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From: 7635742044 Page: 3/3 Date: 6/9/2011 10:53:35 AM
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❑ BASEML�NT FIhi151a C1 itOdF
a i18CIC Ci SIUINO
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��SCRIS� WORYC $ETNC�
12fi OF IMPROVEMENT
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�arosEn s�:.- - -- —
R.pp'QS�D IiEIOHT:
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1 Viny)
1 Aluminum '
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a �rsx;rr�G ap�c+s x� orra
�� �� rn�w ar�rrrnrvs• �escw�� sxx� oF
�P�ti1JG CHANGES & �.. ���
1
esx�t FeC
lan Review
ire Surcbarge
�rcharge
ic�t�se Swcharge �
AC Charge
urb Cut Escrow
rosion Coatrol
arlc �ee
ewer Main C}xarge
a xaus� a� cr�xna�
❑ A�"f'ACH�p GARA.G�
0 b�'hACii�b dAR.A(3E
�Saffit
❑ '�rim
❑ Fusais
IACAT ON OF W1NDC3W5
u L�ue� � �+�+ �
Cl I)�'vii1J TILE
�1 OT'��t
BAS�M�NT REiwiOD LZNG_SUBMIT:
1, Existing Flodr t�l�n
2. Proposed flaor plan
3. Lict pf 5tt�lCtut01 lllcdrlb�IS tb be used
FOR NEW CONSTRUCTtpN RJCLUDINO UECKS,
FifJbIT10N3..& PORC}�T�S_SUS�,j�;,
I. Site PIan/Survey shawing the exis�ing suucdires
anld ptYSpoaed projeM.
2', Two scia oPeo�tructian piana
3. �nergy Calculntion9
V,A,LU,A.Ti T01V, XNCLCIA�NG TH� COST OF L,A.�dR AND MATERX.A.T.�S:
(LTSING '�H� X997 U,B.0 �'E� SCi��EDUL�)
See 1B�ek Pa.�e fbr �ee Sch,edule
GS% of Bui]ding Per�nit Fee
,p01 tiznas the total jvb valuatian
.0005 x Permit Valuation Minirnunn $.50
$5.00 (State Licensed �tesidential Coz�kractors)
$1675 per SAC Unit (�1ans to MWCC for determinacion)
ft+6R� ftx�21=$ .
$�5fl Consorvation �lan ftcvicw
Fee I3otcrmincd by Enginccring
Agreemcnt ncccssary ( ) Non Neecasary ( )
1V,�a�KC c�ecks �savs�blo to: Citv of Frldlev Attacti
THIS IS AN /�PPLICAT1aN FOR A PERMTT�NOT VALIb LM7FL PRbCE55ED
;hereby app�j+ far e bui�din,g pe�rnnit and Z acIRl4wIe�I�a that t,�e information abovo is conaplcte and �ccurate; that the wark wiEl tae in
�1�£oirt�attce witlt tiae Ordin�ances �nd oodes nf tk�e City of Fridiey and with the Mirtn�sota Construocion Codos; chat f undcrstand this is not a
�r[nat but o�aly asi app�icataon a pe 't and wark is not to start withau� a permit; that the work w�ll be in accordance with the appraved
(av iz► t�e ca.ae ofati wnrk whi r�qu� rCViCW 811d BpptOVal bipianS,
GNA,TUEtF OA A.4'i'1,fCANT �„�,,,_PRINT NAM�. 7.����r�.�CI �1_ DATE �G ����