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PRE 2010 DOCS,::; ? '15� .s-� i City of Fridley, Minn. BUILDING PERMIT N® 7471 • _ Date: 21s 1965 Owner: Stan Dahaberk Builder Qk= ( same, Address 84 644th Ave. N.E. � Address LOCATION OF BUILDING No. 1384 Street Dahlberg --- Part of Lot Lot _. _ Block 2 Addition or Sub -Division . $.Pry MIAM Corner Lot _ Inside Lot _ _ Setback --- Sideyard Sewer Elevation __ _— — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Ca Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost _ 1200*00 — To be Completed Garage In consideration of the issuance to me of a permit to construct the building the proposed work in accordance with the description above set fah and in cc ordinances of the city of Fridley. �-�L,� I agree to do provisions of In consideration of the payment of a fee of $ 10000 ., permit is hereby granted to Stant Pwilherz 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 ordinances. e city limits and permit may be revoked at any time upon violation of any of the provisions of said NOTICE: This pandt doss not cover the constructton, InstaMon for wbdng, plumbing, gas heeling, sewer or water. Be sure to see the Betiding Inspector for separate p.rmtts for than items. OWNER'S NAME��;Y�BUILDER . � �_.. ADDRESS .� �� ��-r-c ADD99SS 4 �, LOCATION OF BING No, street Part of Lot. Lot_ [ Block Additibw`Qr Subdivision (l� Corner Lot Inside Lot ;$etlsek Side Yard SEWER ELEVATION • FOUNDATION ELgV'A170N Applicant attach.to thit form, Two Certificates of..Survey.ofAot and proposed,build ing location drAwn ori these Cottificaies. DESCRIPTION OF BUILDING • Tav be used as:. � P Front rc- ! Depth . height 3 S$. Ft. Cu. Ft. Front Depth Height Std. Ft. Cu. Ft. 0.e Type of ConstructionEstimated Cost /' cv-e __Tj0-.be -Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work iit 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. ,of Fee Costs can be found on the Reverse Side). City of Fridley 53-84-s915.51 Application for Phunbing and Gay Fk1kq'em* Dept. of Bldgs. Phone NO -3480 DESCRIPTION OF WORK Number, Kind and Location of Fixtures I.a 13811 N E 61� Ave PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ „�_ x $200 $ Future Fixture Opening ............ x $1.50 $ - New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.26 $ Water Heater (Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Wates Heater ........... . .. : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ................ 2 x$2.00 $-2-00— Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ...,... x $5.00 $ Install (1) Gas Lite and (1)� Grill REPAIRS A ALTERATIONS—Rates to Coda 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 CWdinance 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- 25-7 2 19, Owner Stanley Dahlberg Kind of Building Frame Used as RPG _ To be completed about 6-1-72 Estimated Cost, $ 20-00 Old—New. Building Permit No. Permit No. S56 �� Signed 4 Z44 AL 4, By ! f�4E&PfF3 Business Phone No ROUGH n� FINAL U "' e Description ............................................. TOTAL FEE $ 8, 00 (;fig ®A" Surcharge .500 O e /NELEC. eHWATERW". Base let 2nd 3rd 4th • Futuro Connection Opeain9s * Naas Fixture, Old Openings Coaasebd with Cesspool C] l Cl PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ „�_ x $200 $ Future Fixture Opening ............ x $1.50 $ - New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.26 $ Water Heater (Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Wates Heater ........... . .. : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ................ 2 x$2.00 $-2-00— Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ...,... x $5.00 $ Install (1) Gas Lite and (1)� Grill REPAIRS A ALTERATIONS—Rates to Coda 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 CWdinance 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- 25-7 2 19, Owner Stanley Dahlberg Kind of Building Frame Used as RPG _ To be completed about 6-1-72 Estimated Cost, $ 20-00 Old—New. Building Permit No. Permit No. S56 �� Signed 4 Z44 AL 4, By ! f�4E&PfF3 Business Phone No ROUGH n� FINAL U "' e Description ............................................. TOTAL FEE $ 8, 00 (;fig ®A" Surcharge .500 IVA SUBJECT City of Fridley 1616 8 AT THE TOP OF THE TWINS BUILDING PERMIT EIPT N i v _ COMMUNITY DEVELOPMENT DIV. r PROTECTVE INSPECTION SEC. 3 '310 Jp CITY HALL FRIDLEY 55432 1.' NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/11/81 JOB ADDRESS �• 1384 - 64th. Avenue N. E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stanley Dahlberg 1384 - 64tb.Avenue N.E. 571-8765 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 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK r 9 CHANGE OF USE FROM TO STIPULATIONS Shed must beZ3 feet or the widthof any easement along the side or back lot line. Shed must be tied down w:Ltb- ties or put on a pezmanent foundation. 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 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 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 $500 $•50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. t PLAN CHECK FEE TOTALFEE $8.00 SIGNATORE OF CONT ACTOR OR AUTHORIZED NT _ J (DATE) �_ � ?. WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP f)A E SIGNATURE OF OW IF OWNER BUILDERI IDATEI IVA CITY OF FRIDLEY - APPLICATIm FOR RESIDMTIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) OWNER*:, c� BUILDER: ADDRESS: ADDRESS: TEL NO: ,1j`�% 0 ��ni .5 � TEL NO: ' Construction Location ' STREET NO:STREET: LOT: 1,� BLOCK: ADDITION: f Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location draW4 on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: • Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET - Ilie 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 represen Unions stated in this application are true and correct. Stimulations: SIGNATURE: .S � i1 s • ✓�u�s; P� ;7E-AluuJ tk)/TH Tr,S 0,C PU 00/ 1�_,edjjAk-moi 9-6 01, SUBJECT PERMI O. City of Fridley o 18385 AT THE TOP OF THE TWINS BUILDING PERMIT r RbQEIPT . 6 `y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. FOP 1 � � I CITY HALL FRIDLEY 55432 NUMBER REV. GATE PAGE OF APPROVED BY L 612-571-3450 910-F15 4/18/86 JOB ADDRESS 1384 - 64th Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1.1 2 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stan Dahlberg 1384 - 64th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastin s Contr. 6331 Riverview Terrace N.E. 574-9966 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 Install aluminum window trim and facia 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 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 $1,000 $.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. $17.50 LAN CHECK FEE TOTAL FEE p O iz $18.00 SIGNATURE OF CONTRACTOR O UTHORIZED AGENT IDA EI WHEN PROPERLY V D TED TH IS YOUal�_ SIGNATURE OF OWNER OF OWNER BUILDERI IOATEI BLDG INSP A7E 01, NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ 7 Building Permit Application Construction Address: 139.Z A 9(-r ti AOS M. C Legal Description: L Z )AL( -.F Xbb, Owner Name & Address: DA k L 6 Ar_q Tel. # Contractor: AAS • 'tr6S Tel. # S25/-• �1y66 Address: 433/ ������ �'^� ��1/2 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: ��N+- Xdfl� "ice Estimated Cost: $ 14200 01) Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: �zf 17 a 6 APPLICANT: 6z.- /4"1 Tel. # -S I FICO Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] r Z ADVANCE SURVEYING & ENGINEERING CO. 5300 Highway 101 Minnetonka, MN 55345 Phone (612) 474 7964 Fax (612) 4-4 8267 December 19, 1994 Attn: Mr. William W. Burns, City Manager City of Fridley Municipal Center 6431 University Ave. N.E. Fridley, MN 55432 By Fax: 571 1287 Phone: 572 3506 RE: Answers to your questions, Assessment dis_:ate rescl-ution. Dear Bill: I received your fax and here are some answers for ycur.ouescions: Question 1: Did the 64th Avenue Storm Water =roj-ct Harm, the Schwartz of Dahlberg properties ? Answer 1: In my opinion, no. While the added burden placed on the culvert under .Old Central by the 64th Avenue storm Water Project certainly would cause the water in the ditch up stream from: that culvert to be higher than it otherwise would have been, -t would not be high enough to make the rear yards any wetter zha- they would be from the trapped pockets on those properties that would be f -lied by rain fall in any significant storm. event. Question 2: Mr. Schwartz contends that the projec- contributed to congestion in the ditch that flows south of his proper -y and eventually into Moore Lake. To what extent did the project contribute to congestion in that ditch and is the concesticn or potential for additional overflow of the ditch harmful tc ei---e= the Schwartz or Dahlberg properties ? Answer 2: From past topographic maps of the _area and current maps, it appears that filling has occurred in the ditcz area. The 64th Avenue Storm Water Project removed some, but not all cf that fill and contributed more water to the ditch via a new pipe discharging there. While it is reasonable to assume that the wa-er _n -he ditch reaches higher levels as a result of the project, it does rot appear that there is any negative effect on these properties the-- are a -ready wet due to rainfall being trapped by the topography on these sites during any significant rainfall event. Question 3: To what extent did the various elements of the project benefit the Schwartz and Dahlberg properties ? Is there $1,,000 worth of benefits to these properties from any of the projectis elements ? As I see it there are three major components to the project: A. The largest component of the project is a drainage system that extends from Mississippi Street south to 64th Avenue and then south from 64th Avenue in a large storm water conduit and eventually empties into the Rice Creek ditch. B. The second component of the project is the curb and gutter work and catch basin work that was done on 64th Avenue. C. The third component of the project is a detention area approximately one acre in size that was carved out north of the Rice Creek d4rt-ch along Rice Creek Rea'.�•�i ��k `'� To what extent do you believe that each of these elements contributed to the Schwartz or Dahlberg properties ? Answer 3: I should point out that the concept of "benefit" as it relates to assessments is a complex legal issue and that I am not an attorney or legal expert by any means. Subject to review by your legal counsel, I attempt the following answer: There are some services rendered by a municipality to its citizens that are appropriately paid for from general tax revenues such as fire and police protection. There are other services that, because they benefit a very specific part of the city, could not be fairly paid for with general funds. For example, if an older part of the city experienced flooding problems because an adequate storm sewer system had never been installed in their neighborhood and if the properties in that older neighborhood had never paid for an adequate storm sewer system and if a new storm sewer system were installed to remedy these flooding problems, then it would not be fair to assess the entire city, including home buyers in new subdivisions, who had been required to pay, as part of the price of their new homes, for a storm sewer system that completely met all of their storm sewer needs and obligations. Such projects are often assessed, based on a drainage area that flows to a common collection point. It is not uncommon that owners in the higher parts of the drainage area complain that there is no benefit to them from the project since they do not have flooding or erosion problems and that the people in the lower parts of the drainage area should pay for the project because they are the ones who are suffering problems. It is true however that the development of aU of the properties in the drainage area contribute to the problem whether or not they are directly affected by it. When a house and driveway is placed on an undeveloped lot, the amount of water soaking into the ground is reduced and the amount of water flowing onto downstream neighbors increases. It is my understanding that all properties in the drainage area must contribute to the cost of a system built to solve the problem they have helped create, whether or not they have a direct drainage problem that needs solving. All elements of this project are part of a system designed to solve drainage problems in the drainage area in which the Schwartz and Dahlberg properties are located. Water is conveyed from the front of the Schwartz and Dahlberg properties by the curb and gutter on 64th to catch basins at a low point on 64th and then enters the. storm sewer main which dumps into the ditch. The upper parts of the system do not carry water from these properties but this argument could be made by any except the very highest neighbor in the area. The retention area created by the project did provide some measure of protection against very severe storm events. In view of the low percentage of the cost of the entire project that was actually assessed, it seems that these properties were benefited at least $1000 each. Question 4: Did the elevations you shot for the detention -pond and the Schwartz and Dahlberg properties corroborate the elevations that were previously defined by the City's consultant, MSA (Maier Stewart & Associates)? Answer 4: With very minor and insignificant differences, our results are the same as MSA's results. Question 5: In your opinion, could the detention pond along Rice Creek Road have overflowed on to the Schwartz property as a result of the rainfall that occurred on or about April 24, 1994. Answer 5: While I don't have enough information to conclusively rule that over flow out, it seems quite unlikely to me. Further, the low pot hole areas on the property would have been full of water from the rain that fell on that date whether or not such flooding occurred, so it is difficult to see how any adverse impact on the property could have occurred from such overflowing, whether or not it occurred. Sincerely, ADVANCE SURVEYING=ERING CO.James H. Parker, P.E. & P.S. No. 9235 1 1 SUBJECT P City of Fridley 88 4 09 AT THE TOP OF THE TWINS PERMIT 672-36®4 BUILDING R iPT NO. COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REY DATE PAGE OF APPROVED BY 612-571-3450 910415 110126198 10B ADDRESS 1384 64th Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. j j 2 I Spring Valley SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dahlberg 571-8765 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B & B Roofing Service 6760 Madison St Fridley 55432 571-0248 9042 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 0 NEW 0 ADDITION O ALTERATION Rx REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof garage and shed (11 Sq) 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 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 $942 $.50 DOES OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR ISI NS OF ANY OTHER TATE OR LOCAL LAW REGULATING CON- ST UC ON OR THE PERFO NCE OF CASTRUCTION $34.75 Fire SC $.94 PLAN CHECK FEE TOTAL FEE License SC $5.00 41.19 tl SIGN4 TUR,P05F CON'RACTOR OR AUTHORIZED AGENT (DATE, HEN PROPERLY VALIED T IS IS YOUR PERMIT BLDG IMF, ®� V_ F�AiE S.GNATURE OF OWNERof OWNER BUILDER, iDATE. e NEW [ ] Effective 1/1/98 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 3� % �p ^e -7 - Legal e -7 - Legal Description: e5g /M, e- ,S e! (—O Owner Name & Address: , z&z X"ZT- Tel. # --5 %/--or- ilo' Contractor: MN LICENSE # �Uy� Address: �7iy�/%/�j/1 % 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: Construction Type: Estimated Cost: $ g7'a (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:AD-2,7— 7�� APPLICANT: Tel. #.S7/ � CITY USE ONLY Permit Fee $ / 341 !% Fee Schedule on Reverse Side Fire Surcharge $ 941 .001 of Permit Valuation (1/10th%) State Surcharge $ S ® $.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 $ "`7 STIPULATIONS: