PRE 2010 DOCS3386
SUBJECT
P
City of Fridley
��43
AT THE 70P OF THE TWINS
BUILDING
PERMIT
R
COMMUNITY DEVELOPMENT DIV.
fr ____�_
r PROTECTIVE INSPECTION SEC.
E
1 ;
NUMBER
REV
DATE
PAGE OF
APPq vED Br
E E 1 CITY HALL FRIDLEY 55132
'J
763-571-3450
910-F15
4/15/03
JOB ADDRESS 1124 Norton Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
]
Norton Manor First Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Michael Juaire
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
PMJ Group Inc PO Box 43243, Brooklyn Park, MN 55443
763-315-4399 20139308
/ 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 O MOVE O REMOVE
8 DESCRIBE WORK
Construct a 25' x 32' Townhouse & a 20' x 19.5' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Paid $1500 Park Fee.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCY LOAD
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
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX Fire SC
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$132,012
@
W66.00$132.01
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.
$1175.55
$1275.00 Credit fr
STRUC I OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TO AL FEE $1,351.56
C
1- Q%
Licens C $5.
+ PF
S-GNAiURE OCTOR OR AUTHORIZED AGENT fOATE,
HE PRO
0 THIS I$ YO PERMIT
B G -NSP
/V�ALIDAT
d �
W '
iAiE
S.GNATURE Of OWNER,IF OWNER BUILDERi iOATE,
3386
NEW DCl CITY OF FRIDLEY Effective 111r"3
ADDN [ 1 5431 Univetsky Ave NE. FrkPaY. Int 65432 (763) 1572-M4 I Nd9 hWR
ALTER [ I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 am S'T'I 4281 Fax
WILDING PERMIT APPLICATION
1/,;2-
Consttuction Address; orton Ave.
Legal Description: Lot 11, Audifnr's:Subdivision 89 % % o lj /1
f
Owner'Name & Address. Michael Juaire TeL #763-315-4399
Contractor: PMJ GROUP, INC. MN LrAENSE #20139308
Address: PO Box 43243, Brooklyn Park, MN 55443 Tei, d 763-315-4399
Attach to this application, a Certificate of Survey of the
[at, with the Proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA.• Length 25 ft. WmV,32 ft; 36ft UL Height 16 ft SI_ Ft1700 ft
GARAGE AREA. Length 20 ft WW&,19.5 ft Height 8 ft Sq. FL 390 ft
DECK AREA: Length _ Width HOVG=nd Sq_ R.
OTHER: 10'x10' Conc. Patio
CorL*ucfion Type: Wood Frame EsOmated Cost $ % � e /'2
Driveway Cwb CLIC VMh Needed: 20 Ft. + 6 Ft = Z6—R x IB S
DATE: 315X03 APPLICANT: Tom, #763-315-4399
Call (763) 672-3684 for Pony& Fees 9 mailing in appl - ./Fax to 763471 4287 if using credit cord oW we will
cs8 you for Gard number.
Pemv# Fee
Fire Surcge
State Surcharge
SAC Charge
Licenm Surdulirge
Curb Cut Escrow
Erosion Control
Park Fee
Sower Main Charge
TOTAL
CITY USE ONLY -
Fere Schedule on Reverse Slide
.001 of Permit Va on (1/1 Oth%) 1333 (�
$.5=1,000valuetson .�, �
$1275 per SAC Ung Leri%� I / 7v A,�'L' L /L' r
$5.00 (Sate Licensed Residential Cantractcus)
Alt. "V or Alt_ "B" Above
$450.00 Conservation Plan Remew
Fee Determined by Engin eMnq
Agreement Newly [ j Not Necessary [ j
`t e Y Ut- rt%IULCY INN-tt.11UN UIV.
6431 University Ave NE
Fridley, MN 55432
(763) 572-3604, FAX (763) 571-1287
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES. NO. RATE TOTAL JOB ADDRESS_) I a`I l v a, le,, A we .
New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes
Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin $ 7.00 and representations stated in this application are true and correct.
Catch Basin $ 7.00
Rain Water Leader $ 7.00 ?0 2
Sump/Receiving Tank $ 7.00
Water Treating Appliance $10.00 Owner _ k Y'* vp
Water Heater -Electric $ 7.00
Water Heater - Gas" �_ $10.00 �_ Building Used As Ta 4'n L aw e..
Gas Range" $10.00
Gas Dryer" $10.00 Estimated Cost PERMIT NO.
Back Flow Preventer Required ( }Yes (} No � em� hok4
Type $15.00 -, PLUMBING COMPANY d
Reinspection Fee $47.00/Hr SIGNED BY TEL NO. 7( 3 ?53 337,3
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS c�
1.5% of Value of Fixture or Appliance
Approved By Rough -!n Date Final Date /Q 03
State Surcharge $ .50
51b MINIMUM FEE OR ANY PLUMBING/GAS PERMIT IS $20.00
TOTAL FEE $� PLUS THE $111 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
Effective January 1, 2003
CITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
m Fridley, ININ 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
® (763) 572-360A REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
°- FAX (763) 571-1287
(� I
qvwn
JOB ADDRESS
� RATE SCHEDULE
12KA C�l9JJP
PD
OWNER
v Residential
Rate
TOTAL
Furnace Shell and Duct Work, Burner -
C!56
BUILDING USED AS
Also Replacement Furnace
$ 30.00
$
(Side Vent -Fill Out Back)
ESTIMATED COST C PERMIT NO.
Gas Piping (Needed with new furnace,
$ Y0.00
$
but not replacement)
DESCRIPTION OF FURNACE AND OR BURNER
Gas Range
$ 10.00
$
No. Heating Units Circle One Water} �}
o
Gas Dryer
$10.00
$
of (Stearn) NQt
Trade Name)�2"_ Size No. 1(IN95-n(J)
,3 -
BTU HP N EDR Nom.
*Air Conditioning - All Sizes
$ 25.00
F�
Fuel CLJQ1 eAAL- Total Connected Load _/1000
All Others/Repairs & Alterations (LIST ON BACK)
Burner Trade Name Size No.
1% of Value of Appliance or Work
$
BTU HP EDR
}
A :ommerciallindustrial
1.25,% of Value of Appliance or Work
L
LL State Surcharge
U TOTAL FEE
F
F Of NIMIJM FEE FOR ANY HEATING/COOLINgaENTILATION
3EFRIGERATI.ONlAIR CONDITIONING PERMIT IS $25.00
N 3'LUS THE 5.0 STATE SURCHARGE
in
M ZEINSPECTION FEE $47.00/Hr
-Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
$ The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
SO representations stated in this application are trued a�,ndd correct.
$ DATE �IJ " ✓ 103
Approved By l k Rough -in Date, Final Date
q
MAY -14-2003 15:26 FROM CITY OF FRIDLEY TO 4980006 P.06i06
THE .MOW MUST BE FILLED IN WHEN REPLACING FUEL. BURNING APP! LANCES OR THE
APPLICA'T'ION WILL BE RETURNED
When raMsonlUn an exinfing ftman=the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
Yes No
and is seurely supported and estopped where required. { 1
c ( )
The venting system is plasticiPVC and meets all current codes and manufacturer
spetxWons including sizing, length, number of elbows and termination. Yes( No( )
The'undersigned also verifies that the replacement unit is a listed assembly
OW meets the current codes and manufacturer's specifications. This does
include AGA -LAMA Category I Central Furnace Venting Tables for fan Yes( No( )
assisted and natural draft apPlianc ".
The is sized and Installed tO meet the current Godes
and manufacturer's specifications. Yes (? No ( )
When required to jns&" a now comb cHnn air it will be sized and installed
to meet the current codes and manufacturers specifications. Yes No ( )
Whenklo,Unn „�, the undersigned hereby verifies that
it Is a listed assembly and meets the current codes and manufacturers
spWrMlons. This does include AGA -LAMA Category I Central Furnace Yes No(
Venting Tables for fan assisted and natural draft appliances.
is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented yes( )No(
)
separately as per current codes.
ApplianCe 61 Type, BTU input Fan Assisted or Nat
BTU Input Fan Assisted or Nat,
Appliance #2 Type -
Appliance #$ Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu- Input,. k(
Common Vent T Vent Height Diameter inches
Appliance #1 Vent Connector Height �, ft Length ft Diameter .In Type
Appliance #2 Vent Connector Height ft Lengtl, Diameter -in
a meter -in Type
Appft liance #3 Vent Connector Height Leng
r HEATING CO- 0 _
Signed By:
TOTAL P.06
FAX #
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without Approved By� Rough In Date' Final Date COSI'
written permission from adjoining property owner.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Effective January 1, 2003
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
FAX (763) 571-1287
JOB ADDRESS 1 y nQ khpn R4
RATE SCHEDULE
OWNER 6l)
Residential Rate
TOTAL
Furnace Shell and Duct Work, Burner -
BUILDING USED AS,-
S
Also
Also Replacement Furnace $ 30.00
(Side Vent - Fill Out Back)
$
ESTIMATED COST PERMIT NO. ell
Gas Piping (Needed with new furnace, $ 10.00
$
but not replacement)
Gas Range CWS (4 ?Lata, $ 10.00
$ ov
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Gas Dryer $ 10.00
$
Trade Name Size No.
BTU HP EDR
*Air Conditioning - All Sizes $ 25.00
$
Fuel Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK)
Burner Trade NameHf_4-h - b1.-0 Size No. SL S S O
1% of Value of Appliance or Work
$
BTU Q(. 00 HP EDR
Commercial/Industrial
1.25% of Value of Appliance or Work
$
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
State Surcharge
$ .50
rulings of the Building Division, and hereby declares that all the facts and
S�
representations stated in this application are true and correct.
TOTAL FEE
$ o�S •
DATE 4" a-03
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
HEATING CO
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.SO STATE SURCHARGE
/`
Sig d TEL # _2C&- g9/15^ gDi%
FAX #
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without Approved By� Rough In Date' Final Date COSI'
written permission from adjoining property owner.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE .BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When , the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions, Yes No
and is securely supported and firestopped where required. ( ( )
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 Yes( No( )
assisted and natural draft appliances.
The�Y1�4in� o eoiahnn al r is sized and installed to meet the current codes Yes( No( )
and manufacturer's specifications.
When. required to tnct"11 a new cnmhiintinn air_it will be sized and installed
Yes () No ( )
to most the current codes and manufacturer's specifications.
When inStefiia , 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
No
Yes. () ( )
Venting Tables for fan assisted and natural draft appliances
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
Yes( )No( )
separately as per currant codes.
d Size_/Ce mnn Vent and Vent Cann
ter Infermatinn
An�niia_nna
Appliance #1 Type __ BTU Input _ Fan Assisted or Nat
BTU Input Fan Assisted or Nat,_
_
Appliance #2 Type
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 = Length _ ft Diameter _in
Appliance #2 Vent Connector Height ft Length _ft Diameter
Type_,_,
in Type
Appliance #3 Vent Connector Height ft Length = Diameter
in Type w
HEATING CO:
Signed By: Date: