PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
!d - 9 -
N° 4288
Owner- - .... -...................
-............. _...................... ........................ -......... ..................... Builder
.........-4 ......
..
Address....._............._.._.._.._............._.._.----...
__._.____._.... ._............. Address
LOCATION F BUILDING
No.......Street ... ....... Part of Lot ...................................._.
- - --------
Lot ...........__. ........... Block.....-----. !............................ Addition or Sub-Division,as. _
Corner Lot ........................._......... Inside Lot ..._X ....... ................. Setback ............ Sideyard .......
Sewer Elevation ..... ............................................. ............._............................_........ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as-
.............. Front Front !Y— Depth �........ Height 447'.0- Sq. Ft. Ft.
Front".... Depth .'_!C7HeightSq. Ft../...... Cu. Fi.%...�
Type of Constru ion .
........................................................ Est. Cost...,/3,,77?.7= 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. I
In consideration of the payment of a fee of $..K. --;F ......---, 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
1
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA -�
Owners Name Builder
Address Address
LOCATION. OF BUILDING ?
go -Street " Po�_<� Part of Lot
t Bloats Addition or Sub.Div.kA
Corner Lot Inside Lot_ Set Back Side -Yard ( S
SEWER ELEVATION FOUNDATION ELEVATIOIL
gppllcia,nt,attach to -this -to rm Certificate of -Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as: f
Front Deptk Height/P
Sq. Ft. Cu: Ft.
Front /tea Depth oZ Height .
Sq.YCu. Ft:
Type of-ConstructionEstimated Cost ,I��..�.
To be. completed Odd' __-_3 ��g
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 representa-
tions ;stated in this application are true and.correct.
DATE �rr� �i /�.�� � SIGNATURE
(A.- S.chedule of Fee costs can be found .on the Reve a Side. )
x
r
City of Fridley, Minn.
6431 University Ave. N.E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date; .Ttinr- 23,E 1971
Owner: Geo. Wells Builder Quality Construction Services
Address . _ 0 Pandora_ ive_N.R- Address - 2001 East 24th Street_, Xple.
LOCATION OF BUILDING
No. _. _.9-10 —street Pandora Drivel K _ E _ part of Lot
Lot ._...4 ._ Block 4 Addition or Sub -Division Bool4yiew Terrace 2nd Addn.
Corner Lot ___ _ _____ Inside Lot
Sewer Elevation
Setback
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Re -Side Front __ Depth Height Sq. Ft. Cu. FL
_— Front Depth Height Sq. Ft. Cm Ft.
Type of Construction _ Aluminum Est. Cost _.$1.300.00 To be Completed June 30, 1971
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;orth and in com fiance with_�Il provisions of
ordinances of the city of Fridley. /f ���'
In consideration of the payment of a fee of $ 9.00 , permit is hereby granted to Quality Const.
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 buildizip
vyithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
13ding Inspector
CLARENCE BELISLE
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to no
the Building inspector for separate permits for these items.
i
• APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME :_,4n _ ��� BUILDER:
ADDRES S • Y73 0 ADDRESS:
NO • . V-3 K-� STREET:
LOT: BLOCK: ADDITION : ' . A_
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet.-
Type
eet:Type of Construction: Estimated Cost:_$ / 3 ®0
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing todo all work in sttict 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 : f SIGNATURE : 4_XX 2- Z-,-�
X.
(See Reverse Side For Additional Information.)
F
SUBJECT
ERMIT
City of Fridley
1894
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
R
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 ` �
CITY HALL FRIDLEY 55432
�'j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/12/87
JOB ADDRESS 930 Pandora Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
4
Brookview Terrace Plat 2 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Richard Kalov 930 Pandora Drive N.E.
572-1562
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
❑ NEW Q ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct an 81611 x 81 Addition to Garage 0367 sq. ft.) and Reside House
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway,
a
ee WARNING
TELA cap local utilities
�cTRlc-c4� 08,
z
R�(�t�E
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
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
$2.64
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
'$57270
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-
$56.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE
TOTAL FEE
I /"'� /__-' (��'
$59.14
BRAC O OR T ORIZEDAGENT IDATEI
WHEN PROPERLY V I ATED THI IS YOUR PE MIT
jSIG/NA[EOF
ll 7
s /9 i]®
S NA RE Rtl O ER BUILDER) )DAT 1
BLDG INS.
BATE10,
F
NEW [ ]
City of Fridley Effective 4/1/86
ADDN. [ ] R-1 ANDR-2
ALTER. [ ] ' Building Permit Application
Construction Address:
AA
Legal Description: Llo T ®.� ✓ i c/A /L CE' �G. ,o T Z
Owner Name & Address: f G/b��0 �-� r� a ,.a fCe3d �o ✓ D� +� A 'Tel. S'� _ /s6
Contractor: Tel' # ---
Address:
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,Groun .* Sq. Ft. __
JW
& S /v e- N 100� - e- Al e C -)> A
A -
111.01
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback
��/
Side Yard Setback
Type of Construction: �@ a� �--
Estimated Cost: $� o
Approx. Completion Date: '?&
-3 Car) � 14.3G
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired:
$ $
See Back
Page for Explanation
DATE: /� APPLICANT:
Tel.
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS• -
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 [ ]
Lund Plarminy 3lOMis�issippiStNE
Lard
5615 sf EN G I NEE R I NG, I,,, C., �lm�asafo
;�y
-- Enineers E Sur veyors ---- r
LAKtLAND NILDERZi
certificate. off' sur!ey.
a
Vj
41 o
-� 93 J ,
64
* •�; Gni. � ��ti ,_ `.. .�
le-
�� —TER CE V` ADDITIO14
/l3roneby tm•qy go/ 8iis h o Ina acrd mrred MPTSMIali -f ra sa y �f'ft � r1 &.Air �►brd &W, ad
efj%lxo%n9r&V MYid s,f/ non,addlrr'sWe fiar07Aid fond. Its sra"30drynx flris dwj
�' �---- AD" 3UBYR8AN 46MINEERM3. /NG. '
SUBJECT
City of Fridley
7
E�O
AT THE TOP OF THE TWINS
BUILDING
PERMIT.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
806
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
4/12/99
JOB ADDRESS
930 Pandora Drive NE
1 LEGAL
LOT NO.
9LOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1 4
4
1 Brookview Terrace Plat 2
SHEET
2 PROPERTY OWNER MAIL ADORE"
ZIP PHONE
Dick Kalow 5208 Oxford, Shoreview, MN
651-484-5358
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Quality Contracting 11380 West River Rd Champlin, MN 55316 427-7733 7035
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (23 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.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
$1,971
$.98
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$62.25
Fire SC $1.97
TRUCTION O T P FORMANCE OF ONSTRUCTION
PLAN CHECK FEETOTA
EE
Lt2-
Licen C
$5.
$70.20
L t VSIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
HEN R
BL9CNSR
VALI A rirHIS IS Y P MIT
r
MATE
S,GNATURE OF OWNER. -F OWNER SUILOX iOATEi -
NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION QI��
(� Vol
ConstructionAddress: / o ® V
Legal Description:
Owner Name
Contract
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Q'te,(c K (ow 5"2oSr Tel. #
MN LICENSE # 70 35'
C,) e- ST �� � -e,� � Tel. # &(2-7-773,3
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF 51PROVEMENT
Length Width Height
Length Width Height
Length Width,, Hgt/Ground
Sq. Ft.
Sq. Ft.
. Ft.
Construction Type:- �C< V, d 0 Estimated Cost: $ I:Z s
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: f Z APPLICANT: � c � Y e w,-, t C { Tel. # eiZ 1- ,
��- C..) e ('t -o
CITY USE ONLY
STIPULATIONS:
Permit Fee
$��,2c2r
Fee Schedule on Reverse Side
Fire Surcharge
$--%
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ .S CJD
$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
$ Q • �G
STIPULATIONS:
3uilding
inspections
763-572-3604
)ATE
TTE ADDRESS d
'HIS APPLICANT W.
PROPERTY 5'—%
TENANT
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TXPE
OF
CITY OF FR I DLEY ` L�
]3'iU' DRiG PermitNo.'
REST DENTYAL APPLICATION Received. By:
CITY OF FRIDLEY Date r��yd: ��� �1
_ ,YOUR E-MAIL ADDRESS
— D OWNER xCOn' cTOR
NAME: y\ (e`^" 5 --
xvmss: 9 3 0avtc�r 17 CITE'
PHONE:
NAME::�f#TN /P�' i,(/��D G'�a�s I R�
STATE, LICENSE W DATE:
ADDRESS: 240
PHONB FAX
❑ SINGLE Y/t-mw CONSTRUCTION SIZ
* TWO FAMILYA%7EW CONSTRUC'T'ION �
O ADUITION
❑ BASEMENT FINISH F
* DECK 0 SIDING
❑ SWJMD01ING POOL
DESCRIBE WORK BEING
SIZE
5QUARM <S
GARAGES
PROPOSED SIZIs _�
PROPOSEDHEIGHT:
,.MING
E3 Vinyl
0 Aluminum
Q Other
W M)R'S
W F�sme OPENINGS ❑Yes ONO
OR FOR NEW OF24NOS-DESOME SIZE OF
OPENING CHANGES &
ALL FEES ARE RASED
V
Platt Review
Surcharge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Cbarge
D HOUSIr ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
O DI~TACHED GARAGE
asoma
❑ Trim
D Fascia
LOCATION OF wII-WOWS
$
a-,
LLIDwr. THE COST OF
U.B.0 FEE samDULE)
1AU V ✓ fV%r VArv(-
6—T
a
0
MIT:
1. I"s> tit Floor Phm
2 Proposed floor phW
3. List of sunt Ird members to be ted
FOR NEW CONS' RUCTION INCLUDING DECKS,
AIDDMON& &
1. Sire Pl"Ginvey showing the adstinal se„chm
and proposed proled.
Z. Two sots of construction plmts
3. Energy Calculations
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation — Minimum $.50
.001, x Permit Valuation QI10%)
$5.00 (State Licensed Residential Contractors)
$1450 per SAC Unit (Pians to M'WCC for determination)
_ft+68=_fltx$20=$
$450 ConswvAon Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks oavable to: Citi of Fridley Attar
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 s review and approval of plans_
$1GNATURE OF APPLICANT
�_DATE / Lo