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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT V�?(=4956,_,1 Date: ._. Owner: ..�� __...._........ _......... Builder .....__ .._........._.:_...._ .. .f✓�L!"" .. Address.._._...._......._...._.______........._..----------- --- ------- _.-. _ _ _ Address ....... _........ ... _....___.____.__.__...... _ __.__....---__....._.._..___. LO TION BUILDING OF No. -F-4-0 .... - Street - ..... .._ .�.. 4--.1 Y19t.. Part of Lot ................. ....... Lot ...._.... .............. Block ....._.............. .....- ................. Addition or Sub-Division6g'.- -14__c._ Corner Lot .............._....---... ......... Inside Lot ....._.° _........ Setback -- '�._10.___.... Sideyard ... .._� '. '.... .__....._..._..___.. Sewer Elevation ............ _----.._.__...__.._---..._....... ......... __.---...--------._.._._. Foundation Elevation DESCRIPTION OF BUILDING WUUseddFront --_ _. Height ... Sq. Ft. s.. ---/_ Cu. Ft./`Fr�t �..._--... -.. Depth ....... f � Height .... Sq. Ft. �. .. Cu. Ft. 44,9uction ..........mss "�- .... Est. Cos�....1.�� ..A6 ................ 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, Nlinnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any upon violatio of any of the provisions of said ordinances. AA / I ,_ Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 - APPLICATION FOR BUILDING PERMIT " CITY OF FRIDLEY, MINNESOTA Oaners:Name Ro&er HaUae Builder GT_ MR,0®gT CO�TTRACT°C3R .. Address 860 Pandora nr,_ Address _ . " �eapolis 18, -Minn, . LOCATION :OF BUILDING No. 860 Street Pandora ._' _ Part of Lot Loth. Block . K Addition or Sub. Div.g;Vt; w. Tarr. 3rd;o-Add, Corner, Lot ' Inside Lot x Set Back 15-u. Applicant attach to this form Certificate of Survey of Lot and proposed -building location. _. DESCRIPTION OF BUILDING To be u -ed' as` -8,ingle Dwelling Front 1_ Depth 2_1 L,.,_Height,, 8� . Sq. Ft, X076 Cu. Ft. _ Att. Gar&gA Front-1Depth alb He3ght Al Sq. Ft'Cu. Ft. J Type of Construction Frame Estimated -Cost 812,6200.00 To be completed .,6 Monthg The undersigned hereby makes application for a permit for theaorkt'. 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 corr6ct. Date Signature (A Schedule of Fee Costs can be found on the Reverse Sider: K City of Fridley Appiication %r Plumbing and Gas Fitting Perndt DepL of Bldgs. Phone SU70 DESCRIPTION OF WORK Losafion� Number. Kind and Location of Fixtures — PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ NO. < — x $1.50 $q` 6� _��g 3 c� m� a tg <3°d 3.25 w Q U' �a a �p F 0 N WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th ` Future Connection Openings I New Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ NO. RATE TOTAL — x $1.50 $q` 6� — x 1.20 $ — x 1.00 $ — x 3.25 $ — x 2.00 $ — x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ 4 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ /-2,-5v 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 aye true and correct. — _ Fridley, Minn- _ / / , 19 L 6 .er " Kind of Building Used as To be completed about / A/1j 16 6 Estimated Cost, $ ° X -,LK?- Building Permit 11 POST 1M-12-58 19— 19 City ®f Fridley, Minn.. W? 7539 BUILDING PERMIT Date:May 25' 1965 Owner: Roger Hauge Builder Cobb Inc. Address860 Pand9ra Drive N. E. , Address P• 0 Box 2647 New Brighton, Finn. LOCATION OF BUILDING No. 860 Street Pandora Dr3.ve Part of Lot Lot 2 _ Block - 5 Addition or Sub -Division Brookview Terrace 3rd, Add. Corner Lot Inside Lot , Setback Sideyard Sewer Elevation —. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fast. Cost 19899' 0 - To be Completed Storm Damage Repair In consideration of the issuance to me of a permit to const the proposed work in accordance with the description above set ordinanoea of the city of Fridley. above I agree to do pith ail prAvistos]s'of Inconsideration of the payment of a fee of $10.00 , permit is hereby,,granted tdbb • Inc • 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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: M permb den net enter the construction, insmWen for wkb& p1va"9. Bn heathM awer or water. Be sire to we the Bedding hopomr for npmfs permhs for thea keme. APPLICATION FOR, ING PERMIT CITY OF FRXMn IENNESOTA OWNER'S NAME ADDRESS z2 12ADDRESS e � �/• c�T / Lr;J Ia 2 ca LOCATION OF BING No, Street Part of Lott, Lot Block � Addition' or Subdivisi®n �_dt��•-o-i�'_��-��'- � ___ I --_ Corner Lot Inside Lot .Setlsatk Side, Yard SEWER ELEVATIQN FOUNDATION ELEVATION Applicant attach to tkia form, Two Certificates of Survey of Lot and proposedbuild-,°- ins location drawn on these CA-ttificates. J DESCRIPTION OF BUILDING To be used as: i�rOnC Depth He / M Sq. Ft. Cu. Ft.. _ Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated 'Cosa 8 The undersigned hereby makes application for a permit.for the.work herein specified, agreeing to coo all Vork iii strict accordance with the City of Fridley Ordinances and rulings .f the Department"'of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. _tSchedWA..of Fee Costs can be found on the Reverse Side). w , , r 63-04-879001 CITY OF FRIDLEY APPLICATION FOR PU MLING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE q RATE TOTAL �. m, $ ed x $2.00 o New Fixture, Old Opening x $2.00 w Catch Basin Water e a m E' 100,000 B:J to 199,000 BTU x $10.00 w a -4 rou y q q ami ro s+ a w x $5.00 $ Heater o -•i �.s s+ It R x $3.00 C C n H -•+ x� U Hpp .0 C S U First $100.00 f� $ ea:..h adz. $100.00 or fraction $2.00 p L C a %+ i in -� d O aVi - u N aJ m F c y S o y w u ve a s .UC o as leo M :2 C�1 _s- I di 7e4 2.-. d 4 .1 .- 1 7717 (R) - ruVare Connection Opening Connected with Sewer (•} a New Fixture;. Old Opening Water PARTIAL RATE SCHEDULE PLUNSIXG FIXTURE RATES: NO. RATE TOTAL tin her Fixtures x $3.00 $ r^at.:=e Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ "cater Heater - to 99,000 BTU x $5.00 $ 100,000 B:J to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground I,tan.Old .Building x $5.00 $ Electric Water Heater x $5.00 $ G.AS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIO\S First $100.00 $5.00 $ ea:..h adz. $100.00 or fraction $2.00 �_ S State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE 010.00) Job Address 860 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. 1-30-81 19 OWNER WARD I S KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 2-6-81 ESTIMATED COST 50.00 OLD - NEW BUILDING PERMIT NO. PERXIT NO. t� Company P.91C`9NEGA O Signed By Tel. No. ROUGH INSP. Date FINAL INSP. If -` & - V 'Z -- Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PER4IT IS $7.50 PLUS $.50 STATE SURCrMRGE Effective Aug. 1, 1981 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE .SCHEDULE PLUMBING FIXTURE RATES: New Fixtures - Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance Reinspection Fee $ ($15.00) RATE $ 5.00 $ 3.50 $ 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 S 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE TOTAL $ / 57-f- c- (-, Job Address 1?6,C P64 -'-;OI ' A 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. eZ -Q , 19- OWNER Je ✓1� '/ � "Z S� A -)KIND OF BUILDING y C�'- 15 , USED AS TO BE COMPLETED ABOUT ,-2 - ✓ S' - S b ESTIMATED COST 67 S !3 e''5r OLD - NEW BUILDING PERMIT NO. PERMIT NO. too Company Signed By Tel. No. L4 �j ' L_ © 'z ROUGH INSP. Date / 7 �i FINAL INSP. 4 ` t a Date N APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE m ?1 W rou k v Water m i ,.�.� m H 31 ro {0 Q y ro H W w Heater +i d MR w ai 0 a f1 91 0 14g ro u y 3 a w° u as 3 o as lec 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (") = New Fixture, Old Opening Water RATE .SCHEDULE PLUMBING FIXTURE RATES: New Fixtures - Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance Reinspection Fee $ ($15.00) RATE $ 5.00 $ 3.50 $ 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 S 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE TOTAL $ / 57-f- c- (-, Job Address 1?6,C P64 -'-;OI ' A 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. eZ -Q , 19- OWNER Je ✓1� '/ � "Z S� A -)KIND OF BUILDING y C�'- 15 , USED AS TO BE COMPLETED ABOUT ,-2 - ✓ S' - S b ESTIMATED COST 67 S !3 e''5r OLD - NEW BUILDING PERMIT NO. PERMIT NO. too Company Signed By Tel. No. L4 �j ' L_ © 'z ROUGH INSP. Date / 7 �i FINAL INSP. 4 ` t a Date N APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE Effective Auy. 1, 1981 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE.SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL m $ 5.00 $ m $ 3.50 o Old Opening, New Fixture k 0 Beer Dispenser Water mN Blow Off Basin M $ to $ 5.00 E +ci �ro {0{�°� $ 0 N pw, w a $ Heater v1 m Hot Water Heater �_ $ 5.00 R W $ 10.00 ai Gl M .4 C @b@ Ox U 18 of value of Fixture or Appliance W $ State Surcharge Reinspection Fee $ u�i mt� FEE $ 3 raw � g to M R3 0 s lec ai ani U t 1st 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water RATE.SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater �_ $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 18 of value of Fixture or Appliance $ State Surcharge Reinspection Fee $ $ .50 ($15.00) TOTAL FEE $ Job Address a�!/� 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 anA 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. �'� �'� , 19 y OWNER 'J t l� gdvo KIND OF BUILDING ,� (S75, USED AS TO BE COMPLETED ABOUT �C—O �G ESTIMATED COST %� a OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company jeto C% C� % /G PL Pj Signed By - Tel. No. A�2 6;/ FINAL INSP. 2 - ( 7 -k;(-- Date dDate APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING P RMIT IS $10.00 l l� PLUS THE $.50 STATE SURCHARGE SUBJECT - ` P City of Fridley 29580 TO THE TWINS BUILDING PERMIT r? 57�sTHE COMMUNITY DEVELOPMENT DIV. ` r � � PROTECTIVE INSPECTION SEC. // 1 CITY HALL FRIDLEY 55432 �.___ll: '•� NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 111/16/98 JOB ADDRESS 860 Pandora Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 5 lBrookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Design Service 6391 Monrop St NF Fridley 99432 571-3220 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 O NEW ❑ ADDITION ❑ ALTERATION ja REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 22 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1885 .94 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 - OR THE PERFORMANCE OF CONSTRUCTION $59.50 Fire SC $1.88 PLAN CHECK FEE TOTAL FEE SIGNATUREOF ONTAACT RORAUTHORIZEDAGENT (DATE, WHEN PROPERLALIOATED Jett BLD ,NSF' THIS IS YOUR PERMIT FlAIE S,GNATUAE OF OWNERof OWNER BUILDER, ,DATE,a NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: Owner Name & Address: Contractor: S"h' Address: A.3 C?f /Wi. CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 0000, ® / Xh Effective 1/1/98 Tel. # MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # cr7/ —307 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 6; � Construction Type: p® i'� Estimated C7tr:$ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: % l6 — APPLICANT: Tel. #0-17-1— CITY 017f—CITY USE ONLY Permit Fee $ 'S—,c) Fire Surcharge $ State Surcharge $ 9-1 SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: 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 r""5 7 6 AT THE TOP OF THE TWINS BUILDING PERMIT ' • COMMUNITY DEVELOPMENT DIV. �% r PROTECTIVE INSPECTION SEC. 7 [ 3/ 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 12/10/99 JOB ADDRESS 860 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 5 1 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Louis KXgXM Digirolamo 860 Pandora Drive NE 572-9108 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 B DESCRIBE WORK Enclose screen porch behind garage (153" x 105") 9 CHANGEOFUSEFROM TO STIPULATIONS Edge of porch must be a minimum of 10 feet from side property line. See notations on plan. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. R ''M M'TS REOUIREO FOR WIRING, HEATINGR PLUMBING AND �1GNS. 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 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 $1,000 $ .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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $26.55 Fire SC $1.00 �., A" 1� >d � 1 PLAN CHECK FE EE 7281.05 . �► -a -SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT I ATE. EN OP Y ALIp THISIS PERMIT SIGNATURE OF OWNER-IF OWNER BUILDER. .DATE, p -NSP rJAIC NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� I Construction Address: /�a�dd�. �� - •✓ E - � l Legal Description: Owner Name & Address: Imp � O -S %0 Pte„ Ort, br, A; E' Tel. # S U 'q/o Contractor: MN LICENSE # Address: Tel. # SG.,,r,.e - 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 t 3 Width ®S � Height o� Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Qgdose g ''ecA Dortti - Estimated Cost: $_100a'00 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: /d 11.19J APPLICANT: a 4- Tel. # -S 7d- CITY USE ONLY CITY Permit Fee y $ oAc� ---—Fee Schedule on Reverse Side Fire Surcharge $ /0�' 6b .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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 $ - �S STIPULATIONS: C,fiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 21, 2003 Ms. Deborah DiGirolamo 860 Pandora Drive NE Fridley, MN 55432 Re: Final Inspection at 860 Pandora Drive NE Contractor: Anderson Heating & Air Conditioning Dear Ms. DiGirolamo: A mechanical permit was issued on July 19, 2001 to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. 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 mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh 4. p 5� CITY OF FRIDLEY INSPECTION DIViSION ,��' Effective On January 1, 2001 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763.572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES fJ JOB ADDRESS RATE SCHEDULE OWNER,b))4f ��� Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL N BUILDING USED ASt'DYY/0� $ 30.00 $ ,I// �� ESTIMATED COST /7 PERMIT N0. 6L $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $A5' Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. AT Ill/ ANDERSON HEDA I V HEATING CO 4347 Central Avenue N.E. COlurnbiP Hpinht& MN 5b/21 Signed �� ��� ? ear TEL # (06 A, u Lt � t -z / 03, Approved ByZ�% Rough -in Date Final Da BACK SIDE MUSTIBE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION t COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No (� The venting system is plastictPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No (ra-- When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Heiaht _ Diameter— inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in .Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) ^ ANDERSON HEATING & AIR COND. HEATING CO: 4347 Central Avenue N.E. Signed By: Date ilding PLUMBING Permit No.: _00 99 ections F77-572-3 RESIDENTIAL APPLICATION Received By:;, 604 CITY OF FRIDLEY Dgnd 763-502-4977 FAX EFFECTIVE 1-1-08 - DATE of V YOUR E-MAIL ADDRESS SITE ADDRES9 IN O f Q r^ THIS APPLICANT IS: NOWNER []CONTRACTOR PROPERTY NAME: 45 0.'6- � rc7 ADDRESS: %Qtn, G-J,tc` OP^ AJ F CITY F-,cj r U STATE, IP SSV 3 a OWNER/ TENANTPHONE: 91.3--I®�C 1� CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE . PHONE FAX .,SINGLE FAMILY O TWO FAMILY [] TOWNHOUSE PERMIT TYPE TYPE OF WORK: [] NEW $kEPLACEMENT DETAILED DESCRIPTION OF WORK % A �4t t PER MS 1613.665 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 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR _ BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREY. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER EY Permit Fee $ 15 Clu Number of fixtures @ $10.00 x $10.00 = $ Surcharge 0 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 (MINIMUM $15.50 (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. Lu qa T d SIGNATURE OF APPLICANT -s- �% 4_1 � - - - - PRINT NAME i S D c Lri pa l4m O DATE APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977