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P - 40017AUG-17-2011 10:28 AM STANDARD WATER COMTROL 763 537 1882 P.01 Buil�x�g BUILDING Permit No.: G `� Insp�ctians �+ SIDENTIAL A�PLICATI01� Recei�red B�: 763-�72-36U4 CITY UF FA'�1�L��Y' va 'd� 7d3��02W4977 �AX �,�c.r�,�x-,-�o„ ��°� 1� DATE .� Y01JR $-MATi AYIDIt�55 � I ke �.� -t a r► d r� y r� wdte ��(` 0 M ���,���5� � n� � c� Cr�� �'�1-�a r�° �� _ TH18 AF'PLICANT 15: C! 4)WNEk �CC7hiTCtACTdR PROP�RTY dWNER/ �a�: �C�,iLI H 21� �iC. I `�'ENA�"� AUARE9Sc! (� F� I� I C� C Y�CC 1�- "C'� �' Y• IJ5 ci�r � I� D L L�y� Srtw� V�,,l,,�z� �°3A 3� P�[o�; � i 2-�D1 - �338 C�iNTRACTUR NAME:-,��(�fZ%� Qt�%Y" CD j�l�Y� l 5[1i#'M1'Y' A COPY �F STATE LtCEN'8� #_ I�Z i� LEAD CEItT NC1M6�R . N iI_"r_� _� J''F ��"_G YOt]I�. �TA'I'�. L[CENS� - – — AND ��RTIFICATE OF �n�SS;�'-���" �) �A t� 9V CTfY C�._I2 _YS_�� L_STATE Ij1IJZ[P � Z� CI�SIJ1tANCE PIiQNFE �i " �7 '� FA7( PRC��ERTY TYP� � S1NG'L� FAMILYINEW CONSTRUCT]ON SIZ��� rwa Fa�yirv�w co�sxxucTZaN s�mk �'C P-. T TYPE o�•nn� x o�axacFrsx�n o wrnrnows � BASE1v�ENT FINISH ❑ R��F �DRAIN TILE ❑ DECK fl 51DINC3 ❑ OTHFR _ � 5WIl�[MINQ POOL T"��� O�+ W�RK: � NEW HC)Mfi C�NSTRL7CTIUN ❑ AbDiTibN � MAINT�NANC'.g1REPA�t ❑ 1t�MbDEiIN'G DESCRj�E WORiC SE1N(3 L10NE; %I .%! I' f SIgE 0� FROVEMENP LL�N(�'TH WIDTH HEIaHT S FT 0 HOUSE ONLY �$��, ��$����T: ��F $C�UAR�9 �,,, O HOUSE dc OARAGE 1_ p,xi9ting Floor Plan C1 ATTACHPD GARAGE 2. Propoud flnorp]en PR� SIZE: C) p�TACFi$A GARAGH 3. Liet of strvcAasl memben tn be uaed PRdPfk1�D i�C�I�Fi'C: FORNEW CONSTRUCPION INCLUDIN� DECiC5, C�� C75affit ADD17`IONS. � PORCHE.� ��21}��; 1, S�t� PLn/Survey ahowing the exlating stsucturee ❑ AluniGlUm ❑ T�im snd Praposed ProJect. C1 OtheP ���a 2, 'hvo aet� oicaostrucdan plans ' ' 3. Enargir Cslauietions IN E3�9'I`IA10 OPEMN43 DYae O1Vo L¢C.A710N 0�' V✓7N'DOWS FOR W1NbOWS W PROVIDE U-VALUE ANb pR FOI� fV�W OPENIIVQS-D$SCRIB� S[zL� OF MANUFACTURE STTCK6A 4N WTNDQW. QPENIrifC� CHANGH9 L� �PE Q�:..wirmOw � H$ avS'rar.r.�n . NIJI�ER QF W[NDOWS ALL FEES ARE HASED (�N VALUA'TYON, YN'Ci'C7bIIV'G'1`� COST OF LABOR AND 11�ATERIALS: Permit �ce Plsn R�view F�re Stif�harge Surcherge Licen8�6 5urohSrgo SAC C@�rge Curb C.'�t Fscrorv �roeiah Cantrol Park F� Sewer Mein Chsrge THE 1997 U.B.0 �EE SCHEDU�,E) $ j l I. L,,,z; Sea Back Paga for Fea Sohcdulo $ 65°!0 of i3uilding �'ermit Fee $ �- .001 times khe total job v�lnatian $ .Od05 x Permit Va2uatian Minimum �5.00 $ � Q � �5.00 (8tate �.icensed Reaidential Contrectors) $-..... ---_--.---.— $2230 per SAC Ylnit (Plans to MVI�'CC for determinetion) $_. �+�ft�. ftx$25=$ $ $450 GanServatiun Plan Reviaw � �'ee Determined by Engineering � Agreemeat nec�seary ( ) Non Nece�eary ( ) 'f'f[IS IS AN APPLICAT[QN FfJR A PERMlT�NOT VALID LTNfIL PAO�E$$ED I hereby apply for a building perm{t and i ecknowledge that the informstion above ie couapiete and accurate; that the work wili be in canfar�nanca with the ordinancns snd codee of e'ty of F' ley and with the Minnesata Construction Codes, that I un�erssand this is not s perroit lsut only an application for e� pennit and wn ie to etart without a pertnit on eite; that thc worlt wil] bc in gccordance �with thc approv�tl plan in the case of w i uires re ' and approval of pi p SICiNA1'�3RE OF APPLI �i NAMB,���"'�T bA'�� G��� � AFPRnVAL IN9PFl!TAR 9i . �. AUG-17-2011 02:21 PM STANDARD WATER CONTROL �������� ����� �'�.����� 5337 L.skeland Avenu.e Nar1h 9�79 Swaneen B�vd; Ai Cryetai,. MN 65d�9 C11ve, tA 60325 MWAS�RpOL16 S.T. PAU�. R1aFtN9VILi.E BT� CI.Ol10 ClildJ�H �iesy�-�iexs �es��»e�9�� i�)�►.aio� t3sso)?fia��ae {�,ea_vx+r-i,aa 7�3 537 iS82 P.01 �Y`�T�MS, I��:, www.str�nd�rdwater.com Fax (763) 53�-1$82 pO�Cti�$'TER OUTSTA'FE D$S MOIt�B (50�120'J�BbKe tOQR1976•7l97 f61�} 9��6e Waterpreo�MtO 6Yetem To � Inst�ll+ad Fot Inv0lee'# �� ,tob sna � �'� � bata " l Namo „�;d. ,,,^. Name �y{ ,N.,� Ih��1 hmY�� '^"M' � V.�.-•- Addro�s �,v�,L.,�:� �'r '�.:�+ Addr6�6 GNy '�P ��i�, City � �i1� �.--. wom. Pno� � 1 Wom9 Pppn� ('�� p�nt�» t��? t� - �^ 1Alork Fhca�a (�r) atsadrrtl W�ror Ganiroi Sy�, Ino. wlll fuMish aN Mbor rnd n�atbAsla (or xork +a �pleoifl� Ip aoaordanco witfi d'nwln� habw. In�h111siWn pwrantad tn lw e!i �CNied.rnd abmpl�d M � warkm�nfllta ro�nn�rr. In H1r �YrM uMtlraoNabl! atlntlitlOnr !�uiir� onw ta wr�k at )ab eft� 161�r t11en �1dNp�ed� own�r nMast aliow wark e�w io cpMiqus wor�r�hg wlth no InMrruptfone �t111ob �s Nnl�h�d, un�� otlwrv�e ap�clN�d• Ar�y �t�mqud'M arrvia oa11N t4 naltl�ht tar wanrk a~ In�pbctlim will be do�ta qurlr� narrnd bu�Meaa naur�. FM14 9rm to 9pm. Owner ie rrrpon�ibk Mr InetY�iKior► et arno� d�i�clnr(ei� a�rbon mbnoxid� daleatnrfej aNd. eWotriaM4 ouilet(o) wh�n requ�rad, ; BpLCIFiCATI0N9 - DIAapAM � AR�A'I'0 B� 3.8RVICEb �� � � j,h., 1 �"ff�J Mqtil�ir ` P,4r�NC�rr�rea�eri ; Th8 Owner Agrees to pay ��etar a aum 88 !ollawe � A, PtRCa '� �,;�-�..�� B. otnQr � .., . .� - -- ' G. Q1f16f � ��n� - --- • D, Pri�o(pai i�a18nCB � �, ��,_,,, L�. Dciwr+ Payr►+�nE $ c�•' � � UnAe�d BAisnee S �, oa p C� uCon aomplaNa� q 7o ee Flmmced C� Vln - MrSferr,�tr4 - Cflsoover'C�d 7o b� �►�tell+�d andlor peHor�ned; ���/ �Rfptd PVC d�ek�ay� pqe, e� deet�ndMg prsde to 611Nnl�.'R3 ft, � Weshetl rOd� cxainapa�llbr mad�an m ehvelori+ �Nalntlklb�olo. �j ��d" tirefnrrr twMO tlrW�d � ek m�in Mt+d j���p �1k�• �Palenled DkUnond L7raln.po Boa�p"` up wall Mntl aucro9a Ionlinq. PnN �Iroe�+B ��M b�C1'br.bslw■ert d�'r�tHO sY�m mtl nOw o0rn9M• � R�mnve eeM rqp� oo�rele ovk d�xintils syetem. � Naw aan�lb w� beveG albp0 uP towe►� w�ll whe�+ ex{etlny oo�lb�a miAl+t'R ne�eeary, p�moVal d �p o0�+a� �rid o1110r kib relaled' dahrfa 1rOm 10� elte, 8We►br �ump Syelam°, IrklilGa; fq� 4�W � d�� wmp Ylaeln wNn ow ndlad.down tlMrrwnd PIuN Gova'" pram�im qrnda b1eHy aulalneitla yub+ra�'O��a p�P witl� at�ek valve, Hiph w1�' alptm, ,�j D�iad i'f>" &�1es ()i�an:'0■ 8ysta+n"' �PRroK,,.� ....._,.R, � FinNfted wulM wtll he tiknrtNd when ex�siln� ¢ondllbno m�lci It naeeerary. � pqllkw�+ro . gee ,lob pl�p�RJtla1 Chaekllat, j� p9don'fi�t Ku � PqlTft tl' 11BC0�l�ry. � [j C1p1Wn�l BIUUry �k�P �eY�► � AOd .�. --- -- ❑ tlpllhn�l Prs�Plow"' buned tll�cfi� sy�tem • Add � o�oaor+� d��,a a�n. vavor.Qu�a"".�, a, ..�„--.-� C] �4►�.rl�i W 1 � �� - � a..�... .1. Jd,;r.�,'Lz,. �JS� .�"_ BtarW�rd Wal�r CO�d 3YOloh'+s. Inp. �^�e inetating dle�s an all perYrbMr w996. �wro ssasman� ��uan � aY pedm�er wau�, Slen�rd WMOr CwWIX Syateme� iic, roCOR�me�7e Nialalllnp drodnlRa on 1A p�kNne1li' wa�e. p Paduu aaun+em mateuwlon � aW�llle inuusCed h se�d 1�N� aw ps► owna�s r�quNl, (awner epraee tC feibcl�tl tU'R� m 6a wotked on Ord aaktroMAedpes that �t1Y s�s worked on are cownitl by Wansliy, O�xrtK �.,___ - -- IVota: Ail ni,en�ir� muit be. approvad �' daya cr rnorr prior fo irataNa�+ date. BUYERS RKlHT'i'� CANQ�L. H t111s e�!'�I�ent wis �olbitod sl �vr r�aidrnw �nd yolt do Mot want lFla g(�Cd� end asrvtc�a, yoW msy eanar4 thls agriMment by maHlrl� Y c1011ce to th� sWWt. The noflCe� rl�i► �1Y thdt yilu do not wprtt th8 gqod6 ar ' se� and nfusl b� �+eBl�d bsNdr�s midrNyMt of the. thlyd 6�islnrss day aRsr yau aigK thls agrearne�t. Tha nollo� musi be � �lrrpiled t0: Bt�nderd Wsl1N' Lbqtt'Ot. Sy*C�mt, lno„ 6337 l.akblsnd Av�nus North, CryeMl, AAtmi�sat� 6Q4�9• AC:CEPTANC�e �P PHdp�BAL I havr caretu�+ read boih thu lront and 1Fw back d thi� Agroament, th� Job 1�repsraUan Lailer, ,lab Prep�latib.n Ch9citNat, end all.ol �hs prk�s, speomcanar�s and condNbns. Thv te�ms on boq� sldea at chis.Agr�meM and the Jab. Preparetlon L�tter are satlaiaatory and are heneby a�cspted. Rny cl�vlatNon irom the tlrawing �ntlkH' rpeciPicatione Mo�e wal rrsWlt in en. extra e e, You.are autFarizetl ta do tha ViroNt 8� BpeCif�d� I�gres to rY�ke p�yiri�nt ab outllnsd ebc�w�'.'� Dette ��° � � ��� ` Owr�er . "�� Date ' Sel�s Rep. r �� -�. ��9c Dato µNM89�0'I'A 6UILOINB CONTFNCTpR LICfiN86 N0,167Q Yilwp� CoMnel Aw. 0u� t