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P - 43637Building BUILDING Inspections RESIDENTIAL APPLICATION �6�-s�2-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 7-1-2010 .._f _ �, DATE �. l !. i.-� \/ .�-� S f- � �Ld /� v YOUR E-MAIL ADDRESS _ C ��l�'`�!'�'�C� � ✓�� . 7 - ,, q , � _, SITE ADDRESS � �� / 'L, �7 l.( l�"C'�i l�? l,l C'.:.' J IiC�� t°=�'. /cr�C:k' / :�-_. , /r /?�C/ r;s THIS APPLICANT IS: f� OWNER ❑CONTRACTOR � PROPERTY OWNER/ NAME:_ TENANT ,q�DRESS: PHONE: L CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: STATE LICENSE # CITY EXP DATE Permit No.:c�'�l� � � � � Received By: Date��: ��L 2i 2� /�� /°�� .� .-. STATF�ZIP � ..� v ADDRESS: CITY STATE ZII' PI-�ONE FAX � SINGLE FAMILY/NEW CONSTRUCTION SIZE /D S�U:IS 17�4'WO FAMILY/NEW CONSTRUC ION STORIES r! ❑ ADDITION GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH OOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION O MAINTENANCE/REPAIR ❑ REMODELING ('�i�„�'��rurfja�� iZ'x /�' .�'�vzr�'� v�✓v r , - -- - - �' � � --- , -, i SIDING ❑ Vinyl � Aluminum . 0 Other wnvnows IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF � j � (� en xr BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing ff►e existing sirucUares and proposed project. 2. Two sets of construction plans 3. Energy Calculations FOR WINDOWS - PROVIDE U-VALUE AND MANUFACTURE STICKER ON WINDOW. ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $_ ��'� d� OCCUPANCY TYPE "_ Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee ' Sewer Main Charge II Total Due $ __''l� [+2�5 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) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ D, S Make checks navabte to: Citv of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the informarion above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an ap ' ion for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the ase of si� j� k which re ' es re i„ew and approval of plan .�� ., . �/Z��Q/ � SIGNATURE OF APPLIC T PRINT NAME�D ,�/ � Lu.k��' DATE APPROVAL INSPECTOR SI nesign # 81560 � �� Take this sheet to the Yau have selected a ��,� Page 1 of 2 �_ . . . . �`� 4! 12009 Building Mater�als caunterto purchase your mater�a s. Gara e w�th; 9 12' Wide X 16' Ceep X 8' High Gable �aof wl 81i2 pitch rafters 16" O.C. 2x4 Wal( Framiny Material 12" gablel12" eave overhangs 112" flSB Wall �r�zathin� Garilla Wrap 5l8° OSB Roof Sheathing The options yau ha�e selected are: 15 LB Roof Felt 2 Rows Granular Ice & Water Barrier �- �� S Heritage Cream Monagram Vinyl Doubie 4" Lap Siding 2� yr; Skyview, Prairie Shingles — 4 Sh�ngleover Ridge Vent Wh�ie Aluminum Soffit & Fascia White Premium Roof Edge Smart Trim Overhead Daor Jamb Front'die�� --_ � �; � �. �s�,:, 1 ,I.�':. . .i, _.. ; ;! , , ,. � �; , __ �, , �. _ _� ., �� !� Ctc�c� ;�. ' � fc�_ — _ � , . C�-i� �c�.�r�.�N �u o+J _ t�.��s�t't�t� �.l`��1 �� Scc� t ' c S �Ns�-�C�t�{ _ _ _ �:� �e�� c.G�. b�l�s �, V1n � r..� ��j`• k`�'' , Y1/lt N��Z �,•<< �a ��s��.�wd� �N� �� c.• s view 4 � y�..G�`�1 ��tMus� . c � �J � �, `V � __ _ . . . _ .__ .___.____._ . ._.. �-= +�'--- :--�3#�-�=Jt�B-:CE3P�t �SHALL BE` ' �4YAtLABLE 4N TNE J08; �SITE �OR THE FRAMlNG �N�D FtNAL lNSPECTtONS _ ___. ___._ �__ �� c� _ _ �, -�Tada 's co�t for materials estimated in this desi n; 2145,08 $ y .� � :'The base price inclutles: 0" Eave10° Gable Oaerhangs, Framing Matenals, � BAS E rice :$1016. � 6 �116 OSB Roof Sheathing, 20 yc Fibe,�glass Classic - Onyz Black Shingles, *�* � ��* Pine Fascia, Galvanized Reguiar Roof Edge, 8" Teztured Ver�ical Hardboard Siding, �f purc ase today, you save; �223.22 �o ser��ice �oors, �o overhead aoors, No �inaows, orAny other op�ons. ***Month(� BIG Card Pa�l ment would be: 60.24*�`* � All inforn�afion on fhis form, ofher than price, has been provided by guest aod Menards is not responsibie for any errors in fhe info�nalion on this estimate, including buf not lir:��:�.d �_ to quanti�y�. dimension and qualiiy, Please ezamine this esfimate carefully. MENARDS MAKES NO REPRE5ENTATIONS, ORAL, WRITTEN OR OTHERWISE, THAT THE - MATER�A.LS LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF THE IMDE VARIATIONS tN CODES, TNERE ARE N�" REPRCSENTAl10NS THAT THE MATERIALS LISTED HEREIN MEET YOUR CODE REQUIREMENTS. MENARL7►S , � � ' � ' � � D�esign-It" . ,.. �� Here are the wall configurations for your design, Illustration May Not Depic# All Qptions Selected �. _ -� ...... . . ........... ..... .... . . ..... i � � � . � ._.::. � ' �__... . . , - �; �i __ I� , � ( ;� t _. �� i ! 1 ,:�_: �:_ i I_ _.� i_ _7 �--� � ._, _---- �� i �_ �� ,�. � �°'�4 8'X7'- .�2t' / Gabie Fronf View , ' : � ,__ � ; , �_ - , � � -� , . _ r _ __..; , _ _ r ..._ , 2'X3'-6" Eave Front View Page 2 of � � 414120�9_ � � z�i � �ieco� �t S r.. .... ... ...... .. . ...'�.........'__ � 1 I I ; i � � � ; � t �..� _ � __� i ;__ ___ .__. 12' _ _ _ : Ga61e�BackU'�ew . . Eave Back Uiew _. . �� : __ _ _ . . _:: � � Menar�s provided matenal estimates are intended as a general construction aid and havebeen alculated using typical construc�ion methotls. Because of the wide variable in � ie5 and srte restrictions, all final plans and material lists must be venfied w�h your lacal Zoningoffice, arch�ect andlor builder far building design and cotle compliance, Menards is a s�;., �+er of construction materials and does not assume liabilil�r for design, engineenng or the completeness of any material lists provided. llnderground electrical, phone and gas lines sh�: =ci ;�e located and marked before your building plans are finalized. Remember to use safety equipment including dust masks and sighf and hearing pratection during consfruction to Y� -�:� u a pasitive 6uilding ezperience � .� � � J c.r,,; � �' J �a � � tl- I� � � � � � a Ci' �� ,� �� . ...� � a � .. � � ,� ,:�� . `€AE 'R''' �' "^r% N � � � � �� ` � ..ti, � � � � � v.� � � -�,�. � � � �� ' � .,� �, s� � � � �� _.�� ..�. ��._ � � �� ..� � �� . �.� � � � -� � � � � Y � �� i . � � x � �-----� � 1 , , �'�? . � r x , ' :^.J �; _ __. �� R � � � � � � � � � � �. � � � � .� � �� \ � � ,. _ _ _ � �� .� �� .