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P - 42736� �-1. 5y �3uilding Insp�ctions 763-S7Z-3604 BU ILDING R�SIDEN'TIAI. AP�'LICATI��1 CIT� 4F �`RID�EY, Fermit l�tc�.: • - � . : K�� � t .►� ,3 «t � � � � W . �y�.�.r__ �- p� � IO � YtiiJRE•MAtt ADDRF:SS . -. - . - srr►� AuurcESS � �I.Co l5 .. _ � 5�!-. . ..�... .. ... . . THiS APPLICANT IS� ❑ OWNrR �QNTRAGl`c)R -,.— ._ _... .-.�. ..�---...—. . �— r}�op�x'rx owtv��t� N�E: Den►,�s �/Vo ree , a�, e r.,. .... T�rvA1vT nDnxFSS�.._�.. 3�f"�//(�/-� c;►"�°v rs�le /�1N /.�.... ... ,.— _... -�-.... PI•IUNr:�.�_ � % ��.�`�-7 S41I�M1T A �::OPY (?}�' YOUR STATE I.ICT:NS� Wf7fi APFLICP�TI()�*I FROP�RTY TYPE i�+EftMIT TYPE TYPE OF WQRI[: AfAA7f>:_... , i1'�OVJ C��,`�`s , ._ STA'C� LiCENSks #_ „o�O I CQ_..ZZ!� � �:.XP AUDRESS: ..qo LO.�QQ,� IQc,��..! PIIONF /��� ��S � ��� �'AX� �Cl SITfG1,F, C�ANIILYlNEW C(JNti"�nUC7'i(7N � �rwo r•.�.�u.Y/hIEW C:t)NSTRU(.;1'IO1V ❑ AL)t)ITIOtV CI �.�aR+�GN;/SNEU ❑ kiASP,M�tvT' F'[NiSH ❑ ROUf� I7 C]GCiC 17 SID1N[i Ct SWIMMtNC�i POOL Q NGW ' 4 L7 A1)1'x[TION �iAAR�T1'iTT.TiANI:r•r�r��K Q tzc�sot��c.rr�G UESCKt�� WOKK BF'iN� DON�: SIZE Ol� iMPROV�MLNT or sc1��aR�s �d ow5 7 � L�;NGTH � HUUS� ON�..YT p r�tousr� & oaa.ac;r: [� . 'rACtIEU i;ARA(i� s- s � — u.. . _cs-rv... Ea q, _ 7 r:s .... _.� _ INDUWfi CI DlZAtN TiLE C7 o'rH�x exi s�-;.�.4 _ o 'ARAG ' A1 • PRUP�.)SED SiZr;._ , C7 I9E"CACHF:u Ci�1.R�1C;i-: YROPE)S�{)fIEIGH'f:... -- � r�.► �.i� ❑ �'iiryf O.SafTit � 11"l O 11 e ❑ Al��ninwn ❑ Trint p Qdxir_ . , rJ rtu:cia �� f 0 O i'Y� ����' IN Fs�IST1NC;c)�L'NINCiS s,� ❑Nu L(J(:AT[ONCIFWIN�7()WS QK POR NFW Ol'L�Ni1VGS ).5CRI8ks 4TZG 4F � , _.. - - �. OP�M1(NG CHATiGfiS $c � 'i'YP� UF ib'fNDOW TO Li� �h1STALi,k:l] IvUMLiGR C1F WINDOWS ALL �'EES ARE BASED [lN �A�LNrT�F�i 9�U S C�LE SCHEDU E) TOTAL Permit Pee Plan Revie�v Fire Surchar�,e Sur�arge Licc-�se Surchargc� SA,C Charge Gurb Cut �scrow Erosian Control Par� ree Sevter Main Charg� �s5�al �T�^�^ �,Y 55ia1 IiF;tGHT `" S . F� ;�, t iiiC �.►u�.T� �j. Existing Fk�o Plan z, Fro�xr:�«1 qo plut� 3. L,isk i�f struc ul mcmUcn tu kw uscd FUR NL•VV C.'UATSTRUG Pf01� W(:1.[JD1Nli I)FfXS, ,av clTl lu5• )R-�t _ ' `tro • ' i Sitc Plnn/Su ey showins ti� existin�. e:rucxuros und propnb�l projc�t. 2 1�vo :tcu of c n�UucUon �+ksrt�s 3. p,nGrgp C;slc latiolts . AND MA' VAIa11�1'1'IOIV'.6 `J• V V�.4vrn�•,.•_ - --- � j, r' �_ See f3ack Pa�e for Fee Schedule $ t�—` 6S% of Suiiding Pennit Fee � _"� p01 tin�es the cotal jab valuation � 0005 x Permit ValuAtion Minimuni fi.5� "� 1 $5.�0 (Stt�te Lictimsed R.esidential Cnntraatars) y� "" ' �� $1G75 per SAC ilnit (Plans tc� MVVCC for d�cenx � ii + G fl °�� __ _ �c x �z i = �_,.— � �459 COnserv�+tion Pl�w Review �� F'ee Aeterntined byEnginedring $ A�*reematit nece�sary ( ) Non Necessary ( ) a /'�-7 �'t,% Make Checks p�ble to: City af F'ridle 1 a1A� lrue _ - �lYifS fti AN APPI.�Lr�T���N F�t�K A PF.[�MI'f-NOT VAl.il� UN'���L Pit(�CGStiFU 1 her�by ap¢ly for a building perniit and f acknov��led�� that �e infortT�Riian above is Gom�lete and accur coctformance wilh t1�ae ordii�a,r►►c�y aad eode� of the City ol' Fridley and with the Minrtesota C.onstruetion �4des; � per�il but only An application for a permit and wor� is not tca start without a pernrit; tht�t the work wi11 he �n � pla7 in fihe ca� af a6! wc�rk w'ch requires r vie and appr �vnl aF plans. �� �,/�� �,i, � pRIN'i� NAML �LZ I'I.0 ��. _� — �. SiUNA'1'URE C1F APPLIC:A .--.— ' ,�,��� ,_..,^—.�— .—..--.-- � ti3at the work +�ill � in i uuderstand t6i3 is not � rdance wit4� the approved ,- a -- �o . id Wd90:b0 LOaZ �� '��0 ZB�tiSZS�9L: 'ON XH� ha[P?a� .to fi�?�: W02�