AF - 45076•
��080
City of Fridley, Minn. N° 10119
BUILDING PERMIT
Date: __.M��?�.._,5.,.�..1.9..�.2.._..___.___.....__._..._.._.._
Owner: _..._.T.��Z....Bu.�nra,.c,___�._._.-----..._._......._� Builder _.._.....Inhn_..I3.....1a1m� ..__..._ ............._..._.._..._.._._._..—
Address ._._2.�.�._. C�a�,.g.�.;��.Q�....1d� _.....__.---------•_.__.._..._.._ Address _.__..�.11�._T�Ce�.�.�hc�re....�r.iY_e_,....N!}�l.s_...u.
LOCATION OP BUILDING
No. .._.7��..�.---._..--- st�t .__��.�.�x�...kl�r .N�.��._..._.__.___....._....._._...---....._.._. Part of Lot ....W....__..___.._._.. ._.._.�
. Addition or Sub-Division _._._..._�P��.9.�.. � FGta.tP� 2nd Add.n
Lot ....._22..._...........___ Block ._.._._._.�_.__...__._.._......_. _. �.�.7.g.'tat�,y
Corner Lot •-------------.._......_ Inside Lot .....---••-,X--------•-•---....._ Setback _._----4�'_--•----._._.._ Sideyard _._.._..._....__._.�.._.._.�_..��
Sewer Elevatian -----fl�2. 32-----_____�__.._.------...._......_--------- ------�A.n„�_$�-�»-�2--.
Top of Footin.�
DESCRIPTION OF BUILDING
To be Used as:
2 Stor�r Dwelling�t _..�8__�__�. �p� 26.._&24 Height 28_._&_.20 gq, �, 1220 _�, r-t, �1 , 472
.._�.�s.age._.._..._......__._._ Front _22'..._.__ Depth _._21�.!...__ Height :....1.Q! .__ Sq. F� _..r-�28.._. Cu. F't _.r32.$q—
Zj�pe of Construction _..._..._Frame.--......._..___._.. Es� Cost ....�.��..�.�.�� .._....._.._........ To be Completed _.. �.3dl�L_:�..�.�.�
• SEWER LOCATION: �44' North of Manhole
WATER LOCATION: 151t North of Ma.nhole
•
In consideration of the issuance to me of a permit to construct the building described above, I agree ta do
th� proposed work in accordance with the description above forth and in�liance with all pro�visionss of
ordinanoes of the city of Fridley. � �
In caa�sfderation of the payment of a fee of $_..� }.6.�Q.._..._.., permit is hereby granted to_
..,.__,..._...__..._.__....__.:...._._.:____. to construct the building or addition as described above. This permit is grsnted upon
the express condition that the person to whom it is granted and his agents, employees and worlunen, 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 regardixig location, construction, alteration, ma.intenance, repair and movinB of buildings
within the city limits and this permit may be revoked a t any time upo� violation of any of the provisions of said
ordivances.
��� � ����� Buildin8 Inspector
Hank Muhich Building Official
NOTICE:
This p�emh doa not eowr th� eonstrue,iioe, intfallNion fo� wirin�, plumbtng, �as h�aNn�, »wK or watrr. B� wn to tN
th� Buildiag In��eror for »p�rat� pkmhs for H�� it�ms.
• � - .
APPLICATION FOR BUII�DING PERMIT
CITY OF FRIDLEY, MINNESOTA
..� ��., � . P,� �:,..�
OWNEEc'S NAME �c,s-�-i� ,C3wf"p,�f� C- BUILDII3 ""--
ADDRF,SS Z � ,� �f-� > f ,G Ya� � �/�J ADDRESS %/i ? - lti�.t' i 5.�+�_ �r
%-� � /�p.t,��
LOCATION OF BUTLDING
N0._%is STREET ��� 6�
LOT � 2 BLOCK � ADDITION OR SUBDIVISION �h� � ��/,4%S,tz ffdl�..�
+ .
CORNER LOT INSIDE LOT ;� SETBACK�SIDEYARD
,��
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form Two Certificates of Survey of Lot and
proposed building location draw.n on these Certificates.
DESCRIPTION OF BUILDING
To Be Used .As : /� s 1��--c�
�� n r
� � � Front!�_Depth �6 �- 2 � Height � � �' '�-2�
j-�ri�� /� / 5L� aC` Z y� � �-7 ^
��• Squ�re feet �� � Cubic Feet �, � / �,
J
�'S`'1''`t?'�— Front Z Z Depth Z�t � Height % d
Squa�e feet S a� Cubic Feet �j .2 � �
Type of Construction �fA�f►<- Estimated Cost �� �QO ap
/ .
To Be Complet
The undersig.ned hereby ma,kes application for a permit for the work
herein specified, agreeing to do all work in strict accorda,nce with �the
City of Fridley Ordina.nces and rulings of the Department of Buildings,
and hereby� declaxes that all the �acts a.d representations tated �.n
this application are true and correcte
DATE � l 7 �� SiGNA � '��
(Schedule of Fee Costs can be fourid o. he Reverse Sideo�
3 � � � �-
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�ity of Fridley �
APPlicafion � Plut�tbing and Cs�s �ing P�rmit
Dapt. of Bldqs. Phons 560-3450
DESCRIPTION OF WORK 7� j�, , yJ� j ���
Number, Kind aad Location oi Fixtures l.ccation /' �f Cy -� ��r�' �%
.
�r � �
�a � � � � �i ,�� i z 3 g? �V`?� o�<�{$�J Z �
� �� � �� � �n 3 F- C� ✓ri W O U O � 3 U' < U' C U' v
u'e �
Base
1�� I /
2nd % .� - -- � —
3Nd
4th
•�"utu:� Cona�clbn Op�nia�s I Cona�ct�d with
* New Fixlur�. Old Op�ai�s
PARTIAL RATE SCHEDULE
WATER NTR.
• •
I N GAS ELEC.
J
City oi F�idley:
The undersigned hereby makes applicatfon for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department oi Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct
�, Fridley, Minn. _�/� y' i�/ d,_�, 19�%
� �. Owner c% D %l 'h —._.L
Kind of Building __.L '_' �
��r �` Used as O' �v•
G�spool � -
To be completed about —
PLOMBING FI]CTURE RATES: NO. RATE TOTAL
Number Fixtures . . . . . � � x $2.00 $ �,� ��
Future Fixture Opening . . . x $1.50 $ _
New Fixture Old Opening x�1.50 a
Catch Basin . . x $3.25 �
Water Heater cUp to 99,000 BTLT) ..... x$3,pp $ 3�
New Ground Run Old Bldg. . x�3.2,5 $
Electric Watsr H�at�r : 32.00 �
GAS FITTING FEES: NO. RATE TOTAL
lst 3 Fixturea . . . . . . � • 0�
...... x $2.00 f
Additional Flxtures . . . . . . . . . . . , . . . . . . . x a .75 �
Gas Range to 199,000 BTIT . . . . . . . . . . . . . . x �5.00 ;
REPJIIRS !� ALTERATIONS—A�f�s !o Cod�
Descriptton . .. ..............
. . . . . . . . . . . . TOTAL FEE j�
.�
Estimated Cost, �
OI =NeEw. uilding Permit No. v Permzr i�' . �� �'�'
�---,,- � .:
Signe � �
r , 4;%7'
g �
Business Phone No. �� T – �.�'/
ROU�H
�rtaw �5''—1 � — ? �
N° - 4886
�ri� Permit for P UMBING AND GAS FI ING ``����
N.B. When work covered by this permit is ready, the Plumbing Ordinance requirea that request for Permit
inspection shall be phoned in to the plumbing Inapector, 560-3450 giving number of tlus permit., F� ��� �
DESCRIPTION O£ WORg II
Number, Sind and Location of Fixturea
�i .� ,19�'
Stories
Basement
lst
2nd
3rd
4th
�w a
W j : ,..w..
F Z
a
x
3 U � m h
Connected with
N
pl N Y �"' w
N Y N Q I Z � O
z a
m 'm 3 r�- o° m
/
N � W WATER HTR.
p Z V z Z y U J �
X GAS iELEC.
O O U m � J� i li 17 Q � � �
Gas Piping for '3 Openings
Permission is hereby granted -� �� �' to do the plumbing and
gas fitting in the building described in the statement hereto a ched, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the aiolation of any of the proaisions of said ordinances.
By Order Of Tice Inspector Of Buildings
Roughing in Inspection Date
Inspector.
Final I nspection Date
Inspector.
42 �/Y�_6-bS-H �t
��
City of Fridley
Owner ��.-� ��--y�-�-'`��
Location ��� � C�� ���
Kind of Building �
Used as �
To be Completed , 19_
Estimated Cost
Old-New. Building Permit No. �T_�—
Date
Inspector of Buildings.
Original • �
PERMIT for Power lants and Heat�ng, Cool-
ing, Ventilation� Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of I Heating P�ants `'J�c�J to be nstalled ltered—repaired
Make
Size � y��� ;
Oit fired ; Coal fired ; Gcrs �red�_; Gas Authorization
Remarks
Approved
Final Inspection
�
���
19^
Inspector
,�# �� ��
P�"t N° 4452
F� � �� - .� -
Ofi�ice of the Inspector of Buildings
Ci�1°y of Fridley
City of Fridley, Minn. �� , 19�
Owner � -
Location 7 8�-�' � a�� �
Kind of Building
How Occupied ra p� c..�. a
Work to be Commerrc d '� �� ,19�
To be Completed ,19Lq
Estimated C'ost, $ g� . �--d
Old-New, Building Permit No.
`; Permission is icereby granted to 7°'` •�.�lJ to install—erect—use the material and deUices described in the
abor�e statement. This permit is granted upon t e express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under th.is permit, and in tlie operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing t%e work to be done and the operation of the devices herein named, and to tlie specifccation set forth in the approved application for this
permit on file in tJce o f�ice o f the Inspector o f Buildings. �fG��+ •
, Inspector of Buildings
az 2M 11fi7 Y
HOUSE HEATING TEST RECORD �
,!.
ADDRESS `" APT. LO C SUBURB
OCCUPANT OWNER .
' HEAT LOSS DATE HTG. INST. ^�45 C. METER BAD #
SOL.D BY INSTALLED BY �
Electricol Work BY Gas Lin� By
TYPE OF HEAT GA FA - HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS SIG � CONVERSION
� MAKE MAKE OF BURNER
Mod�l Model
Seriol � Max. BTU Ratiny
,-: I�IPUT LcS`� �'j MAKE OF FURNACE
Mod�l
ONTROLS �
� �1ERMOSTAT Heat Pluy V�nt Size �.
a Yalw � KIND OF LINER E NQN�
Limit Droft Hood Regularbs
timit S�tting �� Filt�rs Size Nu�r
� Fon S�tting ����'��-r Chim�y Loeotion Insid� �'�� Outrids
� 'Pilot Typs - ChFmnsy Construdion
Pilot Moke ,
Pilot Model " Smok� Bomb� Wirin9 ��
Pilot Timing z�� D►aft l9 �- 7est Tap- '�"'�
L.W. Cut Off Door Prsssure Liyhtin9 Mst. E*''��
s �O� d� s
Prossvre �� � P� �nt �estsd ,`=w.": ,'w" ; �"" " �"'` •
Irq>ut CFH �S� P��� '��"�5�any Testing
2
Staek Temp. Psrcent CO S� � Name of Taster
Form 235 _ �
-
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:,.
.: .,.�.
sueeecr ERMIT
City of Fridley 2 0 4 9 4
' , ATTHETOPOFTHETWINS g�ILDING PERMIT RE •
f
� t
� • COMMUNI7Y DEVELOPMENT DIV. � � � �
L PROTECTIVE INSPECTION SEC.
� ""'
r ; ;
� � /"'1 � CITY HALL fRIDLE� 55a32 NUMBER REV. DATE PAGE Of APPROVEO BV
�'""�" ,�� 612-571-3450 910-F15 7/30/�0 / /
JOB ADDRESS �g15 Alden Way N.E.
t LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 22 6 Pearson` s Craigway Estates ZI1C1 SHEET
2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE
Terry Butorac 7815 Alden Way N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
John Jarvi Construction 240 Lon �ellow ;tre Z84-7142
4 ARCHITECT OR DESIGNER MAIL ADDHESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential '
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION �] REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (26 Squares)
9 CHANGEOFUSEFROM TO
STIPULATIONS
On ail new roofs or tear-offs and repiacement roofs,
State Code requires that 2 layers of 15 Ib. feit,
mopped together, be instafled to a point 24 inches�
up frcm exterior wal! line, or the use of other
approved unAerlayment membrane.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. f7. 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 OFFSTFEET PARKING
I HEREBY CERTIFY THAT I HAVE FiEAD ANO EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX
ANO ORDINANCES GOVEFINING THIS TYPE OF WORK WILL BE COMPLIED �•1�3QQ $.65
WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER S E OR LOCAL LAW REGULATING CON- $31.QO
STRUCTION TFi�E PERFO A E OF CONSTRUCTION.
� / � � PLAN CHECKFEE TOTALFEE
�_ � � "G rc� ` �� �c- � _
$31,65
5� NATUAE OF CON'RAC R OR AUTMORIZED AGENT IDATEI WN PROP L � A I A E THIS IS YOUR PERMIT
,= �,�, �-, c�-1 �
SiGNATUAEOFOWNERUFOWNERBUILDER� �DATEi LOG �NSP DF7E
� [ ] Effective 1/1/90
� [ � R-1 AND R-2
AL'I�t [ ] Building P�ennit Application
�
Corlstruction Ad�dre��.
Lagal De�cription: ��? l •� ,Z { �-� . ((, , 1� :���.��,c..).S � ; ;���� CFJ,��' � ��-r�_S'
o� � & ��: i�RR Y �'c�ia� �- � �. # ��%o
contractor: _ �0 rf �v �1�� � 1/.-� Go✓1J,S % �e1. # ��'�- 7/'� 2.
�are.�s: a� o �o ��.1 � fi F-� 1-L� �,J .� �, n��' .
LIV�JC' AREA:
GARAGE AREA:
DDCR AREA:
O'I'f�It:
Attach to this application, a Certificate of SiiYVey of the
lot, with the praposeci constniction drawn on it to scale.
TIESCRIPrIQTT OF
I,erigth Width Height Sq. Ft.
Length Width Height Sq. Ft.
Lengtl� Width Hgt/Ground Sq. Ft.
�G�
C�orner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Z'ype of Construction: ��� p�t; $ ,���(�j --
Approx. �letion Date:
Pro�o�-.�d Driveway Width If New Opening Is ired: Ft. $ $
Width + 6' See BacJc Page
n�: 3d o �zrcArrr: �a.. # "7£c � —7�y �-
CTI'Y USE ONLY
Permit Fee $ �� /, C� (j
State Surchazge $ �r
SAC CY�arge $
Driveway �scrow $
Park Fee $
S�wer Main Ct�arge $
• v
STIPtJIATIONS :
$ ° �, �nS-�
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee DeteYmined bY F��CJineerin4
A�greement Necessary [ ] Not Neoessary [ ]
�
y TY OF FRIDLEY INSP�CT101V p�V
•31 Univers'sty Ave NE
� idley, Mt+! 55432
� 63) b72-3fi�4
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APPLICATION F�R PLUMBING AMD GAS FITCING PERWIIT
Ef(p:ctiva On Jan 1, 2002
_lfMBllVG FIXTURE RAT�S: h10. RATE TOTAL ,l08
0
�
ew F�Ctures
Id Opening, New Fbcture
zer DESpenser
�r Off Basin
atch Basin
w ain Water Leader
J
:: umpiReceiving Tank
� fate� Treating Appl'�ance _
� tatst Nea�er -Ebectri+�
� Jater Hea�er - Gas''" ._�
� as Range•"
� �a� Dryer"
� ack Flow Preventcr RequirQd {)Yes () N o
jYPE—.
�
� :einspec#ion Fee �47.�OOl�ir
$ �.ao
$ 4.OQ
$ 5.D0
S 7.OU
$ 7.00
$ 7.d0
� 7_fl�
$10.00
$ 7.00
$10.00
Si4.00
$10.OQ
$15_00
.LL OTHERS ANDIdR REPAtRS AND ALTERATIONS
m1.5% of Value of Fixture or Appliance
�' State Surcharge
i
�
� TOTAI FEE
� •_�
0
The und�rsi�ned hereby makes application for a permit fq� the wflrk herein
specified agreeing to do all watk in strict acx�ordance with the city codes
and ruiiru,�s of the Bttitdmg DHi�sian, and hereby declares thai all the facts
and repra�sentatlons sta�ed in this apptication are true �d coReo�
� . 2UQ�
+ � �r �� � --
Buil�in� Used As �-�
1=� �=1 ���,
Esttmated Coet P�� �-
Pk.UMBNG C�AM1PAPIY �.�.�t �`(�t°� QC� L�(�1,t � Cl-�-i�
SIGNED 9Y
FAX �
Approqred B�I � Rough-In Date
�•�fl
7�IMU�II FEE OR ANY PLUAAB�lGl
$ c ,� PLtfS THE b9 STA7E SURGHARGE
T� �. � -� �is I
Final Date �-�
" �
°_RAAIT 13 �20.QQ `�`�/C�
�OMBUSTiOH AIR SHALL BE PROVIDEQ PER UMC SECiION �04(A) AND iABLE 6,A. COIUIMUN VENT INFQ f)N BACtC SIDE
-
_
C[TYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
August 16, 2002
Mr. Robert Crosser
7815 Alden Way NE
Fridley, MN 55432
Re: Final Inspection at 7815 Alden Way NE
Contractor: Northwoods Mechanical
Dear Mr. Crosser:
A plumbing permit was issued on March 25, 2002 to install a water heater at your address.
According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be
conducted on the work authorized by this pernut. As of this date the inspection has not
been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your pernut open for another 30 days and if we do
not hear from you within tlus time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
CITY OF FRIDLEY BUILDING INSPECTION
6431 University Ave NE
Fridley, MN 55432
763-572-3604 FAX 763-571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
Gas Range
Gas Dryer
*Air Conditioning-All Sizes
All Other Repairs or Alterations (List on Back)
1% of Value of Appliance or Work
Minimum Fee $15.00 for Residential or 5% of cost of
Improvement whichever is greater
d�"' � � �`��,,1 Effective 4/1/2004
�
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Fee Total
$35.00 $ �'�'
$10.00 $
$10.00 $
JOB ADDRESS /��S �L'D �� � �
Owner K� �''1 � C�T�'Q � �
Building Used
ESTIMATED COST �� PERMIT NO
DESCRIPTION OF FURNACE AND BURNER
$10.00 $ # of Heating Units�_ Circle One (Steam) (Hot Water) rm Ai
Trade Name C���� �� Size No.$S��'��
$25.00 $ BTlJ � � �d HP EDR
Fuel � �� Total Connected �oad
Commercial/Industrial/Institutional
1.25% of Value of Appliance or Work (List on Back)
Minimum Fee $35.00 for Commercial/Industrial/Institutional
State Surcharge
TOTAL FEE
REINSPECTION FEE $50.00/HOUR
$ 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
$ and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
$ �7v HEATING CO��v�°��'e ���A"��'�-r
$.���
*Air Conditioners can not be piaced in side yard without written approval
from adjoining property owner - copy to City
FAX #
Date
Tel # �����'��
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Approved by Rough-in Date Final Date
L �
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacinq an existinq furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes (� No ()
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications incfuding sizing, length, number of elbows and termination. Yes (� No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The existinA combustion air is sized and installed to meet the current codes
and manufa�turer's specifications.
Yes (� No ( )
Yes (� No ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ()
When installina a new venting svstem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. Yes (� No ()
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes (� No ( )
Appliance Tvpe and Size/Common Vent and Vent Connector Information
Appliance #1 Type �J���� BTU Input � Fan Assisted or Nat �� ���'�
Appliance #2 Type _ fi� BTU lnput `f0 � Fan Assisted or at
Appliance #3 Type BTU Input Fan Assisted or Nat
Tota! Appliances Tatal Btu Input
Common Vent Type ��A�i S,8 Vent Height ��_ Diameter �_ inches
Appiiance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height �ft Length �_ft Diameter ___�__in Type C-�rks� �-
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
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