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AF - 35239� �` � � �� tt � ? � � � �> � � �. �� ., , �� `v�� .w.. c f f " s..�:��1 r - � _ � � — �� • Ql . �11Y�i1✓ q . � } . .: z ,j , y�: �:a ��- ` ; �UI�.D�NG l.'��I� , �° � � �.1. — �� f _ - .�� .� �� ,y - k ` ' y ,{i ; r '_ " _ ( „F Ov�ner . . . '�`'�;"; . , Buildex ..; , r 1 ,� _ � 'A;.�eSS , . . � . . ,AciC}resg , � A � . _ �� t �2 � , �1�Til'�N 4F' BU[LbIia1G - � , , � ` ` �r , ` 1�T+t�� ,�:;�.e� �, Str+ee� E a . , . � ,�g -� , ti .�: T..ri �-... �li�k Addit�on or Sub x3�vision,��.� . . , . . . - ... , ; � ��+�� " �'� �:� � � � Ca�rner Lo� �'iisit�e %p�� -. �. . �etback � _.: Si+deyard��...:« :i - � _ , , . - , _ :. .., t ,. _ , , _ � � 3� � . � �. � ; ., �� r ; , � . I �ET�S�RiP7IClIsI fl�F �I.�I�.DI�I� ��' -Ta:� be t�s� as., i � Frt�xtt .�'� Depth � �T�g�tt Sq. �'t�'�'�`,� �:u Fi: j -1 � ` _ _ � �. �� •�� • • � • � . ° ... � �Cj7tt%i ;T.= . ' �ii'�g�t ' �.._ � � � � _ ii:tI. F't: . . � �t ..... 1 �'y.' of C�struc�i�n" �'�`��: Es�.': Gast �� '='�.�'� - _ T`o� be �amAleied ' ,_ : � �j:. �.,. _� ,... ,, . • .: .�..." ' " . .��..�� .�. •I�i j• ri � •�t •:s-�♦�- � 1 _ I. � �4y = - .�+f .�' � �� '�$ � � � -�� ,��a , ,. �I, � � -m `� i �!4 - - 4 : �� a�� , .� , t �a � I� eonsider�,tinn of �e �s�nee io me of a permit � co�rx V th� bu�d�ng -�desc�3i� �bcsve, I agree �04 d� . 'I thc�propc�sed vs�fl�i� �in ;ac�nz�anGe v�iihh the cTes�ription �boke s�t fgrth and . 3n compl�: �h �a3I provisib� of ord�nances af the village o� F�ic�ey. � ��' '" � �s {� - � s - , � ��. i� , . � . �� . .:. . , . . . _ � �i; � _ ^ � ' .�.. - Fh � �, � �- ' � �`n coi�sidera.tion af �e payn�e�t �f .a �ee o� $�:`��. Y ., �rmi�: �� hereby gtanfi�d, .. .. r. �, °�. ��' � � , � _ y . . _ "� ,� . . ... . . . . . . � . . : � =�a �orisia�uet �' the lstiilding or add#tiQ� a� t�e�eribe� �.iiove, T�iis ��r�di is � t�on � � 1 the-i�e�cPress eottc�iiion� "Eisat t�� rsom •ta w�tvm `Y� fs g�aztt�c� ai�d �is ageats,' `e�P�o�� a�d �orimaenyy i� �Ii vaork � ° dor�� u�r, around �id' upon said buit r� to �lie ardi�nt�s ttf .: � c'�ng� flr. ax�► pax� "thereof, s�all can�o�m " in aTi ' k`ri' eY, �in�tiesnta, regat`ding icu�a.tian, co�ns�ructi4�; �ieratiirn, 3nairitenance� �ePair.=si� �tbvtng oi :1�lding� va�3s= �i: n xn. �iie vi�age lia�i�s anel #hiss perrn�tt int�y..be sevnl�ec� at �y �time u� vtala:'t�qn o� .any af:; the groyfs%ns t�' -�aici T or�ances. - ,, � s�k � � ; 'T. �� + •x . �� # :� ^ �. ,�}.. • ` t•� '•''�. ,,. " i 4i f Z • 1 f �Yl[l� iµ�� q �fOTFLE• " , s �. ,, _ ;i� 7'#�is perimii daes� tiot Cd�t�r #he.COnsfruR:tion, installatio� a�r-alteraitt�A #or v�ri�irtg} �r[umbin9�°,9a,� he�ttag� : Y .I v _ �' wer or wa�er,. B� su�e irs see BnitdFng =:Jnspec#ar for s�arafe perrr�#ts fo�e �ffiere�st x, _, ,�: .. _ . - ... , - . o- 4 + � �_ "'f�- < . _ _ —11 �_ �...�c� ..._a: ... ...� a..� �. _ . � . _ .. , .. _ . } ,_. 9 -�.. S. _ _a. City of Fridley SUBJECT AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i � � � COMMUNITY DEVELOPMENT DIV. r � L � PIiOTECTIVE INSPECTION SEC. � _ � l.-__� ��"'� �,� CITY HALL FRIDLEY 55432 NUMBER L 612-580-3450 910-F15 JOB ADDRESS 6239 BAI�R STREET N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 3 Z MOORE I,� 2 PROPERTYOWNER MAILADDRESS ROBERT GUELKER 3 CONTRACTOR MAIL ADDRESS LII�IDGREN ROOFING. 5001 - 71ST 4 ARCHITECTORDESIGNER MAILADDRESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING RESIDE"NCE 7 CLASS OF WORK FEV. I DATE ZIP ;� ZIP ZIP PAGE OF � � PHONE i PHONE PHONE T. 13171 RECEIPT NO. � �� APPROVED BY SEE ATTACHED SHEET LICENSE NO. LICENSE NO. LICENSE NO. ❑ NEW O ADDITION ❑ ALTERATION XI�X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. VENTILATING OR AIR CONDITIONING. SHINGLES THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �`300.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � �S`S.00 � PLAN CHECK FEE � , � °� �'�Zs SIGNATUREOFCONTRACTOROR/F THORIZEDAGENT �DATEI WHEN PRC �y f ��!� � SIGNATURE OF OWNEF UF OWNER BUILDERI IDATE) BLOG. iNSP OCCUPANCY GROUP SQ. FT. STALLS OF OCCUPANCYLOAD CU. FT. IEET PARKING GARAGES C .50 ARGE $5.50 TE�IS YOUR PERMIT 8-29-75 . . � e. . ,• . ; . � •APPLICnTION FOR R�SI'DL'NTIA�, .ALTL'IZATION, O.R AllllITION.BUILDING P�RIti1IT ' CITY OF FRIDLEY 1�tINNESOTA . . � • . � - ' OWNER' S NA1�fE : �0 6��-� ( � ,� !/��, BuzLV�x : �� P� �o � fy� � . . . . —� --�---- . ADDRESS : � v`Z� %— ��C'°sl- f� V� �IDDR�SS : J�� /— � 1 � /�-r✓,�' f�6 . � • • Id0 ; . � � STR�ET • , iOT: BLOCK: ADDITI01�: CORNER LOT : • INS IDE ZOT : SETBACK: SIDL'Y�.D : � AppJ.ican� attaci: �o this for:r� Tcao Gertificates �f Survey.of .Lot and.pxoposed buildino location c:�a�an on these Certi£icates. � • To Be Used' As : . � HESCRIPTION O�F BUILDiNG •• ..� � 0 Fxont; DepCh:� ' � Height: � •• Square Feet: Cubi.c.Fee�: Fron�: Depth: ' Height: .• . � Squaxe FeeC; Cubic Feet: • . ' �� Q� j � O� . . . 'L`ype of �Construction: o v5� Esta.mated Cos�: $� d3� �� o �e Completed: g — / — �� . � . • The undersigned hereby makes applicati�n £or a pe�nit for tihe woxk herein specifi,ee�, a�reeirig to do all worlc in �s�xict accordance �oith the City of �xa.dley Ordi.nances and rulings of the Depaxtment of Buildings, and �ier�by . declaxes that all Clie facts and representations stated in tlais applica�ion axe txue and correcC. � . ' ❑ � • ' . . , � � DATE: _ � . . �'" �% �%S-- SIGNAT(JRE. � °, eSee I�everse �Sid'e For Additional Infoxtnation.)' • . �, �� . � a 4 `��c.C_ . � � � �, �� - �.� , ; . , � . . . r^ r �` . a ,.. `� • 1 • � '� • � BiJILDING L'.liltMJ.'1' 1�liL• ,1.11L'llUL� . ION 2. Ttie Ynspector oi• Buildings ,sha11, :betore issuin� p��'mits for the S�CT exisCin erec�ion of any building or structure, ox fox any zaa��on to any � building ox structure, ox for any altcration or repairs Co any existing building ox stxuc.ture, upon application thexe�ore, xequixe Che paymenC by the applicant tor such perinit of fces Co �he amount hcrein below seC .�ort�i and i.�n the mannen c�rei.n pxovided tio-wit: • • . U1�IZI'ORM IiUILDII�G COD�: �pe 1, 2& 4-�$2.15 fox each one thousand cubic �feet; or fxac�ion thexeof, in such cubical contenCs. Type 3& 5-$1.85 fax ' . • each o.ne thausand cubic fee�. , ' . •. ADDITIONAL INFORI�iATION ermits the cubical contents Fox �he purpose of computing fees fox building p � : of any buildin� or addition, is determined by multiplying�the ground area covered from a point six.(6) inches Uelow tfie iloar line of the basementi ox the cellar ta the average heights of the uppex surface_or �o the avexage� height of the roof surface of the main gable of a pitched roof. . ' . • Fox xepaixs or al�exations to an eYi:s.ting structux00 �or fract on�thereoftin xate of $3.00 per each five hundzed dollaxs. ($500. ) the cost o£ all �roposed woxk. n In.no case sha].1 the.fee charged.fox any permit as set foxth in Sec�ion 2 be_ _ � less �.han $5.00. �. � , . V�RIFICATI�N OF FOUNDATION . —a . � _ i �0�: Pexmits for construction will be issued.a minimuni of 24 hours fxom �he� time of application, to alloto for pxop�r review of the proposed structure and, o� �he constxuction site. • : A Cer�itied Survey of the lot, showing the locatooe�ain�hai.thuthetfxamirigce iC has been construc�ed, will be requixed befoxe pr �. � � . CERTIrICATE OF�OCCUPANCY ' . Application for a Certiti.cate of Occupancy shal.l be made ten (10) days prior to the use ox�occupancy of any structure for wllich a buildin� permit has been issued; �rid said structure sha�1 no� be used or occupied unril a Cextificate of Occup�ncy iias Ueen issued.. . � • � . . ' �' . . � • .o �` , .. : 0 a . • . �� . � • �� i � � . � � � � � � a ~ � � � � � f � x � � w t � � � � C � � b � � o M 'n :ti'i C! � r M �. .g � • � �I �, x M ti � m � � "�`, '+ '� � �o "' � �.,� °. a °' � c ': =� C ' �° o � N w °y a .'D, . � G x �1 • ►d N . �' C M . `i � � , x � �" O ro ~ � � ,� , � 5 ,� . J � y . �e � � � � • � � a � � • r�i . � � . � � • . • � � . �. � V1 ' � • . � � � � s `(+ . Q, Q . . . N • � S • • • • ' •. s • . o : : : � . . . : ,� ; • • n : : . � � : • & . . . . . � • . � 0 • • • • • • • • .___- • • • � • � • ' • • • • • � • , • . . • . e . . �. . . ' • . � � 7' . . `.d�a � 0 � • . y' K x u " x x x u x x r : y � � w tq � � Cpt� N �7 tJ � � � ,�j lA V9 11� � �` O v�i �i ',�',j n4v i'n �' �n � `� � M • � . IA - A fA !D t�� (N M� fA H N (N � 0 I i O � i ° � . o � r I r (n o • � Q% . . � � . � � � _ � . ��`d I� � i'�' � ��y �!• � � m C i rt t "-'7 �.�j, � � 0 � � C y� a �' � t' � �, W � � ='� (� iD . p � f% �� . ° � . � � , a A ti w� � � � N � � w � g � � . � � a G � r � N � �, b Q A o o CJ � O • � .x 0 ��^ � � `�'LJ G � � �'' ('� � `" � � ;scoric, � � w�n� � @ a,oaaTs � �, uKtw�t o R �^°s a d a,�s��s � � x a s�k.-s g "K� �" d �• 5�.� TMYS ~ � �' GQ DRINR, "r�� fOV►R. � � [1 �y `�'` r� ��. 5 � _ r a � ,' r�oo. p '� DRA�NS � .�t. f� j'� � L� CIITCM ,y Q y 6ASIN5 �Z �'1 � '`.° , � AUTO p C , � w.�sr�R o O Sa ` � G�IS ~ i � W L w�K. ',',,,1 r9 :< GAS � R�NCE ~ s c�s a OrENikCS w O 2 • i�'. c� r^ > �� i'� a 6 p I � i �❑ f � n A y a w � � O �t � Li. � � rs � � v f? aa� � •q C � � � � M � a. � �� (q o a L c��.h e O N �J' � ��s� � � � p' � O .Y a &' � c� o. ;"e �' � � �e �� ° •° p in � �. x p � � � � t�i p �: '�O w �i '�'n O• •n» w y � C 0 �a°� . �'�o � � `C A lu � ��E� apx� ��o N '1 � � � � I � �O � ~ �7 h � CL IP r � r1� �' � � 2�� . W � z Z � O �Fl �I,% . � � 1 � � N 0 � � F'd � � � d � a . � '"Y � � � � �� O � M � , v-: 9 � �o b � � o � 0 � �o � � . � � .��~ � . o, SUBJECT c�ty of Fr�aley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i L ; ; L ______ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � , , 1-_--� ��"' �•� CITY HALL FRIDLEY 55432 NUMBER REV. DATE 612-560-3450 g10-F15 9/7/; JOB ADDRESS 6239 Baker Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 3 1 Moore Lake Highlands 4tY 2 PROPERTYOWNER MAILADDRESS Bob Fielker 6239 Baker Street N.E. 3 CONTRACTOR MAILADDRESS Barkley Construction 1111-24th Avenue N.E. 4 ARCHITECTORDESIGNER MAILADDRESS 5 ENGINEER MAILADDRESS ZIF ZIP ZIP PAGE OF � � PERJIA�I'�"N-O� T. 13740 CEIPT NO. ��r � APPROVED BY SEEATTACHED SHEET PHONE PHONE LICENSE NO. PHONE IICENSE NO. PHONE LICENSE NO. 6 USE OF BUILDING RES].C�il't.Z�. 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside and install tri.m 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2��-QQ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF NSTRUCTION. � y51S.00 �/ � PLAN CHECK FEE ��' SIGN T E OF CONTRACTOR OR A HORIZED NT ID EI WHEN PRC t � B SIGNATURE OF OWNER UF OWNER BUILDERI _ (DATE) ai n� inic PANCYGROUP OCCUPANCYLOAD �• CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $1.05 SAC CHARGE I TOTAL FEE $16.05 PERLY VALIDATED THIS IS YOUR PE (�' Bne A� A_�►_ �y L1 � � UI' I-K1U:.LT APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPATR BUILDING PERMIT � OWNER' S NAME : ��, � (�' i � l �� BUILDER : �r� � ADDRE S S : ��. �- � ��q. (i4s_ f � � ADDRES S : ' � � � �� NO:. t�� STREET: LOT : BLOCK: � ADDITION :,�� ` � .�� / �� . CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD; Applicant attacti to this forcn Two Certificates of S�.,rveY of Lot, and proposed building location drawn on these Certificates. ! To Be Used As: HESCRIPTI�flN OF BUILDING Front• Depth: Height• Square Feet: Cubic Feet• Fxont• Depth: Height. Square Feet; Cubic Feet• e of Construction: �� t � $ �� p �'P � � g � �� H>��Estimated Cost; To Be Completed: �� /�� 0 The undersigned hereby makes applicativn for a permit for �the work herein speci£ied, agreeing to do all work in st'rict accordance with the City of Fridley Oxdinances and rulings of the Department of Buildings, and hereby declares that a11 the facts and representations stated i.n this agplication are true and correct. DATE : � � % SIGNATU'RE • � (See Reverse Side For Additional Information.) � ��"� � � 1 S , � ca /• �� .�s e � � �� e ; 'BiIILDING PERMIT FE� SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits f�� the erection ot any building or structure, or for ax�y addition to any existing building or structure, or for any al�eration ox repairs to any existing building'or structure, upon applica�ion therefore, require the payment by the applicant fox such permit of fees to the amount herein below set forth and�in the manner herein provided to-wit: 'tVEW CONSTRUCTZQI3: Sa.ng7.e Family Homes and Garages :$4. 00/1000 cubic f eet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubica3. con�ents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches belo�a the floor line of the basement or the cellar to the average heights of the upper surface or to the avexage` �height of the roof surface of the main gable of a pitched ro�f. t. Tor repairs or alterations to an existing structure, the fee sha11 be at the rate of $3.00 per each five hundred dollars (�500.00) or fraction thereof in the cost of a11 p�oposed work. In no case sha11 the fee charged for any ger.mit as set forth in Section 2 be less than $7.50. VERIFICATION OF FOUNDATION NOTE: Permits for eonstruction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure an.d of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be xequired hefo-re proceeding ivith the framing. CEkTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days priox to the use or occupancy of any stxucture for which a building permit has been issued; and said stxucture shall not be used or occup�ed until a Certificate of Occupancy has been issued. ' '! R. _ � Q ��:; i I I SUBJECT City of Fridley 15 8 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r - � � ECEIPT NO. ; �L _ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. 1 , i l-__- � �r��,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j� � � 612-571-3450 910-F15 7/17/80 � / JOB ADORESS 6239 Baker Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Moore Lake Highlands 4th SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE l�bert Guelker 6239 Baker Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHOtJE LICENSENO. Darrell Erickson 3930 Xer�ces Avenue North 588-6358 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Insta.11 ridged galvani.zed valleys, 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 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUA ON SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3OO �.SO 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- � STRUCTION OR THE PERFOPMANC , ONSTRUCTION. �`7. �JO � ��„ � . PLAN CHECK FEE TOTAL FEE i /�` `'��-�^ '� �%';�� c� �� $8.00 SIGNATUREOFCONiRA� TORORAUTHORIZEDAGENT IDATEI WHEN PROPERL�VALIDATED THIS IS YOUR PERMIT �! � � 1 �' �- _ �-��-� _ -� �- � � ) SiGNATUREOFOWNER�IFOWNERBUILDERI � IDATEI � BLDG WSP D TE , CITY OF FRIDLCY � • /�f?PLIC/1TIO+J FQR RESIDC�JTTIII.QUTLUIPJG PERMITS (tdeY�, Al�ter��tians, Acldil;ians, or Repairs) � � ObltdE(t: _�o��.L � �� ADDRESS: _��--�� "IC�//�U�-/V-(�` �rr� �co: 5�71—�.�o� - . , • �_ P , I BUILDER: ,��L L`-�<C�SDiJ � ADDRESS: •�� O. ��`� x-�-�-5 i`�L-- �/l�l� i 7CL (�(0: S � � '" �o�,�� • Construction Location STRI�T NO: STRF.�T: i3OT: ' • BLOQG: ADAITION: Corner Lot: � inside,Lot: SetbacY: Sidey�rds: A��plicant attach to this �orm i:wo Certiiicates o� Survey of lot and pro,pos�d building ].ocation dracan on certa.�icates to scale. . DE:SCR�PTIOId OF CONSTRUCTION �� 0 �`' �� 6� ��z nt: • D�pth: � iieight: ' Sqeia�e. Feet: ' Gtiibic Feet: � , Front: Depth: _ Height; Square• Fee�: Cubic Feet: . � . . Type of Constx�uction: 0�� o /�6cP5� ��4��,��N��stimated Cost: $��1� � 7b Be Oompleted: � �j 1 � � 1 �(� � . . , _ . Alt. A Alt. B Proposed Driveway 6�'idth If New Opening Is Desired: $' $ � � �' , , �. SEE REVERSE STDE OF SHEET �%e undersigned hereby m�kes application for a pexznit iar the work�herein specified, agreeing to do all work i.n strict accordance with the City of I'ridley Ordii�ances and rulinqs of the Departmeait of nuildings, and Ixereby declares that all t.he fac�s and xe�resentations st�ed in this application a e true and corxect. � -�� DATE, . n�� S IGI�IATU F� : ,'�C� - _ . . _ _ . . > Stipulations : - - - _.. _ . - - - --- - � � ��z� . � �-� ,� ,� � �C�,� . � �� . � � . .�.�.. �� . BU)U)I(�G PL'RM1T f=C� SCf�FDUt_E' • :;laC'�70t� ?.. The 7n:;�?eci:or. of Uu9.1c1S.n�,1�; Uh�zl.l., bafo�:r. i:�suing },7enn3.�� or t�he erc:ci:ion pr any l�uia.d:incs or. ::Gruct:urc, or. for any �aa�.�.�.an Lo at�y cr,a.:�i:a.ng buildi.ng� or si:xucLure, a� .��: .any �zl.tcratiori or. rc��air.s to •any e>.a. �Li»q i�uS.�.ainy oz str.ucture, UJ,�G1l arip],ica��.on 'Lhcr:efar.�, xcc�ui�:e t}�c paymenL• by t]re ap�].i.can� for. :;uch 17crma.t of tecs Lo, L'he an►ount hezc:in bc.l.ow set �ori:h and in L-1ie manner_ her.ea.n proviclec� .to-ViiL•: ' � . »2;41 CONS7.'RUC`�IUN: Single 1 ami].y IIomes and Gar.ages : $4 . 00/l, 000 cubi.c fce�. I�1,1'std CIiI:CY.: 2.5 �ercent oL- bui.ldi.ng ��ennit fee. , . , UktlV�l•?11Y 1��1'121:55xOId: (Concrete, Curb Sircets Only) • 111L•crnate �: Removal and �-ep].acemenL- of cancre�e curb and qui:Ler only; Driveway wiclth plus 6�eei: x Y�.S.o75 . 1�,lternatc B: Removal and replac�ment af cancxet-e curb and . • guttez and S.nsta].J. a 3 fooi: w�de approach wiL-h • , 6 a.nch depth; Driveway width plus G feet �: $17.85 _ . ' � . /iDDI T IOt�/��. I h!f-OR�f/�ION.._ L'or the purnase of computa.ng tees foz bui�.cling pexmits. the cubica]. contents of any building ar addition, is dcL-ermined by rnultiplying i-he ground area covered from a poiJit six (6) inches below ihe floor line of the basement or th� cellar to ttie avexage heights of the upper sur€ace or i:o L-he average heighL- of the root- surface oi the ;aain gable of a pitched rooi. For. repairs or al.terations to an exista.nq structure, the tee shall be at th� xate a� $3.00 Per each five hundred dollars-($500.00) or ixaction thereof an the cost af all �xoposed work. .� • • 2a: •ne �.ase sha]:l the ie� charged for any per.mit as set forth in Section 2 be :.'.ess � than $7.50 plus $.50 staL-e surcharge. � • � . .,�f�RTFICATI��! OF FOUND�TIOt� � � Nt3TE: P�rmits �or constxuc�ion tJill be issued a minimimn of 24 hours fr.om tYze time o� az�pli.cai:ian to allow for proper review of tlie proposed st�:ucture and oi the . const�.-uctioix site. h Certi�zcate of Suxvey of the lat, siioc,*ing the 1oca�ion of the foundation once i.� has been constnic�ed «ill be requS.red before pr.oceeding wi.th the f_rami.ng. � � , C�RZI�I CAT� OF OCCUPANCY � � • � � Applicaiion for a Certificate oi Occupancy shall be made ten (10) days prior to the use or occu�anc�� o� any structure ior wliich a� k�uildiiig pe�.�nti.t ha� been issued; and said sts:ucture sliall not be used or occu�ied until a.Certzticate oi' Occupancy has been issued. . • � 9 � . . , �,.=,� _ � , • . . , . . �� . � • . . SUBJECT P ' N O. City of Fridley 17968 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � i � ; `L _ COMMUNiTY DEVELOPMENT OIV. r j � PROTECTIVE INSPECTION SEC. l, � , ---_� ��"' �'� CITY HALL FRIDLEV 55432 NUMBER REV. DATE L 612-571-3450 9t0-F15 5/13/85 JOB ADDRESS �239 Baker N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 3 1 Moore Lake Hi.ghla,nds 4th 2 PROPERTY OWNER MAIL ADDRESS Z�p Robert Guelker 6239 Baker Avenue N.E. 3 CONTRACTOR MAIL ADDRESS Z�p D& R Roofing 1601 Reaney Avenue, St. Paul, N�T 55106 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�p 5 ENGINEER B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW MAIL ADDRESS ZIP REC�� l� �� PAGE OF APPROVED BY � � SEE ATTACHED SHEET PHONE 571--03 08 PHONE LICENSE NO. 771-3228 PHONE LICENSE NO. PHONE LICENSE NO. ❑ ADDITION �] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK - Reroo�' Ga,rage �lat R�,i 9 CHANOEOFUSEFROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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. UN I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND,OiiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-7000 DOES NOT ESUME TO GIVE AUTHORI TO VIOLATE OR CANCEL THE pERMIT FEE PROVI S O NY OTHER STATE OCAL LAW REGULATING CON- R TION OR T E PERFOR N CONSTRUCTION.�� $�-7. 'rJO C%��Z� /� � AN CHECK FE � � SIGNATURE OF CO TRACT O AUTHORI2ED AGENT (DA EI WHEN I � _ ., SiGNATUREOFOWNER�IFOWNERBUILDERi �DATEi oinr_ �.�< ucourqNGYGROUP OCCUPANCYLOAD SQ. FT. CU. FT. OFFSTREET PARKING STAI.LS GARAGES SURTAX $.. 5� SAC CHARGE TOTALFEE $`�.� .�� RIY�I�ATED TkIIS IS YOUR PEKMIT . NE�1 [] City oP Fridley Effective u/1/84 ADDN� [ ] R-1 ABD R-2 pLTER. [ ] Building Permit Appli�atioa Construction Address: (U �� `-� ��c�` � Legal Description: Owner Fame & Address: � �� U � �-% � /2-- Yel. �� d� Contraotor:_ �d �. I� oa �l w� . Tel .��/ 3 Z Z� Addresa: �� Z��/�L- / � (/� . LI9II�IG AREA: GARAGE AREA: Attach to this applieation, a Certificate of Survey of the lot, With the proposed construction draWn on it to seale. DESCRIPTIOA OF IMPB09EMENT Length Nidth Beight Sq. Length P�r Width Height _��'�Z�� Sq. Ft. Ft. � �� DECR AREA: Length Width Hgt/Ground Sq. Ft. OTHEa : /� � � � � � �- %� �- /� � " Corner Lot [] Inside Lo � Ft. Yd Setback Side Yard Setback Type of Construction: �-{-��c oZ r� Estimated Cost: � ��D� --- - - ___ __ � Approx. Co�pZetion Date: -- -- ° - __-- - Alt. A Alt B Proposed Drivexay �lidth If Nex Opening Is Desired: � � . See Back Page for Explanation . � ATE: � � �, APPLICANT. G�� -��— Tel . # � %�3 2 � 0 Permit Fee Plari Check State Surcharge SAC Charge CIT7[ IISE ON1.Y � ��. �7i Fee Schedule on Reverse Side � 25'X of Building Permit Fee S �� .50/�1,000 Valuation � �425 per SAC Unit Park Fee B SeWer Main Charge � E �� _� STIPULATIONS: � ��i . Q � Fee Determined by Engineering Agreement Necessary [ ] No� Necessary [ ] ^ a�� n BIIII.DIBG PSRMZT FEE SCHBDIILE The Chief Building Offieial ehall, before issuing permits for the erection of any building or structure� or for any addition to any existing building or structure� or for any alteration or repair to any existing building or structure� upon applicatio n therefore, require the payment by the applicant for such permit of fees to the amount herein beloW set forth and in the manner herein provided to-xit: ?otal Yaluation a�.00 to '500.00 Feea �10.00 (l4inimum Fee fs �15.00) .�501.00 to �2,000.00 $10.00 for the first �500 plus �1.50 for each additional a100 or fraction thereof, to and including �2,000. �2�001.00 to �25,000.00 �3.2•50 for the first �2,000 plus �6.00 for each additional �1,000 or Praetion thereof, to and ineluding �25,000. �25�001.00 to �50,000.00 �50,001.00 to a100,000.00 �100,001.00 and up �170.50 for the first additioaal �1,000 or including �50,000. �283.00 for the first additional �.1 , 000 or including �100,000. �25,000 plus �4.50 for each fraction thereof, to and �50,000 plus �3.00 for each fraction thereof� to and �u33.00 for the first �100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIVEIiAY DEPRESSION ESCRO'il (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway Width plus 6 feet times $13.50 Alternate "B": Removal and r�plaeement of curb and gutter and install a 3 foot wide approach With 6 inch depth - DriveWay Width plus 6 feet times �15•75 VERIFICATIOp OF FOONDATION Permits for construction Will be issued a minimum of 2u hours from the time of application to allos� for proper revieW af the proposed structure and of the construction site. A Certificate of Surveq of the lot, shoWing the location of the foundation onee it has been aonstructed Will be required before proceeding with the framing. � � s .� . SUBJECT PERN�I,IL.NO. City oi Fridley _ ��'�5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �` �� r � � - ' ` RE IJU. � • COMMUNITY DEVELOPMENT OIV , �y ------, 3�/ r � � PROTECTIVE INSPECTION SEC � � � i l----� ��;.� CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BV L 612-571-3450 910-F15 7/15/97 / / JOB ADDRESS 6239 Baker Avenue NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Moore Lake Iiighlands 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Guelker 6239 Baker Street NE 571-0308 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO- B& B Roofing 6760 Ma.dison Street NE, Fridley, MN 55432 571-0248 g042 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House (14 Sq) Tear—off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE HEQUIREO 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 SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 OAYS, 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 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO 8E 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 pERM1T �1,167 � �,,rj8 DOES NOT RESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC O OR 7HE PERFORM CE OF C NST CTION. �'40.25 Fire .5�.' �1.17 .� PLAN CHECK FEE TOTA� FEE � /��JUC y �� License SC $5.00 $47.00 SIGNATUREOF 7RACTOROFAUTHORIZEDAGENT IDATE� WHEN PFiOPER ALIDATED THIS IS YOUR PERMIT �i SiGN.4TURE OF OWNER UF OWNER BUILOERi �DATE� �� BL U �NSP t�p7E NEW ADDN ALTER [l [7 [l ConstructionAddress: Legal Description: CITY OF F1aIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICAT`ION. � � ��L�7� slD �� %� � i Effective 1/1/97 �51 Owner Name & Address: ��,(� L-� L. �L 2 Tel. #�5 %/— �J�j�� Contractor: �� ov� i�� MN LICENSE #�� `I�- Address: � �� /�/j /,j �� S / � Tel. # S 7��07�� Attach to this application, a Certificate of Survey of the � lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRLPTION OF IMPROVEMENT �n� �id� Height �n� Width Height ,�� ov�-= , Driveway Curb Cut Width Needed: Width Hgt/Ground >�S� ��y �y Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. .s� /�2- (k`ee Schedul e on Back) Ft. + 6 Ft = Ft �x $ _ $ � / (o �, � p DATE: �S J L �% jA,PPLICANT: � �Y/Jfi ��L Tel. # �5 � Do2 `�� Permit Fee Fire Surcharge State Suxcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPLILA"1'[ONS: $ `�%o.�S �-�� $ � S� $ $ �, C�� $ $ $ $ $ � , � CITY USE ONLY Fee Schedule on Reverse Side .QOl of Permit Valuation (1/lOth%) $.SO/$1,{�0 Valuation $950 per SAC Unit $5.00 (Sta.te Licensed Residential Contractors) Alt: "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by' Engineering Agreement Necessary { ) Not Necessary [ ] ., o ' ` [3U[LDING I'ERMIT FEE SCEiEDLJ[.,(: "1'lie Chief Building Official shall, before issuing petmits far the erection of any building or structure, or f�r any addition to any eaisting building or structure, or for any alteration or• repair to any existing buildin�7 or stiucture, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: � TOTAL VALUE $1 to $500 $501 to $2,t�0 $2,001 to $25,000 $25,401 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,OQO,Q01 and up FEES $21 (Minimum Fee is $21 plus surcharge) � $21 for fust $500 plus $2.75 for each additionai $1� or fraction thereof, to and inciuding $2,t}00 $62.25 for first $2,000 plus $12:50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,� plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6 25 for each additional $1,000 or fraction thereof, to and including $1{�,OUO $887.25 for first $100,(�?0 plus $5.00 for each additional $l,��or fraction thereo�,�to .aad including $5(}0,t�0 � $2887.25 for the first $500,000 plus $4.25 for each addifional $1,000 or fraction thereof, to and includiag $1,�O;OQ(} $5012:25 for the first $1,000,000 plus $2.75 for. each additional $1,0(� or fraction thereof DRIVEWAY DEPRES�ION ESCRO�V {Concrete C�rb Streets Only) .Alternate "A": Removal and replacement of curb and gutter only - Driveway width pins 6 feet times $13.�0_ Aiternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet tirnes $15.75_ VERIFICATION OF FOUNDATiON Permits for construction will be issued a minimum of 24 hours from the time of application to allow for pmper review of the proposed structure and of the construction site. A Certit�icate of Survey of dle lot, showing the location of the foundation <mce it has it has hecn c�nstruc°�:'. «'i;i hc rec�uired t��i�c�re ��t-t�c�cdin�� 1�ith thc frainin��. � ;,: Building Inspections 763-572-3604 763-502-4977 FAX DATE� °� SITE ADDRESS %� THIS APPLICANT IS: PROPERTY OWNER/ TENANT BU�,DING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 Permit No. Received By: ✓'� �� Dat t� � �i G�Q� YOUR E-MAIL ADDRESS ,��'c.u� � C�0.'F�Sw�K C S'. C�iv►.� ❑ OWNER °�CONTR.ACTOR NAME: .� 4t,�6.+.�`e C4�w�dJ u►..� ADDRESS: CITY PHONE: 'ATE ZIP CONTRACTOR ADDRESS: Ici'S`I3 Qw�^'�' �fi CITY Nw►+�. Le.1C.2 STATEI�ZIP S$.�(i`� SUBMIT A COPY OF pHONE 7b3- Klt3 � l l�g�{ FAX 7�3 ��° �103 YOUR STATE LICENSE STATE LICENSE # ZO�o 2�I �� EXP DATE �"3� - Oq PROPERTY TYPE PERMTT TYPE TYPE OF WORK: DESCRIBE WORK BEING !�.SINGLE FAMILYMEW CONSTRUCTIQN SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORtES ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH �ROOF ❑ DRAIN TILE ❑ DECK O SIDING � ❑ OTHER O SWIIvIM1NG POOL ❑ NEW HOME CONSTRUCTION 0 ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING ROOFING NUMBER OF SQUARES �� GARAGES PROPOSED STZE: PROPOSED HEIGHT: SIDING ❑ Vinyl � Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED �OUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE HEIGHT � BASEMENT REMODELING SIJBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, OSoffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim t. Site Plan/Survey showing the existing structures � Fascia and proposed project 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING TIiE COST OF LABOR AND MATERIA.LS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �p �p ,pl�) See Back Page for Fee Schedule $ 65% of Building Permit Fee $ � .001 times the total job valuation $ � �— .0005 x Permit Valuation Minimum $.50 $ � (� $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ Make checks aavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the inforn►ation above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Co 6on Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordan e roved pl in'the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME S7�C- Qe�( DATEd�� Z-�$ APPROVED BY DATE Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Pemuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be � required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 ' 763-572-3604 Faz: 763-502-4977