P - 48211� _.
Building BUILDING Permit No • pZ— 0
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date xeo'd: �
763-502-4977 FAX EFFECTTVS i-i-ZOiz
DATE � Z3 YOUR E-MAIL ADDRESS ��S�C�''�-oRP� {�. y��S ��-��cg , V��
SITE ADDRESS ?� i 8 5r11J 5o►J Q�11J .��,
THIS APPLICANT IS: ❑ OWNER �CONTRACTOR �1
PROPERTY OWNER/ NAME: `� e4`�+-'t O�'�`�
TENANT qDDRESS: 7�i ( Fi S���So �.1 6 wq N�.
CITY � CL-�'O �-'t''C STATE�'"`, ZIP SSS�3 2—
PHONE: �(0 3 — %�'G � SS�s�
CONTRACTOR NAME: � �5 ee� .L �t a N5� Qcsc.�r.a y ; (�p2u�T .ON `c. �
SUBMIT A COPY OF STATE LICENSE #� C— 3�$'�E C�
YOUR STATE LICENSE LEAD CERT NUMBER 7'f�-tZ-�9-��P: 3's� tv
AND CERTIFICATE OF ADDRESS: �75� � rL�R�`� �'� Z CI�� �+J+kdbsi� STATE ��LIP SS3 �7
INSURANCE pHONE qS� �9%'{ —OSS/ FAX �I'S2 ��IOb—l�I�'/
PROPERTY TYPE �SINGLE FAMILY/NEW CONSTRUCTlON SIZE
TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE ❑ ADDTITON ❑ GARAGE/SHED ❑ WINDOWS
�BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION 0 ADDITION
AINTENANC PAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: ����a� CFL �c. (NC�s — SH�YS� c2CCK 1���C:O�t CAv?��w�b Cia'aQa�'
SIZE OF IIvIPROVEMENT LENGTH WIDTH HEIGHT S FT
ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES ❑ HOUSE & GARAGE
1. Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be us�i
PROPOSED HEIGHT: •
SIDIlVG FOR NEW CONSTRUCTION INCLUDING DECKS,
O Vi�l OSoffit SIDING/SOF'FIT/FASCIA �DITIONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim REMOVED? O YES O NO 1. Site Plan/Survey showing the existing sdvctures
and proposed project.
❑ Other ❑ Fascia 2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTlNG OPENINGS �Yes �No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND
OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL r"Er:� Atc� �3Aa'�:ll V1V VALUA"11V1V,1NC;LUll1NCT'1'HL�' (:US"1' UF LABUK ANll MA"TERIALS:
( ING THE 1997 U.B.0 FEE SCHEDULE)
JOB VALUATION $ �rI4 � °` OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surchazge
Surcharge
License Surchazge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ i ��, ZS See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ .001 times the total job valuation
$ . .0005 x Permit Valuation Minimum or .50 .
$ �; �. cra $5.00 (State Licensed Residential Contractors)
$ $2365 per SAC Unit (Plans to NtWCC for determination)
$ . ft+6ft= ftx$25=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ ��___,_� Agreement necessary ( ) Non Necessary ( )
$�rT,i: �. ln r. Make checks oavable to: Citv of Fridlev Attacl
THIS IS AN APPLICATTON FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit on site; that the work will be i accor ance with the
approved plan in the case of all work which requires review and approval of plans. � �
SIGNATURE OF APPLICANT _� � ���_�tII�1T NAME DATE
. Fisher Constrr�ction & Restoration, LLC
M 7�01 Erie Ave.
Chanhasscn,VlN 55317
iviN License#$C-203I$461
952-974-0351
Clienc: Beverly Orton �{ Home: (763) 7$6-SS55
Property: 7418 Stinson BIvd. NE ��j
Fridley, MN 55432
Operator infa
Operator: FISHER
Estima�or: Dennis C. Fisher/Fisher Construction & Restoration, Business: (952) 974-U35 t
� LLC
Business: 7501 Erie Ave.
Chanhassen, MN 5.5317
Refercnce: " Susiness: (952) 929-5077
Company: Rocs. Adam-The Claim Station
Business: 3709 Beard Ave. N.
Robbinsdale, MN 55422
Type of Estimate: Water Damage
Date Entered: 1l18/2012 Date Assigned: I/17/201?
Price Lisr. MNI�INN7X_)AN 12
I�'ew Construction
Estimate: ORTON
File Number: CLAIM#558490
The following es[imate should be considered by the total amount only. Any additions or deietions wilI be negotiaced by the
writer and owner by submitting a change order prior to doina the work. Draw paymen[s requested 1 st after demolition, 2nd after
drywall install and fina! payment is due on satisfactory completion of the agreed eontrsict and punch list items.
�
,
. � Fishcr Constructian & Restoration, LLC
7501 Erie Ave.
Chai�hassen, MN 5S� 17
�v1.N License#BC-20318461
95?-974-0351
ORTON
Laundrv Room
DESCRIPTION
1. R&R Cove base moldine - rubbcr or vinyl, 4" high
2. Drywall patch / small repair, ready for paint
3. SeaUprime then paint 1 WALL (2 coats)
4. Door Installer/Finish Caipenter - per hour-adjust door to fit
Family Rooan
5ubroom 1: Landing
Subronsn 2: Hull
DESCRLE'TION
LxWxH 11' IO" � 10' 10" x 7'
Ql`TY
12.00 LF
1.OQ EA
77.00 SF
1.00 HR
LxWxii 22' 2" x 10' 4" x 7'
LxWsH3'2"x3'x?'
LxWxH 5' 6" x 3' x 7'
QN�
5. Detach & Resct Cove mo}.ding - 3/4" - stain grade 9433 LF
6. Contenc Manipulauon (Bid ltem)Move out contents, store and return-see bid 1.W EA
7. Floor Covering - C�upet (Bid item)See Carpetone 1.00 EA
8. Detach & Keset Light fixture 5•00 EA
9. Finish Carpenler - per hour-reframe and fwish ceiling in hall w/caps & casin�s 5.00 HR
10. R�R Acoustic ceilina tile 255.06 SF
! L Detach & Reset Basehoard - 2 ll4" 94.33 LF
12. Srain & finish covc molding 94.33 LF
13. Stain & finish baseboard 9433 LF
14. SeaUprime then paint upper 2'9" walls (2 coats) , 273.Q0 SF
15. R&R B}Ta.ss (sliding) doar sct - Colonist 1.00 EA
Panel dcx�rs are dfunage�i req. replacemcnt. �
16. Stain & finish bypass door set - slab only (per side) 2.W EA
Stairway
DESCRIPTIOIV
17. Remove Carpet - Standard grade+l2 rissors
18. Floor Covering - Carpet (Bid Item}See Carpetona
19. Seal/prime then pain� upper 2'9" walls (2 coats}
�Cp
DESCRIPTION
2q. Detach & Reset Cove molding - 3/4" - stain grade
21. Remove Paneling
22. R&R 1/2"' drywall - hung, taped, floated, ready for ��int
No match possible for paneling.
ORTON
LxWxH 11' x 3' 2" x?'
QNTY
70.83 SF
1.Q0 EA
273.00 SF
LxWxH10'G"x8'x7'
Q�
37.00 LF
155.40 SF
156.OU Sr
1/19/2Q12 Pag�:2
�
Fisher Construction & Restoration, LLC
7501 Erie Ave.
Chanhassen,viN 55317
MN License#BC-20318461
952-974-0351
CANTINUED - Ofiice
DESCRIPTION
QiV'TY
?3. Content Manipulation (Bid Item)Move out centents, store and returr►-see bid �,pp Ep
24. Floor Co'vering - Carpet (Bid Item)See C�rpec�ne 1.00 EA
25. Detach & Reset Light fixture 1.Q0 EA
26. R&R Acoustic ceiling tite $4.00 SF
27. R&R Baseboard - 2 I/4" 37.OQ LF
28. Stxin & finish cove molding 37.(Hl LF
29. Stain & finish bascboard 37.Q0 LF
30. SeaUprime then paint walls (2 coa[s) �9.OQ 3F
31. Carpenter - Finish. Trim / Cabinet - per hour-Replace back panel on shelving unit where buckled 4.00 HR
32. Stain & finish full height cabinetry - inside and out 5.00 LF
�
Bathroom _
DESCR�ON
33. F1oor Covering - Vinyl (Bid Item)See Carpetone Bid
Includes remo��e anct rc5et toilet.
34. Drywall patch / smali repair, ready for paint
35. Detach & Reset Light fixture
36. R&R interior door - oak veneer - pre-hung unit
37. Detach & Reset Casing - 2 1/4"
38. Stain �c finish door slab only (per side}
39. Suspended ceiling system - 2' x?'
40. SealJprime then paint waits (2 coats)
Bedroom �
Subroom 1: Closet l
Subroom 2: Closet 2
DFSCRiPTION
41. Detach & Reset Cove m�lciing - 3/4" - stain grade
42. R&R Interior door - oal: veneer - pre-hung unit
43. Detach & Reset Casing -? 1/4" a
44. Content Manipulation (Bid Itcm)Move out contents, store and rEturn-see bid
45. Floor Covering - Carptt (Bid Item)See Carpetone
46. Finish Carpenter - per hour-reframe nnd finish ceiling in hall wlcaps & casings azound shelvina uniGs
47. Dctach & Reset Light fixture
48. R&R Acoustic c;eiIing tile �
49. Detach & Reset Bascboard - 2!/4"
50. Stain � finish cove moldin�
ORTON � :.���'.+. �.s�
5 .. � i,�.e, _ ._ �
�
LxWxH5'8"x5'3"x7'
QNTY
1.00 EA
1.00 EA
1.OQ EA
1.00 EA
20.00 LF
2.0(1 EA
29.75 SF
152.8:i SF
LxWxH21'9"x9'7"x7'
LxWxHS'2"x1'9"x7'
I.xWxA7'3"x2'3"x7'
QN'�'
95.50 LF
I .00 EA
30.00 LF
1.OQ EA
l.i� EA
6.00 HR
2.00 EA
233J9 SF
95.50 LF
95.50 L.F
I/19/2012 Page:3
License lookup
LicenselCertificate Detai l
License Type:
Application No:
Expire Date:
Orig Date:
Enforcement
Action:
RESIDENTIAL BLDG CONTRACTOR
218973
3/31 /2012
3/21 /2002
NO
License No: BC318461
Status: JSSUED
Effect
Date:
Print Date: 10/7/2011
Name: FISHER CONSTRUCTION AND RESTORATION LLC
Address: 7501 ERIE AVE
CHANHASSEN , MN 55317
Phone: 952-974-0351 Fax: Other:
Business Relationship Requirements
Name: FISHER, DENNIS C
Status: ISSUED
Expire Date: 3/31/2012
Orig Date; 10/25/2000
Another Lookup?
Lic/Reg No: QB122432
Application No: 255763
Effect Date:
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https://secure.doli. state.mn.us/lookup/licensing.aspx 1 /23/2012