PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: —d:SES' f""
Owner: Builder
Address
Address
N4 5033
LO TI OF BUILDING
No. a Street -1. — Partof t
LotOil
Addition or Sub -Division _�
Corner Lot Inside Lot Setback _�� Sideyard�°` —
Sewer Elevation __ __ __.. Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth go'Height _ Sq. Ft. Cu. Ft.
Fron Depth H ght Sq. Ft. Cu. Ft.
Type of Construction Est. Cost .._...__�To be Completed
In consideration of the issuance to me ofa permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley. oz
In consideration of the payment of a fee of $ mO-
itis hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom 'it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
Within the city limits and this permit may be revoked at any time uponviolin of any of the provisions of said
ordinances. ,a,' 22
Building Inspector
NOTICE:
AAs permit does not corer the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sun to me
the Building Inspector for separate permits for thus (term.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name Builder,
Address
LOCATION OF BUILDING
No. y c3 Street Part of
Lot Block Addition or Sub.Div.,,
Corner Lot Inside Lot "t Back 3 -- Sig
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft,
Type of Construction Estimated Cost
To be completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa-
tions stated in this application are true and correct. c
DATE l t
(A Schedule of Fee costs can be found on the Reverse Side.
Application for Power Plants and. Heating. Cooling, Ventilation, ReMgeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
1.
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU ...... ................. .
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ............... .
Repairs & Alterations each add. $500.00 ..............
RATE TOTAL,
8.00 $
5.00 $
5.00 $
2.50 $
STEAM or HOT WATER SYSTEM
8.00
Furnace Shell & Lines—to 400 sq. ft. EDR Steam.......
2.00
$ _
§.00
$
5.00
$
2.50
$
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam.......
8.00
$
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ r
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE
ROUGH
FINAL
Dept. of Bldgs. Phone SU. 4-7470
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct. /
Fridley, Minn.s 19 (P�
Owner
Kind of Building
Used as e:�
To be completed about s �/
Estimated Cost, $
Old—New. Building Permit No. Permit No.
DESCRIPTION OF WORK
BEATING or POWER PLANTS—,Steam,, Hot Water,/N�o� /� /��
Trade Name �% - ""'� Size No_(.9'!►� 1400
Capacity Sq. Ft. E.D.R_ %®D ® 00 BTU H.P.
Total Connected Load Kind of Fuel 6:" '
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Signe '
By
#WLEI�,-42 2M 7-59 Business Phone No �� V 5'_1P
(REMARKS -OVER)
a
1'S6 7 9
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Ir . 1 . MINN.
Weatherstrips A.S.H.V.E. Construction No. 3 Insulation
Guide
W' ows ors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
e I Y 19—
/1:7.1/ ; .,.•.n .,-_ Room I Lenath-:7 i'_9 Width Height P' II / FIR7,5-PEP Room I Length o�,,('. Width /P s Height,,Prj
Windows and Doors—Crackage and Area
/�
f
Width Height No. of Lineal ft. Area
No. of pane or pane liWtts of crack sq. ft.
Crc/ �O.` �/•
/®
O
4V
Exp. wall % -
Ceiling
I
A 9
Coef.
Btu
Infiltration
&A
7
1 Y
,?
'gef
-7/Aa
Glass
Exp. wall 9
v
79
9
J3 ocl-O
Exp. wall RS
/01
"
Int. wall
Net exp. wall
Int. wall
1,q / 01
9
/®
Int. wall
Floor
Ceiling
%
®J
/0
Ceiling
®
..,-T.07.0
Floor
-9,0
2/
Total Btu. I /X ®.f/
Required a4t. E.D.R. or sq. ins. W.A. Leader area
/ Fl. Vi n1Ytl-Room I Length/'y - Width /.4 -1 Height
Windows and Doors—Crackage and Area
/�
f
Width Height No. of Lineal ft. Area
No. of pane of pane liig/ is of crack sq. ft.
Crc/ �O.` �/•
/®
O
�e o
Exp. wall % -
Ceiling
Coef.1
Coef.
Btu
Infiltration
&A
7
—V
,?
Glass
.1r®
e
Exp. wall 9
v
79
Exp. wall
Net exp. wall
Total Btu.
/01
Net exp. wall
Int. wall
Int. wall
9
/®
//
Floor
Ceiling
%
®J
/0
=q-0 0,72)Floor
Q
Total Btu.
Required sq. t. E.D.R. or sq. ins. W.A. Leader area
w. A Q., R....... I I e...al. lQ)LUL /w / r re:,.i.• f%/
Windows and Doors—Crackage and Area
/�
f
Width Height No. of Lineal ft. Area
No. of pane of Paae lights oofarrack sq. ft.
ro
/®
Int. wall
�e o
Exp. wall % -
Ceiling
Coef.1
Btu
Infiltration
&A
7
Glass
Windows and Doors—Crackage and Area
/,
.1r®
e
Exp. wall 9
79
1
Net exp. wall
Total Btu.
/01
96d
Int. wall
Ceiling
9
/®
//
Floor
%
.313
Total Btu.
Windows and Doors—Crackage and Area
/�
f
Width I Height No. of Lineal ft Area
No. of pane of p//ane lights of crack/ sq. ft.
Glass
/®
Int. wall
�e o
Exp. wall % -
Ceiling
Coef.
Btu
Infiltration
gf
// -If
Glass
Windows and Doors—Crackage and Area
Wldth Helght No. of Lineal ft.
No. of pane at.pan�e Ilghte of®crack
0
a®
Exp. wall
Floor
=
Net exp. wall
Total Btu.
/®
% i1;40
Int. wall
Ceiling
Floor
Total Btu. 1 7®
Required s ft. E.D.R. or sq. ins. W.A. Leader area If
FI.I o W'V Room I LengthWidth Height fl
Windows and Doors—Crackage and Area
Wldth Height No. of Lineal ft. Area
No. of pane of pane Ilghtoe offccrack eq�/ft.
/ /e. =, Z, &e. // A,
Infiltration I 3 // 7"r
Glass -s-'0 -5-,v
Exp. wall
/�
f
Net exp. wall
Glass
/®
Int. wall
�e o
Exp. wall % -
Ceiling
/0
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ Fl.1,6; 3 f4 Room I Length 7 `3
Width d';
Windows and Doors—Crackage and Area
Wldth Helght No. of Lineal ft.
No. of pane at.pan�e Ilghte of®crack
Area
sq. ft.
O �� I (O —?/-• 1S _
/D
Height 00'i
Btu
Infiltration
/�
f
-s'
Glass
/®
®
�e o
Exp. wall % -
�_ jr
Net exp. wall
�®
Int. wall
Ceiling
Floor
=
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area II Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley
Application for Plumbing and Gas F•a ing Permit
Dept. of Bldgs. Phone SII 4 -
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Lowtioa—,Lfr°
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
3 U
7
TOTAL
m
12
ui
3 I-
zp�
O LL
Future Fixture Opening ................
j�
Q~
rj
�qd
`Z
00
�n
R
N
WATER HTR.
GAS
ELEG
Base
x
2.00
$ C)
New Ground Run Old Bldg. ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
$1.50
$ —IS -0
%
x
1st
$
Gas Range to 200,000 BTU ..............
x
2.00
$
2nd
_
3rd
4th
• Future Coaaeciioa Openings
New .Fixture, Old Openings I
Connected with
Sewer
Cesspool �
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
O.
RATE
TOTAL
Number Fixtures ......................
x
$1.50
$ ri
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ............................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
x
2.00
$ C)
New Ground Run Old Bldg. ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
$1.50
$ —IS -0
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $ Z 1 -5- 0
City of Fridley:
The undersigned hereby .makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are-tKue and, correct.
Kind of Building
Used as
To be completed about —
Estimated Cost, $
Old—New. Building Permit
ROUGH
-Z�e �� //
FINAL
nn—
Kind
n
�_� • `3� Pe N
Business Phone No_ L-' I���'!
i
Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
.GRAVITY WARM AIR:
Furnace Shell & Duct Work .......................... .
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ................
RATE TOTAL
8.00 $
5.00 $
5.00 $
2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
d Repairs & Alterations each add. $500.00 ..............
8.00
$
2.00
$
5.00
$
5.00
$
2.50
$
STEAM or HOT WATER SYSTEM
NO RATE TOTAL
Furnace Shell & Lines—to 400 sq. ft. EDR Steam .....
8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ..
8.00 $
Each add. 200 sq. ft. EDR Steam ......................
2.50 $
Each add. 320 sq. ft. EDR Hot Water ..................
2.50 $
OIL BURNER—to 3 gal. per hour 5.00 $
over 3 gal. per hour—See Fee Schedule
.,GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$
.. Additional Fixtures .........
........ x .50
$
Gas Range to 2000,000 BTU ...........
x 2.00
$
+AIR CONDITIONING e�i.4� b_ y (LT
.
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$�
ALTERATIONS & REPAIRS
TOTAL FEE
$ 4z''
ROUGH
FINAL
Dept. of Bldgs. Phone SU 4-7470
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn z 19
Owner '%L Gam✓
Kind of Buildings'✓
Used as
To be completed about—'—
Estimated Cost, $ Q O
(:0:1:d;) -New. Building Permit No. Permit No. '4_17y
DESCRIPTION OF WORK
HEATING or POWER PLANTS—,Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
REMARKS- VER
Signed FREDy U E37 P3 M
HEATING & AIR CONDITIONING
St.l Uus Park, minnesoto 55-496,
<2 2M Business Phone o
Owner:
Neil M. Allen
City of Fridley, Minn.
BUILDING PERMIT
Builder Gorco Construction Co.
9920
LOCATION OF BUILDING
No. 1.Ql O-- Street _ _ _ _ _ part of Lot
Lot _ 4 _ _ _ ___ Block 3 Addition or Sub -Division - ----- e Bu; l dem 6th dn—
Corner Lot Inside Lot — Setback _ - Sideyard —
Sewer Elevation — — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
(aaI`ag� Front _ 6 Depth 22 Height 121 Sq. Ft. 352 Cu. Ft. 4224
Front Depth __ _ Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost —$1 , 300 _ __ To be Completed 10-5-68
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley. A . , , a A
In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to Gorco Const. Co
Roger Bechthqld
to construct the building or addition as described above. This peintt is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construct f nn, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked atupon violation of any of the provisions of said
ordinances. _
Official
Building
NOTICE: i---,,
We permit does not cover the construction, histallation for wiring, phnnbin& gn heating, ewer or water. Be sun to See
the Building Inspector for separab permits for these items.
APPLICATION FOR. BUILDING PERMIT
:'ITY OF FRIDLEY, MINNESOTA
OWNE6 IS NAME 214Z �YL. �Riya., BUILDER eta-
ADDRESS / Y 0 ADDRESS 3,F6q
LOCATION OF BUILDING
NO o PO Y40 S= y ,V Dix ?�' P2.e d
LOT 4f BLOCK 3 ADDITION OR SUBDIVISION I-Im TALA I!S G� � 0 n -
CORM LOT IPSIDE LOT SETBACK SIDEFARD
SEWER ELE`TATION TOP OP FOOTING
Applicant attach to this form T-ao Oertificates of Survey of Lot and
proposed building locatio��� drai,.ri on thee; Certificates.
DESCRIPTION OF BUILDING
To Be Used Asm sk-4�
Front A Depth Height
Square feet _ 41- Cubic Feet 92 2'y
Front Depth Height
Square beet Cubic Feet
Type of Construction - Estimated Coot "�/ O ® C,0
To Be Completed 16 J` - 6 e
The undersigned hereby makes application for a permit for the work
herein specified, agreeing to do all work in strict accordance with the
City of Fridley Ordinances and rulings of the Department of Buildings,
and hereby declares that all the facts and representations stated in
this application are true and. correct.
DATE - - G SiGNATUR.E
(Schedule of Fee Costs can be found on the Reverse
SUBJECT
PERMI
of Fridley
y 15.2 4 3
AT THE TOP OF THE TWINS
BUILDING PERMIT
rpCity
CEIPT NO.
------- COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
E
r PROTECTIVE
1 . )
NUMBER
REV.
DATE
PAGE OF
APPR VE BY
CITY HALL FRIDLEY 55432
L J \ 612-571-3450
910-F15
6/6/79
JOB ADDRESS 1040 Lynde Drive N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
3
Lyndale Builders 6th Addition SHEET
2 PROPF,RTYOWNER MAILADDRESS ZIP PHONE
Neil Allen 1040 Lynde Drive N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
J & P Design, Inc. 3956 Winnetka Avenue North 544-0307
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK 24&
Construct a ' x 26' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a AS hard surface driveway.
W ARNG
Beton digging call local utilities
TELEPHONE - ELECTRIC . GAS Etc.
SEPERATE PERMITS REQUIRED BY LAW
REQUIRED FOR WIRD
HEATING, PLUMBING
AND SIGNS.
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 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
624
6240
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
THE
IY��
—,2-k3
$2.61
WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT
PERMIT FEE
SACCHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
y ®®
C�NCNE
STRUCTION OR THE PERFO NCE OF CONSTRUCTION.
S24.96o!
PLAN CHECK FEE
TOTAL FEE
G -6 -7 ;�
W41EN PROPERLY VALIDATED YOURPERMIT
SIGNAT OF CO RACT OR AUTHORIGENT IDATEI
ZE A
I,
/�THHIS)IS
j_bjA_A_t �./
w!!!-
BLDG WSP DATE
SIGNATURE b4LtWNER IIF OWNER BUILDER) (DATE) I
• CITY 01: FRIDLEY ,
•
APPLICATION FOR RI.SIM NTIAL BUILDING PEIMITS
(14L:W, -AL1'ERATIO(JS, ADDITIONS, OR REPAIRS)
OWNER: a .1
�
�e r
. Address: L®
4-0
r. /L)
BUILDER: C7 � � ' � � � i � ►-� O � r-� 0-
A d d r a s s
Address :
Tel. No.
No.: /o46 Street: Zy Acle
LOT: BLOCK.: —3 ADDITION:
CORI4ER LOT: INSIDE LOT: SETBACK.: SIDEYARDS:
Applicant attach 'to this form avo Certificates of Survey of Lot- and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: ��}
P-'
Depth: Height: a K
R
Square Feet: Cubic -Feet: )C;LgO
, � ¢
'Front: Depth: Height:
Square Feet:' Cubic Feet: SL_.
Type of Construction:,24 VA Cl� A. -wry Estimated Cost: $
To Be Completed:_ -IS-79 Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SFr REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. 'See reverse side for additional information.
DATE: Z SIGNATURE: �-
t 0
Stipulations:
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I - s
CITY OF FRIDLEY
=:�. _.•. PE,_ ._'•'.
�=_TT IS $7.50 P:.l.'S $.50 Sin'_:.
��c. .. _.. .: tater. �'(•: �f
• _i o:, fcr�
`-1 APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
,f
PARTIAL RATE SCHEDULE
C -=,; iTY WA M AIR:
RATE
'TOTAL
Job Address _ 1040 Lynde Drive
^ar ace Shell & Duct Work
$12.00
$
t
to $500.00
7.00
$
Department of Buildings
each add. $500.00
4.00
$
City of Fricile}
Tel. +=571-3450
:.iia'• C:,. .;,;•,.'1 AIR:
The
The undersigned hereby makes aL pL' ca __cn for a per -rat t f ,.
cr ..
& ,__ r:
CITY OF FRIDLEY
APPLICATION FOR HEATING REPLACEMENT
CHIMNEY AND STACK VERIFICATION ,
THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM.
LOCATION 1040 Lynde Drive DATE 11/20/80
OWNER Neil Allen ADDRESS same
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined X
2. Is free from rust or deterioration X
3. No foreign objects are lodged within X
4. That it is securely supported X
5. That it meets all current Code requirements
for size and total BTU connected X
6. Total Heating BTU
All Other BTU
TOTAL
REMARKS Gas to gas furnace replacement, add central air-cond
SIGNED
Licensee
by Northeast Sheet Metal
Address 4347 Central Ave NE
Telephone 781-2776
HEATING PERMIT #
Fridley City License 16047
SUBJECT
PE
City of Fridley
162
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
•
Lu ....", COMMUNITY DEVELOPMENT DIV.
1
PROTECTIVE INSPECTION SEC.
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/3/81
JOB ADDRESS 1040 Lynde Drive N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
3
Lyndale Builders 6th- SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Neal Allen 1040 Lynde Drive N.E. 574-0874
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑x ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof Dwelling
9 CHANGE QF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FIT.
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
STAL S 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
$5500
$.50
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-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$8.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
8�
BLDG INSP QATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
CITY OF FRIDLEY
APPLICATION FOR RESIDb,1TIAi_ BUILDING PER4ITS
(New, Alterations, Additions, or Repairs)
OWNER: -A e� ALy-
ADDRESS:
6 V B
TEL R0:5�q- _er71/
STREET NO: d 0
LOT:
BUILDER: .J . Jof�,�,soJ !L'
.
ADDRESS: ?S-13 NE
TEL NO: 7 8/— y s I �
Construction Location
STREET: /\ I/A)b Ls
BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
• proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: Depth: Height:
Squane.Feet: Cubic Feet:
Front: Depth: Height:
Square -Feet: Cubic Feet:
Type of Construction: -A a / Estimated Cost: $ So h1
%b Be Oompleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Mie undersigned hereby makes application for a permit for the t:nrk' herein specified,
agreeing to do.all work in strict accordance with the City of Fridley Ordinances and
rulings of the Department. of Buildings, and hereby declares that all the facts and
representations stated in this applica
zion are true and Yrect.
DATE -z G J— O i SIGNATURE:
Stipulations:
f
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
6431 University Ave NE 4. 'eL
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING; PERMIT
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas
Gas Range
Gas Dryer
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or Appliance 00
I
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner
—30 ,19s
Building Used As
Estimated Cost
PLUMBING COMPANY
SIGNED BY
PERMIT NO. /()(7 / 6.
Approved By G K1"_ Rough- n Date Final Date 9/
State Surcharge $ .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
TOTAL FEE $1 - PLUS THE $.50 STATE SURCHARGE
i
I
Water
Closet
Urinal
Bath
Tub Shower
Wash Drink. Floor Catch
Sink Tray Fount. Drain Basin
Auto.
Washer
Gas Gas
Ap I. Range
Misc.
Fixt.
Water Heater
Stories
Gas Elec
Basemen
Floor 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas
Gas Range
Gas Dryer
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or Appliance 00
I
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner
—30 ,19s
Building Used As
Estimated Cost
PLUMBING COMPANY
SIGNED BY
PERMIT NO. /()(7 / 6.
Approved By G K1"_ Rough- n Date Final Date 9/
State Surcharge $ .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
TOTAL FEE $1 - PLUS THE $.50 STATE SURCHARGE
i
I
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On January 1, 1991
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
JOB ADDRESS�41,10
New Fixtures
$ 7.00
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do all work In strict accordance with the city codes
Beer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated In this application are true and correct.
Catch Basin
Rain Water Leader
$ 7.00
$ 7.00
Z , 199f2_
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
77_11_2tg�lt)
Owner • , LI
Water Heater -Electric
$ 7.00
Water Heater - Gas
$10.00
Building Used As,S�-
Gas Range
$10.00
Gas Dryer
$10.00
Estimated Cost -PERMIT NO.
Back Flow Preventer Required ( )Yes () No
Type
$5.00
PLUMBING COMPANY
Reinspection Fee $30.00
SIGNED BY ,L TEL N0.
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
Approved By Rough -In Date Final Date
State Surcharge
.50
_
0
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
TOTAL FEE
$ -�
PLUS THE $.50 STATE SURCHARGE
SUBJECT
'PERMIT NO.
City of Fridley
27111
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
COMMUNITY DEVELOPMENT DIY.
RPT NO.
LV _____
r � � PROTECTIVE INSPECTION SEC.
/
�l
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
JCITY HALL FRIDLEY 55432
L J` 612-571-3450
910-F15
8/11/98
JOB ADDRESS
1040 L nde Dr NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
3
1 L ndale Builders 6th
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Mark Penn 1040 L nde Dr NE
572-7052
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Xff REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 23 S Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building
Code.
TYPE OF CONST.,
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING,
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 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS 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
$1918
.96
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 PERFORMANCE OF CONSTRUCTION.
$62.25
1.92
PLAN CHECK FEE
�FireASC
TA E
A RE OF T TOR OR AU MORIZED AGENT MATES
EN OP
ALID THIS S3 UR P MIT
S,GNATURE OF OVER OF OWNER BUILDERi (RATE)
EILD0 iNSP
r)ATE
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION X710
ConstructionAddress: la 7 L 5�%%%OL= /N IVE
Legal Description:
Owner Name & Address: 192#R kZ y>A,7 Tel. #
Contractor: MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length
Width
Height
Sq. Ft.
GARAGE AREA: Length
Width
Height
Sq. Ft.
DECK AREA: Length
Width
Hgt/Ground
Sq. Ft.
OTHER:
$.50/$1,000 Valuation
SAC Charge
$
Construction Type: Estimated Cost: $ M16
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: -//- APPLICANT: RAX`25'0m') Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ �-?JS�Fee
Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$ 13
STIPULATIONS:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
ADDRESS : 1040 LYNDE DR NE
PIN : 243024320043
LEGAL DESC : LYNDALE BUILDERS 6TH ADD
: LOT 4 BLOCK 3
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
PERMIT NO.: 2004-01620 AM5
DATE ISSUED: 09/16/2004
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. RELOCATE SERVICE AND
WIRE ROOM ADDITION.
# INSPECTIONS 1
APPLICANT
KING ELECTRIC
PO BOX 296
CIRCLE PINES, MN 55014
OWNER
PENN MARK T & NANTHALIE J
1040 LYNDE DR NE
FRIDLEY, MN 55432
ELEC PERMIT FEE - MIN (RESI) 60.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 60.50
PAID WITH CHECK # 11024
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
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 provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg
Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRMLEY PERMIT NO.• 2004-01638
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 09/21/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 1040 LYNDE DR NE
PIN : 243024320043
LEGAL DESC : LYNDALE BUILDERS 6TH ADD
: LOT 4 BLOCK 3
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 10,636.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE
-2000 INTERNATIONAL RESIDENTIAL CODE. CONSTRUCT A 14'X 18' THREE SEASON PORCH.
APPLICANT BUILDING PERMIT FEE 195.25
PENN MARK T & NANTHALIE J PLAN CHECK FEE 126.91
1040 LYNDE DR NE FIRE SURCHARGE 10.63
FRIDLEY, MN 55432 STATE SURCHARGE, VALUE 5.32
TOTAL 338.11
PAID WITH CHECK # 9473
OWNER
PENN MARK T & NANTHALIE J
1040 LYNDE DR NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws 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 can el a rAorerformance
of any other state or local law
regul cti nof construc 'on.
Applicant ,t Date � �� �jy
Bldg Insp Date � U
EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW v�r— CITY OF FRIDLEYPpt5030 Effective 4/1/2004
ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
� � `o -?0
Construction Address: iv ri
Legal Description: Lo f W AX 3 L Li A.)&a,(-e 61AP s , b44^Md; it, DA_,, (F'.�X01l
Owner NameAddress: TGA PE,UN `5 Why Tel. # '7& 3 .--2 2
Contractor. MN LICENSE #
Address: Tel. # )
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width / Height_ Sq. Ft.
2
GARAGE AREA: Length Width Height Sq. Ft5�
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER:
Construction Type: �OC Estimated Cost: A8
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x = $
DATE: 9/l3/D Ll APPLICANT: Tel. # 7w_3'7� 9DS�
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
TOTAL $LLSTIPULATIONS:
Building PLUMBING Permit No.•
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY DaM'
DATE_ YOUR E-MAIL ADDRESS
A
SITE ADDRESS % l��%U �/ r1 /L�� DR V 10C—
THIS APPLICANT IS: ❑ OWNER EWONTRACTOR
PROPERTY
NAME: h n
OWNER/
ADDRESS: 1 b G pp -L) &)E- CITY � STATE AXZIP
TENANT
PHONE: 165) -57 Z '- of 0 �y 2
CONTRACTOR
NAME: 4-eQW8 C,--
STATE LICENSE # Z�E� !�� EXP DATE l _ . /'3 1 07
� r
�E Lt �� �� Al2
SUBMIT A COPY OF
YOUR STATE
ADDRESS: i3l CITY L'M STAT ZIP
LICENSE WITH
PHONE FAX (X,3 a5 3-D?q3
APPLICATION
PERMIT TYPESINGLE
FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
KW ❑ REPLACEMENT
DETAILED DESCRIPTION OF WORK F64— 1-0x ptl /'P ` c/tx
AOT �>\) DD:?_
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
_ BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING
—BATHTUB _ GAS PIPING (NEFo crrrrrcovsk) _ SW &WNG POOL _ WATER SOFTNER ($35)
CLOTHES WASHER KITCHEN SINK CLOSET �iBACKFLOW PREY. ($15)
_ _ —WATER
DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
? — WATER METER —OTHER
PERMIT FEE PROJECTS FOR UNDER $500
PERMIT FEE FOR PROJECTS OVER $500
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
_[L.
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $ . JtE
State Surcharge = $ .50
Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and 1 acknowledge that the information 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 Construction 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; that the work will be in accordance with the
approved plan in the case of all ork w c r uires review and approval of pla�ns�./
SIGNATURE OF APPLICANT �.� PRINT NAME CJD lSO�� DATE9/f d
PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977