PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT No 3 0 8 6
E
Date: ..�..../ .............. .. ......
Owner .!� ............. ...�... Builder ............. .. ......
/� /s
Address /7 a � . — .. .... Address .....1f r�..,�'�.�r.. .. ... r.1/.f��. sla✓d--d
LOCATION
OF BUILDING
No. . .. Street . e :3..��. ••— v ............. Part o Lot .... .. ......... ......
Lot ......� .... Block ..... �.......... Addition or Sub -Division ... ...........�
Corner Lot ............ Inside Lot ....�' ... Setback%Ll�Q/.4� . Sideyard ...........................
DESCRIPTION OF BUILDING
To be Used as:
.. ..... Front Depth Height Sq. Ft. ! . Cu. Ft. ........
.. Fr nt®•.. Depth r. Height Sq. Ft. Cu. Ft. .. .
Typ • of Construction .. Est. Cost. �. �.'.. To be Completed .
9 � _
In consideration of the issuance to me of a permit to constn ct the building desribed above, I agree to do
the proposed work in accordance with the description ab o for and in gmpliangq with all provisions of
ordinances of the city of Fridley.�� (� ^
In consideration of the payment of a fee of $..�......., permit is hereby 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. _
Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbinas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
•
City of Fridley, Minn. N9 9060
BUILDING PERMIT
Date: OCWBER 10, 1966
Owner: EMIL BRUZEK Builder SANTE
Address 172- 53RD AVENUE N. E. Address
FRI L.EY, M MSOTA 55421
LOCATION OF BUILDING
No. 172 _ Street 53RD AVENUE N- E- _ _ Part of Lot
Lot _ _7 Block 1 Addition or Sub -Division ONS T MANOR, NORTH
Corner Lot -_ Inside Lot _ _ Setback --- Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
MOVE GARAGE Front 20 Depth ___22 Height Sq. Ft. Cu. Ft.
Front Depth Height _ Sq. Ft. Cu. Ft.
Type of Construction FRS_ Est. Cost __ _O.OQ __ To be Completed
• OKAYED BY COUNCILMAN WRIGHT -XU 10/10/66
MONUMENTS INSPECTED - 10/10/66 - all okay.
•
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 ebin compliance th all provisions of
ordinances of the city of Fridley. q
X
In consideration of the payment of a fee of $-4L. 00 , permit is hereby granted to EMIL BRUZEK
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
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE Building Inspector
NOTICE:
Ibb pemmb dose not cover the conshucdon, hu►tallatlon for whdng, phunbing, gas hooting, sewer or water. Be sun to see
the Building Inspector for separate peraft for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS I Z ADDRESS
LOCATION OF BUILDING
N0.STREET PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION ��� PZ � A" r*)'—
CORNER LOT INSIDE LOT SETBACK SIDE YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front -<"y Depth_ Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost _ f
To be completed
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.
DATE
(Schedule of Fee Costs can be
found on the Reverse Side).
FORM 7181-4 0 u.
j
1
f
SUBJECT
City of Fridley
®13982
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
'
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
; CITY HALL FRIDLEY 55432
612-560-3450
910-F15
4/5/77
JOB ADDRESS 172 - 53rd Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
1
Carlson' s Summit Manor North SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
William Olmschenk 172 53rd Avenue N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Ironwood Construction 1145 Polk Place N.E. 571-1709
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install patio door and alterations
9 CHANGE OF USE FROM TO
STIPULATIONS Call for framing inspection before sheetrocking
SEPERM PERMITS -REQUIRED FOR WIRING,
HEATING 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
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,497
$1.50
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.
$9.00
/
W �7
PLAN CHECK FEE
TOTAL FEE
$10.50
SIGNATURE OF CONTRACT ROR AUTHORIZED AGENT (DATE)
WHEN ROPERLY VA (DATED THIS IS YOUR PERMIT -
BLDG INSP DAT
I SIGNATURE OF OWNER (IF OWNER BUILDER) IDATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: IV/j/ ,4 /,f BUILDER: Jo si, w a u d e oli S* %- Ll
Address: %i� — 5 3�//� /vim Address:/�� �O L���G/�!c %t✓�
Tel. No.: �7 l / %®
No.: %r%2- Street: 5 �d /f l/� .
LOT: BLOCK: _� ADDITION: �1� �Q �'
CORNER LOT: INSIDE LOT: L—__ 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:
f ql 0® de
p l+f; Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: �r/d�( Estimated Cost: $
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true a_nd- 9correct. See reverse side; for additional information.
DATE: C,�i� J� SIGNATURE:
Stipulations:
�C��,
41
SUBJECT
City of Fridley
1154 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIP
COMMUNITY DEVELOPMENT DIV.
�v PROTECTIVE INSPECTION SEC.
�76�
���Vlll
E ` CITY HALL FRIDLEY 55432
BER
REV
DATE
PAGE OF
APPROVED BY
IL""� j 612-571-3450
t0-F15
rl
9/2/98
JOB ADDRESS 172 53rd Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
1
Summit Manor North Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Bill Olmschenk
572-8219
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Up Top Constr. 2737 111th Ave NW Con Ra422-R785
7712
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION AN REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (22 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
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
1 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
WITHWHETHER S D EIN OR NOT. THE GRANTING OF A PERMIT
1$$5
.94
DOES NOT PR LIME T IVE ORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS F AN HE TAT OCAL LAW REGULATING CON-
STRUCTIO OR TH P RF AN S CTION.
$59.50
Fire SC $1.88
PLAN CHECK FEE
TOTAL FEE
License SC $5.0
67.32
SIGNAtu OFCO SRA t OP Au HORIZ DAGENT IDATEI
WHEN PROPERLXVALIO ED THIS IS YOUR PERMIT
z"a e
BLQt INSP
o
r o
BATE
SIGNATURE OF OWNERIIF OWNER SUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION ®�
d� rn
ConstructionAddress:
Legal Description:
Owner Name & Address:T JAL �� mSG,�/tl� Tel. # 5--,7-2 - ea 49
Contractor: MN LICENSE # 7 71a
Address: 7J % / 7 Tel. # 66R2 -vP 7,f..�-'
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length _ Width Hgt/Ground Sq. Ft.
OTHER: vo
Construction Type: Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft _Ft x $ _ $
DATE: APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ 60
Tel. # ='e7�5
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
P IT NO.
City of Fridley
33727
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
• _ __ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
4100W
r E �
i � CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
----�
1 763-571-3450
910-F15
7/22/03
JOB ADDRESS 172 53rd Ave NE
1 LEGAL
LOT NO,
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
1
Carlson's Summit Manor North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Sandra & B ill Olmschenk, 172 53rd Ave, Fridley, MN 55432 763-572-8219
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
MJ Construction Exteriors 8071 Ranchers Rd Fridley, MN 55432 763-785-8851
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
20233970
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
C)t NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside; soffit/fascia; gutters; 2 windows; patio door
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code requires that a weather -
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions to this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the
manufacturer states this in the application guidelines.
Call for inspection of wrap before covering.
Ventilation must meet State Building Code.
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code.
Caulking and flashing for all exterior openings.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$21,799.00
$10.90
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
$349.25
Fe SIC $21.80
STRUCTION OR THE PERFORMANCE OF CO STRUCTION
PLAN CHECK
T AL FEE
-a?oZ-®��
$5.0 i ens
$386.95
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HE PRO VAL E/D7 THIS IS YOPERMI
Bt -NSF' 0, O tE
S.GNATURE OF OWNEROF OWNER BU0.DERi DATE,
NEW [ j CITY OF FRIDLEY Effective 1/1/2003
ADDN [ 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: 1-7 Z - 5 ���- Are- • Q ii
Legal Description:
Owner Name & Address: 5"dx-a- a 001 o l ryi 6 cLe^ L Tel. # -7 (a 3 - 5-7.2_ - IZ241
Contractor: NNT_ Corn ev- "n/-\ rm �X �r� MN LICENSE #
Address: 19011 Ro_nd_,_e� Tel. # j Io;J-
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: Pz. , /&F ;ca'�g k stimated Cost: $ Z 1, -7 00
2 W I v\OL0-WS, paw o al ocry-
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: lo'a _ _ Tel. #7�0
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ i STIPULATIONS: