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P - 37254Suild�izxg Inspectzons 763-572-3604 '�b3-502-4�►77 FAX �_� SITE ApDR,fSS ��„'� '�'kI1S APPLICANT (S: PROPER'�'X CIWNERf TENANT s�BMar �, co�x aF YOUR S'TA.'f� [,ICENSE ANb cETtnr�ca� ak' 1NSURA.NCIE P�tO��RTY TYPE 'x'YPE l]ESCRFSE WORK ���tCr From: 763 315 8908 Page: 111 Date: 8l18/2011 1:57:17 PM �UTLD�TG R�S�EN'�'i,A�,i,, AP�'I��CAT�O�T C�'�'Y O�' �"�tIDL�X YoVR E-i�t�L A:DDRES� "� �'�--- 0 owrr�� oco�v�acro� , —T� U�i- �ss� `{t73 ' ?�e,�1' �rC _ E: !� �D .� T.��(7� .� 1(,. r� �o Permit No: � ; �����vea. s�:,--� Da�t�d � � �"a :r" it�7f' � � ('fl!M SrATE L10EN5� "� �J � � � �FA�A C�R7 h'UVISER AD�RESS: CIiY �..��T � 5TA'�_ZIP� ❑ TWU FA,MILX/�fEW ❑ ADDI�OTJ ❑ BASEM� FINISH Cl I?E�K 0 ROQFING NLTMB�� OE SQUARES � � � � E9 FROPOSED SIiE; PROPOSED HEiG}�: IIYG � vu,yt � ,A,tuntenum ❑ �le�t iN EX�S�NG OPENI�i�i OR FOR Tt�W OP�'NCNC OPENTN�i C�#NGES & TYP� Of WUVAOW'I?C� ,�#�x. FEES � Permit �ee Platt Revicw �ire Surcharge S�c�a�rge �.ic�nse Surc�a;�ge SA,C Chsrge Curb Cut �SCrpw �rnsaon Contro[ Park �'ee Sewer �n Charge 0 CONS7`xttiCT[4N o �oaF ❑ SIDING ❑ SWtMt4aNG p'OQL Gl AbDlT[pN � REMODELI u�tovss oN�.x ❑ HOUS� & GA,IL4GE � ATC'ACHEA CxA�tAGE [i AETACHED GARAGE �Saffic {]T�m ❑ F�SCia C7Xe3 ONo LOCATiON pF Wl1�lAOWS DESC�`i[RE S1ZE OF ON V S1ZE S70FtIES �+A��RA�S4LV1/!t\V A�RA�i1..V�i �J;� 'x'�[E 1997 U.�.0 F`EE SCH�AU�.E) O��U1P, a nw�uv Tit,k ❑ 0'�kIE�, 1. ExisGna Flopr 2. Proposed floor 3. L�St of structun FOR N:Ew Ct�NS'T�tttCT ADLHTIONS & PORCHl i. Site Plan.'Surve ac►d proposvd p 2. Twq se�, O£CO� 3. �r.:�rgy GalCUla FOR WINDOWS'-PI2Qy MAhr[J�aC7UR� sTtCx Al\ D 1VX.A�. �� mennbers to bc used >N �W��,C�D�1NG DECKS, $UB'VIIT, showing tbe eacistiag ytructunes a i:� " 1�� See Bac� �age for F�ee Schedule $ 65% o£ �uitding Qe,t�ait Foe � $_�„7�� AO! times �e total job valuatic�n � t' -0045 x Pcrmit Valuat�o�n Nlinimum $5.00 � _� •:� �-' $S.Ofl (State �.icensed Reside�tial Contractors} � $ $223U per SAC U�nit (�lans to N�'WCC for d�:temti�natioltl} � ft+6ft= �ix$25=$ i $ $4jp Conservatiott Plan Review i � Fce Dete�xnined by Engi�teering j $ � A���e�t nacess�y { ) Non Necessary ( ) ; tction plstl�5 is � U-VRLUE AND' o�v v��m�vw�. =an� ..,.��,na av�e au: �.:�� vr r naie At cb St1f Ut1aCiQUs 'CF��S IS A:N APPUG,�4'�'�t7N FOR A P�RN[F�'-NOT V,U,I,I? 1JN'K'IL pRpC�$5�p I hereby apply for a buit�in� pe�.it and I ac�owledge t}t;at the inforrt�a#xo�n above is cot�pkete and accuc�te; � h$t the wo�c wiIi he in confomnat�ce with the oxdxnances d of City of Fridley �nd with t1�e �inncsota Coustttzction Cades•, t1��t�I understa�d tk�;;;s is not a �� b� �'��y �' �p�����n � a� as to stat�t without a pe�at o ite; t��e work w�1� k�e in acc�rdaz�ce with the �ppt'oved plan ir� thc case pf R� < SIGNAT[JR� OF APPLICAM �d $Ap�oval of plans. �� ,�,` . / APPROV L �iSPECTOft 3�GIdA, � NAn� f�S _ _AA:TE�, � `I �� "" 1I ' ' . • �.F•A:CF l�fi7'R� '�u.ev ;�-rss itairrsx' .. '.. . ,.,,, . _ �