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PRE 2010 DOCSCity of Fridley, Minn. NT° 9697 BUILDING PERMIT Date: _ ARrij 29, 1968 Owner: Charles Johanson Builder Same_ Address - 160 Hartman Circle ,address same LOCATION OF BUILDING No. 430 Street Rice Creek Blvd. — part of Lot Lot _ 6 _ Block 3 Addition or Sub -Division ­ Holiday. Hills 2nd Addn. Corner Lot — Inside Lot — x Setback 35 '� _ Sideyard --2 Q W 1' Sewer Elevation 846.00 849.00 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front ._.._44 Depth 32 ' Height 25'Sq. Ft. 1,152CLL Ft 28,800 Garage Front 20' Depth 22' Height 12' Sq Ft. 680 Cu. Ft. 8180 Type of Construction _„_„Frame Est. Cost _ 30 000 To be Completed Sept. 1968 SEWER LOCATION - 61' South of Manhole WATER LOCATION - 51' South of Manh®le In consideration of the issuance to me of a permit to construct the building d bed above, I agree to do the proposed work in accordance with the description above set and in co pli ce tit all provisions of ordinances of the city of Fridley. _ 8100.00 Sewer Conn ion. Charze In consideration of the payment of a fee of $---55,00 , permit is hereby granted to Charles Johanson 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, maintenan and m of buildings within the city ts and this permit may be revoked at any time upon on ? f the visions of said ordinances. BUILDING NOTICE: We 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 hone. APPLICNTION FOR BUILDING PERMIT CITY OF FRIDLEY, MIMNESOTA OWNER'S BUILDER 160 Hartman Circle 160 Hartman Circle ADDRESS r..,A --ft'! ADDRESS— ...&JF 10imi. 55432 +Wffm�W-Ssm=�� LOCATION OF BUILDING NO. STREET jc"e a0/4PAR3' OF LOT LOT- BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT _ySETBACK Ir SIDE -YARD 3-0 - /Z, It- - .11 ......... k� SEWER ELEVATION* FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used Ad: Front 9 Depth 3 z- Height � 5 Sq. Ft._ a Cu. Ft. Front Depth ')— '2— HeiRht— Sq. Ft._ 69 Cu. Ft. Type of Constructions 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 of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE, I (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Cas Ruing Penn it (Y} Dept. of Bldgs. Phone SM -333445,0 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location N in NO. RATE TOTAL Number Fixtures.... Fixtures.................. x $2.00 $ Future Fixture Opening ................ ' x $1.50 Y New Fixture Old Opening .............. Z w •u7 x $3.25 w ? • • WATER HTR. GAS ELEG Base z $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... —x$.75 $ Gas Range to 199,000 BTU .............. x $5.00 ¢ 1st 1 J 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings Connected with Sewer E] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures.... 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 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... —x$.75 $ Gas Range to 199,000 BTU .............. x $5.00 ¢ REPAIRS & ALTERATIONS—Refer to Code Description................................................ $_ ............................. TOTAL FEE $ k 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. Owner Kind of Used as To be completed about Estimated Cost, $ L / Old—New. Building Permit No '� Permit °7 Signe By Business Phone No ROUGH FINAL .QW42 City of Fridley Application for Plumbing and Gas F'iMng Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures • 1 F. 3, 0 • PLUMBING FIXTURE RATES: gQ Number Fixtures ........... .......... —t -Ix $2.00 $ o 7� a Y Future Fixture Opening ................ OQ $ <3 x $1.60 �U` �p R N WATER HTR. GAS ELEG m '$3-00 $ • New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater s $2,00 $ GAS FITTING FEES: SW 1st 3 Fixtures ........ ................. d a� Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 Base fie 1st I 2nd 24 3rd _ 4th ° Future Connection Openings Connected with e New Fixture, Old Openings I Sewer E] Cesspool E] • 1 F. 3, 0 • PLUMBING FIXTURE RATES: NO. RATE TOTA Number Fixtures ........... .......... —t -Ix $2.00 $ o Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.60 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... '$3-00 $ • New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater s $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........ ................. x $2.00 17 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ TOTAL FEE $ r - • City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do a11 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. 0 Owner I!�s� Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Qe, Permit No. Signe By Business Phone No ROUGH FINAI, 42 19 Original. 0 PERMIT for Power*ants and Heating, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to b installe ltered—repaired Make , Size % ® 3 )Jc- , Oil fired ; Coal fired , Gas f ired--X_; Gas Authorization No, Remarks )L' l Approved Final Inspection M 19— Inspector Permit N® 4598 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn.,.25"Z 19-4—? Owner Location Kind of Building How Occupied Work to be Commenced—,19— To ommenced ,19_ To be Completed ,19_ Estimated Cost, $ 5817/1 Old -New, Building Permit No. Permission is hereby granted to®"� to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings 4z 2M 17-67 V 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 ..................... :.... $10.00 �+ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam .................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ............. .......... 5.00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 ®O $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING a®® FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL 4-16-71 Dept. of Bldga. Phone 560-3450 !' W-0 /r / f City of Fridley: The undersigned hereby makes application for a permit for the work hereir 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. Fridley, Minn !I — ,;? ( y 19 Owner L. - Kind Kind of Building ✓L Used as To be completed about 0® Estimated Cost, $ MW— New. Building Permit No. e,1'1w` q : Permit No. DESCRIPTION OF WORK BEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No !� Trade Name � � Size Nolj � X//� � ®I T Z Capacity Sq. Ft. E.D.R BTU A.P. Total Connected Load 79; O o 6 Kind of Fue BURNER — Trade Nam Size No- O C 70 Capacity Sq. Ft. E-DBTU H.P. (REMARKS—OVER) Signedjl�ax,�� Q By �/ oa��fi�ma� az Business Phone No- / ® SUB.IE& MIT NO. City of Fridley 30278 AT THE TOP OF THE TWINS BUILDING PERMIT P RECEIPT NO. E COMMUNITY DEVELOPMENT DIV. may_----•- -�f0 j PROTECTIVE INSPECTION SEC. J i 1, CITY HALL FRIDLEY 55432 NUMBERDATE pEV PAGE OF APPROVED BY ----�'�1.— L 612-571-3450 910415 9/23/99 JOB ADDRESS 430 Rice Creek Blvd. 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Holiday Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Eric & Kathy Gunlogson 571-8481 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN 3118 Snelling Ave S Mpls MN 55406 721-6628 2179 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION x[R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (19 Sq) Tear -off; Reside house and garage; Soffit and fascia 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. Provide soffit ventilation to meet the State 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 60 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $16,158 $8.08 DOES NOT PRESUME TO 'GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $279.25 Fire SC 16.16 PLAN CHECK FEE T07TALE Licen a 5.0 .49 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEj HEN ROP G 4NSP ALIDAT HIS IS R P RMI �� tE S-GNATURE OF OWNERof OWNER BUILDERL IDATE1 i� L W I I ADDN"° I®I CITY OF FRIDLEY A1:I'ER I I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application astruction Address: ,V3o ff,� L'ltecUve lti/94 AQ T0 3 /,;t 3 qq Legal Description:— Eric 4- n 13o deice- Owner Narne& ddress: � uh o ion F�,d/ems �� ssv3� Tel. /I Contractor: _ �! .Lu © I' MN LICENSE // 2-1-79 Address:-- 1l Lo tL (.c (i _ Tel. # -7.--;t/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. -5/.;)3 DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sy. Ft. GARAGE AREA: Length Width Height Sq. Ft.- DECK t.DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot j Inside Lot Ft. Yd Setback Side Yard Setbacks — Tune of Construction: S.oih ®<�•"� �GiSCiBi ` Estimated Cost: $ l l ` o ,,rox. Completion Date: ' d�"15 lqljol (Cost on Back) Driveway Curb Cut. Width Needed: Ft. -I- G Ft = Ft x $ / Tel. // DATE: , .Jl APPLICANT: CITY US U QILY_ Permit lee Dire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $� Fee Schedule on Reverse Side $/(p,/(o .001. of Permit Valuation (1/10th%) $_ _�� U $.50/$1,000 Valuation $ _ $800 per SAC Unit S-100 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary I I Not Necessary I _ _ ..r_r.. ., w. vv Ivl♦ VI V. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RAADV'IJI IRAOcn ter- ...... _ Effective On May 10, 1999 PLUMBING FIXTURE RATES: /� :: Urina ---- -- - -- -- - ••• .,.. �.�.�., Wash ShowerTrayDrain I P%LLCU r UN tAtai :.. t-WUR Auto WasherBasemen =Ran Gas a �•:'�.=...>�:-,Water Heater . Gas Elec Stories Floor r1 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Floor 2 Floor 3 Floor 4 $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Gas Range" $10.00 =iid+ $10.00 PLUMBING FIXTURE RATES: NO. RATE New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $7.00 Catch Basin 7 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Gas Range" $10.00 Gas Dryer"" $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL JOB ADDRESS —=-) A {' 5 ©WA)15L 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. GUNLOGSON, ERIC , z /7 430 RICE CREEK BOULEVARD N.E. OwnerFRIDLEY, MN 55432 - (763)571-8481 TOTAL FEE $z0___50 Building Used As �� j de-�s► Estimated Cost TU01 PERMIT NO. PLUMBING COMPANY bLC?n FL J/0/;/Mr, SIGNED BY NO�9(2 $27- L%33 141 Approved B PP Y Rough -In Date Final Date - /-.3 •-L "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. From: 6517621836 Page:� 218 Date: 8/20/20081:22:02 PINI A wilding WELDING Permit No.: ` Inspections RESIDENTL4� APPLICATION Received B • 763-572-3604 CITY OF FItIDLEY Date Rec' . 763.5024977 FAX EFFECI7VE 1-"8 DATE "d CfYOUR EMAIL ADDRESS y.VA f-� C't Y)n S to bti+^+ SITE ADDRESS Y3 w c-4- C-� �?i w- A2 W � & THIS APPLICANT IS: Cl OWNER AICONTRACTOR PROPERTY OWNER/ NAME: Err C. C un 1, 0q S avi ADDRESS: "'(30 rZ4 CC- 13l V0 crry STATVA ZIP TENANT PHONE: J 6 3 — 5-71 — F d+ NAME: t ADDRESS: s �'! l CITYcS'>f+ i (tA! A STAT ZIP CONTRACTOR SUBMIT A COPY OF pHoNE L5 1`! 14 --'52 g 4 FAX 451—:210A l t l (o YOUR STATE LICENSE STATE LICENSE d 2 0 (6 'I (9EXP DATE + 31 3iJim PROPERTY TYPE 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE 0 TWO FAMILYAMW CONSTRUCTION STORK PERMIT TYPE O ADDITION O GARAGFAHED D WINDOWS O BASEMENT FINISH�1 ROOF O DRAIN TILE D DECK O SIDING 0 OTHER D SWIMMING FOOL TYPE OF WORK: D NEW HOME CONSTRUCTION D ADDITION 0 MAINTENANCEIREPAIR D REMODELING DESCRIBE. WORK BEING DONE: 91 - SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT goo—FolIG NUMBER OF SQUARES D HOUSE ONLY (��Lf �'I HOUSE, dt GARAGE gASgM�T 1. R>�tOpELiNSI gilBMi_T; Existing Floor Plan GARAGES D ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: D DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGI•TI': PROPOSED FOR NEW CONSTRUCTION INCLUDING DECKS, D Vinyl D Alumintan psoq-g D Trim ADDITIONS_ 1. al: PORCHES SUBMIT. Site Plan/Surveyshmingdtomcisftstruobmes D Other D Fascia 2. and propprojectpro� Two sats ofconstruction plans WINDOWS 3. Energy calculations IN EXISTING OPENINGS OYes 13No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OP OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE iSED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ 12. 3 (USING TO 0"7 URC FEE SCHEDULE)OCCUPANCYTYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 650/6 of Building Permit Fee Fire Surcharge $ c ° .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft n ft x $21=$ - Erosion $Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Nary ( ) Total Due $ n a Make checks payable to: Clty of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building parmit and 1 acknowledge that the lnfomation above is complete and accurate; thu the work will be in confamom with the ordinances and codes of du: City of Fridley and with am Minnesotp Construction Codes; duct I understand this is not a permit but only an applicuion for a permit and work is not to start without a porraften site; that the work will be is with rove�Ian' e case of all work which review and of )� r_SIGNATURE OF APPLICA PRINT NAMfE 1f • 1�ry L, DATA b APPROVED BY DATE From: 6517621836 Pa&e� 4/8 Date: 8/20/20081:22:03 PM L /,MwD 'VV RRVEM ROOFING, INC. 4-113 9270 Otchliswe Avenue N. Stillwater, MN SS082 10 (Office) 651-439=5746 (Fax) 651-762.1:636 Ucensed/insured Submitted To: ERIC GUNLOGSON 430 Rice Creek Boulevard NE Fridley, MN 55432 IMIC: 8/1/08 Page I of 2 763-571-8461 �.MPP%10-0 We hereby propose to furnish the materials and perform the labor necessary for the cbitPUettau+ of: 610JUpper &,jagmt flu rooft- Protect buildingA -landscape frown debris Removal, disposaM dean up of existing roofing histall W Inch High Density wood fiberboard, mechanically f"tened Install 60 roll FULLY ADHERED E.PDM (rubber g ) roof system as fbilows: • Membrane secured. flashed & tun undervoA`to —upper roof • Sealn spliced with W lap In lieu of Industry standard of r • New pre -molded plumbing stinks & • Chimney secured flashed with regtet cut Into masonry before Installing PREFIN&ED metal counter flashing • New sheet metal mechanical stw*s Installed & properly flashed • Fabricate & Install 24 gauge PREFINISHED metal flashing at perimeter, flashed per manufacturers recommendations (set in Water -Cut -Off 6 screwed dorm) Clean job site thoroughly & dispose of debris 7 YEAR WARRANTY ON WORKMANSHIP BASE BID $10,385-00 Install I /8u tapered polylsocyanurate Insulation tapered 0 to 2" (R-7) ALT. #1 + 1,952.00 "*Prkw for nwmrWs are due to increase 8/15/08. fim Contractv provided pm* additional/extra Owner ny urftresew awp6ritty *'*k to d6t6dorafted areas (do* or alai sO biffed a Tim & Materials bads Owwropensible-fordftammgon-&r&hookupofanVM@JeWeid.sauftorcOkmIm items We shag pWarm the aforementioned (tax Induded) for the sum OP. DOLLARS Payment to be as fallmoet Owner agrees that oil other paymealts rMAred under this cmimot shall be due and pay" Wddn to (10) days of dift of kwalce wheow billing Is tbrJob to "wadm meterlels stoned, work completed each month or final PAVMM nquesL Owmagrees dot CoMactormwdomkorenatthe ORMW rate of eighteen Pe�t�iir�paid manthx WSP 4(itsser parcentw is ftqulnw bV IM if P"Ments am IM made when due, Incosts h0defflal 10 WffedM and 4o* fees Of eii ftin* Is retained for wUecdonto atop work on the pmj ,j shall be w if qM~ does not nuke payment to the Camanar who due. Owner hereby releases Com of no*e requirement for ftnriots in- the own Payments we muds wuwhen due as outlined M the paragraph. This proposal nay bell-M-MMUMMU-1— byus it'im-acceotedvAthlb 10 dAV& This proposal is based an the work being started within Now (1 5) days from *MdMGfdftpj"0W*" fts 0 IM S REVIEWED-"�' �R CODE � PLIANCE Building - BUILDING Permit Fee Permit No.: AJ000- l% Inspections Plan Review RESIDENTIAL APPLICATION Received By: 763-572-3604 $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge CI'T'Y OF FRIDLEY $5.00 (State Licensed Residential Contractors) Date Rec'd: 0a 763-502-4977 FAX $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control EFFECTIVE 1-1-118 $450 Conservation Plan Review Park Fee DATE /.6 V /f, % e og YOUR E-MAIL ADDRESS i2W_z_ �z�� J M De-� 5 f ,1'! a � 0 Id. SITE ADDRESS '/3 ® Riet? dr"C'Qk ai-y p Total Due $ r7 Make checks Davable to: City of Fridlev Attach Stipulations THIS APPLICANT IS: ❑ OWNER OONTRACTOR PROPERTY OWNER/ NAME: o-yq '©N TENANT ADDRESS: Z,I '� �! f @ G+�-e� 1c f3Ly® CITY �r Q Lx y STATE /*/✓ZIP PHONE: 763 - S-71- 0 e181 NAME: P jgu jY ADDRESS: (, d V CITY IN a- STATE/kAZIP 6_5_'1 CONTRACTOR SUBMIT A COPY OF PHONEga52 - 9 Y - 98i8 FAX is'z - Y //60 YOUR STATE LICENSE STATE LICENSE # 2-e 7- 7 EXP DATE PROPERTY TYPE F9iNGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR MODELING DESCRIBE WORK BEING DONE: G o SIZE OF IMPROVEMENT LENG WIDTH HEIGHT SQ 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 used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl []Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS ❑Yes o LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DES E SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED dCN+ zoggg NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TUTAL JUB VALUA110N - OCCUPANCY TYPE. Permit Fee 7 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 $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ r7 Make checks Davable to: City of Fridlev 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 unde 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 actor with in f all work which requires review and approval of ans. SIGNATURE OF APPLIC _ _ kINT NAME, ��W�`'� DATE APPROVED BY DATES/ u�