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2017-02249 ROOFINGCITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432- (763) 572-3604 FAX: (763) 502-4977 ADDRESS : 6489 RNERV[EW TER NE PIN : 153024420088 LEGAL DESC : UNAVAILABLE : LOT * BLOCK * PERMIT TYPE : BUILD[NG PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 4,932.00 NOTE: UNDERLAYMENT AS PER S"I�ATG I3UILD[NG CODG. * 2 O'I 7— O 2 2 4 9* ISSUED: 11/07/2017 Permit # 2017-02249 CONSTRUCTION IN THE CITY IS UNLAWFUL GXCEPT BGTWEEN THE IIOURS OF 7:00 AM AND 9:00 PM, MONDAY THROUGH FR[DAY AND E3ETWEEN THE I IOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK [S ALLOWED ON SUNDAYS OR ANY LEGAL HOLIDAY UNLESS AN AL'I'ERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED. CALL FOR FINAL INSPECTION WITH[N 10 DAYS AFTER COMPLETION. "['EAR OFF AND REROOF HOUSE ONLY 32 SQ [NCLUDING 6489, 6491, 6493, 6495 APPLICANT SAMS ROOF[NG INC 61 CIMARRON LAKE ELMO, MN 55042- (763) 464-0447 Minnesota State License #: GENR-BC637622 OWNER THORNTON, CAROL L 6489 RIVERVIEW TER NE FRIDLEY, MN 55432- AGREEMENT AND SWORN STATEMENT This permit becomes nuil and void if work or construction authorized is not commenced witin 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp____� Date 11/7/17 BUILDING PERMIT FEE 111.25 FIRE SURCHARGE 4.93 STATE SURCHARGE, BLDG VALUE 2.47 LICENSE SURCHARGE 5.00 TOTAL 123.65 Payment(s) CREDIT CARD 8553 02249 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 123.65 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCT(ON TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432- (763) 572-3604 FAX: (763) 502-4977 ISSUED: ivo�i2oi� 6489 RIVERVIEW TER NE 153024420088 UNAVAILABLE LOT * BLOCK * BUILDING RESIDENTIAL ROOF[NG PERMIT APPLICANT: SAMS ROOFING INC 61 CIMARRON LAKE ELMO, MN 55042- (763)464-0447 VALUATION : $ 4,932.00 BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM INSPF.CTiON TYPE DATE INSPECTOR COMMENTS [CE & WATER BARRIER INSPECTION COMMEI�TTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUE3STANTIALLY REMODELED BU[LDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIPICA'I'E OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. Building Inspections BUILDING v �j3 Permit No.: d�7 - 763-572-3604 RESIDENTIAL APPLICATION Received By: �� 763-502-4977 FAX CITY OF FRIDLEY � 7 � 7 EFFECTIVE 1/1/14 Date Rec'Cl: DATE� �/' 3"" �% YOUR E-MAIL ADDRESS S r+1 s rGc' �.�.� � l 4 it GC�• �C SITE ADDRESS I`� K� vtiv� lW C� /� � � � � THIS APPLICANT IS: ❑ OWNER �ONTRACTOR PROPERTYOWNER/ NAME: �vL �/,J ' tiQj TENANT ADDRESS: (� �'�� /� � ✓ �1 %�/ R-' l� � %f CITY � �Gc STATE� :✓ ZI�S`�Z PHONE: ((�/�t ' �o� I - ySaE CONTRACTOR NAME: � G , ivG SUBMIT A COPY OF - YOUR STATE LICENSE STATE LICENSE # C(c 7G .� LEAD CERT NUMBER EXP: AND CERTIFICATE OF ADDRESS:��, % � i,v. � ra✓ L/f �"-�— ,�IrLY' yv� .�✓ CITY�I�+�' STATEJI�,�fLIPSS�Gt�2 INSURANCE pHONE % � "� / ��- G' �"�Y� FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SNED ❑ WiNDOWS ❑ BASEMENT FINISH C�ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: E, � CY SIZE OF IMPROVEMEN LENGTH WIDTH HEIGHT �/ SQ FT �� ROOFING P.�HOUSE ONLY NUMBER OF SQUA S 3� � ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: l. 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 ❑So�t 5IDING/SOFFIT/FA5CIA ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim REMOVED? ❑ YES ❑ NO � 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 W[NDOWS FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFAC'1'URE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLLJDING THE COST OF LABOR AND MATERIALS: (UZSI�T�� G 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ']� 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 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum or .50 $5.00 (State Licensed Residential Contractors) $2485 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$26=$ $450 Conservarion Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks uavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID LTNTTL 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 pernut but only an application for a pernut and work is not to start without a pernut on site; that the work will be in accordance with the approved plan in the case of all wor,�c w]�qh,jequir e' approval of plans. SIGNATURE OF APPLICANT APPROVAL INSPECTOR SIGNATURE �� 1 PLEASE NOTE: SEPARA PERMITS ARE P NT NAME �° �� / DATE // �� 7 � 1��1 FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK