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PRE 2010 DOCSI M y As 1. APPLICANT: Name 1-•9am Address 5 -7 Telephone Number 2. PRaPERTY OWNER(S) : Name RECEIPT # HATE FEE S z2� Name Street Address Street Address City, State Zip Code City, State Zip Code Office Phone Home Phone Office Phone Hame Phone 3. iris D-IPTI4IJ OF PRCPERTY TO BE ALTERED: ') 41 - .3 0 -..? q - 44) -- O © Co f' Lot �Block�^� 2 Tract ( ) Q ICC. �--T I Q.S 4 ty State 4. DESCRIPTMN OF LAND ALTERATION OPERATMN Zip Code 6. VALUE OF WORK TO BE PEPICE D: $ -• • • �• •• r•. i•. 41 "IM ► • 9. ATTACHMENTS (Information Needed to Properly Evaluate Application): The following plans, drawings, calculations, bonds and/or statements will be required by the Public Works Department. Half section map or sketch of property showing all adjacent property indicating the exisiting buildings and/or structures. Grading plan showing exisiting and proposed finished contours and evaluations. Drainage plan showing exisiting and proposed drainage structures, stabilization walls, retaining walls, cribbing, dawns, or other protective items. _ Calculations for and approximate quantities of excavation and/or f ill required. Signed statement from the property owner accepting responsibilty for the operation and granting permission f or land alteration/mining operation. _ Statement to be attached to deed advising of potential need for soil tests prior to any construction on lots where additional fill material has been placed. _ Rice Creek Watershed District Approval (If Applicable) _ Soil Borings (if required) _ Other a. A surety bond or ceritified check in the amount of $ (5% of value of work to be ompleted) must be submitted after approval of application and prior to any work commencing. This bond or check is to ensure satisfactory performance and compliance with the below stated stipulations. The surety bond or check shall be kept active until the completion of work and/or expiration of permit and can only be released by written notification of the City after a satisfactory final inspection has been performed by City forces. b. A11 access and street frontage of the land alteration site must be controlled by a fence, a mininnn of four (4) feet in height. All entrances must have gates that are capable of being locked. c. Only rock, sand, gravel, dirt, or similar natural earth fill is permitted. No concrete, asphalt, or demolition wastes will be permitted as fill =1= a demolition landfill permit is first obtained from Anoka County. d. Operations shall be limited to daylight hours and shall not interfere with the health and safety of surrounding residents and the premises shall be maintained at all times so as not to create a nuisance. • e. Any explosives used must be done so in accordance with Chapter 212.3, paragraphs d, e, f, g, of the Fridley City Code and any other applicable standard e.g. Federal, State, Industrial, etc. f. At the end of each season's operations and no later than the last day of December each year, the site is to be left in a neat and orderly condition, with maximum slopes of 2sl with no overhang or vertical banks and with a level bottom. g. On the Friday of each work week, or when required by the City, material from this operation that is found to exist on City streets shall be cleaned to the City's satisfaction by the applicant. h. Upon completion of land alteration operations, the land must be left according to the plans and contours submitted with this application and planted with suitable vegetation to prevent erosion. i. Upon completion of land alteration operations or expiration of this permit, an inspection by the City will be made of the premises and adjoining streets. Any damage found to have been caused by these operations will be corrected by the applicant upon notification by the Citv. Applicant's Signa Property Owner's •,• �� //i PERMIT WIR MN HATE: Date: Date: Date: Date: e' Z S -z9S LAPID ALTERATEN FEES 50 Cubic yards or less • • • • • • • • • • • • • • • • • • • • No Fee 51 to 100 cubic yards. • . . • . • • $10.00 101 to 1000 cubic yards. . . . . • 0 • 15.00 1001 to 10,000 cubic yards . . . . . . • 20.00 10,001 to 100,000 cubic yards - $20.00 for the first 10,000 cubic yards plus $10.00 for each additional 10,000 cubic yards or fraction thereof. 100,001 to 200,000 cubic yards - $110.00 for the first 100,000 cubic yards plus $6.00 for each additional 10,000 cubic yards or fraction thereof. 200,001 cubic yards or more - $170.00 for the first 200,000 cubic yards plus $3.00 for each additional 10,000 cubic yards or fraction thereof. 50 Cubic yards or less . . . . . . . . .510.0 51 to 100 cubic yards. . . . . . . . . .515.00 101 to 1000 cubic yards - $15.00 for the first 100 cubic yards plus $7.00 for each additional 100 cubic yards or fraction thereof. 1001 to 10,000 cubic yards - $78.00 for the first 1,000 cubic yards plus $6.00 for each additional 1,000 cubic yards or fraction thereof. 10,001 to 100,000 cubic yards - $132.00 for the first 10,000 cubic yards plus $27.00 for each additional 10,000 cubic yards or fraction thereof. 100,001 cubic yards or more - $375.00 for the first 100,000 cubic yards plus $15.00 for each additional 10,000 cubic yards or fraction thereof. 5/1/4/3 I n) A=� Z7, 1 4 -1.+ k RECEIPT city 0 6431 University Ave. N.E. Fridley, Minnesota 55432 Tel. 571-3450 RECEIVED OF $ 00 ADDRESS FOR FUND CODE , — _ AMOUNT SIDNEY C. INMAN Treasurer By r 19 $� No. 155 P C., 9 F LA TPAKIT� MOORE BUSINESS FORM B. INC. - N 3.. 7/2042306 CIlYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E., FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 October 10, 1985 Mr. Jack Menkveld J. A. Menkveld & Associates Inc. P.O. Box 34004 Blaine, MN 55434 Re: 5692 Regis Trail N.E. and 6791 Brookview Drive N.E. Dear Mr. Menkveld: Please be advised that before -we can issue the two building permits for the homes at 5692 Regis Trail N.E. and 679.1 Brookview Drive N.E., we need the following information: 5692 Regis Trail N.E.- Because of the very unusual terrain and fill already placed on this lot, we ask that you have a registered engineer examine the site and design the foundation system for the house; 1 . Brookview Drive N.E.: Because there is no City sewer and water servicing this property, you must meet with the City Engineering Department to agree upon a method of service and grant to_the City any necessary utility easements. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, DA G. CLARK Chief Building Official, DGC/mh CC: Mr. Mark Burch, Asst. City Engineer - Companies SUBURRANEAN ENGINEERING CORP. professional solutions to your soil engineering needs Mr. Richard Cary c/o Coldwell Banker 951 Hillwind Road Fridley, Minnesota 55432 Job No. X-86048 April 21, 1986 RE: Soil Investigation Single Family Dwelling Lot 13, Block 2 Parkview Oaks lst Addition 4g� Regis Trail Fridley, Minnesota Subterranean Engineering Corp. was retained by Mr. Richard Cary to perform a jil investigation at this lot. The purposes of our work were to determine the general soil and ground water conditions in the proposed house location. We were to prepare a report of our findings, including recommendations for the foundation design and installation. PRnr..FDTTRF. By agreement with Mr. Cary, a single soil test hole was drilled near the front lot line of the proposed house on April 7, 1986. Attached Drawing No.l shows the location of the test hole in relation to the proposed house layout. The location was chosen based on access to the lot by our 4 -wheel drive truck- mounted GE -45B drill rig. Conventional soil sampling equipment and soil sampling methods were used. 6875 Highway 65 N.E. P.O. Box 32308 Minneapolis, MN 55432 (612) 574-1242 12203 Nicollet Ave. So. Burnsville, MN 55337 (612) 890-6516 2 Soil samples obtained during the field investigation were classified by a Soil Engineer according to the Unified Soil Classification System. A chart defining this system is appended. Detailed soil description s together ..: with a plot of the standard penetration test blows per foot are given onher the Borehole Log, Drawing N6.2. The soil samples will be retained for a period of at least 90 days from date of issue of this report, after which they will be discarded unless we are otherwise notified. ` Indicated elevations are to geodetic datum, and were obtained using the bench mark noted on the site plan. The actual depth to stratum changes may vary from those depicted in the borehole log by + 1 foot. SITE AND GEOLOGY The lot is located at the northwest end of the Regis Trail cul-de-sac in Fridley, Minnesota. This lot has a steeply sloping grade (approximately 65°, measured from the horizontal) which occurs about 40 feet from the street. It drops about 25 feet from a street elevation of 975 feet to a back lot elevation of about 950 feet, geodetic datum. The steep slope overwhelmingly controls the present surface damage, and severely hampers the useability for construction of a single family dwelling. Geologically, the site lies within the Twin Cities geomorphic region. Generally, this formation consists of highly variable and mixed sand, silt, and clay soils related to the Superior ice lobe of the Wisconsin glaciation. It appears the lot has received a substantial amount of fill placement by end dumping, to meet the street grades. According to information published by the State of Minnesota Geological Survey, the uppermost bedrock stratum under this site is believed to be St. Peter sandstone, and probably occurs at a depth in excess of 150 feet below present grade. SOIL CONDITIONS Three basic soil types were encountered in our single test boring. These are: uncompacted fill; silty fine sand; and lake deposited sand. SUBTERRANEAN ENGINEERING CORP. x MINNEAPOLIS, MINNESOTA 3 Uncompacted Fill: Overlying a good portion of the front of the site is a 16 foot thick stockpile of uncompacted fill. The fill was apparently placed by end dumping, mostly during street construction. However it appears some fill, about 3 feet, was placed more recently. The fill consists of locally native soil which is mainly a red -brown silty fine sand. It is quite apparent from the very low (1 to 6 blow counts) standard penetration test results in the upper 8 feet that the fill was uncompacted. Typically, compacted fill will range from 12 to 18 blows per footpsometimes higher, during standard penetration testing. The lower 8 feet of fill was also uncompacted when placed but has consolidated somewhat from the weight of overlying material, to yield slightly higher blow counts, about 8 to 10 blows per foot. The high silt content of the sand has allowed it to maintain the steep slope without much sloughing or erosion. The uncompacted fill is an unstable soil stratum with very low load bearing capacity and high compressibility, potentially collapsible if inundated with water. It is unsuitable for foundation or floor slab support. Likewise it should not be used to support overhanging decks, walkways or steps cut into the uncompacted fill. This material should be excavated and removed from any area that will be involved in the site construction, including utility connections. It may be reused as structural fill if properly compacted. Silty Fine Sand Natural site soils underlie the fill and commence at 16 foot depth. A red -brown silty fine sand comprises this 12 foot thick soil stratum. Standard penetration test results in this layer vary from 21 to 26 blows per foot, indicating a medium dense natural condition. The silty fine sand is a suitable foundation subsoil, with moderate load bearing capacity and very low compressibility. SUBTERRANEAN ENGINEERING CORP. x MINNEAPOLIS, MINNESOTA 4 Lake Deposited Sand Beneath the silty fine sand, commencing at a 28 foot depth, is a lake deposited sand typical of the Anoka Sand Plain. The thickness of this stratum is unknown since our boring terminated within it. The fine sand of this layer is in a medium dense natural condition, as indicated by the standard penetration test result of 17 blows per foot. The lake deposited sand is a suitable foundation subsoil, with moderate load bearing capacity and low compressibility. a GROUNDWATER CONDITIONS Free groundwater was not encountered in our soil boring. The ground- water table at this lot is lower than elevation 947 feet. This appears consistent with the regional groundwater regime, which is controlled by Moore Lake,about 2000 feet northwest of the site, which has average water elevation of 874 feet geodetic datum. There is also a swamp and small pond east of the site, which is an unconnected perched water table about at elevation 957 feet. Groundwater intrusion during earthwork operations will not occur. However provisions should be made to prevent surface runoff from the street from entering the excavation. DEVELOPMENT PLANS It is proposed to construct a tri -level home roughly matching the steep grade of the site. The house will have a relatively deep basement along the front wall, getting progressively shallower to the rear. Cast -in- place concrete foundation walls are planned for the structure. The garage floor slab will be elevated and will consist of precast concrete "T" beams simply supported by the foundation walls. Wood frame construction will be used for all parts of the structure above ground. The foundation loads placed on spread footings will be moderate in the front portion of the home reducing to light at the rear. SUBTERRANEAN ENGINEERING CORP. x MINNEAPOLIS, MINNESOTA 5 ANALYSIS AND RECOMMENDATIONS The soil conditions at this lot are presently not favorable for house construction. However, if a significant amount of soil correction is done to make this lot buildable, it can accommodate a single family dwelling of the type planned. To prepare the house pad for construction all previously placed uncompact fill should be excavated and removed. This material may be stockpiled at the rear of the lot for later reuse as structural fill. The thickness of uncompacted fill at our boring location is 16 feet. This thickness is expected to decrease as excavation proceeds to the west (rear) of the house pad. A safe excavation backslope.should be maintained at all times by the earthwork contractor. Suitable means to maintain adequate, safe support preventing detrimental movement of the nearby street, underground utilities, and adjacent homes should be executed by the earthwork contractor at all times during excavation and backfilling for the structure. This may require shoring and cribbing, use of sheet piling, or excavation of short sections at a time. Excavations should be oversized one foot for each one foot of fill required to be placed to reach design footing grade. Groundwater intrusion during excavation is unlikely. However, provisions should be made to protect this deep excavation from surface runoff. The base of the excavation should be observed and approved by a qualified Soil Engineer prior to footing or fill placement. It may be necessary to cut a series of benches or level terraces prior to filling. The base of the excavation should be rolled with suitably large compaction equipment to achieve at least 92% of Maximum Modified Proctor Dry Density, ASTM D-1557, prior to footing or fill placement. -SUBTERRANEAN- ENGINEERING UBTERRANEANENGINEERING) CORP. x MINNEAPOLIS, MINNESOTA 0 Structural fill required to reach design grades for supporting or floor slab loading should be a clean, inorganic sandy soil. It should be spread in loose lifts not to exceed 8 inches, moisture conditioned, and compacted to an average density of 95% Maximum Modified Proctor Dry Density, ASTM D-1557 , with individual test values of at least 92% Maximum Modified Proctor Dry Density. The building may then be supported upon conventional, relatively shallow spread footing foundations based directly on approved natural soil, or on approved compacted fill. A net allowable soil bearing pressure of 3000 pounds per square foot may be used for the footing design. Perimeter footings under heated portions of the building should be at least 32' below outside finished grade, for frost protection purposes. Footings under unheated portions, such as the outside garage walls, should be at least 4' below outside grade. Continuous strip footings under bearing walls should be at least 22" wide, for practical reasons. Foundation walls in excess of 8 feet below outside finish grade may result from the design configuration of this house. Any exterior foundation walls should be designed to withstand the lateral earth pressure against its outside face, created by the soil backfill. An equivalent fluid pressure of 60 pounds per cubic foot can be substituted for the earth pressure in designing the foundation walls. All exterior structures adjacent to the building, such as patio slabs, garage apron, etc. should be structurally independent so that if they are subjected to frost heave they will not introduce stresses into the main structure. The exterior grading around the building should provide for positive drainage away from the walls in all directions. If the backfill settles shortly after construction it should be maintained or re -graded as necessary, to maintain a good drainage pattern. SUBTERRANEAN ENGINEERING CORP. MINNEAPOLIS, MINNESOTA 7 Exterior improvements such as outside stairs or deck posts should be founded on native soils or approved compacted fill. They should not bear directly on uncompacted fill. The procedures outlined above for correction of the house pad should be followed exactly, with the exception that the fill may be compacted to just 90% of Maximum Modified Proctor Dry Density. To prepare the driveway area, it should be subcut 24 inches below design grade, surface compacted, and 18 inches of structural fill compacted into place. A conventional flexible pavement may then be used above such a prepared subgrade. This could consist of a 5" Class 5 granular base course, overlain with a 2" hot -mix bituminous wearing surface. r -F MVP AT. The soil conditions have been established at our specific single test hole location only. Conditions elsewhere on the site are likely to vary, and extrapolation of the results to other areas is not warranted. During construction, all excavation, earthwork, fill placement and compaction, and footing installations should be monitored and tested by a qualified Soil Engineer. We would be pleased to provide the necessary field observation and testing services. In the event that any changes in the nature, design or location of the building are planned, the conclusions and recommendations contained in this report shall not be considered valid unless these changes are reviewed and the conclusions modified or verified in writing. SUBTERRANEAN ENGINEERING CORP. x MINNEAPOLIS, MINNESOTA SUBTERRANEAN ENGINEERING CORP. x MINNEAPOLIS. MINNESOTA LOT: 13 BLK: 2 PARKVIEW OAKS FIRST ADDITION BENCHMARK: TOP NUT- OF HYDRANT NORTH EAST OF REGIS TRAIL A TERRACE INTERSIECTION EL.973.5 FT. GEODETIC DATUM TH- r EL.976.8 0. NORTH o Q� MANHOLE COVER EL. 974.7 SUBTERRANEAN ENGINEERING CORP. "`'• SOIL INVESTIGATION CARP RESIDENCE LOT -13.81-K-2 PARKVIEW OAKS Ist ADDITION REGIS TRAIL. FRIDLEY MINN. REVISIONS FOR: Mr. RICHARD CARY NO. OATS •r DRAWN •r R.J.V. SCAL[ KT S. JOB. NO. x- 86048 i CNR•D ,w� DATs 4-17-86 DRAWING NO. 0 it$ NOR -E k, D t AT i o N T iDT LINE @ GARAGE, SEE NO 1 P HOLE ADVANCED GY 7''o.d. HOLUY STEM AUGER 100olD sr J F. '....1,.C. DATE APRIL 7, 1986 EttV 1v#i =vows P DESCRIPTION FT 0 =:1 20 C} NOTE: Free groundwater not encountered during drilling. Hole dry. :. ..-- Uncompacted Fill: I --- Red -brown �* silty fine sand, tracer� avel & roots Humid to moist. Very loose to loose. TT - -Red brown fine sandy silt, (ML) Non -plastic between Sand 8' �-`:•� _ 1. ... _ t___� - &0 •' - _ Lt. brown to red -brown its •" ____ i1 _._ :. silty fine sand (SM) foist. Medium dense. Lt. brown fine sand - . �_�_. (SP) Humid. �' • �. _ - _ Medium dense. 30'r No Refusal. ef sQ 1. ® NO SLOW $ v FEW �F06 T Test Hole Backfilled. Nil! C®NSl drawn M.1 checke(/w/djr/�. nm A* t 13 Blk.2 PARKVIEW OAKS t ADDITION, m1m, H . RIQM QU. asp NO...SQ�$.. I�x - 1B 2ANIC 'y MOISTURE iY CONTENT °I® 0 sA N IC NO. BLOWS STANDARD PENETRATION T / TEST 4D S� NO. BLOWS PER sVEI FT - CONE PENETRATION ROCK /� FEST bpi ti NATER LEVEL ; WiT 0 L!MIT— � :A4 0L 5 'OHEION LF S;d =T, MTF ANAL FRIT_ TION ' EGREES Iv N STaiNGTH NATURAi MOIST -IRE CO*vrFNT °a JNM) TUREIED SA,APLE SUBTERRANEAN ENGINEERING CORP. ,, N �:�� t�t f t.I ;. %I I N N u'so'rA ILTING S 0 1 L ENGINEERS date drawing no. •�A//�(�y����� 5t i nm A* CLASSIEICABON OF SOILS EQB EN91NEEHIN " �taa�osii��l�c ASTMDesignation: ® 2457 — 66 T AND ®2 — SS T Unifimg hil Classification Ustem divisions GroMajor symbols Typical names Laboratory classification criteria � GW Well -graded gravels, gravel -sand mixtures, little or no fines D60 (D30)2 Cu�greater than 4; Ccm between t and 3 D t6 Or0 10%1060 om 0 �= V a J GP Poorly graded gravels, gravel- sand mixtures, little or no fines $ a Not meeting all gradation requirements for GW Gij o•N 0 U N }$9y�j� e d Silty gravels, gravel -sand -silt �f 3i N N Atterberg limits below "A" mixtures 5� a � o line or P.I. less than 4 Above "A" line with P.I. between 4 7 bol o and are c derline N cases requiring use Z GC Clayey gravels, gravel -sand -clay $ toAtterbarg limits above "A" of dual symbols 5 mixture line with P.I. greater than 7 _ yS SW sands, gravelly m e ; ; ; D60 103012 'T sands, sands, little or no fines ii i'i ; ; ; Cu Dlo greater than 6; Cc=®101(060 between 1 and 3 o a J Poorly sands, gravelly sands, little or no fines - .. ; iA ; Not meeting all gradation requirements for SW TZ ~ ` ~ SM d Silty sands, sand -sift mixtures Atterberg limits below "A" line or P.I. Ism than 4 Limits plotting in hatched m c W c zone with P.I. between 4 .d and 7 are borderline cases dual Sc Clayey sands, sand -clay mix- E I H 1 8 a 2: Atterbarg limits above "A" bolsfiring use of sym- vi tures ffi r line with P.I. greater than 7 Inorganic silts and very fine sands, rock flour, silty or clay - ML ey fine sands or clayey silts 60 c with slight plasticity Inorganic clays of low to ms .. 1f For classification of fine-grained soils and fine fraction of coarse - CL dium plasticity, gravelly clays, grained soils. sandy clays, silty clays, lean Attarberg Limits plotting in = clays hatched area are borderline dasei- CH in fications requiring use of dual '3 OL Organic silts and organic silty clays of low plasticity 40 symbols, x Equation of A-line: PIa0.73 ILL -20) � a C Inorganic silts, micaceous or diatomaceous fine ,g MH sandy or 'a�� OH a MH silty soils, elastic silts a "T' l8 20— CH Inorganic days of high pies- CL ticity, fat clays 10 "p — 4 _LM MLa dOL $ ®H..... Organic clays of medium to high Plasticity, organic silts 0 .° 0 10 20 30 40 60 60 70 80 90 100 2 Liquid Limit Pt Past and other highly organic soils Plssticitlr Chat x IMPORTANT . O. ABOUTYOUR More construction problems are caused by site subsurface conditions than any other factor. As troublesome as sub- surface problems can be, their frequency and extent have been lessened considerably in recent years, thanks to the Association of Soil and Foundation Engineers (ASFE). When ASFE was founded in 1969, subsurface problems were frequently being resolved through lawsuits. In fact, the situation had grown to such alarming proportions that consulting geotechnical engineers had the worst profes- sional liability record of all design professionals. By 1980, ASFE-member consulting soil and foundation engineers had the best professional liability record. This dramatic turn -about can be attributed directly to client acceptance of problem -solving programs and materials developed by ASFE for its mem- bers' application. This acceptance was gained because clients perceived the ASFE approach to be in their own best interests. Disputes benefit only those who earn their living from others' disagreements. The following suggestions and observations are offered to help you reduce the geotechnical -related delays, cost -over- runs and other costly headaches that can occur during a construction project. A GEOTECHNICAL ENGINEERING REPORT IS BASED ON A UNIQUE SET OF PROJECT -SPECIFIC FACTORS A geotechnical engineering report is based on a subsurface exploration plan designed to incorporate a unique set of project -specific factors These typically include the general nature of the structure involved, its size and configuration; the location of the structure on the site and its orientation; physical concomitants such as access roads, parking lots, and underground utilities. and the level of additional risk which the client assumed by virtue of limitations imposed upon the exploratory program To help avoid costly prob- lems. consult the geotechnical engineer to determine how any tactors which change subsequent to the date of his report may affect hi-, recommendations Unless your consulting geotechnical engineer indicates otherwise, your geotechnical engineering report should not be used • When the nature of the proposed structure is changed, for example. if an office building will be erected instead of a parking garage, or if a refriger- ated warehouse will be built instead of an unrefrig- erated one. • when the size or configuration of the proposed structure is altered; • when the location or orientation of the proposed structure is modified; • when there is a change of ownership, or • for application to an adjacent site. A arotechnic al engineer cannot accept responsibility /or problems which nuau develop it he is not consulted after factors considered in his reporl's development have changed MOST GEOTECHNICAL "FINDINGS" ARE PROFESSIONAL ESTIMATES Site exploration identifies actual subsurface conditions only at those points where samples are taken, when they are taken. Data derived through sampling and subsequent laboratory testing are extrapolated by the geotechnical engineer who then renders an opinion about overall sub- surface conditions, their likely reaction to proposed con- struction activity, and appropriate foundation design. Even under optimal circumstances actual conditions may differ from those opined to exist, because no geotechnical en- gineer no matter how qualified, and no subsurface explo- ration program, no matter how comprehensive, can reveal what is hidden by earth, rock and time. For example, the actual interface between materials may be far more gradual or abrupt than the report indicates, and actual conditions in areas not sampled may differ from predic- tions Nothing can be done to prevent the unanticipated, but steps can be taken to help minimize their impact. For this reason, most experienced owners retain their geotechnical consultant through the construction stage. to identify variances, conduct additional tests which may be needed, and to recommend solutions to problems encountered on site SUBSURFACE CONDITIONS CAN CHANGE Subsurface conditions may be modified by constantly- charq,,ing natural forces Because a geotechnical engineer- ing report is based on renditions which existed at the time of subsurface exploration, construction decisions should not be based on a geotechnical engineering report whose adequacy may have been affected by time Speak with the geotechnical consultant to learn if additional tests are advisable before construc- tion starts Construction operations at or adjacent to the site and natural events such as floods earthquakes or groundwater fluctuations may also affect subsurface conditions and, thus, the continuing adequacy of a geotechnical report. The geotechnical engineer should be kept apprised of any such events. and should be consulted to determine if additional tests are necessary. A GEOTECHNICAL ENGINEERING REPORT IS SUBJECT TO MISINTERPRETATION Costly problems can occur when other design profession- als develop their plans based on misinterpretations of a geotechnical engineering report. To help avoid these prob- lems, the geotechnical engineer should be retained to work with other appropriate design professionals to explain relevant geotechnical findings and to review the adequacy of their plans and specifications relative to geotechnical issues. BORING LOGS SHOULD NOT BE SEPARATED FROM THE ENGINEERING REPORT Final boring logs are developed by the geotechnical en- gineer based upon his interpretation of field logs (assem- bled by site personnel) and laboratory evaluation of field samples. Only final boring logs customarily are included in geotechnical engineering reports. These logs should not under any circumstances be redrawn for inclusion in architectural or other design drawings, because drafters may Commit errors or omissions in the transfer process. Although photo- graphic reproduction eliminates this problem, it does nothing to minimize the possibility of contractors misin- terpretating the logs 'during bid preparation. When this occurs, delays, disputes and unanticipated costs are the all -too -frequent result. To minimize the likelihood of boring log misinterpretation, give contractors ready access to the complete geotechnical engineering report. Those who do not provide such access may proceed under the mistaken impression that simply disclaiming responsibility for the accuracy of subsurface information always insulates them from attendant liability. Providing the best available information to contractors helps prevent costly construction problems and the adversarial attitudes which aggravate them to disproportionate scale. Because geotechnical engineering is based extensively on judgement and opinion, it is far less exact than other design disciplines. This situation has resulted in wholly unwarranted claims being lodged against geotechnical consultants. To help prevent this problem, geotechnical engineers have developed model clauses for use in written transmittals. These are not exculpatory clauses designed to foist the geotechnical engineer's liabilities onto someone else. Rather, they are definitive clauses which identify where the geotechnical engineer's responsibilities begin and end. Their use helps all parties involved recognize their individual responsibilities and take appropriate action. Some of these definitive clauses are likely to appear in your geotechnical engineering report, and you are encouraged to read them closely. Your geotechnical engineer will be pleased to give full and frank answers to your questions. Your consulting geotechnical engineer will be pleased to discuss other techniques which can be employed to miti- gate risk. In addition, the Association of Soil and Founda- tion Engineers has developed a variety of materials which may be beneficial. Contact ASFE for a complimentary copy of its publications directory. Published by 8811 Colesville Road/Suite 225 Silver Spring, Maryland 20910 301/565-2733 SUBJECT PE T NO. City of Fridley 18508 AT THE TOP OF THE TWINS BUILDING PERMIT r � CEIPT NO y_______ 1 LCOMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. /0d'2 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 6/18/86 JOB ADDRESS 5692 Regis Trail N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Parkview Oaks lst Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE J.A. Menkveld & Associates, Inc. P.O. Box 34004, Blaine 55434 757-0094 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 32' x 36' Dwelling and a 201-x 19' Garage with. a 29' x 8' Deck 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards Provide a verifying survey before capping. Soil density test and inspection by soils engineer is required. Erosion control is required during construction. SEWER LOCATION: (N.H. Inv. 965.01) 10.21 N.E. of Water Service (Wye 8' Deep) WATER LOCATION: 51.2' N.W. of M.H.: 10.2' SW of Sewer Service DRIVEWAY DEPRESSION: N/A 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 SQ. 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRE ; ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE F WORK WILL BE COMPLIED $ 96, 950 $48.48 WITH WHETHER SPECIFIED HEREIN OR NO . THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIT TO 'VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE YOT STATE OR LOC L LAW REGULATING CON- P VI Sf�f $424.00 $475.00 S U T PER OR ANCE OF CON RUCTION. PLAN CHECK FEE TOTALFEE �g^ $106.00 $1,053.48 71'N A T REO C CT RORAU IZ DAGENT (DATE) WHEN PROPERLY V IDATED THIS IS YOUR PERMIT BLDG INSP qA GNATURE OF OWNER OF OWNER BUILDERI IDATEI - NEW YX ADDN. [ ] ALTER. [ ] Construction Addre Legal Description: City of Fridley Effective 4/1/84 �R-1 AND R-2 Building Permit Application V Owner Name & Address -11461 Tel. Contractor Address LIVING AREA: r.ARAnE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Corner Lot [ ] Inside Lot [%� Ft. Yd. Setback Type of Construction: MA Approx. Completion Date: Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setback Estimated Cost: $ 8 r Alt. A 96VAAlt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: / ® ��5-5 APPLICAI Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer !lain Charge ite,0-0 STIPULATIONS: 4.00 Q.0d Fee Schedule on Reverse Side W 25% of Building Permit Fee 44,E $.50/$1,000 Valuation qv&— ��94z.OU$425 per SAC Unit $ 7' Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] /0o qs ry <-j-4z_yj- a ffrWLJ --L �` 3PrC-31C.�U Is AC -Q I i01) / Z`1 Soo o f S 0 1, L 0-aij -Ue ycd.. MINUESOTA STATE ENERGY CODE CALCULATIONS BASED ON CHAPTER 5 OF THE MOUtL ENERGY CODE - ly EDM ON Aduptiun Effective 1/1/84 honer Phone Lat 4415 ;ite Address ;oritractor �`�� Phon7r5,2`istv luilding Classification: Type Al (Single Family & Duplex) Type A2 (Residential) (3 stories orless) (Other (Over 3 stories)' SENERAL INFORMATION 1. Building Perimeter ft. i. Wall height (ground to eave) J.� ft. 2 3. 1. x 2. (above) gross wall t. 4. Building dimensions (L) "mak, x (N) Lrc-,T� a ft.2 roof & floor area S.. Square foot area of rim joist - Floor joist size (2 x ? ) ? x Perimeter = Rim joist area a ft2 72 - 6 • Doors - Area 16P �r6r ' ' Thickness r in. U factor g f 4- Type of Construction t-kMy e, c Perimeter ft. Manufacturer 7. Total door's perimeter ft 8. Windows: Manufacturer State approved U factor TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET Z EACH UNITS l� 9. Total ft.2 Glass t 10L Fireplace area: Width x height = x = Ft.2 11. Exposed foundation: Height x Perimeter x -. Ft.2 4PLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING �D WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWAKE, IS USED. g% • f: . 11 12.- Framing area = 10% of gross wall area. 13. Gross wall area ?-- 4-Z Window area A . ft. 2 Rim, joist area -A ft.2 Door area A ft.2 Fireplace area A - ft.2 Exposed foundation A �7 ® ft.2 Framing area A ft.2 Net wall area A ft. ft.2 U windows = U x A = 10 U rim joist = U x A = Udoor area = X14- UxA- I' U fireplace = U x A - U foundation = ® U x A - 100 i U framing area = ` U x A = (r Uwall = ®d, UxA= � 15C. Net ceiling area (Ac)'(15A -'158) _ . ft.2 U ceiling x A c= 1� x Uf xAf= x 30 15D. TOTAL U x A ........................................ 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A x 0.033 (A-2 other residential) x 0.06 '(other) c� BaUH Must be larger than 15D (above)*; A (15A) t x I (code)= F (or the same as ) NOTE: Use U and values obtained from gyps 1, 3 and 4. 9 V� 1� , Z -W (1.38) TOTAL . . . . . . . . . . U x A = 14. Gross wall area x 0.11 (A-1 single family & duplex = allowable U x A/Code (13. above) x 0.23.(A-2 other residential) x .23 Other buildings) x .28 (Over 3 stories) A 2 _ U `BTUH Must --Dr. 136 be larger tha above x Code_ 15. Ceiling framing area (Af) equals 10% of ceiling area ( or the. same as) 15A. Gross ceiling area - (L) x (Y} _ � ft.2 15B Joist area (Af) - 10% ceiling area ft.2 15C. Net ceiling area (Ac)'(15A -'158) _ . ft.2 U ceiling x A c= 1� x Uf xAf= x 30 15D. TOTAL U x A ........................................ 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A x 0.033 (A-2 other residential) x 0.06 '(other) c� BaUH Must be larger than 15D (above)*; A (15A) t x I (code)= F (or the same as ) NOTE: Use U and values obtained from gyps 1, 3 and 4. 9 V� 1� , Z -W SUBTERRANEAN ENGINEERING CORP. 6875 Highway 65 N.E. x Fridley, Minnesota 55432 Job Name Job Location Earthwork Contractor Client Phone: 574-1242 Date Y 'z, 1186 Job No. 'Y_ /Arrive Job 30 Mileage 46 Depart Job ;3 ; O Q 1 Total Travel Time `� Chargeable -H Lab. Time Hours Total Hoon Yz' / On Job /- Report Time Summary of Technical and/or Engineering Services performed, including Field Test Data. Locations, Elevations, and Depths are estimated. THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE SIDE OF THIS REPORT CONSTITUTE AN INTEG- RAL PART HEREOF. Hand auger probes revealed a suitable foundation subsoil on which footings can be placed. This subsoil is a medium dense,.red brown fine sandy silt with gravel. Excavation is approved for footing placement, Note: Density tests will be performed in the backfill areas with in the foundation structure once blockwork is completed. Inspection should coincide with fill placement. DISTRIBUTION a X1, &AIZI JkAd'k'4- -I C P__i�IdLev wn' ZO-10. By4A THESE LIMITATION OF LIABILITY STATEMENTS SHOULD BE CONSIDERED TO BE AN INTEGRAL PART OF THIS REPORT: I. In performing our professional services with regard to earthwork inspection and quality control, our findings will be obtained and our recommendations made, in accordance with generally accepted engineering principles and practices. We will observe, monitor and test this work, and may advise or make recommendations, but we are not guarantors. This warranty is in lieu of all other warranties either expressed or implied. T. Subterranean Engineering Inc. does not practice in the field of land surveying, and is not responsible for the accuracy of grade stakes and/or building location stakes at this jobsite. There must be adequate construction stakes, clearly marked, to enable our soil inspector to properly assess the excavation. We will not be responsible for any harm. ful consequences resulting from improper or incorrect construction staking. 3. The field density test data presented with this report represents the values at par. ticlar loaaliked points within the earthwork. Alhough this is believed to be fairly repro. sentative of the condition of the fill placed and compacted on this date, conditions at other locations and elevations in the fill may vary, and we do not warrant or guarantee uniform M dendiies. 4. We cannot cartify, either expressly or by implication, the quality of any work on this proleet which we did not have the opportunity to observe at first hand. Inspection of this earthwork project at irregular intervals does not permit the inspector to assess the ful scope of the contractor's activities. b. If the structure is redesigned in size and shape, or if it is otherwise moved subsequent to our inspection, we should be notified so that we C=n assess if additional inspection work is required, or suggest sound engineering alternatives. We aro not responsible for any soMoundation system where the structure has been relocated with respect to excavation and fill area, subsequent to our inspection. SUBTERRANEAN CORP. • e iWye.Xg.i. MINNEAPOLIS,MINNESOTA Phone 674-1242 EARTHWORK OBSERVATION REPORT 1�4 .- ' �.� l . I OBSERVED Job Name '5t — e Job .No. EXCAVATION: t� 1 f ec( Lot Job Location _ - —_ Earthwork �,�69,Z Block Contractor Client" -- Post Arrive Job Z!37�! Mileage Total FILL PLACEMENT: Depart Job �� Travel Time Chargeable Hours Lot Lab. Time Block Total Hours Eng'r Plat On Job Report Time Review Time Summary of Technical and /or Engineering Services performed Including Field Test Data, Locations, Elevations. and Depths are estimated. THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE SIDE OF THE COMPACTION QUALITY CONTROL TEST REPORT CONSTITUTE AN INTEGRAL PART HEREOF. feet deep et deep 1. Excavation Is at end , grading to at _._. end Elevation - Elevation 2. Side Slopes a approx.: vert. 1/2 horiz.:. lvert. 1 poria.: 1 vert. ❑ 2 horiz: 1 vert. ❑ flatter than 2:1 ❑ other - E 3. Construction Staking Is: adequate ❑ not available ❑ Incomplete ❑ X 4. Excavation Is oversized feet outside of building lines. C 5. Excavation is: dry wet ❑ A 5a. Water Is seeping from -.---- V 5b. Depth of water In excavation approx.— A 5c. Dewatering Is: noesssar ❑ not required ❑ T 6. Excavation Is with : dragline backhoe ❑ scraper ❑ dozer ❑ 1 7. All unsuitable soils have been ex voted. YES NO ❑ 0 7a. — feet of soil remains to be removed. N S. Soil at excavation base Is: Silty Clay ❑ Sandy Clay Clayey Slit ❑ Silty Sand ❑ *[r--,] Clayey Sand ❑ Clean San Other 9. feet of fill requ red to reach design subgrade. 10. Excavation is: Approved Not Approved ❑ for fill placement. 11. Fill Is (type of soil) 11 a. Imported ❑ On-site borrow ❑ 11 b. Compaction is with shoepsfoot roller ❑ manual vibratory ❑ F smooth drum roller self-propelled ❑ non -vibratory ❑ 1 12. Performed field density tests. See Compaction Quality Control L Test Report No. L 13. feet of f alns to be placed. 14. Density too at coppaction specifications. YES ❑ NO ❑ 14a. Test No's. did not meet compaction specifications. 15.Additlonal observationsand/or to art re d YES NO C DEWATERING: FROST PROTECTION: ADJACENT STRUCTURES: WEATHER CONDITIONS: ® N well points ❑ straw blank s ❑ ZW- Hot Dry ❑ Rain O 1 deep wells ❑ looses ❑ Warm 1 T open ditch ❑ frost pping ❑ within 20 feet ❑ Cool ❑ Snow ❑ AL 0 sump pump ❑ to . heat ❑ 20-40 feet > 32-F ❑ Sother ❑ her ❑ 40 or more fee ❑ Sub -freezing ❑ RECOMM DATI NS/SU ARY/WO K P OGRE S: C aS � ft 4n, 110,nJ ZFr CC DISTRIBUTION: 0 cc: cc: by Subterrane nglneering Corp _ cc: __ SUBTERRANEAN ENGINEERING CORP. 6875 Highway No. 65 N.E. P.O. Box 32371 DATE MINNEAPOLIS, MINNESOTA Phone 574-1242 '•",'�" EARTHWORK OBSERVATION REPORT iv OBSERVED Job Name SI.yC�t. P�� �c.J r�t_c,�.�JG Job No. �,�� -or�W Y6 Job Location 2kois Earthwork/CIC Contractor Client/ [T� � _ _ , Plat - Arrive Job Mileage a//" Total FILL PLACEMENT: Depart Job-/?: OT Travel Time Icy /�- Chargeable � 5 �ZLab. l3 )frHours Time` IN BlockTotal Hours 3!i Eng'r i H On Job yam- Report Time Review Time Plat s Summary of Technical and /or Engineering Services performed Including Field Test Data, Locations, Elevations, and Depths are estimated. THE.LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE SIDE OF THE COMPACTION QUALITY CONTROL TEST REPORT CONSTITUTE AN INTEGRAL PART HEREOF. feet deep —feet deep 1. Excavation Is - Elevation at end ,grading to Elevation at -_--- end 2. Side Slopes are approx.: vert. ❑ 1/2 horiz.: 1 vert. ❑ 1 horiz.: 1 ❑ 2 horiz: 1 vert. ❑ flatter than 2:1 ❑ other _ E 3. Construction Staking Is: adequate ❑ not available ❑ 1 omplete O X 4. Excavation Is oversized _ feet outside of building 1 a. C 5. Excavation Is: dry ❑ wet O A 5a. Water is seeping from V 5b. Depth of water in excavation so X. A 5c. Dewatering Is: necessary not required O T S. Excavation is with : dragline backhoe ❑ scraper ❑ dozer ❑ 1 7. All unsuitable soils have `bee xcavated. YES ❑ N0 ❑ 0 7a. at of _-___. __._ _-. soil remains to be removed. N S. Soil at excavatio ase is: Silty Clay ❑ Sandy Clay ❑ . Clayey Silt ❑ Silty Sand ❑ Clayey Sand ❑ Clean Sand ❑ Other 9. feet of fill required to reach design subgrade. 0. Excavation is: Approved ❑ Not Approved ❑ for fill placement. 11. Fill Is eF.yE: 'Ta (type of soil) 11a. Imported ❑ On-site borrow 11b. Compaction is with sheepefDot roller ❑ manual tampor)o vibratory Fsmooth drum roller C1 self-propelled Elnon-vibratory❑ 1 12. Performed field density tests. See Compaction Quality Control L Test Report No. L 1. 13. 7-0 feet of fill remains to be placed. 14. Density tests meet compaction specifications. YES ❑ NO 14a. Test No's. _ Z e s� did not meet compaction speclflcatlon�. 15.Additional observationsand/or tests are required. YES ja NO FROST PROTECTION: ADJACENT STRUCTURES: WEATHER CONDITIONS SP N D straw blanket ❑ 5F� Hot 19 DryC ZAER loose soil O Warm ❑ Rain ❑ within 20 feet 20-40 feet 0 I frost ri ing O tease heat ❑ Cool ❑ Snow' ❑LtD > 32°F ❑ other O o er ❑ 40 or more feet ❑ Sub-freazing ❑ RECOMMENDATIONS/SUMMARY/WORK PROGRESS: 2:�V,�t /��P" lLl ?'" 11�7 ��{TY C'�!J C �r?!'�.�C'� Z [7 ril A� 4Sf-> ST/A..1 L S DIS RIBUTIO cc: / ^✓�12� / by cc: Subterranean Engineering Corp cc: -- -------- - -- -- - iv f THESE LIMITATION OF LIABILITY STATEMENTS SHOULD BE CONSIDERED TO BE AN INTEGRAL PART OF THIS REPORT: I. In performing our professional services with regard to earthwork inspection and qualify control, our findings will be obtained and our recommendations made, in accordance with generally accepted engineering principles and practices. We will observe, monitor and test this work, and may advise or make recommendations, but we are not guarantors. This warranty is in lieu of all other warranties either expressed or implied. 2. Subterranean Engineering Corp. does not practice in the field of land surveying, and is not responsible for the accuracy of grade stakes and/or building location stakes at Ws jobsife. There must be adequate construction stakes, clearly marked, to enable our soil inspector to properly assess the excavation. We will not be responsible for any harm. ful consequences resulting from improper or incorrect construction staking. 3. The field densify test data presented with this report represents the values at par- ficlar. localized points within the earthwork. Alhough this is believed to be fairly repro. senfafive of the condition of the fill placed and compacted on this date, conditions at other locations and elevations in the fill may vary, and we do not warrant or guarantee uniform fill densities. 4. We cannot certify, erther expressly or by implication, the quality of any work on this project which we did not have the opportunity to observe at first hand. Inspection of this earthwork project at irregular intervals does not permit the inspector to assess the fun scope of the contractor's activities. S. If the structure is redesigned in size and shape, or if it is otherwise moved subsequent to our inspection, we should be notified so that we can assess if additional inspection work is required, or suggest sound engineering alternatives. We are not responsible for any soil -foundation system where the structure has been relocated with respect to excavation and fill area, subsequent to our inspection. zt kty aq , (gutty s .V/ ) �f$ SUBTERRANEAN ENGINEERING CORP. J 6875 Highway No. 65 N.E. P.O. Box 32371 MINNEAPOLIS. MINNESOTA 55432 574-1242 COMPACTION QUALITY CONTROL TESTS Project Single Family Dwelling Report No. 1 Regis Trail, Fridley Job No. R-86048 Sand Cone Method 0 Indicated Percent Cmmiaectinn: ASTM Nuclear ❑ 9 % Max. Modified Proctor Dry Density D-1557 Other ❑ ❑ % Max. Standard Proctor Dry Density D-698 NOTES: I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLE. 2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW. (See attached ske ELEV. AND/OR DEPTH BELOW Dote Test j�o, Wet Density Of Total Sample (Including Stone) MOISTURE CONTENT % Dry Density ( Corrected For Stone) Maximum Laboratory Dry Density p c f Compaction RECOMMENDATIONS REMARKS Footing Floor Grade Design Grade Fill Surface July 24, 1986 1 113.5 -0.5 140.6 10.5 127.3 133.5 95 Meets specs. " 2 116.5 -0.5 128.3 11.2 115.3 133.5 86 Aerate and Recompact Does not meet specs. 3 108,5 -=0.5 113.16 3.9 109.3 112.0 99 Meets specs. " 4 10.615 ,-015 109.3 711 102.0 112.0 93 " 5 115.5 r0..5 129.5 10,6 117.0 133.5 88 Aerate and Recompact Does not meet specs. 0 NOTES: I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLE. 2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW. (See attached ske • SUBTERRANEAN ENGI.NEERING CORP. 6875 Highway No. 65 N.E. P.O. Box 32371 `i MINNEAPOLIS, MINNESOTA Phone 574-1242 DATE EARTHWORK OBSERVATION REPORT ,�vLY Z�r l9 � D iO OBSERVED Job Name_S//yGc. �tN[IC.Y �1C-t GJob No. X �60A/6- EAGAVATmG Job location 2E& iS Zqt�. /ZIDt, ,�. /�3 t Earthwork 7 ,-� Contractor —Client ,E JCLCkLA9_b_ Ate._- - -Ptat-- Arrive Job i© �� !� Mileage 16 r, Total Depart Job S %:gravel Time Chargeable3 FILL PLACEMENT Lot 1 3 _'/Z Hours Lab. Time Block Total Hours-11� N On Job N� 4 57A" z Plat Cr i�1 ? Report TimellL7 Review Time Summary of Technical and /or Engineering Services performed including Field Test Data, Locations, Elevations. and Depths are estimated. THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE SIDE OF THE COMPACTION QUALITY CONTROL TEST REPORT CONSTITUTE AN INTEGRAL PART HEREOF. feet deep __.— feet deep 1. Excavation Is Elevation at end ,grading to Elevation at _____.._ end 2. Side Slopes are approx.: vert. ❑ 1/2 horiz.: 1 vert. ❑ 1 horiz.: 1 ❑ 2 horiz: 1 vert. ❑ flatter than 2:1 ❑ other E 3. Construction Staking is: adequate ❑ not available ❑ omplete ❑ X 4. Excavation is oversized _ feet outside of building 1 s. C S. Excavation Is: dry ❑ wet ❑ A 5a., Water Is seeping from V 5b. Depth of water in excavation so X. A 5c. Dewatering is: necessary not required ❑ T 6. Excavation Is with : dragllne backhoe ❑ scraper ❑ dozer ❑ 1 7. All unsuitable soils have bee xcavated. YES ; ❑ NO ❑ 0 7a. at of __...__._ _-. soil remains to be removed. N S. Soil at excavatio ase Is: Silty Clay ❑ Sandy Clay ❑ Clayey Silt ❑ Silty Sand ❑ Clayey Sand ❑ Clean Sand ❑ Other 9. T feet of fill required to reach design subgrads. 0. Excavation Is: Approved ❑ Not Approved ❑ for fill placement. 11. Fill is C r /4'i�� 7D �I�t�/rJ.vL S J�r-L� (type of soil) 11 a. Imported ❑ On-site borrow J� 11 b. Compaction is with sheepsfoot roller ❑ manual tamper �' vibratory F smooth drum roller ❑ self-propelled ❑ non -vibratory ❑ 1 12. Performed field density tests. So Compaction Ouality Control L L I. Test Report No. 13. feet of fill remains to be placed. 14. Density tests meet compaction specifications. YES ,�° NO ❑ 14a. Test No's. did not meet compaction specifications. 15.Additional observationsand/or tests are required, YES NO Er C DEWATERING- FROST PROTECTION: ADJACENT STRUCTURES: WEATHER CONDITIONS: SN D well points ❑ straw blanket ❑ Hot Dry C (— dee ells ❑ loose soil Q Warm ❑ Rain ❑ within 20 feet J� 20-40 feet ❑ AO Lp opditch ❑ Pump ❑ frost rl Ing ❑ tem heat ❑ Cool ❑ Snow ❑ > 32-F ❑ other ❑ o er ❑ 40 or more feet ❑ Sub -freezing ❑ RECOMMENDATIONS/SUMMARY/WORK PROGRESS: :TkSn-;� SP(G'�Q'T7CNC, ,,gip- DISTRIBUTIO��,� cc:/2l cid, cc:�r�iDZ-.CY ,b cc: _._ by cc: Subterranean Engineering Corp cc: D iO 6 THESE LIMITATION OF LIABILITY STATEMENTS SHOULD BE CONSIDERED TO BE AN INTEGRAL PART OF THIS REPORT: I. In performing our professional services with regard to earthwork inspection and quality control, our findings will be obtained and our recommendations made, in accordance with generally accepted engineering principles and practices. We will observe, monitor and test this work, and may advise or make recommendations, but we are not guarantors. This warranty is in lieu of all other warranties either expressed or implied. 2. Subterranean Engineering Corp. does not practice in the field of land surveying, and is not responsible for the accuracy of grade stakes and/or building location stakes at this jobsite. There must be adequate construction stalkes, clearly marked, to enable our soil inspector to properly assess the excavation. We will not be responsible for any harm- ful consequences resulting from improper or incorrect construction staking. 3. The field density test data presented with this report represents the values at par. ficlar localized points within the earthwork. Alhough this is believed to be fairly repre. sentative of the condition of the fill placed and compacted on this date, conditions at other locations and elevations in the fill may vary, and we do not warrant or guarantee uniform fill densifies. 4. We cannot certify, either expressly or by implication, the quality of any work on this project which we did not have the opportunity to observe at first hand. Inspection of this earthwork project at irregular intervals does not permit the inspector to assess the fun scope of the contractors activities. S. If the structure is redesigned in size and shape, or if it is otherwise moved subsequent to our inspection, we should be notified so that we can assess if additional inspection work is required, or suggest sound engineering alternatives. We are not responsible for any soil -foundation system where the structure has 'been relocated with respect to excavation and fill area, subsequent to our inspection. a 14 y ®:647 *.#8 u 2--S , IQ `6(0 I SUBTERRANEAN ENGINEERING CORP. 6875 Highway No. 65 N.E. P.O. Box 32371 MINNEAPOLIS, MINNESOTA 55432 574-1242 COMPACTION QUALITY CONTROL TESTS Project Single Family Dwelling Report No. 2 Regis•Trail, Fridley X-86048 Job No. Sand Cone Method S Indicated Percent Comoaction: ASTM Nuclear ❑ 10 % Max. Modified Proctor Dry Density D-1557 Other ❑ ❑ % Max. Standard Proctor Dry Density D-698 NOTES: I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLE. 2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW. (See a ELEV. AND/OR DEPTH BELOW Date Test No. Wet Density Of Total Sample (Including Stone) MOISTURE CONTENT ° /° Dry Density l Corrected For Stone) Maximum Laboratory° Dry Density p c f /O Compaction RECOMMENDATIONS REMARKS Foo r Floor Grade Design Grade Fill Surface July 25, 1986 6 99.0 -0.5 123.1 6.9 115.1 112.0 103 Meets specs. lk 7 117.5 -0 136.6 10.7 123.4 133.5 92 " it 8 115.5 -2.0 115.0 10.3 104.2 112.0 93 �' Retest of #5 it 9 117.0 x.0.5 134.8 11.0 12115 133.5 91 "' Retest of #2. NOTES: I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLE. 2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW. (See a SUBTERRANEAN ENGINEERING CORP. Phone: 574-1242 !. Date x 6875 Highway 65 N.E. Z7 Fridley, Minnesota 55432 Job Name S Z`P6,1 6djdtjAjCy Job Job Location194 t Earthwork Contractor Client Arrive Job N46 13/16 Mileage `VI.Al�'ale �-tP5,) _ f Total DepartJob �;; $� i t7 Travel Time �� �r Chargeable Lab. Time Hours 3/q 14 Total Hours On Job Report Time Summary of Technical and/or Engineering Services performed, including Field Test Data. Locations, Elevations, and Depths are estimated. THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE SIDE OF THIS REPORT CONSTITUTE AN INTEG- RAL PART HEREOF. Visual observation and hand auger probes revealed unsuitable soils within the footing areas. Footing placement was not approved at this time until 1-2 ft. of uncompacted fill Wqs xemoved,, Once excavated, additional inspection work will be required to determine that a suitable foundation subsoil was achieved. See attached footing plan which shows areas where further excavation is required. DISTRIBUTION I-rav zj By THESE LIMITATION OF LIABILITY STATEMENTS SHOULD BE CONSIDERED TO BE AN INTEGRAL PART OF THIS REPORT: I. In performing our professional services with regard to earthwork inspection and quality control, our findings will be obtained arid our recommendation made, in accordance with generally accepted engineering principles and practices. We will observe, monitor and test this work, and may advise or make recommendations, but we are not guarantors. This warranty is in Neu of all other warranties either expressed or implied. 2. Subterranean Engineering Inc. does not practice in the field of land surveying, and is not responsible for the accuracy of grade stakes and/or building location stakes at this jobsite. There must be adequate construction stakes, clearly marked, to enable our soil inspector to properly assess the excavation. We will not be responsible for any harm- ful consequences resulting from improper or incorrect construction staking. 3. The field density test data presented with this report represents the values at per. ticlar localized points within the earthwork. Alhough this is believed to be fairly repro. sentative of the condition of the fill placed and compacted on this date, conditions at other locations and elevations in the fill may vary, and we do not warrant or guarantee woorm fm dendfies. 4. We cannot certify, either expressly or by implication, the quality of any work on Whig project which we did net have the opportunity to observe at first hand. inspection of Whir earthwork project at irregular intervals does not permit the inspector to assess the full scope of the contractors activities. b. If the structure is redesigned in size and shape, or if if is otherwise moved subsequent to our inspection, we should be notified ro that we -n assess if additional inspection work is required, or suggest sound engineering alternatives. We are not responsible for any soil -foundation system where the structure has been relocated with respect to excavation and fill area, subsequent to our inspection. ) . \ ^AJ n"a �ca ,Ja �o,r �- Iffier kE 37,0,E CITY OF -FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures // S 5.00 m Future Fixtures q $ 3.50 u old Opening, New Fixture % 0 S Nater Iq e tp u 01 .� tIq y F m $ 5.00 ►bi H C a q w $ 5.00 m •N b 14 O. 0. w 5� Hydraulic Valve Heater •A CI Sump or Receiving Tank G $ Water Treating Appliance .12 +1 y $ Not Water Heater _� $ 5.00 $-C oC $ 10.00 $ Gas Dryer i� .O I CO +/ q N X011 C. b FIC O S 8M 8 4 N NO N'0 N N 10ja FEE u a YI a S o w of w U ni 3 O ,as lec P- lot 2- '2 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (�) - New Fixture, Old Opening Mater RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures // S 5.00 Future Fixtures $ 3.50 $ old Opening, New Fixture $ 1.50 S Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve S 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Not Water Heater _� $ 5.00 $-C Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 11 of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ TOTAL FEE y� $ (J ($1S.00) tttective Aug. 1, 19di Job Address Department of Buildings 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 the facts and representations stated in this application are true and correct e--.\ ., n Fridlgy, Mn. *2 . 1g� OWNER 11 KIND OF BUILDING USED AS TO BE COMPLETED ABOUT I 0 O w7liC.J 3 ESTIMATED COST O - NEW 8U`LDING PERMIT NO. PERMIT NO. 0613 Company Signed By 4'� /� Tel. No. "% (4 `i O ROUGH INSP. Date FINAL INSP. Date jB APPROVAL FOR PERMIT(b""' HINIHUN FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE %ESIDENTIAL RATE TOTAL Job Address Furnace Shell and Duct Mork, Burner (Also replacement furnace) $ 20.00 $ Department of Building; 6171 University Ave. N.E.. Fridley, MN 55112 ' City of Fridley Gas Piping $ 10.00 $ jam. Tel. •571-.1150 (piping need" With new furnace) Gas Range $ 10.00 S The undersigned hereby waked application for a permit for the work herein specified aqreeinq to do all work in strict accordance With the City Codes Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 $ Fridley. Minn. All Others/Repairs and Alterations OWNER It of Value of Appliance or Mork $ RIND OF BUILDING i/% �'�.✓�>�• COMMERCIAL/INDUSTRIAL 10 of Value of Appliance or Mork State Surcharge 'DOTAL !EL Reinspection Fee ($15.00) Rough Insp. Date Final Inep. ate Approval for Permit /rdeJ MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE $ USED AS TO BE CO ESTIMATED COST _ �p $ .50 � OLD - NEW BUILDING PERMIT MD. PERMIT NO. $ 30 Attach stack verification fon with replacement furnace IMnmlts *Air Conditioner% can tint In- placed in •:ids• yard vitlwut written purmis%►on from mf µouunq tr►yldMir. DESCRIPTION Or FURNAes/BURNER HEATING or POWER PLANTS Steam, Not Mater, Mars Alr- Mo. Trade Name fsize No. Capacity �(500 Sq. Ft. CDR BTU HP Total Connected load _ Rind of ruel wmay20 'Z' BURNER - Trade Name 51 to No. Capacity Sq. Ft. EDP BTU RP Company Signe Tel. No. 0 CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 November 24, 1986 Mr. Jack Menkveld J.A. Menkveld & Associates P.O. Box 34004 Blaine, MN 55434 Re: Final Inspection of 5692 Regis Trail N.E., Fridley Dear Mr. Menkveld: A final inspection was conducted on November 21, 1986 of the above address and the following items were noted which must be completed before the structure can be finaled: 1. Provide City with copy of verifying survey by December 15, 1986. 2. Provide sod in the front and side yards by June 15, 1987. 3. Provide a hard surface driveway by June 15, 1987. 4. Remove all construction debris from site by December 5, 1986. 5. Repair silt fence on the south end of the property and extend it 25 to 30 feet further north by December 5, 1986. Any questions on this item can be directed to Mark Burch, Assistant Public Works Director. We will expect the above items to be completed by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, D G. CLARK Chief Building Official DGC/mh CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 December 8, 1986 Mr. Jack Menkveld J. A. Menkveld & Associates P.O. Box 34004 Blaine, MN 55434 Re: Final Reinspection of 5692 Regis Trail N.E., Fridley (SECOND NOTICE) Dear Mr. Menkveld: A reinspection was conducted on December 5, 1986 of the above address to determine compliance with our letter to you dated November 24, 1986. The following items were noted as still being uncompleted: 1. Provide City with copy of verifying survey by December 15, 1986. 2. Remove all construction debris from the site by December 15, 1986. 3. Repair silt fence on the south end of the property and extend it 25 to 30 feet further north by December 15, 1986. Any questions on this item can be directed to Mark Burch, Assistant Public Works Director. 4. Provide sod in the front and side yards by June 15, 1987. 5. Provide a hard surface driveway by June 15, 1987. We will expect the above items to be completed by the above scheduled dates when reinspections will again be conducted to determine compliance. Please contact me at 571-3450 if you have a problem in completing these items by the scheduled dates. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Mark Burch, Asst. Public Works Dir. rA CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 April 13, 1988 Mr. Jack Menkveld J. A. Menkveld & Associates P. 0. Box 34004 Blaine, M 55434 Re: Deck Fboting Failure at 5692 Regis Trail DLL , Fridley Dear Mr. Menkveld: Jon Thompson and I inspected the home and premises at 5692 Regis Trail N.E., Fridley this morning. There are some very serious problems with the front walk and rear decks as well as the pr obl em of erosion down onto the neighbor's property to the west. The erosion has been a problem from the very beginning and has been brought to your attention on several occasions. If you have questions on this matter, please contact Mark Burch in the City Engineering Department. It is very apparent that all your post footings have failed; it appears that they have settled, causing the two decks on the rear of the house to be unsafe. The decks can not be occupied or used until a proper repair is made. The front boardwalk post footing is also settling causing the front deck to pull away from the house. All of these items require your !mediate attention. We will reinspect ! th e property on May 2, 1988 at which time all of the corrections must be completed. If you have any questions about the f cot ing f ail ures, please f eel f ree to call me at 571-3450. Sincerely. lmFRIT"Ma— , za- %_�11.� n• CLARK ChiefOfficial MC/mh CC: Mr. Mark Burda Mr. Richard Cary CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULFL z I Effective On August 1, 1995 APPLICATION FOR -POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL $ 30.00. $� $10.00: $ $10.00 • - $ $10:00 • . $, $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work :.. Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge. TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. ,. JOB ADDRESS 61.q D, �p nT 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and- rrectt . l `7 ,19x1 i-+. , 1 11 . BUILDING USED AS ESTIMATED COST 3 0%L),M PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No.'of•Heating Units_, Circle One (Steam) (Hot Water) arm Ir Trade-Name C�,�g, Size Nod V BTU too, i]�� HP EDR Fuel -r Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Q 1 Signed BTel No. H Approved By Rough -In Date Final Date FILL OUTBACK SIDE FSTACK VERIFICATION ON REPLACEMENT FURNA E 6 Has total heating BTU's of Q Q All other BTU's TOTAL BTU's C)QC) 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: HEATING CO: Signed By: Date: Ye -9-(,J No Y sV) No ( ) CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes N) No ( ) 2. Is free from rust or deterioration Yes fir) No ( ) 3. Has no foreign objects lodged within Yeas' jq) No ( ) 4. Is securely supported Yes ) No ( ) S. Meets all current Code requirements for.size and total BTU's connected Yes " I) No ( ) 6 Has total heating BTU's of Q Q All other BTU's TOTAL BTU's C)QC) 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: HEATING CO: Signed By: Date: Ye -9-(,J No Y sV) No ( ) May -20-97 03:12P �� P_01 TO: ATTN: inspections UNAOMnt FAX:yJ l �..rUs�S.IZJ DATE: HOUSE HEATING TEST RECORD ADDRESS`S T °` es- ✓ + APT. CITY I 1 OWNER 1 t.>-„ "4' PERMIT 0'. GAS FURNACE INSTALLED Make ` !13 Model mzC r) fn Serial M 66S L i t/ O Input (D t='I U U 0 (� IESI Input Low _ CFH at ' W.C. Pressure Input High " CFii at " W.C. Pressure Flame Safety Timing 0 Limit Setting �� u Heat Anticipator Setting L4 24A Combustion air Is adequately supplied per UMC Sec. 606 Input Stack Temp. Percent CO Name of Tester OPV\ \� ti�`� S Date of Test Location of Orsat Tag: A-abc Appliance and Heating, Inc. 2638 Lyndale Avenue South Minneapolis, MN 55408 Phone: 871-1491 Fa:: 871-6354 SUBJECT PERMIT NO. City of Fridley ('30450-, AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. � • _ _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f PROTECTIVE 1 � NUMBER REV DATE PAGE OF APPROVED BY ` CITY HALL FRIDLEY 55432 612-571-3450 910415 1 110/28/99 108 ADDRESS 5692 Re is Trail NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Parkview Oaks 1St Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 572-2207 3 CONTRACTOR MAIL ADDRESS ZIP 555311 PHONE LICENSE NO Midwest Roofing & Siding 18979 GS72-22f)7 20010277 4 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 O NEW 0 ADDITION 0 ALTERATION ,Jc. REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Reroof house 18 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. plarml I Elf? 8118d To 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 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 I WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1573 $.79 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- $57.05 Eire SC $1.557 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOFEE License $5.0 1$741 SIGNATURE OF CON•RACTOROR AUTHORIZED AGENT (DATE, EN ROP VALID E HIS ISYUR P MMIIT S-GNATURE OF OWNER,IF OWNER BUILDER, ,DATE, 67 8L OqF NSP �JAtE Iq % NEW [ ] y Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address • tog 1 10 C -), Description: Owner Name & Address: Contractor: Address: Attach to .this. application,. x, -Certificate, of Siirie t 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 S t. OTHER: Tem 4V C0 )P �MeA Construction ����,, , . i Driveway Curb Cut Width Needed: _ Ft. `+ 6 Ft = $ _ $ Ft DATE: '0&/ q 9 APPLICANT: L -,S Tel. # Permit Fee $ . Fire Surcharge $1,S-7 Mpg State Surcharge $ SAC Charge $ License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 I l P PUG -22-2905 1045 From: 7634344933 Page: 2/3 CITY CF FR i OL.6Y Date: 11/21/2007 12:54:07 PM �u�tding $ �U���IlY� ?Ian Review Pmt No.: �o7- O nspections 3urcharpe RESIDENTIAL APPLICATION (.0005) tames tiie total job valuation - Mkdmum $.30 Remived 13y: 763-572-3604 .001 x ?arzn1t Vahu►ti0n (1110°k) CITY OF LEX S .zU lD Date 0 )ATE - ! - i01- YOUR E-MAIL ADORBSS M Vb4 UC JJ F;r 72ADDP.ESS &Z $ R + 6 t = R k $20 = $_ arosaon Control S - $45o cmnservation Flan Review KIS APPLICANT IS: d OWM 4CT0P. j FROPPIRTY 0%'1'1ERJ 3 Agreerbont necessary ( ) Non Necessary ( ) TENANT ADDRM., to,7.1. C3 � V t�Y�� vii rrY_t-�STS+ Z. - Make checks payable to: City of Fridley_ Attach St�wons PHONE: ijk4f 5x - CONTRACTOR NANM444A4AoL d W -44 � - 4 S7ATE T1t ISIS i ! DAIS ' "� ► I � 511SMi1' A COPY 4F YMM NATE LICI NSB A>�0RW=$o t ► ,� CrrY - h sTaTt .> WITH AMICATION p ©( FAX �- '• 9 P1tOPERTY TYPE �coxs�UrICGN 1N S p TWt] FAD�t.X.�13E4V t:GNSTRUCTION STORMS FIRMfT TM O ALD1TICn.' O til GWSRiND WWWWWS C3 DASWER T FIIMM O ROOF 13 DRAIN TILE a DECK U SIDNO G OTHER D I'c70I. TY -Ph" OF WO1tK: aM&WTENANAM o �c "IN )-SC=E WORK REM DONE / ; Ou 0 0 W 5 31M OF Ilv ROVE I.ENQ 1 WIDTH F=GHT &GARAGE 4UMSIM SQUABS D HOUSE BASF,_- E `j Ei�iN 311�]A�T� O ATTAC W GAR CE i. 2. as pian Propia; Floor plan sposed )ROa sly: ._„ 0 DEYACHEI3 GAR�4� 3, ucutrfloor list of s+saetvral aaerrrbars to be sx5td Li 'ROPQS�D HEIGIi7': TIDING PM 14EW CONSTItU=ON DICLUDINO DECKS, 7 vinyl ©soffit ADDmONs.,tRCI�S_Sj 7 Aluminum Q Z'tiin I. Silo PJaalSctsYGy lawiag d►C strsre, 7 Other ® FAx is Md primed pmt NINDOWS 2. T%o seg of eoraeuction pians N, SXISTINO OPENINGS 05 Mq0 LOCATION OF WINDOWS 3. EperQyr Caltulairans )R FOR NEW OM04CScRrD2=0F )PENLNG CKANGES & �� rypp. OF WITWW TO HE IIVS7 LF.a? NUMM Of WL'4IDQw9 A,LL FEES ASB BASED ON VALUA,'lt'ION, JNCI JJVDNd—Tft COST OF LABOR Al)a MATEAULS. (USING THE 1997 U.B.0 1"'EE SM]DULZ . 17 ?eranit'Fee $ wee Sack Pape for Fee Schedule ?Ian Review 5 65% of Suildin-,, Permit Fee 3urcharpe $ `7'.. (.0005) tames tiie total job valuation - Mkdmum $.30 Fire Su=barge S <4 ��_ .001 x ?arzn1t Vahu►ti0n (1110°k) �iccnse Srnnirarge S .zU lD S5.00 (State Licensed Residential Contractors) MC ChArge $ S 1450 tier SAC Unit (Plains to MWCC for detormination) -ucb Cut Escrow $ R + 6 t = R k $20 = $_ arosaon Control S - $45o cmnservation Flan Review ?ark Fee $ Fee Determined by Engioeering sewer Main Charge 3 Agreerbont necessary ( ) Non Necessary ( ) rota! rite _ ; . a0 1 2L_ Make checks payable to: City of Fridley_ Attach St�wons THHIS IS AN APPLICATION FOR A PEPWIT-NOT vALID UNTIL PROLE tD ( hereby apply for a building permit and 1 acknowledge that the information above is complete and acctuatc; that the Work will be Iti -onfortnance with the ordinances and codes of the City of Fridley wid with the Mirmesota Construction Codes; that I understand this is nota )annii but only an application for a permit d work is not to start without a erml%; that tb work will be in accordartee with alae approved Distas in the cue of all w z view and approval of plans. 31GNAT LME OF APPLICANT--..,PWrr N iu-m/f ��l _'�. 6 Building Inspections 763-572-3604 DATE_Wuel� SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH . APPLICATION MECHANICAL Permit No.:� RESIDENTIAL APPLICATION Received By:_ CITY OF FRIDLEY D AU YOUR E-MAIL ADDRESS IN] COMPANY NAME:— CONTACT PERSON: STATE LICENSE #_ PHONE FAX PERMIT ,TYPE PINGLEFAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK 0 REPLACEMENT /AJALTERATION/REMODEL r DETAMED ESCRIPTION OF WORhS t l K PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor_ x AS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.0D PER ITXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZEIBTU Equipment Installed MFG: SIZF/BTU MFG: MODEL: MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.D0 ATR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER JR E _FURNACE $35.00 _GAS UNIT HTR $10.0D B IILER $ LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $IO.QO _GAS PIPING $10.00 —VENTILATOR $15.00 m.... permit~Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ •50 Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total = $ THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota -Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINTNAM l/�4��5 DATE 0 City of Fridley it Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fael TMC Chapter 7 with MN Amendments b. Natural. Gas or pmpandlFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a_ Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR. NEW HOMES 4. Heat loss & cooling load per room a_ Required on new construction IMC 1346.0312 5. Ventilation. . a. Per MN Energy Code 7670 or 7672 6. Duct Design Per TMC 1396.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations