PRE 2010 DOCS•
*City ® Fridley, Y, Nunn. •
e
BUILDING PERMIT N° 6505
-Ad&ws Address
&%C4T1PNO BUILDING
No. Street -- Part o Lot
Lot _ Block _ on or Sub-Divisi ._
Corner Lot Inside Lot SSideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
T Used
Front Depth Height Sq. Ft. Cu. F't.tvyry�/=
Depth � Height — 4 Sq. Ft. 6'0 Cu. Ft. 4Y&
Type of coon4. Est. _ _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 se= in co ce with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $k2%� ., permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, m au work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Ridley, Minnesota reg location, construction, alteration, maintenan pair and moving of buildings
within the dty limits sand a permit may be revoked at any time upon ola n of any of the provisions of said
ordinances.
Building Inspector
• NOTICE:
fhb perm* doe: not cover the construction, huhllation for wiring, Plumbing, gn hafting, aver or water. Be sure to we
the Building inspomr for separab perms for then *ens.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDIEY, MINNESOTA
Owner's Name Builder
Address Address
LOCATION OF BUILDING
No. 14';�g Street 41� 3 Part of Lot
Lot ^_ Block Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard
SEWER EMATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
4el Denth Heiaht
Sq. Ft. Cu. Ft.
Front_ At( Depth Z_ Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
To be Completed
The undersigned hereby makes application for a permit for the work herein specified$
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representations
stated in this application are true and correct. O�
namW � i-��, /� -qTMemri M ,�t —Z. � /L�
(A Schedule of Fee Costs can be found on the Reverse Side.)
. a . " 0 0 —a . ..
City of Fridley
Application for Plumbing and Gay Fitting Permit
DepL of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK 146 •- 63rd' Way
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ............................
Water Beater (Up to 200,000 BTU) ......
New Ground Run Old Bldg. ............
NO.
Q
TOTAL
7
Z3
x
p
$
x
1.20
$
x
1.00
zWATER
a
F
N
HTR.
GAS
ELEG
2.00
x
2.00
�
x
3.25
$
o
0
Base
1
1
1st
1
1
1
1
1
is
os
1
2nd
_
3rd
_
4th
• Future Connection Openings
Connected with
Sewer �]
New Fixture, Old Openings
Cesspool E]
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ............................
Water Beater (Up to 200,000 BTU) ......
New Ground Run Old Bldg. ............
NO.
RATE
TOTAL
7
10.50
x
$1.50
$
x
1.20
$
x
1.00
$
x
3.25
$
2.00
x
2.00
$
x
3.25
$
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 $_ 1.50
Additional Fixtures o x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $--:- Q • 00
City of Fridley:
The undersigned hereby .makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
May 22 19 63
Fridley, Minn
Owner Paul Schwartz Const. Co,
Kind of Building Frame
Used as Dwell
To be completed about
Estimated Cost, $ 800.00 q G)
Old—New. Building Permit No. /,-)� �gPermit No. pi a
Signed STAND D PLUM" & M" ORCa
By !/
Busin s Phone No. �f-tl e 3589
ROUGH 4 - I Z - (- 3
FINAL
-90>42 2M 7-59
Application for Power Plants and Heating. Coding, Ventilation. .Rehigrawlon and
Air Conditioning Systans and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL.
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 8.00
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
NO RATE TOTAL
1st 3 Fixtures ......................
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ......
8.00
$
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 5.00
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$ 1.50
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$ 14.50
ROUGH Plan R-1 On File
;FINAL
Dept. of Bldgs. Phone SU 4-7470
Location 146 - 63rd Way. N. E.
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley,Minn-6-11 1963--
Owner
96.EOwner Paul Schwartz Construction Co.
Kind of Building
Used as Dwe
To be completed about 7-11-63
Estimated Cost, $ 4UU.UU
Old—New. Building Permit No. (:�Permit
DESCRIPTION OF WORK
BEATING or POWER. PLANTS --.Steam, Hot Water, Warm Air—No ].
Trade Name Westinghouse Size No GUE-100
Capacity Sq. Ft. E.D.R 100M BTU H.P.
Total Connected Load 45631 Kind of FueL Gas
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R. BTU H.P.
(REMARKS—OYER)
FRED VOGT & Co.
signeNEV I IR aCONDITIQ
� D
By
St. Louis Pork, MtiiwO�fS
4-42 2M 7_59 Business Phone No
II
City of Fridley
SUBJECT
MIT414j
®
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i `
CEIPT N
` COMMUNITY DEVELOPMENT DIV.
L _
------
G7/
r � � PROTECTIVE INSPECTION SEC.
2r
'
/---1
CITY HALL FRIDLEY 55432
'.j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
•'--Allf
812-580-3450
910-F15
6/10/77
JOB ADDRESS 146 - 63rd Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
4
3
Eva Erickson River Manor SHEET
2 PROPERTYOWNER MAIL ADDRESS
ZIP PHONE
Thomas M. Tobias 146 - 63rd Way N.E.
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 ❑X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
-
8 DESCRIBE WORK
Construct a 22' x 24' addition onto existing garage
9 CHANGEOFUSEFROM TO
STIPULATIONS provide copy of truss design. Provide a hard surface driveway.
WARNING
Before digging can local ufl[1 4
SEPERATE PERMITS REQUIRED FOR WIRING,
TELEPHONE - ELECTRIC - GAS Etc.
HEATING. PLUMBING AND SIGNS.
REQUIRED BY LAW
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
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
5280
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
528
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
$3,907
$1.95
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.
$21.12
PLAN CHECK FEE
TOTAL FEE
$23.07
SIGNATURE OF CONTRACTOR OR
RE AUTHORIZED AGENT (DATE)
/-WYEN PROPERLY LI TED THIS IS ERMI�j
YOUR
®( ®
BLDG INSP
DATE
STN TORE OF OWNER IIF OWNER BU DERI 1 T •
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEWj ALTERATIONS, ADDITIONS, OR REPAIRS)
OWPdER: C Ay �0 /�I BUILDER: _ S,.f 4�E
Address: %/—r-��� �� Address:
Tel. No.:
No.: / �o Street: A
LOT: BLOCK: ADDITION: 1/4 Z9�/'./�c�r�I
aPiU6s� ,�y�®
CORNER LOT: INSIDE LOT.SETBACK:
-� SIDEYARD5:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on theseCertificates.
DESCRIPTION OF BUILDING
To Be Used As:
F_ Front:
20 Depth: Height: Q -
Square Feet:_ �� tic Feet: 'sa
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: j�p �Estimated Cost: 137010�0
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired$ $
4(SEREVERSE 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 additional information.
DATE: _ �o -(Q -� �"/ SIGNATURE:
-f
Stipulations:
1, .4
SURVEY FOR :
MR. THOMAS M.
CQ
N 63RD WAY N.E.
75.00
t I t
Injui
col
t I o
44.0 21.6 ;
o/ EXISTING o
NIt
� HOUSE
p 44.0 21_5
' N � 3.2
22-0 � N
In
N
o"G o
t0 4
j
6.0 N 2.0
/ a
DRAINAGE AND
UTILITY EASEMENT N Q. N - - J
14.0
to �
75.00
PROPERTY DESCRIPTION
Lot 41 Block 3, EVA ERICKSON RIVER MANOR,
according to the recorded plat -thereof,
Anoka County, Minnesota.
CERTIPICATION
I hereby certify that this survey, plan
or report was prepared by me or under
my direct supervision and that I am
a duly Registered Land Surveyor under
the laws of the Sta of Minnesota.
% J�/ .4
C
Harold C. Peterson
Date June 9, 1977 Reg. No. 1229
SUBJECT
P NO.
City of Fridley
9494
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
SEC.
Cl�3
r PROTECTIVE INSPECTION
1 ; a
1 1 '- CITY HALL FRIDLEY 55432
f
NUMBER
REV
OATS
PAGE OF
APPROVED By
612-571-3450
910-F15
15/18/99
,OB ADDRESS 146 63rd Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
3
Eva Erickson
River Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
P
PHONE
Toby Lanqiewicz
571-8155
3 CONTRACTOR MAIL ADDRESSZIP
PHONE LICENSE NO
Right -Way Roofing1200 E 79th St Bloomington
MN 554 612-853-0049 3999
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 ❑ ADDITI jJ AL
lJ
RATION Rk REPAIR
❑ MOVE ❑ REMOVE
� 8 DESCRIBE WORK
Reroof house and garage (27 Sq) ear- ff
9 CHANGE OF USE FROM
TO
STIPULATIONS
L
Underl yment mus co y ith the State Building Code.
SEPARATE PERMITARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING.
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR IR CONDITIONING.
THIS PERMIT B COMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN ESO 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
$2313
$1.16
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•
$83.25
Fire SC $2.31
STRU ON THE PERFORMANCE OF CONSTRUCTION
�-`
M�S�I -&At,
PLAN CHECK FEE
License SC $5.00
TOTAL FEE
$91.72
SIGNATURE OF CONTRACTOR OR AUTN RiZEO AGENT SDATE.
WHEN PROPERLY IDAT
D THIS IS YOUR PERMIT/J
-
/
BLO �NSO
v 1 ✓"
Tr)A FE
S-GNATURE OF OWNER.rt DINNER BUILDER, IDATE�
NEW [ ] Effective 1/1/98
a-1
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Ct�C�
ConstructionAddress: `��4
Legal Description: c�
Owner Name & Addr Tel. #
Contractor:RIGHT-WAY (� I MN LICENSE # 0 -\
Address: 1200 E,.79th Street Tel. #
Blo ming on,
it aj%tin, a ertificate of Survey of the
ction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: ngth W, i9 thy.. H Ground Sq. Ft.
OTHER: �vv ' 4N s- �(� e/v
Construction Type7j,W M oc� �� Sr, Ii RLA, CC stimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: J -1,V A APPLICANT: Tel. #S"�3—X kA c�
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ <) 3-�s
Fee Schedule on Reverse Side
Fire Surcharge
$ c,2. 3 /
.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 [ ]
TOTAL
$
STIPULATIONS:
PURCHASE ORDER DATE !1+ Q DEP'►RT'"' 9 6 3? �.
PURCHASED BY 7HWAUMBERVUSTAPPEA
THIS DOCUMENT GOOD FOR PURCHASES UNDER $1;000.00.ONLY
.-
SUPPLIER
r" Ir AJC.
PAYMENT• VOUCHER
/17
'
ADDRESS
.�
BY SIGNING THIS DOCUMENT, BELOW I HERE .AUTHORIZE'
PAYMENTANDJHATTHEGOODS:AND:SERVICESMAVESEEN!
?
RECEIVED OR RENDERED:AND`AL'L.CITYMIDE:INESMAVE
;,°:CI;B 1�. OF
BEEN'FOLLOWEDj IN, THEPROCUREMENYI'OFriHE-BELOWd
` a FRIDLR'
STATED ITEMS:
8431 UNN: AVE. N.E.
PHONE N0.
i
DATE F&CEWD.
FRIDLEY, MN 55432.4384, :j CONTACT
L 612-571450;
F PRffM 0NRXYCLEDPAPER
PAYMENT AMORM BY.
ACCOUNTS
QTY.
UNIT
PLEASE ENTER OUR10ROER FOR THE FOLLOWING,
UNIT PRICE,
Amount .
GA16l/
&3
`" fil C.
Xs11
I TOTAL, 11 C-//, 7,,2
THIS AGENCY HAS AGREED NOT -TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITALSTATUS; RELIGION;
OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO. EMPLOYMENT. [ITENCOURAGES.
RMS AND OTHER:AGENCIES WITH WHOM, IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE.
i WHITE, VENDOR — YELLOW, PURCHASING — PINK, ACCOUNTING — GOLDEN, ROD, DEPT. HD.
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
U01"7 L'V XAM CCAI'f
7..-..._
572-3604 FAX: (763) 571-1287
PERMIT .: 2004-00450
Q.I
DATE ISSUED: 04/06/2004
ADDRESS : 146 63RD WAY NE
PIN : 153024430020
LEGAL DESC : EVA ERICKSON RIVER MANOR
: LOT 4 BLOCK 3
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING
VALUATION : $ 1,852.00
NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE.
REROOF HOUSE (16 SQ) TEAR -OFF
STATE LICENSED CONTRACTOR 1
APPLICANT
BUILDING PERMIT FEE
FIRE SURCHARGE
66.20
1.85
ROBERT FLEMING ASSOCIATES
1902 GLENHILL RD
STATE SURCHARGE, VALUE
0.93
MENDOTA HEIGHTS, MN 55118
LICENSE SURCHARGE
5.00
TOTAL
73.98
OWNER
LANGIEWICZ TOBY R
146 63RD WAY NE
FRIDLEY, MN 55432
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 wort
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 con tion or performance performance of constriction.
i �
Bldg
CUD AD ATL' 1nL'DIAATT0 DUr%TTTDL'TI LVID 117!\DTI f%rr9 'D TTS AAT TNINV'DMUn ADMM
sfi�'6�;?
NEW [ ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
-�0)' `M
Construction Address: / ZLK17 Y W Le , y
Legal Description: r
Owner Name & Address: ` O r / �� � Tel. #
Contractor 0 e't � I 9 SS r MN LI ENSE # SC •�� g g ��G
Address: 1,cr02 Peylu7zt"T "le ?CJ
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: Len th Width Height Sq. Ft.
DECK AREA: Length Width Z H Ground S Ft
OTHER:
Construction Type: ��� Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: ( PPLICANT: Tel. #
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.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 $ 3, STIPULATIONS: