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PRE 2010 DOCSPermit Fee paid on Permit #11,315 for 1560-1570 69th Avenue N.E. City of Fridley, Minn. 3 6431 University Ave. N. E., Minneapolis, Minn. 55432 -- - BUILDING PERMIT Date: February 22, 1972 Owner: �]Rice -Creek 1eVe-lgpm _n Company Bide Apprnvpd rnn r r_orc_ Tnr. Address _85 West Road, Circle Pines, 1$inn. Address 1052 Osborne Road N.E.,, Fridley 786-3680 165221654 LOCATION OF BUILDING No.1656.1658 Street 68th Avenue N.E. part of Lot Parcels 1000, Section 13 Lot __.—� �_ B o __.._�._.___ Addition or Sub don Corner Lot Inside Lot _ _. Setback _ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Each Unit 4 Taynbaltse_Units_ Front 201 Depth 321 Height 211 Sq. Ft. _1213' Cu. Ft. Front ._ _ Depth Height Sq. Ft. - Cu. Ft. Type of Construction Wood Frame Est, Cost . See #11,,,315 To be Completed 1ey ar In consideration of the issuance to me of a permit to construct the building described a I agree tq do the proposed work in accordance with the description above set rth and in com liance wi provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ See_ #1.1; 31r permit is hereby granted to Rice Creek Dey 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 buildiIIgs ivithin antheordincity limits and this permit may be revoked at any time upon violation of any of the provisions of Raid ector,� CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, soarer or water. Be suns to am the Building inspector for separate permits for these items. 1 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLU:•L?ZAG FIXTURE RATES: NO. RATE TOTAL tiger Fixtures Future Fixture Cpening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 1CO,G30 BTU to 199,000 BTU Water Softener New Ground P.u: Old Building Electric '.rater Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Cas Range to 199,000 BTU REPAIRS $ ALTERATIOtiS First $100.00 each add. $100.00 or fraction x $3.00 x $2.00 x $2.00 x N x es X O X y 0 $5.00 Water $5.00 A 0 -UA W Heater 4 u w XCi _N N L O U N 0 a• ..Li V C —1 O O O N 11 N N N N 4j Vf S o w v: w U p z 3 c� U 0 ;as ilec m V m GA 1 2nd 3rd 4 uyi (R) = Future Connection Opening Connected with Sewer (•) _ .:cw Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLU:•L?ZAG FIXTURE RATES: NO. RATE TOTAL tiger Fixtures Future Fixture Cpening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 1CO,G30 BTU to 199,000 BTU Water Softener New Ground P.u: Old Building Electric '.rater Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Cas Range to 199,000 BTU REPAIRS $ ALTERATIOtiS First $100.00 each add. $100.00 or fraction x $3.00 x $2.00 x $2.00 x $5.00 x $5.00 X $10.00 X $7.00 X $5.00 X $5.00 x $3.00 x $1.00 x $10.00 $5.00 $2.00 State Surcharge TOTAL FEE REINSPECTIO:4 FEE ($10.00) S Job Address / (� S 7 _ o a � Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correc ((Fridley, Ma. , 19 OWNER KIND OF BUILDING �— USED AS TO BE COMPLETED ABOUT ESTI.MATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. ;7'l,' Company Signed By crcif��- Tel. No. / ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PEr%MIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 AUG -09-2005 13:34 CIT`( OF FR I DLE`f PLUMBING RESIDENTIAL APPLICATION City of Fridley o<'00S--6 Permit Number Received By Date Received NOTE: IF PROPERTY 13 NOT OWNERIOCCUPIED. A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE Z— YOUR L ADDRESS_ Ir, �a h - "�� SITE ADDRESS THE APPLICANT Is: (CIRCLE: ONE) OWNER CONTRACTOR i__ NAME PROPERTY OWNER/ TENANT ADDRESS CITY STATE ZIP PHONE f0 � A,I I NAME CONTRACTOR ADDRE^S� PHONE # PERMIT TYPE SINGLE. FAMILY TWO FAMILY TYPE OF WORK 13 NEW Ee REPLACEMENT DETAILED DESCRIPTION OF WORK 0 2? y J 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 WATER CLOSET BACKFLOW PREY, ($15) DISHWASHER LAUNDRY TRAY "WATER HTR ($35) FOR IRRIGATION WATER ME=TER OTHER PermitFee$ 5 � Plan Review $ Surcharge $ .50 TOTAL DUE $ S -v THIS MINIMUM: --$15.00 or 5% of cost of the Improvement - whichever -is. -greater on work less than $300 Make checks payable to: City of Fridley A PERMIT —NOT VALID UNTIL 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 plans. NAME OF APPLICANT Z4aDATE PI se type or print Pr SIGNATURE OF APPLICANT 631 UNIVESITY AVENUE NE. FRIDLEY. WIN 55432 AUG -09-2005 13:34 CITY OF FRIDLEY City of Fridley Building Inspections Dept, 6431 University Ave NE `Fridley MN 55432 P.03/04 Ph: 763-572-3604 FAX: 763-571-1287 Mechanical Permit# apa�-®I halo Residential Application City of Fridley See Back Side For Rp-nidrraril infnrmn inn Date 2 Site Address: The applicant is. cirice one) Owner Contractor Property Owner- wnerAddress: Address: City: State: Zip. Phone: Cell: Fax. Contractor Informat�r�� , Company Name: ((,,iiJJ � Contact Person; Address: (/'40(Z,9 City: State: &U Phone:_< S/6 il ?A P� P - Cell: '617 ffo EP�'Z Fax: ��04 Email: A Arzca'h• MN Bond# & Exp Date .Tv T e of Work (circle one): New Replacement Afteration/Remodel Detailed Description of work: U IV 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 $ " X00 (Total from above -Minimum fee $35.00) Surcharge $- — - - - . _ ...... _0.50 Total Due $ Make check p2yable to City of Fridley u ms is an application Tor a permit- not valid until processed t hereby apply for a mechanical permit and 1 acknowledge that 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 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:_ Approval Inspector Signe e.�s City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit # 100f_01391 eSidential Application City of Fridley See Back Side For Required Information Date 6S Site Address: The applicant is: (cirl a one) Owner Contractor Property Owner: 6 4 Address: 16.5-Z City: �J d State: Zip: Phone: Cell: Fax: Contractor Informati n- Company Name: GC� Contact Person. r Address:0 a City: State: Z✓&V Zip: Phone: 6-S7 AMS/ Z96F Cell:6(k *Vo 6(jEW Fax: 6574e A-*- Email: c MN Bond# & Exp Date Type of Work (circle one): New Replacement Alteration/Remodel Detailed Description of work: /a� Ce ev gtXk^ 4MWJr a�rr 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. Permit Fee $ (Total from above -Minimum fee $35.0 le- -6 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 Signature: Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Building MIJCHANICAL permit No.,9 t291- Ud Ir Inspections RESIDENTIAL APPLICATION Received By: �_ 7.63-572-3604 CITY OF FRIDLEY Date Recd: U DATE SITE ADDRESS THIS APPLICANT IS: O OWNER p�1TRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERNIIT TYPE TYPE OF WORK: NAME: ADDRESS: CITY STATE ZIP PHONE: COMPANY NAME: %` A CONTACT PERSON: M, kj?- STATE LICENSE # .531ip -kEXP DATE �y ADDRESS: //,0,5'0 2 ('-' -2AN� C1TY .7�e A^ l /4eC STATE/Y1N ZIP .3�.�7 PHONE -�3 "097' IV's FAX-7(a��/i7 0 SINGLE FAMILY 0 TWO FAMILY O NEW AILED DESCRIPTION OF WORK 0 ALTERATIONIREMODEL '44 - 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: (AIDICATE TOTAL NUMBER OF EACH BELOV)MODEL:�P��e��*®`I� sIZEBTu Le ftv/ Equipment Installed MFG: -- SIZE BTU MFG: MODEL: MODEL: SIZEBTU MFG: GAS RANGFJOVEN $10.00 V AIC $25.00 _FIREPLACE (GAS) $15-00 $35 NEW GAS GRILL $10.00 _AIR TO AIR EXCHANGEER $15 _ F REPACE (WOOD) $35.Q0 BOILER 535.00 FURNACE $35.00 _GAS UNIT HTR $10-00 _GAS DRYER $10.00 POOL HEATER $35.00 �.�CHIMNEY LINER $10.00 1/GAS PIPING $10.00 'c VEN 1 Q-ATOR $15.00 7 DUCT WORK 510.00 Per Fee $_• Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ (ly 5o 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 PERMrr 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; that the work will be in accordance with the approved plan in the case ofall work �which r"e�quires review and approval of plans. ,�1 SIGNATURE OF APPLICANT '.la%t�-o[ G/ 'L' PRINT NAME./�z �as ( {�/ A � . 'd-" DATE City of Fridley 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 HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a_ Oil or solid fuel ]MC Chapter 7 with MN Amendments b. Natural Gas or PropaneUGC 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 1MC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a.. Required on new copstzuction ]MC 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 Building PLUMBING Permit No.:`�� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE-/',:-" — Z — c, 7 YOUR E-MAIL ADDRESS SITE ADDRESS (0s(® 4p$44` AVe - THIS APPLICANT IS: O OWNER S60514TRACTOR PROPERTY NAME: OWNER/ ADDRESS: CITY STATE ZIP TENANT PHONE: CONTRACTOR NAME: M ? r STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS:_//,0_S_0 1(o Al L CITY STATE/--AZIP &3--x"7(® LICENSE WITH PHONE "7(,,J— c67-2o3( FAX "? G,) - zv?% 7V 7 O APPLICATION PERMIT TYPE 0 SINGLE FAMILY ❑ TWO FAMILY 2'TOWNHOUSE 11 NEW E'REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK . e- d• �r 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 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL UMBER OF EACH BELOW) BATH SINK/LAV DRAINS SHOWER / WATER PIPING _ _FLOOR _ BATHTUB GAS PIPING (N,EI) MrLu•A:Nsx)_ SWIMMING POOL _ WATER SOFTNER ($35) T CLOTHES WASHER / KITCHEN SINK 1 WATER CLOSET BACKFLOW PREV. ($15) _ T DISHWASHER L LAUNDRY TRAY 7-WATER HEATER ($35) FOR IRRIGATION WATER METER _OTHER Number of fixtures @ $10.00 x $10.00 = $ Permit Fee $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ 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 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 plans. SIGNATURE OF APPLICANT PRINT NAME- / ��+^ �IL�itl/ryG DATE _A> eJ� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 0