PRE 2010 DOCS� 9 7,;? �
City of Fridley, Minn.. N° 8050
BUILDING PERMIT
Date: June 28, 1965
owner: Wayne Pravart Builder Clemron, Inc.
Address %38 _ Memory Lane Address 701 Columbia Blvd,
LOCATION OF BUILDING
No. ?383 street Memory Lane Part of Lot
Lot 9 _ Block 4 Addition or Sub -Division Melody wmor, 3rd. Add.
Corner Lot _ Inside Lot — Setback Sideyard
Sewer Elevation f__._ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Single Dwel Affront Depth Height Sq. Ft Cu. Ft
Att. Garage Front Depth Height Sq. Ft Cu. Ft
Type of construction Est. cost $22X500.00 _ To be Completed
New Dwellings Att. Garage
In consideration of the issuance to me of a permit to c building cribed a I agree to do
the proposed work in accordance with the description ab o set fo and in ce a'11 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of2S -,DO_, permit is hereby granted toNona]-d C • dobnson
Clemron, Inc,. 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 ordinances of
Fridley, Hliinaesotang location, construction, alteration, maintenance, repair and moving of buildings
within the city limitstis permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Allen Jensen Building Inspector
NOTICE:
Yids pernh don not sown the construsfon, buts kmm for whine, plmabins, an hafts, sews' or water. Be sun to see
fa Bedding hu- tar for separate pwn& for then hens.
I`
OWNER'S
ADDRESS
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
�i LOCATION OF BUILDING
Street Part of Lot
444
lo
ADDITION OR SUBD ISION
Corner Lot Inside LOT L ---Setback � /J Side -'Yard /01 -- 6
,SEWER ELEVATION FOUNDATION ELEFATXOk
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as;.
A 001/
Front_ . Dept height 6
Sq. Ft.%� �� Cu.
9
Front_ �� j] Depth f� j Height
Sq. Ft._ Cu. Ft.T�%��.
Type of Construction
To be
timated cosigzl D�
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances
and rulings of the Department of•Buildings, and hereby declares that all the facts
and representations stated in this applicattgo4re true and c ec
(Schedule of Fee Costs can be found on the Reverse Side).,
�j
I
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS
AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL RATE
TOTAL
/
Job Address '7.3 9.3 171 e./Yln riw O - A) -e, A) �
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $ 20.00
$ 40,00
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Gas Piping $ '10.00
$
Tel. #571-3450
(piping needed with new furnace)
Gas Range $ 10.00
$
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
Gas Dryer $ 10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
* Air Conditioning (all sizes) $ 10.00
$ 16.o -O
Fridley, Minn. 19_
All Others/Repairs and Alterations
OWNER areffLL
1% of Value of Appliance or Work
$
�+
KIND OF BUILDING�Q117 �
p'
COMMERCIAL/INDUSTRIAL
USED AS & 5/ Q/) ki 4,1-
1% of Value of Appliance or Work
$
TO BE COMPLETED ABOUT
ESTIMATED COST % 4.
State Surcharge
$ .50
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
TOTAL FEE
$. 9
Reinspection Fee ($15.00)
$
,
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Date
Final Insp.
c?
Trade Name rc ' d`G Size No, /46tA A Yp4V4
Date
Capacity 1 ()f n /3 -TU Sq. Ft. EDR BTU HP
Approval for Permit /
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00
p t
Company -ra
PLUS $.50 STATE SURCHARGE
Signed By
Tel
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1.
Has been carefully examined
Yes
(A
No ( )
2.
Is free from rust or deterioration
Yes
()
No ( )
3.
Has no foreign objects lodged within
Yes
No ( )
4.
Is securely supported
Yes
No ( )
5. Meets all current Code requirements for size and ! `�
total BTU connected Yes lamNo ( )
6. Has Total heating BTU's of ,�n�,
All other BTU's
TOTAL
Rema rk s
Company
Signed B
Date
ti
C,
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL
Furnace Shell and Duct Work,
Burner
Gas Piping
(piping needed with nen furnace)
Gas Range
Gas Dryer
RATE TOTAL
$ 20.00
$
$_10.00
$
$ 10.00
$—
$10.00
$10600
$
Air Conditioning (all sizes) $_10.00 $
All Others/Repairs and Alterations
1• of Value of Appliance or Wo.k $
COMMERCIAL/INDUSTRIAL
It of Value of Appliance or Work S
State Surcharge
TOTAL VIM
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp. a —'?-9'='2—
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00
PLUS $.50 STATE SURCHARGE
Attach stack verification fora with replacement furnace permits
Effective Aug. 1, 1991
Job Address Y3 1)16: 1®oe �/ 61
Department of Buildings. 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #571-3450
The undersigned hers -by makes application for a permit for the work herein
specified agreeing to do all work in strictaccordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley, Minn.
ONNER 7`1 Ge/�
RIND OF BUILDING'Jo'�
USED ASAle--G�
To BE COMPLETED ABOUT O
ESTIMATED COST L o3a® rzqU
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BUMER
HEATING or POWER PLANTS, Stege, Not Mater, Warm Air- No.
Trade Name size No.
Capacity Sq. Ft. EDR BTU NP
Total Connected load _ Rind of Fuel
BURNER - Trade Name size No.
Capacity Sq. Ft. EDR BTU HP _ �--
Company
Attm Judy
Signed By #,342-55"-1 � 7
Tel. No. 700 W LindPil AvegH!—
P. 0. Box 1165
Minneapolis, MIV 55441Ja1165
,14�-
SUBJECT
PERMIT NO.
City of Fridley
3
AT THE TOP OF THE TWINS
BUILDING
PERMIT
Ir?
_ COMMUNITY DEVELOPMENT DIV.
v
PROTECTIVE INSPECTION SEC
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
11/29/95
JOB ADDRESS 7383 Memory Lane NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
4
Melody Manor 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Art Moreau 7383 MemorV Lane NE
786-4541
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Schoenborn Construction 5107 Drew Ave N,
Brooklyn Center
MN 55429 533-9686
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
2
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House & Garage
9 CHANGE OF USE FROM
TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6,500
$3.25
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER TE OR LOCAL LAW REGULATING CON-
Fire SC $6.50
STRU THE PERFOR C F CONST UCTION.$124.75
PLAN CHECK FEE
TOTAL FEE
License SC
5.00
$139.50
NA RE of C NT oR o AUTHORIZED AGENT (DATEI
WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
BLDV INSP
MATE
S,GNATURE OF OWNER ))F OWNER BUILDER) IDATEI
NEW [ ] Effective 8/l/95
ADDN [ ] CITY OF FRIDLEYj
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 7— o 3 A ✓6%7 m V -1
Legal Description:
Owner 1`
Contract,
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
rel. # eN/j'
'ENSE #.,-�An7.2—
Tel. #,S33-96 86
Length
Length
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
00
Type of Construction: Estimated Cost: $, .5 ��
Approx. Completion Date: - —
(Cost on Back)
Driveway Curb Cut Width Needed: F + 6 Ft = t x $ _ $
DATE -0' / _ APPLIC ° ' Tel. #;�
/ -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$
$ 3.s~
$ C�(�
41
$
139, -SZ
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
ITY OF FRIDLEY INSPECTJON DIV.
31 University Ave NE
Idley, MN 65432
113) 572-3604, FAX (763) 571-1287
Effective April 1, 2004 I�djS^
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT a
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
.UMBING FIXTURE RATES: NO. RATE TOTAL JOB
3w Fixtures
$10.00
d Opening, New Fixture
$10.00
Ser Dispenser
$10.00
ow Off Basin
$10.00
itch Basin
$10.00
lain Water Leader
$10.00
imp/Receiving Tank
$10.00
ater Treating Appliance
$36.00
later Heater -Electric _L
$36.00 35
later Heater - Gas"
$35.00
as Range"
$10.00
as Dryer"
$10.00
ick Flow Preventer Required ( )Yes () No
Type
$15.00
3inspection Fee $50.00/Hr
.L OTHERS AND/OR REPAIRS AND ALTERATIONS3 5I
1.25% of Value of Fixture or Appliance
State Surcharge $ . SO
TOTAL FEE $ L.5,50
The undersigned hereby makes application far a perrnit for the work herein
specified agreeing to do all work In strict accordance with the city codes
and ruiings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
OWNER
BUILDING USED AS
ESTIMATED COST
PLUMBING COMPANY '^
SIGNED B
DATE: �-2
PERMIT N0. 2 J0tJ " 0 l& l S
it
TEL No. rib -Z5 Lkarl -r11AC)
Approved By d X Rough -in Date Final Date
OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO -ON BACK S1E
NEW [ ] CITY OF FRIDLEY Vit'
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (70)i72-3604 Bldg I p!
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287ax
IrT
BUILDING PERMIT APPLICATION°
Construction Address: 2 32-1�-
Legal Description:
Owner Name & Address:
Contractor:
G,
Tel. # %lo
MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length I Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length --�' A� �_�L_ Width Hgt/Ground_ Sq. Ft
OTHER:
Construction Type:4 Estimated Cost: $ Z9
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: ' -(; APPLICA� rr,�-P� `— Tel. # 7�0 7-0(1.e51(11
Call (763) 572-3604 for Permit Fees If mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
,a
$ y ,.0i
$ d'00
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ STIPULATIONS:
Lod 50.$et�ta
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Civa'J'� Poll
,
"00
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