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PRE 2010 DOCSt City of Fridley, Minn.. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT/ Dater - -December 97 1972 Owner: State Land & Deyelopmenk Co Builder. Bryant -Franklin Address6229 jL4iversity Avenue N.E. Address 1000 West County Road D LOCATION OF BUILDING Nb. 5451 Street 5th Street NAE, Part of Lot 10 Lot _._. __ Block Addition or Sub -Division Hamiltons Addn. to Mech. Corner Lot _._ _.._._..___ Inside Lot __ _X_. Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 4,000 40,000 32 Unit, Apartment-- Front Depth Height Sq. Ft, 11,168 ctL Ft, 307,120 & 16 Garages ...... Front __ Depth Height - Sq. Ft. Cu. Ft. Type of Construction _ Wood_ Frame Est. Cost ...x.454., Q_Z_ To be Completed 1 y, -a -r Stipulations: 1. 5 stalls on the northwest corner of the property may have precast curbing 2. Install a pipe for drainage on the rear of the property. 3. Party walls and separation between floors to be built to Code. See Fire Prevention Memo dated December 27, 1972. Comply with SBC requirements for the handicapped. In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with a'll provisions of Ordinances of the city of Fridley. In consideration .of the payment of a fee of $ 963.2 , permit is hereby granted toStatp Land and Development CQMP-GJ — to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordin4nees of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiings 'Within the city limits and this permit may be revo y time upon ati of any of the provisions of said ordinances. _ Building Inspector nARR RRT, CY AgK 0 NOTICE: This permit does not cover the construction, Installation for whine, plumbing, gas heating, sower or water. Be sure to sae the Building Inspector for separate permits for these items. r� F1 HL I Ln I r�G PERMI I CITY OF FRIDLEY NOTE: Applicant should l_ R obtain building permit n-wdur_ iof rmgtinn r from Building Inspection BUILD : ��/q(cC--,4WZ?L(--1dEV, CO Department Secretary. ADDRESS; ��Z �/(/!/� ��LC� ` 3� NOTE: A Certified Survey of the lot, Street City Zip Code showing the location of the foundatt n, �,,,� C� �"7 c(_3O` once it has been constructed, will be TELEPHONE: <0required before proceeding with the H6 framing. PROPERTY OWNER �%�%C= ° <-"- /� 9� �—L. CCS. O/Q ADDRESSES, Street City Zip Code Street City Zip Code TELEPHONE NO -(S) 57f6— 4430.3 ®' /yy 0 Home Business LOCATION OF BUILDING Property Location on Street` or Exact Street Address (if any): _ now Legal Description of Property: Tots Area of Property DESCRIPTION OF BUILDING Proposed Building Use: , sq. ft. v Present XG ng Classification Building Dimensions: Front Depth Height '`/.U®0 y0, 000 Square Ft. %//, 146' Cubic Ft.,30'7,1-26 Type of Cegotruction: L=o2 Cft nuLL OD % To Be Completed Estimated Cost �;�,�,��/ �_ r. --- DATES APPLICANT'S ' 14ON-RF IDENTleL BUII.pINC, PMMIT Q R� H 'X. N CITY OF FRIDLE.'Y ADMINISTRATIVE PROCESSING AND PLAN CHECK ZONING: g-3 ADDRESS: -bob VARIANCE REQUIREID: LEGAL DESCRIPTION: AL2611'C;4Ad_.1t1. SPECIAL USE REQUIRED:_ Ban . C�'�1f1 rr . �� Yi2�_,e.Lc._• ,�t.�� _r!� PLOT PLAN: TOTAL AREA GRADE ELEVATION SET BACKS: FRONT YARD SIDE YARD FIRE REQUIREMENTS: FIRE MARSHALL INSIDE UTILITIES: Date Approved : OUTSIDE UTILITIES & SITE DEVELOPMENT: Date Approved City Engineer BUREAU EXITS (dates ADB) PLUMBING VENT & HEATING ELECTRWAL WATER SEWER ELEV CURBING DRAINAGE SCREENING & PLANTING 6 Receipt No. Permit Fee & Plan Cheer.$ J.21.o � Receipt No. T9T6— upero".2.29.04 Receipt No. Net Permit Fee Due -Receipt No. SPECIAL ASSESSMENTS: IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACED ON THIS PROPERTY, AN AGRE94EVE MUST BE SIGNED, AGREEING TO ASSUME SUCH LATERAL ASSESSMENTS BEFORE A PERMIT WILL BE ISSUED, AGREEMENT NECESSARY Finance Director AGREEMENT UNNECESSARY Registered Engineer's Stamp Legal Description Check SUBMIT TO: BUILDING BOARD BOP APPEALS Pte. 0M. 1 COUNCIL APPROVAL DATE: G7 -o? l l %Z ,Orf- /y A C C tI Alb/. 6, 19� FIRE REQUIREMENTS: FIRE MARSHALL INSIDE UTILITIES: Date Approved : OUTSIDE UTILITIES & SITE DEVELOPMENT: Date Approved City Engineer BUREAU EXITS (dates ADB) PLUMBING VENT & HEATING ELECTRWAL WATER SEWER ELEV CURBING DRAINAGE SCREENING & PLANTING 6 Receipt No. Permit Fee & Plan Cheer.$ J.21.o � Receipt No. T9T6— upero".2.29.04 Receipt No. Net Permit Fee Due -Receipt No. SPECIAL ASSESSMENTS: IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACED ON THIS PROPERTY, AN AGRE94EVE MUST BE SIGNED, AGREEING TO ASSUME SUCH LATERAL ASSESSMENTS BEFORE A PERMIT WILL BE ISSUED, AGREEMENT NECESSARY Finance Director AGREEMENT UNNECESSARY Registered Engineer's Stamp Legal Description Check (A) FOUNDATION P4RMIT FINAL APPROVAL ►-' Building Official Building Official ' (A) FINAL APPROVAL lQ= Easements, R/W, Special Agreements City Engineer DATE: CERTIFICATE OF OCCUPANCY: 94 PARTIAL: DATES FINAL: DATE: R91ARKS: REMARKS: EE- U v � - �o�u ,t eJcz.d ee� ,Later cP ,�ciJ��'cl 74-, P LAtJ - CAE 0< 37, I sok r N Fire Phone 560-1500 Bus. Phone 560-3450 CTI'Y OF FRIDLEY Bureau of Fire Prevention 6431 University Avenue N. E., Fridley MINNEAPOLIS 21, MINN. Memo To: Darrell Clark, Community Development Administrator CD 72- -8 From Robert D. Aldrich, Chief, Bureau of Fire Prevention lc:5111&1 Date December 27, 1972 Subject: P. Burkholder apartments I have reviewed the plans for the above proposed construction and note the following: Occupancy - Group H Construction - Type 5 - 1 hour Area Proposed - 32,250/wo separation Area Allowed - 18,544 square feet Plans are not complete as to electrical and mechanical,' therefore no judgements are being made in these areas. Wet standpipes are required, as are fire alarm and detection devices. Clarification of the problem of areas is needed as masonery fire walls could be a requirement. RDA: et W OU Can Help STOP Fires SAVE Lives 560-3450 Cit o 7,iall, ANOKA COUNTY 6431 UNIVERSITY AVENUE NE December , 1972 FRIDLEY, MINNESOTA 55421 3 TO WHOM IT MAY CONCERN: Whereas the City of Fridley has issued a building permit to construct a structure at S9 :5 "-1 SrRcr 1 Whereas the permit is dated prior to January 1, 1973 and the City of Fridley did not collect or receive any "Service Availability ChargetP. Therefore if for any reason the Metropolitan Council and or the Metropolitan Sewer Board assess or bill the City of Fridle ervice Availability Charge for this structure or sewer hook up, we the and sigme agreeto will pay t�V) City of Fridley for said charges. `) re Company Title Witness r_ PLUMBING PERMIT APPLICATION Job Address Owner Address Phone Contr to Address Phone ompIon Date Cit of Fridley y AT THE TOP OP TNf THANE -------- COMMUNITY pEVEL0PIAENT 01V, 1 i MOTECTIVE W1ftCrVN W", CITY NAIL F1UDL9V DOOR r_ PLUMBING PERMIT APPLICATION Job Address Owner Address Phone Contr to Address Phone ompIon Date II - I W+ I I I II I I t J Number Fixtures Future Fixtures 0 I a I �I I --- I� i �asval ( ' I li 'lddYl � I— I O i eve I MI •761NI I I I •saa-II I I I •nNtva � + m SNI9Y9 0 NOO-1A I I I •a 3 O aoo�a � �+ k+ = II W O u I saaMONSI I I I ! I Iz tl•tNnod � j v NIaaI q HsvlMl I ` I I CL 1 9HN18 O /NIBYY I sant I T3I \I \I I F TOTAL FEE $ Hive The undersigned hereby makes application for a permit s,YNlanl I I I I for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and Tulin a71tlM I of the Department of Buildings, and hereby declare that all the facts and representations stated in this application are t nd correct. co S nature Dae 3 use � - st to Cost CPO Plumbing Fixture Rates: N0. RATE TOTAL x $2.00 x $1.50 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU 1(1! x $3.00 Ground Run Old Bldg. Elec. Water Heater Gas Fitting Fees: x $3.25 x $2.00 1st 3 Fixtures x $2.00 - Additional Fixtures �I P Aa4l x $ .75 Gas Range -199,000 BTU x $5.00 Repairs � Alterations See Description; Code State Surcharge .50 II - I W+ I I I II I I t J Number Fixtures Future Fixtures 0 I a I �I I --- I� i �asval ( ' I li 'lddYl � I— I O i eve I MI •761NI I I I •saa-II I I I •nNtva � + m SNI9Y9 0 NOO-1A I I I •a 3 O aoo�a � �+ k+ = II W O u I saaMONSI I I I ! I Iz tl•tNnod � j v NIaaI q HsvlMl I ` I I CL 1 9HN18 O /NIBYY I sant I T3I \I \I I F TOTAL FEE $ Hive The undersigned hereby makes application for a permit s,YNlanl I I I I for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and Tulin a71tlM I of the Department of Buildings, and hereby declare that all the facts and representations stated in this application are t nd correct. co S nature Dae 3 use � - st to Cost CPO Plumbing Fixture Rates: N0. RATE TOTAL x $2.00 x $1.50 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU 1(1! x $3.00 Ground Run Old Bldg. Elec. Water Heater Gas Fitting Fees: x $3.25 x $2.00 1st 3 Fixtures x $2.00 - Additional Fixtures �I P Aa4l 645-3601 TWIN CITY TESTING AND ENGINEERING LABORATORY. INC. st-, ENGINEERS AND CHEMISTS 55114 662 Cromwell Avenue - St. Paul, Minn. REPORT OF: EXCAVATION INSPECTION ,, y PROPOSED APARTMENT BUILDING esu PROJECT: 54TH AND 4TH AVENUE NORTHEAST DATE: pril 17, 1973 FRIDLEY, MINNESOTA REPORTED TO: Bryant -Franklin Corporation FURNISHEDB . 1000 West County Road D COPIES TO: 1) City of Fridley Building New Brighton, MN 55112 Inspection Department LABORATORY No. 9-4416 INTRODUCTION This report concerns the recent inspection our firm performed of the soil conditions at the above referenced project. Authorization for the work was received from Mr. Dick Brama on March 26, 193. No deep soil penetration borings were put down for this construction. However, according to our available geologic information, the surficial soils in the area are wind deposited sands associated with the Grantsburg Sublobe of the Wisconsin stage of glaciation. As the water table fell during glacial retreat, the exposed sands were blown into low sand dunes. First bedrock at the site would be the Prairie du Chien formation at a depth of 150' to 2001. We understand the building will be a three-story, slab -on -grade structure. The structure will be supported on continuous spread footings designed -to rest on soil having an allow- able bearing capacity of 2500 psf. Information concerning finished floor and footing elevations were not available to us. The foundation plan is to carry the footings down through any inferior soil and construct them on adequate bearing natural soil, as determine by our on-site inspection. INSPECTION PROCEDURES Our inspection consisted of visually classifying the soils in the excavation in accord- ance with the Unified Soil Classification System. Several shallow hand auger borings. were put down to determine the soil types at depth. In addition, the soil was probed with a manually operated cone penetrometer. .-The penetrometer is calibrated to indicate the consistency of cohesive soils and the relative density of cohesionless soils. Field in-place density tests were performed on the natural sand soils in accordance with ASTM:D1556-64. These tests were evaluated according to the maximum -minimum relation of soil as designated by ASTM:D2049-69. RESULTS AND RECOMMENDATIONS On March 26 , 1973, we made a visual inspection of the excavation. At this time, all exterior footing areas had been excavated. The footing excavations had been carried down through silty sand topsoil and/or sand fill to naturally occurring sand and silty sand. The fine-grained sand was exposed in the major portion of the footing areas and was brown in color. The silty sand was exposed for a distance of 70' in the north and AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHOR. IZATION FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS 19 RESERVED PENDING OUR WRITTEN APPROVAL. 645-3601 TWIN CITY TESTING AND ENGINEERING LABORATORY, INC. „SAN ENGINEERS AND CHEMISTS yQecro ?' g 662 Cromwell Avenue. St. Paul, Minn. 55114 i z y yA REPORT OF: EXCAVATION INSPECTION BSt LABORATORY No. 9-4416 RESULTS AND RECOMMENDATIONS cont. DATE: April 17, 1973 PAGE: 2 south wall footing excavation. Both pockets of silty sand occurred about 28' west of the east wall and continued to a distance 98' west of the east wall. The sides of the excavations, where the silty sand occurs, consisted of 3' to 4' of sand fill overlying silty sand topsoil. This area probably resulted from the filling of a local natural depression. The silty sand would be a zone of weathered soil occurring just below the topsoil. Our penetrometer soundings and two relative density tests indicate the sand is capable of supporting the designed unit loading. The results of the relative density tests are attached. We did recommend, however, that all exposed sand areas be surface compacted with a fairly he4vy vibratory compactor, to densify any isolated loose zones. The penetrometer soundings indicated the silty sand was relatively loose. Because the silty sand extends to depths of about 4' in some areas and was somewhat wet, it was mutually agreed to reduce the soil bearing pressure in these areas, as opposed to surface compaction. Mr. Ben Pflagen of Bryant -Franklin Corporation, indicated the footings would be widened to 3', thus, reducing the unit loading to about 1500 psf. It was our understanding the 3' wide footing would be utilized for a distance of 85' in both the north and south footing areas - throughout the center portion of the proposed building. Mr. Pflagen indicated that he was going to construct the exterior walls to grade, backfill and then prepare the interior soils for footings and the slab -on -grade. At this time, we pointed out the old fill area probably crosses the entire building area. As a result, we recommend the interior footing areas be inspected prior to their construction. REMARKS Because no deep soil penetration borings were put down for this construction, we cannot warrant conditions below the depths of our hand auger borings. However, based on our knowledge of the surficial soils in this area, the likelihood of inferior soils occurring at depth is quite remote. TWIN CITY TESTING AND ENGINEERING LABORATORY, INC. r ruce Hass ger Geologist BH:TKS:rs/Thomas K. Smith, P.E. AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHOR- IZATION FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL. 645-3601 TWIN- CITY TESTING AND ENGINEERING LABORATORY. INC. �»» ENGINEERS AND CHEMISTS ypa r� 662 Cromwell Avenue - St. Paul, Minn. 55114?Ufs REPORT OF: DENSITY TESTS OF COMPACTED FILL PROJECT: PROPOSED APARTMENT BUILDING DATE: April 10, 1973 54TH AND 4TH AVENUE NORTHEAST REPORTED TO: FRIDLEY, MINNESOTA COPIES TO: (1) City of Fridley Bryant & Franklin Corporation 900 West County Road D New Brighton, MN 55112 LABORATORY No.' 9®4416 TEST NUMBER: DATE TAKEN: UNIFIED SOIL CLASSIFICATION: 1.CIC: AT1nNe DEPTH BELOW FOOTING ELEVATION: DEPTH BELOW EXISTING GRADE: FIELD DENSITY DETERMINATION: 1 March 26, 1973 2 March 26, 1973 Sand, fine grained, Sand, fine grained, light brown (SP -SM) -1 light brown (SP -SM) -1 201S of NW corner on footing line 18 1B 401N of SE corner on footing line 1° Method Density in Place By Sand -Cone Method, ASTM: D1556-64 (44 Basis) Dry Density (pcf) 97 103 Moisture Content (%) 6.4 9.6 Plus ##4 Material NO None None MAXIMUM -MINIMUM DENSITY RELATION OF SOIL: Method ASTM: D2049 -69T (-#4 Basis) Maximum Density (pcf) 108 108 Minimum Density (pcf) 90 90 DENSITY TEST RESULTS: Relative Density (%) 45 75 Specified Compaction (%) 35 35 REMARKS: The above test locations were selected by Twin City Testing and Engineering Laboratory, Inc. Compaction meets specifications in the above test areas. AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHOR- IZATION FOR PUBLICATION OF STATEMENTS. CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL Twin City Testing Engineering labo ry, Inc. By • N15-3601 TWIN CITY TESTING AND ENGINEERING LABORATORY. INC. o,.,...F ENGINEERS AND CHEMISTS PeCr �`'� • �� 662 Cromwell Avenue- St. Paul, Minn. 55114 a� �s d''•e:®� REPORT OF: MAXI - MINIMUM TEST OF SOILS PROPOSED APARTMENT BUILDING PROJECT: 54TH AND 4TH A`YENUE NORTHEAST DATE: April 10, 1973 REPORTED TO: FRIDL Y_, MINNESOTA FURNISHED BY: Bryant & Franklin Corporation 1 Cit of Fridley 900 West County Road D cowEs TO: (') 3' y New Brighton, MN 55112 LABORATORY No. 9-4416 SAMPLE NUMBER: 1 DATE TAKEN: March 26, 1973 UNIFIED SOIL CLASSIFICATION: Sand, fine grained, light brown (SP -SM) METHOD: Relative Density of Cohesionless Soil ASTM:D2049m69 MAXIMUM DENSITY-., (44 BASIS) 108 lb./cu. ft. MINIMUM D ENS LY: (44 BASIS) 90 lbw"pax'. R The sample was taken from the above job site by Twin City Testing and Engineering Laboratory, Inc. AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHOR- IZATION FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL Twin r mg and Eng yo'Laboratory, Inc. PER . - City of Fridleyff�12126S AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO. � `L -_____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ' 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 812-560-3450 910-F15 5/10/73 JOB ADDRESS 5451 - 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. N. 264' O 10 1 Hamilton's Addn. to Mech. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE State Land and Development Co. 6229 University Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bryant-Franklin 1000 West County Road H 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION $I ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Additional footage added to original garages 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $12993 1.00 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- 9.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCT) N. PLAN CHECK FEE TOTAL FEE 10.00 / SIGNATURE OF CONTRACTOR ORAUTHO IZEDAGENT MATE) s W N OPERLY VALIDATED BLDG )NSP THISWYOU P15RMIT DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME • V. BUILDER : ADDRESS; ADDRESS: NO:. STREET: LOT BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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: 0 Its Front: 1 a Depth: Height • Square Feet: L/ _6cubic Feet: 0 Front: Depth: Height• Square Feet; Cubic Feet: Type of Construction: Estimated Cost; To Be Completed; The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stkict accordance with the City of Fridley ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct, DATE: SIGNATURE; (See Reverse Side For Additional Information.) 645-3661 TWIG CITY TESTING OnD (I"1611"IfflInG HBOROTORY, Inc. CHEMICAL & PHYSICAL TESTS • INSPECTIONS • RESEARCH Bryant -Franklin Corporation 1000 West County Road D New Brighton, MN 55112 RE: Proposed Apartment Building 54th and Fourth Avenue Northeast Fridley, Minnesota Laboratory #94512 Gentlemen: On May 4, 1973, we performed a visual inspection and three compaction tests on the soil exposed in the interior at the above referenced project. The structural details of the construction and information pertaining to the surficial soils at this site were outlined in our report #9-4416, dated April 17, 1973. As indicated in this report, the exterior walls were to be constructed to grade prior to preparing the interior soils. At the time of this recent inspection, the interior was at footing grade. Interior backfill and utility lines had been placed. It is our understanding the area had been surface compacted with a heavy vibratory compactor prior to placement of the utility lines. Also, additional compaction was applied with a turtle type compactor after completion of the utility line placement. As indicated in our previous report, an old fill area crosses the center portion of the building. Our recent hand auger borings in this area indicated the old fill consists mainly of silty sand. The fill density was checked with a manually operated cone penetrometer. The penetrometer soundings and a compaction test indicated the silty sand fill was capable of supporting the 2500 psf design unit loading. Also, the natural soils exposed at the east and west ends of the building appeared quite dense. The results of the compaction test are attached. Penetrometer soundings and compaction tests indicated the interior wall backfill and the soil placed in the utility trenches was looge. AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHOR- ISATION FOR PUBLICATION OF STATEMENTS. CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL HOME OFFICE: CHARLES W. BRITZIUS. P.E. 662 CROMWELL AVENUE :� President ST. PAUL, MINN. 66114 3 JOHN F. GISLASON. P.E. BRANCH OFFICES: Executive Vice -President BISMARCK, N.D. `°a,��`' NORMAN E. HENNING. P.E. FARGO, N.D. Vice -President Engineering GRAND FORKS, N.D. ALBERT C. HOLLER. F.A.I.C. MINOT, N.D. Vice -President Chemistry LA CROSSE. WIS. CLINTON R. EUE ROCHESTER, MINN. Secretary Treasurer WATER OO. May 15, 1973 IOWA Bryant -Franklin Corporation 1000 West County Road D New Brighton, MN 55112 RE: Proposed Apartment Building 54th and Fourth Avenue Northeast Fridley, Minnesota Laboratory #94512 Gentlemen: On May 4, 1973, we performed a visual inspection and three compaction tests on the soil exposed in the interior at the above referenced project. The structural details of the construction and information pertaining to the surficial soils at this site were outlined in our report #9-4416, dated April 17, 1973. As indicated in this report, the exterior walls were to be constructed to grade prior to preparing the interior soils. At the time of this recent inspection, the interior was at footing grade. Interior backfill and utility lines had been placed. It is our understanding the area had been surface compacted with a heavy vibratory compactor prior to placement of the utility lines. Also, additional compaction was applied with a turtle type compactor after completion of the utility line placement. As indicated in our previous report, an old fill area crosses the center portion of the building. Our recent hand auger borings in this area indicated the old fill consists mainly of silty sand. The fill density was checked with a manually operated cone penetrometer. The penetrometer soundings and a compaction test indicated the silty sand fill was capable of supporting the 2500 psf design unit loading. Also, the natural soils exposed at the east and west ends of the building appeared quite dense. The results of the compaction test are attached. Penetrometer soundings and compaction tests indicated the interior wall backfill and the soil placed in the utility trenches was looge. AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHOR- ISATION FOR PUBLICATION OF STATEMENTS. CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL Bfya6t4 ranklin Corporation May 15, 1973 ;Page 2 We strongly recommend that additional compactive effort be applied to these soils with compaction tests performed to insure that adequate compaction is attained prior to footing construction. Very truly yours, TWIN CITY TESTING AND ENIGNEERING LABORATORY, INC. P Bruce Hassing Geologist T omas K. Smith, P.E. BH: TKS:rs Copy to: Fridley Building Inspection Department 645-3601 TWIN CITY TESTING mo ENGINEERING LABORATORY. INC. a,µ.ecw.fXENGINEERS AND CHEMISTS P 662 Cromwell Avenue - St. Paul, Minn. 55114 a , REPORT OF: DENSITY TESTS OF COMPACTED FILL PROJECT: PROPOSED APAR'T'MENT BUILDING DATEI May 8, 1973 REPORTED T054TH AND FOURTH AVENUE NORTHEAST COPIES To: (1) City of Fridley FRIDLEY, MINNESOTA Building Inspection Dept. Bryant -Franklin Corporation 1000 West County Road D New Brighton, Minnesota 5 LABORATORY No. 9m 4512 TEST NUMBER: 3 4 5 DATE TAKEN: 5/4/73 5/4/73 5/4/73 UNIFIED SOIL CLASSIFICATION: Silty sand, Silty sand, Silty sand, (Moisture -Density Sample fine grained, fine grained, fine grained, Number) no gravel, trace of gravel, no gravel, brown (SM) brown (SM) brown (SM) LOCATION: 45'S & 50'E 36'S & 35'W ills & VE of NW corner of NE corner of NW corner (meth. trench) (old fill) (int. backfill) DEPTH BELOW FLOOR ELEVATION: 611'• 611 611 DEPTH BELOW EXISTING GRADE: 611 611 6" FIELD DENSITY DETERMINATION: Method Density in Place By Sand -Cone Method, ASTM: D1556-64 (44 Basis) Dry Density (pcf) 90.5 112.5 87.0 Moisture Content NO 9.6 9.0 9.0 Plus #4 Material W 0 4 0 LABORATORY MOISTURE -DENSITY RELATION OF SOIL: Method ASTM:D698-70, Method "A", (44 Basis) Maximum Dry Density (pcf) 106.8 106.8 106.8 Optimum Moisture W 14.2 14.2 14.2 COMPACTION TEST RESULTS: Compaction W 85 105 81.5 Specified Compaction NO 95 95 95 REMARKS: The above test locations were selected by Twin City Testing and Engineering Laboratory, Inc. Compactiun-meets specifications in the area of test 4, but is below specifications in the other test areas. AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHOR- ""601 TWI'CITY TESTING AND ENGINEERING LABORATORY, INC, ENGINEERS AND CHEMISTS yoEc g 662 Cromwell Avenue - St. Paul, Minn. 55114 : s ®; MOISTURE - DENSITY CURVE SAMPLE NO. Stb PROPOSED APARTNENT,BIUILDING PROJECT: 54TH -AWD-F0URTV-AVE=!NOR ST DATE: May 83 1973 L REPORTED TO: FRID , SOS COPIES TO: Bryant-Franklin Corporation (1) City of Fridley LABORATORY NO. 9- 4512 Building 7mspection Dept. METHOD OF TEST: ASTM:D698-70 ;t; 107 w 106 N W105 0 104 103 TYPE OF MATERIAL: Silty sand, fine grained, brown (Sly) MAXIMUM DENSITY: 106.8 1b. /cu. f$. OPTIMUM MOISTURE: 14.2 % MOISTURE CONTENT °ID AppRcailon for Power Plats and HtatIft Cooling, Vondkdkn. Reldpralioe and Air Conditions • ng S and Dericos PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shen & Duct Work ................ .. $10.00 $ Replacement of Furnace . . ..... ..... . 6.00 $ Repairs & Alterations—up to $.500.00 6.00 $-- Repairs & Alterations each add. $500.00 3.00 $--- - NECH. WARM AIB Furnace Shell & Duct Work to 120,000 BTU ..... . .. $10.00 $_ each add 60,000 BTU .................... .. 3.00 = Replacement of Furnace ...6.00 Repairs & Alterations -up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3,00 $ STEAM or HOT WATER SYSTEM Furnace She11 & Lines—to 400 sq. ft. EDR Steam $10.00 $. _ Furnace Shell & Line --to 640 sq. ft. EDR Kot Water 10.00 $_ 10.00 Each add. 200 sq. ft. EDR Steam R.O(1 Each add. 320 sq. ft. EDR Hot Water 12 x 3.00 $ 6.00 OIL BURNER—to 3 gal. per hour over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 199,000 BTU) over 199,000 BTU See Fee Schedule GAS FITTING FEES: 1st 3 Fixtures Additional Fixtures Gas Range to 199,000 AIR COIlDITIONtNG FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS It REPAIRS ROUGH FINAL Y - l 3 2 Dept. of Bldgs. Phone SW -3480 Lei. Shish 5th 'Street Northeast City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinance* and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn May 21 19 73 Owns Bryant Franklin Kind of Building _ 32 Unit Frame Used as _ . - Ape rtmnnts - - -- To be completed about _ 12-31-73 Estimated Cost, Old—New. Building Permit No. Permit No. DZBCAZPTTON OF WORK 6.00 $ — HEATING or POWER PLANTS—[ Hot Water, No 1 8.00 $ Trade Name Hydrotherm Size No. MR -900 NO RATE TOTAL capacity 4,1741 Sq. Ft. F..D.R- 900,000 BTU My X$ 2W $ 2.00 Total Connected Load 533, 230 Kind of Fuel Ra s a .78 $ BURNER — Trade Name Hydrotherm Size No MR -900 — a$ 8.00 $ a 900,000 ca-aft-city—L: —I - Sq. !t. E.D.R TMT �► $ 1 corridor . .00 � 176.00 1 Boiler Rm 8.00 1 Laundry R. 8.00 TOTAL MM $ 2 0 1 Bath fan 8.00 sf AL' 34 102.00 4 Dryer vent 52.00 (SURCHARGE .50) Businessrhoae- $224.50 (REMARKS -OVER) 645-3601 TWIN CITY TESTING mD ENGINEERING LABORATORY. INC. ENGINEERS AND CHEMISTS S ti° r'o 662 Cromwell Avenue - St. Paul, Minn. 55114 REPORT OF: DENSITY TESTSCF COMPACTED FILL APARTMENT BUILDING z PROJECT: 54TH AND FOURTH AVENUE NORTHEAST DATE: July 10 1973 FRIDLEY„ MINNESOTA REPORTED TO: Bryant -Franklin Corporation COPIES TO: (1City of Fridley 1000 West County Road D New Brighton, Minnesota 55112 LABORATORY No. 11®10567 TEST NUMBER: 6 7 8 DATE TAKEN: July 10, 1973 July 10, 1973 July 10, 1973 UNIFIED SOIL CLASSIFICATION: Silty sand, Silty sand, Silty sand, (Moisture -Density Sample fine grained, fine grained, fine grained, Number) trace of gravel, trace of gravel, brown (SM) -2 brown (SM)m2 brown (SM)m2 ASTM. -D698-70, LOCATION: 1'E & 9'S of 1'N & 52'E of 1'S & 24'W of 106.8 NW corner of SW corner of NE corner of W building building building DEPTH BELOW FINAL ELEVATION: 611 6t1 611 DEPTH BELOW EXISTING GRADE: 611 61' 6" FIELD DENSITY DETERMINATION: Method Density in Place By Sand -Cone Method, ASTM:D1556m64 (44 Basis) Dry Density (pcf) 102 103 101 Moisture Content NO 7.0 8.7 11.4 Plus #4 Material NO 1 1 None LABORATORY MOISTURE -DENSITY RELATION OF SOIL: Method ASTM. -D698-70, Method "A", Basis)10608 Maximum Dry Density (pcf) 106.8 106.8 Optimum Moisture W 14.2 14.2 14.2 COMPACTION TEST RESULTS: Compaction (%) W 96 95 97 95 66 Specified Compaction 95 95 REMARKS: The above test locations were selected by Twin City Testing and Engineering Laboratory, Inc. Compaction meets specifications in the above test areas. AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHOR. IZATION FOR PUBLICATION OF STATEMENTS. CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL Twin City Testing and Engineering Laboratory Inc. 6454601 TWIN CITY TESTING AND ENGINEERING LABORATORY. INC, e ENGINEERS AND CHEMISTS yoBCAi 662 Cromwell Avenue - St. Paul, Minn. 55114 : MOISTURE - DENSITY CURVE SAMPLE NO. 2 'ss4e APARTHM BUILDING PROJECT: 54TH AND FOURTH AVE= NORTMAST DATE: .duly 10, 1973 REPORTED TO: FRIDUY, MINNESOTA COPIES TO: (1) City of Fridley Bryant -Franklin Corporation LABORATORY NO. 11-10567 108 107 106 N W105 O 0 104 103 METHOD OF TEST: ASTM:D698-70, Method "A", (44 Basis) TYPE OF MATERIAL: Silty sand, fine grained, brown (Sl) MAXIMUM DENSITY: 106.8 1b. /Cu. ft. OPTIMUM MOISTURE, 14.2 %p 12 13 14 15 16 17 MOISTURE CONTENT Permit No. - City ®f Fridley THE TWINS BUILDING PERMIT APPLICATION AT THE TOP OF Receipt No. f ` r�-------t COMMUNITY DEVELOPMENT DIV. r i i PROTECTIVE INSPECTION DEPT. CITY HALL FRIDLEY 55432 � �.J 012612-560-3450vetJ1�lER REV. DATE7�8�,76. PANTE OF APPROVED BY .-«�•� • 910-F14 1' 1800 Job Address: _ fl��- . -L Lot No. Block Tract or Addition See Attached Legal Sheet Descr. Property Owner Address Zip Phone �� f/w -,Irq, 4Sy3`/ Y 3-Gi Sw/it f. 3v v 112 S C'r>�= 3 ontractor Address Zip Phone License No. ,�51-r -e4 � rc itect or Designer Address Zip Phone License No. Engineer Address Zip Phone License No. Use of Building 4� Class of Work IDNew ❑ Addition ® Alteration ❑ Re air move Move Descri a Wor Change of Use From 7 49 Gam'`''' Signature, SPECIAL ASSESSMENTS: ' be If lateral assessments have not been placed on this property, an agreement nrist signed, agreeing to assume such lateral assessments before a permit will be issued Agreement Necessary: Finance Director Agreement Unnecessary: J OUTSIDE UTILITIES: - Z Sewer Elevation: Water Elevation: 0 Stub Location: Stub Location: W N BUILDING INSPECTION } � Plumbing H.V.A.C. Electrical Fire Insp. V Signature & Date Approved cc - O Registered Engn. Stamp. Legal Description Check Exterior Devel. Check Performance Bond Check Easements, R/W,.Special Agreements Final Approval Date Certificate of Occupancy Date DIMENSIONS: Length: Height: Cu. Ft. Width: Sq. Ft. Accessory Buildings: Length: Height: Cu. Ft. Width: Sq. Ft. VALUATION• Sq. Ft. X Cost = Valuation ) Total Valuation I)asement X Cost Valuation Permit Fec PERMIT FEE: Commercial and Industrial Total Cubic Ft. X $2.15/1,000 Cu. Ft. X ALTERATIONS and ADDITIONS or REPAIRS $3.00/$500.00 or fraction up to $50,000 Valuation $1.50/$500.00 for each addition $500.00 over $50,000 SEWER AVAMBILMY CHARGE CSAC7 = r PLAN CHECK: 65 percent of permit fee = STATE SURCHARGE: Valuation X $.50/$1,000.00 = PERFORMANCE BONll VALUATION TOTAL FEE Blacktop _4.50/sq. yd. Curbing _3.50 lin. ft. Sod 6.a67sq, yd. Fencing 5.00 lin, ft. Bushes and Trees 2K per- '90.00 50% of Total Value = $ Bond Fee Planning Hoard City of Fridley 643k. University Ave. N.E. Minneapoli.a, �. Dear gist 3504 Larchvood Drive Minnetonka, Mn. 55343 June 29.1977 This concerns our proposal to convert an wed area near the.laundry room into a bedroom for the adjoining wait at Pine Crest apartment, 5451 - 5th St. N.L. You asked us to have the tenants sign a statement to the effect that they had no objection to our plan. A statement regarding this is enclosed and we are looking forward to getting permission to proceed. Mr. Jim Skarie is.handling the work for us. Contact him at 533-6596. SincarWq, IPICIWL�es:1,114e Roscoe Smith Pine Crest Apartment 5451 5th St. N.E. YAnnespoli s, Nh. 55421 MW 5,, 1977 Planning Hoard City'of Fridley 6431 university Avenue N.E. Ninnespolis, Ion. Dear Sirs: Wei the undersigned residents of Pine Crest Apartment, have no objection to converting part of the laundry room extension into a second bedroom for the adjacent apartment. 0 Shy �e� Oz AFoO T is ' .r*Ffa # o f f*a Ay` /Of t?c ter; L'I e SUBJECT PERM O. City of Fridley ®6 AT THE TOP OF THE TWINS PERMIT ' t BUILDING RECEIPT COMMUNITY DEVELOPMENT DIV. w r PROTECTIVE INSPECTION SEC. 1 , NUMBER REV. DATE PAGE OF APPROVED BY = �` CITY HALL FRIDLEY 55432 L"" ,�� 612-880-3450 910-F15 7/19/77 JOB ADDRESS 5451 - 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. North 26 ' of Block 10 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rosoe Smith 3504 Larchwood Drive, Mtka, Mn. 55343 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 (Apartment) 7 CLASS OF WORK ❑ NEW ❑ ADDITION BA ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Alter unused room into bedroom 9 CHANGE OF USE FROM TO STIPULATIONS Install 5/8" sheetrock on exterior of bedroom. Install smoke detector in hallway outside of bedrooms. SE,PERAATE PERMITS REQUIRED FOR WIRING, HEOM PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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-3 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 $900 $.50 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE) WHEN P OPERLY VALIDATED THIS IS YOUR PERMIT . BLDG INSP DATE SIGNATURE OF OWNER OF OWNER SUILDE ID EI L'I e L1 I Y UI t QIJLLY APPLICATION FOR RESIDENTIAL BUILDING PERMITS NEW, ALTERATIOIIS, ADDITIONS, OR REPAIRS) OWIIER: p5 of S0117 14/_• BUILDER: Address: y L X10,' C f/ Al00%� (i%I%/ Address: • � t i��'I /�9 /Ii' s -s- 3 Y� Tel. No.: v - No.: 5` `{ 5- / Street:- S '`�Si�xe'dC7 LOT: BIICY.: ADDITIGI]: COR14ER LOT: INSIDE LOT: SETBACK: 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: VAI 05e-4 /t' o 0'I'1 Front: Depth: ( Height: Square Feet: Cubic Feet: � A 9 -Q - Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: FeW M A'L- f /Pof/r Estimated Cost: $ zoo, 00 To Be Completed: / Z 0 7 7, Alt. A Alt. B el 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: z/_/ a' - % SIGNATURE: Stipulations: PSI? ow. 4 34 ...... ...... THIS PLAN MUST 13E Nli'diNTAINED AND A ACCESSIBI-C ON T1 -1r_ CONscl -RUCTION SI1*E. Every sle,,pn:y rc-,)m c.h"!6 i:1 i0st O'le windo,.'JvAha sdl helg'',t f4 CALL FOR ALL < INSPECTIONS, 48" abov� ttie lirl,c)r anLi sh-11 P,'Q'J63 not 4 less then 5 sq, a. of op�nable afo wall (1sdimension Im. than 22". r. i*..,..,,, FIRE WARMINIG SYSTEM Provide approved products of combustion de'-ector other than heat in all dwelling units as required in section 1413 of 1973 Uniform Building Code 9 -- "a "spectonso al! trades required prior to occupancy of Buildilng. 3 --4 A ♦ . 0 ry • • _1 FIRE DEPARTMENT MEMO T0:BUILDING INSPECTION ASSESSING SUBJECT: FIRE DAMAGED STRUCTURE FIRE HAS OCCURRED AT � -.2 - g g (DATE OF FIRE FD- 7 DATE: 5-- L b s 7L�- w cloei y r ). a�N FIRE DEPARTMENT MEMO TO: BUILDING INSPECTION ASSESSING SUBJECT: FIRE DAMAGED STRUCTURE DATE: Mar. 23, 1982 FIRE HAS OCCURRED AT 5451 - 5th St. NE, (apt. Bldg.) #111 ADDRESS March 17, 1982 (DATE -OF FIRE _ FPB -6 City of Fridley SUBJECT 470 AT THE TOP OF THE TWINS BUILDING PERMIT �!:l • ______ COMMUNITY DEVELOPMENT DIV. y INSPECTION �� 5 r PROTECTIVE SEC. IL /""1 CITY HALL FRIDLEY 55432 �'' NUMBER REV. DATE PAGE Of APPROVED BY ----A. 612-571-3450 910-F15 5/13/88 10B ADDRESS 5451 - 5th Street N.E. I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. N. 264' f Block 10 1 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Roscoe/Harriet Smith 370 No. Arm Lane, Mound 55364 472-6124 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Moe-Osum Construction 2650 Nicollet Avenue South, Mpls. 55408 871-6682 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION JJ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Fire Repair (3 Units). 9 CHANGE OF USE FROM TO STIPULATIONS Use 16' treated 2xl01s for deck joist. Install R-13 F.G. Insulation with sound channels and 5/8" Type X sheetrock on 1st and 2nd floor ceilings. Entrance doors to be 20 minute, self-closing with smoke gaskets and single cylinder locks. 3rd floor ceiling R-19 & 5/8 sheetrock. New patio doors must have themno break. 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 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 $604,000 $30.00 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- $459.50 RUCTIO OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $140.08 $629.58 .� SIGNATURE OF CPNTRACTOR OR ALITHORIZED AGENT )DATE) ` WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT _2L's- BLDG INSP naT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) SIGNATURE '01 Stipulations for Fire Mpair ��at 5451 - 5th Street *T• � t� OQ k� AOM Ude 16' :treated-2 E10's for' deck joint. "�. lostall R-13 F.Ge -Iz eu tion. Nith sound. chanhsls and 6/6 Type, X rock on .'Is and 2nd floor aoilir". r 9 . Enhance doors 2 Q. -mirre te, self-elosing. with smoka gaskets and single r.: h cyAr er locks. 4. 3rd floor ceiling R--13 & 5/8 rock.: �a 5. New patio doors must- have thezw break01 ti tivi 2 � Iyf f i FYI J n ✓I Ar fir Ism It -I u c a.. i S01Al f�� %Y jj F 3r Prepaid Plan Check $ Estimated Cost $ Receipt # City Of Fridley R-3, COMMICUL & INLUSTRIAL Building Permit Application Effective 5/1/88 Construction Address: .�,��/ _� T� �.�� Zoning: Legal Description: Property Owner & Addre��sss:370 An- ,Aih 44,4C44,4C�P� ; el ,�/J Ala, �S3GY �, # - 11 CDNTiACTOR & Address :l/�%�- aelm dAi% T A? J mow Tel. # Architect & Address: Reg. # Engineer & Address: Reg. # Type of Work [ ]New [ ] Addition APPLICANT SIGNArTRE: [ ] Alteration 6/Gid USE OF BUILDING: Tel. # Date: 5-/a —77 0 • Size of Structure Length Width Height Sq. Ft. # of Stories OFC. AREA: Length Width Height Sq. Ft. MME. AREA: Length Width Height Sg. Ft. OTHER AREA: Length Width Height Sq. Ft. VALUATION Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) _ $ noo Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) Total Type of Const: Occup. Group: A/C [ ] Yes [ ] No Fire Prot. [ ]Yes [ ]No Performance Bond Amount $ See Reverse for Schedule Received [ ]Yes [ ]No. Permit Fee $ .�9-S D See Fee Schedule on Reverse Side Plan Check $ % A In excess of Prepaid Plan Check -See Back Pg. State Surcharge $o .0 $.50/$1,000 Valuation (See Sched. for > $1 mil) SAC Charge $ $550 per SAC Unit Park Fee $ Free Determined by Engineering Spec. Assessments $ Agreement Necessary [ ] Not Necessary [ ] Driveway Escrow $ feet at $13.50/foot ' TOTAL $ L,2 9 STIPULATIONS: •f. 01 SUBJECT City of Fridley FE 20132 AT THE TOP OF THE TWINS BUILDING PERMIT r? RE COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 1 1 / ow 'j CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY j 612-571-3450 910415 19/27/89 JOB ADDRESS 5451 - 5th Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. N. 264' f Block lo, Hamilton's. Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mawagers 5451 - 5th Street N.E., #107 S 572-9442 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brian Kowalsk 5451 - 5th -Street N.E. #312 572-9112 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair a 2nd floor deck 9 CHANGEOFUSEFROM TO STIPULATIONS See plans for notations C o u Ems• 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 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 '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$100 $ . 550 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) EN PROPERLY VALIDATED THIS IS YOUR PERMIT 9k� BLDG INSP 1)AT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI 01 Prepaid Plan Check $ Effective 5/1/88 Estimated Cost $ QTY OF FRIDLEY Receipt # R-3, OMOERCIRL & IIMUSTRIRL Building ft mit Application Construction Address SZ151 -s-/,- --s- - �,,c" Zoning Legal Description O &ql 0-P.LLod'IL- /D //�vh � � �/� 7b meg Property Owner/Address /✓�elr S f 0,- `/o7 Tel. # COMRA= & ADMMS (-Ia j 4o��JT ,�si� �'��/ ��` Sto✓ E ' 31e- Tel. Architect & Address Reg.# Engineer & Address Reg.# TYPE OF WORK [] New [] Addition M Alteration-DescribeiX o2le& 14 Applicant Signature Width # S7z-�yyZDate E-__77- P% BUIIDIIG DIlamIC81S Height Sq. Ft. # of Stories OFC. AREA: Iength Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: length Width Height Sq. Ft. VAIAMMON Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) = $ /f70 r Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) MAL VALUE Building Use Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee $ 1 1�, 00 Plan Check $ State Surcharge $ A "ED SAC Charge $ Park Fee $ Spec. Assessments $ Driveway Escrow $ _ T07AL $ 1 L See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side $.50/$1,000 Valuation (See Sched. for > $1 Million) $575 per SAC Unit Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot SUBJECT City of Fridley IC 4 AT THE TOP OF THE TWINS BUILDING P E R M I T RECEIPT NO. • COMMUNITY DEVELOPMENT DIV r � � PROTECTIVE INSPECTION SEC. NUMBER REV DATE ' PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/23/94 10B ADDRESS 5451 5 Street NE 1 LEGAL I LOT NO. IBLOCK TRACTOR ADDITION SEE ATTACHED DESCR. I N 264' ol Block 10 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harriet Skarie 3504 Larchwood Dr, Minnetonka MN 449-4889 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pine Crest Apartments 5451 5 Street NE, Fridley MN 55421 574-2022 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW E]Q ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair Decks of Apartments #201, #202, #206, #210, #212, #200, #301 & #302, #300 9 CHANGE OF USE FROM TO STIPULATIONS Handrails, guardrails, spacing, etc. must be brought up to Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,500 .75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU l0 OR THE PE F RMANC OF CONSTRUCTION $35.00 Fire SC 1.50 PLAN CHECK FEE TOTAL FEE $37.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ENP LY VALIDATED THIS IS YOUR PERMIT BLDG ,NSP /� BATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI "T . epaid Plan tstijoud cost Ramipt 11 --'. ---- --- TMI�' IMKNK;16&-Wlw &/ &r -1"V E"Lld t ree $ --j-5166 plan chook FjXG IIVIRZK 0 Ad&tiM Ct *d* ch Ta" A= C*-rjdUL-XUJq f IYSV t IND ftw�zaN�4A E"Lld t ree $ --j-5166 plan chook FjXG FU* m sm Fw -04WW* Q n- ArAZW Tn Dwws �)k .001 X POreAt jawtidin $wo per SW L"it QPM to NKC -"O'c S450-00 Omwmrvuticn PIBn PINAGw rae o&.Grg&mj vy wqlrawim AgraWM* NOOMOWY No* - feet x $13.50/raft MAL SUBJECT City of Fridley `(r 26324 AT THE TOP OF THE TWINS BUILDING P E R M I T Q® y-_____ �COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/23/98 JOB ADDRESS 5451 5 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt. 10 Hamilton's Addition to Mech SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Pinecrest Apts 5451 5 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pinnacle Construction Inc 7780 Hwy 55, Rockford, MN 55373 477-4191 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ck REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Tear off roofing; insulate to R-22; install Genflex adhered rubber >s membrane 9 CHANGE OF USE FROM TO STIPULATIONS Submit manufacturer's specifications for application of roofing. 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 32 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 @ $26.09 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $52,193 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- $278.20 Fire SC $52.19 STRUCT NOR THE PERFO ANCE F CONSTRUCTION. -3 PLAN CHECK FEE TOTAL FEE $356.48 GNATURE bFCONTRACTOR A AUTHORIZED AGENT IDATEI H P &LY V LI 06 INSP ED THIS IS OUR PERM BATE SIGNATURE OF OWNER SIF OWNER BUILDERI IDATEI 1z Prepaid Plan Check $ Effective 1/1/98 Estimated Cost $ CITY OF FRIDLEY Receipt # R-3, COMMERCIAL & INDUSTRIAL /L BUILDING PERMIT APPLICATION Construction Address �� I ST' N6 Zoning Legal Owner & Address JR`,1,e Cre�5''j^ k4fs S' 5 3t -,yo CONIRACIgR & ADDRESS Q i niac l� eLL14 M C, Architect Reg.# Engineer BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition j/Alteration -Describe_ DFFd/o1 ►�/ R.oF, msi2z%e (5 B A rl'e7-' Tel#.17 41 03 -2 -7 ?�l ,y`i'el# 8/77 YP? 5-5'-f 73 Reg.# OFC. AREA: Length Width Height Sq. Ft. MM AREA: Length Width Height Sq. Ft. OTBER AREA: Length Width Height Sq. Ft. APPLICANT �� I v d�> tAfLTC1 Tel # q -?7 Dateeg;4�3� p� VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use ce,-- ,�.n nstruction Type Occupancy Group Air Conditioning [] Yes [] No Fire Protection Provided [] Yes [] No Performance Bond Amount $ See Reverse for Schedule Received []Yes Permit Fee Plan Check Fire Surcharge State Surcharge SAC Charge Erosion Control Park Fee S S Spec. Assessments $ Driveway Escwm $ ,0M [] No See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th t) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1000 per SAC Unit (Plans to MCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot N r > ATTACH STIPULATIONS CITY OF FRIDLEY INSPECTION DIV. Effective On Jan 1, 2000 6431 University Ave NE Fridley, MN 55432APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 " MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS X7`5/ 3 �� 7 /1 t, New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 /6- / , 20 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner / /►f,��,57"LI�T /L?�f�i`� Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Building used As�G/L Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. / 14) Back Flow Preventer Required (-�e's ( ) No Type $15.00 PLUMBING COMPA 1 %/}` G/L1H� U� +%� C14brr22 //`�� Reinspection Fee $47.00/Hr SIGN Y _ TEL N0. /Z �126, Z ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date 1nal2Z7te State Surcharge $ .50 ` MINIMUM FEE OR ANY PLUMBINGIGAS PERMIT IS $20.00 TOTAL FEE % PLUS E Lfi�,STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 termination. 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 O 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 ( ) Is 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 BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter 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 : Building BUILDING®2 Permit N - Inspections COMMERCIAL/INDUSjTRIAL Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE YOUR E-MAIL ADDRESS �)R 12y f @ A0V A f 5CgW qui c:3, Cow -- SITE ADDRESS J q5l �5 �- TENANT Suite No. PROPERTY OWNER NAME:I?d1AyL &_3 ADDRESS: 5V!5-1 } � 5 T- CITYa1047 STATE1yd1ZIp X 3 2 - PHONE: ARCHITECT NAME: ADDRESS: CITY STATE ZIP CONTRACTOR NAME: 09A066 ��Cow ��"",,��,, ADDRESS: 9t100 (2-0p�tff-o- f$ CITY l4"- STATE/"D ZIP rV3 z PHONE: % 6 3 - 57 Z r �ClC/t� FAX 76 3 -.67 Z - T 93 3 *NOTE: CITY LICENSE REQUIRED FOR MULTI FAMILY/COMMERCIAL/INDUSTRIAL JOBS PROPERTY TYPE ❑ TOWNHOUSE OMMERCIAL/INDUSTRIAL ❑ INSTITUTIONAL ❑ MULTI -FAMILY C;X� PERMIT TYPE ❑ ADDITION ❑ NEW CONSTRUCTION XOTHER ❑ REMODEL ❑ ROOF ❑ SWIMMING POOL PLEASE SUBMIT: 1.4 SETS OF DRAWINGS 5. CONTRACTORS LICENSE OR 6. SPECIAL INSPECTION 2. SURVEY/SITE PLAN LICENSE APPLICATION SCHEDULE 3. LANDSCAPE PLANS 7. PERFORMANCE BOND 4. ENERGY CALCS AMOUNT $ BUILDING TO BE USED AS: OFFICE SF VMS sF OTHER SF TOTAL SIZE: FIRE PROTECTION (Y/1) AC(Y/N) -STORIES DETAILED DESCRIPTION OF WORK 40111 Jit 44t--', cA YW L-1- il —I t_ - STU CC - v 2 y�tTexicy- 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 w*h requires revi roval of plans. SIGNATURE OF APPLICANT 1RINTNAMEyWek11 IL24ff DATE 611 ALL FEES ARE BASED ON VALUATION Sq. ft. x $ Cost/sq. ft. = Valuation $_ Sq. ft. x $ Cost/sq. ft. = Valuation $_ Sq. ft. x $ Cost/sq. ft. = Valuation $_ TOTAL JOB VALUATION: $ 5C -M Ma USE OCCUPANCY Permit Fee Plan Review Fire Surcharge Surcharge SAC Charge Erosion Control Park Fee Special Assessments Curb Cut Escrow Total Due TYPE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $1675 per SAC Unit (Plans to MWCC for determination) $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) ft+6ft= ftx$21=$ Make checks payable to: City of Fridley Attach