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PRE 2010 DOCSSUBJECT MI City of Fridley 3 4 33 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECI COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV DATE PAGE OF APPIVVID BY CITY HALL FRIDLEY 55432 L J` 763-571-3450 910-F15 4/15/03 JOB ADDRESS 1154 Norton Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 Norton Manor First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Juaire 763-315-4399 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 B USE OF BUILDING Residential 7 CLASS OF WORK Ck NEW O ADDITION O ALTERATION O REPAIR O MOVE O 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 OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. 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 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 Fire SC PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO OR THE P RMANCE OF CONSTRUCTION $1175.55 $1275.00 $132.01 PLAN CHECK FEE T AL FEE /s d3 Licens $5. 2,656.56 + PF iGNATURE OFN'R CTOR OR AUTHORIZED AGENT IDATEI EN ROP Y VALID T//__D THIS IS YO PERMIT BL ,NSF' rJA TE S-GNATURE OF OVVNEA.,F OWNER BUILDER, IDATEI NEW CITY OF FRIDLEY Effective 91112003 ADDN [ ] 5431 UnivemIty Ave NE. Fridley. MN 55432 (76n 6724 Bldg Idsp ALTER [ I SINGLE FAMILY AND DUPLEXES R-1 AND R- 1763) 571: 4281 FAX BUILDING PERMIT APPLICATION /0 CtTrIS UCHO1 Address: 44XX Norton Ave. Lege) Description: Lot 11, Auditor's subdivision 89 — QA) Owner Name & Address; Michael Juaire TeL 8763-315-4399 Contractor. PMJ GROUP, INC. Mph VC4g�M#20139308 Address: PO Box 43243, Brooklyn Park, MN 55443 Tel # 763-315-4399 Attach W this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to sole. DESCRIPTION OF IMPROVEMENT LOAM AREA: Length 25�_ Width 32 ft; 36ft UL Height 16 ft Sl_ Ft 1700 ft GARAGE AREA:Ler4gh 26 ft WWM 19.5 ft Height 8 ft Sq. Ft 390 ft DECK AREA: Length Width HoliGround Sq. R. OTHER lVx10' Conc. Patio Con*uCbon Type. Wood Frame-GWE Estimated Cost: $ :12 , / 3 1?" C) Driveway Curb Cut Width Needed: 20 Ft. + 6 R = 26 Ft x $ _ $ DATE: 3/5/03 APPLICANT: Tel. #763-315-4399 Cil (763) 672 for Pem& Fees ff mailing in appln. Fax to 763-67144 R using credit card and we will car You for card number. Permit Fee Fire Surd arge State Surcharge SAC Charge Lbum Star Curb cut Escrow Erosion Control Park Fee Sewer IMIaln Charge TOTAL CITY USE ONLY - $ 11-7 . J Fee Sdtedule an Rem We .001 of Permit Valuation (1H0th%) S ulo $.501$1,100 Vahation $ 06276-.00 $1275 per SAC Unit $ 0 0 $6.00 (State Licensed RessidentU C**v am) $ Alt "A" or Alt "B" Above $ $450.00 Consmation Ply, RmAew S /L'5-0 Fee D Wr tled by Engineering Engineering AWeemert Necessary [ ] Not Necesmy [ l r $ STl:'nLATid= .r 30'70,2, f6 Gj. Y Ut- rMULCY I1UN U1 V. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1267 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR RATES. NO. RATE TOTAL H_ 5� , v ton A w—, PLUMBING FIXTURE JOB ADDRESS a v 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 3® Rain Water Leader $ 7.00 2ab3 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater - Gas" �_ $10.00 �� Building Used As TO -In ko vwf_ Gas Range" $10.00 Gas Dryer * $10.00 6`16 Estimated Cost PERMIT NO. )L) Bads Flow Preventer Required ( )Yes () No d v I ( _ O Type $15.00 PLUMBING COMPANY ,! a•" / Thor�k i a 11 n e Reinspection Fee $47.00/Hr SIGNED BY TEL N0._% ?53 3313 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 51+ MINIMUM FEFOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TA13LE 6-A. COMMON VENT INFO ON BACK SIDE CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 FAX (763) 571-1287 RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not relacement) Gas Range C=IAS I ttk- ?LaLt 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 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner: Effective January 1, 2003 $ 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. DATE a-03 HEATING CO 1D R- N Sig4d TEL # ?63" yG$^ CDW FAX # —M Approved By Rough -In Date' Final Date I FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS nO k --t 0 +"\ ICA d C, OWNER TOTAL •�- BUILDING USED AS $ ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load Burner Trade NameHt4-v► - 61.0 Size No. SL S S O $ BTU 9(, 00 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. DATE a-03 HEATING CO 1D R- N Sig4d TEL # ?63" yG$^ CDW FAX # —M Approved By Rough -In Date' Final Date I FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPUCA71ON WILL BE RETURNED rne��en�� ic�iT�y� s"' CC�NNEGT(]R AND C�MBl1STIQN AIR VERIFICATICIN WhenInsn+ nn invite=0 furannta, 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 nY eH r-nmht sa+inn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No ( ) When required to Install a new cnmh,1stren airy it will be ailed and installed to meet the current codes and manufacturer's specifications. Yes( No( ) Vyhen a new ventinn saWm, 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. d -q'za1Cnmmnn Vent and Vent Cnnnecter Yes () No ( ) Information A1,ni� Tm 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 HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, Mfg 55432 9 (763) 572.3604 i FAX (763) 571-1287 DIVISION Effective January 1, 2003 APPLICATION FOR PbWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND Alli CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Fumace $_30.00 $30.01 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 110.00 $tx but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning . All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1% ofVaiue of Appliance or Work r A �,ornmercialllndustrial 1.25% of Value of Appliance or 'work U- 0 State Surcharge TOTAL FEE MINA LIM EEE FOR ANY HEATING/COOLINIaIVENTILATION EFRIGERATIDNfAIR QQNDITIONINO PERMIT IS $25.OD N }LI1S THE S&P STATS SURCHARGE Ln M REINSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without ,,r written permission from adjoining property owner. .JOB AD BUILDING USED ESTIM A I`ED COST PERMIT ISIO. 2 vST DESCRIPTION OF FURNACE AND OR LudR ER No. of Heabn Units Circle One (Stearn) (Hot Water(Warm Air) Trade Nam e Size No.231A0Rl BTU (0 )i 6M HP i'r EDR N -A Fuel M1LyZ1l9N1-- Total Connected Load -W QW Burner Trade Name e 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. ®ATE 4 FILL OUT BACK SIDE ICOR STACK VERIFICATION ON REPLACEMENT FURNACE MAY -14-2003 15:26 FROM CITY OF FRIDLE:Y TO 4980006 P.06i06 TM'BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLL4NCES OR THE APPLICATION WILL BE RETURNM When the undersigned hereby vermes that the venting has been examined and is free from rust, detgdoration, obstrucUons, Yes( ;� No ( } and is securely supported and firestopped where required, The Venting system is plastic/PVC and meets all cum=:nt codes and manufacturer specifiicadons including sizing. length® number of elbcnws 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 -GGA Category I Central Furnace Venting Tables for fan Yes( No( ) assisted and natural draft appliances. Th cambi ladem Ak is sized and installed to meet the current Godes and manufacturer's specifications. Yes () No ( ) Whin required to t Wil be sized and installed to meat the current codes and manufacturer's specfications. Yes �}<No ( ) When a a ngx Verona S'Ujjpm, the undersigned hereby verifies that it Is a listed assembly and meets the currant codes and manufacturers spe Rations. This does include AOA-OAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. YesNo( ) 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. gppliance' Type /�� BTU Input. U Fan Assisted or Nat trance #2 Type ETU Input. Fan Assisted or Nat Aes pP . ETU Input: Fan Assisted or Nat Appliance #3 Type Total Btu Input Total Appliances „�. 50 Common Vent Type Vent Height Diameters® inches APP liance #1 Vent Connector Height. tt Lengtli ft Diameter ,in TypeLkLi�)e Appliance #2 Vent Connector Height Length �,— ft Diameterin Type Appliance #3 Vent Connector Height ft Length ft Diameter In Type HEATING CO - Date: TOTAL P.06