P - 48422� Building BUILDING Permit No.: � IZ%" bb �
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date Rec'd:� •�� Y
%63�502-4977 FAX EFFECTIVE 1-I-2012
DATE �" 11 ' � Z YOUR E-MAIL ADDRESS '�l{� ��� j�i C"t,�,�.� �;c��rs+��%f!�
SITE �D�SS �/(02 � 2�� L 512��' �,c��'y' �iJ' SSyZ- t
THIS APPLICANT IS: ❑ OWNER �CONTRACTOR
PROPERTY OWNER/ NAME: c � L �+l 5�
TENANT �D�tESS: yG 1 y 2��z. .s;�' ctTY �.C�'� sTATE�z�r SS�iZc
PHONE: Cj t 2^ 9, �. �� Z+/ 7� 7
CONTRACTOR NAME: /�I.rJO� 4'�J .�;�.�'1D„�
SUBNIIT A COPY OF STATE LICENSE # ��' �%SR '% G%�''1 LEAD CERT NUMBER ��'C' ,�p J`��k 2' I EXP: �J `l�" l�
YOUR STATE LICENSE
AND CERTIFICATE OF ADDRESS: ���(� ��C�f(.0 �''"_ „!/}L CITY %�/2�v � STATE�ZIP SS7�/
INSURANCE PHONE � L�" 7J �"�� 2 FAX 7G � 7 -
PROPERT� TYPE 1�'SINGLE FAMILY/NEW CONSTRUCTION SIZE �,
0 TWO FAMILY/NEW CONSTRUCTION STORIES Z^
pERMI'Y' TYPE ❑ Ewn�T�orr a G�GEis�D ❑ w�rmows
❑ BASEMENT FINISH ❑ ROOF O DRAIN TILE
❑ DECK ❑ SIDING � OTHER
� SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: �c%�l EZ " U
SIZE OF IMPROVEMENT LENGTH 7 t WIDTH � HEIGHT � S FT �Z
ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Flooc Plan
C:� AR GES ❑ ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be G�Sed
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
S� ADDITIONS. & PORCHES SUBMIT.
❑ Vinyl ❑Soffit SIDING/SOFFTfJFASCIA
❑ Aluminum ❑ Trim REMOVED? ❑ YES CI NO 1. Site Plan/Survey sAowing the eiusting structwes
❑ Other 0 Fascia and proposed project.
2. Two sets of construction plans
wINDpWg 3. Energy Calculations
IN EXISTING OPENINGS QYes ONo LOCATION OF WINDOWS FOR WINDOWS – PROVIDE U-VALLTE AND
OR FOR NEW OPEMNGS-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:
TOTAL JOB VALUA
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
U.B.0 �EE SCAEDULE)
. t�°�-t'� OCCUP.
$� /$/, l� ' See Back Page for Fee Schedule
�/1 �� � 65% of Building Permit Fee
$ �/�— .001 times the total job valuation
$ ��'1� .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 Bngineering
$ Agreement necessary ( ) Non Necessary ( )
� , /I n Make checks navable 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 aclrnowledge 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 with the Minnesota Construction Codes; that I understand this is not a
pertnit but only an application for a permit and work is not to s without a permit on site; that the work will be in accordance with the
approved plan in the case of work whic eq ' view oval o plans. -� .,,t.
� _ TN�fE �%�i�4c°S L: �LeArr�st��kYATE ��'� lZ—
SIGNATURE OF APPLICANT �;� _ _ �_ _. _ _ _
: SEFARA'
Rick & Lonna Nelson
4624 2 %: Street
Mpls. Mn, 55421
�
� �� ��G� � ��� �
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BATH REMODEL PROPOSAL
Norwood construction proposes to do the following:
Plumbing;
1/31/12
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Remove existing tub arid plumbing. Install white enameled steel tub, Re-plumb drain, shower valve and shower head.
Install new Delta "Lahara" series Brushed Nickel shower valve and head. Instal� white cultured marble vanity top with
Delta "Lahara" series Brushed Nickel faucet. Install Elger comfort height toilet, with water saving tank and round bowl
design. Includes toilet seat.
Electrical:
Demo existing electrical as necessary. Add new 20 amp bath circuit. Add new 80 CFM ultra quiet bath fan, includes new
switch and venting thru roof. Relocate vanity light and switch.
Insulation:
insulate exterior bath wall with batted fiberglass insulation. Cover with 4 mil poly and seal.
Cabinets and Trim:
Install new Oak vanity, 24" x 18". Install new Oak door casing and floor base boards. Reuse existing new window trim.
Sheetrock:
Sheetrock all bath walis and ceiling. All areas will have 3 coats of taping compound applied and sanded. Ceiling will be
sprayed with standard texture.
Painting;
Prime all sheetrock walls, paint 1 color, flat paint, includes heat vent. Stain and varnish vanity, casing and base moldings.
Ceramic Tile:
Waterproof new tub wall area. Install ceramic tile on tub shower walls and floor. Tile material selections made by
customer are included in this proposal.
Quality Service Sat�siaction
Other.
Reframe and install recess medicine, with mirror, above vanity cabinet.
Install Brushed Nickel Towel Bar and TP holder. Stone option would be an upgrade.
Add handicap bar to tub area.
ALL OEMO BY CUSTOMER, EXCEPT BATH TUB ITSELF.
Customer to provide new vanity light and wood stain, paint color.
Dumpster provided.
Bid Total: $ /l,/�'�„f';. cGC�
Items not covered in bid:
City permits and extra requirements.
Unforeseen items not currently visibfe.
Lead Abatement.
Note:
Deposit required to commence work: �
30% down � ���'. �G�
30% after rough-in inspections <--. �.3����. ���
2Q% after interior trim installed .,,_., ��-^ �� ��
20%, pfu5 change orders upon completion .
.-, 'i d !`� G�� 7.�.�. «.��
This bid is good for 90 days.
Gary Callier
General Sales Manager
Cell: 651-262-8868
Email: gary@norwoodconstructiomm�.com
Quality Service Satistactfon
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