1450 Highview Ave? CITY OF EAGAN Remarks --?J/.s
, Addition HIGHVIEIV ACRES
Ow er Street 1450
I ?
Avenue
#"
Improvement " Date Amount Annual Years Aayment Receipt Date
STREET SURF. Z 19$2 1924.40 128.29 15
STREET RESTOR.
GRADING
* SAN 5EW TRUNK ZZOS.OO:'. 210.50 lO 5D '
* SEWER LATERAL 1977
WATERMAI N
* 1NATER ZATERAL 1977
* WATER AREA 1977
STORM $EW TRK
STORM SEW LAT (? - 1982-- . . 8.07 15 754.96 A012786 9-19-83
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 77
BUILDING PER.
SAC _ ry1
PARK ja , 00 .7
INSPECTIUN RECORD
I CITY OF EAGAN PERMIT TYPE: R n`"'
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
. . I'i , .. .. ,. .,. . . ?
SITE ADDRESS: , :. ? . . APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
A1 TFFAI luo
NqE: S[11iME1 1 NS1tE AT I i1N
Of*:rf2I P {[i}N
INSPECTION .. . .A
I ?1RK? s A tiF. 11- ANa rf- E'F ItM7 f 1-, kVt)!11 RF 0 F f1t+ ANY f 1 1" f. t N 1 r ni Wtli+b;
Pertnit No. PermR Holder Dste Telephane M
ELECTRIC
PLUMBING
HVAC
InspecNon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING I
GAS SVC
TEST
INSUL I
GYP BOARD I
FIHEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
PA7E 19
RECEIVED
AMOUNT $ I
& DOLLARS
ioo
? CASH [] CHECK
NUMERICAL FILE COPY
? . BY
• CITY OF EAGAN
3795 Pilof Knob Road Eagan, MN 55122 NO
PHONE: 4548100
BUILDING PERMIT Receipt # Site Address
Lot Z, ' Block
Parcel .# _
s Name
W
3 Address
? . -- '----
dy
0
Z
uv
<
w
r
Sec/Sub. ' iBhviEw ACtls
Nome _
Address
Name _
Address
I hereby ocknowledge that I have reod this
the informotion is correct and ogree to c
State of Minnesoto Stotutes ond City of
Signature of Permittee'`_
A Building Permit is issued to:
all work sholl be done in occordance with
Building Official
plication ond s'
ply with o:l al
ian Ord:nances
applicable Stat
Erect Q Occupancy j
Alter ? Zoning
Repair E] Fire Zone
Enlarge ? Type of Const. ?
Move ? # Stories
Demolish p Front ft.
Grode p Depth - ft.
Aoorovals Fees
Assessment Permit 1 V D. :)v
Woter & Sew. Surcharge 1' • ??
Police Plon check
Fire SAC `4 75•00
Eng. Woter Conn.
Planner Water Meter
?
66.
Council
Bldg
Off.
.
APC Total F, 3 E • J`'
on the express condition that
of Minnesota Stotutes ond City of Eagan Ordinances.
4352
P«sk # DoM FwNA rwMMIN
Plumbing
Mechonical
INSPECTIONS ? DATE INSP. Rouplrln Pfnal
Footings Date Imp. Dote Irnp.
Foundation Plumbing ?
Frame/ins. ? Mechaniwl
Final
Remarks:
O ? ?
- CITY OF EAGAN
3795 Pilot Knob Road
Eo9an, Minnesota 55122
Phone: 454-8100
PERMIT
Dote: ,,?•??t 10 1071
5ite Address: '
Lot BI«k Sub/Sec. 1-= _' ?' ?•??' "'
No. :f
Receipt No.:
5ingle I
Residentiol
Multi Res., Comm./Ind. I
Plarne '-}cC'.arthy Canst. New/Alter./Repair
.
? Address 1213 -`' -,-h _ i t• Pd [' . Cost of I nstallction
City Phone: Permit Fee
` Nn e NI-i11 City He?tina &A/C Co. Surcharge -? ?
Address 13005 B61st Ave. So.
e
?
? rn
City ,"15;• Phone: Total r?
This Permit is issued on the express condition that all work shall be done in accordance with oll opplicable State of
Minnesoto Stotutes ond City of Eogon Ordinances.
Building Offitinl
• CITY OP EAGAN
' 3795 Pilot Knob Road
, Eogan, Minnesoto 55122
Phone: 454-8100
PERMIT
Dote:
Site Address: ?ic,hv:
Lot Btxk
Sub/Sec. Aighview F+cres
Name ''?,cG:Ithy Cbnst.
.
.
; Address _
O
City Phone:
` Na ?nqert P1?imbing Co.
TrIV.
P Address
e
0
City 1 ; , • - Phone:
This Permit is issued on the express condition that oll work shall be
Minnesota Statutes and City of Eagan Ordinances.
Receipt No.;
Single
Residentiol
No.
Multi Res., Comm./Ind. ?
New/Alter. / Repair
Cost of Installation
Permit Fee .50
Surcharge
Total
done in accordonce with all applicable State of
Building dfficlal
CITY OF EAGAN SEWER SERVICE PERMIT
5795 Pilot Knab Rocd PERMIT NO.:
Eogun, MN 55122 DATE:
Zoning; No. of Units:
Owner: _
Address:
Site Address:
Plumber:
1 u9ree f» comply with the Ci+y of Eogan Connection Charge:
Ordinahces. Account Deposit: _
Permit Fee:
Surcharge:
BY Misc. Chorges: -
Date of Insp.: Total:
Insp.: _ Date Paid:
GTY pF EAGAN
3795 P%'ot Knob Rood
Ea.oon, MN 55122
Zoning:
Owner; - -
Address:
5ite Address: A
Plumber:
Meter No.:
Size: -_
Reoder No.:
1 ogree to epmply wifh fhe Cily of Eogan
Ordinonces.
By
Date of I nsp.:
?
WATER SERVICE PERMIT
PERMIT NO.:
DATE: ?
No, of Units:
Connection Charge:
Acwunt Deposit:
Permit Fee:
Surchorge: 7 f'
Misc. Chorges: ?'•" -
TotoL• " - -
Date Poid: y;n'=
I nso.: _
znn. oo Ix
' Minnesota State Board of Electricity
` 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR EL"ECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
A a 7 3
p 6412
Type of Building New Add. Rep. Check Appliancea Wired Foc Check Equipment Wired Foc
Home ? ? ? Range a Tempocary W'uing ?
Duplex ? 0 ? Water Heater Q Lighting FiCtures ?
Apt. Bldg. ? ? ? Dryer Elecuic Heating ?
Commeroial Bldg. ? ? ? Furnace ? Silo Unloadet ?
Industrial Bldg. ? ? ? Air Conditioner ? Sulk Milk Tank ?
Lis[ ) L
is[ )
O hei
?
?
? p
}
Hehels)
' p
}
Hereergl
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: #? Fce Circuits: # Fce
0 to 100 Am s. 0 to 30 Am eres .:1 0 to 30 Am eres
101 to 200 Am s. 31 [0 100 AmpeRs. ' 31 to 100 Am etes
Above 200 Amps. Above 1. Ainps,: ?.,, ?-? Above 100 Amps.
Transformers Remot..oDdol 'ic. Pattialorothertee
S' ns S ecial ? ctio ? Minimum fee $5.00
Remarks -
TOTALFEE
?
I, the Electrical Inspecror, hereby
(r^inal) _
This request
the above°irs?Section has been made. ?n aci?
=,1!??Date
) h
?
t?. ?%i /7?t0 ??? V/-7
?
cinr oF EAGaN
3795 Pilot Knob Road Eogan, MN 55722 N2 4352
'iXONE: 4548100
BUILDING PERMIT APPLICATION $36,000. - ReceiPt # 6265
To be uced for Si?Q_ Fnm ilml? d Att_ (:ara Date *.._- ? - -- 19--,L7-
1450 Highview
Site Address
Erxt I
Occuponcy
LorPg 5 siock sec/sub. Highview Acres qirer ? zonin9 Rl
Parcel # Repoir ? Fire Zone _
Enlorge ? Type of Const. V
c Name D8iyi MCCSithy Move ? # Stories
; Address 1,171 Rr g,gyj,gpJToFra-..a _ Demolish ? Front ft.
b
Ci E Phone 452-5173 ?
Grade
Depth ft.
$?e
? Approvals Fees
Nome
°
o?
Assessment LO5.50
Permit _
Address
u? Water & Sew. Surcharge _18.00
Ci Phone
Police Plan check
,~?„w Name fire $AC 475,00 .
~z
x? Address
Eng.
Water Conn. 230.00
aw w Cit Phone Plcnner WoterMeter 60.00
Council
I hereby acknowledge that I have reod this application and state thot gldg. Off.
the information is correct and agree to c mply with all opplica le
APC $$$, 50
Total
State of MinnesMO Statutes ar City of o ances. ?
o
z?
Signature of PermitteK-e
Dar 1 McCarth
A B u i l d i ng P ermit is issued to: y Y
on the ex press condition that
of Minnesoto Statutes and City af Eagan Ordinances.
ccordance with I applicable 5t ) te
oll work shall be done in
/
/
?
Building Officiol
J
??
l h.is, request void 18 months from /0 32 SSO 0,53 OD „y e y 3??
Date of this Request / /7 7 P 6412
I, as?Licensed Electrical ontractor OOwner, do hereby request inspection of the above electri-
cal winng installed at:
Street Ad re?oute No.
Secti -'? ?
on TownEip
<zz
Which is occupied by_.I??_??? eix
0
Is a roughin inspection required on this job? No ?
Power Supplier
Electrical Contractor
i „ ,
N
Mailing Address / - CJ S -? "+
(Elxtrica contr c %pL
Authorized Signature Z
(Electrlcal 9"" roctor or Owner Makl
?TAN BOARD COPY
?` ?
Range toun y
Yes ? Ready Now K Will Call ?
? Contractor's License ?o. -
, , ..r .. / c7rc17a
No. 4 A 7-.s.Z61--
cTTV nr- EacAN
CASHI:Efy: MG TEFMINAI_. N0. 765
DATG a 01 /2U/98 T'LME; LS -i£3:21
zn:
NAMe? i.ATHV'.,S CONSTfitUCTION zNC
3210 9001 1.446 HIGFiUIE'14 448.75
3422 :3004 1446 1-IIGHUl:EIA 291..69
2155 300i. 141•6 MTGHt)IEW 18,00
3210 90(71 14-50 h1:[GHVIFW 187.25
3422 'JC10•i i.4..`Cl HIGNVIEW l2i., i'1
2155 9001 1.45(] HIGI'IVIEW 6.00
d
Total. Recei.pt Amnur,i;; 17 073.40
CR(J85`i93
USCFi TI7: MAFiI._YMN
PERMIT
-? CI30TY OF EAGAN
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozHc
Permit Number: 031356
Date Issued: 01 / 2 0/ 9 8
SITE ADDRESS:
1450 HIGHVIEW AVE
LOT: 53 BLOCK:
HIGHVIEW ACRES
P.I.N.: 10-32880-053-00
DESCRIPTION:
MAC SOUND INSULATION
BuildinTPermit Type SF (MISC.)
I
Bui-ldingWO,f?k Type ALTERATION
CerS"sU8 ?Gode 434 4`L7. RESIDENTIAL
1
?a
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY EIECTRICAL WORK
FEE SUMMARY:
VALUATION $12,000
Base Fee $187.25
Plan Review $121.71
Surcharge $6.00
Total Fee $314.96
CONTRACTOR: - applicant - sT. Lxc OWNER:
KATHV'S CONSTRUCTION INC 18545884 2004502 MARTIN CRAIG
1r621 E 79TH ST 1450 HIGHVIEW AVE
MINNEAPOLIS MN 55425 EAGAN MN 55121
(612) 854-5884 (612)454-5423
I hereby acknowledge that I have'read this appiicat;ion and state that the
information is carrect an¢,agree to cqmply with a11, applioable State of Mn.
? StAutels and-City `o?f Eaga'rtrtl'rdi'
nrancea;-°`
???_.? R??r,(.I Trl?d
Aun
APPLICANT ERMI EE 51NATURE ISSUED V: SGNA RE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
Ngw Construction ReauiremeMs
RemodeVReoair Reauiremants
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes; poured ind. design; etc.) ? 2 sRe surveys (exteriar additions 8 tleeks)
? 1 energy wlculations ? 1 energy plculatlons for heated additions
? 3 oopies of tree preservation pWn iI lot platted after 711/93 required: _ Yes _ No DATE: 1/5/98 CONSTRUCTION COST: $11,630.00
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT ? BIOCK
MAC SoundInsulation ProQram
1450 Hiehview Ave.
_Q_ SUBD./P.I.D. #:
PROPER7Y Name: _r.,-p; g Ma,-r; n Phone #: 454-5421
OWNER M„
$tfQetAddfBSS: 1450 Highveiw Ave.
CIty: Eagan MN StBte: MN Zjp: 55121
CONTRACTOR Company: Kathy's Construction Inc. Phone #: 854-5884
StreetAddress: 1208 East 79th Street License#: 20045023
Ciry: Bloomington State: MN Zip: 55425
ARCHITECT/ COmpany: PhOne #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licer.ned plumber (new consWction only):
and lot change arc ?equested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicable
State of Minnesota Statutes and City of Eagan Ordinances. ,
Signature of Applicant:
OPFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
-8 im
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ?
? 02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem. ?
? 03 SF Addition ? OS 8-piex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-piex ? 14 Fireplace ?
qi05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New
? 32 Addition
ry,,rrc jpRvdi
)2?'33 Alterations o 36 Move
? 34 Repair ? 37 Demolition
.?
, M. :,. •?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
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
_ Basement sq. ft. MC/WS System ?
_ Main level sq. ft. City Water i'
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code. y
_ Footprint sq. ft. SAC Code ?L
Census Bidg !
Census Unit
Building /?t Engineering Variance
Valuation: $ tZ,ooo. --
Total:
% SAC t??
SAC Units
.
?p;4A6??
Date : / - 3 - 7 7
BUILDI[?G PBRMIT P.PPLICATZOtd
r-vTI/'y 6 " SLC7CK ADDITI0:7
7-?47` Aq,r^o f c i'-? /f:9A?,o:..,. Ncrrs
& SF,CtIOP] 1IUI4IIER IF Ui3PLATTED /yJ y ?-? s f t?` T?i e ?'os f 2 30 ?l roc J?
?rll7.;.57 OF P'.:.CEL /4/6'0 / -
OCCOPAAICY .I USE 5 ?-?--
?
..,.:3n ,:.pSe oF
s? u
, ej
TELEPHOP7E NO. 4A':?- - 5^ 3 7_ .?.....
_yt?1?_v:•:5:, Jt/ > / /3 /? ? r c w ?`c i e c Y -
C.Otd`?P31CTC:A, S ri n i i TEI.EPHOPIL'' Y10.
£1)DRESS
t4ote7 Include site plan, building plans, and energy calculations with 0h4.;:
application /`1z c-
i
Siqned
d
OFFICE USE
'!ALUt1TI0i4" 3-A OOC
z'?;: H95 U2_.
...7::x'8Z C?1123SC'c'IOtI .?.?n .:.?n_
Mi ER
?
?*JI?T_PSG PEF214IT FEE ]as _.
m ?
','?RCHP.P,GE FL^8 I O
PL'F1:i CEPCit Ft,E
+ .
PARIC DEDICATIO?4 EEE
OT: cR __ ?_...
n••1`7'Q7AL.S :
...S7SSP9c^,:?T CLER't ??. BUILDING DEPT. POLICE DEPT.
'S_ TF'R & SM7VR DEPT. FIItE Dl?PT. PAT2K DEPT.
l?- e S7? o ?"' ?iS r
Tc J/ e
,J]s kp G`o ? /7
Z e2 ?S ?y.,,, ?
4cGdli?/ir?
TX?rJ7`
?vu
?
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J??or=s? J
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Juae 28, 1977
702 Rbm 8eflgee
FROM: Dale Peteraon
RE: BO Hiqhview, Ipt 5A, Hiqhviem Acres
variance of prdlnmoa 52.06 19 B.
The Svilding Permit for Ehe abose is iesna8. RRie propoaed location
on the site is aot ia acvozdance mith 52.06 19 B. The property owner's
proposed deselling ia so dasiqnefl that a aetback of 55 feet wou18 eliminate
any view of the river bottome dwm Highview Avenue.
It vonld not help the viev oP Lot SA, but I would recommand thai the set-
back of both SA and 5H ba the eame as the garage front aC Highview and
Hiqhridge Terxat,re.
Dale S. Peterson
dp lo
n0
C'. ' ' •y _ D,(Or ? wp t? ,
? '.. , ^ T ?I iOC?tI L..AWRwtVClL T
)
S .so ?oi 03Te¢R 46 MJIws
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2007 RESIDENTIAL BUILDING rERMiT nrrLicnTrorr
City Of Eagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constnk6on Reauiremenfs
3 registered sAe surveys shovnng sq. ft. of lot, sq. ft. of house; and all roofed areas
(20°k marimum lot coverage allowed)
1 Soils Report if prapr5ed buldinq is to he placed on disWr6ed soil
2 copies of plan shovnng beam 8 window sizes; pwred found design, etc.
1 set of Energy Calcula0ons
3 copies of Tme Preservation Plan'rf lot platted atfer 711/93
RimJaislDefeilOp6onsselecfionsheet (buildingswith3orlessunits)
Mmnegasco mechanical venlilafion form
RemodellReoair Reau"vements
2 copies o( pWn showing (ootings, beams, joisis
1 set of Energy Calculafions for healed addi6ons
1 site survey for additions 8 dedcs
AddN'an - in6cafe i/on-site septic sysfem
/
o?ce use o?
CertofSurvey,Recd _Y-: _N
Soils Repat _Y ??N
TreePresPlan:Recd _Y _N,
TreePresRequved Y-- _N
Oo•siteSepticSystem . _Y, ? _N
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date I I /Iq / 2w7
Site Address ? Construction Cost
, e L? A ?e • UniUSte #
Description of Work
Multi-Family Bldg _ Y x N Fireplace(s) _ 0 2
PropertyOwner 6(a, S U,
a r' IFV4I VN Telephone#((.?5?) )44 5-1 'Sy23
Contractor 7 e I? 't Y?e ?1 J
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) Residential Ventilation Cate9ory 1 Worksheel
Submitted
• Energy Envelope Calculalions Su6mitted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In ihe last 12 monThs, has the City of Eagan issued a permif for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/water Coniractor
Telephone #(
Telephone #(
Telephone #(
T hPrehv annlv fnr a Reciriential Rnilriina Prrmit anri arknnwlerlve that ihe
comolete and accurat
B'
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.
ApplicanYs Printed Name App icanYs Signature
RESIDENTIAL
- BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILQT KNOB RD - 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft ot lot sq. ff. of hause; and all roofed areas
(20% maximum lotcoverage aliowed)
• 2 copies of plan showirg beam 8 window sizes; poured found design, etc.)
• 1 set of Energy Cakuiations
• 3 copies of Tree Preservation Plan if bt platted after 711/93
• Rim Joist Detail Options selecfion sheet (61dgs with 3 or less units)
DATE
RemodNlRepair Reauirements
. 2 wpies of plan
. 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
b) q, , ,5-
2-b'U 1
VALUATION (EXCLUDING LAND) 12, 500.00
JOB SITE ADDRESS 1450 Hiahview Avenue
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Craiq Martin
TYPE OF WORK wdw repl (existinq openincrs) FIREPLACE(S) _D _1 _2 _3
APPLICANT Hanecare. Inc. PHONE# 952-884-41a7
ADDRESS 9301 Brvant Avenue South, Suite 215 Bloomington, NID1 55420 ZIPCODE
PAGER #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Su
- - Energy Envelope Calculations Submitted D U ?
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Pluinbing Systeai Includcs:
Mechanical Contractor:
Nlcctianir.il Syslcm Includes:
Sewer/Water Contractar:
Phone #
Pee: $90.00
Fee: $70.00
All above information must be su6mitted prior to processing of application.
i hereby acknowledge that I have read this applicafion, state
all applicable State of Minnesota Statutes and City of Eagan
Signature of AppliG
1
CertiFicates of Survey Received _ Tree Preservation
CELL PHONE # F19_R'17_F795 FAX # 952-884-4736
_ `Vater Softener
_ Waler Heater
No. oF Baths
Phone #:
Lawn 5prinkler
No. of R.I. Baths
Phone #
Air Conditioning
Heat Recovery System
the iyormation is cp{reW, and agree to
Not Required _
with
Updated i/01
OFFICE USE ONLY
? 01 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 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? Oa 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N )id1 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ?AfJ 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Id ?1 - al') " Occupancy MC/ES System
Census Code '- & ? Zoning R- I Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units / Sq. Ft. PRV
Nbr, of 81dgs ? Length Fire Sprinklered
s?
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new b(dg) FinaUC.O.
_ Footings (deck) ? FinallNo C.O.
_ Footings (addition) _ Plumhing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test Final Siding Shtcco Stone
_ Insulation ? Windows (new/replacement)
Approved By?, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Piumbing Permlt
Mechanical Permit
License Search
Copies
Other
Total