The URL can be used to link to this page

P - 46957Vir� �e� �uil.d�ng ��,sp��ti.az�:s 763-57Z-3604 7b3-542-�977 F�X nnr�,.� � F �_� srr� �DnRr:ss .__,LtQ� THfS Af'PLl('ANT [S: TrNaNT SUBMZT A COPI' OF vo��r sTa� Lrc�rrsr A1V� CERZ'IFICATE �F IN3URANCE I'ROPERTY TYPE DE.SCR1$�'WO}tK L�EI.NG �IZE OF IMPR�VE1v1�NT From: unknown Page: 1t1 Date: 19/2/2011 2:56:15 PM .��. .�r� -�'---.�'—' .�-� �----� L .. � � `:�'� �--� ---� �.�-�v = , —�—�- �UILDII�TG ��I��v�r��.z� ,A,��a��c�►T�aN C��"�.' CJ�'+ �'��.�Y � YOUR E-MA1L y-}�ay..� jc�r�k. t�-a�} ❑ ow�v��. c+�N�ncrc�R N�LMC: . �_ I�1]DTZ�SC: ,�c4 ��tpowyl � rH�NF: ��"3 -- �"71 r-L�� STATG L[CENS� # � �s (e � �I� �O $1NGLE �AMILl�'/1+f�W CC7NSTRUCT]CJN TW0 I'AMILY/NEW CO]VSTRUC'fI�N ❑' SASEMENT Ff�lfSid ;�j,QC1F O 1Jf�K p S]pING t•Jf}MF., GONSTRL1CTfQTv O ADD1TfUN ITF•Nr1NCF/itTT�TR � REMC1DCLfNG �� .. � �Sh ��,�. � ].ENt�7H �Wl'L�Tii N[J� F SQLIARFS _ �� . �ARr�G�S PROAOSGD SI7�: fiROPC�S�p f•IE:fG13T; 51D[NG Ci Vismyl D A}vminum D Csthtr W1NllOW� fN �XiSTING OP�NINGS O"Y'es ONa OR FCIR NEW p1'FNiNGS•DF..SC;RTEiF �TZ,E pF CIPENING CH,4NG&S & Perm.it Fee Flan Review Fire SurcF�ar�e Sur�har�e Liccnsc Surcharfic SA,C Charga Curb CuY Escmw Erosion CcmCral Park Fce Sewer Main Charge f�()LiSr ONLY f nT,l$F.. Rz GARAGr ❑ ATTACHFCIrARACF. ❑ :DET'AC•IjEll G{�RAGE C750n+t CI Trim D �ascia LOC'ATION C)F WtND[3WS :n o�v v�u,ua�rionr, rri�C�Ur�� xa� �. �., �Uq � �n i�9� u.�.0 TEF �5C PS . Pcrmiz rra. • �Uj1� a�� i Received By; ! �� Ua�d� � ►, n n � CERl'NUM�ER Nrr �, f j`�7 C�1 �{ � l crr�r� � � � �'�s�e,a��i�_� ,X S��'�/6� ir�i ».�.�.�.. . p VJINDOWS ❑ nR,AiN T[T F C] (1THFR TiF.TGNT S FT � �.A3�ML'NT REMOD�LIAfCi SUBr+iIT; f, 6xisGn�g F)ppr Plan 2, AtYSp�3eA ft�or pE�n 3. Li�i nf:atructural memUerS tn 17e uce�t FnR NFW CONSTR1fCTIC1N INCi.L1T11NG T7F.f'fiS, AD7]1TFQNS, &_P4RC:NES_511BMii: 1. Site Plan/Survay shrnHing tho cxislmg �tructures and propvscd project 2. Twt+scts�fconslructienpl�rts 3, G�+er�y C11CUlatipns F(7R vl%tNi)f.)W� - Pi�C1ViDF, U•t1ALUE ANi.I MANt1FACTURE STIGKER ON WINDnW. $ �� Sc�C Bsck Page forFcc Schedule $ 6S% of T3aildin� ]?er.mit Fee � � � . �� $ '' G, .00I 4imcs thC tbt�� ,job valuation � .0005 x Pe��rnit Valua.tiqn Mi»imum. �5.00 $ gS,pQ (Stal.e Licc'ttsed RcsidctttiatContractors) $ �2230 per SAC Unit (Pla.n.s to M�CC for determination) � ft + 6 ft = ft x$25= $ $ $450 C�nservation Plan :i�,eview R Fce Deterratincd by Engincerin� $ A�reeroent necess�.rY ( ) Npn NeCeSSary ( ) � /�� ;� Make checks aavahle to; Citv nf �'rid�cv Afta�� S�,niU TH[S TS kN APAT.fC'ATIC�N T'(7R A PF,RMTT•NnT tchL1A LI;�r.14 i'KqCESS�L� I h.ercUy appty for a buitding perm;� and T a.cknowlcdgc that thc infarrnation abovc is complcte ai�d aceuratc; that the w�rk wi11 �e �n conformance with thc ordinanccs and codcs af the City �f;�ridley and with the �innesota C:onstrcaetion Codes; that I undcr:�and this is not a peTtiiit but Oply gri 8pp1ic8ti a � nd wor�k iS not tp 5fart without a peS•m.it on site; that the wark will be in aceurdancc with th� a�proved pla,n in the case w io ' s rcview and approyai of �1 S]GN�7U1tE OF APPLtCr11r pRiNT NAM1: � N ��t+' af7� �ATE /% �� 41�� APPRCIVAL iA1SPFCT[SR Cil� ' ( N..�'��. -