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P - 37239ding Inspections ���-s�z-36v� 763-502-4977 �',A„"� C?aTF �t�.• SITE ,�lL'�DRE55 _� TiTi$ ,apFLTf.`.r1:I+�T IS� TENANT CONT:iiACT(�Zt �Li]3N1IT A COPY Or YOUIZ 3�ATE L7CENSE AND CERTIFTCATF, OF nvsux.�xcE From: unknown Page: 2/2 Date: 8l12I2011 11:47:20 AM �'4.! ����� Vr R�S�DEN'�'�A,� ,�►.��LI�ATI�T�T CITX U� ��D�E� �YF'�.Ci1Vk, Y-1=lUlY YOUR �-Ar�f�7.i. AUL)RESS ❑ pW7vTR B'�O1QIRACTO ;vnT�F _��o,�rl �" r1DDRESS:�,t����E���Y I �xa��: ZG3�-C� NAME:_,_,_�_ 'cr:,�� �e:��� FTATF. T,TC.F.tTSP.1i �f?S`�' �J�%�I .4DDR�ss ��G� ca1''S'�r1 � ��xc�r�, 7Co�-2��° C�I� ai �1Nl;LE FAevIlLY!N�.w C;UNS'1'KUC; QTV✓O F�MiI.Y"�Iv,EW C�IvSTRVC'itC _ ------ ❑ ADDITtOIS O Cr ❑ 9A.5EI+2�1�'i FIIUISH fii9�ii ❑ DECK t�"'SS Pern�it No ��:C�V�� �y- ��i�c�� : 1 . . .._.____.._,.,....c�T� ; srAr� '{�i zrP 5� 3Z, ... _. _.._ ,. .. ..,.r.T.F.ATI f"�:RT TYPE OF WORK: � rfEw HOME eo�rsTRUeTTOx o�1 r� �ntrrr�.*��cE�spnz� a � nFSCw�F we�Rk:?3CIhGD�>�;: � R}i` � �.. : (2Et �.s1� LtisROVLV�,sT L.EhGYH KdQFING �J�% n �aus� oN�,Y �'U?�IBER QF SQLi.�RL^ S��4/ �OU5E 8c GA�2AG� �' �' 0 .�TiACFIED GARAGE F'ROFC)5ED SIZE: • fd'f�E7AL�'1J GARl�,GE �'ROPOSEDF�TGHTi , �,.� i,�+�a+�oa..�e't�� a, as4t�i I �,j�'�� �min � ` �' D 7rim �,k� l�t fir7lih!R_�PQ, {'.r'_7� 11DS.01C'L.Q@.i�iQ�- ��'aomia '�iJF.� �VI��71oas w ..J i�i F.�c'[STiNf.OPENLyGS �Y:ce D�vo r.cx�n7'xuN vF wm�ows 4R F4R �TEVf% C)PF.''vlTifiS-Di:4C:12If1P. SF7.� A� OPENTVG C11AT+G�S � T7PE OF W'l�'fit7W 'C�<7 HF. srr,s•r�r s:Fn wsr rn:m.: v„z.,�n,.,, �v, f'lan Re�•iew Firt: Sur�harge G�trr,.}y�rgc_ Liu:nse Svrcharge SAC Ghatge CtuU Cul Es��Uw Er�seon C�ntr.ol Park Fcc Se�,�er Main C%arge $ �IL • •• � o • � ys% s` �� BASEMEV'£ RF,MbDELING SUHMt7• 1I. �,�iat�ne k'loar PLm 2 Fratinxed flrx� plan .. • 1: ist o£ayve�ural msmbae to be uscd 4L'i1 POR N�� GON5TRUCTlUrv mrcL.UDING pEt�CS, A73I7TTi0'�TS_ � Fc��tCfIES 3i7l3ndi'c 1 Site PIx�tlSutvry 9$owing thc vcisting s�T�s aad qrop0sed pmixl ' 7 Two sets of oona�huctian piam 3. Energy Catcvfations FOR W3NDOWS —PA�7VIUL• U-VALUE AND 1�1.ATRJFACILZZE STiGY.ER n1�7 W[�+TAU'�V. �5% of Build'ang Fermit �ee .OQl times ths total job vatuation .b005 x Pcxrnit Valuatian 7V�iniuiu�u a5.00 $5.00 (3tate Liccnsed Residentiai Contracto.rs) $2230 p�t S�C IJnit (Plans to Itr[WCC for �ictcrmi.nation) ft + 613 = fi x $25= � $450 Conservation �ian Review Fee Det�miu�cd by Engineerirtg Agrceme�tt necessary { ) Ncm Neeessaty ( ) NCakc checks payable tp: �itv of Fridlev Attar THiS i5 �P'7 A�'PiILAFION rOR A FTRZvQT•NOT' �+�i.iD Urr17L PROCEg3ED T 1:xerebv appl�'for a k��xilditig permit and I actc�Qwledge thai ihe inf�zzaation above is aamplete And accurate; tllat the work will be iut c�nfortnancc with the ordina�ces at�d c;cydcs of the City of Fridley and with the ���sata Constructiiot7 Code$; Chat I underst�ncl tlus is i�ot a porrnit but onl�� ar, appticaw.axa �or a pcmiit u�3 v.�v��, iy iivL lv slzssl wil}�vu� a p4T[rtit on slte; LUElI LhG 'WOIIC Wlil bC !!1 tlf�CpT�dIICC y,7Yh �E appmvcd pIan in the ca,se d work ' quires revitw and approval of p 5. � ` t SIGivATGRF.(7F�Nk'PLICA:ti"I - PWNTNAt� -��Vl� �Di�t _, DATE �If1 t1PPRCIVAT, IIySPF.�Tt1R STC.. A'fT;I,'F.., �:--..