AF - 47727LJ
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City of Fridley, Minn.
BUII,DING PERMIT N°• 3� 2 4 .--�
��
Date: .. �......� �.�.Y ...�j�..........
Owner ....................................... Builder .7.��C:f�ilrt.. .. ...�..f���...
Address...................................... Address .......... .................................
LCaCATIO�N OF BUILDWG
f� �
No. . "...�/ . Street .� . .�j!�Gn�-t.,,,� Part of Lot . ....... ............ �
Lot .� . .. .. . Btock . . .� .. .. .. .. .. . . . Addition or Sub-Division . .. .. . .. ... . �'���: •""+rr�..!
Corner Lot . . . . . . . . . . . . Inside Lot . lS . . . . . . . . . Setback �i-�/�. �'�ideyard . �Q 1� � . . . . . . . . . . . . . . . .
DESCRIPTION OF BU[LDING
To be Used
,�/,�� %�. . -� /p / /
. /. � . . . . . � . . Fiont J. . .�. . `. : ' Depth ��� Height /. . !.`�% * Sq. Ft. � �. � fP G�t. Fk�� py
.................... �%ont ........ Depth ........ Height ........ Sq. F't. ... ..... G�. Ft. ........
Type of Construction . .. .. .. .. .. .. . . . .. . Est. Co�tt. ���.1�. /..� . To be Completed . ...... ... ....... ..
In consideration oP t'he issuance to me of a permit to construct the building degribed above, I agree to do
the proposed work in accordance with the description above set forth and in compliance wfth all provisi�ms of
ordinances of the city of Fridley.
.�1 .................................................
In consideration of the payment of a fee of $.�� �.—, permit is hereby granied to ... .. .. .. .. .. .... ..
. .. .. .. .. .. . . . . .. . . . . . .. . to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whrnn it is �anted and his agents, employees and worlmnen, in all wark
done in, around and upon said building, or any part thereof, shall conform in a11 respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. —
.... Building Inapecbor
NOTICE:
This permit does not cover the construction, installa#ion or alteratton for wiriny, plumbinp, yas heatin�,
sewer or water. Be sure to see the Buildiny Inspector for separate permtts tor these itema.
r
r
,APPLICATION FaR BUILDING PERMIT
. CITY : 0�' FRIDLEY, MIIJNESOTA . . . , .
� � ... .
Owners Name Builder . '�E� 10NNSON & SON �
Addrese _ Addresa ` � �PLS. 18, h�IN'�. •
LOCI�TION OF BUILDING
No.�� Street .,�C/7l,�1����,,._ P�rt oP Lot �__._.____ . .
Lot �.=. 81ock . � Addition or Sub. Div. �/Y/�r�Y,� /'/S�C�' .
�. - � i
Corner LQt � � rnside 'Lot !�et Back :,�5�.. �
gpplicant attach to this form Certificate of Sluwey of�Lot�and pr�posed
building location. • . .
,, ... DESCRIPTION OF BUILDIlJG
To be u�ed' a's ' . � � : .
S/�`�P„��, u�1.li.///� � Front _.��,Z Depth 1�. Height �,.
/�,�...
SQ. k't. l�,� �,i• F`t•
' F�ont �_.:. De�th , Height
Scl • F`t`� . � • �- ----+-- �- . . .
Z�rpe of Construction .`.� � Estimated Cost ���',c"�cs"D
To be co�p�eted � _
The under��.gned hereb3► makes application for a permit for the work
herein specified, agreeirig to do all work in strict accordarice with the
City Ordinances and ruling of the Departr.ient of Buildings� and hereby
declares that a1Y the facts and representa.tions stated in this�app3.ication
are true and co r�et. •
Uate Signature , .
(A Schedule of Fee Coats can be found on the Reverse Side)
�
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App�ic.atio� far Rawe�r Rlants a�nd He�ating, Coo�ing. Ventilatian� Refrige�ion �d
Air Conditianing Syste�ns and Device�s
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacemeat of Fizrnace .............................
Repairs & Alterations--up to $500.0(} . . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . .
MECH. WARM AIR
Fi�rnace SheII & Duct Work to 1?A,000 BTCT . . . . . . . . . . . .
each add. 60,000 BTLT . ............... .......
Replacement of Eiu�nace .............................
Aepairs & Alterations�up to $500.00 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . .
RATE TOTAL
8.00 $
5.00 R
5.00 $
2.50 $
8.00 � �
2.00 �
5.00 $
5.00 �
2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines--to 400 sq. ft. EDR Steam ...... 8.00 $
Furnace S�hell & Lin�to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Stesm . . . . . . . . . . . . . . . . . . . . . . 2.50 t
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $
OIL BIIRNER to 8 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 �
over S gal. per hour�ee Fee Schedule
GAS BIIRNER (up to 400,000 BT[T) . . . . . . . . . . . . . . . . . . . . . . . 5.00 � `�
GA8 PIPING (Up to 8 Flxtures) . . . . . . . . . . . . . . . . . . . . . . . . . . 1.50 � ✓
(Add 50c each over 3>
AIR CONDITIOrTING �
FAN HEATING SYSTSI�[ $ee Fae Schedule
VENTILATIMG $YSTEid
ALTERATION$ 8c REPAIRS TOTAL FEE $� �`1�
��s:
C�—�rc,e �e./v . � / q7 D - � �' � , �� �
Dept. of Bldgs. Phone SII 4-7470
�
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1
City of Fridley:
The undersigned hereby nnakes application for a pernut for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
�wner � �r v �
Kind of Building
Used as �
To be completed about
Estimated Cost, $ �
. � � �.��i
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Permit No. '>�
195�
195—
195—
DESCRIPTION OF WORB
HEATING or ft am, Iiot Wate Warm Air o �
Trade Namp cP���e'� �-��-C� Size No, ��-' l� c,
,�
Capacity Sq. F't. E.D.R �-`� �` ��) BTLT Fi.P.
Total Connected Loa� ��� ��� Kind of Fue "�
BURN�R — Trade NamP Size No
Capacity Sq. F� E.D.R BTIJ H.P.
S�p� RAY N., W E LTER H EATI N G C I
46�""i CHICAGO AVE.
B� . i A
11 pOST 1 M-8-58 Busixiess Phone No `l ����
�
� Cit of Fridle Minn. �
Y Y�
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BUILDING PEI�MIT x� 4 4 9 4
�
Date: .......�....�.....��.J'..'.�.-r....S�:''. ��
.............................---�----..._�- .....---��--..
Owner: -- - -- - -� - ...................... ........... ��- � - - �� -� -.. Builder -..--._�L�C.. {c??:���"�2�... ����
w►,.n.. ............. ........._........---�----------
Address - � - -� --- ................._..............-�F-- ------ -•-----�---�--.........._................. Address En. �-L�%�...`...� �:N�,L._��.':.....�s-.. -----....---�--
LOCATION OF BUILDING
No. �J.. -!.. -........ Street .. ,l. :��1:. . . �'�+t�s_.._--- -�Z -f- - --. Part of Lot .- - -� - ........................ . �- ��---........--�----..........
Lot ..........�.._ ......._..... Block ..__...__. �..._......._........_...----_ Addition or Sub-Division �e,�'��'� L-._.~-�L�!-.��.---5........----•---
i! � /
Corner Lot ._ ......._...__._...__ .._ Inside Lot .......__........ ..._- - - - .. Setback .._...�„�..---........_..... Sideyard ......._�. S. .. -...- --- -- .................--....
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: i
.4�i-: .:!-� C_.._{:..�t_�.. Front -`7'...- r��,.-- Depth ._ ��� / Height ../_��......... Sq. Ft. ��. f_.t�'_ Cu. Ft.�.S.i�7...7 i
_... .._. . �....__._ F ont �...7..._(c /
...
-!� ' Depth ..._�_./�,- Height ...,�_ Q�'Sq. Ft. ..J.I..��� Cu. Ft. ...,;;�j.�.,�.� �
�/ p�
Type " Construction ... .--_..... ..... ,�-��.,[!..... Est. Cost._! �%� �,? �._.._. To be Completed ----_....-.-- ....................................
� ..... .
t`"°��,�.,��°I��
THiS �'�F' � _;,^, 1y_]pF,UT�-!{�riiZE VIOLAT.-
iC;�� ,;;; ';I�;`r �� `�..,,.;� !_�;�D COVENANTSAND
�i ;, �- �r�� r;��.�--� -���.-,�-�U� �1
�.�L��Ii.�a n ..�t'ri:� iVS..
In consideration of the issuance to me of a permit to cons ct the iIding desc ' bove, �' �r to do
the proposed work in accordance with the description above t fort d in c ' nc 'th � �r 'sions of
ordinances of the city of Fridley.
- � -.._..._ ..... ......... .- �� -----��----_ _.---------• ----....--- ----�- �L�..�................
In consideration of the payment of a fee of $_ .....�'R'��.., permit is hereby ted to_ ...........................................................
........................................................................... ta construct the building or addition as described above. This pernut 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 confarm in a]1 respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this pexmit may be revoked at any time upon violation of any of the provisions of said
ordinances. �, �,�, n
Building Inspector
NOTICE:
This permil does nof cover the eonstruction, installafion for wiring, plumbing, gas heating, sewer or water. Be sure fo ses
the Building Inspeclor for separafe permifs for these ifems.
4
Ci#y of Fridtey
A�plication for P�q a�d G� i�t�'�i�g �at�
-- n.�c. o: siaa.. p�.o... ssa�o
DESCAIP'['ION OF WORIC �'�"�' � ��
Humb�r, Kind aad Location oi flxturN ' � i'~'-�°°
3�I��S�IiI�I;�I��I�
�������
■■■.■■'
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M � i • � w�rE� wrn.
�i3� �a �� �� n� • « c�s �uc.
PARTIAL RATE SCHEOULE
�
Cw�spool
PLVMDING FiXTVRE AATES: • • . • � � �R�A� _�
Number Fixtures . . . . . . . . . . . .
lLture Fixture O�mnin� . . . • : . . . . . . s =1.60 S .
New Fixture Old Opening . . . . . . . . . . x =1.50 i
Catch $asin . . . . . . . . . . . . . . . . . . . . x =3.25 i
Waler Heater :Up to 99,000 BTU1 •••• x i3.00 i
Ne�v Ground Rua Old Bld�. ........ z i3.25 S
£bctrie W�t�r iiyM . . . . . . . . . . . . . . : �,pp =
G/1� i7T7'TNG FEE8: NO. R11TS TOTI►L
lst 9 Fixtures . . • • • • • • • • • • • . • , • • : �2:00 i
Additional �7stuiw . . . . . . ... . . . . . : _ .T6 i
�3ar R�ase to 19Y.000 B'1'tT . .... . . . .... : =6.00 i
State Surcharge $,_.50
IlElAIIIS ! 11LTEA�?IORb-A�l�r !e Ced� -
�pYV�, •�••�������.�•e•w��w.�.••��w.�•a��.►��.��� ��r
TOTAL T�6 iR.�.Ff=�� .
Ci4 of IYidley:
.�
The uadersianed f�ereby makes application tur a petmit tor the vsark herei-
specified, aQreriog to do aII wrork in strfct accordance with the CYt,� Ord'usauce
and n�Iina of tAe Department of Buildings. and hereby declares that all the tact
and reDrearntatlona stated in Wia applicattoo an true and correct
�d�►. �� , � � . a i , �s2 3 '
Owner /� /�C �; �% o V h �
Kind of Huildio� u �� ° �
Used as /'� U T -
To be rnmpleted about �/,S �l 6, o?.� �, / 9� 3
Estimated Cost,
Oid—New. Building Prnnit
-. �
FiN1lL . �-/� � %SJ
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No.
Signed
By
Busi� PI�
Cr'
No syr a y � �
CIN OF FRIDLEY INSPECTION DIV,
6431 University Ave NE
Fridley, MN 55432
572-3604 .
._ ._,
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VEN'fILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AN� DEVICES
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed w(th new furnace)
Gas Range '
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACl�
1% of Value of Appiiance or Work
Commercial/Industrial
125% of Value of Appliance or Work
Rate T07AL
$30.00 $ �•C�V
$10.00 $
$ i0.00 $
$10.00 $
$ 25.00 $
$
$
State Surcharge
TOTAL FEE
�
., � �
MINIMUM FEE FOR ANY HEATIN�COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PIUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00JHr
Effective On March 1,1996
JOB ADDRESS �5l /�e.n n as� n�Or� �e.�
The undersigned hereby makes application for a permit for the work herein
specified agreaing to do all work in strict accordance wfth the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
__�--
- ,1996
OWNER lJ(,j�f5� 11lnUO� s�7� ' %6,3Z
I I�
BUILDING USED AS C�! ! �
ESTIMATED COST I�f' �� �� PERMIT N0. �-�� S--�
� ; •� � ; .�. •: : :
No, of Heating Units_� Gircle Ono (Steam) (Hot Water) arm Air)
Trade N,�me i Size No._�DA19 �Q
BTU (Q�D HP EDR
Fuel S Total Connected Load
Burner 7rade ame ' Size No.
BTU HP EDR
HEATING C MPANY
Signed
Approved By
BL13562 CEN RAL AVECN.E. C
-
Rough-In Date
Tel No. r% � �- � � ��
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE F�bR STACK VERIFICATION ON
written permission from adjolning property owner. REPLACEMENT FURNACE
Final Date
� :;:'
:�:::.
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined
2. Is free from �vst or deterioration
3.
4.
5.
6
7.
�
Has no foreign objects lodged within
Is securelY �PPo�
Meets all current Code requireme�s for size
and total BTU's connected
Has total heating BTIJ's of �
All other BTU's
TOTAL BTIT's
Has a liner been provided for water heater
Has combustion air been provided for water heater
Remarks:
�
Yes (.� No ( )
Yes (� No ( )
Yes (.� ) No ( )
Yes (-(' ) No ( )
Yes ( A No ( )
Yes (S�j No ( )
Yes (� No ( )
List ALTERATIONS Bein� Done: �
��` L��.e.r To ,b�e %sT //�'Q
HEATING CO:
Signed By:
Date:
$L1�INE HTG. A[C & ELECT. INL.
13b62 CENTRAL AVE. N.E.
ANOKA, MN 55304
sue�ecT PE . ..
c�cy of Fridley 33089
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� ` ��� ��0� RECEIPT NO.
� ; � _____ COMMUNITY DEVELOPMENT DIV. � �I�
� � � PROTECTIVE INSPECTION SEC.
� � /"'1 � CITY HALL FRIOLE� SS�32 NUMBER NEV OATE VAGE OF APVROVED BY
�"""�� ,�' 763-571-3450 910-F 15 9/ 13 / 02 / /
JOB ADDRESS g51 Kennaston Drive NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED
DESCR. ,3 1 Brookview Terrace SMEET
2 PiiOPERTY OWNEii MAIL AOORESS ZIP PHONE
Janson 851 Kennaston Drive NE
3 CONTiiACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Northstar Home Improvement Inc 4972 Lincoln Dr, Edina, MN 55436 952-929-1888
� ARCHI7EC7 0R DESIGNER MAII ADDRESS ZIP PMONE LICENSE NO.
5336
5 ENGINEER MAII ADDRESS 2�F PMONE IICENSE NO
6 USE OF BUILDING
Residential
7 CIASS Of WORK
❑ NEW ❑ ADDITION 0 ALTERATION �] REPAIR p MOVE � REMOVE
8 DESCRIBE WORK
Reside House & Garage; Soffit/Fascia
9 CHANGEOFUSEFROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this provision would be if sheathing is an approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not a
weatherproof covering unless the manufacturer states this �n their application
guidelines. Ca11 for inspection of wrap before covering. Caulk and flash a11
exterior openings. Install soffit ventilation to meet the State Building Code.
TYPEOFGONST. OCCUPANCVGROUP OCCUPANCVLOAO
SEPARATE PEFMITS ARE REOUIREO FOR ELECTRICAL. PLUM8ING. MEATING,
VEN7i�ATING OR AIR CONOITIONtNG
THtS PERMIT BECOMES NUIL ANO VOID If WORK OR CONSTRUCTION 20NING SO. fT CU FT
AUTMORIZED IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD Of 120 OAVS AT
ANY 71ME AFTER WpRK IS COMMENCED NO OWLG. UNITS OFF57fiEET PARKING
I MEfiEBV CERTIFV THAT I HAVE READ AND EXAMINEO 7HIS APPLICATION 1 STA�LS GARAGES
ANO KNOW THE SAME TO BE TRUE ANO CORRECT ALL PROVISIONS OF �AWS yq�UqTION SURTA%
AND ORDINANCES GOVERNING 7HIS TYPE OF WORK WILL BE COMP�IED
WITH WMETMER SPECIFIED MEREIN OA NOT. THE GRANTING OF A PEqMIT �9 f OOO ��F. SO
OOES NOT PRESUME TO GtVE AUTHORITV TO VIOLATE OR CANCEI THE pEqMITFEE SACCMARGE
PROVISIONS F ANY HEii $TATE OR LOCAL lAW REGULATING CON- �Z67.2S F1 SC �9.00
TRUCTION R THE RF AMANCE Of CONSTRUCTION
PI,AN CNECK fEE TO L FEE
`P /�' v�- Lice SC $5 0 185.75
i tiarua paCQN7FACTOQONAUTMOQ�ZEDOGENT �O�iE� E P O V VAU T THIS IS VOUR PEpMIT
� � 9-1�.-�.�.
S�Gtio7UAE O� OWaEa��t OWNEABw�DER� �OATE� �r B G�p o ntrE
�11�L1T . ;z
A�RCOMDI,IClFdlidra ��`••�•�`���': �'{''"^ 4' � • " •
AND E�s��C 3!'::C. 3�'�. � F�� ��
ADDRESS �_�% �{11�. I�°°4+ �� ' `�; 1�'e�°_'4"l�.�.�...__..._...... �'�'�� .._..........._. F�,.CxYR G67Y .1�'�1t��� SUBUR
OCC"iJPANT �,_....,_ ......._ __...�....,,._. ,,..�aEFi _..,�-i�.� ° .$.�,._..._.._.�
HEAT LOSS DATE H7G. iN57.
SOLD BY `'as�e,�.. .. ��...,•,. IN5`��iLl.ED BY
Electrieal Work By _ „ sfr;�r<-�v. G�as Lina 8y N^
TYPE OF HEAT GA FA� HW STEAM_ SPACE HTR._,p_ iJNIY NTR.�„ OTHE:R ��
� � GAS DESIGN CONVERSION
MAKE 3' ' `�»� kaA'�i C2F gURNEH _,�e
Model � k ' � k�odre!
Serial � �'�'�'� Max. ATU Ratlnp �
INPUT ,� �"�"' �AKE OF FURNAGE
Puladei _.�,..
THERMOSTAT ,�-� �:•,�`' t� �7ROLHaat Plug ,_ `�ustt �(t� � �"`-�
Valve iClN� �F 1.ltJER L`-+ SIZE NONE
Limit � Draft HaocY t* � Regulator
Lfmit Setttn9 ._ r1iY�urs �s�� � � Numbar !
Fan Setting �,_�„� Ch!snndy LocaBD�r+ insida '� Outsida
Pilot Type w,�„�,_ Chimnay Conctruction
Pilof Make �;
Pilot Modal Srno3�e F�omb Wfrtng `'' �
Pilot Timin9 ,�,___,_,,_,,,�._,�_„, �Jrrft.__-____.�,,,_,,.._,�,�..�,_._.�.�_ Tast Tag � �' �'
L. W. Cut Off ��'i;?�:sr Press�rM „�,,,,�,�„�,._ ��9hting inst.
Pressuro ,.. peroant CO� �� �ata � �sE�.� ,��
InpW CFH �. � Parcent 08 � ,,�,�;� �c+rrspar+y TBaUny� �°'" �
Stack Temp. �� Parcar�i CO ,� �aan� rat i:a�Rr+r � r
Form 235
NEW [ ]
ADDN (j
ALTER [ J
Cohstruction Address:
Legal Description:
Owner Name 8 qa
Contractor.
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
CITY OF FRIDLEY Effective 1/1/2002
6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bidg Insp
SINGLE FAIVIILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Tel. #
�G MN LICENSE �3�
���i Tel. # �sY 9?-� , jg4'$
Attach to this application, a Ce�tificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Wdth
Length Width
Height Sq. FG
Sq. Ft
Construction Type:
�� ,� �� t t10J�6 f, ��c Estimated Cost: $ �O�O
Driveway Curb Cut Width Needed: F� + 6 Ft = Ft x$ _$
DATE: � ��% � APPUCANT: lr�l Tel. # vly ��_/�,��
Call (763) 5T2�604 for Permit Fees if mailing in application ax to 763-571-128T if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ �~
$ , �
$ ,�
$
$ _G'�
$
$
$
$
$ l��• �S"
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 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 [ ]
.. .
STIPULATIONS: