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P - 43673B�ilding BUILDING Permit No.: Z'� � Inspections RESIDENTIAL APPLICATION Received By: � 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX �� EFFECTIVE 1-1-2011 DATE Z Z� l/ YOUR E-MAIL ADDRESS SITE ADDRESS �,�.� 10 �G w r ��u n.) � THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY OWNER/ N�E: C�a�c., I III�,CL) 4 U�s� TENANT pDDx�ss: C�� STATE ZIP PHONE: �(9 3. S 7 I— L 6(a / CONTRACTOR NP,ME:_ ��,�en.� o�t. Cnv� ��.c.}_iuq s� wv; ct� SUBMIT A COPY OF STATE LICENSE # � L 3/ LEAD CERT NUMBER Ni4T —�E I�F I Z— I YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: �i 7U Z�S �'�/��e �1�, _c�� M�r i� C7wnvc, STATEM�I ZIP STs L�t INSURANCE PHONE �v�Z�ZL/-�S�Z FAX PROPERTY TYPE YI SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FI2�IISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING f� OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION INTENANCE/REPAIIt ❑ REMODELING DESCRIBE WORK BEING DONE; �10 �G j�, � L�,'�"G �r. r.a. ��G uhC+lv� �Jv w,.o'�+�vl. �� c„G SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of strucAual members to be used PROPOSED HEIGHT: �G FOR NEW CONSTRUCTION INCLUDING DECKS, � Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑�� ❑ T� 1. Site Plan/Survey showing the existing structun,s 0 Other ❑ Rascia and proposed project. 2. Two sets of const�uction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPEI�IINGS-DESCRIBE SIZE OF MANiTFACTURE STICKER ON WINDOW. OPEIVING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASEll UN VALUAI'lON, 1NCLUll1NG'1't1L+' CV�'1' Vr' LAtiVK A1VD MA'1'L�'K1ALa: �, __(USING THE 1997 U.B.0 FEE SCHEDIJI.E) TOTAL JOB VALU Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Ctiirb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due I hereby apply for a building conformance with the ordinanc permit but only an applicati approved plan in the case �all SIGNATURE OF APPLICAN APPROVAL INSPECTOR TU $ .7 �_ $ � � $ $ $ 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$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) of Fridle.v Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED it d I acknowledge that the information above is complete and accurate; that the work will be in �es f the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a d work is not to start without a permit on site; that the work will be in accordance with the uires review and approval of pl� s. g / ,. n PRTNTNAMF L.,! s_� �,..�ueirf DAi�E_ 4-LL �I�1� . � � Superior Construction Services Inc. � ,�UPE�G7lC3R � G`ONSTRUCT70N 9702 85th Ave North C�Et�lEC65 �� -� ` Maple Grove, MN 55369 ;��t�� Phone (763)424-9434 F� (763)424-5428 Federal ID# 41-1766131 MN ID# 7231 Insured: Carl Newquist Property: 1336 52nd Avenue NE Fridley, MN 55421 Home: 1336 52nd Avenue NE Fridley, MN 55421 Claim Rep.: Ryan ZyvoIoski Business: 8702 85th Ave N Maple Grove, MN 55369 Home: (763) 571-1061 Business: (612) 210-3178 Es6mator: Ryan Zyvoloski Business: (612) 210-3178 Business: 8702 85th Ave N Maple Grove, MN 55369 Claim Number: 1017889906 Policy Numher: NA Type of Loss: Water Date ConEacted: 2/4/2011 8:07 PM AF Date of Loss: 2/4/2011 Date Received: 2/4/2Q11 8:07 PM Date Inspected: 2/10/2011 11:00 AM Date Entered: 2/6/2011 10:52 AM PEP Date Est. Completed: 2/11/2011 2:48 PM � Price List: Estimate: MNMN7X_FEB 11 Restoration/Service/Remodel CARL_NEWQUISTREPAIR 1 �� l..J " ' �� ^ �L� —^ �L�V, ` � N►��-�1 �. ��S �-ao�►S � --� � �� _ cu �� G �� U � � c� �,� S� iVED PLANS SEC R106.3.1 �� PECTOR / /l . —� �� '—�S''� � L � v (` ' [' J �► lJ ��' .1V Superior Construction Services Inc. Sua�asap �rNST�uc�io� 9702 85th Ave North :3,�EFix/EC6S. . . .. x, : .!erussa.:v srvisa; ��;�,.,�,�.,u, Maple Grove, MN 55369 Phone (763) 424-9434 Fa�c (763) 424-5428 Federal ID# 41-1766131 MN ID# 7231 CARL_NEWQUI5TREPAIR Main Level Main Level DESCRIPTION 1. Taxes, insurance, penmits & fees (Bid item) 2. Haul debris - per pickup truck load - including dump fees 3. Cleaning Technician - per hour Above line item reflects final cleaning once work is complete. NOTES: a a, � 1 p � ii 1 ,�r - �r,�--, Kitchen 379.33 SF Walls 559.28 SF Walls & Ceiling 19.99 SY Flooring 53.67 LF Ceil. Perimeter 1 ' � QNTY 1.00 EA 1.00 EA 4.00 HR Height: 8' 179.94 SF Ceiling 179.94 SF Floor 46.17 LF F7oor Perimeter Missing Wall: 1- 5' X 6' 8" Opens into Exterior Goes to Floor Missing Wall: 1- 2' 6" X 6' 8" Opens into Exterior Goes to Floor DESCRIPTION QNT.Y 4. Batt insulation - 4" - R13 � 5.00 SF 5. Polyethylene vapor barrier 5.00 SF 6. 1/2" drywall - hung, taped, floated, ready for paint 5.00 SF 7. Cabinetry - upper (wall) units 2.66 LF 8. Stain & finish cabinetry - upper - inside and out 2.66 LF Above 21ine items reflect rebuilding upper cabinet that was taken down during mitigation. Superior will remove face off of old ._ .. cabinet and rebuild box to match existing. , 9. Detach & Reset Cabinetry - upper (wall) units ' - 16.00 LF . _ CARL_NEWQUISTREPAIR 2/25/2011 Page:2 + f ' � Superior Construction Services Inc. St�?eaEap Corvs-rauc7roN 9702 85th Ave North EflVICES ;��;:x��:��.,�;�; Maple Grove, MN 55369 Phone (763) 424-9434 Fax (763) 424-5428 Federal ID# 41-1766131 MN ID# 723I CONTINUED - Kitel�en DESCRII'TION QNTY Above line item reflect detaching resetting upper cabinets that are in place. Laminate backsplash does go underneath it. 10. R&R Cabinetry - lower (base) units 7•25 LF 1 l. Stain & fnish cabinetry - lower - inside and out 7.25 LF Above 2 line items reflect rebuilding lower cabinet that was removed during mirigauon. Superior will remove face off of old cabinet and rebuild box to match existing. Price also reflects resetting all doors and drawers. 12. (Install) Cabinet valance 4.33 LF 13. (Instali) Cabinetry - tower (base) units 0.75 LF Above line item reflect resetting small base cabinet to the left of the stove. 14. R&R Countertop - Flat laid plastic laminate 8.50 LF 15. Countertop - Flat laid plastic laminate 7.25 LF 16. R&R Backs - lastic laminate 29.50 SF 17. (Install) Sink - dox 1.00 EA 18. (Install i aucet - Kitchen �: 1.00 EA 19. An 2.00 EA 20. Plumbii ¢ f�a.si line 2.� EA 21. (Install) Garbage disposer 1.00 EA 22. (Install) Casing - 2 1/4" hardwood 7.50 LF 23. (Install) Crown molding - 2 1/4" hardwood 12.00 LF 24. Range - electric - Remove & reset 1.00 EA 25. Dishwasher - Detach & reset � ��57 1.00 EA 26. nstall) Range hood � � �� r ' ` v � 1.00 EA 27. ea - ywood - 3/4" CDX �� l� ^ i -� 8.00 SF 28. (Install) Base shoe - hardwood 8•00 LF NOTES: CARL_NEWQUISTREPAIR 2/25/2011 Page:3 Superior Construction Services Inc. . . �UPERIOP, C°t��T�"JD�iD� 9702 85th Ave North �c'F! V tCES h��'�{��°°s��^°� Ma le Grove, MN 55369 .��.�.�4r�� p Phone (7b3)424-9434 Fax (763)424-5428 Federal ID# 41-1766131 MN ID# 7231 '�� °�-' Laundry Room Tr 1P10" T R. � I � b 388.67 SF Walls 1°��T„�,,,� � r 530.31 SP Walls & Ceiling Fr� � 15.74 SY Flooring 1 0 5 3" C I 1 50.67 LF Ceil. Perimeter �-r e--a ,• o- - Missing Wall: 1- 2' 6" X 6' 8" D -_ _� 29 ene va � tt insulation - " Opens into Exterior 31. ' - oated, ready for paint NOTES: Grand Total Areas: 768.00 SF Walls 321.59 SF Floor 0.00 SF Long Wall �21.59 Floor Area 920.33 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length CARL_NEWQUISTREPAIR 321.59 SF Ceiling 35.73 SY Flooring 0.00 SF Short Wali 357.26 Total Area 109.67 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length u Height: 8' 141.65 SF Ceiling 141.65 SF Floor 48.17 LF Floor Peruneter Goes to Floor QNTY 22.00 SF 22.00 SF 22.00 SF 1,089.59 SF Walls and Ceiling 94.33 LF Floor Perimeter 104.33 LF Ceil. Peruneter 768.00 Interior Wall Area 0.00 Total Perimeter Length 2/25/2011 Page:4 � > �. .� � � � � (V � {'�� -� a � � •r,ii �� , .-.:. . . �> � � � ,�. a � � 0 N � N � � �, a w x H � � � a 3 z �� U