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PRE 2010 DOCSCity of Fridley, Minn* BUILDING P TIvo 5688 Date: &— 1-6 Owner: Builder _�........_.__ _....__.._.____ Address _ _ _ Address — --- p L CATION OF BUILDING Streetfi m �, _.._.M.. Part of Lot . _.. _ _ Block _. Addition or Sub -Division - Corner Lot .__ Inside Lot �� Setback _�Sideyard Sewer Elevation__ _ _ __ Foundation Elevation --- DESCRIPTION .OF BUILDING To Used �* .0 ,eo r /� _ Front Depth Height Sq. Ft. _6 Cu. Ft. ;- Front Depth _ Leight _ _ Sq. Ft. _. _ _ Cu. Ft. Type of Construction ..,; Est. Cost .,. _._......__.. To be Completed ._._..._._._._._ In consideration of the issuance to me of a permit to construct the building described above, T 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 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 vi�olatim-of any of the provisions of said ordinances. '�, _ Z7 , Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be aura to am the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Address Address 1/ r LOCATION OF BUILDING Q No. S_ Street art of Lot Lot � n Plock � Addition or Subdivision L 4 �_ c�x , . Corner Lot Inside Lot s Setback_3_1,' Side -Yard �n ` � ►� ` SEWER ELEVATION. FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF (BUILDING To be used as: J,,,, C9 --J- ` �� J�2 4 Front Depth Height sq. Ft. Cue rt._ Front�,,Depth sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned 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 ruling of the Department of Euild- ings,.and hereby declares that all the facts and representations stated in this application are true and correct. DATE err_sr21MTTaa� �r6�1;,^ (schedule of Fee Costs can be found on the Reveise Side). City of Fridley Application for Plumbing and Gas Fifting Permit D 68 Bld Ph SII 4 7470 DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: C < V g Z Number Fixtures ...............- � .. • • • . x $1.50 Z N Y F O $ pK Z O Z 2 W 4< 3 g C9 W d' 0 Z U a Water Heater (Up to 200,000 BTU) + WATER HTR. GAS ELEC Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................—� x $1.50 $ ,%� C) Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd 3rd 4th Future Conaection Openings New .Fixture, Old Openings I nected Co with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: • RATE TOTAL Number Fixtures ...............- � .. • • • . x $1.50 $ —de) Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ......—z x 2.00 $P d New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................—� x $1.50 $ ,%� C) Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ............................. ..........$ TOTAL FEE $ �� J ep o gs. one Location— City ocation City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn --,-? 19�� .�� Owner Kind of Building Used as To be completed about Estimated Cost, $ Old New Building Permit ROUGH FINAL IM f/ S- - 3 "�''C 7s Business Phone _Permit No. Application for Power Plants and. Heating, Cooling, Ventilation, AeMgeraflon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 Repairs & Alterations—up to $500.00 .................. 5.00 Repairs & Alterations each add. $500.00 ............... 2.50 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 each add. 60,000 BTU .... . .................. 2.00 Replacement of Furnace Repairs, & Alterations—up to $500.00 .... ............. . Repairs 8s. Alterations each add. $500.00 ............. . STEAM or .HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam...... . Furnace.Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam ...................... Each add: _820 sq. ft. EDR Hot Water .................. 5.00 5.00 2.50 8.00 $ 8.00 $ 2.50 $ 2.50 $ OIL BURNER --to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 Additional Fixtures ................. x .50 $ Gas Range to 2.00,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ TOTAL FEE Dept. of Bldgs. Phone SU. 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Kind of Building /— Used as 4_64vo To be completed about —Y-0-0 0-0 r 6 Estimated Cost, $ Old—New. Building Permit No. Permit No. s r DESCRIPTION OF WORK HEATING or POWER PLANTS—Ste of W , Warm Air—No Trade Name Size No. OR -000 Capacity �S�q1. Ft. E.D.R BTU H.P. Total Connected Load S!� ® C 0 Kind of Fuel GIZSZ/ BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Sign�' . By %/ ``.-%Pm42 IM 7_59 Business Phone No 'e � r COMMUNITY DEVELOPMENT DIVISION CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NORTHEAST FRIDLEY, MI14NESOTA 55432 NOTICE OF NON-COMPLIANCE Name` T Date Address 50ZP Z,S'Date & Time of Inspection An inspection by this Department has indicated that you are in non-compliance with the following checked (x) sections of Chapter 113, Refuse Disposal, of the City Code. You are hereby notified to take whatever action is necessary to correct any violations on or before A*41flo' 7, /f 7-�;, Failure to comply with this notice may result in legal action by the City Prosecutor. ( ) 113.02 Provide sufficient containers for the storage of all refuse (including garbage) accumulated on the premises between collections. 113.02 All refuse containers shall be water tight, have a tight fitting lid, be impervious to insects, rodents, vermin, and absorption of moisture, be fireproof, and not exceed 30 gallons in size (unless otherwise specifically authorized). ( ) 113.02 All refuse shall be stored in approved containers, with the cover in place. (A� 113.08 Containers shall not be placed or maintained as to interfere with the use of adjoining property. For the�urposes of oo]l.ectiony only, the containers may be placed a maximum of 3 feet i_ n front of the dwelling unit. ( ) 113.07 The contents of storage containers shall be collected at least once every week, or more frequently if necessary. ( ) 113.09 Containers without covers, in poor repair, corroded, or otherwise defective shall be repaired or replaced. ( �) OtheriFj'G'�►7'e it/ /,r. S'%-CrR1x1C_ yai� P_._ p�Za� i'�7,- 41.�i y�Iy OIL % 1? ;dz,�?'T�t _ �"%�fE`� "r�/ti �� < . 7 P' 3, l3 c C�- � ,44 i /u t/,, 2-f OF_ If you have any questions concerning this matter, please feel free to call on us at 571-3450, extension 164. By: Inst ection De a ent 01 SUBJECT City of Fridley ® 19503 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. I `y ...... COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ®' 1 . � 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 6/2/88 JOB ADDRESS 5873 Washington Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 1 Lyndale Builders 7th. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stephen/Tamara Kimball 5873 Washington Street N.E. 572-0486 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 1JX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 81 x 101 Deck.Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plans Before digging call local "44joq TELEPHONE - ELECTRIC - GAS E19, REQUiRED BY LAW 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 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 $550 $•50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $17.50 SIGNATURE OF CONTRACTOR OR AUTHORIZW AGE IDATEI WHEN PROPEftY VALIDATED THIS IS YOUR PERMIT 4.13NA4TU0F. BLDG INSP ATE IIF OWNER BUILDERI IDATEI 01 NEAT [ ] City of Fridley Effective 5/1/88 AMN r4 R-1 AMID R-2 ALTER [ ] Building Permit Application Legal Description: Owner Name & Address: - STC f 14 SAI A=T em (A 4(I # M % -6 Out Contr actor : # Address: Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF IAP'ROtiIIMMU LIVING AREA: Length Width Height Sq. Ft. MRAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Bgt/Ground le 0 Sq. Ft. LEM@:. Corner Lot [ ]Inns de Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: $_ Width + 6' Alt. A Alt. B $ See Back Page Tel. # CITY USE ONLY Permit Free $ .®� Free Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $550 per SAC Unit Driveway Escrow $ Alt. W or Alt. 'B" Above Park Free $ Fee Determined by Engineering Sewer main Charge Agreement Necessary [ ] Not Necessary [ ] TOTAL, SZ'IPULATIONS: 17SW sb v- IJ. ow iY2 .3� 17, 0,d i F i 1 1 1. 1 1 f , I i f I I E .I 1 1 I I I 1 Y 1 I I I I I I 1 1 I I E 1 1 '1 I 1 ' 1 I 1 I I I I I I I 1 1 1 I I t I 1 I 1 XIS J I j i I I i 1 1 1 I. I I 1 I, 1 E I i I 1 I I I I I I I I 1 I 1 t I 1 1 1 t I } I 1 1 1 1 1 I } } } I 1 1 y 1 1 1 1 I 1 1 1 1 i } 1 1 } 1 I 1 1 1 1 } } 1 1 1 1 I I I I I I 1 1 1 ! I y 1 1 1 I I I I I ((LL%% 1 1' O I y st 1 i 1 I 1 1 G } 1 I I 1 1 1 1 1 1 f I i •I I f } 1 1 I 1 1 1 i 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 } I s� I 1 I E y 1 1 I } I I /• / i 1 I I I I 1 5 1 1 E 7A{ -lop I y I I EG i I 1 I 1 1 1 d, 1 I f i 1 t I I 1 I 1 1 t I 1 1 1 1 1 I I 1 1 t E 1 I 1 E r E } 1 E E LING. t 1 1 t 36" MIN. EIG q T I I 1 t I 1• 1 6" N�AX.: AGING, I 1 If. I • ( 1 1 1 1 } 1 I I I I 1 1 1 1 1 I 1 1 1 1 1 1 I I 1 � 1 I 1 1 1 • I 1 1 1 1 1 1 I I 1 ! } I } I 1 SUBJECT PE City of Fridley 92958 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT N 1.' ' COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �� t 1 1 NUMBER REV DATEPAGE P OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/29/94 / JOB ADDRESS 5873 Washington Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 1 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE T Kimball 5873 Washington St NE 572-0486 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rainguard Roofing 12008 Pennsylvania Ave N, Champlin MN 55316 421-8897 6061 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 O ALTERATION Cj REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (16 Squares) 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 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 1 ISTALLS GARAGES AND KNOW THE SAME T BE TR E AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GO ERNI THIS TYPE OF WORK WILL BE COMPLIED $.60 WITH WHETHER SPE FIED� EIN OR NOT, THE GRANTING OF A PERMIT $1,200 DOES NOT PRESU TO I AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF -6"rH R TATE OR LOCAL LAW REGULATING CON- $29.00 Fire SC $1.20 ST1 CTION O E P NSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $35.80 S`EO FCONTRACTORORAUTHORIZED AGENT (DATEI H�E4 PP,ROPER(/L//���p�VALIDATED THIS IS YOUR PERMIT B-LDe )NSP BATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW Effective 1/l/94 ADDN ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: -5) d 7� W Legal Description: Owner Name & Address: e- � � 1 Tel. # 5;� o qj% Contractor: _ e / W. - )C -f MN LICENSE # �o 6 / Address: 4zoo f Le tl n 5 �41 v 4 J s1. A�_ � 14 a '1 L�, —s 3/ ( Tel. # q4 ��17 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 Ground Sq. Ft. OTHER:if j 9c, Corner Lot [ j Inside Lot [ j Ft. Yd Setback Type of Construction: Tom` ,�f it. re-rv-, Approx. Completion Date: f cv x` Driveway Cuffi Cut Width Needed: DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ $ 3� -So Side Yard Setbacks Estimated Cost: $ I --Zoo CID ick) Ft x $ = $ Tel. # Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B'" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary ( ] SuBjECT PE City of Fridley 2822 3 AT THE TOP OF THE TWINS BUILDING PERillIT ``572® RECEIPT NO. _ ' ITE DEVELOPMENT DIV. !.f r ,PROTECTIVE INSPECTION SEC. NUMBER NEV PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F1 ZDAITE 35 8 JOB ADDRESS 5873 Washin ton Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 1 L ndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Steve Kimball 572-0486 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems Inc. 9199 C717-0700 20093688 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 ❑ ALTERATION )a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (17 Sq) Tear -off; Reside house - one side 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIRED 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 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 $4581 $2.29 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 $99.75 ire Sg,$4.58 PLAN CHECK FEE TOTA7FT& Lice C 5.0 112 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi ENP PE L ED IPSIS YOUR PERMIT 734 BLD -NSP � s na E SIGNATURE OF OWNERgF OWNER BUILDERS IDATEI L 1 ADDN [ _ �CIT�kOF FRIDLEY ALTER [ SINGLE FANIII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �� 1 Legal Description: Owner IS Contract Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF DAPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: M Construction Type: I v o 61 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. Sq. Ft. q5('0. X N 00f Estimated Cost: $ 3 12, - A S (Gd 9 (Fee Schedule on Back) O Ft x $ = $ DATE: V APPLICANT: Tel. /# TOTAL $ STIPULATIONS: CITY USE ONLY (� Permit Fee $ l ' Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ b. $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: