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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date:-----_sTUI,Y-144...-.195.9..... .............. __.__.._...___..------.__.._.. Owner: Address N° 4068 Builder .----_-- LAM= BUnDERS._.....__...._._...__._ __. Address......---............._......--------..-...------•----.._.........._......_..._.__....._.._..._..._..__ LOCATION OF BUILDING No. -----991 ....... ......... Street..........PANDORA -DRIVE _ ..... ..................... .............. Part of Lot .................................. ..... ... _...... ..- ..__...._ Lot......._1.5..................... Block ....._....... ...... 3 ........................... .. Addition or Sub -Division ..... _.........BrookV�.6�W-_.Termees_. 2nd ..... Add. Comer Lot_ ................................. Inside Lot .................. I................ Setback ........35.`011 ....... _...... .. Sideyard....._.1Q `Q1....... .............. .............. Sewer Elevation ..... . ............. _............. ........ _.... _............. _...................................... Foundation Elevation ................................... -... _.... _.._....................... ........ _.._.. DESCRIPTION OF BUILDING To be Used as: ...._.._.iiaT�ljtlg.................. Front _.A2.t0." Depth .. teQa.. Height _1.9.. 11.. Sq. Ft. 1.=W.. Cu. Ft. 1%152 _.._Att ..... WW Front .._1.31.5." Depth Height Sq. Ft... .... _29 .. Cu. Ft. ....._909.79 Type of Construction........................................................... Est. Cost .......... $13.s.M.......... _........ To be Completed In consideration of the issuance to me of a permit to cons t the building described above, I agree to do the proposed work in accordance with the description above set orth and '�compliance with all provisions of ordinances of the city of Fridley. r' // In consideration of the payment of a fee of $....23.s 00 ............. 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 1 4 6 11(� �9 City of Fridley Application four Plumbing, and Gas Fitting parnnit DepL of Bldgs. Phone SU 7470 v DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location O <� a °' Z z x `a� Y rZ ZO `a�• Qp� Z Z uox7 w ? & & WATER HTR. 3c� z < m H 3� ou u m Gd (�4a CSO F N GAS ELEC. m c a3 Base 1 1st 2nd 3rd Jill Ith Future Connection Openings Connected with New Fixture, Old Openings Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 1 0 0 Future Fixture Opening ................ x 1.20 $--1-- f New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $.— Water Water Heater (Up to 200,000 BTU) ...... x 2.00 $--1!, V New Ground Run Old Bldg. ............ T x 3.25 $ GAS FITTING FEES: 70. RATE TOTAL 1st 3 Fixtures ........................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Kind of Building _ t19— Used as To be completed about Estimated Cost, $ Old ew Building Per. Connection Permit No . ......................................................... AUG 14 1959 Rough Water .� Sewer— Meter Deposit 11 IM -8-58 2 53 3,1 City of Fridley, Minn. 8216 BUILDING PERMIT Date: July 16, 1965 Owner: H:ERM T HLM Builder LEE COORS JR. Address 991 Pondora Drive Adm 4gpgn 4030 Revere. Lane Fridley, Minnesota,. LOCATION OF BUILDING No. 993L Street PONDMA DRIVE Part of Lot Lot 7, _ Block 3 Addition or Sub -Division Brookview Terraces 2nd Addn. 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 freight Sq. Ft. Cu. Ft. Type of Construction Est. cost — $14.500.00 To be completed REBUILD WE TO STORM DOGE 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 forthand�gmpliopce � with ail provisions of ordinances of the city of Fridley. / // UATH In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to B 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, =mnesota location, construction, alteration, maintenance, repair and moving of buildings withing city limit and uds permit may be revoked at any time upon violation of any of the provisions R said ordinan DEBT G. JENSEN Building Inspector NOTICE: rob peen* don not ewer tho conatwcHn, instaMw for wW & phwnbln& en heating, sawar or wdar. Be aro to no dw Boddie, kWedW for sopWde poem% for dWW *ana. APPLICATION FOR BUILDING PERMIT CITY OF.FRIDLEY, MINNESOTA OWNER'S NAME &,,., BUILDERmac- ADDRESS !�ft'j a„j�®, ,p ADDRESS Rc.®C�,'e- Al K C_ LOCATIONOF BUILDING NO. STREET PART OF LOT LOT ___/-_ - j BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT 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. To be used as: Type of Construction To be completed DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Estimated Cost /L c—a 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). .c Wic'1 V_ CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 UMvcrsky Ave NE Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES MINIMUM FEE FOR ANY HEATING/COOUNGNENTIL4TION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 ` *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 0 Signed By Approved By Rough -In Date Final Date 424 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS n" 11 '! C.l.t' Il1arUA. .lam 1 VIZg/ RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner -rulings Also Replacement Furnace $ 20.00 $o of the Building Division, and hereby declares that all the facts and in this application are true and correct, representations stated q aqj- ,1997 Gas Piping (Needed with new furnace) $10.00 OWNER Gas Range $10,00 $ • BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST �� � 0 U PERMIT NO. *Air Conditioning - Aft Sizes $10.00 $ • DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) , 1% of Value of Appliance or Work $ No, of Heating nits Circle One (Steam) (Hot Water) arm Trade Name Size No. Commercial/industrial BTU U HP EDR I% of Value of Appliance or Work $ Fuel Kl rA :J: Ckn Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. 0. 50 BTU HP EDR TOTAL FEE - - HEATING COMPANY 1./C�Qb'f 1.-YY�I�i� Ff1 MINIMUM FEE FOR ANY HEATING/COOUNGNENTIL4TION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 ` *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 0 Signed By Approved By Rough -In Date Final Date 424 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE a e 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 ( ) S. Meets all current Code requirements for size and total BTU's connected Yes) No ( ) 6. Has total heating BTU's of 10 1 (,c. 0 All other BTU's TOTAL BTU's (� Remarks List Alterations Being Done: HEATING COMPANY Signed By Date CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, SIN 55432 APPLICATION FOR DOWER PLANTS AND HEATING, COOLING, VENTILATIO , (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES l, - RATE SCHEDULE ResidenVal Rate TOTAL Furnace Shell and Duct Warts, Burner - /; 00 Also Replacement Furnace $ 30.00 $�. (Side Vent . Fill Out Back) , / Gas Piping (Needed vAth new furnace, $ 10.00 $_ V %d, 00 but not replacement) � Gas Range $10.(30 $_. •® Gas Dryer $10.00 /`Q y IQ,O e) $ "Air Conditioning - All Sizes $ 25.00 $ 0 0 All Others/Repairs & Alterations (LIST ON BACK) 1% aValue of Appliance or Work $ Com mercia It Industria l 1.25% of Value of Appliance or Work $ State Surcharge TOTAL FEE miNittlUM FEE FOR ANY HEATING/COOLING/VENTILATION BURIGERATION/AIR CONDITIONING PERMIT IS S2S 00 PLUS THE S.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr 'Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. s03 Effective On January 1, 2002 JOB ADDRESS/-� li�-�� Or. rQE OWNER Or– V, -j :,�•, ct� ,•� (=. -d lc y BUILDING USED AS r S r ct z j ESTIMATED COST7,572 PERMIT N0.�� . DESCR)PTION OF FURNACE Aft OR BURNER Z r N A 2 No. of He atirig Units-1—Circle One (Stearn) (Hot Water (Warm Air 2 Trade Name <.o.,4 Size No. 4. BTU -eO 0Gy HP EDR 1 Fuel_ N T- 6,4 S Total Connected Load Burner Trade Name Size No. rr BTU HP EDR { The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true andc rect. DATE L$ 6 2 HEATINGM,, (Ylc - ha ^, La ( , Tnc- Signed hm��– TEL # &SI - –7 `7 5� 3A3Q ---- U. P, 1 . % n .7 J 1- o: v. R IN ;;;� — "\�� CITY OF FRIDLEY 3uilding , ;nspections 763-572-3604 -�-a TM ADDRESS -� WS APPLICANT I& PROPERTY OWNER/ TENANT SUBMIT A COPY OF YOUR STATE LICENSE WrM APPLICATION !{ f 2 OF BUILDING RESIDENTYAL APPLICATION TION CITY OF FRIDEEY YOUR of-Kv.^r • .� 1� 6 � - D 0W11M )1�CANMACTOR b 1.% we -5 Lf-t-7--5�2 Permit No.:, Received By: Date Rec' ADDRESS: CITY STAn M PHONE: �ISLs� O DRAIN TILE D OTHER. DESCRIBE >r_ WORK BEING DONfF � (� e.�v 0-%- SIZE OF IMPROVEMENT LENGTH WIDTi Ir— OF FiEIGfIT Sq. Ft, _ SQUARES GAI2A�FJS PROPOSED =F-- PROPOSED ITE—PROPOSED EMU: §MING O Vinyl O AIM111111M O Other vvINDOR'S IN E a"Os G OPENINGS Mas []No OR FOR NEW OFMINGSZESC IME SIZE OF OPENING CHANGES & Permit Fee Plan; Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Pee Sewer Malum Charge ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE O DETACHED GARAGE aSQffit II Trim 13 Fascia LOCATION OF WINWWS VALUAT LVA&VIMON S SUBMIT' I. Existing F1oar Pfau 2. Proposed dove plan 3. List of strnattnal members to be trod FOR NEW CONSTRUCMNINCLUDING MCIO, m I . Sion rixiMmVey showing the Miisdaa str uchm and pr'opond pmj%t 2. Two sets of apnshuctiM p1" 3. Eaergp Catcumom NG THE COST OF LABOR ,AND FEE SCMDULE) © (tit'CMPANCY Tyf See Back Page for Fee Schedule - 65% of Building Permit Fee (.0005) bares the total job valuation - Miai mum S.50 .001 x Permit Vakttation (1/100/0) $5.00 (State Licensed Residential Cont moors) $1450 per SAC Unit (Plans to MWCC for detwofi adon) _ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by En&eeriag Agreement necessary ( ) Non Necessary ( ) Make checks eavable to: City Of Fridley Attai THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROM'S" D 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 Miwesota Construe i°n Codes; that I understand this is not a permit but only an application fora 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 work w ' view od approval of plans - /°w ATE /� 7 " oc SIGNATURE OF APPLICANT PRINT NAM1: Building PLUMBING Permit No.: 66 - 01393 �y InspectionsRESIDENTIAL APPLICATION Received y: 763-572-3604 CITY OF FRIDLEY A Date R d: DATE 'g-2-0? E-MAIL ADDRESS � 11 s� o, YOUR SITE ADDRESS 99/ 1 a >) U`zA /,C �e ► uc t,, - THIS APPLICANT IS: NOWNER ❑CONTRACTOR PROPERTY NAME: -�Sq_So N OWNER/ ADDRESS: '"/ / / ' X1PQ 6- CITY E-�� STATE -1 ZIPS TENANT PHONE: 0)1u!g-gZy_a CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE—ZIP- TATEZIPLICENSE LICENSEWITH PHONE FAX APPLICATION PERMIT TYPE MINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW TMEPLACEMENT DETAILED DESCRIPTION OF WORK 7� PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR _ GAS PIPING (NEED CtryLtcENz) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ LAUNDRY TRAY ' _WATER HEATER ($35) FOR IRRIGATION —DISHWASHER WATER METER OTHER Number of fixtures @ $10.00 x $10.00 = $ Permit Fee $ �'S •ey Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an a tion for a permit and work is not to start without a permit; that the work willbe in accordance with the approved plan in the cas, of all w k which r ires view and approval of plans. �V SIGNATURE OF APPLIC PRINT NAM& ciSD�Qs DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977