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PRE 2010 DOCSCity of Fridley, Affim. BUILDING PERMIT Date: �..... I , 0° Address T° 5000 Builder z7' r_a� AIPP4 " 0. Address LOC TION OF UI DING No./._Street Part o Lot JCLA d &�a4lr; Lot _ &:7 --Block _______._ Addition or Sub -Division .. Corner Lot _ ____ Inside Lot A00000'Setback _.r Sideyard Sewer Elevation _ _____ Foundation Elevation DESCRIPTION OF BUILDING To of Used Front Depth Height Sq. Ft.Cu. Ft Fro i Depth .-.._.. Hei ht _ _ Sq. Ft Cu. Ft. Type of Construction- Est. Cos �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. d� In consideration of the payment of a fee of $ , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation -of any of the provisions of said ordinances.^v .. �►7 i Building Inspector NOTICE: This permit does not cover the construction, Instaffation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ® � Lwc.. ® NERAL CO. CT'ORS Owners Name Builder v�. a •. ea olis 18; , . Address __. __ _ Address; _ B LOCATION OF BUILDING No &Z`' Stree Part of Lot Lot Block . Addition or Sub. Div -Corher Lot Inside Lot Set Back -"Applicant attach to this form Certificate of Survey of Lot and proposed _i r.a Tdi:ng location. DESCRIPTION OF BUILDING To be sed ont. Depth' Height 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 representations sta are true and corre t. Date Signatur i (A Schedule of Fee Costs can be found on the SUBJECT P City of Fridleyr 12944 AT THE TOP OF THE TWINS ? PERMIT J�? BUILDING RE FRT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. r �� t � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-Fl5 5/1417.5 JOB ADDRESS 861 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27 4 Brookview Terrace 3rd SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Michael Hoat 861 Pandora Drive N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Sussel Company 1850 Como Avenue, St. Paul 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USEOFBUILDING Residential 7 CLASS OF WORK l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING ANIS SIGNS.. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, 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 PERIOD OF 120 DAYS AT R-1 572 5720 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, GOVERNINGAND ORDINANCES THIS TYPEOF WORK WILL BE $4,232.80 2.12 WITH WHETHER SPECIFIED HEREIN NOT. THE GRANTING OF AO 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- $ 11.00 .STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE r14 $13.12 SIGNATUREOFCONTRACTOR O AUTHO ED AGENT (DATE) I,WFINN PR PERL V ID TE HIS IS YOUR PERMIT %L4 r S BLDG INSP j DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : l / /744-1- ADDRESS:- 44 ADDRESS: 6 ZZ-. &L4� ADDRESS,: NO:. 6 �, I STREET: LOT: "7� ~% BLOCK: ADDITION:,'.4j)0O j` Uxkja ) �.-e ju '31c( . CORNER LOT: INSIDE LOT:_SETBACK: SIDEYARD: Applicant attach to this form '!tao Certificates of Survey; of Lot and propose building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As:� SCP Front: -L Z Depth: /& Height: Square Feet: -,5`9.2, Cubic Feet: :5-9-20 Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $ '��� 60 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. DATE: A� SIGNATURE: -2L.'Oz C"� -(See Reverse Side For Additional Information. U� B. H. BRADLEY CIVIL ENGINEER AND SURVEYOR T/ 3829 .24TH AVENUE SOUTH f �,f�f1 MINNEAPOLIS. MINNESOTA 88400 � Alla 724-2189 CO �l �,yV ! lla 'e+ ti 7 f -1 I �'" he re6 y cerl`'i'�y 7`h�a t' 7h,'s �s a corp -act rev re sen f4�tro n 0,� surLeY Got Z7 1H elack'. 4C�raorcviea.► Terrace 3�'� .�rlcJ; C,'ty 0.4 �f��//eye o+.s Sal-veyec/ &,ndej,. my 5vp�rvisir�� Ike a. 0 SUBJECTPERMIT City of Fridley 5 ? 4 AT THE TOP OF THE TWINS BUILDING PERM _ f RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY J 612-571-3450 910415 7/11/97 JOB ADDRESS 861 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR, 27 4 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Hart 861 Pandora Street NE 571-1203 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Exterior Design Co 6391 Monroe St NE, Fridley, MN 55432 571-3220 3237 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 ❑X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install steel siding with trim 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 $4,850 $2.43 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- Fire SC $4.85 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $112.03 _ I ATUREOF RACT O ORIZED AGENT IDATEI HEN PROPERLY ALI ATED THIS IS YOUR PERMIT BLD INSP BATE of SIGNATURE F OW IIF O NER ILDERI IDATEI NEW ( ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER ( ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: —rzz Legal Description: Owner Name & Address: 6, Tel. # Contract r: MN LICENSE#�Z-3 Address: Tel. ,/�/O`2Attach to this application, a Certificate of Survey of the ,Sri,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 c Width Hgt/Ground Sq. Ft. OTHER: ��-� ` ��t ; ���✓f�7 Construction Type: Driveway Curb Cut Width Needed: DATE: / – /,l — 9 7 APPLIC Estimated Cost: $ a7 (Fee Schedule on Back) Ft. + 6 Ft = Ft?x $ $ CITY USE ONLY Tel. Permit Fee $�,� Fee Schedule on Reverse Side Fire Surcharge $ S .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 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 $ 0 STIPULATIONS: SUBJECT City of Fridley 25403 AT THE TOP OF THE TWINS BUILDING PERMIT r ` IPT _ COMMUNITY DEVELOPMENT DIV. rr PROTECTIVE INSPECTION SEC. E , NUMBER REV DATE PAGE OF APPROVED BY � CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/21/97 / JOB ADDRESS 861 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27 4 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Design Service 6391 Monroe St NE, Fridley, MN 55432 571-3220 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 3237 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑R ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace bay window 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 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 $1,500 @.75 `P 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 PROVISIO'M OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- CON- $48. SO Fire SC $1.50 STRUCT NOR TH PERFORM E OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $55.75 SIGNATURE OFC NTRACTOR OR UTHORIZEDAGENT IDATEI i WHEN PROPERLY LIDATED BLDG INSP THIS IS YOUR PERMIT GATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ) ALTER [ ] ConstructionAddress: Legal Description: Owner Name & Addr Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /97 Tel. # MN LICENSE # 2 ,-3 7 �Tel. # Attach to this application, a CertificateSurvey of the �?L3-)- lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MWROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. U--cv Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft 'x $ _ $ DATE: APPLICANT: Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 1 • —S—() Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ `�S $.50/$1,000 Valuation $ $950 per SAC Unit $ 0 $5.00(S * tate Licensed Residential Contractors) $ Alt. "A"or Alt. "B" Above $ -$450-00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] SuBjECT T . NOO City of Fridley 2 9 26 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � 1 ...... ..•'•1I CITY HALL FRIDLEY 55432 '•J NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 4/23/99 JOB ADDRESS 861 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27 4 1 Brookview Terrace 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Hart 861 Pandora Drive NE 571-1203 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Kingdom Exteriors 5255 East River Rd, Fridley, MN 55421 572-0001 20168211 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential It 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION JD REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (27 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $2,313 $1.16 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHA PROVISIONS OF ANY OTHER STI,TE OR OCA LAW REGULATING CON. $74.75 Fire C $2.31 STRUCTION OR THE P RM E OF ONSTRUCTION PLAN CHECK F TOTA E SeC 15/ $ .22 SIGNATYJAE OF CON'RACTOR OR AUTHORIZED AGENT IDAT I HEN OPR I T IS IS Y U Bl IN �F`E�Rq GATE S,GNATURE OF OWNERIIF OWNER BUILDERI IDATEi NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : Legal Description: Effective 1/1/99 Owner Name & Address: /l /xt ✓ i`— Tel. # // - �J,/ tel Contractor: �A 6idt9A2 A ,�� ��/ MN LICENSE Address: S��rl� �✓1f or�r - /� �r� %tel Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF LIAPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Wi%th Hgt/Ground Sq. Ft. OTHER: o ? / _ _ _6r Construction Type: %� �� jo��c y 6�Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: �_�1 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee APPLICANT: C ,���-� `���c- Tel. ##�� ' O Y Sewer Main Charge $ . TOTAL STIPULATIONS: CITY USENL Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ]