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AF - 42783� � City of Fridley, Minn. BUILDING PERMIT ��. a3�ss N° 6935 .:_ . � � � �. � " - —! ' .<.� t�i..�' — .��.' : e � - ��+K..� � — .\� � � _ .. LQ ION UILDING No. 5treet a��l��«--ll�.�� Part of Lot __��,..�. Lot �...�_ Slock .�.� Addition or Sub-Division . Corner Lot — �� Inaide Lot � S.etback _a�� Sideyard ._ ��v � `�°j i 3ewer IIevatian �e ��'�=J �+�V� l�=� i� �s _ Founda.tion IIevation i't`l � f �u rl sf2T � [ �� "� � �e cYJ/ � y ST - �,'' �� a � � � � e � � `�P �u .�o �c � � o � ��;' � �I;� � �! _ DESCRIPTION OF BUILDING Front �. Depth 1. a'� Height � Sq. F't. .E'� Cu. Ft �-�=L�L,�' Fro t Depth �eight ____� Sq. Fk Cu. Fk Ty�e oP Constructfo . � F�t. Cost _.�� °�o be Completed In canaideration of the issuaace to me of a gerinit to co the the ProPosed work fn acc:ordance with the d+escription above set o � vrdinancea of the dty of FricIIey. l�a� e�, I� to do ona of � In consfderatton of the payment oP a fee of $� , perrmit is hereby granted to to conatruct the buflding or addition as described above. Thia �t is granted upon the exPre�s eondit3on that the person to whom it is granted and hia ageute, employees an worl�en, 3n a11 work done in, around and upon said building, or anypar� ther�eof, shall conform 9n all respecta to the ordinanc� of FridleY� Minnesota reganling location, conatrucl3on, alteration, maintenance, repair and moving of bufldings �� dty ]imits and this perm3t may be revoked at aqy time uponsvio1lation of any of the provisions of said B�ldiag Inspector n NOflC& il� pemdt dea nm eeru t6s eoestrodi�, t�lon Mr �Uin9. P��9. 6p 6�8, avru er rralsn B� wro to ss� tla &rtWiee� In�Dor tor ppanM W►m(b hr fhas h�ms. ►,� ._�*,� � � � � ..• .t •' � �h . � f HARVEY A. CARTWRIGHT wMO�u► cour�rr suavErs �a�wp couNrv suevers MINNEAPOl15 SURVET8 6410 PALM STREET N.W. SUNHEt 4-7658 ows�rcp . INOUSTRIAI. – JUDICIAL BUSINHSS – TQPO(SRApMICAL CRr LOTS – PLATTIN6 Ed. Chies .s �s �� Q��' LAND SU8 �EYORS REGisT�N[D YNDtR IAWd QF 6TAT6 OR MINNBBOTA LIC6NSRD BY OROIIiAMCt � C�Tt OF MINNEApOL(g 326 PLYMOUTN BUILDING FEnFRw� 8-B721 HENNEPIN AT SIXTH • MINNEAROLIS 3. MINNESOTA � �►urtt�pot�g �tthi�tt �1/.�..-f.� , ,r•�=-� a °'!_ -r'- / � a � ,- .� ��%.�. � - sd�a:'�.J iz � �� - i►:>� z�� w� �-.�-� �� :c? COMBINING TME RECOR�S OF J. E. HILL. Civa EnouvFeR iBTABt.�MEQ 1CYf G. F. SANDHOFf CIVfL ENOINEBR E15TABL19NED tipb JAMES WELSOAI 5ur�vEroie 6STABLBH� tYBi ME7ROPOLITAN LANb SURVEYORS, seTABUSNeo 1�at ImroiCe 23�10 I 26�,/ 13 6�-138 / �• a� : . � P�-� r, . � � � � '�1 � � � � � � � ```� I her�b;� cert3fy th�.t thi� is a true and corract rep��sez�t�tinn of a sur�►�g ofz Lot 1 and tho North 1�2 of Lot 2' Block �, Oak Grove Ad�ition to Fri:�ley Fark A� surve�d by me t�ais l�th day of October, 19F3. , BIGNED � 4'�-�' -�..�:'-� v': v .>'::_' �i �� y�'y i,��F " �"� -��21CiHT wao OL90N�- _- ..�.- --- _ _ -_- -- .. . _ zr �. �,r� -- — - �_= sue�ecT ER . City of Fridley 2 0 5 2 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � ECEIPT NO. � � � � COMMUNITY DEVELOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC, 3� y� � � i1 ` � ---.� �'�'�`� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE Of APPROYED BV i 612-571-3450 910-F15 � � JOB ADDRESS 6594 Fridley Street N. E. t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED oescR. 1, N� 2 5 Oak Grove Addition SHEET 2 PROPERTYOWNEF MAILADDRESS 21P PHONE Ken Weestrand 6594 Fxidley Street N,E. 3 CONTRACTOR MAILAODRESS Z�P PHONE LICENSENO. Classic Renovations 4355 Vicksburg Lane, Plymouth. l+�V 55446 559-1314 4 AHCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS 21P PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW � ADDITION � ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Constxuct a 22 �. x 20'' Gaxa,ge 9 CHANGEqFUSEFROM TO STIPULATIONS Qrovide a liard s.urface dr.i:vektay, WARHf�1G Before diggirrg cal! tor all uti{ity tocations SEPARATE P`RMtTS REQUI}�ED FOR REQUIRED QBY LAIW WIRING, HEATING, PLUIiIIBING ANp SIGNS. TYPEOFCONST. OCCUPANCYf3ROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTpUCTION OR WORK 18 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS OF LAWS yALUATION SUfiTAX AND ORDINAIdCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED $6 547 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT I $3 e 27 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- T CTIO OR THE PERF NCE OF CONSTRUCTION. $��•a� ° �� RLAN CHECK FEE TOTAI. FEE \ ��.3e2% NATUREOFC N'RACTORO AUTHORI2EDAGEN7 iDa'rEi � WHEN PROPERIY VA TED THIS S YOUR PERMIT � — ,�( /f -�- � /� C� SiGNaTUREOFOWNEAi�FOWNERBUILDER� IDATEI BIOG �NSP A7E � [ ] � [ l �'I'� [ ] Constnlct I�gal D� Owrier N�n Contractc Addr+e.s.s: R-1 AND R-2 Buildirig P�smit Application � ��-�� Effeckive 1/1/90 �/.�,�/ ��„ �'� Attach to this application, a Certificate of SuYVey of the lot, with the proposed construction drawn on it-to scale. LIVIlJG AR�: I�erigth C�,R�i�GE AREA: I,erigth �'2� DDCR AR�: Le.1lg�tii OTI�R: . «- .� . � Width Height Width � � Height Width Hgt/Grau�d Sq. Ft. sc�. Ft. ,� Sq. Ft. Corner i�t [) Inside Lot [] Ft. Yd Setback Side Yard SetbaGks Zj�pe of Construction : Estimlted (�ost: $ (A � y �i � "� Approx. Ccm�letion Date: Proposed Driveway Width If New Is Desired: Ft. $ $ . , Width + 6' See Back Page L1A'I'E: APPLICI�INI': Z�e1. # � '-! 1 � CITY IISE ONLY Permit Fee $ Ci �a � State S�ur+ci�azge $ � , a'"'� SAC C�arge $ � Driveway Escrow $ Park Fee $ se�►er Main Criarge $ � $ ��•�� C,�se �v, � s�rz�oNS: � /�t�-�� Fee Schedule on Reverse Side .. $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Abave Fee Det.enmined bY Engineering Agr�nent Necessazy [ ] Not Nec�ssaYy [ ] E:�i��.�'��+;+Y�4��+�:,�: �:��+��1F� Zhe Chief Building Official shall, before issuing ��*+;ts for the erec,'tion of ariy �; � ding or structure, or for ar►y addition to ariy existing building or structure, or for ariy alteration or repair to any existing building or structure, upon agplication therefore, require the payment by the applicant for such ��++;t of fee.s to the amount her+ein belaw set forth and in the mariner herein provided t�o wit: Z�OTAL VAIUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 M��+ � $15 (Miniuman Fee is $15 plus surch�arge) $15 for fiYSt $500 plus $2 for each a�litional $100 or fraction thereof, to and includirig $2,000 $45 for fiYSt $2,000 plus $9 for each additional $1,000 or fraction ther�of, to and includirig $25,000 $252 for fiYSt $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to arid iricludirig $50, 000 $414.50 for first $50,000 plus $4.50 for each add.itional. $1,000 or fraction thereof, to arid including $100,000 $639.50 for first $1m0,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039:50 for the first $500,000 plus $3 for each a�itional $1,000 or fraction thereof, to ar�d includirig $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for earh additional $1,000 or fraction thereof DRZVEi�Y DEPRE.SSI@T ESCROW (Concrets Curb Stxeets OnlY) Alternate "A": Remaval and replac,ement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : R+�moval and replacem�zt of curb arid gutter ar�d in.stall a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. � �• � v� •) • � • �� n • •) Ppx•mits for construction will be issued a�i�n�n of 24 houzs frcan the time of application to allc�w for proper review of the proposed structure and of the oonstruction site. A Cestificate of Survey of the lot, shawing the location of the f�ation once it has it has be�n constructed will be required before proceedulg with the framing. 4 �s • . �, '' .�` �� , y„„ .f .-. *, � -.� 7 } < y� � �,; a,.�+r7 ,�w� �: ' a .- + s . � . - � .: : 5 �- � ,,�-� .-" � , , . . , � �''y�" � :' .a ' ,��.ae♦ ,c� :� 'g�.�'w+��g.'�.".�s °��°� ,.�4'��ru�l� ��'�'� s"��a`..'�,�'�+^,�i„'�k`r�°��' >,« ✓�'� �i�:`,.7�'fs°"6i"`c-�x��:� +�Y,�,r�,,,� � �'�.y.":.:,, � . .. - :-,t. .: . . !�. � _ .,_...-_ -r " ...;..s.. . ,,.:�_ � :.. . _.-'- . - _ . +�:� :`i-..�.. • . � � r. . _ > :.. �_ , . .. : -. .- _ - _ ., „->: .; s..- '. . .. .. . . . . . -_ _� .� .... �-�:.-. _ ...� . .� .. �,� _. ,:,.?:� '-:-�; _ � � r . . . _... .. _. _ . . ,: � . . . .. . . , �-..:..'...� `-...: - . _ ,.. ..:. 9. � .� - � y `.^- ) ..er :.:� � ,� � . r 3 = - "� C - +�F wr �, «{.. ..::,4y .,.'Y� f .�' � sr . . 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' a y � . - y �'� -:S, r�� '-,r� `..�' 1 ta ; �'9'�'r`'r �,� ��y� . �'" � ,�,,�"'° � � ,g� Fi � �., { _ °^i. ,i t q -3 ^' -`P1 � YC 6 �v� �� -�:7 � s � � � x -� � � � t • �� s a ,-.-a ,AY J.. r . -�„{ ,w *. , �. _ � •- � . . , : _. .,.,, � _. � � q .,�Y, � � �c' w r ;�.y„ '+Y ' . -' g.� �. . ,. ._ �-_ -... _."p _ '_ .yy_ � _ <> y' �.. - .. -. � �.- ° - - . � . rt � y. ; � y a .. � :: � �. .:� �_ ,: . i ,:'4`� L ; � . Y � � .'� n *� -4;, w x#3 "" ye, a 1 N+" �� ,i:T $ g M -� % :.� � � e � �_ ' � , f � .- �� ' � Y f, � , _ y . ,.� : .. ��,. � s_; �"� ' . _.. ' .� _ .. . . . ' ,=r�1$►iED �" � '�P� - — o _ - " C�FIi .=11/A� �OM �„i' _ �.{�,-�-�� :�'�fi � � ' '� } _ sue�ecr PERMIT City of Fridley � 219 5 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � O. � • COMMUNITY DEVELOPMENT DIV. � �� i LV ��'i r � � PROTECTIVE INSPECTION SEC. 1 = � � �"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �""� � �'� 612-571-3450 910-F15 7/8/93 / / JOB ADDRESS 6594 Fridley Street NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �-r Pt 2 5 Oak Grove Addition SHEET 2 PqOPEHTY OWNER MAIL ADDHESS 21P PHONE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Stock Roofin Inc. 289 Li.bert Street N 78Q-3361 3112 a ARCHITECT OR DES►GNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Rssidential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reroo� Iiause (13 Sq,ua�es.) Tear�-o�� 9 CHANQE OF USE FROM TO STIPULATIONS Undexlayzrient 7�1us.t c�mply rnrith. th.e State B,Ui.l.ding Code, Install smoke detectoxs as per URC 121Q adjacent to all sleeping areas and in basement, Ice and water protection at eaves and yalleys. Provide adequate attic ventilation, SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WOFiK IS COMMENCED. NO. DWLG. UNITS OFFSTHEET 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7Q2 $eSO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PEfiFORMANCE OF CONSTRUCTION. $ZI..00 Fire SC y5`s%O PLAN CHECK FEE TOTAL FEE Li.cense �C $5aQ0 $27,20 SIGNATUREOFCONTRACTORORAUTMORIZEDAGENT IDATEI WHEN R ERLY DATED THIS IS VOUR PERMIT � J°�� < S�GNATUREOFOWNER�IFOWNE:�BUILDERI IDATEI � BLDG NS �1pTE r1EW ADDN �.� [l Il i� Consdvction Address: CITY OF FRtDLEY SINQ�LE FAMiLY AND �DUPLEXES R-1 AND R-2 Building Permit Application � �.� L �'.—�1 �-1 � Eff�ve 5126/93 �a�� I Lega1 Description_ r Uwner Name � Address: � .Si � r�� /'� �'' ��i �y Tel. � %��v � � ��. MN LICENSE �t �i�� cor�tractor: �°�� ' , Addr�s: � �% L�� y �S'� ,�� ' �o' Tel. # 7�1C� —.3.5 � � Attach to this application, a Certificate of Survey of the lot, with the propa�sed coastruction drawQ oa it to scaie. DESCRIPTION OF IlI�PRUVEMENT LMNG AREA: Length GARAGE AREA: Length DECK AREA: T.ength 01'HER: "``l � ,��?� l� � Width Height Sq. F� �Vit�h Height �. Ft. Vi►idth HgtlGrouad �. Ft. � /��(S�%' lJ �S�2S �. v — l 3 Ta7 Corne�' Lot [ j I�side Lot [] Ft. Yd Seiback Side Yard Se�acks - 1'ype of Cons�uction: Fstimated Cc�t: �__ �� C'd , Approx. co�leXion Date: (Cost on Back) Drivewa� Curb C�t Wi�h N�ded: T�t. + 6 Ft = Ft x$ _$ DA1'E: �/�/�.� APPLICANT: � �� Tel. # 7� `� %�-�% Pe�mit F� Fire Surcharge sr� s�n�e SAC Charge Lic,ense Surcharge Urive�►ay Escrow Ercuion Control Fark Fee Se�►� Main Charge ToTAL $ �� D O $ • -io � ,�v $ $ �.C�D $ $ $ $ � . �D +�.I[_M. ' � .�L _ Fee �hedule on Reverse Side .�1 of Pcnerit Yaluation (1/1(�h°b) �� $.sai��,000 v��non $750 per SAC Unit $5.00 (State I,ic�sed Resideatial Cc �° � ` � Al� °A" or Alt. "B" Above Y�-`�J� Conservatiom Plan Review $45U.� ` Fee 1?etermined bY Engiueering Agreement Neces�ry t 1 Not Necessary I) STIPULATIONS: � BUII.DING P'ERMIT FEE SCHEDULE The Chief Build.ing Official shall, before issuing permits for the ere�tion of any building or structure, or for any additioa to any existing bailding or structUre, or for any alteration or repair to any existyng building or structtue, u�n application therefore, require �e payment by the applicant for such permit of fe� to the amount herein below set forth and in the manner herein provided to-wit TOTAL VALUE $1 to $500 $501 to $2,IX10 $2,001 to $25,OD0 $25;001 to $50,000 ' $50,001 to $100,000 � $100,001 to $500,�0 $500,001 to $1,000,000 . $1�,OOQ,001 and up � l �� $15 (Minimum Fee is $15 plus surcharge) $15 for first $S00 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 �for first� $25,0� plws $6.50 fvr each additional $1,000 or fraction thereof, to and including $50,000 $414.50 for fir�t $50,0� plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $1�,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $SQ0,000 $2039.50 for the fust $500,000 plus $3 for each additional $1,000 or fraction thereof, to and iacluding $1,(%10,0� $3539.50 for the first $1,�0,000 plus $2 for each additional $1,000 or fraction �thereof � DRIVEWAY DEPRESSION ESCROW �COIIL:IC� � �C�S �jr� Alternaf.e "A" : Removal and replacemem of curb and gutter only - Driveway width plus 6 feex times $13.50. Alternate °B": Removal and replacement of caufi amd gutter and install a 3 foot wide. approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATiON Permits for construction will be issu� a minimum og 24 hours from the time of application to allow far 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. _ _ � _, � � � � 3 N � 1 0 � a 0 � � m � n O Q O � � � � � 0 � � A � 'o a O �3 � `� y i � � � 1 1 a f � 0 � � m Z � � m n � Z � m m � w 0 0 0 �� , � � \ �� 0 < m� a � � �� ° Zm � m � c D ? � � m �' � � �� .� � 2 � Z R N� v °: � � � � � � � � � a � 2 0 � � O D r m m N .�. � � c � � a� m � -' o o m � m � C � m � �' c � �'� v � � � � O � � � � � � o _ � ^z L/ C� � � z .-< � '�''�" m aN DZo .� �Dn z��o ��m Orm � Ci Z� mA c� m � 1 a m z � m 2 � � m 2 0 m' v � � � D D $ O 1 0 O � �O < � �a m � Z, � °, �, -.� � D rn � o A° � a D � � -��n � N o � � � o G N O O � � � � � O Z a nT � . v � 0 0 0 � � a 0 c��o `° ca• � �, z= � � � � � � � jpc �y _ � � � C� � � c� � m m � � a v� m r N 3 � m � v Z a � o 0 �m m � v � � � � � v � n � O z 0 C � z � m � C .� m C � z � Cii � � � � � m y � � � m m � N � � m z m � a m a � � � G � A � D 0 � � v_ A � � � r► c � A m C y 3 a m '�'� �� m � a v c � 0 � � C � m � � � � � 0 � 0 � � °o °o °o °o � m � � � � O � � or m � > m � c� � N � O o� � � m .� � � Z 0 � ��0 �ti ao 6 Z G) C � m v � O '" s�3?� z opD'�m`° a�$�e 7�0 �'a.-•m�a � �n � � m O � ? p vi � c,� a m � � , � � � � a a�n'm� ''omco � � �m� v,�g3 � � � � � c o � S� �nm� H � � � �� n�� O �'a�� '$ � 3 P a �� .«a� o �� , � m m N � O � 7�l �D �O � � � m � n _ v C m � � v v � 0 w r � n�g'w � � � � 7 � Z � N y �� N � z m � � �p r � D m �� Z O � Zp D � vp D � �� n� O vZ �N Oy zZ �v _ �� "'� Z m �� an zo v vz � < nm �� z n � � � � v r � Z N � i� � z � C � � � O L � C � � � � � r- a�Ea 1Cg pat�bT g xr�a�o� �xis�►�x t BIIOQ II�0$ SIIOF�QSB�jfL �B��I . sX�E�uag s � f1SS 'IYSO�I, 9 �lLLS ��$�o ZtY _ 3� � � lls� ��a� i�� T� ' y O oN O sa� Pa��auuoa s, tLLB TB�o�._ pttE az�rs io; s�uaataiinba� apo� �uas�n� Tte s�aay� •S ( ) oH ( ) sax pa�oddns �Tta.zn�as sI • �i ( j oH () sax u�r�Tr� pabpot s�oa �qo �zb�ra�o; o�t sEg '� i) aH () sax �o��eso�r.za�ap �o �sna �ao.z3 aa.z; sI • Z i) oN i) Sax Pact�racExa �TTtn3a.ze� c�aaq seg • T :XoE�s io eCauac�rq� bu�r�s�rxa at� �eq� sa�r;�ian �Cqasaq paub�ssapun aqy �TiK� rI Y�K H.7 ��,�� H��NG HOUSE HEATING TEST RECORD AIR CONDITIONING AND ELECTRIC. INC. � � � '�ADDRESS L APT. FL R GRY SUBURB OCCUPANT !r c°1 OWNER % HEAT LOSS E HTG.1 ST. � ° SOLD BY �° IN3TALLED BY Eleetrical Work By ' das Une B Y TYPE OF HEAT GA FA HW STEAM_ SPACE HTR._ UNR HTR. OTHER GAS DESICiN CONVER810N MAKE � NIAICE OF BURNER Model Model Serial % � Max. BTU Rating �NPUT e% MAKE OF FURNACE THERMOSTAT Valve Limft Limit Setting _ Fan Sefling _ Pilot Type _ Ptlot Make _ Allodel �/ l/erd Size KIND OF LINER C SIZE NONE Dreft Hood {�9s G Regulator Fliters Size � Number Chimney L�ation Inside %( Outside Chlmney Construdion Pilot Idodel Smoke Bomb Wiring � Pilot Timing �'�� . DraR Test Tag _ L W. Cut Off Door Pressure LlghUng Inst. Pressure Percent CO, Date Tested � r i Input CFH !�U � Peroent Op Company Testing Stack Temp. ° Percant CO Namo of Tester ' Form 235 SuBJECT PE -. City of Fridley � � � � 3� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY DEVEIOPMENT DIV � i L�� 1.°"" (0" � � PROTECTIVE INSPECTION SEC. � _ � � /"'1 � CITY HALL FHIDLE� 55432 NUMBER REV DATE PAGE OF APPROVEO V �""� � �'' 612-571-3450 910-F15 9/3/96 / / JOB ADDRESS 6594 Fridle Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1, Pt 2 5 Oak Grove Addition SHEET 2 PROPERTV OWNER MAIL ADORESS ZIP PHONE Rristine Olson 6594 Fridle Street NE 572-8859 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO Same a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP pHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION pg ALTERATION O REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install a 94" x 50" Window 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTqUCTION ZONING S�. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OH 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 CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ypLUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �L�OOO �1.00 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- STRUCTIO O THE PERFORMAN ONSTRUCTION. $62.25 Fire SC �L.00 , ' PLAN CHECKFEE TOTALFEE �' � 3-�(0 6s. Zs S�GNATUAEOFCONiRACTOROAAUTHOAIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT :a SiGNATUREOFOWNERiIFOWNERBU�LDER1 IDATEI BLDG �NSP paTE NEW ADDN ALTER [l [l � ConstructionAddress: _ Legal Description: Owner Name & Address: COIItrSCtOT: Address: ��;;`��I?�1��$ � � � � DECB AREA: OTHER: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Building Permit Application �r�'d 1�,� Sf . IU E . Y I� S�`l sr��'i Effective 3/1/96 �(°� i �� J��t� � � � L Tel.# ��-�� LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed constiuction dra.wn on it to scale. DESCRIPTION OF IlV�ROVEMENT � Length Width Height � Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. �u�'�d.o�.t.� Q�f `' x �� -, Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yazd Setbacks Type of Construction: Estima�d Cost: $ � � D p� Approx. Completion Date: � ' - ., (Cost on Back) Driveway Lwrb C�,it Width Needed: Ft. + 6 Ft = F $ _$ DATE: -.3'�%(v APPLICANT: � Tel. # .��o2-5�.��'/ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: 2 s� $ i� ' $ ' $ � % $ $ $ $ $ $ : ,, S� % S CITY USE ONLY Fee Schedule on Reverse Side .(�1 of Perinit Valuation (1/lOth%) $.50/$1,(�0 Valua.tion $900 per SAC Unit $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 [ ] BUII,DING 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 permit 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 $25,000 $25,001 to $50,0� $50,001 to $100,000 ' $100,(�1 to $SOa,000 $500,001 to $1,�,000 $1,0�,001 and up FEES $21 (Minimum Fee i� $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $1Q0 or fraction thereof, to and including $2,�0 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,� $349.75 for first $25,0� plus $9.00 for each additional$1,�0 or fraction thereof, to and including $50,000 $574.75 for first $50,(�0 plus $6.25 for each additional $1,000 or fraction thereof, to and including $1W,000 $887.25 for first $100,000 plus $5.� for each additional $1,.000 or fiaction thereof,.to and.including $5(}0,000 $2887.25 for the first $5�,�0 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,(m0,(�0 plus $2.75 for each additional $1,�0 or fraction thereof � DRIVEWAY DEPRESSION ESCROW (Concrete Curb Sireets Only) Alternate "A°: Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "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 $15.75. 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 ance it has it has been constructed will be required before procealing with the framing. sue�ecT P flMIT NO. City of Fridley 7 �, � -� $ AT THE TOP OF THE TWINS g U I L D I N G P E R M I T -�� r-----' � � RECEIPT NO. � ; y ______ COMMUNITY DEVELOPMENT DIV r � � PROTECTIVE INSPECTION SEC �'% i � ��` � � /'��1 � CITY HALL FRIDLE� SS432 NUMBER i1EV DATE VAGE OF APPROVED BY �"""'� � �� 612-571-3450 910-F15 10/25/9 / / JOB ADDRESS 6594 Fridley Street NE 1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. 1, N� 2 5 Oak Grove Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kristine Olson . 6594 Fridley Street NE 572-8857 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO American Remodelin 3700 Anna olis Ln Pl outh MN 55447 553-0025 2406 4 ARCHITECT OR DESIGNER MAIL ADDFESS ZIP PHONE LICENSE NO 5 ENGINEER MAILADDRESS ZIP PMONE LICENSENO 6 USE OF BUILDING Residen tial 7 CLASS OF WORK O NEW ❑ ADDITION C7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 6 DESCRIBE WOHK Replace windows 9 CHANGE qF USE FROM TO STIPULATIONS Sleeping area replacement windows must meet the State Egress Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVIOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK Oi; CONSTRUCTION ZONING SO. FT CU. FT AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �7,985 �3.99 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMiT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $13].2S Fire SC �7.95 PLAN CHECK FEE TOTAL FEE Lice SC $5 0 154.22 SIGNATUAEOFCON'AACTOF70AAUTHOAIZEDAGENT IDATEI N PNO VALIDAT THIS IS YOUR PERMIT — a`0. . /o �� 1� S�GNATURE OF OWNEA UF OWNER BURDEAI �DATEi BLOG iN5 oarE N�W � � ;' Effective 8/ 1/95 ADDN ( � CITY OF FRIDLEY `� . ALTER ( � SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ._�a �� ConstrucdonAddress: ��°�/ ��`G,i/� � s� �� , � _ Legal Descripdon: Owner Name & Address: ,Q ` �, � r Contractor: `�.�l�� i r-.,i> �e %�[ �n d, � Tel. #�� -�g�S � MN LICENSE #��, � y�� Address:�� s�,a p� c .� vv � �i�dn�r�S� S-� �y�el. # ��5,�-OG�_� A�ch �o �is application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LI�ING � AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length � � � Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks T of Construcdon: � ` °'" YPe ft�'� •�a%r,� � Estimated Cost: $ �8'�°' — Approx. Compledon Date: _ (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x$ _$ DATE: � - _ APPLICANT: P ��,� Tel. � ��-,3 -a oa_� Permit Fee Fire Surcharge State Surcharge �A� Chafge License Surcharge Driveway Escrow Erosion Control Patk Fee Sewer Main Charge TOTAL STIPULATIONS: $ f��5_ � � P /U $ ��' $ � �: �� $ $ $ $ $ l� �.� � CITY USE ONLY Fee Schedule on Reverse Side j1�� a� �'Z� �'� �' �� .001 of Permit Valuadon (1/lOth%) ,,/��,/u�'� $.50/$1,(m0 Valuation �°�, �$50 ner SAC iJnit $5.00 (State Licensed Residential Contract,ors) Alt. "A" or Alt. "B" Above � $450.� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] L� � �i � 6� �� ✓�� " � c � 0 � � d u � J � �j O� � � � 'Ci x�c� �o � o�.�w�� u � �'� Q � x � O "� J� � W �O � -+ Ci ;; o �� K � O � � � �� a O'F! - -- _ _- -- - o� � �. ......._-._ x w � � � � � O �o � � O � � �� ox� ' � ��o�� -- - -- -� �_� ° � � �o � O � H 9 0 � � a� �� z v m ��as�w ay � N � w � � �v.,� � mm o°� ��' ZO 4� . � � � ..i �n A a 3 O� �'� �Z � � .`��' C) m o � 3 O mm � n ,ti m � w � .+ y 0 � N''d �''f _ . _ D N � 1�1f o► � � - � o Q ` e�e � � 4 � O "' u Z t0 � '�' m o ,� � 0 � �- o ��:=� � '_�'�' � A � a�.� m ;, ; { ��.a� ��' � � m � c --I ? 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VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When realacina an existina furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where requir�d. Yes () No () The venting system is plastic/PVC and meets all cuReni codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This daes include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existing combustion air is sized and installed to meet the cuRent codes and manufacturers specfications. When required to install a new combustion air. it will be sized and installed To meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installin4 a new ventin4 svstem, the unde�signed hereby verifies that it is a listed assembly and meets the cuRent codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per cuRent codes. Yes () No () Aaaliance Tvpe and Size/Common V�nt and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Desc�ibe) HEATING CO: Signed By: Date : sue�etr P . c�ty of Fridley 31370 � ATTHET°P°FT"E�„"S �UILDING PERMIT : � R�� ' COMMUNITY OEVEIOPMENT DIV. � j V �'�� , f � � PROTECTIVE INSPECTION SEC � i � � /�"1 � GTY NALL FRIOLE� SS�JY NUM�@F pEV OATE PAGE OF AbPROVED BY �""'� � �'' a12-571-3450 s�aF�S 9/6/00 / / J08 AODRESS 6594 Fridley Street NE 1 IEGAI �OT NO. BIOCK TpACT OFi ADDITION SEE ATTACMED DESCF. 1, pt 2 5 Oak Grove Addition SHEET 2 PROPERTY OWNER MAIL ADDRES$ 21P PMONE Kristine & Dellayne Wippich 6594 Fridley Street NE 763-572-8859 3 CONTRACTOR MAII ADORESS 21P PNONE LICENSE NO Same 4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O AODITION � ALTERATION O REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Basement finish 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. �EPA�a�� r�� REQUIRED F��: WIRING, �EAT��D P�UM�IMG ��9� �fG��:'� SEPARA7E PERMITS ARE RE�UIRED FOfi ELECTFICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION IONING SO. FT CU fT AUTHORIZED IS NOT COMMENCED V�IITHIN 80 DAYS. OR IF CONS7RUCTION OR WOiiK IS SUSPENOED OR ABANOONED fOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING i►+EREBr CERTIFr THnT I HAVE iiEAD AND ExAMINEO THIS APPLICA710N 1 S7ALLS GAfiAGES AND KNOW TME SAME 70 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ypLUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMP�IEO WITN WHETHER SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT �8�000 ��F.00 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEqMtTfEE SAC NAFGE PROVISIONS OF ANY OTHER STATE OFi AW REGULATING coN• �167.ZS Fi e SC �H.00 STRUCTION OR TME PERfpRMANCE OF ONSTRU 710N PIAN CMECK f T A� FEE $179.25 � N♦ E F CON'ae On Op AUT Opi2 eGENT DAiE� ME P O Y VA AT D THI$ 1$ P IT 7�l � � , -�U � Nn7U i�iOWNEpB 40HA� �O�rE� 8 �tiSV � parE h • NEVV [ ] ADDN [] ALTER [ ] Construction Address: Legal Description: � Owner Name & Address: Effective 1/1/2000 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � �f � O D �� Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length -=1�� Width �,L� Height,�� Sq. Ft a�i�_— GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgbGround Sq. Ft. OTHER: l� Construction Type: :�, _ , Estimated Cost: $_ �"a �'dQ` (�-� � i Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: ` Tel. #7�-, � 7Z- ��'� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $��Fee Schedule on Reverse Side Fire Surcharge $ �� .001 of Permit Valuation (1/10th%) State Surcharge $ �� $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: $ � �,a� BUII.DING PERMIT FEE SCHEDULE The Chief Building O�cial 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 permit of fees to the aznount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $SOO,QOl to $1,000,000 $1,OOO,Q01 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,�0 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 $1,0� or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.(?0 for each additional $1,000 or fraction thereof, to and including $100,�0 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,Q00 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 fracti�n thereof DRIVEWAY DEPRESSION.ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "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 5urvey of the lot, showing the location of the found�tion once it has it has been constructed will A be required before proceeding with the framing. New Houses Onlv � �r � � �� 1 ��. r__. _ ._ -- � ---- -- - --- � , _ _ --- � ._ _ _ _._ ._ _-- �. --- -- -- .-._. _ _ ; ,_ _ _ I _ - _. _ _ -- - � __. � . __ ._._ _ .._ ._. __ _ _--I , �� .._ L- I -- � _l- �� - - -- ---- - -- � � _ --, - -- ---_ _ __ _. -_- - -- -.� __---- - .-- -- , - - - __ --__. --- _ . _ --- _. _ - - -- ,_ .._._. __. .-----_ ___ . ....___. .. . -- --- ___ -� _ �- -- -...... _. _ �. -- - ,- --- _ - -- � -- - -- --.___ _ °■'� �i .r.��.. �, . L: I\.