P - 42138Bu�.lding
Inspections
763-572-3604
763-502-4977 FAX
DATE .� — �—�/
SITE ADDRESS 7��
THIS APPLICANT IS
5,
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-1-2011
YOUR E-MA1L ADDF2ESS
�'.
�IOWNER ❑CONTRACTOR
Permit No.:
Received By:
.; � -
;• ��ILlr�iti ir;t:i � �
PROPERTY OWNER/ NAME: ,��H�, R• ��
TENANT qDDRESS: ? /� � �. %'(. �� . CITY '�iuc�v STATE
/� �IP SSS���
PHONE: ' 1 ��" �(� �� �_
- —_
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
AND CERTIFICATE OF
INSURANCE
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
DESC[21BE WORK BEING DC
SIZE OF IMPROVEMENT
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
STATE LICENSE # LEAD CERT NUMBER
ADDRESS: C1TY
PHONE FAX
� SINGLE FAMILY/NEW CONSTRUCT]ON SIZE
❑ TWO FAMILYMEW CONSTRUCTION STORIES
❑ ADDITION ❑ GARAGE/SHED 0 WINDOWS
CJ,BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
T`ECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
SIDING
❑ Vinyl .-
❑ Alumin�m"
❑ Other
.' WINDOWS
IN EXISTING OPENINGS ❑Yes �No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
LENGTH
-�
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
O Fascia
LOCATION OF WINDOWS
NUMBER OF
HEIGH7�'
ATE Z(P
FT •
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION (NCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
I. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of consuuction 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:
TOTAL JOB VALUATION $ ��U�I,A�G THE 1997 U.B.0 FEE SCHEDULE)
5 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
$
$ 2.V�
$ j.3Z
$
$
$
$
$
$
$ IN1.32
See Back Page for Fee Schedule
65% of Building Permit Fee
.00] 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 payable to: CitV of Fridlev
Attach
THIS IS AN APPLICAT[ON FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information 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 application 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 case all w•k which requires r w a approval of plans. t�, �,,� " A
SIGNATURE OF APPLICANGD����� IJ � _ `r�'= "T �1T�1-T NAME ��, F � � � ���i�. �T� � ��,.�q� p J I
APPROVAL INSPECTOR SI �'� ATUR ��`
_
�i7YOF
FR(DLEY
FRIDLEY MUNICIPAL CENTER • 6431 LJNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
BUILDING PERMIT APPLICANT: PROPERTY OWNER
�� understand that the State of Minnesota
requires that all residentiai building contractors, remodefers and roofers obtain a state
license unless they qualify for a specific exemption from the licensing requirements. As
the owner of the property at _�.5-�8 5z� �.�7'/. £�. , Fridley, t
am exempt from the state licensmg requirement only if I am not building or improving
this property for purposes of resale. By signing this document, I attest to the fact that I
am improving this house for my own use and do not intend to sell it. I hereby claim to
be exempt from the state licensing requirements because ! am not in the business of
building or remodeling on speculation or for resale and that the house for which I am
applying for this permit, isl the first residential structure I have built or improved in the
past 24 months. I also acknowledge that because I do not have a state license, I forfeit
any mechanic's lien rights to which I may otherwise have been entit{ed under Minn.
Stat. 514.01.
Furthermore, I acknowledge that I may be hiring independent contractors to pertorm
certain aspects of the construction or improvement of this house and I understand that
some of these contractors may be required to be licensed by the State of Minnesota. I
understand that unlicensed residential contracting, remodeling, and/or roofing activity is
a misdemeanor under Minnesota law, and that I would forfeit my rights to
reimbursement from the Contractor's Recovery Fund in the event that any contractors I
hire are unlicensed. '
f have also been informed and acknowledge that by listing myself as the contractor for
this project, I alone will be responsible to the City of Fridley for compliance with all
applicable building codes and city ordinances in connection with the work being
performed on this property.
,�_
,
Narne_ _ ���-�� �_
Date 'cl l` c�"' `'�
esign #:44251 � ' 'R � 5/2/2011
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*** Take this sheet to the Building Materials desk to purchase your materials. ***
You selected a 1 levei deck with: Below is a section of the railing style and
Pressure Treated Framing Material options you have selected for your deck.
� x 4 Framing Posts
Gedar Solid UltraDeck Rustic
Pier Block Footings � � � � � �� �� �
Plastic T-Clips with Screws
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Galvanized Framing Fasteners �
Plastic Cedar Brown Privacy Lattice
Cladding
Handrail selections:
Rustic Cedar Railing
38" Square Cedar Spindles
Rustic Cedar Standard Post Sleeve
Rustic Cedar Post Cap
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Illustration intended"to show general deck size and shape.
Some opt�ons selected may not be shown for picture clari .
Today's cost for materials estimated in this design with options: 2,149.64
'The base price includes: 40 PSF deck live load, AC2 treated • horizontal 2x6 * BASE price�: $603.44
deck boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners, ��* *�*If purchased t�ay Wou �; 18.� ��
AC2 treated 36 Vertical handrail to joist without posts and premium screws Monthly B1G Card Pay en� ou d�60 3
You may buy all the materials or any part at low cash and carry,prices. Because of the wide variable in codes; Menartls cannot guarantee that materials listed
will meet your code requirements. Gheck with our local mun�apality for plan compliance antl builtling permit. These plans are suggested tlesigns antl material
lists only. Some items may vary from those pic�uretl. We do not guarantee the completeness or prices of these structures. Tax, la6or antl tlelivery not included.
Design #:44251
*** Take this sheet to the Bui
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inq Materials desk to
Levef 1: 9'-10" x 14'
3' off the ground
Horizontal Decking
2" x 8" Joists
2 ft cantilever on joists
2" x 8" Beams
2 ft cantilever on beams
40 PSF Deck Live Load
rchase
5/2/2011
materials. * * *
Today's cost for materials estimated in this design with options: $2149.64
�The base price includes: 40 PSF deck live foad, AC2 treated - horizontal 2x6 *(BASE price), $603.44
deck boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners, ***If purchased today you save: 18.38*�`
AC2 treated 36" Vertical handrail to joist without posts, and premium screws. ***Mor�hly B1G Card Payme� would be: ,37�*
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The Scale is 114":1'
� Design# 44251_ .�r
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Mark Length Description
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C 5'10" 4-2x8 Micropro Treated
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Joist Layout for Your Deck
The Scale is 114";1'
Design# 44251
Mark Length Description Usage
A 9'9° 3-2x8 Micropro Treated Joist
B 13'9" 4-2x8 Micropro Treated Joist
C 9'7" 1-2x8 Micropro Treated Ledger
D 13'10-1/2" 1-2x8 Micropro Treated Rim joist
E 5'1'0" 1-2x8 Micropro Treated Rim joist
F 3'10-1/2° 1-2x8 Micropro Treated Rim joist
G 4'1-1/2" 1-2x8 Micropro Treated Rim joist
H 9'10-1/2" 1-2x8 Micropro Treated Rim joist
Joists to be on 16" centers.
Joists to be hung from the ledger with joist hangers.
Joists to be toe-nailed to beams with 3-112" (16d) galvanized nails.
Rim joists to be face-nailed to joists & ladgers with 3-112" (16�) galvanized nails.
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Desi n #:44247 � ' ' � 5/2/2011
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*** Take this sheet to the Building Materials desk to purchase your materials. ***
�ou sel�cted a 1 level deck with: Below is a section of the railing style and
aressure Treated Framing Material options you have selected for your deck.
� x 4 Framing Posts
�edar Solid UltraDeck Rustic
'ier Block Footings
Plastic T-Clips with Screws
aalvanized Framing Fasteners � a� S�„S �
�ladding
Handrail selections:
Rustic Cedar Railing
38° Square Cedar Spindles
Rustic Cedar Standard Post Sleeve
Rustic Cedar Post Cap
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Spindle placement is approx. 4u apart depending on style
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Illustration intended to show general deck size and sha . �
Some options selected may not be shown for picture clari .
Today's cost for materiafs estimated in this design with options: 1,301.58
'The base price includes: 40 PSF deck live load, AC2 treated • horizontal 2x6 *(BASE price): $272.26
�'�If purchased today you save: .73�*
d�k boards, 4z4 posts, 2z8 joists and beams, galvanized framing fasteners, ***Monthl B1G Card Pa mer� would be: �36.72*�'
AC2 t ted 36" Vertical handrail to 'oist without posts and premium screws y Y
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You may buy all the materials or any part at low cash antl carry.prices. Because of the witle variable in codes, Menards cannot guarantee that materials listed
will meet your code requirements. Check with your local municipality for plan compliance and builtling permit. These plans are suggested designs and material
lists only. Some items may vary from those pictured, We do not guarantee �e comp�eteness or prices of these structures. Tax, la6or and delivery not included.
)esign #:44247
*** Take this sheet to the Build
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Level 1: 8' x 8'
� e ground
Hor-i�e� king
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ft can ' on jois �
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40 PSF Deck Live Load
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5/2/2011 . �
r materials. * * * � �
Today's cost for materials estimated in this design with options: $1301,58
�The base price includes: 40 PSF deck live load, AC2 treated - hocizontal 2x6 * BASE price): $272.26
deck boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners, "`*Iftwrcha�d y you save: 73�*
AC2 treated 36" Vertical handrail to joist without posts, and premium screws. *�'Mor�hty B1G Card Payme� would be: �.72"*
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Post and Beam Dimension Sheet
Design# 44247
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Beam Layout for Your Deck
The Scale is 112":1'
Design# 44247
Mark Length Description
A 8' 2-2x8 Micropro Treated
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'- Joist Layout for Yaur Deck
The Scale is 112":1'
' . Design# 44247
Mark Length Description Usage
A 7'9" 5-2x8 Micropro Treated Joist ,
B 7'9" 1-2x8 Micropro Treated Ledger
C 7'10-1/2" 2-2x8 Micropro Treated Rim joist
p 8' 1-2x8 Micropro Treated Rim joist
Joists to be on 16° centers.
Joists to be hung from the ledger witli joist hangers.
Joists to be toe-nailed to beams with 3-1/2" (16d) galvanized nails.
Rim joists to be face-nailed to joists & ledgers with 3-1/2" (16d) galvanizetl nails.
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