AF - 37563Vill�.�e of :�.�ley, li�inn.
��J�ffiOTG P
1� ° 2 2 4 O�ce o� �eTSPE�O� OI+' B�DINGS
Owner � ��,�",�"�'���, '��'''�+�""�'�'��°'°'�
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��+F� 19 -�' ; �
Architect � Fridtey, B2inn., � ° ,
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Builde� B ,�i� ��"����+ `
LOCA�'I�10T OY' � ING
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No. ��� 8treet Part of Lot
Lot � Block Addition or 8ab-Division `=�°�`��'�����+��� '4� ��'��"�' ��°"�
. I)L+'�CR,YL�TIOI�T O�E' BiTII.DII�T("s
Front � � „Aepth ��� „ Height � "� Storles � � Manner of Construction � �;, _ �a
a '., �� �; � �y { �
To be uaed as ��:��'°"°��' To be completed °� ��`��-��- �� � Estimf��3t-ed. Cost �����
� JY' �� 91� . _ , ,d^ Y) .�1'i i�. i� n. �_ '�E � �'�il J _ ..o, A�.�
Pertnft is hereby granted to
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the buildiug �� �'� a��=�P`���,�#�;.,. " described fn 'the above sta,�nent. '�his' permit is granted
upon the express condition that the �kraon to whom it fs granted, and his agents, employees and worl�en, in a11
the work done in, around and upon said bwllding, or any part thereof, aha11 conform in all respects to the ordi-
nances of Fridleg, Minn., regarding the construction, altera.tion, maiatenance, repair and moving of buildinga
within the city ]imits, and thie permit may be revoked at any time upon violatioa of any of the proviaions of said
ordina.ncea. !
�t. � ,�
�ti,; � ` ��``� Tnivnecior of Buildinga.
e
1�GREF'�7�' ANI� Si�O�.N �`�1��'E�dZENT
Ia consideration of the isaue and delivery to �.e b� tlie Ia: �sector of Buildings of Fridle� of
the above permit, I hereby agree to do the proposed wox�k i� accorc�ance with the descx�iption
above set forth a.nd according to the proviaions o.f the ordis�ances of i!��ley,-� and, being fixst duly
sworn, I hereby state and say that the facts stafced by �ae and at�ax��-��r the above p�rmii are
true as ihercein sta,ted. �
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Subscribed and sworn. to before nae at Fridley, l�aran.esota,
'� .� ��-, � —A.D. 19 �" " � �.
day o � -�� •
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. Village of Fridley, _M�.n.n. ` , � ' F
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: BUII.DI�'G PERI�'�' = �°• �> �. � f l l � . .
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�r � ` � C�T[QN +�F BU�LD�NG �
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Corrier Lot 7x�side Lot Setback Sideyard ,,, ;.
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_;: D�3CRIPTCON L'�F BUILQTI�G �.; �`r '" �`
be I3sea as: ' ,
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-� �a. Front .�. Depth � :� >�Teigh� . � . Sq. Fit . �.��Cu.. Ft. . .
� t' DePt� i%igI�t Sq- Fi. � Cn, �`t: ''
?'y� of Construci ; ,-��:�. Est. Cast` ���� To be Comgi�ted .. .,.., ;�
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in. ebn�idexatiorl ef 't&e 'issuat�ce to me of a permit '�o ;air�firuet the .bu�df�►$ �#�rit�d above, _ T agree tQ do
i t�e pro�s�tl vrork in ac�ardance with the descrfptioa ab�ov��. set fiirtli ancl in comp�nce w�itt�-' ail pro�►Ysiim�s ,of
ordi�ances af the viI�age of Frisileq.
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',�'�n� eonsideratian vf t�ie payment of a Pee . of $, °"'� �� permit is here�Y gra�t�d to �.. .. .
�y: �.'` :`'.�.��.' ._ io -copstMZet the bt�ilding.or addifiion as dest�Kt�ed abave. Thi�s permii is granted upan
.f :.r . . .,
" ",; th� expreas conditit� that ttte person to �vvhoix� it is �ranted, and ttis a�eirts, emplayees aind workmen, i�t all a�ork <� ::
dt>ne in,� arounci and upon s�id buiidiag, or a�y paTt thereof, _ aliall c�o�fa�m i� �il � to the orcliaaac�s: of _
�'ridleY. Minner,ota i�garding location, coastrnction, alteration� mait�t�ianee. arePair and mavTng of i�uildings v�1Yth- �
in. th� village Iitnits and this �ertnrt maY be� revoked at �ny tun i��oa• vioT�tion .of an3r of the Provlsions of said
GTdirir�riCe.s. - �' ., .,�. ,:�
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... �� Ill\%�lVGi � �.:. � � ": . _-. .." � _ '�- , . -
7his permP� does riot-cover the conatruotion, -in$tatfa#fqn or aiferation #�r wi�ingj plum6ing, �as heatin�,, ;=
sewer or wrater.: Be sure to see�Building �nspector for separate loermfts for` Items«
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jl� �I��CI��t1rC� Made tliie...........1.`�r:' ..............dc�y oP............,.........Au9uss.. ........
betzueen...,.,..,.�,,..,..��...�.,...,.F.r...an)�.,.�°:.r.na.l.d..,.and...A.d�e.lira�a....S....../..?►r..n.old.�.,,..husb�nd.. nc�
.
19...b8••,
.a.►..............
ofthe Cotcnty o� ........................Anoka.,....,....... ,.,......,.......ancl Stata of..........Minne.s.ata.............,.,....................., partie.s...
of the first part, and..,,.,.R.ob.ert...t�/1,,...,.Lei•tne.n....and...rCiady.s...�.y,....L�.,e.ii�rer•.�....M�usb�n�d•�� nd... �fe;
.�,......�.� .............................................................................................................................................................�,.......,........,...............,......, of the ounty o
...................................;Q►��ta........,..,....and Stccte of......,....,......,.....:...Minnesote...........,.........::.,., nartiea of tlio second part,
. .
��1ltlifS�Ct�J► T.h.at tl�,e eai.d part..1�.5., of tlie �rsb part, in oonaideration of tlzo euna o..-.-.-.-.-.-.-►.*�
�Il.�....�ol.l.�lr..� n�...�.t.h�r........�'a..pa.d....and......V.,.a.lu.ata�e....�.ans.iderai.inn�-.m..�.�...��..�...��...�...DOLL.iIItS,
....
to........;hem...........�.P.n hand paid by t1i$ a�id pa.rEi.es of �ho scoond �a•rt, thc► r�.ccipt tulir,��eof ie hcrcby aolcnozul-
r.d�'ed, �in ......,,., hereby G�ra.nt, l�ar�sain, ..4ell, a�Ld Con�AU unto tlie sacd parGiae of th•a eecond pa.rt a� join.t
ten•a•nte an� not ae tena•nte �rz eo�nm,nn, the�'� aRSi�ne, tiie ez�rvivor nf ea�ul partiea, an�Z flie l�.eirs and
ctsedQrie of th,e survlvor, Forever, alL the traot....., or parcel...... of Zan.d l;/in� and Lcin.� in, th.e County of
.� ................A►r►oka.•.......�..........,............ and State oj' Minn�esot.nr., desoribed as �ollows, to-wi.t:
Lot . 2, Biock i, Murdix Par according to the duly
��� ' � �
� 56941-40 Change assess. name to .
�� Robert M. & Gladys I. Leitner
Taxpayer OK ,
�'�
recorded plat thereoE.
� �r
pup�TOR .
�ntE PROC. . /j',,�
A�G 15196a
���
pSSESSOR��'
�'r'H ''�:�~` ��rr.7�r:c�r ,�,�;tti•�;�,• ..DE�T. U�: ..=-.'1
��;` �� �' �,��nr�eso,a : a�,��. �,�• TAXAT���,� = ��:
�. 1 ^� .�'. ✓GF� �'�''�%� '''.
°„ ��''.�',�,,,A' � i 6. 5 0 - `
� ;; . o . STAI�NP AUG I S'6B ' � � • �:
e , . �A}� -�---- � �50619 :
�� � �.. .,,' � �, .����.� � . . •� LI.U� .��' �. ��— `: 0�'+, "„ i+. �' i'1'
,�,y,.....�1 r. r l'►}� . �lrk.. �
State Deed Tax $ �l ��v
�o �abe �na to �t�o�a t�e ��me, �'o�Pther tuith ctZl tho lieredita�►iente ��zcl a.npwrtenc��oas thero-
tc��to bclonglrz� or tn, anywtec appertalyidny�, to thc eaZcl parbiea or tlie ecconcl purE, tlicir cuosic�ns, tlus aur-
vtuor of eaid parties, ancl the lieire ancl asai,�ria of tlis ywrvivor, 1�orever, t1w eai.rl parties of fhe seeontl part
tacicdn� ae joint tenants nn.cl not a.A tenct�tte in common.
R nd tlu said ..F.r• ank�.�.Arn oI d..�.end ...�Ad�• I i rre..° SS:°"�.4 rn�al.d.;°�.t� u�sb �n.d ...�n d...w tt e...'..,..'.'..'...."
pn.rt ies of the �raE �art, for...t:hA.t11�.�.1�l.�S��....the�ir ..............laelra, exec.iatora a�acl a�lr�iini.etra.tore do.'........�
covennnt �a•iEh tice sai.d parEics nf tlia scco�i.d part, tlaclr� ae.4i�'rca, tho eurc�ivor of �aicl partics, 2�l[Ir f%LO hCira
nnd as.ai�'ne o� tiie af�rvi��or� tlaat.....thA.Y....a.r..,a...,.welb set:ecl in fco oP E1LO Zc�ra�le ar:d prem•isea aforesaitl an�l
1�� ...Ve. �oo�Z ri�ltit to selG and oonvaU t�is ect'na in 7'�'anner antl f orm af oresaid, an.cZ that tl�.e same aro
jree fro»z all tnoumLr'ar�cea, . '
�IiticZ Eho aboL�e bar�a.iner.l a:rLd �Sr�antecG ZancZR �c�id p�'omises, dn the q�cf�eE a�iiG ��eucen.tilo >>oesessdorz of �Eltio
snicl narties of the sec.ot►d parE, tlieir assi,�sna, thc+ aurvivor of salcl pariies, a.ncl thc lccirs and assi.j�ns of tlis
su��uivor, aQainat cclb peraons inzufccbl� olc�imt�zb or to olad�n ths auh,oZs or anU part ti�.areof, subJeoE to
�ne:crn.liranaes� if ceny, hereinLefore montioned, the eaicZ pard..tes, of .tJie ftrst part will ?i�'arra•nt and
Dafcnd.
� 3(tt �egtfmottp ��itrtjereof, The saicl pardA�,.,....oi' the firat �vart lua..ve... Iterau�ito esE..the.ir........••..•«.,
htivul,...S the dav and Ucdr �yet ab�n�e turitton. ' .
� ' � 1 'i / / �� ��� �,, ��r'�����I�II�����1�� ����IIII��I��IIII�IN��tN
In Preaenoe o� �^�eJ��Arno. di ��../"'.
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i' . ,,.f .,:1 , � ' � � 1''o�•iW��l lb Q� /�I�I IN�Ii
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�� � 6431 UNIVERSI7Y AVENUE NE September 2, 1975 , FRdDLEY, MINN[SOT� :i543�
� � r7inneapolis Post Oifice Departnient • � .
�. Superintendent of Delivexy � • • .
• lst & Tiarqueti:e Aveiiue , ' '
Ilinneapolis, P-linnesota 55402 � ,' �
. �. I
- _ • , . . . � . I
, � _ Re: Change of Addxess - Effective oct. l, 1975
. . ' � . .City oi Fxid1�Y � '
. Gentlemen: � � � .
jde are• listing �he follotti�ing change. '�f address in the City of Fxidley;
. ` N�• Mrr Robert Leitner ' . , � '
� FROM: 682 Highway #lOQ N.E. � �•
. . � TO• 671 Cheri �ane L�.E. M ' �
.• . -LEGAL DESCItIPTION : Lot 2, Block l, Murdix Park �
' � � � . � � ' . -
� We have notified the occupant of this change��nd we �aould appreciate
it very mucli if you would change youx xecoxds, accordingly. ' .
' ' � � Si.ncerely, , .
, • ' . /,/� . .
��
• ' • ' . DAI'.12�L G . CLA1:K � �
,' _ • • Cotmnunity Development Adm. '
' DGC/mh . ' .
• • �CC: City Wnter Billing Dept. . ' :
. Ci�y Asscssing Dcpar+-:nent ' . ` -
, Mi.nne.lpolis Gas Coml�any - Bi:oolclyn Paxk O�fi.ce ' �
..' NoX�licin Sl��es Poc.�cr Company ' � , i
� ,NOxI:�1C4CB1:Ci11 Iiell 1'c:lGphone • j
. � � • Gity Voters l:e�istxa�i.on . .
' � . . , � lloiueo�aner . � • • . � .
..+ ' , ' � • . ' , • • 560•3450
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•� .�'�'� `F�'��"�c�i � ANOKA COUNTY •
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�{�'� 6431 UNIYERSITY AYENUE NE September. 2, 1975 ', FRIDLEY, MINNESOTA 55421
. , I�'t; • '.
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C'.� � . . .
� Mr..Robert Leitner ' �.
682 Highway �100 N.E.� . �• , , -.
�'r. idley, Mn. 55421 � � � ' �.
� Re:. Change oi•House Numbers
� ' � . , � � Effective October l� 1975.
•• Dear Mr, Leitner: � �
� � �. Tt has been necessary ior this ofiice to change the address �
of youL house . � �
.. '� FROt�i 682 Eiighway #100 N.E. � 671 Cheri Lane N.E. .
. ' LEGAL DL•'SCRIPTSOIQ Lot 2, Block 1, Murdix Park _ .
� We have notified the Post Of�iee Department, Minneapolis Gas
., Company. Northern States Yotiaer Company,��'North�,�estern Bell Telephone
,• „ Company anc] various depa.rtments in City hall of this change.
• � � • •. � Sa�ncerely,
' ' •DAP.RL' . CLT�1I:Ih . •
. . Co:amunity Development Adm. r�
' • T}GC/ml�. . ..
. . • . ` ,
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STATE OF MIlJNBSOTA )
� ) sa.
COUNTY OF RAMSEY )
� st
� this 1� d,ay of ����c.e.y�►t�s.�� , 19�s ��ore me a Notary .
Public within and for said Co�ty, personally appeared Karl F. Rolvaag, to me laiowa
to be the Governor of sa3d State and the peraon describsd in and who executed the
foregoing instr�mment and aclmowledged that he executed ths same and caused the Great
Seal of tha State to be affixed thereto, by authbrity of M.S.A. Section 161.43, aad
as the free act and deed of eaid State. L . �
�� �
CHARLES A. GRAHAM
Notary Public, Ramsey County, Minn.
h1y Commission Expires Nov. 26, 1971
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FOSii� a,0� (��� '' i6WNIT'BL�WKBOOK,Jl6NACDUTA,B�.�AULQ6�01
Minnesota Uniform Conveyencing Blanks ,
�85��36
.. twent.y.-third.._.......da. of... . Januar.Y .................. ...... .. IB.... �.....
�ne...s.._ Arnold.e....hus�ana...�a._wife ..................
�•�: of the County o�. Anoka a,�at st2te or....Minneso'ta ,
, ......_.._...._...._ ......................................._....._ ........._...._...._.-----......... ........_.............._...
part:_�.g..�..of the �TSt �ar�, and... Joan__C .__ I►aliberte
°'. of tiae County of..._.AnOka ................................._.���.... �dnd Stdt� o� .......Minnesota_.._.�_......-�-----.......--�---.- .
.
part..Y .....:........o f th,e secand part, .
.•. �lMtglitifj. Th.at the said pmrt...�,�.�.....of the i'cret �rt, in cosi.siderdtion of �ffie suirc of
..Eight...hun,�r.e.d....and...n�l_AQ.thS.���9.52...Si.Q.�_. ._ ... -� ._ ._.... DOLL.�RS,
to...._..�hEm.. ......._...�.in hand paia► by the said part�.�_._.of the stcond pdrt, tlte receipt whereof is
hereb,y a.cTcsiou�led�ed, cto..._ .............hereby (3rant, Bar�din, Q�i�cTa.isn, and Conr�ei� unio tke said po.rt.....j�......_
of the second part, ..xl��:......._.__..heirs assd c�ssL�,sns, Forever, att tlie trdct.._.....or pctrcel..._....of land lyi�.ls
and being isa the County of...Q�t1Q�._.__._......._.. ......�rid St�te of Minsr�esota, d,escrit�ecl Qa follo�ae,
to-tait: ! `
All that part of the following described tract:
The north half of the north half of the south half of the southeast
quarter (N� N� SQ SE4) of section 23, township 30 north, range 24
west�
which lies westerly of the northerly extension of the east line of
Lot 2, Block 1 Murdix Park and between two lines run parallel with
and distant 75 feet and 120 feet southerly of the following described
linea
From a point on the north and south quarter line of said section 23�
distant 1372.4 feet north of the south quarter corner thereof, run
easterly at an angle of 85�59' with said north and south quarter
line (measured from south to east) for 703.3 feet; thence deflect
to the right on a 0°30� cur�ve (delta angle 7°03�) having a length ,
of. 1410 feet for 493.4 feet to the point of beginning of the
line to be described� thence continue easterly on said 0°30� curve
for 200 feet and there terminating;
containing 0.06 acre, more or lessi
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$a �dbt dria DO �01� �jt �8titt. ToFet7� u�ith all tha kerreditain�ents and appurtenancea there-
un�o belonging or in a.nywise appertaining, to t1u adi.d part.�............of the seeond part,....�1BT ................heirs
and a,seigns, Forever.
�» �e�timotrp ��jereef. The said pa.rt_.�,��.....of th,e firet part 1td3LS..hereunto set...�h�1�.........._
7w.nd_.S...the day and year first above writttn.
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�TATE OF MINNESOTA
DEPARTMETIT OF HIGHWAYS
� ST. PAUL. MINN. 55101
December 21, 1966
�
I�4r. Frank Arnold
10641 Mississippi Blvd. N.id.
Coon Rapids, r�nr�B�ta 35433
In reply refer to: 3�
S.P. 0210-Ok (10�212) 901
- Anoka County
Farcel 209 - Da�d Ba�'9
COIJVEYANCE
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Dear 2;r. Arnold: �
Transmitted here th is a Qui.t Cla.im Deed which has been executed
on behalf of the�at� of 1:innesota by the Honorable Karl F.
Rolvaag, Governor. �
This deed conveys o you and yo�u' w3-fe the State�s interest to a
strip of land appro ' tely 45 feet in vridth and 56•5 feet in
length, located in the north half of She�n�j h half of the s� t�h_
h,a,lf of 'the southeast quarter (N2 N2 �
of section 23,
ship 30 north, range 21+ west, An�ka County, as described in sai.d
deed. A xerox ma.p copy of the area conve�ed is attacred to illus-
trate that gour acquisition varies slightly from the rectangulaY'
cLiniensions noted in youi' letiers of correspondence.
Please have the enclosed document filed for record at 9��' eaz'lie�
90
convenience. The Office of Right of Z�Tay wovld appreciate being
advised as to the Book, Page and Date of recorda.tion.
Sincerely,
• � `�����
Leo A. Korth �
Director of Right of i�Tay Operati ons
Enclosures:
Quit Cla3m deed (1)
Rerox rqap Copy (1)
0
,
9 �� The Great Seal of the State ---
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ppproved to form and exec oa= •�.. .._ .- _.�_rt.,
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Z :'� The Great Seal of the State _.-.
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Approved to form and exec oa: . ' � _ - � _ . ' �
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• ecretary of State
BOCK ��� PAGE �
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f3,UIT CLAIM I�E'D
� �94683
The State of Minnesota having heretofore acquired from David Bari'y and
E
.r�- _ _- j
Margaret Barry, husband and t�riife, the �eal estate hereinafter described for trunk
highway purposes, and the Co�issioner of Highw�Ys of the State having certifiad that
the same is no lon�er needed b� said State for trunk highwr�y pui'Pcses and reco�ended
the�reconveyax►ce thereof tc the present fee�owners, Frank Araold.and Adeliae S.
Arnold, husband and xife;
�
Naw, therefore, upon said recomQnendation and pursuant to M.S.A. Section
161.43, the State of Minnesota, by Kar1 F. Rolvaag, its Governor, grantorr for the con-
sideratioa of Eight Hundred and No/100ths Dollars i��•�� P�d to the State for de-
posit in the trunk highway fund, does hereby release, quit claim and convey to the gre-
sent fee owners, Frank Arnold and Adeline S. Araold, husband and wife, grantees, all
its interest in and to the real sstate aituate in the County of Anoka, State of
Minnescta, describad as follows:
All that part of the follawing described tract:
�
The north half of the no S� �� of section 23h��S�P �
southeast quarter (N� N�
north, range ?1+ west; �
which lies westerl3r of the northerly exten�s.itoi �th and distant 75 eet2and 120 fest
�� Park and between two lines rui� Pa�'
southerly of the fol3.owing described.line:
From a point on the north and south quarter line of said
section 23s distant 1372.4 feet narth of the south quarter
corner thereof, run easterly at an angle of 85°59' with
said north and south quarter line (measured from aouth to
east) for ?03.3 feet; thence deflect to the right on a
0�0' curve (delta angle 7°03') ��� a ls�h of of the
].1�10 feet for 493•4 feet to the point of beginning
line to be de�cribed; thence continue easterly on said
p�3p� curve for 200 feet and there termiriatin83
containing 0.06 acre, mor� or less;
restriction: No access sha7.1 be permitted from the above
Subject to the following ��o. 100 and Tr�k �g�? No. 694•
described real estate to Trunk High Y
State Deed Tax Excempt.
Dated this ____�Z��y °f �q s� r�1�-?�� s 19�.
STATE OF OTA
Signed and sealed in 'the
presence of: � _ �
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�zt.Z�c.-(�?i✓c�- -�-�. .-..`'. �_, ., �,�' . Governor
. _,• . ..:�. ,�.
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ppproved to form and exec on: , - : � _� . ; ' - -�_�;. ` .
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SUBJEC7
City of Fridley
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
i �
� �• COMMUNITY DEVELOPMENT DIV.
~ PROTECTIVE INSPEC710N SEC.
� _ "
r � " ';
' i '
� /'�'1 � CITY HALL FRIDLEr 55432 NUMBER REV DATE PAGE OF
�""� � �'' 612-571-3450 910-Ft5 5/11/93 / /
10B ADDRESS 6']1 Ch�ri. Lane NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 2 1 Murdix k'ark
2 PROPERTY OWNER MAIL ADDRESS
David Tonex 671 Cheri Lane NE
3 CONTRACTOR MAILADDRESS
Lloyds Hs�me Itnprovements Inc, 1012 42�- l�ve NE, Col,
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER
8 USE OF BUILDING
RES 1CZPS1'tldl
7 CLASS OF WORK � NEW
8 DESCRIBE WORK
ReX,'00£ IIQ'11S2 (1�.
9 CHANGEOFUSEFROM
MAtL ADDHESS
❑ ADDITION
� �
� 21�41
RECEIPT NO.
� � �
APPROVED BY
SEE ATTACHED
SHEET
21P PHONE
5 71--4403
ZIP PHONE LICENSE NO.
MN 55421r3159 788-5602
Z�p PHONE LICENSE NO.
ZIP
0 ALTERATION l� REPAIR
YO
PHONE LICENSE NO.
❑ MOVE O REMOVE
STIPULATIONS
Underlay3nent compli,ance necessary' to meet S�tate Bui.ldi.ng Code.
TYPE OF GONST.
SEPARATE PERMITS ARE REQUIRED FOR ELECTFiICAL, PLUMBING, HEAT�NG,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
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. N0. DWLG. UNITS
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $��4
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $17e�0
S R CTION OR THE PERFORI�QANC,E OF CONSTRUCTION.
PLAN CHECK FEE
S�
STALLS
�„��; v�, License SC $5�00
S�G ATURE OF OM � AAC OR OR AUTHORIZ . EN IOATEI WHE PR ERLY
��fo �ifd� �/a /.
GROUP IOCCUPANCYLOAO
CU. FT.
OfFSTREET PARKING
IGARAGES
$.5Q
SAC CHARGE
Fire SC $.59
TOTALFEE
$23.09
D THIS IS YOUR PERMIT
� v° _� / z 'r.�
qi7E
NEW � l
ADDN [ ]
ALTER [ ]
.... ..... . ._ .._ . .. . . .. ...._. .. ......
. .. . .. . ... ..... ..... ................ .. ..... .... .. .�::::.. ... ..
CTTY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 671 CHERI LANE NE �
Legal D�cription:
Effective 1/1/93
Owner Name & Address: DAVID TONER Tel. # s�i _�,���
Contractor: LLOYDS HOME IMPROVEMENTS, INC. . MN LICENSE 1� 0001798
Address: 1012-422 AVE. NE., COLUMBIA HEIGHTS,MN. 55421-3159 Tel. � 788-5602
Attach to this application, a Certificate of Survey of the
lot, with the propas� conslruction drawn on it to scale.
.�'
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA:. Length
o��: ` r
DESCRIPTION OF IMPROVEMENT
Width Height
Width Height
Width Hgt/Ground
a � o�������'�
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
aU
Tj►pe Of COnStruChOII: TEAR OFF & REROOF HOUSE EStitnated COSt: $�� ��
Approx. Completion Date: � 3. �993
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x$ _$
ti �/�
DATE: May 11, 1993 APPLICANT: °��.� .! Tel. # 788-5602 �
CITY USE UNLY
Permit Fee $ %�%, �C� Fee Schedule on Reverse Side
Fire Surcharge $ .�� .QO1 of Permit Valuatian (1/lOth%)
State Surcharge $ � .�� $.50/�1,000 Valua.tion
SAC Charge $ $750 per SAC Unit
License Surcharge $ .� . �% �' $5.00 (Sta.te Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" � or Alt. "B" Above .
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Nece.ssary [�
TOTAL
STIPULATIONS:
$ ��.��
. . � ...,.....,... . .:,,�_ . . x,.,.L L . L,.w.. : , , .: :> , ,.....
. BUII,DING PERII+IIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for -the erectioa of any building or s�truclure,
or for any addition to any existing buiiding or stcucture, or for a�► alt�ation or repair to any existing
building or structure, u�n application therefore, require die pay�nent by d►e applicant for such permit
of fees to the amount herein below s� forth and in the manaer herein provided to-wit
TOTAL VALUE
$1 to $500
$SOl to �$Z,000
$2,001 to $25,000
$25;001 to $50,000 '
$50,001 to $1�,0�
$100,001� to $500,�
$500,001 to $1,000,000
$1,000,001 and up
FEES
$15 (Minimum Fee is $15 plus surcha�rge�
$15 for fyrst $S00 plus $2 for each additional $100 or
fiaction thereof, �to and including $2,000 �
$45 for first $2,OQ0 plus $9 for each additional $1;000
or fracti.on -thereof, to and including $25,OpU
$2S2 for �first� $25,�10 ples $6.50 fa�r each additional $1;000
or fraction thereof, t+o. and including $SO,U00
$4,14.50 for first $50,000 plas $4..50 for �ch additional
$1,000 or fraction thereof, to aad including $100,000
$639.50 for first $100,000 plus $3.50 for each additional
$1,(I00 or fraction thereof, to and including �$500,000
$2039.50 for the fust $500,000 plus $3 for each additional
$1,000 or fia.ction thereof, to and iaciuding $1,(�0,000
$3539.50 for the first $1,(�0,000 plus $2 for each additional
$1,OU0 or fraction �thereof . .
DRIVEWAY DEPRESSION ESCROW
(Concrete G�rb Streets Only)
Alterna.te "A" : Removal and replacemeirt of curb and gutter only - Driveway width plus 6 feet times
$13.50. -
Alteraate °B": Removal and replacement of curb and gutter aad install a 3 foot wide.
approach with 6 iach depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for constiuctioa will l� issued a minimum of 24 hours from the time of application to allow
for proper review of the proposed st�uctute and of the construction site.
A Certificate of Survey of the lot, showing the location of the fouadation once it has it has been
constructed will be required before proceading with the framing.
�c ,
Bu�.ding `� �, �, � _
Inspections
763-572-3604
n � 9• �P �D(o
- - -, ����� EUILDING
RESIDENTIAL APPLICATIUN
CITY 4F FRIDLEY
, .�
- � � ' �j1�IIIlt!Z!%!I
■•
PROPERTY OWNER/
TENANT
CONTRACTOR
-� 1 .
,
� •
�� .J. _
��
��
�n
Pemut No.: �� � �"�' .., K:� j �
Received By:
Date Rec'd: �� n � -�-��'
�a.- r'U.sev • c v m
CITY STATE Z1P,
SUBMIT A COPY OF STATE LICENSE # o� I%.3 � EXP DATE _��
YOUR STATE LICENSE ADDRESS: SS�S -L�N`�- CITY,
WITH APPLICATION PHONE 9SZ ��3.5 '�lP� g F.e,X `�SZ ' 935 •�JS.
PROPERTY TYPE
PERNIIT TYPE
�E oF woRx:
0 TWO FAMILY/NEW CONSTRUCTION
0 BASEN�7dT FINISH
❑ DECK
DESCRIBE �VORK BEING DONE:
SIZE OF IlVIPROVEMENT
NUMBER OF SQUARES
GARAGE.S
PROPOSF.D SIZE:
PROPOSm HEIGHT:
SIDING
0 Vinyi
0 Alurninum
❑ Othex
R'IlVDOWS ,/
iN DQSTMG OPENINGS �Yes ONo
OR FOR NEW OPEMNGS-DESCRIBE SIZE OF
OPENING CHANGES &
❑ ROOF
0 SIDING
❑ SWIIvIIvIH�TE'r POOL
O REMODELWG
P�►�e.r► ( �Il
❑ HOUSE 8c GARAGE
� ATTACHED GARAGE
❑ DETA�D GARAGE
OSoffit
❑ Trim
0 Fascia
❑ DRAIN TILE
0 OTHER
i.oc � oN o� ws
� � loor �- 2 � �� ���%�
' WINDOW TO BE INSTALLID NUMBER OF WINDOWS //
ALL FEES ARE BASED ON VALUATION, INCLUDING TII� COST OF I
TOTAL JOB VALUATI N$IN �T�SE�O 97 U1.,B.0 FEE SC�D NE�
�
�
A� "� 553�3
0
aASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of struccwal members w be used
FOR NEW CONSTRUCTiON INCLUDING DECKS,
ADDTITONS, & POItCHES SUBMIT:
1. Site Plan/Survey showing the existing struchues
and ProPosed P�J�
2. Two sets of construction ptans
3. Energy Calcula2ior�
AND MA'TERIALS:
Permit Fee $ /5 3• Z5 See Back Page for Fee Schedule
Plan Review $ 65% of Buildiag Permit Fee
Fire Surchazge $ . Z O .001 times the total job valuation '
Surcharge $ t.� ,� v .0a05 x Permit Valuation Minimum $.50
License Surcharge $ �' — $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1550 per SAC Unit (Plans to M�VCC for determination)
Curb Cuf Escrow $ ft+ 6 ft= ft x$21= $
Erosion Control $ $450 Conservaxion Plan Review
Park Fee $ Fee Determined by Engineering
• Sewer Main Charge $ Agreement necessary () Non Necessary ()
Total Dae $ 1'7b S,� Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acl�owledge 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 Constnzction 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 whic equues r'ew and p roval of plans. "
SIGNATURE OF APPLICANT PRINT NAME �'�/� � ` VO'v DATE �, ����
Page 2- Building Residential Applicaxion
BUII..DING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in the manner herein
provided to-wit:
VERIFICATION OF FOUNDATION
Permits for constru.ction will be issued a mini.mum of 24 hours from the time of application to
allow for proper review of proposed stzu.cture and of the constru.ction site.
A Certifica.te of Survey of the lot, showing the location of the existing fotmdation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley ,
---- �uildtag Ins�ectio�s Depar�meat--- — - - - -
6431 University Avenue NE �
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977