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PRE 2010 DOCSMarch 16, 1972 Re: Lot 3, Block 1, Carlson's Summit Manor North Addition: WHEREAS, J.F.M. Builders are the owners of Lot 3, Block 1, Summit Manor North Addition, WHEREAS, J.F.M. Builders desire to dig a basement and then proceed.to have sufficient soil tests made to determine the founda- tion bearing of the soil, WHEREAS, the City is not sure that the soil is capable of supporting normal footing design until the results of the tests are known, NOW, THEREFORE, the City will allow said excavation to be made with the understanding that if J.F.M. Builders decide not to proceed with the construction, they agree to backfill said excavation and top dress and seed the area. J.F.M. BUILDERS 8609 dale Avenue So. - MPls., Minn. Ernest M. Jo son, M ger 645 -3601 TWIN CITY TESTING mD ENGINEERING LABORATORY. INC. ,„� ENGINEERS AND CHEMISTS=yvsero 662 Cromwell Avenue - St. Paul, Minn. 55114 z REPORT OF: SOILS INVESTIGATION a �F S �y PROP. RESIDENTIAL LOTS PROJECT: LOTS 3 - 5, BLOCK 1 DATE: March 22, 1972 53RD AVENUE NORTHEAST & MAIN STREET REPORTED TO: F DLEY, MINNESOTA FURNISHED BY: el r. James Lund COPIES TO: 7709 Northeast Woodlawn Drive Minneapolis, MN, 55432 LABORATORY No. 9=3731 INTRODUCTION This report concerns the recent soils investigation we performed at the above referenced site. The site topography is relatively level with a 2' elevation difference between the street and the rear of the area. The surficial geology of the area is generally defined by granular outwash materials with surface alluvial deposits in depression areas. We understand the irregular shaped trapezoidal area was site graded 10 to 15 years ago. At that time a considerable quantity of fill was placed. Presently there are plans to construct three, one-story single family dwellings at the site. Prior to the initiation of these construction operations, we were requested to perform a preliminary soil investigation. Based on this investigation, we were requested to offer general recommendations concerning the feasibility of constructing the proposed residences. INVESTIGATION On March 20, 1972, we put down four hand auger borings at locations illustrated on the attached sketch. The depth of the borings varied from 7' to 121. Because of the method of sampling, the determination of the extent and consistency of the various soil layers is somewhat approximate. In addition to the hand auger borings, we employed a- hand penetrometer to aid in the evaluation of the relative density of the fill material and the consistency of the natural soils encountered in the borings. The hand penetrometer relates the compressive strength or bearing capacity of soil from its resistance to be,penetrated by a special steel tipped probe. At boring Tocations 1, 2, and 4,we encountered 5' to 8' of generally fine-grained brown sand fill. Our penetrometer readings indicated the fill was consistently in a relatively dense state. The underlying natural soils at these boring locations varied from at least 2' of black, medium consistency silty clay in boring #4 to at least 4' of soft to medium consistency clayey silt in boring #1. In boring #2, the underlying soils included a 6” black silty sand layer underlain by 1.5' of gray, medium consistency silty clay and then at least 1' of reddish -brown, fine-grained sand. 'In boring #3, we encountered granular soils consisting of a 2' layer of black silty sand underlain by brown, fine t4 medium -grained sand and silty sand. No ground water was encountered at the boring locations. However, surface drainage in the 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 yoSCT,o 662 Cromwell Avenue - St. Paul, Minn. 55114 2iro s Y a s REPORT OF: SOILS INVESTIGATION res�s DATE: March 22, 1972 LABORATORY No. rear portion of minor quantities soil interfaces 9-3731 the site had caused of perched water at boring locations INVESTIGATION cont. the granular fill were encountered in #1 and #4. ANALYSIS PAGE: 2 to become quite moist. In addition, the vicinity of the fill -natural Based on our investigation, it is our opinion that from the point of view of the existing soil conditons it would be economically feasible to construct single family structures at the site. Except at boring_#3, in the southeast portion of the site; the granular fill appears quite uniform and is in a relatively dense state. Assuming our borings are re- presentative of the fill condition throughout the site, the fill should not undergo detrimental setttlement under the relatively light unit loadings of the proposed structures. As noted in the investigation section, we encountered considerable depths of black cohesive clays and relatively soft silty clays and clayey silts at nearly all boring locations. In generally,the depth of underlying cohesive material appeared to increase from south to north. The natural soils have been consolidated under the weight of the 5' to 8' thickness of fill material for a period of 10 to 15 years. However, the presence of these somewhat marginal soils does necessitate .placing the structural foundations a vertical distance above the natural soils equal to twice the footing width. Assuming a nominal 20" footing width, a minimum 3' depth of fill should be maintained between the bottom of the footing and the underlying cohesive soils. Due to the cursory nature of the present investigation and the variable soil conditions encountered at the boring locations, we recommend all footing excavations be inspected prior to placement of the footing forms. The inspection would be in the form of placement of a number of relatively shallow hand auger probes through the fill material into the underlying natural soils. Although it appears the likelihood of encountering inferior organic soils or extremely soft alluvial soils is somewhat remote, the presence of such soils within the influence zone of the footing would necessiate further excavating. In addition, we recommend surface compaction and density evaluation be made of the fill material in the footingareas within the influence zone of the footings. This evaluation would be in the form of a small number of field density determinations. REMARKS Because the area of the borings in relation to the entire area is very small and because 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 09 REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL. #3 0 #40 LOT 5 LOT 4 LOT 3 #2 0 #10 53RD AVE14UE DRAWN BY WK ICHECKED BY BD SOI L TEST BO R I NGS SCALE: NO SCALE J o B No. 9-3731 645-3601 TWIN CITY TESTING AND ENGINEERING LABORATORY. INC. ot.N,,.jM,f ENGINEERS AND CHEMISTS �� 662 Cromwell Avenue - St. Paul, Minn. 55114 y REPORT OF: EXCAVATION INSPECTION PROPOSED RESIDENCE - LOT F3 PROJECT: 53RD AVENUE NORTHEAST & MAIN STREET DATE: FRIDLEY, MINNESOTA REPORTED TO: Mr. James Lund FURNISHE 7709 Northeast Woodlawn Drive COPIES T Minneapolis, MN 55432 LABORATORY No. 9-3746 GENERAL March 30, 1972 D BY: O, Fridley Building Inspection Department This report presents the results of our recent soils investigation at the above referenced project. Our report of March 22, 1972, describes the previous grading work performed at this site. In addition, we described the conditions encountered in our 7' to 72' deep hand auger borings. At the time of previous inspection, we were not aware of the exact dimensions, location and depth of excavation of the proposed construction. Therefore, we indicated the necessity for an on-site inspection prior to placement of the footings in the proposed structures. The proposed structure for Lot #3 is a one-story, single family residence 24' by 42' in plan with a full basement. The structure will be supported on continuous strip footings. We have no information regarding the building loads but assume the foundation design was based on allowable bearing capacity of up to 1500 psf. The footings will be located approximately 5' below the existing exterior grade. We understand the foundation plan is to excavate the basement to proposed footing eleva- tion and support the structure on the exposed soils. The purpose of our inspection was to determine if the exposed soils will provide adequate support for the designed unit loadings. INVESTIGATION On March 29, 1972, we performed a visual inspection of the excavation. The exposed soils were visually and manually classified in accordance with the Unified Soil Classification System and estimates were made of their strength properties. Several shallow hand auger borings were put down to determine local subsurface soil conditions. Hand'penetrometer readings were performed in the underlying soils. In addi- tion, several in-place moisture density tests were performed in the granular fill material. The density tests were evaluated according to 95 percent of the moisture -density relation of soils as designated by ASTM:D698-70. The results of these tests are attached. In general, the depth of fill increased from west to east. Along the west footing line, the soils encountered in our hand auger borings varied from at least 4' of medium to rather stiff consistency gray silty clay and clayey silt in the northwest corner to 1.5' of fine-grained brown sand fill underlain by at least 3.5' of brownish -gray silty clay of medium to rather stiff consistency in the southwest corner. In the center portion of the excavation, we encountered 2' of fine-grained brown sand fill underlain by at least 3' of brownish -gray medium to rather stiff consistency silty clay. In the east portion of the site, we encountered up to 3.5' of fine-grained brown sand fill underlain by at least 3' 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. LABORATORY No. ENGINEERS AND CHEMISTS 662 Cromwell Avenue - St. Paul, Minn. 55114 REPORT OF: EXCAVATION INSPECTION 9-3746 INVESTIGATION cont. of brownish -gray medium consistency silty clay. ypBCti _ � Z rsS�6 DATE: March 30, 1972 PAGE: 2 Field density tests were performed in the central and eastern portions of the excavation. The test elevations varied from 6" to 1.5' below planned bottom footing grade. The test taken at the higher elevation indicated a relative compacted density of 98 percent. The tests taken lower within the sand fill stratum were found to have a somewhat lower relative density of 93 percent. A series of hand penetrometer probes indicated that the decrease in compacted density with depth occurred uniformly throughout the excavation area. RECOMMENDATIONS Based on the results of our inspection it is our opinion that the natural soil foundation system for the above referenced project will adequately support the designed unit loads with no resulting detrimental settlement. With respect to the fill material, we recommend the east portion of the site be surface compacted prior to placement of the footings. The compactive effort should be applied with a vibratory roller or relatively heavy hand operated compaction equipment. Providing the fill is surface compacted, it is our opinion the fill material will be sufficiently dense to adequately support the relatively light unit loading. REMARKS Because no deep penetration borings were performed at this site, we cannot warrant the soil conditions below the depths of our shallow hand auger borings. However, available inform- ation suggests the likelihood of encountering inferior soils at depth is somewhat remote. TWIN CITY TESTING AND ENGINEERING LABORATORY, INC. Wayne Kil Wr Civil Engineer 'Brian R Dobie, P.E. Supervisor, Soils & Inspection Dept. WK:BRD:rw 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. REPORTED TO: 645-3601 CITY TESTING mo ENGINEERING LABORATORY, INC. ENGINEERS AND CHEMISTS 662 Cromwell Avenue - St. Paul, Minn. 55114 REPORT OF: DENSITY TESTS OF COMPACTED FILL RES- LOT #3 - 53RD AVE. NE & MAIN ST. DATE: FRIDLEY, MINNESOTA James Lund COPIES TO: 7709 Northeast Woodlawn Drive Minneapolis, MN 55432 LABORATORY No. 9-3746 TEST NUMBER: 1 DATE TAKEN: March 29, 1972 UNIFIED SOIL CLASSIFICATION: Sand, mostly fine (Moisture -Density Sample grained, trace of Number) gravel, brown (SP -SM) -1 LOCATION: 16'N of SE building corner DEPTH BELOW FOOTING ELEVATION: 1' DEPTH BELOW EXISTING GRADE: 1 1 FIELD DENSITY DETERMINATION: 2 40.8z O 4a�s t t9 March 30, 1972 (1) Fridley Building Inspection Department March 29, 1972 Sand, mostly fine grained, trace of gravel, brown (SP -SM) -1 10'W of SE building corner 1.5' 1.5' 3 March 29, 1972 Sand, mostly fine grained, trace of gravel, brown (SP -SM) -1 Center of building Chi Method Density in Place By Sand -Cone Method, ASTM: D1556-64 (44 Basis) Dry Density (pcf) 100 100 106.5 Moisture Content (%) 5.8 6.4 6.4 Plus #4 Material (%) 1 1 1 LABORATORY MOISTURE -DENSITY RELATION OF SOIL: Method ASTM:D698-70, Method "A", (44 Basis) Maximum Dry Density (pcf) 107.7 107.7 107.7 Optimum Moisture W 14.5 14.5 14.5 COMPACTION TEST RESULTS: Compaction W 93 93 98 Recommended Compaction%) 95 95 95 RFAMICSS: The above test locations were selected by Twin City Testing and Engineering Laboratory, Inc. Compaction meets specifications in the above test area #3 but is below specifications in the other test areas #1 and #2. 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 ngineering Laboratory, Inc. By 846.3601 TWIN CITY TESTING AND ENGINEERING LABORATORY. INC. dwwr,,ENGINEERS AND CHEMISTS A BCr�o662 Cromwell Avenue - St. Paul, Minn. 55114 W s ® MOISTURE - DENSITY CURVE SAMPLE NO. 1 ''6St�' RES -LOT #3 - 53RD AVE. NE & MAIN STREET PRo�ECT: FRIDLEY, MINNESOTA DATE: March 30, 1972 REPORTED TO: James Lund COPIES TO: LABORATORY NO. #9-3746 109 108 w d A 107 N W 106 0: 105 104 METHOD OF TEST: ASTM: D698-70, Method "A", (44 Basis) TYPE OF MATERIAL: Sand, mostly fine grained, brown (SP -SM) MAXIMUM DENSITY: 107,7 lb. /Cil. ft. OPTIMUM MOISTURE= 14.5 % 12 13 14 15 16 17 MOISTURE CONTENT City ®¢ Fridley Applica Man f=T plumbing and Gals caning gQmat Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK %a Number, Kind and Location 'of Fixtures LocaiiorL PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... C_ x = $ fa ° sz.00 Future Fixture Opening ................ x. $ $1.50 New Fixture Old Opening .............. x 7 $ $1.50 Catch Basin x 3 25 $ City of Fridley: The undersigned hereby makes application for a permit for the work herei 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 fact and representations stated in this application are true and correct Fridley, Minn® W_, 19_ Owner - ? - Kind of Building Used as To be completed about Estimated Cost, $ S Old—New. Building Permit No Permit No. Signed B Business Phone No S d P - 5/ V VN13 .... ........ BTL)......—x $ 3.ey Water Heater (Up to $3.00 New Ground Run Old Bldg. ............ x 3.25 $ ROUGH Electric %rater Heater $2.00 , GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1 $ --1-6' $2.00 Additional Fixtures ...nQ................. x c $ •75 tSl'U Gas Range to .............. x X $ $5.00 REPAIRS & ALTERATIONS—Refer to Code d Description ................................................$ TOTAL FEE to N yz 's �oZ ;; p�zl�z 84 Ox G z • M WATER HTR. 23 O oa vii a uo S� < <3 c7 °1 t9z 0 d t?O F N GAS FLEC- rn Base 1st 2nd 3rd 4th ' Futurc, Connection Openings Connected with Sewer * New Fixture, Old Openings Q Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... C_ x = $ fa ° sz.00 Future Fixture Opening ................ x. $ $1.50 New Fixture Old Opening .............. x 7 $ $1.50 Catch Basin x 3 25 $ City of Fridley: The undersigned hereby makes application for a permit for the work herei 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 fact and representations stated in this application are true and correct Fridley, Minn® W_, 19_ Owner - ? - Kind of Building Used as To be completed about Estimated Cost, $ S Old—New. Building Permit No Permit No. Signed B Business Phone No S d P - 5/ V VN13 .... ........ BTL)......—x $ 3.ey Water Heater (Up to $3.00 New Ground Run Old Bldg. ............ x 3.25 $ ROUGH Electric %rater Heater $2.00 , GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1 $ --1-6' $2.00 Additional Fixtures ...nQ................. x c $ •75 tSl'U Gas Range to .............. x X $ $5.00 REPAIRS & ALTERATIONS—Refer to Code d Description ................................................$ TOTAL FEE City of Fridley, Minn.. � 13 5 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: April 5. 1972 8P3 , 's Owner: _ nick. navies Builder J.b'M_Builders Inc Address _._.8609 ndale Avenue South �� Address Same LOCATION OF BUILDING No. _-12-4.______ Street — 53rd Avenue N . F. _ Part of Lot, Lot Block ___.._.__.. _ Addition or Sub -Division rav_ 1_son_r s Rummi r ,Manny Nn-rth Addition Corner Lot ____.__ _ Inside Lot _ X_ Setback 95 r Sideyard 101 - 241 Sewer Elevation ._�__ _ _ . _ _ Foundation Elevation _..._... DESCRIPTION OF BUILDING To be Used as: _= Dwelling__ Front 42' Depth 24' Height 20' Sq. Ft. 1025 r Cu. Ft _20.9 01 r_a rage___.—__ Front _ 121— Depth 9-41 Height 3n' Sq. Ft. ; 48 r Cu. Ft. 2,88Q Type of Construction Frame Est. Cost --$18,73, __._00 To be Completed T„1.. 7 1972 Stipulations: Provide a hard surface drive and verifying survey before capping. I, the undersigned, hereby agree to hold the City i!� harmless since soil reports are inconclus isve.' 1= l 13� l de, 3 r . In consideration of the issuance to me of a permit to construct the building described above, I agree tq do the proposed work in accordance with the description above forth and in compliance with all provisions of ordinances of the city of Fridley. n In consideration of the payment of a fee of $ 44.00 , permit is hereby granted to JIM Rui 1 d_P..rig Inc. 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 buildings vyithin the city limits and this permit may be revoked at any time upon violation of any of the provisplons of said ordinances. CLARENCE BELISLE NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sower or water. Be sure to as the lidding Inspector for separate permits for these items. IN 0 B.H.BRADLEY CIVIL ENGINEER AND SURVEYOR 3829 - 24TH AVENUE SOUTH MINNSAPOLIS. MINNESOTA 55408 724-2169 ,��Irvty ci-- r1WI M ell /b/ 4=/ ar-e C-"/- --7 Y6 /a, a -a rve� ed b y r, ry e A, t cla y of //farms 7 Z.. a 4 A PA ( i' Fc- U r 41 c- t Al v, ot-' Mt I tl - ? 3 6, 41 ft Li B. H. BRADLEY CIVIL ENGINEER AND SURVEYOR 3829 - 24TH AVENUE SOUTH MINNEAPOLIS. MINNESOTA 55408 724-2169 Jofvty !beret, y ce r1WI bli ell fa, Z0134L1 61d .l of larch 72 /-5/ rr).,-.- /4e APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT &r_ ;!- _8 -2 -- NO: -- CITY OF FRIDLEY, MINNESOTA D16 << [��rrc�s ce OWNER'S NANE:c BUILDER: 1, E/I 91-e I to/o, S, t lk (� . ADDRESS: —� �� %y ADDRESS: �� Y �`' / �• .Ta NO: "` STREET: LOT: 7� BLOCK: ,L_ ADDITION: CORNER LOT: INSIDE LOT: 74- SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed, building location drawn on these Certificates. 4 Pd DESCRIPTION OF BUILDING� To Bje� Used As: 1T us -P Front • % Depth: i Height: �' u Square Feet: le S Cubic Feet: d/ SAtli'� G s Front • / Depth: .2— L/ Height: /U Square Feet;; Cubic Feet: ` ,4 Type of Construction: Estimated Cost: $o v — CL_To Be Completed: E S,j The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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. s, - 4 k DATE: ? 2 SIGNATURE: (See Reverse Side For Additional Information.) y. I �) ° il�� (_ `l Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & 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 $ MECH. WARM AIR 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 Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....... $ ................ 6.00 ' over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTS 1st 3 Fixtures ..................... R$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 .......... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule �^ VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE It ROUGH FINAL C Dept. of Bldgs. Phone 560-3490 s City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances 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. -1 , 19� Owner ore / Kind of Building Used as ���1114 e Ay J To be completed about Estimated Cost, $ Old ew Building Permit No. Permit No. '5z2v2 DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, W,O jUL—No J/� Trade Name N•�i�9� Size No l/ Capacity Sq. Ft. E.D.R BTU P. Total Connected Loa 1/1//j Rind of Fue BURNER — Trade Nam ® Size No Alllf?e Capacity Sq. Ft. E.D.R.U'"'` BTU H.P. (REMARKS—OVER) RAY N. WELTER HEATING Co Signed 6 , , By MINNEAPOLIS 7. MINNESOTA as Business Phone No- ������ 53-84-s-915.51 City of Fric0ey for Phmdftg and C"s 9 Paint DOVL of Bldoa, phone 90-M DESCUMCM or WOR 124 NE 53 Ave Number. Nish mA Lacafiea of i tatu.e Saw tit >s� PARTIAL RATE SCHEDULE rL9bf{ m. nxTUM RATM M "1M TW LL NumbW Iftba;es ................ a 1Urt v raft" C4W ... ; ..... • s *1_W Near Pbduve ON Op n%ift .......... z " E_ Catch Basi* .............:...... a am 'R Tater Rester Mp to MAM BlO1.... a am >i New Croeetud Run ON low ........ • z Wa 2 FJaebi Wataruestor, ............. a am i G" rtrm it i zm. M R&Tz TOTAL .N J rn- " pa ............. • ... Z SM Addhiond radw ...............• is.75 S ars am" to ill .M BTU .......... a i State Surchagp $ .SO »AM a Ju t©iaTton—ilia me cels OMMOMM 5.00 rvraLirsa i 5.50 civ of The undersigned herd males applleaUon for a permit for the work hemi specified, agreeing to do an was In strict weardance with the City r and ruling of the DeparUneM of Bu"n" and hereby dedarea that ani the f". and mpresentatlss stated in this appoceam are trek and correct . NUNN 7/19/73 . Chain" Dick D. Davies Kind of Building Frame Used as Res. - To trr cautspieted about 7/24/73 Estimated Cost. f 10.0 OWK-Weir Building Flo. of Ma-1lwaslt ire. 2g, it Eb J e Business Ike 6`%"`A7 Surcharge .507 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 Furnace Shell & Duct Work $12.00 $ Replacement of Furnace .7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WAR.N1 AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ ' each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEM OR HOT WATER SYSTEM: Boiler &.Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $. Gas Range to.199,000 BTU x $10.00• $ AIR CONDITIONING S !(�•C FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS S ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE s. 10, ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date APPROVAL FOR PERMIT Job Address 102 Department of Buildings City of Fridley Tel. #571-3450 /ef � 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. /1 FripV, Minn. 1K • 1 OWNER KIND OF BUILDING USED AS �05" el ESTIMATED COST " OLD NES( BUILDING NERMIT NO TO BE COMPLETED ABOUT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name. Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Companyaw-ne Signed By Tel. No. -jr7 f ®]7�71z