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AF - 45434BL G� �K .�, �r��°K `✓�c�vir /%dEf��iT,S' INDUSTRIA! C. E. C O U L T E R � 8U61NE88 CITY LOTS LAND SURVEYOR TOPOOIiAPHIC MAPPINO REC3ISTERED UNDER LAWS OF STATE OF MINN6SOTA LtCENBED BY ORQINANCE OF CITY OF MINNEAPOLIB N 3300 LYNDALE AVE. SO. MIN(VEAPOLIS 8. MINN. TAYLOR 4-0370 ' SU/(' fd�° � f Q /� ��'/V50�° ��/Y.-''"T/f'�lJe:%�.'%�' �+urupgnr e (IIrriititatr ,� /�!� ��/`�I��,: 1 � � � �� c�►��: I/�°�t�� h;� �� .� h a _.._� ,,p, ��9/�;� � 2�� ' e � � , . �`�1 � �-�'S -;l-I ;rIQ�+�� • � ��1 ° � MI �'� - �.�g; + °'• r -_ 'o°,oQ��, h ��m�,�.�-�, � �� `� � �� ` � � t �„`° c'�°L-- � - O / � ,�, � � 3, � �_` � 1 V°�� /� �' f�� 1 �' ° � � "v y'�� _I � , :, - � 3v� t�.�d-A� ` � b .�= t�'� ° ` � t � �� `� , � � � � PUITTINO PAHM BURVEY6 LAKE6HOR6 JUDtC1At 2 hereby ce�tify that the� above i$ a true and correct pZat of a su.rvey of : �.ot �ifteen (15), �?.ock 'T'hree (3), �'AAKVI�'41 HLIGHTS�ADDITIOIC. Ano�Ca Cowaty,. N.innesota. As surveyed by me this 17th day of Tune 19��, A. D. ^ J��*,A� `�� , � ` �. !f° (Y�'�L P'�,�'Ps I�Sinneeota Ae�istr�tion r1o. 2�84 a � � 5/�� Yr`�.��.1��%�%,�`�',� ;,' ti� i 0 r"`` i i City of Fridley, l�.n.n. BUILDING PER.I�'� Ilate: ..��..��.�.� ............. �• �- � � � •, � � - r '"� d� � N° 30��9 �� ` L%�%Z;(�+y' � Builder ... ......................... .. ..... � Address ....................................... ... �CATIOIV OF �U[L.DH1i1G No. ��. . . Street . . . . . . . . . � . . . Part of t . . . . ,. . . . . . . . ^ . Lot . . ��. . . . . . Block . . . � . . . . . . . . •Addition or Sub-Divi�ion . . . . . . . . . . . . . . . . / �'. . . . . Corner Lot . . . . . . . . . . . . Inside Lot• . . � . . .. . Setback ��. . . . Sideyard ,j.�.�. � . . �• �. o• To be Used as: �IQ�4u%!� .................... �pe of �ESCRIP'f'IO1V OF •�LDIL�I�G �%/ ' Front �H... Depth ��'.... Heightel4!��'�.'.�Sq. Ft. .��D Cu. Ft. ........ �Gont Depth ..... H ght ....�.� Sq. Ft. ...... C�. Ft. ..... Ce%��!'. .°. . . . . . . Est. Cost,l./. .�� . . . . To be Completed . . � . . . . . . . . . . . . . ��:f ,� � ° � /'1 In consideration of t'he issuance to me of a permit to the proposed work in accord�.nce witla the description a ordinances of the city of Fridley. , I agree to do all provisions of ...�.� ........................... 0 In consideration of the payment of a fee of $../�....., ereby granted to .. ............ . . . . . . . . . . . . . . : . . . . . . . . . . to construct the builcling or addition as described above. This p is granted upon the express conditaon 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. regarding location, construction, alteration, maintenaace, repair and moving of buildiags with- in tlae city limits and this permii may be revoked at any time upon violation of any of the provisions oP said ordinances. �] a NOTICE: Thla permlt does not cover the construction, installa�ion o� altaration fo� wiring, plumbing, sewer or water. Be sure to see 4he Bullding Inspect� for separate permtte fo� these Itema � u �;�� City of Fridley, Minn. „'� ��'.� � e BUII,DING PERMIT �° � 3 5 5 � ,� ,,� �_�F nate: . ... � ....�. .. ..�..�:.�..�. . ...... Owner . .�'�'�'��.��' . . .f . .��.��uilder . . . .�,�, ,�, . _�, -�, ,•f�� !��a�� .�,"�'�^ •� � � Address ....:!:*r?`..� ................ . Address .....�................................. LOCATION OF �UILDING No. . . . " �� 5treet . �;� :� ��°?`: :'�.. . . Part of t . . . . . . . .. . . . . . . . . � . •�o .. Lot . . . : `�. . . . . . . Block . . . : :-:�! . . . . . . . . Addi on or Sub-Division �.��,�".:��'��. . . . . . . . . . . . Cornar Lot ............ Inside Lot ...:........ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDI(�1G To �d as: �� ; � r �G�'�� "�-�'..��,;'"',��, , , � � , j ,'t� �� 9.,, . �� FYont �,�. . Depth !�� . .� Height . �t'. � �� Sq. Ft. �� Cu. F't. �. . � �.. ... .... Front .......s.�Depth .�': Height .��:�.. r Sq. Ft. ./►.�:�. Cta. F't. .�� e of Construction . . . . . .. .. . . . . . F�t. Cost. . �.�.��'?�.�.�. . To be Com leted . . . .. .. . .. . . .. . .. . . Typ ..... � P � c� �.s ,� �� .�,�,�.,;�"�� .�,,:�,�,�.,�.� � In consideration oE the issuance to me oP a permft to construct the buildiag desribed above, I agree to do the progosed work in accordance with the description above set forth and in compHance with all provisions of ordinances of the city oE Fridley. � � t � `�, � � �' `« x � � � � ,.e � . . . . . . . � '.'r: . , � �.�. '� . . . . . . . . .'�. :'{ . �.�� . �. . . . . . �r In consideration of the payment of a fee o! �.�. .� ., permit is hereby grsnted 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 worlanen, !n 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, constructfon, alteration, ma3ntenance, repair and moving of buildings with- in the city limits and this permit may be revoked at a�y time upon violatfon of any of the prnvisions oP said ordinances. �. ,�� . �,�� - �./:`�.,�:�;�;'`�! , . . . . . . . . . Builciing Inspector NOTICE: Thia permtt does not cove� the construatlon� installation o� alteratton to� wi�ing, plumbing, gas heattng� sewe� o� wa#er. Be au�e to see the Building Inapector for separate permlffi to� th�e items. ��"'� , „��•• �" �-�—' sue�ecr PER N City of Fridley 12251 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. � �ld�� i � �' /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPqOVED BY •�� / �•� 672-580-3450 910-F15 7/23/73 � � JOB ADDRESS g50 Hathaway Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ].S 3 Paxkview Heights Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE 3 CONTRACTOH MAILADDRESS ZIP PHONE LICENSENO. Leo Sanders 7813 Jackson S'treet N.E. 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING gesidential 7 CLASS OF WORK � NEW ❑ ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBEWORK Install drain �3.�.8 9 CHANOE QF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINO, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR COIVSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 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 $900.00 .5O 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 Pf10VISIONS O ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION THE PERFORMA CE OF CONST UCTION. � $C).00 \, PLAN CHECK FEE TOTAL FEE �t� O � $6.50 ��GNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY V, IDAT D THIS 1S YOUR PERMIT �� h z « /lAd � SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLOG INSP I�ATE d A�PLICATION FOR RESIDENTIAL9 ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : BUILDER • E5 r' C��c%�� annxESS • o � a��ss : 1 �i � , , NO:. STREET: �T• B�K: ADDITION: CORNElt LOT: INSIDE LOT: 3ETBACK: SIDEYARD; Applicant attach to thia form 1�,io Certificates of Survev of Lot a,nd proposed building location drawn on theee Certificateso To �e Used As; �ESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Froat: Depth: Height; Square Feet; Cubic Feet: 1�pe of Conatxuction: �/i.a.��, ��, Estimated Cost;_�S �'p B p� To 8e Completed; _ (��, � r The undexsigaed hereby makes applicati�n for a permit for the work herein epecified� a�reeing to do all work iaa st�ict accordance with the City of Fridley prdiaauce� and rulings of the Depa��ent of Buildings, and hereby declares that all the fact� and representatf�n� stated in thia application are tru� aad cvxrect. 0 DATE: �_ SIGNATURE: � (See Aevezse Side Far Additional Information.) . O � �' � � .,� , - � � (�.� . . � � �UILDING PER�'t� � � ��,E ��C1�EUiJT E SECTION 2. The Inspector of Buildings sha118 before issuing permits for the erection of any building or structure, or fov �.ny addi�ion to a.ny exis�ing buildiag or structurey or for any altegation or repairs to any existing building or stxucturea upon application thPreforea require the payment by the applicant for �uch permit o� �ees to the a�noa�nt h��ein below set forth and in the t�tanner herein provided to-wit : iTNIFORM BUILDING CODEo Type 1, 2& 4��20�.5 iar ��ch oaxe �housand cub�c feet, or fraction therc:of, in such cubicaZ �ontents, Type 3& 5-$1.�5 for each one thous�d cubic feet. ADDITIONAL INFI�RI�IATIOI� �'or t�ie purpo�e of computing fees for building permita, the cubical contents of any building or addition, ia determined by imxltiplying the ground area covered frota a point six (6) inches below the floor line of the basement or th�e cellar �a the average heights of the upper surface or to the average heigt�t of the roof sur£ace of the main gable oiE a pitched roof. For r�paire or alterations to an exi�ting sta-�acture, the fee shall be at the rate of $3.00 pex each five hundred dollars ($500.00) or fraction thereof in the cost of al], proposed work. In ao caa� sh�.11 the fee charged for any �se�it as set forth in Section 2 be lsss than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits fo� eonstruction will be issued a minizmam of 24 hours from the time �f applica�ion, to a11ow £or proper �eview of the proposed stxuctnae ar�d of tt�e conatruc�i�n sit�. A Certifiad Survey of the lot, �howia�g �he location of tne foundation, o�nee it haa b�sen constxucted, wi11 be recguired b��ore proceeding with the fr�aing. CERTIFICATE OF OCCL�i�ANCY Appli,a�ti.or� for a Cert�.ficate of Occupancy shali i.�� made �en. (10) clays prior to ths uae ox occupancy of any structure for whic� � b�ild�ng permit has been iasued; and said skxucture shall not be usecl o� oe�upied uxxtil a Cextificate of Occupancy has been isaue�d. � , � �� sue�ecr PERMIT NO. City of Fridley � � � � o � � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. �� y PROTECTIVE INSPECTION SEC. i 1 "'�', r , ; � , ( � �"�1 � CITY HAII FRIDLE� 55432 NUAABER pEV DATE PAGE OF AVPaOVED Bv �""'� � �'' 612-571-3450 910-F15 9/15/94 / / JOB ADDRESS 950 H.athaway Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCF;. IS 3 Parkview Heights Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph Krauter 950 Hathaway Lane NE 571-5528 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE f� REMOVE 8 DESCRIBE WORK Remove existing 14' x 22' Garage; Construct a 22' x 22' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Clean site of all demolition debris. Provide a hard surface driveway. WAR��NG Before diggin� ceN fo� atl utility tacations 454-OOOZ REQUIRED gY �A1N TYPE OF CONST. OCCUPANCY CaROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 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 EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ' A8 � 16O ��}.O8 WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT '� DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- lOB.00 Fire SC �8. LG STRUCTION OR THE PERFOAMANCE OF CONSTRUCTION. � PLAN CNECK FEE TOTAI. FEE $120.24 SIGNAIUHE OF CON'RACTOA OA AUTHORIZED AGENT iDATEi WHEN PqOPER VAIIDATED TNIS IS VOUR PERMIT � �.LVA� � ,� l�e .� � �i / 1 NaTUA�R�iFOWNEABU�LDEAi �DATEi BLO �NSP ��ATE NEW ADDN ALTER tl {] �� CITY OF FRIDLEY SiNGLE FAMILY AND DUPLEXES R-1 ATiD R-2 Building Permit Application Effective 1/i/94 �� , _. ConstructionAddress: ;�arU ,s��-Gi�-iv,� � �,�,� �, Legal Description: L � �T �5" �/�cfc � �6s-2iC V« �J � q�.-1 �� .v Owner Name & Address: Jo s,e��i KQ� i.�a 5se i��us,¢�, C. ,�/ Tel. #�� l—s .�'�-� Contractor: . s,e / h MN LICENSE �` Address: LIVIATG AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the 1ot, with the propose,d consiruction drawn on it to scale. DESCRIPTiON OF IMPROVEMENT Length Width Height Length ��' Width ot a' Height l� Tel. # Sq. Ft. Sq, F� DECK AREA: Lsngth Width Hgt/Ground Sq. Ft. OTHER: �,� dno roz / y�t«�, C��'��-- Corner Lot [� Tnside Lot [] Ft. Yd Setback Side Yard 3etbacks Type of Constcvction: l�t/� ��.� Estimated Cost: $ 8�� a°.= Approx. Completion Date: 3,�2 v (Cost on Back) � Driveway Curb Cut Width Need�i: Ft. + 6 Ft = Ft x$ —$ DATE: 1—( s 2�� APPLICANT: ��G�.��-� Tel. # S 7/— S S�� -c�--� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � %G'� y, G� G' $ �,- i,� $ �J- a � $ $, $ � $ $ $ o?G> • �1 � � _� � � Fee Sche�iule on Reverse Side .001 of Permit Valuation (1 / l Oth%) $.50!$1,000 valuation $800 per SAC Unit $5.(� (State Licensed Residential Contractors) Alt. "A° or Alt. "B" Above $450.00 Conservation Plan Review Fee Determin� by Engineering Agr�ment Ne+cessary [ ] Not Necessary [ ] [3UiLDiNG PERMIT FEE SCI-[EDULE "1'he Chief i3uilding Oi�ticial shal(, t�efore issuing pecmits for the erc:ction of any building or stci�clure, or Cor any addiUon tu any exisUng building or structare, or for any alteration or rcpair to any existing l�uilding or strucluce:, u�n application therefore, require the payment by the applicant for such permit of fu:s to ilic amouni iiercin t�clotiv sct fc>rtl� and in thc maaner herein �rovidcci to-wit: "CO"1'AL VALOE �t ro �500 $501 to $2,Q00 $2,001 to $25,000 $25;001 to $50,000 $50,001 to $100,000 rccs $t5 (Minimum Fce is $i5 pius surcharge) � 15 for fizst $Spp p(us $2 for each additional $ i00 or fraction t6ereof, to and including $2,000 � $45 for first $2,00p plus $9 for each additional $1;000 or fraction �ereof, to and including $25,000 � �252 �for first $25,Opp p1c�s $6_SO for each addifional $1;000 or fraction thareof, Go. and including $50,000 -- $414.50 for first $50,000 plus $4Sp for each additional .$1,OU0 or fraction t�ereof, t�o .and including $100,000 $100,001 to $500,000 �$63950 for f�rst -$ipp,pQp pius- $3_SO for each additio,aal� �i,000 or fradion thereof, to and inciuding -$SOt3,000 $SOO,OOi to $I,OOO,OUO� $1,000,001 and up $7A39.50 for die first $�p,ppp pi� $3 for each addiiiion.al $1,000 or fraction ii�ereof, to and including $I,OOO,IX}0 $3539.50 for tfie f�usi $1,OU0,000 ph,s $2 for each additional $1,000 or fraction thereof - DRIVEWAY DEPRESSIOM ESCROW (Concrete (�urb Streets On1Y) Alterna% "A": Removal and replacement of curb and gutter o�nly _ Driveway width plus 6 feet times $ I3.50_ Alternate "E3": Removai and rep(acemeni of curb and gutter and instail a 3 foot wide approach with 6 inch depth - Driveway width pius 6 feet times $15_75_ VER1F[CATCON OF FOUNDAT[ON Permits for conslruction witl be issued a minimuat of 24 hours from the time of application to a(low for proper review of tf�e proposeci structure and of the constn�ction site. A Certificate of Survey of the tot, showing the location of the founciation once it ha� it has been constructeci wiil be rc;yuirect before proceeding with the framing_ � A�88E��IE1�� I, � �� .o�, d �/(,lB , owner of the property loca�ed at q- � � , have no objection to the City allowing the const uction of a/an �,��,�-�— �� a-� to be i ocated at ySo —�.� ��,�� , wi thout the required certificate of survey�that the Gity ordinarily requires for all new rnnctrurtinn / 0 � wot�'�su� HU&INESS CITY LOTS TOP06RAPHIG MAPPINO N ScAt�: . � C. E. COULTER � ~� LAN� SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICHNSED BY ORDiNANCE OF CITY OF MIKNlAPOLIS 3300 L"YNDALE AVE. SO. �MINNEAPOLIS 8. MINN. TAYLOR 4-0370 SU/('��'}� F4J�' BE/V50�!/ L�0�1= Tif'Ur=l"/:Jri/ �wrnpg�oi s (Qr�� .h �� 4 � i y� �� _ ��-�-----�-- :�,2, '9�<�~ �"_-,,.�j�� hil� \ � II � t .� h � � � , ,'� ' .23 . , . h� � �3S � � f 4.-3� � - � ' " ` �.g; M� 8�'P ' t ' '~°,°U�"�4, h ��'s/�/�i.`co ni . �,�G � �� f^ �� r� _6 � � �,� � � . i � o � � .t �,� � _�� ,�� - . � . . - -�. _._ � f ,�-� � � `� y._ , rurnNa PARM SURYEY6 LAKESHOR6 JUOICIAL � �,,.. � �rvt � D '� Gl � � ��-� - .. I hereby;, ce�t�ify that the� above : is a true. ,anrl correct pTat of a survey of : � , ,� �.ot �ifteen:.(ls).:��.o�x Tnr�e �(3}., P��,�;�G�rs�anni�o�v., An�a eounty.,. N�jinr�sota. � . As;'survey_�d tiy me this ,17th day of June P�.958, ` A. D � _ �.� . t -i�° x+�'E� r �„�� - s- :- w� .. ... ' i . � � r .r, .a , ta �`�4 4 4 ``�C'f t,� } y�; ,r � a � �. � �. , ��. Ys � .' 2 ,. a : � 4 �,k. 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F� ''r � •� � I • ,� � i�� 1 j -�� ' ��. � � �` (;_ si m � ':' r � ° � ; � � �' � � "� r ny "� � 'a e _ �p m . �N� � .� � m O.� ,. r.. _ ��`,; �. "�C -- �7c � � � �-g-r- — J � i�= - _ "... _ . - 4 .�. - �A � "' R�n m � _ � -' e G� Qr . � 3 tJ �� ' � ' ' � a � � � : ir�r�• - _� � m � , • � m • X � Q wm . � � � ` � � � � � � � . Q` � �, ' 1 a -a � ^ � x a� � . . ; a o m '� ._ � - � � � � N f �. 63 ,�1� � � Of N n . f'� ,.:i � � r �)d C��i N r 7 _ 3 �r � 'o A 'w � ..► � � � . e � a 3 �.. A 6� � � � �ir � � � No� \/� +t � � � � � .i '� [r < ' �I� 0�z �� Nl��l� �� 6t��Si bE� zi d3S r � DATE: September 6, 1996 MEMORANDUM PLANNING DIVISION TO: William Burns, City Manager FROM: Scott H'ickok, Planning Coordinator Kurt Jensen-Schneider, Code Enforcement Officer SUBJECT: 950 Hathaway Lane - Mother In-Law Apartment Issue. Wliile investigating the complaint regarding a"mother in-law" apartment at 950 Hathaway Lane, staff has det�rnuned the following: = 1. The property vQa.s homesteaded but has recently been changed to a non-homestead tax status. 2. The owners of the home, Joseph and Margarite Krauter, moved to 6175 Briardale Court. - 3. Utility billing information for this address is sent to Karyn Jones. The 1993 assessing file lists the home occupant as Karyn Kraut�r. Ms. Jones and Ms. Krauter are believed to be the same person, Jones is believed to be the married name for Karyn Krauter. 4. An inspection of the location revealed a well kept yard, an open garage door, and one vehicle parked in the driveway. It is unknown at this time how many people are occupying the home. In accordance with city code, as many as five unrelated people are permitted to reside in a residential home at any one time. Staffwill be sending a letter to explain the single family and mother in-law apartment occupancy requirements to the property owner and occupant. If you have any questions or concerns or would like staff to further investigate this address, please do not hesitate to ask. KJS:kjs CEM-96-26 suu�ecr City of Fridley AT THE TOP OF TME TWINS � � I L D I N G P E R M I T r � � � � � • COMMUNITY DEVELOPMENT OIV. � ♦V ��.�� . r � � PROTECTIVE INSPECTION SEC. i__-- � ��°�,'� CITY HALI FRIOLE� SS132 NUM�ER � REV OATE L �� 612-571-3460 s�aF�s 8/30/99 J08 ADpiiESS 950 Hathawa Lane NE 1 LEGAI LOT N0. BLOCK TRACT OR ADOITION oescR. 15 3 Park i w s 2 PROPERTY OWNER MAIL AODFiES$ 21P David Koch 3 CONTqACTOR MAIL ADORESS 21P Owner a ARCMITECT OR DESIGNER MAIL ADDqE3S Z�P 5 ENGINEER MAII ADORESS Z�P 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW px AODITION O ALTERATION ❑ REPAIR 8 OESCRIBE WORK t ,, t n t 9 CHANGE OF USE FROM TO STIPULATIONS / / � 14L PHONE PHONE PHONE 30137 R T NO. �� APPROVED B� SEE ATTACNED SMEET IICENSE NO LICENSE NO. LICENSE NO D MOVE O REMOVE Fee miscalculated - hand delivered the refund of $2.00. See stipulations on plan . .. - -• ----- ----- - SEPARATE PERMI7S ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATINCi. VENTIIATING OF AIR CONOITIONING 7HIS PERMIT BECOMES NULL ANO VOID IF WORK OR CQNSTRUCTION ZONING SQ. FT AUTHOfiIZED IS NOT COMMENCED Y�IITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONEO FOR A PERIOD Of 120 DAYS AT ANV TIME AFTEii WORK IS COMMENCED. NO DWLG. UNITS I HEREBY CERTIfV THAT I MAVE READ AN� �XAMINED THIS APPLICA710N STA�LS AND KNOW TME SAME TO 8E TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION ANO OfiDINANCES GOVERNING THIS TVPE OF WORK WIL}, BE COMP�IED WITM WHETMER SPECIFIED HEREIN OR NOT. TME GRANTIN'� OF A PERMIT 9OO DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGUTATING CON- STqUCTION OR TME PERFORMANCE Of CONSTRUCTION �%3I]��/b �3S.7O TUpE OF CO nCTQa R AUTNOA�IED eGENt IOATE� .�>.��'/�,�°� UAE O� OWNEA��f pWNEp BU40EA� �O�iE� ar e ROUP OCCUPANCYLOAD CU FT. OfFSTREET PARKING IGARAGES SURTAX ��5� SAC CNARGE � Fi�re SC $�0° +�J TQ' Al. FEE �.�,� �� r�w � � ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMILY AND DUPLEXES R-1 AND R-Z BUII.DING PERNIIT APPLICATION Construction Address: Legal Description: S, i`. ! `. ,� � Owner Name & Address: /�l9tt�/� �o'i �7� Tel. # (/�- S'%`� /d/�-� Contractor: _ _ �'�'�„� MN LICENSE �# Address: Attach to this applicaxion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Tel. # LIiTING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECS AREA: Length Width Hgt/Ground Sq. Ft. OTI��i: /� r�.� f � ` — �' i Construction Type: G✓�(� � Estimated Cost: $_ 9�� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: Tel. # � ,� : �C� CITY USE ONLY $- . _ Fee Schedule on Reverse Side $ �� f'FV .001 of Permit Valuation (1/lOth%) $ � �� $.50/$1,(1fl0 Valuation $ $1050 per SAC Unit $ $5.(� (State Licensed Residendal Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] 1Vot Necessary [ ] � G. . �� oS� a BUII�DING PERMIT FEE SCHEDULE 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 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 $SOU $501 to $2,000 $2,001 to $25,000 $25,001 to $50,� $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,�,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each addidonal $1,000 or fraction thereof, to and including $50,000 $643.75 for first $SO,Q00 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,� plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�ub Streets Only) Alter�ate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15 .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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applica.rion to allow for proper review of the proposed structure and of the construction site. A Certifica.te of Survey of the lot, showing the location of the foundaxion once it has it has b�en ��d will be required before proceeding with the framing. P��nt No. 4,425,742 and 4,501,103 O V!/ooden Storag� �uildings / Catalina / 10' x 10' , ! RUN # 6-11-98 Revised 5-7-98 � �. �. � �:; ,� . .� ,. ■ FIRST... ■ Read these instructions thoroughly before beginning assembly. Assembly is easiest if you follow the steps in the order shown. ■ In a drawing, a dotted line represents a part hidden from view (like a part under a panel). ■ Lumber is gradetl from only one side. Check the part for the most attractive face antl make sure to face it to the outside. GHECK 0�►1.L PARTS (Parts List on back page) � If a part is missing, circle part in question in parts list and call 1-800-221-1849. Ask for a Customer Service Person or Consumer Help-Line Repre- sentative to assist you. ■ ASSISi'AfVCE REC�l91RED � We recommend that you assemble this Handy Hut on level ground in the location it will be used. Assistance may be necessary to handle, fit and secure some components. Alv�►ays wear safe�► glasses wrhen hammering� ., ■ Si�U�►REiVESS MOST IINiP�RI'/�NT! Keeping all 90° corners and 90° perpendiculars square throughout the assembly of this hut wiii make each succeeding step easier and will make all components fit together properly. �H�� L��14L ��h�ONG Before erecting any building on your properly, you should checl� with your local government office regarding any local requirements. _ � � � ; -: ,. �� , . �. .. O Hammer O Phillips Screwdriver ❑ Level , �;..;� :. ,�� ❑ Tape Measure ❑ Step Ladder ❑ Electric Drill with Phillips Tip ❑ Square ❑ Chalk Line CONTlENTS Pages FLOOR KIT INSTRUCTIONS . . . . . . . . . . . . . . 2-5 HUT INSI'RUCTIONS . . . . . . . . . . . . . . . . . .6-23 HUT EXTENDER INSTRUCTIONS. . . . . . . .24-27 If using 4' EXTEiVDER KIT ta make Hut 10' wide x 14' deep, read EXTENDER KIT INSTRUCTIONS completely before starting. y4' depth can be increased to 18 ; etc. with more 4' Extender Kits. : �; �. . ;��'�� . _��IIIIIIIIIII. � . ':-:• `:,: �',„', o 64Q0 East 11 Mile Road Warren, MI 48091-4101 Toll Free 1-800-221-1849 � � � 2 I �— (61 cm) —` 4; . (122 cm)—� s' 8, (183 cm)—� • (244 cm� FL�QOR KIT INSTRUCTIONS If using Concrete Slab (1B), skip to Step 2(Assembling Front Wall). (Optional Floor Kit not supplied with Hut Kit) �/ / r � � � � �� , n�G�' l�V ` � �-0 2 ` �� u n � 2' (61 cm) � f V � � � 1C — First connect 6-96" FLOOR JOISTS (A) and 6-21" FLOOR JOISTS (B) with JOIST BRACES (� flush to top of Joists and secured with 12-2" nails as shown. 1D — Arrange 2-96" FLOOR BOND BOARDS C), 2-24" FLOOR BOND BOARDS �D) and 6-117" Joists (E) that were assembled in Step 1C as shown. Make sure Joists are posi- tioned with Joist Braces to top NOT touching ground. Using 3�/x" nails, nail twice through Bond Boards into each end of each Joist keeping pieces flush at top and ends. Nail in sequence (1) through (12), using � 4-3�/z" naiis at (2) and (11). This completed Frame should be positioned at Hut site, leveled and � shimmed to the ground before Floor Panels are installed. Square #rame by making corner-to- corner measuremertts (X to X and Y to Y) the same. 1E — Position a 48 x 96" FLOOR PANEL (F� at left side of Frame flush to out- side edges of side and front of Frame. Panel should be centered on third Floor Joist (G�. Secure Panel with 2-2" nails at outside front corner and 1-2" nail at other three corners. SLAB (FLOOR) SIZE for Extended Huts 120" X 120" (baSiC 10' X 10' hUt) 120" x 168" (14' deep) 120" x 216" (18' deep) 10' x 4' FLOOR EXTENDER KIT ❑ 2- Floor Bond Boards - 2 x 4 x 96" ❑ 2- Floor Bond Boards - 2 x 4 x 24" ❑ 6- Floor Joists - 2 x 4 x 45" ❑ 1- Floor Panel - 48 x 96" ❑ 1- Floor Panel - 48 x 24" ❑ 1 - Pkg. of Nails (49-2" nails and�38-3�/z" nails) 1X — Arrange 4 Floor Bond Boards (L) and (M) and the 6 Floor Joists (N) as shown and nail twice through Bond Boards into each end of each Joist. Use 4-3�/z" nails at (2) and (11) as shown. 2X — Butt assembled 10' x 4' Floor E�ender Kit Frame (0) against rear of 10' x 10' Floor Kit Frame (P). Connect with 10-3�h" nails (Q) as shown. 3X — Position and secure Floor Panels (R) and (S) as in Steps 1E, 1F and 1G. ADDITIONAL 10' x 4' FLOOR EXTENDER KIT� WOULD BE ADDED IN THE SAME MANNER TO CREATE LONGER FLOORS IF DESIRED. 1X O p �I �� o o m m � 0 O O / O__ _ J�O ��O I`�O O . 2' � O (61 cm) 4, ' ��2z �m� , � 6 � 8, (183 cm)'� ' (61 cm) —� � (244 cm) �O' � � 2 = ASSEMBLIIVG FRONT WALL 0 0 ,9��8° I 24" 483/a" (23 cm) � (61 cm— ) � (124 cm) ~r�� m� 115n (293 cm) � � (FRONT WALL) O 1— Top Plate-2 x 6 x 69�h" ❑ 1— Top Plate-2 x 6 x 45�h" ❑ 2— Bottom Plates'-2 x 3 x 33�/8" ❑ 6— Studs-2 x 3 x 693/a" ❑ 1 — Door Stop/Connector— 1 X3X48n O 1— Top Plate Brace-1 x 3 x 16" O 2— Wall Panels-3/a x 23�/8 x 72" O 2— Wall Panels-3/e x 11�/e x 72" 'These two Bottom Plates will be left —~I'—'�si cm�—'I ( 3�/cm) � over if you build Alternate Wall with Offset Front Door. Q � 0 � � r . . 2B O 2A — Arrange 1-2 x 6 x 69�/x" TOP PLATE and 1-2 x 6 x 45�/2" TOP PLATE (A), 2-2 x 3 x 33�/8" BOTTOM PLATES 18DOOR ST4P �(1NNECTOR (Dj as d shown. Secure Top and Bottom Plates to Studs with 2-3�/z" nails through Plates into each end of each Stud. Door Stop/Connector (D) centers betwreen Studs (C). With Top Plates (A) butting, secure Door Stop/Connector (D) to Top Plates with 12-2" nails as shown in detail. � 2B — On top side of �vhere Top Plates (A) butt, center 1 x 3 x 151h"TOP PLATE BRACE (E) and secure with 8-2" nails as shown. With Top Plates (A) aligned, toe-nail with 3�/2" nail (� as shown. 2C — Position 23�/8" WALL PANEL (G) flush to Top Plate (A), flush to edge of Stud (C) and overhanging Bottom Plate (B) by 3/a", and centered on inside Stud. Secure Panel with 2-2" nails at bottom right corner and 1-2" nail at other three corners. ALL WALL PANELS ON ALL WALLS OVERHANG BOTTOM PLATES BY 3/a ". Z'- ALTERNATE . . . /�SSEMBLING FRONT WALL WITH OFFSET DOOR OPENING 0 0 O OO OO 9�8 I 483�4° 24° � 24n � 9yBn (23 cm) '�—(124 cm) � (61 cm) (61 cm)�� (23 cm) + 5%��8 n — 115" (145 cm) (293 cm) � (ALTERNATE FRONT WALL) ❑ 1— Top Plate-2 x 6 x 69�/z" ❑ 1— Top Plate-2 x 6 x 451/2" ❑ 1— Bottom Plate*-2 x 3 x 57�/8" O 1— Bottom Plate'-2 x 3 x 91/�" ❑ 6— StUdS-2 X 3 X 693/a" O 1— Top Plate Connector— 1x3x16" ❑ 1— Door Stop-1 x 3 x 48" ❑ 2— Wall Panels-3/e x 23�/e x 72" ❑ 2— Wall Panels-3/s x 11'/a x 72" *These two Bottom Plates will be left over if you buiid basic Wall with Centered Front Door. 2AA — Arrange 2 TOP PLATES (A), 2 BOTfOM PLATES (B), 6 STUDS (C) and TOP PLATE CbNNECTOR (Dj as shown. Secure Top and Bottom Plates to Studs with 2-3�/z" nails through Plates into each end of each Stud. With Top Plates (A) butting, secure 1 x 3 x 16" Top Plate Connector (D) to Top Piates with 10-2" nails as shown in detail. Toe- nail Top Plates with 3�/z" nail (E). 2AB — Center DOOR STOP (Fl between Stutls (C) with about 3/e" gap at each end. Secure Door Stop (� to Top Plate (A) with 5-2" nails as shown. 2AC — Position 11�/8" WALL PANEL (G) flush to Top Plate (A), flush to edge of Stud (Cj and werhanging Bottom Plate (B) by 3/a" and overhanging left Stud by 23/a" (H). Secure Panel with 2-2" nails at all four corners. � (s 4 m)�I I`— 2AD — Position 23�/e° WALL PANEL (� flush to Top Plate (A), flush to edge of Stud (C), overhanging Bottom Plate (B) by 3/a", and centered on inside Stud. Secure Panel with 2-2" nails at bottom left corner and 1-2" nail at other three corners. Position second 23�/8" WALL PANEL (J) fiush to first Panel (I), etc. and secure with 1-2" nail at all four corners. �E — Position 11�/8" WALL NANtL (K) ilusn against Panel (J) and overhanging right Stud by 2�/2" (L). Secure with 1-2" nail at top and bottom left corners and 2-2" nails at two out- side corners. �F — With all Front Wall Panels flush to Top Plates, flush to edges of Door Studs, overhanging Bottom Plates by 3/an properly centered on mside Studs, and overhangmg left Stud, by 23/a" and right Stud by 2�/z "—nail with 2° nails every 12° through Wall Panels into all Studs and Bot- tom Plates. Set assembled Front Wall aside. Q 11 3D — Position a 23�/B" WALL PANEL (J) flush against first Panel (I), and overhanging Bottom Plates by 3/a". Panel should be centered on fourth Stud (D). Secure Panel with 1-2" nail at ail four corners. 3E — Position a 48" WALL PANEL (K) flush against Panel (J), flush to outside edges of Frame, and overhanging Bottom Plates by 3la': Secure Panel with 2-2" nails at lower right corner and 1-2" nail at other three comers. 3F — With all Wall Panels flush to Top Plates and to outside edges of Frame, and properly centered on inside Studs— nail with 2" nails every 12" through Walls into all Studs and Bottom Plates. Assemble a second Side Wall in the same fashion, repeating Steps 3A through 3F. Set assembled Side Walis aside. 4 s- ASSEMBLING REAR WALL I�_ 21'�n —~I�— 24p � 24n —�� 24n � 21'hn I (54.5 cm) (61 cm) (61 cm) (61 cm) (54.5 cm)� 2�/z" �'I I~ (6.4 cm) O 4B �2 (REAR WALL) � 1— Top Plate-2 x 6 x 69�/x" ❑ 1— Top Plate-2 x 6 x 45�/z" O 1— Bottom Plate-2 x 3 x 69�/2" ❑ 1— Bottom Plate-2 x 3 x 45�h" ❑ 6— Studs-2 x 3 x 693/a" ❑ 2— Wall Panels-3/8 x 48 x 72" � 1— Wall Panel-3/a x 237/8 x 72" 4A — Arrange 1-69�/z" TOP PLATE (A), 1-45�/z" TQP PLATE (B), 1-69�/x" BOTTOM PLATE (C), 1-45�/2" BOT TOM PLATE (D), and 6-693/a" STUDS (E� as shown. Secure Top and Bot- tom Plates to Studs with 2-3�/2" nails through Plates into each end of each Stud. Use 4 nails at (Fl where Top Plates butt and toe-nail Top Plates with 3�/z° nail. Use 4 nails at (G) where Bottom Plates butt. 48 — Position a 48° WALL PANEL (H� flush to Top Plate (A), overhanging Bottom Plate by 3/a", and overha�g- ing left Stud by 2�/z" (I). Panel should be centered on third Stud (E). Secure Panel with 2-2" nails at lower left c�mer and 1-2" nail at other three corners. � � 7- INSTALLING GABLE ENDS AND FASCIA 7A O 7B . ' • O 7B — Position GABLE PANELS (A) flush to w th 2" na Is h9ough Panels intoil Rafters and Top Plate. Install Gable Panels to other side of Hut in same fashion—Steps 7A and 7B. r �� ' � i � , � '� ,. .� � J � i i `� �� ;; O �� L J � (GABLE ENDS AND FASCIA) O 4— Gable Panels-3/s x 23�/2 x 63" � 4— Fascia-1 x 4 x 63�/,s" ❑ 2— Gable Connectors-1 x 3 x 16° 7A — Butt GABLE PANELS (A) with GABLE CONNECTOR (B) oaer inside seam 13/a" up from bottom (C). Connect with 4-1" screws througi� Panels into Connector. 7C — Positian 63�/�e" FASCIA PANEL (Q) flush to outside edge of Gable Panel (A) and use wood scrap (E� to clear roof line. Nail with 2-2" nails into Rafter and Top Plate. 7D — Continuing to use wood scrap to. clear roof line, finish nailing Fascia Panel with 2-2" nails into each Rafter and into Top Plate. 7E — Position second FASCIA PANEL (F) flush to first Fascia Panel (D) and . clearing roof line at each Rafter nail with 2" nails into Rafter and Top Plate. Install Fascia Panels to other side of Hut in same fashion—Steps 7C, 7D and 7E. %C 0 �n .:'� ' .� � ��%' .'' % : .;%'�/ � �' ' r � ' '� � ► � � �.� . � , . , � 19 n �, co C � � z D �7 � _ D r r � m � � O � m 0 � m � C � c� � m ii � 0 z cr+ g D D Z � � � r m rn ,D � O D r � m m '1 . � � O D � m � N Z � m� n � � Z %i �. m Z . , � � d c� � c � m cc c� � 0 D � �� m � O .� � �, 2 c� � � � C � T O Z cB ,� v x' o � c � o .o m = 1 � � v � v � � D � p D r � m � O z � � D T tn ; � � � ; < # m a � � {� � I i � � n � _. � �. 1 7AC ? �' - 3 '�� : 2. 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Cs.' �, . �..�.. . �� 1 1a:i.%ii ` = 1•:..'. w �r - -! �': � �1 3� , -ftS'j � .E"4€" Vl� �,:L. . . . -- :!ty L''r 'z . �:. ..t_.r... � a � N a � � � � > > � � a a � � c� � � � �� °.� � y � N » o � �. � m o c?c 5� a u, �°, o � � a a�Q `S. �° �, �` . p — 3 � �, o � S N � N d � �'� � p� N � � Q g� �?�,o � � cc $ �, d,�a$ � a m d � N '' �� a��-� 0 °' ro g �a�� ro � � � � � � � v r c � z � x � c � m � m � Z O q� O D r � � � � D � x z � � r � � r, n K i 0 n � -� ) � , ) � > i � > , i � THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURIVED •i„��► I ► I ► •► ► •: _► � �,,: — �•► 1•►i �e� , the undersigned hereby verifles 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 plasticlPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and tennination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. " The pY�'�c+'�n_a r.omhuetien ��r is sized and installed to me�t the current codes and manufacturers specifications. When �2qui�ed t0 inctall a nPw cemhuctien �ir�,it wi11 be sized and installed to meet the cuRent codes and manufacturers speafications. Yes ( ) No ( ) Yes ( ) No ( ) Yes()No() Wher1 installinA a npu vpntin�� tpm, we unde�signed hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 () e I��• . � _� ' . � • • U �� • • ' � . � • _. � • � � ' M • � • /11 . • � Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type_ _ BTU Input _ FanAssisted or Na� Appliance #3 Type BTU Input ________ Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height � Diameter inches , Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height �ft Length ft Diameter in Type � : � •► .- ..- HEATING CO: Signed By: Date :