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Villa�e of Fri�iley, Minn.
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BUILDING PIIf1/'II'T
N° 860
Office of INSPE�R OF BUII.DINGB
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Owner ''�t"°�'.'�,'°�" - •
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Architect Fridley, B�inn., -� e.�:y + A� , 18 �"
Builder
LOCATION 01y' BUII.DING
No. �.�� .� � ,�S�,, c ..-,
�� Street !'�"�= `�'��"���;�...� Part of Lot
Lot Block Addition or Sub-Division
DESCa�.II'T��N OF BLT�DIlVG
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Front Depth '`` Height Stories �`°'� Ma,nner of Construction �`•'�=� .;c
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�o be used as '`' �"P'�``"�`v`4 � To be completed ``�'� �� Estimated Cost �'��� L�'`x-
"��C+L.�"=-� '�..�'�;P,wr'+LfS.'.-t=Z<�d ��>-i n� +..i s,-�i.-if.3`:'. ..,.,a.�.:.s ::� ,i'7-c*.,-c'__y.> r . 2�.; � .
Rermit fs hereby granted
t0. 'i��`s!"'i'�--+Zr�`3...+a�C....r"CML.."'�.
the building ��°"-�° described in. the above statement. This permit is granted
upon the express condition that the peraon to whom it is granted, a.nd his agents, employees a.nd worl�en, in a11
the work done fn, around aad upon said building, or an.y part thereof, ehall conform in �Il respects to the ordi-
na,nces of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings
within the cfty limite, and thie permit may be revoked at a,ny time upon violation oP any of the provisfons of said
ordinances.
' 4"�' ; - - __ �` `� _'�.. �w•� r*+�,ector of Buildings.
AGR�+'F'�'r?'�' AND SWORN STAZ'EMEN'r
In considera,tion of the issue and delivery to me by the Inspector of Buildings o� Fridley of
the above permit, I hereby agree to do the proposed work in accorda,nce with the description
above set forth and according to the provisions of the ordinancea of Friclley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contaiaied in the above permit are
true as therein atated. .
Subscribed and sworn to before me at Fxi�ley,
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City of Fridley 16 6 5 3
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
� � RECEIPT PVO.
� `v ____�_ COMMUNITY DEVELOPMENT DIV. � � � ^
r �, ; PROTECTIVE INSPECTION SEC. `�
� 1 /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�""'�� � ,�� 612-571-3450 910-F15
m 6/30/82 / /
JOB ADDRESS 1340 Hillcrest Drive N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ],9 3 Moore Lake Iiills SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Georgine Henkel 1340 Hillcrest Drive N.E. 571-5713
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Rod Johnson Building 7835 Gloria Circle 786-0702
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a Three Season Porch (20'6" x 12')
9 CHANGEOFUSEFROM TO
STIPULATIONS
`�,� �
�i�t ���� a� ��liiies
$fiare d1g��nB �a{i �°c Etc-
'El.E4MONE - E1-ECZR�� - G1�S �
. Q.u���� a� � S�PE�ATE PERMITS RF�UIRED fQR ��
�� �E�RTtd�r P.�.UMf31�iV A�� 51�-�
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 SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 8� 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 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 $4,050 yS`Z.O3
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
RU N O THE PERFORMANCE OF CONSTRUCTION. $`SO. 'rJO NONE
PLAN CHECK FEE TOTAL FEE
� "$12.63 $65.16
SIGNA UREOFCONT ACTORORAUTHORIZEDAGENT IDATEI ' WHEN PROPER V LIDATED THIS IS YO.UR PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI '� � � � ��-
BLDG WSP qAT
CITY OF FRIDLCY Effective Aug. 1, 1981
APPLIG/ITI�:J FOf� RCSIDCf9TI11i_ E3UILpIi1G PCili�iITS
(t�e►v, Alterations, AddiLions, or Repairs)
� �1
O�JI�ER: �� EOR 61 ��. ��► �%� �- QUILDER: Op �o �-l�IAJJ7ri�'l9 � �l �f�l�(JL
ADDRESS: I�jyU �I %�L ��'sST AODRCSS: 7�'�� G��/,4 c/1�c�6
TEL N0: �71 _ 5ii 3 TEL f�0: ?�G� � 7�"a-
Construction Location
STItt�T.�T NO : ��j �-/ U STI2EET: �1 I � � e R���"
LOT: �� HLOCK: �� ADAITION: � 09 QE L��( � f�) L ��
Corner Lot: Insicie Let: `(�_ SetbacY.: Sideyards:
Ap�licant attach to this forni two Certificates of S�rvey of let and
p=oposed building locatian drawn.on certificates to scale.
� S��� DESCRIPTIOid OF COhJSTRUCTIOW
, i
��r Front: ���" Depth: �a � 8eight: �
Square. Feet: �-L�e�D Aibic Feet:
Front: Depth: Height:
Squar.e� Feet: Wbic I'eet:
���� I(�,�' ` �Lc�� �. ��C�
Rj�pe of Cor,struction : �� I�1� � Estunated Cost: $�
-,—
'Ib Be Cbr.�pleted: `�' �(�
Alt. A Alt. B
Proposed Drivc��ay Width If New Openinq Is Desired: $� S
, , SE� REVERSE SIDE OF SH�T .
Ziie undessigned hereby make� application for a pez�nit for the �:ork� herein specified,
agreeing to c� ,all work ir, strict accor8ance ��ith the City of Fridley Ordinances �aid
rulings of the De��rtmen� of Duildings, and hereby declares that all the facts and
represerrtations stated in this application �re true and cqjrrect.
D.'1TE: U � �- SIGNATUItE:
Stipulations: �
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BUILDING PERN�IT FEE SCHEDULE
The Inspectoz of buildings shall, before issuing permits for the
erection of any buildinq or structure, or for any addition to any
bxisting buildinq or structure, or for any alteration or repairs
to any existing buildinq or structure, upon application therefore,
require the payment by the applicant f oz such permit of fees to the
amount herein below set forth and in the manner herein provided to-wit:
TOTAL VAI�IATION
51.00 � S500.00
$501 � $2,000
$2,001 to $25,000
$25,001 to $50,000
S50,001 ta $100,000
FEES
$10.00 Minimum Fee $15.00 plus surcharge
510.00 for the first $500 plus $1.50 for each
additional 5100 or fraction thereof, to and
includinq $2,000
$32.50 for the first $2,000 plus $6.00 for each
additional $�,000 or fraction th�seof, to and
including $25,000
$170.50 for the first $25,000 plus $4.50 for
each additional $1,000 or fraction thereof, to
and including $50,000
$283.00 for the first $50, 000 plus $3. 00 for
each additional $1,000 or fraction thereof, to
and including 5100,000
$100,001 and up $443.00 for the first $100,000 plus $2.50 for
each additional $1,000 or fraction thereof
PLAN CHEQC: 25 percent of building pezmit fee
DRIVDWAY DEPRESSION ES QtOW: Concrete Curb Streets Only
Alternate "A": Removeal and replac�nent of curb and gutter only
Drive�aay width plus 6 feet x$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 f eet x$15. 75
VERIFICATION OF FOUNDATION
Permits for constsuction will be issued a minunum of 24 hours fr�n the time of
application to allow for proper review of the proposed structure and of the
constru ction site.
A Certificate of Suzvey of the lot, showing the location of the foundation once it
has been constructed will be required before proceedin� with the framinq.
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City of Fridley � 313 0 2J
AT THE TOP OF THE TWINS � � I L D I N G P E R M I T
r
� � RECEIPT NO.
� `v _�___ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �� ° �
� j �
� /"'1 � CITY HALL fR10lEr SSI$2 NU►rBEf1 REV DATE PAGE Oi AOVROVED 8Y
�---•�•• •,� 612-571-3450 9t0-F15 8/11/00
� �
�oe nooRESS 1340 Hillcrest Drive NE
t LEGAL LOT NO. BLOCK TNACT OR AODITION SEE ATTACMEO
oescR. 19 3 Moore Lake Hills SNEET
2 PROPERTY OWNEFi MAIL ADDRESS 21P PHONE
David Ha.mernick 1340 Hillcrest Dr NE 571-7297
3 CONTqACTOR MAII ADDRESS ZIP PHONE LICENSE NO
Owner
e ARCHITECT OR OESIGNER MAIL AODRESS ZIP PNONE LICENSE NO.
5 ENGINEER MAIL AOORESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADOITION O ALTERATION [� REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Tear Off Reroof House and Garage 20 s
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code,
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING
THIS PEFiM1T BECOMES NUIL ANO VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT
AUTMORIZEO IS NOT COMMENCED V�ITHIN 80 DAYS. Op IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED fOFi A PERIOD OF 120 DAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO OWIG. UNITS OFFSTpEET PARKING
I HEREBY CERTIfY THAT I MAVE READ AND EXAMINEO THIS APPLICATION �. STAILS GARAGES
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yp�UATION SUp7AX
AND ORDINANCES GOVERNING THIS TVPE OF WOiiK WILL BE COMP�IEO
WITH WME7HER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PEFiM1T �1�74H�OO �a8%
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OF CANCEL THE pERMIT f EE SAC CMARGE
PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTFUCTION �63.15 Fir .SC ��.. %rJ
PIAN CNECK FEE TOTA EE
65.77
$�GNATUpEOFCON'AACTOpOAAUTMOA�ZE GENt iO�iE� N ROPE ALIOAT D MI�S IS R P R I
� �_� /�`-'� � !�
S�G n1U O� O 4NEp��c OWHEA BU40EAi iD�TEi -rr.g9 � � rE
NE1N [ ]
ADDN []
ALTER [ ]
Construction Address:
Legal Description: _
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Owner Name & Address: ��t� ��
.
�
Effecfive 1/1/2000
(763) 572�604 Bldg Insp
���
Tel.# S'��-�1a9`5
Contractor. Serl� MN LICENSE #
Address: Tel. #
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
b� e/'0�1-�i� t�� !d. �i rY Cv i� C�r�') Sca ,r. m � l '� r' d�
Construction Type: Estimated Cost: $__ • � ���
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 1 C� APPLICANT: �J� � ��� � Tel. # � � I -� "o�-ci '�
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$ -�?. /S� Fee Schedule on Reverse Side
$ l,'T� .001 of PermitValuation (1/10th%)
$ �f% $.50/$1,000 Valuation
$ $1100 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 [ ]
$ ��: - �7
..-'a e- s
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or sttucture, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon applicadon 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 ta $500
$501 to $2,000
$2,001 to $25,�0
$25,001 to $50,(H?0
$50,001 to $100,0�
$100,�1 to $504,000
$500,001 to $1,(�O,OQO
$1,Q00,001 and up
FEES
$23.50
$23 .50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,OQ0
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1, U00 or fraction thereof, to and including $100, 000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $SU0,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Cbrb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
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 $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allo�✓ for proper
review of the proposed structure and of the construction site.
A Certifica.te of Survey of the lot, showing the location of the foundation once it has it has be�en co�tr�a�d �v�
be required before proceeding with the framing. New Houses Onlv
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CIIYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 LTNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
March 8, zao2
Dave Hamernick
1340 Hillcrest Dr NE
Fridley, MN 55432
Re: Final Inspection at 1340 Hillcrest Dr NE
Contractor : River City Sheet Metal, Inc.
Dear Mr. Hamernick:
A mechanical permit was issued on February 5, 2001, to install a furnace at your address.
According to the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the
work authorized by this permit. As of this date, no inspection has been called for.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Code. We will keep your permit open for another 30 days and if we do not hear
from you within this time to set up the inspection, we will mark the permit "no inspection called
for" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Ins ion Division at (763) 572-3604.
S cerely, /
1
Inspector
DJ/ls
�
I�r o, . � �c
('�.�s -� ��.�.ss �% ,
/3�{0 � /338 /�%/ «i
May 15, 2001
Layne Otteson
Assistant Public Works Director
City of Fridley
6431 University Avenue NE
Fridley, MN 55432
Subject: Response to "Watermain Loop from Hillcrest Drive to Ferndale Ave. NE" letter
I�Zss7u�i1, - , �
Thank you fur your letter of May 11, 2001, regazding the Watermain Loop Options A and B.
Unfortunately, neither option addresses the two main concerns that we have discussed with you.
First, if there is a public benefrt, as descnbed by the city to install the waterline, then there
should be direct compensation to the property owners for the "taking" of this properiy for an
easeme�. An attorney informed us, regarding some previous business transactions, that this is
common practice.
Second, wh+en the original plan was to jack the watermain from both ends (Option A), we were
promised to have tree to-tree replaced (remove 1 tree, replace 1 tree). When it was suggest� to
open cut (trench) the back portion you said that would pmbably save the city about $7,000 in
ground boring fees and that at least $5,000 could be used for enhanced landsca.ping in tha.t area.
That additional$5,000 does not appear to be reflected in your Option B. The current spruce
trees provide screening back in that corner. Replacing them with 3' to 5' trees will provide little
screening. Checking with a local nursery and landscaping service, 6', 8' and even 10' spruce
trees ma.y be successfully transplanted. How is it that you are willing to pay the contractor the
$7,000 to jack the watermain in that back corner, but not use that money for enhanced
landscaping if it is o�n cut (trench)?
At this time, we don't see either Option A or B as being viable.
Sincerely,
� �('
and Helen Jean
�.o-��-� ��
Paul and Mary. Co
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THE BELOW MUST 8E FILLED 1N WHEN FtEPLACIIVC FUEL BEIRNiNG APPLIANCES OR THE
APPUCATION WILL �E RETURIVED
Gf�MM(]N VEIU_Y� VPNT _[�NN _TC)R AND .GMR[IST4C��d1R t�'RIFi .ATfAIt
When :_ �;�_acr�0 a.,�� h,r�nc�, the undersigned hereby veri�es th�t the
venting has b�en examined and is free from rust, deterforatio�, obstructions, . -
and is securely suppor4ed and frestopped where required. ' Yes (► No {)
The venting system is plasticlP9/C and meets ail cuRent codes and manufacturer
speciftcations inGvding sizing, leng4h, number of elbaws ancl termination. Yes ( i No {)
The undersigned also ve�ifies that the replacement u�It is a lisied assembiy
and meets the cuRent codes and manufacturers specifcations. "it�is daes
inclt�d� AGA-GAMA Category I Cer�trai �umac� Verating Tabies for ian
assisted and natural draft appfiances.
The ��1c�r+� cemb��s+ ��ar Bs siz�d arad installed to r�eet the curr�nt code�
and manufacture�s specificabons.
1M1�r1 i@ql]IfBd t0 ;nstall a nE•w cemi� �sNen a�r�� �, ;, 5e sized and instal(er9
to meet the current codes and manufactur�rs specifications.
Yes ( ) Na ( )
Yes ( � lVo ( )
Yes ( � No ( )
Wh�n L�stallin a n�w �..��e,� �r,,, �y� �ndersign�d heeeby ve�es �hat
it is a listed assembiy and meets the currer�t codes and manufacturers
specfica�ons. This does incJude AGA-GAMA Category f Central Fumac�
Venting 'iables %� fan assisted and natural draft appiiances. Yes () No ()
I� tP�e common vent and vent connectors sized and installed coRect{y after
an appiiance has been �emoved from th� common vent ac�d vented
separately as per current cod��. Yes () N� ()
�_. .. _ .- ..�,• •.����..� -� :.:. -. .,.�. . . ..��. ..
Adopiiance #1 iype ��, ��} �� g3'�U tnput �� Fan Assisted or Nat
Applian�e #2 Type �TU Ir�put Fan A�sisted or Nat
Appiiance #3 iype �iU Inp�t Fan Assist�d or Na# �
Tota1 Apptiar�c;�s T�tal �iu Input �
Common Vent Type Vent Heighf Diameter incfies
Appiiance #1 Vent Conne�tvr H�ight �t L�ngi� �f Diapneter in Type
Appliance #2 Vent Conre�ctor Height ft Length fi Diarneier in Yype
Applfance #3 Vent Cannedor H@ighB ft Length ft Diameter in Type �
_ 1 e • ► r.- . .,_
��' �� � �� 1 �► �f' �
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CIlYOF
FRIDLEY
P
'A,
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
Apri126, 2(�04
Ms. Helen Hammernick
1340 Hillcrest Drive NE
Fridley, MN 55432
Re: Final Inspection at 1340 Hillcrest Drive NE
Contractor: Dave's Appliance Heating & AC
Dear Ms. Hammernick:
A mechanical permit was issued on July 15, 2003 to install an air conditioner at your
address. According to the 1991 Uniform Mechanical Code a final inspection shall be
conducted on the work authorized by this pemut. As of this date the inspection has not
been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permit open for another 30 da.ys and if we do
not hear from you wittiin this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and the permit will be expired.
To set up the inspection or to ha.ve any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
bc--cl-Gbd4
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