PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 4 0 6 4
Date:
Owner: ................................ _.... _...................... ................................... ..................... Builder ` .... �...
Address
Address
LOCATION OF BUILDING
No.._........ Street ... �'-f� Part of Lot ..... . ............. _............ ._........ ...............................
__
Lot ........... .../............ Block .............. 03.............................. Addition or Sub -Division _....._..._—.7i
Corner Lot .................................... Inside Lot ...................................... Setback +Sideyard .....1®.._....' ...... ................ .... ......
Sewer Elevation ..... .............. _............._............._............._............._....................... Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
..�.. Front!.... Depth..® -"Height /,..�.... Sq. Ft. /_ ®®� Cu. Ft.�----. ���
Front ...-lea.. Depth.Z........"y ®.. Height ..._...._.-..._ .... Sq. Ft.....,Z r �% Cu. Ft...Z;�,...y9, 6
�T�ypeof nstruction.......................................................... Est. Cos "i..% .. A.... ®-A To be Completed ..... -............. .................................
In consideration of the issuance to me of a permit to construc the building described above, I agree to do
the proposed work in accordance with the description above set f and in c ance with all provisions of
ordinances of the city of Fridley. `'
....._..---- ----tri-....... ......_... 4.....Li :%,,:`
In consideration of the payment of a fee of $....ZJ,:...Q 6, 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. — i
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
i
CITY OF FRIDLEY INSPECTION DIV, Effective On January 1, 1993
6431 University Ave NE -//,/
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential Rate
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace $ 20.00
Gas Piping (Needed with new furnace) $ 10.00
Gas Range $ 10,00
Gas Dryer $ 10.00
*Air Conditioning - Ali Sizes $10,00
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
Commercial/industrial
1% of Value of Appliance or Work
State Surcharge
TOTAL FEE
TOTAL
$
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATIONIAIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00 6"
1
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
JOB ADDRESS ��/ ��®4 °- /��
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-- - 2- ,1993
OWNER ` " i
BUILDING USED AS Z' z-
ESTIMATED COST !!�- G) ® C) PERMIT NO. z
No, of Heating Units % Circle One (Steam) (Hot Water) ami Air)
Trade Name Size No, Cc,
BTU 0=0 C; c' HP EDR
Fuel_ i(' 7 Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANY I'
Signed Bya�'l No,
1 �
Approved By-6kr- Rough -In Date Final Date K149
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
A
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes
(�
No
( )
2.
Is free from rust or deterioration
Yes
(
No
( )
3.
Has no foreign objects lodged within
Yes
No
( )
4.
Is securely supported
Yes
�>4
No
( }
S.
Meets all current Code requirements for
i
size and total BTU's connected
Yes
No
( }
6.
Has total heating BTU's of 0 P&I
All other BTU's �7
TOTAL BTU's /� y✓
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date /"
AppOcafta ftv PW rwmm Gr Q n®a
Air Cmd-l-Nallrq ad Doug=
PARTIAL RATE SCHEDULE tet. Of >Sl492. Phone
/D n
GRAVITY WARM AIA: MATS 'TOTAL L z 3 / 6 � LY he
P%w=ce Shell & Duct Worts
. $10.00 $
Replacement of Furnace
6.00 $
Repairs & Alterations -up to $500.00
600 $
Repairs & Alterations each add. $500.00
300 $
Furnace Shell & Duct Work to 120,000 BTU
..$10.00 $
each add. 60,000 BTU . .. ......
3.00 8
Replacement of Furnace
6.00 $ � U►%
Repairs & Alterations --up to $500.00
6.00 $
Repairs & Alterations each add. $500.00
3.00 $
STEAM or HOT WATER BYSTEX
Furnace Shell & Lines -to 400 sq. ft. FZR Stearn $10.00 $
Furnace Shell & Line to 640 sq. ft. EDR Hot Water 10.00 $.
Each add 200 sq. ft. EDR Steam xon $
Each add. 320 sq. ft. EDR Hot Water 3.00 $
OIL BURNER -to 3 gaL per hour 6,00 $.
over 3 gal. per hour -See Tree Schedule
GAS BURNER (up to M,= BTU) A7,
ov$r 199,000 VM See Fee Schedule
GAS FITTING FEES: NO RA'Z'E TOTAL
1st 3 Fixtures x$ 200 $_.__
Additional Fixtures x .75
Gas Range W IM,00 x$ 5-W $
y State Surcharge .50
YR
ACOMMOMEG - n`Z'C.c1'�, �- �o 1` /1 $
FAR HZATMG zT3T= Fee schodalle
TING STUTEN
ALTZRATION3 & IMPAIRS TOTAL FM $
•2,t :
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 Ordinaneer
and ruling of the Department of Buildings, and hereby declares that all the facia
and representatiuns stated in this application are trueandcorrect.
Fridley, AQian- ! C/ .15�
Owner . 1„"�J0�
Kind of Building .4 dand.4
Used as
To be completed about.-
Estimated
bout. Estimated Cost, $ it ld
ld New. Building Permit No. _ - _ Permit No.
FMA77NG or POWER Nana, Hot Water, Warm Air -No
Trade Name Size 2do_ ",5 lD
Capacity—__. _ Sq, Ft. E.D.R_ %OS BTU gp
Total Connected Load Kind of 1i�ze
SURFER - imide Name Size PIo
Capacity.
L..Wve1vAb. FRIM -M
19M►maa-0vaai
SUBJECT
NO.
City of Fridley
2 7 01
AT THE TOP OF THE TWINS
I (I I DIN %� P E D
BUILDING
A A I
r
`
DV L 'vv "'v,
PT NO.
L'______ COMMUNITY DEVELOPMENT DIV.
S
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED Br
I CITY HALL FRIDLEY 55432
1'j 612-571-3450
910-F15
8/6/98
10B ADDRESS 931 Pandora Dr
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
21
3
1 Brookview Terrace - 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Ron Slater
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Quality Contracting 11380 W. River Rd Chamlin 95316 427-7733
7053
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 REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 19 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
1584
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISION F HER STATE OR LOCAL LAW REGULATING CON-
ANY
STRUCTI OR ORM C F CONSTRUCTI
$51.25
Fire S
PLAN CHECK FEE
TOTAL FEE
License C
SIGNATU EO CONTRAC70RORAUTHORIZEDAGENT (DATEI
WHEN PERLY (DATE THIS IS YO PERM)
BLDG --NSP
7_ h
PATE
S,GNATURE OF OWNER)IF OWNER BUILDER) IDATEI
NEW
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 93t CR, '1�16 V 11;r_
Legal Description:
Owner Name & Address:
Contractor: Quality Contracting
Address: 11380 West River Road
3A &----e
Tel. #
Effective 1/1/98
MN LICENSE # 7035
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 UVIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE -AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: 9 ! �' 9 F- _� S
Construction Type: Tear off and reroof Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 t = Ft x $ _ $
i
DATE: APPLICANT: Te1. # �42," 7 ?j i
STIPULATIONS:
r
CITY USE ONLY
Permit Fee
$
.��. �S�
Fee Schedule on Reverse Side
Fire Surcharge
$
%, S?6
.001 of Permit Valuation (1/10th%)
State Surcharge
$ Q 2�
$.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
$
C.
L
STIPULATIONS:
r
Building
PLUMBING
Permit No.•ff)—maq
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Da'd: 7 '?ni
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: I] OWNER KONTRAcTOR Ronald Slater
PROPERTY NAME: 931 Pandora Drive
OWNER/ ADDRESS:Fridle ,MN55432 aTE ZIP
TENANT Y
PHONE:
mm
CONTRACTOR NAME: '1610�'04 1100f
SUBMIT A COPY OF STATE LICENSE # Q EXP DATE
YOUR STATE ADDRESS CITY 9' w_ v STATEALIP SS�/O�
LICENSE WITH PHONE 7 033 FAX2
APPLICATION a
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY 13 TOwNI-IOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK
PER MS 16B.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 =
=•FORXROJECTS WHERE LABOR EXCEEDS•-S-500,7FEES ARE BASED ON $10.00 PER FIXTURE, -EXCEPT RENOTED :FIXT.UII;ES,, (M. ICATE TOTAL
NUMBER OF EACH BELOW)
BATH SINK%LAV _FLOOR DRAINS _ SHOWER WATER PIPING
_
—BATHTUB _ GAS PIPING (mEm criyucrost) _ SWIMMING POOL WATER SOFTNER ($35)
_ CLOTHES WASHER _ KITCHEN SINK_ WATER CLOSET _! BACKFLOW PREV. ($15)
_DISHWASHER -LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION
_ WATER METER —OTHER
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 = $ 35.0®
TOTAL DUE $
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 applic ' n 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 1 o w '/jruires review and approval of plans.
/ G� /
I
SIGNATURE OF APPLICANT PRINT NAME Jam'(' /l/O/�/ON�1 DATE V l
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977