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WaU GeJing Roof Floor Kiad H�oM► T- 'ee�Vo Yer o 19_ I F1.) ,/�'i Room L.eAsth/ �Wideh w-�leight `� F7 Room LeA ��idtb 1�hnr��� And DaAr�--�rs�ke�a a�nd Ar�e Windowe and Doon--Crsckaee and Airqa �li ei�i a. o ��n` e�i"f . Ares At elfht No, ot ,Lina 1�, l�n� N. ot apA of p�ne 1 hl• al cwaak �a• t. 1Va oC paa o! pane Il�bly o0 �ot�W . a�. � � �°� `- � ., i .. . � �°� �. �,� � .�° �, � °�v° .:� �'° I Coei. Btn ra�t� i sB. Bep lnBlhatio� � J� (D 1n61tratioa �° '� �' � Gl�ea 2 $� C� ��' Glasa �' . Eiep. �vaaU 9- !� � Esp. wall Net e�p, waU � ) � Nec eap. w;aU �+ lnt. wal) In� waU Ceiling .� Ceiling � Floor " � Floor Tolal Btu. . Total Btu. � Required . h. E.D.R. or eq. ine. W.A. l.esder aren Required . k. E.D.R. or aq. ine.'9GA. Leade� nre4 +' Fl. m Lengtb `. Width'� Heighe Fl. Room I I.eugth � �i � 9Viadawa� sad Dooro---Cracka� and Area` Winc�ows nnd Doora—Ccackage aad �►ren Idt liet�4e Na o! LinAal t� Aee� °' tpth 8el�pt Na o! Lfseal Lt. Aro� Na p! ne o qsne ,(tRhta , Ot c�raok �p: [G �'� � �1i pane ot pane ltiht� oi cn k �• � � � . ' .` � � r , � 6�°4 � � �. �/�� - � /�.., �� �'.y� �r` � .� � 1�1 .a� ' ' � � -.1" *� . ,^, �.. ... . ` � � . _ . . . �♦ l . . . In6ltratioa�� � � � In6ltration ;� � '�� � �'�'°' � u Cda� � c� ',�,- Claes ' �� �, waU "'i�'' . Eap.w wall Net eacp: � � ' � � " �� � Net ezp. waA ' � ��' !n� waU � - n� �� _� Ceiling . � �' • s- feiling . ;�.�„ Fic+or � P � :� Floor � . ,'•'� � ��� �i �. . , , . . ` .. ,..�.' n`' �Ot� ��VI ',i; '" ; � , �� ' Required eq. i't, E.D . or �. iu� W.l�. �r. srca Reqair� eq. h. E.D.R or eq. uie: WA. l.eadev eres FI. �Ia Roam Length� .�QVidth `rtf"e�ht ° ` Room I Lengtl�'� Widtl� , � Windtnps and Doora�-Craehege, and Ana ° Wiadowa aad Doors--Crae{tage''a Ares WIdtL Hd�ht No. o� Llnaai tt. Ams � WldtA H01s� Na W Lfosal t1» A� No. pt na at as It�ot� o! crae4 �a. ta , „ No. ot paae o! paoa I�Dht� o! enoM sa• tA. , 7'r '� � � � `� Y 3�' � �" Glu� �____._ �tc�, w�l Net ea�p, 1nt. tasU Ce� !� loor � Tota! Btw - -, R�a•�• �. �.o.�. � �,. �.. w,a t.�aer � Bcn � � Iafilhatioa Glass �acp. wall Net exp. � Iat. well Ceiliag otal Btu. -T _ ,equired eq. k. �.D.R. or sq. �na� W.A. Lrader _�, . � � � ��� �s� c, Btu HOUSE HEA�ING TEST RECORD ADDRESS �� � APT. FLOOR CITY SUBURB � , OCCUPANT � OWNER � HEAT LOSS DATE HTG. I ST. GAS C0. METER BADGE #`� � SOLD BY ,� a r�" INSTALLED BY Electrical Work By Gaa Line By f� TYPE OF HEAT GA FA �° HW STEAM GAS DESIGN MAK E � �� �-� � MAK E Modal � � s�l� � Model Seria l � Max. INPUT � � � � �� MAK Model CONTROLS � THERMOST T` �°�• Heat Plug �� � Valve Limit Limit Setting �- � � Fan Setfing Pilot Ty� Pilot Make � --��-A r Pilot Model Pilot Timing � � "�� - L.W. Cut Off � �' � Prassuro �' ��—Pereant CO2 � input CFH � Pereent 02 �' � Staak Temp. Percent CO � Form 235 SPACE HTR. OF BURNER BTU Rating — E OF FURNACE UNIT H'�R. OTHER CONVERSION Vent Size � KIND OF LINER SIZE�_NONE Drah Hood � a�`—� Regulamr ��'�+... Filters Size�� ���/�lumber � Chimnay Location Inside �° Outaida Chimney Construefion �1�� Smoke Bomb Draft Wiring . Tsst T� Door Pressure Lighting Inst. �° Date Tested � Company Testing Name of Tsster c ,, . . , • , �au sq�� • . •R� . • �(���� . �Q�� � � ,1 � v . ......-�-.:�. � � �ANOKA COUNTY . . G431 UNIVERSITY AVENUE NE September 2, 1975 FRIDLEY, MINN[SOT.� 5��i3� . � , • . � . Minneapolis Po�st Oi'i�_ce Dzpartment � ' . • � . �� Supexintendent o� Delivexy . • � • , 1st & Ti�.r.quctte Aveiiue � ' . � - � p1.i.nneapolis, Minnesota 55402 _ ; _ Re: Change of tiddxess - Effective oct. 1, 1975 ' • Ci.tyr o� Flidley . Geritlemen: � � Sde are listing the follot,�in� change of addxess in the City of Fridl.ey; . � . ' • N�. Mr. Wallace Schwab . � : � � � • FROM• 544 Highway #100 N.E.' . . • " � � T0: 525�Cherr Larie N.E. � , . _ L�G�i D�SCRIPTION • �t 14, �Block 1, tdurdi�c Park ' tde have notiiied tlze occupant of this change and we �aould agpxeciate . � ii. vex�y im�.clz i� you �aould cha�.�ge youx xecoxds accoxdingly. . ' � Sincerely, ' � . • . � . / • . . ' � DL�T.1t�L G . CLLLI:K . � _ � Counnunity DevelopmenC Adm. � AGC /mli , . . ' CC: City �dater l3illin� DepC. • ' Y �City Assessinb DGpzr��ment • •. Minnc�golis. Gas Company - Bxoolclyn Paxk Off3.ce - ' Noxthern S��Les I'owcr Com�zny • � • ' . NorL•hwesCeri� I3e11 Tcle��hone .. , • � CiL-y VbL•cxs ]:egistxat�.on . .Ilomeowner ' • � t� • . �au-sa�u ���:;� �; ��: � . � . . � � � � � . . �� �� _� • , , (j Y /til i -i� 4 . . �� � ' • • . .f :1. �;,�'/TM t'�� � a • �1..���P Q ��'����� . �;' �' 1• �U�ii .u� � � . tf.�"i � _, i� � �� �fj'� �'„�l:ilt��tiy� �� . L�'f.�,Y•''�ji'�� . ' , . � . ' ' J ' '" `'_--� i ' - ANOI<A •COUN7Y � . ,;-' �.�;�'.:r � � ;�._i . =,_, , � �' i�fi , Se tember 2, 1975 . I� � . 6431 UNIYERSITY AVLNUE NE � P FRIDLEY, M1NNiSOTA 55421 . �� ,. ' . �:f .i � , • . , � . . . , . . . , � • � . . ' Mr. Wallace Schwab � " • 544 iiighway #100 PdE � � . , � Fridley, ' .Mn. 5�5421 � � i • �- � _ � � Re: Change oi House Numbers . � � Ef�ective• October l, 1975 � � � Dear �. Schwab: � _ � • , . It has been necessaxy for this of�ice'to change the address �. . of your house . � � . FR024 544 Highway #lOb N.E. TO 525 Cheri Lane N.�E. IlEGAL DESCRIPTI023. ' Lot 14, Block l, Murdix Park . � • � . . . � . • . � �' � � j4e have notified the Post Office Department, Minneapolis Gas � �j . Company, •Northern States PoH�er• Cor,•zpany, .Ilortht�estern Bell Telephone � .� ,. Company and various departments in City hall o� this change. . ' ' � � Sincerely, � , , � DAR � G. CL1�Rli ' . ' Coramunity Development Adm. .� • � ' ' � DGC/mh • . � . . - ' � . � � ' t . . • . ,` . . . ' . . • . . . . • . . , n � .' , . • „..,� SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i � � �• COMMUNITY DEVEIOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. � __�- r s " ; � , � � �"'1 � CITY HALL FRIDLE� 55432 NUbIBER REV, DATE �""� � �'� 612-571-3450 910-F15 4/1/91 J08 ADDRESS 525 Cheri Lane NE 1 LEGAL LOT NO. 14 BLOC i TRACT OR ADOITION oescR. Murdix Park 2 PROPERTY OWNER MAIL ADDRESS Wally Shawab 525 Chexi Lane NE 3 CONTRACTOR MAILADDRESS Stock Roo�ing Inc. 289 Liberty 5"treet NE, Fridley 4 ARCHITECT OR DESIGNER MAIL ADDFiESS 5 ENGINEER B USE OF BUILDING Residential 7 CLASS OF WORK MAIL ADDRESS 21P ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR B DESCRIBE WORK Rexoo� -- Tearo�� and xe�a;oc�� (_16 Squaxes, 9 CHANGE OFUSEFROM TO STIPULATIONS r TYPE OF CONSr. SEPARATE PERMITS ARE HEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i AUTHORIZED IS NOT COMMENCEO WITHIN 60 DAYS, OH IF CONSTFUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WOHK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION �' AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $8�2 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $23. Qd S R CTIOfJ OR THE PERFO ANCE OF CONSTRUCTION. PLAN CHECK FEE �" � � SIGNATURE OF CON i RACTOR OR AUTMORIZED AGENT IDATEI WHEN F �DATEi SO. VAGE OF � � 207� R . 3 9�93 APPROVED BY SEE ATTACHED SHEET PHONE LICENSE NO. 780^3561 PHONE LICENSE NO. PNONE LICENSE NO. O MOVE ❑ REMOVE OCCUPANCYLOAD CU. FT. OFFSTHEET PARKING STALLS GARAGES SURTAX $,50 SAC CHARGE Fire SC $.83 TOTA FEE ��#,33 IT l��:J ;`,,` ���. L� � � [] 1�1 AND R-2 Builciing Piermit Applicatiaai Do�structiaaz Addre�s: �Sca S ��e�i �t�J ' Effective 1/1/91 Ie�gal Descriptian: O�ar�ex Name & Addr+�: ��r9�1�/ s��c� �cJ�.� 'rel. # �ntractor: 57��� �ooti� ��,c.c �, # ?�-,�56i , aaa. �: � S'� �'�G�� �,� �,�: � F,�,�%y Attarh to thi,s applicatian, a C7ertificate of Survey of the lot, with the propo�ed co�cticai clrawn on it to scale. ., - L1VII�1G �i: I�ngtil Width Height Sq. Ft. C�RAGE ARF�: Iength Width Height Sq. Ft. D�F3CR AR�: Ie�tli Width Hgt/Gro0.u�d Sq. F't. O�R: �P/1ve�t� /(o Cbrner Iat [] Inside Iat [] Ft. Yd Setback Side Yard SetbacJss Type of Cbnstructioai: Fstimat�ed �ost: $ _��-�F�`= �— .�� Approx. C�npletion Date: Propo� �iveway Width If New Openirig Is Desired: Ft. $ $ Width + 6' See Back Page DATE: ��Q� � � APP'LSCANT: ���2 � Zie1. # 7�� 7� s9 P�ermit Fee $ o� � . � � Fire Sumharge $ � State Sum.harge $ , � SAC C�rge $ Driveway Escrdw $ Park Fee $ Sewer' Main C�]31�ge $ . �. ���: s �� � CITY OSE �Y Fee Sdiedule aai Revez�e Side .001 x PeYmi.t Valuatiaa'i (1/lOth �) $.50/$1,000 Valuatian $650 per SAC Unit Alt. °A° Or Alt. °B" AboVe Fee DetP„�10it1ed by �i rr.+r�ri m Agre�nent Neoessaly [ ] Not Necessary [ ] :'��_� ��� i�!�y�4 ��` ='�:i�+�_�1 : Zhe Cizief Buildiriq Official shal.l, before issuiriq permits for tl�e erectio� of any �; � dir�g or st�uc4�re, or fcr arYy additian to any e�o.stit�q builclir�g or stnicture, or for any alteratiaal cr repair to ariy exist,iriq buildirig or �e, ug�on applicatioaz therefore, �ire tl�e payment by ti�e applicarYt for sudi petimit of fees to the amaa�nt hereiil belc�w set fozth a17d in the mar,,,pr � p�i,d,eci to-wit: 'IdI'AL VAIIJE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 tfl $500,000 �a,�. $15 (Mini� Fee is $15 plus s�ci�aYge) $15 for fiust $500 plus $2 for each ac�ditio�al $100 or frdCtiaai ther+eof, to at�d inCluding $2, 000 $45 far fiYSt $2, 000 plus $9 for each additiorial $l, 000 oY' frdCtiCai thei�eof, to ar�d including $25, 000 $252 for first $25,000 plus $6.50 for each additioa�al $1,000 or fractiaai thereof, tfl and inclu�dirrg $50, 000 $414.50 far first $50,000 plus $4.50 for each additional $l, 000 or fractiaa'i th�i�eof, to ar�d iricluding $100, 000 $639.50 for first $100,000 plus $3.50 for each additional $1, 000 or fractioal th�x�eof, to azd including $500, 000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $l, 000 or fract io�'i thereof, to at�d inCluding $l, 000, 000 $1, 000, 001 ar�d up $3539 . 50 for the first $1, 000, 000 plus $2 for each acklitional $1, 000 or fractioa� thereof n�tlVE�i lY �;P�BI�T �W {C7oa�rete �rb Streets On1Y) Alternate "A" : Removal ar�d repla�xit of curb ar�d gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Reimval ar�d replave�ent of curb and gutter arid ir�tall a 3 foot wide agproach with 6 indz depth -�iveway width plus 6 feet times 515.75. � :�� .� ..r_ .: .�- -.��� �� � .: P�mits fOr �truc:tiCal Will b2 iSSU,ed a minim�m of 24 hanlr5 f2+c�n the time of ap�lication to allaw for proper review of the propoe,ed structure and of the oonstsuction site. A C7eztificate of Survey of the lat, st�owirig the locatioa� of the fau�dation aQxz it has it has be�n oonstYUCt�rl will be required before prooeeding with the fiaming. ��`� /'� � * � D �� � ? a �y 3 � 0 N � y N N 7 n � a O � O � �� °-•'� �• � � � v °' � �. � � �e �- c� � � c� � � s 0 c ..+ � " � v' � rn -�'+ c o� z � a �„ �v .,, < r= � vT n z =� °z Z < n � -a 0 4 � a. � 1��+ � m z � -v n � O Z "r1 m m � V 0 0 � _ 1 PT��1� a�� ��3 � � ��� Z ''� �a� m�Z t'f .� �2= v _ =i -i �" O Z �Z� m�o -p O �� 3� =� � �� � �� °o= --�I rn r �� �f �, � �r �� � � _ � �,� �. �� ►r o �3 p� � -. o, c►. a�i � � C °. � v i' '� — N� � c -. a �- .�• � � r � -n � rn � m � 69 � �� �� � cD �` � � v rD c�p � �; c � N � � ��.°-� OJ rt+' � N N (lb�•fD 5 n- d � °� � � � O '1 a a 4- � �o� � � � N �1j� � (�D d � H 41 �' i:l. 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N O z 0 � � � < � O 7 . c_ DJ � c w � N O O � 0 COMMON VENT. VENT CONfV��TOR AND COMBUSTION AlR dERIFICATION �lihen replactng an extsting fu_ rance,, th� undersi9ned hereby verifies that the ',ntlng has been examined and is free frmm rust, deterioration, obstrudions, and is secure{y supported and firestoppe� wh�re required. Yes � No (} The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and tsrmination. Yes () No ¢g The undersigned also verifres that the replacement unit is a listed assemb{y and meets the current codes and manufa�turer's spec�cations. This does include AGA-GAMA Category I CenVat �umace Venting Tables for fan assisted and natural draft appliances. The existins� combu�tion air is sized art� installed to meet the cuRent codes and manufacturer's specifications. When �equired to install a new combus ion air. it wil! be sized and installed to meet the cuRent ccdes and manufacture�'s specifications. Yes � No { ) Yss ( } No (� Yes� No ( When installing a new venting sYSte+m, the undersigned hereby verifies that it is a listed assembly and meets the current cades and manufacturer's specifications. This da8s include AGA GrAMA Category 1 Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes (� No () !s the common vent and vent connectors siaed and installed correctly after !'��, appliance has been removed from the common vent and vented .aparately as per current codes. Yes � No () Aaaliance Tvpe and Si�elCommon Vent �nd Vent Connector Information Appliance #1 Type u r��� BTU input �� � ooa Fan Assisted or Nat ��� Appliance #2 Type �� � �cr�— BTU Input �lE-9. Gv� _ Fan Assisted or Nat �s= Appliance #3 Type BTU Input Fan Assis#ed or Nat � Total Appliances �. Totaf Btu Input t�c� ; e� Common Vent Type ���� �c�r T�L� Vent Height ��? _. Diameter .� `� inches u Appliance #1 Vent Connector Height ��_,�ft Length ft Diameter ,�_in Type � b�'���'� Appliance #2 Vent Connector Height ,�_ft Length y ft Diameter �in Type ��C App(iance #3 Vent Connector Height ft Length ft Diameter in Type ALTEI7ATIONS• {Describe) d r��To�,L (�a�iMwt,=y Li� t��u� � r,��u�- �ir�n�y � c,-�. .�1.�--r� i � r..,�iEATING , �igned By: uate : �� 04/02/2004 F1tI 13:21 FA% �-�3 ELI?ER JONE9 y�� � ���02 f�7j001/001 ' • . • .. . . . . . • . .. ' . ' • • a���'� � - : �5�.� �� � : :. .. .- N� �� CITY OF Ff�IDLEY Effec�ive 4/1/2004 ADDN [ J � •Q43'1 Universiiy A�e NE, Frldley, MN 55432 � �-� I 2 SING4.E FAMILY AND DUPLEXES R-�[ AND R 2 ��� $7Z-3�Q4 g�dg Insp BUILDING PERMITAPPLICATION ��? ����28p Fax ConstruGtion Address: � legaf Description: Owner Name � Address: � ` �t�-�. Y'i�OS - �" TeL # � (o ` .� . Ga� 2-� Contraotor. � The Home Depot A.H.S. Inc. MN LICENS�# Addr�ss: 3200 Cobb Galleria Pkwy. Atlanta, GA 30339 Te1. # 763-542-8826 � Certificate of Survey of the License #20268257 truction drawn on it to scale, . DESCRIp71'�ON OF IMPROVEMEN7 LMN� AREq; GARAGE AREA: DECK AREA: o-r�t�z: Len9� Width _____,_ Height __ Sp. Ft LengEf� --__. �� Height,__ Sq. Fi Length �dth �______,__ Hgt/Ground Sq. Ft .�.n �1� � I r. ��.,.1.,. . � � . n. - - - •- i� - Construction Type: Estimated �$ ��� �(5 � priveway Curb Cut Width �l��d�d: Ft, + 6 Ft =__Ft x$ -$ DATE: ,�,�� APPLICANT: Tel. # R�j� � �J �I S � �O � � Cal� (7E3) 672-3604 for perrr�it F'e�s if rr���e �� �Pp���on. F�x to 763-571-7287 if using crerlit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge Llcense Surcharge Curb Cui Escrow Erosion Corrtrol Park Fee Sewer Main Charge T07AL � CI1Y USE ONLY- �—�.�� Fee Schedufe on Reverse Side � 65% of Permit Fee $ � • `�0 , .007 of Permit Vatuation (1/'I Oih%) $_ • �-o $.50/$1,000 Valuation � $ $1350 per SAC Unit $ 5- �� $5.00 (Staie Licensed Residential Contra�torsj g AI� ►�A�� or AI�. °B�� qbove $ $450.00 Conservation Plan Review $ Fee Determined by Engineering � , Agreement Necessary [ ] Not Necessary [ ] $— ��� �� STIPUTATipNS;