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PRE 2010 DOCS0 City of Fridley, Minn. • BUILDING PERMIT N® 383 6 Date: .. ......... ` ... ,........... . ... Owner ....................................... Builder .:^ ..... ................... Address...................................... Address ............................................. OCAT SOF BLj1LD[NG No.®./ ... Street... ...... ......... /. /..�........ Part o t ......... .. .. .............. . Lot ....10 ..... Block ..—.3 ............. Addition or Sub -Division .... .......................... Corner Lot . x ........ Inside Lot ............ Setback Side .Z:O'..�. 7 .............. DESCRIPTION OF BUILDING To .. ... Front a -Depth [ �. a Height : �t. Sq. Ft. .9.4. P Cu. Ft. .................... Front ........ Depth ........ Height ........ Sq. Ft. .:...... Cu. Ft. ........ Type of Construction ................... Fit. Cost.. // rd0'26 ..l� O • • ?!"� To be Completed In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $.!. Y......., 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .... Building Inspector INOTICE: L This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, mater. Be sure to see the Building Inspector for separate permits for these Items APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder. ` _ r Address _ Address S '% LOCATION OF BUILDING �a No.," • Street Part of Lot Lot Block - �� .Addition or Sub. Div. (:--:P Corner Lot•— side Lot Set Back A--. Applicant -attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as / : Front Depth Height Sq. Ft. �® Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction 2= a Estimated Cost To be completed d)z rl The undersigned-hereby'makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of.the Department of Buildings, and hereby declares that all*the facts and representations stated in this application are true and correct. Signature a�vDate � (A Schedule of Fee Costs can be found on the Reverse Side) Date: .....'moi ... . City of Fridley, Minn. BUILDING PERMIT .s�:...... ...f. • ......... Owner .• Address..........��.......................... N® 3918 Builder Address................................. ......... ,,��'' LOCATION OF BUILDING No. ...L Street ...40e, ......... Part of Lot ............ ....... ..... Lot ....... Bo¢k ........ ....... Addition or Sub -Division ... Corner Lot.... ` ..j.... Inside Lot ............ Setback ...` '... 0 Sideyard ./ 0 �&)............... To Used �`as Type of Constructii DESCRIPTION OF BUILDING s ' 1 41' Front . 34.7.."0 "Depth . �4 772 ,ght .. /j.:.!? Sq. Ft. ..Q Cu. Ft.. Front ....... Depth eight ........ Sq. FL ........ Cu. Ft. ........ ......... e .. Eat. • . > 7 7jr.4"'Tb be Completed .................. . In consideratio of the issuance to me of a permht to construct the: building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the of Fridley. r In considemtioof 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 con diti that the person to whom .it is granted and -his agents, employees and workmen, in all work done in, around an upon said building, or anypart thereof, shall conform in all respects to the ordinances of Fridley. Minnesota (regarding location, construction, alteration, maintenance, repair and moving of buildingss with- in the city limitsnd this permit may be. revoked at any time upon violation of any of the provisions of .said ordinances. Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, pas heating, sewer or water. Be sure to see the Building Inspector for. separate permits for these items. Land Planniny cfa&r&&7t 370hfifj1ss1#iJtNf Land SUIWY�7y M1nneq)w& 21, Soils Tes tinq ENGINEERING, INC. mifl,7cvla aw/ & mumaIrl I SlIhmi 11-60" Eng neeriny Engineers Sur vectors n certificate of suzvey-:7, I.." �:'! L L I L I , ro V1 Li Lj hereby Cerfirpy fbd */-i sa h-ue and wrmcl representation 0,P,7 survey e#M bllndQr;eS If & OhOff ASCM&d Iffl7d, and JklWit7fl V/ aw buildings , *revv, &,d at/ imble a7avachmeals , if mj, f vn or *7 mid /and. As surveyed by me this - *y A.0 /9-"1.. SUB URBAN LENGINEERIN5, INC. bn9ineers Fr Surveyors A SUBJECT. P IT NO. - City of Fridley 1388 \ AT THE TOP OF THE TWINS PERMIT rp � BUILDING R COMMUNITY DEVELOPMENT O r � � PROTECTIVE INSPECTION SEC.. I}/( �'--1 CITY HALL FRIDLEY 55432 It---- �'� ,`1 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 11/19/76 10B ADDRESS 6001 - 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 6 3 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert D. Schmidt 6001 - 4th Street N.E. 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 l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 24' Detached garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surfaced driveway. --IMPORTANT— NOTIFY THE FRIDLEY ENGR. DIVISION REGARDING CURB 'REMOVAL AND REPLACEMENT AT DRIVEWAY OPENINGS, SEPERATE PERMITS REQUIRED FOR WIRIAV-, Gr HEATING, PLUMBING AND SIGN„ Before digong can local Wind TELEPHONE - E«cra1C -US Etc REQUIRED BY LA SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING '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 . $426240 $2.13 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- $23.04 NONE STRUCTION OR THE PERFORMANCE OF NSTRUCTION. PLAN CHECK FEE TOTALFEE $25.17 SI A u EOFCONTR RO AUTHO IZEDAGENT IDATEI HEN PRO ERLY VALIDAT D THIS IS YOUR PERMIT. BLDG INSP DATE SIG ATURE OF OWNER IIF OWNER RI IDATEI CITY OF FRIDLEY APPLICATION FOR. RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NAME :2 V 1Cf� VYIIUVBU ILDER : 5 A �VL� ADDRESS (Owl M L Sr Ni_ ADDRESS: 6A*A6 TEL. NO.: NO:. 6920[_____ STREET:_4� 6i IVi LOT: 6o BLOCK: � ADDITION: Q O AJA JC. CORNER LOT: x INSIDE LOT: SETBACKi SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: .6ara-Front: Ili Square Feet: 574 ub is Feet: ��lo 241 Depth: 24 'Height: It>r Front: Depth: Square Feet; Cubic Feet: Height: Type of Construction: Xfj Che_j-�r-cIYn4e_ Estimated Cost: $ 2000.00 6 T Be Completed: -5-1— %(A The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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. DATE: SIGNATURE: (See Reverse Side For Additional Information.) T r-DMIIWAT IM V I, Q&&49D C.� , owner of the property located at 4o O // have no objection to the. City allowing the construction of a_a raj a to be located at 4op( 4+ - S -T- Ni— without the required certificate of survey that the City ordinarily requires for all new construction. Address Date ov+ ems,/ (h. fitness 7'- SUBJECT City of Fridley q_=RTMPTWU._ 20540 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. idC IIS•J• o r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ''' 612-571-3450 910415 8/28/90 JOB ADDRESS 6001 - 4th. Street N. E, 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Bonney Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Robert/Sandra Schmidt 6001 - 4th.Street N.E. 571-8198 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 27`6" .x 12' Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, SEPARATE PERMITS RE��1►P�� FOR WIRING, WEA�`lNCI, I�t,UMSlNG AND SlON S' WARNING _ Before. digging call far On.ail net+ roofs or tear-offs and replacement roofs all utility.Wafians State Code iquires that 2 layers of 15 lb, felt,454-4002 mopped together, be installed to a point 24 Inches Ray IRED BYLAW from up exterior wall line, or the use of other approved underiayment membrane. 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 $16, 700 $8.35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $180,00. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE Fire SC 16.70 $205.05 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ATU IF WIT 11OR.e&AUT ORIZED AGEMATEi �a 2z—i� - BLDG INSP DATE SIGNATURE OF OWNER OWd ER BUiLDE (DATE) NEW [ ] Effective 8/16/90 ADM [ ] R-1 AND R-2 ALTER [ ] B AldingPermit Application`T Construction Address: GOO l " S—C UJ e -L Legal Description: Owner Name & aadress�„'� � 0Y J �.V� cXA�G` � �C-� �C_l t�� • # � % �'' $ 19 V Contractor: I- Q o eyc- r( 1I Tel. # to Address:, (, Op l�-�'= S T �[Z-ia l�-� &,Lfj i..) Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF narmnam Livnr. AREA: Length 97 (o Width _� Height Fid Sq. Ft. 3 3 C:> MAMM AREA: Length Width Height Sq. Ft. DEAR AREA: length Width Hgt/Ground Sq. Ft. Corner Lot [ Inside int Side Yana Setbacks ACA 9 Type of Construction: ADAA,.a;._ Estimated Cost: $ Apprcx. Cc¢pletion Date: AIDV l 199 d lit Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE:- �3 —?,1 APPIZC . Tel. CITY 0.4E ONLY Permit Fee $ Q Fee Schedule on Reverse Side Fire Surcharge $ ,.001 x Permit Valuation (1/10th �) l State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $600 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Marge $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: l �, )0() oocl Coo 4th Street NtiT r TO 1� 0 c® L,�,u t �-s S`T t�1 �w s� •.Lei � u u�a d��i �,� �:ra,� �) z, �yI, J� 441,,5 Coo rbtN Z * B bezS-e- � to F a o� 4� 6+��� dry ���-v�►�� e� �����;,,� �D�r��� `f V o p CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES c� �� j L] J► �-' JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - T�C7 city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 that all the facts and representations stated in this application are 00 true and correct. � �� ,199 Gas Piping (Needed with new furnace) $ 10.00 $10. 11b OWNER Gas Range $ 10.00 $ n RCS/dC) ee BUILDING USED AS Gas Dryer $ 10.00 $ L* 17X f1,,2z1 ESTIMATED COST • PERMIT NO. *Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $-A2. 540 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units 1— One (Steam) (Hot Water)Warm Air) Trade Name Lamin® X Size No. BTU HP EDR Fuel N Total Connected Load Burner Trade Name Size No. BTU A HP EDR HEATING Signed Approved By Rough -in Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE LI -2110 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected 6. Has total heating BTU's of -7 0 All other BTU's r CJ 60 TOTAL BTU's CJ�J Remarks List Alterations Being Done: Yes (YQ No ( ) Yes ('X-) No ( ) Yes C4 No ( ) Yes , (4 No ( ) HEATING COMPANY (C Signed ByAhn/ JWPF , Date �� SUBJECT 4rERMIT NO. City of Fridley 26352 AT THE TOP OF THE TWINS BUILDING PERMIT ' , R I t ` COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r ' NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 it i %J "" 612-571-3450 910415 6/25/98 JOB ADDRESS 6001 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Bonney Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Schmidt 6001 4 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Advance Aluminum Supply Inc 7701 Main St NE, Fridley, MN 55432 571-3440 7983 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 Soffit & Fascia - aluminum 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet 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 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 $1 500 $.75 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- $48.50 Fire SC $1.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. / f 2;�'/y5 PLAN CHECK FEE TOTALFEE License SC $5.00 $55.75 $ Gg ATURE OF CONT ACTOR OR AUTHORIZED AGENT /// IDATEI 6 HEN P�RO�PERL Y�YATED THIS IS UR PERMIT lfSfo ,SP GATE _I/!/J/ SIGNATURE OF OWNER IIF OWNER BUIL DERI IDATEI G �1 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763-572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective On January 1, 2001 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. $ .50 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE Cj — 12 _ _VZ I Rough -In Date Final Date �� t (P S JOB ADDRESS • ' OWNER Lrl lYl I (� Rate TOTAL BUILDING USED AS4=L $ 30.00 $ ESTIMATED COST PERMIT N0. / � $ 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. $ .50 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE Cj — 12 _ _VZ I Rough -In Date Final Date �� t 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 plastictPVC 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 existing combustion air is sized and installed to meet the current codes and manufacturers 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 fr Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date Uilf OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 7, 2003 Ms. Sandy Schmidt 60014 Street NE Fridley, MN 55432 Re: Final Inspection at 60014 Street NE Contractor: Maple Grove Heating & Air Conditioning Dear Ms. Schmidt: A mechanical permit was issued on September 25, 2001 to install an air conditioner 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 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. DJ/mh .