P - 45727Building
Inspections
?63-572-3604
763-502-4977 FAX
D�� I O -I$--t I
STfE ADDRESS _�
THiS APALiCANT IS:
PROPERTY OWNER/
TENANT
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
❑ OWNER
CONTRACTOR NAME:�
SUBMIT A COPY OF
YOUR STATE LICENSE STATE LICENSE
AND CERTIFICATE OF ADDRESS:�
TNSURANCE puntaF lU�.`J-
YOUR �MAIL 11DDRESS
�
PROPERTY TYPE .�SINGLE F MAILYINEW CONSTRUCTION
❑'T'WO FAMTLV/NEW CONSTRUCTTON
PERMIT TYPE � ADDTTTON ❑ GARAGFJSNED
❑ BASEMENT FINISH .�ROOF
�DECK SIDING
❑ SWIMMWG POOL
SIZE
CERT
TYPE OF WORK: ❑ NEW HOME CONSTRUCI'ION �ADDITION
MAINTEN.4NCElREPAIR ❑ REMODEi ING
DESCRIBE WORK BEING DONE: � r
SiZE OF TMPROVEMENT � C�C.. � b� LENGTH " ' Ji WiDTH
ROOFING � �, ,y �HOUSE ONLY
NUMBER OF SQUARES I� HOUSE � GARAGE
GARAGES �� ❑ ATTACHED GARAGE
PROPOSED SIZE: (� ❑ DETACFiED GA1t,AGE
PROPOSED HEIGHT: � �
❑ wmrnoWs
❑ DRAIN TILE
❑ OTHER
Permit No.
Received By:
Date Rec'd:
BASEMENT REMODELING SiTBMTT:
1. Existing Floor Pian
2. Propoudfloorplan
3. List of suucnual mcmbcrs to bc uscd
S G FOR NEW CONSTRUCTION 1NCLUDING DECKS,
r'(� ADDTTiONS�_ & PORCNES SUBMiT:
❑ Aituninum o� ��T"�7 i��pT mt V� I���� t�� 1_ Sitc Plan/Swvcy showing nc� cltis[ing stmctuccs
0 ❑ Faccia and piY�Ewscd projceL
2. Two scts of consavcaon p)anx
WINI)UW5 ' 3. Energy Calculations
INE3lISTiNG OPENTNGS OYes QNo I.00ATTON OF WTNDOWS FOR WINDOWS—PROViDE U-VALUE AND
OR FOR NEW OPENINGS-DE5CRIBE SI7� OF MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYl'E OF WiNDOW TO BE INSTALLED NUMBER OF WRJDOWS
ALL FEES ARE BASED ON�pjALUATION, INCLUDING TI�E COST OF LABOIt AND MATERIALS:
� ,' .'i��3�'s' �TT'�;1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION
Pecmit Fee
Plan Review
Fire Surcharge
Sureharge
License Surcharge
5AC Charge
Curb Cnt Escrow
Erosion Control
Par�C Fee
Sewer Main Charge
$ �
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $5.00
$5.00 (State Licensed Residential Contractors)
$2230 per SAC Unit (Plans to MWCC for determinauon)
ft+6ft= ftx$25=$
$450 Conserva#ion Plan Review
Fee De�erinineci by Engineering
Agreement necessary ( ) Non Necessary ( )
to:
Attaeh
THiS iS AN APPLICATTON FOR A PERM�T-NOT VALID LTN'I'IL PROCESSED
I hereby apply for a bttilciing permit and I acknowledge that the information above is compLete and ac:curate; that the work will be in
confarn�ance witli the ordinances and codes of the City of Fridley and with the Minnesota Cons�uction Codes; that I undexstand this is not a
permit but only an application for a per �t and wo is not to start witliout a permit on site; that the work will be in accordance with the
approved plan in the case of all worl c ri: '�review and approval of pla,rhs�Y�� >� � �
SIGIVA'I'[JRE OF APPE.ICANT PRINT N.4ME �� � r' nA� D-I�S- t
APPROVAL iNSPEC'i'OR STGNA
PLEASE NOTE: SEPARATE ARE REOUIRID �OR PLUI►�ING, ELECTRIGAL AND MECHANiCAL i�VE}RK
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Design #:510 � ' ' R �R� 10I26/2011
._ .
*** Take this sheet to the Building Materials desk to purchase your materiais. ***
You selected a 1 level deck with:
Pressu raming Material
x 4 Fr '
x r
ootinas 8" Tube 4'
alvanized Framing F ners
REa(EI�1F,�5 FOR
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Illustration inter��ed to show general deck size and shape.
Some options selected may not be shown for picture clari .
Today's cost for materials estimated in this design with options: 663.43
'The base price includes: 40 PSF deck live load, AC2 treated - horizontal 2x6 '(BASE price); $511,88
deck boards, 4z4 posts, 2x8 joists and beams, galvanized framing fasteners, *'�If purchased today, you save: 31.43'�'
and premium screws. "'Monthly B1G Card Payment would be; 18,63�'*
You may buy all the materials or any part at low cash and carry prices. Because of the wide variable in codes, Menards cannot guarantee that materials listed
will meet your code requirements. Check with your local municipality for plan compliance and building permit. These plans are suggested tlesigns and material
lists only. Some items may vary from those pictured, We do not guarantee the completeness or prices of these structures. Tax, la6or and delivery not inclutled.
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a
Post and Beam Dimension Sheet
Design# 510
Posts
6'-4"
2 ��
15'-9"
5' 2'-9"
1 '-4" 2 ��
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options selected are shown.
Design #:510 , _ _ : ' R �g 10/26/2011
*** Take this sheet to the Building Materials desk to
materials. * * *
Level 1: 13' x 10'
2' off the ground
Horizontal Decking
2" x 12" Joists
an i ever on joists
�`�c'i�' ea
No c�antiTever on beams
40 PSF Deck Live Load
Today's cost for materials estimated in this design with options: $663.43
'The base price includes: 40 PSF deck live load, AC2 treated • horizontal 2z6 * BASE price); $511,88
deck boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners, *"*If purchased to�ay you save: 1.43**'
and premium screws. "*Monthly B1G Card Paymen� would be; �18.63'"'
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