PRE 2010 DOCSLo
City of Fridley, Nnn. 1399
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: r April 28, 1972
Owner: - R i chard Mi 11P_r HOIl1eS Build , SamA
Address __1600 Rice Creek Road N.E. address Same
LOCATION OF BUILDING
No.. 1641. Street 61st Avenue N.E part of Lot
Lot ._._.22___ Block_.._...__....3.._.._......_....... ...... Addition or Sub -Division Briardale ,addition
Corner Lot _ _._.__._- Inside Lot _._..-Y&.-Setback 35' ____ Sideyard 101-211 & 51-21'
Sewer Elevation Foundation Elevation _._..
DESCRIPTION OF BUILDING
To be Used as: 16'
Dwelling Front 39' -8"Depth 34' Height 20' Sq. Ft. 1101' Cu. Ft 22020'
arae Front 20' Depth 22' Height 10' Sq. Ft 440' Cu. F, 4400'
Type. of Construction - Wand FramA Est. Cost _433,4_U__ To be Completed 6 months
Stipulations: Provide a hard surface drive and verifying survey before capping.
WATER LOCATION: 6" CIP located 10' S. of Sewer. Main and/or 35' S. of N. property line.
Must Be Tapped.
SEWER LOCATION: Must Be Tapped. 8" ESVCP @ Centerline of 61st Avenue, and/or 25'
S.of N. property line. Inv. of Manhole at 61st & McKinley 925.75
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 ah provisions of
Ordinances of the city of Fridley.
�`-e.�-
2 Y
16.72 State Surcharge
In consideration of the payment of a fee of $ 49.00 , permit is hereby granted to Ric hard Mi 11,9ler Homes
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 ordin4nees of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
the city limits and this permit may be revoked at any time upon violation of any of the provisions of sand
Building Inspector
CL•ARENCE BELISLE
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these hems.
s
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: �� "� M BUILDER: M
ADDRESS: C> C- e Rj--- CK Vl ADDRESS:
1641
NO • STREET: wV� rV
LOT: 2-7 BLOCK: 3 ADDITION: 0- L- L
77
CORNER LOT: INSIDE LOT: SETBACK: 33 S SI DEYARD : 10'7- " -I-- S 'Z `
---"
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front. za - - Depth: Height:
Square Feet: _� h' Cubic Feet:
r Front: 2 '0 Depth: Height:
Square Feet; Cubic Feet:
Type of Construction.__ - _ Estimated Cost:
CTrhe
ted:
OL
ned hereby makes application for a permit for the work hereinecified, ag -.tom- -al> work i ati•ct accordance with the.,C-ity 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: f Z r 7 SIGNATURE.
(See Reverse Side For Additional Informs on.) I11
c9Q0.00-)
�� �¢
16bl N. E. 61st. Ave.
Owner Address Phone
Richard Miller 786-1 00
Contractor MINNEGASCO Address7,13 MARQUFTTE AVENtNone
Kind of Building
53 -Bb -S-915-51
Use
City of Fridley
iUDJEGT
AT THE TOP Os THE TM►INri
Res.
r
PLUMBIiVf, PERP9IT
APPLICATIOd
rL------- s COMMUNITY pEV[LOPIAENT CIY,
MIOTgCTIV[ INSPECTION a",
1-17-75
10.00
CITY HALL FIUDLRY *Dolt�V.
j 04_660-3400
4'BSO'3400
I li
WNW DATE PARE
BY
TOTAL
0 2 15
70VED
73 1 1800
Job Address910-
i
-- __; I!
1
Number Fixtures x
16bl N. E. 61st. Ave.
Owner Address Phone
Richard Miller 786-1 00
Contractor MINNEGASCO Address7,13 MARQUFTTE AVENtNone
Kind of Building
Use
Frame
Res.
Completion Date
Estimated cost
1-17-75
10.00
I li
Plumbing Fixture Rates: NO.
RATE
TOTAL
�I
W
I
i
-- __; I!
1
Number Fixtures x
$2.00
$--_
Future Fixtures x
$1.50
aosvol
'!
New Fixture -Old Open. x
$1.50
O
'1ddV
;
I
I
! Catch Basin x
$3.25
9vfll
!
I _
Water Heater -99,000 BTU x
$3.00
]eAIl
li
i
Ground Run Old Bldg. x
$3.25
m
•MNtva I
I
I
i
II
Elec. Water Heater x
$2.00
..
9Nt9Y9I
I
I
Gas Fittin Fees:
I
I
I
!
M
iw dl
aoo,dl
a,
�
1$t 3 Fixtures x2.00
$
0
, V
saaMol
S
I
I
I
I
to
!
Additional Fixtures x
$ .75
q
'1Nfl0d
Gas Range -199,000 BTU 1 x
$5.00
5.00
Iq�
N9YMI
I
I
I
Repairs & Alterations
See
9XNI9l
I
I
I I
Description: Code
9NI9Y9I
I
I
I I
_State Surcharge.50
-W, 'SI�rcharga .501
1
Class
sum
TOTAL FEE
$
5.50
!
!The
undersigned hereby makes application
for a permit
9,YNIa°
I I
I
I
for the work herein specifiedo agreeing
to do all
work
9439c"
in strict accordance with the City Ordinances and
Tulin
�
of the Department of Buildingst and hereby declare
that
all'the facts and representations stated
in this
application are true and correct.
�=Z_ e Z
4
_
I'Sig attire
Date
a
.III
7
-RICHARD MILLER INC.
F IMAGINEERB
June 20, 1973
Fridley City Council
City of Fridley
6431 University Avenue N.E.
Fridley, Minnesota
Gentlemen:
I would like to request a 90 day extension on 17 building permits for the
following addresses. These houses are all located in Briardale Subdivision.
1616 Rice Creek Road 1650 Briardale Road
1620 Rice Creek Road 6151 Benjamin S-reet
1605 Woodside Court 6141 Benjamin Street
1619 Woodside Court 66 31 BenJamin Street
629 Woodside Court 101 61st Avenue N.E.
1603 Bri'ardale Road 1611 61st Avenue N.E.
1613-Briardale.Road 1621 61st Avenue N.E.
1623 Briardale Road Ib41 gist Avenue
Iam requesting this extension as there was a lengthly delay in originally
processing these permits and at the time I felt this would not create a
problem. However, there is now a shortage of ready mix concrete and concrete
blocks and many of the builders have been put on certain rations of these
materials. Therefore, it appears that an extension will be necessary.
I hope that you have had an opportunity to drive through Briardale. I am
personally very proud of the houses we have built here and I hope that you
feel they are a credit to the community.
Thank you for your consideration.
SiSi�nyer y.
and N. Miller
: cs
786-1600
1600 RICE CREEK ROAD, MINNEAPOLIS, MINNESOTA 55432, AREA CODE 612-6n-
City of Fridley
Applicatko for Pin and Gas 11111bg Fust
Dept. of Bldgs. Phone 560-3480
DESCRIPTION OF WORT[
Number. Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:ANO•
RATE
TOTAL
Number Fixtures ......• .........
/ x $
Future Fixture Opening ...........
¢a
$'
21
`�
1
S
$
*1
I
N
WATER MTA.
GAS
ELEC.
x $3.00
Q
77
FF
N
;►
iiiS
go
Base
1A
1A
1st
2nd
3rd
4th
• Future Conni Openings
Coaseeted wiffi
+ New Fixture, Old Openings
Sewn
Cesspool �
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:ANO•
RATE
TOTAL
Number Fixtures ......• .........
/ x $
Future Fixture Opening ...........
j x $1.50
$'
New Fixture Old Opening ..........
. x $1.50
$
Catch Basin ....................
x $3.25
$
Water Heater :Up to 99,000 BTU)....
x $3.00
$--11-60
New Ground Run Old Bldg........ .
Eleatria Water Beater ..............
.xAS FITTING FEES:
1st 3 Fixtures • • ... • ........ • .. .
Additional Fixtures ........ , ........ .
Gas Range to 199.000 BTU.. . ... . ....
REPAIRS & ALTERATIONS—Refer to Code
x $3.25 $
: $200 $
NO. RATE TOTAL
x $200 $--!L11 —0
x $ .75 $
x $5.00 $
Description .............................................;
TOTAL FEE
City of Fridley:
The .undersigned hereby makes application for a permit for the- work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that aR the fact
and representations stated in this applitmOnn are true and correct
true and correct
Fridley, il4ina 194-1
Owner % &2-
Kind of Building
Used as 126--.1 rc
To be completed about,
Estimated Cost, $
"1& --New. Building Permit No. Permit No.
Z4
Signed.
By
Business Phone No
ROUGH
lIc P(mv ::. Hee ije Coang. T°Z�rjazm,gzzaaam Wd
Air 01 g and (avl
PARTIAL RATE SCHEDULE
GRA9RTT WARM AM:
RATZ
'TOTAL.
Furnace SbelI & Duct Work ... ...
410.00
Replacement of Furnace
6,0
$
Repairs & Alterations—up to $500.00
600
$
Repairs & Alterations each add. $500.00
300
$
izC$L WARM AM
Furnace Shell & Duct Work to 120,000 BTU
..$1000
$ /®•�`
each add. $0,000 BTU . .. ......
3.00
3
Replacement of Fltrnace
6.00
$
Repairs & Alterations --up to $500.00
6.00
$
Repairs & Alterations each add. $500.00
3.00
$
STEAM as HOT WATER SYSTEN
Frtrnace Shell & Lines—to 400 sq. ft. KDR Steam
320.00
$.
Furnace Shell. & Line—to 640 sq. ft. EDR Hot Water
Y0.00
S.
Each add 200 sq. ft. EPR Steam
3.00
$
Each add. 320 sq. ft. EDR Hot Water
3.00
$ _
OIL BURNER—to 3 gal. per hour
6.00
over 3 gal. per hour.—See Fee Schedule
GAS BURNER (up to 1£'9,0W BTU)
5.00
$
aver 199.000 B'M Sale Fee Schedule
GAS FITTING FEES:
BO RATE TOTAL
Ist 3 Fixtures
x$ 200
$ 2,00
Additional F93rtures
x .75
$__ _
Gas Range to 10,0W
xS 5.W
$
State Surcharge
.50
AIR CO DI'T10=0
FAN HEATMG ZTS aT
Lee Fee lkhmlmb
`TS`lYi G SYST=4
ALTZRATIONS & REPAM TOTE. Pw
$/7
MAU
L 1641 61st. Ave. NE
City o4 Pridley:
The undersigned hereby makes application for a permit for the work herei>
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 fay
and representations stated in this application are true and correct.
Fridley. Minn 11-11-74
Owner Richard Miller Homes
Kind of Building frame
Used a4 residence
To be completed about. 11-30-74
o�
Estimated Cast, $
Old—New. Building Permit No. ___ Permit No.
HEATING or MWER Nom -Steam. Not Water, Warm Air—No
Trade Name Lennox SYae®G12D-110
Capacity 110M _ _ Sq. PL F_D,R BTU BP
Total Connected Load 6 0, 0 2 4 frind of 11131 gas
BURNER — Tide No ame as above Siam ggo
Capacity Sri. Ft. E.D R 213T'i7
FRED VOGT & CO.
WATING 9 AIR CONDITIONING
0260 Gorham Avea 929-6767
At. Eoukt perk, Minnesota 554 -
SALESMAN: John Borry 04772 (MMAMS-te)
GrA 'mass veaA e n'
AIr SInims m Devi
PARTIAL RATE SCHEDULE
GRAVITY WARM AIA:
RAT= TOTAL
Furnace Shell & Duct Work
$10.00 $
Replecemwrt of rurnare
6.00
P.epairc & Alterat.ons--up to $500.00
600 E
ReFairs & A!terations each add. 5500.00
3 W $
NZOL WARM AIT►
Furnace Shell & Duct Work to 129,000 BTU 41000 =
each add. t1o,000 BTU 3.UU E
Replacement of Furnace 6.00 5
Repairs & Alterations—up to $500.00 6.00 =
Repairs & Alterations each add. =500.00 3.00 $
STEAM as HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft F.DR Steam $10.00 $
Furnace Shell & Line ---to 640 sq. ft. EDR Hot Water I000 3.
Each add 200 sq. ft. EPR Steam 30n ;
Each add. 320 sq. ft EDR Hot Water 3.00 3
OIL BUBNER—to 3 gal per hour 6.00 $
over 3 gal. per hour --See Fee Schedule
GAS BURNER (up to 199,000 BTU) 6;00 3
over 199.000 BTU Ses Fee Schedule
GAS FITTING FEES. NO RATE TOTAL
Ist 3 Fixtures x$ Z00 3
Additional Fixtures x .75 5_._. _-
Gas Range to 10.000 a$ 5.00 $
• 71" 1
State Surcharge50-
s« Fee schodmia
P
TOT&�I. P=f Uib U
Dept. of Bldv. llr 6 e 1O -34M
L0=300-0/ (., 5// _ 1 / 41
City of Fridley:
The undersigned hereby makes application for a permit for the work heteir
specified agreeing to de all work in strict accordance with the City OrdlnanceF
and ruling of the Department of Buildings, and hereby declares that an tilt f&CU
and repr"Potations stated in this application aretrueand correct.
Fridley, Minn
tlwrter _
Kind of Building
Used as
To be completed about
V Z'"
Estimated Cost, $ (::?)75-
Old ' New. Building Permit No. _.__ __ — Permit No. Co j
iMATING or POWER PLANTS. Stearn, Hot Water, Warta Air—No
Trade Name Size No
Capacity.__. — Sq. 1t E.D.R BTU HP
Total Connected Land Hind of feel
BURNER — Trade Name Size
Capacity 37i ,,. BM 1
0211111111:7y'
� J
.44�d33.3
.�
..... tae i•Bd�.. ,
CITY OF
fes.,.,
6431 UNIVERSITY AVENUE N.E., FRID•LEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
0,;;, s-
Qom*
May 24, 1976
6q I #I Jils
W. D. M. Johnson
1641 - 61st Avenue Northeast
Fridley, Minnesota 55432
Ree Driveway Opening
Dear Mr. Johnson:
I mould just like to confirm the conversation we had about a
meek ago regarding your driveway opening.
The old curbing must be removed, due to the damage that was
done when a jackhammer was used to remove part of the curbing
for the driveway opening (curbing was tipped backwards)a This
will also cause a hazard for our snowplows.
If you have any questions, please feel free to contact me.
Very truly yours,
64/
RALPH VOLKMAN
Superintendent of Public Works
RV:ik Please note: ---RbiP-4IF? TANT
NOTIFY THE FRIOLEY ENGR.
DIVISIC � I RECAR:?iP4G CtJ;2B
RE►1140 AL tic D RE,"Lt.CE�;ME#',i r
r .s�
F
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
Mr. & Mrs. D. M. Joh on
1641 -61st Avenue NE
Fridley, M 55432
Re:� S bstandard Drivew
Dear Mr. $ Mrs. Johnson:
June 18th, 1976
TELEPHONE ( 612)571-3450
On May 24th, 1976, a letter was sent to your attention regarding
the existing substandard driveway depression construction for
your residence. Because the existing approach is creating main-
tenance problems with our Public Works Department, the City in-
tends to remove and replace your entrance depression.
This work will be done at the City's expense and no costs will
be incurred by you. It is anticipated that this work will be
completed by July 2nd, 1976.
Should you have any questions or concerns, please contact me.
TAC/grs
Sincerely,
CITY OF FRIDLEY
z
Thomas A. Colbert
Assistant City Engineer
SUBJECTR-MIT
City of Fridley
13922
AT THE TOP OF THE TWINS
BUILDING PERMIT
`
CEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION
r SEC.
1 �
=
1 ---n CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L---- A,f,'J 612-560-3450
910-F15
2/7/77
JOB ADDRESS 1641 - 61st Avenue N.E.
1 LEGAL
LOT NO.
BLOCK TRACTOR ADDITION SEE ATTACHED
DESCR.
27
3 Briardale SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
David M. Johnson 1641 - 61st Avenue N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Same
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 DA ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Finish two rooms
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPERATT PERMITS REQUIRED FOR WIRING,
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
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
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
$1,000
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$.50
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.
$7.50
PLAN CHECK FEE
TOTALFEE
$8.00
SIGNATURE OF CONTRACTOR O AUTORZEIZEDAGEENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
�
.
bk) 41 Q-//-/2
BLDG INSP DATE 1'
SIGNATURE OF OWNER 05014NER BUILDERI f (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER'S
NAME:
2%�/�� r��'1�'�0'' —
BUILDER: J
ADDRESS:
ADDRESS:
-,- TEL. NO.:
NO:. /,/,, c/ / STREET: / l
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT:y SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
Tb. De Used As:
Front: Depth: Height:
J2.Oz�r�
Square Feet: Cubic Feet: -
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: - Estimated Cost:
To Be Completed: ey' G
PROPOSED DRIVEWAY WIDTH IF NEW OPENING IS DESIRED
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stxict 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: �-/��� % SIGNATURE • GGI�%
(See Reverse Side For Additional Information.)
• �. Ov �-ro4- L Cl �' .
City of Fridley
SUBJECT
PE
000.
o - 1685 3
AT THE TOP OF THE TWINS
BUILDING P E R M I T
r
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV. ;
r PROTECTIVE INSPECTION SEC.
�A�g
i1 ` �
A -��,•, CITY HALL FRIDLEY 55432
L J`
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
-_--
612-571-3450
910-F15
11/23/82
/ /
JOB ADDRESS 1641 - 61st Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
27
3
Briardale Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Grover Cievland 1641 - 61st Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Beitler Building Systems, Inc. 1520 North Snelling 645-4860
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 20' x 24' Living Area Addition; a 3 Season Porch and Deck (34' x 101)
9 CHANGE OF USE FROM TO
STIPULATIONS
Side Yard Variance approved 5/25/82 with the following stipulations:
The window in the wall adjacent to the neighboring garage be eliminated by
utilizing other energy efficient window devices in the north wall of the
structure. A fire wall be installed in the adjoining wall and a fire door exit
be installed in the garage.
AI
SEPERATiE PERMITS Before digging call local utilities
REQUIRED.OR
F WIRM4 TELEPHONE - ELECTRIC - GAS Etc.
HEJ4TIrJG, PLUMBING
AND SlGNSti
REQUIRE® BY L,4
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Wood Frame
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
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
$23,900
$11.95
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
P OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$164.50
NONE
S THE PE ORMANCE OF CONSTRUCTION.
(CTION
`
PLAN CHECK FEE
TOTAL FEE
Ie77�j / a�3 as
$ 41.13
$217.58
SIGNATURE O ONTRAC R OR AUTHORIZED AGENT ATE)
EN PRO ERL D T THIS IS YOUR PERMIT
LDG WSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI iI
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDING PERMITS
(Rewt. Alterations, Additions, or Repairs)
OWNER: A116/e C/ e VI -40O t? BUILDER: _ 4�/TL e;e
ADDRESS: , /!o / Cr sf ��/� 41 ADDRESS: ri//,
TEL 110: '
TEL NO: 4, f�.3-`��� a
Construction Location
STRICT NO: 7' STREET: (� sr d V& ti �•
LOT: 21=: 3 ADDITION: „Qg/Q!/��Q g�qLC
Corner Lot: Inside Lots Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
To Be Clompleted: E r, / 7
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ S
SEE R%VERSE SIDE OF SHEET
Mie undersigned here makes application for permit for the ♦cork herein s
9 by PP p pacified,
agreeing to do.all work in strict accordance with the City of Fridley Ordinances and
rulings of the Delaartment of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE: GydV �o� ���� SI(MhTUM:
Stipulations:
cy
pot -IJ It 4. so
P. 41.1-4
T)° h 9 q u
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DESCRIPTION OF
CONSTRUCTION
A_66T J 0A)
Front: D x 7
Depth:
Height: -26
444oG,, Kfttk
Square Feet:
Cubic Feet:
'4 64tk
Front: Yx%0
e De th
P
Height:
9
Square Feet:
Cubic Feet:
6 ,oeOK/,J,D
�+
Rype of Constructions rill bon tCRAdM,
r Estimated Cost:
To Be Clompleted: E r, / 7
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ S
SEE R%VERSE SIDE OF SHEET
Mie undersigned here makes application for permit for the ♦cork herein s
9 by PP p pacified,
agreeing to do.all work in strict accordance with the City of Fridley Ordinances and
rulings of the Delaartment of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE: GydV �o� ���� SI(MhTUM:
Stipulations:
cy
pot -IJ It 4. so
P. 41.1-4
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land Planning
Srrlirelir/i
land Surveying •
Sss �r•
ell,
�r/�f/�f'Irsrrng //7,
C,vrl Ingineer rng
Muniriprrl Ingrneering Eit( i neeri4 & Sti rvt•}rlt
a � I
Certificate of- Survey for
614,15 Hr,,hvrnl NO 6S N I
Mrn rtlnpOlra
AA
Irleld,onr ?A4 -606e)
Arra Cndr 617
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f
G1 ST AVENUE.
OT3 1 DALE �� I
Jmoiti Iron monum�n} ��nOKO COuf1��
- - r - - - Dinol1c Dra1n0t: cl U11114y EfaSttt.,�n�
hereby sotlily that Ihr► ij�o (r Y• •od tOr►ett representation of'o jurvey of the bowndar-•s of rt.e obo.•
•1 all buildings, thereon, and all visible encroochraenr+, rt 0001, I.oT Of en
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hereby sotlily that Ihr► ij�o (r Y• •od tOr►ett representation of'o jurvey of the bowndar-•s of rt.e obo.•
•1 all buildings, thereon, and all visible encroochraenr+, rt 0001, I.oT Of en
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CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
763-572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On Jan 1, 2001
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
NO. RATE
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
$10.00
TOTAL JOB ADDRESS 16,v / 4 / Sr ��� A"��
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner,$ 144- @.y L CL �✓EL.4.J6
o d Building Used As N 0,-)" a
Estimated Cost ?5b • o U PERMIT NO. / 3 1 1 (Q
$15.00 PLUMBING COMPANY—
Reinspection
OMPANY
Reinspection Fee $47.00/Hr SIGNED BY TEL N0.
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
Approved ByRough-In Date Final Date -4R ANY PLL
State Surcharge $ .50
MINIM M FEE F 1MBING/GAS PERMIT IS $20.00
TOTAL FEE $J PLUS THE $.50 STATE SURA
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes ( ) No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
BTU Input
Fan Assisted or Nat
Appliance #2 Type
BTU Input
Fan Assisted or Nat
Appliance #3 Type
BTU Input
Fan Assisted or Nat
Total Appliances
Total Btu Input
Common Vent Type
Vent Height
Diameter inches
Appliance #1 Vent Connector Height
ft Length
ft Diameter in Type
Appliance #2 Vent Connector Height
ft Length
ft Diameter in Type
Appliance #3 Vent Connector Height
ft Length
ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date
,0 0
11TY OF FRIDLEY INSPECTION DIVISION �� 0 IA,
5431 University Ave NE
=ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE_SCHEDULE
3esidential
Furnace Shell and Duct Work, Burner
Also Replacement Furnace
(Side Vent - Fill Cut Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning • All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
:ommerciat/industrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
111NIMUNE FEE SQR AM HLOINIGICOOLIN-G/VENTIL&TION
IMMERATION/ iR ONDIT'IONINr, ERMIT IS $2
ILLUS THE too STATE SURCHARGE
1INSPECTION FEE $47.00/Hr
Air Conditioners can not be placed in a side yard without
tritten permission from adjoining property owner.
TOTAL
$L
$
Effective On January 1, 2000
c
JOB ADDRESS�� �l rel sem =- /'• 1.�
�N
OWNER
ESTIMATED COST PERMIT N0.
DESJRIPT1®N OF 6URf+LACE AND OA BURNER
No. of Heating Units l Circle One (Steam) (Hot Water)arm Air
Trade Name L Size No._
BTU_1OVi 11C1`t7 HP _— EDR__
Suer_. —, Tota! Connected Load
Burner Trade Name Size No.
BTU—.--._ HP EDR
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 an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE ,
HEATING CO Z7 `— ' ' q� ,
Signed
TEL #
Approved Bye _ Rough -In Date Final Date
?-0'd-iti101
COMMON VENT. VENT CONNECTOR AND COMOUSTION AUR VERiFiCnnON
When fmiacing an existing ftr ce, the undersigned hereby verifies that the
venting has been examined and Is free from rust. deterioration, obstructions,
and is securely supported and firestopped where required. Yes (.-r 'No ( )
The venting system is plasWPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes (4 ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufac turees specifications: This does
include AGA -LAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes (,)-No( )
Theoxisting combustion air is sized and Installed to meet the current codes
and manufacturers specifications. Yes (Yo ( )
When required to Install a new combustion air. it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes i' No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does Include AGA GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes (,Y'No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been- removed from the common vent and vented
separately as per current codes. YesNo ( )
ADoliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type _ BTU Input Fan Assisted or Nat
Appliance #2 Type o^ BTU Input Fan Assisted or Not
Appliance 03 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter_ inches
Appliance #1 Vent Connector Height ft
Appliance *2 Vent Connector Height ft
Appliance #3 Vent Connector Height ft
Length ft
Length ft
Length ft
Diameter in
Diameter in
Diameter in
Type
Type
Type
HEATING CO:
Signed By: Date:
ZO/Z0' d S09868L 01 ATM I NA d0 ill I '-) W02id SS : Z L 0002-T Z-AON
CIiYOE
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
March 14, 2003
Mr. Grover Cleveland
164161 Avenue NE
Fridley, MN 55432
Re: Final Inspection at 164161 Avenue NE
Contractor: Daves Heating & Air Conditioning
Dear Mr. Cleveland:
A mechanical permit was issued on November 7, 2001 to install a furnace and 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 permit. 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 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 by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh
'
SUBJECT
P -
City of Fridley
32322
AT THE TOP OF THE TWINS
BUILDING P E R
M I T
,
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC
4-009"5—
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
11/14/01
JOB ADDRESS 1641 61st Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
27
3
Briardale Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Grover Cleveland, 1641 61st Ave NE, Fridley, MN 55432
763-571-3492
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
At Home Services, 3451 Interlachen Dr., Ham Lake, MN 55304 612-889-0322 BC20281915
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Dwellin
7 CLASS OF WORK
0 NEW O ADDITION O ALTERATION O REPAIR
O MOVE O REMOVE
B DESCRIBE WORK
Exterior basement wall repair
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plans.
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
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
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$4,600.00
$2.30
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-
ST UCTION THE ERFORMA CE OF CONSTRUCTION
$111.25
Fire SC $4.60
��wx
PLAN CHECK FEE
TOTAL FEE
L erase 5.00
$123.15
SIGNATURE OF CON "RA R OR AUTHORIZED AGENT iOATE,
W PROPERLY V LIGATED THIS IS YOUR PERMIT op
LOG SNS
qAT
S-GNA LURE O. OWNER, If OWNER BUILOERI IWO
WE
NEW [ J Effective 1/1/2001
ADDN [ j CITY OF FRIDLEY flW) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: �S>" v�
10A -
Legal Description:
Owner Name & Address: (o_rou.os^(� �� /��/�� W Tel. #173 .s 7/ -3y %-e
Contractor: o c MN LICENSE #
Address: 4e "i -0.3zz
LIVING AREA:
GARAGE AREA:
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
DECK AREA: Length 1 Width
OTHER: Zs°e wex f /J&
Height Sq. Ft.
_ Hgt/Ground Sq. Ft.
Construction T e:rif�i�/%ttr�d izc (,G�tP�//,��u� jEstimated Cost: $ &OO
S�y7
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: O APPLICANT: o Tel. #
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ �S� Fee Schedule on Reverse Side
Fire Surcharge $ '�/.� .001 of Permit Valuation (1/10th%)
State Surcharge $ JO $.50/$1,000 Valuation
SAC Charge $ $1150 per SAC Unit
License Surcharge $ U e) $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 $ A23, /S
STIPULATIONS:
O
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Lund Planning -)Od�S N.,l►wt.t No OS N 1
Iland Surveying
Sells Irct.na �• I. W1..... SSCJl
C.v.l Inq.nee.inq I.-I.•l.hn.tr 7111 •6000
Munsr.ptrl Intl.neet.nq Eng"ineerm dc. Stirve}'(1rli A. r,. Cnd.. 01)
'/
Cert ificate of- Survey for
1-4
0
O
GIST Av[Nu r�.�.
LOT 27ELoC 3 I DALE
•Jmoih Iron.monumtnt 4*\-\noLo l,otAni j
UratnO�t: ( U�II14y ECa�>t►.,Ir/,�
1 horeby certify that thrt i o Irue and correct repretenlotion of a survey of the bo..,.da...t of 'Ne oea.e
detc-bed land, and o/ the location of all buildings, thereon, and all visible rncrocrchn,e..rl ,t op► Iso•.. or a••
fore land At Surveyed by me this day olA D. IV—
o t
Bui1_.din
$
BUILDING
Plan Review
Permit No.:
Inspections
Surcharge
RESIDENTIAL APPLICATION
Received By:
763-572-3604
$
CITY OF FRIDLEY
Date Rec'd:
DATE 1®'/ —YOUR
E-MAIL ADDRESS
SAC Charge
&
U
Curb Cut Escrow
SITE ADDRESS /
Al w
Erosion Control
THIS APPLICANT IS:
FfOWNER ❑CONTRACTOR
Park Fee
PROPERTY OWNER/
NAME: r ® r d- �5h f-,
TENANT
ADDRESS: & N
CITY i /e,�/ STA ZIP -V'
Total Due
PHONE: &3 —�r 34 9p2-
2CONTRACTOR
Make checks payable to: City of Fridley Attach Stipulations
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:
CITY STATE ZIP
WITH APPLICATION
PHONE FAX
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION
SIZE
❑ TWO FAMILY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF
❑ DRAIN TILE
❑ DECK ❑ SIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: e- W chjh, G eta` i, v -,e, w@
el ed —
�d4+HEIGHi y 7 S Ft
SIZE OF 11VIPROVEMENT
LENGTH
WIDTH
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION S OCCUPANCY TYPE
EN
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Surcharge
$
(.0005) times the total job valuation — Minimum $.50
Fire Surcharge
$
.001 x Permit Valuation (1/10%)
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1450 per SAC Unit (Plans to MWCC for determination)
'Nob
Curb Cut Escrow
$.3
&Eft +3 ft = / K it x $20 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I 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 work 'ch requires r vie and app oval plans. �J f 6�
SIGNATURE OF APPLIC NAME lilC' �' l lel V- Ve-`� ATE ®� /�
— 50D
I
NEW WALK/PATIO
f C53 24' STEPPERS
° C535PIREA "MAGIC CARPET' AfGor_\t 1 -VA E
e ` 5 -Gal
C135PRUGE 'DWARF BLUE GLOBE'
5 -Gal
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6659 CENTRAL AVE
BLAME, MN 55434
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PHONE: 763-784-5975
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