711 Calvin CtCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
• LOT s 4
7ti f,11LVIN CT
QflOU FARlq
PERMIT SUBTYPE:
MI`.YI.E[ LANEIIU$
Control No. 0085
Nlitl.ptN?i
ilbb?r?y
83 J13/?i2
pLpCKr L APPLICANT:
T1Jit4 rI fY ':; tUttM CO
(6I2) 646-E3160
TYPE OF WORK:
AI_TFRA7xOP!
INSPECTION
FRpMil+l[i .. •
t N`;ltt N f It)N .A
FIMAL
ttEMAltKSt SnFFIT & FASCAfi
??, - -
--
,
?
?
Permtt Na. Permft Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRlC
Irrspactlon date Insp. CommeMs
Footings I
Foundation I
Framing
Roofing I'
Rough Pibg. I
Fough Htg. I
lsul. I
Fireplace
Firral Htg. I
Orsat Test
Final Plbg. Pltrg. Inspector - Idotffy Plumbsr
ConSt. Meter
Engr./Plan ?? G'r¢/L?.? ° G?i ii?.f?E?'
Bldg. Final 121a
r
Deck Ftg.
Deck Flnal
Well
Pr. Dlsp.
y , • 4w
(ter#iftratt nf (Orr??aury
titp of (tagan
IDMarfmmt uf wuilbing jm.pprtimt
?7iis Certifecate issued pursuant to the requirements of Sectian 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
use a?ificatlon Bp DWG/GA.R Bldg. F?eao;t No. 15205
0-PgncY T}'Pe R3''41 Zoniug Disttict Ri Type Canst. VN
Oweer of Building MAW CALVIN AddrP?2 GCIaN MADIN 10. , FAGAN
Building Address 711 CALvIN C"j Locality LA. B 1. DCM FARI
?,?: MAY 19, 1989
Buad'ing
POST IN A CONSPICUOUS PLACE
? CITY OF EAGAN Permii No:
i 38APilot Knob Road Meter No:
? PA. Box 21199 E ReaJer No:
E%gan, MN 55121.
Site Addi
Plumber.
Conn. Chg:
Acct. Dep:
Permit Fee:
Surcharge: • ?? '-
Tr. Plant
Meter.
Misc.:- '
Date:
Size:
Date:
1 m
Zoning:
No. of Units:
I agree to comply with the Clfy ol Eagan
Ordlnances.
WATER SERVICE PERMIT
?. ,
CITX OF EAGAN
3830 Pilut Knob Roed
P,O. Box 21189 r
Eagan, MN 55121'
PermitNo: 10941 Date: 7-22-58
B/P No: 1 Date: 6-16-1111R
.?
r
Owner.
Site Address:
Plumber: -J?'hnBOn
oa?
MWCC:
Surcharge: ('a1V: Y1
City Chg:
Acct Oep:
Permit Fee: '
Zoning• No. of Units: tI agree to comply wtth the City of Eagan
Ordinances.
SEWER SERVICE PERMIT
? ?O UNT I ' CITY OF EAGAN .
F.NC AryFROVi: 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PHON E: 454-8 100
BUILDING PERMIT Receipt #
To be used for '0'. f: Est. Value i•'h.•'0' Date
,
Site Address 711 ?b-frf` ?
OFFICE USE ONLY
Lot 4 Block ? Sec/Sub. On Stte 5ewage Occupancy
?. - S ,•,-1
MWCC System Zoning ?-t
Parcel No.
V`h
On Site Well (Actual) Const
c Name MANk I:l?LVI"? City Water x (Allowable) V"N
; Address MC,AD010' F.L
PRV Required x'
# of Stories
o
City -46AN Phone • ?-2501
BoosterPump
Length 5t? '
Depth r+81
¢
0 Name aAi`1F S.F. Total
io Q Address Footprint S.F.
v
??-
City Phone
APPROYALS
FEES
?
, W W Name Engr./Assess. Permit 51$.tw ,
= Z Address Planner Surcharge 43. U(,
¢ W City • Phone Council Plan Review z?? •???
t -1 Bldg. Off. SAC
City
10? •??'
4
'
I hereby aeknowledge that 1 have read this application and state that the
Variance ,
SAC, MWCC
S 50. r}t,
information is conect and agree to comply with all applicable State of WaterConn. 350•0ti,
Minnesota Statutes and City of Eagan Ordinances. b 7. C
Signature of Permittee Water Meter ,
r
- Road Unit 2a •().
•A Building Permit is issued to:. A"6? CALVJI, Treatment P1 1U?'•?"
on thd express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinancds. Parks
?
uilding Qfficial TOTAL • ' ? .: ,' ,l
-- ----
CITY OF EAGAN
3830 Pilot Knob Raad, P.Q. Box 21-199, Eagan, MN 58121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value , • Date ,19
Site Address C4?Vi11 U
Lot Block Sec/Sub.
Parcel No.
cc Name
W
3 Address
° City Phone
¢ Name
O
? Q Address
P City Phone
Name
I hereby acknowledge that 1 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 Permk is issued ta _
on the express condition that all work shall be done in accordancewith all
applicable alve of Minnesota Statutes and City of Eagan Ordinances.
Building Ofticial
Vrr?VG VVG VvvLy
On Sfte 3ewege Oocupancy
MWCC System Zoning
On Ske YVell (Actual) Conat
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth ?
S.F. Total
Footprint S.F, ?
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC '
Water Conn.
Water Meter '
Road Unit
Treatment P1 '
Parks
1 ' ?
TOTAL
_ Permit No. Permit Holder Data Telsphone #
Plumbing
C.
?
H.v.ac. ,5
Electric aS s k"OtAi? C,, 7 as-?S' ss.s-a
Softener
Inapection Date Insp. COmm@ntS
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. 1S ?
Isul.
Fireplace
Final Htg.
Final Plbg. ?..
Bldg. Final
:V, "•., , ?l.
Cert. Ocici.
?
?-
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Dfsp.
' . PERMIT #
PLUMBING PERMIT
' CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
_a ? ( !
Site Address 441
Lot `f Block f Sec/Sub
? Name ?' ,.. A -+ _n f L. „c ?
? Address a41,:+e
L.
c City Phone Lw-4
l
Name
c
? Address
O City Phone ?
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BLDG. TYPE WORK DESCRIPTtON
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOILOWING
NO. FIXTURES TOTAL
12 Water Closet - $3.00 $
„rBath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00 S
I_Kitchen 5ink - $3.00 -
UrinallBidet - $3.00
1 Laundry Tray - $3.00
-LFloor Drains - $1.50 ,
?Water Heater - $1.50
Whiripool - $3.00
.?_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
-- -? .
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: -3 ?• -r?
_ _ . _ ?_ ?._, _ -------- --
-• _-
, MECHANICAL PERMIT RECEIPT #
. . CITY OF EAGAN v
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Site Address r' 1.4 '
! Lot 4 Block T_ Sec/Sub
m Name
? Address
c City Phone - -
? Name
3 Address
O City = ?- j Phone
TYPE OF WORK
Unit Heater
Air Cond.
Vent Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
-?-
FEE
5/C:
TOTAL:
BLDG. TYPE WORK DESCRIPTION
Res. _y New
M ult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUOES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMRTEE !i
FOR: CITY OF EAGAN
;. PLUMBING PERMIT For Office U sQ0
CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
PRICE PHONE 4548100 QATE:
Site Addr?ss ? ?G^ BLDG. TY? WORK DESCRIPTION
? ... n....., „ c,.,,c... ReS. New
Name
? Addre
? City Phone
c Addres?
$ Cicy
' FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD S.50 S/C PER EACH $1:000 OF PERMIT FEE)
Muit. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Waber Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMI? ?
? sohener - $5.00 5.
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE:
STATES 51C: --? `J
GRAND TOTAL: -? `>J
CITY OF tAGAN Permit No: Date:
300 Pilot Knob ?RQad MetP?r No: Size:S~ ae 4h 0w
P.O. Box 21199 Reader No: Q? ? U 3? S9 Date: ?- Z? S
Eagan, MN 55121
Site Address: 71 ''-=?? ? Court I.4 B1 Dod:i ::i
Plumber Exc<:vatinu/Fagan ?' -'•,in?.
Conn. Chg: ?
Acct Qep:
Permit Fee:
Surcharge: i:lnd
Tr. Plant " . ("-)na
4 '
Meter.
Misc.:
Zoning: _
No. of Units:
I agree "ovyv
-A"e City
WATER SERVICE
R1
BLDG?./PERMIT NO.
?C`.s?F H- f_,> I ZyeA'Z- I S c?7SJ
? 01-3210 Bldg. Permit
013422 Plan Check ?3cI ?
01-3445 Surch./Adm.
01-3446 SAC/Adm.
? ?
?
01-2155 Surcharge
r
v
?
w
75-3860 Road Unit
S?/
21 50
-2275 SAC ?
20-3865 Water Conn. 550 oo
? 20-3868 Water Trmt. 3D
20-3716 Water Meter 00
? 20-2252 Acct. Dep.
?
? 20-3713
Water Permit
20-3743 SewerPermit
79-3866 Sewer Conn. ?G
28-3855 Park Ded.
70TAL ?? L0 1 L" 10 C)
This reQUest voia
18 munths from
E 28 36. 5 p?*x-t?
?5?15 a-
,
?S_S
Re st O e M
?? FireNo. Rough-in In ction
Hepwre
?Ready Nuw ?[rtffy Insoec-
U ? s ?No tor When Ready
aLlcenseA ElecVical ConVactor 1 hereby requasl inspection o/ ebove
? Owner electrical work installed et:
Street dd 7. go or ute No. Ciry
,(J f I
ecLOn o. Township Name or No. Range No. County
Oc pxnt Phone o.
Power S li r Address
1 trical Conhacmr ICOmpany Namel
??N
DFiFCK ELr CTR1C
Con " r,tor License No.
Mailind pIIi_titg$6?l(jo/1tr?Gt?r?? A?,ikjnuJnstailation)
Gpo" 1"Y,3?3•til r t,l?I1V l.J LH V ?? •
A i n 9r allation) Phone ber
V
MINNESOTA STA7E BOAqD OF ELECTPICITV - THIS INSPECTION REQV[ST WIIL NOT
G,i69s-Midwey Blde. - Room N•197 8E ACCEPTED BY THE STAiE BOAND
1021 Universilv Ave., St. Peul. MN 55104 UNLESS PNOPEN INSPECTION FEE IS
Phene1612I642-O800 ENCIOSED,
- -dlW REQUEST FOR ELECTRICAL INSPECTlON ?-. Ee-ooooi-os
c , Sac instructions to, completing this form on beck oi yeliow copy. (
/S?
E Z8u:4_5 "X" Below Work Covered by This Request -7_,?S_YY
H flep. Type ol BuilEine Aovli.?cee Wired Equipment WireA
Home Fiange Temporary Service
Duplex Water Heater ightiny Fixtures
Apt. BuilAing er Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
FBrm Offinr veu v 01ber ISUCrifv)
t . Snecify Other Olh¢r
ompute lnspect(on Fee Below
p Fee Service EnhanceSize H Fee Fentlers/Subfnatlars N ea Circults
0 to 200 qm s 0 to 30 qm s a to 30 Am s
Above 200 qm ,y 37 to 100 qmps 31 to 100 A
?' Swimming Paol Above 100 bove 100
Transiormers s rtial.'Ot
Signs Special InsF>ection S TOTA ^
pemvrks ?J ?
Pough-in r O?iW I, the Elec ncal
? insoectar, hereby
artify that the above
Final D t'
{3?
?3
inspection has bean
'^aee.
Thia reuuesl vo1E 1B monthe trom
06? I7? 515L4-
g
2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
(p3Co3 So
New ConsW ction Reauirements
RemodeVFienair Reauirements .?
6lficell`se Onh!
3 registe2d site surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan Gert af Su?.y RePd ?E
aecd o
PY
Pl
`
`l` ?; Y,?• N
«_ F[
(20°a maximum lot coverage allaved) 1 set of Energy Cakulations for heated additions es
a
n
ree
;
2 copies ot plan showing 6eam & window sizes; poured fountl tlesign, etc. 1 sAe survey for add'N'ons & decks reepreS RequOd ,F ' YN N
Y 7
N
7 set of Energy Calculations AddNion - indicate i/onsite septic system bn-srte Sep4c System ,
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Jo'st DeMail Optans selection sheet (bldgs with 3 or less uniCs
Date 3 lI 7 / Q'1
SiteAddress -:? I / l 841 o Vl Construction Cost p3 S-t-{ Ob
UniUSte #
Description of Work VV i k1A) w v- e{'J ) o (?i
Multi-Family Bldg _ Y Y N
f) Ntireplace(s) _ 0 2
PropertyOwner Wvl q WGf? '{')-er WYaP('./(i/' Telephone#((OSI)(a(r? CI7 l1Q
Contractor W)ndtol ! c(Jii llP
12I-f G-F l?n ?17L
Address q`7 () 1,i)/'l.P 0cr
State mri '
r"2ca * 1I Y
Zip ?? 2-1 City
Telephone #((p Sl )gUS' O ) Q?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) . . Submitted Submitted
. Energy Envelope Calculallons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
N If so, 25% plan review
Telephone # ('
i
Telephone#(I;,'
I hereby apply for a Residential Building Permit and acknowledge that the informiq?on is complete_andscurate;
that the work will be in cunfonnar:ce 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.
&AY(.! l'1 ./h a[. / h(1 -?-? tlil?t4l oeY04(?7J-? /
Applicant's Printed'Name Applicant's Signature
?1 Bos
New Conshuction Reauiremenfs 3 regislered site suneys stwwing sq. tt, of lot, sq. ft. of house; and all roofed areas
(20Yo maximum lot coverege allowed)
2 cop'es of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Cakulations
3 copies of Tree PreservaBon Plan'rf bt platted after 711193
Rim Jois[ Detail Opfions selection sheet (bldgs with 3 or less uniLs
2 apies o( plan
1 set of Energy Calculations for heated add'N'ons
7 sfte survey for addiEons & decks
Add'Non • indicete i(on-sde septic system
,:!r 70 n:
a-ce us? oniv
CeRniSurveY:[tecd.?., N
Tr¢eRresPlen,Rec;d,.,?
?teePresR?4uired
On sde Sepfi¢!Sy5Ygm
Date Construction Cost O(1 o
Site Address cn lU i t1 (?C) [wj f UniUSte #
h 5-
Description of Work P ) ))? a u ??
_?- ?
Multi-Family Bldg _ Y ?N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 4fc4 (' NRC?vv? Qr Y? f' l.{ 'Q(? Q Ir Telephone #((95 I)(0 ?S Z- q-7 (0?
Contractor aeY'Q ?t &-f'-P
?11 L' 2 ciO PS, T rl L'
? ,
? t4 / - ?PO UQ
lf ?`
Cit
f'?'J
Address 7
j5 I P) i f KI,v0Cd
a1 '1.P _N-
n 0 -
.
y
?
State IYI Vl Zip 553 (p 9 Telephone #(1!D5) 7gO - d ooo
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building 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 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 w'_ I? arcvl?
approval of plans.
15 fe vrda fYi- SChut f2 ? FEB 02, 2005
Applicant's Printed Name ApplicanYs Signature "
2004 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ??
RemodeVReoair Reauirements
PERMIT
CITY OF EAGAN
384 Pils± Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
000089
03/23/92
SITE ADDRESS:
711 CAIVIN CT
LOT: 4 BLOCK: 1
D000 FARM
DESCRIPTION:
Building.Permit Type p1ISCELLANE0U5
Building Work Type AITERATION
?;'`
,
`? " ..... . ..
REMARKS: C b ?? 9C ?
SOFFIT & FASCIA .
FEE SUMMARY
VALUATION $5,000
Base Fee ;72.00
Surcharge $2.50
Total Fee $74.50
CONTRACTOR: - Applicant - ST. 01.WNER:
TWIN CITY STORM SASH CO 15468160 0003 90 KRUEGER EARL
10625 GREENBRIER RD 711 CALVIN CT
MINNETONKA MN 55343 EAGAN MN
(612) 546-8160 (612)687-9768
I hereby acknowledge that Z heve read this ap:plicatian and state that the
information is correct and agrea to comply with all applicable State of Mn.
Statutes and C1ty of Eagan Ordinances.
L
nun a;?,? ? p'I 1?
APPLICANT/PERMITEE SIGNATt1RE ISSUE BY: SIGNATUF?
INSPECTION RECORD Control No. 0085
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
LOT: 4
711 CALVIN CT
DODD FARPI
PERMIT SUBTYPE:
p1ISCELLANEOUS
F-
PERMITTYPE: sulLDiNG
Permit Number: 000089
Date Issued: 0 3/ 2 3/ 9 2
BLOCK: 1 APPLICANT:
TWIN CI7Y STORM SASH CO
(612) 546-8160
TYPE OF WORK:
Control No. 0085
ALTERATION
L
RENARK3: SOFFIT & FASCIA
Z) G 1992
7wS?'
BUILDING PERMIT APPLICATION
cirr oF EaGaN
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SEf OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE DB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
5, 000
To Be Used For:Ab?-?r Valuation: - OG?Date:
SRe Address 17/ / LGi l U rr?
Lot ? Biock ?
Parcel/Sub
?
Owner Z?Q r ?
Address '::?a-nz--'C.
City/Zip
Phone
Contractor
10825 GREENBRIER
Address urodiEMN e Iw ecr
City/Zip
Phone ucense
Arch./Engr.
Address
Ciry/Zip Code
Phone #
Occupancy Bldg Permit
Zoning Surcharge
Actual Const Plan Review
Allowable License Fee
# of stories SAC, Ciry
Length SAC, MWCC
Depth Water Conn.
S.F. Total Water Meter
Footprint S.F. Acct. Deposit
S/W Permit
On-site sewage. S/W Surcharge
On-sfte well Treatment PI.
MWCC System Road Unit
City water Park Ded.
inr?iv
Ti 3ii ueC±.
Booster Pump Copies
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off.
Variance
FEE
Sewer/Water Licensed Contr. . Processing time
for sewer/water permits is two ays once area as en approve .
agrees that ail work shall be done in accordance with
ignatur o P rmtttee
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
APFLIC?ATION FOR PERMIT §
SEWER AND/OR WATER CONNECTIQN
OF CC7gC1n
i) PRorERTr AonREss: . . l//
.
? NOTE: PA12g'l7P OF FEE AT TIME OF .
`
? APPLICATiaLI DOFS P1JT COW
? $Tllilf'E APPR('iJAL OF PERMT. ?
•
i I•,aocYTrON OF SEdM MID/OR WATIIt +
INSTNdATIIX1S WIIy NOf BE 9CmULFD ?
l!NI'IL PERKET HAS eEEN APPROVID. ?
}ifYfYfT4#t*##ttfpiiiyltl?t?f1#+Yitt##.Y
rB;Ar DESCRIPTION' v
Lot Bloc S vision or Tax Parcel ID
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDSNG PL..E'2MIT ISSLANCE:
Mont Year
PRESENT ZONING/PROPOSED USE:
Q COhIINEEtCIAL/RETAIL/OFFICE
Q INDL?STRIAL
a INSTIT??TIONAL/GOVERIZENT
2) ff.-TUWrOF."m NAME:
ADDRESS:
CITY, STATE, ZIP:
0
' R-1 SINGLE FAMILY
?R-2 DUPLEX ('it,n L'nits)
Q R-3 TOWNHOOSE (Three + C?nits) ( Units)
Q R-4 APARTMENT/CONDOMINZUM ( Clnits)
G
v
PHONE:
3) i:?• NAME: a"t
ADDRESS:
CITY, STATE. ZIP: .S"S /z 3
PHONE: l.(,S-a- If 7•1- MASTEE2 LICENSE #7-2-2 `f
Ij Active
Expired
Not recordec
Statf Initia
4)
NAME: lyarr(J ???vrn ?ansr
ADDRESS: ?{S??/2 LYn.Y C.?
CITY, STATE. ZIP: L`t ? ct,h ?yffrn ?.. S'S J?.?
?
PHONE: 41?5? ti2.1'U/
5) + a •a?• s •01M. a?
[5?],CONNECTION TO CITY SEWER ZICONNECTION TO CITY WATEEt E] OTI-IER
6)
-/9 -d4?
*?*+******??*??**+:?***?*******?*?*+*?*****?******?*****?****:r*?**********+*+W******??***+*******+,r*,
* +
* THE GOLD COPY OF THE PERMIT WILL BE SENr DIRECTLY TO PDBLIC WORKS TO FACILITATE METER PIQ{-OP. t
* PLEASE ALLOW TFA WORKING DAYS FOR PROCFSSING. SQMEONE FROM TfIE CITY WILL CONPACP YOU IF UIERE
* P,RE ANY PROSI,IIM5. f
. .`?
FOR CITY USE ONLY ° •
PERMIT # ISSUED
7??,p
Pd w/Bldg. Permit FEES:
$ $ /O. ?D SEWER PERMIT (INCLUDE SURCHARGE)
$ $ INI "? WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/0[7TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ O ACCODNT DEPOSIT' - SEWER
$ $ /y G`-o ACCOONT DEPOSIT - WATER
$ s?76 ,e D $ wAc
$ I? S O• C? Z? $ sAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ eq C) $ 37? D'Z> TOTAL
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN POSLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL?BLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISIOLV. LIST AS A CONDITION.
SDBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
/ ?' ?
27?7-
UNDERGROUND SPRINKLER SYSTEM
PLUM$IN'u PERMIT
Date: Permit # 020
Date_ 491
Receipt # ? LJ3
Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit wifl be required, as well.
4 Eaosting residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ Residential deve]opments: Fee to be di:termined by building inspections department.
May require payment of water pemut, plumbing permit, WAC, and water treatment
plant fees. ,(-yG 13 /, Dodc? r0.rn,
I// (:a lvin Qc.c.rt,
(Address to h,° sprinklered)
Homeowner/Plumber: &-c ) < T ver` eT
?
Phone
Street Address: ? II C? ?. ???? ? ? r'?
City, State, Zip: C? G a. .^ )??V S S 1 Z,3
Owner Name:
Street Address:
Phone #: l r
Irrigation Contractor:
Phone #: !(
1?1 Z 2
I hereby acknowledge ihat I have read this application and state that the information is
correct and agree to comply with all applicab]e City of Eagan Ordinances
S =/S - 92
s'$, 97
cc:
Vi J ? {i `i - .?? ?'_? _?° _/
? ? GV(
? G v p14 e c?i ay?
0
92
;ering epart ent
,
. .. ,,
CITY OP EAGAN
EXTERIOR ENYELOPE AVERAGE 'U' COHPUTATION
n
. i.
OWNER: n IL- /e,
' SITE ADDRESS• L,b y .D1?
COHTRACTOH: DdTE: PHONE:
Determine xorking square footage of each:
1. Total exposed wall area .. .263? sq. ft. x.11
2. Total roof/ceiling area ... ,?G U sq. ft. x.026
Total exposed xall area above floor
a. Totai wall window area ............................
b. Total door area ...................................
c. Total sliding glass area .......................... V.O y
d. Total fireplace wall area ......., •............ C>
e. Total wall framing area (average 10%) ............. ?/G, I
F, Total net wall area above floor . ................... .2-1
g. Total rim joist area .............................. r ,
Total exposed foundation area W
h. Total foundation window area ...............•...... ?
i. Total net foundation area above grade.............. . a°
Determine '[1' value of each wall segment;
a. ?.?.3.[f x rul
b. vy. 9 x lul ,c,c = 6? ,
c. U.oY x 'U' ,1112-
d. cl? x 'll' - - ?
e x fU l 1?9"_"'_'_"_ _ /6• "1'i
f. xlU' os = 7/'/6
a. xlul taW = Y•9/
h. `j`.u x 'Up
i. ?7 %,u?.) x '0' ?°7
3 . ................................................... Total = y? ?
If item fi3 is the same as or less than item l11, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area = 126 U
j. Total skylight area ...............................
k. Total roof/ceiling framing area (average 102) ..... Ia? 6 ov
l. Total net insulated roof/ceiling area .............. //3?1•u a
OVER
.?
,I Dctcrminc 'U' value for each roof/ceiling segment:
I J. " X iUl
? -
k. /aG X 1 U t
x TuT .ai aa
4. ...................................................... Total
If total of 114 is the same as or less than IF2, you have met the intent of SBC
6006(c)1.
• Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
oF Items If3 and //4 shall not be greater than•the sum of Items I17 and l12.
,. a?y + z. 33 = 6?.?? 3. -78 + 4. ?s•a-? _ 173.g?
2
:?.
SINGLE & DOUBLE FAMILY HOMES
1984 ENERGY CODE KEQUIREMENTS '
On or about March 1, 1984, the following energy code,requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors oyer unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-S insulation.
6. A11 insulated areas must be separated from the heated space
by a well-Iapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation.will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
,7
.
cuiouu¢ io (a) rntruas rr.on r,sunr,[ nr.nm -?.
or rrrIu,ur usco rcowas
?a) IA)
Interior Air Fitm (ualls) O.6D Lypsum or plaster board )/B" .072
Crtcrior Air FIIm (?la17s1 0.17 Gypsum or ylaster Loard 1/2" 0.45 '
Intcrlor Rir Film (Vcntetl Ceilinq) 0.61 GypSVm or plastcr board S/U" 0.56
Ea[crii.. Air Fllm (Ycnted Ccilln9) 0.61 P1p+ooA 3/8" 0.47
Interior alr Filn (Ilcn vrnteA) 0.61 Plywood I/2" 0.62
Eaterior Air Film (lbu Vented) 0.17 Ply.+ood 7/4•' 0.97
' Shca[hinp, rc9. denslcy 1/1" 1.32
al„-I I m,m Siainn 0.61 Sheatnlnp, re9. density 35/32" 2-.06 '
Al.minum wi,h Dacker 1,62 1{nil-Aait sAea[hing I/2"
'
1.14
Aluminum .4th Backcr G foileJ 2.96 ' ..
I/3 x 8 loo Sidinn (NOnd) . 0.81 6uk1 b op'ROOfs - 0.33
'
7/16 n 12 ilardbaard Sidinq 0.67 Asbestos-<emenc shinnhs 0.21 ' . '
/•sLesros Sidinns-I/4 Lappcd 0.21 Asphalt roll roofing 0.15
Stucco (On..m and Finlsh Coa[) -. AsPahl[ Shin9les 0.44
3;4•' Vood Sab(loor or Shuihing 0.94 Insulacian: 2-2 3/4" F{bcratass 7.00
I/2" PlywoaJ :hoathinq 0,62 Insulation: J I/I" Fibergl:s3 11.00 '
11I" Par00c uu.rd 0.46 Insu.lation: 6" i?euglass 19•00
WODS: . OLOUIUf. LOOIS
" . . . ....
. ..
Fir. Pine t slmilar soft NooJZ 1 1/I" 1.89 • .
APnrox. }^' 9.00 '
2 112" 3.12 Aporax. 4 1/2'• 13.00 '
:
3 I/2" 4.35 APVrox. 6 1/4" 19.00 .
..
...•
:
..r:; :
.s<.
5 1/2" 6.87 AvVrox. 7 1/4^ _
.
:
.
24.00 .. .
nyyi on. I .. - .. ' .
AII other in5vla[ian ma[<ria15 mvst be . ..-
Fllled veri(ied (R Factar) ' '
(R) Vermicalicc . ' 8" Concrcce Olock (5 G G Rc9.) 1.11 1153
,, ,.. ..
12" Concre[e Clock (S L L Re9.) 1.28 ).IS
8" Liglit uiign[ 2.18 5•03
. II" Ll,nt Wcl9nt 2.48 5.82 . . .
ne,;en+nnncnaecec-.:nnwannnnne
NOTE' (Il) x Arca Spuare feet
`;R)LL
Ail u1nAO.+ti - (w/SCOr,as I^ m 4" Sv.cc) . .5(?
Rtmoval Dov01e Llazing (ROL) .55
Thcrmo or wclEcd 3/16" air spacc .69
1/4" air :pacc .65
1/3" air space .58
(Other wlndows soeGifieally tcstcd wn use be[tcr ratin9s)
1 3/4 solte core eoor .46
w/storm, wnod .jl .
w/scorm, meui .16
P<asc SicelDOOr Insl/tl/Ll 7.45R .17 '
Slldlnq Lloss Door, Vood .65 .
Netal .715 ?y.
? ' • . CITX OF FAGAN •
rIINItiUM "U" l'ALUB AND R-FACTDR AT ROOF, 11ALL., RItlluNB -CONCRLTE BLOCI: .'
r
, l
' _ . •
' ? ROOF ? i C
iL
. ^
?N?
. -• ?p) V
. Q 1?sTet?loR ? ?:?r? Ff?? t
? ED, - . ?
?•. Q IhSU?A?ION ?
. ? •.
OO EX ?ERIo(? AtF FlLr1 ?
? (S-CILL) . '
• pU.? - ( ?{Z = ozs T6TAL (R?_
?-
.
? .?
WALL ?
(-?) VFl
ZD.* : . . .
u EX;?? IoC kliz. FlU7 _. •
... "(J "= 1 f R=:?f i TorAL (K)
;
. TL I M ? .
• ' ? ? (?? Vr1i.
' ,L UiTEI'•lorc (??c. FIu1 ?.
?3 5 ??2 thSU???71c;-? . .. • . .
? 2 FUZ- '9111-1 J?tsT .
.
_
C .
n . .
. u? r?F;sor?ITE sto1N? ?? . -
? ?O eXT?R1?R Ate FILC1 ? ? .
Iiuli ToTP.? (rc)=
• ?
' Ct;) Vnu.
•
?3 tN tE17lZ Atrc Fldl ?
l
l
' Q I" G?i'rP-??0?"l R•5 - v,)o
O . E7;jcP•IO;t AIR F1LM
II uu
I?CL= •?', To`[P? (rc)=
. / r
Ploors o,,7e; unhcaCed spaces must have mininum R-factor of R-20 (tuc.L•-undcY garages).
Floors ovr.r outdoor air (ovcrhanss) oust tiave a ninimum P,-f actor of R-33. ?
?C
„ CertificaZe for:
' Mark Calvin Const.
?
Book
DELMAR H. SCHWANZ -
U1N0 BURVEYOR9. ING.
I qpUtwoO UnMr Ue Of iTW SMO oi Min?a@
14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55088 812/4231789
SURVEYOR'S CERTIFICATE
-?
` Q??sy?
(? N
?
?
Scale: 1 inch = 30 feet
i
, , ? / ? - 3??? • Denotes iron monument
? 19 / ? Denotes set wood hub
. 3 D925.5 Denotes existing
E
elevations
v Denotes proposed
Z5- elevations from
Development plan
+ nrainaye & te'r? GIN?ERING DEI''?.
I 1100 Utility Easement§'R(?jtiiLOE4, Block 1, DODD FARtI, according to the
/ recorded plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed House
thereon.
, Page
\ 69??
rainage &
IUt3lity Easements
L.o'r
I I } ? \ ? 399s
?
q3Z.9
'e
d. 5 .
0400
N Z3.67 .600
0 1 _ ,«7 _
? 30
' '
6? C:'ov KT
-Y? R
/36 N ZL-B3 - ? / `+l{ ? ?
I ,?? 32
o ?.
'
1 hareby mrtily thet this auney, ptan, or report was
prepared by me or urMer my Alreet supervislon antl
thst I sm a Euly Registaretl Lend Surveyor untler
the laws o11M Ststa ot Minnesote.
06-07-88
Deted
?aRnVo U LL
?
ED
Minnesote Registratlon No. 8825
NO CO liNTIL CITY OF EAGAN N ° 15205
ENG APAOVES' 383f) Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE:454-8100 p-? 4?
BUILDING PERMIT Receipt# 84
To be used for SF DWG/GAR Est. Value $86,000 Date JUNE 16 ,19 88
Site Address 711 ? n?&-^c=r &nJ •? n(1+ OFFICE USE ONLY
DODD FARM
Lot 4 Block 1 Sec/Sub
On Site Sewage
Occupancy
R-3 M-1
. MWCC System X Zoning R-1
Parcel No. V-N
On Sife Well (ACtual) Const
a Name MARK CALVIN Ciry Water X (Allowable) V-N
W
=
Address 802 GOLDEN MEADOW RD PRV Required X
- # o( Stories
° Ciry EAGAN Phone 454-2501 BoosterPump _ Length 50'
DePth 481
ao
. Name SAME S.F.TOtal
oa Address FootprintS.F.
u
m
City phone
pppROVALS
FEES
w
w Name Engr./ASSess. Permit 518.00
! i
x? Address Planner Surcharge 43.00
a W City Phone Council Plan Review 259.00
Bldg
Off SAQ City 100.00
I hereby acknowledge that I have read this application and state that the .
. _
Variance SAC, MWCC 550.00
inFOrmation is correct and agree to comply with all applicable State ot Water Conn. $50.00
Minnesofa Statutes and Ciry of Eagan Ordinances. 67
00
Water Meter .
Signature oi Permittee _-Y- Road Unit -12.5-00
A Building Permit is issued to:_ M?1RK CALVIN Treatment P7 204.00
on the express condition that all work shall 6e done in accortlance with all
applicable State of
M
innesota Statu
tes
and City of Eagan Ortlinances. Parks
. /
?
?I_
BuildingONicial (?
'_?Sp l..-
4_
-_-- - _.-
OTAL 2?616.00
/
. r i ?.
1988 BOILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 15105
1 ,?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIZLDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURYEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhAERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,-
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ?r.il 1,1+, j U?
4
To Be Used For: zelezo 61," ! • Valuation: Date: G`?g?8g
Site Address
C':;i:, Qt•
Lot ? Block u ,
?
Parcel/Sub 13p p(,d- F.¢ri/11
Owner C,Ad/Nl
Address pL-)Z [1t)?GCG? /%Ieouow Re)
City/Zip Code ez:tge¢i(/ ,
Phone ' /y??{ v???? ?
Contraetor?/'? ?Uw
Address
City/Zip Code ,g?.k)
Phone
Arch./Engr.
Address
City/Zip Code
0 OFFICE USE ONLY
On site sewage_ Occupancy R?3 M-I
MWCC system ? Zoning R -1
On site well Aetual Const V-N
City water 77 Allowable v-fd
PRV required .FC lk of stories
? Booster Pump _ Length 50'
- Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 516, o-
Planner Sureharge ?
Council Plan Review 0?0
Bldg. Off. ?W13SAC, City /00.00
Variance SAC, MWCC SO . o u
Water Conn 550 , OC
Water Meter G'7 O
Road Unit 325.00
Treatment P1 Zpsb 00
Parks
Copies
TOTAI
.
-?--?
Phone U
._ ?
VALuA'f"lON
?V fc zy = S?C? py: go6y- . .
'gS mT
=?f X 1 y % 33L
Z 2 %,. lt z? _ 'S ?J
Is%2Y Zy= 3Z4
. -
?
?23sx?3 = I G as-f
H ouse
35 ?- I z3s
?AH = iy
G/ z o/
?S3Z?
a a ?
V"? ?,?"- o•..
? uU'
(FJ' Ulii
9 ?i-
q tilll'UU'?
\J ?7'J•UO
j,sU.iJ'J+
? ;,r•uu?
J i`i +
A . V .J +
°UU -.
U r
/ 'l i !) • l) il F
V ,1 n ' U U +
;1,;.
- . ,.
RESIDENTIAL
? q4310 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-68111675
New Conatruction Reauiremenp
• 3 registered sde surveys showing sq. ft. of IoL sq. N. of house: and ali roofed areas
(20°b matiimum lot coverage allowed) .
• 2 copies af plan showirg 6eam & wirMOw s¢es; poured found desgn, etc.)
• 1 set of Energy CalcWations
• 3 wpies of Tree PreservaGon Plan if lot plaHed aker7M193 '
• Rim Joisl Detail Optiore selettion sheet (61dgs with 3 or Iess units)
DATE ?-
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER L=?`l f' H2440'?
RemodeVReoairReauiremenN -7 C)
• 2 copies af plan
.. . 1 set of Energy Calculations for heated additions
• 1 sde survey for ezlenor additlom 8 decks
• Indicate'rfhomeservedbysepticsystemforadditions
VALUATION
r m /v ss ?a3
TYPE OF WORK
APPLICANT Wci-J 54-er S _
ADDRESS I
PAGER #
IV14
5 wo_u rat?
/L/
PHONE# 202-711-VVb'
ZIP CODE S?3 l 6
FAX#
NEN' RESIDENTIAL BUILDING ONLY - fILL OUT
Energy Code Category MINNESOTA RULES 7670 CATEGORY L
(check one) - Residential Ventilation Category 1 Worksheet Suti
- Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Confractor.
Mcchanical System Includes: _ Air Conditioning
Heat Recovery System
Sewer/Water Conhactor.
Phone #
Phone #
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the infor tion is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or i n s.
Signature of Applicant
CELL PHONE #
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
N ///4 Phone #:
Water Softener
_ Water Heater
_ No. of Baths
Lawn Sprinkler
No. of R.I. Baths
r..; m
LY
• d . -'- ?
JUL 2y2
cr?'
i? 96
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Receive6 _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
)Y,02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multl
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Founda6on) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' /K,43 Reroof X, 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Foorings (new bldg)
Footings (deck) FinaVNo C.O.
Footiugs (addition) Plumbing
Foundarion
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry sAc
Water Supply & Storage
S8W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
Total
a4y _ ?
?
FiaaUC.O.
HVAC
Building Inspector