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3903 Calcite DrCITY OF EAGAN . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for , .. _ , . . Est. Value Date ,19 SiteAddress Lot - Block ' Sec/Sub. ?f7'ra Parcel No. Q Name W = Address 3 0 City Phone ¢ 0 Name 0 < Address P City ? Phone a ' W Nart W Z' Add W City I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. On Sfte Sewage MWCC System Zonlng On Site Well (ActUal) Const City Water (Allowable) PRV Required ik of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. OH. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 P k ar s TOTAL Permit No. Permit Holder Dato Telaphone * Plumbing H.V_AC. Electric • ,? ?, -??? ? ? ?j ? 0-7 r>v Softener Inspection Dats Insp. Comm811ts Footings 1 Footings II Foundation Framing Roofing 7A[,k- CO -vx Rough Plbg. Rough Htg. ISUI. ?7'C. -- FireplaCe Final Htg. Final Plbg. Bldg. Final ;?.? /?• (j . Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN Remarks see back Addition C'edax GrOve #6 Lac ? Bik Owner Z 4 street 3903 Calcite Dr, Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK L(o 1968 92. 3 3.0$ 30 P31d * SEWER LATERAL 79 1970 1472.00 20 p31d WATERMAIN # WATER LATERAL 1970 20 WATER AREA * STOR SEW TRK 970 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 200.00 12 -lO-6 BUILDING PER. s,ac 200.00 1294 -10- PARK 51,0, v !(/L4 /c" I rJ6( 41<11 6? This repuest void '? ?? 7?A//QF 18 t?ronths irom v ?9 E 3 6 4 7 7! t/?i. (io/iYnn mtv (P ? ?? e& 4' ?&a Requesl ? -'? ' ' Fire No: Rouph-in Inspeciian R q rteA? ?RCady Nuw W?II Notily Inspec [ Wh ?os ?NO or en ReaAy Ucensed HecVical ConVactor 1 hereby repuasi insoection of ebove wner alactrical work inatalled et: Street Address. Box or Route No. 3903 ca c14-e.. Or. City ?a ar? ecUOn o. Township Name or No. anqe No. Couuty D a OccvuantlMilNTI -t- Phone No. Power SupDlier Address Elec/tjlcal ConVactor ICompany Namel ? 1 4 Convecto?'s Lir,ense No. - VOV-Yt7"Ix YL s E `Q C'.. YZ1 C. hC. -3 Q 9 1 7 Mailinq Address ICOnVacmr or or Making Inslailxtionl ? s ?i? 5 ?-- A q , a . a?. a a ? QI-S Auihori ' nature ICoMr odOw er aking Insiallationi Phone NumOer ? l 7 V'? MINNESOTA STATE BOAPD OF EL CT ICIT THIS INSPEC710N EGUEST WIIL NOT Griggs•Midway Bldg. - Room N-79 BE ACCEPTED eV TNE STATE BOARD M 5104 UNLESS PROFEH INSPECTION FEE IS N 1827^UnivarsitvAve..SL Paul, ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 10 es-ooGo/oi-os ' See instructions for compleking Ihis form on beck o1 Vellow copV. Y6QC(1? E ^3 07 7 '"1(" Below Work Covered by This Request Nev, FAd Neo. Tyoe ol 8uilEing Applioncwa Wired Eqaipmant WireA Home Range . Temporary Service Dupir.x Water Heater Lightiny Fixtures Apt. Building Dryer Electric HeaUn Commercial Bldg. Furnace Silu Unlonder Industrial BIAg. Air Conditioner Bulk Milk Tenk Farm oin,r oe,i y .m", ISnec??v1 1 n! SyCCI y IIt(!f nlh?! Compute lnspectlan Fee Below p Fee ServiceEntreneeSixe r1 Fee Fexders/5ubleeders N Ferz Ci,coits U to 200 qm s 0 to 30 qm )s 0 tn 30 Am s Above 200 qmpsl 31 to 100 Amps 31 to 100 A s Swinvning Pool Above 100_Am s Abave 100_AmP`% Transiormers Irrigatlon Booms Partial.'Other Fee Signs Speciallnspection ?. $ TOT Pemarks 6.a HouOh-in Final r 0:?[e 17 ?j / D e p , Ihe Electrical Insoactoq hereEy cerlify thnt the ebove insoection nes been maee. TMnrepuestvoiClemonttufrom </ //c, ? EAGAN TOWNSHIP BUILDING PERMIT Ownac .. ?/? . ? ?' '" r'C..._.................... _........_....... . Addreu IDrecenll .`1.,3..V.3....6t,,-`---'y"l....y.c"'..-'.?.__??.:...... Builder Addresa DESCAIPTION N° 1975 Eagan Township Town Hall Dale --?7!-f'?="?-.. ?..°L /. ............... 5SOrias -- - To Se Used For /? ? ..? - Froni -- Depfh -- Heigh! Esi. Cosf I Pezmi! Fee °Z4r. Remarks «? .a-.-=c•- ?? " ??o,•-• I LOCATION street, xoan or otne: uescnpxion ot i.oesiion I Lo! ock Addition or Traci ` ?,.? 6-7+9 ? 'y? l?Ffd !3-e 8 ? ? l? !? y I.??y? y . 1'his permit does noi aufhorize the use of slreela, roads, alleps or sidewalks nor does it gioe the owner oz his agent , the sigh2 fo creafe anp situafion which is a nuisanee or whieh presenls a hasard to fhe heellh, safety, convenience and ?? genesal meltare ia anyone in the eommunity. ? THIS PERMIT MUST BE KE$T ON?THEREMISE WIiIL£ THE WOAK IS IN PROGRE55. ' j This is !o ceriifp, l6af.._a :..•?1._..........'__' .........................._.-..has permission 3o ereef a...? 7.: .. ....:. ..... .. upoe l ............ . . the above deseribed premise subjec! !o the provisione of the Buildinq Ordinance for £agan T wnship adop ed .......... April 11, 1955. -' "-' ....... -.' .................... Per ..._...---------.. .?.q......f/.?!::.`.c?.x. P?Le?c.?1 . . .?. . . " .....'._.." ..................1 .. ' Chai an of Tnwn Board - Bvildinq7 Inspecfor ........ A. ? , s/ a4-11- 1Y 2007 RESIDENTIAL BUILDING rERMiT arrL[cnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CansVUCtion Reauirements 3 registered site surveys showing sq. R of lot sq. ft. of house; and ail roofed areas (20%maximum lot coverage allowed) 1 SoiLs Report if proposed 6uiNing is lo be placed on disNrbed sdl 2 copies of plan showing heam & window sizes; poured found dwign, etc. 1 set of Energy Calculations 3 copies of Tree Preservafion Plan if lot platted after 711I93 Rim Joist Detail Op6ons sdection sheet (buldings with 3 or less uni6) Minnegasco mechanical venUlation form ?a,zf) RemodeVReoair Reouiremenls Office llse OnN 2 copies of plan showing foolinqs, beams, joists Cert of Suney Rerd Y _ N 1 setofEnergyCalculatlonsPorheatedaddi6ons SoilsRepod _Y _N 1 site survey for adEitions 8 decks Tree Pres PWn Recd _ Y _ N. Addtlion - indicafe il oo-sife sepfic system Tree Pres Required - Y _ N On-siteSepUcSystem _Y _N Plans are considered public information unless you state the are trade secret and the reason. Date I I / 2?1 / _O Z n Construction Cost Site Address 3 9C' Unit/Ste # Description of Work Kn? Multi-Famity Bldg _ Y? N Fireplace(s) _ 0 _ I_ 2 PropertyOwner Pah) elliaiPlE1 Telephone#( ) r Contractar cfp<tlrF ?n ?cf?i?{inAddress City S?T? State /yn zip 5537ff Telepnone #( 9/,2) y1 S1 -15 7S COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cate2orv 1 (J submission type) Residential Ventila6on Category 1 Worksheet Submitled • Energy Envelope Calculations Submiried A NEW BUILDING Minnesota Rules 7672 • New Energy Cotle Worksheel Submitted In the last 12 monihs, has ihe City of Eagan issued a permif for a similar plan based on a master pian2 _ Y. _ N If yes, date and address of masTer plan: Licensed Plumber Mechanical Contractor Sewer/WaTer Contractor herebv apply for a Telephone # ( Telephone #f Telephone # ( BuildinQ Permit and acknowledae that the information is complete and accurat that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. Jasoi? L.ctj?oleu ??- ^- Applicant's Printed me ? pp nt' i ature ? Ssy 3? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw Conshuction Reouiremanta • 3 registered sile surveys showirg sq. R. of Io1, sq. fl. af house: and all roofed areas (20% manimum bt wverage allowed) • 2 copies of plan showing 6eam 8 vnndaw s¢es; poured found design, etc.) • 1 set of Enert?y Calculalions • 3 capies af Tree Preservation Plan il lol platted after 7l1193 . Rim Jaist Detad Options selec?an sheet (Gdgs with 3 or less units) DATE "I- I o?-? l ,? SITE ADDRES TYPE OF WO APPLICANT iULTI-FAMILY BLDG _ Y _ N FIREPLACE(S) _ 0 _ 1 _ 2 ? v??vva STREET ADDRESS Coon Rapids,?N ?ae?? CIiY TELEPHONE #,b°J??SS'o??'ICELL PHONE # STATE _ ZIP FAX # -II?3'?J? ???lJ PROPERTYOWNER ??,1 YY? ?,P?YY?T ,l'C?,K? TELEPHONE#L????ISy-?5?? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ?IINVL•'S0'C,l RCI.@S 767q G,"CEGOR?' I ?fi\\ESO"1'A RI Ll•:S 767? (J submission type) . Residential Ventitation Category 7 Worksheet Submitted . New Energy Code Worksheel Submitted • Energy Envelope Calculatlons Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Confractor: ?Iccli?tnical svs[em includc?: Sewer/Water Contractor: _ ?Vater Softener _ __ Water Heatcr _ No. of Baths Air Condiuoning Hcat Rccovcr} Sy'slcm -------°-----------------------------°---------------°--°-----....... I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota StafuTes and City of Eagar? Slgnafure of Applicanf OFEICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Z? ,?? / RemodellRawir Reauirements . 2 copies of plan • 1 set of Energy Calculations for heated addilions • t sile survey for exiencraCditions 8 decks . Indicate if home served oy sepfic sys[em ior additions VALUATION ?.JLT"I • ?Jt-?' Phone ? Iawn Sprinkler No. of R.I. Baths Fee: 590.00 Phone # r•e?: 5?0.00 Phone }F -------------------------°---------- on is c¢trect, and agree to compiy 3 2002 _ ?- upaa??d a?oz Cedar Valley Exteriors, Inc. noen ?:u_ ...--- 4b? MEMO - city of eagan TO: DIANE DOWNS, UTILITIf BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECH DATE: AUGUST 25, 1993 SUBJECT: STREETLIGHT ENERGY COSTS CEDAR GROVE NO. 6(141 LOTS) This memo is to inform your department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition as listed below: Block 1, Lots 1 1 Block 2, Lots 1-8 8 Block 3, Lots 1-18 18 Block 4, Lots 1-11 11 Block 5, Lots 1-9 9 Block 6, Lots 1-53 53 (Lots 54 through 61, 81ock 6, should not be billed at this time) BloCk 7, Lots 1-12 12 Block 8, Lots 1-18 18 Block 9, Lots 1-11 11 TOTAL 141 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. 0 ? ? C-? Ed Kirscht L` Sr. Engineering Tech cc: Mike Foertsch, Asst. City Eng. EK/je .".S EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date:Number• 258 Billing Name: Site Address:f-J -6 390 3 Owner• Billing Addreas Plumbe'r: Location of Connection Meter Size Coanection Chg.2nn_o0 ?. Meter No. lPermit Fee 7.5o nd. NO ITotal Chg. Building is a: Residence,L Multiple A'o. Units Cammercial Iadustrial Other Meter Readinp.I Meter Dep. Meter Sealed: Yes- lAdd'1 Chg. Inspected by DaCe Remarka: By: Chief Inspector In consideration of the issue and delivery Yo me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regalations of Eagan Township, Dakota Count , Minnesota. By: ?Z-CA Please notify the above office when ready for inspection and connection. . ?. EAGbN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT I'OR SEF7ER SERVICE CONNECTIOH DATE:__?' NUMBER 380 OWNEF.. -la Pddress//-(o PLUMBER TYPE OF PIPE OF BUILDING Industriall Commerciall Residential I Multiple Dwelling I No, of units Location of Connections: Inspected by: Date Remaxks• Connection Charge 200.00 pd. Permit Fee 7.50 pd. Street Repairs Total By Chief Inspeceor In consideratioa of the issue aad delivery to me of the above permit, I hereby agree to do the propoaed work in accordaace with the rules and regulations of Eagan Towmship, Dakota Couaty, Minnesota By. ` Please notify when ready for inspection and connectioa aad before any portion of the work is covered. CITY OF EAGAN N° 15 3 6 f 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 BUILDING PERMIT PHONE:454•8700 Receiptn?6-7H To be used for FIRE REPAIR Est. Value $28, 000 Date_ SiteAddress 3903 CALCITE DR Lot 1 ebck i Sec/Sub. CEDAR GROVE 6TH Parcel No, x Name JONN KORABEK 3 Address 3903 CALCITE DR a City EAGAN Phone On Site Sewage MWCC System _ On Site Well City Water PRV Required _ 8ooster Pump _ ao Name LINDSTROM CONSTRUCTION oQ Address 9621 lOTH AVE N ? City PLYMOUTH Phone 544-8761 Uiy WW z U? a= aw Name _ Address City_ I hereby acknowledge that I have read this appiication and state that Ihe information is correct and a9ree to comply with ail applicable State of Minnesota Statutes and,\EJ?y of Eagan Ortllnances. SignalureofPermittee ?'\,1'I.l(a].?`?BQ.... A Building Permit is issued to: ? IND57ROM G ?$7? on the express condition that all work shali be tlone in accordance with all applicahle State of Minne"""so???ta S'ta'Itutes and City of Eagan Ordinances. BuildingOffidal ?„()(AI? 1`?1FA I?? APPROVALS Engr./Assess. Planner Council Bldg. Off. Vadance Occupancy Zoning (ACtual) Gonst (Allowable) # ot Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, Gry SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL ,19 ilS 244.00 14.00 258.00 u 1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS t .5 .5 4 ' INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEt ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MOST DESIGNATE WIiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FON SALE UNITS U OF UNITS INCLUDE 2 SETS OF PLANS, CEATIFICATE OE SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONII4ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 3l+sAW41roN? W,?icaus?Zwb? c4Beu875 To Be Used For:^ Valuation: OQn Date: 7^ N-'U Site Address 3403- ?L&E& Lot I_ Hlock I Parcel/Sub Owner, ?/jhn KD('0.-b21L Address CAt l a . I,f . City/Zip Code f'Q n,,,MA) OFFICE USE ONLY On site sewage Occupancy I•IIdCC system _ Zoning On site well _ Actual Const City water _ Allowable PRV required _ # of stories Booster Pump _ Length Depth S.F. Total Footprint S.F. Phone Contractor LhdS?ypYYi QDaS{-Y, Address q.?l- tp? Aue, Ktp. City/Zip Code -Plumptt+hj3l??441 Phone JT4 4^g 7(o J Areh./Engr. Address City/Zip Code APPROVALS FEES Engr/Assess Permit Zqq,oO Planner Surcharge IL1, 00 Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn Water Meter Aoad Unit Treatment P1 Parks Copies TOTAL Phone 1f PERMIT City of Eagan Permit Type:Building Permit Number:EA112659 Date Issued:08/21/2013 Permit Category:ePermit Site Address: 3903 Calcite Dr Lot:1 Block: 1 Addition: Cedar Grove 6th PID:10-16705-01-010 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Pamela K Korabek 3903 Calcite Dr Eagan MN 55122 That Construction Company 14105 Heritage Court Apple Valley MN 55124 (800) 380-7069 Applicant/Permitee: Signature Issued By: Signature � � ' Use�3Lt�� or BLACK Ink r-----------------� I For Officc Use � � I ' j Permit#:� I C�t� of����� � � � � � Permit Fee: F � 3830 Pilot Knob Road � � l_,� � Eagan MN 55122 �?���i��� � Date Received: V/ �J , Phone:(651)675-5675 � � , Fax:(651)675-5694 � �ff� �,�, �i�� � � ����.�i E------------------� �V Lc��� � 2075 RESIDENTIAL BUILDING PERMIT APPLICATION � �i,�) Date: � G Site Address: �� �� / 1 '.��� �� Unit#: �� r„ �., x�. . . .r�ti ���,� .. ,��.� .�.,.��� .�,N.,,_,�ti„r. . _. ,_ .,_.,� . ,n���,�...w,�.��,.,.�, �..�_v ���� ,. ....,...� �E,.��.v��.� ._.�� ......_.�._.. Name: Phone: "�—�3� Residentt L?�nrner ��� Aaa�a��c�ty i z�p:�_�f'��''a�E �,� ,�C�'�! ftit nS ��1 Z 2 ;�rYl � '� � � Apphcant is Owner �Contractor J� ���� �� . .,s.o:._ . ,. �w.r_,.� . ��.. .�... _�._.�. ,,.�y�. _� r, ,.. . .�_. �..,��.�,�oo,�,.__ . ...�_n_. � �. .�4 ,.... ,�. �.�.�r ._. .r _. a. ,, .. �0��° � Typ£�Of WOTk : Description of work: ��� (L� �1 S�L 6�'�f-i �Z��C (�'� ��.Ci.� eo ? Construction Cost: Z S� Mutti-Family Building:(Yes_i I�o �) ,w�_� ��.� . _ _r. �. ,�.�, .. �.__� . n ,�r, _.,. ��. .. � _ .,....�. ..� �_., D...�M.�_. �..�..��._. ..,. ,...�. .__.. e_ _, �. ,�...�.� ��; t � . � j Company:D�A�IS �� ��.���1.l�ontact ��"G�l�l�5 �/�C�i Contractor ' Address:� I`t'I ����]LlYSL'�— � City: �^�f'��f�� �N� a State:,�Zip:d���.-Phone:b �maiL ��1i�tlS��pCC--�`i►'1�t1�, C�� � License#:�.loLt7��T� Lead Certificate#: � � � ' If the project is exempt ftom lead certification, please explain why: �C��d r� .D�1C_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ` In the last 12 montfis,has the City of Eagan issued a permit for a similar plan based on a master pfan? Yes Np If yes,date and address of master pian: ; Licensed Piumber. Phone: Mecha�ical Confiractor: Phone: '' Sewer�Water Contractot: Phone: f Fire Suppression Contractor. Pho�e: < NOTE:Pians and suppurting docum�tts that yau submit are consrdered ta be pubtic informatton. Partions of ? the information may be classified as non publfc if you provide specifrc�asons that rvouid permit the City to conclude that rirey arse trade secrets. � CALL BEFORE YOU DIG. Call(3opher State One Call at{651)454-0002 far proted'an agamst undet�ground utifity darrrage. CaN 48 hours before you intend to dig to receive locates of underground utilities ��_.av��i�Rr *_�_e��c,c, ;i,_:r} i hereby acknowledge that this information is compiete 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 appfication for a perm�,and wbrk+s not to start without a perm�;that the work will be in accordance with the approved plan in the qse of wa�lc which requires a review and approval of piaru. Exterior woHc authorized by a building permit iss�d in accortlance with the Mi Buldi�g Caide must be compieted within 180 days of permit issua�ce. R � x ���15 ��c�' x . Appiicant's Printed Name ApplicanYs Signature Page 1 of 3 � ` DO NOT WRITE BELOW THIS LINE l � � � SUB TYPES � `�� tC' �� '^ _ 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 _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage ; _ Retaining Wall *Demolition of entire building-give PCA handout to applicant ', DESCRIPTION II Valuation � Z,S�Z � .p c-�.. Occupancy �R C_— t MCES System i Plan Review Code Edition �M r� '�ol S' SAC Units (25%_100% Cb) 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) �D 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 Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining WaIL•_Footings_ Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: �d Y� t/� 1K.��1� , Building Inspector RESIDENTIAL FEES Base Fee � Z �( � y }�, � 5.�c� Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of3 + � �j ��� � �� � �� � .. . '""'V��.�I'j`�1 . . ��� � � ;;� 1 �1 ��,',� � O ��� � .� � �t@, o� , �.�s '�, �'��� 6.�"� �..���' � � Q . �� i �r����' �s j � o �. `�. �r~ �� ``� �,� �. � � � � ��``" �` .�► � �++t� � �`r '����r,� �;,�. . 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