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AF - 47535City of Fridley, Minn. BUILDING PERMIT ��/ N° '7309 � Da�: ..�1`.-:-....�� __-:.- �. �_._— —___-_ Owner: ._ .._ .__ Cj�11�! _ � Builder _ _.. _.. _. _... ..__.._.c:_...__....__.�.____.._.�.. Address._.__._:.__._._._.�.______._._.._..._._...____....__..__._.___.._._ Address _..�__.__._._._.....__.......__._.___._.___.._..�. _._._� L TION�6�� B(JILD�VG No. �.�-.l�.it-- Street ._ . � . .;�'K. ..._.._.�...E`..� art or Lo _._ . _.___.___.____..._ Lot .....__.o„� ..��..., Block ______._.,� .___.__....._ Addition or Sub-Divisi � . - � - ��J�✓ Corner Lot .___..__._.._..._.. Inaide Lot ._._.�.'_..__.M...__..._. Setback ..�.i.�...._._..._._ Sideyard _..._...�.� ____.� _ Sewer IIevatian --��4°_ : S d �.__.__...�_......_._---_._ � IIevation _..�� ._.__ Top o �= .�a a. �icJ � � DESCRIPTION OF BUILDING T Used g _ _ Front _v . ��. DePth �... ._ Height ._.�� Sq. F't. �(L�.� Cu. FL/.�d•.�..0 _. ..�... Front _� �.__ Depth _�._.� Height .__ � � Sq. F� +i�. ,,e Cu. F't. `�s� Type of truction .._.. ._..... . ._.__.. Est. Cost .,1.'��._....._......_ To be Completed _..._......._.._..� � l�o ��L�� - l fl K c--rir/ l= /� 6 rn r'� L l� icJ s {� s � 5 B�-t r L i S /g 2 C tiJ d-7- y � T fg l% fa t�_ 1� +'3 L� , % ffElz�s' � o,�,C � Av►-t ¢1 LLou� � n�4- C� ��wc3"�.T�.1 • ,�oa ��rt> � � S i /��c: T � L � � . /� C� . �..J, In consideration of the isauance to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the description above aet forth and in compliance with all p�visions of ordinanoes of the dty of Fridley. f� /% �% ., /� In co�sfderation of the payment of a fee of �.�..�...._......_.., permit fs heresy granted to...._. � to construct the building or addition as described above. Thispe rmit is granted upon the �express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Minnesota regarding locat3on, construction, alteration, maintenance, repair and moving� of bufldin�s �� city limits and this permit may be revoked at aqy� �pon vifllation of any of the provisioas of aaid /1 / I Buildin8 Inspe�a� NOTICE: ihis p�nnit doa net eow� fh� �onsfeucNon, M�ta1l�Non fer wirh�o� P��Y. Y�s 6wtin�, aw�r or wN�r. d� wn to sN fh� dviWiag lotp�cfor for s�raN p�rmifs for 1h�n ffNns. � k 0 A.PPLICATION FOR BUILT�ING FL�,��T CITY OF FRIDLEY, MINNESOTA � OWAIER' S NAML ADDRESS LOCATION OF BUILDING � No. ��p �� Street c� �.�art of Lot � Lot � Block Addition or Subdivision �- / ' — Corner Lot Inside Lot^ i�_Setback � s Side Yard �� +.. �2`u%t�C,. SEWER ELEVATION FOUNDATION ELEVATION - Applicant attac� to this £oirm Two Cert�ficates of Suryey:of Lot and pxoposed buiZd- ing location drawn on these Certificate�. DESCR�1'�Y+ON OF BLTtLDING � To be used as: Front �� h ' �. Height. . Sq. Ft. Cu. Ft. Fxont Depth � Aeight_ Sq. Ft. Cu. Ft.. Type of Construction ` Estimated Cost To be Completed The undersigned hereby makes application foi a penttit �or the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts sad representations stated in this application ar true aad corr ct. ,� � DATE �� d �� SIGNATURE. �(Schedule of Fee Gosts can be found oa the Reverse Side). . • r • w , ,� � - • � City of Fridley Applicatioe for Ph�n�bing and Gas Fitting Rermit Dept. of Bldgs. Phone 560-3450 _ 8�9•Ol DESCRIPTION OF WORK 7663 NE Jackson Number, Kind and Locatian af Fixlures Location 3�I � I� �I � I? I3 �IO �I 3 I� O+S �+<?i+�U' `�C�9 NI�U' OI �' N IGASTER HTEC. Base lst 2nd 3rd 4th y • Future Conaect€on OPanin9s * New iixture, Old Openings 1 PARTIAL RATE SCHEDULE Sewer � Cesspool �'j PLUMBING FIXTVRE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening . . . . . . . . . . . . . . x $1.50 $ Catch Basin .... .............. x $3-25 $ Water Heater (Up to 99,000 BTin . . . . . . x $3.00 $ New Ground Run Old Bldg . . . . . . . . . . . . . x $3.25 $ Electric Water Heater z$2.pp s GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .......................... x $2.00 � Addit3onal Fixtures . . . . . . . . . . . . . . . . . . . . x $ .75 � Gas Raage � to 199,000 BTiJ . . . . . . . . . . . . . . �.— x $5.00 � 00 REPAIRS 8t ALTERATIONS—Refer to Cods Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL FEE • DO City of F�idley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares bhat all the fact and representations stated in this application are true and correct. Fridley, Minn 1 �PY' � , 19_ Owner I,a�1z'es1�� Schneider Kind of Building � Used as To be completed about Estimated Cost, $ 5.00 Per 't No. L � Zad—New. Building Permit No. `� �" % gy � �.� WiJ ti�. Business Phone No- ROUGH FINAL �42 � � � _ . . � � � ' s. � . . . . �.. . � . . , ' , . , , . * . . . . . .. a � . . . , � . . � � , �� - , � - , • . � ., 1 � .. . ;• . :� ._ '. . . j ; . �. �, _ � • � •. + a f . � . . � • ' • � ,._ . _ , '! , ._ � . . No � 1219�7 . - Buiiding .dob Re�ort _ , . ; _ . . _: ADDRESS ... � - � � !, L� .3 _� h c �S' � ,�/ . " . �� . . � . ; • � : �-i � _ . • ��{/MER � f, :-r / . l �y � 7 � (�/' ( . suuae -� � ! -, � � ;,� � ` r_ ' DATE TYPE PERMIT NO. , iy,�_,:.. DESCRIPTION �: , J ; /� ! �l �• .:J � � -r il!'�/ � .�/ . ' �� ' ' �_. / K �� -�" ( � � ,.� � / X % ifl' � � ' 1 . C! !` / / / c� J ' �.- _ � t, . .n ✓ ' • � - `. ' � � - k i. r `_ INSPECTION RECORD . DATE REi'ORi f �/ i 7 r.> Cr, -�� l � f !,�,-, , _ �/-1 l _� � � ; ; t<< ` �� _: ` � . � , �" r� � ,�� f �-. ,; � .� �i ; - ..i r� �� -� / : � _ � �... � L' S'-�> l--� � I�f r�/� G� i / : . , , . , � � COtAPLEYED & APPROVED ' � �'�SPECTOR DATE _ . ��_,Z , . ..i.:r . � � _.. .. . . . . . � _ � . . $. ' . . . �. {�, . . . , '. . . . . V . . . _ • � ♦ MEMO FOR FILE MEMO DATE: September 23, 1970 RE: 7663 Jackson, Complaint on Windows September 23, 1970: Contacted Homedale Builders who had taken out the Building Permit for the above house in 1964. They stated the house had been used as a model house until it was sold to Larry & Carol Schneider about 22 years ago. He stated that the name of the firm that had installed the windows was: Kullberg Manufacturing, 5205 County Road 18 North. September 23, 1970: Contacted Mrs. Schneider with the above information. She stated she had just found out the same information and had contacted Kullberg Manufacturing and that they had told her they would inspect the windows. Mrs. Schneider asked that I cancel the letter to the contractor and said she appreciated City help. ��f AL D. BAGSTAD Building Offici 1-Tnspector ADB /mh nrT�TioH oF: �� J"� _.,,1('J " ��% - J'/ CITY OF FRIDLEY �_ _ _._ - 6431 University N. E. T6 ' _ � ,___ . _ _., _ _ _ _ _ � _ , _ _ r . . _ � _ _ Minneapolis Minn. 55421 612-560-3450 SUBJECT. SIGNATURE REPLY: � G _ ( LL ' . 0 � DATE • 2 � � U Sept. 23� 197Q; Contacted Homedale,Builders who had taken out the building permit for the abovahouse in 1964. They stated the house nad been used as a model house until it was sold .to I.arry & Caza�. _S��ka.n�id�z. about_ 22 years ago. _ Homedale stated that the name of the firm that had installed.the.windQw� was: Ku.11berg Manufacturing, 5205 County__Road«_18 North. I contacted Mrs..Schneidex with ths above a,nfo�ma.tion,_ She_stated,she had_just__found out the same -infarmation_and_had contactsd the�n ax�d �hat they had_told_her they would_ins�ect the � windows. _ _ M�s. . Schneider asked _that_ I.c�ancel. .the �.ette� to the_ contsactor and _said_ she appreciated the � G3.tys--laelp.--_ �, _ __ ___ DATE Segtember 23� 1970 SIGNATURE Al Ba�stBd OR{GIfVAiOR - DETACH AiV� f2EYAiN ATTENTION OF: TO L_,._. SUBJECT. _ _� e �,.�-�, �--7 ��.�.. y�� 3I�, . / L�� DATE � •' 5-�-- ___""—'..."..�-- �f �'�'v !�.�!__ __ z ?�� __ __ ..�_�_...._?�4_ �____a _ - - - _ __ __ q REPLY: _�__+ - - � ±�. �!i�'x....��+'�._�._��._� _��! _ _�� _��._�__�.. � ��__�� = _� ��t�i.x:±� � �t� �+s._ ..��._��'�?�,,_.�_-�!�'_.�_�. �� . e�t k:" �NA; ■: �.t.. .�, . . K ::i.:�• �..r.'A .i s :. :.. �:ZY.� YP . ;� .ri �� r.b �f{ d v�� - .r c rti f- � . .a� ,r �' Y� .i a , ' � . �_.. .: � �r �i�.. _ . � ' . . .• ', � r� r � �-��. t' •r`4- r:�..� .. y ..:f� a. - a �K: At« �v , r::. :- +Y , Y � , . y - : - 1 : iT 'S . .: . , .. ... .. � . . _ . . .. .. " � �. .. _ . . . ... o. . ...__ ...._ _ ..,. t ;? ' i DATE . SIGNATURE RETURN THIS COPY TQ ORIGINATOR �._.:��;, : SUBJECT P City of Fridley o-- � � g 2 A7 7HE TOP OF THE TWINS g U I L D I N G P E R M I r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ' j L �""_ � r � � PROTECTIVE INSPECTION SEC. 1 � , � � � /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �""'� � ,�� 612-571-3450 910-F15 6/3/83 � � JOB ADDRESS 7663 Jackson Street N.E. 1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. 3 1. MeTOC�j7 MdriOY' SHEET 2 PROPERTY OWNER MAII ADDRESS ZIP PHONE Ca.roline Bergquist 7663 Jackson Street N.E. 784-5201 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. FullertAn Imbr. Co. 5737 - 37th Avenue South, Mpls. 727-2904 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHQNE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residen tial 7 CIASS OF WORK ❑ NEW ❑ ADDITION Q A�TERATION ❑ REPAIR ❑ MOVE D REMOVE X 8 DESCRIBE WORK Reroof Dwelli 9 CHANGE QF USE FROM TO STIPULATIONS ItAOf can be 2nd layer but not 3rc1. Install galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELEC7RICAL, PLUMBING, HEATING, VENTILATING OF AtR CONDITIONIfJG. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTqUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTqUCT10N 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED y�`1� OOO �. SO . WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORl7Y TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHAAGE PROVISIONS OF ANY OTHER STATE OR L L LAW REGULATING CON- 17. SO CTION THE PERFORMANCE OF C TRUCTION. $ �� j�, , PLAN CHECK FEE TOT$`AL FEE V„ 18. 00 SIGNATUfiEOFCONiRACTORORAUTHORIZEDAGENT iDnTEi WHEN PROPERLY LIDATED THIS IS YOUR�PERMIT � SiGNATURE OF OWNER IIF OWNER BUILDERi IDATEI BLDG iNSP FTE - CITY OF FRIDLCY Effective Aug. 1, 1981 Af PLICI�TIt�'� FOIi RCSIUL"i��TIlt�_ [3U1LDlilG PEfuiITS (Ner�, Alter•itions, lldditions, or Rcp�irs) 01��ER• �r��o��vc 13 �� c�v�S�7 ,[3UILDER: �U'�'�-f,�Tur,' 1�n.,i�R ��. AD�RESS• �7(� C�.3 .l l�ckSn,.� s�; u� £ lIDDRESS: s i3'�- 3"�t�. �u�, sc�. MP� TCL n0: `%& � 4S �cad TEL t�20: �7 �.7 -�`� b y Const-ruction Location STJtI�T NO: sz�r�r-.T: °� �(�3 J� ck.s o� s�; N,� i,o��: � si.ocx: _____(,� �nniTZO�: � �L.c�Q� �'1 �4�tJo� rn� Corner Lot: Insic3e Lot: SerbacY.: Sideyards: Ap�licant attach to this form ta•o Certificates of Survcy of 2ot and prop�sed building l.ocation drawn on ccrtificates to scale. DESCRIPTIO;� OF COi•1STR�JCTIO�J I'ront : Dep th : H eight : Square �eet: Gtibic Feet: Front: Depth: Height: Square Fe�t: Cvbic I'eet: Type of Con�trnction : %e � Ku o1'� a�Z'+t �� a-��'�� Estimated Cost: $�� b• Ci6 Rb Be Wr.�pleted: G`� �� 3 Alt. A Alt. B Proposed Dxive��ay tr'idth If New Opening Is Desired: $ $ _ S�� P.F.VF:iLL' SIDE OF SFIEET . 9iie undessianed hereb�► m31:c� applicaticn for a permit fcr the �:ork herein specified, agreeinq to ao ,all kork in strict accordance Y�ith the Cit}� of Fridley Ordinances znd ruli»�s of the Delk�rtmei�t of Buildings, and hereby declare that all thc iacts and rcgresc-�tatiens stated �n this upplicatian are true and c r ct. D.'.T�: � � � � � 3 SIGNATUF•e.: � ,�--'� ""9 Stil�ulations : � � J`1�� l�: a� � .___ CiTY OF FRtDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT �. w � u x • Nater Q � w � � e.�+ 1w� �i u � w a55 Heater ~ O � ai � � �� ug •; 8 ay „ M r � � w r � � o" o� i� a� ga y� uo��s" ��i 3 o s 1ac � l�t 2nd �sd �a tlt) � lUtur� Conn�etion Op�nin9 O�roMCt�d with eew�r (') � Nw !latur�, Old Op�elnq Mat� � 1 G S��U� PLUMSING FIXTURB RATBS: N�� tl�ctus�f ' rutus. ri:cu:.. 014 Op�nlny, N� Iistur• s��r Dl�p�n��r •loM O!i sa�in Cateh sa�in Rain Mat�r L�aA�s NyAr�nlia Val�• Quwp or R�c�i�inq lanR M�l�r Tr�atiny Appiiano� Not Nat�r t�at�s Ga� Aanq• ca� Dry�r . N0. � �� 71LL OTHptB At/D/OR REP112R8 JWD ALTER)1TION3 1� o! V�lu• ot ri:car. or 1lpplianc� Mimpsction !N i �---....�. (515.00) RATE = 5.00 = 3.50 i l. SO ! �.00 = 5.00 = 5.00 i 5.00 i 5.00 i 5.00 = 7.00 = 5.00 ; 10.00 a io, o0 8tate snreh�rg� lOT11L tEE TOTAL :� � .�� i�_ 1 f _�� i�_ t i _�_ �___ _ S i ' a . so S �i� ktt�ett�� A11q, l� lytlt Job Addre�� v�- . S � �" � �epartwent OI euildlnq� � City of Pridley Tel. �571-3�50 '17�e under�iqned h�raby �aka� �pplicatia� tor a p�esi! tor l,h� wrk h�rdn �pecitied aqreeinq to do •11 vork !e •trict acrordanc� vith th� CLty Code� and rulinq� ot the Depart�ent o! su..ldinqs, and h�rebp A�cl�r�� that •11 the tacts and represenqtiont •l�t�d tn thi• application �r� teu� �nd oornct rsidl�p. !b. . 19� a�n _��2 ��i��s � RIND Or S11I1�ING �� . USI:D AS ,�� '!O !6 C�01lLE1'ED ASOI)T � ` r'd "' �� /� ��..� ESTIMI►TaD Ooe! r�d Ot5 o� - �, �,:�� . ___�_— .�� . 9oos oo.w�n► �G / ! si9n.a s�► 'l+�l. No. 1l� v� � � � �/ ROUQI 2NSP. Dste �INAL INSP. �o ` 1 '-i - p 3 O�te APPROVJIL /pR PRNMIT ��,�-�� ' . l�INIMUM FEE P'OR /WY PLUMBING PBRMIT IS 510.00 PLUS THE S.SO STRTE SURCHARGB CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Sheil and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL $ 20.00 $� $ �a.00 $ $10.00 $ $ 10.00 $ $10.00 $ o � All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work CommeraaUfndustriat 1% of Value of Appliance or Work State Surcharge TOTAL FEE JOB The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 9�%4., _ � �-- _ _ _,1991 OWNER , BUILDING USED AS ESTIMATED COST � �' � . � PERMIT NO. �lCp `�� DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Nam � Size Na �� a Q'� 7 5 BTU � HP EDR $ Fuel ?'l�`� Total Connected Load $ .50 $3 0 � MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATIONlAIR CONDITIONING PERMIT IS $15.OQ PLUS THE $.50 STATE SURCHARGE REiNSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. • Burner Trade Name Size No. BTU HP EDR HEATING COMPANY � r d�-� � Signed By F,�� Tel No. 5`� �/��°' Approved By�� Rough-In Date Final Date � �� . FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACR VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected 6. Has total heating BTU's of %� � All other BTU's � G_ � TOTAL BTU' s / /' / °� Remarks List Alterations Beinc Done: Yes (� No ( j Yes (�°) No ( ) Yes ( ) No (� Yes (� ) No ( ) Yes (kJ No ( ) HEATING COMPANY � Signed By �� •��„� Date `y%%a.,_ �- -Z _ 9 2— `�� s�e�ec, : .=P'EATNIT NO.�"1 City of Fridley ��"` � t� ,� :� � AT THE TOP OF THE TWINS g U I L D I N G P E R M i T \�'�- � � ---.'_- � ' ' AECEIPT NO. � � � COMMUNITY DEVELOPMENT DIV. � �y _ � r � � PROTECTIVE INSPECTION SEC. 3�� . ( 1 /��1 � CITY HALL FRIDLE� 55432 NUMBEA REV DATE PAGE OF APPROVED BV �'""'�" ,�' 612-571-3450 9t0-Ft5 4/1/96 / / J08 AODRESS 7663 Jackson Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Melod Manor 4 Addition SHEET 2 PROPERTY OWNEfi MAIL ADDRESS ZIP PHONE Caroline Ber uist 7663 Jackson Street NE 784-5201 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO R & M Associates A - 0 ARCHITECT OR DESIGNEF MAIL ADDRESS ZIV PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION O REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reside Dwellin 9 CHANGEOFUSEfROM TO STIPULATIONS TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVIOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK Oii CONSTRUCTION ZONING SQ. FT. CU. FT. AUTNORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN17S OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICA710N 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED $8�000 ��F.00 WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GiVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITfEE SACCHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI OR THE PERFORMANCE OF CONSTRUCTION. �137.ZS Fire SC �H.00 �, PLAN CHECK FEE TOTAL FEE / � License SC $5.00 $154.25 SIGNA aE coN�RACTOR0�7AUTMOAIZEDAGENT 1DATE� WHEN PAOPER �IOATED TNIS IS VOUR PERMIT G� �L �/-�► S�GNATUAE OF OWNEA i�F OWNER BUIIDEAi iDATEi B� �NSP �i4TE NEW ADDN ALTER [] [l [l CITY OF FRIDLEY 5INGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3/1/96 �3°� � ConstructionAddress: `�� 7j �� P�S;',�� . Legal Description: Owner Name & Address: �'_ a r o f_ �,� �. (?, � � A u � S �" _ Tel. #'7�t/ �?�% Contractor: _ _ �-t � �}$So� MN LICENSE #� e� �%I Address: � �/$'� /4 v�� r .e? � r W b.T �1�, �� //rs Tel. # i �o '`�32 �... Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRII'TION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sc�. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: G! rv v S rd �.��.rf � p�.�. «�+� ;.. s Estunated Cost: $ �'�}� "'�' Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: `/-,2-gL APPLICANT: -- Tel. �7G � 9 3 2� � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ /��.�.s $ � . l? t� $ �/,C�zJ $ $ � Cd $ $ $ $ /��. � � � s CI1'Y USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $9� p�r SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT P E City of Fridley " ' AT THE TOP OF TME TWINS g U I L D I N G P E R M I T �� l�' � r ; � RECE�PT NO. � ' COMMUNITY OEVELOPMENT DIV. r ; ,.-------. f � 73 � � PROTECTIVE INSPECTION SEC. � � ( � /'��1 � CITY HALL FRIDLE� SS43Z NUMBER REV DATE PAGE OF APPROVEO 8� �'""�" ,'' 612-571-3450 9t0-F15 4/12/96 / / 108 ADDRESS 7663 Jackson St NE t LEGAI L01 NO. BLOCK TRACT OF ADDITION SEE ATTACMEO DESCR. 3 1 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAlL ADORESS ZIP PMONE Caroline Bergquist 7663 Jackson St NE 784-5201 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. R& M Associates 3482 Auger Avenue, White Bear Lake, MN 55110 770-9322 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 4391 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WOAK O NEW ❑ ADDITION O ALTERATION � REPAIR p MOVE ❑ REMOVE 8 DESCRIBE WOFK Rebuilt 6' x 12' Deck; Install 6 vinyl windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement windows in sleeping areas must meet the State Egress Code. Insta.11 smoke detectors as per State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD SEPARATE PERMITS ARE REQUINED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR Alii CONDITIONING. THIS PERMIT BECOMES NULL AND VOID tF WORK OR CONSTRUCTION 20NING S�. FT. CU. fT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �!}� ],OO �Z.OS WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEpM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $99�.�� Fire SC ��F.IO STRUCTIO R THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE _ License SC $5.00 $110.90 S�GNAT E F ONTRACTORORAUTHOA�2EDAGENT iDA7Ei WHEN PiiOPERLY LIDATED TMIS IS V � R PERMIT l SiGNATUREOFOWNEAi�FOWNEABUILDEAi iDATE� �r BLOG SP p4T NEW ADDN ALTER [] �] [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: �7�i � 3 �a� G r�a rv S� Legal Description: Effective �/1/96 � � '�� ,� `1a � Owner Name & Address: f�,.��„�. F�(�g,,-� �, S�T- Tel. #`7�'c/_ s^2ol Contractor: �-f-/yJ /9 $soc� MN LICENSE # ��,3 �� Address: 3 ys�1 �G g f, �lv� t,v g,1 Tel. #%%Q —9 2 2/ Attach to this application, a Certificate of Survey of the lot, with the proposed consttuction drawn on it to scale. �, LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT Ler►gth Width Height Sq. Ft. Length Width Height Sq. Ft. Len Width � H Ground S Ft. �� __ �Z< � q� Comer Lot [ ] Inside Lot [ ] Tyge of Construction: � �' Approx. Completion Date: _ Ft. �� Driveway Curb� Cut Width Needed: _ DATE: `/-/2- �,� APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: ��, 7S.^ � %� $ � /�-�—� $�� $ ,/ -�'��.� ��` ",4�z� Setbac �b Side. rd Setbacks �''� � w n,�L �"stiaia Cost: $ �� lDo �� %% � �% -I- ,�._ � x � ��i�' (Cost on Back) Ft. 6 Ft = Ft x$ _$ Tel . # 77G -�1,��Z �--- CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 per SAC Unit $ `� � $5.00 (State Licensed Residential Contractors) $ $ $ $ Alt. "A" or A1t. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ` �I �, - ��+ � 0 l - _.. . 't_z,,.-� �::7 i .;.i'tie :.-"'Z: �,,1::r.•�t: ::`�, :• ��lru.,a�. �.��: � � / ��(J // l../ 68TS il�, rG� NE. Mmrt�v�ls )1. ENGINEERING, fNC. "��°'° Sl4�sef 4-G066 Er�9ineers � Survec�ors �esfi.�zca►te oF sutve �o: NoM�DA►LE gUttD�RS %/' ----__ -- - - �o�rrN 7 ' �:s 4 • � ,, Z ;: � z �� : _, � � � � 1 i d � / �'•� �� ____ .__ 1 � � cs� � i I -- ii� � •T N d S I !a � � f �� -- � � � - � �6 �,----�-------s I-- -- - -----' ,-.` --._ . _ . _ . .-- ---�---- � r C�� I �:•^��1�T=S �KJN -'---C�hG?ES DRa!r.a�E AND UT�LITY EASEMENT L� i._.i_BLOCK �� P�1ELO�Y MANOR 4T� AOD1710N ANOKA COUf1T1f � boreby c,er�f►�'y ��us a o lr+� aa� oarrtcf nrprcsenfofiw� e�'o sw-vey �'�f6it brr�.ra6ri�s �'Mr �wr cErc�bdla►id,ent'l c�l�fSr ra..�+,n q�'a1' e�.dv�s ,,'1ac�wn ,�d r! wsii� a�narlsnerr/s , i!'�, �n a- en�rs+id /aao! As srs�,rcyed br� nk 11iES '_ abif � �•e��„bs� �:Dr�..Ea. .-- SU8 UR 8AN ENGlNEER1NG , /NC+,..�.....--�--�--�-�""" " ,��j� �j.�v . ifJ/y��rl � ..Jb1�i+G�'�-� . � .�Y!'��.'��- . _[...' .�.�.+�_._—.� ....rr�.. � i � _ � �l � � � � , i j �.� c.�..'1 �'\ 1 I \ �J' �- . � -�- � `l o _ � l � � �� T J,v�� ` .� �� c� -� — �� '� v� `� �y R . `�/y �-� .� �� --._. -- , :-_�� -�.- � 7 �^ ` � � � s � � ��. � ` �. � �� V �- � � � � � � ; � ; �.�, � � � ;� . , � ; - � �. J i � ti I � c� .- Jl•�-. �= ; �y�L � i �<< _ � `J � y'� �. `�4 1 � ` � r 1 � � �-� � �� L� z t � � 1 • � c� � .. sue�ecT MIT NO. c�ty of Fridley 25480 AT 7HE TOP OF THE TWINS g U I L D l N G P E R M I T ! ` RECEIPT NO. � ` __._ COMMUNITY DEVEIOPMENT DIV. ��/^ r �~ � PROTECTIVE INSPECTION SEC. y � � 1 � � ( � /"'1 � CITY HALL FRIDLE� 55032 NUMBER REV D�TE PAGE Of . AVPHOVED 8Y �---•�� ,'� 612-571-3450 910-F15 9/8/97 � � lOB ADDRESS 7663 Jackson Street NE t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHEO DESCR. 3 1 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADOiiESS ZIP PHONE Caroline Bergquist 7663 3ackson Street NE 3 CON7RACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. DuAll Services 636 39 Ave NE, Columbia Heights MN 55421 788-9411 3178 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDFESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION �{] REPAIR O MOVE O REMOVE 8 OESCRIBE WOFK Fire repair to roof; insulation 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to �X meet the State Building Code. Install underlayment to comply with the State Building Code. Insulation and ventilation must meet the State Building Code. � TYPE Of CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PEFiMITS ARE REQUIREO FOR ELECTRICAL, PLUMBING, HEATINCa, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUII AND VOID IF WORK OR CONSTRUCT�ON ZONING SO. fT. CU. FT. AUTHORIZED IS NOT COMMENCEO WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAVS AT ANV TIME AfTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING I HEREBV CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yq��qTION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WOIiK WILL BE COMPIIED $2S�OOO �IZ.SO WITH WHETHER SPECIFIED MEREIN OF NOT. THE GRAN7tNG OF A PERMIT DOES NOT PHESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pfRMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING cor,- �349.75 Fire SC �ZS.00 STRUCTION OR THE PEiiF RMAN OF CONSTRUCTION PLAN CMECK FEE TOTAI FEE License SC $5.00 $392.25 NATUAEO:CON�a T aORnUTHOR�2ED/GENT iDATEi WHEN PROPERLY VA TEO THIS IS VOUR PERMIT � +_S�GNATUFIEOFOWNEA��FOWNERBUILDENi iDATEi Bl0 �NS� qiiE - iV E�V ADDN ALTER (1 [1 [) ' C[TY OF FRIDLEY StNGLE FAMILY AND DUPLE�ES R-1 AN[) R-2 BUILDING PERMIT APPLICATION Effecti ��e 1 / 1 /97 f� � �"��c� ConstructionAddress: �� p ,' j �qGr[ Sp r[ '� �T�, ,/i/� � I.egal Description: Owner Name & Address: Cqro �i�,e� �LQe,nrra u i�7` Tel. 1# Contractor: � y/.,� � G S'.e r v;C �S MN LICENSE # 3 J?� Address: (�p �i `j1� �.,,.� �� Tet. # '7��`�'�/ ( � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEME\'T : Lengrh __ � ' �Vidtli �-_ Height -�. - Sq. Ft. �- Length Width Hei�ht Sq. Ft. �ng�.1. � Width Hgt/Ground Sq. Ft. � — , , , . � � , c� � c� - - i �v.� r,c�r� <v r� � Construction Tyr�: r�.� �cimar� cost: ��i �� C� J (Fee Scheduie on Back) Driveway C�rb C�t .Width .Needed: Ft. + 6 Ft = Ft x$ - =$. DATE: �1' g APPLICANT: Tel. # ��3� � ��/ C USE ONLY Pennit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge 7riveway Escrow �.:arosion Control Yark Fee Sewer Main Charge TOTAL ��t't��ur_n�c[o,ti�s: �� $ � y�- �.S Fee Schedule on Reverse Side $ �S- • Ub .001 of Fermit Valuation (1/lOth%) � `�� .� $.SO/$1,000 Valuation $ $950 per SAC Unit � ti, Q� $5.00 (State Licensed Residential Contractors) � Alt_ "A" or Alt. "B" Above $ � $ � � �.- � �, � $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Necessary [) K. �� K ��,,,n'� � �,� , � -� � � u�' ,� _�. - , � ��,�-� �� CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE � Fridiey, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK �JUMBER OF FIXTURES TO BE INSTALLED ON EACH FL�OR Water Bath Wash Drink. Floor Catch Auto. Gtts Gas Misc. Water Heater Stories Closet Urinal Tub '.�ihOwer Sink Tray Fount. Drain Basin Washer A. Range Fixt. Gas E{ec easemen Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. FiATE TOTAL JOB ADDR New Fixtures Old Opening, New Fixture ...�,. Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receivfng Tank Water Treating Appliance � Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ()Yes () Nc� Type a �.00 $ 4.00 a 5.00 a 7.00 a �.00 � �.� a �.00 $10.00 � a.00 �10.00 a�o.00 510.00 55.00 The undersigned hereby makes application for a permit for the work herein specified ag�eeing to do all work in .trict ac:cordance with the ciry codes and rulings of the Building Division� and hereby dedares that alt the facts and representations stated in this application are t�ue and correct. 1��? ,,9�, Owner ��_.� � Building Used As T1 �5a �L �- _ , Estimated Cost �� __ _ PERMIT NO. ,,,1� �- � PLUMBING COM Reinspection Fee 530.00 SIGNED 8Y ALL OTHERS AND/OH REPAIRS AND ALT�RATIQNS �� / 196 of Value of Fixture o� Appliance �� State Surcha�ge TOTAL FEE �'� ,�,> � � Approved By � Rough- n Date N0.!��?7 S� .�-C� Final Date �� - -- --- -- � SUBJECT . City of Fridiey 27200 AT THE TOP Of THE TWINS g � I L D I N G P E R M I T r � � RE T NO. COMMUNITY �EVELOPMENT DIV. �� , � V PROTECTIVE INSPECTION SEC. i V "'�' r ; ; � . , + � ��1 � CITY HALL FRIOLE� SS4$'1 NUMBER F1EV DA7E PAGE OF APPROYED BY. �""�' �'� 612-571-3450 9� 0-Ft 5 8/ 17 / 98 � � �os ao�Ress 7663 Jackson Street NE t LEGAL LOT NO. 9LOCK TRACT OR AODITION SEE ATTACHED DESCR. 3 1 Melod Manor 4th Addition SNEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE Dan Schnieder 784-5201 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Eagleview Construction Inc 2937 174th Ln NW Andover MN 55304 753-5469 20076043 4 AFCHITECT OF DESIGNER MAIL ADDRESS 21P PHONE IICENSE NO. 5 ENGINEER MAII ADDFESS 2�P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ AODITION ❑ ALTERATION �5 REPAIR p MOVE O REMOVE 8 UESCRIBE WORK Reroof house and garage (20 Sq.) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBINCa. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTILATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTtON ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCEO WITHtN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Ofi ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AfTER WORK IS COMMENCED. N0. DWIG. UNITS OFFSTREET PARKiNG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STAItS GAft/IGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX AND ORpINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT 1668 . H3 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TME pERMiT fEE SAC CNARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION Ofi THE PERFOFiMANCE Of CONSTRUCTION. SL} . QQ Fire SC, �p 1. 66 PLAN CHECKFEE TpTA EE �� g Licen e 5.00 6 49 NATUA OF CON'AACTOA OA AUTMORIZED AGENT IDA E� N P P A�IDA D IS I�U� RMIT^ + 7�< �� - �L7L SiGNATUAEOFO�NNEAUFQWNEABU4DER� iOATE� BL NSP p�TE N�W " ADDN ALTER [l [1 [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �� lP-3 �,fc.L�Sen �. Legal Description: Effective 1/1/98 QO ,��- , ��I �- � � Owner Name & Address: �� y� ; � Tel. # `78`/ —�o I Contractor: �i�e �/�.�c-�+� �� MN LICENSE # � % !p 0 `� Address:_ �j 3 7_/ ��f'�' Lp�+�e Tel. #�S� - S YG9 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. � GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ��1i-�- /� S� � Q C�2,c.�rau �'p� Construction Type: 0 Estimated Cost: $ jo�p (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: / � � APPLICANT: Tel. # GZ�oS�' �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ s�ob � �. � � $ c' $ $ - C�C� $ $ $ $ i - �----- CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) � $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Necessary [] City of Fridley 6431 University Ave NE Fridley MN 55432 (763) 572-3604 or Fax (763) 502-4977 Water and Sewer Permit Application New Connection Date: ��"/ / � � �� _ � /�� 'i V � � 9 2�1 ,�Jtility Line Repair/Relocation ❑Water and Sewer Connection ��1 ��-an�.�, ��- R-�-(�Q-�-�. Job Address: � �� c�.� �-t�`�`^ S� � �� Name of Applicant (Plumber): (�P.✓�.2,5 ��'-K�- � ��" ^ Name of Property Owner: �� r�� C�✓�9 J S Existing Structure Permit # Permit Type: Sewer Fee: , �� Water Fee: Meter Fee: Repair Fee: Relocation: State Surcharge: . h� SAC Charge: Special Assessment Fee: P Total: $ '�� Applicant Signature: Inspector approval: Water Meter Repair — Weekend & H� Water Connections Permit Sewer Connections Permit Inspection Fee for Water/Sewer Line Special Assessments Cost of Water Meter SAC Charge Sta.te Surcharge Water Tan $125/hour $50 $50 $40 See Finance See Utility Bi[ling $1675 $ .50 See En�ineering