PRE 2010 DOCSPermit Fee paid on Permit #11,315 for 1560-1570 69th Avenue N.E. ---^�
City of FricUey, m[inn.. 113 3 4
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: February 22, 1972
pVmer: slice Creek Development Company Builder Approved Contractors, Inc.
Address 85 West Road„ Circle Pines, Mi Address 1052 Osborne Road N.E., Fridley
786-3680
160021602,1604 LOCATION OF BUILDING
No 1�606216�08,1610 68th Avenue N.E.
Street
Part of Lot
IM Parcels 10T1 oc Section 13 Addition or Sub -Division .
Corner Lot — Inside Lot Setback __ Sideyard
Sewer Tilevation
To be Used as: Each Unit
Foundation Elevation
DESCRIPTION OF BUILDING
6 ToWphous a Units Front 20' Depth 32 Height 21 Sq. Ft. v 1213' Cu. Ft.
Front Depth Height Sq. Ft. — Cu. Ft.
TM of Construction Wood Frame -Est. Cost See #11315 To be Completed —1 year
In consideration of the issuance to me of a permit to construct the building described above411 agree to do
ft proposed work in accordance with the description above se.�% and in compliance witta provisions of
ordinances of the city of Fridley. s / _//
In consideration of the payment of a fee of $ See #111315�rmit is hereby granied 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
.Within the city limits and this permit may be revoked at any time upon violation of any of the pror--f Z� - M W C
visions of said
a
CLARENCE BELISLE
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
AppRcatia$ 4� Power Phots and HeathiS Cooling. Ventilattoe. RafrigeralMn and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ..... .. $10.00 i
Replacement of Furnace ..... ..... 6.00 ;
Repairs & Alterations—up to $500.00 6.00
Repairs & Alterations each add. $500.00 3.00
MECIL WARM AM
Furnace Shell & Duct Work to 190,000 BTU... .6.
..$10.00
each add. 60,000 BTU ....................
.. 3.00
=
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
3,00
$--- _-.---
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 199,000 BTU) ... Cp 6.00 $_30 6
over 199,000 BTO See Fee Schedule
GAS FITTING FEES: NO RATE // ---NOTAL
1st 3 Fixtures .... . x$ 100 $-Zz? • ® U
Additional Fixtures x .75 $
Gas Range to 199,000 a$ 800 $
AIR CONDTAONIIta
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS h REPAIRS
ROUGH
See Fee Schedule
2S0 n) b
TOTAL FEE '�-b
(SURCHARGE $_.50)
Dept. of B1d9L Phone SW -MW
City of Fridley:
10
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City OrdizanceE
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application art true and correct.
ltll��
Owner
Kind of Building.
Used as
To be completed about
Estimated Cost,
Oid ew Building Permit No. Permit No.
DESCRUMON OF WORK
HEATING or P741z"'Ieon
PLANTS—Steam, Hot Wa Warm No�
Trade Name_ Size NojfZ 2 �-
Capacity- Sq. Ft. E.D.R BTU H.P.
Total Connected Load Kind of pyre
BURNER — Trade Name Size Ns -
Capacity Sq. !t E.DR BTU
B1P.
(REMARKS -OVER)
I
Cify of Fridley
APpliadfo" for Phi and Goy RM" Pwadt
Dept. of Bldo.. Phone SOD -UW
DESCRIPTION OF WORK
4
Number. Kind and LocaBon of F lug /� CaCC - /`G omZ - Cl e/ - �Co a O�
PLUMBING FIXTURE R&TESe
NO. RATE TOTAL
Number Fixtures ....... o ........
Number
. x $200
S
Future Fixture Opening ...........
x $1.50
S—_
--
New 7ixture Olaf Opening..........
New
x $1.50
i
Catch Basin . > ..................
x $3.25
S
Water Heater 'Up to 99.000 BT'U)....
x $3.00
S /
New Ground Rues Old Bldg. . . . . . . . .
x $3.25
$
Electric Water Beater ..............
a $100
5
GAS FITTING FEES.
NO. RATE TOTAL
lat 3 Fixtures ... a • • . • ........
_ 3 wo
$
Additional Fixtures . a .......:. a o ...
x $ .75
:
Gan Range to 199.000 BTU ............
x 5680
$ .. .
State Surcharge
$ .50
REPAIRS A ALTERATIONS-Refae to MAG
_
_ Description o a .... o a o.o ... w w . •....w..:.
a ...a.. ra
TOTAL.....
rM
it /aZ� •o�t..1
City of rvidley:
The undersigned hereby makes application for a permit for the work herei.�
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 fact
and representations stated in this application are true and correct
Fridley. -Mnn 18._
Owner ;k::�/ C -AF, etc tit a 012CA f
Kind o8 Building f' !.f'.t r± e
Used as R,--,,4+ R L
To be completed about-�.-
J
Estimated Cost, $
Old -New. Building Permit No. Permit No.
Signedce,' ae1...� -� ;�•-[�-..e'er
By /41—,
Business Phune No Ar-' r 0-1 ?!P-'
ROUGH
FINAL 17-0")
a� on
��_
NEW [ j CITY OF FRIDLEY
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: 4_' fit'"' �-
e
Legal Description:
Owner Name & Address: rr Tel. #
Contractor: RO-a1 e"?_1 (foro4 l_ai_ MN LICENSE# 52%ta
Address: Tel. # k — V 7 OI
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to'scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
Construction Type: — K014 Estimated Cost: $ �" .-,
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = $,
DATE: APPLICANT: d®_!� Tel.#���5 �3c�1C
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
$ 13 4 , 5
Plan Review
$
Fire Surcharge
$
State Surcharge
$ �, 7-2
SAC Charge
$
License Surcharge
$ 5 Oo
Curb Cut Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ !S -Y. 0 c
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS:
AUG -09-201215 13:34
CITY OF FRIDLEY
PLUMBING
RESIDENTIAL APPLICATION
City of Fridley
05-r0,q0V1
Permit Number
Received By
Date Received
NOTE: IF PROPERTY 13 NOT OWNERlOCCUPIEV. A LICENSED CONTRACTOR MUST OBTAIN THE PERM11'.
79 7 7 - / A
DATE 7c7 _ t YOUR L ADDRESS
SITE ADDRESS =
THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR
NAME
PROPERTY OWNER/ ADDRESS
TENANT
CITY STATE �p
PHONE!!
NAME D \ TENSE Z�j
CONTRACTOR ADDRESSS Ivo
CITY AZA_ STATE /f AJ ZIP �!—
PHONE # br7 4002"a 011
PERMIT TYPE SINGLE FAMRY TWO FAMILY TOWNHOUSE
TYPE OF WORK D NEW ! REPLACEMENT
DETAILED DESCRIPTION OF WORK
.FEES ARE BASED ON $10.00 PER PICTURE, EXCEPT WHERE NOTED
FIXTURES.- (INDICATE TOTAL NUMBER OF EACH)
BATH SWKIL4V FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING (Need C4' License) SWIMMING POOL WATER SOFTENER ($35)
CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. pIs)
DISHWASHER LAUNDRY TRAY ---,,;,WATER
HTR ($35) FOR IRRIGATION
WATER METER OTHER
o
`-MIN
I �IVI�1M:-
$4.00 or B f o'FOmst-of the imper is
-
Plan Review $ greater on work fess than $300
Surcharge $ .50
TOTAL DUE $ ;�� Make checks payable to: City of Fridley
THIS IS AN APPLICATION FOR A PERMIT — NOT VAUD UNTIL PROCESSED
1 hereby apply for a plumbing permit and 1 acknowledge that the infommUon above is complete and accurate; DW the work w3l be in conformance wIM
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 permrc that the work wiH be in accordance with the approved plan in the case of all work which
requires review and approval of p
'&S OF APPUCANT &�1dV? Z1,1,t, ztDATE �J
PI se type or print
SIGNATURE OF APPUCANT
OF FRIDLEY COMMUNITY DEVELOPMENT DEPART
6431 UNIVESITY AVENUE NE, FRIDLEY. MN 56432
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
cee Pne-le Cirlo f=nr RAnidrPril Whrmation
Permit # 0�00c ^
Date Site Address:
¢ %�
The applicant is: (cirl a one) Owner Contractor +�
Properly Owner.
r
Address:/6S2 Ate -4w
city:
State: Zip: j�yAL
Phone: Cell: Fax:
Contractor Informati n
Company Name:
-
Contact Person:
-r
Address �
City: C�1 lac- State: AW Zip:_'j2SV? 6-
Phone: Mee Cell:"
Fax:.
MN Bond# & Exp Date / �iota
Email: a
.Z�s
Type of Work (circle one): New
Replacement Alteradon/Remodel _
Detailed Description of work: A-1
& 6 J
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
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
Duct Work $10.00
Gas Range/Oven $10.00
Permittee $
(Total from above -Minimum fee $35.001
Surcharge $
0.50
Total Due $
Make check payable to City of Fridley
e
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,(50 7/qe4
accurate; that the work will be In conformance with the'ordinances and codes of the City of Fridley and vv/'«/
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 CyZ4.
Signature of Applicant: Date:
Approval Inspector Signatur
Please Note: Separate permits are required for Building, Plumbing, and Electrical work
F fUL; —107—e1OM 13 ; 34 1. ! I i Ur t -K 1 WLt 7
City of Fridley Building Inspections Dept
6431 University Ave NF
Fridley MN 5 32
The
Ph: 763-572-3604 FAX: 763-571-1287
Mechanical
Residential Application
City of Fridley
See Back Side For Required Information
Site Address: / 10ro
City: State: zip:
Phone:- Cell: Fax:
Company
City:
Detailed
one):
of work
' Stater Zip:
Cell: 61700 VeV7
MN Bond# &
Permit # Aos
MFG:
Model:
Size/BTU:
MFG:
Model:
Size/BTU:
Please check all that apply:
^Fireplace (gas) $15.00
_New Gas. Grill $10.00
AIC $25.00
Fireplace (wood) $35.00
_Gas Unit HTR $10.00
Air to Alr Exchanger $15.00
_Furnace $35.00
_Pool Heater $35.00
_Boller $35.00
_Gas Dryer $10.00
Ventilator $15.00
_Chimney Liner $10.00
Piping $10.00
Duct Work $10.00
_✓Gas
Gas Range/Oven $10.00
u
Permit Fee $ (Total from above -Minimum fee $35.00)
_ : Surcharge,
Due $ -0" 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 1 acknowledge that the information above is complete and
aco,rats; 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.
Signature of Applicant: Dater
Approval Inspector Signat
Building PLUMBING Permit No.: 00q -,o U?
Inspections COMMERCIAL APPLICATION Recei R,
763-572-3604 Date l:l�t�UUM
Z �9
763-502-4977 FAX CITY OF FRIDLEY
EFFECTIVE I-1-09
DATE – Z�--v YOUR E-MAIL ADDRESS
SITE ADDRESS I ®O -49! /V F
TENANT /k7,'GGjIK ?-D �N M C S SUITE NO.
PROPERTY NAME:
OWNER/ ADDRESS: CITY STATE ZIP
TENANT
PHONE:
CONTRACTOR NAME: izwdeC
SUBMIT A COPY OF STATE LICENSE # EXP DATE
YOUR STATE
LICENSE, BOND AND PLUMBING BOND # EXP DATE
CERTIFICATE OF ADDRESS: Z44- (;Ae&V 5� CITSTATE ZIP
INSURANCE PHONE GS-�` �6g`'2FAX
PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI -FAMILY ❑ SWIMMING POOL
OWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ OTHER
TYPE OF WORK: ❑ NEW ❑ REPLACEMENT -'E!rALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK e 4lf-Ce— 41 .
T> (Iil£T rTAI. NIw iiF EACI1)
b
t c
CLOTHES WASHER FLOOR DRAINS RPZ VALVE URINAL
DISHWASHER GAS PIPING BACKFLOW PREY. _ WATER HEATER
DRINKING FOUNTAIN _ GREASE TRAP —ROOF DRAINS WATER METER
FAUCET KITCHEN SINK SHOWER WATER PIPING
FLAMMABLE WASTE TANK LAUNDRY TRAY SLOP SINK WATER SOFTENER
LAVATORY SWIMMING POOL WATER CLOSET
Total Job $ r_ SAIL fees are based on valuation, including the cost of labor and materials.
Valuation
Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35)
Surcharge $ Valuation X.0005
Total Due $ Make Checks Payable to: City of Fridley
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID 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 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 offa�ll work which
%requires review and approval of plans. �}
NAME OF APPLICANT CO ^�� N DATE � Z -0
SIGNATURE OF APPLICANT
1E W_' rtrxn FOR Bt?IUIscc vlExA>`11C,w,.,......
City of Fridley Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977