PRE 2010 DOCSDate: ""
Owner:
Address
City of Fridley, Minn..
BUILDING PERMIT
Builder
Addre-m
N° 405'7
LOCATION OF BUILDING
0
No.... ...Y..v........ Street .........---......... .............. Part of Lot .............. ............ ............................ .........
__
Lot ................. ............. Block ............. Ad Addition or Sub -Division .. ... - ..e.... _.. ................_...._ ....'_,... —
Corner Lot ...... .............----..... Inside Lot .................. .._................. Setback(43.........._d.... -----........ Sideyard . •-•-............. .............. _ _.
Sewer Elevation ................................... -............. .............. ....................................... Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
G e ----- Front 'l9.. Depth 2S...4S— Height fY._'...®. Sq. Ft. // ...2...?, Cu. Ft..2-
................. Front � ..* Depth .!Z ..�.� 'Height � ...' ._.� Sq. Ft...... Z.. -7 Cu. Ft. _..,�iw.A
Type of Construction...................................................... Est. Cosh.,, r... _... :To be Completed ..................................................
t)
In consideration of the issuance to me of a permit to yse�th
the building described above, I agree to do
the proposed work in accordance with the description above and ' co pliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of 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. V ,�—
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 hems.
City of Fridley, Minn. N° 7850
BUILDING PERMIT -pl- �z Y6a 3d
owner: Ronald A. Nisbet Builder Fraser -Obert Constr. Co.
Address 990 Pandora nriye K. F. Address 5{617 29th Ave, No.
LOCATION OF BUILDING
No. 990 street Pandora Drive N. E. .—. Part of Lot
Lot 8 ___ Block Addition or Sub -Division Brookview Terj=ea 2nd. Odd.
Corner Lot _ Inside Lot Setback __ _ Sideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height — Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est, Cost $-IA-100 - 00 To be Completed
- Storm damage: Rebuild on Orig. Foundation
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 aft provisions of
cadinan os of the city of Fridley.
In consideration of the payment of a fee of $ 10• QQ , permit is hereby granted to Fraser -Obert Const. Co.
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, Minnesotalocation, construction, alteration, maintenance, repair and moving of buildings
within the city limits�is permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Allen Jensen Building Inspector
NOTICE:
'lids pem b don not ewer the condrucdoe, huftWen for widng, plumbing, on hating, sewu or water. Be sure to see
the Building lir for separate pemdb for these Nems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY mn=sqTA
//
OWNER'S E L.+// . ! /
ADDRESS— 2 ADDRESS __;�Rr&4G
LOCATION OF BUILDING
No. Street _449%9k.1g. `,� Part of Lot
LOT BLOCK ADDITION OR SUBDIVISIM�,,/'�11_,-_„����y��
Corner LotInsideL Setback 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.
DE CRIPT ON OF BUILDING
To be used as.
Front Dept Height
Sq. Ft. Cu..Ft.
Front Depth height
Sq. Ft. Cu. Ft.
Type 6f Construction Estimated CosO`,,�' �T� /� U
To be completed
The undersigned hereby makes application for a.permit for the wori.herein specified,
agreeing 'f '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 agplication and,
true and correct.
(Schedule of Fee Costs can be found on the'Reverse ride).
SUBJECT
City of Fridley
;71j5 2 61
AT THE TOP OF THE TWINS
B U I L D I N G P E R M I T
r
�
RECE
• _ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/13/79
JOB ADDRESS 990 Pandora Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
8
4
Brookview Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ronald Nisbet 990 Pandora Drive N.E. 571-7828
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Westlund Brothers Construction 3261 Sandeen Road St. Paul 633-1784
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
x
8 DESCRIBE WORK
Construct a 14' x 23' Addition to the Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR IN Imck
HEATING, PLUMBING AND SIGN&
WAR"
ftb* dim cell local utilities
TRWI MNE - ELECTRIC - GAS Et,
REQUIRED BY LAW
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
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 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, 695
$1.35
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.
PLAN CHECK FEE
TOTALFEE
$1,4.23.
SIGNATURE OF CONTRACTOR OR ALITHO IZED AGENT IDATEI
WHEN PROPERLY V LIDATED THIS IS YOUR PERMIT
�I.ATUWDFO.N A11FAILDERI
IDATEI
BLDG INSP SATE
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: A -64A, ,1 4 BUILDER: kles- rzcmd � 'ea L°D�✓s?�ri� J .
ADDRESS: ff—b ,�,¢ 1Jd��v� ADDRESS: 30—l- r
TEL NO: S%f— 2e4 Z TEL NO: 633— 17V
Construction Location
STREET NO: �'D STREET: 06-1V,4ZLLt.
LOT: BLOCK: q ADDITION: �1 n. .A ..FQAilM-An!
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
,Ibm IE Front: Depth: Height:
cl)Xe-4-4-
Square Feet: Cubic Cubic Feet: 6
Front:
Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: F 01 ft -M el
7.o Be Completed: e ' Z— )
Proposed Driveway Width If New Opening Is Desired:
Estimated Cost: $ 0(.- ,00
Al Alt. A Alt. B
SEE REVERSE SIDE OF SHEET
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do allwork 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: &13001 SIGNATURE:
Stipulations:
73°
I, 3S
A. p.-. v e • " a y
_ -
10 w
rireN
/ hereby arhfy' fhof chis is a five and correct rTresenfotion of a surrey elbe hovndories oi('& obow described /md, and
orlbe Iocofion o)'o// boddiny , fhemon , and od risible ewmehmenis , ��'ony. fnm or w7soul /and. As surveyed 6f nW fh�_ day
o�' Jam u a A.O.19-0. SU6UR8M tcNC71NFE2IN6 , INC.
Engineers Fr Surreyors
/3� c ,4�
2'.
8
SUBJECT
PE NO.
City of Fridley
��l8 4 4 5
AT THE TOP OF THE TWINS
BUILDING
PERMIT
COMMUNITY DEVELOPMENT DIV.
INSPECTION
r 1 PROTECTIVE SEC.
�0-1 125
1 �
�
1 1i CITY HALL FRIDLEY 55432
NUMBER
REV,
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/22/86
10B ADDRESS
990 Pandora Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
4 TBrookvi
ew Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Ronald Nisbet 990 Pandora Drive N.E.
571-7825,
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.
8 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION J(J ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Re-roof dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Ase hal t
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$800.00
$ .50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$15.00
PLAN CHECK FEE
TOTALFEE
$15.50
SIGN A OFCONT T OR(1UTN RI7 AGENT IDATEI
C
WHE PROPER
ID - IS IS YOUR PERMIT
v
WA
• BLDG *NS
DATE
NATURE OF O R OF OW R UI ERI
8
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] �R-1 AND R-2
ALTER. [ ] Building Permit Application
C
Construction Address: �90 Frtmi'(0- ;--)A , t-0
flfl�fj
Legal Description: V�1 CJ 1
owner Name &Address: XL Alcc_ NIS P Tel. # .'571 —&2R�
Contractor: ® WAje R 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: -woo od 4c2 L)
Corner Lot [ ] Inside Lot [ ] //Ft. Yd. Setback Side YardSetback
Type of Construction: �S� Al �hr,vac�C Estimated Cost: � t
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
t
DATE: 2Z` Q b APPLICANT.a 0'0 *1 Tel.
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
25$ of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
R
sueJEcr
ERMIT NO.
City of Fraley
2695 8
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
REC O.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
, /��
[7L
r
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/3/98
JOB ADDRESS
990 Pandora Dr
i LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
4
Brookview Terrace —2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Ron Nisbet
-
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Steve MB dinsk 754-8917
20019069
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 [X REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (30 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
SEPARATE PERMITS ARE REOUIRED 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
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
2502
$1.25
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-
STRUCTIO THE P RFOR N E OF CONSTRUCTION.
$74.7rj
Fire SC $2.50
pr�� ,�
/
PLAN CHECK FEE
TO TA EE
EE50
License 5.0
$
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
Pqq p R �LIDAT,
` 9L INSP
IS YOUR PERMI
r
DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
R
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: `I I o
Legal Description:
Owner Name & Address:
Contractor: c7�y6
Address:
^ N,
/ 5
"Pt.1s/
h
elf—
Effective 1/1/98
a6%/�
Ab
Tel. #_ 57?/-
MN
7?/MN LICENSE # ;ZOO 4'l �.
� ))o `, Tel. # �' 57P" �?f/
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlUPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE -AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
�?Vr -A. IfQor
Construction Type: �, f ��r� , Estimated Cost: $�
'(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 7 APPLICANT: /` Tel.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee $
Sewer Main Charge
TOTAL
STIPULATIONS:
$ 3_ S -D
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 [ ]
CITY OF FRIDLEY INSPECTION D1ViSION Effective On January 1, 2000
6431 University Ave NE �AV
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 1:
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
JOB ADDRESS I Gi 0 P0'Yk joira CJtk
OWN
�\_ M i �:)
Rate TOTAL L
BUILDING USED AS
01
$ 30.00 $
ESTIMATED COST �Z� •� PERMIT NO. CSC
$ 10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00 $ Trade Name _% Size No.
-Ze. � BTU HP EDR
$ 25.00 $ Fuel Total Connected Load
State Surcharge
TOTAL FEE
*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
$ 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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
BLAINE HTG. AIC ELECT., WE �' I Z "u V
1366& �� MN SAL V5304E. N.E.
H EATI 0
Signed TEL #
�4P 2JD
Approved By Rough -In Date eFinal Date
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 () 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 Tvpe 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 :
SuBjECT
PE
City of Fridley
33931
AT THE TOP OF THE TWINS
BUILDING PERMIT
If I
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
V ______ PROTECTIVE INSPECTION SEC.
i
E
NUMBER
REV
DATE
PAGE OF
APPROVED B�
CITY HALL FRIDLEY 55432
763-571-3450
910-F15
9/30/03
JOB ADDRESS 990 Pandora Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
8
4
1 Brookview Terrace 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Ron & Phyliss Nisbet 990 Pandora Drive NE 763-571-7828
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Window Lite Home Imp 8400 89 Ave N Ste 460 Brooklyn Park MN
55445 763-425-2227
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
200398258
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION q_ REPAIR
XX
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 8 windows within existing openings
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. Caulk
and flash all
exterior openings.
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 80 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
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
$8,798
$4.40
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-
STRUC R THE PERFORMAVCE OF CONSTRUCTION
$167.25
Fire SC $8.80
PLAN CHECK FEE
TOTALFEE
0O—C&7
cen§f SC $5.00
1 $185.45
SIGNATURE OFC 'RACTbR 05 AUTHORIZED AGENT (DATE,
EN�PROPERLY
/VALIDATED
B DG INSo
THIS IS YOUR PERMIT+
(:�- ;S�-!)
rTATE
S.GNATURE OF OWNER SIF OWNER BUILDER, (DATE,
NEW [ �� VqJq Cl 15 Effective 111/99
ADDN ]�' ' : "-fi CI1'X OF FRIDLEY m
ALTER ,[ ] SINGLE_ FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERM[T APPLICATION
ConstractionAddress:
Legal Description:
Owner Name & Address:
Contractor: o )l ]n is h ,, I i
Tel. # 11077.571 ' /T)7-��7
MN LICENSE #
�I�Te1. fV3- 4{, -1S -baa-7
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Typefia 01 Estimated Cost: $ 7�D
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT:I,/ Tel. g3 Id -
5' 3 �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
$ U3.
$ 2-15D
$ q.qo
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
$ 10
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.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 [ ]
0
CITY OF FRIDLEY PERMIT N<:=2004-01145
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 07/19/2004
(763) 572-36U4 N'AX: (763) 571-12137
ADDRESS 990 PANDORA DR NE
PIN 133024220063
LEGAL DESC BROOKVIEW TERRACE 2ND ADD
LOT 8 BLOCK 4
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 200.00
PLBG PERMIT MINIMUM FEE
PLBG FIXTURES (NEW OPENINGS)
0.00
0.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER
HEATER.
PLBG FIXTURES (EXIST OPENINGS)
0.00
# ELEC WATER HEATERS
0
# NEW FIXTURES (EXIST OPENINGS) 0
# GAS WATER HEATERS
1
# GAS DRYERS 0
# GAS RANGES
0
# OF NEW FIXTURES 0
VALUE (FOR MINIMUM CALC)
200
# WATER TRMT APPLIANCES 0
APPLICANT
PLBG PERMIT MINIMUM FEE
PLBG FIXTURES (NEW OPENINGS)
0.00
0.00
H P PIPEWORKS
3670 DODD RD STE 100
PLBG FIXTURES (EXIST OPENINGS)
0.00
EAGAN, MN 55123-
WATER TREATMENT APPLIANCE
0.00
(651) 365-1340
WATER HEATER - ELEC
0.00
WATER HEATER - GAS
35.00
GAS RANGE FEE
GAS DRYER FEE
STATE SURCHARGE, PLBG FLAT
0.00
0.00
0.50
OWNER
NISBET RONALD A & PHYLLIS V
990 PANDORA DR NE
TOTAL
35.50
FRIDLEY, MN 55432
PAID WITH CHECK # 9312
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 worl
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 at cPnstruction or the performance of construction.
Applicant ; Date
Bldg p��` � Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY
RATE TOTAL
New Fixtures
&3ql)
OF FRIDLEY INSPECTION DIV.
$10.00 '—
Beer Dispenser
6431,University Ave NE
Blow Off Basin
$1.0.00
Effective April 1, 2004
Fridley, MN 55432
(763) 572-3604, FAX
Rain Water Leader
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Sump/Receiving Tank
(763) 571-1287
Nater Treating Appliance
$35.00
Nater Heater -Electric
$35.00
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
$35.00
ones:::::::<:::
<-
StUrinal
:=.
Shower
Wash � = = _:••:::.;:.::>�::>::>::::.:
>: Floor fes:
::::::::...:;---r•--�� -
Gas :<: w ater Heater
Basement .:::.::.::::::..
- ,€�.�:::::::: Dram :. >...::::<:.<:•:,::::>::;:
...::..< ....
er ::
Range :. Elec
g ��:::::;:: Gas
Floor 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
New Fixtures
$10.00
Old Opening, New Fixture
$10.00 '—
Beer Dispenser
$10.00
Blow Off Basin
$1.0.00
3atch Basin
$10.00
Rain Water Leader
$10.00
Sump/Receiving Tank
$10.00
Nater Treating Appliance
$35.00
Nater Heater -Electric
$35.00
Vater Heater -Gas** _L
$35.00
Sas Range"
$10.00
las Dryer**
$10.00
cack Flow Preventer Required { )Yes () No
Type
$15.00
einspection Fee $50.00/Hr
LL OTHERS AMD/OR REPAIRS AND ALTERATIONS
1.25% of Value of Fixture or Appliance
State Surcharge $ ,
TOTAL FEE
JOB ADDRESS (-/'/0
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.
DATE: ! //,� , 20 D 4{
OWNER h_mJnJ �) o
BUILDING USED AS
ESTIMATED COST (�-D
PERMIT NO: �� ►-� ''
PLUMBING COMPANYQ_Y -� ,2?6
SIGNED BY _dTEL N04 � --
Approved By Rough -In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15 00 or 5% OF COST
OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE.
OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
**PROVIDE COMMON VENT INFn nti oer►v 01r%=--
Building
BUILDING Permit
Inspections
RESIDENTIAL APPLICATION Received Bye^ .,
763-572-3604
CITY OF FRIDLEY Date
763-502-4977 FAX
$
EFFECTIVE 8-19-09
DATE
YOUR E-MAIL ADDRESS
SITE ADDRESS �
GA�v►/�M�1= � l�T_�(i� �! > 1� �.� Ii Al A-7 z__
THIS APPLICANT IS:
OWNER ❑CONTRACTOR
PROPERTY OWNER/
Nom: A2 1' S C
TENANT
ADDRESS: 79� � ,� jLJ21 a g A%CITY�,G��� 4 STATE ZIP
$
PHONE:
CONTRACTOR
NAME:SUBMIT
A COPY OF
Erosion Control
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
AND CERTIFICATE OF
ADDRESS: CITY STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE+SINGLE
FAMILY/NEW CONSTRUCTION SIZE
Total Due
❑ TWO FAMILY/NEW CONSTRUCTION STORIES C,1nn,,0
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ,ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR eKREMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
LENGA WIDTH HEIGHT SQ FT
ROOFING 2 HOUSE ONLY
NUMBER OF SQUARES ✓ & GARAGE
BASEMENT REMODELING SUBMIT:
/HOUSE
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
[]Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
I. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS — PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
1'UTAL JUB VALUAYIUN
UCCUYANCY 1 YYE
Permit Fee
$
j See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
3 .001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2000 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $22 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ 1
C/ Make checks payable to: City of Fridley 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 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 on site; that the work will be in accordance with the
approved plan in the case o> ork wl 'c c wi/re/revi and approval of p % j� Q
SIGNATURE OF APPLICANT(` �I J PRINT NAME Co DATE N^' V 6 �/
Page 2 - Building Residential Application
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in the manner herein
provided to -wit:
TOTAL VALUE
FEES
$1 to $500
$23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000
$23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and
including $2,000
$2,001 to $25,000
$69.25 for l' $2,000 plus $14 for each additional $1,000 or fraction, to and
including $$25,000
$25,001 to $50,000
$391.25 for l" $25,000 plus $10.10 for each additional $1,000 or fraction,
to and including $50,000
$50,001 to $100,000
$643.75 for 1" $50,000 plus $7 for each additional $1,000 or fraction to and
including $100,000
$100,001 to $500,000
$993.75 for I' $100,000 plus $5.60 for each additional $1,000 or fraction to
and including $500,000
$500,001 to $1,000,000
$3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or
fraction to and including $1,000,000
$1,000,001 and up
$5,608.75 for the 1' $1,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Only
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977