PRE 2010 DOCSX97-4(
City of Friedley,, NNnn. 8047
BUILDING PEST
Date: June 28, 1965
Owner: Gerald Weast Builder Clemron, Inc.
Address 7392, MemorY Lane Address = 701 Columbia Blvd,
LOCATION OF BUILDING
No. 7392- Street Me1l1ozy Lane Part of Lot
Lot 21 _ Block 3 Addition or Sub -Division Melo Kwor
Corner Lot , Inside Lot _X
�_ ar'77M 18 arTr'i�C 1
Setback — Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
SiAgle Dwellin Front Depth Height Sq. FL Cu. Ft.
Aft, Qa=ge Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. cost $254-0-0s00 --To be Completed
New Dwelling Att, Gar.
In consideration of the issuance to me of a permit to c building escri a I agree to do
the proposed work in accordance with the description abov set fo and S ce provisions of
ordinances of the city of Fridley. r
In empideration of the payment of a fee of $_26.00 , permit is hereby granted to Rural _ To Scn
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; Minnesota location, construction, alteration, maintenance, repair and moving of buildings
wiordi�nan�ces. city ]imitar�an�t� permit may be revoked at any time upa�n violation of any of the provisions of said
NOTICE:
We pamb don no eery do eeasiro 9m, hid dW*n for wh m& phnAing, gn hesdng, sewn w wda. Be are to no
do Bedding bgodw for apude pwmbs for dna ttoms.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S
ADDRESS ADDRESS
LOCATION OF BUILDING
-No. ; Street / Part of Lot;+�
LOT �LOCR ADDITION OR SUBDIV rSION� G¢�
Corner Lot Inside LOT back .3 72P Side -Yard -
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be u d as:
U ront 22� ^Dept m f ` Height .�
Sq. Ft. -ZZZ4Cu. Ft. �
o � �
Frontes L - Height
Depth e-%
Type of Construction
To be completed "/
Sq. Ft._ l// Cu. Ft.__
timared Cost
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.
DATE
(Schedule of Fee Costs can be found on the Reverse Side).
sueJEcr
PER
City of Fridley
16763.
AT THE TOP OF THE TWINS
B U I L D I N G P E R M I T
_
r
RECEIPT N
L'_____ COMMUNITY DEVELOPMENT DIV.
r PROTECTVE INSPECTION SEC.
r_ ®IN
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F159/27/82
JOB ADDRESS 7392 Memory Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
21
3
1 Melody Manor 3rd Addition SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Gerald Weist 7392 Memory Lane N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548
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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
tri-paneRpplam- IQ windows, mmlate with-Anderson Install bow also
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
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 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,000
$1.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
TATE OR LOCAL LAW REGULATING CON-
PROVISIONS OF AaftIFO
CTION OR TNCE OF CONSTRUCTION.
$ 0
/PLAN
CHECK FEE
TOTALFEE
V
$40.00
IGNATUR•OF AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP DA E
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
CITY OF FRIDLEY
APPLICATIO`d FOR RESIDENTIAL BUILDING PEP41ITS
(New, Alterations, Additions, or Repairs)
• 01-111ER: 6ck�-c-n wf
ADDRESS: 7.3 o ,gamer h!�5
TEL h0: 90 -
• STREST NO: STREET:
LOT:
DUI LDER :i Ly`a .J • �./ s 6 .,.,i
ADDRESS:
TEL NO:
Construction Location
BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback,: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front:
Squame. Feet:
Depth: Height:
Cubic Feet:
Front: Depth: Height:
Square -Feet: Cubic Feet:
Type of Construction - LJ % i!7 P /
n� s 12i - /�N �' Estimated Cost: $O�®•
N STo Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Mie 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 applica
DATE: f `Z Y SIGNATUM
Stipulations:
b 0
SUBJECT
PER .
P- "%pl
City of Fridley
-
5
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
REC
•
.......COMMUNITY DEVELOPMENT DIV.
vG
r 1 � PROTECTIVE INSPECTION SEC.
y��
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/30/83
JOB ADDRESS 7392 Memory Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
21
3
Melody Manor 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gerald Weast 7392 Memory Lane N.E. 784-1516
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548
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 I ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
New Garage Door (overhead) and siding and trim
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
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 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.
$5,000
$2.50
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-
$50.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$53.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
..-j �. ra 10 11.t
BLDG IN5P 4 OAJE
SIGNATURE OF OWNER 0F OWNER BUILDERI (DATE)
CITY Or FRIDLEY Effective Aug. 1, 1981
APPLICATION FOR RESIDENTIAL BUILDIIJG KNOTS
(New. Alterations, Additions. or Repairs)
OWNER:
ADDRESS: 73 —lMe2We t t - N c
TEL NO:6' le SI S
• STRECT NO: L3 .
LOT:
BUILDER: i L- e .�' . V ®�y 00-9 o 13
ADDRESS:
TEL No: _-- 7 & l -9s e
Construction Location
STREET: n&'i d IZ---f 4 N e'
BLOCK: ADDITION:
Corner Lot: Insiiie Lot: Setback: ^� Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF WNSTRUCTION
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet: _
N e� A) C,4� �9 9 e� �o o C
Type of Construction: % �,� ('-9 V- 7/Z- Estimated Cost: S S 6
Tb Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired:
SEE R%VERSE SIDE OF SHEET
Zile 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 a 1 the facts and
representations stated in this application are true and correct.
3x,%TE:`' / 3 SIGNATDIS:
'�"f
Stipulations: V
t
53 � C)
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
PERMI
o 1 i
r
I Lu COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
L.__. ' �•� 612-571-3450
REC .
/� ��
NUMBER
910415
REV,
DATEP
5/22/85
AGE OF
APPROVED BY
JOB ADDRESS 7392 Memory Lane N.E.
1 LEGAL
DESCR.
LOT NO.
21
BLOCK
3
TRACT OR ADDITION
Melody Manor 3rd Addition
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Gerald Wea.st 7392 Memory Lane N.E.
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Milton Johnson Co. 2513 Central Avenue N.E., Mpls 55418
781-9548
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION C ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
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
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$2,000
SURTAX
$1.00
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.
$32•50
PL N CHECK FEE
.+
TOTAL FEE. 50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERL ALIDATED THIS IS YOUR PERMIT
BLDG )NSP
t)AT
SiGNATURE OF OWNER 0F OWNER BUILDER) IDATEI
NEW [ ]
ADDN. [ ]
ALTER. [ ]
Construction Address:
City of Fridley
R-1 AND R-2
Building' Permit Application
.39aZ-/'/�)',/'l4/Lv �/;Ntg--
Effective 4/1/84
Legal Description: V 1.11 I I IV u fic —e3
Property Owner/Address: C5 '4L -0 (1 & -5 - (mss ��'I Tel. # �� - /`�� �
Contractor: At, t, r d '1 7c, /Y .i s c A Tel .# 78Y
Address: C ti -77 '0011�
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:
DECK AREA:
OTHER:
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: 6- ® d - Estimated Cost: $ �� B t .4 •y--�
Approx. Completion Date: 3 o
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE:
'�� APPLICANT: )1Tel. LE
CITY USE ONL
Z.2.
Permit Fee $ Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ l U G $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ _
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS:
1 '1
SUBJECT
_ r.
City of Fridley
('
3 i 451
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r � � PROTECTIVE
1 . .
NUMBED
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L J` 612-571-3450
910415
10/5/00
JOB ADDRESS 7392 Memory Lane NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
21
3
1 Melody Manor 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
George Dargay 7392 Memory Lane NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Classic Roofs Inc 12000 12 Ave S, Burnsville, MN 55337 612-895-9218
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20163968
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION jJ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (22 Sq) Tear -off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Permit Inspection Cards
Will Be Mailed
To Homeowner To Post
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. 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 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
�
$1.12
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,250
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
PLAN CHECK FEEO,.
AL FEE
Lic s SC 5 00
$91.62
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEP
WHR LY V ID TED THIS IS y0 ��RMIT
�G/1/1
S-GNATURE OF OW NEROF OWNER BUILDER, iDATE.
DG .NS pArE
1 '1
NEW [ I
ADDN [
ALTER
Construction Address.
Legal Descriptlorr
Effective 7112000
CrrY OF FRIDLEY (763) 572-3664 Bldg Insp
SINGLE FAWLY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Owner dame & Address: r Tel. "#
Contractor G G hG MN LICENSE
address: /2,000 Aw- �% Et jW "�C)i
GARAGE AREA:
DECK AREA:
OTHER: 6 v
Construction Type:
S� 337
Attach to this application, a Canificate of Survey of the
Pot. Mth the or000sed ,orstruction drawn r;n 't'Q iciie.
I el x ._ i :kWO
Length Width Height
Length width Height
Length width HgUGmund
Sq. Ft
Sq. Ft
$q. Ft_
Estimated ^>ost: � � _
Driveway Curb Out Width ldeeae(3: Ft + 6 Ft = Ft x S = $.
DATE: APPLICANT:
CITY USE ONLY - Call 9763) 572-3604 for Penna Fees if mailing in appiicadon
Tel. 0
T OTAL
STIPULATIONS:
l
Permit Fee
3
�.
Fee Schedule on Reverse Side
lire Surcharge
001 of Permit Valuation (1110th%';
State Surcharge
$
2
$.501$1,000 Valuation
SAC Charge
0
$1100 per SAC Unit
License Surcharge
$
5.&"0
05.00 (State Licensed Residential Contractors)
Driveway Escrow
5
Alt. "A" or Alt. "8" Above
rosion Control
X50.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ I Not Necessary t ]
T OTAL
STIPULATIONS:
l
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS 25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On May 10, 1999
JOB ADDRESS 7,3'1,:2- M 1Vy_ c -k Y C�d9N E
OWNER GEORGE bARCiq Y
TOTAL
BUILDING USED A.S i� ES A E" T_m L I -lo m
ESTIMATED COST 'Obi -00 PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air)
$_ Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load_
Burner Trade Name Size No.
$ BTU HP EDR
$ 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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are'true and correct.
HEATING CO )4 C �r>"i AAS
SignedDATE � L
Approved By Rough -in Date Final Date
Y
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
3. Has no foreign objects lodged within
4. Is securely supported
5. Meets all current Code requirements for size
and total BTU's connected
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes ()
No ( )
Yes ()
No ( )
Yes (
) No ( )
Yes ( ) No ( )
Yes () No ( )
Yes () No ( )
JOE—
MYOF
�
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
November 9, 2001
George Dargay
7392 Memory Lane
Fridley, MN 55432
Re: Final Inspection at 7392 Memory Lane
Contractor: Suburban Air Conditioning, Inc.
Dear Mr. Dargay:
A mechanical permit was issued on September 12, 2000, to install an air conditioner at your
address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection
shall be conducted on the mechanical work authorized by this permit. As of this date, no
inspection has been called for.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Mechanical Code. We will keep your permit open for another 30 days and if we
do not hear from you within this time to set up the inspection, we will expire the permit and no
further action will be taken.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
CITY OF FRIDLEY INSPECTION
6431 University Ave NE
Fridley, MN 55432
763-572-3604
RATE SCHEDULE
DIViSION
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range �dL
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Effective On January 1, 2001
JOB ADDRESS. , —/ &, Akf`6F\7' "
OWN ER
Rate TOTAL
BUILDING USED AS
$ 30.00 $
60 ESTIMATED COSTY., PERMIT N0.
$ 10.00 $_1b�
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of HeatingUnits Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00 $ Trade Name c�& ',I Size No.
BTU PSQ(S HP EDR
$ 25.00 $ Fuel Total Connected Load
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP EDR
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 an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE 1'a -T-6
Rough -In Date
TEL # 4�n
Final Date � �9"U(
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No () .
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existina combustion air is sized and installed to meet the current codes
and manufacturers specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturers specifications. Yes () No ( )
When installina a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( ) No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date
CIZY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
f Fridley, MN 55432 ` ` APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
WashFI
....;.:,.:,:::..... oor jj > Auto.
10ri
es = Urinal
Shower ...
Sto
;•.....�fi..... :::<..._. �i�i�.��' r v OUR= Drain Siir><< Washer it
Basement
Floor 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
NO. RATE
Gas Range** _
Gas Dryer** _
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERAT.,ONS
1.5% of Value of Fixture or Appliance
State Surcharge
Effective On Jan 1, 2000
Gas
TOTAL JOB ADDRESS '739A PF M®d_,,j 4A
Heater
Elec
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
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
lU/(S ,2001
Owner U�
`9
Building Used As
00
Estimated Cost .5oe�, PERMIT NO.
PLUMBING COMPANY A ..:L nJ
.763
SIGNED BY TEL N0. Ag,.3 a 9A
Approved By Rough -In Date Final Dat
.50
■MIMIR1N OEM rCC r M A \21L& MI ■ ■MMMVKIA#I AA wrll��tT \!� A.AA AA
TOTAL FEE $ '2o -Sp PLUS THE 5.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacina an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes () No
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( ) No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
BTU Input Fan Assisted or Nat
Appliance #2 Type
BTU Input Fan Assisted or Nat
Appliance #3 Type
BTU Input Fan Assisted or Nat
Total Appliances
Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length it Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :
I
CI71'OF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 .
November 9, 2001
George Dargay
7392 Memory Lane
Fridley, MN 55432
Re: Final Inspection at 7392 Memory Lane
Contractor: R. A. Johnson & Son
Dear Mr. Dargay:
A plumbing permit was issued on October 23, 2001, to install a water heater at your address.
According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted
on the plumbing authorized by this permit. As of this date, no inspection has been called for.
The permit fee that was paid covers the inspections to -make sure the work was completed
according to the Plumbing Code. We will keep your permit open for another 30 days and if we
do not hear from you within this time to set up the inspection, we will expire the permit and no
further action will be taken.
To set up the inspection, or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DAVE JENSEN
Building Inspector
DJ/mh
l•
SUBJECTERMIT
NO.
City of Fridley
(-!1q-1-6"'0
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
j E � PROTECTIVE INSPECTION SEC.
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEV 55432
763-571-3450
910-F15
8/20/03
JOB ADDRESS 7392 Memory Lane NE
i LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
21
3
Melody Manor 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Justin/Robyn Gelhar 7392 Memory Lane NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Oak Tree Home Improvements 2548 Flandrau St, Maplewood, MN 55109 612-308-3653
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20336099
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW (j ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 21' x 17' Deck
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
WARM G
Before digging call for
all utility locations
4540002
REOUIRED RX LA
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCYLOAD
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
$4,433
$2.22
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-
$111.25
Fire SC $4.43
ST CTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHFAK FEE
TOTAL FEE
L e e SC $5.00
$122.90
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE,
N PROPERLY VALIDATED THIS IS
BLOC I
1CM
,AYE
S-GNATURE OF OWNER,IF OWNER BUILDER, IOATEI
l•
NEW [ J CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Addre
Legal Description:
Owner Name & Address: 0 &5-A .l +- IS# G -y N G-e-Lk&A- Tel. # �76 3-783-17`7x6
Contractor. &" � Q MN LICENSE #90336 022
Address: A -W k Av a/° g Tel. # 61.z -.3O ov-3653
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 y� Sq. Ft. 3,e— 5
OTHER:
IN
Construction Type: Estimated Cost: $ ;- Z o av Z4 46-3-94
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: 1- 30— O.3 APPLICANT: �l�ric.o-t- A:rz� Tel. #
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.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
$ .41 L4 -3
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J
TOTAL $ - I0 STIPULATIONS-
�� •v '/Q, N ,,,W ,
a6a,r6rt7L &87S .4 i,�. sus Alf.
.�� su-rry,� MmneuPo%3z.
Solis Testrn� ENGINEERING, INC.
r, l s Mc rra: vu! S47Sd 46061:
Engineers E Sur vectors
certificate of sumvey fez E M DEVELOPMENT CO,
C DENOTES IRON -----DENOTES DRAINAGE AND UTILITY EASEMENT
LOT 2I, BLOCK 3+ MELODY MANOR 3RD ADDITION .
ANOK A COUNT
I /tvvby cvf►{,y fwi /ho z o In& and �cf rr re5WhVh W' ('l mrvey '1�ie dbundo s �lAr dhow kwur;brd A d, and
aCh lm4hw 4raV bw"s , *mvn . and d/ nsible a"arhmmh , rl ay, fnw or .v is+d And As surveyed �y rrx Mrs — - dxy
9(' Au�ys A.011M. SjJg gel ENGINEERING, INC.
_ Viers fr
c
Wa
J:'
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