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P - 48406` $u�lding Inspectians ���-s�2-36a4 763-502�4977 FA.� DqTF J 51'r� n DDRESS THIS APPLICANT IS P'�OPERTY OWNER/ TENANT Cp�vr�eroR SUBMIT A COPY OF YOUR STATE LICF,NSE AND CCRTIFICATF OF lNSUIZANC;� PCZOPERTY T'YPE PERMIT TYPE TYPE UF WORK; From: 763 544 41 00 ' i�age: 1/3 Date: 2/14/2012 1:04:06 PM BUILD�1� I�SIDENTIAL APPL,�CATYQN �ITY �T �'�Y]LEY �UUfj L•"-MA1L ADUR6SS •. �w�� t .�tG ---���----� — ��WNGR �C4N'fFZACTOIi NAML•� � _ nnnrt�ss� `t i��n nr!� ,rf Il� S7' i PHONE: �,��r��4 J I � NAME� S'I'A7'� L1C�,NSE !) � ADDRESS: AHONE �J$fNGLE FAMILY/hfEW CONSTR�JCT1qN ❑ l'WU YAMILY/NEw CUNSTRUC'fIUN 4 ADl31TIpN C7 �ARAGF�SI�FD �d'�ASEMEN't FlNI5H � RUUF ❑ UGCK ❑ SIDINC � SWIMMING POOL Permit No.: .`� � �I �'�� �'1 Received f3y:� �R�-� a,�,d, �� , � � �� =_� _ < n C£RT �'LIMBER EXP: CITl' Sl"A7�. 2iP S IZE Sl'UKI�S ❑ W1NDpWS ❑ 1]ftA[N'I'1L�, ❑ 0`fHGR ❑ NEW HOM�, CONS'il$UC'fIUN ❑ ADDCI"ION ❑ MAINTCNANC�.JItEPAIR �"RlMOULLING DESCRI6E WOAK BEING DpNE: t�'�1/bIS SI2G OP IMPROV�MGNT RO� NT,JMBER OF SQl7ARE5 ��, GA t2R C M;S PR01'OSF.P SI'1,E: PROPdSED HEIGHT� S[DING p vinyl ❑ Aluminum ❑ Other 'UVyNDd'1'VS lN EX15'I'ING OPENINCiS ❑Ycs ❑No UR FUIt N�;W UYENING9-I]ESCRIBE 51L� UF ClPENINU CI�ANCL•S �X ❑ 1-IOUSC OT�lLY ❑ MOUSF. & GARAGE ❑ A'f'fACHLiU CiAfG1GE ❑ DE'fACHE17 CAfIAG'L•' 05olYt 51DING/SOHFIT7I�ASC1,4 C5 Trim RF.MOVEb? O'YPS L7 NO o F��;a LOCAI'IUIV OF WINDOW$ I�IGIG1-S7' CinS �.M �.NT I'MOD • fN � S IBM1T I, F.x�9Sing F��pr Plun 2 Yropuscd 114ur plan 3 L.�s� oP siruc�ural memb�rs io be ��sed FOR NEW CONSTRUCTION 1NCLUOING DL•CK5, ADDITIUN5, & PORCHLS SLIIIMIT: .. I. Siin PIanJSur�+ay showing ihe existing structures and propnsed prnjec[. z. Two sets of constnactian pinns 3. Cnergy Calculauons FOR W'1NDOWS — PRQVIDE [J-VAL�1E ANd , . MANUFACTl1RE5TICKERUN W[NDOW. � TY�E qF WINDnW Tp BF, [NSTAi.1,F,A NUMBFR OF WINDOWS � ALL FE�S AAE BASED ON VALUATION, INCLUDINC THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE 5C1-rE�LJLE) � s� TQTA�JQ� VAL�1ATIpIV S`�� OCCUPANCY TYPE ' Pcrmit Foe $ ,� �„ � See $ack Page for Fee Schedule Plan Review � �l.j �,�� 65%of �uilding Permit Fee Fire Surcharge $ •'1 =� ,00] times the total job v�luation Surchbrge � �L .QQ05 x Permit 'Valuation Minimum or .50 License Surcharge $ $5.00 (State �icensed ltesidential Cantractors) � �� � � SAG Gharge $ �2365 per SAC Unit {Pians to MWCC tor desermination) Curb Cut Escrow � ft+ 6 ft= ft x$25= $ Erosian Control $ $4S0 Conservation Pian Review Park Fee $ Fee Determined by Enginecring Sewer Main Charge $ Agre�ment ncccsssry {) Non Ncccssary O Total Due $ t Make check8 a ahle to: ('1 pi Fridle Attach 5ti ulatinns T11fS I5 11N APPi1CA1�f{7N I�OR A PERMIT-NUT VALID UNTIL PKOCESSfD I hereby apply for a building permit and 1 acknowledge Zhat the informalion sbovc is cUmplcte and accurutc; that thc work will be in eonformance wich ihe ordinanecs and codes af the City of f�'ridley arLd with the Min�esata Construction Codes; that I understand this is not a permit but only an application for a pe mit nd 'woYk is not to stsrt without a permit on sitc; that thc work will be in accordancc with the approvcd plan in the cas� of rk ic ui view and approval of pl 5. f i 51GfYA7'UR�:OFAPPLICANT INTN�ME ��!"���y�,J UA'fE �l`! 1 A PPROVAL INSPCCCOR S1GNA f pL�AS�_NOT�: SEPARATE P '!' ARE REQUI D FOR PLUMHING. ELECZ'RICtkL AND MECH,4,NIC.o.L tWORK -- - � � �.J � ... From: 763 544 4100 ° Nage: 3/3 ..� � ,' ' , f , „ M .� � . • �L7 . ;� . ' . ;.�: , � � a,., 70" • � .� ,,,''' ' � � , F-- �� ��V. �' � � .� � .� � � , �` e � ;�l.�� . ,�S-�' �' , � � , � �, - . . �� �, r � � �! ,'i' . � ' . 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