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4023 River Valley Way ' lid, pZ Use BLUE or BLACK I For Office Use _75 City of Eap ­71 1 ­7 -:f55 I Permit Fee: 3830 Pilot Knob Road Eagan MN 65122 Date Received: Phone:(661)675-6676 Fax:(651)675-5694 1 Staff 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date. Site Address: Unit#: Resident/ Name: CalAtlantic Homes Phone: (952) 229-6009 Owner Address/City/Zip: 7599 Anagram Drive / Eden Prairie / 55344 Applicant is: _Owner V( Contractor Multi-family residence Description of work: // I I Type of Work I t $ 170,000 Multi-Family Building: (Yes V/ Construction Cos: /No_) Company: CalAtlantic Homes Contact: Kurt Niska Contractor Address: 7599 Anagram Drive City: Eden Prairie State: MN Zip: 55344 Phone: (952)229-6009 Email: Kurt.Niska@calatl.com License#: BC700385 Lead Certificate#: If the project is exempt from lead certification, please explain why: The building was constructed after 1978. 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: 07/01/2015, 3999-4007 River Valley Way Licensed Plumber: Elander Mechanical, Inc. Phone: (952) 445-4692 Mechanical Contractor: Elander Mechanical, Inc. Phone: (952) 445-4692 Sewer&Water Contractor: Miller Brothers Excavating —Phone: (763) 420-9170 Fire Suppression Contractor: Fire Suppression Services, LLC Phone: (763) 277-8960 NOTE. Plans and supporting documents that you s u bmi t a re considered to be public information. Po, * ns, the information may be classifiled as non-public ff you provide specffic reasons that would permit the City to conclude CALL BEFORE YOU DIG. Call Gopher State One Call m(651)«5*-0nuo for protection against underground utility damage. Call*ohours before you intend m dig m receive locates of underground utilities. 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 | understand this is not a po,mn, but only on application for ponnn, and work is not to mart 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 v,permit issuance. Applicant's Printed Name Appficant's Signature Kurt N.ska Page 1m» ` E D NOT W ITE BELOW THIS LINE 10 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-,eplex — Lower Level — Pool — Accessory Building WORK TYPES X 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 Occupancy MCES System Plan Review Code Edition SAC Units (25%4 100%_) Zoning _ City Water Census Code Stories Booster Pump #of Units -T Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction _ Width ' REQUIRED INSPECTIONS L� Footings (New Building) Meter Size: Footings (Deck) X. Final/C.O. Required Footings (Addition) 7= Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes-.4 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding:_Stucco Lat Stone La _Brick 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: Building Inspector RESIDENTIAL FEES Base Fee �Y3 _ Surcharge ». Plan Review - MCESSAC j j 0() )e-75 = L{�I � ` I City SAC Q)-, 1 .� Utility Connection Charge S&W Permit& Surcharge ,/ t-- ,"? Treatment Plant ) { Copies TOTAL 2( o 0 1D �� �- Page 2 of 3 750 New Construction Energy Code Compliance Certificate Per R401.3 Certificate.A building certificate shall be posted on or in the electrical distribution panel. Date Certificate Posted COPY OF THIS DOCCUMENT WILL BE POSTED ON THE PLENTUM OF FURNACE 6/24/2016 �JM� Mailing Address of the Dwelling or Dwelling Unit: City: C LAT ANTI C 4023 River Valley Way Eagan Name of Residential Contractor: MN License Number HOMES CalAtlantic Homes BC700385 THERMAL ENVELOPE RADON CONTROL SYSTEM Type:Check All That Apply X Passive(No Fan) Active(With fan and monometer o (D or other system monitoring N = device) 2 Fw Location(or future location)of Fan: � T i4 3 w 0 °? IF fan is required;Attic o o o L° Q. in m a C p z N N O a- iL O Insulation Location o o o, O m y E v E E o y GO O C 6 01 i-z ii I u- a it Other Please Describe Here Below Entire Slab X Foundation Wall R-15 X I I JR402.2.8,Exception,a.R-10-by plan Perimeter of Slab on Grade X Rim Joist(1 st Floor) R-20 X Rim Joist(2nd Floor+) R-20 x Wall R-21 X Ceiling,flat RA9 X Ceiling,vaulted R-49 X Bay Windows or cantilevered areas R-30 X Floors over unconditioned area R-39 x Describe other insulated areas Building envelope air tightness: Duct system air tightness: Windows&Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U-Factor(excludes skylights and one door)U: 10.29 X Not applicable,all ducts located in conditioned space Solar Heat Gain Coefficient(SHGC): 10.32 JR-value MECHANICAL SYSTEMS Make-up Air Select a Type Appliances Heating System Domestic Water Cooling System Heater I Not required per mech.code Fuel Type NATURAL GAS ELECTRIC ELECTRIC Passive Manufacturer LENNOX RHEEM LENNOX x I Powered Interlocked with exhaust device. Model ML193UH045XP24 PROE502RH91 13ACXN018 Describe: Input in 44000 Capacity in 50 Output 1.5 10ther,describe: Rating or Size BTUS: Gallons: in Tons: AFUE or 93 SEER 1 13 Location of duct or system: Efficiency o Residential Load Heating Loss Heating Gain cooling Load ERV in Mechanical Room Calculation k39466 115887 118383 Cfm's "round duct OR MECHANICAL VENTILATION SYSTEM I'm, duct Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a Type source heat pump with gas back-up furnace): X Not required per mech.code Select Type Passive Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: I Other,describe: X Energy Recover Ventilator(ERV)Capacity in cfms: I Low: 150 High: 1140 Location of duct or system: X Balanced Ventilation capacity in cfms: Mechanical room Location of fan(s),describe: Cfm's Capacity continuous ventilation rate in cfms: 6" "round duct OR "metal duct Total ventilation(intermittent continuous)rate in cfms: Component Constructions Job: " 11VCig�"lfig01 ` p Date: 2015 Entire House By: Elander Mechanical Inc Plan: FREMONT 700 Valley Industrial Circle South,Shakopee,MN 55379 Phone:952-445-4692 Fax 952-496-2092 For: Ryland Homes Location: Indoor: Heating Cooling Minneapolis-St Paul Int'I Arp, MN, US Indoor temperature (°F) 70 72 Elevation: 837 ft Design TD (°F) 85 16 Latitude: 45 0N Relative humidity {%) 50 50 Outdoor: Heating Cooling Moisture difference(gr/ib) 54.5 37.9 Dry bulb(°F) -95 88 Infiltration: Daily range(°F) - 18 ( M ) Method Simplified Wet bulb(°F) - 72 Construction quality Tight Wind speed(mph) 15.0 7.5 Fireplaces 0 Construction descriptions Or Area U-value Insul R Htg HTM loss Cig HTM Gain it' Bluhfri?•F ft?'F/Btuh Bluh/R' Btuh 13100 Btuh Walls 12F-Osw:Frm wall,vnl ext,r-21 cav ins, 1/2"gypsum board int n 782 0.065 21.0 5.52 4321 1.12 877 fnsh,2"x6"wood frm a 317 0.065 21.0 5.52 1753 1.12 356 s 709 0.065 21.0 5.52 3917 1.12 795 w 464 0.065 21.0 5.53 2562 1.12 520 all 2272 0.065 21.0 5.53 12552 1,12 2547 Partitions 12F-Osw:Firm wall,vnl ext,r-21 cav ins,1/2"gypsum board int 192 0.065 21.0 5.52 1061 0,64 123 fnsh,2"x6"wood frm Windows 6%Vinyl Window;NFRC rated(SHGC=0.32) a 107 0.290 0 24.6 2633 34.5 3680 s 73 0.290 0 24.6 1799 19.5 1423 w 132 0.290 0 24.6 3252 34.5 4546 all 312 0.290 0 24.6 7684 31.0 9649 Doors 11JO:Door,mill fbrgl type w 20 0.600 6.3 51.0 1040 17.1 348 Ceilings Std Ceiling R-49:Std Ceiling,R-49 932 0.020 49.0 1.70 1584 1.04 968 Floors 20P-38c:Fir floor,frm fir, 12"thkns,carpet fir fnsh,r-38 cav ins, 504 0.030 38.0 2.55 1285 0.36 181 gar ovr 22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 61 1.180 0 100 6104 0 0 2015-Jun-24 07:14:15 " wrightsoft' Right-Suite®Universal 2012 12.1,06 RSU13410 Page 1 fiCCia...erdWesktopWeat Losses 20131Ryland Fremont.rup Calc=MJ8 Front Door faces: N LOT SURVEY CHECKLIST FOR RESIDENTIAL ` 7�e BUILDING PERMIT APPLICATION S,t PROPERTY LEGAL: MV Ve '$ ' DATE OF SURVEY- LATEST REVISION: d Ya V p z a DOCUMENT STANDARDS 'g 0 0 • Registered Land Surveyor signature and company .'ff ❑ ❑ • Building Permit Applicant fy ❑ 0 • Legal description 0 ❑ • Address ❑ ❑ • North-arrow and scale yJ ❑ 0 • House type(rambler,walkout,split w/o,split entry, lookout,etc.) ,R ❑ ❑ • Directional drainage arrows with slope/gradient% ❑ ❑ • Proposed/existing sewer and water services& invert elevation )z ❑ ❑ • Street name ,0 0 0 • Driveway(grade&width-in R/W and back of curb,22' max.) ,e ❑ ❑ • Lot Square Footage ,j,3- 0 0 • Lot Coverage ELEVATIONS Existing ,e' ❑ 0 Property corners ,Br 0 0 Top of curb at the driveway and property line extensions ,E- 0 0 • Elevations of any existing adjacent homes 'z 0 0 Adequate footing depth of structures due to adjacent utility trenches D ./ 0 Waterways(pond, stream,etc.) Proposed 'z 0 ❑ • Garage floor 0 ,8 ❑ • Basement floor 0 0 • Lowest exposed elevation (walkout/window) 0 ❑ • Property corners 0 0 • Front and rear of home at the foundation PONDING AREA(if applicable) 0 ❑ • Easement line 0 0 • NWL 0 )6 0 • HWL ❑ 0 • Pond#designation D D • Emergency Overflow Elevation 0 b • Pond/Wetland buffer delineation Y • Shoreland Zoning Overlay District Y l9 • Conservation Easements DIMENSIONS ❑ 0 • Lot lines/Bearings&dimensions ❑ 0 • Right-of-way and street width(to back of curb) 0 ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2',porches,etc. (i.e. all structures requiring permanent footings) �f 0 0 • Show all easements of record and any City utilities within those easements ❑ ❑ • Setbacks of proposed structure and s rd setback of adjacent existing structures 0 0 • Retaining wall requirements: Reviewed By: Date _ G:/FORMS/Building Permit Application Rev.13-26-04 O Cv d m im �(0 \ Q _o LL, W O n, z N > � ; o � ° Lt >` o -o ai E O z a) �'a, 3 0) W � O OJ 00 cx C5 r- C O O C O G C� O M PO c v; c Q p o 3 c U O O d C e= V O W 00 O oD o ai >, O = o a ] o cr U N N -C > N O U a� y c v_ m W p S� O W O O L O o a o(n 0 W �. , .+ �. -i.. c a� c c a) m rn 0, 0) o, 0) rn o, 9) o o, `o o � O o (� o o v ' y aF N. 0 0 w S A; S -E A; O .0 0 0 N z a) N � o LO LO LO p y � LO O o ' C W W W a o ° a ? ° m o o a X X k X X X X X >` L L O V L J L C c Q N 0 -o y y o o a y W W W W W W W W W (L D O c L � z pp Z) p yo O ° o m ° °' E o c 0 -o N m U) � 0) V) y y V) V) V) y p N 0) O a y m a) a) a) m a) m m a) m m m a� C) li m LL o C ° w o ° a 0 0 0 0 o O o 0 0 0 0 0 0 C c c c ccC C c c c c c -� � � � � �' � o � `m �' � ° � � a) a) a) a) a) (D a) a) a) a) a) 0 a) Q d N W N p W o\ > o 0 0 v > - 0 0 0 0 0 0 0 0 0 0 0 0 0 O �' Q 30 N LL rna�cNo c ... v° T �pa �lr o a O O 0 ME] �m mo�>0nD 0 � u . o a m � c O o x N rn - o o o E Am �^ � Up Gi ° O � c a) o+ � ° L m - -S - O in o 'L rn "a w ^ O FW- a- rn� U O -a Q.c� Y_ O &d. 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X f`p X15 ^1 Ovj �. \ 3--I DO LC) �o-Q�( X00 0� 0)I Q ,+ ��°��O \\ 0 0�kti O v 1 N `O S �y s Q�4 �!CP >~ W \ _ �\ O b o m / \ o0 OR bk OZ)% 00� / \ \ \ c'c' yroo yo O o «a \oo FT \\ \ \ �i L\_ 1 s. 1^ �SAle 1 O \ \ yto$6 05$ L �J 6 �\ �� \ + 5 & O \ T1 O L� 15' \ 058 2c, 00 00 O z w / \ , o\ , > I \ or b\O' CO w •' 1 1` /\( \ Inn oz) a II n m w 00 0 i c W rn Q 0 j Lfl n M G ra p U Z i �o m w n 00 C (n W t ® D Z xo 3 O w �' ImUWVzx z �m Z LL o = = c w < 0 Q Z Z y O \ \ ° 0 af um W 'o, U Q \ N z a M O y O O 0 M Q n \ > 0 Ln Z Z a oo w o BRAUN INTERTEC Page of cmt-dson 4/07 Daily Soil Observation Notes Project No.: Project Name: Client: Project Manager: 1 -1D2 -k vs! t v -s VA, Cc-J./1H 1 Areas Observed: Q Proof Roll Q Building Pad Q Other (describe) Date: Report No.: ect Location: LA- 11" t ��« ` def /✓UJ`c S't' Temp/Weather: C(-^ ` i' %01° Time Arrived: Departed• Observati n House Pad 0 Roadway 0 Pkng/walks 0 Footing Soil report available? Yes 0 No Report reviewed? 0 Yes Report prepared by: gYt,,^- Get copy Benchmark: 6,,„( u-- Finish floor elevation: 411 Benchmark elevation: �� \`� Benchmark provided by: . v-7 Bottom of footing elevation: (o,,/.,;,,,,Bottom of excavation elevation:, Approved plans available? Z'S Specified compaction: Fill source: Oversizing appears adequate? 0 NA V Yes 0 No Soils appear adequate for design loads? (g]Yes 0 N Soils observed agree with Soils report? (0 Yes Proposed project bearing capacity (psf): / 0 No Contractor notified of results? Yes 0 No Name of person notified: Was a copy of this report left on site? c -v G E-(1.,/- w f CL fL ... LAS Yes 0 No If so, whom was it submitted to? AC �: �'Y � r '1111111111111111101� �YY 11111111111111111111111111111111111111111111111111111111111111111111 1111111111101 l i E 0 'elevations, date excavated, oversizing and type of bottom soils on sketch Performed By: / %�'" Reviewed By: Date: This is a preliminary repos t and is provided solely as evidence that field observations and/or testing was performed. Observations and/or conclusions and/or recommendations conveyed in the final report may vary from, and shall take precedence over, those indicated in a preliminary report. • Providing engineering and environmental solutions since 1957 41111 City of Ea Date: 3830 Pitot Knob Road Eagan MN 55122 Phone: (651) 8754875 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office use Pennft fk Permit Fee: Date Received: stat L 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION SO—I6 me Address: 40 Z3 &JK OA? iirget 0 wer Suite #: Tenant: •: -17.- ' , 4 = - n ..' Name: CA L Prri,ii f`Jr-t 4- (AO i -ACS, Phone: q 5 a-2. 21 - 60)0 / City / Ev: 15j A lu 1C,K /4 m Pk. Address Applicant is. Owner X Contractor . e 4t;:t-r,:l: •- -' ? - 5 --'... " DescrOtion /4rpI1 /30 lidEr SY STE 04 of worlc: Constructioncost: Y11 0 • °`15 Estlmated Completion Date:_' n*,• , .., _ . -,„,:. ,, , Name: rige- Lii9PRE-ssioxi eizvie_E-6 udense#: c —14-5 Address: 45-02.• gAX T-_12.. RD city: 'PR ii-V.ACTO d State: /1" Zip: 5537( phone: 7‘,3 - 3S1- Zig 3 Contact. Email: . FIRE PERMIT TYPE X Sprinkler System (# of heads5 Standpipe WORK TYPE )( New Addition Alterations Remodel Fire Pump — Other Other Educational DESCRIPTION OF WORK: Commercial X. Residential FEES $60.00 Permit Fee Minimum Contract Value $ Seri° • CO x .01 = $ Permit Fee Surcharge = Contract Value x $0.0005 If the project valuation Is over $1 million, please call for Surcharge $100.00 Residential New (includes State Surcharge) = $ Surcharge . $ /OD, e)0, TOTAL FEE 3/4" Fire Meter - $280.00 7.-• $ Fire Meter = $ /0e) . 00 TOTAL. FEE _ _us -AI --... --a ...L.,.....e.. ........a.pinte sinfil nemennents to be used **Requirements: 2 corn i hereby apply for a Fire Suppression System permlt and adcnowtedge that the information is complete and accurate: that the work will be In confonnanoe with the ordinances and codes of the City of Eagan and with the Minnesota Budding/Fee Codes; that I understand this Is not a pewit but only an application for a pennit, and work is not to start without a permit; that lite work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 3isod 64A/2 -Ex, anniimint'a Printed Name x ,0642.14e54-4 Applicant's Signature • 4 City of Evan Address: 4023 River Valley Way Permit#: 137507 The following items were /were not completed at the Final Inspection on: I`Z ' ""1 L Complete Incomplete °, Comments Final grade - 6"from siding ✓`" l e 1• Permanent steps— Garage � - ,,l v S:rr e `' Permanent steps — Main Entry Permanent Driveway Permanent Gas Retaining Wall or 3:1 Max Slope Sod / Seeded Lawn Trail / Curb Damage Porch Lower Level Finish ✓�""°" Deck ✓ .. 04,i%1 Fireplace • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the Engineering Department at (651) 675-5646 prior to working in the right-of-way or installing an irrigation system. Building Inspector: ( I ((--( G:\Building Inspections\FORMS\Checklists i For Office /0 -3 Z I Permit fi8 /1: EAGAN ww �i i PemhrtFee y- l � -- Date Received. —/ 3830 PILOT KNOB ROAD EAGAN,MN 55122-1810 �—}Q (651)675-5675 I TDD.(651)454.8535{FAX,(651)675-5694 MAY 14 2018 Staff- P// �1 --, buildinginsaectionsecitvofeagan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: May 12, 2018 Site Address: 4023 River Valley Way Unit#: Name: Erik Lyke Phone 612-751-9491 Resident! 4023 River ValleyW Owner Address/City l Zip. a y ^ Applicant is: Owner X Contractor D Type of Work Description of workRepair wall driven through by car in garage Construction Cost 15,000.00 Multi-Family Building:(Yes X f No ) Company Cedar Custom Builders&Remodelers, Inc. Contac George Younes Contractor Address: 1501 Keller Lake Rd City: Burnsville State. MN Zip 55306 Phone: 952-215-5141 Email ChooseCedar©gmal.corn License# BC-647633 Lead Certificate#; If the project is exempt from lead certification,please explain why: Townhouse was built in 2016 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: h.saW.d rsaae targ X�rdocument*dad yea*Munk we considered pawl*, tcretso�ns ieweep Mer rfra Mat sewers. may be You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for en email update on the City's website at itOOLEIBMBISMILUMMMitiMMAIL 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 fn. Call Gopher State One Call at(881)4544002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecail,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. *George B. Younes z Applicant's Printed Name Applicant's igna 2/o3:—< eU& VIicp y /t9b y DO NOT WRITE BELOW THIS LINE 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 4. 01 of 4Piex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement — Siding _ Demolish Building` Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair __ Windows Demolish Foundation X`Replace _ Repair _ Egress Window Water Damage Retaining Wall 'Demolition of entire building–give PCA handout to applicant DESCRIPTION Valuation 4-5t JJ °0 Occupancy r'v G3 MCES System ______ Plan ReviewCode Edition _moo a)y SAC Units (25%_100%0 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 I C.O.Required _ Footings(Addition) !1C Final/No C.O.Required i Foundation Foundation Before Backfill HVAC_Gas Service Test_Gas Line Air Test Roof:_ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing X 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: 1 U. �,Building Inspector RESIDENTIAL FEES Base Fee �r`"1, L Surcharge __v__ _._____. t; Plan Review t �, MCES SAC / 0 I- (S) City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant 61° ��/► �y 4 Copies Y lr )J TOTAL 'Ili \ f ' Page 2 of 3