Loading...
PRE 2010 DOCSCity of Fridley SUBJECT ®14157 AT THE TOP OF THE TWIN IT i � DVLDAGD[Rv COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/13/77 JOB ADDRESS 5686 West Bavarian Pass NE. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Development Corp. 7286 - 72nd Lane North 560-8110 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICE 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 X 8 DESCRIBE WORK Construct a 24' x 35.5' Townhouse and a 20' x 23' Garage (Sunnenheim Model) 9 CHANGEOFUSEFROM TO STIPULATIONS PERMITS REQUIRED FOR WIRING, Wmmo ,SEpMTE ®d ift dig0mg call local utiIR HEATING, PLUMBING AND SIGNS. -MLERt1ohE- ELECTRIC -GAS Etc REQUIRED BY LA 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 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 1800+460 22,936 Total 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $30,375 $15.19 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. $91.74 $375.00 PLAN CHECK FEE TOTALFEE $22.94 $504.87 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT - (DATE) W E, P PERLY VALIDATED THIS IS YOUR PERPAIT BLDG. INSP ®� f6ATE SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) • J 10.:SIJ)I;N'J'ItiJ,, A1,11:1,1ATIO ) OR ADI)ITIO; Y,Uf LI)ING I11:1ZIMIT CJTY OF ]:RfJ)LI-:Y, .JIN ;J;SOTA UtTINE'R' S NA1-1E :A4A_ to 41 A210-k-Dem.�, BUILDER: .�a�� ADDIR'ESS :7A 8& W":4 Lase. Aowf4 ADDRESS: !� . �_��•�"� ��-� � LOT: BLOCK: _� ADDITION:- k°°A 9 L11,d— s COMER LOT: INSIDE LOT: Pelo, SETBACK: SIDEYARD: Applicant attach to this form Wo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To .Be used As: /,�',�i;,A-o se_ Front: - Depth: 3C. �� Height: t Square Feet: Cubic Feet: Front: Depth • Height: Square Feet; 490 Cubic Feet: o tt��� Ca, Type of Construction: ()00 �-91M� Estimated Cost: $ To Be Completed:. The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all Pork in strict accordance with. the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: (See Reverse Side For P612(A r r PLA ab 90 SIGNATUM: Additional Information_) CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 m Water N 49 .ml Catch Basin m $ E. b m $ m 0, $4 W W Water Softener $eater $ o New Ground Run Old Building x $5.00 $ a Electric Water Heater x' $5.00 o $ GAS FITTING FEES: M 1st 3 fixtures x 43.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS W V W °� $ m each add. $100.00 or fraction $2.00 $ u1 ro .a U s+ D ro Pq cy PO �+ N ro S N o q W a W W ro ro U M a m RC 3 C7 ro (9 O lec d 1st 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer {*} - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x' $5.00 $ GAS FITTING FEES: 1st 3 fixtures x 43.00 $ 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 $%,.J50�\ TOTAL FEE $ 7 / • S (J REINSPECTION FEE ($10.00) Job Address 5 (0 `� 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 Fridley. Mn. ® , 19�2 -7 OWNER DC1— KIND OF BUILDING�A USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company �- Y 4I UY �tlbfUCt c����% �C-f� �I IV) Signed By-'-ee Tel. N �q.;2,15 e- fl_S ROUGH INSP. Date FINAL INSP. %/-/ 7 - 77 Date APPROVAL FOR PERMIT �RB� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE d, CI1Y OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND J z 3 d'� AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE ism 3 Fixtures x $ 3.00 $ �. Additional Fixtures x $ 1.00 L, (a% 3 If 4 ;RAI"ITY WARM A1R: RATE $ TOTAL Job Address 110 c 1s ✓/ Furnace Shell & Duct Wort $12.00 $ See Fee Schedule $ Replacxx nt Of :i:rnace 7.00 7.00 $ $ Department of Buildings Re_ airs & :.iterat:o.^.s-up to $500.00 State Surcharge City o£ Fridley .50 P.etairs & Alterations each add. $500.00 4.00 $ ),S--S-v' Tel. ;`•571-34501 IECHUNICAL WARN AIR: The undersigned hereby makes application for a permit for the yrozk herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ f v` `�`� specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of buildings, and hereby declares that all tee each. add. 50,000 BTU 7.00 $ facts and representations stated in this application are true and correct. Retlace»ent of Furnace 7.00 $ F.e-airs & Alterations -up to $500.00 4.00 $ Fridley, Minn. J , lg_ Re airs & Alterations each add. $500.00 ;TF OR HOT WATER SYSTI31: OWNEi. -A:.' ` Bailar & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each:. z~.. 50,0000 BTU 4.00 $ //� Boller only up to 100,000 BTU 7.00 $ USED AS �/9 �• each addn. 50,000 BTU 6.00 $ .7 TO BE COMPLETED ABOUT )IL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST � ,.Sv 4.7 $10.00 $ l a. 00 OLD - BUILDING PERMIT ,:0. PER<IT ::0. �,1�Q� AS BURNER- from 100,000 BTU to 199,999 BTU (ever 199,999 BTU see Fee Schedule) $ 3AS FITTING FEES: ism 3 Fixtures x $ 3.00 $ �. Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ 'SIR CGNDZTIONI NG -1! /-9,-, A_ 7--,J $ I1N HEATING SYSTEMS See Fee Schedule $ i-NTZLATZNG SYSTEMS , $ 1LTERATIONS $ REPAIRS_% $ State Surcharge $ .50 TOTAL FEE $ ),S--S-v' Date F=AL I.,S?. " Date 'r 1PaZ.7t iv FOR PERMIT REINSPECTION FEE (.$10.00) XLX'XQ4 FEE FOR ANY RZATING PERMIT IS $7.50 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, F.ot Water, Warm Air- No. Trade Name /V 1,— a _,1 Size No. e,/-/- ' o v .� Capacity Sq, Ft. ED9 BTL' :? Total Connected Load -2 7 7 5Kind of Fuel d BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company ^0-�5r`•0sl By o _ re. `Tei. No. aB �� HEAT LOSS CALCULATIONS H EATI & AIR Weatherstrips A.S.H.V.E. Guide Reference �g Construction No. Insulation Windows Doors Out. Wall int. Wall Ceiling Roof Floor Kind How Applied Yes -No Yes -No FI. V- C'- Room I Length X IrWidth ® Height FI Room Length® Width ✓ Height Windows and Doors—Crackage and Area Lineal ft. Area of crack sq. ft. ,• f 14 91 Windows and Doors—Crackage and Area 1( No. Width Height No. of _ of pane of pane lights No. Width Height No. of Lineal ft. Area of pav5ne of pane fights of crack sq. ft. Coefj Btu Coef Btu Infiltration Infiltration Glass x'°60 Glass (. Exp. wa I I Exp. wa 11 (/ Net exp. wall d & 0 S Net exp. wall ,� Int. wall Int, wall Ceiling Ceiling Floor / Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room Length jef Width Height Q FI &I. Room I Length/!rWidth /a Height Windows and Doors—Crackage and Area j o Windows and Doors—Crackage and Area Noghts Width Height No. of Lineal ft. Area of paneof pane lights of crack sq. ft. / 3� 7- -Z. `s7 7- 31 No. Width Height No. of Lineal ft. Area of pane of pane ❑of crack sq. ft, N��" - I Coef Btu Coefj Btu Infiltration Infiltration 7 Glass Glass Exp. wall Exp. wall Net exp. wall ev _ Net exp. wall Int. wall Int, wall Ceiling Ceiling_ /�� e�s� 41 0 Floor ,� �- Floor Total Btu. Total Btu.7Cv Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room Length Q ILWidth /4 Height & Q FI. (� ),(, om I Length Z4r®` Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. No v: nth Hr qht No. of Lineal ft. Area of pane of pan'. L t_s_ of crack sq. ft. Coef B to jCoefj Btu Infiltration d Infiltration Glass Glass Exp. wall Exp. wall Net exp. wall , Net exp. wall Int. wail Int. wall Ceiling Ceiling Floor ® Floor — - Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Weatherstrips A. S. H. V. E. Guide Reference 19 Construction No. Insulation !- HEAT LOSS CALCULATIONS HEATQ G & AOR CONDIRTOM92 n nn MINNEAPOLIS, MINN. Weatherstrips A. S. H. V. E. Guide Reference 19 Construction No. Insulation !- Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No FI g Room Length Width Windows Windows and boors—Crackage and Area // Height FI./_ RoomWidth Windo s and Length and Area ��j' Height No. Width Heignm of pane of pa Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Btu Coef Btu Infiltration Glass �� Infiltration Glass 1610sill/3 2,27 0� Exp, wa I I ` , Exp. wa I I Net exp. wall 6 Net exp. wall f Int. wall Int. wall Ceiling 1� °� Ceiling Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area IYL FI. Room Length Width Height FI. Room Length Width Height V'dind s and Doors—Crackage and Area Windows and Doors—Crackage and Area No. Width Height No. of Lineal ft. sq. of pane of pane ghts ofme crack q. ft. Widrh Height No. of Lineal ft. Area No.of pane of pane lights of crack sq. ft. Coef BtuCoef Btu Infiltration _ � Infiltration Glass to Glass Exp. wall Exp. wall Net exp. wall evo Net exp. wall Int. wall Int. wall Ceiling I Ceiling Floor Floor Total Btu. Z. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room Length Width Height Fl. Room Length Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No. Width Height of pane of pane No. of Lineal ft. Area lights of crack sq, ft. Wath He Qi No. of No. of pane of pane lights Lineal ft. Area of crack sq. ft. Coef Btu Coef Btu Infiltration Infiltration Glass Glass Exp. wall Exp, wall Net exp. wall Net exp. wall Int. wall int. wall Ceiling -- Ceiling -- Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley SUBJECT IT NO. 14 N . AT THE TOP OF THE TWINS r BUILDING D 'v C U I L D I N G PER M I N '_RYGIE_WT ' • COMMUNITY DEVELOPMENT DIV r E PROTECTIVE INSPECTION SEC. E � 1 �'--1 CITY HALL FRIDLEY 55432 ,.j NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 3/28/97 JOB ADDRESS See Below - Multiple Buildings 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Columbus Exteriors Inc 2131 111 In, Coon Rapids MN 55433 868-9195 3509 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Townhouse Buildings 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 11 Buildings 9 CHANGE OF USE FROM TO STIPULATIONS Install.building wrap and have inspection of same unless manufacturer's specifications state it is not required. 5600,5602,5604,5606 North Innsbruck Ct; 1511,1513,1515,1517 North Innsbruck Dr; 1510,1512,1514,1516 Trapp Ct; 1531,1533,1535,1537 Trapp Ct; 1511,1513,1515,1517 Trapp Ct; 5610,5612,5614,5616 W Bavarian Pass; 5621,5623,5625,5627 W Bavarian Pass; 5631,5633 5635 5637 W Bavarian Pass; 5651,5653,5655,5657 W Bavarian Pass; 5680, 5682,5684: b86,Zst Bavarian Pass; 5691,5693,5695,5697 West Bavarian Pass 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 $232,000 $116.00 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 $1,547.25 Fire SC $232.00 PLAN CHECK FEE TOTAL FEE Lj,9,,ej4 SC 5.00 $1,900.25 S1GNA EOF CON'.RACTOR OR AU HORIZED AGENT iDATEi �PERLY V (DATED THIS IS YOUR PERMIT S,GNATURE OF OwNEP„F OWNERBWLDER� (DATE 17 LDG � SP gAtE SUBJECT P - City ®f Fridley 6 2 5 7 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO COMMUNITY DEVELOPMENT DIV. r 1 ~ PROTECTIVE INSPECTION SEC. 1 NUMBER REY OATS PAGE OF APPROVED BY i CITY HALL FRIOLEY 85432 o �� J 612-571-3450 910-F15 6/16/98 JOB ADDRESS 5686 West Bavarian Pass NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Raymond Rrech 5686 West Bavarian Pass NE 574-0613 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Skilcraft Industries Inc 1601 N Innsbruck Dr #126, Fridley, MN 55432 8107 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 572-0913 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Rebuild 24' x 8' Deck 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 24' x 8' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan 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 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 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 $1 722 $.86 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. e PLAN CHECK FEE TOTAL FEE G p License SC $5.00 $64.33 SI TURF WCONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL VALID TED THIS IS YOUR PERMIT BLOd INSP MATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY 0 0-�61 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 3cj� BUILDING PERMIT APPLICATION ConstructionAddress: j� �� Gia 9,,401,,1/1 i,rfA-) Legal Description: Owner Name & Address: (&)ZZyca4 k;ecc-// Tel. # j779/ -0C/ -T Contractor:<®z Cd -'4 F -r- ���-���®,Je. MN LICENSE # eia 7 Address: 1601 /0- !%w. a �2! o z Ez Tel. # -1-.7z -o 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: Le 2 y' Width Hgt/Ground _ Sq. Ft. / 9 z OTHER: % 064k.fl " Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 6 c Age APPLICANT: Pa u,4c 9 Tel. # jr- 7z -® S /.? TOTAL $ �% STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 2 .001 of Permit Valuation (1/10th%) State Surcharge $_ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ C $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: