PRE 2010 DOCSi
VIUage of Frdiey, mim.
BUHMING PBT
1�T® 4$5
Office of INSPECTOR OI+' B HNGS
owner
ArchitectFridley,
Minn., ,
Builder_;
fj,, ?
4./ ! LOCATION OF BUIL G
No.
Street_ !l d Part of Lot
I
Lot Block Addition or Sub -Division
II
i
it DESCRIPTION OF BUILD114G
Front Depth Heiht Stories Manner of Construction
To be used asi� " To be completed :;Estimated Cost17
t�
+ _
i
li �r a
Permit is hereby grAated to x
_. R... s
the building described In the above statement. This permit is grar
upon the express cor clition that thk person to whom it is granted, and his agents, employees and workmen, in
the work done in, around and upoh said building, or any part thereof, shall conform in all respects to the o
nances of Fridley, Inn., regarding the construction, alteration, maintenance, repair and moving of build
within the city limit, and this' permit may be revoked at any time upon violation of any of the provisions of
ordinances.
a /G�
I� � ?nspector of Buflft
!' AGRF'Ml . NT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the I.nepector of Buildings of Fridley
the above permit,jl I hereby agree to do the proposed wo-ek in accordance with the descript
above set forth and according to the provisions of the ordinances of Fridli3y, and, beffig first d
sworn, I hereby state and say that the facts stated by ale andontained in the above permit
true as therein stated.
Subscribed and 'sworn to before me at Fridley, Mhinecota,,, this
day ofd A.D. 19.' � — a
.I
City of Fridley
•us,rEOT
Permit NO.
4T TWO TOP OF TWO TWINY
MOVING PERMIT APPLICATION
`•
' COMMVNITY DEVELOPNIENT DIV,
Receipt No. j
rL-------�
' W10TECTIVE 04EECT*4 WP'r,
CITY WALL FINDLEY Y">Z
41"M
IAV.
OAT[
PAs[ W
V BY -i
910-F21
0
2/15/73
l 1
80_0
Property Owner Address Phone �!
® , /v � �IA-0- )-)
resent
Lot No
Bloc. No
Tract or Addition
Legal
/7-
-11
4uJ
To Be
Moved To
Mov / Address Phone — License—No.
Expecte me nor xux e
Estid Cost
ma
Routing
/SS. S7' ��O 1,-ey ; zr • ® a -T O F 6V
Approved By:
Utilities Notified; State whether notified and date
Minneapolis Gas Company
Engineering Department ...�.L�
372-4850
Northern States Power Company
Customer Business Office
330-5540
Northwestern Bell Telephone Co.
(Business Office
!332-4112
Approved By Water & Sewer Department:
All Bills Ar Paid Services Are Disconnected
14
The undersigned hereby makes application for a permit to :Hove 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
all facts and representations stated In this application are true and correct.
00 -L� &�
Contractor
�.,
nate
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
'
' 127961
r
16 COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . �
y
GE PT NO
NUMBER
910-F15
REV.
DATE
11/8/74
PAGE OF
� l
APPROVED BY
---"1 CITY HALL FRIDLEY 55432
,'j 612-560-3450
JOB ADDRESS
101 Missj-ssipi3i Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
17-21
4
Lowell Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Anoka Count
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Dale Movers, Inc- 7816 Central A-venue N-E-, Apring Take Park 784-4269
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ' ❑ REPAIR Ej MOVE ❑ REMOVE
6 DESCRIBE WORK
N Move dwelling out of City
9 CHANGE OF USE FROM TO
STIPULATIONS
Route: Mississippi Stree t to University Avenue to out of City
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
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
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-
STRU TION OR THE PERF RMANC OF COO
6,�k�"r %
` a®�
$10.00
PLAN CHECK FEE
TOTAL FEE
0.00
. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)H
r j�
PROPERLY VALIDAT HIS S YO R PERMIT
� J
BLDG INSP OATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
I
10