AF - 47756Date
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BUILDING PERMIT
�illage of Fri.dley, 1Vlinn. N� 2 4 fi �
�. � : .�.�. ."'., � �' . . . . . . . . . . . . . . . . . . . . . . . . . . . . -
C TT�r ��+�-� •�.,.�8 :' :�' . . .�1�. �a . . . . . . Builder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Address '"�'�`��� . �'�:� ;�.+�:�"'���-��-�' Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LOCATION OF BUBLDING
No. ����. . . . .. . . . Street '�.��.;� �. �°��. �'7�. . ."���. . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
�`�°t � " �-
Loi . .. .. � . .. .. .. . Block . ..�C. .. .. . . . . .. . Addition or Sub-Division J�:�. . �'��. . .-r�. �:� :'�` :�'"rt. .. . . . .
: ♦
Corner Lot . . . . . . . . . . . . Inside Lot . . . . . . . . . . . . Setback .�".�� .''�`�:�. Sideyard �� . �.�.' . . . . . . . . . . . . . . . . . .
DES�CRIPTION OF BUILDING
To be Used as:
.
. .'. �'�.���. . . . . . Front . �"i'. . . Depth �� . . . Height . . . . . . . . . Sq. Ft. ,��:� .+�+. Cu. F't. . . . . . . . .
. . . . . . . . . . . . . . . . . . . . Front . . . . . . . . Depth . . . . . . . . Height . . . . . . . . . Sq. Ft. . �%'%. Cu. Ft. . . . . . . . .
Type of Construction'.�": �.'��:�'. . . Es�t. Cost ���� .��. . � . . . . . . . . To be Completed '�. "��:�L�. . .
In eonsideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with a11 provisions of
ordinances of the village of Fridley.
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Tn consideration of the payment of a fee of $. .,�`.'�' `: permit is hereby granted to,�'. .�.. ��:'���'=�`� l�
,
................... to construct the building or.addition as described above. This perrnit is granted upon
the.express condition that the person to whom it is granted and his agents, employees and worlunen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the or8ir►ances of
�'ridley, Minnesot�, regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time ,�tpon violation of any of the provisions of said
ardinances. " �' ,.-_
_ '��� . . .�1�?.lr�. . . . Building Inspector
. ;,�b'.,. .
NOTICE:
This permi4 does not cover ihe construction, installation or alteratlon for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permPts for these items.
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City of Fridley, Minn.
BUILDING PERMIT
Date: � 18, 1965
N° '7961
�: JALMER ISAACSON �� Robert F. N'orberg
� 6746 Jefferson St. N. E. �y� 3924 Uta.h Avenue N'orth
Minneapolis, Minnesota
LOCATION OF BUILDING
N�, 6746 S�t Jefferson St. N'. E. p� og �t
� 4 _�� 1 Addition or Sub-Diviaion � RiceCreek me race, p7 .�4.
Coraer I.ot Inaide Lot Setback � Sideyard
Sewer �evation Fo�mda.tion IIeval3on
Ta � v�a es:
Fr�ont
Front
Zj►pe of Constivcl3on
DESCRIPTION OF BUILDING
ne� xe�gvt sn. Fc. ea. �
Depth I�eight Sq. Ft Cu. Ft
r���17, 000.00 To be Completed
RffiiTILD FROM CAP IIP WITH AN ADDITION'
Ia caa�deration oP the issuence to me of a permit to conatruct ding described above I agree to do
the proposed work ffi accordance with the d�ecxiption above set and crom�lian�e� a'11 ProvIsfons of
oidinancxs of tbe dty oP FricIIey. � �j�
In ca�aideratton of the �yment oP a fee of � 10. 00 , pe�t ia hereby granted to
R. F. Nor'�erg to construet the building or addition as described above. This permit is granted upon
the expr�ss canditia� that the person to whom it fe grented and his agents, employees and worlQnen, 9n all work.
dame in, around and upon said building, or anypart thereof, shall conform fn all respects to the ordfnauce� 04
Fridley, Minneabta regarding lxatlon, consttvctton, alteratiton, maintenance, repair and movin� of buildings
wi�� dLy lfmfts and tbfa permit may be revoked at any tirne upon violat3on of aay of the provisions of safd
ALLEN G. JEN'SEl� �� �
NOTICE:
fld� pumR doa eet eov�r ths eenatruetlee, leshllatlon tor vrMa9. P���9, 9n hea�, s�wu er vater. Be sues to as
tlu Balldio� le�� ior apnab pu�mHs Por ��ro. ^>°_
APPLICATION FOA BUII.DING PERM[T
CITY OF FRIDLEY, MIT3NESOTA
OWNER' S DTAINE �'����[� �
ADDRESS f� ��� �°'��tpv-� � i'�' �, �_ADDRESS �%f� G'���i ���.
LOCATION OF BUII.DING
No. � �T � ���T�L-� ��i Street �� � � Part of LoC _
LOT BLOCR ADDITION OR SIIBDIVISION
Corner Lot`_Inside LaT�Setback Side-�Yard
SEWER ELEVA7.'ION FOUNDATION ELE�I�TION
Applicaat attach to thia form Two Certificates o£ Survey of Lot and proposed
building location drawn on these Certifitates.
DESCRiPTION OF BDILDING
To be used as;
� ���� ����( `�� Front Depth _� Seight
Sq. Ft. Cu. Ft.
Froat Dept __.___r_ Height,
Sq. FC. Cu.,Ft.
Tqpe oi Coustruction ��t� ��`����c�� Estimated Cost �� �c�� �
To be completed C� °c� `�/�� :��
The undersigned �ereby makea application for a permit for the work herein specif3ed,
agreeing to do all work in strict accordance with the�Citq of Fridley O�diasnces
aad rulings of the Department of Buildinga, and hereby declares that a11 the facts
and representaCions stated in this application are true and correct.
DATE SIGNATURE
Fee Costs can be found oa the Reverse Side).
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BOiLDING PERN�T FEE SC�T,E
SE_�__�_CMON_2. The Iaspectar of Buildings shall. before isauing any parmit for ehe
erection of any builcling or etsucture, or for any additicn to any exiating build-
ing or structure, or for any alterationa or repsira to aAy esieting building or
structure, upon application therafore, require the payment by the applicant fos
suci► permit�of fees to Che �mount h�rein below aet foreh and in the manuer herein_
pravided to-wit;
2.1. For anq such permit for the erection of any fire�proof building,
other thaa a garage, �tarehouse, factory or graia elevator, or for the ereation
of any �ire-proof addition, for similar occ�pancy, to any existing building,
shail be at the rat� of ��:40 for each one thoi�sand cubic feet, or fract3on
thereof, in euch cubical ccntents. �
2.2. For any euch permit for the erection of any fire-proof garage,
Warehouse, factory or graia elevator, or for the erecCion of any fire-proof
addition, for similar occupancy, to aay existing building shail be at the rate
of $1.25 for each oue thousand cubic feet, claesified as "fireproof" bq
Section 502 of Che Mianeapolis Building Code.
HOUSES
2_ For aay auch permit for the erectioa of any non•f3reproof building,
other thaa a garage, warehouse, factory or grain elevator, or any non-fireproof
addition, for aimilar occupancq, to any existiag building - permit $1..00 for each
one thousaud cubic f�et. .
GARAGES
.�._,..
2` 4. For auy such permit for the erection of any aon-fireproof �arage,
warehouse, factory or grain elevaCor, or for the erection of any non-fireproof
addition, for similar occupancy, to any exieting building or for each such
buildia� or addition - ninety cents ($0.90� for each oae thousand cubic feet
or fracticn theseof, fn the cubical conteats thereof with t&e minimum of $4.00.
For the purpose of camputing fees for building permits, the cubical conCenta
of aay building or addition to a uniform height throughout bq multiplying the
ground area cov�red from a point aix (6) inches below the floor line of the
base�naat or cellar to the average height of the upper eurface or to the avesage
height of the roof surface of the main gatile of a pitched roof. .
2.5. �'or repairs oa aleerations to aa ex3etiag structure, the fee shall
be at the raCe of $3.00 per each Five Hundsed Dollars ($500.00) or�fractioa
thereof in the coet of all proposed work.
2_ 6. In ao caee ahall the fee charged for any permit aa aet forth in
Sect3oa 2 be lese than $4.00. '
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sus�ecr ERMI
City of Fridley �" 17 7 9 0
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
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� `L ______ COMMUNITY DEVELOPMENT OIV.
r j � PROTECTIVE INSPECTION SEC. 1y9��
1 . �
� � ���'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
!"""'� � ��' 612-571-3450 910-F15 11/8/84 / /
JOB ADDRESS 6746 J'e�ferson Street N.E,
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 4 1 �].C@ Creek Terrace Plat 4 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
J. W. Tsaacson 6746 Jefferson Street N.E. 561��3418
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
I.ee's Siding and Trim Repair �ervi:ce 2461 8unker Lake H�lvd. Andover 55303
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
755-5260
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OP WORK
❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Aluminiun tria� on �aci.a, sof�it, ne�r gutteaes
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS VALUATION SUfiTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Sl /8SO �`, 93
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
TR CTION OR PERFORMANCE OF CONSTRUCTION. �`31. e OQ
LAN CHECKFEE TOTALFEE
of� /� �j/� $31.93
SIGNATUREOFCONiPACTORORAUTHORIZEDAGE TEI WNEN P PERLY VA ATED THI IS YOUR PER IT
CJ �
SIGNATUREOFOWNERIIFOWNERBUIlDER1 IDATEI BLDG iNSP ATE
NEW [ ]
ADDN. [ ]
pLTER. [ ]
City of Fridley Effective 4/1/84
�R-1 AAD R-2
Building Permit Appliaation
Construction Address
Legal Description: C? - � � � ��- U `- `-°� . `-""", �� �
Owner Nanne & Address: !� �/�' �'s�� C �o � s�°'� � Tel. � �� � j ���
Contraator: ��� s S/�/l�/' A� �✓D %f�/T R�=/°�/� S�f1 �/G � Tel. � 25-�- 5��� �
Address:�5� � / %3 r/ /�h" �!� �- � li� �� /�O � !� Do �/�%� /�N - 5^S'� �3
LIVING AREA:
GARAGE AREA:
DECH AREA:
OTHER:
Attach to this application� a Certificate of Survey of the
lot, with the proposed construetion drawn on it to scale.
DESCRIPTIOH OF INIPxOYEMENT
Length kiidth Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
�f..��,. T�i �-I � N ��/ G//�I - Sd��F�TT — �v �� /�� v�7 GG�%
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setbaek
��
Type of Construction: Estimated Cost: $��5^0
i
Approx. Completion Date: �� � �-
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ �
See Back Page for Explanation
DATE:�� APPLICANT: Tel. � %SS- S-�6d
Permit Fee
Plan Check
State Surcharge
3AC Charge
Park Fee
Sewer Main Charge
�oT�.
STIPULATIONS�
CITY IISE ONLY
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$
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$
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$ �i-9,3
Fee Sehedule on Reverse Side
25� of Building Permit Fee
�•50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Neeessary [ ] Not Neeessary [ ]
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BIIILDING PER�IIT FEE SCHEDIILE
The Chief Building Official shall� before issuing permits for the erection of any
building or structure, or for any addition to any e$isting building or structure, or
for anq alteration or repair to any existing building or atrueture, upon applicatio n
therePore, require the payment by the applicant for sueh permit of fees to the amount
herein beloW set Porth and in the manner herein provided to-Wit:
Total Valuatioa
�1.00 to �500.00
5501.00 to �2,000.00
Fees
$10.00 (Minimum Fee is $15.00)
$10.00 Por the first $500 plus $1.50 for each
additional a100 or fraction thereof, to and including
�2,000.
�2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for eaeh
additional $1,000 or fraetion thereof, to and
ineluding $25�000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraction thereof, to and
ineluding $50,000.
$50,001.00 to $100�000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraetion thereof, to and
includ3ng $100,000.
$100,001.00 and up
$433.00 for the first $100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
DRI9EWAY DEPRESSION ESCROii
(Concrete Curb Streets Only)
. Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 feet times $13•50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wid.e
approaah with 6 inch depth - Driveway width plus 6 feet times $15.75
VERIFICATION OF FOQNDATIOA
Permits for construction will be issued a minimum of 24 hours from the time of
application to allow for proper review of the proposed structure and of the
construetion site.
A Certificate oP Survey of the lot, shoWing the location of the foundation onee it
has been aonstructed will be required before proceeding with the framing.
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CHIMNEY AND STACS VERIFICATION
The undersigned hereby verifies that the �eaisting chimney or stack:
1. Has been carefiilly examined � Yes () No ()
2. Is free from n�st or deterioration Yes () No ()
3. Has no foreign objects lodged within Yes () No ()
4. Is securely supported Yes () No ()
5. Meets all current Code requu�ements for size
and total BTU's connected Yes () No ()
6 Has total heating BTU's of
All other BTLJ's
TOTAL BTU's
7. Has a liner t�en provided for water heater Yes () No ()
8. Has combustion air been provided for water heater Yes () No ()
Remarks:
List ALTERATIONS Being Done;
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HEATING CO:
Signed By:
Date:
SUBJECT ,
City of Fridley 2 6� 5 2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� `v _ COMMUNITY OEVELOPMENT OIV. ��'
r � � � PROTECTIVE INSPECTION SEC.
1 . i
� _ /'�'1 � CITY HALL FRIOLEr SB432 NUMBER NEV DATE PAGE OF APPROVED Bi'
�----� • •`� 612-571-3460 9t0-F15
7-13-98 � �
JOB ADDRESS 6746 Jefferson St
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 4 1 Rice Creek Terrace -Plat �4 SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP PNONE
Dorthy Isaccson 571-3418
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
BB Roofing, 6760 Madison St, Eridley 55432, 571-0248, 9042
4 ARCHITECT OR �ESIGNER MAIL AGDRESS ZIP PNONE LICENSE NO.
5 ENGINEER MAIL AODRESS ZIP PMONE LICENSE NO.
8 USE OF BUILDING
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION � REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
Re-roof (23 Sq)
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, fLUM81N(i, HEATING, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCV LOAD
VENTILATING Op AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION .20NING SQ. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
I HEREBY CEFiTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WIT HETHER SPECIFIED NEREIN OR NOT. THE GqANTING OF A PERMIT $1, 918 $. 96
ES OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROV IONS OF ANY O ER ST TE OR LOCAL LAW REGUTATING CON-
STR CTION OR TNE P FO E CONSTRUCTION $62.25 Fire SC $ 1.92
// L�� PLAN CHECK FEE TOT FEE
� Lisc SC $5. $70.13
SiGN REO:CON'RACIORORAUTNOA�ZEDAGENT �DnrEi NEN R P VALIDATE TNIS IS VOUR PERM
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S�GNATUREOFOWNEAiIFOWNERBUILDEFI �DATE� �, „��p q�TE
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constructionAadress:
Legal Description:
CITY.OF FRIDLEY
SINGLE FAMILY -AND DUPLEXES R-1 AND R-2
BUII.DING PERMIT APPLICATION
1
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Effective 1/1/98
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Owner Name & Address: �ie %fi�Y S��G C--�3'! -S! � Tel. # .� %/- �%/�
Contractor: �� �41��//UG- MN LICENSE # �U ��
Address: , ln �100 �%/�/•TlJYI -S/ Tel. � ,S%/ -ooz��
' Attach to ttus application, a Certificate of Survey of the �
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECS AREA: Length Width � Hgt/Ground
OTHER:
Sq. Ft.
Sq. Ft.
Sq. Ft.
�
�. �3 �j, � = /9� . �
Construcdon Type �w��� �3 � �-�i Estimated Cost: $ �
Driveway Curb Cut Width Needed:
DATE:�I �v �i �4� A
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ .o��
$ y
$ . �
$
$ �B�J
$
$
$
$
� a, ♦3
(Fee Schedule on Back)
6 Ft = Ft x $ _ $
Tel. # 5���� ��
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 { ] Not Necessary [ ]
�
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, . BUII.DING PERMIT FEE SCHEDULE
The Cluef Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for a�y alteration or repair to any existing building or
structure, upon applicadon therefore, require the payment �y the applica�t for such �ermit of fees to the amount
herein below set forth and in the manner herein provided to-wit':
_. _ ' • �OTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$5�,001 to $1,000,000
$1,000,001 and up
FEFS � ' . . .
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fracdon thereof, to and including $2,000
�
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,0� plus $9.00 for each additional $1,OOQ
or fraction thereof, to and including $50,000
$574.75 for °first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and includin� $100,000
$887.25 for first $100,Q00 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $SOO,OQO plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000 '
$5012:25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate °A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 faot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION _
Permits for construction will be issued a minimum of 24 hours from the time of applicadon to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
,� _