P - 42137Building
Inspect�,ons
763-572-3604
763-5(�t-4977 FAX
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTNE 1-1-2011
Permit No.
Received By:�
Dat��t�ja:APR
DATE___ �'1� � � " l (j YOUR E-MAIL ADDRESS ;.� �i'`�`�- • li: � u � Z���L �- � � L B� iQb�. � . P�'�'
siTE,aD�xESS bi`11 �� `� 5-�- jV� �'r;o�1R� Jti?l�-` .����� v�.
THIS APPLICANT IS: �OWNER OCONTRACTOR
PROPERTY OWNER/
' TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
AND CERTIFICATE OF
INSURANCE
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
��w M
�
ADDRESS: b, �'�i .�# �" S� � L CITY �Cs �C r e�l STATE 1�f �li ZIP �$ Ol
PHONE: 6 S 1 ' 3� �E► "�% I Oa
NAME:
STATE LICENSE #
ADDRESS:
LEAp CERT NUMBER
CITY STATE ZIP
PH�NE FAX
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILYMEW CONSTRUCTION STORIES
❑ ADDiTION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH � ROOF O DRAIN T]LE
�DECK ❑ SIDING ❑ OTHER
❑ SWIMMMG POOL
❑ NEW HOME CONSTRUCTION ❑ ADD[TION
❑ MAINTENANCE/REPAIR ❑ REMODEC.MG
DESCRIBE WORK BEING DONE: L�i �d �K+y A eG�L,
SIZE OF IMPROVEMENT LENGTH iy � WIDTH � 6� HE[GHT �) ���, SQ FT ! Ib
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Viny1
❑ Aluminum
❑ Other _
WINDOWS
IN EXISTING OPENINGS ❑Yes ❑No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
TOT
❑ HOUSE ONLY
❑ HOUSE & GARAGE
O ATTACHED GARAGE
❑ DETACHED GARA�
U �� �1
❑So�t ��� �K. � �`► � �
❑ Trim —� � ��
❑ Fascia
LOCATION OF WINDOWS
NUMBER
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor pian
3. C,ist of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
�` l. Site Plan/Survey showing the existing structures
and proposed project.
2. Two seu 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:
SING�jHE 1997 U.B.0 FEE SCHEDULE)
JOB VALUATION $ %C1 OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
$
$ •
$
$
$
$
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 determination)
ft+6ft= ftx$25=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary (
Make checks pavable to: Citv of Fridlev
Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L PROCESSED
I hereby apply for a building permit an I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and cod s of the ' of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a perm t an is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all whic u� s re ' and pproval of plans.
SIGNATURE OF APPLICANT PRINT NAME � f K� � f�4 ( t! c'ti v� DATE� " C� C� � ��
APPROVAL INSPECTOR SIGNATURE
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Warning and Importanf Inst�ctions: This is not�de�n plan or esti ate. EDGENET, INC. assumes no responsibility for the correct use or
output of this program. All information contained on this page is subject to the terms in the disclaimer tocated at the end of this document.
Advertencia e instrcciones importantes: Esto no es un plan ni una estimaci6n final del diseno. EDGENET, INC. no asume ninguna
responsibilidad del uso o de la salida correcto de este programa.Toda la informaci6n contenida en esta p�gina estfi conforme a los t�rminos en
la negacion, situada en el extremo de este documenta
Copyright � 1989-2011 Edgenet, Inc.
' Page 4 of 19 00� io e�s�nsca-�s2s-a�aa-ss�o-zso6�ao�ess
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Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC. assumes no responsibility for the correct use or
output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document.
Advertencia e instrcciones importantes: Esto no es un plan ni una estimaci6n final del diseno. EDGENET, INC. no asume ninguna
responsibilidad del uso o de la salida correcto de este programa.Toda la informaci6n contenida en esta pagina est� conforme a Ios t�rminos en
la negaci6n, situada en el extremo de este documento.
Copyright m 1989-2011 Edgenet, Inc.
Page 5 of 19 �oc io ecsiba�a-�szs-a�aass�a2soscao�ress
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All joist and stringer spacing dimensions are measured in OC.
Warning and fmportant Instructions: This is not a final design plan or estimate. EDGENET, iNC. assumes no responsibility for the correct use or
output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document.
Advertencia e instrcciones importantes: Esto no es un plan ni una estimaci6n final del diseno. EDGENET, INC. no asume ninguna
responsibilidad del uso o de la salida correcto de este programa.Toda la informaci6n contenida en esta pagina est� conforme a los t�rminos en
la negacibn, situada en el extremo de este documento.
Copyright � 1989-2011 Edgenet, Inc.
Page 6 of 19 Doc ID ec81b8c4-1526-47a4-9510-2906c4c2fe99
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Deck Information
Deck 1
Construction Method - Beam Flush With Joist
Footing Type - Pier In-Ground
Live Load - 60
Dead Load - 10
Decking Spacing - 1/8 in
Joist Spacing - 16 in
Beam Spacing - 168 in
Post Spacing - 62 5/32 in
Decking - L5/4x6 Brzl 1lNalnut Grvd Veranda - Decking
Beams - L2x10 Treated Southern Pine No. 2
Joists - L2x12 Treated Southern Pine No. 2
Posts - L4x4 Treated Southern Pine No. 2
Deck Height - 13 in
Diagonal Bracing - Yes
Jois# Overhang - 0 in �
Beam Overhang - 0 in
Decking Deflection Factor - 360
Joist Deflection Factor - 360
Beam Deflection Factor - 360
Pref Decking Size - 5/4x6
Pref Joist Size - 2x12
Pref Beam Size - 2x10 �''��'
Pref Post Size - 4x4 �
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Diag Brace Height 1- 24 in /�j� ���� �
Diag Brace Height 2- 24 in �
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Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC. assumes no responsibility for the correct use or
output of this program: All information contained on this page is subject to the terms in the disclaimer located at the end of this document.
Advertencia e instrcciones importantes: Esto no es un plan ni una estimaci6n final del diseno. EDGENET, INC. no asume ninguna
responsibilidad del uso o de la salida correcto de este programa.Toda la informaci6n contenida en esta p�gina est� conforme a los terminos en
la negacibn, situada en el extremo de este documento.
Copyright� 1989-2011 Edgenet, Inc.
Page 7 of 19 Doc ID ec81b8e4-1526-47aM9510-29D6c4c2fe99
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Usage Sku
Beam
Decking
Joist
Post
Rim Joist
Decking
255957
360023
155961
257974
155961
Equator SO$VEHF
Fascia Board 1 359590
Fascia Screws Brn 271579
Standard Materials
2x12JHangr 865889
4x4 Post Foot Brkt 669421
Anchor J-Bolt 4x4 121932
Beam Bolt 4x4 886452
Beam Nut 538892
Beam Washer 538981
Conc Pier In-Gnd 169765
DiagBrac Beam 258132
DiagBrac 544208
DiagBrac 538892
DiagBrac 538981
DiagBrac Joist 258132
DiagBrac 544208
DiagBrac Joist-Nut 538892
DiagBrac 538981
Hanger Nails 2x12 462810
Hurricaine Tie 102924
Hurricane Tie 247911
Joist Framing 454141
r � � . � .� �
Sku Usage List
Description
2X10-16 #2 WEATHERSHIELD
VERANDA AG 16' WALNUT GV DECKING
2X12-16 #2 WEATHERSHIELD
4X4-10 #2 PT
2X12-16 #2 WEATHERSHIELD
Brzl Walnut Grvd Veranda - Decking
Veranda Equator Hidden Fasteners
VERANDA AG 8' WALNUT SE DECKING
2-1/2"COMP.DECKSCREW-BRWN-5 LB.
Standard Deck Materials
LUS210Z DOUBLE SHEER HANGER Z-MAX
ABA44Z 4 4 STANDOFF POST BASE Z-MAX
8X1/2" HOT GALV ANCHOR BOLTS
CARR BOLT GALV 1/2 X 7
-- HEX NUT GALV 1/2
FLAT CUT WASHER GALV 1/2
80LB. QUIKRETE CONCRETE MIX
4X4-12 #2 PT
CARRIAGE BOLT-GALV. 1/2 X 8
HEX NUT GALV 1/2
FLAT CUT WASHER GALV 1/2
4X4-12 #2 PT
CARRIAGE BOLT-GALV. 1/2 X 8
HEX NUT GALV 1/2
FLAT CUT WASHER GALV 1/2
N10DHDG 1LB. BOX OF N10DNAILS
H2.5AZ HURRICANE TIE Z-MAX
1-1/2" HOT GALV JOIST HANGER 1 LB
16D 3-1/2" HOT GALV BOX 5 LB
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30
12
1
4
3
8
1
26
8
8
16
16
16
48
2
32
32
32
2
32
32
32
5
26
3
1
Warning and Important Instructions: This is not a finaf design plan or estimate. EDGENET, INC. assumes no responsibility for the correct use or
output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document.
Advertencia e instrcciones importantes: Esto no es un plan ni una estimacibn final del dise�io. EDGENET, INC. no asume ninguna
responsibilidad del uso o de la salida correcto de este programa.Toda la informacibn contenida en esta pagina estfi conforme a los t�rminos en
la negacion, situada en el extremo de este documento.
Copyright � 1989-2011 Edgenet, Inc.
Page 8 of 19 Doc ID ec81b8c4-1526-47a4-9510-2906c4cZfe99
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Usage
RimJoist Nails
Sonotube 12"
Sku
599916
314636
Pr� CC���� D+��t+�r���
Description
16D5HDG 5L6. BOX OF 16D HDG NAILS _
121N X 4 TUBE FOR CONCRETE ,
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Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, tNC. assumes no responsibility for the correct use or
output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document.
Advertencia e instrcciones importantes: Esto no es un plan ni una estimaci6n final del disefio. EDGENET, INC. no asume ninguna
responsibilidad del uso o de la salida correcto de este programa.Toda la informaci6n contenida en esta p�gina esta conforme a los terminos en
la negacic5n, situada en el extremo de este documento.
Copyright m 1989-2011 Edgenet, Inc.
Page 9 of 19 Doc ID ec81b8cd-1526-47a49510-2906c4c2fe99
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Qty UOM SKU
Stock Items
26 EA 102924
8 EA 121932
16 EA 155961
48 EA 169765
3 BX 247911
2 EA 255957
1 EA 257974
4 EA 258132
1 BX 271579
8 EA 314636
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Material List
Description
H2.5AZ HURRICANE TIE Z-MAX
8X1/2" HOT GALV ANCHOR BOLTS
2X12-16 #2 WEATHERSHIELD
80LB. QUIKRETE CONCRETE MIX
1-1/2" HOT GALV JOIST HANGER 1 LB
2X10-16 #2 WEATHERSHIELD
4X4-10 #2 PT
4X4-12 #2 PT
2-1/2"COMP.DECKSCREW-BRWN-5 LB.
121N X 481N TUBE FOR CONCRETE
8 EA 359590 VERANDA AG 8' WALNUT SE DECKING
30 EA 360023 VER ' WALNUT GV DECKING
1 BX 454141 16D 3-1/2" HOT GALV BOX 5 LB
5 BX 462810 N10DHDG 1LB. BOX OF N10DNAILS
80 EA 538892 HEX NUT GALV 1/2
80 EA 538981 FLAT CUT WASHER GALV 1/2
64 EA 544208 CARRIAGE BOLT-GALV. 1/2 X 8
1 BX 599916 16D5HDG 5LB. BOX OF 16D HDG NAILS
8 EA 669421
26 EA 865889
16 EA 886452
ABA44Z 4 4 STANDOFF POST BASE Z-MAX
LUS210Z DOUBLE SHEER HANGER Z-MAX
CARR BOLT GALV 1/2 X 7
Special Orde�r ltems (Price Not (ncluded In Total)*
3 BX SO$VEHF Veranda Equator Hidden Fasteners
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Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC. assumes no responsibility for the correct use or
output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document.
Advertencia e instrcciones importantes: Esto no es un plan ni una estimacibn final del diseno. EDGENET, INC. no asume ninguna
responsibilidad del uso o de la salida correcto de este programa.Toda la informaeidn contenida en esta pagina est� conforme a los t�rminos en
la negacion, situada en e(extremo de este documenta
Copyright � 1989-2011 Edgenet, lnc.
Page 12 of 19 �oo io eceibsca-�s2s-a�aassiazsosaaczress
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Total Price $2,284.80
Estimate Created: 04/28/2011
Days Valid 14
This price does not include any Special Order items. Please see Store Associate to adjust the design or to price and
order items.
Parameters used for Deck 1: 60 psf live load, 48 inch footing depth.
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Waming and Important Instructions: This is not a final design plan or estimate. EDGENET, INC. assumes no responsibility for the correct use or
output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document.
Advertencia e instrcciones importantes: Esto no es un plan ni una estimaci6n final del diseno. EDGENET, INC. no asume ninguna
responsibilidad del uso o de la salida corcecto de este programa.Toda la informacibn contenida en esta pagina est� conforme a los t�rminos en
la negacibn, situada en el extremo de este documenta
Copyright 81989-2011 Edgenet, Inc.
Page 13 of 19 �o� io ecs�bsoa-�szs-a�aa-ss�azsosoao�ress
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