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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 CrpPk T)eyelnpmant Company Builder Approved Cont-rart-orR_ Tnr. Address 85 West Road, Circle Pines, Zinn. Address 1052 Osborne Road N.E., Fridley 786-1680 1652,1654 LOCATION OF BUILDING No. 1656 1658 s��t 68th Avenue N.E. I part of Lot Parcels 1000, Section 13 Lot _ _. _ _ _ _ Bo �� _ , _...__ Addition or Sub -Division Corner Lot _ ._..__._ _ _ Inside Lot _ Setback __ Sideyard Sewer Elevation To be Used as: Each Unit Foundation Elevation .......... DESCRIPTION OF BUILDING 4 Townb all s e Ups_ Front __20'_. Depth ___ 32_'. Height 21' Sq. Ft. 12131 Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood Frame Est. Cost _,See #11,, 115 _ To be Completed ,_ear In consideration of the issuance to me of a permit to construct the building described a I agree to do the proposed work in accordance with the description above set rth and in com Bance Ma provision of ordinances of the city of Fridley. In consideration of the payment of a fee of $ See #11- 31 permit 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 building$ vyithin the city limits and this permit may be revoked at any time upon violation of any of theprovision of said ordinances. Is�etor,� CLARENCE BELISLE 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. MY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address 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 corree OWNER KIND C Fridley, Mn. , 19 USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST > M "' ro PLUMBING FIXTURE RATES: NO. RATE y e \sr er Fixtures Water $3.00 $ R x $2.00 $ Company New Fixture, Old Opening x $2.00 $ Signed By Catch Basin x Heater Water Heater - to 99,000 BTU x $5.00 C Tel. No. E x $10.00 $ Water Sof terser x $7.00 !Y New Ground F,.:n Old Building r_ $5.00 ..ujV r N � C ^ r, 0 U•�4 GAS FITTING FEES: Uw X L -4 u L m Date 'd So w w r? u i .:1o ;as lec Vi V APPROVAL FOR PERMIT mR x o $ REPAIRS $ ALTERATIOtiS First $100.00 each add. $100.00 or fraction $5.00 $2.00 —G '/ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE lzt 'a3 3rd — (R) - Future Connection Opening Connected with Seger (") _ .•tw Future, 01d Opening Water Job Address 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 corree OWNER KIND C Fridley, Mn. , 19 USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. \sr er Fixtures x $3.00 $ c^uture Fi.ture Opening x $2.00 $ Company New Fixture, Old Opening x $2.00 $ Signed By Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ Water Sof terser x $7.00 $ New Ground F,.:n Old Building r_ $5.00 $ ROUGH INSP. Date Electric 'eater Heater r, $5.00 $ GAS FITTING FEES: FINAL INSP. Date 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ APPROVAL FOR PERMIT Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIOtiS First $100.00 each add. $100.00 or fraction $5.00 $2.00 —G '/ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($30.00) City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit# o?Po�_-461 esidential Application City of Fridley See Back Side For Required Information Date Site Address: The applicant is: (cirl a one) Owner Contractor Property Owner: Address:AS-Z 1,900) 40MMIte..' OF City: �!'ddle State: 00 Zip: Phone: Cell: Fax: Contractor Informati n - Company Name: Contact Person: r Address: City: / Z"19�1 State:_&M Zip: ZS Phone: 6W 464/ Zq Cell:6/& Wo 66L4�7 Fax: Email: a MN Bond# & Exp Date Type of Work (circle one): New Replacement Alteration/Remodel Dettailed Description of work: /410-'6Aft �! UJ6e .Qi , nZa� d i?e� 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. i ;� r..#tl 17 Permit Fee $ (Total from above -Minimum fee $35.001 Surcharge $ 0.50 Total Due $ Make check payable to City of Fridley This is an application for a permit- not valid until processed 0-' L 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: Date: 7Z Approval Inspector Signatu Dater Please Note: Separate permits are required for Building, Plumbing, and Electrical work AUG -09-2005 13:34 CITE OF FRIDLE`r B PLUMBING RESIDENTIAL. APPLICATION City of Fridley P.02iO4 Permit Number Received By Date Reoeiv� NOTE: IF PROPERTY 13 NOT OWNERiOCCUPIED. A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. ­ /1' -. DATE YOUR YrMAIL ADDRESS_ f� �. a- SITE ADDRESS THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR NAME PROPERTY OWNER! TENANT ADDRESS CITY STATE ZIP PHONE i! I NAME CONTRACTOR ADDRES�Sz PHONE PERMIT TYPE SINGLE FAMILY TWO FAMILY TYPE OF WORK p NEW W REPLACEMENT DETAILED DESCRIPTION OF WORK � I. ZIP TOWNHOUSE FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FDCTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINKILAV 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 $ , 00�� = MINIMUM: -$15.00 or 6% of Cost of the improvement wflit;hever ij Plan Review $ greater on work less than $300 Surcharge $ .50 TOTAL DUE $ Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT —NOT VALID UNTIL PRACESSRi 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 plons. NAME OF APPUCANT O&ZAe? &M—i%tt�_DATE �J Plea tma or print SIGNATURE OF APPUCANT W1 UNIVESITY AVENUE NE. FRIDLEY. MN 56432 AUG -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 # 0l1v,,2q Residential Application City of Fridley See Back Side Fnr Raniiirarl lnfnrm!%tinr% Dated 2— Site Address: The applicant is: (cirlce one) Owner Contractor Property Owner- wnerAddress: Address: City: State: Zip: Phone: Cell: Fax: Contractor Informat , %fiG4� Company Name: Contact Person: Address:Z City: � State: Zip: Phone:_ faS'! elkf ZQ A(— Cell: 617 J10 k7 Fax: Email:9OAndb, MN Bond# & Exp Date '-w Typeof Work (circle one): New Replacement Alteration/Remodel Detailed Description of work l,� /.11/1. ,,Q G6., 4 ally .�/i� tzzae% ��. _— 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 _Boller $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 $ (Total from above -Minimum fee $35.00) Surcharge , . — --- - . _ _.... 0.50 .. - Total Due Make checka able to City of Fridley D nis is an appllcaxion Tor a permit. not Valid until processed I hereby apply for a mechanical permit and I acknowledge that the Information above is complete and arm rate; 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 peril; 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 Appli Approval Inspector t• Building MECHANICAL FDateRemz `• Inspections RESIDENTIAL APPLICATION y: �Kf 7.63-572-3604 CITY OF FRIDLEY d:tb)� DATE 1 Q � 2 Z - t?,'� � YOUR E-MAIL ADDRESS THIS APPLICANT IS: ❑OWNER �NTRACTOR PROPERTY NAME: OWNER/ ADDRESS: CITY STATE ZIP TENANT PHONE: CONTRACTOR I COMPANY SUBMIT A COPY OF CONTACT PERSON: f { YOUR STATE STAB LICENSE # -13 fL EXP DATE LICENSE WITH ADDRESS: N ad t7 a4yL /Ve: CITY Sri i" !, t-�STATE ZIP APPLICATION PHONES If 7) d19�— 2071 FAX Q167) PERMIT TYPE O SINGLE FAMILY ❑ TWO FAMILY J(TOWNHOUSE TYPE OF WORK: i O NEW 9,RBPLACEMENT ❑ ALTERATIONMEMODEL DETAILED DESCRIPTION OF WORK '4 P �'` t`' 0�"'A o� (L C -10--J ilk, !L- ter PER MS 16B.665 the permit fee is a minimum of 515.00 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) MODEL: /d S o D?O SIZEBTU G.4. dT ��l Equipment Installed MFG: �a rt SIZEIBTU MFG: MODEL: MFG: MODEL: SIZEBT[J 4 A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10A0 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BFURNACE $35.00 GAS UNIT HTR $10.00 OILER IRE 1 —HIMNEY LINER $10.00 _GAS DRYER $I0.00 POOL HEATER $35.00 C TDUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = 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 = $7 . 5�' THIS LS 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 wo1rk, which requires review and approval of plans. SIGNATURE OF APPLICANT'S �� �'Dl PRINT NAME DATE/0-2-1-0-1 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 HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropanoUGC 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: Centerpoiint 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: id DATE o - YOUR E-MAIL ADDRESS SITEADDRESS /t,la AVA-- THIS APPLICANT IS: ❑ OWNER Ue2dNRTRACTOR PROPERTY NAME: OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME:_/ylef D P16 j d d 9 STATE LICENSE # 31b M EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: OSO CITY J4- M IW,*,CL STATQ&t-jZIP LICENSE WITH PHONE -71o3 .^ q97-- 2031 FAX 7 6.3- 9417 - 7`7U APPLICATION PERMIT TYPE ❑ SINGLE FAMILY ❑ TWO FAMILY M'rOWNHOUSE TYPE OF WORK: ❑ NEW n4 PLACEMENT DETAILED DESCRIPTION OF WORKt�,1,,r,w11 t� �+cw,,b�%�r j�i^a +>1 . we•,9 � , uc^ 01- it /s./at k&— L. 4 toe. 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) BATH SINK/LAV DRAINS SHOWER / WATER PIPING _FLOOR _ L BATHTUB PIPING rNIx:nSWIMMING POOL WATER SOFTNER ($35) _GAS _ L CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) DISHWASHER / LAUNDRY TRAY I WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER 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 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 /ms+µ. PRINT NAME--/'/ 4-7 ���iLNi/y�a DATE /0 ` 2 2 -d City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 • 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.: 7- Inspections RESIDENTIAL APPLICATION Received By: 763-572=3604 CITY OF FRIDLEY WIWI LU DATE v ^�7� 'd� YOURE-MAIL L�{RRX%tel dfJAL���1PAN�C3 (,pct ADDRESS SITE ADD �i /iS &+� /`�yg Ije , THIS APPLICANT IS: ❑ OWNER WONTRACTOR PROPERTY OWNER/ NAME: ga-)j mw -r TENANT ADDRESS: CITY STATE—ZIP PHONE: 1SL -- 2 3a -i -z- CONTRACTOR CONTRACTOR NAME: 961Jjg46 6Wl 4,41--0 SUBMIT A COPY OF STATE LICENSE # VCIZ..3 6&- EXP DATE YOUR STATE LICENSE ADDRESS: 01YG® CITY F/ZrdlL2 STATENXAP 5TY3Z- WITH APPLICATION PHONE 63 - 5??- - 9CCA) FAX 7 571-9f.431 PROPERTY TYPE ❑ SNGLE FAMILY/NEW CONSTRUCTION SIZEn y– ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMiT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING (OTHER �- ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:/- 1Ry3S(--3/NSuG, A61&4q /`/0✓ls�f ?g,�% Cfp SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT. SIDING FOR NEW CONSTRUCTioN INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project - WWDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF •WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USIN,P THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ F id s aC> OCCUPANCY— i TYPE I✓ L� Permit Fee $ 1,35775- See Back Page for Fee Schedule Plan Review $ ASA, 5q 65% of Building Permit Fee Fire Surcharge $ / (•Qs,a) .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due _ _ $ $`f . % j Make checks payable to: City of Fridley Attach Stipulations 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 pe it; that the work will be in accordance with the approved plan in the case of all work wt�DW41-1 review and approval of plans. ¢/ SIGNATURE OF APPLICANT PRINT NAME J ���DATE U o