Loading...
PRE 2010 DOCS0 0 City of Fridley, Minn. WELDING PERMIT N® 3632 Date: ../ :... f ...... ...... . Owner....................................... Builder ..................... ... ................ Address ...................................... Address ............................................. ��� �� ION �OF BUILDING ... � street ... � '� No. ... .. ..... ...... .0...4........... Part of Lot ................. .... Lot ....r.... Block .... ........... Addition or Sub -Division .460> ... .. ...... .... . Corner Lot ............ Inside Lot Setback .. Sideyard ../Q .-.0 .? ........... DESCRIPTION OF BUILDING To Used . ..... ... Front .V� Depth � l.. Height / �:�. Sq. Ft. .�(�6. Ca Ft. /.d. �O ...... Front .......: • .Depth ..... .. Hei t ........ Sq. Ft ........ Cm Ft ........ ............ . p Type of Construction .. .... ... Mt. QZ41* R . l/. � Comp ................... ••• •.• ..'..�^. To be leted ...... 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 fo and in co liance with allprovisions of ordinances of the city of Fridley. A.... . ............. ....... ... ............ In consideration of the payment of a fee of $. Al?, •, Ppermit 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. ..,g/. Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. ( City of Fridley f Appiication for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ qq $ Water Heater (Up to 200,000 BTI) ...... 4 x 2.00 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 z €eJ $ V' F N WATER HTR. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code t �� d Description ................................................ cvtd TOTAL FEE __ $ -�� " '° = -� GAS ELEC. Base 1st 2nd 3rd 4th • Future Coanw-don Openings Connected with New Fixture, Old Openings Sewer E] Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTI) ...... 4 x 2.00 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 z €eJ $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code t �� d Description ................................................ cvtd TOTAL FEE __ $ -�� " '° = -� Dept. of Bldgs. Phone SU 4-7470 Location l� r�"�-S 7��. . City of Fridley - - 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. Fridley, Minn � - � � , 19 Owner %� %� r� (e �i �/ y 19 Kind of Building , 19— Used as To be completed about Estimated Cost, $ Old—New. Building Permit No.y% Signer P G ! Business Phone No Connection Permit No . ....................................................... o it ® eRa7z. Water Sewer 11 1 M-8-58 Meter Deposit City of Fridley App9carlon for ming and Gas RM" ftimit Dept. of Bldgs. Phone SW -3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ...... x $2.00 N Z Future Fixture Opening .... .. ` Y New Fixture Old Opening C � N Z Catch Basin ... ... ... ...... x $3.25 $ Water Heater (Up to 99,000 BTU) • F � N WATER NTR. GAS ELEC. Base x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures .......................... x $2.00 $ Additional Fixtures . .......... :....... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ 3.00 lot - 2nd 3rd -- 4th _ -- ' Futurs+ Connection Openings Connected wifh Now Fixture, Old OpeningsBower I Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ...... x $2.00 $ Future Fixture Opening .... .. x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin ... ... ... ...... x $3.25 $ Water Heater (Up to 99,000 BTU) x $5.00 $ New Ground Run Old Bldg. ... ... x $3.25 $ Electric Water Heater x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures .......................... x $2.00 $ Additional Fixtures . .......... :....... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ 3.00 REPAIRS R ALTERATIONS—Refer to Coda Description ...............................................$ TOTAL FEE $--3.00— N) -3.•0.0N Localinn 5851 IV E 6th St City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn 9-18-69 .19, _ Owner G Kirs chner Kind of Building ----- Used as res To be completed about _ —23-69 Estimated Cost, $ 10.00 Old—New. Building Permit o. p it iia Signe By M NEMLIS Co Business Phone No FINAL -22: /�o City of Fridley SUBJECT PER 12632 AT THE TOP OF THE TWINS BUILDING PERMIT ` RE T N • ______ COMMUNITY DEVELOPMENT DIV. y r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 IL I.J L ----A 612-560-3450 910-F15 7/16/74 JOB ADDRESS 5851 6th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 6 1 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE C. Kirschmer 5851 6th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Inter City Builders 2500 MurrayAvenue N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Attached garage 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 22Z8 22 x 16 attached garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface x! driveway. (see attached letter from adjacent property owner releasing owner from having a survey) 7/15/74 �`�: f2AiE =EkMiT3 REQUIRED FOR WIRING, -HEATING, PLUMBING AND SIGNS. 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 3,520 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 352 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 $1,865.60 .93 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONSOF A Y OTHER STATE OR LOCAL LAW REGULATING CON. STRUCTION OR T RFORMANCE OF CONSTRUCTION. 06.50 1dVx/"1q PLAN CHECK FEE TOTAL FEE - 1 7.43 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WEN VALIDATED THIS ISYOUR/PERMIT BLDG. )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) J APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA a OWNER'S NAME: C.)t�S/' /1 y ae BUILDER: %Nne d ! < r f,3ell Ze S ADDRESS: �� `' L S r � ADDRESS :.2Z py r NO:., /.. STREET: L 7T - LOT: BLOCK: ADDITION: /5 )J CORNER LOT: INSIDE LOT:_SETBACK: 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: POO_ Front: I � Depth: Height: Square Feet: �_ Cubic Feet: ;z S_/% Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: 'e Estimated Cost: To Be Completed: - ��- 7 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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: -?` l 7 7 tv SIGNATURE: (See Reverse Side For Additional Infon on.) 4. v 9 ��3 1. m C/ �owner of the property located have no objection to the City allowing the construction of a&;( --I %li 1hd o%I����d�'�to be located at: ,ne � /'" 5th without the required certificate or survey that the City ordinarily req u es for all new construct,/ 0,6" de- - i ness Address Date • r, a 1-7 FIRM STAMP CONTRACTOR'S JOB COST ESTIMATE FORM-NO.155 Name Phone Date Street City State Location of Job Sheet No. Estimator Checker Estimate No. Terms Cost Basis of Bid " Plus Definite Bid Other Job to be Commenced To be Finished Description of Job QUANTITY DESCRIPTION MATERIALS - EMPLOYMENT UNIT LABOR PRICE HOURS RATE EXTENSIONS TOTAL s TOTALS FORM NO. 155 - THE BLACKBOURN SYSTEMS, INC.. ST. PAUL, MINN. R X. 231 suBdEcr PE NO. City of Fridley 1437 AT THE TOP OF THE TWINS PERMIT BUILDING RECEIPT NO. L'-_�--_ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �•-'-� • •�� 612-560-345020 910-F15 9120177 � � JOB ADDRESS 5851 - 6th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 6 1 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE BUS. ,# Mar ita H. Kirschner 5851 - 6th Street NE 55432 571-6492 786-220 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 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION J7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS 1. Provide galvonized ridged valleys. 2. Roof must be stripped before the 3rd roofing. 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 ZON NG 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATIONIc 04 SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $11000.00 •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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE $`8.00 EEeOF CONTRACTOR OORRR AUTHOOR�IZZEED AGENT IDATEI SIGNATURE O RLY LIDATED THIS IS YOUR 5FRMIT I �Y/ .l G.a R. • 6 C&O'p22j,6:97 O� o 7 BLDG INSP DAT SI NATUR OF OWNER IIF OWNER BUILDERI IDATEI X. 231 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR•REPAIRS) OWNER: BUILDER: Address: 5®,_ 57 - 451'e 46e -t kj Address: Tel. No. No.: Jam/ Street: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: 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: I?el- j2oC haae Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Ar kill - Type of Construction: _5..��Gf� Estimated Cost: $ �l�T®� C7-0 T To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: SIGNATURE: Stipulations: SUBJECT PERMIT NO. City of Fridley o 5 7 2 AT THE TOP OF THE TWINS BUILDING PERMIT r -- _ COMMUNITY DEVELOPMENT DIY. >r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBERDATE PAGE OF APPROVED BY 612-571-3450 910-F1577 9./14/90 JOB ADDRESS 5851 - 6th Street N.E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 6 Sonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gabriele Kirschner 5851 - 6th. Street N.E. 571-6492 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Daniel Andrs Const. & Remodeling 17512 Evener inlay, Eden Prairie 55346 934-3074 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 C;k ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install bow window (131° extension). 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 1 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 $3,000 $1.50. 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- $54.00 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE /y 0 Fixe SC $3,00 $58,50 SIGNATURE OFICONTRA0OR OR AUTHORIZED AGENT IDATEI WHEN VALIDATED THIS IS YOUR PERMIT gPROPERLY // • ' // 0 �C l J BLDG INSP /QATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 8/16/90 ADEN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Legal Description: Owner Name & Address: as !o � ►` � �P ,;e,;sZ s G Tel. # --z- Contractor: ez- „/ " e- Tel. # 3 -V` 30'7</ Address: t / -7S'i ja 2—�✓ r- AJ ea i � �� �� �.� �. °� ; `� d`7ii% 5�� 3 Attach to this application, a Certificate of Survey of the lot, with the prcposed construction drawn on it to scale. LIVIM AREA: length Width Height Sq. Ft. QNRAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTR: Pq2lacL ,J ' o �-'i1 O L �. cc �►/ q `o e �r ; S 7�. � ✓� d. �cc d� �,,C. I �i �iv % ��� ✓b� Cornea Lot [ ] Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: �p,ae7r e Estimated Cost: $ -3 ®00 Approx. Coppletion Date: Gj�q O Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: g 0 APprzcmu: Allo e4z, 5 Tel. # 3 y - 3 0 `7y Permit Fee $ '5V on Fire Surcharge $ S 0 d State Surcharge SAC Charge $ Driveway Escraw $ Park Fee $ Sewer Main Charge $ CITY = my Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary.[ ] sTiPvrMCM : �' .sa CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 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 Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 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 Effective On January 1, 2000 JOB ADDRESS s: ,F �-q Sc-- P. OWNER TOTAL BUILDING USED AS ZU iffZf—i &/C ESTIMATED COST 7 ?00 PERMIT NO. 7 /� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units 1 Circle One (Steam) (Hot Water) Warm Air) $ Trade Name GA�2a�2 Size No. Gc; A-V 0 7,6 BTU & 0 HP EDR $ Fuel tiA-'V— —Total Connected Load Burner Trade Name Size No. $ BTU HP 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. &;UPERIOR COMTFtACTO FIT1= 6121 42nd Avenue l: Crystal Mn 505422HEATING 0 Signed TEL # *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date JV'ffo written permission from adjoining property owner. 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-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 () 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 L-J4yy-2o BTU Input 66,gooe 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 rL SUPERIOR OOMTRAOTORS INN 6121 42nd Avenue No. HEATING CO: CrystP-I, Gln F 22 Signed By: Date :