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City of Fridley, Minn. BUILDING PERMIT No 4073 Date: ................ JL1LY.._14t.._1959......-._..._...._._.-. Owner: Address UIUM Builder .............ISEMM _ B Address........ . .......... .................. .............. ....................... _.. LOCATION OF BUILDING No............4.........._........ Street....._.P�h1DORg._DRTVE....................._..---.....-----......----------........ Part of Lot ........................................... ...... _ _.__. ... Lot ............... ��.................... Block ..... . .............4........................... Addition or Sub -Division ....BTOO]CAW Temaca, . �d _;Wdo Corner Lot ................................... Inside Lot ............... g.................... Setback 3.5 -tom .................... Sideyard............. IWO".._............... .................... Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING -DWA1]. $.................... Front ..A 42.20p.. _.Alltt.*.....rawa ge........ Front ..13..15-".. Type of Construction Depth._©--. Height -4© --- Depth �� 10-8-.. Height 1001 Est. Cost..:.....6130289 ....................... Sq. Ft.lS9Q4.._.. Cu. Ft. 1..1.1.9 Sq. Ft........... Cu. Ft....2p To be Completed In consideration of the issuance to me of a permit to construct Pe building described above, I agree to do the proposed work in accordance with the description above set fo h and cAmpliance with all provisions of ordinances of the city of Fridley.. . .......... �.-k� --- ------------------ ------ - ----- -----/ rL In consideration of the payment of a fee of $ 23.* ............ 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. 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. N? 10245 BUILDING PERMIT I0: M=U. "Tsq-091111 Owner: Donald Froom Builder Soma Address 940. Pandora Drive Address Same LOCATION OF BUILDING No. 940 Street Pandora Drive part of Lot Lot —__ Block Addition or Sub -Division Corner Lot _ Inside Lot — Setback ____ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING S+nrnge S Arm Front _.10! Depth 12l _ Height _ 10! Sq. Ft. i2Q_Cu. Ft. X200 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost _ $25—:_00 __ To be Completed July 1, 1969 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. r 2Z-22 2-Z Inconsideration of the payment of a fee of $x.00 , permit is hereby granted to RnrPr+a. Frnnm 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 ordinano oP Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and. moving of buildings within the dty limits and this permit may be revoked at any tune upon violation of any of the provisions of said ordinances. WANK-=CH—Auilding Official NOTICE: M permit does not cover the constwetion, hutali an for wiring, ph"Uhintb flan heating, sower or wafer. Bo sure to see the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA • 1A i l, /� ell' LOCATION OF BUILDING NO.f�& STREET LOT BLOC ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT_,�_SETBACKS IDS SEWER ELEVATION TOP OF FOOTING 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 Square feet Cubic Feet �O �.� Front Depth Height Square feet Cubic Feet Type of Construction Estimated Cos To Be Completed� The undersigned hereby mak&§ 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 deolapea that all the facts and representations stated in this application aretr-k,�e and correct. DATE F SIGNATURE (Schedule of Fe Costs can be found on the Reverse Side.) Land Planning 570hfVsissrpiSfAT Land surveying Aflmwofolls 21, Soils TeSh;7Y . - ENGINEERING, INC. hfi,=sola Civil &Afunlcipal Sllnml 40666 &�ineenn 'q —Engineers Surveyon5 ceov"I.Tica- te of smimeFoy L A "D E-`� L 01' t 1J, I herehy cerhry thal this is o Prue and carred repwe,710 fivn Ord survey elbe hwndar;es of Ae oboe c6cjihed land, and OPAV 1OC4bO17 C1'O11bU;1d11Y7.5 14=17 0, a-doll ri5lble encroacbmeds �,rany, Froinorw said land. As surveyed hq me ffi6-- *3( A.9 l9 SUB U128AN W61NEERIN6 , INC. 1n9;nccrs .,,e, 5.vrreqor.:,/ SUBJECT "MIT City of Fridley 15 8 8 5 AT THE TOP OF THE TWINS BUILDING PER IVB -d _ _ r RECEIPT NO. • _ _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY ----I CITY HALL FRIDLEY 55432 �'""� ,•� 612-571-3450 910-F15 8/15/80 JOB ADDRESS 40 Pandora Drive 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE - Donald Froom, 940 Pandora Drive, 571-3464 _T7/94 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 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 CK ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Deck 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. Frame 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 1,000.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT •50 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 CONSTRU TION. 7.50 PLAN CHECK FEE TOTAL FEE 8.00 SI RIZEDAGENT (D TE). R P LID ED THIS IS YOUR PERMIT fRE �CONTRA,40ROj{AUTH A�WEN BLDG INSP DATE STTNATURE OF OWNER( UILDERI (DATE( CITY OF FRIDLEY APPLICATI011 FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: � (� ADDRESS: G� TEL NO: STREET NO: LOT: STREET: BUILDER: f` ADDRESS: TEL NO: Construction Location BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION �L Front: Squane. Feet: Depth: Cubic Feet: Height: Front:Depth: Height: Square. Feet: &-00—. Cubic Feet: Type of Construction: Estimated Cost: $ 10100-00 Ta Be Completed: 3 rhaNTIA-S Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: '�"� $ $ SEE REVERSE SIDE OF SHEET'. 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 allhe facts and representations stated in this application dire true and correct. l � G DATE: -Ia ' 8 u SIGNATURE: Stipulations: a M 1 . S6 g.o u SUBJECT PERM City of Fridley 1 g g g AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. SEC. f r PROTECTIVE INSPECTION 43 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 4/22/87 JOB ADDRESS 940 Pandora Drive N.E. I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Brookview Terrace Second SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Frown 940 Pandora Drive N.R. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP z,g =: PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 13A ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 241 x 71 Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS gide yard variance from 51' to 31 approved by Council on November 17, 198 There be no openings in the west wall and it must be a one hour fire rated walls 1SEPAPA, HEA r, v �R A TOW. iCA TREPk ,6CA REQUIRED0� 1A . SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR - AIR CONDITIONING. THIS PERMIT BECOMES MULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING S6 FT. ' CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 5� ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION* 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 $2y 412 $1,21 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- $38,50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTALFEE _ $39,71 SI RE OF CONTRACT.0f;gnUTHORIZEDAGENT IDATEI " \4 WHEN PROPERLY V DATED THIS ISYOURPERMIT *VW nT RE OF NER I IDA EI BL G INSP DATE. NEW [ ] City of Fridley Effective 4/1/86 ADDN. I,, �_) R-1 AND R-2 ALTER. & J Building Permit Application Construction Address: ?�LO TAAVgill Legal Description: *7 `/ Owner Name & Address: � � -i,eD D 1l'% Tel . # -57/-73 �C64 Contractors—-� 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/Ground Sq. Ft. OTHER: (0`3 X01 �(.` �q j;L. LF -1 Corner Lot [ ] Inside Lot [-T Ft. Yd. Setback Side Yard Setback Type of Construction: 63 ® O'D Vz (L Prkp, C- Estimated Cost: $ 0 L41Q A Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: DATE: '1 da- 9 ) APPLICANT: CITY USE ONLY Permit Fee $� Plan Check $ `- State Surcharge $ >� I SAC Charge $ Park Fee $ Sewer Main Charge $ TOTAL $ . STIPULATIONS• ()Aft-t4dcrec (O&AAJ7" Alt. A Alt B $ $ See Back Page for Explanation Tel. # 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 [ ] r T)C)�j 100 Lond Plonniny .370Afississ y)Pi9 NE. J B &hl Surveyiry j�'� Afiruarutvlis 21, 161's Testrny :' E N G I N E E .I G,� INC. �'linnesofa aw/ & Alunicipal sake le c= &yin2eri7y --- Enyineers Surveyors pay-' 'tai �`..�a •f;- t� '14 'a i s' 1 hel'e3tJ C2rf;�'ey fnof 615 is o frac and ccv rccf re pmesenfofivn iPa irvety grthe boundaries 01'fbc a6are c o%f�d !cad, aad oP# !ccolml.�; n cl'a1/ bu y5 , Marco, e•^doll ns�R- ercrev�tvr, enfs , t`a ;,1, cm or est sajd bad. As svr veyd 6y me ff rs _ day r SUB URSAAI ENGINEERZA16 , INC. i En i rersts' Surre-yor_; , CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate TOTAL $'30.00 $ ? $10.00 $ $10.00 $ $10.00 $ . $ 25.00 $ State Surcharge TOTAL FEE Jy: Effective On January 1, 1997 JOB ADDRESS gL4D Pa_k-1 d DKK 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. —10,-42 ,1997 BUILDING USED AS dw-e-vi-ki ESTIMATED COST. 0 0-0 PERMIT r ,, $ No.. of Heating Units C Circle One (Steam) (HofWater) arm Al Trae arae r�rgC�. �Size No. 4 , . & BTU HP EDA $ Fuel • .Total connected Load $ .50 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION 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 Size No. BTU HP EDR . HEATING P m ' �, e Signed Sy 5 )_02DO Approved By Rough -In Date FILL OUT BACK SIDE r4 STACK VERIFICATION ON REPLACEMENT FURNACE Final Date®`Z% CH] VIlYEY 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 O' No ( ) 3. Has no foreign objects lodged within Yes N No ( ) 4. Is securely supported Yes () No (. ) 5. Meets all current Code requirements for size and total BTU's connected Yes No ( ) 6 Has total heating BTU's of to Chi ot)� U All other BTU's TOTAL BTU's 0 , 7. Has a liner been provided. for water heater Yes () No 8. Has combustion air been provided for water heater Yes .(0 No ( ) Remarks: . List ALTERATIONS Being Done: BLAME WQ. AIC ELECT.,INC. 35WWM AVE. N.E. HEATING CO: 55304 Signed By: " Date: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate $10.00 $ $ 10.00 $ $10.00 $ . Effective On January 1, 1990 JOB ADDRESS q L4 U P uJo �a dur • The undersigned hereby makes application for a permit for the work herein TOTAL 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. U'Z3 ,199 *Air Conitionin All Sizes $ 25.00 $,UO g�avwt GGOM40a1 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/I ndustrial 1.25%a of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $_ MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATION 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. OWNER• BUILDING USED AS ESTIMATED COST 00 0 O - PERMIT N0.�� DESCRIPTION OF FURNACE AND OR BURNER - No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR . MANE{IMA ay J ■AVE HEATINQ QoMPAA A :ANOKA.MN SM Signed Tel No. Approved By Rough—In Date Final Date �� r FILL OUT BACK SIDE FOSTACK VERIFICATION ON REPLACEMENT FURNAC 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 ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided. for water heater S. Has combustion air been provided for water heater Remarks: . List ALTERATIONS Being Done: Yes ( ) No ( ) Yes O No O Yes No A HEATING CO: 4 - Signed Signed By: Date: ,' SUBJECT PE City of Fridley 2 6 6 4 0 AT THE TOP OF THE TWINS BUILDING PERMIT/(RECEIPT r T , COMMUNITY DEVELOPMENT DIV. j w -------- PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 612-571-3450 910-F15 17/16/98 JOB ADDRESS 940 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Froom 571-3464 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Quality Contracting 11412 W.River Rd. Cham lin MN 55316427-7733 NO 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 g7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 22 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 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 $1834 $.92 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 Y OTHER STATE OR LOCAL LAW REGULATING CON- $59.50 Fire SC $1.83 STRU TI R T FORMANCEFRUCTION. LAN CHECK FEE FEE TO77.25 LA�License S $5.0 $ SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI OP VALIDA THIS IS OUR RM BLD INSP MATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN [ l ALTER [ ] ConstructionAddress: Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 0 BUILDING PERMIT APPLICATION , Legal Description: Owner Name & ddress: Contractor: Address: I/Cl?. dam. V,00 VCW-e4 Tel. # 57-7 t — MN LICENSE # 70'33 Tel. # '(P 7 - 7 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Grounndd OTHER: Construction Type: Sq. Ft. Sq. Ft. Sq. F�. Sq I � Estimated Cost: $ l C' (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft — Ft x $ = $ DATE: A, APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: r 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 [ ] SUBJECT- PE City of Fridley 29200 AT THE TOP OF THE TWINS BUILDING PERMIT `V __�___ COMMUNITY DEVELOPMENT DIV. r "I PROTECTIVE INSPECTION SEC. 977 1 ; � NUMBER REV DATE PAGE OF APPROVED BY E , .."'1 CITY HALL FRIDLEY 5542 ....... j 612-571-3450 910415 4/14/99 JOB ADDRESS 940 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 4 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS, ZIP PHONE Donald Froom 940 Pandora 571-3464 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 ❑ ADDITION JJ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Install bay window 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1994 Uniform Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $34.75 Fire SC $1.00 PLAN CHECK FEE TOTALFEE $36.25 TUREOFCON'RA RO AUTHDRiZEoAGENr iDATEtWHEN PROPER VALIDATED THIS IS YOUR PERMIT AN �.NIRIUILDI-, URE W iDATE) BL iNSP DATE' NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: 64 Owner Name & Address: �� /� f c� �� s °z Tel. # S�/— 3� Contractor: MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Tel. # 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. Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $, DATE: APPLICANT: ,l DGS </qtr Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 4% A,' Fee Schedule on Reverse Side $_L'6 I ,e.001 of Permit Valuation (1/10th%) $ , 0 $.50/$1,000 Valuation $ $1050 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 [ ] $ 3�,X Na SUBJECT City of Fridley 3 F962 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. R E�� O. p PROTECTIVE INSPECTION SEC. r r 1 NUMBER REV DATE PAGE OF APPROVED B9 CITY HALL FRIDIEV 55132 763-571-3450 910-F15 8/6/02 JOB ADDRESS 940 Pandora Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 1 Brookview Terrace 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jenny Kleinz 940 Pandora Drive NE 763-572-0304 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rite Way Waterproofing 448 Lilac St Lino Lakes MN 55014 651-786-0550 / 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 O NEW ❑ ADDITION O ALTERATION REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Install interior basement drain tiles stem 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. In Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 ORWORK 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 @ $1 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,225 .61 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- Fire SC $3.23 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $97.25 PLAN CHECK FEE OTAL FEE City a se UO2.09 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT +DATE+ PEi�MIT N P OPER (DATED I:�r_ _ $-G NA TU RE 0F Ow NERF OWN ER 8U IL DE R. 'DATE, 6/-47� BLD (NSF' nAIE Na NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN (J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 61 Lj Legal Description: Seu 'Deg -,L,. AL, S� s kiziu Owner Name & Address: Tel. # :It m3 - S 7a - Contractor. Rite—Way Waterp ofinQ MN LICENSE# Address: 448 Lilac Street, Lino Lakes MN 55014 Tel.# 651-786-0550 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: Intari nr BaspmPnt Drain 'Pi I P SIEstPm Construction Type: Estimated Cost: $ 3 0 )-S. Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: -7- ®a�- APPLICANT• Tel.# &5 '0 S520 Call (763) 572-3604 for Permit Fees If mailing in ap cation or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ Fee Schedule on Reverse Side $ p 3.x3.001 of Permit Valuation (1/10th%) $ Lo ( $.50/$1,000 Valuation $ $1200 per SAC Unit $ LA $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 [ ] TOTAL $ (do? • 0q STIPULATIONS: From: 7637121835 Page: 2/2 Date: 10/301200811:52:55 AM Building $ 0�'7 0� BUILDING Plan Review Permit No. Inspections Fire Surcharge RESIDENTLAL APPLICATION .001 times the total job valuation Received By: 763-572-3604CITY .0005 x Permit Valuation Minimum $.50 License Surcharge $ 'QCT 2009 SAC Charge $ OF �'RIDLEY Curb Cut Escrow $ DATE Q YOUR E-MAIL ADDRESS MI'rhee X(e (v oob n q -j Pm. ne i - SITE ADDRESS 9a0 Pctnrit)r(. ytLertCw Dr W C Fri dify M N Park Fee THIS APPLICANT IS: d OWNER CONTRACTOR Sewer Main Charge PROPERTY OWNER! NAME.{� 1 iP r -- Total Due _ TENANT ADDRESS: 99.0 PO n C1 of A i� r N w. CITY Fr i cl l� y STATE 'S -A 3 2— PHONE: w3-3'YS -9 tg3 _ CONTRACTOR NAME: Face I R'304i,n SUBMIT A COPY OF YOUR STATE LICENSE _ STATE LICENSE # gQ f t0 ' I a $ EXP DATE 3)3l /09 T A ADDRESS: O 1 i r f �lL}T i� # j () CITY Q K 1 STATEi_ZA� WITH APPLICATION PHONE l0 "7 S FAX I `5 PROPERTY TYPE SINGLE FA=/NEEP CONSTRUCTION SIZE /NEW CONSTRUCTION STORMS PERMIT TYPE 0 ADDITION 0 GARAGFISHED 0 WINDOWS O BASEMENT FINISH 'ROOF O DRAIN TILE 0 DECK O SIDING D OTHER 0 SWI WM(NG POOL TYPE OF WORK: ❑)WW 0 ADDITION MAIIVTEXANCRUPAIR O REMODELING DESCRIBE WORK BEING DONE: _re- le pQ - - h O U S e -A S%,) e cA SIZE OF IMPROVEly= LENGTH WIDTH HEIGHT sq. Ft. ROOFING_ E3HOUSE ONLY NUMBER OF SQUARES,�/'_ © HOUSE & GARAGE BASEMENT REMODELING SUBMIT• 9AEAG' S PROPOSED SIZE: 0 ATTACHED GARAGE 0 DETACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED HEIGHT: 3. List of stntctund members to be used ra FOR NEW CONSTRUCTION INCLUDING DECKS. OV nl' Clsoffit A, DDITIQN3 A PORCH N SUBMIT: 0 Aluminum D Tdm 1. Site Plan/Survey shaving the existing structures O Other 0 p¢sda and proposed project wII� ows 2. Two sets of construction plans IN EXISTING OPENINGS C]Yes ONo LOCATION OF WINDOWS 3_ Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS A juju FEES Axz BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS. (USING THE 1997 U. E SCHEDULE) TOTAL J08 VALUATION $—_ S0 � � -- OCCUPANCY TYPE Permit Fee $ 0�'7 0� See Back Page for Fee Schedule T� — Plan Review $ 65% of Building Permit Fee Fire Surcharge $ a .001 times the total job valuation Surcharge $ � .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ R + 6 ft - ftx $21 =$ Erosion Control $ $450 Conservation Plan. Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $Agreement _ necessary ( ) Non Necessary ( ) Total Due _ , $ 1 Make checks navable to: City of Fridlev Attach Stipulations 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 Mirmesota 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 wor whit quirgs re iepw and roval of plans. SIGNATURE OF APPLICANT ��! { � PRINT NAMELz n _DATE ! 013 0 I O Q