AF - 45574�
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City of Fridley, inn
BUILDING PERMIT
Date: April 20, 1968
Owaer: Robert Car�soa
�'°
B�� Arnold T3. John.son
pd� 1382 Onondaga �,d� 7575 Groveland
��� s�
9'703
LOCATION OF BUILDING
No. 7395 g�t flayes St . N. E. p� of Lot
Lot �I.,��_ Block � — Addition or Sub-Divisian _ Aud . Sub .�129
Corner Lot — X Inside Lot — Setback —.—_ Sideyard —_ �
Sewer IIevatian �—�4.�4 ...._ _ 887 .70
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwe�.ling �t � � Depth 24 � Height 20' � � 1056 �' � � 21,120
�arage Front 22� Depth � 2Z� �Teight 10� Sq. F't. — 4�' F't. 4840
Zj�e of Conatruction ._._Fra�. ��, �_._.�_].,,Z.z000 __ To be Completed e t. 15 1968
SEWER LOCATION - 90' East of Manhole
WATER LQCATION - 13.8' East of the Sewer Wye
Ea consideration of the issuance to me of a percnit to construct the building described above I algree to do
the proposed work in accorrlance with the descrip�ion above set forth and in campliance with a�l prpvlaions of
ordinances of the city oP Frfdley. � '
$100.00 Sewer Connec on Charge
In cams4deration of the payment of a fee oP $ 39 . 00 � pe�t ��yry g�� ��nold I3.
Johnson to construct the building or addition as d�cribed above. Thia permit ia granfed upon
the expresa condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and u�n said building, or any part thereof, shall c�ffiorm in all respects to the ordinance�e of
Fridley, Ni3nnesota regarding local3on, construction, alteration, maiatenance, �epair and moving f buildiags
within the dty limits aad tl�is permit may be revoked ata�y time upon vi tio � oE the pro, ons of said
ordinancea / I /�v�� /
NOTIC�
'�his psrmit de� aof eevsr ths eonsleusHon, huhlldlee /er �ririne, plumbtne, en htaNns, aw�r or wat�r. B� sun to �
t6a Bu(ldiug In�pxtoe for aparat� permhs for thas N�nu.
..�_ . _ �
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APPLICATION F0� BU�I.DING PERMIT
CZTif OF FRIDLEY, MINI�SOTA
' . .. / �c SDILDER ' � O�� �° V � N Q�
OWi�&R S NAME ; �.� _ ___L��� .�
ADDRESS ,� ,c. . '��..�.��!Y�..N�c��RESS ��,�� �,T-'IE'QU.�i^� �9 �
.., .. '�;t� . ,
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• � ' ' ��Y�OCATION ' OF BDILDIPdG � - ' : • ; ., •� �
. .�; . � �, .:� ;� .
N0._�� STREET � ' ��'� . � 5 _ ��� , ~ • �, � : ;. . • ,
� i�r�4'PI`DRS SU� � I�. �i
LOT ��RTH%a��-��,QC� ,ADD�TI�I11 O�t SUBDTVISTON -
, ,,. �
CORTIE$ LOT__�� INSYDE LOT . . , SETBACK � , ,�, SiDEY � -. - �f .
� [ 9 � ...
SEWER ELEVATION TOP OF FOOTiI�� •� __ �, ��..
• .,. •,
App�.icant.attacbyto this €orm Two Gertificates
bu3lding locat9.p�,�ir'awa ori ��iese Gertificatea.
' Y , ` ii`{V
of Survey of LoC and propoeed
. ��.
. ,. D�SCR�PTxON QE.BUILD , ' . . � _�'
To Be Used As s �� • •,'..
. /� -��,
k.�-�-/ , FroaC�. _.�/,T„�_Degt � . Height �
� •, � . . �
� Squatire feeC I �Cubic Feet � � l 12 a
��,� �T�„� �_Front 2� Dapth 2�� 8eight l L�
Square £eet � Cubic•Feet �
Tqge of Conatruction W���? 1��Estimated Gost ���, ��� �
7
To Be C�pleted � � � '� � � ��� �
The undersigned hereby makea applicatiau for a permit for the work herein
specified, agreeing to da all �rork in atrict accordance with the City of
Fridley Ord�.aances aad rulings of the Department of Buildiags, and herebq
declares thae all the facts aad representations stated in thia application
are true d cor ct.
DATE�_ � � � C� U _SIGNA � � _ ..
o (Schedule of Fee Costs can be found on the 8everse Side).
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` BUILDING PERMZT FEE .�CH�Di1LE. �. '
SECTION 2. The Inspec��i�of``�irild�ings shall, b�fore 3ssuing permits for
the erection of �ny buil.ding or.stsuctuse, or for any add�tion to any
exiating structure or bu�ldiag,� or��fos:any'altieratioa or-regair� to any
existing building or etructure, upoa application therefore, require the
the payment by the, arppiicant for -.such: pes�mit of fees to the aenount hereia
..belaw. set .forth��an�'in the.manner herin provided tvrwit: �•
IIniform Duil$in� Cod�e: 'Type.l, 2, �,4- $1.75 io� each one thousand cubic
feet, �r fraction thereof; iai euch �c'�ical conteats . Type 3� 5- $1.50 for
each one theueand cubic feet.: .
. � : i: : ' � ' e ��• .ii� . . . .-
F�r the ��r�oee ef, c�p�t�n feea .for--buiiding p�=mits� the cubical
coatents� e� �aay .bu�lc�iiag �r��addit•iozi t• a ua�iform hei�hC throvghout by
mt�ltipl�►ing tbe grouad ;ar�a caiiered fram a poiaC s3u (6) iache�., below the floc
.. line ef the base�nent oi ttie `�ellar te the averag� l�i.�ht of 'the upper eurface
or to �he,average height of 'the roof eurface of the maim g�able of a
• � _ . pitched �roof•. -, . . i.: . . . . . ... , •.� •
, .. . _ .
- . . . :�.. r��.::.-�,, x.. . , , _
For repairs or altesations to asi esistiag stsucture, the- %e,�hall be at the
rate of $3.00 per ea�ti ��i'�re liundrgd� dallars ($500.00) or fraction thereof
in. the .cost sf ali pro�+osed work. .
In no case.shall the.fe� charged for anq pesszaait as s�� f�rth i�a Section 2 be
: . less than_ $S . A0. : _ � . . . .. . •
NSS$A ��ia�ectfian •Ctiargea .based on locat'ien- Area 1 or 2.
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SuBJEC7 PE IT NO.
City of Fridley o 18990
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
; � RECEIPT N .
� • COMMUNITY DEVELOPMENT OIV.
r � L � PROTEC7IVE INSPECTION SEC. �� y� L� �
� i �
� /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�""'� � ��� 612-571-3450 910-F15 6/3/87 / /
JOB ADDRESS
7�95 Ha es St�eet N. E.
1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. N'� 33 AuditoxFs �ub. #129 SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Dou las Arthur Susanne Daxsow 7395 Ha es Street N.E. 780-9768
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
E
4 ARCHITECT OH DESIGNEH MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
6 USE OF BUILDINO
7 CLASS OF WOHK
❑ NEW ❑ ADDITION ❑ ALTERATION �] AEPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WOFiK
R,eroo� Dwelling (27 Squa:�es�l
9 CHANOE QF USE FROM TO
"STIPULATIONS
Roo� can Fae the 2ncl layer Fiut not the 3rd. Install ridged galvanized
val leys.
SEPARATE PERMITS ARE RE�UIRED 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 HEFiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALU $,I.O 3 5O SURTA $� 68
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED ,
WITH WHETHEF 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- yS23 a SO
' STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$a4,is
NATUREOFCONiFACT AUTHORI2EDAGENT IDATEI �°- WHEN PROPERLY V IDATED THIS IS YOUR PERMIT
� Sr�A/� �'7 � � / �
Si NAT EOFOWN RIIFOWNER ILDERI IDATEI BLDG �NSP ATE
NEw I l
City of Fridley Effeetive �/1/86
ADDN. I l R-1 AND R-2
AI,TER. � � Building Permit Application
�
�.
Construetion Address: ' � " ` -
Legal Description: � � 76.�
� �_ �,,�. ��s.i _ �� .�-. � ,��.�1'�i� �,���'P���S�'le� Tel. � '
Owner Name & Address:
Contractor: "-
Address•
LIVING AREA:
GARAGE AREA:
DECg AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construetion drawn on it to scale.
. � -
DESCRIPTION OF II�iPROVEMENT
Length _ Width _ Height „ S4• Ft. -
Length Width Height Sq. Ft. -
Length �-
Width Hgt/Ground Sq. Ft. �—
� Side Yard Setbaek
Corner Lot [] Inside Lot [] Ft. Yd. Setbaek �—
� �,e ��j Estimated Cost : $ ����
Type of Construction: � � Q
Approx. Completion Date: ��� �r�'v � � �
Alt. A Alt B
$
Proposed DriveWay Width If New Opening Is Desired: See Back Page for Explanation
DATE: s� � �� � �� APPLICANT:
Tel. � `%�O -�%��
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
TOTAL
STIPULATIONS:
CITY QSE ONLY
$ � � . .�'�27
�
$ , %�__�-
$
$ -
�
� � � o
Fee Schedule on Reverse Side
25'� of Building Permit Fee
$.50/�1,000 Valuation
� 525 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Neeessary [ ]
BIIII.DING PERMIT FEE SCSBDIILE
The Ch3ef Building Official shall, before issuing permits for the ereetion of any
building or structure, or for any addition to any existing building or strueture, or
for any alteration or repair to any existing building or structure, upon applicatio a
therePore, require the payment by the applieant for sueh permit of fees to the amount
herein beloH set forth and in the manner herein provided to-Wit:
Total Valuation
$1.00 to �500.00
�501.00 to $2,000.00
Feea
$10.00 (Minimum Fee is $15.00)
$10.00 for the first $500 plus $1.50 for each
add3tional $100 or fraction thereof, to and ineluding
$2,000.
$2�001.00 to $25,000.00 $32•50 for the first $2,000 pl:xs $6.00 for each
additional $1,000 or fracti�� thereof, to and
including $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each
additiottal �1,000 or fraetion thereoP, to and
ineluding $50,000.
�50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraction thereof� to and
ineluding $100,000.
$100,001.00 and up
$433.00 for the first $100,000 plus $2.50 for eaeh
additional $1�000 or fraction thereof.
DRIYEHAY DEPRESSION ESCROiI
(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 replacement of curb and gutter and install a 3 foot wide
approaeh with 6 ineh depth - Driveway width plus 6 feet times $15.75
VERIFICATION OF FOONDATION
Permits for construction �aill be issued a minimum of 24 hours from the time of
application to allow for proper revieW of the proposed strueture and of the
eonstruetion site.
A Certificate of Surveq of the lot, showing the location of the foundation onee it
has beea eonstrueted will be required before proeeeding With the framing.
- � --e..
sue�eer PE : �
City of Fridley 2 8 9 6 9
' 1 AT THE TOP OF THE TWINS 6 U I L D I� G P E R M I T O
�
� � COMMUNITY DEVELOPMENT DIV. p�/ �
� • y
� j V �'��•' �
r � � PROTECTIVE INSPECTION SEC.
� . �
� � /"'1 � CITY NALL FRIOLE� SS�,Z NUMBEA REV OATE PAGE OF APPROVED BY
�""� � �'� 612-571-3450 910-Ft5 3/3%°�5 � /
J08 ADORESS 7395 Hayes Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. rj� 33 Auditor's Sllb. ��IZ9 SHEET
2 PROPERTY OWNEii MAIL AOOR�S$ 2�P PNONE
Janet Sanetra 7395 Aayes Street NE 786-6503
3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO
Huber Construction PO Box 403, St Michael MN 55376 497-4484 20102687
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PNONE LICENSE NO.
5 ENGINEER MAII AODRE$S ZIP PHONE LICENSE NO
8 USE OF'BUIl01NG
Residential
7 CLASS OF WOFK
O NEW O ADDITION O ALTERATIpN � REPAIR O MOVE O FiEMOVE
9 DESCRIBE WOFK
Reroof House & Garage (23 Sq) Tear-off
9 CHANGE OF USE FHOM TD
STIPULATIONS
Underlayment must comply with the State Building Code.
' TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV �OAD
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING. NEATING.
VENTILATING OR AIR CONDITIONING-
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT CU FT
AUTMOR12ED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 OAYS AT '
ANY TIME AF7ER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING
I HEfiEBY CERTIfV THAT I MAYE REAO AND EXAMINEO TMIS APPlICA710N 1 STA�LS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISION$ Of LAWS ypLUATION SURTAX
ANO OROINANCES GOVERNING THIS TYPE OF WqRK WI�L �E COMPUED � 1� 971 �• 98
WITH WHETHER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CAMCEL THE pEqMIT FEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 62 � 25 Fire SC � 1. 97
STRUCTION OR THE PERFOfiMANCE Of CONSTRUCTION �
PLAN CHECK FEE TOTAL FEE
License SC $5.00 $70.20
S�GN4TUpE O� CON'AAC10p Op AUTMOp�2E0 oGENT IOATE� WMEN PROPERLY LIDATED TMIS IS �R PEi�M T
s
�
��/
S�GN4TU�7EO�OWNEA���OWNEpBUROEp� iDATE� BLO �NSO - q°rE
h � - �.
NEw [ l
ADDN [ ]
ALTER [ l
. �
,;.,
Effective 1/1/99
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 p
BUILDING PERNIIT APPLICATION ' a2 �l � � �
��
ConstructionAddress: � °' �'' - " .
I.egal Description:
Owner Name & Address: _�� �,e 7�' �� e- a Tel. #. 7 �i 6' 6�s O 3
Contractor: � €� C� �ts�� � MN LICENSE � � 0 / 0 �� �
Address: . `7��% � S�'� /I� � � � �� Tel. # GEa ��7 - �� �
,, .•� 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:
DESCRIPTION OF IlVIPROVEMENT
�n� Wld� Height
Length Width Height ________
�n� wld� Hgt/Ground
'. n • f� � � -b � � � Z
Sq. Ft.
Sq. Ft.
Sq. Ft.
OTHER: r ° - - Te �
Construcdon Tyge:
Fstimated Cost: $ �—��Qi:��—' %�/''' % �
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � 3 �1
f� :�
Permit Fee
Fire Surcharge
State Surcharge
-.SAC Cl�arge
�
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
ST'IPULATIONS:
APPLICANT: �%' r / ��" � Tel. !�
,
$ �� ��'
$ �
$ � o°
$
$ � C� b
$ �
$
$
$
$ �%�- 0�0
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
BUII.DING PERMIT FEE SCHEDULE
The Cluef Building Official shall, before issuing permits for the erecdon 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-witr �
TOTAL VALUE
$i to $5�
$SO1 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$5�,001 to $1,000,000
$1,000,001 and up .
.
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,OQ0
$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 $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for firs� $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $S.QO for each additional
$1,000 or fraction thereof, to and including $SOO,OQO
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,Q00 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(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 replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75. �
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the f�aming.
Building
Inspections
763-572-3604
PLYJMBING
itESYD]El�']�C� �"�']L���'TI�l�T
CITY OF FRIDLEY
DATE d i t �
SITE ADDRESS
THIS APPLICANT IS: �
PROPERTY NAME:_
OWNER/ p,�pRESS;
TENANT pHOr�:�
CONTRA�=TOR HAME:�
SiJgMIT A COPY OF
YOUR STATE
LICENSE WITH
PERNIIT 'I'YI'E
TYPE OF WORK:
STATE LICENSE # '
ADDRESS:�
PHONE � ' {
SINGLE FAMILY
❑ NEW
DETAILED DESCRIP'1'ION OF WORK
E-MAIL ADDRESS
❑ TWO FAMILl'
Permit No.:
Received By: �'�
Da '�CT 1 4 ZQ
A'
«
.
.• � - � �
,
�,�, � r.0 �. : � : a � � ..�� �–
- ��
�REPLACEMENT
� .,
❑ TOWNFiOUSE
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5 e� x luding thaosfixtur so �ST�Ssh �1d reflect only the c st of labor )
improvement, instal lation or rep l a c e m e n t o f a r e s i d e n h a l f i x t u r , ,
x.05=
Labor cost under $300 =$15. 0 0. L a bor c o s t b e t w e e n $ 3 0� oN $� � PER °fF 1[x�RE� � �� N��D �S� ���,I,E TOTAL
FOR PROJEGTS WHERE LAB�R EXCEEDS $540, FEES ARE BAS WATER PIPING
I•nJNIBER OF EACH BELOW) ��R D�INS SHOWER "— �yA�g SOFTNER (�'35)
BATH SINKILAV — SWINIIvIlNG POOL —
BATHTUB _GAS PIPING fi�EDC►7Y7aCET�'S� — WA.� �,OSET _BACKFLOW PREV. ($li)
KITCHEN SINK �WATER HEA'PER ($3� FOR 1RRIGAT'ION
CLOTHES WASHER _ LAUNDRY TRAY _ OTHER
DISHWASHER VJATER METER
_ . . �
Permit Fee
TOTAL DUE
��� - ,��- �,��~`��, .. - �. r .:n� .. ., ,, �� � _�10.00 x $10.00 =
Number of fixtur @
— 1•Tumber of fixtures @ $15.00 x $15.00 = $ —
50 00 = $
� Number of fixtures @ $35.00S�te Surcharge = $,_�50
Tota1= $
TI-IIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTII- PROCESSED th� �e work will be in
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
conformance with the ordinances and codes of the City of Fridlet o�1��outM permit; that t�he �'�`°rk �al b�� ���w �l�e
not a permit but only an appltcation for a permit and work is no
approved plan in the case of all wvrk w h re r' w and approyal of C l�nsn ��S ,�, ATE � f� y� y�--
�` . . J��.� � • �;w�t/�*',".�':, n,rr �.t e w,IF \ .
SIGNATLJItE OF APPLICANT
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
��� T ( �\�