AF - 46353City of Fridley, Minn.
BUILDING PERMIT
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Date: ._.__. �� s:_.`..__�"". 5�!�__._.__.._----•--
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N° �8 6'7 ,,,
Owner: .----��.� ,��.'.`..`�.p..p---•� � ---. Builder
----___._---...___....�.....___�__._
Address ___.:�_�..l:.ls4---- .—... �'`� � Addre� .---••--_ ..._- ----- .__..�r
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LOCATIO OF BUILDING
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No. _�...�„��'s— Street __� ��'. - .._ .. . . "---------------------_..._---- Part of Lot _.-----...______.
.�J� , �..___---�•-r--•-----..._._..._...�
Lot ....:....,�. �?.....:_ .:: . Block ....._........:�........._....---�----..... Addition or Sub-Division .�-��' �=`l.��.�d!_�:� l�a�,r
Corner Lot .....------. . .._..... .. Inside Lot .. _..!� . . _ ---- �back ........ ��t,�<.. _...3�_.... .. Sideyard .....--�-- ---.....------------------�--------._.........
:
Sewer IIevation .-�---�--------.._..---�---�--.._........._-•------�-�- ---��-•--��-�---..._...._.._--- Fo dation Elevation ......---•-------.._.....------•--.......--�---•--.....------------
DESCRIPTION OF BUILDING
To be� Used as:
.... ��!� -�--�..Je.--• Front ..-�-.. Depth .......p�..._� Height ..,s..%..�.�'.._.. Sq. F� ._�7....�' Cu. F't ...- ----- -..��
�� ..
--�--�--..... •--.._....... _......._ .............. FrOnt ....._....---�-....... Depth ......- ..........._.. eight .............._......... Sq. Ft ....._......----....... Cu. F't. -----_............._..
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Type of Construction ..._�"�...��`_��":... Est. Cos :...... ._ �'.°°~'^� 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
ordinances oY the dty of Fridley.
-iA--�------.__._.._.. _.. _ _..___.._..___..�_._
Ea consideration of the payment of a fee of $._�,�....-----.---.----.+ Permit is herebY granted to..--- .............--.--..-•-----......_...__......._..
_.�_._....._._.._......_.__.._.__.._.__._.._.._ to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any tim�_ upon y,iolation�f any of the provisions of said
ordinanCes. .v^'` .`1 fi
Building Inspector
NOTICE:
This permif doee not cover the eonsfruetion, installafton for wiring, plumbing, gas heaHng, sewer or water. Be aure fo see
the Building InspeHo� for sepa�afe permifs for fhese itema. �� �(����,1�
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,.., q °^1O r��'�� I UC%E'� f'�JC�T AUTMORlZE V9(JI.qT-
_,� - tuN 0'= .1' �r;:'vaTE ?..,,..Ni� COYENA�V"T'S ANC�
�1—"-�-. EiUILM�ING RESTI�IC�I�JN$. "'`,"�` .=
Ownera NatOe
Address
APPLICATIDN FOR BUII.DING PSRMiT
CIT3f OF FitII7�,EY, MINI�ESOTA.
LOCATION OF BtIILDING
No. � Stree� r o- ��„ �d.L- ..___,._�'t
yQt �o g�,o� . �� Addition or S�b.Di
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CiOMl@i' LO't� �518��@ I+Ot.��^9d'�'
3F�R ES.EVATION
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of� Lot_,_,
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EI�VATION_, --
Applicsnt attsch to this form Certifica�te of Survey of Lot and proposed buildiag
Iocation.
DESGRIPTION OF BUILDING
To be used ass
— �, . � �oat �-a�,,,,, ,= pt��- 2 iieight,,.�,D
� �Lo c;u. Ft. r.� � o,.____._
sq. • � , _.�. --.--�
�ont Depth Height
_...._........_.��_._..--
Sq. Ft. Cu. Ft.
Type of Construction ��,�,,-�-�•�. Estimsted Cost �Z�,.. ��
�_
To be completed � .
The undersigned hereby makes application for a permit for the work herein apeciYied,
sgreeing to do al�. vork in strict accordance with the City Ordinances and rulitig at'
the Dapartment cf Buildin8s� and h�reby declares that all the facte and repreaents-
tions atated in thie �pplication sre true and correct.
Da��� - 6� ____.__ s�cx�� -- ° � 2�.���.:_____.�.._
(A Schedule of Fee'costs can be found on the Reverae Side.)
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BII�LDING PERMIT FEE SC�tTLE
Seation 2, The Insgector of Buildings shall, bePore issuing any permrit
for the ereotion of ar�y building or atructure, or for any addit3on to
any sxisting building or structure, or for any alteration� or repairs
to.ar�y existing building or structure, upon application therefor, require
the peyment by the applicant for such permit of fees to th� emount herein
beiot� set forth and in the manner herein provided to-wit:
2.1. For any such permit for the erectioa of any fire-proof building,.other
than a garage, warshouse, fact,ory or grain elevator, or for the.erection of
ar�y f�seproof addition, for similar occupancy, to any existing b�i].ding
sha.l7. be at the rate o£ �]..l,A for each one thausand cubic ieet, or fraction
th�reof, in such cubical contents.
2.2. For any auch permit for the erection of any fireproof garage, ware-
house, fact�ory or grain ele�vator, or for the erection of.any fireprooi
addition for similar occupancy, to any ea�isting building shall be at the
rate of �1.25 for each one thousand cubic feet, classifisd as "fireproof ".
by Secticn 5�2 of the Minneapolis Building Code.
O�I USES
2.3. For any such permit for the erection of any non-fireproof building
other than a gar�ge, warehouae, faatory or grain elevator, or any non-
fireproof addition, for si.mi7,a7r occupeuicy; �o any existing buf.lding,
Permit �1.00 for each one thousand cubic feet.
.5.� 1
2.Q. For any such permit for the erection o£ an,y non-f�.repro¢�f garage,
warehouse, factory or grain elevator, or for the erection of ar�y non-
._.�ireproof addition, for similar occupancy, to any existing building
for each such building or addition. Ninety Cenis fbr each one t2io�d
cubic ieet or f�action thereof, in the cubical contents thereof with a
minimum of �l�..00. . .
Fcr the purpose of computing fees for building permits the cubica7, contehts
oP eny iyuilding or addition to a uniform height throughout by �ultiplying
ths ground area covered f�om a point six.(6) inches.below the floor line oP
t�e basement or cellar to the average height of the upper surface or to the
�, av�rage height of the roof surface of the main gable of a pitched roof.
�
2.5. For repairs or alterations to an exiating structure, the fee sha�l be
' st the rate of��3.00 for each Five Hundred Do11a�,,s (�500.00), or fraction
thereoP in the cost of all proposed work.
2.6. In no case sha11 the fee charged for any permit as set forth in
Secti�n-2 be less than �1�..00.
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sue�ecr PERMIT NO
City of Fridley � g� � �
AT THE TOP Of THE TWINS g U I L D I N G P E R M I T
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; ` RECEIPT NO.
� ; L _ COMMUNITY DEVELOPMENT DIV.
r i �� � PROTECTIVE INSPECTION SEC. ��� ��
1 . �
l.--• � �'��,,; CITY HALL FRIDLE� SS4$P NUMBER REV. DATE � PAGE OF APPROVED BY
i '�� 612-571-3450 910-F15 6/17/87 / /
JOB AODRESS 5376 Horizon Drive N.E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �.0 3 Carlson's 5ummit Manor North Addn. SHEET
2 PROPERTY OWNER MAIL ADORESS 21P PHONE
l�n Hirth 5376 Horizon Drive N,E.
3 CONTRACTOR MAIL AODRESS Z�P PHONE IICENSE NO.
Acme Concrete & Underpinning Co. 3612 � lOth.Avenue South. 825*-1881
4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO.
8 USE OF BUIIDIN(3
Rzsidential
7 CLASS OF WOHK
❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace appxoxizuately 30 �eet o� ba,seutent wzall
9 CHAN(iE OF USE FROM TO
STIPULATIONS
Soil tests v�ill be required before pouring.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REdUIR� FOR ELECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED 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 13 COMMENCED. NO. DWIG. 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,ORDINANCES GOVERNING THIS TYPE Of WORK WIIL BE COMPLIED
WITH WHETHER SPECIFIEO HEfiEIN OR NOT. THE GRANTING OF A PERMIT S3 �OQO' Sl. SO
OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S RUCT R THE PERFORMANCE OF CONSTRUCTION. S38.SO
� PLAN CHECK FEE TOTAL FEE
��)�, $40.00
NATUREOFCO TRACTORORA ORIZEDAGENT IDATE� � �� WHEN PROPERIY IDATED THIS IS YOUR PERMI
� iLl X �X 1� �
SiGNATUREOFOWNEFIIFOWNERBUIIDERI iDATEI BLDG �NSP " r1A
NEW [ �
City of Fridley Effeetive 4/1/86
ADDN. [ ] R-1 AI�D R-2
pLTER. � Building Permit Application
Construction Address: -� � �� ���" �O�`� �� � � �
Legal Description:
Owner Name & A ess:.�
/2a�v ��.� rei. # s�a -s.s���
iv,.P ���✓���Te 9�1��✓��.c�:...�-�.� Co Tel. # c��s'/��/
Contractor: �
Address: � � � � � � s
LIVING AREA:
GARAGE AREA:
DBCB AA8t1:
pTiiER :
Attaeh to this applieation, a Certifiegte of Survey of the
lot, With the proposed construction draWn on it to seale.
DESCRIPTION OF IMPaOYffi�IENT
Length _ Width _ Height __ Sq. Ft.
Length Width Height Sq. Ft. _
Length Width _ Hgt/Ground Sq. Ft. ,—
.-�, . _ � i
Side Yard Setback _
Corner Lot [] Inside Lot [] Ft. Yd. Setbaek o�
Type of Construction• �` °�' ���-� �'�"� � Estimated Cost: $
Approx. Completion Date:
Alt. A Alt B
proposed DriveWay Width If New Opening Is Desired: See Back Page for Explanation
'"�-- Tel. � 7c'� °3S� �
DATE: � ``,�� � APPLICANT:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
TOTIIL
STIPULATIONS:
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CITY IISE ONLY
$ �.� Fee Schedule on Reverse Side
� �---� 25'� of Building Permit Fee
� %, � #.50/�1,000 Valuation
� � 525 per SAC Unit
� Fee Determined by Engineering
� � Agreement Neeessary [ ] Not Necessary [ ]
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BOII.DIKG PBRMIT{F8B SC88DULB
The Chief Building Official shall, before issuing permits Por 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 applicatio n
therefore, require the paqment by the applieant Por such permit oP Pees to the amount
herein belo�r set forth and in the manner herein provided to-Wit:
Total Valuation
=1.00 to �500.00
�501.00 to �2,000.00
�2,001.00 to �25,000.00
Feea
0
�10.00 (l�Iininum Fee ia �15.00)
$10.00 fo�- the Pirst #500 plus �1.50 for eaeh
additional �100 or fraction thereof, to and ineludirig
�2,000.
�32•50 for the first $2,000 plus $6.00 for eaeh
additional a1,000 or Praction thereof, to and
including �25,000.
�25,001.00 to �50,000.00 $170.50 for the first �25,000 plus �4.50 for each
additional �1,000 or fraction thereof, to and
ineluding �50,000.
�SD,001.00 to �100,000.00 �283.00 for the first �50,000 plus �3.00 for each
additional �1,000 or fraetion thereof, to and
including �100,000.
�100,001.00 and up
5433.00 for the first �100,000 plus �2.50 for each
additional �1,000 or fraction thereof.
DRIYEi1AY DEPRBSSION BSCROiT
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway aidth plus
6 feet times $13.50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot Wide
approach vith 6 ineh depth - DriveWay width plus 6 feet times �15.75
YERIFICATION OF FOIINDATIOH
Permits for eonstruction 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 oP Survey of the lot, shoWing the location of the foundation onee it
has been oonstructed will be required before proceeding With the framing.
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PROJECT
GEOTEC�iNICAL ENGINEERING CORPORATION
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G RESIDENCE
37 IZON DRIVE
EY, MINNESOTA
GEC JOB N0: 4819
Consutting Engineers . Soil Testing
RT OF SUBSURFACE EXPLORATION
REPORTED T0:
MR. RON HIRTH
5409 HORIZON ORIVE
FRIDLEY, MINNESOTA 55432
DATE: JUNE 26, 1987
INTRODUCTION
On June 22 and 23, 1987, we drilled two test borings at the referenced
site. Based on the results of the borings, we have discussed remedial pro-
cedures for the foundation with respect to the subsurface conditions.
On June 18, 1987, Mr. Gerald Hirth notified us and indicated that the west
basement wall of the house at 5376 Horizon Drive had settled. He also
indicated that the Fridley Building Inspector requested that the soil in
that area be tested prior to doing any repair of the foundation.
We understand that the existing house was constructed about 30 years ago.
The house is one story in height and has a full basement with the basement
floor at about elevation 91-1/2. We assume that foundation loadings are
quite low. According to the client, the severe cracking and settling has
taken place relatively recently.
TES7 BORING METHODS
The boring ,locations are shown on the attached sketch and were made in
areas where severe cracking was evident.
Boring #1 was made using the standard penet ration - split spoon method.
Boring #2 was made using the hand auger method. Refer to the attached
sheets (Drilling, Sampling and Testing; Yest Boring and Logging Methods)
for additional information regarding test boring and logging methods.
1925 Oakcrest Avenue . Roseville, Minnesota 55113 .[612) 636-7744
Apple Valley, Minnesota . (61 21 431-5266
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GEC #4819 - Page 2
The soils were identified in accordance with the ASTM Visual-Manual Method
as described on the attached sheet (Identification of Soils).
The elevatiorr of the ground surface at the borings was determined in refer-
ence to the first floor at the north entry to the existing residence. An
assumed temporary bench mark elevation of 100.0 was used there.
RESULTS OF BORINGS
General
Refer to the attached logs for a description of the subsurface conditions
encountered in the borings. The logs show: the depths to the contacts
between the soil layers; the identification and geology of the soils; the
surface elevations at the borings; water level measurements; standard
penetration resistance (N column); the results of static cone tests; and
other information. Refer to the attached sheets (Drilling, Sampling, and
Testing; Test Boring and Logging Methods; GeologiE Terminology; Ground-
water) for a description of terminology used on the logs.
Subsurface conditions can vary from that encountered .in the borings at
other locations, depths, and times. Depending on �he degree of variabi-
lity, this could: 1) necessitate altering our conclusions and recommen-
dations for design and construction procedures, and 2) affect the cost of
desi gn and const ruct i on. The degree of vari abi 1 ity coul d be eval uated by -
additional exploration.
Soils
The general soil profile (from the top down) encour�tered in boring #1 is
topsoil over coarse alluvium or fill over fine alluvium over coarse allu-
vium. Fine alluvium was encountered to a depth of 5' in boring #2 (boring
#2 was dri 11 ed i n the basemen� ). Refer to the attached sheet for a
description of geologic terminology.
GEOTECHNICAL ENGINEERING CORPORATION
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, GEC #4819 - Page 3
Groundwater
The groundwater table was not encountered in the borings, which were
sampled to depths of 18-1/2' and 5' . Refer to the attached sheet for
g+eneral information regarding groundwater conditions and observations.
DISCUSSION
On June 18, 1987, we met with Mr. Geral d Hi rth and Mr. Ron Hi rth at the
referenced house. They pointed out the area where settlement had occurred
(along the west basement wall). Based on a cursory examination of the
wal l, it appeared that the footi ng ( and the wal l above it ) had settl ed.
Major cracks in the concrete block wall were evident. It was also apparent
that the west wall was pushed inward. We also noted settlemen� of the
basement floor, especially along the west wall.
The broken concrete slab was removed along the west wall. In that area, a
cast i ron sewer pi pe - connected to a toi 1 et stool on the fi rst fl oor -
extended down through and under the basement floor slab. The sewer pipe
was cracked and broken below the slab. Moisture around the pipe indicates
that it 1 eaked when sewage fl owed through it .
The inside of the west footing was also visible. We did not note any voids
below the faoting.
The ground surface along. the exterior of the west side of the house is
rel at i vely fl at . A rel at i vely l arge t ree i s present withi n about 30' of "
the west side of the house.
Based on the results of the borings, it seems that a likely caustive factor
of the foundation settlement is the layer of fine alluvium on which the
footing bears. The standard penetration values (N-values) are quite low,
i ndi cat i ng that the fi ne al l uvi um i s very soft to soft consi stency. Such
soils are subject to consolidation, for a number of reasons, including:
change in water table position, removal of water by tree roots, addition of
water by broken water or sewer lines, percolation of wa�er from above,
1 oads f rom foot i ngs , et c. Without conduct i ng a thorough study and test i ng
program, it is difficult to pinpoint the problem.
GEOTECHNICAL ENGINEERING CORPORATION
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GEC #4819 - Page 4
We unde�stand that plans are to remove the distressed block wall and
footi ng and to dri 11 or excavate th rough the fi ne al l uvi um and const ruct
piers which will bear on underlying firm soil. A grade beam footing will
then be constructed on the piers and a block wall constructed. We recom-
mend that a structural engineer be retained to design and%or review the
proposed foundation system.
The coarse alluvium encountered below the fill is medium dense.
Foundations const ructed on the vium can be designed using a
design bearing pressure of up o 4000 psf.
As previously mentioned, the west basement wall is bowed inward and appears
to be buckling. This is most likely associated with lateral pressure on �he
wall. Exterior grading to provide more positive drainage away from the
building should help to reduce this problem.
We understand that the plans are to remove and reconstruct the wall in the
area where the problem is most evident (i.e. along the west wall). In
taking this approach, the parties involved should realize that the poten-
tial for similar settlement elsewhere (both foundation and slab) is
possible.
CLOSURE
The following sheets are attached and constitute an integral part of this
report :
Logs of Soil Borings
Test Boring & Logging Methods (2 sheets)
Te►minology on Boring Logs - Drilling, Sampling and Testing
Identification of Soils
Geologic Terminology
Terminology on Boring Logs - Groundwater
Sketch
GEOTECHNICAL ENGINEERING CORPORATION
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GEC #4819 - Page 5
To protect the addressee, the public, and ourselves, this report (and all
supporting information) is provided for the addressee's own use. No repre-
sentations are made to parties other than the addressee. �
Report,B-re�ared �y:--���� Under the Supervision of:
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'V `� L�'�Y � - G��./c'il��� �
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Charles W. Bisek Robert E. Pendergast, P.E.
, MN Reg. No. 8450
GEOTECHNICAL ENGINEERING �ORPORATION
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GEOTECHNICAL ENGINEERING CORPORATION
• GEC JOB NO� 4819 LOG OF BORING NO. 1
PRO�ecT: EXISTING RESIDENCE; 5376 HORIZON DRIVE; FRIDLEY, MN
DE N H, SURFACE ELEVATION: 97 • 1 N AMPL FIELD 8 LABORATORY TESTS
FEET I DENT I F I CAT I ON GEOLOGY BPF WB TYPE � REC. MC � DEN P. �: qC
i san , ine graine , ac , M TOPSOIL N HA
�_ Silty sand, fine grained,
brown, (SM) I .I
z-
3- Poorly graded sand with si lt , 5 N SS 9
brown, (SP-SM� COARSE
4- ALLUVIUM
Poorly graded sand, or FILL I �
s- light brown, (SP)
7 N SS 11
s mot��ed,9 CLICH��sh brown,
�-
Clay, light grayish brown,
a- (CL/CH) FINE 2 N SS 10
ALLUVIUM
s-
�o- CLay, gray, (CL/CH)
3 N SS 6
>>-
. ,s-
Poorly graded sand, light
�3- brown, (SP) 19 N SS 16
14 - COARSE
ALLUVIUM
�s- Poorly graded sand, Tight
grayish brown, with a little 16 N SS 12
�s- gravel , (SP)
»- -
Poorly graded sand, light �
�e- grayish brown, (SP) 25 N SS 13
END OF BORING
19-
20 -
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DEPTH . DRILLING METHOD WATER LEVEL MEASUREMENTS NOTE: REFER TO
DATE TIME SAMPLED CASING CAVE-IN DRILLING WATER
fl_ 17 • 41� DEPTH DEPTH DEPTH FLUID LEVEL �EVEL THE ATTACHED
BORING
COMPLE
CC:
L1/85
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)-23 � 1�:15 16 5 3 dr SHEETSFOR AN
j-Z3 • 6 EXPLANATION OF
TERMINOLOGY
ON THIS LOG
GEOTECHNICAL ENGINEERING CORPORAt10N
• GEC JOB NO: 4819 LOG OF BORING NO. 2
PRO�ecT: EXISTING RESIDENCE; 5376 HORIZON DRIVE; FRIDLEY, MN
DE N H, 91 � 5 FIELD 8 LABORATORY TESTS
SURFACE ELEVATION: N WB AMPL REC. L.L.
FEET I DENT 1 F I CAT I ON GEOLOGY BPF TYPE � MC � DEN q �
P.L.
�_ FILL N, HA i I
z-
Clay, light gray to gray, (CL)
3-
a-
Clay, gray, (CL/CH)
s- END OF BORING
s-
�-
8-
9-
10 -
11-
12-
13-
�a -
15 -
16-
17-
18 -
19-
20 -
21 -
FINE � I N I HA
ALLUVIUM
DEPTH . DRILLING METHOD WATER LEVEL MEASUFiEMENTS
O- 5' HA DATE TIME SDEPTHD DEPTH CDEPTH DRILLING WEVEL
FLUID LEVEL
6-23 11:18 5 5.0 drv
BORIN(3
COMPLETEI
cc: MH
11/85
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4
3
6
4
1-2
NOTE: REFER TO
THE ATTACHEO
SHEETS FOH AN
EXPLANATION OF
TERMINOLOGY
ON THIS LOG
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Page 1 of 2
TEST BORING AND LOGGING METHODS
STANDARD PENETRATION - SPLIT SPOON TEST
A 1-3/8" I0, 2" OD steel sampling tube is driven into the soil with a 140-pound
hammer falling 30". The number of hamner blows required to drive the sampler
1', after an initial set of 1/2', is the standard penetration resistance ("N"
value).
The bore hole is advanced between sampling intervals with flight auger, hollow
stem auger, casing, or by rotary drilling with drilling fluid.
AUGER BORINGS
Auger borings are drilled by hand or with a power-driven auger.
The hand auger method consists of drilling the auger into the soil in increments
of approximately 4", then retracting the auger and observing the material re-
covered. This allows almost continuous observation of the soil profile.
Two procedures are available in drilling power auger borings: "spinning" and
"pulling."
- In the spinning procedure, the auger is drilled into the ground in incre-
ments of 5', or less. The auger is then spun rapidly. Soil "rides up" the
flights of the auger to the ground surface, where samples are taken. In
general, this method results in reasonably accurate identification of the
soil profile above the groundwater table, but it can be very misleading -
particularly in sandy and gravelly soils - below the wate� table.
- In the pulling procedure, the auger is drilled into the ground and then
withdrawn to above the ground surface. The general soil profile can be
observed, and samples of materials adhering to the auger are taken. In
general, this method is considered to be a little more accurate than the
spinning method in soil above the groundwater table, and considerably more
accurate than the spinning method in soil below the groundwater table.
THIN-WALLED TUBE SAMPLES
Relatively undisturbed samples are taken with thin-walled tubes. The tube is
pushed into the soil and retracted with the soil sample inside the tuhe.
STATIC CONE TESTS
The static cone test consists of ineasuring the force required to push a steel
cone penetrometer into soil. The cone is pushed at a rate of approximately 1/2"
per second. The static cone bearing pressure, q�, is the total load divided by
the projected end area of the cone. Cone diameters available are 1-3/4",
2-1/4", and 3". The apex angle is 60°. A hand cone penetrometer is often used
in conjunction with hand auger borings. It has a 30° apex angle and a projected
end area of 0.5 square inches.
8-85 � GEOTECHNICAL ENGINEERING CORPORATION
Page 2 of 2
CORING
Coring is done with a diamond or carbide bit on a double-tubed barrel.
LOGGING
Both factual data and interpretive information is included on boring logs.
In general, the information on the righthand side and the bottom of a log is
considered to be essentially factual data.
In the "Identification" and "Geology" columns, the intent is to portray the soil
profile, or stratigraphy, based on interpretation of available data. Since the
information shown is interpretive, it is subject to error. The accuracy of the
information shown is controlled by the type and amount of data available. In
general, there are th�ee basic categories of information shown: 1) the soil
identification, or "classification" of materials; 21 geologic identification of
the soils; and 3) the depths of the contacts between soil layers.
Determination of the depth to contacts between soil layers is arrived at by
taking into consideration the action of the drill tools and the appearance of
materials recovered. On a given boring log, contacts shown with solid and
dashed lines are used to indicate higher and lower accuracy, respectively. In
general, the entire soil profile is not observed or sampled. Consequently,
indicated depths of contacts may be incorrect, and some materials or layers may
be undetected in a boring and may not be indicated on a boring log.
Boulders and other large objects generally are not recovered from test borings.
This is due to limitations on the size of particles that can be recovered.
Though there may be no specific reference to such materials on boring logs or in
a report, they may be present in the ground. This is particularly applicable to
deposits such as toarse alluvium, uncontrolled fill, glatial till, outwash,
tumblerock, and weathered bedrock.
Typewritten logs are prepared based on field logs. A field log may contain in-
terpretive information - such as notes regarding unusual drilling conditions -
which is not in�iicated on the typewritten log.
��85 � GEOTECHNICAL ENGINEERING CORPORATION
A,B,N,H:
AC:
CA:
CAS:
CC:
CONS:
COT:
DEN:
DM:
FA:
HA:
HSA:
NYD:
LL:
MC:
N:
PAP:
PL:
qp:
qc�
qu�
RD:
REC:
TERMINOLOGY ON BORING LOGS:
DRILLING, SAMPLING, AND TESTING NOTATION
(Refer to attached s eets for additiona information.)
Size casing or core.
At completion of boring.
Crew Assistant.
Casing.
Crew Chief.
One dimensional
consol i dat i on test .
Clean-out tube.
Dry density, pounds/cubic foot.
Drilling mud fluid.
Flight auger, power driven. P-pull; S-spin.
Hand auger.
Hollow st em auger.
Hydrometer analysis.
Liquid limit.
Moisture Content, percent of dry weight.
Standard penetration test, penetration resistance, or N value, in blows/foot
(unless otherwise noted).
Paper plug.
Plastic limit.
Pocket penetrometer strength, tons/square foot.
Static cone bearing pressu�e, tons/square foot.
Unconfined compressive st rength, tons/square foot.
Rotary drilling, using drilling fluid and a cone-type roller bit.
In split spoon and thin wall tube sampling, the length of sample recovered,
in inches. In rock coring, the length of core recovered as a percentage of
the total core run.
REV: Revert drilling fluid.
SA: Sieve analysis.
SS: Standard split spoon sampler. Steel. 1-3/8" inside diam., 2" outside diam.
TW: Thin-walled tube sampler.
VANE: Vane shear strength, tons/square foot. L- Laboratory; F- Field.
WASH: Sample of coarser-grained material from rotary drilling fluid. Obtained
by screening the returning fluid or with a split spoon sampler at the
bottom of the bore hole.
WAT: Water.
WB: Describes whether the sample appears to be waterbearing.
WH: Sampler advanced by static weight of drill rod and 140 lb. hammer.
WR:
-200:
��
Sampler advanced by static weight of AW size drill rod.
Amount of material finer than #200 sieve, per cent.
Water level symbol.
Note: The size of equipment is indicated by a number preceding the descriptive term.
For example, 2-1/2 CAS represents 2-1/2" diameter casing.
7_85 � GEOTECHNICAL ENGINEERING CORPORATION
�
IDENTIFICATION OF SOILS
(VISUAL-MANUAL PROCEDURE)
_.5%fines�WellqradW .--�GW <15%saM—�Wellqr�d�dyrawl
�i15% w�d —> Wellyraded qrarN wkh pnd
� Poorly qraded -GP�<.15%sand—► Poorly graded qrsrsl
1 Z15% fand —► Poorly yrad�d yr�vei with sand
�' Wellyrad�d fina=MlorMM -=GW-GM�<15%sand—►Wellqrsd�dywrelwithsilt
GRPVEL >15%ssnd---i Well�qrsded gnvel with silt �nd s+nd
%yrarel> 10%fieef }inq�CLwCM-=GW-GC <15%�and—iWellyr�d�dyrawlwithcAY
%�� �_ 15% sand - - We�lyrad�d ynvN with claY snd a�d
P�W yr�b � f�ny�ML or MH -=G P-GM �<15% sand --► VoorlV W�d�d ynwl with sih
>15% sand --i Poorly qrsdW 9raral witA tilt srd sand
(ints=CL or CH �i GP-GC � U5% tard --► PoorlY pradW gqrd with clsy
>15% sand --i Poorly qad�d grsvel with clay and s��
--_�___ �(iny�MLorMH--�GM-�--+U5%fand—�Silty9ravel
>1596 finr, • Z75% s�nd —; SJty qnvel witA s�nd
--� -"'---i tims�CL o� CH —� G C�� s c 75% �� --y CIryW grarel
�-���a.��59(, Hnd —� Clayey grarsl with sand
Welly��ded - - =.SW —►!15%9rarel � WallqradM w�d
G5% finas � ��'iL15% 9rovel —% Weilqrsded f�nd with praval
PoorlY 9r�b --� `S P -<15% 9raval —� Poody goded ssnd
��� =1576 9rarel —> �rly qradM sand witA ynwl
��_� fien=ML or MH --->.S W'SM �--► <15% gr�vel --i Wallyrsdad fand with silt
� Wetlqrad�d .._��~?75% qnwl—► Wet��ndd und witb tilt and qnvel
SAND fiees�CL or CH --�S W'SC ��<75% gnvel ---► We��qnded wnd with elay
%y�� _ 10%fines� ~>_75%9rew1---► Welt9nded wed with ehV and grav.N
% grarel finp=ML or MH - S P"S M �� �<15% goval —> ���Y O�+d� �� with sdt
PoorlV W�dad� _y2159L 9ravel—s PoortY 9r�dad sand with �ilt snd 9rsre�
finn=CL or CH— �SP"SC �-+<15%yravel —> Poor1Y 9rsded s+^d witb tAY
. � 215% 9ravel —� Poorly qrad�d sand with clsY ��d 9nw�
J f ines�ML or MH -+SM /5?6 gnval —i Silty und
> 15% fines C— ��15% qrawl —; Silty wnd with ywrel
fines=Cl or CH -�►SCi <75%9raval—= CIaWY++�d
�>t5% grarN —> Clayev sand with gnvel
CL
ML
<30% plus No. 200
<15% plus No 200
Lean clsy
� 75-25% plus No. 200 �% ss�+d Z% gravel --% Lean clsy with ssnd
�% sand <% gnvel —� Lean clay with ynvel
96 sand ?% of gravel �<1596 g�avel ---� Sandy lesn clay
i30% plus No. 200� Z1596 gravel —% Ss�dy lean elay with qnvel
% sand <% gravel �<�5% sand --� Gnvelly lean clsy
>15% ssnd —� Gnvelly lean clay with ssnd
<3096 Plus No. 200 �<1596 Plus No. 200 � Silt
�� 15-25% plus No. 200 ��+ �� >� 9nvel —� Silt with sand
% sand <% gravel =� Silt with g�arel
_�. % sand >% oi grsvel �<15% gravel --� SandY silt
>% I N 200 >15% ynvel --� Sandy silt with yravel
_30 P us o. `, —
~� % sand <% 9ravel—C--� <15% sand --� Grsvelly silt
�� >15% sand —� Gnrelly silt with sand
<30% plus No. 200 --� <75% plus No. 200 � Pat clay
_► 15-25% plus No. 200� `� ssnd >% gnvel —� Fat elay with sand
C H % sa�d <% ynvd ' Fat clay with ynvel
% sand ?% of grevel�� ��596 gnvel —� Ssndy fst clsy
>30% plus No. 200� >759L gnvel —� SandY fst clay w�th yrarel
% sand <% gravel --� <15% ssnd —= Gnrelly fat elay
Z7596 ssnd ' Gravelly fst clsy with sand
:30% plus No. 200 �<1596 plus No. 200 � Elatie silt
� 15-25% plus No. 200 �% ssnd Z% gravel —� Elastie silt with sand
MH % ssnd <% gravel —= Elastic silt with pravel
96 sand Z% of ynvel �<15% gnvel —� Sandy elastie silt
>30% plus No. 200 � Z1596 gravel — Saody elastie silt with grsvel
% sand <% graval �<� 5°x+ sand — Gnvelly elastie silt
>15% sand --� Gravelly elsstie silt with ssnd
`3096 ptus No. 200 �<75% plus No. 200 �- Orpsnie wil
15-25% plus No. 200 �% sand >'6 yrareF--t Orq��ie wil with sand
OL �OH % and <56 qnrel —i Orq�nic wil with qr�rel
96 sand >96 qravel �<1596 qrsvel --i Sa�dy oryanie soil
>30% plus No. 200 � >75% ynvel —; SandY oryanie soil with prarel
96 sand <% pnvel �<15% und —�► Grwelly orp�nie wil
Z75% sand --i Gr�rdly o�nie wil with sand
Nore—Percentages arc based on atimating amounu of finrs, sand, and gravd to the nearest 5 0.
9�85 � GEOTECHNICAL ENGINEERING CORPORATION
�.
�
GEOLOGIC TERMINOLOGY
The geologic description indicates the apparent depositional origin or
stratigraphic name. Geologic identification is interpretive and subject
to error.
General categories of geologic deposits, and descriptive information is
as follows:
ALLUVIUM COARSE ALLUVIUM: Sandy (and gravelly). Stratified.
Deposited from fast moving waters
in streams and rivers. (Includes
glacial outwash.)
BEDROCK
FILL
FINE ALLUVIUM: Clayey and/or silty. Stratified.
Deposited from slow moving waters
in streams, rivers, lakes, and ponds.
Wide range of characteristics: from hard, dense,
consolidated rock; to soft, compressible, and uncon-
solidated soil-like material.
CONTROLLED: Compact, uniform material; inorganic;
no debris.
UNCONTROLLED: Loose or variable density. Mixture
of soil types. Often contains debris
and organic material.
TILL Normally contains a wide range of grain sizes, from
boulders through clay. Usually non-stratified.
Deposited directly from glaciers.
LOESS
SLOPE WASH
SWAMP DEPOSITS
TOPSOIL
TUMBLEROCK
Silty. Non-stratified. Upper layer. Deposited from
wind.
Organic and/or inorganic material washed from slopes
and redeposited.
Peat, muck, and marl, and organic soil. Forme�i through
accumulation of organic material under water.
Contains both inorganic and organic material. Upper,
black layer of soil. Formed by weathering of inorganic
soil and accumulation of organic material.
Dominantly gravel, boulders and rock slabs. Deposited
from gravity flow down hills or cliffs.
WEATHERED BEDROCK Bedrock which has been substantially weathered through
disintegration or decomposition. Texture and composi-
tion grades into bedrock.
WEATHERED SOIL Texture, composition, and position is intermediat?
betwePn topsoil and non-weathered soil.
� GEOTECHNICAL ENGINEERING CORPORATION
2-87
�J i.,
3/86
TERMINOLOGY ON BORING LOGS
GROUNDWATER
Groundwater information is shown on boring logs: 1) under "Water Level
Measurements" and 2) in the "WB" column.
Information under Water Level Measurements includes:
- The depth to the water level (or drilling fluid, if used) and the depth to
the bottom of the hole (cave-in). Water level and cave-in measurements are
taken with a weighted measuring tape. If free-standing water is not
entountered in the hole, the term wet, or dry, is indicated under "Water
Level.." This means that the soil adhering to the end of the measuring tape
did, or did not, respectively, appear to be saturated.
- The depth sampled and the depth of casing (or hollow-stem auger) for
measurements made during the progress of the boring. �
- Date and time of ineasurements.
Notation in the WB (waterbearing) column describes whether soil samples appear
to be waterbearing or saturated. "Y" means yes, "N" means no, and "?" means
questionable or indefinite.
Frozen soil which has thawed appears saturated. This m� account for an iso-
lated "Y" symbol near the top of the WB column on a boring log.
Determination of the depth to the groundwater table is an interpretive protess.
The determination is based on various factors, including: water level measure-
ments, the presence and type of drilling fluid, the appearance of samples, sub-
surface conditions, site conditions, and weather conditions. -
The water level symbol, �, in the WB column indicates the apparent depth to the
groundwater table at the bore hole. The accuracy of the indicated depth to the
groundwater table can be quite variable. The water level symbol with an arrow
pointed downward (or upward) indicates that the water level is at or below (or
above) the level indicated. Absence of the water level symbol does not
necessarily mean groundwater was not encountered, or that the water table or
piezometric surface was not penetrated.
The presence of groundwater in the soil and the level of the groundwater table
can change with time. The information in the WB column is based on observations
and measurements made at the time the boring was drilled and the water level
measurements were taken.
GEOTECHNICAL ENGINEERING CORPORATION
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S�cT►�fJ
1 H�r�b�r Ghifr TMt TMt Plan Was :
Prrp�nd Sr M� Or Under Mr Direct `
8upe And 7hit 1 Am A Oulr
R�q t�d Prot�s�lo Ineer Under
U ��8f O/�' Ih ���sot�
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�` N�2� Z0: Jock Robertson. C7cx►imunitY Devel°�t Adiministrator
D�ND F�M: Uarrel Clark, Chief Bu.ildirx,� Offici.al
MEMD DATE: August 4, 1988
It�Ai�Il�: Foundation Pzoblens in Carlson's Suimit Mamr North Addn-
piease be advised that sirice July 21, 1988, I have received calls fran six
hcmeow�rs who vwn hares 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 arid 1976 that were in this ger�eral aroa.
There appears to be a pattern of things that probablY have caused these -
settlenents to occur or are present at each location:
1. They have all occured durin3 long d�Y �ls (1976, 1987 & 1988).
2. A11 have had mature tr+ees growin9 in the general vacinity of the failure.
3. Yard ar�d street settlenent has also occured in front of those ha�es t2�at had
mature trees in the front yard near the failure.
4. All those that have- had soil tests done have had a layer of moisture
receptive ar active soil at ar below the footir�g elevation.
5. All ha►�reavr�ers have been advised to contact a soils engineer to test arxi
report their fir�dirigs ar�d to suggest the m�et.Ywd °f cozr�tion.
6. All of the hanes were built in the mid 1950's.
The cost of rn�air will de�per�d up�n the extent o� the failures. We estimate the
cost of such repair to range between a min,imun► of $500. �0 to a maximum of
$20, 000. 00 or possibly higher. One h�ne repa i red in June, 19 87 pa id a n
estimated $3,000.00 to a contractor to replace the back wall l32 feet) of their
basanent. That repair consisted of the following: temporarily supporting the
strwcture on post ar,d timbers; ranovir�cl the back foundation wall ar�d footing;
�gqlnq down through appn�ximately six feet of clay or silt to granular gravel
at three locations (each hole was about 4'x 2' ); pouring each hole full of
coricrete; pourirr3 a reiriforced oor�crete grade be�n a�er the top of the new l�ads
to fos�n a r�.w footirx,�; laying up a new block wall ; ar�d setting the house back
daar�. , .
A ca�osit map is being m3ir�tair�d that shows the reported dates and addresses
of all reportecl Problems.
?f anyor�e wants mpre ir�oanation on this subject, please contact aur depart�nent
ar�d we will be haPpy to re�iea ou�' files. We do have indi�idual records on aach
reported Problen. "
Its possible that there oauld be m4re failures tt�at have rnt been called in for
our review.
DGC/mh
AZTACH: Map
CC: Mr. Jahn Flora, Public Works Dirnct.or
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g����r HEATING
AIR CONDI710NING HOUSE HEATING TEST RECORD
AND ELECTRIC, INC.
� ADDRESS t `� � �� Zc1Y./ %� � /� '
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SOLD BY
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TYPE OF HEAT Gq pq Hy� �a� lln� 8y
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INPUT _ , o n� Max. BTtJ qatinp
AIAICE OF FURWACE
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THERMOSTAT 1V L.ti - �_� 7 �p��s
H�at Plup ��� $� � '
Valv� -------
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NarrN of T�star
Form 235
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
CITY OF FRIDLEY
6431 LTNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 N'AX:
: 5376 HORIZON DR NE
: 233024330029
: CARLSONS SUMMIT MAN NO ADD
: LOT 16 BLOCK 3
: BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
571-1Z87
��.�
PERM N0.:2004-01934 �
,�
DATE ISSUED: /20/2004
VALUATION : $ 15,196.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R317 OF TI�
2000 INTERNATIONAL RESIDENTIAL CODE. INSTALL PIERING OF FOUNDATION WALL; INSTALL EGRESS WINDOW;
BRACING OF FOUNDATION WALL AND WATERPROOFING.
I STATE LICENSED CONTRACTOR 1
APPLICANT
RAM JACK OF SOU'THERN MN 20143377
54004 LOREN DR
MANKATO, MN 56001-
OWNER
HARJAMAKI ROBERT J
5376 HORIZON DR NE
FRIDLEY, MN 55421
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and laiow the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel�h ep[o�}siq�s of any other state or loc law
re��e�ruct%d,bf t1���ormance of constructi . .
•Applicant
Bldg Insp
SEPARATE PERMITS
BUILDING PERMIT FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
LICENSE SURCHARGE
TOTAL
±
FOR WORK OTHER THAN DESCRIBED ABOVE.
265.25
15.20
7.60
5.00
293.05
Oct 18 04 30:17a
NEW
ADDN
ALTER
Complete Companies, Inc. 507-625-3343 p.2
�, � 5�6d ,��`C
( J CIIY OF FRII�IE`f
( j 6a31 University Ave NE, Frx7ley, MN SSa3Z
() SINGIE FAMILY AND OUPLF�(ES R-1 AND R-2
8UIl0�NG pERMl7 APPLICATION
ccnstn,ci�on �da�ess;
lxgal Oescription:
Ow�r Name 8 Address:
Gontraetor. 1 a ►� ,.
�� �z�►� ��-i�C �_ E.
Etfi�ctive 1�1l2ooz
�r�s� s�z�eo�a e� ��sP
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f�r�C( �eL�
�ir ►��i,i�i ISGm� A ���i. �t 76�' 5��.' �g1.
E'Y/1 . MN LICENSE #
�"", Tel. �! 7 t?% ��Z5 3 Z�3
Attach to this applicatian, a Cectil9cate of Survey of ine
lot, with the proposed construction drawn on it to scale.
�ESCRIPTION pF IMPf'tOVEMENT
�
LfVIN6 AREA: Lenglti _`� V�fidlh Height 'SQ. Ft
GARAGE AREA: Length Width Height Sq. Ft.
DfcK AREA: �ength _ vuidtt, ►�jv(',round SC. Ft
Oi'HER'
�/Gr/n a Uv w �pn n►�c
�• � �, C, �o
Construdion Type: E ��' S`�� �"� `� Esdrnated Cost: s �� 1��
�aC��ng o ���► a �.an wa I
M• � r ro , r �
D�Sveway Curp Cut th Nee�eC: F►�+ 6 t� =�Ft x 3 = 5 .
DATE: I��� APPLICANT: /`�G� M'1 � A GIG ��F !� l fI Tel. �f S� '� 3��
Call �763) 57�-3604 fo� Pertnit Pecs if mailing in application or Fax to 763-571-1287 if using credit card and we wiil
call you for card number.
CITY USE ONL7 -
Permit Fee $ �J- .o� Fee Schedute on Reverse Side
Fire Surcharge 5����-i.;,Z..._.� .�01 of Permit Valuation (1/10th%)
Stat,e Surcharge $ �� $.50/$1,000 Vafuadon
SAC Charge $ $'1200 pe� SAC Unit
License Su�cha�ge $ --y� �5.D0 (State Licens�d Residential Contractors)
Driveway Escrow $ Alt. "A" or AR. "B" Above
Erosion ConMal $ $4�0.00 Conservation Plan Review
Park Fee $ Fee Uetermined by Engineer�ng
Sewer Msin Charge S Agreement Necessary [) Not Necessary I j
70TA1 S � STIPULATIONS:
. � ,�-
� �'3 �'�
s
S
Oct 18 04 10:18a
OGT-iG-2004 1a,�6
cK ��;o� eo�e �,c�
Complete Companies, Inc.
ULTE i G t1PLS
engineer�
520a East Itiver Road �308
Minneapolis, MN 55421
Ph: 763-571-2500
Fax: 763-5i 1-1168
�-�
507-625-3343
1 OJ.! 1 i 1 A�+�+
To: Todd Schloemu te�Yn: Cratg Oswell, P1E
Company: Ram Jack of MN Tim�: 3:W pm
Fax: �7-625-3343 Date: lU/16/a4
n���; p�: 5:(Including Co�•er Shect)
�oje�t Na 204.1203
Subjert 5376 Horizon Drive NE, Fridley MN
D U�enE ❑ For Review � Please Comment Cl Please Repty
� Comments:
...
�
Here is thc report as requested. An original wilt fo�low in the mail. Please call me iE you
have any questi�ns or commczits.
Ti�ankc,
Craig
0
p.4
Oct 18 04 10:18a Complete Companies, Inc.
DCT-16-Z004 1a�46 UL1'E1G r�PLS
. Ram Jack of Minnescxa
Ulteig Pcojecc No. 204.i203
October 16, 2006
Pd�e 3
PRO�ESSIONA O N N
507-625-3343
1�.?.�I111VU
� � v
3. lt is our professiona) engineering opinion tt�at Ram )ack helical piers and Power Brace
wall braces are a viable and suitable repair for the dishess noted at this structure and
that the proposed constructian layout is structurally adequate ro supporc �he senleme,�i
and movcme�t of the �xistin� fc,undation, pro�ided the piers are iunstalled to a depth
Capable oE suppocting Ar► ultimate lnad oE ak leact 411001bs each.
GEN L
4. The infvtmarian, observatians, and opinions stated irt this xeport are based o:� sn
inspeceien made by C�aig Oswell, PE. Th� inspection consisted oE a visual walk-through
observing exposed elements and those accessibl� withaut the removal o( ti�shed
materials.
5.
6.
7
The observativns and opiroions expressed in this repott are based on our professional
engineering judgment end pcofessional pracdce, as well as the visual inspection.
No other engineerir►g was gerformcd or rcquested for this project.
All work shall be done in accordancr. with thi9 documtnt, stutdard industry pxactice,
and the requirements of ehe Code.
8. lnstallation of the noted piers and braces is not d guarantee that adjece�nt ateas wilt noc
Px�,Prier►ce further distress. Ulteig is not responsible for settlement �r�ovement, heave,
or distress that may.occur outside the area specificaily noted or reviewed abuve. —
u you have any quesnons, please cc�neact ��tc.
Sir�cerely,
U�. ENGINEEItS
�
Craig Oswell, PE
F.nclosure: Proposed Pier Layout
[ hereb� eertify that Ehis pian, cpeciiication or
report wae prepued by me oc under my direct
supervision and that 1 un a duty licended
proheeional eagineer uader the laws of the Statc
of Minneaoea. /1 _
Craig Oewell, � �
Mlnnciota Registra�ion NTo. 4Z34]
Datr. io-'6-os
O
p.7
Oct 18 04 30:18a
OCT-iG-200a 1a�46
Complete Companies, Inc.
ltam jaCk of Minnasotd
Ulteig L�roject Ne. 204.1zU3
Ottobcr l b, 2044
Pege I.
�ESCt�irTi�
ULTEIG MPLS
507-625-3343
?b.SS'f 111 on
r . r��
The hous� is o ore-slory wood-framed structure with a Eull basement. The foundation is
concrete masonry, while the above ��ade stcucture is wood framed.
�185ERVAT ONS AND COMMENTS
1. A site visit was cunducted by Craig OswEll, PE of Ulteig on �ccobe� �3, 2004 to eeview
the existing conditions. The following items are noted in regards to this site �isii:
a.
b.
c.
e.
Tt�e side foundation wall {south walt) in question is approximately 24 Eeet long
and is constructed of ten courses of 12" thick conctete masonry blak.
The back (west) half of chis wail has settled approximately 3/A" to 1/2". Several
large horizontal gabs exiscing at the mortar joinu within the first five c:oursps uf
block. The wall is ali�htlp out-of-plumb.
The remainder oE the basement walls are relati�ely fzee of distress.
The wall in questicm does not support the floor joists.
'Ihe Floor slab in frnnt of the wall in ques�ion has settled and cracked. T1,e
settlement oE both thE wall and the floor slab align.
2. The Eollowing information is noted in r@gard to the proposed pier layout and suppoct oE
the foundation wall in questior:
a.
b.
t.
a.
e.
The contractoc praposes to place five steel helical piers to support the side wall oE
the house. Four piers will be located alon� the west half oE Ehe south wall at
relati�ely even s�aces and one pier will be located aton� the west wall at the
southwese corner. This corresponds to a pier spac�ng oE approximately tk+ree 6eet
Oi1 Center. The pierb uill br ui�laatlled (rom thC insidC oE the strutture. See the
attached picc layout.
The proposed piers are adequate to support lhe gravity loads at this four+dation
wall location.
In addition, due to the apparent latera! movtmrnt and distress of the foundation,
the contraetor peoposes to install five Power Brue wall brw�PC along the south
wall at relatively even spaces. This correrponds to a btace spaciu�g of
approximately four feet on center.
The propused Power Braces are a suitable corz�ctive measure �Eor the noced
distress at this foundation wall location. 7�e braces are to be installed in
accordar+ce with the manu(ac�vrer'a recommendaEions.
�ue to the nahue of the �roposed �pports, it xs not a guaranty that the
rennainndex of the house foundatior� will not mo�e ot settk indeperdent of the
area o�f teQair. ln additiotL care is to be taken duting ccrostructiau to �r�v�t
�tii�+�ts Jc►��ing �ate=ials.
p.6
Oct 18 04 10:18a Complete Companies, Inc. 507-625-3343 p.5
OCT-16-2004 1d:46 ULTEIG MPtS �rb.s���lxloc r.�c
@nglne@rS
c.. M.ln►..n. �d1
5201 E. R'aer Road Su�e 308
Minn�avolis. A�I 554�21•102J
f1tOfle: /b'i.�/1.2�OU
Faur. 763.57l.1168
October 1b, 2004
Ram Jack of Minnesota
5400A Loren Drive
Mankato, MN 56001
Attention� '1'odd Schloemer
Re: Pier [,ayout Review
5376 Horizon Drive NE
Pridley, MN
Ulteig Projett No� 20+k.1203
I'o Wl�om It May Concem:
The purpose oi th�s tetter zs tc� report thr findings vf a structural engin�erin� revie++ of thr
propobed pier layout at the above residence.
ASSIGNNa�LLT
Jlteig F.ngineers has been retained to pcovide a structura� engineeri�ng review of the proposed
pier layout for support of an existing foundalion at the residence located at 5376 Harizon Qrive
NE in Pridley, MN, as d'uected by Todd SchloemeY of Ram Jadc ot Minne6ota.' -�- --------------�
B CKGRUUND
The existing bASCment foundation wa11 along thc side of the house ia cxperirncing ditterential
settle�nmt, as well as laceral movement and distress. Ram Jack of 1vLN is pxoposiung to use Ram
Jack s�eel piers and Power Brace walt braces �o prevent further setdPment and lateral
movement. itam jack has prepared a plam layout oi the proposed work at QYe side found�tion
wall. This plaz► is attached at the end of this report. The oanhactor is requesting a struttural
pnginecring review oi tine proposed layoat detailed on the plan.
M���EAp01i5� MN • Delroit Lakes, MN • Fargo, ND - 8lsmarck, ND • Sioux Falls, SD
www.ulteig.tom
�
Oct 18 04 10:17a Complete Companies, Inc. 507-625-3343 p.l
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F�Y C'over This is a coni`idential message, intended solely for t1�e persc�n to wh�om
�t is addressed. If you receive this message in en-or, please f�rw�ard it to the
corrr�'c.:t �rsoi�, oz mail it bac�C to us. Thank you.
To
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From
�G�e. Jer�Se�
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Mankato, MN
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Oct 18 04 10:19a Complete Companies, Inc. 507-625-3343
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��.�:;-b4+0.0� Loren Dr.� Mar�kato� MN .560A1 • 507-625-3293 �. �ax: 507-625-3343
. ' . . • • . . PHONE(HOME) ' ' ��.•. . � UATEetD IN�
-4 _i_•
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nLTEaN�riv� atroNE rs. r•nx
L'�1A�L _
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. _.. Quantity System Foatur�� Quan6tY em
�----�' ' aterGu�rd! . FlootlC
,..—.... . Flo Rin °. .:,�W
�-�, S um •
lj/. w�, ��� IccGuord'
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-�''�� � • tWall" Panels � fa'
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.�� - , ~.: . - � ca`e
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66" � 'ress . ' .
�of Wall: � pe oi WaII.Finish: '`
Block T7 Stonc �lsin _'. �„ over - ',
f] Poured ConCrete 'O. Pane�fng . t7studs `
p pther � D,Sbe�trock :QfiMng
;Syrcteni io. diaih fnto: ' O �Otliei'. • .. ,� �.
r� G.:.e.C.i.w..J�inur � ��Trne�n�Y.�Jnnr E7nlSfi"��..'
� • O FloOr brain �Conc.ete " .D'.7ile. -^�
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._.............. .. . ,. . ..:....... . .. . . .
� The wniractqrs teptesemaiive If�s �t�lly ��lained lhe merits of the waieiprooiing~ sysiom: f Undarstand` a~Watei'Giisrd: �UryTi�k oY Uraia�'rak sys.tem wili�
rerneAy the pred�.l,e�n wlth .w"ater involviA9�walls and the joirit'v+tiere Ue �iooi� and•wal(s: isie�t:.! f�lly. undsrStaift7 aiitl a��ept ihe t�ansfierable warfaralv w�ich
. covers Anly�the.afeas��f t�e hasemerlt 2Garessetl. There wiu l,� no charye to� scr��ca eatl, whicr, arg iaaks �n the syste�n covered under.warraory`,..A seruice
charge wiffbeiifiposed 40� any servlco calls involving leaks in the system, or leaks:irom damage or abuse. Partial perimeler.sys{stirs.i�Tr�tra��lted war�an4y.
_��p p��ps atw�coyered under a separAt@ msnutaoturer wananty whlch doesn't inolude lzibor for �ump 6erv�ce. Insialtati�ii 4f'�ryTrek a�o'ne vriU nbi;elitnhiate�
se�pe irom'floor Orads§: InStallation oi't}ie system does not includa paioting, finished �atpenhy, exlendin� discharge9ines, electrlaal work, or re��eceroan'f of
iloo� lile or'.cprp�ting un�ess spedqed. Contraaor is not responsiDio lor rrozcn dixnurgc i�nes wh►�ouC'sn.toer,��,�rcl, condensation, wat�i o�ce:p�mped from.
house,'winCow well (looding, or fuet tanks o� lines. Homeowner. to provlde 4',-5' worVcing arsa away fioin veall for.inslallation. Some.dast should pe expected irom,
work.�a�ments�b�e�mede in full upon �ornpletlon. A Ser�iee Charge wffl be.lmposed if.any eheck is reTUrned for non-sufficient
... .... . � . . �
We'�'�pp t0 fur�i6h"� nel •8np laoor ir 1`� e in�`�°`danec wi abovo ^.pecif atl `�c,�f�'r the su t:
:��I%ey►'�OVS•Ay►4 5+�t¢+���N�'`}^�l`J � MV1�_ SiY � W� � donars s '.. ;79�
DeposU•Raqntred S .°� Deposit Paid $/ Balance Oue Upon lnsta►lation $
�: : ;.. .�....
� i�n m.eur�a��.s:�i+eranieed ro � as g�r�d. AN work to be eampletoil aceording �o the standsid practiceB: An1' Autho���zea
dtetedoo or.f�CVlatien lrotn t�bove spedlloalions involving exlta Cos�Ce Ill.be eaeattC9 oni u on wrilten oMers, Si nature
ar►dy!1N:beoefneane�maahargeover,end;above.xtree�Imate.Alt menfscorlrin entuponaMikes.aopdents... 9 ..
or"delayabe�roiMoircc�oe�tro{.OuiwoAiersaretulrytovereatywoixmen'aCunw�s��ton+na,raneo:Hom�owno� Noto: Thlspropo6a nayoe
r AsSUmlt'.all ra�na�i for dem�geaduo to broakago o( any hidcbn hMuulil�ry servica Ilnes, though we will do wiUaJrawn. . us.it�ofc� tod arolthin_�...�i�ys.
.dt1t-b031•dO.St+oid31fOb.dapl�g0..A14.p�rirlpSSISb690d�Nirt1afily4RhoAwOwI19rSd08Cf�ptl0f1-01•ploblAM� � � _
^ '�_,--� .. .— " ' • . " '"
Aeeep!tanee of pr�iposal - i'hC 2bove p�ICAS, SpedilqtlOns ai �J � Full erimctcr Cyetem wo8 recomm9nc�r:e1 L.1 X
� oondiUOps are safietactory antl �`e t�ereby ac�Pted. You are authorized io Y c�j - a%- �,i ��
do the work as sped6ed. Payment will be n►ade as oudined ebovs. Signawre/t
.. ' . . . . . �
Oate 0� 1►cceptence: . SJQnature
sua�ecr P
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ����
f
� 7
� � RECEIPT NO
� • COMMUNITY DEVELOPMENT OIV. ��
� •�; --•--
r � � PqOTECTIVE INSPECTION SEC.
� �
, ' /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV OATE PAGE OF APPROVEO B�
�"""�"� ,�' 612-571-3450 910-F15
9/9/94 / /
JOB ADDRESS 5376 HORIZON DRiVE NE
1 IEGA� LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1( 3 Carlson's Summit Manor North SHEET
2 PROPERTY OWNER MAIL AODRESS ZIP PHONE
Steve Kangas 5376 Horizon Drive NE 571-8336
3 CONTRACTOR MAIL A�DRESS ZIP PMONE UCENSE NO
D& D Home Improvement Inc. 7401 Central Avenue NE, Fridle 55432 784-7543 4840
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO-
5 ENGINEER MAIL ADDRESS ZIP PMONE IICENSE NO.
6 USE OF BUIIDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION a REPAIR O MOVE O REMOVE
X
8 DESCRIBE WORK
Reroof House (10 Squares) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONtNG.
THIS PERMIT BECOMES NULL AND VOID IF WOfiK 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
1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $550 �.SO
DOES NOT PFiESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTI R THE PERf RMANCE OF CONSTRUCTION �1%.00 Fire SC �.SS
PLAN CHECK fEE TOTA� FEE
License � 5.00 23.05
iGNATUAEOFCO . AOAAUTHORIZEDAGENT IDATEI yyH R�Y V LIDA7 THIS IS YOUR PERMIT
r!
S�GNATUREOFpWNEAiIFOWNERBU�LDEAI IDATEI BIOG �N f�FTE
✓ n.r �
TTEV�/
ADDN
AL'I'ER
I]
�]
Il
CITY OF FRiDLEY
SIN(iLE FAMILY AND DUPLEXES R-1 AND R-2
Building Pecmit Application
Effective 5126/93
����
Constivction Address: �.� 7� OrE��1�� /�!%//'�
Legal Description:
Ovvner Name 8t Address: ��G(/� �/�>t/� Tel. #���
Cotrtractor: D b D Home Improvement:, Inc. MN LICENSE � 4840
Addres.s: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. � 7g4-7543
Attach to this application, a Certificate of Survey of the
lot, with the proposed oon.�truction drawn ort it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
(iARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: I.ength Width Hgt/Ground Sq. Ft.
01'HER:
Corner Lot [) Insi� Lot [] Ft. Yd S�etback Side Yatd Setbacks
Type of Constniction: R --� Estimated Cost: S "� S� ""
Approa. Completion Date: t�-- l_�j'�/ �. �.A��tR.- �� .5�1��
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x S = S _
DATE: APPLICANT: Tel. # � ��-'��3
Perntit Fee
Fire Surcharge
Sffite Surcharge
SAC Charge
License Surcharge
Driveway Escrow
F.rosion Controt
Park Fee
Sewer Main Charge
TOTAL
S 1'�, GU
� � SS'
s , S 7�
$
s s� v� .
S
S
s
S
S �;�U�
� �.
Fee Schedule on Reverse Side
.001 of Permic Valuation ( l/ l Oth �)
S.SO/51,000 Valuation
$750 per SAC Unit
55.00 (State Licen.ted Residential Contractots)
�ih. NA� or Alt. �B• At�rn►e
Conse�vation Plan Review 5450.00
Fee Detetmined by Engineering
Agreem�ent Neces.sary [ j Not Necessary I]
STIPULATIONS:
:
,� x�
�
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
►631572-3604 FAX: (7631571-1287
: 5376 HORIZON DR NE
: 233024330029
: CARLSONS SUMMIT MAN NO ADD
: LOT 16 BLOCK 3
: BUILDING
: RESIDENTIAL
: ADDITION/ALTERATION
PERMIT NO.: 2004-02267
DATE 1SSUED: 12/10/2004
VALUATION : $ 2,000.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE
2000 INTERNATIONAL RESIDENTIAL CODE.
APPLICANT
HARJAMAKI ROBERT J
5376 HORIZON DR NE
FRIDLEY, MN 55421
OWNER
HARJAMAKI ROBERT J
5376 HORIZON DR NE
FRIDLEY, MN 55421
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. A(1
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authoriry to
violate or cancel the provisions of any other state or local law
regulatin�construction or the performance of construction.
Bldg
BUILDING PERMIT FEE
PLAN CHECK FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
TOTAL
PAID WITH CHECK # VISA
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
69.25
45.01
2.00
1.00
117.26
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NEW
ADDN
ALTER
(] CITY OF FRIDLEY Effec6ve 4/1/2004
[ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: ��7 G ��Q /ZDi✓
Legal Description:
Owner Name & Address: o� ,Q ��/9-� s'�/rl� � Tel. #?63 -��6 - g s�s.z
Contractor. C3 c�r � MN LICENSE #
Address: ��,7 f���2J �..� �� iliE Tel. # 6<a '�6 3-l3S�j
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
Construction Type:l���u'!�� ��¢r�?��� ��t Estimated Cost: �/y�� �v 7o g1�oo • o�
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: `� L� -�� APPLICANT: �'-Gd��c- 9_ Tel. #
Call (T63) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ � r
$ .
$ , C/
$ ;
$ �
.$
$
$
$
$
g � /.
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS:
NEW
ADDN
ALTER
[) CITY OF FRIDLEY Effective 4/1/2004
[] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg insp
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description: -
Owner Name & Address: Tel. #
Contractor. MN UCENSE #
Address: Tel. #
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
Construction Type: Estimated Cost: �
Driveway Curb Cut Width Needed; Ft + 6 Ft = Ft x$ _$
DATE: APPUCANT: � Tel. #
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-128T if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Pa�1c Fee
Sewer Main Charge
$
$
$
$
$
.$
$
$
$
$
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th°/a)
$.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 Engineering
Agreement Necessary [] Not Necessary [ J
TOTAL � $ STIPULATIONS:
7
,
�� ,
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
VALUATION
�, l;l
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NC
FRIDLEY, MN 55432
►63) 572-3604 FAX: (763) 571-1287
: 5376 HORIZON DR NE
: 233024330029
: CARLSONS SUMMIT MAN NO ADD
: LOT 16 BLOCK 3
: ELECTRICAL
: RESIDENTIAL �
: ADDITION/ALTERATION
e
APPLICANT
HARJAMAKI ROBERT J
5376 HORIZON DR NE
FRIDLEY, MN 55421
OWNER
HARJAMAKI ROBERT J
5376 HORIZON DR NE
FRIDLEY, MN 55421
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
1 hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this rype of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local iaw
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
�...
...
PERMIT NO.: 2004022G8
DATE (SSUED: 12/10/2004
,� �' � �l �-6
STATE SURCHARGE, ELEC FLAT
ELEC AMP SERVICE FEE
TOTAL
PAID WITH CHECK # VISA
0.50
30.00
30.50
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
►63) 572-3604 FAX: (763) 571-1287
ADDRESS : 5376 HORIZON DR NE
PIN : 233024330029
LEGAL DESC : CARLSONS SUMMIT MAN NO ADD
: LOT 16 BLOCK 3
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
: ELECTRICAL
: RESIDENTIAL
: ADDITION/ALTERATION
PERMIT NO.: 2004-02339
DATE ISSUED: 12/29/2004
VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. PH;G51-222-8288
1;1
APPLICANT
SUPER ELECTRIC INC
333 COLBORNE ST
ST PAUL, MN 55102
OWNER
HARJAMAKI ROBERT J
5376 HORIZON DR NE
FRIDLEY, MN 55421
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
wili be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
STATE SURCHARGE, ELEC FLAT
ELEC AMP SERVICE FEE
TOTAL
PAID WITH CHECK # 6232
,
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0.50
30.00
30.50
ORDER FOR PAYMENT NO.
'* G.`2:2(0 �
,�cS�-�i �.� r �
� _ � . � . . . • � �
Installer of Wiring ° � �`(-�
ownedocc�,pant �w�e.�'t' �/kF.. i Jk- �i� 6(°,' ,lob _/�isc. ��
Property Address �� � i 6 'r �� r� �-� V� � Zip ..5 � ( _
Date 7� � y�S Permit No. _ 1',3 �?^ �-�� Date Fled ^
� Add(tio�al rough-in inspectlon was required.
O No acxess - scheduled inspection.
� Fee shortage - see c�mputation.
� Reinspection fee.
Fee Computation:
y � r�d,-.-
./�� 3���
r�•
Ci • ��
d���� v�
,� P �
, _ -
Gi�
Please retum this order wRh chedc in the amount of ��° payable to the ciry/
toMmship by (date)
Inspector L" �A�-!'-�-- Telephone ��/ �7% `78�5
RETURN THIS ORDER WITH PAYMENTTO THE CITY/TOWNSHIP WHERE THE JOB IS LOCATED. RC-02