PRE 2010 DOCSPermit: Fee paid on Permit #11,315 for 1560-1570 69th Avenue N.E.
City of Fridley, Minn. 11331
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Owner: -ek I)eyplopment V=pany Builder Apprriygnd rnnt-rnr_t_,nrq,
Tnr-
Address 85 W -at Road, rircle Pines, Minn. A.. • . • w. - :... A
:. .:1
15662156831570, LOCATION OF BUILDING
No.1572 157$ 68th Avenue N.E. part of Lot
Parcels & 6T.—ect on13
Lot __ _ _. __ Block _ _.._._. .._..........._ Addition or Sub -Division
Corner Lot _______.._ Inside Lot Setback — Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: Each Unit
6 Tnj&Mh nn a g 1]n jt g _ Front 201 Depth _32.L Height 2V Sq. Ft.. 12131 Cu. Ft.
Type of Construction
Front . — Depth Height Sq. Ft. Cm Ft.
Wood Frame See #113,15 1 year
._.. Est. Cost...._. _ To be Completed
In consideration of the issuance to me of a permit to constru the building described a , I agree to do
the proposed work in accordance with the description above se and in comp wi provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ See #11, 315 permit is hereby granted to 'dice Creek Doz. 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 ordin4inces of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
vpithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE
NOTICE:
This permit does not cover the construction, installation for widns, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
for Fewer Plants and Neob% Cooling. Ventilation. III Il - Wien and
Air Con0loning 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.W i
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 9.00
Each add. 320 sq. ft. EDR Hot Water 3.00 $
OIL BURNER—to 3 gal. per hour
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU)
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
1st 3 Fixtures
Additional Fixtures
Gas Range to 199,000
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL 9 - 2 & ` 7
6.00 $--
5.00 —
aro s20. .0-b
NO RATE TOTAL
_ X$ 200 $ b Q
_ X .7b $
_ X$ 5.00 $
Bee Fee schedule
$
TOTAL FEE
(SURCHARGE
Dept. of Bldoe. Phone 860 -MM
_ /_ p - 'IA % % - %,C/ - %/_ —
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 Ordinance:
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and cp'rect.
1972
• —'/.mil/ /*/_v1�t■C�/il.�/���°
Kind of Building
Used as
�.
To be completed about
Estimated Cost,--_.—
Ol ew. Building Permit No. Permit No.
!) 5i;l i4 yCo) -,it•)dL:Z�:T
HEATING orPO NTS steam, Hot Water Warm Air No—(L—
Trade
o�
Trade Name P-��i/�� Size Ne -C I �• 0 7 - CZ
Capacity 1 10 ) el Sq. Ft. E D.R BTU H.P.
Total Connected Load Bind of Fuel
-
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU )EP.
(REMARKS—OVER)
f
SUBJECI -
P "MIT NO.
City of Fridley
32800
AT THE TOP OF THE TWINS
BUILDING PERMIT
Ir
R IPT NO.
`- _ COMMUNITY INSPECTIONDEVELOPMES DIV.
INSPECTION SEC.
!
7-3
r � � PROTECTIVE
/J`/)
A CITY HALL FRIDLEY 55432
�'j
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910-F15
7/18/02
JOB ADDRESS 1566-1576 68th Ave NE
I LEGAL
I LOT NO.6LOCK
TRACT OR ADDITION
SEE ATTACHED
OESCR.
Parcels 10
200
1 Section 13
SHEET
2 PROPERTY OWNER MAIL ADDRESS Rice Creek Townhomes ZIP
PHONE
Jim Bern Management Co, 1566-1576 68th Ave, Fridley, MN 55432
952-854-7788
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Rayco Construction Co, 3801 5th St NE, Columbia Hts, MN 55421
612-547-3011
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Townhomes
7 CLASS OF WORK
Ck NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Re-roof (tear-off) 52 squares
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING.
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCYLOAD
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 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 13E COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5,573.88
$2.79
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PR VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
ST TION OR THE PERFORMANCE
$,25.25
Fire SC $5.57
OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
Lice n $5.00
38.61
S. T RE OFC 'R TOR ORAUTM i 04GEN iDATE,
HE 4PROPVALIDAT
Bi -N
THIS IS YOUR PERMIT
��TjTV -
S-GNATURE OF OWNEROf OWNER BUILDERI iDATE�
VLi G... ViVG 1�1�LVVU
Estimated Cost $ CITY OF FRIDLEY ( 612) 572-3604
Receipt # R-3, COMMERCIAL & INDUSTRIAL
oa
BUILDING PERMIT APPLICATION y a 3.
ConstructionAddress 5 - L-0 fie. zoning
Legal R; - VC`c�v--%
Owner & Address J �(h �e/� 0-\Cyy� Qz Tel#
CONTRACTOR & ADDRESS Tel# (C2�) C'5H r)
Architect NlYA Reg.#
Engineer.
Reg.#
Permit Fee
Plan Check $
Fire Surcharge $
State Surcharge $_
SAC Charge $
Erosion Control $
Park Fee GA„ ae $ 5, C`C3
Spec. Assessments $
Driveway Escrow $
TOTAL $ 13 Y-11121
PERMIT FEES
See Fee Schedule on Reverse Side
In Excess of Prepaid Amount - See Reverse Side
.001 x Permit Valuation (1/10th W)
$.50/$1,000 Valuation (See Sched. for > $1 Million)
$1100 per SAC Unit (Plans to MWCC for determination)
$450.00 Conservation Plan Review
Fee Determined By Engineering
Agreement Necessary [] Not Necessary []
feet x $15.50/foot
ATTACH STIPULATIONS
BUILDING CONSTRUCTION
TYPE OF WORK [] New
[]
Addition 0
Alteration -Describe_
O -P4- `i- t(i r(�c,-F
OFC. AREA: Length
Width
Height
Sq. Ft.
WHSE AREA: Length
Width
Height
Sq. Ft.
OTHER AREA: Length
Width
Height
Sq. Ft.
APPLICANT �L�
l
m
A� �S
Tel #
Date
VALUATION
5,593-99
Sq. Ft. x $
Cost/Sq.
Ft. = Valuation $
)
Sq. Ft. x $
Cost/Sq.
Ft. = Valuation $
) _ $
Sq. Ft. x $
Cost/Sq.
Ft. = Valuation $
) TOTAL VALUE
Building Use �Owv�horr�e„
Construction Type Occupancy
Group
Air Conditioning [] Yes
[] No
Fire
Protection Provided [] Yes
0 No
Performance Bond Amount
$
See Reverse for Schedule
Received []Yes []No
Permit Fee
Plan Check $
Fire Surcharge $
State Surcharge $_
SAC Charge $
Erosion Control $
Park Fee GA„ ae $ 5, C`C3
Spec. Assessments $
Driveway Escrow $
TOTAL $ 13 Y-11121
PERMIT FEES
See Fee Schedule on Reverse Side
In Excess of Prepaid Amount - See Reverse Side
.001 x Permit Valuation (1/10th W)
$.50/$1,000 Valuation (See Sched. for > $1 Million)
$1100 per SAC Unit (Plans to MWCC for determination)
$450.00 Conservation Plan Review
Fee Determined By Engineering
Agreement Necessary [] Not Necessary []
feet x $15.50/foot
ATTACH STIPULATIONS
AUG -09-2005 13:34 CITY OF FR I DLEY
PLUMBING
RESIDENTIAL APPLICATION
City of Fridley
Permit Number
Received By
Date Received
NOTE: IF PROPERTY 13 NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMLT.
DATE UR L ADDRESS
SITE ADDRESS
THE APPLICANT is: (CIRCLE ONE) OWNER CONTRACTOR
�—
NAME
PROPERLY OWNER/ ADDRESS
TENANT
CITY TATE ZIP
PHONE0
CONTRACTOR
NAME111/.s��� EASEP Z.�
PHONE
Pt3t(N!T ME SINGLE FAMILY TWO FAMILY TOWNHOUSE
TYPE OF WORK p NEW to REPLACEMENT
DETAILED DESCRIPTION OF WORK
j FEES AREBAS ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED
FDCTURES: (INDICATE TOTAL NUMBER OF EACH)
,_BATH SINKILAV FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING (Need Cite License) SWIMMING POOL WATER SOFTENER CSM
CLOTHES WASHER KITCHEN SINK -WATER CLOSET BACKFLOW PREY. ($1
DISHWASHER LAUNDRY TRAY /WATER HTR ($35) FOR IRRIGATION
WATER METER OTHER
:>a t�sit=i:�e $ fVIIC�IIVIUM: $15:fltror 5%o�Fao�stof the irl�proveme�it-n/fiicheveris-
Plan Review $ greater on work less than $300
Surcharge $ .50
TOTAL DUE $ -?5-41? Make checks payable to: City of Fridley
c MO c, AN ArrLJUAnON FOR A PERMIT — NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and I aclmowledge 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 the case of all work which
requires review and approval of p
SME OFAPPUCANT_ dirt,%
Pi se t%ype or prfirt
SIGNATURE OF APPLICANT
6431 UNIVESITY AVENUE NE, FRIDLEY. MN 55 32
HUIa-107—GWM 1.5; J4 l.1 IT Ur r K 1 LLC T
City of Fridley Building Inspections Dept
6431 University Ave NE=
Fridley MN 55432
Ph: 763-572-3604 FAX: 763-571-1287
Mechanical
Residential Application
City of Fridley
See Back Side For Required Information
Site Address:, /6�7
The applicant is: (jrlce one) Owner Contractor &,�
Property Owner-
Address:
wnerAddress:
City: State: Zip:
Company
Contact P
City;
Cell: 617
Type of Work (circle one):
Detailed DescriDtlon of work
z
Permit#
zip: -rj oZI(—
Fax: 6 b --40 4/
MN Bond# & Exp Date
Alteration/Remodel
MFG: Model, Size/BTU:
MFG: Model: Size/BTU:
Please Check all that apply. _Fireplace (gas) $15.00 New Gas. Grill $10.00
A1C $25.00 ,Fireplace (wood) $35.00 _Gas Unit HTR $10.00
Air to kr 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 $ �c�b (Total from above -Minimum fee $35.00)
Surcharge.:._:: -: :_ _._- —_ _--:__ -Q.50:_=.- --- . -- ---_:._ ._----_
Total Due $ �5 Make check p2yable to City of Fridley
This is an application for a permit- not valid until processed
I hereby apply for a mechanical permit and 1 acknowledge that the information above is complete and
accurate; that the work wi0 be in conformance with the ordinances and codes of the City of Fridley and
with the Minnesota Construction Cedes; that I understand this is not a permit but only an apprication
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 requirea review and approval of pians.
Signature of
Approval Inspector
VDate:
City of Fridley Building inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287
6431 University Ave NE
Fridley MN 55432
Mechanical Permit ##
Residential Application
City of Fridley
_qaa Rnr-k Sirle For Required Information
Date jSite Address:
The applicant is: (circ a one)
Owner Contractor
Property Owner.r
Address: /6S2 IWA"') j64e-44W
City:
State: Rd4/ Zip: _412!Y Z
Phone:
Cell: Fax:
Contractor Inform ati n
Company Name:
-
Contact Person:
-r
Address: B
City: -W /ii•ri,
State: AA/ ZIP:5209-111: T
6 SC
Phone: Cell:" y40 E1J�]W Fax:
Email: a at MN Bond# & Exp Date
Type of Work (circle one): New Replacement Alteration/Remodel calk_
Detailed Description of work: fit"
e-0 6 J
d�
Equipment Installed: MFG:
Model: Size/BTU:
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
Air to Air exchanger $15.00
Fumace $35.00 _Pool Heater $35.00
$35.00
_Gas Dryer $10.00 Ventilator $15.00
_Boiler
Chimney Liner $10.00.
_Gas Piping $10.00
Duct Work $10.00
Gas Range/Oven $10.00`i"' C' 1417
Permit Fee $
(Total from above -Minimum fee $35.001Ta z �
G(�
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
approved plan in case of all work which requires review and approval of plans.&Y
r
Signature of Applicant: Date:
Approval Inspector Signatur Date:
Please Note: Separate permits are required for Building, Plumbing, and Electrical work
City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1267
6431 University Ave NE f l
Fridley MN 55432 Mechanical Permit#
Commercial Application
City of Fridley
Date Site Address: 1577—
The applica t is: (cirlce one) Owner ontractor Architect/Engineer
Property Owner: fir-r'�ts
Address:
City:
State. Zip:
Phone:
Cell: Fax:
Contractor Information
Company Name:
1
Contact Person:
Address: S f-Ze
City:Yf46:
State::/W t✓ Zip:
Phone:
Fax: 6-S ` -�i%� G
Email:
MN Bond# & Exp Date
Permit Type (circle on ulti-fa ' Commercial Institutional Condo building
Industrial building
Swimming pool Other:
Type of Work circle one):
New a lacem Alteration/Remodel
Detailed Description of work:
Equipment Installed: MFG:
Model: Size/BTU:
MFG:
Model: Size/BTU:
MFG:
Model: Size/BTU:
Please check all that apply:
_Duct Work _Roof Top Unit (RTU)
�61 c
_Furnace _Refrigeration
_Gas Dryer _Steam/Hot Water Heat
_Boiler
I Hood
_Gas Piping _Swimming Pool
_Class
II Hood
_Gas Unit Heater _Temporary Heat
_Class
Commercial Kitchen
_Pool Heater _Other
All fees are based on valuation, including the cost of labor and materials:
Total Job
Permit Fee $ (k)
Valuation: $ l fella•
0.25% of Job Valuation / Minimum fee $35.00)
Surcharge $ 9 O Valuation X .0005
Total Due $ ')
Make check payable to City of Fridley
I -his is an application for a permit- not valid until processea
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
for a permit and v
Signature of
Approval Inspector Signature:
that I understand this Is not a permit but only an application
-iout a oafmit: that tkework will be in accordance with the
I rk w i'ch requir !; eview and approval of plans.�
Date' �
Date:
Please Note: Separate permits are required for Building, Plumbing, and Electrical work
Revised 6/14/2005