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PRE 2010 DOCSBUILDING PERMIT 4� Village of Fridley, Minn. No Date• • % ,++: r„. ... ........... ...... . Owner .A,t Address t RY• •,.... .... . 2042 Builder ,.-.e a a.. ...................... . Address......................................... LOCATION OF BUILDING No......4�.� Z.. � Street ......,. � .�” .� '................. Part of Lot ....................... ��' 'fid Lot ......,/. ..... Block ... ......... Addition or Sub-Divisiont. ,, rl-jv.. 4 .............. Corner Lott ....... .. Inside Lot ............ Setback %�. Sideyard . ,,t, !' y j j, ............ DESCRIPTION OF BUILDING To be Used as: 1� .,�ti,��.j���.. Front ��... Depth .��.. Height ,�� Sq. Ft......... Cu. Ft. 'y ........ ................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........ Type of Constructio`: , y,j? . Est. Cost ..r , "... ° .... To be Completed In consideratio4 of the issuance to me of a permit to construct the building described above, I agree to do the proposed work #1 accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. 'In consideratio of the payment of a fee of $........ , permit is hereby granted to , ..r e. -W ..... to construct the building or addition as described above. Thti; permit Is granted upon 1�k M" that the person to whom it is granted' and his agents, employees and workmen, in all work done in, around an upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota egarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. f .. s'. uilding Inspector NOTICE: ;r This permit oes 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. City of Fridley, Mi BUILDING PERMIT N° C52 Date: Owner: a �- Builder Address— Address L IONF BUILDING No. Street ___ _ _.__ Part "t LotBlock Addition or Sub- on ' Corner Lot Inside Lot-Iwtbac Sideyard - � Sewer Elevation _ _ F dation Elevation DESCRIPTION OF BUILDING To itFront/ Depth Height Sq. F't.� Co. Ft . ''` -f �— Depth _ _ _ eight Sq. Ft. Cu. Ft. Type of Constructi • ' fi Est. Cost 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 all provisions of ordinances oP 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 violation of any of the provisions of said 'ordinances. F.ry 14 Building Inspector NOTICE: This permh does not cover the construction, installation for wiring, plumbing, sae heeth►g, sower or water. Be an to we the Building Inspector for separate pormhs for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name _ � %-%�?�J Builder Address957Ol -Address LOCATION OF BUILDING No. -s"© Street Part of Lot,��-c� Lot // Block_____Addition or Subdivision,-_______ Corner Lot Inside Lot Setback side -Yard SEVdER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING ight % sq. Ft. Cu. Ft. - Front DPPth t. FrontDepth Height sq. Ft. Cu. Ft. Type of Construction _ Estimated Costd Jam® 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 Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct., i DATE f-7- 4-Z SIGNATURE (schedule of Fee Costs can be found on.the Reverse Side). d �sd / Fr1-.4Ley 4 a Min NEGAsCO 53-84-879.01 _ City of Fridley Applice;Tan for Mumbling and Gas rllfam Porm.-It - Dept. of Bldg*. Phone 860-3480 DESCRIPTION 0: WOR : 7501 N.E. 4th Street Number, Kind and LoceS+on of Fixtures i •3 � � S � � 14 N ,; � o x $1.50 S _. 10 x $1.50 --- u` N u$ ° N WATER MTN. GAS ELM t $ Elactrio W&t•r Reator...... ........ x $2.00 $ kS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures .......... e . • • • • • • x $2.00 $ . Additional Fixtures .............. x $ .75 $ Gas Range to 194.000 BTU ........... --,L-- x $5.00 5 -00 11 basl Ra age l Future ConncctLen Oponings I Eawor 0 New Fixture. Old Openings Ccrtipool 0 PARTIAL RATE SCHEDULE ZXBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ ... __ x 52.E 5 Future Fixture Opening ............ x $1.50 S _. New Fixture Old Opening.......... x $1.50 --- Catch Basin .................... Catch x $3.25 $ Water Beater fUp to 99.000 BTU). • • • x $3.00 $ New Ground Run Old Bldg.......:. x S°.^5 $ Elactrio W&t•r Reator...... ........ x $2.00 $ kS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures .......... e . • • • • • • x $2.00 $ . Additional Fixtures .............. x $ .75 $ Gas Range to 194.000 BTU ........... --,L-- x $5.00 5 -00 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, an eeing 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 5-8-75 Owner C. Kraft Kind of Building Fra-r"e Used as Res • To be completed about 5-15-75 Estimated Cost, $ 10.00 Old–.I&U Building Permit No. Permit No. Signed JL;M&' By MINNEGASCO -- Business Phone No ROUGH FINAL EPAIRS & ALTERATIONS—Rafor to Coda .50 State Surcharge .Description ...................................... TONAL FEE s 5.5o Masa vA" Surchargo .50¢ - C 97-8h-879001 APPLICATION FOR PLUMBING AND bA9 t'ITTING "ERt",IT Job Address 2501 AF i Street Department of Buildings City of Fridley 1 Tol. 0571-450 • The undersigned hereby makes application fora permit for the work specified agreoing•to do all work in strict accordance with the City and rulings of the Departmont of Buildings, and hereby declares that the facts and representations stated in this application are true ani Fridley, Mn. 9-23-77 , 19 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES'. NO, RATE TOTAL hlr: er Fixtures x a Future ri-xture Opening •, >� a. a x $2.00 Catch Basin. x $5.00 Water Heater - to 99,000 BTU x $5.,00 Water x $10.00 .9' x $7.90 14 4 $5.00 Electric Water Heater - x A 1100tOr U r u 2 • C M . u v .G C ..+ U .c u 0 0 . rJ ,� g y 1A 1A 0 an let a #A x A w to w c� x ls[ 2nd I.3 rt ch • (R) - Future Connection Opening Connected with Savor (6) 11av Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES'. NO, RATE TOTAL hlr: er Fixtures x $3.00 Future ri-xture Opening •, >� $2.00 Now Fixture, Old Opening x $2.00 Catch Basin. x $5.00 Water Heater - to 99,000 BTU x $5.,00 100;C00$TU to 199,000 BTU ^- x $10.00 Water Softener x $7.90 New Grourd'Rrn Old Building . x $5.00 Electric Water Heater - x $5.00 GAS FITTING FEES. 1st 3 fixtures M dicicnal Fixture■ .Gas Runge to 199,000 BTU REPAIRS 4 ALTERATIONS first $100.00 each add. $100.00 or fraction x $3,00 x $1.00 x $10.00 State Surcharge TOTAL FEE $5.00 $2.00 S $ $ .50 OWNER NESS KIND OF BUILDING FRAME USED AS RES TO BE COMPLETED ABOUT 9-30-77 ESTIMATED COST 2Q-00 - OLD - NEW BUILDING PERMIT N0. ... PEIV4IT NO. ,`7 Company EGam..LEGASCO Signed By' Tel. No. ROUGH INSP. Date FIN4L INSP, L-/9' 77 Dato APPROVAL FOR PERMITr MI111MUM FEE FOR ANY PLUMBING PERMIT I9 $7.50 CITY OF FRIDLEY Effective Date May 1, l9s8 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) RATE TOTAL Gas Piping $ 10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. $ $ .50 Job Address ® 5�a ( 4-` ? E - Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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. f/� Fridley, Minn. +— , 19 d OWNER 14,AJ b KIND OF BUILDING 1� 4$/� LD / USED AS / f TO BE COMPLETED ABOUT ESTIMATED COST 6 OLD - NEW BUILDING PERMIT NO. PERMIT NO. $ DESCRIPTION OF F 'SO=R HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. / /J Trade Name V&�Af5f2 ! te!"d W�f g4ize No. `#� Capacity '2- % O A.) Sq. Ft. EDR BTU HP Total Connected Load BURNER - Trade Name Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By e Tel. No. 70 —e> Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company _ Signed By Date CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work RATE $ 20.00 $10.0 0 $ 10.00 $ 10.00 TOTAL Job Address 7501 4th St. NE $ 20.00 $ 10.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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, Minn. April 20 19 89 OWNER Brian Draeger KIND OF BUILDING Frame USED AS Residential $ TO BE COMPLETED ABOUT ESTIMATED COST 1600.00 State Surcharge $ .50 TOTAL FEE $ 20.50 Reinspection Fee ($15.00) $ Rough Insp. Date Final Insp. 6--x-8' 8' Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE Attach stack verification form with. replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. OLD - NEW BUILDING PERMIT NO. PERMIT NO. Z� �� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. One Trade Name Carrier Size No. 58SSB60BC Capacity Sq. Ft. EDR Total Connected Load BURNER - Trade Name Capacity Sq. Ft. EDR BTO 60,000 Hp Kind of Fuel nat . gas Size No. BTU HP Company . Dependable Heating and A/C Signed By '� Q � Tel. No. 757-5040 J i SUBJECT NO• City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT i 421, � COMMUNITY DEVELOPMENT DIV. I r v PROTECTIVE INSPECTION SEC �, AY 1 � � NUMBER REV DATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/3/95 JOB ADDRESS 7501 4 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jenny McLealen 7501 4 Street NE 783-8871 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 X 8 DESCRIBE WORK Reroof Dwelling (23 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS I 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 64 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 TOTALFEE $27.64 AGENT IDATEI SIGNAT URE OF CONTRACTORPp WHEN P/R'O,PERLY ALI DATED THIS IS YOUR PERMIT yOAUUTTHORIZED •- BLDG INSP� - %�aTE SiGNATUR O OWNER II OWNE BUILDE RI IDATEI J i . .. .... .. .. .. ........ .. .. . . ..... .. ... . . . . . . . . . . . . ..... NEW Effective 8/1/95 ADDN CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-I AND R-2 Building Permit Application Construction Address: --7 NE Legal Description: Owner Name & Address: ---�emA QYLeCa- kn Tel. # r1'8?- &3;-A k Contractor: 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 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground — Sq. Ft. OTHER: ke-<'� — 2 3 ,at /0, — Comer Lot [ ] Inside Lot Type of Construction: — Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ 2,9 Fee Schedule on Reverse Side Fire Surcharge $ I&Y .001 of Permit Valuation (1/10th%) State Surcharge $ $.501$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Aft. "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 $ z STIPULATIONS: SUBJE& PER R City of Fridley 0416 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. v ------ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC _ (O� r PROTECTIVE 1 16 1 NUMBER nEv GATE PAGE OF APPROVED BY 1 CITY HALL FRIOLEY 35432 ' 612-571-3450 910415 10/18/99 JOB ADDRESS 7501 4th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jason Gannon 783-9871 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 2 REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof house (20 S) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 W 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 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 $1748 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $.87 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- $63.15 Fire SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $1.75 PLAN CHECK FEE TOTAL FEE $65xY7 SSG upE OF C0 'RACTOa OR AUTHORIZED AGENT �OATEi MEN ROPE LIDATED IS YOUR PERMIT �Ad i L�7 S.GP#ATURE ER BUILDER, IOATEi 41 BLAG INSP GATE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 \k0 BUILDING PERMIT APPLICATION Construction Address: A-01 Legal Description: ��sn Owner Name & Address: Tel. # (fir/Z) ;7y3- Yom/ Contractor:"_ // MN LICENSE # yT Address: �► V y✓� Tel. # 7?Y- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Le 7,/ Hgt/Ground _Sq. Ft. OTHER: i a-(-No.e. S } _ �n l �-4A2 Construction Type: /?oar- Estimated Cost: $ % r)q A Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /d- /Sl- 1 APPLICANT: Tel. # /F'3 -Mill CITY USE ONLY Permit Fee $�. / �� Fee Schedule on Reverse Side Fire Surcharge $ 1, '�.�� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 STIPULATIONS: 4co E-- 9 9 2 D Q Ss 0056 NEW [ j CITY OF FRIDLEY 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: Legal Description: Owner Name & Address: Tel. # Contractor. 0� p,+�irii 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 Z.7 / Width 19 Height S/' Sq. Ft GARAGE AREA: Length 3 Width 2 Height_ Sq. Ft Y c1 Z DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: Estimated Cost: $ A(-00- = Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: f4/ a s' APPLICANT: Tel. # 1 ? 7" K%7/ 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 Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $ / �? • a S STIPULATIONS: