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PRE 2010 DOCSSUBJECT P City of Fridley ®.14'70 Ai AT THE TOP OF THE TWINS PER r BUILDING REC NO. ` • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED SWIM 612-560-3450 910-F15 5/17/78 JOB ADDRESS 1583 South. Bavarian Pass N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 1 Innsbruck North Townhouses Plat 4 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Darrel A. Farr Development 7286 -72nd bane No., Mpls. 560-2110 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 371 x 341 Townhouse and a 21' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide combustion air to furnace. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 1252+462 29,660 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] ISTALLS 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 $37,350 18.68 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. $400.00 PLAN CHECK FEE TOTAL FEE $566.98 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) W. EN R EFI VALIDATED THIS IS YOUR ARMV �L BLDG- INSP ATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) /,,r ej z / = v6,z o, - 2 I, G a -d . a 9, 00 C)qX19 fiozo 'mss Y4 x,02 s s 15 Qom, /,,r ej z / = v6,z o, - 2 I, G a -d . a 9, 00 C)qX19 fiozo 7 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVI'T'Y WARM AIR: Furnace Shall & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AI•R: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 ST I.M OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addxi. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199#999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING PEES: 1st 3 Fixtures Additional Fixtures Gas Range to 199,000 BTU RATE $12.00 7.00 7.00 4.00 TOTAL $12.00 • S 4.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 10.00 $10.00 Job Address 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 application are true and correct. op Fridley, Minn. . 19 7 OWNER KIND OF BUILDING _ USED AS TO BE CO $ ESTIMATED COST $ . OLD - NEW BUILDING PERMIT NO. PEP14IT NO. i ifs s, $ x $ 3.00 $ X 3 1.00 $ x $10.00 $ AIR 'CONDITIONING "Pv1. FAP! HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEZ- $ WJUGH INSP. REINSPECTION FEE Date ($10.00) FWAL Imsp. j: -g k -ko Date //�� APPROVAL FOR PERVIIT WWF MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 pI,US $.50 STATE SURCHAIM DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Ava"V.491 Size No. 69fthof_lf Capacity Sq. Vt. EDR BTU HP Total Connected Load ®� Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EOR BTU HP v Company GEO. SEDC ICK HHG.. & AIR CO ,CO Signed By �� Tal -.-No / C: J€: 41vta b? °u ora 1 0 1001 XEi�IA AVE. SOUTH MINNEAPOLIS, N'&I 55416 545-1611 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PEPHIT PARTIAL RATE SCHEDULE x '$3.00 $ PLUMBING FIXTURE RATES: NO. RATE TOTAL Ramber Fixtures Gas Range to 199,000 BTU x $3.00 $ -33.��d Future Fixture Opening REPAIRS & ALTERATIONS x $2.00 $ New Fixture, Old Opening First $100.00 x $2.00 $ Catch Basin each add. $100.00 or fraction x $5.00 $ Water Heater- to 99,000 BTU�_ m x $5.00 $ GCS 100,000 BTU to 199,000 BTU o x $10.00 $ to Water dr Q New Ground Iain Old Building x $5.00 $ Electric Water Heater H x $5.00 W 4 1 p, w Heater LA .W e x 3:1 N C a $4 N +�1 G C 0�� .0 O .�C 4 d Ln C�i M [a N 3 a W c0. U M, a 3 0 2q O as lee t'n c7 PA 1st 2nd 3rd E4th (R) ® Future Connection Opening Connected with Sewer (') - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE x '$3.00 $ PLUMBING FIXTURE RATES: NO. RATE TOTAL Ramber Fixtures Gas Range to 199,000 BTU x $3.00 $ -33.��d Future Fixture Opening REPAIRS & ALTERATIONS x $2.00 $ New Fixture, Old Opening First $100.00 x $2.00 $ Catch Basin each add. $100.00 or fraction x $5.00 $ Water Heater- to 99,000 BTU�_ x $5.00 $ GCS 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Iain Old Building x $5.00 $ Electric Water Heater x $5.00 _ $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ —3•OT� Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50' TOTAL FEE $ /' S -b RT•.I: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement m nt Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES; Effective On January 1, 1997 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR th«'> Wash tC FloorAuto. Gas Urinal Shower wer Tray Drain Washer -A`" I<'< Ran NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** _� $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes {) No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE Water Heater Gas 'Elec.; ' s JOB ADDRESS ��/"/ I✓lf�N _ �f�� "QI��I? The undersigned hereby makes application for a permit for the work her specified agreeing to do all work in strict accordance with the city nodes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. / ` / 1° 44 , 1997 Owner A%7 / �5 Pen / Building Used As��ll./� Estimated Cost PERMIT NO. PLUMBING COMPANY SIGNED BY • Approved By Rough—In Date Final Date .' eq ,,(( $ .50 V, 2166— /%r�a� MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS $20.00 $ Q PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. 5 Clil'OF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 February 12, 1999 Mils Friberg 1583'16avanain Pass'South 0,�� Fridley, M ft�i) 55432 Re: Final plumbing inspection at 1583,Bavadan Pass South /I Contractor: Norblom Plumbing Dear Mr. Friberg:� P f. A plumbing permit -was) sued on Jan -.'1'7,1998 for the property located at 1583 Bavarian Pass South' -for a gas water heater installation. According to Section 30.5(a) of the 1991 Uniform Plumbing Code a final inspection shall be performed on plumbing systems. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, Bary Riesch Building Inspector LI i t Ur rhll)UY APPLICATION FOR PLUMBING AND GAS FITTING Priamir RATE SLHE✓ULE — PLUMBING FIXT-,:RE RATES: NO. RATE TO AL New Fixtures S 5.00 Future rixtUras. $ 3.50 $ - Old OpenLng, ger Fixture S 1.50 $ _- Beer Dispenses _ -- '-- 5 4.00 $ Blow Off Basin $ 5.00 $ x u 5.00 Water Rain xrt�r Leaser S 5.00 $ Hydraull•c Valve $ 5.00 S - SUMP Or Receiving Tank S 5.00 $ Waver Treating Appliance $ 7.00 S Hot Mater Beater $ 5.00 $ Gas Range $ 10.00 S Gas Dryer $ 1G.Q0 $ ALL OTHERS AND/C-R REPAIRS AND ALTERATIONS c -- -eater It, of Value of Fixture or Appliance u a a rJ c t c 3 & u c� di SI (% u u s. °. ' 's mq m U 2 , e o o tc .. i a J 4m kec a at to s 1. to w U w i� t� O0 - 17 -41i 3rd 4th (R) - Future Connection Opening Connected with Sewer !')• - New Fiz=z*. Old Opening 4'. ter RATE SLHE✓ULE — PLUMBING FIXT-,:RE RATES: NO. RATE TO AL New Fixtures S 5.00 Future rixtUras. $ 3.50 $ - Old OpenLng, ger Fixture S 1.50 $ _- Beer Dispenses _ -- '-- 5 4.00 $ Blow Off Basin $ 5.00 $ Catcr. Basin $ 5.00 $ Rain xrt�r Leaser S 5.00 $ Hydraull•c Valve $ 5.00 S - SUMP Or Receiving Tank S 5.00 $ Waver Treating Appliance $ 7.00 S Hot Mater Beater $ 5.00 $ Gas Range $ 10.00 S Gas Dryer $ 1G.Q0 $ ALL OTHERS AND/C-R REPAIRS AND ALTERATIONS It, of Value of Fixture or Appliance State Surcharge -. $ ., Reinspection Fee - $ _50 (515.00) TOTAL FEE SI (% Job Address Department of Buildings id City of Fridley Tel. 1571-3450 The undersigned hereby makes a;:Plication 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 representatiGnI stated in this-appl�ic/ation are true and correct Fridley, Mn. i . 19 CWHER KIND Or BUILDING USED AS , TO BE COMPLETED ABO(."r ESTIrt4:'_0 COST OLD - N—EW BUILDING PERMIT NO. PERM_TT NO. ®� I Company '41_ l7 —. Signed By pry Ior Tel. No. • Act;:Ji ItiSP. Da ce FINAL INSP. Date AS•FRfT./AI. FOR PEk.MIT NINMI14 FEE FOR ANY PLUMBINC,, PERMIT IS $10.00 PLUS TUE S.50 ST.4•rt SURCHAkGE suBjEcT PT NO. City of Fridley 31198 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1-143,3f 1 . � i A ,'� CITY HALL FRIDLEY 55432 NUMPER REv DATE PAGE OF APPROVED By ---- L „ 612-571-3450 910-F15 7/14/00 JOB ADDRESS 1583 - 85 S. Bavarian Pass 1 LEGAL LOT NO. 910 BLOCKTRACT OR ADDITION SEE ATTACHED DESCR. X 1 Innsbruck North Townhouses Plat 4 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Innsbruck Townhome Association 651-224-5482 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Garlock-French Roofing Corp., 2301 E. 25th St., Mpls., PRN 55406 612-722-7129 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 0 NEW O ADDITION O ALTERATION? REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Tear Off and Reroof Townhouse Building 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspection Cards ll9 Be Mailed To Homeowner To P®st SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 I HAVE READ AND EXAMINED THIS APPLICATION 2 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 $P 528.42 $4.268 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `s 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 TOT L FEE $180.04 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE, HE PROP VALID T THIS IS Y UR PER �I B G NSP" TATE SIGNATURE OF OWNEROF OWNER BUILDER, iDATE- 7-12-200 11:50AM FROM 6127229754 P.7 . 1 I 'Effective 1/112000 NEW [ ] ` S1Z-bi2.3SQ4 Bld '1� ADDN [ ] CITY OF FRIDiLiEY # P ALTER [ ] SINGLE FAMILY AND DUPLMMS R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. K S . Sak;' k V111". 0. 1. 511Z MN LICENSE # QDD-0 i+ Y Q3 �S�Tel. # (®I�• Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height® Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: - r, Estimated Cost: $_ a 9. L4 Driveway Curb Cut Width Needed: Ft:* 6 Ft = Ft x $ = DATE: APPLICANT.• (1_ni. Tel. #_ CITY USE ONLY - Call (612) 572.3604 for Permit Fees if mailing in application Permit Fee $Ej cZ- Fee Schedule on ReverseSide Fire Surcharge $ 2 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) W or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ J Not Necessary j ) SUBJECT P City of Fridley 33960 AT THE TOP OF THE TWINS P, BUILDING PERMIT Ir T NO. I _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 � � CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF APPROVED BY L J` 763-571-3450 1 910-F15 10/9/03 10B ADDRESS 1583 South Bavarian Pass NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 1 Innsbruck North Townhouses Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mils Friberg 1583 South Bavarian Pass NE 763-572-3986 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Builders & Remodelers Inc 3517 Hennepin Ave S, Mpls., MN 55408 612-827-5481 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 1100 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION Cj REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Townhouse; Soffit/Fascia; Replace patio door 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 in their application guidelines. Call for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. Install soffit ventilation to meet code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $16,000 $8.00 DOES NOT PRESUME TO GIV RITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY HE STATE R LOCAL LAW REGULATING CON- STRUCTIOV OR THE P OR NCE OF CONSTRUCTION $265.25 Fire SC $16.00 PLAN CHECK FEE TOTAL FEE Lice se SC $5.00 $294.25 SIGNATURE OF CON' UTHORIZED AGENT1163 I WHEN PROPERLY VALIDATED THIS IS YOU PER IT A BLDG INSP gAIE S,GNATURE OF OWNERJF OWNER BUILDER, IDATEI OCT. 9.2003 8:29AM BUILDERS/REMODELERS NEW I 1 CITY OF FRIDLEY ADON , [ J 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SING spP PPP D RZutG AND AAMON Construction Address: Legal Description: Owner Name & Address: NO. 630 P. 3/4 Effective 1/112002 (763) 672-3604 Bldg Insp 3 3`�! 15 jev Tel. # �e� �, �,c1Rf Contractor.MN LICENSE # Address: 3517 HENNEPIN AVE, SO Tet. # AttacNNN&AoQation, a Certificate of Survey of the lob, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Wdth Height 'Sq. Ft. GARAGE AREA: Length Wdth ,. ,. Height ___ Sq. Ft. DECK AREA: Length _.�— Wdth Hgt/Ground Sq. Ft OTHER: Construction Type: st♦m . Eated Cost: $ 2 Driveway Curb Cut Width Needed; t + s Ft = t x= $ DATE: [� APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if malling in application or Fax to 763-571-1287 if using credit card and we will call you for card number. ' CITY USE ONLY - Permit Fee $ c_>26� �� Fee Schedule on Reverse Side Fire Surcharge $_ &10, .001 of Permit Valuaton (1110th%) State Surcharge $, �_�c $.50/$1,000 Valuation SAC Charge $ $1200 per SAC Unit License Surcharge $ 0,0 $5.Q0 (State Licensed Residential Contractors) Driveway Escrow $_ Alt. "A" or Aft, "B" Above Erosion Control $$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ 1 TOTAL $ , �C� �� STIPULATIONS: