P - 48269Building
Inspections
763-572-3604
763-502-4977 FAX
DATE_��
SITE ADDRESS
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE I-1-2011
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L�J
ADDRESS: �5�.�/ �(/Q.f f �%UO �''� CITY f/' 'r��� °
PHONE: 7� 3 � 57.2 - �q'
Permit No.: �-� � �� 3 °'r
R��� a�T 2
ATE ZIP
CONTRACTOR NpME. �� %�,� �/��•� d� G'�,i,�oc�
SUBMIT A COPY OF STATE LICENSE # LEAD CERT NUMBER
YOUR STATE LICENSE
AND CERTIFICATE OF ADDRESS: ��f O i�-'�,�/ /D CITY L' �%= �'�-� STATE �s►w ZIP S.S� .S Ci
INSURANCE pHONE '7 3- �./-�S" 3 FAX
PROPERTY TYPE J�SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
TYPE OF WORK:
❑ ADDITiON
❑ BASEMENT FINISH
❑ DECK
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HE[GHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
NEW HOME CONSTRUCTION
MAMTENANCE/REPAIR
WIIVDOWS
IN EXISTING OPENINGS ❑Yes �No
� OR FOR NEW OPENINGS-DESCRIBE SIZE OF
� OPENING CHANGES &
� TYPE OF WINDOW TO BE INSTALLED
❑ GARAGE/SHED ❑ WINDOWS
❑ ROOF ❑ DRAIN TILE
❑ SIDING ,�OTHER
O SWIMMMG POOL
❑ ADDITION
� REMODELING
O HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
LOCATION OF WiNDOWS
NUMBER OF
, /. `
BASEMENT REMODELING SUBMIT:
I . Existing Fioor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION fNCLUDING DECKS,
ADDITIONS. & PORCHE3 SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
FOR WINDOWS — PROVIDE U-VALUE AND
MANUFACTURE STICKER ON WINDOW.
ALL FEES ARE BASED ON VALIIATION, INCLUDING THE COST OF LABOR AND
U ING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ ���n��=— OCCUPANCY
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ 1 �1.L5
$
$ l
$ �- I
$
$
$
$
$
$
$ � ,
TERIALS:
TYPE
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 oavable to: Citv of Fridlev Attach
THIS IS AN APPL[CATION 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 Construction Codes; that I understand this is not a
permit but only an application for a permit and work 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 ich requ' es review and approval of p,lj� ns.
SIGNATURE OF APPLICANT ��__1�a� PR[NT NAME /tc 4 I � u!,� u � t DATE I ��/ 7—//
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SECTION NOTES
1. TOP GEOGRID LAYER MAY SE OMITTED WHEN WALL fS BUILT TO A MAXIMUM EXPOSED
HEIGHT OF 5'-0". . -
2. TOP AND MIDDLE GEOGRID LAYERS MAY BE OMffTED WHEN WALL IS BUILT TO A
MAXIMUM EXPOSED HEIGHT OF 3'-0".
3. WA�L MAY BE BUILT WffHOUT GEOGRiD TO A MAXiMUM EXPOSED HEIGHT OF 2'-4".
OPTIONAL 4' CAP BI..00K
FREE DRAIPIING
AGGREGATE
(MiN.1'-0" WIDTFi)
RELATIVELY LEVEI BAGKSI.�OPE
MARSHALL CONCRETE
8" HEIGHT RETAtNING�
= WALL BLOCK UNITS
�
w
_
� 5.4°
¢
�
W GEOGRID GEOSYNTHETIC
m REINFORGEMENT
a (MIRAGRID 3XT OR EQUIV.)
x
w
�
� DRAIN TILE BY OTHERS
�"
�
io
COMPACT NATIVE OR
FILL SOIIS � BASE �
BURY FIRST
BLOCK ROW MIN.
6' MtN. COMPACTED
GRANULAR BASE
2'-0" MIN.
WALL SECTION
GEOGRID REINFORCED
REfAiNMiG WALL
Retainir�g WaN
5851 West Moore Lake Road
Fridley, MN
Better Yards & Gardens
9843 Highway 10
��� � Elk River, MN 55440
RYan Madc
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COMPACTED
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DESIGN AND DETAILING OF A MODULAR BLOCK RETAINING WALL ALL CONSTRUCTION IS TO BE DONE IN
ACCORDANCE WITH THIS DCICUMENT, STANDARD INDUSI`RY PRACTICE, AND THE REQUIREMENTS OF THE
CODE.
NOTES
1. THE BASE OF THE RETAINING WALL IS TO BE BURIED INTO VIRGIN MATERIAL OR ENGINEERED FILL AS
DETAILED ALONG THE ENTIRE LENGTH OF THE WALL.
2. CONSTRUCT THE RETAINING WALL W(TH STAGGERED ROWS OF LANDSCAPE BLOCKS. DO NOT STACK
ONE BIOCK DIRECTLY ABOVE THE BLOCK BELOW.
3. DRAINAGE FILL iS TO BE CIEAN 1" MINUS CRUSHED STONE OR GRANULAR FILL THAT MEETS THE
SEGMENTAL UNIT MANUFACTURER'S SPECIFICATI�VS.
4. INSTALL DRAINTILE AT THE BASE OF THE WALL DRAINTILE IS TO DRAIN TO DAYLIGHT AT EACH END OF
THE WALL AND INTERMEDIATELY AS REQUtRED BY OTHERS. DRAINTILE AND DRAINAGE ARE ESSENTIAL
TO KEEP THE WATER PRESSURE AND EARTH PRESSURE REDUCED BEHIND T!-1E WALL.
5. FOLLOW ALL INSTALLATION INSTRUCTIONS PER BOTH THE BLOCK AND GEC�YNTHETIC
REINFORCEMENT MANUFACTURERS. ENSURE REINFORCEMENT GRID OR TEXTILE IS ORtENTATED IN
CORRECT DIRECTION.
6. WALL LAYOUT, PROPERTY BOl3NQARIES, GRADING, EXCAVATION, OVERALL SLOPE STABILRY, AND
DRAINAGE IS BY OTHERS.
NATERIA�S
SECiMENTAL B�OGK UNITS: MARSHALL CONCREfE 8" HEIGHT
GE4GRID GEOSYNTHETIC
REINFORCEMENT: MIRAGRID 3X1" OR EQUIV.
SOIL ON SITE: SILTY SAND (�+ = 30°)
ALLOWABLE SC?IL
BE�� CAPACITY: 20Q0 PSF
CODES
2007 MINNESOTA STATE BUtLDING CODE w/ AMENDED 20061RC
SAFETY FACTORS: SUDINC -1.5
OVERTURNtNG -1 _5
BEARING - 3.0
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Ryan �Aadc
Retaining Waii
5851 West Moa'e Lake Ro�ad
Fridley, MN
Better Yards � Gardens
9843 Highway 10
Elk Ri+rer, MN 5544U
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