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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT No 4069 Date: ;W ;).4s..:1M.._._.........._............._.......__.._............._.. Owner: Address Builder 44119.�T10 BUTLWS Address........ .............. _......----..._............---..........._..--••---•----......._.._..._.......---• LOCATION OF BUILDING NO. ............ .............. Street ..... _.....F...IRM................. _................... -..... Part of Lot .................. -._...._.._........_............._.......__._ Lot ................... Block ....._................� � �lj.... ......................... Addition or Sub -Division .....-........0.0kT ,BW.._T6='�0.6..2nd Adds, ........ Corner Lot .................X...----...... Inside Lot .................................. Setback ...........3 0A............. Sideyard .............. 1$ - 0"............................._._.._. - Sewer Elevation . .... -.......... __............................. _...................... _.... _... .....-............. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: .Dl en;!p ................ Front AVP".. Depth 4'011-.. Height 19 t p.... Sq. Ft. l f fig._.. Cu. Ft. 19A Att......C...... e ---------- Front ...1...3..1.5. Depth 22 td!_.. Height 10 oa.... Sq. Ft.......297.-. Cu. Ft...._?fP Type of Construction......................................................... Est. Cost ...... $13s2.•- ............... To be Completed .................................................. In consideration of the issuance to me of a permit to cons ct the building described above, I agree to do the proposed work in accordance with the description above se forth and ' mpliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $......23.tt ........... 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. / rr 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. .Q104 Date: July 16, 1965 15 Mop)) l ))ntr15-4 City of Fridley, Minn. BUILDING PERMIT Builder Address 999 Pondora Drive Address 4030 Revere Lane Fridley, Nimesota LEE COOK, JR. N® 8215 LOCATION OF BUILDING No 199 Street Pondoro Drive Part of Lot Lot 1__ Block 3 Addition or Sub-Divkdcn Brook®iew Terrace, 2nd Adda. 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 00.00 To be Completed REBUILD DUE TO STORM DAMAGE 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 p with 21 provisions of ordinanace of the city of Fridley. A Z, � In consideration of the payment of a fee of1� 0.00 , permit is hereby granted to noYD DMOM 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 wgrkmen, 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 wo ithian�. city limits and permit may be revoked at anytime upon violation of any of the provisions of said ALLEN G. MSEN Building inspector NOTICE We pumb den no cma the cendrw* e, huta&dm for v MW& phrmbina, on heating, aw w or water. Be ane to ne the Building &qm for fee npm to pwnft for these amm OWNER'S NAME APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MYNNESOTA q. r Q BUILDER /CJ C. C\ 0 0 i ADDRESS % p� oyr > �V ADDRESS ��3 I\�.9c-.Y,�- L h LOCATION OF BUILDING NO, STREET, _PART OF LOT , LOT Z 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; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost zy,-S-eo - To be completed 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 S' $ SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). cc Ye- U o k i �' S ' ja. o - — �` r i `tom �' O., o ,�.o"-�-,�., 99 �e_„� �`` � ra SUBJECT P IT NO. City of Fridley 19 9 9 AT THE TOP OF THE TWINS BUILDING PERM RECEIPT NO. • L ______ COMMUNITY DEVELOPMENT DIV. r i PROTECTVE INSPECTION SEC. I 1 � � CITY HALL FRIDLEY 55432 ".j NUMBER REV. DATE PAGE OF APPRO Y L ,J� 612-571-3450 612-571-3450 910-F15 7/13/89 JOB ADDRESS 999 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mert Torgeson 999 Pandora Drive N.E. 571-4980 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121 x 161 Shed in Rear Yard 9 CHANGE OF USE FROM TO STIPULATIONS Shed must be securely anchored to ground 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 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 5(10 $e75 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. PLA CHECK FEE TOTALFEE $35.75 R~TBAI05RORAUTHORIZEDAGENT ./IJ 41 EN PROPERLY VALID THIS IS YOUR PERMIT `iDDATE) / 1./ '-BLDG INSP QA01E i ATURE OWNER IIF NER BUILDERI (DATE) ra NEW Effective 5/1/88 ADEN [ ] R-1 AND R-2 ALTS [ ] BPA0060e�q ilding Permit Application Construction Address: L� 9 �2. 'V' E . Legal Description: ZvT I BLock 3 Ae-oovv i Fo `f ee,4cF. Z a-') Aoo t 7-n oAJ Owner Name & Address: c so,v - Snne Rs Raaiz€ Tel. # Contractor: R Tel .# S P m E Address: _S Am e - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM AREA: Iength Width Height Sq. Ft. QRRAGE AREA: Length Width Height Sq. Ft. DECK AREA: length Width Hgt/Grau d Sq. Ft. 07HER: S tA=, Q I Z X 1 lQ Corner Lot M Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $,,5-00 00 Approx. Completion Date: Proposed Driveway Width If New OpMDesired: Ft. $ $ Width + 6' See Back Page HATE: 7- I Z - V APPLICAw: Tel. # CITY ONLY Permit Fee $ State Surcharge $ % — SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $ 3,5- . 7S sTI U ATIOM: Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by gym; neer M Agreement Necessary [ ] Not Necessary [ ] 0 .. 1 Lee Cook 157-43 I HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURV gy, OF Lot 14 block 3. Brookview Terrace 2nd Addition* Anoka CountyMinn. As SURVEYED By ME THIS-- 12th.._DAY DAY OF - 009$ 03 do Ajok ;0 3900 P94UM7482 :1073ug—p—T80-1 :sHaa 30ma IdIviin Xwous C'j q I HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURV gy, OF Lot 14 block 3. Brookview Terrace 2nd Addition* Anoka CountyMinn. As SURVEYED By ME THIS-- 12th.._DAY DAY OF - 009$ 03 do Ajok ;0 3900 P94UM7482 :1073ug—p—T80-1 :sHaa 30ma IdIviin Xwous 01 SUBJECT PE City of Fridleyo 20115 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT . COMMUNITY DEVELOPMENT DIV. 3 r i PROTECTIVE INSPECTION SEC. 1 ; � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450910-F15 9/19/89 JOB ADDRESS 999 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 14 3 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mert Torgeson 999 Pandora Drive N.E. 571-4980 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 ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace two basement windows - to meet State Egress Code 9 CHANGE OF USE FROM TO STIPULATIONS windows must meet State Egress 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 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 $450.00 $s50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PL%N CHECK FEE TOTAL FEE $15.50 A EO C ACTOR OR AUTHORIZED AGENT Q %%IDATEI WHEN PROPERLY VAL TED THIS IS YOUR PERMIT 6 CJ SGNATURE FOWNERI OWNER BUILDERI IDATEI BLDG INSP ATE 01 F-!-[DDN [ ] ALTER DO Construction Address: R-1 AND R-2 Building Permit Application 999 P/�Jps®ep Dte. Effective 5/1/88 IAKjal Description: C—D i owner Name & Address: e" -f -L ®zc-6,sod _ 9 ?9 A?w ozx* 0e. Tei. # 57/ /c/fP6 Contractor: d 4% gooe- 're -l. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LTVIM AREA: Iength Width Height Sq. Ft. GRRAGE AREA: length _ Width Height Sq. Ft. DEM AREA: Length Width Hgt/Ground Sq. Ft. " C.®4 a Corner Loot [ ] Inside iot [ ] Ft. Yd Setback Side Yard Setbacks Type of Constnic.-tion: Estimated Cost: Approx. OMpletion Date: /0 `� Proposed Driveway Width If New opening Is Desired: Ft. $ $ Width + 6' See Back Page HATE: APPLICANT: 2.Tel. # S��/—��O CITY USE CINLY Permit Fee $ C6) State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Oorge $ $ /�S-: S.Z➢ ' sTZPUTATICNS: Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by EtVin� rn Nay [ ] Not Necessary [ ] SUBJECT RM City of Fridley 2 �. 3 31 AT THE TOP OF THE TWINS BUILDING PERMIT r ' , EIPT NO. _ COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/12/92 JOB ADDRESS 999 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 B.rookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mert/Aileen Torgeson 999 Pandora Drive NE 571--4980 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 ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Construct a 29kx 18" Addition to. Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See.notatons.on plan, WARNING 8810re digging call for BRED FOR all utility locations SEPARATE pERa1i'�1'�S REQUIRED 454-0002 WIRING, HEATING, PLUMBING AND m REQUIRED 13Y LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY'LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $27f.922 $13,96. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $271,50 Fire SC $27.92 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $313.38 SIGN F NTR OR OR AUTHORIZED AGENT (DATE) WHEN P OP LY ALI AT THIS IS YOUR PERMIT T apt) S' A REO NERIIF 4NER BUILDERI (DATE) fADG INSP DATE NEV-ik [ ) ADDN [ J ALTER[ j Construction Address Legal Description: Effective 3/1/92 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Owner Name & Address: T-� �i� this application, a Certificate Tel. # 571-11M Contractor: S ELP MN LICENSE # Address: Tel. # Corner Lot [ ] Inside Lot [ ) Ft. Yd . Setback Side Yard Setbacks Type of Construction: (n)000 F94:?VK'p— Estimate Cost: $ " Approx. Completion Date: 2 �/r %Z2 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �- �0 APPLICANT: Tel. #6 ��dad CITY USE ONLY Permit Fee $ 271,5-6) Fee Schedule on Reverse Side Fire Surcharge $ 2 %r Z .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ — $700 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ `�� Agreement Necessary [ ] Not Necessary [ TOTAL �i TLATIONS: 11 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 c,7 g' Width Height 2! Sf gjfS Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgttGround Sq. Ft. OTHER: o Corner Lot [ ] Inside Lot [ ) Ft. Yd . Setback Side Yard Setbacks Type of Construction: (n)000 F94:?VK'p— Estimate Cost: $ " Approx. Completion Date: 2 �/r %Z2 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �- �0 APPLICANT: Tel. #6 ��dad CITY USE ONLY Permit Fee $ 271,5-6) Fee Schedule on Reverse Side Fire Surcharge $ 2 %r Z .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ — $700 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ `�� Agreement Necessary [ ] Not Necessary [ TOTAL �i TLATIONS: 11 pppppp 1O� Aa��joh o STORM REPAIR DAMAGE FEES: Residential; Estimated Cost of work up to 500.0 S 0 / •''� a'v'-' �o �1va-."lj��^��� .. .--slHl 3w AB a3A3Aans sV. :i •UOTgTPPV Put GOUJAey s►OTA4004a 'g 40Otg tZ 40Z JO.AZAans V Ao Lv-w tOpaa00 aNV incl V st 3AOUV 3HJ. 1VH1 AJtla30 A133U3H t 2 -- . ;A CQ. 1 G' i1 -F 77 / • uA I P-1 �(� ;{.� ♦JtU-�� 2 '7,�� t�'lif0�,5�;1ot'j i� ��f -r 'aj!TTTIt�jy r u t M:j t fl'tiMa 1s6ir Vdtt {pJ ' v*4e dil;' i J33ZI18 NlS•s "V3 9198 r s��wwvstawif�l so'. Atr,► >io aoN"faao • Tun as u=rl i {j ;V1WINt Afo1 XAV" AO sMV1 'AMC Nn aaast91031a Ali d+hn,yxR y'+' C If"', rt t t 1 t'} ; 5li w rr , t �+ 7•€Y:iG aox3Aans oNv ext � � �• Z1a1a.h .. .. .. 3i�' N OISN OVI' 1,2 or CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 990( &I)0e_A 6 V a 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 () No Type $ 7.00 27 0 0 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 qqZ_ $ 7.00 $ 7.00 $10.00 Owner $ 7.00 $10.00 Building Used As $10.00 /O • $10.00 Estimated Cost ��®PERMIT NO. / C� $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE s-1-2, -0 PLUMBING COMPA SIGNED BY TEL N0. SW Approved ByRough-In Date Final Date D' I %� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Yuatr Ip . urinalu 581: :. Shower o <W h as ''> Tr a ....... . y Floor Drfrtit,...: oo `:'` a ...Via..,.:, :.. Dr in >: :>; .::. BSS � :. A uto W sh r a e .::::.:. '`' < i. 'App..::::.. Gas a Ran g a N�C�::::. W rH r ate eats Stories :` `''` `><' Fief., EI Gas ec Basement Floor 1 r Floor 2 FI r 00 3 FI r 4 00 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 990( &I)0e_A 6 V a 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 () No Type $ 7.00 27 0 0 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 qqZ_ $ 7.00 $ 7.00 $10.00 Owner $ 7.00 $10.00 Building Used As $10.00 /O • $10.00 Estimated Cost ��®PERMIT NO. / C� $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE s-1-2, -0 PLUMBING COMPA SIGNED BY TEL N0. SW Approved ByRough-In Date Final Date D' I %� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE l,,I I T VI- r-MIULCT IIUN UIV. 6431 University Ave NE Fridley, MN 55432 572-3604 trtective cin January i, i yy3 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE 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 I TypeWJL�kl %ZOaT .$5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance State Surcharge TOTAL JOBADDRESS qqq R)&Ra 0 Z DefoE_ The undersigned hereby makes application for a perm it 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. usr 9 199 Owner ►�1 ��, e�ES o�J Building Used As il)V0 Et --ill ti%& Estimated Cost _ PLUMBING COMP SIGNED BY., Approved By -4 $ .50 PERMIT NO, /// %_3 Rough—In Date TEL N0. 5"71 YIP J0 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ l-��Sb PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH Fi nnR Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $7. 00 5- C The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin Rain Water Leader $ 7.00 $ 7.00 J� `/ (" .1996 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner f'off Zeez'C.i ZW- ,5a -o Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost i PERMIT NO. Back Flow Preventer Required ( )Yes () No Type ��� -A%6 $15.00 PLUMBIN CO ANY °✓ J�jQ� . Reinspection Fee $42.00/Hr SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% Value Fixture Appliance ©� of of or Approved By Rough—In Date ' Final Date State Surcharge $ .50 �" �-S-D MINIMUM FE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ o PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. suedEcr I' PE City of Fridley � � � � AT THE TOP OF THE TWINS BUILDING P E R M I T � r RE � • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. —7-7-7 r PROTECTIVE 7-7-7 �'--1 CITY HALL FRIDLEY 55432 1'j NUMBER REV D AE/18�96 LF PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 999 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 1 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Aileen Tor eson 999 Pandora Drive NE 571-4980 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Bathroom remodeling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan 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 $10'000 $r.00 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- STRUCTIONSc OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $177.25 ATUR E OF CONTRACTOR OAUTHORIZED AGENT IDATEI F41S.GNATURE WHEN PROPERL VALIDATED THIS IS YOUR PERMIT v ✓ A' BL INS s�1 DAT OF OWNER iiF OWNER BU DERi IDATEI NEW ADDN [ ] �` CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: � `y Legal Description: Owner Name &Address: L1 Tel. # Contractor: �' 4 F !� � �' � �N�";� �'� �,� MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:,�7�cEt"�rlo'i �(�M�a���/a?�i //�'S%ai�iv;'f.�L �s✓/ti"e� ��iA,t> Comer Lot kj Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ?C 'u io Estimated Cost: $ Z�2 -Q 0, Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 41-0 ,! ,� APPLICANT: ) ` ,.> �':! �, �;� Tel. # Permit Fee Fire Surcharge $ &9'. 06 State Surcharge $ S-"60 SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ / 7 7•c�5' 10110MI y=06=3 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,00 Valuation $900 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 P IT O. City of Fridley 4 4 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir L � COMMUNITY DEVELOPMENT DIV. _____ r PROTECTIVE INSPECTION SEC. � � , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/1/96 JOB ADDRESS 999Pandora Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alleen Torgesan, 999 Pandora Drive, Fridley, MN 55432 571-4980 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renewal by Anderson, 1700 Buerkle, White Bear Lake 55110 430-7255 20040630 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 8 DESCRIBE WORK Replace window into existing space. 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. 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 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 $1,600.00 $ .80 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- $51.25 Fire SC $1.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $58.65 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY IDATED THIS IS YOUR PERMIT BL(5G7, NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI ITY OF FRIDLEY NEW t ] ADT)N [ ] ALTER [ ] TEL: 612-571-1287 Mar 20,96 9:48 No.001 P.01/02 Effective 3/1/96 CITY OF FRIDIXY SINGLE FAMILY AND DUPI-RXES R-1 AND R-2 Building. Permit. Application ConstructionAddrew: qi9 71 linei& 27PJ'.(,e-� Legal Description: Owner Name & Address: I e -r -0i (� CZt � i�► 999 �6MW_Tel. # S tel' 1 - 4q 8® Contractor. -Q PA ®--)Pa- Ott'S-an MN LICENSE # ,;koo - Address: I `�/l J �rlP_i2.1� t� e 1 J l �'S l l ® Tel. # 450 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlMWROVEMENT LIMG AREA: Length Width Height Sq. Ft. GARAGF, AREA: Length ^ WidthHeight Sq. Ft. _ DECK ARRA: Length Width _ Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: _ Estimated Cost: $_ ©o Approx. Completion Date: —� i� �� (Cost_. on. Back) Driveway Curb Cut Width Needed: Ft. +-6 Ft Ft x $ =$ DATE: APPLICANT:. - Tel. 4 9sq- Z F _ CITY USE ONLY Permit Fee $ 2� FCC Schedule on Reverse Side Fire Surcharge $ %. .001 of Pennit Valuation (1/10th%) State Surcharge $_ e $.50/$1,000 Valuation SAC Charge $ . $900 per SAC Unit I.1eense Surcharge $ e ` $5.00 (State Licensed Residential .Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" .Above Erosion Control $ $450.00 Conservation Plan Rcvicw Park Fee $ Fee Determined by Engineering - Sewer Main Charge $ Agreement Necessary [ j Not Necessary [ ] TOTAL $� STIPULATIONS: SUBJECT P City of Fridley 2 6 0 5 2 AT THE TOP OF THE TWINS BUILDING PERMIT � � RECET NO. _ COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. p l/ oI tiIL NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 j 612-571-3450 910-F15 5/13/98 JOB ADDRESS 999 Pandora Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Aileen Torgeson 999 Pandora Drive NE 571-4980 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 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 8 DESCRIBE WORK Construct a 15' x 18' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING SEPARATE PERM" REQUIRM Before digging call for WIRING, HEATING, PLUMBING A D� SIGNS. all utility locations . 454-0002 SQUIRED 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,421 $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- Fire$2.42 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $74.75 /$C PLAN CHECK FEE TOTA F E $ .38 slTURE OF CONT CTO AUTHORIZED AGENT ATEi dr�WIEN PoloP ALIDAT IS IS YOUR PER T t BLQ% NSP )ATE SIGNATURE OF OWNS dF O ER SUILDERI IDA NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 "� BUILDING PERMIT APPLICATION J� ConstructionAddress: '?�i le�,qA) DoP—A De- 1 ✓ E- re &(-c l X&oa- Legal Description: B( -Or- )k- 3 R4001' -'V ! Ecj /� ?I e Owner Name & Address: AZG� AJ "/o.9C�;o� - .�AM� Tel. # Contractor: �; 6 L 9 MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length /-5- Width i? Hgt/Ground 2' Sq. Ft. a % y, X 1 � OTHER: 12/,. % Construction Type: % Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: �= g. APPLICANT: Tel. # Permit Fee $ -7Y Fire Surcharge $ State Surcharge $ % Z SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $' "SY Or= 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 [ ] t a 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 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. 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 the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. SUBJECT P City of Fridley 2 6 7 0 5 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ���r E � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 58432 L 612-571-3450 910-F15 7/16/98 JOB ADDRESS 999 Pandora Drive 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 14 3 BrookvieTerrace--2nd SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Aileen Tor eson 571-4980 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renewal by Andersen 350 73rd Ave Fridley MN 55432 502-4777 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 CX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 1 window in home with a complete new window in existing opening. 9 CHANGE OF USE FROM TO STIPULATION S Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,018 .51 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. $37.50 Fire SC $1.02 PLAN CHECK FEE TOTAL FEE License SC $5.02 1$44.03 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN ALIDATED THIS IS YOUR EEERoMIT /PPPRgOsPERL �7/' f s QLD INSP �P A GATE _ SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ J Effective 1/1/98 ADDN [ ] CITY -OF FRIDLEY ALTER [� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 9 � q Legal Description: Owner Name & Address: Aileen 16cge-saV1 a 9 Pandora ra %)r . Tel. # 5'71 Ll 9 � 0 Contractor: ��N12 MN LICENSE # a0 0 LI 06 30 Address: 3sz� - i 3 �.� . C'��P c� rS-S-Y �- Tel. # 5n a -y 7 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 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �o n l aro _ T _i, , ; r,�ni. -) , v% G, �/ .6 , - ,1,44 'n ,.., A^ „ /L', J, (,7 'rr)6t0LD W t2 ( (!& Construction Type: I UO Estimated Cost: U�j (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: d1ZTel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ Fee Schedule on Reverse Side _�'0 x9exf zxj- .001 of Permit Valuation (1/10th%)G9J� L 3 AW $ $.50/$1,000 Valuation $ $1000 per SAC Unit $ �ka `� $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 [ J D>� 7�_97 NEW it ADDN [] ALTER [ ] Construction Address: Aq CITY OF FRIDLEY tnective 4/1ILUU4 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMITAPPLICATION®©i07 / Legal Description: Owner Name & Address — Tel. # 7 -� `� o) Contractor. _ MN LICENSE # 'd,0 ® clZ q l NORTHERN CREST, INC. Tel. # r/4 -R � 6 Address: 7401 Central Ave. NE Fridley, MN 55432-3571 /` uju, w Lee,. ,,Plication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale., DESCRIPTION OF IMPROVEMENT ' LMNG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 5'--o-os- APPLICANT: Tel. # �' 7 -'q�Gy Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ J TOTAL $ L�I�.BJr STIPULATIONS: