PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn. N° 2495
.' --4 7
Date................................
Owner `..�.. � zs.-jt t -L ...... Builder ............................................
Address%......"I": . .... .i ..... Address .........................................
.00ATION OF BUILDING.
No. :....... Street... .. ........ ... f ................ Part of Lot .......................
v
Addition or Sub -Division � i .' � .. .............
Lot ....A%....... Block ...
d
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard .. ` ? ............
DESCRIPTION OF BUILDING
To be Used as:
....... Front . .. Depth . Height R �... Sq. Ft......... Cu. Ft. ........
............ Front ........ Depth ...... Height ......... Sq. Ft......... Cu. Ft. ........
,.�+
Type of Construction" Est. Cost'//p .� . ........... To be Completed " . �": :a r ...........
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 all provisions of
ordinances of the village of Fridley.
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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. - _ .r-%
?%. TP ..... Building 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.
City of Fridley, Minn.
BUILDING PERMIT
Date: Sept. 10, 1968
Norman Pomerleau
Builder
Address _ 6161 Rainbow Drive Address
Same
LOCATION OF BUILDING
No. 6161 Street Rainbow Drive Part of Lot
Lot — 11 __ Block Z Addition or Sub -Division .— Sylvan Hills
Corner Lot — Inside Lot Setback _ _ Sideyard
Sewer Elevation Foundation Elevation
N9 9928
DESCRIPTION OF BUILDING
To be Used as:
Alterations to Front _ _ Depth Height __ Sq. Ft. Cu. Ft.
Breezeway Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost 5 00.00 _ To be Completed
In consideration of the issuance to me of a permit to construct the b ding d cribed hove I agree to do
the proposed work in accordance with the description above forth and co fiance th a'll provisions of
ordinances of the city of Fridley.
�ai�G—�
In consideration of the payment of a fee of $ 5.00 permit is hereby granted to Norman
Pomerleau 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 reg location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Clarence Belisle
NOTICE:
This pormh does not cover the construction, installation for whin®, plumbing, Bae heating, sewer or water. Be sure to we
the Building nspeetor for separate permits for than hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWYEE IS BUILDER
ADDRESS ADDRESS
LOCATION OF BUILDING
LOT_ BLOCK ADDITIONORSVBDIVISIO__q*VAk
COR_'\M LOT INSIDE LOT e° SETBACK SIDEYARD_
SEWER ELEVATION -TOP OF FOOTING
Applicant attach to this form. Two Certificates of Survey of Lot and
proposed building location drawn on then: Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Square feet.
Front.
Height
Cubic Feet
Depth Height
Square feet Cubic Feet
�OF
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 repre'sertat' ns tested in
this application are true and correct.
DATE
V -kV
(Schedule of Fee Costs can be found on the Reverse Side.)
SUBJECT
P
City of Fridley
19051
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
E
�
• ______ COMMUNITY DEVELOPMENT DIV.
r - PROTECTIVE INSPECTION SEC.
_,0
4 5 ✓2� 6
NUMBER
REV.
BATE
PAGE OF
APPROVED BY
-""i CITY HALL FRIDLEY 55432
�
L 612-571-3450
910-F15
7/6/87
JOB ADDRESS 6161 Raine Drive N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11
2
Sylvan Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Maxilyn Pomerleau 6161 Rainbow Drive N.E.
571-2731
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Milton L.. Johnson Co. 2513 Central Avenue N.E.,
Mpls. 55418 781-9548
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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
New. Patio Door & Window; Aluminum soffit & trim,
gutters.
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$2.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5000
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 P FOR ANCE OF CONSTRUCTION.
$50.50
PLAN CHECK FEE
TOTAL FEE
4k_"'cJ k2
L $53.00
SIGNAT REOFCO RACTOR OR AUTHORIZED AGENT IDATEI
RL
HEN PROPE(DATE THIS IS YOUR PERMIT
BLDG iNSP
E
SiGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] �R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address: 10 �� � �`J,60 C") b -
Legal Description: _
Owner Name & Address: 'J'� ' l �� °', ® 2167'(L !` it Tel.
Contractor:��� ; �% ( c if w Ste, ^" �h - Tel. !/"sy
Address:
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:
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback __ Side Yard Setback
Type of Construction: d,/ a"71 -/ r 7iv�_Estimated Cost: $ 5
Approx. Completion Date: -
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: _ 7 APPLICANT: a - Tel # � �_L 4 r`
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ IS76.
Fee Schedule on Reverse Side
25$ of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
P
City of Fridley
2 0 4 9 �
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R
COMMUNITY DEVELOPMENT DIV.
_
L PROTECTIVE INSPECTION SEC.
i
,'� CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
-_--
L J\ 612-571-3450
910-F15
7/30Z90
JOB ADDRESS 6161 Rainbow Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
11
2
Sylvan Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Lynn Pomerlea,u 6161 Rainbow Drive N.E. 571-27-11
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & D Home Improvement 7401 Central Avenue
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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof Dwelling (20 Squares),
9 CHANGEOFUSEFROM TO
STIPULATIONS
On -all new roofs or tear-offs and replacement roofs,
Stite Code requires_ that 2 layers of 15 lb.` felt,
mopped together, be installed to a point 24 inches
up from exterior wall line, or the use of other
approved underlayment membrane.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1f.000
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$25.00
STRUCTI OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$25.50.
SI ATUREOFCONTRA O OR AU HORIZEDAGENT (DATE)
WH PROP R LI ED THIS I Y R PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
INSP OAT(
NEW [ ] Effective 1/1/90
ADDN [ ] R-1 AND R-2
ALTER [ ] Building Permit Application
Construction Address: � � ��de� Q' ORItle Ale.
Legal Description:
Owner Name & Address: ,G%i'�6/,,g2// Tel.
Contractor:r �J Le Tel. #
Address: � G , le
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
', 4+• •, • 14 •.•
IIVIM AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Groff Sq. Ft.
MIM R:
Corner Lot [ ] Inside Inst [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: - &, -e ' Estimated Cost: $ 0 0
Approx. Completion Date:
Proposed Driveway Width If New opening Is Desired: Ft. $ $
Wi + 6' See Back Page
DA'I'S: �� APPLICANT: Tel. #
Permit Fee $� �' O
State Surcharge
SAC Change $
Driveway Escrow $
Park Fee $
Sewer Main (uarge $
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
P — 9.), �ey
,iUdiug
.specfions
i3-572-3604
E ADDRESS ---[A
4 APPLICANT W.
TENANT
SUSMU A COPY OF
,01M STATE LICENSE
WYIH AP'I uCATION
PROPERTY T MIC
CITY OF FRIDLEY
���I�IN�.�a' Permit No.:
RESIDENTIAL APPLICATION TION Rec&ed By: 3 ,�; �
CITY OF FRMT
YOUR. E MAi1. ADDRESS
■ _ ` ti I :1 i i.Y
■ �-rl
tESCRIBE'W0MBEING
FRA
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3a°y1
3 Altuni=
7 Ocher
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N E7QSTXNQ OPWdI W Dyes DNo
�R TORMW 0M4NQSZESCMz MIN
:)PENWO CHANGES &-- _ -- - - —
ff"
V,
Placa Review
Surcharge
Fire Surcharge
license Stege
SAC Charge
Curb Cwt Escrow
Frrosiou Control
Park Fee
Sewer Mama Charge
DATE
i7 WIAiL1 WS
D DRAIN TILE
❑ OTHER
Ft,
a HOUSE ONLY ,a,, rNc; st1�M1T:
D HOUSE & (3MWM esR c+. Exisdag MW 7T ii i P
hD
0 ATTACHER GARAGE 2 Lo=Pt
to be v1
O DETACHD GARAGE 3.
FOR NEW CONST1tWrMN 1NCLUDINO DECKS,
CISQM AriDT1. 1OJS�PaS.
mwcY s
5
D Trim
and PMPosrd Px
ElFascia Z. Two sets of OWAVC601k PIM
3. paugy Calm hum
LOCATION OF WDWOwS
VALUA'
(USMG
AND
FEE SCMD1(7LE)
See Back Page foar POO Schedule
650/cof BuildingPeramit Peg
(.0005) times the total joli valuation – WWG P= $54
.001 x Permit valuation (1/10'/0)
$5,00 (State Licansed Residential Co 0m)
$1450 per SAC Unit TIM to MWCC for duction)
_ft + 6 ft = ft is $20 = $
$450 Conservation Fiaxx Review
Fee Doormined by En&eerivag
Agreement uWASUY ( ) Non Necessary ( )
M.irr+ checks travable to: City of Fridley Attaa
TIES IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCSSSW
I hereby apply for a buildinug permit and I acknowledge that the information above is complete and accara% that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Mhmesota thebe in accordance with the approved
Codes; that i utlderstand this is not a
permit but only an application for a permit and work is not to start without a permit;
plan in the case of OR work w v1,pad approval of pians-/..,
a,� !
SIGNATURE OF APPLICANT