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HEAT LOSS CALCULATION DEPARTMENT OF BUILDINGS MINN.
A. S. H. V. E.
Weatheratrips ��de Construction No. Insulation
Windowa I Doors Reference Out. Wall IInt. Wall I Ceiling I Root I Floor Kind How Applied
Yes—No Yes—No 19_
Fl. � ,,' f Room � Length �- Width �� Height � / Fl. �,���'- Room � Length /� �—�Vidth // Height �
Windows and Doors—Crackage and Area Windows and Doors--Crackage and Area
No. Width Haight No. oF Lineal ft. Area Width Height No. oF Lineal ft. Area
of gane of pane lighta of crack aq, ft (? � NO• of pena of gane liglvte of crack aq. ft.
� ���_�� %� ' �s, �c ,�.� .5�-� �i_ ��!� r��
� � = ; � �� � , --�-�
--�--�-�----� ���
Coef Btu Coef Btu
Infi�ltration � �/` ��' -,� � �' / In&�ltration �,� � � ' � ���
Glass _�� �,� 9 �i �'`'� Glass ;��� � � �
Egp. wall � % ��� �
�� E�P. Wall ��r 9 � y d�
Net ezp. wall � � � � � Net esp. wall e� �' �� � - � �
Int. wall Int. wall
Ceiling � � � p ��� j � � i � Ceiling �,�r' �) o � � � �a a
F1oor ,> .�
��"� ,� � ✓` / �' F1oor ,� `�� d? ,�-.�5
Total Btu. ,�'�� Total Btu. `` r.�
Re uired sq. ft. E.D.R. or eq. ina. W.A. Leader area � Re uired aq, ft. E.D.R. or e. ina. W.A. Leader area
/' F1•� �° Room � Length /° � Width �' Height �' � Fl.� � Room � Length �� Width B� Height ,�
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
No. Width Height No. of L9nea1 h. Asea Width Haight No. of Lineal tt. Area
of paae of pana lighta of crack e tt. No.
9• of paae of pana ]ighte oF crack sq, f!,
� --� i �'' / I�I � � I %/ � I � !� I /�, ` I �� I ,� _
Infi�ltration
Glass
Ezp. wall �, �
Net ezp. wall
Int. wall
Ceiling
Floor
Total Btu.
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�D Infi•Itration ��
+,��, Glass �---
E.sp. wall �/ ° �
%'� j Net egp. wall �,��
Int. wall
�� � � Ceiling $ � T/ � �y,�
� �' Floor � � y
r �j' Total Btu.
Coef Btu
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Required sq. ft. E.D.R. or sq, ina. W.A. Leader area Required eq ft E D R or eq ina W A Leader area�
Fl.� - Room � Length /�i Width // Height Fl.� ��� Room � Length Width / Hei
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
No. Width I Height I No. oF I Liaeal ft. I Area I Width Height No. oF Lineal ft. Area
of pane of pana lighta of crack aq. ft. No. I of panel of aana I liuhta I of crack I ea. f!. I
� �
Infi�ltration
Glass
Egp. wall
Net esp, wall
Int. wall
Ceiling
Floor
Total Btu.
�
Coef Btu
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ft E.D.R. or sq. ina. W.A. Leader area
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G1S88 ��
Egp. wall � � ��/
Net egp. wall ,� h
Int. wall
Ceiling �
F1oor
Total Btu. ��
Requized aq. ft. E.D.R. or aq, ine. W.A. Leader area
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APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY,- MINNESOTA
OWNER ° S NA,tqE /1� D ►' vrl � � � � � � �� a� BUILDER °,��+ 5 aS � � �7 �7 e° d�' �
ADDRESS ��t� �-7� ti.:ep II�� ADDRESS I.�"S—� C�' � �� ��
�r�d1�
� LOCATIOId OF' BUILDING
No. Street Part of Lot
'/ �. � �
LoC_ !��- ��`�` Block � Addition or Subdivision
Corner Lot Inside Lot Setback Side ard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to Chia form Two Certificatee of Survey of Lot and propoaed build-
ing location drawa.on these Certificates.
DESCRIPTIOIV OF $UILDING
To be used as:
„��. '�ac.�� �7a e�e� Froat / � Depth �- �- Height
Sq. Ft. � Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of ConsCruction � r a �?-� Estimated Coat �`� �c�, e-�
To be Completed
The undersigned hereby makes application for a permit for the work h�rein apecified,
agreeing to do a11 work in strfct accordance with the City of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares that all�the facta and
�representatioas stated ia thi� appl3cation are true and correct.
IIATE 0 t✓ �- l i��. _
(c�h�dule of Fee Costs c�..n be found on the Reverse Side).
r1 � n a
e
EUILDING PEItM1T FEE SCHEDULE
� _— .
Seczion 2. The Inspector of Buildin�s ahall, befo�e isauing any pea�mit fur
�h� erPcC3on of any building ox etructure, or for any addition to any ex�s�-
i�� b«ilding or st�ucture, or fo� any alterations or repaixs to any e�i�ting
hu�.lding or structure, upon application therefor, require the paymea� by the
applicant for such permit of feea tc� the sanount herein below set forth an3
in the manner herein provided to-wit;
2.1. For any such permit for �he erection o.f any fire-proof building, other
than a garage� warehouse, factory or g�raia elevator, or for the erecti,on of
any fire-proof addition, for similar occupancy, to any existing build��.,
shall be et the rate of $1.40 for each one thousand cubic feet, or frac�i�s�
t�ereof, in such cubical contenta.
2.2. For any such permit for the erection of any fire-proof gara$e� warehouse$
iac�ory or grain elevator, or fos the erection of any fire-proof a�.ditiQa,
�or similar occupancy, to any existing building shall be at the rate of $1.25
for each one thousand cubic feet, classified as °1fireproof" by Section 502 of
tae Minneapolis Building Code.
�OUS�S
2.3. For any such permit for the erection of any non-fireproof buildiag other
than a garage, warehouae, factory or grain elevator, or any non-fireproof
addition, for similar occupancq, to any existing building - permit $1.00 for
each one thousand cubic feet.
��A�ES
2.�s. For any such permit for the erection of anq non-fireproof garage,
w��ehouse, fattory or graia elevator, or for the erection of any non-fireproo�
addit�o�, £or s3milar occupaacy, to any existing building or for ea�h such
bvilding or addition - niae�y cents ($0,90) for each one ttaousand cubic feet
o� fr.action thereof, ia the cubical cantents thereof with a mini�um of $4.04.
�or the purpose of campu�ing fees for building permits, the cubicaL contents
qf any building or additioa �o a uniform height throughout by mult3plying �Yze
g�ound area covered from a point six (6) iaches below the floor. line of ttae
la�semen� or cellar to the average height of the upper aurface or to the
ave�age height of the roof aurface of the main gable of a pitched roof.
2.5. For repairs or altesations to an exis�ing structure, the fee shall be
a� the rate of $3.00 per each Five Hundred Dollars ($500.00) or frsction
thereof in the cost of all propased work.
2.6. In no case shall the fee char�ed f.or any permit as �et forth in
Section 2 be leas than $4.00,
P � � R
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�,_�T�._
��T:`-G�b1,,,,�„� 2DDR�;SS �.�G t,� /� ii e^��s�! �. 'tT�LUhTION' ���., p�
I�.7D . �__ � °� ` � � . � ' TYPE %�s'r�%��
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sue�eti � RMIT NO.
c�ty of Fridler 3 2 41
AT TNE TOP OF TME TWINS g�J 1 L D I�I � P E R M I T
r
� � RECE O.
COMMUMITY OEVELOPNIENT DIV. � /
r � y � PROTECTIVE INSPECTION SEC. �(„�`�
' S Cd'
i . ,
� _ /"'1 � CITY HALL FRIOLEV SS�32 NUMBER REV DATE PAGE OF APPAOVED BY
�----�: `.� 612-571-34E10 910-F/5 2�5��2 / /
IOB AODRESS 550 Glencoe St NE ,
t LEGA� LOT NO. BLOCK TRACT OR AODITION SEE ATTACMED
oesca. 43 & 44 I Riverview Heights SNEET
2 PROPERTY OWNEp MAIL ADDR�S$ ZIP PHONE
Mensur & Mubera Bikic, 550 Glencoe St NE, Fridley, MN 55432 763-786-5457
3 CONTqACTOR MAIL AODRESS 21P PHONE LICENSE NO
Mensur & Mubera Bikic (same as above)
d ARCHITECT OR DESIGNER MAIL ADDRESS ` ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDpESS ZIP PHONE LICENSE NO
8 USE OF BUILDING ,
Dwelling
7 CIASS OF WORK
❑ NEW O ADDITION C� ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WOFiK
Basement remodel
9 CHANGE OF USE fROM TO
STIPULATIONS �
See nota�ions on plans.
�EPA�ATE PERMIT�
REQUIRE� FOR:
ViiIRING H�AATING
p�u������ �N� �����
SEPARATE PEAMI7S ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATINp, TYP� dF CONST. OCCUPANCV GROUP OCCUPANCV LOAO
VENTILATING OR AIF CONDITIONING
THIS PERMIT BECOMES NUIL AND VOIO If WORK ON CONSTRUCTION ZONING SC. fT CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTIpN ,
OR WORK IS SUSPENOED OR ABANQON�� fOR A PERIQD OF 12Q DAYS AT �
ANY 71ME AFTER WORK IS COMMENCED. ' NO. OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV TMAT I HAVE READ ANO El(AMINED TMIS APPLICA710N STAILS GAHAGES
AND KNOW TME SAME TO BE TAUE AND COFRECF. ALL PROVISIQNS Of LAW$ yALUATION SUR7AX
AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL Q� COMPUED $1 � 800.00 @
WITH WHETMER SPECIFIED MEREIN OR NOT. TME GRANTING Of A PERMIT `P•9O
DOES NOT PRESUME TO GIVE AU7NORITY TO VIOLATE OR CAMCEL THE pERM17 fEE SAC CMARGE
PROVISIONS OF ANV OTHER STATE OR LOCAI LAW REGUTATING coN- �63.15 $1.80 Fire SC
STFUCTION OR TNE PERFORMANCE OF CONSTRUCTION
P4AN CMECK FEE 07AL FEE
$65. 5
S� NATUpEOFCON'FACTOpOA4UTMOp�2EDeGENT �DATE� PR PERL iOnTED 7 IS IS VOUR PEFjMIT
r �' 1�/ � �
� �^�+ � � I I O
S�GNO7UAEO�OW A�iFpWNEp�WIDEA� �G�rE� � � B�OC S� � - qpfE
N� [ l
ADDN []
ALTER [ ]
CITY OF FRIDLEY Effective 1/1/2002
6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bidg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: �f� G%P��� J'� �t/E' ���../!ey M�U S���d3 Z
Legal Description:
Owner Name & Address: /'�P�Svr aud Mu be� $ i I�.i c�'�;� � Tel. #?63 - 786 - J"4J"7
Contractor. aw�j� MN LICENSE #
Address: Tel. #
LMNG AREA:
GARAGE AREA:
DECK AREA:
o.�
Attach to this application, a Certficate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. F�.
:����e,� �e�(�f�C
Construction Type: �stimated Cost: $ �� � ��
Driveway Curb Cut wdth Needed: Fk + 6 Ft = Ft x$ _$
� DATE: �( l� b Z. APPLICANT: /'/.GUG Tel. # 7��' � 7�� � f��?
( cwa.�6 te Qu ct�y ��ax q�
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we wi �
call you for card number. �r� �
CITY USE ONLY - •
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
� 3• /�'
� /, o
$ � Qo
$
�
$
$
$
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit�
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ j Not Necessary []
TOTA� $ � _ STIPULATIONS:
BUII..DING 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 e�sting 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
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,(?O1 to $100,000
$100,001 to $500,000
$500,�1 to $1,000,000
$1,000,�1 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additi�nal $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,0�
or. fr��tion th�r�af, i� an� ia►cludin� $25,�
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.(� for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additio�
$1,000 or fracdon thereof, to and including $500,�0
$3,233.75 for the first $SOO,OOO plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,0(}0,0�
$5,608.75 for the first $1,000,0� plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 fe�t times $15.50.
Altemate "B" : Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper
review of the proposed structure and of the construction site. ' � .
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Onlv
.s. Ad /a�,.�--�.�...�.p.s,.�.
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SuB�ECT E RM.K'T� ,
City of Fridley 33049 `
AT THE TOP Of THE TWINS g U I L D I N G M I T
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� � COMMUNITY DEVELOPMENT DIV. ���� RECEIPT NO.
� •
i j V �"��', �
r � � PqOTECTIVE INSPECTION SEC.
`.--.� �"- �'� CI?Y HALL FRIOLE� SS132 NUMBER NEV O�TE v�GE Oi �vvrtOVED 8r
L 763-571-3450 910-F15 9/6/02 / /
JOB ADDRESS 550 Glencoe Street NE
1 LEGAI LOT NO. 9LOCK TRACT Oii ADDITION SEE ATTACNEO
DESCF. �F3,44 I Riverview Heights SMEET
2 PROPERTV OWNER MAIL ADDRESS ZIP PMONE
Mubera Bikic 550 Glencoe Street NE 763-786-5457
3 CONTFACTOp MAIL ADDRESS ZIP PNONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADOAESS ZIP PMONE LICENSE NO.
5 ENGINEER MAIL AODiiES3 ZIP PMONE LICENSE NO
8 USE OF BUILDING
Residential
7 CIASS OF WORK
O NEW C� ADDITION O ALTERATION O REPAIR p MOVE O REMOVE
8 DESCRIBE WORK
Construct a 16' x 7.5' Detached Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
Must be minimum 7 feet from property line. See notations on plan.
SEPARATE PERMITS ARE FiEOUIFiED FOR ELECTFICAL, PLUM8ING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VEN71l,ATING OR AIH CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT CU FT
AU7HOR12ED IS NOT COMMENCED WITMIN 60 OAYS, Op IF CONSTRUCTION
OH WORK IS SUSPENOED OR ABANDONED fOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFfSTREET PARNING
1 MEREBY CERTIFY 7MAT I HAVE READ AND EXAMINEO TNIS APPLICA710N 1 STALLS GARAGES
ANO KNOW TNE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF �AWS VAIUATION SUR7AX
AND ORDINANCES GOVERNING THIS TVPE OF WOiiK WILL BE COMP�IED @
WITM WMETMER SPECIFIEO MEREIN OR NOT. TNE GRANTING OF A PERMIT W1s38O �.69
DOES NOT PRESUME TO GIVE AUTMORI7V TO VIOLA7E OR CANCEL TME pEFMIT FEE SAC CNARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION �SO.9S Fire S �1.38
PLAN CHECK FEE TOTA� F
$53 2
S�G Tup O� CON'RAC p OA 4UTMOpIjEO AGENT iD�rEi W EN ROPE ALIDATEO T IS IS VOUR PERMIT
P //�/
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S� niUAE O� OWHE �� WNEA BU�IDE � iO�fE� � G�NSp r�ciE
AUG-30-2002 02:23 AM
P.A1
RUG-a9-2�, 13�5'� FRQM CITY IIF FRIDLEY 'TO 78b545� P.01/02
NEVI/ ( J C17Y OF FRIDLEY �bative 1/1ROQ1
ADDN �� d431 Unh+ar■i(y Avm Ni, F,�Idey. MN 56� p41! d74�8W Ei� I�P
a��R � 1 ea�o� ��.r rwo ou�s�i �o �
BUII.DOYA PERMIi APPLICATtON
CeN�atnn�Ion Addness: � �a �� ��C.'�~��%C' C� � .�� /�C: . .. -• I � : � a,:l t'� j'�
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LsgeEi Ds,cripdon'. !�
Owrlet Natne 8 Ad� � �Z.�i \ �t � ` ; A�M �' AS A, �� 4"°�" Tel, �i :lr� ,'� "r'.#��' � ,�"r. ' �•
� 4.
Cot�trador: _ „ 5'-l�% � MN LiC8N9� �► 'J � �
Addrees: T�. �
Attach to this appRcation. s Cerb71C� of Stuvty ofth�
lot, wi�� ti� propoeed aon�tn,c�on drawrt on tt to ar�s.
D�9CRIPTION OF lI�iOVEJII�.d1iT
IMNO AilEI1: L�h � W�h !� he�M �._ 89• Ft __.,�.,
OARA� ARRA: L�angth ._,,,,�.` VWdtl+ � N�Ight 8q. �t
DIlCK AI�EA: L�n�lh � VWdil+ __ �� N9�I�Groimd �,,,,.. 1�k1• Rf. �
on��t: ,_....,.....
E.�rta�d Cas� � °r��'r'��� �J c�
Con�truction'4y�: .
Driveway Ct�b Cut Width Needad: Ft + 6 Ft a Ft x$� ■�
-��rrw � ��j,� � �'' �"
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e#fl you 1� aud numb�r.
crn ua� ot�aY-
P�smft Fee
� Su�h��
�ate S�r+ehatrge
SAC Charge
l.�ns�ee �r�e
Orivew� �
Erosioi� �orW+�t
P�t1c F�
se�e�� �t,�: cn���
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$� � Fee SCh�duie 01'1 Revst�e Sld� �
� .@0� o� Peanm.R V�t�t�r� (1/901h4b)
� $.SQI�1,000 Vefu�on
�..,,,,,_..,_„�,.�. �1200 qer SAC unit
$� �.00 (3tate 13�n�ed ke�ida�fi�tl ConEr�4o��
� A{i. "/�" QrAlt. "�' Abov�
$ �450.Q0 Cot�sefv°atlon Ptan Revliew
� F�e Dst�rminad by�Engin�rtng
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Desi n#: 48693 '' i� 8/2s/�°o2
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'�' Take this sheet to the Building Materiais desk to purcha9e your materials,' *'
You h v_e_sele.�t.�sLe�'_-6"X 16' deak 3' off the ground. Below I� � aeotlon of th� nilin9 et�le and
Pressure 1re�ted F�aming_ M�terial`���-�� opflons you heva aelected for �ou� deak.
----H�o�� ontarDecking �� �'�,/�'�.�A� .��'
3/4" x 6" Ultra-Dek Solid Plastic Deck Boards �'
�b�'" piS n le -Railin ; �
2 x ressure Treated Spindles, 6sveled 1 End ,�'��
4"x4"x48" Pressure Treated UtoP Notched Railing Posts ��a ��d - � r
Standard Green Treated lattice
Pier Block Footings � '
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DeckMount 8�t Balveni2ed Hidden Fasteners -
6alvanired �raming fasteners .
2" x 8" Joists �
2" x 8" 6eams �� o•
�'PSF Deak l.ive laad �� � �
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� Illustration ma deP�et rons not included �
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Stei� Widtha : 54" �`�`��
For Building Meterl�l's use only : 09019203601�23040603000101000080200000001
Today,s cost for materials estimated in this d�si9n with oPtions: $10�7.83
B�se pric� mry irt�ludc: 40 PSP deek pre loQd� hori=ortlil de�kl�� tx6 pr�ewr� ��led da�t boards, pr�sure ireibed Iramin0 m�ter�l, no abira,
�6' �4 nlMa pro�u�e bre�d ralnn� peata, a�a �,►���a ��. *�gpSE P�ice): $b1�. b1
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ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
�__._�--_.--��:
CITY OF FRIDLEY rEx� rto.: 2004-00534
�
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 04/20/2004
�63) 572-3604 FAX: (7631571-1287
: 550 GLENCOE ST NE
: 033024230101
: RIVERVIEW HEIGHTS
: LOT 43 BLOCK I
: BUII.,DING
: RESIDENTIAL
: DECK
VALUATION : $ 3,217.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
CONSTRUCT A 19' X 13' DECK AND INSTALL A DOOR
APPLICANT
MENJUR & MUBERA, BIKIC
550 GLENCOE ST NE
FRIDLEY, MN 55432
OWNER
MENJLJR & MUBERA, BIKIC
550 GLENCOE ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
applicarion and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating constru tion or the performance of construction.
Applj�dnt� � Date ,
� � i � i�i ���� ' � • ��
BUII.,DING PERNIIT FEE
PLAN CHECK FEE
FIRE SURCHARGE
STATE SURCHARGE, VALIJE
TOTAL
PAID WITH CHECK # 2126
r�..-
� �`,
SEPARATE PERMITS REQUIRED FOF� �THER THAN DESCRIBED ABOVE.
97.25
63.21
3.22
1.61
165.29
NEW
ADDN
ALTER
:�t��-� •������
[ ] CITY OF FRIDLEY
[] 6431 University Ave NE, Fridley, MN 55432
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Constru�tion Address:
Legal Description:
��� l7(C�� �� J f ��
_� ��
� ���3�
Effective 4/1/2004
(763) 572-3604 Bldg Insp
(763) 571-1 7 F
( �
�2
Owmer Name & Address: /������ � �7U ��� � � K i C Tel. # 7�� — `-7�6 --.1 �i�.i� `�
Contractor. MN LICENSE #
Address: Tel. # �
�
Attach to this appfication, a Cert�cate of Suroey of the ���� �
lot, vvith the proposed construction drawn on it to scale. -. ,�,� �� �
I�� '' � ��
DESCRIPTION OF IMPROVEMENT �
� �J
LMNG AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft
�DECKAREA:� Leng _�� Wid�h /3 . Hgt/Ground Sq. Ft ��o�tJ
` OTHER: ,a �' �;,rl � � -�-� , r �� ,-'�—��- � �e�1G� �-Q�D �' S
� f �! .
Construction Type: Estimated Cost: $ ������ � �-�'� � �
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: C�� C�I U� APPLICANT:� ��'�, ��C�CCC�� Tel.# %�,,�^%P�-.J'�.j%
� ;
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
W � � � �� ��
$ -� � �
$ �. � �
+P � e � � 9
$
$
$
$
$
$
� -.
�
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
�
STIPULATIONS:
;��.
.q
BUII�DING PERMIT 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
$1 to $5�
$501 to $2,�0
$2,�1 to $25,0�
$25,001 to $50,000
$50,001 to $1�,000
$1(K1,001 to $5�,000
$500,001 to $1,0�,�0
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for ea.ch additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,�
or fraction thereof, to and including $25,(�0
$391.25 for first $25,0(� plus $10.10 for ea.ch additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,�0 or fraction thereof, to and including $100,000
$993.75 for first $1�,W0 plus $5.60 for ea.ch additional
$1,� or fraction thereof, to and including $5�,000
$3,233.75 for the first $500,�0 plus $4.75 for each additional
$1,� or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,�,000 plus $3.15 for each additional
$1,�0 or fraetion thereof
CURB CUT ESCROW
(Concrete Gbrb Stre.ets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of S�rvey of the lot, showing the loca.tion of the existing foundaxion will be required before
proceeding with the framing. New Houses Onlv
.�,,""'-��� a .
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DeRsign #: 34938 � - � 4/9/2004
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� �** Take�this sheet to the Building �aterials desk to purchase your mat�rials. �*�
�
You have selected a 13' X 19' deck 4' off the groand. BB�aw is a seafion of the railing style an�
Pressnre Treated Framing Material options you have selecfed for your deck.
Horizontal Decking
5/4" x 6" Pressure Treated Deck Boards
36" Spindle Railing
2"x2"x42" Pressure Treated Spindles, Beveled 1 End
4"x4"x48" Pressure Treated Utop Notehed Railing Posts
Poured Footings 12" Tube 4' deep
Premium Green Phillips Drive Screws
6alvanized Framing Fasteners
2" x 8" .loists ` ��� ���� /C��/
2" x 8" Beams ��ir1Clw
40 PSF Deck live load
.
Illustration ma depict o�tions not ineluded
�588 A60V8 �IC�qPB or chosen railing siyle �tith options.j
� ����
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Stair Widths : 48", 48"
For Building Maferial's use only :1562280480102040603000003048130200000001
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Today*s eost for materials estimated in this desi9n with options: $iSOS.6b
�se p�ce may include. 40 PSF dect live load, ho�zonlal decking, 2x6 pr�sure trea�d deck boar�, pressure �eakd framing ma�rial, no stairs,
36° Zx4 railing, pr�ur� treated rafling po�,�.�a ���Qa �x ��is. * � gpSE price): $1307.92
a
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.
1917 8912
Please bring these plans to
�e cashier � purchase.
M
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Post an�Beam Dimension Sheet
esign#:34938
,
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Beam layout for Your Deck
The scale is 1/4° :1'
Design#:34938
Mark Len,g�it Desaription
A 19' 2-?x8 Green Treated
Illustration may dePict o�tions. not inaluded.
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Joist layout for Yoar Deck
The 5eale is t/4° :1'
Design#:34938
Mark length Description Usege
S 12'9° 2u8 6reen Treated Joist
B 12'10-1/2" 2x8 6reen Treated Rim joist
C 18'9° 2x8 6reen Treeted Ledger
D 19' ?�c8 6raen Treated Rim joist
Joists ta ba on 16° centers.
Joists to 6e hung from the ladger with joist hangars.
Joists tc be toe-nailad to beams with 2-1/2° (8d j galvanized nails.
Rim joist: to be face-nailed to joists $ ledger� with 3-1/2° (16d) galvanized nail:.
Bloaking and 6ridging is not shown, but may ba raquired by your looal code.
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° Estimate From
� , ! •
ESTIMATE FOR:
GUEST
@
Fridley, hIIJ 55432
Ph: (763) 555-5555
STORE # 3018 FRID
5351 Central Ave. NE
Fridley, MN 55421
PHONE: (763) 571-8689
FAX: (763) 571-1932
ESTIMATE BY ESTIMATE DATE
matty D4/09/04
Estimate # 34938
Page 1 of 2
SKU NUMBER DESCRIPTION QTY TO ORDER ADDITIONAL ITEM INFORMATION
111-0614 6' AC2 THICK CUSTOM DECK AG 1 EACH ON SALE THRU 04/18/04
Stair Treads
111-0669 16' AC2 THICK CUSTOM DECKAG B EACH ON SALE THRU 04/18/04
Stair Treads
111-0685 20' AC2 THICK CUSTOM DECKAG 29 EACH ON SALE THRU 04/18/04
Deck Boards
111-0818 2X4-8' AC2 TREATED AG ARSENIC FREE LW 4 EACH
StrB Top Rail
111-0863 2X4-18' AC2 TREATED GC ARSENIC FREE LW 1 EACH
Top Rail Bd
111-0876 2X4-20' AC2 TREATED GC ARSENIC FREE LW 1 EACH
Top Rail Bd
111-1354 2X8-14' AC2 TREATED AG ARSENIC FREE LW 14 EACH
Internal Joiet
111-1354 2X8-14' AC2 TREATED AG ARSENIC FREE LW 2 EACH
Rim Joist
111-1383 2X8-20' AC2 TREATED GC ARSENIC FREE LW 2 EACH
Beame
111-1383 2X8-20' AC2 TREATED GC ARSEA7IC FREE LW 1 EACIi
Ledger Joist
111-1383 2X8-20' AC2 TREATED GC ARSENIC FREE LW 1 EACH
Rim Joist
111-2227 4X4-10' AC2 TREATED GC ARSENIC FREE LW 1 EACH
Poste
111-3103 4X4X48 U TOP-IT DECK POSTAC2 TREATED 8 EACH
Str Rail Pets
111-3103 4X4X48 U TOP-IT DECK POSTAC2 TREATED 14 EACH
Railing Posts
111-3572 2X2X42" BEVELED ONE END AC2 TREATED 48 EACH
Stair Spindles
111-3572 2X2X42" BEVELED ONE END AC2 SREATED B1 EACH
Railing Spndls
111-3776 2X6X8' FLAT HANDRAIL AC2 TREATED 4 EACH
Strs Hnd Rail
111-3792 2X6X12' FLAT HANDRAIL AC2 TREATED 1 EACH
xand xail
111-3815 2X6X16' FLAT HANDRAIL AC2 TREATED 2 EACH
Aand Rail
111-3941 6 STEP STRINGER HT:42" AC2 TREATED B EACH
Stair Stmgre
155-1052 10'BROWN DECK FLASH STEEL3/BXl-1/2X3-1/8 2 EACH
Ledgr�RimFlash
189-1030 PREMIXED CONCRETE MIX 60 LBS 26 EACH
Post Footing
This is an estimate. It is given only for genecal price information. This is not an offer and there can be no legally binding contact SUB-TOTAL• c coNr i�D )
between the pazGce based upon this estimate. The prices stated herein are subject to change depeading upon the market conditioas. '
The prices stated on thu estimate are not firm for any time period unles4 speciScally written otherwise oa this fmm. The availability
of materials is subject W inventory conditions. MENARDS IS NOT RFSPONSIBLE FOR ANY LOSS INCURRED BY THE
GUE5T WHO RELIES ON PRICES SET FORTH IiEREIN OR ON THE AVAILABILITY OF ANY OF THE MA'�'FRiAi c
STATED HEREIN. All information on this fo:m, other than price, has been provided by guest and Menazds is not reaponsible for
any ertors in the info:mation on this estimete, includ'mg but not limited to quantity, dimension and qualiry. Please examine this estimate GIJE ST C OPY
carefully. MENARDS MAKES NO REPRESENTATIONS, ORAL, WRITTEN OR OTHERWLSE THAT TIiE MATERIALS
LISTED ARE SUITABLE FOR ANY PURYOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF WIDE
VARIAT[ONS IN CODES, TIiERE ARE NO REPRFSENTATIONS THAT THE MATERIAI.S LISTED HEREIN MEET PAGE 1 OF 2
YOUR CODE REQUIREMENTS. � '
e '
° Estimate From
a � ! •
ESTIMATE FOR:
GUEST
�
Fridley, I+IDT 55432
STORE # 3018 FRID
5351 Central Ave. NE
Fridley, MN 55421
PHONE: (763) 571-8689
FAX: (763) 571-1932
Estimate # 34938
Page 2 of 2
Ph: (763) 555-5555 ESTIMATE BY ESTIMATE DATE
matty 04/09/04
SKU NUMBER DESCRIPTION QTY TO ORDER ADDITIONAL ITEM INFORMATION
1B9-5159 12"X4' REMOVASLE CONCRETEFORMING TUBE 4 EACiI
Post Footing
191-7668 "AOW TO BUILD" DECK PLAN G90050 1 ��
Deck Plan
227-1507 NAILS 1-1/2 JOIST HANGER 1LB GALV 3 EACH
Joist Aangera
227-1549 JOIST HANGER 2X6-1� ADJ. JH2O 50/ B ��
Stair Hangera
227-1742 2 X 8 JOIST HANGER 18 GAUNS28-TZ 15 EACH
Internal Joiet
227-1750 4% 4 POST ANCHOR PA44E-TZDP 4 ��
Poat Footing
227-1760 4 X 4-6 POST CONNECTOR PB44-6TZ 8 ��
Poete
227-1788 ANGLE 1-3/8° X 4-1/2" MPA1-TZ 2 ��
JoietCrnrAnchr
229-5499 NAIL 16D GALVANIZED BOX 1 LB BOX 2 BOX
PetCnctis&JBte
229-5554 NAIL BD GALVANIZED BOX 5 LB BOX 1 BOX
DkBdeOrFraming
229-5570 NAIL 16D GALVANIZED BOX 5 LB BOX 2 BOX
PetCnctrs&Jsts
230-5224 #9X2-1/2 PREM• SCREW-GRN SLB- PHIL.DR. 1 EACH
Spndle Fastnrs
230-5224 #9X2-1/2 PREM• SCREW-GRN 5LB- PHIL.DR. 2 EACH
Deck Boards
230-5237 #9X2-1/2 PREM. SCREW-GRN 1LB- PHIL.DR. 4 ��
Deck or Railing
230-5266 #9X3 PREM. SCREW-GREEN 1LB- PHIL.DR. 3 EP+C�
Deck or Railing
232-3316 ANCHORBOLT 1/2"X 6" 3PCS 552G 2 ��
Poet Footing
232-4373 3/8 X6GALV.LAG SCREW 7PC 34373-1 LB. 4 ��
Ledger Joist
232-4755 3/8X6GALV.CAR.BOLT 6PC 34755-1 LB. 8 ��
Railing Posts
232-5628 3/8X16GALV.HEX NUT 24PC 35628-FAT PACK Z EACH
Railing Posta
232-5709 3/BGAI,V.FLAT WASHER 24PC 35709-FAT PACK 3 EACH
LdgrOrRaiingPSt
563-4235 PAINTER'S PREMIUM CLEAR WI+0037720 10 OZ 3 EACIi
Flshing�LagScr
This is an esamate. It is given only for general price information. This is not an offer and there can be no legally bind'mg contract SUB-TOTAL: i, 5 0 5. 6 6
hetween the parties baxd upon this eatimate• The prices stated herein ere subject tn change depending upon the market conditions.
The prices stated on this estimate are not fum for any time period �mle.ss specifically written otherwise on this form.l'he availabiliry
of materials is subject W inventory conditions. MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY 1'HE
GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OF TEiE MATERIALS
STATED HEREIN. All infotmation on this form, other than price, has luen provided by guest and Menazds is not respoanble for
any errors in the information on this estimate, including but not limited W quantity, dimension and quality. Pleasc examine this estimate GUEST COPY
carefully. MENARDS MAKES NO REPRESENTATIONS, ORAL, WRITTEPI OR OTHERWLSE THAT THE MATERiALS
LISTED ARE SUTTABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUFST. BECAUSE OF WIDE
VARIATIONS IN CODES, THERE ARE NO REPRFSENTATIONS THAT THE MA'�'�'RiAi c LLSTED HEREIN MEET PAGE 2 OF 2
YOUR CODE REQUIItENIE1VTS. � °
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City of Fridley, Mi.nn.
BUILDING PERMIT
N° 6262
� �Date: �•• .�•
.�
Owaer: T�.�' . -y' Builder � !
Address Address
.�� ,,{� � � F� LOCATION O ILDING
No. ry��— Str�et `� +��'. /.�''� . �Part Loty
Lot .���� Black Addil3on or Su - on �••��i-�'�� '�
Coraer Lot — Ine�lde Lot �-�°'°� -�6�back ____ Sideynrd _—� �
Sewer IIevation — _ _ Fo da.tion IIevation
DESCRIPTION OF BUILDING
T
P� ,�t�
Front �.. DePth � HealP,ht �,�-+L� S4• F't. .��� C�. Ft '��
—. Fro Depth ITei�gh�t �� Sq. F't Cu. F't
Ty� oY Construction ^�����-i.tlG� _ Fas� C�"� � f�,,�'a To be Completed
��`�ii7�"�,�"—�
In con�lderation of the issuance to me of a permft to construct the building described above, I agree to do
the proposed work in accorda.nce with the description above set Porth aad in compliance with all proviaions oP
ordinances of the dty of Fridley.
�
In conafderation of the payment of a fee of $� � permit is hereby granted to
to construct the buflding or addition as described above. Thia �rmit is granted u�n
the express condition that the person to whom it ia granted and Yus agents, employees and worl�en, in all work
done in, around ead u�n said building, or any part thereof, shall conPorm ia all respects to the ordiaances oE
Fridley, M3nnesota regarding location, construction, atteration, maintenance, repeir and moving of buildings
within the dty ]imits and thia perinit may be revoked at aqy upon violation of any of the proviaiona of said
ordivancea
; �� •� �
sufla9as Inapector
NOTICE:
'Ihis psemh doa nof eowr !hs een�rneNoe, tnstalNlloe fe� wt.tna 'h�bt�a p. �a s�we o� rraMr. B� sun h a�
fh� Buildine lespeetee for apuaM psrmiM Poe �6�a thms.
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