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PRE 2010 DOCS• Village of Fridley, Minn. BUMBING PERX[T N� 818 Office of INSPECTOR OF BU"INGS q. cer Owner Architect Fridley, Minn., '$'r ' 19 Y Builder LOCATION OF BUILDING No. Street Part of Lot Lot ,m Block Addition or Sub -Division ' DESCRIPTION OF BUILDING Front",-� Depth Height Stories Manner of CDnstruGLion s 0* cam. „t'J s "" ,� y; �;.,•. To be used as ` " "a `�- To be completed `"" -tea Estimated Cost Permit is hereby granted to r^ r .=r. r,_ _.-z 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, erector of Buildings. tc� 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. Subscribed and sworn to before me at Fridley, day o� 4 6t? -!4r .-r f, ix„r A. D. i • x Minns tp this <„ ` 0 300,9-7 City of Fridley, Minn. N° 8348 BUILDING PERMIT • Date: August 11, 1965 is Owner: John W. Duckworth Builder SA Address 1615 - 3rd Street N. E. Address Fridley, Ninnesota LOCATION OF BUILDING No. 4615 Street 3RD STREET N. E. Part of Lot Lot 18 & 19 _ Block 9 Addition or Sub -Division ____ 81ymouth Corner Lot _ Inside Lot x Setback Sideyard Sewer Elevation ____ — Foundation Elevation To be Used as: Attached Garage DESCRIPTION OF BUILDING Front 18 Depth 22 Height 10 Sq. Ft. 396 Cu. Ft. 3960 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _ ' 00.00 _ 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 Zl provisions of ordinances oP the city of Fridley. /Un,% 4:911 Q In consideration of the payment of a fee of $ 4*00 , permit is hereby granted to JOHN W. DUCKWORTH 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 regarftq location, construction, alteration, maintenance, repair and moving of buildings within the city limit and tld ordinance. a permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN Building Inspector NOTICE: fhb PWft* don not serer the eondruaiim, t maMon for why & pim"B. Ba hatht, sewer or water. Be are to no the Building hup"" for aparate permits for these item. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME h {�{I �G[� �j p r 7 BUILDER ADDRESS Z16 15' _3 v -d �M ADDRESS rClyffifceXKe �1.14am4C11103 N0. C® / STREET S A PART OF LOT LOTS BLOCK q ADDITION OR SUBDIVISION Awe& CORNER LOT INSIDE LOT—Z—SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION 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 .47-7-. Front— Depth ;49, Height, Sq. Ft. �� ��� Cu. Ft.,-2,� Front Depth Height Sq. Ft. Cu. Ft. Type of Construction, 4a � 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE �C­ / SIGNATURE (Schedule of Fee Costs can be found o he Reverse Side). P� SUBJECT' PER City of Fridley 16 513 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. 1 ---1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4-6'82 JOB ADDRESS 4615 3rd Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18,1 9 9 Plymouth SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Dennis Younker 4615 3rd Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement 4832 2 112 Street N-E- 579- 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 Build dormer across back of house (frame) 9 CHANGE OF USE FROM TO STIPULATIONS I. Change windows 2. 811 max. offset on outside wall 3. Fire alarm )EPERATE PER�v!oTS REQUIRED FOR WIRING. HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. f rame 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 544 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 $18,200.00 9.10 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- 134.50 STRUCTION OR THE PE FORMANCE OF CONSTRUCTION. v _'V � PLAN CHECK FEE 33.63 TOTAL FEE 177.23 SIGNAT REOFCONTRAC ORORAUTHORI EDAGENT IDATEI HEN PRO ERLY V LI TED T SIS YOUR PERMIT • j/-4—�'� BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI P� CITY OF FRIDLEY Effective Aug. 1, 1961 APPLICATIM FOR RESIDENTIAL BUILDIPIG PEW41TS (New. Alterations, Additions, or Repairs) OWNER: A// S O 0 i✓,eP ADDRESS: TEL NO: BUILDER: ADDRESS:TEL NO: S 7 2 - Construction Location STRITT NO: z�61.S� STREET: 3 A S T W IAT: L / �_ BLOCK: _L ADDITION: I SLI 0 JI -4 Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square -Feet.- Cubic Feet: Type of Construction: goo aj- Weej� Estimated Cost: $ O_ 7b Be (bripleted: fi Alt. A Alt. B i Proposed Driveway width If New Opening Is Desired: $ SEE REVERSE SIDE OF SHEET . Tile undersigned hereby mazes application for a permit for the herein specified, agreeing to do,all work i.r, 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 an4 correct. DATE: � -Z-1 SIGNMIE: Stipulations: C, 0 4f, wee) ..... ..... ..... ,Sgae" (A 4f— tu AL -Te- A A -e CU V A I Ac FP' A 1 —.4,4 1 Uo 4, -r-s f T) RK 0T' r.,— loo gfoc,KS A 41.5— — 3^.0 S -r AI 6 1 ), �Hv-, 1 .�! C�IALe QuublG CiMs�.� - - . Ate. --�- e�..n .. •---. .�.n _. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ '5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 m Beer Dispenser Water S Blow Off Basin m $ Catch Basin $ 5.00 $ C 4m� N Hydraulic Valve +V ten, w $ 5.00 S Heater $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Ol M 4 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ State Surcharge $ .50 O ($15.00) TOTAL FEE 8 W c'� a a� m S a w m w u 1st 2nd 3rd 4th (R) Future Connection opening Connected with Sewer New Fixture, Old opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ '5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank $ 5.00 S Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer S 10.00 g ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ ($15.00) TOTAL FEE bLzecuve Aug. 1, 19dl Job Address ,eZ ,:W -s•_ - 3 � C %v 6 - 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. Py -ao , 1903 OWNER KIND OF BUILDING tej C% E' USED AS TO BE COMPLETED ABOUT e — — J ESTIMATED COST OLD NEW BUILDING PERMIT NO. PERMIT NO. Company 5, «� i Signed By Tel. No. ROUGH INSP. Date FINAL INSP. �Z Date APPROVAL FOR PERMIT 146 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE U SUBJECT PE NO. City of Fridley o 182 3 4 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • _____COMMUNITY DEVELOPMENT DIV. U. PROTECTIVE INSPECTION SEC./F VX7 r i LI i ��'��,`� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY •-_-� L 612-571-3450 910-F15 110/8/85 JOB ADDRESS 4615 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18,NX 1 9 Plymouth Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Dennis R. Younker 4615 - 3rd Street N.E. 572-8944 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 j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install wood burning stove in garage 9 CHANGE OF USE FROM TO STIPULATIONS Bottom of the stove must be 18 inches above garage floor. Install according to manufacturers specifications. Stove must be protected from vehicle impact. 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 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 l 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 $500 $.50 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. $15.00 PLAN CHECK FEE TOTAL SIG VKT4RE OFCONTRACT0 UTHO DAGENT IDATEI W 4EN PROPERLY ALIDATED THIS IS YOUR PERMIT IJ RE OF OWN E O RDER) IDATE) BLDG iNSP OWE U NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Constructii Legal Desci Owner Name Contractor Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. /V 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: 1,c.1-L�-Oa 1-(� � L� Jd - C�'n es.ee - Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Sao Approx. Completion Date: — % q' — Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Hain Charge TOTAL $ %,�C) Fee Schedule on Reverse Side $ 25$ of Building Permit Fee $ .� $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering g� $ p� ,) Agreement Necessary [ ] Not Necessary [ ] $ e J V u NO. 18996 SUBJECT PE City of Fridley _ AT THE TOP OF THE TWINS BUILDING PERMIT r R i � • ___�_ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ? 1 1 ; � i 1� ��'�'?,•� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY --•_ L 612-571-3450 910-F15 6/5/87 JOB ADDRESS 4615 - 3rd Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ,18,19. 9 Plymouth. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Younker 4615 - 3rd Street N.E. 572-8944 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 k NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 101 z 141 Storage. Shed in Rear Yard 9 CHANGE OF USE FROM TO STIPULATIONS Shed must be at least 15t from Fiery fence and 31 from side lot line. 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 ] 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 $534 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMfT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST CTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTALFEE •WHEN $15.50 SIG URE OF CONTRACTOR OR AU AORIZEDA NT MATE) PgOPERLY V IDATED THIS IS YOUR PE MIT eVA.1%LDER*— BLDG INSP f1ATE SIGNATURE OF OW II IDATEI u NO. 18996 NEW [ ] City of Fridley Effective 4/1/66 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: l �o l 3 5 r N L.k Legal Description: 1� 1 G1 LoccY �L•� o��l.. Owner Name &Address: 1n vii 5 . `1'® c c v� �C 2 r 57-- YV Tel. # 5' 72-� V V Tel. # Contractor:— Address:— Attach ontractor•Address• 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. _ % p r. r � 1/0 OTHER: �74 . Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback - Type of Construction: 6 C9 C9 c� . Estimated Cost: $ % -OU Approx. Completion Date: — 7 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation Q � ✓ 7v? ^���� DATE: V APPLICANT: '649" Tel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL 00 �7 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: SUBJECT - PERMIT City of Fridley 19561 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEIPT NO. ' COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ---1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/24/88 JOB ADDRESS 4615 - 3rd Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Dennis R. Younker, Noreen Younker 572-8944 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement Co. 4832 NE 2 1/2 Street Minneapolis 572-1820 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential r 7 CLASS OF WORK ❑ NEW Cj ADDITION IR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 15' x 15' room addition Aluminum siding and trim. Bay or bow window in front. 9 CHANGE OF USE FROM TO STIPULATIONS 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND GOVERNING THIS TYPE OF WORK WILL BE COMPLIED .ORDINANCES WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $19,300 $9•65 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- STRUCT ON OR THE PERFOR NCE F CONSTRUC ION. $207 .00 -MOA PLAN CHECK FEE TOTAL FEE 4 a 1$216.65 &IGNATU4 OF CONTRACTOR OR AdTHORIZED AGENT (DATE) WHEN PRO BLDG INSP ER=�ID DTIS YOUR ERMI OaTE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW I ] City of Fridley Effective 5/1/88 ADDN 9-f R-1 AND R-2 ALTER Building Permit Application ODnstruction Address:-- r /U[. Legal Description: Owner Name & Address: bQ ,u M [ i % - X 114 .,� u �� Tel. # 72 - �9 q 4/ QDrYtr actor : 1 l�i /- �_/I /2 d!/p eyr �..ri- c d Tel. # Y 7 2 - 2 - Address: Address: 4YS IJ,/W,1,1 y� Attach to this application, a Certif icate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCitIPPION CIF I>MPROVEMMJP w 1 r4 Ntri c A zp A LIVING AREA: Length Width S� Height S3. Ft. GARAGE AREA: Length WidLl: Height S3. Ft. DEM AREA: Length Width nr&' 13 lar D 1Z B c) l.J 1A/ d / %v AIUA(.tival SedI Cbrner Lot [ ] Inside Lot I ] Ft. Tripe of ODnstruction: P2.0 &JT 4 7-e i"o Yd Setback Hgt /Ground Sg. Ft. 8-J-0 Side Yard Setbacks Estimated Cost: $ 1 ��O V Approx. Completion Date: 4 3 .G3-t-q.i I z n, 61 X 72 Proposed Driveway Width If New Opening Is Desired: $ j Width + 6' DATE: Z-3/ Y� APPLICANP: CPPV USE CILY Permit Flee 5 Q61. © 0 - State Surcharge SAC Charge 5 Driveway Escrow 5 Park Pee 5 Sewer Main Charge 5 TM 8 STIPULMZ!IM: v✓ ,t4p� of Ii ?AIIS Alt. A Alt. B S See Back Page Tel. #j-'�22 —rGzj Flee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Pee Determined by Engineering Agreement Necessary I ] Not Necessary I ] 2 Ooc� �I�,Od CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. w e TOTAL New Fixtures _� y 5.00 .xi 0, Water A $ e $ 1.50 $ Beer Dispenser m a°cl S 4.00 to N pa, w $ 5.00 Heater 54 W C� M 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic valve $ 5.00 $ Sump or Receiving Tank S ag ul .9 U a ro m m m ++ y 3 ►i o o W g ro ��°yy' ro �o oUi Nw x O $ Gas Dryer $ 10.00 $ —�`�— Back Flow Preventer Inquired. Yes ( ) No vl W U Iq 3 t7 t7 s 3lec $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 1st FEE / /� $� §o 2nd 3rd 4th (R) d Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures _� $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser S 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic valve $ 5.00 $ Sump or Receiving Tank S 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ —�`�— Back Flow Preventer Inquired. Yes ( ) No ( ) TYPe $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 TOTAL FEE / /� $� §o Effective Date May 1, 1988 Job Address w�/� >/-7- l� 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�d OWNER / 4�iL'h `7//-95�ii/ KIND OF BUILDING USED AS TO BE COMPLETED ABOUT O ESTIMATED COST OLD /\ NEW BUILDING PERMIT NO. PERMIT NO. 1 , 1 Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. q` 9- 3- 9 L Date APPROVAL FOR PERMIT/kga MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE l Emergency Service LICENSED NEW INSTALLATION REMODELING PLUMBING REPAIRS EXPERT DRAIN CLEANING Hill George Plumbing Co. 529 7th Street South, Suite 201 Minneapolis, Minnesota 55415 (612) 339-9637 BONDED RESIDENT14L COMMERCIAL INDUSTRIAL s all INSURED GARBAGE DISPOSALS FAUCET REPLACEMENT DISHWASHERS WATER HEATERS 9- is- g S Mal SUBJECT PER City of Fridley 2040 AT THE TOP OF THE TWINS BUILDING PERMIT r i COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. � � 4 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/6/90 JOB ADDRESS 4615 -- 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18,19 9 Plymouth. Addition SHEET 2 PROPERTY OWNER unker MAIL ADDRESS ZIP PHONE Dennis 4615 ^ 3rd Street N.E. 572-8944 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 151 x 15t Deck.Additibn 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. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,650 $.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $39.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $39.83 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY RLIDATED THIS IS YOUR PERMIT BLDG INSP nA E SIGNATURE OF OWNER OF OWNER BUILDER$ IDATEI Legal Description: Owner Name & Address: Tel. # 57o2-Fc/Y Contractor: v Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESMIPl'IC N OF naTIOVEMENT LTVIM AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DDCR AREA: Length lS Width 115 Hgt/Ground a!�� Sq. Ft. 22� 22z�'X %.�-Z� �%'�S.%'S Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ `(o ST) Approx. Ccepletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ dth + 6' See Back Page HATE: j9 r fo APPLSCArFI': !fid �i1ti'�u2 G� Tel. # Permit Fee $ 3/, Cap State Surcharge $ �3 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ s MI'AL S'I'IPUTATIC KS : CITY USE CINII,Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 16'x-6 �v ISI 00 3�,�' se"f g�g O ai 3 100, i iJI Oz vi 1^ vie F'met P �Y IK O�IM 1if "LX G F.S. 2.4"Ci() 5-ra;�. QjfMt4jc Rt: g 9''w► R V•J qv4 4164T. A L I t�tf EA--� F m e c) J SUBJECT PE City of Fridley noo 5 9 AT THE TOP OF THE TWINS BUILDING PERMIT i � RE O. _ COMMUNITY DEVELOPMENT DIV. a. PROTECTIVE INSPECTION SEC. I 0 l a= CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/25/94 JOB ADDRESS 4615 3rd Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18,19 9 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Younker 4615 3rd Street NE 572-8944 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 9' x 18' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. See notations on plan. WARMING Before digging call for all Utility locations 454-0002 REQUIRED BY LAIN TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.30 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,592 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $54.00 Fire SC PLAN CHECK FEE TOTAL FEE S1 A REOFCONTRACT O Au HOR DAGENT 00r, DATEj WHEN PROP R Y VALIDATED THIS IS YOUR PERMIT 'L 3^_ VII.E.i a 5-- BLDG 14SO I GATE SIGNATURE OF OWNER0F OW IDATEI J NEW [ 1 ADDN (] CITY OF FRIDLEY ALTER (j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address Legal Description: Owner Name & Address: l Effective 1/ 1/94 :�--(o r a- . # E-7-2 -PZl V Contractor: 0 66,10 e /� V MN LICENSE # Address: Tel. # 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 0 � � Width ���Height/C. a " Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: �op p d m e • Estimated Cost: $ , Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + Ft = Ft x $ 4_ $ DATE: APPLICANT: K KTel. # CITY USE ONLY Permit Fee $S" `�� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ J 3-' $.50/$1,000 Valuation SAC Charge $ $800 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 $ 7 STIPULATIONS: !E� do o''Ar"VY, c ..O, fin/! -7 x? j t) -jugn/(-q grJ115 kz/ ""I fv a -1 -1 n A3 S n ok S :2 (j r P P u J"dtic; -304V �? VM SUBJECT City of Fridley 7 AT THE TOP OF THE TWINS BUILDING P E R M I T r COMMUNITY DEVELOPMENT DIV r v PROTECTIVE INSPECTION SEC.49 S CITY HALL FRIDLEY 55432 NUMBER REV PAGE OF APPROVED BY "'' 612-571-3450 910-F15 TATE 12/6/94 JOB ADDRESS 4615 3 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18,19 9 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Younker 4615 3 Street NE 572-8944 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement 4832 2 1/2 Street,. M ls. MN 55421 572-1820 4772 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 Q REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof front of House (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 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 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $850 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- Fire SC $.85 STRUCTIPVOR THE OF CONSTRUCTION. $23.00 PLAN CHECK FEE TOTAL FEE WFORNCE 04 License SC $5.00 $29.35 IGN URE OF CONTRA OR OR AUTHORIZED AGENT IDATEI WHEN PROPERL VALIDATED THIS IS YOUR PRMIT INSP PATE SIGNATURE OF OWNERJF OWNER BUILDER] IDATEI NEW •{ ] Effective 1/ 1/94 ADDN { ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name & Address: Tel. # S 7 z -7�V V Contractor: MN LICENSE # 1772-- Address: 7 7 2- Address: 2 YL i7- "Z l Tel. # Zo 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yazd Setbacks Type of Construction:: kkA,14- dcj Fh u 4 r/,I-e Estimated Cost: $ °U Approx. Completion Date.. f'6 0'/ l % (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = x $ = $ DATE: - APPLICANT: Tel. # 3-7z- IeZ O Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 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 `.. City of Fridley 2978 AT THE TOP OF THE TWINS BUILDING PERMIT r T NO. v ------- COMMUNITY DEVELOPMENT DIV. INSPECTION SEC 00 PROTECTIVE 1 . � NEV DATE PAGE OF APPROVED By CITY HALL FRIOLEY SSIJ2NUMBER L..__�% '•, 612-571-3450 911 F15 6/28/99 JOB ADDRESS 4615 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18, 19 9 1 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Younker 572-8944 J CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO American Building Contr. 12247 Nicollet Ave S Burn-qville SS337 707-6Q99 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 O NEW 0 ADDITION 0 ALTERATION U REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage (23 S 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 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 2010 $ $ 1.01 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 DR THAPERFORMANCE OF CONSTRUCTION $83.25 Fir SC 8x11 $2.01 JG� PLAN CHECK FEE TO L EE Lice C 5.0 1.27 SIGNATURE Of CONTRACTOR OR AUTNOAIZEO AGENT 40ATEi EN P OP kf�� NSP VA IDA HIS 1$ Y URRlyyi � �JJ � T14fE S-GNATUAE OF OWNED � F OWNER SU'LOERs IDATE� nuu CJ -1=00 l ADDN C ] ALTER [ ] '�Kvm ConstractionAddress: Legal Description: U*V;Ib rKure G11Y OF FRIDLEY IU CITY OF FRIDLEY SINGLE FANIH,Y AND DUPLEXES R-1 ANIS R-2 BUILDING PERMIT APPLICATION q(ra 15 3 rd 5T 7079925 P.01/02 hrrectrve t/ 1/98 Owner Name & Address: L b ltl i 5 Y0 j)d► j1er (Gg yW gcja(jr5S ) Tel. # q —6-72-6-51/1/ ff _/ Contractor: /neea (44 &.1611 47 1i7wc>rs MN LICENSE# 701 t,9 38.3 Address: 101'Colle� Ave .Z, i�5�� %�� Tel. # 6��- �® 7 Ste/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'T'ION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. let. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:don Construction T e r1 timated Cost: $ _ �J (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANo-(nf Tel. # 1 CITY USE ONLY Permit Fee ')'5 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 $ $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 j ] TOTAL $2,1 . a rl . STIPULATIONS: