Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 5 0 Date: 11—Z. •.. Owner: Builder Address Address LOCATION OF UILDING No. - Street if Part of Lot Lot 6..—__ Block Addition or Sub -Division ��++��► � Corner Lot _ Inside Lot Setback Sideyard d Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING -e ..� Front Depth Height Sq. Ft. Cu. Ft. i From Depth �i� Height _ Sq. Ft Cu. Ft. a Type of retraction Est. Cost -�To be Completed r 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. od Mw In consideration of the payment of a fee of $ OK 4---, permit is hereby granted to 1 the express to construct the building or addition as described above. This permit is granted upon condition that the person to whom it is .granted and his agents, employees, and workmen, in all work done dl win, around and upon said building, or any part thereof, shall conform in all respects to the ordinances oY Fri. Miimesota regarding location, construction, alteration, maintenance, repair and moving oY buildings ithin the dty limits and this permit may be revoked at any time upon violationof any of the provisions of said Ordinance$. .. Building Inspector NOTIM This permit does not cover the Construction, Installation for whing, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. Agoo4 APPLICATION FOR BUILDING PERMIT CITY OF FR.IDIEY, MINNESOTA CLEMR®N, INC,'. GENERAL CONTRACTORS 0.mer Is Names + n Builder ve. Address Address Minneapolis 18, Minn. LOCATION OF BUILDING No. �� Streets / Part of Lot Lot Block _ „ Addition or Subdivision�� d F Corner Lot Inside Lot Setback �� Side -Yard ,0/a SEM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING Sq. Ft. `�'��s Cu. Ft. '° Front_ Depth a Height Sq. Ft.Cu. Ft. Type of Construction��,� Estimated Coat 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 Ordinances and ruling of the Department of Buildings, and hereby declares t he facts and re tationa stated in this appli tion �re true and correct. �- DATE ///A117//Y11:�-- - — SIGNATU��s���� (A Schedule of Fee Costa can be found on the Reverse Side.) City of Fridley Application for Pimbing and Gas Fitting Permit DepL of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Locaiion C O 4. 6� 3c� Z -a ¢� m'� z m Z �, �� 3� y -aZ0 oLL = pQ Z �o H $m W a3 Oa W �Z 0� ? as 90 M F N WATER HTR. GAS ELEG Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 1 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd 3rd 4th Future Connection Openings M New Fixture, Old Openings Connected With Sewer El Cesspool El PARTIAL RATE SCHEDULE PLII'MBING FIXTURE RATES: ATO. RATE TOTAL Number Fixtures ......................— /9 x $1.50 �I �L Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 g Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ......—� x 2.00 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 1 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ............................................... TOTAL FEN City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Mnn Z, e' –.!3,1 �boi Owner C=��=' gZ4 �Zzc�' • , 19 Kind of Building Usedas a To be completed about C�� Estimated Cost, Oc 1 New. Building Permit 19 Phone No- ` %yam –6--- •.2 Connection Permit No . ....................................................... 11 1M-8-58 Water Sewer Meter Deposit . ' 53-81,-9915051 city of 4PI'lict-ajio7 for 6'Iurr ------ Dopt. of Bidga. Phono S. -3450 DESC?IPTIO19 0: V1011r Lo. -AL 630' Pandora. Dr' im I;umbsr. Kid snd Locr:!on of Fixtures i }fav Flume. Old Cj�seds.tis PARTIAL RATE SCHEDULE ucaar Cc:,:ycol P LL'v18INC FI:CTJ?E RATES: NO. RATE TOTAL Number Fixtures ......... • • • • • • • $� 00. �- S -- nture Fixture Opening ... • • • • • . • •-.-- 1•ew Fixture Old Opening ..,....•.... __.-- x 51.50 WAT(% "Til. Catch Basin ................0940 x33. �• �Iz N R . % Ground Run Old Bldg....:.... _--- .r z o e S ZAS TITT11G FEES: NO. RA TOTAL x $2.00 - 1s0 Fixtures .................. _-"'_'_" AdClUcaal Fixtures •............... ... x S .75 s • G:s Ra ae to 199.000 BTU ............-.�+_"" X $5.00 �•�.... Essr l iri t 1 ril 1 I 3:d m (N, I I , i }fav Flume. Old Cj�seds.tis PARTIAL RATE SCHEDULE ucaar Cc:,:ycol P LL'v18INC FI:CTJ?E RATES: NO. RATE TOTAL Number Fixtures ......... • • • • • • • $� 00. �- S -- nture Fixture Opening ... • • • • • . • •-.-- 1•ew Fixture Old Opening ..,....•.... __.-- x 51.50 i�-�-•— Catch Basin ................0940 x33. water heater •L'p to 99.000 BTU).... --- x ;3.00 $ . % Ground Run Old Bldg....:.... _--- x :1.25 5.-.------ E:octew Wat.r Hoatar. • .' ..:........ $2.00 S ZAS TITT11G FEES: NO. RA TOTAL x $2.00 - 1s0 Fixtures .................. _-"'_'_" AdClUcaal Fixtures •............... ... x S .75 s • G:s Ra ae to 199.000 BTU ............-.�+_"" X $5.00 �•�.... City of Fridley; The undersigned hereby makes appldcation for a remit ter the- work he specified, a: Being to do all work in strict acco:Cance with the Citi O:dLn; and ruling of the Departrreat of I3uik:.laZs. and hereby declares that all Lhe 1 • , and r•eprese-rtatIons stated in this app:tcadon are true and eo:tect' , i'ridley, Minn 5-21-76 19 Owner amo5 DusdanslKa Kind of Building framo ;s. Used as r To be completed about �-21-76 - Estimated Cost. S 10-00- Old—New. 0 00 Old --New. Building Permit No. • Siyred By� AIllNR1Ft`9Cf`0 Busin= Ph -,re No ROUGH FINAL 50 State Surcha 9e P..r•R.i:RS Ic AL T FRATIONS—R&IOr so Coda , . .Yii.KratlOn.'..............:.................r..... �iaSS i`A" su'Y'c barge0� • T=AL F= 3 5.50 City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PN o N. r `L COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. `i ` I •-__�/"' �.� CITY HALL FRIDLEY 55432 1 612-571-3450 'PMIPT NO. NUMBER 910-F15 REV. DATE 4/16/86 PAGE OF APPROVED BY 10B ADDRESS 830 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 5 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Schwantz 830 Pandora Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. T. J. Roofing #5 Inner Drive, Circle Pines, MN 786-9687 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 Cgs ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be the 2nd layer but not the 3rd. Install ridged galvanized valleys. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Fiberglass 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 STALLS GARAGES AND KNqVKVE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS D,OR INAES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI WH THE SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $1,200 SURTAX $.60 DOE NO PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROV 10 S OF NY R STA OCAL LAW EGULATING CON- T UC 10 ORT E ERFORMANCE OF CO TRUCTION $20.50 PLAN CHECK FE& TOTALFEE IV IV lAu-, ?hL 21.10 SIGNATU OF CONTRA TOR OR AUTHORIZED AG NT IAT WHEN PROPERLY VAIJAJED THIS IS YOUR PE MIT )NSP ATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEIDG NEW [ 7 ADDN. [ ] ALTER. ( ] Construction Addre Legal Description: Owner Name & Addre Contractor• Address: City of Fridley R-1 AND R-2 Building Permit Application Effective 4/1/84 ;AWNl • wp—M sA ���■��a, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Corner Lot [ ] Insi Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation Le-' DATE: !k APPLICAN Tel. 'q6 v CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: 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 [ ] sueJEcr PE_RMI-I-NO:.- _ City of Fridley 22335 AT THE TOP OF THE TWINS BUILDING PERMIT r? REE CEIPT NO. � • COMMUNITY DEVELOPMENT DIV. E395 r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATE PAGE OF 7ROVED BY L CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/18/94 JOB ADDRESS 830 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 SHEET 5 1 Brookyviem Terrace 3rd 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John/Bonnie Schwartz574-0523 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exteriors In 8 7 ?WE 4 ARCHLTSC/T OR DESIGNER MAIL ADDRESS ZIP O LICNO. 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 Siding, Soffit Fascia & trim 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5,575 $2.79 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST TI N OR THE PERFORMANCE OF CONST CTION. $81.00 Fire S�.' $5.58 K PLAN CHECK FEE TOTAL FEE (( 3 ^l�� l� $License SC $ 00 $94.37 SIGNATURE OF CONiRACTORO AUTi10R12E GENT (DATEI •- WHEN PR L V LIDATED THIS IS YOUR PERMIT S-?/ 9y G INPP MATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: i Address:�/�? C LIVING AREA: Length GARAGE AREA: Length DECK AREA: Leneth OTHER: Mach to this application,'a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 11"ROVEMENT Width Height Width Height Width Hgt/Ground Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: 9 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Effective 5/26/93 Tel. #517 Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $J S fir- / (Cost on Back) Ft x $ _ $ DATE: a �i APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ r 37 STIPULATIONS: City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT 2 6 6 7 3 T i t COMMUNITY DEVELOPMENT DIV. r 1 L PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 58432 L 612-571-3450 REc 1 NUMBER 910-F15 REV DATE /16/98 PAGE OF APPROVED BY JOB ADDRESS 830 Pandora Dr. 1 LEGAL DESCR. LOT NO. BLOCK 5 5 TRACT OR ADDITION 1 Brookview Terrace d SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Schwartz574-0523 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minnesota Exteriors Inc.- 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Regidential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Storm Damage 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 80 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 500 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OTHER STATE OR LOCAL LAW REGULATING CON- STRUC OR THE 9ERFOR NCE STRUCTION. 21.00 F e SC .50 PLAN CHECK FEE T TAL FEE License 5.0 27.00 IGNATURE OF CO R-6RjkTHdaLZE.D AGENT IDA I EN RG VALI D THIS IS Y R P IT s B INSP PATE S)GNATURE OF OWNER pF OWNER BUILDER) IDATEI JUL-16-1996 11:08 FROM CITY OF FRIDLEY TO 1DDN j J tq CITY, OF FRIDLEY . . ALTER (] SINGLE FAMILV -AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION :oasn uctionAddress: Q 1 4933689 P.02/02 Mob g ,6 egal Description: ►caner Name & Address: Tel. �- Tel. # 'ontractor:a ���_-j���©�.. c� MN LICENSE # r(!n) z4a 7 7 .ddress:. m4k, 61 Tel. # jq 3 ®SZ; -C® IVING AREA►: ARAGE AREA: ECS AREA: THER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. .. DESCRIPTION OF DdPROVEMENT Length Width Hoighi Sq. Ft. Length . Width - Height Sq. Ft. LengthWidth Hgt/Ground Sq. Ft. -nstxuction Type: t° Estimated Cost: $ s, • (Fee Schedule on Back) iveway Curb Cut Width Needed: Ft.: * + 6 Ft = Ft x $ _ $ ►TE: VC®" . APPLICANT; Tel. # TOTAL P.02 CITY USE ONLY obit dee $ �. O Fee Schedule on Reverse Side e Surcharge $ .::: .001 of Perink Valuation (1/10th%) to Surcharge $ C $.50/$1,000'Valuation C Charge $ $1000 per SAC Unit ense Surcharge $ ' - $5.00 (State Licensed Residential Contractors) .veway Escrow S Alt. "A". or All. "B" Above )sion Control $ $450.00 Conservation Plan Review is Fee S Fee Determined by Engineering _ wer Main Charge $ Agreement Necessary j ] Not Necessary j } TOTAL ('ULATIONS: TOTAL P.02 City of Fridley AT THE TOP OF THE TWINS sueJEcr BUILDING P E R M I T RMIT NO. 2693 r ` COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. i � CITY HALL FRIDLEY 55432 L 612-571-3450 PT NO. NUMBER 910-F15 REV DATE 7/31/98 PAGE OF 1 APPROVED BY JOB ADDRESS 830 Pandora Drive 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 5 1 Brookview Terrace, 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Schwartz 574-0523 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Viking Home Improv 4832 2 1/2 St NE M is 55421 572-1820 4772 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 ]7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house 24 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 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 1 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION 2001 SURTAX $1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS O ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO O THE P ORMANCE OF CONSTRUCTION. $74.75 Fire SC $2.00 PLAN CHECK FEE TOT FEE Lic C 5. 0 2.75 SIGNATOR OF CONTRACTOR OR AUTHORIZED AGENT (DATEI EN PRO VALIDATE OWHIS IS OUE I B G INSP ATE S)GNATURE OF OWNER OF OWNER BUILDER) IDATEI a IOW: 0 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BBU\ILDING PT APPLICATION 1 l� a ConstructionAddress: o Y'0�. V J Legal Description: Owner Is Contract Address: Effective 1/1/98 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width Height GARAGEAREA: Length Width Height DECK AREA: Length Width Vgt/Gi OTHER: Construction Type: Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 F = Ft x $ _ $ DATE: .7/3 �� APPLICANT. r Tel. #' 5'2,;L ,;L — /& 2-C) STIPULATIONS: A CITY USE ONLY n r%1�� Permit Fee $ /� 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 $ . 00 $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 $ 2s' STIPULATIONS: A c SUBJECT P City of Fridley 30569 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. -76a j PROTECTIVE NUMBEp REv GATE PAGE OF APPROOVEEOO By i "' �.� CITY HALL FRIDLEY 55432 --_•�� 1 612-571-3450 910-FlS 12/6/99 JOB ADDRESS 830 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 5 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Schwartz 830 Pandora Drive NE 574-0523 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Master Remodeling Inc 32 10 Ave S, Hopkins, MN 55343 932-9311 20012916 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 H READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW T SAM OBE UE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDI CES VER I G THIS TYPE OF WORK WILL BE COMPLIED WITH WH H RSP )FIE EREIN O N THE GRANTING OF A PERMIT $6,900 $3.45 DOES N T RES E T IVE AU O 7 TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS N OF NY E ST E LOCAL LAW REGULATING CON- STRUC 10 OR HE P FO MA CE F ONSTRUCTION $139.25 Fire SC $6.90 PLAN CHECK FEE TAL F License 5.00 $EE .60 SI Tu OFCON'RACTOR ORAUTHORIZED AGENT IDATEI N PR PERL DATED I S YOUR PERMIT g 7* �L _ SIGNATURE OF OWNER,IF OWNER BUILDER) IDATEI BLDG ASP GATE c JUw-1b-1770 i1 J7 rKUI'I l,l I r UF- I -k 111LtI IU 'J j2'JJlb H. 011 od NEW [ Effective 1/1/98 ADDN [ l CITY OF FMLEY G , ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R -z BUILDING PERMIT APPLICATION ConstructionAddress: F36 A~0104,/¢ Legal Description: Owner Name & Address: 36hP J 5c -k wA'W-*Z- Tel. # �t z $'7t/-" osa3 Contractor: 11L�,SII; PIC. South MN LICENSE# ADO/29/!0 Address: Hopkins, Minnesota 66 3 Tel. # r o tits fog s 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: Construction Type: ,d,S�i�� �� Estimated Cost: $ (oQD4� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 1-t t x $ _ $ z DATE: �/—.Z�--� APPLICANT: Tel. 6� f3Z-177// Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control CITY USE ONLY $ / 3 9. o? -S- Fee Schedule on Reverse Side $ . g0 .001 of Permit Valuation (1/10th%) $.'i.5- $.50/$1,000 Valuation $ $1000 per SAC Unit $ S', 00 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ J Not Necessary [ ] TOTAL STIPULATIONS: $ 15-q.&0 L L s u. b©."ZO ' d Tod 99POL"M �y 1., �-1 0 y J V VJ 7 3 H U 1., �-1 0 Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd:/D DATE October 27 2006 YOUR E-MAIL ADDRESS wnelson larsonplumbing.com SITE ADDRESS 830 Pandora Drive NE _ THIS APPLICANT IS: 0 OWNER INCONTRACTOR PROPERTY NAME William Dorcks OWNER/ ADDRESS: 830 Pandora Drive NE CITY Fridley STATE MNuP 55432 TENANT PHONE: 763/69¢9176 CONTRACTOR NAME: Larson Plumbing, Inc. STATE LICENSE N 3341 PM EXP DATE 12/31/2006 SUBMIT A COPY OF YOUR STATE ADDRESS: 3095 -162nd Lane NW CITY Andover sTATEMN zip 55304 LICENSE WITH PHONE 763/427-7680 FAX 763/427-9448____ APPLICATION PERMIT TYPE 11 SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 11 NEW N REPLACEMENT DETAILED DESCRIPTION OF WORK Water Heater Replacement 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. (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) BATH SINK/LAV DRAINS _ SHOWER—WATER PIPING _ —FLOOR —BATHTUB GAS PIPING IN D Cm c&r4 _ SWIMMING POOL WATER SOFINER ($35) CLOTHES WASHER KITCHEN SINK _ WATER CLOSET BACKFLOW PREY. ($15) _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER ET..:7 .ft.. 1rR. $DO.., .,,.:... _�. �, ..�. ::k: .,''t E i EF S'0x X00'°i �y r��,.�". ,v,.. ...... .t`+..!i i�;:r..w .>kr'. ..Su+.,;�: ;R.,+, a: �,,:��'X^a•or,. . Permit Fee $ 35 00 Number of fixtures @ $10.00 x $10.00 = $ Surchar •e .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ _355 . 50 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT 140T 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 cas o� all work w i1wires rev'ew and approval of plans. SIGNATURE OFAPPLIC _ PRINTNAME Michael Malonski DATE 10/27/06 jai '+,.'. 'i, ,".•7i y, t xp� ,, t ;.•�'Y7+. •'.;U^' �+� .[1r�2AV l,7•�`�''',1:'r';x,'::.±5�{•4..gViLl.i�aAll:r',�1!-�y ..;.P, ..ao tiLS ': �' '3✓.� i ..r '4.t. Q VA ,.. 8 )... .i �. A�•• N ; �iC].Y::....7;�'s City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977