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Buildin� Inspections 763-572-3604 763-5U2-4�77 �'A7t U�•r� _._'Z`�L[!�� siT�: ,wa�css TH15 APPLICAN'f 13; TENANT SUF3Mf"f A C[1PY bF Y()(JR STATl: Lf{;Et3SE. ANll C�,R�I'IN1CA'f�, UF INSURAN('Fi PROFERTY TYP� TYPE OF WORKs nC'SCkil#li WOR'K REINn From: AMWW FAX Page: 2!4 Date: 8/16/2011 8:42:1'S AM suT�,�►�rr� Permit No.: .�E�IDENTIAL APPLI�A'�'I�N R�l��a aY: CITY O�' FRIDLE"Y ��'��� Er•r•ecTrve i•�-2ot i YUI1R f�MA1L AUUC2FSS o r.rw�FK ac(�Nt•Rat"��c�K NAMF ADDRESS� NNLl'NE: , ...__.�ft'Y_ STATE Z#P ti�ra�r� L�C�St q Li] S 3 1�`], LE� annR�ss ���ixt� .�t..Q�,e_..�_�—.^ P110NC `�f� "��'�� t �} ❑ Si�vGl.E: I+AMtLYML•'W CONBTRUC'I'ION 31 ❑ Tw[� r•aM[LYMEW CONSTREICTION 51 O AUUI't'f(7N O GAl1AtiWSIIL'U Q B,�SEM�N'C t�fN15H 0 A(SC}P' �' DE:c:K D S�n�N(� Cy SWIMMING POOL G NEW H�ME CnNSTRl1CTIQN � AC1DTTfE�N ❑ MAINTLNANCL'JItGPAtR CJ RCMC?bCLfNG R()f)F1NG NUMBGR OF SUUARE5 l:A13ACE3 RRt)P()SF,v tif'L�:, I'RUPUSkf? H�ILiH7': SIQING CI Viny! a Atufiinum 0 Othu W INfIQWS [N F.XISTIN(i nPF.N{NCrR qYipg ONO CfR FQR NEW 4PEP1ING3•DCS�IiI[3G 31ZL Of QPEiN1NC G'I IAIVGES & A fOTAL JQS VA,I,[ Permit Fee Plan Review Fire Surchacge Surch$rg� Licensc Surchargs SA�' C�arge C:urb Cui Escrow Erasion Control Park r� Sewer Main C'harg� � }itjUtiF. ONI.Y � HOlISE & GARAGG D A'l'fACHEll (iARA(i� ❑ DY:TACHFD CiARAIiF: QSc+f�'it ❑'frim � Favcia �,ocn�riorr or wir�uows CERT �7' Di2AtN 7'tLE <rrxFR pN VAL(!A�'1QN, INCLt}DiNG 7'fiE C�ST OF �,A „� (USING THE 1997 U.B.0 FE� SCHE[IULE) ATE�'LtP'��%� HE[CiH7" !f(� FT_ RASEM�h{T �MOI��Fi,WE� SUBMIT� 1. r:xisting:l�la+ri�lan 2. Pmpc�sed fltu�r pian ;. List of struclun�! membels to be used FORNEW CONS'SRUCTii)N 1NCLt1flFNG nF.CK5. A[3[)ITfUN$.& ii)R .FtFR GIfRMIT• I. 5He Pirut/5urvay shuwing thc cxi�ti�g struclures ssid �rnS+oacti pmject. 2. 'iwn actc qf �rxq�uCtiOn plalfs 3. F.nergy ralculatioms Fc�R WINl:)4WS- FROVIDG U-VALU� ANU MANUrACfUR� S't'fc`K�fi i)N WtNDUW. �_.. ._ ((�( jl � Z() S�e Back Page for Fee Sche+dule $ _ 65% of Suiildin� Pcrrnit Fee � .001 times the tatal job valuation � .00OS x Pentlit Vgluation Minimum $S.0(? � �i �6t� �5.00 (State Licensed Rcsidcntial Contractprs} � S22_30 per SAC lJnii (Plans to MWGC for detenninati�n) � ft ► 6ft= ftx$25=$ _ ----..� � S45Q Conservation Plar, Review $ __ Fee petermined by Engineering � A�reement neCessary ( ) Non Necessary+ ( ) s � Make checks navable to: Gitv of �ridi�v e�,... TH15 [S AN APPLIGA'17cIN Ft}R A 1'E.RMi7'-NOT VALIU 11N't71. PRt�'FSSFU I hereby apply far a bailciing permit and I acknoWrledge that the informat}„�, abc,ve is ae�mple�r and accurat�; th�t the worEc will be in confortnanc�e with the srrdinances and cades of th .ity of Fcid y and with the Minnesota Conslruetion Cade.s; that 1 understsnd this is not a permit but only an apptication f�r a permit and w4 's n statt without a pet'mit an sitc; that the work wifd be in accordanee with tho approved ptan in the case of alf, rk sc re v approvat of pl SIGNATUR� OF APPLiCAN"!' �n`1�,��,�,/._�• �1N�''N� �'� 1�r-'�' n' u'1C �t'_�C?ATF., 'C.�j�I � AI'I`KUYAL lTV9T[!C:7CYk 3il'iIVA' JI N From: AMWW fAX Page: 3/4 Date: 8/16I2011 8:42:1`5 AM � Afl181'�Catllrlid�@IWOI'�I$ 8asemeM SystsmslF�undation $upp�rtM►orks�,.� �'"" �xeu►� we►►� �.� s��s• _ ����� (� www..m.r+c.n�rrwo�k..ca�» �M�i, �$OD-795•1204 �b7-356$0�0 '' • � �■`ly� 829 Ra�i� Y�ew lrt. SE., ""BBB hb�e�", W� ��� �Plne b�nd, MN 55963 {� 1� FAX� 507•2fi1.8p21 C�tra�r Lk. il; 20387395 � Bred WatiWss 507•382•079b1 D.+�Bbblee�emerlcen�wetervrorke.aom � QROPOSAL DATE: 07/21i30y! � Sl�R7fD TO: �usslt Garlsoh � �obR�s3: 733a Cc,neuto Curw NE FridMy MN 53R92 , .�B �bGATlc�r T]30 Gonc�rto Curvs NE Eei�y MN 5543Y Sysbm Faah�res IWataKluard w�e�Guuq Po� , T�snthOrA� i TripleSefs i &�P�r5�t�1�lY i IJHrs.�iuuf0 IasC��ard �� �AYYNSCIIplP SiVtl01 rN51114#�OI� I ��� .. 'i$ t ;1 i it . .....4�.. . ....... � 1 �� m�r.w� sy� . . .. . . . . a�r,sa� w� sr�+ wrN'Raac�snon Ce�Y�g RremYqq t�Nimg ungr► �� �� Z'ib BOIgO 'iAi &ir+d�10(�� iYd 1f1�t �_�,oy.n,, .. �c� • wan.� c� .....i i ' �ICrMk • itW�IN�.00d I R°°r Matbg R�nCtwre , , Ra1nCIwMe EZ ; i Lawn�pe E�d. � DryTrsk . f1exl3pan C�uN Wep ! 8p00mOn��hd0+N0 � �P�1t1� �+�va � W�,��, � ��� ��a�� ����, .. ; . . .. ... . . ..... . #7odcwaN ; � F31 Watl Mdf4t� � �51 Plpe Weia Sr,�po+� EO+iss fB�oeisi ' � �r+�as iF'cuea) ' i �is��� i 1.a�rawFesa Lins (F.inaar Fsae} itatYaerAr+nud5er�lc�e ; i Guebm $ .._..1I�^� ......... i I i I i t � �� ......... ..�.. _.:..; , � � � r t... i , i i f i � . � _. f . r Iktly urw.rstarks and acoaat a�e t�faraC�e v�surara�r provkla�; wl�n �cove�s cxry ure 81v96 OT U�amanl ad�99d 9�W d08s 110M1 COAIaF' WA�M d�fM�ge. PBrtfAl � =il101't� t`81r�r & «bBt� VY8RAf11j�� SYIlfQ � �If COVef6f� �SY e �pp�Eg �e1�11Nf84'L1:6� ►v�rt�nl�i. {t!@t8�t1Qf1 Qi iiW 3y$DBA1 dOdTi t10F 111dGid! �� fN318h9d t�[ jJ811py, A%IRAi�f18 di�clrerye iir�as, vi�l wiodt. crr t�►d�aan�t r�F rtopc �fa w carpetirsg. �acior aacr�ot bs ►oaponsibl9 kIf hoien di�h9l+ge� irrea wnho� an Ic�aC;t�ard� Condensadan. �mp SpW diaoolo�atlon. water onoe p�r�pad from F�e� wi�draw well tloo�ding. or (uel isr�ks ar linr�. Cus�aner shell pt�t tdMractore 80 dey rigt�tiq:eetnedy any� prablam aAef �aparie�#- Hort+soMrt�er re�ansilrls fa► mo�R vpjecls evraY'lrrnn walis and beck aQain. Some dust shauld be sxp�ctsd from wak. Pa�nts �►'be m�rle In htl upon +c�lebcn. M ma�rlal Is �d b be as apoafi6d. My ufldergroUne' dis�f�e�g9 4�res �Il jObs dOns in Vti6 WINTER wi1 be completati in ths apAng a�han 1h� yrotmd is Ihewsd- tl�e Sys� wiH' �I kae� tl,e areaa c�ane dry, IUI a0►ee� «x�tirgert upon accldanrs orae�ys:heyvnd ou► Wntrat• Ou' workars' a►e fudY cawarod t+Y Wcrkm6n'S G�atlon inaurenae. Ha�ocw�r�er e�umas aN reapor�llfllHy �or dema�aa tlae ta' breaksgs ot any hidden tueth�ly servics; �nas.lE►ou9h vee wiN du awr' beat Eo evoid su�fi d�na�e. All prv� tzaead prlurNarily on homawone�rers deecri�tic�n af pra6iem. 1Atarranty c� not oover weter dartrege. Thla propacal may 6a`wikFWd�awn' dY us it not atoepe�d' wilhin 30 days, Sellars Si�tuea: p,e�, Ac�p�r�m of� Tfra ebaw P�ius. �tln�. oandMWn1 i�b s�qaralr rwnaraY Otl � outlind abwa�bY �D1W, Yw ara eudwrFmd Ectln u� work s� t�afisd. Paymenl w w„ye.�n a:p...u�.,.- vatv �..,-. ° �s:. p� t'�, .. �:ii�,�•;�•, ERAAII: HOME: 769-7$9�5d62 waRK: � c�: - FAM: — APPROX. INSTALLAi�ON DATE' APPROX, COMPLETION DATE; �w.ur a �r.rr ownimnol R� aerr�ean��trw� ' We Propose : TalnYdr+�W 8 YEor-mnplrf b�emiu�w �Mh �ppw aC6cI11caUCM� Idrlllelaill af � ��$6FTi8ilt {��C6 � M�c�� � I 7otai C�~act Price � ���►�+ �0 96 Dapp9it Ppid I L7c�9 �3P� ttl�l9ko1► Ospoe� Peidr 3 eeronas Ws€ 5 0% Fi�endnp Tenns: CC i�do: s �Seo �o � oAo $ 18�.11� � tsn.00 � &Q9 : . ....'�.i� X X X 5t 7ype ot wW: 8br.lc E�tlnO +� Rnifh: Pa�ny �nD �M ikdth: Cvnaa[e o�.eweys��aqtl►�+►+ortromlww.: ts 5 u ,�.�1 � � W � � � � From: AMWW FAX Page: 4/4 Date: 8J16/2011 8:42:1'S AM .ios �ocATiaw: 7330 Concerto Curvs NE Frldley, MN 55�g2 �AaF1,s: sr�c��ca�a�us; 4. Ir1�df $ajparSurrip PumR sys�am tMth taEC Irar; i�rsw� Nner, aMtlpht NA w� �irq�E ltaor �aft�. CMm►►pusy� �#, 8tid Wad�lMa�ch al�r� ay�t.m. I 2. i� Ic�Guard iD Prava��t Ac+ods i�om i►vzart �is�t�stge 1ine. 3, insisif I..awnS�e ou�ar et �nd W d� lirra. 4. It�laN' YYatsrl"�mrd F'art fa � sc�sss to sys�em. :4 h�taN WaferG�ar+� sub-lkaa d►air�pr ayam�nt as indiCai+�t fn jt5b rltewvk�g: e_ D�a� {,Ine � +Mr- e . '(X:STflMER YYtLL: 1. Provide WvROr+fe�ed alscCk�l a�tlgq� �t a11 puntps. �nd aa+er e�ic� dWbde�i � ha i�11ad: �. M�ws 16etns 4 feet s+�eat fr�arn p�Ir►retbr. NOTE�: 1. � �neU+e X: p� �5