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CALVIN H. HEDIIlND
�./ttd .iYrll�jl0t � �Y�1 �1t�fIN1
surve o►r`s G'ert� �cate
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4818 Owrlpok Ldca Cirete
Bloominpton, Minrteota 88437
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SuRV�1► FOR�B & 1V Construction 106 NO,
DESCroe� �5� The Wes��rly 80 feet of t�e Easterly 353 Peet of Lot 14,
Auditors Subc�ivision No. 12�, Ciiy og Friclley„ Cour�ty�
Niinnesata, and res�rvin� easem�nts oT recorc3. ,�fi�/a,�iq _
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CEtiTff ICATE OF SiJRVEY
I hereby certify thac on ¢�/� �%� I surveyed the prope�cy described above
and chat the above plat i� a correct repreaentation of said eurvey.
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Calvin H. Hedlund, Ninn. Keg. No. 5942
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SUBJECT .
City of Fridley � 1347
AT THE TOP OF THE TWINS g U i L D I N G P E R M I T
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� �, L_��� COMMUNITY DEVELOPMENT DIV. R �d': �0')�J�
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� � PROTECTIVE INSPECTION SEC.
1 ; �
�` � /"��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY
•�•«� � ,•� 812-580-3450
910-F15 4/23/76 � �
JOB ADDRESS 1341 Fireside Drive N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. Pdl't �.4 A.S. #�.29 SHEET
2 PROPERTY OWNER MAIL ADDRESS Z�P PHONE
Craig Vargo
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
B& N Construction 6461 Bluebird Circle, Maple Grove, Mn. 559-5106
4 ARCHITEC70RDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential �
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK �,
Construct a 40' x 25' 6" Dwelling and a 30' 4" x 22' 4" Garage j�fQ�� .���'_�' ;�,'�, �
�jy� °'�� ��, ,`�0'�� ��
ERMITS RE UIRED FOR �Pl1RIf�G, �R� �� _ �
9 CHANGE OF USE FROM �� er'��F,f^, .
HEATING, PLUI��ING AND Sj�IVS. ��� �'.�>� ,..,,
STIPULA�IONS provide a haxd surface driveway. Provide sod in the front and sid�� �- c
yards. Provide a verifying survey before cappi.ng. Provide truss design. Setba.ck�'�
for front yard to be a minimum of 35 feet.
SEWER LOCATION(Approx. 10' Deep? 223' East of Manhole (E. Inv. 883.24)
WYE ELEV: 884.51
TOP OF FOOTING: 888.01 Minimum
WATER LCOATION: Must be tapped - 6" watermain 15' South of South property line of
Lot 14
Fs�a��,�r ���s r:oT G�A�:�rsT�: Ta�� —Cd.��'��CT��3�"-0
Tp�E CITY �oF ��Blii LOCPaTlO�lS A&>:p E9.�R'A"i+i.
�CCU[tA�lf f�OTI�Y ii-IC FRlDLEY ENGI�.
Ty�45 ��T�► IS FO� Q SHQU TIO �� "i�fE IN�°OtVt2M�'+7JOP1 �BVISE01� f�EGAi�DIRI� CU��
p�Ft50�dS USING IT RENI�V�1L AN� REPLACEf�i`fJT
�N TH� SITE. !�T DFdIVEWAY GF`�PdfNGS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOCI Fi31n@
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING Sa. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPEWDED OR ABANDONED FOR A PERIOD OF 720 DAYS AT R—�. �.OZO '�' GGO ZO� %84 + 66 0
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PAFKING
I HEREBY CERTIFY THAT I HAVE REAO 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. $33 � 2SO $�-G. C3
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE
PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON- �+SO.66 $350.00
ST O THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
��f $417.29
SIGNATUiiEOFCONTRACTOflORAUTHORIZEDAGENT IOATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
c I JLAsLJUL�i ���2� "Y �� ���_
SIGNATUREOFOWNER(IFOWNERBUILDERI IDATEI BLOG INSP DATE
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AP.PLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllITION BUILDING PEItMIT
CITY OF FRIDLEY, MINNESOTA
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.OWNER' S NAME :� i� �- I ,�i i' BUILDER .��
ADDRESS : ADDRESS : [C� � �P/ �((?� E � t i�' � �c ��- ��
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NO • . /ol � STREET : �.J�Q��+JLsI� �URA1.1��
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LOT � � BLOCK: �— ADDITION : � � / o� �
CORNER LOT: INSIDE LOT: J— SETBACK: SID�YARD:
Applicant attach to this form �ao Certificates of Surveg of Lot aad propo:ed
building location drawn on these Certificates.
HESCRIPTION OF BUILDING
To Be Used As;
r � �,
�� c? � (� Front : � Depth : a� � � Height : �C� /
Square Feet: /6Z� Cubic Feet:�%j��
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�/� f�C .L`� Front • � a � � !� Depth : � � `� •f Heighi • �0 /
Square Feet; � � o Cubic �eet: �;� � �
�pe of Construction: �-��e� ��i� l'9-�t � Estimated Cost: $"'i�v`°`i � � o���
To Be Completed: �� �� IC S � ��� °� • �
The undersigned hereby makes applicativn for a permit for the work herein
specified, agreeing to do all work in stiict 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.
:v��� .
� � DATE : � �'" � / C� ' % � SIGNATtJRE . � �°l� �
V �� � �" / �/
(See Reverse Side For Additional Information.) ,.� � ,��" �"' ��!
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building or structure, or for any addition to any existing
building or structure, or for any alteration or repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant for such penait ot fees to the amount herein below set forth and in
the manner herein provided to-wit:
'UNIFORM BUILDING CODE: 1j�pe 1, 2& 4-$2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of aziy building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
ox the cellar to the average heights of the upper surface or to the average�
�height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee sha11 be at the
xate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the 'cost of all proposed work. �
Tn no case shall the fee charged for any permit as set forth ix� Section 2 be
less than $5.00.
VERIFICATION-OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours from the
time of application, to allow for proper review of the proposed stxucture and
of the construc�ion site.
A CerCified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be xequired before proceedin� with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate �f Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
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CALVtN H. HEDLIJND
l�nd Suw�yor � Clvil Er�ne�
�'urve ar�s G'er�� �cate
ds�s o,�.i� �.k� ca.�.
8loominOton, Minnesob 66437
888-2080
sURV�r poR��3 & N Con�truction �Oe No.
oESC�e� �S� The Weaterly a0 feet o�' the E�aterly 353 feet of Lot 14,
Auc3it�rs Subdivi�ian No, 129,� City o�; Fridley, �I�� Caui�tS',
Minnesat�, �nd reser�ving easernenta �i' r��ord � �� �
`1�1AR�1NC
8efprs �i��in� call local utiliti��
TE{.E�H�PJ� e ���CTRIC - GAS Et�s
�������� �� � ��
������TANT-
����' �HE FRIDLEY ENGR.
@IVI�31�N t��GARDING CURB
A�M@Y�l� AND REPLACEMENT
�fi @�1�4�WAY QP�NIN(�S,
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fl�� ��� �� f�i�L�Y �O�S RI T�GUTAR�NIEE THE
�lE.���� �� UTILIII( LOCA710 S AND EI.EVATIONS.
j�9s �fi� I� ��� IMPO�►TION URPpSES ONLY AND
�'EI�SOI�S �1S��jg � SbQU�,p YERI 'i'{-fE WFORAAATION
ON TFjE SRE
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I hereby certify that on ¢%/�% 7� I surveyed the property deacribed above
and that Che above plat is a�correct repre�entation of �aid survey.
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8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINN.ESOiA 55432
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: Nau
:ucti.on
:d Circle
Maple Gx°ov�o Mn. 55369
Reo Proposed. Walkout a�k Z341 Fireside Drive �oE.
Dear Mro LiTaus
TELEPHONE ( 612)5T1-3450
I was �al�e�, �o �►ake a�oo�ing inspection at �341 FiresYde Dri�e an A��r�.�. 2�'e
1976e �t is quite apparerit after ],00king at the site tha� yous grQ�sai �
cons�ruct �. �ail�out sp],it foye.r dQes nat ¢i� the terra�.n o� the Zot.
It is Frid],ey°s policy to �nly allow wallcouts wYxere they are high enouqh to
surface c]xai.ri ta a�ear or front lot li.ne. In order to accomplis}� that on.
this_ loto you would have to place the basement �loor 4 or 5 caturses a� biocl�
above the foo�ing �levation. I sincerely believe this would be an isijus�i,ce
to the p�ospecti.ve isuyer and that it would better fit the terrain i€ the
walkout wer� �liiainated.
The house basement floo� shoul,d be 18 fio ?.4 inci�,es abesve ihe stree� and �khis
would mean that there would be two full staries of exposure or a f�ont gard
and driveway a good distance abqve the street meaning you wouZd have i:o haul
in an enorawus amount of extra �ill.
Prior to continuinq the construction with a walkout plan, please aon�Cact me
so �hat the City may be assurec7 that proper draialage for the walkout will.
be provided. If you alter your plan to eliminate the �aalkont, pTease proceed
as xaorma]..
If you have any ques�ions on this matter, please feel free to cczntact me at
571-3450�
Since�ely,
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RREL G. CLARK
Community Development Adta.
:- _;�DGe/�
- s�� CG: Mr. Craig Vargo
`�` �� 241 - 99th Avenue N.E.
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Weatherstnps A.S.H.`✓.E. Construction'+.o.
Windows Doors ReG�e�ce put• Wall Int. Wall Ceil;ng �
c Roof Floor I(irtd
Yes-No Yes-No �g I
FI R ,�
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PAINNEAPOLi�. !41lNiV.
e
Insulation
HOw �C; ied
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Floor • Floor
Total Btu. �� "� Total Btu.
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IPJindows and Doors-Crackage and Area
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Infiltration
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Windows ��S Referenee �ut. Walf Int. Wall Ceiting � Roof Fioor Kind How:.ppi�ed
Yes-No Yes-No 19 ; �
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- Int. wall
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Total Btu.
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Glass
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= Total Btu. �ys� ,� tja T;,tal 3tu.
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= Required sq, it. E.D.R, or sq. i^s. �'�'.A. Leader area R�U;red sa. `t. E,O.R, or sq. ins. W.A. Leader area
r
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September 9, 1976
^i. F' F ��� �� 4� « � yy�e>
_ —r
6431 UAJIVEF�SITY AVENUE' N.E., FRtDLEY, MINNESOTA 55432
TELEPHOPIE { 612)571-3450
B & N Construction
6461 Bluebird Circle
Maple Grove, Mn. 55369
Re: FinaT Inspection at 1341 Fireside Drive N.Ee
Dear Sirs:
An inspection on Sertember 8, 1976 of the above address noted tiZe fo�.lowing
ite�s that must be completed before the house can be finaled out;
l. L;ontact subcon�ractors to call in for final inspections.
2. Post house address on outside of structure wall.
3. Provide door closer on door between house and garage.
4. Provide verifyi.ng survey.
5. Provide sod in the front and side yazds.
We will expect items 1, 2, 3, and 4 to be completed._by Septeaiber 30, 1976
and item 5 to be completed by November l, 1976. Please contaot us if any
problems arise that will prevent you from completing these items by the
appointed dates. �
Reinspections will be conducted on or about the appointed dates to
determine compliance.
Sincerely,
DARREL G. CLARK
Community Development Adm.
DGC/mh
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� '�° � 4 8 2
� CITY OF FRIDLEY
0
PUBLIC WORKS DEPARTMENT
TAPPING APPLICATION AND PERNIIT
FOR INSTALLATION OF WATER & SEWER SERVICE
I) This form to be completed before a tap is made to any esisting water or
sewer line.
Lot � `, lock Addition +���� •� i�?
Address /� 'S�/ ,� ��'�� � e�.ec� �, � .
Owaer _
Plumber
CHARGES TO BE PAID BEFORE TAP IS MADE — V✓HERE
ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY
II) Water & sewer connection permit must be registered before this Tapping
Permit can be issued.
City supplies all material and labor for 1" or under watet tap. Con-
tractor supplies all material and labor for water tap over 1", and all
sewer taps.
WATER TAP:
SEWER TAP:
Materials Used: $ /'o?�'a �
Stteet Patch: s��; $_� D ta � d�
TOTAL: $ � � �'
Street Patch: R : $
III) If this property has not paid a full Lateral Charge for its share of the
water and sewer system, additional charges will be placed against it.
This will be in addition to the normal connection and tapping permits,
meter deposits, etc.
Water
ASSESSMENTS TO BE LEVIID: Lateral: $
Sewer Lateral: $
TOTAL ASSESSMENT: $
Clerks Signatute ' ,�
Supt. of Public Works
M/P 3/76 Whfte P.W. Canary Finance Pink Prop. Owner Goldenrod Plumber
GEO. SEDGWICK HTG. & AIR COND. CO. �_ ��� ��
HOUSE HEATING TEST RECORD
ADDRESS O� �� ��-!����� CITY �— .
OCCUPAAIT OW NE R
HEAT LOSS DATE HTG. INST. ,� d
SOLD BY INSTALLED BY_���,��
Electrical Work By Gas Line By ``� ��
TYPE OF HEAT GA_ FA HW_ STEAM SPACE HTR. UNIT HTR. OTHER_
GAS DESIGN CONVERSIOIV
MAKE ��19,'� MAKE OF BURIVER
Model --- �/i�� � ,//l� Model
Serial Max. BTU Rating
INPUT ����d D MAKE OF FURNACE
Model
CONTROLS
THE,RMOSTAT� Heat Plug
Valve �X� � I �
Limit , �L % �
Limit Setting � ��
Fan Setting ��
Pilot Type ��
Pilot Make
Vent Size ���'' .�-o- � �
KIND OF LINER ��_ SIZE_�� NONE
Draft Hood - l/�A`��C l Regulator �-r/�e.�°��Qr /'
Filters Size �����`� Number �
Chimney Location inside � Outside
Chimney Construcrion
Pilot Model Smoke Bomb Wiring -�
Pilot Timing ���-�� � Draft �°S` Test Taa _a
L.W. Cut Off Door Pressure Lighting Inst. �✓
Pressure -�- � Percent CO2i t ? � %�gSDate Tested �� �
Input CFH di� Percent O� ��-3 �P -� �-sCompany Testing
Stack Temp. ��� Percent CO ���•� ���� Name of Tester --�
Form 235
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.� ��., dt." ' �� �i �{.�.
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'���. V ���I .
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l
� ! May 23, 1977
J;� �;�.
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8431 UWIVERSITY AVENUE N.E.� FRIDLEY, MINNESOT'A 56432
• . TELEPHONE ( 812)571-3450
B & N Construction
6461 Bluebird Circle
Ma.ple Grove, Mn. 55369
Re: 1341 Fireside Drive N.E., Fridley, Mn.
Dear Sirs:
A letter was written to you on September 9, 1976, asking you to submit
to this office a co�y of the verifying survey for the above address.
As of today, we have not received this survey. ��Te would appreciate
yo.ur prompt attention to getting this.survey submitted to us so we in
turn �an fina.l out our records. _
If you have any questions on this ma.tter, please feel free to cor�tact
me at 571-3450.
Sincerely,
RON HOLDEN
Building Inspecto�+
RH/mh
I
��
sue�ecr PE 1 .
City of Fridley 17 8 91
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RE .
� `L _ COMMUNITY DEVELOPMENT DIV. /� / ��
r � � PROTECTIVE INSPECTION SEC.
� ` �
� /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. �ATE PAGE OF APPROVED BV
�""� � ,�� 612-571-3450 g10-F15
4/4/85 / /
JOB ADDRESS 1341 Fi resi de Dri ve
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oESCR. Part of Lo 14 A. S. No. 129 SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Debbie Vargo 1341 Fireside Drive N.E. 784-2954
3 CONTRACTOR MAIL ADDRESS Z�P ,fj,0,(VE6523UCENSE NO.
Pilgrim Remodeling 10091 Pilgr�m Way `���
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
residential
7 CLASS OF WOHK
❑ NEW O ADDITION � ALTERATION �] REPAIR � MOVE O REMOVE
8 DESCRIBE WORK
install 2 patio storm doors, new gutters, patch roof, etc.
9 CHANOEOFUSEFROM TO
STIPULATIONS ,
SEPARATE PERMITS ARE REQUIRED FOR ELECTHICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. M�SC.
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO 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 WHETH SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT HOO.00 .'rJO
DOES NOT SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIO AN R LOCAL LAW REGULATING coN- 15.00
STRUCTI T ANCE O CONSTRUCTION.
� PLAN CHECK FEE TOTAI. FEE
15.50
ATUii OF CON7FACTOR OR AUTHORIZED AGEN7 1 ATEI N PROPERLY VA�I ATED THIS IS� PEFj�MITr
.,--� . /p�
SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI BLOG INSP �p fjATE
/"i �v
p�„1 [ j Citq of Fridley Effective 4/1/84
ADDN. [ ] R-1 AHD R-2
pLTER. I 7 Building Permit Applieation
Construction Address: �� `�� ��.��-.G-� N`�`"`
Legal Description: '�-�/ /'�S• �/
Owner Name & Address: � �� r, ���� /�`g��°� �el. � �� - �
Contractor: � � � /� Tel. f� S� i��
wddreas: � `�� � � '�� � �
Attach to this application� a Certiflcate of Survey of the
lot� With the proposed construction draWn on it to scale.
LIVII�IG AREA:
QARAGE AREA:
DECB AREA:
OTHER:
DESCRIPTIOH OF D�lPBOYEI�+�NT
Length Width Height
Length Yidth Height
Length , Yidth 8gt/Ground
�� � _.� .. � � �C��� — /P��.t �
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [) Ft. Yd. Setback Side Yard Setbaek
,��Od"%' e�
Type of Construction: Estimated Cost: � ��
Approx. Completion Date:
Alt. A Alt B
Proposed Drivexay Yidth If New Opening Is Desired: a �
,� _ See Back Page for Explanation
�
DATE: `� � � ' �S APPLICANT:
Permit Fee
Plan Check
State Surcharge
3AC Charge
Park Fee
Sever !lain Charge
ZoraL
STIPULATIONS:
; fS o D
�
� g-z�
�
a
�
a '�/ ��'sv
/�'��
Tel. � !�� ���
Fee Schedule on Reverse Side
25x of Building Permit Fee
�.50/�1,000 9aluation
�425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ � Not Necessary [ ]
BIIII.DIZIG PERMIT FEE SCHSDIILE
The Chief Building Official shall, before issuing permits for the erection of any
building or structure, or for any addition to any existing building or structure, or
for any alteration or repair to any existing building or structure� upon applicatio n
therefore, require the payment by the applicant for such permit of fees to the amount
herein belrnr set forth and in the manner herein provided to-�it:
Total Yaluation
51.00 to �500.00
Fees
a10.00 (Minimum Fee is �15.00)
�501.00 to �2,000.00 �10.00 for the first �500 plus �1.50 for each
additional �100 or fraction thereof� to and including
a2,000.
�2�001.00 to a25,000.00 a32•50 for the first �2�000 plus �6.00 for each
� additional �1,000 or fraction thereof, to and
including �25,000.
�25,00,.0o to a5o,000.00
�50,001.00 to �100�000.00
�100�001.00 and up
�170.50 for the first
additional �1,000 or
including �50,000.
�283•00 for the first
additional =1�000 or
including �100,000.
�25,000 plus �4.50 for each
fraction thereof, to and
�50,000 plus �3.00 for each
fraction thereof� to and
5433.00 for the first �100,000 plus �2.50 for each
additional �1,000 or fraction thereof.
DRIVEWAY DEPRESSION ESCROii
(Concrete Curb Streets Only)
. Alternate "A": Removal and replacement of curb and gutter only - DriveWay Width plus
'6 feet times �13•50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach t�ith 6 inch depth - DriveWay xidth plus 6 feet times �15.75
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of
application to alloW for proper revieW of the proposed structure and of the
coastruction site.
A CertiPicate of Survey of the lot� shoWing the location of the foundation once it
has beea aonstructed Will be required before proceeding with the framing.
SuBJECT �� �— �
City of Fridley � � � � � 6 ,
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� i y_� COMMUNITY DEVELOPMENT DIV
r � � PROTECTIVE INSPECTION SEC �� �
1 ' ����1 � CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE Of APPROVED BV
�""�" ,'' 612-571-3450 910-F15
2/22/95 / /
JOB ADDRESS 1341 Fireside Drive NE
1 LEGAL �OT NO. BLOCK THACT OR ADDITION SEE ATTACHED
DESCR. Pt. 14 Aud. Sub. �i�129 SHEET
2 PROPEHTY OWNER MAIL ADDRESS ZIP PHONE
Debbie Vargo 1341 Fireside Drive NE 784-2954
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
PTL Contracting 2526 N Ferr St, Anoka 55303 323-7400 5244
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO
5 ENGINEER MAtL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House (28 S uares) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with tihe State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTfiUCTION 20NING S�. FT. CU. fT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OH WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. 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 SUfiTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2 IOO I..OS
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 �S�F.00 Fire SC �Z. LO
PLAN CHECK FEE TOTAL FEE
License SC $5.00 $62.15
S N ua " " n RORAUTN iZEDaGENT �DATE� WHEN PqOP LY VAUpATED THI$ IS YOUR PERMIT
Cw" � '' o /i /p � � �
rsv _
S�GNATURE FOWNE OWNERBU�IDERi IDATE� LDG �NS� f�4 E
NEW
ADDN
ALTER
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: � �� f /-� /� �,J`� �%(� ,�Ji�
Legal Description:
Effective 1/1/95
��5��
Owner Name & Address: ��„� /��-/�O Tel. # %� �,2�5�
Contractor: %/ � G �, C.1'� � ✓� MN LICENSE �� -lj���
Address: � � U Tel. # � � - %��
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey o�```t`h�'e
lot, with the pro�sed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Width HgtlGround
�a���_ 2� �� F��c� S�—.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Comer Lot [] Inside Lot [] Ft. Yd ck Side Yard Setbacks
�' �/DD �o
Type of Construcdon: -E�i !=G - C� Estimated Cost: $ _
Approx. Completion Date: '�-2� - S �
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + Ft �, x$ _$
DATE: -o�� APPLICANT: G' , , Tel. # ^��? -� � ��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ ,�y �a
$ � . �t�
$ /• �' �
$
$ � �'G�
$
$
$
$
� ��r. �s`
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Pem►it Valuation (1/lOth%)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.00 (State Licens� Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
y
13U1LDING Pt:RMC(' i�EL' SCHEDULi3
l�h�: Cl�i::f l3uildin}; 011icial shall, tx;forc issuing permits for ihe ercclion of any building or stn�clurc,
��r ti�r any a�iciitic>n tu any existing buildint; or structure, or for any alteration or repair to any existin�;
I�uiliiing c�r su-ucturc, u�n app(ication therefore, rc:quire tfie payment by the applicant for such �ermit
c�l� f�c:.ti tc� thc; amount hercin t�elbw sct f<>rth and in thc manner I�erein pmvidc:ci to-wil:
"l'O"FAL VAI_UE
� t to �500
$SO1 to �2,000
�2,001 to �25,OQ0
�25;001 to SS0,000 • .
�50,001 to �100,000
$100,001 to �500,040
$500,001 to $1,000,000� -
$1,00�,001 and up
r-rt:s
$15 (Minia�um Fec is $15 pius surcharge)
$15 for first $5(}0 plus $2 for each additional $100 or
fraction thereof, to and including $2,000 �
$45 for first $2,000 plus $9 for each additionat �1;OIX3
or fraction thereof, to and including 525,000 '
$252 for fust� $25,000 pt�s $6_SO far each additionaI $1;000
or fraction thereof, to. and including $50,000
$414_50 for fust $50,000 plus $4S0 for each additional
$1,000 or fractioa thereof, to and including $100,000
$639.50 for fust -$100,OU0 plus� $3_50 for each additional-
$1,000 or fradion diereof, to and includiug -$500,000
$203950 for the fYrst $�?0,000 plas $3 for eadi addition,al
$1,000 or fractioa thereof, to and including $1,000,000
$3539_50 for the fust $1,000,000 plus �2 for each additional
$1,000 or fraction thereof -
DRIVEWAY DEPRESSIOM ESCRO`N'
(Concrete Cuifi Streets Only)
Alternate "A": Removal and re�lacement of curb and gut�c only - Driveway width plus 6 feet times
S13_50.
Alternate "F3°: Kemoval and rep(acement of curb and guttex and install a 3 foot wide
approach with 6 inch depth - Deiveway width plus 6 feet times $15_75_
VLR[FICA"C(ON OF POUNDAT[0[Y
Permits for cor�st�uction wi(! i�e issued a minimum of 24 hours from the time oF application to al(ow
for �rc��er revie;w of the proposed stnicture and of the constniction site_
A Ccrtiti�;:ite of Jurvey of flie lot, sh�wing the localion of die founciatioa once it t��.� it has hccn
constructe�i �vi(1 be re;yuirecf befi�re proceecling with lt�e framing_
sue�ecr PERMIT NO.
c�ty of Fridley �6 4f9 �
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T f
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV. � � ��
' j L �����'�
r � � PROTECTIVE INSPECTION SEC.
1 . �
� � /"'1 � CITY HALL FRIDLEv $$43P NUAABEP REV DATE PAGE OF AVPROVED BY
�----�' �•' 612-571-3460 910-F15 6-29-98 � /
JOB ADDRESS 1341 Eireside Drive NE
1 LEGAL �OT NO. BLOCK TRACT OF ADDITION SEE ATTACFIED
oescR. Part of 14 Aud. Sub. �i� 129 SNEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE
Ron Thoennes 1341 Fireside Drive NE
3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO.
Murphy Bros. Building & Remodeling Co., 1613 93rd LN NE, Blaine, 55449 780-3262 341
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PNONE LICENSE NO.
5 ENGINEER MAII ADDRESS 21P PNONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION ($ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Siding repair, roof repair (25 sq) - tear-off and kitchen re air
8 CHAN(iE OF USE FROM TO
STIPULATIONS
U�.Lderlayment must comply with State Building Code.
Smoke detectores required in all sleeping rooms and
on each level of the dwelling.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING,
VENTIIATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO SO. fT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV 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 OFDINANCES GOVEFiNING THIS TYPE OF WORK WILL BE COMPLIED 5 185 $Z.S9
WITH WHETHEF SPECIFIED NEREIN OR NOT. TNE GRANTING OF A PERMIT � �
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OFi CANCEL THE pERMIT fEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $]]2.25 lre SC $S. IH
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
1 PLAN CNECK FEE TOTAL FEE
� % � License SC $5.00 $125.02
SIGNATU � ON7RACT RORAUTIiOR12EDAGENT � nrEi WHEN PROPERIV VALIDATED THIS IS YOUR PERMIT
SiGNATURE OWNERUiOWNERBUILDERi IDATEI BaOG �NSp pATE
NEw
ADDN
ALTER
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[]
ConstructionAddress: i
CITY OF FRIDLEY
5INGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�,'r,esid� �'. iV�
Effective 1/1/98
��� ��-
�� ,�a
Legal Description:
Owner Name & Address: `�� �! f�P�yl ��-PS Tel. �
Contractor: M•��i�i'J �s .�i l G�1''� �� ��/1s�U�r'lf G�i _ MN LICENSE � 3�!�
Address: � �0 � ?J" � � �� %Q� �V�i r � �/'�t�f ��/ �:� ���` � Tel. # '� �D '�7 �o �-
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: � Length
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Length Width
Length Width �
.n
Height Sq. Ft.
Hgt/Ground 5q. Ft.
..t.t,� — ...,
�'' � � Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$� _$
DATE: �P �2�1 q 9> APPLICANT: �J �s � Te�. #��" ?✓' 26v Z--
CITY USE ONLY
Permit Fee `/� � ee Schedule on Reverse Side
Fire Surcharge ��1�$ ���� .001 of Permit Valuation (1/lOth%)
State Surcharge�� �$ 'r $.50/$1,000 Valuation
SAC Charge r$ �� $1000 per SAC Unit
License Surchar��"^� $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control
Park Fee
Sewer Main Charge
$
$
$
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL � f�' �
l�s" � �j
. STIPULATIONS: �?` `�� i,��C.cl�� /� �`T�'f�
�/n�i� � .���L O�
�'���/��- G���''�� �'`lo �.� ��
.
� �� �������
BUII.DING PERMIT FEE SCHEDULE
The Chief Building O�cial shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,0�
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12e:>0 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,Q00 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for `first $50,000 plus $6. z5 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plu,� �.25 for each additional
$1,000 or fraction thereof, to and 'u_t�luding $1,000,000
$5012:25 for the first $1,000,000 pl:�s $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCRO�?V
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
.�
1
L.' Murphy Bros. Building & Remodeling Co.
.con Thonnes 5/27/1998 Pagc: 3
DESCRIPTION
R&R Backaplash - plastic laminate
R&R Camtortop - flat laid plastic Iaminate
Cabinetry - lowar (baae) units - Detach & m,set
Cabinetry - uppor (wall) unita - Detach & reaet
RBcR Batt iesulation - 4" - R l l
V'�aqueen vapor bartier
Dtywell - Minimum charge
S' cet- Datach & reaet
S' e - Detach & roset
c' 1 j$cR'S/ wiadow - wood, 12 - 24 sf
� }mp for paint
P' e surface area - two c�ts
Room Totals: Kitchen
Line Item Subtotals:
Adjustme� for Min Charges
Iosulation
Total Adjusbme�a for Mimmuma:
L.ina Itom Totala:
UNIT
7.00 S F @
42.00 S F @
9.00 LF @
.
9.00 LF @
96.� SF @
96.00 S F @
1.00 EA @
1.00 EA @
1.00 EA @
1.00 EA @
60.00 LF @
160.00 SF @
REMOVE REPLACE
033+ 535=
0.99+ 12.34=
9.71=
9.41=
025+ 0.41=
0.20=
285.02=
29.17=
84.06=
11.41+ 100.65°
0.70=
0.42=
TOTAL
Minimum In Estimato Adjusomeat
100.00 - 82.56 � 17.44
17.44
� '
�
'.con Thonnes
DESCRIPTION
.�
'f
Murphy Bros. Building & Remodeling Co. 5�2���998 Pagc: 3
RBcR Bacluplaah - plastic laminato
R&R Camtartop - IIat laid plastic laminate
Cabinetry - lowar (baso) uoits - Dotach & raset
Cabiaatry - uppar (wall) units - Detac6 & roeat
R&R Batt imuls6on = 4" - R 11
Y�aqueea vapor batrier
Dtywall - Miaimum charge
S' - Datach & resat
b - Detach & roset
`' l�r,R� wmdow - wood,l2 - 24 sf
����
P' e ma�x ar�e - two caefs
Room Totala: Kitchen
UNIT
7.00 S F @
42.00 S F @
9.00 LF @
' 9.00 LF @
96.� SF @
96.00 S F @
I.00 EA @
1.00 EA @
1.00 EA @
1.00 EA @
60.00 LF @
160.00 SF @
REMOVE REPLACE
0.33+ 535=
0.99+ 1234°
9.71=
9.41=
0.25+ 0.41°
020=
285.02=
29.17°
84,06=
11.41+ 100.65°
0.70=
0.42=
TOTAL
Lino Item Subtotsls:
Adjustmaate for Min Charges Mimmum In EatSmate Adjuatment
�� 100.00 - 82.56 = 17.44
Total Adjusnmants for Minimums: 17.44
L'ma Itam Totals:
, � '
,
Jun-30-98 08s52A
MURPHY BROS.
Bullding Ft Reaiodeling Co.
1613 93rd Lane NE.
�laine, MN 55449
Phone: 612-780-32�2
Fax: 612-78n-0550
P.oa
i/9iC �� �� ��%
Date: �,l i�tl1,� ..r'r 1;��. j 7
w
TO: �.��' !^ � %% �.
Attention: f . � ���1 � E l��'
Fax #: y� '�- ����'� ,
From: ./l.n:�tz�1.'v
i'roject Name: ✓ f' � ���'1��`�:� �G�L�lt��c^2 Ii`r �?*.'��vuC
Number of page5 including cover sheet: �
, �/
� �\,�:�,� i.� ' �'' % �� � f i,�' �
� /
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l�..G�:�jit LC/ C�vli•r'Zt'!�l�C�. �~rLLf�Y'a
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HEATING
AIR CONDITIOWING
AND ELECTRIC� INC.
� �
ADDRESS
OCCUPA
HEAT LOSS DATE HTG. INST. r
SOLD 8Y �
Electrical Work By
TYPE OF HEAT GA FA� HW STEAM SPACE HTR.
.-� � . 3: r �
_ — I j �J
��fl�'!l:'l�lr`7�� _-`�:;_.�.7�'
: ����j����
: I � t I -.%ft!�/
Heat Plug
Limit Seffin
Fan Settln
Pilot Type
Pilot Make
Pilot AAodel
Pilot Timirm
�.W. Cut OfF
Pressure .- �� o"fs • Percent CO2�%��
Input�FH �� Percent Oa �f ��
Stack Temp. �f�0� Percent CO � �%
HOUSE HEATING TEST RECORD
APT. FLOOR CITY UBURB
OWNER
INSTALLED BY _O�//Y1O�,��
Gas Line By
UNIT HTR. OTHER
CONYERSION
ve�c siZe
�/i
KIND OF LINE �� SIZE NONE
D►aft Hood Repulator
Fllters Size Number i
Chimney Locadon Inside O tside
Chimney Construction �,�Q�
Smoke Bomb Wiring _�
Draft �/� TestTag� it
Door Presaure Liphting Ins� �!
Date Teated � �
.
Company Testing
Nama of Tester
Pressure Percent COZ
Input CFH Percent Oz
Stack Temp. Percent CO