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it
Builder
L.0 iTiON OF!�BUILDIXG'
Street 6e& aAA___P/ Lat
-part Of
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q, . .
, , 1
7 1 , ,
M "Additt= or S b-DIvWdh 4MkkC A
f.
DESCMFMDN& BUMDIXG
it
A
Front Dept]
Height, Stories, dn�A Manner
To be used as
r
TO be Myn4viski.-PA Estimated Co
Permit to here by
the buil
described ta the above statement. This permit is granted
upon the wcpress con
fific;n that the 'p%rson to *bd- it is greeted, -and his agents, employees and workmen, In all
the work dome In, al
and upon sold.. building, or any Part thereof, shaTconform in, sU respeets to the ordi-
nances of P*ey,*,M
regarding the'constrUctlofi, alto on; -maintenance, repair and moving of buildings
"at
thin til,
wi e city
limit
lima
this pe Way.,;, be':� revoked ti;ne.upon ii6lation 4 any' of, the provisions of said
ordinances
t"'rnspeclor of Buildings.
il
AM SWORN, STATEMXM
In cons iderat
on Of the issue and, delivery to , m� 'by "the Inspector of Buildings, of Fridley of
the above peltalt 't hereby' agteo to �_ o e propqsed work in accordance, with � the description
being. first duly,
above set forth ejd
according to the :provisions provisions of the ordinaliees Of ey, and,
in
Sworn. I hereby s
stated by and say that the - facts me and above permit are
true as, therein st,
A
Subscribed and
nIB, Unnes A+Q +
vorn to before mer at Fridley,
day
A.D. 19-S-4—
4
SUBJECT
PERMIT NO.
City of Fridley
®12356
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
D (/.pr
1
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
10/15/73
JOB ADDRESS 367 - 66th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
8,9
2
1 Rice Creek Terrace Plat 2 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jon B. Larson 367 - 66th Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Company 2513 Central Avenue N.E.
-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 $1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK Install aluminum trim
9 CHANGE OF USE FROM TO
STIPULATIONS
f�
,PE�IITS REQ 1�IREQ
RTE AND SIGNS-
SOA
QI.uN18114G
-Or",EAI ING
TYPE OF CONST. ,,,
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Trim
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
R-1
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
$500.00
.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
$5.00
STRUCTION ORT ERFORMANCE OF CONSTRUCTION.
CHECK FEE
TOTAL FEE t
rPLAN
16 -IS--7�
$5.50
�GNATUREOFC RACTORORAUTHORIZEDAGENT (DATE)
WHEN PROPERLY VAL DATED THIS IS YOUR PERMIT
I. [6
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
LDG. INSP DATE
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
_ _ r
OWNER'S NAME:J N
n �t fZs o n% BUILDER • �
VA
ADDRESS • 3 & 7 ' �o "/hF� j /v t� ADDRESS • �.r. �� /ZL �'J C'
NO:. STREET:
LOT' BLOCK• ADDITION:
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.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth: Height:
Square Feet: Cubic Feet:
.–Front: —Depth: Height:
Square Feet; Cubic Feet.-
Type
eet:Type of Construction: ���� ^%/�i^�; 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 all the facts and representations stated in this application
are true and correct.
J / J
DATE: / 6 "�-3 SIGNATURE:
(See Reverse Side For Additional Information.)
U
r
01
SUBJECT PER
City of Fridley
19708
AT THE TOP OF THE TWINS
_
BUILDING PERMIT
�
I CEIPT NO.
I • ______ COMMUNITY DEVELOPMENT DIV.
r y PROTECTIVE INSPECTION SEC.
1 ; �
l 1� '�� �,� CITY HALL FRIDLEY 55432
NUMBER
RE .
DATE
PAGE OF
APPROVED BY
-.•-
L 612-571-3450
910-F15
10/11/88
JOB ADDRESS 367 - 66th Avenue N. E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
E. 55' o
Lot 9 and
all of Lot 8, ex. E. 35' , Bl. 2, Rice Cree1SHEET
2 PROPERTY OWNER MAIL ADDRESS Terrace P.Lat ZIP PHONE
Dale Andersen 367 - 66th.Avenue N.E. 571-9068
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Gilbertson Construction 7704 Riverdale Drive, Brooklyn Park, MN 55441 560-6943
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
%
8 DESCRIBE WORK
Construct a 2311 x 24' Garage Addition (remove'14R x 20'* Garage)
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway. Wall between house & garage must be
covered with. 5/8" fire code gypsum and door must be 1 flour fire rated with self-
.
closure 4 11-g 1.1 tt "j �t9c:rrii►3 4- ' i 0 9�U1� � �jt7`.95� F®jd.►r0�'St�s�d
VAIN
Bofbre tugging call local uvli$l s
TELEPHONE - ELECTFaIj - CAS ftc,
'BY SEPARA'� PtRI�ITS REQUIRED FOR
��U��� �:� �.����;�
WIRING, Hrl--ATING, PLUMDHa G A -0 SIGNS,
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
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
$7,926
$3.96
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-
$99.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
1
$102.96
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHE PRE L L D OPTHIS PERMIT
YOUR PERMIT
O
Y (N
,® 41 SY
'NSP BATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
01
NEW � City of Fridley Effective 5/1/88
AEON [ ] R-1 AND R-2
ALTER [ ] Building Permit Application
Construction Address: _moi L &nom° &'
Legal Description;
Owner Name & Address: ML /Mrk� der Tel. # 5-71-90109
Contractor: )L&4 bzAj �IU�% Tel. sto-69z/3
Address:
Attach to this application, a Certif icate of Survey of the
lot, with the proposoed construction drawn on it to scale.
DESCRIPPION OF IM ROVEMW
LIZ= ARFA.- Length Width Height Sts. Ft.
GARAGE AREA: Length -z-3' Width Z-1' Height 9 Sq. Pt. &-.f 2-
•)4:1D4Z
Corner Lot [ ]
Length Width Hgt/Ground SqFt.
Inside [may (�I t. Yd�Setback
Type of Construction: Ulb6 =mg -
Approx. Completion Date: T> -C - I s '4'"
Side Yard Setbacks
OM
Estimated Cost: —
Proposed Driveway Width If New $ Alt. A $ Alt. B
po ay Opening Is Desired:
Width + 6' See Back Page
DATE: o APPLICANT: ,uxc qC.� (o y, _ Tel. # VeO--6g4-13'
CITY USE CNLY
Permit Flee
State Surcharge
SAC Charge
Driveway Escrow
Park Flee
Sewer Dain Charge
SPIpUIMION.S: � Me,
Me"
Flee Schedule on Reverse Side
$.50/$1,000 Valuation
$550 per SAC Unit
Alt. 'A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
PAYABLE 19 / V Paperworx Yroo ebr\,i�.,%`P� / G%n_
,�b,��/K'-
r
Thew Plat Contract for DeeQ�
Division Warranty Deed .,
Combination Quit Claim Deed c`
Request P
Add as Omitted ( i V�
0.` -
Date of Transfer ther, specify
M�jD• �SQ1e.
Special Assessment Funds
t I I I fill 1 I I
Plat Name : 1 l l 1 1 1 1 It 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
The following Parcels are now out:
PIN (s) Key Deleted by Date
BJJJ.!1 AL1, ;?07 ^g , -4 C 1 I I 4;5 MA
4GF`ICi!OleTT
l I t l 1�J • 1 1 1 W ! I 11 1 i 1 1 1. I I ! 1 1 1 ! I 1 1 I I I I I I
-1 1 1 11 11 W 1 1 1 t l 1 1 1 t! t t I I I I I I I I I 1 I I I
1 1 1 1 W W
I I I I I 1 W I I I 1 1 1 1! t 1 I I 11 1 I 1 I I t 1 1 1 1 I_I 1 I
The new Parcels are: Added by Date
11 1 1 t I I I l I l 1 1 1 1 1 1 1 l l l l l 1 1 1 1 1 1 l I fill -III
C
I I I 1-,! 11 W W I II 11 I 1! 1 ► t I 1 t 11 I I I I i i 11 I o
t t 1 1 I I I W W ! I I I I l I I I I I ! 1 I 1 1 I 1 1 1 I 1 11 1
1
FC to Assessor FC from Assessor
Date Completed Date �1,�� Date to Auditor I I I ti
To Assessor9 Values Entered
1
3
5
Mod
TAX DESCRIPTION PAY 19 /d Paperwork Proofed/ (� Pale 1
&I JLZF—
Division, Combi tion
ACRES 1 1 1 1 1 1 1 BY DATE
7 1 1 1 1 1 1 1 ,1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I. 1
9 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I, 1 1 1
13 1 1 1 1 1 1 1 1 1 1 1 11 1 1 1 1 I 1 1 1 1 11111 1
15 1 1 Ill 1 1 1 1 1 1 11 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1
17 1 1 1 1 1 1 1 1 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
19 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
23 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1
25 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
27 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
29 11 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
3 1 1 1 1 1 1 1 1 1 I 1 1 1 1 11 1 1 I 1 I 1 I I I I I 1 1
33 1 1 1 I 1 1 1 1 1 1 1 11 Ill 1 1 1 1 1 1 1 1 1 11 1
35 1.1 1 1 I 1 1 1 1 1 1 1 1 11 1 1 1 1 1 1 1 1 1 1 111
37 I J I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1
39 1 1 1 1 1 1 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
E
4
❑ New Description kProofed -$//,
131 CRT- �� DATE
61 1 1 1 1 I I 1 I 1 1 1 I. 1 1 1 1 1 1 1 I I I l l l l i
81 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
101 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
121 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 1 1 1 1
141 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 1 1 1 1 1 11 1 1 1 1
161 1 1 1 1 1 1 I 1 Ill Ill Ill 1 1 1 1 1 1 1 1 1 1
181 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
201 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
221 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
241 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
261 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
281 1 1 Ill I 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
301 11 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
321 1 1 Ill 111111 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1
341 1 1 Ill Ill Ill 1 1 1 1 I I I I I I I I I I I I
361 1 1 1 1 1 1 1 1 1 1 'fill I I I I I I I I I I I
381 1 I I 1 1 Ill Ill 1 1 1 1 I I I I I I I I I I I I
40 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
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----NOI±dIBgSM IV931----
0000
00000
-------SSBaOOU 9NI1IUW----
30m
gI00 #3 t -Z 02 #Ij
R14 , 0 24 24 0019
LOC 0 367 66TH AVE NE
----MAILING ADDRESS ------
ANDERSEN DALE C & PATRICIA
%TRANSOHIO
1701 E 12TH ST
CLEVELAND OH 44114
0 100
----LEGAL DESCRIPTION----
#ACR57581 0290
#NK 1079184
RICE CREEK TERRACE PLAT 2
CITY OF FRIDLEY
LOT 6 -EX E 35 FT- & E 55
FT ;OF LUST 9 BLE:: 2 RICE
CREEK TERRACE PLAT 2
EASE OVER REAR i FT -
*****ACCOUNT
DELETED*****
CTY 20
TDS 24014B
6 KEY
522054
FCA 2113
PCS 3C
YR 00 PARENT
0
MAF' 57581
AREA FRCS 1
JV 06 MTG
7143
SPI
SP2
SPP
UT1
UT2
SO FT 1162
AYE; 1952
EYB 1963
OBS CONST
LAND
23300 IMF
4941 0 OTHER
520(.)
TRUE MKT
77900 REA
CLASSIFIED
ASD LND 23300
ASD IMF
49400 i ASD + ;TH
5200
DESCRIPTION
TAX YR CURRENT EXEMPT
TNXABLE
TAX CAP.
157;
1723
172:7,
MIDSPLIT
SML BUS CR
AREA WIDE
1/2 =CC
3CC T2
EXEMPTIONS HST
SALE 07/86 PRICE 60500 ORB AFD I W� � Q
LAST ACTIVIT`r' 10/11/86 PCR N
' R14 30 24 24 0098
LOC
CTY 20 TOS
24014B
KEY 1079184
-------MAILING ADDRESS-------
PCA -g38$ -o1//.3
PCS -5C-
YR 89
PARENT 522054
ANDERSEN DALE C & PATRICIA
MAP 57581
AREA
JV 06
MTG 0000
ZTRANSOHIO
SP1
SP2
SP3
1701 E 12TH ST
UTI
UT2
S9
FT
AYB
EY3
OBS
CONST
CLEVELAND OH 44114-0000
LAND
imp
illoo
OTHER ,S36a
------ LEGAL DESCRIPTION------
TRUE MKT 79A,300
REA
CLASSIFIED
VPK 452316 522054
ASD LND
ASD IMP
ASD 0TH
LOT 8 & E 55 FT OF LOT 9
DESCRIPTION TAX YR CURRENT
EXEMPT TAXA3LE
SLK 2 RICE CREEK TERRACE
TAX CAP.
PLAT 2: EX E 25 FT OF SD
MIDSPLIT
LOT 8: SUBJ TO EASE OF REL
SML SUS CR
AREA WIDE
1/2 3CC
3CC T2
EXEMPTIONS
SALE 00/00 PRICE ORB AFD
LAST ACTIVITY 05/15/89 PCR N
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