B - 56772Building BUILDING Perrnit rio. �� ���� ���
Inspections RESIDENTIAL APPLICATION Recei • � '� �. i. ' `�'" ��'
763-572-3604 [� �� "' ^ �
763-502-4977 FAX CITY OF FRIDLEY
Date`����'� " ,
EFFECTIVE 1-1-2012
DATE H� �L � .�r! , 2D i z YoU -�L�D�SS ��� /�t7� . QQA�b1 V��✓i2�L�id�.- j�;�
SITE ADDRESS /� �'� G� �2 i'�/�' %
THIS APPLICANT IS: �'OWNER �CONTRACTOR , .
PROPERTY OWNER/ NAME: R
TENANT ADDRESS: � �` ►Q. ��/' STAT ZIP-��
PHONE: �L����%I'"2�9Z — � �' Llri� 7l�3 �5�2'���
CONTRACTOR NAME: �'FPII-�/� 5��� �Ie rI .
SUBMIT A COPY OF
YOUR STATE LICENSE STATE LICENSE # LEAD CERT NUMBER EXP:
AND CERTIFICATE OF ADDRESS: CITY STATE ZIP
INSURANCE pHONE FAX
PROPERTY TYPE lja SINGLE FAMILY/NEW CONSTRUCTION SIZE � �Q� s a� �jrrMCr
❑ TWO FAMILY/NEW CONSTRUCTION STORIES �,,.� �
PERMIT TYPE � �DITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
�pECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING /
DESCRIBE WORK BEING DONE: � �
SIZE OF IMPROVEMENT LENGTH � WIDTH � HEIGHT .� �� S FT ��
ROOFING O HOUSE ONLY �� �� �j � 2' a 3o
NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:j
1. Existing Floor Plan � ( � 3�
GARAGES I ❑ ATTACHED GARAGE 2. Proposed floor plan •
PROPOSED SIZE: v'�\ V�' �❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT: �� x � � g� , ��'��
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl OSo�t SIDING/SOFFIT/FASCIA �DITIONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim REMOVED? ❑ YES ❑ NO l. Site Plan/Survey showing the existing structures
❑ Other � ❑ Fascia and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPETIINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND
OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATlUN,1NCLUll11VG "1'HE CUS'1' Ul+' LA13UK A1Vli MA'1'r;K1AL5:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ "3� a`.� 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
$ �Fr.�S
$ �
$ �
$ �
$
$
$
$
$
See Back Page for Fee Schedule
65°/a of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum or .50
$5.00 (State Licensed Residential Contractors)
$2365 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 navable to: Citv of Fridlev Attach
THIS IS AN APPLICATION 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 p i and work is t to start without a rmit that the work will be 'n accordance with the
approved plan in the case of all wor �i requ' 'ew and proval of pl �/,
SIGNATURE OF APPLICANT � RINT NAME �'%��1�.s9��� J' `�//I'j%� DATE � 2 Z
APPROVAL [NSPECTOR SIGNATU �
PLEASE NOTE; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK
.u�,
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`besign #: 60234
MENaRDS
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04/23/2012
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Illustration intended to show general deck size and shape. Some Options
THis �oe copY sr�a�� e�
avatLaB�E or� T�sE �a�
SiTE FOR THE F�APb91��;
AND FlNAL INSPECTIGNS
Today's cost for materials estimated in this design with options: �1 208 74
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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 Tax, ]abor and delivery� cluded.
materials listed will meet your code requirements. Check with your local municipality for plan compliance and building permit. These plans
are suggested designs and material lists only. Some items may vary from those pictured. We do not guarantee the completeness or prices of
these structures. T�, labor and delivery not included. '(Base Price): $859.83
The base price includes: 40 PSF deck live load, AC2 2x6 deck boards in horizontal direction, AC2 4x4 framing posts, **"If pufChased today, you SaVe: $50.23"'
precast concrete (1 bag) footing, AC2 2x8 joists and beams with two feet cantilever, galvanized framing fasteners and
joists hangers, and premium deck board screws. "'Monthly BIG Card Payment would be: $10.00""
Design #: 60234
Wall Attached
MENaRDS
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04/23/2012 ,
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Today's cost for rnaterials estimated in this design with options: ��,2Q$.74
You may buy all the materials or any par[ at low cash and carry prices. Because of the wide vaziable in codes, Menards cazuiot guazantee that Tax, labor and delivery not included.
• materials listed will meet your code requirements. Check with your local municipality for plan compliance and building pemut. These plans �J
aze sugges[ed designs and material lists only. Some items may vary from those pictured. We do not guarantee Uie completeness or prices of
these structures. Tax, labor and delivery not included. *(Base Price): $859.83
The base price includes: 40 PSF deck live load, AC2 2?+6 deck boards in horizorrtal direction, AC2 4x4 framing posts, *.*`If pUrChaSed today, yoU SaVe: $5023�""
precasl concrete (1 bag) footing AC2 2x8 joists and beams with two feet cantilever, galvanized framing fasteners and ..+.Monthly BIG Card Payment Would be: $10.00**'
joists hangers, and premium deck board screws.
Design #: 60234 C�,� �'' s 04/23/2012
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Levei Information
13' 6" Length X 14' 0" W idth X 2' 6" Height, Standard Deck, 40 PSF Load Rating, Horizontal Decking Direction
Framing Information
6X6 AC2 Framing Posts
Poured Footings 12" Tube (includes concrete) with 4' 0" Depth
9XR AGZ IOlsts .
�._2�{,�C2 Beams
Solid Placement for Beam Positioning on Framing Posts
Beam and Joist C�ntilever - 2 Feet �� -�f �
Deck Board Information
5/4"X6" Cedartone Decking
Combo Drive Premium Gold Screws
No Endcaps
Has Cladding
Railing Information
No Railing
Other Material Information
Triple Zinc Joist Hangers
Galvanized Framing Fastener
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Today's cost for materials estimated in this design with options: �1 208 74
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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 Tax, labor and deliv not included.
materials listed will meet your code requiremenu. Check with your local municipality for plan compliance and building permit. These plans
are suagested designs and material lists only. Some items may vary from those pictured. We do not guarantee the completeness or prices of
these structures. Tax, labor and delivery not included. "'{Bc1Se PfICe): $859.83
The base price includes: 40 PSF deck live load, AC2 2x6 deck boards in horizontal direction, AC2 4x4 framing posts, ""`�If purChaS2d today, you Save: $50.23""
precast concrete ( I bag) footing, AC2 2x8 joisu and beams with two feet cantilever, galvanized framing fasteners and
joists hangers, and premium deck board screws. "'Monthly BIG Card Payment would be: $10.00"""
Design #: 60234
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MENARDS
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Qesign-�t`'
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Post and Beam Dimension Sheet for Level 1
04/23/2012
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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 designs and material lists only. Some items may vary from those pictured. We do not guarantee the completeness or prices of these
structures. Tax, labor and delivery not included.
C�esign #: 60234 G�C��C" ' E�` 04/23/2012
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Beam Layout for Level 1
Mark
A
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Layout dimension sheets
Length
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intended as a construction aid. Not all options selected are shown.
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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 designs and material lists only. Some items may vary from those pictured. We do not guarantee the completeness or prices of these
structures. Tax, labor and delivery not included.
Design #: 60234
MENA►RDS
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Design-lt"
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Joist Layout for Level 1
Mark
A
B
C
D
E
Length
14' 0"
13' 3"
13� 3��
13' 10"
13' 9"
2-2X8 AC2
1-2X8 AC2
1-2X8 AC2
9-2X8 AC2
1-2X8 AC2
ll�tl
Usage
Rim Joist
Rim Joist
Ledger Joist
Intemal Joist
Intemal7oist
04/23/2012 �
Joist to be on 16"
Joist to be toe-nailed to beams with 3-1/2" fasteners I
Rim joists to be faced-nailed to joist and ledgers with 3-1/2" fasteners e
Y bracing is estimated, but not shown. Blocking and bridging may be required by your local code
Layout dimension sheets are intended as a construction aid. Not all options selected are shown.
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 locai municipality for plan compliance and building permit. These plans are
suggested designs and material lists only. Some items may vary from those pictured. We do not guarantee the completeness or prices of these
structures. Tax, labor and delivery not included.
Design #: 60231
-
MENARDS�
04/23/2012
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Illustration intended to show general deck size and shape. Some Options selected may not be shown for picture clarity.
Today's cost for materials estimated in this design with options: �4$2 07
.
You may buy all the materials or any part at low cash and carry prices. Because of the wide variable in codes, Menazds cannot guarantee that Tax, labor and delivery not included.
materials listed will meet your code requirements. Check with your local municipaliry for plan compliance and building permit. These plans
are suggested designs and material lists only. Some items may vary from those pictured. We do not guarantee the completeness or prices of
these strucNres. Tax, labor and delivery not included. `(B3S8 PI'ICe): $289.62
The base price includes: 40 PSF deck live load, AC2 2x6 deck boazds in horizontal direction, AC2 4x4 framing posts, ***If purChdSed today, you SaVe: $20.37""
precast concrete (1 bag) footing, AC2 2x8 joisu and beams with two feet cantilever, galvanized framing fasteners and �� �„
�oisu hangers, and premium deck board screws. " Monthly BIG Card Payment would be: $10.00
Design #: 60231
Wall Attached
M�NARDS
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Design-It `.
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04/23/2012 ,
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Today's cost for materials estimated in this design with options: �t�82 Q'j
You may buy ali the materials or any part at low cash and cany prices. Because of the wide variable in codes, Menards caruiot guarantee that Ta�, labor and delivery not included.
materials listed will meet your code requirements. Check with your local municipality for plan compliance and building pennit. These plans
aze_suggested designs and material lists only. Some items may vary from those pictured. We do not guarantee the completeness or prices of
these swctures. Tax, labor and delivery not included. "(Base PriCe): $289.62
The base price includes: 40 PSF deck live load, AC2 2x6 deck boards in horizontal direction, AC2 4x4 framing posts, *"`If purohased today, you s8ve: $20.37"`*"
precast concrete (1 bag) footing, AC2 2x8 joists and beams with two feet cantilever, galvanized frazning fasteners and
joists hangers, and premium deck board screws. *`*Monthly BIG Card Payment would be: $10.00"`"`
�esign #: 60231 � " ' � 04/23/2012
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Level Information
7' 8" Length X 6' 0" W idth X 2' 0" Height, Standard Deck, 40 PSF Load Rating, Horizontal Decking Direction
Framing Information
6X6 AC2 Framing Posts
Poured Footings 12" Tube (includes concrete) with 4' 0" Depth
2X8 AC2 Joists
2X8 AC2 Beams
Solid Placement for Beam Positioning on Framing Posts
Beam and Joist Cantilever - 2 Feet
Deck Board Information
5/4"X6" Cedartone Decking
Combo Drive Premium Gold Screws
No Endcaps
Has Cladding
Railing Information
No Railing
Other Material Information
Triple Zinc Joist Hangers
Galvanized Framing Fastener
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Today's cost for materials estimated in this design with options: �L�,82 �7
.
You may buy all the materials or any part at low cash and carry prices. Because of the wide variable in codes, Menards catmot guarantee that Tax, labor and delivery not included.
materials listed will meet your code requirements. Check with your local municipaliry for plan compliance and building permit. These plans
are suggested designs and material lists only. Some items may vary from those pictured. We do not guuantee the completeness or prices of
these structures. Tax, labor and delivery not included. "(Base Price): $289.62
The base price includes: 40 PSF deck live load, AC2 2x6 deck hoards in horizontal direction, AC2 4x4 framing posts, *""`If purchased today, you Save: $20.37"""
precast concrete (1 bag) footing, AC2 2x8 joists and beams with two feet cantilever, galvanized framing fasteners and
joists hangers, and premium deck boazd screws. "`Montlily BIG Card Payment would be: $10.00`"�
tJes ig n#: 60231 �'� =�a 04/23/2012
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7�ee�
Beam Layout for Level 1
Mark
�
Length
�� 0��
�� 5„
2-2X8 AC2
2-2X8 AC2
`il
��
Layout dimension sheets are intended as a construction aid. Not all options selected are shown.
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 designs and material lists only. Some items may vary from those pictured. We do not guarantee the completeness or prices of these
structures. Tax, labor and delivery not included.
Design #: 60231
MENARDS
�,_�._._
flesign-Jt `:
i-
Post and Beam Dimension Sheet for Level 1
04/23/2012 ,
Layout dimension sheets are intended as a construction aid. Not all options selected are shown.
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 locai municipality for plan compliance and building permit. These plans are
suggested designs and material lists only. Some items may vary from those pictured. We do not guarantee the completeness or prices of these
structures. Tax, labor and delivery not included.
Des ig n #: 60231
MENARDS
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�esign-lt�
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Joist Layout for Level 1
04/23/2012 4
Mark Length escrip � Usage
A
B
c
D
E
F
G
H
6' 0"
3' 0"
2� ���
3� ���
5' S"
�� 5��
S 10"
2' 10"
1-?X8 AC?
1-2X8 AC2
1-2X8 AC2
1-2X8 AC2
1-2X8 AC2
1-2X8 AC2
4-2X8 AC2
1-2X8 AC2
Rim Joist
Rim Joist
Rim Joist
Rim Joist
Rim Joist
Ledger Joist
Internal Joist
Internal Joist
Joist to be on 16"
Joist to be toe-nailed to beams with 3-1/2" fasteners
Rim joists to be faced-nailed to joist and ledgers with 3-1/3" fasteners
Y bracing is estimated, but not shown. Blocking and bridging may be required by your local code
Layout dimension sheets are intended as a construction aid. Not all options selected are shown.
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 yowr code requirements. Check with your local municipality for plan compiiance and building permit. These plans are
suggested designs and material lists only. Some items may vary from those pictured. We do not guarantee the completeness or prices of these
structures. Tax, labor and delivery not included.
EN�;IN�ERING
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GEQrECfiNICS LAND SURVEYING
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��ove It does not purport to shotiv ����pruv��nients o� er�cruacf�ments, �f any. As surveyed by me thi5 _.. �:�'��' '
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