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AF - 43246r:�rr► � �►i� Village oi �ridley, 1VIi.�.n. N° 2 5 4 f Date /�:a . '^�. .�° . .�. . � �� . . . . . . . . . . . . . . . . . . . . . . . . . �`"�-��„ � f� � ��l+'�`t�i � jr`:.-t� Builder = �°" �"�" d � tst' Owner` J..�" . .. .. ......... . . . ............................... � Address ��'..�.e��.'�':. . :;�.'`:°�°:�:. . �:':�`:':�. c"';�`''� Address . ... .. .. .. .. ........ .. .. ...... ...... ..... LQCATION OF Bl1iLD[NG No. . .. �`jr'�:.. .. . . . Sfreet . .'��:�: ,��:��`' .. .. .. .. . . . . . . . . . . . . . . . . . . . Part of Lot . . . .. . . . . . . . . . . . . . .. . . . � � �� Loi . . . . . .":'�. . . . . . . . Block . . .�d: . . . . . . . . . . Addition or Sub-Division . �' . . ��``''� ` i�-c`r �` � . .�.� . . . ��'`^� � � 4 � Corner Lot ..... .... . .. Inside Lot . . �': . ..... . Setback :�.t��.,�+�.�'.��. Sideyard �.'� .:'��!'� . ...... .... .... . DES�CRIPTION OF BUILD9NG To be Used as: Ji.:��,&'�<� .... Front .ti ?:'�`.. Depth :�.�... Height��:'�� Sq. F't. � �:�.�.. Cu. Ft. . .. .. ... .................... Front ........ Depth ....... Height ......... Sq. Ft. ........ Cu. Ft. ........ Type of Construction�.��,:��;-:��:�t:. . . Est Cost�':`�� '��`.` �. . ��. . . .. .. . To be Completed �� "`'��l`�� `: .�. In consideration of the fssuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley, .................................................... �con,sideration of the payment of a fee of $. ��:. , permit is hereby granted to ��.�.�'�?:�............ ��:��:c�:-Z�:...... to construct the building or addition as described above. This permit i5 granted upon the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, around and upon said building, or any part thereof, shall conform in ail respects to the ordinances of �'ridley, M3nnesota regarding loca.tion, constrnetion, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �� .,�°: �,y.,.}{'.��„`:�:'�':�!`�. Buflding inspector NOTICE: • This permit does nbt cover the construction, insYallation-or alteration for wiring, plumbi�g, gas heating, sewer or water. Be sure to �ee the Building Inspector for separate permlts fo� these items. ,�+ ,^. v �.. ,� �, � City of Fridley, Minn. BUILDING PERMIT Date: M�'Y 23, 1966 c� r��,��c:�� : DONAF�D M. ECOFF g�� SIISS� GARAGE Ad� R43. Crown Road N. E. �e,�.� 185 0 Como �venue Fridley, Minnesota � 55421 St. Paul., Minnesota � �11'° 884? LOCATION OF BUILDING No. . Z43 3treet CRQWN RQAD N.E . Pert oP Lot Lat 5 _ Slock 3 Addition or 3ub-Divleion ��SON' � S SUN�T MANOR, N'ORTH ADDN. Coraer Lot — Inaide Lot ?� Setback Sideyard 5� 3ewer Fdevatt� — Fowndation Elevataton DESCRIPTION OF BUILDING To be Used as: ATT. GARAGE �t 22 �p� 24 g�ght 10 Sq. Ft 528 �� 5, 280 �• p�i Front 9 Depth �'6 Height 1� Sq. Ft 1�' Cu. Ft 1 a�+0 Type oP Construction � F�t. Cost —$12 9 00 To be Completed In coasideratlon oP the isauance to me of a permit to ct the ding crTbed above I agree to do th� propoaed work in acc:ordaace with the descriPl3on above/� t Porth th a'11 provisions oE or�inanoes o! the dtq oP Frldley. 1' --. ��/D �_ / Ea ca�afderatton oP the payment oP a Pee oP $ �—�� , P�t 9s hereby �ranted to ISIISSEL GARAGE to conatruct the builaing or additioa ae desdlbed above. This �ermit fs granted upon 'the exPre�ss c�n�iitlon that thepe�oa to whom it is graatsd and his agents, employees and worl�nen, ffi all work. doae fn, arauad and upon eaid buildtn�, or anypart ther�oP, shall conform in all respects tfl the ordinauce� oE Fri8ley� Minnesota �eg�g lacatton, conatructCon, atteratton� maintenaace, repeir and moving oE buildin�e witlsin the dty ]imits aad th�a pertnit may be revoked at any time upon violatlon oP any oY the provi�lons of eaid ordinancee. WII�LIAM H. S�IN 8u11aia8 Inspector NOTIC6S 11d, p�N aoa Qot a�u t6. com�ueHen, �en �e. �i�ina plum6lna o.. h.dieo, awu er w.t�r. e. we. h... tM 6n�di� In�e�' t� pPv+� P� 1er th�a Nsmi. , , � APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINI�E50TA� OWNER' S NAM�,_ j,� a�'a �� " _'�'�-- ��°_____,- BUILDER� � ADDRESS � � �.� � �� d r _ ADDRESS 9 � �'� .��o►�' � �� LOCATION OF BUII.DING N0. 1�-� STREE�T ,p e,v '" PART OF � LaT LOT BLOCR ADDITION OR SOBDIVISION GORNER LOT INSIDE� LU'1 SETF�ACR � SIDE YARD SEWER ELEVATION I�ODNDATION ELEVATIQN Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Ce�tificates. DESCRIPTIOIQ OF BUIY.DING To be used as; Front � � Depth � e Height � �2, � Cu. Ft . �i � � � Sq. Ft._ g _ f �� .�/ � Front � Degth�Height�� S.q. Ft. %�e,� __Cu. Ft. d Type of Conatruction �� Eatimated Coat �� 0� To be completed The undersigned hereby makes application for a permiC far the work herein specified, agreeing to do all work in strict accordance wl.th the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that a11 the facts and repre�entat3ons stated in this application are true and correct. r� DATE 'S� � � C� � C � SIGNATURE (Schedule of Fee Coats can be found on the Reverse Side). ^ _ , , � � •_-� � �` �l � �� `. / ( �: � �tTILDING P�RMIT �'EE S�HEDIILE SECT____IOP 2_ The Inspector of Bui�dings��ahal�, before iaeuing any peraait for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterationa or repairs to any existing building or etxucture, upon applicatioa th�refar•e, requira the paymeat by the applicant for such,.permit of feea to the amount herein.below �et_forth and fa the manner,herein..provided to-wit; . 2.1. For any euch permit for the erection of any fire•proof building, othei than a gara�e, warehouae, factory or grain elevator, or for the erection of any fire-proof addition, for similar oc�upancy, to any esieting building, sha11 be at the rate of $1.40 for each one thousand cubic feet,. or-£raction thereof, im su��h cubical contents. .. 2.2 �For�any auch permit for the erection of any fire-proof.garage, warehouse, factory or grain elevator, or for the erection of any fir�-proof addition, f'or similar occupancy, to anq esisting building ehall be at.the rate of $1.25 for each one thousaad cubic feet; cl�assiffed as "fireproof�" by Section 502 of' the �M4.nneapolis Building Code. . . HOIISES 2.3. For any auch permit for the erectioa of any non-fireproof building other than a garage, warehouso, factory or grain elevator, or any non-fireprooi addition, for eimilar occupaacy, to aay esisting bu,ildi�ag - permit $I.00 for each oae thousand cubic feet. �� GARAGES _ _ r , . _ _ . 2,4. For any such permit for�ehe erection of any aon-fireproof garage, warehpuae,•factorq or gr8ia elevaCor, or for .the erection�of any non-fire-proof addition, �or similar occupancy, to any egisCing build3�g or far ettch such �°� building or addition - ninetq cents (�0.90) for each one thous.and cubic feet or fraction th�reof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing feea for�building permits, the cubical conteats of any buildiag or addition to a uniform height throughout by multiplying tl�e ground area covered from�a point six (6) inchee�below the floor iine of the basement.or cellar to the average h�ight of the upper,surface or td the average heighe of the roof sur�ace of the main gable of a pitched.raof. 2,5. For repaire or alterations. to aa exiating �truceure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($5�0.00) or iraction thereof in the cost of all proposed work. 2.6. In no case ehall the fee.,�harged for any permit as set forth in Section 2 be leas than $4.00. STORM REpAIR DAMAGE FEES: Residential; Estimated Coat of �»rk up to �5r0,00 _ SSe�p Estimated Cost of �ao�k e�er Y:�>�;��:�;1 .. M,;;,,�:0 Co�ercial; Estimate�cost of �•�n*i� ti�,"t� ��i��:�3� -�7�,na � Estim�tE ��ost of 970�"�C o�er $;l.L+.U�U - $G.;�3� ,�.� .�.. T NAME ,Do�aLr� BLOC K ADDRESS I �3 C,� ADD'N. AREA � �� G� \ \ \ \ , \ 1 1 _ _� _ M . EGO�F � I �� x�S-ri�C' S�pEW4L� 1JEw ; , ,- - � ' ' ' �t '�'`� �' � � ' � ' � �.'�� 4�' {j, � II�� .i Q t� � J! � � i QJ � � ttil � �dQ� C� h :d� ;�1-�N � �� a'� ��Z Q� � V�i�J�ai LL � ,�� ,� ; � � �a � � �a�= ��ra�2 �� ua '� u- J� �. � Q J +� � �i` , � � ��'�.� a�W:a[�� LL'�J m�� ! 3 �` t4, ��0 �tl � LL � � Q Q� � � � ; � � � d1 r�q' ' }- � � ; a �} ' F ; e� �! �� j�6 d �LL ' �� t��l�� o am � �3 a�� d�;� , �� _ � �,� � +�� v� � ;�� `r�N ?�-o . Q��IQ ��a � 1 � ��h_:��' �t�-��,3 ��r�!'�+Q�X�u� "' ; ��l�a`� ��-. �9 ��11��.�,�' �t!}� Q � \ � � �� h1 lJ �2o N-t- -5 FV"TUi�E /1.SP11A.LT iJ2.tvEw�,�Y ,'� SIZE 22 x 2�1- VALUE i �!� 1 �+ TY PE � �i�/�1 •�/' � �� - . _ � .� � .� � Id► P.—A � � I 1 � � � � � v� � � f�'i � � � � � �0 � m � 0. o c*1 c a � •€ � :d � � ffi 0 �. -�+ a � m v Q ¢ � � �S � O C � � U ,� � 0 .� �— •� o a� � pq w O o 3a o� oa � � M vm� AW A z .� � � � a � � oo� 3 � a �U� w � � � ++ .0 .r U �� a� �,� � w � � � � tix{y.� � V � W � � � q �..� �� ^�''�'� a �� N � � � a N m � F � � � � � A � � � dl '� b � oa� �' � � �,��o � �� b�o� � �� a o �, � ti � �� W W � 3 � � • z .� SJNIN3d0 SV9 3JMRI �� 'IddV �� f13H5VM o� �� FD1V7 SNIVi10 aoo� •sb�s •�noa •�Niaa SAVtll HSYM �INIS SMiSYe � ►uva snnvian � t131VM � � .. d � �� a x � � v � c c L � � N � � � I y � � a � � � � � � � � n a U � �v o b a � o � " �a � �� I � H r� o � Z B a m� �� I�N■ = : 1�� : ,■■■ ; • '�. ? 1.... � : '�� I.LJ J 0 W _ U � W Q � J H � a x � a z � O O F H • v� sPr efs vrt s� �sr � �sa oa � � ° � � S � $� o � S x � .� � � � � � � � � � � � � � � f: i� >C i9 �C CC N pC iC pd °z °z : : : � � : : : : : : ' : o : : ' � : � � : : ' � '� ' � � , _ � � �� o� :�� o� :� �� :�� O � � 'id � W d ��.+ F �.� � � � ,� e� � x � g � � a � � �' � � � � v � M � � � 3 .� � e � x � M z� z ci � zq H�� i � W � Q V • � � : � : � : H � � « : m : oC � Z : 0 W • W o �� a a� � a A � SUBJECT P: RM13403 �� c�ty of Fr�aiey AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � t • � � COMMUNITY DEVELOPMENT DIV. � Ly ��'� r � � PROTECTIVE INSPECTION SEC. ��IL,� 1 i i � /'�'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""� � ,'� 612-560-3450 • 910-F15 3 9 76 � � JOB ADDRESS 143 Crown Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Carlson's Summ�it Manor North SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Allen Sta.vig 143 Crown Road N. E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. North Central Builders, New i%pe 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSf NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Insta.11 aluminum siding on house & garage plus i.nstall stone front 9 CHANGE OP USE FROM TO ' STIPULATIONS e TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. A.LlIICI. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, �`3 � 382 $2 .33 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �`2],.00 STRUCTION O H PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE �, � c�L��,a�./� $23 .33 SIGNATUREOFCONTRACTORORAUTHORIZEOAGENT IOATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT . �IL� �'.��(J�i� o� -� -��o . SIGNA7URE OF OWNER (IF OWNER BUILDERI IDATEI BLOG iNSP DATE R" ' " ' . •/11"1'L1l+f\11V1�1 1'vlC 1li:JJ.1/1.:�v11��u.� �.a..s....... ,.� . � ' 1 . OR AllllIT�ON. BUILDI�G P�RAfIT , • � . • . • r � , � � • . •• � C�TY OF FRZDLEY, hiINNESOTA • � ,� . , • , . _ .. • , • . • .. , � . . /� ' � , . / 1/�f2-Ti�l �rGt��G2.Av' /"�`x�� . .' � _ O�JTaER' S NAt•1� :/'f�L �= n� � S�� BUxLU�F.. - j • . ,� � f-� ADDIt�SS : /V�� oa��E �� ADDIt�SS :, C� �� ` � �-- . . . . , NO:,,_ l `f,� STItEET • �i� t+�q,� �� , � s � t C� �raR1 S��/lli� ��Aadc�/ r. � i.Ox: 5 I3LOC1�: � � � ADDITYOI� : � . • . . � � ; CORIv�ER LOT:, INSIDE LOT: � SETBACK: SIDL'YAT.D:� .• ; . � . . � � �pplieant attacr. �o �his for.r� Tcao Certificates. �f Surve .ot Lot and.pxoposed . • : bui.lding ?ocation dl•awn on these Certificutes. � . . � . , . . . . � . • . � � , ' . . • -. '.j , • . . ' � . , 1 • � ' � . . ' • ' . � a � • DESCRIPTIOi�i� OF BUILDIiVG . . ' ' ' ; . � . � . • � .� . . ; � To Be Used As : � �� - � . . . . • ' �. • Hei ht • . • . � c t✓� S��aal Cr - �� Front : _ Dep�la : ' g . . , S`"T� n� �' F'f+-nc�1�- . � ,. . . . Squa�e Feet: � Cubic.Feet: � • � Fron� • ' Deptli : • • Height : �,. , � � Square Feet; Cubi.c Feet: ' ': ' � , - � �. � �ipe of �Construction: �L�� Estimated Cost: $ �,�� . xo Be Completed: _ /�'!•o° i�--� l%9 �� • • ', " .. • . , . . . � . . � Thc undersigned hereby malces applicativn� fox a permit for the work hexein � speciixed, abreein� to do all worlc in st'rict accordnnce cai:tii the City of ' Fx'i.dlc� Oxdinances and i-ulings ot tlie D�:paxtment of Buildings, and her�by declares �that all tlie facts and represenCations stated in tliis application axe true and corrccC. � � •• . . • �, . J , . . � �� • - • � i�T.F: '� �O _ SIGNATiIRE: � 4��"'�� . (Sec I�evcrse Sidc For Additionnl Information.)' , . • , . • . ,� • , , . , . ' � . � . , . . . . • . . • � . . . , . • . , ° ��` �'3 � • . . . � ' . ` ' . . ," . . n' � . . • � . . � • �� . • . . � . � . . , . . � 3 ' � � � � ' — °.,_ �. � � ��a . • • J3UlLUiNli L'.L•1N1J.1 1•L'L' .71.�11%liu�.+r. --"°" ., •, � ,, e , , . • , . • ' � ' . ' . ' '. • , , .. . • � S�CTION 2. Tlie In�Pectar oi.Tluildings shall, befoxe issuing permits ior the oxecCion ot aiiy Uuildin� ox sL•ructure, or for any �ddition to any exisring . , bui.lcling or st•ruc�uxe, or for any a1L-cr�tion ox rcpairs Co any cxisCing ; bui.lding or strucCurc, upon appZication tl�crciorc, requixc tl�e payment by the , ° app7 i.canC for sucli per�nit of tees to the amoun� liercin below seC tortli and i�i . , the manner ]�crein provided L'o-wit: � . , • � . ! . UP17r0I'Si 13UILDIi�G COD�: Type 1, 2& 4-$2.15 ior each one thousand cubic � ieet, or tracl:ion tliexeof, in sucli cubical �ontents. �pe 3& 5- $1.$5 ior '' ' � ' each one thousand cubic fcete �• " � � • ' ADDITIONAL INFORJ�IATION • � � .For tlie purpose of �;omputing f:ees fox building permits, the cubical contents �• of any building or addition, is detexm�ned by multiplying�the ground area � • covexed fxom a point sis (6) inches belo�o the floor line oi the basement • . ox the cellax to• the average heioh�s of the uppex surface ox to the avexage� . height oi the•roof surface of the main �able of a pitched roof. ' ' ' .. . . , • For xepairs.or alterati�ns to•an existing s�ructure, the fee shall be at the • rate of $3.00 per each five hundred�dollaxs ($500.00) or fraction thereof ia . .the cosL- of all �xoposed worko ' . . • �� In no case shall the fee charged for any permit as set forth in Section 2 be . , � less than $5.00. • � ' e ' '� � ' VERIrICATION OF'FOUNDATION � � � � ' . . . . . . .� . 1�OT�: Permits fox construction tai.11 be issued.a minimum of 24 hours from the ' ti.me o� application, to allow for proper retrie�a of the proposed strucCure and, � • oi tihc constxuction site. . . - , .. . A Cex�itied Sui-vey of the lot, sho��5.ng the location of the foundation, once it � has been construcred, will be required before proceedin� with the framirig.. i . . . ' C�RTIrTCAT� OF• OCCUPIINCY • . : Applic,�tion for a Certiticate of Occupancy sli�il be made ten (10) days pxior , to the use or occupancy ot zny structure �or which a buildin�, permiC lias been a��ssued; .1nd slid structure shall noC be used ox occupied unt-il a Certificate � • ' of Occupan�y lias becn issucd. , , � , • ' • i • � • • � • . ' • • ' . " ' • i ' • •. . i . 9 � � � , � . . 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Lake St. Minneapolis, MN 55408 612/824-2656 A B1ue Do�: Service Co. EQUIPMENT INFORMATION LAST �'�.��2. 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N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 23, 2001 Bemard Heller 143 Crown Road NE Fridley, MN 55421 Re: Final Inspection at 143 Crown Road NE Contractor: Standard Heating & Air Cond Co & R A Johnson & Son Dear Mr. Heller: Mechanical permits were issued on July 22, 1999 and October 16, 2000 for the installation of a fumace, air conditioner and water heater at your address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspection shall be perFormed on the mechanical permits. As of this date no inspections have been called for. The permit fees that were paid covers the inspector's time to check to make sure the appliance was installed correctly. We also need to check for the installation of combustion air, vent and connector sizing. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. rely, D74�/�JENSEN Bui g Inspector DJ/mh SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � ; y _.___ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. `---.� ��"' �,� CITY HALL FRIDIEv SSA32 NUMBER t 612-571-3450 910-F15 JOB AODRESS o d E 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION oescR. Carlson' s 2 PROPERTV OWNER MAIL ADDRESS RPnard Heller 3 CONTRACTOR MAIL ADDRESS �*-. Na �an Cnnat_ b�(1R R� Av N Rr_Pk_ 5' 4 AHCHITECT OR DESIGNER MAIL ADDRESS 5 ENGtNEER MAIL ADORE33 6 USE OF BUILDING Residential 7 CLASS OF WORK REV DATE PAGE OF 7/31/98 / / 26939 RECEIPT NO. � ( �� APPROVED BV SEEATTACHED North Addn. SHEET 21P PHONE 514-1226 21P PHONE LICENSE NO. 566-5225 20077950 ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO. ❑ NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHAN(3E OF USE FROM STIPULATIONS TO Underlayment must comply with State Building Code. TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOF ELECTRICAL, PLUMBING. FIEATING, VENTILATING OR Alii CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK Oi; CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOi;K IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNI 1 HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yqLUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Op NOT. THE GRANTING OF A PERMIT 21Fj8 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pEHMIT FEE PROVIS NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU ON OR TNE PERFORM CE OF CONSTRUCTION. ](}. ]S /� d� AN CHECK FE ��o� �,�/�� / .�� s----- ` SiGNATURE OF AGENT STALLS iP OCCUPANCV LOAD CU.FT S7FiEET PARKING IGAfiAGES ITAX $1.08 �CHARGE Fire SC $2.16 AL E ❑ � �/�.��f�� /��_.�� Q7/27/98 22:59 FA% � �� ADDN [ ] ALTER L ] CITY OF FRIDLEY SIlVGLE FAMII.Y AND DUPLEXES R 1 AND R•Z BUII.DING PERMI� A:PP�.I'CATION ConsauctionAddress: _�� 3 �rv�•.�i I.egal Descriptioa Owner Name & Address: Conoract Address � i , �1 a 1 Effecave 1/1/9� a�� 1,�G�f 1��.//�� ,�.� 4 b�� . .� a�i. � ��- lZ2 � - .— ENSE �{ ,�C�� ?9SC� _ Tcl. # S�c(a '��Z Z_� Attach to this application, a Certificate of Suevey of the `�� L%G��3 lot, with the proposed construction drawn on it to scale. � LIYII�IG AREA: GARAGE AREA: DECB AREA: OTHER• DESCRIPTION OF Il1�PROVEMENT Le.ngth Width Height • Length Width Height Leagth Widch HgtlGround F' `jC � � ` � V Sq. �e. Sq. Ft. Sq. Ft. Coastrucdon Type: � � ,.,,G�' � Fstimated Cosc: � • -� _�/�� • � (Fee Schedule oa eackl Driveway C�tb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ ' DAi'E: APPLICANT: Tel. �f Permit Fee Fire Surcharge State S�rcharge SAC Charge License Surcharge Driveway Escrow Erosioa Control Park Fee Sewer Main Chatge TOTAL STIPULATIONS: a . C1TY USE _ OL�TLY $ �� .`� � Fee Schedule on Reverse Side $ �. Olo .001 of Permit Valuation (1/lOth%) $ �� G'�� $.50/$1.000 Valuation $ • $1000 per SAC Unit $ � . GC� $5.00 (Srace LicenSed Residential Con�aactors) � . Alt. "A" or Alt. "B" Above ' $ $450.00 Conservation Plan Review . $ Fee Determined by Engineering � $ Agreement Necessary [ ] Not Necessary [ � $ �,�� ,,,.� � City of Fridley A7 THE TOP Of THE TWIN3 � � I L D I N G P E R M I T ;, .� COMMUNITV DEVELOPMENT DIV. � ; V ��'�� . r � � PROTECTIVE INSPECTION SEC. i . , i.___� ��"' �'� CITY MALI FRIDLE� SS132 NUMqEN i 612-571-3450 9t0-F15 �oe n�oAess 143 Crown Road NE REV 1ATE I PAGE Oi 10/20/00 / / E�.�--- � 3 i 502 � / er t LEGAI �OT N0. BLOCK TRACT Oii ADOITION SEE ATTACNEO oesca. 5 3 Carlson' s Summit Manor North Addn SHEET 2 PROPERTY OWNER MAIL ADDRES$ 21P PMONE Bernie He11er 143 Crowza Road NE 763-574-0429 3 CONTRACTOR MAIL ADORESS �� ZIP PMONE LICENSE NO Murphy Bros 1613 93 Ave NW, �3'- D�.��, MN 763-780-3262 3416 4 ARCFIITECT OR DESIGNER MAIL AOORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDRESS 21P PHONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS Of WORK O NEW O ADDITION �] ALTERATION O REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Bathroom Remodel 9 CHANpE OF USE FROM STIPULATIONS See notations on plan. TO SEPARATE PERMITS ARE RE�UIRED FOii ELECTfi1CAL, PLUMBING, HEATING, �'r� vr vv•J• VENTII.ATING OR AIR CONOITIONING. TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING AUTHORI2ED IS NOT COMMENCED V�!ITHIN 80 DAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOF A PERIOD OF 120 DAYS AT ANY TIME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS I MEREBY CEi;TIFV THAT I HAVE REAO AND �XAMINED THIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION AND OfiOINANCES GOVERNING TMIS TYPE OF WORK WI�L BE COMP�IED 1 OOO WITM WHETNER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � �� DOES NOT PRESUME 70 GIVE AUTMORITY TO VIOLATE OR CANCEL TNE pERMITfEE PROVISIONS OF ANY OTMER STATE OR LOCAI LAW REGUTATING coN• �195.LS TRUCTION OR TME PERFORMANCE OF CONSTRUCTION ` ,/�A, PLAN CMECK F D �1d � Lice e NA Up . F C N'aAC a Op 4UTMOpIZED eGENT IOATE� ME PR( S�GN4TU�7E '� OWNEA �� OWNEA BWLDEii� IDAfE� � .� o� T STAILS $5 LOAD CU FT GAFAGES SURTAX ' $5.00 SAC CHARGE � Fire SC $10.00 TOT FEE $,�15.25 IAT :HIS IS VOUA PERMIT /�� f�6 T f NEVN [ ] ADDN [ ] ��R I� Effective 1i1/2000 CITY OF FRIDLEY 612�72-3604 Bldg Insp SINGLE FAMILY AND DUPLDCES R-1 AND R-2 BUILDING PERMITAPPLICATION Construction Address: � '�"�� °4��° �Q�E�� . Legal Description: � Owner Name 8� Address: ��✓�d�'�� Tel. # 7� ��" �7�' ��'�� Contractor. -- - ��'�� 6 ��. � MN LICENSE # ��`�' Address: ��'�;�' ��;'�'—, �'I,��'ICi� �,�� . �l� ��I�� Tel. # ��' 7��"�''�� WING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESC�tIPTION OF IMPROVEIYIEN'r Length Width � Height Sq. Ft Length Widtl� �"� HeigM Sq. Ft Length Width Hgt/Ground Sq. Ft Cons�truction Type: ��_'�'�� C'�?�'�-� ��°►�i-� �-�, Estimated Cost $ � �� F ��c-�� "a = ��S'� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ ' DATE: I U ��' C�✓' APPLICANT: �i t� . ..; . . Tel. # ��y�"��%✓'' ? i� �' � � � CITY USE ONLY - Cali (612) 572�604 for Permit Fees if matling in.application Perm� Fee $ �, ��Fee Schedule on Reverse Side� Fire Surcharge $ /� P(�(.� ..001 of Permit Valuafion (1/10th%) State Surcharge $ � � � $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee �. $1100 per SAC .Unit � $ '�, Q('� $5.00 (State Licensed Residential Contractors) $ Alt "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: �j I t �O t � _ 0 z m � W N O� N � D X � � 0 � � .� ao G � Z AI � �o 31va � O� F.. 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( �) oN ( ) sa� - �uoi�euiu�a3 pue snnoq�a �o �aqwnu `y�6ua� '6uizis Buipn��ur suoi�eo��eds �a�n�e�nuew pue sepo� �ua�n� ��e s�aew pue �nd/�i�se�d si wa�s�(s� 6ui�uen ayl �� oN �� Sa� •pa�mbaJ a�aynn paddo�sa�y pue pa}�oddns �(�a�n�as si pue `suoi�n.i3sqo 'uoi}e�oua�ap `�sru wa� �a�� si pue pauiwexa uaaq sey 6ui�uan ay3 �ey� sa�}uan �fqa�ay pau6is�epun ay} `s�uean� u�;s�xe ue u��e� aa uat� NOI1V�Idl?13A al�d NOIlSf19W0� aN�d b01�3NN0� 1N3A 1N3A NOWWO� sue�ecr E IT NO. City of Fridley 33077 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � , � 572 360� RECEIPT NO. � ' y _.�� COMMUNITY OEVELOPMENT DIV. • f � � PROTECTIVE INSPECTION SEC �� 1 i i ' �� CITY NA�L FRIOLE� SS��Z NUMBEii REV DATE VAGE OF AGPROYED BY �"""'� � �� 763-571-3450 910-F15 9/12/02 / / JOB AODRESS 143 CROWN ROAD NE t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACMED oescA. 5 3 CARLSON � S S'[JNIlKIT MANOR NORTH ADDITION SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE Berney Heller 143 Crown Road NE 763-574-0429 J CONTRACTOR MAIL AODRESS ZIP PNONE LICENSE NO Sela Roofing & Remodeling 4100 Excelsior Blvd, St Louis Park, MN 55416 � AHCMITECT OR OESIGNER MAIL ADORESS ZIP PMONE LICENSE NO 612-823-8046 1050 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION � ALTERATION �J REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside House & Garage; Replace 7 windows within existing openings 9 CHANGEOFUSEfROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash al�. exterior openings. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARATE PERMITS ARE fiEOUIRED FOF ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING S0. fT CU FT AUTHORIZEO IS NOT COMMENCED WITHIN 80 DAYS. OH IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERI00 OF 120 DAYS AT ANV TIME AF7ER WOqK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEfiEBV CERTIFV 7MAT I HAVE READ AND EXAMINEO TNIS APPLICATION 1 S7ALlS GARAGES AND KNOW THE SAME TO BE Ti;UE AND CORRECT. ALL PROVISIONS OF LAWS yq�UATION SURTAX ANO ORDINANCES GOVEFNING TMIS TVPE OF WORK WILI BE COAAPLIE� WITH WME7HER SPECIFIED MEfiEIN Ofi NOT. TNE GRANTING OF A pERM1T �14,985 �].�F9 DOES NOT PRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMl7 FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING coN- �251.ZS Fire SC y�14.9H TqUCTION OR THE P RFOR ANCE OF CONSTRUCTION r �pyTC2 PLAN CNECK FEE TOiAL FEE �y� icen e SC $5.00 $278.72 S�GN4TUAEOFCO OQOaauTHO nGEtir �D�rE� EN PROPERIY VALIDATED TMIS 1� UF1 PERIyIT � S�GNA1UqE O� OW NEQ ��t pyyNEp BUiLDERi iD�iE� �` B ,�ti5� r��rE l�— N� I I Effective 1/1/2001 ADDN ( ) CITY OF FRIDLEY (763) ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: � `t � ( .►�c�Y� �p� Legal Description: Owner Name 8 Address: Tel. # �! Z — � �. � c'J Contractor: SE�► ROOFING & REMODELIn�9 -: MN LICENSE # /'D �� 4100 EXCELSIOR �l.v�: Tel. # Col 2—�SZ3 —$`� ��, Address: ,��y�� ✓' nen �� , ID #000105Q Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LNING AREA: GARAGE AREA: DECK AREA: Length Length Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft Width Height Sq. Ft Width HgUGround Sq. Ft OTHER: �� S !e�(�.e� �5c � cnn � � 5 Z O, °� -- 5 �� Construction Type: � �f' Estimated Cost: $ � ��/�So ��._.`,� „�� — ��e � �fe,�l�.� -� KtS�' �� c,�`�� ° �� Driveway Curb Cut Width Nee e: .+ 6 Ft = Ft x� _$ DA'TE: �`��— APPLICANT: e Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application � $ ��• o�S Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1150 per SAC Unit $ S• C�C� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � � • °%o� BUIIrDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such perm.it of fees to the amount herein below set forth and in the manner herein provided to-wit: � TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,OQ0 $25,001 to $50,000 $50,001 to $100,000 $100;001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,Q00 plus $5.60 for each additional $1,000 or fraction thereof, ta and including $500,(K}0 � $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � Buil�.ig Inspections 763-572-3604 763-502-4977 FAX DATE ` _1 Uh/� , SIT'E ADDRESS /Y3 THIS APPLICANT IS: PROPERTY OWNER/ TENANT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY U I O YOUR E-MAIL ADDRESS �.�D �/.�.6 �of/� �� 0 OWNER 121CONTRACTOR NAME:��///it/ OGSO/✓ nnn�ss:/5r .� � TZo� PHONE: Gv/o2. —��I — //Z� Permit No.: Received By . ,;;,T•--; � . 7'E �'%/11�IP CONTRACTOR NAME: ��//�i/C.�l� UHG.IT,�uCT/Od✓ A�� '�td,�,�t /h/ L� /NC SUBMIT A COPY OF z � YOUR STATE LICENSE STATE LICENSE it __020 .�/,.$-0?.�,3 EXP DATE ..3�.�J,��O // ANDCERTIFICATEOF ADDRESS:,�`0.�� /'`//'r�l�l� A/ CITY�Z�lG,r�J'.S STATE�f'✓ZIP.S"5.37 INSURANCE PHONE %�3 °�Y.Z— % .�?i� FAX PROPERTY TYPE �SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW COI�ISTRUCTION S7'ORIES—� PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED � WINDOWS ❑ BASEMENT FINLSH ❑ ROOF O DRAIN TTLE � D� O SIDIIdG ❑ OTHER ❑ SWIMNNIIIVG PO�L TYPE OF WORK: � ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCF/REPAIR �.REMODELING DESCRIBE WORK BEING DONE: �G.P�S1° eN�/,,J SIZE OF IMPROVEMINT LENGTH W�'� ��p�G ❑ HOUSE ONLY NUMBER OF SQUARES O HOUSE & GARAGE GARAGES ❑ ATTACHED GARAGE PROPOSED SIZE: O DETACHED GARAGE PROPOSED HEIGHT: F"f BASEMENT REMODELING SUBMIT• 1. Existing Floor Plan 2.. Proposed floor plan 3. List of structural members to be used IDING FOR NEW CONSTRUCTION INCLUDING DECKS, O Vuryl ❑Soffit ADDITIONS. & PORCHES SLTBMIT• �� ❑ Trim 1• Site Plan/Survey showing the existing structures ❑ �� ❑ Fascia and proposed project 2. Two sets of construction plans wINDOWS �— 3. Energy Calculations IN EXISTING OPENINGS OYes �Alo LOCA ON OF WINDOWS ��i'"� � OR FOR NEW OPINIIJGS-DESCRIBE SIZE OF �O �W X'`i (9 �� W� rSJ i� FOR WINDOWS — PROVIDE U-VALUE AND OPENING CHANGES & MANUFACTI7RE SIICKER ON WINDOW. TYPE OF WDVDOW TO BE INSTALLID C �� ANMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 'OTAL JOB VALUATION $ l oc�v SING THE 1997 U.B.0 FEE SCHEDULE) __ OCCUPANCY TvPF Pertnit Fee Plan Review Fire Surchazge Surchazge License Swchazge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Chazge Total Due $ $ �� $ 1 $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $SAO (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ el� $450 Conservation Plan Review � � Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Citv of Fridlev Attach Rtir THIS IS AN APPLICATION FOR A PERMIT-IdOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of a11 ork which requires review and approval of plans. SIGNATURE OF APPLICAST,��'.��1 �� R. � NAME ��' �. �/�y��y�,E �-�—U�,� ) l 6 Page 2- Building Residential Application BUILDING PERNIIT FEE 5CHEDULE The Chief Building Official shall, be%re issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the ma.nner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surchazge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for I�` $25,000 plus $I0.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1ffi $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1� $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the..i�`�$500,000 plus $4.75 for each additional$1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 forthe 1� $I,OOO,OOO plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for constcuction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed sttucture and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley � Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � Q � � 3 � � � � � v � l, � � � v D �'� � � � � �� .� � e , � � � � �� 3 O (� ? � c� � � ca � r w � � � � � � � � � �� o � � 0 � 3 �,. / , a � � 2� � n � , �� 3 � ? � w � , � �� -f- w 3 . � � �� a � ti� � � � � __� t� � . _, d � � � � � � �� —� ,� � ..� ''� ---� e ? �- ,� � 3 � �"'� �, � o -� _ � �, � L r 3 w � �J � �- ..�- � � � � d —� =�j ° � e2 � � �� t' � / � � � ,� �� .�n� � � �, �, � 1 � 3 � a � � ; ��. � � � �<< 3 � � � i i � � �C�—, -�/� "` i � � � � 3 �� \ J > � � � � � .�