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P - 47305cV i r- r I-ca► ia:ura �1111C11T1� Inspecx�o�s 7�a3-S72-3604 7b3-S02-4�77 FA� 51'P� ADDit�$$ � THIS APPLICANT 1S; T�NANT SUHMIT A CO!'Y 4F' YQUA STATG LIGENSG AND �ERTlF1CAT� OP INStJRANCE DESCRIBE WORK IIGINC rom: HorneSure Page: 2/3 pate: 11/29/2011 2:48:31 PM nu�n�aui•a �ca +< <►o�� a�c-�+yru r c✓a �ru��+�Y��.ir P�rmit No.: �% L I�l � 1 RE���IENTYAL A�"I'LI��.'I'��I"�1 Iteceivcd Sy: �YT'Y �O�'��'�I��f �EY D���'�! � � � � 2 0 You� e.itintL Ano�csss --��' _ ���, F�=��: O aw'N�[i �CONTR.ACTOR NaMe;�C�1 P1 � 1�L.l�...�, -� ADDRESS: ��� �, ��! � PI IdNB;.�Qj�-� ��,� � Nr1ME;�-_ �f3 L�L(% _ —�� STAT� L1CCN5C N p�(� �f,r���� ADDR�S. ; �,r� ' �'� � �CL... � nHONE � e�i �'�' ��_� .� [NGLE F�MILYlNEW C4NSTRUC'Ttl�fV Ll TWQ �AMILY/IVEW �'Q�ISTRUGTl4N ❑ ALYDITIOIV (� GARAC'E1SIIGD p IIASEM$fi1T F1N1St�1 O R�OF a ���h i� SIDINC o swi�M�xc Poc�T. C] NGW I•fOM� Cf1N5TRiJCTlON O ADDITIOhI t� MqIN7ENaN���REPAIR ❑ RCMObEt�i � ROOFfN�i . NfJMDER af SQUARES CARA[� �_R PRQPOSEb SIZE; PRdhp3�D H�1GFiT: Sf,j�i � Winyl CJ At�mi�ium C ouk�r w ws 1N EXISTING C1PENtNGS �Y�y QT,fq OR FOR NEW OP€NINGS. $CR]8E Siz� pF Qr�NING C1�ANGES & TYPE OF WINDOW TO BE fNSTaLL�n Pennit �`cc I'lan Rcvicw Firc 5urchAr�c Surchar�c Liccn�o Surchargc SAC Ch�r�;c Curb Cut �scr�w �rosion Con�rUl PArk tcc Sewcr I+�ain Chargc CJ I•IpUSE 4N�,Y p FtQUS£.� CAFtAGE C] ATTACI•IEp �,ARAGE G pETACf (CD �RRACE ❑Soflit !� Tri�n � Far�ci�i LQCATION OF WIN[70WS va�� a��a..44lLll'\\.i �j11�' `,(�j� { ��f TH� 1997 U:�e.e r�� s����nuL�� � OC�UP; A' CER7' CiTY u FRA1N TTLE � OT]•fER 1�AS�MEN7' ftFMOI7Ff 1N,� �t IDM1"[T� I, FaciMting Floor P}un z, rropux�� 11our �lnn 3. LeNI of �traaturu! mCmberx tp p� uvect EQR NEW CpNSTRUCTtON INCLUbiNG t1ECtC5. �J� T1oNC �p �ORCfi S C tRnrt�T 1, Si�c PIaiVSurvcy .ahowing thc exf�lir� Hin�etutcs antl hro�osCt! prujc�l. � 7wo vcas oCconxtructio�� plaa. 3. Encrgy�:alculations FOR V�ND�WS - E�ROVIb� U•VALU� AND MANUFt1CTUICG STtCICL�R OfY Wl1uDpW. AND 5ce Bnc1c I�a�c For Fcc Schcdulc 65%� of Buildin� Pcrmii Mcc .00i times thc totA! job valuation .UQUS x Pcrmir Vuluution Minirnum �5.00 �S,UO (�Wtc �.icc�sed E�c�jdcntiul Contractors} �2230 per SAC Unit (Flans to MWCC lor dctcrmintui�n) ft+611= Rx�25�$ �450 Conscrvntion Plan Revicw Fce Dctcrrnined by Enfiinoorin� A�rcemcnt nccess�ry ( ) Non Neccs:�ary ( ) Ms�ke chccks.pAyAblc to; Citv oP �'rittlev err,... -- --� TIiIS IS AN nPPLICnT10N �02 n[�e�rT-NOT vALID UNTIL PROCGSSED I hcrcby apply for a buildin� pon,zic and I uolu�owlcdgc th�t thc infarmat;on abavc is coinplctc and necurs�tc; that i1�c work will bc in con!`ormance with ihc ardin�ncc: and cadcti af thc City of Fridlcy �nd rvith thc Mi�ancsvta Canstruclian Codcs; that i undcrstand this is noi u perntit but only an anp]ication fvr a permit flncf work is nat tp arr w�thout a�crcnit on sitc; th.�t thc work wilT lse in �ccordancc with thc approvcd nlan in the cASC of wQr,� whi h ' c,� rcvic approvAl atpl�n�, ' / SICNa'r�Jrt� OF arrt,iGAt�' -������;., .. .� ���7�rAM8—� �/C�c�(�,�? ���,� � � !! nrr�rO�ALINSPECTORStc T11RR .�, � R� , . lt.�� DAT@