980 Coneflower CtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 980 Coneflower Ct
Lot: 16 Block: 2 Addition: Lexington Pointe 8th
PID:10- 45092- 160 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Brian S Murphy
980 Coneflower Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA083788
06/25/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 980 Coneflower Ct
Lot: 16 Block: 2 Addition: Lexington Pointe 8th
PID:10- 45092- 160 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Fee Summary:
Contractor:
Boldt, Bob
4310 Trenton Tr
Eagan MN 55123
(651) 454 -7760
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
- Applicant -
Owner:
Brian S Murphy
980 Coneflower Ct
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA091257
09/23/2009
ePermit
' CITY QF EAGAN v PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 0: l t+ i,•
Eagan, Minnesota 55123 Date Issued: 0 K/ ?' G /`t ?{
SITE ADDRESS: I (, r : I t
( It,:INil tilrl II iaNit ttlH
i PERMIT SUBTYPE:
I :! i?I 1 I11, f i Nt,
N'.llf F4f f(+Pt
111 rRFVI nt_f,
I Ri Mr1RK`i- ', & k.l !'I fil? I.Ae, t•- ftit I'I f?ls
PAft I Scii Mb (6 t» UF--Vt I ( u!?f'
(ht:") 4A . r>t,nI?
TYPE OF WORK:
Nf 11
FItAMIMt,,
F r rj ;t I
Permlt No. Permft Holder Date Telephone #
S/W
PLUMBING 'N -
HVAC ! aT 3 ??d$
ELECTR
ELECTRIC
Inspection Date Insp. Commenta
Footings I ?ld
Foundation c?s 9, 3
/
Framing
r s-
Roofing
Rough Plbg.
Rough Htg. All" ?
ig"i.
Fireplace fj4k a Z Q 4w
Ffnal Htg. L7.c?6.G 244
orsat Test 93 S
Final Plbg. 40 Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
v
Deck Ftg.
Deck Final
wen
Pr. Disp.
?
sce?
4w ;D /`?/ 1 CA,---4Gd" // a
RESIDENTIAL
BUILDING PERMIT APPLICATION
????// j? 3830 PILOT KNOB RDN 55122 p
651-681-4675 ?N' )5 7, Z5
New ConsW cBon ReuuiremeMa
• 3 regislered site surveys slmwirig sq. ft. of lol, sq. ft. of house; arM all roofed areas
(20% maximum bt coverage allawed)
. 2 copies of plan showing beam & windaw saes; poured found design, etc.)
. i set of Energy Calculations
• 3 copies of Tree PreservaUon Plan if lot platted after 7/1193
. Rim Joist Detail Options selection sheet (Ndgs wiN 3 or less units)
DATE
JOB SITE ADDRESS_
?
RemodellRaoalrReauiremente
• 2copiesof plan CQlIe?-I ,f b-p'0)
• t sel of Energy CalcuWtions for heated additbrs
• 1 sde survey kr e#eria additlons 8 decks RIT,
• Indicate If home served by seplic syslem for addNons
VALUATION
IF MULTI-fAMILY BUILDING, HOW MANY UNITS?
0
PROPERTYOWNER C'\D.v-, MiI roku
TYPE OF
APPLICANT
ADDRESS
PAGER #
PIREPLACE(S) _ 0_ 1_ 2
?n 5 4?0 r7-ie ? PHONE# g52'89?-5881
5 D'1U6 , ?A'?i'?-/ ZIPCODE SS /?-S
CELL PHONE # d?I '?70-'/rWD FqX # /n5/ -730 --071?41
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Workshe
- Energy Envelope Calculations Submitted D?? I c
C
_ MINNESOTA RiJLES 7672
- New Energy Code Worksheet Submitted
Plumbing Confractor. Phone E
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Conhactor:
Air Conditioning
_ Heat Recovery System
Phone #
Fee: $70.00
?
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this appiication, state that the information is corre t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan es.
Signature of Applicant ?
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 7/01
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck y 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 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
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 0 37 ? Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applieant
Valuation 0600 Occupancy MC/ESSystem
Census Code ? Zoning p- ? City Water
SAC Units Stories ? Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bidgs ? Length ? Fire Sprinklered
TypeofConst J--A/ Width
REQUIRED INSPECTIONS
_ Footings (new bldg)
Footings (deck)
T Footings (addition) Plumbing
Foundation
Drain Tile
_ Insulation ? Final/No C.O.
Roof Ice & Water Final Other
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
FinaUC.O.
HVAC
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By QA , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
SGGp,EC-AJC-YJ P0P-61-?
lb '? x 3C) =
?D E 4ev-
S U
d?
--
02 v v c:?
? 04?U ?a
PERMIT ?
CITYOF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
DaTe Issued:
SITE ADDRESS:
P.I.N.: 10-45092-160-02
DESCRIPTION:
980 CONEFIOWER C7
LOT: 16 BLtlCK: 2
LEXINGTON POINTE 8TH
r`?-
Bafilding?-Permit Type
Building tJork Type
?UBC Occupancy°,
j Construction Type
Zaning
Building Length
( BuSlding Width
4Q `? -
;.
3F DW6
NEW
R-3 M-1
V-N
PD R-1
50
50
?ZI,
?/?3
BUILONG
021832
08/26/93
,
(r `- ?
`t? u' ?? ?J (`11?lILI,?
REMARKS:
S& W PLBR - LAKESIpE PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
VALUATION
$723.50
$478.28
$62.00
$750.00
100
$2,005.78
$124,000
MISCELLANEOUS $1,744.50
Total Fee $3,750.2$
CONTRACTOR• - APPlioant -
PARISH MK7G?& DEVEL CORP 14526644
3799 BRZARWOOD LN
EAGAN MN 55123
(612) 452-6644
sT. Lrc. OWNER:
0001054 PARISH MKTG & DEV CORP
3799 BRIARWDOD LN
EAGAN MN 65123
(612)452-6644
I I
I hereby acknowledge that I>have read this
intormation is correct and agres to comply
Statutes and Gity of Eagan Ordinances.
vx?'^c
APPLICANT/PERMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
.flN oJ i n?
ISSUED B SI TURE
. -, .
il • La' y s_ u ' _
. .cate of CccuPanc4
of Cfagan -
?e?n?ettt of ?aiWiag ?tt?ectioa
' This Certificate issued pursuant to the requirements of the Uniform Building Code
certifyirtg lhat at the time of issyvnce t/us structure was in comp(iance wi[h the various
ordinances of the City regploting buildireg construction or use. For the following:
EF DWG 21832
U. Cl.ircatim aw8. ?t ero. -?
?w?r'?Yee 7aomg Disu;c? ' 7ype consc.
o?ws? PARiSEi hR1G & iJrVII: ow Addmn 3799 ERI/LibM IAM F3L',AN'
ewm? waare? ??ETAWFR OQII?f ?.ty LI6> , IEiM,1CPl PC1INiE
?._--'r? _oaze: 10/28/93
mnuaig oW.W
POST IN A CONSPICUOUS PLACE
Address q80 GONEF'1,01,1E_2 CoM yZip 5512 3
L.ot 16 Blk- 2 Sub LEXINGmN PoINI'E 8IFi
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THF. FTNaT TnrcvFr-rrnr.T
Date: 10/28/93 Yes No Inspector: s
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
I
Porch
Basement finish
Deck
t?.,.
?n,i
, Ylease verify with the builder the removal of roof test caps from the plumhing system and the shut-off of water supply to ?
the outside lawn faucet before freeze potential exists. ? i
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
' White - City Copy Yellow - Resident Copy Pink - Contractor Copy
REACTIVATE _ ?E?:D
PsP.4IT # ` AU 1 7 1993
?'? ? - - - -----
cinr oF EaGAN
1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 8 / 17 / 93 Valuation of work
Site Address: 980 Coneflower Court
STREET SU1TE 0
Tenant Name: (commercial only)
LOT 16 BIACK 2 SIIBD. ?g?t?d?tione P.I.D. *
Descri tion of work: Si le Famil Home
The applicant is: ? Owner 88 Contractor ? Other coea«tbe>
Name Parish Marketine & Development Corp. Phone 452-6644
Property «ST FIRST
Owner
Address 3799 Briarwood Lane
STREET SiE M
CitY Eagan State Mn Zip 55123
Company same Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engtneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Lakeside Plumbing - 894-7600 , Processing time for
sewer & water permits is two days once area has been approved.
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 snd City of
Eagan Ordinances. ?
P
)(2'- ^-t -Q /"t ?
Signature of Applicant: ?11!iL__1sl/i
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basemen.t Ftnish
q 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Pool
? 03 SF Addition ? OS 8-Plex 0 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch D 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc.
O 05 Sf Misc. ? 10 Multi. Add'1. O 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
31 New ? 33 Alterations ? 35 Tenant Finis h ? 37 Demolish
32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) y- Basement sq. ft . MWCC System YES
(A1lowable) v-" lst F1. sq. ft. City Water Cs
UBC Occupancy R-3 M-1 2nd F1. sq. ft. PRY Required
Zoning Pp Q.1 Sq. Ft. total Booster Pum p
# of Stories Footprint Sq. ft. Fire Sprink ler
Length ? On-site wetl Census Code /01_
Depth S? On-site sewage SAC Code ?
APPROVALS .
?
?
I
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? footing
? Final
? Framing
? Draintile
O Insulation
O Fireplace
Permit Fee vatuetrp,: g OOo
Surcharge
Plan Review
GqQ,a,GE; ZZx2aII4yO )c /6= 10y0
Licese
MWCCnSAC ,
15_0= 22 X 30 - 660
City SAC y X 7=
Water Conn.
Water Meter 9y?v
K?S?
Acct. Deposit
5/W Permit Y6x30= 1390
S/W Surcharge yx?y2= 30
Treatment Pl.
R
d
t
Cf
a?c "7 c 42-
oa
Park Ded 46X s?{% ?5?3x?/
I 3-
Trails Ded. C-Y2E`D,7uNFiN1sqCnwaEn;
Copies
6? p
??
Other r
1(D 1t Zy? 384 Kto =
Total:
2 n D ftioCK 5
SAC Units /00
-L Z?IK3ot 1? X SN% 35) ??
? 23, I o.
?
w
, •
u
-J
- W;
N
m
J <
? ?
CC
m
a cL
m
w
?z y
2
?? ° '
? ? ? •
[Y ? ? •
? CY 0 •
Cd' ? ? •
Do? 0 ? •
?? ? •
[3? ? 0 •
LOT SURVEY CHECRLIST FOR RESIDENTIAL
PROPERTY LEG
Registered Land Surveyor signature and company
Building Permit Applicant
Legal description
Address
North arrow and bar scale
House type (rambler, walkout, split w/o, split
lookout, etc.)
Directional drainage arrows with slope/gradient t.
Proposed/existing sewer and water services
Street name
Driveway
Existina
? l? ? • Sewer service
p? ? ? • Lot corners
C3? ?? • Top of curb at the driveway
0'-'0 ? • Elevations of any existing adjacent homes
Proposed
2( ? ? • Garage floor
C!' ? ? • First floor
Q' ? ? • Lowest exposed elevation (walkout/window)
9r? ? ? • Property corners
? ? • Front and rear of home at the foundation
PONDING AREAS (if avalicable)
entry,
? Cd', ? • Easement line
? L'r O • NWL
? 2? ? • xwL
? ?' ? • Pond # designation
? Q' ? • Emergency Overflow Elevation
DIMENSION3
? ? • Lot lines
9r ? 0 • Right-of-way and street width (to back of curb)
p? ?? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Q? ?? • Show all easements of record and any City utilities within
those easements
? ?? • Setbacks of proposed structure and setback of adjacent
existing hom
-
? ir? • a requirements, if any
Retaining
Reviewed:
October 1992
Date of Survey:
NDARDS ?'?'?? a zy / "
MINNESOTA STqTE BDAqp OF ELECTHICRV
GriggsMltlway Bltlg. - poom &1]3
1621 Oniversity qye., SL Peul, MN 55104
Phone (672) 642431100
REQUEST FOR ELECTRICAL INSPECTION
/?
? /? c? See insVUCtions lor rompleLng Ihis torm on back of yellow mpy
? T3Q`?' J "X" Be%w Work Covered by This Request
?,-r? -• -
Elecinc
Mspechon Fee Befow:
Pool
D to 200
Fee
Use
I OtherFee ? ??54
I, the Electrical Inspector, hereby
certify tha} the above inspection has
been made.
)FFICE USE ONLV
his request witl 18 months from
THIS INSTALLATION MAY BE
COMPLETED WITHIN 18,NQG'
?+;,a '
?j1';g
EB-00001-08
0 to 100 Amps
Above 700 _ Amps
? 70TAL ?a
aU
=D DISCONNECTED IF NOT
1
C ? ate lO ??.iY J
?
THI$ INSPECTION REOUEST WILL NOT
BE ACCEPTED BYiHE STATE BOARD
l1NLE55 PqOPEF INSPECTION FEE IS
ENCLOSED
EXTLItIOR ENVL•'i.OI'4: AVIiItJ1GG "U" CCRM1'U7'ATIOtl , ..
nwurn
S 1'CL
coNTruAcrorc "/lISL1 /rl4/I,C6Ti*>lv t PCU•
onre PI IONC
Determine vorking sciuarc Eootagc oE each.
1. Total exposed :+atl arca ....... '?,3pS,o sq. ft: z •1? °?_•?j•y
2. Total roof.ceiling area ....... /3YG • O sy. ft. x •025 =' .33•?
Total exposed wall area above flooc
a. Total aall window area .................................. , /,J'O.`
b. Total door arca ........................................... 4/Z• 9
c. Total sliding glass dooc'area ............................. .38. 8
d. Total fireplace wall area ................................. 69 -C'C!?G'
e. Total va11 framing area (average 10%) ..................... 230• y
f. Total net wall acea above floor ........................... .
g. Totai rim joist area ...................................... .,3
Total exposed Eoundation area = 1,94. G
h. Total found.ation window area .............................. O
i. Total net foundation area above grade ..................... /OG•li
Determine "U" value of cach vall seqment.
a./.SU X .. w. . S5- = 8091 V
b. f<z•8 X .. u° .o7& . .?3
o- .38.8 X ..U» ,.?rs e o?/ 3
d. L? % "U"
x ..U..
c. ?eyr.6 x ..u.. , o yi_ 79• 3
??. /33.3---- •"• ,.i?? --- ???__. ... = _...?'.:3..._.
: /oG. G . .. .. , aR3 S. &
. . ?
3 ................................._...Total
sr. cRo,x .7,,7
°
IC item 03 i. tlw same as, or lew: than itum ql. you havu u[ t:he i.ntmil
ol soc 6006(c)2. OWt" 03 (zz7. Y'J G9? -0"' s3"
? 1? -.GriCo-¢ S/3 c G o o CC) Z
Total exposed roof/ceilin arca = I3ye'• o _
O
J. T4ta1 skylight area .......................................
G
?
Y.. Total raoE/ceillny Eraming arca (avcrayc lQ'a) ............. •
1. Total net insulated roof/cuilinq arr.a .....................
petcrmine "U" value for rach roof/cciling scyment.
j. 40 X ..U., 40
k. /3y 6 X"U.. . o z 3 3 1
?. /zii• s? X.v„ , o zi7 = a6. 3
4 ............................ . ......Total = a9 y
,
IE total oF N4 is the same as, or Less than 42, you liave met Glic intent of
SBC 6006 (c) 1. ?w ?y JU Z?3.
Altecnate Building Envelope Design
To utilize tlie to[al envelope system methal, tlic values establish•23 irj [tlc
sum of items 43 and 04 shall not be greater than the sum of items #1 and 92.
i. ZS3.y + a. 3?•7 - 1?7.
Z27 !/ . a. z 9, 5? - zs? •
3.
: ??7` ??. -r?r+?•a/ /J
`
LOT A*_ BLOCK ?- SUBD. ?. (;?A• yz- _
RECEIPT # C?J5'kP & DATE
1994 CITY OF EAGAN
IItRIGATION PERMIT (FOR BACKFLOWPREVENTER)
COA'II1ERCIAL INSTALLATIONS - FORM MLJST BE COMPLETED BY LICENSED PLLiMBER
Date: 'S?S 19 y Commercial GPM
Residential (boulevards) GPM
x Existing residential
Area/address to be irrigated: ??O 0j"jP''r1t>-JAZft C-i`
Installer:
rL; p ?.?
sueec aaaTess: y R'v
C-,L
Owner 'R Plumber ?
City, state & zip code: yy-N 'i Phone #:
Owner Name: Z'; r2i ar.1
Street address: 9 go Coak?l?eIL C4
City, state & zip code: C-A 9'p*"J ty) "J S91a3 phone #: y SG ^ S 8' 7 i
Irrigation contractor, if different than installer:
Telephone #:
I hereby acknowledge that I have read tkris application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances.
Z-? ?
Signature
No??? ??,?-?.
Title
If construction activity occurs in public easement or City right-of-way, signature of property owner is required.
The property owner agrees to hold harniless the City of Eagan for any damages caused by the City during its
normai operational and maintenance activides to the facIIities constructed under this permit within City
property/right-of-way/easement.
Property Owner Date
Approved by: ?_?2!?? Date: A A Y S J p q--P
PRV ? Yes tR No
New service O Yes g No Meter Size & Cost
------------------------s=-------------------------------
Fees due: a? Calculated by
.
? 7 ?' L?
? ?? ? 720
PROCEDURE FOR IRRIGATION SYSTEMS
1. A site plan must be submitted to the Engineering Department for review before installing an irrigat:bn
system. A pertnit to work within City property/public easement/right-of-way may be required.
2. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial Rroiect: $ 25.50 irrigation system permit to cover installation of backflow preventer.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City.
b. Residential,proiect: $ 20.50 irrigation system sprinkler permit to cover installation of backflow
preventer.
$ 50.50 water permit fee if new service is installed.
$725.00 per connection - WAC.
$348.00 ner connection - water treatment facility.
c. Existing residence: $ 20.50 urigation system permit to cover installation of backflow preventer -(not
required if bacld7ow preventer previously installed), however, plan and
application must still be presented for approval.
d. Meter char¢e: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be
required at a cost of $775.00. This infortnation is to be supplied by the designer
of the system.
4. No meter will be sold befo- re all sewer aud water inspections are complete on a new service. If new
service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwazded to Utility Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours aze 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCfION
? ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DAT'E O-I' @b-`14
FEES
HVAC: 0-100 M BT'U $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CoNSTRUCI'ION) $ 20.00
STATE SURCHARGE .50
TOTAL C?X).eo
SITE
OVvNEic
?
#: A(Lin -`l``1 ?
4
CITY:
TELEPHONE #
'1?
STATE: 1V? ZIP CODE: M L/
SIG TUR P E
1994 MECHANICAL PERMIT (RESIDENIYAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
ik
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNIT.
NO. FIXTURES EA?CH TOTAL
% SHOWER 3•00
a WATER CLOSET 3•00
/ BATH TUB' 3.00 ? w
a LAVATORY 3.00
? KITCHEN SINK 3•00
/ LAUNDRY TRAY 3.00 3 -0
HOT TUB/SPA ' 3.00
/ WATER HEATER 3.00 3i9
/ FLOOR DRAIN 3,00 340
/ GAS PIPING OUTLET mintmum -1 3.00 .3 ,AO
ROUGH OPENINGS 1.50 y•??
WATER SOFTENER 5•00
PRIVATE DISP. • DakCry. lic. 15.00
U.G. SPRINKLER • nome under consi. 3.00
ALTERATIONS • to auating 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: 38,w
STTE
e
OWNER NAME: ?///t ? s ?? /yI?J/tlcc ??? G
INSTALL.ER: ?Jt a s» f ?°.« L?/>?
ADDRESS: /c2Y6? .?/iv r?-9r? ,gue- cS o
CTTY: 5?1L-rq t c: STATE: ZIP CODE:
PHONE #: (Li3 ) -?yY-7,L-p I
? SIGN URE OF PER ITTEE
1993 PLUMBING PERNIIT (RESIDENTIAI.)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
k ml V ?
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- ------- ------------------------- - --- -- --
NEW CONSTRUCTION i
ADD-ON A/C
ADD-ON FURNACE
DATE ML--91-4 FEES
HVAC: 0-100 M BTU ,-5?24:00
ADDITIONAL 50 M BTU
G OUTLETS (MINIM? M 1@ S3.00 ,EAC-H2
F')
AIJD-ON/REMODEL (ExISIG CONS7RUCTION) $ 15.00
STATE SURCHARGE
TOTAL
SITE
. ?-
OWNER NAME: ap-? S??? ? TELEPHONE #: a- Gr ,6
INSTALLER: gjiY„-,y'uP Haatine P. A/j`y Inc
12481 Rhode Island Ave. 80.
ADDRESS: cavagE, nnN 55'178-1122
894-A865
CITY: STATE: ZIP CODE:
TELEPHONE #:
E OF PERMITTEE
1993 MEGHAIVICAL PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814676
Y.oT l(o Bi.ocx z susn. I-e ye
: ;'".?CEIPT /t & DATE M? / 9 fg
1994 C1TY OF EAGAN
IRRIGATIONPERMI'I' (FOR BACKFILOWPREVEP119ER)
CONAERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLIJMBER
Date: -SI5l9Y Commercial GPM
, Residential (boulevards) GPM
X Existing residential
Area/address to be urigated: 292 CA,.jP,-41 a.52lt C-A?
?
TI1513llC7: Z A "'j
StiW BddICSS: 'f R'v
OWIIC2 'R PIWDbCI' ?
City, state & zip code: rr-N F'j Phone #:
Owner Name: [2i t2 i a,J Yn J?
sumt aflaress: 9 0 c o nti-?l ?y,,Je.2 C4
City, stau & zip code: Eo• g%%•J /Yl nl 55/2:3 Phone #: q SG - 5 8' 7 1
Imgation contractor, if different than installer:
Telephoffi #:
I hereby acknowledge ihat I have read this applicadon, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances.
5ignature
lJo r?? ?•-?..,-t..l
TiUe
If wnstruction acavity occurs in public easement or Ciry right-of-way, signawre of property owner is required.
The property owner agrees to hold harmless the City of Eagan for any dainages caused by the City during its
normal operational and maintenance activives to the facilities concuucted under this permit within City
property/right-of-way/easement.
-?? --);, f A?? S?S?9y
Property Owner Date
Appmved by: e4vw4 JL/E& Date: A/f !? Y S" 19 9?
PRV ? Yes ?3 No
New service ? Yes g No
Meter Size & Cost
Fees due: Calculated by:
bcxcxn (%q6j UU C,oncOocoer C4- E=.noc,n
/S( ock Z
• --- --- ? ---- - --
2 pT 8-r<
- ------ - ?__
?
LoI,4 N FL pwElZ Cpvle l-
a = I --7)0 ?j?kns Back.Flow Ptr?en?e?
o,= 100-0V P16Mf?14 Vc,,Ive
P13P-ADs flm?er RAdr ?? V ? ? Yd ? ?
o = t?VCkne? <<?>Inyhrnd ? ? e..,.,...o R ?l,,.:?..1?
- = 1' ?UPSZ ?alY iipe D?atAj MAy I??? -
? = E SF -?S, ??c.,n ??irA ILA(;AM IJ4alNxIRINQ DEPT
FVFR rAFFN G4Rf1FN.S_ INC.
? ? }V???
i
1 U
i
?
?
?
,.
?
N?? Clty of Ea???
3830 Filot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Faz:(651)675-5694
Address:
2008 RESIDENTIAL PLUMBING PERMIT APPLICATI(
late:.1Site Address: ?v W X'1(7V?r ?
'enant:
suite #:
:ESIDENTlOWNER I Name:
Address / City I Zip:
CONTRAGTOR I Name:
?----------------
I Fgr O?ce;lls,{e?
? Permil i!:? V ? `?'? ?
I Pertni[ Fee: JV
I
? Date Received
I
I
? Staff:
L -----------------
N ? T oT ? ?
AUG 2 7 2008
7I
Phone: 4?X?? ?6
55I 1--y)
License#: cJ?13 aAl
3670 Dodd Rd. #100
City: Eagan MN 55121_14ia State: Zip:
Phone:
Contact
TYPE OF WORK I _ New V Repla?,ement _ Repair _ Rebuild _ Modify Space _ Work in P..O.W.
PERMIT TYPE RESIDENTlAL
?Water Heater
Lawn Irrigation
RPZ! _ PVB}
Sepfic Sysiem
New
Abandonment
2ESIDENTlAL FEES:
_ W ater Softener
Add Plumbing Rxtures
? Main _ Lower Level)
Water Turnaraund
50.50 Minimum Water Heater, Water Softener, or Waler Heater and Sofiener (includes $.50 State Surcharge)
30.50 Lawn Irrigafion (includes $.50 State Surcharge)
50.5n .qdd PWmbiny Fir.tures, Septic System Abandonment, Water Turnareund" (indudes $50 State Surcharge)
'VJa[er Turnaround (add $136.00 if a 5!8" meter is required)
100.50 Sep4c System New ($10.00 per as built) (includes County fee anc $.50 State Surcharge)
90.50 Fite Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 Sta[e Surcharge)
TOTAL FEES
nereby ackr.awledge (ha[ this informahon is complete and accurale; that the work will be in confortnance with the ordinances and cotles of the ary or
agan; tiiat i undersland ihis is not a permit, but only an applica6on for a permi(, and work is not to start without a Vermit; ihal the work will be in
Dr.ordance v+ith tne aPUmved plan in the case of work which reqmres a review and approval of plans.
?..-?--
ppiican s Printed Name ApplicaM's S ature .
_
-
OR OFFICE USE Reviawied By - ?
,. . •.
equired Inspections::'? _UnderGround _Rough Irt QirTest ? Gas`fest rf?nal _?., ,
?-13 k-W
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YcfV M'u 4.0tchl1V1UA1'1t
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bl o
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K
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?
L?\ ? 1 1 1 ? I
980.Sx ?-?
PARFiISH MARICETWG
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POSED ??WAY L?.+? IB
BO.i
A R. ? g? yF?. 1 ?rr? EXI$T,
&) I?/ ?
? '? 1 14:
t_l / ? ,.?
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? Lgji?) q)
? '? ( ??a s] ..- (? ?x a)
?
i LOT 16
1 ? B C!C9eNISNT-?pEq'PLA
?
7d. "NO8
1 1'f I r ? ti. .
N0T8i 9?pUILDIif?#p0 d 6pN?RION?f lHDWN A 6„
ATION OAUC?UI? ?
ARCNITBCTUAI. P?qNS WIAINa NoTE:
a pOUNDATION DIME IbN . '
+--- DENUTE5 PRQPOSED SURFACE DRAINAQE
O OENOTE3 IRON MONUMENT SET
• DENOTES IRON MONUMENT FpUNp
X000.0 OENOTES EXISTINQ ELEVATION
(000_0) DENOTES PROPOSED ELEVAT{ON
?-.,J
-
?
Irr.v?!
. -.`bntD(q Ia,8P.,9'
NO va;FIC SOILs INVdbTqAT10N '14A9 pON'COMpLE1'ED
ON TNIb LOT 8Y 7Mg fUMYDR. T!R BUITAbIL1?'y. OR' '
BOILB Tp SUPPORT TNR Sp?dp1C HOUlIL PROPDlE6 19
NO7 7YtE REEPONaIM1.ITY, OR TN6 EURVEYOR
SCALE:7INCH = 30 FEET
PROPOSED QARAOE FLUGH - 7,f/.'3 FEET
PROPOSED LUWE51 FLVUH - 7 75 0 FEET
PROPOSED TOP OF BLOCK - 983.' I FEE7 j
WE HEREBY CERTIFY TO PpFRRISH MMKET INCt THAT THIS 13 A TRUE AND COpRECT
REPRE8ENTATION OF A SUqVEY pF TME 90UNUARIES OF:
Lot 18, Blcek 2, LEXWt3YqN POIN7F. E13HTH AppITION, accordinq to the rxoMsd
plat theteof, bakoto County, Mlnneoola.
I7 bOES NOT PURPORT TO SHOW IMPROVEMENTS (7Fi ENCROACHMENTS, EXCEPT AS SHOWN. RS
SUpVEYED BY ME OR UNpER MY DIRECT $UPERVISION THIS 18TH DAY OF AUG, , 19y3.
PROPOlBD ORA048 HMOWN W4R6
TpA?,pK,?RN PROM xT(H?E bBVlpLpO?MRgrtg
StlRV6VI?NORO• ??T?Y TRINLANDIONTH
HILL,INC.
X?< <
JOHN C. LAR30N, LAND SURVEYOR
MINNE.40TA LICENBE NUMaeR 19828
? r n W )ames R: Hill, inc.
o
6
0
> ji
PLANNERS / ENC?INEERS / SURVEYORS
?^ 2500 W. CTV. RD. 42 6 BURNBVILLE, MN. 55337 9 812-890•8044
,owrtvkruM?? ?kIR'r rr?IVAT?
?NOLOWEA,_
N-1-
...?? P3
°-
tl G?f
?OAOF I ?
K '? I t
leV.-9 0.06?
?
?
PARRfSH MARKETING
a
'OSED
'EWAY ?
1,O 80.1 I?
Ap. q
/ / ? M OI7
(- 9g /, G (9BZ0) ?
I`
? I???G S) .?' Crt At. e) ,
LOT I ? I
1 16
pp9 I
lNISNT?PBRIPLA
._...,
1 ?•r Ir? I {,_?/•l I?
L..` / 1 1 L_ I
No7E, BULDItO
H O??TVq[? .
p716N NOTE ?
ARCHITHCrUAL PLAN! ( INO
a ROUNDATION DIM! IDN . '
?----- DENUTES PFOPOSED SURFACE DRAINAQE
O DENOTES IRON MONUMENT SE7
• DENbTE6 IRON MONUMENT FOUNO
X000.0 bENOTES EXIS71NCi ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
?C? •?
1
DI
KST9.B
?
I R
?D
. - „avs?aald?d? DEP1'
NO SPp?FIC 801LS INV86TdATION 'MA9 B?N'COMPLETE
ON THIS l0T BY TlIR 9UMWY4k, TN[ 8WTA91LIYY, OR
SOIL9 TO SUPPpRT TNt 8M0dPIC MOUBS PRO1'OSEO IS
NO7 7HE REBPONatBILITY. OP TM6 EUkVCYOR
SCALE: 1 INCH = 30 FEET
PRdPUSED QAFAQE FLUUN = 7'9/• `S FEET
PROPOSEU LUWESI FLQUN m7 7S•U FEET
ppOPOSF-D TOP OF BLOCK- 9'P3• I FEE7
WE H2REBY CERTIFY TO PARRISH MARICF-T I N(i THAT THIS 13 A TRUE AN6 CORREG7
REPRE3ENTATION OF A SUFiVEY 4F 7HP 80UNDARIES OF:
Lor 96, Block 2, LEXIN6TUN POIN1'F. EiBHTM ADpiT10N, accordinq to the recorded
plot lhereot; bakota County, Minneoota.
I7 bOE5 NOT PURPORT TO SHOW IMPROVEMEN7S OR ENCROACHMENTS, EXCEPT AS SHUWN. AS
SURVEYED BY ME OR UNpEF MY DIRECT $UPERVISIpN THIS IeTM DAV UF AUG, , 1993.
R. HILL, INC.
PROPOlHG OPADES IM'NN W6R6
g
g
TApKJE?N PPOM THE 0p6?VEpLOpPMDgR
RVHYI??dOR0?T9Y TpINLANpIOHTM
!
JOHN C. LARSON, LANO SURVEYOR
MINNE30TA LICENSE NUMBER 19820
? OF w? 0e? a 06 p° o ur ? James R Hill, '1 1c•
o x ? PLANNERS / ENGINEERS / SURVEYORS
- m <^ 2500 W. CTY, RD, 42 6 BUHN3VILLE, MN. 55337 & 812-890-8044
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113968
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 980 Coneflower Ct
Lot:16 Block: 2 Addition: Lexington Pointe 8th
PID:10-45092-02-160
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 -
Brian S Murphy
980 Coneflower Ct
Eagan MN 55123
(651) 456-5871
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126762
Date Issued:09/09/2014
Permit Category:ePermit
Site Address: 980 Coneflower Ct
Lot:16 Block: 2 Addition: Lexington Pointe 8th
PID:10-45092-02-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Brian S Murphy
980 Coneflower Ct
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152770
Date Issued:10/31/2018
Permit Category:ePermit
Site Address: 980 Coneflower Ct
Lot:16 Block: 2 Addition: Lexington Pointe 8th
PID:10-45092-02-160
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Brian S Murphy
980 Coneflower Ct
Eagan MN 55123
(651) 456-5871
Aci Plumbing
4829 Minnetonka Blvd, Suite 203
Minneapolis MN 55416
(612) 269-3736
Applicant/Permitee: Signature Issued By: Signature
®® 0 -9�ie� ci
®®c eta \'�c'LQ1u
e®.o 0 EAGAN®
v
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694
buiIdingins pections(a)-cityofeagan.com
----------------
For Office Use
jPermit #:
I ��I
Permit Fee: 1,
I I
Date Received:
I I
I Staff:
L-----------------
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0 1 (� Site Address: ( to c,,-,,C��^'`t-� Cq f Unit #:
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 www.cityofeagan.com/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 utilities. www.gopherstateonecall.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 pla .
X I oC
Applicant's Printed Nam Appli is Signature
S.
Name: . 'J i �: �. \ Phone: 61-Z 1 � 1 / L
Resident/
Owner
Address / City / Zip:
Applicant is: Owner Y Contractor
Description of work: � `J � 5 J�%✓�c,� � � `" L- V T
Type of Work
j
Construction Cost: �� Multi -Family Building: (Yes / No
"� ' � �� RC 1 �' T
Company: { Contact: ✓`N
Contractor
Address: � 2 � C1 t- � City. �
Statel-4-3 Zip: lt� ' Phone: V �Z u Ncx4mail:
2 014 2 \ 10
License #: Lead Certificate #:
If the project is exempt from lead certific tion, please explain why:
vt
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
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 www.cityofeagan.com/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 utilities. www.gopherstateonecall.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 pla .
X I oC
Applicant's Printed Nam Appli is Signature
S.
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES 7"
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
?3 * `
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
Building Inspector
Hood
EFIS
�- Antis smo4g �4y#
Page 2 of 3
DO NOT WRITE BELOW TMS LANE
SUB TYPES
Foundation
Fireplace
Porch (3 -Season) Exterior Alteration (Single Family)
_
Single Family
_
Garage
_
Porch (4 -Season) Exterior Alteration (Multi)
Multi
Deck
Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of 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
,w
Valuation
''
Occupancy Zt6 MCES System
Plan Review %
Code Edition / "� SAC Units
(25% 100% r)
Zoning City Water
Census Code
4( 34c
Stories —' Booster Pump
# of Units
i
Square Feet PRV
# of Buildings
Length Fire Suppression Required
Type of Construction
''
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES 7"
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
?3 * `
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
Building Inspector
Hood
EFIS
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