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1384 Interlachen Dr? idECflvfD CASH RECEIPT i CITY OF EAGAN, 3$30 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 .? 8 DOLLARS loo ? CASH ?CHECK Thank You BY White--Payers CopY Yellow-Posting Capy Pink-File Copy SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE OFFICE USE ONLY METER # PERMIT DATE 6114J90 CHIP #,0/ 74111 PERMIT # 11449 METER SIZE -5 A6CA B.P. RECEIPT # ?7903 ISSUE DATE?Z'?Q- B.P. RECEIPT DATE 5/18/90 PRV - BOOSTER PUMP SITE ADDRESS I c:TE'.:LACHEN DR LOT 1 BLOCK 4 SEC/SUB FAIRWAY HILLS 4"ND APPLICANT: ADDRESS:_ CITY, STATE PHONE: - PERMIT REQUESTED x SEWER _X__ WATER _ TAPS _____ COMM/IND _L_ FiESIDENTIAL ZIP X NEW EXISTING ? - "' ? ' Lawn Sprinkler Meters are to be Installed PLUMBER: • ?`? 'h ?% ' " Ahead of Domestic Meters on Water Line. ADDRESS: Credit WILL NOT be given for Qeduct Meters. CITY, STATE ZI P ?; N PHO E: 1 AGREE TO COMPLY WIT,Yi CITY OF OWNER: MCDONALll HOtiES, INC EAGAN ORDINANCES ADDRESS: 4020 G 75TH ST ? ), Ic CITY, STATE II+1VE-R GItOVE HTS, 9N ZIp _55075 / PHONE: SIGNAT RE HEN METER ISSUED PLEASE ALLOW TWO WORKWG DAYS FOR PROGESSING. CALL ? '??2 454-5220 FO INSPECTI . S. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . ;. SEW6R & WATER PERMIT CITY OF EAGAN . 3830 Pilot Knob Rd. Eagan, MN 5512§-1897 METER SIZE - DATE ? ISSUE DATE - :..,? .. Sh'AtDRESS LOT 1 BLOCK 4 SEC/SUB FAIFfWAY HILLS 21iD APPLICANT: ADDRESS: CITY, STATE ZIP , PHONE: ' PLUMBER: ADDRESS: CITY, STATE ZIP ? ' - :,PHONE: ' OWNER: NCDONALU HUMB5. INC AODRESS: 4020 S TSTH ST CITY, STATE Z t''vER GFOVE HTS s-+•' i ZIP 55075 PHONE: ` ?' ' - r 1 ?•'? METER # CHIP # PERMIT DATE b/ 14l 4r) PERMIT # 11449 B.P. RECEIPT # 7C',03 B.P. RECEIPT DATE '?!•'/?;? - PRV _ BOOSTER PUMP PERMIT REQUESTED X SEWER X WATER _ TAPS - COMM/IND ? . RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters_ I AGREE TO COMPLY WITFI CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PRUCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STOFiM SEWER PERMITS, CONTACT ENGINEERING DEPT. MECHANICAL PERMIT . • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, NTRACT PRICE: ,. PHONE! 454-8160 ? Site Address ? Name ? Addre .S citi/- Phone TYPE OF WORK - ' Forced Air ?-? M BTU Boiler M BTU Unit Heater M BTU - Air Cond. M BTU Vent CFM Gas Piping Outlets # ?._ Other FEE S/C: TOTAL: RECEIPT MN 55122 DATE: - BLDG. T?YPFr Res. ?- Mult Comm. Other WORK Eq SCRIPTION New Add-on •?, Repair , FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU '-; (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE AP Q ............ .._,...._.._... ??? ., , ..... ,. STATE SU (ADD $.50 GOES _$24.00 - 6.00 - 1.50 EA. - 12.00 - 20.00 - .50 FOR: CITY OF EAGAN : PLUMBING PERMIT For Office Use Only . CITY OF EAGAN PERMIT #,L,/ 4- ? 42 CONTRACT PRICE `m ? y G 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHQNE 4548100 FEES COMM./IND. FEE -196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) DATE: BLDG. P-?? WORK Res. New _ Mult. Add-0r Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ? Water Closet - $3.00 $ D oo_ Bath Tubs - $3.00 - 3.00 Lavatory - $3.00 Shower - $3.00 ? Kitchen Sink - $3.00 a. oA UrinaVBidet - $3.00 ? Laundry Tray - $3.00 Floor Drains - $1.50 ?=Q ? WaDer Heater - $1.50 Whlrlpool - $3A0 ? Gas Piping OuUets - $1.50 ' T) (MINIMUM -1 PER PERMI Softener - $5.00 Well - $10.00 Private Disp. -$10.00 Rough Openings - $1.50 PERMIT FEE: STATES S/C: ? GRAND TOTAL: dQ_ ?. ....? s - , CITY OF EAGAN -? 3830 Pilot Kncb Road, P.O. Box 21-199, Eagan, fN ? PHONE: 454-8100 SUILDING PERIVIIT? : Receipt # Tn he used fnr ?Y DVC,GAR Esl. Value $132,W0 Date_ Site Aceress --- -? - ? -? -? -21 Lot Block Sec/Sub. Parcel No. ¢ Name ---- ? Addr City Phone Address Citv Phone Name _ Address Phone I hereby acknowlege 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: Signature of Permitee ' " f' MCDONALD?Roms I A Building Permit is issued to: on the express condition that all work shall be done in accordarsce with all applicable State ol Minnesota Statutes and City of Eagan Ordinances. a. Building Official ' 1'e9s L'lAY 1 S 19 90 OFFICE USE ONLY Occupancy FEES ? Zoning 752.00 ? (Actual) Const {Allowable? Bldg. Permit ? f?b•00 a - Surcharge # oi Stories 488,QQ I ength D ? Plan Feview 100.00 epth SAC, Ciry , Total S F - 600*00 ? . . SAC, MCWCC S.F. Footprinis - 62540 a On Site Sewage _ Water Conn ?.bo ? On 5ite Well Water Meler ? 30 00 j MWCC System ?- Acct. Deposit • ; Ciry Water - 30.00 PRV Required _ SIW Permit j Booster Pump - S/W Surcharge Treatment PI • ? ?? APPROVALS Road Unit ? ? Planner - park Ded. Council BIdg.011. _ Copies ? ' Variance - TOTAL ? ? ? ' Permit No. Permit Holder Date Tflephoae # WATEH SEWER ? PLUMBING I/ H.V.A.C. EIECTRIC Inspsetion Date Insp. Comments Footings I %2.? O /,?? S? -? 9P Gv F«,?c?o? Framing ?n Roofi?9 Rou9h FIb9• Raigh Ht9• ,sul. e??e ? Freplace Final H19. - C? Fin al Plbg. Const. Meler Plbg. Inspector - Notify Plumber Engr./Plan Bidg. Fnal ? 2 3 Deck Ftg. Oeck Finai weli Pr. oisp. DATE: 6/14/90 RE: 1384 INTERLACHEN BRIVE, L1, B4, FAIRWAY flILLS 2ND Your Sewer & Water Permit for the above property has been completed. It will be held at the ?''ublic Works Garage (3501 Caachman Road) until the meter is picked up. BE SURE TO ;? CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ? Your Sewer & Water Permit for the above property cannot be campleted for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ' CITY OF EAGAN (VO 17895, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 yI RbBUILDING PERMIT •- "' Receipt # > ? Tobeusedtor SF DWG/GAR Est Value $132,000 Date MAY 18 , 1990 Site Address 1384 INTERLACHEN DR Lot 1 Block 4 Sec/Sub. FAIRWAY HILLS 2N Parcel No. s Name MCDONALD HOMES, INC o Address 4020 E 75TH ST City INVER GROVE IHTSPhone 455-5142 o Name 5AME ?? Address City Phone ww Name ??? -, Address a W Cilv Phone I hereby acknowlege thac I have read Ihis applicanon and state ihat the informahon is correct and agree to comply with all applicable Stale of Minnesota Statutes and City of agan rdina e "to Sqnature of Permilee A euiiding Permit is issued to: MCDONALD OMES , INC on the ezpress condition that all work shall be done in accordance with all applicahle Slate of Minnesota Statutes and City ol Eagan Ordinances. Bwldinq Otticial N14 oa, l 'nll OFFICE USE ONLV occupancy R- 3 M_1 Zoning R-1 (Adual) Const V-N Bldg. Permit (Allowable) V-N Surcharge X olstones - Length Sj, Deplh 3? S.F. iotal _ S F. Footprints - On Site Sewage _ On Site Well MWCC System xx City Waler xx PRV Reqmred - Boostar Pump _ APPROVALS Planner - Cauncil BIdg.ON. - Variance - FEES 752.00 66.00 488_00 Plan Review sac, ary joo. n0 SAC,MCWCC 600-n0 Water Conn b 95_ 00 WaterMeter gQ-?O Acct. oepasit 30.00 siw Permit 30.00 SIW Surcharga • 50 TreatmentPl 252.00 Road Unil 355.00 Park Ded. Copies TOTAL ?,388.7n (o /3 S o ? ? ? ? W 07' C? 5 9 2 5 1 ReQuesl Date ' Fue No. Rou - InapSClion ( Q„ peq i o 1 ? Reatly Now IWill Notily Inspector ?? V U kVes ? No When Reatly? 10 licensed contractor ? owner hereby request inspection of above electrical work al: Job Atltlress (Street Box or Route No ? Qty In, . ?e ? _L_. Lo ICc. ?c.. v^ Senwn N. Township Name or No Range No Counry ? kl lc.aYl4 Occupant(PRINT) 4 Phone No. 01 c a WIa 4 rvi E5 ?l SS- S/ Pawer Supplier Atltlress ? ? v q o-rw ls.c _ - (, bb ZLo Eledncal ConVaclor (COmOany Name) ConVador's Liwnse No ? r ? 4?Z7 4 Mailing Aneress fConvactor o r Ow nar Making Installauon) ?` ? .J? ue r Au??on d Sign re ? onVaclon ner akmg Inslallaoon( Phone Number 1 " l - 6/ MINNESOTA STATE BOARO OF ELECTflICITV THIS INSPECTION REQUEST WILL NOT Grlggs-Mitlway Bltlg. - Room S117 BE ACGEPTED BV THE STATE BOARD 1821 Universlty Ave. SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSEO lorgISa 03 59251 REOUEST FOR ELECTRICAL INSPECTION Ii See mstmcuons tor completn2j ihis larm on back oi yeilow copy JC" Below Work Covered by This Request 6m????\ 1E6.0000 -09 ' ? 9l5?s7 ??? e ndtl R TypeofBUildmg AppliancesWiretl EquipmenlWired Ho me Range Temporary Service Duplex Water Heater Electnc Hea4ng Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Av Condinoner Omer (specity) Coniractw's Remarks' Compute Inspection Fee Below: R Other Fee # ServiceEntrenceSize Fee # CircwLS/FeedeB Fee Swimming Pool 0 to 200 Amps .pI 0 to 100 Amps 0,00 Transformers Ahove 200 _ Amps 700 _ Amps Signs InspectoB Use Only TOTAL Irrigation Booms ?• s Special Inspection Aiarm/Communicaeon TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the ElecVical Inspector, hereby Rouyn-in Dale/? _ ?C? (Q certity that the above inspection has been made. F,,,ai t r 1-7 o a, i OFFICE USE ONLY • This requesl wid 18 months Irom r #'? PtT?Ixql so 6 3 W RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constructlan ReauiremeMe • 3 ragidered sile surveys showing sq. fl. of bt, sq. k. of house; and ?II roofed areas (200/. mau'vnum bt coverage albwed) . 2 copies of plen showinp beem & window sizes; poured fountl design, etc.) • lsetofEnergyCalculetion5 . 3 wpies of Tree Preservatpn Plan'rf lot platted atler 7/10 . Rim Joist Oetall Optlons selection sheet (bldgs wilh 3 or less unHS) DATE 6/jDvU,Z I (F6 .'? 5 BemodeUHeoa'v Reauirements . 2 WpleSOf plan • 1 sef ot Energy Catulatbns tor heated add'abns • 15t95urvByfOre%[elioradditi0ns&dBCkS • IndMate N home sened by septic system Por add'nWns VALUATION ? I 04 060 SITE ADDRESS l 3 YY X? ??f°/?. (QCL'LP t, DY. MULTI-FAMILY BLDG _ Y )<7 N TYPE Of WORK 6 - c5'I GC.P' FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT 1S-e-V00 Aj'{2P4d -r C'lP 12. STREET ADDRESS 0 C CIN 1ObVYt ?)- STAiE Mt ZIP?Ssao TELEPHONE # ?95?'b???? y?b CELL PHOPIE # ?/?l? - G'NefO AX # PROPERTYOWNER DG1n'll4J Sl • T-?'??/V TEIEPHONE# (UU_ 46L 0139 COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNI (4 submission type) • Reaidential Vantilation Category 1 Worksheet Su6mitted • New • Energy Envelope Calculations Submittad Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor. _ Mechanical system includes: Sewer/Water Conhactor. Phone # Phone # 2 2 1002 Fee: $90.00 Fee: $70.00 -----------------------------------------^-------------°---°------------------- I hereby acknowledge that I have read this application, state ihat the Information is correct, and agree To comply with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordines? ? Signalure of Applicant ..................................................... ?. OFFICE USE ONLY CeRiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System ?%<h"?:??Y,:'M 'M%XK:B(78x(YF>kM?'MYf. 'aCN('M??(7k$(YR`S?M'MYk kX,9n?nXCm>$ L'Tl'Y Gf" L"::FlCrAN GASH:I:F.k-. .JE 1(-FiM:fNAI_ NW 739 Df1T'E;, 0E3/1.8i99 '11i41_^ 13c??Sa:l.6 I6a NAMI'r, AL.CGV•L" I';OOf-'ING f; ti:f.DTNG 300 9001 004 TNTEi:I_AChIL I.25.25 M5 9009 1384 :[idT'cR.L.AC;EII_ 3.00 3210 9001 2062 CQF i=L.EV RD 09„25 21.5.`., `.ai:)U:l 2012 D.T.FF'1_EV h'Il 3.50 1OT,a1 FieCr>j,pi; Flm0uriT,? 20.00 fFi1.1560r l)Sh'Fi ]:Li;: JflN i:'hti%(?XtYF%r:Xi$( %Y.?>$i69F'M'1n'9FPn9Fm?::PFM?%FM:'n':7%,Ch'(1hk; %iYrih'm;?7K>F 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN C 3830 PILOT KNOB RD • 55122 `? 21 651-681-4675 ?? New Consfniciton ReaulremeMs D 3 registered ske surveys showing tq. H. of lot, sq. fl. ol house and II roofed areas (207, maxtmum lot eoveraue allowed) D 4 coptes ot plans (show beam t window sizes; poured fnd. deslgn; efc.) D 1 set of energy calculaHOns ? 3 copies oF hee resenalion plan M lot plaHed alfer 7/7/93 DATE: c I ?1 (o DESCRIPTION OF WORK: c) I?I VlS J` ??t??i1 Remodel/Reoair Reauiremed? y5s-- 2 coples ot plan p? 1 set of energy calculaHons for h Wed addHions I 7 sHe survey for exterior addNlona A. decks CONSTRUCTION COST: 0 d? JS?? STREET ADDRESS: LOT: ? BLOCK: ? SUBD./P.I.D. #: ,1 l L Name: \?D ? 0 Phone #: PROPERTY Ftraf owNeR l 3 Fs 4 I a_.el. Street Address: ep1 City I-N State: ? ZiP: ?Sl? 23 Company: RLOU-e_ ?toJi'+nJ, d- J1??Y}q Phone#: ? ?6c1 r g?DfJ (area code) CONTRACTOR +?/ /'? Street Address: 3 SO ??'?'? n'? L l?r License # d af 3S`e I 9 Exp. City State: Zip: e?? 2 Z ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Sheel City Registration #: State: Sewer 3 water Itcensed plumber [reauired for new conshucfion onlv): PenclFy appites when address change and lof chnnge fs requesfed onee permR Is Issued. I hereby acknowledge that I have read this applicaNOn, atate that ihe InformaHon is cortect, ond agrae to comply wHh all applicobl State of MinnesWa Statutes and City of Eagan Ordinances. Signature of Appllcard: Certificates of Survey Received Tree Preservation Plan Received _ Zip: OFFICE USE ONLY Yes _ No Yes _ No _ Not Requi2d , ? CITY dF ERGRN PERMIT 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4617 BAipl: 813 S-ki{-5 H-ff-i ?Y47m &mm1 kFF: a% CD 1VPE: UISA TR iff: PMSE Itm 36515 DP1E. Jill 86, 99 15-2.57 TOTRL $60.50 ACCTt 4164258JM15 Ef: a87 R°: 626177 WIM AOOia'1 m RUIPT OF eWS 9tif& SMICFS 1N ilE ak1T OF 11E TOTAL Stl? ;gREpN p.T Nf,S TO PEI&M 11ff rJBLIGiTIN SEf FpkTl{ gy TI¢ COW'DwER'S AGRMIT OI1H TfE IMkR TF COPY?-i?, Cf uiCGi WFYiLUM CITY 0F rAGAM CASH7FR: S T'GFMTNAI_ NC7, 76 ,f.1 DA'iE r 07/06/99 'T'.T.ME; 1.5:4 4: 00 ID; NAMF: UANSf-I_ S'1' i'ETEIt 32:I.0 9001 1384 IN'iERLACNE 60.00 2'1>S 90C)i. i384 SN'1'E:F:I_AI:;HE 0.50 To4a1 f;eceipt, Amoun+.: tiO,S(l CR1.l?862 LISf:F< TD: NANCY 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? l? f I? 651-681-4675 C:_a.kX-??d ? p n ?U c l '? C uir ments Remodel/Reoalr Reauirem8nts ? S reglafered sMe surveys showing sq. k. of lot, sq. k. of house and gQ rooted areos (20% maximum lot coveraae allowed) ID 2 copfes of plans (show beam i window sizes; poured ind. design; etc.) A 1 sM of energy calculations Y 3 copies ot he preservalion plan tl bt plalfed aMer 7/1/93 DATE: ? 1 [ ? , . DESCRIPTION OF WORK: 2 coptes of plan 1 sei M energy calculations lor heated addNians 1 sffe aurvey for exferior addXlona 8 decW CONSTRUCTION COST: Co ?-u v--,L SS STREET ADDRESS: ) S L t<I'tGk'.f Y Gj?? 01 . V LOT: I BLOCK: Q SUBD./P.I.D. #: c7)-'d ?7- Name: JA}A1/ Ct:?- A , Phone #: PROPERTY Last Pirst OWNER ? .? gy 'n Street Address: Y1 City ?j ?----- State: Yl '? Zip: s?/? ? CONTRACTOR ARCHITECT/ ENGINEER Telephone #: area code ( Sheei City Phone#: (area code) License # Exp. Zip: Name: Registration #: State: Zip: Sewer 3 waTer Ilcensed plumber (reauired for new consfrudian onlv): r" A- PenalFy applies when address change and lot change Is requested once permR is Issued. I hereby acknowledge fhat 1 have read lhts applfcation, sfate that the IMormaflon is o t, a a r e comply kvith ali opplicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. - . ,` OFFICE USE UNLY - - ? ? I, Certificates of Survey Received i? Yes _ No ,f(fL j Tree Preservation Plan Received - Yes _ No _ Not Required -? i City ?? State: V?'? OFFICE USE ONLY BUILDING PERMIT TYPE •. I ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 RApair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code .3 (Allowable) Main level sq. ft. SAC Code ? 118C Occupancy sq. ft. No. of Units D Zoning sq. ft. No. of Bidgs ? # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Bu ilding 4L Engineering Variance Permit Fee 5urcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ ? SAC Units % SAC , oZ.0' ? ? ; ? ? / A/ ?? ? `p2a E R^tt,,,T I 46, - 'Lh '° ? , , n27 a ?o M° ? ? ? a '•. ? DENOTES FOUND IRON MONUMENT t02 . • ?s, ',?? ° DENOTES I12" IRON PIPE SET MARKED R.L.S. 9294 / ? • ?' ? Q` 5'e ? BEARING SYSTEM IS ASSUMED ? ~? E Cb co 10274 LOT I BL4GK 4f FAIRWAY .:? ? ? A. HI LLS 2 ND Q PITtC?-r F F > ??`? i D AKOTA C 0. M ?? ?, ; i i ^ , ? LOT 4i ? 4 h- .. t \ ? ??' o?? ? e' e ' \. • .~ d I ,?26c, EA It1G I7EP7 ? DWYER & ASSOCIATES, ING ? , ?oje ,\? Sp?ke Land Surveyo?s 875 Spiral Boulevard j ? i ? ?? p?5 j Hastin s, Minnesota 55033 ??%,1uV ? Bus: (6121 437-2909 Res: J6121 435-5417 ON 00 1, , 0 NG I?sP ?--- ,? s i neran : en,fy Iha, ,n,s surveY plan or report Was g0U N DA RY S U EY CjfONS ??D ?, orepart ar me or undeF my direct supernsion and that Zs.. 2 -^Ra i NnGe B UTIUTV EA$EhtE NTS j ` ! am a c: y Registered Land Surveyor under tne laws of LhAyyNBV SCALE: ? ?? APVROVED6V H D.?.T. t. 5 ; ? tne Stataon, so ta e vreEo 7 0 DATE S_9 9O 4 ,°) - Mc DONALD HOMES, INC. h ? ' ^at? J? ? 14? Q0 . - - Rep No _?_Zg? _ 82.88 ' REYtSf `. 16:'9L I DAKOTA CO., MN "I9oG=Uo4s . SINGLE FAMILY DWELLINGS I qf qff ?0 BUILDING PERMIT APPLICATION CITY OF EAGAN liULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: Site Address ig? ? ?y ??,??1p np, Lat ? Block // Parcel/Sub Y l? b?.'?r 40( Owner T V¢d"' 1y, ly"814+ Address City/Zip Code Phone Contractor /i/G /ddKo'/cY )40?"-S ,?. Address 4?12N ?qf1- 9s 'n ?Tt • City/Zip Code 1;_ S?72$- Phone Arch./Engr. Address City/Zip Code [W,A; ; ; Reco -Date : i 3z/ MC) - OFFICE USE ONLY Occupancy R-3 M-1 Zoning TZ - I Actual Const V_N Allowable V-N # of stories Length Depth 3G S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water ? PRV _ Booster Pump _ FEES Bldg. Permit 1,5zoo Surcharge 66,0 Plan Review 488,00 SAC, City IDO,DO SAC, MWCC / p 1 00 Water Conn (o 25.0? Water Meter c/Q,QO Acct. Deposit 30'n0 S/W Permit 30, po S/W Surcharge ISD Treatment P1. Z1521 Road Unit iD0 Park Ded. Copies SUBTOTAL Penalty TOTAL f+ ti APPROVALS Planner Council Bldg. Off. ?;OS/o Variance Phone # r VA? ?Y1 Q1{Ze?6E vnw ? Zi 2yxzz = 528 k15='79Z0 .$,-'h`?T .---------- 3Zx33 = 9pSb?,lw? fy!??4 3 7 x33 = 10Sb x 51 = 5-3$SL Zws?cok- Ilklx2 = 2Z .f- Ia?P 1<51- 5?y_ ? 131 518 w CITY OF EAGAN E%TERIOR ENVELOPE AVERAGE 'U' COMPUTATIUN OYfNER: -SOt-i? i C-r- SITE ADDRESS: L.oT t 8?.? ?l ?ntrc_w6+.?C ? ??AS.?.s<is??• CONTR6CTOR: {-spuO-kKoDATE: S-$-q0 PHONE: `A59-Z34 Determine vorking square footage of each: t. Total exposed wall area ... 2- 5 1 3. ?c9) sq, ft, x .11 = Z? (o • S 2. Total roof/ceiling area .. (OSCo sq. ft. x .026 = D-1 +'- Total exposed uall area above floor = a_ Thtal val l wi nrinw nron _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ /to Ji 7 b. Total door area ................................. 3-7• c. Total sliding glass area .......................... 1. d. Total fireplace wall area ........................ -? . e. Total wall framing area (average 10%) ............. f. Total net wall area above floor ................... g. Total rim joist area .............................. j Total exposed foundation area = Z- h. Total foundation window area ....................... -' i. Total net foundation area above grade .............. ?- Determine 'UI value of each rall segment: a. I(a 3.1 x b. x 0. 3Z?f?,l x d. e. x ao?. X f. ?I ,?'1• x g. x h, x i. x , p, t v-{ ' U' tv--?-?-- 'ut ' U' -? 'U' o9 +ut ,oy ' U' ? o `i ' U' 'ut 39,-;-- _ a,c,y _ 2. 72 3 . ................................................... Total = 1 5 C.. sq If item 83 is the same as or less than item #t, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 10 5(. j. Total skylight area ............................... 0..JCN? k, Total roof/ceiling framing area (average 70%) ..... 10 • 1. Total net insulated roof/ceiling area .............. 9.?'?o,x OYER Determine IU' value for each roof/ceiling segment: j. x 'U' - k. xIpI 2 _ 2, ? • 1. f X IU' ?OZ _ /?iG9 4 . ...................................................... Total - t rI / If total of #4 is the same as or less than S2, you have met the intent of SBC 6D06(c)1. 6lternate Huilding Envelope Design To utilize the total envelope system method, the values established by the sum of Items I13 and 04 shall not be greater than the sum of Items 111 and #2. + 2. 7?o 3. 1 s.ta. gy + 4. 2 SINGLE & DOUBLE FAMILY HOMES ' 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U= 0.025 Average 2. ExterioT walls & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space., tuiccuu[ to (n) rnnuas rrton azua;,[ rv.:iunL . or rr ricaLir usco rr.ooutTs (nterior qir film (?le lls) ?a? 0. 68 Gypsum ar 0laster board ?18" IR) 032 Eater{or A{r illm (uails) 0.17 Lypsum or ylaster board I12" 0 45 Interior /,ir film (yE•AteE Ceilinq) 0.61 LyDZwn or nlost<r board 5/6" . 0 56 Eateric r Air Pllm (Vented Ceilin9) 0.61 Ply.lopd 318" . 47 0 Intcrlor Air Filn (Ilen VcnteO) 0.61 V1Ywood 1/2" . 0 62 Exterior Fir fllm (110,i Vented) 0.17 Plywood )/L" . 0.93 at„m;n„m 57afna 0 61 SAeethin9. re9. densltY 1/1" 1.32 nluminw witn Backer . 1 82 Sneacnlon, reo. aensiiy 15/32" N i - " 2.06 Aluminum Nith Backer 6 ioiled . 2,95 a l Aase she:thinq 1/2 1,14 112 a 8 Lcp Sitlinn (HOOtl) 0.81 Built-up Poofs 0.33 7/16 , 12 u,raeoare sid;nq 0.61 Asb.scos-cemeoe snfoat,s 0.21 +.sbestos siAinns 1/4 Laroed 0.21 asph,lt roil raofing 0.15 Stucro (pn.,, ane Finish Coat) --. AsA+hlp Shiogles 4.44 714" Waotl Sub/loar or Sheaihing " 0.94 InsulationY-2 3/4" Piberqlas= 7.00 1/2 Plywoad _nra[hinq " 0.62 InSVIe[1011: J 1/2" FIbG(gld55 TF.OO II1 Puiiclc tlu..rtl 0.66 Insulacion: 6^ fiberglass 19.00 W005: BLOLiltlf. 140OLS . Flr, pine t slmilar soft 4oods 1 I/2" I.89 Ppproa. 3' • 9.00 2 1/2" 3.12 Approa. L 1/2" 13.00 31/3" 4•35 Avprox. 6 1/4" 19.00 5 1/2" 6.87 Approa. 7 1/4° 24.00 ' Approx. 14^ 30.00 Aocroz. IB" 40.00 . AII other in5ulation ma[erialb mv5t De illled verifieE (R Fa<tor) (R) Vermi,uli[c 8" Concrete Bleck (5 G G Re9.) I.11 1.93 12" Concrcce Block (5 t G Reg,) 1,28 3,15 8^ liqpt t:cioht 2.18 5.03 . 12" Light 1:ei9h[ 2.48 5.82 eeee.rteeex,?eeeee?-c.____eeenc NUTE: (U) x Area Spuare iect U. nn ulenowz (W/Smms 1^ m 4" SP.cc) .SG . Removal D>uble Liazing (RDL) .55 Thermo er welted 3/16" air space .69 1/4" air cpacc .65 - 1/7" air space .$9 . (Other wlneevs specificaily tes[eE can ure 6etfer ratin9s) 1 3!4 Solid torc aoor .46 • ' w/scorm, wood ,31 Y w/storm, metal .26 - Pease SccelOOOr Insi/r./CL 7.45R .13 ' • , sltdi,q closs oaor, uooe .65 Metal .715 I . r PIINITNM "U" VALUE AND R-FACTOR AT ROOF, IJALL, RIPI Ai\D CO\CRETE BLOCf: / uUll - t?tZ= •?, ToTa? (r<)= 1,?3 ? Roo VA Q Sr?'(e7to? ?:is? FiL? i , m I O 1s GYP ED. . Q ?r•SUtA??oN ? OO EX ?ER;D(? AiF FlLC1 ??! ' tS"fiLl? ; ?rU" _ ? f 1Z - _O r TbTa,L ( R)= 45?1 ? ? ... u WRLL. . .. (T?) vaL QQ Wl'ct=lof= filiL f tLM ?tB$, O '/z' GYP.' BD.' O ?;,INSULAT{oNS ',I11 D• iz 9 7s?3z-if gul?7; ?JTc 2., o b » eX;E7N6° At2 F1Li'1 ''U"_ If R = :,If? TorAL (R) = 22 91 iz1M ? ,o4. . - ? ? (R) ?1Atl ?z it?T?l'•lor. tii?. FfU1 , ?,y? . i3 51?2' 1?`SULATIC;a " l?j '0 ? FIP- R11?1 &Js'( 15 u- Mi`ft stolr? : ' , V ?. . ? d . EXTERtoR pM ftLC1 u Vll - i ?R = ..: ?d • To7A" (R)= 50JrADATioO t 04 ? (iz) VALUc ?a tN le171Z AM F1Lt1 ? ?c,2 ' v, O I" h?'(P????'`'?R•5 -?-??.a r? eXjr-_P?lo2 Airt FICM , -j1 Floors o:e; unhea[ed spaces must have minfnum R-fae[or of R-20 (tuck-under garages). Floors oc,r outdoor air (ovcrhangs) rsust tiave a ninimum P.-factor of R-33. , 1 4 ? , ? • s6? ?oH ? ? c: / ? ?gg \ i?' ?Fre , ? 3'' ?? ? SUR ?,h 'O ? ? T `'0/?q1 ? ?q •4_ A%?, / ' i ^ \ <? / . ?30 ?(-b r I '0 AO /?sS ? QJ V ?O FOF Ct` , S, o y. ' ? / .r ?'?3oRS,. ! 'uBe<EOC-., ?o-?' St? 30 ,p25 6 SA! o-e , o? ? ? "?LOT I o ° o \ ? ? •. \ `f / 6 ? (D o m 0O ? ? u M ?OZS 2 , ?a2 . ( / Ip the State o nesota , Lx ?...S?4o27SS,E ? `i-- i M -? ? ? Cl) ./ ;atc Req Ao c? LOT I p HILLS DHKOT/°l 4, FAIRWAY By _ Ddi6 NEF!' i Sersp DWYER & ASSOCIATES, INC. ?kf Land Surveyors 875 Spiral Boulevard Hastings, Minnesota 55033 Bus: (612) 437-2909 Aes: (6121 435-5417 ? I hereby certity that this survey, plan, or report was ? Y preparetl by me or under my direct supernsion and ihat -•rRa)NaGE B U71LITVEASEMENTS I am a duly Registered Land Surveyor under the laws of 82? 88. . ?, REVISEJ lb/ 16/9 BOIJ fV DA RY i SIJRVEY SCALE: _20' APPRDVEDBY: DHAWNBV D.L.T. o"TE: 5- 9- 90 REVI9ED Mc DONALD HOMES, INC. DAKOTA CO., MN • DENOTES FQUND IRON MONUMENT ° DENOTES I/2" IRON PIPE SET MARKED R.L.S. 9294 BEARING SYSTEM IS ASSUMED 6A Lid V K 2 ND A CO., ml ORAY'ING NUMBER 90 -045 ? K 2006 RESIDENTIAL MECHANICAL rERMIT arri.icaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e £or: single family dwellings & townhomes/condos when pecmits are required for each unit .<#'30 , s p ? / / 0 U Date /v- • ? PT I 10 it# U .L SiteAddress I n hone t? (0) 13q JV f I n S+ • +& Tele Ow P t p roper y uer nff- ? r) C- Contractor r 2-2? Vv Y V ? I?3 Cit ? IL vnJ Vi y Street Address &X? s4l?& J13533) Tele hone # ( fvZi St t v - -/-:?)\) 7U?-I- 'Ll 0 p p a C } e I f . Bond #: Ol?IJT l wl?__? Expires: Iw The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to esisting dwelling uni[ $ 30.00 furnace _Additional /?\Replacement _ New air exchanger ? airconditioner heat pump other .----------' -? _ ? . - . . , ? ri)G 1 7_006 State Surcharge $ 50 Tata, $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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 approv pl in the c e of work which requires a review and approval of plans./ 1 n a Applicant's Printecl Name Applicant's S'ignature 4111110111. Citi of Eaoau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: tIr 1-- 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6 /3 Site Address: / 3 ��7 � 'rye% '� �� ` � Unit #: t Resident/ Owner Type of Work Name: (Tar 4-- c / s - 1',fe. Phone: 667-12-47-9 %2'/ /1 Address / City / Zip: / 3 % F f" l �:( eh Applicant is: Owner Xacatractor Description of work: / i2 %Qzig_. I?L4 D i-" Construction Cost: Multi -Family Building: (Yes / No ) Contractor Company: 5C1 a- RCC:1n0 art cQ K2rnocieI Iry `f ontact: J ea_in n t-%1C�G G" Address: t X_e_01 S,J/c.W gills I City: si • Lol�i� (v- k_ State: al h Zip: S -q / !o Phone: License #: 0-42-00) 96-a- 9s-��,a`� 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 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 CaII 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.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and 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 issuance. xea-dlr./4/1Q_ Applicant's Printed Name (424 Applican 's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%_) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement _ Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: Rough In Insulation Sheathing Sheetrock Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test Final Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA110879 Date Issued:06/03/2013 Permit Category:ePermit Site Address: 1384 Interlachen Dr Lot:1 Block: 4 Addition: Fairway Hills 2nd PID:10-25601-04-010 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Deanna Ulick Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Daniel J St Peter 1384 Interlachen Dr Eagan MN 55123 (651) 249-9731 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature 1 _ Us.B1 ar_a Oi; kv '17.1, l For ENgc Use 'e;::11.' � � � ' Ste/�" r 2 � - (4 i Permit# Cy 1 i 6` . 21 V* ba lull Li, ;; ..x.g i permit Fere;, ty 3830 Pilot Knob Road ! ' '` ' i Eagan MN 55122 '{`�' Date Received= Phone:{651}675-5675 RECEIVED I Siff buiidinainsoections citvofeaaan colt' 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: unit#: ..__ site Address; Name: /n.i) / l��C (2it r l j 'c cw,p4 Phone: Resident/ i J de Owner Address i City/Zip: /d 9', Is 1 er a1 Gf C4t f. Applicant is: Owner Contractor Description of work / /1 e? 4✓d1 a Q :t+''t I j DM't Type.,of Work e e Construction Cost: it. � .... Muitr-Family Buil Ing:(Yes I No } Company: (r hj,, V jI ort L. �. Contact z,ta n e/ Ci Contractor i'' Address: /Y1/ - °Pot qty. / City: JleffyiLViialil$ stater zip: S'S"YZI Phone: Email; ) - //c A Rat velto License#: e , 3 Lead Certificate : 41' - _ Ab - . ea" if the project is exempt from lead certification, please explain wily: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEIN 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: Phone: Mechanical Contractor: Sewer 8,Water Contractor. Phone: Fire Suppression Contractor r eE:ppaes and Contractor tin fl cutiie is that you subm ' con Y ,; hang In maybe classified asnon-public.f loin specific masons that waukt Aerrnnit A/@ t1 at 6 6G s - '�!.to tam , You may subscribe to rive ah electronic notification from the City of proposedordinances ` the City's website at www.citvofeastan.Conrisnbscribe. in +yes by signing up- Exterio permit issu�d bye building permit issued in accordance With the Minnesota State Bulb/ins Code mus be f� $mail y arl lett cd8 int d IRE YOU DIG tes il of underg O it atw (65..1) s2 �...'p'�°iecUcul again urea utility within I hereby acknowledge that this information is complete and accurate;that the wo is will be in na Cali qgh the Eagan;that i understand this is not a permit,but only an application for a permitti and wt»t(Iserica the ord, accordance with the approved pian in the case of work which requires a review and.apluavat of plans. m Stu t �n ltd i�ermi .af i ittP C)g/ilif /C.4''''V _. , Applicant`s Printed Name " APpiicariit's9nattire i j3gil zh icie. n O O NOT WRITE BELOW THIS LINE /41(5f-7-70 ' 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 4.. Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition _ Move Building Reroof Demolish Interior .>F. Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION oe Valuation 2 4WOccupancy //Z G — / MCES System — Plan Review Code Edition les /" SAC Units (25%_ 100% Zoning A--/ City Water — Census Code L43 Li Stories Booster Pump #of Units I Square Feet - PRV #of Buildings I Length Fire Suppression Required Type of Construction .,a Width _ REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) # Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test 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 'T' 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: , Building Inspector RESIDENTIAL FEESa �L f'�N Q 6 6 910 � Base Fee / y 7 3y� o`� Surcharge Plan Review /5- MCES 3 •MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3