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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N° 5 E4:4) Dater Owner: t` + yW Builder Address Address LOCATIONvi F B91LDING Street". r ,�, 16 , r. f Part o t Lot wt" Block _� Addition or Sub-Division �___,. Corner Lot _ Inside Lot �'"'"O Setback deyard.._ Sewer Elevation -- Foundation Elevation DESCRIPTION OF BUILDING Depth Height m"` Sq. Ft. A- Cu. Ft..1+2` f # 3ZN Depth �' Height , Sq. Ft. Cu. Ft. Type o natruction %� Est. Coss _ To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinanoEs of the city of Fridley. In consideration of the payment of a fee of 1-t , permit is hereby granted 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 workmen, 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 regardiYg location, construction, alteration, maintenance, repair and moving of buildings within the city liaaits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ., ,•- a NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner r a Nam 'q /-_-- �'�A. Builder ' Address Address LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision AM - Corner Lot Inside Lot -Setback ^ Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as DESCRIPTION OF BUILDING Sq. Ft. &zz Cu. Ft.32- Z- Y 6 Sq. Ft. ILE Cu. Ft.„_ Type of Construction �S ��il-Pc Estimated Cos Z2= To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares_ the s presentations stated in this appl3cat on are trine and correct. � r DATE (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas F'nting Pemdt Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... NO. RATE TOTAL 0 x $1.50 $ � Future Fixture Opening ................ �� y`, Z N �� Z Z AZO Catch Basin ............................ �Q < Z vy+ Z Q~y`� O W , �qn G 'v Z *a + F ` N WATER HTR. GAS ELEC. TOTAL 3i CJ N 'S F- C LL G {J iJ C1 O Base 1st 2nd _ 3rd 4th • Future Connection Openings Connected withI Sewer � New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... NO. RATE TOTAL 0 x $1.50 $ � Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$—Ip TOTAL FEE e r' C e,, 1- C/ L` City of Fridley: � S The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn ® 0 19 Owner C Kind of Building~ e Used as ext e— To be completed about Estimated Cost, $ Old New.�uilding Permit No Permit No /r Signe ROUG / J FINAL az 2M 7-59 Business Phone No - 2 SUBJECT City of Fridley 13380 ® AT THE TOP OF THE TWINS BUILDING PER M r RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. i 11 i �•"',,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY .---� 612-560-3450 910-1715 2/23/76 JOB ADDRESS 256 Mercury Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Melba Benson 256 Mercury Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Meridian Waterproofing 8736 E. Research Center Road535-7111 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Waterproof structure 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. 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 OFFSTREET PARKING I HEREBY CERTIFY 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $750.00 .50 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. $5.00 PLAN CHECK FEE TOTALFEE 5.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN PROPERLY V DATED THIS IS YOU17 PERMIT BLDG INSP DAT ' SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 2 APPLICATION FOR RESIDENTIAL, ALTP.RATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: 2 I e '(� Scr*—BUILDER: � , e► o-) rr C) -O i<\ OWN — ADDRESS 6 A e c r -i r N D 6 ADDRESS: IL -z /V-01�1 2 'sc C / NO:. STREET: 1)26eGa1-1„,e6Z '1121444 LOT: "y BLOCK: ADDITION: SVI-48 r/ A,r4 AI CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: ' Applicant attach to this form Two Certificates of Survey_ of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF ILDING To Be Used As: U'j 44 + /gate' Front: Depth: Square Feet: __ Cubic Feet: height:_ Front:__ Depth:_, Height Square Feet; Cubic Feet: -7 6c - Type c_Type of Construction: _ Estimated Cost: $ I� To Be Completed: Z /7( The undersigned hereby makes application for a permit for the work herein specified, afire+=ing to do al]. .-.'Orr 7_7 st,:izt accordance with the City of Fridley Ordinances and i-aliugs of. C. ,t. D,!partrient of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: FJ, S" CNATUIZU : {See Reverse Side For o c IL Additional Information.) � O o er s J 1 SUBJECT P IT_ City of Fridley 17901 AT THE TOP OF THE TWINS BUILDING P E R M I T r CEIPT Tr ______ COMMUNITY DEVELOPMENT DIV. L. INSPECTION SEC. O A r PROTECTIVE /--n CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE. OF APPROVED BY 612-571-3450 910-F15 4/11/85 / JOB ADDRESS 256 Mercury Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clinton/Karen Coppicus. 256 Mercury Drive N.E. 571-2097 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION %❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install alumirmm soffit & Facia 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PE910D 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 1 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 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $850 $.5o 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- $16.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $16.50 SIGNATURE OF NTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE WHEN PROPERLY LI DATED THIS IS YOUR REMIT 11DA�TE BLDG )NSP q T� Si OF OW )ER OF OWNEIRBUILDER) 1 NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: z�fp to 'f`► erc is w Ln . 1._ Hn i dl p i A Legal Tiesoription: I_nA VA R�nC & 2 'E)�j'Wara Hi Lk s. PI i 4 Owner Name a Address : 10 t ® CtYPn Onq p k-okA --s Tel. #5_1\-2_(211 Contractor: �`zaM P -_ Tel. # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ ] Attach to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Inside Lot [ ] Ft. Yd. Setback Type of Construction: Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Side Yard Setback G7 Estimated Cost: $ 9� Alt. A Alt B � a See Back Page for Explanation DATE: APPLICANT Tel. # - CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS• Fee Schedule on Reverse Side 2% of Building Permit Fee $•50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 April 25, 1994 Clinton and Karen Coppicus 256 Mercury Drive N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 256 Mercury Drive N.E. Dear Mr. and Mrs. Coppicus: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 256 Mercury Drive N.E. revealed that not all Code requirements are presently being met. Listed below are items which do not comply with the City Code: 1. Discontinue outside storage of brush and assorted materials located along the west side of your garage. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about May 9, 1994, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls CE -94-155 O CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 May 13, 1994 Clinton and Karen Coppicus 256 Mercury Drive N.E. Fridley, MN 55432 RE: Property at 256 Mercury Drive N.E. Dear Mr. and Mrs. Coppicus: On April 25, 1994, I sent you a letter (copy attached) concerning outside storage of materials along the west side of your residence. Subsequently, you contacted me and we discussed this matter. On May 12, 1994, I stopped by your property to further review this situation. While I did not observe outside storage of assorted materials, I did notice that you appear to keeping yard waste at this location. Fridley City Code 113 (copy enclosed) does permit composting, provided that certain criteria are met. Please create a compost area in accordance with these requirements or remove this yard waste as soon as possible. I will reinspect your property on or shortly after June 6, 1994 to determine compliance. Feel free to call me at 572-3595 if you have questions or would like to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:sb CE -94-197 SUBJECT City of Fridley 5 AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO. �• _ COMMUNITY DEVELOPMENT DIV r PROTECTIVE INSPECTION SEC a�? CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/9/97 JOB ADDRESS 256 Mercury Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 4 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clinton/Karen Coppicus 256 Mercury Drive NE 571-2097 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION J3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (33 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Uuderlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. 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 OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,722 $1.36 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TAL FEE A$78.83 I ATUR R OR AUTMORI2ED AGENT (DAT IH P Y VALI A ED THIS IS YOUR PERMIT 70FC'RA DG INSP PATE "' SiGNATU RE OWNER OF ER BWLDERI ATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name &Address: 1(avc-, J, (Cd f Tel. # j % ZO of % Contractor: W ri ctl MN LICENSE# Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF IMPROVEMENT Length Length 31�t Width Height Width Height Width Hgt/Ground AJC- Ge�Z &Q -a e Sq. Ft. Sq. Ft. Sq. Ft. a ✓ o rg,,P Estimated Cost: $'� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: O q 7 7 . APPLICANT: Tel. # .'37/ his �2 Vis' CITY USE ONLY Permit Fee $ �/ S� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ • $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J TOTAL $ STIPULATIONS: City of Fridley 6431 University Avenue NE Fridley, MN 55432 Property owners at 266 Mercury Drive NE, Fridley MN and the property owners at 256 Mercury Drive NE, Fridley MN 55432 agree to have both driveways closer that three feet to the property line between the to properties. w Kim and Janet Herrmann 266 Mercury Drive NE Fridley, MN 55432 y �Z,000� QA) Clinton and Karen Coppicus 256 Mercury Drive NE Fridley, MN 55432 83,.,g -gi TO/T0 3EJbd sage-Kqmq GSSG �S/79 blob) I Ulk m c is Cc,,� *Ffa40�� fl. IR�. fits A a X> ist •na � t!t B -It1C)INCH03W S d d 06SE-PE9-159 0b :ST C 6 r d 1 6� .i A is Cc,,� *Ffa40�� fl. IR�. fits A a X> ist •na � t!t B -It1C)INCH03W S d d 06SE-PE9-159 0b :ST 6 r d 1 6� .i A is Cc,,� *Ffa40�� fl. IR�. fits A a X> ist •na � t!t B -It1C)INCH03W S d d 06SE-PE9-159 0b :ST CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ 3 ®' 6Z $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ f` 0_0 State Surcharge Effective JOB ADDRESS oz OWNER.LTT/�-r� BUILDING USED AS R65' ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Wate =(Warm Trade Name 9124A-) Size No. BTU 0&0 HP EDR Fuel ��1- 6-4 -C Total Connected Load Burner Trade Name Size N 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $S� ' 0 - U 0 DATE �- 7— 0.3 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATIO 5b HEATING CO ��% 1t ���� .r REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00PLUS THE THE $.50 STATE SURCHARGE Signed / TEL # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FAX # Z / 0�3.7 — 6�; "�M Approved By Rough -In Date Final Date IS— FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT VENT CONNECTOR AND COMMIRTION AIR VIFIRIFICATION When re In acing an axis ing furance, 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 K) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including 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 Furnace Venting Tables for fan assisted and natural draft appliances. Yes k) No( ) The existing _nm6 uctinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No (�() When required to install a new r_nmeustien air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes) No( ) When installing a new venting systLmm,, 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 Furnace 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 j No ( ) Appliance #1 Type tJrcn1A a6 BTU Input ✓�� Fan Assisted or Nat Appliance #2 Type Wig/ ZO-e-7- BTU Input 5LO.. oFan Assisted or Nat fL-JA 'r— Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances 19 Total Btu Input Common Vent Type IWC Vent Height Diameter inches Appliance #1 Vent Connector Height a�- ft Length a�_ft Diameter Y in Type �- Appliance #2 Vent Connector Height e ft Length 9- ft Diameter min Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type TINGCO: J A"16``���� I By: �o 1� Date : 3 �`0-3 CITY OF FRWLEY PERMIT NO.: 2004-00094 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/22/2004 572-3604 tAX: (763) 571-1287 ADDRESS 256 MERCURY DR NE PIN 143024320030 LEGAL DESC SYLVAN HILLS PLAT 4 LOT 4 BLOCK 2 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL XCEL ENERGY SAVERS SWITCH # INSPECTIONS APPLICANT HUNT ELECTRIC CORP 2300 TERRITORIAL RD ST PAUL, MN 55114-1614 (651) 646-2911 OWNER COPPICUS CLINTON J & KAREN 256 MERCURY DR NE FRIDLEY, MN 55432 1 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 113375 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.