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PRE 2010 DOCSCity of Fridley SUBJECT . 14833 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIP1� . � Lu ______ COMMUNITY DEVELOPMENT DIV. 1177- r PROTECTIVE INSPECTION SEC. ! aJ t0 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8/2/78 JOB ADDRESS 5538 West Danube Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Innsbruck North Second SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE DaVerne Corporation 2200 Silver Lake Road, New Brighton 631-1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same Wamn 4 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. �y 5 ENGINEER MAILAD RESy�rr�xc G�sa ZIP PHONE LICENSE NO. a ® 6 USE OF BUILDING ►V Residential �s C'�'vl 7 CLASS OF WORKp� CT - RN X7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIVELEP�t*M %P VE 8 DESCRIBE WORK REQUIRED Construct a 56' x 36' Dwelling and a 24' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a. hard surface driveway. Provide sod in the front and side yards. Provide combustion air to furnace. Provide design for triple 2-x 10 area in garage under living area. Written soils, fill, site and compaction verification by a Soils Engineer required. Provide a verifying survey by August 15, 1978. SEWER LOCATION: (Approx. 8' Deep In Street) 101' South of Manhole (Inv. 954.49) WYE ELEV: 954.83 TOP OF FOOTING: 958.23 Minimum WATER LOCATION: 4' South of Sewer Service DRIVEWAY DEPRESSION COST: N/A THE ON OF MOM DOES NOT GUARAMV IM ACCURACY Of UM" WCAMW ANO MKAMNS, THIS DATA IS K* qq!pR#A'ft" PUP,POSRS OMy AM g'SWS US NO tr $'=L0 V tM Tf* WOMIATt N ON THE SITF- 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 1135 + 576 27, 888 Tota 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 $55,070 $27.53 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $111.55 $400.00 1 �� � � -O �(J1 PLAN CHECK FEE TOTAL FEE Off/ 27.89 566.97 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ( ATE) WHEN PROPE LY VALIDATED THIS IS YOUR PERMIT /��I� ✓� V ��.7J Cf B DG. )NSP DATE SIGNATURE OF OWN ER IIF OWNER BUILDER) (DATE) a I� r _ p CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: ��} l/Er�,U Co/� BUILDER: Address: Address: Tel. No. No. Street: A) LOT: BLOCK: ADDITION: /NNS4'P—VC/G /y ti Z�IJD �®® In 04 CORNER LOT: INSIDE LOT: X_ SETBACK: 3� SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed. building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: .: (; Depth: 'e, 4Square Feet: %%�Cubic Feet: ` Front: � Zy Depth: J. V Square Feet: -5-24 Cubic Feet: 3.G Type of Construction: t v 004 Height: C>2 - e' He ht: _ < z/0 Estimated Cost: $ 6-&O tr To Be Completed: 11411,5—�-�®, 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 states? in this application are true and correct. See reverse side fr additi ial info ation. .A CKI DATE: SIGNATURE: Stipulations: 1 STATE OF MINNIE, �a W 70.50 DEPARTMENT OF NATURAL RESOURCES Rev. 11/70 DIVISION OF WATERS, SOILS AND MINERALS P.A. No. 78-6103 Centennial Office Building, St, Paul, Minnesota, 55101 IN THE MATTER OF THE APPLICATION OF DAVERNE CORPORATION/ DAVID FICEK for a PERMIT TO CHANGE THE COURSE, CURRENT, OR CROSS SECTION of Unnamed Wetland Anoka County. PERMIT Pursuant to Minnesota Statutes, Chapter 105, and on the basis of statements and information contained in the permit application, tetters, maps, and plans submitted by the applicant, and other supporting data, all of which are made a part hereof_by reference, PERMISSION IS HEREBY GRANTED to _ DaVerne Corp. !David Fte-ek whose address for the purpose of notices and other communications pertaining to this permit is 2200 Silver. Lake . Road - which address is subject to change by written notice from the permittee. New Brighton, .MN. 55112 To excavate 3,000 cubic yards of peat and muck on the'east side of a line connecting a point 100 feet west of the eastern lot line on the boundary between lots 4 and 51 with a point at the southwest corner of lot 7, and to backfill the above de- scribed excavation, and to excavate an area on the western .side along the above described line 15 feet waterward and 3 feet deep which shall remain open water, all in accordance with plans submitted with application on rs PROPERTY DESCRIBED as: Block 3, lots 4, 5, 6, 7, Innsbruck North 2nd. Addition, SEk Sec. 24, T. 30N, R.24W for the purpose of residential development. Anoka COUNTY This permit is granted subject to the following GENERAL and SPECIAL PROVISIONS: GENERAL PROVISIONS 1. This permit is permissive only and shall not release the permittee from any liability or obligation imposed by Minnesota Statutes, Federal Law or local ordinances relating thereto and shalt remain in force subject to all conditions and limitations now or hereafter imposed by law. 2. This permit is not assignable except with the written consent of the Commissioner of Natural Resources. 3. The Director of the Division of Waters, Soils and !!Minerals shall be notified at least five days in advance of the commencement of the work authorized hereunder and shall be notified of its completion within five days thereafter. The notice of permit issued by the Commissioner shall be kept securely posted in a conspicuous place at the site of operations. 4. No change shall be made, without written permission previously obtained from the Commissioner of Natural Resources, In the hydraulic dimensions, capacity or location of any items of work authorized hereunder. 5. The permittee shall grant access to the site at all reasonable times during and after construction to authorized representatives of the Commissioner of Natural Resources for inspection of the work authorized hereunder. 6. This Permit may be terminated by the Commissioner of Natural Resources, without notice, at any time he deems it necessary for the conservation of the water resources of the state, or in the interest of public health and welfare, or for violation. of any of the provisions of this permit, unless otherwise provided in the Special Provisions. SPECIAL PROVISIONS 1. Construction work authorized under this permit shall be completed on or before July 3l. 1978 Upon written request to the Commissioner by the Permittee, stating the reason therefore, an extention of time may be obtained. 11. The excavation of soil authorized herein shall not be construed to include the removal of organic matter DOES NOT APPLY unless the area from which such organic matter is removed is impervious or is sealed by the application of bentonite after excavation. 111. In all cases where the doing by the permittee of anything authorized by this permit shalIinvolvetheta king, using, ordamagingofany property rights or interests of any other person or persons, or of any publicly owned lands or improvements thereon or interests therein, the permittee, before proceeding therewith, shall obtain the written consent of all persons, agencies, or authorities concerned, and shall acquire all property, rights and interests necessary therefor. IV. This permit is permissiveonly.Noliabilityshallbeimposed upon orincurredbytheStateofMinnesotaoranyofitsofficers,agentsoremployees,, officially or personally, on accou .t of rhe granting hereof or on account of any damage to any person or property resulting from any act or omission of the perminee or any of its agents, employees, or contractors relating to any matter hereunder. This permit shall not be construed as estopping or limiting any legal claims or right of action of any person other than the state against the permittee, its agents, employees, or contractors, for any damage or injury resulting from any such act or omission, or as estopping or limiting any legal claim or right of action of the state against the permittee, its agents, employees, or contractors for violation of or failure to comply with the provisions of the permit or applicable provisions of law. V. No material excavated by authority of this permit nor material from any other source, except as specified herein, shall be placed on any portion of the bed of said waters which lies below. DDOE5 MPIX It shall be the duty of the permittee to determine correctly all pertinent elevations at the site of the work for the purpose of complying with the conditions of this permit. Vi. Any extension of the surface of said waters resulting from work authorized by this permit shall become public waters and left open and unobstructed for use by the public. VII. Receipt is hereby acknowledge of S DOES as payment for NOT cubic yards of sang, gravel oraock and APPLY cubic yards of muck and siu, the estimated amount of material to be removed htereurid— icomputed at the rate of ten cents per cubic yard for sand and gravel and two cents per cubic yard for muck and silt. Permittee agrees by acceptance of this permit as shown by commencement %�f work authorized hereunder to pay, by certified check, bank. or postal money order, made payable to the State Treasurer and delivered to the Director, 'Division of Waters, Soils and Minerals, Department of Natural Resources. Centennial Office Building, St. Paul, Minnesota 55101, for any material removed from the bed of public waters in excess of That so estimated, at the above rate within thrity days after compietion of the work authorized hereunder. VIII. Place fill extending a maximum distance into the wetland not to exceed area defined on plans and to excavate an area 15 feet wide, 3 feet deep beyond the fill along its entire length. SEE ADDITIONAL PROVISIONS ATTACHED. . cc George Jorgenson, Conservation Officer Rice Creek Watershed District Anoka Co. SWC:D City of Fridley .111� DATED AT ST. PAUL, MINNESOTA, THISIM WN -1 DAY OF 1114 4� A AA".A 01 P Divis� 61012 WS i PEXPU'! NUMBEi{ 16 -bluff r Dated Nov. 1.5, 1977 SPECIAL FROVISIONS (Only the rrambered Special Provisions apply to this pen dl t. ) x -Ly The permittee shall comply with all rules, re_ulati ons, requirementst or standards of the Minneso'a Pollution Control Agency and other applicable federal, state, or local agencies. The use of explosives in any of the t,-aters of the state is prohibited unless the local State Conservation Officer is notified thereof at least 1,5 hours in advance of the time the work is to be clone. CM.S., Sec. 201. 42, Subd. 11) . Before conshraction and after completion of the project authorized, permittee shall supply the Division of ;haters, Soils and Unerals with photographs of the -project area. X Spoil, material shall not be placed on the beds of public waters,, and, Wherever. possible, such material should not be placed aiWwhere within areas subject to flooding. In the event spoil Last be placed within flood plain areas because areas free from flooding are not readily, available. tha. spoil should, be placed parallel . to the direction of flood flow and/or spread over a large area so as to minind ze ark possible obstruction to the passage of flood waters. Upon completion of construction, the bed of the public water s'nal1 be restored as nearly as practicable to the original cross-section. �XIThe perm%ttee shall cover or protect allexoosed soil resulting from: the construction authorized by placing riprap, sod, and/or seed on banks and slopes of said construction for the Prevention of soil erosion, sedimentation and lake/stream discoloration. _... I After the completion -of the project authorized, permittee shall supply the Division of Waters, Soils and Yia.erals with photographs of the project area. Future maintenance excavation of this project shall not exceed the dimensions herein authorized. F�-Ior to cormencing any, maintenance excavation, perr:-ttee shall advise the Department of Natural, Resources of the volume of rraterial to be removed, the r::anner of removal, and the spoil disposal site(s) proposed. If the Corrrd ssioner of Natural Resources deterrines that a field inspection is necessary prior to approving such maintenance wox',<, the perr.mttee shall subr--±t a check payable to the State Treasurer to -cover the actual cost of the inspection, or $2.00, whichever is greater, pursuant to Mmesota Regulations to 5000, Paragraph (g). Maintenance excavation shall not be co-r-enced until perrmitteef s'recelpt of the Department7s approval. (See reverse side for additional provisions, if any.)_ XIII This perrdt does not obviate any for federal assent from tha U.S. Corps of Fngineerso 1210 U.S. Post Off.ice and. Custom Douse, St. Paul, tesota 55101. Perr'ttee shall, seed a strip of land eoutting both sides of the ditch to permanent grasses and leges; these strips to meet one of the foUo -dng standards: A. Each strip shall be at least 40 feet -dde for the fmU leag, h of the excavated ditch and sha I2.. not be mowed Dxlor to July 15 in any year; or B. tach strip shams,_ be at least 25 feet wide- for the full IM1 th of the excavated ditch tchr provided =dmg of thes&na.-MMr strips shall not be da ae. A Clil'T OF iUIDIM 09PA REIT 111TWO11' l' 03 "U* tO11MA,TION (To be submitted with IndId,tns pendt application) One or two family dwelling- )< Owner =e p U H A i R "UR. All cother ft.. +* U.) (A ) R R RU x sq, ft, • -� Contra's mor sits, add�/wra�sf A Date j ' P l iii .Ine ; LIN&AL FT. J07 ����:�a' EXPOSED WALL ��== ' �' ft. aboverade, TOTAL EXPOSED WA OPAQUE WALL CONSTRUCTION: "U" va l ue x area Ari $1 F1b.�JA<i�t�"U" �7., s�}. ft.. t".r i& x, mom a .���,• `• i L(`\yi ..`''` +j'y'�..i I 1 1 �' lU,-1/ (A.111 PrP'``+is+ p�tU� C. C. e , 4', iF�s�+, J}� �i`' ~ U:1� Y • ( ° t• 1{I is � i U (A,) Detail reference "U" x sq, ft, `/j f:' o,�► as ' c� . i �..wow— (U) (AL) attached sheets "U"'. .X Sq. ft. � (U (A) erUMF.1. x 9i 4P�. (U)(A) X' it_ MA "U" x sq. ft, mo�- (U.)(A1 x sq.. f t , ...._. �..„,._ (U) (A ) WINDOWS: "U” value x arra make & type vV m/Y z1 "U* ,�'� x meq. ft.� i"i �..�� � � �."I-1 lu)(A.) x sq, ft» U)(A.) 1(U x sq. fL. � (A ) R A . x sq. ft • (U) (A DOORS: "U" ' va l'ue x area Hake d gyps S r a► '"� ; "U" . 5 �c sq . t t. � 3� s „ =e p U H A i R "UR. x 3q, ft.. +* U.) (A ) R R RU x sq, ft, • (U)(A) M M wU!! x ft» TOTAL (U) (A) VALUES , AJC. .m ".?I ...... DIVIDED BY TOTAL WALL. AREA 1 r AVERAGE "U" J fin_or ' less for l d Z faai ly dwellings 1 1 -IN or less for 411 other buildings HDOF/CEILING : TOTAL AREA:... sq. ft. Detail reference U x sq, ft. (U) (A " " f res�a_=.� ,_„._„x sq . !'L .. + ...�.` y (U) (A ,) . w w ..."6 � e. MUM x aq` ft• i�.a� �a. �,� .� U) (A) attache sheets. Describe openings �- r U r x a�q ft. R " in roof. RUR x s . !"t. (U)(A) TOTALS t f'` 6 4- 5 S. Q. ft., 7 ( U) (A ) TOTAL M(A) VALUES ��,� r ,. ��: AM, wUW " DIVIDED . 8T 'TOTAL ROOF,/ CEILING AREA ,.'.. { -pry y � -+. , j �t S +_h'J '. 0 1+'� i6}I "b- r A *� " �') for ventilated re of A VERAGE U , VG for all wr mnst etion V. n _.. 4 r • WALLSECTION 'Z%3Z g+�1+-i"t�1Tis' MkSo�► 1 �tDIN C+ . SECTION, r.. .r......._:.r T NOTE. USE 127* OF OPAQUE WALL, AREA FOR FRAME CONSTRUCTION CONSTRUCTION / i. 2. 3. : 4. 5: 5. r.. 6. FIG: #1 PLAN VIEW FIG. #I SECTION FIG. #2 SECTION FIG. #3 SECTION 1. 2. 3. 4. 5. 6. PAGE (R:) VALUE 0.68. IIU"- 1/R= 8, tt. 0.17 14-,'81 "u"=1 / R= '064 FIG. Pi 'r COMB,. "U'=(.12 X .12.') )+(.88 X .Qt*09 1' 2 3 5 6 0.68 � oe 0:.17' Ito .14 I. Interior air film 0.68 2. . tome,, 3. Exterior air film '0.17 TOTAL (R) $""" al /R=,, G4 low- FIG. ow- fill"= 1 / R= , 1. Interior air film 0.68 2, 4. r 2 : �Gcc , Btj-, .S. 6..Exterior air frim 0.17 TOTAL <R5 3,14 +"II1l=1 / R= .4-1 I. Interior air film 0.68 2. . tome,, 3. Exterior air film '0.17 TOTAL (R) $""" al /R=,, G4 low- FIG. ow- W& SECTION NOTE: USE 12% OF OPAQUE WALL AREA FOR FRAME CONSTRUCTION FIG. #1 PLAN VIEW FIG. #1 SECTION FTG #2 SECTION FIG. #3_ SECTION IFA CON5T;RUCTION 1. Interior air f 2. &YF. 1300 3. '—PiR 4TKP Af 5. Vil GYP. Sok 6 Bseze+eF air f 4 .� '��► tL �-►T F "U"= 1/R= q4 ���w 5 .u/8 0A X PAGE (R) VALUE 0.68 7.,ob (R) CIS 1. Interior air f im 0.68 2. Vx" (,YP, SWO Af 3. 3f� ' IMS 4 .� '��► tL �-►T � � ���w 5 .u/8 0A X -56 6.trr. airf yyy f ��jj in/} •!'tR pr. 'U7 �' w�D G jTAL (R) FIG. #1 COMB. "U"=(.12 X .lf4- )+(.88 X 1. Interior airti, m 0.68 2. 3" G Asp, F N ri. 11.00 3. 2 !- R tMi` 6 +� air f lm &f•Tw .be oTAL (R) I /R- is s 1. 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' �= �'l, : jkr' r Y � . #y, Fy '� ; a "�.5 A R ' ;s+r �r d'.} S ,d •4n"- -,. s>f y�, gyps , �,,.,.,.s° h,[ x, :. yt er<...,� Nn' �+: ,5 {k..,',}e t ltG �yKi ,..ISY .�1;1 ;gp�,dr1`: w;fµ r,,��GG. ...5 •` r 30 L�V'"j rf r}y„ fiti r, 51.d' .:•' vfr.��j�.1.4'�n 3t+wL F; ,'1 .A ..`: 2 f.g�4,;A �y:,; af°' t`dr '•;A+°,. %tvd r? ,; i :.b„�i Yq'+ik ry.r a kc',R ''�t _,:;:^ ti .:�,3 P a }' ,} t �r7 *,fi — c k .`Y*y�a ,d +'eau �S:kt..(�> ,:, 2 !f'.,, $ q µ "rr ei /+*w A`5. t r` 5, ".. h' S r s t e"C• a c tx. .. � x s. at �'+ oS P �8a' �"$ } . � i.�s � •� ��4Y° y� � a �r � ;.a ��,g'�' � 1 t. .slFTK4Yc _ . ; ., �x n>�c`'* s .. ' •dk�i:: • �.T". � � 4'e• ' .� szt4 t t :•' _. 3".u�;asr). 4. W] 2' M�'iz t W] SUBTEBBANEAN Phone: 546-6938 ENGINEEBIN6 INC. Date xx " 7415 Wayzata Blvd., Suite I I I �b Minneapolis, Minnesota 55426 a �p Job Name S I k P�„g f aWI ,pl (A 'Dwe%f" 14 A Job No. 6Location �.5� f� L,(� 00 f'raell;ys An,. Earthwork J I Contractor Ii �i H'ez%®�6i� iCa.a6T&nt Fm+4 ro /Atte -XCQycx+'-5 Arrive Job :3; 7 Mileage 3,2 �yy Total Depart Job `7�®® Travel Time i ;t Ir Chargeable �r Total Hours Lab. Time � Hours I On Job Report Time 1:11 t44 - Summary of Technical and/or Engineering Services performed, including Field Test Data*. Locations, Elevations, and Depths are estimated: Inspected excavation in progress for a single family dwelling at 5538 West Danube. The southwest corner of the cut, measuring about 25' by 25', is approximately 7'-8' deep. The area has been oversized 10' to the south and 15' to the west. The base of the excavation is wet and one pump is operating to control the seepage. All undesirable soils in the corner have been removed exposing a grey sandy clay. This portion of the excavation is deep enough, and is APPROVED FOR FILL PLACEMENT AND COMPACTION. The first layer of fill, which will be in contact with water, should preferably be a clean sandy material - DISTRIBUTION By BTE RANEAN E-NGINEIGING INC. Field Test Data is estimated pending final laboratory test results. C Form ( LAW ENFORCEMENT RECD BY: 2800 "ECI"-Use only when optional line is included. INITIAL COMPLAINT REPORT = 57583 DAY: s IXi T w T F S "ECE"-Use only when optional line is omitted r- MESS. KEY CONTROL NUMBER (OCA) CONT. AGENCY NCIC [DENT. (CAG) E c / 7 9 0 5 7 5 8 3/ M N 1 0 0 2 / L NBR DATE REPORTED (RPD)- TIME RPD (TRP) LOCATION GRID NBR (LGN) /0 7 1 6 7 9/ 1 8 0 2/ 1 4/ PLACE COMMITTED (PLC) P e -ind 5 28 Wet Vanybe, O L NBR HRD SQUAD OR BADGE IY (SBN) TIME ASIG. (TAS) TIME ARR. (TAR) TIME CLR. (TCL) HRD Codes T El / ©/ 1 4 / P -Phone R -Radio L NBR ISN UOC UCS UCS CODES A -Alarm Pending J - CLRD/Arrest. Jv. R - Ref. Oth. Agen. I - In Person C - Exe./CLRD A - CLRD/Arrest Aduk— S - Assit./Advised U - Unfounded Juv. G - GOA/UtL V - Visual T - Other M _ Mail Reported By: T - Address: Phone Nbr Other Complainant: ar oog erg Address: 5502 Westanu e 571-6096 Phone Nbr: Incident Description: Mi scel l aneous Public: Complainant concerned about contractor draining pond behind the above location ui ing eing on . section Department. Check t see—if contracontrqpzor is in viola—I - , pumping water from pond. ,. OFFICER/SQUAD ASSIGNED: Mik SUPERVISOR APP D. .'REPORTS: ❑ ENTERED C.J.R.S. ❑ SUBTERRANEAN Phone: 546-6938 FjG1NEMNG We Date 7415 Wayzata Blvd., Suite I I I Minneapolis, Minnesota 55426 'S- 79dt1 Job Name i(,V 'y Job No. Job Location a f4dIft A& - Earthwork ' V Contractor PfQ-ffQjUNE &COW jyient F!rgJQlip Sgp FXCCZ Vajj1&4 G Arrive Job 9iy,� Mileage 3ZyM, Total DepartJob 1 °. I S Travel Time kr Chargeable 11 rs Lab. Time Hours Total Hours A �,,- On Job % Q Report Time 4r Summary of Technical and/or Engineering Services performed, including Field Test Data*. Locations, Elevations, and Depths are estimated: Inspected base of the excavation for a single family dwelling at 5538 West Danube in Fridley. At the present time the southerly 1/3 of the excavation is approximately 8' deep, with about 1h' deep pool of water at the base. A 2' deep hand auger probe was made near the northwest corner of the existing cut, revealing a base of a grey sandy clay. The demensions of the cut are 37' at the east end, and 65' running east -west. The excavation has been oversized about 15' beyond the building lines This area is APPROVED FOR FILL PLACEMENT AND COMPACTION, providing a test hole is dug down to, he natural material in the middle of the existing cut, to allow the bottom to be examined Density tests should be taken after each 2' lift of compacted fill. DISTRIBUTION Cc req lows ExeawAlnoCc. F6P11ew__R1dq,-- By/ SUB ERRANEAN ENGI ERING INC. Field Test Data is estimated pending final laboratory test results. i Phone: 546.6936 SOBTEBBANEAN J E GIMENC Mc. Date xx " 7415 Wayzata Blvd., suite I I I vl I 147 Minneapolis, Minnesota 55426 Job Name S INc ll e, fi .114 ,%!,j DLUe/%i VsG Job No. s—79.2a Job Location '�530i U1esl Qaviube, F r,d1eQ Ami, Earthwork 't^ Ili Contractor i�w/�Ke f�NC�31fy,1f�liant Fl-awc j1kle &00 uck+l1 Arrive Job %D:Q4//pU05'Mileage 32 Vk Total DepartJob 11./Q) 14DTravelrme Chargeable A 3 4ys Lab. Time �'r HoursS Total Hours � On Job ' J. Report Time '' f Summary of Technical and/or Engineering Services performed, including Meld Test Data*. Locations, Elevations, and Depths are estimated: A.M. INSPECTION Inspected base of excavation at the middle 1/3 of a single family dwelling at 5538 West Danube, Fridley, Mn. This excavation is approximately 81 deep. All undesirable organic soils have been removed, exposing a grey sandy clay subsoil A 51 deep hand auger probe was made, revealing the same grey sandy clay throughout This clay is stiff in consistency. The base of the cut is dry, and has been oversized 101 to the east and west, This middle area is APPROVED FOR FILL PLACEMENT AND COMPACTION Inspected fill placement in the south 1/3 of the building approximate- ly 6' of a brown fine to medium sand fill has been placed and compacted baa vibrating shee afoot- roller, Performed 3 field density tests, -See Comt)action Ouality Control - Test Report No. 1 for test results and locations. P.M. INSPECTION Fill has been placed in the middle 1/3 of the excavation but has not yet been compacted. Excavation was begun n the north 1/3 of the building DISTRIBUTION QG FfQ+%IQ_PYea 1KQ v ,p UBTE RANEAN ENGINEE G INC. Fir -4J% )e- LA . � ��t Field Test Data is estimated pending V final laboratory test results. SUBTERRANEAN ENGINEERING INC. n MINNEAPOLIS, MINN. -SUBTERRANEAN ENGINEERING INC. MINNEAPOLIS, MINNESOTA. Ph. 646 68$8 Compaction Quality Control Testa Project Single Family Dwelling Report No. 1 5538 West Danube, Fridley_ 'Job No S-29217 ..� Sand Cone Method Nuclear Other 0 Notes: All tests corrected for stone content, where applicable. Awrat Indicated Percent Compaction 0% Max. Modified Procter Dry Density D-1557 ®% Max. Standard Proctor Dry Density D-698 Distributions 1 cc Frattalone Excavat 1 cc Fridley Bldg. Insp Dept. De th e ow n data teat �w location below wet density Pcf moisture content dry ds maximum �O compaction recommendations below fill surface 0 July 1 1979 1 See -5h' 123.5 4.2 118.5 121.6 97.4 APPROVED July 1 1979 2 Plan -3' 128.8 6.0 121.5 121.6 99.9 APPROVED July 1c, 1979 3 Below -4' 132.4 10.9 119.4 121.6 98.1 ' APPROVED Notes: All tests corrected for stone content, where applicable. Awrat Indicated Percent Compaction 0% Max. Modified Procter Dry Density D-1557 ®% Max. Standard Proctor Dry Density D-698 Distributions 1 cc Frattalone Excavat 1 cc Fridley Bldg. Insp Dept. Job Namer°vis /, Job Location 35-31 Earthwork r Contractor Pjr,ttk Arrive Job 2100 SUBTERRANEAN ENGINEERING INC. 7415 Wayzata Blvd., Suite I I I Minneapolis, Minnesota 55426 Depart Job _?,Vo Travel Time 1ho- Lab. Time Total Hours On Jobs, Report Time 1-2— Phone: 546-6938 Date J�441 Job No. S — Total Chargeable Hours Summary of Technical and/or Engineering Services performed, including Field Test Data*. Locations, Elevations, and Depths are estimated: Inspected fill placement operation. The fill is a brown silty fine to coarse sand with some gravel. It is being spread with a cat and compacted with a vibrating sheepsfoot roller. Performed 3 field density tests. See Compaction Quality Control Test Report No. 2 for test results and locations. There is approximately 3' of additional fill to be placed and compacted. DISTRIBUTION Are By '4 - SUBTERRANEAN ENGINEERI INC. Field Test Data is estimated pending final laboratory test results. SUBTERRANEAN ENGINEERING} INC. JW._ MINNEAPOLIS, MINNESOTA. Compaction Quality Control Tests Project Single Family Dwelling Report No. 2 5538 West Danube, Fridley, Mn. Job No S-79217 Sand Cone Method M Nuclear Other Q date test location 118.3 no 97.3 July 20 120.1 1 1979 4 See July 20 1979 5 Plan July 20 1 1979 6 Below slow ..S_ below Q wet moisture dry liallwat6fy 90 Enid• content density compaction recommendations ow fill density dry h face 91 Pcf -2' 1 127.3 1 4.2 1 120.7 1121.6 1 99.2 I APPROVED -0.5' 127.6 5.0 118.3 121.6 97.3 APPROVED -1' 120.1 1 6.9 1 108.7 1121.6 1 89.3 1 RE -ROLL Notes:, All tests corrected for stone content, where applicable. ASTM Indicated Percent Compaction lq% Max. Modified Proctor Dry Density D-1567 E3% Max. Standard proctor Dry Density D-698 Distribution; 1 cc Frattalone Excavati 1 cc Fridley Bldg. Insp. Dept. SUBTERRANEAN EN INC. xx " 7415 Wayzata Blvd., Suite I I I Minneapolis, Minnesota 55426 Job Name Phone: W-6936 Date �' 1� Q No. S- ?92J7 Job Location sqmw weg1 i JQyiubG A fy in eu _ /"re. Earthwork Contractor !'4`,n -ho. lejwC F(eQUct'EI yaClient fPQft lawe+ i�YC.Q Ua"In t Arrive Job ? . (' Q Mileage 3a VM a � Total Depart Job . Travel Time 141r, Chargeable Lab. Time 141- Hours S Total Hours 141-S On Job Report Tims Summary of Technical and/or Engineering Services performed, including f=ield Test Data*. Locations, Elevations, and Depths are estimated: Inspected fill area for proposed single family dw llinr-t4538 Danube, Fridley. Fill in this area is a reddish -brown fine to medium clayey sand and was compacted by a self-propelled vibrating sh roller. Approximately an average of 31 of additional fill has been placed and compacted. Performed 3 field density tests, of which one was are - test of a previous ly performed density test, after additional co nac-t]nn. See Compaction Quality Control Test Report No. 3 for tegt results a 1 .......1.: -- - DISTRIBUTION By -U-SOBTIRRANEAN ENGINERINd INC. Field Test Data is estimated pending final laboratory test results. SUBTERRANEAN ENGINEERING INC. MINNEAPOLIS. MINNESOTA. Ph. 546 - 6938 Compaction Quality Control Tests --- Project Single Family Dwelling Report No. 3 5538 West Danube, Fridley, Mn. �._ Job No S-79217 Sand Cone Method Nuclear ❑ Other ❑ Notes : All tests corrected for stone content. where applicable. Indicated Percent Compaction ®% Max. Modified Proctor Dry Density ❑ % Max. Standard Proctor Dry Density Distribution= 1 cc Frattalone Excavatin4 1 cc Fridley Bldg. Insp. Dept. Depth below O Sno data test no. location blow w rade Q wet density y Pcf moisture content 9s dry demi b maximum910 laboratory dry density PCf compaction recommendations below fill surface 0 July 23 1979 7 See re -test 216" 139.3 9.9 125.9 130.7 96.3 APPROVED July 23 1979 8 Plan 6" 123.0 9.1 112.8 130.7 86.2 RE -ROLL July 23 1979 9 Below final 610 131.1 8.6 120.6 130.7 92.3 APPROVED Notes : All tests corrected for stone content. where applicable. Indicated Percent Compaction ®% Max. Modified Proctor Dry Density ❑ % Max. Standard Proctor Dry Density Distribution= 1 cc Frattalone Excavatin4 1 cc Fridley Bldg. Insp. Dept. ASTM D-1567 D-698 I- 71 I ASTM D-1567 D-698 I- SUBTERRANEAN Fj 8I 9 1INCe 7415 Wayzata Blvd., Suite I I I Minneapolis, Minnesota 55426 Phone: 546--6938 Date lt.! /g7 Job Name 54ick lt,_ _ fiam 1+ u I)U/e11.eAo Job No. S'l1J7L7 Job Location SS"3 �tS [vest / LL bi v i��, °R n Earthwork I Contractor ;Frb 40iAyt' &-MCtk Lq:- j NQ Arrive Job /0: Qin Mileage 32 H,, , Total Depart Job /0-141Y' Travel Time J Chargeable It Y Lab. Time 14 Hours Total Hours � � r On Job Report Time H r Summary of Technical and/or Engineering Services performed, including Reid Test Data*. Locations, Elevations and Depfhs ark estimated: Inspected fill area for a proposed single family dwelling at 5.538 West Danube, Fridley, Mn. Performed 1 field density test directly behind the footing trench as a re -test of a previously performed density tes, after more compaction. See Compaction Quality Control Test Report No. 4 for test reports and locations. DISTRIBUTION • �..7. i PTNI By SUBTEKRANEAN ENGINEWING INC. Field Test Data is estimated pending final laboratory test results. SUBTERRANEAN ENGINEERING I_NC. .. MINNEAPOLIS, MINNESOTA. Ph. 666 - 69841 Compaction Quality Control Tests ----- Project Single Family Dwelling Report No. 4 5538 West Danube, Fridley, Mn.Job 5-79214 Sand Cone Method Nuclear ❑ Other ❑ Notes: All tests corrected for stone content, where applicable. ASTM Indicated Percent Compaction 0% Max. Modified Proctor Dry Density D-1867 ❑ % Max. Standard Proctor Dry Density D-688 Distribution: 1 cc Frattalone Excavatin 1 cc Fridley Bldg. Insp. Dept. Depth e ow - data taste location below blow fi I® surface wet density moisture content 96 dry density maximumYo alabora � �ampaction recommendation* duly 24 1979 10 See Plan Below 10 131.3 8.5 121.0 130.7 92.6 APPROVED Notes: All tests corrected for stone content, where applicable. ASTM Indicated Percent Compaction 0% Max. Modified Proctor Dry Density D-1867 ❑ % Max. Standard Proctor Dry Density D-688 Distribution: 1 cc Frattalone Excavatin 1 cc Fridley Bldg. Insp. Dept. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE m NO. RATE > m x $3.00 s-316.00 U _ x x a) New Fixture, Old Opening Water Cd ro y x $5.00 $ Water Heater - to 99,000 BTU [i q q 100,000 BTU to 199,000 BTU 41 ro W p, p, w Water Softener x Heater $ New Ground Than Old Building .•1 ro $5.00 tl1 CC Electric Water Heater H -4 ro aG 11 N d SaC W 0 0 � 1st 3 fixtures x fa $ .a c) $1.00 $ Gas Range to 199,000 BTU x $10.00 C $ U •r4 O A First $100.00 U $5.00 al each add. $100.00 or fraction O O State Surcharge N ,y5� R N a O O S W 4j N N N 4 j, 14 U u > ro M W .+ U) ro $ s+ o A W x W .+ W ro rd UMQ$ o ro ro U ro 0 " O as lec rn p 1st Q 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 s-316.00 Future Fixture Opening _ x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU _ -�_ x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Than Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x •$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ ArSP REINSPECTION FEE ($10.00) - .. •.. r; , t �r 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 '� Fridley, Mn. C� "(i , 19-70 ! OWNER ' ,AytcA1 e— �Z KIND OF BUILDING &Q,5 ,5 fie., USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO.� Company ' �l Signed By422 g flB Tel. No. 422(( � �f ROUGH INSP. Date FINAL INSP. I Date APPROVAL FOR PERMIT �. MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL A Job Address �5 � � ��� f 2eiPeli-C Furnace Shell & Duct Work $12,00 $ * Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: j The The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $/,® agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the *Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. STEAM OR HOT WATER SYSTEM: OWNER VA V} a l J r- CC /-Z-/ , Bailer & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU 4.00 Boiler only up to 100,000 BTU 7.QQ USED AS D et, efK each addp. 50,000 BTU S,OQ 9-30 _ %1-? To BB CONPUTED ABOUT OIL BURNER- to 3 gal. per hour $10.00 s �s each add. 3 gal. per hour 10.00 $ ESTIMATED COST 5 GAS BURNER- from- 100,000 BTU to 199,999 BTU $10.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3,00 $® Cv Q DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1,00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water Warm Air- No. AIR CONDITIONING FAN HEATING SYSTEMS $ Trade Name VOI?K Size No. �� ^�C •5 See Fee Schedule $ VENTILATING SYSTEMS ALTERATIONS 4 REPAIRS $ Capacity S . Ft. EDR BTU10�0-0 HP-- q —,r-- $� State Surcharge $ .50 Total Connected Load 22, 3 Bind of Fuel C,45 TOTAL FEE $ a%• If BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft, EAR BTU HP Date (.$10.00) FINAL INSP, Al -If -F6 Company Date �f Signed By APPROVAL FOR PERMIT Tel, No. MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form X r' June 17, 1980 CITY OF FROOLPY 8431 UNIVERSITY AVENUE N.E.; FRIDLEY, MINNESOTA 65438 TELEPHONE ( 612)571-3450 Mr. David Ficek s DaVerne Corporation 2200 Silver Lake Road New Brighton, MN 55112 Re: Final Inspection at 5538 .West Danube Road N.E. Dear Mr. Ficek: A final inspection has never been made on the above listed construction as we have not been able to gain entrance into the structure. Would you please contact us to set up •a date and time when this inspection could be made. We would appreciate your prompt attention to -this matter. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. Donald Frentz Jr. 5538 West Danube Road N.E. s ,.:_.: . .._,__.. -._.. .......... � �;�xA^.. _.. .,- �.._...,+".*T.w'^^.,r:'r`.�i^,�'x<, m�'rro=xfiF: ksra.fi errrc rr�i�?�P:$,X.. .,u. •fes.. F..:. sr4m3c.r^+�'.--,.'—..-..-. F� a �4; yp 6431 UNIVERSITY AVENUE N.E., FRIDL'EY, MINNESOTA 66432 e Mr. David Ficek � DaVerne Corporation 2200 Silver Lake Road New Brighton, MN 55112 TELEPHONE ( 612)571-3450 Re: Final Inspection at 5538 West Danube Road N.E. Dear Mr. Ficek: A final inspection was made on June 20, 1980 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide post footings for deck by July 15, 1980. 2. Provide sod in the front and side yards by July 15, 1980. We will expect the above items to be completed by the. scheduled date when a reinspection will again -be conducted to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G . ' CLARY. Chief Building Official IGC/mh CC: Mr. Donald Frentz Jr. 5538 West Danube Road N.E. r F T y e June 24,1980 F� a �4; yp 6431 UNIVERSITY AVENUE N.E., FRIDL'EY, MINNESOTA 66432 e Mr. David Ficek � DaVerne Corporation 2200 Silver Lake Road New Brighton, MN 55112 TELEPHONE ( 612)571-3450 Re: Final Inspection at 5538 West Danube Road N.E. Dear Mr. Ficek: A final inspection was made on June 20, 1980 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide post footings for deck by July 15, 1980. 2. Provide sod in the front and side yards by July 15, 1980. We will expect the above items to be completed by the. scheduled date when a reinspection will again -be conducted to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G . ' CLARY. Chief Building Official IGC/mh CC: Mr. Donald Frentz Jr. 5538 West Danube Road N.E. NOVEMBER 10, 1981 CITY OF,FRIDLEY 6431 UNIVERSITY AVE N.E. FRIDLEY, M. 55432 ATTN: DARREL CLARK mr ei 6mpany 1107 South Second Street MINNEAPOLIS, MINN. 55415 TELEPHONE 339-9226 (0 31 1z1-3 I HAD A HOUSE BUILT A 5538 W. DANUBE RD., I 1979. IT WAS BUILT BY DAVID FICEK OF DA PORATION. THERE HAS BEEN A CONTINUAL PROBLEM WITH THE UPSTAIRS SHOWER LEAKING THRU THE CEILING OF THE BEDROOM BELOW IT. A NUMBER OF TIMES I HAVE CALLED FICEK REGARDING THE PROBLEM AND A COUPLE OF TIMES HE HAS SENT SOMEONE OUT TO FIX IT. THE PROBLEM, HOW- EVER, STILL EXISTS. I CALLED FICEK TWO WEEKS AGO AND WAS TOLD HE WOULD HAVE SOMEONE OUT WITHIN A COUPLE OF DAYS. STILL NOBODY HAS CALLED OR COME OUT. THIS IS A MOST FRUSTRATION SITUATION AND I WANT TO KNOW IF THERE IS ANY- THING YOU CAN DO OR RECOMMEND THAT I DO. YOUR PROMPT A BILL FREN PRESIDENT BF/NEE Y ILL BE APPRECIATED. 1 Tomorrow's ENGINEERINQ MATE LS ®dcay� \ pry "' • sue-jky P68 City of Fridley(--2 9 9 9 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 16_ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 4#10 f 1 � PROTECTIVE 1 e NUMBER REV DATE PAGE OF A0PROVEO BY = 1 "1 I CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/4/99 JOB ADDRESS 5538 West Danube Road NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Innsbruck SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Conrad Rummel 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Vern Jurek Const. 7329 Cty, 23 Recker MN 55308 261-4776 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 ' O NEW O ADDITION 0 ALTERATION Cc REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and arae 28 SQ Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Un.derlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $2447 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1.22 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $83.25 Fire C $2.45 STRUCTION OR HE PERFORMANCE OF CONSTRUCTION i PLAN CHECK FEE License $5.00 TOTA E :$&.92 S-GNA tUl OF CONTRACTOR OR AUTMORIZEO AGENT IOATE,e A EN R P VALIDA HIS IS UR PJ:RMI S-GNATURE OF 0wNER0F OWNER BUILDER, IDATEl r /PATE Ni:"Vv [ ]' Effective 5/10/99 (� ADDN [ ] CITY OF FRIDLEY - I ALM [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUELDING PERMIT APPLICATION Construction Address: S� S-3 g' 0J eS1'- Z -)OLA u Legal Description: Owner Name '& Address: � � k u W v7 ,oma( Tel. # Contractor: Y �aL�,c vMN LICENSE # Address: '7.3 ,DQ C,�ii Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT 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: 4- PR Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: 0-il� Tel. # 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 [ ] r CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range _ Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (UST ON BACK 1 % of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective On January 1, 1999 JOB ADDRESS S,53,? 40 d � A( The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 30.00 $ representations stated in this application are true and correct. ,1998 $10;00 $ n $10;00 $ $10,00 $ $ 25.00 $ State Surcharge lfoklcgt� $ .50 MINIMUM FEE FOR ANY HEATINGXOOLING/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. BUILDING USED AS�,®2 ESTIMATED COST S PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units l Circle One (Steam) (Hot Water) fNarm Air Trade Name �� , i ' Size No. A PIP 0 BTU /77600 HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR d�rc Fr HEATING COW" O - �'" Signed By ql�kWZ�CTel No._41-V-c06e) Approved By Rough—In Date Final Date Alli - - L999 lea 29 SROM' i TY OF., FR I DLEY TQ • ::789$605 .. P .. Oi c ., ` . ul:tV f W CJ . iPYte+ CYI.' Q C3 N" to .• NIX W rn oq � O — r+fn cep •� cF'`` �. b x m m 4n. c� ' 00 ,•��cx'. ;: .,nm. m `•max" - '�'� o 6C p 0 CD CD .0 W sv .w N o' .. CL w •c _ o ,.,, � . � • SQ : ro exp m �� ro AkJG-i�.3 -� 9�9 �L�' 3Cfi ' FROM .'.' C I Til' OF FR IL1L.t=1' I b • " �i 1VfN u ANl) AC, K�Vk r The uppers k- d h� by va xi3a r the c.Xucxj �r►ney. or stack. . $W raxeft�Ily xamiried Yes . s fry fr%n, iv t oz detertoratwn. foreign objects lodged q Ts sw el su reed y AFo Yes 5�. 1VIeeul allet ent Code iequireeme its for:<die d t ,tai BTIt's +connected: G.' :Has tt�al head. $TI.T's of All qtr BTI's OT I�TW fi: has ,xiz�er bocu provided far wat i heater $� has ctIyustiosz Air teen provided for water meter 'des }No{'} .List Ar TF�a��N,�Bein�' , AIS FAfiiN C , • Si�z�edI3 1 Date I i r TQTF L.. P. 02