PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date:. --------J=._14..1959 ..._._._... _ - - -- ........
Owner:
Address
N° 4066
Builder
K --L—' (t�iIl : 1WEW-
Address
LOCATION OF BUILDING
No........951..----------------. Street ..... _.......PW- 01U- RT9E_......................... -.............. Part of Lot ....._......................_....-....---........ - - --
Lot.........19..................... Block .............. ...... 3............................. Addition or Sub-Division...........Brookview Terrace. 2nd _Adds,
._
Corner Lot ..... . ............................. Inside Lot .......... Z.----------------------- Setback ........... 3.5!Qn........... Sideyard 10V
Sewer Elevation ................................... _............. _..................................................... Foundation Elevation .................... .............. _............. -....... -.... - ......
--
DESCRIPTION OF BUILDING
To be Used as:
.......... > .J- g_ .............. Front-....za..Vn
Depth 24.10."._..
Height 191V,
Sq. Ft. .1.V00.0. Cu. Ft. 19.'15.2
.A.tt..G�arage:........ Front .....1315p
Depth 22.10.".....
Height ...10_=0-1.
Sq. Ft. ..... _.2W. Cu. Ft.....iZt Q1
Type of Construction -- ...............................
........-. Est. Cost...........413.,289-..._.............
To be Completed ................... .............. - ....... -........
In consideration of the issuance to me of a permit to constru the building
described above, I agree to do
the proposed work in accordance with the description above set rth and in ofpliance with—AIL—provisions of
ordinances of the city of Fridley. /
In consideration of the payment of a fee of $ 23.000 ............. 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 o e 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
.'S
4
SUBJECT
City of Fridley
ENO.
AT THE TOP OF THE TWINS
BUILDING PERMIT
' •
_COMMUNITY DEVELOPMENT DIV.xQV-----,
- PROTECTIVE INSPECTION SEC.1CITY
g41V
HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED Bi
j612-571-3450
910415
1/26/98JOB
ADDRESS 951 Pandora Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DEscR.193
Brookview Terrace 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Molly Yamaguchi 951 Pandora Drive NE
571-3404
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Standard Water Control 5337 Lakeland Ave N, Crystal, MN 55429 537-4849 1522
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 IX ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install draintile s stem
9 CHANGE OF USE FROM TO
STIPULATIONSElectrical
extension cords can not be used as part of the power
source to the pump. System can not discharge into the City
Sanitary 2 Sewer.
SEPARATE PERMITS ARE REQUIRED 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
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
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS
GARAGESAND
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
$2,675
$1.34
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$74.75
Fire SC $2.68
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$83.77
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY IDAT
8 INSP
D THIS IS YOUR PERMIT
/��SIGNATURE
QATE
OF OWNER ��F OWNER BUILDERS IDATEI
.'S
4
JAN -26-98 MON 01:35 PM STANDARD WATER CONTROL 61253371882 P-01
pom-W Fax Note 7672 ll L N&0'?P4ae ToIW&osieF.
roll r l� %rl �Crmi Cs QQP L -6.e-6.eComm ""7 7
Fair raieWmnea Fex# Tom° "5-
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Cwnmeme []OWGY []Ra6,m []Ca0 w pakug \
O�DoBd�on:
'Q baa e. God wee t y 0 u /lkU He
�Za I n4
JAN -21-1998 11:17 FROM CITY OF FRIDLEY TO 5371992 P.01i02
14=VV t J btrective 1/J/yh
ADDN [ ] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 2,51 --,P are �� vQ ALE
Legal Description:
Owner Name & Address: Va Ina aUr Tel. -5,7A-5 6/`0
Contractor: �S nd and /.cla&r o f MN LICENSE# D%D
Address: % lakelCind 9 Tel. #
LIVING AREA.-
GARAGE
REA:GARAGE AREA:
DECD AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION -OF ii WROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Pt.
Length width Hgt/Ground Sq. Ft. _
�-t� 1 _ Estimated Cost: $ ��o % .
Construction Type:-1�
, 'f'0.ti n�i IP � la_57�nm. �.
'i (Fee Schedu2a-on Back)
Driveway Curb Cut Width Needed:
DATE:�,�/ i 0 APPLICANT:
Permit Pee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Pee
Sewer Main Charge
TOTAL
STIPULATIONS:
Ft. + 6 Ft = F $ _ $
Tel. # �j� �% Z 9-
CITY US _ QNIi.Y
$ / , .S� Fee Schedule on Reverse Side
$
.001 of Permit Valuation (1/10th%)
$ 1,31
$.30/$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 [ ]
AS 7 LWT
X090 .��3a
�x x/98
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
P _
27150
Ir
`
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . �
CITY HALL FRIDLEY 55432
�j 612-571-3460
O.
NUMBER
910415
REV
DATE
8/12/98
PAGE OF
APPROVED BY
JOB ADDRESS
951 Pandora Dr
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
19
3
1 Brookview Terrace 2nd Addn.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Molly Yamaguchi
5 1-3404
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
tYcontracting 11380 W- River Rd Champlin 95316 427-7733
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 XR REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
OTear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
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
AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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 1 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 ffi&ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIO OF AN R STATE O LOCAL LAW REGULATING CON-
04ON-
PE MANCE CONSTRUCTION.
0
Fire SC 1.66
��/ �
PLAN CHECK FEE
TOTAL F E
. 49
SIGNATURE FCONTRACTORORAUTHORI GENT ID TEI
EN ROP V LIDA E/DJ�IS
2
W • SURPERMIT
SIGNATURE OF OWNEROF OWNER SUILDERI IDATEIBL
G INS-
4ATE
NEW [ J,
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: O 0
Contractor: Quality Contracting
Address: 11380 West River Road
GI,`
i
Effective 1/1/98
5
Tel. #
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 IMPROVEMENT
LIVING AREA:
Length
Width Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground Sq. Ft.
OTHER:
3
O
Construction Type:
Tear off and
reroof /
Estimated Cost: $ % � Lo
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = IF, $ _ $
DATE: l 10T-
APPLICANT:
Tel. # X27-773
CITY USE ONLY
Permit Fee
$ O�
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ Q ()
$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� /-
STIPULATIONS:
CH Y OF FRIULLI INSI'LU I ION UIV
6431 University Ave NE
Fridley, MN 55432
(763)572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTIIRFS Tn RF fMCZTA1 i F -n nni veru r7l nen
Lttective Un Jan 1. 2u02
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () Nc
Type
NO. RATE TOTAL
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTALFEE
50
$-12201_S7)
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.
�—,3/� (�[�.20
0
Owner
Building Used As
Estimated Cost ��_ PERMIT NO.
PLUMBING COMPANY CCS- l�(�4j[j �
SIGNED BY TEL NOZ"XqS %�-1C
FAX # s-
Approved By Rough -In Date Final Date
MINIMUM FEE/,FOR ANY PLUMBINGI
PLUS THE $.50 STATE SURCHARGE
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 reolarina an pxictina iranr , 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 (o,)- No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes No ( )
The pxictina rnmhuctinn ^ir is sized and installed to meet the current codes
and manufacturers specifications. Yes No ( )
When required to install a npw c,nmhugtinn� it will be sized and installed
to meet the current codes and manufacturers specifications. Yes ( No ( )
When installing a now vpntinn syntpm, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
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 (y-P4o ( )
Appliance Tvn and SVP/ ommon A/ant and Vagnt Cnnnpctnr lnfnrTnatinn
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:
Signed By: Date :
CITY OF FRIDLEY PERMIT NO.: 2004-01480
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004
5 -IL-3bU4 VAX: (7b3) 571-11757
ADDRESS 951 PANDORA DR NE
PIN 133024220050
LEGAL DESC BROOKVIEW TERRACE 2ND ADD
LOT 19 BLOCK 3
PERMIT TYPE ELECTRICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114 -
OWNER
YAMAGUCHI MOLLY K
951 PANDORA DR NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp.
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 117431
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.