3854 Cedar Grove Pkwy gL /36-19:g-7 - 7‘024?-
° Use BLUE or BLACK Ink
...
Pi– EI:-.- 6---7q/cC _ ," c c
Q c--a For Office Use
"i e � �f�� :::
Fee:—/ <Z7.:6
3830 Pilot Knob Road .
Eagan MN 55122 f`` .' `; ' , '&t Date Received:
Phone:(651)675-5675 �`'
Fax: (651)675-5694 Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/28/2016 Site Address: 3854 Cedar Grove Parkway unit#: Pinehurst/J
irr
Name: CalAtlantic Homes Phone: (952) 229-6009
Resident/ 7599 Anagram Drive / Eden Prairie / 55344
Owner Address/City/Zip: g —7
1714
t Applicant is: Owner ✓ Contractor 2-9 4,,,,,,,,Lei.......tqa__. 01) / 1 A
Type of Work
Description of work: Multi-family residence
Construction Cost: $ 145,000 Multi-Family Building:(Yes 1 /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
BC700385
License#: 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: 10/08/201 5, 4011-4019 River Valley Way
Licensed Plumber: Slander Mechanical, Inc. Phone: (952) 445-4692
1 I Elander Mechanical, Inc. (952) 445-4692
Mechanical Contractor: Phone:
i
Isewer&water Contractor: Miller Brothers Excavating Phone: (763) 420-9170 ,
Fire Suppression Contractor: Fire Suppression Services, LLC Phone: (763) 277-8960
ENOTE:'Plans and supporting documents that you submit are considered to be public information. Portions Of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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
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. //
x Kurt Niska 4
x / �f ,A{,
Applicant's Printed Name Applicant's SS nature
9
Page 1 of 3
( ^- (i� f
' 0'. `�t� er. 47-ie--- `'�DO NOT WRITE BELOW THIS LINE /Zell -/
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
Y 01 of Jlex 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
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 11Y1501 Occupancy 04...g MCES System
Plan &iew Code Edition ii„t.+)v t( SAC Units
(25% 100% ) Zoning far) City Water
Census Code Stories Booster Pump
#of Units Square FeetPRV X
#of Buildings I Length It%jkFire Suppression Required X.
Type of Construction Y i5 Width t
REQUIRED INSPECTIONS
Footings (New Building) Meter Size: (.,t
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 Final
�( Framing 30 Minutes 1 Hour Drain Tile
( '
' Fireplace: Rough In 'y Air Test Final Siding: Stucco Lath ' Stone Lat'� Brick
Insulation �` Windows
Sheathing Retaining Wall: Footings Backfill_Final
i_ Sheetrock X Radon Control
Fire Walls Fire Suppression: Rough In Final
XBraced Walls f Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES (}y1{ , 94j x y5- 7$ L/7 C cr )1 1 3
Base Fee Jh 11� j�I" /' I
Surcharge 41 .l Y 7 7 C 91,qt
Plan Review /.�► t'
MCES SACf) 11\0 9s, ?3 w P--1 A l ( 1
City SAC
Utility Connection Charge 1./(;- K --;61 ;o 1 3
S&W Permit& Surcharge /
Treatment Plant
Copies
TOTAL 1 ( 5-5101 '
•--1:-2of3
wrg htsoflt Component Constructions °b
4Date: 2015
Entire House By:
Elander Mechanical Inc Plan: PINEHURST
700 Valley Industrial Circle South,Shakopee,MN 55379 Phone:952-445-4692 Fax 952-496-2092
ch -� �.L-.. fr -�., - 8x r `x fi,�-�.S� --,l fir,,,
..r_ ---,--;-.w=,- � Pro ec1tInfoli._ pn r t F,=:
i_ __" �. -._r� � mato..__ N_. � �:._ � _ti. R �.
For: Ryland Homes
. � =SDesEgn Con'ditons - µ' ,_:,.;,:t45,5;,.. ,-,
�- < v er......,,. ..,_v.�_ ; S v.U....--...� .,a. .s...\3��v...-s.ztibr2 3_._....._,aw, fcn.+..bn.. ..? v._-c_F .Y3.., 5... "
Location: Indoor: Heating Cooling
Minneapolis-St Paul Int'l Arp, MN, US Indoor temperature (°F) 70 72
Elevation: 837 ft Design TD (°F) 85 16
Latitude: 45°N Relative humidity (%) 50 50
Outdoor: Heating Cooling Moisture difference(grub) 54.5 37.9
Dry bulb(°F) -15 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 Clg HTM Gain
ft' Bluh/ft?'F ft?'FlSluh Btuhlft' Btuh BtuhlfF 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 e 274 0.065 21.0 5.52 1515 1.12 307
s 792 0.065 21.0 5.52 4376 1.12 888
w 422 0.065 21.0 5.52 2332 1.12 473
all 2270 0.065 21.0 5.52 12543 1.12 2546
Partitions
12F-Osw:Frm wall,vnl ext,r-21 cav ins,112"gypsum board int 157 0.065 21.0 5.52 866 0.64 100
fnsh,2"x6"wood frm
Windows
61A:Vinyl Window;NFRC rated(SHGC=0.32) e 107 0.290 0 24.6 2633 34.5 3680
w 108 0.290 0 24.6 2650 34.5 3704
all 214 0.290 0 24.6 5282 34.5 7385
Doors
11JO:Door,mtl tbrgl type w 20 0.600 6.3 51.0 1040 17.1 348
n 19 0.600 6.3 51.0 983 17,1 329
all 40 0.600 6.3 51.0 2023 17.1 677
Ceilings
Std Ceiling R-49:Std Ceiling,R-49 836 0.020 49.0 1.70 1421 1.04 869
Floors
20P-38c:Fir floor,frm flr,12"thkns,carpet flr fnsh,r-38 cav ins, 462 0.030 38.0 2.55 1178 0.36 166
gar ovr
22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 56 1.180 0 100 5617 0 0
= 2015-Jun-24 07:21:27
-1:---. -Pk wrightsoftn Right-Suite®Universal 2012 12.1.06 RSU13410 Page 1
RCCA...d4Desktop\Heat Losses 2013tRyland Pinehurst.rup Calc=MJ8 Front Door faces: N
/36i6-).-- 7
New Construction Energy Code Compliance Certificate
Date Certificate Posted /;:'
Per R401.3 Certificate.A building certificate shall be posted on or in the electrical distribution panel.- t IM\,
COPY OF THIS DOCCUMENT WILL BE POSTED ON THE PLENTUM OF FURNACE 10/28/2016
Mailing Address of the Dwelling or Dwelling Unit: City: {v
3854 Cedar Grove Parkway Eagan tT' /'r'� �` �
Name of Residential Contractor: MN License Number — V M E S
CalAtlantic Homes BC700385
`THERMAL ENVELOPE RADON CONTROL SYSTEM
Type:Check All That Apply X Passive(No Fan)
Active,(With fan and monometer
or other system monitoring
w c device)
m
a� N Location(or future location)of Fan:
m uc m 2 ao m If fan is required;Attic
o .Qx V d o v m
j ec m m a , -0m
'a c
y cS A ` T
Insulation Location Lt.— o V O o W 12
E E 7
O 2 ii ii p 9 p p C O1 iT
15 z W W Other Please Describe Here
Below Entire Slab, x
Foundation Wall R-15 _X R402.2.8,Exception;a.R-10-by plan
Perimeter of Slab on Grade X
Rim Joist(1st Floor) R-20 X
Rim Joist(2nd Floor+) R-20 X
Wall R-21 X
Ceiling,flat R-49 X
Ceiling,vaulted R49 X
Bay Windows or cantilevered areas R-30 X
Floors over unconditioned area R-38 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: 0.29 X Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficient(SHGC): 0.32 R-value
MECHANICAL SYSTEMS Make-up Air Select a Type
Appliances Heating System Domestic Water Cooling System
Heater Not required per mech.code
Fuel Type NATURAL GAS ELECTRIC ELECTRIC Passive
Manufacturer LENNOX RHEEM LENNOX X Powered
Interlocked with exhaust device.
Model ML193UH045XP24 PROE502RH91 13ACXN018 Describe:
Input in 44000 Capacity in 50 Output 1.5 Other,describe:
Rating or Size BTUS: Gallons: in Tons:
AFUE or 93 SEER 13 Location of duct or system:
Efficiency HSPF% /EER
Residential Load Heating Loss Heating Gain Cooling Load ERV in Mechanical Room
Calculation 36374 13712 16060 Cfm's
"round duct OR
MECHANICAL VENTILATION SYSTEM "metal 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: Other,describe:
X Energy Recover Ventilator(ERV)Capacity in cfms: Low: 50 High: 140 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
Total ventilation(intermittent+continuous)rate in cfms: "metal duct
a ' LOT SURVEY CHECKLIST FOR RESIDENTIAL / 'Z C .�
J BUILDING PERMIT APPLICATION J
PROPERTY LEGAL: L I- lam' jjj ()Ada( 6rfo�, rel 2.0 .
DATE OF SURVEY: ' ./07/016
LATEST REVISION:
°' g 3 q cedlgo Gear 's
roU
O z ¢ DOCUMENT STANDARDS
if 0 0 • Registered Land Surveyor signature and company
/( 0 ❑ • Building Permit Applicant
/ 0 0 • Legal description
0 0 • Address
fi0 0 • North arrow and scale
/2( 0 0 • House type(rambler,walkout,split w/o,split entry, lookout, etc.)
A' 0 0 • Directional drainage arrows with slope/gradient% ,
it 0 0 • Proposed/existing sewer and water services& invert elevation
• X 0 0 • Street name .
0 0 • Driveway(grade&width-in R/W and back of curb,22' max.)
❑ / 0 • Lot Square Footage
❑,0 0 • Lot Coverage
ELEVATIONS
Existing
0 0 • Property corners
Jd 0 0 • Top of curb at the driveway and property line extensions
O .% 0 • Elevations of any existing adjacent homes
0 0 • Adequate footing depth of structures due to adjacent utility trenches
❑ 71 0 • Waterways(pond, stream,etc.) '
Proposed t
If 0 0 • Garage floor
O 7 0 • Basement floor ,
2( 0 0 • Lowest exposed elevation (walkout/window)
,IJ 0 0 • Property corners
,' 0 0 • Front and rear of home at the foundation
PONDING AREA(if applicable)
❑ 1 0 • Easement line
i] , ❑ • NWL
❑ fd' 0 • HWL
❑ ❑ • Pond#designation
❑ � 0 • Emergency Overflow Elevation
O / 0 •• Pond/Wetland buffer delineation
Y • Shoreland Zoning Overlay District
Y e • Conservation Easements
DIMENSIONS
X 0 0 • Lot lines/Bearings&dimensions
C}' 0 0 • Right-of-way and street width (to back of curb)
1 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2',porches, etc.
(i.e.all structures requiring permanent footings)
yr 0 0 • Show all easements of record and any City utilities within those easements
1 0 0 • Setbacks of proposed structure a • sip- are se pack of adjacent existing structures
1I 0 0 • Retaining wall requirements: s,
Reviewed By: ,4' A. Date�� ✓��
G:/FORMS/Building Permit Application Rev.11-26-04 111
Located in the NE 1/4 of
N / ,� / Certificate of Survey for: ec. Twp. 27, Rge. 23 h,
•114""`°'rnu m Sloe / CalAtlantic Homes �, /
L., . Iii,o WallI
I /
. f z equir ,' /� House Address: " �\ ;/
// 11
/ '
/ 3850 - 3870 Cedar Grove Parkway, Eagan, MN '
House Model: �`-�� T - " //
��
Fremont G, Pinehurst E, New sort F, New sort H, Ontario E, Fremont E' c / '-/'� � ,-, /'/\\ BTM/ \ 803.6 /
♦lfiy./ 711 / 03.0-/-_,.
,,g'4?
? � TC � :/:•.y.•
o+' a �,-1 a �� / � � ,/ // °,,``��803/ 8u C�By A �j jly: / �� / /N 806.2
Da.- tib/ \` - \ - (y/4'0 X80 0 / • Relo"ni• `�� /X3.4
/ 10' OFFSET PI*�: 80
/ EAG' ..frG 4I LKL�iv y�, °f 9R/4cS -\ /////
� / TOP OF SPIKE 806.3TCSE/ / N , / EL =807.04 pq / /
�I \�\ `� x806.7/ \ \ - \ // ` /`\ / N` \ ,° (807.� \o /) - - �Util�ry�oseTC
me906\ �\5. x /�0S // 803.4
/ N / / /- T - _\/i
�I/ /�_�) I �/ \, / / / R8°I 3 O% 807.0 \ 804.0
/ ` /i l`�\ � \ // / / �<0 N b / ^' Ss�o 10' OFFSET \ it ///
,N / :,\,\ / / ,, ,�°j s BENCHMARK
`� N / /�- g03.3 / N� A
� ` '�� I
o, . 6? �J ,� / TOP OF SPIKE
' T, r /-) \ /TC / ' /R / \ 0'/ •j 7 1 EL =805.87 / 7-4i4 -- �
/ `tyoo° ,<---j\ \-/ / ` k
?158°+ °>S �• / l/
I/�\ Z`eCRi�s\`�J� \ //� // p `o'c�•5, sr0+•6; -`T // /7/� �>6 \ I
,\ / / 0, ' '158 /'>S / //
/ `� N� /� /// 803.9 805.9 / /I
/ `� �� / °rF� / 00 •j./Oo / `O 807.4 fo^% / / /
1� `��/ / / A� /aye (, s•g o°� �:° O0 I 804.4 / /
/ / w 77cBIC7 /
/
/
6...„--\ / -I / x 8 1 805. , /0// ' / O 806.8x (' 4 ,/� * . / 0 / 1 806.7 \ /Al C,� /5 O xw o/xn gox /v/ /°O / /
B \
///I 95 804.0 / � .Sf ° - 62gi OPQ ` 15°v8 �'/ ` 88004.5 ,, �// //
6� • '0/eye \ L
+ 807.7am �,, �i /
// .2/ / `�� �� a°�$ �1�'n6_49 � '804.6\ 236° // //
6/ �O x 806.,3 ti OSPL,
8o3!j / �°os8 °s 3 .� noQ� TC / /
8 / •,.,
®�"' O aos 8x ' PPO `� Qom° a��J / /
/ a o / sx ' o O a n /
• / °co' •O 1.58 y� °156 804.7 Ll
Q � / .Oro yo�07.4 (
0 / TC / /
/ �• jIQ vJx 807.2 /// Amb 00'V c`"°- / / / /
OJ / 0 Ix. CLQ°3�P /804.8 1,/ /
.. / g
!� /x 807.24 ' ry 4 < O:, / TC
0` / ` 6'sf o / '`r\ 152 el'Ci" 4064 00 x' / L U ✓ 1/
/ge/ s• +86/ ��^ 0 , 3� °e. O 15.5 e • / 804.9 LI/ / DETAIL
803.9 ��l°p• x '14;061_,.
,`• 0, O•+ / _
/ +8s 2� w° Q ti b� O �� .p� �j�� TC // // /
/ ^0 0 0A- ��b` O C5 t N L/
/ //^? ��000sa ti x ,\• /
xw ° 5 �8°s �x e°��P�// Q50
/� /� // .\\/°O oti
/ ` ° N -See
apt°il x t� O y1 80s Yr / 805., /� / ( Q.
•, '
/ / / 80 $ 2.0 o e 0-
w°a S / TC �K , _� -__ ,/ 871x x °fib 0 6�, //3 •F• /805.2 ��/ / \ (%,*,/
/ 806.6 %x 806.7 806 ` O J� TC/ \J e
6
/ 10' OFFSET I /2+0 66 >S Cr �� 4441,,;
,N• es>N\\ / s ''S'1'/L / (not to scale)
6_ /805.3
BENCHMARK 11 > eb ( it / b°C/ /
TOP OF SPIKE ^, Al RO e:4 2?O, ''\N N / /
EL =806.64 5` 2 •>S ,/ NN, c°�L
- - - - - Os•� m p 4°� \, 805.4 �o/ /
,. 1.C, N O
/ /
�� LEGAL DESCRIPTION:
Drainage and //,6' o O h' 805.5 / /
0803 7 Utility Easement 8 x 0 6' \TC / /
x -«-__«-,-_ o '•0 °.0 / 2 eo0 MH I/ / Lots 1, 2, 3, 4, 5 & 6, Block 1, CEDAR GROVE
°� g «�__. - • / •s, / 1- TOWNHOMES 2ND ADDITION, Dakota County, Minnesota
cb 1 g0� 806.1 -«-_�``•
I I / / <<---N-C-'' �h•�, /
10' OFFSET / HYD \ ,0 /
I BENCHMARK
_ _ _ _ TOP OF SPIKE 6 / PROPOSED BUILDING ELEVATIONS
EL =806.06 wow x 806.4 806.1 /
TC / Lowest Floor Elevation: 807.5
Denotes Drainage & Utility Easement / Top of Foundation Elevation: 810.7
(per recorded plat) - - _ _ 4,7•,°, DenotesExisting Hydrant Garage Slab Elevation (at door): 806.8
-s- Denotes Iron Monument 0 Denotes Existing Electric Box
Bearings shown are assumed 0 Denotes Existing Television Box NOTES:
TB 1. Proposed building site grading is in accordance with the
GRAPHIC SCALE ❑ Denotes Existing Telephone Box grading plans prepared by Alliiant Engineering, Inc., last revised
010 20 40 Denotes Existing Light Pole 07/28/15.
Si Denotes Existing Service 2. Contractor must verify sewer depth.
O Denotes Existing Curb Stop 3. Driveways shown are for graphic purposes only. Final driveway
(IN FEET) x 000.0 Denotes Existing Elevation design and location to be determined by owner/builder.
X 4. All building foundation dimensions shown on this survey
(11x17 sheet) 900.0 Denotes Proposed Elevation include exterior foundation insulation widths, if applicable.
1038 5711.011 MEP -"- Denotes Direction of Drainage Refer to final building plans for foundation details.
Carlson I hereby certify to CalAtlantic Homes that this survey, plan or report was prepared by me or under my direct supervision
and that I am a duly licensed land surveyor under the laws of the State of Minnesota.
(1,„) McCain Dated this 10th day of October, 2016. '
Signed: rlson McC.'- Inc.
ENVIRONMENTAL.ENGINEERING.SURVEYING / • ' /
3890 Pheasant Ridge Drive NE, By
Suite 100, Blaine, MN 55449 Thomas R. Balluff, L.S.P-eg. No. 40361
Phone: 763-489-7900 Fax: 763-489-7959 Peter J. Blomquist, L.S. Reg. No. 51676
Use BLUE or BLACK Ink
1 laitiQ) cAFor Office Use
C 11 Permit#: l 1 a "'ll
City of Eaaali F E.�E, ) �0.s�
Permit Fee:
3830 Pilot Knob Road
MM 0 8 10:17 _
Eagan MN 55122 Date Received: ,5 -6'17
Phone:(651)675-5675
Fax:(651)675-5694
Staff:
2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 4 -26- 17 Site Address: 385 4 CEDAR ("RAWL t)4 g (, t....o `? //=''i WWI RST,t
Tenant: _ _.. Suite#:
Y 7 952
-? 1 -( DO
.4 1. p _ Name: e-A4. ATIANSI-tc, n fit E Phone:
�
'''''*:•;°i*34,4 ?? ''O M ler Address/City/Zip: 75-99 A'Ae, AM Dig. ev 'N! aim K I E f tt`4'f .55-2A4
Applicant is: Owner K Contractor _
x ` �` i'x ,;:' . Description of work: 1'JFPA 13 b F; £E SMiNK -L Z SYS'il '1
^-- e,',o t°r 1,1"'' Construction Cost: 39�7d OL) Estimated Completion Date:
1'``X4:.:: Name: C-1-e-6. L.�i�P6SStuiJ �S Et2V% License#: C 145—
.:,. h 0$ 13Atrce
"_.;' : Address: I
' ' City:
"1.::::: ,r0-I ra-0,1'
,.,0:„,,,,,,r •. , 7b3-' 389- Z.1�3
. - State: Y ' Zip: �.�3�t Phone:
k ,.. . Contact: SISCN (2ANTF,.IZEmail: )4j+S/1 4SI4ll<lttt'�S • -
FIRE PERMIT TYPE WORK TYPE
X,Sprinkler System(#of heads 4) X New _Addition
—Fire Pump _Standpipe Alterations Remodel
Other _l_________Other: __ _�.._
DESCRIPTION OF WORK: ,_Commercial 1 Residential _Educational
FEES
$60.00 Permit Fee Minimum Contract Value$ x.01
Surcharge=Contract Value x$0.0005 =$ Permit Fee
If the project valuation is over$1 million,please call for Surcharge
=$ Surcharge
$100.00 Residential New (includes State Surcharge) _$ /pp, Oa TOTAL FEE
3/4"Fire Meter-$290.00 — =$ Fire Meter
_. _ __ $ !00" 06 TOTAL FEE ....J
"""Requirements:2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not 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 S150g ("AN-re-E.. x444% adeA -4: 6—
Applicant's Printed Name Apnt's Signature
•
14)-tag
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test i/Rough In
Trip Pump Test Central Station Final
COVItiOnt bf tssyance:
Porm . Date: S 1 i t 1 17
S� suw�hY.,r _ .
City of Eaftall
Address: 3854 Cedar Grove Pkwy Permit#: 139937
The following items were /were not completed at the Final Inspection on: / // e/17
Com" lete lneom lete Comments
Final grade - 6"from siding
Permanent steps — Garage 6 57-e F
Permanent steps — Main Entry
Permanent Driveway
Permanent Gas
Retaining Wall or 3:1 Max Slope V
Sod / Seeded Lawn
Trail / Curb Damage V
Porch
Lower Level Finish nS'M/7 Z f�
r 1 �3�-moi
Deck
Fireplace l�
• 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: 7-- 1 , r 'VI
G:\Building Inspections\FORMS\Checklists