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AF - 42958�* � * PION��Ia * eng neer * � * � 2422 Enterprlse Drive Mendota Holghte, MN 55120 LAND SURVEYORS • cvt� oraN�s (812) 681-1914 FAX:681-9488 LAND PLANNERS . uNDSCAPE ARCHI7ECT5 625 Hlyhwoy 10 N.E. Blalne, MN 55434 (612) 783-1880 fAX:783-1883 Certificate of Survey for: THE ROTTLUND C�MPANY House Address: 8461. 6483. 6465. & 6467 Christenson Couri ';1 ri House Model: ---, _ ` \ , \ � `\� \� � , :' x 900.o Denotes Exlstfig Elevotlon � � Qenotes Proposed EleMatlon — Denotea Drclnage �fow Dlrectlon � —� Denotes DrcJnage dc UtIllty Ecsement --0- Denotes Monument -�- Denotes Off�et Iron Bearings show� are assumed LOTS 8-11 , BLOCK . 2 � �� ����0 ''oo�o�� ����° � .� �o� , ��\�'ti� . �. . Op��y`� s----- hyo , �� � � � � � � I�-------- ,'_::� .�.Y�f► lr i r, � a1 , � �3.��� Garaga Slab Elevation: 861.0 (at door) NOTE: Proposed buBdhg site g►ading b in accadancs ritM the • 9��9 Pbns opproved br the clty angk�eer. N07E: Contraotor must rxify aN dime^atona �C d�ivsway deal9^• CHRISTEIeT50I1T CR.O5SING ANOKA COUNTY. MINNESOTA We hereby certify that this survey, plan or report was prepered by me or under my direct supervision and that I a duly licensed Land Survey�or under the laws of the State of Minnesota: Dated this �_ day of A.D. 19� Signed: PI R ENGINEERING, P. t BY � S c a le .��—� O�- Robd-t B. Sikich, L.S. Reg. No. 14891 or 3� 16190 60 TRB Terrence E. Rothenbacher, L.S. Reg. No. 20595 SuBJEC� City of Fridley AT THE TOP OF TME TWINS g U I L D I N G P E R M I T r � � � • COMMUNITY DEVELOPMENT OIV r � v � PROTECTIVE INSPECTION SEC � '� �'-'1 � CITY HALL FRIDLE� 55032 NUMBER aEV DATE �""� � �'' 612-571-3450 910-F15 6/5/97 JOB ADDRESS 6461 Chz�stenson Lane NE _� 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 8 2 Christenson Crossing 2 PfiOPERTY OWNER MAIL ADDRESS Rottlund Co 2681 Long Lake Rd, Roseville MN 3 CONTRACTOR MAIIADDRESS Same A ARCHITECT OR DESIGNER MAIL ADDRESS Timothy Johnson _ 5 ENGINEER MAILAODRESS ETS Inc 220 S Marion Rd, Sioux Falls, SD 57107 6 USE OF BUILDING Residential PAGE Of � � TCf�AII l I�IV. �� �� `� �1 � RECEIPT NO. ` ��6� APPFOVED BY SEE ATTACHED SHEET 113 638-0500 ZIP PHONE LICENSE NO Zlp PHONE LICENSE NO. 22350 ZIP PHONE LICENSE NO. 19015 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE � 8 DESCRIBE WORK Construct a Townhouse & Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Paid Park Fee of $1,500 for building. Monies paid below are for all four units. TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOF ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZpNING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTER WOfiK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $434,591 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �2,562.LS � PLAN CHECK FEE ` � 5 . l)RE OF CON'AAC A OR THOAIZED AGENT IDA EI �y WHEN PFi pF pWNEA��F OWNEA B ILDERi _ _ 10ATE� s OCCUPANCY GiiOUP IOCCUPANCYLOAD FT. I CU. F OFFSTHEET PARKING STALLS GAFAGES SURTAX Fire .5�,' $217.50 434. 9 SAC CHARGE $3,800 (4) TOTALFEE $7,014.34 + PF :RLY�VA�LIDATED THIS IS VOyR PERMIT �s� � � 0l /J T Fi�paid P1an Cl�ck $ Fstimated Cbst $ Receipt # M � � �� I' ! � I I �' �I • : I�I 1. .`� 1: : S[JILIiINCr P�MIT APPIIC'AZIOIv . . . .. - ,� � ,� � �, � . �� . � �� � � -._ .- . . � ; � � . ,,� • - �... - 1/; ` \.+lir .s i : �,�, : : __ , s;. �=1 CO�7I'RAC'POR & ADDRFSS Architect & P�ddress ��� & Aaa�s _ Effective 3/1/96 .1 r� � . .�, Zoning ���.� �► � ?�g.# 'L'L S�v �.# 1Ra15 - 'S�10-1 TYPE OF WORIt � New ❑ Ar.3dition 0 A].teration -Describe �1�10b7� ED L,IIJ o T (�ov�..a � 1 ��AJI-� �mE �•�i.��u�i cJC� Applieant Signature �; j��i� 6,�1 e„� Tel # • G!'� Date � � q-q � BDII,DIl�]G DIl��ISICS�TS � � Length o� —��� Width .�a° � Q" Height'���v f� Sq. Ft.� # of Stories � OFC. AREA: Length Width Height Sq. Ft. �E AREA: L�ength � Width Height Sq. Ft. O�iER ARE�: Length Width Height Sq. Ft. VALI]ATIC�T sq. �. � X s 5y. �a c��sg. �. - v�,�t��. $�►z��o�o°�7 sq. Ft- ia2b0 X $ 1 A. �'oZ �/s�. Ft. = vatuation $ z1 °° ) _ $ yl3`�± �5.� . � Sq. Ft . x$ Gost/Sq. Ft .= valuation $ ) 'ITO'I'AL VALTJE Building Use i � l� Construction 'Type�� N� OccupancY GrouP �'3 Ais Conditioning �Yes L] No Fire Protection Prr�vided [l Yes �No �°wN�°�� Performance Band ,Arrou.nt $ See Reverse for Schedule i�ceived [] Yes [l No �t F� $ �.S'�� .as Plan Check $ � s���� . $ 3 -,�' State St�rchan3e $ o7/7.SG� sAC ct�arye � S ��, l� Erosion Control $ �k F�gx��s S /Soo• ao spec. Assessments $ nriveway Escrow $ m�L $ S . � See Fee Schedute on Reverse Side In E�ccess of Prepaid Amount - See Reverse Side .00l x Perntit valuation cl/loth o) $.5o/$i, o0o valUation (see �sched. for > $i r�llion) $98b per SAC Unit (Plans to NdnTCC for determination) $450.00 Cbnservation Plan Review Fee Detezminea By Engineering Agreement Necessary ❑ ,Not Necessary [] feet x $13.50/foot . `%o�y� �, ��s � . $1 to S00 501 to 2,000 2,001 to 25,000 25,001 to 50,000 50,001 to 100,000 1�0,001 to 500,000 500,001 to 1,000,000 1,000,001 and up $1 to 2,OOp 2,001 to 25,000 25,001 to 50,000 SO,QO1 � to 100,000 100,001 to 356,000 O�er $356,000 "���u�� r�.KM1T �EE SCHEDULE $21 (Minimum Fee is $21 plus surcharge) � $21 for lst $S00 plus $2.75 for each addn'1 $100 or fraction, to and includ: $2, 000 $62.25 for lst $2,000 plus $12.50 for each addn'1 $1,000 or fraction, to a including $25,ppp $349.75 far 1st $25,OOp plus.$g,00 for each addn'1 $1,000 or fraction, to a including $50,000 � . $574.75 for lst $50,000 plus $6.25 for each addn'1 $1,000 or firaction, to a including $i0p,ppp $887.25 for 1st $10U,0pp plus $5.00 for each add.n'1$1,000 or fraction, to a� including $SOO,OOp _ . � . $2887.25 for the lst $500,000 plus $q.,25 for each addn'1$1,000 or fraction, and including $I,ppp,pOp $5012.25 for the lst $1,0OO,Opp pl� $2,�5 for each addn'1$1,000 or fraction PREPAID PLAN.CHECg FEE SCHEDULE $29.25 . $29.25 for lsfi $2,000 pIus $5.85 for each addn'1$1,000 or fracfiion, to �and including $25,000 , $163.80 for lst $25,Opp pi� $9.,225 for each addn'1$1,000 or fraction, to and including $50,000 ' $269.43 for lst�$50,000 plus $2.925 for each addn'1$1,000 or fraction, to and including $1pp,000 $415.68 for lst $100,000 plus $2,2�5 for each addn'1$1,000 or fraction, to and including $356,000 $1,040 (Balance due with issuance oi building permit) PERFORMAIVCE BpND POLICIES When a building permit is issued for a commercial, indusGrial or a multiple dwelling residential project which re uire outside improvements,a Performance Bond or a Letter of Credit shall be submitted to the City. The bond willc ove all outside improvements, including but not limited to landseaping, irrigation, curbing, blacktopping, screening fences lighting, and storm drainage systems. Calculation of bond amounts will be determined by the buildin buiIding permit value up to a 2 million dollar project or a$60,Opp bo d Actual amounts will be rounded o�e of th $100. The City reserves the ri ht to re neares g Quire greater or lesser bond amounts based on unusual circumstances, Project. with no outside improvements, generally will not require a band. Bonds must remain open until the project is fuily completed. A� bonds will be held over one winter and throu h the next growing season to insure the survivaI of all Iandscape installa�o� �e City will then inspect these ro ertie: in August of the year following the initial planting. 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G) 1 w m � � rn � o i a�� �; � a� -- � � " � : m a°i v Z �c a c � N' 1C 1 � rn rn � � � � ` � C � d c 3 O `;�,� _i � � V� 0 � Z � � � � � W a .Y ^� � � � � 0 Z J W F-- � � � � m lff 0 C I LL I� � � «- Z � p m C ? I J � s a rn � p�C Z zl J � o v��i ¢ N � W di � U � m m � _ = d Z 0 a�i � F' �' � °� W o' � y � Z n`. Z � v E � � m' w a v� ¢ � a O � � �� O' • ,W\ . F- O O O O O O O � O � o o O � f� st Uj f�, P, f� 1� O f� O O O � � (A (H H! (N Vi tA tH y EA y�� fA Z � I I I I I I I I�I I I Z I � W 2 W' � � x LL � Z m � J a � N N r � 'o N � �7 � N � U N X� C� ,c� # CC C • Il � a � � � � d �- �- � (7 C z �, � � �' �, `�' � ' N � d 10 � � • V � (�4 �0 � • 3 �'c a m � � d a� a� a� o u °'p0m3 af=x=�ou. °- Y T y� � � ("O lC 7 c0 i0 i0 cN0 lNd {Vp F- Z O m m U aC cn 3 3 ��� m .. � O ( O � � � N = �, ; � C O i U a� f N � C � : N I U , � I Q i a . O I � . ►. � M � X lL I � ; �, �� , ; I . `o . \ � o � I � 1� O � � � � � N 0I A t U 7 � N :� � W W � � F- � �. _ C� l I �F FRIDLEY FRIDLEY MUN[CIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 October 29, 1997 Rottlund Homes 2681 Long Lake Rd Roseville, MN 55113 Re: Final Inspection at 6461 Christenson Lane NE, Fridley, MN Dear Sirs: A final inspection was conducted on October 29, 1997 for the above noted townhouse. We found that the construction of the building complies, to the best of our knowledge and belief, with all the requirements of the building codes of the City and the State of Minnesota relating thereto, and permission is hereby given for the occupancy of said building. If you have any questions on this matter, please feel free to contact me at 572-3602. Sincerely, RON JU Building RJ/mh .�. suerecr "PER�MIT NO' City of Fridley 25 7 81 AT THE TOP OF THE TWINS gU ILDING PERMIT ��\ r -� � � 'iifCETP7�N0. � • COMMUNITY DEVELOPMENT DIV. � / / � LV ������� / �/[/ r � � PROTECTIVE INSPECTION SEC. � � � .1 � � 1 �"'1 � CITY HALL FRIDLEV �03Z NUMBER REV OATE PAGE OF APPROVED BY ti.__.11.' '•i 612-571-3460 et0-F15 2/3/98 / / JOB ADDRESS 6461 Christenson Lane NE LOT NO. BLOCK TRACT OR ADDITION 1 LEGAL SEEATTACHED oesca. 8 2 Christenson Crossing SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE Mar% Foley 6461 Christenson Lane NE 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. A E Wallen Homes Inc 4571 North Rd, Ci�cle Pines, MN 55014 780-8812 1950 d ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADORESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential Townhouse 7 CLASS OF WORK ❑ NEW O ADDITION [� ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOFK Finish entertait�ment room on lower level 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. �A�ATE PEFt�AITS RE�UIRL-'D FOt� 1NIRIIVG, h1EATIN�, �'L�1�fEi�lG AND �iGltiS;o TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCT�ON ZONING SO. FT CU. FT AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOO OF 120 OAYS AT ANY TIME AFTEH WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION SURTAX ANO OHDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �/�, OOO �L.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PEFMIT � DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION T ERFO, NCE OF CONSTRUCTION. � W87 • 25 Fire S�'i ��i. 0� ,/ �`� � PLAN CNECK FEE TOT FEE Licens C $5.0 $98.25 iGNATUREO CON'RACTOAORAUTMOR12EDAGENT IDATEi EN ROP ALID T�IS IS YOUR PERMIT J��, � �r � �rI S�GNATU�iEOFOWNEA�iFOWNERBUILDER� �DATEI .� Bl �NSP pFTE NEW ADDN ALTER [] [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � �� � ���� ��� ���� Legal Description: Effective 1 / 1 /98 �� ����� � Owner Name & Address: �i'�/�/� �� Tel. # Contractor: � G , �it���� /��� �%�G MN LICENSE # ��,� - � Address: ��.S�r ��!� ��°'= �t�� �ii/� i���/.�� el. # �lz ����Z � � Attach to this application, a Certificate of Survey of the 6l Z� 3��`�� � lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTI�R: �iuS� ��1/%��71��,v /�ac� /�ios�-- � G� �G��'`t � Construction Type: Estimated Cost: $ y/%�1��- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. #� CITY USE ONLY Permit Fee Fire Surcharge State 5urcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � Z� $ � $ 2. `,� $ $ 5%� $ $ $ $ $ �� 2� Fee 5chedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII�DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50, 001 to $100, 000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1, 000 or fraction thereof, to and including $100, 000 $887.25 for first $100,OQ0 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1, 000 or fraction thereof, to and including $1, 000, 000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,Q00 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 6'-0" � , , � I � � � . � , I � , � � � � A/G � -- - I O ' ' ' ; A ; ��IG , � �-1� � ..A � ��y a� � ��.�.� � � �H. �,��:;:::�:.. ..,. .,.. , .:::,.:,�,,��.:��- .. ,,,:... .�. «�as i..�-,?�✓� ,-�— _,.�__,,_,_, _-_ -- _ � - � ri r � d,-� ( �I,���.. G � " �:��'.t -. '' -- 'I �� ' � . � F1�1 `� UTILiT1' �*�k � 6 � �- � o � �� `�; 4� � , � ' � Y� ?,.-� � ��_c ^ i���� � - ;�. � � � OR V/5f� N�5— 6�ARA6�E �'� 'x' 4YP BD 4' G4�'IG FL.01 �V% `.�L.OPE 4' TO A�I OipOR N.B. r----------------- � ----� � � � � � � i � i � � � � � � � . , � � � - ' . � � � ( � I 1 � � 1 9'G'x7'0' O.N. QOIOR I� � I. � ! 1 ....���.�I �� �� - , I .;. � � � s► ; --- - , �3 �}. i 4 T. ' � . I Q I N� �--- -- VII'f'fL �.,,. ,... <., .,., 8'-0' GLy � � �, 3' -4" �// \\ GAPf'ET STA IR— �_ _� ,.,. ;- r ---�.,�---�; � ------ '� ------ ,. - - ------i- �� ------ 3'-6" � �, 3'-4 3/4' 3 � �:J' � .. �� 2 � - - - � � � � � � ,: ---i------------r- i � r-----------� r----1 ' I -------ti i � f� _ � _ � � _ � � � _ � 1 � _ 1 I. � '�� C r Q- r � � 1 �O 0 � � N v � F � Q � � � v - � _._., � �., �_ � � � � r r � � � � � F 0 1 � � � � -- ~ � o I � r sue�ecr PE . i' City of Fridley 2 8 854 AT THE TOP OF TNE TWINS g u I L D I N G P E R M I T ;, � � COMMUMITY OEVELOP�MENT OIY. p� � • � `y � ' r � � PROTECTIVE INSPECTION SEC. 1�19�99 �� o � _ � � ��"1 � CITY MALL FRIOLE� S�132 NUM6EP REV DATfi VAGE OF APVROVED BY �"'"�� �'� 612-571-345p 910-Ft5 � � JOB AODRESS 6461 Christenson Lane NE t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED oescR. g 2 Christenson Crossin SNEET 2 PROPERTY OWNER MAIL ADQR�$$ ZIP PNONE Christenson Crossing Townhomes 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Town & Country 7910 12 Ave Bloomin ton - 4 AFCHITECT OR DESIGNER MAIL AODFiESS ZIP PNONE L E NO. 5 ENGINEER MAILAODRESS 21P PNONE IICENSENO 8 USE OF BUILDING e i 7 CLASS OF WORK ❑ NEW ❑ AODITION O ALTERATION ❑ REPAIR O MOVE � O REMOVE 8 DESCRIBE WORK Re a r s 9 CHANOE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. TYPB OF CONST. OCCUPANCV GROUP OCCUPANCV �OAO SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING. FIEATING. VENTILATING OR AIR CONDITIONING TMIS PEiiM1T BECOMES NULL ANO VOID IF WORK OR CONSTRUGTION ZONING SO. FT CU fT AUTHORIZED IS NO7 COMMENCED V�1ITHIN 80 OAVS. OR IF CONSTHUCTION 017 WORK IS SUSPENDEO Oii ABANQONED fOR A PER100 OF 12p DAVS A7 ANV TIME AFTER WORK IS COMMENCED. ' NO DWLG- UNITS OFFSTAEET PARKING I HEREBY CERTIFV TMAT I HAVE READ ANO EXAMINEO THIS APPLICA710N STA�LS GARAGES AND KNOW TME SAME TO BE TRUE AND CO�pECT. ALl PROVISIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING TMIS TVPE OF WQRK WILI �E COMPUED WITM WHETHER SPECIFIED MEREIN OFi NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFi1TV TO VIOIATE OR CAMCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANV OTMER STATE Op LOCAL LAW REGULATING CON- @ STFUCTION OR TME PERfORMANCE OF CONSTRUCTION �p21.00 Fire SC �.SO PIAN CMECK FEE TOTAI F .�� � ��°ij License $5. $27 00 S�GNATUAE O� CON"Aa OA OA AUTNOp�ZED AGENT iO�TE� EN flOP VALIOATE T 1S IS�UF PERMIT � '� / S�GN4TUpE O� OWNEQ��� OWNEpBU�LOEA� IDATE� � ' G�NSp - O6Tt � Il ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII.DING PERMIT APPLICATION � a .� �o� constructionAadress: � �� �, C� ��G� j � �� � � C Effective 1/1/99 �� p� � �' Legal Description: � Owner Name & Address: Tel. # Contractor: �c�• a��'�u •�'� ,� MN LICENSE �0?40 j/?8 Z Address: '�y/0 /dZ � �c ����u, ��o�. %��1 .SSya7S Tel. # ✓�s�S - 5�z33 Attach to this apnlication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECB AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ��--� � o Construction Type: �'Y ���r S.r,P�,P'� Estimated Cost: $ ��� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �— / y- °i � APPLICANT: j ��ii� g .� �' � �/ Tel. � yo s -�io - � gi3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAI:. STIPULATIONS: $ O?/ v � $ � $ S� $ $ .� (� � $ $ $ $ $� ��1� CITY USE ONLY Fee Schedule on Reverse Side . QO l of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � Su6�ECT . � � P� --,_ City of Fridley 8 9 � � AT TME TOP OF THE TWINS g � I L D I N G P E R M I T r ; � RECEIPT NO. � • COMMUNITV DEVELOPMENT DIV. �% � j V �'��� , �(/ � f � � PROTECTIVE INSPECTION SEC L--_. �;/"','� CITY NALL FRIOLEr SS1�2 NUMBEII pEV DATB PAGE OF APPROVEO 6� L J� 612-5��-3a5o 910-F15 3/5/99 / / �oe aooaess � 6461, 6463, 6465, 6467 Christenson Lane NE t LEGAL LOT NO. BLOCK TRACT OR AOOITION SEE ATTACMEO oesca. 8 to 11 2 Christenson Crossing SHEET 2 PiiOPERTY OWNER MAIL ADpR�S$ ZIP PMONE Rottlund Townhomes 3 CONTRACTOR MAII ADDRESS 21P PHONE LICENSE NO Town & Countr Roofin 7910 12 Ave S Bloomin ton MN 55425 545-4233 4 ARCMITECT OR DESIGNEii MAIL AODRESS ZIP PMONE LICENSE NO. 545-4233 5 ENGINEER MAII ADORE$S ZIP PMONE LICENSE NO 8 USE OF BUILDING Townhomes 7 CLASS OF WORK 0 NEW p ADDITION p ALTERATIpN xp REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Building (90 Sq ) Tear-off 9 CHANGE Of USE FROM TO STIPULATIONS Underlaym.ent must comply with the State Building Code. TYPE OF CON T. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS AFiE REOUIREO fOfl ELECTRICAL. PLUMBING, MEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCT10N LONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED V�ITNIN 80 DAYS. OR IF CONSTHUCTION Ofl WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS A7 ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ ANO EXAMIN�D TMIS APPLICATION S7A��5 GARAGES ANO KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL QE COMPUED WITH WHETMER SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT �7 � 713 �3.86 DOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOLATE OR CAMCEI TME pEqMIT FEE SAC CMAFGE PqOVIS10NS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON• $13J.25 Fir C�7.71 STRUCTION OR TME PERFONMANCE OF CONSTRUCTION PLAN CNECK FEE TOT EE C� Liceens $5.0 3.82 S�GNATU Of ON'WACTOp RAUTNOR�ZED G� 1DAfEi EN P OP ALIOA F�IS IS V Up PEpM1T L� �-�-° S�GNOTUAE O� OWNEA��� OWNEA BU�LDEp� �D�rE� Bl0 NS� � ���T E Mar-04-99 05s47P NEW ' L l AllDN [ ] AI,T�R ( ] ConscructionAddress: Legal Description: Owner N��Address: Contract�c: /�7c)Y1 �i \ Address: LIVI�iG AREA: CITY OF FRIDLEY SYNGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDINCr PERMiT APPLICATION �� P_06 1,:��o�ura, ai ai�u �� . �� Q� � �D � i'el. # _ MN LICENSE ��U,j�'�% R ; Tel. � - Attach to this application. a Cectificate of Survey of the lot, with the proposed constniction drawn on ic to scale. DESCRiPTION OF IMpROVEMENT Length Width �, Heig6t Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. AECK AREA: Length Width HgdGround Sq. Ft. OTNER: ���� ---� ,,[�� % � Coizscruction Type: � p� (� 1-T g►' �� ��'� Estimated Cost: $� i�� �r� %_ (Fee Schedule on Back) Driveway Curb G�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. �l,{S'y.S -�/� . 3 3 Permit Fee Fire Surcharge S[ate 5urcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ " 37, $ `i �� $ �. �' $ S �� �' $ $ $ $ � I��3j �� CITY U5E ONLLt Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.SO!$1�000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review F�e Determined by Engineering Agreement Necessary [] Not Necessary L 1 .m.. � N _ � •'�r.•: � J � O 2 � U Q: � ::::»:; Z :� O >: w :: �:; Q `o � LL Z ;::»#: W ::::::::s m :;� .� O :. 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NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A WATER SOFTENER. # ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GA5 DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 VALUE (FOR NIINIMUM CALC) 300 # WATER TRMT APPLIANCES l APPLICANT PLBG PERMIT 11�IINIMUM FEE 0.00 SHII.OAH WATER CO PLBG FIXTLTRES (NEW OPENIlVGS) 0.00 7319 166 AVE NW PLBG FIXTURES (EXIST OPENINGS) 0.00 RAMSEY, MN 55303- WAT'ER HEATER - ELEC 0.00 (763) 753-9244 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 WATER TREATMENT APPLIANCE 35.00 OWNER STATE SURCHARGE, PLBG FLAT 0.50 JOB LILLY TOTAL 35.50 6461 CHISTENSON LN NE PAID WITH CHECK # 10009 FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT T'his permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lmow the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the perfo ance construction. Applicant Date Bldg Ins D� 5EPARATE PERMITS Q D FOR WORK OTI�R THAN DESCRIBED ABOVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 ►63) 572-3604 FAX: (763) 571-1287 ADDRESS : 64G 1 CHRISTENSON LN NE PIN : 143024320197 LEGAL DESC : UNAVAILABLE : LOT 8 BLOCK 2 PERMIT NO.: 200402311 DATE ISSUED: 12/21/Z004 R6599 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : COMMCRCIAL CONSTRUCTION TYPE : ADDiTION/ALTERATION VALUATION . NOTE: ELECTRICAL PERMIT BECOMGS VOID 12 MONTHS AFTER PERMIT ISSUE DATE.PH :763-784-3729 1;1 # INSPECTIONS # 0-100 AMP CIRCUITS 2 # 101+ AMp CIRCUITS APPLICANT LAZER ELECTRIC 8164 ARTHUR STREET N.E SPRING LAKE PARK, MN 55432 (763)784-3729 OWNER GITTLEMAN MANAGEMENT CORP. 6461 CHISTENSON LN NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any tiane after work is commenced. I her�by certify that I have read and cxamined this applicat�on and know the same to be truc and conect. All provisions of laws and ordinances govcrning this type of wor� will be complied with whether specified he�ein or not. The granting of a permit does not presume to give authority to violate ar cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant __Date Bldg Insp __Date ELEC PERMIT FEE - MIN (NON-RESI) ELEC AMP SERVICE FEE ELEC CIRCUIT FEE (0-100 AMPS) ELEC CIRCUIT FEE (101+ AMPS) STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 42761 SEPARATE PCI:MI'1'S REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 0.00 30.00 u 1`ERQO \l� � 0.00 0.50 42.50 Building , Inspections 763-572-3604 DATE :� � e� � �7 SITE ADD S � THIS APPLICANT iS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE BUILDING 12ESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL �r,`s�-e�5o+� ��v►< � ❑ OWNER �1CONTRACTOR � e� o � �rv�DH��� �ti ADDRESS: CITY PHONE: GZ�J`�`- " a % � ` a � � � . NAME: � e� v. ( e,s ,e o H s � STATE LICENSE # e�- �a f,.1 L - 7�i S- S 35�� 0 SINGLE FAMILYINEW CONSTRUGTI( ❑ TWO FAMILY/NEW CONSTRUCTION EXP DATE ❑ BASEMENT FINISH ❑ ROOF O DECK ❑ SIDING ❑ SWDvWIING POaL TYPE OF WORK: � � O DESCRIBE WORK BEIN�i SIZE OF INIPROVEMENT_ 1VUMBER OF SQUARES GARAGES PROPOSID SIZE: PROPOSID HEIGHT: SIDIIVG ❑ Vinyl ❑ Alumimun ❑ OOdier W1lVDOWS IlV EXISTII�iG OPENINGS ❑Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPEMNG CHANGES & TYPE OF WII�IDOW TO BE INSTALr _Fn ❑ HOUSE 8c GARAGE ❑ ATfACHED GARAGE ❑ DEfACHED GARAGE OSoffrt ❑ Trim ❑ Fascia LACATION OF WiNDOWS Pemut No.: Received By:. Date �Lr'ti: ° CITY�I t ! 04' IES ❑ WW�WS ❑ DRAIN TiLE -�'OTE�R � '���� ` -��4ce )TH HEIGHT 'ATE ZIP a.r��� s,> l o Y RASENIENT REMODELING SUBNAT: 1. Existing Floor Plan 2. Proposed floor pian 3. List of struciaual members to be used Ft , FOR AIEW CONSTRUCTION IAICLUDING DECKS, f�DD1TIONS. & PORCHES StJBMIT: 1. Site PlanlSwvey showing the existing strucwres � ProP� P�.l� 2. Two sets of construdion plans 3. Energy Calculations � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIA.LS: (US �I-7-�E �� SCHEDULE) TOTAL JOB VALUATION ''—°-�_ � OCCUPANCY TYPE Permit Fee Plan Review Surcharge License Surcharge SAC Charge Curb G�t Escrow Erosion Control Park Fee Sewer Main Chazge Tntal nnp $.�(n3,,�J,j See Back Page for Fee Schedule $ 65% of Building Permit Fee ���,.� � $ �� 5� .0005 x Permit Valuation Minimum $.50 $ ,� U� $5.00 (Staxe Licensed Residential Contractors) $ � $1675 per SAC Unit (Plans to MWCC for determinaxion) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $�i� �, i,� Make checks payable to: City of Fridley Aitach � THIS IS AN APPLICATION FOR A PERMIT-N07 VALID UNTIL PROCESSED I hereby apply for a building permit and I a.clrnowledge 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; thax I understa�d this is not a permit but only an application for a p it and work is not to start without a ermit; that the work will be in accordance with the approved plan in the case of all work w i�� �q es review'and approval of plans. SIGNATURE OF APPLICANT � � PEtINT NAME . L���'1 �� t� (�► I t�' DATE I ��� P�.ge 2- Building Residential Application , BUII..DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing pemvts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or struct�ue, upon application therefore, require the payment by the applicant for such permit of fees to the �amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fes is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1�$2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional$1,000 or fraction, to and includin $50,000 $SO,QO 1 to $100,000 $643.75 for 1$SO,OQO plus $7 for each additional$1,000 or fraction to and includin $100,Q00 $100,001 to $500,000 $993.75 for 1� $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each additional $1,000 or fiaction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each add.itional $1,000 or fraction VERIFICATION OF FOUNDATION Perm.its for conshuction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showi.ng the location of the existi.ng foundation will be required before proceeding with the framing. New Houses Onlv � City of Fridley � . , Building Inspections Department - - '�ersYrt-y�e Fridley, MN 55432 763-572-3604 FaX: 763-502-4977 W � ` � Restoration Contractors, Inc. dba Clean Response - 480 N. Prior Ave. 661-646-3408 ST. Paul, MN. 55104 Phone:651-646-3408 Fax:651-917-2506 Client: Gittleman - Christenson Crossing Property: 6461 Christianson Lane Fridley, MN 55432 Operator Info: Operator: Estimator: Type of Estimate: Dates: Date Entered: ANDY ANDREW BANAS Water Damage 12/21/2007 Price List: MNMN4B7D Restoration/Service/Remodel Estimate: CHRISTENSON-CON Business: (952) 277-2720 Business: (651) 755-0639 :q� `:;s` � i' i`�.°' �� �a w 'i � � � Restoration Contractors, Inc. dba Clean Response 480 N. Prior Ave. ss1-646-3408 ST. Paul, MN. 55104 Phone:651-646-3408 Fax:651-917-2506 �@''--' Room: Office T mr ." tb : � b � ± �� 1- �Q. '��.. r �r �c � CHRISTENSON-CON Basement 481.26 SF Walls 682.45 SF Walls & Ceiling 22.35 SY Flooring 60.16 LF Ceil. Perimeter Ceiling Height: 8' 201.19 SF Ceiling 201.19 SF Floor 60.16 LF Floor Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL Batt insulation -12" - R38 201.19 SF 0.00 1.34 269.59 Batt insulation - 6" - R21 240.63 SF 0.00 1.08 259.88 R&R Visqueen vapor barrier 240.63 SF 0.07 0.32 93.84 5/8" drywall- hung, taped, with smoath 562.14 SF 0.00 2.44 1,371.62 wall finish 1/2" drywall - hung, taped, with smaoth 120.32 SF 0.00 2.45 294.78 wall finish SeaUprime the walls and ceiling - one coat 682.45 SF 0.00 038 259.33 Floor protection - self-adhesive plastic film 201.19 SF 0.00 0.49 98.58 Room Totals: Office 2,(4�,(2 I---S 91° � °' s T : I� +�N m � � � � �� 1 �,� ��„� s. DESCRII'TION Room: Utility Ceiling Height: 8' 237.69 SF Walls 55.73 SF Ceiling 293.42 SF Walls & Ceiling 55.73 SF Floor 6.19 SY Flooring 29.71 LF Floor Perimeter 29.71 LF Ceil. Perimeter Batt insulation - 12" - R38 Batt insulation - 6" - R21 R&R Visqueen vapor barrier 5/8" drywall - hung & fire ta.ped only Clean floor CHRISTENSON-CON QNTY 55.73 SF 118.84 SF 118.84 SF 174.57 SF 55.73 SF REMOVE 0.00 0.00 0.07 0.00 0.00 REPLACE 134 1.08 TOTAL 74.68 12835 0.32 46.35 1.44 25138 0.34 18.95 12/28/2007 Page: 2 0 Restoration Contractors, Inc. dba Clean Response 480 N. Prior Ave. 651-646-3408 ST. Paul, MN. 55104 Phone:651-646-3408 Fax:651-917-2506 CONTINUED - Utility DESCRIPTION QNTY REMOVE REPLACE TOTAL Room Totals: Utility 519.71 �-3' 11 ° - � a� �. T' •7 m k�a in 1 a � 4'5°�3'6° �__:____:.� Mhi Ra� Room: Lanndry Ceiling Height: 8' l183.30 SF Walls 44.21 SF Ceiling m 227.52 SF Wa11s & Ceiling 44.21 SF Floor �� 4.91 SY Flooring 22.18 LF Floor Perimeter 26.59 LF Ceil. Perimeter Missing Wall: 1- 4'S" X 6'8" DESCRIPTION Opens into Mnd Room Goes to Floor QNTY REMOVE REPLACE TOTAL Batt insulation - 12" - R38 44.21 SF 0.00 1.34 59.24 Batt insulation - 6" - R2l 45.83 SF 0.00 1.08 49.50 R&R Visqueen vapor barrier 45.83 SF 0.07 0.32 17.88 5/8" drywall - htmg, taped, with smooth 135.87 SF 0.00 2.44 331.52 wall finish 1/2" drywall- hung, taped, with smooth 91.65 SF 0.00 2.45 224.54 wall finish SeaUprime the walls and ceiling - one coat 227.52 SF 0.00 0.38 86.46 Floor protection - self-adhesive plastic film 44.21 SF 0.00 0.49 21.66 Clean floor 44.21 SF 0.00 0.34 15.03 Room Totals: Laundry 805.83 CHRISTEN50N-CON 12/28/2007 Page: 3 Restoration Contractors, Inc. dba Clean Response 480 N. Prior Ave. ss�-sas-saoa ST. Paul, MN. 55104 Phone:651-646-3408 Fax:651-917-2506 � 4'3°+3'6° ^ - -=---=- T � � N Q s°qt�4 4=� 1 � Missing Wall: Missfng Wall: DESCRIYTION Room: Mnd Room Ceiling Height: 8' 130.36 SF Walls 32.95 SF Ceiling 16331 SF Walls & Ceiling 32.95 SF Floor 3.66 SY Flooring 15.56 LF Floor Perimeter 19.98 LF Ceil. Perimeter 1- 4'4" X 8'0" Ogens into Stair 1 1- 4'S" X 6'8" Opena into Lanndry QNTY REMOVE Goes to Floor/Cefting Goes to Floor REPLACE TOTAL Batt insulation -12" - R38 32.95 SF 0.00 1.34 44.15 Batt insulation - 6" - R2 ] 32.59 SF 0.00 1.08 35.20 R&R Visqueen vapor barrier 32.59 SF 0.07 0.32 12.71 5/8" drywall - hung, taped, with smooth 98.13 SF 0.00 2.44 239.44 wall finish 1/2" drywall - hung, ta.ped, with smooth 65.18 SF 0.00 2.45 159.69 wall finish SeaUprime the wa11s and ceiling - one coat 163.31 SF 0.00 0.38 62.06 Floor pmtection - self-adhesive plastic film 32.95 SF 0.00 0.49 16.15 Clean floor 32.95 SF 0.00 0.34 11.20 Room Totals: Mud Room 580.60 e DESCRIPTION Room: Garage Ceiling Height: 8' 573.74 SF Wa11s 319.24 SF Ceiling 892.98 SF Wa11s & Ceiling 319.24 SF Floor 35.47 SY Flooring 71.72 LF Floor Perimeter 71.72 LF Ceil. Perimeter QNTY REMOVE Batt insulation - 12" - R38 319.24 SF 0.00 Batt insulation - 6" - R21 573.74 SF 0.00 CHRISTENSON-CON REPLACE 134 TOTAL 427.78 1.08 619.64 12/28/2007 Page: 4 Restoration Contractors, Inc. dba Clean Response � ' 480 N. Prior Ave. 6b1-646-3408 ST. Paul, MN. 55104 Phone:651-646-3408 Fax:651-917-2506 DESCRIPTION CONTINiJED - Garage QNTY REMOVE REPLACE TOTAL R&R Visqueen vapor bazrier 573.74 SF 0.07 0.32 223.76 5/8" drywall - hung, taped, with smooth 892.98 SF 0.00 2.44 2,178.87 wall fuush SeaUprime the walls and ceiling - one coat 892.98 SF 0.00 038 339.33 Overhead door repair - Minimum charge 1.00 EA 0.00 185.00 185.00 Remove Overhead door ttack 28.00 LF 1.04 0.00 29.12 (Install) Overhead door track 28.00 LF 0.00 4.22 118.16 Detach di Reset Overhead (garage) door 1.00 EA 0.00 0.00 162.25 �� Clean floor 319.24 SF 0.00 0.34 108.54 Room Totals: Gara.ge 4,392.45 + :.. - - � ■.� .�� .�� �� �'�� �- -_ .� �.� .� � �I Room: Storage 272.93 SF Walls 312.19 SF Wa11s & Ceiling 4.36 SY Flooring 34.12 LF Ceil. Perimeter Ceiling Hefght: 8' 39.26 SF Ceiling 39.26 SF Floor 34.12 LF Floor Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL Batt insulation - 6" - R21 136.47 SF 0.00 1.08 147.39 R&R Visqueen vapor barrier 136.47 SF 0.07 0.32 53.22 5/8" drywall - hung, taped, with smooth 312.19 SF 0.00 2.44 761.74 wall finish SeaUprime the walls and ceiling - one coat 312.19 SF 0.00 0.38 118.63 Clean floor 39.26 SF 0.00 0.34 13.35 Room Totals: Storage 1,094.33 CHRISTENSON-CON 12/28/2007 Page: 5 Restoration Contractors, Inc. dba Clean Response ' ' 480 N. Prior Ave. 661-646-3408 ST. Paul, MN. 55104 Phone:651-646-3408 Fax:651-917-2506 � i��■ ■��■ �s: �i e�,_�.� ■�i ■�■ ■�� Room: Stair 1 Ceiling Hefght: 17' 248.25 SF Walls 30.16 SF Ceiling 278.40 SF Walls & Ceiling 72.13 SF Floor 8.01 SY Flooring 23.07 LF Floor Perimeter 18.31 LF Ceil. Perimeter Missing Wall: 1- 4'4" X 8'0" DESCRIPTION Opens into Mad Room QNTY REMOVE Goes to Floor/Ceiling REPLACE TOTAL Batt insulation - 6" - R21 124.12 SF 0.00 1.08 134.05 R&R Visqueen vapor barrier 124.12 SF 0.07 032 48.41 5/8" drywall - hung, taped, with smooth 124.12 SF 0.00 2.44 302.85 wall finish SeaUprime the walls and ceiling - one coat 278.40 SF 0.00 038 105.79 Floor protection - self-adhesive plastic film 72.13 SF 0.00 0.49 35.34 Room Totals: Stair 1 626.44 Area Items Total: Basement 10,666.98 Hra � '��' . - � m.,m. - 1 _.______ _�___ Missing Wall: Missing Wall: Missing Wall: Main Level Room: Dining Room 221.79 SF Wa11s 358.86 SF Walls & Ceiling 15.23 SY Flooring 35.08 LF Ceil. Perimeter 1 _ 2�8�� X 6�8�� 1- 6'2" X 6'8" 1- 11'll"X8'0" Opens into Living Opens into Living Opens into Kftchen Ceiling Height: 8' 137.08 SF Ceiling 137.08 SF Floor 26.25 LF Floor Perimeter Goes to Floor Goes to Floor Goes to Floor/CeiLtng CHRI5TEN50N-CON 12/28/2007 Page: 6 Restoration Contractors, Inc. dba Clean Response ' ' 480 N. Prior Ave. 681-s46-3408 ST. Paul, MN. 55104 Phone: 651-646-3408 Fax:651-917-2506 DESCRIPTION QNTY REMOVE REPLACE TOTAL Batt insularion - 12" - R38 (Insulate the rim 13.13 SF 0.00 1.34 17.59 joist around exterior) Batt insulation - 6" - R21 110.89 SF 0.00 1.08 119.76 R&R Visqueen vapor barrier 110.89 SF 0.07 0.32 43.24 5/8" drywall - hung, taped, with smooth 247.97 SF 0.00 2.44 605.05 wall finish 1/2" drywall - hung, taped, with smooth 110.89 SF 0.00 2.45 271.68 wall fuush SeaUprime the walls and ceiling - one coat 358.86 SF 0.00 0.38 136.37 Room Totals: Dining Room 1,193.69 i-3'4-�°'�'',°'+ Room: Kitchen Ce�iling Height: 8' �� � 277.33 SF Walls 146.41 5F Ceiling � '�' T 423.75 SF �Valls & Ceiling 146.41 SF Floor �� 16.27 SY Flooring 34.67 LF Floor Perimeter �. �.�,. �. 34.67 LF Ceil. Perimeter n=_ .---- � 1 Missing Wall: 1- 3'S" X 8'0" Mfssing Wall: 1- 11'll" X 8'0" DESCRIPTION Opena into Living Opens into Dfning Room QNTY REMOVE Goes to Floor/Ceilfng Goes to Floor/Ceiling REPLACE TOTAL Batt insulation -12" - R38 (Insulate the rim 17.33 SF 0.00 1.34 23.22 joist azound exterior) Batt insulation - 6" - R21 138.67 SF 0.00 1.08 149.76 R&R Visqueen vagor barrier 138.67 SF 0.07 0.32 54.08 5/8" drywall - hung, taped, with smooth 285.08 SF 0.00 2.44 695.60 wall finish 1/2" drywall - hung, taped, with smooth 138.67 SF 0.00 2.45 339.74 wall finish SeaUprime the walls and ceiling - one coat 423.75 SF 0.00 0.38 161.03 Room Totals: Kitchen 1,423.43 CHRISI'ENSON-CON 12/28/2007 Page: 7 Restoration Contractors, Inc. dba Clean Response � ' 480 N. Prior Ave. 651-646-3408 ST. Paul, MN. 55104 Phone:651-646-3408 Fax:651-917-2506 �-2� a° � � � a � �- 1 � �z z• Room: Closet Ceiling Height: 8' 89.33 SF Walls 6.88 SF Ceiling 96.21 SF Walls & Ceiling 6.88 SF Floor 0.76 SY Flooring 11.17 LF Floor Perimeter 11.17 LF Ceil. Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL Batt insulation - 6" - R21 44.67 SF 0.00 1.08 48.24 RBcR Visqueen vapor barrier 44.67 SF 0.07 032 17.42 5/8" drywall - hung, taped, with smooth 51.54 SF 0.00 2.44 125.76 wall finish 1/2" drywall - hung, taped, with smooth 44.67 SF 0.00 2.45 109.44 wall finish SeaUprime the walls and ceiling - one coat 96.21 SF 0.00 0.38 36.56 Room Totals: Closet 337.42 �7' 3° �--4' 3° � � DESCRIPTION Room: Bath Main � 165.33 SF Wa11s m 188.35 SF Walls & Ceiling 1 2.56 SY Flooring 20.67 LF Ceil. Perimeter Batt insulation - 6" - R21 QNTY 4133 SF 1;7 �I'u Cili/ � 0.00 Ceiling Height: 8' 23.02 SF Ceiling 23.02 SF Floor 20.67 LF Floor Perimeter REPLACE 1.08 TOTAL 44.64 R&R Visqueen vapor bazrier 41.33 SF 0.07 0.32 16.12 5/8" drywall- hung, taped, with smooth 6435 SF O.QO 2.44 157.01 wall finish Drywall tape joint/repair - per LF I5.50 LF 0.0(1 7.75 120.13 Texture drywall - smooth / sldm coat 124.00 SF 0.00 0.96 119.04 (necessary where wallpaper was removed) SeaUprime the walls and ceiling - one coat 188.35 SF 0.00 0.38 71.57 Room Totals: Bath Main 528.51 CHRI5TENSON-CON 12/28/2007 Page: 8 Restoration Contractors, Inc. dba Clean Response 480 N. Prior Ave. 6s�-846-3408 ST. Paul, MN. 55104 Phone: 651-646-3408 Fax: 651-917-2506 Room: Pantry ���s°--i _._'...P__ m � i� � 84.00 SF Walls 90.50 SF Walls & Ceiling 0.72 SY Flooring 10.50 LF Ceil. Perimeter Ceiling Height: 8' 6.50 SF Ceiling 6.50 SF Floor 10.50 LF Floor Perimeter . � DESCRIPTION QNTY REMOVE REPLACE TOTAL Drywall tape joinbrepair - per LF 10.50 LF 0.00 7.75 81.38 SeaVprime the walls and ceiling - one coat 90.50 SF 0.00 0.38 3439 Floor protection - self-adhesive plastic film 6.50 SF 0.00 0.49 3.19 Room Totals: Pantry 118.96 b � � - Room: Living �� 439.80 SF Walls �W 734.77 SF Wa11s & Ceiling 32.77 SY Flooring I 6 62.34 LF Ceil. Perimeter M➢seing Wall: 1- 3'S" X 8'0" Missing Wall: 1- 2'8" X 6'8" Missing Wall: 1- 6'2" X 6'8" Missing Wall: 1- 3'll" X 8'0" Opena into Kftchen Opens into Dinfng Room Opens into Dining Room Opens into Hall Main Ceiling Height: 8' 294.97 SF Ceiling 294.97 SF Floor 53.50 LF Floor Perimeter Goes to Ftoor/Ceilfng Goes to F7oor Goes to Floor Goes to FloorlCeiling DE5CRIPTION QNTY REMOVE REPLACE TOTAL Batt insulation -12" - R38 (Insulate the rim 26.75 SF 0.00 1.34 35.85 joist around extetior) Batt insulation - 6" - R21 216.95 SF 0.00 1.08 234.31 R&R Visqueen vapor bazrier 109.95 SF 0.07 032 42.88 5/8" drywall - hung, taped, with smooth 511.92 SF 0.00 2.44 1,249.08 wall finish CHRISTENSON-CON 12/28/2007 Page: 9 Restoration Contractors, Inc. dba Clean Response ' ' 480 N. Prior Ave. ss�-846-3408 ST. Paul, MN. 55104 Phone:651-646-3408 Fax:651-917-2506 CONTINUED - Living DESCRIPTION QNTY REMOVE REPLACE TOTAL 1/2" drywall - hung, taped, with smooth 109.95 SF 0.00 2.45 269.38 wall finish SeaUprime the walls and ceiling - one coat 734.77 SF 0.00 0.38 279.21 Floor protection - self-adhesive plastic film 294.97 SF 0.00 0.49 144.54 Room Totals: Living 2,255.25 }' Z'�4' 3' -� J �. �F--4' -I H3' 11 °" I�� � Mfasing Wall: Misaing Wall: Mfssing Wall: DESCRIPTION Room: Hall Main Ceilfing Height: 8' T 98.68 SF Wa11s 32.97 SF Ceiling 131.64 SF Wa11s & Ceiling 32.97 SF Floor 1 3.66 SY Flooring 1233 LF Floor Perimeter 12.33 LF Ceil. Perimeter 1- 3'11" X 8'0" 1- 4'0" X 8'0" 1- 3'll" X 8'0" Opens into Stair 3 Opens into Stair 2 Opens fnto Lfving QNTY REMOVE Goes to Floor/Ceiling Goes to Floor/Ceiling Goes to Floor/Cefling REPLACE TOTAL Batt insulation - 6" - R21 24.67 SF 0.00 1.08 26.64 R&R Visqueen vapor barrier 24.67 SF 0.07 0.32 9.62 5/8" drywall - hu1�g, taped, with smooth 24.67 SF 0.00 2.44 60.19 wall finish SeaUprime the walls and ceiling - one coat 131.64 SF 0.00 038 50.02 Floor protection - self-adhesive plastic film 32.97 SF 0.00 0.49 16.16 Room Totals: Hall Main 162.63 CHRISTENSON-CON 12/28/2007 Page: 10 Restoration Contractors, Inc. dba Clean Response 480 N. Prior Ave. 6s1-84s-34o8 ST. Paul, MN. 55104 Phone:651-646-3408 Fax:651-917-2506 , ■��i ■� ���7 � �"--�� '". �� � :.� ■��■ ■ Missing Wall: M�tssing Wall: Room: Sta�tr 2 Ceil�ing Height: 17' 177.67 SF Walls 22.67 SF Ceiling 200.34 SF Walls & Ceiling 60.97 SF Floor 6.77 SY Flooring 21.58 LF Floor Perimeter 15.33 LF Ceil. Perimeter 1- 4'0" X 8'0" Opens into Entry way Goes to Floor/Ceiling 1- 4'0" X 8'0" Opens into Hall Main Goes to Floor/Ceiling DESCRIPTION QNTY REMOVE REPLACE TOTAL Drywall patch, ready for paint 1.00 EA 0.00 54.85 54.85 SeaUprime the walls and ceiling - one coat 200.34 SF 0.00 038 76.13 Floor protection - self-adhesive plastic film 60.97 SF 0.00 0.49 29.88 Room Totals: Stair 2 160.86 S �ii e �� _ . : • ��o -�� �e �v �■ �� Missing Wall: DESCRIPTION Room: Stafr 3 204.09 SF Walls 225.63 SF Walls & Ceiling 6.56 SY Flooring 14.92 LF Ceil. Perimeter 1- 3'll" X 8'0" Batt insulation - 6" - R21 RBcR Visqueen vapor bairier 5/8" drywall - hung, taped, with smooth wall finish SeaUprime the wa11s and ceiling - one coat CHRISTENSON-CON Opens into Hatl Main QNTY 102.04 SF 102.04 SF 102.04 SF 225.63 SF REMOVE 0.00 0.07 0.00 0.00 Ceiling Height: 17' 21.54 SF Ceiling 59.05 SF Floor 21.10 LF Floor Perimeter Goes to Floor/Ceiling REPLACE 1.08 0.32 2.44 TOTAL 110.20 39.79 248.98 038 85.74 12/28/2007 Page: I1 Restoration Contractors, Inc. dba Clean Response � ' 480 N. Prior Ave. 681-646-s408 ST. Paul, MN. 55104 Phone: 651-646-3408 Fax:651-917-2506 CONTINUED - Stair 3 DESCRIPTION QNTY REMOVE REPLACE TOTAL Floor protection - self-adhesive plastic film 59.05 SF 0.00 0.49 28.93 Room Totals: Stair 3 S 13.64 �� -���: To i°�i'3° m N �,;o.. '• ' p±3'2� 1 1 �9' 6° -� Miseing Wall: Room: Entry way 160.02 SF Walls 190.95 SF Walls & Ceiling 3.44 5Y Flooring 20.00 LF Ceil. Perimeter 1- 4'0" X 8'0" Opens into Stair 2 Ceilfng Height: 8' 30.93 SF Ceiling 30.93 SF Floor 20.00 LF Floor Perimeter Goes to Floor/Ceiling DESCRIPTION QNTY REMOVE REPLACE TOTAL Batt insulation - 6" - R21 16.00 SF O.QO 1.08 17.28 R&R Visqueen vapor barrier 16.00 SF 0.07 0.32 6.24 Drywall patch, ready for paint 1.00 EA 0.00 54.85 54.85 Drywall replacement �r LF - up to 2' tall 8.00 LF 0.00 7.18 57.44 SeaUprime the walls and ceiling - one coat 190.95 SF 0.00 0.38 72.56 Floor protection - self-adhesive plastic film 30.93 5F 0.00 0.49 15.16 Room Totals: Entry way 223.53 Area Items Total: Main Level 6,917.92 2nd Floor CHRISTEN50N-CON 12/28/2007 Page: 12 0 Restoration Contractors, Inc. dba Clean Response 480 N. Prior Ave. 681-646-3408 ST. Paul, MN. 55104 Phone: 651-646-3408 Fax:651-917-2506 � �r e� �� 1 0 1 Room: Bed 2 Ceiling Height: 8' 392.01 SF Walls 130.23 SF Ceiling 522.24 SF Walls & Ceiling 130.23 SF Floor 14.47 SY Flooring 49.00 �,F Floor Perimeter 49.00 LF Ceil. Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL Drywall patch, ready for paint 1.00 EA 0.00 54.85 54.85 SeaUprime the walls - one coat 392.01 SF 0.00 0.38 148.96 Floor protection - self-adhesive plastic film 130.23 SF 0.00 0.49 63.81 Room Totals: Bed 2 267.62 T O ►��3° m T � �, 1 �' e 3° �' 1 - e'�°-� Room: Landing 2nd Missing Wall: 1- 4'0" X 8'0" DESCRIPTION 160.03 SF Walls 190.96 SF Walls & Ceiling 3.44 SY Flooring 20.00 LF Ceil. Perimeter Opens into 5tair 4 QNTY REMOVE Ceiling Height: 8' 30.93 SF Ceiling 30.93 SF Floor 20.00 LF Floor Perimeter Goes to Floor/Ceiling REPLACE TOTAL Batt insulation - 6" - R21 40.01 SF 0.00 1.08 43.21 R&R Visqueen va�r barrier 40.01 SF 0.07 0.32 15.60 5/8" drywall - hung, ta.ped, with smooth 40.01 SF 0.00 2.44 97.62 wall finish SeaUprime the walls and ceiling - one coat 190.96 SF 0.00 0.38 72.56 Floor protection - self-adhesive plastic film 30.93 SF 0.00 0.49 15.16 Room Totals: Landing 2nd 244.15 CHRISTEN50N-CON 12/28/2007 Page: 13 _� c�-��;\ ,\�p�PON�; Restoration Contractors, Inc. dba Clean Response 480 N. Prior Ave. ST. Paul, MN. 55104 Phone: 651-646-3408 Fax:651-917-2506 �� ,I � � �� �� � 1 � 71°.�•q �° �Q� Room: MSTR CL Ceil�ing Hefght: 8' 240.59 SF Walls 47.51 SF Ceiling 288.10 SF Walls & Ceiling 47.51 SF Floor 5.28 SY Flooring 30.07 LF Floor Perimeter 30.07 LF Ceil. Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL Drywall patch, ready for paint 1.00 EA 0.00 54.85 54.85 SeaUprime the wa11s - one coat 240.59 SF 0.00 0.38 91.42 Floor protection - self-adhesive plastic film 47.51 SF 0.00 0.49 23.28 Room Totals: MSTR CL 169.55 Area Items Total: 2nd Floor 68132 Room: Plnmbing _L �� �%' � �� �� DESCRIPTION QNTY REMOVE REPLACE TOTAL PLUMBING -(Bid by Seitz Bros Plumbing) 1.00 EA open item Repair multiple frozen/broken pipes. Detach water heater, water softener, toilet, and pedestal sink to make repairs on structure. Repair plumbing to water heater and water softener. Room Tota.ls: Plumbing 0.00 CHRI5TENSON-CON 12/28/2007 Page: 14 � C•j,�-�� ' �\SPO � `x Restoration Contractors, Inc. dba Clean Response 480 N. Prior Ave. ST. Paul, MN. 55104 Phone: 651-646-3408 Fax:651-917-2506 Room: ELECTRICAL ; i. �� - �:: � flam1lmgh IIamV/1!h DESCRII'TION QNTY REMOVE REPLACE TOTAL ELECTRICAL -(Bid by Southside Electric) 1.00 EA open item Check circuits for water damage, remove water damaged light fixtures, and setup tempoiary lighting. Room Totals: ELECTRICAL �� � . :- ���� DESCRIPTION 0.00 Room: Heat, Vent, & Cool QNTY REMOVE REPLACE TOTAL HEAT, VENT & AIR CONDITIOMNG - 1.00 EA ogen item (Bid by Air Mechanical) Replace water da.maged flexible ducts and clean remaining duct-work. Also, replace circuit boazd on furnace. Room Totals: Heat, Vent, & Cool Room: Egterior/General �� % �� �� 0.00 CHRISTENSON-CON 12/28/2007 Page: 15 . ,� Restoration Contractors, Inc. dba Clean Response 480 N. Prior Ave. 6a1-646-3408 ST. Paul, MN. 55104 Phone:651-646-3408 Fax:651-917-2506 DESCRIPTION QNTY REMOVE REPLACE TOTAL Siding Repairs -(Siding has visual waxer 1.00 EA open item damage) Room Totals: Exterior/General 0.00 Room: General i ,��;„ . � . : �� � � DESCRIPTION QNTY REMOVE REPLACE TOTAL Dumpster load - Approx. 40 yazds, 7-8 tons 1.00 EA 521.04 0.00 521.04 of debris Cleaning Technician - per hour (post- 16.00 HR 0.00 28.31 452.96 construction cleaning) Taxes, insurance, permits & fees (City of 1.00 EA open item Fridley Building Permit) Room Totals: General 974.00 Line Item Totals: CHRISTENSON-CON 19,240.22 Grand Total Areas: 6,64237 SF Walls 2,303.04 SF Floor 0.00 SF Long Wall 2,303.04 Floor Area 2,958.51 Exterior Wa11 Area 0.00 Surface Area 0.00 Total Ridge Length 2,146.95 SF Ceiling 255.89 SY Flooring 0.00 SF Short Wall 2,341.67 Tota1 Area 34928 Exterior Perimeter of w� 0.00 Number of Squares 0.00 Tota1 Hip Length 8,789.33 SF Walls and Ceiling 812.70 LF Floor Perirneter 815.22 LF Ceil. Perimeter 7,017.80 Interior �Vall Area 0.00 Total Perimeter Length CHRISTENSON-CON 12/28/2007 Page: 16 . , e Restoration Contractors, Inc. dba Clean Response 480 N. Prior Ave. 661-646-3408 ST. Paul, MN. 55104 Phone:651-646-3408 F�: 651-917-2506 Line Item Total Matl Sales Tax Reimb Subtotal Overhead Profit Replacement Cost Value Net Claim Summary for Water Damage @ 6.500% x @ 10.0% x @ 10.0% x ANDREW BANAS 19,240.22 4,222.04 274.43 19,514.65 19,514.65 1,951.47 19,514.65 1,951.47 23,417.59 23,417.59 CHRISTENSON-CON 12/28/2007 Page: 17 � Building �/j�i Ci�NjCAj., Pemut No.: OD�'- D� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 �Ty OF FRIDLEY D���'�:AI� ' 200 DATE �� - � YqO!UR E-MAII. ADDRESS SITE ADDRESS l.Q� � � (�j „Q/�/i.�b�1 W�-�_ THIS APPLICANT IS: O OWNIIi �CONTRACTQR PROPERTY x,� OWNER/ annxFSS: crrx sTa� z� TENANT �o�: CONTRACTOR co�axx Nn[v�: SUBMIT A COPY OF corrracT r�xsoN: 16411 Aberdeert Str�t RIE YOUR STATE STATE LICENTSE # Nam Lake, M� LiCENSE WITH Ap��s: CTTy STATE ZIP APPLICATION �O�-1 � 3���_ 7 7 y-� FAX pERNIIT TYpE �SIN6LE FAMII.Y O T�VO FAA�tII,Y O iOWNEiOUSE TYPE OF WORK: ❑ �w � �,ac�vT �n[.�r�anTTON�onEr, DETAILED DESCRIPTION OF WORK C.�(;Q (�,� I�,( �#- � V 2Z-S ir PER MS 16B.665 the permit fee is a mmimum of $15.I10 or 5% of �e Mtal c�oat ap to 5500.00, whichever is greater, for the improvement, installation or replacement of a residential Sxtuie, excludin� the fixUu�es. (This should refl�t onty the cost of labor ) Labor cost under $3Q0 =$15.00. Labor cost betweea $3Q0 to $SQO = cost of labor x.OS = FOR PR0IECTS WHIIiE LABOR EXCFEDS $300, FEF.S ARE BASID ON $10.00 PER FIXTURE, EXCEPT WHEIiE NOTF�. FD�'1�JRFS: (INDICATE TOTAL NUMBER OF EACH BII.OV1� Eqaipment I�talled MFG: MODII.: STZFlBTU MFG: MODII,: SIZFJBTIJ MFG: MODII,- SIZFJBTU _A/C $Z5.00 FIRF.PLACE (GAS) $15.00 GAS RANGF/OVEN $10.00 AIR TO AIR EXCIiANGF� $l5 FIItF�LACE (WOOD) $35.00 NEW GAS GRII.L $lO.OD _BOI[.IIi $35.00 _FURNACE $35.00 GAS [JNIT HTR $10.00 CHIlVIl�Y LIlVIIL $10.00 _GAS DRYER $10.00 POOL IiEA1'II2 $35.011 DUCT WORK $10.00 (iAS PIPING $10.00 VENTII.ATOR $15.00 PERMIT F� PROJECTS F�R UNDFR $SOtI PERMIT FEE FOR �'ROJECTS OVER $500 Permit Fee $ Number of fixdues @$10.Q0 x$10.00 =$ Surcharge S _50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ ATumber of fixtures @$25.00 x$25.(� _$ Number of fixtures @ $35.� x $35.00 = $ State S�ucharge = $ .50 Tota1= $ 5, THIS LS AN APPLICATION FOR A PEItMIT NOT VALID UNTII. PROCFSSID I herehy apply for a buildin� permit and 1 aclmowledge Yhat the infarmation simve is cnmplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the IvI'wnesota Construction Codes; that I understand this is not a permit but only an application for a p�ermit a� work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wluch requIIes ieview and approval of plans. SIGNATURE OF APPLICANT _ y J^�Y `1 /� c(; l� PRINT NAME Ti`� a I1 /� ���ATE /'`� -V 1f PLEASE NOTE: SEPARATE PERl��f S ARE RE UII2ED FOR BUtLDING, ELECTRICAL AND MEGHANICAL WORK l;ity of l+'ridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �� �3����� � � Building MCCHAIVICAL Permit No � - Inspections RESIDENTIAL APPLICATION Received By: 763-s�2-3604 CITY OF FRIDLEY ��� 11 763-502-4977 FAX �c.l.� 1-1-0s DATE ' � � YOUR E-MAIL ADDRESS SITE ADDRESS Y� I�j 1 V�. THIS APPLICANT IS: ❑ OWNIIi �JCONTRACfOR PROPERTY NpME: ' l� 5 �W�� ADDRESS: CTPY STATE ZII' TENANT m�or�: CONTRACTOR co�nivsr rrat�: 1 � G NOTE: L��� � c A� �# � 03 0 5 ,,r EXP DATE REQUIIiED FOR GAS r� n n �–�-(�{` � �,: LP STA'T�/�1 ZIP�� ANDHVAC. ADDRESS:� ��'1 �( tT�P_VI Li� �� I�.`� CTfY SUBNIIT COPY OF BOND PHO� ���-- C�L3l.� '°7'� l-�, F�{ ANI�IlVSi►jtAN��__ _ PERNIIT TYPE �SIN(3LLE FAMII,Y ❑ TWO FAMII,Y 0 TOWNHOUSE TYPE OF W ORK• ��w �xxEri.�c�rrr ❑ fu,�TTO�MOn�, � DETAILED DESCRIPTION OF WORK � G� C� �'' - i. PER MS 16B.665 the permit fee is a minimum of $13.00 or 5% of �e total cost np to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fit�tture, excluding the fixtures. (This should reflect only the cost of labor ) UR Labor cost under $300 =$15.00. Labor cost between $300 to 5500 = cost of labor x.OS = FOR PROJECT5 WfiERE LABOR EXCEED3 $SQO, FEES ARE BASED ON $10.00 PER FIX'I'URE, EXCEPT WHERE NOTID. FIXTUR�S: (INDICATE TOTAL rr�m oF �c� s�,ow> MODEL: �(D(4�rU�'� 1.20 `� C7 s1zES�rv � G"U� Equipmant lnstalled MFCr. � �' ilLi� MFG: MQDEL• SIZF/BTU MFG: MODII.: SIZE/BTU A/C $Z4.00 FIRF1"LACE (GAS) $15.00 _GAS RANGF/OYEN $10.00 AIR TO AIlt EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS QRILL $10.00 BOILER $35.00 —�CFURNACE $35.00 (iA3 UNTI' iITR $10.00 CHIl�INEY LINER $10.W GAS DRYER $10.00 POOL HEA1'ER $35.00 DUCT WORK $10.0(1 GAS PIPING $10.00 VENTILATOR $15.00 PEI�.MI'C FEE �'RD.rECT� FQR tJR�DFR $S�0 PERMIT F.EE FOR PROJECTS OVER $500 Permit Fee $ Number of fixhues @$10.00 x$10.00 =$ Surcharge S . SQ Number of fixtures @$15.00 x$15.00 =$ TOTAL DiJE $ OR Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 NIINIMUM $1550 ' NIINIMUM 515.50 Tota1= $� 5.�� THIS IS AN APPLICATION FOR A PERNDT NOT VALID UNIII, PROCESSID I heieby apply For e machanioal pa�mit aad I aoknowledge Wat U►e infoimation above is oomplete and aoou�ate; that the work will ba in aonformanae with fl►e ordinances and oodes of tha City of Fridley end with tha N7innesota Coaettuation Cade�; that I nnderstand this ie not a pernut but only an applioation for a parmit snd work is not to start without a peiwih that tha wotk will ba in acoordanae with fha ed plan in fhe oase of all work w6iaL requires review and apprwal of plana. SIGNAT PLICANT 6/�f W `�`' — 1 W"— ��Gvv"" 'PRIN'P NAME ���i(,� �,Q �,�I���bAT��� � � APPROVED B ` DA�I I PLEASE�NOTE S ARAT'E I'ERMTl'S A�tE RE L7IRED �OR BUII,DING, ELECTRICAL AND MECHAMCAL WORK Cit� of Fridley Bnildimg Inspectfons Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX:763-502-4977