PRE2010 DOCS SUBJECT PER71225
City of Fridley WRECKING o
r
AT THE TOP OF THE TWINS 'L. PERMIT
REC NO.
L___._ COMMUNITY DEVELOPMENT DIV. �y
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
612-560-3450
910-F15 7/20/73
JOB ADDRESS 5925 - 22 Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 21222 11 Hyde Park Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Northwestern Bell Telephone Company 224 - South 5th Street, Mpls 344-6119
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
M. E. Kraft Excavating 4108 - 14th Avenue South, Mpls 823-0605
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 ❑ ALTERATION ❑ REPAIR ❑ MOVE DX REMOVE
8 DESCRIBE WORK Demolish 20.5' x 30 Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS Sewer and Water will be disconnected at same time as house razed.
All debris to be hauled off the lot waw within 5 days of house wrecking.
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 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 I 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 $1,000 NONE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE
PROVI OFNY OTHERS TE R LOCAL LAW REGULATING CON-
STR TIO 0 E P OR NC F CONSTRUCTION. $5.00
PLAN CHECK FEE TOTALFEE
5.00
y IGNATUREOFCONTRAC OR OR AUTHORIZED AGENT (DATE) ENP OPE LID D THIS IS YOUR PERMIT
S
SIGNATURE OF OWNER(IF OWNER BUILDER$ $DATE) BLDG.$NSP DATE
City of Fridley
�w,►EaT Permit N o.
AT THE TOP OF TME TWINS
r WRECKING PERMIT APPLICATION Receipt No.
v 60MMVNITY DEVELOP"CIIT DIV,
I . N10TEGTIVR IMM�ECTIpN YRP7.
CITY HALL /INOLiY $ME -.t
.J N3-1100"71400 NL"W VD ATI
PASt 01 Aftovto BY tl
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Job Address ��y� � +
Z 5 f(Lc:z;
Legal Lai No. Black Na. Tract or Addition
Desc. ` _ _}
Prope ty Owner Address Phone 39 1Y
-( 2 2-44. S 5
Contractor % /,Address / �L Phonega3 d&os-
/OS e sa L T;
Description Front Depth Height Sq. Ft. Cu. Ft.
of Bldg. 20, 5 , p 10 & 15 G150,
No. of Dwelling Units Taxes Paid Tax Receipt
l (oC 73 %z. t'd
Estimated Cost of Wrecking�f,� r� To Be Completed
Utilities Notified: State whether notified and date .
Minneapolis Gas Company (
` 3 o Jai. z�
Engineering Department � W_S ggs01"T3-
372-4850
Northern States Power Company
Customer Business Office
330-5540
Northwestern Bell Telephone Co. (
Business Office "-,s �4 �Lc (�N��? 3 ``520 J Ly zG� 113
332-4112
Approved By Water & Sewer Department: x
All Bills Are Paid Services Arej co,�nected` .'-
QJ U ' )
J
I The undersigned hereby makes application for a permit to wreck the building
described above, agreeing to do all work in strict accordance with the City
I and rulings of the Department of Buildings, and hereby declares that
:all facts and representations stated in this application are true and correct.
22.7
Contractor
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