AF - 46368�
City of Fridley, Minn.
BUILDING PERMIT
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N° 3798
Builder ����` �� �
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Address .............................................
LO�CATIOiV OF BUILDING
No. ��f � e
!. . � t� 5treet . . . . . . . . . . ..���:'� . . . . . . . . Part Lot . . . . . . . . . . . . . . . . . . . . . . . . . . . .M
Lot . . .�. . . . B�ock . . . . � . . . . . . . . Addition or Sub-Dfvision ����5 %� . . . . . . . . '�. !GQ
Coraer Lot ............ Inside Lot ............ Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
.
.. .� . � � • .
o es•
. � .%.�r%�.c . �om a��-, .t� n� � f o x�,t �4: :-:� sq. �. .��:�. cu. �.'�%�'�
l! . .
. .. .. .. ... . .. . . .. . I+'rorrt . . . . . . . . • •Depth . .. .. .. . Hei i . . Sq. F't. . .. .. .. . G�. Ft
Type of Construction . .. . . . . .. . . .. . . . Fst Cost. .e��P��. �. . . .. To be Completed . .. . . . . . .. .. .. . . . ..
In consideration oP Yhe fissuance to me of a�rmit to construct the building de�ibed above, I agree to do
the propased work in accordaace vvith the descripflon above set forth and in compyiance with all prov3sfons of
ordinances of the dty of Fridley. �
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In consfderai3on of the payment of a fee oP $. � . . . . . ., permit is hereby granted to . . . . . . . . . . . . . . . .. . .
... .. .. .. .. .... .. ... .. .. . to conatruct the buflding or addition as descrlbed above. This permit is granted upon
the express condition tbat the person to wham it is granted and hia ageats. employees and worlunen, in a11 work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
o�e�� limits and this permit may be revoked at a�y time upon violation of any o e provdsfons of said
�,�
NOTICE:
�.
; Inspecbor
e
This permlt does not covar the construatlon, Instaltati�n or alte�atton for wl�in8, ptumb(ng, gas heating,
sewe� or water. Be su�e to see tha Bulldlne Inepe�ko� fo� separate permlis fo� these Itema
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APP'LTCATION FOR BITILDING PERMtT
CITY OF FR�DLEY, MINNESOTA
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OWNER' S NAME �j�e�/16'� [� � � �l��6� Btf'YLDER r� .�r �- y � /�". / 1� � � ��i'g
-. ,
,
ann�ss-- �' � a�-� � � ��E'v� avnxESS_ �i��S� ����� ��G.
LOCATION OF BUILDING
No. _ ���� ��-��� �c ��� Street Part of I,ot
_..___
LOT BLOCK ADDITION OR SU$DfVISION
Corner Lot"Inside LaT )C Setback Side-�Yard
SEWER ELEVATTON FOUNDATIOR ELEV�'J.iON
Applicant atCach to t'�ia form Two Certificates of Survey of Lot and proposed
building location drawn on these Certifi�ates.
DESCRIPTION OF BUH.DING
To be used as:
� I`�iZe�y' �d�' �1�� __Fra�nt I?epth � $eighC
T—
Sq. Ft. Cu. Ft.
Frant Dept �+geight
Sq. FC. Cu. Ft.
�
Type of Coastruction �i���P ���g N� , Estimated Cost /'�,s�e�. �
_— ;�
To be c�pleted
The undersigned hereby makes application for a permit for the work herein specified,
agreeiag to do all work in strict accordaace wiCh the City of Fridley Osdin,gnces
aad rulinga of the Departmane of Buildings, and hereby declarea thaC all the facts
aad repres�nntatione stated in this applicaCion are true and correct.
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Beverse Side).
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BOILDING PE�T FEE SCHE�A,E �
SECTIOIV 2. The Iaspector of Buildiaga shall� before is�uing any parmit for ehe
erectioo of aay building or atrucCure, or for any addition to anq existing build-
ing or etructure, or for any alterationa or repaira to any egiating building or
atructure, ugon application therefore, requira the payment bq the applicant.fcr
suc�i permit of fees to the amount herein b�low aet forth and in the maaaer herein_
provided to-wiC;
2+ .1. For anq �uch permit for the erection of any fire �praof buildin�,
other Cban a garage, warehouse, faatory or grain elevator, or for the erection
of any fire-proof addition� for�s�imilar occupencq, to any existing building,
shall be,aC the rate of $1.40 for e�ch one thousand cubic feeC, or fr�etion
thereof, in auch cul�ical contents. " �� -
�2.2. - For anq such permit for the erection of gny fire-proof garage,
Warehouae, factory or grain elevator, or for the erectiaa of anq fire-proof
addition, for si.niil�r occupancy, �to any existit�g �buildin� shall be at the rate
of $1.25 for each one thoueaad cubic feet, classified as "firepraof" by
Section 502 of- the M�Lnneapolis• Building Code. �
HOIISES
2.3. For any such permit for the erection of anq non-fireproof building,
other than a garage, warehouae, factory or grain elevator, or any non•fireproof
addition, for similar occupancy, to any existing building - permit $1.Q0 for eaGh
one thousan.d cubic feet.
GARAGES . . �_ _.
`__
2` 4. For aay auch permit for the erectioa of any aon-fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non-fireproof
addiCion, for similar occupancy, to 8.ny exieting building o� for each such
buildia� or additian - ninety cents ($0.90) for each one thousand cubic feet
or fractioa tlie�eof' fn the cubical conteats t�ereof with the minimum of $4.00.
Far the purpose of camputing�fees for building permite, the cubical coateaCs
of any buildin� or addition to a uniform height throughout bq multiply�ng the
ground area cavered from a point six (6) inches below the floor line of the
6asement or cellar to Che average height of the uppez eur£ace or to the average
height of tbe roof surface of the main gable of a p3tched.roof.
2� 9. For repairs�or alCerations to an ex3sting etructure, the fee eh81i
be at the rate of $3.00 per each Five Huudred Dollars ($500.00) or.fraction_
thereof in the coat of all proposed work.
2 6_ In no ca�e ahall the fee charged for any percnit as eet forth in
Section 2 be less than $4.00. �
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FR[DLEY
FRIDLEY MUMCIPAL CENTER • 6431 UNNERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
December 30, 1998
Eleanor Kubal
5470 Horizon Drive NE
Fridley, NIDT 55421
Re: Construction Without Obtaining a Building Permit
(Soffit/Fascia at 5470 Horizon Drive NE)
Dear Ms. Kubal:
According to Section 106.1 of the 1994 Uniform Building Code as
adopted by the City of Fridley, no building or structure regulated
by this Code shall be erected, constructed, enlarged, altered,
repaired, moved, improved, removed, converted, or demolished unless
a separate permit for each building or structure has first been
obtained from the Building Official.
You have been notified of your need to obtain a building permit and
have failed to comply as of today's date. As a result, a special
investigation fee will now be added to the permit, equal to the
permit fee. The City of Fridley will give you 30 days in which to
comply before turning this matter over to the City Attorney for his
legal consideration.
Please contact me at 572-3603 if you have any questions on this
matter.
Sincerely,
� .
B Y IESCH
Building Inspector -
BR/bk
Ey' �. a •P
� ' � SUBJECT . �
City of Fridley
AT TME TOP Of TME TWINS g u � � D I N� P E R M I T
r . ��f.��
� � ���
� `y __���_ O ITY DEVEIOPM�NT DIV.
f � � PAOTECTIVE INSPECTION SEC.
i . �
i--_.�� �"' �'� CITY MAIL FRIOLE� SS�32 NuuBEp
i 612-571-345p 910-F15
10B ADDRESS
5470 Horizon Drive NE
t LEGAL �OT NO. BLOCK TRACT OR AODITION
DESCR. S 5 Carlson's St
2 PROPERTY OWNER MAIL ADQR�S$
Ellie Rubal
3 CONTRACTOR MAIL ADDRESS
Custom Remodelers Inc. 474 Apollo Dr. Li�
s ARCHITECT OR OESIGNER MAIL ADDRESS
5 ENGINEER MAIL AODRESS
e USE OF BUILOING
Residential
7 CLASS OF WORK � �
REV OATE P�
1/7/99 /
21P
28824
R O.
��
oi �PVaOVEO Br
/
SEE ATTACNED
SMEET
PFIONE
PMONE
LICENSE NO
748
LICENSE NO
LICENSE NO
❑ NEW ❑ ADOITION O ALTERATIpN X� REPAIR p MOVE O REMOVE
6 DESCRIBE WOFK
Replace soffit and fascia
9 CHAN(3E OF USE FROM
STIPULATIONS
Install soffit ventilation to meet theState Building Code.
SEPARATE PERMITS ARE RE�UIRED FOR EIECTRICAL, PLUMBING, HEATIN(3, "rc �r vvno� .
VEN71LA71NG OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUGTION ZONING
AUTHORI2ED IS NOT COMMENCEO VYITHIN 80 DAYS, Oii IF CONSTRUC710N
OR WORK IS SUSPENDEO OR ABANQONED fOR A PERIOO OF 120 DAYS A7 "
ANV TIME AFTER WORK IS COMMENCED. ' NO- DWLG. UNITS
I HEREBY CERTIFV 7MAT I MAVE iiEAD ANO EXAMIN�D THIS APP�ICATION
AND KNOW TME SAME TO BE TFIUE AND CORRECT. ALL PROVISIONS Of LAWS yq�UATION
ANO ORDINANCES GOVERNING THIS TYPE OF WpRK WILL �E COMPUEO
WITH WHETHEfi SPECIFIED MEREIN OR NOT. TME GRANTING OF A pERMIT .�r3OOO
DOES NOT PRESUME TO GIVE AU7MORITY TO VIOLATE Ofi CAMCEL THE pEqMIT FEE
PROVISION F ANY OTNER ST E OR IOCAI LAW REGULATING CON-
UCTI O TME PERFOFi NC OF CONSTRUCTION ]/{. ]S
° PLAN CNECK FEE
5��� TUAE OF �ON' p AUTMOA�2E0 OGENT �OATE� Lice
N P (
S�GN4TUAE O� OWNEp��f OWNEpBUILDEfii ib�rE� � m r,r �.. e
OCCUPANCYGROUP
SO. FT
OFFSTREI
S7ALLS
SURTAX
$1.50
SAC CMAi
/ Rire
NCV LOAD
CU FT.
f PARKING
GAfiAGES
11
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N� ` ' [ l
ADDN [ ]
ALTER [ ]
ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUII,DING PERMIT APPLICATION
�� ��d
Effective 1/1/99
� � �� ��
�� ��
Legal Description: �
Owner Name & Address: L //, °�, ��� S`�/�� ��, � o � � � Tel. # � �� ��d
Contractor�"L/_ f,,,,,, ������ ,���/� �d f'�� �tJ S NIN LICENSE # S� y-o�
Address: Tel. # % � ���
LIVING AREA:
GARAGE AREA:
Attach to this applicarion, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Widtb �-Teight
Length Width ` Height
DECK AREA: Length
OTHER:
Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type:��, �d�;��.�-,�G,.� �G� Estimated Cost: $ ,�v
(Fee Schedul e on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: /� % �"l � APPLICANT: TeL # , � �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ � S
$ ,�,�v
$ �..��
$
$
$
$
$
$
� -� SJ
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuarion (1/lOth%)
$.50/$1,000 Valuation
$1050 per 5AG Umit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.(� Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
�. e
BUIIrDING PERM�T FEE SCHEDULE
The Cluef 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-wity
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,�0 plus $12.50 for each additional $1,000
or fracrion 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 franung.
.
SUBJECT
c�ty of Fr�a�ey
AT THE TOP OF THE TWINS � U I L D I N G P E R M I T
� ,
� �
� `y _���� COMMUNITY DEVEIOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
i__-.� ��"' �'� CiTY NALL FRIOLE� '.fS�J2 NUMBER
t 612-571-34b0 9t0-F15
JOB ADDRESS
%
1 LEGAL �OT NO. BIOCK TRACT OR ADDITION
DESCF. 5 5 a
2 PiiOPERTY OWNER MAIL ADORESS
Eleanor Kubal
3 CONTRACTOR MAIL ADDRESS
New Haven Construction 4208 83rd Ave N I
1 ARCNITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAIL ADDqESS
8 USE OF BUILDING
Residential
7 CLASS Of WORK
O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reroof house and qarage (25 Sa) T
9605
���
REV OATE PAGE Oi APpROVED BY
6/3/99 � �
SEE ATTACNED
..------ "'--�,_ . , , . . . SHEET
ZIP
21P
/ 1 � U �
PHONE
- 5.�
PMONE
PMONE
LICENSE NO
��ZZ.9.5�
LICENSE NO
LICENSE NO
9 CHAN(3E OF USE FiiOM
STIPULATIONS
TO
Underlayment must comply with the State Buiiding Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST
VENTILATING Op AIR CONDITIONING.
TNIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PER100 OF 120 DAYS AT
ANY TIME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS
I MEREBV CERTIFV THAT I MAVE REAO AND EXAMINED THIS APPLICA710N
AND KNOW TNE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yqLUATION
ANO ORDINANCES GOVERNING THIS PE Of WORK WILL BE COMPLIEO $2185
WITH WHET PECIFIED M IN NO TNE GRANTING OF A pERMIT
OOES NOT RE ME TO G E AU ORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS Of ANY OT R T E OR CAl LAW REGULATING CON- O
STRUCTION TME PE OR A CE OF NSTRUCTION �03. Z'rJ
PLAN CNECKfEE
�J Lice
S�GNG N•FACTOp • TMOp�ZED4GENt IDATEi EN q(
S�GNn7UAE O� OWNEA�i� OWNEp8WL0EF1i iDATE� nr. �..eo
SO.
S7ALLS
�5.
OCCUPANCVLOAD
CU FT.
ET PARNING
IGAIiAGES
$1.09
iAC CMARGE
Fire SC $2.19
OTA�
$ . 3
HIS IS ]'�tJR PEpNd
APR-14-1999
NEV� �.l 1
AADN [ l
,�,TER C l
11�34 FROM C1TY OF FRIDLEY TO
CIT'Y OF kR�DLEY
SINGLE FAMII•Y AND DUPLEXES R� AND R-2
BUILDING PERMIT APpLICATION
5667183 P.01i02
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ConstcucdonAddress• 5�.��T �' r�' �--� �- ��-' . G't-�'
Legal Description: �� /, � �� 9 ,�
Oarner Name 8t Addtess: ��� �-� a i� �" t� c`�-- Tel. #
� �� ��,,,�?Z �'-�� s�--v �: �-�L� MN LYCENSE #
��'�' ���� q� `�
Contsaccor: /���'
Address:
�`�' G�� ��3� ,%� ���°c�a-��� �? %° Tel. # lPl� - s� � �� �����
� Attach w th�s aPpiication, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale •
DESCRIPTI4N OF IlVIPROVEI1�ENf
LXVING AREA: Length _ Width Height Sq. Ft.
, � � Width � Height Sq. Ft.
GARAGE AREA. � �—
DECK AREAa I.e�St1i wad� HgVG[ound Sq. Ft.
�
OTY�ER: � .
' ��s�
� v� � � Estimated Cost: $
��� ° ° ����
Construction Type: �� � �� " %'
(Fee Schedu�e on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$_
_$
7 ' Tel. # S�� "S � � ��
DATE: fo �� � � �'? `� APFLICANT: ,���� /�-��'
Permit Fee
Fice Surcl�arge
State Surcharge
SAC Charge
License Surcharge
Driveway Fscrow
Frosion Control
Park Fee
Sewer M�in Charge
TOTAL
STIpULATIONS:
$ � �. ��
$� �<<9
$ / �e %
$
$���
$
$
$
$
$ /S3
CITY US�
Fee Schedule on Reverse Side
.001 of Permit Vatuadoe (1/lOth%)
$.SO/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.Q0 Conservation Plan Tteview
Fee Deterntined by En�ineering
Agreement Necessary [ ] Noc Necessary [ ]