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3033 Timberwood Tr‘ City of Eatali I 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 RECEIVED j Permit #: L I CI / `1 Permit Fee: 0 0 Date Received: 1 Staff: Fax: Date: D (651) 675 -5694 MAY 19 2011 , 2010 RESIDENTIAL L PLUMBING PEF l 1 1 ' Site Address: .6 3 11 ,! I I r APPLICATION ) iM i [ V l:i i 557- Tenant: , I uite #: RESIDENT / OWNER Name: 0, f 1 6gr 1 Phone: 1.Q5 1 ifs 8 Address /City / C3✓1 'Tr\ / [ Q ✓✓I U CONTRACTOR , , I 1 Name: ' Cr t) V�I it C.( License #: L '- L°i 1 (dVc,,. '' � Address: tJ v City: State: V Zip: Phone: 1,15 (� ' (Y Pt tOl ( � �y�,,,,�,� 1 Contact:�J( I\ 1. ��CJ' )ec Email: TYPE OF WORK _ New X Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: In [. / b di 6 Al.. _1 C ,•' _ PERMIT TYPE RESIDENTIAL Water G` Softener Plumbing Fixtures (= Main / _ Lower Level) Turnaround ; G_ Water Heater Add Lawn Irrigation (RPZ /_ PVB) ' Water Septic System New Abandonment RESIDENTIAL FEES: 1 $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 (includes $5.00 State Surcharge) State Surcharge) State Surcharge) C G S TOTAL FEES $ ✓ ✓' 06 $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.O9 CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend `to dig to receive locates of underground utilities. www.gopherstateonecall.orp I hereby acknowledge that this information is complete and accurate; that the work will be in onformance with the ordinances and codes of the City of Eagan; I understand this is not a permit, but only an application for a permit, and wor is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval !ans. PP �� rr X �V x C / // ` /1� 1 Applicants Printed Name Appl' ants Signa ure 1 FOR OFFICE USE Revie By Efate Required IniOedtions: linden Grounds h to Airi Test Ftftal ° __=GAS i I Use BLUE or BLACK Ink, I! �� C�--. ;��- -- �, � � � �� : � � �� ; �, �� : � �� ,�� ' _ � - �:��`r��+�� " ' � �ta�to '� .�� .;� ��1��C�"��1.. �� '��L,;��"�'��' �� : � '� �' €� ,��` �� '"��"�� u � � �� \\ �� .;, �� ; �� \� � ':V�tw.�..�',- �,f*.�'#. �' �# �. ..�a�« � �� 4 :�,; ��+1� '� ss.� :��c�r � .�� . ��.� '� �r"c,� ,.�.�`�� ° z�� ,, � ; z �l'�b`�#8� '�C' t''�" ��Ct�3t �� '�� y�� : � a �'@�Nt1 i7��: �� ,�, �� : ��. ; . .::.. ', �-� _� ` , �, 1 C�� ,� � � �� , : � � � . ' � �� ! ��+�+��^.� �a� ^��°�r�°'�� K.. � « �� : �� :: ��\ `' � �� s�; � �� '� . �t+�^. l~# ,�'" �..�, �. a,,,, ; ; , �`� ��;�±�"�� =�`...��..�.,�,��it°.� ' �,�„ � �r,��-C��. � \� > ��: � � � ys � \ �� ,. �� ' S`�' ��:#��°�'�� ,�� , �� r��,� : �� t,. ��r`�€�� a��.�� i � �� ► ��,� , � � � �� :_ �f� i€ �r�d� �€�' ��a= t� �, ��t�tt��r��r��t�r 1��= ' �t�'�5t��'� .� � t�tt�: � ��t��[��i+�►�t't��r: ��;, . ,,: r: ..r�.. >, _�. . . . .,,: .,,,,;, ,, ; u _.. ,,, � � v :.�. �< _ � � \\ � ��. �.. 3 t\ - =; . . - � � � ,. . . a�3 y �1 ,,. ,,,,,x .'. ,i, ..W .:�� nY..,e l� �� . C,.'"'- ;"?'. . .\�•�.� . �„�..F@ .�,;� ...:.. -f'- : <, ..,, ,,�>;, . 2_„_ .: °• '�� :� r,.��,F£� c € � a ' �"'��IC��1��$�`�"�' �!��'Y� C�CC�11lli�i a �11� : � yt�' #�r�to t�r� `' � a"�'scf . ° # � � ��Caar�t��t�t��r�� `t��v�!a�lt�t�r��r��z��f t��ts� :t�1�d ' '. t��l��'�� r��kp�i�t�� f�w��ts�in �!` � �'t c� � r�� . ' ��rk�t �t'�b�s �� t��tti��u1� ��. ��'i �s�� _ _ _ , _ _ x.. �' � +��,�� `� �� ' ��; � ...,.., r...._,,. ..�.-..... .�,,. � � For Off{ce Use ` Y I ` j Permit#: � �v j � � ' � ' �� Permit Fee: � � 383D Pilot Knob Road I ----�� I Eagan MN 55122 � Date Received; "O� � � Phvne;(651)675-5675 RECEIVED � � � Fax:(651}675-56g4 I Sta I QCT 2 6 2015 '----------------v,� � 2015 RE�iID�NTIAIr BUILDING PERMIT APPLICATION �\�� Date: �d Z�O �� Slte Address: �v 3 3 �ir.�sGr vB �r , �°` �� ( Unit#: ;` �`�- �., ',•a �; ��,��a�sm�� Name: �t�t� � �4� � Phone: �� (p c7 f�,�� .�_ ��;�� . •�:�.�-, ..,: � .:��:�� ;...::::a��-; i �/y�, '� ne1. (/�;(,��.,. 7 `�a:�A� ,'::;�e��:s..eg� Address I City I Zip: �r� ;� ��Kt4�.l�lJl)7.p,� l !' • �0.'Sµ`1 � ` � ` � cea 'e�w'e�w' ro:°.c.:: pry{��`°t}�C� '��kCL' . :�'�.��'�r'� �;�� ' Applicant is: Owner Contractor C,7 a .�..°.__,._.:.,,;,v_a ��r�� "��"°'��s� a�:�.._�.��`=':�%°°�;:;; _:�, ,q.� . � ��"�"��•°�° '� ' Rescription ofwork: /'�t�^�"��n'� ��c��G rr /^-(r� � c"' � �. �'M;�.��-��` T T..��_�� ,a,,, t ,,,,, c�,�st �,n;��::��`��,�;'-.k`�= �=.;;a�°��t� 1$`�C7• Z ��-_,,-� Construction Cost: Multi-Family Building:(Yes �N4� � M,� Fc A4�5��:;�'� �� .. �� I • �/ �'��" �� .~��'�' f�� M� �•S"t. Contact: �5 '/w K c�< � ��"��u,�''m. Com an � i�as.�� .�;.��::�-�� P Y� 3 �;,��.�-.:�;� :?�-�.�;��;:��°° "'e �r- / , J 1 y� � �i�,.��a..a> . }.:- Address:, ��.�+ ��l�t�!`z�J�� C..� ✓� �i�'ff � City: L"��r/'7�itf'� �a::�� :� : ::W�=�'; �_ �.�� M=. �,�-�.a�r:W ��:s��4��;�,,�r ! ,,�,( ��'��=- -�"°'•�•`�� State: Zi �`� Phone: ��. $��q Email: �v,wn al t�q�Q � (U�I►�,�� !� �7 ;��E ��::�_�;..,�.�.� � p�� t-- _=�:-��`�`�:�_ �L...� ;:�' ��''��°�� c>. �a� � ::.-,.�:,:=a��,. �::.: ;:�; �_ 5�1�.�.,. �„ / / , e�'r��-�1 d�� .c�om �'•'�'��=`��==:c�•¢�� l.icense#: I.._t,,,�oq Z�� Lead Certificate#: � J m ,� cM.:�:�_�.;�-.< � '{ "i�t°.�AR. If the project is exempf from lead certification, lease explain why: ! -� E'.'"'t ( Gf`1 'n r/Y'Gh � ��"�c, '�`'�„ COMPLET�THIS AR�A ONLY IF CONSTRUCTING A NEW BUILDING tn the last 12 manths, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes Na If yes, date and address of master plan: Licensed Pfumber: Phone: Mechanlcal Cantractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: ,�� . �GR M�A��:� �C`�'��,�� `�T.�-�:.:-�� ' �`��l;�'�'�'�' ��'�:�� :.:T��;.f� �� -� � _A'��:w� a,tt� ��.�� '� �� .��!:�.��.�t° �'.. ��"',_��:�� y^_� c�� -s :rv^-�ca zod �na 3o r , °?;�s^ .m� . san x ` ��';�e�r �'�.,��:°��......,.�ci'*+�-',�^s;„.^a.cY�s:�a.wcr'��'�°n°`""�ca�^ . _i� .�' " ��m. .�e x.m ..�r.. ^A'�',d:. �s�....�:. ,,�:-.�.-,,,f .,. Q ... . »,, ....... ». ,.»..�..... ..ror.._ ,a :r.�.. . . .: '� . ..... � �i..•'� u ew CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protaction against underground utility damage. Call48 hours before you intend to dig to receive locafes of underground utilities. www.gopherstateonecall.or I hereby acknowledge that this information is complete and accurate;that the work wfll be in conformance with the ordinances and codes ot the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is nof to start wiYhouf a permit; thaf the work wiil be in accordance with the approved plan in the case of work which requires a review and approva]of plans. E�ctertor work authorized by a building permlt issued In accnrdance wiih the Minnesota State Building Code musf be completed wlthln 18d days of permlt Issuance. x �f'�.s�� Ga��,�P x--� Applicant's Printed me Applic nt's i�nature Page 1 of 3 ' � ` �� DO TI WRITE E O TH S LINE I ,�0�� SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Aiteration(Single Family) _ Single Family Garage Porch(4-Season) Exterior Alteration(Multi) _ Multi � Deck _ Porch(ScreeNGazebo/Pergola) �' Miscelianeous �� _ 01 of_Plex _ Lower�evel _ Pool _ Accessory Building WORK TYP ��'�1►,f� New _ Interior Improvement _ Siding _ Demolish Buiiding' _ Addition , Move Building _ Reroof _ Demolish Irrterior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Repiace _ Repair _ Egress Window _ Water Damage _ RetBining Wail *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation � �� Occupancy � AACES System Plan Review Code Edition I�� SAC Units (25%_100%� Zoning ____�� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings(New Buiiding) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests TFinal Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone�ath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls �,,� ,� Other. Reviewed By: ,Building Inspector RESIDENTIAL FEES Base Fee � Surcharge `��r Plan Review �-� � � MCES SAC �� City SAC � Utility Connection Charge S�W Permit 8�Surcharge /�, Treatment Plant � �'"�� Co ies �fi �'� � '` � t/ '� � P � TOTAL Page 2 of 3 Reliabuilders 952-226-5514 p.1 Use BLUE or BLACK Ink For Office Use 9P Permit i q, �� ity of�a� { Permit Fee: ['itQ'l' 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Staff: Fax:((651)675-5694 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6-1-17Site Address: 3027, 3029, 3031 & 3033 Timberwood Trail Unit#: Name: Advanced Innovative Management Phone: 651-739-5544 fi Resident/ 1303 Geneva Ave. N. Oakdale, MN 55128 t Owner Address I City 1 Zip: Applicant is: Owner X Contractor 3 a s remove and replace hail damaged metals from roof. a 1 Description of work: 4 Type of Work 10 000.00 Multi-FamilyBuildin Yes 1 No } Construction Cost: ' g: ( Reliabuilders Construction, Inc. Contact: Jason Michels i Company: i f I Address: 3351 Griggs St. S.W. City: Prior Lake ' Contractor I I State: MN Zip: 55372 Phone: 612-581-6255 Email: jason@retia-builders.com I BC650191 R-l-30358-13-00160 License#: Lead Certificate it: If the project is exempt from lead certification,please explain why: ' N/A r i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No 11 yes,date and address of master plan: I Licensed Plumber: Phone: a Mechanical Contractor: Phone: I ii Sewer&Water Contractor_ Phone: i I { Fire Suppression Contractor: _ Phone: --NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of i the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. xJason Michels X J 1,A.: Applicant's Printed Name Appli Signa lire Page 1of3 IF • CP (I II For Office Use 'I r " r " ::::e: J4cc L•....- ...... E AG A N Date Received: �� 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 REC `I:" ., (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 s Staff: '`►-� buildinginspections cr citvofeagan.com JUN L 05 2018 2018/ RESIDENTIAL BUILDING PERMIT APPLICATION (© -5.----11 Date: Site Address: 3.63 3j/7'( "j�j(gr Tr-1. Unit#: � Name: v? htG(-t�5 P'one: / `01,e7?5cam/ 3 Resident/ OwnerAddress/City/Zip: 303? /7.1 1, 't-UC/pc '7-r- , Cyqi Applicant is: Owner Contractor r 0 d y Type of Work ( Description of work: I sL?W eV- /etre,,./ k e_piretyrtc' pn •4--,h- ny Construction Cost: t-J OQ V Multi-Family Building: (Ye . /No ) - ( ompany f'l.rr-iT Air` y�ontact: J O.- Address: City: /4 (r' State:Zip:S,) zb Phone: a-017,?- mail: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-•ublic if ou •rovide •ecific reasons that would •ermit the Ci to conclude that the are trade secrets. You maysubscribe to receive an electronic nic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wit the approved plan in the case of work which requires a review and approval of plans _ '. / x 1- G {_ Q ;r-PiQ. S x 7), ,„ K-�'- /7L✓7/(� Applicant's tint e Applicant s i pp ture 11 DO NOT WRITE BELOW THIS LINE Q -jr�'� - c�% /4(ig 7 SUB TYPES _ Foundation _ Fireplace — Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex '"Lower Level _ Pool _ Accessory Building WORK TYPES / New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior +7 Alteration _ Fire Repair _ Windows _ Demolish Foundation �" Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation /91-1V Occupancy ' MCES System Plan Review Code Edition litti,41,ji '" SAC Units (25%_ 100%)t) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water Final Pool:_Footings _Air/Gas Tests _Final X Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick EFIS yInsulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 11/ , Building Inspector RESIDENTIAL FEES Base Fee 600020' Surcharge0 I Plan Review 1. 6617 MCES SAC / "` LIV City SAC Utility Connection Charge V S&W Permit&Surcharge / i Treatment Plant Copies TOTAL Page 2 of 3 For Office Use CAI• a � * :::::e: ( �'ii _� /(' I`m Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 JUN 0 2018 • Staff: buildinginspections(c�citvofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6 ` 3 ! ,• X Site Address: 3O hji)6,eLUr�iq" 7*-r)' Tenant: Suite#: Name: '" Cl �� -ars" Phone: (Pia )D7 g'. Resident/Owner `�'7`� Address/City/Zip o L 3 3 A.er--1,00 or. 7 ' Name: Cl. J l`er'r f h 1 p c y1 YYI'License#: eL / Address: City: /Com " State: /() Zip: 55Vell Phone: 7 "� Contact: Email: Type of Work —New _Replacement _Repair _Rebuild /tt Modify Space _Work in R.O.W. Description of work:~ /Da`vie redo', o1 RESIDENTIAL Water Heater Lawn Irrigation ( RPZ/ PVB) Water Softener Permit Type )( Septic S stem Add Plumbing Fixtures( Main/ Lower Level) Y New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x D, Ptetf--5' x ' Man,a/ Applicant's Printed prame Applic, 's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: f ®o EAGAN �1 RECEIVED 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-85351 FAX: (651) 675-5694 NOV g 208 buiIdinginspections(@cityofeagan.com Date: ----------------- For Office Use I I Permit #. _Z:5L3 0 / LII I / Permit Feer �y I I I I- I Date Received: M I �I I Staff: L--------------�`j--I 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 11/8/18 Site Address: 3033 Timberwood Trail, Eagan Unit #: Name: Marilyn Kay Demars Phone: N/A Resident/ 3033 Timberwood Trail, Eagan, MN Owner Address / City / Zip: Applicant is: Owner X Contractor Type of Work Description of work: Exterior foundation waterproofing Construction Cost:47760 Multi -Family Building: (Yes X / No ) Company: Advanced Construction Services Contact: Kari Johnson Contractor Address: 12585 Rhode Island Avenue city: Savage State: MN Zip: 55378 Phone: 952-562-8726 Email KariJ@AdvancedConstructionMN.com I; BC719539 NAT -113770-2 License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: Exempt - Built in 1997 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appro al f pla x Kari Johnson x c� Applicant's Printed Name Applicant's Sign re REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) DO NOT WRITE BELOW THS DONE Footings (Addition) SUB TYPES Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Hood Foundation Fireplace Porch (3 -Season) Exterior Alteration (Single Family) Single Family Garage Porch (4 -Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of _ Plex Lower Level Pool Accessory Building WORK TYPES Fire Suppression: Rough In Final Braced Walls New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building — give PCA handout to applicant DESCRIPTION Valuation �'i-i Occupancy _1 C �- MCES System Plan Review Code Edition Z, 0 1 SAC Units (25% 100% "j Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Suppression Required Type of Construction V Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Hood Roof: Ice & Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: f /� �< �/� , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3