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PRE 2010 DOCSSUBJECT PE-RJVI F.==•-y=w` City of Fridley ®_ 19054 AT THE TOP OF THE TWINS BUILDING PERMIT - r _ COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC.��°� CITY HALL FRIDLEY 55432 "'j NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/6/87 JOB ADDRESS 7104 Riverwood Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE McMullen/Moselle & Associates Inc. 430 industrial Blvd., Mpls 378-3981 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 ❑ X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 36' x 30' Dwelling and a 22' x 30' Garage SEPARATE PERMITS REQUIRW FOR 9 CHANGE OF USE FROM , RE/i'Y INl�n, PLUMBING AND SIGNS, - STIPULATIONS Provide a hard surface driveway. Provide sod in the front and .9t* yards. Provide City with copy of verifying survey before capping. Paid. Park Fee of $1,500.00. DRIVEWAY" ESCROW: 18' + 6' = 24' x $13.50 = $324.00 SEWER LOCATION, 220' N. of M.H. (.Inv. 842.22) WYE ELEVATION: 845.30, TOP OF FOOTING:` 848.80-Minimum nimum WATER LOCATION; ApprO-> 10' N. of Sewer Service 'n- 'ME C1T'Y�,OF LEY DOES NOT GU �j�TEE TjjE Befom-4 local Utiftiq§' j1 ACCURACY 00 6KITY LOCATIONS AND ELEVATIONS. TELEPHON ! RIC - GAS Eta. THfS' DATA 1$ f OR INFORMATION PURPOSES ONLY, _W. -PERSONS1`,USING THIS INFORMATION SHOULD Rr-QUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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 COR9EfCP, ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING `THIS TYPE A'P. WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN.-OR NOT. fi4E GRANTING OF A PERMIT $116,650 $58.33 DOES NO E TO GIVE AUTHORITCTO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI Y THER STATE OR LO LAW REGULATING CON- TRU TI P RFO OFJCO�KS)TRCTION. EORTHE $475.50 Credit from SCh001 ✓✓ WJ PLAN CHECK FEE TOTALFEE y $118.88 $652.71 + PF & DW I TURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY DATED THIS IS YOUR P RMIT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP na E NEW [ ] City of Fridley Effective 4/1/8 ADDN. 17 R-1 AND R-2 DALxER, Application construction Address �`�� DIZ11 Legal Description: I tt Owner Name & Address: L rTel. # Contractor: 4- Z,m Tel # 3 3 1 Address:._ AIL-) Attach to, this application, a Certificate of Survey of the lot, With, the proposed construction drawn omit to scale DESCRIPTION OF IMPROVEMENT LIVING AREA: Length 0 Width b ° Height Sq. Ft. 7 GARAGE AREA:G ,,Len0th , h d� Height ________ Sq. Ft. iiidt .�,.. DECD A; 1 Length Width Hgt/Ground Sq; Ft. OTHER: Corner Lot [ ,a,, ,Insider,; Lot :[ ] Fti'. J Yd,, Setback Side Yard Setback Type or Construction: ���� Estimated Cost: $ Approx. Completion Date: Alt. A Alt B r Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation s APPLICANT: Tel: DATE # CITY USE ONLY Permit Fee $ ') i 4S Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee �3 State Surcharge ,� $.50/$1,000 Valuation SAC Charge S $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge Agreement Necessary [ ] Not Necessary [ ] TOTAL t STIPULATIONS: rj('L, a, 0 C) CERTIFICATE OF SURVEY FOR G ULLkg 6- swan KURTH SURVEYING INC. ■HEREBY CERTIFY THAT THIS SURVEY, PLAN, OR REPORT WAS PREPARED 4002 JEFFERSON STREET N.E. BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY COLUMBIA HEIGHTS MINNESOTA 88421 REGISTERED LAN SURVEYOR UNDER T A S OF THE ST OF MINNESOTA. 612-768-9769 DATE PROPOSED SCALE I"- MINNESOT EGI8TRATION N0. S3'dZ OwIRON MONUMENT GRADES BEARINGS ARE ON AN ASSUMED DATUM GARAGE SLAB• �3,., �� O_• 60 D SPIKE SET I )■ SPOT ELEVATION TOP OF BLOCKS � �� ( )-PROPOSED ELEV. BASEMENT FLOOR- 5, 6 P 774E-0 • DRAINAGE ARROW UlgC ACC C,�ry of, 3ENGeirMA4.1L 46" 1- cATcK bASt4®�a r#ms y l�'Ip�EY ASSLaMFO D.M, cY4Tiol = So.O t DATA �"UrA07y ')©ft Alo- L0QArf0jV, GU �� WUNING D �\ -�dft ?I'VE VA�� Before digging call lost utilities 71� L� TELEPHONE •ELECTRIC •GAS Ett. U gz 3 ',,�EQUiRED BY LAW 0,0 �CtTC) , 30 DA1!�O �°�" M � � DIV. REQUIRE® a�EMIE a IO REMOVAL AND REP Wii~1 X1,0 �, r' O A7 VOWWAY M to V1`g I'J } 16.0 0 " ' I �/—,:1 /r- 10.0 �j , N �Rlvtc VVq V Ito N � n01^ ►• N Ism\ Nv 3, Sala �53.3� 0/ -I -- v 53• ,- ��ga�'� .voe D�Lr+ C-0JN-Ty� X4..1'1 M4,7aTP� 7)®V Averwood Q ;ve ��iverWOQd �oYioh -%%pts-�� ZZ N iy Fo 1, 30 j7/i P J96j r i CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 •- PHONE (612) 571-3450 July 241 1987 Mr. Happy Moselle McMullen/Moselle & Associates Inc. 430 Industrial Blvd. Minneapolis, MN 55413 Re: Completion and/or Corrective Construction on Hanes in Riverwood Addition Dear Mr. Moselle: There are several items of concern to me that we have on various occasions brought to your attention, either verbally or by letter, that still have not been completed. I have recently placed several calls to your office and you either have not gotten the message or you have choosen not to call back. ,This letter is our final notice on these matters and if you fail to complete any of the following items, I have no alternative but to refer this matter to our City Attorney for his legal consideration. (1) 141 - 71st Way N.E., Foundation Wall Correction: This matter was first brought to your attention on October 3, 1986 when we asked that you engage the services of.a structural engineer to certify the previous attempted correction. It took you until May of 1987 to get the report, dated 5/20/87, by Horgan Engineering. The report indicates that additional reinforcement is required. I have discussed this correction issue with you on several occasions; the last recorded time was July 1, 1987 when you stated you would complete the correction as per the engineering report and have the engineer recertify the correction on or before the end of July, 1987. The end of July is only a few days away. Therefore if you can not complete this work by July 31, 1987 we are willing to give you until August 14, 1987 to do so. (2) 7130 Riverwood Drive N.E., New House Construction: (a) Add a register in the warm air plenum. (b) Retuck the block in the rear basement wall where a hole was left after pouring the basement floor. (c) The future fireplace pit has been filled, however the webs were left open. They must be grouted to keep water out. (d) The owner recently pointed out that the blocks along the south wall of the garage have open joints: these must be cemented shut. These items must also be completed by August 14, 1987. I McMullen/Moselle & Associates Inc. Re: Completion/Corrections on Home Construction July 241, 1987 page 2 (3) 181 - 71st Way N. E. , New House Construction: As you know, construction was abandoned after a basement was constructed at this location and the lot has weeds and other debris on it. The basement is not capped and poses a danger to bodily injury if someone was to fall into it. This too was brought to your attention on various occasions; the last time was July 1, 1987 when you stated you would clean it up and either cap the basement or fence it by the end of July. This work must also be completed by August 14, 1987. (4) 7104 Riverwood Drive N.E., New House Construction: This have is now in the stage of being f ramed. We do need a verifying survey for it. We will not conduct the final inspection on it until we have received the required survey. We hope that this letter is all that is necessary to obtain compliance on these matters. Your prompt attention to resolving these matters will be greatly appreciated. If you have any questions on any of these items, please contact me at 571-3450. Sincerely, i a M • FFROMej DGC:/mh CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: RATE SCHEDULE NO. New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer I RATE $ 5.00 S 3.50 S 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 S 5.00 S 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Effective Aug. 1, 1981 Jot Address I 0 VJ ►/ WOOD Department of Buildings City of Fridley Tel. #571-3450 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicatiogn� are true and correct l ,j�✓ Fridley, Mn. - 0 , 19 u) OWNER C! V 1 V V -R KIND OF BUILDING � b V S USED AS D e L V) TO BE COMPLETED ABOUT ESTIMATED COS TOTAL OLD - NEW BUILDYNG PERMIT NO. PERMIT NO. 9��r S I �i a® Company <� V $ Signed By S Tel. No. �� J S S S ROUGH INSP. $ Date S $ FINAL INSP. $^0 Date S S APPROVAL FOR PERMIT ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ Reins State Surcharge S .5o Reinspection Fee $ 0 ej MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 ($15.00) TOTAL FEE $.- PLUS THE $.50 STATE SURCHARGE m a�0 v k m Water d 49 . 4 m H- 4 b W Q M to N a 1k.a Neater •.4 u b C ai '�c3$4 N to o.ciR0 u m a '01 usi U o t c� w° uci 11,u 3 lec RAan lst I y 2nd 1 3rd 4th (R) m Future Connection Opening Connected with Sewer (e) a New Fixture, Old Opening Water PLUMBING FIXTURE RATES: RATE SCHEDULE NO. New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer I RATE $ 5.00 S 3.50 S 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 S 5.00 S 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Effective Aug. 1, 1981 Jot Address I 0 VJ ►/ WOOD Department of Buildings City of Fridley Tel. #571-3450 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicatiogn� are true and correct l ,j�✓ Fridley, Mn. - 0 , 19 u) OWNER C! V 1 V V -R KIND OF BUILDING � b V S USED AS D e L V) TO BE COMPLETED ABOUT ESTIMATED COS TOTAL OLD - NEW BUILDYNG PERMIT NO. PERMIT NO. 9��r S I �i a® Company <� V $ Signed By S Tel. No. �� J S S S ROUGH INSP. $ Date S $ FINAL INSP. $^0 Date S S APPROVAL FOR PERMIT ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ Reins State Surcharge S .5o Reinspection Fee $ 0 ej MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 ($15.00) TOTAL FEE $.- PLUS THE $.50 STATE SURCHARGE - Effective Aug. 1. 1941 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, -COOLING, VENTILATION, REFRIGERATION AND _ AIR CONDITIONING SYSTEMS AND DEVICES flffE . SCHEDULE , USIDENTIAl. RATE TOTAL. Job Address % ®� / lLi� (a a o L Furnace Shell andDuct Mork, Burnerer (Also replacement -furnace/ $ 20.00 $ C� - MN Department of Building% 6411 University Ave. N.E., Fridley, SU32 Gas piping S 10.00 $ City of rridley Tel. 1571-34SO-" (piping needed with new tnrnaee) Gas Range $ 10.00 $ 'Roe undersigned hereby waked • lication for emit for the work herein � � spec IfIed agreeing to do all work in strict accordance with the City Codes Gas Dryer $ 10.00 $ and ruling% of the Department of Buildings, and hereby declares that all the - facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 $ Fridley. . 11 All Others/Repairs and Alterations �Minn. OWNER 10 of Value of Appliance or Mork $ RIND of BUILDING e i% CONNUICIAVINDUBTRIAL USED AS It of Value of Appliance or Mork $ TO BE COMPLETED Amour ESTIMATED COST State Surcharge S .50 OLD - MEN BUILDING PERMIT NO. PEWIT N0. TOTAL PSE Sk.� Reinspection pee 01S.00) $ DESCRIPTION Or FURNACE/BURNER Rough Inep. HEATING or POWER PLANTS. Stena. Not Mater, *Farm Air- No. Date Final Inap. dd' a2". � - l trade Name /�/� Blue No. Date a Capacity e) -a0 Sq. Ft. EDR B71! NIP �®,t Approval for Pernit Total connected toad A,%�? Lam Rdnd of Frei %`l%i '- BURNER - Trade Name as No. caper Ity Sq. Ft. EDR STU �11P MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 Company PLUS $.SO STATE SURCRARGE Signed By Attach stack verification tots with replacmwnt furnace In>Mits d Tel. No. 6Air Conditionern can tint In- placed in %idi• yard without written In'MI%\ton Trow adtoononq wititil.nr. V. 00 ti F CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-34.50 '101-66191 September 22, 1987 NbY' I� McMullen/Moselle and Associates, Inc. Happy Moselle 430 Industrial Blvd. Mfp1s., MN 55413 PiLx RE: Final Notice of Non -Compliance of the Fridley City Code at 7104 Riverwood Drive N.E. Dear Mr. Moselle: On September 21, 1987 a second inspection of your property at 7104 Riverwood Drive N.E. confirmed that the following items still do not comply with the City Code: 5•T14.4. 1. Debris and landscaping residue. Please remove debris from site. An inspection to determine compliance will be conducted on or about September 28, 1987. Should this inspection confirm that these deficiencies still exist, legal action will be approved. If corrective action cannot be completed by this time, contact me to coordinate a schedule to complete this requirement. If you have any questions regarding this matter, please contact me at the Fridley Civic Center, 571-3450. Sincerely, Lisa Campbell Code Enforcement LC/limn C-87-471 (C-87-449) CITYOF FRIDLEY 1E CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 September 14, 1987fpl%e McMullen/Moselle and Associates, Inc. Happy Moselle 430 Industrial Blvd. Mpls., 5541? RE: Debris at 7104 RivLrwQod N.E., secondary to co struction. Dear Mr. Moselle: On 983 I spoke with you over the phone regarding debris and landscaping residue at the above referenced site. At that time, you agreed to clear the site of debris (rather than purchasing a dumpster) and have the old sod removed f ram the street. Since August 26, 1987, I have inspected the site four times — August 28 and 31, and on September 8 and 10, 1987. The sod was removed immediately, but the debris at the site has not been cleared away. Please have the site cleared of all debris immediately. (See enclosed photos.) Your immediate action to correct this situation would be a great improvement for your property and the entire oommunity as_ well. An inspection will be conducted on or about September 21, 1987, to ;determine compliance. If you have any questions or concerns, ease feel free to oontact me. Sincerely, Lisa Campbell Code Enforcement LC/1mn C-87-449 �- cc: complainants N rNof- Ritow0oa2 A1. £ 9j1jt? 10•30AVI •� .� ►~�: yrs' �:-�-.'�^ti.. ••�' �� .�..... .. .ter...:. �..__._. PIPLAI�[JT F0RP1 ZONING DATE fb ADDRESS 00 Ap� -�fop 4 DATE OF IST INSPECTION: , DATE OF IST LETTER: cma7s: 1 710? Riverwood 10:40 a.m. 8/26/87 Fridley, BST 710? Riverwood 10:40 a. m. °a 8/26/87 Fridley, MN b ' a - K a tye=. r1• %7v ,'a'"W,£'`'�� .vii 'iit '} i' _ ` .. i. ..4. _ ~ � _./-°K.P` `'Y �'� a ��� C L is 'A �t�,! ",. � �•o �` _{! priv+Nnn.ic wrr„q �c - tY'• �A .. _. •.. 710? Riverwood t , 10:40 a.m. i 8/26/87 !8 i "J •' Fridley' MN a �s 5r 4 IN�k,�a V f m • � 'h�&��k�g�S� 'viii ``�•��•x 1;�..�`(g{� ��� � pa _z � � r. $ �,�g7rXF�di1� 7�k��r5, �I a �' a rra����'y' .a.. n.'e,�p�,�.,�..,�.. 710? Riverwood 710? Riverwood 10:40 a. m. ! 10:40 a.m. 8/26/87 8/26/87 { Fridley, MN Fridley, DIN t , i a �s 5r 4 IN�k,�a V o.:4,,-. M N r SUBJECT IT NO. City of Fridley 2 7 3 3 27383 AT THE TOP OF THE TWINS BUILDING PERMIT r I ______ COMMUNITY DEVELOPMENT DIV. i - PROTECTIVE INSPECTION SEC. `- SAI& r NUMBER REVDATE PAGE OF APPROVED BY i CITY HALL FRIDLEV 55432 612-571-3450 910-F15 I 8/25/98 _j JOB ADDRESS 7104 Riverwood Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 lRiverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lawrence M. Besser574-1183 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 ❑ NEW ❑ ADDITION ❑ ALTERATIONx REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (27 S 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 REQUIRED 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2251 $1.12 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. $74.75 Xre SC $2.25 PLAN CHEC EEO AL FEE 78.12 OF CONTRACTOR OR AUTHORIZED AGENT IDATEI VA ID D THIS IS OUF�„PERMI j��E ��'� MR1Y ZIG S paiE SIGN E OF OWNER aF OWNER BUILDERI IDATEIA M N r NEW Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� cl -7SJF 3 �ConstructionAddress:—'L/6y I.) g l V Legal Description: Owner Name & Address: � A0 kE-lyc.& AA B 6sTel. # .�5-2V Z Y Contractor: Address: LIVING AREA: GARAGE AREA: KOTHER: DECK AREA: Construction Type: MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. U�l, p2"7 s9 , 7 7- 412 - c i--I-- Driveway Curb Cut Width Needed: Estimated Cost: $ .2 --�S (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ KDATE: APPLICANT: _� Tel. # S Permit Fee Fire Surcharge $ --,?- r, L. State Surcharge $ A SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ J U STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.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 [ ]