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PRE 2010 DOCSE a CITY OF FRIDLEY NOTE: Applicant should obtain building permit rn eedrA Pro >> i nfewmnt i nrL from Building Inspection BUILDER: Approved Contractors, Inc. V Department Secretary. ADDRESS: 1052 Osborne Rd. N.E. Fridley 554 Nom: 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 OWNERS) _ Roger W. Larson James E. Wiensch M®L wo v yle-p 85 West 4. Circle Pines, Minn. ADDRESSES) 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 �*B 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.rPresent Zoning Classification A -- DESCRIPTION OF BUILDING Proposed Building Use: dMultiple 141 units Each u Building iimiensions: wont 20 Depth __32 Height .21 Square Ft. _121-3 Cubic Ft. Type of Construction: Wood Frame each unit Prgject Estimated Cost —"1.00_0.00 To Be Completed 7-17 DATEt„1 APPLICANT'S SIGNATURES l/4/1 r- V4117_ oL% ate �/�• - �7`ATE �f�LUC Pe'Q Fao f 7 e3 ©® T%-,( C/7-Y1--,�-e PES U*17- dy ' / 9- S .2 fr ISG4 v 7/ c'o 5 % SQ IDC-� F %/ /,V, 1 i 1'„iron f ,g f PE OV V11117- o/lot 7- 3 p q 4 y o 4s'4y,�y 2- 2 j5-90 I 75 PSR UNI"t .CiuoNG l 3 9 3.,O �r sr�rF l/ ` a y a ca o YI�L v4%cam % cj D SC HF_ Ov�h 5 T�4 7`� S �� arkWwGL/A/ 4 vis c 7- S -- / O ® S� FT /?L = /6, c ! v y X �[ v= y 2r� oS�1 FT —” �- c f 2 CA -o / e �/? S �. X - 9q F T -� F f o s� _ S I` — / 3 p 2L(34 ®o® �� '0 -2 5;;' -FTE ligGl�.4hUAs,��a FrJ�T l q �r SV 70 7-A-1� V,4 Ll £ o i' A A C 4' 4,o1 A6,'S �r q 13 so �Py$vt1tfZ 2,�b ,oa0� .94,923 s r.+7'e .4v,? e-&t4ge �Ca r�: y7��e s NON-RESIDENTIAL BUILDING PhRMIT r.11 111111 N I RA I W a 9:1 ii -1 x ZONING:21=3 VARIANCE REQUIRED: U SPECIAL USE REQUIRED: A PLOT PLAN: TOTAL AREA GRADE ELEVATION SFr / ani ctry 2 -kc. CITY OF FRTI)LEY ADDRESS: /6 0 a 84 - G �' Al V LEGAL DESCRIPTION: 7=3 BACKS; FRONT YARD SIDE YARD REAR YARD SUBMIT TO: BUILDING BOARD BOARD OF APPEALS PLAN. COMM. COUNCIL / //->5 -7/ H APPROVAL DATE:- y -21 :B a � S-/4-7/ REMARKS: U w FIRE REQUIREMENTS; FIRE MARSHALL FIRE :REVENTION BUREAU EXITS (dates App) w� x INSIDE UTILITIES: PLUMBING VENT & HEATING ELECTRICA U Date Approved s / 114,9�� mn,P Cn Ma H is OUTSIDE UTILITIES & SITE DEVELOPMENT: Date Approved City Engineer WATER SEWER ELEV CURBING DRAINAGE SCREENING & PLANTING /-5 pE/e ;tFs_ /-,eg 7 -5PF- IQ 1-1,4,4,V Pr_41V /�GAFL R`'� Sewer Connection Charge Receipt No. NNW ' Htac V Permit Fee & Plan Checkfo 5 1, ts-o Receipt No. / 3 '7?,� 3 6, e' Less DepositsLR c 7 Receipt No. _5 C) t�6J 7,j✓ Net Permit Fee Due • Receipt No. SPECIAL ASSESSMENTS: _ IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACED ON THIS PROPERTY, AN AGREEME E MUST BE SIG AGREEI G TO ASSUME SUCH LATERAL ASSESSMENTS BEFORE A PERMIT WILL BE ISSUED, NAGREEMENT NECESSARY Finance Director I AGREEMENT UNNECESSARY Regieteked Engineer's Stamp Legal Description Check Ai (A) FOUNDATION PERMIT FINAL APPROVAL K11-1 �• ilding Official Building Official (B) FINAL APPROVAL C2Gam+ NOTE: Easements, R/W, Special Agreements City Engineer DATES oc; CERTIFICATE OF OCCUPANCY: PARTIAL: DATE: FINAL: DATE: REMARKS; REKARKSs A�1 P4 i1 /'C i6" f-� � v sl/ � e h S ✓ �_ n � e.,- P -'S %-. G. ;: 7`c.+ ,✓� i_ �; � / C ,-. �(.} e 5�,`1SI TF/�L`�7 �i Lrj�'e ,e Cbl, S ,PC- /-I/- �fcd- ��.A ' L"/�Zr.,A;'7 'T c; A/�r�// C -+c ,!'s,-,�'et��s:`.7 .£ C. r- -'�ZRYil 946,!/rte 1 7 O.ZV 74 s1 eye IA! si mm -qN1,4e7 "® 9W tri°� - ��/���a 1 • V �" �J F! J 'V ��'Ya" a 7�%-ice �/.��' � 1!`��/'.�i/e✓ I ii �.`_� G�!h,`? r� �✓ �.�t fi'7"�/ �✓��11 ��� �L? 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: February 22, 1972 Owner: --Rice-CzL'P-k Deuelopment Company Builder Approved QmatSeetel:s, I -se - Address s .Address7nS Osborne Road r:E:, Frr aaGy- - 786-3680 16502165221654, 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 Townhouse Units — Front 20 t Depth 32 `Height 21' Sq, 1213 r cu, Ft, Front _ _ Depth Height Sq. Ft. Cu. Ft. Type of Construction--WGg4. r e Est. Cost See #11,315 To be Completed 1 vena 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 provisionB 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 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 ordinguces of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings 'Within the city limits and this permit may be revoked at any time upon violation of any of the provisions of add ordinances. CLARENCE BESISLE NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be suns to me the Building Inspector for separate permits for these hems. AppRc + for Power Plaints and Heating, Cooling, Ventilation,Ref�er�otion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIA: RATE TOTAL Furnace Shell & Duct Work ..$10.00 = Replacement of Furnace 600 $ Repairs & Alterations—up to (500.00 6.00 Repairs & Alterations each add. $500.00 3.00_-- MECIL WARM AIA FurnaceShell & Duct Work to 120,000 BTU ... 5 ..$10.00 each add. 60,000 BTU .................... .. 3.00 a Replacement of Furnace . . .... 6.00 $ Repairs & Alterations—up to $500.00 .. 6.00 $ Repairs & Alterations each add. $300.00 &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 R.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) .....S . 8,00 $ o�S oy over 199,000 BTU See Fee Schedule GAS FITTING FEED: NO HATE TOTAL 1st 3 Fixtures S X$7.00 $1O , O U Additional Fixtures a .78 $ Gas Range to 199,000 s$ 8A0 $ AIR CO1fDETiONING FAN HEATING SYSTEM See Fee Schedule V ITILATING SYSTEM 4Z. ALTERATIONS & REPAIRS TOTAL FEE U ROUGH FINAL (SURCHARGE $_,50) 1g0.'s-0 Dept. of Bldge. Phone 860-3490 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 / Estimated Cost, Old-�5 Building Permit No. Permit No. HEATING or P7,74 PLANTS—Steam, Hot Water, Warm //�-No 6 -- Trade Name_/�%�° Size NoLn � Z Capacity. D Sq, Ft, E.D,R BTU ILP. Total Connected Load Kind of Fue f% BURNER — Trade Namp Size No Capaci Sq. PL EDR BTU Bip .' (REMARKS -OVER) A-0 .0 ow- '�O` i , "'itp 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 Weirsch 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, z Glydewell Burdick, Jr. GB :ml c.c. Mr. Frank Reese Mr. Skip Durrand 'CONSULTING ENGINEERS ' { �y S LL INDVESTDevelopment 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 conformmi with your stipulation to make this agreement. zJ !! j Sincerely, LANDVEST DEVELOPMENT CORK Robert L. McGregor Vice -President RLM/gl 2828 FIFTH AVENUE SOUTH:, MINNEAPOLIS, MINNESOTA 554O8 ; 812.824.2811 City Of Wedley Appliation for Mmbbiq and Ctn Rnbig Dept. of Bldgs. Phone SOD -UM DESCRIPTION OF WORK Number, bind and Location of Fixtu "s r �••tl M WAT" Kra. City of Fridley: � !a Z zl � ® i e • Gas IIW- The undersigned hereby makes application for a permit for the work herei, specified, agreeing to d® all work in strict accordance with the City Ordinance Base S S IS and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Irt S` S S 2nd Fridley. Mina ,IS_ � � 5 3rd L Owner' 4th Kind of Building / Futum Openings Ceaeae Td* s Now k9 . Old Opeubw ❑ Used as To be completed about . 00 C? PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES. NO. RATE TOTAL Number Fixtures ................ 40 x $2.00 S v 0 Future Fixture ening ........ • . • x $1.50 t -. New Fixture Old Opening .......... x $1.50 $ Catch Basin ................. a .. x $3.25 3 - Water Beater (Up to 99.000 BTU) .... S x $3.00 $ Uy New Ground burs Old Bldg......... x $3.25 S Electric Wates Heater .............. a $zoo $ GAS FITTING PEES. NO. RATE TOTAL lot 3 Fixtures . • ........ • • • • • 11 x 32.00 $ -?• U 0 Additional 3bdures ................ '2 1 x $ .76 $ I S Lias Mange to 199.000 BTU ............ x $5.00 $ 11 -O O State Surcharge $ .50 REPAIRS & ALTERATIONS —Aster to C®de Description .......................... a.- -- 3 TOTAL FEE_ . - Estimated Cost. $ Old—New. Building Permit No. Permit o. _ Sign By Business Phone No ROUGH FINAL ' r__sF=1 eL m Rayco Construction, Inc. 211 St. Anthony Parkway • Minneapolis, MN 55418 V' z—C)-z 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 T11 AVENUE NORTH 8162 BLOOMINGTON AVENUE SOUTH 650-1658 — 69TH 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 - 20051Ray 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 • 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: ffle Zeolo� blic BUILDING NUMBER RE -ROOF PRICE 1579-1589 $13,888.00 1650-1658 $ 10,409.00 TOTAL $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. 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 detective. 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 accqos,1 Authorized ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and arVrerpby accepted. You are authorized to do the work as specified. Payment ill be made as outlined above. ` 61-1 DATE ACCEPTED: SIGNATURE: \X,� 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. \1Servero2U-fte\Proposals\Proposals - 20051Ray Ellis - 2005\1579-1589 - 66th.1650-1658 - 69th Avenue North.SH.re.sl.doc Page 2 of 2 LI)I Ur rhiDLLY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT. —_ - RATE SCHEDULE ,nq PLUMBING FIXTURE RATES: NO. RATE TOTAL bt+ u 5.00 x u S Mater i a m • yq $ Beer Dispenser — z c m 0 Blow Off Bailn a 5.00 V. Catch Basin Heater 5.00 V m a C S c m Hydraulic Valve �{ C 31Y 4 Q L m t U 5.00 1. y Mater Treeting Appliance $ 7.00 S Q $ 5.00 $ Gas Range $ 10.00 S Gas Dryer s 10.00 g L 9 U m NX'* O 90, utr a V m 2 q t! q l7 O as 1 ec let 2nd -- ]rd 4 th (R) - Future Connection Opening Connected with Sever (•) - New Fixture, Old Opening 4 Ma tet RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixturea. S, 5.00 $ Future Fixtures S 3.50 $ Old Opening, New Fixture S 1.50 $ Beer Dispenser — 5 4.00 S Blow Off Bailn S 5.00 S Catch Basin 5 5.00 $ Rain We:zr Leader S 5.00 $ Hydraulic Valve S 5.00 $ Sump or Receiving Tank S 5.00 5 Mater Treeting Appliance $ 7.00 S Hot Mater Iteater $ 5.00 $ Gas Range $ 10.00 S Gas Dryer s 10.00 g ALL OTHERS ANO/.OR REPAIRS AND ALTERATIONS 1% of Value Of Fixture or Appliance S Reinspection Fee State Surcharge S 50 S ($15.00) TOTAL FEE Job Address Department of Buildings - City of Fridley - - Tel. 1571-3450 The- .undersigned hereby makes appl-ication for &_permit for -the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Departmerrt-of-Buildings,-a:tld hereby declares that all the facts and representations_�tatvcLln this_ application are true_and--correct- Fs dley, Mn. OWNER KIND OF BUILDING - USED is TO 8E COMPLETED ABOUT 511 - ---- ESTI�4TED C'S? - - OLD - NEW BUILDING PERMIT NO. PE" -IT NO. /03 (- Company Signed By- U Tel. No. ill hou: h IPSP. Dddte 7 FINAL INSP. -5 r` 4 Date: -- APPROVAL FOR PEhriiT !11,41?104 FETE FOR ANY PLUMBING PERKIT IS $10.00 _ PLUS THE $,50 STATE SURCHAkGE. 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 See Back Side For Required Information Permit # ® l 6?1 Date ZS Site Address: �4 17 The applicant is: (cirl a one) Owner Contractor w--� Property Owner: Address:AS'Z A✓e�� Ci{y. State: Reit/ Zip: AP32 . Phone: Cell: Fax: Contractor Informati n ' Company Name: - Contact Person: -� Address: City: a/ State: /LIN Zip:,Td---'� L� Phone: 6-V 6/6_Zqt4' Cell:, 44O 6(E — Fax: 657 e/ Email:c MN Bond# & Ex Date-jo Type of Work (circle one): New Replacement Alteration/Remodel Detailed Description of wof- J -h J*1 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 $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 t .• Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ (Total from above -Minimum fee $35.00 e le Surcharge 0.50 Total Due $ Make check payable to City of Fridley oe 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 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. &Y Signature of Applicant: Date: Approval Inspector Signature:Date. d Please Note: Separate permits are required for Building, Plumbing, and Electrical work .-. - - 1 -1. A 1^^/16 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING 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 PLUMBING RESIDENTIAL APPLICATION City of Fridley Permit Number Received By Date Receives QN'OTE: IF PROPERTY 13 NOT OWNER/OCCUPIED. A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT DATE O YOUR AIL ADDRESS_ SITE ADDRESS THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR NAME PROPERTY OWNER/ TENANT ADDRESS CITY STATE ZIP PHONE # NAME CONTRACTOR ADDRESSZV CITY PHONE # PERMIT TYPE S TYPE OF WORK O NEW DETAILED DESCRIPTION OF WORK k 1 i'1 FAMILY TWO FAMILY FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FD(TURES: (INDICATE TOTAL NUMBER OF EACH) le REPLACEMENT ZIP BATH SINK(LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK -WATER CLOSET-- BACKFLOW PREY. ($16) DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION WATER METER OTHER 0 Permit Fee $ 5 MINIMUM: -$15.00 or 5'/0 of cost of the improvement -whichever -is Plan Review $ Surcharge $ .50 TOTAL DUE $ -5-V greater on work less than $300 Make checks payable to: City of Fridley l nla 1S AN APPLICATION FORA 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 worts will be in conformance w1t11 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 ApPucAnIT DArE61 J PI a type or print SIGNATURE OF APPLICANT 6431 UNIVESITY AVENUE NE. FRIDLEY. MN 55432 AUG -09-2005 13:34 CITY OF FRIDLEY City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 55432 P. 03/'04 Ph: 763-572-3604 FAX: 763-571-1287 Mechanical Residential Application City of Fridley See Rack Sidta- Fnr RAnii drAri Infnrmnttn., Permit# Date Z Site Address: The applicant is: (cirice one) Owner Contractor Property Owner. Address: City: State: Zip. Phone: Cell: Fax: Contractor InformaM-1ft"V�� Company Name: Contact Person: Address: Z City: State: J&LJ Zip: Phone:_ Z4 P44- Cell: d d'd 90 fif!Y2 Fax: Email: Coafa&&= j& Gqftjt& MN Bond# & Exp Date 04 Typeof Work (circle one): New Replacement Alteration/Remodel Detailed Description of work: iY& IV v - �► ��1�l ,ul ,l�Z�t, /� 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 $10.00 Ventilator $15.00 _Chimney Liner $10.00 wGas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ ,ZOO (Total from above -Minimum fee $35.00) Surcharge -.:- __ $..—.. - _..._._...0.50: Total Due $ Make check payable to City of Fridley U 111101 1;D'011 oNtrui:auvn Jul a permit• not valla unto processes I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work win be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Cedes; that I understand this is not a permit but only an appncation 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: Approval Inspector Sig M Building MECHANICAL permit d B -0 Inspections RESIDENTIAL APPLICATION Received 7.63-572-3604 CITY OF FRIDLEY Date Recdd : fl DA �r! YO,U�RR E-MAIL ADDRESS SITE ADDRESS to THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: .f �v+ 1.1c: 60 L OWNER/ ADDRESS: CITY STATE ZIP TENANT PHONE: — CONTRACTOR COMPANY NAME: VL1110 SUBMIT A COPY OF CONTACT PERSON: �l��� r YOUR STATE STATE LICENSE # EXP DATE � CITY] �I SGC STA i✓ �e LICENSE WITH ADDRESS: / ft_!R19-Rr APPLICATION PHONE,$4!!tX PERNUT TYPE ❑ SINGLE FAMILY ❑ TWO FAMILY #TTOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT *L.TERATION/REMODEL DETAILED DESCRIPTION OF WORK 6-0-v_ 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 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZE/BTU Equipment Installed MFG: SIZEBTU MFG: MODEL: SIZE/BTU MODEL: A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER IRE _FURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 ZGAS PIPING $1000 VENTILATOR $15.00 t a sa r n' r19tt i�.1'11V�.a`i?KI4 Ski '3l1gFd Permit Fee $ o Number of fixtures @ $10.00 x $10.00 = Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ -50 Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 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 ordinan d codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appli 'bn for a e it 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 or c equir review and approval of plans. SIGNATURE OF APPLICANT DPL 1CANT PRINT NAME 7dl'�/l�Cf2SOL� City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ 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 PropanmUCTC 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