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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. te Datet. �jr�� .............................. Owner . irF.Jr" .. a....... Builder .................. 2149 Address l -0--r Address ...................... . LOCATION OF BUILDING No. .. F` I /........ Street x-:�itarrR °' L V... Part of L ....................... Lot .......# ...... Block .. �P 9 " ........ Addition or Sub -Division' s Of& ............ Corner Lot ............ Insidd Lot ............ Setback .. ..... Sideyard....................... DESCRIPTION OF BUILDING To be Used as: Front j , ... Depth . J,.Ze. Height �! ,` .. Sq. Ft. . V l ...... Cu. Ft......... .................... Front ........ Depth ........ Height ......... Sq. Ft. ..... Cu. Ft. ........ Type of Construction . sash Est. Cost 'ff VW..4 ....... To be Competed 1-4 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'and in co ordinances of the village of Fridley. „en eo ideration of the payment of a fee of $... �' . , permit is ereby granted to +'..... to construct the building4g�addition as escribed above. Th Joe&ress con tion that the person to whom it is granted and his agents, employees done in, around and upon said building, or any part thereof, shall conform in all respe Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and in the village limits and this permit may be revoked at any time upon violation of any ordinances. a- I ..e le At NOTICE: This permit does not cover the construction, Installation or alteration for wiring, sewer or water. Be sure to see the Building Inspector for separate permits for these I above, I agree to do with all provisions of Wmit is granted upon workmen, in all work to the ordinances of ring of buildings with - the provisions of said P. Building Inspector Ing, gas heating, AK V I U L. GAS LUN d AGN INC. 3200 FRANCE AVE. SO. 3rd. STREET CLEARVIEW STREET N. E. ' w z w 01 SUBJECT P IT City of Fridley 15 615 AT THE TOP OF THE TWINS BUILDING PERMIT _ f CEIPT NO. � ______ COMMUNITY DEVELOPMENT DIV. v -70 r I PROTECTIVE INSPECTION SEC. Q i I , "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY I.J 612-571-3450 910-F15 2/27/80 JOB ADDRESS 187 Panorama. Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 5 Carlson's Su mit Manor South Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Tomato 187 Panorama. Avenue N.E. 561-4246 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings 6331 Riverview Terrace N.E. 574-9966 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 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof and Reside structure 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 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 $3,200 $1.60 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- $21.00 STRUCTION OR THE PERFORMANCE F CONSTRUCTION. %J PLAN CHECK FEE TOTAL FEE UJ,/% /fir $22.60 SIGNATURE OF CONTRAC&A OR AUTHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: BUILDER:, ADDRESS: ADDRESS: G•� TEL NO: •A Y TEL NO: S' 7 y — 9 Construction Location STRUT NO: STREET: LOT:'' BLOCK: ADDITION: / Jj SU yu -5 *4, r M AA,;,; R S Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Square.Feet: Front: Depth: Height: Cubic Feet: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed 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 rrect. DATE: ; r/ SIGNATURE: Stipulations: r SUBJECT PERMIT iT.'r City of Fridley 2 7 5 3 8 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. / r PROTECTIVE INSPECTION SEC.16 4 1 � NUMBER REV DATE PAGE OF APPROVED BY = I 1 CITY HALL FRIDLEY 55432 I'J 612-571-3450 910415 9/3/98 10B ADDRESS 187 Panorama NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 5 Summit Manor_South SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Tomala572-9716 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Viking Home Im r -189() 4779 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 X4p REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 17 SO Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlaymen¢t must comply with the State Building Code. 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 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 1456 .73 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, $48.50 Fire SC $1.46 PLAN CHECK FEE TOTAL FEE License SC 5. 0 1155.69 SIG A URE v 66INT,RAC?O OR AUT GRIZEDAGENT IDAT I WHEN PROPEPnffl VA IDATED THIS IS YOUR PERMIT BL G INSP �" OATE S,GNATURE OF OWNER OF 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 ConstructionAddress: /97 A4,0 006+01-4 Legal Description: Owner Name & Address: To X4/,1 Tel. # jrra—Im( Contractor: 4/ x i� /W A, - --' . MN LICENSE # t,/ 7 7 Z Address: "j a, A k' 'Sn ,cJ r,� > Tel. # cM -rfr a -o 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:%2 Z7 Estimated Cost: $ /7 g& (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: - Tel. #,572— /920 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ LIS-, Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: I 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 [ ] l Su9jECT PE City of Fridley 1054 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 733 r PROTECTIVE 1 � � NUMOEN REV DATE PAGE of APPROVED 8Y CITY HALL FRIDLEY 55432 L J` 612-571-3450 910-F15 6/13/00 JOB ADDRESS 187 PANORAMA AVE. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 5 Summit Manor - South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin & Elenore Tomala 187 Panorama Ave. NE 763-572-8716 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite 8400 - 89th Ave. N #460 Brooklyn Park, MN 55445 763-425-2227 20039258 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK 12 Replacement Windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide Smoke Detectors in all sleeping rooms and on levels of the dwelling per Sec. 310.9.1.2 1997 Uniform Building 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 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 rLG. UNITS OFFSTREET PARKING 1 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 $7,673.00 $3.84 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TAL FEE Lice I $ 7$169.76 SIGN A TURE OF CONTRACTOR OR AUTHORIZED AGE NT H N Y VA D TED THIS IS YOUR PERMIT :iDATE, S-GNATURE OF OWNER SIF OWNER BUILDER$ EI DG $NSP, oATE l NEW [) Effectiv 1/1/99 ADDN [ ] CITY, OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION l ConstructionAddress: k$, 1 CL(\ p C CAW\ A -AJt. N E V Legal Description: Owner Name & Address: Marvin t 1 en cr•e. 1 o m c AQ Tel. # 5-7Z -2 -7 1 to Contractor: \wJyr\ myj Lit _ MN LICENSE # 200 SCIZ 5 $ Address: $yoo SSW\ A` e. N. %"4tpo 'grm\A�lrn %rK tAw , t;41Tel. # (731 Li2S -2227 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: �� �Q�p ��K,;f ),' stimated Cost: $ (x75.00 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 5-30-Z000 APPLIC Tel. # —63YI-A-Z.2Z 3' CITY USE ONLY Permit Fee $ 159, d Fee Schedule on Reverse Side Fire Surcharge $ 9, & — .001 of Permit Valuation (1/10th%) State Surcharge $ 3, 1'q- $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 51 60 $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 $ STIONS c1�0!//O�` //fit rrrtVft12?X— 120=Nc- 04wo div ALL N SUBJECT City of Fridley 31760 ' AT THE TOP OF THE TWINS BUILDING PERMIT r _ COMMUNITY DEVELOPMENT DIV. �0® RECEIPT NO. r PROTECTIVE INSPECTION SEC. 1 � 1 ; � CITY HALL FRIDLEY 55432 �p NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 4/24/01 JOB ADDRESS 187 Panorama Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 5 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin Tomla 187 Panorama Ave NE 763-572-8716 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Above All Roofing 5089 Salem Ln, Greenfield, MN 55357 763-498-8888 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20180384 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION xp REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Garage; Reroof Garage (4 Sq) Tear-off; Replace Garage Door 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap and ice shield inspections before covering. 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @2,209 $1.10 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT W DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. $83.25 Fire SC $2.21 TR CT OR THE PERFOR NCE OF CONSTRUCTION PLAN CHECK FEE TOTA EE Licens $9 .56 TURE OFC 'RACTOR OR AGENT IDATEi ��ii$5.00 ENVO E ALIDAT D HIS IS YO P MIT_/ BLDjr NSp GATE GNATURE OF OW NER„F OWNER BUILDER, (DATE, N NEW [] ADDN [ ] ALTER [ ] Construction Address: Legal Description: Owner Name & Address: Contractor: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 03 Tel. # %l MN LICENSE # Q—W 1 5?�9R _Tel. # 76 3 W Attach to this application, a Certificate of Survey bf the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT f� P Length Width Height /� 9Sq. Ft. Length Width Heigh,// --Sq. Ft. Width H round Sq. Ft a,q,M ac o -A E&Zsff Estimated Cost: $ Z?o Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: `"� APPLICANT: ��'� Tel. #4 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $-/ .001 of Permit Valuation (1/10th%) State Surcharge $ /. $.50/$1,000 Valuation SAC Charge $ $1150 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 $ %, 67 STIPULATIONS: CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT TOTAL P.01 P LU M BI Nl%Pe�trttif umber RESIDENTIAL APPLICATION Roca" By City of FridleyR�L OD � 2008 NOTE: IF PROPERTY IS NOT OWNERfOCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE YOUR E-"L ADDRESS SITE ADDRESS THE APPLICANT IS: (CIRCLE ONE) OWNER pNTRAC70 NAME —WQrV1K �0`%'1 PROPERTY OWNER/ TENANT ADDRESS c] % �•�lU Y�/l,✓yZ CITY STATE_ PHONE NAMELICENSE # CONTRACTOR ADDRESS CITY mpg -010., ATE t7P,_,_� PHdNE #1-1 llly 0040Z 754F PERMIT TYPE v -:_SINGLE FAMILY TWO FAMILY TCWNHDUSE Q NEW REPLACEMENT TYPE OF WORK DETAILEDNOF WORK , 0­1121? 4-� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SBIKMV —FLOOR DRAINS SirQWER WATER PIPING BATHTUB GAS PIPING (Need City Ueanae) swtellUMG POOL WATER SOF IENBR ($S5) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKPLO1W PRE/. ($15) D1SIf WASHER LAUNDRY TRAY WATER HTR (SM FOR IRRIGATION WATER METER OTHER ® v Permit Few $35 MINIMUM: $18.00 or 3% of cost of the Improvement-whichever is Plan Review $ greater on work less than $300 Surcharge S •80 ` TOTAL DUE S , Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT — NOT VALID UNTIL PROCESSED 1 hereby apply for a plumbing permit and i acknowledge that the information above Is complete and aoourate: that the work will be in conformance vitt► the ordinances and codes of the Clty of Fridley and with the Wrinesote Construction Codes: that I understand this is not a permit but only an application for a permit and vmW is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. NAME OF APPLICANT ( 4� )"— DATE / cJ Please type ar pri t SIGNATURE OF APPLICANT fe, CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT TOTAL P.01