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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N® .7379 Date: Owner: Builder Address Address � LOCA ION O B ILDING No. �Stseet of Lot Lot _ _ ��__ Block �_ Addition or Sub -Division Corner Lot _ Inside Lot `� Setback _ _ _ Sideyard Sewer Elevation �•� Elevation "7 -re or- r-O-ra'A�(S DESCRIPTION OF BUILDING Front _LXX Depth 41&,'Height Sq. Ft. �� Ca. Ft�� F 94L' Front Depth ght� Sq. Ft. _� Cu. Ft. Type o coon% iQ Est. Cost ) _ To be Completed In consideration of the issuance to me of a permit to co??of4M �in cdrabove, Iagree to do work in accordance with the description above ance with all provisions of ordinances of the city of Frldley. � /j�� In consideration of the payment of a fee of $2 ! ,permit 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 regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any ordinance&�upQp vi^ on of any of the provisions of said NOTICE: 'lids permit don not cover the construction, taaftWon for w1rhm plumbing, Ba heM%& sewer or wrier. Be sore to no 16 Bniidia8 Inspector for apaate permits for then React. City of Fridley, Minn. BUILDING PERMIT Date:" Owner: Builder Address Address r�r rr� ■�� � � r ■rr ■ �� No. smTeet P of Lot _ Lot —Block Addition or Sub -Division 40.0400 Corner Lot Inside Lot �'s"' S.etback _ Sideyard Sewer Elevation Foundation Elevation 2 N° .7379 DESCRIPTION OF BUILDING At Front - Depth eight Sq. Ft. Ca. b't Front Depth ght Sq. Ft. -,CU. Ft. o ction •�+► o be Completed Type Fit. Cost- !1 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 ah provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , 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 regarding location, construction, alteration, maintenance, repair and moving of buildings w� the city limits and this permit may be revoked at any , p7r violation of any of the provisions of said NOTICE: 7bb permit dui not sever the. construction, hatalladon ter wiring, plumbing, gas boding, sere' or water. Be euro to see the Building hqm for for vepards permits for these hens. . APPLICATION FOR BUILDING FEEMIIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME�,� �"ILDER ADDRESS ADDRESS 3a -3/ LE - LOCATION OF BUILDING No. -Z Street ��,'�, Fart of Lot Lot Block % Addition or Subdivision ` �crP-�/� Corner Lot Inside LotSetback 3_i Side Yard 5— / a SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. Tobe used as: DESCRIPTION OF BUILDING i.th '/ !e� Height Sq. Ft. Cu. Ft. Type of Construction To be Completed timsted Cost 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 correct. DATE_ SIGNATURE. jSchedule of Fee Costs can be found on the Reverse Side). Front ->-0 Depth 7®3 Height Sq. Ft. Cu. Ft. Type of Construction To be Completed timsted Cost 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 correct. DATE_ SIGNATURE. jSchedule of Fee Costs can be found on the Reverse Side). City ®f Fridley, Minn.. BUR DING PEST Date: May 25, 1965 Owner: Richard Schwartz Addrew 6747 Overton Drive N. E. ©We F X! 7553 Builder Erco Inc. Address 3 231 Central Ave. N. E. LOCATION OF BUILDING No. 67.7 street Overton Drive N. E. Part of Lot Lot 6 _ Block 1 Addition or Sub -Division Neadowiandsj 2nd. Add. Corner Lot — Inside Lot Sewer Elevation Setback Sideyard -- Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost &I -5m000-00 _ To be Completed Reconstruct House and Repair Bamt. Foundation ( Storm Damage) In consideration of the issuance to me of a permit to c the proposed work in accordance with the description above ordinances of the city of Fridley. / described above I agree to do apliance with ail provisions of In consideration of the payment of a fee of $1Q.00 , permit is hereby granted 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 regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. None This permit don net serer the eonstruetion, hufallatien for whdeg, plumbing, gas heatb % sewer or water. Be acre to sse the Building Impmw for separate pera to for than items. City of Fridley, NNnn.N° '7553 BUILDING PERMIT Late: - '.e. "' S Z 65 Owner ; t� s 4 :dw ►„ r -.fir Builder'C4b. Address LOCATION OF BUILDING No. "v"' Street Part of Lot Lot _ Block Addition or Sub Division :-='` t 6= • Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Front Depth Freight Sq. Ft. Type of Construction Est. Cost , � '.":>O, C10 To be Completed Cu. Ft. Cu. Ft. 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 aft provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $20, permit is hereby granted 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 art thereof, shall conform in all respects to the ordinances of Fridley, >s2tnnesota gg location, construct%n, alteration, maintenance, repair and moving of buildings within city limitsr�an this permit may be revoked at any tiaAe upam violation of any of the provisions of said NOTICE Ibb perndt den not cover the centred 1w, huftHedion fm vrWM .phmbbe, on heetb & nww or wda. Be sue to ne do 8u Mh q inpedw for sePMft penvits for these kerns. r � v APPLICATION FOR BM41N PEM0T CITY OF FRIDLBY, NNESOTA OWNER'S NAME ER ADDRESS , t�_" % C_ �''r . �� ^ADDRESS LOCATION OF BING No,_ b % Street Part of Lots Lot Block _ Addit.ioir or Corner Lot Inside Lot $etk Side -Yard SEWER ELEVATION FOUNDATION ELAfiTON Applicant attach to this form, Two Certificates of.Survey of Lot and proposed`bu Ml ing location ditwn on t ese Wtificates . ?SCRi;TIOYNB=DING 10 ~To be used as: $'root Depth Height s' Sq. Ft. Cu. Ft. _Front Depth Height Sze. Ft. Cu. Ft. 4 Type of Construction Estimated Cost A/ ®D 'o The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work ift strict accordance with the City of Fridley Ordinances and rulings pf the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. I. kyj /jSCbedWx.of Fee Costs can be found on the Reverse Side). City of Fridley AT THE TOP OF TNI TWINS t u-------- COMMUNITY OEV9LOPMINT OIV, I PROTgCTIVI WsogCT10N KK. i �-- - CITY NAIL. sR1O1.3V Pool 463-000-3460 PU9dECT PLUMBING PERMIT APPLICATION Job Address - v I /-I 1,7 1.3 1 1 1 1 t$VU 6747 Overton Drive N.E. Fridley, Minn. ner Address P one John Y. Vojtech 6747 Overton Dr. N.E. Fridley 560-2598 Contractor Address P one Kind of Building Use Frame house Home Completion Date lEstimatedCost BeNVa evo - 1dav eve 'X I! 1 '0B1M1 1 1 1 I! � •eaa, RATE TOTAL Number Fixtures 2 x $2.00 •MNIVaI I x I I x 8NI8Ye Catch Bastn x — m x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 I O G ®NIVaCI I 3 0 aoo,a �� � saaNlw+Sl IZ.3 010 I 1Nnod b 1 •O >9NIaa HA11all �A � Nsvlln I SUNIBI SNISVS HAve inmun asaYlM I t I M to G O O w 'a W Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures 2 x $2.00 Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Bastn x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: lst 3 Fixtures x $2.00 _ I - Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Code State Surcharge __ TOTAL FEE $ !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 rulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this I application are true and correct. a - 626-,?�/ Date t SUBJECT City of Fridley -274 2 9 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIO. • _ COMMUNITY DEVELOPMENT DIV. rr PROTECTIVE INSPECTION SEC. r ; NUMBER REV DATEP P AGE OF APPROVED BY CITY HALL FRIDLEY 55432 �'""'� ,•� 612-571-3450 910-F15 8/8/96 JOB ADDRESS 6747 OVERTON DRIVE NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 1 Meadowlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike/Pat Murzyn 6747 Overton Drive NE 781-3333 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 j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (20 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 1 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 $1,650 $.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PR -TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54. 00 Fire SC $1.65 STRUCTIO OR THE PERF RMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $56.48 S1 ATUREO NTR UTHOR,ZEDAGENT yMAATTE,rG�/ WHEN ,PAOP Y VALIDATED THIS IS YOUR PERMIT S,GN T UILDERI BAG INSP MATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: �pp% Legal Description: Owner Name & Address: Contractor: Address: Effective 3/1/96 Tel. MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # ) g( 1a1 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Lenj Width Hgt/Ground Sq. Ft. OTHER: �� �4Gi, r-� c�33 $.50/$1,000 Valuation Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: (C s t on Driveway Curb Cut Width Needed: Ft. + Ft = ,19;4 DATE: APPLICANT: Side Yard Setbacks _ Estimated Cost: $ J Tel. # "?51.3 a3 CITY USE ONLY Permit Fee $ �'7 �'� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ c�33 $.50/$1,000 Valuation SAC Charge $ $900 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 [ ] TOTAL $ . STIPULATIONS: SuBJECT PQM �'-- city of Fridley 3 8 9 4 AT THE TOP OF THE TWINS BUILDING PERMIT.., r � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. ` r � I . NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 ".' 763-571-3450 910-F15 9/18/03 JOB ADDRESS 6747 Overton Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 1 1 Meadowlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike & Pat Murzyn 6747 Overton Drive NE 763-572-9629 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 p� O NEW X ADDITION O ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 20' x 25' Addition and a 4' x 8' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. I $4915 ®Nd Before digging cav PNIOW07d 9NO3H 9NIHIM all utility locatf, � da :H0A 03HIOD30454402 SJUM d MUMS REQUIRED BY LAVA 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 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 $19,080 $9.54 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 $321.25 Fire SC $19.08 PLAN CHECK FEE TOTAL FEE $349.87 SIG ATURE OF AC R OR AUTHORIZED AGENT IDA i I N PROPERLY VALIDATED THIS IS YO R PE MIT A A A AA 03 INSp DATE IV S.GN TU OF O RJF OVVNERBUI RI IOPTE NEW [ J CITY OF FRIDLEY Effective 1/1/2003 ADDNQ 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: 64 pix' Tel. # Contractor. 1-� MN LICENSE # Address: Tel. # 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 J/ Width �> Height al_ r Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width S Hgt/GroundSq. Ft. OTHER: 4/2to Construction / Construction Type: aV aad, arc 'nP > Estimated Cost: $ �� 7 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: 911, APPLICANT: �y) lot gf 6 3a-77 Call (763) 572-3604 for Permit Fees if mailing in application. Fax "t3-571-1287 if using credit card and we will call you for card number. ® Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Paris Fee Sewer Main Charge TOTAL $ 3 L4q- CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: ADDRESS : 6747 OVERTON DR NE PIN : 133024230045 LEGAL DESC : MEADOWLANDS 2ND ADD : LOT 6 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FEE SHORTAGE VALUATION I ENTER FEE AMOUNT 20 APPLICANT A J MOORE ELECTRIC 413 WEST 3 STREET DELANO, MN 55328 (763)972-5961 OWNER MURZYN PATRICIA S 6747 OVERTON DR NE FRIDLEY, MN 55432 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 worl 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 571-1287 PERMIT NO.: 2004-00399 l�J DATE ISSUED: 03/29/2004 FEE SHORTAGE AMOUNT TOTAL PAID WITH CHECK # 6910 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 20.00 20.00 CIT( OFFRIDLEY 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 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 hifective January 1, 2UO3 JOB ADDRESS 6 147 D( _ 'N_ OWNER -Tf�,'] -t' I Ali Ke_ PA ,(� . Rate TOTAL p l BUILDING USED AS-f�161z, — $ 30.00 $ ' ESTIMATED COST 6bb— PERMIT N0. 1�� $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ 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 j( 1_0 representations stated in this application are true and correct. DATE i I � b3 HEATING tf - -7�-3 5-7o'z Signed TEL # I,W-G, la:jS 133"3 FAX # G -ll 61a gq5-6977 Approved By 46 Rough -In Date Final Dato�mt, THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED [`(]MIL"ON <FNT VFNT CQ NNFGTQR AND OMRIIRTION AIR VERIFICATION When raplanong an evicting trance, 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 plasticfPVC 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( No ( ) The ey sti comb 40,nn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No ( ) When required to "natall a now cnmhlafinn air, it will be sized and installed to meet the current codes and manufacturers specifications. Yes( No( ) When jpstalljpg a new venting sygem, 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. TygM and sw7a cnmmnn Vent and Vent Gnnnectnr Yes( )No( ) Informatinn Annfl nce Appliance #1 Type BTU Input Fan Assisted or Nat 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 Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Lengthft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By:a L �- v Date : 0 lem� G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 June 8, 2004 Pat & Mike Murzyn 6747 Overton Drive NE Fridley, MN 55432 Re: Final Inspection at 6747 Overton Drive NE Contractor: Homeowner Dear Mr. & Ms. Murzyn: A mechanical permit was issued on November 7, 2003 to install additional ductwork, a new cold air return, and crawl space venting at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. 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 permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh