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B - 41400Building Inspections 763-572-3604 763-502-4977 FAX ', DATE -�T-fj I / SITE ADDRESS � THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE I-1-2011 YOUR E-MA1L ADDRESS ❑ OWNER .,�'CONTRACTOR PROPERTY OWNER/ NqME: ' TENANT � ADDRESS: PHONE: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: '.� t.a � CITY STATE LICENSE #� Z��j3 %,� Z� LEAD CERT NUMBER ADDRESS: Z�I��CC.Sj.Lt¢JY�1J✓ G�J' lfF � �'3 � crTV/�'� PHONE ^] / J.SU !�/ / y �'SINGLE FAMILY/NEW CONSTRUCTION O TWO FAMILY/NEW CONSTRUCTION ❑ ADDITION ❑ GARAGE/SHED ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ STDING ❑ SWIMMING POOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR �REMODEL DESCRIBE WORK BEING DONE:� SIZE OF IMPROVEMENT ' ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes (�No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED FAX (� � / / `l SIZE STORIES ❑ WINDOWS ❑ DRAIN TILE �OTHER� �, ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED �w ❑ DETACHED �������CJiE� ��'4 � /1 ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF HEIGHT Permit No.: i::�^�� Rece � �� Date Rec'd: /� ,�: STAT� ' '�ZIP�_ A FT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: I. Site Plan/Survey showing the existing structures and proposed project. 2. Two seYS of construction plans 3. Energy Calculations FOR WINDOWS — PROVIDE U-VALUE AND MANUFACTURE STICKER ON WINDOW. ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �,/�"�d "— OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ ��1�d� $ $ $ $ $ $ $ $ $ _ $ � � See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $5.00 $5.00 (State Licensed Residential Contractors) $2230 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$25=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable to: Citv of Fridlev Attach lations THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the�i�y of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit a ork 's not start without a permit on site; that the work will be in accordance with the approved plan in the case of all w e ires revi w d approval of plan '/�J � �� SIGNATURE OF APrLICANT R�jJT�A}AME � �Y�T (a`� DATE I�� � TURE _ �► � Project: Bathroom Remodel Location: 1488 Onondaga St NE, Fridley, MN 55432 Property Owner(s): Dan and Lori Kraska Contractor: Luxury Remodeling & Bath, MN License # 20632528 Project description: Strip bathroom to stud and or drywall. Remove current tile floor. Reinsulate and vapor barrier as needed. Add dedicated CGFI protect outlet. Relocate light to accommodate changes. Upgrade� existing exhaust fan. Install new acrylic tub and thermostatic tub/shower valve. Install new moisture resistant drywa I ass needed. Mud/Tape/finish coat as needed. Prime and paint. Install solid surface tub surround. Install tile floor. Install new vanity and sofid surface vanity top. Install new vanity faucets. Reset existing toilet. Install finish trim. Install lights. Install curtain rod, towel bars, towel ring, and tp holder. Materials List: 6mil poly sheeting moisture barrier, as needed `` Fiberglass insulation, as needed %: inch moisture resistant drywall, as needed Bathtec Acrylic Soaking Tub with tile flange (www.bathtec.net) Moen Positemp Tub/Shower valve Moen Tub/Shower Trim Onyx� solid surface tub surround (www.onyxcollection.com) Moen Curved shower curtain rod '/: inch cement board tile underlayment — Ceramic tile 48 inch vanity Onyx� solid surface vanity top (www.onyxtop.com) Moen vanity faucet Fante �brand in-line exhaust fan (wv�r�^J fa.__._ �_!��+._��, model PB110 V c� , � �� � � U�� � -----� � - rn,�c�/i . � s � � -� �� 1 � � i �- � , � I � r �� .. . ' �� Vanity I ht �C�� � 15a c R IEWED FOR � Cd � � C� CO PLI CE �� Zac� �'S \ ��� � � 245 Roselawn Ave E• Suite 35 ■ Maplewood, MN 55117 651-330-6414 main 651-797-3416 fax www.luxurybath.biz S