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PRE 2010 DOCSH CITY OF FRIDLEY NOTE: Applicant should obtain building permit i ed„ grm� ati nin from Building Inspection BUILDER: Approved Contractors, Inc. V Department Secretary. ADDRESS: 1052 Osborne Rd. N.E. Fridley 554 NOTE: A Certified Survey of the lot, , Street ,City Zip Code showing the location of the foundati n, TELEPHONE: 786 3 680 once it has been constructed, will be Home Business required before proceeding with the f naming. PROPERTY OWNII3(S) Roger W. Larson Donald M. i e ast� James E. Wiensch Ali W ei 1.,/ 85 West R$. Circle Pines, Minn. ADDRESSES) $$04 Lexington New Brighton, Minn. 55112 Street T City Zip Code 614 W. Brown Deer Rd. Milwaukee, Wisc. Street City Zip Code TELEPHONE N0 -(S) Rome Business 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 I. - Total Area of Property sq. ft.,''y Present Zoning Classification -4 = -' DESCRIPTION OF BUILDING Proposed Building Use: Multiple 141 units Each unit Building Dimensions:-,, _�' Tont 20 Depth 32 Height .21 Square Ft. 1233 Cubic Ft. Type of Construction: _,Wood Frame each unit Pr6j6ct Estimated Cost x„16_ .000.00 To Be Completed 7-1-73 DATES �� `ZZ APPLICANT'S SIGNAMUI `� SQ F T— —A/C R,I=/- o utilT /2-5,2 6,0 lsG4 � 7� �o 5� s4? e o �v A Y, 6-y � 2- ��pUti�r AS Pt= R A111-574 l7 3 93r®�r -5 " 7 V-7 c� o )/,41. v4recxl SC NF_ Ovd..� % / z 2 UAkUE RIO -09 "T GrJ.a-IN 4 c,Ar ,( T S -- I� c/t2— /0� Xtly =y,z®O S� FT l� _ /Lo Sz%FrJ C -- l G 7 2& O 7- f� – 2.6 � _ /�s� S� / 3 0 C,4k — 0 y�o,* 2 ® .r 9 �3s b D SLT �Pr�vti lSZ T Alf L S7A-TC . q 8'r So 7-0 7-A-4 L1* LV C e9 A A t • U • 7 v .orJ®-IF GS -.94-9230 � C�• ��9 & y%-�P�FS ' NON-RF91DENTIAi. BUILDING Pf! MIT CITY OF F'RILLE`Y ADMINISTRATIVE PROCESSING AND PLAN CHECK ADDRESS: 16 ®v 1 -?4 - VARIANCE -?4 -VARIANCE REQUIRED: / v LEGAL DESCRIPTION: SPECIAL USE REQUIRED: &L & -PCt lI- T 3 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 WILT, BE ISSUED, AGREEMENT NECESSARY Finance Director AGREEMENT UNNECESSARY Rogisteked Engineer's Stamp Legal Description Check ak (A) FOUNDATION PIRMIT FINAL APPROVAL Building Official Building Official (B) FINAL APPROVAL G_d-NOTE: Easements, R/W, Special Agreements City Engineer DATE; oq CERTIFICATE OF OCCUPANCY: i PARTIALa DATE: FINAL: DATE: ca �' ' RE'fARKB REMARKS; 3; !C'o C` �df✓b� LS 70 �,� ter_'/1S71,r-L _q [L7 r� scCcG PLOT PLAN: TOTAL AREA GRADE ELEVATION SF BACKS; FRONT YARD SIDE YARD REAR YARD C - 0& S/T/__ �l/�V/IVIdcIL v SUBMIT TO: BUILDING BOARD BOARD OF APPEALS PLAN. COMM. COUNCIL *e-5- 91 j -/fr- 7T //-/5 "s APPROVAL DATE: - -7[, -- 3 a 7 ac $ o v REMARKS: FIRE REQUIREMENTSs FIRE MARSHALL FIRE :'REVENTION BUREAU EXITS (dates App) wv w INSIDE UTILITIES: PLUMBING VENT & HEATING BLECTRICA14 EE., v Date Approved : J-, y r �� n p /x"c � OUTSIDE UTILITIES SITE DEVELOPMENT: WATER SEWER ELEV CURBING DRAINAGE SCREENING & PLANTING M '45 PE!? � 74.5 PP -,R P4 AA1 H Date Approved A City Engineer Sewer Connection Charge Receipt No. PWAWtic� Permit Fee & Plan Check 5 1, ®-o �� y�2 y.�f, Receipt No. p 3 � 3 � , 0 Less Deposit �T� —� , c� l - ` A S4"�C ��tt - Receipt No . 5y J 7,y Net Permit Fee Due Af -Receipt No. 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 WILT, BE ISSUED, AGREEMENT NECESSARY Finance Director AGREEMENT UNNECESSARY Rogisteked Engineer's Stamp Legal Description Check ak (A) FOUNDATION PIRMIT FINAL APPROVAL Building Official Building Official (B) FINAL APPROVAL G_d-NOTE: Easements, R/W, Special Agreements City Engineer DATE; oq CERTIFICATE OF OCCUPANCY: i PARTIALa DATE: FINAL: DATE: ca �' ' RE'fARKB REMARKS; 3; !C'o C` �df✓b� LS 70 �,� ter_'/1S71,r-L _q [L7 r� scCcG r '1 a- Vc� gy U /vT I �( l cvN/ rs A% Tare c�Tv r -6R /f / 11111A.,6 �,aI rs P5,?N/7 PL"0 ro r.¢ 4 jel o/�� Permit Fee paid on Permit #11,315 for 1560 - 1570 69th Avenue N.E. City of Fridley, inn. .131.9 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Owner: -Rice Creek Dwxelopmat Company Builder A provedI-ne. -- Address _ 85 West —Minn. Address 9 052 onboa a Dodd N E Frr dley 786-3680 1650,1652,1654, LOCATION OF BUILDING 1656,1658 No.._._...._._..._.____. Street 69 Part of Lot Parcels 10 & 200, Section 13 Lot ---- Block __ __ __.__ Addition or Sub -Division Corner Lot - Inside Lot Setback Sideyard Sewer Elevation ._.- Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Each Unit 5 Townhouse Units Front 20' Depth 32' Height 21' Sq. Ft 1213Cu. Ft Front . — Depth Height Sq. Ft. Cu. Ft Type of Construction —W-- _Frame Est. Cost_ See #11, 315 To be Completed 1 yeah In consideration of the issuance to me of a permit to constru the building described abov , I agree tp do the proposed work in accordance with the description above se and in complice wi provisions Of ordinances of the city of Fridley. In consideration of the payment of a fee of $ See 11,315permit 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 ordinanew of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildirigB Within the city limits and this permit may be revoked at any time upon violation of any of the provisions of Aatid ordinances. CIARENCE •. ISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. Application for Power Phuft and Heating, Cooling, Ventilation, Rafdgeration and Air Conditioning Sydem and Der%s PARTIAL RATE SCHEDULE GRAVITTY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..... . $10.00 $ Replacement of Furnace ..... ..... 6.00 $ Repairs & Alterations—up to $500.00 B.00 $__ Repairs & Alterations each add. $500.00 3.00 $-- --- -�- MECH. WARM AIR ,, Furnace Shell & Duct Work to 120,000 BTU Ls— ..$10.00 $�Q a _0 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 ... &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 3.00 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 (up to 199,000 BTU) 5,00 $ ';2S 0c) over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures —� x$ 2.00 s-10-0 C) Additional Fixtures x .75 $ Gas Range to 199,000 s$ 5.00 $ AIR COlfDETIONILta �� /Q . O FAN HEATING SYSTEM Sae Fee schedule YENTII.ATING SYSTEM C:Z- � ALTERATIONS & REPAIRS TOTAL FEE ® U ROUGH FINAL... �— 9- 7,6 (SURCHARGE $ _,5®) lqo. 's- —0 Dept. of Bldgs. Phone 8604480 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 are true and correct. Owner Kind of Building ._ _, nn Used as To be completed about Estimated Cost, Ol ew Building Permit No. Permit No.-1LLW- DION OF WORK HEATING or PO PLANTS Steam, Hot Water. Warm �-No S Trade Nam e-� �i/I/2I [°/ SiZe No Capacity -ems Sq. Ft. E.DR BTU H.P Total Connected Load Kind of Fue r% BURNER — Trade Name Size No Capacity Sq. !'t. E DR BTU HP. ' (REMARK! -OYER) PACE ENGINEERING, INC. 7200 FRANCE AVE. SO. • MINNEAPOLIS, MINN. 58435 • 612-920-9590 • SUITE 231 May 16, 1972 Village of Fridley 6431 University Avenue N. E. Fridley, Minnesota RE: Rice Creek Townhouses Weinsch Construction Company. Gentlemen: We have reviewed the underground utilities installed on this site including water, sanitary sewer, and storm sewer and find that they have been installed substantially as shown on the original drawings. I am instructing the Contractor by copy of this letter to encase the first length pipe south of Existing M.H. #S-1 in 4" of con- crete to preserve the pipe in the event of failure of the pipe arch. Reproducible "As -Built" drawings are being prepared by the Contractor for your records. Very truly yours, xe_�4� z Glydewell Burdick, Jr. GB:ml c.c. Mr. Frank Reese Mr. Skip Durrand r CONSULTING ENGINEERS ' { September 28, 1972 [Air"NOVESTDIevelopment Corporation City of Fridley 6431 University Avenue Northeast Fridley, Minnesota RE: Timber Ridge Water and Sewer Hook-up Dear Sir: Landvest Development Corporation has an agreement with the Rice Creek Townhouse Association to pay them $3,000 hook-up charge to the existing water and sewer lines between properties. This money will be paid when the first construction draw is made on the water and sewer. This letter is notification to the City of Fridley that we have conform with your stipulation to make this agreement.° Sincerely, LANDVEST DEVELOPMENT CORK i Robert L. McGregor Vice -President RLM/gl 2828 FIFTH AVENUE SOUTH: MINNEAPOLIS, MINNESOTA 55406 512-824.2611 Cita of widley AppOcation for PMmbbt2 and Gas 9 ' Dept. of Bldgs. Phone 96@-3450 , ` �7 p /1 DESCRIPTION OF WORK j �� _ � a - �rY - � C� - � 8 (j C/ �' Number. Kind and Locatiou of Fixtuwas I.F---"� Base 1st 5 2nd .S 3rd M MATER IMM. City of Y idley: P p GAS REG The undersigned hereby makes application for a permit for the work herei, specified, agreeing to do all work in strict accordance with the Citi Ordinance S and reeling of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct PARTIAL RATE SCHEDULE Fridley. Owner Find of Building sewer Used as COMPOW ■ To be completed about PLDMBING FIS RATES- NO. RATE TOTAL Plumber Fixtures ................ x ;2.00 $ 80- C) Future Fixture Opening .... :...... x ;1.50 i New Fixture Olaf Opening .......... x ;1.50 : Catch Basin .................... x ;3.25 = Water Beater 'Up to 99.000 BTU) .... � x $3.00 = /-00 New Ground Run Old Bldg......... x $3.25 $ Mocb4c Nater Beater .............. s ;2.00 S GAS riTTING PEES. NO. RATE TOTAL Ist 3 Fixtures ............... • • x s2A0 ; U 0 Additional Fixtures ................ x $ .76 ; Sd Gas Range to 199.000 BTU ............ x ;5.00 ` 00 State Surcharge $ .50 REPAIRS A ALTERATIOlfd—Aaf®r to Codo Desc iOOn . . .... . . . . .... .. ... ...... . . a-- . --- TOTAL ..TOTAL FEE; 1.24J. 0 Estimated Cost. $ Old—New. Building Permit No. Permit o.� Sign By Business Phune No ROUGH— Description OUGH Rayco Construction, Inc. 211 St. Anthony Parkway • Minneapolis, MN 55418 Vo Phone: (612) 781-6092 • MN License #3396 • Fax: (612) 781-8778 PROPOSAL SUBMITTED TO: DESCRIPTION OF JOB: #95 PHONE: (952) 854-7788 SHINGLE RE -ROOF: DIANA L. HOWEY FAX: (952) 854-0910 RICE CREEK TOWNHOMES JIM BERN MANAGEMENT COMPANY 1579-1589 — 68TH AVENUE NORTH 8162 BLOOMINGTON AVENUE SOUTH 650-1658 — 691H AVENUE NORTH BLOOMINGTON, MN 55425 FRIDLEY, MN DATE: 09/26/05 REFER TO THE ATTACHED ROOF DIAGRAM FOR ADDITIONAL INFORMATION RELATING TO THIS PROPOSAL. THIS PROPOSAL IS TO TEAR OFF AND COMPLETELY RE -ROOF THE SPECIFIED TOWNHOMES AT THE ABOVE PROPERTY LOCATION. ROOF PREPARATION: 1) REMOVE ALL EXISTING ROOFING MATERIAL FROM THE TOWNHOMES. 2) REMOVE ALL ROOFING NAILS. DECK EXAMINATION: 1) CHECK THE DECKING AND REPLACE ANY THAT IS DETERIORATED WITH NEW DECKING. THIS WORK WILL BE COMPLETED ON A SQUARE FOOTAGE CHARGE BASIS AT A RATE OF $3.25 PER SQUARE FOOT. THIS WILL BE IN ADDITION TO THE BASE CONTRACT AMOUNT. NEW ROOF: 1) INSTALL PREFINISHED METAL DRIP EDGE AROUND THE PERIMETER OF THE ROOF. NAIL IN PLACE. 2) APPLY GAF® WEATHERWATCH® ICE AND WATER SHIELD SIX FEET UP AT ALL EAVE LINES. NAIL IN PLACE. 3) COVER THE BALANCE OF THE ROOF WITH GAF® SHINGLEMATe FIFTEEN -POUND UNDERLAYMENT FELT. FASTEN IN PLACE. 4) INSTALL NEW PREFORMED GALVANIZED METAL VALLEYS. NAIL AND SEAL IN PLACE. 5) INSTALL NEW SHEET METAL LOUVERED VENTS. NAIL AND SEAL IN PLACE. 6) INSTALL NEW GALVANIZED METAL PLUMBING STACKS. NAIL AND SEAL IN PLACE. 7) INSTALL ONE COURSE OF MINERAL STARTER AT ALL EAVES. NAIL AND SEAL IN PLACE. 8) COVER THE ROOF WITH NEW GAF" ROYAL SOVEREIGN" FIBERGLASS SHINGLES. NAIL IN PLACE USING A MINIMUM OF FOUR ROOFING NAILS PER SHINGLE. 9) INSTALL BOSTON HIP AND RIDGE. JOB PROCEDURE: 1) WHILE THE WORK IS IN PROGRESS, KEEP THE JOBSITE CLEAN AND NEAT. WHEN THE JOB IS COMPLETE, MAKE SURE ALL GROUND DEBRIS IS CLEANED UP. PERMITS, FEES, AND TAXES: 1) WE HAVE INCLUDED IN THE BASE CONTRACT AMOUNT ALL SALES TAXES AND PERMIT FEES TO COMPLETE THIS PROJECT. 2) MANY CITIES NOW REQUIRE A PLAN -CHECK FEE. IF THIS WERE ASSESSED AGAINST THIS PROJECT, THE COST WILL BE IN ADDITION TO THE BASE CONTRACT AMOUNT. \\ServerO2V-drive\Proposals\Proposals - 2005\Ray Ellis - 200511 579-1589 - 68th.1650-1658 - 69th Avenue North.SH.re.sl.doe Page 1 of 1 Rayco Construction, Inc. 211 St. Anthony Parkway • Minneapolis, MN 55418 Phone: (612) 781-6092 • MN License #3396 . Fax: (612) 781-8778 PROPOSAL SUBMITTED TO: DESCRIPTION OF JOB: #95 PHONE: (952) 854-7788 SHINGLE RE -ROOF: DIANA L. HOWEY FAX: (952) 854-0910 RICE CREEK TOWNHOMES JIM BERN MANAGEMENT COMPANY 1579-1589 —68 TH AVENUE NORTH 8162 BLOOMINGTON AVENUE SOUTH 1650-1658 — 69TH AVENUE NORTH BLOOMINGTON, MN 55425 FRIDLEY, MN DATE: 09/26/05 PRICING: Ve RV r BUILDING NUMBER RE -ROOF PRICE 1579-1589 $13,888.00 1650-1658 $ 10,409.00 TOTAL I $24,297.00 We hereby propose to furnish labor and materials complete in accordance with the above specifications for the Sum Of: AS SHOWN ABOVE With Payments to be made as follows: PAYMENT DUE UPON COMPLETION NOTE: This proposal may be withdrawn by Rayco Construction if not accepted within twenty days. CiK � De GUS✓K All material is guaranteed to be as specified, and all work shall be performed in a professional manner in accordance with the above specifications. Alterations or deviations from the above specifications will be made only upon written change order, signed by both Rayco and Owner, describing the change and stating what, if any, additional amount is to be paid by Owner. Owner assumes the risk of concealed or unknown conditions, including, but not limited to, the presence of asbestos, which delay or increase the cost of Rayco's performance, and Owner shall agree to pay reasonable, additional charges resulting from those conditions before Rayco shall be obligated to continue performance. Rayco is not responsible for delays resulting from strikes, transportation disruption, weather, accidents, materials shortage, or other causes beyond its control. Rayco is not responsible for damages to the premises resulting from vibration caused neither by its performance, nor for any incidental or consequential damages arising out of any error or omission in performance by Rayco. Structural analysis, existing and future mold are excluded from this contract unless otherwise noted. All materials shall be as specified above, and all work shall be performed In a professional manner. All other express or implied warranties, including the implied warranties of fitness and merchantability, are hereby excluded. Owner's sole remedy for breach of any and all warranties by Rayco, whether expressed or implied, shall be limited to repair or replacement, at Rayco's option, of the portion of the work and materials, supplied hereunder that are determined to be defective. Owner agrees to pay additional reasonable charges, including hourly rates for idle equipment resulting from delays of Rayco's performance caused by Owner or Owner's other contractors. Unless otherwise agreed, payment shall be due upon completion of the work by Rayco, and invoices shall be payable within ten (10) days after receipt by Owner. A service charge of the lesser of the maximum legal rate, or one and one-haU percent (1.5%) per month will be added to past due acc9qj7b,0 111 Authorized ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and arqreroby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. \' DATE ACCEPTED:61 SIGNATURE: JC PRELIMINARY LIEN NOTICE: Any person or company supplying labor or materials for this improvement to your property may file a lien against your property if that person or company is not paid for the contributions. Under Minnesota law, you must have the right to pay persons who supplied labor or materials for this improvement directly and deduct this amount from our contract price, or withhold the amounts due from us until 120 days after completion of the improvement unless we give you a lien waiver signed by persons who supplied any labor or material for the improvement and who gave you timely notice. \\Servero2\f-drlve\Proposals\Proposels - 20MRay Ellis - 2005\1579-1589 - 6Bth.1650-1658 - 69th Avenue Notth.SH.re.sl.doc Page 2 o12 * City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Cn Coe—ISO�� Mechanical Permit# �� Residential Application City of Fridley o — Q�i.b Quin cr%r Rannirarl Infnrmatinn 17 Date Site Address: 15 V The applicant is: (cirl a one) Owner Contractor Property Owner 62 --a/ Address:&<Z 1046 J6124-0 State: Ads! Zip: :Cq Phone: Cell: Fax: Contractor Informati n Company Name. Contact Person: -i Address: City: 41 moi_ State: /L1N zip: �5'm� Lf Fax: 57 Cell:74 Phone: Pte/ 4664(G�� ?A�� Email: a Ge- 6(tW MN Bond# & Exp Type of Work (circle one): New Replacement Alteration/Remodel _ Detailed Description of work: /ZPJ 6 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 L/ Permit Fee $ (Total from above -Minimum fee $35.0 Surcharge 0.50 Total Due $ Make check payable to City of Fridley This is an application for a permit- not valid until processed -C/' 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 01'�F approved plan In case of all work which requires review and approval of plans. &Y Signature of Applicant: Date: Approval Inspector Signature: dile Date:% Please Note: Separate permits are required for Building, Plumbing, and Electrical work - - - J -11 11--nG 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 11\4C 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 FRIDLEY PLUMBING INC RESIDENTIAL APPLICATION City of Fridley Permit Number Received By Date Received NOTE: IF PROPERTY IS NOT OWNERIOCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE YOUR AIL ADDRESS_ SITE ADDRESS THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR �— NAME PROPERTY OWNER/ TENANT ADDRESS CITY -TATE: ZIP PHONEfO NAME ® daa` JCENSE # 2 CONTRACTOR ADDRESS CITY STATE PHONE # FAX# PERMIT TYPE TYPE OF WORK I O NEW DETAILED DESCRIPTION OF WORK FAMILY TWO FAMILY le REPLACEMENT LffTOWNHOUSE FEES ARE BASED ON $10.00 PER PICTURE, EXCEPT WHERE NOTED FIXTURES: (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 ATER CLOSET BACKFLOW PREV. ($15) DISHWASHER )LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $ __ ® MINIMUM: --$15.00 or 51/6 -of -cast of the improvement -whichever is- 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 UNT11 PRncr=ccPn 1 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 DATE Phase type or orint SIGNATURE OF APPLICANT W1 UNIVESITY AVENUE NE, FRIDLEY. MN 55432- 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 NF Fridley MN 55432 Mechanical Permit# Residential Application City of Fridley See Back Sidp For Ro-nidrad Infnrmntinn Date Site Address: . The applicant is: cirlce one) Owner Contractor Property Owner. Address: City: State: Zip. Phone: Cell: Fax: � , Contractor InformaM-1 Company Name: � �� 61 � Contact Person: Address: ZYAW eAm"A91 City. State: RAJ Zip: Phone:_ Cell: 617 EM fLV-- Fax: —01—IA VLU2j'- Email: 6tl Arzcth.C4PMN Bond# & Exp Date .TV 1`6.eG T e of Work (circle one): New Replacement Alteration/Remodel Detailed Description of work �Gii/dl& 11/1. All,a�__�1 !2vet �dya�? Col, - gU 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:OQ_ Ventilator $15.00 _Chimney Liner $10.00 QRange/Oven " ✓Gas Piping $10.OQ, ` Duct Work $10.00 —es $10.00 Permit Fee $ "Z00 (Total from above -Minimum fee $35.00) Surcharge —. - - _ ._.-. 0.50 --- - -- ._ --b. . — . - - _ . Total Due Make check p&able to City of Fridley I ms rs an appnaation Tor a permit• not vaua until processed I hereby apply for a mechanical permit and I 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 Codas; that 1 understand this is not a permit but only an appgcation for a permit and work is not to start without a parmil; 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 Inspecto Building BUILDING Permit No.:n02009 0 Inspections COMMERCIAL/INDUSTRIAL Received By: 763-572-3604 CITY OF FRIDLEY Da 'c� U763-502-4977 FAX EFFECTIVE 1-1-09 r-� _ O DATE / YOUR E-MAIL ADDRESS SITE ADDRESS 'oU TENANT Suite No. PROPERTY OWNER NAME:I G1F C G�/' - S ADDRESS:IS.Z7 � ��! �� CITY nL STATEI�dgIP PHONEQ6S z C��l 6 ARCHITECT NAME: ADDRESS: CITY STATE ZIP CONTRACTOR NAME: L * NOTE: CITY LICENSE REQUIRED ADDRESS: CITY STATE ZIP COMMERCIAL, PHONE: FAX INDUSTRIAL AND MULTI FAMILY PROPERTY TYPE ®'TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY PERMIT TYPE ❑ ADDITION ❑ NEW CONSTRUCTION ❑ OTHER ❑ REMODEL 1TROOF ❑ 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 E USED AS:_[f%/��`j� OFFICE SF WHS SF OTHER SF TOTAL SIZE- `-t vJ STORIES FIRE ROTECTION DETAILED DESCRIPTION OF WORK 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 on site; that the work will be in accordance with the approved plan in the case of all work r review and approval of plans. yw�hich / SIGNATURE OF APPLICANT Oy -- / PRINT NAME i �..I L DATE `� ALL FEES ARE BASED ON VALUATION Sq. ft. x $ Cost/sq. ft. = Valuation $ Of Sq. ft. x $ Cost/sq. ft. = Valuation $ Sq. ft. x $ Cost/sq. ft. = Valuation $ TOT JOB VALUATION: $ USE Permit Fee Plan Review Fire Surcharge Surcharge SAC Charge Erosion Control Park Fee Special Assessments Total Due $- $. '3 Re — $ a — $ OCCUPANCY TYPE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $2000 per SAC Unit (Plans to MWCC for determination) $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Pavable to: Citv of Fridlev Attac