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2011-01827 ROOFING CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE FRIDLEY, MN55432- // ISSUED:09122011 (763)572-3604FAX: (763)502-4977 Permit #2011-01827 6290 VAN BUREN ST NE ADDRESS: PIN:143024440001 LEGAL DESC:IRENE HENRY ADD :LOT 1 BLOCK 1 PERMIT TYPE:BUILDING PROPERTY TYPE:RESIDENTIAL CONSTRUCTION TYPE:ROOFING VALUATION:$833.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. KICK-OUT FLASHING REQUIRED PER SECTION R903, 2006 I.R.C. CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM, MONDAY THROUGH FRIDAY AND BETWEEN THE HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS 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. REROOF PER ATTACHED SCOPE. BUILDING PERMIT FEE35.70 APPLICANT FIRE SURCHARGE0.83 TOTAL SERVICE COMPANY INC STATE SURCHARGE, BLDG VALUE0.50 6318 CAMBRIDGE ST STE 2 LICENSE SURCHARGE5.00 MINNEAPOLIS, MN 55415- TOTAL 42.03 (952) 646-3870 Payment(s) Minnesota State License #: 20634007 CREDIT CARD350342.03 OWNER BABER, BRITTNEE & CHAD 6290 VAN BUREN ST 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________ 9/12/11 Bldg Insp____________________________Date ________ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE ISSUED:09/12/2011 FRIDLEY, MN55432- (763)572-3604FAX: (763)502-4977 Permit #2011-01827 6290 VAN BUREN ST NE : ADDRESSPERMIT APPLICANT: PIN:143024440001TOTAL SERVICE COMPANY INC LEGAL DESC:IRENE HENRY ADD6318 CAMBRIDGE ST STE 2 :LOT 1 BLOCK 1MINNEAPOLIS, MN 55415- PERMIT TYPE:BUILDING PROPERTY TYPE:RESIDENTIAL(952) 646-3870 CONSTRUCTION TYPE:ROOFING : VALUATION$833.00 BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM INSPECTION TYPEDATEINSPECTORCOMMENTS PICTURES EMAILED. ICE & WATER BARRIER10/18/11PDAVE REROOF GARAGE ONLY. FINAL10/18/11PDAVE INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. Building BUILDING PermitrTo.: Z��i� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D��`��� � 763-502-4977 FAX � EFFECTivE i-i-zoii � DATE �' � Z• I I YOUR E-MAIL ADDRESS J�+G� o��T`h-J'C �Z.J �cEw-tti1. C e w� SITE ADDRESS �p Z�1 U �/�-ti1 �Jv"Z£ � ST �� THIS APPLICANT IS: ❑ OWNER �ONTRACTOR PROPERTY OWNER/ NpME: p��.F�E�So�..�� ��-5 TENANT ADDt�ss: (oZ�6 ✓�a i�Q£� Sr ►� cirY "�..�`£.l STATEn'�^�ZIP$�S43Z PHONE: 1 Co 3-'S 1 I�� is � 1 , CONTRACTOR NAME: o^ c �Z„�l �� ,,,,?,t.r.� SUBMIT A COPY OF STATE LICENSE # ZOCo O p LEAD CERT NUMBER �" �- 3(� �✓S� - �\- � 2� I� p YOUR STATE LICENSE AND CERi�ff''ICATE OF .ADDRESS: 8��1J'� �(Ef=�ES R�JiL. ^I CITY�tzooK�.y�� ��K STATENI� ZIP�� TNSURANCE PHONE S Z- �(o � O FAX � 43- � 3 Z!� 6l � PROPERTY TYPE C� SINGLE FAMILY/NEW CONSTRUCTION SIZE I� TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH �IROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION �MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Z�. �no r �E Z RTT°CC L�� � Scc?E- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT RO ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES (o • 3 3 ❑ HOUSE & GARAGE L Existing Floor Plan GARAGE� �ATTACHED GARAGE 2. Proposed floor plan , PROPOSED SIZE: C} DETACHED GARAGE 3. List of structural members to be;used PROPOSED HEIGHT: � FOR NEW CONSTRUCTION INCLUDING DECKS, SID� ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the eacisting structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDpWg 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALLJE AND OR FOR NEW OPENIAIGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST �OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) 'OTAL JOB VALUATION $ �j � OCCUPANCY TYPE Permit Fee $ � �_ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surchazge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $5.00 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2230 per SAC Unit (Plans to NIWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$25= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary O Non Necessary O Total Due $ i Make checks payable to: City of Fridley Attach 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 cod s 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 pe it and w rk is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of a11 ork ich re u'r s review and approval of plans. SIGNATURE OF APPLICA PRINT NAME .J,�,: _ O� TC� DATE �• I Z' I I APPROVAL INSPECTOR SI N _____ , u � Total Service Company Restoration and Remodeling 6318 Cambridge Street St Louis Park,1VIN 55416 952-64E-3870 Phone 952-646-3832 Fax IVIrT Lic # 3903 Home: (763) 571-3647 Insured: Nels Alfredson p��rty; 6290 Van Buren Street NE . Fridley, MN 55432 . $usiness: (763) 45$-8044 (,iaim Rep.: Doug Nolting Business: (763) 458-8044 Estimator: Doug Nolting Rcference: Company. Auto Owners ' Business: (952) 646-3870 Contractar- . Comp�y� Total Service Company Business: 6314 Cambridge Street St Louis Pazk, ML� 55416 �iaim Nnmber: 67-1775-11 Policy Number: Type of : Wind Damage Date Contacted: 7/21/2011 Date of Loss: Date Received: 7/21/2011 Date Inspected: 7/22/2011 Date Entered: 7/2�2011 9:42 AM priceList MNMN7X JLTLiI Restoration/Service/Reinodel R�rirr�are: ALFREDSON_NELS Please exam�►e ���� �Y' ��u� ��"e item notes, to make sure that all the itrms needing to be in it are Contractor does not assume liability for any missing scope or pricing. Therefore, this estimate listed and priced correctly. hsted. Additions and or changes to this scope will result ui does not mciade any labor andlor materials not speci�icaliy ' Pnpng changes' ��ma,te is good for 30 days. , c� _�,:.,o f mm�anv 1 ul.� �c� .,.... ,. _- a Restoration an Remodeling 6318 Cambridge 5tr55416 St Louis Park, MN 952-64b-3870 Phone 952-646-3832 Fax 1VIN Lic # 3903 Garage 0 :4I.FREDSON_NELS Main Level 552.00 Surface Area 94.00 �'otal Pernnecer Length 5.52 Number of Squares t: QNTY RFMOVE REPLACE TOTAL D�C�IpTI�N 47.61 0.00 273.76 1. Remove 3 tab - 2fl YY'• - composition 5.75 SQ shingle roofing - incl. felt , 0� 173.65 1,099.2{1 2. 3 tab - 20 yr. - compos ition shingte 6.33 SQ roofmg - incl. felt ' 0.00 � i.32 182.1 b 138.00 S.F 3. Tce & water shield 0.� 1.g7 1,189.88 1 ood _ 1/2" CDX 604.00 SF 4. Sheathing - P YR' 0_29 1.83 199.28 ed e/ tter apron 94.00 LF 124.84 5. R&It 1hiP s� o.o0 62.42 6. Carpenter - General Framer - p er hour 2_00 HR (2) cross meanbers onlY• 0.00 4.00 92.00 23.00 LF 7. Fascia - metal - 6" 0.� 7.54 173.42 23.00 LF g, Gutter / downspout - aluminum - 6" 0.00 0.43 129.00 ^/ 9. (MaterialOr►ly) 2" x 4" lumber (.667 BF 300.00 LF � �' F�g materiai to remove bow from roof. �� 62.42 249.68 / er hour 4.00 HR 10. Carpenter - General Framer - P to re bow in rouf. �� �ar ��� �om �t �ieepers to fur out roof prior to sheeting p�' � 3,713.22 Totals: G�ge 3,713.22 Total: Main Level DESCRIPTIUN 11. R&R Fascia - metal - 6" ALFREDSON_NEI-S House QNTy REMOYE 40_00 LF 030 r, , �• _ REPLACE 3.70 7/2?J2011 TOTAL 160.00 Page: 2 Total Service Company �estoration and Remodeling 6318 Cambridge Street St Louis Park, MN 55416 952-646-3870 Phone 952-646-3832 Fax MN Lic # 3903 DESCRIPTION Totals: House CONTINITED - House QNTY RFM�VE gEpLpCE TOTAL 160.00 �itrnitnre DESCRIPTIUN QNTY REMOVE REPLACE TOTAL 12. Lawn Furniture l.00 EA 0.00 75.00 75.00 Agreed npon price for lawn furniture damaged. � 75.00 Totals: Furniture ' Tree Removal DE5CRIPTION QNTY REMOVE REPLACE TOTAL 13. Sub bid from GreenMakers Lawn Care 1.00 HR 800_00 0.00 8()0.00 Invaice will be sent along with Tota1 Service estimate for repairs. 800.00 Totals: Tree Removat General Conditions DESCRIPTIUN QNTY , �RF.MOVE REPLACE TOTAL 14. debri removal from yard 1.00 EA _ l�.00 0.� 125.00 125.00 TotaLs: General Conditions * 4�3� Line Item Snbtotals: ALFREDSON NELS , Adjusdneat Adjas�ents far Base Service Charges t 24.84 Carpcnter - General Framer 292.50 Roofer 139.18 Siding Installer . 7/2?J2011 Page:3 ALFREDSON_NELS . TotaI Service Company Restoration and Remodeling 6318 Cainbridge Street � St Louis Park,lvIN 55416 952-646-3870 Phone 952-646-3832 Fax MN Lic # 3903 Adjustment Adjustments for Base Service Charges 556 52 Total Adjusoments for Base Service Chacges: 5,429.74 Line Ite.m TotaLs: ALFREDSON_NEI.S ° Grand Total Areas: 0.00 SF Walls 0.00 SF Floor .. 0.00 SF,Long Wall 0.00 F1oor Area p.00 Exterior Wall Area 552.� SurFace Area p.00 Total Ridge Uength ALFREDSON_NELS 0.00 SF Ceilizlg 0.00 SY Flooring 0.00 SF Short VJall 0.00 Total Area 0.00 Exterior Perimeter of Walls 5.�2 Number of Squares 0.00 Total Hip Length o.00 sF w� �a c�g 0.� LF Floor Perimeter 0.00 LF Ceil. Perimeter p.p0 Interiar Wall Area 9�.Q0 Total Ptrimetex Lengd� , ". 7l2212011 Page:4 'ratai Service Company � Restoration and Remodeling 6318 Cambridge Street St Louis Pazk, MN 55416 952-646-3870 Phone 952-646-3832 Fax �T Lic # 3903 Summa�y for Dwelling Line Itcm Total Total Adjustmer►ts for Base Service Charges 1,360.20 Msd Sales T3x ReimU C� 7.625% x Subt°tal 5,533.�6 ��e� @ 10.0% x �fit @ 10.0% x 5,533.46 Replacement Cost V�lue Net Claim Doug Nolting pLFREDSON_NELS ; ,�� , 7l22J2011 4,873.22 556.52 103.72 5,533.46 553.35 553.35 $6,640.16 $6,b40.16 Page: 5 7 � .� � r � � � �� � � � � � cL � � 0 N c� N � � zl 0 LI! Q � ►.� Q�