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• At�tOKA COUNTY � �
6431 UNIVERSITY AVCNU[ NE September 2, 1975 , FRIDLEY� MINN[SOTa 55�i3�
� Minneapolis Post Ofi'i.ce D�paxi:ment � • � �
�� Supexin�endent of Delivexy � • •
lst & �iaxqilet-t-e l�venue . . , � ,
r Iii.nnea o l is Min� es ota 55402 �
P e
,� � � Re: Change of �,ddxess - Effective oct. 1, 1975 �
. . ' .City of Fxa.dley �
. Gentlemen: � . . � � .
We are• listins the follotti�ing change of address in the City of T�'ridley;
• . � NAT�: Mr. Norman La.num . .
. ' TROM• 548 Highway #100 N.E. . •
_ �p; 541� Cheri •Lane N..E..M • � �
. , L�GLjI, D�SCRIPTION :��t 12., Block 1, Murdix Park ��� •
. • - � • . . .
� We hav� noti.fied the occupant of this chan�e a�zld we would appxeciate �
. iL- vex'y much x� )�ou taould change youx xecords accordingl.y. . '
. � � . Sincexely, ',.
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• • • . • . DA'P.1:�L G . � CLn1:K � .
. ' , • � Connnuna.ty Development Adm. �
' DGC /mh � ' '
• . �CC: CiL-y Watcr ]3illing DepL-. . ' : �
Ci.�y Assessin�; Depax�-menL' � . . " •
. , piinneapolis� Gas Comi�lny - Bxoolclyn Parlc Oftice ' ' ' �
. . Naxthe�:ii Staecs Poc.}cr. Comp�ny . � • ,
�,i�oxL•h�acsLcrn Bel]. Tcicl�hone .
. • Ci�y VoL-exs l:e�istxntiion _
' . • �llomeowncr . • � .
,� �� • " ' ' . ' . � ' . 560•3450 ,
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���` September 2, 1975 fRIDLEY, MINNi50TA 55421
( � ��` 6431 UNIVEFSITY AVENUE NE
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� . Mr. tlorman Lanum • ' .
' � 548 Highwav #100 td.E. ' . ' �
. ' . Fridley, Nuz. .55421 � '
� ' Re: Change bi House Numbers �
� • Effective October 1, 1975 �
� � •� Dear Mr. Lanum: . ' . . ' -. .
��.• . It has been necessary ior this office to change the address .
oi �►our house
, . ' � ' FR025 548 Hi�hwav #100 N.E. T� 541� rher� L•3*�e N E '
• LEGAL DESCRIPTION Lot 12, Block'1, Murdix Park._____ ' ,
� . � ZVe have no�:ified the• Post Office Department, Minneapolis Gas � .
' . � � Company, Northern, States Power Cor.mpany, Northti,restern� Bell Telephone
. �ompany and various departments in City hall of this change. .'
' ' . � •� _ 5iricerely,
� . DA G.. CL}1F.K '
� � . ' . • Co,-hmunity Development Adm. . � �
' . DGC/mli � � .
. , • . •
SUBJECT PERMIT NQ.
City of Fridley � �t����/��'�
AT THE TOP OF THE TWINS �� po t� 'f
� BU ILDING PERMIT _
; � RECEIPT NO.
� ; y __�___ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. I��
� � �
� � /"'1 � CITY HALL FRIDLEV bS432 NUMBER REV DATE PAGE OF APPROVEO B�
�""� � �'' 612-571-3450 910-F15 4/17/95 / /
!08 ADDRESS 541 Cheri Lane NE
t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. 12 1 Murdix Park SHEET
2 PfiOPERTV OWNER MAIL ADDRESS ZIP PHONE
Norman/Aledeth Lanum 541 Cheri Lane NE 572-9262
3 CON7RACTOR MAIL ADDRESS Z�P PHONE UCENSE NO.
Sa.me
I ARCHITECT OR DESIGNER MAI� AODRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP pHONE UCENSENO-
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reside Garage
8 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PEFMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION
OR WOfiK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING
I HEREBY CERTIFV THAT 1 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 Ofi NOT. THE GRANTING OF A PERMIT $339 �.SO
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. �IS.00 Fire SC �.3�F
PLAN CHECK FEE T07AL FEE
$15.84
S�GNATURE OF CON'RACTOR OR AUTHOR12ED AGENT �DATEi HEN PFiOPERLY LIDATED THIS IS YOUR PERMIT
�.��� � � _ i � � �� ► ° ��� �g�
SiGNATURE OF OWNEA i�F O L Ri �DATEi B�DG SP ��4 E
�EW � J Effective 1/1/95
ADDN ( � C[TY OF FR[DLEY
ALTER � � S[l�iGi.E F.�1V[f[.1� A1VD DUPLEXES R-1 AND �t-2 ���
Building Permit Applic;ation
E
ConstructionAddress: ,:�r°� / C,�� (�-�� � --
Legal Description:
Owner Name t�r. Address: Tel. #��� '�a �o �
Contractor: �� T__!�w � � � ' MN LICENSE #
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
�ngtg Width Height
, �
Length � a °' Width � Height
Leagth Width HgtlGround
� �, . , .
Comer I.ot [] Inside Lot [] Ft. Yd Setback
Type of Construction:
Approx. Completion Date:
Side Yard Setbacks
Tel. #
Sq. Ft. _
Sq. Ft.
Sq. Ft.
Estimat� Cost: $ ��� ��
(Cost on Back)
Driveway Curtr Cut Width Needed: F+ 6 Ft = Ft x$ _$
DATE: �{ • � 7� �/' S APPLICANT: g- �Tel. # .� �� � �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ / s', oD
$ , �3 �
$ �v
$
$
$
$
$
$
$ ����
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Pernut Valuation (1/lOth%)
$.50/$1,� Valuation
$$50 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.� Conservation Plan Review
Fee Determined by Engin�g .
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS: _ ° "
�c��i�.i��rvG 1'l:KMI"!' I�r_c scr�r_�ut_r_
I�lu. (;I>>;,f 13uilciin�; Utiicial shall, tx;forc issuin� per�niis for ihc ercction of any iwilcling or titnicturc,
ur fur a►iy a�lclitic�ri tu any cxi�ting buildinl; c�t stniclurc, or for any allcratiort or rc��air to any cxistint;
Iwiliiing <�r s�ructure, u�n ap{�licaticm therefore, rec�uire the payment by tl�e a��plicant for such �ermit
c�l� li:e:.ti tc� the aniount hercin t�clbw ut 1<��Ih and in d�c manner herein �r<�vi�iui to-wit:
"1'O"1'nL VALII(:
� i to $500
�501 to $2,000
�2,001 tn $25,0(?0
I=i�E:S
$15 (Minimum Fec is $15 plus surcharge)
$15 for fixst $500 p(us $2 for each addihonai 5100 or
fraction thereof, to and including $2,000 -
$45 for fust $2,000 plus $9 for each additional $1;000
or fraction thereof, to and includiag $25,000 �
�25;001 to $SO,OOU � $252 for first $25,000 plus $6_SO for each addirional $1;000
- or fraction the�eof, to. and incl�ding $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000�
S 1,000,001 and up
$41450 for fust $50,000 plus $4S0 for each additional
�_$1,000 or fraction thereof, to and including $100,00Q
$63950 for €irst -$100,�0 plus� $3_SO for each additional� �
$1,000 or fraction thereof, to and includiug -$500,000 �
$2039_SO for die 5rst $�0,000 pins $3 for each additional
$1,000 or fradion thereof, to and includiug $1,000,000
$3539_50 for the first $1,OU0,000 plus $2 for each additional
$1,000 or fraction thereof -
DRIVEWAY DEPRE.SS[OM ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacecnent of curb and gutitter only - Driveway width plus 6 feet times
S 13.50.
Alternate "f3": Removal and replacement of curb and gutter and install a 3 foot �vide
approach with 6 inch depth - Driveway width pius b feet times $15_75.
VLRIFICA"C(ON Or FOUNDAT[0[Y
E'ermiLs for co�ist�uction will be issued a minimum of 24 hours from the time of application to allow
for �ra�er revie�v of the proposui struciure and of the constnuction site_
A Certitic;;ite oC Survey of tfie lot, st�owing the IocaUon of thc foundation oncc it ha� it has hecr�
constructe�i �viil be reyuirul t�efore proceeding with the framing.
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