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P - 44900Building Inspections 763-572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY _ ___ --- _ -- _ _ .. , �� ,���� � - - , : � ��, � ��, . .;� � : 1 - . ,, DATE� ( % `"� �/ ` .f k.! � � YOUR E-MAIL ADDRESS � 6�1 !�/_(�%�,Q_GL"� �' � �� ��1���,. %�_2._"� SITE ADDRESS / ���; /.�!/(/ `� � ��_�, �d' .1�)�� � --(�� � o---o— THIS APPLICANT IS: � OWNER ❑CONZ'RACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMTT A COPY OF YOUR STAT'E LICENSE AND CERTIFICATE OF INSURANCE .�n�ss: i� � � � r��v Y � � N� CITY ,Cj�/, j� ��-�_sT, PHONE:_� � � %/ -„� SJ•�� �fiG�- Y-�� le %�. " ��Q� 'O� NAME: STATE LICENSE # LEAD CERT NUMBER ADDRESS: CITY STATE ZIP PHONE FAX PROPERTY TYPE ( �SINGLE FANIILY/NEW CONSTRUCTION O TWO FAMILY/NEW CONSTRUCI'ION PERMIT TYPE O ADDITION ❑ GARAG O BASEMENT FI1dISH � ROOF $DECK ❑ SIDING TYPE OF WORK: DESCRIBE WORK BEING SIZE OF IMPROVEMEN'T ROQTING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING O Vinyl O Aluminum ❑ Other CJ NEW HOME CONSTRUCI'ION $ MAINTENANCE/REPAIR �' - - - - � ❑ ADBITION ❑ REMODELING � O HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia WINDOWS IN EX[STING OPENINGS �Yes ❑No LOCA1'ION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE 5IZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTAi.i.FD rrrn�ruFU nF � ❑ DRAIN 1TLE ❑ OTHER HEIGHT � �% �� SQ FT �ASEMEhTT REMObELING SUBMIT: 1. E�tisting Floor Pl� 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. &c PORCHES SUBMIT: 1. Site PladSurvey showing the existing struc7ures and ProP�� P�.1� 2. Two sets of construction plans 3. Energy Calculations FOR WINDOWS - PROVIDE U-VALUE AND MANUFACTURE STICKER ON WINDpW. ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING T 1997 U.B.0 FEE SCHEDULE) TUTAL JOB VALUATION $ O� �L�-o2� OCCUPANCY TYPE Permit Fee PIan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curl� C�t Escrow Erosion Control Park Fee Sewer Main Charge $ $ $ $ $ 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) 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 information above is complete and accurate; that the work will be in conformance with fhe ordinances and codes of the City o ri y d with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and w rk is n to without a permit on site; that the work will be in accordance with the approved plan in the case of a ork q' i appmval of plans. ,/ SIGNATURE OF APPLICANT �A (//,I,�iir� ���/ %�'J/y DATE �� "�O/� e nnnnc � � r nrnnnnm�n or�,�. .�.�.....� . • CFPARAT'F PRRMTT°.0 A R F� �(} Pi.iiMRTNC. Fi.F?f`TRT("Ai. ANil MF('NANi('AT: �esi � �v � 9595 � ' ' `' 1 a�101201 � � � *�� Take this sheet to the Building Materials desk to purchase your materials. *** �ou s�lected a 1 level deck with: Below is a section of the railing style and �ressur2 Trea��ed Framing Material options you have selected for your deck. � x 4 Framing Posts �edar Northdex Deck Boards � 'oured Footin�s 8" Tube 4' de p �� �edar Ultra .� crews �tainless Steel �raming Fasteners M � -landrail selections: 36" White Ulir�deck Fusion Railing 1-1/2° � 3/4° �r!!hite Fusion Spindles �" x 4" x 38" White Fusion Railing Posts r-1/2" :c 3" x 6' !�lhite Fusion Hand Rail �� �`'�-- �- � . 11 �, � Y�.r. � ,. � � Spindle placement is approx, 4" apart depending on sty� s����� ,,,,_, �. �l���wt�W �I�arJ uz�is I � , �i-' ����,I�, � � _ Illustration intended to show general deck size and shape. Some options selected may not be shown for picture clar� . Toda 's ���� for materials estima�ed in this design with options: 1,989.26 Y "The �ase pnce includes: 40 PSE deck live (0�1, AC2 treated • horizontal 2x6 '(BASE price): �477.81 deck Goards, 4x4 post�, 2x8 joists and b�ms, galvanited framing fasteners, ,� "'�fpu�d today �OU save: 124.�'`*` os MoMhly B1G Card Paym� would be: �55.�'"' AC2 treated 36° Verticai handrai! to joist without posts, and premtum screws. You 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 will meet your cotle requirements. Gheck with our local murncipality for plan campliance antl builtling permit. These plans are suggested designs and material lis� only. 5ome �tems may vary from those pic�uretl. We do not guarantee the completeness or prices of these structures. 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