PRE 2010 DOCSPermit Fee paid on Permit #11,315 for 1560- 1570 - 69th Avenue N.E.
City of Fridley, Minn. 1132 1
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
owner:
Rice Creek Development
Company
guilder Approved ronrr� nrR_ Tnn-
Address
85 West Road,
Circle Panes,
Mid. Address 1052 Osborne Rn N -F.-, Fridley
786-2680
1641,1643,1645, LOCATION OF BUILDING
No.164749,I&Llet 68th Avenue N E Part of Lot
Parcels 10 &, 2Q0 Section 13
Lot _ ___ to - _.___ Addition or Sub -Division
Corner Lot ____ Inside Lot
Sewer Elevation
Setback Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: Each Unit
6 Townboluse MIM Front _201 _ Depth 32' Height - 91' Sq. Ft. 221 Cu. Ft.
Front ._ _ Depth Height Sq. Ft. Cu. Ft.
Type of Construction Wood Frame Est. Cost See 11.315_ To be Completed 1 year
In consideration of the issuance to me of a permit to construct the building described aboy I agree to do
the proposed work in accordance with the description above se and in complies wi provisions of
ordinances of the city of Fridley. /
In consideration of the payment of a fee of $__S_eg11 a.3,5permit is hereby granted toRf.r-p- rrQ-ek Day .= 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 Ind all respects -to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
vy*thin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
-- CT.ARF. TCF RFT.TCT.T+:
NOTICE:
This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to sse
the Building Inspector for separate permits for these items.
City of Fridley Building Inspections Dept.
6431 University Ave NE
Fridley MN 55432
Ph: 763-572-3604 FAX: 763-571-1287
Mechanical Permit # ;®i's-- 6855
Residential Application
City of Fridley
See Back Side For Required Information
Date 6S Site Address: &
The applicant is: (cirl a one
Owner Contractor
Property Owner:
Address: /6S-2. 090? ,VYewuav
City:
State: Not/ zip: 49�
Phone:
Cell: Fax:
Contractor Informati n
-
Company Name:
,
Contact Person:
r
Address: 9
City: Amrl l
State: /✓IA/ Zip:,52ib ZS
Phone: 6--;7 4/!&1 Mee
Cell:6U 4/q® g(jLq9 Fax: -LX'_
Email: a MN Bond# & Exp Date
Type of Work (circle one):
New Replacement Alieration/Remodel
Detailed Description of work: /P-- 4W 4kx— Ce
J,Oct
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 $10.00. �; t;$ •:
Permit Fee $
(Total from above -Minimum fee $35.0
l�
Surcharge $
0.50
Total Due $
Make check payable to City of Fridley
This is an application for a permit- not valid until processed Z -F
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:
Approval Inspector Signatur Dat '
Please Note: Separate permits are required for Building, Plumbing, and Electrical work
RUG -09-2005 13:34 CITY OF FRIDLE`(
PLUMBING
RESIDENTIAL APPLICATION
City of Fridley
NOTE: IF PROPERTY 13
DATE
SITE ADDRESS /4 7
THE APPLICANT IS: (CIRCLE 1
P. 02104
t7a 0
Permit Number
Received By
Date Received
'OWNER/OCCUPIED. A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT.
CONTRACTOR
PROPERTY OWNER/ °
TENANT ADDRESS
CITY
PHONE 0,
NAME
CONTRACTOR ADDRESSc
CITY GLL�C�
PHONE #
PERMIT TYPE SINGLE FAMILY
TYPE OF WORK O NEW
DETAILED DESCRIPTION OF WORK
TWO FAMILY
le REPLACEMENT
ZIP
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED
FDMRES: (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 _,WATER CLOSET BACKFLOW PREY, ($15)
DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION
WATER METER OTHER
Permit.Fee $ 5__
Plan Review $
Surcharge $ .50
TOTAL DUE $ ?S -v
MINIMUM: ---$15:00 or 5% of Dost of the improvement -Whichever iS
greater on work less than $300
Make checks payable to: City of Fridley
THIS IS AN APPLICATION FOR APERMIT —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; that the work will be in accordance with the approved plan in the case of all work which
requires review and approval of p
NAME OF APPLICANT` ��i�' DATE JZ
LJ
PI se type or print
SIGNATURE OF APPLICANT
$431 UNIVESITY AVENUE NE, FRIDLEY. MN 56432
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
(763) 572-36U4 YAX: (763) 5 -1237
ADDRESS : 1647E NE
PIN : T000 26
LEGAL DESC . UNPLATTED
: LOT 0 BLOCK 0 PARCEL 10 v
PERMIT TYPE : PLUMBING
PROPERTY TYPE : TOWNHOUSES
CONSTRUCTION TYPE : ALTERATION
VALUATION
NOTE: INSTALL A GAS WATER HEATER AS PER INSPECTOR KEVIN HANSON
# GAS WATER HEATERS 1
APPLICANT
COMMERCIAL PLUMBING & HEATING INC
24428 GREENWAY AVE
FOREST LAKE, MN 55025 Is
(651)464-2988
OWNER
RICE CREEK COMPANY
WIENSCH, JIM
1652 69TH AVE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
PERMIT NO.: 2005-01649 (�
DATE ISSUED: 08/23/2005 00
WA,ER HEATER - GAS 35.00
STA E SURCHARGE, PLBG FLAT 0.50
TOTAL 35.50
PAID WITH CHECK # 79428
a
O
O
V
SEPARATE FERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY PERMIT NO.: 2005-01649
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 08/23/2005
(763) 572-3604 FAX: (763) 571-1287
ADDRESS 1647 69 AVE NE PERMIT APPLICANT:
PIN T000026 COMMERCIAL PLUMBING & HEATING INC
LEGAL DESC UNPLATTED 24428 GREENWAY AVE
LOT 0 BLOCK 0 PARCEL 10 FOREST LAKE, MN 55025
PERMIT TYPE PLUMBING
PROPERTY TYPE TOWNHOUSES
CONSTRUCTION TYPE ALTERATION
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM
INSPECTION TYPE DATE INSPECTOR INSPECTION TYPE
I FINAL
INSPECTION COMMENTS:
DATE INSPECTOR
IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL
WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT.
THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.
RUG -09-2005 13:34 CITY OF FRIDLEY
amity of Fridley Building Inspections Dept,
6431 University Ave NE
Fridley MN 55432
P.03iO4
Ph: 763-572-3604 FAX: 763-571-1287
Mechanical
Residential Application
City ®f Fridley
See Back Side For Require infommi
Site Address: 16- ,
The anniicant is: (cirice one)
Ouvnar
r_nnirarFnr . -—
017a l
Permit #
Property Owner.
Address:
City:
State: zip.
Phone:
Cell: Fax:
Contractor Informat
�%��
Company Name:
Contact Person;
Address:Z
City:
State: Zip.
Phone:_ e16il" Pt--
Cell: 6/-I f ro jP7— Fax:�� P l�Zf/24'
Email: CACA&M4 Mdh• MN Bond# & Exp Date -ro �3Q oG
T e of Work (circle one):
New Replacement Alteration/Remodel
Detailed Description of work
JIA&& 418f'A&t961
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
AIC $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 $
c�b�
(Total from above -Minimum fee $35.00)
Surcharge ._ _ ..—. -
..__. _:.....0:50
Total Due$
Jt"5� Make check a able to City of Fridley
u ms is an applicaXion Tor a permit• not valid unlit 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 Codas; 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 App
Approval Inspector Sig
i CITY OF FRIDLEY PERMIT NO.: 2005-01650
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 08/23/2005
96) 572-3604 FAX: (76J) 571-1287
ADDRESS 1647elWE NE 0 f
PIN : T040026
LEGAL DESC UNPLATTED
LOT 0 BLOCK 0 PARCEL 10
PERMIT TYPE HEATING
PROPERTY TYPE : TOWNHOUSES
CONSTRUCTION TYPE : ALTERATION
VALUATION
NOTE: INSTALL GAS PIPING FOR A WATER HEATER AS PER INSPECTOR KEVIN HANSON
APPLICANT
COMMERCIAL PLUMBING & HEATING INC
24428 GREENWAY AVE
FOREST LAKE, MN 55025
(651)464-2988
OWNER
RICE CREEK COMPANY
WIENSCH, JIM
1652 69TH AVE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date,
GASVIYITH
FEE 35.00
STACHARGE, PLBG FLAT 0.50
TOTAL 35.50
AID CHECK # 79428
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY PERMIT NO.: 2005-01650
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 08/23/2005
(763) 572-3604 FAX: (763) 571-1287
ADDRESS 1647 69 AVE NE PERMIT APPLICANT:
PIN T000026 COMMERCIAL PLUMBING & HEATING INC
LEGAL DESC UNPLATTED 24428 GREENWAY AVE
LOT 0 BLOCK 0 PARCEL 10 FOREST LAKE, MN 55025
PERMIT TYPE HEATING
PROPERTY TYPE TOWNHOUSES
CONSTRUCTION TYPE ALTERATION
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM
INSPECTION TYPE DATE INSPECTOR INSPECTION TYPE DATE INSPECTOR
FINAL
INSPECTION COMMENTS:
IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL
WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT.
THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.
Building
MECHANICAL
permit No.:,� —oo
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604CITY
OF FRIDLEY
Date Rec'd. l�
DATE` !� YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: ❑ OWNER �&CONTRACTOR
PROPERTY
NAME:
ADDRESS: CITY STATE ZIP
OWNER/
TENANT
2
PHONE:
CONTRACTOR
COMPANY NAME:
SUBMIT A COPY OF
CONTACT PERSON:
YOUR STATE
LICENSE WITH
STATE LICENSE # EXP DATE y�` /
ADDRESS: C9 C//ICITY STA�� , L D�i
APPLICATION
PHONE 6�7-� % AX
PERIYIIT TYPE
❑ SINGLE FAMILY ❑ TWO FAMILY �pWNHOUSE
❑ NEW ❑ REPLACEMENT �ALTERATION/REMODEL
TYPE OF WORK:
DETAILED DESCRIPTION OF WORK ��S 4y� , /✓��E
PER MS 16B.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 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) SIZEBTU
Equipment Installed MFG: MODEL:
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00
NEW GAS GRILL $10.00
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00
UNIT HTR $10.00
_BOILER $35.00 _FURNACE $35.00 _GAS
LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00
_CHIMNEY
_DUCT WORK $1000 GAS' PIPING $10.00 VENTILATOR $15.00
p... .,
3sx �: Y�y,. {•;d�1,4�
77,7
7
Permit Fee $ v Number of fixtures @ $10 00 x $10.00 — $
Permit
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ �. Number of fixtures @ $25.00 x$25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $
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
icati or a pe d ork is not to start without a permit; that the work will be in accordance with the
not a permit but only an a1plall
approved plan in the case wo whi r ires view and approval of plans.
PRINT NAME i�dg / / CyfilG{'ri�G�' DATE
SIGNATURE OF APPLICANTi
ulty of r ridiey
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMESIADDITIONS ❑ 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