AF - 40671SUBJECT PERMIT NO.
c�ty of Fridley - 16 8 6 6
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
� i REC T NO.
� ; L _.�_ COMMUNITY DEVELOPMENT DIV. ��
r � � PROTECTIVE INSPECTION SEC. �l
� i i
� /���1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVEO BV
�'""'� � ,�� 612-571-3450 910-F15 12/7/82 / /
JOB ADDRESS 5477 East Brenner Pass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 2 Innsbruck North Townhouses Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Farr Development Corp. 4600 Lake Road, Robbinsdale 55422 536-9936
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Construct an 18' x 28' Townh�use
9 CHANGE OF USE FROM TO
STIPULATIONS
The poured ir��place concrete curbing (B-612) to be cons.tructed in the areas
marked in yellow on the denelo,pment plan that was signed by the Darrel Farr
�velo,pment Corp. Construction Supervisor on Decenber 7, 1982. A copy of the
contract for the curbing work will be filed with the City.
SEPARATE PERMITS AFiE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOO(� Frc'�e
TH1S PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $37,650 �S`I.H.S3
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �`229 vOO $425.00
PLAN CHECKFEE TOTALFEE
�`����• ��� .25 730.08
SIGNA UREOFCONTRACTOROHAt1TMORIZEDAGEN7 IDATEI WFJ PROPE LY A DA ED IS IS YOUR PERMIT
�� � 12r7 r'`Z-
SIGNATUHE OF OWN iIF OWNER BUILDER� IDATEI BIOG INSP �A7E
:,: i �1 Ui" ! ;�ii�L���
0
, 'APPLICATION FOR RESIDENTIAL BUILDING PERMITS
� CNEW, ALTERATIONS, ADDITIONS, OR REPAIRS). .
OWC7ER: DARREI. A. FARR DEVELOPMENT CORP. g�LDER:� S�
Address.: 4600 LAKE ROAD' Address: - �- �
R , .
- Tel. No.: 536-9936
No.: 5477
LOT: 2
Street: East Brenner Pass � �
•BIACK: 2 ADDITION: 6th
CORNER LOT: INSIDE IAT: x SLTBAQCs SIDEYARDS:
Applicant attach to this form m,ao Certificates of Survey of Lot and pro,�osed
building location drawn on these Certificates. �
_ • -� .
� _ • .
To Be Used As:
- DESCRIP�i(��iV OF -BUILDING
- ��' nDi� -
��___--._ -� ` ' i
HOUSE Front: � Depth: Height s p? �
` ' Square Feet: �.�F�`�_ �ic Feet: � '
.':
� Front: Depth: Height:
. Square Feet: � Glibic Feet:
. � s
__� Type of Construction: WOOD FRAME Fstimated Cost: $+� -
. � - ' �
-Zb Be Completed: APRIL 1983 ' �
- • . /Alt. A Alt. B
.Proposed Driveway Width If New Open.ing Is Desired $� $ -
(SEE REVERSE SIDE OF SHEET� .
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley �Ordinances and rulings of the Departmesit of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side f r additional inf ation.
DATE: ����— d%' 2 SIGNATURE:
Stipulations : . �
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a
sue�ecT PERMI
City of Fridley o" � 7 3 7 g
AT THE TOP OF THE TWINS g U I L D i N G P E R M I T
r
RECEIPT NO.
! �` _____ COMMUNITY DEVELOPMENT DIV.
� L � PROTECTIVE INSPECTION SEC.
r � , / � �t�
� . ,
� � /'��1 � CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVEO BY
�'•---� • •'' 612-571-345Q 910-F15 ljl7/84 � /
JOB ADDRESS 5477 East Brenner Pass N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 7 2 Innsbruck North 'Ibwnhouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Farr �velopment Corp. 4600 Lake Rd. Mpls., NIN 55422 536-9936
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Same
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER
8 USE OF BUILDING
Residenti,al Townhouse
7 CLASSOFWORK 0 NEW
X
8 DESCRIBE WORK
Construct a 10' x 22'
9 CHANGE QF USE FROM
STI PU LATION S
MAIL ADDRESS
ZIP PHONE LICENSE NO.
❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
TO
TYPE OF
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. ��'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIMG
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DN
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF I.AWS VALUAT
PANCYGROUP �OCCUPANCYLOAD
SQ. FT.
220
STALLS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2 �349. 6O
WI.TH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- y�*3H . SO
STRUCTION OR H PERFOR NCE OF CONSTRUCTION.
PLAN CHECK FEE
� //� ��
IGNATURE FCON�RACTORORAUTHOfiIZEDAGENT IDATEI WHEN PROPERL
..
IDATEI
CU. FT.
2200
OFFSTREET PARKING
GARAGES
SURTAX
$`l.l.%
SAC CHARGE
iTAL FEE
$3 9'. 67
THIS IS YOU
�:fective �ug. l, 1S81
�iTV �r �ItiuLC�f �
�1'('LICATI�X1 FO►t RCSIDCi�T1P,�. dUlLpi�;G P�i',;�ITS .
�Nch•�, B11�er�tlUnS, �►ddit�ons� ��- �crairs�
pE;����; Darrel A. Farr Development Cor�. •�UILD�R: SAME
�1DJRESS: 4600 Lake Rd. Mpls., MN 55422 6�D�7+iCSS:
iEL a0: 536-9936 iEl ld0:
F
�onstruction L�cation
STJtI�T B�O: 5477 = �1�* ' East�r�nne�P�ss
�q��_ 7 k�IApC: 2 �,DAITIO.i: _6th
Corncr Lot: Insic7c �wt: � Sctback: Sideyards:
Ap, lic.znt �ttach to tliis �orm �°o Certificates of Survcy of lot �.nd
p:oposed building loeati� e�r�an on certificates to seale.
DESCRIPTlO�� OF CO�;Sii:UC7i0N
Garage gz�nt: 10 �epgh; 22
Squarc i'eei: Q�bic Feet:
Fsont : �p� =
Height: 20
Heigl�t:
SquaPe ient: C.libic Teet:
7�pe of Co..�truction: Wood Frame Estimated Cost: _S 1,800
�b Be Cbr..pleted: Ma.y 1983
Alt. A A1 t. B
Fropos�d Drivc���ay tiidth If Nc�.+ Opening %s Desised: $ S _
, S�� PiVF.FLL' SIDE OF S}IF�T .
9i�e un�]ersioned hereb:� :n�):c:. aPplic�ticn foz a perr_it fcz the �ozk he=ein sp�cified,
agreein3 to cb .all aork it► strict accordance ��ith the Ci�y of I'zidle�• Ozdi>>ances ziic�
zuliii�s of tlie Del�.�rtsnent of IIui2clings, and hexeby decl�zes that all �tiu: facts and
�represc�tltiens s�a�ed � this �pplicdtaon �ze true and eo_rect.
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CHIMNEY AND STACK VBSRIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes ('� No ()
2. Is free from rust or deterioration Yes (�) No ()
3. Has no foreign objects lodged within Yes �) No ()
4. Is securely supported Yes �j No ()
5. Meets all current Code requirements for
size and total BT[T's connected Yes �C) No ()
6. Has total heating BTU's of �
All other BTU' s �f (� , � � � - �
TOTAL BTII's �� „) �-j E;,
� �
Remarks
�����(
0
List Alterations Beina Done-
HEATING COMPANY
Signed By
Date
n
�-�.�U-�
sue�ECr P T NO.
City of Fridley 310 8 5
�
AT TME TOP Of THE TW�NS g � I L D I N Ca P E R M I T
; � RECEIPT NO.
� `v ����� � COMMUNITY DEVEL��MENT DIV. �D ��
r � � PROTECTIVE INSPECTION SEC.
1 = �
� �"'1 � CITY HAII FRIOLE� SS��i aUMBEp REV O�TE PAGf O� �vpnOVEO Br
�"'_� • •'� 612-571-3450 9t0-F18 6/27/OD / /
JOB AOORESS
5471 73 75 77 79 81 East Brenner Pass
1 LEGAL �OT NO. BLOCK TiiACT OR AODITION SEE ATTACFIED
DESCR. 1_6 2 Innsbruck North Townhouses Plat G SMEET
2 PROPERTY OWNEq MAIL ADORES$ 21P PMOME
Innsbruck Townhome Association
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCEN N
Garlock�French Roofing Corp. 2301 E. 25th St., Mpls., MN 55406 612-722-7129 (��08142
a ARCHITECT OR DESIGNER MAIL AOOFESS ZIP PNONE IICENSE NO
5 ENGINEER MAIL AOORESS ZIP PMONE LICENSE NO
8 USE OF BUILDINf3
Residential
7 CLASSOf WORK � N� O ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE
8 DESCRIBE WOIiK
Reroof Townhouse Building (Tear Off�
9 CNANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
����rr�it Inspe�tian C�r��
Vlliil �e �aileci
�'o Homeow�ner T�� .`���_��
SEPARATE PERMITS ApE iiEOUIqED FOR ELECTRICAL, PLUMBING, NEATING, TYPE OF CONST. OCGUPANCY GROUP OCCUPANCV �OAD
VENTILATING OR AIR CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOIO IF •WORK OR CONSTRUCTION ZONING S0. FT CU fT
AUTHORIZEO IS NOT COMMENCEO WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WOfiK IS SUSPENOED OR ABANDONEO fOR A PERIOD OF 120 OAYS AT
ANY TiME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING
I MEREBV CERTIFY TMAT 1 HAVE READ ANO E%AMINEO THIS APPLICATION 6 STALLS GARAGES
AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAW$ VAlUAT10N SURTAX
AND ORDINANCES GOVERNING THIS TVPE OP WOHK WILL BE COMPLIED �21 631. OO .�lO. SO
WITM WNETMER SPECIFIEO MEREIN Oti NOT. TME GRANTING OF A PERMIT s
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TNE pEqMl7 fEE SAC CHARGE
PiiOVIS10NS OF ANY OTMER STATE OR LOCAL LAW FIEGULA7ING coN- �349.25 Fire SC .�21.63
STqUCTION OR TNE PERFORMANCE OF CONSTRUC710N
PIAN CMECK fEE TOTA� FE
$38 .68
S�GNATUpEOFCON:AACiOpOp�UrMOp�ZED�GENT �o�rE� EN ROPEp� OATEO T IS YOUp PEpMIT
� � a��
S�GNAfUpE O� OWNEp��� OM/NEN BWIOEp� iDATE� - � MSO � 46Tt
`
B�uilding BUILDING Permit No.:�C+� i-f�i���'
Inspections R�i SjDENTIAL APPLICATION Received By: �
763-s�2-3604 CITY OF FRIDLEY Da °'���r �
763-502-4977 FAX EFFECTIVE 1-1-09
DATE--- �— I 7' �� YOUR E-M ADDRESS �'(�`s1 � b�' Z� �i �' o
SITE ADDRESS S� � �S
TH[S APPLICAN'f IS: OWNER OCONTRACTOR
PROPERTY OWNER/ Np�: �
TENANT pDDRESS: � Y • STATE�ZIP �32
PHONE: ��� — `,�� � ' �ij,'�'�J
CONTRACTOR Np�:
SUBMIT A COPY OF
YOUR STATE LICENSE STATE LICENSE # EXP DATE
AND CERTIFICATE OF ADDRESS: CITY STATE ZIP
1NSURANCE PHONE FAX
PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/IVEW CONSTRUCTION STORIES
PERMIT TYPE ❑�DI1'ION O GARAGE/SHED ❑ WINBOWS
❑ BASEMENT FINISH 0 ROOF ❑ DRAIN TILE
�ECK ❑ S[DING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODEL[NG
DESCRIBE WORK BEING DONE: I2CF� �I •�
SIZE OF IMPROVEMENT LENGTH �-. WIDTH HEIGHT � S FC
ROOFING ❑ HOUSE ONLY gpSEMENT REMODELING SUBMIT:
NUMBER OF' SQUARES ❑ HOUSE & GARAGE �. Existing Fl�r Plan
GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of strucwral members to be used
PROPOSED HEIGHT: ,
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ 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
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENIlVG CHANGES &
TYPE OF.WWDOW TO BE INSTALLED NUMBER OF WINDOWS
ai.L r��� �uc�; �sA��:li uN vALUA'1�1Viv, 1PIC:LUUIN(� '1'HE COST UF LABUR AND MATERIALS:
SING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ t S� . J(p OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surchazge
Surchazge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
Total Due
$
$
$
$
$
$
$
$
$ � D.I
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$2000 per SAC Unit (Plans to MWCC for determination)
i�+6ft= ftx$22=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks aavable 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 i
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 o 11 worl wh' h requires review �d approval of lans.
SIGNATURE OF APPLICANT_ � PRINT NAME L�r��T �-' I C't��iZIDATE ��� — O�
Page 2- Building Residential Application
BUILDING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in the manner herein
provided to-wit:
TOTAL VALUE FEES
$1 to $500 $23.50 (Minimum Fee is $23.50 ptus surcharge)
$501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and
including $2,000
$2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction; to and
includin $$25,000
$25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction,
to and includin $50,000
$50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and
including $100,000
$100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to
and including $500,000
$500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or
fracrion to and including $1,000,000
$1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATION OF FOUNDATION
Pert�its for construction will be issued a minimum of 24 hours from the time of application to
a11ow for proper review of proposed structure and of the construction site.
A C�rtificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
, : City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
,Th� Hor�e Aepot # 2803
35�0:'124TH AVE NW, COON RAPIDS, MN 55433
(763) 421-1200
�1"ue Aug 18 09:47:26 2009
This Project cannot be priced because not all materials are carried in stock.
See Store Associate for prices on non-stock items shown in Bill-of-Materials.
LEROY KESLER
CEDAR DECK RED�
286032
3D View
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The Home Depot # 2803
3550 124TH AVE NW, COON RAPIDS, MN 55433
(763) 422-1200
Tue Aug 18 09:47:26 2009
This Project cannot be priced because not all materials are carried in stock.
See Store Associate for prices on non-stock items shown in Bill-of-Materials.
LEROY KESLER
CEDAR DECK REDO
286032
Deck Layout
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The Home Depot # 2803
3550 124TH AVE NW, COON RAPIDS, MN 55433
(763) 42�-12�0
fiue Aug 18 09:47:26 2009
This Project cannot be priced because not all materials are carried in stock.
See Store Associate for prices on non-stock items shovim in Bill-of-Materials.
LEROY KESLER
CEDAR DECK REDO
286032
Deck Dimensions for Deck 1
�
�
Joist Spaci�g = 16 in. o.c.
Baluster Sp;acinq = 3 3/4"
Toe Spacing;= 3 3/4"
Railing Heiz�ht = 36"
The Home Depot # 2803
3550 124TH AVE NW, COON RAPIDS, MN 55433
(763) 422-1200
Tue Aug 18 09:47:26 2009
This Project cannot be priced because not all materials are carried in stock.
See Store Associate for prices on non-stock items shown in Bilt-of-Materials.
LEROY KESLER
CEDAR DECK REDO
286032
Post Layout for Deck 2
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The Home Aepot # 2803
3,50 124TH AVE NW, COON RAPIDS, MN 55433
(763) 422-1200
Tue Aug 18 09:47:26 2009
This ProjECt cannot be priced because not all materials are carried in stock.
See Store Associate for prices an non-stock items shown in Bill-of-Materials.
LEROY KESLER
CEDAR DECK REDO
286032
Post Layout for Deck 1
7' 6"-
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BasePoint;
The Home Depot # 2803
3550 124TH AVE NW, COON RAPIDS, MN 55433
(763) 42Z-1200
Tue Aug 18 09:47:26 2009
This ProjAct cannot be priced because not all materials are carried in stock.
See Store Associate for prices on non-stock items shown in Bill-of-Materials.
LEROY KESLER
CEDAR DECK REDO
286032
Deck Dimensions for Deck 2
Joist Spacing = 16 in.:o.c.
Baluster Spacing = 3 3�4"
Toe Spacing = 3 3/4"
Railing Height = 36"
�
The Hone Depot # 2803
3550 124TH AVE NW, COON RAPIDS, MN 55433
(763) 422-1200
Tue Aug 18 09:48:00 2009
LEROY KESLER
CEDAR DECK REDO
286032
Construction Specifications
deck •
onstruction Method = Beam on To of Pos
00 - ier n- roun
Live Load = 40
Dead Load = 10
Decking Spacing = 01 /4"
Joist S �aci�nc��� 16"
`'Be m� pa� c— ing 66"
Post Spacing = 84"
Decking = 5/4X6 - Western Cedars No. 2
Be8�1'1S = v(1�1 Trc?±cd �D��thprn Pinca_ NO. 2
oists = 2X10 Treatecl ��� �+�:,���:v4 No. 2
s s= C6 Treated Southern Pine No. 2
Deck Height =120"
Diagonal Bracing = Yes
Deck Skirt = No
Joist Overhang =12"
Beam Overhang =12"
Decking Deflection Factor = 360
Joist Deflection Factor = 360
Beam Deflection Factor = 360
Pref Decking Size = ML5/4x6x16
Pref Joist Size = 2x10
Pref Beam Size = 2x10
Pref Post Size = 6x6
Diag Brace Height 1= 24" in
Diag Brace Height 2= 24" in
Railing 1:
Railin Height = 36"
a us er pacing = 3 3/4"
Toe Space = 3 3/4"
Railing 2:
Railin4 Heiaht = 36"
Baluster Spacmg = 3 3/4"
Toe Space = 3 3/4"
Railing 3:
Railing Hei ht = 36"
�a us er pacing = 3 3/4"
oe -
Stair 1:
Step �dth = 48"
Step Height = 61 1/4" � ► �
Step Rise = 7 21 /32" �r �-� % �
Ste R =
tringers = 2X12 Treated Southem Pine No. 2
Risers = 5/4X6 - Western Cedars No. 2
Trea�s = 5/4X6 - Western Cedars No. 2
Railing 6:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Toe Space = 3 3/4"
Railing 5:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Toe Space = 3 3/4"
Railing 4:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Toe Space = 3 3/4"
Building
Inspect�ons
763-572-3604
763-502-4977 FAX
DATE O � �i�'l
SITE ADDRESS �
TH1S APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
AND CERTIFICATE OF
INSURANCE
PROPERTY TYPE
PERMTT TYPE
TvrE oF wox�:
DESCRIBE WORK BEING
ROOFING
NUMBER OF SQUARES _
GARAGFS
PROPOSED SIZE:
PROPOSED HEIGHT:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFfiCTIVE 8-19-09
r��cnnel
❑ OWNER
YOUR�AIL ADDRESS
�ONTRACTOR
2� t'u ZZ�
PHONE: i!9 �—� �I 3 � i��
NA cS � o
STATE LICENSE # �� �%
ADDRESS: Z�C/�i (,r/Cf S° �
PHONE � ��Z � �ZD `" O/�
❑ SINGLE FAMILY/NEW CONSTRUCTION
� TWO FAMILY/NEW CONSTRUC7'ION
� ADDITION ❑ GARAGFJSHE
❑ BASEMENT FINISH O R�F
,�.DECK ❑ SIDING
❑ SWIMMING P
�,/� �t � �"'� Cq
crrv Y�i �e
EXP DATE
❑ NEW HOME CONSTRUCTION ❑ ADDiTION
❑ MAINTENANCE/REPAIR O REMODELING
�� g � � -z�s
LENGTH WIDTH
❑ HOUSE ONLY
_ ❑ HOUSE 8c GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑ DRAIN TILE
� OTHER
Permit No.:v �G � 9 ��
Received By:
Date Rec'd: ' •—� G�
�S h . Ga'�,
STATF IG1 ZIP.�.� 7 �Z
_�f �� ,
4T
� ���ii:
HEIGHT
� ���
9ASBMENT REMODELING SUBMIT•
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
SIDING FOR NEW CONSTRUCI'ION INCLUDING DECKS,
❑ Vinyl OSoffit ADDITTONS. & PORCHES SUBMIT:
����n� O Trim 1• Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia and Pro�sed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND
OR FqR 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:
�rte r_ �r Ft�997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ ,,�,���,Q_t ��1' OCCUPANCY TYPF.
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
Total Due
$ � LQa (���(l�
L/
$ a
$ �
$ �
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$2000 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$22=$
$450 Consetvation 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 aclrnowledge that the information above is complete and accurate; thaf 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 cas of 1 work w'ch r res review and a proval of pl� s,
SIGNATURE OF APPLICANT =� PRINT NAME ����� DATE�c� �
Page 2- Building Residential Application
BUILDING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in the manner herein
provided to-wit:
TOTAL VALUE FEES
$1 to $500 $23.50 (Minimum Fee is $23.50 plus surchazge)
$501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and
includin $2,000
$2,001 to $25,000 $69.25 for l�` $2,000 plus $14 for each additional $1,000 or fraction, to and
includin $$25,000
$25,001 to $50,000 $391.25 for 1� $25,000 plus $10.10 for each additional $1,000 or fraction,
to and includin $50,000
$50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and
includin $100,000
$100,001 to $500,000 $993.75 for 1� $100,000 plus $5.60 for each additional $1,000 or fraction to
and includin $500,000
$500,001 to $1,000,000 $3,233.75 for the 1�$500,000 plus $4.75 for each additional $1,000 or
fraction to and includin $1,000,000
$1,000,001 and up ' $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
9'-6'
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