PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date:
/
owner: • ° # �* Builder
Address Address
LO I I
it DING
No.. Street • � �� Part of Lot �
.r+
Lot __ Block __ _ Addi or Sub -Division
Corner Lot ...... Inside Lot _44ei _44S.etbaclt Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To Used • � F
Front .Depth -t,/ Height. Sq. Fi. Cu. Ft.O� �
Front _ Depth H ght Sq. Ft. Cu. Ft.
• b.
Type of Construction Est. Cost To be Completed
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
grdinanoes of the city of Fridley.
In consideration of the payment of a fee of $j9j_ , permit is 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 upon violation of any of the provisions of said
ordinances. � °. ]
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these Items.
.1 10 4 � . "
..
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDIEY, MINNESOTA
owner vs Name Builder ,
Address Address 44,E o
LOCATION OF BUILDING
No. /4/- 7 Street c Part of Lot
Lot / $lock. Addition or Subdivision — -�
Corner Lot Inside Lot Setback_,_3S 6 „Side -Yard /0
SEWER ELEVATION FOUNDATION ELEVATION 840
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction �__ ¢- _Estimated Cost
To be Completed 04 40Z_ /57e
The undersigned hereby makes application for a permit for the work herein specified$
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.
D /1 G / SIGNATURE 4X
(A Schedule of Fee Costs can be found on the Reverse Side.)
City of Fridley
APPtication for Plumbing and Gas Mting Perndt
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORE 147 – 63rd 6
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures .......
8 x $1.50 $
12.00
Future Fixture Opening ................
x 1.20 $
New Fixture Old Opening .............
- x 1 -nn --
—
Catch Basin _
0U'
W
O
R
N
WATER HTR.
GAS
ELEG
Base_
✓
—_ x .50 $--
Additional Fixtures .......
x 2.00 $--
1
to 200,000 BTU ..............
—
1
Gas Range
1
1st
1
1
1
1
jDiEposal
2nd
3rd
—
4th
• Future Connection Openings
New .Fixture, Old Openings
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures .......
8 x $1.50 $
12.00
Future Fixture Opening ................
x 1.20 $
New Fixture Old Opening .............
- x 1 -nn --
—
Catch Basin _
TOTAL
NO.
1,50
GAS FITTING FEES:
x $1.50 $--
—�
1st 3 Fixtures ...... . • ............
—_ x .50 $--
Additional Fixtures .......
x 2.00 $--
to 200,000 BTU ..............
—
Gas Range
REPAIRS & ALTERATIONS—Refer to Code
.........$
".".
Description TOTAL FEE $ 15 50
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, 11Rinn. September 11 is 61
Owner Paul Schwaztz Cons-. Co.
Kind of Building Frame
Used as Dwelling
To be completed about December 4.1961
Estimated Cost, $ 300.00
Old—New. Building Permit No�Permit No.
Signed STAIDADD PLUMBING A APPLIANCE -3
r_
FINAL
d z 2M 7-59
Application for Power Plants and Heating. Cooling, Ventilation. 19Mgeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL,
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ b.00
.each add. 60,000 BTU ....................... 2.00 $ _
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 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 $ 5.00
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $ 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 $ 14.50
ROUGH
Plan R-1 on file
f FINAL
Dept. of Bldgs. Phone SU 4-7470
Locaifon 147 - 63rd Way N. E •
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, inn Q_9Fi_ , 19 61-
Sq.
1
Owner
Kind of Building Fr
Used as Res.
To be completed about 10-26-61
Estimated Cost, $ 4:)U u
Old—New. Building Permit No Permit No. �' / 10
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No 1
Trade Name Westinghouse Sie No GUE-100
Capacity.
Sq. Ft. E.D.R I BTU H.P.
Total Connected Load 45.631 Kind of Fuel Gas
BURNER — Trade Name Size No
Capacity Sq. Ft. EM.R BTU H.P.
(REMARKS -OVER)
Signed FRED VOGT & CO.
HEATING 9 AIR CONDITIONING
By6:530 Wes? e St. *We. V-3767
St. Louis Park, Minnesota
�y-w, 4 z 1M 7.59 Business Phone No
i
0
f
• S1
City of Fridley, Minn..
BUILDING PERMIT
N° _6523
Date:
Owner: s , Builder �[. --
Address Address
_��L 10 OF BUILDING
1v0. _ street v ->_ P
�,LOt
Lot Block AdSb O
Corner Lot W Inside Lot Sotback Sideyard
Sewer Elevation ____ _ _ _ _— F dation Elevation
DESCRIPTION OF BUILDING
To U _
KAZ Front Depth Height ZA0 Sq. Ft. CU. Ft.
Front Depth Height _ Sq. Ft. Cu. Ft.
Type of Construction Fast. CostTo be Completed _
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.
I six "'C'
LY Cg
In consideration of the payment of a fee of -1_� , permit is 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 lactation, construction, alteration, maintenance repair and moving of buildings
within the city limits and this permit may be revoked at any time
ordinances. , f�/�1 i f upon vi a13 n of any of the provisions of said
Building Inspector
/07
• NOTICE:
Sic pentdt does not corer the construc8on, ins d6fion for w1rhk& phrmbinB, gas heeling, cower or water. Be sure to no
the Betldh* hapeetor for separate poufs for then Hems.
APPLICATIO14 FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS ,A=, L 43 itlptif /IZ 6LdLv, ADDRESS
LOCATION OF BUILDING
No. Street���� Part of L
A411 V
Lot Block Addition or Subdivisi
Corner Lot Inside Lot X etback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as:
FrontZ Depth .a .Z ¢� Height / o
Sq. Ft. aco Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost 21,76
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 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.
(Schedule of Fee Costs can be found on the Reverse Side).
91-8h= .
L15051
LIIT Uh MIUMT
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Job Address 1L7 63 WAY
iw
Department of Buildings
City of Fridley
Tel. #571-3450
r
PLUMBING FIXTURE RATES: NO.
RATE
o
w
9
1Heater
94
tA
S
to"
x
y
•
Now Fixture, Old Opening __
x
$1.00
w�
g
Catch Basin
A
u
$
Nater Heater - to 99,000 BTU,
x
$5.00
$
100;000 BTU to 199,000 BTU
x
� m
"41
w
x
.4
� �
Now Ground Run Old Building
x
t�
o
as
lec
$5.00
- .4
GAS FITTING FEES:
1st 3 fixtures
x
$3.00
$ _.
Additional Fixtures __
x
$1.00
$
.Gas Range to 199,000 BTU
x
510.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fracticn
'1st
$
state Surcharge
c
$ .50
TOTAL FEE
$
Zad
3rd
4th
'
(R) - Future Connection Opening
Connected with Sewer
�•) = New Fixture, Old Opening
Nater
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
lumber Fixtures
$3.00
S
Future Fixture Opening •
x
$1.00
$
Now Fixture, Old Opening __
x
$1.00
$
Catch Basin
x
$5.00
$
Nater Heater - to 99,000 BTU,
x
$5.00
$
100;000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.90
$
Now Ground Run Old Building
x
$5.00
$
Electric Water Neater -X
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
$3.00
$ _.
Additional Fixtures __
x
$1.00
$
.Gas Range to 199,000 BTU
x
510.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fracticn
$1.00
$
state Surcharge
$ .50
TOTAL FEE
$
REINSPECTION FEE
(S30.00)
The undersigned hereby makes application fora permit for the work herc
specified agreoing•to do all work in strict accordance with the City Cod,
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and co,
Fridley, Mn. . 4-27-77 , 19
OWNER MAX FINKEL
KIND OF BUILDING frame
USED AS res
TO BE COMPLETED ABOUT 5-4-77
ESTIMATED COST 10.00
OLD - NEW BUILDING PERMIT NO. PF.A1'IIT NO.
company�
Signed By
Tel. No.
}LOUGH INSP.
Date
FIN4L INSP.
Ditto
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
Glass "A" Surcharge .500
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR VONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS ,f fT L2 Z)// LAM /V
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work
Residential Rate
TOTAL
herein specified agreeing to do all work in strict accordance with the
aci Dt Work, Burner -
C�L�
city codes and ruling of the Building Division, and hereby declares
Rept Furnace $ 20.00
RLefEio
$�
that all the facts and representations stated in this application are
1�1
&io �3?�
true and correct. NOV 2 ,1991
Gas Piping (Needed with new furnace) $ 10.00
$
OWNER �
Gas Range $ 10.00
$
BUILDING USED AS 41
i
Gas Dryer $ 10.00
$
ESTIMATED COST 0-0-0 -00PERMIT NO. C
*Air Conditioning -All Sizes $ 10.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
Commercial/Industrial
BTU HP EDR
1 % of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
$ .50
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
$
chmc,id & Sons Elec., Inc. dba
(;-Idcn Valley Htg. & Air Cd
HEATING C ANY �9 14mt gFead ay
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
j Crystal, MN 55429
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
Signed By Phone 535-201tel No.
PLUS THE $.50 STATE SURCHARGE
(�Co(� Date 2 -
REINSPECTION FEE $30.00
Approved By Rough -In Date Final
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
6. Has total heating BTU's of Dry
All other BTU's
r TOTAL BTU's
Remarks
List Alterations Being Done:
HEATING COMPANY _ .p L" c. UU
5i62 Wesi Broadway
Signed By Crystal, NIN 55429
Floone
Date
P,. s
1.
Has been carefully examined
Yes
No ( )
2.
Is free from rust or deterioration
Yes
No ( )
3.
Has no foreign objects lodged within
Yes
(.X" No ( )
4.
Is securely supported
Yes
(,/11*' No ( )
5.
Meets all current Code requirements for
size and total BTU's connected
Yes
) No ( )
6. Has total heating BTU's of Dry
All other BTU's
r TOTAL BTU's
Remarks
List Alterations Being Done:
HEATING COMPANY _ .p L" c. UU
5i62 Wesi Broadway
Signed By Crystal, NIN 55429
Floone
Date
P,. s
'1 o7
SUBJECT
PE --41,
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
1 V
r PROTECTIVE INSPECTION SEC.
1 � �
NUMBER
REV
DATE
PAGE of
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/26/95
JOB ADDRESS 147 63 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15
2
Eva Erickson River Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Max Finkel 147 63 Way NE
571-2890
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
North Central Builders 7401 42 Ave N, New Hoe MN 55427
533-6168 3763
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
8 DESCRIBE WORK
Reside Dwelling; soffit & fascia; gutters & downspouts
9 CHANGE OF 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. 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
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
$4,000
$2.00
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
887.25
Fire
PLAN CHECK FEE
TOTALFEE
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PAOPE^Y VALIDATED THIS IS YOUR PERMIT
40D G INSP
FATE
SIGNATURE OF OWNER,,F OWNER BUILDERI IDATEI
'1 o7
NEW Effective 8/l/95
ADDN CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2��y
Building Permit Application
- - Construction Address
r' Legal Description: —
Owner Name & Address: /". �C �/1 Tel. #
Contractor: �Q C�EIf/TIQi¢� _!/% 12s _ MN LICENSE # 3x'4 3
Address:_�ftD/- �vZ/7� �viE. /Y� ,t/ E t�Z- Tel. # .S3.3 -6100
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.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: -
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction* 0 Estimated Cost: $ 41,00D. _
Approx. Completion Date: � �� �
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x $
DATE: - APPLICANT: 0 533 - l�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ON.
$ . �S' Fee Schedule on Reverse,
$of Perri Val iatina_ ,
/$1,000 Valuation
$ $850 per SAC Unit S
$ S, p 40 $5.00 (State Licensed Residential Contractors)
9�
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
S 9y.a.s
,.,,:::: •,,,, . STATE OF MINNESOTA
FTtIE
DEPARTMENT OF COMMERCE
133 East Seventh St
`fit? i St Paul, MN 55101
(612) 296-6319
BtTILDINo CONTRACTOR
ID#3763
BUILDER
INDIVIDUAL PROPRIETOR
Expires: 03/31/1996
ROBERT G NORCROSS
7 Mrs CE doc by 3/`31196
DBA: NO CEN'T'RAL ALDRS
7401 42ND AVE N
NEW HOPE MN 55427-0000
M -Ai
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work/
Commercial/Industrial
1.25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
$ .50
MINIMUM FEE FOR ANY HEATING/COOLI�ENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner,
Burner Trade Name
BTU
HP
Size No.
EDR
HEATING COMPANY /1r
Signed By Tel No.-��
Approved ByRough—In Date
FILL OUT BACK SIDE F R STACK VERIFICATION ON
REPLACEMENT FURNACE
Final Date I� ' I - % ?
Oat
JOB ADDRESS
The undersigned hereby makes application for a permit for the work herein
Rate TOTAL
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
$ 30.00 $
representations stated in this application are true and correct,
$ 10.00 $
'
OWNER S %� S� 0
$ 10.00 $
BUILDING USED AS
$ 10.00 $
ESTIMATED COST '�y- c� PERMIT N0.
$ 25.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
a'=Cv
Trade Name x)— 6.1, Size No,
BTU HP EDR
$
Fuel Total Connected Load
State Surcharge
TOTAL FEE
$ .50
MINIMUM FEE FOR ANY HEATING/COOLI�ENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner,
Burner Trade Name
BTU
HP
Size No.
EDR
HEATING COMPANY /1r
Signed By Tel No.-��
Approved ByRough—In Date
FILL OUT BACK SIDE F R STACK VERIFICATION ON
REPLACEMENT FURNACE
Final Date I� ' I - % ?
Oat
Remarks:. op
List ALTERATIONS Being_Done:
HEATING CO:
Signed By:
Date:
CHIIVINEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney or
stack:
1.
. Has been carefidly examined
Yes
O
No
(
)
�,
2.
Is fine from rust or deterioration
Yes ()
No
(
)
3.
Has no foreign objects lodged within
Yes ()
No
(
)
4.
Is securely supported
Yes ()
No
(
)
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No
(
)
b
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes (
)
No
(
)
S.
Has combustion air been provided for water heater
Yes (
)
No
(
)
Remarks:. op
List ALTERATIONS Being_Done:
HEATING CO:
Signed By:
Date:
CITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
Effective On May 10, 1999
Fridley, MN 55.432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604
REFRIGERATION
AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS
RATE SCHEDULE
Residential Rate
TOTAL
OWNER_,11, �',Ae c
Furnace Shell and Duct Work,. Burner .
BUILDING USED AS_ R.es:,
Also Replacement Furnace $ 30.00
$
(Side Vent • Fill Out Back):.
Gas Piping (Needed with new furnace, r $ 10.00
$ .�--� �
ESTIMATED COST PERMIT NO. �����
but not replacement) �r �(
Gas Range
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00
$
'
Gas Dryer $ 10.00
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name
Size No.
*Air Conditioning • All Sizes $ 25.00
$
BTU HP EDR
Fuel_ Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK)
Burner Trade Name Size No.
1% of Value of Appliance or Work
$
BTU HP
EDR
Commercial/Industrial
1.25% of Value of Appliance or Work
$
The undersigned hereby makes application for a permit for the work herein
State Surcharge
$
specified agreeing to do all work in strict accordance with the City Codes an
_ .50
rulings of the Building Division, and hereby declares that all the facts'and
TOTAL FEE
$ ��5�
representations stated in this application are•true and correct.
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
HEATING CO
EFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
Signed DATE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from
Approved By Rough•In Date Final Date
adjoining property owner.
/
FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLAQEMENT
�3 P-5 C.
?ass e4>
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ( )
8. Has combustion air been provided for water heater Yes () No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CHENi E TEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney
or stack:
1.
Has been carefully examined
Yes ()
No ( )
2.
Is free from rust or deterioration _ .
Yes (}
No ( }
3.
Has no foreign objects lodged within
Yes O
No ( )
4.
Is securely supported , :._.
Yes (
)
No ( )
5.
Meets all current,Code requirements for size,
and total BTU's connected
Yes O
No ( )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ( )
8. Has combustion air been provided for water heater Yes () No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
763.572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement).
Gas Range
Gas Dryer
Rate
TOTAL
$ 30.00
$—
$10.00
$10.00
$$10.00
$—
$10.00
$10.00
$
*Air Conditioning - All Sizes $ 25.00
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
$ .50
JOB ADDRESS_ 14? 6 !�xV CU A^-(
OWNER /-f,4)c F/,A JKC-- L
BUILDING USED AS btu C- Z -L- l �Jc
ESTIMATED COST
Effective On January 1, 2001
PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units
Trade Name
BTU HP
Circle One
(Steam) (Hot Water) (Warm Air)
_ Size No.
EDR
Fuel Total Connected Loa
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.
CON'[RNC M Mi.
SM 400ANOMtM - DATE � - I vi of
CRMAL.1111H 1422
HEATINC�O
Sign
TEL # iW :5
*Air Conditioners can not be placed in a side yard without Approved By/C/4— Rough -in Date Final Date
written permission from adjoining property owner.
BACK SIDE MUS BE FILLED IN ON VENT SIZE, VENT CONNECTORS
AND COMBUSTION AIR VERIFICATION
CITY OF FRIDLEY PERMIT NO.k 2004-00485``1 "
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 04/13/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 147 63RD WAY NE
PIN : 153024420054
LEGAL DESC : EVA ERICKSON RIVER MANOR
: LOT 15 BLOCK 2
PERMIT TYPE : HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE
VALUATION
NOTE: INSTALL GAS PIPING FOR GAS FIREPLACE (MAJESTIC, 30,000 BTUS)
APPLICANT HEATING PERMIT MINIMUM FEE 15.00
MASTER GAS FITTERS STATE SURCHARGE, MECH FLAT 0.50
2263 N MCKNIGHT RD S TOTAL 15.50
NORTH ST PAUL, MN 55109- PAID WITH CHECK # 9717
(651)748-8277
OWNER
FINKEL MAX E & BRUNHILDE K
147 63RD WAY 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 cancel the provisions of any other state or local law
regul ' constru tion or the performance of construction.
App 'cant Date .12
Bldg InspL��
Dat F� r
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
`G d �� EfLective January 1, 2003
3
Fridley, MN 55432 APPLICATION FOR FIOWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �
FAX (763) 571-1287 r -
JOB ADDRESS � 7L/ / �7 &3 wet
E,
RATE SCHEDULE
nn '
OWNER
Residential
Rate TOTAL
n I
Jea-7L
Furnace Shell and Duct Work, Burner -
BUILDING USED AS 1/� eSj
Also Replacement Furnace
$ 30.00 $
JJ f
lboo- 0U PERMIT NO. -1 00'- �Qy�
(Side Vent - Fill Out Back)
ESTIMATED COST
Gas Piping (Needed with new furnace,
$ 10.00 $
but not replacement)
DESCRIPTION OF FURNACE AND OR BURNER
Gas Range
$ 10.00 $
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Gas Dryer
$ 10.00. $
Trade Name Size No.
BTU _ HP EDR
*Air Conditioning - All Sizes
$ 25.00 $
Fuel Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK)
1 /
Burner Trade Name A4 e s��-_ Size N 1. C -- _j
1% of Value of Appliance or Work
$
BTU�� GC.� HP EDR
Commercial/Industrial
1.25% of Value of Appliance or Work
$
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
State Surcharge $ .50
rulings of the Building Division, and hereby declares that all the facts and
_
representations stated in this application are true and correct.
TOTAL FEE
-5-0
`�"��`7" ��
DATE a� i r� 171
a
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
HEATING CO *er
REFRIGERATION/AIR CONDITIONING PERMIT IS
$25.00
651-71V-9.2 -7
PLUS THE %S0 STATE SURCHARGE
Signe TEL #
FAX aS/
REINSPECTION FEE $47.00/Hr
p
_ -_
*Air Conditioners can not be placed in a side yard
without
_
- __�"�►
Approved Byc I� Rough -In Date Final Date
written permission from adjoining property owner.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Building
$
BUILDING
Plan Review
Permit No.:(?
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
Received By: '
763-572-3604
$
CITY OF FRIDLEY
License Surcharge
Dat"'
7 63-502-4977 FAX
SAC Charge
$
1
Curb Cut Escrow
$
EFFECTIVE 1-1-2011
Erosion Control
$
DATE
/1�
YOUR E-MAIL_
MAIL ADDRESS C 14 S�;7
�°P A% e— GO >Lr"Z y61-1' D AJ . 0 96
SITE ADDRESS
Sewer Main Charge
$
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
$
PROPERTY OWNER/
Nom: 9NwNtf Q,OoOv \-W-burn
TENANT
ADDRESS: 133 qy. \\\V CITY 1 STATEjD!&ZIP Sb42
PHONE:
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # Z.0 5 !& 0 k 01r LEAD CERT NUMBER n\dh'S - 2 °l \ 0 S '
AND CERTIFICATE OF
ADD S: 40A 0 \O L
CITY iy%N be%—A STATE�IZIP S �t
INSURANCE
Pxo 11' Sal 05% `1'PWJ3Zo 74AX 1
• S - \00\
PROPERTY TYPE
❑ SINLE VAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
gBASEMENT FINISH ❑ ROOF ❑ DRAINTILE CFi'fRvr2eS TO YA-4E't-r49l at!)
❑BECK ❑ SIDING ;MOTHER
❑ SWIN[M[ING POOL
a ev It' ao&
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR )MMODELING
DESCRIBE WORK BEING DONE:%-C"NA ty%4-1 %01 %&.,. QA CitAt-
Sam..
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT S FT
ROOFING
❑ HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
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 SUBMTf:
1. Site Plan/Survey showing the existing struchnes
❑ Aluminum
❑ Trim
and propel project[3
Other
❑Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS - PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
�y 11YG THE 199+ a 18 �6
U.SC OCCUPANCY TYPE
TOTAL JOB VALUATION $` 3 5v . _ �. �
Permit Fee
$
° a�
Plan Review
$
_0114 0
Fire Surcharge
$
'�'
Surcharge
$
I q
License Surcharge
$
SAC Charge
$
Curb Cut Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge
$
Total Due
$
LAA, ZT—
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $5.00
$5.00 (State Licensed Residential Contractors)
$2230 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$24=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks navable to: Citv of Fridley Attec
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 ty of Fri ey and with the Minnesota Construction Cases; that I understand this is not a
permit but only an application for a permit and work "to start without a permit on site; that the work will be in accordance with the
approved plan in the case of alll k whi requires re and approval of plans.
SIGNATURE OF APPLICANT /y / r A ,, _ ^ WJNT NAME ///.�r► S cel DATE 3 �y �i
Building
Permit Fee
BUILDING
See Back Page for Fee Schedule
Permit No.:
Inspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
$ U Ls
Received By: —`
763-572-3604
$ 3 1 It-
CITY OF FRIDLEY
License Surcharge
Da*""dS ff P ��
763-502-4977 FAX
SAC Charge
$
-
Curb Cut Escrow
$
EFFECTIVE 1-1-2011
Erosion Control
$
p
DATE y - .z.2 //
YOUR E-MAIL ADDRESS At1AAW-0i0L/s, ORS►d46e11**GUdti1mOR0'DI�tC�.G7y
$
SITE ADDRESS /Y% 451° & AY Wi
Sewer Main Charge
THIS APPLICANT IS:
❑ OWNER JOCONTRACTOR
Total Due
PROPERTY OWNER/
NAME: k
TENANT
ADDRESS: /V7 631' &ANI Ar CITY &1si y
STATES AJ ZIP.OY32
PHONE: 7L 3 - S7/- 2190
CONTRACTOR
NAME: 0N0FA^',0 J AliA116Ows
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # 20 diM4 7X LEAD CERT NUMBER
A1.4 r- 4 096 9'- O
AND CERTIFICATE OF
ADDRESS: 5100 AlW✓. /69+/.t sio.li CITYA/&J ND/d STATE#1A)ZIPJ15V2Jf
INSURANCE
PHONE 6 S - 57 - aOZ FAX
PROPERTY TYPE
'ILSINGLE FAMILYMEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PER HT TYPE
RADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
$DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION RLADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: '01010 061Tlb d OF A/ iiw-c D soe 801&0 AW9 PJATFsii
M 4 pfiTJO A001A
SIZE OF IMPROVEMENT
.,
LENGTH WIDTH HEIGHT SQ FT
ROOFING
NUMBER OF SQUARES
❑ HOUSE ONLY
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1.
Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
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
❑soft
ADDITIONS.
1.
& PORCHES SUBMIT:
Site Plan/Survey showing the existing structures
❑ Aluminum
❑ Other
❑ Trim
❑ Fascia
and propos proles
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
INEXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS - PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USIN U B.�EE SCHEDULE)
TOTAL JOB VALUATION $ /.?,.?Do —N OCCUPANCY TYPE
Permit Fee
$ l q. Z5
See Back Page for Fee Schedule
Plan Review
$ aC 51
65% of Building Permit Fee
Fire Surcharge
$ U Ls
.001 times the total job valuation
Surcharge
$ 3 1 It-
.0005 x Permit Valuation Minimum $5.00
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2230 per SAC Unit (Plans to WCC for determination)
-
Curb Cut Escrow
$
ft + 6 ft = ft x $25= $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ 2 I
Make checks uavable to: Citv of Fridlev 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 f)f a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all JWork W2�2 equires review and approval of plan*.
/�
SIGNATURE OF APPLICANT PRINT NAME Lr1/& L"dLL SAM DATE Q- •t R -//
APPROVAL INSPECTOR SIGNATURE
H
a
House
Existing patio door
*All piers 18" w/22" bells*
11'
Existing deck /
/
*Steps & railings to code*
2
3ly-
iRtUN OA(k1 1O`'
FA
Nominal 11' x 11' patio room
with a single slope roof
*Floor joists 2x8 @ 16" OC treated
*Rimmers dbl 2 x8 treated on sides,
3.25x12.375 treated glu-lam on front & back
*Joist hangers on all
*Ledger board attached to house with 5"
Ledgerloks; 2 @ 16"
*Flooring under room 3/4" OSB T&G
*Posts 6 x 6 treated under room, post base
& post to beam connections
*Treated plywood bottom w/R1g fiberglass
insulation in platform
Approx. 19" above grade
I'll have elect
- lsc.
Champion Windows of Minneapolis
CUSTOMER:
5100 Hwy 169 N.; Ste. B
Max & Hilda Finkel
New Hope, MN 55428
147 63rd Way NE
Phone: 763-574-2054
Fridley, MN 55432
Phone: 763-571-2890
Creation date: 9/22/11 Revision date: By: Steve Collier
a-!-
House
Existing patio door
*AII piers 18" w/22" bells*
0
1
11'
N 3' --
Existing deck /
t /
*Steps & railings to code*
FA
Nominal 11' x 11' patio room
with a single slope roof
*Floor joists 2 x8 @ 16" OC treated
*Rimmers dbl 2 x8 treated on sides,
3.25x12.375 treated glu-lam on front & back
*Joist hangers on all
*Ledger board attached to house with 5"
Ledgerloks; 2 @ 16"
*Flooring under room 3/4" OSB T&G
*Posts 6 x 6 treated under room, post base
& post to beam connections
*Treated plywood bottom w/R19 fiberglass
insulation in platform
Approx. 19" above
Champion Windows of Minneapolis
CUSTOMER-
USTOMER5100
5100Hwy 169 N.; Ste. B
Max & Hilda Finkel
New Hope, MN 55428
147 63rd Way NE
Phone: 763-574-2054
Fridley, MN 55432
Phone: 763-571-2890
Creation date: 9/22/11 Revision date: By: Steve Collier
Glass & screen
ELEVATION
ter
Nominal 11' x 1 V patio room
with a single slope roof
*Floor joists 2 x8 @ 16" OC treated
*Rimmers dbl 2 x8 treated on sides,
3.25x12.375 treated glu-lam on front & back
*Joist hangers on all
*Ledger board attached to house with 5"
Ledgerloks; 2 @ 16"
*Flooring under room 3/4" OSB T&G
*Posts 6 x 6 treated under room, post base
& post to beam connections
*Treated plywood bottom w/R19 fiberglass
insulation in platform
Approx. 19" above grade
Champion Windows of Minneapolis
CUSTOMER:
5100 Hwy 169 N.; Ste. B
Max & Hilda Finkel
New Hope, MN 55428
147 63rd Way NE
Phone: 763-574-2054
Fridley, MN 55432
Phone: 763-571-2890
Creation date: 9/22/11 Revision date: By: Steve Collier
Glass & screen
ELEVATION
Nominal 11' x 11' patio room
with a single slope roof
*Floor joists 2 x8 @ 16" OC treated
*Rimmers dbl 2 x8 treated on sides,
3.25x12.375 treated glu-lam on front & back
*Joist hangers on all
*Ledger board attached to house with 5"
Ledgerloks; 2 @ 16"
*Flooring under room 3/4" OSB T&G
*Posts 6 x 6 treated under room, post base
& post to beam connections
*Treated plywood bottom w/R19 fiberglass
insulation in platform
Approx. 19" above grade
Champion Windows of Minneapolis
CUSTOMER:
5100 Hwy 169 N.; Ste. B
Max & Hilda Finkel
New Hope, MN 55428
147 63rd Way NE
Phone: 763-574-2054
Fridley, MN 55432
Phone: 763-571-2890 1" ='V
Creation date: 9/22/11 Revision date: By: Steve Collier
� t
t
S lolinsoll
sarveyor's Certificza��
ate xvCq., 0
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HARRY S. JOHNSON
ROBERT S. MEREDITH
ol
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1062 11 FRANCE AVE, 80 T11
MI N N APOLIS . 0, Mi
NKESOTA
TUXEDO U.2100
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