PRE 2010 DOCSPER
City of Fridley
.MITsusdEcr
1VO
47 53
AT THE TOP OF THE TWINS
BUILDING
❑[RAIT
r
• COMMUNITY DEVELOPMENT DIV.
Elff 0 ,
d
� e PROTECTIVE INSPECTION SEC.
1 �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
A O E
612-560-3450
910-F15
6/15/78
,
JOB ADDRESS 1430 Rice Creek Road
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1
Heather Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Don Olson
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Brickner Bldrs Inc. 1401 Kerry Circle
574-9871
a 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 36' x 32' house and 32' x 24' garage
9 CHANGE OF USE FROM TO
STIPULATIONS provide a hard surface driveway. Provide sod >n the front and side
yards. Provide a verifying survey before capping.
Provide combustion air to
furnace area. Provide truss design by July 20th.
Sewer Location: 56' W. of Manhole (W. Inv. 872.72)
TOP OF FOOTING: 875.50 Minimum
WATER LOCATION: 12' W. of sewer service. 75' S.W.
of M.H. (Poles may
have been moved) 47.6' W. of P.P.
30.3' N.E. of T.P
DRIVEWAY DERRESSION COST: N/A
S.S. Escrow: $400.00
WARM(;
SEPStAyt. rs REQUIRED FOR`. �NRN�iG
pefore,diggiag,cao locat,utmies
i � ► �'
TELi dNE`- ELECTRIC -GAS Etc.
ACC UJIA � vF. ununr toCAVONS ' AM ,AWAIW4
- au>'.�osas ,r� !►
REQUIRED BYLAW
ids OAtA is roa fact
vtsr
SEPARE1f REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTIL G AIR CONDITIONING.
Wood frame
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
R-1
%6S
76 SO
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
$ 41,570
$20.78
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE 6k9HORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS P57ANIYOTHER A OR LOCAL LAW REGULATING CON-
$120.32
$4000.00
STRUCT THE PERFO AN E OF C RUCTION.
PLAN CHECK FEE
TOTALFEE
��7
J� " / .
08
$571.18
SIGNATURE OF COI cT OR AUTHORIZED AGENT (DATE) °;
HEN P P RL A I IATED THIS IS YOUR PERMIT
BLDG INSP
r
DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESH)FENTIAL BUILDING PEI MIT
(NE -W, ALTI=RATIms, ADDITIONS, OR REPAIRS)
OWNER:
JOS oz S-0
Address: /4''30 ISI c C * ALI) Address : ���/ /a�C/�G/ �'/l CL, C
Tel. No.
D Street:/ G C/�
LOT. BLOCK: % ADDITION: #r/,x T*:�-e �f i G L s
CORNER LOT: � INSIDE LOT: SE TBACK: I�
`�SIDDYARDS:
Applicant attach 'to this form Ttioo Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: SAl1-6 M-
Front: Depth: Height: _
Square Feet: 112-4 Cubic Feet: c� 6
Front: Depth: Y Height:
Square Feet: 71C S Cubic Feet: DJ f
Type of Construction:
G } (e Am 6� Estimated Cost: $
To Be Completed:`�
GJ,1r/V 6 raj; Alt. AIL. B
Proposed Driveway iv'id'Oi If New Opening Is Desired $
(SEE r.EVERSE SIDE OF SHEET)
he undersigned hereby slakes 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.Dcoartment of Buildings, a; -1d hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side fora z ional info ,a ion. ,a
DATE:r Z / 0 SIGNATURE:
Stipulations:
,
` �'
S'urveyor's Certificate
COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyors
1446 County Road J, Mpls., Minn. 55432, 7849346
SURVEY FOR SURVEY OF
Brickner Builders, Inc. Lot 1, Blk. 1, Heather Hills, Anoka
'1401 Kerry Circle County, 11n.
Fridley, 1,21. 55432
St R ice Cre¢tsc Rci. ( C. S. A.H. *` 6)-;
LEGAL DESCRIPTION
Lot 1, Block 1, Heather Hills, Anoka County, Minnesota.
Subject to easements of record, if any.
SCALE: 1 = 501
0 Denotes iron monument found
O'Denotes iron ri-nument set and carped RLS 10832
I hereby certify that this survey, plan or report was prepared by me or under my direct
supervision and that I am a duly Registered Land Surveyor under the laws of the State
of Minnesota. (}' LA
10832 nT e12, 1.97 4021 d y N
Reg. No. ti Date Job No. &
in
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o
GAR. NpUSE
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Q Vl
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_ 31.67• 3a.. 33-6600
M
Ipt,1
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Irr
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139.02' tang+am.
2S'
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A3s•8'7• PIC%*
Y
LEGAL DESCRIPTION
Lot 1, Block 1, Heather Hills, Anoka County, Minnesota.
Subject to easements of record, if any.
SCALE: 1 = 501
0 Denotes iron monument found
O'Denotes iron ri-nument set and carped RLS 10832
I hereby certify that this survey, plan or report was prepared by me or under my direct
supervision and that I am a duly Registered Land Surveyor under the laws of the State
of Minnesota. (}' LA
10832 nT e12, 1.97 4021 d y N
Reg. No. ti Date Job No. &
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
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 andcorrect
Fridley, Mn. ^ , 19
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT 6 ! J
PARTIAL RATE SCHEDULE
e
ESTIMATEP COST
PLUMBING FIXTURE RATES:
a
RATE
TOTAL
v
/ n
PERMIT NO.
Number Fixtures
Future
a
x $3.00
water
a�
Fixture Opening
x $2.00
$
�i
Company
a
flew Fixture, Old Opening
g
uy u
a
w
Heater
to
m
b
4
e
Water Heater - to 99,000 STU
-9a
x $5.00
H
u -O
x
� � `� � e
'7
u
m
$
u
v
$4
q
x
y
.W O.1
)t
g
� ro
$
y
H
Electric Water Heater
W
•U
5
rd
w
Date
e
GAS FITTING FEES:
ew
•
FINAL INSP.
1st 3 fixtures
/
0
as
lec
' Date
Additional Fixtures
x $1.00
y
W
w
Uooaa
x $10.00
$
APPROVAL FOR PERMIT i
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
1
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PERMIT
1st
State Surcharge
$
.50
TOTAL FEE
2nd
3rd
4 th
(R) n Future Connection Opening
Connected with Sewer
M - New Fixture, Old Opening
Water
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 andcorrect
Fridley, Mn. ^ , 19
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT 6 ! J
PARTIAL RATE SCHEDULE
ESTIMATEP COST
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
OLD NEW UILDING PERMIT NO.
/ n
PERMIT NO.
Number Fixtures
Future
%®
x $3.00
$ (� 00
PV ��--�
Fixture Opening
x $2.00
$
Company
flew Fixture, Old Opening
x $2.00
$
Catch Basin
x $5.00
$�
Signed By
Water Heater - to 99,000 STU
(
x $5.00
$
,S --do
Tel. No.
� � `� � e
'7
100,000 BTU to 199,000 BTU
x $10.00
$
Water Softener
x $7.00
$
New Ground Run Old Building
x $5.00
$
ROUGH INSP.
Electric Water Heater
x $5.00
$
Date
e
GAS FITTING FEES:
•
FINAL INSP.
1st 3 fixtures
/
x •$3.00
$
�.�0
' Date
Additional Fixtures
x $1.00
$
Gas Range to 199,000 BTU
x $10.00
$
APPROVAL FOR PERMIT i
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PERMIT
IS $7.50 PLUS $.50 STATE SURCHARGE
State Surcharge
$
.50
TOTAL FEE
REINSPECTION FEE
(510,00)
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
Furnace Shell & Duct Work to 100,000 BTU
.AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
4.00
��r /� /f�� �1 k i
GRAVITY WARM AIR:
RATE
TOTAL
Job Address ,%0
Furnace Shell & Duct Work
$12.00
$
$
Replacement of Furnace
Repairs & Alterations -up to $500.00
7.00
7.00
$
$
Department of Buildings
Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
$
Boiler only up to 100,000 BTU
7.00
Tel. #571-3450
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
$12.00
,y
$ 4C -
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
$ /6,60
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures
x $ 3.00
$
Additional Fixtures
x $ 1.00
$
Gas Rahge to 199,000 BTU
x $10.00•
$
AIR CONDITIONING
A)
$ id CTO
FAN HEATING SYSTEMS See Fee Schedule
$
VENTILATING SYSTEMS
$
ALTERATIONS & REPAIRS
$
State Surcharge
$ .50
TOTAL FEE
$ -Z9 •S -D
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT /
REINSPECTION FEE
($10.00)
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
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 applicat a true and correct.
Fridley, Minn.L.I, 19�
OWNER 257x/Gl /1ly� /o L2 Z6/"e S
KIND OF BUILDING
`!AI
USED AS /PGz) l IILZ l
17
TO BE COMPLETED ABOUT
��/
ESTIMATED ' COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO. ----4� �—
r DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Bot Water, arm Air-
Trade Name �lr/���r' Li e No.
Capacity 490,9 Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel A/4 -;f C9� -3
BURNER - Trade Name 61, ', Size No.
Capacity Sq. Ft. EDR BTU HP
Company
Signed By Z2\
Tel. No.
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432
September 18, 1978
Mr. Tom Brickner
Brickner Builders
6245 Ben More Drive N.E.
Fridley, MN 55432
Re: Final.Inspection at 1430 Rice Creek Road N.E.
Dear Mr. Brickner:
TELEPHONE ( 612)571-3450
A final inspection was made on September 14, 1978 of the above address
and the only item not completed was the installation of sod in the
front and side yards. We will expect this to be completed by October 31,
1978.
If you have any questions on this item, please contact me at 571-3450.
We are also enclosing an application for a General Contractors license
as it was noted that you have not renewed your license.for"the.. 19.78--79
licensing period.
Sincerely,
9- /1 -
RUN HOLDEN
Building Inspector
RH/mh
ENC: 1
SUBJECT
7501
City of Fridley
4
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
�• COMMUNITY DEVELOPMENT DIV.
RECEIPT NO.
-_____
a:
� PROTECTIVE INSPECTION SEC.
/
r �
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
�""" �•J
612-571-3450
910-F15
4/14/97
JOB ADDRESS 1430 Rice Creek Road NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1
Heather Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Carolyn Olson 1430 Rice Creek Road NE
571-1959
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
D & D Home Improvement Inc 11773 Magnolia St NW Coon
R"IDS, MN 95448 4R40
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
757-7780
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (23 Sq) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd but not the 3rd layer.
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,426
1
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE.
PERMIT FEE
SAC CHARGE
PROVISI SOF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$48.50
Fire SC $1.43
STRU 10 OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
License S $5.
7FEE
$55.64
SI NATURE OF CONTRACTOR OR AUTHORIZED AGENT ID EI
N0010 RO
VALID T D: HIS IS YO R PE IT
B G INSP
BATE
47
SiGNATUREOF OWNER 06 OWNER BUILDER) iDATEI
NEW C ]
NEW[ ] CITY OF FRIDLEY
ADDN
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress :
Legal Description:
Owner Name & Address:
Effective 1/1197
Tei. # -.5 IM9'
,� - -
Contractor: MN LICENSE # 4840
Address: 11773 Magrnl i a si-re t lura r Conn- Rani ds 554.8 Tel. # 757-77 L
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIMG AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
,vd t ea.
Construction Type: 3
® 1%Gr Estimated Cost: $ `
— � /� //
4
(Fee Schedule on_ ack)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ $
DATE: APPLICANT: :2 f Tel.
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ '� S��
Fee Schedule on Reverse Side
Fire Surcharge
$ r.
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$ /
$.50/$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
$ o(-)
$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 [ J Not Necessary [
TOTAL
$
STIPULATIONS:
CITY OF FRIDLEY BUILDING INSPECTION
6431 University Ave NE
Fridley, MN 55432
763-572-3604 FAX 763-571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
Gas Range
Gas Dryer
*Air Conditioning -All Sizes
All Other Repairs or Alterations (List on Back)
1% of Value of Appliance or Work
Minimum Fee $15.00 for Residential or 5% of cost of
Improvement whichever is greater
�e lUO Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS J 436 b & Lyi
Fee Total
Owner
v6
$35.00 $� Buildir
$10.00 $
$10.00
$
$10.00
$
$25.00
$ ��
Commercial/Industrial/Institutional
1.25% of Value of Appliance or Work (List on Back)
Minimum Fee $35.00 for Commercial/Industrial/Institutional
State Surcharge
TOTAL FEE
REINSPECTION FEE $50.00/HOUR
ESTIMATED COST - PERMIT NO
DESCRIPTION OF FURNACE AND BURNE
# of Heating Units Circle One (Steam) (Hot Water p Air)./
Trade Name r� Size No.
BTU HP EDR
Fuel Z� Total Connected Load
Burner Trade Name
BTU
HP
Size No.
EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
$ and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
$
$h.b —Icz
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
HEATING
v v (J P
FAX #a4q96 D Date /
Approved by Rough -in Date Final Date
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes No( )
ZX
The venting system is plastic/PVC and meets all current codes and manufacturer
-
No(
specifications including sizing, length, number of elbows and termination.
Yes NY'- )
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
draft
Yes No ( )
assisted and natural appliances.
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
YesX No( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes () No ( )
When installing a new venting system, 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 (� No( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Typ BTU Input PcbFan Assisted or Na
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Tctal Btu Input
i 11
Common Vent Type lb- 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