Loading...
PRE 2010 DOCSCity of Fridley, Minn. 11-784 6431 University Ave. N. E., Minneapolis, Minn. 55,132 BUILDING PERMIT Date: November 1. 1972 OWner: Builder — She Address 5901 .Brunk = Rohl eyard Address Same LOCATION OF BUILDING No 5574 Street Meister Road N.E. part of Lot Lot 6 Block 1 Addition or Sub -Division Innsbruck North Townhouse Addn. Corner Lot Inside Lot X Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 1496' Townhouse Front ?.4' Depth 31' Height _2V Sq. Ft. _148' cFt, 20.944 r =e Front 20' Depth 22' Height 10' Sq. Ft. 440Cu. Ft 4400' Type of Construction Wood Frame Est, Cost $25:438 To be Completed - March, 1973 Stipulations: See 5510 Meister Road N.E. In consideration of the issuance to me of a permit to construct the building described above, I agree to do ibe proposed work in accordant' with the description aboo) rth and in compliance with all provisions of Ordinances of the city of Fridley. ) E Inconsideration of the payment of a fee of $__10-50_, permit is hereby granted to Viewcon, Inc. to construct the building or addition as described above. This permit 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 of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings Within ani city limits and this permit may be revoked at any time upon violation of any of the provisions of said NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PLRMIT CITY OF FRIDLEY, MINNESOTA OWNZR I S NAME: ;' eo." ,tart . —BUILDER:. S a~ e, ADDRESS :." 0/ eA-,%m A 1y -ft %%te®, ADDRESS: 74- a-��me Aa g/ NO : .�S STREET: �� LOT: (O BLOCK: ADDITION: jwria."i CORNER LOT: INSIDE LOT: � SETBACK: SIDEXARD:_�,_ Applicant attach to this form, Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: .0 _70_7W,*vh0,wre_ Front: 24 Depth: 3/ Height: t8 /4 ore Square Feet: 7415 Cubic Feet: 20,94109 Dbl. 6&:te.. Front: 20 Depth: �� ° Height; ®� ° Square Feet; 440 Cubic Feet: -4400 Type of Construction: dyw Estimated Cost: $�438.00 To Be Completed: /ai 1972, The undersigned hereby makes application for a permit for the work hereto specified, agreeing to do all work in sttict accordance with the Gift of Fridley 02dinances and rulings of the Department of Buildings, and heraby declares that all the facts and representations stated in this appll.o%%:JC.M are true and correct. ,T '• O� ® 7 s SIGNATURE: iv (See Reverse Side For Additional Information.) 10 n rt a r City of Fridley Appowson for R"bq Pemdt Dept. of Bldgs. Phone SW34M r, DESCRIPTION OF WORK Number, Bind and Locaklon of Fixtu?" s i 1i; III Igo 1111. ii� I I Aif 511 s s g91'SI Base Ist 2nd 3rd •I • wArEni Mre. ® M GAS [IEC. PARTIAL RATE SCHED€II.E So�*� PLUMBING FIXTURE RATES:NO. TOTAL� Number Fixtures ................ _d_G[_. x $2.00 S Future Fixture Opening .... :...... x $1.50 S New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 :- Water Heater :Up to 99.000 BTU) • • • • x $3.00 $ ° New Ground Bun Old Bldg......... x $3.25 S Electric Water Heater .............. a 5200 $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures ................ x 52A0 $ Additional Flatures ................ x $ .76 = Gas Range to 199.000 BTU ............ x $5.00 $ State Surcharge $ .50 REPAIRS & ALTERATIONS— Refer to Code Description . . .. • .. . • • .... a . .. • o w. a . • .... • . . .. r s .... TOTAL Fly City of Fridley: The undersigned hereby makes application for a permit for the work here!, speeiBed, agreeing to do all work in strict accordance with the Cl%r Ordinance and ruling of the Department of Buildings, and hereby declares that all the tact and representations stated in this application are true and correct Fridley. Won f /� " �•� ' � , I9_ Owner � 9f - Kind / - Kind of Building 'Mf'?m nJ Used as To be completed about Estimated Cost. $ Old New. uilding Permit No. Permit No. —5-�?.5 Signed ByKW PLUMBINGHEATING Business 7'1 Fe. MINNEAPOLIS, MINN, 55428 :r-.. '3 ROUGH L_av L,yt'�t'�_J,J �i G ® -s® �i:�'LdL''i - Avg, s Da Abs e ��L 42,"SM MAvITT WAM AM- MATE TOTAL ymmace Shell a 1)uct 770rh .. $10.00 $ Replacement of rwwce ... 6.00 $- 'Repairs & Alterations—cep to $300.00 6.00 $--• _- — �e pairs & Alterations each add. $500M 3.00 MCM WAMW AMR Shell & Duct Work to 120,000 BTU_ each add. 60.000 BM ............... .... 3.tDtD 6 Replacement of Furnace 0.00 Repairs & Alterations --up to SM.00 6.00 $ Repairs 8s Alterations each add. $M.00 3.00 $ � MAM or HOT WATER n2rnace Shell & Lines --to 400 sq. ft. EDR Steam $10.00 $ __-- Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam A.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $�— OIL BURNER—to 3 gal. per hour over 3 gal. per hour -See lee Schedule GAB B (up to 10,000 BTU) over 199.000 BTU See Fee schedule GAS FITTING FEES: lst 3 Fixtures _ Additional fixtures Gas Range to IftM AIR CONDTI'ION�NO FAN MXATINO STSTD! vlM M ATMO STSTZM ALTERATIONS & REPAIRS ROUGH 6.00 $ _ NO RATE TOTAL _ x= 7.00 $ - x .75 $ _ Z$ M $ Pea Sehedele r O?AL rM v �d Dept. of Mo& City of Fridley: The undersigned hereby des applicatlon fw a pemit for n�, work bares specified, agreeing to do all work in strict _sg�ola�e with -Me City w and ruling of the Department of Buildings, a$d hereby declares tact all to ftAa and representations stated in this application are true cad awyeci- �11 .i. •q _ IW4 Kind of Building G%.e Used as To be completed about _--- Estimated Cost, $--- . .. _. ®id—Neu►. Building P"dt No. permit No. +�56 HEATING or 1eb team. Not Water. Warm Air—No Trade Name give >lei," /A0 Capacity— Sq. r't zm v BTU H.P Total Connected Load Kind of Fuel- BURNER — Trade Name Size No Capacity Sq. FL ED R BT[T lisp. (RH�ARIIf—OYIR) i SUBJECT PERMIT NO. City of Fridley 2 2 712 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER f7l DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/13/94 10B ADDRESS 5574 Meister Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Innsbruck North Townhouse SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dicks Fire & Storm 864 19 Ave SE, Minneapolis, MN 55414 781-6170 2481 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (Tear-off); gutters 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Inform. owners to install smoke detectors as per State Building Code, adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $ 2,270 $1.14 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $2.27 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $62.41 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI W E RO RLY ALIDATED THIS IS YOUR PERMIT BLDG INSP ryATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 6 7 S Building Permit Application Construction Address: 5574 - Meister Rd., Fridley , Mn. Legal Description: Owner Name & Address: Tel. # Contractor: R.J. Williams General Contractor MNLICENSE# 2481 Address: 864 - 19th Ave. S.E., Mpls., Mn. 55414 Tel. # 781-6170 $ Attach to this application, a Certificate of Survey of the State Surcharge $ lot, with the proposed construction drawn on it to scale. $ $800 per SAC Unit License Surcharge DESCRIPTION OF IMPROVEMENT $5.00 (State Licensed Residential Contractors) LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: house and garage roof, Estimated Cost: $ $ 2 , 2 7 0.0 0 Approx. Completion Date: gutters (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 7/8/94 APPLICANT: R.J. Williams General ContractoiTel. # 781-6170 TOTAL $ 4 ' STIPULATIONS: w CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1 / 10th % ) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge '$ 57.90 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 4 ' STIPULATIONS: w SUBJECT PERMIT NO. City of Fridley 302413 AT THE TOP OF THE TWINS gU I L D I N G PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. NUMBER 1 REV DATE PAGE OF APPROVED BY I -'-t CITY HALL FRIDLEY 55432 612-571-3450 910415 1 9/21/99 JOB ADDRESS 5566,70,74,78,82,86,90,94 Meister Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DES CR. 1-8 1 Innsbruck North Townhouse SHEET 2 PROPERTY OWNER MAIL ADORES$ 21P PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO North Central Bldrs Inc 7401 42nd Ave511-J616R -9763 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION ia REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside Townhouse and garages 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING. 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 EXAMINED THIS APPLICATION STALLS 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 $44,928 $22.46 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW $593.25 Fire SC 4.93 STRUCTION OR THE PER RMANCE OF CONSTRUCTION PLAN CHECK FEE TAL FEE 77, — Zc� - Licen 5.00 $665 . s�GNAruREOF 'RAGTOROR urMORi2EDAGENr iDATE, N P OPER IDATED H IS R PERMIT /— _ S.GNATURE OF OWNER.IF OWNER BUILDER, 10ATE' BL 1Nso UA1E NEW [ J, Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 S S610 �D � BUILDING PERMIT APPLICATION y �S, A Construction Address: i2/'i /Si ��_ l?n 0 4.3�r2�bc �z� kA Ali Legal Description: Owner Name & Address: Tel. # Contractor: IAC U P -Ts/ Cr�t_) LrYt-g Li&e MN LICENSE # S7 3 Address: -740t 4-; /¢ Tel. # � v Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Ri4PROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: S / 4 L 7,b6 &'��d/t A (a �`1 ^ - Construction Type: Estimated Cost: $ W 9o?Cs Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ - DATE: 99 APPLICANT: Tel. # S CITY USE ONLY Permit Fee pp $ X13. Fee Schedule on Reverse Side Fire Surcharge $ 'y .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ X00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ��o . �q STIPMATIONS: 3uilding $ . BUILDING See Back Page for Fee Schedule Permit No.: nspections 3& 1 O RESIDENTIAL APPLICATION Fire Surcharge Received By: 763-572-3604CITY .001 times the total job valuation OF FRIDLEY $ Date Rec'd: D� )ATE+ YOUR E-MAIL ADDRESS $ ;ITE ADDRESS P SAC Charge HIS APPLICANT IS: ❑ OWNER 1RCONTRACTOR $1550 per SAC Unit (Plans to MWCC for determination) PROPERTY OWNER/ NAME; W TENANTADDRESS: % i '��e�✓ CITY STATEAXIP .� PHONE: Park Fee CONTRACTOR NAME; Fee Determined by Engineering STATE LICENSE # EXP DATE ©7 $ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 01'3z e� /�I2� OIC CITY 62 P STAT(kAIP WITH APPLICATION PHONE % -6VEE FAX J ''aW; Make checks payable to: City of Fridley Attach Stipulations PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE O FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE 0 ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE VbECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NES' ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: e .� el SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft.// O ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SEDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE V97 11J.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ av� OCCUPANCY TYPE Permit Fee $ Sq no See Back Page for Fee Schedule Plan Review $ 3& 1 O 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ X .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5.00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ q G 'j _ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fora ermit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w ' equires rev!!*and approval of plans. SIGNATURE OF APPLIC PRINT N X 7VeA DATE ;/;/ SUBJECT PER City of Fridley 10 4 7 AT THE TOP OF THE TWINS BUILDING PERMIT i� O. 1 �' COMMUNITY DEVELOPMENT DIV. a /j PROTECTIVE INSPECTION SEC. I . 1 1 r"ry CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Of APPROVED BY 612-571-3450 910-F15 6/8/00 JOB ADDRESS 5566, 70, 74, 78, 82, 86, 90, 94 Meister Road NE I LEGAL LOT N0, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1_8 1 Innsbruck North Townhouse Addn SHEET 2. PROPERTY OWNER MAIL ADDRESS, • ZIP PHONE Innsbruck Townhome Association 651-224-5482 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Garlock -French Roofing Corp2301 E 25 Street, Minneapolis, MN 55406 612-722-71 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 1423 S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Townhouse Building 7 , CLASS OF WORK ❑ NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof Building 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspection Cards Will B® Mailed To Homeowner TwPost TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING. NNIS 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 EXAMINED THIS APPLICATION 8 STALLS 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 $17,980 $8.99 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 1001 , / 320.22 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MATEI N D D THIS IS V UR PERMIT M)OPEAL11 S-GNATURE 00 OWNER.rf OWNER BUILDER. IOATEr BLDG AP ' fIAIE