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AF - 40722�s����.�e�Q. North East Real _ � HARSTAD -TODD CONSTRUCTION CO. 2200 SILVER LAKE RD. � NEW BRIGMTON, MINNESOTA 55112 � PHON6 636-3751 City of Fridley 6431 University Ave. Id.E. Fridley, Minnesota 55421 Attention: Mr. Ron Holden, Building Inspector Dear Sir: x� l October 7, 197� t �� � Submitted herewith is a soil report for a house foundation on Lot 1, Block 1, Innsbruck North, 2nd Addition. Soil borings were made by Willard Blake and myself. The borings were staked by myself as shown on the attached map together with elevations. These borings were made at 12:00 noon on the 6th of October, 1976 and at the time of our arrival fill and peaty material had been removed for a distance of 8 feet below street grade as measured at street grade from the center of the lot. The northerly boring had been excavated to a depth of about the same distance and since that time another 2 feet have been removed. We propose to compact 3 feet of fill and construct normal footings with rebar at that level. KTIi/em Enclosures 1 " �i' 1. . % ��� � ,�'; � �, 1 :� � '� . ,. � ,, �� � � :,. �. '� 1` , ' .�� � �! ��� , `� � � � i � ` � ������� Yours truly, ���� xa� Keith T. Iiars�ad .� i � 1 � ; � H� �+ > `! ,,. , . .y Depth (ft) Boring No. 1 0 Previously excavated 0 9 17 Brown clay and sand (fill and peat and loam) Gray clay with sand--medium dense Gray clay with sand--stiff �J %� a ? C. �. � � . _ • Depth (ft) Boring No. 2 9% 17 Previously excavated Dark gray clay-soft to medium Dark gray clay with sand-medium dense Gray clay with sand-stiff i�"� :p ,� k'" $ z�s" i t.s� '�e . a a�K«r�. . ��.iC' . � r�,i�a�%C.ya.,�- r.a6'rw�`� .4 " �, {� ,:� k�, �°.. 4�.. .7� S' 'T':: 1 � , - . . . <.��� , . � � .. . � �.'"5� �r r . . . . . �_p` 3 ,"'% . . . .. . . . �.`:.:. � � � �� . Y , . . . . �ti�� �. y. . � � . .. � . .. e � . . . 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City of Fridley � 13816 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � C . � ; y �_�� COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. �� � �'�� 1 ; � �l � /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L•"'� � �•� 612-560-3450 910-F15 e/7/76 � � JOB ADDRESS 5587 �a�t Danu6e Road 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � 1 Inns6ruck North 2nd Addition SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE �ohn Effland 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Harstad-Todd Gonstruction 2200 �ilver Lake Road 636-3751 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE , LICENSE NO. SA E 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING es" e tial 7 CLASS OF WORK �I NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 OESCRIBE WORK constrqct 54' x 36' Fiause wi�th 22 ft x 21'9" garage �MP�RTAf�T-� :°' 9 CHANGE OF USE FROM FY THE FRIDIEY ENGR,� TO , ' DI'Ir1�lON REGA D �����E • a.�C� • � �• sTiPU�ATioNS qT DRIVEWA YOPENCNMEN� ����RED �►Y LA1Al 1. Provide So%1 6arings and com���tion te�ts � 2. Pravi�de truss des�°gn prior to capping n 3. Ptravi Qe vapor Garri er i°n cei 1 i ng 4. P�^ovi de a ver�`f i cati�on survey bg.f�r a IRED -°. F� � 5. Ptrovi� de a har d su r face d r i v� E P C. K A�€ ����jS R�� �N�� 6. S a d t h e f n o n t a n d s i d e y a r d���� N�� p L U M 8 1 1� 6. A t� D S, Sewer: � ` � � �a l�ye 221 South of Manho1e on North Innsbruck Drive �y� ���►� � i�[y� E1 evati on = 946. 65 �pt �9 pr� �.RO�' Top of footing Minimwm elevation 949.65 D�S g �5�5 p� B.M. Tnv. Elevat�on of Manhole 24°30. = 946.74 `Et �p ��Q��.��a�� f�ater: Stop Box Approximately 10' South ofp�e +� �. v��F► SEPARATE PEflMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING. HEATING, �P N GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. `� �° � � THIS PERMIT BECOMES NULL AND VOID IF WORK Ofl CONSTRUCTION N� v SO. FT. CU. FT. OFl WORKES SUSP NDED ORNABA DONED FORAA PER OD OF N20 DAYS AT �.`��� �j� 3� ,368 ANY TIME AFTER WORK IS COMMENCED. N; �. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION � STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. � 53,339�ZO 2�.� WITH WHETHER SPECIFIED HEREfN OR NOT. THE (iRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR L AL LAW REGULATING CON- STRUCTIO THE PERFORMA E OF STRUCTION. ' 25,'Q'' 3�JO.00 PLAN CHECK FEE TOTAL FEE G� �,( ��3/„3� 553.51 � -- IGNAT REO C NT AC ROR THORI2EDAGENT IOATEI HE R V U� TED HIS IS PE aIT 2 � / � SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI LDG i �P DATE CI�(Y UF FRIDLEY APPLICATION F�R� RESIDENTI�L BUILDTNG PEF�1IT5 �NEW, ALTERlaTIONS, ADDITIONS, OR REPAIRS) OWNER' S NAME : tJ0 �� ��'T I 2`� � ]3U ILDER :� R fZ 5�' A�— l o O D C� dJ S'� ADDRESS : ADllIt�SS : �,�o O • �. �vP� �. �_ � �-�, T�L. IdO. : C� .� l0 3% � No:. ���`� s�rrx: �T �i�1�cc�3� � � LOT : �_BLOCK: � ADD:LTZON : 1 h � s ��-u- � � %�. � N �y, � � � , . _ r , / CORNER LOT: IP]SIDE LOT: X SETBAGY.: 3 S SIDEYA.RD: % F�l 'F' �� Applicant attach to this €orm �tao Cextificates of Survey of Lot and proposed building location dra.wn on these Certificates. ..�- �� ������ � � -_ IiL-'SCRIPTION OF BUILDI�V'G To Be Used As: r � ��� � � '°ti` � � Fxoiit : �y Depth ; 3� Height : � C� Square Feet; Cubic Feet: r p �r ��- Front: ��- Depth: �-r ' 9 Height• l� Squaxe Feet; Cubic I�'eet: Type of Construction: c� �t9 ����w.� Estimated Cost• $ . �To Be Completed; �� ]��. / �f'% � The undexsigned hexeby makes applicativn for a permit ior the G�ork herein specified, agreeing to do all t•�oxlc in strict accordance �oith the City of Fxidley Ordinances and rulings of the Department of Huildings, and hereby declaxes that all the facts and representations stated in this application axe txue and correct. DATE: / ��'� �� • � STGNATU • � � ���9�� (See Reverse Side For Additional Tnformation.) s � �'�� ��l ✓�. �j/� � ��. � eJ. �g f�ee. a�$�r a� � :s �� � �/ 3�, � a ����-,`�� � �. � ,, � • ' ' ,�,►�,f ' �1 ��. ���,� � c. 6 7 � � �s�� �33�a . � � �3�: s/ ��� � � `� . '�"� � � '�) !� � e�e�'..� 3 � �� � � �'����,� � Q �...�. , ,..s. � ,� � � s � _ . ..v- � � � BUILllING PERMIT FL� SCIiEUULE SECTION 2. The Inspector of Buildings shall, b�fore issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or stru.cture, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: NEW CONSTRUC�ION: Si.nig].e Family Fiomes and Garages: $4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line �f the basement or the cellar to 'the average heights of the upper surface or �o the average.* �height of the roof surface of the ma.in gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500,00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50. VERIFICATION OF FOUNDATION NOTE: Permits for eonstruction will be issued a minimum of 24 hours from the time of application, to allo�a for proper review of the proposed structure and of the construction site. A Cextified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shal,l be ma.de ten (10) days prior to the use or occupancy of any structure for �ahich a building permit has been issued; and said structure siiall not be used or occupied until a Certificate of Occupancy has been issued. land Plo�ning ��,(���t���� 6875 Higi►way No.bS N.E. Land Surveying �� • � � Minnsapolisi so�i� Testinp (' �1 ��1PPttj1 , �('y2('. n�;��. ssa�z Civii Engineering � � teleghone 7$4-6066 Munitipal Engineering Engineere & Surveyors A�eo tod� bi� Certificate of Survey for I�OI�i�-i�� 1 G/��% Y 30 � d � � s3s' = �r,a '�c � �� � � �� � � .`� � ��. � '� . � o � � /�f�� / �� � � 4' \ � � 0 � � � � % \ �� Q 1��� �ch 7ia �, � . . / r �� � � � 30 � / � \ � �J;- � � � /3��0 � � \ 1 � c�` �� J�° �� � �e � THE QiY OP 11�DLEY DOES NOT GVA�N1� ?� ACCURACY OF tlN;PIY LOCATtONS AND Hi1/A�ONS T:iIS DATA IS FOR WFOt?!ti^.A�ION PUE:POSES ONlY AND ��RSONS U9NG ft SFIO� dc v���Flr THE MFORMA1tON �N 1HE Sf!'E �OT 1 B1�OGK 1 � WAR�I�G - ��fore digging catllacal ufilities YEIfPNONE •EtEC1RIC-GAS Eb�. REQUIRED 8Y t,�4�W —lMPORTANT-- �� �}'Y 'r}{E FRtDLEY E� DIYISION REC,ARDING Ct � p AT�DR YEWAY OP� CN� . INNSgRUGK NORTN 2� ADDITION ARD� c���) q° 1 herebr co.rifr �hot this is o truo artd cor�ect ►eprssentofion ol o survey of Ihw �aundorios o1 fhe above ds�cribed Ivnd, ond of the locafion of oll buildings� lbereon� ond oll visibte encroochNfeel�, ii o�r� irom pr On safd lond. As survered by me thi• dor o� 5���� A.O. 19�. . Sca1e: I�� �� 5U8URBAN ENGINEERING, INC. � 6rtgina s Svrve rs„ , s��.s � ��)�3 �.� , ,. o pEN8TE5 IaDrl M4NU�IENT by.L�. � V�- �'a � �. -�' �, , � - - — O�xa�S �u��i,ra � ��rt.�_�,.;.. ... a„ ;�.;. � �-�: �� � `Tw �' 7 �o d �' B 7 , . . , . . _ . . . _. . �. �i, EXTERIOR ENV�LOPE AVERAGE "U" COMPUTATIOP, � dWNER ��o< � 1� � � E . � : 4 ��. ---�- - SITE ADDRESS , �.,_._, CONTRACTOR I� �v� �' rr•- �. � Tara DATE a � ��'�./:� ?�; PHONE � �? Ca .� ��I "� � Deterinine working square footage of each. 1.. Tota1 exposed wall area ...... ��/[' sq. ft. x .17 a , 2. Total roof/ceiling area ...... / L3 q fo sq. ft. x .05 = S'� , 8 � . Total exposed wall area above floor =�2�ro� ; a. Total wall window area...... ...............: .. �-j�O b. Total door area ... .,.,. . ... ............ 5� c. TDtal sliding glass�doar area�. ..............:. . 4 2 - _ d. Total fireplace wall area........ ............ 4 g e. Total wall framing area (average 10�).. ".... .. �. f., 1'otal net wall area above floor .............. � :g. 'total rim joist area e. ......... .......... . . . . � Total expose� fo�ndation area =._ 3 5 ' h. Total foundation window area.. .. ...... ... ... �.! ��� i. Toal net foundation area above�grade .. ........ � . Determine "U" value of each wall segment. , ,� . , r � � � - a. . �. � ? x ����� , $ � = I I q,35 � 3�� h. 59 X „�,, , ► z a � °� ,S� .� C►. y- �► X I�Ub / S�~ _.Z 3• � . d. �8 X ,,U„ �� _ �,$` , . e. � .3 � X ����� , / 12 = � �• �� � .. � ..���� �1• '��1�� X II�IL�..1 ��/� C .���•3f . � ., h� 9- � � � X ,,�„ , �,�, � = I l . 0 `� �� h. vZ I X,,�„ , y—,�' _ ( �,��� �. � �� X �,�„ ,y� � g3,�-g' _ � � ; 3.;. ....... .. ..... .. . ..Total � �,I _ -, i If item #3`is �he same as, or less than item #1, yau have met the intent ,. �� ° of SBC. 6006(c)2:.. - � . . .!f.' �. . . ' - . � - . ' ff X-' , . . ... ��;R� � . . . . - ,. I � ,�'�� �` "�p f � � ^�,,s' e � . " � -w� ., �.�. . . - • � `� �' .: , .II ��� Y�� . , � �, � � . - . ��''rv£ ;� �� '�'�:F I ���;��.���: 7ota1 e�pc�s��-r�of/cei]ing area � � � � � yV� � < � . . �,; a _ �- � . > 'f � � �.� . . � . . . . . <� � Total graSS rao.f�c�iling area = �, . :t ` �:, Tatal s�t�y]ight area .. .... . .. .. AY` k: Tota� radf/e�:3ling fr�ami'ng area' .� p �� �, w�-��- ' . . . . . . , . . . �� ;;�f 1.' .'�o�al n�t'' �nsu7atted t�oof/ceilir�g area....... �x . _ 4 . .. . � . . � . . . � � . . . . . '�w,,., � A � �;, . . :. . . . . ���y� �� , �, , _ � :'�eterm�ne "U" value for each roof/��ei l i ng segm�nt. ' ,. � _ � , . � � �° � � ., , ..� <. �� „u„ , t ., � ' � �a�'� � • � �' � , � h ,� � �, � _. � s �� � � : . x � ra :� ,� � 3 � �. �. • � x �t : �i �I � = . k :� .i . . . � . . � ;L�, �� `� �`� ?; �' � ���+r« X ouW �� :, a �` � �}. � ;� .tl �� z x v .�,r, � , , � . , . " , . ��''� �fi � `� � , :. . . � . . .. � x , � w ,� r� � �,� . . . . . . . . . . . . . . . . . F.. : . . . . . . . ; . . . 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'E' . . . . _ .� ��k, . .. . . . .. . . �• .. ti.+f . . " � . . � � . . ' � . . . �a r � „ �.s�., r�4 .'� . .. . . . . ... � . � - - . , . . ,:� � . .. . . . . . . . . . , . . . . . .. . , �},.,., . . .. . . .. . . . . , . .. . �. . . .. . . . . .. .. , fi 4' � �� � A S . . . . . ' t �r. - �: p�`. s. ' �' . �� `� � �Y' ti�2� � ��� � , . � .. ; 1: . �: �34 �T� � �� � _ . .. . � � �i� �.. � ���k �� g i� � � . . � . . . �. . . . �. . 5�. �` � (s• �'$E ., � . � . . d1 �[f��'�v�iY! Tki��"� rw L� `y . . . ' - g�+'�< k � JLt . � ' � ), ' � � � � � � .. ;�}rie ' +1� 3r's � . ""s. " . . . . � R F .*+� . � f � ; 4 x �-. �� � � . � �� � � �: �. �r ,�,�'-� . . .. . . �� �� ' r t� zN ��� � � , � � ,�1. , , - . , . . . .. ., . ... ,� „': p � t: �V�'� (' . � � . � � � . �� t � ' � � . . � _ _ t . � � ` �g� c'� � : . _ . ': . ,�� , '.:', . . ( 6'.F ::s . . � - .. . �.'I � :i� i. ; ': .' �. . -. � .-''„ - : - . , . . . , .. '. . . - . . �. ' . . ' . � . . � ' -� ¢� �,$ . .. f�.. � � . . . . . . .. � . � . �n � , q. k ��kr .. ' i. .r �� . . �. + '� < �.f � „ k;. . � . ,r�r� �r�,�� �r. � . . . . - '"� .�'€��'_ � �,` i �,' ''�!�v'.w'� .,� E3 . �� � 3` . , . : , ,.,, s' ., ..:, , -..� . � � � . �'^� rT �,"' a� / �i ; � �,.��� �' � ��:.� . � :f: .. ��'i � � �'$ �,'�� "a a .r ��i . «� s � sM1 fili,; ..7f . . , ... _ .. . . . _ ..,._ . . . � CERTIFICATE OF �SURVEY . �. � � FOR: }{Qrs}c,� -Todd Co�nS�rUC�iOh i �-� r � , /L � 4�'� � Oer�c . - � Le�41 aescription - INNsBRVCK NORTt►-ti l.o� 1, BIoc.lrc 1� 2 ND ADDITION , Artioka. Coun-�y � M�nrleso�-o�. ,����1 � /� o � ��r� � � � ��l�. ���I�;��.� I hereby certify that this is a true and correct representation of a survey of DEAAARS GABRIEL the boundaries of the above described land and of the location of all -buildings, if any, thereon, and all visible encroachments, if any, from or on said land. LAND SURVEYORS INC. � , • 3030 Harbo� �.ane • As surveyed by me this 9-�'t day of ' AIOV, , 197�5. Pirmouth, 'MN 55441 �,/n . �ir�.c�� -�'C�� J�� Minn. Reg. No. ��- Job No. Z35 Book — Page li - 27 Scale I 1" = 30� . �• w � . �'��.., _ � •• � Y ���. r�7 � �;y� , ` ` / ��*' � • f +,�.� � � , # }..:"J�r.- �.,! .fy 3 t 1 i �, � Si y ,«t- n'�C°15 t Y. }lr� p� ':%" � ...� '1 s �� r -��'� .n ��! j.�. . . A f �L �� � ,.� �'� � ?�„ � , .. � f, .� ' 'A'.. ' ?� . �{. . � c ' i� ` � ♦'�1..�.. . � • .. , � . . ' t � 'R�F Yi= �+�. - �°.l�EI� � ' ` � � ,= F �,-�� .� R,.�; _ `� �� ,� ��- ��� K �'�-} `�� ' � ,. �" �': 2'� �+4-`�� „ e`�r� :� t .. �t ' � ,� �+:- �` : � � � �; � ' , , 's���- �` �� , ` � ` �� i;T �ce � : = , ��` 1��. �, ,� , . � � � �'F�k,'1 �i� ,.- , - !.: �. e�. . � �- \� \ y\` ,., , f�o,. � '' ,♦ � ';.�:�q�X`' . . :'�:� s �. - ,�4dSa�+'`Q�:L _ ,t: - . . . _ : �'. � s 4y :' �. �. . . "er{+' � � d� � �.i � s �.� t,G . ' N.,E . � / °��� � � �. N �'1 ��. T ���� �� • _ �� V' � Y / b��Li �_iy�0 c %✓U w fl���'c�-X , g � 9 � �'�u� . � � �� 7� �� � __ � � � � ��� � .d�'U+UIVtMOpNr` '�S � �..;�,:� PROJECr: REPORTED T : �,,�,,�; �:., .. �— i � ��� t� c��r t�n� H���;:� . .z.a.. sl9d f�sC�y, �. 882 CROMWELL AVENUE ��-` T" ST. PAUL, MN 55114 �� PHONE 812/845-38p1 �ESIDE�N��ORT OF: �ENSITY TESTS OF COMPACTED FILL ��87 E��i DANU�E ROAD pATE: O�t�be� 29, 1976 FRIDLEY9 MYNNE��YA Ha�t�d-Tod Con���u�ti�n Co coP�es °ro: 2200 Si l r�er Lake Road New �r�°��ht�n, MN 55�.12 LABORATORY No. 11� 175� 'I'EST NUMBER: DATE TAKEN: UNIFIED SOYL CLASSIFICATION: (Moieture-Denaity Sample Number) I,OCATION: DEPTH �ELOW FINAL E�EVATYON: DEPTH BELOW EXISTING GRADE: 1 ��t�b�� 2�9 19%� Cl�,yey sand9 �i�� t� med�um g��ined9 � �ittle gr°dvel, b��1Nn ($�)�1 30°S �► �.0°E o� NW ���ne� o� e�ccavati �n 4� 6" � ����b�� ��, i9i� � p� x �� � Silty ��t�d� mo�tl,y i�i ne g�ai ned, some g�avel, bworvn (SM)m2 20'S b 5'W of NE �orn�r o� �x��v�ti�� � FIELD DENSITY DETERMINATION: Method Density in Place By ��f�dm�OP9� Method, AS'IIYI: D�,�����4 (-#4 Basis) Dry Density (pcf) 1Q,6 0 5 115 a 5 Moisture Content (%) 9 0� 6 0 4 Plus #4 Material (%) ],o ],6 LABORATORY MOISTURE-DENSITY RELATION OF SOIL: Method ASTM:D698m709 MethOd "A"' (�#4 ���1�) Maximum Dry Density (pcf) 1� �. 0 4 �.24 0 9 Optimum Moisture (%) 110 � 10 0 3 COMPACTION TEST RESULTS: Co�,PB�t�on (%) 91 Specified Compaction (%) 95 9205 95 R�MARKS: The aborre tes t 1�cati on� we� sel ected by Twi n Ci ty Tes ti ng and Er�gi neeri ng Lab��°atory Inco C�mpaction is belov� �pe��ficatio�� in the ab�ve test areasa AS A MUTUAL PROT6CTION TO CLIENT9,TNE PUBLIC AND OURSELVES.ALL REPORTB ARE 8UBMITTED A9 TNE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTMOR- IZATION FOR PUBLIGTION OF STATHM6NT8. CONCWSIONH OR lXTRACTB FNOM OR RE6kRDIN6 OUR R6PORT8 �8 RHBERVQD PENDIN6 � OUR WRITTEN APPROVAL Twin City Tes ng ond Engineering Labwotory, Ine. � g "`�" � �B^— Y � _ �`; tu.nn a�"��st'nq ,:�:;::::: a� � �aeory, au. 662 CROMWELI AVENUE ,ov�D7D«c,y� �:a' T11� ST. PAUL, MN 55114 �y5>` �g PHONE 612/84&3601 �''���'� RESIDEiVCEo1ST�l�RE - DENSITY CUFZV� SAMPLE N0. 1 PROJECT: 5587 EAST DANUBE ROAD DATE: October° 29, 1976 FRID�EY, MINNESOTA REPORTED TO: H��stad�TOCI COt��t1�UC't�011 CO COPI�S TO: LABORATORY NO. 11—�.75� . � +� 1� w � � 0 � 1. � � �. � W� O � � G i i METHOD OF TES'i': A�TM: D698-70, M�th�d "A" ,(-#4 �asi �) TYPE OF MATERIAL: �layey �and, fine to medium gwained, br�wn (SC) MAXIMUM DENSITY: 121 m 4 lb. /C1i. f1G. OPTIMUM MOISTURE a 110 2 � IV�OISTURE CON1'ENT % a� ��� _ . ��� C�J11'7 CIG'� � �Cli"IQ . 3 � � �� Q�+ 882 CROMWELL AVENUE ,�r �+o�,� 'vz� T1° ST. PAUL, MN 55114 �y5>` � - PHONE 812/645-3601 °�,�,��� IVIOIST�I I�E DE�IJITY CC�U F�VE SAMPLE N0. Z � RESIDEN�E PROJECT: 55�7 �A�T DANU�E ROAD DATE: October 29, 1976 REPORTED ro: FRIDLE�°, MINNE�6TA �o�e�s ro: Ha�sta - o �n�t�u�tion Co LABORATORY No. 11-1758 � � 125 w � c� � � 124 � � ,.. � Z W 12� � � � � 122 �.21 METHOD O� TEST: TYPE OF MATERIAL: MAXINiUM DENSITY: ASTM:D698mi0, Method "A", (m#4 Basis) Silty �and, m��tly fine grained9 br°own (SM) �24 a 9 lb. /Cll. f$. OPTIMUM MOISTURE = 10 a 3 % � 9 10 11 12 13 IWOISTURE CONTENT % � _ � � �;� CWN'1 CIC� t�'itll'7Q _'�;�-,,:,,..M ana �r�q �, n,c. `f:" 882 CROMWELL AVENUE ��%z'S T.r. ST. PAUL, MN 55114 PHONE 812/845-3�1 � REPORT OF: DENSITY T S OF COMPACTED FILL "`�� RESIDENCE PROJECTs 5587 EAST DANUBE ROAD RIDLEY, MII�NESOiA _ REPORTED 22Q0 St 1 ver° Lake Rd New Brtghton, MN 55112 LABORATORY No. 11-1758 TEST NUMBER: DATE TAKEN: UNIFIED SOIL CLASSIFICATION: (Moisture-Density Sample Number) LOCATION: DEPTH BELOW FiNAL ELEVATION: DEPTH BELOW EXISTING GRADE: , �, ', l' , s DATEs November 1, 1976 COPIE5 TO: 3 Oct 29, 1�76 C1 ayey sand, fi ne to medium gwained, trace of gravel, brown (SC)-1 20'S & 5'W of NE corner° of excavat�on (Retest of #2� 4' .6" r� Oct 29, ]976 Silty sand, mostly f�ne grained, a lit�le gravel, brown (SM)-2 30'S � 10'E of NW corner of excavation (Retest of #1) : � FIELD DENSITY DETERMINATION• Method Density in Place By Sand-C�11@ Method, ASTM: D1556-64 (-#4 Basis) Dry Density (pcf) 121 123. 5 Moisture Content (%) $ 01 6 0 4 Plus #4 Material (%) 5 9 LABORATORY MOLSTURE-DENSITY RELATION OF SOIL: Method ASTM:D698-70, MethOd "A" (-#4 Basis) Maximum Dey Density (pcf) 124, 9 12`I m 4 Optimum Moiature (%) 10 m 3 11 . 2 COMPACTION TEST RESULTS: Compaction (%) 97 102 Specified Compaction (%) 95 95 REMARKS: The above test locattons were selected by Twin City Testing and Engineering Labo�atory I�►cm Compaction now meets specifications in the above test areaso A8 A MUTUAL PROTECTION TO CLIENTB,THE PUBLIC AND OURBELVBB,ALL REPORTS AqE SUBMIiTED AS TNE CONFID6NTIAL PROPERTY OF CLIENTS, AND AUTMOR- IZATtON FOR PUBLICATION OP STATEMENTS.CONCLU810N8 OR EXTRACTB FROM OR REGAROtN6 OUR REPORTB 18 REBERVfiO PENDING Cuet wo� �AL , Twin City T s ing cnd Enginaertng Laborato „jee, B ��- G� , Y r� ` � : % • � � .��_' ' \ � �( ���'�,,! � ' , � ` --. REPORTED TO: ��� � �� tWfl'7 Glt� C�SC111q ,., �;;�>r . � � - _.>. a;� �:.:.:,....,. ano � �a�tory, R,�. 682 CROMWELL AVENUE �'' T'� ST. PAUL, MN 55114 PHONE 812/645-3601 REPORT OF: DENSITY TESTS OF COMPACTED FILL RESIDENCE 5587 EAST DANUBE ROAD DATE: November° 1, 1976 FRIDLEY, MINNESOTA Harstad-Tod Constr° Co COPIES TO: 2200 Si 1 r�er Lake Rd New Brighton, MN 55112 LABORATORY No. 11-1758 TEST NUMBER: DATE TAKEN: UNIFIED SOIL CLASSIFICATION: (Moiature-Density Sample Number) LOCATION: DEPTH BELOW FINAL ELEVATION: DEPTH BELOW EXISTIlVG GRADE: 5 October° 29, 1976 Clayey sand, fine to medium grained, a little gravel, brown (SC)-1 5BW � 5'S of NE co�ner of b�ilding 4' C3{i [:� October 29, 1976 Silt,y sand, mostly fine grained, a little gravel, brown (SM)-2 5'E & 5'S of NW building 3.5' � FIELD DENSITY DETERMINATION: Method Density in Place By $8�d—COn� Method, ASTM�1556-64 �-#4 Basis) Dry Density (pcf) 115 0 5 119 Moisture Content (%) 7 0 5 8.4 Plus #4 Material (%) 13 7 LABORATORY MOISTURE-DENSITY RELATION OF SOIL: Method ASTM:D698-709 Method "A"� (-#4 Basis) Maximum Dry Deneity (pcf) ],2], m L} 12Q. , 9 Optimum Moisture (%) 11 m 2 10 0 3 COMPACTION TEST RESULTS: Compaction (%) 95 Specified Compaction �%) 95 9505 95 R�MARKS: The above test locations were selected by Twin City Tesiing and Engineering La6or°atory Inco Compact�on meets specifications in the aborre te�t areaso AS A MUTUAL PROTECTION TO CLIENTS,TXE PUBLIC AND OURSBLVEB.ALL REPORTB ANE SUBMITTED AS TNE CONFIDENTIAL PNOP6RTY OF CLIENTS. AND AUTHOR- IZATION FOR PUBLICATION OF STATBIdENT8.CONCLUBtONH OR EXTRACTB FROM OR R66AROING OYR REPORTB t8 p68ERVED PENDING OUR WRITTEN APPROVAL Twin City Te g and Enginee�i�aboraL tory�, Inc. �—� � By y� �a i . - _ t T ; . ��` .. , � Y , , � �A.�� ..., ` � �': , : �. . , ,. _Y, _. REPORTED TO: � -- - t�. � � � �_ ,�� �` ; CWlrl C1���-L`i�5t11'7C� �:,; � � �� � yr < 662 CROMWELL AVENUE s ru. ST. PAUL, MN 55114 PHONE 612/8453807 REPORT OF: DEiV�i�Y fiE��S OF COMPACTED FILL RESYDENGE 5587 EAST DA�IUBE ROAD FRIDLEY, MINIYESOTA arsta -Tod Constr Co 2200 Silver Lake Rd IVew ��i gh�o�, M�t 551 i 2 LABORATORY No. ' 1 ° 1779 TEST NUMBER: DATE TAKEN: UNIFIED SOIL CLASSIFICATION: (Moisture-Density Sample Number) LOC ATION : DEPTH BELOW FIIVAL ELEVATION: DEPTH BELOW EXISTTNG GRADE: 7 PJov 2 s 1976 r�~: �vI � 4� � . . � DATEs ���/�ber 39 1976 COPIES TO: Sil�y �and, mos�ly f�r�e gr°a�ned, �ome gt��vel, brown (SM)-2 3°E8�3`SofNW �orner of build�ng 6" - � : �dov 2� 1976 Silty sand, mostly fir�e gra�ned9 some gr°avel, brown (SM)-2 3'N & 3'W of $E co�ner o� build�ng � � FIELD DENSITY DETERMINATION: p1556�64 Method Density in Place By S��d�°C011�' Method, ASTM: �-#4 B$318� Dry Density �pcf ) 1� 4° 5 12� �al 801 Moistuce Content �%� 23 20 Plus #4 Material �%% LABORA'i'ORY MOISTURE-DENSITY RELATION OF AS� '�D69�-70, Method Maximum Dry Density �pcf) � 24 a 9 Optimum Moisture (%) � 0 a 3 CONIPACTION TEST RESULTS: C ompaction �°�0� Specified Compaction �%� 91m5 95 �1eth�d "A" (°#4 Ba��s�� 124e9 1003 REMARKS: Th� ab�ve test 1 oc�t�o�s r�e�°e �e1 e�ted by Tw� n C� ty Labor°ato�y Irac o Compacti on meet� �p�c� f i�at� ons i n but i� be�orv �pec�f�cat�or�s tn the other test a�°eao 102e5 95 Test� ng arad Engi nee�°� ng the area of test #89 p8 A MUTUAL PROTEGTION T� CLIENTS. TME PUBLIC AND OURSELVEB. ALL REPORT9 AR6 SUBMITTED AB THE CONF�DENTIAL PROPERTY OF CLIENTS. AND AUTHOR- IZATION FOR PUBLICATION OF STATEMENTB CONCLUOION9 OR EXTRACTH FROM OR REGARDING OUR REPORTS IS REBERVED PENDING OUR WRITTEN APPROVAL Twin City Tesfi and Engineering Laborafor , Ine. By /�— G� r � ^ � ` ♦. � t �- �Y' � � � � ! , ��.��I�; . � a � �� --• REPORTED TO: �` ~ e /� F:=j , tw�n c��� ��st�nq � j - arb er�r,eer,r�q �aocraeon.I, �r,c. ¢"" ';�;�Y`���� ��� 662 CROMW ELL AVENUE �-, T�,, ST. PAUL. MN 55174 PHONE 612/645-3601 �� �- REPORT OF: DEKSIiY iESTS �F COP�PACTED FiLL RES IDENCE 5587 EAST DANUBE ROAD DATE: November 3, 1976 FRIDLEY, MI�iNESOTA coP►ES ro: Hars�ad-Todd Constr° Co 2200 Silver° Lake Rd Nevv Br°ightor�, MN 55112 LABORATORY No. 11m177Q 9 TEST NUMBER: DATE TAKEN: UNIFIED SOIL CLASSIFICATION: (Moisture-Density Sample Number) LOCATION: DEPTH BELOW FII�AL ELEVATION: DEPTH BELOW EXISTING GRADE: Nov 2, 19i6 Siity sar►ds mostly fine grained, a little gravel, b���n cs��-2 3` E& 3' S of i�[W corner �i building (Retest of �7) � C:�i FIELD DENSITY DETERMINATION: Method Density in Place By $��dmCO�� Method, ASTM: D1556-64 �-#4 Basis) Dry Denaity �pcf) 126 ° 5 (%) 7 a 5 Moistuce Content � Plus #4 Material �%� LABORATORY MOISTURE-DENSITY RELATION OFASTMaD698-70, iM�$hOd "A" (-#4 Basis, Method Maximum Dry Density �pcf) 124 ° g Optimum Moisture i%) 10 0 3 COMPACTION TEST RESULTS: C ompaction �%� Specified Compaction �%� REMARKS: Laborato�ytIracm l�l05 95 � o�ati on wa� sel ected by fiw� n Ci ty Testi ng and Engi neea�i r�g Compactlon r�o�t meets �p���ftcatjons in the abo�e test areao pg A MUTUAL PROTECTION TO CLtENTB, THE P�uc us ONS ORS EL TRACTS FROMRORAREGARDI7NG OURBREPORTSNISDRE9ERVED PENDING OURi WR TTENDAPPROVAL Twin City Tes4in ond Engineering Laborato y, Inc• � �y � f"' � a � z F= � w �' J N Q Q .--, (J l.l_ A Z Q L.L O C7 z H � � 3 � � 0 tL z 0 H Q U J d a ¢ r�-�-�r....� � +� ."� � � � U N U �I ti .k N � � up�+'m � � g U � N N ,NG N � � +� N � ro v u.�� N p +� u ro � 3'�d � ��c�i A �i � u� ro s01i o ' aHx� c� � �Urom \ o ro � W � �� � U N ,G l �.�i H C�i � }y 1� +� •.i G ro m ro •.+ � � � � � w � +� :� a, x t° oom w � ''� � a�Qi o � �lf � � o+ � �O p, � � � a�"i +°-� � �+ � � �a a � a � v •� � 4�d .-� tn � S�i O R7 q oro� H ro �n ro w aw�+ vv � u� ro �wu�i � �� u � � O �k � -.i }.1 W ,p w � ,-i �i a° bp a, h q U H � ro� z � a z � � �a a � � � �q H W N H � � u° ao °� o � G. 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OG � 4 Z a 4w�'� x ] a � a �° W � � �v a � � `� i 1 � z w i � Y Q � ,, b,, �� /�' �9a��1�� a��.s �.s � � �, i � — ; �/ � ��� � s �� ��»�e4�� i��/� �� � �� � s ������' � �/ � �� ���� � ��� � ° � � �p� ��//d���� ; �'`'. � o� �/J'�3P%r��� . ��'���� � N - � i f ,*^' tr'" II c��"� �.•�,�^!� " . e*.t' l3L' I�I � �,,�a,.� ;—�._�a.� S�� ���� � . � ��- �� , � � � . ��� ,�� � HEAT LOSS CALCUL.ATIONS .DEPARTMENT OF INSPECTION NIINNEAPOLtS. MR�V. ' Weatheretrips A.S.H. .. Coo,wcdon No. Inaulation I, Guide � Window� ( Dooro Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yea—No Yes—No 19_ i / Fl.� �. �,�'.�r Room Length Width ,�'� Height F7.� �' � Room Length Width Height ' Windows an 'Doora—Crackage aad Area Wiadowa and Doors—Craekage and Acea �, Wldeh Helg�t No. ot Llaeal tt. Aroa Wldts Helght No. ot Llneal ib Aeaa i No. o[ pane ot Dane IlBhts ot era¢k �a. tt. No. ot paee ot pane Il�ht� ot erack ro. fL � Vd� `� . , ��` �" a`� yB � � °�. ,. 7 :��� �`4,�� A�D .,�'�: Coe£ Btn Infiltration � �' /� 3 �'�' `` �� �r �z� � � Glaes t � �`;� �.:� � e;�a ��'� �,: � Exp. wall � p�'" ��� Net e:p. waU � � , ,�� ,'� �%` lnt. wall Ceiling �.,4 �� �,�y�,;, � ,�5 , � . Floor ' � � � a� ��'�° , ���• �' Tatal Btu. ° , � °-° ��.� �.� Required aq. �ft. E.D.R. or sq. iaa. W.A. L.eader area - Fl.�'�' �`��' :� Room Length �'j Wideh �' � Height Windows and oors---Crackage and Area Wldts Hel�ht No. ot Lfaaal tt. Area No. o[ pane ot pane Il�nt� ot crack �. it. B� '' �.��yi "v� l-'� ' � � ��• `'� � pf� e ✓`q�� ��,' � Coef. Btu In6ltration �� �,�`' ,,� � ,�; .�' r , „q �ai/ � ���,; �-� %�% �'�/ �cp. wall � �, �,.. Net e:p. wall �y'�' *?' � �.-?r�° Int. wall Ceiling �"d' � � Floor �> > y' i� o �� Total Btu. � �'�' '!��� Requieed aq. -ft.-E.D.R. or sq. ins. W.A. l.eader-area - - Fl � � ��� -�a � _ �' Room � Length � Width � �Heig6t Rlindowa and Doon—Crackat�e and Area 1n61tration � �� �'' Gla�a � � `' �. Exp. waU � � ^ Net e:p. waU � � ' � Int. wal{ Ceiling Floo� A ����} Total Btut Required aq. ft. E.D.R. or eq. ina. W.A. L.eader area ��I8�1011 Glass �. Wau Nec ezp. wall Int. waA Ceiling IFloor � � 1'otal Btu. �uired eq. ft. E.D.R. or aq. ina. WA. Leader ana F7.I ��'`�'�:; °%�.;:,+ Room I Length �� Width Windows an 'Doora—Crac{cage and Area Wldeh Hel�ht No. ot Llaeal Lt. Area o[ D�ne ot pane It�kt� o! orack sC. lt. , `� F —F'-' � � s� °t k:* �j .a; %�l�if8t1011 Glasa �p. Weu Nec esp. wall Int. wall Ceiling Floor Total Btu. Btu I �'�, a_� � �:; � � —� �'..� .� ! � __ _ �,� � 3 �,� ' ��, ������ � F7•� �. B;',' �,',' e;i,ROOni i LeO$tll °.� Width '��` t1e1$ht � Windowe and!Doon--Crackage aad Area ' Wldtb Hel�dt No. o! Llnaal tt Are� No. ot paee o! Oans II�hU ot cncic W. tt � ! v` ° J � r�'�t' �-� �" ?'� . � .�j� � Lme-P;i B� � ,� �� Infiltration �--- '_?,�. �' � Gla�a Esp. wall °°s .-+' � -� Nec eap. wall Int. wall Ceiling `��'s�� Floor � "- "-'' Tocsl Btu. .°'3 _�::, � i , I "'� r G IRequired w. ft. ED.R. or sQ. ins. WA. L.eadr� area B� � c� �`� ��' I , I 13L�- r D�l�� HfAT LQSS CALCUlAT10NS .DEPARTMENT OF INSPECTION ��• �• Weatheratrips A'S' ' Conttruetion No, ��e�� Guide Windowe Doors Reference Out. Wal1 Int. Wall Ceiling Roof Floor Kind How Applied Ye—� I Yea—No 19_ � F1.� �'�at�, ��{ ���-�;�ioom Length t� Width r� Height Fl.� �,�. �` �,�z��' Room L.ength � VNidth �%�� Height Window 'and Doora—Crackage aad Area Windows and Doore—Craekage and Area Wldth Helsht No. ot Llee�l tt. Are� Wldts He16tit No. ot Llnul it. Ara� � No. of Dane o! D��e IIBht� ot crack aq. tt. No. ot pans ot pane Il�hu o[ cracr W. tt �� - �,.%� a .,� � �,' �' �1 ,98 „`� ..;'� �j�:,,s.�;:. °O�e.:-,;,9' ,�':'' --.� �`' � �� �' E: �<� � ti �.� �-__. . �� % I °,`a`' �� � `l�/ ,c�.�' 9" Btu lnfiltration � � � Na � Glaas � � r _; Esp. wall p � Net e:p. wall ; � �° Int. wall Ceiling Floor � C� � Total Btu. Required aq. �ft. E.D.R. or aq. ina. W.A. Leader area Fl �,�''�°;�` �'''` Room Leagth /�� VUidth �:. Windows and Doors—Crackege and Area Wldth Helsht No. ot L1naa1 tt. Are� � Na. ot pane ot pane U�Ab ot eraok p. it. �4' ��',4] � � a/J .;'�' 4R� A r n tN� '�i'.� C-- �f .. /A 8' Coef. Btu In6ltration � ;� ^,� sr^ � �'� Glaa � ;=� �r� `� �; � F�cp. wall � � G"��`+ ,:�' IVet esp. wall ���� �' ` �;` � �� lnt. wall Ceilin8 ,�� 6`�` � � ¢�', Floor Total Btu. �°",� Requieed aq. ft. E.D.R. or aq� ins. W.A Leader area -- --- � Fl ��a�. k s'• r� Room � Length ;�` Width :"'�>" Height Windowa and Doon--Crackage and Area Wldth HN�ht No. oI Lln�al tt. Ana No. o[ pan� ot pane Iltbt� ot crack �q. t�. � e C,.�.� �"�" � sa ��_' ,�f.�="� f��¢> CoeE. Btu r� f� _� Infiltratioe / ; � B� �°� �'°�=� �a19 ; 9 e'�s,d . � � L� t, :x u � Eup. wall �`' �%, �=� Net e:p. waU � .A a� ' Int. wall G'� _ �:`'� ' " � Ceiling � � ���' ^�-� N loo'r' Total Bt3. `�� `'' '=�' -� Required �q. ft. E.D.R. or aq. in:. W.A. Leader area In6ltradon Glaas Eap. wall Net e:p. waU Iat. wall Ceiling Floor � Totet Btu. Coef. Btu � . , ;- ,� ., . �} ,: r;�;� iv^� �-�. �:y' �- -. �, < <�� ,�, ,,� �.,i �a � �j Required aq. ft. E.D.R. or aq. ina. WA. l.eader ana �o � I a -= � t. 'F�-,� c�m I �� �� w�ac� ,� Windows aad Doors—Craekage and �►tea Wtdeh Hel�ht No. ot Llnaal [t. Area � qNo. ot pane of yans 11�6ta ot arack sp. tt. ' g ��/ ,i'!6 �� ,� �� I '�K� ��, �'�� � c�¢f -J. . "ra � Infiltratioa Glaes �p. Weu � � �. Net e:p. wall � � Iat. wall � Ceilin Floor ,� a�:, �: "� Keqnueasq r�. c.u.� arsq. �na. w.r�...eaa�r �..�a � - ��`� � � .s � �,� � ���►► �. W;dch /!�' He�hc �+'- I �.. r _�:a:� Windows and Doon---Crac�age and Ana Wtdtd Iiel�ht No. ot Llnul tL Area / No. of paae ot pans Il�hu ot cncic W �t ! • 6 ? ` ` �a �; �y !"i °� v� '�°� � � � � Coef. Btu a � �i 9� Infiitration ' � . ' ,� ��° Glasa d�� � �' �� �s Es wall � ` `.� P• � � _� Nec eap. wall `•� �'° ` � r�� Int. wall . Ceiling �:w �< � �' �'�:�a Floor 'fotal Btu. �'`�,�, :�,' r��" Required �q. ft. ED.R. or sq. ins. 'WA. L.eader area S60•3450 C�f o Y��l� � � ANOKA COUNTY 6431 UNIVERSITY AVENUE NE February 7, 1977 FRIDLEY, MINNESOTA 55432 Haxsta.d-Todd Construction 2200 Silver Lake Road New Brighton, Mn. 55112 Re: Final Inspection at 5587 F�.st Danube Road N.E. �ar Sirs: A final inspection was made on February 3, 1977 of the above address and the following items were noted which must be completed i�efore the structure ca.n be finaled out; l. Provide sod in the front and side yards by July 3, 1977. 2. Provide a hard surfaced drivev�ra.y by July 3, 1977. 3. Post house numbers on structure by February 18, 1977. 4. Provide garage door closer by February 18, 1977. 5. Provide nuts on anchor bolts by February 18, 1977. • 6. Provide 1 step in garage (from house to garage) by February 18, 1977. We will expect the above items to be completed by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, :�""'°.,.� .. F� �OLDEN Building Inspector RH/mh 0 . 1-- . � . a' . C9 z .� � � � ra a ._.. c� � tL A Z ll� � O C7 Z �� E C..) � � O . t►, z � O �" � ' U J a o. ¢ � r� 0 � N � 1 � I N � a � n � d w vp .r � I X U �0 � M � b b .1 , guu u � a�i `xi � m H JC .i N � p u u a � • °d " s i a � . 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' ao °o °o °o °o °o °o °o °o oG � N N Yf Yf O 1� Uf tt1 M N fQ f4 K '-t V! f/1 fA y x x �a x �a x x x x � m � � t z' H z� _ � � H w a W O a � N N H , °o °o o° . M .-i o tll N .�! . y �a x x � 0 h N . � a 0 � n N H i�-1 _ pa,l �i � a � 0 w � � M z � � tl! N V1 y °oo° Ifl N �� � °z U cn • W ' ' J • �� � iq O .�{ 'y�' ""' y b� O O y p b ¢ �a C K � � � y . � N M a O4' � C� �.� �. � Op p„� • U O �] pm. C • e� O E+ O _ � o � +� � O �C W � o� � o a M O ��� q m w � ,.�j �+1 p ►� �� CI Q d O 0[I .� N C� y O�i � '� O•0-1 $ � � a � � O h � � w� Op0 T O N 4 M �'n �.d a IA � W O C, N � �-�i � N W .0 N►i M (! a� ►r M sJ 0. a .+ ° e9 � u v ar u w .. m,e a .. �� ci x x z w� a� ci a a n� a . . � o� 0 b' x � � y � � � � � ' c c a ` y = x � SUBJECT P City of Fridley o 19660 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � ECEIPT NO � `L _.___ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. 2� /� � 1 = i ✓ � /��'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPqOVEO BY �.__.11.' �•� 612-571-3450 910-Ft 5 9/6/88 � � JOB ADDRESS 55$7 East Danube Road N. E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Innsbruck North 2nd Addition SHEET 2 PROPERTYOWNER MAILADORESS 21P PHONE Russ Duncan 5587 East Danube Road N.E. 574-1083 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pacific Poqls 6922 - 55t1z Street North, Oakda.Ie, MN 55109 770-1313 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDINf3 Residential 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WOFiK Construct a 2Q' x 40 Inground PooT 9 CHANGEqFUSEFROM TO STIPULATIONS �e lettex dated 9/6/88 for stipulations. WARN�H� �EP.q��l"� pERIO�dBTS RE�I_1BRED FOR �efore diBB�g cat! 1gC�l �I�Iil�l�� '�1IIRIiV�, �HEAT�I��V�.; �PLlJ�I�-�il��'G �%� �����. TELEPHONE . �.��r��c . a�� ���, . �;EQUE��� �� ��'� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHOFi12ED 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. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $lO OOO $S.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY O R STATE OR LOCAL LAW REGULATING CON- T UC Ofi THE P FO MANCE OF CONSTRU6TION. �S`ZZ%.00 �'� � � `�- PLAN CHECK FEE TOTAL FEE 1 $1.22. Q� fSIGNATUREOFCONiRACTORORAUTHO AGENT �DATEI �1�1HF,�N PROPEHLY V IDATED THIS IS YOU/R�PE MIT SiGNATURE Of OWNER IIF OWNER BUILDERI IDATEI �� � X � D°^�i " BLDG iNSP nATE I�w [ �fi�N I ] AL'1£�R [ ] Qonstruction Address j �1 Descriptian 1 S — City of Fridley R-1 AI�ID i�2 �,; t ding Peanit Appl ication � Effective 5/L88 Owrer N�ne & A�ress: ,�/�C S S' ��-� ,���. ✓ Te1. # -� � ��� �ritractor : ��i�� �r�c��S Tel. # �d " ��� � �� ��: ��o�� �� � s' � ������-�°` ���-� ��/G� � , Attach to th� appl icati�, a Certif icate o� S�uv�y of the lat, with the proposoed construction draa��mm on it to scale. ��a� •• �. �� ., ,.. • :� i� . :LIViI� AREA: Length Width r��c� ,� - • . D�Qt ARFA: Length Width . P s�.. ��- ,� ;�? Gbrner Lot [] Insicle Lat [ Ft. Yd Setba�ck _ �pe of Constrt�iasi: .�L�S����s�� �- l�itl� C Approx. Comgletion Date : � —/S` ��� HP.i,ght Height �gt/Gro�a ` ���l��:�,� St3. Ft. �. I't. 9q. It. ,l'�� �- � � �S' - 3d -� _ siae Yara setbacacs - F.gtimatea cost : s �� �c Al� A Alt. B Proposed Driva�vay Width If New Openi.ng Is Desirecl: � S Width + 6' See Back Page �� /�// � DATE: ��� APPLICANr: L-�E' � Tel. # � ' �� , �t � � State Surchatge $ � t� �1 SAC Cbarge , � Drfveway Escrow � Park I�ee S Sewet Main Qzarge S �-_ Y�� SPIPQI�I�: � I� �� � �; ov �'' ,�,.. ,a,;� ;�, 4 1��e� ;-�\ , � < Y1 �Y 0� 770-1313 F� SC 5.50/� 5550 p �`.s � F�e De �� ..�.� _ '��S^ �, „ � � �_ ,. ,. ,. � "`� , BILL DORNSEIF PLANNINCi/LAYOUT �� SALES CONSULTANT � � i � ���� ��.�.�� �° _ ; , � �� � . �� � .�` �o � , � ,... ,�i� � ° ' �� . . . . . . . � 6922 55TH AVENUE NORTH HIGHWAY 36 AND �4 NORTH ST. PAUL, MINN. 55109 � �; � - - � ��, r� � .�: � :�.,; 0 '��� ��' ���� --�� 117�� �=-�� � �, ' �i�v�i� �� �M:I�i�,IJ �e Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any additi� to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicarit for such permit of fees to the amount herein belaw set forth and in the manner herein prwided to-wi.t: TOTAL VALUE �1 to 5500 $501 to 52,000 52,001 to 525,000 525,001 to 550,000 $50,001 to $100,000 5100,001 to 5500,000 0 S15 lNlinimtmi F�ee is S15 plus surcharge ) Sl5 for first 5500 pl�s �2 for �ch additional 5100 or f raction thereof, to and inclucling S2, 000 S45 for f irst $2, 000 plus $9 for each additional S1, 000 or fraction thereof, to and including 525,000 $252 for first 525,000 plus �6.50 for each adc]itianal $1,000 or fraction thereof, to and including 550,000 5414.50 for first $50,000 plus $4.50 for each ac�itional $1,000 or fraction thereof, to anc] including $100,000 S 639. 50 for f irst 5100, 000 pl� 53.50 for each additional Sl, 000 or fracti� t,hereof, to and including 5500,000 $500,001 to �1,000,000 $2039.50 for the first $500,000 plus �3 for each additional $1,000 or fraction thereof, to and including 81,000,000 51,000,001 and up 53539.50 for the first 51,000,000 plus S2 for each additional 51,000 or fraction thereof �� ��+� �:`4 � � � ; • � ` �;,,�.. . - - . -- • Alternate °A°: R�noval and replaoement a� curb and gutter o�ly - Driveway width plus 6 feet times $13.50. . Atternate "B": Renaval and replaoement a� �rb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times �15.75. ��+� �i � �! • � . ° ;�.:�J� !-; M •�� Permits for constructia� will be issued a minimum of 24 hours f rom the time of application to a].law for proper review of the prapo�ed structure and of the o�nstruction site. A Certificate of �rvey of the lat, �hawing:_the locatian of the fo�c7ation once it has been aonstructed will be requirec7 bef�re�,prooeedi.ng with the fraaning. . ra�: J ... :` •:,��: . �.(tl _ , - �-_ ..� � C�r 018as � .� ...- ,� : � , y � ,.�. :, w..,•..� �' 4S�.+s. ,V�7 . .. � '�� _ �/��� � ������',_���--�, � �Yl• � - ��� - .� ��nn�s�o� P�� �pr�tiu�b �pmpa�► �eronkim c.� Stors . _ - �to. _ sc Pa� � - : 8,+�, S� 1�l1 - 88lh Me. 1VQ. ' � - ' 6�12 - 85th � � �. , �Z� .y�; Co. I�. 4Z �, Mn, 6S#218 ` Na._ �. 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Pxfic P�1 & Patifl wilJ make ��'i�a� �iDr �ri� pick-up !►oa�' ��rsntlrtg pool �ing permit f E�ctrical, 9as. brtce ar atfier �Po�bility of 1he contrac�or doirtg ��t�'k�. . 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N V � C i � � �1 C W � i0 d aJ i c O C O i.� t� � L d > Y U �O � L � v N Y U �o � a� � � CHIMtJEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or s tack; 1. Has been carefully examined Yes (�) 2. Is free from rust or deterioration Yes () 3. Has no foreign objects lodged within Yes () 4. Is securely supported Yes () 5. Meets all current Code requirements for size and total BTU connected 6. Has To ta 1 hea ti ng BTU' s of All other BTU's TOTAL Rema rk s No ( } No ( } No ( ) No ( ) Ye s ( ) No ( ) Com pa ny Signed By Da te � � �� r � �L , � - � � i�� 6 3 j .��'�. 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Q � � I �t \ � Q � � W O � � z Q � �` (n LL A � Y Z o m �. � �, j U a og �a �� O O � Ef3 W z O U W � � Z w � � � 0 s 3 � L � m A � o a, � � m = o "G Q. � � a C � �O � � o � �� V � 0 o �' o � v� � � � CI:LiMl1�Ey A1�D �TACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes O.: No (`)"� _. _ { . _ 2. Is .free from rus� or deterioraaon Yes O No O 3. Has no foreign objects lodged withia Yes () No () 4. Is securely supported � Yes () No () 5. Meets all current Code requirements for size and total BTU's +conn� Yes () No () - � — -- - - — —� Has totai heating BTU's of . - 7. 8. All other BTU's TOTAL BTU's Has a liaer b�n provided for water heater Has combustion air been provided for water heater Remarks: List ALTE ATIONS R�iqg Done• HEATING CO: Signed By; Date: Yes()No() Yes()No() . _ .... . , .. ffi hmc:: &sl+4a, iS.G�i-z:a5r a9N+�.:- .� :;r , . ,.. >v^. r. ,'l.,,ij�, .4''�-� :Y" �;rs4�6'�ra �ne. � . �. —'2— . . 4 . •,a• r,• �. . .. N,. . '�) .. -� ::�,rv ' � . s,w,.rc '-fl' ���„ N -:_a�t[at�?'!i'-"��•�? � F="� `�F`-__ ' .. . 410 W. LAKE ST. MINNEAPOLIS, MN 55408-2998 612/824-2656 HEATING ANDAIRCONDITIONINGC eServina The Tivio Clties Siate /930' ORSAT TEST RECORD 1072 PAYNE AVE. ST. PAU L, M N 55101-3892 `r, 612/772-2449 ADDRESS ' � ° - r'' �� �< �".�`��' �� , d a f���... ��c�� L= C I TY � ' p� !� �. OCCUPANT OWNER��i �a,t ,;�`-���. �� DATE HTG. INST. �.�r �-`°v INSTALLED BY --� .� 1,, �__ �. - GAS LINE BY � � r% �. TYPE OF HEAT: � GA FA�HW STEAM SPACE HTR. UNIT HTR, f OTHER ,� GAS DESIGN CONVERSION MAKE �?,�,� �;-` ,_�``` v MAKE OF BURNER .-� , ` /� MODEL -`;��`�1��6�i'���C�-��7C� ,1�����'� MODEL `�.°----_.� f� SERIAL c.���,`�,!",� '7�,1��� MAX. BTU RATING - - _ _ _ -- - - INPUT ,��'j,�`"�°" �� ��T?��.� MAKE OF FURNACE �- =� -� - —�,___.. f CONTROLS MODEL ,�--�'�� � THERMOSTAT �� • F�T�� � �'.: VENT SIZE .p--� � � , ,����. -� VALVE Pr'���� � KINQ OF LINER SIZE NONE� ---,r�.;— LIMIT °' � _� DRAFT HOOD ,--- RE�ULATOR �� `� � ���� "�"' � �o_: �--� LIMIT SETTING ����Z� CHIMNEY CONSTRUCTION �y�j�`� . FAN SETTING_ �,� r,y�� _ ; � _ DRAFT ��� ��,�' ;�.�<� ��TEST TAG ��-.� �._;�;� -�`/ � PILOT TYPE 's-=.f' �. ~� LIGHTIN� rNSTr 4���P ,f� :a� .�:� � z��'s . ` '°"` 7 -'°'� PILOT MAKE �-' .—�°_,..�' a� - PILOT MODEL �- PILOT TIMING �y�/ �, �,_ ,9',���e! PRESSURE ; 4: ;��; -���. PERCENT CO2 ��, ;" DATE TESTED t��,�'� ,�`� -- Q t� INPUT CFH_,.�''�� PERCENT 02 ��. �' '- STACK TEMP. ���a PERCENT CO � NAME OF TESTEP, ��r"� f?�.- :% �` , r,.`�' i.: '._� � r '�1 _L, � . _, . _� _. . _ ._ . + _ sue�ecr P . c�ty of Fridley � �- � _� �G AT THE TOP OF THE TWINS g U I L D I N G P E R M I T 5�� J� � r � �• COMMUiJITY DEVELOPMENT DIV REC O. i LV � ��� �� �� r � � PROTECTIVE INSPECTION SEC. � . � � � �-"1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE nnGE OF AvaROVEO Br �----� • •�� 612-571-3450 910-F15 7/7/97 / / JOB ADDRESS 5587 East Danube Rd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 1 1 Innsbruck North 2nd Addition SHEET 2 PROPEtiTY OWNER MAIL ADDRESS ZIP PHONE Russ Duncan 5587 East Danube Road NE 574-1083 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove MN 55311 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 416-7804 20010277 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION �J REPAIR p MOVE ❑ REMOVE 8 DESCRIBE WOHK Reroof House & Garage (23 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT ANY TIME AfTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTHEET PARKING I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1+ STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION� SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED $1 918 �.96 WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PER O MANCE OF NSTRUCTION. � �62.25 Fire .5�.' �1.92 PLAN CHECK FEE TOTAL FEE (.� ��� � License SC $5.00 $70.13 S�GNATUAEOFCON'AAC70ROAAUTHOAIZEDAGENT �DATEi WHEN PqOPERLY IDATED THIS IS VOUR PERMIT �/�/ a / / / 1 S�GNnTUREO%OWNEAUFOWNEABURDER� IDATEI BLDG NSP qpTE NEW ADDN ALTER [1 �] �� ConstructionAddress: J Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AIiTD R-2 BUILDING PERMIT AppLICATIOIV Effective 1/1/97 ��� ��� �� Owner Name & Address: ����_����� Tel. � S� �`' C ��3 Contractor: (°j MN LICENSE # a� L d a- j� Address: � G►'�i. # � � -- � Attach to this application, a Certificate of Survey 'ot Chh� SS3 l i lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length . Width Height DECK AREA: Length Width Hgt/Ground OTHER: Construction Type: (Fee Schedule on Back) Driveway C�rb C�xt Width Needed: Ft. + 6 Ft = Ft x$ _� DATE: � l � ` � APPLICANT: I � Tel. # �'G � - �t � � Sq. Ft. Sq. Ft. .in Ft Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � . �� ��� $ .�� $ � $ � , (,�Z� $ $ $ $ $ �i�-�� CITY USE ONLY Fee Schedule on Reverse Side .�1 of Permit Valuation (1/lOth%) $.50/$1,OOD Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ) (3UiLD[NG PEIZM[T f�EE SCHEUL'!,!: `l'he Chief Building Officia( shall, before issuing permits for the erection of any buiiding or stcucture, or for any addition to any existing truilding or struciure, or for any alteration or repair to any existing buitding or structure, upon application therefore, rec�uire thepayment by the applicant for such permit of fee�s�to the amount herein below set forth and in the manner�herein provided to-wit: � TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001. to $100,000 $100, 001 to $500, 000 $500,001 to $1,Q00,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $5(� plus $2.75 for each additional $1Q0 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,� $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $5.25 for each additionai $1,0� or fraction thereof, to and including $1p0;000 $887.25 for first $100,0i}0 pYus $5_00 for ea.ch additio�al $l,��or fraction thereof, _to and includ.ing $S�,OQO $2887.25 for the first $5�,0� plus $4:23 for each additional $1,� or fraction thereof, .to and including $1,000,000 $5012.25 for the fust $1,000,000 plus $2.75 for each additional $l,� or fraction thereof DRIVEWAY DEPRESSION ESCRO�V (Concrete C�ub Streets Only) Alternate "A": Removal and replacement of curb and gutter oniy - Driveway width plus 6 feet times $13.?0. Alternate "B": Removal and replacement of curb and gutter and inst�ll a 3 foot wide • approach with 6 inch depth - Driveway width pius 6 feet times $15.75. VERIFICATION OF FOUI\TDATIOti Permits for construction will be issued a minimum of 24 hours from the time of application to allow ior proper eeview of the proposed structure and of the construction site_ ,�� C;er�ificate of Survey of the lot, sh�u�ing the (ocation of dle f�undation �>nee it has it ha5 been construc-��.i =.�i°1 h� ruquired h�ii�re ��r���cedin�� «�ith tl�e framin��. ,.. , _ _, c�ty of Fridley AT TME TOP OF TME TWINS i � � � � `v _.��_ COMMUNITY DEVEIOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � . ; � _ �"'1 � CITY MALL FRIOLE� SS132 �'"'"� � �'� 612-571-34b0 �U II�DiNG PERMIT NUMB@N pEV O�TE PAGE OR 9t0-F/5 2�20/O1 � � JOB ADDRESS 5587 East Danube Road NE t LEGAL I.OT N0. BLOCK TRACT OR ADDITION oescA. 1 1 Innsbruck North 2nd Addition 2 PROPEiiTY OWNER MAII ADORES$ 21C Mike Modahl 5587 East Danube Road NE J CONTRACTOR MAIL ADDRESS ZIP Norling Exteirors Inc 341 79 Way NE, Fridley, MN 55432 a ARCHITECT OR OESIGNER MAIL AODRESS 21P 5 ENGINEER 8 USE OF BUILOING Residential 7 CLASS OF WORK MAII ADOFiESS ❑ NEW O ADDITION ❑ ALTERATION B DESCRIBE WOFiK Reside House & Garage; Aluminum Trim 9 CHANOE OF USE FROM TO 21P �] REPAIR 3i651 RECEIPT NO. /� � ►pvnOVEO Br SEE ATTACMED SMEET 763-571-5950 PHONE LICENSE NO 612-518-2399 PMONE LICENSE NO. PHONE LICENSE NO D MOVE O REMOVE STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requ3.res that a weather resistive barrier be placed over exterior sheathing to pro�.ect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application gu�Ldelines. Call for inspection of wrap before covering. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATIN(3, ' rrc air �,�na� VENTI�ATING OR AIF CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK Oii CONSTRUCTION tONING AUTHORIZED IS NOT COMMENCED Vt(ITHIN 80 DAYS, OFi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEfi WORK IS COMMENCED. NO. DW4G. UNITS 1 MEREBY CERTIFY TMAT I MAVE READ AND EXAMINEO THIS APPLICA710N 1 AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION AND OROINANCES GOVERNING THIS TYPE Of WORK WILI BE COMPLIEO WITM WHETHER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT �13 fOOO DOES NOT PRESUME TO GIVE AUTMORI7V TO VIOLATE OR CANCEL THE pEpMl7 fEE PROVISIONS OF ANV OTMER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR 7ME PERFORMANCE Of CONSTRUCTION �L23.ZS \ / n �-, . s, .., ....�,.., «< �� �is - V��f� TUaE OF CON'aACTOA OR AUTMOpi2E0 Lice: iOATEi � � io��E� r FT STA�LS IUP OCCUPANCV�OAO CU FT. FSTREET PARKING IGARAGES IRTAX $6.50 r�ire 5 ' TOTA� F 5.00 $2 .75 _RL IDATED T 5 IS VOl $13.00 �&RMIT ir. N� � � Effective 1/1/2001 ADDN (] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Constn�ction Address: �� Legal Description: Owner Name & Address Contractor. r � � �� o� fi �r/ P-�� � � 3�JmP �rs a�o�eTel. # �� ?�.$�/° S^�.�U n � , MN LICENSE# �°O�%���� Te1. # �/og -S/� �� �9' Attach to this application, a Certficate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type:��ia�� � ��u�-e� Y�-- �� � Estimated Cost: $ /�3, ° ° ° � ° `� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � �d � e / APPLICANT: ^ Tel. # 6�� —�/� °'� 94 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $��-3 �S� Fee Schedule on Reverse Side $ 1�� Ov .001 of Permit Valuation (1/10th%) $ ,.�'�b $.50/$1,000 Valuation $ $1150 per SAC Unit $ � -� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � �`�`�, %� BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,000 $50,001 to $1�,0� $100,001 to $500,000 $500,�1 to $1,000,0� $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,0(}0 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $1Q0,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $SQO,OQO $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,Q00,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Pemuts for consiruction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 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F- � O 1 .� , ��� i � °� � a � � � Z ¢ � �k W p� X = U� LL _ � O O n � � w w � z � H U W � � Z W � � � � ca � � C L.L. � a 0 C s t]0 � O � � a� > O Q Q Q � 0 � 3 � � � �+ 3 � o a � N �-' cv ��.. c � :� a N � U C cv . Q .c O � 'L3 +� � C � c .. ca �- U C y O � N C •N O � � � c �- o c U 4? � � '� ¢ 3 �. THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED . C:(�MMnN V NT�VFNT C(�NNFCTOR AND C`OMBl1STION AIR VFRIFICATI(�N When � la .ine an _xic ine f�� ranr_P, the undersigned hereby veri�es 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. 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 Fumace Venting Tables for fan assisted and natural draft appliances. The PYi� �ngsomh�,st�on a�r is sized and installed to meet the current codes and manufacturers specifications. Whe� �equl�ed to install a nPw remb�stien air�it will be sized and installed to meet the cuRent codes and manufacturers specifications. • Whe11 inctallin8 a npw venti ��v�, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers , specifications. This does inGude AGA-GAMA Category I Central Fumace Ventirig 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 separate�y as per current codes. Yes( ) No( ) Yes ( ) No ( ) Yes() No() Yes ( ) No ( ) Yes( ) No( ) Yes( )No( ) ! • • . � ' � - . � • ' • 11 �� • � ' � . � • ' � • � / ' M • � • �11 . • � 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 � 1c ��� A � ' � �ri � � � � ,o/ � ,� � �/� , v �1 ��� � • - • /�1///./'.�!�L _�.� ` � >, � - " � J �- �- Building MECHANICAL Permit No.:� l��'L,►�, Inspections RESIDENTIAL APPLICATION Received By;�,� 763-572-3604 eITY OF FRIDLEY n °a����.�2�� 763-502-4977 FAX �cTTVE i-1-os �� DATE I �— l+-i — � �. YOUR E- ADDRESS �- b%i e c�.-1—i �l c� � r- c� �. Go ry1 srrE ann�ss S� g"T � c� S t a n� b�.� a cd.� ' THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY N�: �', �h �` l e p�L cd.1•� � TENANT annxESS: SS �'I �, s+ D c.�n �,, ti�� a cr�_� r' � d l e� STATEs�I N ZIP SS'� 3�2.. PHONE: � (� �i S'9 I S�i �O CONTRACTOR co�,�rrYrr.�: EC��+ Z3�+-h�I H-ec_+-;.,q NOTE: SEPARATE CITY CONTACT PERSON: ��-'fi' �e C�► o c.� �i n c�r c� LICENSES ARE STATE LICENSE # EXP DATE REQUIRED FOR GAS ADDRESS: � dl 0�-I � D o!' w' o u d S 4- N W �I1 ANDHVAC. '� CITYU �-KG ro�� STA'1'E `� �Sb t � SUBNIIT COPY OF BOND pHO�•r� �°° 3�{ 3�-1 1 l�1 +� F� i b 3 �-{ 3�} '{ Z e, S AND INSiJRANCE PERNIIT T'YPE � SINGLE FAMQ�Y � TWO FAMII,Y ❑ TOWNHOUSE TYPE OF WORK: ��W ���'ACEMENT O ALTERA'PION/REMODEL DETAILED DESCRIPTION OF WORK IZ� P L� e. -�-u r n e�L -� PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the tot�l cost up to $500.011, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 =$15.00. Labor cost betw�n $300 to $500 = cost of labor x.OS = FOR P120JECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WI�RE NOTED. FIXT[JRES: (INDICATE TOTAL NUMBER OF EACH BELOR� (` r Equipment Installed MFG: �-O m t-� r-4-r..�.k e, r MODEL: C°� �� � O Z S�/ 2C SIZEJBTU ���� MFG: MODEL: SIZE/BTU MFG: MODEL: g�g� _A/C $25.00 FII2EPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIlt TO AIIt EXCHANGEER $IS FIItEPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 I FURNACE $35.00 GAS UNTf HTR $10.00 CHIIVINEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 _GAS PIPING $10.00 VENTII.ATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ 3 � . — Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of iixtures @ $15.00 x $15.00 = $ TOTAL DLTE $ 3 S. Sb OR Number of fixtures @$25.00 x$25.00 =$ Number of fixtures (a� $35.00 x $35.OQ = $ State Surcharge = $ .50 A'IINIlVIUM $15.50 MINIMUM $15.50 Tota1= $ THIS IS AN APPLICAITON FOR A PERMIT-NOT VAI.ID UNTII, PROCESSED I hereby apply for a mechanical peimit and I acl�owledge that the infotmatioa above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Coastruction Codes; that I undeistand this ie not a peimit but only an application for a peimit and work ie not to start without a peimit; that the work will be in a rdance with the approved p�n m the of all work which requues review and approval of plana. SIGNATURE OF APPLICANT � PRINT NAME P�Z'� �lGc, cu,�,��DATE/a -i 3- APPROVED BY DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIItID FOR BUILDING, ELECTRICAL AND MECI3pNIC,AI, WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977