PRE 2010 DOCSN
SUBJECT
PERMIT NO.
City of Fridley
3437
AT THE TOP OF THE TWINS
BUILDING
PERMIT
`
RECEIPT N
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
vv ROVED BY
CITY HALL FRIDLEY 554$2
763-571-3450
910-F15
4/15/03
JOB ADDRESS 1136 Norton Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
Norton Manor First Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Michael Juaire
J 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
B USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION O ALTERATION O REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Construct a 25' x 32' Townhouse & a 20' x 19.5' Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notatons 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 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
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 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
$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-
STRUCTION
OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TAL FEE
Licens SC
$5AO
142,656.56 + PF
,GNATURE OFC N" ACT OR AUTMOR,ZED AGENT fDATE,
HE PR
Y VAL A ED THIS IS YOUY PERMIT.
S,GNATURE OF OWNEROF OWNER BUILDER, ,DATE,
BAG ,NS
r
I
N
Gi, Y U1- rruULLY INZWtt,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
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
!j s
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 1.50
5b
TOTAL FEE $-73
JOB ADDRESS_11 % kooft n Ave,
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.
Owner P h . _-5 & Yo
Building Used As TO -rn a wee -
Estimated Cost
PLUMBING COMPANY i JO'r , 11
TEL N0. A
Rough -In Date Final Date "lld�JIC�
I-/— 30 2o3
PERMIT NO. j3 ,?%
(b eq. J_K
SIGNED
Approved By
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
kn 6431 University Ave NE
m Fridley, MIS 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
m (763) 572.3604 (REFRIGERATION AND RIR CONDITIONING SYSTEMS AND DEVICES
a FAX (763) 571-1287
JOB ADDRESS
RATE SCHEDULE
OWN �
Residential- Rate TOTAL C I'
Furnace Shell and Duct Work, Burner BUILDING USED AS �, N /AL
Also Replacement Furnace $ 30.00 $. � � PERMIT NO
(Side Vent - Fill Out Back) ESTIMATED COSI
Gas Piping (Needed with new furnace, $ 10.0!0 $ Z
but not replacement) DCRIPTION OF FURNACE AND OR DURNER
Gas Range $ 10.00 $
No. of Heating Units Circle One (Stearn) {Hot W ter arm
Gas Dryer $ 10.00 $ Trade Nam L Size No.
BTU W 000 HP MN EDR
*Air Conditioning . All Sizes $ 25.00 $ Fuel Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Noy--- Size No.
1% of Value of Appliance or Work $ BTU HP EOR
}
A:ommercial/Industrial
1.25% of Value of Appliance or Mork $ 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
LL State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and
O�O
representations stated in this application are true and correct.
U TOTAL FEE
DATE r11
0/
MINIMUM FEE FOR ANY HEATING/00011.1.6/VENTILATiON HEAT 0 l U �2-_ _Tin(,
IEFRIGERATION/AIR 0DNDITIOMING PERMIT IS $25.6D
F 2LUS THE S•5� STATE SURCHARGE Sig TEL # 4'b
FAX #
M REINSPECTION FEE $47.00/Hr
-Air Conditioners can not be placed in a side yard without Approved By_ Rough-in Date' Finala L(
�+ written permission from adjoining property owner.
FILL OUT BACK SIDE EOR STACK VERIFICATION ON REPLACEMENT FURNACE
MAY -14-2003 15:26 FROM CITY OF FRIDLEY TO 4990006 P.06i06
THE BLOW MUST BE FILLED IN WHEN REPLACING FUEL. BURNING APPLIANCES OR THE
APPLICA'T'ION WILL BE RETURNED
the undersigned hereby verifies that the
venting has been examined and is free from rust, detarloration, obstructions, Yes (1 No( )
and is securely supported and firestopped where required.
The venting system is plasticJPVC and meets all currant codes and manufacturer
spec fications including sizing. length, number of elbcws and termination. yes( ) No ( )
The'undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA -LAMA Category I Central Furnace Venting Tables for fan Yes( ) No( )
assisted and natural draft appliances.
The myLeAng rtwfttg is sized and installed tO meet the current oodes
and manuf"reeS spedfications. Yes (? No ( )
Whim required to cniftr' a rjew r.,mb uaffhh alms It Wil be sized and installed
to meet the current codes and manufacturers specifications. Yesy No ( )
When kilbilina,a,nAw 4 Pim, the undersigned hereby verifies that
it is a listed assembly end meets the current codes and manufacturers
spsci ficadons. This does include AGA -LAMA Category I Central Furnace No Yes
Venting Tables for fan assisted and natural draft appliances. ( )
Is the common vent and vent connectors sized and snstalled correctly after
an appliance has been removed from the common vent and vented Yes( )No(
separately as per current codes.
BTU Input 40-01 Fan Assisted or NatAppliance#�1 Type
2 __ BTU Inpuf.� Fan Assisted or Nat
Appliance #2 Type
Appliance # Type BTU Input. Fan Assisted or Nat
Total Appliances Total Btu- Input J
CCommon Vent Type d6 Vent Height Diameters inches
l l
in Type
Appliance #1 Vent ConnedHeight Leng#li ft Diameter Type
Appliance #Z Vent Connector Height Length ..�
Appliance #3 Vent Connector Height ft Lengtiz ft Diameter in Type
w`� QeTirlAt
TOTAL P.06
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 V_ Oro lA U f__
RATE SCHEDULE
,
OWNER
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 AWS fU ?LaLt $ 10.00
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 -1A - bL0 Size No. SL S S O
1% of Value of Appliance or Work
$
BTU- v26 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 &'03
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
HEATING CO W `G_':ff 1 na
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
Sig&/d TEL # _2W q0- CDW
REINSPECTION FEE $47.00/Hr
FAX #
*Air Conditioners can not be placed in a side yard without
Approved By. Rough -In Date' Final D
written permission from adjoining property owner.
THE .BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When o pinning"n—=d—^-0 "'ance, 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 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 manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes(
No( )
assisted and natural draft appliances.
is sized and installed to meet the current codes
The yes( )
and manufacturer's specifications.
No( )
Wh I .required to ' will be sized and installed Yes ()
No ( )
to meet the current codes and manufacturer's specifications.
When iGstalfio , the undersigned hereby verifies that
it Is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAIVIA 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.
Tv S07nicnmmnn Vent and Vent Connecter Infarmatinn
.Agnea nce ne and
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 _ 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
M
HEATING CO:
Signed By. Date:.