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P - 48036
_ _ _ _ __ _ _ _ . . _ . ._ . From: unknown Page: 1/1 Date: 12/6/2011 4:43:31 PM_ _ __ _ _ _ � / �•� �uil.dzn� . �U�LDIIVG .. �ur,��t No' i�/--v i�spe��o��s R�+ S�DENTIA.�.. APPL�CATIC'!N Rteeived By: 7�3-572-�6p4 C�'�'� �'�' ��..T.DL�X Date kec'd: % 7�3-5d�-4977 F/�X rar��crrv£��-zo>> , n, -�;�]��__ _ Y01JR F.-MA]L A17DR�S5 ,�,9,i ./��[' . r�lF�!h �i rJh/YD[dC:C '�iY?,2.�• lUl.✓i RI—E A.�3l�RESS �"�o7Q .�"�'4 `S'�• 1�� _.... _. �. ..__ l'F 1S /r��'T 1'e;/�NT Iti, ❑ pWNER �CC1NTftAC'TC7K �'�f��'ET��Y OWNER/ NAiUli:�I__ � S'Ol . - --,•,. _.___ �.., . _ '1I'f�IV ANT nr�nRFSS ,�S�4o?D .S"'`-'� _�� itl�' c�r� . a�L�c .. s rn'i e`�f'/tr ,.,/zrP_ 55� pKaxs� ��3� v38-,sQ�l� - �� ._ .. _ CON'�Rr�CTQR NAMII:fiL///�'�-�!C_�% �!?� � !/�'I1e'`'_�Ch17��,, ....._.. _ _ ^ .. STiI3iv�TTA C�PY l7F �pL?i�fiT.hTEL1C,CN5� STATF,[,TCRNSEtF,�O/�9=�..._. I.,F,AAf:E1t'I'NUM�EIt��1=v�3!J�L'_IEXY: El,�%7nD f.Ni) CTFtTTF�(=ATE C�F �n�fiFSS: / �C�Cc .$�� , _ c�rtY .S� �1.�_s�r,a���L��Z3� �IU'� �N�IiRANCii rHOtv� - S�D.S-f�JliS" F�Ax � 5/-5'�s-- `7 �/5" ��'Qjsj;}jj,TY TYPE STN(iLE FAMILY/NGW LQN5TRLIC,'.'T'TQN FT7.F., �,_ _ TWD FAMILY/NCW C17135TR(JC.TTLJN STCJRIES P�S��1',M�� TYP�+ ❑ 11S�ATI'fpN ❑ GlL�ACFJSiiED ❑ WINiK;1W5 � ❑ T3�RFM�M' FiNISH ,�(ROOF ❑ ►�yiN�i TTf.F C] 1�8CK ❑ 5II}ING ❑ OTHF.R I� $WTMMINCi P(Jt)L '�'�A`.P,� 4F WOR�: L] NEW IIOI� C STRUCTIUN ❑ ADDITI�N ^^ IN'IENn .EJRF..P ❑ REN.tOA fNG DFSCRT9£ WURK BEING llUNk:: ,,,,_ , , ___ 5�:.� Cti.F l.M�F'.4LPV�k.'ML'•N'1: LEN IL1TH HEfCiH'I' FT RODCffitiVC ❑ FIULJSE ON�,X LiASlNIE'N'C RGMODF_ LTNG SUBNLfT� N1iMBER, ()F R��1ARE5 � ��T��AR.4CP I F..zi.cting Flcxir Plan �F;� ❑ ATTACHED CiARACiB � Pro�>a.Qed flcx�r plsn p�{�(�pgr p S.IZE: O DETACHED GARACiE ;� T.ist of anvctural mcmhcrs to irc uyc� p�+OPQSED FtL;TGHT� __ ,. — f'OK NEW CONS'I'RUC'1'1C�N 1NCLUl7�lNG ��E;CKS, �� Af)�il;t,S,),y,�,.�;,,Y.s�� ❑v;r,vt ❑So�ic SJP1JyG�QFFiT/FASCIA - S SileYlurJ5«rvn ahOwip tllCcki3fln struet��rees ❑ Aiuminu�n t7 Ti�irr� RF,MOYF•n° ❑ YFS ❑ NO y � g ❑ [7thcr,_��^ � FagCia and pro�sal project. 'l, 1 K•u scts uf cuaslruttion platLs y 'i+�M!)OW'� 3. �[�crgyC'fllcul8l;uns I1�IE}CTC',�N}3C1PFsNRdC� �Y�¢ ❑No LUC.A110NOFWINllUWS FoRa�rn�nows-E�c.svmF�r-vnt.Ur:'nND O1C.FUR NH'N GP13T11NG5-Ur,..S�.��; S1Zl UL � ,, ^, __ MANUFACl'l1RF ST]CKER UN �1'INDnW. UR1;N W Q GHANG�S Fc '�'! i�F. !71' W:NI?OW TO �iF. fNSTALL.F.D NUMBER OF F1�11VD�WS A,�fl, F'r;r5 AR�:1�AS�b ON VALUATIOY, iNCLUDiNG TAE COST OF LABOR AND MATERIAI.S: VA1�Ci�,Ta.ON � A�rmft Fcc p'Fin kLcvicw Fi�o �urcl�sa�� S�erchar�a .Li�e��c Suraharge 5e.� Chacgc C:�rb Cut �4Cmw Erocioo. �antrol P�tk Fcc Seweir MRin Cha.1'�e THE 1997 U.B.0 FEE SCHEAI's�,�y $ (�CJ., r�% 5ee $ack Page for Fcc ScUedulc � _ �S�i�v O�aUil,ldxqg PCl'mif �'cc� $ ,001 ti�ncs thc total,job valuation $ r¢�/ .QQOS x Permit Valuation Minimum $5.00 $ �'� (i�� $S.UO (Sl:�i'C 1..,1C4riS�(� k�.�tdentl1l C�lltXtt'aCiOfS) $ $2230 per SAC Unif (Plans to MWCC for determinatinn) S �i+6f�=�-----ftx$�5-g___.. _ $ $45(l Conservatian Plan Review S Fee ,laeternt�i,ned by Jin�ineering $ A�rcemcnt nccessary ( ) Nun Nccc�sary ( } $ ��, _ M�ke e.hecks payable to: City of l�ridley� Attaei� THiS IS AN APPLfCATIpAI FQ�,+� PERMIT•NOT VAL1D UNTiL I�RC�CLSSLU i tic�^�eb}� �pply for � building perxnit and..t acknowledge Ehat thc information above is complete and accurate; 1.}►at the work wilt be iq ��t�tfdrms�noe with the orclin.ances zqd codes of e C:Ity o1'Fridlcy and with tl�e Minnesota C'rniszructio�i Codes; Ihal I undcrsta.sid th�is is not � �GCimit l�u,T �nty an a.}�plication ., d w k is Yo start without a perniit on site; that the work will bc in scxordance with the a�provCd. E�lan in thc ca5e �f al , ie nci approva] af �la /' �r.?N,a71.TREOr AI�PL[CANT P a� ... .. � �_T� � f• AkY1tUVAi.. 1NSPP,C:'�'OR SfGNA ���-�����A'I'� �� � �r ,��,;� ��t��s���IG�:�'S�FAtT��1'�'L�3?E��`r� rtt� .� ' ��'b�i�,�.t�r�r���ELE(:7RTC.'��,;�nNn��ec��ra���v��"r�� A� . ,.. ��� �