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4251 Malmo Lane NSPECTI4N RECORD ? CITY OF EAGAN - PERMIT TYPE: !"I t 1 111 NC; ' 3830 Pilot Knob Road Permit Number. 0 t 7?t t 6 ? Ea an, Minnesota 55122-1897 9 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ? i ?k? - , HI rirr 4.'b 1 MA1 MI? 4 ANf 11 lJi 1 C1k ttNl` `.'. NliN i; 11i PERMIT SUBTYPE: 1 ,,,i,i- 1 1:0 HAH'iON C()14S7 . PAi PH t t: I•' 1 423 '^.'4)0 14 TYPE OF WORK: INSPECTION .• • .• ? N'.11I A 1 I titl I I f1;?1 ? Permft Na. Permit Holder Ueh Telephone N ELECTRIC g6a0 ?1I/7f ? PLUMBING (( HVAC Inapecdon Dete Insp. Comments FOOTINGS f? FOUND FRAMING ??96 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING • ?? ,(?? GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TE5T FINAL PLBG FINAL HTG ORSAT TEST BLDGFINAL 11r, -17 `.? ,".,v BSMT R.I. BSMT FINAL OECK FfG Ut_CK F1rJkL t _1-3-47: 11-48 CITY OF EAGAN Remarks Addition WILDERNESS RUN 6 TH a4DDITION Lot 3 Blk 2 Parcel 10 84355 034 02 r r" > street 4251 North Malmo Lane Eagan, MN 55123 owne State fmprovement Qate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 161.21 8. 04 20 ' SEWER LATERAL WATERPVIAIN WATER LATERAL WATER AREA 1977 162.14 ,`6D$?86 15 129.74 A007863 6-8-79 STORM SEW TRK 3 9a 197 • '18: 0 1 240.61 A007863 6-8-79 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 270.00 13624 3-19-79 BUILOING PER. # SAC PARK ?,1G )r j • - 7 7 ?- ` - ----? ?-- cirY oF EA"N BUILDING PERMIT 8795 P11M Knob Rood Engua, MN S5122 PHONE: 494-8100 St r'ar"c1c ? Est. Vnlua ??•??^?• _1o _ 17n Site Address ?• ' ` `'^ ?`?{' Erett ? OccupanCy Lot Block Sec/Sub. Alter ? Zoning Parcel # ' Repalr ? Fire Zone Enlarge ? Type of Const. ? Name ,-.- ? Move ? # Stories _ z , 7 /Adres, . ,- ? - •' ? - Demolish ? Front ft. Ci Phone Grude ? Depth ft. APProYdIB Fees *? Nnme o 8u Address " ? r ro•., Ncme _ Address N2 5138 Receipt # Assessment - Woter & Sew. Police Fire Eng. Plonner Counci I Permit Surchorge Plon theck SAC Water Conn. Woter Meter 1 hereby ocknowtedge thaT I have read th+s application and state thut 81dg. Off. the information is correct and egree to comply with all applicqble APC Totol State of Minnesota Statutes and City of Eagan Ordinences. Signoture of Permittee A Building Permit is issued to: ' on the express condition thot CII work shall be done in accordunce with oll applicable State of Minnesota Stotutes and City of Eagen Ordinances. Building Officiol s Pennir # I oah fssuea Oate k Remnrks: C,Tr oF EaG,,,N WATER SERVICE PERMIT 3795 Pilot Kno6 Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: _ Owner: _ Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 ogroe to complr wifh the City of Eogan Surchorge: Ord(nanoes Misc. Chorges: ' ^ ^?r? - `• ?Y• . Totol: By Date Paid: Date of insp.: Insp.: IF' SEWER SERVICE P ERMIT CITY OF EAGAN 3795 Pflot Knob Rood PERMIT NO.: - - Faqon, MN 55122 DATE: Zoning: ? No. of Units: ' ?- - Owner: Address: -- .. . .r, 5ite Address: PI umber: I 09me }p cpmPhr wjfh the Cify of Eogon Connection Charge: Ordinances. Account Deposit: _ Permit Fee: $urcharge: - - BY Misc. Charges: - Date of Insp.: - Total: Insp.: Date Paid: cinr oF EAcaN 3795 Piloc Kno6 Raad Eogan, MN 55722 N? 5138 ? PHONB: 454-8700 BUILDING PERMIT APPLICATION Receipt # l T. L. ....a g.,. SF Dwlg & Gara4e ca v?i„« 51,000. oate 3-19 _ 1979 SRe Address 4251 NO. Malzro Tanr? Lot 3 Block 2 Sec/Sub.W1ldPSriPSS RUil 6't.h parcei # 10 84355 030 02 , Nome r'-uItf L L. l.1CClL z Address 4251 No. Nk17mo Lane 3 o ?:` Eaqan 55123 „- _e 633-5258 o Name Ti1S2n HOIIeS ?U qddress 627 So. Snel r ?? St. Paul 55116 P? ww Name I hereby ocknowledge that I hme reod this application ond state that the infomwtion is mrrect and agree to comply with oll applicable Smte of Minnesota Srotutes and City of Eogan Ordinances. Signature of Permittee - A Building Permif is issued to: cll work shall be done in occa Buildirg Official ? Erect u Occupancy ,R Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. V Move ? .{k Srories Demolish {] Front 64 ft• Grode ? oeah 26 _ ft. Approvels Peea Asussment _ Water & Sew. Police - Fire Eng. Planner - Council _ Bldg. Off. - APC Permit ?.vv Surchurge 25.50 Plon check 71•00 snc 525.00 Woter Conn. 270• 00 Water Meter 60.00 Total 1,093.50 1C. on the expreu condition that Siate of Minnesota Statutes and Gry of Eogan Ordinances. L03045 RE5IDENTIAL MECAANICAL Permit Application City Qf Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please compiete foc Single Family Dwellings & Townhomes end Condos when pemvts are required for each unit 4:3o?-' Date ? / / O / Site Address ? ?Unit # l ne # t 1 T h P O roper y wner e ep o O'Connor Contractor plumbing, HeaUng 8i Cooling Street Address 1804 Vermillion S4. (ssl)u74177 City Hastings, MN 55033 1 elephone # ( ) State Bond #: Eapires: The Applicant is _ Owner _ Contractor _ Other Add-on, modification or alteratiou to existing dwelling unit $ 30.00 A f l t urnace rep acemen air exchanger X airconditioner _ New ?Replacement other State Surcharge $ .50 ? Total ?.. _.?... _._. -- -- I hereby apply for a Residential Mechanical Permit and aclmowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with che Mecbanical Codes; that I understand this is not a permit, hut only an application For a pernut, and work is not to start without,a pernut; that th work will be in accordance with the approved plan in the case of work which requues a review and approval of pla?s Applicant's Printed Name Applicant's Signature PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuzLozNG Eagan, Minn250t8 55122-1897 Permit Number: 0 2 7 q 3 6 (612) 681-4675 Date Issued: 0 5/ 13 / 9 6 SITE ADDRESS: 4251 MALMO LANE N LOT: 3 BLOCK: 2 WILDERNESS RUN 6TH p.I.N.: 10-84355-030-02 DESCRIPTION: Ir4ildii,v4,,Permit Type BiTild3iig 4prk Type Census Code F/q i. rt ' nv SF ADOITION NEW 434 AL7. RESIDENTIAL ?'S1 C?z l..r. . ? `??."._.....;\-,..E°•i'?`1_4., _I ? REMARKS: FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge Lic. Search Fee Total Fee $237.25 $118.63 $8.00 $5.00 $368.88 $16,0@0 CONTRACTOR: - ppplicant - S7. I.IC.OWNER: HANSON CON3T, RALPH 14232009 0003720 CLEAR ELMER 2135 126TH S7 W 4251 MALMO LANE N RQSEMOUN7 MN 55068 EAGAN MN 55123 (612) 423-2009 (612)454-8625 I"hereby acknowletlge`'thetI have read this application and state thet the infiormation is correct and agree to comply with all applicable State of Mn. Sta?tutes"ant#;-Cit°,n of ,?agari-,Ordin ana;es. i/r-- t 1 0- APPLICANT /FVHMITEE ISSUED 8 S NATU i#434 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslrudion ReauiremenL RemodellReoair Renuirements ji 3 ? 3 regislered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; atc.) ? 2 site surveys (exterior addRions & decks) ? 1 energy ealculatlons ? 1 energy caleulations tor heated additions ? 3 copies of tree preservation plan H lot platted aRer 7/7193 required: _ Yes _ No q DATE: `r??5 Zl?'6 CONSTRUCTION COST: p`-? K DESCRIPTION OF WORK: I;` 16 /Z X`n ? STREET ADDRESS: yD? 5? //y 1)?& /U-'V 4? LOT BLOCK ? SUBD./P.I.D. #: PROPERTY Name: (I 1,°a*1 471?? PIP- Phone #: /55 OWNER `I"•' Street Address- y? S? ? 10? //" ° / " City: State: 04. Zip: CONTRACTOR Company: R'?'4 IL,.?' 6)li? Phone #: Street Address: .21-J'C s1 &L, License #- City: Y<.12r.s?vc?? D? State: 41/1 Zip=() 8 ARCHITECTI Company: Phone #: 417y ENGINEER Name: Registration #• Street Address, City; State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No F L r?PR ? L-- , ------------ - ------------ BUILDING PERMIT TYPE OFFICE USE ONLY 7 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish - 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ?03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility - 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous - 05 SF Misc. ? 10 = piex ? 15 Deck WORK TYPE ,1 New ?-32 Addition ? 33 Alterations ? 36 Move ? 34 Repair ? 37 Demolition 3ENERAL INFORMATION .onst. (Actual) (Allowable) JBC Occupancy Zoning = of Stories _ength Depth APPROVALS ?lanning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Road Unit Park Ded. Traiis Ded. Other Copies Total: _ Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq, ft. Census Code. _ Footprint sq. ft. SAC Code Census Bidg Census Unit Building Engineering Variance > Valuation: $ / - 1000 16Y/6= Zf6IC.5-y= 1-3, i yyy a/ -? 0 % SAC SAC Units ??? I I ¢1u/ `"o ?.a ? i yy . I ' Rl I I I ? ? ?i r, _vEA? 49-OvEAry c,wE 91f",3 ? I .? ti ? i E? ??vPE.ery LINE \ 0 Mi =i 6, y uN&? ?b I , --------% 0 a ? ? L oT ? HLac k ? t?- c?12e-'Q.?-) 7 ?f.?G*?rt.C,?, ?.,?'vt,C. • 1 ? 1=RonfT' PRc?pE('?TY LI.NE ? I 1-LOT -PLAN RESIDEIVTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConstruction Reauiremenls . 3 regislered s'de surveys showing sq 4. of lot, sq. ff. of house, and all mofed areas (20°h manimum lot coverape allowed) . 2 copies of plan showing 6eam & window sizes; poured found design, etc,) . 1 set of Energy Cakulalions • 3 copies of Tree Preservalion Plan if lot platted after 711193 • Rim Joist Detal Options selecNon shcet (bldgs with 3 or less units) DATE 001? S l? ?? C-1) 1,14ki ?C_ RemodeUReoair Reauirements . 2 copies of plan • 7 set of Energy Calculations for heated addNlons • 1 site suney for exterior additans & decks • Indicate'rf home served by septic system foraddBions VALUATION SITE ADDRESS`-r;Z5 1 t4• M!p_Q? ? MULTI-FAMILY BLDG _Y _ N TYPE OF WORK-/h LLN&-;Q?4_ T)A SJ?J? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Cedar Vglim. CxW..,e + . Zilla $treet ? STREET ADDRESS _ 9 _820 __ CITY STATE_ZIP TELEPHONE # - r aa FAX# JIkOb--795 '5S9C1 PROPERTYOWNERCCLY(9P IXJLO--? TELEPHONE#Ioc?I"Y SS --------------------------------------------------------- --............... ----------'-'----'--- COMPLETE THIS SECTION FOR "IdEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATF.GORY I MINNL'S01'A RULF,S 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ______________ Phone # _________________ Plumbing system includes: Water Softener Lawn Sprinkler Fcc: $90.00 Water Heater No. of R.I. Balhs No. of Baths Mechanical Contractor. Phone # Mechanical sysLem includes: _ tlir Condilioning Fee: $70.00 _ Heat Recovery Syslem ? Sewer/Water Contractor. Phone # I, v ? u? -----------------°-------------------------------°---------------°---------°-------° ----------°-------------- ----- I hereby acknowledge that I have read this application, state that t e information i0 rr t mply with all appiicable State of Minnesota Statutes and City of Eagan inances. Signature ot Applicant ---------------- - - - - - - ----___---°-------°-°°-----°-°------------_-------_......---___-------------°-°--- OFFTCE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements . 3 registered sile surveys showing sq. A. of'oC sq. R. of house, and all rcofed areas (20°io maximum lot coverage allowed) . 2 copies of Olan showing beam 8 window saes, poured tomW design, etc.) • i set of Energy Calculatrons • 7 copies of Tree Preservatwn Plan d lol platted after 717193 • Rim Joist Detail OpGOns selection sheet (bldgs wdh 3 or less umts) 1-03 DAiE / // ? SITE ADDRESS TYPE OF APPLICANT ( / T STREET ADDRESS _ TELEPHONE # 5"-' 4,96 J'?e 1k) PROPERTYOWNER Jr- RemodeUReoair Reauirements . 2 copies ol0lan . 1 set of Eneryy Calculations fm heated additions • i site survey for eztenor addi6ons & decks . InAkate d home served by septic system for adddions 7c ?3 .C. C) VALUATION aJkkO PHONE # ? Energy Code Category 111XN1:50'l':1 11CI1:S 7670 G\'I'L:GORI' 1 ' s iF?LS (J submission type) • Residen6al Ven6lation Category 1 Worksheet Submitted O?v Energy Cdde-WO? • Energy Envelope Calculations Submitted ? J(1N 2 3 2003 Piumbing Contractor: ___ Plumbing systcm includcs: Mechanieal Contractor: ."v[ccluviical syslcin includcs Sewer/Water Conhactor: .air Conditioning Flcat Rccovcry Systcm FIREP!ACE(S) _ Q _ 1 _ 2 Phone # Phone # I hereby acknowledge ihat I have read ihis application, state that the information is with all applicable State of Minnesota Statutes and City of Eagan Ordinayces. Signature of to comply OFFICE US"LY Phone # COMPLETE FOR KNEW° RESIDENTIAL BUILDINGS ONLY Wa[er SoRener Water Hea[er No. of Badis "?STATE/0ZIP # ?J?' %F?? ? `ai-04 TELEPHONE# _ Lawn Sprinkler= No. of R.I. Baths L-'^^k `M lTl-FAMILY BLDG _Y /6 .00 Fcc: 570.00 Cerliticates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 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 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muiti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Oamage ? 06 04-plex ? 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon)??? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof O 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation /. Occupancy MC/ESSystem Gensus Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinkiered Type of Const W idth REQUIRED IN SPECTIONS _ Footings (new bldg) FinaUC.O. _ Footuigs (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundaaon HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal Pool Ftgs Air/Gas Tesa Final _ Framing _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total .r' P.pproved By , Building Inspector 5?3? 44f? nnxE /-92 g BUILDING PERMIT APPLICATION include 2 sets of plaas, 1 site plan w/elevations and 1 set of energy calculatiohs. To be used far Valuation 1-IG'VZ2 ??- Site ]lddress; *,? / /)p- Q?? ?a ?`-?- ? Lot Block See. Sub, Parcel Number DA n n? okmer a»? O( • ??? „Address dqAo&,b 11a6/ it/. A? &JIYVL6? •?pi faga" Y-rm.55123 Contractor c?J1 A4?!j ?k? ?x. Address (o o5'c• 'S'f. a'.-P n'1-t„ 951+4 Telephone ( 33 -.$a58 Telephone (, 9d'- SSo / - Arch./Eng. Address Telephone i OFFICE USE Erect Alter Repair Enlarge Niove nemolish Grade Occupancy Zoning Fire Zone Type of Const. $ of Stories front Depth 3-6 DFFSCE USE Date of Approval & Initial assessment --- Water/Sewer i>ol ice FiYe Enq. Plantler Council 81dg. Of A.P.C. ? FEE6 Permit Surchar9e rian Check ?' a l SAC P?ater Conn. 27L? ' tdater Meter TOTAI ?• 4 T7 w ? ? ? s ? ? yy . i I Rl ? ? ? ? ti \ , UNE" 0 a E? E,e rY LiN? =i ? M ? LoT ? BLOCIC ? ?,?r? ?l./0?'?-?.C1, 0?2?- • ?oNT_r?R?PE14..TY „LING i I ? 1 ?I ILOT -PL AN EXTERIOR ENV6IATE SPACE "0" 00?0lA!'? A . EX E /J? • ;. • (To ba aubmitted vith building pacsit •pplicatien) S! J Doo or lvo tmily dwallingX_ Otmer -- sll other Site Addrees . COstmCtor t NL. Date l,.• ?-"1 - 1 -1 Phona • .r; ,,. ,.?. GUML Fr. OF IN pA,t, +_+ + x_LL ft. abwe gsade• TOTAL EXPOSED NA ? ii6 WALL CONSTRUCTION: "U" value R area ? "U" : aq, ft. "U" x sq. ft. " ' " i f ???? Stail referenc• ga.?:,,c ?u.Arn? 1 ssq. U .%? , t.Jl fron "U" z eq. ft. ttleLed •heets Cue z r (1,, .:? v ?•n?, ;z eq . _ ft. "I . "U^ z aq, ft, ` "U" z sq. ft, rSDW82 "Op YALU6 I L1EN ?..1-/c.R t t)ER :5!-I i"t LO Yka 6 hpe p•• M w n DoQSS or "IY! _ aYM ? 1213, 2 eq.ft. ¦ fR_ C? sq.ft. - 10. co sq.ft. ? 1t). r) sq.ft. m ?'7. G, tq.ft. ? -7. G tq. it. . -?1 ;?.' -s4. ft, ?,. . [c, foa .4 - ?4• 3 +? u ft. ?rJ.(n n ft. 7.0 ' ? W ft. .: `. ft. -.-ZG- O 28, i.-? z sq. ft. /'7e -7 "Uw = sq* ft. ' : _ .q. fe. - ,• . , ToTALS ! ?7g aq. ft.1 ; OS?iM RIDM Y4LL tReAj ?7 g. G AoG. "1T" P 'AVBUi '?P .17 or les• for 1& 2 fmlly dnellings 'cc , •.2! or lod for all oth*r baildiags :TOM AaFAt I J 7 D w. tt. *uil relorenaa " : "U••?a sq, eq. ft. • ft. 1 '70 trom atLChed sMsb '9T" r eq. ft. asribs opeaiap 't1" : sq. ft. i '9f^ s eq. !t. sp \9/ \W VAUM$ BY TDtAL WW1 w n . n ti . ? . ? ~ . J ' 1?l ' . • _ F.r (4 f7. F-! "U" ?? r? z°q• ?,sr.?,?:kNrS'ro" ?=„ :.y. ?)r-_, z sq. eq. CITY USE ONLY 5??g L ? BL o2- RECEIPT #: SUBD. DATE: ? 0/14)41 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweliings ? townhomes and condos when permits are required for each unit Shower Water Cl.oset Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet * minimum -1 Rough Openings Water Softener Private Disposal ' Dakota Cty. license (new and refurbished systems) U.G. SPrInkI@r ' home under const. Alterations * co existin9 Water Tum Around €9SH ?Q. TOTAL 3.00 x = 3.00 x = 3.00 x 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 1.50 x = 5.00 x = 50.00 = 20.00 = 20.00 STATE SURCHARGE TOTAL .50 0;?0. ``v SITE ADDRESS: 4251 North Malmo Lane OWNER NAME: EIMR CLEAR INSTALLER NAME: GEtVZ-RYAN PLUNmING STREET ADDRESS: 14745 South Robert Trail CITY: Rosemotmt STATE: MMN ZIP: 55068 PHONE #: ( 612 ) 423-1144 //I --4,Z SiGNATUfk- FPERMITTEE 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ?J 3830 Pilot Knob Road, Eagan MN 55122 13011? qjou Telephone # 651-675-5675 FAX # 651-675-5694 New Cons Wction Reauiremenh RemodeVReoair Reauirements Otfice tJss 4nN 3 regislered site surveys showing sq. N. of lot, sq ft of house; and ?II roofed areas 2 copies of plan Ced otSwyEy Recd. ?Y (20°h mauimum lot coverage allaxed) 1 sel of Energy Cakulations for heated addi6ons FrcePt2s CI9nRecd '.. :_Y _N 2 copies of plan showirg beam & windwi sizes, poured found design, etc 1 site surve9 for addi6ons & decks Tres Pres fteGyired Y s'N 7 set of Energy Calculations Addifion - indicate if on-sife septic system 0"Re Septi¢ SysiBm '• ?.:.. YN 3 copies of Tree Preservahon Plan if loi platled afler 711/93 Rim Joist Delail Opllons selec6on sheet (bmldings wdh 3 or less unih) Q Date 16_l SiteAddress 40l% s d? ? /Jot{?FL /Lj"Mp am ConstructionCost G.qny? f6f}Cea,ti UniUSte # DescriptianofWork Z;Q&4?,?( ;2 C2rt.55 W"Ou% &^,0wViLr+ Multi-Family Bldg _ YX N Fireplace(s) _ 0_ 1 _ 2 Property Owner ClA tt1 4' &?Wial U& cie- Telephone #((0s/ ) 7? -?(01 Contractor tqunjIel -OhHt- LtrY Address ?7 State iq4lhll@I604 $44. ? a- ?? "???/ City /?!`Tr G('P_.1P Zip ? Telephone # (SU7 ) (nlo3-??? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8 _ Y _ N If yes, date and address of master plan: 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 which requires a review and approval of plans. /l lAa Md,l (.c-_--F,4v*.. Applicant's Printed Name Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg A 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchfAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int ImprovemenY ?. 38 Demolish Interior ?; 44 Siding ? ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitioa (Entire BIdg) - Give PCA hantlout to applieant Valuation Occupancy MCES System Plan Review _ 100°h or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV • # of BId95 Length Fire Sprinklered Type of Const ?, ? ?_ Width REQUIRED INSPECTIONS Foolings (new bldg) Final/C.O. _ Footings(deck) ? FinaUNo C.O. _ Footings (addi[ion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Wa[er Final Pool Ftgs Air/Gas Tests Final Framing _ Siding Smcco Stone Brick _ Fireplace _ RI. _ AirTest _ Final _ _ _ Windows _ Insulation _ Retaining Wall Approved By: i2/ , Bu ilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2 - F-?&2,6a.55 ? C> '? -:? o ? 00 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consimchon Reouirements d ll f d RemakVReoair Reomrements 2 copies of plan 0fti'e;lke OnTd Cerlo(SuroeyR."ecd"::: , t_Y '_.N areas roo e a 3 registered site surveys showing sq fl of lot, sq fl. of house; an 1 sel o( Energy Calculalions for heated addihons TrE2 Pr2sPleiiiRecd.:. "_Y _N. (20% mazimum lot coverage allowed) 2 copies of plan showing beam & window sizes, poured found design, etc 1 site survey for additlons 6 decks f i 7ree'PrgS RC0.uired .,' 9r?siie'3eplie&y510m". -K ,,.,N _Y'_N iselofEnergyCalculalions csys em Addifion - iridirateifon-sifesepf 3 copies of Tree Preservation Pian if lot platted afler 711193 Rim Joisl Detail Opfions seleclion sheet (buildings with 3 or less units) Date / -7 / Q 5 Construction Cost / 7"/ 5 Site Address qt;)- Unit/Ste # tion of Work Descri 6Q lk, Q? 6 al Q!X - rSl O lJ?? p Multi-Farnily Bldg _ Y 1N 1 Fireplace(s) _ 0_ 1 _ 2 ' r r & . Property Owner l"C C ?Q? ) Telephone# Des, A d D5 Contractor e ime i mg Address o emo e mg, nc. c;ty ?/ ???'? State H88tings MN 55033 Zip Te?ephone #( ?v7!? 6b,_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateppry 1 _ miImesota Rules 7672 Energy Code Category . Residential Ventilation Category 7 Worksheet ' • New Energy Code Worksheet (J submission type) Submitted Su6mitted . Energy Envelope Calculations Submitted 1? -?-o. o0 Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowtedge 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 5tate 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 wtiich requires a review and approval of plans. , 7 ?? r jan??Cj?C.jfs 7nn5 Applicant's Printed Name A licant's Signature ( ' _ -Z_ 2005 RESIDENTIAL PLUMBING PERMIT APPLiCATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ??5(D 4 q /( ! Date / Site Street Address A C? ?i??? Unit # Property Owner Telephone # (0rl) Contractor Telephone # ( ) Address City State Zip The Applicant is: Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water soften er andlor water _ heater at the same time. !f you are installinp onlv a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment Water Turnaround (add $125.00 if a 518" meter is required) _ Other. A-ddi it; r"M j)I 2" ?Lr Slw, Q' Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I hereby apply for a Residential Plumbing 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 plumbing codes; that 1 understand this is not a permit, but only an application for a permit, work is not to start without a permit and work wili be in accordance with the approved plan in the event a plan is required to be reviewed and approved. L/ai, ApplicanYs Printed Name ApplicanYs Signature 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pitot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? U New ConsWCfion Reouirements RemodeVReoair ReauiremeMS Olfice Use Onlv 3 registered site surveys showing sq. fi. of lot, sq. 8. of house; and all roofed areas 2 cropies of plan CeA af Survey Recd _Y _ N (20%maximum lot coverage allowed) 1 set ot Energy Calculetions for heated addflions T2e Pres Plan Recd _ Y_ N, 2 wpies of plan stwwing beam & window sizes; poured found design, efc. t site survey for add'Aions & decks Tree Pres Required _Y _ N 1 set of Energy CalculaGons Addflbn • indicete d oMSde sepG'c system On-stte Sep6c System _ Y_ N 3 copies o( Tree PreservaGon Plan'rf lot platted afler 7A193 Rim Joist DeWil Oplions selection sheet (buildings witlh 3 or less unb) Date 7 / Al/ Site Address ?o(S? /U Construction Cost /61 6?dt+ UniUSte # ?t ,? S?e.B- ?N Oi Descriptioo of Work ?I^r?f l.l?Ce. ,*?fiJ 42 L?ASh-e iN,9 /AJ ?CCr?fS / {V )3J?15ex(?G"?/ dDfte-+Z t' ..u'75 A r e1 Multi-Family Bldg _ YI N 44vc,l e.., qAest ye Fireplace(s) ? 1A-1 A-I t S' fy?_P ?OCr.? ? 0 _ 1 _ 2 Property Owner 6'?AlOZ Telephone # (k q Contractor Address State Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Ener9y Code Worksheet (Jsubmissionrype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planZ _ Y _ N If yes, date and address of master plan: Licensed Piumber Mechanical Contractor Sewer/Water Contractor Telephone #{ Teiephone #( ) Teiephone # ( 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 approval of plans. z, . eieo. rz Applicant's Printed Name /J N'=e? Signature -E-2 T p T T SEP 1 9 2005 ? OFFICE USE ONLY Sub Types ? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ ptex ? 09 07-plex ? 17 Garage X 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plez ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbgtY or_ N)4 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ?-, 38?. Demolish'Interior, ,1 0 44< 'Siding X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 • Demolish Building` '0, 43 Reroof ' . 'O ,46' Windows/Doors ? 34 ReplaCement - :• • ,r',ha,:•' •Demolition, '(Entire 8ldg) = Cive PCA ndoyt to applicant Y. ? Valuation Occupancy MCES System Plan Review /Iq/?"' 100% or T _ 25% , ! Census Code //3/,? Zoning Ciry Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) Final/No C.O. _ Footings(addition) Plumbing _ Foundation ? HVAC Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tes[s Final ? Framing _ = = = Siding Stucco Stone Brick Fireplace _ R.I. _ Air Test _ Final Windows ? Insulation _ _ Retaining Wall Approved By: , Building Inspector ----- -------------- --- ----- --- Base Fee ------- - F? 7?---------- ---- ? --------- ----------- ------- ---------- ----------- l ? 0 Ll?urv,Q'?j ap ----- ------ --------------- 7P- a? Surcharge Ptan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies . Other Total ,. Pernut Number REScheck Compliance Certi6cate 2000 IECC REScheckSoftware Version 3.6 Release 1 Data filename: Untitledrek Checked By/Date PROJECT TITLE: Cleaz residence CITY: Eagan STATE: Minnesota I3DD: 7981 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.00 DATE: 09/23/05 DATE OF PLANS: 9/19/05 PROJECT DESCRIPTION: 4251 N Malmo Ln Laundry addition in garage 3ft X 6ft DESIGNER/CONTRACTOR: Home owner COMPLIANCE: Passes Maximum UA = 13 Your Home UA = 8 38S% Better Than Code (UA) Ceiling 1: Flat Ceiling or Scissor Tmss Wall 1: WoodFrame, 16" o.c. Floor 1: All-Wood Soist/Truss:Over Uncondirioned Space Gross Glazing Area or Cavity Cont. or pooi Perimeter R-Value R-Value -Fact r J?A 1 S 44.0 0.0 0 108 11.0 3.5 8 18 25.0 10.0 0 COMPLIANCE STATEMENT: The proposed building design described hexe is consistent with the buildmg plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC xequirements in RES checkVeision 3.6 Release 1(formerly MECchec? and to comply with the mandatory requirements listed in the RES checkInspection Checklist. --?y?,' //' ? ('? Buildei/Designer ? s G,C'E? /? c??(_ ? Date ?q ??T 20o6 RESIDENTIAL PLUMBlNG PERnnITAPPLIcATioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAid MN 55122 651-675-5675 Piease complete for modifications to existing residential dweliings. ? f 7 1 '? Date / l SiteStreetAddress Unitit Telephone# (,(°ic?,}/?t`? SS6?2? ?j?7?i? ? ' _ Proper[yOwner ? Q G Telephone # i Contractor Zip???"? H 5/ I&? State? /1 u ? o Cit . _ ? y S, Address The Applicant is _ Owner ? Contractor _Other dn Refurbished Su6mit 2 sets of pians a New Septic System fee Include$ ? ! _ 00. O $ 10.00 Alterations to existing dwelling $ 5D.00 Add plumbing fixtures. This fee includes instatlation of a water softer : heater at the same time. !f you are insfalfing onl a wafer softter ? 1 heafer, do not complete this section, move to the next sectiothe appliance(s) you are instaliing. ??? D Septic System Abandonment L o?nn? .00 if a 5/8" meter is required) WaterTurnaround (add $130 Other: Water Heater r oftener _ WateS $ 15.00 r placement _ new re awn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 $ 50 State Surcharge $ Total ? _.,..,. .?..., «.., ;..a,,.,.,?finn i? rnmnl eta and accurate: that the I hereby apply for a Residential Nwmping rermit ana acniiowiouye U1a1 11 11 ??•?.. .- °-. I -- -- work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that 1 understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordapei? ? approv9"an in the event a plan is reqwred to be reviewed and ap roved. Applicants Pnnted Name Applic nYs Signature Use BLUE or BLACK Ink For Office Use Ci of Eapn I ~ I Permit I 5 Permit Fee: 3830 Pilot Knob Road 1~ I I Eagan MN 55122 t 30 Date Received: -1 Phone: (651) 675-5675 1 Fax: (651) 675-5694 S`Q 1 Staff: 1 I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: R Site Address: 73-5 1 f ~(~l its ( Unit Name: ~1 X95-18~ Phone: Resident/ / _ , Owner Address / City / Zip: ( l f al m lS~ mod 5!5/'L3 Applicant is: Owner Contractor Type of Work Description of work: Nk"A l Construction Cost: ,5 q ~ Multi-Family Building: (Yes ! No ) Company: DuBois Design & Remodeling, bo. Contact: 1rl ~ I. Contractor Address: 11825 Point Douglas Drive South City: Hastings, MN 55033 'State: Zip: Phone: 1 ~ J~ 1 1 ~`J ~ U License 1. zoo r eo Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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. 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 ao hp erstateonecall.grg I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuanceX u x Applicant's Printed Name Applic 's. Signature Page 1 of 3 - , ' For Office Use ' Permit it /bogo ...0, ...., Permit Fee: / "7 • ;,2 .3,6 (6 ECEIVEn Date Received: 41./q- " 6-) 3830 PILOT KNOB ROADI EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-56 Staff; buildinoinsoectionsOcitvofeaoan.com APR 14 2020 2020 RESIDENTIAL BUVEDII4G-RE 01_11111 APPLICATION Date: 4/14/2020 Site Address: 4251 Malmo Lane North Unit#: Name: Michael Houtsma Phone: 651-755-4113 Resident/ , I Address/City/Zip4251 Malmo Lane North Owner I ; , / ..._ i g • Lir_c i 4 Applicant is: Owner V Contractor — L liAjitcs(Ki_a t i Install two 50"x36"x56" timber wells. , Description of work: Type of Work i $3,825.00 Construction Cost: Multi-Family Building: (Yes /No ) Company: Egress Window Guy Contact: Steve Engelhart 1I Address: 3410 KiCity: Khmer Lane North Plymouth Contractor State: MN Zip: 55441 Phone: 763-544Email: -2775 stevee@egresswindowguy.com . j License#.. BC665399 Lead Certificate 4: ST-123125-2 -- ------- - If the project is exempt from lead certification, please explain why: i 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 risultublic if • • • de— * reasons thatirs_uldpennit the pyto poucinths_that tim_a_re.,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.citvofeanars.comisubscribe. 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)4544002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate:that the work will be in contr., ance 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 r oj1to 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 ,i- . Ir.; fp/ fie bz.41_,/-ii,2_7--- Applicants Printed Name Appik.'Vs Signature , DO NOT WRITE BELOW THIS LINE 1/p6 I / A IT1 D 11 LA H - SUB TYPES i 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 Valuation q7u010 Occupancy ZA MCES System Plan Review Code Edition i 12 I SAC Units _ (25% 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 4---15 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings(Addition) 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 Walls Erosion Control Shower Pan Other: Reviewed By: 714 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3