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PRE 2010 DOCSa 4 CITY OF FRIDLEY NOTE: Applicant should obtain building permit 20cadLre i ALQrms►t� -i nr - - from Building Inspection BUILDER; Approved Contractors, Inc. V* Department Secretary. ADDRESS: 1052 Osborne Rd. N.E. Fridley 55 --NOTE: A Certified Survey of the lot, Street City Zip Code showing the location of the foundati n, TELEPHONE:78 6 3 680 once it has been constructed, will be Home Business required before proceeding with the.. framing. PROPERTY OWNER(S) Roger W. Larson ona a ast James E'. Wiensch>L w a v/klrp 85 West RC Circle Pines, Minn. ADDRESS(ES) $$04 Lexington New Brighton, Minn. 55112 Street : City Zip Code 614 W. Brown Deer Rd. Milwaukee, Wisc. +' Street City Zip Code TELEPHONE NO -(S) Home 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 3A 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 Classification -;,,z DESCRIPTION OF BUILDING Proposed Building Use: Multiple 141 units Each unit Building Dimensions: __Front 20 Depth 32 Height ,21 Square Ft. 13 Cubic Ft. Type of Construction: LLnQd Frame each unit Prgject Estimated Cost 1, 000._0,0, To Be Completed 7-1-73 DATES' �� ` APPLICANT'S SIGNA'PI1RAs Anow cltivT vL % 7 3 a ® 7V7 * -1 C /T y F e -e Pg)? UX'17- /�S2 fry l SGS v 7� as 5� SQ �T i°�� F� %/ e� 0 011117- r r �s�_�.rr �'%� voiir T 3 v 5� y6y o � 2- 73 93 40 AS PEl� R 0 ug/il 4/U>NG /+/f�4 3 93r0�r sr�r7-F l� 7 a 7 a ca o S Y.44. v4T�Gtv sC HF_ Ovd.� / UAkUe RIO-6� ff�QA�f S •— Ig- X[(a = �/,? o o G lb y o = 72�o Scx Fr ®� 5 2`(36®°x' -3 S � � •p�L%S4' � �Gvq-TiG�v.,�a�d F�rrT i� Sri! T� r St? 70 T.4 1/A L v C e: ,c A A L 6*.op,46ES .� � •�v a7 v ,dCJOS 4.925 30 13 �v �Cd it 97��e�s " Nn!V-RESIDENTLAi, BUILDING PhRMIT CITY OF FR7LLEY ADMINISTRATIVE PROCESSING AND PLAN CHECK ZONING: a. ADDRESS: f G ®v to - G 9�U� Ale FINAL APPROVAL --X--!7 �it ing Official Building Official ' VARIANCE REQUIRED: (B) FINAL APPROVAL /\1 G_j,� LEGAL DESCRIPTION: � / f �� o f N6 �'/ SPECIAL USE REQUIRED: DATE; &L% 7=3 _ , PLOT PLAN: TOTAL AREA GRADE ELEVATION SFr BACKS; FRONT YARD SIDE YARD REAR YARD N~' AW5 - 01V si rE 4�-p/l041. av C ry aka REKARKS: SUBMIT TO: BUILDING BOARD BOARD OF APPEALS PLAN. COMM. COUNCIL ,moi/��r_.�',c;isC'=^-rS -, ��>�2e_/'�s�c✓_ 91 /- 5-7� APPROVAL DATE: p�p 8 IXl U REMARKS: wl FIRE REQUIREMENTS: FIRE MARSHALL FIRE 'MEVENTION BUREAU EXITS (dates App) PnH Gv U INSIDE UTILITIES: PLUMBING VENT & HEATING ELECTRICA14 17 M U Date Approved : tkJ /-Fk QQ H na H OUTSIDE UTILITIES & SITE DEVELOPMENT: Date Approved A I City Engineer WATER SEWER ELEV CURBING DRA�INA^GEE SCREENING & PLANTING J Sewer Connection Charge Receipt No. PW Permit Fee & Plan Check 5 3, Receipt No. 3 '7' � 3 - , � �' Less Deposit , -, -, 3 � - t j, 7 Receipt No. 5`1 c6J 7,.y Net Permit Fee Due 1 -Receipt No. SPECIAL ASSESSMENTS: IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACID ON THIS PROPERTY, AN AGRFEENr MUST BE SIG AGREEI G TO ASSUME SUCH LATERAL ASSESSMENTS BEFORE A PERMIT WILL BE ISSUED. AMM MENT NECESSARY Finance Director AGREEMENT UNNECESSARY Registered Engineer's StampC7 Legal Description Check a. (A) FOUNDATION PERMIT FINAL APPROVAL �it ing Official Building Official ' (B) FINAL APPROVAL /\1 G_j,� NOTE: Easements, R/W, Special Agreements. City Engineer DATE; oa CERTIFICATE OF OCCUPANCY: iPARTIAL: DATE: FINAL: DATE; 04U REMARKS: REKARKS: U IVi 7`S' 4 A ca ✓V L �6/-JI✓'h4S.�L_%t�,� 70 411 (JSTl,7—G ,moi/��r_.�',c;isC'=^-rS -, ��>�2e_/'�s�c✓_ 1 57c'CCb 571-C Ge -r;' ,t�fi fN.. -� C'C v AP 5 AC174/1= c-'� ✓', /--_ Gf117 Yc' j2 l"t// vc ¢ ;LY l , 4 �Gr 4CC�=�� ' � Pll,fAZ �l X02) O—U ) A-)-NaAg-o n+ n-t-� /-U� U P/,I-,,V e'YYV,- = Foe o14 'If A P-4-4 A, 1 ,Y / rvN� rs A9 /.2617 CITr-6 R /f j 11111416 VAI rs 9,6,f)1r7 'PL -A 70 r.¢ A. CO- a� %UTA& 70 `Y L''/sC° A 7`" �,r �% � � C/��'L1/� j � -� � _ _ .— So'/a`Jw "l �'� � �i' z; 6�9t-,r�`✓G!� e'� ✓= T't`�� L� �f//Plk� / f✓� S/�.e�; c_� 4 �Gr 4CC�=�� ' � Pll,fAZ �l X02) O—U ) A-)-NaAg-o n+ n-t-� /-U� U P/,I-,,V e'YYV,- = Foe o14 'If A P-4-4 A, 1 ,Y / rvN� rs A9 /.2617 CITr-6 R /f j 11111416 VAI rs 9,6,f)1r7 'PL -A 70 r.¢ A. CO- a� %UTA& 70 `Y L''/sC° A 7`" �,r �% � � C/��'L1/� j � -� � _ _ .— Permit Fee paid on Permit #11,315 for 1560 - 1570 69th Avenue N.E. � City of Fridley, Minn. .131.9 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: Februaxy. 22, 1972 Builder AddressR 5 W a Address 3052 n n t,.,= e Road .NT E 786-3680 1650,1652,1654, LOCATION OF BUILDING 1656,1658 No. Street _ Part of Lot Parcels 10 & 2003 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 u Front 20' Depth 32' Height 21' sq. Ft. 1213 r Ca, rt —_ Front _ Depth Height Sq. Ft. Cu. Ft. Type of Construction _WGG4_.Frain- Est, Cost — See #113 315 To be Completed 1 yeah In consideration of the issuance to me of a permit to constru the building described abov I agree to do the proposed work in accordance with the description above se and in compli ce wi provisions of Ordinances of the city of Fridley. In consideration of the payment of a fee of $ See #112 315permit is hereby granted to Rice Creek Dew, 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 ordinozim of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiIIgB ancese. city limits and this permit may be revoked at any time upon violation of any of the provisions of Said n Or CLARENCE BESZSLE NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. Application for Power Ptah: and Healieg. Cooling, Vemilation. Rshigeratioe and Air Conditioning Sptom and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .. $10.00 i 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 .... 6- ..$10.00 $_6 0 U each add. 60,000 BTU .................... .. 3.00 ; Replacement of Furnace .. .. . .... 600 $ Repairs & Alterations --up to $500.00 .. 600 $ Repairs & Alterations each add. $500.00 300 i 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) 8,00 $ r_�. oy over 199,000 BTU See Fee Schedule G AS FITTING r r.&D: NO RATE TOTAL 1st 3 Fixtures _� x$ Zoo $ /D • 0 0 Additional Fixtures x .75 i Gas Range to 199,000 xi 5.00 $ AIRCONDhTiONI11G `j /Q . 0 o FAN HEATING SYSTEM See Fee Schedule ENo`Z..P.4 .. VTILATING SYSTEM Zzy,�,f $ SS, U O ALTERATIONS & REPAIRS TOTAL FEE ® C1 ROUGH FINAL�S (SURCHARGE $ _,5®) � Iqa, so Dept. of Bldgs. Phone 960-M 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 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 Used as To be completed about 1 Estimated Cost, $_.�_._._.-...._ Old-�5 Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POER PLASteam, Not Water, Warm No — Trade Name Size NoCIOW o0 Capacity Sq, Ft, E.D,R Bm H.P Total Connected Load Kind of Fuel *� BURNER —Trade Name Size No Capaci Sq. !'t. E D.R BTU W (REMARKS -OVER) PAC E ENGINEERING, INC. 7200 FRANCE AVE. SO. 9 MINNEAPOLIS, MINN. 58435 0 612-920-9590 • SUITE 231 May 16, 1972 Village of Fridley 6431 University Avenue N. E. Fridley, Minnesota RE: Rice Creek Townhouses Weirs ch 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, i Glydewell Burdick, Jr. GB :ml c.c. Mr. Frank Reese Mr. Skip Durrand 'CONSULTING ENGINEERS ' { S LL X1 ES I Development Corporation September 28, 1972 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. j Sincerely, i LANDVEST DEVELOPMENT CORPORATION i Robert L. McGregor Vice -President RLM/gl 2829 FIFTH AVENUE SOUTH ; MINNEAPOLIS, MINNESOTA 1554091612-824-2611 City Of Fridley Applic0lon for P and Gas 9 Pmt Dept. of Elden Phone 560-M DESCRIPTION OF WORE Number. Kind and Locations of fIxtuino 1 'Fill 13X;1 ' -,,,I e wAne �.ta. Base lst S 2nd .S PARTIAL RATE SCHEDULE City of rridley: The undersigned hereby makes application for a permit for the work hereU specMed, agreeing to do all work in strict accordance with the (Sts 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. Minn 19. Owner Band of BuildingSower � ❑ Used asCempow ` t �✓ c To be completed about (y Q ) PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ —4o x $2.00 $ o 0 o Future Fixture Opening ..... • • e • • . x $1.50 $ New Fixture Oleg Opening .......... x $1.50 $ Catch Basin... . . ......... 0 ..... x $3.25 $ Water Beater (Up to 99.000 BTUD .... S x $3.00 $ /s U � New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. a $2.00 $ GAS FITTING FEES. NO. RATE TOTAL lot 3 Fixtures ............. • • • • J x $2.00 $ U o Additional P °aures ................ c2l x $ .75 Ga Mange to 199.000 BTU ............ x $5.00 $ State Surcharge $ .50 REPAIRS S ALTERATIONb—Refer to Cede Description . • . e o.. • o ..... a a.o e... • .. .. o.•..•... TOTAL YU jj 1.24j, o 0 - Estimated Cost. $ Old—New. Building Permit No. Permit NO. a 7� Sign By Business Phune No ROUGH ,,}� , FINAL ' P-- LQ.IDm 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 — 681H AVENUE NORTH 8162 BLOOMINGTON AVENUE SOUTH 650-1658 — 69T" 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. NAILAND 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. 11Server02\f-drive\Proposals\Proposals - 2005\Ray Ellis - 2005\1579-1589 - 68th.1650.1658 - 69th Avenue North.SH.re.sl.doc Page 1 of 1 Rayco Construction, Inc. 211 St. Anthony Parkway • Minneapolis, MN 55418 Phone: (612) 781-6092 • MN License #3396 Y 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 1650-1658 — 69TH AVENUE NORTH BLOOMINGTON, MN 55425 FRIDLEY, MN DATE: 09/26/05 PRICING: ezeolo� /attic BUILDING RE -ROOF NUMBER PRICE 1579-1589 $13,888.00 1650-1658 $ 10,409.00 TOTAL 1 $24,297.00 gV r We 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. All material is guaranteed to be as specified, and all worK snail be perOnnea 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 resuking 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. Owners 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-half percent (1.5%) per month will be added to past due acro RAYCO C 1 CTION, INC.:,.-' .0 yfA Authorized are work as specified. Payment will be made as outlined above. DATE ACCEPTED: SIGNATURE: _ and are4her0by accepted. You are authorized to do the 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. \1Server02V-fteTroposalsTroposals - 20051Ray Ellis - 2005\1579-1589 - 68th.1650-1658 - 69th Avenue North.SH.re.sl.doc Page 2 of 2 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 Rap Rack Side For Required Information Date Site Address: Z�44- 14 The applicant is: (cirl a one) Owner Contractor tom' Properly Owner: Address: /f ✓r2 io �I�PA0-411 City: u State: A141 zip: j�"Y y Phone: Cell: Fax: Contractor Inform ati n Company Name: Contact Person: -i Address: City: F/��1 / _State: *A1 Zip: �T� l� 57 Phone: 6_s_% 41&4( Z -q P Cell:" 9/90 66EW Fax: Email: Q a Aat- MN Bond# & Exp Datej&r Type of Work (circle one): New Replacement Alteration/Remodel Ge Detailed Description ofwork: /r - Coe 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 Liner $10.00 _Gas Piping $10.00 �- _Chimney Duct Work $10.00 Gas Range/Oven $10.00 c Permit Fee $ (Total from above -Minimum fee $35.0 Surcharge $ 0.50 Total Due $ Make check payable to City of Fridley 9 This is an application for a permit- not valid until processed fL4*-'� I hereby apply for a mechanical permit and I acknowledge that the information above is complete and apm irate' 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. 'I- Please Note: Separate permits are required for Building, Plumbing, and Electrical work 41 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/TGC 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 RUG -09-2005 13:34 CITY OF FRIDLEY PLUMBING RESIDENTIAL APPLICATION City of Fridley P.02iO4 Permit Number Received By Date Received NOTE:: IF PROPERTY IS NOT OWNERIOCCUPIED. A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE v YOUR AIL ADDRESS_ SITE ADDRESS THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR NAME PROPERTY OWNER/ TENANT ADDRESS CITY STATE ZIP PHONE 0 - NAM E NAME ® \ENSE iA "( 2 CONTRACTOR ADDRESS 'Ivo CITY Qrz' IL tSTATE IfAJ ZIP— PHONE # F 1-1 PERMIT TYPE SINGLE FAMILY TWO FAMILY TYPE OF WORK p NEW Ie REPLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) _BATH SINKILAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need CO license) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK —,WATER CLOSET-- BACKFLOW PRE", ($15) DISHWASHER LAUNDRY TRAY WATER HTR ($35) ' FOR IRRIGATION `WATER METER OTHER Permit Fee $✓ 00 Plan Review $ Surcharge $ .50 TOTAL DUE $ r 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 r nr5 MAIV APPLICATION FOR A PERMIT —NOT VALID 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 wlM 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 plpns. NAME OF APPLICANT �G��/ DATE Ram- x h+Q orP rint SIGNATURE OF APPLICANT OF FRIDLEY COMMUNITY DEVELOPMENT DEPARI $431 UNIVESITY AVENUE NE, FRIDLEY. NIN 55432 RUG -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# Residential Application City of Fridley See Rack Siflra Pnr Ranviir&rl lnfnrmft*:n., Date Site Address: The applicant is: (cirice one) Owner Contractor Property Owner. Address: City: State: Zip: Phone: Cell: Fax: Contractor Informat Company Contact Person: Address:Z City. State:&A2 Zip: Phone:_ ga-j il6ilZQ lit Cell: 617f q- Fax: 6 ,fm Email: t'1 Andh• MN Bond# & Exp Date .W T e of Work (circle one): New Replacement Alteration/Remodel Detailed Description of work 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 -S -10.0.0--l- 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 check payable to City of Fridley v xxl� ." w. "IFjJII%.a&wu wA a FJC,uuI.- 1101. V411%1wrcu prvGrasea 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 Stan without a permit thea the work will be in accordance with the approved plan in case of all work which requlras review and approval of plans. Signature of Appli Approval Inspecto Gam' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 PLUMBING Permit No.: Building Inspections RESIDENTIALAPPLICATION Rec ']B✓ 763-572-3604 CITY OF FRIDLEY Date Recd: 763-502-4977 FAX EFFECTIVE 1-1-M DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: D OWNER DCONTRACTOR PROPERTY OWNER/ Nom: S STA UZIPS_S:&� ADDRESS:11ACV CITY TENANT PHONE: �_ �� — C iC CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE D SINGLE FAMILY D TWO FAMILY TOWNHOUSE WORK: O NEW RPLACEMENT TYPE OF DETAILED DESCRIPTION OF WORK V� O' 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 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10..000 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINKILAV DRAINS —SHOWER _WATER PIPING _FLOOR — BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) WATER CLOSET PREV. ($15) _CLOTHES WASHER _ KITCHEN SINK _ _BACKFLOW DISHWASHER LAUNDRY TRAY _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 = $ TOTAL DUE $OR Number of fixtures @ $35.00 x $35.00 = $ L� State Surcharge = $ 50 (MINIMUM $15.50 U (MIMMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID 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 ork is not to start without a permit on site; that the work will be in accordance with the approved plan in the a of all work whic quires review and approval of plans. T NAME�DY\`Ii1l� t X DATE 2 SIGNATURE OF APPLiC T APPROVED BY DATE i MEW City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.:9a'" 0 Inspections COMMERCIAL/INDUSTRIAL of Building Permit Fee Fire Surcharge $. Received By: 763-572-3604 CITY OF FRIDLEY a Date 1U 1 Q 763-502-4977 FAX $ $2000 per SAC Unit (Plans to MWCC for determination) Erosion Control EFFECTIVE I-1-09 $450 Conservation Plan Review DATE { YOUR E-MAIL ADDRESS SITE ADDRESS 6 S 2— (J TENANT Suite No. PROPERTY OWNER NAME: Agreement necessary ( ) Non Necessary ( ) ADDRESS:�SZ r_1 71 t#' CITY G STATI&l IP 232 2 $ PHONE: T�2 I --co 16 ARCHITECT NAME: ADDRESS: CITY STATE ZIP CONTRACTOR NAME: * NOTE: CITY LICENSE REQUIRED ADDRESS: CITY STATE ZIP COMMERCIAL, PHONE: FAX INDUSTRIAL AND MULTI FAMILY PROPERTY TYPE M TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY PERMIT TYPE ❑ ADDITION ❑ NEW CONSTRUCTION ❑ OTHER ❑ REMODEL )21 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 4,E -USED AS. + OFFICE SF WHS SF OTHER SF TOTAL SIZE: I S UA STORIES FIRE PRO TIO (Y AC(Y/N) DETAILED DESCRIPTION OF WORK d 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 of9l work whic r s review and approval of plans. �/,K-1 < SIGNATURE OF APPLICANT PRINT NAME� �G vV� DATE 7-2-1—/ ALL FEES ARE BASED ON VALUATION Sq. ft. x $ Cost/sq. ft. = Valuation $ Sq. ft. x $ Cost/sq. ft. = Valuation $ Sq. ft. x $ Cost/sq. ft. = Valuation $ TOTAL JOB VALUATION: $� 6°1 BQ USE OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 0765% of Building Permit Fee Fire Surcharge $. .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Special Assessments $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations