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P - 43690Building Inspections 763-572-�6�4 . 763-502-4977 FAX DATE �.� SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-2011 YOUR E-MAIL ADDRESS � ❑ OWNER ❑CONTRACTOR Permit N Received Date Rec'd: NAME: L / . ADDRESS: �S�/ 7�� V�T J��_CITY__ �/�.�L�!_G f, STATE�ZIP� PHONE: %�,.��- — !� �7Z — B �i.� � NAME: c7G �� STATE LICENSE # LEAD CERT NUMBER ADDRESS: � C►TY STATE ZIP P ONE FAX SINGLE FAMILY/NEW CONSTRUCTION SIZE ' � ❑ TWO FAMILY/NEW CONSTRUCTION STORIES ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDING ❑ SWIMM TYPE OF WORK: _O NEW HOME CONSTRUCTION DESCRIBE WORK BEING ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: S DING ❑ Virtyl ❑ Aluminum ❑ Other ❑ ADDITION ❑ REMODELING J�I-IOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit � Trim ❑ Fascia WINDOWS IN EXISTING OPEI�INGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & ❑�DRAIN TILE '�OTHER -� �'rtS. �C!a,p.a+ S BASEMENT RFMODELING SUBMIT• 1. Existing Floor Plan �+j 2. Proposed floor plan !� 3. List of swctural members to be used !/" FOR NEW CONSTRUCTION MCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing swctures and proposed project. 2. Two sets of construction pians 3. Energy Calculations FOR WINDOWS — PROVIDE U-VALUE AND MANUFACTURE STICKER ON WINDOW. TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) COTAL JOB VALUATION $ �7�--- OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge 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) $+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plaps. SIGNATURE OF APPLICANT 5�,,�, �� ^ � PRINT NAME S Ir� �` �-1 ce'� �. . ,rL�[ / DATE d� ° ��� . �� APPROVAL INSPECTOR SIGNATURE ^�— � ' !� BUILDING PERMIT APPLICANT: PROPERTY OWNER I, ..��� � r,�_� c�s ��, understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. This license requirement applies to owners of residential real estate who build or improve such property for purposes of speculation or resale. By signing this document, I attest to the fact that I am improving this house for my own use and am not building or improving this house for the purpose of reselling it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, located at �$ �-� ��,� �" 5t �� ,�,� `� .� � is the only 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 entitled under Minn. Stat. §514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certa.in 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 Minn. Stat. §326B.082, subd. 16 and can also result in a fine of up to $10,000. I further state that I understand that the filing of a false statement with The Citv of Fridlev may also result in criminal prosecution and/or civil penalties to applicable city ordinances and/or state statutes. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to The Citv of Fridlev for compliance will all applicable building codes and city ordinances with the work being preformed on this property. Signa�e of Prope Owner ' Date For questions or information on contractor licensing, or to check the licensing status and enforcement history of a particular contractor, call the Minnesota Department of Labor and Industry, Construction Codes and Licensing Division, at (651) 284-5069. The web site is: http://www.dli.mn.�ov/Ccld.as� � !. 1 � � �11 � ,�s L��, � �� Existin Conditions The dip in the floor is caused by the vertical load from the roof carried by the column between the cioset door and the double entry to the tiving r�m. The existing fkwr construction does not ofFer proper structuraf support with original construction. Additionafty, the entry i9oor jaists were modified to 6-34" to accommodate ceramic fite. NQT TO SCALE .�. .I � � � ��� 1�..�; ,--- �---1 `� i . _% � �'�� . Pr000sed c�h�ur�s Sister (3) addit�nal 2 X`s to existir� joist. Ext�nd 15" be�rond each side of the bearing cotumn. Suppart the additionaf structurai members w[th a 2x4 consUucted wall wli�ch indudes a 4'-0" doubte 2x8 header with 2 trimmers and k'� stuci on the existing 4 inch concrete siab. ��t/ cO�vil�C% . .�. .�. Bridging had bee��rtoved forthe duct work i two s .�—.--. � / � ��1L �i� � �G � `�� �' � ����t(s�� -_ /��;�� Joi�t ` �,,,�y'Tn•� n�i�" r Stabilize Joists with 2 X's to carrect as replac.�emeM for bri�ing. New �A/ail and Bearing B�am .� �sa�. �"'sa�c ww Fridley, MN 55432 753-572,8439 Column Bears Roof Load Existing Conditions Not to Sca le Proposed Corrections Not to Scale Closet Basemen# Entry Basement ►_. �� 68417�' Sts�et NW Fridley, MN 55432 763-572-8439 ._�_ _.. __._ Frid�e7r,�MN ss43a n 12 2� 7'-0" Girrler Tniss NOt tm.S�cafe a, > 0 .� � � 0 L �� � � � � � � � � � d a� � � �o E 0 L W � �. 0 � � i 0 � a� 0 b iD e-1 � 8'-0" 2x4 Framed Wali 16° o.c. Bak:any Er�try Stai�s to Basentent b � � � � � � Eartr Residenoe 6&417tl' Stree�t NW Fridley, MN 55432 Vaulted Ceiling Wal1 Beyorul Balcony ���� � .� �1��� Assurr�cd Pra�in�t Not to Scale 11'8° d > 0 .a �a � 0 L � � � � J � � �0.�! �.J � L � 4-�x6-8 Fassage Dbor Eartr► Residenoe 68417�" Street NW fridiey, MW 55432 � � � fD N X n 0 c 3 � co � o� � 3 Cao W m � 3 Z O � O N n � N �A f7 O 7 n � �D � O� a :�� � � �.nr�';� ��*��y t�i f9 :v��ii �s �ett � i �',;� ;�?�i±t�43dI �u }a3Li �1. :..f ;, . . �!'��4ry��.�i � . . . . _ �.s.. a � S�:) °. _::'�,. 'j1 ._ � is.ci:si�i.,':.4r�, :���n, s��an, et �e �r � t�¢ �iEr��t ��7! e ��.s;�J �>_��'l�i�'IP� .,:; �,�?�' ��"3 i� �'':�: �� / �///� �. � 2 �% �� �I.�T2i�90ii �0. � : : , _N&7qt, ✓ . ,8�.*�4�V� • lODV/G l�t Z � 0 � O � � 3 � � N -p Oi 3 v -� o� W� p. A 1-+ v < V IV 3- a a � � �°Ar° u,, z N �