.00 100,000 BTU to 199,000 BTU x $10.00 ' Water Softener x $7.00 New Ground Run old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: 1st 3 fixtures x '$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS $ ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) _ Job Address 800 Pandora Drive Department of Buildings ` 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, Mn. 9-25-78 , 19 OWNER MARRIlVER KIND OF BUILDING frame USED AS roc TO BE COMPLETED ABOUT 9-30-78 ESTIMATED COST 20.00 TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. $ , $ Company $ MINNEGASCO Signed By $ $ Tel. No. S $ ROUGH INSP. $ Date i FINAL INSP. $ Date S $ APPROVAL FOR PERMIT S , S MINIMUM FEE FOR ANY PLUMBING PERMIT I3 $7.50 pLUS $.50 STATS SURCFDARGE $ .50 $ 8.00 City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PE O. o 18348 PERMIT � COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �---n CITY HALL FRIDLEY 55432 L 612-571-3450 RECEIP NUMBER 910-F15 REV. DATE 3/26/86 PAGE OF / APPROVED BY JOB ADDRESS 800 Pandora Drive 1 LEGAL DESCR. LOT N0. 8 BLOCK 5 TRACT OR ADDITION SEE ATTACHED Brookview Terrace Third Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elaine Marriner 571-0692 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R & M Assoc. 3482 Auger White Bear Lk 770-9322 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof dwelling - 2nd layer 9 CHANGE OF USE FROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VALUATION SURTAX WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMITEE 5 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO R THE PERFORMANCE OF CONSTRUCTION. 117-50 PLAN CHECK FEE TOTAL FEE Oo-/7 SIGNA RE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN PR P V LI ED THIS IS YOUR PERMIT 4 BLDG )NSP 30ou —86 GATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEM [ ] City of Fridley Effective 4/1/84 ADDN. [ ] L R-1 AND R-2 I ALTER. [ ] Building Permit Application Construction Addri Legal Description Owner Name & A ress : F -L eqf ,b L �-/�� ,r_L �` Tel. # S�/ ` 0,4 7 2- Contractor:_ -t- m 45 o c, Tp1. # 7% -Y -.32- 2-- Address:--3 --Address:-3 �% 2 ,9C U'i i T f P f -el- 4 -21 -Ac � -- Attach to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. — Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: r 1- R `R Estimated Cost: $ _ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: _ $ _ See Back Page for Explanation DATE: I '�-C , 8 6 APPLICANT: Tel. # Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge f0TAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT P City of Fridley o 19 8 8 6 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT NO ` •COMMUNITY DEVELOPMENT DIV. ' w ------ r PROTECTIVE INSPECTION SEC. ✓� J a a �/L/ 1 =, /---1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 5/9/89 JOB ADDRESS 800 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elaine Marriner 800 Pandora Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE Merchant's Maintenance 12020 Radisson Road N.E., Blaine, M 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 ❑ ALTERATION CX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling and miscellaneous repairs 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $4500 $2.25 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- $72.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $74.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERL BLDG WSP VALIDATED THIS IS YOUR PERMIT qaT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) NF1 [ ] ADDN [ ] ALTS [ ] Construction Address: R-1 AND Rr2 Building Permit Application Effective 5/1/88 ago Legal Description: (b " �� 64C& S O 15 fl r (�, c �e� 3 R cb Owner Name & Address: Teel. # Contractor: # cle, 6 t( Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 0- LIVIM AREA: Length Width Height Sq. Ft. GARAM AREA: Length Width Height Sq. Ft. DBM AREA: Length Width Hgt/Ground Sq. Ft. OAR: + L t4 ( S C-1 Corner Lot [ ] Inside Lot [ ] Type of Construction: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 5/ � c-0 Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: S - c,� APPLICANT: Tel. # ? C) 2-6 Ctl CITY USE COY Permit Fee $ 11.2, 0U State Surcharge $ 0102S SAC Qmrge $ Driveway Escrow $ Park Fee $ Sewer Main Marge $ TOTAL $ 3s- STIRMATIMS: Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. 'B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] s • P SUBJECT City of Fridley 2 6 � 9.2� AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r F CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Of APPROVED BY 612-571-3450 910415 72998 JOB ADDRESS 800 Pandora Dr 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tim Simonson - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Premium o741-2646 20097698 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 ❑ ADDITION ❑ ALTERATION )p REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house 15 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building 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 BO 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT, 62 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERM IT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $43.00 Fire SC 1.25 �J PLAN CHECK FEE $5. TOTAL FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI 00 s e S N P PEAL V ATED THIS YOUR PERMIT r SIGNATURE OF OWNER IIF OWNER BUILDERI IOATEI Bl INSP QATE NEW [ l Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 a �` BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name &Address: li M Sin%rr� fa Tel. # Contractor: R ti MN LICENSE # '7agg' Address: �� 1-6-14-44 f� 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/Ground Sq. Ft. OTHER: TS S�� I7Ovs� Construction Type: i=t -1z Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: �jr-�it� _ ,� �� Tel. # fr, /-�� 7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: r $ q3,0o $ _ . 6oa $ S7. On $ S� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.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 [ SUBJECT City of Fridley i" ( 2698 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. � ` COMMUNITY DEVELOPMENT DIV. I ~ PROTECTIVE INSPECTION SEC. 4#5_1r NUMBER REV DATE PAGE OF APPROVED 8Y CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/3/98 f' JOB ADDRESS 800 Pandora 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 1 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tim Simonson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dahl Builders & Remodelers 451 Ma le St NE Spring Lk.Pk.55432 - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20050777 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK CX NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK New Garage 780 SO Construct a 26' x 30' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. See notations on plan. Before digging call for all utility locations MPAMTE PERMrrs REQUIRED r®R 454-0002 'WIRING, HEATING, PLUMBING AND SIGNS. SQUIRED BY LAIN SEPARATE PERMITS ARE REOUIRED 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 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 3XI)V= $14.4 2 $7.21 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 CONSTRUCTION. 224.75 Fire SIC 14.42 CHECK FEE TOTALFEE �OF ��v�PLAN DuA" License SC 5 $251.38 SIGN R OF CON' CTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY (DATED THIS IS YOUR PERMIT „Ib d .rr ��DATE�� S)GNATURE OF OWNER IIF OWNER BUILDER) (DATE)'glp v� NEW E tive 1/1/98 ADDN [ ] CITY OF FRIDLEY - ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ►� BUILDING PERMIT APPLICATION - �3 ConstructionAddress: 940 Legal Description: Owner Name & Address: S'i ex!A yd Tel. # � Contractor: _[)I,L/ /% �✓r�r MN LICENSE /# 2W f6777 Address: e 57- Tel. # -79V— 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. %' / . V17 DECK AREA: Length Width Hgt/Groundo Sq. Ft. OTHER: $ $1000 per SAC Unit License Surcharge Construction Type: ��u/ (a Estimated Cost: $ $ Alt. "A" or Alt. "B" Above Erosion Control (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ $ DATE: — -29- APPLICANT: d J�/ Tel. TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ 2�11 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ , vO $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: 'i1!; �• �, .y .. ., .. ,f• .� r. •p�rtu, Rs.� rta vC {.��,' r: �_. ENGINEERING, .INS: En ineers Surveyor -5 zAzcate of curve For=- BYRNE' Eu5oR1t 1 p d OPA ' . 0.2/ 4 4.�3 . • .r_...L _ vE1lD'7K5 UTiLlT`(� e , 1 +I,, SCALE t" -a to' . I��NOTE�. {t�Ota1 `q DeikmAc.E .CM11M£NT bP-OOKv,Icw TERRA".IDD' tt�i '. its a a five and mmed repraen&AW o�'a su�roey �' bora�da adeps afescri►bsd /ani,Aidl f earl►, , wdarl ►� ,yu,oarin�e�fs , �{' �►d /and. Asy�d A'DIaf..2: SUBURBAN ENGINEER/. INC: 1 1 t i 7A 1 � August 10, 1998 To whom it may concern: Tim and Julie Simonson of 800 Pandora Drive, have my permission to install their new driveway up to the edge of the property line that separates our lots. Thank You. Ann Losness 810 Pandora Drive Fridley, MN 55432 571-6029 j (i•�'LJ/�� Building MECHANICAL Permit No.: )�) U 10 ILt Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604��•.� ®� �� Da 'd � z 763-502-4977 FAX EFFECTIVE2-19-09 DATE - .S "qq YOUR E-MAIL ADDRESS SITE ADDRESS U 4 PA ,.1®®e_ 4)✓ THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME:T ✓! -S/ -i Ain C mea _ ONVNERJJ ADDRESS:9d0 PA c.r 4Qt, 2►, � _®y CITY STATErt 0 ZIP T5'rY3 PHONE: 763 - 97t- `i c, F CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION COMPANY NAME: iL ( U c.. CONTACT PERSON: C -k r STATE LICENSE # EXP DATE ADDRESS: lig6 ri5-1-, u'. )JE CITY t 121-!6 STATEr", ZIPS`1�3L PHONE ?162- IS 4 ` 349 ti FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: I ❑ NEW -9 REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK T�:�� (( (( �(��a�� u EL -✓IA It. 1, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: ib"A o MODEL: 3S5*CAV 0q-) 6 L % SIZE/BTU c. MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU $25.00 _PTE PLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _A/C AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _FURNACE NEW GAS GRILL $10.00 $35.00 $35.00 _GAS UNrr HTR $10.00 _BOILER LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 _ GAS PIPING $10.00 _VENTILATOR $15.00 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 of all work which requires review and approval of plans. SIGNATURE OF APPLICANT C I1,/ J PRINT NAME Ck ✓; J fe,,Q DATE a ' �r L3 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977