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P - 48174Building inspections 7b�-572-3bQ4 ���-502-49�7 r��. LyATE UI � 7 }. rI iK!'E ADD&ESS ___ BITILIII�iG RE�II]ENTIAL APPLICAT��N CITY OF FRT�]L:�Y � � ��� ����„�t rro.: R��z���a By: Uate Rec'd: F..MAlI. ADDRFSS NI�. Q a p-P � fwlQ r i. CD ?'V� �r�iuS nPFL1C�N'r rS: 0 �wtv�K �CONTTtACTOR a,�ctr��rv awrrEw NA��:�A NK O W f? TENAIYT nuu�i:s�: -- . _.. cri'x hHO1�E: ^aUt3Ml�' A C:CfPY f,1F YUUit S'li1'I'� Ll��f�ISE nNU c���rir'�cnr� 4� [NSIJRANCE TYPE ►aAn�s: f..t.�1_ r � c ect� J'1'A'1'L•' L(CL'•MS� ►1_��j � �_ n�nR�ss; -l2 b: To ✓c.�/ � r� u'�. PHONE I+73"�I��'��I�� 4tNGLE FAMtLY/t�fEW CONSTRUCTION O't'WO CnMiLY/N�W COi�STRIJCT[pN AdDl7'fL)N 0 CiA1tAC o bns��•r rl�is��i �vaF �' ul:t:tc p Srr7iHC, ST�4T6 _ Z1P _-^_ ��. � ... ._L�:au c�:tt•�� Nunse�t�T � v. w . _ �1,?_ — -- . . C1TY ti%1 �_.. .. tiTAFE� 'LFY ���1 � TYPE OF WORK; C7 NEW HOME CUN5'I'RUC7'lUN O Al3Ul'fIUN' � MAINTENANL'�,lI��NAIR I�MQi)C:I.I 13�S�.'Rl[3� WORK ti�INC DdNE: �,r b N�;t/±S►�...!� �'C`�;o�C (�1 �.. a'.+ SI'LL CiF 3MPRdVEMEIIT �.ENC�TH �lc � ""1 � FIL1i.l$� f.5N1.V _ NUM$ER OF Stat1AK�5 ��_ „ �H(]115F. & CARA(iE O ATTA(:k�l�U GA13AC� P�R��SE�U Si'L�: O DETACHED GARAGE I�Rt�POSCl7 I3�IC HT': l7 nRnrx Ti�.� !7 t7TH£R n�vc c����,yi osoErc SIIIIN4/SUMFI'!"/4'A:iCiIA �►�i�,m��wm ❑ •r�� N�MUY�p! C� YES �7 xo QOther ❑ I�asCia w��wacstv:� fNEXISI'ING ON!%N1NCrS OYts ONR Lt7CATfON OF W[Nla(.1WS i3R fUK Nliw O��r;N1NQS-�FSCRtH� S�2E �F UPlN1NC Ct1AN�r.S $c _ '1'YpR flfi WIN['X)W T(7 F�F. fNSTALLeU NUMDiR �ar WENt�jWS AI.L b"Et�S ARE BASED ON VALI�ATION. IN�I,li�1iNG 'r'H� C'(1ST ()F 1 �, _(USINC Tt1E l947 U.B.0 FEE SCHEDULE) Pla►► Rcwi�w Fire Swnciu�rgc Su�Chilrge L.ice�se 5urct�arge SAC Char�e �urb Gul ESCrow �rosion Contrc>l T+ark Fec �4wer hAain f:harge �.L�.L���t '�! i�v ', ti'ic _ 91iMl.t�• �. �x�n���� r� r�r� 2. F'ep�std flo�r plan 3. l.isl of gtructural mreed�en tn bc �sed �ott N�w cr�►as�ixuCrluN �NC�.un�»G nFCK�, n,nua�ncaNS_ at i�reCtfFS stiaMrr� t: .Sits RIaNSurvey showing thc cxistitt� strwclut�t ana pmpo�e� pro�ece. 2. '!'wo untx of c�or,�truetiun p1Ar� 3. F.��orgy Cataubt�o�aa t�Clk WINbt3WS— PROWIUE U-VALUE JxND MANUFACTURE ST[CKER ON wiND4w, r�1 wv ti wvw �+�rr �rv� a c� w��euu�c � GS°/aofBuilding Permii [�ee .001 tuucs tliototaf job valu�tion _ _ .40b5 x Perrnit Valuatiun Minimum ur .30 $5.00 (State Li�eensed Kesider�cisl Cantraetors) �23G3 p�:r SAC Unit (Plans to MWCG fc�r detecminadcm� ft-+-6R= ftx$25-$ $450 Constrvation Plan Review Fee I)eterntined by Engineerin� Agre��cnt n�cessary ( ) iVun Nec�essar3' ( ) _ _ THIs IS AN ANPL]CA'i'IGN NQR A P£RMIT-NOT VAL4D UNTIL PKGC�33i:t7 i�t�r�€wy a{�ply fo�' � buildin� pern�it aiut 1 acknuwle�k�c tf►at t}�e inf�rmati�n abovc is camplrte and aCCUr�te; that the work will bc in ' �qt�form�e�.with thc �rdinancc�s xcitl Cocles uf d�e " �fFridlcy and with thr Minn�soW Consk�vctipn Cadcs, thatI unders4and this is noca pc.'tenil bui c�ri1y An �ppliGAti�n r pc: ' ancl w i� nul tu �4�rt with�ut a periaait on site; that thc work wilt be in accprdanec with thc approved plan in the ca.4e c�f �fi uir �iew and approvsl uf }�lans. SIONA'PUREt7FAPPLiCAN � ' , RIN7'NAh1L 4r%i�I�� ���(W DA'fE � �� ���� APPROVAL 1N5l�ELTUR S iIKC: _ . �i.E'ASE NOT�: SEi'ARAT� PE RE UIREp FQR PLUMBtNCi ELECTRiCAL ie►ND M�CHAIVICAL WOkK '� ��� 1��. L t A�/1/� I(1�R1'�!1 �M1.A��.1 / I.l . I� �:I A/AL. 1 / I!17 L I Alll 11 ( I.11(�1 1�.1/11�1 I Wd £L�tiO�Z ZLOZ/£4/L �a��C1 4/L :a6ed unrwua�un :wo��