PRE 2010 DOCSPermit Fee paid on Permit #11,315 for 1560-1570 69th Avenue N.E.
-City of Fridley, Minm 11.326
6431 University Ave. N.E., Minneapolis, Minn. 55432
BUILDING PERMIT
ate; _February 22, 1972
mgr; - P4ce Creek neved npment rnmp_ny Builder Apprmz Contractors, Tnc-
Addresa 85 West Road, Circle Pines, Minn. Address 1052 Osborne Road N.E., Fridley
786-8680
1633,1635 LOCATION OF BUILDING
X0.1637,1639 Street 68th Avenue N.E. ___ Part of Lot
See Parcels BTOk& 200, Section lAddition or Sub -Division
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: Each Unit
Tnwnho ,s . Tni tsFront 201 Depth 32' Height .2..' Sq. Ft. _121V ctL Ft,
Front Depth Height _ Sq. Ft. _.._ Cu. Ft.
Type of Construction ---Wood Frame Est. Cost see #11,315 To be Completed1 year
In consideration of the issuance to me of a permit to construct the building described abov^ I agree to do
the proposed work in accordant' with the description above set rth and in compliant vn provisions of
Ordinances of the city of Fridley. r / !
In consideration of the payment of a fee of $ See #11345permit 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 buildings
'Within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordiinances.
b
lop
LARENCE BELTSLE
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to am
the Building Inspector for separate permits for these items.
1 ppRcallon for Pawor Plaets and HsalimS Cooling. Yontilatlon. Re/1-rolion and )*471
Air Conditioning Sys 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 AIA
Furnace Shell & Duct Work to 120,000 BTU ..... 41
..$10,00
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,W
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 BTW ....Y.. . 5.00 $ 1)
over 199.000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures '7) U .. x$ 2.00 $
Additional Fixtures x .75 $
Gas Range to 199.000 x$ 5.00 $
AIR CONDITIONING U . 0 0 616 . t) o
FAN HEATING SYSTEM Sae Fee Schedule
VENTILATING SYSTEM (- 0 b
ALTERATIONS & REPAIRS TOTAL FEE 1 �O
ROUGiH
47
Dept. of Bldgs. Phone SM -M
0
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.
,a__z_
Kind of Building
Used as
To be completed about _
Estimated Cost,
OI ew. Building Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or PO PLANTS—Steam, Hot G_ ,
Trade Name ty�/� Size NoIQ ��(�
Capacity , Sq. Ft. E.DR BTU Hp
Total Connected Load Kind of gyral
BURNER — Trade Name Size No
Capadty Sq. Ft. EMIL BTUA
HIP.
(REMARKS -OVER)
City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287
6431 University Ave NE
Fridley MN 55432
Mechanical Permit # LZ0S�_- f-)laaV
Residential Application
City of Fridley
Spe Back Side For Reauired Information
Date Site Address:
The applicant is: (cirl a one) Owner Contractor
Property Owner:
Address: 16.5-?- 6¢06
city: 44 ew
State: oW zip: jC3r'0_?Z
Phone: Cell:
Fax:
Contractor Informati n A
Company Name:
-
Contact Person:
-r
Address:
City:/ / State. AW Zp: j ,zS
PhonCell:&k
4470 6(EW ax:3 rl
Email: c
MN Bond# & Exp Date
Type of Work (circle one): New
Replacement Alteration/Remodel _
Detailed Description of work:
Equipment Installed: MFG:
Model: SizeBTU:
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 _Furnace
$35.00 _Pool Heater $35.00
_Air
$35.00
as Dryer $10.00 _Ventilator $15.00
_Boiler
Chimney Liner $10.00
Gas Piping $10.00 4_;�
Duct Work $10.00
Gas Range/Oven $10.00 •.�'-1* : ; L /
Permit Fee $
(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
1 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 Applicant: D ate:-�)l-yr--
Approval Inspector Signatur
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 TFGC 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 -09-2005 13:34 CITY OF FRIDLE`( P.02iO4
Q% Permit Number
'( RESIDENTIAL APPLICATION
Received�ByCity Of Fridley gate Rece
NOTE. IF PROPERTY 13 NOT OWNER/OCCUPIED. A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT.
DATE YOUR IL ADDRESS_ Ir��
SITTE ADDRESS
THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR �—
NAME
PROPERTY OWNER/
TENANT ADDRESS
CITY STATE 23p
PHONE !1
NAME ® ' CENSE a#
CONTRACTOR ADDRESs `7 va
CITY STATEAf A-
1
ZIP ®
PHONE # FAX#�J / z' Z,t,/&�
PERMIT TYPE SINGLE FAMILY TWO FAMILY TOWNHOUSE
TYPE OF WORK p NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK
F -
FEES ARE BASED ON $10.00 PER PIXTURE, EXCEPT WHERE NOTED
FD=RES: (INDICATE TOTAL NUMBER OF EACH)
BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING (Need City license) SWIMMING POOL WATER SOFTENER ($35)
CLOTHES WASHER KITCHEN SINK —,PATER CLOSET BACKFLOW PREY, ($15)
DISHWASHER LAUNDRY TRAY %1k, HTR ($35) FOR IRRIGATION
WATER METER OTHER
00
[Plan
it Fee $ _ , 5 .® -MINIMUM:- $15.00 or 5% of castof the improvement whichever is
Review $ greater on work less than $300
harge $AL DUE $ ���� Make checks payable to: City of Fridley
.... - N ..,-'r�VI A""fCIt1Y111 - Fvv 1 vAuLj uN IIL VKOGED
SSE
1 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 pe►mit that the work will be in accordance with the approved plan in the case of all work which
requires review and approval of ppns.
01-
NAME OF APPUCANT -- lel.✓ 1�', DATI; f j
SIGNATURE OF APPLICANT
or orint
OF FRIDLEY COMMUNITY DEVELOPMENT DEPART
6431 UNIVESITY AVENUE NE, FRIDLEY. REIN 55432
AUG -09-2005 13:34 CITY OF FRIDLEY P. 03./04
City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX 763-571-1287
6431 University Ave NE
Fridley MN 55432
Mechanical Pen -nit#
Residential Application
City of Fridley
See Back Side For Required Information
Date Site Address:
The applicant is: (cirlce one)
Owner Contractor
Property Owner.
Address:
City:
State: Zip.
Phone:
Cell: Fax:
Contractor Informat
Company Name:
Contact Person:
009
Address:
City:
State: Zip:
Phone:_ fas'< rl6ilZ4 iii
Cell: 617 f 9® ZLZI Fax: T7-0 !/z4e2j'
Email: e'd aru�h• MN Bond# & Exp Date� 0�°�e�
Type of 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
_ASC $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 -big
(Total from above -Minimum fee $35.00)
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.
Signature of Applicant: Date
Approval Inspector Signal, Date: C:or-