AF - 46351� n
City of Fridley, Minn..
BUILDING PEI�MIT
Date: ....._.. �/... ..._�.._.. ...._..__ y _. ��...__...._.......__..._..
Owner:
Address
N� 4332
Builder .��,�_..`:' -- ---_�� ._ .T✓.e!?���/,� _...,,L_...�.._._
,,!�y4�-..-- -- --
Address----------•------------ �----------•----------••-------__......_......._....._.......-•-------_..___..
. LOCATION OF BUILDI
. ��+
No. ..,�.��._y Street ...__ .. ... �......��i�--_....s.'./ . ............ Part of Lot .---------�...._.._..._...---- �.....__..._._.
Lot ....._.....,�...f�.. .......... Block :� .................................. Addit�on or Sub Drvision . .....----...-- -��---....._......�r!.-�-�---_....._.G�._ L�`'��"°�
CornerLot .................................... Inside Lot ..�... • ............. -..... Setback .....-�---..................-•-� -........ Sideyard --� •-----�-��-- -------��-------......----....._....-----��--------
Sewer IIevation
Founda.tion Elevation
DESCRIPTION OF BUILDII�iG
.o be Used as:
. r r , c.
� � � � i ��� Y���
������._. Front r��'� Depth �_.... _.. Height /..�.._"..� Sq. Ft. ..._._ ------- Cu. Ft ..._.
...................._................... �............ Front ....--.......--....... Depth .............. Height ........................ Sq. F� ....._................. Cu. F� --�--...............---
Type of Construction .......................................................... Est. Co�!`..%�Sa�_._�'� To be Completed ...................._...---.................--•--�--�
In considera.tion of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordina.nces of the city of Fridley.
X .�"'%��..,.._��!'-.... .._�r_ � � �� ���
--
In consideration of the payment of a fee of $.��`--...---.--_.-, Permit is hereby granted to.------•-----....---•-------...-- ............._..•------
--•---..__._.__..•----.._..._.---._...-•--.------ to construct the building or addition as described above. This perinit is granted upon
the express condition that the person to whom it is gra3�.ted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereoP, shall conform in all res�cts to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bufldings
within the dty limits and this permit may be revoked. at any time upon violation of any� of the provisions of said
ordinances. � r _ � �
Building Inspector
NOTICE:
This permil does not cover the wnstruetion, installation for wiring, plumbing, eas heating, sewer o� weter. Be sure to see
the Building Inspeeto� for separate permits for these items.
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N�M� �: Jock Robertson. C.c�minitY Develognent Ac�ninistrator
1�g��p F�M: Darnel Clark. Cl�ief Buildir�g Official
Ag,TD DATE: August 4, 1988
R�A�Il�: Fourr7ation Prablens in Carlson's Siarmit Marnr North Addn.
S`7o?-/c�az (
please be advised that since July 21, 1988, I have received calls fro¢n six
h�owr�ers who aan Y�ames in the vacinity of the 5300 block of Horizon Drive,
requesting that I inspect their house foundations because of apparent
differencial settlenents. Prior to these calls we had inspected 5 other
fourr]ations durirx,� 1987 ar�d 1976 that were in this ger�eral are�.
There appears to be a pattern of things that probablY have caused these
settlanents to occur or are present at each location:
1. They have all occured durincJ lo�J �Y �ls (1976, 1987 & 1988) .
2. All have had mature trees growing in the general vacinity of the failure.
3. Yard arr3 street settlanent has also occured in fn�nt of those lxmes that had
mature trees in the frnnt yan3 near the failure.
4. All those that have had soil tests done have had a layer
receptive or active soil at ar below the footing elevation.
5. All haY►eowr�ers have been advised. to contact a soils engineer
report their f ir�di..rigs arrl � to suggest the meth�d. °f �°r�tion.
6. p,l l of the Y�aa�s were buil t in the mid 195 0' s.
of moisture
to test arr3
The cost of repair will deperri. upon the exter�t of the failures. We estimate the
cost of such repair to range between a min,im�► of $500. �0 to a maximum of
$20,000.00 or possibly higher. One home repaired in June, 1987 paid an
estimated $3,000.00 to a�ntractor to replace the Y�ack wall l32 feet) of their
basenent. That repair oonsisted of the follaving: temporarily supporting the
structure on post ar�d timbers: ranovirig the back foundation wall and footings
diqginq dor,vn through agproximately six feet of clay or silt to granular gravel
at three locations (each hole was about 4'x 2')s pouring each hole full of
concrete; pourir�g a reir�orced cor�crete grade beam wer the top of the new pads
to fonn a�w footing; laying up a r�ew block wall; and setting the house back
ctiown. .
A camposit map is being maintained that shows the reported dates a� addresses
of all reported Problens-
?f anyone war�ts more infonnation on this subject, please contact our department
and we will be Y�aP� to revi�a oa�' files. We do have irrlividual records on �ch
reported problen.
Its possible that there could be more failures that have mt been called in for
our review.
DGC/mh
ATTAC�i: Map
CC; Mr. Johr� Flora, Public Works Director
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��� N° 90685
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�� �,,�:;,��; Buildi�g Job Repo -
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�' ���x�, • ADURESS �
S,K;,Y+�fi. .
OWNER �
�UILDER
OATE �v�� � PERMIT NO.
DESCRIPTION
INSPECTION RECORO
DATE REPOFT
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CD
CHIlVIIVEY AND STACS VERIFICATION
The undersigaed hereby verifies that the existing chimney or stack:
1. Has been carefiilly examined Yes (�) No ()
2.
3.
Is fr�e from rust or deterioration
Has no foreign objecis lodged within
4. Is securely supported .
5. Meets all cuirent Code requirements for size
and total BTU's connected
6 Has total heating BTU's of
All other BTU's
Yes ( ) No ( )
Yes ( ) No ( )
Yes()No()
Yes ( ) No ( )
TOTAL BTU's
7. Has a liner been pmvided for water heater Yes () No ()
8. Has combustion air been pmvided for water heater Yes () No ()
Remarks: .
List ALTERATIONS Bein�LDone:
HEATING CO:
Signed By:
Date:
NEV11 ( ]
AODN []
ALTER [ j
Construction Address�
Legal Description;
aoa�- ����f
CI7Y OF FRIDLEY Effective 1/1/2004
643t University Ave NE, Fridley, MN 55432 (763) 572�3sa4 �Idg Insp
SINGL�' FAMII.Y AND dUPLEX�S R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPI.ICATION
=�r�
Own�r Name 8 Address: g� �AOFINQ $ REMODEUN(�, INC. �lX�l �, ���,� $ Z2 � Dz, (
Contraclor: bfi, LOUIS F�AFiK_ (�AIU cr�a MN LICENSE # '
Address; �d �Of 050 Tel. # 6/2 - �'23 �a �
Attach to this application, a Certificats of Survey of the
bt, with the p�oposed constnlction drawn on it to scale,
DESCRIPTION OF IMPROVEMENT
LIVING AR�A: l,ength � Width Height Sq. Ft.
GA�2AG� AR6A:
DECK AR�A:
OTFlER:
Length Width Height Sq, �t
Length _. Width HgUGround Sq. FG �
i ,�' B
(// �� � � ��°.
Construction Type: Q� Estimated Cost: $_ c�
� �����-�
Driveway Curb Cut Width Needed: �t + s Ft = Ft x$ _$
DAiE: v`'� APPUCANT: Tel. # ����J
Call (763) 572,3604 for Permit Fees if rriailing in application. Fax to 763�571-1Z87 if using credit card and we will call
you for card number. '
Permit Fee
Fir� Surcharge
State Surcharge
SAC Change
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
� ��� �� Fee Schedule on Rev�rse Side
$_ � 6 A� .001 of Permifi Valuation (1/10th%)
$� . � �� � $.50/$1,000 Valuation
$ $1350 per SAC Unit
$ ��� � $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt, "B" Above
$ $450,00 Conservation Plan Review
$ Fee Determined by Enginee�ing
$ . Agreement Necessary [ ] Not Necessary [ ]
$ �� � � � 0 STIPULATIONS:
zi T' d S6S ' ON S3�dS 9N I�00�1 d�3S Wt18E : 8 S00Z ' b'�,dW
Building
Inspections
763-572-3604
DATE �'
SITE ADDRESS ,_
THIS APPLICAN'f IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
PLUMBING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
Iv►�r � h
❑ OYdI�iER
YOUR� E-MAIL ADDRESS
'' iv
�.� •,rrc_� �ll1�77
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,4n�xESS:�
� �.
rxo�: 7b3' - l � �-'I
E
.� l �
Permit No..
Received By;
,, .��.,-�,�
STATE LICENS R STATE ZIP
SUgMIT A COPY OF �D�S: �
YOUR STATE •
LICENSE WITH PHONE C�n n flAAI C.�'+1')Z_1'3 ��
---- ° '
PERNIIT 'I'YPE
TYPE OF WORK:
�SIIJGLE FAIVIIL.Y
❑ t�w
DETAILED DESCRIPTION OF WORK
p TWO FAMILY ❑ TOWNHOUSE
�rr.a,cEt�rr�'
PER MS 16B.665 the permit fee is a min of m s dential fixture� xc lding the�SfixtuTes� �STh�ssh uld reflect only thercost of labor )
unprovement, installation or replacement
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor
x.05=
FOit PROJECI'S WI�RE I.ABOR EXCEEDS $500, FEES ARE BASID ON $10.00 PER FIXI'UKE, EXCBPT � NOTED. FIXTURES: (II`TDIC�'TE TOTAL
NUMBER OF EACH BELOV� SHOVdER _ WATER PIPING
BATH SINK/Lr4V FLO�R DRAINS — S��q�JG POOL _ WATER SOFTNER ($35)
BATHTUB —GAS PIPING !� �'L►� — WA.� �J,OSET _BACKFLOW PREV. ($15)
CLOTE�S WASHER —�TC� S� WpTER HEATER ($35) FOR IRRIGATION
DISHWASHER _, LAUNDRY TRAY � WATER MEfER _ OTHER
Permit Fee
TOTAL DUE
� - � �.. , � .:..3 {;q� ; x..s� t:�`",. , ? r.�i�::#a'�.s'"t n�fe ��s .. .: . . ... . ... . ...:..... ....
�. � . s . , �. ;_. s. M
$ �� .��_ Number of fixtures @ $10.00 x $10.00 =
.50 Number of fixtures @ $15.00 x $15.00 = $
$ Number af frxtur'es @ $35.00 x $35.00 = $
State Surcharge = $_•?�
Tota1= $
Ti-IIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTII- PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accwate;
that the work will be in
conformance with the ordinances and codes of the�Ci W=kF� no�to start1withoutM permit; that �e �'�'o �a1 b�a �°���"� �1 �1e
not a permit but only an application for a perm�
approved plan in the case of all w whi review and approval of plans.
SIGNATURE OF APPLICANT ' '
PRINT N �DATE (�—(G' ��
, .v, ., ..�ba �.� ,r:.:.,::. � " ,.nk.�.�aa�as� ���cii;a�< �:�a �`i����,. F�a
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
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