PRE 2010 DOCSSUBJECT
PERMI
City of Fridley
15.2 4 5
AT THE TOP OF THE TWINS
B U I L D I N G P E R M I T
r
R
__ ____ COMMUNITY DEVELOPMENT DIV.
v
67 99 7/
7
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
16/7/79612-571-3450
PAGE OF
APPROVED BY
910-F15
JOB ADDRESS 5215 Pierce Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
15
1
Marian Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Rev. Joseph.Valtinson Jr. 4020 Quincy Street N.E. 781-7337
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
PERMITSREQUIREQ FOR WIR
8 USE OF BUILDING
HEATING, F'I>zUl OING AND SIGNS.
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
x
8 DESCRIBE WORK
Construct a 3614" x 4714" Dwelling and a 26' x 2614" Garage
l-8 HANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side
yards. Provide a verifying survey before capping. Variance approved by
Appeals Commission on 4/24/79.
SEWER LOCATION: 90' N. of Manhole (N. Inv. 1013.5)
WYE ELEV: 1013.86
TOP OF FOOTING: 1017.36 Minimum
WATER LOCATION: Contact City Water Department for location. As-builts
not available.
DRIVEWAY DEPRESSION COST: N/A WAG
42 My Of MMM DOSS NOT GUAM M at Bolos ding calf IWA WON
94CtMI 0
Of UNM LOCAT ON5 AND 9WAtt01 TELEPHONE -ELECTRIC -GAS Etc.
116 DATA IS FM #00 MARON PURPOSES GMT AND
t' WNS USM R St1OULD VERIFY M INFORMS M" W
G" ME aftTYPE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
OF CONST.
OICCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
1521 + 647
41,802 Tota
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
$28.43
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$56,850
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-
$167.21
$425.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
41.80
$662.44
SIGNATURE OF CONTRAC(RtR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
J,.NATUR F OWNERIIF OWNER BUILDER) IDATEI
BLDG INSP DAYE
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS "OV/
(New, Alterations, Additions, or Repairs)
OWNER: -� �� BUILDER:
ADDRESS:6. ADDRESS:
TEL NO: Z 0 r — -73-:331-7 TEL NO:
Construction Location
STREET NO: ��STREET:
LOT: BLOCK: �� ADDITION: X22'
a
� I
Corner Lot: Inside Lot: Setback: 0 Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
uS� DESCRIPTION OF CONSTRUCTION
,! Front: (g � Depth: qr? q ' Height:'7t" - �d
Squane Feet: Cubic Feet:
Front: �(o � Depth: o� %"(u Height:
Square Feet: Cubic Feet:
Type of Construction: �„ Estimated Cost: $ Cpd Wo_
To Be Oampleted: 4,�
' Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: o 4�$ $
,Q
SEE REVERSE SIDE OF SHEET
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict 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 corpept.
DATE: SIGNATURE:
Stipulations : � � �! C jlll,
qAjo
Sao. y if .o o
�5S PMEM61Eo %-r.
Pml I -►t'.
I330
ZZ yc 10 = ZLO
low
Z lic
saw A 8 = 1fl, O$O
4-7
STA,
Z'710 to z Z70
Z +c 14S 'Zcl � •,
-TOM.,, Z. x l -t.
Sir ,Fr x 16 z
Igso = Q338. oo
o� x G85 z 3%4. 1 a
5 4 5.39
X66830 08 0-1-�
192670 C,., W.
SSG 1 $Sd.ocl
, �;a�►'t � 41.8o"Lx �,oA = 11.x, Z!
41.ga -
SPAL L�. u
�����
�/lJ -�i� � /� /.43..�
,.
.,,G �� �D/3 ��
.�
- � ���, F �
� `�
D� U
/D /3• �
8
6/ �
�-�
� l,/ Ty
���� �
t, .
'. G%!� �� /���SS/D� ��5 T , � OAU/
��
t
11 twin city testing
ana englneerinq ianarstory, Inc.
662 CROMWELL AVENUE M�-e lei
sel.,a r
,. , • ., ST PAUL. MN 551=4
F PHONE 6126453601
REPORT OF: DENSITY TESTS OF COMPACTED FILL
MARION HILL'S ADDITIUR
PROJECT' 52ND & PIERCE ST NE DATE: June 7, 1979
FRIDLEY, MINNESOTA /
REPORTED TO: Environmental Land Forms Inc COPIES TO- Fridley Building Inspector
4511 Colfax Ave South
Minneapolis, MN 55409
Attn: Grant Guerri
LABORATORY No. 11-4190
TEST NUMBER:
P \—Tf''t.—NK FN:
t„g�j IFr� 50IL CL.ASSII'IC:lTION:
(Moisture -Density Sample
Number)
WCATION:-
DEPTH BELOW FOOTING ELEVATION:
DEPTH BELOW EXISTING GRADE:
nF:I.D DENSITY DETERIIINATI01'
1
June 4, 1979
Sand, fine
to medium
grained, a
little gravel,
brown(SP-SM)-1
Lot 12
A
N
F
June 4, 1979
Sand, fine
to medium
grained, a
little gravel,
brown (SP - Sq- 1
Lot 1.3
A
3
June 4, 1979
Sand, fine
to medium
grained, a
little gravel,
brown(SP-SM)-1
Lot 14
A
4
June 4, 1979
Sand, fine
to medium
grained, a
little gravel,
brown (SP -SM) -1
V11—
Lot 15
RE
A
Alethod . Density in Place By Nuclear
Density Method III',
ASTM: D2922-71
(44 Basis)
Dry Density (pcf)
125.5
124
128
128
Moisture Content (50
5.1
8.1
7.3
5.1
Plus r+4 Material (%)
6
8
8
7
LABOR %TORY N1101STURE-DENSITY RELATION
OF SOIL:
Nlcthod
ASTM: D698-70, Method "A"
(44 Basis)
!Maximum Dry Density (pcf)
121.3
121.3
121.3
121.3
Optimum Moisture (-)
9.5
9.5
9.5
9,5
COMPACTION TEST RESULTS:
Compaction 00
103.5
102
105
105
RE\I4RKS: These -tests are only
indicative
of the compaction
at the locations
and
elevations shown.
As A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. ALL REPORTS ARE SUBMITTED AS INC CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHOR'
114110N FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL
Twin City Tes 'ng and Engineering Laboratory, Inc.
X
By
CITY OF FRIDLEY
APPLICATIQN ,FOR PLUMBING AND GAS FITTING PER4IT
w
Job Address
Department of Buildings c
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
e the facts and representations stated in this application are true and correct
ROV. J08Wh Q. YftW.Jn. �� , 19 7?
4= Quincy St. N.E.
OWNER Cohnn1in Hgjahfa- Minn. 5.5421
KIND OF BUILDING
PARTIAL RATE SCHEDULE
PLUMSBING FIXTURE RATES:
NO.
RATE
TOTAL 00
//
Number Fixtures_JZ
�P x
I
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
A
�.
$
b
C
$5.00
$
J Water Heater - to 99,000 BTU
x
$5.00
$ Soo*
b
I
water
a3
m
m
$7.00
$
New Ground Run Old Building
s,
b+
q•0
ro
$
a
x
.,Vj
4J
W
N
,
Heater
m
tJ
.i
$ �•
0
x
E
«�
t
N
A C
$
Q
fa
0
y
C
Ni
-.O
B •N
4j N
N
N
T
O
++
v1
O
-�
U
—1
$,
O
ro
C4
N
ro
CA
.+
N
ro
3
0
W o
O W
O
x
V]
O
.-4
W
(0ro
U M
o ro
�C 3
N
m
U
{
£
(a
U
"
O
as
�lec
.1St
2
2nd
•3 rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
e the facts and representations stated in this application are true and correct
ROV. J08Wh Q. YftW.Jn. �� , 19 7?
4= Quincy St. N.E.
OWNER Cohnn1in Hgjahfa- Minn. 5.5421
KIND OF BUILDING
PARTIAL RATE SCHEDULE
PLUMSBING FIXTURE RATES:
NO.
RATE
TOTAL 00
//
Number Fixtures_JZ
�P x
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
/ Catch Basin
x
$5.00
$
J Water Heater - to 99,000 BTU
x
$5.00
$ Soo*
1 100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
e_ x
$3.00
$ �•
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$4:0.00
$
REPAIRS & ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
TOTAL FEE
REINSPECTION FEE
($10.00)
USED AS
TO BE COMPLETED AB FT
ESTIMATED COST sC/f�' �
OLD - NEW BUILDING PERMIT NO. �PER141T NO.
Company
Signed By�
Tel. No.
-7i
ROUGH INSP.
Date
FINAL INSP. - 3e.� ^ ;7,f'
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE
Furnace Shell & Duct Work
$12.00
* Replacecent of Furnace
7, 00
Repairs & alterations -up to $500.00
7.00
Repairs & Alterations each add. $500.00
4.00
MECIiANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
$12.00
each add. 50,000 BTU
4.00
*Raplace=.t of Furnace
7.00
Ra?airs & Alterations -up to $500.00
7,00
Repairs & Alterations each add. $500,00
4,00
SM444 OR :HJT WATER SYSTEM:
Bailer & Lines up to 100,000 BCU
S12.QQ
each addn. 50,000 BTU
4.00
Boiler only up to 100,000 BTU
?•AA
each adds. 50,000 BTU
A•AA
OIL BURUNEP.- to 3 gal. per hour
S}q.AA
each add. 3 gal. per hour
?AAAA
GAS B uRXE R- from 100,000 BTU to ;59,M PTN S}A.Aq
(over 19S,999 BTU see Fee Sc4equl0
GAS FITTI`:G FEES:•
ist 3 Fixtures x S I -AA
A33itional Fixtures x $ ;;AQ
Gas Range to 199,QQQ ETU
?IR CONDITIOXING U� i0 �� - io ao
FAN HEATING SYSTEMS See Fee Sche4ule
VEXTILATIXG SYSTEMS (_IF_oJ7" I-AXS
ALTERATIONS 4 REPAIRS
State Surcharge
TOTAL FEE
FDUGH INSP. REINSPECTION FEE
Date ($10.00)
FINAL Imp. - 2 ` - S� 0
Date
APPROVAL FOR PERKIT ,
TOTAL
$
$
$
$
MINI.!%= F=E FOR MY F?EATING PERKIT IS $7.50 PLUS $.50 STATE SUR=RGE
*Attached stack verification form
Job Address ' ;Z I
Department of B4tj4ngg
C}ty of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
'1977
OWNER aub" SL XL '
KIND PF BUILDING U
PP AS
TA $'� FQ
A�•4 ' #NTRTN.G FFR��� Nq. yER •SST F70. %S
QESCRT?TTON QF FURNACE/BUR:4ER
#I:F-hTTNA Ar PQWP '? NT�f Et:p ' f #;Ax W t?a ?! A} No. /
T:-ade Name Size No. • oy_-)
Capacity 9R. Ft. EDR BTU Fib
Total Connected Load Kind of Fuel
BURNER - Trade Name �� Size No.
capacity Sq. Ft. EDR BTU RP
Company
Signed By /A
Tel. No.i /
61431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 56432
TELEPHONE ( 612)571.3450
" a f December 5, 1979
t
Rev. Joseph Valtinson Jr.
5215 Pierce Street N.E.
Fridley, MN 55421
Re: Final Inspection at 5215 Pierce Street N.E.
Dear Rev. Valtinson:
A final inspection was made on November 30, 1979 of the above address
and the following item was noted which must be completed before the
structure can be finaled out;
Install a closer on the door between the basement and the
storage room by December 21, 1979.
We will expect the above item to be completed by the scheduled date
when a reinspection will be made to determine compliance. If you have
any questions on this item, please contact me at 571-3450.
Sincerely,
—C
DARREL G. CLARK
Chief Building Official
DGC/mh
•
SUBJECT
City of Fridley
31858
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEI N
COMMUNITY DIV.
- PROTECTIVE INSPECTIONSEC.
604
9/y u
1 i
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1�1
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/30/01
JOB ADDRESS 5215 Pierce Street NE
T LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15
1
Marian Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Joseph Vattinson 5215 Pierce Street NE
763-571-4682
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
American Building Contractors 12247 Nicollet Ave, Burnsville, MN 55337 20169383
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
952-707-6959
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (31 Sq) Tear -off
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Underlayment must comply with
the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING.
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. '
NO OWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$3,170
$1.59
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•
$97.25•
Fire SC $3.17
ST UCTION OR THE PERFORMANCE OF CONSTRUCTION
-
0
y
PLAN CHECK FEE
TOTAL FEE
).,I I/ _
Licens $5.00
$107. 1
SIGNATURE OF CONTRACTOR OR AUT-OAQED AGENT IDATEI
ENRRRDPER LIOATE0 1 S YO P T
S-GNATURE OF OWNERIIF OWNER BUILDERI IOATEt
Bl INS FI ATE
Y
J NEW [ ]
ADDN [ l
ALTER [ ]
r
Construction Address:
Legal Description:
Effective 5/10/99
CITY OF FRIDLEY
SINGLE FA ILLY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Owner Name &Address: S (\ rti1 j 6 r L Tel. # 7 b3 "�7 I' 76
Contractor: ���•. 9 lam° . �pr���,ac��� MN LICENSE #
Address:_%�- L% ComTel. # OcS -,? - ?6-?- 61 j
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
STIPULATIONS:
DESCRIPTION OF IMPROVEMENT
. LIVING AREA:
Length
Width Height- Sq. Ft.
GARAGE AREA:
1
Width Height Sq. Ft.
DECK AREA:
Width Hgt/Ground Sq. Ft.
OTHER:
_
r
A
Construction Type:
YP
(�
`�
� � �
Estimated Cost: $
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE:3�/�
f
APPLICANT:
Tel. #
CITY USE ONLY ! '
Permit Fee
$
R7- a5
Fee Schedule on Reverse Side
Fire Surcharge
$
'�j - l7
.001 of Permit Valuation (1/10th%)
State Surcharge
$ (. �'
$.50/$1,000 Valuation ,
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$
5
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$
(0-7. of
STIPULATIONS: