AF - 45230Date:
Owner:
City of Fridley, Minn. �•
BUILDING PERMIT No : �4�9 -`r= �
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Address _„���_ _. .. _. ,�.... Address
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No. ..._.�'.`��.�2-- Sfreet _.....�'", � �. Pg��of Lot ....-------------
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r f� �':1 � 7'...--�----�--_� ._._
,v�,.- �rr�....__--_.- ,.�..�_. ....-�---. Addition or Sub-Division .fi.:i^�L.,�, • � ...e ���,�_ " _'`=��`�/�
Lot ...... Block ....._ ..... . ............_....... 1:; ,-`,�
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Corner Lot ... ._ ...................--�- - - Inside Lot ... .._�..--� � -.. Setback .-----.............-------�--..._.....--- Sideyard ...-----....----..._....----- ---...........--�-----�•---�•---- –_.
Sewer IIevation
To be usea as:
Type of Construction
Foundation IIevation
DESCRIPTION OF BUILDING
Front _..----------.. Depth .. --� - ---- -.. Height ---- - ............._.. Sq. Ft .-----------•---- Cu. F't.
Front.._.._ ............._.. Depth ....._.......-.-.---.. Height ............. Sq. Ft ..._............._.. Cu: Ft.
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..
.........- - .......................... .. .... Est. Cost_ --��r__���.�.�`..�.:'�� To 1� Completed . -------...---••-----
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In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the pro�sed work in accordance with the description above set forth and in compliance with all pro�isions of
ordinances of the dty of Fridley.
� ----------------� -- _..._....._ �..�__
In consideration oP the a �
A Yment of a fee of $--..�---....-•--••-----, Permit is herebY granted to....._.....--•----- .............-----.
._._._ to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon safd building, or any part thereof, shall conform in all respects to the ordinances oP
Fridley, Minaesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits and this permit may be revoked at any time ugon .viok�,i�on of any of the provisions of said
ordinaaces. _... �J �
Building Inspector
WOTICE:
This permit does not eover the wnstrucHon, installatton for wiring, plumbing, gas heafing, sewe� o� wa�er. Be sure to eee
the Building Inspector for separete permifs for these hems.
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APPLICATION FOR BUILDIlVG PERMIT
CITY OF FRIDI�Y, MINNESOTA
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LOCATION OF BtTILDING
No. 3treet Part of Lot
Lot � 6 Block � Addition or Subdiviaio���///�,�.� �
Corner Lot Inside I,ot Setback Side-Yard
SEW�R ELEVgTION FOUNDgTION ELEIigTION
�p�licant attach to this form Certific,ate of Survey of Lot and propoaed buildin�
locstion.
io bo used as:
Type of
To be Completed
DESCRIPTION OF BIIILDING
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Hsight
Sq. Ft. Cu. Ft.
ted Cost /�! �
The undersigned hereby makes application for a perm3.t for the work herein specified,
agreeing to do a11 work in strict accordance with the Cit� Ordinenees and ruling of
the Department of Buildinga, an8 hereby declares tha.t a11 the facts and representationa
stated in this application are true and correct.
DATE � ��r.� SICd�TATURE
(A Schedvle of Fee Costs can be found on the Reverse Side.)
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BIIiI�ING PERNlIT F�E SCI�DIIIE
Section 2. The Inapector of �.ii].d3ngs shall, before 3ssuing a�r perm3t for the
erection of any building or atructure, or for ar�r addition to sny e�cist3ag build-
3ng or s�Gructure, or f'or any alterativne or repa3re to aay esiet�.ng bu3.].din� or
atructure, upon e.pplication therefor, require the pa�meat by the applicant %r
suah permit of feea to the amount herein below set forth and in the m�ner hereia
provided ta-wit:
2.1. For �y such perm3t for the erection of a�r fire-proof bu3ldiug, other t.l�saa
a garege, werehouse, factory or grain elevatflr, or for f,he erect3an og an�r fir�
proo� addition, for aimi].ar occupancy, to ar�r existing l�uild3.ng sball be s.t th�
rafi.e of $1.1rA for each one thousand cubic feet, or fraction thereof, in such
cubical contents. ,
2.2. For any such permit for the erection of any Pireproof garage,`tit�.rehouee�
factor� or grain elevator, or for the ereetion of any fireproof additioa, for
s3milar occupe.ney, to aag existing building shell be at the rate of �7..25 for
each one thousand cubic feet, class3fied as "fireproof" by Section 502 of the
Minneapolia Bui7.ding Code.
.�i �.
2.3. For any such permit for the
tlnan g �are.�e, warehouae, factory
addition, for s3milar occupancy,
each one thousand cubie feet. .
GARAGF�S
erection of ar� non fireproof bu3].d3n� othes
or gra�.n eleva.tor, or any no�-fireprooP
to eny existing bu3ldin�. Permit �]..00 gor
2e�.. For any such perm3.t for the erect3on of any no�-fireproof gerage, waxelsouse�
factory or grain eleeator, or for the erection of ariy aon-fireproof addition, Por
sim3le.r occupancy, to a�ay exiat3ng building or for each such building or adri3tian�
Ninet� Cents for ea.ch one thousand cubic fe�t or frsct3on thereof, ia the cubieAl
con�ants thereof with a minimum of �1�.00.
For the purpos� of computiag fees for build3.ng permi.ts the cubical contents of ei�y
bu3lding or addition to a uni�orm height throughout by multiplying the ground area
covered f`rom a point s3x (6) 3nches below the floor line of the basement or ae1].er
tfl the average height of the upper surface or to the average he3.ght oF the roo�'
surface of the main gable af a pitched roof.
2.5a For repaira or �].terations to an exiat3ng atructure, the fee eha11 be at tho
rate of $3.00 for each Five Hundred Dollara (�500.00), or i"raation thereof in tho
cost of all proposed work.
2a6. In no case shall the fee chargad for ang permit aa aet forth in Section 2 be
leas than �4.00.
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Caty of Fridley, Mi.n.n..
BUILDING PERMIT
Date: Rov• 24, 1967
pwner; Mrs .�lbe�rta Myre B��, , S��
�,d� 136 Gilbraltar Road Ad�� Same
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1�To 9566
LOCATION OF BUILDING
No. — 136 s�t Giffiraltar Roaad ____ p� of Lot
Lot ._._. 20 � Block 2^. Addition or Sub-Division _ Carlson's Svmmit Manor South Addn.
Coraer Lot — Inaide Lot Setback ._._._ Sideyard
Sewer IIevation �._.____ ._ Foundation IIevation
DESCRIPTION OF BUILDING
To i�e vsea as:
Remodeling �t � Depth Height — Sq. F�
Front Depth � �Teight ._._.. Sq. F� �.r..
Type of Conatruction Frame F�t Cost �.—.�..3._� Q�_�Q._..__ To be Completed
c;u. Ft
C:u. F't
In consideration of the 3sauance to me of a permit to conatruct the building described above I agree to do
the proposed work in acc�rdance with the description above set forth and in compliance with a�l provlaions of
ordinancea oP the dty oP Fridley. �'"�
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In caa►sideration of the payment of a fee oP $ 5. 00 , p�t is hereby granted to �S - � b g
Myre to construct the building or addition as described above. Thiape rmit ia granted upon
the expresa condition that thepereon to whom it is granted and his agents, employees and workmen, in all work.
done in, around and u�n said building, or any part thereof, shall oonform in all respects to the ordinancea of
Fridley� Minaesota regar8fng location, construction, alteration, maintenance, repair and moving of buildinga
within the dty ]im�its and this permit may be revoked at any time upon vio tion of any f the proviaions oP sa�d
ordinances. •
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J GASTE Official
NOTIC�
'this psemh dees net eover ths een�irneHee, tasfatlaHon tor wtriae, plumbtne, 6u h�aNee, swar e� wmr. B� sure to as
I tlro Bulldiu8 leapatar Por mparm p'rmks for t6as Inm�.
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APPLICATION FOR BiTILDING PE�T
CITY OF FRIaL�Y, NIINNESOTA
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OWNEB' S NAt� � r � ( � ������ � ' BUILDER ,
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ADDRESS� ���.ip' � � , � � � ��/ilr� DI�E5w . .
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. . � � . - - . � . . ,.'G+(!�1"i�N' Q�' 8T33LD�NG � . . , . . _ ,
,� , .�� -`� :
� •— ,_ � " � r` , STRELT � � ' �'�' ��.Y`� � / � �� . "'• '.- � g.'�RT ' OF LOm � :
'_...'��R � So o� �� u M��?ii d�/I�Ff�'�;r'
tio� � 2 �� sLOCx � o srnann�siox � o � �G� ,����°'o d � �
_ p � .. : .. .. , ,.;, . : � . . . • � �
ADD�TI4N B.
e. �,. iirt irr� R�rw��r�r��.'�.�l.�i�+r.��
.. ... . . ... . , . _,. . . . .... . , s�. - , . • �' . ._. .....�. _.._. ,.. . . .
. , , . co�� � �sa��� La ;�.�:�.� s�ac� �' � .. �� � , . .. , , � sznE-��r�n � ` . .
, � � . � ��. . .. .
SEWEIi $LEVATION FOi1NDATI�t� ELEVATIOP
Applic�nt attach to thi� form Two �:ertificates of Surv�aq of Lot �d proposed
buildiag. Io�atidn •dt'awti►"�bn tZrese� C�r��fi�a�eB.'' , �``._' ' . '
.. ...., � . �� : .. .. . • . . •`,.. .r;: '' _ . "• . . . _ . . � , . ,
.. . . . - . . . . . ',A . .
_ � , A . .� �'�b D�.�.�I'1'IOP, ,d�,� $�,�HG ° � . . . ._ . : .
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To He "DBed `� . . ., , . . , �, , , . •,,.,. -; ; . . . . r>�. .. .
,�t�i:�
, � • - ; , ... .. ..
� ��`rii���� �/��- Fraut Depth _�eight ,
' . . . ' . ,�d. . . � .I�7Q• �rt ... ... .^ . � .te Vij♦ ��•_ � ..� :_ .
, . . . _ - — ..—.�r��i�....i.
. ' . - . �raat . . . Qepkh� • 8e�.gh�
_ . , . _ .. .. . . .. ... . _ . : . . . . . . . , . . . .. . . . +:�::�w���
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Sq. Pt. �u. Ft.
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?ype ot Construceiaa �I����, . �,., �, 8sri!i�oated� Ceatt ; � � ���.
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To Be Campletad ��� � /� ,� � ���" _-- -
- t:� .A,._
The undereigned herebq makee application for a pe;m�it Eor �the work bereia specifi�d,
agreeing to do all work in stsict eccordaace �i,eh the City of Frfdieq Ordin�ea
and rulings of the Department of Buildinga. and hereby deslares thaC all ttie facts
sad rePresentations stated in thie appl3aatio� are true and ootrect.
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DATE �"' � SI4�lATI1RE ��� � �"����°� �� ,�� G�•�;�',���==.�
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(Schedule of Fee Costs can be faund on the Reverse Side}.
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� BUILDING PERMIT FEE 3CHEDULE
SECTIOId 2. The Inspector of Buf2dinga shall, before issning permits for
. the -erection of any building pr structure; -or f�-at�y' addition to any
exiatiag strucCure or buildfng, or for. anq alteration or repai�s to any
existiag building or structure, upvn application thereiore, require the
the payment by the applicant for such permit of fees to the amount here3.n
below set forth �nd in the manner herin provided to-wi.t:
• � :�s� • ' :�; .
IInifo�m'Suildin� Codes Type.1,,.2,.6 4- $1:75 for each one thousand cubic
feet, or fraction thereo�, iarsuch•cuY>ical•cont�nta.. Tqpe 3& 5- $1.50 for
each one thousand cubic feet. �
r y ' For...Ch� pu�cpoee of camputing fees for Ybuilding .permi,ta, the �ubic$1 �;�
• ,�'�, ` : .. '. : w- �' �sontea�ts oi aay buf�diag,o�;. add�tti.�._
�,,,� unifora�.�,�.ight_, throughou��. .by
muitiplyiag the �round azea covered frc�n a point six (6) inches belaw the floo:
' line of the baseiaen�.,�ox the ce11�#c„ttQ� Che average heig6t of the up,p��c ,�rface
or to. th� average he$giit� of the 'rodf �i�rface of the main gable �of a
. pitched roof.
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-� For°�rep��r� -�;; a;lit -ons. tv- ��g �Ab tis t f .
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. �xat�. , , a� � tig e`�ttiic��i��,� �"E�e °'�e�� sT"ia"11 �e at the
. . . . .. -. rate of '�3.00 �Per� �ach ��i.�ve 1�uic%��i�. �lc�l..3.�4�r� :��-5�±��,�t�44�,�''9��: ��c�io�. .��c�g�f
. v� �� , . � � . �t :.y� _ . �� �. s ..
.� a t h e c o s f o�: $ l i p r v p o s�` i vo r k;= .: .
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In-ino case �tiall- ehe fee�-char$�d� for any permit' ss �set . ia�th� `in Secticin 2 be
. . . ... _ lees thaa $5.00: ._ . , . .
. ,, , •. . = . .,. . .�__ ....,
�� ' NSSSD Connectiaa �Charges �b;,a�ed �ati iccati�- Area 1 or 2. �
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SUBJECT
City of Fridley . - - - �
ATTHETOPOFTHETWINS gUILDING PERMIT 17189
�
; � RECEIPT NO.
� `L ____�_ COMMUNITY DEVELOPMENT DIV. � ^
r � � PROTECTIVE INSPECTION SEC. r I
i = �
� /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED 8V
�.---� • •�� 612-571-3450 910-F15 / /
6/6/83
JOB ADDRESS 136 Gi bral tar Road N. E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2Q Z Carlson's Summit Manor South SHEET
2 PROPEHTYOWNER MAILADDRESS ZIP PHONE
Thomas C. Myre 136 Gibraltar Road N.E. 571-9254
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO-
8 USE OF BUILDING
Slab for Garage to be built later
7 CLASS OF WORK
� NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
24' x 24' s ab for future ara e
9 CHANGE OF USE FROM TO
STI PU LATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIHED FOR ELECTRICAL, PLUMBING, HEATING, concrete
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ���OO . H'rJ
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF.A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- 'L$ � OO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
�' 28.85
SIGN TUREOFCON'� J_°ORORAUTMORIZEDAGENT IDATEI — EN�Y VALI AT D THIS IS YOUR�p��//�
� �
IGNATURE OF OWNER tlF OWNER BU ER� IDATE) BLOG iNSP DP i'c
�tiive Aug. 1, 1981
CITY �1i- ric�u�� �
AP('LIC11TI0'� FOf; RCSIDLi�TIRL I3U1LDis"a� P�(2�'�ITS
� (Wc�r, A1ter•iLions, Additions, or �epairs)
.
OtJI�ER: f�Dyf?l�S���� I3UI LOER : _ _ _ � �
ADDRESS: j�� (� ��. ��. IIDDRCSS:
TEL �0: , C�%% '�02 �J , TEL f�0:
Construction Location
STItL�T NO : ���(/ STItEET: ( c'�s��T�/� �� < �� .
LOT: p°�� BLOQC: � ADnITION: l`.�12L.S`8��1/%T�i'�/��%
c�G�a�..�/ ;�'
Corner Lot: Insicie Lot: `� SetbacY.: Sideyards:
Ap�licant aictach to tl�is� form two Certificates of SUrvey of lot and
pzoposed builcline� �.ocai.ion drawn on certificates to scale.
� • .
DESCRIPTIO►d OF COt�lSTR,JCTIOtJ
����D�L CJ>P1�i�6�. Front: Depth: Heiqht:
Squanc Feet: ° Gtibic Feet:
Front: Depth: Height:
Squar.e Feet: Llibic I'eet: _
Type of Con ,truction : �.�,//%�i% �� _
Zb Be Oor.�pleted: _ ���cr�� _
Estimated Cost: $ ���CJV
Alt. A Alt. B
Proposed Driveway �Cidth If New Opening Is Desired: $ $ _
, S�E FEVF.R�E SIDE OF SHEET .
19ie undexsigned hereby ma}:e� applicltian for a permit fcr the �:�ork herein specified,
agreein� to do.all work in strict accordance ��ith the City of I'ridley Ordinances and
rulings of tlie Departn►ent of IIuildings, and hereby declares � i�hat all tlie facts and
rapreses�tztiens stated in this application are true and correct.
DT.TE: GF' � SIGNATUF•e.:
Stii�ulations :
�'--. '�
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. ��
,
.
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' The Chief Building OPficial shall, before issuing permits for the erection
of any building or structure, or for any addition to any egisting building
or structure or for any alteration or repai�s to any existing building or
structure, upon application therePore�!require the payment by the
applicant for sueh permit of Pees to the amount herein belo� set forth and
in the manner herein provided to-xit:
_ -= ..
�1.00 to �500.00
$501 to �2,000.00
$2,001 to �25r000
Fees
�10.00 (Minimum $15.00)
$10.00 for the first $500 plus $1.50
for each additional $100 or Praction
thereof, to and including $2,000
$32•50 Por the first $2,000 plus $6.00
for eaeh additional $1,000 or Praction
thereoP, to and including $25�000
�25,001 to a50,000 �170.50 Por the first $25, 000 plus
��•50 for each additional $1,000 or
fraetion thereof, to and including
�50,000
$50,001 to #100,000 $283.00 for the first $50, 000 plus
�3.00 for eaeh additional $1,000 or
Praetion thereoP, to and including
$100,000
$100,001 and up $u43.00 for the first $100,000 plus
$2.50 for eaeh additional $1�000 or
fraetion thereof
Plan Cheak: 25 percent of building permit fee.
Drive�ay Depression Eserow: Concrete eurb streets only.
Alternate "A": Removal and replacement of curb and gutter only -
Drivewaq Width plus 6 feet times �13.50
Alternate "B": Removal and replacement of curb and gutter and
install a 3 Poot wide approaeh �►ith 6 inch depth - Driveway Width
plus 6 feet times �15.75
'- .� �� '. ��: .�
Permits for eonstruction Will be issued a minimum of 24 hours from the
time oP application to allow for proper review of the proposed strueture
aad of the oonstruetion site.
i Certificate of Survey of the lot, showing the location of the Poundation
onee it has been eonstrueted �aill be required before Droeeedina With the
framing.
����
�J `, � 1�7�,e4�
� X ''� r
fZ�C �.a ��
�.C��
SUBJECT P .
City of Fridley 1810 8
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV. /
i j L �����'� /
r � � PROTECTIVE INSPECTION SEC.
� _ �
� /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�"'"'� � �'� 612-571-3450 910-Ft 5 7/15/85 � �
JOB ADDRESS 136 Gi.bralter Road N. E.
1 LEGAL LOT NO. BLOCK THACT OR ADDITION SEE ATTACHED
DESCR. 2Q 2 Carlson's S11IDIU.7.'t MattlOT South Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
'1"homas/Gwen.Myre 136 Gibralter Raad N.E, 571-9254
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
5ame
4 ARCHITECT OR DESIGNER MAIL ADDFiESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO.
8 USE OF BUILDING
Resident'la,l
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Construct a 24` x 24' Garage (Foun.dation �uilt on.permit previously)
9 CHANOE OF USE FROM TO
STIPULATIONS
Provide a hard sur�ace driveway,
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OF AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCEO 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 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAIf
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5�300 $2.65
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- $56, SO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TQTAL.FEE
$59.15
SIGNA RE OF CONi 7i�1 R OR AUTNORIZED AGENT ATEI W EN PROPEFLY V ATED THIS IS YOUR P RMIT
�% �S" �s ' ' - �' � /S. ^
S� A Ut7EOFOWNERiIFOWNER DERi iD TEi LDG �NSP OaT
����. � �°�'�r"�� �.� �. �� _ ' -_ � � ��� ����
p� [ ] City of Fridley
ADDN. [ ] R-1 AND R-2
AI,TER. [ ] Building Permit Application
Construction Addre
Legal Description:
Effective u/1/8u
����J
Owner Name & Address : � �� �� � � �� r S � �/ � � Tel . � � � ����
Contraetor: <��"�� Tel. � _��
Address • '�— ��'��' �
Attach to this application, a Certificate of Survey of the
lot� with the proposed construetion drawn on it to seale.
LIVING AREA: Length
GARAGE AREA: Length � � o
DECH AREA: Length
OTHER:
7.� �ZI. y � -� �-
Corner Lot [ ] Inside Lot [
DESCRIPTION OF IMPROVEMENT
Width Height
Width � � _._. Height �_
Width Hgt/Ground
Sq. Ft.
Sq. Ft. ��
Sq. Ft.
- ��? oo = s3 Z�. yy
Ft. Yd. Setback Side Yard Setback
Type of Construction: 1�����
Approx. Completion Date: � °
�
Estimated Cost: $ ��
53 Ou.��
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: � // � �
Permit Fee
Plan Check
State Sureharge
SAC Charge
Park Fee
SeWer Main Charge
TOTAL
STIPULATIONS•
APPLICANT �� l�-��. , �,/.-� Tel. � ����=�- �`��
�'
CITY IISE ONLY
� ��q,.� Fee Schedule on Reverse Side
$ !� 25� of Building Permit Fee
$ eZ.� � $•50/$1,000 Valuation
$ $�25 per SAC Unit
� _ Fee Determined by Engineering
$ �` Agreement Necessary [ ] Not Necessary ( ]
$ .�J
��_��
%s�� �S
BIIII.DING PERMIT FEE SCHEDIILE
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 strueture, or
for any alteration or repair to any existing building or structure, upon application
therefore, require the payment by the applieant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-xit:
Total Valuation
�1.00 to $500.00
Fees
$10.00 (Minimum Fee is �15.00)
�501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each
additional �100 or fraction thereof, to and ineluding
$2,000.
$2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraetion thereof, to and
including $25,000.
$25,001.00 to $50,000.00
$170.50 for the first
additional $1,000 or
including $50,000.
$25,000 plus $4.50 for each
fraction thereof, to and
$50�001.00 to $100�000.00 $283.00 for the first $50�000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
ineluding $100,000.
$100,001.00 and up
$433•00 for the first $100,000 plus $2.50 for eaeh
additional $1�000 or fraction thereof.
DRIVEiiAY DEPRESSION ESCROY
(Concrete Curb Streets Only)
Alternate "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 $15.75
9ERIFICATION OF FOIINDATION
Permits for construction Will be issued a minimum of 2u hours from the time of
application to allow for proper revieW of the proposed strueture and of the
construction site.
A CertiPicate of Survey of the lot, sho�ing the location of the foundation onee it
has been construeted will be required before proceeding with the framing.
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�) ol�i i) Sa� ia�Eaq ial�nn io3 Papinoid uaaq iauij � s�g ° �
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() ol�t �)�� pa��auao� s�fLLg I�o� pu�
- - azTS io� s�ua�a.nnbai a�� �uaun� � s�aaLli ' S
i ) °ri ( ) �� pa�oddns �Iam�as sI •�,
i) ol�i ()�1� a u�3�n Pa�Poi s�a,fqo u�Ta.io� ou seH •£
() ol�i ()�� ' uoq�oua�ap io �stu tuo� aa.z� sI ' Z
() oI1 i. )�� pau�mexa ��a.n� uaaq seg • I
:x��s io �fauunq� �m�snca aql �� sa�an �qaia� pau�is.�apun a�
1�IOI.L��i�I?I�A �I��ZS QI�I�' �I�l�II�1IIH�
;�,
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sua�etr . P ,
City of Fridley 3 i 425 �
�
AT TFIE TOP OF TNE TWINS � � i L D I N G P E R M I T
RECEIPT NO.
� � COMMUNITY OEVELOPMENT DIV. �? �� ��
i t V � � �o�
r � � � PROTECTIVE INSPECTION SEC.
1 . �
i-_-- A ��"','j CITY NALL fR10LE� SSIJ2 NUMBER NEV DATE PAGE OF Af�PROVEO BY
L �� 612-571-3450 910-F1S 9/26/00 � �
�oe no�Ress 136 Gibraltar Road NE
1 LEGAI �OT NO. BIOCK TFACT OR ADOITION SEE ATTACNED
oescR. 20 2 Carlson's Summit Manor South Addition SHEET
2 PROPERTY OWNER MAIL AODRES$ 21P PNONE
Mike/Julie Padilla 136 Gibraltar Road NE 763-572-0334
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Renaissance Exteriors 2556 H 10, Mounds View, MN 55112 763-780-2000
a AiiCNITECT OR OESIGNER MAIL AOORESS ZIP PMONE LICENSE NO.
20220285
5 ENGINEER MAIL AODRESS IIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION � REPAIFI ❑ MOVE O REMOVE
8 OESCRIBE WOFiK
Reside House & Garage; Replace windows
9 CHANC3E Of USE FFOM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions for this provision would be if sheathing is an
approved wea�herproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the manufacturer
states this in their application guidelines. Call for inspection of wrap
before covering.
Provide smoke detectors in a.11 sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code.
TYPE OFCONST. OCCUPANCY GROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTNICAL, PLUMB�NG, HEATIN(i,
VENTILATING OR AIR CONOITIONING
TMIS PERMIT BECOMES NULL AND VOID If WORK Oii CONSTtiUCTION 20NING SO. FT CU fT.
AUTHORIZEO IS NOT COMMENCED V�(ITNIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I FIEfiEBY CERTIFV TMAT I MAVE iiEAD ANO EXAMINEO THIS APPLICATION 1 STALLS GARAGES
AND KNOW TME SAME TO 8E TRUE ANO CORRECT. ALl PROVISIONS Of LAWS yALUATION SURTAX
AND OROINANCES GOVERNING THIS TVPE OF WORK Wlll BE COMPLIED @ r @
WITM WHETHER SPECIFIEO MEREIN Oti NOT. TME GRANTING OF A PERMIT 4'17,448 W8•72
DOES NOT PqESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL TME pEqMIT fEE SAC CMARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- @
TRUCTION OR T PERfORMANCE OF CONSTFUCTION $293.25 Fire .��.' y�17.�F5
�/ PLAN CMECK fEE TOTA EE
a\ % Z o Lice e SC $5.0 $ 4.42
5� 4TU EO�CON•AACTOpOAAUfNOA�ZEDAGENt iOATE� M N PRO R VAUOATED N�S I R PERMIT
� ��� '�
S�GNf1TU�7EO�OWNEp���OWNEpBUILDERi iOAiE� OG �NSP' �1��E
r./'. ' J�
y
�._
SEP-25-2000 14�29 FRQM CITY ��RIDLEY TO 7H�3 P.�iiO3
E.ffect+ve 1/9/20QU
� [] CiTY OF F'RIDLCY iT63y �T2�9604' 8ldg llt�p
ALTE1i [} e1Ni3LE FAenri.Y AND DUPlDte3 R� AND R�
BUIlDING PERMfT APPLICA710N
Cor�stru�dion Addr�.s: 13 to,, � � e{na -rA 2 1Zo
Le�! [?estxip�n:
Owrrer IV�m� 8� Addr�ss: ��c� o- a.��..=. C�a�o. ��a� Tel. # -
COnt�CtW: 12�e�+a.�ssw�.sc. Esc-se ►�.zc MN LICENSE# Zoz."t,�aZ7s5'
P►dtll�B�: ZS_,,, ti�- L��..•s�t �Q W1ow•+oS V��'s�.s� � Tel.#_71,�3-7 o-Zorro
Atmch to �ds �pplic�tion, a C�+ti6cate of &un►�y of ti�
lot, vui� tha propaged conaUuction dt�+m an it to st�e.
DESCRIPTION OF I�PROVEMENT
I.MNG IIRpA: Length _r___�„�_. W�th ,,._�,�,_ He�ht !_____._ �q. Ft.
�iARAOE AR�A: Length � Wid#h � He19ht Sq. Ft
PECK AREA: L�ngth 1AAdtl�► � HgUGrouRd Sq- Ft
OTHER:
Canstruction Type: I�,ESIPG �_Re�r.c�r+c�-c E�timated Cost: � I7� �►tiPS °°
(„1�ar.+a..si
tkikew8y Gt�rb Cut NKadtl'� Needecl: Fi + 6�t m Ft X$ °$ `��
pATE: ,_,� � zc�/,� APPLICANT: /,� /L �, 1��- — Te�l. � 7,-�kd- Zc���
C � Y- Cap �63) �72-3b�4 far Parmit F� if �iling in �4on
I�rmd Fee $ �.��� Pe� �chedule on Reve�se �tde
Fire Sutrd�rge $ l%. � .009 of Permit Vratuation (7/10tit°!o)
S"tat� Sur+��rge $ � - i�-_ $.50f$1.Q�0 V�iuu�tion
�AC Ch�rg�
Lioense Surcha�rge
D�way Estvaar
Erosion Contro!
P�rit F�
$ ____$110Q per SAC Unit
� � . C��C� $;,.b0 (3te�e Li�rt� Residential Cond�ctors)
$ Alt. �A" or Ait. "B" Above
$ $45�.� Conser�►n Pt�n Rev'�ew
$ Fee Getermin�d by Engir�e�ri�g
Sewer Nh��n Char�ge $ Agraement Nec�ery � l Not N�N [ I
TOTAL
SS11PUlAT1ANS:
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