PRE 2010 DOCSPermit Fee paid on Permit #11,315 for 1560- 1570 - 69th Avenue N.E.
City of Fridley, Min. 1132
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: - Feh-mary29, 1972
owner; Rice Creek Development Comply guilder Approved Vnn ra _ nraTlne--
Address _85 West Road, Circle Pines. MiM. 'Address 7052 Osborne- Rnad N -F.,, Rrldley
786-5680
1641,164321645, LOCATION OF BUILDING
1vo.1647 1649,]&Llet 68th Avenue._.N.E. Part of Lot
Parcels 10 200 Section 13
Lot to ° _. _ Addition or Sub -Division
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: Each Unit
6 ToWnb oii c P Units Front 201 _ Depth 321 Height 911 Sq. Ft. 393 3.1 Cu. Ft.
_ Front .` Depth Height Sq. Ft. Cm Ft.
Type of Construction Wood Frame Est, Cost See 11.3�_ To be Completed .1 year
In consideration of the issuance to me of a permit to constru the building described abov 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 $ee#11, 3 5p rmit is hereby granted toRi ne Vraek ay _ 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 ordinkmces 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
ordinances.
CT.ARV.WrV. RFT TRT F
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to no
the Building Inspector for separate permits for these items.
City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287
6431 University Ave NE
Fridley MN 55432
Mechanical Permit#ezws"-d1007
Residential Application
City of Fridley
See Back Side For Required Information
Date 6S� Site Address:
241 ,6
The applicant is: (cirl a one) Owner Contractor w—'
Property Owner:
Address:/6.0'-
ddress:/6✓!'-City:
city:Al
State: AAB Zip:.!9
Phone: Cell:
Fax:
Contractor Informati n -
Company Name:
,
Contact Person:
r
Address:
City: State. /& / Zip:5-JD,?S
'
Phone: 6_orj 96V Z�,?je Cell:
A/, dig® g6Eq9 Fax:5 ' e1911LX__
Email: e m
MN Bond# & Exp Date
Type of Work (circle one): New
Replacement Alteration/Remodel
Detailed Description of work: fir-
P.'
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 f
Duct Work $10.00
Gas Range/Oven $10.00. i,:� �: 3
Permit g
Fee $
(Total from above -Minimum fee $35.00
Td7�v
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: 71406—
e 0S
Approval Inspector Signatur ate:
Please Note: Separate permits are required for Building, Plumbing, and Electrical work
FS,
AUG -09-2005 13:34 CITY OF FRIDLEY P.02iO4
D
PLUMBING Permit Number
FClty
I®EN TIAL APPLICATION Re
calved By
of Fridley Date Receival
NOTE: IF PROPERTY 13 NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR VUST OBTAIN THE PERMIT.
DATE YOUR All. ADDRESS I''��'
SITE ADDRESS `
THE APPLICANT 13: (CIRCLE- ONE) OWNER CONTRACTOR #� —
NAME
PROPERTY OWNER/
TENANT ADDRESS
CIN STATE ZIP
PHONE ID
11 A r I
NAME
CONTRACTOR ADDRESSZ
PHONE
PERMIT TYPE I SINGLE FAMILY TWO FAMILY TAWNHQ"AF
TYPE OF WORK IO NEW
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED
FIXTURES: (MDICATE TOTAL NUMBER OF EACH)
le REPLACEMENT
BATH SINK/LA"
FLOOR DRAINS
SHOWER
WATER PIPING
BATHTUB
GAS PIPING (Need Ci(y License)
SWIMMING POOL
WATER SOFTENER ($33)
CLOTHES WASHER
KITCHEN SINK
_-WATER CLOSET
BACKFLOW PRE". ($1s)
DISHWASHER
LAUNDRY TRAY
WATER HTR ($36)
FOR IRRIGATION
WATER METER
OTHER
00
PermitFee$
MINIMUM:
-$15.00 or 5% of cost Of the improvement-wfiicHever-is-
Plan Review $
Surcharge $ .50
TOTAL DUE
greater on work less than $300
Make checks payable to: City Of Fridley
..rv'rv-rr.�r.r��wrvrvl%hrCR1Y11I -NV1 VALID UNTIL PROCESSED
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 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 APPLICANT Z At4e-DATE � 00
PI se type or print
SIGNATURE OF APPLICANT
6931 UNIVESITY AVENUE NE, FRIDLEY. REIN 55432
RUG -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 #C�®�•r� 1�-11
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 Infomnati�
����r�
Company Name: ((��
Contact Person:
Address:Z
Ci'ty.1-
State: zrp:
Phone:_ elbkk-
Cell: 1617 90Fax:
Email: 1 4 a►rzce'h. MN Bond# &Exp Date a -D
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
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 $15.00
_Chimney Liner $10.00
_Ventilator
-!L'-Gas Piping $10.00
Duct Work $10.00
Gas Range/Oven $10.00
Permit Fee $
&6-00
(Total from above -Minimum fee $35.00)
Surcharge J_.—. -- --
- - - 0=50
Total Due $
Make checka able to City of Fridley
This its an application for a permit- not valid until processed
I hereby apply for a mechanical permit and I acknowledge ftt the Information above is complete and
accurate; that the work wig 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 appgcation
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 plans.
Signature of Applicant: Dater / 1
Approval Inspector Signatur
Building
PLUMBING
Permit No. a -ems
Inspections
RESIDENTIAL APPLICATION
Received B .
763-572-3604
CITY OF FRIDLEY
Date*M:811--2
FCa
763-502-4977 FAX
EFFECTIVE 1-1-09
DATE 2. —1 —C? YOUR E-MAIL ADDRESS
SITE ADDRESS 1 V A�ei&__
THIS APPLICANT IS: 0 OWNER �&ONTRACTOR
PROPERTY
NAME: �� G.� ti �v� 62Te= S
OWNER/
TENANT
ADDRESS: CITY STATE ZIP
PHONE:
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE, BOND AND
EXP/DATE
STATE BOND #�j
CERTIFICATE OF
_
p
ADDRESS: STATES °�_ZiP S �Z
INSURANCE
PHONE FAX
PERMIT TYPE
0 SINGLE FAMILY 0 TWO FAMILY —/,-TOWNHOUSE
0 NEW REPLACEMENT
TYPE OF WORK:
','
DETAILED DESCRIPTION OF WORK �L �iriS� p �r/yC�2 S G✓�
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = plus .50 surcharge
OR
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW). MINIMUM FEE $15.50.
-BATH SINK/LAV _FLOOR DRAINS SHOWER _ WATER PIPING
_
—BATHTUB _ GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35)
_
—CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15)
_ _
DISHWASHER _ LAUNDRY TRAY ZWATER HEATER ($35) FOR IRRIGATION
_
WATER METER OTHER
0111,11""1
4 Q
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $
State Surcharge = $ .50
00/5-D(MINIMUM
INIMUM $15.50) /
$15.50) Total = $
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 appl14 [10 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 all wor - Ichre fres review and approval of plans.
l O
SIGNATURE OF APPLICANT PRINT NAME��7%rC�"��� DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977