PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT
Date: March 16, 1966
Owner: Ray Tuchhoff
Ewder Clemron, Inc.
Xo
Vr. W7 • _-If l
LOCATION OF BUILDING
No. 7389 Street Memory Ifim- NNME. Part of Lot
Lot 12 Block `t Addition or Sub -Division NfPI nay Tgann. , 3rd
Corner Lot . _ Inside Lot — X Setback _____35, _ - Sideyard 11 and 51
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
&'5®3/
8716
To be Used as:
D:,relling Front L2 t Depth 251 Height __201 Sq. Ft. —105 Cul. Ft. 21j,00
Att. Garage Front 211 Depth 211 Height 10' Sq. Ft. 441 cu. Ft. h.hl
Type of Construction Frame Est. Cost —8"2 .5—ok__ To be Completed 9.116.106
In consideration of the issuance to me of a permit to c the building des e I agree to do
the proposed work in accordance with the description abov t fo gad in p ce ail provisions of
ordinances of the city of Fridley.
In camdderation of the payment of a fee of $ 26.00 , permit is hereby granted to Clemro . 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 a]1 respects to the ordinances 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 said
ordinances.
ALLEN G. JENSEN Building Inspector
NOTICE:
M pemdt dog not aver the aonstroatlm, imtdla m for whine, phnnhine, on hosting, aver or wabr. Be sun to me
tin Building hmp aler for aparNr pwadit for than Items.
.
APPLICATION FOR BUILDING PE"IMICT
CITY OF FRIDLEY, NINNESOTA
OWNER'S�'/��% �/ii.%./,/ DER
ADDRESS ADDRESS
/-L--+ a -z- -7 LO TION OF BUILDING
No. 1 reet Part of .Lot
Lot_Z2 Block Addition or Subdivision
Corner Lot Inside Lotl� Setback XSide Yar a_ I 4--a
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn ori these Certificates.
DESCRIPTION OF BUILDING
To b ed as :
Front.— ra_,-.th ,,�.5 -7_9 Height
Sq. Ft. Cu. Ft.
r � P
Front -Q Depth / /� Height R—e
Sq. Ft. CU. Ft. f
Type of Construction GG Estimated Cost _-02,g_ S
To be Completed
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
reuresentations stated in Chia annl4estinn arcs t_rI110 and nnrrPct _
N
879.01
City of Fridley
Application for Plumbing and Gas F*ting Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK 7389 Mernory LaneNumber. Kind and Location of Fixtures Location
in w w
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin .... .......................
Water Heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg . ............
NO. RATE TOTAL
x $1.50 $
— x 1.20 $
— x 1.00 $
— x 3.25 $
— x 2.00 $
_ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 $1V
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. 1 x 2.00 $3 00
REPAIRS & ALTERATIONS—Refer to Code
p '
Descri tion ...............................................
TOTAL FEE
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
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 fact
and representations stated in this application are true and correct.
Fridley, Minn JUN 211967 ,19—
Owner siegley
Kind of Building 'r ame
Used as Residence
To be completed about JUN 26 1967
Estimated Cost, $ 10.00
Old=XNew. Building Permit No Permit No.
MINNEAPOLISCAC CO.
Signe
Business Phone No
ROUGH
FINAL
Ia
��
z
•
N
WATER HTR.
GAS
ELEC.
+�
3
��
w
;
c�
Um
6$
�•d
��
�0
R
Base
1st
Fep
L
1
2nd
3rd
_
4th
• Future Connec34on Openings
Connected with
Sewer []
* New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin .... .......................
Water Heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg . ............
NO. RATE TOTAL
x $1.50 $
— x 1.20 $
— x 1.00 $
— x 3.25 $
— x 2.00 $
_ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 $1V
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. 1 x 2.00 $3 00
REPAIRS & ALTERATIONS—Refer to Code
p '
Descri tion ...............................................
TOTAL FEE
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
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 fact
and representations stated in this application are true and correct.
Fridley, Minn JUN 211967 ,19—
Owner siegley
Kind of Building 'r ame
Used as Residence
To be completed about JUN 26 1967
Estimated Cost, $ 10.00
Old=XNew. Building Permit No Permit No.
MINNEAPOLISCAC CO.
Signe
Business Phone No
ROUGH
FINAL
e
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 �� � � � edf 0 2 5' Zi -A,
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping .
(piping needed with new furnace)
Gas Range
Gas Dryer
* Air Conditioning (all sizes)
All Others/Repairs and Alterations
1% of Value of Appliance or Work
COMMERCIAL/INDUSTRIAL
1% of Value of Appliance or Work
$ 20.00 $ O Department of Buildings. 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
$ 10.00 $ p r Tel. #571-3450
$ 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
$ 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.
$ 10.00 $
.�_ /��}ppo Fridley/,1910. Minn. 7 — 3 19
OWNER k L S i py i�f . '/C ; a
$ KIND OF BUILDING
OL�/�
USED AS Lf= t pP
State Surcharge
TOTAL, FEE
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp. 7--5,'?P ®�
Approval for Permit
$ 50
$
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00
PLUS $.50 STATE SURCHARGE
Attach stack verification form with replacement furnace permits
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
TO BE COMPLETED ABOUTS _ Cr
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, arm Air- �.
Trade Name i`.0- (/ r fd Size No. t 10
Capacity Sq. Ft. EDR BTU HP
Total Connected Load / :� !? Ori d Kind of Fuel .ti ✓!-
BURNER - Trade Name 4'kaa A (a Size No. Ui t9 ® o
Capacity Sq. Ft. EDR BTU HP
company .
Signed
Tel. xo. 824-2656
r'
T�:::(P'JIi�C:L? HEi�'�1-!`°•!t� stlR i1!`t1DT.T3 tttlltw!# C:C
S"EFtV T If S rHE J"W 1l\; C 1 T I CS SINCE 'G .:•'.,
NEAT _L�� �wLlClJi•`=, T. Imo,`%l F --CF;.'
....._.....___.-._______-..___________.______..___________________-.-__________....._______
--2 V 9-=
'Ji=PER LEVE!
WIDTH
`.'2A
HEIS! -•!7 '•tea
l�!it•�a�''+��4tJ a
... L?L��+f�. ••.• iW,Y;i=i',�i:r=t'YE:.
r`-,l�lr•�
;=,�^;is',
_ _.___..._.....___.
!\!t_t u PANE
;"'°( t.",r.: ..... 1 `-_!`! i `;.:
C ;t=1C!'•-.
'nQ F 11 *•
.y.m
y
1 20
7.4 1
9 5
6a5
22
34
110.8
7
,.!• 4 4
4",;,•t 1
50
33. 9
232
8
BTU l6e R. FT
I• NF I L i RA ; I Com!N
u o ., u u u ., u= u u .. u u
r. u u d!•.s:t_? u 1
20
8402
..............................
_ 8u_
mss_!
16 4•1
NETEWXP W-'�LL.ee..e....aba--n40.4L.en
1015,..
11
11172.7
BELOW tti}RADE...... 0 <tivau wba�<u4Qa
c?
r
rt
CEILING......................... < < n < u ....
1.4.� C;
11
1584C?
L
FLOOR. u n u n o u n u n u u u u u n u u u u u u ., a ..
b��+ J
-25.,
�
1 1400
4; E" • _r 1. .. ..! I LA I - DN „ u .. ,. 0 ., ., u e .. o .... n n „ o ., . u n
'_'
!
0
Ti Flit_ �;'1,'!.fu u u u u o .. u u u u o u u u u .. .. u .. . u u u u u u
_...__....._.__....._________________..-._---_—__.r_...,.-..._.—__........__..•-..._—....___•-._•-•_____....._..-._-w....._....__
u o .. .. uS"••_.c�.'.29.,
LOWER LEVEL
LENGTH 41.
t;' l s. TH
24
HEIGHT 8
WINDOWS
�: :?:���+c;E' _.. rl�:i=,::'t::i=�a;�E. ,°-`:!;-!r,r=;F'tLt�
____________....._
wIDT.H
HEIGH! l\JzE-
LIN FT
AFtiE1"
1140. .PAIME
F'," NE L I GHTs
CF;ACf —.':
SO FT
.�+_!$s,
1.
° u 56
u 5
�1
19
X17
COE FF
BTU 130F: . F T
INFILTRATION
........... � o n
a .. 117.0
2t?
3L^6 SS u .. .. u .. .. u«
u u u u o n a u u o a u u u
.. u u„ ., u u ..
75.
+w,• 0
2w56
:3765
EXP ',ALL uuoouoauauuauuuunu.._.....
13+_}
BELOW' CiF:A;_•yE. .
u u u .. 4 u a ., a u ., u
u u u .. u a u
520
5
'26Ct}
CEILIE !`1C.n..nb..na.uno�
ann an�
0
FLOORu......neuua.......Auu„uu......
84
-,'52
VENT I LAI”! Lam. N ,, .....
n a t_? ..........
4 � u� a a
r_?
r y
o
TOTALBTU ..o.ud4.,edW„a>.,aua..e�a�oaoa�uuaawoo..�u�..a.........
16564.
TOTAL BTU OF ALL ELSOl'S.'!-L.(_OR.,...<..u.au.a,.nuuoAd........................... 79794.4
0
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1.
Has
been carefully examined
Yes)
No ( )
2.
Is
free from rust or deterioration
Yes
No ( )
3.
Has
no foreign objects lodged within
Yes (')
No ( )
4.
Is
securely supported
Yes (X)
No ( )
5. Meets all current Code requirements for size and
total BTU connected- Yes ( No ( )
6. Has Total heating BTU's of ) ZO J 00
�`�
All other BTU's
TOTAL e �'
Remarks
SUDARD TING AND AIR CONDMONS
410 WEST LAKE STREET
Company MINNEAPI POLIS, MN 55408
Signed By
Date
D
City of Fridley, Minn. N° 8931
BUILDING PERMIT
Date: JULY 19, 1966
Owner: CLEMON,: HC4 s ut' :N[
Address 701 ColumbiaBlvd... 08 ME STREET
I M APOAPOLIS, MIr fir_' tX uyrpi���RQTA
LOCATION OF BUILDING
No. 7389 Street MEMORY LANE N.E. Part of Lot
Lot 12 Block 4 Addition or Sub -Division Mg.= MANnR, 3RD AnnTTTMM
Corner Lot W Inside Lot Setback -- Sideyard
Sewer Elevation _.._ Foundation Elevation
To be Used as:
ASPHALT DRIVEWAY Front
Front
Type of Construction
DESCRIPTION OF BUILDING
Depth Height Sq. Ft. Cu. Ft.
Depth Height Sq. Ft. Cu. Ft.
— Est. Cost —$149,85--- To be Completed —
In
In consideration of the issuance to me of a permit to construct the Mg described above I agree to do
the proposed work in accordance with the description above set fPrth compliance with aft provisions of
ordinances of the city of Fridley. A �'
In consideration of the payment of a Pee of 4.00 ' , permit is hereby granted toA.B.C. BLAC>TOP
GOMP= to construct the building or addition as described above. This permit is granted upon
the express oondition that the person to whom it is granted asci 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, Minnesota gg location, construction, alteration, maintenance, repair and moving of buildings
within the city ]imitsrthia permit may be revoked at any time upon violation of say of the provisions of said
ordinaacea.
CLARENCE BELISLE Building inspector
NOTIM
M permit does not cover the construction, Installation for wiring, plumbing, on hating, acre► or water. Be sun to as
the Building Inspector for apwato permits for than Nora.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Qj crnA0fJ
OWNER'S NAM . BU'. ODER C i ,ern
ADDRESS ADDRESS `, 0/- 0 0 L 4jn» 3 a, A40,6
LOCATION OF BUILDING
N0, 7 _ STREET MC; M 0 A 1/ _PAJLT OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE -YARD
SEWER ELEVATION FOUNDATION ELBVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth eight
Sq. Ft. Cu. Ft.
Type of Construction �S pig AL7 Ail V Estimated Cost J 9 S�
To be completed
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 application
are true and correct.,
DATLO Z Z9USIGNATURE
(Sch ule of Fee Costs can be found on the Reverse Side)..
Williams Electric, Inc.
2312 Central A venue N. A
Minneapolis, Minnesota
600 UnAvu7sity Avarua Q M
rj Y. winneocza 5540
560-10911)
March 2. 1967
W ri7wn L Parm! t
Von
Shortage-,
Memory
Tone
N.
E.
COUVOMPw
,jow ahoutrArat Ppwit fa -r raptivn9d ndowss was
short the RAWnq
7389 Memory lone R & 0 ........ $ 3.80
XindTy plate Wis shnrtign on a wagWar Mlpnenata State
Affidavit ou that us may 11"'9`+7nTly Dromps, thin pnrmlt,
Wenrely.,
,11
city of Fridley
TO Chs
Application for Power Punts and Heating, ding, Yensfiaftne Refrigem ion and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
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
8.00
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ...... . $10.00 $_
each add. 60,000 BTU .................... .. 3.00 =
Replacement of Furnace 6.00 $
Repairs & Alterations --up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 .... 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 8.(1(1 $__.--
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 198.000 BTU)
5.O0
j
over 199,000 BTU See Fee Schedule
Capacity Sq. Ft. E.D.R
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures
x$ Z00
$
Additional Fixtures
x .75
$
Gas Range to 199.000
x$ 8.00
$
f/Y /1 T
i
AIR CONDITIONING
$ / A
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING
VENTILATING SYSTEM
lk___�
ALTERATIONS & REPAIRS
TOTAL FES
ROUOg (SURCHARGE $_.50)
FINAL vf,- /S - 2.5
Dent. of Bldon� Phan& 091 um
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn 1g
i> 171n
KInd of Building
Used as
To be completed about __— —� ^ -73
Estimated Cost,
Old ' New. Building Permit No. Permit
DESCRIPTION OF WORK
gEA77NG or POWER PLANTS—Steam, Not Water, Warm Air—No
Trade Name
size No,
Capacity Sq. Ft. E.D.R
BTU gp
Total Connected Load
Kind of Fuer
BURNER — Trade Name
size No
Capaci Sq. Ft. E.D-R
BTU H1P.
(REMARKS -OVER)
Bush phone
1-116) W.
5 �5-aO S
Ir�
SUBJECT - -
PERMIT _
City of Fridley`
^�_
x12677
AT THE TOP OF THE TWINS
BUILDING PERMIT
R EIPT NO.
;.
•COMMUNITY DEVELOPMENT DIV.
�� I
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
�`�
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
`•-"'�'� 612-560-3450
910-F15
JOB ADDRESS 7389 Memory Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
4
1 Melody Manor 3rd Add. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Skjervold 7389 Memory Lane 55432
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Tri-Co Builder 7555 Van B -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW XI ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
®� oZ
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS ROWED FOR WIRINGw
HEATING# PLUMBING AND SIGNS,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. 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
480
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
3.61
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
7,222.80
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE, OF CONSTRUCTION.
26.00
PLAN CHECK FEE
TOTALFEE
29.61
ATURE 01 CONTRAC RAU RIZED NT (DATE)
WHEN PROPERLY, ALIDATED THIS IS YOUR PERMIT
8-15-74
BLDG INSP DATE
- S " REOFOW RIIF N B ILDERI ATEI
Ir�
APPLICATION FOR RLSIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CI'T'Y OF I-I:IDLLY, MJNNESO TA
OWNER'S NAME: BUILDER: rC44
ADDRESS : 738 9' j A-, ADDRESS
STREET:
TOOT: BLOCK: � ADDITION: Z22c` QAV 177d,4J R, 3.ed
CORNER LOT INSIDE LOT: SETBACK: SIDEYARD:
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:/
Front: Depth: Height:
Square Feet: b _,Cubic Feet:
Front: Depth: Height:
Square Feet;
Cubic Feet:
Type of Construction: P/Estimated Cost: °�'�
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that -i11 the facts and representations stated in this application
are true and c orr�-e t .
DATE :Z3- S I (; NATURE : , ,%
(See Reverse Side For Additional Informat on.)
x 00
��� Y0 /ZC-
Land Planning sulu41wn 6875 Highway No. 63 N. E.
Land Surveying• �h �j /a Minneapolis,
Soils Testing lly"itee4 • ny, VWcia Minn. 55433
Civil Engineering Telephone 784-6066
Municipal Engineering Engineers & Surveyors Area Code 611
Mortgage Loan Survey for Tri i - Co 2)Q1LQE-V16&
C�
WAN
;fir
b -' I
O.T. I �, � �`l_UCK _A
MANn 2
RD AnITION
i
i
fb
This is a true and correct representation of a survey of the boundaries of the land above described and of the
location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is
made only in connection with a mortgage loan now being placed on the property and no liability is assumed
except to the holder of such mortgage or any,other interest acquired by the reason of such mortgage. It is
understood and agreed monumen have been I ced for the purpose of establishing lot lines or boundary
corners. Dated thisie_day ofA. D. 19
SUBURBAN ENGINEERING, INC.
Engineers 'lS�tr ey rs
brTT
City of Fridley
Application for Plumbing and Gag Rttimmg Pem*
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Opening ........... x $1.50 $
New Fixture Old Opening .......... x $1.50 $
Catch Basin .................... x $3.26 $
Water Heater (Up to 99,000 BTU) .... x $3.00 $
New Ground Run Old Bldg......... x $3.25 $
Electric Water Beater .............. s $2.00 $
:;AS FITTING FEES: NO. RATE TOTAL
ist 3 Fixtures • • ... • ........ • ... x $2.00 $
Additional Fixtures .................. =- x $ .76 $
Gas Range to 199,000 BTU .............. x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description velllle..1-00
TOTAL FEE 8 �L
City of Fridley:
The .undersigned hereby makes application for a permit for the' veork herei
specified, agreeing to do 811 work in strict accordance with the Cit, 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, Wnn 5-.45!�7� / i , 19r
Owner
Kind of Building
Used as P caJ .. LC
To be completed about
Estimated Cost,
Old—New. Building Permit No. Permit
Signed. 40�rc-�
ROUGH
By «inti
Business Phune
oiliS
�qQ
F
�3
i
rSil,
111
e
e
WATER MTR.
GAS
ELEC.
Base
let
2nd
3rd
4th
• Future Conneellon Openings
+ New Fixtors. Old Openings
Connect" with
Sewer
Cesspool °a
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Opening ........... x $1.50 $
New Fixture Old Opening .......... x $1.50 $
Catch Basin .................... x $3.26 $
Water Heater (Up to 99,000 BTU) .... x $3.00 $
New Ground Run Old Bldg......... x $3.25 $
Electric Water Beater .............. s $2.00 $
:;AS FITTING FEES: NO. RATE TOTAL
ist 3 Fixtures • • ... • ........ • ... x $2.00 $
Additional Fixtures .................. =- x $ .76 $
Gas Range to 199,000 BTU .............. x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description velllle..1-00
TOTAL FEE 8 �L
City of Fridley:
The .undersigned hereby makes application for a permit for the' veork herei
specified, agreeing to do 811 work in strict accordance with the Cit, 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, Wnn 5-.45!�7� / i , 19r
Owner
Kind of Building
Used as P caJ .. LC
To be completed about
Estimated Cost,
Old—New. Building Permit No. Permit
Signed. 40�rc-�
ROUGH
By «inti
Business Phune
SUBJECT
City of Fridley
770�r=
0
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
RECEIPT NO
_ COMMUNITY DEVELOPMENT DIV.
v
��
PROTECTIVE INSPECTION SEC.
v�l/&/�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
J 612-571-3450
910-F15
8/9/93
JOB ADDRESS 7389 Memory Lane NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
4
Melody Manor 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Skjervold
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Citywide Home Improvement 1005 West Broadway, Mpls., MN 529-2489 3013
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION J1 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd. Provide adequate attic
ventilation. Provide smoke detectors as per URC 1210 adjacent to all sleeping areas
and in basement.
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
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2 00.0
$1.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$45.00
Fire SC $2.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
License Sc $5,00
$53,00
SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI
WH P O ALIDATED THIS IS YOUR PE MIT
BLDG INSP QA
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NF.vv -- -t 1 �S Effective MI J02
ADDN [ J CITY OF FRIDLEY
ALTER (j SINOIX FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
-7 7
Construction Address:N#-,Z
Legal Description:
Owner Name &- Address: Tel. #--7-8�:�-7
Contractor:_ MN LICENSE #
Address: __• JA Tei. #
Attach to this application, Certificate of Survey of the
lot, with the proposed construction drawn on it to sale.
LIVING AREA:
GARAGE AREA:
DLICK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length
Length
Length14
.�
Width
Width
Width
Height
Height _
Hgt/Cmund
Sq. Ft.
Sy. Ft.
Sq. Ft.
Corner Lot [ Inside Lot [ J Ft. Yd Setback Side Yard Setbacks
Type of Construction: 'mated Cost: $ 0
Approx. Completion Date:
(Cost: on Back)
Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $_ .
DATE: APPLICANT: _ �. _.� Y�
Tel. #
.CI'j'Y _. USE ONLY
Permit lee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Park Fee
$
Sewer Main Charge $�
l�®
TOTAL $ ��
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary i ] Not Necessary [ i
STIPUi.ATIONS: '
SUBJECT
City of Fridley
? 2908
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/14/94
JOB ADDRESS 7389 Memory Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
4 1
Melody Manor
3rd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Chris/Betsy Skjervold 7389 Memory
Lane NE
786-2427
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Nordic Window Co 5913 Pleasant Ave
S., Mpls., MN 55419 861-2461 9023
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION C ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Bay Window Replacement
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
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
SQ. 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 1 HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS
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
@
$4,350
$2.18
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$72.00
Fire SC. $4.35
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$83.53
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
BLDGIINSP
GATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW ( J
ADDN [ ] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:
Legal Description: _
Owner Name & Ad
Contractor: 4
;j
Address: ,,7 q I -� �
Effective 111/94
=669V
Tel. #
MN LICENSE #
Tel.# tlX0461
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 Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length '�{, Width Hgt/Ground Sq. Ft.
OTHER: EAS I UUn]
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: )la��e ted Cost: $ kwda—
Approx.
Completion Date: l
(Cost on Back)
Driveway Cyrb Cut Width Needed: Ft. + 6 Ft x $ _ $
DATE: APPLICANT:.�, Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer. Main Charge
TOTAL
STIPULATIONS:
$ % 00 Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ '- /c°� $.50/$1,000 Valuation
$ $800 per SAC Unit
$ OLS $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 [ ]
SUBJEeTP
MIT
City of Fridley
9181
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
REcbPrWb.
`y ______ COMMUNITY DEVELOPMENT DIV.
r -- PROTECTIVE INSPECTION SEC.
����
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
4/12/99
JOB ADDRESS 7389 Memory Lane NE
1 LEGAL
L07 NO.
6LOCK
TRACTOR ADDITION
SEE ATTACHED
DescR.
12
4
Melody Manor 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Christian Skjervold 7389 Memory Lane NE
786-2427
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Anderson Novak Construction 12425 Creek Rd W, Minnetonka, MN 55305 545-5354
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
7631
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 498 sf Deck in rear yard
9 CHANGE OF USE FROM TO
WADMI
STIPULATIONS See notations on plan.
Before digging call for
A utility locations
454.0002
RE{�UIRED BY LAW.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday
thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS 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
$4,592
'30
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
Fi SC $4.59
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$99.75
e
PLAN CHECK FEE
T A FEE
Licen S
$5 $111.64
SIGNATURE O TRACTOR OR AUTHORIZED AGENT IDAT I4&00
HEN O
IT
VALID THIS IS YQ PE MIT
M�i
Y
OF OW NERIiF OWNER aWLDERI -,DATE,
INSP
PATE
NEW [ ]
Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [x] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 7389 Memory Lane --
Legal Description: T nt 1 2, R1 nt-le d Mr— p -1 ndg Mnnnr Ird Addition
Owner Name & Address: Christian Skj ervold - Address above Tel. # 786-2427
Contractor: Anderson Novak Construction MN LICENSE# 7631
Address: 12425 Creek Road West-Minnetonka,MN 55305 Tel.#612-545-5354
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 Width Height Sq. Ft.
GARAGE AREA: ; : Length Width Height Sq. Ft.
DECK AREA: Length19
Width 12 Hgt/Ground 4 Sq. Ft. 498
28
OTHER: 8 4 8
�9�X9'2Z
Construction Type: Estimated Cost:
(Fee Schedule, on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:- ��- 91'APPLICANT: G ✓' r - Tel. #
CITY USE ONLY
Permit Fee $ Z I. �� Fee Schedule on Reverse Side
Fire Surcharge $ f, ,J .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $1050 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)'
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main: Charge:.. $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS:
��(ylilf/G��i 6875 Highway No.65N.E.
Iiif/G(( c • �/� • t' Minneapolis,
n�vyae�/�ti17 nC• Minn. 55434.
Telephone 784-6066
Engineers & SurveyorsArea Code 614
Loan Survey for TRI"CO BUILOM
i
UO.:M o� APPITION
:A {JWY
a true and `correct representation of a survey of the boundaries of: the lend above described'and of the ,
tasaiHOn`ef ,all buildings,, if any, thereon, and all visible encroachments, if any' from or on said land. this survey is
1made":Onlrlr connection with a mortgogr`loan now being placed on the property and no iability,Is assumed
'esuopt';to the holder of such mortgage or ony,other interest acquired by the reason of suchsmortgage. -lt Is
undeotood aqd agreoci menumen hove been I cod for the purpose of establishing tot ,;= or baoedary
Ntor�fefe� Dated Ntisday ofA. D. 19�, ; � � �
SUBURBAN ENGINEERING, INC.
- -- evil A.-uednOOO 30
1, '[77
-
'Land Planning
Land Surveying
Soils Testing.
Civil Engineering
Municipal Engineering
•
. _
- ,14ortgage
e
r:
`L
\t
��(ylilf/G��i 6875 Highway No.65N.E.
Iiif/G(( c • �/� • t' Minneapolis,
n�vyae�/�ti17 nC• Minn. 55434.
Telephone 784-6066
Engineers & SurveyorsArea Code 614
Loan Survey for TRI"CO BUILOM
i
UO.:M o� APPITION
:A {JWY
a true and `correct representation of a survey of the boundaries of: the lend above described'and of the ,
tasaiHOn`ef ,all buildings,, if any, thereon, and all visible encroachments, if any' from or on said land. this survey is
1made":Onlrlr connection with a mortgogr`loan now being placed on the property and no iability,Is assumed
'esuopt';to the holder of such mortgage or ony,other interest acquired by the reason of suchsmortgage. -lt Is
undeotood aqd agreoci menumen hove been I cod for the purpose of establishing tot ,;= or baoedary
Ntor�fefe� Dated Ntisday ofA. D. 19�, ; � � �
SUBURBAN ENGINEERING, INC.
- -- evil A.-uednOOO 30