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PRE 2010 DOCS
City of Fridley, Minn. BUILDING PERMITN° 91 z Date: Builder _...__.....Owner: _._ ._. _ ..... Address .._._._ _ __. ___ Address L TION OF BUILDING No. ,-•--•-_.-• Street _. _.� ._. _..:----..I ..... _........ — Part of Lot Lot ..... .:__........ Block .-•-------.......... .... ..................... Addition or Sub-Divisio Corner Lot ................... .....__........ Inside Lot _--_-..._........ Setback ..... _........ Sideyard ....._.....-------••---------.._..---•---•---..___.. Sewer Elevation ............................... __... _._...... _............ _..._............. ..__ Foundation Elevation DESCRIPTION OF BUILDING To be Used : n j ....... Front _._J..-. Depth ..� Height .. Sq. Ft... Cu. Ft. ,$_"•• ............... ........................................ Front _.... -.............. Depth ....._......._...._.. eight ---..... Sq. Ft. ..... - ............. _. Cu. Ft. ...................... Type of Construction .. � "u�°F' ...... Est. cost_. �j�.. ...:..-.... "'.'_'�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. –01 r or In consideration of the payment of a fee of $...�L: 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, and moving of buildings within the city limits and this permit may be revoked at any ti�se��viol on any of the provisions of said ordinances. ,P / Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. CAUTION 4 GOE_ S_ NOT AUTHORIZE VIOLAT- ?F ANY, P"l-VATE !�AN5-e0VEN'ANTS AND F 6tb�� Dr " ;;.i' T RICDTIONS, APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder Address -- Address - LOCATION OF BUILDING No. �3treet�'� �+� Part of Lot Lot Block �Addition or Sub.Div./O_ r te. P � Corner Lot_____ Inside Lot Set Back 3C ' Side -Yard ZO SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front �`__ Depth y� Height /9 — Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction" ' - Estimated Cost 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 that all the facts and representa- tions stated in this application are true and correct DATE �' L .� SIGNATURE „6s T (A Schedule of Fee costs can be found on the Reverse Side.) City of Fridley, Minn. BUILDING PERMIT Date: — Oct. 15, 1968 owner. Maurice P. Roberge Builder Address 841 Pandora Address No. 841 _Street Same Same LOCATION OF BUILDING Pandora — Part of Lot Lot 26 _ _ Block 4 Addition or Sub -Division Brookview Terrace 3rd Addn . Corner Lot Inside Lot — Setback —_ 11T° 9985 .� yWz'-Yy Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 22 Depth 22' Height 10 t Sq. Ft. 484 Cu. Ft. 4840 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction __ _Frame Est. Cost ___� 2., OOP__ 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 a'll provisions of ordinances oP the city of Fridley. C.2, In consideration of the payment of a fee of $ 8.00 , permit is hereby granted to Maurice Roberge 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 the city limits and this permit may be revoked at any time upon violation of any of the provisions of send ordinances. s rence Belisle NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to son the Building inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNM VS NAME (' �a' �I-C-���BUITMER L ADDRESS -L.L' ADDRESS LOCATION OF BUILDING No. STREET¢`' LOT ® BLOCK ADDITION OR SUBDIVISION ,S,,o o1Cyi ,,J /e'a'i-gc e- 3rd PARI CORINM LOT INSIDE LOT 6,,-' SETBACK SIDEYARD J ��— SEWER ELEVATION TOP OF FOOTING Applicant attach to this form. Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: Front DESCRIPTION OF BUILDING Depth Height l � Square feet Cubic Feet L{ O Front Depth Height Square feet Cubic Feet Type of Construction Estimated Cost .0 Dei 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 are true and correct. r, DATE rt) SIGNATURE (Schedule of Fee Costs can be found on t Reverse Side.) �° D C f —eco a f ✓ c/ ..t �� �P 2 x7A O q '---0e City of Fridley fw r1rrbl end Crm G.:.rJ' .h n ftY '11jrr�w Dept. of Bldga. Phone SW -3450 DESCRIPTION OF wonx �� °` tom yy7 �O/'c� 121 Number, Kind and Locstien of Fixtures •W N tf ® / ;JGAS WATER WR. ELM Base 1st 2nd Ae 3rd 4th_ ° Fuxiuo Coaa®cttoa OpsninIs Connected with Sewer Now Now Fixture. Old Opening Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ Future Fixture Opening ............ x $1.50 $-- New_ New Fixture Old Opening .....:... x $1.50 $.:_. Catch Basin ...........:........ x $3.25 $ Water Heater :Up to 99.000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ....... x $3.25 $ Electric Water Boater .............. z $2.00 S :.AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ . City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct' Fridley, Minn—//— � � > � 19, Owner - 'T . Kind of Building.o ®p� Used as To be completed about ,. .. Estimated Cost, $ Old—New. Building Permit No. Ponnit No. � 1� Signed ���!•° e f� B ��� �U.d�/�rJ y Y.� Business Phone No- © ROUGH FINAL b - l q � 5' Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Rafor to Cod* .50 State Surcharge Description .......................................... _ TOTAL FEE $ �� �I M SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT; Ir � RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY -•--'�'� %.J 612-560-345091 5/19/78 JOB ADDRESS 841 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 26 4 I Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE M. Roberge 841 Pandora Drive N.E. 571-3758 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7. CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 161 x 201 Addition inn back nf Dwallina and mayn aarage bank 18 feet. 9 CHANGE OF USE FROM TO STIPULATIONS Owner agrees that house and garage cannot be attached due to lack of frost footings. Maintain 4.5 foot setback for new garage frcmi side lot line. SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. WARN Before digging• doll local atil' i TELEPHONE -ELECTRIC -GAS E REQUIRED BY ,SAV TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, P&dMWNG, HEATING, VENTILATING OR AIR CONDITIONING. wood Frame 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 R-1 320 6400 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 $12,000 $6.00 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. $25.60 NONE PLAN CHECK FEE TOTAL FEE 6.40 $38.00 SIGNATURE OF CONTRACTO AUTHORIZED AGENT (DATE) HEN PROPERLY VA �ATI:D THIS IS YOUR PERMIT 41G_E 8LOG. INSP DATE OF OW RIIF WNER BUILDER (DATE) . CITY of FRIDLEY APPLICATION FOR RESIDENTIAL PUILD111G PEIMITS (NEW, ALTERATION , ADDITIONS, OR REPAIRS) • I- 01111ER: Address: Al PCt,t�l(��t�� 11r. r�V�♦ AUILDEM: Tel. No.: IZo.:7) 1 Street: Pai2do-ra - . LOT: �� I31OCY.: ADDITION: �-�rookule%b ierVaCe. COMER LOT: IIISIDE LOT: V SETBACK: SIDEYARDS: Applicant attach to this form avo Certificates of Survey of Lot and proposed building location drawn on these Certificates. t DESCRIPTION OF BUILDI.0 To Be Used As: 0& _lon to ho/) -q -'Front: o Depth: Height: ® Square Feet: .32 o Cubic Feet: ,- O _ MOOE!, ,(rct � Front: Depth: Height: a. InC C. Square Feet: Cubic Feet: Type of Construction: LOOC) r'cZYYt V To Be Completed: 000 Estimated Cost: $� Alt. A Alt. B ]proposed Driveway Width If New Opening Is Desired $ $ (SEE J'EVERSE SIDE OF SHEET) The undersigned'herekly makes application for a permit for the work herein specified, agr`eing.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 . are true .and correct. see reverse side for additional info ion. DATE: Jam' / SIGNATUI:I:: �— S 4 tipulations:`o?S �<o � Od - SUBJECT PE City of Fridley 2 8 g 5 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BV CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/21/98 JOB ADDRESS 841 Pandora Dr NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 4 Brookview, 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Maurice & Joyce Roberge 571-3758 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems 9199 Central Ave NE Blaine 55434 717-0700 20093688 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 Q REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 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 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 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 VALUATION $2,399.00 SURTAX $1.20 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 TOE TA L s C $5. $83.35 SIGNATURE OF CON'RACTOR OR AUTNORiZED AGENT iOATE, EN OPE ALIDA T D 1$ I$ R R IT BLOJ9 ,NSP rwt S,GNATURE OF OWNEROF OWNER BUILDER, ,DATE, •••• •• L J r.Uecuve LuV ADDNr SOF FRIDLEY - ALTER [ ] SINGLE FAMMY AND DUPLEXES R-1 AND R-2 'J MULDING PERMIT APPLICATION ConstructionAddress: ym vc 1: 1 vc �p Legal Description: 'n� Owner Name & Address: u 11QAIY1 GQ. * J 61x1 cQ �1p fC�O , Tel. Contractor: _ tQ. 16LLaL SV -fit ns MN LICENSE # :280 36 M Address: g 199 Ctni ra_ l A-ve- NE, 'bI a -int. 15%314 Tel. #- 91 rl- 0'700 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: Construction Type: &-v%4 Estimated Cost: $ Q, 9 9 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: I I �p eI� APPLICANT:_(�Z03 ( Wd Tel. # `7 WO Permit Fee Fire Surcharge State Surcharge 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%) $.501$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 [ ]