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PRE 2010 DOCSCITY OF FRIDLEY NOTE: Applicant should obtain building permit pSoc_ed re i nfor®w+ins _ 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 3 680 once it has been constructed, will be Home Business required before proceeding with the framing. PROPERTY OWNE(S) Roger W. Larson Donald 1V1. Wehlast James E. Wiensch iL r•� /�� 85 West RC Circle Pines, Minn. ADDRESSES) $$04 Lexington New Brighton, Minn. 55112 Street - City Zip Code 614 W. Brown Deer Rd. Milwaukee, Wisc. Street City Zip Code TELEPHONE NO -(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 Total Area of Property sq. ft.`-, Present Zoning Classification DESCRIPTION OF BUILDING Proposed Building Use: Multiple 141 units Each unit Building Dimensions: wont 20 Depth 32 Height ,.21 Square Ft. 1213 Cubic Ft. Type of Construction: W3od Frame each unit Prgject Estimated Cost 161000.00 To Be Completed 7-17 1 DATES ��% APPLICANT'S SIGNATURES ` r�� CDlp'IL±- /QW 5- ® 6Q f T- fe/ UN!r -?e/? O®/T Z 5 �p SQ rr "'pe- IV 1--4 7V7`. -,1 C/ry Fe -c- ieE? U&.I-r / Y 495 Y,6 -y � 2- l;3 y3®$ 114 Pv(// T cNR /7 3 9 3 . ©�r ra ®� Y,44- v4reclv SC HFOvd..� / D 3- � y 2 U* k e 7 0 S Tff 7`L ,F� —/tv 4 4 -Al c T S-yC-e Icr 1-Y 2- ��, e•��—�2 ��X _ /�� 30 y �-0 elf 2`(3� 00 � �a '06 5-6 33 P l %/ 7-0 7 -A -t V,* LV e ex A A Z �42.4�ES 3e, �U —"r S'01�e"fd�'5 ��yKiti` Lq Gb r . 7 S 'r.+7' S vc eA,vse ��.9�92.5 68. y% w yq FIRE REgUIREMENTS: FIRE MARSHALL FIRE 'ItEVENTION BUREAU EXITS (dates App) w c:� sa INSIDE UTILITIES: PLUMBING VENT & HEATING ELECTRICAL PE -44 Q Date Approved s � OUTSIDE UTILITIES & SITE DEVELOPMENT: WATER SEWER ELEV CURBING DRAINAGE SCREENING & PLANTING /-5 pEre ;Cs- peq /4 5 PF- R P/- AAA H Date Approved J'4"" A City Engineer Sewer Connection Charge Receipt No. r L`"✓ s`H�,� Permit Fee & Plan Check 51, Receipt No. 3 0 Less Deposit 0-A; —� c� 7 Receipt No. .3 �� R -0,5-Y o,J °7 Net Permit Fee Due s� . • Receipt No. SPECIAL ASSESSMENTS: -� - IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACID ON THIS PROPERTY, AN AGREEMENT MUST BE SIG AGREEI G TO ASSUME SUCH LATERAL ASSESSMENTS BEFORE A PERMIT WILL BE ISSUED. AGREEMENT NECESSARY jz� Finance Director AGREEMENT UNNECESSARY Registered Engineer's Stamp C, Legal Description Check (A) FOUNDATION PEEtMIT FINAL APPROVAL it ing Official Building Official (B) FINAL APPROVAL /GQ��%� C NOTE: Easements, R/W, Special Agreements City Engineer DATES oq CERTIFIRATE OF OCCUPANCY: PARTIALS DATE: FINAL: DATE: c� N. 04 REMARKS t REKARKS: 0 V IVI TS' 4 A G p y, N- 5 i [: �— -7 / + .� G•' a= � -y A20=A/- f r_ ✓= - 0'0 4S � 7-L..0 Y, 57,v-e"fq !7(�F f� L"C,Zvl-25 ?C ACr74//=% !f,.//t�iAL /i=�fif 0 ��,�C NON-RESIDENTIAL BUILDING _._ PERMIT CITY OF F'R7Tj:.I7f ADMINISTRATIVE PROCESSING AND PLANCHECK ZONING: ADDRESS: /G O& /.?< - G 9 All VARIANCE REQUIRED. LEGAL DESCRIPTION: � o f N6 �o�C U SPECIAL USE REQUIRED: 5 e t T- 3 PLOT PLAN: TOTAL AREA GRADE ELEVATION SFr BACKS: FRONT YARD SIDE YARD REAR YARD /re cry SUBMIT TO: BUILDING BOARD BOARD OF APPEALS PLAN. COMM. COUNCIL 'C--5--/�- / APPROVAL DATE: - y -7i :./ -7 / U REKARKS : w yq FIRE REgUIREMENTS: FIRE MARSHALL FIRE 'ItEVENTION BUREAU EXITS (dates App) w c:� sa INSIDE UTILITIES: PLUMBING VENT & HEATING ELECTRICAL PE -44 Q Date Approved s � OUTSIDE UTILITIES & SITE DEVELOPMENT: WATER SEWER ELEV CURBING DRAINAGE SCREENING & PLANTING /-5 pEre ;Cs- peq /4 5 PF- R P/- AAA H Date Approved J'4"" A City Engineer Sewer Connection Charge Receipt No. r L`"✓ s`H�,� Permit Fee & Plan Check 51, Receipt No. 3 0 Less Deposit 0-A; —� c� 7 Receipt No. .3 �� R -0,5-Y o,J °7 Net Permit Fee Due s� . • Receipt No. SPECIAL ASSESSMENTS: -� - IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACID ON THIS PROPERTY, AN AGREEMENT MUST BE SIG AGREEI G TO ASSUME SUCH LATERAL ASSESSMENTS BEFORE A PERMIT WILL BE ISSUED. AGREEMENT NECESSARY jz� Finance Director AGREEMENT UNNECESSARY Registered Engineer's Stamp C, Legal Description Check (A) FOUNDATION PEEtMIT FINAL APPROVAL it ing Official Building Official (B) FINAL APPROVAL /GQ��%� C NOTE: Easements, R/W, Special Agreements City Engineer DATES oq CERTIFIRATE OF OCCUPANCY: PARTIALS DATE: FINAL: DATE: c� N. 04 REMARKS t REKARKS: 0 V IVI TS' 4 A G p y, N- 5 i [: �— -7 / + .� G•' a= � -y A20=A/- f r_ ✓= - 0'0 4S � 7-L..0 Y, 57,v-e"fq !7(�F f� L"C,Zvl-25 ?C ACr74//=% !f,.//t�iAL /i=�fif 0 ��,�C Zi? c`,�-r /GzIS er ` � v COv✓'n,��>%C �. �'`.� /� �C� �'t" 1� w a L/� �'/� 1�'TF_ r ✓��/ C17 -IV pj,I-N C b�c- ck, /� a lo� F,F am I-fPiNG C)N14s � /�(/ rvNr rs v2 % � z C'7 -,v r -6R / f ( 11111 ?6 %A1 rs 7 AeA 70r.¢ 0 Al 093,40 ON o-� %UT�L !s�.Bi4�6S �/ Permit Fee paid on Permit #11,315 for 1560 - 1570 69th Avenue N.E. City of Fridley, Minn. 1 3 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: Febru.22_, 1972 Builder Address• Address 1052 Qsihnma gond r-tx•.S—x= ra x " 786-3680- 1650,165221654, LOCATION OF BUILDING 1656,1658 No. __ __.. _ Street _ _ 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 Townhous a Units Front 20' Depth 32' Height 21' Sq, F, 1213 r Cn, Ft, Front . _ Depth Height Sq. Ft. Cu. Ft. Type of Construction —WG04. r p Est. Cost_ See #11, 315 To be Completed 1 yens In consideration of the issuance to me of a permit toconstru the building described abov I agree tQ 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 #113315permit is hereby granted to Rice Creep Dey. 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 ordinonees of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings ivithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said h OZ CLARENCE BEEISLE 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 hems. Application for Power Phuft and Hea ft Cooling. Vomflatioea Rshigerwe ~u and Air Coeditioeing Systems sed Devices PARTIAL RATE SCHEDULE GRAiRTY WARM AIA: 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 $____ _^_ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ... L5-.. $10.00 $s�SL -C) U each add. 60,000 BTU .................... .. 3.00 i 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 Shell & Line --to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00Each 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) .....6- . 5.00 $ S oy over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $-J-6-0 U Additional Fixtures x .75 $ Gas Range to 199,000 a$ 5.00 $ AIR CONDITIONING �� /Q . 0 0 FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM s -61- y ALTERATIONS & REPAIRS TOTAL FEE ZZ9-0-X U ROUGH FINAL (SURCHARGE $ _e50) Iqo-sa Dept. of Bldgs. Phone OW -3480 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. L DATION OF WORK HEATING or PO PIARTS-Steam, Hot Water, Warm �/No � a Trade Name �1/l�i�°J Sin No ,l� off ' O 7i Capaci - V 0 Sq. FL E.D.R BTU H.P Total Connected Load Kind of Fue f% BURNER - Trade Name Size No Capacity Sq. Ft. E.D.R BTU Bap �. (REMARKS -OVER) PACE ENGINEERING, INC. 7200 FRANCE AVE. SO. • MINNEAPOLIS, MINN. 55435 0 612-920-9590 a 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, f 2 Glydewell Burdick, Jr. GB :ml c.c. Mr. Frank Reese Mr. Skip Durrand r 'CONSULTING ENGINEERS r September 28, 1972 IAINDVESTDevelopment 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. i Sincerely, LANDVEST DEVELOPMENT CORK Robert L. McGregor Vice -President RLM/gl 2828 FIFTH AVENUE SOUTH,: MINNEAPOLIS, MINNESOTA 55408 612-F324-2611 PARTIAL RATE SCHEDULE PLUMBING FIXTURE HATES: TES: NO. RATE TOTAL Ci fy of Fridley x $2.0o i 80. 0 0 Appkafhm for Mmbbie Gad C7= l "bmj Pwmit x $1.50 $ -. New Fixture Old Opening .......... Dept. of Bldo•. Phone SOD -M - x $1.50 $ Catch Basin ... a ................ DESCRIPTION OF WORE $ n l �� U - � o� �r� � �� s Number. Kind and Locaflon of Ji xtus•o ? �•'� x $3.25 $ Electric Water Floater........ a ..... a noo $ GAS FITTING PEES. NO. RATE TOTAL lot 3 Fixtures ............ • • • : $200 $ .00 Additional Fixtum ................ wAtt� City of Fridley. for for the work herei Gas Flange to 199.000 BTU ............ 6— : $6.00 $ �s . 00 State Surcharge ;. $ .50 The undersigned hereby makes application a permit specified, agreeing to do all work in strict accordance with the Qt,T Ordinance Base 5 S seed ruling of the Department of Buildings. and hereby declares that all the fact and presentations stated in this application are true and correct 1st 5` S S 2nd �^ � 5 Fridley, Mion 19— 3rd Owner 4thKind of Building ConaaeFad Wub • i'nlur® �� IL sever ❑ Used as CL I , z ,( A .t-�b 0 10ow iz9. Old 'W Cesspool _it. To be completed about . (0 ) / / 9 -) Q-,' PARTIAL RATE SCHEDULE PLUMBING FIXTURE HATES: TES: NO. RATE TOTAL Plumber Fixtures ................ -SIU x $2.0o i 80. 0 0 Future Fixture Opening ....:...... x $1.50 $ -. New Fixture Old Opening .......... x $1.50 $ Catch Basin ... a ................ x $3.25 $ Water beater !R3p to 99.000 BTU) .... x $3.00 $ / S New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Floater........ a ..... a noo $ GAS FITTING PEES. NO. RATE TOTAL lot 3 Fixtures ............ • • • : $200 $ .00 Additional Fixtum ................ x $ .75 $ Z-5-6- Gas Flange to 199.000 BTU ............ 6— : $6.00 $ �s . 00 State Surcharge $ .50 REPAIRS b ALTERATIONS —Refer to Code Description o s . e ... . .. .- ... a .. o e ..... ...... . .... ... — $ TOTAL FM . 1.241.00 Estimated COSI. $ Old—New. Building Permit No. P•smit o. Sign By Business Phune No ROUGH F1riAL Pte- , eL �. ID M Rayco Construction, Inc. 211 St. Anthony Parkway • Minneapolis, MN 55418 Phone: (612) 781-6092 • MN License #3396 • Fax: (612) 781-8778 M 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 — 69TH AVENUE NORTH BLOOMINGTON, MN 55425 1 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\Proposais\Proposais - 2005\Ray Ellis - 2005\1579-1589 - 68th.1650.1658 - 69th Avenue North.SH.re.sl.doc Page 1 of 1 Rayc® 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 — 68TH AVENUE NORTH 8162 BLOOMINGTON AVENUE SOUTH 1650-1658 — 69TH AVENUE NORTH PRICING: Av�' 'Wav" 01 Ve olo� boic Pe Arav" BUILDING NUMBER RE -ROOF PRICE 1579-1589 $13,888.00 1650-1658 $ 10,409.00 TOTAL 1$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 accented within twenty days. 09/26/05 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. 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 detemrined 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 Owners 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-haN percent (1.5516) per month will be added to past due accqygb,a 1110 Authorized are satisfactory and arV erAy accepted. You are do as specified. Payment ill be made as outlined above. DATE ACCEPTED: SIGNATURE: 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. \\Server02\f-drive\Proposals\Proposals - 2005\Ray Ellis - 2005\1579-1589 - 68th.1650-1858 - 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 x,61 ®92 Mechanical Permit# X Residential Application City of Fridley _qpp Rark SirfP Fuer Required Information Date 4f Site Address: ¢ The applicant is: (cirl a one) Owner Contractor Property Owner. Address:/6✓r2 �✓�� CRY State: flat/ Zip: ��1t2. Phone: Cell: Fax: Contractor Info rmati n Company Name: Contact Person: -� Address City: fes State: *W Phone: AV 4%MAf CeII: f 1Z gi9O 66E -W Fax: Email: a MN Bond# & Exp Date Type of Work (circle one): New Replacement Alteration/Remodel Detailed Description of work: /r- SIJ..= -Qi , 1'i & 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% Permit Fee $ (Total from above -Minimum fee $35.0 g 0.50 Total Due $ 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 .gym iratA• 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: ate: Please Note: Separate permits are required for Building, Plumbing, and Electrical work .-. - - J n- I 2, 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 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 P. 02/04 V PLUMBING Permit Number / L APPLICATION Rete;ved ayy Of Fridley Date Recent NOTE: IF PROPERTY I$ NOT OWNERIOCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE YOUR L ADDRESS SITE ADDRESS ' THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR NAME PROPERTY OWNER/ TENANT ADDRESS CITY STATE; ZIP PHONE It NAME ® [SENSEa J2!f 2 ADDRESSZ Ivo CONTRACTOR e` _ - - . -- PHONE PERMIT TYPE SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK p NEW W REPLACEMENT DETAILED DESCRIPTION OF WORK is _ 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 (Need City license) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK �ATERSLQSET BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY ✓ WATER HTR ($35) I FOR IRRIGATION -- WATER METER OTHER 00 Perinit Fee $ 35 MINIMUM --$15.00 or 5% of cost 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 13 AN APPLICATION FOR A PERMIT - NOT VALID UNTIL PROCESSE: 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 plans. NAME OF APPLICANT SIGNATURE OF APPLICANT or orint OF FRIDLEY COMMUNITY DEVELOPMENT DEPART $431 UNIYESITY AVENUE NE, FRIDLEY. MN 56432 RUG -09-2005 13:34 CITY OF FRIDLEY City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 55432 Mechanical P.03iO4 Ph: 763-572-3604 FAX: 763-571-1287 Residential Application City of Fridley See Back Side For Required Informafien Date Site Address: The applicant is: (cirlce one) Owner Contractor Property Owner. Address: City: State: Zip: Phone: Cell: Fax: � , Contractor Informat�� Company Name: ��JJ � Contact Person: 009 C/ AddressA City: State: Phone:_ 4a A(- Cell: 6117 70 fPq2 Fax: Z� R01Z.4/?-r Email: s 4 arzBh• MN Bond# & Exp DateAW .rO �so6 dk Type of Work (circle one): New Replacement Aiteraati�on/Remodel Detailed Description of work �Il.� .L11i1. vol. 4.u7LgL Cwt,/�, 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 _Fumace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 Ventilator $15.00 _Chimney Liner $10,00 Piping $10.00 Duct Work $10.00 _✓Gas Gas Range/Oven $10.00 Permit Fee $ &6-00 (Total from above -Minimum fee $35.00) Surcharge $ — - -- -.._ . 0.50 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 1 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 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.