AF - 45582Caty of Fridley, Minn.
B�JILDING PERIVYIT
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N° '72'72
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Address Address
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LOCATI OF BUILDING
No. _������ Street � Part of � t
Lot • ,a� __ Block � �ddition or Sub-Divlsfon �°' �'� -��-`�� � -�-
Corner Lot _ Inside Lot Setback _�-- Sideyard ��
Sewer IIevation �� - � �' �on IIevation �".� � � �
%p�' O�
�° N�(�TS �oT
DESCRIPTION OF BUILDING � r�► L r��� �s �� i a/� �/��
T vsed �. GLe��• e�K��J 6�� v� ��,a fvs
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Front Depth ��� Height � �1• � � ' � � �1�
Frp � Depth � eight � Scl. F't. ���� Gti1. Ft _�G��
Zj►pe oP ctfon Fst �� .��To be Completed
In conaideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work ffi acc�ordance with the drzscription above aet forth and in c�mpliance with afl provlafons of
ordinances oP the dty of FrirIIey.
�� � �,��a--�
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In cona4deraiion of the payment of a fee oP $��� P�t is hereby granted to
to construct the buflding or addition as descrlbed above. 'This �ermit is granted nPon
the express condition that the to whom it fs granted and hia agents, employees and worl�en, in all work
done in, around and upon building, or anyp� thereof, shall cnnform in all reapects to the ordinaaces of
Fridley, Minneaota regardin location� construct�fon, alteration, maintenaace, re�ir and moving of bufldinga
within the dty limits aad �
permit may be revoked atan�ne upon violation of aay of the P��� of said
ordinancea. / � .� �1 .�
Bufidiag Inspector
NOTIC�
'Ihis pennt� d� eo� cewe t6s �edwcNee, le�on /er vrteine, plumbtee, ga 6utle�, mru or �rtlsr. B� wn 10 ms
rtls
f6a &tfldirtA leqmeoe Po� apuaf� � for the�s Muas.
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APPLICATION FOR BUILDING. P�..RYIT
CITY OF FRIDLEY, MINDTESOTA
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� � �.-� � �� ' _��li %✓ � � � _ — �
� � LOCATION OF BUILDING
Pio. � � � � Street �. �art of Lot
Lot Block Addition or Subdivision���f�.2.�..� /.oit��� o�
Corner Lot' Inside Lot Setback Side Yard
SEWER ELEVATION FOUNDATION ELEVATION �
Applicant attach to this foxm Two Certificates of Survey of Lot and proposed t►uitid-
ing location drawn on these Certificates.
To be used as:
DESCRIPTIOIV 8F BUILDING
Front ��i.th Height
Sq. Ft. Cu. Ft.
Front Bzpth Aeight �
Sq. Ft. Cu, Ft.
Type of Conseruction Esti�aCed Cost
To be Completed
The undersigned hereby makes application for a permit for .the work herein specified,
agreeing to do all work in strict accordance raith the City of Fridley Ordinances and
rulings of the Department of Buildinga, and hereby declares that all the facta aad
representationa atated ia this application are true and correct. -
DATE`� �/ � � SIGDTATURE . ;
�(Schedule of Fee Costs can be found on the Reverse Sidej.
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BUTLDING PE�T FEE S�DULE
Section 2. The Inspector of Buildinga sh�ll, before iesui�g anq per.mit for
the esect3oa of any building os struc.ture, or for auy add3tion to any e:�ist-
ia� bu3.lding or structure, or for any alterations or rep�irs to any exist•���
buildin� or s�ructure, upon application therefoY, require the pay�eat by the
applicant for such permit of feea to the amount he�eia below set fortY� and
ia the manaer herein provided to-wit:.
2.1. Fos any such permit for the erection o.f aYiy fire-proof buildin;, other
than'a garage� warehouae, factory or gra3a elevato�, or far the erection of
aaq fire-proof addltion, for similar occupancy, to any existing buildir.g
shall be �t the rate of $1.40 for each.one thoueand cubic feet, or fractic�a
thereof, in such cubical contenCs.
2.2. For any such permit for the erectioa of any fise�proof g�rage, warehause,..
f�ctory or graia elevator� or for the erectioa of any f�.re-proaf �dditio�,
for similar oecupancy, to any existing buildimg shall be aC the rate of $1.25
for each one thousand cubic feeC, clasa3,fied as 11f3reproof" by Section SC2 of
the MM�i..nneapolis Building Code.
HOUSES
2.3. For any auch permit for the erection oE any.aon-fireproof buiiclin� orl�es.
than a garage, warehouse, factory or grain elevetor,`'oY any noa=firegs�c�f.
additioa, for similar occupancy, to eay existiag buildiag - per�i,t $�..QO for
each one thousand cubic feet. •
GARAGES
2.4. For any such permir for Che ere�* do� �f �,_:� r..�n�fi �,?�zc-.,� �ar.a�e, V. 9
warehouse, factory or grain elevatos, C1L ^;f.:•�: 1.�1c3 �•":E�;:�:i�a� csr 2raq na��s?remoaf `
additioa, .�'or -s.imilar occupancy, to �=;,r ,��:�:i� .��:�., �:;; .;.�;.:rg or for each eLCh .
_. - bui].diag. �r additioa - niaety ce*.ay:� f;�.;:, �;9� ;�^� �;,.�;� ,��e ti&ousand cuL��?� feet
or fractioa thereof, ia the cu& �c���. .°:o� �c rr� ��:;,e� �c�.s with a minimum of $4.OU.-
For Che purpose of computiag fees f�,r _�L.:e ; sli�g perr.�i �s, the cubical contents
of any �uilding os additiaa to a un�fc�.� se�°_;;bzt tliraL�hout by multiplyin� the �
ground area covered from a point six c6) inch�s be].�w the floor liae o£�.i�ie
basemeat or cellar to the average height of t�a� c,��=rer eu�face or to the
average height of the roof surface of the main �;able of a pitched roof.
2.5. For repairs or alterations to an existiag structure, the fee ahall be
at the rate of $3.00 pes each Five flundred Dollars ($SOO.QO) or fraction
thereof in the cost of �11 progosed w�rk.
2.6. In no casa aha11 the fee..charged...for.aay permit.a,� set forth in
.Sectioa 2 be lesa. than $4.pp, �
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Lond Plonnin9 6$TS-H�fiwvcf ;CS NE.
lan�d Swweyii� - Minneo�ols 32,
.�;,STSt;n9 � � ENGII�IEERING, INC. "����°f°
Civi1 fr Municipal SUntet4-60�
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/ h�rn6r� �1�y lhai fhis is o frue uns mr�cf ieprese�otroon o�'o srawet� �'fla► dar►.�o� ies �i'�r aba,r a�6�d /ane, m�d
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�� r���``�� �"��� SUBURBAN ENG/NEERING, {NC.
En nerrs /fr' Surre�ors
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FORM 1
INITIAL COMPLAINT REPORT
TIME REC M TIME DISP
oEPT. Fridley PD
No. 43724
✓
M ONSCENE M CLEARED 1�19 M DATE 7-14�76
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RADIO XX IN PERSON BY PHONE M°�� -` '`
COMPLAINANT Mike McCulloch ' ADDR�ss � 7469 Ha es
LOCATION Fireside and Central 1VL: COTIZeT PHONE No. 786-7664 �
OFFICER ASSIGNED Trancheff I
TYPE I
COMPLAINT�JJ� I1�LK(J�i� of timnels that kids are �laving in
FINDINGS in one man sized hole with a ladder in it which led to several other
A"° o'S- tunnels. Copy to City Building Inspector and Steve Olson.
POSITION
TralL�heff jr '
REPORTED TO
ORIGINAL
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City of Fridley 3 2 9
AT THE TOP OF TME TWINS g � I L D i N G P E R M I T
�
; � PT NO.
� ; L _ _ COMMUNI7Y DEVELOPMENT DIV. ����
r � � PqOTECTIVE INSPECTION SEC.
� j �""� � CITY MALI FRIOLEV SS�32 NUMBfN nEV D�TE vAGE OF �nvqOVED Br
�'""� � ,�� 763-571-3450 910-Ft 5 7/ 25 / 02 � �
JOB ADDRESS 7469 Hayes Street NE
t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMED
oesca. 3 2 Gunderson Terrace s►+EET
2 PROPERTY OWNEp MAIL ADORESS ZIP PHONE
Mark Schutte 7469 Hayes Street NE 284-2218
3 CONTRACTOR MAIL ADORESS IIP PMONE LICENSE NO
Midwest Roofing 7385 Mark St, G�ceenfield, MN 55357 763-416-4804 20010277
a ARCHITECT OR DESIGNER MAIL AODRESS ZIP PNONE LICENSE NO.
5 ENGINEER MAIL AODFESS 21P PMONE IICENSE NO
8 USE OF BUILOING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION C� REPAIR O MOVE O FiEMOVE
8 OESCRIBE WORK
Reroof House & Garage (24 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS AqE REOUIRED FOR ELECTRICAL. PLUMBING, MEATING,
VENTILATING OR Alq CONOITIONING
TMIS PERMIT BECOMES NULL AND VOID IF WOiiK OR CONSTRUCTION 20NING SO. fT CU FT
AUTHOR12E0 IS NOT COMMENCED WITHIN 80 DAYS. OR If CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AF7ER WORK IS COMMENCED. NO OWIG. UNITS OfFSTpEET PARKING
I MEiiEBV CERTIFV TNAT I MAVE READ AND E%AMINEO THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING TNIS TYPE OF WOFK WILL BE COMPLIED @
WITH WHE7HER SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT W2,573 �I.L9
DOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOLATE OR CANCEL TME pEFMIT FEE SAC CMARGE
PROV�SIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- A83.2S Fire SC �Z.S7
STRUCTION OR THE PERFORMANCE OF CONSTNUCTION •P
PI.AN CHECK FEE TOTA� E
Licen $5.00 $9 .11
S�GNATUAE OF CON'AACTOp Op AUTMOpIZEO OGENT �D�iE� MEN ROP Y ALIOAT HIS IS VOUR PEpMIT
7-a-1'��
S�GN4TU�7EO�OWNEp���O�NNEpBU�LDEpi �DATE� B G �NSP ����f
4i �
NEw t l
AODN [J
�-T� Il
Cohstructian Address:
cmr oF �io��r Et�cw� �nnooz
6d31 Universily Ave NE, Fridley, MN 55432 (763) ST2�604 Bldg Ir�sp
SINGLE FAMlLY AND DUPI,EXES R-1 AND R 2
BUILDING PERMITAPPLICATION
��
Legal Description:
Owner Name � Address: �r�� -� Tel. # a-�`� - aal
Contractor. /�� �� � MN LICENSE # C� l G��'7
Address: �1��5 /i/��r6C �st o�,,n fi, S5� �� Tel.# ���-�-IIG. c-(�V�
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certficate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width - Height Sq. Ft
Length Width Height Sq. Ft
Length
��
v
Construction Type: �� Estimated Cos� $ �r � ��/�
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: "� APPLICANT: � Tel. #
Call (763) 572�604 for Pertnit Fees if mailing in application o� Fax to 763-571-1287 if using credit card and we will
call you tor card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ .�
$ �• �
$_ l, ,� 9
$
$ �>�D
$
$
$
$
$ �. �
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 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 [ ]
STIPULATIONS:
�
BUILDING PERMIT FEE SCHEDULE
T'he 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 e�cisting building or structure,
upon application therefore, require the payment by the applicant for such permit of fee,s to the amount herein
be(ow set forth and in the manner herein provided to-wit:
TOTAL VALUE
� 1 to $500
��01 to $2,000
52,001 to. $25,000
��,001 to $50,000
�50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
�69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $5�,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
�1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet�imes $17.00.
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. New Houses Onlv
311ild�rig
�specti.o�s
763-5?2-3�04
aAr� g+31- ok�
:fPE ADDRESS ���o
i7iIS .4PPLlGANT i5:
PROFER�.`Y O�l
1'L1vANT
C4NTRACTO►k
svaMIr n co�t' a�
YOUIt STATE I.IC£NSE
WITH APPLIGATXON
' P�tdPERTY TYl'�
PERNIIT TYP'E
TYPE OF @VQ�
From: 763506030D Page: 2/10 Date: 8/31/2006 2:20:19
1 � U ial���ir -
YtES�D�N'TYAL APPLI�ATION
�T�.'Y UF FRIDL�Y
YOUR 1�rMAiL ADDRBSS
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Permit No.:
Re.�ived
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aTnTe uc� i $'io3 ` E7Q+ DATE ';- 31- e'�
a�x�ss: �34o 5�,� ° �.. �.- � �.� - � -- - crryr��.�u�_s'r�t���
p BqS�N�I? FWiSFI O ROOF
� DE�K � S�II4
DF.�Cit�� WORK BEII�tC
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0 �dld'
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IIY �'A1G OP`�TiWGS �Yos GNo
pRFpB.NEW OP�1G��RIDS SST�E OF
OPEN� CH/WC.'ES �
/:iiy i� � � �:1:j cT�a
V,
Perntit F�
Pl� Review
Firo Stu�erge
Su�cl�ge
License Sm�c�'ge
SAC C1�rge
G�rb C�t E�ow
�iosfon Ctiatrol
Pazk Fee
SCwar Main Cl�arge
Aue
f3 HOU58 � GARA�
a ATr� an�c�
O DHfACf�Fa C9ARA6E
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LOCA170�N CF VHINDOW9
fi] bRniW't�
1�07�3t
NilN18ER OF wA�IDOWS
'ALIIATION, INCLUD�TG � COST OF
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$ _
$
$
$
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BAS RfiHtODELWO�UBA�T�
1. �g Float Piae
� �� ��.
3. Ltat of stracGUal rtuhtbers tn be �ed
FGR NE�N GONSTRIlC770N INCLLfiIId6 DBCKS�
AL1LlITfOlNS. &,eQiiCi�s S1.IBMR:
1. S'�� P�� tbe exi�g �
2. i�ba,4 Of� pi�8 .
3. �y ca]ail�iaaxe
See �a�k �age f�r FEe Schedule
65�i6 of Bt�lldi�g Permit �ee
.Ob1 times the totai job valuaf�on
.0005 x Perm�tt V�luatian Minimum �.SO
55.00 (Stete I.icensecl Iieside�tial Co�a�s)
$1550 per SAC Unit (Plaus ta �MOVVCC %r d�term�on)
ft+6$° $x$Zi�$ �
5450 Can�r'vation Plan Revisw
�ee Datermla� iry Engineering
Agreement n�r { ) Non Necessary ( ) '
7iII� LR AAT APPLICATIQN FDR A PERMI'f-NUT VAl..ID UNTQ. PROCFSS�D
I hareby apply i+ar a bidldiag peamit and I aclmowleslge d�at the iaforma�ton abave i� wmplete �nd accurate; that the work wil� 6a in
�rn�c� witb il�e o�emces and c�rdes of tbe City af Fridl�yy and �vitb t�e Minaeso� CoAStruction Codes; that I understand this is aot a
permft but onl�+ aa applicaz�ioa far n�ennit aud work is nat to smrt witbo� a p�nnir, that �o work w9ll be in accordence wYth the approved
plaa in th4 c�s� of all work wb regufres rev9ew and �pproval of plans.
SIGIIAT[FRfi OF AP?LtCANT /i.�—� PRINT NAM�E� � t�ar.A. ��.+ DATE S-' '�%_ Ga
_T / �
, � < _' /
From: 7635060300 Page: 6l10 Date: 8/31/2006 2:20:20 PM
. �e n� l �v�. �-�'
, . A�aunbow c'le�ning & R�toaratfon, Inc.
G360 Srmu6sh Lske Conrt
Ramsey, M�nneso�a 55303
08/17/z006
Psama�o: sc.xt�rr� �.aNx c� rrv� 23-Y,z59-z6i
�ed: SCf3tT1TE,FR.ANK pol9cy�Timmiur. 23�2�9862-4
properly: 74B9 HAYES ST N� Type of Loss: Other reas
FRIDI.EY, MN 55432 Dodnclsbla: $1,662.00
Home; (76$) 572-9474 Price �.ist: r+.QiMN2F6'�2
� • • • Restora�o�/S�vice/A�odol �
F= Fattoted. �q D= Do Not Apply
Da{e of Y.oss: OB/11/2006
Date Yaspected: 08/11/2006
5nmmar�► for Ot%er ress
Lina Ytem Totxl 8,847.77
Matl SelbS 7'SX Reimb Q 6500% x 2,4I2.6b �56.82
Glesaing Salas Tax (a� 6.500% x 224.88 i4.6z
Rsglacemant Cost Value 9,019.21 • �
Less Depreciat3ab (0.00)
Acwal �ssh Valuc (ACV} 9,O19?1
Overhtad (Q; 10.Q% x 9,Qb4.59 900.46
Pro$t @ 10.0% x 9,004.59 900.46
Tax an O&P 2.92
Actusl Cash Value (Tnc]�3ing Overhead sad Prafit) 10,8Z3.05.,
T�ess Daductible (1�662.00J
z� a�a „��� o� S��ge �a by c�e �a �o.oa� ,
Nct As°mal Ca�h Value Paymeat $9,161.05
Kel�y Glenn
A,Y.� AMOUNTS PAY'A:SL� A�tE SUBJECT Tt) '� TERMS, CONDIZTON'S A�N�7►
��N1CTS OF XOUR POL�CY.
Fsdmato fcnc repalss of s�u�e do to d�age. Aa�aga S�om Haz Mat oleeua up. Eshimatod ti�e of complotiiwa Octnb�' 31�t 2006.
�
From: 7635060300 Page: 7/10 Date: 8/31/2006 2:20:21 PM
Raitibow Clea.ning & Restoralaon, IYec.
scatrrrE, r�a►Nrc
SC�ro7rrE �.a,rtx
� L��
� x�: m��o �.��a
o�l?�zoos
DESCIt�TiON QIIAN�'XTY YJNYT CO6T RC'V DEPREG AC'V
Geaaal olr.en-uP B.00I�R 28.11 D 22a.$8 � 224.88
Abave lino item for genea�al. cle�uup e�ter consCraedan is complet�.
Texes� insmance, Petmits & fees 1.00 EA 0.00 D 0.00 0.00
($id it�►)
AteaI�ms'�ot�l: N1efmLevel ZZ4.68 OAO 224.88
4 -�„�-�
V
_ �. �
1 p
�
l�oom: Bedroom ��g ��� g�
3�2.56 ST wa�s i33.88 3F' Ce�ing
496.44 S� Walls & Ce7m� 133.88 SF �loar
. 14.88 SY Floori�g 45.32 T.F Floor �erimata�
453Z LF Ceil. Ferimeter
DESCRII'T1QN QUANT�'�'Y UI�IT C09�' IiGV D�R�C. ACV
Two r.oet plastsr over SR" gypsum 496.44 3� 4.60 2�83.62 1,283.62
ooto bineboerd
R&R Blow�-in insnla6o�, � �4" 133.88 SF 192 257.05 �7.�
et�pth - R38
`V'�s�ueen vagor banicr 314.88 S� 0.29 9132 �� �2
Se� theo paiat the wa�ts �d 496.44 SF 0.5? 28z.97 28297
tailmg (2 aoats)
1�&R Oak flooring - clear g�sde - 36.00 SF 11.65 4i 9.�4Q 419.40
sw fiaieh
Vapo�c b�iar - X 5# felt 36.00 SF O.Z4 8.64 8.64
9and, amin, and �oish wood floax 133.88 SF 4.08 i4623 5��
R8R Basebo�d - 31/4" h�dwood �45.32I� 3.63 ],6451 164.51
R&R Casrng - 21/4" hardwcod 100.00 T.� 2.7B 276.�0 276.00
1i&R ��J{ndow scool & apran 10.00I� 5.68 56.80 56.80
Mill scC t� charge fos Wo.ique 2.00 FA 232_80 465.60 465.60
molding - eactl pro�ile
Abova ]iue itcm for spe�,iat moldin�g J3aso aud C�asing
R R�R �dow smp - hardwaod 44.00 ].� 2.83 12452 124.5z
• Iateaior dooc nait - oak 1.00 EA 27759 277.59 277.59
Door loel�at - intecior � Pr�mi'as� 1.00 EA 60.72 60.7Z 60.72
�
Stain � fiaish baseboatd 45.32 T.F 0.90 a0.74 40 79
sc�'rE �aivx
�: z
From: 7635060300 Page: 8/10 Date: 8/31/2006 2:20:21 PM
Rainbqw Clean�ag & Restoradon, Ync.
5�.� � 08/17t2006
CdNTIl'dQ�D - �ed�oom
DESCRiPTYON QXTANTITY �ri�'l CUST RC'V DEPRL�C. . . AC�'
scaia &$�k aoor/vvindow ctim 8c 4.00FA 27.a0 Io9.60 I09.6o
j�+b _ Large (pc�r �de)
Stain & flntsh door slab only (per 2.00 EA 33.43 66.66 66.86
sids)
Mask snd prep f� paiut 4532 X F d.79 35.80 35.80
g�p�� 4.00TA 15.72 52.88 62.88
R&R, 9wFtah 1.00EA 15.86 1S.8b 15.86
�t r��,t �c -�� g�aae i.00�a so.aa so.�w so.ao
Room rorals: Bearoo�a s,�z�.�6 0.0o s,�zti.16
r ,r-�
Raom: B�d CMoset Cei7fng8eqgh� 8'
Y " 6 352.00 u�F we�16 li.$� $�' �:�3,m�;
j ��' i S 6950 SF �Valls � Ces7img 17.50 SF Flaor
�rr--t 1.94 SY Floormg 19.00 I.F F1oot Peti�ete.r
19.00 Y.F Ce�. Pe�imotex
DESCR1Pi'�bN QYJANTITY YfiTYT COST �tCV DEPREC. ACV
Two taat pleatct' ot►er 112" gypsuu�o 169.50 SF �.60 'i19.70 779.70
c�re bineboard
Blown-m 9nsulatio� -14" deptb - 1750 SF X.06 18.55 1855
R38
Visqusenvaporb�iar 3750SF Q.29 �Q.88 10.88
geal thon paiai the walls aad 1,6950 9F OS7 96.62 96.62
c�ing (2 coatg}
S�d, srain, and fnish wood flooz 17.50 SF 4.08 71 _40 71.40
lt&1t Qoset 8helf �d rod paakago 7.00 LF 23.26 162.82 16252
Paint - olosot paakege (shel� jamb ' 1.00 LA 37.29 37.29 37.24
� easin� - %arge
•$ypass {sliding) doar set - oak 1.00 EA 423.53 423.53 4?353
RBck Trim boatd - l" R 6" - 20.00 �.�' S.55 1 l 1.80 11 �.DO
iost�ll¢d (hardovood. - oak or =)
StamBc�ishba�board 19.00LF 090 1�.10 17.10
3ta�n �: �q�{eh dnerfwindow trim & 1.00EA 27.40 2'1.40 29.40
�aAai► - � (t�r dde)
8C
Page: 3
SCI%UTTE, FRANTZ
From: 7635060300 Page: 9/10 Date: 8/31/2006 2:20:22 PM
Raiubow Cle�nfrg 8: ResCoxat3on, Ync.
CON'i'INTJED - �3ed Qoset
Q8/17J200G
D�SCRR�TYON QVA,N'rITY �NYT COST • ItCV DEk`YtEG ACV
Staiv. &�nish dc�ou slab only (por 4.00 �A 33.43 133.72 133,72
sfde)
Room To�s: �ed (:iosot 1,894A1 0.00 1,890.41
Arca Tafials: MoSna Lsvel
574.56 SF Wslis
15138 SF F1oot
153.3$ � Ce�7ing
16.82 SY Floozi�s�
665.94 SF'BValle �nd C�ivba�
6432 � Fioor Perlmater
6492 � Cai1. Pcrimeter
15138 �loor Arr.� 171_14 Total Are� 514.56 Inteeior Wall Area
42830 Exterior Wall Ar� 53.34 Exterior P�imetes
of VJalls
Area Items rotal: M�a Level 7,84�.05 0.00 7,84�.05
Linc Ytem Subtalgts: SCSU� �'1tA1VIC 7,$42A5 0.00 7,84Z.05
Adjnsloaeafa for Ease Service Cbarges Adjvstmelat
Carpeater - �uo�sh, Tr�/Cabimet 1 i6.40
Electriaau
Wood F7ooring Inatallar
�3arawaxe l�.uor
insv4atien Insteller
Plester�
160.04
155.94
iii.�z
i34.6a
232.56
p��, 44.$6
��
Total Ad�jvs�eiats forBasa Sorvxee Cbarg�: ��.T�
�ne It�m Totale: SC�4'�!'E�RAN�C 8,847.7? O.OQ 8,847.77
SCi3iTI'I'�.�RAN� • Page_ a
From: 7635060300 Page: 10/10 Date: 8/31/2006 2:20:22 PM
ti �r:'�i��ai:7:`j�;�
Cxranid Totaa Arees:
51456 3� We1Ls
15! 38 &F �1oor
o.00 sF �$ wan
151.38 �1oorAs�
4�830 E�ior Wall Area
0.00 Siufaao Area
0.00 rotal Ridga Iso,�th
Rainbaw 4'�eanmg & �test+ax�atlon, �nc.
151.38 SF Ceillag
16.82 SY'�lao�mg
O.oa SF S�on W'an
i71.14 T�tal Aarea
5354 Eacterior Poriz�aeter of
Wails
0.00 N�bcs af Squares
0.04 Totai i3'ip r.� h
08!]7/Z006
6G5.94 5�' VJalls and Ceil�g
64.32 I.P I�loor perimater
b432 T�F C�7. Perimeter
514.56 Interlor �VaU A�a
8.00 �'ot�] Perlmotm' T� h
s , � page: S
From: City of Fridley To: 763-789-8605 Page: ?J3 Date: 1/1?12()0710:00:59 AAA
Building 1V�+ CHANICAL Permit ivo
Inspections R�+ SIDENTIAL APPLICATION R�i°�a sy:
763-572-3604 CITY OF FRIDLEY Date Rec'd: 1 l��
D�� �- 2--�� YOURE-MAII. ADDRESS �v�:�c,ea.t_ �„�,���r�� nc��,►
STTE ADDRESS
.
THIS APPLICANT IS: ❑ OV�IVER �NTRACTOR
PROPERTY ��;; �r� �� � ,� � n � ��,
O�VNER/ ADDRE53:,�� FvieS vl CTfY �� `� , STAT��„ZIP��
TENANT PHONE:—,�I�s�-rp I Z "IO,�
corrrRacTOR co�n�xaME: ►�
SUBMIT A COPY OF CONTACT PERSON: e..
YOUR STATE STATE LICENSE �3 EXP DATE ry� �('��
LICENSE WITH ADDRESS��, 1� Y%� CITY �STA1E� 1' IZI�`�'I
APPLICATION pHONE1�����__ FAX
PERMIT TYPE J'��GLE FAMILY ❑ TWO FANIII.Y ❑ TOWNHOUSE
�
TYPE OF WORK: � �W ��nc�NT � �.'r�xnTIOxr�MOn�.
DETAILED DESCRIPTION OF WORK �YliiO '1
PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of tl�e total cost ap to $500.�, whicheaer is greater, for the
improvement, installation or replacemern of a residential fvcture, excluding the fixtures. (This should reflect only the cost of labor }
Labor cost under $300 =$15.00. Labor cost between $3Q0 to $SQ� = cost of labor x.OS =
FOR PROJE�f3 WE�RE LABOREXCEIDS $500, FE�S ARE BASID ON $10.00 PIIt FIXTURE, EXCEPT WFIERE NOTED. FlXTURES: (II�IDICATE TOTAL
NUMBER OF EACH BII.OB�
Equipmerd In54alled MFG: MODII.: SIZEBTLT
MFG: MODEL: SI7.FJBTU
MFG: MODII.: SIZFJBTU
_A!C $25.00 FIREPLACE (GAS) $15.00 GAS RANGF/OVEN $10.Q(1
AIR TO AIR EXCHANGEER $15 LACE (WOOD) $35.00 NEW GAS GRII.L $10.0i1
_BOILER $35.00 � Z�JRIJACE $3i.Q0 _GAS UNPf E171i $10.00
CHtMNEY LdNHR $10.00 GAS DRYAi $lO.Ot► FOOL HTATER 535.00
DUCT WORK $10.00 (3AS PIPIAT(3 $10.00 VENTII,ATOR $15.00
:;; :,::�.:::�.:::::.:.�.:::�.:::�.:::::::.�.::::.::.� .::_.:�::.::.::::.�.:::�.:�: .:::�.::::::;�:;=: ;_:::<:«>::<�:;::<:`::z�:::::«:�::t<�>:�::<>�:t«z=:><:;-::«::::>ts3:;.:<;:;:�:::;>:::>:<;::�.:�.::::.� -: -.;:.�.:::-:.::.�:,::.:::�.:�::.:::::� :.: -..::.;::� .:::::::::.::::�.::::
;:��€;�'��:�'.�::�,i�3�.�--���.' �'.�-�.'.:�'�,�::: :: :: - -- - - --
€���:: � ... . :::::::::.::::::::::�:;;�:;::;<.::::;:::<::<;�:><::<::<;-:««::;::<::<:::<�;:;::.;:-;:;�:.>::::::;:.:�>:;> :. - � : =� � : .:> - - � :> . : < :- ;�> .. - :.:::. :: : . : :: . -�>:
_ . . . . . . . . . .. : ,.:.:,...: ,.:..� ......: .:... .: .�: ..:.: .:. .... .:,:, : g�:��.:�.��� -�.Q:'��,��:.
Permit Fee $ Number of 6xtures (a�, $10.00 x$10.00 =$
Surcharge Number of fixtures (a� $15.00 x$15.00 =$
TOTAL DUE $��_ Number of 6�dures �a, $25.C10 x$25.00 =$
Number of 6xUxres (t�i, $35.(m x $35.� _ $
Stete Surcharge = $ .50
Total = $
THIS LS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROC&SS&D
I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the wark will be in
conformance with the ordinances and oodes of the City of Fridley and �vith ihe Minnasota Construction Codes; that I understand this is
not a permit but only an i'on for a permit �d work is not to st�t v�ithout a permit; that the work �vill be in accordance with the
approaed pl� in the case o k which r re 'ew and approval of s.
SIGNATURE OF APPLICA PRTNT N DpTE ��{ '��
... :.. �?�izi;��,',�3 �'.-�. , ,�'�.,t�`:��+i�`,�.�� �......... _ _,�►�., ,��'..:.:.. =.�;�f��:::�.�.��,'�£�' �3�:��.�.�"i°��', ,�`�iZ �%�`_ ��c�T.�'. `.:�;� �.�.�..�;�. ...:.::.:
City of Fridley
Building Inspections Departmeat
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977