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PRE 2010 DOCSCity of Fridley, Mian. BUILDING PERMIT, o (940:3) Date: _._""'r !�.� `-�...:40 Owner:�-.._ Address ���_:.�✓i2.�,�y,�!1.�1�..-� __._ Builder _..._..___.. ___...._.�..._._.._..._..._....._.._. .__..._.._._.._._ Address ..._. ...... L CAT N OF B LDING 1- �- No. _JW_ —Street __.� d�1...._ ...... !._.._ Part t _.......... __.. __. ......... _ Lot -----------. Block ..... __..... ....._------ ------ Addition or Sub -Division ....._... .........._.... ... _. .� Corner Lot ----- . ................... _........ Inside Lot ....._...........__......._........ Seth ack....._...,, 6 ... ....... Sideyard _.A ....... ..... .... ........ ...... ........ Sewer Elevation _..._.._..._...._..----_--.._ ..... _... -........................ _.............. _.. Foundation Elevation DESCRIPTION OF BUILDING To Used as: ..... —....... Front .....� _ Depth .... .._.. Height . ..... Sq. Ft. 11_V0 Cu. Ft..� e _.............._........... ....... ..._... : Front ....._............._.. Depth ................ Height ....._........ Sq. Ft....................... Cu. Ft. _...- ........_.. Type of Construction .........-r�"!l�t�..... Est. Cost....l.,�0.....4*�•/1............. To be Completed .............. ....... ......- - CALMON THIS PERI' 7 DOES NOT AUTHORIZE VIOLAT- ION OF ANY PRIV'aI_E LAND COVENANTS ANr BUILIMG RESTf Tl�"IvS. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. y, In consideration of the payment of a fee of $,A__'�, permit is hereby granted to..__..__._.._........ ....... ............ to construct the building or addition as, described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. /5), /� _. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PEWIT CITY OF FRIDLEY, MINNESOTA Owners Name /� Builder - Address Address LOCATION OF BUILDING N ' Street lk; Age Part of Lot Lot Block Addition or Sub.Div._? b Av�oelr ' Corner Lot.Inside Lot—.4zSet Back ® Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as:1- Front Depth Height Sq. Ft. Cu. Ft. i Front / �. . Depth �f_�height Sq. Ft. _--- - Cu. Ft. Type of Construction Estimated 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 with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are true and co7act. DATE / c SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) A a c Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $---Z— each 1/each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ............. . ... 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule=- GAS BURNER (up to 400,000 BTU)$ ....................... 5.00 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ AN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE REMARKS: Dept. of Bldgs. Phone SU 4-7470 ;IJI, City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 1117 Wdley, Minn N ®V 17 1960 195— Owner L / eL-� Kind of Building Used as To be completed about Estimated Cost, $ 195- 195— DESCRIPTION OF WORK BEATINGS .— Warm Air—No Trade NamA , Size No%3 �2 7 /lam .11 Capacity Sq. Ft. E.D.R �G ©Q BTU H.P. Total Connected Loa � X--) Kind of Fuel .�� BURNER — Trade Nam Size No -Z/ - e O Capacity Sq. Ft. E.D. O 70 �� GEO. SE ' _3 4V 1001 Xenia Av. S. Minneapolis 16, Minn. Signed 5-1611 By � 11 POST 1M-12-58 Business Phone o to - Dd6 7s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS S.H.V.E. Weatherstrips A.Guide Construction No. II Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No 19- 9 F1.1 L ... p a lr Room I Len,zth .°i . Width 5 L Height Windows and Doors—Crackage and Area i �) Width Height No. of Lineal f . Area No. of pane of pane llghts of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Zb 8 -b- � 0 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Coef., Btu Infiltration 3aW 3,& 1 ;L Glass 610 sb © O Exp. wall (pp N /�.�yp 50 Net exp, wall Exp. wall 1 1C O Int. wall Net exp. wall Int. wall Net exp. wall Ceiling Ceiling 1 Floor `� ,Z �0 3 5')s l (7 ® 0 Total Utu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1.1 \', P'tctl.lt] Room I Length 1 A Width 1;', Height A Windows and Doors--Crackage and Area i �) Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Zb 8 -b- � 0 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef.1 Btu Infiltration A I1 Infiltration �^ Glass 1 50 Kj 5 0 Exp. wall 1 1C O 66 Net exp. wall Int. wall Net exp. wall b s Ceiling 1 Int. wall Floor 13 1© 13 G Z O O Ceiling '�,'ii l 6 1 iv O Floor 1 L 1 Ifo 0 Windows and Doors—Crackage and Area i �) Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 36 t'1., S � 0 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef.1 Btu Infiltration Exp. wall `[ Infiltration d Glass 1 �;U 0 Exp. wall z,�, 17 ,6 66 Net exp. wall Int. wall Net exp. wall Int. wall 11 Ceiling 1 Ceiling Floor 13 1© 13 G Z O O Floor ►'_, '�,'ii l 6 1 iv O Total Btu. 1 .5 1z 3 3 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area MINNEAPOLIS, MINN. Insulation Kind How. Applied 1 Fl r. _&,viL Room I Lenath "7 Width 7 Height Windows and Doors—Crackage and Area i �) Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration 159 34 z Glass Coef. Exp. wall `[ Infiltration Net exp. wall () Int. wall ® Ceiling Exp. wall 23 S W4, Floor 66 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl:j 2 Room i Length (3 Width i �) Height f5 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 40 3Cr3 Infiltration , Glass Coef. Btu Infiltration Net exp. wall bl () Glass ® % 0 0 Exp. wall 23 S W4, Floor O zo A0 Net exp. wall Int. wall Ceiling Floor 13 1© 13 G Z O O Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 F7. q Room I Lenath t R Width 1 f) Heiaht `Ri Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. O 25 0 Coef. Btu Infiltration , Glass o Exp. wall Net exp. wall bl q 4 6 Int. wall Ceiling Floor O zo A0 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 53-8b—s-915.51 City of Fridley Dep.. of Ridge. Phone 560-3430 DESCRIPTION OF WORK 5232 N. E. Materhorn Drive Number, Kind and Location of Fixtures Lova O; 0 UUU ` + in <, i. c a 8 a� o S V 0 7 7 N 7 I N WATER " O. GAS ELEc Base 1st Instal.1 Gas Grill 2nd 3rd 4th , • Futuro Connection Openings CO•d with Soaves ❑ * Now Fixture. Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .................. x $2.00 $ Future Fixture Opening ........... x $1.50 $ _. New Fixture Old Opening .......... - x $1.50 $ _ Catch Basin .................... x $3.25 $ Water Heater 'Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ....'.. x $3.25 $ Electric Water Heater........... z $2.00 $ SAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .............. • x $2.00 $ Additional Fixtures ................. x $ .75 $ Gas Range to 195.000 BTU .............. x $5.00 $ City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified. agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn b-17-74 19. D. T. Demetriou Owner Kind of Building Frme Used as Res. To be completed about 6-2h-74 Estimated Cost, $ 10.00 Old--lQ=Building Permit No. Permit No. tC� Signed ROUGH REPAIRS & ALTERATIONS—Refer to Coda .50 State Surcharge Description :. ,Install ,Gas .Grill ...............; 5.00 TOTAL FEE 5.50 Class 1,A® Surcharge .SO¢ By - Business Phune No v. i . ui- iIld aJ l.l:l APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND f AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 1' GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 S each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $� Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ SIEAM OR HOT WATER SYSMI: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,OQO BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ A4 (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures X $ 1.00 $ Gas Range to 199,000 BTU X $10.00 $ AIR CONDITIONING $ FAIN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS3 $ State Surcharge $ 50 TOTAL FEE $—LZ -3..= BOUGH INSP. REINSPECTION FEE Date ($10.00) Job Address -l"217A, Department of Buildings City of Fridley Tel. #571-3450 •The undersigned hereby makes application for a permit for the work hereat specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. � � "?/ , I9 -La OWNER k/ LZ#A1C KIND OF BUILDING�/�I/'%� USED AS TO BE CO ESTIMATED COST ��� Off- NEW BUILDING PERMIT NO. PERMIT NO. 17 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam,.Hot Water, QWaxen Air- No. Trade Name �im-q toe Size No. Capacity' Seq. £t. EDRT BTU HP Total Connected Load ')"� �� Kind of Fuelmoi¢/ Gfl.� BURNER - Trade Name �I.,: 2er Size No. �V Capacity Sq. Ft. EDR Z BTU HP FINAL INSP. Date 4.4 APPROVAL FOR PERHIT YZNIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Company FRANK'S HEATING AND AIR CONDITIONING, INC. Signed By MIW EMLIS, MINNESOTA 55418 Tel. No. D-0 HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION Weatherstrips A.S . Construction No. Gu'd Fal e Reference Out. Wall I Int. Wall Ceiling Roof Floor No 19 Rnntn Lonoth / Width 9-31Ieiaht Sr' H ,6111c1_1 I Windows andk. Doors—Crackage and Area Width Height No. of Lineal ft. No. of pane of pane lights of crack Area sq. ft. 0 JVd'l oo 9 /s ) y 45? -091 j�+, 15-0 Btu Infiltration Coef.1 Btu Infiltration Glass o_5 - Glass Glass Exp. wall Floor 8 Exp. wall Net exp. wall A? Net exp. wall Net exp: wall Int. wall Ceiling Ceiling Int. wall Floor Floor 4— Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FU • Room I Lensth Width Heistht Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �Lri Iq Coef.1 Btu Infiltration Coef. Coef.1 Btu Infiltration 0 Net exp. wall Glass o_5 - Glass Ceiling Exp. wall Floor 8 Exp.. wall Net exp. wall A? Net exp: wall '. Ceiling Int. wall Floor 4— Ceiling 3;Z aax/&6f I ILQ I6 Floor � .%� _'1LY 61A 1 /11�21 Total Btu. 16 Required sq. ft. E.D.R. or sq. ins. W.A. Leader. area F1.1 Room I Lellath Width Heisfht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. WidthHeight No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �Lri Iq Coef.1 Btu Infiltration Coef. Glass Infiltration Exp. wall -:5 0"Z Net exp. wall Glass Int. wan SO Ceiling Exp. wall Floor 8 Total Btu. Required sq. ft. E.D.R. or w. ins. W.A. Leader area 'IVIINNFAPOI.IS. lNQV1V. EIInsulation Kind f How Applied R...,... I I -th --�2 % w;,Ith / �7 I-Iwieho Windows and Doors---Crackage and Area Width Height • No. of Lineal ft. Area No. of pane of pane lights of crack sq. fL WidthHeight No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �Lri Iq Coef. Btu Infiltration Coef. Btu Infiltration -:5 0"Z 35 Glass PF SO 0��5 Exp. wall X ag 8 Net exp. wall A? Int. wall Ceiling ��rs...e_ Floor 4— Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FU Room I Lensfth Width Heisfht Windows and Doors—Crackage and Area Width Height • No. of Lineal ft. Area No. of pane of pane lights of crack sq. fL Coef. Btu Infiltration Class Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ifis. WA. leader area Fl.l Room I Lenath Width Heiallt Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack on.it Cftfl Btu — Infiltration Class Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins.. WA. Leader area CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL m x $3.00 $0 Future Fixture Opening x $2.00 u New Fixture, Old Opening x $2.00 m Catch Basin Water $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ r. rq ri rd M a New Ground Run Old Building x $5.00 w w g $ Heater . d 1st 3 fixtures x $3.00 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ xnroai H� u wy ° N ro u oa»q b o ro m ci aC RI N 3 Q w W w U m 4 3 0 C7 o as lea 1st 2nd . 3rd 4th (R) = Future Connection Opening i Connected with Sewer (*) = New Fixture, Old Opening I Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $0 Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GFS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS y ALTERATIONS First $100.00 $5,00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ -8-o-O REINSPECTION FEE ($10.00) Jab Address�� Departteht Of J tdiidifigs City of itidiey Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. '9-19 (? OWNER KIND OF BUILDING �'� '� USED AS /ciCr 2 el TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO, PERMIT NO. �6 Company / V j �y �"G�i' �� Signed By Tel. No. ROUGH INSP. Date FINAL I' NSP. Date APPROVAL FOR PERMIT MINIMUM :EE TOR ANY PLUMB G IS $7,50 PLUS $.50 ATE SURCHARGE SUBJECT - NO..� City of Fridley I 29401 AT THE TOP OF THE TWINS BUILDING PERMIT( r R O. `� ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910415 5/5/99 JOB ADDRESS 5232 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oEscR. 5 1 Innsbruck 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Korth 5232 Matterhorn Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO 1st Class Construction 4616 Edinbrook Ter, Brooklyn Park, MN 55443 889-2368 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20055534 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (21 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,799 $.90 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR JOCAL LAW REGULATING CON- STRUCTION OR E PERFORMANC ONSTRUCTION $56.75 Fire SC $1.80 PLAN CHECK FEE TO7$64-45 EE 8 Li e C$5.1/ SIG TUBE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI HEN PR P L VA IDAT HIS 1,4 Y PE$ iT S,GNATURE OF OWNER SIF OWNER BUILDERI IDATEI BL INSP RATE NEW ADDN ALTER [kl ConstructionAddress: CITY OF FI SINGLE FAMILY AND DL BUILDING PERMIT 17,E : ".-C Effective 1/1/99 R-1 AND R-2 0, ►TION a� o Legal Description: Owner Name & Address: o Tel. # Contractor: _? rr c /ate r MN LICENSE # .2 0 Address:�1d/a �"�: �� U % r /7'bo U Tel. # � s e -r? - 3d Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Leng Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: f -e- rd a Estimated Cost: $0— 9 q (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: r" "7.3 APPLICANT: C/' • j fill^ Tel. #/�/z� �8E -a a� TOTAL $ `� /• `�� STIPULATIONS: CITY USE ONLY Permit Fee $ .5L �� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 9® $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 5-:00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ `� /• `�� STIPULATIONS: I W, SUBJECT P City of Fridley 3 0996 AT THE TOP OF THE TWINS BUILDING PERMIT i L Q• COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I-11CITY HALL FRIDLEY 55432 L NUMBER REV DATE PAGE OF APPROVED BY J` 612-571-3450 910415 5/30/00 JOB ADDRESS 5232 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 5 Innsbruck 1st addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom/Jean Novak 5232 Matterhorn Drive NE 571-6344 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION j] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside House & Garage; Replace windows/doors; install new header over 1 window 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $10,000 $5.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA FEE $ 96.25 U�� OF CONTRACTOR R u ORi2E0 GENT DATE, V-9 EN ROPE ALIDA E THIS IS YOUR PERM T �x S,GNATURE OF OWNER IF OWNER BUILDER) tDATE A' 96 INS O BATE I W, NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION P Construction Address: 5;232- MJrr1?'se-4 z�P 09, A/.o" . FSC& Y JU Legal Description: I I Owner Name & Address:o i d- ��a,v Ne�„¢�C Tel. #_ S -21 --&WV Contractor: /L'i Y Se" -"e MN LICENSE # Address: _SM 11/1 10,e . A% , Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. f7*Tfkl r16 U91itrJ41a:z•11r1:1 ,r=:111 LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground F I� Sq. Ft � �L� $ OTHER: W-�..�oc.yS � S brn� CLA-L L AA�GG� v $ oo'�k / WIA-)b®cu 1. Fee Determined by Engineering Construction Type: $ Agreement Necessary [ ] Not Necessary [ ] Estimated Cost: $ f" 010 o a TOTAL $ d Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:s -3*0 ^off APPLICANT: A`'1'V Tel. # W -5.71- 63Y/ CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application STIPULATIONS: �4.^ Permit Fee $ /,.2 Fee Schedule on Reverse Side Fire Surcharge $ /0-00 .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] (O ez TOTAL $ STIPULATIONS: Building Inspections 7.63-572-3604 MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE �p� �-2 %®,Q"'ta1 YOUR E-MAIL ADDRESS SITE ADDRESS 1232%��i7FtE' b 13�' 4-. THIS APPLICANT IS: PROPERTY OWNER/ TENANT O OWNER LC C. _, ADDRESS: r3 e� 3 ;1 /'flegiLe r h al^ PHONE: .a 594, - ern 3 n CONTRACTOR j COMPANY SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION CONTACT PERSON: STATE LICENSE # Permit Received By: Date Rec'd: 1-CITY� STATE ZIP, EXP DATE ADDRESS: CITY, PHONE PERMIT TYPESINGLE FAMILY ❑TWO FAMILY TYPE OF WORK: NEW 13 REPLACEMENT )ETAILED DESCRIPTION OF WOR .ie A 411 wv Ine l) r-'C'o►"Ce &"j / 11 5t" ,i'e5,j FAX ❑ TOWNHOUSE ❑ ALTERATIONaEMODEL .s I A 4,0 e PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) SIZEIBTU Equipment Installed MFG: g> • �'�' MODEL: SIZEBTU MFG: MODEL: MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE 535.00 GAS UNIT HTR $10.00 �CHIMvW Y LINER $10.00 _GAS DRYER $10.00 POOL HEATER $3500VENTILATOR $1500 DUCT WORK $10.00 GAS PIPING $10.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ •50 Total 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT _-�� PRINT NAME do ��-- '1R _��gii��� City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIR /EXIST G HOMES Wq WWI 47 v, . 1. Combustiof0woflow) i431 so , ar Oil or Chapter 7 with MN Amendments b. Natural Gas or PropanoUGC 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 Building BUILDING Permit No.: ck inO Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 2 CITY OF FRIDLEY1'99 763-502-49777 FAX EFFECTIVE 1-1-2010 DATE 46111-10 YOUR E-MAIL ADDRESS �Z c T���" �'�/►" r C-0 SITE ADDRESS Sada /27A-/%-,.4&,-,7 /a/.✓yr-e A/ F. THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: L -P P qql 12.-ffy J04 ,,_r,m TENANT ADDRESS:.Sd__ oA 19r." N X CITY An elle y STATE fVW ZIP -S_s Y.Z PHONE: -> 3 — S_ goeo CONTRACTOR NAME: 41— A7t�dv►► c® 0:11 SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # /GF% EXP DATE 27 -?17020111 AND CERTIFICATE OF ADDRESS: gFo�I �� �rs('OJbCf< ®�!rl+ CITY O1V ",V9 r4 STATE0?1VZIP SS_�'Y/ INSURANCE PHONE 7tS �— S �/� k,>e FAX PROPERTY TYPE _W*INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING BOTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION '*04AAITINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE://2�� /�e o» /t�v ,�-- /P��,e ®Pr -s-ce�4e SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING 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 FEES ARE BASEDN VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:0HRE 7104 SIN'I997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATON — _ OCCUPANCY TYPE Permit Fee $ ; k� J # Of 5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ '` % Make checks payable to: City of Fridley Attach Stipulations 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 approved plan in the case ofall work whi requires review and approval of plans. // / / SIGNATURE OF APPLICANT ", " r� ,r PRINT NAME 1011e4 6.,fy9•fL,c, DATE I PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK LINDSTROM RESTORATION 9621 TENTH AVENUE NORTH, PLYMOUTH, MN 55441-5098 Phone (763) 544-8761, (877) 544-8761 Fax (763) 544-8766 MN 0001087, FL CGC1509130, LA 44547 Building Construction Fed TIN 41-0847540 6/11/2010 Insured: Lee & Patty Johnson Property: 5232 Matterhorn Drive N.E. Fridley, MN 55421 Estimator: Werner, Dennis Business: 9621 10th Avenue North Plymouth, MN 55441 Member Number: Type of Loss: Coverage Dwelling Other Structures Contents Date of Loss: Date Inspected: Policy Number: Cause of Loss: Home: (763) 586-0030 Cellular: (612) 816-4155 Business: (763) 544-8761 Deductible Date Received: Date Entered: 6/7/2010 Price List: MNMN5B APR10 Restoration/Service/Remodel Summary for Dwelling Line Item Total Matl Sales Tax Reimb @ 7.125% x 3,425.52 $0.00 $0.00 $0.00 L/R Number: Policy Limit $0.00 $0.00 $0.00 11,817.08 244.07 Subtotal 12,061.15 Overhead @ 10.0% x 12,061.15 1,206.11 Profit @ 10.0% x 12,061.15 1,206.11 Replacement Cost Value $14,473.37 Net Claim � $14,473.37 S $Tp&,, z2c. [pus �ec Werner, Dennis (Qy stimatoc,+X+l C .a —2.A C; T-- Please contact our adjuster if you believe a supplement to this estimate is needed. Before we will consider a supplement to this estimate, we must have the opportunity to re -inspect the damages prior to the supplemental work being done. • LINDSTROM RESTORATION Lee & Patty Johnson 6/11/2010 Page: 2 Roof JOHNSON -LEE Main Level 1768.86 Surface Area 17.69 Number of Squares 246.13 Total Perimeter Length 65.00 Total Ridge Length CAT SEL DESCRIPTION CALC QNTY UNIT PRICE RCV DEPREC. ACV RFG ARMV Remove Tear off, haul and dispose of comp. shingles - 20-25 year 17.69 17.69 SQ 46.30 819.05 (0.00) 819.05 RFG IWS Ice & water shield 1006 1,006.00 SF 1.53 1,539.18 (0.00) 1,539.18 RFG 240 3 tab - 25 yr. - composition shingle roofing - incl. felt 20.34 20.34 SQ 192.97 3,925.01 (0.00) 3,925.01 RFG FLCH R&R Chimney flashing - average (32" x 36") 1 1.00 EA 281.54 281.54 (0.00) 281.54 RFG DRIP Drip edge 167 167.00 LF 1.75 292.25 (0.00) 292.25 RFG VMTL Valley metal 17 17.00 LF 3.97 67.49 (0.00) 67.49 RFG VENTE Exhaust cap - through roof 1 1.00 EA 69.98 69.98 (0.00) 69.98 RFG VENTT Roof vent - turtle type - Metal 3 3.00 EA 43.04 129.12 (0.00) 129.12 RFG FLPIPE Flashing - pipe jack 3 3.00 EA 28.89 86.67 (0.00) 86.67 RFG SHI/2 R&R Sheathing - plywood - 1/2" CDX 96 96.00 SF 2.12 203.52 (0.00) 203.52 FRM LAB Carpenter - General Framer - per hour 6 6.00 HR 61.65 369.90 (0.00) 369.90 This is to repair rafter tail ends that are damaged. FRM 2X4 (Material Only) 2" x 4" lumber (.667 BF per LF) 40 40.00 LF 0.43 17.20 (0.00) 17.20 Totals: Roof 7,800.91 0.00 7,800.91 Rear Elevation LINDSTROM RESTORATION Lee & Patty Johnson 6/11/2010 Page: 3 CAT SEL CALC DESCRIPTION QNTY UNIT PRICE RCV DEPREC. ACV SFG FACW8 R&R Fascia - V x 8" - #I pine CAT SEL DESCRIPTION 16 16.00 LF 6.81 108.96 (0.00) 108.96 SFG FACM8 R&R Fascia - metal, 8" 22.5 22.50 LF 6.15 138.38 (0.00) 16 16.00 LF 5.25 84.00 (0.00) 84.00 SFG SFTM R&R Soffit - metal 170.00 Totals: Front Elevation 308.38 0.00 36 36.00 SF 3.94 141.84 (0.00) 141.84 SFG GUTA R&R Gutter / downspout - aluminum - up to 5" 52 52.00 LF 6.15 319.80 (0.00) 319.80 SFG GRD+ R&R Gutter guard/screen - High grade 52 52.00 LF 10.21 530.92 (0.00) 530.92 Totals: Rear Elevation 1,185.52 0.00 1,185.52 Left Elevation CAT SEL DESCRIPTION CALC QNTY UNIT PRICE RCV DEPREC. ACV SFG GUTA R&R Gutter / downspout - aluminum - up to 5" 25 25.00 LF 6.15 153.75 (0.00) 153.75 Totals: Left Elevation 153.75 0.00 153.75 Front Elevation CAT SEL DESCRIPTION CALC QNTY UNIT PRICE RCV DEPREC. ACV SFG GUTA R&R Gutter / downspout - aluminum - up to 5" 22.5 22.50 LF 6.15 138.38 (0.00) 13838 FEN MN Fencing repair - Minimum charge 1 1.00 EA 170.00 170.00 (0.00) 170.00 Totals: Front Elevation 308.38 0.00 30838 LINDSTROM RESTORATION Lee & Patty Johnson 6/11/2010 Page: 4 Living Room LxWxH 2015" x 17'311 x 8' 602.67 SF Walls 352.19 SF Ceiling 954.85 SF Walls & Ceiling 352.19 SF Floor �? 39.13 SY Flooring 75.33 LF Floor Perimeter �� 163.33 SF Long Wall 138.00 SF Short Wall 75.33 LF Ceil. Perimeter CAT SEL DESCRIPTION CALC QNTY UNIT PRICE RCV DEPREC. ACV DRY MN Drywall repair - Minimum charge Goes to Floor/Ceiling CAT SEL 1 1.00 EA 410.00 410.00 (0.00) 410.00 DRY AC R&R Acoustic ceiling (popcorn) texture MASKLF Mask and prep for paint - plastic, paper, tape (per LF) C 352.19 SF 1.25 440.24 (0.00) 440.24 PNT MASKLF Mask and prep for paint - plastic, paper, tape (per LF) C PC 75.33 LF 0.92 69.30 (0.00) 6930 PNT S Seal/prime the ceiling - one coat C 352.19 SF 0.35 123.27 (0.00) 123.27 PNT MASKL- Mask and cover light fixture LIT TRK Detach & Reset Track lighting - track only 4 4.00 LF 13.40 53.60 (0.00) 53.60 PNT P2 Paint the walls - two coats W 602.67 SF 0.67 403.79 (0.00) 403.79 CON ROOM Contents - move out then reset 1 1.00 EA 56.43 56.43 (0.00) 56.43 Totals: Living Room 1,556.63 0.00 1,556.63 Dining Room LxWxH 13'3" x 9'1011 x 8' 263.32 SF Walls 130.28 SF Ceiling 393.61 SF Walls & Ceiling 130.28 SF Floor 14.48 SY Flooring 32.92 LF Floor Perimeter P w� 106.00 SF Long Wall 78.66 SF Short Wall 32.92 LF Ceil. Perimeter Missing Wall: 1- 13'3" X 8'0" Opens into Exterior Goes to Floor/Ceiling CAT SEL DESCRIPTION CALC QNTY UNIT PRICE RCV DEPREC. ACV PNT MASKLF Mask and prep for paint - plastic, paper, tape (per LF) PC 32.92 LF 0.92 30.29 (0.00) 30.29 DRY AC R&R Acoustic ceiling (popcorn) texture C 130.28 SF 1.25 162.85 (0.00) 162.85 LINDSTROM RESTORATION Lee & Patty Johnson 6/11/2010 Page: 5 CONTINUED - Dining Room CAT SEL DESCRIPTION CALC QNTY UNIT PRICE RCV DEPREC. ACV PNT S Seal/prime the ceiling - one coat C 130.28 SF 0.35 45.60 (0.00) 45.60 PNT MASKL- Mask and cover light fixture LIT RCTRS Recessed light fixture - Detach & reset trim only 2 2.00 EA 4.77 9.54 (0.00) 9.54 PNT P2 Paint the walls - two coats W 263.32 SF 0.67 176.42 (0.00) 176.42 CON ROOM Contents - move out then reset 1 1.00 EA 56.43 56.43 (0.00) 56.43 Totals: Dining Room 481.13 0.00 481.13 Hallway LxWxH 18' x 3' 1" x 8' 193.33 SF Walls 55.50 SF Ceiling 248.83 SF Walls & Ceiling 55.50 SF Floor 6.17 SY Flooring 24.17 LF Floor Perimeter 144.00 SF Long Wall 24.67 SF Short Wall 24.17 LF Ceil. Perimeter Missing Wall: 1 - 18'0" X 8'0" Opens into Exterior Goes to Floor/Ceiling CAT SEL DESCRIPTION CALC QNTY UNIT PRICE RCV DEPREC. ACV PNT MASKLF Mask and prep for paint - plastic, paper, tape (per LF) PC 24.17 LF 0.92 22.24 (0.00) 22.24 DRY AC R&R Acoustic ceiling (popcorn) texture C 55.50 SF 1.25 69.38 (0.00) 69.38 PNT S Seal/prime the ceiling - one coat C 55.50 SF 0.35 19.43 (0.00) 19.43 Totals: Hallway 111.05 0.00 111.05 General Conditions LINDSTROM RESTORATION Lee & Patty Johnson 6/11/2010 Page: 6 CAT SEL CALC DESCRIPTION QNTY UNIT PRICE RCV DEPREC. ACV DMO PU Haul debris - per pickup truck load - including dump fees 1 1.00 EA 129.50 129.50 (0.00) 129.50 CLN LAB Cleaning Technician - per hour 3 3.00 HR 30.07 90.21 (0.00) 90.21 This is for post construction clean up. Totals: General Conditions 219.71 0.00 219.71 Total: Main Level 11,817.08 0.00 11,817.08 Line Item Totals: JOHNSON -LEE 11,817.08 0.00 11,817.08 Grand Total Areas: 1,059.32 SF Walls 537.97 SF Floor 413.33 SF Long Wall 0.00 Floor Area 208.64 Exterior Wall Area 537.97 SF Ceiling 59.77 SY Flooring 241.33 SF Short Wall 0.00 Total Area 0.00 Exterior Perimeter of Walls 1,597.29 SF Walls and Ceiling 132.42 LF Floor Perimeter 132.42 LF Ceil. Perimeter 0.00 Interior Wall Area 1,768.86 Surface Area 17.69 Number of Squares 246.13 Total Perimeter Length 65.00 Total Ridge Length 0.00 Total Hip Length LINDSTROM RESTORATION Lee & Patty Johnson 6/11/2010 Page: 7 Recap by Room Estimate: JOHNSON -LEE Area: Main Level Roof 7,800.91 66.01% Rear Elevation 1,185.52 10.03% Left Elevation 153.75 130% Front Elevation 308.38 2.61% Living Room 1,556.63 13.17% Dining Room 481.13 4.07% Hallway 111.05 0.94% General Conditions 219.71 1.86% Area Subtotal: Main Level Subtotal of Areas 11,817.08 100.00% 11,817.08 100.00% Total 11,817.08 100.00% LINDSTROM RESTORATION Lee & Patty Johnson 6/11/2010 Page: 8 Recap by Category O&P Items Total Dollars % CLEANING 90.21 0.62% CONTENT MANIPULATION 112.86 0.78% GENERAL DEMOLITION 129.50 0.89% DRYWALL 1,082.47 7.48% FENCING 170.00 1.17% FRAMING & ROUGH CARPENTRY 387.10 2.67% LIGHT FIXTURES 63.14 0.44% PAINTING 89034 6.15% ROOFING 7,413.81 51.22% SOFFIT, FASCIA, & GUTTER 1,477.65 10.21% Subtotal 11,817.08 81.65% Mad Sales Tax Reimb @ 7.125% 244.07 1.69% Overhead @ 10.0% 1,206.11 833% Profit @ 10.0% 1,206.11 833% O&P Items Subtotal 14,47337 100.00% Main Level ACE SQ Fr # SQs '1 676.02 6.76 2 676.02 6.76 3 208.40 2.08 4 208.40 2.08 Estimated Total: 1768.86 17.69 III Maln Level