PRE 2010 DOCSPermit Fee paid on Permit #11,315 for 1560-1570 69th Avenue N.E.
City of Fridley, Minn.. 113278
6431 University Ave. N.E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date:.Fehruary 22,. 1972
per: Rice Creek Development Company guilder Approved Contractors, Inc.
Address 85 West Road, Circle Pines, Minn•Address 1052 Osborne Road N.E., Fridley
786-3680
1659,1657,
1655,1653
Na street _
?got Parcels 10,$?0ok0,
LOCATION OF BUILDING
68th Avenue N.E.
Section 13
Part of Lot
Addition or Sub -Division
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: Each Unit
4 Townhouse Units Front 20' Depth 32' Height 21' Sq. F'L 1213' 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 constru the building described a ve, I agree to do
'the proposed work in accordance with the description above se and in comp 'ante all provisions of
Ordinances of the city of Fridley.
0
In consideration of the payment of a fee of $ SP -P- ; permit is hereby granted to Rice 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
VWdley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
Within n� city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordfit
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to we
the Building Inspector for separate permits for these items.
Application for Power Plants and Heating. Coling. Yentikelon. R�igOr�a-- and
Air Conditioning Systems and Dovkn
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .. $10.00 $
Replacement of Furnace ..... ..... . 6.00 $
Repairs & Alterations—up to $500.00 6.00 $__ _
Repairs & Alterations each add. $500.00 3.00 $—_ _
MECIL WARM AIA
Furnace Shell & Duct Work to 120,000 BTU ......F'. ..$10.00 () O U
each add. 60,000 BTU .................... .. 3.W i
Replacement of Furnace 6.00 $
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.W $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam
$10.00
$. __
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water
10.00
$_
Each add. 200 sq. ft. EDR Steam
3m
Each add. 320 sq. ft. EDR Hot Water
3.00
$
OIL BURNER—to 3 gal. per hour
6.00
$ _
over 3 gal. per hour—See Fee Schedule
GAS BURNER cup to 199,000 BTU) .. ..... I
6.00
$ Z U. U U
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures 6 1
x$ 100
$
Additional Fixtures
x .75
$
Gas Range to 199,000
x$ 600
$
AIR CONDITIONING
$ o . 0 0
FAN HEATING SYSTEM
See Fee schedule
VENTILATING SYSTEM(
¢ �iy. o O
ALTERATIONS & REPAIRS TOTAL FEE
$N LI . ,y O
ROUc (SURCHARGE $_.50)
FINAL �� �
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application arr, true and correct.
18 z_
Owner
Kind of Building41^
Used as
To be completed about _ZI-i-A
Z Z
Estimated Cost,
Old -6w Building Permit No. Permit No. 15e1� 7
DESCRIPTION OF WORK
HEATING or PO PLANTS --Steam, Hot Wates Warm. No.__
Trade Name nC Size Ne t Z n Z ' �L
Capacity i7 Ca U Sq. Ft, F—D,R BTUHP
Total Connected Load Kind of Fuc
BURNER — Trade Name size NO
Capacity Sq. Ft. E.D.R BTU INP.
(REMARKS -OYER)
r
City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287
6431 University Ave NE
Fridley MN 55432
Mechanical Permit# o�00.5--6o (c
Residential Application
City of Fridley
See Back Side For Required Information
Date Q Site Address:
The applicant is: (cirl a one) Owner Contractor
Properly Owner:
Address: /6S� ji�e�iele/
City: Jrra�
State: X41 Zip:
Phone: Cell:
Fax:
Contractor Informati n -
Company Name:
Contact Person:
r
Address:
CityA�� Zai&-, _State: *Al/ZIP: 2�
Phone: A/&!4 Zqee Cell:&&
4/90 66L4!f% Fax: �{
Email: a
MN Bond# & Exp Date OA-17—�—k/MTO
Type of Work (circle one): New
Replacement Afteration/Remodel _
Detailed Description of work: APO'
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
to Air exchanger $15.00 _Fumace
$35.00 _Pool Heater $35.00
_Air
$35.00 _Gas
Dryer $10.00 _Ventilator $15.00
_Boiler
_Chimney Liner $10.00 _Gas
Piping $10.00 ._..
Duct Work $10.00
Gas Range/Oven $10.00.;/ C
Permit Fee $
(Total from above -Minimum fee $35.0012,
Surcharge $
0.50
Total Due $
Make check payable to City of Fridley
e
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 s
accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and f�
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: 0 ��
Approval Inspector Signature Date:'
Please Note: Separate permits are required for Building, Plumbing, and Electrical work
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
I. 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
AUG -09-2005 13:34 CITY OF FRIDLE`r
PLUMBING
RESIDENTIAL APPLICATION
City of Fridley
P. 02,104
C,?ce)S-- 6 l57/)S
Permit Number
Received By
Date Received
IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT.
DATE YOUR §"LADDRESS— r a
SITE ADDRESS
THE APPLICANT 1S: (CIRCLE ONE) OWNER CONTRACTOR
NAME
PROPERTY OWNER/
TENANT ADDRESS
CIN STATE ZIP
PHONE #
NAME
CONTRACTOR ADDRESS(
CITY
PHONE #
PERMIT TYPE
S
TYPE OF WORK 0 NEW
DETAILED DESCRIPTION OF WORK
• ss _
FAMILY TWO FAMILY
Ir REPLACEMENT
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED
FIXTURES: (INDICATE TOTAL NUMBER OF EACH)
BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING (gleed cfty License) SWEMMING POOL WATER SOFTENER ($36)
CLOTHES WASHER KITCHEN SINK ATER CLOSET BACKFLOW PREY, ($1s)
DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION
WATER METER OTHER
[Plan
it-Fee $ 5 .® MINIMUM:- $15.00 or 5 of Lost of the improvement -whichever is
Review $ —greater on wrork less than $300
harge $.50
AL DUE $ Make checks payable to: City of Fridley
r nrs 14 AN APPLICATION FOR A PERMIT - NOT VAUD 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 s_
NAME OF APPLCANT C,1,(ZapqDAiE ��
PI�asettype or print
SIGNATURE OF APPLICANT
"31 UNIVESITY ,AVENUE NE, FRIDLEY. MN SW2
RUG -09-2005 13:34 CITY OF FRIDLEY P. 03/'04
City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287
6431 University Ave NE
Fridley MN 55432
Mechanical Permit#
Residential Application
City of Fridley
See Rack Sirita F:nr Rarrtiirear4 Infnrm!n*7n.,
Date Site Address:
The applicant is: (cirice one)
Owner Contractor
Property Owner.
Address:
City:
State: Zip:
Phone:
Cell: Fax:
Contractor Informat�Q ,
Company Name. fi�1
Contact Person:
Address:Z
City-
State: Zip:
Phone:_ "-I e16,i124 P,(—
Cell: 617 01fo VPZ1'7 Fax: 6 07—M6
Email: CACA ob 4 ash• MN Bond# & Exp Date
Type of Work (circle one):
New Replacement Alteration/Remodel
Detailed Description of work:
W—
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
_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 $15.00
_Chimney Liner $10.00
_Ventilator
_✓Gas Piping $10.00
Duct Work $10.00
Gas Range/Oven $10.00
Permit Fee
b�
(Total from above -Minimum fee $35.00)
I
Surcharge ._ .. _.-$.—.__.. __.._
___ Q.50_ .___ __._ _ __ _ _ _ -.- _ _ . . __—- _ _. _ -- I . . :._
Total Due $
��' Make check a able to City of Fridley
P ms Is do dppncaiion ror a permit- not vaiia unto processes
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 APE
Approval inspe
l.. - i i '��
Building
I I • �'
BUILDING
Permit No.:` 00&_4b'A(0
Inspections
�•
COMMERCIAL/INDUSTRIAL
Received By:
763-572-3604CITY
OF FRIDLEY
DaAaMAY 7 2008
763-502-4977 FAX
EFFECTIVE 1-1-08
DATE `3- —7,0
YOUR E-MAIL ADDRESS �C Q ��k ��C` i C-,I)Ilk
SITE ADDRESS
TENANT NAME:
SUITE NUMBER
PROPERTY OWNER
NAME: t✓Or
//..
ADDRESS: U/P CtTy&b STAT ZIPSS
PHONE: �� �' ��/ ' �G%/a (� \ S� -� C9 — Cv4F /,® i
ARCHITECT
NAME:
ADDRESS: CITY STATE ZIP
CONTRACTOR
NAME:
ADDRESS: CITY STATE ZIP
* NOTE: CITY
LICENSE REQUIRED
FOR COMMERCIAL,
PHONE: CELL: FAX:
INDUSTRIAL AND
CITY LICENSE #: EXP:
MULTI FAMILY
PROPERTY TYPE
9f4OWNHOUSE ❑ COMMERCIALANDUSTRIAL ❑ INSTITUTIONAL
MULTI -FAMILY
PERMIT TYPE
❑ ADDITION ❑ NEW CONSTRUCTION ❑ OTHER
OkEMODEL ❑ ROOF ❑ SWIMMING POOL
PLEASE SUBMIT:
1.4 SETS OF DRAWINGS 5. CONTRACTORS LICENSE OR 6. SPECIAL INSPECTION
2. SURVEY/SITE PLAN LICENSE APPLICATION SCHEDULE
3. LANDSCAPE PLANS 7. PERFORMANCE BOND
4. ENERGY CALCS AMOUNT $
BUILDING TO BE USED AS: OFFICE SF WHS SF OTHER SF
TOTAL SIZE:
STORIES FIRE PROTECTION (Y/N) AC(Y/N)
DETAILED DESCRIPTION OF WORK `
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 UBC FEE SCHEDULE)
Sq. ft. x $ Cost/sq. ft. = Valuation $
Sq. ft. x $ Cost/sq. ft. = Valuation $
Sq. ft. G x $ Cost/sq. ft. = Valuation $
l
TOTAL JOB VALUATION: $ `Z AIM, 00 USE OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
SAC Charge
Erosion Control
Park Fee
Special Assessments
Curb Cut Escrow
Total Due
$
I I • �'
$
2
$
�•
$
$ 14011riu
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$1825 per SAC Unit (Plans to MWCC for determination)
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
ft+6ft= ftx$21 =$
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 nstruction 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 on site; that the work will be in accord ve Ian in the case of all work which requi qreview and approval of pla
SIGNATU LICANT PRINT NAME Wil? ! DATE S 7
RJ�, ,
APPROVED BY
DATE
Building PLUMBING Permit No.:
Inspections COMMERCIAL APPLICATION Received By:Ad
763-572-3604
763-502-4977 FAX CITY OF FRIDLEY DaQMcN0V 12 200
EFFECTIVE 1-1-08 _
DATE // - /'L - e r YOUR E-MAIL ADDRESS
SITE ADDRESS 653 60 �'��` /VA
TENANT 09 (CIO 9:& G �fir/�I �? S SUITE NO.
PROPERTY NAME: y%�• S 40 -?7 &l
OWNER/ ADDRESS: CITY STATE ZIP
TENANT
PHONE:
NAME:
CONTRACTOR
STATE LICENSE #
r
EXP DATE
SUBMIT A COPY OF
YOUR STATE
PLUMBING BOND #
EXP D//A,,T_"E,/
LICENSE AND BOND
ADDRESS: 24¢7 $
W4_ CITY
;?-4 k STATE—zip-370-25
PHONE �i�is�
d��/
"'L ! �O FAX�iY
7�.5�%
PERMIT TYPE
0 INSTITUTIONAL
0 MULTI -FAMILY
0 SWIMMING POOL
OWNHOUSE
0 COMMERCIAL/INDUSTRIAL
0 OTHER
0 NEW
REPLACEMENT
0 ALTERATION/REMODEL
TYPE OF WORK'
DETAILED DESCRIPTION OF WORK �1101;44NNW
CLOTHES WASHER
DISHWASHER
DRINKING FOUNTAIN
—FAUCET
FLAMMABLE WASTE TANK
FLOOR DRAINS
GAS PIPING (CITY LIC REQ'D
GREASE TRAP
_ KITCHEN SINK
LAUNDRY TRAY
—LAVATORY
RPZ VALVE
BACKFLOW PREV
ROOF DRAINS
_ SHOWER
SLOP SINK
_SWIMMING POOL
_ URINAL
WATER HEATER
—WATER METER
—WATER PIPING
WATER SOFTENER
WATER CLOSET
Total Job $ All fees are based on valuation, including the cost of labor and materials.
Valuation
Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35)
Surcharge $ Valuation X.0005 ($.50 Minimum)
Total Due
$ Minimum $35.50 Make Checks 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 coos of the City f Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application fo permit ork is of to start without a permit on site; that the work will be in accordance
with the approved plan in the case of al ork equires eview and approval of plans.
SIGNATURE OF APPLICANT PRINT NAMEc_--6d DATE
APPROVED BY
City of Fridley Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
DATE