P - 48438� s-�s��
Building BUILDING Permit No.:� �` ��� I �
Inspections RESIDENTIAL APPLICATION Received By: !��
763-572-3604 CITY OF FRIDLEY
763-502-4977 FAX �e'����
EFFECTNE 1-1-2011
DATE ��� `7�� ( YOURE-MAILADDRESS �: � �= C_� j 5 � C�l._`��� �� f � / � - ��' ��
SITE ADDRESS � � � d �' �i. I r �i � �C/ i �. �,t :� L (l 1 � � 1 � �C � � �� �,'�
THIS APPLICANT IS: j53�QWNER ❑CONTRACTOR
PROPERTY OWNER/ NAME: � s� � ;� � � � '° !'
_��f i f1�1 < 5LC �1
TENANT ADDRESS: �� 2 I ��! !Z MONI C!.'�IT�� I�L �r 7 STATE�ZIP SSY�Z
PHONE: /� �"- �� � � Y (SG� � Ll712 ' �I � �� //! GI C f��.+lj � ( �
CONTRACTOR �;A,�,IE:
SUBMIT A COPY OF
YOUR STATE LICENSE STATE LICENSE # LEAD CERT NUMBER
AND CERTIFICATE OF ADDRESS: C[TY STATE ZIP
INSURANCE pHONE FAX
PROPERTY TYPE INGLE FAMILY/NEW CONSTRUC710N SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE � ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN T[LE
f�DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION �;ADDITION a� ���:�- /j `
❑ MAINTENANCE/REPA(R ❑ REMODELING � �/R
DESCRIQE WORK BEING DONE: i7t+�-1 �GI C� "� (; Ic, ��1��j' %�X I�
SI"LE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ
ROOF[NG ❑ HOUSE ONLY
NliMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ VinG ❑Soffit ADDIT[ONS, & PORCHES SUBMIT:
❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia and proposed project.
2. Two sets of construction plans
WINDOWS 3. EnergyCalculations
W EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND
OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPG OF WINDOW TO BE 1NSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, 1NCLUDING "1'H� CUS'1' Ur' LAKUIt APIll MA I�:KIAL�:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ �'j C� .� 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
$ t ., L.
$
$
$ �7
$
$
$
$
$
$
$ .I�
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$25=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks navable to: Citv of Fridley Attach S
THIS IS AN APPLICATION FOR A PERMIT-NOT VAL1D UNT1L 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 permi and w rk 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 rk w,hich q s revi and approval of plans. -• ( �
SIGNA"CUREOF APPLICANT � ^'i� -- " '�.i'���G �RINT NAME '�d 7i? " '�SSc'�-_�t:�: ATE �:�<��
APPROVAL INSPECTOR SIGNATU
PLEASE NOTE: SEPARATE PE�ITS ARE REQ IRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK
�s�gn #:82197 � � ' G 6/26/2011
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*** Take this sheet to the Building Materials desk to purchase your materials. ***
(ou selected a 1 level deck with:
'ressure Treated Framing Material Below is a section of the railing style and
i x 6 Framing Posts options you have selected for your deck.
I-1/4" x 6" Cedar UltraDeck Rustic Reversible
'oured Footinas 12" Tube 4' deep
�edar Ultradeck Screws r '
" i1nro4X � `cl S
aalvanized Framing Fasteners �� lS (
N (�l
�andrail selections:
�ustic Cedar Railing
s0" Clay Round Spindles
3ound Aluminum Spindle Fastener
3ustic Cedar Standard Post Sleeve
�ustic Cedar Post Cap
3ustic Cedar Post Ring
is approz. 4" apart depending
7HI5 ,lOB COPY SHALL BE I
AVAILASLE 0�! Tf�E JaB
SI7�E FOR 7HE FRAMIF�G
AtVD F(NAL INSFECTfONS
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Illustration intende�o show general deck size and shape.
Some options selected may not be shown for picture clarit .
'oday's cost for materials estimated in this design with o tions: 211 ,
p , 3 53
'The base price includes: 40 PSF' deck live load, AC2 treated - horizontal 2x6 �(BASE price); $515.86
deck boards, 4z4 posts, 2z8 joists and beams, galvanized framing fasteners, ���If purchased today you save: 223.85*��
AC2 treated 36" Vertical handrail to joist without posts, and premium screws. ***Monthly B1G Card Payment would be: �59.35'k*
ou 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
ill meet your cotle requirements. Check with our local munic�pality for plan compliance and building permit, These plans are suggested designs and material
>ts only. Some items may vary from those pic�ured. We do not guarantee the completeness or prices of these structures. Tax, labor and delivery not included.
Mark
A
Beam Layout for Y�ur De�k
The Scale is 1/4";1'
Design# 82197
Length Description
14' 2-2x8 Micropro Treated
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Layout dimension sheets are intended as a construction aid. Not all options selected are shown.
' ;s��gn #:82197
*** Take this sheet to the Build
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ing Materials desk to
rchase
Level 1: 14' x 12'
9'-6" off the ground
Horizontal Decking
2" x 8" Joists
2 ft cantilever on ioiGt� (lU1h'�1 �
x 8" Beams
2 ft cantilever on beams
40 PSF Deck Live Load
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6/26/2011
r materials. * * *
Today's cost for materials estimated in this design with options: $2113.53
�The base price includes: 40 PSF deck live load, AC2 treated - horizontal 2x6
deck boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners,
AC2 treated 36" Vertical handrail to joist without posts, and premium screws.
* BASE price): $515.86
***If purchased to�ay, you save; 223.85***
***Monthly B1G Card Payment would be: �59,35��`
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�JU(���E.��)X`7 �P�lry:� ��k��`�� A�C�1Tl�t�1
ANOKq COU�!'?�Y .� —
6875 Highway No.65 N.E,
Minneapolis,
Minn. 55432
Telephone 784-6066
Area Code 612
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This js a true and co�rect representation oF a survey of ihe boundaries of the land above described ond of the
location of o11 buildings� if ony� thereon� and all visible encroachments� if any� from or on said land. This survey is
made only in connection with a mortgage loan now being ploced on the Property ond no liability is assumed �
except to ihe holder of such mortgage or any other interest acquired by the reason of such morigage. It is
vnderstood and agreed�� monume��s have been I ced for ihe purpose of establishing lot lines or boundary
corners. Dated this �) day of /�9�,:'/.j q, D. 19�
SUBURBAN ENGINEERING, INC.
Engineers Surv o s
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