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P - 45201FROM :City of Fridley .I3uild.in�? lns�ectio»s 763-572-3b04 �1G8�1� 11c�t�-urv� FAX N0, :7635711267 F'eb. 01 2006 08:14AM � BUILD'ZNG �t..r S.1�D�NTIAL APP:C��C.A.'1"lON . C,�,r�,�Y Or FR.�D�LEY � � Permil' No., Rece,ivec:l By; .,. Da.te �t,ec;'�l:_ .� � �l DAT� � C�.�� \� . � �, _ „ ,,...,..._ Yt f UIt I"s-MA1L A.1)1)R1:SS , ,. ,. , _,.,. � RJ.TR AD[�R�SS ��.. .��-�--- �*----"� —���7Z-_ .,, .,.» , _. .,, .,., _. „ .. . .._ — 'l7i1S A!'I�LIGA,NT Iti: ❑ t7WNGCc j�L;c�M'17tn1';TOR , ,.,_�., ..�,.. .. .� PRQPER'1'Y U'WNk',Rl N,AMh:: ... -,�Yl, ��ir _, , ,.. _ .��., , � ,_.— 7'�;NnNT n.n.��Ki�55: �i,YY�-�_ _ f'ITY... , . f'HO'Nld:._._ �. �J _c�f,.5'� — <QG'Ll� , ,. ,.,.. . a..... . . .. . n .....�.-J . i i. .r�����. .� ... __ ... ... _- _. .—...�. CONTRA(,"1'UR N su�M.tT A ca��v ot� XUl',fl't STA?T LICLNSN �V1iTH APP].,�C;A'I'TON PROPERTY '�''YT'F s• �. _ _ . ... STATG_ZI,N_,. , _ �'�lz�:u2�c�c��s�rn.T � �N ��12 .�...� - _ , RON� �LK7I"��.:�_—��� �I._� FAX _,� ,,.�,,, ..,, tiiiH ,,,, . .,... C1 TWC),YAMI�LY/NL�W f]qNS'I'Ftl1C'1;1�1N STORIF,S �_.,,, � PFT2M17' '1��1'i'G l:J A,�I)I'I'IUN ." � C] c�AIiAGE/SH�i� — --"�jNl)c7WS ❑ HASI•3MCNTE'IN1.5H ❑ ROOr '�f] I)kAM T1l,C G1 pRCK ❑ SIUI'N� ❑ OT(JHR ....,,,..__� ' .. ....._' .. ....,_. � SWAdM.tNC,; Yc>c')I'� ,�,,. _...,, „.._ _. „ ,.,_._. ��xYL or woz�t�: � ❑ N1iW ❑l�DDITIqN ..� �� CJ MAINTFNANCL./'R%F'AfR L1 RP.Mf>1)liLMU , _„ ,,,,,.,._, _ T��5CR1r�F Wc)Rx 13L1N� n�NF:., F►►-G�C.� S_ �, nr.��� _... ... ,. _, _, SIZB t�F TMPKUVis'M't's'NT . , ,,,� T.F..NC�'1'i1 f''.' ❑ itOt�S$�UNI,Y NUMHkh l)7� SQIIARCS �J IiUUS,H &('iARAQG �� pttc•�Yf,S�:U Si2�;,_ PkOPC►SCD 11CIGIiT; ..., �t . I c: ❑ vinYl ❑ Aluminum L7 na,cr�..,... ,,.__ O ATTAGHa[) CiAkAOL ❑ 1)k'1'ACNIiD OARAC�t? ❑Sc�fCii ❑ 9'rlm ❑ r,s��, w 'l�r Li�jAMF?N'I' RFiMOGGUN�i,.S.U�M1L 1. Nxi�ling i�lu��� Pl�tl 2, ProppsCd itoor plan 3. L.ix� ��'tilruCftU�al mCJTtl�CI'R tn be uxed � 1� t, P'f)it NA'W CONSTRUC7'lU'N IN�; I.tlr�TNC D�CICS, �UUITIONS. & PORC'HF?5 Stff3MiT,, 1. Site FIeNBurvc,y FHowla�; �he exicting r=ructurcA �nA propoeed }�r�jrcl, z. 'I'wo xetu of conanvcrloi� pio,na WlNilt'►WR 3. i:nei'gYCalctilntiont 7N LXiSTtNG OPBHIN�3S f�'CM ONU I.,t,>t,;A'!'uyN bl" WfNDQWS �'k rOTc NGW OP�N1NcSS-I)l;SCRIilG SIZB UP _„ .. ,,, .,, ... t1F�NIN(3 (.'NANf i}±S & '1'YPIi uF W1NDCiW TO l�h MS'rn �.i.i3U NUMHIik Or WINPQWS ,.,,,.,... , , ,. ,.., _..,,,., ._ _.�... ., ,. _ ,.,._ ,... �:.. . .. , ����� +��1LL 1�1�:1!;S ARFv AASED UN V'.c1.i,UA,T,i,QN, iNC:LUD'1'NG T.F.TF. C05T' Ui� LA130t2 ,AND MAT,EFt1ALb: ('OSiNr TiiL�' 14J7'U,Ti,C;'F�1F SCH1�llULE) TO'lA 'L JOI3 VAJ,tJATTnN $ `� ,C1UC� ��� UCC"IiYANGY '!'Y'YE �.�.,�.,,, ��,., „ ., . u i'c�mi1 I'�c �'l�ii kevlew Fire �urcl�ar.�e SUTCSIOT�,B i.icenst Surchar�e SnC Cha.rg� Curb Cut'l•sscrow Lrosiun,Control � Yark Fee Rewer Main CGocgo "J.'ol'.A� :I:lue . � `��� � ,...�. �$ � '�'' __,, $ ; � �c ,_.__ , ..__»--- � � _..�. . . ,� Scc 'E3�ck Pn�e for Fc� ,Schcdule GS�/o nf T�uilding Ycrtrul' Fee Aql tii�lrs the Cntal,jnh va]uaLiur� ,0045 x Per.mit ValuHtion Mlnirz�:um �..50 $S,UU (Sta,t�e Licansed R�sidential C;oxatractor�) $1550 per SAC: Unit (Plaias to MWC:C: for deternuua.tioz�) fr+6ft� ,ftx9�2p�$ �aSU Con�ervntian Plnu'Rcvitw Fea T�tterrnir�ed by Eu�ineca•ing Agrcement neceseary ( ) Nrnz Necesa�ry ( ) M�ke cl�ccks navable t�►; Ct�.y of'1��•lcllcy _ Attact► 'I'Hiti IS AN �1f�PL1GATlON FUR. A P?iWNI'f-NGT VALID UNTII, Pk�c;LSSGU 1 hercby ;ipy,�ly for �, 'b�tilcliti�, permit o»d I aclu�uWl�C1g4 1��1A•t (')19 in%rnlutic)n xbuve ls compl.ete a.nd accurxte; ll�ut dl�e wol'lc w1.11 hc: in co»f'umiw��c� with lh� urdtn�xace� xt�d ccides �f che Ci�ty �f �ridley an.d w1.th the Minn�socH �%un��rucliuu C'.�t���s; that I undcrsttuxd I:hi;� ia nc>t n },ern�it hut unty an appticatio� f.oz a permit xnQ work is not. to.ctart withoul t� pernilG; that the wurk will be It�, a,ccnrdanc� witlt CJae �����rc,vcd pinn. Jz� 1:1�c case of all w,ork wlz t r�: u,+�'e�e_vi�w and �ppxuvai uf pini,�,a, n ' �y ` � 3TUNA1'Uit� OF A�'P1,�IG/�NT , i��%� "'": � _; PRIN'1' NAML'��.. �..J!•�DATP..:�:l������.,_.