AF - 40707SUBJECT P� RM14'7�9
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
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� ; y____�_ COMMUNITY DEVELOPMENT DIV. �� � y�,/
� � PROTECTIVE INSPECTION SEC. �
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� /"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE P GE OF APPROVED BV
�•'�"�'� ,�� 612-580-3450
910-F15 6/21/78 � �
JOB ADDRESS 5544 East Danube Road
i LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 4 2 Innsbruck N. 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ' ZIP PHONE
Ka.m
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Harstad-Todd 2200 5ilver Lake Road 636-3751
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAIL kDDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDINO
Residence
7 CLASS OF WOHK
�7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Gonstruct house 28'X48' and garage 22'X26'
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'S�'�Ai� . PERMITS RE`QUIRED FOR WlRiNG, Betore. a �at�. Iocai �titifies .
s ����;°�l.ui��t�t3 aNa S�G�S To �.�+��� •;�� ,�c - c�s Et�..
STIPULATIONS 1. Provide combustion air to. furnace °•� �� �
2. Provi.de truss design & verifying su�vey before 7/30/78.
3. Any necessaxy permits frc� the Dep�. of Natural Resources must be
obtained before construction begins.
4._Soils reports will be required.
S0 �AY NOTIC� TO CITY ENG.
01Y. REQ�JIRE� POR CUR6 �:t�� � t�f�r,� � oi�: ��r a0�.s-� �OT ��eUaRn�e '��
RE�MIOVAl. �IVD� RE'IACEMENT • ���pt�►CY� Or�a�y�qt�r�: tti�r��; `,�Nd �y�n�,-:�:.
, . �tt�S :: t�11t� !S' � �t+itflRAAl1ilON �itP�i�S'. QNt�, av:r
AT DRIYEIN�,Y 4PENiN�S. �r�soKS ���vs�a R� sHOV�o v�� tH� itiFO�iai�►fioN
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TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOF ELECTRICAL, PLUMBING, HEATINCi, W�d Frame
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OH CONSTRUCTION ZONING SQ. 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 R• 2, 039
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
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
AND ORDINANCES GOVERNINQ THIS TYPE OF WORK WILL BE COMPLIED. 47�490.00 23.%S
WITH WHETHER SPECIFIED HEREIN OR NOT. THE ORANTING 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- 135. SS 400.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
33.9 $593,60
SIGNATUflEOFCONTRACTORORAUTMORIZEDAGENT IDATEI VUH PROPERLpY V Lri ATED THIS IS YOU PERMIT�
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SI�NATUREOF OWNERIIF OWNER BUILDERI IDATEI � BLDG INSP OAT
crT� or- r-i;�»�cY .
' j API'l.1C/�TIUt� r0f� I;l:S1lll:IJT1AL L11lLDlI1G ('C(ZI�IITS
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TIJSIDT•.' IlJT: �� SiTl3ACY.: �� SIUL•'YnP.DS : ��, t—� r r`
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Applicari: attach to L•his iarm 9�•�o Certii`ica�c= oi Survey of LoL- and pro�sed
bui.�.dinq locatian dr�z�rm on these Certificafies. •
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DESCRI PTI OPd OF BUI LDI (��G
x'o 73e Used As: /�i-�s � � � �
Front: � $r Depth : •� ' Height: �- � __ '
�,�,,� � 02� z�
Square reet: `��� " � bic Feet: � �
��� zc i`ront: �� Depth: � lo Height: ��
��.
Ssuare reet: � a� Cubic reet: ��
Type of C�nstructio;�: �dc� � � ���- Esi.imaied Cost: $ � _
9lb Fe Com.n].eL-ed: �"� f�� ��7 d Alt. �� 1� B�
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�'xo �ed �riveway h'id'�z If 1Qew Or�ening I� Desired $ $ '
� (S�E l'.�VEF•SE SIDE C�Y' SIi::'E'�';
uy�c3crsic;ned he�'eUy mafies applicai:ioii for a permi� for the k�or}: herein
�` �Cir-a.�a, ao�_c=eine�. t:o do all �;ork in si:ricf: ac�ai:danee �oiih the Cit}� of
' � idlc��� Ordi.nailc:.�s a�ic? xulings of the D�p�a-tme�lt o� 1:�.�ilctings, a�i� h�reby.
�� ` c�.arc� ih�L• all t.l�e iar.ts and re��r^sentat-ian:: statcd in �his ap��lic�zi:ioia .
� aa:e L-rue ,.-u���l eorrecL-. Sca x�verse si:c�e f�r acic4iL•ional i.nfonu��ii3pn,
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BUILD1fJG PERf�IIT FEr SCiiEDULE
SLCTION 2. The Snspector of Buildings shall, before issuing Pezmits £or the erection
af an}� building or structure, or for any addition to any existir,g building or structure,
ar for any alteration or repairs ta any existing built�ing or structure, upon'anplication
thcrefore, require the payment by the applicant for SUC}1 permit of.fees to the amount
he�ein.below set forth and in the mar�ner herein provicled to-wit:
N�nl CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic
PLAN CH�CK: 25 percent of building permit f�e.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement of concrete
gutter only; Driveway width plus 6
feet.
curb and
feet x $1�.50
Alternate II: Removal and replacemE:nt of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x S17•20
��DDITIONAL INFOR�tATIQ.l�
�or the purpose of computing fees for building permi�-..s, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inch.es below the floor lir:e of the baserient or th� cellar to the
average heights of the upper surface or to the average height of the roof surfa�e
of t'rie nain gable of a pitched roof . .
For repairs or alterations to an existing"structure, the fee shall he at the rate
af $3.00 per each five hundred dollars ($5Q0.00) or fraction thereof in the cost
of all proposed work.
fn i�� case �hall the fee charged for any parmit as set forth in Section 2 be le�s
tra.zii $7.5v Flus $.50 state surcharge.
VERIFICATTOU OF FOUfJDATIJN
NOTE: Pei';nits For construction will be issued a minimum of 24 hours from the time
of application to allo�s for proper review of the proposed structure and of the
ccnstrf.�ction site.
A Certificate of Survey of the lot, showing the lacation of the foundation once it
has beEn. constructed will be reguired before proceedir.g with tne framing.
CrRTIFICAiE OF OCCUPANCY
Applicdtic�n for a Certificate of Occupancy shaZl be made ten (10) days prior to the
use or occupanc1 of any st�Z;cture for whicn a building pexmit has been issued; and
��nid stru�ture shall not be used or occupie� until a Certificate of Occupancy .has
bevn issued. �
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i�J RT�FICA�TE C�F SVRVEY
For;
HARSTAD-TODD CCINSTRUCTION C0.
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L,ot 4, Block 2, INNSBRUCK NORTH �
2nd ADDITI�N, Anoka County, Minnesota.
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We hlreby c��tlRy fAaf 1AIs ie o frue and corrsGf r�preesrtfatien of a eurvty ot the
boundorls� of 1hw atlov� dqcrtbt0 land ond of tha Iocoflon of all buildinpe� if any,
th�r�on� and all vieibl� •nctoacRm�+te, 1f any � from oi on aaid land.
� E. �. RUD 8� SQNS , INC.
Doted thfe ..��doy ot� f9.�.
�Y f' - .�� .,,..�d
Minn. Reo: No. Bo
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E. G. RUD & SOIUS,INC.
LANO SURVEYORS
384? 155th Avenue N. E.
Anoka , Minnesota 55303
Tel� 434— 6505
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��' �;�' 8439 UNIYERSITY AVEPIUE N.E.; FRIDLEY, �AAINNE�OTA 55432
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`� Minnesota Department of Natural Resources
M�tro Regian Headquarters, Waters Section
1200 4Jarner Road
;`,�;' Sto Paul , MN 55106
TELEPHONE ( 812)579-3450
June 7, 1978
Attention: Ronald Qo Harnacic, Regional Hydrologist
Gentlemen:
Subject: Construction of Certain Properties in IVorth Innsbruck Second Addition
Please be advised that the City of Fridley will issue a building permit for
construciion of a single family residence at:
5544 East Danube Road N.E.
Ofl Lot 4, Block.2, Innsbruck North 2nd Addition
Far your information, the plans submitted are in ful] accordance with the City
ordinances and regulations, therefore issuance of �he building pzrmi� is re-
quiredo A note has been placed on the building permit indicating it is th�
responsibility of the owner/builder to ensure propzr compliance and permit
acquisition from any other public agencies that might have requirements associ-
ated with the proposed cons-truction.
This information is passed on to you in the spirit of cooperation in attempting
to allow a time p�riod for your agency to proceed as required to satisfy your
rules and regulationso
Yours very �truly,
C.�. ...-?i:i!".. .._...a: . . �-.;f:_ . �.'r:_. ......_:-. �
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Building Inspection Departm�ri't -� � � ` _
City of Fridley • �
cc: Richard No Sobiech, Public Works Director
Nasim Mo Qureshi, City ��lanager
Dennis Schneider, Ward Councilman
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No 51605
` Building Job Report
ADDRESS S~7 yy — � �� 4��� �
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DATE " PERMIT NO.
DESCRIPTION � J� '/ /_ �r /j/�„ �'���
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EFFICIENCY� UNE NO. 2723 AN AMPAD PRODUCT Bp SHEETB
(y� 51658
,.
Building Job Report
ADDRESS ,��(�/ ��, ��.i. (rLQ
OWNER
BUILDER
DATE PERMIT NO.
DESCRIPTION
INSPECTION RECORD
DATE REPORT
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MEMO FOR FILE
MEMO FROM: Ron Holden, Building Inspector
MEMO DATE:
��3:�i�
August 11, 1978
Concerns and Questions Regarding the Building Site Preparation
and Diunping of Questionalbe Fill at� 5544 East Uanube Road N.E.
This lot is one considered for permits by the Department of Natural Resources
and as per our past procedure, we "held" the permit appliaation and noti.fied
the DNR i�aediately that a permi.t had baen applie.d fos. On June 6, 1978 we
issued a building permit for this lot to Haxstad-7.bdd Construction. Mr. Keith
Harstad contracted with a trucking firm to bring in "foundry casting sand"
as fill material from th.e F.M.C. Corporation on �ast River Road. Several
loads were brought in during late July after which two neighbors contacted
us questioning the desirability of the fill. The builder was told to stop
dumping the material but severai more loads were brought �s�, before dumping
was discontinued early in the first week of August. I conta.cted a neighbor
to watch tlze iots and call if any further dumping took place. On August 8,
1978, Steve Olson and I' met Steve fram �tain Ci.ty Testing �ho took hanc3 augured
soil borings behind tlze excavator and took chemical samples of the balast
sand slag and other ques tionable fill materials. (Zt,vin City Testing is now
making chemical analysis of these samples to detennine the ir content.) When
we receive a report on �ontent from them, we will attempt to determine if
any envirormiental threat exists by nature of thei.r chemi.cal make-up.
The Fridley City Qouncil on August 7, 1978 placed a minimum week moratorium
on the issuance of building permits or land alteration permi.ts on the two
adjacent swamp covered lots until the Council's concerns could be addressed.
As of now, the lots are not being worked on or filled pending soil boring
and chemical analysis test results from Ztain City Testing.
The City placed "No Dumping" signs on the two adjacent lots.
CC: Darrel Clark
Steve Olson
Dick Sobiech
r�
�._ = ' m .
:,
TJA�T�7 I)ISPOS�, LE��,Cdi TESTS
PriQr to performang a leach test, a qualitative and quantitative
analysis of the waste is to be performed to determine which con- ---
stituents are potential polluants. (See "Leachate.Analysis"",
page Z ) .
If waste is a slurry, an analysis should be carried out on the
filtered decantate. Water content of the waste as it will be
disposed should be determined by filtering a weighed sample,
rinsing and drying.
The following tests are designed to indicate maximum concentrations
that may be attained in the field.
Run one ratio of sample weight/].eaching solution volume: 500 grams
in one liter of leaching solution. Run leach test for 72 hours. A
minimum of duplicate s.amples are to be lea�hed and anal.yzed.
LEACH TEST
1. Vigorously shake a weighed representative sample of waste with
1 liter of deionized distilled water*. Shake for one minute.
2. Cover and let the mixture stand for 24 hours.
3. At the end of 24 hours, shake the mixture vigorously for one
mi.nute. (If the sample is to be run for times longer than 24
hours, shake every 24 hours.�
4• Fil�er the mixture 'chrough fine porosity membrane or glass filter
paper. (0.45,u pore size) Tiae filtrate will then be called
' "leachate". Discard first 10 mis. of leachate.
5. The leachate is then analyzed for constituents found in the
. qualitative and quantitative analysis. The porosity of the
fi.lter paper used, methods of analysis, pH and total dissolved
.solids are .to be reported.
* If the waste contains any biodegradable companents or if it is
p�opusecl i t-iat �r.E od«ste bc dispc�ed by comir�gl�.ng with municipal
wastes in a sanitary landfill, the leach test should be run with
an acid buffered solution.
ACID BUFFERED LEACH SOLUTION
Solution is formulated as follows: �
1. Measure 49.21 gms iiOAc into a one liter volumetric flask
2.
3.
Add 37.21 gms NaOAc
Make to mark with deionized distilled water. Shake to mix.
Solution will have a pH of 4.5
4 �
. �• c
� • � a . s
c�.' ' � .
��
I,,EACHATE ANALYSIS
�� chemical ana�y�is of a?eacha�e should report the �ollowing:*
Arsenic
Barium �
Boron
Cadmium
Chromium (�I)
Copper
Yron
Lead
bSanganese
Mercury
Nickel
Silver
Sele.nium
�ia�i�
�s
�a
Cd
Cr
Fe
Pb
Mn
Hg
Ni
Ag
Se
7�
Chloride C1 �
Cyanide� CN
Flouride F
Nitrate � NO3
Phosphorus P
Suliate SO4
Phenolic Compounds as C6H50H
Total Dissolve Solids TDS
�cidity pH
Chemical Oxygen COD
Demand
All results shall be reported as mg/1 (except pH). Analyses on
solid materials shall be reported as mg/kg (ppm) (up to 10,000
ppm, then use per cent).
Also, report for each cosponent, the per cent of that component
leached from the sample. '
0
:* Ii the generator is certain that a particular component cannot
possibly be in his �raste, then a letter, so stating vcith reasons,
will make it unnecessary to analyze for the particular component.
NOTE: The total analysis of the solid waste will give background
data to indicate which pollutants may be expected in the
leachate
�
0
9
0
7
■
REPORT OF: \ �
RESIDENCE �
5544 EAST DANUBE
FRIDLEY, MINNESOTA
ro: Harstad-Todd Co
200 Silver Lake Road
\��ew Brighton, MN 12
tw�n c�ttir test�nq
e1'� �q7q leborae�y, u�c,
662 CROMWELL AVENUE
ST. PAUL, MN 55114
PHONE 812/845-3601
:AVATION OBSERVATION
„t�� '0.
YJ
e
i
DATE: August 30, 1978
FURNISHED BY:
COPIES ro: City of Fridley Bldg Inspec
Attn: Ron Holden
LABORATORY No. 9-1210
INTRODUCTION
This report concerns our recent observations of the soil conditions at 5544 East Danube,
Fridley, Minnesota. We were requested to comment on the soil conditions at the site and
set forth recorrrennendations concerning future construction. We received verbal authorization
for our work from Mr Bob Todd of your firm on August 8.
BUILDING PLAN
The residence will be a split entry with a walkout basement with the walkout portion located
on the west side. A garage will be attached to the house on the north side. The overall
dimensions for the structure are 55' x 48' The structural loads will be carried on perim-
eter strip footings placed on an engineered fill. The elevation of the basement f or slab
will be 2 1/2' below the curb of East Danube. The footings will be placed d e t y be]ow
t e slab, except in t e wa ou por �on, where they will be at minimum depth for frost pro-
tection. We were not given any information regarding the exact unit loadings, however, we
assume them to be of relatively light intensity (less than 1500 psf).
, � ��'
BACKGROUND INFORMATION /�
On August 8, we were called to the site to observe the soils osed in the excavation proc-
ess. By this time, the building si ��.Y-� 1 surficial swamp vegetation
and muck and excavated to a point 4'-6' below original grade.� The bottom terminated in a
layer of inedium-dense clayey sand. 's ele_v_atio�=.�.e�nced several hand-auger borings
in an attempt to depict the local subsurface soil conditions. The material retrieved was
visually and manually classified in accordance with the Unified Soil Classification System,
and estimates were made of its strength properties. It was found the sand stratum was only
6"-1' thick. linderlying this material, soft silty clay extended to a depth greater than our
hand-auger borings (3 1/2'). Therefore, it was recommended that penetration borings be
obtained in order to sample the soil conditions at depth.
OBSERVATION METHODS AND RESULTS
On A�aus�?2 two soil borings were put down. A sketch is attached showing the approximate
location of the borings. The surface elevation of each boring was determined and referenced
to the t;op of the hydrant near the southeast corner of the lot, assumed to be 100'. A gener-
alized soil profile consists of fill overlying silty sand or sandy clay. Both the fill,
silty sand and upper reaches of the sandy clay are loose or soft as indicated by the low
N values obtained. However, the sandy clay turns to a stiff consistency a few feet below
the upper surface. Stiff, dense clayey sand and silty sands were encountered at depth.
A8 A YUTUAL PROTECTION TO CLICNT�. TNB PUBLIC AND OUR8ELV68, ALL REPORTB AR! SUBMtTTED AS TNE CONPIDHNTIAL PROPERTY OF CLI@NT9, AND AUTMOR•
IZATION FOR PUBLICATION OF BTATEM6NT8. CONCLUBIONB OR E7CTRACT6 FROM OR RE6ARDINO OYR REPORTB IB REBERVEO PENDIN6 OUR WRITTEN APPROVAL.
C� .�c��i. OR,�
f l+il�t •.�
'd ,.
% '�1.1'1 F �
�- = ✓
+• V �� .n.+
LABORATORY No.
REPORT OF:
9-1210
� twin c�t� test�nq
.� e��Q►� �o..��u, �.
6L7:.F'nl:.. . c �. .
• S' F'A... !l'. __ ...
V..pa[ 6': ta' 3L.'
EXCAVATION OBSERVATION
DATE `
PAGE
OBSERVATION METHODS AND RESULTS - Cont.
August 30, 1978
2
Ground water was not encountered in either of the borings. However, the site soils are
cohesive and likely impervious. Therefore, to obtain an accurate determination of the free
water surface, observation would be required over an extended period of time. Both seasonal
and yearly fluctuations should be expected in the ground water table.
Due to the presence of the perched water table of the adjacent marsh, fluctuations of the
surface level will occur during periods of heavy runoff. Care should be taken to provide
protection against these occurrences with drain tile systems around the foundation elements.
RECOMMENDATIONS
Based on the results of our soil borings, it is our opinion the fill, loose silty sand and
soft sandy clays should not be relied upon for foundation support. We recorrunend the build-
ing site be excavated to the stiff sandy clays and either the foundation elements be lowered
to this depth or the e�ccavation be adequately oversized and the hole filled with an engineered
fill. We recommend the excavation be carried to a depth of 6 1/2' at Boring 1 and 4' at
Boring 2. For your convenience, we are attached an information sheet regarding oversizing
procedures.
Upon completion of the excavation operations, we recommend the excavation be observed by
a qualified soils engineer to assure the poor soils have been remoued. In filling the exca-
vation, the fill should be compacted to a minimum of 95% of the Standard Proctor (ASTM:D698-
70). We recommend a representative number of field density tests be performed to evaluate
the fill operations.
FIELD INVESTIGATION PROCEDURES
Soil Sampling
Soil sampling was done according to the procedure described by ASTM:D1586-67. Using this
procedure, a 2" 0 D split barrel sampler is driven into the soil by repeated blows of a
140 lb weight falling 30". After an initial set of 6", the number of blows required to
drive the sampler an additional 12" is known as the penetration resistance or N value. The
N value is an index of the relative density of cohesionless soils and the consistency of
cohesive soils.
Soil Classification
As the samples were obtained in the field, they were visually and manually classified by the
crew chief in accordance with ASTM:D2487-69 (Unified Soil Classification System) and ASTM:
D2488-69. Representative portions of all samples were then sealed and returned to the lab-
oratory for further examination and for verification of the field classification. Logs of
At A YUTYAL NOTtCT10N TO CU[NT�. TM[ ►Y�UC AMD OYw�[LV[�. ALL R[rOA�� ARL SY�MITTCD A� TML CON►10[NTIAL ►RO►6RTY 0/ CLItMT/. AMD AYTMOII•
lZATION �OR ►Y�LIGTION 0/ �7AT[M[NTS, CONCLY�ION/ OA tXTRACTt FROM O11 A[6�wDING OU■ A[�ORT� 1• RE�tRVCD ilMDING OUR WIIITTCN ♦►rROVAL.
d .. � :`
i l�f�t .;�a
�i,G -r
1; �� : r
's,� .r = ✓
��w
LABORATORY No
REPORT OF:
9-1210
Soil Classification - Cont.
0 tw�n cit� test�nq
anc� enou'+�ermo �or�tor�, au.
bc:- � �-���:.. . .: .
• S` f+q�;. 1J�, � _ .
Dn��.[ 6'1 N'_ 3t:.
EXCAVATION OBSERVATION
DATE `
Pa�E
FIELD INVESTIGATION PROCEDURES - Cont.
August 30, 1978
3
the borings indicating the depth and identification of the various strata, the N value,
water level information and pertinent information regarding the method of maintaining and
advancing the drill holes are attached. Charts illustrating the soil classification pro-
cedure, the descriptive terminology and symbols used on the boring logs are also attached.
LIMITS OF INVESTIGATION
The recommendations and/or suggestions contained in this report are our opinions based on
data which are assumed to be representative of the site explored; but because the area of
'the borings in relation to the entire area is very small, and for other reasons, we do not
warrant conditions below the depth of our borings, or that the strata logged from our bor-
ings are necessarily typical of the entire site. �
If we can be of further service, please contact us.
PSF/RDS/ j b
�
TWIN CITY TESTING AND
ENGINEERING LABORATORY INC
�
�
Peter S Fuller, Civil Engineer
i���tc� - - �.��c .
� �
Richard D Stehly, P.E. �`
A� A YYTYAL rROT�CTION TO CLI[NT�. TN[ ►Y�LIC ANO OYR�[LY[�. ALL R[MRT� AR[ W/YITT[O A� TM� COMFIOtNT1AL ►AORRTt O► CIILNT�. AND AYTM011.
IZATION r011 ►Y�LIWTIOM 0/ RAT6M[NT{. CONCLY�IDN� OR CkTRACT� FAOM OR RC64ADING OYA A[�ORT• 1• Rta[IIV[D ►►NDIMG OYR W11ITT[N A►►110VAL.
. . /� v-e,�s8�
tunn at3+ testinv
� � �„o �.�.�.,�.
JOB NO. �g_;210 VERTICAL SCALE 1�� - 3� LOG OF TEST BORING NO. 1
PROJECT - -
DEPTH DESCRIPTION OF MATERtAL GEOLOGIC SAMPLE LABORATORY TESTS
�N r'SURFACE ELEVATION 89 • 5� ORIGIN N WL N0. TYPE W D � �
FEET
FILL, mixture of SILTY SAND, SAND
and SANDY CLAY, a little gravel, 4 1 SS
; brownish gray and daxk brown
2 SILTY SAND, medium grained, a little
gravel, gray, wet, very loose 2 2 SS
(SM)
4
SANDY CLAY, a little gravel, gray,
medium (CL-SC) 5 3 SS
�
6%
z
SANDY CLAY, a little gravel, brown,
stiff (CL) `�`'
li` 20 4 SS
10
CLAYEY SAND, a little gravel, brown, 10 5 SS
rather stiff (SC)
12
CLAYEY SAND, a little gravel, brown 19 6 SS
and gray mottled, stiff (SC)
14
CLAYEY SAND, a little gravel, brown,
stiff (SC)
16 7 SS
16
End'of Boring
*- A little water is expected to
enter boring below depth of about 2'
based on observation while sampling.
MtA7ER LEVEL MEASUREAAENTS sre►ar —$ 22-78 ConnP�re $-22-78
DATE TIME SAMPLED CASING CAVE-IN gA1LED DEPTNS wATER 1 � 1 � 9: SO
DEPTFI DEPTN OEPTFI LEVEL METHOD � HSA O — 14� C
8-22 9:50 16' 14�' 16' to No e
8-22 10:00 16' None 3i' to None
m
to CREW CHIEF Kulhanek
tttnn ot� te5br�
�,,, �..o..m.�...,�
JOB NO. 9-1210 VERTICAL SCALE 1�� ° 3� LOG OF TEST BORING N0. 2
PHOJECT - -
DESCRIPTION OF MATERIAL SAMPLE LABORATORY TESTS
pEpTM GEOLOG I C
�N SURFACE ELEVATION 90. 4� ORIGIN N WL N0. TYPE W � � Q�
FEET �
FILL, mixture of SILTY SAND and *
SAND, dark brown r 2 1 SS
2
SANDY CLAY, a little gravel, brown
and gray mottled, soft, a few 2 3 2 SS
lenses of silty clay and clayey sand
4
SANDY CLAY, a little gravel, brown
and gray mottled, rather stiff to
very stiff (CL-SC) � 11 3 SS
fi,.
`� 17 4 SS
�
�
� 5 SS
112
SILTY SAND, a little gravel, brown,
moist, very dense (SM)
50 6 SS
�
� 31 7 SS
16
End ,of Boring
*- A little water is expected to
enter boring below depth of about
2' based on observation while �
sampling.
MIATER LEVEL MEASURBNENTS S7ART 8-22-78 COMPLETE 8-��-7ft
DATE TIME SDEMp HD DEPTI� CDEPTN BAILED OEPTNS LE E� M�rHOO. 3 4 HSA 0' - 14� �@ 11 : 1 O
8-22 � �i � to
8-22 11:20 16' No 2' to None
m
tp CREW CNIEF
, 0 tu�n c�tti+ test�nq
, �ne �no�rvnr+o roaraco�u, rc
l L'/'1
N /i��� -irr
,���'G.Ol1
1
�
�
50'
N V
�
�ASr .��Nv��
RES���.n/c E
.5,5�1 y EAS'� � A �U i�r� �.
F,�1 QI.EY nn >n/►�/
9-izio
�S`
BO 2!N C� LC� GAT/OdJ$ 1 JOB N0. 9_/„a/� I SCALE: �� Zp � I Dw►wni er �I CMECKED BY
8YMBOL
C.S.
P.D.
C.O.
334 HSA
4 FA
6 FA
2'h C
4C
D.M.
J. W.
H. A.
NXC
BXC
AXC
SS
2T
3T
DRILLING & SAMPLING SYMBOLS
OEFINITION
C�tinuous Sampling
2-3/8" Pipe Drill
Cleanout Tube
3'/." I.D. Hollow Stem Auger
4" Diameter Flight Auger
6" Diameter Flight Auger
2'h" Casing
4" Cesing
Drilling Mud
Jet Water
Hand Auger
Size NX Casing
Size BX Casing
Size AX Casing
2" O.D. Split Spoon Sample
2" Thin Wall Tube Semple
3" Thin Wall Tube Sample
GENERAL NOTES
LABORATORY TEST SYMBOLS
SIIMBOL DEFINITION
W Moisture content - percent of dry weight
D Dry density-pounds per cubic foot
LL, PL Liquid er� plastic limits determined in
accordance with ASTM D 423 and D 424
Qu Unconfined canpressive strength-pounds per
squere foot in accordance with ASTM D2166-66
Pq
Ts
G
SL
pH
O
M.A.•
C"
Qc"
Additional insertions in �u column
Penetrometer reading-tons/square foot
Torvane reading-tons/squarefoot
Specific gravity - ASTM D 854-68
Shrinkage limit - ASTM D 427-61
Hydrogen ion content-meter method
Organic content-combustion method
Grain size enalysis �
One dimensional consolidetion
Triaxial compression
"See attached deta sheet and/or graph
WATER LEVEL
SYMBOL —�
Water levels shown on the boring logs are the levels measured in the borings at the time
end under the conditions indicated. In send, the indicated levels can be considered
reliable graund water levels. In clay soil, it is not possible to determine the ground
water level within the normal scope of a test boring investigation, except where lenses
or layers of more pervious waterbearing soil are present and then a long period of time
mey be necessary to reach equilibrium. Therefore, the position of the water level symbol
for cohesive or mixed texture soils may not ir�icate the true level of the grour� water
table. The available water level infomiation is given at the bottom of the log sheet.
DESCRIPTIVE TERMINOLOGY
DENSITY
TEltlM "N" VALUE
Very loose 0-4
Loose 5-8
Medium Dense 9-15
Dense 16-30
Very Derse Over 30
CONSISTENCY
TERM "N" VALUE
Soft 0-4
Med i um 5-8
Rather Stiff 9-15
Stiff 16-30
Very Stiff Over 30
Standard "N" Penetretion: Blanrs per foot of a 140 paund hammer falling 30 inches on a 2 inch OD split spoon.
RELATIVE PROPORTIONS
TERM RAN GE
Trace 0-5%
A Little 5-1b%
Some 15-30°/a
W ith 30-50%
PARTICLE SIZES
Bou Iders
Grave I
Coarse
Fine
Sand
Coarse
Medium
Fine
Silt and Clay
Note: Sieve sizes shown are U.S. Standard
SE-4170A)
Over 3"
3�.. _3..
#4-'/a••
#4-#10
#10-#40
#40-#200
Determined by plasticity
Character ist i cs
CLASSIFICATION OF SOILS FOR ENGINEERING PURPOSES
ASTM D�ignation: D 2487 — 69 AND D 2488 — 69
(Unified Soil Classification System)
Major diviei�s G�18 Typical names Classification criteria
Wel I�redad g r a v e I s and � C� = �6o greater than 4:
� GW revel-sertd mixtures, little
� � or no fines �� CZ= ID3oJ2 between 1 and 3
� o D�o xDeo
�� m Poorly graded gravels end ��
� a GP grevel-send mixtures, little Not rt►eeting both criteria for GW
; 8 Z U or no fines v°'i y� m
.?� $ U tl1
O.r C � ��/ j f/j y 7
m C7 �� � Atterberg limits below
> m � Silty grevels, gravel-sand- d V�� "A" li�e or P.I. less
m p� ,� GM o c7 t7 d y Atterberg I i m i ts plot-
� E� � silt mixtur� m 3� o g than 4
ting in hatched area
$ o m ' S� � c7 c7 m.. are borderline classifi-
t° � � m''' Atterberg limits ebove cetions requiring use
� Z a > G C C I a ye y grave I s, 8ravel- �'.. •. q••. l i n e w i t h P. 1. of dual symbols
�o sand-clay mixtures �,.. greater than 7
�� t7 0 . . .
N
�� Wel I-graded sands and gre- '� � m• C� = 060� greater than 6;
� m � � SW velly sands, little or no �°1 in ' Z
� fines c�y o� CZ= /D3o/ between 1 and 3
U� m � o � � � DtoxDso
.. c
��� m Poorly greded sends and � 2 Z�°o�
m �� V SP grevelly sends, little or no w�� Not meeting both criteria for SW
S � $ v fines � � $, z
� ��z ��� �
� � Atterberg limits below
m Silty sands, sand-silt mix- �� �•A" line or P.I. less
� � SNI ��� �� N Atterberg I i m i t s plot-
� � than 4 t ing i n h a t c h e d erea
�� « � o Q a re b o r d e r l i n e cl a s si fi-
m 3 �� w cations requiring use
o �, Atterberg limits above o f d ual s y m b ols
� �SC Cltiyey san d s, san d-c lay •,A" line with P.�.
N mixtur� greater than 7
Inorganic silts, very fine Plasticity Chert
� ML sands, rodc flaur, si Ity or 60
m clayey fine sands For cl�sification of fine-grained
�, o, soils artd fine fraction of coerse-
� Inorganic clays of low m 50 grained soils.
� medium plasticity, gravel ly q��rg L i m i t s p I o tt i n g in
�_ CL clays, sendy clays, silty hatched area ere borderline CH
�� E clays, lean ctays clessifications requiring use of
m y.o x 40 dual symbols.
�� '� Organic s i I ts end orpenic � Equation of A-line:
g � 0L silty clays of low plasticity '- PI =0.73 (LL-20)
� `� � 30
�� � Inorganic silts, micaceous � �.�� OH end MH
�i a MH or dietomeceous fine sends d ; Q.
�, � �� or silts, elastic silts 20
� � �' � CL
0
LL� °� Inorgenic clays of high 10
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September 8, 1978
Harstad-Todd Construction
200 Silver Lake Road
New Brighton, MN 55112
-�`�"'
Co
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aG �
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Attn: Bob Todd
/
tw�n c�t� testinq
anO enq�neer�nq IaDOratory� inc.
662 CROMWELL AVENUE
ST. PAUL, MN 55114
PHONE 612/645-3601
�
Gen tl emen OFFICERS:
CHARLES W. BRITZIUS, P.E.
Subj: Residence President
5544 East Danube �oHN F. GisusoN, P.E.
Executive �ce-President
Fri dl ey, Mi nnesota NORMAN E. HENNING, P.E.
Laboratory #9-1313 Vice-President Engineering
ALBERT C. HOLLER, F.A.I.C.
This letter concerns the recent observation and compaction t85t111gVice-PresidentChemistry
CLINTON R. EUE
we performed on the soil conditions at the site of the residence Secretary-Treasurer
at 5544 East Danube in Fridley. We were authorized by you to observe
and judge if the.exposed so�ls in the western portion of the excava-
tion were suitable from which to begin fill placement, and to l�ter gRANCH OFFICES:
rp��r�+ thp effectiveness of compaction operations by obtaining ran- BISMARCK,N.D.
dom compaction teStS. FARGO, N.D.
GRAND FORKS, N.D.
MINOT, N.D.
The residence will be a split-entry structure.with a walkout base- APPLETON,wis.
ment to the west and attached garage to the north. The overall plan EAU CLAIRE,wis.
dimensions for the structure are 55' x 48'. The structure will be �a cROSSE,wis.
supported on perimeter strip footings placed upon an engineered fill wausau,wis.
sequence. The basement floor slab will be placed approximately 2 1/2�oc EST R,MINN.
bel ow the curb of East Danube. The wal kout footi ngs wi 11 be pl aced RAPID CITY, s.o.
5' below the curb and the east or front footi ng 1 ine wi 11 be pl aced SIOUX FALLS, s.�.
approximately 3' below curb line. We have no information regarding WATERLOO,iowa
the actual foundation bearing pressure, but assume that design soil
bearing pressure will not exceed 1500 psf.
The excavation operations were originaliy initiated in early August.
At this time, unsuitable soils were found in the upper reaches of
the natural strata. Accordingly, two deep soil borings were put down
with a truck-mounted drill rig. The results of this work were doc-
umented in our report dated August 30, 1978 (#9-1210). The report
indicated a generalized soil profile consisting of silty sands and/or
sandy clays. The upper portions of the silty sand and sandy clay
layers were found to be loose or soft, as indicated by the low pen-
etration values obtained. Competent sandy clay, clayey sands or
silty sands were encountered at depth.
As excavation operations resumed on September 1, some difference of
opinion :�as expressed between the builder and the excavator as to
the suitability of natural soils exposed in the western portion of
the house area, particularly at the southwest corner. Accordingly,
AS A MUTUAL PROTEC710N TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPOR'fS ARE SUBMfTTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHORIZATION FOR
PU6LICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGAROING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL
�
Harstad-Todd Construction Co
September 8, 1978
Page two
.�
we were requested to visit the site and provide a judgment as to the
adequacy of said soil conditions. Upon arrival at the site, we �ound
that water had entered the excavation at the southwest corner from
the adjacent swamp. Subsequently, the corner was cleaned out such
that a proper observation could be made. The excavation sloped down
noticeably along the west and south wall lines, to the southwest _ Q �ti
corner. The excavation terminated on competent silty sands or sandy 'o �}
clays. Maximum subcut elevation in the area of the southwest corner �''.
to be a roximatel 14'-15' below curb line on East Danube. We �,
appeared pp Y � �
then inquired as to location of building corner stakes, such that a
judgment of lateral aversize obtained could be ma�ie. We were im`'ormed _�%
by the builder that we should not be concerned with the lateral over- � V
size situation, and the Fridle Buildin Ins ector would be evaluatin � �
lateral oversize. Base on t e stakes ava� a e, � i appear a
approx�ma e y 0' of lateral oversize had been provided at the corner.
We were informed that the west end of the building area would be filled
as soon as possible in order to prevent cave-in of the bank. Accordingly,
compaction tests were requested on the morning of the next working day
(September 5). Compaction tests taken on September 5 indicated satis-
factory compaction was being achieved at the elevations and locations
tes �ed.
On September 5, we were notified that we would be required to observe
and judge bearing soil conditions throughout the entire excavation, and
not only in the west portion of the excavation, as had been previously
indicated by the builder. Therefore, we visited the site on September
5, in order to make any observations possible. Upon arrival at the site,
we found that the entire building area had been filled up to what
appeared to be final footing grade. Hand augers put through the fill
in the eastern portion of the excavation indicate the presence of 2'-3'
of fill underlain by competent sandy clays or silty sands. Therefore,
at the hand-auger locations, it appeared that the excavation terminated
on suitable bearing soils. As the eastern portion�of the excavation
was filled prior to our obser°vation on September 5, we cannot comment
as to the adequacy of lateral oversize in this area.
Very truly yours
�� ��
Leonard A Rasmussen, P.E.
LAR/jb
cc Fridley Bldg Inspec Dept
Attn: Ron Holden
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662 CROMWELL AVENUE
�` "' ST PAUL. MN 55114
,� PHONE 612/6d5-3601
�. ,,,� F i2EPORT OF: DENSITY TESTS OF COMPACTED FILL
'��$ RESIDENCE
PROJECTs 5544 EAST DANUBE qATEs September 8, 1978
FRIDLEY, MINNESOTA
REPORTED TO: Harstad-Todd Constr Co COPIES TO: 1) Fridley Bldg Inspec Dept
200 Silver Lake Road Attn: R�n Holden
New Brighton, MN 55112
Attn: Bob Todd
LABORATORY No. 9-1313
TEST NUMBER:
DATE TAKEN:
tiN1FIED SOIL CLASSIFICATION:
(119oisture-Density Sample
Number)
LOCATION:
DEPTH BELOW FOOTING ELEVATION:
DEPTH BELOW EXISTING GRADE:
1
September 5, 1978
Sand, fine to
medium grained,
some gravel,
brown (SP-SM)-1
12'N & 20'E of
SW corner of
house
1'
1'
E
September 5, 1978
Sand, fine to
medium grained,
some gravel,
brown (SP-SM)-1
20'N & 10'W of
SE corner of
house
1.5'
1.5'
�
September 5, 1978
Sand, fine to
medium grained,
with gravel,
brown (SP-SM)-1
15'S & 20'W of
NE corner of
house
C�
�
FIELD DENSITY DETERMINATION:
Method Density in Place By Sand-Cone �`lethod, ASTM: D1556-64 �-#4 Basis)
Dry Density �pcf) 120 122 119. 5
hloisture Content (%) 6.1 5.3 5.5
Plus #4 Material (%) 26 24 33
LABORATORY MOISTURE-DENSITY RELATION OF SOIL:
Method ASTM:D698-70, Method "A", (-#4 Basis)
Maximum Dry Density (pcf) 125.1 125.1
Optimum Moisture �%) 9• 8 9' 8
COMPACTION TEST RESULTS: �
Compactioa_ �%)
Specified Corapaction �%) 95
125.1
9.8
7 . 5 �..,�/
9 95
REMARKS: The above test locations were selected by Twin City Testing and Engineering
Laboratory Inc. Compaction meets specifications in the above test areas.
AS A MUTUAL PROTECTION TO CLIENT8.TME PUOLIC AND OURSQLV68.ALL REPORTB ARE SUBMITTED A8 TMB CONFiDENTIAL PiiOPERTY OF CL16NT8. AND AUTMOR-
IZATION FOR PUBLIGATION OF BTATEM6tiT8.CONCLU610NB OR EXTRACTB FROM OR REGARDING OYR REPOR�S IB RHBERVED PENDING OUR WRITTEN APPROVAL
Twin City Te ng and Engi�ro��ing Laboratory, Inc.
B l.�.S� �Hw.+d/��___
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� �,, r , � '�i'�*ye^;,{, , , ' - n . ?'�
:y '+ _ _ �y ' � � � .
f
& +�8 . _
f - �%� �?�.�� S- . � ' ' � ., � G
. ._...,� .. �._. . ., . . . _... ...... . . a�fxSS.b ... _. . . �_.a -�. . T J.., . w ia�. v., . �. :':4 ��
To Jerry B. I Date 9/20/%$ ��C� ���g�
From Q1 ek S _
Subject Chemical Examination; 5544 E. Danube Road
For yoir information and to pass on to Plann(ng Commission, please
t sa 1 ana;� s i��e�€a-�:°a--�;-��; ��z-- _ Q_,
at the referenced address proved negative. Test results were
material safiisfies drinking water standaPds.
Wilson Jones Company
GRAVLINEFOR�19d�P99 ��PART Signed
v 19�] • PFIMEO IN I1.S.A.
.d'��otwo�
���
h�
� �
0
b ,r.
PROJECT:
REPORTED TO:
REPORT OF:
tw�n c�tti+ test�nq
"� ano �u'�rm4 �ry, mc.
662 CROMWELL AVENUE
`" ST. PAUL, MN 55114
�� PHONE 612/645-3601
CHEMICAL EXAP�9INATIOP�
Harstad-Todd Company
200 Silver Lake Road
New Brighton, MN 55112
LABORATORY No. 2_7764
REPORT OF CHEP�ICAL EXA�1INATIOP�
DATE: September 19, 1978
FURNISHED BY:
COPIES TO:
SAMPLE IDENTIFICATION: Landfill Material � �`�`'�`� �''�r � "`� �' �
� �,t� (� i�t�`v� h - .SS"y3 Z
TfSTS AND RESULTS: For 72 hours, 500 gm/liter of material were leached (shook for
1 minute every 24 hours) in Milli-Ro, Milli-Q deionized water
and another sample in acetic acid-acetate buffered leach accord- !
ing to MPCA procedure. The leachates were filtered through
0.45u Milli-pore filters and the following results were tabulated
from these filtrates:
Sa_ mple Water Acid-buffered
0
�
Total Dissolved Solids
Chemical Oxygen Demand
Phenols
Sulfate as SO4
Total Phosphorus as P
Nitrate as N
Fluoride as F
Cyanide
Chloride as C1
Arseni.c as As
6.4
�
230
10
*0.01
8
0.19
63
0.28
*0.01
5
*0.005
4.7
mg/ 1
�
1.9
133
3.1
25
� 0.25
*0.01
88
*0.005
AB A MUTUAL PROTECTION TO CLIENTY, TNC PUBLIC AND OURBBLVEB. ALL REPORT9 ARE 9UBMITTFD A6 TME CONFIDENTIAL PROPBRTY OF GLIlNTS. AND AUTMOR-
IZATION FOR PUBLIWTION OR BTATBMENTB. CONCLUBIONB ON EXTRACTB FROM OR REGARDING OUR RHPORTB IB REHHRVED PENDING OUR WRITTEN APPROYAL.
,
;
1!
td.a�ary.a�+
e� �',� g
y� �
'�.. ,.�
LABORATORY No.
REPORT OF:
� tw�n c�t�r test�nq
.� �� ��,.�.
667 CROMWE�L pVENJE
• ST PAUL M1v 55>>4
VMONE 6t2i6�5�360�
CHEMICAL EXAMINATION
oATE. September 19, 1978
2-7764 PAGE TWO
Water Acid�buffered
TESTS AND RESULTS: Sample (m9/1) (mg/1)
cont.
Barium as Ba *0.01 0.18
Boron as B 0.15 0.48
�admi um as Cd — –*ff.-OY – - ---O�p3-- - -
Hexavalent Chromium as
Cr+6 *0.02 *0.02
Copper as Cu *0.01 0.65
Iron as Fe 0.33 280
Lead as Pb *0.01 0.13
Manganese as P�ln 0.03 7,18
Mercury as Hg *0.0001 *0.0001
Nickel as Ni *0.01 3.75
Silver as Ag *0.01 *0.0.1
Selenium as Se *0,005 *0.005
Zinc as Zn 0.03 *0.01
* = less than �
RE���ARKS: The sar�ples were received for analysis on August 31, 1978.
•1 A YIRYAL /ROT[CTION TO CU[NTt. TME MI�L1C ANp OYM[LYC/. ALL R[/OAT� AR[ sY�MITTLD A� TMt CONRIO[NTIAL ►AOKR'Tr Or CL1tNT�. AND AYTN011-
IZATION ►OR �Y�UGTION O! �7AT[M[NT{. CONCLU�ION� OR �1ITAACTS IROM OR RtGARDING OYR �►OwT/ 1� R[aRV[D KNDtNC OYR wRITT[N A►►ROVAL.
I I
2P
4� � - --
9/� � �
��__E:
Minnesota Pollution Control Agency
Mr. Steven Olson
Environmental Officer
City of Fridley
6431 University Avenue NE
Fridley, MN 55432
September 21, 1978
Dear Steve:
�f.
Approval is hereby granted,for allowing the castin sands
from F.M.C. disposed of at'5544 East Danube Roa_ in
Fridley, Minnesota to remain. The leach test performed
on this material by Twin City Testing indicates that no
adverse environmental impacts should arise from this
filling. However, additional deposition of said material
on the property referenced above is prohibited.
If you have any questions regarding this matter or any
othersin the future, please feel free to contact me.
JMM:nw
Yours very truly,
�i'/•
J n M. Menter, Engineer
Permits Section
Division of Solid Waste
Phone: 296-7296
1935 West County Road 62, Roseville, Minnesota 55113
Regional Offices • Duluth/Brainerd/Detroit Lakes/Marshall/Rochester
Equal Opportunity Employer
O
� � �� 1
� �
� ��� •�.�u�::�� �
;.
�_ ` e �
���� �� ���.����
8431 UNIVERSITY AVENUE N.E.. FRIDLEY� MINNESOTA 6b432
� �- �. �
P ..�� - -
Mr. Bob Todd
Harstad-Todd Construction
2200 Silver Lake Road
New Brighton, NIN 55112
Re: Final Inspection at 5544 Ea.st Danube Road N.E.
Dear Mr. Todd:
TELEPHONE ( 812)571-3450
A final inspection was made on December 5, 1978 of the above address and
the following items were noted which must be completed before the structure
can �be finaled out;
1. Post house ninnbers on structure by Dec�nber 18, 1978.
2. Provide clean-out for fireplace by December 18, 1978,
3. Provide posts under deck by December 18, 1978.
4. Repaix sheetrock on garage ceiling by December 18, 1978.
5. Provide sod. in :the front and side yards by June 1, 1979.
tirTe will expect the above items t�o be completed by the scheduled dates when
reinspections will be made to determine cofinpliance. If you have any
questions on the above items, please contact me at 571-3450.
Sincerely,
DARREL G. CI�FIRK
Community Develognent Adm.
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�HEAT LOSS CAt�ilLaTt� .DEPARTMENT OF iNSPECTION �
Weatbsnttip� � � IVo. Lwlstioa
Window� I Doon Re��see Qut. �� IM. �l�p Caii� Roof Floor Ki�d �+"
es— � t9_,._
Fl. � ita�sm Lt.�,tb 1p'� / '. Fl E� �'�dth
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Int. wsll
ft. E.D.R. or aq. au. W.A. L,sader uea
D t%om t�e.�th / �l'�itb
aad Doea-•Craekau aad Ata►
�
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f�ist esp. ws!!
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Tot�l &u.
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R. Reon �►' _
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Total �een.
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u�
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t a,
. "�–.�-
uHEAT LOSS CAl�CllU1TWNS DEPARTMENT OF INSPECTION
Weatbsntrips �� C�p�tio� Wo.
Window� Doon Refenmoe OYt. �lap Iat. �f�q Ctiliu [ioof Float
eS'�o I er 19�
Fl. Raom Lee�h (� �l'�dth
�Aliadow� Doon—Crsekys a�d Ara
w�
Idtb N�At w w �fN �
Ne. ef M__n� e� ean� _ U�At�_ Ot enet N. [4
labltratioa
��
�
� Net� U
�': Int. wall
quircd sq. #t. E.D.R. or p. ia�. W.�. lreader trsa
l. 0 Gt/ ��, Raom l�th �l'�itb Z–
�L'aidew� a�d a�d Aiw
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� ,Qtt� b � .
3'y C o S"�/ �
In6lEratioa
CJ�.
��
�ist esp. waQ
lnt. walt
Ce�lin`
Floor
Rep�urea W. rc. w.K. or p. ua. w.w. uMU ara
Fl. Roas
�lindow� and aai Ma
w.h �.� .. �►.s.
H.. .r..a. .t.a.. u.u. .t..«t w. n.
Gi�N
E�tp. wall :
Net esp.
ist. w�li
Ceiliai
IA
f (�
Tota! 8eu.
Requind �q. E.D.R. or .q. ins. �N.A. Ltader ua
�4 —�
Gv I�0
a�d
i3t�!
.`
�►a�ous. �
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Kied � 1�ow �►PP1�
M�Le�tb Widtb Hei�t
.—Crackate .�d A�ea
w K w�sl tt. �ey
If�MN �t Ctiek • �
Coef. Bw
L�ittration
GI� - _ "" _ "�.:�
�
. walC` -
i�t. w►aU �
Cedia� -
Floor
� Total Bta
Req�d �V. �. E.D.R. or �q. au.'�.A. lxader �rea
Fl.I R� I 1.*n�ch rVid�h H
�l'Mrdows aad D�oma--Craek�e aad Area
IOtY M�Yt e. IwNI te. A�
1fe. et NM �R l�r� 11Nv et er�et_ �a. tt.
Iaihiatioa
GFu.
� �+p
Nst e�. wall
Iat. waU
CeiliA�
Floor
Total &u.
Req�ired �4. k. E.D.R. or p. aa. �l.A. l.�der nea
' Fl. Reo� I L.ea�tb �lidt�
Window� �sd OMe�--Craeka�c and Ana
��
Nee e:p. wap �
Iat. w�til
Ceilin�
FlCOr
Total Btu.
Rpuind �4 h. ED.R. or p. �t. alJ1. Leade� �ee�
�11
SuBJECT � � -
c�ty of Fridley � � � �0
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
� .
i �• COMMUNITY DEVELOPMENT DIV. �����`„
r � � � PROTECTIVE INSPECTION SEC. ���
i � (�"
� i �
� �'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV OATE PnGE OF aPPROVED Br
�""'� � �'� 612-571-3450 910-F15 4/11/97 / /
JOB ADDRESS 5544 East Danube Road NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oESCR. 4 2 Innsbruck North 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
David Blank 5544 East Danube Road NE 571-4064
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION X❑ REPAIR O MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (26 Sq) Tear-off _
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL. PLUMBING, HEATING,
VENTILATING OFi 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 1 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 OROINA ES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED �2�145 �p1.O%
WITH WHET EF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT RE UME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PFiOVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @74.75 Fire SC �Z.l�i
STRUCTION OR HE PERFORMANCE OF CONSTRUCTION 'P
PLAN CHECK FEE TOTAL FEE
$77.96
SiGH A OF CON' CTO A ORI D AGENT IDATEi p ER�Y V LIDATED THIS IS Y� P'��
�
SiGNATURE �F�WNEP U OWNEA BUILDEFiI IOATEI _ LDG IN DFTE
NEW [ ]
ADDN [ ]
ALTER [ ]
const�uctionAddress: .
Legal Description:
Owner Name & Address:
Contractor:
Address:
Effective 1/1/97
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2 �)
BUILDING PERMIT APPLICATION /�Dl�
G
�5.��/� � ��i�s�i�� �/.�
Tel. � � 7/-1%�
NIN LICENSE #
Tel. #
Attach to this application, a Certificate of S�uvey of the
lot, with the proposed construction dra.wn on it to scale.
DESCRIPTION OF IMPRO`'EMENT
LIVING AItEA: Leng�h Width Heigiit
GARAGE AREA: Length � Width Height �
DECB AREA: Length � Width _T_ Hgt/Ground
e �i �
5q. Ft.
Sq. Ft.
$q. Ft. ,
I � s, L,,� ��,;�-
� "� `-�- �_
�/ ` G �l .�
Construction Type: �h'�.��i�L�� . Fstimated Cost: $ �/��
(Fee Schedule on Back)
Driveway Gurb Cut Width Needed: F�. + 6 t Ft g$ -=�
` � LICANT: � . , • Tel. #� `�'ii o s
DATE: 7� � � APP
Permit Fee
Fire Surcharge
Staxe Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� 5�..
$ �- ,
$ ,/
� /> m�
$
$
$
$
$
$
$ , v%-�
CITY i3SE ONLY
Fee Schedule on Reverse Side
.()Ol of Peimit Valuation (1/lOth%)
$.SO/$1,�0 Valuation
$950 per S�4C Unit
$5.00 {Statt�; Licensed Residential Contractors)
Alt. "A" or Att. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [] Not Necessary j]
�.�--
Building
Inspections
763-572-3604
�o
�a� �- /s �
SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBNIIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
�rE oF woxx:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
❑CONTRACTOR
NAME:
STATE LICENSE
CITY
EXP DATE
Permit No.:
Received By:
Date Rec'd:
� �T
�-1���
�
ADDRESS: CITY STATE ZIP,
❑ SINGLE FAMILY/N�
❑ TWO FAMILY/NEW
� ADDITION
❑ BASEMENT FINISH
�iDECK
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT.
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
WINDOR'S
IN EXISTII�TG OPENINGS DYes QNo
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING4HE 97 U.B C FEE SCHEDULE)
TOTAL JOB VALUATION,$ �� I���� OCCUPANCY TYPE
FAX
❑ ROOF
❑ SIDING
❑ SWIMMING POOL
��
LENGTH
o xousE orn.Y
❑ HOUSE 8c GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
�Soffit
❑ Trim
❑ Fascia
LACATION OF WINDOWS
SIZE
❑ DRAIN TILE
❑ OTI�R
HEIGHT
F�
BASEMENT REMODELING SUBMTf:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
1. Site P1an/Survey showing the existing structwes
and proposed project
2. Two sets of construction plans
3. Energy Calculations
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ SQ-( • ( I
$ �, a- 1
$ I.t1
$
$
$
$
$
$
$ I L(L'� f�
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Pemrit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Deternuned by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMTT-NOT VALID UNTIL PROCESSED
I hereby apply for a building pe ' and I aclmowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application fo ermit and work is not to start without a pemut; that the work will be in accordance with the approved
plan in the case of all work whic ' es re ' d approval of plans. �,��� � .�
SIGNATURE OF APPLICANT PRINTNAME �" "�� ��CT�v DATE � J� ���