AF - 45226�
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City of Fridley, 11tinn. N° 8 5 9 3
BUILDING PERMIT
Date: NOVEL!�ER 9, 7,965
°�r: FRAN'G"tS PHELAlQ' B�d� WESTERN CONSTRIICTION COMPANY
,�e,d� 113 Gibraltor Road Ad� 3p'! 7 i.,y,ndale AvenLe __Snuth
Fridley, Minnesota 5542X
LOCATION OF BUILDING
No. I13 S�t � Gibraltor Road N. E. p� oP Lot
Lot _ Block Addition or 3ub-Divisian �
Corner Lot _ 7nside Lot x Setback �_ Sideyard
Sewer IIevation
Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
Det. Garage �t �' Depth 22 Height x0 Sq, Ft, 528 �� 5z280
Front Depth fTefght Sq. Ft Cu. F't.
Type of Construction F�ame �� $1,584 To be Completed
In con�deratlon oP the issuance to me of a perinit to conatruct the buflding descri�d above I agree to do
the proposed arork in accorrlance with the d�scription above set fQqrth and in compliance with a'Ll groviafona oP
or8inances of the dty of Fridley. ��VR��� ���� �
Ia conaideratlon of fhe payment oY a Pee oY � 5.00 ��{t fa hereby granted to �ST�
CONSTRIICTIOLQ C0. to construct the build9ng or additfon as d�cribed above. This �ermit is granted upon
the elcpress conditton that theperson to whom it fs granted and hfs agente, employees and worlmien, 9a all work
done iq around and upan eaid building, or anypart thereoP� shall conforan fn all respects to the ordinances of
Frldley� Minaesota g location, conatruction, alterat4on, maiatenance� repafr and movin� of bufldiugs
within the dty ]imfts�aaad thia permit may be revoked at any time upon violatlon of any ot the provisions oE said
ordinancea
ATT•'H'.'R G. .TLNSEN ��8 ��
ao�c�
'llds p�rmb d� � emra t6� coe�uruaHee, Imtallafioe �e� �rWeO. P��+�6. Ob b�W aw�� ee water. B� an to n�
da Bntidiug le�p�etor [o� apnaM p�rmhs Po� th�a hsm�.
� . - _ - -
AFPLICATION FOR BUTLbING PERMIT
CITY OF FRibLEY� MINNESOTA
OWNER' S NAME i��S%a�i'tot.c.o ���� BUILDER GP/.�o�..�.�� L'��
ADDRESS // ,3 � /�p ADDRESS 3D/7 ��.��� S�
LOCATION OF BU�ILDING .
N0. //� STREET _� pART OF LOT
LOT BLOCR ADDI�"LON OR SiJBDIVISION '
CORNER LOT INSIDE LOT %� SETHACK SIDE YARD �
SEWER ELEGATION FOUNDATION ELEVATIQN
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building locatioa drawn on these Certificates.
DESCRIPTION OF BUII.DING
To be used as;
�Q �,� , Front�Depth��fle3ght
Sq. Ft. � �- � Cu. FC. �^ �'-�' �
Froat Depth Seight
Sq. Ft. Cu. Ft.
Type of Construction 1 Estimated Cost ',��
_� ^
To be completed -r'jp�a��
The undersigned hereby makes application for a permit for the work herein
apecified, agreeing to do a11 work fn strict accordance wieh the City of
Fridley Ordinances and.rulings of the Department of Buildiags, and hereby
declares that a11 the facts and representations stated in this application
are true and correct�
DATE_ e' Go-r, .s— ��� SIGNATURE Gf�.�?�2�°'v (�!/r�/�O� GO
(Schedule of Fee Costs can be found on the Reverse Side).
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BII�DING PERMIT FEE SGHEDULB
3ECTIQN 2. The Inspactor of $uildings s�a11, before�iseuing any permit for
the erection of any building or atructure, or for any addition to anq esiating
building or �tructure, or for any alterations or repaira to any e$isting
building or etructure� upon applicatiau therefore, requi�e the payment by the
applicant �or.such permit of fees 'to the amount hereia below set forth $nd in
the manner herein provided to-wit:
2�1. For aaq such permit for the erection of any fire-proof building,
othei than a garage, warehouBe, factory or grain elevator, or for the ereceion
of any fire-proof addition, for similar occupancy, to any egisting building,
sha11 be at the rate of $1.40 for each oae thousand cubic feet, or fraction
thereof, in such cubical conteata. _
2.2 Eor anx such permit for the erection of aaq fire-prooE garage,.
warehouse, factory or grain elevator, or for the erection of any fire»praof
addition, for similar occupancy, Co any esist3ng building ehall be at the
raee of $1.25 for each one thousand cubic feeC, classified as "fireproof" �
by Section 502 of the Minneapolis Buildiag Cod�.
flOIISES
2,3. For any such permit for the erection of anq non-fireproof
building, other than a garage, wa�eh�ouso; factorq ar �rain elevator, or
any non-fireproof addition, for s�imilar occupancy, to any egisting building -
permit $1.00 for each one thousand cubic feet.
GARAGES
2.4, For amy auch perm�t.t,f�r the erection of,anq non-fireproof garage,
warebouae, factory or grain e�epator, or for the�erection of any non-fire-proof
additioii, for similar occupancy, to any egisting buildiag or for each �u�h
building or addition - ninety centa ($0.90) for each one thous.and cubic feet
or fraction thereof, in the cubical contents�thezeof with the minimum of $4.00.
For the pu�ose of computin� fees for building permits� the cubical contents
of any building or addition to a uaiform hr�ight throughout bq multiplying the
ground area covered from a poinC six (6) inches below-the floor line of t�e
basement or cellar to the aver�ge h��ght of the upper surface or to the average
height of the roof surface of the main gable of a pitched roof.
2,5. For repairs or alterations to an existing st*�u��uxe, the fee shall
be at the rate of $3.00 per each Five Hundred Dollars ($5J�3,GJ) or fraction
thereof in the cost of alI proposed work. .
2.6. Ta no case shall the fee charged for any permit as aet forth in
Section 2 be less Chan $4.00. ,
STORM REPAIR DAMAGE �rFS;
Residential;
Commerc�al;
`,
- r�...
Esti�:.r_ed Cost of work up to $500.00 -$5.�0
Es�i��ed Cost of w��k over YS���:ae4� -$iUo�O
Estim.ated�"�s� of wo�k up fio ;:t!?�6�00 -$10,/�
Estimtsted �.,st of woric t�ir�r $5G'�1. QO - $20. _� �.-�. �,.,,,,.
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SUBJECT NO.
City of Fridley 16 6 4 0
ATTHETOPOFTHETWINS gUILDING PERMIT
r
� � REC _ .
� i y______ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. / �/��
� , �J/
i
l-__- � � ���,,� CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVEO BY
i � � 612-571-3450 910-F15 / /
61582
JOB ADDRESS
113 Gibraltax Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED
DESCR. lcJ 2 Carlson's $13IDl0:l.t M�7.TlOr S011�l �iC�Cl7.'t7.01'� SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Charles Welf 113 Gibraltar Road N.E. 572-8261
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
$3II1�
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSE NO.
8 USE OF BUILDING
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
dd Brick Fro t
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REOUIRED 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 ABANDONEO 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2 OOO yS1..00
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. 32. SO
PLAN pHECK F�EE TOTAL FEE
� �' ' $33. 50
SIGNATUREOFCONTRACTOFOHAUTNOH12EDAGENT �DATEI WHEN PROPER Y VALIDATED THIS IS YOUR PERMIT
� � � �' � � Z (, �2_�
SI ATURE OF OWNER IIF OW VER BUILDERI IDATE) BLDG iNSP pAT
CITY OF FRIDLCY Effective Auq. 1, 1981
APPLIGATI�J �Of� RCSIDCi�TIII� [iU1LQIf1G PLfL'�iITS
(Nc��, Alterations, Additions, or Repairs)
�–
ONlI�ER: ���1 ��� � C � J �` � �—�
ADDRESS: ���� C�i � 6��,� c���`V C.
TEL N0: S% z`� S�. L �
t3UI LOER : \ ���.��'��. �-- .
ADDRCSS:
TEL f�0:
Construction Location
• STRITyT NO: I \ �� STI2EET:
�� 1 I;� Y c� L� c� i't 1�' c� �,
LOT: �� HLOQC: v� ADDITiON :�-�LS U,v` S o.1u.�� m�> // Y l �R ti1 � 2
Corner Lot: Inside 7,ot: ��� �� �
Setback: Sideyards:
Ap�licant attach to tliis form two Certificates of S�rvey of lot and
pzoposed building locatio� drawn on certificates to scale.
OESCRIPTIOfd OF COhJSTP.UCTION
� �C��.�Front: Depth: Height:
�� Squane Feet: C�ibic Feet:
le-c c� Fie ov� I Front: De th:
, p Height:
Squar. e� Fept: A�bic ` Teet:
r�'!�}So�, � -
A � �,
� �� ��� � ��
4j+pe of Cor,structien: Estimated Cost: $�
Rb Be Wr.�pleted: � � � � �- '
! Alt. A Alt. B
Proposed Drive��ay width If New Openinq Is Desired: ��� � $" S
. , SE� JiEVER�E SIDE OF SHEET
�i�e undersic�ned hereb}► mas;e� application for a permit for the �•ork� herein specified,
agreein3 to ao ,all wor;: ir, strict accordancc �rith the City of Fridley Ordinances and
ruliug� of tl�e Department of Buildings, and hereby declares that all the facts and
represr�tations st ted in this application are true and correct.
�
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D.�TE: � _ SI�NATU22E: � �i�(�a L � �-) � ( %,�_- �
Stipulations:
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B�TII,DING PERMIT FEE SCHEDULE
The Inspectoz of buildinqs sha'11, before issuing permits for the
erection of any building or structure, oz for any addition to any
bxisting bu3ldinq or str�cture, or for any alteration or��repairs
to any existing buildinq or structuze, upon application therefore,
sequire the payment by the applicant f or such permit of fees to the
amount herein below set forth and in the manner hezein pronided to-wit:
TOTAL VA1�I7ATION
$1.00 tc $500.00
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
FEES
510.00 Minimum Fee $15.00 plus surcharge
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction tliereof, to and
includinq 52,000
$32.50 for the first $2,000 plus $6.00 for each
additional $�,000 or fraction thereof, to and
including $25,000
$170.50 for tlie first $25,000 plus $4.50 for
each additional $1,000 or fraction thereof, to
ar�d including $50, 000 -
S50,001 to $100,000 $283.00 for the first S50,000 plus
each ac3ditional $1,000 or fraction
and including $100,000
$100, 001 and up $443.00 for the first $100, 000 plus
each additional $1,000 or fraction
PLAN C,HECK: 25 percent of building pezmit fee
$3. 00 for
thereof , to
$2. 50 for
th�reof
DRIV�n1AY DEPRESSION ESQtOW: Concrete GVrb Streets Only
Alternate "A": Removeal and replacement of cvrb and gutter only
Driveway width plus 6 feet x$13.50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot
wide approach with 6 iach depth
Driveway width plus 6 feet x$15.75
VERIFICATION OF FOUNDATION
Pezmits for construction will be issued a minimum cf 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 been constructed will be required beforp proceeding with the framing.
e►• �" �n.r�
sue�ecr RMIT NO.
City of Fridley � � 6 � 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ��
r
; � R O.
� • COMMUNITY DEVELOPMENT DIV.
' j L �"��',
r � � PROTECTIVE INSPECTION SEC. ���� �
' i '
� /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�.---� • •�� 612-571-3450 910-F15 8/23`84 / /
JOB ADDRESS 113 G].�x�l.� �Ad� N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. l�j 2 C�ZSOri� S S11IQID].'t MdT10Z' SOtl'kY�. SHEET
2 PROPERTYOWNER MAILADDRESS ZIP P.HONE
Charles/Pat Welf 113 Gibraltar Road N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
John C. Johnson Builders 21090 S camore, Cedar MN 55011 753-3648
4 ARCHITECTOR DESIGNER MAILADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR � MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Const ct a Ki.tchen Addition ' x 1'6" and reroof Dwellin
8 CHANGE QF USE FROM TO
,STI PU LATIONS
:����� SEPERATE PERi�1T5 R�p�i��� �G� �'!�![��
������ HEATlNC, PLUM31NC� ,AN� �l��'����
�fi��e dt�g�`�g call �0��4 ��e� ��8
ELE�T
� ��.�k������� �� ��
, ����
SEPARATE PERMITS ARE REOUIRED 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 ZpNING S�. 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 $`],�700 y�.SS
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �`2$, OO
ST UCTIO OR TH PERFOR NCE O CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
� �'1 �� $ 7.00 $35.85
SiG TuREOFCO nCro ORAUTHOR12EDAGENT a7E� WHEN PROPERLY LIDATED HIS IS YOUR PERMIT
` r � � �
SIGNATUREOFOWNERtlPOWNERBUILDER� � IDATEI LDG �NSP D E
NEW [ ]
ADDN. [�''1'
pLTER. [ ]
City of Fridley
�R-1 A�D R-2 .
Building Permit Applieatioa
Effective �/1/84
Construetion Addresa: ��3 �il�.Pa/f'a�Q' I�'�'
_ ,. . s i ♦ --� . .1 ,.- e / � i - - �- - - t_ ��l � ._.
Legal Description:
Owner Name & Address : C�q� �'� S �� � ��° f� � Tel . #
,,,_. �..— / ►
Contractor: .)O�ti << �col�e� s�/l � RS. � Tel . ia �5.3-3� �8'
Addresa: ��49'D � e �e a r %%'i�. .i�S`�D//
Attach to this applieation, a Certifieate of Survey of the
, lot, With the proposed construction drawn on it to seale.
LIVIAG AREA:
GAR1tGE AREA:
DECR AitEA :
_____--
OTHER:
DESCRIPTIOA OF II�IPHOYEI�NT
/ t // '� ,�/�
Length �_ Midth �� Aeight �_ Sq. Ft. �_
Length Yidth � Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
�2°�'��'� `'� � �� 1 �A �'�
Corner Lot [ j Inside Lot [] Ft. Yd. Setback � Side Yard Setbaek
��� �' �,t / e
Type of Construction: / i4�1 /e� A�`i�ed+�yl ���Estimated Cost: � •
Approx. Completion Date: �r � f-�y��9�7`' �� � �
Alt. A Alt B
Proposed DriveWay i�idth If Ne� Opening Is Desired: � a
See Back Page for Explanation
DATE: �
Permit Fee
Plan Check
State Surcharge
3AC Charge
Park Fee
SBwer Nain Charge
?OTAI.
STIPULATIONS:
APPL ICANT : G Tel . # -�� � � �
CITY IISE ONLY
� --- ��� Fee Schedule on Reverse Side
� � d�� 25� of Building Permit Fee
� n ���-' a•50/�1,000 Valuation
a �- �425 per SAC Onit '
� ��' Fee Determined by Engineering
S �_
��A�� Agreement Necessary [ ] Not Necessary [ ]
�
, �
s �' ,. �
.S
BIIII.DING PBRI�IT FEE SCEIBDIILE
The Cbief Building OfPicial shall� before issuing permits for the erection of any
building or structure, or Por any addition to any exiating building or structure� or
for any alteration or repair to any existing buildirig or atructure� upon applicatio n
therePore, require the payment by the applieant for such permit of fees to the amount
herein beloW set Porth and in the manaer herein provided to-�it:
?otal �aluation
=1.00 to =500.00
Feea '
r
a10.00 (Minimum Fee is a15.00) �
8501.00 to a2,000.00 �10.00 for the first �500 plua �1.50 !`or each
additional �100 or fraction thereof� to and ineluding
�2�000.
�2�001.00 to �25,000.00 �32.50 for the first a2,000 plus �6.00 for each
additional �1,000 or fraction thereof, to and
including �25,000.
�25�001.00 to �50,000.00 �170.50 for the first a25�OQ0 plus �4.50 for each
additional �1�000 or fraetion thereof, to and
ineluding a50.000.
�50�001.00 to �100,000.00 �283.00 for the firat �50,000 plus �3.00 for each
additional �1�000 or fraction thereof, to and
including a100,000.
�100,001.00 and up
�433.00 for the first �100,000 plus �2.50 for each
additional �1,000 or Praction thereof.
DRIVEiTAY DEPRBSSIOA ESCROii
(Concrete Curb Streets Onlq)
Alternate "A": Removal and replacement of curb and gutter only - Driveway Width plus
6 feet times �13.50
Alternate "B": Removal and replacement of eurb and gutter and install a 3 foot wide
approaeh vith 6 inch depth - Driveway Width plus 6 feet times �15.75
iRRIFICATIOp OF FOQNDATION
Permits for construction Will be issued a minimum of 24 hours from the time of
application to a11oW Por proper revieW of the proposed structure and of the
construction site.
A CertiPicate of Survey of the lot� shoWing the location of the foundation onee it
has been aonstructed Will be required before proceeding With the Praming.
����
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sue�ecr P • .
City of Fridley 219 2 6
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � COMMUNITY DEVELOPMENT DIV.
1 • � V �
' LV �������
r � � PROTECTIVE INSPECTION SEC.
� � �
� /"'1 � CITY HALL FRIOLEY 55432 NUMBER REV OATE PAGE OF APPROVED BV
�""'� � �'� 612-571-3450 910-F15 6�/22/93 / /
JOB ADDRESS 113 Gibralter Raad NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 15 2 Cc1Y'ZSOII�S SUliIIdl't MdriOY' South Addition SHEET
2 PROPERTYOWNER MAILADDRESS 21P PFIONE
Charles Welf 113 Gibralter Road NE 572-8261
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
�,ain City Storm Sash Tnc, 1Q825 Greenbrier Rd Mtka 55345 546--8160 3090
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE IICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PFIONE LICENSE NO.
8 USE OF BUILDING
Resident%a.l
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
B DESCRIBE WOFK
Replace sasehes
9 CHANGE OF USE FROM TO
STIPULATIONS Habi.table xcaoms shall have not less than 1.0 percent of room floor area
as gla.zed capenin�s Htith. a Fnini�l�n of 1� squaxe. �eet per hab.itable room. Windows
must meet the 8tate B.ui.lding Code for egress wi,ndows,where applicable and not reduce
in size, lhstall smoke detectors as: per UB.0 1210 - adjacent to all sleeping areas
and in basement,
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE HEOUIRED FOR ELECTRICAL. PLUMBING, NEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN BD DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED 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
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 F�QQ` $�-,2O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�`4 • �� Fire SC yfi2 .4O
PLAN CHF_CIFFEE TOTAL FEE
License SC $5.E2Q. $62,6Q
SIGNATUREOFCONTRACTORORAUTNORIZEOAGENT IOATEI WHEN P ER - ALIDATEO TNIS IS YOUR PERMIT
. �°-Zs'-�,�
SiGNATUiiEOFOWNER�iFOWNERBUILDER� IDATEI �BLO �N �IATE
.
_ . -
r�w � � `�`����D
ADDN []��, �� t' CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Cor►struction Address: �
Legal Description:
�
Effective 1/1/93
.��/ °��50
Owner Name & Address: ��/�.�2 �i(�_..e��' Tel. #.�%� - �.� Cp /
`�Contractor: TW�N CITY STORM SASH� IIOIQ�. � . MN LICENSE # D(�
Address: MINRIETONKII� MN 55345 _ TeI. #
Attach to this applicati�n, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARA,GE AREA: Length
DECK AREA: Length
OTHER:
DESCRIPTION UF IMPROVEMENT
W idth Height
Width Height
Width . Hgt/Ground
Corner Lot ( J Inside Lot [] Ft. Yd Setback _
Type of Construction: ���� ��
Approx. Completion Date: �
Driveway Curb Cut VVidth Needed: Ft. + 6 Ft =
Sq. Ft.
Sq. Ft.
Sq. Ft.
Side Yard Setbacks
Estimated Cost: $ . ca!`�b C� �
�
(Cost on Back)
Ft x $ _ $
DATE: �� ��- �� APPLICANT: Tel. 1#
Permit Fee $ � �-� �Q
Fire Surcharge $ t�. �C�
State Surcharge $ , ���
SAC Charge $
License Surcharge $ �� c��;�
Drivewa� Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
� ��� ��-
CITY US�
Fee Schedule �
.001 of Permi�
$.50/$1,(?00 V
$750 per SAC
$5.00 (Sta.te L
Alt. "A" or �+
Fee Determine
Agreement Ne
��T� v
1�.� I 2 04- — r�sc�e��e� e
P.l)1 ✓'.�Ot.lr �l� S (C2 $�� t�68't�+1s�° .
�-�. g� I 2 D�j° — /D ��ra .,er�
/'�IIY rve (��� �Ct�IP �G`�` (f�
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HOUS�`.�'HEAT,ING TEST RECORD
_ � ,///�� � � � �- ��' : a .
9lADDRE55 � �`����'� (f �� 'f �� � '` APT. _ �F � OOR A C,IT,IY �_SUBURB•�- `-��.����
Y i�t'�L��,9� .�..0 .,y . ,r�:,
r'� r � 0 ,+
OCCUPANT OWNEk _
t p e° �`'� ,� ,� �r�
HEAT LOSS �'` � �� �' � DAT�g TG I ST. � ���_��� �° � ���=°�
SOLD BY _d � �Z %� -� � J°���� "��'d� �'�'s' ' - 2�� INSTALLED 8� � '��
Electrical Work By C� Gas Lins By =�.'0��'
TYPE OF HEAT GA -- FA HW STEA� . SPACE HTR. UNIT HTR. � OTHER
J GAS D� SIGN � .. �, CONVERSION.
MAKE ��� �'�1= � �° `�� `+-�"� �.�A�iAKE OF BURNER `'• � �
Model d� . �'�; ��' s� , + - -' �r � Model
Sxial " � �"� ��' ���� `' Maz. BTU Reting .
INPUT, e�� �� �at�� � MAKE OF FURN�CE'
� �� . —
Modsl
^ �� � � CONTROLS _.�' �
THERMOS. "� '�' W Haat Plug
Volve - �
Limft d ,..�
Limif SeMing `��
---�—,�'�- '��
Fan Setfing
Pilot Type ✓ `�� `�' 6-°
�.
V�nt 5izs ��y
KIND OF LII�ER � �� �' �'
Draft Hood .�.:: ±� "��'
Filtsrs Si:e �+' � ���
Chimnsy Loeation (nside
� �r���'' �� �
Chimnsy Construction �x'�t��:._y-.e.a
SIZF�`?
Rsyularor 4�' i-
Outsids
NONE
�
Pilot Make � �'" - (,.�`°
�'
<- � `='�m � q`� Gf
Pilot Model �.f bf°c ,r � �� Smoks Bomb Wiring
Pilot Timing ��''<°�--°� Draft �, • �Test Tap A�'� s
L.W, Cut Ofi �9oor Prossure Lightinq Inst.
�
c� ' r, �
Prossuro _ � �___ Psreent CO � Dots Tsatsd °-� � �
, 2 ' � � °
Input CFH ��,dF•�'�' Psrcenf OZ_ � Company Testing `` ��e° ��%`"` %'�� `f E
Stack Temp. __��-��?� Peresnt CO �� Name_of Tester �"� '_ ���"'
- ;y
Form 235 ''�
' e . .
�^�
b
SuBJECT
City of Fridley � � � � 6
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� • COMMUNITY OEVELOPMENT DIV
1 ; V ����� , � • �
� � PROTECTIVE INSPECTION SEC
� �
' � ����1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BY
�----�•� �'J 612-571-3450 9�0-F15 1/9/96 � /
JOB ADDRESS 113 Gi�braltar Road
t LEGA� LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCH. LS 2 Carlson's Summit Manor, South Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS 2tP PHONE
Charles Welf, 113 Gilbraltar Road, Fridley, MN 55421 572-8261
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO
A1-Ko Home Improvement, �090 4th Ave., Lino Lakes, MN S J'��� 788-5850
4 ARCHITECT OR DESIGNER MAIL ADOHESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO-
6 USE OF BUILDING
Residential
7 CLASS OF WOFiK
O NEW ❑ ADDITION XC] ALTERATION ❑ REPAIR � MOVE O REMOVE
8 DESCRIBE WOIiK
Tear off and reside house and garage with vinyl
9 CHANGE OF USE FHOM TO
STIPULATIONS
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE fiEOUIRED FOR ELECTRICAL. PLUMBING. HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTFEET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTA@X
AND ORDINANCES GOVERNING THIS TVPE OF WOFK WILL BE COMPLIED �9 950.00 WS.00
WITH WHETHER SPECIFIED HEfifalN OR NOT. THE GRANTING OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PqOVISIONS OF ANY OTHER ST TE OR LOCAL LAW REGULATING CON- $162.25 Fire SC �9.95
STRUCTION OR THE PERFORM E OF CONSTRUCTION.
/ f� �s PLAN CHECK FEE TOTAL FEE
�� -'� � License C $ .00 $182.20
SiGNATUA C N'RACTO LiAUTHOAIZEDAGENT IDATEI N P RLY V ATED THIS IS VOUR PERMIT
�n
S�GNATU�7E OF OWNER UF OWNER BU�L�EA1 �DATE� . lOG �NS �iaiE
';� s J /
NEW
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Construction Address :
Legal Descriptian:
CITY OF FRIDLEY
SINGLE FAM[LY AND DUPLEXES R-1 AND R-2
Building Permit Application
Cffective S/ t /95
�, r I
Owner Name & Address: % , � ' " , �Y Tel. � - �� (�---
c
Contractor: � - , MN LICENSE #
Address:��L � ; T " . , �? � Tel. # r 'i7 �� �J �
. ���
Attach to this applicatioa, a Certificate of Survey of the
lot, with the proposed construction dra.wa on it to scale.
LIVING AREA:
GARAGE AREA:
DECB AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
�ng� Width Height Sq. Ft.
Length Width Height Sq. Ft.
.�, �
�
Corner Lot [] Inside Lot [] F� Yd Setback Side Yard Setbacks
Type of Construction: Es6mat�d C� $�/��� �i
Approx. Compledon Date: �
�
(Cost on Back�
Driveway Cu� Cut Width Needed: Ft + 6 F= Ft $ _$
DATE: � � - _ APPLICANT: , � � j- Tei. # ' ,> ���� / L.
�ermit Fee
�ire Surcharge
: tate Surcharge
�AC Charge
�.icense Surcharge
Driveway Escrow
�rosion Control
�ark Fee
'�ewer Main Charge
TOTAL
��TIPULATIONS:
CITY USE ONLY
$���'j Fee Schedule on Revea.se Side
$ � � .001 of Peimi�t Valuation (1/1(�h%)
, � � � � ��`� � , c� (� $.50/$1,000 Valuation
� $850 per SAC Unit
�_ �, C�O $5.00 (State Licensed R�idential Coniractors)
$ Al� °A" or Al� "B" Almve
$ $450.00 Conservation Plan Review
$ Fee I�termined by Engineering
$ Agreement Nec�sary [ ] Not Necessary [ ]
$ l 3 � ����
�_�.
/
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I
BUILDiNG PERMIT FEE SCHEDULE
The Chief Building Official shall, t�fore issuing permits for the erection of any building or structurE, or for
any addition to any existing building or siructure, or for any alteration or repair to any e�sting building or
structure, upon application therefore, re�uire the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided �o-wit: '
TOTAL VALUE
$1 to $5�
$501 to $2,(ro0
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $1W,U00
$100,001 to $500,000
$500,�1 to $1,�0,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for firrst $S00 plus $2.75 for each additional $1(Kl or
fraction thereof, to and including $2,�0
�2.25 for first $2,000 pins $12.50 for each additional $1,000
or fraction th�eof, to and including $25,000
$349.75 for fust $25,000 plus $9.00 for each additionat $1,Q00
or f�action thereof, to and includiag $50,000 .
$574.75 for first $50,000 plus $6.25 for each additional
$1,(100 or fiaction thereof, tn and inclading $100,000
$887.25 for fust $100,000 plus $5.00 for e,ach additional
$1,000 or fradion thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or frac.tion thereof, to and including $1,0�,000
$5012.25 for die first $1,000,� plus $2.75 for each addilional
$1,000 or fraction thereof '
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternaxe "A": Removal and replacemern of cwfi and gutter only - Driveway width plus 6 feet times $13.50.
Altemate "B" : Removai and replaceme,nt of curb and gutxea and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construdion will t� issued a minimum of 24 hours &om die time of application tu allow for proper
review of the proposed structure and of the constructian sit�.
A Certificate of Survey of the lot, s6owing the location of t�e foundation once it has it has been consfructed
will be required before procceding with the framing.
�
sueaecT PfF1MFl-7N0.
c�ty of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ` �� ��� �
r
� �
� � COMMUNITY DEVELOPMENT OIV. �EEIPT ND.
� •
i j L �""',
r � PROTECTIVE INSPECTION SEC ��
� �
1 = �
� /'��1 � CITY HALL FRIDLE� 55432 NUMBER pEV DATE PAGE Oi APPqOVED BV
�"'"� � �'� 612-571-3450 910-F15 4/29/96 / /
JOB ADDRESS 113 Gibraltar Road NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 15 2 Carlson's S�it Manor South Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Charles Welf 113 Gibraltar Rd NE 573-8261
3 CONTRACTOR MAILAODRESS ZIP PHONE UCENSE NO
A1-Ro Home Im rovement 8090 4 Ave Lino Lakes MN
d 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
O NEW XO ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOHK
Construct a 14` x 24' Deck
8 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
������� �
Before digging cali for �
all utility locations
454-0002
REQU�tRED BY LAW
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZON�NG SQ. FT CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTEF; WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 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 TVPE OF WORK WILL BE COMPLIED @
WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `P2�879 $1.44
DOES NOT PRESUME TO GIVE AUT RITY TO VIOLATE OR CANCEL THE pEFMIT FEE SAC CHARGE
-PROVISIONS OF Y OTHER ST OR LOCAL LAW REGULATING CON- @
STRU ION R T E PERFORMA E OF CONSTRUCTION. �P7�F.%S Fire SC �Z.H$
� PLAN CHECK FEE TOTAL FEE
' �' ) License SC $5.00 $84.07
SIGNATUREOF ON'RACT A ORIZEDAGENT �DarEi WHEN PtiOPERLY bIpA�JTED THIS IS YO0UR nPERMIT
/IOA/`"'�T" v{ e�d W� ' / 6
SiGNATUREOFOWNERi60WNERBUILDERi iDAT6 BLDfIf �NSP ppTE
NEW
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� CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
Building Permit Application
, � � . . , . . ' , � E�
ConstructionAddress: r:
Legal Description: "
Owaer Name & dre�ss: '�. � ;
Contractor: � � �
Address: �C �' / d- - - /
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 3/1/96
. �
,
Tel. # ��� — � ���
MN LICENSE #
Attach to this application, a Certificate of Survey of the �
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
�
Length � Width �� Hgt/Ground � Sq. Ft. �� s�j' 7
t
Corner Lot [] Inside Lot [] Ft. Yd Se ck " Side Yard Setbacks
Type of Construction: ` � J Estimated Cost: $�..����. �" �r%��, ��
Approx. Completion Date:
(Cost on Back)
Drivewa Curb t Width Needed: Ft. + 6 t= F $ _$
r '
DA ; � APPLICANT: � , - - Tel. # � � _ - ���
. �,
. �� ;
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY _
$�%G/� %� ` Fee Schedule on Reverse Side
$ �� Ob .001 of Pennit Valuation (1/lOth%)
$ %, P-/ 1 $.SO/$1,000 Valuation
$ $9� per SAC Unit : � �
$ � � $5.00 (State Licensed Residential Coatractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Ne�essary [ ] Not Necessary [ ]
� y, D
BUII.DING PERMIT FEE SCftEDULE
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
$1 to $500
$501 to $2,000
$2,(�1 to $25,0(}0
�ZS,00i to �so,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
c�.2�
Jj�
ly .
F�ES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $1� or
fraction thereof, to and including $2,000
$62.25 for first $2,� plus $12.50 for each additionai $1,000
or fraction thereof, to and including $25,0�0
$349.75 for first $25,�0 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,�0
$574.75 for first $50,0(� plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $1�,000 plus $5.00 for each additional
$1,� or fraction thereof, to and including $500,000
$2887.25 for the first $5�,0� plus $4.25 for each additional
$1,0� or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,(�l0 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "A,": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Altemate "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 pro�r
review of the proposed structure and of the construction sit�.
A Certifica.te of Survey of the lot, showing the location of the foundadon once it has it has been constructed
will be required before proceeding with the framing.
0
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