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PRE 2010 DOCS01 SUBJECT PER City of Fridley , 14916 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT N COMMUNITY DEVELOPMENT DIV. a. r PROTECTIVE INSPECTION SEC. �� O CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/13/78 JOB ADDRESS 1230-32 Norton Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Norton Avenue Homesites SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Martinson Builders 8131 -6th Street N.E. 786-1599 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. S amp 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 Construct a 46' x 26' Duplex and a 28' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide minimum of 5 courses of block for frost footing protection. Provide ccm>tbustion air to furnace. WATER & SEWER LOCATION: Not available. DRIVEWAY DEPRESSION COST: Recommended but not required by City. $48.00 sewer main charge paid. WARRING SEPERATE PERMITS REQuIRED FOR WIRING. SOON digging call Iota! utilities HEATING, PLUMBING AND SIGNS. TELEPHONE • ELECTRIC - GAS Etc. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS AUI D O L ICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 1294+672 31,400 Total 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 2 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, $45,475 $22.74 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 Of ANY OTHER STATE OR LOCAL LAW REGULATING CON - $125.60 $800.00 RUCTION THE P RFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 'Ags9544 r 40 $979.74 IGNATURE OF CONTRAC OR OR AUTHORIZED AGENT (DATE) HEN PROP RLY VALIDATED THIS IS YOUR PERMIT e '10-44 . ItJA&j --/6 BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) 01 ra3r-> 4) ()k 72);) .-J E 7 33,62 Z.85 62 y o�' �A-Gs See. Qzl --c- / 0 a 70 'i� CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTIRATIms, ADDITIONS, OR REPAIRS) OWNER: ��• Address: 4< ' �- No.: �3 1Street: /l�C LOT: lG BLOCK: BUILDER: Address: Tel. No.'e--Pp ADDITION: do) t(1fla,, CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach *to this form Wo Certificates of .Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING r • To Be Used A� -r Front: 22LZZ Depth: Height: � U Square Feet: 12 9Y Cubic Feet: Gl•�Front: Depth: Height: �U Square Feet: Z Cubic Feet: � o 7 Z Type of Construction: WOOS JILo-o � Estimated Cost: $ 1 To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict 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. See reverse side for additional information. DATE: SIGNATURE: StipulaLioi ��&Ll O00WAv 0o? 71 y'i �f"�M4""tl"t': T!l•'�2i�]'TY�T►:ti 3 s. Gru�iTiH�,"his infe�tr PSL `i'+;•.4ttltt;Fi',Jtr" t�1YY �it9A� �64,1�a"l[i,< EiL'x itTZ'�3.11► •tree 514riE+` '33IIaiZh1G "GDIa xesr?tib liriK-`tz� aCu� �rot,e the cta' moi! ,.y+ wtia,�,y}l �vw�upa,.,c4�• fir. F,�};#uf.4 .SI41:.1 yic3�L2�J1� k,i nQilfxi tfJUigZ �WE`1G�O%I'1'o 23A t },pO�eGl Yr'tOlbwe <� Ws.�LCG�WiF.� i; X G r c.` ib� SI}C 21t3 g�DXr&a r F 4h`R-F Val 1+,ki1si ,� S�aa.ca \aysw4P�P. :100, t Ejx 1/ BIbQVQ `6,bi (a'tV cC 0 '' �tatot'otai Wail area Icor Nndat � :ta r Of tolffidatgdn, are$ above .t raGe Y t� Etbtotacl. Z6tal' +exposet�. foundation area D TMAt! _EXPO ED WALL AitEA 4 tip y the GRANb TOfiAL `EXPPSED WALL 4WA' X . ] 7 .� f `te�tant.ta�.tpa�ed RvIClirx, `Area'as f1'ci,►s "a k+" slixtl�C'y1t�t akea u s i1 Total rQo/aQii,rag fa:� .area '(1Q+k) L 'ol net-ixrs'tofj�tlinc aha" t^� ° `� G, t � A z (x1 j 1 'i yATy X EED Q'%F" LING AA P 1 r a I$ul t ply the GRAND TO`SAL EX t7 ROOP CEiL�r� R x :4 S.,` 4 do s t +r� 64 Iv lit ti iFh 1, � $ � 4 1r�,� 5} ° a � '7,4 at r�,4'"� .(i;A lk" �, x � -` ��t .� + , 1a• � +' � ar tq �y(''t�� � �a � � �� rK � � � s � � � a� "41'#.1" e .✓r�: ; �'a��" ii� ! fib• *a „`.�prt 1 e #t�'�'S1'�*a�+'�bl�ie 4 . f�.., � t '. w4 1 � sr 1 t� "%5tk� � , b ��:;,�i �?- � � � t a4 1�"n Si ,. r�.i p+k'i ��^ F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. Q X I.lull a _ 11. g gouge . ), _ A 12. X gouge .oma ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV -T.9-65- G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I 3,w.7 + Item II J. Add Item III��_ + Item IV Y. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, tiorc.by acknowledges the information to be correct and accurate; and hereby Fresents the information with required plans in support of the building permit application. Py"': DATE: u.,l . rmine, t§ie "U" value of each segment (1-9) and multiply by the area as 4. 0 X foul. _ 5. X flute 6. / y9, y X "U" . _lig X flu., V 8. a X fluff 9. x fluff ADD 1-9 FOR TOTAL WALL SEGMENTS = ITEM III F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. Q X I.lull a _ 11. g gouge . ), _ A 12. X gouge .oma ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV -T.9-65- G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I 3,w.7 + Item II J. Add Item III��_ + Item IV Y. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, tiorc.by acknowledges the information to be correct and accurate; and hereby Fresents the information with required plans in support of the building permit application. Py"': DATE: M USUMBAN fdol"56011110110 Certificate of Survey for -- g 4�rhV50 KI AVSHI If: -AAA NDR "i NORTH 'for qcalie /-f 4*o' V� rap Olt J N.UU RF-PIAI-4 W A 0? AM OL)enotes iron monurrr-nt Denois Drainage t "OtK Utl It y Easement LOT 610L NORTION AVE. HOM ESI TES DKA COUNTY I j1preby ce, t0v 04,01 th. I I he b�l :3" Ftwe and garret# repre,sontsolon of 0 survey of C , vriderries of the &bmwe, d"gqlb" 10"d, and of the lo l.an ?f o,',l buddmes, theroon' and all .$*boo itn.,o..k ,cid land lib starveyeA by ffteh,% Pda., y 04 7 if any, frog" or an I -, A. 0 SUSURBAN ONGINERRINGot INC. IL AP r Avo-r- oeleQvl.,p-�, 00 r7o) CITY OF FRIDLEY APPLICATION FOR POWER. PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE Furnace Shell & Duct Work $12.00 Replacement of Furnace 7.00 Repairs & Alterations -up to $500.00 7.00 Repairs & Alterations each add. $500.00 4.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 each add. 50,000 BTU 4.00 Replacement of Furnace 7.00 Repairs & Alterations -up to $500.00 7.00 Repairs & Alterations each add. $500.00 4.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 each addn. 50,000 BTU 4.00 Boiler only up to 100,000 BTU 7.00 each addn. 50,000 BTU 6.00 OIL BURNER- to 3. gal. per hour $10.00 each add. 3 gal. per hour 10.00 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 (over 199,999 BTU see Fee Schedule) — nC GAS FITTING FEES: (0 lst 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date �,( APPROVAL FOR PERMIT 0 I . . TOTAL Job Address /x759 S Department of Buildings $ City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the $ facts and representations stated in this application are true and correct. $ Fridley, Minn._/� 19 �d OWNER ��% /e/v .4,-� iMi MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE KIND OF BUILDING C USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD/- NEW BUILDING -PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER BEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By . 543 Tel. No. ti�i0�ea��Mbc: ;�3��Rs esd CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL.RATE SCHEDULE e NO. RATE �, m 60 x $3.00 $ v . x e New Fixture, Old Opening Water $2.00 1 0 o $5.00 $ u c •.4 $5.00 �' 100,000 BTU to 199,000 BTU � a, w a X Heater $. 0 b $5.00 C M E+ x y {0 dl w A C 0 d a 1st 3 fixtures X s+ $ .4 x $1.00 $ Gas Range to 199,000 BTU X $10.00 C C 3 U •.+ O� First $100.00 U $5.00 dl each add. $100.00 or fraction $2.00 S .0 g -13 -04 o ai we i� vi .^�� a w° ai u oo 3 t as lec O� 1st 2nd 3rd 4 th (R) a Future Connection Opening Connected with Sewer M - New Fixture, Old Opening Water PARTIAL.RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 60 x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening X $2.00 $ Catch Basin X $5.00 $ Water Heater - to 99,000 BTU X $5.00 $ / •U 100,000 BTU to 199,000 BTU X $10.00 $ Water Softener X $7.00 $. New Ground Run Old Building X $5.00 $ Electric Water Heater X $5.00 $ GAS FITTIING FEES: 1st 3 fixtures X '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU X $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 S State Surcharge $ .50 TOTAL FEE S L4.0 REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley,' MMn. �n�.- RIND OF BUILDING ZL USED AS TO BE COMPLETED ABOUT ESTIMATED COST O - NEW B LDING PERMIT NO. PERMIT NO. J Company Signed By Tel. No. �� % �e.5 , ROUGH INSP. Date FINAL INSP. + Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 p= $.50 SZ= gp CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432 TELEPHONE ( 612)571-3450 December 20, 1978 Martinson Builders 8131 - 6th Street N.E. Minneapolis, MN 55432 Re: 1230-32 Norton Avenue N.E. Dear Sirs: Please be advised that the City of Fridley's inspection staff has completed the final inspections of the above referenced property and has found that it does meet the City's requirements for a two- family dwelling. The following iters were noted and must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards by June 15, 1979. 2. Provide a hard surface driveway by June 15, 1979. Please contact us if you have any questions on the above items. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh C SUBJECT PE City of Fridley 3 0496 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO fr ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. / /( 7 E , _ ` "I---f,'� CITY HALL FRIDLEY 55432 NUMB R REV DATE PAGE OF APPROVED By ---.� L 612-571-3450 9:0.F1511/9/99 JOB ADDRESS 1230-32 Norton Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 1 Norton Avenue Homesites SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Terrance L. Dreyer 651-433-4401 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Fine Home Bldg. Services 23290 Melanie Trl Scandia MN 55023 651-433-4401 20133015 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION I& REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof duplex (30 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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 $2622 $1.31 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 $83.25 A Fir SC $2.62 ®01 l PLAN CHECK FEE TOT FEE Li C 5 2 18 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT (DATE, ME�PVALID THIS IS YOU PERMIT -_ SIGNATURE OF OWNEQ.IF OWNER BUILDERI IDATEI C BL GATE C NEW [ r Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY vt� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: X 2 3 0 d- m s s Legal Description: Owner Name & Address: Tel. #(� \)4,33-4'4o l Contractor: ► e - �- = -.� Se �.r; c 4S MN LICENSE//# Za l 3 3 0 5 Address: Z.3Z�10 Mc�ar.:� �a.:l Sca..�;q MN SS013 Tel. #�S` 433-440 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER � - r • o -�,ct..,,r - d •� �6 s -o $ Construction Type: Erosion Control Estimated Cost: $ $450.00 Conservation Plan Review Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: °`'• �� APPLICANT: '��'— Tel. 4450 437-440 STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 1.3! $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 0 $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 [ ] TOTAL $ �� STIPULATIONS: Effective January 1, 2003 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 FAX (763) 571-1287 T ''nnII n p I ` 3 ��I�X lo, JOB ADDRESS (V(6" UV RATE SCHEDULE4 OW N ER� Residential Rate TOTAL II Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 ©. BUILDING USED AS� l (Side Vent - Fill Out Back) $ . ESTIMATED COPERMIT NO. y Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units _ Circle One (Steam) (Hot Water)(Warm Air �u Gas Dryer $ 10.00 $ ame �-(� Size No. Trade�0, BTU QQU HP EDR *Air Conditioning - All Sizes $ 25.00 $ FueIC- C Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and TOTAL FEE representations stated in this application are true and correct. DATE (� MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATIN t'(` 1 (v1pyI REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE t Signed TEL #! FAX #�' (7�=C[ REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved ByRough-In Date' Final Date Al written permission from adjoining property owner. 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 When mpla _inn an evicting 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 (✓ No ( The venting system is plastictPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (► No (1) 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 Furnace Venting Tables for fan assisted and natural draft appliances. Yes VI No ( ) The owl -a ina cnmbuetinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes �,fNo ( ) When required to install a now _nmNin inn air.,it will be sized and installed to meet the current codes and manufacturer's specifications. Yes P�No ( ) When jpsftillinn a new venting -.=tam, 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 (W '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 t4-1qo ( ) Appliance #1 Type viL BTU Input 6Q,000 Fan Assisted or Nat Oct-, .a Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height e9N:S Diameter inches Appliance #1 Vent Connector Height3 l2- ft Length ft Diameter �_in Type Appliance #2 Vent Connector Heigh =ft Length ft Diameter min Type <- Appliance #3 Vent Connector Height ft Length ft Diameter in Type CO:HEATING i s r & Signed Date: CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 23, 2003 G & H Heating & Air 11012 St NW New Brighton, MN 55112 Re: State Surety Bond Dear Sirs: This is to notify you that we are holding a permit application for work within the City of Fridley until your name appears on the State surety bond list. We cannot issue the permit until the State has approved your bond and placed your company on their list. This is official notification that you are to cease doing any work in Fridley until this matter is resolved. If you continue doing work in Fridley before this matter is resolved, there will be double fees and citations for each address and you risk having your license revoked. Please contact me if you have any questions concerning this matter. DAVE-JENSEN Building Inspector CC: City Attorney