PRE 2010 DOCSPermit Fee paid on Permit #11,315 for 1560- 1570 69th 'A�/v�e�nue.�N.E. 1132
City of Fridley, 11ZL me 4
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Mate: February 22, 1972
Oma: __Rice Creek Development Company Builder Approved Contractors, Inca
Address _ R5 Wiest Road, rixo1e Pinea Minn. Address 1052 Osborne Road -E__'Fridieev
— - 78A - 3680
161921617, LOCATION OF BUILDING
No. 1615, 1613Street 6 a >\T R _ Part of Lot
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
4 T,ownhouse Units Front 20Depth 32' Height 21' Sq. Ft. 1213' Cu. Ft.
Front Depth Height — Sq. Ft. _._ Cu. Ft.
Type of Construction _ WoodFrame Est, cost_ S.-ee #11, 15 To be Completed 1 year
In consideration of the issuance to me of a permit to constru the building described abjWe, I agree t9 do
the proposed work in accordance with the description above set and in compliance all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ See #11.31,5 permit is hereby granted to Rice Creek Dey . Co.
to construct tuildinor addition as described above. This permit is granted upon
the express condition that the person to w--ho-m-1—ti's 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
n� city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordihCLARENCE BELISLE
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating,, sewer or water. Be sure to we
the Building Inspector for separate permits for these items.
evil
Application for Pewee Plants and Heati ft Cooling, Yentita&05 RefEiye�tion 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 i
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 ... .G� $10.00 .
each add. 60,000 BTU .................... 3.00 i
Replacement of Furnace 600 $
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 3.()0
Each add. 320 sq. ft. EDR Hot Water 3.00 $_
OIL BURNER—to 3 gal. per hour 6.00
$
over 3 gal. per hour -fie Fee Schedule
GAS BURNER cup to 189,000 BTU) ..... e � . 6.00
, Q c)
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures
Additional Fixtures x .75
$
Gas Range to 199,000 X$ 5.00
$
AIR CogiDITIONL1tG
sL
FAN HEATING SYSTEM Sae Fee Schedule
V ITILATING SYSTEM
$
ALTERATIONS & REPAIRS TOTAL. FEE
$/�� 6
ROUGH (SURCHARGE $ _.50)
FWAI
Dept. of BldgL Phone 9804480
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
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 age truehand correct.
Owner
Kind of Building _
Used as
To be completed about _-
Estimated Cost,
Old ew.)Building Permit No. Permit No. ;1298
DSSCAIPTION OF WORK
HEATING or POPVXR PLANTS—Steam, Hot Water, arm —No_ �-/
Trade Name 7'%� l 0x%z Size Ne Gam:
Capacity Sq. Ft. EDRBTU gp_
Total Connected Load Kind of gyres
BURNER — Trade NTa.ne Size No
Capacity Sq. Ft E.D.R BTU
(REMARKS -OVER)
i
City of Fridley
AppgcdUn for PhWAbbq and G�u
Dept. of Bldoa. Phos 58"M
DESCRIPTION Or WORE
Number, Kind and LocaBos of FIxtueea
PARTIAL RATE SCHEDULE
PLOM9ING FIXTURE ]RATES. NO. RATE TOTAL
Number Fixtures ................ . ?CR x wo
Future Fixture Opening ....:...... x $1.50 S
New Fixture Olaf Opening.......... x $1.50 $
Catch Basin ..... x $3.25 $
. ®r -v
Water Heater (Up to 99,000 BTU) .... x $3.00 $
New Ground Run Old Bldg......... x $3.25 S
Electric Nater Beater .............. : moo $
GAS FITTING FEEM NO. RATE TOTAL
lot 3 Fixtures ..... • ... • • • .. • _�_ x $2A0 $
Additional F9xtures ............... x 41.75 $
Gat Range to 195.000 BTU ............ _Z_ Is $5.00 $ 1:2 .
State Surcharge $ .50
REPAIRS & ALTERATIONS —Rater to Code _
Description . o . .. o . . .. n . o . o • . a w... • ....... y. .....
TOTAL FEE
City of Fridley:
The undersigned hereby makes application for a permit for the work here!,
specified, agreeing to do an work in strict accordance with the City Ordinance
and sling of the Department of Buildings. and hereby declares that all the tact
and representations stated to this application are true and correct
Fridley. Minn 1S—
Owner
bind of Building zjg4 li r
Used as /4't_ Lk" t `C
To be completed about
Estimated Cost. $
Old—New. Building Permit No. Permit No.
Signed V O
By
Business Phune Nom®t^, 5�
ROUGH
3 - 7�
SUBJECT
,
City of Fridley
25562
AT THE TOP OF THE TWINS
BUILDING
PER M
r
`v COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
16r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
j 612-571-3450
910415
1
1 10/2/971
JOB ADDRESS 1613,1615,1617,1619 68 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Parcel 10
& 200
Section 13
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jim Bern Management
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Horizon Roofing 1333 Larc Ind. Blvd, Burnsville MN
55337 890-3900 2001279
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
W111M 4 Unit Townhouse
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION j7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Structure (37 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State
Building Code.
SEPARATE PERMITS ARE REQUIRED 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 BO 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
4 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
$39085
$1.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$87
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC
$5.00
$96.84
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN IPROPERYrPALI DATED THIS IS YOUR PERMIT
BLDt INSP
BATE
SIGNATURE OF OWNERoF OWNER BUILDERI IDATEI
NEW [ ] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress:
Legal Description: 1
Owner Name & Address: J/, -C. 13eZ-r7 �c� �� Tel. # 83V- �7!7?3.?
Contractor: Aej Zksr7 ?fL�i-Pj✓2q MN LICENSE # �Z% ®f 9� /�S-
Address: 4-:3-�I3 ZW 6C �D7.)- L/3.vz)) ` e,?--xs c.(110 1-CAf X337 Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EWPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Comer Lot [ ] Inside Lo!; ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:-2-�cty C / —e,9C- 1� Estimated Cost: $ 6)� &- ��
Approx. Completion Date: Uu 3i' _ _3,
(Cost on Back)
Driveway Curb Cut Width Needed: _ Ft. + 6 Ft = ' Ft x $ _ $
DATE: APPLICANT:
Tel. #
STIPULATIONS:
_7�
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
3. d 9
.001 of Permit Valuation (1/10th%)
State Surcharge
$
l• 50
$.50/$1,000 Valuation
SAC Charge
$
$900 per SAC Unit
License Surcharge
$
5-UX3
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Pian Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary j ] Not Necessary [ ]
TOTAL
$
%'�
STIPULATIONS:
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
Permit #
o%o5-- 01,21 %
Date_W'7— Site Address:
The applicant is: (cirl a one) Owner Contractor
Property Owner:
Address: /6S
City: J s�
State: A-141 zip: 4��WZ
Phone: Cell:
Fax:
Contractor Informati n
Company Name:
-
Contact Person:
-r
Address:
City: tate._,AW Zip: ,VLQZ5
Phone: log 46W�ee Cell:&,
4406(E % Fax: 657446V
G,
Email:
MN Bond# & Exp Date tO -d a
Type of Work (circle one): New
Replacement Alteration/Remodel _
Detailed Description of work:
Atk^ Ar
Equipment Installed: MFG:
Model: Size/BTU:
MFG:
Model: Size/BTU:
MFG:
Model: Size/BTU:
Please check all that apply: _Fireplace
(gas) $15.00 New Gas Grill $10.00
A/C $25.00 _Fireplace
(wood) $35.00 _Gas Unit HTR $10.00
to Air exchanger $15.00
$35.00 _Pool Heater $35.00
_Air _Furnace
$35.00 _Gas
Dryer $10.00 _Ventilator $15.00
_Boiler
_Chimney Liner $10.00 _Gas
Piping $10.00 7 ,---
Duct Work $10.00
Gas Range/Oven $10.00. `� ,. i�,yc &I,
Permit Fee $
(Total from above -Minimum fee $35.00 uk
Surcharge $
0.50 101,
Total Due $
Make check payable to City of Fridley
Z
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.
Signature of Applicant: Date: 05
Approval Inspector Signatu Date:
Please Note: Separate permits are required for Building, Plumbing, and Electrical work
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations
AUG -0; 2005 13:34 CITY OF FRIDLEY P.02iO4
EPLUMBING Permit Number
RESIDENTIAL APPLICATI®N Received syy Of Fridley Date Received
NOTE: IF PROPERTY 13 NOT OWNERIOCCUPIED. A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT.
DATE Z YOUR VIIAIL ADDRESS
SITE ADDRESS
—I'lals log
THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR
NAME
PROPERTY OWNER/
TENANT ADDRESS
CIN STATE ZIP
PHONE #
NAME
CONTRACTOR
ADDRESSZ Kva
CITY A -Be, STATE IfAJ
PHONE #ww FAX#_ ��' Z�Z
PERMIT TYPE SINGLE FAMILY TWO FAMILY
TYPE OF WORK p NEW W REPLACEMENT
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED
FDCTURES: (INDICATE TOTAL NUMBER OF EACH)
_BATH SINVJLAV FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING (Need CO Llcenss) SWIMMING POOL WATER SOFTENER ($35)
CLOTHES WASHER KITCHEN SINK —.�ATER CLOSET BACKFLOW PREV. ($15)
DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION
WATER METER OTHER
00
PermitFee$ 5 .® MINIMUM: ---$45.00 or 5% of -cost of the improvement -Whichever iS-
Plan Review $ greater on work less than $:300
Surcharge $ .50
TOTAL DUE $,3S� Make checks payable to: City of Fridley
• • ••� w rv� iu- r �wr�w� ryR h rCR1V11 I -111V 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 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 s.
NAME OF APPUCANT &° ZZ DATE jj
Pise type or print
SIGNATURE OF APPLICANT
6431 UNivEStTY AVENUE NE, FRIDLEY. NIN 56432
„AUG -09-2005 13:34 CITY OF FRIDLEY P.03iO4
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 ®f Fridley
See Back Sidra Pnr Ranidraei lnfnrmft*;n.,
Date z-- Site Address:
The applicant is: (cirice one)
Owner Contractor
Property Owner.
Address:
City:
State: Zip.
Phone:
Cell: Fax:
� ,
Contractor Informatn�����
Company Name: ��JJ
�
Contact Person:
Address: Z
City:
State: RAJ Zip:
Phone:_ fqS'< S/kIZ4 ��
Cell: Bfa EfO VPz117 Fax: �B� ®� <OL�/�
"6164
Email: MN Bond# & Exp Date 6027A60
Type of Work (circle one):
New Replacement Alteration/Remodel
Detailed Description of work
Equipment Installed: MFG:
Model: Size/BTU:
MFG:
Model: SizeBTU:
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 Air exchanger $15.00
_Fumace $35.00 _Pool Heater $35.00
_Boiler $35.00
_Gas Dryer $10.00 Ventilator $15.00
_Chimney Inner $10.00
_✓Gas Piping $10.00
Duct Work $10,00
Gas Range/Oven $10.00
Permit Fee $
"Wo (Total from above -Minimum fee $35.00)
Surcharge. _ _ . _ —.....
_ ......0.50..---- - . - - _-. _ - :. . .:. . ... . .. I_ _ . - . _. -: --
Total Due $
Make check pa able to City of Fridley
u um ;o do aNNnc41rvn ror a permit- not vaiju unmi processes
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.
Signature of
Approval ins
PIM