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PRE 2010 DOCSI SUBJECT ;P City of Fridley 33438 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO COMMUNITY DEVELOPMENT DIV. 1; _.____ r PROTECTIVE INSPECTION SEC. E 1 . � NUMBER REV DATE PAGE OF AP ROVED BY /-"1 CITY HALL FRIDLEY 55432 763-571-3450 910-F154/15/03 JOB ADDRESS 1130 Norton Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 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 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 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. 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 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 Fire SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $132,012 $66.00 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• $1178.55 $1275.00 STRUCTI N OR THE P RFORMANCE OF CONSTRUCTION PLAN CHECK FEE L FEE T71656.56 /503 License $5. + PF SIGNATURE OF QN: ACTOR OR AUTHORIZED AGENT i0 TEi EN OP VALIDAT THISXIUR PERMIT BATE S-GNATURE OF OWNER -IF OWNER BUILDER. .DATE, I NEW 1kI CITY OF FRI©LEY Effective' 111=3 ADDN I I 5431 lhuversity Ave NEFridley. Rpt 55432 (7" 57P-36" Bldg insp ALTER [ I SINGLE FAMILY AND DUPLEXES R-11 AND R-2 MM 671-1287 Fm BUILDING PERMIT APPLICATION 113 C) C MWUC Qn AddMs: +W& Norton Ave. Legal De�scri *m: ' Lot 1 i Auditor's subdivWon 89 � p Owner Name & Address: Michael Juaire Tel. #763-315-4399 Contractor PMJ GROUP, INC. MN UcENSE #20139308 Address; PO Box 43243, Brooklyn Park, MN 55443 Tel, # 763-315-4399 Attach to this application, a Certificate of Surrey of the lot, with the proposed construction drawn on it to scale_ DESCRIPTION OF MPROVEMENT LJVIING AREA: Length 25�_ Wmjh 32 ft; 36ft UL Height 16 ft Sq_ Ft_ 1700 ft GARAGE AREA: Length 20 ft YUM 19.5 ft Height 8 ft Sq. Ft. 390 ft (DECK AREA: Length , Width HgtiG=rtd Sq- R OTHER: 10'x10' Conc. Patio Construction TyP Wood Frame Estimated Cost $. V = % .3--?, 0% Driveway Curb Cut VVWA Needed: 2O Ft. + 6 Ft = 26 Ft x $ _ $ DA'Z'E: 3!5/03 APPLICANT: TeL #763-315-4399 Cadl (763j 672-3604 far Pemtit Fees R resiting in app! �iax to 7633-6714?.8'l if using credit cwd and we will call you for card number. W' CITY USE ONLY - Pennit Fee $ i 7 Feer SdU dule on Reverse Side Fire Surdtarge $ .001 of Pe* VaEmlion (111 MIA) State Surcharge $ • D $.W$1,000 VakMon SAC Charge $ / c3 -75, 00 $1275 per SAC Unit Liorm Surcharge $5.00 (Side Licensed ResldentW Contractors) tors) Curb Cut `' Escnow $' Alf. "V our Alt "B" Above Erosion Control $ $450.00 Coisetvatlan Plan Review Park Fee $ l Fee Dated by Engineering Sewer Mbh Charge $ AmernW Nor E l Not Necesmry [ TOTAL S STPUI eT+oNs• W' t,::, Y Ur rMIULCY iiv,rtLiIUN Uw. _........� , 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS (130 /V a of -te, n, A V - New Fixtures $ 7.00 _L3 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do an 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 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater-Etectric $ 7.00 Water Heater - Gas"' 1 $10.00 b _ _ Building Used As TO fte.. Gas Range' $10.00 / Gas Dryer" $10.00 Estimated Cost PERMIT NO. Back f=low Preventer Required ( )Yes () No A , Type $15.00 PLUMBING COMPANY (�►oe^i�o�e� a 27 Reinspection Fee $47.00/Hr SIGNED BY rte` TEL N0. 53 33 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -in Date Final Date State Surcharge $ .50 1 5a+ MINIMUM FEE FOR ANY _ PLUMBINGIGAS PERMIT IS 120.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE vvasn. hover Tray � Urinal _><: _ Drain Was eStories star te cGasRan EIe Basement Floor 1 _ :✓q::••;::, Floor 2 :•.::.:Y Floor 3 -:... Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS (130 /V a of -te, n, A V - New Fixtures $ 7.00 _L3 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do an 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 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater-Etectric $ 7.00 Water Heater - Gas"' 1 $10.00 b _ _ Building Used As TO fte.. Gas Range' $10.00 / Gas Dryer" $10.00 Estimated Cost PERMIT NO. Back f=low Preventer Required ( )Yes () No A , Type $15.00 PLUMBING COMPANY (�►oe^i�o�e� a 27 Reinspection Fee $47.00/Hr SIGNED BY rte` TEL N0. 53 33 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -in Date Final Date State Surcharge $ .50 1 5a+ MINIMUM FEE FOR ANY _ PLUMBINGIGAS PERMIT IS 120.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE Effective January 1, 4003 CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POVYER PLANTS AND HEATING, COOLING, VENTILATION, Ln (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES n- FAX (763) 571-1287 JOB ADDRESS LO RATE SCHEDULE PI v G-1 OWNER ) Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED A$t CIE Also Replacement Furnace $ 30.00 $32:— r � (Side Vent -Fill Out Back) ESTIMATED CDST� , PERMIT NO. Gas Piping (Needed with new furnace, $10.00 $ but not replacement) DESCRIPTION OF FURNACE ANDD OR BURNER Gas Range $ 10.{}0 $ No. of Heating Qnits Circle One (Stearn) (Hot Water) �} Gas Dryer $ 10.00 $ Trade Name lE? Size No. O (�c BTU (00 1 MD HP KPO EDR *Air Conditioning - All Sizes $ 25.00_ Fuel 1 Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name ILL Size No. 1% of Value of Appliance or Work $ BTU HP EDR } A:ommerciallindustrial ;; 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 U_ State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and � representations stated in this application are true and correct. U TOTAL FEE $ L DATE �� NINIMLIM FEE FOR ANY HEATINGICOO IL NG/VENTILATION HEATI CoS� V Vim— (�1—►4�9 ' 1EFRIGERMIDWAIR CONDITIONING PERMIT IS $25.00 N ?LUS THE 5.50 STATE SURCHARGE Signe TEL C� LO FAX 1 U3 M 1EIN'SPECTION FEE $47.00/Hr 1 � 'Air Conditioners can not be placed in a side yard without Approved By " Rough -In Date` Final Date written permission from adjoining property owner. FFiLL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT *FUE MAY -14-2003 15:26 FROM CITY OF FRIDLEY TO 4980006 P.06i06 THE SMOW MUST BE FILLED IN WHEN REPLACING FUEL. BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED 1Mhen the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securelysupported and firestopped where required. Yes (1 No ( ) The venting system is plasticWC and meets all cumant codes and manufacturer specif' tcations including sizing, length, number of elbcws and termination. Yes( ) No ( ) The'undersigned also verities that the replacement unit is a listed assembly and meets the current nodes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes( ) No( ) assisted and natured draft appliances. Th =ousuanjiu is sized and Installed to meet the current codes and manufed MeS specifications. Yes () No ( ) 1Athen fequired to ="stg" n npw Ggiyi l icHnn air, it will be sited and installed to meet the current codes and manufacturer's spegficatlons. Yes No( ) menthe undersigned herby verifies that R is'a Ussted assembly and meets the current codes and manufacturer's spWAcadons. This does include AGA -LAMA Category I Central Furnace Year No Venting Tabies for fan assisted and natural draft appliances. ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes( ) No ()' separately as per current codes. Appliance #1 Type BTU Input._4LOFan Assisted or Nat Appliance #2 Type BTU Input. Fan Assisted or Net, Appliance #$ Type BTU Input: Fan Assisted or Nat Total AppliancesTotal Btu- Input _ Common Vent Type Vent Height ®� .� Diameter inches ClaZg Appliance #t=1 Vent Connector Helght—ft Length —ft Diameter � In Type Appliance #2 Vent Connector Height ft Length ft Diameter— Type _ Appliance #i Vent Connector Height ft Lenge ft Diameter . in Type HEATING CO: SI Signed By: Date • �J TOTAL. P. e6 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 ) 0 nOa v\ 14 U 'i– , RATE SCHEDULE =A) OWNER -D LL Residential Rate TOTAL •—� Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) ESTIMATED COST PERMIT NO._� Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range �wS < n�, �LaC.�. $ 10.00 $/0,0(-) 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 Namej f_4 -v► - (,:0_0 Size No. SL S S O 1% of Value of Appliance or Work $ BTU_026 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 representations stated in this application are true and correct. TOTAL FEE DATE �" &-03 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO WE, A I (L REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Sig ed TEL # ?63- y9$^ gDi% FAX # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved B Rough -In Date' Final Date �Y 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 molardanan gavicHnn fitrance, 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. v Yes( ) No( ) The venting system is plasticJPVC and meets all current codes and manufacturer Yes( No( ) specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( No ( ) The in-An6 tg enmh nfinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When.required to inet-ll a new cemhuctien air- it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) VVIrn InsbIlIng a rmw varffinn sysWm,, 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. Anuli Tuna and Si7atCommnn Vent and Vent Connector Yes ()No( ) information nna 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 y HEATING CO: Signed By. Date: