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PRE 2010 DOCSPermit Fee paid on Permit #11,315 for 1560 - 1570 69th Avenue N.E. City of Fridley, Minn.. 11320 6431 University Ave. N.E., Minneapolis, Minn. 55432 BUILDING PERMIT ate: February 22. 1972 own": .Rye Creek Davel ogment Company Builder Approved Contractors. Inc. Address _85 West Road, Circle Pines, Minn Address 1052 Osborne RoadN„E., Fridley 786-3680 157731575,1571, LOCATION OF BUILDING 0156901567,15 arca s &_ 0, Sect�.one�e N.E. Part of Lot _ Ut Block Addition or Sub -Division Corner Lot Inside Lot Setback Sideyard $ewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Each Unit 6 T2Wnhouse Units Front 20' Depth 32' Height 21' Sq. Ft. _1213' Cu. Ft Front Depth Height ._ _ Sq. Ft. _. Cu. Ft. Type of Construction - Wood Frame Est, Cost See .3,15 To be Completed —1 year In consideration of the issuance to me of a permit to construct the building described a e, I agree to do the proposed work in accordance with the description above and in compl nc�all provisions of ordinances of the city of Fridley. , n / � In consideration of the payment of a fee of $_§ ee #11, 315 permit is hereby granted to Rice Creek Dev. Co . 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 water. city limits and this permit may be revoked at any time upon violation of any of the provisions of said �CLARE=CEEpector ELISL NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Bas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. LLOYD W. DARG & ASSOCIATES, STRUCTURAL ENGINEERS r 7711 COUNTRY CLUB DRIVE • MINNEAPOLIS, MINNESOTA 55427 • PHONE: 544-8456 (AREA CODE 612) tl �r' ]1 S ? `I `1`I' 3 LLOYD W. DARG, P.E. DESIGNERS FOR ALL STRUCTURES, INCLUDING N. SHANMUGAM, APARTMENTS, OFFICES, M. S. (STRUCTURES), D.Sc. COMMERCIAL AND INDUSTRIAL BUILDINGS, RETIREMENT HOMES, ETC. February 27, 1973 Reese Rova Architects 5350 W. 78th Street Minneapolis, Minnesota 55435 �O CCxJ2,2,ci�1 Attu: Frank Reese � �-� -'7-3 RE: 141 Unit Townhouse Project Comm. No. 7138 Dear Mr. Reese: On Tuesday, February 27th, I went to the site to observe the basement stud wall. I sent into eight townhouses and the stud wall construction was basically the same. There was a double 2x4 post at the end of the 12'-0" wall, then 3 unsupported studs, then 3 supported studs, then 3 unsupported studs and the last stud is against the masonry wall. The total load to the wall is about 12,000 lbs. The total capacity of the wall is about 17,000 lbs. It is my opinion that the wall is structurally adequate. REESE/ROVA ASSOCIATES 5350 West 78th Street ' MINNEAPOLIS, MINNESOTA 55435 i Phone 941-4313 To Fridley City Hall 6131 University Avenue N.E. Fridley, Minnesota 55432 GENTLEMEN: WE ARE SENDING YOU ❑ Shop drawings ❑ Copy of letter ELEEUTEa o1FMUSO MU. DATEJOB NO. ATTENTION Mr. Darrel Clark RE: 11.1 -unit Townhouse Project Fridley, Minnesota 2/27/73 Letter from Lloyd W. Darg regarding basement stud wall ® Attached ❑ Under separate cover via ❑ Prints ❑ Plans ❑ Change order ❑ ❑ Samples the following items: ❑ Specifications COPIES DATE NO. DESCRIPTION 1 2/27/73 Letter from Lloyd W. Darg regarding basement stud wall THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ For your use ❑ As requested ❑ For review and comment ❑ FOR BIDS DUE REMARKS ❑ Approved as submitted ❑ Approved as noted ❑ Returned for corrections ❑ Resubmit copies for approval ❑ Submit copies for distribution ❑ Return corrected prints 19 ❑ PRINTS RETURNED AFTER LOAN TO US COPY TO SIGNED: If enclosures are not as noted, kindly notify us at once. F=21110-110 Fa d8.*MBarin,[u-Twmwl%N= Frank L. Re/ese - iy Application for Power Plank and Healing, Cooling, Ventilafioe. Relrigera!* - a and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATIC 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 MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ...6. 4v .. $10.00 $ 62 ®. DC) each add. 60,000 BTU .................... .. 3.00 i Replacement of Furnace . .. .... 6.00 Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 &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 8.0(1 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 198,000 BTU) .... (I V. 6.00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE / TOTAL -mo 1st 3 Fixtures ��_ x$ Zoo $o- L r% Additional Fixtures x .75 $ Gas Range to 199,000 X$ 5.00 2 AIR CONDA FAN HEATING SYSTEM VENTII.ATING SYSTEM ALTERATIONS t REPAIRS ROUGH FDiAL ti ® Z % -'i V (LOC)* vU See Fee Sehedute L)/1,J TOTAL FEE .2a''. so (SURCHARGE $_,50) Dept. of Bldgs. Phone 50"M 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. I--- JI Used as .. To be com Estimated Cost, Old -@;D Building Permit No. Permit No. DION OF WORK HEATING or PO PLANTS --Steam, Hot Water, Warm Air—No_ Trade Name Ql ° Size NoLY2` r2 Capacity 7 Sq. Fk E.D.R BTU H.P Total Connected Load Kind of Fue BURNER — Trade Name Size No Capaci Sq. Ft. E.DR BTU lgfp (REMARKS -OVER) _ �/ ,�J ,J � �� Iii � � ./�° ► i Engineering � Sewer Water Parks Streets Maintenance ,( MEMORANDUM TO: William W. Burns, City Manager PW90-180 FROM: John G. Flora/'Public Works Director DATE: May 1, 1990 SUBJECT: Rice Creek Townhouse Playground Equipment The issue of the Rice Creek Townhouse playground equipment has been surfacing every year for the last 3 or 4 years. Jack Kirk and I have talked with the management, the owners and the Anoka County Parks Department as well as the Council about the condition and the replacement of the existing playground equipment numerous times during this period. The playground equipment was originally provided by the townhouse development behind the townhouses for their use. It was then transferred to the City. When the City provided the Locke Park properties to the County for the regional trail system, this property and the playground equipment was transferred to the County. It was also understood by the City that the requirement for the establishment and maintenance of the playground equipment was also transferred to the County. This issue has raised numerous discussions in the past. The City has not programmed or funded a playground facility for the townhouses. The County does not feel it is warranted to provide playground equipment for the townhouses but would rather place this type of equipment within their park which is just to the west of the townhouse property. It appears that the County has $10,000 available to purchase a playground set valued at $15,000 and, therefore, is asking the City to participate in the additional $5,000 for its purchase and installation. The Park Capital Improvement fund had $15,000.00 allocated to playground equipment and that is ordered for Plaza Park and Summit Square Park. There is not any significant money available in the Recreation and Natural Resource or Public Works budget. Unless an additional $5,000.00 is allocated or donated money can be obtained, it may be difficult to participate in the project. �'0 Q CffYOF FPJDLEY Page Two - PW90-180 This proposal was taken to the Parks and Recreation Commission in September of 1989 and the biggest concern was one of safety; the children would have to walk through a forested area to get to this new site. The Commission was reluctant to support the project at that time. It would be my recommendation that we review this year's budget in an attempt to facilitate the Anoka County Parks Department's request as it would establish definite ownership and responsibility to Anoka County Park Department. JGF/kn cc: Ralph Volkman 0 �4 Gov ,�1-7 /�w Jack Kirk John Flora .�� Amoka eouyfy Departxefft of Parks* k Recreatiom David L. Torkiidson, Director 550 Bunker Lake Blvd. - Anoka, Minnesota 55304 Telephone 612 - 757-3920 April 30, 1990 Mr. William W. Burns City Manager City of Fridley 6431 University Avenue N.E. Fridley, Minnesota 55432 Re: Deteriorating playground equipment located adjacent to the Rice Creek Townhouses Dear Mr. Burns: In the development of the Rice Creek Regional Trail Anoka County purchased the property along Rice Creek from the City. At the time of said purchase it was agreed that the City of Fridley would maintain the playground equipment that was provided for the Rice Creek Townhouses' children. Since that time the equipment continues to deteriorate, as it was non-commercial equipment to service children in the Rice Creek Townhouses only. We have had many discussions with the City of Fridley Public Works about the maintenance and upgrading or replacement of this equipment. Last fall I was informed by City staff that they would be talking to the townhouses' management about the removal of this equipment and replacing it with a new climbing apparatus, which includes slides and swings, on property adjacent to the new restroom facilities off of 69th (see attached map). In my discussions with the City staff last fall I suggested that the $10,000 still remaining in the trail grant could be used for this project, and that the City would be asked to participate with a $5,000 grant for said project. This would provide updated, modern playground equipment and definitely become the responsibility of the Anoka County Park Department to maintain. I have discussed this in detail with John Flora, City Engineer for the City of Fridley, and we believe this would satisfy the needs of that particular area. (cont'd-) Page 2 Wm. Burns 4/30/90 This will be discussed with the Parks/Recreation/Arena Committee at their meeting on May 15th, and I would hope that I could have a response from the City of Fridley prior to that meeting. Perhaps you and John Flora could meet with me to discuss this further before the Committee meeting. Sincerely, David L. Torkildson Director of Parks and Recreation Anoka County, Minnesota DLT:je Enc.1 cc: Commissioner Dan Erhart Commissioner Paul McCarron Parks/Recreation/Arena Committee Jay McLinden, County Administrator John Flora, City of Fridley V f A ---- Me TICK. 'Rice Creek Townhouse: existing piaygroun RICE CREEK -WEST TRAI DEVELOPMENT CONCEPT ••m w µ U» it" 0% Anoka County_ Parks Engineering Sewer Waler Parks Streets Maintenance MEMORANDUM TO: William W. Bums, City Manager PW92-207 FROM: John G. Flora,�Public Works Director DATE: June 25, 1992 SUBJECT: Rice Creek Townhouse Tot Lot The Rice Creek Townhouse tot lot has been an item of concern and confusion for a number of years. No one is willing to accept responsibility for it. It was originally constructed by the townhouse development but was placed on County land. The most recent discussions we have had was that the City would assist in maintaining the tot lot equipment and the County would take care of the tennis courts and adjoining property. It appears these actions have not been followed up. We inspected the tot lot area and have found that the benches and equipment need painting and repair, the sand in the tot lot needs to be replaced, there is a considerable amount of weeds growing due to lack of maintenance and use, the access to the area is obstructed by tree growth, and the tennis court needs repair and a new net. We have again repaired the swings with new chains and can initiate action to repaint the equipment and benches with our summer maintenance program. I am working with Dave Torkildson of the Anoka County Parks Department regarding the tennis court, the sand and the access to the area. Currently, this has not been resolved. I will keep you informed on this item as it develops. JGF:cz cc: Jack . Kirk Address File 4 - CI►YOF FRIDLEY CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450 TO: FROM: FROM THE OFFICE OF COUNCILMAN DENNIS SCHNEIDER RES. TELEPHONE: 571-7059 RICE CREEK TOWNHOUSE RESIDENTS TIMBER RIDGE RESIDENTS DENNIS SCHNEIDER, CDUNCILMAN WARD 2 DATE: APRIL 8, 1987 SUBJECT: TOTLOT Several residents have contacted me relative to a rumor regarding the totlot behind the Rice Creek Townhouses. The rumor is unfounded and untrue! There are NO plans to remove any safe totlot equipment, or to turn the area into a parking lot. No such plans have ever been discussed by the City Council, nor by the Anoka County Board of Commissioners. I have personally talked with Anoka County Oommissioner Paul McCarron. He is absolutely supportive of the totlot, and assures me that the County desires to allow the totlot to continue to operate. One piece of park equipment is potentially dangerous; it will be either repaired or removed (the merry-go-round). The City has already repaired the four swings. There is a question of responsibility for the totlot. Originally, the owners of the Rice Creek Townhouse Complex agreed to maintain the land and equipment (City Reoords indicate they purchased the equipment) . The land has now become part of the Anoka County Rice Creek Park System. The County is presently attempting to prepare and execute the appropriate documents to determine ultimate responsibility for the land and for maintenance. Please rest assured that both the City and the County are concerned about the recreational needs of the children in the area. If you have any questions regarding the totlot, or any other City issue, please feel free to call me. My phone number is 571-7059. RESIDENCE: 6190 STINSON BOULEVARD N.E., FRIDLEY, MN 55432 O CITYOF FRIDLEY DIRECTORATE OF PUBLIC WORKS MEMORANDUM TD: Nasim Qureshi, City Manager EK87-100 FROM: John G. Flora, &blic Works Director DATE: April 2, 1987 .SUBJECT: Rice Creek Townhouse Tbtlot b o0 o.• o �°o Based upon the Council's. concern expressed at the Monday, March 30, 1987 Conference Meeting regarding the totlot located behind the Rice Creek Townhouses, I visited the site and communicated with Commissioner McCarron and County Park Director Dave Tbrkildson regarding this subject. The totlot currently has two pipe climbing apparatuses, a youth swing and a child swing, teeter totter, two spring toys, two slides and a merry-go-round plus a single tennis court. Two of the youth swings and two of the child swings are in need of repair. The merry-go-round, base and platform are all that remain. The tennis court lacks lines and the net is loose and requires a new top tape. The area of the totlot and tennis court are signed indicating they are private property and no tresspassing allowed. Commissioner McCarron indicated that if it is a County responsibility, they would maintain it or initiate action to define responsibility for the equipment. Mr. Tbrkildson has indicated the equipment is not the responsibility of. the County and they are attempting to resolve ownership and maintenance responsibil ity. I offered the County City support in repairing the four swings. They have been repaired No further action is to be taken until they can resolve with the Rice Creek Townhouse owner the responsiblity to operate and maintain the facilities. There are no plans at this time to remove or eliminate the existing facilities. Same time in the early 1970's, the owner of the townhouse procured the playground equipment and the City installed it. The tennis court was installed by the owner. When plans were being proposed for the Rice Creek Trail System, the City sold the property to the County which contained the existing tennis court and totlot. It was everyone's understanding, at that time, that the responsibility for maintenance and operation of the recreational equipment belonged to the townhouse owner. Apparently, through sales, subsequent owners of the property did not understand or accept this responsibility. It is the County's intent to prepare and execute documents which will allow the continuation of the recreational use of this area by the townhouse ownership based upon their operation and maintenance of those facilities. Until this is resolved or the County requests assistance from the City, we are currently not initiating any further action. JGF/ts SUBJECT P City of Fridley d 1 30170' 0170 AT THE TOP OF THE TWINS BUILDING PERMIT r - RECEIPT NO. y__ �____ ► COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. .1V 500 1 = � 1 /---1 CITY HALL FRIDLEY 55432 A "'' NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 9/3/99 JOB ADDRESS 1565,1567,1569,1571,1575 ,1577 68th Avenue NE 1 LEGALLOT NOParcel BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Bern Mgmt., 8162 Bloomington Ave S. Bloomington 55425 854-7788 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Timberoof 1001 E Cliff Rd. Burnsville 55337 808-1149 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Commercial 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION Ix REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof 6 Townhomes - Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit inspection Cards Will Be Mailed To Homeowner To Post 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 OWLG. 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 $1U 350 5.18 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 $195.25 e Fire SC 10.35 PLAN CHECK FEE TOTA EE 0.78 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IOATEI HEN ROP ALIDAT TH Is, IS RP IT RL46r, INSP gAIE SIGNATURE OF OWNEA,IF OWNER BUILOERI IOATEI JUL-db-1y'zfy 11 ; L1'(' h-KUM (.;1 I )' UF- I -H i DLE Y Ju Ell: HY5'r 1 F. U.5/04 EsMmat"ed Cost Effective 5/10/9, $�� CITY OF FRIDLEY Receipt # R-.3, COMMERCIAL & ]NDUSTRIAL BUILDING pFRMIT APPLICATION Construction Address -4�' �,� fih AVC AJ Zonizxj. L Owner Mc,mtfwmin ivn AVe.s blcc)r lin nTel# � CX�TRACZGR & AIyLRE`SS cIWeSk.r, .,��LStoi I lam. Tel# ®�' 1 1�19 Architect Reg. # kigineer Reg. # BIDING CONSTRUCTION TYPE OF- mn [] New [] Addition (/Alteration-nestribe le�llt' 'C. AREA: Length Width Height -�: Sq. Fac. WHSE ARM: Lereth Width Tight Sq. Ft. OTHM AREA: Length Width Height z: Sq. Ft. APPLICANT Tel # -n - q9 7 Date ®i � q VALIUATION Sq. Ft. x $ Cost/Sq. Pt. - valuation $ ) Sq. Ft . x $ tb�t/Sq. Ft . = valuation, $ ) _ $ Erosiora Control x` Cost/Sq. Ft. = Valuation $ ) ZCIAL � VALUE Building Use $ Const_uct ion 7}rze U =upanl 'rid3.tiorurlg No Fire Protection Provided []Yes []NO Perfo=ance Bond Amo=t. $ - _ See Reverse for Schedule Received [].Yes [] No Pe -;=-it Fee $—Ad. �25 Plan Check Fire , d r $ ..._. " $ 0 ,< State Surchixge . $ ��. SAC alazge $ Erosiora Control $� Park Fee $� -� . Asses'slil-nts $ L'rivetnwaxy ms;c1"ow $ - TOn%L bio. 7$ See Fee She on Reverse Side 1171 Excess of Prepaid A=mt - See Reverse Side .001 x Permit Valuation (1/10th v) $-50/$1,000 Va_Lusticn (,See Sched. for > $1 Milaion) $7 050perSAC Lfiit (Flans to MCG for Bete-rnrination) $4501.00 Coasezvation Plan, R,ev:.ew Fee Deteimined, BY Erigineerlrig Ac--trePmzt Necessary [] got Necessary [] _.. y feet x $13.50/foot */0.3s /46X�MTTACH STIPULATIONS AUG -09-2005 13:34 CITY OF FR I DLEY P-02/04 PLUMBING Per►nitWrrmbes RESIDENTIAL APPLICATION Rece;,,ed �, City of Fridley Da* Rem NOTE: IF PROPERTY 13 NOT OWNERIOCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE YOUR A41IAIL ADDRESS SITE ADDRESS THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR NAME PROPERTY OWNER/ ADDRESS DDRESS CITY STATE ZIP PHONE # PHONE PERMIT TYPE SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK p NEW REPLACEMENT ETAILED DESCRIPTION OF WORK .FEES ARE BASED ON $10.011 PER PICTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) _BATH SINKILAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need Qy License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER WCHEN SINK ATER CLOSET BACKFLOW PREV. ($1S) DISHWASHER LAUNDRY TRAY WATER HTR (536) FOR IRRIGATION WATER METER OTHER . t:Fiaa ._._ .. �._ i . 0 - -- - -u -- - fV11�IfMUM:-$ F5:00 -or 5 f-otCost-of the fMprovementaNfticheverTs- Plan Review $ greater on work less than $300 Surcharge $ .50 TOTAL DUE Make checks payable to: City of Fridley • • ••-- w ..•� rr r .•.vr�■ v,� v%f4%h 1'=A1Y111 -1vV I VAUU UNTIL PROCESSED I hereby apply for a plumbing 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 w(th the Minnesota Construction Codes, that 1 understand this is not a permit but 0Ny 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 w{iian requires review and approval of p s. t SME OF APPUCANT�� 41Me� DATE JJ Pfrose type or crint SIGNATURE OF APPUCANT OF FRIDLEY COMMUNITY DEVELOPMENT DEpAR1 6431 UNWES17Y AVENUE NE, FRIDLEY. MN 55432 City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 55432 Z.4�!�� Mechanical Ph: 763-572-3604 FAX: 763-571-1287 Riesidential Application City of Fridley C..., C2 Me Cirlln Gnr Ramiirarl Infnrmaltion Permit # Date Site Address: / The applicant is: (cin a one) Owner Contractor Property Owner. Address: /0/07 Ate -4w city: jrr� State: AIDE// Zip: j93r-40'_M Phone: Cell: Fax: Contractor Informal( n Company Name: - Contact Person: -r Address: rr1 City:�_a_sr�1 /�•�/i_ State:_/LIN ZAP:�?S Phone//dam ZA_ ee - Cell:&k 4/40 6(itW- Fax: MN Bond# & Ex Date S / A1W' a Email: a Type of Work (circle one): New Replacement Alteration/Remodel _ Detailed Description of work: /2� 6 J drat/' Equipment Installed: MFG: Model: SizeBTU: MFG: Model: Size/BTU: MFG: Model: SizeBTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 $25.00_Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _A/C to Air exchanger $15.00 $35.00 _Pool Heater $35.00 _Air _Furnace Boiler $35.00 _Gas Dryer $10.00 Ventilator $15.00 _Chimney Liner $10.00. _Gas Piping $10.00 7 ", 1 �� Duct Work $10.00 Gas Range/Oven $10.00. Permittee $ 01 (Total from above -Minimum fee $35.0�� Surcharge $ 0.50 Total Due $ Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical 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 , G' approved plan in case of all work which requires review and approval of plans. It Y Signature of Approval Inspector Sig Date: 7/ Please Note: Separate permits are required for Building, Plumbing, and Electrical work HUU-1M0—e1016, 13; 34 l.1 i T Ut- rK 1 LLC T Imo. l�S/l�4 City of Fridley Building inspections Dept Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit# c�d0f-, Residential Application City of Fridley See Back Side For Required Information Site Address: The applicant is: (;ince one) Owner Contractor Property Owner: Address: City: State: Zip: Company Detailed :e State: Cell: 617 Wo yP c��irzca!h• Ghia- �,,� one): Newi Replacement of work Bond# & Alteration/Remodel 'P.4/2.r tgt.upmeni instanea: ivir-u: m0aet: Zimer1:5YU: MFG_ Model: Slze/BTU: MFG: Model: Size/BTU: Please check all that apply. _Fireplace (gas) $15.00 New Gas. Grill $10.00 V/C $25.00 ,Fireplace (wood) $35.00 _Gas Unit HTR $10.00 Air to Air exchanger $15.00 _Furnace $35.00 _Pool Heater $35.00 ____Boiler $35.00 _Gas Dryer $10.00 Ventilator $15.00 _Chimney Liner $10.00_✓Gas Piping $10.00 _Duct Work $10.00 Gas Range/Oven $10.00 u Permit Fee $ &L (Total from above -Minimum fee $35.00) - Total Due $ ti`b Make check pRable to City of Fridley This is an application for a permit- not valid until processed 1 hereby apply for a mechanical permit and 1 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 case of all work which teWres review and approval of plans. Signature of r - Approval Inspector