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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 RIVERVIEW TER NE PIN : 153024420088 LEGAL DESC : UNAVAILABLE : LOT * BLOCK * PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL COI�TSTRUCTION TYPE : ROOFING VALUATION : $ 4,932.00 NOTE: UNDERLAYMGN"I' AS PER STATE f3UILDING CODE. � Z O 1 7- O 2 2 4 9* ISSUED: 11/07/2017 Permit # 2017-02249 CONSTRUCTION IN THE CITY IS UNLAWFUL GXCEPT BETWEEN TFIE HOURS OF 7:00 AM AND 9:00 PM, MONDAY THROUGH FRIDAY AND BE"I'WEEN THE HOURS OP 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK [S ALLOWED ON SUNDAYS OR ANY LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED. CALL FOR FINAL INSPECTION WITHIN 10 DAYS AFTER COMPLETION. TEAR OFF AND REROOF HOUSE ONLY 32 SQ [NCLUDING 6489, 6491, 6493, 6495 APPLICANT SAMS ROOFING 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 null 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 SURCI-IARGE 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 CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432- (763) 572-3604 FAX: (763) 502-4977 IssuED: iiio�i2oi� 6489 RIVERVIEW TER NE 153024420088 UNAVAILABLE LOT * BLOCK * BUILDING RESIDENTIAL ROOFING 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 INSPECTION TYPE DATE INSPECTOR COMMENTS ICE & WATER BARRIER INSPECT�ON COMMENT5: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILD[NGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE 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.: 4�%� D 763-572-3604 RESIDENTIAL APPLICATION Received By: •�� 763-502-4977 FAX CITY OF FRIDLEY �.� � 7 EFFECTIVE 1/1/14 Date Rec'C�: DATE /�/" :3 "�% YOUR E-MAIL ADDRESS S�� r"t S rGC ,�✓ 1� � a h �a. Cc SITE ADDRESS .`� K� vc.J �� C I,J C Z /� � ', qi� � THIS APPLICANT IS: ❑ OWNER [�ONTRACTOR PROPERTYOWNER/ NAME: �v(i i/,J ' ,v� TENANT ,�DRESS: (� �'�� / ✓� !�� ' � � %✓ CITY /" - �C.'r, STATF� :✓ ZIY�S`�� PHONE: �P�� '� I ' %�oZ� CONTRACTOR Na�E: �, c /, �vG SUBMIT A COPY OF STATE LICENSE # �- G �G � LEAD CERT NUMBER EXP: YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: (� / i,,,� f r• �✓ 1�'� �`^— ��' yH a✓ CITY �'..c� ��+c' STATE�/`LIPSSG�2 INSURANCE pgONE � �3 �"" � - G� �� FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTTON SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DITION ❑ GARAGE/SHED ❑ 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. ' C�% SIZE OF IMPROVEMEN LENGTH WIDTH HEIGHT �� SQ FT �� ROOFING Q�HOUSE ONLY NUMBER OF SQUA S 3 a � ❑ 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 SIDING/SOFFIT/FASCIA 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 OYes �No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTIJRE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL r'L�S ARE BASEll ON VALUATlON,1NCLUDING THE COST OF LABOR AND MATERIALS: (U�SI��E 1997 U.B.0 FEE SCHEDiTLE) TOTAL JOB VALUATION $ '7`L/ L OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License 5urcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ See Back Page for Fee Schedule 65% of Building Pernut 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 + 6 ft= ft x$26= $ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable to: Citv of Fridlev Attach 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 of all wor,Jc w]�qh,jequir�e ' approval of plans. SIGNATURE OF APPLICANT APPROVAL INSPECTOR SIGNATURE �" � I PLEASE NOTE: SEPARA PERMITS ARE P NT NAME �° �� DATE I/ ��/ � l��`��I1 FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK