AF - 43942City of Fridley SUBJECT ���G oE 16 3 5 9
AT THE TOP OF THE TWINS � P E R M I T
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� • COMMUNITY DEVELOPMENT DIV.
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r � � PROTECTIVE INSPECTION SEC. �
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� � /'�'1 � CITY HALL FFIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVEO BY
�----� � ��� 612-571-3450 910-F15 � �
82681
JOB ADDRESS 6175 Central Avenue N.j'.'..
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 3 Moore Ldk@ �:L�.�.3 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Peoples Church 6175 Central Avenue N.E.
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
Dale Movers Inc. 7816 Central Ave,nue N.E. 784-4269
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 EN(31NEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
�. Hiood Frame - Used as Paxsonage
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Move House Out of 9� Ci - Via Central Avenue
8 CHANGE QF USE FROM TO
STIPULATIONS
TYPE OP CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED 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 ABANDbNED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCE�. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV 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 �`rj,�OOO NQNE
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY R STATE OR LOCAL LAW REGULATING CON- �`],S.OU
STRUC T O A OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
� � $15s00
a AUTHORI2EDAGENT �D E� WHEN PROPERLY VALID�S IS YOUR PERMIT
• �,. : � �
SIGNATURE OF OWNER iIF OWNER BUILDERi IDATE� BLDG iNSP �pT
Effective Aug. 1, 1981
City of Fridley ��T Permit No.
r ' •T �T°�°'TM�TM"" MOVI�VG PERMIT APPLICATIOi�
_ �,. � COM�1►NIT� OEY[LO�MEN1 P�v, Receipt ro .
� r - -----� MoRCCr�v� ��eTroN osrr, ,
� 3.--.` ; arr wa.� •�wo�s� ....n elr 91
�....,�•� J W���O'iM0 _ �M�f7t Rtv. WTE M�E ' 01� I►rP110vE0 sr
910-F21 0 2/15/73 1 �1 800
o erty Owner Address orre
� f �s ��,�e.� � �S c� �� C��= ���2�-( �-��--
eee t Lot No Block No Tract or tion .
egal n � � e� (�F �-� � ( � s
To Be
Moved To
over( reae � one icense o.
141� b c1 � �5 � tic : �I�p (��+-l�NR-1 �'�°6. L ' %� �'ZG �
Expecte e n cr�� ru r ey Eetimate � t Type of Bui ding
�' S,� �. � � � s �� ov L,� �� � - �. 5 �
Routin� �< �— v�� — � (�i �(_ �
Approved By: •
IItiliti� t� be Notified and aats Services �Lscaa�nected
idpls. Gas Co. Dt.B. P. Norttsvestem Bell Tel. Co.
�qr. Dep� Cus� Hus. �Of�% . Bus. Ofc.
372-4850 �� � 330-354Q} �'/aC� 332-4112 �
Dat � D te Date
1Koving Fees s l�bv�tng Princi,ple Hnildinq Into Fridley $ 80. 00
l�bvinq A�ccessory Bvildi� Into Fric]ley $ 20.00
Moving tb=ough, rrithin or aa�t oi City $ 15. �0
No State surcHarge on l�inq Pe�mits
Approved By Water � Sewer Depaxtment:
•A 1 Bills Are Paid Services Are Disconnected
The•undersigned hereby makes application for a permit to move the building
described above, agreeing to do all work in strict accordance with the City
Ordinances and rulings of the Department of Buildings, and hereby declares that
ell facts and representations stated ia this application are rue � correct.
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� CITY OF FRIDLEY � �� �
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PUBLIC WORKS DEPARTMENT
TAPPING APPLICATION AND PERNIIT
FOR INSTALLATION OF WATER & SEWER SERVICE
I) This form to be completed before a tap is made to aay esisting water
sewer line. s, , _ ,
Owner
Plumber �
CHARGES TO BE PAID BEFORE TAP IS E— WHERE
ASSESSMENT HAS NOT BEEN LEVIID AGAINST PROPERTY
II) Wafer & sewer connection permit must be registered before this Tapping
Permit can be issued.
Citp supplies all material and labor for 1" or under water tap. Con-
tractor supplies all material and labor for water tap over 1", and all
sewer taps.
WATER TAP: Materials Used: $��L� 4�
Street Patch: � $
TOTAL: $ �°t"�' �
SEWER TAP: Street Patch: x :$
III) If this property has not paid a full Lateral Charge for its share of the
water and sewer system, additional charges will be placed against it.
This will be in addition to the normal connection and tapping permits,
meter deposits, etc.
Water
ASSESSMENTS TO BE LEVIED: Lateral: S
Sewer Lateral: $
TOTAL ASSESSMENT: $ �--�() �
Clerks
Supt. of Public Works
M/P 3/76 White P.W. Canary Finance N�fnk Prop. Owner Goldenrod Plumber
v
�J
RICE CREEK WATERSHED DISTRICT
SUITE 177� ARDEN PLAZA
3585 NORTH LEXINCTON AVENUE
ARDEN HILL�S, *�IINNESOTA. 55112
PERr"IT
Permit Application No. 81-146
RCWD Permit No. 81-146
cc: City of Friclle�----
E.A.Hickok & Associates
RLTr7D File
Issued to: �nas E. Briclmer, 6149 Ben N�ore Drive, Fridley, r�T 55432
Location: 6175 Central Averiue Northeast, F'ridley.
Purpose : Approval of the Heather Hills west residential develo�nt, 4.57+ acrps,
11 single faanily lots. —
At their meeting on Dec�nber 23, 1981 , the Board of Managers of the
Rice Creek Watershed District reviewed your nermit application and the rec-
offiendation of the District Engineer together with the following exhibits:
1. Permit Application dat.ed September 4, 1981.
2. R�moff calculations for the Heather Iii.11s West residential develoFanent received
September 17, 1981 and prenared by Ron Pieyer.
3. Outlet Structure Detaii received �nt�mbe,r 17, 1981.
4. St,ornra-ater Manag�nent Plan far� the Heather Hills Ti�Test residential developmesit,
receiv�l Dece�nber 16, 1981.
They found the project as planned to be in accordance with the Rules and
Regulations, and Guidelines of the District and therefore approved the
permit as requested, with the following stipulations: �
A followup inspection will be conducted at the project site to assure com-
pliance with all agreements, terms and/or stipulations to this Permit. Fail-
ure to comply with the foregoing may result in rescission of the Permit, and
is in violation of Chanter 112.89 MSA, a misdemeanor.
This document is not transferable, and is valid for one (1) year after the
date of issuance. If no construction activity has occurred after the one
year time period, this Permit must be renewed. If construction is underway.
a time extension may be granted.
Please contact us at 483-0634 when the oroject
inspector may view the work in progress. The
must be forwarded within 10 days of p,�ject co
Date of Issue:
Fnrm f'.�-7A
is about to co�ence so an
enclose��isr's Certification