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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 4287 Date: _........._...._ .... ---.......... .......-- ... .... .... ._...._ _._........... _................ Owner: Address Builder Z-14 Address ........ - ...... ................. _._..----_._._...._...._..._.._....._..._._..._.._..__� LOCATIO/N%% OF BUILDING No. ....... 7..... Street . . . ........ C-. ............. Part of Lot ............................ y_.._........._.. ..... -------- Lot ..... ..................... Block .....--------------....._..... Addition or Sub -Division . Au --r --. Corner Lot .................................... Inside Lot . ........ -................. Setback ... a --... . h.--... Sideyard ... .-C....` .-D.. ......_. _...........----_-_.-. SewerElevation ...... ............................ .............. _..................................................... Foundation Elevation ..................... ............ ..... .................................................. _. DESCRIPTION OF BUILDING To be Used as: _-- ...................._.. ........ Front X--?.P.O Depth -W.! Q � Height 1..../5 Sq. Ft. 1... Cu. Ft../.._./../..,2 .:1�/...�.✓...`4' .. Front ._ - /... Depth �d . `._� Height .. �0 . Sq. Ft. ..7- Cu. Ft. a? --9 ..._o p� rte" Type of Construction .........-........ Est. Cost.... � ............ -1-o 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. � v In consideration of the payment of a fee of $.. ...._�.., permit is hereby granted _... _......................................... _..._..._........ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. z Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 City of Fridley, Minn. N9 9047 BUILDING PERMIT Date: OCTOBER X 7? 1966 owner: _ ROBERT W. CULVER Builder SANE Address 920 PANDORA DRIVE N.E. Address FRIDLEY$ MINNESOTA 55432 No. 920 Street LOCATION OF BUILDING PANDORA DRIVE N.E. Part of Lot Lot _ 3 Block 4 — Addition or Sub -Division . BROOKVIEW TERRACE. 2ND ADDN. Corner Lot .__ Inside Lot — $ Setback XM=_ _ Sideyard -- Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ADDN, TO SAGE Front 9 .2' Depth 22.15 Height 10 Sq. Ft. Cu. Ft Front Depth . _ Height Sq. Ft. Cu. Ft Type of Construction FRANE Fat. Cost 1 000 __ 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 ;hprovisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 4.00 , permit is hereby granted to ROBERT W. 'VER 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. CLARENCE BELISLE Building Inspector NOTICE: This pennh doss not cover the construction, hatallailon for wiring, plumbing, gas heating, sower or water. Be sure to no the Building Inspector for separate permits for these hams. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S COI //,6 BUILDER ADDRESS /aW,eQO/e A Ad�/ I/ ADDRESS LOCATION OF BUILDING NO. STREET �/ Ml� PART OF LOT LOT `sem BLOCK ADDITION OR SUBDIVISIONAIV 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 or To be used as; �/�� �A�• /%/SAA00 OF 9*64EI Front Depth Height /O Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of ConstructionEstimated Cost���/f Zee 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 O®���� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). . t� '-'�_...._�_.-.._ � <'� �� ! y � --... '•1.-n.. _` �_.._..� � � V C:� V � ice: � Z~�^ -Y.r.� S: i .. y y I29 WESY LAKE SIRE: Y MINNFAPOUS S. MINN. i; t,--1871 t SUr-12V1-:V For THORPE BROS. Csf �� + Z•2 / 4 5�.G5 DESCRIPTICN: LoT 3, SLOCK 4, ! + BROOKv1EW TERRACE ?NO Aoot TION. + 1 �f SCALE: I - 301 1 LOAN NO. :S$ 146--V ± i/ SOTUAPE IN THE COUNTY OF ANOKA, vTATE OF MINNESOTA. V1e hereby certify that this is a true'and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being.placed on the property and no liability is'assu.«d except to the holdGr of such mortgage or any other interest acquired by the reason of such mortgage, >t is understood and agreed no monuments have been placed for the purpose of establishing lot lines or boundary corners. Da te'd this . 10TH day of MaacH , 1960. EGAN, FIELD & NOWAK Surveyors.. File �•B-ook %% ` f.„t�I �goo b, -�,t � i rt,i7 i° �-i r �� S. ••!ter 1� sueaEcr PERMI City of Fridley 20849 AT THE TOP OF THE TWINS BUILDING PERMIT i � • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 � I NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 IL---- ''J 612-571-3450 910-F15 5/28/91 JOB ADDRESS 920 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 3 4 Brookview Terrace Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Culver 920 Pandora Drive NE 571-3274 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Remodeling 3700 Annapolis Lane, Plymouth 55447 553-0020 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 [I REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling; soffit & fascia; gutters 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. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $10,000 $5.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $117.00 Fire SC $10.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 3 00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN P OPERLY ALI H YOUR PERMIT Q _ SIGNATUREOF OWNERoF OWNER BUILDERI IDATEI SP BATE 1� NEW [ ] AD[N t ] ALTER t ] Construction Address: �9. Effective 1/1/91 R-1 AND i-2 Building Permit Application Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DE9QtIPI'IC�I or IlamVEME TT LIVING AMM: Length Width Height Sq. Ft. C,APUNM AREA: jerxth Width Height Sq. Ft. DECK AREA: Length Width Hgt/Gz=id Sq. Ft. ORiD�t• Corner Int [ ] Inside Int [.] Ft. Y SetLaa Side Yard Setbacks Type of Corstrvction% �� Estimated Cast: $ Approx. Completion Date:61/ � Proposed Driveway Width If New opening Is Desired: Ft. $ $ idth + 6' See Back Page DATE: q/ APPZS Permit Fee $- J Fire Surcharge $ A9 A% State Surcdharge $ cJ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOM STIFUTATIONS: MMM ny- •, i '! Fee sdm du a on Peverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation !f) $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determine d_by - Engineering Aqreenent Necessary [ ] Not Necessary L ] I SUBJECT P City of Fridley 27149 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 6—m I✓ 1 . � dp NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/12/98 10B ADDRESS 920 Pandora Dr I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 1 Brookview Terrace Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE BobCulver 571-3274 3 CONTRACTOR MAIL ADDRESS Quality 11380 W- River Rd rhnmplin 59316 ZIP 427-7733 PHONE LICENSE NO 7093 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 ❑ NEW ❑ ADDITION ❑ ALTERATION PK REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garaize 20 S 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 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 1668 .83 DOES NOT PR SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER STATE QTI LOCAL LAW REGULATING CON- STRUC 0 R T CONSTRUCTION. $54.00 Fire SC $1.66 PFORMANC q / PLAN CHECK FEE TOT EE /�%p' f.49 SIGNATURE CONTRA R AUTHOR12 D AGENT 1 TEI N P O V LID THIS IS OUR RM BLD INSP • � O FATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 01 I ConstructionAddress:FeLl-t_A � Legal Description: Owner Name & Address: 90b _ ta. ( ttyr'- Tel. # Contractor: Quality Contracting MN LICENSE# 34n17bs-3 Address: 11380 West River Road Tel. # 427-7733 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: Tear off and reroof // Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: l APPLICANT: Tel. # 42 7 ] % TOTAL $ `AO 7 STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ , .001 of Permit Valuation (1/10th%) State Surcharge $ U3 $.50/$1,000 Valuation SAC Charge $ $1000 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 $ `AO 7 STIPULATIONS: l.1 t Y vi rri c1ULc r uv:�-cl, i ioN LAV. 6431 University Ave NE Fridl6y, MN 55432 (763) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR L't1C(.Ur'C un Jan I, zuw 7 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 1 D . U2.) Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ JOB ADDRESS JCC M__e QS a%&4,-- v 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. CULVER, ROBERT 920 PANDORA DRIVE NORTHEAST FRIDLEY, MN 55432 Owner (763) 571-3274 Building Used As LS i jem CSL Estimated Cost 7� i PERMIT NO. ..206 PLUMBING COMPANY SIGNED BY TEL N0. 6 IZ a'Z7- Approved ByRough-In Date Final Date l d COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE 'APPLICATION WILL BE RETURNED When replacing an 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 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 gxkfinn _emh ietinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to inetall a new comBtiction air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting nystam, 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 #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 HEATING CO: 1 Signed By: Date CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 June 2, 2004 Mr. Robert Culver 920 Pandora Drive NE Fridley, MN 55432 Re: Final Inspection at 920 Pandora Drive NE, Fridley Contractor: Norblom Plumbing Dear Mr. Culver: A plumbing permit was issued on May 16, 2003 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing 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 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 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