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PRE 2010 DOCS- - City of Fridley SUBJECT PER O. ®15045 AT THE TOP OF THE TWINS BUILDING PERMIT r S RCIPTN COMMUNITY DEVELOPMENT DIV. r - PROTECTIVE INSPECTION SEC. 1 , = � CITY HALL FRIDLEY 55432 ".J NUMBER REV. DATE PAGE OF APPROVED Bf 612-560-3450 .910-F15 12/13/78 JOB ADDRESS 5257 St. Imier Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Donald Dietz 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rodney Billm,an, Inc. 151.Silver Lake Road, New Brighton 633-0536 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP �,pHONLICENSENO. rF ars, 6 USE OF BUILDINGRim Residential 7 CLASS OF WORK C 11NEW ❑ ADDITION 11ALTERATION ❑ REPAIR ❑� YE X ® ®/> S DESCRIBE WORK Construct a 41' x 35' Dwelling and a 22' x 24' Gara e 9 CHANGE QF USE FROM EATING PLUMBING AMD SIGN STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards Provide a verifying survey before capping. Walkout minimum elevation 965.001. SEWER LOCATION: 141 South of Manhole (Inv. 960.30) WYE ELEVATION: 960.23 TOP OF FOOTING: 965.00 Minimum WATER LOCATION: 10' North of Sewer Service DRIVEWAY DEPRESSION COST: N/A THE CITY OF FRIDLEY . DOES .140T 'vUMANTEw Tt4E ACCURACY OF UTILITY LOCA?IONS AND ELEVAT10t 4, THIS DATA IS FQ4 INFp1;AAAtflC, N jUjtPOSES ONLY Alva PWSONS _Usque 19 9WJ0 VM W WOOLVANIN ON TRIM SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. IbccuPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1435 + 528 39,260 Total 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $52,950 $26.48 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION PERFORMANCE OF CONSTRUCTION. $157.04 $400.00 OR THE PLAN CHECK FEE TOTAL FEE l $39.26 $622 8 SIGNATURE OF ONTRACTORORAUTHORIZED ACyENT (DATE I _ HEN PRO E L ID ED THIS Ik YVUR PERMIT LDG. INSP. DATE §ONAP611F O (IF OWNER BUILDERI - IDATEI V v • - CITY OF FRILTLEY . e • APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWt71;Ro ✓� ' _BUILDER: 7 - Address: Address: .. Tel. No.: No.Street: LOT: BLOCY.: / ADDITION: CORNER LOT: INSIDE IAT: SETBACK. SIDEYARDS: Applicant attach 'to this form Sio Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: t Front: Depth: `t Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction:.,- Estimated Cost: $ a.S.rL `lb Be Completed: �� Alt. A Alt. B ,Proposed Driveway Width If New Opening Is Desired $ $ (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 correct. See reverse side for additional information. DATE: l y ji —,�Y SIGNATURE: Stipulations:./�- P��•� z F � 0 �.� . (07 2 z3y -0 w Awl ocr�° i ►�,uIto �vMAL. c/tt3:' 'Sr TNA I C a-. cca it 4 Cr,� -F,f- �Z� 1co 22 cnq I i �; 3�� 2�►0 II! 00 i t' VIII i' C CL 4 I 3.240 14 4.o® ►. !L 'r?c I9 , zee G2qs X .so Ste- L ®o. o u it 4 Cr,� -F,f- �Z� 1co CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND 7C .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: RATE TOTAL Job Address $12.00 $ 7.00 $ 7.00 $ Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein $12.00 •$ V" specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ / Fridley, Minn. . 19 OWNER L, 61 .6%P/&Cr�_ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Rahge to 199,000 BTU x $10.00 AIR CONDITIONING FAN HEATING SYSTEMS Sea Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date APPROVAL FOR PERMIT W MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE KIND OF BUILDING 6= � n1C, /� USED AS ✓.kip-yI AG TO BE COMPLETED ABOUT ESTIMATED COST OLD - UILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER BEATING or POWER PLANTS, Steam, Hot Water, W = Air No. Trade Name Fa_ Size No. i0 Capacity 2 Q,J 0 f Sq. Ft. EDR BTU HP Total Connected Load / ® Kind of Fuel BURNER - Trade Name C-2 f7_ Size No. 46)jao Capacity �✓��, � ' Sq. Ft. EDR BTU O�n_000 HP Company Y N. WELTER HEATNG CO. 4n7 Chicago X e. Signed By-e4aiF9fi��Bu;lgp-iy�!%i6��6elh�--d�� Tel. No. "�_✓ 01 SUBJECT PERM O. City of Fridley o 19753 AT THE TOP OF THE TWINS BUILDING PERMIT _ r CEIPTNO � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. -""I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �.j 612-571-3450 910-F15 1/25/89 JOB ADDRESS 5257 St. Imier Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Quentin Smith 5257 St. Imier Drive N.E. 572-8948 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Roofing & S/M Co. 2513 Central Avenue N.E. 55418 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install basement darkroom and shower stall 9 CHANGE QF USE FROM TO STIPULATIONS Use treated bottom plates. Install smoke detectors on all levels with bedrooms. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SINS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFF$TREET 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 $4,000 $2.00 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- $63.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 1 $65.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERA VALIDATED THIS IS YOUR PERMIT BLDG INSP DA/E SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI 01 HN [ I City of Fridley Effective 5/1/88 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Gbnstruction Address: 5257 St. Imer Drive Legal Description: LO i � 4 21 /,, 1-A)A)��t k S1 -W AmAj Owner Name & Address: Quentin Smith (same as above) Tel. # 572-3948 Oontractor: Milton L. Johnson Roofing & Sheet Metal Co. Tel. # 781-9548 Address: 2513 Central Ave. N.E. Mpls., 55418 Attach to this application, a Certif irate of Survey of the, lot, with the proposoed construction drawn on it to scale. LIVING ARM: Length Width Height Sq. Ft. GREAGE AREA: Length Width Height SLI. Ft. ' DECK AREA: Length Width Hgt/Ground Sq. Ft. ODrner Lot [ I Inside Lot [ I Ft. Yd Setback Side Yard Setbacks Type of Construction: Basement Dark Room & shower stallEstimated Cost: $ 4,000.00 Approx. Completion Date: 5/1/89 Proposed Driveway Width If New Opening Is Desired: DATE: 1/24/89 APPLICANT: Permit Free State Surcharge SAC Charge Driveway Escrow Park Free Sewer Dain Charge TOTAL [U>r is CITY USE ONLY F S Alt. A Alt. B See Back Page 0 Tel. 0 781-9548 Fee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. °A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ I Not Neoessary [ I p ol SUBJECT PER I City of Fridley - _ 20286 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO. • ___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. -7-1 1 . � CITY HALL FRIDLEY 55432 J l� NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/6/90 JOB ADDRESS 5257 St. 1mi.er Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 61 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Quentin Smith. 5257 S.t, Imier Drive N,E, 572-3948 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L, Johnson Company 2513 Central Avenue N,E,, Mpls•, MN 55418 781-9548 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 ❑ NEW X7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct.a 15" x 10 Deck w th.a. W x 10" Three Season Porch.Underneath 9 CHANGEQFUSEFROM TO STIPULATIONS Windows must be minimum 18 inches off the floor or use safety glass. Windowa within 12 inches: of door must be safety glass. Porch.can not be heated. WAFAMp Before digging call for all utility locations 454- 0002 SEPARATE PERMITS REQUIRED FOR REQUIRED BYLAIN WIRING, HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS I F, 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 $4,150 $2.08 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- $72.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $74.08 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) PROPERLY VA A ED THI IS YOUR PERMIT aI l M LD VSP D TE SIGNATURE OF OWNER IIF OWNER BUILOERI D1STE1 fi7 p ol NEW [ ] City of Fridley Effective 5/1/88 AMN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application ODnstruction Address_ • 5257 St. Imier Drive �1 Legal Description: tf)i �', 61/ /, IA-)', idsa �'' Ajof Owner Name & Address: Quentin Smith (same as above) Tel. 572-3948 Contractor: Milton L. Johnson Company Tel. 781-9548 Address: 2513 Central Ave. N.E_, Mpls. 55418 Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT r MM; ARM.- Length Width Height Sq. Ft. GNMM AREA: Length Width Height Sq. Ft. DECK AREA: Length 15- Width 10' Hgt /Ground Sq. Ft. 150 1 �:. 141x10' 3 season porch 140 sq. ft. i^OL ��Ce) Cbrner Lot [ ] Inside Lot I ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Deck/Porch Estimated Cost: $ 0 Approx. Completion Date: ® 7/90 J yo)( A i. By --3,00.C.0 't t/S��°i. e��'� 16 j0. ) c q1 V 10 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page mm: 3/28/90 APPLICUU: Tel. # 781-9548 CITY USE ONLY Permit Flee 5z.UU Fee Schedule on Reverse Side State Surcharge $ 2 $.50/51,000 Valuation SAC Charge 5 $550 per SAC Unit Driveway Escrow 5 Alt. "A" or Alt. "B" Above Park Free 5 Flee Determined by Engineering Sewer Main Charge 5 Agreement Necessary I ] Not Necessary I ] TOTAL 5 7 q! ®1 Sl'IPULAlFIOM: IrjI 9()AXW Aa K JqF 6Tx. v " . 0 0 Li a 1n city testinq d awyej. , i 662 CROMWELL AVENUE y, pH PAUL, MN 55114 PHONE 6121645.3601 SOIL OBSERVATIONS AND TESTING PROJECTS THREE SEASON PORCH RESIDENCE -5257 ST. IMER DRIVE April 27, 1990 REPORTE® To: FRIDLEY . MINNESOTA Milton J any Attn:C Mike Kuduk 2513 Cen ral AVEue NE Minneapolis, Minnesota RRA1R LABORATORY No. 4220 90-1276 i This report presents the results of our soil observations and recommendations regarding the proposed three season porch addition to the residence located at 5257 St Imer Drive in Fridley, Minnesota. On April 23, 1990, we were authorized by Mr Mike Kuduk, of Milton Johnson Company to provide the following services: 1. Observe the soils 3xposed at the bottom of two excavations performed for proposed footing pads. 2. Perform shallow hand auger borings at the bottom of the excavations to explore the local subsurface soil conditions. 3. Provide judgments and recommendations regarding preparation of the observed soils for support of the proposed footings. RECOMMENDATIONS; At the time of our observations roughly 1' to 1 1/2' of water was present at the bottom of each excavation. Based on our shallow hand auger borings and our observations of the excavation banks, the soil profile appears to consists of roughly 71. to 81 of existing granular fill soil underlain by natural lean clay fine alluvium. The, natural lean clay was judged to have a medium consistency. , We recommend preparation for the proposed pads include removal of excess water from the i excavation and removal of any loose/disturbed soils. We then recommend`all soils within 2' of the bottom of planned footing elevation be removed and suitable 1:1'lateral oversizing be provided. Planned footing grade could then be reattained with gravel encapsulated by a geotextile fabric. The geotextile fabric should have properties so as to prevent soil migration into the voids of the gravel. Further, we recommend the pads exert no more than 1500 psf on .the, gravel fill. I 1 "A %KMUAL MOTeCTYON To CL18MI., rM pLmL= A%= OLMNML% MM. ALL "PORTS AM MOO MMMO At TM OwMql aMMAL PIMCPWMTV Co. CNQNY'O, ANO Ati7 40gl- a^TYON /OW PU-JCAr10N OR OT^V*%MW M C0NCLU8=WJw OM SXTRAC" POO M on MOAMOMq OUM WiCNTOf O IrtOIINVQO /tNG11� 06tA Mf/1�TTfN AMMovaL. C t n 662 CROMWELL AVENUE ST. PAUL, MN 55114 PHONE 6121645.3601 s ,PS TIONS AND TESTING SOIL OB ERVA ' April 271 1990 LABORATORY No. 4220 90-1276 2 BUILDING INFORMATION we understand you propose to ; install a three season porch at the basement walkout level which will also include a second level balcony. This addition will be located to the east of the existing residence: The addition will be of wood frame construction. ' Although we were not provided with the actual design loads we assume the footings will exert an allowable soil bearing pressure of about 1500 psf which is typical for this type of construction. 110 deep exploratory soil borings were performed for'this project. Therefore, we cannot comment on soil conditions present beneath the depths of our shallow hand auger borings. OBSERVATION METHODS AND RESULTS We performed our observations on April 24, 1990. Besides observing the soils exposed at the bottom of the footing excavations, we placed shallow hand auger borings to explore the local subsurface soil conditions. The soils observed, and those retrieved by our hand auger borings, were classified in accordance with ASTM:D 2488 and estimates were made of their strength properties. It should be noted that on the evening of April 231 1990, the Twin Cities experienced thunderstorms' and locally heavy rains. We understand these excavations were performed during the day of April 23 and were allowed to stand open during the thunderstorms. During our' observations we observed roughly it to 1 1/2' of standing Water at the bottom of each excavation. The heavy rains in combination with the likelihood of subsurface water appeared to have resulted in disturbing the soils at the bottom of the trench. our shallow hand auger borings performed, at the bottom of each excavation, encountered natural lean clay fine alluvium roughly �', below the bottom of the excavation (7'-8' below original grade). Above these natural soils, granular fill soils were encountered.''With the exception of '..the upper 1211 the fill appeared to be well compacted. In order to properly support the proposed footing psds, we recommend all disturbed soils and free -water be removed from the excavation. Any remaining soils within 2' of bottom footing elevation and within the 1:1 lateral oversizing zone should also be excavated. Planned 'grades could then be reattained using gravel fill, provided a geotextile fabric is installed at the soil/gravel interface. The geotextile fabric.selected should prevent soil migration into the voids of the rock. Further, we recommend the footings be designed to exert an allowable soil bearing pressure of no greater than 1500 psf. . i AAA MUTLAL P16OTY CTION TO CLtANTA. TMA VLiLed ANO OUNAALVAY, ALL AAPOATC A/M AN®M., . C AO TMA dOIM=ANTIAL PgOPAATV Or CLImNTA, ANO AU'TMCAI- AAT°ON f0.. PWUCATMN OP ATATAMANTA. CONCLLNONA Ofl 1kXTNACTA MOM ON RAOAAOMM OU91 ^*PON" M INlAIMVAO ►ANOINO OLA IIVAITT6N APPgOVAL. • , i LABORATORY No. t 1 1 i tuAn city testinQ cotpc"tion Y 662 CROMWELL AVENUE ST. PAUL, MN 55114 PHONE 612/645.3601 SOIL OBSERVATIONS AND TESTING April 27, 1990 4220 90-1276 3 12ERMA-3 It must be recognized that we do not practice in the field of surveying. Therefore, we must rely on elevation and location information provided by others. If the construction is redesigned or otherwise moved subsequent to m can' asses if itional our work, we should be 'informed so or suggest fir engineeringsalternat Ives. engineering observation i q TWIN CITY,TESTING CORPORATION;, #dZf� ey FPKein .Geological Engi er Steven D Koenes, P.E. Chief Geotechnical Engineer JPK/SDK/kmk V qA i 0 a. PC6b . ,rR . E A -S PP -R r W/ P L L) i 13' IZ" BLOCK GORC ..Flu D UO/ PODS t • I i coz KOC 1.. L� x }ICA ROCK 13 AA A MUTUAL "097TRCTION TO CURNTA, V"R PU®UC ANO OURARIVA®. ALL Rt►ORTA ARA AVAMr7'TRO AA T10t CbwM'*"MVAt ~WMp Ty LM C nt" A• ANO AUT►IOmIt- tAT10N POR ►UtUCAT10N OP fTATAMANTO. .�'pIWCj{.U01WY� OM ■M'fRACTO PROM OR RAOAROINO OUR RAPORT® IA RRARRVAO PANOtND OUR WRIT'fAN AR.•ROVAt. I � • r 'o1 SUBJECT 7PEFITO City of Fridley ®9 5. 4 AT THE TOP OF THE TWINS BUILDING PERMIT r i _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ®� r J r s I "1 CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/22/91 JOB ADDRESS 5257 St. Imier Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 1 Innsbruck 5th. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Quentin Smith. 5257 St. Imier Drive NE 572-2948 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton Johnson Co. 525 Lowry Ave NE, Mpls. MN 55418 781- 9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION. ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Rerooi' Dwelling (28 Squares) 2nd Layer. 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,456 $.73 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CCyy IN- TUC R T PERFORMANCE C T�UCTIOF / $35.00 Fire SC $1.46 FEE TOTAL FEE f/ $37 19 1 WHEN ROPERLYA D E T S IS YOUR PERMIT SIGNATURE OF CONT FACTOR OR AUTHORIZED AGEN T IDATEI LD N P OA � SIGNATURE OF OWNER I IF OWNER BUILDER] IDATEI MW [ ] Effective 3,/1/91 ADM [ ] R-1 AND R-2 ALM [ ] Building Permit Application 5257 St. Imier Drive 1q, E. legal Description: Owner Name & Address: Quentin Smith, ,,\,SAM.E AS ABOVE Tel. # 572 2948 Contractor: MILTON JQHNSON CO. Tel. 0781=958 Address: 525 Lowry Ave N. E. Attach to this application, a Certificate of Survey of the lot, with the proposed c xo xuation drawn on it to scale. � olC or 31�ROV�� LT VIM AMM: length Width Height sq. Ft. MMUM AREA: length Width Height Sq. Ft. DBCR AREA: Length Width Hgt/Ground sq. Ft. Corner lot [ ] Inside hot [ ] Ft. Yd Setback Side Yana Setbacks Type of Construction: Roofing. ,reel. sashes Estimated Cost: $ 4-. iA0- 0 — A,pprmc. Ccmpletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width 6' See Back Page "2� DAM: 7/22/91 APP'ISCANT: Tel. # 781 -9548 Permit Fee $ ro Fire merge $ /. State Surcharge $ 2� SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $ r/ n sTZFUTATIMS: f. Free Schedule on Reverse Side .001 x Permit Valuation (2/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Pee Determined by F � i Terri m Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1395 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS SZ .5'-7 1 � — RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) �+ —_,- Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST 01,1490- PERMIT N0. *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. Pi Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name—OA VA Size No. 3.�-at74JJ63e0ea Commercial/Industrial BTU 0a Cd HP EDR 1.25% of Value of Appliance or Work '$ Fuel_ _ ZC, Total Connected Load State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 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. Burner Trade Name Size No. BTU HP. EDR HEATING COMPANY -L �� /'� ®IS /:-'co J I/`' C' Signed By `° Tel No. e I/ —M Approved By Rough—In Date Final Date 'V' FILL OUT BACK SIDE AR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes No ( ) 2. Is free from rust or deterioration Yes ( No ( ) 3.. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes No ( ) 6 Has total heating BTU's of All other BTU's L�®n C) Ci TOTAL BTU's 40. 644' 7. Has a liner been provided for water heater YesXNo ( ) 8. Has combustion air been provided for water heater YesX No ( ) Remarks: ALTERATIONSUst : i+ n /low j c s HEATING CO: Signed By: Date: Satveer Chaudhary State Representative District 52A Anoka and Ramsey Counties 525'7- ttiiE?,pe, 011.F,DUn. Minnesota / House of Representatives COMMITTEES: EDUCATION; JOBS AND ECONOMIC DEVELOPMENT; FAMILY AND EARLY CHILDHOOD FINANCE FORMER CHAIR: DWI SUBCOMMITTEE February 1, 2000 Commissioner, Pollution Control Agency Manager for Healthy, Vital Communities Joe Bagnoli, Office of Governor Ventura Fridley Public Safety Director David Sallman Fridley Public Works Director John Fiora Metropolitan Council, Division Director, Environmental Services Attached is a copy of a letter I received from my constituent, Burton Buchen. This has been an unfortunate experience for him, and in my estimation shouldn't have happened at all. On Page two he has two extremely good ideas: developing an informational brochure informing homeowners of appropriate and timely information and procedures to follow is a backup occurs, and a standardized form to be used when there is a problem. I believe this issue should be addressed at the local level by the City of Fridley. My thought is that the Met Council and the Pollution Control Agency may have brochures and form already provided by local governments that Fridley could emulate. Please let me know your thoughts on this matter. attachments 1601 North Innsbruck Drive Fridley Minnesota 55432 (612) 571-0897 State Office Building, 100 Constitution Ave., St. Paul, Minnesota 55155-1298 (651) 296-4331 Email: rep.satveer.chaudhary@house.leg.state.mn.us FAX (651) 296-5517 Burton C. Buchen 5257 Saint Itniec Drive, Fridley, MN 55421 (612)672.2076 voice 1(642)672.9814 FAX (612)669.3844 Cell / buchenfam c0prodigy.net January 3, 2000 Covemor Jesse Ventura Office of the Governor 130 State Capitol Saint Paul, MN 55155 Dear Governor Ventura; On. December 1,1999_aCity-of Fddk- pump_ shutdowat-divested raw sewage into my home. Although my own situation seems to be well on the way to being resolved, I have come-to-belleve-that_thisextreme quality of ft.crisisiatwdes�nto the lives of unknown numbers of Minnesotans every year. I am writing to urge that the Ventura administration.creataasystem Joc monitoringaadcegulating sewage releases into the homes of private citizens. AsLhaue- battled tar caused_*the-CitX's error it has become apparent that the problem is quite common statewide, and that municipal wastewater operators der* responsibilitt mai 1lady. Contmclors have told me horror stories including one in which four houses in a row all had sewage backups at the same timeraadtha.cibj-ia-question said that the homeommers! sinquflaneous backups were coincidental and their own responsibility. Another concerned an octogenarian retired schoofteacher-m ileukemiawho_was lei without any form of help. Wastewater is closely monitored and tightly regulated in other situations: •- If-Fddley.hadclumnet raw-seAmge into ibe Mississippi River the Federal Environmental Protection Agency would fine them and monitor for future releases. _W the sevme hadga►ae into_tbe_watland an our bye Minnesota elution Control Agency would intervene, and environmental groups might protest on behalf of the ducks. ._ If a.lake.were contaminated with. fecal_materiai thA State and County Health Departments would close the swimming beaches. Daycare. proidders, and foadserC a wodera ara.mquired to wash their hands before returning to work... and yof canI even vvalk va it dog vAhoi t_carrying a bag and -scoop! It is no less a hazard in a citizen's home than in any of those situations. How hazardous is it? • Worldwide more tlaanzpeople-die _euery dWhxxothe effects of prolonged exposure to untreated sewage. a SeWdggCan_contain ropin3oldryj eSrand_h aria • Many diseases are carried in sewage including typhus, hepatitis, dysentery, cholera, cryptospetidelimand-tetanus among others- Sewer vmrker are required to keep up inoculations. Toilets are used_tad-spose.ofiecesTudneTvomitT user -feminine hygiene products, disposable diapers and tissues soiled with nasal discharge among other things. 1 alindry VWetcnntains dirtsweat hlood and other conta inants. Phosphates and other chemicals raise questions. nishwasher garbage disposal wastes for the bacteria and toxins. Think of the most disgusting thing you ever ground up in the garbage disposal gmwing inyouuccarpetor-in_the.insulation of your walls. People do not know how to handle something like this when it occurs. My wife had the good sense to call the non --emergency- Me -department aumber to get the pumping station started, but what do you do after the influx is stopped? Two things need to be done to -protect in VuLeventof.a_semage_release into their home. • An informative brochure needs to be written by regulators and provided by the SeweL operatortathe homeowner at the_toMe of tb"ease. It should cover all potential hazards and ways to address them. The Red Cross has an excellent pamphlet available abol it ovedlmu fmm stoan sewers that .could be used as a model for the sanitary sewage brochure. TiaeurgencI L&quick_andeffeCtive rec..,nonse must emphasized. A standardized form needs to be filled out immediately by the city sewer department for every sewage barklip Reside. Copiesfor the_ck files and the homeowner, the form should be sent to a State office where detailed statistics can be accumulated. The office that licenses dannong cantractnrs ar semor operatnrs mucitit,be-afikely place to track their performance. The form would be a valuable tool for Cities to protect themselves from �Info, nded claims in addition to heing_a start. eng point far the,,homeowners' insurance companies. Emphasis needs to be shifted to public health rather than avoidance of liability. This_ is. avW issue that directly. effestts. the. health an&well being of a great, unknown number of Minnesotans every year. I believe the problem is far more common than anyone imagines The Ventura administration is one of common Minnesotans working together and getting things done. I will be glad to help with this initiative in any way I can. You have the. pomcto .establisha monitoring aystermto pintect us to the same degree as rivers and ducks. I hope you are willing to do so. Warmest regards, Burt Buchen Attachment: City of Eddley sewer stoppage report Copies: ofMinnesotaCi i�CRYotEridl�ev- Rearesentative weer Chaudhary; Senator Steven. Nowak; Reresentative Bill. Luther,. Senator -Rod GramstSenator Paul Wellston . CITY OF FRIDLEY SEWER STOPPAGE HS� S�. ; m; & R DR. /3 Kaf 1 Ar' KESS s A D J; yn Sac Fez-, CALL RECEIVED BY �ObER &C-) 2 y . CREW LOCATION WHEN NOTIFIED c' ` 4-y EQUIPMENT TAKEN TO SITE �� G X - `�12 uCAE-h S7a-oC, DATE //�2 -ip " TIME • (,�fT .�urrEd CAUSE OF STOPPAGE L % -f�' S f� t' 0 r\ S Lu - C NE S -�-1� 4 4) , it/a a rh TIME STOPPAGE RELIEVED DESCRIBE DAMAGE 'J a S & m 7// P- z- C- NOTE ANY STATEMENTS MADE REGARDING DAMAGE OR POSSIBLE CLAIM CREW AND HOURS / a 7- 1 Ga 2 TO 31": A?,QI?+ -�c 11.1I0 8LTSTLSZT9 LT:TT SSST/9T/ZT 'Pu sueiECr P IT NO. -17 City ®f Fridley 32376 AT THE TOP OF THE TWINS BUILDING PERillIT v -------COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 = � 1"'1 CITY HALL FRIDLEY 55432 IL---- �'' NUMBER REV DATE PAGE OF AP ROVED Br 612-571-3450 910-F15 1/3/02 JOB ADDRESS 5257 St. Imier Dr 'NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Rachel Buchen, 5257 St. Imier Dr., Fridley, MN 55421 651-552-8554 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sears Home Improvements, 5512 Lakeland Ave N, Crystal, MN 55429 1-800-903-4176 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO BC20090017 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK jp NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Vinyl siding 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code requires that a weather - resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions to this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in the application guidelines. Call for inspection of wrap before covering. 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 RE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $17,229.00 $8.61 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CkIARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TH PERFO ANCE OF CONSTRUCTION $293.25 .23 Fire SC PLAN CHECK FEE T AL FEE $5.00 Lftense 324.09 SIGNATURE OF CON' ACTOR OR 4UTMORIZEO AGENT iOATEi HEN RO Y VAU 0 THIS IS YOUR PERMIT BLD -NSPOA TE S-GNATURE OF OwNEROF OWNER BUILDER1 (DATE) NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 60-57 '<; � i t — oe2 Legal Description: Owner Name & Address: � r–AeJ , A r lh Tel. # l0.'S% - 55o2 Contractor: ,S MN LICENSE # XCd669 d o ) 7 Address: S;�2 Z'r'a e.r'114v� , C12c,.S��-�� l�lil�. Tel. # / �'Od 9U3 �/J7 � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: U � .<; W;'aq Estimated Cost: $ /% Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: l Z O Z APPLICANT: '�5- � Tel. #41L 3 ZS `/qj CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ L2, dj 001 of Permit Valuation (1/10th%) State Surcharge $ S-(,/ $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ b-)0 $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 $--32—:4j d 9 STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 VAX: ADDRESS : 5257 ST HVIIER DR NE PIN : 253024110031 LEGAL DESC : INNSBRUCK 5TH ADD STATE SURCHARGE, VALUE LOT 6 BLOCK 1 PERMIT TYPE BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 4,500.00 STATE LICENSED CONTRACTOR APPLICANT MARY PAARM &TOM PAARM 5257 ST IMIER DR NE FRIDLEY, MN 55421 OWNER MARY PAARM &TOM PAARM 5257 ST RVIIER DR NE FRIDLEY, MN 55421 1 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regula `cons Tul ion or the performance of construction. Applicant �� f Date Bldg 571-12137 PERMIT NO.: 2004-02172 DATE ISSUED: 11/24/2004 BUILDING PERMIT FEE 111.25 PLAN CHECK FEE 72.31 FIRE SURCHARGE 4.50 STATE SURCHARGE, VALUE 2.25 LICENSE SURCHARGE 5.00 TOTAL 195.31 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW ADDN ALTER Construction Address: Legal Description: Owner Name & Ac Contractor. K r LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION -'2 5-7 S1. �en- bit k-o-e- tuecuve 4i uLuu4 (763) 572-3604 Bldg Insp (763) 571-1287 Fax s: a IF 0 [ .0 PL e 0�' c t yj Al Tel. # `76 3 -57 o - O/ Zff eus s r` q k1 MN LICENSE# L 0 �3,/.vr��f f Tel. # ssisZ - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale." DESCRIPTION OF IMPROVEMENT ' Length 0 7 Width P'14 Height _ Sq. Ft. 0(J Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: , e -A Estimated Cost: $ �) 6.00 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �� APPLICANT: Tel•# 6/2_jb1,5-g737 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary ( ] TOTAL $ e STIPULATIONS: CITY OF FRIDLEY PERMIT NO.: 2004-02166 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/24/2004 571-36U4 FAX: (763).571-1287 ADDRESS : 5257 ST IMIER DR NE PIN : 253024110031 LEGAL DESC : INNSBRUCK 5TH ADD : LOT 6 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # INSPECTIONS 2 APPLICANT STANDARD ELECTRIC CO INC 2672 MAPLEWOOD DRIVE MAPLEWOOD, MN 55109 OWNER BUCHEN BURTON C & MARY RACHEL 5257 ST IMIER DR NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date STATE SURCHARGE, ELEC FLAT 0.50 ELEC PERMIT FEE - MIN (RESI) 40.00 TOTAL 40.50 PAID WITH CHECK # 5142 acrtv'v11 r, rrluvii 13 MZYMKCU rUK WUK& V 1 HM 1 HAV UtbL;K1JJtU At3UVL". CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 4 ' (763) 572-36U4 YAX: (763) 571-12757 ADDRESS : 5257 ST IMIER DR NE PIN : 253024110031 LEGAL DESC : INNSBRUCK 5TH ADD : LOT 6 BLOCK 1 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-02201 DATE ISSUED: 11/30/2004 VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE # NEW FIXTURES (EXIST OPENINGS) 1 # GAS WATER HEATERS # GAS DRYERS 0 # GAS RANGES # OF NEW FIXTURES APPLICANT POLAR PLUMBING 6087 46TH STREET NORTH OAKDALE, MN 55128 OWNER MARY PAARM &TOM PAARM 5257 ST IMIER DR NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of constructions Bldg Insp. 1 # WATER TRMT APPLIANCES PLBG FIXTURES (NEW OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT PLBG FIXTURES (EXIST OPENINGS) TOTAL PAID WITH CHECK # VISA SEPARATE PERMITS REQtVRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 X 0 10.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 10.00 20.50 CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT/� (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR �H�t iz'� PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 5,257 O R- New Fixtures -4— $10.00 Old Opening, New Fixture $10.00 Beer Dispenser $10.00 Blow Off Basin $10.00 Catch Basin $10.00 Rain Water Leader $10.00 Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 Water Heater -Electric $35.00 Water Heater - Gas** $35.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 16-,0D The undersigned hereby makes application for a permit for the work herein /0-A0 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 correct. Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance 4AW_ State Surcharge $ .50 TOTAL FEE $ odd -.5-6 Nffl L11:1 BUILDING USED AS I DATE: &- .3® p —.20 01C ESTIMATED COST 4? 00 PERMIT NO. PLUMBING COMPAN oe wo., 4!" SIGNED BY TEL N0. Approved By.N -d — Rough -In Date Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE t FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENTi VENT CONNECTOR AND COMBUSTION AIR_ VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and terminatidn. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's; specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) 16 the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type Appliance #2 Type Appliance #3 Type Total Appliances _ BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft DjaMeter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date :