PRE 2010 DOCSVillage of Fridley, Minn.
N° 673 BUILDING PERMIT
Office of INSPECTOR OF BUILDINGS
Owner L°',;
r.
Architect Fridley, Minn.,
Builder°
LOCATION OF BUILDING
No,;, A� �,
Street' Part of Lot
Lot Block k Addition or Sub -Division
3
DESCRIPTION OF BUILDING
Front- Depth Height ---L— -Stories Manner of Construction
r
To be used as r - To be completed+ '
Estimated Coat
Permit is hereby granted to
the building described in the above statement. This permit is granted
upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all
the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, Minn,, regarding the construction, alteration, maintenance, repair and moving of buildings
within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Tin ctor of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
i
Subscribed and sworn to before me at Fridley, Minnesota, this—,"'L.
�5 t
day. of'^ A.D. 19r r pr -
- a�
City of - Fridley, .Minn.
BUILDING PERMIT
N?4380a
el
Date: ..... .... .............. 4.._.._... .._:__.__._.._..._...__...._..
Owner: ..----•............. ............................... ._............. _._...___.._... ........ _.......... Builder _.��'d��'�d`.. _..__. ..... .... f.....� �............:......_ _... � n
AddressAddress ... ..... ................... .._:..._............._......................_......._......._...._._......._......._......_
_ LOCATION OF BUILDING
Street...__........_.......`......._.................................. Part of Lot ......
Lot ..... ................................. Block - ... .................... Addition or Sub -Division ..... _............. _..............
Corner Lot .................................... Inside Lot ...... ............... :............. Setback ..... _............. _............. -........ Sideyard
Sewer Elevation .................................................. _............. _............. _....... _.... ......... Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
. •. ..... .'...!_. .` .Front ..... ........ ........ Depth .._._............ Height -----...---....---- Sq. Ft . ..................... Cu. Ft.
.............. _........ .............. Front ..... ..................
... Depth ........... ........._.. Height .......... .............. Sq. Ft. ..... .................. CU. Ft.
11
Type of Construction ................................. .............. -. _.. Est. Cost........ ................. To be Completed .................... _.....
In consideration 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 all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $... ............. ...... permit is hereby granted to. ............ ...... .............. ....... _.............
._..
_._.__.__........__.._....._._.....__...._....... to construct the building or additioni 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 the city limits and this permit may be revoked at any time upon violation of ..of the provisions of said
ordinances. _
Building Inspector
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.
r
Owners Name, "
Address
APPLICATION FOR BUILDING PERMIT
CITY., --,OF FRIDLEY, MINNESOTA
Builder
LOCATION OFt BUILDING
1io. Street'' Part of..Lot
Lot Block Addition.or Sub.Div.
Corner Lot _Inade'Lot Set Back Side -Yard
SEWER ELEVATION. FOUNDATION ELEVATION
1pplicant attach to this form Certificate of -Survey of.Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be :used ao
Front Depth_height
Sq. Ft. Cu.. Ft.
Front Depth Height y
Sq. Ft. Cu. Ft.
Type of Construction st iecl Cost-.
To be completed_._
The undersigned hereby makes applica.taon for a permit for the work herein specified,
agreeing to do all work -1n strict accordance with the City Ord nances.and ruling::of
the Department of Buildings, and hereby declares that all the .facts and representa-
tions stated in this application are .true and cor -
DATE 'SIGNATURE
(A Schedul-o of Fee costs -can be found'on the Reverse Side.)
City of Fridley, Minn.
N. i7064
BUILDING PERMIT
Date: K September 8, 1969
Owner: William Shields Builder Ben Wolke
Address 1300 Highway 100 Address 251 Rice Creek Terrace
woam CATION OF BUILDING
No. 1300 Street H9hWQf--1Qa--• Part of Lot
Lot __ Block Addition or Sub -Division
Corner Lot . Inside Lot __ X Setback _ - Sideyard
Sewer Elevation _ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Amusement Ro omFront r Depth Height — Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost _$1 200.00 _ To be Completed
In consideration of the issuance 9to me of a permit to constru " building des a e I agree to do
the proposed work in accordance with the description above set o in co a'll provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of E 9 s 00 , permit is hereby granted to Ben Wolk e
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 the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector
HANK MUHICH—Building Official
NOTICE:
This permit dos not cover the construction, installation for wiring, phmbing, gas heating, .ewer or water. Be acre to see
the BuNing inspector for separate permits for these hone.
s
r
APPLICATION FOR BUILDING PERMIT
CITY OF :SOTA
OWNER is XWE
, DD• t..
• • • :U
I
NO. STREET A�v
LOT -BLOCK - ADDITION OR SUBDI SION
CORNER LOT INSIDE LOT SETBACK SIDEYARD
SEWER 'ELEVATION TOP OF FOOTING
Applicant attach to this form Two Certificates of Survey of Lot and
proposed'buil4ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To. Be Used As
.Front Depth Height
Square feet Cubic Feet
Front Depth Height
Squar® Aset Cubio Feet
Type of Oanstxuvt3 0 ��Estitat®d ost
To $e Completed
The undvoigned hereby makes application for a permit for the work
herein specified, agreeing to do all work in strict accordance with the
City of Fridley Ordinances and rulings of the Department of Buildings,
and hereby dePlares that all the facts and rep septations stated in
this app7Z71)
el true and correct.
DATE ' SIGNA
(.Schedule
of Fee Cost can be found on the Reverse Side.)
14ce IVWOW�/
November 6, 1969
W. G. Shields
1300 Highway 100 N.E.
Fridley, Minnesota
Fridley City Ball
6431 University Avenue N.E.
Fridley, Minnesota
Dear Sir:
In regards to the lot on Skywood Lane, I have every intention
of cleaning and grading this lot. I was going to do so this
summer after the road was put in but because of the size of the
lot and water restrictions, I would prefer to do this work in
the spring. I intend to change my driveway down onto the new
road and sod or seed this lot. By June,l, 1970 this work will
be done.
l� 6f3U
P /1 0 al -e /
Cordially yours,
W. G. Shields
MEMO TO: Building Inspector
MEMO FROM: Harvey J. McPhee
MEMO DATE: November 17, 1969
RE: Lot Owned By W. C. Shields
I noted your letter to Mr. Shields and his answer. I also checked
the lot on November 15, 1969.
What do you want to do? It should have been cleaned -up. Do we
have any justification to leave it until Spring? What was your
conversation with the complainant, Mr. Joe Laurent? Will he go
along with it until Spring?
HARVEY J.
Public He lth Sanitarian
HJM/mh
560-3450
6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55432
August 20, 1975
Mr. William Shields
1300 Highway #100 N.E.
Fridley, Minnesota 55432 '
Re: Change of Address
Dear Mr. Shields:
It has been necessary for this office to change your address as
follows:
FROM TO
1300 Highway #100 1300 Skywood Court
e
Legal Description: Lot 7', Sub. of Lot 10, Auditor's Subdivision
#94.
We have notified the Post Office Department, Minneapolis Gas
Company, Northern States Power Company, Northwestern Bell Telephone
Company and the various departments in the. City Hall of this change.
Yours very.truly,
D L CLARK
Community Development Administrator
DC/cs
R
CITY OF FRIDLEY
~`• APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WAR S AIR:
Furnace Shell & Duct WQe4
Replace-ert of Furnace
repairs & r -Iterations -14P to $500.00
Repairs & Alterations each add. $500,00
iTECHANICAL WARN AIR:
RATE
TOTAL
$12,00
§
7,00
$
7.00
$
4.00
Furnace Shell & Duct Work to 100,000 BTU $12.00
each add. 50,000 BTU 4.00
*Replace=ent of Furnace 7.00
Re?airs & Alterations -up to $500.00 7.00
Repairs & Alterations each add. $500,00 4.00
ST -%_•i OR HOT i':;TER SYS D-1:
Bailer & Lines, up to 100,000 BTU
each ad .:. 50, 000 BTU
Boiler only up to 100,000 BTU
each adder. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
GAS BURNER- from 100,000 BTU �o
{over 1999,999 BTU see Fee Sche ule
$12.00 $�
4.00 $ �
7. PQ S
P.•AR S
�iq.gR s
4! PR
R:RR
GAS FITT I'.*G FESS:
ist 3 Fixtures �x $ i.RA
A3iitional Fixtures X $ ;;AA
Gas ?ange to 199,000 13TU iR;AA
AIR CONDITIONING
F :SATING SYSTEMS See Fee Schedule
VEtTII ATING SYSTEMS
TErZATI0IS
ALREPAIRS
. State Surcharge
TOTAL FEE
P..=i LISP. REINSPECTION FEE
Date ($10.00)
hate
AP??Z-vAL FOR PEsm.=
F-= FOR AIY HEATING PER= IS $7.50 PLUS •$.SO STATE SURCHARGE
OAttached stack verification form
,Tob Address OCJ�i
Department of B,4tjangs
City of Fridley
l Tel. #571-3450
The undersigned hereby makes application for a permit for the work herejn
r, specified agreeing to do all work in strict accordance with the City Ccdes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true
/and correct.
Fridley, Minn. % 19
OWNER Va22 A -Z aS
TIND OF BUILDING
ppr-p AS
TR PP. POMPI rTP WRT
T�TPP CAST
RSP - PgTP G FFF'ITT r q- PEM.:=T NO
Pf §CRTPTTRN PT FPr-MACE/BURNZR
#I !TONG
rot PI4t..a?:! Air- ?QWP3 Nr eam #/
Trade Name 4 M44:M Size No.
capacity _ Sq• Ft. >rDR B41 ?»
Tota onnecte` ad �5ip :find of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU EP
Company
Signed By
Tel. No.
GLASS
EXP. WALL
NET EAP. WALL
CEILING
FLOOR
TOTAL
BTU. I
ROOM LENGTH WIDTH HE
TOTAL.
FL.1
z
prX FNAME
WINDOWS AND DOORS-CRACKAGE AND AREA
Ijp;- WIDTH HEIGHT N0. OF LINEAL FT. AREA
'.
LIOF CRACK SOFT.
Aal
► t I Yx , .
` 0 P+�'i FZ
NAME
��
J �B
Ar+��s
p
ADDRESS
, ,
RQ0Zt4 LENGTH 0 WIDTH f/
H$i6�:
�.
kllt`i
PFf I 1n
WINDOWS AND DOORS•CRACKAGE AND AREA
iJO'lNAO owRSICoItCKN��
�:�
! p»*, `,d.At4EA1. Pi ARRA
WIDTH
NE16Nt No. O LINFJ►l i AREA
LIGHTS OF CRACK,SQ. FY
�iI I ,. tttliN-
t1E1tlItS LtG�ITm .DF CRAXdt;, l31: fi3
7,�
77711-
3
30
4O
.
v47
u
h
yp
p A
COEF.' A
COER
gTiJ
INFILTRATION
IIF tk RAT t8N
Y.
e
%IP. WALL
;ET EXP. WALL
,..iALR
Y'•g.,
`
:AILING'
-
~��*
TOTAL BTU.
ROOM LENGTH Q W 1 DTH
..
!f E 1 GHT $
k
R LENGTH
HE F Ci`ff
FL -1
AIS
DOORS•CRACKAGE AND AifA
WINDOWS AND DOOR5•CRACKAGE AND AREA
_
N0. OF LINEAL FY. AREA
¢t a
;tg1DIN
QP .LINEAL FT. ARE%1
NEICNT L F RACK .FT
N0. WIDTH
NEIryGHT LIGHTS OF CRACK SQ. FT.
� a
3
36
Y
30
JO 74
16
r
COEF.
8T
I!"LFILTRATI ON
; -
INFILTRATION
_
GLASS
EXP. WALL
NET EAP. WALL
CEILING
FLOOR
TOTAL
BTU. I
ROOM LENGTH WIDTH HE
TOTAL.
FL.1
BTU.Ill
RO LENGTH WIDTH HEIGHT
FL,
WINDOWS AND DOORS-CRACKAGE AND AREA
Ijp;- WIDTH HEIGHT N0. OF LINEAL FT. AREA
'.
LIOF CRACK SOFT.
WINDOWS AND DOORS-CRACKAGE AND AREA
N0. OF LINEAL FT. AREA
NO., WIDTH -LIGHTS OF CRACK_ S0. FT.
ya
INFILTRATION
GLASS
EXP. 'WALL
.NET EXP. MALL
CEILING
FLOOR
TOTAL C""j
1
TOTAL BTU . HEAT LOSS
HEATI
COEF. BTU.
COEF BTU.
1'Y V INFILTRATION
y. COLCL ASS
'\ GG EXP., WALL_
NET =CO. WALL
CEILING
FLOOR
�- c` � TO7A6 BTU
TOTAL E.D.R. STEAM�y / TOTAL SQ. FT. H.W.
NIT
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CITYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
August 9, 1990
William and Mary Shields
1300 Skywood Court N.E.
Fridley, MN 55432
RE: Property at 1300 Skywood Court N.E.
Dear Mr. and Mrs. Shields:
On July 1, 1990, the City of Fridley began a new program called
Systematic Code Enforcement. This program is designed to provide
fair and equitable code enforcement, improve the City's appearance,
and maintain property values by creating a more attractive suburban
environment. Under this program, all properties in the City will
be inspected approximately once each year to ensure that they are
in compliance with the Fridley City Code.
A recent inspection of your property revealed that not all Code
requirements are presently being met. Listed below are item(s)
which do not comply with the Code:
1. Discontinue outside storage of wood, building materials, and
assorted materials located along front of house.
Your prompt attention in correcting this problem would help us in
our effort to improve the City. A reinspection will be conducted
on or about August 23, 1990, at which time compliance is
anticipated. Please call me at 572-3595 if you have questions or
wish to discuss this further. Thanks for your cooperation!
Sincerely,
Steven Barg
Code Enforcement Officer
SB:ls
C-90-612
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1993
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER
PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS
RATE SCHEQULE
{ The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Sumer —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 20.00
$
representations stated In this application are true and corre t.
(Side Vent — FIA Out Back)
Gas Piping (Needed with new furnace) $10.00
OWNER
Gas Range $10,00
903 It
BUILDING USED AS
Gas Dryer $10.00
$
ESTIMATED COST��� PERMIT NO.
*Air Conditioning — All Sizes $10.00
$
-
OF FURN&CSE BURNER
All Others/Repairs & Alterations (LIST ON BACK)
DESCRIP'jjON AND 0
1% of Value of Appliance or Work
$
No. of Heating Units' Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
Commercial/Industrial
BTU _HP EDR
1% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
$— 0
Sumer Trade Name Size No.
TOTAL FEE
BTU HP EDR
-:. HEATING COMPANY
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT ISc
W
Signed By ` Tel No.
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
Approved Byz Rough—In Date Final Date
*Alr Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
NOTE: #1 through #8 required when using a side vent furnace.
CHIMMU AND STACK MUNA3M
The tt gt cr hereby 1 that t' existing cr tut '
1.
Has beencarefully examined
Yes {
}
No
( )
2.
Is free from rust or deterioration
Yes ()
No
{ )
3.
Has no foreign objects lodged within
Yes (}
No
{ )
4.
Ig securely supported
Yes ()
No
( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No
( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes (} No ( )
8. Has combustion air been provided for water Mer Yes () No ( )
Remarks:
i ist ALT MATIONS Beim- Done: B
HEATING CO:
Signed By:
Date:
PERMIT NO.
SUBJECT
City of Fridley
9
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
RECEIPT NO.
• _ COMMUNITY DEVELOPMENT DIV-
»»
I ; 6i ------
r � � PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/4/96
JOB ADDRESS 1300 Skywood Court NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
]
Subdivision
of 10, Aud. Sub. #94 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bill/Mary Sheilds 1300 Skywood Court
NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Legvold Construction 374 E Belmont Ln,
Maplewood MN 55117 774-9422 3650
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 X ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 12' x 10' Three Season Porch
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
R►��G
Before digging call for
all utility locations
EPARATE PERMITS R t l31RF� �R
LAW
IRINGjjEATINGv PL Ut�Ild;.i�t a hD SIGN,
REQ SIRE®oBY
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
I HEREBY CERTIFY THAT 1 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
@@
$3, 098
$1.55
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-
$87.25
Fire SC $3.10
STRUCTION OR THE PERFORM CE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
' ✓� X__ 5>-
License SC $5.00
$96.90
SIG LIRE CONTRACT OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY LI DATED THIS IS YOUR PERMIT
BLD INSP OATS
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
PERMIT NO.
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:`"�(a.�Tz y �5� Lcl Tel. #
Contractor: Z C a MN LICENSE # ��C`5
Address: -�97Y IF` RtF&i tcxot 4141toj�=-- Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF RYWROVEM[ENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: -5, t t� r� c� ,� / 2 ,� �{ �"� e,
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ t ® o o c-3
Approx. Completion Date: I l - l.5 J
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. # 77 �— Y
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge T .001 of Permit Valuation (1/10th%)
State Surcharge $ ,,mac % ' $.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: