AF - 45229� ___.--_
�; , > ,: _ .
_ ���«
� � . ��;
�
- Villag� of �ridley, Minn:. �' ; -
' �° ` 1585 r -.,
� : �
f :
� .
' BUiLDi�� -P��i.MIT
- �;�
�,�. � �-- .,�",� -
i_ �t� . •��
}�. ���� ���� �
�tivner �,�� �� �uilder . . . . . ,.�` : . . . . . . . .
� K �
i
aa�s� �' .�. .� .,�-�� Aaa�� �
.�
_ _ . ,.
<�
L�QC/�T[4IV OF BUlLDING �
Nv. ��4.��.' � S,tree� :`f!.� PBrt t�f L . � . . -+
� � �~ ... . .. ... `'f ` # ,�. :
I:ot . Bl4ck . . Addition or �ub Division ... . �r. .
.... . . ...�:. i . .. � �
Inside Lot Setbaclt •Sideyard • :�`� � �� f �� -
_ Cnz*ner Lat •• -
� ° DESGRIP`T101til QF BUILDIt�IG
To Used as .- � �
' ', ' ' , . : �- *� �
. „
� �. ' � � .
. _: ,
�
' ..... .. .Gu. F� ........
. � �ront � De�th ... Height . � Sq. Ft.
� . Depih . Height Sq. Ft. Cu. Fti
Type o� Consf.�uctfon • . .�.�.� . . . . IIs�. Cost .'.... � Ta be'Campleted . , . . . -
�� "�"'.��� � ''
` ' { '" • ; • ` R '
. . - �
, _., , _
�<. �
. _ .
_
_ _ ;
,. , ,. .: _ -
� ��
In consideration af fihe issuance to rne a� a peraiit to construci the �iiild3ng des�ribed above, I agree to do
f.iie proposed work in ac�ardance �vith the descriptfon above set foi�th and: in compliance with atl 'provLsionB oi
ordinances 9f the village`of Fridley. `-
j � � ;�; �
_ . .�'�'� .+�'.��. .�
� • �- . •�. :.��
Yn consir�eia.�.tion Af �Fhe paymsn'i oF a fe� of $.."�:. .> Permit is her�by granfi.�d to ��,,�- -
.. : . . . . . . .. . . . . . : . . . . � ., . to canstruct the buildittg rsr addition as `de�bed above. Tbia Perani�t is granted uPaa� : �
the exPress, candition that the' Person to whom it is granted and his agents, em.ployee�s and worl�men, fn all �vork .
do�ne in�, around anfl upon sa3d hirildirig, or suy part thereof, shail conform:' 3tl' �11 .r�pects to the ordfn�anc�s of �
�'ridley, �Vtits�esota. regardiu� hu�tton, construction, �ItQral3on. aiaiutenatice,; xePai�' atxd mm�ing of buflaiag� �+ith
�" in the village,l#mits arid _i1v1s permii may be revoked at anY tfine upon vialation of ° any of �Ehe provisions a� said ,�
ordinnar►ces. : ` ,- -
.
.
., _ ;
: :
,§r
, t . �,«��
. . , . , � ,.'
� + �ta��
`� .;. . . . . . . , .8ui�din� Inspector
MOi10E: . � f
-. 7his perrti�it does nDt cove�r f�nstructlan, Instailation or al#eration fior v++ir �, ptumbing, 8as hea�ing; -
- sewer o� wate�. Be sure to see t�, ilding Irtspe�tor for sep�rate Aerenits for 1 items.
` � ' �
1
�
�, i
�°i
�
��
BUII.DING PERMIT
�
Village of Fridley, Minn. N� 2 9 5 3
.� �i��� �
Date.......................... .�.............
Owner . . �.� rd�!�� ... Builder .. ..........4 ............... .........
�� � t �c� O�./��' .,.�
Address . . .... ... .. . ............. Address . . �" ....... ..... i
p� LO�AT[ON OF BUILDING
No. .�� m%. . . . . . . Street . ��!�` . . . . . . . . . . . . . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
Lot .... ��.... ... Block . � ...... ... Addition•or Sub-Division .(`,���%!.'k°'lo'�/�!�'. �� . . . c
Corner Lot . ........ Inside Lot ...�... Setb ack �,��••• ... .............
Sideyard �-@:°°° .
To be Used as:
��2�''!Y:�: . . . . .
DES�RIPTION OF BUILDING
Front . /� � Depth /� .F.. Height . �6r.... Sq. F't. �,�o, �, �, Cu. Ft. ........
.................... Front ........ Depth ........ Height ......... Sq. Ft. ........ Cu. Ft. ......
Type of Construction . . . . . . . . . . . . . . Est. Cost . . /. ,�. G .d: . . �. . . . . . . To be Completed . .°.�'�?�?': :` ;`�,
� ��`Z�i�A�. ��°�� ��G��c1�� �� '�-�""� �f"'��� �' A,..
, 6 �
�. �C �e� � � �C� �c.�� .�' �G� ���
�/,��� �:.,. �;��,�, � �C � �� -�.
�
'� � ,�r�u z��.e � ! �� �==. °�'�,���
` ��i�r.�/ a !g�.�e�� ��.���
-�� -��� �� � �.
�- �— � � �. � � �� .� a ����,, ��
In consideratio�n of the issuance to me of a permit to construct the uilding descri�C� agree to doY
the proposed work in accordance with the description above set forth and in compliance with provisfons of �
ordinances of the village of F'ridley. A
.., .��. .L`�. .°�'.....�,...../. . .... ...�....
7n consideration of th� payment of a fee of $. ... ., permit is hereby granted to .
• � • • • • • • • . • . . . . . . . . . . . . to construct the buildin or ad dition as described above. This permit � granted upon
the express condition that the person to whom it is granted and his agents, employees and` worl�nen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesot�, regarding location, construction, alteration, mttintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation�� of the prnvisions of sa3d
ordinances. rr _ �, .��/ "_
NOTICE:
Thls permit does not cover the construction, installation or alte�attan fo� �
sewer or water. Ba sura 4o see the Building Inspector for aepa�ate permits fo�
u :,d 'l'
Items.
Inspector
gas heating,
�
TA-3-7079
�
SAM I�IOLLAlVD
-}- ' ' BUILDER AND C011[TRACTQR
�� ( L �-
� ° 6005 - 15TH AYENUE S�UTH, MINNEAPOLIS, MWVN.
�o� � �,,,�, -,�ld�` ja�
� �� '�
�� L - I � -�,:- c,:�.,�,. ,
�
�ry��� �
���
�
, •
� 3
, � /�
�
� ,'� � ;%
�� �� / � Ii/✓�r �� � i ✓v�V �
C
� r,
1 ,
.__.. �. .....__.__.j_"._�.� ' ..r.��—__�__°""'__.�". _____
�
_ '_ _ '_" ....'.__'�'_'._.,'.�"'_"' ` _._ ._. ______, �
�_
�_._'� " . __ _ ..._..._. .._ __. . _ S : . �
1 �_
;
� ____ _ ___ _..
;
l�� �� , ,
1� J
��
� ��
� I
% �
i ,.
�o�:�
�
�
�
I �
_.,__,ee _ �
._.._... -... .... ___. .�� a���� / —/ C •
�� ���
�.. �
�� �
� �
�,.
�"'� �1
A �� /
� .i7 r� . :� ra 1 e � (,1
�
L i
.
r
,
^
.
r
�
�
�
� ,1.
�!'
���
�.a
i
"�
�
\ _`
� ���
_. � ' b
�
- + �
� •�
/�, _
2
�; ' � �� �
/�� < .. r �' �'1
f 1 '
_ w�; r .
r �'
/
�
�
City of Fridley, Minn.
BUILDING PERMIT
�-�-��
. . . ���_
I� : • 5... _ !_'_S_
����7��/
pop�; ��i CTT�RRAT��PF:R RnAn B��p $'rP�+� R'�^pthr�]CS
Ad�re� Addreas 6011-3rd Street N.E.
N° 10319
LOCATION OF BUILDING
No. 1?� Street ���ra.l+Pr Rna. Part of Lot
Lot �- _ B1oCk 2 Addition or Sub-Divlsion S��mmi t Ma.r� �r A r7 r� i ti n�n
Corner Lot — Inside Lot
Sewer IIevat3on
Setback � Sideyard
_— Founda.tion IIevation
DESCRIPTION OP BUILDING
To be Used as:
Alte�atio.n &.A.ddn �t 2 Depth � 2 Height �.�.— Scl. F't. Cu. F't
Front Depth �Teight Sq. �. �. �
7.�pe of Construction � Fr� e Es� Cost _..�z200 .00 _ To be Completed Sept . 1, 1969
�
In conaideral3on of the issuance to me of a permit to construct the building described above I agree to do
the proposed work ffi accwrdance with the description above � forth and ia compliance with a'il provlaions of
o�clinances oP the dty of FrTdley. ��
In consfderation oP the paymeIIt of a fee of $� , permit i8 heTeby grauted to R��'}' Br�?�--
to construct the building or addition as descrlbed above. This rmit fs grant� upon
the express condition that the person to whom ft is granted and his agents, employees an�worl�nen, in all work
do�e in, around aad u�n said building, or any part thereof, shall conform in all �eapects to the ordinauces oP
Fridley, Minnesota regar8in� la:ation, construction, alteration, maiatenance, repair and movin� oE bufldinga
wlthin the dty limits and this permit may be revoked at aqy time upon violation oP aay of the provisians of said
orrlinanoes.
�"
�.
I NOnc�
'I�s psimh do� eof eover ths eoemudioe, 6uTa0dion ior vrletae, P�iag, ga 6uftne, sswa e� wabr. B� wn to a�
fln Bnildio� Inspsder for aparaf� psrmh� fo� fhas h�nn.
� ��o
APPLICATION FOR BUILDING PF�RMIT
� � �e� • :
% 9 / � � � � /
� �i e 1 / ,:.c1fa'.�c� � C 1 1 �I' � - /
� � r% / -
' � � � tl.��.:L / /' % �/ : 1 1 ' • � � l � ,
I,OCATION OF BUILDING
NO o STREET
LOT `� BLOCg � AUDITION OR SUBDIVISION p ��e�'`- �����
CORNER LOT INSIDE LOT SE°I'BACK S�.DEYARD,,_„��
SEWER EI,EVgTION TOP OF FOOTING
Applicant attaah to thie form Two Ce�tificates of Suxvey of Lot and
proposed lauilding location drawn on theee Certifiaates.
DESCRIPTION OF BLTILDING
To e IIsed As: .
F'xont Depth Height
Square feet Cubic Feet
Hei ht C5 � �0����� o"a
� �ric Front � le�th / 2 6 �
Squa,re feet Cubic Feet
Type of Constructior� Eetimated Coat ��`.,� °� �
To Be Completed
The undersi,�ned hereby ma.kes application for a permit for the work
hereit�. specified, a.greein� to do all work in etrict accordance with th.e
City of Fridley Ordi.nances and rulinga of the Depaxtment o� Buildin�s,
and hereby dec].ares that all the facts exbd repreaentations atated 3n.
thi.s application are true and correcta
D9TE SiGN.ATURE �
{Sch ule f Fee Costa carx be fourid on the everse Sideo )
�.; r __"_ �j
�..T {�,? 4/
i' R
. �-' � � R
I 1
D � � ��
�
�1 l �� /�
/ 1
I ' �z �
O _
BIIILDING PERMIT�FEE SC�iEDIILE
SECTION 2o The Inepector of Buildi.nga shall, before ieauing per,ma,ts
for the erection bf any buildi_ng or str-ucture, or for any addition to any
�xisting structure or building9 or.for any alteration or repaixs to ar�.y
exi�tin� buildi.ng o� atx�uctuze9 upon application therefore, requi:re the
payment by the applicant for �uch permit Of feee to the amount hexein
below set forth and in the man�.er herein provided to-wits
IIniform Building Code: Type 1, 2, & 4-$1075 for each o�e thoueand
cubic feet, or fraction thereof, in such cubical c.�ntenta. Type 3� 5-
$1a50 for each one thousand cubic feeto
For the purpose of computing fees for buildi.ng.permita, the cubical
�'on`tenta of any `builiiin�35r additiozi to a uniform heig�i� °�hrdughqut by -
multiplying the �round area covered from a point six (6).i.nches below
the floor line of the basement or the cellar to the avera�E h�i$ht of
the upper aurface or to the average height of the roof sur�ace of the
main gable of a pitched roof.
For repaira or alterations to an existing structure, the fee aha,ll be
at the rate of $3.00 per each five hundred dollars ($500.00� or
fraction thereof in the coat of all proposed work.
In no case shall the fee ch.arged for a:ny permit ae set forth in Section
2 be lesa than $S.00o
NSSSD Corinection Chargea baaed on location - Area 1 or 2.
, _ ., � � � �' /�`�
_:�.� � a
sue�ECr ° P E .
City of Fridley 15 4 4 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ��
r
; � REC .
• COMMUNITY DEVELOPMENT DIV.
� � �: —
r � � PROTECTIVE INSPECTION SEC. � �
' i '
, ����ti � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�"'"'� � ��� 612-571-3450 910-F15 9/12/79 / /
JOB ADDRESS 125 Gibraltar �FRoad N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ]_L,� 2 Carlson's $Umilt7.'t �.IlOY SOlT�1. SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Richard C. Snell 125 Gibraltar Road N.E. 560-4071
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WORK
Construct a 26` x 28` Gara e
9 CHANGE OF USE FROM TO
STIPULATIONS
gEpERATE PERI�ITS R�Q�1tRED FOR ��ai�
h1�P►TING. t'LUN8ING A�fD SIGNS. �e� �A����
r��110N��E �► lot�� utiliri��
REQ�I�,�a���� � ���` �t�.
BY ,�,��
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PEHMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING,
VENTILdTING 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 728 7280
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 CERTIFV 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 $6,093 �`3.OS
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 29.12
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $
- PLAN CHECKFEE TOTALFEE
$32.17
SiG �IREOF TaACTO A� Z DnGENT IDA7Ei F WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
q ��- �q � � 7
� S� ATURE OF OWNER �IF OWNER BUILDERI IDATEI BLOG �NSP ATE
CITY OF FRIDLEY
ARPLICRTION FOR RESIDENTIAL BUILDING PERMITS
� (PJew, Alterations, Additions, or Repairs�
OWNER: ,'I�IGI�I� �� � � .SIV��� BUILDER: . S�L,1�
ADDRESS: �%t. 5�l ��A� T�F �� D�SI,�. ADDRESS: -
TEL iVO: 5'CoO �� o� i TEL �10: '
Construction Location
5TREET 130: �� STREET: � I ��� L-� (r �� ° 'V ° E °
LOT: I T BLOQC: � ADDITION: �i4R1,.�c��AI�S �WM.M I"r'MA�Na R��4DD
Corner Lot: Insiiie Lot: G� Setback: Sideyards:
Applicant attach to this form two Certificates of 5urvey of lot and
proposed building location drawn on certificates to scale.
�2� DESCRIPTIOtd OF CONSTRUCTION �
�� ' �. S' „�� r
Front: � � Depth: Height:
Squa�e. Feet_ % '�.g C�bic Feet: � �
Front: Depth: � Height:
Square� Feet: Cubic Feet: gc
� � p 9,�3. � �.
Type of Construction: _�Rli"� �' �7 % P� �OC9� Estimated Cost: $ d
Zb Be Qompleted: ����� t���
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
5EE REVERSE SIDE OF� SHEET ,
7'he undersigned hereby makes application for a permit for the work here�n 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 correc� ��
�
DATE: � ��� i / ' �� ( [ SIGNATURE :
Stipulations:
��, r, �' _ /��' �
�,gaz � /. .P�c
��s o
� �.��
�-��
�s�� .�7
� � �
, l� �-°L
��_ �
� ���
�ti�O� t ��_
��
� �,
BUILDI(dG PER��IIT FEE SCHEDULE�
SECTIOIJ 2. The Inspector of }3uildings sha11, befare issuing permits for the erecL•ion
af any building or structure, or for any additi�rc to any existing building or structure,
or for any alteration or repairs to•any exisL-iiig building or stxucture, upan application
therefore, require thE paymenL- by th e applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wiL-: �
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cuioic feet. •
PLAN CHECK: 25 percent of building p�rmit fee.
DRIVEWAY D�PItESSION: (Concrete,Curb Streets Only) �'
' Alternate A: Removal ard replacement of concrete curb and
gutter on1y; Driveway width plus 6 feet x�1�675
Rlternate B: Removal and replacement of concrete curb and
•� gutter and install a 3 foot wide approach with �'
� . 6 9nch depth; Driveway widt,ti �plus 6 feet x$17e 85
:!1 � :-- � �C � �1
For the purpose of computing fees for building pexmits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches belo�v the floor line of the basement or the cellar to the
average heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof. '
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 ,per each five hundred dollars -($500.00) or frac�ion tllereof in ihe cost
of all proposed tvork. _
In�no case shall the fee charged for any ��ran:it as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge. •
_ VEP.TFTCATIO�! OF FOUNDATiO�
ATOTE: Permits for construction will be issued a minimiun of 24 hours from the time
of application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has,been constructed will be required before proceeding with the framing.
: ; _ � � 'G1
Application�for a Certificate of Oceupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building ,peYmit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
�
�� �
sue�ECr P E
City of Fridley � g 2 �
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
' ' R
� � •
� ; L __�__ COMMUNITY DEVELOPMENT DIV. � � � � �
� � PROTECTIVE INSPECTION SEC.
1 = i
, �'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROdED BY
�'"""�"� �`' 612-571-3450 910-F15 5 / /
JOB ADDRESS 125 Gibrdltar Road N.E.
1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 14 2 Summit Manor Addition SHEET
2 PROPERTYOWNER MAILADDRESS IIP PHONE
Richard C. Snell 125 Gibraltar Road N.E. 5�2-82�2
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
8 USE OF BUILDING
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � MOVE O REMOVE
B OESCRIBE WORK
Reroof dwelling
9 CHANOE qF USE FROM TO
STIPULATIONS
Install riged galvanized valleys. Can be second layer 6ut not third.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
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 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 GAHAGES
AND KNOW THE SAME TO BE TRUE AND COHRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �1�500 �•75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $Z'rJ .00
PLAN CHECKFEE TOTALFEE
$25.75
SIGNATUREOFCONTRACTORORAUTHOR12EDAGENT IDATEI WHEN PROP RLY VALIDATED THIS IS Y U PERr IT
� JA.�. E' ��� I o -a�- �� . � �7�F.�C �-��-[%� ,"���/ (-/-�
SiGNATUREOFOWNEPIIFOWNERBU�LDERI IDATE� BLOG INSP �aTE
N� [] City of Fridley Effeetive 4/1/84
ADDN. [ ] � R-1 AND R-2 (
pLTER. [ 7 Building Permit Application
Construction Address: I a s ��l-•.�� � � E
Legal Description: � 7 � � �-„.,-,�,,.�t ry�,� a��
Owner N�e & Address : �.1► �-� C ��-� Tel . $ -sia- �� 7�
Contraetor
Address
LIVING AREA:
GARAGE AREA:
DECB AREA:
OTHER:
. �
Attaeh to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
- n - �
Corner Lot [] Inside Lot [] Ft. Yd. Setbaek
Type of Construction: ���n �� n�r tip� Estimated Cost: $ / S o o, o 0
Approx. Completion Date: ��- - g s
Side Yard Setbaek
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: /�' 029- �S APPLICANT: �Q�„ -A �' ��°-�l Tel. �S7a � ��7°�-'
Permit Fee
Plan Cheek
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
��
STIPULATIONS:
CITY IISE ONLY
$ Z 5. U�
$ �
� �GJ
�
$
�
$ Z�� � 5
�
Fee Schedule on Reverse Side
25� of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
��.
BOII.DING PERMIT FEE SCHEDOLE
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 applicatio n
therefore, require the payment by the applicant for sueh permit of fees to the amount
herein below set forth�and in the manner herein provided to-�it:
Total Valuation
#1.00 to $500.00
�501.00 to $2,000.00
$2,001.00 to $25�000.00
$25,001.00 to $50,000.00
$50,001.00 to $100,000.00
$100,001.00 and up
Fees
$10.00 (Minimum Fee is $15.00)
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and including
$2,000.
$32.50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$170.50 for the first $25,000 plus $11.50 for each
additional $1,000 or fraction.thereof, to and
including $50�000. �
�283.00 for the first
additional $1,000 or
including $100,000.
$50,000 plus $3.00 for each
fraction thereof, to and
$433•00 for the first $100,000 plus $2.50 for eaeh
additional $1,000 or fraction thereof.
DRIVEWAY DEPRESSION ESCRQY
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveuay width plus
6 feet times $13.50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75
VERIFICATION OF FOONDATION
Permits for construction Will be issued a minimum of 24 hours from the time of
application to allow for proper revieW of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation onee it
has been constructed will be required before proceeding �+ith the framing.
�
F •
3 n
,S o
3 0
N �
O �'
� y
-�w
o �
3 �
� �
o�
� �p
� �
v a
o �
��
�
� �
� w
1 Q
�
�
0
�
..
� �
��
�o
nc
�
zn
-� �
� N
�v
Zm
D 0
��
m
�
n
�
<
m
ao
�
n
�
z
Z
�
m
Z
�
�
m
c�
�
Z
�
m
m
�
w
0
0
O
D
-o
�
<
m
a
�
_�
�
0
c
�
�
i
�
v
�
�
�t
�
�
v
�
m
�
V�
i
-�
�
�
�
a
S
a
-�
z
�
�
�
D
Z
�
O �
D m
r �
m �
w
�
�
n
�3 ��
o Q
� m � �
p�o n < �
� � �
� _ � �
�a v
c �, �,
� � � H
m � � �
c'> > D
m
m g,
o �
� O ?
� O �
� � r
�
Z
D
n
�
� � �
� �
�� o
�
'• �
�Z
�x
a�
��
c�
m
2
�
Yl
� �
c�
�
�
-a
a
�
z
3
�
2
�
v�
m
z
0
m'
v
�
c -Wi � o
mcn
_ � °,
tl� �
Z m�
� m
'
H
�
� �
0
., �
� o
� o
0 3
� m
m
� �
a tn �
°�m��
Z
°. � o =
0
�
m
r
�
�
�
�
.
�
n
0
�
�
�
m
D
U)
m
N
�
H
v
m
�
Cii
N
�o
�
m
m
4f! EA Efl
J � �
o � �
0 0 0
� � �
0
�
�
�
�
Z
0
�
c
�
z
n
m
v
�
m
C
�
Z
m
�o
�
-�
a
-�
m
v
�
�
�
c
�
m
�
�
Z
O
�
!
�.
�
<�
�
c
v
z
�
c
�
m
v
�
2
y D � �
� � � �
� � � �
� � �
m � �
�-. ?
Z �
m
�
� ? a
a � v
3 Ol �
� �o
f �
� �
c
� m
�, i
� �
o c 70
w
o °o m
� �
O
1°0 �
�
m
n
_m
C
�
� � ��'� �
. mw���m
i ��'°>>
� ar.�v,a
�my��
� � ��
m � a m �
'V.. rn � a a
�
� 3 � � �
n a� � c�
c� °, �• c
� � ..m�
�
„ ? c°°-m
� _. o �,
�_a,��
Z �°�,� fv
� �,o°�
�,� pt 5 � ::
.� Uf '
aO > >
� 1 �
� � � o
p�, m ��
.° � o �
� — Q � ::
� � � �
r► �. � 0
�
�-���
� � � m
m y � p
m �
�
�
�
�
�
� � rn n
V =. A
N p, � �
� � � �
� Z � �
N �
� � 0
r
N � '�
zZ
mN
�
m
�
Z
v
m� �
� �
� n
m�
D Z
� �
z0
a�
z�
vo
am
� �
��
0
z
vz
=i N
oa
zZ
�v
2
��
mZ
��
an
z
v r
<-�
n <
mZ
��
�
z
�
.�
P
�
�
��
�
�
w
O
�
�
c
�
�
�
cc
j
�
!,
��
♦
�
CHIMNEY AND BTACR VERIFICATION
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 (�T< alo� �_
ni..>>'�
4. Is securely supported Yes (� No ()
5. Meets all current Code requirements for
size and total BTU's connected
5. iias total h�ating BTU's of _��(�d�
Al l other BTU' s ?� t�p a�
TOTAL BTU' s �� �� C�
Remarks
1(
/✓ L S
Yes (/� No ( )
�N �,
List Alterations Beinq Done:
HEATING COMPANY
Signed By
Date
1 � q�
1�'11 /4- V .t.t��
�
•� d76
t�►r t.�ss cAt�cvc�►norrs DEPARTMENT t
. wc.thsrscr;ps � C�a 1Vi
Wmdows � Doon Referm� Ont. Wa11 Iot. Wall CeOi�
e�o 19_
Fl.� Room 1-eagth ° Wtdtk '� Ha�bt
ar� �a n��...cn� .aa a� ,d
mwu. x.�ss� tva ot L+a.a� tc w�.. z
Ns of pae� o� Oae� 11�6a et aracl� �0. it
/i S� i 37. o �� � 'i-
�� 3� �-o r 3S� � srb µd
�.� Z��" 6'�'" o�.. .�G./ �.� �r� �,�
/ .2' �'�'" .iio / .3 10.o C•oe£ Btu
Ia6ltramon .
da:s
FsP' �all -
Net e:p. waD
lat. aall
. C�ing
Eloor
Total Bcu. �
•- Requind sq. ft ED.R. or w. ias. WA. I.eader ma
FI.� Room Length Width Height
�/'mdowa a�l Doors�--Crackase aad Area
WlAta S�I�bt !1a ot Lla�al tt Ana
Ns at Y�++� ot O�e� Ilfet� � et eraelt �C. R
/ 1�/ i6 y /3. 3 � �
i 1� w Z / .7 /o.L
ii Zo �-�i- L j a. O /�. U
/ .3 �-- j'`� �— /ll• O /�. j Caef. �t
Iiltratioa
Cdaa
Fsp- aaU
1Vet esp. ++a11 �
tat. r.aD •
Ceilins .
Floor
Toml 8cn.
. Rsquired sv. f` EDR os aq. ias. WA Leader area
� �t�� �'�: �
- Wmdowa aad Dooes�—Craekage and Area
W1dt0 Il�libt Na ot Lloq) tL �r�a
!fa at y�e� ot 9�� Iltea o! arael� �Y. tt
i..� � �t �.o �— .fY S' 3�
Cws
��
Net e�, wall
Ina ..ap
Ceiliog
Floa
Tot�l &w
Rcnn'ved sv. ft EDR or w• ias.
)F INSPECTION
b
Roof Floor IGad
Fl� � i t�
w�ma� �a u��--c�.�
W�QlO Ii�i�Qt 1�i6 Oi ,
Na er p� et ota Useu
lofiltradoa
C�lass
�� .
Net �. wall
Eat �aU
Ceiling
Floo�
Total Bta,
Required sq. fe. EDR or sq. ioa.
F7.1 Room I Le�B�
Wmdowa and Daors--Craolcas
WWth SNt6t• Na ot
lia ot pan� et p�a� Il[6t�
��fit1011
Glw
��
�� Nec es�p. vrnU
Ina �+a�
Ceiling
Elaor
� TotaE Ben.
e, q
bm�►pous. t� _���
Iasdation
How Applied
cv�� c�
� n� ,
Ae+ea
�,
Reqaired av. $. EDR or a�. ins. WA Leader area
EG� I Lenr�c� w'�t& .
WiadoMrs and Doon-�-Cneka�e. and Area
aw�n ausae Ha et LInW se. we.a
taa et 1�� ot oae� �1seu et uaak �a. t6
/ g' /p 7 �/Y' lahil-aaon
Z�' J 4 // �O O �'=_
.y y E�. wall _
� YY �y y G'� Net �p- waD
lnt wall
.�—
i3�- /O /Y 3 y0 Ceil_ ins
�z 3 7 6 J- � Fioo�_
r�y�t'� Toe.l &u.
der an:a R�W� �
ft ,ED.R or sa. im. WA Leader area
Beu
� :.- HOUSE HEATING TEST RECORD
ADDRESS APT. FLOOR CITY SUBURB
OCCUPANT OMMER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Elsetrical Work' By Gas Lin� Br
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESiGN CONVERSION
MAKE MAKE OF BURNER
Mod•I Mod•I
S�riol Max. BTU Ratinq
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT ' Hsat Pluy �'�" V�nt Size
Valvs KIND OF LINER SIZE NONE
Limit Drah Hood R�qularor
Limit S�tting ''' Fiit�rs Si:� Nun+b�►
Fan Sstting Chimn�y Loeation Insid� Outsid�'
Pilot Typs Chimn�y Construcfion
Pilot Make
Pilot Model Smoks Bomb Wiriny
Pilot Timing Droft T�st Taq
L.W. Cut Off Door Pressurs Llyhtiny Inst.
Prsssure P�reent COZ � Dats Tested '
Input CFH Psrunt OZ Company Teating ' '
Stock Temp ,a�- '- Psrunt CO Name oi Tsater
Form 235 � � � " � " `
O
D
r
�
m
m
�
�
,
��
c
�
�
i
�
c
ci
�
�
�
m
�
0
J r m
o � 5
�
o � �
< _ �
�? m o
���
'rl
?�vm
,x� O u`'
� � o
�D ap °o
o �
D y
�
�• v�0i
�n
m z
v
a
�
m
a
�
Z
�
a
v
a
<
m
n
W
`; U
�,
�
0
c
�
3
1
7
v
�
m
-y �t
� �
� v
cn �'►
g�
��
�a � � ,
� �'\�
� � ��
�
�
�
Z
v
�
�
�,
�
1
-{
m
r
z
0
h
��
�n
�.
fio�
OD�Cii��L�(n�C7��OZ
n'�,mwa�a��mp;oma�
-I�v,v,.,..r.3���m
� .ivaDm m m..� 3 vp�
O �
� � � �° � � m � � � � m �. c
� � m m � � � � N � �p m
� -, � � < r tn rn _ �n
� � � m � � � � Z
m �my� a co
m a, cmi � � � �
.� .. — � T
� � n � C
.Q tD �p
c
�
a
-< �
�
�
I zl I I-I I I I I I I f I�
o �
�r�E��,�rflfni�Enfnrflt� y
O O O V p V V V V�? V --I
c0000000b000 m
000000000000
� r �
Q � "i
a c �
�
V1
O
0
�
r
C
�
Z
�
ci
�
�
a
z
.�
�
r
c
�
W
Z
�
'n
C
�
m
�
�
m
�
Z
0
�
�
�,
�
�
�
�
�
�
�
m
�
�
m
�.
n
�
�
�
�
,�
-o
m
�
�
Z
O
�
�
�
�
a
�
m
C
m
a
E�
�n
�
��
.i
�
�
�
�
m
1
�
R
\
�
n
�
�
n,
�
�
N
`�
J
�
�
> > 'fl 3
n a � m
� � � �
m � � �
� � � y
� � m �
�
.. m
o m � a
m
v' c o �
m
�', �a
o �
a c° s� �
v r�
s�o�
�
N > > �
� �
'� N
'O � � �
�a �, �
��o
m �
� m � -*
� o 0
m aw��'
��c'�m
� � � �
' y � 3
�
a � � o
o �.. m� �
m�O�D
� � � o
�
p� o- s
� � m
�
�
0
�
�
�
�
0
�
��
�� �
,�
�
I
I
�
�
I
�
1
�
i
V � A �
N p, W �
m
o���
.PZm �
��'•v
N < '�
�
z Z
m �
�
m
n
�
O
Z
v
<
�
m
�
�
O
�
�
�
c
�
�
cD
c�
J
�
�
�
SuBJECT
c�ty of Fridley 2 7 0 3 3
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � NO.
� `y __���_� COMMUNITY DEVELOPMENT DIV. � I
r � � PR07ECTIVE INSPECTION SEC.
i � ,
i---. A �/'��,,, CITY HALL FRIDLE� SS43Z , NUMBER i1EV OATE PAGE OF APPROVED BY
L J� 612-571-3450 910-F15 8/6/98 / /
J08 ADDRESS
125 Gibraltar Rd
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION Carlson' s Summit Manor South SEE ATTACHED
DESCR. 14 2 ��#�-3�iannr Addition sHeer
2 PROPERTY OWNER MAIL ADDRES$ ZIP PMONE
R chard �� Snell 12 Gi a a R -
3 CONTRACTOR MAIL ADDRESS Z�P PMONE LICENSE NO.
Owne
4 ARCHITECTORDESIGNER MAILADORESS IIP PMONE LICENSENO.
5 ENGINEER MAIL AODRESS ZIP PNONE LICENSE NO.
8 USE OF BUILDING
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK '
Reroof house and ara e 29 S Tear-off
9 CHAN(iE OF USE FFOM T�
STIPULATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBIN(i, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NINO SC. 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 AFTEFi WOFiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY TNAT I HAVE REAO ANO EXAMINED THIS APPLICATION STALLS GAFiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. TFIE GRANTING Of A PERMIT �Z�F18 �1.21
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGUTATING CON-
STRUCTION OFi THE PERFORMANCE OF CONSTRUCTION �]�F.%S Fire SC �L.riL
PLAN CHECK FEE TOTAL FEE
$73.38
iG aru F TRACTOF OA AUTNORIZED AGENT iOATE� NEN PROPERLY V DATED THIS IS VOU PERM�T
� �/ L � � /
S�GNATUREOFOWNEA���OWNERBUILDER� IOATEI BLDG S� ��aTE
�
ADDN
ALTER
[l
�l
L]
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERNIIT APPLICATION
Effective 1/1/98
����-��� ��
ConsttuctionAddress: l� e� � i��/� L�-y.�r ��
r
Lega1 Description: ���h y/Q f�► . lN �s� I I���,
Owner Name & Address: � r c In w��� �-• Sh e// Tel. #.� %/•`/ i J�'�
Contractor: /`�e� v� �ir MN LICENSE #
Address: Tel. �
LIVING AREA:
GARAGE AREA:
DECB AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
I,ength Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Wid Hgt/Ground Sq. Ft.
���: � �7��-���
-- �, /
Construction Type: �� I^D� -t-� Estunated Cost: $ ��/ ��
K
(Fee Schedule on Back)
Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$•
DATE: � � ` %� APPLICANT: Tel. � .S�% � P �/ 7.��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� �� ��
� . �%
$ i• � �
$
$
$
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.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 [ ]
BUII.DING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or fo�
any addition to any existing building or structure, or for any alteration or repair to any existing buildin� �9�
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amou���
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,�1 to $5�,0�
$500,001 to $1,000,000
$1,�0,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $19000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $S.QO for each additional
$1,0� or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additio�l
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,0(�,000 plus $2.75 for each adcl�tgonal
$1, �0 or fra.ction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete G�rb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 fe�� �imes �13.50.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width glus 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 a1����� �or pxoper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has b��.� �°ca�-���.�cted
will be required before proceeding with the framing.
,.�_„_ �_,..
sue�ecr -�#!
City of Fridley 7 6 0 0
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
�
� �� COMMUNITY DEVELOPMENT DIV. RECEIPT NO.
v PROTECTIVE INSPECTION SEC. �
� _"
r s ' 'i
, _ ,
� /"'1 � CITY HALL FHIDLEV $5032 NUMBER REV DATE PAGE Oi APPROVED BY
�----� � �'' 612-571-34b0 910-F15 9�8�98 / /
JOB ADDRESS 125 Gibraltar Rd
t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED
oescR. 14 2 Summit Manor Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Rick Snell 125 Gibraltar Rd 55421 571-4756
3 CONTRACTOR MAIL ADDRESS IIP PHONE LICENSE NO.
Owner Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PNONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential `
7 CIASSOFWORK O NEW 6a ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Addition - deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. ��
. ���� ���
���,/p�� �. - � ��,�� �
�y� �� � � �� �.I
C;r� i9
�Itilf:�� � � � :- ! f�r •
(:;-•� ��,. �S'
����� 4S4:�L.,,,� : ..
��� � �
� �,:� �_�
TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBIN(3, HEATIN(i,
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUCTION 20NING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTFiUCT10N
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STA�LS 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 $995 �. SO
WITM WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTMOFiITY TO VIOLATE OFi CANCEL TNE pERMIT FEE SAC CHAFGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $34. %S Fire SC � 1. OO
STRUCTION OR THE PEfiFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TO L FEE
- $36.25
IG TU C N7RACTORORAUTNORIZEDAGENT IDATEI j�{[ PROP R VALI T TNIS IS V R� P MIT
�� � ��
S�GNATUREOFOWNEAi�FOWNEABWLDEA� �DATE� G �NSP ��ATE
•
NEW
ADDN
ALTER
� � �6° ���
[ ] CITY OF FRIDLEY ,,�� �
[] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�
Effective 1 / 1 /98 �
�� �ti
I , )�
Vv
� ��
�
02.� �%ls�� c �� d
ConstructionAddress: ��'
Legal Description: ���, e /� �';��, � /H � �9 e //�'� �
Owner Name & Address: �/G` ��! // /,�.5� � i�r��--��° /�cQ Tel. � .�% � ����A�
Contractor: s��� MN LICENSE #
Address: ���.-�� Tel. # _
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Z—' Width �° Hgt/Ground� Sq. Ft. 4� �: ZZ
OTHER: �i �� = l�S. �f�
o �,
Construction Type: �a� � � Estimated Cost: $ �-/� � `�
(Fee Schedule on Back)
Drivew�y Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �` ✓ �" APPLICANT: �e Tel. # .S^%/ "`��� �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIl'ULATIONS:
$ 3y��
$ I�
$ ��
$ _
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.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 [ ]
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100, 001 to $500, 000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge) .
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1, 000 or fraction thereof, to and including $1, 000, 000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1, 000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
�
�; � • � r�•� .
54'!� F
f5r., •, �yr.•, `
y, . t„r-_ .a . . �• �c).'.r i.
,,. a� f
.—�---__ ,
��b 5 � � • �� � , �^^'�• -- •m� n, _ , '... ' 3 :w.i'%�= L ,a � r � f
.F k� `. �..,, .. .t � . .. .. �
s `"t-�t�+ �r i - . . . .
�ryi ' " . a.��' . _ , 's� .i.q . � -• _ ,
���t � � , . � � �.'+�.�p^T _'^.z�� -�.�T�s.i.r •� i -....- . n . . � � � . . ... -�... . .. . ' • � . ' " . .... ��.. ,
M tY ' ' ^d � � ' .. . '�,; =� �•� t .. . � ''°.. � �
� fi .f} . . . � 7bY�� \ • ' . • � , � • `
. .. . . " . . . , ' . � . i i , ...
rt`�, .. . ` . •-. . . ,' .. ��. ,{ A .�T .t� . ', .��'. ' 1
A '. . � .. . r� 1 .li.•, . � ' • d . . • �
C r4�'�. ' ' . . f .,�'' • N. _. • e* . . �� . . �
� °? , . . . '. , .. � � r� r�. •-�_, •, /�
•.i rk 'L`e S 1� . . t . � . . • . • ' . . �,� .� . � �.v :' � H � a �� �' �9/ .3 . . ♦ ;'�� .
t �i� t. � . s . . . I : ' tr _ . �y , . � (/„ . �. ."'.t.n• �r� * � - , . .
� J �,� • , � , . . , . ... � .. � . . . • �., •`� '�'� �M1 �,9 .� • `? ii � ' .
� s- +`. � � �' „�
''• . ` i: ` . . , . . .� � '.� '. . ' / . . • . • f
4...,' ' r '. . .-. . : - ' . . � ' F .� ,y'� . °�, � ;
� ? .� R yi • :}• 'F. • - . ; � p ' �^, f� ppn' • . . ' . 1
ry1' ,r �" . .. .. . • .. • � • � � ' q .• ' •. , .
.iC r .���' :'" •:. ' ' �� . 1 ' ^✓ , ���• � .. .. , , .
w � ��r T "i-� . . . . _ .. . . . • � .- • , .
���j�: -� .��� -�f . 2�15 . . � ., . � . . . . �� :f� .� -NId�W � � �
.� �... -� M �- :. .�133 . � . � �.. �� 1
°ik�,�f�- ..}`�:�;r;:�`.�,'.. ��:.;. . r::'•"`' �:: . . .�.. � . • � • . � ,
'''�1 y � ��y .+n-i � . t � • '. : •� . ..'�:� �,• ���
\'i'����di�,y,.,'"t.�,��! �..�S�v'F \ .i '� _ O� ..' ' -`'�:''•`. .. . - . . . ' - . (�_ . . . . • ..- .
�i �it��. •F : Y? � Y'ti' `` '.i P . i�+..�. <� .'b . _. . . 'rT°• . . � • . 't i . . . ' ' a: _ : '
, s. . . �� . a n�/. �0�':"-�: ' ( .�r~- ii
' •• - ��%.�•'•" � �� � � �/ _ �� _ �. , + .. • ' n �
� T • :i�:t�' �Y: ��" -...: • • •, ,. . . • - _ , �.� ' . ' , t ' .r„
s'� ".'r �. : ,ss•~ s�! , �a�eu�P.1Q _ ' � •� '. w I•� ;:�.+ �_ _ x,
"�LI�..:�:� �usW e3 .�.i�n:�� , �� . .
ry� . ^'�2.ts! ' + � ' . . .� 0 �"n . I'fZ . <...
! 4 K . , �' . t%• \• � t. 9' _ � O • • .' :$'^} q�
� Y'.� Cit .v Y .+: . 0� . ( � � '�A1r...
icY�-a.t �.1t'- , � � �'9 � . `• + . • • • • � , � v Y,.. , w � . y VI ��,.��.7.
'�: .t` � ' .. .. 7u i�_Z .. . .. . . "� I .x�'.:t _ _ , � o;•+i,
•�+.�'�. ' W ' j. 1 r .. . . . :I ..' Q �' ,},•�
. �%~ � ' • • • b ' rf , .• � . . •� �� ���.�� 'r'�.
- : :o� ':.. N 0�, ��� �44�. !O/ ti�e�•.- -_;�, � . '�:�:� :�;::"'�' ��`: • �, .:�,
' 1'G� ' � ... ` �,.
• � l� ) . . ' �~ li �. . �� :4���y 1 �' . .. ,; y'�.�+
� � �.• � a � h+�' . t�;, l: . . .' • `'R
� `/ . Y� � _ a• 4� c`a , � � I•. • +o- . T-„F. o _y�.�•• t ..,� . . ,. .� p '��
„i ; 1�y� � •�•�`•� •� ~^' .. '• \��� ��-%l�: L�ttif r..^.iia.a�. t �Yd��� _:Jil$i.bt3� �� ...M ts`� �.-.t�x:.- � �•t�.:
,t 'Y.. '. . h ,ex.nxa..�,�. > -� �A' • sr n. �p } --Y.:%..','...+,�.y.�,M1; - 7''G;d,� \ ',`Y �'t•• '4�j...
r e ��.'� � �.. . • w�' � •.j�.�.r��� •ia�6`i��eci''' :�. ��°$iu:.:7;i:'�y•!, , . �-+{,1.'Ci�`r° i.� L �
' � �1r� % ° G« 3, i • A ,n� � . `� .... ...: ��•
.. + � / q . t �j� . c •. r 7 r . ` 'ye.. ��Fit �i\ ;�%; (��I.,.*�,, y�•,,� � � ' .• � �s a, .. ' Z Z • � •'1' . ' '�"�.
� i .. .r+R�T :" ?�'�t,�,"1� i� f 'v •l:. ! i 'ti.. . •y� � . . �*'•• `� �,.c.
. � ♦ - �S '0 ' �� t� �\.'.t. f'""� � . (q,r.» . • ' . ..• t�
:i.. ` . t . s�':,ys� e {_ �*► . ..%.� a� .c. .� �� �..; . wi �^,.#,.�.c : :A
i.. �} a ~c„ :.. �.• � _L':�• 1�'•%\�.�, .�1 ,\° �.-d ���.� � �/ . !,� :�,•.� � . . ..
` . � ' '` % a . > .H � � • �.. _ .:.` "' w� � . .
-. n'4�r /� '"' ' r+�r �'�i:'^ u.;.+,. A,�� I-.7I d � :;;�,�'N'
s::.....'�,`�1 � ,•yir".'a�•°..:::. _�C:.t�. �� :+:.• �'Q ��. .�: . •P ..dt� � Ci:�ou�. 1
:.::r. .. � ;;..:•_�� } y : a., +,�'}�-�.::: . K .��, '�'•, '" �
�a " 'ti'..-'��''a"`p: :."7° 'Eva�'('��M-a- �c ?'� �: ��3T+:..�..> .:•".�..� v. .`±d.�':Y., 0'y• «i r I l .��'�'i���� .T.
l S'r���c.r� �� -f��r r -:.' .;'• - _ ��; A^���.,' ��F.k. �:r4 ..,af :.1, �I:'. -t.. �.:..2,12.• ;� , ��
� •,, j i4•, t ML�i.. .r J � �r:h,; ��' �'; - y" �� y,�'t' �+ � Yf,"i•,�� , a:�.. .nqrac�?. �'�;:3.:i y i . .1 � : {,�'jY. . w y '� LI. � O�" . . { v"
.,,,�. _ �� � � � a:�:. � .:�.,:�:A��, � •.� �, .. � � � . . .� - � . .
�` .N ra +'^r L f p"'� r iU'JJ�4y�M,w;'' �.�'tZ` �i, �' ry�.- . Wb+ d7�u 4 �+t r �J „° � ,-f T y•
� ` • -�v1 b/4��~�>� � ���f'� 1�f. t�K} �.'..J �,`2Yf�� f�V,~w f! .} L1 _ 'r'1 :Gr.��..� {�� ��I���1.„L.t� � � ' �1 .
,��`:' � �° `�ji�I.: , ���,� + � a�� r., S.�t�..�.4`�^ �fA., :��%4+t�c�-....-�• �.$',,,,?..3: !.'.5��`,9�i �� 't�Y .;a;'j?3{r�"f1;yr::...;'re4'n.3.'Rl�" � � ..
4dr{y i. ��G r � ��rj7Y' "�'..:a +�'L; 'S�,:N '..ww7�..a' 1•.._c1 ' v v.h;•G. • � - .. . . y'^''1�c
r � ��'t• q�. �'ru. 7a.d-� .. ti.r�yra:;,u� �. �` � ^�b �' +• "tz..:.l" ..� z.�'J.'�(ir(:.�� ','4'°! �r t� -u
q•7i: oa ., b4v• �:�+��r f+} ^; 'Y;q:�;.. ��� � r�si:a�x^rir l� �y�,t� n i�_?.: �� � ..� �� R,�.r.2 `� •':
s � ,.. . .�e � ,,r"� '3 F • ;3v.:. t "�t,'' i. � 1 ^6. . Y ; .
��+T", �y�'�,$1,?j`,�. '' .'+6.6 .� hi Y � a . M � � +fi +.J b. t 4�.� � L ..� �w:a�7 l_��r.i,,� a ]k•�.. ' . � : ":+;°�:'
,. ;us ` �cy�,,. A.-� Y ,,�+ �.s:sw <.!t'.ywxrt�.r� .,` • l+j�":';� f 1 �:r�b< .Y;.�.9k �- � a j.D:,t,�� ti , �, ,r,Z :i. ,..,
' " ��� 1; � tvr . �� f� �'.1'. .y..a .•. o � rr �� M y � , ��' c, � °c �uN- J _ >_'
' �M1,; � ' � • , /� ,r ��'S T = �,�C . ,\ , .. '' ..i: ify+r,.+ "L # °' i � �ryir s • 4NVK � :-f •'^'.,'`^.
e��i'�,.�(' 1:!'ti'L'91 S �;'} *� ` T � '�r�R�� �� � s�,:�.:� Jl��. . .. • 4 rfy.,r r r � .,.�,..a.a i���.K�y ' � !�..4Ca
+'il�i.7.'n.� J 1��.?7�a1:4 l�N� :.��=.'�'1 ,t �I... 4 . l,�j, yi ��� � 4 RTi;r���1•��• A����// � S , j�iiYi� F.. ..�M MYl•'�}..
i. rcy� "i^';+ ; "�' �`►. }y-Z"a'�r k `qr:�, ��:r.. �lr�,i.�.%r ^'y`t�,�,rf� w:z...,..�.;.t... '.1..i�..-� C ! .S..i N ' � ;1b
:e L �t '''� `^1 c<:'a'::�
'�:;s�.. � i xb'L�1r � � ?' 'yY +' c.h`k...�_i:' � \'•i w.3M:i.�?., . t }�:..'.:i: , .
� -`�,, .n i ! � �� •'\':'.. p;�, *. � �,,�+t`a �.V..�.o r �I j �' r T.CZ r« .. � . ..,Y,,,�
0 :a�l !��' i F � � ��i �
? �Hi'�:: 'D�� /,•r � d 7.��� f`..�Y•�''���:'� �'t^;i�i d+" ,�'C 3 �2�' 7� i.�ti � r.ry � a•a� � -1�2 �;..`y.�.
, �LrIA ! � � .
::�.�'.: ��� • .il .il'� r •.j y,,a ..w h... ' �..'�±���,,�. �. .�1 !a-.n..•o.4� a _ to t_ • • �r I - 1�'L• 4�' •
w.� � .'L�%ir �• �'S�„ .' � `P•',.� rid'..�.r ' L ° �. :y;:yrto, "` y ,^i'�r( M .:g`�1�'�i u� i ' �' ��� �,� o L j� �„Cr^' a..
i.' _'C�: r .a t,', � �.• _ �;i."" ' L'' i 1. �q I �.,;. ^°.(�'??� � a •i� � ..-,.,^•�
�., � �.t•.i�s:� d\...',7 . • ... .'='w'`•� . , • . "'? _ ..'.' 1� . 1 • ' w...w.
V�1_, ^ s K:� ��\ '�y 'P.:
] ti� �I...�♦ �. �T :�� �•'''�•� � 4d�� *-F �. . � •��•j��•
� , .l �O�V'� �I ��t'. ♦ ) � ' '...�� .� ,� �� 1G��1!•�
� �R ��.���_J:vi.i�.. 1�� �t ' : •'.�,�;' . / 1•'t'�2. • •. b r � i.y:':., ��' ' ~I ' � � Si%;•
� �+y�� • i* i.�qt. +'4� 0..� p �: e � "r ..I . y, v � '4N..� \ s eS � '. � . . � - � � ..n
I,.�. :s?�¢.'!�`�e �.•, � �w.- �. :.tr .. , � , 6.''-..::�i::w� • w:.':..::. � r� :. s . :►2. ..�A
r,.:s:h,Y1=.n� �wi ��� a' �� ...},- ���"°�Ygy�. :..r.°�.,. _�'��.ly'P,�Ma;.o� •7•� ;Fe' .I. � � S .- . L�rt:
�r ,�,,, : a,� k y,,, - :,:. :. � �, ' � ' . , , ; > . ` . � _
� K- : ;,�a`,� 4_. .. �•:: � '� ... .. '- '°'� ' �' ' - �OF/'° . L ` - o W v. ..t�w x:
" N � . �•• •`.• � , �- +.'1� ' :'. �. ;.•;���;�:'p't.,:j.� ! A! ,� .�+ -. %� ' �J � t. ^�.. . � e�."�:y:.
�y sb:l� � • W� . .a.�.. ,t. �. h. . �j}�„T •, �krr`�' ��S'�4� �rt t a � .I 6'I::';:;. . �`�`
� 'i � � W � •.n;ti.:'y � l<<!� • � �7 j � .., .ai�.1 1 i; yyy� .i ' + •J t r , i , . � :
� ';.i,� w�.,... ..,��.. ,�' t�t < , -sCG,s �+bt i�. n.�...,4�,'�''.,y,< �.) 1 ,�.� i.�- ..�, -
p .� ; � .;.a �.1r� « •;v. _ •,ea.:� �•+•!?� `J���.� f},.l . a.f' :�:.•.�r r . , . .. ._ :
1 ; 4 " "�e. .,, �� �- Z 4T. � � �u � ti r r.a y t � . : � ` Z it . . � �
� . . g �+� r : J :hia. fyr�' ';7(tiat�-°'nl s� .:, i e. t�/ t ~� � » . • , �
}'�„Z'�.Z.•qi `�..' � " ��1•:yf1 r P �� _ • I. �.r J �t '���..
i'J �l' � L,r,p C . � ; � �.
e�.1•Ia� VG-P. -.r� T . �r•�!/���.y.' . . � �'o.�•_i !'+ t ` t.l;•� .°�",?:+la...S 3T.. 't� '� •• ' .�,.
�' • • �•'i 1 � Y• F �.� � +� i�'�aV � .,i,:%
e ky +r.. . t� ' N« 0�+`!2'O t�:�':���, �. r.. e �
�~>;1'r'r"7��...M+•i�r.•.-airi; J r.�, � �^� dl:i.:t :�.i�••�M� � ;i�� ��e1i�1ia. .F !r\�. ••1 r �' ... °�"',� • '7�_ • �, . . .. ;
',+,i.•..J. � � :r�•• :0�� � \\'�\ ��'�Ja+i•. � .: h..'i�'Y�� � � .. � trr:•�^�1.•..iA�•� c �'
�'' C.' . �� � i roZ � 4 ��� .
��, - � ' �, G 3 ° � _� . -- �-
� .—_ ♦ F`�.� _.. ._.._.., ..._. .__. .� '".'.._..__.-...__ _ _'. .—__
� � � 26� � ..
,, • ...
. . � . 3 ��2�
�
� .
�
v t� � .
�.
. o
. . : �:4,�•,.
._ .
. � �_
�'
. _
� . � ,
_�,�..,
�
�
�
�
/\`'J�e
` \. 1
N
00
;
____
�, -
1 � .
� f ,--- ' . _ .
e �
�� .
. �
� � .
f . ,
i�,31 � . •
.,
,
G'��,�,� � 2.5
�r,� �
s�o, 2 � ��� v�
.
. ,
. �
.
�
�
.
. � /. a ., `
�� ,����: t .. ' .
�� • .
.. � . ✓� .
• ' � - • �
`
�
� �
�"���� i � �f.° _ _ -
�1 _ _ ---- +�
� �
�
�
,� G , 3 �
� — — _---- .
�
� -
� .,\
�-._
Th��H�e Depot #2� )2, 5650 :^.AIN ST. ,�T.E. , FRIDLEY, NII�T 55432, (
Sat Aaa.g. 29 12:40: ( 1 1�98
File saved as: c:�cquesign�decks\5714756b.DEK
Deck Dimensions fcr D�ck 1
a �� _s
oJ , /
�r `,� � �1�J,�� � S c`_ �
I
�r , —� � .� �;�G�
B � S� .� �
��` /� ,
__�
�
�X�''�'o�sf: �
/ �v�� o � `�"
���. ro�<+
a��'d� ���5
L e `d f.•r �� �
a.�6� � "��
i�os�
`� ,� �
�' ���P
�
.�'
�
12�
��
�� n�,,./
�
� I� �
, �� �� -g L�
�S �-- � ��';�
�P�
0
VI
���s
,
_/ ,��-t
�������`
�
�
- - r- -i ��L�
i3,�
�
��� ��
� v �b I� .�Jr� P���✓� ,�I���s
1 �
c�� ���'`� Ie� ��` .
1'0 ��-�- (� � — r u- �
�
s . A