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PRE 2010 DOCSPermit Fee paid on Permit #11,315 for 1560-1570 69th Avenue N.E. -City of Fridley; Minn. 11.326 6431 University Ave. N.E., Minneapolis, Minn. 55432 BU11DE1TG PERMIT Date: _Few 22, 1972 Owner: ira Cra�vcp1 nVrnent rompnny Builder Approved rant'xaCl-nrg3 Tne. Address __85 West Road, Circle Pines, Minn.Address _ 1052 Osborne Road N.E., Fridley 786-3680 1633,1635 LOCATION OF BUILDING 1637 1639 68th Avenue N.E. Na � Street pAr+ nF Tn+ See Parcels$JOk& 2002 Lot Section 1A3 ddition or Sub -Division Corner Lot Inside Lot Setback Sideyard — Bower Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Each Unit (A Tnwnhnuse Ilni sprout 20' Depth - 32Height _ 21' Sq. Ft. _1213' . Ca. r, Front Depth Height Sq. Ft. _ Cu. Ft Type of Construction _ Wood Frame Est. Cost ,See11 315 To be Completed 1 year In consideration of the issuance to me of a permit to construct the building described abo I agree t9 do the proposed work in accordance with the description above set rth and in comp ce an provisions of ordinances of the city of Fridley. , _ 1' In consideration of the payment of a fee of $ See #113,15rmit is hereby granted toRice 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 buildia»s 1 n� city limits and this permit may be revoked at any time upon violation of any of the provisions of said W yes" LARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Bas beating, sewer or water. Be sure to no the Building Inspector for separate permits for these items. Application for Power Phoft and Heating, Cooling, Ventilation, rns Rei�igerati- and Air Conditioning Sydeand Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: "TE 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 t7 O 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 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 3.00Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6,00 $ — over 3 gal. per hour -wee Fee Schedule GAS BURNER (up to 198,000 BTU) ..... y 8.00 $ 2ri. r t) Over 199,000 BTU See Fee Schedule GAS FITTING FEES: may, NO RATE TOTAL 1st 3 Fixtures i' U .. P 2� x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 :$ 5.00 $ AIR CONDITIONING U . 0 U d . to L) FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM L 0 V ALTERATIONS & REPAIRS TOTAL FEE l L SO ROUdH (SURCHARGE $ —•53) FINAL.- -17-7 `�� Dept. of Edge. Phone 960_3480 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 Ordinance: and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. I91 Owner LA -11 _1111 Kind of Building Used as - _ _ �% . _/ To be completed about _ Estimated Cost, Old ew. Building Permit No. Permit No. 03� ------- DESCRIPTION OF WORK HEATING or PO PLANTS—$tram, Hot Wa Warm Trade NameSize NeC�/�� Capacity--, 6 10 CJ Sq, Ft. E.D.R BTU HF Total Connected Load Band of Fuel BURNER — Trade Name Size No Capaci Sq. Ft. E.D.S BTU Ii1:P. (REMARKS -OYER) City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit#l%�"®�a�,� Residential Application City of Fridley Coo Rnr-k Girls Fnr RpnuirPd Information Date Site Address: The applicant is: (cirl a one) Owner Contractor j­� Property Owner: — Address: CRY: JJ"s� State: 04/ Zip: 49wz Phone: Cell: Fax: Contractor Informati n Company Name: - Contact Person: -r Address: 4( City: State --,&A/ Zip:QID- ZS Phone: 6-5/ 06f Zqe4lCell:&/,, `/90 Fax: 6 Email: . MN Bond# & Exp Date 4ej2w Type of Work (circle one): New Replacement Alteration/Remodel Detailed Description of work: & 6 � 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 Duct Work $10. 00/7 Range/Oven $10.00 Permit Fee $ (Total from above -Minimum fee $35.0 Surcharge 1 0.50 Total Due $ Make check payable to City of Fridley I 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 1776 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:______T Approval Inspector Sig 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 RUG -09-2005 13:34 CIT`( OF FRIDLE`f P.02iO4 PLUMBING PermltNumber ` RESIDPNTIAL. APPLICATION Received B • y City of Fridley Date Receivo �/° NOTE: IF PROPERTY 13 NOT OWNER/OCCUPIED- A LJCENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE 6 �� YOUR L ADDRESS SITE ADDRESS THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR 1 NAME PROPERTY OWNER/ TENANT ADDRESS CITY STATE ZIP PHONE # Zj NAME ® ' `(,CENSE B � � • ADDRESSI ova CONTRACTOR 'v CITY ita&jK 4 &.&, STATE /K ZIP PHONE # FAX#_ �� ZZ (— PERMIT TYPE SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK p NEW ie REPLACEMENT DETAILED DESCRIPTION OF WORK (� 4t, Z+�.i -42 FEES ARE BASED ON $10.00 PER FV(TURE, EXCEPT WHERE NOTED FDCTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINKIL V FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK —-WATER CLOSET BACKFLOW PREY. ($is) DISHWASHER LAUNDRY TRAY WATER HTR ($36) FOR IRRIGATION WATER METER OTHER _Q-ermit-Pee $ _ , � 3 MINIMUM: --$15.00 or B% of -cost of the improvement whicheveris* Plan Review $ greater on work less than $300 Surcharge $ .50 TOTAL DUE $ Make checks payable to: City of Fridley THIS IS AN APPLICATION FORA PERMIT — NOT VALID UNTIL PR0CFgseo 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 ppris. NAME OF APPLICANT 6ifr° ��� 's DATE da / ,JrJ PI se type or print SIGNATURE OF APPLICANT 601 UNIVESrrY AVENUE NE, FRIDLEY. MM 55412 AUG -09-2005 13:34 CITY OF FRIDLEY City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 55432 Mechanical P.03iO4 Ph: 763-572-3604 FAX: 763-571-1287 Residential Application City of Fridley SAP Rack Sirla Pnr RAnIl Infnrmn*;nr% Permit # Date Site Address: The applicant is: (cirice one) Owner Contractor Property Owner. Address: City: State: Zip. Phone: Cell: Fax: Contractor Informati�r������ Company Name: �� Contact Person: Address: Z City: new- 4a". State: &U Zip: Phone:_ PaS'l S/6r;rZ4 A(- Cell: 610 jfa VPZI-7 Fax: Email: leh a wzc�h• MN Bond# & Exp Date Jv ��oG lypeof Work (circle one): New Replacement 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: _Fireplace (gas) $15.00 New Gas. Grill $10.00 A/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 Permit Fee $ &6-0 (Total from above -Minimum fee $35.00) Surcharge — - - - - 0.50 -­ - - _- -. Total Due $ Make check payable to City of Fridley u ms s an appituauon Tor a permit- not vara unit 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 Codas; 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 requires review and approval of plans. Signature of Appl Approval Inspecto Building BUILDING Permit No.: d008 -0V Inspections COMMERCIALANDUSTRIAL Received By: 763-572-3604 CITY OF FRIDLEY Dat M MAY 0 7 2000 763-502-4977 FAX EFFECTIVE EFFECTIVE 1-1-08 / DATE S' 3- 6 0 YO E-MAIL ADDRESS 5 -Ce % l SITE ADDRESS d4 pv/ TENANT NAME: SUITE NUMBER PROPERTY OWNER NAME: ,Gd C -e4(6 awl --I (/ USeS ADDRESS: 6 Z L: � CITY STATE UIP PHONE: -71 ' O D In ARCHITECT NAME: ADDRESS: CITY STATE ZIP CONTRACTOR NAME: ADDRESS: CITY STATE ZIP * NOTE: CITY LICENSE REQUIRED FOR COMMERCIAL, PHONE: CELL: FAX: INDUSTRIAL AND CITY LICENSE # : EXP: MULTI FAMILY PROPERTY TYPEOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY PERMIT TYPE ❑ ADDITION ❑ NEW CONSTRUCTION ❑ OTHER VR!REMODE ❑ ROOF ❑ SWIMMING POOL PLEASE SUBMIT: 1.4 SETS OF DRAWINGS 5. CONTRACTORS LICENSE OR 6. SPECIAL INSPECTION 2. SURVEY/SITE PLAN LICENSE APPLICATION SCHEDULE 3. LANDSCAPE PLANS 7. PERFORMANCE BOND 4. ENERGY CALCS AMOUNT $ BUILDING TO BE USED AS: OFFICE sF WHS SF OTHER SF TOTAL SIZE: STORIES FIRE PROTECTION (Y/N) AC(YIN) DETAILED DESCRIPTION OF WORK2�� Guc ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) Sq. ft. x $ Cost/sq. ft. = Valuation $ Sq. ft. x $ Cost/sq. ft. = Valuation $ Sq. ft. x $ Cost/sq. ft. = Valuation $ TOTAL JOB VALUATION: $ <�—%®O .o D USE OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge SAC Charge Erosion Control Park Fee Special Assessments Curb Cut Escrow Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $1825 per SAC Unit (Plans to MWCC for determination) $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) ft+6ft= ftx$21 =$ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION 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 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 accord case of all work which recto a review and approval of tans. SIGNATU AP ICANT PRINT NAME l T n°, D![^ 5 CswfyA l DATE S �'� APPROVED B DAfN,- \`li`) G,�Il fiv5�5,7�� A,Vj t,4.1 i