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P - 35319FROM :City o(' Fridley .I3uild.in� lns�ecti o�i s 7b3-572-3h04 FAX N0. :7635711287 Feb. O1 2006 08:14f�Mg P2 �T � BL7ILD'XIVCi .�.. Permit No. ��_�'�� RFSID1+aNTIAL APP:L�CA1"TON ReceivC�By:�'�.... . �c� �av� � 2010 • �.D a.te . . C:l;'1'"Y OT�' FR.IDLEY __�,.`...._ GATE ' 1 � �G�� .. ..,j ,Y/( Il lk li-MAIL A.1)pRIiSS . ,. ,. . _...., SxT,P. ADl)RIsSS � „�� /id� N � ... ..._ .,., .... _. .. .. , ... _ �/.._ ... .. � •- ' - Y . .. '1'Idts A!'f'LLGA.NT IS: ❑ c7VJN�R �,7GC)N'1'Itn�TO[t P�nPER'1'Y UWNF.R/ NAMh::, ,,, �: C �� ,�4�`r^e ---��li�-�.., .. _ _.,,,_ ...... " - . ._— .. ']��;NANT n.na�KhsS:�—� S�- '"'� �'_ ., c',ITY .. , .. .,. STATG_'LIl�__, ._ PHONli:._ � ` S •J„b�'�.. .,.,.. CONTItAC'1'O}.t S[JBM.IT A �UJ�'Y OF STtiTF I.Ic YUl'11t STATi� LICSNS}� �rnaK�.ss . WiTH APPJ..�C.:A'fTON p oNL XY UATB � �� . �,STA.Tfi , %IP PRnPERTY '�'�X.i'l�. Ja T+iNULG rAMIf Y/NFiW �.ONSTRUCTf()N SI%Is . L'1 TW<� NAMI�LYML+W �t�N59'RL1C'l'IC.1N STORIFS ._..,. ,,.,--•— 2'.�'',jZMi'I' 7��i'� CJ A.nl)I'I'!ON -�. � O GAR.ACfE/SHfin �� „'V�NI)(7WS ❑ 13ASliMLNT FIN1.5M O ROOF (] 1)kAIN TILC n pRr,K ❑ sIUrNG ❑ OTIILR ..,...... , . . ..... ' .. ...._. ❑ SWIIv1MftJC,i Nc)c)t. .,... _...,, „ _. _. ,. ,.. . ��xY� or woz��: � ��itiW ❑ ADDITIAN _.— .. � . . • �] MATNTgNANG�/'R�FAJR ' IJ RRMf»)liiMU ..,,.. _.. .,..._, ,,,..� L�ESCR]A��woxx�LlNc�nOi�1F�.. � /`�f� ,. „--� c.� °n�.... �� `�°�`�� _, _.. SIZE �F iM3'12UVLMf�NT i.F..NCy'7'Y1 W1bTH H�,1C1•TT _ Scl,1�C, . � ... ,..._.,.,.. ....... .. Oj� OFINf;,� � ❑ Il0US8�ONIX NIJMk�HN n'� SQtJARCS C] HUUSH & c';ARAC;G 1�A4EMA.N7' kEiMOUGLING..$1jpM1't; i• � ATTACHR�) EiAkAO� 1. �ixi��ing rlaor Plnn �)Pf� U SiZII� ❑ I)N7'ACHTD QAIU1Gt? 2� PPOposcct Flear ptan 3. L.iHt uf btructural mcml�arn u+ ba ure�l PkOPOSCD IlE1GHT: ... ' y�plN(: Hhk NFW CONSTRUC7'tUN INC;I.tll'�iNC DCCKS; O vinYl OSc+ffil ADDJTtO�(S. Ra PoRCHl3.S SCJfiM(Ts 0 Aluminum ❑ �'r{m 1. Sil'e FIANSurvc,Y ahnwinti the txist(ng sa'ucturca C] f�thcr _.,........_._. ❑��scin and pr��eJ projtul, t(� � z. 'I'wv xets uf conanvction nlaa,a 'M �XISTING OPENIN��ti�YCN �No T..UGA'I'ItyN Or WMDO�S 3. Lrtergy G�1culation� nli FO�N�W OFBN1Nc3S-i)C-;.SCklil� SIZB OP � �:n '��° � .� ... ,.. . �l'ENING f.'HANf ��ifi & ' 'I'Yf't3,UH WINDCIW T0 T3F.+ M��fALI.LU Q� NuMSx� or wtrrnowS 6 ,...-.,. ,,,, •-- .....,.. ...,,..._ .�.... ..,._ . ... .. ALL i�1ti1�5 ARE RASED UN W'AY.Ur1.T,i,QN, INtrLUD�1VC T�:TF CAST UN LAI30Zt AND MATElt1ALS: (USTNG THL 1y�7 U,Ti,C FF�F SCI3I�UULE) T()' PC1TIFitI 1' G'C Ylan kevtew Fire Surcl�azg� Surcbn��ga I.icenat SurcharAe S�1C Ghar�►e Curb Cut l3scrow LrosiunConhol P�ck Fae SewerM;sin Cl�atge lJATinN S� _ � � � . UC:C'UYA.NCY '1'Y�E � �� N_ Sf;C F38Gk PAR6 �Oi F�� SC}1CdU�C .$ �.. G$% nf Auilding Pcrnul' Fze $ ��— ,OU1 ti�i�cs the cntal j�b valua�ion $ -�'d (4b --�� ,0005 x Pcxz�iit Valu�tion Minirx�uzn $.S� $ �`(}a ___ $S,UU (Sttita Llce�used Rcsi�etilial CoA1tSaCtors) � �t 550 p�r SAC Unit (Pl�uas ta MW(:C: t'or deternuna.ti�n) �_..,.. �+6ft� ftx$2U�$ �r$ � $45U Con�ervnti�n Pian itavie�v $ � Tec ne:tcrrnir�ed by En�ineeXing � �� r� Agrcemont aecessary ( ) Nc,n Necesani�y ( ) . _•. $ ( • Meke chccka payable t�►: _ C(t� of 7� i•tdlcy Att�►cl� 'I'HIS IS AN APf�LII."ATION FUR. A NtiftMl'f-NOT VALIn 11NTlr. NkAc;t�SSGl7 I hcrcby �ipply for a b�ultli+�g perii�it and I aclrnuwl�dge Clao,t rSae informati<�n Kb�ve is complete aa�d accurbtc; lhat the Wot'lc wil� b� in e�nfurmaneC with lho uCd!l�suaceS a��d ecides �f the City oC Ftidl�y atld wlth the 'M innesottt Gunslrucliuii C<��es; ti�at l undc��suwd thix i;� n��l a permi� hu� c,nly an appllcatio� �or a permie xn�t work is not t�.st�rt withc,ut a periult; that the work wil! be �u a.ccrn•dnncu witl� tJaa �.n��c►v�d plsln, l�) CUg cace of all work which r�ui�ee ravi�w and ap�roval ulpl��.a. � � �r 3.tCNATUtcE OP A�P1.,T��NT„ ,.,.,.,. _.�... _; rn�N�r NAML Kt ��-�^ DATa., •`��%,._.