AF - 45238r _. ..�
sue�ecT P MIT NO.
City of Fridley � 13428 ;
AT THE TOP OF THE TNJINS g U I L D I N G P E R M I T
r
; � ECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
r ; �: ------�
� � PROTECTIVE INSPECTION SEC.
1 . �
� � /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
��'-•� � ,`� 612-580-3450 / �
910-F15 /31/76
�os aonRESS 173 Gibraltar Street n.E.
1 LEGAC LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 10 2 Carlson'sSvmmit Manor SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Dann Brennan 173 Gilbralter
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Ra.y Warmuth 2170 154th Lane_N.E. Anoka 755-4232
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
siir�
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
7 CLASS OF WORK
❑ NEW C� ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOFiK
14 x 14 addition for family room
9 CHANGEOFUSEFROM TO
STIPULATIONS
��.������, �I���6�S REQUIR�O E�� �
��TIN� I?Ll��[�1lVC, ,A�D� Si���
TYPE OF CONST. OCCUPANCY Gt;OUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOd frdID�-'
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 224 2�240
OR WORK IS SUSPEWDED 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT % G,�%�j 3. %3
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- 26.56
STRUC N OR THE PERFORMAN E F CONSTRUCTION.
/- PLAN CHECK FEE TOTAL FEE
' ��� .�",.��'�� 30.29 ��•
ATURE FCONTHACTOHORAUTHORIZEDACaENT IDATEI WHEN PROPERLY I ATED THIS IS YOUR ERMI�
� ��� �
�� + •�
SIGNATUREOFOWNEFIIFOWNERBUILDERI IDATEI BLDG INSP �A E ' '"
;�
' ' '. • •APPLICATION rOR RL•SI'DL'�TIAL., ALTL'RATION, � � � � � � •
, � OR AUllITION. BUILDING T'�RI�IIT � � .
• ' � CITY OF FRIDLEY, rIINNESOTA . � �
. , . , .
ot��t's � rtArs� :��,,� .� � �,,�� � � BvrLV�R : e ,� ,� �. ,�. ;� �..P;,, .
� ,' ADDItESS :,�[ � �= /nA'�i-�.�� ADDRESS :� 1 �D � �.� _ �A ��t.�.,�s�;; �� �s '
• . . .
� NO:. � B� �� . �STItEET. � a ��"/� � T� r�, � �� .- 1l� ; � � . .
LOT: � 4 �' BLOCI:: �- � • ADDITIOn : ���e' � � �l s� �S S �t e> 1c � 7 r. % `1�r���% G�/Z
. COItI`�'R L�T: INSIDE LOT: �,�� SETBACK: SIDL•'Y�D: .
� App].icant a�tac�°. �a this form �.t�o Certificates. �f.Survey.ot�Lnt and.pxoposed � -
bnildireg location dilwn on these Certificutes. � �� •
.' ° . � � ��e . . .e .
� � •BESCRIPTION'OF BUILDING . - � .
, a ,
' To Be IIsecl As : . . � � ' • � �
• . ,��,�j ' l �+' /1� � . . • .
���aa,°[�.s,�,� Frcmt: �`/ � Depth: � � � H�e3.ght: � �
� � • . Squa're Feet: 2 2 t� � Cubic.Feet: � � �i� � �
o a .
� � Front:' Deptli: •� Height-
•. . �. � Square Feet; Cubic Feet: ' � � •• -
� �ii d� � ��� f�`� � Estima,ted Cost. $ � � �S°� � - .
� �ipe of �Const�ruction: ,��, • � �,�
. Q To• Be Completed: �� j� ��, ��'.� �, � I . • • � .. ' ,
. . .
• , • . , . . . . .
� The undersisned hereby makes applicatio�-for a permit for the work herein '
� specifi.ect, agreeing to do all worlc in stiict accordance iaith the Cit�• of -
'� Fridley Ordinances and rulings oi the Departmnnt o� Bui.ldings, and h�x�by �
declares �that all the facts and representations stated in tliis appliEation
are true and correct. ' ' �
� � � • • � • •x � . -
� � D�ATE: ��—' ,� �% ` � � SIGNATURE: ��' � .��- ' :,� �'��` :��` '�' ., . ,�.:a ' � .
�(Sce R�verse Side For Additional InfoYmation,)' .� '
, ' , . 02 6 .5"� �� ' '
. . 02� 4�d X � 85cao � � � '{ � y ' � • ,;3l,� s-� - �` .
. . . . . -Yy, �� �� �Q -.2 � � ' � � '
• . � ��g X �G: � • , ,� . . -
• ��,5� : � .— z6.�°�' � � • . ' • _ . �`
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' , : . . . ' . '. F �
, . , .
� SECTIOT� 2. Tl�e Inspector oi 13uildin�s shall, befoxe issuing permits for the ;
exection oi any building or stxucture, ox for any addition to any existin� .
buil.din� or sL•ruc�uxe, or �or any alt-cration or repaixs Co any cxisting � �
building or struetuxe, upon application tl�ereforc, rcquire the payment by the ,
app).icant foir such permit of fees to Ehe a�:ount herein below set torth and in
. the mannen c�rein provided to-wit: � . , . ;
• . • �
' I
. UNIFOI'1�i RUILDIrG COD�: Type 1, 2& 4-$2.15 for each one thousand cubic �
. iee�, or fra�tion i:hereof, in suc12 cubical contents. Type 3& 5-$1.85 foz • -
' each�one thousand cubic feet. � • •• •
' . ' , qDDITI0N11L I�IFOIt1�1ATI0lV •' ;
, . . � . . .
, :
.For the purpose nf-�omputing fees for building permits, tha cubical contents �•
of any building ox addition9 is detexmined by multiplying•the ground ar�a
. covered from a point sis (6) inches below the floor line oi the basement • .
y.� or the cel].ar ta the avexage heights of the upper surface or to the average� .
height of the •roof sur£ace of the main gable of a pi.tched roof. � •
. • -• - . ;
• For �cepairs .or alterations to �an e:cistina structure, the fee shall be a� the
' rate of $3.00 per ea.ch five hundred•dollars ($500.00� or fraction thereo� in
. the cost of al�. Pxoposed work. ° '.
�� �� In no case shall the fee cl�arged for any permit as set forth in Section 2 be .
�less than $5.00; . . • . •� .
� ' o iTERIFICATION OF� rOUNDATION . �
. . - � " ' y ' .
AOT�: Permits for constructi.on wa.11 be issued.a minimum of 24 hours fxom the � �
�S.me of agplication, to al.io�a for pxoper re�riew. of �he proposed structure and �'
• oi the constructinn site. . • �
A�rt� Fi�d ScY°v�r of �the 1ot •°ng the locatfa� -�f _ the foundation, once it �
has beer� constructed, will be required bc ore �roceedin� wit;h the framirig. I
� - • �
� . . � CERTIrIEATE OF�OCCUPANCY
A�plicaCion for a Certiticate of OccuPancy shall be ma.de ten (10) days prior �
to the use ox accupancy of any structure for whi.ch a building pez�nit has been
, � issued; and said structure shall noC be used o� occupied until a Certificate
•'.of Ocacupancy has been issued., . .• .
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F�raai lnspections of alt tr�des
requ���l prior to accupancy o} �
�uiidiing, �
BE MAfNTq N D AfVD
CONSTRUCTION S��°F.
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7�IIS P1=RN M JST
BE MAINTAI�IED AND
ACCESSIB�.E ON T► +�
CONSTRUCTION SIT�.
�141� .�6R �pa � i�pE"CTfON�
FJnat Inspections of all tr�d�
re�uired prior to occupancy Ot
Buildiing,
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EXTERIOR ENVELOPE AVERAGE "U" CObiPUTATION
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• �OWNER: �����:,,� r'r .��? �',_��'�
SITE ADDRESS : ���,� ^��`��4�
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�ONTRACTOR: _�� � C���,'.�° , ��''�'��r,'��,
� ��
rage i o g
DAZ'E _ �. `. 3 � "' ��
�
PHONE: _ �.��s'�� '��� ,� � �
Determine working square footage of each�� -
l. Total exposed r�,►all area. . . . . . .� �9� � G s ft. x .17 = � 0 �
. q• , „��� • �
2. Tc�al roof/ceiling area .. e. e e ��'� sqo ft. x = /% i�
-- A
Total exgosed wall area above floor = •
a. Total �vall window area...o..>o.e ...o.. ��, � �
e°o.a°e.<d.ve.oee
b. Total.da�or..area .eom....o.o...e.°e..e.sae....evoevo.... ..� o , /
c. Total sliding qlass door area ,mee.e.o,..ve.m,oeO....e.
d. Total fixeplace wa11 area eoo.a°ee..°o.e,...ovo.........
e. Total wa.11 iraming area (average i0��.o...se.,.....e...
f. Total rim jaist area ..ee.....oeeveo..,e°o.....,....o.e ��s.� 3
g. wall area a�ve floor.oe..emo.o.......°eO...e.. �
h. ' wall area above ��.00r.o..e°eeme,,....peOO..a�.e � ��., S%
i. wall area above floor.....ee°aee.o..o..ee.:.... .
j. wa].l area above floor.e.4eee..e.e,,.e.eOe.e...a
Total exposecl foundation are� _ (� /• 3�� �
k. Total foundation window area....oee.evo.e......e,o..e.p
1. Total net foundation area above grade e.°oeee,eoe....e.
%:.)//�1�S
�y:.�
� Determine "U" va].ue of each wa11 segment
(eeg. window, dooro each separate wall section)
�. 33 3� x U , s6" `� . l 8. �
� ro u � .
�e -� �� / x �u,� � �� — //. G G . .
C o � � }( wu�a p � � � a � � �
ao y� 6, �'' x�u�� , 6 6� _ �a, i.�
e. � �/. 3� X �aU�e . � � �i = �e � ,��
f. g %Un .
q, X n�u _
h. X "U" _
i.. g ��U�� �
�, X nUn =
k. X "U" _
1. X ��U�, _
.�
3. ........ .................... Total =
��
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. �i 3�
�� 3�
. ��> j�
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- :. � �.
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�,,� °'�- 4�
'�0 �. �
,'If item �3 is the �ame as,
. ` or less than item #I, you
�have met the intent of.
SBC 6006 (c) 2.
a
���9 � . .
E�cterior �nveloge Average "U" Compu�ation
'�. , � .
e' • ~
. + .
Paqe 2 of 4
� b, . Total exposed roofjceili:ng area =
m. Total slc�light area ............................ �
n. Tot,a.1 roof/ceiling frami.ng area (average 10 0) ...
o. To�al net insulated roaf/ceiling area...........
Determine "U" value for e�ch roof/cei�i.ng s ent �
� � ;�r�
m. � � � X �,n,o ��:. � i � C/. � �� � -�� �°� _ /��"�
n. x ��vn = � -- �i ���� �
O e X nUro � �� _ ��
4..........o...e..eo...°a..o Tota.l = .
If to�l of #4 is the sama as, or less than #2, you have met the intent ot �
SBC 6006 ,(c) l. . . .
Alternate Bui.].ding Envelope Design . � _ '
To utilize the �rota,l envelope system method, the nal.ues established�by the sum of
items #3 and #4 shall not be greater than the sum of items �i and #2.
1 s � L� p "�i'
3a + 4. _ . -
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,
. �
- WALL ECTIONS '
NOT�: Us lOa opaque wall area for
. ' .f-Yam constructi.on
Page 3 of 4
' �� Construction R-Value
" 1- ` :. - t`t— ---=—�� . .
: � �
FIG. �1
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(�, • �l''� � i
SG. #3
__�-�-__�'=� � ~ � , � �_____.�
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�,�` : • _� . , ' g -
l. Interior air film � 0.68
� . a• � � , .
� . 3� ��� �o�� � �. �,..�
}� . 4 . �� ��t i t ?' /' c � /' r Q
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� . . � 5. �'7/4�'di� ` ?°� - ,1 s � �
� . � 6 m Exter�or air f ilm 0.17
z •
� . ! Total � a�� �
. � u= � ' ,//6 : :
� � � ].. Interior air film � p.66
�
. ° ��a•. � 2e �� S��✓ 2v�� y�''
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� �' � ; � s . 3 z �" ���' ec� �e v �, 4 0
t� Q • � 1 40 -���� �G�d�?'O,Q�! �e �
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s
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� �° C e ExterioY� air film �.17 ��
.� � Total —
� • ° � lJ��fl
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l, Interior air film 0.68
2,. � � .� �� � �
. /�a v �
3. �%`1���� �,�� ' �DO�
4. '
50 " �
6e Exterior air fi.lm 0.17
Total
�. : i � . . .
� e �' u=,o7� �
;�� � � . � : ; 1. Interior a.i,r fil.in � p.68
' � . � . ! Z. _ 0� �� �LD��� �n �� .
-..-_�..._...._.
. � 3.� � �' �fi���Pd�r� �2s.5�
� 40 �
5e �
, � 6e Exterior air film 0.17'
. e ! u - ��i(� • .. Tota7. � � �
� e es . � , e
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FIG. #�4 ° /� ' ' -
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Indicate tyne, ••�"-value, depth and
,,,-..,....._._� _ •- • - -
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ROOF/CEILIN6
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.,t�ented Seat f law � .
up � •
FIG. �5 � . . .
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H�at �floti� up • . ,. �, ;-vented .
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Page 4 of 4
Co�nstn.iction . R-Value
1. Interior ai� film . 0.6i
2 . � `� � L�- � c�
3 e _/`� �� �G�.e_.� `2 ��—�— F'� �
. �`
4. Exterior air fiim (stilY) 0.61
Totai � _ � %s � �
- LQ = �C> 5 c�g . , .
le Interior air film ' 0.61
a.
3.
4. Exterior aix film (still) � 0.61
Total
l. Inside air film 0.61
2.
3.
.' 4.
5. Outside air film 0.17
� Total
Note: Use additional sheets if more space is
needed for details and calculations �
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TOTAL P.02
SUBJECT
. c�ty of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M
� � �
� `L _ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 = �
l--N� � ���;,J CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF
Z 612-560-3450
910-F15 4/27/77 � �
JOB ADDRESS 173 Gibraltax Road N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. �.O 2 Ca.rlson's Su�it Ma.nor South Addn.
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Daniel Brennan 173 Gibraltar Road N.E.
3 CONTRACTOR MAILADDRESS ' 21P PHONE
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE
5 ENGINEER MAIL ADDRESS
�° 14033
RECEIPT NO.
� ��
APPROVED BY
SEE ATTACHED
SHEET
LICENSE NO.
LICENSE NO.
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION 0 REPAIR ❑ MOVE � REMOVE
8 DESCRIBE WORK
Construct a 8y x 16' feet deck onto dwelling
8 CHANGEOFUSEFROM
TO
Sil PU LATIONS
Owner is to provide complete plans.for deck before ca.11ing for
�ooting i.nspection.
SEPAHATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CON;
VENTILATING OR AIR CONDITIONING. �di�i00CI
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORI2ED 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. l
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1'
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
WITH WHETHER SPECI�IED HEREIN OR NOT. THE GRANTING OF A PERMIT $4OO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $%. SO
SIGNATURE OF CONTRACTOR OR AUTHORI2ED AGENT IDATEI
X�1\ c� � �� ��� �, �� ,�� (� IL� 1
OCCUPANCY GROUP OCCUPAN�
SQ. FT. CU. FT.
OFFSTREET PARKING
STALLS {GARAGES
$.50
SAC CHARGE
TOTALFEE
yS`8.��
DATED THIS IS YOU
IT
LOAD
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
�NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWrd'ER: D � te I � � I �.� `� � �i'�, a� -�� �� BUILDER:
Address : l 1 � � ; � �° a� �, � � �,, ��l Address :
No.. /73
LOT: ��
CORNER LOT:
r�
Street:
Tel. No..�
BLOCK: � ADDITION:
INSIDE LOT: _�� S�,TBACK:
��
SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
.��'�'�
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction:
Zb Be Completed:
�.�-.� � ��
Estimated Cost: $ "�' %' �� �
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for additional information.
�r. y _... �� �
DATE : � / � 2� S I GNATURE : � 1�,=�y ����� � ��� , �� �3-',..� .� �r>., �o _ �=� .� �
5tipulations:
4��- � � �-�+ �����
/��� `� ' F� , .
2 ���-� �� �+ ,
�
�"�E-�t��'�
���
� �i ��
.�� �-
� �..�
c:::�'� `
BUILDI�G PERt�IT FEt SCHEDULE
SECTION 2. The Inspector of Buildings 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 repairs 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:
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet..
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) .
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x$11.75
Alternate B; Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x$15.40
�11 � p l �' : �
For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below 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 repa:i.rs or alterations to an existing structure, the fee shall be at the rate
of $3.00 ger each five hundred dollars ($500.00) or fraction thereof in the cost
of all proposed work.
In�no case shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
' ' � Z�T���IR\ � ' � l�
NOTE: Permits �or 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.
CtRTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
�
�
,r-- �
SUBJECT E .
City of Fridley 2 0 5 61
' , AT THE TOP OF THE TWINS g � I L D I N G P E R M I T R PT NO.
r
� � COMMUNITY DEVELOPMENT DIV. �.y � � �
� • (
' �L _ J
r � � PqOTECTIVE INSPECTION SEC.
1 i �
� /'�'1 � CITY HALL FRIDLEV $5432 NUMBER REV. DATE pAGE OF APPROVED BV
�"'"� � �'� 612-571-3450 910-F15 9/10/90 / /
JOB ADDRESS 173 Gibraltar Road N e E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 10 2 Carlsonrs ���ttnit Manor South Addition SHEET
2 PROPERTYOWNER MAILADDRESS 21P PHONE
Daniel Brennan 173 Gibraltar Road N.E. 572-8249
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Westexn Construction 4301 Highway #7, Mpls.., .I�T 55416• 920-8888
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PNONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILDING
Res identia 1
7 CLASS OF WORK
C� NEW � ADDITION O ALTERATION O REPAIR O MOVE �] REMOVE
8 DESCRIBE WORK
Removal o� Exi�ti�g Ga,xa.ge, Constxuct a, 22'� x 24'' Deta.ahed Garac�e
9 CHANGE OF USE FROM TO
STIPULATIONS �,xo�� � a hard s.ux�ace dri;ve.�nta.y�, �ee notations an plan �
������VG
Before d�gg�R�, cait f��
all �tiiity loca#ians
RFQ�iRED B . -
Y I_q�y
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIREO FOR ELECTRICAL, PLUMBIN(3, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO SQ. FT. CU. FT.
AUTHORI2ED 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 yALUATION SURTAX
AND ORDINANCES GOVERNIN(3 THIS TYPE OF WORK WILL BE COMPLIEO $785� $3.�3
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 Y OTHER STATE OR LOCAL LAW REGULATING CON- ' $�g ��.
RUCTIO RF R NCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
�`�/ - - k'ir SC 7� 86 $11Q. 7�.
IGNATU F COrv' CTOR OR AUTHORIZED AGENT IDATEi EN PROPERLY VALID TED TNIS IS YOUR PERMIT
r, � 6A
SiGNATUREOFOWNERiiFOWNERBUILDERi IDATEi BLOG �NSP FTE
Prepaid Plan Check S
Fstimated Cost $
Reaeipt #
City Of Fridley
I�3 � Q�NIl+�RCIAL & II�IDUS'IRIAL
Building Permit 1�pplication
Effective 5/L88
Construction Address: 173=GIBRALTAR ��g:
T �1 Description:
Property Owner & Address: DANIEL BRENNAN 173=GIBRAI,TAR �. � 572-g2y,g
4�N.�tAC1'OR & Address: �STERN CONSTRUCTION 4301=HIGHWAY #7 T�. � 920=8888
Architect & Address: Reg. #
F�gineer & Address: g�_ �
Zjrpe of Work �X]New [] Addition [] Alteration
24X22=DETACHED GARAGE �g OF BUILDING: GARAGE
APPLICANI' SIGI�IJRE: "Pf'G<•�� ��.�, Tel. # 920=8888 Date: 0$/29/90
BUILDING DIMEN.SIONS
Size of Structure
Length 22 Width 2� Hei�it 10 Sq. Ft. 528 � of Stories 1
OFC. ARF.A: Length Wic�th Height Sq. Ft.
WHSE. AREA: Le�gth Width Height Sq. Ft.
OrHFR ARF.A: Length Wic�th Height Sq. Ft.
VALI�ION
Sg. Ft. 528 X S Cost/Sq. Ft. = valuation $ )
Sq. Ft. X S Cost/Sq. Ft. = Valuation
Sq. Ft. X S Cost/Sq. Ft. _�aluation
$ ) = S � �' �, (�, � /'�, "`�
$`- ) Total
' �.� �P UP ; �` `' °»'
�ipe of Const . �,� Oc . Gro A/C [ ] Yes [ �i No Fire Prat. [ ]Yes � [ ]No
Performance Bond Amo�t S' See Reverse for,,,�chedule Reoeived []Yes []No.
.�. .:`. 1 � �.:
�4� lt � S $—��-�° �� See Fee Schedul e�' on�� i�v�rse S ide
�=� ��k � $- � e�� In excess of Pre�id Plan Check -See Back Pg.
�,-S�a�--St�rc��r-�e S_� .� 5.50/$1,000 Valuation (See Sched. for > S1 mil)
SAC Qzarge S � SSSO�per SAC Unit
Park E�ee � � F�e Determir�ed by Engiuzeering -
Spec. Assessmerits � � Agreenent Neoessary [] Nat Neoessary [ l
Driveway Escrow
�
�� �'�-
STIPULA�IONS:
� � , �` �'� r,� �3`'�
$ � feet at 513.50/foot
$ 1.�.`��
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� y2"X 7"A.B. AS PER U.B. C. ���°� ;
i �
� J��'� REOWOOD OR TREAT D 2"X4" PLATE �
r- �
;�, GRD. �� 6„X6��tt10 WIRE :°.'v• - .
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m LINE '�• ; p• �: ��• b• • P: d � �
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CODE- SLAB ON GRADE , NO BL.00KS
�
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.
; ,� � '.ti� 1 X8 �.
..
built trusses
e dn every third
:er minimun
i�.�
.�.;
Rafter
2x6'�
..'� �
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� � \� c� 1Xb" �, / .
ix6" / � iX6"
�
2X6"Rafte��=".-o �tie or Wall��;'�:;' Tie
GARAGE R.00F "W°' TR'JSS r OR LONGER SPANS
:-•�
�:•a
WESTERN CONSTRUCTION COMPANY
4301 HIGHWAY 7
MINNEAPOLIS, MINNESOTA 55416 i\l.
920=8888
� ,.._
� 4
� iV• ,'�' �id��/iii�����������••
•
, - WESTERN ��'':
= •...coNSneurnoM co. ,,�
"' --•----_'''"
.
: . �.
4301 Highway 7
Minneapolis, MN 55416
920-8888
�irr �v i ��'�°�
ADDRESS � 7 � � � ��c / �'�
NAME �G �7 � v� �� wt�' `�
i�HONE _S%� �a.-�� % WORK
PERMIT OBTAINED BY � � �
SALESMAN � r7
CEMENT MAN _
OLD GARAGE REMOVED BY
OLD CEMENT REQVIOVED BY � �
s'-�
z�
1� �
._
r
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�. :�,
Z�-
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� �I -�
��a
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JF �
DATE
GARAGE SIZE � � X �X_�APRON
DRIVEWAY SIZE --//1x �" � � ��X �l Z ' Z �t° ��rn
�WIRE MESH�'f,"=RODS_�CONDUIT PIPE
OVERHEAD DOOR SIZE OFFSET t G�
SERVICE DOOR LOCATION.�S�� f �4 �� d�
BLOCK �!?E & LOCATION `—�
----�
WATERPROOF BACKFILL
EXCAVATION BY —�
GRADE FLAT OROP OFF
� �� i �
��,1 i �
�aJ�r
sue�ecT PER .
City of Fridley 214 9 4
' , AT THE TOP OF THE TWINS g � I L D I N G P E R M I T REC IPT
r
� � COMMUNITY DEVELOPMENT DIV. B��
� PROTECTIVE INSPECTION SEC. i
� _
i � _'�
r � � �;
� _ ,
� /'�'1 � CITY HALL FRIDLEY 85432 NUMBER REV. OATE VAGE OF APPROVED BV
�'""'� � ,'� 612-571-3450 910-F15 � �
8 17 92
JOB ADDRESS 1�3 Gi:braltar Road NE
t LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACNED
DESCR. ]_Q 2 Caxlson's Suuu�tit Manor South Addition SHEET
2 PfiOPERTYOWNER MAILADDRESS ZIP PFIONE
Dan/Judy B�xennan 173 Gip:raltar Road NE 572-8249
3 CONTRACTOFi MAIL ADDRESS Z�P PHONE IICENSE NO.
Al-Ko Iiome Iznprovement 50�0 4th Ave, Lino Lakes, N.Q�T 788-5850 1927
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE N0.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW � ADDITION O ALTERATION ❑� REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Re s i de H.ous e
8 CHAN(iE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIREO FOR ELECTRICAL, PLUMBING, HEAT�NG,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WOHK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANV TIME APTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTHEET PARKING
I HEREBY CEi;TIFV TNAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT $5 � 400 $2 .%O
DOES NOT �RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISION$+� OF ANY OTHER STATE LOCAL LAW REGULATING CON-
STRUCTION OR THE RFORMANC � CONSTRUCTION. $8�. eOO Fire SC �rJ. 4O ,
� PLAN CHECK FEE TOTAL FEE
Licen se
SIGNATURE cco � c oa u ORZEDAGENT IOA7Ei WHE PR�RL V LID ED THIS IS YOUR PERMIT
� ����p��
SiGNATURE Of OWNER�IF OWNER BUILDER� IDATEI BIOG INSP �pTE
NEW [ ] Effec6ve 3/ 1192
ADDN [ ) CITY OF FRIDLEY
ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
e
�
Construction Addr�s: �
,�.-.�
Lega1 Description:
Owner Name & Address: ��-
�
Contractor: � � : L. .�
Address: �l�''� C� �/��Iv _ �� ,
LIVING AREA:
GARAGE AREA:
DECK AREA-
OTHER: ;�� C
Tel. f�, ) ;� v � �,� ��
MN LICENSE # ��
Tel. � ���`' —� � J`��
Attach to this application, a Cerd,ficate of Survey of the
lot, with the proposed consbruction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
L�ength Width Height
Length Width Height
Len� Width Hgt/Ground
/�1 r .r, '9 l /t ••l: , .. .,� /lJ' f/ e„_ . r �i �...�ti �� _�
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [ J Inside Lot (] Ft. Yd Setback Side Yard Setbacks
Ty� of Construction: E�� ��� $ `�'�� �
Approx. Completion Date: �
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft z$ _$
DATE: /, APPLICANT: � . � TeI. # -� ._ �-�� � �
Permit Fe,e $ c�/ . G'�
Fire Surcharge $ �S • '�4
State Surcharge $ � . '1L,
SAC Charge $
License Surcharge $ �� ��
Driveway Escrow $
Park Fee $
Sewer Main Charge $ � �% • /�
TOTAL
STIPULATIONS:
� �L�
Fe� Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,OQ0 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. °B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
��'� /�''�.�
BUILDING 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 sttvct�re, or for atry alteradon a�r repair .to any exisdng
building or structure, upon applicabon 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-wit:
TOTAL VALUE
$1 to $500
$501 to $2,4)00
$2,�1 to $25,0�
$25,�1 to $50,000
$50,(�1 to $100,0�
$1�,00.1 to $5�,�
$5�,001 to $1,�0,�
$1,(�OU,001 and up
FEES
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $50(} plus $2 for e�ach additional $100 or
fraction thereof, to and including $2,000
$45 for first $2,000 plus $9 for each additionat $1,�
or fraction ther�f, to and including $25,000
$252 for first $25,�0 plus $6.50 for each additional $1,OW
or fraction ther�f, to and including $50,�
$414.50 for first $50,� plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$639.50 for first $1�,()00 plus $3.50 for �ch additional
$1,(�l0 or fraction thereof, to and including $500,0�
$2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$3539.50 for the first $1,�,� plus $2 for �ch additional
$1,�0 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete C�rb Streets Only)
Alternate "A" : Removai and replacement of curb and gutter only - Driveway width plus b fa;t 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 $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow
for pro�r review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been
constructed will be required before proceeding with the framing.
SUBJECT ,
City of Fridley 2 7 3 3 0
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� i y�_�__ COMMUNITY DEVELOPMENT DIV. ����
f � � PROTECTIVE INSPECTION SEC.
� . ,
i--_. A �'�'1,J CITY HALL FRIDLE� SS43P NUMBER REV DATE PAGE OP ApPqOVED BY
L J�' ' 612-571-3450 910-F15 8/21/98 / /
JOB ADDRESS
173 Gibraltar Road NE
1 LEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. lO 2 Summit Ma SNEET
2 PROPERTY OWNER MAIL AODHES$ ZIP PHONE
Daniel Brennan
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Owner 55421
a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO.
8 USE OF BUILDINCa
R den a
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE � REMOVE
8 OESCRIBE WORK
Reroof house and garage (17 Sq) Tear-off
9 CHAN(iE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED FOFi ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO DAVS. OR IF CONSTpUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTqEET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF LAWS yq�UAT10N SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �].�{1] �. 71
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OF CANCEL TFIE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ��FS.SO Fire SC �L.�FZ
PLAN CHECK fEE TOTAL FE
50.
SIGN'qATUAE OF CON7RAC70F OA AUTHOAI2ED AGENT IOATEI N OP ALIDATED IS YO H P� �
�•L/ Ei�/�.L�/� f/Y �./n.�C�/Ir-?�_/1.! � �
SiGNATURE O� OWNER pF OWNER BUILDER� IDATEI �NS� qaTE
� ` [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERNIIT APPLICATION ���jv
, �
'x ConstructionAddress: � ? t; � h � � L?�t� � i��'j , �1 � L
Legal Description:
-�C Owner Name & Address:
x Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
'� OTHER:
Construction Type:
� N Du �t d�.�
Tel. # S 7oZ - S�t �/�
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Length
Driveway Curb Cut Width Needed:
DESCRIPTION OF IlVIPROVEMENT
Width
Width
Width
��zS � �
L
Tel. #
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
���� , � o � �I . ��/�c
( ��st�O�F
Estimated Cost: $ / N/ �
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x$ _$
x DATE: � �- � � —�� APPLICANT: �[/�e� �✓ �,,,��� Tel. # � 7� � �,� C% /
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �-/�� S?�
� > ��
� �r
$
$
$
$
$
$
$ ��. �
CITY USE ONLY
Fee Schedule on Reverse Side
.QOI 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 $SOO,Q00
$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)
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.
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. �