PRE 2010 DOCSPermit Fee paid on Permit #11,315 for 1560- 1570 - 69th Avenue N.E.
City of Fridley, Minn. 1132
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
W : - . r a Fib r
owner:
Rice Creek
Development
Comma
y Builder Approved _Dnt-ra-t�rg, Imo.
Address
85 West Road,
Circle Pines,. -AW
-1. Address 1052 sborn . Road NSF.-, Frld1Qy
786-5680
1641,164321645, LOCATION OF BUILDING
lv0.1647.1649, WAet _ 68th Avenue W.E. Part of Lot
Parcels 12,0 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 is Front _ 20' _ Depth - 32.1._ Height Sq. Ft. 39331 Cu. Ft.
Front . _ Depth Height ___ Sq. Ft. Cu. Ft.
Type of Construction Wood Frame Est. Cost See #11,, 15_ To be Completed 1 year
In consideration of the issuance to me of a permit to constru the building described abov I agree t9 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 $ See #11, ;5permit is hereby granted toRj ne Creek7)p-v- - 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 ordinance 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.
-- rT.ARF. TCF. RFT.TGT.F.
NOTICE:
This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to as
the Building Inspector for separate permits for these items.
CITY OF FRIDLEY INSPECTION DIV.
Effective On August 1, 1995
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER
PLANTS
AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
16L 5)
JOB ADDRESS
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00
$
representations stated in this application are true and correct.
Z.?`�a�-
(Side Vent - Fill Out Back)
1Wr
Gas Piping (Needed with new furnace) $ 10.00
$
OWNER
_Gas Range $ 10.00
.BUILDING USED AS
Gas Dryer $ 10.Q0
$
PERMIT NO. �-
ESTIMATED COST
*Air Conditioning -All Sizes $ 25.00
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK
1% of Value of Appiiance or Work
$
No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
Commercial/Industrial
BTU HP EDR
e
1.25% of Value of Appliance or Work
$
Fuel' —Total Connected Load
State Surcharge
$.50
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
HEATING COMPANY' U
Signed By Tel No.
a
Approved ByZRough-In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
Remarks:
List ALTERATIONS Being Done,
HEATING CO:
Signed By:
Date:
"•t
r. .
-CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes ( )
No ( )
2.
Is free from rust or deterioration
Yes ()
No ( )
3.
Has no foreign objects Dodged within
Yes ()
No ( )
4.
Is securely supported
Yes ( )
No ( )
5.
Meets all current Code requirements for- size
and total BTU's connected
Yes ()
No ( )
b
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes ()
No ( )
8.
Has combustion air been provided for water heater
Yes ()
No ( )
Remarks:
List ALTERATIONS Being Done,
HEATING CO:
Signed By:
Date:
"•t
r. .
City of Fridley Building Inspections Dept.
6431 University Ave NE
Fridley MN 55432
Mechanical
Ph: 763-572-3604 FAX: 763-571-1287
Residential Application
City of Fridley
See Back Side For Required Information
Permit #_'2 r 01J6 C)
Date 6S Site Address:
The applicant is: (cirl a one) Owner Contractor
Property Owner:
Address:/0-4 690) AVemue,,
City
State: oW Zip:
Phone: Cell:
Fax:
Contractor Informati n
-
Company Name:
-
Contact Person:
i
Address:
City:
State: � Zip: 5jQZ_ S
Phone: ,6V .114 Me Cell:6f�
dig® �� � Fax:
Email: o=ftZma a
MN Bond# & Exp Date
Type of Work (circle one): New
Replacement Alteration/Remodel
Detailed Description of work:
h
A&IACe
disk �.
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 w`
A
Duct Work $10.00
Gas Range/Oven $10.00 t;* �;:/
Permit Fee $
(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 ZF
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 Sign
Date:
i
Please Note: Separate permits are required for Building, Plumbing, and Electrical work
AUG -09-2005 13:34 CITY OF FRIDLEY
PLUMBING
RESIDENTIAL. APPLICATIONTSV
City of Fridley :,� 4
M10
j
ReCelved By
Date Received
NOTE: IF PROPERTY 13 NOT OW OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT.
e r
DATE YOUR All. ADDRESS
SITE ADDRESS
THE APPLICANT IS., (CIRCLE ONE) OWNER CONTRACTOR �--
NAME
PROPERTY OWNER/
TENANT ADDRESS
CITY STATE ZIP
PHONE fD
NAME
CONTRACTOR ADDRESS
.�^
PHONE
PERMIT TYPE
TYPE OF WORK I O NEW
DETAILED DESCRIPTION OF WORK
Ae _
FAMILY
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT
FDCTURES: (INDICATE TOTAL NUMBER OF EACH)\
BATH SINK/LAV FLOOR DRAINS
BATHTUB GAS PIPING (Ns
CLOTHES WASHER KITCHEN SINK
DISHWASHER LAUNDRY TRAY
Permit Fee $ , L5
Plan Review $
Surcharge $ .50
TOTAL DUE $1���
LffTOWNHOUSE
R WATER PIPING
NO POOL WATER SOFTENER ($35)
CLOSET BACKFLOW PREY, pis)
HTR ($36) FOR IRRIGATION
METER OTHER
IVIINIMUM:--$1 411v."Or Of Cost of the improvement -
whichever -is -greater on work less than $300
Make checks payable to: City of Fridley
THIS IS AN APPLICATION FOR A PERMIT — NOT VALID UNTIL PROCESSED
I hereby apply for s 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 s the case r all work which
requires review and approval of plans.
NAME OF APPUCANT &` Z1Z,0 DATE e �j
PI se type or print
SIGNATURE OF APPLICANT
$431 UNIVESITY AVENUE NE, FRIDLEY. MN 56432
CITY OF FRIDLEY PERMIT NO.: 2005-01645
6431 UNIVERSITY AVENUE NE
i FRIDLEY, MN 55432 DATE ISSUED: 08/23/2005
763) 572-36U4 YAX: (763) 571-IL57
ADDRESS : 165 IXAVE NE
PIN : T00&026
LEGAL DESC : UNPLATTED
: LOT 0 BLOCK 0 PARCEL 10
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
(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
WA`gER HEATER - GAS
ESTATE SURCHARGE, PLBG FLAT
1 TOTAL
PAID WITH CHECK # 79428
35.00
0.50
35.50
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY PERMIT NO.: 2005-01645
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 08/23/2005
(763) 572-3604 FAX: (763) 571-1287
ADDRESS 165169 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 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.
RUG -09-2005 13:34 CITY OF FRIDLEY
C6 of Fridley Building Inspections Dept.
6431 University Ave NE
Fridley MN 55432
P.03/04
Ph: 763-572-3604 FAX: 763-571-1287
01
�
Mechanical Permit# AO,,;��
Residential Application %�
City of Fridley 67
See Back Side For Reauiretlniation
Date Site Address: /
The applicant is: (cirice one)
Owner Contracto
Property Owner.
Address:
CRY:
State: Zip:
Phone:
Cell: Fax: "
Contractor Informat��
��JJ
Company Name:
Contact Person:
11:2-A&IFIr 009
Addrr3ss:Z
City:
State: zip:
Phone:_ fgS'l S/6 1 e1 ?A A
Cell: 817 efo f fz/ Fax:7;®V,y V0Z.4/24'
Email: .roh AnBh• MN Bond# &Exp Date .Td 66�e4
Type of Work (circle one):
New Replacement Alteration/Remodel
Detailed Description of work
jy/Y& pit.
Ile
46y -V
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
A1C $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
wGas Piping $10.00
Duct Work $10.00
Gas Range/Oven $10.00
Permit Fee
bu
(Total from above -Minimum fee $35.00)
Surcharge
Total Due $
Make check p2yable 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 1 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 Applicant: 1 -1, -Ali AV Date:
Approval Inspector Sig natu f�— Date, ��
CITY OF FRMLEY PERMIT NO.: 2005-01646
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 08/23/2005
763) 57L -36U4 VAN: (763) 571-1"L57
ADDRESS : 1651 AVE NE
PIN : T00 026
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
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 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
GAkPIPING FEE
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 79428
V
i�
J
U_ b
0
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
35.00
0.50
35.50
CITY OF FRIDLEY PERMIT NO.: 2005-01646
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 08/23/2005
(763) 572-3604 FAX: (763) 571-1287
ADDRESS 165169 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
10 iZM
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.: 00 O
Inspections
COMMERCIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
D 9AAN -'7"-'2008
763-502-4977 FAX�/
EFFECTIVE 1-1-08
DATE _ O
YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: CONTRACTOR
PROPERTY
NAME: _ J' 1
ADDRESS: CITY STATE ZIP
OWNER/
TENANT
PHONE: CELL: FAX:
CONTRACTOR
`
COMPANY NAME: /Yi B ' e
CONTACT PERSON: '_5:-4ylI
NOTE:
SEPARATE CITY
STATE BOND # EXP DATE:
DRESS: ��G1'✓(//% lA�
�/C�-�CITY
Gp�Sr L � ST TE[�"r�ZI
LICENSES ARE
REQUIRED FOR GAS
AND HVAC.
PHONE: D3 Z3%8 FAX. ��' Af _250
SUBMIT COPY OF BOND
AND INSURANCE
nn
CITY GAS LICENSE # d�� �I ✓I CITY HVAC LICENSE #2697-00#$ EXP: -38 -0
PERMIT TYPE
LTI-FAMILY ❑ COMMERCIAL ❑ INSTITUTIONAL ❑ CONDO ❑ INDUSTRIAL ❑ SWIMMING POOL
❑ OTHER
TYPE OF WORK'
❑ NEW ❑ REPLACEMENT ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK:
EQUIPMENT INSTALLED MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
A/C DUCT WORK _ ROOF TOP UNIT (RTU)
_ _
BOILER FURNACE _ REFRIGERATION
_ _
1 HOOD APPLIANCE _ STEAMMOT WATER HEATER
—CLASS _C-�GAS
II HOOD _ GAS PIPING _ SWIMMING POOL
—CLASS
_ COMMERCIAL KITCHEN _ POOL HEATER —OTHER
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
TOTAL JOB VALUATION: $ ® a - a
PERMIT FEE $ '?ff CVD 1.25% OF JOB VALUATION / MINIMUM FEE $35.00
SURCHARGE $, J� VALUATION x.0005 / MINIMUM .50
TOTAL DUE $ MINIMUM $35.50 Make Checks Payable to: City of Fridle
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 Oermit and woris not to start without a permit on site; that the work will be in accordance
with the approved plan in the case of all W4, eq res revw and approval of plan/s.'
APPL ANT PRINT NAME �l�o�<G,�?o� DATF_— -Of
SIGNATURE OF
APPROVED BY DATE
.,. ,.. r it . . •: „ a E--E'; ,-w�£'M.,,k✓�,kTs ...
..:.=jFO
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977