PRE 2010 DOCSBUILDING PERMIT
Village of
Date .... .. ���'.q., ..7 ...........
�f� R
Owner ..
Address.........................................
Fridley, Minn. �? 2549
Builder..................�i.........................
Address................11.........................
LOCATION OF BUILDING
No. ... ..... Street .jad"A
............. Part of L
1' of ......5....... Block ............ dditionor Sub -Di ' ion4
Corner Lot ............ Inside Lot .... Setbacks. K'deyard',
DESCRIPTION OF BUILDING
To be Used as:
.. Front .. Depth .1 .. Height ... Sq. Ft.
I••• ................ Front ........ Depth ..... .Height ......... Sq. Ft.
Type of Construction .. je%$AA%$6,. Est. Cost ........ ('� �.. To be Com
In consideration of the issuance to me of a permit to construct the building
;the proposed work in accordance with the description above set forth aud in cc
ordinances of the village of Fridley.
a+ra0m
`........... ............
............
... ...............
...... Cu. Ft. ........
....... Cu. Ft.........
Meted .. 1., ........ .
above, I agree to do
with all provisions of
. •consideration of the payment of a fee of $.ermit is hereby granted
g ' .. .. to construct the building or addition as described above. permit is anted upon
the res;
con tion that the person to whom it is granted and his agents, employee and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all res ects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair }i
Mimoving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of of the provisions of said
ordinances.
•••.••• .... din
• g Inspector
NOTICE:
This permit does not Craver the construction, Installation or alteration for i
sewer or water. Be sure to see the Building Inspector for separate permits for
plumbing, gas heating,
Items.
City of Fridley
siu��cr
Permit No.
AT TK TOP OP THE TWIN$
i LLU_______,
HEATING•PERMIT
GORlR1UPdIrYDE1/ELOa EMTDtY:
APPLICATION
1 PAOTECTIVS 04w'TCTipai MPT.
CITY MALL PRIDLEY 03,42
R@V,
DATE
RE Qin
APPROVED BY
910-F17A
0
2/15/73
Ll1
800
Sob Addres
Owner1-15
.
Address
Pone
C tractor
Address
Phone
2 0� a o
Kind of Building
- _17�_
Us
LAt:ex�
Completion DateEstimated
Cost
01
7�
�OG5G5 �Z_
aaxbrY vsa s 5vxti,ais:a cvaxi: HAYR; 1'®'B'A3.
Heating/Power Plants
Furnace Shell & Duct Yrork ............ ..s10m
Replacement ®� Furnace Steam Hot Water Warm Air
.. ..... 6.09
Trade Name
Repairs & Alterations—up to ;500.00 6.00
Repairs & Alterations each add. $500.00 3.0(j g__ __.___ _ Size No.
� *�..
Furnace Shell & Duct Work to 130,000 BTU ...... . ..$10.00
each add. 60,000 RTU ............... .... .. 3.UU
Replacement of Furnace 6.00
Repairs & Alterations—up to ;500.00 6,00
Repairs & Alterations each add, $500.00 3.09
STs. iM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. FDR Steam
Furnace Shell & Line --to 640 sq. ft. EDR Hot Water
Each add. 200 sq. ft. EDR Steam
Each add. 320 sq. ft. EDR Hot Water
OIL BURNER—to 3 gal. per hour
over 3 gal. per hour—See Fee Schedule
GAS BURTIER cup to 1E0,= BTU)
over 159.000 U'1°I7 See Foe 9chGdule
GAS FITTING FEES:
1st 3 Fixtures _
Additional Fixtures _
Gas Range to 199.0�?S➢
AIR CONDIT°IOnIU0
FAN r1EATI110 SY07-117M
VEFITILATING SYSTEM
ALTERATIONS fa REPAIRS
ROUGH
rlimAL
Capacity Sq. Ft,
$- EDR BTU Ton.
$ (� Q O Total Connected Load
S Kind of Fuel
$ Burner
Trade Name
;10.00 $
10.00 $_ — Size No.
I
3•m ; -- Capacity Sq.Ftj
3.00 ;
EDR BTU Ton. I
6.00 $ —
5.00 $__15_'._00
NO IRATE TOTAL
_ x$ 200 $� tp o
_ x .75 $
.50 State Surcharge
i�
See Fee Schmdulo
TOTAL 1 =2
SUBJECT
PER NO.
City of Fridley
19069
AT THE TOP OF THE TWINS
BUILDING PERMIT
R
`L �_____ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
1 I
1 "1 CITY HALL FRIDLEY 55432
�.__.11.' �•�
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
7/15/87
JOB ADDRESS 175 Panorama Avenue N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
5 1
CarlsonFs Summit Manor South Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Joanne Gilliver 175 Panorama Avenue N.E. 572-8711
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
E� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Remove existing garage and Construct a 24e x 241 Detached Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway..
SPTE pERMMS REVRED FOR
W11RINC, IAEAUIVG, PLi Ute MUG MD SIGNS. WARNIN'
Before digging catl local utilities
TELEPHONE • ELECTRIC -GAS Etc.
REQUIRED BY LAW
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
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
$8,271
$4.14
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-
$74.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE
TOTALFEE
_
$78.64
SIGNA 11REOFCO ACT0F,;06UT R� DAGENT IDATEI
J
WHEN PROPERLY L DATED THIS IS YOURVPER
�rJ J�1
�IT�
a
iG TURE OF OWNER IIF OWNER BUILDER) (DATE)
BLDG )NSP
NEW
[
] City of Fridley Effective 4/1/86
ADDN.
[
] R-1 AND R-2
ALTER.
[
] Building Permit Application
Construction Address:- Ll PA Vic) Q `�
Legal Description: LoT- S �i`OGI� ,S 4AZlSC�� SLt L "`^.Zj- A►W0T2 ISO'
Owner Name &Address: Yc)lq �- i 1 I I J- _ Tel. # Z- 7
Contractor: SS I Tel. 4
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width j
Length Width
Length - Width
Height
Height AagepX I
Hgt/Ground
Sq. Ft.
Sq. Ft. 5 7 6
Sq. Ft.
Corner Lot [ ] Inside Lot [Vf" Ft. Yd. Setback 5- gzA 2 Side Yard Setback
Type of Construction: Estimated Cost: $ 002'
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width
If New Opening Is
Desired: $
$
See Back Page
for Explanation
DATE: `% —
APPLICANT: "
"
Tel. #7
ITY
USE ONLY
Permit Fee
$ �'.S�
Fee Schedule on Reverse
Side
Plan Check
$
25% of Building Permit
Fee
State Surcharge
$ '�
$•50/$1,000 Valuation
SAC Charge
$
$ 525 per SAC Unit
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
'I
'L
Agreement Necessary [ ]
Not Necessary [ ]
TOTAL
$ �
STIPULATIONS•
rn
rn
b� o \\\ W tea' ;` i ..c• + ,may►
0 E:3
SCALE- Iu=50
CA
N N � ' z '✓ : `I'
..343_.- � ! / Qq �•`•
21 it 1 U B �1 �//�y� `� `i� • �v SS i
Alp.,
,
'^U
fA . h N • • •I �• � P!O l i, l �N � �
to • '' nn T t` / °� L -
r
W p I J,' 103.49 w
to
• � -s I " N o
j
_} �- f ••--d., cn3•--- :ire _.. _6, n_ r {, � G.z
N��o`-0•, •6d•I M
' `<< 6 :� •� � n � 142 m
N i
N
OD
v 19 i i
A _
1 ••.r^ Mfr' , rl/ ,t� �+• i . W N ` �
a`'
N
•cz `r
.A�t 1
•�1/�Ooy u1 7S 75 ` 70
Rq4
�O.te A (A S cc AVE14UE
(-V u� cr kcTu RR--
I
r
e
SUBJECT
City of Fridley
27536
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
EIPT
T_ COMMUNITY DEVELOPMENT DIV.
L
";
r PROTECTIVE INSPECTION SEC. s
NUMBER
REV
DATE
PAGE OF
APPROVED BY
IA CITY HALL FRIDLEY 55432
---- •�
1 „ 612-571-3450
910415
9/3/98
JOB ADDRESS
175 Panorama Ave
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
5
ISM. South
SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
Gilliver
572-8711
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Viking Home Improvement Co. 4832 2 1/2 St HE Xpls MN
55421 572-1820
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 f;k REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 20 S Tear -off; siding
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Call for building wrap inspection before covering.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
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
2114
$1.05
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCT NOR THE PERFqRMAN9E OF CONSTIRUCTION.
$74.75
Fire SC $2.11
PLAN CHECK FEE
TOTAL FEE
g�
License SC $5.00
1$82.91
SIGNAy RE OF CO NT RACT R OR AUTHORIZED AGENT I ATEI
WHEN PROPERLY LIDAT D THIS IS YOUR PERMIT��/fj/®fes
BLD INSP
FATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW _ [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �VP
ConstructionAddress: Ae
–�
Legal Description:
Owner Name & Address: -7 J� /%L Tel. # 7Z 7 I
Contractor: MN LICENSE #_Zi% %
Address:_ Tel. # la' 2–®
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:
Construction Type: +W1',,,-��timated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
CITY -USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
OS
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS: