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- 42349Building Inspections 763-572-3604 DATE �/ •�_! � SI1'E ADDRESS / Ti TFIIS APPLIC.ANT IS: PROPERTY OWNER/ �I'EI�TANT CONTRACTOR SUBMIT A COPY OF YUUR STATE LICENSE VJTTH APPLICATION PERNIIT TYPE xa.t�: PLUMBING Pemut N R�.+ SIl)ENTIAL �.PPLICATIOleT Received By: l. ^ CITY OF FR�LE� Date Rec'd: �---(3—�-' YOUR E-MAIL ADDRESS /�" x �S Z' Ti' �D �Gv ■ • J►1�1' ADDRESS: �TY PHONE: STATE LdCENSE # 0 5 f�I ADDRESS: � • � � PHONE SZ� D �SINGLE FAMILY ❑ TWO FANIILY TYPE OF WORK: � � �w ATE ZIP E35� DATE L i� CITY NJl�i�L� STAT�'K�ZIP 7�3 Fa.x �52—�90 !v 9 �REPLACEtvIENT ❑ TOWNHOUSE DETAILED DESCRIPTION OF WORK !� /l� /« �D�% �o ^l � �� 2 t�S %� �i/_/ l�.��i /-- �i i �la�' PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost np to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixtvre, excludi.ng the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $SOQ = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS 5500, FEES ARE BASID ON $10.00 �PER FIXTURE, EXCEPT Wi�RE NOTED. FlXTURES: (II�IIDICATE TOTAL N�3�'�ER OF EACH BELOV� F BATH SINKlLAV FLOOR DRA.INS I SHOWER _ WATER PIPWG � BATHTUB GA5 PIPING �m cm'ucEn's�1 - SWII�A�IlNG POOL _ WATER SOFTNER ($3� CLOTE�S VJASHER KTfCHEN SINK � WATER CLOSET _BACKFLOW PREV. ($15) � DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATTON _ WATER MECER _ OTf�R Permit Fee TOTAL $ .50 $ Number of fixtures @ $10.00 Number of fixt�res @ $15.00 Number of fixivres @ $35.00 TFIIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED 7 x$10.00=$ x $15.00 = $ x$35.00=$ State Surcharge = $ .SO Tota1= $ �b � �� 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNANRE OF APPLICANT e// �/��'�/LGt�^�+ P1uNT NAME �� ^ 6�� % DATE ��j D City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ��V'�V � 1 �(� os �� Building Inspections 763-572-36U� 763-502-4977 TA� .- ,/ /,3 � o c llA7'L' 1�� s��•i: au�RESS _. � THIS ANNLICAN'I' iti: MECHANICAL remut RESIDET�I'TIAL APPLICATION �'e�ei`' CITY UF FRIDLEY "�t� � �1'I�Ci'TIVB .•19-09 � %� v�uK t-c�,ut :��ntt�s F/� iC _.� �.� �y�; tif�.�'� �ar�� c•- . .��% . • . ._.. . _ _ .._ ❑ GWAIER �CON1'RAC"i'u[t _ _ _ PRUPLRTY NAML•'•: .._. . . _ . • - -• • •— OWNER/ a�I�tt��S:,, ��'� ... TENAIVT ' � � � PHc�NL-':_ , , . _ . CU1V'1'RACTUIt st��wrT n c:oPY c�r Y[)Ult $TA7'E U�'ENSE W1'►'I•1 API'I.ICA'TION _ rFKMiT TYe.� i:unn[�aNYnt�n��:��'!�r� f�lC.'`s�ani./C2! L,� C�NTA4T PFh.Si�N: �� /j'��'!, ._ . _ . STATF LIL'LNSC•p / L•XPD.4'I'I:,, _,,, .. AUU1tESS; Is��rl � L'D"!G��--- CITY_. . Iit � �I-IUNE��•.� ��0 4��1L Pax..�,.�,�C� �SWGI.P. NaMILY ❑'1'WO FAMU,Y D 7'i�WNHOUSE TYPE OF WORK' I� NEW ❑ 1t[1'LACE:I��N'f 1�FTAILED DFSC'ltiPTION Uh t'VORK — � 7�--�'�� U..'fER ATI[)N!lZI:Mf)DRI , �5�� dksC� _�'�!� -��'� o � .3 %� By: ,a�� .. "1°ATE y1N.. o tiS � � TATp��7/�!LIP �� ' �g.y wRE 8.+19EQ t�N $10.00 PE;R N'iXTURE. EX[:1!'P'1' VYIIiRF, Ni1'I'�D. FIXTURL'S: (�►D1t.:�'�'E TOTAI.. NIIMBTR O� '[:H IiEL.OW1 Cyuipmant 4u+calleil MFU: ,_ _ M��FI.: ,� _ SIZFJB 1'U, ,. A/C $:j.lJu �AlltTll AIR Fxi:NANGEBR �15 AnILL•R $35.UU _C:HIMNEY I.INFR$lO.UU _DUGT Wt.)!tK S10,OU ti4FG: „^ MOI�EI_: _ MrG: M�UEL; _ , . . i 9ttEPLACE IL+ni) $Ii.00 ��12ENI.AL'C (WOOn) �:i5.U0 �FUk'NAC[ $35.UU T�f;f�a3'DRYFIi $10.00 � iA5 @iPIN[i $l0.00 � �iAS RANGE/0 13N $ I O.UO NEW GAfi CRIL $1(l.uu �. -- • oS t _ �ODL H�A'I IzR 3S.OU /'.�S .,\/�� VENTII.A'1't:1R $ S.OU �y %` THIS IS AN 4HPLtC:ATION F'uR A P�6CMIT-NOT VALIU lIN'I'IL PR4►c:LS5Bu 1 hereby apply for a building permit and 1 acknvwledg� tliat the iut�ormation abuve is a�tn�lete and accur�ti cunfonnahce with thc: oidinances and c�des ofthe City'of Fridley ar►d wieh tl�e Minnesuta Canstructiun Ct�ili n��t a permit hut ouly �n application for a pennic �u►d wark i� not tn stort wit6out � permit, tt►Kt the worlc wil� approvzd rlan in tFie �a.4c of �II worlc whicb rcquires revic:w and rappt•oval of plans. / D S1CiWATUkC OF APPUCr1NT _, ��`�G /�'/i'!,�'T ,^_PR1Nl' NAMF._, , y' City of Fridley Building Inspertions Departm�nt 6431 Universiiy Avenue NC, Fridley, MN 55432 763-572-36Q4 FAX:763-SU2-4977 that th� work wiil b� in that i undi:rstand this is � in accordoncu �vitb the .�.,: ��-� ��_ Id Wd�Z :� 6��z £ T • 1dti LBZ1 TLS�9L :'ON Xti� J�.��Q I cl� �0 �l I �: WOcI.� l� � � Build ng In�ections 763-572-3604 763-502-4977 FAX DATE %f ' ( 7'—C STTE ADDRESS ,� 1'HIS APPLICANT IS: PROPERTY OWNER/ TENANT SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE BUILDING RESIDENTIAL APPLICATION ❑ OWNER Pernut No. �,: Received By: CITY EOFIFRIDLEY�;�,�j r I Date Rec'd: E-MAIL ADDRESS CITY :ATE"v�7 rZIP � NAME: •.��. L�'" b STATE LICENSE # EXP D TE ADDRESS: �� fC'� ��"e �' ��` > CITX STAT`��"�'j2IP � PHONE �(��j —��% V I O� FAX G' � S►NGLE FAMILY/NEW CONSTRUCTION �TWO FAM[LYMEW CONSTRUCTION PERMIT TYPE ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK TYPE OF WORK: ❑ NEW HOME CONSTRUCI'ION DESCRIBE WORK BEING SIZE OF IMPROVEMENT_ ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Virryl ❑ Aluminum ❑ Other WINDOWS IN EXISTIIVG OPENINGS DYes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPEAIING CHANGES & TYPE OF WINDOW TO BE INSTALLED O GARAGE/SHED ❑ ROOF ❑ SIDING ❑ SWIMMING P« S1ZE STORIES ❑ ADDITION ❑ REMODELING ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑ DRAIN TILE ❑ OTHER HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, OSoffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim i. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �,LTSI�G THE 199'i U.B.0 FEE SCHEDULE) fOTAL JOB VALUATION $� S �� OCCUPANCY TYPE Permit Fee Plan Review Fire Swcharge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due � �r $ $ 15 $ $ n D a . See Back Page for Fee Schedule 65% of Buildi�g Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City 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 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 a proved plan in the case of 1 w ic equires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME �� % �'uG�� DATE !�` 1 1O �ta��3--�� r� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building O�cial sha11, 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: 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 , F :� � r� IFISPECTION REPORT CITY O��FRIDLEY MINNESOTA (`463) 572-3604 OWNER BUILDER If no correctians are listed above, approval hereby given to proceed. You will be in violation of the ordinance if you do not call for the proper inspections and make corrections as called for. � � : License lookup �. ��. � , �� Construction Codes � Building Codes � ElecMcity � Plumbing � Boilers/HPP � Residentiai Contractors License/Certificate Detail Here are the details for the license/certificate you are currently looking for: Page 1 of 1 searchfor 0 Llcense name: � GIERTSEN COMPANY OF MINNESOTA INC License doing business as: License address: 8385 10TH AVE N City state zlp: GOLDEN VALLEY, MN 55427 License number: 1796 License type: RESIDEIVTIAL BUILDING CONTR Company structure: CORPORATION LiCense status: PENDING License orlginal issue date: 1/21/1992 License explration date: 3/31/2009 License print date: 3/28/2008 Qualifying person: RICHARD I. GIERTSEN Continuing educatlon hours required to renew license: 7 Contractor's phone number: 763-5461300 Enforcement action: No Another �.00kup? https://secure.doli. state.mn.us/licensing/licensing.aspx 4/15/2009 � Giertsen Company Restoration Specialists 5ince 1918 Insured: Property: Estimator: Business: Contractor: Company: Business: Claim Nnmber: Date of Loss: Date Inspected: MICI�LLE CAMERON 7847 FIItWOOD WAY FRIDLEY, NIN GREG NEWTSON 8383 lOTH AVE NO GOLDEN VALLEY 55422 GIERTSEN COMPANY 8385 10 TH AVE NO GOLDEN VALLEY, MN 55427 Policy Nnmber: Cellular: (763) 267-1597 Business: (763) 572-5705 Business: (763) 546-1300 Business: (763) 546-1300 Type of Loss: Date Received: Date Entered: 4/12/2009 8:16 PM Price List: MNMNSB_APR09 Restoration/Service/Remodel Estimate: CAMERON MIC LLE � � � �V� � � � _ ��c , � �� , b ii �G� - _ �� - — _ _ S � �� C�� . � I � �S �IIJ�S I V��B�� '��,. �� `i ls�� C�p�fl.� G'�� rW�� _ �° ��'.�'�"�, � U W'1 t�' ` � � , � � c�� ll h�z zr� �� ' �� I �� c `� �nS . � � � v �-`� � � iN S ��N—� 0 � l �� t � - �� S�- '� � _ � �� 5 � � � �� e �� .� � � � � S (� _ � k� � � �j' �l� �� c� u% � �l �`r �� l� ( —�- � �-.� e �� _ �� -- —�� e � �—� C�� -� �=�1,� =� � �� v�. � Ns `� � « , Giertsen Company Restoration Specialists Since 1918 af 2� s° � ENTRY �o..._ T � m � m 7° 4° Missing Wall: 1- 2'6" X 6'8" � __.�J , �oo - -. 0 m 1 I- z''�' -I CAMERON MICHELLE Main Level 88.67 SF Walls 99.46 5F Walls & Ceiling 1.20 SY Flooring 13.17 LF Ceil. Perimeter Snbroom 1: CL Opens into KITCHEN 85.33 SF Walls 91.75 SF Walls & Ceiling 0.71 SY Flooring 10.67 LF Ceil. Perimeter DESCRIPTION 1. Seal stud wall for odor control 2. R&R Batt insulation - 4" - R13 3. R&R Visqueen vapor barrier 4. R&R Underlayment - 1/2" BC plywood 5. R&R Baseboard - 2 1/4" hardwood 6. R&R Door opening (jamb & casing) - up to 32"wide - hardwood 7. R&R Casing - 2 1/4" hatdwood 8. R&R Interior door - oak veneer - pre-hung unit 9. Door knob - interior 10. R&R Shelving - wire (vinyl coated) 11. R&R 1/2" drywall - hung, taped, floated, ready for paint 12. Acoustic ceiling (popcom) texture 13. Clean the ceiling 14. SeaUcoat the ceiling - one coat (anti-microbial coating) cai.c w wia W/2 F PF 1 17 1 1 12 W C C C Ceiling Height: 8' 10.79 SF Ceiling 10.79 SF Floor 10.67 LF Floor Perimeter Goes to Floor Ceiling Height: S' 6.42 SF Ceiling 6.42 SF Floor 10.67 LF Floor Perimeter QNTY 174.00 SF 87.00 SF 87.00 SF 17.21 SF 21.33 LF 1.00 EA 17.00 LF 1.00 EA 1.00 EA 12.00 LF 174.00 SF 17.21 SF 17.21 SF 17.21 SF CAMERON MICHELLE 4/14/2009 Page: 2 e , Giertsen Company Restoration Specialists Since 1918 CONTINUED - ENTRY DESCRIPTION 15. Seal then paint the walls (2 coats) 16. Stain & finish door/window trim & jamb (per side) 17. Stain & finish baseboard 18. Stain & finish door slab only (per side) 19. Remove 110 volt copper wiring run and box - rough in only 20. 110 volt copper wiring run and box - rough in only 21. Remove Light fixture 22. Light fixture 23. R&R Outlet 24. R&R Switch 25. R&R Heat/AC register 26. R&R Vinyl tile 27. R&R Underlayment - 1/4" 5 ply NOTES: �'_� � � ' � � r L�' _ �IIl�t�N! ��■_..��.�. � L� 7} .�T�`r� Missing Wall: 1- 2'9" X S'0" Missing Wall: 1- 2'6" X 6'8" 388.00 SF Walls 551.51 SF Walls & Ceiling 18.17 SY Flooring 50.58 LF Ceil. Perimeter Opens into HALL Opens into ENTRY C� �Cy w 3 PF 2 1 1 1 1 1 2 1 F F Q� 174.00 SF 3.00 EA 21.33 LF 2.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 2.00 EA 1.00 EA 17.21 SF 17.21 SF Ceiling Height: 8' 163.51 SF Ceiling 163.51 SF Floor 48.08 LF Floor Perimeter Goes to Floor/Ceiling Goes to Floor CAMEROIV MICHELLE 4/14/2009 Page: 3 � M Giertsen Company Restoration Specialists Since 1918 DESCRIPTION 28. Seal stud wall for odor control 29. R&R Batt insulation - 4" - R13 30. R&R Visqueen vapor bazrier 31. R&R Underlayment - 1/2" BC plywood 33. R&R Casing - 2 1/4" hardwood 3 wd 34. R&R Cabinetry - upper (wall) units 35. R&R Cabinetry - lower (base) units 36. R&R Cabinetry - full height unit 37. R&R Countertop - Flat laid plastic laminate 38. R&R 4" backsplash for flat laid countertop 39. Paneling 40. R&R Casing - 2 1/4" hardwood 41. R&R 1/2" drywall - hung, taped, floated, ready for paint 42. Acoustic ceiling (popcorn) texLure 43. Clean the ceiling 44. SeaUprime the ceiling - one coat (white pigmented shellac) 45. Seal then paint the walls (2 coats) 46. Stain & finish door/window trim & jamb (per side) 47. Stain & finish baseboard 48. Stain & finish door slab only (per side) 49. Remove I 10 volt copper wiring run and box - rough in only 50. 110 volt copper wiring run and box - rough in only 51. Remove Light fixture 52. Light iixture 53. R&R Outlet 54. R&R Switch 55. R&R Heat1AC register 56. Remove Tear out vinyl & underlayment 57. Vinyl floor covering (sheet goods) 15 % waste added for Vinyl floor covering (sheet goods). 58. Underlayment - 1/4" 5 ply 60. Remove Sink - double 61. Sink - double 62. Rough in plumbing - per fixture 63. Sink faucet - Kitchen 64. Remove 110 volt copper wiring run and box - rough in only 65. ] 10 volt copper wiring run and box - rough in only 66. Remove Fluorescent light fixture CALC w W/2 wi2 F 17*3 5+1,6+2+3 6+3.5+5 2.5 6+7.5+5 18.5 wi2-Zs 17 w C C C w 4 PF 2 3 3 2 2 6 5 1 F (F�* 1.15 F 1 1 1 1 5 3 1 Q� 388.00 SF 194.00 SF 194.00 SF 163.51 SF 51.00 LF I 1.50 LF 14.50 LF 2.50 LF 18.50 LF 18.50 LF 166.00 SF 17.00 LF 388.00 SF 163.51 SF 163.51 SF 163.51 SF 388.00 SF 4.00 EA 48.08 LF 2.00 EA 3.00 EA 3.00 EA 2.00 EA 2.00 EA 6.00 EA 5.00 EA 1.00 EA 163.51 SF 188.04 SF 163.51 SF 1.00 EA 1.00 EA 1.00 EA 1.00 EA 5.00 EA 3.00 EA 1.00 EA CAMERON MICHELLE 4/14/2009 Page: 4 e � Giertsen Company Restorarion Specialists Since 1918 CONTINUED - KITCHEN DESCRIPTION 67. Fluorescent light fixture 68. Remove 110 volt copper wiring run, box and switch 69. 110 volt copper wiring run, box and switch 70. Remove 110 volt copper wiring run, box and outlet 71. 110 volt copper wiring run, box and outlet 72. Remove Outlet - High grade 73. CONT: CLEAN ELECTRIC ITEMS 74. Remove 220 volt copper wiring run, box and receptacle 75. 220 volt copper wiring run, box and receptacle 77. Grround fault interrupter (GFn outlet 76. Remove Ground fault intemtpter (GFn outlet NOTE5: ,i�lE�i�k��±��l51�1 ■ „� �,,: � ,w .-: :-� DESCRIPTION 78. Clean the walls and ceiling 79. Clean window unit (per side) 10 - 20 SF 80. Clean door (per side) S 1. Clean door / window opening (per side) 82. Clean ceiling fan and light CAMERON MICI�LLE 48133 SF Walls 703.75 SF Walls & Ceiling 24.71 SY Flooring 60.17 LF Ceil. Perimeter CALC 1 3 3 6 6 2 Z 1 1 2 2 CALC WC 3 4 1 1 QNTI' 1.00 EA 3.00 EA 3.00 EA 6.00 EA 6.00 EA 2.00 EA 2.00 EA 1.00 EA 1.00 EA 2.00 EA 2.00 EA Ceiling Aeight: S' 222.42 SF Ceiling 222.42 SF Floor 60.17 LF Floor Perimeter QNTY 703.75 SF 3.00 EA 4.00 EA 1.00 EA 1.00 EA 4/14/2009 Page:S f� 0 Giertsen Company Restorarion Specialists Since 1918 CK�J�M�l��1 � �_�+��i DESCRIPTION 83. SeaUprime the walls and ceiling - one coat (white pigtnented shellac) 84. Paint the walls and ceiling - two coats 85. Clean floor NOT'ES: �` _ r:�:;�� J 01�33 i N 3 1°I Missing Wall: � -c � 1- 2'9"X8'0" 21533 SF Walls 250.06 SF Walls & Ceiling 3.86 SY Flooring 26.92 LF Ceil. Perimeter Opens into KITCHEN Snbroom 1: lin 7733 SF Walls 82.48 5F Walls & Ceiling 0.57 SY Flooring 9.67 LF Ceil. Perimeter CALC wc wc F QrrTi' 703.75 SF 703.75 SF 222.42 SF Ceiliing Height: 8' 34.73 SF Ceiling 34.73 SF Floor 26.92 LF Floor Petimeter Goes to Floor/Ceiling Ceiling Height: 8' 5.15 SF Ceiling 5.15 SF Floor 9.67 LF Floor Perimeter DESCRIPTION CALC QNTY 86. Clean the walls and ceiling WC 332.54 5F CAMERON MICHELLE 4/14/2009 Page: 6 a 0 Giertsen Company Restoration Specialists 5ince 1918 CONTINUED-HALL DESCRIPTION 87. Clean door (per side) 88. Clean door / window opening (per side) 89. Clean shelving - wood 90. SeaUprime the walls and ceiling - one coat (white pigmented shellac) 91. Paint the walls and ceiling - two coats 92. Clean floor NOTES: �8'3° -Q'27'11° � ° r» ° --� i e m 4 O ^ �p� � f0 �' 1� + m�,6. _�. ,6�� m ry 7'4° T�L�. 1� � BEDROOM 345.33 SF Walls 460.71 SF Walls & Ceiling 12.82 SY Flooring 43.17 LF Ceil. Perimeter Snbroom 1: CL 98.67 SF Walls 107.00 SF Wa11s & Ceiling 0.93 SY Flooring 12.33 LF Ceil. Perimeter DESCRIPTION 93. Clean the walls and ceiling 94. Clean window unit (per side) 10 - 20 SF CAMEROIV MICHELLE CALC 6 7 8 wc WC F c.�.c wc 2 QNTY 6.00 EA 7.00 EA 8.00 LF 332.54 SF 332.54 SF 39.88 5F Ceiliing Height: 8' 115.38 SF Ceiling 115.38 SF Floor 43.17 LF Floor Perimeter Ceiling Height: 8' 8.33 SF Ceiling 8.33 SF Floor 12.33 LF Floor Perimeter 4/14/2009 QNTY 567.71 SF 2.00 EA Page: 7 a 0 �� Giertsen Company Restoration Specialists Since 1918 CONTINUED - BEDROOM DESCRIPTION 95. Clean door (per side) 96. Clean door / window opening (per side) 97. SeaUprime the walls and ceiling - one coat (wlute pigmented shellac) 98. Paint the walls and ceiling - two coats 99. Clean floor NOTES: - . � �� -- ��_ :.. �....... ,,.,,.. b]rti�, .;:'C)�� :�� ; � � E�- �,. Sr .._ f�k■ DESCRII'TION Zio.6� sF w�is 254.00 SF Walls & Ceiling 4.81 SY Flooring 26.33 LF Ceil. Perimeter 217. R&R 1/2" drywall - hung, taped, floated, ready for paint 218. Seal stud wall for odor control Z 19. Detach & Reset Toilet - Detach & reset 100. Clean the ceiling 101. Clean door (per side) 102. Clean door / window opening (per side) 104. Clean medicine cabinet 105. Clean vanity - inside and out 106. Clean countertop 107. SeaUprime the wa11s and ceiling - one coat (white pigmented shellac) CAMEROAT MICHELLE CALC 2 2 wc wc F CALC W/2 wi2 1 C 5 5 1 4 8 wc Q� 2.00 EA 2.00 EA 567.71 SF 567.71 SF 123.71 SF Ceiling Height: 8' 43.33 SF Ceiling 4333 SF Floor 26.33 LF Floor Perimeter QNTY 10533 SF 105.33 SF 1.00 EA 43.33 SF 5.00 EA 5.00 EA 1.00 EA 4.00 LF 8.00 SF 254.00 SF 4/14/2009 Page:8 e � Giertsen Company Restorarion Specialists Since 1918 CONTINUED-BATH DESCRIPTION 108. Paint the walls and ceiling - two coats 109. Clean floor 110. Remove 110 volt copper wiring run and box - rough in only 111. 110 volt copper wiring run and box - rough in only 112. Remove Light fixture 113. Light fixture 114. Remove 110 volt copper wiring run, box and switch 127. Detach & Reset Sinlc - single 115. 110 volt copper wiring run, box and switch 116. Remove 110 volt copper wiring run, box and outlet 117. I 10 volt copper wiring run, box and outlet 119. Remove Fiberglass tub & shower combination 120. Fiberglass tub & shower combination 121. Rough in plumbing - per fixture 122. Remove Tub/shower faucet 123. Tub/shower faucet 125. Detach & Reset Toilet 128. Detach & Reset Sink faucet - Bathroom 220. Remove Tear out vinyl & underlayment 221. Vinyl floor covering (sheet goods) 15 % waste added for Vinyl floor covering (sheet goods). 222. Underlayment - 1/4" 5 ply NOTES: CALC WC F 1 1 1 1 2 1 2 2 2 1 1 1 1 1 1 1 F (F)*1.15 F QNTY 254.00 5F 43.33 SF 1.00 EA 1.00 EA 1.00 EA 1.00 EA 2.00 EA 1.00 EA 2.00 EA 2.00 EA 2.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 4333 SF 49.83 SF 43.33 SF CAMERON MICHELLE 4/14/2009 Page: 9 e � Giertsen Company Restoration Specialists Since 1918 �� ,�cji� " - ; �. - ��, � �. ��i " rrr��lll � b■e;_ �':: � _� �_�. ��_.,�" _�: ��! ■ � BEDROOM 2 352.00 SF Walls 472.03 SF Walls & Ceiling 1334 5Y Flooring 44.00 LF Ceil. Perimeter Sabroom 1: CL 100.42 SF Walls 109.67 SF Walls & Ceiling 1.03 SY Flooring 12.17 LF Ceil. Perimeter DESCRIPTION 129. Clean the walls and ceiling 130. Clean window unit (per side) 10 - 20 SF 131. Clean door (per side) 132. Clean door / window opening (per side) 133. SeaUprime the walls and ceiling - one coat (white pigmented shellac) 134. Paint the walls and ceiling - two coats 135. Clean floor NOTES: �t�nu � 6'�0°-� _ Stairl � i m E--10' 9° --{ � CAMEROIV MICHELLE 311.42 SF Walls 342.67 SF Walls & Ceiling 6.83 SY Flooring 23.83 LF Ceil. Perimeter c�.c wc 2 2 2 WC wc F Ceiling Height: 8' 120.03 SF Ceiling 120.03 SF Floor 44.00 LF Floor Perimeter Ceiling Height: 8' 9.25 SF Ceiling 9.25 SF Floor 12.17 LF Floor Perimeter QNT�' 581.69 5F Z.00 �, 2.00 EA 2.00 EA 581.69 SF 581.69 SF 129.28 SF Ceiling Height:l7' 31.25 SF Ceiling 61.47 SF Floor 30.53 LF Floor Perimeter 4/14/2009 Page:10 b e Giertsen Company Restoration Specialists 5ince 1918 DESCRIPTION 136. Clean the walls and ceiling 137. Clean door (per side) 138. Clean door / window opening (per side) 139. SeaUprime the walls and ceiling - one coat (white pigmented shellac) 140. Paint the walls and ceiling - two coats 141. Clean stair tread - per side - per LF 142. Clean stair riser - per side - per LF 143. Seal & paint stair tread - per side - per LF 144. Seal & paint stair riser - per side - per LF NOTES: , i�� bedroom l_ �. � l Missing Wall: 1- 3'0" X S'0" DESCRIPTION 145. Seal floor or ceiling joist system 146. Seal stud wall for odor control 147. RBcR Batt insulation - 10" - R30 148. R&R Batt insulation - 4" - R13 149. R&R Visqueen vapor barrier 150. R&R Batt insulation - 4" - Rl l ceiling 151. R&R Vinyl window - awning, 3-6 sf CAMERON MICHELLE lower level 498.67 SF Walls 723.90 SF Walls & Ceiling 25.03 SY Flooring 62.33 LF Ceil. Perimeter Opens into Stairl CALC wc 1 1 WC WC 14*3 14'"3 14'"3 14*3 CALC F W PF/2 wi2 wi2 C 2 QNTY 419.92 SF 1.00 EA 1.00 EA 419.92 SF 419.92 SF 42.00 LF 42.00 LF 42.00 LF 42.00 LF Ceititng Height: 8' 225.23 SF Ceiling 225.23 SF Floor 62.33 LF Floor Perimeter Goes to Floor/Ceiling 4/14/2009 Q1VTY 225.23 SF 498.67 SF 31.17 SF 249.33 SF 249.33 SF 225.23 SF 2.00 EA Page: 11 z 0 Giertsen Company Restoration Specialists Since 1918 CONTIIVUED - bedroom DESCRIPTION 152. Acoustic ceiling (popcorn) texture 153. R&R 1/2" drywall - hung, taped, floated, ready for paint 154. Seal then paint the walls (2 coats) 155. R&R Cove base molding - rubber or vinyl, 4" high 156. Clean floor 157. Seal concrete for odor control NOTES: ar�°--i T ,o�„� � � � � � W OD N 1 5'� "� T �5'9'_ ,i+` 1 r � 5' g' -I bath 3�a.6� sF w��s 494.85 5F Walls & Ceiling � 12.91 SY Flooring 4733 LF Ceil. Perimeter DESCRIPTION 158. Sandblasting - Extra heavy W&C 159. Clean floor or roof joist system 160. Clean the wa11s 161. Seal floor or ceiling joist system 162. 5ea1 stud wall for odor control BLOCK 163. R&R Batt insulation - 10" - R30 RIM 164. R&R Batt insulation - 4" - R13 165. R&R Visqueen vapor barrier 166. R&R Batt insulation - 4" - Rl l ceiling 167. R&R Joist - floor or ceiling - 2x10 - w/blocking CAMERON MICHELLE CALC C WC w PF F F CALC wc F W F/2 w PF/2 wi2 wia C 6*14 �� 225.23 SF 723.90 SF 498.67 SF 62.33 LF 225.23 SF 225.23 5F CeiUtng Height: 8' 116.19 SF Ceiling 116.19 SF Floor 47.33 LF Floor Perimeter QNTY 494.85 SF 116.19 5F 378.67 SF 58.09 SF 378.67 SF 23.67 SF 189.33 SF 189.33 SF 116.19 SF 84.00 LF 4/14/2009 Page:12 � , Giertsen Company Restoration Specialists Since 1918 CONTINUED - bath DESCRIPTION 168. R&R Underlayment - 3/4" BC plywood 169. R&R Stud wall - 2" x 4" x 8' - 16" oc 170. R&R Furring strip - 2" x 2" - applied to concrete FLOOR 171. R&R Underlayment - 1/2" BC plywood 172. R&R Interior door - oak veneer - pre-hung unit 173. Door knob - interior 174. Acousric ceiling (popcorn) texture 175. R&R 1/2" drywall - hung, taped, floated, ready for paint 176. Seal then paint the walls (2 coats) 177. R&R Cove base molding - rubber or vinyl, 4" high 178. Clean floor 179. Seal concrete for odor control 180. Remove 110 volt copper wiring run and box - rough in only 181. I 10 volt copper wiring run and box - rough in only 182. Remove Light fixture 183. Light fixture 184. Remove 110 volt copper wiring run, box and switch 185. 110 volt copper wiring run, box and switch 186. Remove 110 volt copper wiring run, box and outlet 187. 110 volt copper wiring run, box and outlet 188. Toilet seat 189. Remove Fiberglass tub & shower combination 190. Fiberglass tub & shower combination 191. Rough in plumbing - per fixture 192. Remove Tub/shower faucet 193. Tub/shower faucet 194. Remove Toilet 195. Toilet 196. Remove Sink - single 197. Sink - single 198. Sink faucet - Bathroom 199. Remove Exhaust fan 200. Ea�haust fan :� �:�7 F PC C F 1 1 C WC W PF F F 3 3 1 1 2 2 4 4 1 1 1 3 1 1 1 1 1 1 1 1 1 QNTY 116.19 SF 47.33 LF 116.19 SF 116.19 SF 1.00 EA 1.00 EA 116.19 SF 494.85 SF 378.67 SF 47.33 LF 116.19 SF 116.19 SF 3.00 EA 3.00 EA 1.00 EA 1.00 EA 2.00 EA 2.00 EA 4.00 EA 4.00 EA 1.00 EA 1.00 EA 1.00 EA 3.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA 1.00 EA CAMERON MICHELLE 4/14/2009 Page: 13 ti � Giertsen Company Restoration Specialists Since 1918 DESCRIPTION CONTINUED - bath 201. Remove Crround fault interrupter (GF� outlet 202. Ground fault interrupter (GFn outlet NOTES: r— , <�' iKUr�s.ti�t; i . ��a��;�� f��;� � UTII.ITY " m 684.67 SF Walls ^ l 1046.89 SF Walls & Ceiling 40.25 SY Flooring 85.17 LF Ceil. Perimeter DESCRIPTION 203. Sandblasting - E�ra heavy W&C 204. Clean floor or roof joist system 205. Clean the walls 206. Seal floor or ceiling joist system 207. Seal stud wall for odor control BLOCK 208. R&R Batt insulation - 10" - R30 RIM 209. Clean floor 210. Seal underlayment for odor control CONCRETE NOTES: CAMERON MICHELLE CALC 1 1 CALC WC F W F W PF/2 F F QNTY 1.00 EA 1.00 EA Ceiling Height: 8' 362.22 SF Ceiling 362.22 SF Floor 85.17 LF Floor Perimeter QNTY 1046.89 SF 362.22 SF 684.67 SF 362.22 5F 684.67 SF 42.58 SF 362.22 SF 362.22 SF 4/14/2009 Page:14 0 Giertsen Company Restoration Specialists Since 1918 Miscellaneons 1 �� , :: �wun �� DESCRIPTION 211. Dumpster load - Approx. 30 yazds, 5-7 tons of debris 212. General clean - up FINAL 213. ELECTRiCAL REPAIIt 214. PLiJMBING REPAIR 215. HEAT, VENT & AIR CONDITIOI�IING 216. Taxes, insurance, permits & fees (Bid item) NOTES: Grand Total Areas: 4,593.50 SF Walls 1,716.40 SF Floor 0.00 SF Long Wall 1,564.42 Floor Area 1,85733 Exterior Wall Area 0.00 Sutface Area 0.00 Total Ridge Length 1,581.48 SF Ceiling 190.71 SY Flooring 0.00 SF Short Wall 1,636.61 Total Area 232.17 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length CALC 1 8 1 1 1 1 6,174.98 SF VJalls and Ceiling 556.44 LF Floor Perimeter 550.83 LF Ceil. Perimeter 3,591.33 Interior Wall Area 0.00 Total Perimeter Length QNTY 1.00 EA 8.00 HR 1.00 EA 1.00 EA 1.00 EA 1.00 EA CAMERON MICHELLE 4/142009 Page: 15 > � � .E 8l � s sa � � �� a � 0 0 N � .�r � W a a � Up z� � � U .E �4l � ,. ` � d �bl � � 3 0 � � �� a° a .b 8Z .b.bZ � 0 0 N V .-� � W a � U �I � � U Building MECHANICAL � Inspections RESIDENTIAL APPLICATION 763-s�2-3604 CITY OF FRIDLEY 763-SOZ-49�I�% FAX EFFECTIVE 2-19-09 DATE ��/ � �D % YOUR E-MAIL ADDRESS SITEADDRESS �7/� Ll7 �'+�r,✓rJc�d Lc/ra ,r THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: � OWNER' Permit No.� Received By: � Date Rec'd �/!. ADDRESS: CITY STATE ZIP PHONE: COMPANY NAME: �r��y� � '�(J c�� n; r �. ( � v+ c� CONTACT PERSON: STATE LICENSE # EXP DATE ADDRESS: I 5�,�-( O S: � v P rr� cl S rJ- /U t�/ CITY ��n,� .� t/e r/ STATE�4 ZIP S/��! J�-I PHONE 7103 - yZ r- zy� F,�x ❑ SINGLE FAMILY �WO FAMILY ❑ NEW �.KEPLACEMENT DETAILED DESCRIPTION OF ❑ TOWNHOUSE ❑ ALTERAI'ION/REMODEL FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (iNDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZEBTU A/C $25.OU AIR TO AIR EXCHANGEER $I S BOILER $35.b0 �..�HIMNEY LINER $10.00 �DUCT WORK $10.Q0 MFG: MODEL: MFG: MODEL: _FIREPLACE (GAS) $15.00 FIREPLACE (WOOD) $35.00 FURNACE $35.00 _GAS DRYER $10.00 GAS PIPING $10.00 SIZEBTU SIZE/B71J GAS RANGE/OVEN $10.Q0 NEW GAS GRILL $10.00 _GAS UNIT HTR $10.00 POOL HEATER $35.00 i�VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PR�ESSED 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; that the work will be in accordance with the approved plan in the case of all y ork which requires review and approval of plans. � SIGNATURE OF APPLICANT ^� ,�� PRINTNAME �yu-c e u/� S DATE SI /B�v9 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, NIN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REOUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.