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P - 48676�uuaing BUIL�ING In�pec�ians �E��DE�i1�TI�4L APPLICAT� 763-57�-36� �� ____ CI'�'Y C1F FRIDLEY str� �+rsa�ss � ?HIS APPLICANT7S: TENANT YO[JR �-MAtL ADDRESS ,�. _ _ Dt?1VNER DC()NTRACT'�ti AG?p[tESS w .E� Received By:,� '�ur� ,� � � k . ...,,. , �.�,, �„� rr�a..n��: Renewal By Andersen SUBMfT A COPY dF STATE L�ENSE #� 1920 C+aunty Road "C" W�st YDUR STATE LICEIVSE ADDRES5: RQSe�11IEi MN 55113 r STATL ZIP wt't��pucA�-[Qrr p�oxE Lfcense #BC230983 pRUPERTY TYPE o sixc�.� �aM�t,Yn�� 651-26�4-47Z7 0 TWO FAMILYR�W . — PC' RMLT TYPE ❑ ADCiITEQN L7 GAN:ACE/SHED ^_---_.. ..�_-'C5 WIIVDOWS _ Cl BASEMEFfT FihilSFf O R�OF -_ O DRAiN T[LE I, 13 D&GK D SIDINCi O flTHER DESCRIB� WQRK BEING ��� PRf)POSED Si2E_ �ROPO$�D HEF�EiT: ��� D AJumFnum O 4)ther WnvonwQ 1N EXlST]NG'.Of'ENIMGS pYea L]No OR FpR NEW pp�N[NGS-�ESCR{BE �[ZE OP �PENIN(i +CHANt3ES d2 ' Petts�it Fee Rlan Review Fire Sutcharge Surchaz'ge License Surcharge SAG Chargo Curb Cut Escmw Erosaon Csrntrnl Park F�e Stwer Main Charge ARE BASED OI�I V CI }i0U$� � GARAG€' O A?TACFiE� C}ARAGE � D�TACI-IBD GARAGE �Spl`tit O Trim 0 Fascia �OCA'ftONQF WIMDOWS �Er �1�7 U.H.0 FEE SCHEQULE) � —1 �MI�Y fU k #t/�� �ASEMENT �E±jvtCll]F .i.l„�('�+gMiT• 1. 4xiatin� Flnor Piaa, 2. Propoeed floor plan 3. L iet of ahuctoral' meathers to F�e u�ed FOR NEW CdN8'I'1�UGTION 1NCLU1}FNG DECKS, . 1_ Sits Plar✓Suev�y showing � cxisting suuctun �nd prapQSed parojsxt, 2. Two sersofe�asauaeion pieoe 3. En�rgy Cklcu[stiune �' ___s r?f 1..�� - 5ee �a.ek Pa�e fc�r F�e Sc�edu% � � 65°fo of Build'tng Perrnit �ee � __� .UU 1 tirnes the total job valustion .4405 x Permit Val�,atiQn Mis�imum 5.50 � �� $5.00 {S#a#e Licensed Residential Contractors) $ � 1550 per SAC Unit {Plans to MWCC for dete�rntination) �' ft+6it� fixSZ!=$ $ � �.�. a450 Cons�ervation Aian Review � Fee I?etertnined by Ertgineering � Agreement neaessaTY ( } Nan N � _ � xn �T`-- .. . _ _ ecessarY { ) ---�-.,,,,,.. ,.. __..,..� tH13 IS A'J APP'L[CATtC1N Ff.�t A PERMlT-Nt?T YAL[D UNT7L PRqCFSSED . ! heceb�y apply for a buiiding permit and I acknawiedge that the inform$tion above is complete and a,ccurate; t�t the worlc wilt be � conforrnaisce with the ardinances and cocles of the City of �ridley and with the Mau�esota Construction Codes; thet !` �d �� nc�t . permit but oniy an applicatian a perrnit acid wor[� is nat to s#art without a pe.rrni� that th� w„ork yviIi Ix in e�cardat�ce with E�e approve, plan in the case ofall work wh' r+equires revi nd a�Proval of pians. 51GNATURE QF APPLICANT INT NAQNE�1 ]��Ce�4r� 1�4'�1'�"���" DATE� �1_ ��'�rrc , . _i .. .. .. , , .�. . . .. —. � ., � . .a . . . .. . , ., ,. .... �.. > . WH Str�O£�6 ZLOZfBZlb :a}�a Z/Z :�6�ci. 06L9t+L94S9 :u.ro�� ..�