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i�EAT 409S CAL�ULHTIONS DEPAIiTMENT OF INSPECTION NIIMNEA'
'Weatharatript, A.S.H. . Conetructioa No, luauistioa
Guide
V�ndcw� Doore Referep�e Out. Wsll Iat. 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 .. . � �°�
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°�v° .:� �'° I
Coei. Btn
ra�t�
i
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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 �• �
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. _ . . . �♦ 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�
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�tc�, w�l
Net ea�p,
1nt. tasU
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!� loor
�
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R�a•�• �. �.o.�. � �,. �.. w,a t.�aer �
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� Iafilhatioa
Glass
�acp. wall
Net exp. �
Iat. well
Ceiliag
otal Btu. -T _
,equired eq. k. �.D.R. or sq. �na� W.A. Lrader
_�, .
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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.
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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;