P - 35345Buil�ing BUILDING PermitNo.:ZOII'UV �P 3
ln��ectio�s RESIDENTIAL APPLICATION Received By:
76�3-572-3604 CITY OF FRIDLEY r�r��
763-502G�4977 FAX EFFECTivs �-�-zo>>
DATE �'t � % Ci / i I YOUR E-MAIL ADDRESS C.. �� d� '� r� "• �`.s"r� � �,�w� �� �'.��. �_ �{����,R;,.'i < (. Q i...�
SITE ADDRESS � h � - " '.�` �^ r i ci �, �. � �1/
TH[S APPLICANT IS: ❑ OWNER �ONTRAC R
PROPERTYOWNER/ NAME: iUPU �L.'�-�C���l
TENANT pDDRESS: (��(pb ��y` I4(�fQ �I ` CITY �` l STAT�IYV ZIP
PHONE: �(, �Z� � - l,^ o � `"�
CONTRACTOR NAME: ' ; � � G n�t �; � � e� n
SUBMIT A COPY OF STATE LICENSE # r�C3���„� �� LEAD CERT NUMBER
YOUR STATE LICENSE
AND CERTIFICATE OF ADDRESS: �� )1�i •i� ��,,.E Iv� CITY�%,� STATE M'�MLtP�
INSURANCE PHONE � �� %� � l3 C — FAX
PROPERTY TYPE �INGLE FAMtLY/NEW CONSTRUCTION SIZE
TWO FAMILYMEW CONSTRUCTION STORIES
PERMIT TYPE � �DITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FMISH ❑ ROOF ❑ DRAtN TILE
"`�DECK ❑ SIDING ❑ OTHER
� ❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: V 2�
SIZE OF [MPROVEMENT LENGTH WIDTH � HEIGHT � S FT �
ROOFING ❑ HOUSE ONLY �EMENT REMODELIZJG SUBM[T:
NUMBER OF SQUARES ❑ HOUSE & GARAGE �. Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT
SIDING FOR NEW CdNSTRUCT[ON (NCLUDING DECKS,
O Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures
and proposed project.
❑ Other ❑ Fascia 2. Two sets of construction plans
WINDOWS 3. Energy Calculations
[N EXISTING OPENINGS ❑Yes DNo 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 VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
TOTAL JOB VALUATION $
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
THE 1997 �C FEE SCHEDULE)
��.3 OCCUPANCY
$ .Z
$
$ .
$
$
$
$
$
�
$ ���.�_%�s
See Back Page for Fee Scheduie
65% of Building Perrr►it 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 payable to: City of Fridley 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 1 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 al work which requires review and approval of p ans. /� �� I
SIGNATUREOFAPPLICANT L���i� A ARiNTNAME�1�►✓`; � �}'Y�77`� DATE �II D I I
APPROVAL INSPECTOR SIGNATURE "
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' CONISTOCK & DAVIS, INC. Consulting Engineers and Land Surveyors
� s 1446 Cowity Road J, Mpls.,, Minn. 55432; 784-9346
LOT SURVEY AND PROPOSER HUUSE LOCATION
LOTS 4A AND 48
SI.00K �, HEATHER HILLS
CITY 0� FRIDLEY
ANOiCA COUNTY, MItJ►JESOTA
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SURVEY FOR:
PETE KEPRI05
SOUTHTOWN RFJ�LTY
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DE5CRIPTIQN: LOTS 4A AND 48� BLOCK I� HEATHER NILLS, CITY OF FRIDLEY,
� ANOKA COUNTY� MI(�9dES0iA.
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SCALE: 1+� = 50t
� DENOTES IRON MONl�1EN7 FOUND
o DENOTES IR�N M�IUMENT SET
I hereby certify that this survey, plan or report was prepared by me or under my direct
supervision and that I am a duly Registered Land Surveyor under the laws of the State
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Joist Layout for Your Deck
The Scale is 114":1'
Design# 64084
Mark Length ' Description Usage
A 11'9" 1`2-2x8 Micropro Treated Joist
B 3'9" 3-2x8 Micropro Treated Joist
C 20` 1-2x8 Micropro Treated Ledger
D 0'9" 1-2x8 Micropro Treated Ledger
E 3'10-1/2" 1-2x8 Micropro Treated Rim joist
F 4'1-1/2" 1-2x8 Micropro Treated Rim joist
G 7'10-1/2° 1-2x8 Micropro Treated Rim joist
H 17' 1-2x8 Micropro Treated Rim joist
I 11'10-1/2° 1-2x8 Micropro Treated Rim joist
Jois� to be on 16" centers.
�.Joists to be hung ftom 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 jois� & ledgers with 3-112" (16d) galvanized nails.
Y bracing is estimated, but not shown. Blocking antl bridging may be required by your local code.
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