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P - 60315�u�lding �ns�ecta.uns 763-572-3604 7153-50ZP�4977 FA,�. From: 6�14304961 Page: 1!1 Date: 4/212012 8:32:36 PM _ 5��..D�.N� �ES���N'�'�.AL .A.�"P�.��.A.''1'I��T C��rY a� �a�nL�i� YOUR F-MA1L,t1,A!?it8S5 Si'i'6 ADbItESS . 'CktiS APP�RNT IS: Gi G1�ER �CO'NT[�ltCTOR , TENAI�T'.� �!)1VT1t�AG'F�'31�, �UBMI.�' A Ct�PY ClF 1�OUR �I'�TE L,fCFNSE A'ND CER'fii�`I�AT� O�' t�t�tmnlvc:�, PRl�.�1;R' 1'i' ' I"�! �E P�1�lVI�'i"'I`YP� '�'i�'E (�F WOTtKe i7�S3CtiT813 W()RK B�3iNG i nr���ss; t��,�_tv ����� � � NA1�:���Lw.�. . STI\TE f.iG;pNSE �i V ADlytt'CSS: f� puo�. t.��1-dG � g[PT�LC�FAMtL'YINII �'fW� FAMILY/IdEW Q ADC}1TIOl�T O l3A5C1+?F'NT PCI�3IS13 � UEGK L3 NTsW Fi{711di C01vS'i � N'VM[#'ER C1F �QUARLS �'� 1 ► , PRUP�SED SIZB:� PRtil'03ED HGIGHT- - a��S� � Atvmin�um Cl Otlicr „^,_ ,tid g� OP�NINQ^a �Ycn ONo C►[t r�R NEVV OPFNiNGS-4E�SCRrRF S'S�E Or 4PFNIN(3 CIi�NCE:,4 � TYPE t7F WiNi�►Ci'W TO }�E itvS7ALT.£+f) ALL F��'S ARE SA E'�� 07'►F i� Ala�y Review Fire �w�chazgc Sui'Charge License Surchargo S�AC Ct�arge Curb Cut Esero�uv Erqsian CorNrol Park �*Ee SewoT MA117 C�►�r�e G7 T)R�tN 71:LE I�' f)'NHER p HOU3�' ��� ❑ TiOUSE l� C3AFLA4� LJ ATTACHEDCiARAGE G7 AETACI�TCD f311RA�G QSot'��c 3iAING/Sfi��'1'�YI�i�9CiA� p'Ctim R�MC3Y�A' GI "�''L�S I'3' NU � t'nsci� LOCATimV OF PVIN�qWS . 1.g'99 U.�.�C �'E�: S+C1�E�1[3TaE) ����� �r�.:20 �t.ec�ived �'3y: � ;,�.�—�:�i— � � ,` AA�.�'.AdC�CL1.�1�5��-••�M�L' 1. rx�qtit►g f'Toa� p!tan 2, Prbposl�el flc�rpl�ftl 3. List ofstructurnl men�ticrn ta be+.�sed ff7R NEW C�1Na'l'RUGTI(7N fNCLlfii'►�if�DU�C�GS, n,r�rst7sa�t� sc�Ct3�5;�1Il��trCw 1. Site PltmlS►ttvey.sht�wingtho �i�tin� Sin�CU�rCs and prcr{wsed �i�. z. 'I'vr� sei§ ofastca'truCtwrl planb 3, Bn�gy Calculdtivns Folt WItJD4vVS — PRQVtn� L!-VALiJ£� AN[7 M�INUFAG'�'l)Rf 5'T'tG1t.A1't �N WiNl70W, See Back P�$e #'or F�e �eneauie 65% vf �uilding Perinit :�e�e .001 tirnes th� total jnb vaIuatian .ppUS x P�rmit Vsluatic►n l�ut.'t.mum or .50 �S.pO (Stac� .�:icerrsed .Ete�id�ntia� Contractors) $'2365 per SAC Unit (�lans tio MWCC �or determ3niatic�n) ft�•Gft= ftx$25=5 � $450 Consenration�Pl�n Rcview Fee Faet�rrnttaed by Engin.eering pgreement neeessary (.) Non Necess�tty { j M,.Ira rheelae nrtVAblc hn: C�tv of �'aridlev __ Attacl TF113 J5 AN Al'PLICAI ff.1N F()12 A PERMIT-NOT VAL[i3 i�NTfi.1'174C�'"SF,D l hereby apply fos a building perm and I acknowlcdge that the information ebovc i� cvncaplete and accur�te; that tl,e wvrk wi11 1�e in ccmformEmce witF� thc xri�1 es of of E�'idity sncZ with tlte Mins�esota Gan�tru�tion �vdes; thz►� E umd�4�nd if►is is t�ok p permik but cmly an appi cati r a p .t d is not t start witl�c�ut � p�rmit c�n sitc; Chot the w�rk will be in accord�nce wrtk� th� appr�pvt�t platt i�n the eas o' 11 � c vv i ., i � mval of a. �ilCil`TATUR�.� Of AFPT.TCAN'{',_ � T NI�Mfi �,,�1����s����-DA'i'� � i�