P - 37476B�lding BUILDING Permit rto.: � t,y� �__�
Inspections RESIDENTIAL APPLICATION Received By: �`
763-572-3604 CITY OF FRIDLEY Da 'd�, . o
763-502-4977 FAX EFFECTIVE 1-1-2010 �
DATE N�C,^,1 � C� � C'� r� YOUR E-MAIL ADDRESS ���� qM � J+v i i� (GV l'b vK L' ti'�'t �N�
SITE ADDRESS � ,f7� �.�T��T_�,j��
THIS APPLICANT IS: ❑ OWNER �CONTRACTOR
PROPERTY OWNER/ NAME: � e-
TENANT ADDRESS: 1ib.�,r�
� a � °��C� C��+'� � CITY STATE�ZIP��
PHONE:��.,'�' - Z. �% 2 — �I � �
CONTRACTOR NAME: �i c' � � n C_
SUBMIT A COPY OF STATE LICENSE # �C+"Z 'ZS f(C�'�j EXP DATE
YOUR STATE LICENSE ��t`c �n 2L ��--
AND CERTIFICATE OF ADDRESS: `"�"?�''�(�,, �,d Coo„'� C�- �_CITY ���loul.pst' STATE��GIP SS'��
INSURANCE pHONE FAX �— O�
PROPERTY TYPE �1 SINGLE FAMILY/NEW CONSTRUCTION SIZE
i� TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ❑ .4DDIT'ION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING � OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION � ADDITION
� MAINTENANCE/REPAIR REMODELING
DESCRIBE WORK BEING DONE: 3, ul t�
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT
ROOFING � HOUSE ONLY
NUMBER 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:
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyt ❑Soffit ADDITIONS. & 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. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND
OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACNRE STICKER ON WINDOW.
OPENING CHANGES & ,r
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)
JOB VALUATION $ �1 �nn�n 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
E�
$
$
$
$
r�
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)
$2100 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$24=$
$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 T 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 I understand this is not a
permit but only an application for a permit 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 w' r '•�,y�e�and approval of plans.
SIGNANRE OF APPLICANT PRINT NAME�S. � (rm �'\ DATE �,1 �� 2� t C�
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2.0E-3100Fb Beam Selection
Floor Beams — One Story — LL (U360), TL (U240)
Floor Load �PSF) House _ Column Spacing (Maximum Beam Span)
Width 6'- 0" 7'- 0" 8'- 0" 9'- 0" 10'- 0" 12'- 0" 14'- 0" 16'- 0"
3Ya" x 7'/a" 3Yz" x 7�/a" 3'/s" x 7Ya" 3'/z" x 9'/a" 3Yz" x 9Ya" 3Yz" x 11�/a" 3Yz" x 14" 3�/x" x 16••
24'
5Ya" x 7'/a" 5y/a" x 9'/z" 5'/a" x 1lYa" 5Ya" x 14"
3Yz" x 7Ya" 3Yz" x 7�/a" 3'/z" x 9Ya" 3'/z" x 9Ya" 3Yz" x 9�/2" 3Yz" x 11�/a" 3y/z" x 14" 3Yz" x 16,•
28'
5'/a" x 7�/a" 5�/a" x 9Ya" 5?!a" x l l�/s" 5�/a" x 14"
3'/z" x 7Ya" 3�/2° x 7�/a" 3�/z" x 9�/a" 3'/z" x 9'/a" 3�/z` x 11 �/a" 3'/z" x 11'/e" 3Yz" x 14"
32, �40LL + IODL 5'/a" x 7'/a" 5�/a" x 9'/a" 5'/a" x 11'/a" 5Y4" x 14"
3�/z" x 7�/a" 3Yz" x 7'/a" 3'/z" x 9'/a" 3Y2" x 9'/a" 3Yz" x ll'/a" 3'/z" x 14" ,
36'
5'/a" x 7Yn" 5Ya" x 9'/a" 5�/a" x 11'/4" 5�/a" x 14" 5'/� ` x 16"
3�/z" x 7'/a" 3�/z" x 9Ya" 3Yz" x 9Ya" 3Yz" x 9'h" 3�/z" x 11'/a" 3'h` X 14"
40'
5'/a" x 7Ya" 5�/a" x 9Ya" 5'/a" x 9'/a" 5Ya" x 11�/a" 5�la" x 14" 5�li' x 16;`
3Yz" x 7Ya" 3'/z" x 9Ya" 3'/z" x 9Ya" 3'/a" x 11 �/a" 3'/z" x 11?/a"
44'
5'/a" x 7�/a" 5'/a" x 9'/n' 5'/a" x 9'/z" 5Ya" x 11�/s" 5�/a" x 14" 51/a" x 16••
3'/z" x 7'/a" 3Yz" x 7Yn" 3'/z" x 9'/a" 3'/z" x 9'/a" 3Yz" x 9'/a" 3'/z" x 11�/a" 3Y2" x 14"
24'
5�/a" x 7Ya° 5'/a" x 7'/a" 5'/a" x i 1�/a" 5'/a" X 14"
3'/z" x 7'/a" 3Y2" x 7�/4" 3�/z" x 9'/n" 3'/z" x 9'/a" 3'/z" x 11 Ya" 3Yz" x 11�/a"
28'
5'/a" x 7Ya" 5'/a" x 9'/a" 5'/a" x 11Ya" 5Ya" x 11'/a" 5Ya" x 14„
3Yz" x 7Ya" 3Yx" x 9'/n" 3'/z" x 9'/a" 3'/z" x 9Y2" 3Y2" x i 1�/a„
32'
40LL + 25DL
5Ya" x 7�/a" 5�/n" x 7Ya" 5'/a" x 9Ya" 5Ya" x 9Ya" 5�/a" x 11�/a" 5Ya" x 14" 5Ya" x 16••
• 3'/z" x 7'/a" 3Yz" x 9'/a" 3Yz"' x 9'/a" 3'/z" x 11'/a" 3'/z" x 11'/e•,
36'
5'/a" x 7�/a" 5Ya" x 9Ya" 5'/a" x 9'/a" 5'/a" x) l Ya" 5�/a" x 14" 5Ya" x l6"
3'/s" x 9'/a" 3'/z" x 9'/a" 3Yz" x 11�/a" 3'/z" x 11�/e•.
40'
5'/a" x 7'/a" 5Ya" x 7Ya" 5Ya" x 9Ya" 5'/a" x 9Ya" 5'/a" x 9'/z' 5'/a" x 11'/e" 5Ya" x 14" 7" x 14„
3'/z" x 9'/a" 3'/z" x 11 Ya"' 3'/z" x 11'/a•,
44'
5Ya" x 7Ya" 5Ya" x 7Ya" 5'/a" x 9Ya" 5Ya" x 9Ya" 5'/a" x 11 �/a" 5'/a" x 14•, 7„ x 14•, 7„ x 16••
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1 f3$t�rmii�e �e-fl�irc loading and read ac�oss that saction of the ta61e. � '�'� �, ���
2 Eind #he?housa widih that meets or exceeds the sum af the spans far the suppqrted floorframing r�, `
;. on bat�i sttles of:the beam. �:
3 Under G�Lt1MN SPACI�IG, locate the span that meets or exceeds the required beam span. '.'+'h NOtt$E WID�H �fiN6ti$� WIRTH
4 Selectthe beem size shown in the appropriate cell of the tab�e. Minimum required Sizes are show�.
B�IR r UIf8i11@OtS y B�FIM SUPPORTS ��' �
B.� H;�94 NOTSHqWN
Min�mum beam suppart to be doubie tr(mmers {3 beanng) at ends and 7�h" hearing at mtermediate suppotts of ���
�ontinuous.spans. I� dark hrown;$haded,areas in the tgble above; �upport beams with four trimmers (&" bearing► ' �yp ,
at ends and 12' bearing atintermediate supports of continunus spans. A�so see 6enerai Notes atiove. ,� - �H4U�E VH{OTH. . ��_
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