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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N® 3947 Date: ... ....�...... .\ ..... Owner ....................................... Builder .. ..... ...... Address ...................................... Address ............................................. AT19N OF BUILDING No.. ! ./. Street . �:C ...... �! ... Part of Lot ............................... Lot ............ Block .................. Addition or Sub -Division ...................................... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: . ... .. ...... Front 010.'1-0 Depth :� Height 19 .n -P Sq. Ft. ! �f CU., !. pp o .................... Type of Construction Front ........ Depth ........ Height ................... Est. Cost. -1-392—P. ... Sq. Ft. ........ 7 . To be Completed ................... Cu. Ft. ........ In consideration of the issuance to me of a permit to construct the ding desribed above, -Agree to do the proposed work in accordance with the description above set fortboA and incomiplian wi all o ion ordinances of the city of Fridley. ly ....... ......... .. .. 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. >' r J }wilding Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. I City of Fridley Application for Plumbing and G"n Fitting Permit 53-84-879.01 Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location53�, St. Number, Kind and Location of Fixtures +� ; ? �� x $1.50 uZi ;� o� $ Z< �o ua1 Um p+�ju�� G3 �°d w ��n Z �O O R N WATER HTR . GAS ELEG Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... ................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Replace (1) gas range $3®00 REPAIRS & ALTERATIONS—Refer to Code lot 2nd 3rd 4th _ ° Future Connection Openings New Fixture, Old Openings Connected with Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... ................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Replace (1) gas range $3®00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 3 ° 00 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 Jam'- 10,v 1970 19_ Owner W. Nemriann Kind of Building frame Used as residence To be completed about Jill y l Kl 9711 Estimated Cost, $ 10,00 Old- New. Building Permit No v Permit No. on nnapan A By Business Pho o ROUGH FINAL -1*"'15 _ 71 . 53-84-s-915.-51 City of Fridley AT THE TOP 00 THE TWIN$ 6 rL'------COMMUNITY DEVELOPMENT DIV. 1{ PROTECTIVE INSAECTWN SEPT. CM WALL i1110L4Y %$Olt D.....�.� `.J 84-600-3"0 PLUMBING, PERMIT APPLICATI01j Job Address "LJ- v 1 41 1.-)l 1.3 1 1 1 1 Isvv 4543 NE 2 St. Wer Address Phone Wallace G. Neuman Same Contractor Pone Minnegasco 733 Marquette ,s Mpls Kind of Building Use Frame Res. Completion Date Estimated Cost 12/26/73 10.00 f Plumbing Fixture Rates: NO. RATE TOTAL r I; I Number Fixtures x$2.00 Future Fixtures x $1.50 aflsYfl i New Fixture -Old Open. x $1.50 ' I Catch Basin x $3.25 OYfl I � I I Water Heater -99,000 BTU x $3.00 •s,wl I I � _ II Ground Run Old Bldg. x $3.25 saa, •ANN IYal I I I �! , ! Elec. Water Heater x2.00 $ sweve ' f Gas Fitting Fees: ;O o flNtra° I to t 1 O •� 1st 3 Fixtures 1 x $2.00 2.00 !o I saaMoasl I I Additional Fixtures x $ .75 n Install (1) Gas Range 3.00 Gas Range -199,000 BTU x $5.00 A - SAYalI HsrM I I � Repairs & Alterations I I� See SMN-.1 Ll I Description: Code 1 I I State Surcharge t svic�� �,p.50 9 I 6 5.50 a' I I I TOTAL FA"o$ e@uv I !The undersigned hereby makes application for a permit e,rwlanl I I I I for the work herein specified, agreeing to do all work •a,�M in strict accordance with the City Ordinances and ruling I of the Department of Buildings, and hereby declare that aW the facts and representations stated in this .a application are true and correct. e. :✓ate.. C; 12/21/73 " Signator lllqi` CGAs -_a Date s VA Q SUBJECT PERMIT NO. City ®f FridleyIr ®$ AT THE TOP OF THE TWINS P, BUIL ®I N G PERMIT ECEIP • _ _ COMMUNITY DEVELOPMENT DIV. 916 PROTECTIVE INSPECTION SEC. 1 i � CITY HALL FRIDLEY 55432 �•� NUMBER REV. DATE PAGE OF APPROVED BY L'--' 612-560-3450 910-F15 11/21/77 JOB ADDRESS 4543 - 2nd Street N.E. 1 LEGAL LOT NO.BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 $ 2 Rearrangement of P1ymout$ .Addn. Blocks SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wallace G. Newman 4543 - 2nd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 560-6507 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 CA� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 12' Deck onto Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEF'ERAT'E PERMITS REQUIRED FOR WIRIN.GA WmINING HEATING, PLUMBING AND SIGNS, Before digging call local Witte TELEPHONE. ELECTRIC - GAS EtC REQUIRED BY LA 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 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 ING I AND ORDINANCES MPLIED TYPE OF WORK WILL BE OPERMIT $1,500 $ WITH WHETHER SPECIFIED E EDHEREIN OR NOT. THE GRANTING OF AS .75 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- $9.00 STRUCTION OR THE PERFRMANCE OF CONSTRUCTION. ® PLAN CHECK FEE TOTAL FEE 6 1 $9.75 . SIGNAT REOF �RACTOR OR AUTHORIZED AGENT (DATE) d, EN PROPERLY VALID TED THIS IS YOUR ERMIT' BLDG. )NSP - D E SIGNATURE OF OWNER (IF OWNER BUILDER) f )ATE) "jam'.--';.;� 44 ✓ j �\ j" j j A i r•l -77 6 2X 6�- i..L PmST� 3=b ra- volt. 2 x 6 Decxrr & SeC P(-.4,-.- ABo vC FO 2 PR 7-ri :: R Al 2� to Rim BEAN? 2++o STD, PIPS" I 1� Y. (,S 2 y l0 /< t!, ,(®{ r'' I it I II 11--_x.11 - Tl - /0 - qf 2..Y. 3 ois s PLq". igucr, Sbpr-orc +" JOIST 6 - 1 cii 4j tiX.�-� � - 1 G,J `C` at ✓s 7`a . eo A //�a arc. c�-Ye/• 1 csc�:.�s �-. �.. O r zl,e-,q2, • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PE 4ITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER:� .r� BUILDER: UJ jq-%(... Address : L �4 � � � � � Address: Tel. No. 2 �0 r- 56 No.: '�"-'? - Street: i • N,, E 1-7 LOT: I BLOCK: CORNER LOT: INSIDE LOT: _ SETBACK: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front:- Depth: / Height: - Square Feet: 2-3-C) Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: ® J 901r'1i 6 Esttimated Cost: $ M To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and, correct. See reverse side for ddit#nal information. DATE:(( /2/� SIGNATURE: Stipulations: IV SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 33 116 r ` RECEIPT NO. i COMMUNITY DEVELOPMENT DIV. ------ rr _ PROTECTIVE INSPECTION SEC. (0-3 r I � NUMBER REV GATE PAGE OF APPROVED BY. IL= CITY HALL FRIDLEY 55432 ___- '� L f \ 763-571-3450 910-F 15 5/14/03 JOB ADDRESS 4543 2nd Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 2 Rearrangement of Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Abebe Mojo, 4543 2nd St NE, Fridley, MN 55421 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO First Class Exteriors, 10020 Olive St,Coon Rapids, MN 55433 763-754-2300 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 JD NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK = Re-side house & garage 9 CHANGE OF USE FROM 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 to 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 the application guidelines. Call for inspection of wrap before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THISPERMIT 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 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 $3.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,995.00 DOES NOT ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIO S F ANY OTHER STATE OR L CAL LAW REGULATING CON- Fire SC $5.99 S RUC VO R FORMANC OF STR ION $125.25 ZTHP ��. PLAN CHECK FEE TOTAL FEE $134.24 SIGNATURE OF EON71CACTOR OR AUTHORIZED AGENT 16AIE, EN PROPERLY VALIDATED THIS IS Y URPE MIT S,GNATURE OF OWNERIIF OWNER SUILOERI IDATEI „ BLO INSR r1Af IV NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: _ d — Legal Description: ,,rr�� Owner Name & Address: Aze- F Y9��91 1 Tel. # Contractor. S r MN LICENSE # Address: /(Jf'c ® ��i"P� �����/ ��Si/�fo%S✓` Tel. # %K3- LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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. Construction Type: 8'E I C Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. Ft = Ft x $ =$ Off DATE: I,�r APPLICANT:22�'Z;7 Tel. # %�P.? �3 Call (763) 572-3604 for Permit Fees.if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ '57-7 7 7 $ TOTAL $ I . - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] FJ Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY E a. ®3 007 DATE YOUR -MAI DRESS SITE ADDRESS THIS APPLICANT IS: 0 OWNER CONTRACTOR PROPERTY NAM . I ADDRESS: ) CITY /L STA ZIP OWNER/ TENANT y PHONE: CONTRACTOR COMPANY NAME: G.V. HEATING & AIR INC. CONTACT PERSON: 5152 WEST BROADWAY SUBMIT A COPY OF CRYSTAL, MN 55429 YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY 753-535--2-000 STATE ZIP APPLICATION PHONE FAX PERMIT TYPE /TSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK C PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU )<A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 ,_NEW GAS GRILL $10.00 _AIR $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 u Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ '2 Number of fixtures @ $35.00 x $35.00 = $ s• State Surcharge = $ ..51 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be it conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this i not a permit but only an application for a pe it an work is not to start without a permit; that the work will be i/n c rdance with thi approved plan in the case of all wor hic equir s view and approval of plan l i'74 0 ' SIGNATURE OF APPLICANT PRINT NAME ` ` '` DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6.* Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 163) 572-3604 FAX: (763) 571-1287 ADDRESS 4543 2ND ST NE PIN 263024330112 LEGAL DESC REAR BL 13,14 & 15 PLYMOUTH LOT 12 BLOCK 2 PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT N6. --,r2004-00357 j r DATE ISSUED: 03/18/2004 VALUATION : $ 1,000.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE THREE WINDOWS WITHIN EXISTING OPENINGS STATE LICENSED CONTRACTOR 1 APPLICANT WINDOWS AMERICA OF MN INC (20248265 559 SHOREVIEW PARK R SHOREVIEW, MN 55126- (651)203-0149 ABEKE, MOJO 4543 2ND ST NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating cons1rruction or the performance of construction. Bldg BUILDING PERMIT FEE 38.75 FIRE SURCHARGE 1.00 STATE SURCHARGE, VALUE 0.50 LICENSE SURCHARGE 5.00 TOTAL 45.25 PAID WITH CHECK # 9090 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW { ] CITY OF FRIDLEY ADDN { ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Tel. #2k ��� `� 7 � ' o MN LICENSE # 0 ` Tel. # 4r25 I ZD3 - 7 / 3 0`2� 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: n , ,u► �; �K_ � Luc'1�estimated Cost: Construction Type �. - � �-- - - Driveway Curb"'Cut Width Needed: Ft. + 6 Ft = Ft x -o/ 1/7 '2� / -�f Tel. # DATE: J b APPLICANT: Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ c�� $.50/$1,000 Valuation $ $1275 per SAC Unit C) ( $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 [ ] TOTAL $--------- I f ,