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P - 43694' , From: unknown Page: 2/3 Date: 1/10/2011 2:45:48 PM . �uilding B�CJ�YX,xIING Permit N .. Ir�spections ����DE1vTIAL APPLICATIt7N �2.eceiVed By: 763�572-3604 CYT'S� OF �'RIDL�Y Date Rec'd:� 7��-�V2�4/7� ��1 FFFFC!TTV&7-1-2010 r1�"'��i1 � i��� DATE 1 STTE ADDR.'ESS �� 1CHIS AppilfC,4h1'Y` rs: PROPERTY OWNER/ '��NANT CONTRACTOR SCIBMC7' A COPY OF �avrt sTA� z.ic�s� AND CERTTFTCATL O'P IN'SU}.7.ANCE �'ILOPERTY TYP�+ PERMYT T"Y�'� rx�� oF woax: I�-A— Y�°�� �i�l��.. TLA�R�SS , �, �.• � q pWN�Tt �ONTRACTOR NAME� �n ADbTt�SS: I�J 1�� � �°J� Qv.�P�,�,� TY f I PHONE: � :s � ���. I °- � �� � �TAME� + { i � � C`, S^fA'�'fi Y.yC�NSE #_ a�e� �.�� �� L•.XP bAT'B _, pY�olaf� u.l : c7l t Lci 1 li�� L,� __ F.i►77c tAl�'o� � STNmY.E �AMII..Y/NEW C4N$TRUCTTON' SIZE ❑ 'TivJO xAMYT.'YYtdE.W CONSTRUCT[ON ST'ORyES 0 qD�YTTO� Cf QARAGE/S� � WINDOWS ❑ HASEMETlT FCNIST� ❑ Ti00F �riitA11V TTLE ❑ DECK ❑ S1T7TNQ OT� ❑ S'WnvA�l6 POQL ❑ N�W C�OME CONSTRUCT[pN ❑ AbnCrLON ❑ �v1A��AN'C�PAIfi ,'J,f�RE1v10Y7�T.TNTQ DgSCI'L�B'GVORTC�EC�dQDONE: T�G.'ti'}ZS�("tif�'! —, ]PP_ Y"1l SIZE OF Il�ROY�MHN'Y' T.LN'GTY�T YtOOWTN� C1 HOUSE pNY,'Y' NC,Tkv1��Tt OF SQUARES ❑ FIOU3fi 8c G�AG� GARAGES O ATT'AC�ED t�ARAdE PROPC�SE� StzE: ❑ DL�AC�T7 OARAQE prtOPOS�D i�IQHT: p�� ❑So�it ❑ Alwninum C7 'lYim ❑ OEher ❑ Fescia wn�ws 1N EXISTIId� OP�NIN'GS 0'Y'es �hTa LOCA7'tON 4� W7N'DOWS O1L FOR NEW OPENINGS-bLSCit�� SyZE OF OP�NTNG CTiANO�'S & � � BTATE,�ZTP��;, � ��� ! T�OHT __ SQFT BASLI�N'r 12�Md1]�1'Ci SU�Mti': I. Exisfing Ploor plsn 2. Proposed Soor plan 3. List oPsUucturnl members to be used FORNEW CONS7'[tIJC:Tl01�T CI�CLT�77TATG llECCCS, a�T DITIONS, � PDA - BM IT: 1. Site PIan/Swvey showing tAe bxisting sA'uctun� and proposed projxt. 2. '[Vva sas of conshvctioa plaz�s 3. Energy Calculation,s FOIi'WTNnO'QVS – PitO'VIDE U-VALUE ANU MANL�FAC'CtriZ�i STCCCC� ON WINDOW. 7 WTTJDO'W"r0 �E TNSTALLED NT.I'MB�1� OF WB�FDdWS ALL F�F,S AR� �ASED ON VALUATTON�, Y1�C��.1�11Y1VG THE CO5T OF Y.ABO�i AN� lV1ATERIALS: ;1 SING E 1497 C7.�.0 ��� SC�i�riULE) J'4�'VALUATION $ � I �� �� ;�_ OCC��ANCY __ TYi'� _ Permit �ea $ Sec Sack Page fox �'ee Sctaedule plan Revievy � 65°� of Burlding permit �'ee 1�Lre Surcharge $ ` .001 timts th.e total job valuation Surcharge $ �_ .0005 x Permit Valuaiion Muumum $5.00 �,icense Surcharge $ �a V $5.00 (State S,icensed �tesidcntial Contractors) 9AC Cbarge � S SZ100 per SAC C�nit (Plans to MWCC for determinatian) Curb Cut Escrow $ ft + 6 ft = #t � $24 � $,�,_ Brosian Carnrol $ $450 Conse�rvatian Plan Rc�vie�ar Park Fee � �'ee Uetermined by 8nginetring Sewer Main Charge � Agreetlaent necessary () Non NeCessary () Total riue S � I. Z 1Y�ake chee�s payable ta: Ci� oi�'ridiey Attach Stipulations _ � TT�YS TS AN ApPLICATlON FOR A PElttviC7 I:lOT �'AiTT7'UNTIL FROCESSED I htrCb�' appl� for a building permit and T aclrnowiedge that the information above is complete aad accrzratt; that 1�e v�rork r�vi'li be in �pnformanec �with ti�e ordinanees and codcs of Che Gity of �'ridley and with tha M3nnesota Consttuction Codes; that I understand this is not a permit but only an application r a penmit and wo is ot to start without s permit on s'ste; that the �ork will be in accaxdance with the approWad plan in the case of � or ' h eq i:revie �and appm�al of p ria��" r� � S10NATURB 0F .4ppT.TCAN`i` ' T I+►AME � iC�' t� ��. � l v� J� DATE c.� APPRd'VAL INSPEC'faR SIGTTA 1 1' PLEASE N'OTL: S� CtATE PERMI'iS Q ��OR PLUMBING, Ei�C7'�iYCA�. A1Vll CH CAL WORK l ► ���'µ ,. , „ ,,, ,--- � � Labei accord�ngly: E-Exterior Walls GCommoMnterlor Walls W-Wet Wafls Room is in/on : Basement n Level S nd oar Thirti Flaor FourtF� Floor Mighrise Condo 0 \ �} ` �1;\ � -. . - . From: unknown Page: 3/3 Date: 1l10/2011 2:45:48 PM � �� � � r ��� � �� � � � ° I � � jz � ^ " 1 � � INSPECTOR• � � o�o � c:�'� � ` . � . � �; . � ��.Mc��e�, e;�.���:��c� �����. �'.�d ba-.c�.r �-c�,m r.,,�; c�,\ � , " � : . . Z.e.��c,�t� �xi��'tti� ��� 9 , - _ . . . .. � ������: � . i�.exvlav � ���`��'���v3 . ` � _ ZZ�,YVt�� i� .. � Q...� 1 �� � Cl . ���'� - � ..� � .: ,� .1a �,�.� ��� �o,...� � � . � � .'�.,�1�t c�.1.\ �.1 �� �-� \�. �� c..3 u : ' � 5�.. �' � v:J �-, � �'--:'� ��:.�.�. C�'��1 � � . � � � �t�e;�, �-i 1� � t ��2. . : � _ � � . � ., . } . � N �;� � v �.�.a i� `� G�� ��� � � � � � ^ , .b� w��� c�z� � . � . �� , � . . . �,�.� �.. . �.��. �I .. _ . � .,. .��,,� �, - �� . .� � ,� S �►� ��� s�� . � 5� � . t���� �� . � � � � �-�� ��-��� � c� ��- �=s�-