P - 84237Building BUILDING Permit lvo.: ola-a�
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY D d�y�
763-502-4977 FAX EFFECTIVE 1-1-2012 �� M?�R-�����
DATE YpUR E-MAIL ADDRESS k t„h y f � 1 1� • N'�
SITE ADDRESS q% Q J' orn K �
THIS APPLICANT IS: ,'�OWNER ❑CONTRACTOR
PROPERTYOWNER/ NAME: th .ia✓o�R� - Ah Ju.
TENANT ADDRESS: �g� 4 v'� r �" �� �C CITY /(/I O K '�+� ' STATE /��ZIP S 1.I �t
PHONE: 1`� - 3 0 6-� 1 jj Y
CONTRACTOR NAME:
SUBMIT A COPY OF
YOUR STATE LICENSE STATE LICENSE # LEAD CERT NUMBER EXP:
AND CERTIFICATE OF ADDRESS: CITY STATE ZIP
INSURANCE PHONE F
PROPERTY TYPE � SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
� DECK ,'$1'SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: O NEW HOME CONSTRUCTION ❑ ADDITION
INTENANCFJREPAIR � REMODELING �
DESCRIBE WORK BEING DONE: -F,'t'~ �v � k f �%1 `� /'� S � � � � / • 'f; �l .f�`o/; N S I'r�/�,'r o h o � / •*
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SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE �ASEMENT 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:
IDIlVG FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl �Soffit SIDING/SOFFIT/FASCIA �DITIONS_ & PORCHES SUBMIT:
O Aluminum 1g1 Trim REMOVED? � YES 0 NO 1. Site Plan/Survey showing the e�sting structures
�'Other '�: �t► �'�'^'+� H 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 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:
USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $���S�Y�7 °� OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surchazge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum or .50
$5.00 (State Licensed Residential Contractors)
$2365 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 �avable 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
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Consixuction Codes; that I understand this is not a
permit but only an application for a p rmit and work is ot to start without a permit on site; that the work will �e in accordance with the
approved plan in the case o w rk h ires rev' and approval of p s. �� �-o�
SIGNATURE OF APPLICANT ° PRINTNAME �pb� S"��¢�'� •— �h�ATE '� 2� �O /L
APPROVAL INSPECTOR SIGNATURE /w �r1
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Since 1897
CONCRETE PRODUCTS COMPANY
415 Lilac Street, Lino Lakes, MN 55074
Office 612-786-7722 • FAX 612-786-0229
1-800-336•6546
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OVER 100 YEARS OF CUSTOMER SERV/CE
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Design #: 80866
Level information
MEN�I,RDS
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Design-l� �
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5' 0" Length X 3' 0" Width X 2' 2" Height, Standard Deck, 40 PSF Load Rating, Horizontal Decking Direction
Framing Information
4X4 AC2 Framing Posts
Poured Footings 8" Tube (includes concrete) with 4' 0" Depth
2X6 AC2 Joists
2X8 AC2 Beams
Solid Piacement for Beam Positioning on Framing Posts
Beam and Joist Cantilever - No Cantilever
Deck Board Information
Rustic Solid Gray Composite Decking
Gray Composite Screw ., ;D
No Endcaps
No Cladding ��vV � G �
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C�m � i-C"�
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03/19/2012
Railing Information
No Railing
Other Material Information
Galvanized Joist Hangers
Galvanized Framing Fastener
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Today's cost for materials estimated in this design with options:
You may buy all the materials or any paR at low cash and cany prices. Because of the wide variable in codes, Menards cannot guarantee that
materials listed will meet your code requirements. Check with your local munic'rpality for plan compliance and building permit. These plans
are suggested designs and material lists only. Some items may vary from those pictured. We do not guarantee the completeness or prices of
these structures. Tax, labor and delivery not included.
The base price includes: 40 PSF deck live load, AC2 2x6 deck boards in horizontal direction, AC2 4x4 framing posts,
precast concrete (1 bag) footing, AC2 2x8 joists and beams with two feet cantilever, galvanized framing fasteners and
joists hangers, and premium deck board screws.
�332.08
Tax, labor and delivery not included.
'(Base Price): $184.64
*`*If purchased today, you save: $17.47"'
*"Monthly BIG Card PaVment would be: �10.00•**