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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 4053 Date. ............. p-, �......_..._._._..__.---------------------- Owner: ..................................................................................................................... Builder .4::;e._4_7......._... _......._.. _ Address Address LOCATION OF BUILDING No..... ..f._..C......... Street ..... .._.. 1 ---.. _ . .... Part of Lot ..... .... ... -.......... ............ _.......... _.__..._.._.— Lot ..............Z................ Block ............. .. r�................................. Addition or Sub -Division Corner Lot ................................... Inside Lot ....................................... Setback -_..._-........ Sideyard.....la.......... .............. _............ _. Sewer Elevation ..... ............................................. ..............---.................................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front 7...Z... -.l .. Depth . t' . Height J.Y..... Sq. Ft. //`***Z_IZ- Cu. Ft. ............... ..... _...................... _....... Height ........................ Sq. Ft. ..... .................. Cu. Ft....................... ...... Front ....................... Dept Type of Construction............................................................ Est. ...Cost.. ... To be Completed --- --------•------------......._.......-..------ In consideration of the issuance to me of a permit to construct the uilding described above, I agree to do the proposed work in accordance with the description above set forth d in coance with all provisions of ordinances of the city of Fridley. T�eq 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. _ � -1 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. City of Fridley, Minn. BUILDING PERMIT N° El? 5 . •• , s . _ _ : .✓. s . - L CATIO OF DING No. Street --A& F of Lot Lot _ =92 Block Addition or Sub-Divlsto ✓� -�f � ;- -�-'-� Corner Lot - Inside — —Setback i. _ Sideyard , Sewer Elevation _ ._ _ Foundation Elevation DESCRIPTION OF BUILDING T as: AS Front - Depth , Height Sq. Ft. CU. Ft. 4,w,�,�► Front Depth Height Sq. Ft. WCU. Ft.+� Type o Construction%0,W49L Est. Cost," - 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 of the city of Fridley. -, jj In consideration of the payment of a fee of 90 ,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. 1 NOTICE: Ob pwmb doss not .ever the condmctioe, hutiktton for Wkb& pWmbino, @a btadny, aeww w wabr. tis wn to res tiro tlURAM inspector hr separate permit for tMa hens. Owner' s Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION ' FOUNDATION ELEVATION 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: Front Depth _Height Sq. Ft. Cu. Ft. Front Depth Height eJ Sq. Ft. q 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 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. /0 — � — � ?­ STMATURE P (Schedule of Fee Costs can be found on the Reverse Side). ,� 4-, rs K r),orlc, e q e A-1 o x A A LOT IS oe lAore SIZE X /3 el 4L 4L 14 lwe P oov ".6 .5 W BLOCK ADDRESS VALUATION ADD. 4S 41 I TYPE -Iq OL c 7,6 Ai -Z OX V, 04 y Zoar XeAc.- -,r- 4m. ,,j X r :s r cp cp 'ov Cw e-- X 'IS x e A." d:. _7 __y "f) 'oe" x ,� -7 F pe Qv r- 4-, rs K r),orlc, e q e A-1 IS oe lAore el 4L 4L 7 lwe P oov ".6 .5 W 4S 41 I -Iq OL c 7,6 Ai -Z OX V, 04 y -7 F pe Qv r- ' Application for Power Plants and Heating, Cooling, Ventilattne Refrigeration and Air Conditioning Sydems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIA: RATE TOTAL Furnace Shen &Duct Work ................ .. $10.00 �-_ Replacement of Furnace .... . ....... 8.00 Repairs & Alterations—up to $500.0o 6.00 $ _ Repairs & Alterations each add. $500.00 3.00 $—__— MECIL WARM AIR Furnace Shen & Duct Work to 120,000 BTU ... .... $10.00 $ each add. 60,000 STV 3.00 ; Replacement of Furnace Com,.. Y�".si X00 $ `' Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... .. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shen & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR Hot Water 3,00 $— OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) &00 $ -f over 199,000 BTO See Fee Schedule GAS FITTING FEE$: NO RATE TOTAL 1st 3 Fixtures .... . . / x$ zoo $ v- - 05 - Additional Fixtures x 75 $ Gas Range to 189,000 X$ 500 $ AIR CONDITiONnIG ' y(yf� a /©� -' FAN HEATING SYSTEM See Fee Schadula VENTILATING SYSTEM $ ALTERATIONS k REPAIRS TOTAL FEE $ 7, 7 d ROUGH FINALJ' - ? Dept. of Bldgs. Phone .ems V/0 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 Ordhmces and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and correct. Frill y, 1Yfinn_ 11! Owner --�� Kind of Building Used asTo be completed about Estimated Cost, Building Permit No. Permit No. S7/43 DESCRIPTION OF WORK HEATING or POWER PLANTS—steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft, g.D,R BT'U H.P Total Connected Load_ Rind of pym) BURNER — Trade Name Size No Capaci Sq. Ft. E.D R- BTU ap (REMARKS—OVER) fu L) HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION Weatherstrips A.S.H.V.E. Il Construction No. Guide _ Windows Doors - Reference ' Out. Wall Int. Wall Ceiling Roof Floor fes- o I Yes --No 19— _ _ FI.I Room I Length Width Heigh I F1.I Windows and Doors--Crackage and Area Width ffolght Ni, of l,lOmptl fl Atra No. otvane of pane list htM' �of mark" 1 nq ft. Coef. Btu Infiltration Ale) % � t' Glass Exp. wall Net exp. wall Int. wall r__Ic-- Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area FIA Room I Length Width Height 001 Windows and Doors--Crackage and Area No. or 1lghte Width Height No. of Lineal ft. No. of pane of pane, lights of crack Area sq. ft. Coef. Btu Infiltration? 4 3-x_* .-.,, _ Glass 5 - � Ile 14 Exp. wall /-,TO ye L -a " r a' Net exp. wall Net exp. wal Coef. Btu Infiltration _ Int. Wall► Ceiling _ Glass Floor _ Exp. wall Glass Net exp. wall Net exp. wall Int. wall Int, wall _ Ceiling Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length Width Windows and Doors--Crackage and Area Idth Height No. of Lineal ft. Ara® Ne. of Dane of pane Nips of crack on. tt. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total looTotal Btu Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Kind - -- —moi Room I Length FR t u (- Y Y r Insulation ` How Width Height Wintlovva anal Moors---Crackage and Area 11.•iKhl_ Nu. of Ldnrnl ft. Area No. GP pane .•r t•un.• �l¢hte of crack sq. fl. °IT No. or 1lghte 3C, 0 "% ► 0 Coef. Btu Infiltration? 4 3-x_* .-.,, _ Glass 5 - � Ile 14 Exp. wall /-,TO ye L -a " r a' Net exp. wall Net exp. wal vt l -� Int. wall _ Int. Wall► Ceiling Ceiling Floor Infiltration _ Total Btu. Required sq. ft. E D.R. or sq. ifis. f`�. Leader area ��- FI.I Room I Length. Width ��Height Window,, and Doers---Crackage and Area Width Height No. of pane rt pane No. or 1lghte Lineal ft. of crack Area sqft. Coef. to Infiltration Glass �..__—..._. .-.,, _ Eyp. wall Net exp. wall Int. wall Ceiling Coef. Btu Infiltration _ Floor Glass _Total Btu. Required sq. it. E.D.R. or aq. ins. W.A. Leader area FI.1 Rnom i Length Width Height Windows and Doors—Crackage and Area No. Wl,lth nt pane Height No. of L.lneel It. Area of pane lights of crack sq. ft. .-.,, _ _.�... __. I. Coef. Btu Infiltration _ Glass Exp. wall Net exp. wall _ Int, wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT NO. City of Fridley r_1 8901 AT THE TOP OF THE TWINS BUILDING PERMIT r • __ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 ; � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 j 612-571-3450 J 910-F15 4/23/8 JOB ADDRESS 910 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 4 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Spanie 910 Pandora Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc. 7401 Central Avenue N.E,, Fridley 784-7543 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 Ij REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof (5 squarest Repair 9 CHANGE QF 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 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 jSTALLS 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 $497 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15.50. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI H WHEN PROPERLY v BLDG INSP LI DATED THIS IS YOUR PERMIT 4-TE*�_ SIGNATURE OF OWNER OF OWNER BUILDERt IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] LR -1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: r10 gfjor', Legal Description: Owner Name & Address: 'z2a, Ola f)I 'L Tel. # Contractor: 1i`d/n'n'► !' ?� �- Tel . # �$�i-75y� Address: em-trq Erl"Cl�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 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: --- Corner Lot [ ] Inside Lot [*� Ft. Yd. Setback Side Yard Setback Type of Construction: coo Rep -R; Estimated Cost: $ Approx. Completion Date: c Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: '� "o?-�—� / APPLICANT: _9,g�eZ /2&a!�Tel. # 70 -"75Y - Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge �IM STIPULATIONS• CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City of Fridley 6 4 9 5 AT THE TOP OF THE TWINS r BUILDING PERMIT q �� COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 � NUMBER REV DATE 7-8-98 PAGE OF APPROVED BY = 1 I CITY HALL FRIDLEY 55432 ,'� 612-571-3450 910415 JOB ADDRESS 910 Pandora Drive NE 1 LEGAL LOT NO2 BLTK 4 TRACT OR ADDITION SEE ATTACHED DESCR. Brookview Terrace 2nd SHEET 2 PROPJeTanneN Kaffesberger MAIL ADOR $$� Pandora Drive NE ZIP 5"06018 3 CONTRACTOR MAIL ADDRESS ZIPZIP PHONE LICENSE NO. Skilcraft Inc. 1601 N. Innsbruck Dr. #126, Fridley, MN 55432 572-0913 8107 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 Re-roof (27 Sq) - tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $2,251 $1.12 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- $ STRUCTIONSc OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TO L FEE a �^ License jj $5.0 $83.12 ' NAT OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N ROP VALID T THIS IS YOUR PERMIT r INSv I / PAT _ SIGNATURE OF OWNERIF OWNER BUILOERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY .OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �,� a �Clf ConstructionAddress: 9/,/) &,14a/LA ae Legal Description: Owner Name & Address: ��E�✓,�✓�� �A�6�3�G Tel. #. ,'7/-00/F Contractor: MN LICENSE # P/0 7 Address: AB G i `� . � ,Js'6/� Y-14 20e.iz � 2, 04 /%%✓ �S /� � %Tel. # S` 7 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: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. 05:2� 7 Construction Type: �D l� Estimated st: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. #-5-22 Permit Fee $ 7 • %� Fire Surcharge $ �Jl State Surcharge $ SAC Charge $ License Surcharge $ ,, D 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%) $.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 [ ] G CITY OF FRIDLEY INSPECTION DIVISION ' �, 3o Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES • JOB ADDRESS G ► a 'E�r�-��ao �t 2 (� F RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — fl rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) — '1 ,1998 Gas Piping (Needed with new furnace) $10.00 $ — %) OWNER k Y S e Gas Range $10.00 $ BUILDING USED AS \Y\ Gas Dryer $10.00 $ J ESTIMATED COST '° d Z ? 0 PERMIT NO. *Air Conditioning — All Sizes $ 25.00 DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs $ Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units 1 Circle One (Steam) (Hot Water) arm Air) Trade Name 1 C P Size No. --LS o as Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load n e 0.6 State Surcharge TOTAL FEE $ .50 $ ,r s' . 5-D MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name k C P Size No. --I 'ro o0 BTU -1 �-� ® G HP EDR HOME ENERGY CENTER 15200 25TH AVE. N. 9125 HEATING COMPANY PL-VMOUTH, MN 55447 t '/ Signed By Tel No. 7' 7 l S J Approved ByRough—In Date, FILL OUT BACK SIDE FOR STA K VERIFICATION ON REPLACEMENT FURNACE Final ., CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 May 25, 2001 Ms. Jeanne Raffesberger 910 Pandora Drive NE Fridley, MN 55432 Re: Final Inspection at 910 Pandora Drive NE Contractor: Home Energy Center Dear Ms. Raffesberger: A mechanical permit was issued on November 30, 1998 to install a furnace and air conditioner at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Mechanical Code. 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 expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1998 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** NO. RATE TOTAL _L_ Gas Range** _ Gas Dryer** — Back Flow Preventer Required ( )Yes () No Type — $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $� JOB ADDRESS 9 ICS -Po,dU(ct 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. t% - a 3 , 1998 Owner a0_41(VX__ �afre.51aalgAc Building Used As 1 e61kah'j Estimated Cost ��� .0c) PERMIT NO. PLUMBING COMPANY ��no. O'l Utr I��U".6 � SIGNED BY TEL N / Approved By Rough -In Date Final--,C� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. City of Fridley SUBJECT IT 33956 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. 1 � r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 763-571-3450 910.F15 10/8/03 JOB ADDRESS 910 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 4 1 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Select Equity Investments Inc 763-560-0077 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Target Remodeling 13570 Grove Dr #193, Maple Grove, MN 55311 612-272-3658 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20411241 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑-X O NEW ❑ ADDITION ALTERATION O REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Install two egress windows 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 '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 @ $1 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 •00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ANY OTHER STATE OR LOCAL LAW REGULATING CON - $69.25 Fire SC $2.00 THE P RFORMANCE OF CONSTRUCTION "�'�►3 ZOF PLAN CHECK FEE c se SC $5.00 TOTALFEE $77.25 CONTRACTOR OR AUTHORIZED AGENT iOATEi N PROPERLY VALIDATED THIS IS YOU PERM S,GNATUREOFOwNERIFOWNERBUiLDER1 iDATE. BL jr, fNSP r/ArE NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: (!) by'_ Q "e_ Legal Description: Owner Name & Address: fit,' Tel. # Contractor: ` ®�i la.�04- a r 41 MN LICENSE # '4 l `7-4 Address t'-5,5-20 &O'b'j �'e Tel. # (01`Z — 272 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: _7q,5,4-, �� CST 2- Construction Type: 2- cc, Estimated Cost: $ Z66'0 ` C)o Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 1/APPLICANT: Cl'. Tel. # 2 _22 39-3c5r' Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ --I --I' a S7 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] L7 s NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: I o Vq^dor-g D (Z I \/ e --- Legal Description: (763) 572-3604 Bldg Insp (763) 571-1287 Fax i qa a ev-ergr-en Cout+t sit Vk,4,( S -TI 13 Owner Name & Address: d Tel. # (1i I a -7 H -7 - fW 4 e Contractor: S 4-` -�- MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Length Width Height Sq. Ft. Hgt/Ground Sq. Ft OTHER: Construction Type: Estimated Cost: $ 4 no,y Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $%$ DATE: 31-716 APPLICANT: �� °�i' " J� Tel. # G ! .-7Y-7, PO&P, Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge iter» CITY USE ONLY - $ /. '000�40 01106:w- sit Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] STIPULATIONS: NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: ® P Qvr� C� Legal Description: Owner Name & Address: i �1 Sv`n �� Tel. # C¢ I d - '1 `l -7- EO(efe Contractor: MN LICENSE # Address: 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: 3, w;,4a-QfCD Construction Type. Estimated Cost: $ l P Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: c1� 2 ° �> APPLICANT: S�-� � Tel. # � la �N Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. ' Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Itt•Yi1111 CITY USE ONLY - $ 151. 2''5-- Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 5Z 005 — c00 40 3 i Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $10.00 )/I1.0 6 Old Opening, New Fixture $10.00 Beer Dispenser $10.00 Blow Off Basin $10.00 Catch Basin $10.00 Rain Water Leader $10.00 Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 Water Heater -Electric $35.00 Water Heater - Gas*` $35.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance 1110n.00 State Surcharge TOTAL FEE $ ,� JOB 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct ®�-2 DATE: , 20 OWNER BUILDING USED AS ESTIMATED COST �� PERMIT PLUMBING SIGNED BY Approved By Rough -In Date TEjN0)745-7Jc1.0® Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 plastic/PVC 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 existina 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( ) 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 Height 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) HEATING CO: Signed By: Date: State Surcharge $ 0.50 (if permit fee is over $1,000 multiply by .0005) TOTAL FEE $ (PC)5T) *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING CO W i 6,f Tel #6S--� 7 5S- ff-M FAX #I &S-1- 3`O " Ccq tom Date lo - 7-0,'5 Approved by Rough -in Date Final Date 0_!5 - 0o CITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONINGr SYSTEMS ANDj DEVICES JOB ADDRESS / �� "I 4 r��lC1k6Cc RATE SCHEDULE Fee Total �`� Residential Owner Furnace Shell and Duct Work, Burner & __0,--, 35 also Replacement Furnace $35.00 $ Building Used As Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST PERMIT NO Fireplace insert $15.00 $ Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units - Circle One (Steam) (Hot Water Warm Air) Trade Name Size No. *Air Conditioning - All Sizes $25.00 $12or BTU HP Ot9C7 HP EDR Fuelg'J Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater on work less than $500.00 The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. State Surcharge $ 0.50 (if permit fee is over $1,000 multiply by .0005) TOTAL FEE $ (PC)5T) *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING CO W i 6,f Tel #6S--� 7 5S- ff-M FAX #I &S-1- 3`O " Ccq tom Date lo - 7-0,'5 Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the BTU Input venting has been examined and is free from rust, deterioration, obstructions, Appliance #2 Type and is securely supported and firestopped where required. Yes No( ) The venting system is plastic/PVC and meets all current codes and manufacturer BTU Input specifications including sizing, length, number of elbows and termination. Ye� No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does Vent Height include AGA-GAMA Category I Central Furnace Venting Tables for fan Appliance #1 Vent Connector Height assisted and natural draft appliances. Yes No( ) The existina combustion air is sized and installed to meet the current codes ft Length and manufacturer's specifications. Yes () No When required to install a new combustion air, it will be sized and installed specifications. Yes ( No ( ) to meet the current codes and manufacturer's / 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 Height 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) HEATING CO: Signed By: Date & ` 7 —041�;-