PRE 2010 DOCS.
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14
A
CITY OF FRIDLEY
NOTE: Applicant should
obtain building permit
pr2cad.)re i nQrmAQ0
from Building Inspection
BUILDER: Approved Contractors, Inc. V• Department Secretary.
ADDRESS: 1052 Osborne Rd. N.E. Fridley 554NOTE: A Certified Survey of the lot, ,
Street City Zip Code showing the location of the foundati n,
TELEPHONE: 786 3680 once it has been constructed, will be
Nome Business required before proceeding with the_
framing .
PROPERTY OWNE(S) Roger W. Larson
Donald a ast
James F. Wiensch .- Al /' w t? e.,/
85 West 4. Circle Pines, Minn.
ADDREss(ES) 8804 Lexington New Brighton, Minn. 55112
Street T City Zip Code
614 W. Brown Deer Rd. Milwaukee, Wisc.
Street City Zip Code
TELEPHONE NO -(S)
Home Business
OF
Property Location on Street
or Exact Street Address (if any): County Rd. H or 69th Ave:: N.E.
Legal Description of Property:
The East 3/4 of the NE 1/4 of the NE 1/4 of Section 13 T-30,
R-24 City of Fridley, County of Anoka, State of Minnesota
---�
Total Area of Property eq. ft.��� Present Zoning classiricatiion
DESCRIPTION OF BUILDING
Proposed Building Use:
Multiple
141 units
Each unit
BUilding Dimensions: , 'Front 20 Depth 32 Height .2_ 1
Square Ft. 1214 Cubic Ft.
Type of Construction: Wogd Frame
each unit Project
Estimated Cost ^161.000.00 To Be Completed 7-1-73
DATE t -La. 4,0 - Y/
APPLICANT'S SIGNATMs `-�
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(,S-,94.9 50
5Gd.94.9250
' NnN-RF9!DENT 1Ai, BUILDING PIMIT
x
ZONING:
VARIANCE REQUIRED: i
SPECIAL USE REQUIRED:
NPLOT PLAN: TOTAL AREA GRADE ELEVATION SW
- p iU s/ Te 41.9? lare,4j.
CITY OF F'RIDLiff
ADDRESS: /600 84- G 9'``' AU 'y
LEGAL DESCRIPTION:
&f / 5&c 7- 3
BACKS; FRONT YARD SIDE YARD REAR YARD
SUBMIT TO: BUILDING BOARD BOARD OF APPEALS PLAN. COMM. COUNCIL
APPROVAL DATE:
REMARKS:
U
W � FIRE REQUIREMENTS: FIRE MARSHALL FIRE :REVENTION BUREAU EXITS (dates App)
w c:�
INSIDE UTILITIES: PLUMBING VENT & HEATING MMTRICA14�-
�*U°r+, Date Approved s t �� �� p /7dc
M
OUTSIDE UTILITIES
�►+ & SITE DEVELOPMENT: WATER SEWER ELEV CURBING DRAINAGE SCREENING & PLANTING
H eEs PEre � /4 s 75/—',R P4 AAI
H Date Approved Pr -.-u i'tAa
A City Engineer
Sewer Connection Charge Receipt No. Now
Permit Fee & Plan Check #455, Receipt No.
36, e" Less Deposit -,4,7 Receipt No.
y c J C �2 , 7 ff Net Permit Fee Due � � /7 • Receipt No.
f 6
SPECIAL ASSESSMENTS:
IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACED ON THIS PROPERTY, AN AGREEMENT MUST BE
SIG AGREEI G TO ASSUME SUCH LATERAL ASSESSMENTS BEFORE A PERMIT WILL BE ISSUED,
)C� AGREEMENT NECESSARY
Finance Director AGREEMENT UNNECESSARY
Regieteted Engineer's Stamp Legal Description Check
a.
(A) FOUNDATION PERMIT FINAL APPROVAL �.
�ilaing Offioial Building Official
(B) FINAL APPROVAL NOSE: Easements, R/W, Special Agreements
City Engineer DATES
oa
CERTIFICATE OF OCCUPANCY:
PARTIAL: DATE:
FINAL: DATE:
'
REi4[ARKS s
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REMARKS:
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Permit Fee paid on Permit #11,315 for 1560 - 1570 69th Avenue N.E. _
City of Fridley, Minn. :1 i
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: February 22, 1972
Owner: Rice Creek Development Company guilder Approved Contractors, Inc.
Address -$ 5 t Road,Minn. Address' 3 057 Drabo=e Rand. rT E Fr ale., ---
9-3680
1600,1602, LOCATION OF BUILDING
1606
No. 1604 __-..!!-- Street —. 69th Ay muij N _ F Part of Lot
Parcels 10 B 200, Section 13
Lot _ ....__. _ _ lock _ _._. _ _ .___ _ Addition or Sub -Division _
Corner Lot ______. r _ Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
4 Townhe--Ty"I is---._� : Front 201 Depth __321 _ Height . Sq. Ft. 12131 Cu. Ft.
�..__ Front ._ Depth Height ._ Sq. Ft. Cu. Ft.
Type of Construction Wood Frame Est Cost , wee X11.315 To be Completed 1 year
In consideration of the issuance to me of a permit toconstru the building described abov , I agree to d0
the proposed work in accordance with the description above se and in compli With provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $_See Al 1.3]..5permit is hereby granted to 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, 3n aII 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 buildiags
pgithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of Said
ordinances.
or
MAR - P. RFT TST.F
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.
f
Applicamien for Power Plants and Heath, Cooling. Ventilations Refriger�atioe and
Air Candltioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAYrrY WARM AIR: IIAT16 TOTAL
Furnace Shell & Duct Work .. $10.00 S
Replacement of Furnace . ..... .. 6.00
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $___
MECIL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ...... 41..$10-00 ;� U
each add 60,000 BTU .................... .. 3.00 ;
Replacement of Furnace .. .... 6.00 $
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $.---
Furnace
. __Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_
Each add. 200 sq. ft. EDR Steam 3.0(1
Each add. 320 sq. ft. EDR Hot Water 3,00 $_
Dept. of Bldgs. Phone 680-348`0
City of Fridley:
a
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinance:
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner
Kind of Building
i5
Used as
To be completed about _ 1�
Estimated Cost,
Old-4
New. Building Permit No. Permit No.
18� �—
AIR CONDjai
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
06
L / . . fj C� ii CaPadty Sq. Ft EDB B
B®!
See Fee Schodule
TOTAL FEE
V 45, 2- �
(REMARKS -OVER)
DESCRIPTION OF WORK
OIL BURNER—to 3 gal. per hour
6,00
S
_
HEATING orPLANTS—Steam,
over 3 gal. per hour—See Fee Schedule
Hot Water, No�
GAS BURNER (up to 199,000 BTU)
y . 8.00
s c�D . y U
t
Trade Name .
,r�
�L Size NOLZ L Z - iP 2 -
over
over 199,000 BTU See Fee Schedule
GAS FITTING FEEB:
NO RATE TOTAL
Capacity; Q Q
0 Sq. Ft. E.D.R BTU Hp.
1st 3 Fixtures x$ 2,00
$_s ,U U
Total Connected Load
Kind of Fue
Additional Fixtures
x .75
$
Gas Range to 199,000 ..
:= 0
0
5
BURNER —Tradeb Nam
Size No
AIR CONDjai
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
06
L / . . fj C� ii CaPadty Sq. Ft EDB B
B®!
See Fee Schodule
TOTAL FEE
V 45, 2- �
(REMARKS -OVER)
Cify of Fridley
Application for Ph=bbq and Cas l"lwlg Pmt
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORE
Number, Kind and LocaBon of 1lxtuw*s
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES-
NO. RATE TOTAL
Number Fixtures ................
3a -I x 82.00
$ 0 O
Future Fixture Opening ........... •
x 81.50
$
New Fixture Ole! Opening ..........
x 81.50
$
Catch Basin ....................
x $3.25
i
Water heater fUp to 99,000 BTU)
x 83.00
$ 1-2-00
New Ground Run Old Bldg.........
x 83.25
$
Electric Water Hester ........ ......
: 82.00
8
GAS FITTING PEES.
NO. RATE TOTAL
lst 3 Fixtures • • • • ..............
x 82.00
$ .2. 0 b_
Additional o . . • .. . • •... • o ...
x $ 36
•
Gas Range to 199,000 B a V . • a. e . • o ..•.
z $5.00
t; o V o
State Surcharge
$ .50
REPAIRS & ALTERATIONS —Refer to Carlo
Description ..... .. . • . .... .. . • .... • • ...•. • ••{�/4�/•�.IAe* • FEE
•p.Q•. -2-
le
Cit' of Fridley:
The undersigned hereby makes application for a permit for the vrork here!,
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct
Fridley, Mi-++
Owner! C e LIC e /C/ --:) y cc 46�-,"
•� 7�
Kind of Building � d/ p�'�/ l/ -/e ,..re
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit N
Signed
By
Business Phune No
ROUGH _j
FiriAL oc
97 -84-879001 CITY OF FRIDLEY
• APPLICATION FOR PLUMBING AND GAS FITTING PEMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
K
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Water
m
a�
Catch Basin
a1
$5.00
b
Water Heater - to 99,000 BTU
m
7
m
A 14
a
w
�
Water Softener
Heater
$7.00
Lf ej
q
x
$5.00
as
Electric Water Heater
x
$5.00
u
GAS FITTING FEES:
oe
4g
1st 3 fixtures
x
'$3.00
w
o
x
$1.00
$
Gas Range to 199,000 BTU
X
C a:
$
REPAIRS $ ALTERATIONS
„9:
u
aNi
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
g
$ 8.0o
"if
u
4
cre
ani
vi
3
o w°
u Mi�
o
as
lec
1st
2nd
3rd
4th
(R) a Future Connection Opening
Connected with Sewer
(•) - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
K
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
'$3.00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ 8.0o
REINSPECTION FEE
($10.00)
Job Address 1606 NE 69 Ave.
Department of Buildings
City of Fridley
Tel. $571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. 8-].L-78 , 19
OWNER 16nh NF: 69 Ave,
KIND OF BUILDING f rame
USED AS res.
TO BE COMPLETED ABOUT
ESTIMATED COST 20.00
OLD - NEW BUILDING PERMIT NO. PERMIT NO. /
Company
Signed By M I N N EGA$CO
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS VaSO PLUS $.SO STATE SURM%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
coo Ra.-lk- Strip Fnr Rpnuired Information
Permit #
Q®� _ Cw c)
6Yz0z4-ez
Date % Site Address: 66 14
The applicant is: (cirl a one)
Owner Contractor
Property Owner:
Address:/6✓r2 ��e'�
City: GJ'eea,(u�
State: Allf Zip: jg�W.
Phone:
Cell: Fax:
Contractor Informati n
'
Company Name:
Contact Person:
Address
City: Amv nazi_
Z �Tb2-�
State: *A/p
Phoi
9 Fax:
S I �°
Email: C&e
MN Bond# & Exp Date a
Type of Work (circle one): New Replacement Alteration/Remodel _
Detailed'/ Description off,v o�rkk::
J
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
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 J 411
Duct Work $10.00
Gas Range/Oven $10.004'
Permit Fee $
(Total from above -Minimum fee $35.001
Surcharge I
0.50 *
Total Due $
Make check payable to C' of Fridley
This is an application for a permit- not valid until processed fw"
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 utme
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:
��tDate:? 11.E
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
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 ]FGC 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
RUG -09-2005 13:34 CITY OF FRIDLEY P.02iO4
PLUMBING P
ermit Number
.r� RESIDENTIAL APPLICATION
Cit of Fridley y
NOTE: IF PROPERTY IS NOT OWNERIOCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT.
DATE -4 /Z YOUR IRFMAILADORRESS
SITE ADDRESS
THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR t= -------
NAME
PROPERTY OWNER/ ADDRESS
TENANT
CITY STATE: ZIP
PHONE #
NAME ®ENSE #
CONTRACTOR ADDRESSZ 4 vo
CITY Q.riVti STATE ZIP
PHONE # FAX#AY�f��ZZ
PERMIT TYPE SINGLE FAMILY TWO FAMILY
TOWNHOUSE
TYPE OF WORE( p NEW Er' REPLACEMENT
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER (FIXTURE, EXCEPT WHERE NOTED
FD(TURES: (INDICATE TOTAL NUMBER OF EACH)
BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING (Need Citi license) SWIMMING POOL WATER SOFTENER ($35)
CLOTHES WASHER KITCHEN SINKATER CLOSET BACKFLOW PREY, ($1,)
DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION
WATER METER OTHER
OL
Permit Fee $ MINIMUM: $45.00 or 5% of Cost of the improvement -whichever is -
Plan Review $ greater on work less than $300
Surcharge $ .50
TOTAL DUE $ rgs-�:O Make checks payable to: City of Fridley
THIS IS AN APPLICATION FORA PERMIT — NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and 1 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 ans_,� t
NAME OF APPLICANT �( L DATE 04 �-j �
P base type or print
SIGNATURE OF APPLICANT
OF FRIDLEY COMMUNITY DEVELOPMENT DEP;Wi
6431 UNIvES1TY AVENUE NE, FRIDLEY. MN 56432
AUG -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 ®f Fridley
See Back Side For Required Information
Date Site Address: A9 4A
The applicant is: (cirice one)
Owner Contractor
Property Owner.
Address:
City:
State: Zip:
Phone:
Cell: Fax:
Contractor Informati�r�������
Company Name: ��
Contact Person:
Address:Z
City: State: A6u Zip:
Phone:_ Cell: 6f2 efzi fPqZ Fax: 6 0/_!P <OLU
Email: 4 fV&/7. MN Bond# & Exp Date .Td �se4
Type of Work (circle one):
New Replacement Alteration/Remodel
Detailed Description of work
Ile
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
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
_Chimney Liner $10.00
_Gas Dryer $10.00 Ventilator $15.00
w Gas Piping $10.00
Duct Work $10.00
Gas Range/Oven $10.00
Pemiit Fee
du
(Total from above -Minimum fee $35.00)
Surcharge ._... — -
. _ _ _.... 0.5o.–.- . .
Total Due $
Zb 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 1 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 Applicant, ,7 % rte, ; % l C
_ _-,. ! . - ;