P - 43136Building
Ins�ections
763-572-3604
763-502-4977 FAX
DATE / /G / / / U
�-�
SITE ADDRESS ,
T'FiIS APPLICANT IS:
PROPERTY OWNER/
TENANT
BUILDING
RE;�IL���ITIAL APPLICATION
CITY OF FRIDLEY
EFFECTTVE 1-1-2010
YOUR E-MAIL ADDRESS S �
� � /V �
❑ OWNER ONTRACTOR
J9 h'�
� /Y l �
CONTRACTOR NAME: 'r L G � y�
SUBMIT A COPY OF
YOUR STATE LICENSE STATE LICENSE # ,3 Z � EXP DATE
AND CERTIFICATE OF ADDRESS: % E � CITY �
INSURANCE PHQNE I�,` US' �/ � F,e,}t �12,—
PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ❑ ADDITION O GARAGE/SHED O WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
�$ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCI'ION ❑ ADDITION
❑ MAINTENANCFJREPAIR _ ❑ REMODELING _ ��C�
DESCRIBE WORK BEING
ROOFING
NUMBER OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
WINDOWS
IN EXISTING OPENINGS ❑Yes ❑No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
� TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS �
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USINCJ �'HE 1997 U._B � FEE SCHEDULE)
TOTAL JOB VALUATION $ l� � �-(� OCCUPANCY TYPE
Permit Fee $ See Back Page for Fee Schedule
Plan Review $ r 65% of Building Permit Fee
Fire Surcharge $ .001 times the total job valuation
Surcharge $ �` .0005 x Permit Valuation Minimum $.50
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft+ 6 ft= 8 x$24 =$
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary () Non Necessary ()
Total Due $ )�� Make checks pa_yable to: City of Fridlev Attach
.�
Q HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
OSoffit
❑ Trim
❑ Fascia
LOCA7'ION OF WINDOWS
Permit No.: �j
Re y�
�
J
Date ec'd:
=0 C,7�o /,r �: /i
_STATE ZIP
rs
/%
STATI�"N
J
"� l�
BAS�MENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor pian
3. List of structural members to be used
�
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
FOR WINDOWS — PROVIDE U-VALUE AND
MANUFACTURE STICKER ON WINDOW.
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 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 of rk wh' • iew and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME �L e�� � S 7�LC`�I�DATE �� v
/
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� TI1%! Itli N�. i7W� nr►�1 t�rir�-ci'rspr�a+sntot�i�en of q survar� of the.bounde�.ies of the land obov� d'esc�►ib.fd and�of 1he . �
��►c�?1io+� of all bpiidia�s, i#�aay� ti►,�roa�n� (rnd a11 vA►�:b��' irter�ochments� if onyA trom or on taid tand. This snrvey is -`
r�eti�t prtl�r in ro�tnerflpq vri�'W o h►ert��i�a leon .r�Ow b�irig plated on ther � er�y end no Ii�i"lity ia astumed
,. ,- awcep� � tks hct�r W s�ei� r►abe't�tvg+r e►. bn�r othar i�+farbst acquirad by'f renson af svsh mortgage. it is ' *
�fd��'si�od a�+tl ngr�Rtl fi�y �q,r�u»1ro+�s Aere b+e+�n plt►s#d #or ►I�e pur ose estoBlishiag ot tinas o� boundury
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D�sig� #:4624 ��,�,�:..,.����..�����.R,��-:; 7/15/201 �
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�** Take this sheet to the Buifding Materials desk to purchase your materials. ***
-- ---. ___ _ ___
ou selecte a 2 level deck with: Below is a section of the railing style an�
Pressure Treated Framing Material options you have selected for your deck,
4 x 4 Framing Posts �
5�4" x 6" Pressure Treated Deck Baards 1��-� �-� �e� � s�'
Poured Footings 12" Tube 3'-6" deep ! _�-_ —� �
Premium Gold Combo Drive Screws �,� ' '' � � � � � �i � ,
Stainless Steel Framing Fasteners �� i,;; I'; j I j; , � � ,�
Handrail selections:
36" Horizontal Handrail Railing
2"x2"x36" Pressure Treated Sq. End Spindles
4"x4"x48" Pressure Treated Utop Natched Railing Posts
2"x4" Pressure Treated Hand Rail
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ding on style
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 ±hat materia{s listed will meet your cade requirements. Check with your lacal municipality
for lan compliance and building permi . These plans are suggested designs and material lists only. Some items may vary
from �hose pictured. We do not guarant the completeness or prices of th�,�e structures. Tax, labor and delivery not i luded.
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Some options selected may not be shown for picture clarity.
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Today's cost for materiais estimated in this design with options:$1,532.48
�The base price includes; 40 PSF dec� live load, AC2 treated - horizontal 2z6 * BASE price): $1,114.23
deck boards, 4z4 posts, 2x8 joists and beams, galvanized framing fasteners, *�If purchased to�ay, you save: $31.03***
AC2 treated 36" Verticaf handrail to joist without posts, and premium screws. *"`Monthly B1G Card Payment would be; $43.04**`
� � R 7115/201 �
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�** Take this sheet to the Buildin�c Materials desk topurchase your materials. ***
___ _ _. _ _ _
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Level 1: 12' x 7'
9' off the ground
Vertical Decking
2" x 8° Joists
2 ft cantilever on joists
2" x 8" Beams
� ft cantilever on beams
40 PSF Deck Live Load
Level 2: 4' x 4' s"y' A�Q
5' off the grc�und
Horizontal Decking
2" x 8" ,Ir�ists
2 ft can#�lever cn joists
2" x 8" Beams
� ft cant±lever on beams
40 PSF Deck Live Load
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Today's cost for materials estimated in this design with options:$1532.48
�The base price includes: 40 PSF deck five {oad, AC2 treated - horizontal 2x6 *(BASE price): $1114.23
deck boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners, ***If purchased today, you save: �31,03***
AC2 treated 36" Vertical handrail to �oist v��ithout posts, and premium screws, �''Monthly BIG Card Payment would be: 43,04"�`
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. �eam Layout for Your Deck
The Scale is 114":1'
Design# 4624
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D 3' 2-2x8 Micropro Treated
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Joist Layout for Your Deck
The Scale is 114":1'
Design# 4624
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Length _Descri tion_ _ Usage
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7'9" 2-2x8 icr �o Tr�Pate� JoLSt
11'9" 3-2x8 Micropro Treated Joist
11'10-1/2" 1-2x8 Micropro Treated Rim joist
7' 1-2x8 Micropro Treated Rim joist
7'9" 1-2x8 Micropro Treated Rim joist
3'1-1/2" 1-2x8 Micropro Treated Rim joist
4' 1-2x8 Micropro Treated Rim joist
3'9" 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 & ledgers with 3-1/2" (16d) galvanized nails.
Y bracing is estimated, but not shown. 8iocking and bridging may be required by your local code.
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Joist Layout for Your Deck
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Design# 4624
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A 3'9" 2-2x8 Micropro Treated Joist
B 4' 2-2x8 Micropro Treated Rim joist
C 3'9" 2-2x8 Micropro Treated Rim joist
Joists to be on 16" centers.
Joists to be toe-nailed to beams with 3-� 12" (16d) galvanized nails.
Rim joists to be face-nailed to joists & ledgers with 3-1/2" (16d) galvanized nails.
Y bracing is estimated, but not shown. Biocking antl bridging may be required by your local code.
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