PRE 2010 DOCSCity of Fridley, Minn.
BU"ING PERMIT N® 3116
Date:. ........................
Owner . h'� .. r�?��...... Builder.
/. .. ...........
Address ..� �.. .... .. ... .. Address ..... �. �.�..% !. .., ...... .
LOCATION OF BUILDING
No. AR Y'.... Street ... Ve.... ...... .............. Part of Lot ...............................
Lot ............ Block ................ Addition or Sub -Division ...... .
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard . .. .. ..........
DESCRIPTION OF BUILDING
To PT Used as-
... Front .� ...... Depth .��..` Height/ Sq. Ft. .047?cu. Ft. ........
Fron ........ Depth......
e Height ...... Sq. Ft. ........ Cu. Ft. .....
Type of Construction . .............. Est. �®.`To be Completed ... �"'a?�•
In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with _all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $.. ®�.., permit is hereby,
......................... 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 .with-
in the city limits and this permit may be revoked at any time upon violation of q.pf the provisions of said
ordinances.
NOTICE:
04
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gaeating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items..
I
"� 4VM,E�'L� I��n l� �..,
WA. 6-2656
WA. 6.2656
cvMaFR Ki�v� ca.
King Size Values in Pre -Cut -or
Custom Built Quality Garages
4047 VINCENT AVENUE SOUTH
MINNEAPOLIS 10, MINNESOTA
THE WINNER IN THOMPSON PARK
Dear Home Owner:
More people in Thompson Park own Lumber King garages than
any other kind.
Lumber King garages are so popular because:
* Lumber King gives you the bestarage at budget prices.
* Precision Cut (for you to build or Custom Built.
* Take 5 years to pay with nothing down.
* Delay your first payment to your convenience.
See for yourself --then call WA. 6-2656 for an appointment.
Lumber King garages in Thompson Park are located at:
NORTHDALE BLVD. 621 631
115TH NW 610 620 630 640
ILEX 11820
JUNIPER 11500 11771 11880
KUMQUAT 11321 11521 11530 11661 11681 11741 11881
LARCH 11530 11551 11611 11651 11740 11840 11916
MAGNOLIA 11521 11832 11833
NORWAY 11530
Phone us TODAY for the best deal on a Lumber King garage.
Just dial Wa. 6-2656 and a garage consultant will call at
your home day or night with pictures and prices-- and with
r no obligation to you.
ORDER NOW AND SAVE $$$ WA. 6-2656
city 1Fridley,Minn.
l t 1
Date:
Owner: .�r.I,a�,• l�Jf /..J .d .mss L .l .I _ b . ♦. ...A.r�WarAddress Address
LOCATION.: OF UILDING
No. Street f sr _ _ . PF 11
Lot
Lot `_ Block Addition or Su cn��'�
Corner Lot , Inside LotSetback Sideyardi
Sewer Elevation Elevation
DESCRIPTION ; OF BUILDING
To Used
Front Depth 49t= Height . Sq. Ft. Cu. Ft.
Depth Height_ Sq. F't. Cup Ft.
Type of Construction ` Est _ __ To be Completed
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 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 resp¢cts 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 apy of the provisions of said
ordinances. �'`�, �s J
NOTICE:
'lois porn* don not osww the soashusHon, butsRdion for whing, plumbing, ga., heaftg, saret or crow. Be sun to an
the Building hupeetor for separate pera is for thea home.
k
OWNER ° S ITAME k o
APPLICATION FOR BUT.LDING PERMIT
.CITY OF FRIDLEY, MINNESOTA
-F- -S r-
ADDRESS.1-24 Z3 ' �, �, � � ADDRESS / 7 9 -Lee-z LZ ✓ � ���_
LOCATION OF BUILDING
No. Street �� �g y� Part of Lot
Lot Block Additiou,or Subdivision
Corner Lot" Inside Lot Setback
SEWER ELEVATION
Side -Yard
FOUNDATION ELEVATION
Applicant attach to this form Two, Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as:
"., = Ge Front �Depth / Y Height
Sq. Ft. Cu. Ft. / C 0 U
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction ate_ �� -.0- Estimated Cost
To be Completed_ % & c a
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
STONATTME
(Schedule of Fee Costs can be found on the Reverse Side).
.C, - If
City of Fridley, Minn.. N° 10055
BUILDING PERMIT
Date: Dec. 9, 1968
owner: _ Robert Sapkaz Bider Chuck's Coast. CQ
Address 124 Panorama Address 3800 Hayes St. N. E.
No. 124 Street
LOCATION OF BUILDING
Panorama — Part of Lot
Lot 3 __ Block - 2 Addition or Sub -Division __.___ Car s on's Summit Manor Sayth Addn .
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation _____ _ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Alterations (Dormerkront 29' Depth 161 Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost _ $3,000 _ To be Completed
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 se forth and incomce with all provisions of
ordinances of the city of Fridley. �'r� �i
In consideration of the payment of a fee of $ 15.90 ., permit is hereby granted to Chuch's Coast. 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, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city 11m1ts and this permit may be revoked at any time upon violation of provisipns of said
ordinances.
L
Or
arence Belisle
NOTICE:
Tbb permit doer not saver the construction, tmlallaMon for wiring, plumbing, gas hea&& sewer er water. Be sure to as
the Building Inspector for separate permits for these Items.
OWNER 'S
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
ON OF BUILDING
N0. a q STREET
LOT BLOCK ADDITION OR SUBDIVISION
CORO'ER LOT INSIDE LOT SETBACK SIDEYARD
SLV R ELEVATION TOP OF FOOTING
Applicant attach to this form Two Certificates of Survey of Lot and
proposed building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To BQ Used As:CuAl'a'�� do 03'
Front Depth Height
Square feet Cubic Feet
Front Depth Height
Square feet
Type of Construction
To Be Completed
Cubic Feet
Estimated Cost 3awa-
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 x%-,Aesertations stated in
this application are true and correct*
DATE ®P� SiG�TATURE
C64�t-p %4' &--00
(Schedule of Fee Costs can be found on the Reverse Side.)
A 4 0?? -1 W5,) 7 /
CW
No*
Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ..........................$10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water ... .... ......... 3.00 $
OIL BURNER—to 3 gal, per hour ......... .............. 6.00 $
over 3 gal, per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) ....................... 5.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x$ 2.00 $
Additional Fixtures ................. x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
R
See Fee Schedule
TOTAL FEE $
Dept. of Bldge.�Phhone 560-3450
Location
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir.
specified, agreeing to do all work in strict accordance with the City Ordinance*
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn_ 19�
Owner
Kind of
Used as
Tobec
Estimated Cost, $/9 "
New. Building Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name � �✓ �/ Size No--
Capacity. Sq. Ft. E.D.R BTU d`CiD 4r -.P.
Total Connected Load Kind of Fu I.. ao�
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
Signed
AV
41�42 Business Phone No
City of Fridley
Application for Plumbing and Gas Wng Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location 124 Panorama Avenue
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WW,
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CSO
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WATER HTR.
GAS
ELEG
Base
1st
2nd
X
3rd
4th
• Future Connection Openings
* New Fixture, Old Openings
I
Connected with
Sewer E]
Cesspool 0
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ....... .............. 3 x $2.00 $ 6.00
Future Fixture Opening ................. x $1.50 $
New Fixture Old Opening .............. x $1.50 $
Catch Basin ...... I .................... x $3.25 $
Water Heater (Up to 99,bW BTU) ...... x $3.00 $
New Ground Run Old Bldg. ............ x $3.25 $
Electric Water Heater z $2,00 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures ........................... x $2.00 $
Additional Fixtures .................... x $ .75 $
Gas Range to 199,000 BTU .............. x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $-2a • U o
City of Fridley:
. The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn Dec. 18,
Owner Mr. Sankey
Kind of Building Fry ms
Used as Thur e 1 1 i ng
To be completed about .T 9
Estimated Cost, $i%00 m 00
Old—New. Building Permit No Permit No.�
GENERAL PLUMBING Wi�G-
7719 - W. 22nd St. Z)
St. Louis Pari( 26, Minn. Business Phone
ROUGH
FINAL
Original
PERMIT for Power flants and Ideating, Cool-
ing, Ventilation, Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No, of Heating Plants to be installed--altered—repaired
Make 5n aA-7-� 152 , Size W.,4_
Oil fired—, Coal fired ; Gas fired ; Gas Authorization No.
Remarks
Approved by
Final Inspection Date , 19_
Inspector
Permit
Fee $ 7. fit,
I& -;O�- !��71��
N° 4363
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. , 19.E
Owner 4A Location
Location l.Q � e
Kind of Buildi .
How Occupied
Work to be Commenced—, 19—
To be Completed ,19_
Estimated Cost, $ 5� cv . «.
Old -New, Building Permit
d
Permission is hereby granted to _& t r to install—erect—use the material and devices described in the
above statement. This permit is granted upon Ache express condition that the persgli to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specific ' ns set forth in the approved application for this
permit on file in the office of the Inspector of Buildings.
Inspector of Buildings
.Q5D.42 2M 11-67 V
53-81-5-915.51
City of Fridley buO�ECT
AT THE TOP OF WE TM11Nb
r
� •
PLUMBING PERMIT APPLICATION
�L-------; COMMUNITY DEVELOPMENT DIV.
MOTECT1V9 wsPECTHM DEPT,
1
CITY MALL FRIM9V Db*✓:
NUMBEII REv. DATE P"E OF • OV D BY
- 0 2 15 3 1 1 800
Job Address
124 N. E. Panorama Ave.
Owner Address one
Robert L. Sankey 560-5646
Contractor Address Phone
AAINNEGASCO
z
Kind of Building
Use
Frame
MPLS., MINN.
Res.
Completion
Datestimate Cost
3 -21-7! � .10.00
�� Plumbing Fixture Rates: N0. RATE TOTAL
Number Fixtures x $2.00
Future Fixtures x $1.50
eve
I ! New Fixture -Old Open. x $1.50
I
',ddYl
I I O! Catch Bastn x $3.25
I
9rfl
I I
I
I —� Water Heater -99, 000 BTU x $3.00
,,,�
i
'09INI
I I I
Ground Run Old Bldg. x $3.25
•MNtral
I I
m
Elec. Water Heater
I I^� X $2.00
9Nter9l
I
0
Gas Fitting Fees:
sNtvaa
�Ou,
o
I I
.3 °o
•�
a l 1st 3 Fixtures x $2.00
Iw.d
—+—^
U
�D.g
I saaMONS
I
I I I I Fixtures
i Additional Fix$
.75
n
'1NflOd
I I I I I
b
NNtaa
Gas Range -199,000 BTU x $5.00
N9rM1
a
I
I I I Repairs & Alterations I
See
I I I I Description: install Gas Log Code $5.00
s"N19I
a�
sN19roI
I I I I State Surcharge Class'W Surcharge .50� .50
S I TOTAL FEE $ 5.50
II I
son.L1.5
I I
!The undersigned hereby makes application for a permit
s,rNU1nI
I I I I for the work herein specified, agreeing to do all work
�aesan
in strict accordance with the City Ordinances and ruling
astrM
I of the Department of Buildings, and hereby declare that
all'the facts and representations stated in this
application are true and correct.
c�
-signature Date
9
SUBJECT
PER
City of Fridley
12535
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
CEIPT NO
_ COMMUNITY DEVELOPMENT DIV.
L PROTECTIVE INSPECTION SEC.
'71��
1 !---1 CITY HALL FRIDLEY 55432
• •-'
NUMBER
I REV. I
DATE
PAGE OF
APPROVED BY
----�
612-560-3450
910-F15
5/10/74
JOB ADDRESS, 24 Panorama
JLOT
1 LEGAL
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
1
Carlson' s Summit Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Sanky 124 Panorama
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
Inclose a X 12' x 12' porch
9 CHANGE OF USE FROM TO
STIPULATIONS
1. 42" frost footings
,: )ZRATE i E'LWJIT6 REQUIRED-FOR WIRINCh
HEATING, PLUMBING AND SIGNI
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
frame
VENTILATING OR AIR CONDITIONING.
wood
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
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
$1500
75
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-
$9.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
9.75
SI NATUR OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
- HEN PROPE LY VALIDATED THIS IS YOUR PERMIT'
r y 16-7Y
? �/U %,
SIGNATURE OF OW IIF OWNER BUILDER) (DATE)
BLDG. INSP DATE
APPLICATION FOR RESIDENTIAL, AI;TERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME • /e b % f/LT S,,i /� y BUILDER:
ADDRESS:- /. 2 �" /0 ADDRESS:
NO:. �o'Z� STREET: //"yo/l'./7i�
LOT: S BLOCK: Z ADDITION: Ci�ro•J Ju.��.,,� /%%�
CORNER LOT: INSIDE LOT: V SETBACK: 3 5 SIDEYARD: /2-6
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:
A/cLosr ront : 17- Depth: 17- Height:
Square Feet: Cubic Feet:
Front: Depth:
Square Feet; Cubic Feet:
.Height:
Type of Construction:MAP-* �',Q,o.�, � Estimated Cost: $ /-b0 :2
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: ��''71/ SIGNATURE :
(See Reverse Side For Additional Information.)
moi'
JI
JI
SUBJECT
ER
P®
Cit y of Fridle y
13 15
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEI
COMMUNITY DEVELOPMENT DIV.
L PROTECTIVE INSPECTION SEC.
1 �
1 i
= CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
---- �'' 612-560-3450
910-F15
111/21/75
JOB ADDRESS 124 Panorama Avenue
1 LEGAL
L NO.
B CK
TRACTEQRAq DITIOI� SEE ATTACHED
l.ar I SOn S Summit Manor South
DESCR.
SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Robert Sankey 124 Panorama Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
North Central 7401 42nd Avenue North
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
A reside house and garage with steel siding and aluminum soffit
9 CHANGEOFUSEFROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
steel
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
1 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
$3600.
1.8
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-
21.60
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
f r
23.40
Sk4NATUREP.7CONTRACTORORAUTHORIZED AGENT (DATE)
IEN PROPERLY VADATED THIS IS YOUR PERMIT
w
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
BLDG. INSP DATE '•
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: erT S ayll e y -BUILDER: lVo'" T4 Ce0j Tj-r c__) j
I
ADDRESS: f'a�`/ /�N�r�,�-,a f-�u2 ADDRESS: ?4{6(� Y�4y&__ /tOb
NO:. STREET:
LOT: 3 BLOCK: Z_ ADDITION: C,a � j g oa 5�,�-„•,, ! f `�sary ®- 5
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach .'o 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:
Square Feet: Cubic Feet:
Front: Depih:
Square Feet; Cubic Feet:
Height:
Type of Construction: PWc( Estimated Cost: $ S600
se/a'dz ea
To Be Completed: /-/-?l
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: //- a 1- 7"57 SIGNATURE : g J
(See Reverse Side For Additional Information.)
' J
S
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
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Water
Heater
as
lec
x
$7.00
New Ground Run Old Building
x
$5.00
Electric Water Heater
x
$5.00
GAS FITTING FEES:
1st 3 fixtures
x
"$3.00
Additional Fixtures
x
$1.00
Gas Range to 199,000 BTU
1st
$10.00
REPAIRS $ ALTERATIONS
First $100.00
$5.00
each add. $100.00 or fraction
$2.00
J
State Surcharge
TOTAL FEE
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
Number Fixtures
x
$3.00
Future Fixture Opening
x
$2.00
New Fixture, Old Opening
x
$2.00
Catch Basin
x
$5.00
Water Heater - to 99,000 BTU
x
$5.00
100,000 BTU to 199,000 BTU
x
$10.00
Water Softener
x
$7.00
New Ground Run Old Building
x
$5.00
Electric Water Heater
x
$5.00
GAS FITTING FEES:
1st 3 fixtures
x
"$3.00
Additional Fixtures
x
$1.00
Gas Range to 199,000 BTU
x
$10.00
REPAIRS $ ALTERATIONS
First $100.00
$5.00
each add. $100.00 or fraction
$2.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($10.00)
TOTAL
Job Address �� L/ �� M C--"� GL,titiuQ�
Department of Buildings
City of Fridley
Tel. #571-3450
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 Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
`Fridley, 14n. �-`i , 1977
OWNER /� - �Cf
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company az �r _
Signed By V -
Tel. No. ZI 2 ( S
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
sueaEcr
PERMIT NO.
City of Fridley
14745
AT THE TOP OF THE TWINS
BUILDING P E R
r
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 ; �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
812-560-3450
910-F15
6/12/78
JOB ADDRESS 124 Panorama Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
2
Carlson 1 s Summit Manor South
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Robert L. Sankey 124 Panorama. Avenue
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
All Style Builders & Remodelers. Inc. 1384 - 109th Avenue N.E. 755-3607
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑j ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house
9 CHANGE OF USE FROM TO
STIPULATIONS
Install ridged galvanized valleys. Roof can be second but not
third roof.
gF,pLRATT PERMITS REQUIRED FOR WIRING.
HEATING PLUMBING ANO SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Asphalt
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
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.
$2356
$1•.17
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-
$15.00
STRUCTION OR THE PERFORMA CE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$16..17
SIGN UREO CDNTRACTORORAUTHORIZEDAGENT AATEI
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
-�
IBLDG iNSP
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
• CITY OF FRIDLEY ,
APPLICATION FOR RESIDENTIAL BUILDING PEIMITS
MEW, ALTERATION,), ADD IT10(dS, OR REPAIRS)
OWNER: T L �AtJk-" AUILDER:
Address: � _LEI rp Address: /3jj /7 �fj✓� dE' %� d�ii+sv S �";�
Tel. No.'6®7
Mo. :_[�� Street:
LOT: ?3I,6CY.: ADDITION: PSA .Q �(Ty -Qj &Ly? Cv �cU_
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach to this form 'A-io Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
s
DESCR<I PTION OF BUI LDI.NG
To Be Used As:
�Ub�JuS Fxont: Depth: Height: _
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
n �
Type of Construction: C�J-17 Estimated Cost: $
To Be Completed: � � Alt. A Alt. B
Praposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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- See reverse side f r additional information.
t
DATE: SIGNIVruR ;:
Stipulations:
/, �/ . " / ��77
- 4 A I "J%A L I ONS
riric iloo.0
Asch ►cd. $100.00 or fraction
S.tAte Surcharge
TOTkL FEE
$5,00 $
$1,00 $ ��
$ .:0
8.00
160 1
Job 1lddroee 97- 5
124—panorama-Ave.
Department of Buildings
City of Fridlay I
Tal, 1571-3450
,
Tl%o undersigned hereby makes applioation for Permit for the w
epoeifled agruoing-to do all work in strict Accordance with the C
and rulings of the Department of Buildinge, and horaby doclarae c
tho faocr and roprgeuntationt stated in thle application aro trio
Fridley. M.1, 1-12-78
OWNER ROBERT SANKEY
KIND ON BUILDING fr,"m
USED AS res.
TO BE C014PLETED ABOUT 1.-20-78 r
ESTIMATED COST 20.00 ,
OLD - INI:W BUILDIIIG PERMIT NO.,--_rE[PITT 110.
Company
Signed Dy' PASCO'
Tol, No,
ROUGII INSP. '
DAta
FIFIJL INSF, ?-1'7^-ice ,
Data '
APPROVAL FOR PERMIT
MINIMUM YEE FOR ANY PLUKBING PERMIT 19 17,50
•PARTIAL RATE SCHEDULE
w
t; c0
.�
PLUMING FIXTURE RATES; NO.
U
.
TOTAL
u
K
Nator
a s
l e t
>i
$2.00
$ ~�-
New Fixture, O1d'Opaning
x
$2.00
$
C.scch 5121n • �+
x
$5,00
$
%.witor Hoarser - t4 99,000 BTU,-'
x
$5..00
$
^_-
100;000 OTU to 199,000 BTU
x
$10,00
$
Nater softener
ran
7e ,
ep
ace
en
;5.00
$
Llaectic Niter Heater -
x
$5,00
$
CAS FITTING FEESt '
lit ] fixture•
x
$3,00
$
kidicicaal Tixturae "-x
$1600
��
$
.CAI Rin96 to 199,000 BTU
x
$10,00
��
$
REPAIRS L
•
'utura Connection Opening
lav Fixture, Old Oponing
Connoccod with Suver
Natur
- 4 A I "J%A L I ONS
riric iloo.0
Asch ►cd. $100.00 or fraction
S.tAte Surcharge
TOTkL FEE
$5,00 $
$1,00 $ ��
$ .:0
8.00
160 1
Job 1lddroee 97- 5
124—panorama-Ave.
Department of Buildings
City of Fridlay I
Tal, 1571-3450
,
Tl%o undersigned hereby makes applioation for Permit for the w
epoeifled agruoing-to do all work in strict Accordance with the C
and rulings of the Department of Buildinge, and horaby doclarae c
tho faocr and roprgeuntationt stated in thle application aro trio
Fridley. M.1, 1-12-78
OWNER ROBERT SANKEY
KIND ON BUILDING fr,"m
USED AS res.
TO BE C014PLETED ABOUT 1.-20-78 r
ESTIMATED COST 20.00 ,
OLD - INI:W BUILDIIIG PERMIT NO.,--_rE[PITT 110.
Company
Signed Dy' PASCO'
Tol, No,
ROUGII INSP. '
DAta
FIFIJL INSF, ?-1'7^-ice ,
Data '
APPROVAL FOR PERMIT
MINIMUM YEE FOR ANY PLUKBING PERMIT 19 17,50
•PARTIAL RATE SCHEDULE
PLUMING FIXTURE RATES; NO.
RATE
TOTAL
Iti.]�r FixCutei •• �-
K
08DO
$`_�
Fu;ura r-ctura Oponing _
>i
$2.00
$ ~�-
New Fixture, O1d'Opaning
x
$2.00
$
C.scch 5121n • �+
x
$5,00
$
%.witor Hoarser - t4 99,000 BTU,-'
x
$5..00
$
^_-
100;000 OTU to 199,000 BTU
x
$10,00
$
Nater softener
' New Ground- 1a.ln Old Building
x
;5.00
$
Llaectic Niter Heater -
x
$5,00
$
CAS FITTING FEESt '
lit ] fixture•
x
$3,00
$
kidicicaal Tixturae "-x
$1600
��
$
.CAI Rin96 to 199,000 BTU
x
$10,00
��
$
REPAIRS L
•
- 4 A I "J%A L I ONS
riric iloo.0
Asch ►cd. $100.00 or fraction
S.tAte Surcharge
TOTkL FEE
$5,00 $
$1,00 $ ��
$ .:0
8.00
160 1
Job 1lddroee 97- 5
124—panorama-Ave.
Department of Buildings
City of Fridlay I
Tal, 1571-3450
,
Tl%o undersigned hereby makes applioation for Permit for the w
epoeifled agruoing-to do all work in strict Accordance with the C
and rulings of the Department of Buildinge, and horaby doclarae c
tho faocr and roprgeuntationt stated in thle application aro trio
Fridley. M.1, 1-12-78
OWNER ROBERT SANKEY
KIND ON BUILDING fr,"m
USED AS res.
TO BE C014PLETED ABOUT 1.-20-78 r
ESTIMATED COST 20.00 ,
OLD - INI:W BUILDIIIG PERMIT NO.,--_rE[PITT 110.
Company
Signed Dy' PASCO'
Tol, No,
ROUGII INSP. '
DAta
FIFIJL INSF, ?-1'7^-ice ,
Data '
APPROVAL FOR PERMIT
MINIMUM YEE FOR ANY PLUKBING PERMIT 19 17,50
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures $ 5.00 $
Future Fixtures $ 3.50 $
Old Opening, New Fixture $ 1.50 $
Beer Dispenser $ 4.00 S
Blow Off Basin $ 5.00 $
Catch Basin $ 5.00 $
Rain Water Leader $ 5.00 $
Hydraulic Valve $ 5.00 $
Sump or Receiving Tank S 5.00 $
Water Treating Appliance $ 7.00 $
Hot Water Heater $ 5.00 $
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $
Back Flow Preventer Required. Yes ( ) No ( )
Type $ 5.00 $
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or Appliance $
Reinspection Fee $ State Surcharge $ .50
($15.00) TOTAL FEE $�(�
Effective Date May 1, 1988
Job Address Qzz ® )/IT I A A
Department of Buildings
City of Fridley
Tel. 11571-3450
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 Department of Buildings, and hereby declares that all
the facts and representations stated in this applica on are true and correct
Fridley, Mn. , 19 V�7
OWNER
e �
KIND OF BUILDING % r.4 ov/ .�
USED AS D () .e / ( • ` h t�
TO BE COMPLETED ABOUT /
ESTIMATED COST `�
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company
1
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
Date c�
APPROVAL FOR PERMIT kt "
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
�x,
b,
Water
41
.$4
m
"yy4 [
w
C
Fu
Heater
to
c
toU
ani
w°
Wg
u
a 3
o
s
lec
1st
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures $ 5.00 $
Future Fixtures $ 3.50 $
Old Opening, New Fixture $ 1.50 $
Beer Dispenser $ 4.00 S
Blow Off Basin $ 5.00 $
Catch Basin $ 5.00 $
Rain Water Leader $ 5.00 $
Hydraulic Valve $ 5.00 $
Sump or Receiving Tank S 5.00 $
Water Treating Appliance $ 7.00 $
Hot Water Heater $ 5.00 $
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $
Back Flow Preventer Required. Yes ( ) No ( )
Type $ 5.00 $
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or Appliance $
Reinspection Fee $ State Surcharge $ .50
($15.00) TOTAL FEE $�(�
Effective Date May 1, 1988
Job Address Qzz ® )/IT I A A
Department of Buildings
City of Fridley
Tel. 11571-3450
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 Department of Buildings, and hereby declares that all
the facts and representations stated in this applica on are true and correct
Fridley, Mn. , 19 V�7
OWNER
e �
KIND OF BUILDING % r.4 ov/ .�
USED AS D () .e / ( • ` h t�
TO BE COMPLETED ABOUT /
ESTIMATED COST `�
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company
1
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
Date c�
APPROVAL FOR PERMIT kt "
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
CITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 �� REFRIGERATION AND AIR CONDITIONING SYSTEMS >AND DEVICES / ,Q
JOB ADDRESS � 7
RATE SCHEDULE
OWNER b® U&) F 6— 9!!�_�-
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner - &o BUILDING USED AS 51W6 L L�
Also Replacement Furnace $ 30.00
(Side Vent - Fill Out Back) ESTIMATED COST PERMIT NO.
Gas Piping (Needed with new furnace, $ 10.00 $
but not replacement) DESCRIPTION OF FURNACE AND OR BURNER
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
$ 10.00 $
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00 $ Trade Name Size No.
�� BTU /�- HP EDR
$ 25.00 $ 2 Fuel Total Connected Load
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS 25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners cannot be placed in a side yard without
written permission from adjoining property owner.
$ .50
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
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are'true and correct.
;s: AP
HEATING ColeV
Signed. I'I/%
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CH WgEY AND STACK VERWICATION
-
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 ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No ( )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes ()
No ( )
8.
Has combustion air been provided for water heater
Yes ()
No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date: