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PRE 2010 DOCSSUBJECT P O. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT f 1 1 � L COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBERREV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 9'10415 4/15/03 JOB ADDRESS 1140 Norton Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 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 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20139308 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK f NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 25' x 32' Townhouse and a 20' x 19.5' Garage 9 CHANGEOFUSEFROM 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 $66.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $132,012 $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- $1178.55 $1275.00 STRUC I OR THE ERFORMANCE OF CONSTRUCTION PLAN CHECK FEETO AL FEE Licen C $5. 0 2,656.56 + PF SIGNATURE OFD 'R CTOR OR AUTHORIZED AGENT (DATEi HE PROOPLY VALIOAT D THIS IS YOYR PERMIT BOG INSR I � IF GATE S.GNATURE OF OWNER,-; OWNER BUILDER. iDATE. NEW aC( CITY OF FRIDLEY E1%Gfive/1112003 ADDN [ 1 6431 Udrivelslty Ave NE. Fridley, MN 55432 (7&Q 572 4 Bldg tarp ALTER [ j SINGLE FANIiLY AND DUPLEXES R-1 AND R-2 (763) 671-1287 Fax BUILDING PERMIT APPLICATION l fqo Construction Address: ttiCir Norton Ave. ©f F1 AudiF�i*su#iuisiac%89 Legal Description. / SPA JZ IPCC Owner Name A Addnms: Michael Juaire Tel. #763-315-4399 Conor: PMJ GROUP, INC. MN LICENSE #20139308 Address: PO Box 43243, Brooklyn Park, MN 55443 Tel, # 763-315-4399 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 11APROVEMENT LAVOG AREA: Legh 25�_ WdW 32 ft; 36ft UL Height 16 ft Sq R_ 1700 ft GARAW AREA; Len0h 20 ft VWxNh 19.5 ft Heigit 8 ft Sq. Ft. 390 ft DECK AREA: Leagth _ WAtth HOVGm nl S1. R. OTHER: 10'x10' Conc. Patio Comslruclion Type: Wood FrameEsBmated Cosi $ �2�;ft60' % 2, 0 %®� Driveway Curb Cut Width Needed: 20 Ft, + 6 Ft 26 Ft x 3 = $ DATE:3/5/03 APPLt�T: Tel. #763-315-4399 Cali (763) 672-3604 tar Penmit FM E malting in appl . Fax to 763-114287 if using credit card and we will caH you for card mantmar. Pelt Fee Fire Surc hw9e State Surcharge SAC Charge LICOM SurdvAje Curb CLA Escrow EI't1sion Control Paris Fee Sr Mahn Charge TOTAL CITY USE ONLY - Fee Sdtedule on Reverse Side -® .001 of Permit Valuation (1110th%) $ $.5=1,000 Valtmhon $ /Q 7$, 00 $1275 ler SAC Unit $ 00 $5.00 (State Limmed Residential Contractors) $ Alt.. "A" or Alt "B" Above $ $450.00 Cavervatlen Plot Review 00 Fes, Det+aa mored by Engft tmg cAgreement Nary i ] Not Gl wry [ ] $ 1,15-67 , J6 STO HAM= n (;" Y Ur t-KIULCY 11Vbt tU I1UN UIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Urinal Basement Floor 1 Floor 2 Floor 3 Floor 4 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 3 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** �� $10.00 Gas Range" $10.00 Gas Dryer" $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Drain JOB ADDRES5 (l 16 kbv*Grs Ave, Gas I Elec 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. '-/—.,?0 aob3 Owner _Nk- r® Building Used As To �n tea nae... Estimated Cost PERMIT NO. I , % PLUMBING COMPANY + "a 1"_AX 6P44 0 (Li, j- n c Reinspection Fee $47.00/Nr SIGNED 8YTEL N0. 7 ?53 3 ` ?3 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved ByBaugh-In Date Final Date �.j State Surcharge $ .50 51b MINIMUM FEE R ANY PLUMBINGtGAS PERMIT IS $26.00 TOTAL FEE $� PLUS THE $10 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, MN 55432 APPLICATION FOR POYYER PLANTS AND HEATING, COOLING, VENTILATION, m (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICE °- FAX {763} 571-1287 JOB ADDRESS I I t - N U SATE SCHEI]ULE OWN P P Residential Rate TOTAL Furnace Shell and Duct Work, Burner - 06 BUILDING USED AS S �— 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) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.{70 $ o No. of Heating Units, Circle One (Steam) (Hot Water) arm Air Gas Dryer $ 10.00 $ Trade Name V�� Size No. BTU HP I�t� EDR EA *Air Conditioning - All Sizes $ 25.00 $� � Fuel Total Connected Loa CD All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name `Fm�__ Size No. 1% of Value of Appliance or Work $ BTU HP EDR A:ommercial/Industrial 1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a hermit for the work herein U_specified agreeing to do all work in strict accordance with the City Codes an o State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and ro 0 representations stated in this application are true and correct. TOTAL FEE $kO5_ DATE MINIMUM FEE FOR ANY [EATING/COOLING/VENTILATION HEATING CO VIU&TI N<�' WERIGERATION/Ailk CONDITIONING PERMIT IS $25.00 N 'LUS THE $49 STATE SURCHARGE Signed: # Q �' �I M ZEINSPECTION FEE $47.00/Hr FAX # � m 'Air Conditioners can not be placed in a side yard without Approved By Rough•In Date• Final Date vritten permission from adjoining property owner. Q FJLL OUT BACKSIDE FOR STACK VERIFICATION ON REPLACEMENT RNACE MAY -14-2003 15:26 FROM CITY OF FRIDLEY TO 4980006 P.06i06 TWE BgLOW MUST BE FILLED IN WHEN REPLACING FUEL. BURNING APPLL414CES OR THE APPLICATION WILL BE RETURNED MmHojmUp When the undersigned hereby verities that the venting has been examined and is free from rust, deterioration, obstructions, Yes No( } and is securely supported and firestopped where required, The venting system is plastic/PVC and meets all cumint codes and manufacturer speoffiiications including sizing, length, number of elbows and termination. Yes (1 No ( ) The'undersigned also verifies that the replacement WIN is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan Yes No assisted and natural draft appliances. The is sized and installed to meet the current codes and manufacturer`s specifications. Yes( No ( ) When required to '--"-" ` no • camb sban air. It will be sized and installed to meet the current codes and manuf'acturer's spec iftcallons. Y�N®( ) When the undersigned hereby verifies that it Is '& listed assembly and meets the current codes and manufacturer's specifications. This does include AOA -LAMA Category I Central Furnace draft appliances. No Yes i ( ) Venting Tables for fan assisted and natural Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes( )No( separately as per current codes. Appliance #1 Type BTU Input JaA 000- Fan Assisted or Nat Appliance #2 Type. BTU Input Fan Assisted or Nat,�,� Appliance#$.Type BTU Input. Fan Assisted or Nat Total Appliances Total Btu- Input r l Common Vent Type Vent Height �.� ._ Diameter 3 Jc Inches 5" Appliance #1 Vent Connector Height ft Length ft Diameter _„in Type C IaSS6 .� Appliance #2 Vent Connector Height ft Length ft Diameter__ in Type Appliance #3 Vent Connector Height ft Length ft Diameter.in Type HEATING CO' Signed By: 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 1 0 O PC RATE SCHEDULE %t OWNER 0 Lt- Residential Rate TOTAL •—� / '_ Furnace Shell and Duct Work, Burner - i - , BUILDING USED AS OL�fv'7–�J Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ ESTIMATED COST PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not re lacement) Gas Range C.\,16i Ok. ?L•pc..t $ 10.00 $ /0, 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 Name4t4-A - (oL0 Size No. SL S S O 1% of Value of Appliance or Work $ BTU o26 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 Sa representations stated in this application are true and correct. TOTAL FEE $ DATE '- --a-03 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO W `GSt A' L- REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Sig 4d TEL # -2 y9fS^ "7I FAX # REINSPECTION FEE $47.00/Hr J)A *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date' Final Date 2 3 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 nnmmmyFNL VFNT MININFMOR AND COMRI ISTION AIR VERIFICATION When rani" ina an avictinp h gran _e, 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. VYes (;► 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 eyl-aH to r--nmhi ishan air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No ( ) When_mquimd to Install it new cembu_ctien air- it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When Installing a now yanfinn system, the undersigned hereby verifies that R is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAIVIA 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 ( ) Agnnhe Up and S87p/Cnmmnn Vent and Vent nnnngetar InfnQnatinn Appliance #1 Type BTU InputFan 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 It Length ft Diameter in Type N HEATING CO: Signed By: Date: