Loading...
P - 48173�Lil�dl�g 763-57Z-36d4 ?�3-502-4977 F,A.� From: 6517764378 Page: 2/2 Date: 1/11/2012 8:54:02 AM BU�LD��G RESIDENTIAL APP'LICATIUN ���� �� ������ Permit Received By� p� � Dat����d:" nna� �51-� t 1- 1�. vov� c•n�nn, nna�r� a r Y} 5 r o o�; h q i n c C� hY► s v1 � o wa .. �z�r� n��aR�ss _ t,�10_�_ o o i,�a +n �e N � � __.._ _ . �ns nPPr,icnr�T rs: PROP�RTY OWNER/ TENANP � nDntt�ss: _�i 1 d 5� Y4 Q 0 �r�• 1 V?4 �1.�'�....11. cn•r 5� �..������; r�a� Na�_�S��t �. _'�t�a.�+.� � �Y� C SU�NitT A COPYfiF --_..._.__..��..� _ .�. YOUR STATG �,TCF.NSR srn�rL c,rc�sE rc �t O 1 q 1�a �� ......_ _�►n ��,��r rrcr�� �xe;_`.. _. . �vuu c�zTl�lcaT� crF �►nr�,:ss; 1 � � � '�cd r,1 { S-:� • . �.._ crr�r,,�::,, q+� �.�_sT�,r�j�zm_� LNS[JRr�NCE t�[iU�: S i"1 t�.sx FRt3PERTY TYPE [NGLE Fe►M1LYYr�w c�r�s�rRVCrrorr svF O T WQ �AMQ.YlEVEVY GONSTRUC7'ICSh 51YURiES � v�s���, w� cav�r F sQunxES �. (;d a .R P�c��'U3�5 Srz�:; . Yx,aPOS�n t�c�: n B� � r,�ac d IOUSE ON1.Y _._ USfi & GA�At*E T] iICFLLD GARAC,F. LiETACH�J3 CiltRAG�s p wttdDOtvs i� il�tR[N T� 0 or�t BIDIAtG Rwiuyi �sa�'n 6[nANG�r8crlrMT�ASCL� O Alue►dsum O Trim REMOVEB! O VS3 O!�d O B�Mer O �+noia 'l�T1�OlvS t1Wli7cisTWGOPEtVINCiS 1�Xaa ONa u]FAt[DNt��W1Nl7ow5 o�t r•c:r�e rrEw at�Nmrc�-n�sc� size oF C7P'iT�iATt3 GHAI�JGES & — • - Plan �eview Fire 5urci�acge �rucharge I.icet�se �ut�iaarge �SAC �argc CUrb Gwi Escrow Ervsi�rn �ot�irol Par1cl�Ge Sewer Ivlaia Charge vtu.u�►'!'![xv, �4UDIi"�C �HE C�S7` O� {LTSINI; THE I997 U.�C FEE SCHEDIXLE) �A}S EE14[EN�' RF.TYlfN3F.T.dhiG . iT�MiT- 1. F�ei�tingFloorPluu ?. I'f'Opo:ed lioor plsn 3. f,ist af strodmtal rra4��t+mt� W i+s vew# FoR rr�w cxfra�'r�tuc't'tctta trra vD� nECaCS. ADI]ITIal�lw3 � PORCFD� R 'Rll�hiiP� t• Site Fi� eho�uing q�q e�iapng atrutnucrs aad proP�d P�J� 2. Two se�e ctaao�Oaxiaa►pd�au 3. �m'gy C;�inul�Oae I+tXi WI1�DCIWS-YRUYIDE`iJ-�/ALUEAIJf? �ra[tF�►c'1'TJRE3 srtcrc� ouwn�prW, � ` 65% af �Yxilding Perrnit �'ee � .OUI t:�rres the tcrtal job valu,ation s ,_ .00� x Permit V�tuatian iulinun.wn ar .SU � �5.{y0 (�taia Gices�sed Residential ContractprS) � �2365 t,er SAC LTait (i�tmn.a w 1'►�V47CC for det�riaisusticm} � � _it + 6 ft = ft x 5�25� $�,. . � S45i� Gons�:rvation Plan lt�vicw $ � I)eleimiraed by Eng�eering � A�grdemc�A necet�e�Y ( } ?3on N��Y ( ) e� — ..-•- -- . _ . _ __ _ _ .. TRiS 4, A1�F APfY.[CAT[UN EY}R A PE�RI�T�VC7C yALID UNTII. RCt{x:�;55E13 I hcreby apply for a buildi�g pecmit �d I s�owledge t1�at ihe inforniatlpn ehove is cvmpletc a�ud scetua�te: thst the work vuill be ut coflfo�� with the vrdibances m�ci oade� ot #he City of Fridley and 'tti ihc M�ota Consh-uctian Cotiees; lhat I underst�d this is not a Pe�iit but onty an a�tticaEivn for a perimil and work ' zloi to 'thv�zt a perrnit on si4e: that the woric ^uviII be in acoo�a�ee wittt tE� appro�d plan in the case of all r� vi an� s 1 of,p�� t SrGtv�i� c�F APQ€.tc�aNr' ___ ���' // Naa�-�'�°C.C, i C�� v r, C ,,. � n 1� k 4–. l�i