PRE 2010 DOCSCity of Fridley
SUBJECT
'
Permit NO.
i f 4T TME TOP OF THE TWINS
MOVING PERMIT APDL. I CAT I 0id
Receipt No. i
L' -------- DIV.
COMMUNITY DEVELOPWNT
r PBOTECYwS .+sAECT�pN WT,
�l ---� CRY "ALL FINMY VW&
Mum= RIV. oAT[ PAs of
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10110M, By
910-F21 0 2/15/73 1 1
800
Property Owner p Ad rasa Phone
iI' ,C ztzt n L l t
resent
Lot No Block No
Tract or Addition
Legal
4) ,
To Be
Moved To
®LLT ® r
Mover Address one Icense--Mo.�
e%�
Expected Time n Thru x e
Estimated Cost
-000t
Routing
Approved By:
Utilities Notified; State whether notified and date
Minneapolis Gas Company
Engineering Department
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 Ari Services Are Disconnected
The undersigned hereby makes application for a permit to moves 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.
d
O 09�
�jJ6 Contractor
7!
SUBJECT
PERMJT
City of Fridley
MOVING
'795
AT THE TOP OF THE TWINS
BUILDING PERMIT
NO.
fr ------- COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
'�R/E/.�ijEIPT
r
/�.J
1 �
� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
11/8/74
JOB ADDRESS
205 Mississippi Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12 - 16
4 I
Lowell Additions SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Anoka Count
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dale MoversInc.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR] MOVE ❑ REMOVE
8 DESCRIBE WORK
Move dwelling out of City
8 CHANGE OF USE FROM TO
STIPULATIONS Route: Mississippi Street to University 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
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
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 REfiULATING CON-
STRUCTIR THE PERFORMANCE OFC TRUCT
10.00
o
)/
PLAN CHECKF E
TOTALFEE
!Y //
10.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
HEN ROPERLY VALIDAT HIS YOU PERMIT
BLDG )NSP DATE q; t�
SIGNATUREOF OWNER(IF OWNER BUILDER) (DATE)