PRE 2010 DOCSin consideration
the proposed work in
ordinances- of the villa
In consideration of
the express ,condition tl
done in around and up
Fridley, Minnesota reg.,
in the village limits ani
ordinances.
NOTICE:
This permit doe
sewer or water. Be
not cover
ure to ser
construction, Installation or :alteration for wiring, plumbing, gas heating,
Building Inspector .for separate permits fse items.;
City of Fridley, Minn.
BUILDING PE N® 3138
Date:..1...... .../ .:... . .............
Owner... .... Builder ............................................
Address.......:-:.... !.."J✓ `��' Address .........................................
L0CATICY OF BUILDING
a
Street..... ®�.� ........�............. Part of Lot ......................
Lot ...Sof ...... Block ............. Addition or Sub -Division .. j
Corner Lot ............ Inside Lot :"......... Setbacks '. ideyard .....�
T be Used as:
Front . Depth .4a.Ki Height ........ Sq. Ft. fW Cf
Cu. Ft. ........
............ Fffnt ........ Depth Heiglit�, �. Sq. Ft. ........ Cu. Ft. ... .
Type of Construction Est. Cost:./ ..... !............. To be Completed ... �......... ....
In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
®a
In consideration of the payment of a fee of $. � .., permit is reby granted to
......................... 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 ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
.... ... ..�-uilding Inspector
NOTICE:
This permit does not cover the. construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building inspector for separate permits for these Items.
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 ........................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ..............
STEAM or HOT WATER SYSTEM
8.00
$
2.00
$
5.00
$
5.00
$
2.50
$
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $ 4-5-0
Additional Fixtures ................ x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS TOTAL FEE $
ROUGH
FINAL
Dept. of Bldige..,Phone 560-34c00
5
Locafion �7� ✓ -z--A V ')g.
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 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.
FridleRy, Minn_ e/`G / O lg�fo
To be completed about
Estimated Cost, S.
Building Permit No,
Permit
DESCRIPTION OF WORK
HEATING or POWER PLANTS --.Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Loa Kind of Fuel .-4�
BURNER — Trade Name Size
v
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
a
S i Lmin e-01� y,-="
Business Phone1
o=t�
SUBJECT
P 0 .
City of Fridley
o 15 9 2 2\
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
ECEIPT NO.
' COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1
CITY HALL FRIDLEY 55432
REV.
DATE
OF
7—
APPROVED BY
j 612-571-3450
7MB
F15
9/9/80
JOB ADDRESS 4538 - A Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
2
Rearrangement 'of B SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHON
Bruce Setterholm 4538 - 2'i Street N.E. 561-7352
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
1l�1l22
Lloyds Home. Tin rovement Inc. - 42 Avenue N.E. 788-5602
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION 12 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof dwelling and garage
9 CHANGE OF USE FROM TO
STIPULATIONS Roof can be 2nd but not 3rd roof® Install riged galvanized valleys.
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
1
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
$1,250
$.63
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$9.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$9.63
SIGNATURONTRACTO OR AUTHOR; brNr IDATE) -
WHEN VALIDATED THIS IS YOUR PERMIT
,P��R IPERLY
' lXA Olia.LL 2 �6
SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE)
BLDG WSP ATE
o=t�
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
O .,&Lez-
ADDRESS:
BUILDER:.
le-0-
lz-
ADDRESS:
fi i
/k
Construction Location
f
STREET NO: �� Z STREET:
LOT: �,� BLOCK: ADMTI014: <
A'
Ila
Corner Lot: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
Front:
DESCRIPTIO14 OF CONSTRUCTION
Dep thz
Square. Feet: Cubic Feet-:
Front: Depth:
Square -Feet: Cubic Feet:
Type of Construction: ? <
To Be Clornpleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Height:
Height:
Estimated Cost: $
Ilie 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.
DATE: 9 SIGNATURE:
J
Stipulations:
9 06
FA
SUBJECT
PE �Al� P4Q
City of Fridleyir
31813.e
AT THE TOP OF THE TWINS
BUILDING PERMIT
`
REC
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
612
1 i
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY '55432
612-571-3450
910-F15
5/14/01
JOB ADDRESS 4538 2 1/2 Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1 5
2
Plymouth Addition SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE
Bruce Setterholm. 4538 2 1/2 Street NE 763-572-1695
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Lloyds Home Improvements 1012 42 1/2 Ave NE, Columbia Heights, MN 55421
a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
763-788-5602 1798
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (17 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment 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 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$1,738
$.87
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON•
$63.15
ire SC $1.74
R CTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FE
Lice C 5.00
$7)(.76
SiG ATUAE OF CON'aACTO Oa AurHOQi2E0 AGEN iDATE,
- EN PR LV DATED H IS YOUR P/E/RIAAIT
S,GNATUAE OF OWNEAJF OWNER BUILDERt MATE,
LN P part
FA
NEW [ ] Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 5723604 Bldg Insp
ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 4538 - 22 STS, NE
Legal Description:
Owner Name & Address: BRUCE SETTERHOLM Tel. # 763-572-1695
Contractor: LLOYDS HOME IMPROVEMENTS, MN LICENSE # BC -1798
Address: 1012-42-`2 AVEC, NE Tel. # 763-788-5602
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length
Construction Type:
Width H
F HOUSE ONLY
Sq. Ft.
Estimated Cost: $-yr3-g-2
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ ---.=$
DATE: MAY 14.2001 APPLICANT: LLOYD GRACZYK Tela# 763-788-5602
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
$ e03,19
Fee Schedule on Reverse Side
Fire Surcharge
$ % %5/ .001 of Permit Valuation (1/10th%)
State Surcharge
$ ,g' $.50/$1,000 Valuation
SAC Charge
$
$1150 per SAC Unit
License Surcharge
$ 5-.60
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [
TOTAL
$
STIPULATIONS: