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3686 Cardinal Way CITY OF FWAN WATER SERVICE PERMIT 3"0 Pilot Knob Road P. Q. box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: ^'=caLier :`ii I Address: _ She Address: ryil r' - 1,6 - Plumber: ~4 =a. :.L.ii .A Meter No.: Connection Charge: Size: Account Deposit: ;i: y LJ Reader No.: Permit Fee: Gone to o Ply wkh the City of Began Surcharge: t ordimneae. Misc. Chorfles: Total: By Data Paid: Dote of Insp.: (nap,: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road }T P. O-Sox 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: i No. of Units: Owner: rCri ie ; i ce Address: p Site Address: Plumber. agree to comply with the Ciyr of Eage■ Connection Charge: ordieeeees. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Dote of Insp.: Total: I nsp.: Date Paid: CITY OF EAGAN Remarks Addition Lexington Place South Lot 6 Rik 6 Parcel 10 45060 060 06 Owner Street 3686 Cardinal Way State_ Eagan, PST Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1985 417 - 99 SEWER LATERAL 101 1986 16'11 - 00 3 326.20 5 Sprvir.ps 101 1986 Z-29,39 145.87 WATERMAIN 1 85 65.81 1 65 D~ WATER LATERAL 10 6 ] .43 17 4. 6 8 5 WATER AREA 10 243 .73 4 8 7 4 22.39 STORM SEW TRK 10111 1986 426.54 ,85..30 5 STORM SEW LAT 1016 1986 803 .34 160. 66 5 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 28000 -54-2-30 8/1-1185 WATER CONN. rr rr goo.no BUILDING PER. rr rr rr n SAC 1Q705 525-00 PARK Receipt i PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces SIC C Type or Print legibly Tot. 1. Date ! 2. Installation Cost 3. Job Address L'ot' Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential} Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter O Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool /Drainfield Bath tubs Septic Tank .1 Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspectigns: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDII'b PERMIT Receipt# To be used for" Est. Value Date Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const u> Q Name City Water (Allowable) z Address PRV Required # of Stories City ,'A ;A Phone ~3 14 6- 41 Booster Pump Length Depth e Name S.F. Total o a Address Footprint S.F. P City Phone APPROVALS FEES W Engr./Assess. Permit Name W 1W Planner Surcharge Address z City Phone Council Plan Review aw Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC information Is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee - Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shal I be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official- _ TOTAL - Perm It No. Permit Holder Date Telephone # Plumbing H N.A.C. Electric Softener Inspection Date Insp. Comments Footings 1 r Footings II Foundation eI7 VIA Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Fig. Deck Final Well Pr. Disp. CITY OF EAGAN 0705 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt To be used for 1r-;/.AR Est. Value Date 14 r f Site Address 3 °J1Iv.?tiL ~.Y. Erect 11", Occupancy :3 3 ,r,;r, C'; q Remodel ❑ Zoning i Lot Black sec/Sub. Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories Iii ur. w'.►. j1 C F: C; Move El Length 4 e: Name ti ~d`I L:: W v Demolish ❑ Depth 4 S z Address l' Int lmpr. ❑ Sq. Ft. 9 City 7777 Phone 4 54 -043 Install ❑ Im Approvals Fees 222 Name . QO oo ~ Assessment Permit uAddress 31.50 City Phone Water b Sew. Surcharge _ 164 Police Plan Review "I! A' L. x!71 W Name _ Fire SAC u1 Address L_ + Eng. Water Conn. <W City Phone ti Planner Water Meter ' i Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. " r 3 1 ` Tr. PL the information is correct and agree to comply with all applicable APC Parka State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Copies Signature of Permittee Total !'.4..'i4 `r . 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. Building Official Permit No. Permit Holder Data Telephone # Plumbing H.VA.C. ~7 36, Electric Soite~rsr Inspection Date Insp. Other Footings 1 j~ Footings II Foundation Framing l Roofing f 6 Rough Plbg.o'0(O A -G Rough Htg. v7z 147- Insul. 1 Fireplace Final Htg. Final Plbg. Final ~y yz Cect/Occ. Water Describe Location: Well Sewer Pa Diap. ;~1 Io PERMIT # CITY OF EAGAN FEE 24.00 MECHANICAL PERMIT SIC .50 RECEIPT # 454-8100 DATE 2 J /36 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL $24.50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res Comm Inst 2. New XX Add Alter Repair $1700.00 3686 Cardinal [day F 3. Total Bid Price Job Address Lot 6 Block 6 Sec 5. Ownet rontier Companies 6. Contractor Wenzel Mechanical. 36010 Kennb,.c Drive, Eagan, MN (Name) 4S ).-1565 (Street) (City) (Zip) 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,000 BTU's - $24.00. Each additional 50,000 BTU's or fraction - $6.00 RESIDENTIAL COOLING - 01-24,000 BTU's - $12.00. Each additional 6,000 BTU's or fraction - $6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee 1X HEATING VENTILATING HOT WATER STEAM AIR COND. _AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER a COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for ri Approved Inspections: Date Rough Insp. Date Final In Sp. 3 CITY OF U GAN WATER SERVICE PERMIT 3830 Zlot KWob Road R P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning:. 'fix No. of Units: Owner: Fr onr.i -=r i~ 4 k rn /Address: Site /Address: 3 '36 ~6 ISiI Plumber: ter A ( -,j IG. Meter No.: Corme 1: L Size: soe. 'r o 1 a i 1 7 3ct~ou o L- Reade No.: 0 /At & ~6 31 Permit Fee: _ I some to Gain* with His City of Began Surcharge: Ordiwenaaa. Misc. Charges: 57 . Total: ~ BY t~77& Dote Paid: Dote of Insp.: Insp.: .3- F. 7-F6 CITY OF EAGAN No / 10 7 0 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ /L/ BUILDING PERMIT PHONE: 4548100 Receipt # To be wad for SF DWG/GAR Est. Value $63,000 Date AUGUST 1 19 85 Site Address 3686 CARDINAL WAY Erect Ek Occupancy R3 Lot 6 Black 6 sec/Sub. LEX PL SO Remodel Zoning R1 Repair ❑ Type of Const. V Parcel No. Addition ❑ No. Stories FRONTIER MIDWEST HOMES Move ❑ Length 40 Nerve Demolish [1 Depth 46 3908 Address SIB MEM HWY Int lmpr. 13, Sq. Ft. City EAGAN phone 454-0443 33 Install ❑ SAME Apprevels Fees Name Address Assessment Permit -'322. 0 0. u_7 ► City Phone Water &Sew. Surcharge- 31.50' Police Plan Review 16.100 Name RICHARD CHARLIER Fire SAC 525.00 'kq Address 14103 GARDENVIEW CT EM, Water Conn 500.00 i city A.V. Phone 432-5492 Planner water meter 63_00 Council Road Unit 280-00 1 hereby acknowledge that I haw road this application and state that Bldg. Off. 8/1/85 Tr. PI 1-49 _ 00 the information is correct and agree to comply with all applicable APC Parke State of Minnesota Statutes and ity of Eo an Ordinances. Var. Date Copies Signature of Permitfae 0 FRONTIE MIDWEST HOMES Total $2,014. A Building Permit Is issued to. on the express condition that all work shall be done in accordance with all a bie State r ota Statutes and City of Eagan Ordirwncea Building Official (l./ G _ Z~1f CITY OF EAGAN No 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 N- / 1 4 8 5 2 PHONE: 454.8100 0 /t q BUILDING PERMIT Receipt# 00{ / To be used for DECK Est. Value $1,000 Date APRIL 18 _19--g8 Site Address 3686 CARDINAL WAY OFFICE USE ONLY Lot 6 Block 6 Sec/Sub. LEXINGTON PLACE On Site Sewage _ Occupancy SOUTH MWCC System Zoning Parcel NO. On Site Well (Actual) Const a Name LEN GARDING Clty Water (Allowable) 3 Address 3686 CARDINAL WAY PRV Required # of Stories o City EAGAN Phone H 456-9241 Booster Pump _ Length Depth c Name SAME S.F.Total u a Address Footprint S.F. ~m City Phone APPROVALS FEES I-M Engr./Assess. Permit 24.00 2w Name 50 Planner Surcharge _z. Address aw City Phone Council Plan Review Bldg. OH. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agre to comply with all applicable State of Water Conn. Minnesota Statutes and City of agar Ordi arras Water Meter Signature of Permittee Road Unit A Building Permit is issued to. LEN GARDIN Treatment P1 on the express conditibn that allworkshall bedone in ac rdance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 24.50 Building Official- iLIeZG~ < This request votd JS.Iwnths from JJ cy-095244 1~~8 d, flu ;"zl ?'e~ Requ st Date Fire No. Rough-i ns pecbon R u Ready Now ill Notify Inspen- `Z' Yes ❑NO [or When fleetly mensetl Electrical Contractor I hereby request inspection of above ❑ Owner - electrical work installed at: Street Addr B/o/x for Rou a No. itY 1 W /♦f /1 m o. Township Name or No. Range o. Coun i 0 &S Ph }a~ _ 6 Occ nt ( NT) X) N t4~ Power SUpP Address Electrical Contractor (Company Name) ontroctor's License No. Mailing ddress on rac or r' n r k g Insta llatmnl 14,940 PENN©CK LANE Author n r dbrTtrEr.TD7fLOwilp NkMTV;! ion) Phone Numoe7 -C L'1LL.J.:r 1 D'l17 l .7 0 6 MINNESOTA STATE BOARD Of ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297.2111 ENCLOSED. ~(T~'"/gyp REQUEST FOR ELECTRICAL INSPECTION EB ~0000~11-04 ' See instructions for completing this form on back of yellow copy. S Pi 2 4 4 -X" Below Work Covered by This Request (r~ A Rep. Type of B.tding Appliances Wired Equhpment Wired Home Range Te ary Service Duplex Wate Heater Llf-ighting Fixtures Apt. Building er Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pevly the, (SOeafy) Other Peofy Other Other Compute Inspection Fee Below tt Fee Service Entrance Size p Fee Feeders/Subfeeders •H Fee Cire.ns 0 to 200 Am - 0 to 30 Amps -M 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps 'h Above 100_Am s Transtormers Irrigation Booms Partial/Other Fee Signs Special Inspection S TOTAL FE .Remarks Rough-in r Da~Y/g 1; the Elee .hector, hereby 000~~~ certify that the above Final P Oa inspection has been made. This request void 1B months from 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EiAGAN 3830 PILOT KNOB RD - 55122 9 9 S 3 651-681-4675 New Construction Reaulrements Remodel/Repair Reauiremenh D 3 registered site surveys showing sq. ff. of lot, sq. ft. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions ➢ 2 copies of plans (show beam R window sixes; poured fnd. design; etc.) 1 site survey for exterior additions 5 decks ➢ 1 set of energy calculations 3 copies of tree preservallon plan R lot plaited after 7/1/93 DATE: LO `0a5 - CONSTRUCTION COST: Q ~ l DESCRIPTION OF WORK: QM tai. STREET ADDRESS: 3 OAW- LOT: BLOCK: ~ SUBD./P.I.D.#: Name: 9 1 p'yy 1.~ ' V i \HKS- Phone GIs' k C~~ PROPERTY Last First OWNER Street Address._ "In City C RGNF ) Stale: Zip: Ss Company. Aft L~ Phone 3 L (area code) CONTRACTOR Street Address: I~;q license # Exp. City State: Zip: ~S`~a c7 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer 3: water licensed plumber (required for new construction only Penalty applies when address change and lot change Is requested one permit is is 1 hereby acknowledge that I have read this application, stale that the hlfor tl n to correct, n agree to amply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. L9 (9; L. i OFFICE USE ONLY ~T tl { iN 2 5 1999 i Certificates of Survey Received Yes No Ju Tree Preservation Plan Received Yes No Not Require I- F- l\1 6a 9 .0 1 n) G &63(o L' R 2~,NgL L,A uJ 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS . ~~q ~"~~~BSI a 3 ft! oz V~4~ ~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCU TIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OE ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS! AND 1 SET. OF ENERGY CALCULATIONS 1 To Be Used For: ~Q' G 1~ Valuation: /l)l~B `L' Date: J 00 (N~ C Site Address ~~Og` ~~~o~nrE1~ WA~ OFFICE USE ONLY l7~ \ Lot t' Block On site sewage_ Occupancy MWCC system Zoning Parcel/Sub x -/70)/, SD , On site well Actual Const City water l Owner z- L /y C nk n / /f G PRV required #ofwstories Booster Pump Length Address Sfj YY1 Depth S.F. Total City/Zip Code Footprint S.F. Phoney- qZ- Y3 ""7~v1~ APPROVALS FEES Contractor Engr/Assess Permit ° Planner Surcharge s= Address Council Plan Review Bldg. Off. =415 SAC, City City/Zip Code Variance SAC, MWCC / Water Conn Phone / Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies TOTAL . ~i City/Zip Code. Phone # d moot, : - d!ti m ~`relr d 13eanv%S anJ AaCf'119 6ou-tt Trees e voo r o "-s fs on G eft er-'- I Ct~e 4jW# ou1.51ji j0('5ff AAd IOAes' ~rln.. /DOA(JS trill ~e G f STEM' MAY, R lSF In 0%lnCl 0% SS I0+r1' CPipGI~ 9"ntiN RuN HIGH r ` MAX S~AQQ AQov6 STAIR NOSING IlEnJEetJ RA)~S f 2og f n D deri1~ . : lJe~ Ator,1s Jr~9 oP~~oX• rae~ r0- - mere 7"hvuSeiX an~ - mere !rS 6 • ~f jT~a or: /10 $ l~P ~ ~ MAN' 3 ,.~.0 0✓r ~1AC(-~ dot- ~/n~°:.-. ya~r - PtPTH -olA - f j01 2os T'_~0c3T15~iT/N1N ` . f'f Qsl+- vv ~I.v ! GTeV~. Vol,. ~ - -~=--1 - o.« 1g P ► l ASP ; rS *tot% rat S`c~5 1<~ o tl,e 5 rounfi~ f ; l , I - - q o -N6 ~7 ! 1 - 7` i It - Noosr~ - 2/84 CITY OF EAGAN 7 APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PPOPERT1r ADDRESS: (p n - LEGAL DESCRIPTICN: (Lo lock/SL:.divis' n or Tax Parcel I.D. Nsnoer) IF :::IST=:G S-1?.CC:'^ Z, DAT OF CRIGMPI r`A I7PL:G ISS r\G: PPISL:P -:7TIIy;/Pa DPOSED LYSE: R-1 SZ;=- 3yffLY ❑ R-2 DIIP= (Tina L21iTS) ❑ R-3 TCxiV'?CTTSE (r-rim-EE+ L^ ITS) ( Wi I^S) ❑ R-4 AP ;,R'! v-r/CC:3CC.i.TNIr_-q ( IJi ITS) ❑ CU-jNM,CLAL/RE"AII,/CFFICr ❑ MMCSTRU~L 2) APPLIC::dT (PLEASE PRINT Frontier Midwest Homes Corporation ADD.4ESS: 3908 Sibley Memorial Hwy. Bldg. E C=Z, STATE, `ZIP: Eagan, MN. 55122 PHONE: 454-0433 3) PumE,o NJ11,`IE; Star Plumbing (PLEASE PRINT) FOR CI ONLY - ADDRESS: 1018 Mound Springs Ter. , RERS LICENSE: Activ CITY, STATE, ZIP: Bloomington, MN. 55420 Ex 'red ~FN~icr. t of cord PHONE: 884-4149 PLUN8ER LICENSE q 3329 a, / 13 4) C'CLPAIITT/CSyTTEZi NAME: 11 (PLEASE PRINT) „f- ADDRESS: T-/ 6 )S L?" 7J. CITY, STATE, ZIP: may„ PHONE: 71 ~ d- SS C 7J 5) INDICATE WHICH PER-UT IS BEING RE)CUESTED: CONNECTION TO CITY SD47ER --Please-mall-gold copy to CONM=I'ON TO CITY WATER Wenzel Mechanical 3600 Kennebec Dr. ❑ OTIIER (PLEASE DESCRIBE) Eagan, MN: 55122 6) L":DICA= ONE: ❑ PI y%SE HOLD APPROVED PERMIT FOR PICT{-L'P BY ONE OF ABOVE 101 PTE+SE ti711 APPr= PEF:•LIT TO 1,Y 3, 4 ABOVE (Ci_ e one) 7) SIC ~TLRE: DATE: w a:Raw~s~n a r v ~ta:aaea aq s rw c~s:aa r s a ~sa:a:aa a a~mr~a ~r s t ~s as ssrsa FOR CITY USE ONLY PERMIT ° ISSUED FEES: $ SE::ER PERMIT (I`ICL::DE SURC`.iARGE) - $ WATER PER11IT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ /~yu ACCOUNT DEPOSIT - WATER $ C"rJa G WAC $ ~a S.uu SAC $ TRUNK WATER ASSESS:L.NT. $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE Q NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: .~saav~.m~fn~kww~.a~~w~w+~wwntaw~w~~~ww~wt~~~~wa~c~airw.. 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN STAf Fc~~-U INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1'SE7T OF ENERGY CALCULATIONS C.O ono. u To Be Used For: Sr"A e ~y Valuation: Date: Site Address: j( 7 ` r"ervtiiA1 U b q OFFICE USE ONLY Lot: _~4_ Block Sect/Sub Erect X Occupancy 3 Remodel Zoning (Z-I Parcel # ~eyirl bcf Plau ~~n(l4-k Repair Type of Const Addition 6 of Stories Owner r Move Length Demolish Depth Address Int.Impr. Sq Ft M Install City/Zip Code ll17'7f ,lrrn. ~~»Y Phone I~ APPROVALS FEES Contractor ~nnYl~f lYlt~al /n S Assessments Permit 3ZZ-, I/ water/Sewer Surcharge 31.5-° Address J968'-&4&,1 M L~W1/±L Police Plan Review Fire SAC SZS. City/Zip Code CnQ2~. 2n. 651ZZi Engr Water Conn Scx~.°° Planner Water Meter (o5. Phone Q ICouncil. /4oad Unit 2Zo, w ~l~c~rd Bldg O ff Treatment Pl X32.= Arch./Engr. , d 2 y` APC Parks / Variance Copies Address 1 103 Cs(I(Ae1)0 Pea, Lt TOTAt. /y•S b City/Zip Code M , ,!S~5/ Phone $3? Page 1 of 4 ' EXTERIOR ENVELOP: AViRAGf "II" COMPUTATION ,l SZ'W~FaF~+~~ peaCi W~J. i. - I)ATr SITE ADDRESS: _ PHONE:- CONTRACTOR:. Fern ez- X Determine working square footage of each 1. Total exposed wall area..... !)(CA.S sq. ft. x .I1 2. Total roof/ceiling area..... 1d t~ sq. ft. x .026 Total exposed wall area above floor=_ ~Ci(re-4 ,r a. Total wall window area I L ~i b, Total door area Z e. Total sliding glass door area q d, Total fireplace wall area e. Total wall framing area (average 10%) S f. Total rim joist area g. net wall area above floor ...~`~4. ~.~ic'-rr.`i• • ----?zY_2L• ~ - _j-2-- h. wall area above floor i• wall area above floor -frame wall area at iou-idation Total exposed foundation area= j k. Total foundation window area 1. Total net foundation area above grade S Determine "u" value of each wail Segment (e.g. window, door, each separate wall section) a. I ZS x "u"_- b. q 7 x, u„ 45 i Pte. i C. X d. 48 - e• I J( o"4 X ,d„ JZ3 15, -71 f• I ~O X .10„ O 3 9• 381 ~ x „u„ 0 3 - 1 4~ h. X ,loll _ i X 1d, _ j• X l0l. If item N3 is the 'same k' X „0 = as, or less than item 1 C X 75 S1, you have met..tW,~. intent of S6C.-600 '•(c) .................................Total 1w L~!rior :nvolope Average "U" Computation Pago 2 of 4 Total cxpoocd roof/ceiling area ~fD (O m. lbtal skylight area n. Total roof/ceiling framing area (average 102)... o. Total net insulated roof/ceiling urea........... Determine "U" value for each roof/ceiling segment M. x U.. n. x o. 0`--1- x .'U.. 4 Total ~Z If total of ff4 is the same as, or less than 112, you have met- the intent of S13C 60,06 (c) 1. Alternate Building Pnvc'one Design To utilize the total envelope'system method, the values establisher) by the stun of items 0 and 44 shall not be greater than the sum of items i,1 and 1412. 3. + 4. Zf-),73 = 1 6(o l L nil :)rn (..°U. t ~hrI.Ondn u.,il atc.~ rut- • (t~lm•; r. c,n:.t rt,cl Ivn : I :I:: I_ : Vn l.. _.._.,..a ~_----{i~ 1. 111.•: ja1~AL•M ._Q•(~!~ • i ~-(D a . s-., e~aa~ys crJ VA, LA IL PIG. dl T011VIM4 OF inl,rril+.' t)ir 'ilm _ r_.. GH FlUV 4: WALL 4. It r F.xILr: 1,1_x11 1171x_- _ _-_-.0.17 FIG. AI '7'ul.al q C ~ 'f~ ~ emu. . 0 J"~ ~ )nt cl Z. Z!f _iqlr!h a:[_ !il r.. t1.6o!1 ------------1_43 110TA (itl ti%-al _ - - 1 l / ~ ~ ~ r,• };xcrrlo-.n)t f i Im-----___...__4. )7 J _~J ✓ w 54 • 81* • o' _ -rU n. . PL°EZrra t?~C . QasC.CCeR.. _ u ~JrT~L) S. •r. ` I:RI .•I il•f i!r, 0.17 ToWl '7 • ~ - ~ R 111 ~ l t, 77 l r FIG. 174 G. 13 - V _ IT! • y IUI'I'L'; lwllCOh: IY~nJ, '4" !'.,iUtl, Ill,liell and O N. II~':A I.)l l:,;l. 1 \ 1 , 1)7.1 .f•RV','. of ROOFiCEILING Construction R-Value i 1. Interior air film O.G1 IA)SUL. 444 t I 4. Extcr3or air film (still) 0.61 VENT Total 45 --Bo Bo k 1\ Heat flotit 1. Interior air film 0.61 iced 2. up 3. x ` 1ti(SuL 38 3s 4. tc.io_ is lr., ls':1 DoT ----------Dotal 2 = P. 1S F'IG. 15 _ C CPA, 9sR v C rr m~~ • . . 0.61 film - ==-fir 1_ Inside air - 2_ 4- .5. Outside ir. film U. 17 Total . ~i t02 1_ Inside air film 0:61 r 2 Ecct floe up - -vented 3 4_ 5. Outside air film 0.17 FIG_ 16.'. Total _3 } r t 1 - v Inside air film 0.61 2- cF'~~'•...:;.•,. l C:tsidc air film U. 17 Total LO2 Rote: Use additional sheets if more 'pace ie .needed for details and calculations. Hent flo a up HInJ.J. i,cr.'rlc;;;s }jKtcr- - 7T--1Ry -r u - ' F:.C: r ~ ~t ~~of C(~9i~t1c u,)11 n: cn tat' - ;1'(tpiC CGI UiI YVC l,1an ~_'a i - Vnlu.; lM5 ..13LOGK S"Mtn - i !1 SIC Ji.i - - U. O. t'! ~ ~i FIG. -91 TM)VI@34 of - - Ivit:./. 2. FIG. hA2° `.l ;.;nlni°,4„f ~ 1. Jntcriur air film -t)_(~`•) 6. }:xt^rlor ni: f:Jm 11,.1'1 l - 1'o C.rl 41114 - fv d~~-`- ~ 1 . I o_ L•' 1 ' C _a_I (1 I ~ 0. C,fl •.tr°;:yJ; ' t 2 y l` 1, S T'U ~Yr i - Ula1 tit: ~Y21 !J ^ t R~ .i r 'r 1C hh 111 S •.r~."> .,:,•~r,~Y/r 13 ~ D Cli•~nR[!(r.... JpriC; Ir,d{cnir Cy~,i, valu¢_. ~de 'bilk' •.'t"~ i "t ,,,.t`.:f,'~t*r'r•'.47; ~~(I.Yt.y ~ 1~ I (,J~1 ~f`!1C'it of Ifla~ .1C lO:l. . PLA Q Li Q e.AL FT. EXPOSED WALL gLo~-k ; G S ~ FULL ISO lF( P..Ef1L.Aor-E. ; Cup epm c~ 1Z1 M: ! 1 ~®e Scu . F-r, ~ ~oSED WALL A iz.EA t3Lo~K:', X, S _ S Z- 5 ~ti EE ; l_ ~ o x 5 = ~ ~ _ W. 0, FULL 1 I~ x 8 lto~ F, pi 465 ~ ~ M t zca K ( o T07~L. = 1 5(oq, 5 SQ +=t. K{~~S~D GE1Ltuq lot(, WDwS i~ w. Dooes n . 'Lo tmo : - Z c PA-71 0 t4/4 2-7 FSH4 U U; + -5 70.. y 7 L'1,29 x t ! = S Z, / 7/ 67-14 Sheet ~r Ot Nees Fe"ji-me]2 D16 Address- STA MspfZz) HEAT LOSS CALCULATIONS UHPAK I MEN 1 017 IV Pf-,( IION Weatherstrips A.S.H.V.E.I Construction No. I Insulation Guide Windows I Doors Reference Out. Wall Int. Wall I Ceiling Roof Floor Kind How Applied les--No- I Yes --No 1 19 !j " { FI Dt Iej Room Length lZ ° Width Heights FI.1 t Room Length J$"~ Width 11 Height & Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area a iAIT 11 n[nt No of Lineal h A • N•IJIh Ilei[ht Fie n+ of Llnul fl Al.. `f pen +_of pane ii[nl• of rr•.F aV h I N fume of Pali. Vu of caeca e0 fL t; f . sc y . t2° it 2- f_ v~d LLa 4• Coef. Btu Coe{. Btu Infiltration y c 11 Infiltration 25. 4n X02 ~g0 I' Glass L(O .50I 2 000 1 a,,. 9 `J-n Lxp %All /80 Eats. wall Net eaa wall T !o T 8y0 Net exp. wall 2v0 Ic 1200 Int wall I I (p j II Int. wall -t r-- l LS . Celhnet L .s ' Floor Total Btu. 87415 Total Btu. L✓Og~ Required sq. ft. ED R. or sq. Ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 Fl_..I<- t-r Room I Length q to Width Height g FI.I ZrA-n+ Room I Length (0 ° Width Height 8 Windows and Doors-Crackage and Area V Windows and Doors-Crackage and Area N"IC 111_rNO I No f Lineal fl Area Il Wlnth Height No. of Lineal fl Area Nn of pane Vf P"'. L[hu VI Hack eo ft ~ No r pane of -pane 1lahte of crack eV fl. 2U 3Cc I I r0r ~ G -~1 ~ I _ Sb I Coe{. Btu to Infiltration I 2~a1l!iiy0 CoL Infiltration_.- Glass _ Fr al eSp lJ"L) b, pis n j~ Glass Exp. wall I-Z FjCP. wall Net CAI wall 7q ` 7y I. Net exp. wall y Int. wall r i Int. wall __t rdmg _ ILO ra' Celhng S Z~ --I' r _ Floor _Total Btu. Total Btu. Required_sq. ft. E.D.R. or sq. ins. W A. Leader area Required sq. ft. E.D.R. or sq. iris. W.A. Leader area I FI. 2 Room ILength /10- Width/La Heigh ,-Fl.I RoomlLength Width Height Windows and Doors-Crackage and Area It°t Windows and Doors--Crackage and Area I \\'IJIn I7x_L_T No f T Llne•I fl Ar WIJIn 1 ++ela nt No Of Llne•1 fl. Area , Q TPA I of.r•rk eV It ea Na fGanY_f P•n• 'IR file frlaCk I aV fl I /l \n I 'I f all 2y uy r lz. q 5 ~ro`~'' 1 2B (Q.~ - B MV, ~-r 1 V _ r----T _ -CGef. Btu _ ~COt{. Btu I z-O -T- In Illation Inhltra tPon i i .110 37.7 I Waas q U ass f 1 _!`~m / 9 I Lap. wall ''Z[ g Exp: wall_ 1 2-b Net exp. wall 14'9 /(Qy %rl exp. W411- el (O i It~•E { i - II.1 wall 'nt. »A I- Or Total Btu. O qA ! Total 9,u i 5Mo Rrqurred sq. ft. E.D.R or sq. ins. W.A Leader area ! Required sq. ft. ED R. or sq. ins. W.A. Leafier area _ -Z of 2 Nam: Address: HEAT LOSS CALCULATIONS DEPAR'IMFN'-r OF INSPE( LION . Weatherstrips A.S .H .V .E II Construction No. I Insulation - Guide Indows_ I Doors II Reference I Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied s-tio Yes-No I 19_ 11 FI.I Ll -,/Room Length / K a Width 15Height 8° FI.I Room Length Width Height Windows and Doors-Crackage and Area I Windows and Doors-Crackage and Area \\,,Ith Ilu/nl No M Llnwal ll Art. N'IJIn Ilel{hl Nn of LIMwI II Ar.e O f Deno! X. Ilrnlf n(cfark l0 fl NO of V.n of Dene tlYntw of erOCa r0 rt. 3 I o ! r4'ib fo.8 t Coef. Btu I Coef. Btu nfiltratlon 1-Aq 1407 I 7 Infiltration :lase 3e1•. L Glass :xp. All 1b Esp. wall ~et exp. wall g ~p O I Net exp. wall nt. will I Il Int. wall rel l:g 1XI0 D II Ceding iI j Floor rota) Btu. Z' $5~ III Total Btu. Requlrrd sg. ft. E D.R. or sq. ins. W.A. Leader area ~I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area gF7.l g Room LengthWidth ya H ij Fl.l Room I Length Width Height Windows and Doors-Crackage and Area X10 Windows and Doors-Crackage and Area ~~lJth ficht ND D! Linea fl li W1d1h HO III N. o/ Lt neat it At.* {vn I owf Dan• of Dan• naau of crack M t. II Ne. of Den. of Dane Ilehta of track ap It. <o y 6 I l L A 20 • ~ 6'8 I Cocf. Btu f. to Infiltration 148.2 Infiltration Glass .7• S~ Glass Exp. wall Eap• wall Net exp. wall [ 6 Net eap• wall Int. wall Int. wall IrlLng.- - II Ceiling I :....r o[(aI Floor Total Btu. 21'I 77y Total Btu. Rrgwred sq. ft. E.D.R_or sq. ins. W.A. Leader area I I) Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room Length Width Height Room I Length Width Height Windows and Doors-Crackage and Area _Windows and Doors -Crackage and Area --\\•LLLh H.V nt No of Gnealfh : re. WIJtn Hell(nt M. of Llneel it. wre. T 7-7 N.~ V. ne 0I Janw Iltnte f fre k O It I NO. O! D. r.e' Of Den Ilellle OI Cref4 .V Il 1 I I ~ I Coef. Btu ~I I Coef. Btu Infiltration I Infiltration Glass I iI Glass Exp. wall I I- I Exp. wall Net exp. wall - I Net exp. wall Int. wall Int. wall CrlLng I Ceding Floor Fluor Total Btu. Total Btu Required sq. ft. ED R or sq. ins. W.A. Leader area i l~ Required sp ft ED R. or sq. ins. W.A. Rader area r 4 pl;~~',~: , } a~ lit r=r Elevation 200 .r SIGMA HOUSE CERTIFICATE FOR: HOW ewtoE Hy SURVEYING to"DOt°r'°''EAS HEALTOH5 SERVICES 3908 Sibley Memorial Highway FRONTIER UMPANIES Eagan, Minnesota 551 22 Phone 16121452.3077 MODE L. STAFFOAO IV- -11 SO°OI 5o W GJGALE 1 y~rDRAIhIlaCaE / Ll'f l LI'(•-~ SAS M r? Kg6o 0 OHO LOT (o o 0~ tx~ a 0% ;t° `as+f Ili. 1E'~J~I .ter LAOS. or- I °o ~o TO f 41 / 7l ~q r 0 b t Do ~ $ \`\`ooammunuruuui o ,q 4 x405.3 % CORUES i cloy$~C\60 = 3 3o Fri. - 14675 - ' ~EGEND_ PROPOSED GARAGE FLOOR ELEVATION= 9061 O Denotes Iron Monnxrent PROPOSED Top of Block ELEVATION= 90TO Denotes Wood Hub Set PROPOSED BASEMENT FLOOR ELEVAT ION= `)04 0 X'401,0 Denotes Existing Spot Elevation (AST w NOTE: Verify all floor heights with Final House Plans. r"Denotes Proposed Spot Elevation ,-Denotes Drainage Direction MVCRS CFRTIFICATIOIV- I hereby certify that this survey, plan or report -PROPERTY DESCRIPTIC1- was prepared by me or under my direct supervision LOT_&,BLOCK _ (P and that 1 am a duly Registered Und Surveyor LEXIt.ICzj'T0t-4 PL,&GE :~;OLr H urder the laws of the State of Minnesota. according to the recorded plat thereof, 41_ pate: Dahto'TA Lounty, Muuiesota Wayne D. Cordes, Mrnn. Reg. No. IAi75 Use BLUE or BLACK Ink For Office Use Permit City'd Ea a I I Permit Fee: ~,o I 3830 Pilot Knob Road ~~-z Eagan MN 55122 Date Received: Phone: (651) 675-5675 j Staff: I Fax: (651) 675-5694 L _________________I INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: b /Ge 1'1a I W~ Tenant: Suite Name: Vz lq'T ~l J11/7 Phone: - S~ RESIDENT / OWNER Address / City / Zip:136 I (f,14 D / /V,- ~ JAJ 0-L/, Name: License CONTRACTOR Address: City: : State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: Description of work: gif ~ Lo 1A Pd 2 616M DESCRIPTION FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.gor)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x NFAi Al/N/4 x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In Final PERMIT City of Eagan Permit Type:Building Permit Number:EA151189 Date Issued:08/13/2018 Permit Category:ePermit Site Address: 3686 Cardinal Way Lot:6 Block: 6 Addition: Lexington Place South PID:10-45060-06-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sitha Douang 3686 Cardinal Way Eagan MN 55123 (651) 335-5280 Shelter Construction Llc 7040 Lakeland Ave N Brooklyn Park MN 55428 (612) 849-8082 Applicant/Permitee: Signature Issued By: Signature Cri�Id • *.4 For -----------------iik +► � Office Use A iin .. x ,,, Pen at#: 67 /44 1 REC EI N7 "?' Permit Fee: �' 6 rC- 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Date Received: o_-v__--1? (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 FEB 2 0 2019 L Staff: 2018 RESIDENTIAL PLUMBING PERMIT Date. a Site Address: ® , AAPPLICATION Tenant: v Name:Rl - (tom T't Phone:11.. 1._ ^��._5_5.Z_ x Address/Ci /Zi.: , 5 > Cpl j2 'gym " _ _w�_____ .ac _ _ -- -- u Name: i, !� ► u - f IRAs .-. sr .License#: 20 tfia Address: '' , 6 atiiti hi ! it ti" .,;` rr it, City: G. l ti ; � State:-� 2i �/ '' �sv p. ,_ Phone: &/ - ?`/ S ... .V.. .__ _.. " I�' , Contact, re — Email: &f '71'1,,.„ fl _New /Replacement Repair Rebuild a uitd Modify Space Work in R.O.W. , � ' _; Description of work: -0- '1i$lsii[ eia 2 t c.oG ill- fi RESIDENTIAL -- `� Y Water Heater s c i A LWater Softenerawn Irrigation( RPZ/ PVB) i Septic System Add Plumbing Fixtures Main/ Lower Level) - `'F1 New - Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater Rog Softener(Includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround*(includes State Surcharge) "Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend`to dig to receive locates of underground utilities. www.000herstateonecali.oaX You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at wwfv.citvofeasurn.corrdsubacrtbe. 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 4 plans. x.� U�} S / sg .. � / Applicant's Printed Name'"����" �''`' q App c ;Ignature ,dam, fi"" °�' fi�q '""r7rm5 lr rNR ii " mmh " "�" �7�, f x a� & �,�,. F�.: s� ,m,:": 6tl U t " � � i i$€9 r a Y ,^+ p a;, ��"'"' bad,�s � Y 4 l a* � d ,74 ' ' ''w� 4 ray z i Y e +y �g jv2 -> '''',17.-'"'r &`°� S-4'x.�n',. ,.iic);,\ + /+ For Office Use I /c/ e ii + ,, ++ if / iC c - 3-1 i Permit#: ! 7 (�C-/ rsq REC.,'E.l'9-` Permit Fee: ���". '6 , Plei, 3830 PILOT KNOB ROAD EAGAN,MN 55122-1810Date Received: 07 ao'/7 1 (651)675-5675 TDD:(651)454-8535(FAX:(651)675-5694 xmLimiFEB 2 0 2019 I I rtainaoect gaz :o --h Staff: L 7- I __J 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date ________________Feb ZOO"2019 Site Address: 3M6 Ca rd j n o t W 4 y Unit*:", Name: N �r E 1 r1 h Phone: (o9i 1335 52 3 €, Addis/City 1 dip: . • ! Ap•iicant is: Owner X Contractor lifir � * ,`, Description of work: 6e `' (,Q the d Rt {yfc/L 1 f A7//e/1/ /e/ r Jr* e {. Construction Cost $ !0 Multi-Family Building:(Yea /No X ) Company:vtlifdGw C r'c pts( MN S nc• Contact: egSir_Q 1.larlYiarl �L� �� Address:.; 291 Fera sSfireei- City: ain't- PQo\ State:MN zip; 51.Q7 Phone:b519QP410rjEmail: e6.s e.a.nerr„a f1 ( ra�� oWCanceP ixnvt.coryt fC r: License#: t Lead certificate#: N FIT 237J - If the project is exempt from lead certification, please explain why: 17ra p e rr-y bui 1 k POST 19 1$ s'// /, S� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUlI.DING 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: b `1 d r . ' `r $ 1 ! a � .. s I ' :' + r� : u,o„#..e.,`m,. €i df '! 3Y° :t'4'1':' ' .i! � .. . .. 'Y'''''''''' 4'»-,'7-' 9.•`. '= .; m .. You may subscribe to receive an electronic notification from the Cityof proposed p posed ordinances by signing up for an email update on the City's website at www.cltvofeacientcom/subscribe. cttvofeaoentcom/subscribe. Exterior work•authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilitiees. www,aooherstateonecali.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 pp al f plans. xJeSs1c..a Warman x '( Applicant's Printed Name Applica is Signature ,06, �,9j�i/`< /,s-e,/--a vs • -2,g/ ay. DQ NOT WRITE BELOW THIS LINE 'SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 1 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 l Valuation X619 Occupancy -;p2/, -j MCES System —Plan Review / Code Edition 'tie SAC Units (25%_100% ✓) Zoning 11 City Water Census Code /j 34 Stories -- , Booster Pump ,-' #of Units — / Square Feet PRV #of Buildings -- I Length Fire Suppression Required —, Type of Construction f[',8 Width -., REQUIRED INSPECTIONS Footings(New Building) Meter Size: — Footings(Deck) Final/C.O. Required Footings(Addition) A. Final/No C.O. Required Foundation Foundation Before Backfill HVAC—Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick,—EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced WallsErosion Control Shower Pan Other: Reviewed By: / , Building Inspector RESIDENTIAL FEES Base Fee 7.3 — Surcharge Plan Review I}7 9_ MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 I