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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT No 4062 Date: ............ 7....... z........_..�...___�.__...._._-.----...._. -. Owner- ..... ................................... -...................... ..... ... _...-............. ............. ........... Builder ... Address GCi LOCATION F BUILDING AI No. 1�......... Street . U ..... .r!�e✓..... Part of Lot ..................... .... .............. ... _............. ..._ Lot ....-...-'z__& ............. Block ............. ....�........................ Addition or Sub -Division .... - ..... _ ' Corner Lot .................................... Inside Lot .................................... Setback ..._... .............. Sideyard .... /... .......... Sewer Elevation.....-.....:.......-.......-....-.............-.......-..................._....................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: _...... e......... Front � _�.�_� Depth a? f/', Height / ......' ...a/ Sq. Ft. ,(C .CI Cu. Ft 'el Type of nstruction .......... .. Front 1. ...- .lea.. Depth 22..... . Height/_�........ ..... Sq. Ft. .. p� /7 Cu. Ft..._o��. .. Est. Cos .. .. .....fid...®To be Completed .................... ............ .................. In consideration of the issuance to me of a permit to construc the build#ig described above, I agree to do the proposed work in accordance with the description aboveet f hand ' pliance with all provisions of ordinances of the city of Fridley. ...-...... L:... G4.::a .> ............ . ..-.. .......... . --------- -_ In consideration of the payment of a fee of $ Wz..104 permit is hereby granted ._.._.._....... -........................... -.............-........ 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. 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 City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT MU: TLne 30- 1972 Owners Darrel Clark Builder Same Address 911 Pando-raTlriTZ.e N ->i. - Address tae LOCATION OF BUILDING No. 911 Street Pandora Drive W.E. Part of Lot 534 J'ot _23 Block 3 Addition or Sub -Division Brookview Terrace 2nd Addition Corner Lot Inside Lot X Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Above ground Pool Front 16 Depth 32 Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. __ Cu. Ft. Type of Construction _ Stgel/Liner Est. Costg1 000.00 To be Completed Sent. 1,_A172 In consideration of the issuance to me of a permit to the b ' bed above, I agree to do the proposed work in accordance with the description abo a set fo and o p ' c with all provisions of Ordinances of the city of Fridley. 50 S ate Surcharge In consideration of the payment of a fee of $_.k. 00 , permit is hereby granted to DarXejCl ,"k 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 n� city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinCLARENCE BELISLE 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. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PLRMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAME:_ 1)vN'yL8_M4_ �� ►� BUILDER: 0W AJ ADDRESS: 91\ 9AAJ16o A_,1► ADDRESS : vv�F_ NO:�•,\\ STREET: LOT; BLOCK: ADDITION: CORNER LOT: <a INSIDE LOT :SETBACK: SIDEXARDs, ,Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION 0 BUILDING c_ & 0 crr CLo u lw o %0 1661-x- ` O U61d 1S To Be Used As: —Front: —Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: To Be Completed: If& A The undersigned hereby makes application for a permit for tbe.vgrk hereja specified, agreeing to do all work in attict 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 applioetiou are true and correct. A--\ �IATB ; l i Au d 1 I `1 " )'L SIGNATURE: (See ReYerse Side For Additional Information.) t� fond Planning 370MrssissPpiSt. NE. tandSLCltyh7y Aflnfwapolls 21, ,wl. 5 restrn9 ENGINEERING, INC. Alln,v5o la Civil & Muflicipal Sllnseif-066 rngineerwy Engineers Sup veyors Il jee 7,1 c C -r v L here bu cerh)ry fbot &5 is a h-ue and carred i repre5en la tkf Y Lc veq effie bcvn dor;e.5 o,/'i '-- abdir v6ued' .'ond,and & abca ol'all twf'ld,;y73 1.*rew .. ona(l rf:5ibt? a,-c(w' W'meais !r'um or *7 Mid land. As wryt L� ed hij me riw A -n m- SUBJECT Cit of Fridley Y ® 13568 AT THE TOP OF THE TWINS BUILDING PERMIT i � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. / 1 . � /"'I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'. 612-560-3450 910-F15 6/4/76 JOB ADDRESS 911 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 23 3 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel Clark 911 Pandora.Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK j NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 12' x 16' Storage Shed 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. 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-1 192 1920 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 $1,200 .60 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. $5.00 PLAN CHECK FEE TOTALFEE $5.60 SIG TUREOFC NT C R UTHO ZEDAGENT (DATE) PROPER IATED THIS IS YOU PER T BLDG )NSP 4J" DATE ,416NATURE OF OWNER kF OWNER BUILDER) IDATEI APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:- Q,,Q_Tt. BUILDER: IY1 ADDRESS: OnftAr ADDRESS: NO:. STREET: LOT: 2 3 BLOCK: 3 ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Cert-ificatcs of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: %5SC2WA Soc:h Front: IZ Depth: 16 Height: 10 Square Feet: Cubic Feet: Front: Depth: Square Feet; Cubic Feet: Height: Type of Construction: Estimated Cost:__* To Be Completed: 2:t AA0L 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: % SIGNATURE,00 (See Reverse Side For Additional Information.) 4 Land Planning 37OM1jjissp#5fAfE &rd Swvtying mimwwlis V. Scil-s Testhy ENGINEERING, INC. Alil7fx-vla a"I b-,vun;cjpal f E1717memn9 Enyineers Sur vectorss tj certz"lificate of suzve7, r i 't I " - � - . , 0 •J, ;, 74 j /hereby cerhry lboi 66 /s o Prue and ezrred represenAahon OP survey aP,*e bwndlvr;e5 v,,PAe above c6cr;hed ,vnd,ad o%'Ilx Imabo,7 o/',l/l Mldonp, lfierrw, ardall 1,1516le awrachmenh, �,Cmy. firm or ca so;d /and. As surveaed hi, mo SUBJECT PER City of Fridley 19391 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEI _____ COMMUNITY DEVELOPMENT DIV. v r PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910415 4/15/88 JOB ADDRESS 911 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 3 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel Clark 911 Pandora Drive N.E. 571-3246 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 O ADDITION ❑ ALTERATION IR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (20 Squares) 9 CHANGEOFUSEFROM 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 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 $1,000 $ 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 SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $17.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $18.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI W1�{EN PROPE L 1VALI AT D HIS IS YOUR PERMIT LDG )NSP �aTE SfGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] ADDN. [ ]/ ALTER. [CEJ Construction Addre Legal Description: Owner Name & Addre City of Fridley Effective 4/1/86 �R-1 AND R-2 Building Permit Application Contractor: S A'V✓l? Tel. # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Type of Construction: Approx. Completion Date: Side Yard Setback Estimated Cost: $ /6 (no. n C) Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: q,,-tS"W APPLICANT. Tel. # � �'^ 41 CITY USE ONLY Permit Fee $ �•�� Fee Schedule on Reverse Side Plan Check $ 25$ of Building Permit Fee State Surcharge $ -196 $.50/$1,000 Valuation SAC Charge $ $ 550 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ TOTAL $ 1 00 Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: -6- SUBJECTM City of Fridley I16-990 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. Z 1199 NUMBER REV DATE PAGE OF APPROVED BY .."'1 ' CITY HALL FRIDLEY 55432 � �'' 612-571-3450 910-F15 8/5/98 JOB ADDRESS 911 Pandora Dr 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEscR. 23 3 Brookview Terrace - 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kevin Eutel 571-7348 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Roofing 571-0248 9042 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 XX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof houseand garage 23 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 1918 .96 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIP1101S OF ANY OTHEJA STATE OR LOCAL LAW REGULATING CON- ST R TI NOR THE PERF MANCE CO TRUCTION.iffin$62.25 Fire SC $1.92 LAN CHECK FEE TOTAL FEE � Licen C 5. 70.13 SIGNATU OF CONTRACTOR OR AUTHORIZED AGENT IDATEI E PRO Y VALIP*TED THIS I UR PE2%IV SIGNATURE OF OWNER of OWNER BUILDERI IDATEI OG INS DATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: W/ 164 Legal Description: . --Y /W -fit f i1,,4 C. Effective 1/1/98 Owner Name & Address: ,��f�/� Z--U/r 2 L Tel. # S7 �.� 4d Contractor: �6 ,� ��Ci/��r MN LICENSE # Address: % i'y/C/ /�/��7�Y S % Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Tyr %7//`��-�/�/' Estimated Cost: $ Driveway Curb Cut Width Needed: DATE: `� 1 444)2; - �e Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ 13 (Fee Schedule on Back) +6Ft= Ft $ _$- Tel.%/d 74� 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 [ ] ,,. CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 Effective 1/1/04 MOVING [ ] WRECKING�PERMIT APPLICATION (763) 572-3604 FAX (763) 571-1287 Job Address: 9 11 P—av, Cit W C.L r Legal Description: L oA- 2-3 Z\ C) rl ri owner & Addr ss:Gk"S C1 C -i kc. CiP ?4.,ra D, Fn®1/!:�Z , (/VLA Tel. # 2-/j f0y`p C o n t r a c t o r ktoN &kS-{-� 1- es t �vJ.1 ,<s Tel. # 763 -Y77 -R q s Address : _lt(o2-6 (? 5-F M jCL(U� S63n State License # 9t)g3 o 7 4 8 DESCRIPTION OF BUILDING HOUSE: Length Width GARAG 'Length Width OTHER: Length Width Estimated Cost $ Height Sq. Ft. Cu. Ft. Height Sq. Ft. S p tz,, Cu. Ft. Height Sq. Ft. Cu. Ft. Approx. Completion Date CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE. Water Bill Paid: Yes [ ] or Collect [$ Moving Route: ] Signature The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. ALL DEMOLITON DEBRIS, INCLUDING FOUNDATION & SLAB, SHALL BE REMOVED FROM SITE. /2 & /O(;;2 Date Mom Wrec ' Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction ...... $1.25 Accessory building into Fridley ... $ 42.00 For structures which would be impractical to Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00 or fraction. 011, PERMIT FEE: 0 MINIMUM $20.00 STIPULATIONS: Office Use Only: SAC -D form completed /.7-,31z� 3uilding BUILDING Pernut No.: nspeitions RESIDENTIAL APPLICATION Received By: F63=512-3604 , CITY OF FRI'/DLEY Date Rec'd: SATE 2- 11' 10(o YOUR E-MAIL ADDRESS � J Ch.n Gk' -J�V l h WvWes 6 ! dJ , ks- ITE ADDRESS Cf I crh A0EU- Ir FES cl tL:� (Y\n -IIS APPLICANT IS: ❑ OWNER MCONTRACTOR PROPERTY OWNER/ NAME:C.,�\ ,r x s 1✓J far IL. TENANT ADDRESS: q t I i�cv� c� e r c� -Sf Cuy ��r v a 1 c:�:5 STAT 4gIP PHONE: W Z- 0'f68 CONTRACTOR NAME: O1+IV Fb M STATE LICENSE # a O S3 C) i `i C9 EXP DATE 3 J ZO1. % I I 1p Zl� CITY mi 161 t_-4_ STATEf&i ZIP gp l S 3 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 1-z.� WITH APPLICATION PHONE - 7- 3,:i--`f S FAX y— 8 5/ v PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE S ADDITION ❑ GARAGElSHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTSNANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: X44 6L4-S. SS= -'r SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES S 10_ 12 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: PROPOSED HEIGHT: ❑ DETACHED GARAGE 1`vl�A�u J_€�� 3�4 bx X33 !Q8 = � 1� 8`1f�7� 3. List of structural members to be used SWUgG U,F 0 X$ (G 66 7-1 lob FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Aoffit 644 97D*r4-�6 .Las ADDITIONS & PORCHES SUBMIT• ❑ Aluminum ❑Trim }"� 54�d j� 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 514 GSD , OCCUPANC Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due .0 LABOR AND r A"1'EFAAl�: See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMITNOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fora rinit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w ' ires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME&f�6 DATE 12 /O6 Building PLUMBING Permit No�M — ao Inspections RESIDENTIAL APPLICATION Received By:Vq-_ 763-572-3604 CITY OF FRIDLEY Date Recd: f DATE f - 3 G _0:7 YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER 12CONTRACTOR PROPERTY OWNER/ NAME: /� ADDRESS: 9// z9: CITY STA�Il'� TENANT PHONE: CONTRACTOR NAME: tom✓ S /Vw. STATE LICENSE # 010 7 M Pon EXP DATE /a - 3/ - 9001 SUBMIT A COPY OF ADDRESS: V 23 ~- /0 q'Lh wo<&ar CITY 71j""'rmg a✓ STATE IA,ZIP -0 90 YOUR STATE -SS LICENSE WITH PHONE %& 3 -85&-b15-8 FAX r/ APPLICATION , )/SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE TYPE OF WORK: /NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK A/C tr .kz jC � en/ T>/'4i61 move Q09,r✓ rO 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 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SDWLAV _FLOOR DRAINS _SHOWER _ WATER PIPING — BATHTUB GAS PIPING crrLrc�) _ SWIMMING POOL _WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) LAUNDRY TRAY HEATER ($35) FOR IRRIGATION DISHWASHER _WATER WATER METER —OTHER Ell WI Z' Permit Fee $ Number of fixtures @ $10.00 x$10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 TOTAL DUE $ Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. C �l t PRINT NAME � a IU S eu e DATE _ a CR -0 Z SIGNATURE OF APPLICANT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Date: 1/29/2007 Revision Date: 1/29/2007 Site Information Address 1: Address 2: City: Fridley County: Hennepin Application Information Business Name: A Plus Heating and Cooling Contact Person: Kenneth Proctor Office Ph: 763-443-1782 Fax 763-780-1086 Address 1: 926 88th LN NW Existing Construction: Pre 1994. Project #: Lot: Block: Subdivision: MN Contractor License #: Cell Ph: City: Coon Rapids State: MN Zip Code: 55433 Minimum Mechanical Code Requirements Met Will you be replacing or adding a water heater, furnace, or Moiler? NO Will you be installing a decorative solid -fuel appliance? NO Will you be installing an exhaust fan 300 CFM or grater? NO You have met the minimum requirements for make-up air and combustion air as required by the international mechanical code, as adopted by the state of Minnesota with amendments. Applicant Name (print): /�� ,1 P ��c c ; Signature/Date. / 'C%7V�� Code Official (print): Signature/Date: 0 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 Building MECHANICAL Permit Na. �- Inspections RESIDENTIAL APPLICATION Received By:� 763-572-3604 CITY OF FRIDLEY Date Ree'd: 0-7 DATE YOUR E-MAIL ADDRESS )4 ie.1^ 0_4i'n 60 13'1 Sti o "Oen SITE ADDRESS THIS APPLICANT IS: ❑ OWNER (CONTRACTOR PROPERTY NAME: C C AC K E- ADDRESS: 7 �� /" /V /7 D CITY F ►� LE% STATE %'�^�ZIP NAN TE� PHONE: CONTRACTOR COMPANYNAME: Ile �B SUBMIT A COPY OF CONTACT PERSON: YOUR STATE LICENSE WITH STATE LICENSE # EXP DATE Z 4, g S ��®n P/�f STATEh'lnEZIP gS / ADDRESS: 9.2 �'p�y., M CITY APPLICATION PHONE 7 3 `yy3 —®7,R FAX PERMIT TYPE 11 JINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ff'ALTERATION/REMODEL TYPE OF WORK: ❑ NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK 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 ) oQ Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor 4000 x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZEIBTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR $35.00 _FURNACE $35.00 GAS UNIT HTR $10.00 _BOILER CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 EDUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge S .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. ,sem Q SIGNATURE OF APPLICANT i� PRINT NAME /C ��? /!E i"h dr/ DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.:d0(2-0C(1z,-7-r Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: -' 763-502-4977 FAX EFFECTIVE 1-1-08 / DATE �- Z./ --0YOUR E-MAIL ADDRESS 11&9PM N , CArh SITE ADDRESS Q It THIS APPLICANT IS: 0 OWNER CONTRACTOR PROPERTY OWNER/ NAME: G v,-4 C -IC --/t TENANT ADDRESS: all/ �,uh[�m.�.. J�� CITY STATE&+ ^41P PHONE: NAME ADDRESS: ZC'057Z_ !y CI rY W!$ee STATEf+►1VZIP 5^¢sAt CONTRACTOR SUBMIT A COPY OF PHONE 6 of - Oft, -C 1rr r,) FAX � YOUR STATE LICENSE 3 STATE LICENSE #202 6 U1®^3 EXP DATE PROPERTY TYPE -W SINGLE FAMILY/NEW CONSTRUCTION SIZE 1 ❑ TWO FAMILYINEW CONSTRUCTION STORIES-1— TORIESPERMIT PERMITTYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH PROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: rT�e , ®{-F 'i SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 2S' ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural member; to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Sog,t 1. Site Plan/Survey showing the existing structures ❑ Aluminum 11 Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 1 S THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 3 `#9 1G OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 3. $ 5—.00 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley an •th the Minnesota Constru 'on 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 'll be in rd ce r e approved plan of all work which requires rev' -ev e' and pp//roval of plans. SIGNATURE OF APDL C PRINT NAME 6i 1 s��.h DATE S-Zl APPROVED BY � � DATE to From: City of Fridley To: 7637816681 Paae: 2/4 nate• s/9719nno l g•sn.gA pnn Building MECHANICAL Inspections RESIDENTIAL APPLICATIOl�I 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 2-19-09 Permit No: Received By: Date Rec'd:(0— --0 I)'' TL. -4-47 YOUR E-MAIL ADDRESS S:TL ADDRESS 7 HI> . Wf'LIC'A:�T IS: C 0IVNER IfL'.ONTRACT'OR -- PROPERTY NAME: ,r, --- U tiN'N E R' ADDRESS: _ ) 1 "�� --- CITY 'G�GQ' -- —. STATIi/'1rV LIIv`S��'3Z 'rENAN.r PHONE:--+EI-F CONTRACTOR COMPANY NAME: yf _ C ONTACT PERSON: 41, Sl- B%IIT A COPY OF 1`UI_ STATE M STATE LICENSE tIC P DATE WITH _ .1JLICENSE ADDRESS: C APPLICATION CITY TAT"�y,L PHONE FAX -;"/ ,Y- % PER.NII'r'T1'PE 9�-INGLE I-'AMILY C TW'O FAiNULY C TOWNHOUSE TYPE OF WORK: C NEW PLACEMENT ❑ ALTEItATION/REMODEL 1)TAILEQ DESCRIPTION OF WORK �/j�1CLCp _ q!Mc FEES ARE BASED ON S10L0(I 1'1 12 FIX l'URk?, EXCEPT WHERl NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) tq i,l1n!:nt Installed MFG: MODEL: S1LE/BTUqQ M — MFG: 3`� '� MODEL: hO SIZ BTU MFG: ^_--- MODEL: _ SIZE/BTU _ FIREPLACE(GAS)$1.5,00 —GAS KANGErnVEN $10.00 'ttIc)Ajit EXCHAhC;EEKS15-- FIREPLACE (W'OOD)$3S.00 NEW GAS GRILL$ 10.00 \-st6`1 '�L1�111�i�tt %W1''UKNACE $$35.00 r;nIZ t IM!T WT!? ein nn City of r'ridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977