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SUBJECT
PERMIT NO.
City of Fridley
29'75
WI
AT THE TOP OF THE TNS
BUILDING PERMIT
Ir?
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
U
INSPECTION
/•1/
twvIC�J
r PROTECTIVE SEC.
�` �'•'1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L••'• �'� 612-560-3450
910-F15
5-30-75
JOB ADDRESS
5679 Matterhorn Drive. Fridley,Minnesota
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
18
3
SHEET
Innsbruck North
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ron Varville
3 CONTRACTOR MAIL ADDRESS 6s6_ 7P7f ZIP PHONE LICENSE NO.
-
Am rid Development Company, 2621 17th Street N.W., New Brighton, Minnesota
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDIESS ZIP PHONE LICENSE NO.
r
6 USE OF BUILDING z
Residence
7 CLASS OF WORK
CA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct Residence 28 x 43 x 12, and Garage 22 x 24 x 12ti.
4
W
9 CHANGE QF USE FROM TO ...
STIPULATIONS
Provide Hard Surface Driveway. Provide Verifying Survey Before CapptS
Water: 74' E.N.E. of Hyd. on Property Line
91' S. of Water Box Serving the First Lot Northad �Wato
411C
Sewer: Approx. 10' N. of Water Service ,°i a a W
(Expose Wye before Establishing Top of Footing.) p
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m
ui
Soil Test South side of Structure before foundation goes in. Uj c0.
CORING Cn
All trees, brush, and other construction wastes must be removed and disposed of at
a sanitary land fill upon completion of construction and prior to occupancy.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame__
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
1,400
CU. FT.
27,540
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$42,400
$21.20
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$60.72
$325.00
PLAN CHECK FEE
TOTAL FEE
$81.92
SIGNATUR C yJ CTOR OR AUTHORIZED AGENT IDATEI
HEN RO A DATED THIS IS YOUR PERMIT
5-30-75
JBLDG 'NSPDATE
SIGNATURE OF OWNER I IF OWNER BUILDER) (DATE)
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APPlICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: ! /(`►1 v BUILDER: �u
ADDRESS: - ADDRESS:.n6_ 2:2�
NO:. STREET •
LOT:_ BLOCK: "� ADDITION
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: % S
Applicant attach to this form Two Certificates of Survey of Lot and propose'.
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
- '/J
Az' l_ Front:
Depth: IV -3 Height: % 2 --
Square Feet: b 0 Cubic Feet: ;
Front: 2 Z Depth: 9171 Height: Z.
Square Feet; Jj .- Cubic Feet: IS -LW
Type of Construction: Estimated Cost: $ Z,%400
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE:; a / � 3 %� SIGNATURE: tea^ -
•(See Reverse Side For Additional Information.)
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gas = R2 WL hold
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Land Planning
_Land Surveying
Soils Testing
civil Engineering
,; Municipal Engineering
E's
sfdw Wan
4ji�!lilfge'. bi! , l
Engineers &
Certificate of Survey for
Surveyors
,4M 1;136:->e
6875 Highway No -63 N.E.
Minneapolis,
Minn. 3542
Telephone 784-6006
Area Code 612
j' 10
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�► 411
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O -30 �4 L�a,vE v)R�.
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Boom
�d�� otiC GAS W, A
U. IRE D- BY LA -'w REQUIRED BY tAW
- — Denotes Droiina�a E O ility Ewment
" &arqS shown are asgumQd o Dano}QS iron mowmk
L07 +2 �.00 3 INMAUN NKTH
ANawA CoJt4TY
1 hereby certify that this is a true and correct representation of a survey of the boundaries of the above
described land, and of the location of all building.,, �jhereon, and all visible encroachments, if any, from or on
said land. As surveyed by me this day of 1� "? A.D. 191-
Surveyors
91.
SUBURBAN ENGINEERING, INC.
Engineers Surveyors
by
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���-'IUTII 0471YlArlrArArY
V61A;:7
0 September 3,1975
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Amgrid Development Inc.
1690 Silver Lake Road
New Brighton, Minnesota 55112
Re: Final Inspection at 5679 Matterhorn Drive N.E.
Dear Sirs:
A final inspection was made on September 3, 1975 of the above address.
The following items were noted and must be completed before the
construction can be finaled out;
1. Install house numbers
2. Install door closer on door between house -and garage.
3. Complete upstairs patio deck or provide guardrail at sliding door.
�P . ��Z, t c1 �� � ���c c c( 1,L1 2cce�v tt ,,Ce Chs u c i, cQ L Ci- � �-c)
.C�u:
4. Install hard surface driveway.
5. Install sod in front and side yards.
We will expect items 1, 2, and 3 to be completed by October 3, 1975,
and items 4 and 5 to be completed by June 15, 1976. If any problems
arise that will prevent you from completing these items by the appointed
dates, please contact us.
Reinspections will be conducted on or about the appointed dates to
determine compliance.
Sincerely,
" A A
N u u 0 (aJ/
D L G. CLARK
Community Development Adm.
DGC/mh
dumbing Contractors must also call in for
.ons.
June 6, 1975
Amgrid Development
2621 17th St NW
New Brighton, MN
Inc
55112
Attn: Mr Tom Gridley
Dear Mr Gridley
Subj: Proposed Residence
Block 3, Lot 13
Innsbruck North
Fridley, Minnesota
Laboratory #9-6166
twin city testing
and enconeerinq Iataoratory, inc.
662 CROMWELL AVENUE
ST. PAUL, MN 55114
PHONE 612/645-3601
�14.1ix"'i 0>
�`
V_
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SG 40A m "R ft%** & A1 bit.
This letter presents the results of our recent inspection of
the soil conditions at the above referenced project® Our work was
authorized by your firm on June 2, 1975° Our investigation con-
sisted of an on-site evaluation of the soils at the south garage
footing linea Our work was initiated because concern was expres-
sed on your part with regards to the density of the backfill of
an adjacent sewer trench.
Our inspection consisted of a visual examination of the soils
within this footing line° In addition, hand auger borings were
put down and penetrometer soundings were taken to determine the
consistency of the surficial soils° The hand penetrometer relates
the unconfined compressive strength of the cohesive soils from
the resistance required to penetrate the soil stratum with a
special tipped steel probe.
We understand that a deep sewer line passes relatively close to
the proposed construction. This sewer line excavation, which
has been invert elevation 25` to 35° below grade, was maintained
with a 1:1 lateral oversize in each of the perpendicular directions
from the longitudinal axis of the sewer. Therefore, a portion
of the backfill trench falls within the proposed garage area.
Based on a graphical interpretation, we would estimate the depth
of backfill below bottom footing elevation to be in the range
of 6' to 10 Subsequent to the placement of the sewer line, we
understand the trench was filled, but indications are the trench
may have been filled in an uncontrolled manner. Furthermore,
compaction tests were not taken to assure that adequate density
was attained° Our records indicate the density tests taken
by our firm were confined to the road areas.
OFFICERS:
CHARLES W. BRITZIUS, P.E.
President
JOHN F. GISLASON, P.E.
Executive Vice -President
NORMAN E. HENNING, P.E.
Vice -President Engineering
ALBERT C. HOLLER, F.A.I.C.
Vice -President Chemistry
CLINTON R. EUE
Secretary -Treasurer
BRANCH OFFICES:
BISMARK, N.D.
FARGO, N.D.
GRAND FORKS, N.D.
MINOT, N.D.
EAU CLAIRE, WIS.
LA CROSSE, WIS.
MANKATO, MINN.
ROCHESTER, MINN.
SIOUX FALLS, S.D.
WATERLOO, IOWA
AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHORIZATION FOR
PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL
Amgrid Development Inc
June 6, 1975
Page two
At the time of our inspection, the garage footing areas had been
trenched down to planned grade. This was approximately 2' to 4'
below surrounding grade. Our hand auger borings and penetrometer
soundings revealed the soils in the south garage footing line to be
brown sandy clay of stiff consistency. It should be noted that
our borings were confined to the surficial soils (upper 3.5' to 41)
and give no indication of the consistency of the soil at depth.
As the upper materials appear to be quite stiff, placement of the
garage footings on the existing soil system might be considered a
reasonable risk if the precautionary procedures are followed. These
precautionary procedures would be undertaken to minimize the effect
of any differential_ settlement which_,might.occur. These -procedures
would include widening the footings, the addition of steel reinforcing
bars at two elevations within the footing and surface densification
of the footing lines prior to concrete placement. A structural en-
gineer should be contacted for exact details regarding extra rein-
forcement of the footings. To eliminate the chances of any differ-
ential settlement, all of the old trench backfill would have to be
removed down to competent natural soils, with .an appropriate lateral
oversize, and the area upgraded with a controlled compacted fill.
As deep penetration borings were not placed within the garage area,
we cannot warrant the soil conditions beneath the depth of our
shallow hand auger borings° However, assuming that the density
of the entire trench backfill is similar to the materials encountered
in our investigation, placement of the garage footings at the existing
elevations would be -a reasonable risk.
Very truly yours
'ter
Zalph L kAnderson-
Geologist
--
Thomas K Smith, P.E.
RL/TKS/rs
C py to
Fridley Bldg Insp Dept-
Attn: Mr Clark
c a ftr Poway R-unts a ns. v n baa RdelTzmNom and
Afrmdln�=':: 4mms t ' ®avid
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATZ TOTAL.
Furnace Shell & Duct Work
;10.00 S
Replacement of FLrnare
6.00 i---
Reparrc & Alterations --up to ;500.00
600 3
Rerairs & Alterations each add. 8500.00
30U $
19=11 WARM AIR
Fltrnaee Shell & Duct Wnrk to 190,000 BTU
esch add. $0,000 BTU
Replacement of Furnace
Repairs & Alterations --up to (500.00
Repairs do Alterations each add. ;500.00
STEAD as HOT TATER SYSTEM
Dept. of Bll� phom sO-34 9
City of Fridley:
The undersigned hereby makes application for a permit for the work hereif.
specified agreeing to do all work in strict accordance with the City Ordfnances
and nrling of the Department of 13wldings, and hereby declares that all the facts
and represPntatiuns stated in this application are true and correct.
.41000
: /0'a -V
3.00
i ' D fhvner
6.00
1 Kind of
6.00
;
;
Used as
3.00
;
F.mace Shell & Lines --to 400 sq. ft F.DR Steam
$10.00
S
Furnace Shell h Line -to 640 sq ft. EDR Hot Water
I000
S.
Each add 200 sq. ft. EPR Stearn
S.nn
;
Each add. 320 sq. ft EDR Hot Water
3.00
$
OIL BUIINEF—to 3 gal per hour
6.00
;
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to M,000 BTU)
6.00
; D�
over 199.000 BTU Smo Fee schedule
GAS FITTING rEES:
NO RATE TONAL
1st 3 Fixtures
xa 200
�
$ ,
Additional Fixtures
x .75
Gas Range to L1d.9.0W
Ns 6.00
FI>11AL .. - 112 i C
To be completed about
Estimated Cast; S
Old -New. Building Permit No.. _.__ Permit No. 01-_3/ /
�' Oil Or Toru
HEATING or POWER PLANTS --Steam, Hot Water No
Trade Name Sive mo -6;
Capacity_._. _ Sq. Ft. E.D.R. ? 9 �� � BTU ELP
Total Connected Load R1nd of F�w
BURNER - Trade Narr+e size
capacity s Q. Ft E `? BTU L
Cv
Slond 14 r,
13Y NI1�6V NTLI , MINNESOTA 55432
7,Y7 - Z—,) Oz�o
tWsea029-0m1
State Surcharge �,� j5 0
AER C tTlorlll> o=
t1�="
FAB RZATI G ZT3T2=
8®a Frsa Schadulo
vEwrnATMG MT01
�
aLTEFIATIORS & R> 3MU S
TOT= rm 6-,3cl
FI>11AL .. - 112 i C
To be completed about
Estimated Cast; S
Old -New. Building Permit No.. _.__ Permit No. 01-_3/ /
�' Oil Or Toru
HEATING or POWER PLANTS --Steam, Hot Water No
Trade Name Sive mo -6;
Capacity_._. _ Sq. Ft. E.D.R. ? 9 �� � BTU ELP
Total Connected Load R1nd of F�w
BURNER - Trade Narr+e size
capacity s Q. Ft E `? BTU L
Cv
Slond 14 r,
13Y NI1�6V NTLI , MINNESOTA 55432
7,Y7 - Z—,) Oz�o
tWsea029-0m1
Cii-j of F idloy
• ApplicnT.Tan fay PlsAahl'sIS Crod GaS NW4TIv PCI-M1t
Dept. of B1dox. Phone M-3450
DESCRIPTION OF VIORi
Number, Kind and Locetfen of Fixture:
w
M
$2.00
fir, o p
Number Fixtures .................
x
$
Future Fixture Opening ...........
x $1.50
$__.
New Fixture Old Opening..........
x $1.50
$___
Catch Basin ......... . ..........
WAT(% M711,
ws
ruc.
'r,
o
N
I"<
Water Heater 'Up to 99.000 BTU) .. • •
r
yt�
z�
x $3.25
�
8�
`VSA
'"
7 7
7
r
w
$
Additional Fixtures ..............
x S .75
$
Gas Range to 199.000 BTU ...........
x $5.00
$
J
Bare
1st
2rd
_
3rd
4th
• Future Conaoet ea Oponir4s
e New Fixture. Old Oyeairga
PARTIAL RATE SCHEDULE
3airar
Ccz:.Poo1
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
$2.00
fir, o p
Number Fixtures .................
x
$
Future Fixture Opening ...........
x $1.50
$__.
New Fixture Old Opening..........
x $1.50
$___
Catch Basin ......... . ..........
x $3.25
$
",2' o d
Water Heater 'Up to 99.000 BTU) .. • •
_.L_ x 53.00
$
New Ground Run Old Bldg. ....•.. •..
x $3.25
$
Electric iflatar Heatar............
x $2.00
S
AS 77TTI`iG FEES:
NO. RATE TOTAL
Ist 3 Fixtures ............ • • • • • •
x $2.00
$
Additional Fixtures ..............
x S .75
$
Gas Range to 199.000 BTU ...........
x $5.00
$
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, a ;Teeing to do a1 work in strict accordance with the Citi Crdina:.ce
and ruling of the Dep.-tment of Buildings, and hereby declares that all the tact
and representations statod in this application are true and correct
Fridley,
Owner
a
Kind of Building
Used as
To be completed about
Estimated Cost. $
Old—New. Building Permit No.
Permit No.
Signed
By
Business Ph„ne , o
ROUGH
FINAI,
P.EPAIRS ik ALTERATIONS—Hagar to Code .50 State Surcharge
.Description .......... ... . . . . ..... . .... . . . . ... .... . 4 �-
TOTAL FEE 1
29_
N
SUBJECT
City of Fridley
3349 7
AT THE TOP OF THE TWINS
BUILDING
PERMIT
COMMUNITY DEVELOPMENT DIV.
_
PROTECTIVE INSPECTION SEC.
Ar
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
' 763-571-3450
910-F15
5/7/03
JOB ADDRESS 5679 Matterhorn Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
18
3
1 Innsbruck North
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Leigh Angle 5679 Matterhorn Drive NE
763-572-0602
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
A ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
6 DESCRIBE WORK
Reroof House & Garage (25 S 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,
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2,894
$1.45
WITH-WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$83.25
Fire SC $2.89
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
87.59
_
S�GNATupE N' iZEDAGENT iDATE,
HE PR
LY VALIDAT D THIS IS YOUR PERMIT
/C��70UT
e!2f! �-'-e3
SSG WNEp OWN UDDER IOATE�
BL INS
�IAIf
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NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address:) --e_ k 6A A�e� �� �-S �a�� Tel. # _70-
Contractor - - L'`��� �-, MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate 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: �� ���# t�"�� J 3�w �c�2pc ZSR �t 2 vim+
Construction Type: Estimated Cost: $ 317
Driveway Curb Cut Width Needed: Ft. + 6 Ft = t x $ _ $
DATE: V3 APPLICANT: Tel. # a_,'"�I_ 060
Call (763) 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
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ 8.X
$_C22' W
$ A V_�:
TOTAL $ cqq-
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]