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Land Planning s{{rtll��'(ljl �, 6875 Highway No.65 N.E.
land Surveying • � • ( Minneapolis�
so�i5 Testing �/ll�tJ1PPIZ�1�� ��j'2�. an���. ssdaz
Civil Engineering ( Telephone 784-6066
Municipol Engineering Engineers & Surveyors Area Code 612
Mortgage Loan Survey for aOTTLUND C0.
FAIRMONT
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_OCTOBER,1914
LOT 10, BLO C I� 2
B4URDEAUX'S 5PR1 NG BR00l� ADDITION
�NOKA �ouNTY
This is a true and correct representotion of a survey of the boundaries of the land above described and of the
location oi all buildings� if any� thereon� and all visible encroachmenis� ii any� from or on said land. This survey is
mode only in connection with a mortgage loan now being placed on the property and no liability is ossumed
eacepf to the holder of such mortgoge or any other interesf acquired by fhe reoson of such mortgage. It is
understood and agreed no monumentp have been laced for the purpose of establishi�g lot lines or boundorr
corners. Dated this�day of OtiQiltr A. D. 19�.
SUBURBAN ENGINEERING, INC.
Enginea
�—� 4- bY �� � . � �, � ��"�� . ,
1255
SUBJECT R N O.
City of Fridley � 12'733 ,
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r '�
� � RECE
r • ___ COMMUNITY DEVELOPMENT DIV. ����
� j y � �_�
� � PROTECTIVE INSPECTION SEC.
1 . �
�l � /��'1 � CITY HALL FRIDLEY 55432 NUMBER REV. OATE PAGE OF APPROVED BY
L""� � �'� 812-580-3450
910-F15 9/30/74 � �
JOB ADDRESS g057 Fairmont Circle N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1� 2 Bourdeaux's Spri.ng Brook Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
The Rottlund Com y, Inc. 1581 Ri.ce Creek Road N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL RDDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
�] NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
Construct a d�telling 40' x 24' and a gaxage 22' x 22'
9 CHANGEOFUSEFROM TO
STIPULATIONS provide a hard surface drive�,ray. Provide a verifying survey before
capping.
SEWER LOCATION: 26' West of Manhole �W. Inv. 848.51)
Wye Elevation: 848.62
Top of Footing: 851.62 Minunum
WATER LOCATION: 11.1' West of Sewer Service
50.5' S.W, of Manhole
S�PER�`T� PERMiTS �EQliIRE� �'�R '�lIR6fVG�
�-i��'��'ll��, PLl1�IBIfVt� �1�1� �iG9�lS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOCZ Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R 1 960+156 �.S�BSO
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISION3 OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. y�26�341 13.17
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 44 s OO 3OO � OO
ST , CTION OR THE�ERF�RMANCE OF CONSTRUCTION. � $
� O'c`J „e�r� eov �,�`ii� PLAN CHECK FEE TOTAL FEE �
`' �,,� �,3 0-7 - $357.17
- SI ATURE OF CONTR CTOR OR AUTHORIZED AGENT (DATE W N PR PE � Y U TED THIS I OU PERMIT
. -• Fi
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SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI G INSP nATE
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
1 % % � `
OWNER'S NAME: lt�°G�A} c6 �0 N BUILDER. Q2 tv�e LF'J- .Z^�%!l�'O.
�,nD�ss : annx�ss : 15 �/ ��e C'� �.�.� �� .
NO •. � STREET: ,�,% ��Y'�D �Y i l' V r/�.
LOT : �(�BLOCK : � ADDITION :_l_� n, , , . � d v Jt � � ri �+ y ,(3 ro ��
CORNER LOT: INSI�E LOT:�_SETBACK:�SIDEYARDs /D�
Applicant attach to this form 3�ao Certificates of Survey of Lot and praposed
building location drawn on these Certificates.
�
HESCRIPTION OF BUILI�ING
To Be IIsed As: �/�t/9�� �'��� � �
��u S ,� Front : � B Depth : � � Height : � � _
� � Y�.+
d
� Square Feet:�� jJ � Cubic Feet: �-„
.�p v'/�� e, Fronfi : �� Depth : Z 2_ Height :
Square Feet; � �1 � Cubic Eeet: ��
Type of ConstxucCion: �r,t��,c.�2., Estimated Cost: $ Z�, ��"DB. �—
• To Be Completed: — �� � ����� �',�� �
The undersigned hereby makes applicativn for a permit for the work hereia
specified, agreeing to do all work in stiict accorctance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this apglication
are true and correct.
7? v�' � �1 � �-� ' �'��' ,
DATE : � — �- � — '7 �,! SIGNATURE : - � .
(See Reverse Side For Additional Infarma.tion.)
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BUILpING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building or structure, or for any addition to any existing
building or structure, or for any alteration or.repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in
the manner herein provided .to-wit:
'F
UNIFORM BUILDING CODE: 1j�pe l, 2& 4-$2.15 for each one thousand aubic
- feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for
ea.ch one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of camputing fees for building permits, the aubical contents
of any building or addition, is deterniined by multiplying the ground area
covered fsom a point six (6) inches below the.£loor line of the basement
or the cellar to the average heights of the upper surface or to the average �
�height of the roof surface of the main gable of a pitched roofe
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of a11 proposed work. �
Ia no case sha11 the fee charged for any permit as set forth in SectiQn 2 be
less than $5.00.
VFRIFICATION OF FOUNDATION
NOTEz Permits for construction will be issued a minimum of 24 hours from the
time of application, to allow for pxoper review of the proposed structure and
of the construction site.
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceedint� with Che framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for wliich a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
.
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Mem at�ce • �aa�
��1�YRdAN 6876 Hlghway No. 68 N. E.
�NOINeERINO 1 Minneapolin. Minnesota 59432
'q � ,N�
'� so�nn orrte e9o-65to
c:iui! & Mwur+pal F.ng�neeruig � Sa! Testu�g � Lnnd Surveying � Lond Plan,ung 1101 Clitf Road
B
�� Burnsville. Mienesote 85337
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�'QS Certificate of Survey for �� ' � �°-��•�7 �•
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1 herebr eertify tha� fhis ls a true and correct reprssenfation oi a surver of tho boundaries of tha obov� �
� deseribad land� and of the location o/ 041 buildings� jhgreon� and all visible encroochments, if any� from er on
� safd land. As surveyed by me fhia�doy o} oJ / A.D. 19�.
` S sURBAN EN6INEERING, INC. �
Engine rs Svrrerprs
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EA� L S CALCULATIONS ° �e �a sp �A p� � T �p ��� °��y ���APOLIS MINN.
H � S ���/���1l9V � �'1l �S�J��� 1'�9V��� �V. ! ' a
Weatherstrips A.S.H.V.E. Construction �:o. _ Insulation °�
Windows Dwrs Guide put. Wall int. Wall Ceilir,g � Roof Floor Kind How Applied �
Reference
Yes-No Yes-No �g
I,����� � Roc�m Length l' Width /y� Height FI.� �., �:' ! Room Length Width� Height
VJindows and Doors- Crackage and Area Windows and Doors- Crackage and Area
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uf p�nc of uan�e�-- li�ghts of crack �U. tt. uf pane of p;anW Iights of crack SQ• f•
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Exp. wall
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Ceilin9 � ��
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Total Btu.
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FI.���"� Room � Length`f Width
Windows and Dows-Crackage and Area
No. Width He�pht No. of Lineal ft. Area
of pane of pane Iights of crack sq._tt
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Total 8tu.
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No. ,.s ...,..,. ,.s ..�..o r.,ti.� „r ,-.A�•� sa. ft
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HEAT LOSS CALCULATION.S �EATING �t AIR CO�IDITIONING CO. MINNEAPOLIS, A�INN�
We�therstrips A.S.H.V,E. Construction No. Insulation °
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Windows Du�xs Guide p�, Wall Int. Wali Ceiling Roof Floor Kind HowAppl�ed `
Reference
Yes--No Yes-No �g -
' Ft. � Roam Length Width'J Height FI ,E , Room Length � Width �' He�ght
VJin ows and Doors-Crackage and Area VVindows and Doors-Crackage and Area
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Total Btu: �
1 Require+d sq. ft. E.D.R. or sq. ins. tN.A. Lea r area
I. � Room Length � Width �`� Height
� Windows and Doors—Crackage and Area
No. Widrh HeiAht No. of Lineal ft. Area
of arre of pane li hts of craak sQ. f•
, � � - .� �— 2 t 9 /
et�
Infiltration
� Glass
; Exp. wal I � ;� ��
«
i Net exp. wall
� Int. wall
i Ceiling �—,
Floor �� T"�/�{
° Total Btu. -
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area % �
�I_��� � T Room Length � Width � Height
VUindows and Doors-Crackage and Area
N�,,� Widrh Heiqht No. of L�neal ft. Area
uf pdn�� of D�ne Iiphts of crack sq, tt
�- �- 7� ,�
Infiltr�t�un
Glass
_Exp. wal_I_�
Net exF�. wall
Int. wall
�
Ceilin,y
F f oor , � t' , : �° '°�
Total Btu.
Requireil sq. �!. E.D.R, or sq. ins. W.A. Leader are
5 Infiltration � � �
� Glass
�
° Exp. wall 7 ,(.j
' Q Net exp. wall - - . � � fC �
Int. wall .
� Ceiling
Floar� �
/ Total Btu.
Required sq. tt. E.D.R. or sq, ins. W.A. Leader area
FI. Roarn Length Width� Height
Windows and Doors—Crackage and Area
No. Widrh Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
Btu
Infiltration
Glass
Exp. wall
Net exp. wall ,j ��} ' �
Int. wall
Ceiling
Floor �� �
Total Btu. ��
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. Room Length Width Height
Windows and Doors-Crackage and Area
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of �ane of oane liahts of crack sa. ft.
Coef B tu
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: �(� ,',� � � �' Net exp. wall
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HOUSE HEATING TEST RECORD D-21406
ADDRESS SOS% F-83t'mC1II� C.�T�l@ APT. FLOOR CITY SUBURB RriBl�'v ,
OCCUPANT V3CtOI F Charles OWNER �I@8
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY Sed�owick i��s�tin�
Eleetrical Work By Gaa Line By �� ��
TYPE OF HEAT GA FA _�HW STEAM SPACE HTR. UNiT HTR. OTHER
GAS DESIGN CONVERSION
MAKE William¢cm MAKE OF BURNER
Modal ],] 7 7-�,n-S Model
Serial ]..LF2],Q(l� Max. BTU Rating
INPUT ?,�++ � MAKE OF FURNACE
Model
CONTROLS
THERAAOSTAT � Heat Plug Vsnt Size 5��
Valva ��, �+���� KIND OF LINER g],+*�+ SIZE 6.n NONE
Limit. ���g� ���.Q DraftHood y.g�t,�,C,�Regulator mnv 49S +9^
Limit SeHing �Q�.€ Fi Iters Size �g.2� Number j,
Fan Setting ��_� �Q-€ Chimney Location Inslde�_Outside
Pilot Type �•�� Chimney Construetion �p.���e8�0�
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing ����. Draft pj� Test Tag�e�
L.W. Cut Off Door Prassure Lighting Inst.
Pressure�► S�,�PercentCO2 ��n% Date Tssted 5.�],.��5
I�►ut CFH �_� Pereent 02-$,?� Company Testing C. S. BRIGHT CO?9PANY
Staek Temp. �Lj�� Percent CO �n°� Name of Taster ��A D• •
Form 235
.. . _ ���,,� � �
--- -- w�
�,�._
�-. °, ' �.._.c.�_ '_
C� L
THE ROTTLUND COMPANY� INC., property owners of
Lot 8 B1ock 2 do hereby allow Henry Maron to
� a�r.���t u-r�_/ .o/ �1�,�-.� ' e�.�s� CL,.-�,C_�iz�
store rock and railroad ties on the�bove lot
to be used by him for shoring up the bank on
hi�s property. The rock and railroad ties will
be removed by July 30, ].975 unless property is
sold. Then removal wi11 be within 3 days of
notification of Mr. Maron, An extention of use
of this property may be applied for by Mr. Maron
by July 30, 1975
THE ROTTLUND COMPANYi INC
���J - ,—
7`
avid H. Rotter, Vice reso
sue�ecr PEF�AlFYi`FIO.
City of Fridley ="
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ��� YA �
r
� �� RECEIPT1+10
� � a: ----- �
COMMUNITY DEVELOPMENT DIV.
r � � PFiOTECTIVE INSPECTION SEC. ��
� �
� � �"'1 � CITY MALL FRIDLE� 55432 NUMBER REV OATE vpGE OF AvvROVED Br
�'"""� � �'' 612-571-3450 910-F15 / /
11/13/95
JOB ADDRESS g057 Fairmont Circle NE
t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. lO 2 Bourdeaux's S rin Brook Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
James Johnson 8057 Fairmont Circle NE
3 CONTqACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Richard Hastin s Contr. 6331 Riverview Ter NE Fridle 5
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZiP PHONE LICENSE NO.
5 ENGINEER MAIL AODRESS ZIP PHONE IICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION �] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (19 S ) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHOFIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE FEAD AND EXAMINED THIS APPLICATION 1 STAL�S GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX
QND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,520 �. %G
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMIT FEE SAC CHARGE
PHOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �.S 1. LS Fire SC � 1. SZ
PLAN CHECK FEE TOTAL FEE
��� f`� � ���:3 ��I� License SC $5.00 $58.53
S�GNATURE OF CON'RACTOA O AUTHOAI2ED AGENT iDnrE� WHEN PAOPER�Y kPDATED THIS IS YOUR PERMIT
� � � � �� /
L
SiGNATURE OF OWNEA �IF OWNER BU�LDERI IOATE� BLD �NSP DtiTE
�
NEW
ADDN
ALTER
[l
[l
[l
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 8/ 1 /95
��3a�
,
ConstructionAddress: „O S 7 � i �2� �xv� � � � , _
Lega1 Description:
Owner Name & Address: �� � 5 ��� � S � n/ Tel. #
CoQtractor: '� � ��, �a �,� � S�; �v� S _ MN LICENSE # � S/
Address: � 3 3 / � ; � �_ � ,� � k -,� `j'� �Z Tel. # S � j� ' 1 �6.�
LIVING AREA:
GARAGE AREA:
DECg AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed conslruction drawn on it to scale.
Length
Length
Lengtb
DESCRIPTION OF llVIPROVEMENT
w�arn
VVidth
VVidth
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
�� S .
Corner Lot [] Inside Lot [] Ft Yd ��etback Side Yard Setbacks
�T�C Of CO1l5trlid10II: ��'f4 �1 D�f' � 12 �� �� a o� FStlnia.t8d iASt: $ /.� �� Cy�
Approx. Compietion Date: � z�i S%� S
(Cost on .Back)
Driveway Curb C'�t Width Needed: F� + 6 Ft = Ft x$ _$
DATE: �� 1� 3 l� S_ APPLICANT: ����u..���'�=��--„� Tel. #� t�-�d � 6
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
�osion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �/, ���
$ l, � �
$ , '� �
$
$ �. L�
$
$
$
$
$ �����
CITY USE ONLY'
Fee Schedule on Rev�se Side
.001 of Permit Valuattion (1/lOth%)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.00 (State Licensed Residential Coubra.ctors)
Alt °A" or Al� "B" Above
$450.00 Conseivation Plan Review
Fee De�mined by Engineering
Agreement NeceSSary [ ] Not NeGessa�y [ ]
BUILDING PERMIT FEE SCHEDULE
The Ctuef Building Official sha11, before issuing permits for the erection of any building or structurE, or for
any addition to any existing building or structure, or for any altera,tion or repair to any existing building or
slructure, upan application therefore, require the payment by the applicant for such �rmit of fees to the amount
herein below set forth and in the manner herein provid� to-wit: '
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,U00
$100,001 to $500,000
$500,001 to $1,�0,000
$1,000,001 and up
FEES
$21 (Minimum Fee i� $21 plus surcharge)
$21 for first $S00 plu� $2.75 for each additional $1� or
fraction thereof, to amd including $2,�0
�2.25 for first $2,OOD plus $12.50 for each additional $1,000
or fraction ther�f, to and including $25,000
$349.75 for first $25,�00 plus $9.� for each additionat $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,�00 pins �.25 for each additional
$1,000 or frac�ion thereof, to and including $100,000
$887.25 for 5rst $lOm,000 plus $5.00 for each additional
$1,000 or fraction th�reof, to and including $500,000
$2887.25 for the fnst $500,000 plus $4.25 for each additional
$1,000 or fracxion thereof, to and including $1,000,0(}0
$5012.25 for the first $1,000,00(1 plus $2.75 for each additional
$1,000 or fraction ther�f �
DRIVEWAY DEPRESSION ESCROW
(Coacrete C�rb Stg�ts Only)
Alternaxe °A": Removal and replacement of curb and gut�r only - Driveway width plus 6 feet times $13.50.
Alteinate "B": Removal and replacement of pirb and gutt� and install a 3 foot wide
approach with 6 iach depth - Drive�way width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hoau�s from the time of application to allow for prop�°
review of the proposed structure and of the constiuction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constiuc�ed
will be required before proceeding with the framing,
�