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PRE 2010 DOCSmemo SCALE` I"•50, PILOT' AVENUE �5 75 75 75 .16 75 75 A -fl - rr - DzN ?!7. M f 1000g— -- O --75.—w.z —V--ou-•rl - O —~ 1 7—o.2 i:i 112 160 124 4a. 2 . 16 12 13 14 15 j 10 Ormesind Wind Eas ls�7 t- 4 - _.7_M.. -- fn 8 7 6 5 4 72.2 40.2 71.2 _ 40.2 . 122 i13 -i!1 iil '�t� _�_. _ ° ai w + 112 .._ � 'i 125 ��° 149 161 !�! 173 165 • i. 113 0j_ I !N"w [4t�w N t ~ PXi,.., -----. 101 lll.� all 1� ! Sp 75 7f t6 1B u' 49th. AVENUE N.E.. Sc#wL I harsby cc: '•i^Vti1L�GTt+,� L1+,T hAP� rT3 f AfTaiIt:,ono Aan1;a County. J4lnuenll u)° ota.. Block • )ue (1). - shvwiae tha looation of the hOU383 on raid lots. As surveyed by we thi3.25th day of march 1945 A. D. P• Ina..9oc3 Piccistration 2w.25b11 � . APPLICATION FOR t'LUMBING AND OA9 PITTING '"tw91 97-847416051 • TO BE COMPLETED ABOUT _•, p a C ESTIMATED COST 10.00 u .y 4 u RATE Water OLD - NEW BUILDING PERMIT N0. ... PEf�4IT NO. 2321 A •a. X $3.00 H Future Mx tura Opening •• >1 $1.00 $ Company � �v� New Fixture, Old Opening . 1104 ter $2.00 r u .rr� MIN NA' 'OSCO C M $5.00 X yQ (j.J (b0 H $5..00 $ Tal. No. ►. :l :, . C' .3 ' r4ry�1 N •.: �4 D 0 .�tp] pN +•i x ,N{ pNp O ne lac [i r U a m A N M A 4. N W U W K T4 l9 j l s t® 2nd re li ems t 4 th r -- I.. (R) - Future Connection Opening Connected with Sewer i(') - Pow Fixture, Old Opening Water Job Address - lot street, Department of Buildings City of Fridley I Tal. 0571-9450 The undersigned hereby makes application fora permit for the work' specified agraoing•to do all work in strict accordance with the City and rulings of the Department of Buildings, and hereby declares that the facts and representations stated in this application are true Ane Fridley, Ki. 9-27-7Z , 19. 1` OWNER obert Mc i"earth - KIND OF BUILDING ff ame USED AS res. -10 -4 -77 - 100;000•BTU to 199,000 BTU ^- x $10.00 Hater Softener x $7.00 New Ground•Run Old Building _ x $5.00 Electric Water Neater - x $5.00 GAS FITTING FEES; 1st ] fixtures x $3.00 )iditional Fixtures x $1.00 .Gas Range to 199,000 BTU x $10.00 REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction State Surcharge TOTAL FEE 5 S $ ROUGH INSP. Data , S FINhL INSP. Data $ 9 $ APPROVAL FOR PERMIT [A - $5.00 $ $1.00 $ $ .50 $ 8.00 MI14IMUM FEE FOR ANY PLUMBING PERMIT I9 17.50 TO BE COMPLETED ABOUT _•, • PARTIAL RATE SCHEDULE ESTIMATED COST 10.00 PLUMBING FIXTURE RATES; NO. RATE TOTAL OLD - NEW BUILDING PERMIT N0. ... PEf�4IT NO. 2321 Z`lt=y eS Fixtures X $3.00 $ Future Mx tura Opening •• >1 $1.00 $ Company � �v� New Fixture, Old Opening . x $2.00 S Signed Dy' MIN NA' 'OSCO Catch Basin • x $5.00 S t Nater Neater - to 99,000 BTU x $5..00 $ Tal. No. 100;000•BTU to 199,000 BTU ^- x $10.00 Hater Softener x $7.00 New Ground•Run Old Building _ x $5.00 Electric Water Neater - x $5.00 GAS FITTING FEES; 1st ] fixtures x $3.00 )iditional Fixtures x $1.00 .Gas Range to 199,000 BTU x $10.00 REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction State Surcharge TOTAL FEE 5 S $ ROUGH INSP. Data , S FINhL INSP. Data $ 9 $ APPROVAL FOR PERMIT [A - $5.00 $ $1.00 $ $ .50 $ 8.00 MI14IMUM FEE FOR ANY PLUMBING PERMIT I9 17.50 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432 November 8, 1982 Ms. Debi Tester 349 Territorial Road N.E. Blaine, MN 55434 TELEPHONE ( 812)571.3460 Re: Repair & Maintenance of the Rental Property Located at 124 Pilot Avenue N.E., Fridley, MN (SECOND NOTICE) Dear Ms. Tester: Enclosed please find this department's letter dated October 5, 1982 that brought to your attention various housing maintenance violations in the rental property located at 124 Pilot Avenue N.E. A subsequent reinspection on November 8, 1982 has determined that the following items continue to be in violation of the City Residential Maintenance Code and are still in need of corrective action: EXTERIOR: 1. Provide and maintain approved, single cylinder, dead bolt locks on all doors entering into any apartment. Any installed dead bolt locks must be single cylinder, five -pin tumbler type with a minimum lock throw of 3/4 inch. Any questions as to the type and location can be directed to the City Inspection Department. INTERIOR• 2. Provide and maintain an approved, hard wired, smoke detector for both living levels. Questions as to the type and location can be directed to the City staff. 3. The placement of the basement smoke detector inside the bedroom is not an acceptable location. The detector must be moved to the hallway at the head of the stairs. Any questions as to the location can be directed to the City staff. A reinspection will be conducted on or about December 6, 1982 to determine compliance. We are confident in your cooperation on these matters and if any questions or problems arise, please feel free to call on me at 571-3450. Sincerely, STEiQ J. OLSON, R.S. Environmental Officer SJO/mh ENC: 1 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 October 5, 1982 Ms. Debi Tester 349 Territorial Road N.E. Blaine, MN 55434 Repair & Maintenance of the Rental Property Located at 124 Pilot Avenue N.E., Fridley, MN P Dear Ms. Tester: It was brought to the City's attention and confirmed by an on—site inspection on 8eteber- 1982 that the above listed rental property was being maintained in violation of Chapter 220, Residential Maintenance Code, of the Fridley City Code. The inspection on the above date found the following list of deficiencies which must be corrected. Any repairs or improvements must be completed in a workmanship like manner. It is the City's hope that similar or other deficiencies that were not noted will be corrected as needed. EXTERIOR: 1. Enclosed you will find a copy of the State energy retrofitting requirements that were adopted by reference by the Fridley City Council in March, 1982. Please note that the ordinance requires that ell exterior windows doors rim JoistsJoints and utility openings be effectively caulked and weatherstripped to seal off drafts and reduce energy losses Although these are manditory requirements, it is the City's hope that each property owner will realize that the money and energy savings and the increased comfort to the occupant, would more then compensate for the cost of ing e permanent quality job of sealing up these openings.,�� 2. Provide and maintain approved, single cylinder, dead bolt locks on all doors entering into any apartment. Any installed dead bolt Locks must be sing Le cylinder, five—pin tumbler type with a minimum Lock throw of 3/4 inch. Any questions as to type and Location can be directed to the City Inspection Department. 3. Repair or replace any screens with holes in them: West wall, 1st floor, first from south; North entry storm door. 0,,c- INTERIOR 4. The electrical outlets in th ki hen have the polarity reversed and should be properly rewired. t, 5. Provide and maintain a door on the cupboard under the sink. ll -i4" S. Repair and maintain the leaking hot water faucet in the bathtub. 04f-87 7. Repair and maintain the water damaged wall adjacent to the bathtub. There is water leaking from the bathroom into the ceiling electricel receptec le of the basement bedroom. e !t t-Pz- 8. Provide and maintain an approved, hard wired, smoke detector for both Living levels. Questi$s as to type and location can be directed to the City staff. /"/o Z S. Repair and maintain the loose tread runner for the basement steps. 10. Repair and maintain the leaking hot water faucet for the laundry sink. r `' l( 11. Provide and maintain a plug for the end of the gas pipe by the Laundry sink.,,!--- 12. ink.,;i-12. Repair and maintain th water damaged ceiling in the basement bedroom. /-�-�2- 13. Secure the Loose electricel outlet in the basement bedroom, to the wall to conceal the wires and prevent the possibility of shocks to the tenant . , 14. Repair and maintain the leaking valve for the basement toilet. G� !1-- 15. Provide and maintain an approved, grounded electricaL outlet for the basement bathroom.,/�-' ��-�- 16 The placement of the basement smoke detector inside the bedroom is "—° not an acceptable location. The detector must be moved to the hallway at the base of the stairs. Any questions as to Location can be directed to the City staff. N-, 17. Provide and maintain a grounding strap for the electrical system across the water meter. ;'���- 18. The use of the back room in the basement as a bedroom is not permitted and the use of this room as a sleeping area must be discontinued. tio 19. Replece and maintain the spliced electrical plug-in for the fireplace heater. / A reinspection wi ll be conducted on or about Ne--a-m-ber 1 , 1962 to determine compliance. We are confident in your cooperation on these matters and if any questions or problems arise, please feel free to call on me at 571-3450. Failure to abate these violations may result in this matter being turned over to the City Prosecutor for his LegeL consideration. Since Ly ST J. OLSON, R.S. EnvironmentaL Officer SJO/mh ENC: 2 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 1982 Ms. Debi Tester 349 Territorial Road N.E. Blaine, MN 55432 Re: Residentiel Rental Property Located at 124 Pilot Avenue N.E., Fridley, MN Dear Ms. Tester: Enclosed you will find the City's application form for a license to operate residential rental property for the time period from September 1, 1982 to August 31, 1983. Section 220.11, of the Fridley Housing Maintenance Code, states that, "To allow for a systematic enforcement of this ordinance upon rental dwellings, no person on or following the sixtieth day after the enactment of this ordinance shell operate a rental dwelling without first having obtained a license to do so from the City of Fridley... No operating license shell be issued or renewed unless the rental dwelling and its premises conform to the ordinances of Fridley and the laws of the State of Minnesota." Therefore, you are required to complete the enclosed application, sign it and return it with the appropriate fee to the City offices no Later than October 18, 1982. If there are any questions or problems, please feel free to call on me at 571-3450. Sincerely, STEVEN J. OLSON, R.S. Environmental Officer SJO/mh ENC: 1 :-)-/)) --� .7-P )-y-7,1 349 Territorial Road N.E. Blaine, MN 55434 October 17, 1982 Mr. Steven J. Olson, R.S. Environmental Officer City of Fridley 6431 University Avenue N.E. Fridley, MN 55432 Dear Mr. Olson: Regarding your letter of October 5, 1982, relative to the repair and maintenance of the rental property located at 124 Pilot Avenue N.E., Fridley, MN, we would appreciate receiving copies of the statuatory authority and appropriate rules of the MCAR that authorize you to request that the listed items be completed. Also, provide us with a copy of Chapter 220, Residential Maintenance Code of the City of Fridley City Code. We look forward to receiving these items at your earliest convenience. Thank you. Si� 1ere�ly,, I� Debi Tester 349 Territorial Road N.E. Blaine, MN 55434 October 17, 1982 Mr. and Mrs. Duane Bender Ms. Kathy Ruegemer 124 Pilot Avenue N.E. Fridley, MN 55421 Dear Mr. and Mrs.. Bender and Ms. Ruegemer: In accordance with instructions contained in a letter dated October 5, 1982, from Steven J. Olson,•R.S., Environmental Officer for the City of Fridley, we have plugged up the end of the gas pipe by the laundry sink in the basement. Page 3, Section S, of your lease, allows you to install a washing machine and dryer. This must be done by a person properly licensed within the authority of the City of Fridley. Should you have any questions, please let me know. kC -c- '�-7jtL'\1en 0�Sov) Sincerely, Debi Tester Agent for Tester/Martineau YI 349 Territorial Road N.E. Blaine, 1117, 55434 October 7, 1982 Mr. and Mrs. Duane Bender Fos. Kathy Auegemer 124 Pilot avenue N.B. gridley, 1W 55421 Dear lir. and Airs. Bender and Me. L-Wagewer: ,According, to the Fridley City Inspector, tate uce of the back ro= of the basement by the furnace room as a sleeping area is in violation of a city ordinance. Therefore, discontinue using this room as a sleeping area inured iately. Thank you for your cooperation in this matter. Sincerely, Debi Tester ®gent for TesterAlartineau �JCG ' S4e ve r) 0� SOS 349 Territorial Road N.h. Blaine, NTT 55434 Jenuery 23, 1983 Nor. and Mrs. nu,'ne Bend, -r k I Ile . ,. 1?1� Pilot Aire e, N.E. NN 551;21 Deer .vlr. anti Mrs. P.eneier enc. iris. Ruepemer: On a routine inspectinn of 124 allot Avenue N.r.., Fridley, bN on January 12, 1aR3, it Aiss d.Ptermi.ned that you are st?.11 usinp� the beck rooms of the basement as a bedroom. As you ere aware, this is in violation of a Fridley City Ordinance. To refresh your memory, we were notified by letter dated October 5, 1982, from the City of Fridley that "The use of the back room of the basement as s bedroom is not Dermitted and the use of this room as a sleeping area :(mst be discontinued." We then notifiad you by latter dated October 7, 1982, cony attached, to quit using, this room as a sleeri.ng. area. Y This is to inform you that conti.niv d noncomnliance. of this City Ordinence will not he accented. The City Inspector has been notified of your continued noncompliance. Should � ou have any (,uRFti.ons, -nleeGe ePll at 755-4221. WV thenk you for yourVimmediate ^nopereti.on in discontinuing use of this room es a sleeninp v --ren. Si.ncOrely, Debi Tester AFent for Tester/Martineau �%�ee Sfeve dlsoA) 349 Territorial Road R.R. Bilin, MN 55434 October 7, 1982 Mr. and Mrs. Duan Bender Ms. Kathy Auegemer 124 Pilot Avenue W.E. Fridley, HE 55421 Deane Mr. and firs. Bender and eta. Ruegemer: ¢ccording to the Fridley City Inspector, the use of the back room of the basement by the furnace room as a sleeping area is in violation of a city ordissnee. Therefore, discontinue using this room as a sleeping area immed iately. Thank you for your cooperation in this matter. Sincerely, Debi Tester Agent for Tester/kartineau I,a SUBJECT PE City of Fridley A , '7a 9 AT THE TOP OF THE TWINS BUILDING PERMIT r O. COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC 3qI� , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/22/96 I JOB ADDRESS 124 Pilot Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 1 1 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Shipstad 124 Pilot Avenue NE 574-1107 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. The Cities Home Improvement Co 6148 Olson Hwy, Golden Valley 55422 591-0332 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20043502 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling and install soffit 9 CHANGE OF USE FROM TO STIPULATIONS Install ventilation as per State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 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 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 @ $2.99 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,980 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- Fre SC $5.98 STRUCTION OR THE P F RMANCE OF ON RUCTION $112.25 PLAN CHECK FE 2C TO AL FEE License $ 00 126.22 SIGNATURE OF CONTRACTOk OR AUTHORIZED AGENT IDATEI PR afkrr. LY V �AT THIS IS UR PERMLI S,GNATURE OF OWNERUF OWNER BUILDER, IDATEI N T1A TE I,a NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Effective 3/1/96 Owner Name & Address: U i IRGt L Tel. # "it //0 7_ Contractor: rl�e Ge,6'ae S / 4`-�� �C� MN LICENSE # Address4�;,(qe ®e--Spv''L,.0 s-9, e ®C -t) -0-i `7%&-C� SS-tAZZ Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWFROVEMENT 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: 1�P -SA) —Q_ 566( / Estimated Cost: $ Approx. Completion Date: ', % 7 (0= (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: l --Z APPLICANT: �,� �C9-Q p Tel. CITY USE ONLY Permit Fee $ �� S� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $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 $ �� • �� STIPULATIONS: SUBJECT 0. City of Fridley 7224,.7 AT THE TOP OF THE TWINS BUILDING PERMI r �� _____ COMMUNITY DEVELOPMENT DIV. rr PROTECTIVE INSPECTION SEC. r NUMBERREV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/1/96 JOB ADDRESS 125 Pilot Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 31 2 1 Carlson's Summit Manor South Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Tyo 125 Pilot Avenue NE 572-8772 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. James Dusenka Construction 2741 107 Ln NW, Coon Rapids MN 55433 421-6236 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20064381 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof House & Garage (20 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,650 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OCAL LAW REGULATING CON- Fire SC $1.65 STRUCTION OR THE PERFORMAN OF C NSTRUCTION $54.00 PLAN CHECK FEE TOTAL FEE $5.00 License SC $61.48 SI NATURE OF CO ACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY BLDG SP V DATED THIS IS YOUR PERMIT H IIATE SIGNATURE OF OWNERUF OWNER BUILDER) IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name & Address: J�) �j 2 h e- Tel. # S 7 Z— �-7 7 -2- Contractor: Contractor: '��vvje.s -�) v s ` ^j A::.,q MN LICENSE # cP od 6 YS.? I Address: a i `( C - 10 j fti P ^j C ec,-y, 9a:f9,'JFel. # yZ( 6'a36 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF M11PROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 6 e 12-<-LF -le 2 Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ll ( APPLICANT: Tel. # Y,21 423& CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ %, (�,� ^ .001 of Permit Valuation (1/10th%) State Surcharge $ f '� $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $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 STIPULATIONS: $ 4 -'f -q?