PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT
Date: ..........+Y.-1��t -14..__...... _._._....._........------....._..._.
Owner:
Address
No 4067
BuilderLAIMM BDjI$
Address ......... ........... ................................................. __................................
_...---
LOCATION OF BUILDING
No. .......... 9$1. ............ Street . _.PANDORA.-?�R._.IVE..........--.............. .......................... -...... Part of Lot.............................................................
Lot .........16 ............ ........ Block ............. ......... 3 ........................ Addition or Sub-Division....Brook31i@Tr1....1'9I'xace,....2nd-Add tion
Corner Lot .................................... Inside Lot .................. g................ Setback ....35.tQ!!................. Sideyard .....a.0.. ------------.._............._...........---.......--
SewerElevation .----............._............._....----...-_.............................................--...... Foundation Elevation .. ................................. ... _......... --........... _............. -....... __
DESCRIPTION OF BUILDING
To be Used as:
--DW41iIIg.......
Front...42:10..".. Depth .24.r0p..
Height 190."....
Sq. Ft.._l.t
Cu. Ft.19152
_A'tt!�....CR.a...F..a$®.......
Front ._ 3 -=.ria. Depth _ton..
Height
Sq. Ft. ....... ....
Cu. Ft. !^JIM..
Type of Construction
. ............ ........... .................................. Est. Cost .........43,92a.........
.................
To be Completed ..................................................
In consideration of the issuance to me of a permit to construct he building described above, I agree to do
the proposed work in accordance with the description above set fo h and in c piance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $...._23...QQ........... 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 we
the Building Inspector for separate permits for these items.
4
V.
ao�
City of Fridley, Minn. N° 8292
BUILDING PERMIT
Date: July 302 1965,
Owner: Davin T. Yahanda Builder Pemtom, Inc.
Address 981 Pandora Drive Adm 2.617 River Hills Drive
Fridley, Minnesota Burnsville* Ninnesota
LOCATION OF BUILDING
No. 981 sit Pandora Drive part of Lot
Lat 16 Block 3 Addition or Sub -Division Brookv3.ew Terrace 2nd Add.
Corner Lot — Inside Lot X Setback 351-60 sideyard 15.7 & M*
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
Front - Depth Height Sq. Ft. Cu. Ft
Front Depth Height Sq. Ft. Ca. Ft
Type of Construction F-st. Cost $14*000-00 To be Completed
Storm Rebuild
In consideration of the issuance to me of a permit to construct the building described bove I agree to do
the proposed work in accordance with the description above forth and in compliance 11 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 10•00 , permit is hereby granted to PENTCK. INC.
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
dome in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings
within the city limit a s permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
ALLEN G. JE14SEN Building Impector
NOTICE
"b pem b don Be emu the eondmedw, Wntdl = 16r rrhbeg! plumbing, gas bating, snorer or wrier. Be am to ae
16 Building for apaufe permNs fw dmw ttenm
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAMB,JA�AANLA__BUILDER
tt "
ADDRESS F3 `" AhAOCA, _(�W F ADDRESS up-m%U 9L t, -
OCATION OF BUILDING. v.
N0. �1 STREET "PART OF LOT
BLOCK
LOT ADDITION OR SUBDIVISION( E
CORNER LOT INSIDE LOTXSETBACK (74, 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
To be used as;
Front S -Cl Depth ��Z ' Height
Sq. Ft. Cu. Ft.
Front Depth Height
S Ft. Cu. Ft.
- d�
Type of Construction - ok. Estimated Coat 1Q(
To be completed i P.O N- 6
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 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
.V.
SUBJECT
PEO.
City of Fridley
o 19931
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
f
RECEIPT NO.
' _____ COMMUNITY DEVELOPMENT DIV.
U.
r � � PROTECTIVE INSPECTION SEC.
1 ; �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/5/89
JOB ADDRESS 981 Pandora Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
16
3
Brookview Terrace 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Yahanda 981 Pandora Drive N.E.
571-1265
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
D & D Home Improvement Inc. 7401 Central Avenue N.E., Fridley 784-7543
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 Ek REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (2nd layer)
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys.
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
l
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
$1050
$.53
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-
$27,00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$27.53
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY V IDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
BLDG INSP
nA E
NEW [ ] City of Fridley Effective 5/1/88
ADDN [ ] R-1 AMID R-2
AMER Building Permit Application
OonstructionAddress: Pg4cl`a Lt)r,
Legal Description:
Owner Nmne & Address: Tel. # - / 6
ODntr actor : MQ- 3 VM? roy-Q m eUy� -J�o\C- Tel. #
Address: Ave, iU
Attach to this application, a Certificate of Survey of the
lot, with the proposoed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMW
LMN6 AREA: Length Width Height Stu. Ft.
GARAGE AREA: Length Width Height Sg. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
Corner Lot [ ] Inside Lot K Ft. Yd Setback Side Yard Setbacks
Type of Construction: Rf--1-Sh �� k!Sek Estimated Cost:
Approx. Completion Date: f -" 8
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: # $
Width + 6' See Back Page
DATE: APPLICANT: _-f^ Tel. #-10 /-7 5V
C=Y USE ONLY
Permit Fee $ a %. QCT Fee Schedule on Reverse Side
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $550 per SAC Unit
Driveway Escrow $ Alt. W or Alt. "B" Above
Park Fee 5 Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary L ] Not Necessary [ ]
TOTAL $ �'T• S.3
3rIFULMIONS:
SUBJECT
- MIT NO.
City of Fridley
r"11,17
2 714 8
AT THE TOP OF THE TWINS
BUILDING PERMIT
EIP
COMMUNITY DEVELOPMENT DIV.
� PROTECTIVE INSPECTION SEC.
r �
OP
1 I
NUMBER
REV
DATE
PAGE OF
APPROVED BY
� CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/12/98
JOB ADDRESS
81 Pandora Dr
1 LEGAL
LOT NO. BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
16 3
Brookview Terrace, 2nd addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
571-1265
Yahanda
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Quality Contracting 11380 West River Road
Chm lin 55316 427-7733 7053
4 ARCHITE TOR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION Ik REPAIR O MOVE ❑ REMOVE
B DESCRIBE WORK
geroof house and garage 23 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
1918
$.96
DOES NOT PR SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS ANY11YER STATE OR LOCAL LAW REGULATING CON-
STRU 10 ER RMANCE CONSTRUCTION.
$62.25
Fire SC $1.92
PLAN CHECK FEE
TOTAL E
Lice C 5.00
$ 7 .13
SIGNATURE O C &TRA Op OR AUTHORIZED T ID EI
EN P OP ALIDAT IS IS :R PE IIT
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
BLDG )NSP KATE
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAINIILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 9.31
Legal Description:
Owner Name & Address: 4 -)R -v ` C._V
Contractor: Quality Contracting
Address: 11380 West River Road
14 ev® V -k.-
Effective 1/1/98
SAI
9-1 '� a�
,a,- Tel. #�' l2
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:`i 3 .5,C,5 rP
Construction Type: Tear off and reroof Estimated Cost: $ /0
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft ,= Ft x $ _ $
DATE: e12& APPLICANT: Tel. #D7 —7733
TOTAL 1/3
STIPULATIONS:
��-
CITY USE ONLY
Permit Fee
$ J,
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
$
$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 1/3
STIPULATIONS:
CITY OF FRIDLEY PERMIT NO.: 2004-00307
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 03/08/2004
571-36U4 VA.X: (7b3) 571-1L5.1
ADDRESS : 981 PANDORA DR NE
PIN : 133024220047
LEGAL DESC : BROOKVIEW TERRACE 2ND ADD
: LOT 16 BLOCK 3
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 0.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A
INSTALL GAS WATER HEATER
# ELEC WATER HEATERS
# NEW FIXTURES (EXIST OPENINGS)
# GAS DRYERS
# OF NEW FIXTURES
APPLICANT
NORBLOM PLUMBING CO
2905 GARFIELD AVE S
MINNEAPOLIS, MN 55408-2173
(612) 827-4033
YAHANDA DAVID T & RUTH T
981 PANDORA DR NE
FRIDLEY, MN 55432
0 VALUE OF FIXTURE/APPLIANCE
400
0 # GAS WATER HEATERS
1
0 # GAS RANGES
0
0 # WATER TRMT APPLIANCES
0
PLBG PERMIT MINIMUM FEE
20.00
PLBG FIXTURES (NEW OPENINGS)
0.00
PLBG FIXTURES (EXIST OPENINGS)
0.00
WATER TREATMENT APPLIANCE
0.00
WATER HEATER - ELEC
0.00
WATER HEATER - GAS
0.00
GAS RANGE FEE
0.00
GAS DRYER FEE
0.00
PLBG REPAIR/ALTERATIONS
0.00
STATE SURCHARGE, PLBG FLAT
0.50
TOTAL
20.50
PAID WITH CHECK # 27895
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
re c nstruction or the performance of construc 'on.
Applicant Date
Bldg
SEPARATE PERMITS REQUIRP-D FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN'55432
572-"3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Effective On Jan 1, 2000
MARK NUMBER OF
FIXTURES
TO BE INSTALLED
ON EACH FLOOR
'nal
Shower
Beer Dispenser
Wash
Tray
a
f:::Au
Drain Washer
«
asoor r a
er
:
Range Gas EleStories
:::..,;.
Basement
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas`*
Floor 1
Gas Range*'
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes
() No
TyPQ- _
Floor
Floor
Floor
11.11.111111.1.
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
Gas Range*'
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes
() No
TyPQ- _
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 $20-5-0
qA / P-�� obbq
L
JOB
0 -
JOB ADDRESS 54YIE7 te, 61AL31✓ ?_
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.
YAHANDA, DAVID
981 PANDORA DRIVE
FRIDLEY, MN 55432
Owner (763) 571-1265
Building Used
2/2i , 20-`f
Estimated Cost t� PERMIT NO.
Pte'
PLUMBING COMPANY 10r?,Q4:0PLQA111-,qAJ(,
l�
SIGNED BYE± s" 0..,' %
Approved By Rough -In Date Final Date
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing 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 O 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 existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to Install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new venting system, 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 Type and Size/Common Vent and Vent Connector Information
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
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :