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SUBJECT PERM[ City of Fridley O - AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO. ' COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC. I � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 16/25/79 JOB ADDRESS 5423 West Brenner Pass N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 6 1 Innsbruck North Townhouses Plat 5 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Darrel Farr Development Corp. 7286 - 72nd Lane,. Brooklyn Park, 55428 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 560-8110 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 Construct an 18' x 28' Townhouse A Unit 9 CHANGE OF USE FROM TO STIPULATIONS party wall must be two separate 1 hour walls from bottom to roof. Firestop soffits. Provide combustion air to furnace from outside. WARINCY SEPERATE PERMITS REQtj1RED FOR WIRM Bohn digging call local utilities HEATING, PLUMBING AND S1�GIVSi. ac.REQUIRED BY LAW 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 1512 14,12 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 $28,160 $14.08 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIV AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF NY H E OR LOCAL LAW REGULATING CON- $56.45 $425' 00 STRUCTION H R NCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $1 11 $509.64 SIG AOI URE OFZOr4rTFFACTOR UTHORIZEDAGENT (DATE) WHE PROPER Y A D E THIS IS YOUR PERMIT WISP DATE SIGNATUREOF OWNERIIF OWNER BUILDER) IDATEI V JC I 1 VA / I l E // i -L. / ° APPLICATION I=UIt RES I DE -IT I AL BU I I_D I NG FIEII141 TS fIII - A /� I "ff oIt RL"I'AI tt ,I L•tid, L1L-RAIIOIdS, LI)IT O 0, DUILD1:1t: "Address: • L Address 310.z Street: LOT:.. / ALOCY.: ADDITION: COME? LOB's- INSIDE LOT:. S T13ACY.z SxUL'YARDS: ` Applicaht attach to this %rm T,;o Certificates of. Survey of Lot .arid proposed builr3ir g location drawn on these Certificates. DESCRIPTION OF BUILDING vo J3_^." Used As: - 11eigh't:DegthFxontoC - _ _ Square Feet: JS/off Cubic Feet: _ /4111a _ 'I7cont: .:Depth - Height: - y Square Feet CuZiic Feet: spa of Construction: N� Estimated Cost: To Be Completed Q/7 Alt. A Alt. B Proposed Drive.#ay t7idth if New Opening Is Desired $ $ y . (SEE PX _R.SE SIDE OF SHEET) Tna undersigned hereby makes application for a permit for the wort: herein specified, agreeing to do all wor}: in strict ac ante with the Cit} of - Fridley Ordinances and rulings of the Dcpar . ient of Duildings, and hereby declares that all the facts and r escn tIo -t in applicatiotz are true and correct. See rever., sid for dit' sial fWaat DATE: �� 9' SXGfi1A'vU Stipulations: r IA4 ,. 00 (Y1 tf ' ) �s c ®SOFF-r is 1�L°s6Yl C)��67� �C�, `4CCX)i"` - �%�ct...�( ()I- �c?r SuS7 rca�� (� i(z. F69 -F-ieom 4�6--K/ OF, '�V/'%7 L7 5-,o 9, 6 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WAILM AIR: RATE TOTAL I\ Job Address Furnace Shell & Duct Work $12.00 $ *Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-345,0 MECHANICAL itiAIM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Dauct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each; add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the * Replac,anert of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ // Repairs & .Alterations each add. $500.00 4.00 $ Fridley, Minn. g ''(p 19 ST ,'M OR NOT WATER SYSTEM: OWNER 1 Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING (��, Vi`i• each addn. 5G,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS I J ,` R'�T each addn. 50,000 BTU 6.00 $ � TO BE COMPLETED ABOUT k P l' OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ � ESTIMATED COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10,00 $ i ' e> � OLD - (NLW�IBUILDING PERMIT NO. PERMIT NO. o-1 q (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: lst 3 Fixtures x $ 3.00 $ '� •Cid Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.01 $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERt1T10NS & REPAIRS $ State Surcharge TOTAL FEE $(J ROUGH INSP. REINSPECTION FEE Date ($10.00) FI:7AL INSP. Date �y APPROVAL FOR PEPMIT l,9 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Namo.�' size No. / 6 C-(') Capacity Sq. Ft. F.DR BTU®_ HP Total Connected Lead (,2(!) ( (�j Kind of Fuel CLCA BURNED. - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP 1 r , Company�l I l a Signed By Tel. 140. 97-8t1-416051 ' R1 t'uture Connection Opaning °1 w New Fixturh, Old Opening APPLICATION FOR P6 MBING AIJA GAS FITTING PEPCIT � ` $2.00 x $2.00'. 1 in x $5.00 x $10.00 e: S8 19 BCS. v F� ly' !r� ••1 Pb9 ►in L� c1 ; v •� N ' A Sf C c °" �eo7a tl Department of BuLldirIgx U.ac Aj V.,w a 't 0 ;as :lee ' R1 t'uture Connection Opaning °1 w New Fixturh, Old Opening APPLICATION FOR P6 MBING AIJA GAS FITTING PEPCIT � ` $2.00 x $2.00'. 1 Gob Address 5423_ West Brenner Pass x $5.00 x $10.00 e: 11.00 dater v x $5.00 flea ter - •� Department of BuLldirIgx U.ac Aj V.,w a 't 0 ;as :lee City of Fridley ,y� Tel, fl571-3950 ® ® ® The underal.gned herLby maken apPlication for a permit for tha s+gck'hln herein re18 fiPacifiad agreaing to da all. work in strict accordanb6 wish thr: City _ ® ® . and rulings of Lhe Department of Buildings, and rereby..declarel, that 611 - the facLu and repruaoneatl®na etatod in this ahlllicatlon 1190. teuo and corrucr Fridley, htn. 11-11.9-79 , 19 ... Ccnnected with Sewer Water PARTIAL RAIE SUEDULE LUMBI NG FIXTURE RATES: N0. RATE ISuSwer Ftat►s[e® . ' Illturn Fixture Opening Flature, Old Openinj C.stch basin 6tetnr Ilaatar o to. 99,000 BTU 100,000 DIU to 199,000 BTU = hlmtur 5oftenar Ilew Ground run Dld euilrliro7 Electaic water Ileater AS' FI I'TING PEES; 1st 3 eixturses A.9,Iltlonal @'Lxcurna Ga® Ite„ga to 199;000 BTU EPIA I k1 4 ALTERATIONS t'1taL $100.00 tacit ad.8. $100.•00 or fracL.lon x 53.00 $2.00 x $2.00'. o x $5.00 x $5.00 x $10.00 x 11.00 x $5.00. x $5.00 x $].00 x $1,00 x $1.0,00 SLata Surcharge TOThL LTC I L1115FL'CTIuU 05.00 $2.00 TOTAL: $ 19 1 Qtd1dER DAR"M FARR KIND OF BUILDING fr^Yns USED AS re$. TO BE COMPLETED AGOUT 11-26-79 ESTIMATED COST 4o.00. OLD -. NEVI BUYLDINu^ PF:I091T 110, FEIuM Company , Signed By MINNEG'ASCO Tel, 110. ROUGH I11SP. Data FI111%L I11SP, Data APPRUVAL FOR PEIIMIT MIIIIMUM 1'Et F01% 111Y PLU1:6I11G PETV"IT IS 57.50 PLUS $.50 51ATt 6UW0IA/IG>Z CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE 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 roprosontations stated in this application aretrue and correct d � Fridley, Mn. 19.L OWNER`' KIND OF BUILDING_; --- USED AS TO BE COMPLETED ABOUT --`� ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE W OLD -NEW BUILD3NG`PERMIT NO. PERMIT NO.. <9 Number Fixtures >1 W a Future Fixture Opening o $2.00 x d New Fixture, Old Opening Water d W W Catch Basin x $5.00 E4 rd c aw W N $5.00 4j W w tp $10.00 Heater ©r C W New Ground Run Old Building x b H e C Rm4 $5.00 $ Date GAS PITTING FEES: W r t: ..1 x 4 a 3 Additional Fixtures .1 O[. $� U Gas Range to 199,000 BTU G) $10.00 $ APPROVAL FOR PERMIT REPAIRS & ALTERATIONS First $100.00 $5,0Q $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUR0MRGE v uab`ao wo TOTAL FEE 0 g u w a° 3 0 o as lec 1st 2nd ,F i? � a 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE 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 roprosontations stated in this application aretrue and correct d � Fridley, Mn. 19.L OWNER`' KIND OF BUILDING_; --- USED AS TO BE COMPLETED ABOUT --`� ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD -NEW BUILD3NG`PERMIT NO. PERMIT NO.. <9 Number Fixtures x $3.00 Future Fixture Opening G x $2.00 $ _ Company New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Signed By y Water Heater - to 99,000 BTUTel. x $5.00 $ No. 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 GAS PITTING FEES: FINAL INSP. 2 1st 3 fixtures x $3.00 -� $ Date Additional Fixtures x $1.00 $� Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT REPAIRS & ALTERATIONS First $100.00 $5,0Q $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUR0MRGE state Surcharge $ .50 TOTAL FEE Er $ zS �;_ , REINSPECTION FEE ($10.00) April 8, 1980 CITY OF F I LEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Darrel Farr Development Corp. 4600 Lake Road Minneapolis, MN 55422 a Re: Final Inspections on Fountain Oaks Townhouses Dear Sirs: TELEPHONE ( 612)571-3450 Final inspections were made on April 4, 1980 of the following addresses and the items noted must be completed before the structures can be finaled out; 5401 West Brenner Pass 1. Regrade to provide proper drainage and lower grade to expose concrete slab. 2. Provide a ball check in the floor drain. 3. Obtain a final inspection on the heating work. 5403 West Brenner Pass 1. Complete the grading. 2. Repair and install the ball check in the floor drain. 3. Obtain a final inspection on the heating work. 5405 West Brenner Pass 1. Install a ball check in the floor drain. 2. Regrade front to provide proper drainage and lower grade at garage to expose concrete slab. 5407 gest Brenner Pass 1. Provide a ball check in the floor drain. 2. Plug future water closet run in lower level. 3. Obtain a final inspection on the heating work. 5409 West Brenner Pass 1. Install a ball check in the .Floor drain. 2. Regrade and expose concrete garage slab. 3. Obtain a final inspection on the heating work. 5413 West Brenner Pass 1. Provide a ball check in the floor drain. 2. Complete grading properly. 3. Obtain a final inspection on the heating work. 5415 West Brenner Pass 1. Install a ball check in the floor drain. 2. The discharge hose from the sump pump must discharge to the outside and not into the sanitary sewer. 3. Obtain a final inspection on the heating work. '.�t'^„°�..�-_--�--••ws+!�,�Y"-x-.vcY—��"�`7°vn�^ .,A<---tsm-.-; av�a-�.r-,r�s�.....yy�,..�, -.. -:x .. .. .. .,. - .- .. .. - - 1�` Darrel Farr Development Corp. - " Apxi.1 8F 1980. y Re: Final Inspections on Fountain Oaks Page 2 5417 West Brenner Pass 1. Complete final grading. 2. Install a ball check in the floor drain. t 3. Obtain a final inspection on the heating work. 5419 West Brenner Pass 1. Install a ball check in the floor drain. 2. The discharge hose frau the -sump pump must discharge to the outside and not into the sanitary sewer. 3. Obtain a final inspection on the heating work. 5421 West Brenner Pass 1. Install a ball check in the floor drain. 2. The discharge from the sump pump must discharge to the outside and not into the sanitary sewer. 3. Obtain a final inspection on the heating work. 5423 West Brenner Pass 1. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating work. 5425 West Brenner Pass 1. Nail treads on stair leading to the basement. 2. Install a ball check in the floor drain. 3. Obtain a final inspection on the heating work. 5427 West Brenner Pass 1. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating work. 5431 West Brenner Pass 1. Install a ball check in the floor drain. 2. Sleeping is prohibited in the basement unless an escape window is installed and a fire alarm. .3. The discharge hose from the sump pump must discharge to the outside and not into the sanitary sewer. 4. Obtain a final inspection on the heating work. 5433 West Brenner Pass 1. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating work.. 5435 West Brenner Pass 1. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating work. 1629 Brenner Pass 1. Install a ball check in the floor drain. 2. Provide an access panel for the upstairs bathroom. 1621 Brenner Pass 1. Support the basement stair at mid -point. 2. Install a ball check in the floor drain. uarrey carr ueve.Lopment Corp. v April 8, 1980 Re: Final Inspections on Fountain Oaks 1627 Brenner Pass 1. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating work. 1643 Brenner Pass 1. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating work. 1633 Brenner Pass 1. Install a ball check in the floor drain. 2. Obtain a final inspection on the heating work. We will expect the above items to be completed by June 2, 1980 and reinspection called for. If - you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh Page 3 I `F April 8, 1980 v 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 `r Darrel Farr Development Corp. "F 4600 Lake Road c� Minneapolis, I -IN 55422 r Re: Fountain Oaks Garages Dear Sirs: TELEPHONE (612.)571-3450 The grade around most of the garages serving Fountain Oaks is too high. At no time should fill be placed against the exterior of a building wall unless that wall is of concrete. The problem is most severe between garages 16 and 17 and again between '/13 and 14. The slab elevation difference is so severe at these two places that the only solution may be to build the lower portion of the lower structure out of concrete so that fill can -be placed against it. I strongly suggest that on any future garages, that you consider placing at least one course of block under the bottom plates so that final grades can more easily be obtained without the danger -of placing fill against the wooden walls. The problems explained in paragraphs one and two above must be corrected as soon as possible and certainly no later than June 2, 1980. If you have any questions with reference to the above, please contact me at 571--3450. Sincerely, DA CLARK Chief Building Official DGC/mh a C SUBJECT PER City of Fridley2 ®4 2 3 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ______ r 1 I PROTECTIVE INSPECTION SEC. _ 3� e � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By 612-571-3450 910-F15 6/12/90 JOB ADDRESS 5423 West Brenner Pass N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] 6 Innsbruck North Townhouse Plat 5 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Spitz 5423 West Brenner Pass N.E. 574-1730 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & P Builders Inc. 2370 - 3rd Street N.W. New Brighton, MN 55112633-8375 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 O S DESCRIBE WORK Replace rotted siding on fireplace chase 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. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS 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 $1,4OO $.70 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 STATELOCAL LAW REGULATING CON- $33.00 STRUCTION OR THE PERFORMANCE CONSTRUCTION. PLAN CHECK FEE TOTALFEE �'��� va� LA?.4 $33.70 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tDATEI - HEN PR P V L TED THIS IS YOUR PERMIT .✓l, Z _ f/ BLDG INS$ DATE - SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI C NEW [ ] Effective 1/1/90 ADDN [ ] R-1 AND R-2 AMER-(Vj' Building Permit Application Construction Address: 6 7 o-1,3 W4E6 ( � e Legal Description: owner Name &Address: .Q/� )f `�i2 e .4s .11�a�/e�el. # v'7�� f �� ° �� Contractor: s%Z� p aa®1d44'S' -lily . Tel. # 6a3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MPROVEMENT LIVI143 AREA: Length Width Height Sq. Ft. GARAGE AREA: TPrnth Width Height Sq. Ft. DECK AREA: Izngthth Hgt/Gro" _ Sq. Pt. Corner lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ le7 Approx. Completion Date: & -c3L6 --7 Proposed Driveway Width If New Opening Is Desired: Ft. $ $' 6' See Back Page DATE: �a� �C% APPLICANT':¢:�ZZdTtk�+ Tel. Permit Fee $ '3-3-60 State Surcharge $ 96 SAC Change $ Driveway Escrow $ Park Fee $ Sewer Main Change $ $ -3�3- 9D STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 12, 1991 Mr. Larry Spitz 5423 W Brenner Pass NE Fridley, MN 55432 Re: Chimney Chase Repairs Dear Mr. Spitz: As you may recall, your chimney chase was repaired during the month of June, 1990. At the time your chimney was repaired, the interpretation of the number of fire stops required was for only one to be located at the first floor level above the fireplace. Therefore, please be advised that your chimney chase does meet the Building Code as repaired. Sincerely, D CLARK Chief Building Official DGC/mh June 24, 1991 Attn: Darrel G. Clark, City of Fridley 6431 University Avenue Fridley, MN 55432 GAB Business Services Inc 9531 West 78th Street Suite 320 Eden Prairie Minnesota 55344 Telephone 612-942-9818 FAX • 612-943-2383 Claims Control Branch Chief Bldg Official GAM GAB FILE NO: 56509-01263 INSURED: City of Fridley F , CLAIMANT: Larry Spitz ov2 3 (-u D/L: 04-22-91 Dear Mr. Clark: This will confirm our conversation of 06-24-91, during which we discussed Mr. Spitz's claim against the City of Fridley. Will you please arrange for us to be sent a complete copy of all records the city and/or building department may have with respect to its involvement in Brenner Pass Development. In addition, is there any type of subdivision agreement for this development? If so, please forward this information. If there is any other information that you deem would be appropriate for our investigation, please send that along as well. If you have any questions, please feel free to contact me at anytime. Upon review of this information, I will be in contact with you again to discus. airy questions or concerns I may have. Again, thank you for your cooperation. Sincerely, Daniel J. McRaith Adjuster DM/maz GAB Business Services Inc 9531 West 78th Street Suite 320 Eden Prairie Minnesota 55344 Telephone 612-942-9818 FAX 612-943-2383 Claims Control Branch July 1, 1991 Larry H. Spitz 5423 west Brenner Pass Minneapolis, Mn 55432 GAB FILE NO: 56509-01263 GAB INSURED: City of Fridley CLAIMANT: Larry Spitz D/L: 4/22/91 Dear Mr. Spitz: As you know, GAB handles claims for the League of Minnesota Cities Insurance Trust, and Tr;:st , t::a City of Fridley. Recently, we received your claim against the City of Fridley, alleging negligence of the City's building inspector(s). We have completed our investigation, and have concluded that the City is not legally responsible for your damages. Therefore, we must respectfully deny your claim against the City of Fridley. If you have any questions, please feel free to contact me at any time. Sincerely, Daniel J. McRaith Adjuster cc: City of Fridley 6431 University Ave. NE Fridely, Mn 55432 cc: TC Field Box 64016 St. Paul, Mn 55164 1�0� , SUBJECT PERMIT NO. City of Fridley 2, AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV v r PROTECTIVE INSPECTION SEC3741 I , NUMBER REV DATE 9/20/94 PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 5423 Es:sv Brenner Pass NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 11 Innsbruck North Townhouse Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Gittleman Construction Corp 7900 Xerxes Ave, Bloomington MN 55431 571-1023 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR XX ❑ MOVE ❑ REMOVE B DESCRIBE WORK Deck Repairs 9 CHANGEOFUSEFROM TO STIPULATIONS Deck construction including handrail, guardrail, spacing, etc. 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 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 I 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 $270.00 .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- STRUCT) NOR THE PERFORMANCE OF CONSTRUCTION. $15.00 Fire SC .27 PLAN CHECK FEE TOTAL FEE $15.77 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERL VALIDATED THIS IS YOUR PERMIT BI D9F INSP yy� OA7E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 1/ 1 /94 ADDN [ ] CI'T'Y OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z � `� Building Permit Application j � t 7 Construction Address: S Palms. o r -.I 5� Q R� Legal Description: A.s.Sa Owner Name & Address: 11.1 J 5 S Q.0 C K N102714 TOW N N O U- '-� Tel # 831 Z Sos Contractor: MN LICENSE # Address: `41e!�'v �5,L-A32 Tel. # sjl-102-5 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: Jxngth Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: DEGIC. IZEPat r -S Estimated Cost: $ Approx. Completion Date: I a- 3 I- 9+ (Cost on Back) Driveway Curb Cut Width Needed: Pt. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: 9�� Tel. #/ CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 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 [ J Not Necessary ( J TOTAL $ STIPULATIONS: I1 SUBJECT City of Fridley 3120 AT THE TOP OF THE TWINS BUILDING PERMIT t RECEIP NO. �� COMMUNITY DEVELOPMENT DIV. ______ 1 L PROTECTIVE INSPECTION SEC. r I_1q 33 / NUMBERREV DATE PAGE OF APPROVED BY E I CITY HALL FRIDLEY 55432 612-571-3450 910415 7/14/00 JOB ADDRESS 5413 - 23 West Brenner Pass 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION, SEE ATTACHED DESCR. .1-6 6 1 Innsbruck North Townhouse Plat -5 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Innsbruck Townhome Association 651-224-5482 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Garlock -French Roofing Corp., 2301E 25 612 -722 -719 --() ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 00001423, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION IM REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Tear Off and Reroof Townhouse Building 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply mith the State Building Code. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 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 EXAMINED THIS APPLICATION 6 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 $21,914.75 $10.96 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- Fire SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $349.25 $21.91 PLAN CHECK FEE OTAL FEE 382.12 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N PR LY VALIDATED THIS IS YOUR PER IT 1 $-GNATURE OF OWNEPOF OWNER BUILDER$ IDATEI 'DGINS TIATE I1 -ITY OF FRIDLEY INSPECTION DIV. 34,31 University Ave NE Fridley, MN 55432 C) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 :... 'es =Urinal €.;=``.:<2;:.:> .;<..; Shower WashWt. T Floor Drain �..Auto Washer Range Water HeaterGa Gas ElecSo Basement Floor 1: ��F_ :...:::.a::I.•l..e::.:.�: :::.....:...:.::. .Floor 2 :: Floor 3 E Floor PLUMBING FIXTURE RATES: New. Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader NO. RATE TOTAL _ JOB ADDRESS_ "54YYC; O"s 6C43'E12_ Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas"* Gas Range"* Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $e 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. LIMA, BRUCE 5423 WEST BRENNER PASS N.E. FRIDLEY, MN 55432 (763)571-2540 . Owner .Building Used As -712-U.2001 Estimated Cost L ' PERMIT NO. PLUMBING COMPANY Qrz'= PLO ii C' Cz SIGNED BY TEL N0. Z- ' O Approved By Rough -In Date Final Date `� L MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS S20 oo PLUS THE S.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing_an existing 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 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 -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) 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 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 Length ft Diameter. in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING Cb: Signed By: Date : GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 January 11, 2002 Mr. Bruce Lima 5423 West Brenner Pass NE Fridley, MN 55432 Re: Final Inspection at 5423 West Brenner Pass NE Contractor: Norblom Plumbing Co. Dear Mr. Lima: A plumbing permit was issued on July 31, 2001 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no final inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. 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" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, ENSEN Inspector DJ. SUBJECT - City of Fridley (v 306 AT THE TOP OF THE TWINS ?7� BUILDING PERMIT Ir � �• COMMUNITY DEVELOPMENT DIV. 3604 -- RECEI PROTECTIVE INSPECTION SEC. r I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 9/10/02 irhr JOB ADDRESS 5423 =E " Brenner Pass NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEscR. 5 11 Innsbruck North Townhouse Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brice Lima 5423 East Brenner Pass NE 571-2540 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Hendel Construction 4997 Page Ave NE, Rogers, MN 55374 428-7992 20192308 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Rebuild chimney chase; add fire stops to meet code; reside chase 9 CHANGE OF USE FROM TO STIPULATIONS Fire stop per section 708, 1997 Uniform Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $3,500 $1.75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITTEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION R aE PERF RMANC OFC NSTRUCTION $97.25 Fire SC $3.50 PLAN CHECK FEE FEE TO;ZO7. Licen S $5.00 50 SIGNATURE OF CON"RACTOR OR AUTHORIZEC AGENT IOATE, N P OP Y ALIDA THIS IS V JUR PERMIT BLD NSP OAtE S-GNATURE OF OWNER,lf OWNER BUiLOERi iDATE, NEW (] CITY OF FRIDLEY Effective 1/112002 ADDN (J 6431 University Ave NE, Fridley. MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUIPING PERMIT APPLICATION Construction Address:! �3� /v �a 0 Legal Description: cp h Owner Name & Address: /�� Tel. #7( Contractor. - MN LICENSE #� Address: e/ 7— AAZ Aa � 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 Width . Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: r Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1 87 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - /® 7..^0 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by'Engineedng Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: 0 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 �j Effective 4/1/2004 i APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS (q a3 W_ ® `� �C� Fee Total Owners m (k x $35.00 $111 Building Used As $10.00 $ ESTIMATED COST �o F\ A� �_ PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Unts�_ Circle One (Steam) (Hot Water);rm�Air �-N Trade Name N)Q Size No. $25.00 $ BTU HP EDR Fuel rY1 y . Q(l L Total Connected Load r $ Burner Trade Name Size No. BTU HP EDR Co m m e rcla I/ I n d ustria I/ I nstitutio n a I 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 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 $ 6 HEATING COI $� Signed - Tel # ` r FAX #_n0 01 Date ��_ Ll *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 Approve Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS - E COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION - When replacing an existing furnace, the undersigned hereby verifies that the <:a: 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 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 c 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 existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes 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 j No ( ) Is the common vent and vent connectors sized and installed correctly after -.in appliance has been removed from the common vent and vented separately as per current codes. - - _. Yes P No ( ) Appliance Type and Size/Common Vent and Vent Connector Information A Ipliance #1 Type tI 'i �� � �Q 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. L_ z 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 _ ALTERATIONS: (Describe) �`� ��(�U �%1 fl HEATING CO: Signed By: