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1381 Lakeside Dr BUILDING PERMIT 10513 Receipt # G Site Address 13 E; ].?t• IC DR Erect ? Occupsncy CHES LAL ? Lot ` Block ? sec/Sub ? t_ Remodel ? 2oning . Repair ? Type of Const. Parcel No. Addition ? No. Stories ?: I .ti. 1I :? ;t ' , f`• ? It N T Move ? Length . . 8 @ su ?, . Demolish ? pepth Add?ess '•'- -- Int. Impr. ? Sq. Ft. City Phone 452- 7 69 G Install O ,? Name C?i:t=K OU Address _ " 7 ? City ' Name Address Siqnowro of Permiftn H Building Pennif is iuued to: oll work sholl be done in otcordance with Buildinp Offitiol CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ond state thot all applituble State of Copies Totel On fFN expresS COrditlon Ihot and City ot Ecpcn Ordinonus. Assessment Permit ??' S' - • -" ? Water b Sew. Surcharge 2-=? ? Police Plan Review Fin SAC Enp. Water Conn. Ptonnar Water Meter Councll Road Unit Bldg. Off. Tr. PI. APC Parka Var. Date Psrmit No. Pormit Holder DaN Telephone ? Plumbiay H.VA.C. Ebetric Softener InWsction Dats linp. Othw Footinpa I • ?j _ Footings 11 Foundation Framing Roofing Rough Plbg. Rough Htg. Insul. Firoplace Final Htg. Ffnal Plbg. Final ? Cert/Occ. Water D?se?ibe Loeation: Wefl Sewsr Pr. Disp. CITY OF EAGAN ' 3795 Pilot Knob Road Eagan, MN 55142 W 4255 PHONE: 454-8100 BUILDING PERMIT . ReceiPt # To be wed fee Dote . 19 - Site Address • "?t? = ' :'E ` r • - Erect ? Occupancy - Lot Block Sec/Sub. ? `-__ Alter 0 Zoning Porcel .# Repoir 0 Fire Zone ?-- _ Enlarge p Type of Const. W. Name Move ? # Stories W 0 Address Demolish ? Front ft. Z Cit Phone Grade ? Depth ft. ? -0Ve;..? •':; . . .: t. ,._.. /?PPwvals Fees o Nome - - z?- I oa Address cc H P'ta.. . .. DL.....a Name _ Address Assessment - Woter & Sew. Pol ice Fire Eng. Planner Council Permit $urcharge 1 • ??` Plan check _ SAC Water Conn. Water Meter - I hereby acknowledge that I have read this application and stote thot gldg. Off. the informotion is correct ond agree to comply with o'I opplicable APC Total ?''• S?? State of Minnesoto Statutes and City of Eagon Ordinonces. Signoture of Permittee A Building Permit is issued to: ?t't s?:.nris C; TnC, on the express condition that all work sholl be done in accordonce with all applicoble State of Minnesota Statutes and City of Eayan Ordinancss. Building Official - PemM # Dafo Imwd hrwlFlw Plumbing G nd Mecfianical ? ?- Gr45- -4f INSPECTIONS DATE INSP. Rauph-In Flnol Footings = Date Inap. DaFe Irap. Foundation Plumbing Frome/ins. ??,,,,,?,Q??+ r;Z•?-?y? . c? f ?1? Mechaniwl Final _ ?-/y ?? Sf I Remorks: ? CITY OF EAGAN 3795 Pilot Keob Road Eagen, MinnesoM 55122 Phone: 454.E100 Dote: January 31, 1978 PERMIT ;i r.ak_esi_de i]rive Site Address: t'hes Mar ? ? Lot Block Sub/Sec. _ NOf1'18 , ev:,10yE?r'i roT:ttIliC`101'. ; Address ? <: ; " :: ? •-.. O Ciry ` Phone: T ? Name ?. ::c?i , eaLlr, ; . . ' c'- . ? Address ;1 l Fden 0 V ?ity ';OtiSld 5536!'. Phone: This Permit is issued on the express condition that all work shall be Minnesot tatutes ond Ciry of Eagon Ordinonces. No Receipt No Single Residential Multi Res., Comm./Ind. ? New/Alter./Repair Cost of Installation Pennit Fee - r, Surcharge TOTOl done in occordance with ell upplicoble 5tete of Building Offitial ? ? • ? Date: ' .ic;ust 19, l ? CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesoto 55122 Phone: 454-8100 PERMIT Site Address: ? 3:3.1 Ir!-?si[ii?e '':-?';.ve Lot Block '- Sub/Sec : '.;',- C'.^ Nume . 0 3 Address - O City -agan _ Phone: Name _'dOund Plitmf:irtg Cb . . ? Address '?`024 Flvergreen Rd. City ''ound 55364 Phone: This Permit is issued on the express condition that all work sholl be Minnesota Statutes and City of Eagan Ordinances. No. `)? Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alier./Repoir "`?f' Cost of Instaliotion Permit Fee 20.00 Surcharge . 5 n Totol done in accordance with oll applicable State of Building Official CITY OF EAGAN Addition CHES MAR lst ADUITION Lot 3 Blk 1 Parcel 10 17100 030 01 own/er ??J f o1381 Lakeside Drive state Eagan, MN 55129 Improverrent Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ?U 1973 281.61 14 . 08 20 183 A007194 12-1.3-78 I * SEWER LATERAL * WATERMAIN * WATER LATERAL 1977 * WATER AREA 1977 +t STORM SEW TRK 1977 * STORM SEW LAT 1977 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 # BUILDING PER, sac 4 #05586 - 7 PARK CI1 Y OF EAGAtr :795 Pilot Knob Rood Eogan, MN 55122 Zoning; Owner: ° - , .- Address: Site Address: ' ? '•' ° -?' ? ? Plumber: Meter No.: ? Size: _ L3 BI Ch-eg Mar Connection Chorge: ? 3 0• 10!id Account Deposit: Permit Fee: Surcharge: Misc. Chorges: rreteY Total: Dote Paid: Reader No.: i ogree to eomplY with the City of Eagan Ordinances. By Date ot Insp.: CITY OF EAGAN 3795 Pilot Knob Rood Eogan, AAN 55122 Zoning: _ Owner. r p • ? Address: Site Address: ! - Plumber: 1 egree fo eomply with fhe City of Eagan Ordinances. By Date of Insp,: Insp,.--_ WATER SERVICE PERMIT PERMIT Np,: •'-'?' DATE: -- 12I18177 No. of Units: I _ SEWER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: Connection Chorge: :; - Account Deposir: Permit Fee: - . E; Surcharge: Misc. Charges: Total: Dote Paid: I - _ _ _. , RESIDENTIAL B ILD G RMIT APPLICATION U IN PE _ /, CITY OF EAGAN Ij 3830 PILOT KNOB RD - 55122 ?' ''? ? 651-681-4675 NewConsVUONonReauiremenk RemodeUReoairReauirements {J • 3 regislered site surveys showing sq. ft. of lat, sq. fl. of house; and all roofed areas • 2 copies of plan t S IJ (20%maximum lol coverage allowed) . 7 set of Energy Calculations fq%hpaled additions • 2 copies af plan showing beam 8 window sizes; poured found design, etc.) • t site survey for extedor additions 8 decks • 1 set of Energy Calculations . Indicate if home served by septic system foradditions • 3 copies of Tree Preservation Plan if lot platled aker 711193 . Rim Joisl DetaJ Options selection sheet (bldgs with 3 or less units) DATE JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN TYPE OF WORK_ APPLICANT j ADDRESS _jj1 PAGER # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Su6mitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submilted Plumbing Confractor: _ PlumUing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Confractor: Air Conditioning _ Heat Recovery System All above information must be submitted prior to processing of application. Phone # Phone # Fce: $90.00 Fce: $70.00 I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi an es Signature of Applicant _ Water Softener _ Watcr Heater No. of 13aths VALUATION 3., e9UU Phone #: L,awn Sprinklcr No. of R.I. Batlis Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1I01 CELL PHONE # FAX # /al/ /7/ U / OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling O 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex 0<18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or_ N •. ? 30 Accessory Bldg ? 31 Eut. Alt - Multi ? 33 Ext. Alt - SF ? 36 Muiti ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg anly) - Give PCA handout to applicant Valuation Censu C d 2- 3 7 Occupancy R-3 MC/ES System I s o e . Zoning City Water SAC Units - Stories Booster Pump Nbr. of Units Sq. Ft. 2- 3 `1 ? PRV Nbr. of Bidgs - Length ?7?.S Fire Sprinklered Type of Const ?, V- !? Width .3j ; 9, REQUIRED INSPECTIONS Foofings (new bldg) Footings (deck) X FinaUNo C.O. Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pooi _ Ftgs _ Air/Gas Tesu _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco 5tone Insularion _ Windows (new/replacement) Approved By 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 Capies Other Total Building Inspector ? • I ? ?es?-rNCS FinaUC.O. HVAC \ ? ? cIrr oF EAGAN , 3795 Pilot Knob Road Eagan, MN 55722 N2 4255 t • PHONE: 4548100 BUILDING PERMIT APPLICATION $63,000 Receipt # To be uaed for Sino. Fam DW1 Q_ DO}e Api. S, 19 77 Site Address 1381 Lakeside Di. Erect [?Occupanty I Lot 3 Block 1 Sec/Sub. Ct185 FI8i Ist Alter ? Zoning R-1 Porcel # _ Repoir ? Fire Zone _ Enlorge ? Type of Const. v w Name Move ? # Stories 3 Address Demolish ? Front 69 ff. ? Cit Phone Grade ? Depth 52 ft. ? Nome Developers COSISt, QAC. Apprmals Feea 0 ?? Address 4491 Oak Ghace Ln t- r:... EaRan, Name_ Addres I hereby ocknowledge that I have read this opplication ond state ihot the information is correct and ogree to co ly with all opplicoble 5tote of Minnesoto 5 atu City of n Ordinonces. Sfgnature of Permitt of,' - -------- A Building Permit is issD oll work shall be done yo?ll applicable Stote of Minr Assessment Water & Sew. Police Permit Surcharge Plan check 31.50 Fire SAC 475.00 Eng. Weter Conn. 230.00 Planner Council Water Meter 60.00 Bld Off 9. 1 955.50 APC Totol - as y,U CY on the express condition thot esota StaiuYes and City of Eagan Ordinances. Building 04ficiol CITY OF EAGAN N° 10 513 3830 Pifot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PNONE:4548100 BUILDING PERMIT seceivr # T. M wW fw DECK Esr. Volue $5,000 Daee JULY 3 , 1y 85 SiteAddres 1381 LAKESIDE DR Lat 3 elock 1 ?ec/sub. CHES MAR 1ST Parcel No. W 1141m, MIKE HENTGES ; Addrees SAME a cicv Phone 452-7690 ? o Neme DECR WORKS iS A?res$ 2947 46TH AVE SO ? Citv P9PL5 phone 721-2018 FW Neme z? Address ?u City Phone =i I hereby ackrwwladge fhot I haw rca his wopplicoho and stote that the inlormofion is eorrectJ nd oy ree t mply wi all applicobla State of Minrrosota Stot?t? onq Ci .f Eugan p nces. Sipnmum of Permittaa ? A Bulle+rq Pem,ir is issued ro: ? all work shall be done in accordonce with 8uildinq Ofiiciol Erect 12t Ocapeney Remodel ? 2oning Repair ? Type of Conrt. Addition ? No. Stories Move O Length Demolish ? Depth Int Impr. ? Sq. Ft. Install ? Apyrorah ieas Assessment Wutar 3 $ew, Police Firo EIO Pner Council 81dg.Off. 7/2/85 APC Var. Date on %c2a SWures ord Gry o Permit ? Z)v. Z)U SurCherge 2.50 Plan Review SAC Water Conn. Weter Meter Road Unit Tr. PI. Parks covies 7otel $53.00 ths axpress corditlon thot Eapon Ordinoncas. This reaues[ void 18 months from 14 •? ?? ? -` / P 4154 Date of this Request 77 I, as O Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address org aute N ?10tA - 14E OW f te, Cit .4Al. SecUon Township ? Range CounTyI)A W470' Which is occupied by (Name of Occupanq Is a roughin inspection required on this job? No ? Yesw Ready Now ? Will Call?( Power Supplier t/N kfO7Q l:0 ??FtiT' Address ?_I7'/iIVg7`LW m,o Electrical Contractoc ?61?.6 ? e i L Contractor's License No yy? / (GOmOany Name) Mailing Address Authorized or Owner xo. Jq`l(9-3Stf ('? uEiactrlcal Contractor orwner f?Qking This Installatlon) F`JVtT?YUE BOARD COPY ? Minnesota State Board of Electricity " 1$54 University Ave., St. Paul, Minn. 55104-Phone 645•7703 .`` REQUEST FOR ELECTRICAL INSPECTION CHECK'flELOW WORK COVERED BY THIS REQUEST ,5?1 8751- p 4154 T pe ot Build'uw Ne Add. Rep: Check Appiiancea Wirqd F r Check Equipment W ired Frn Home ' ? ? Range Tempotary W"ving ? Duplex ? ? ? Wacer Heater Lighting Fixtures ? Apt. Bidg. ? ? ? Dryer Elect[ic Heating ? Commercial Bldg. ? ? ? Fumace Silo Unloader ? Industrial B(dg. ? ? ? A'u Conditioner Bulk Milk Tank ? Fazm ? ? ? List List 1 Other ? ? ? pthers Here ? - } er 1 COMPUTE INSPECTION FEE BELAW IkD IlA I I I I A Se[vice Entrance Size: # Fee 1 1 Feeders&SubfeeQers: C'vcuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eces 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. i Above 100 Amps. Above 100 Amps. Transfo(mecs RemoteConuolCuc. Pactialorotherfee S' ns 1 1 S ial Ins ection M'vtimum f Remarks I TOTAL EF_V." Q I, the Electrical Inspector, hereby (Final) This request void 18 months from has been ma e. Date !Y Iff a O bate - 3-? Tprtifirttte nf (Orrupttnry Citp of (EAgan 3Brpttrtmrnt nf Nuilding Jns;terlinn 7hir Cntifitatt ifrutd purrsant 1o tht rtyuitrmrntt of Scrtion 306 of thc Uriifnrm Building Codr rati fying that at the rime of irtuatttr thit thuttust wat in tomPlianrr with t/x varioat ordinarsaJ o f tbt Gty reRulating bralding toxmuttion or urt. For tbt follouvnK: u. ckmr.? S inqt e vAmt 1}r Bld6. Pemm,No._Qaj§_ oavwMrrra I rync.i.u. V eiKZon 3 zati?rn.m??_R-1 o„m?jwuft6 Developera ConstruQtjpn 4491 Oak Chase I.n_ 1381 k.akeside Dr. .__.,._ Chea Mar lst BY W.: 11/15/78 o,.? -- ? - -- 443 Lafayette Road N. I MINNESOTA DEPAR'TMENT OF (651) 284-5005 St. Paul, Minnesota 55155 J?,gQR & I?IC,US'"RY 1•800-DIAL-DLI www.doli.state.mn.us TTY: (657) 297•4198 ?, WHIEELCHAIR LIFT INSTALLATION PERMIT StTE: Harris, Victor Residence Address: 1381 Lakeside Dr. Ciry: Eagan MN State of Minnesnta ID Nn.: -15512PT08-07R Inspection and approval is based upon the requirements set forth in the Minrs tatutes, Chapter 1613.747 Date: 614I2008 I ns pector• Department of Labor and Indu$try Construction Codes 8 Licensing Unit Elevator Safety 3ection 443 Lafayette Road N. St. Paul, MN 55155 443 Lafayette Road N. XZB NESO TA DEPARTMENT OF St. Paul, MinnesoW 55155 pR & INDUSTi?Y www.do li.state.m n. u s June 11,2008 Victor Harris 1381 Lakeside Dr. Eagan MN 55123 RE: Inclined Wheelchair Lift •ElevatorlD# -15512PT08-07R ResidenGe: Harris, Victor Residence 1381 lakes+de Dr. Eagan 55123 Dear Sir!Madam: (851) 284-5005 'I-800-OIAL-DLI T7Y: (651) 2974198 Minnesota 5tatutes Chapter 16B provides that the Department of Labor and Industry, Construction Cades & Licensing Uni!, Elevator Safety Secti;,n, inspect snd approve elavators and maniifts (endiess belt tifts) before they can be legaliy used in Minnesuta. An Inspector from the Eievator Safety Section recently inspected your faciiity and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSIIASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, CON ION CODES & LICENSING .? .--?y Tod . g State Eievator Inspector tak/rsg ;CE-2) c. Schoeppner, Dale R., BO, City of Eagan Arrow Lift Accessibility ElFormCE2R This ioformation can be provided ro you in altematrve fornats (Braiue, iar9e p(im or audiotaoe) An EquaV Opportuni?y Employer --------? I For'OffceUSe ? I ? Permit ?p D rz? 4 ? I I permit Fee' ? ? Date Recerved. ? Staff ? L----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: ? _7 F r 1,4 ICCS./„? ??_ Tenant: Suite #: RESIDENTlOWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: ?q /71 /0 It{/'1'J:, ?aJ? License#: Address: f?? %?'S? 3 OCj 'rl? 'p vP !V L? City iC i (./84-?- State: Zip: Phone: 7!c'?"-`?5`? ContactPerson: TYPE OF WORK _ New -7)( Replacement _ Repair _ Rebuild _ Modify Space _Work in R.O.W. Description of work: PERMIT TYPE RES/DENTIAL Waler Heater _ Water Softener Lawn Irrigation ?Add Plumbing Fuctures ? RPZ 1_ PVB) Main _X, Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) •Water Turnaround (add $136.00 if a 5!8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ . .. . .. ---`--'---- ....? .?_ _.w:.._....e.. .,..a ....?e? ..r thu lnr? nf I hereby acknowieage mac cros mrormanon is compiexe ana accurace; ?nat m- wo.m .?111 .,? - ..?-,,.o ...... ...... ..... .....••.....___ _.._ _---- -- ., . Eagan, that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. _ x ApplicanYs nnted Name Applicant's Signature FOR OFFICE USE Rediewed By, ? ? ? ? Date: ? Required Inspections: ?.= Under Ground "-Rough In ?;' '. Air Test ?? ? zGas Test ?_Final? ; ?, ? ?? 3830 Pilot Knob Road Eagan MN 55122 Phone:(651) 675-5675 Fax: (651) 675-5694 - ----------------- i For;Qffice?Use ? I Permit# 92 ? j I Permit Fee: I I ? Date Received: ? i i ? Siaff: I I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION / ?- Dl Date: Site Address: -7Q ? J 9I k?di?. 6<y"t,, ?.? Tenant: D-W?, Cf%btY; f Suite #: RESIDENTf OWNER Name: 14dl'., tZ<,'?a Phone: b?y IYSy 2(05'3 Address / City / Zip: / 3Y / 11(4 S,.G 6e Applicant is: _,L_ Owner Contractor TYPE OF WORK `i ???/ illC4mp? Description of work: ,? ee Construction Cost: ra 600 ' Multi-Family Building: (Yes No ? CONTRACTOR Name: A/b (sr R44,0,,Y ,fU.tmn?id t?/?.?L.LG License#:.2O6,;L6.i&:_ Address: I/6y, ,5?? ?4vcS City: .SdL.44 S-i State: M4? Zip: 5'S045 Phone: i SI o)-/H /$ Z3 Contad Person: ko r? 245r+as?. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Resdential Ventilation Category i Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • 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 plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor: Phone: ments fhaf you submit are consider'ed to be pubfic information. Portions of NOTE: Plans and supporting docu , the information may be classified as non-publie if you proyide specific reasons thaf woufd permit the City to " :coriclude'thatfhe "`aretrade§ecrets:, 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. .? _ - \ r- I__ ?'? c X ?ND(W ?Ca{,.$hpSSE? X ? ? /•L?e/[ ?La? ? ? ApplicanYs Printed Name ApplicanYs Signature j U JAQt) Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool ,Z Single Family ? 06-plex ? Fireplace ? Porch (3-season) O Ext. Alt. - Multi O 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex O Deck ? Porch (screen/gazebo/pergola) ? Mutti Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage O 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building• ? Addition ? Move Building ? Reroof ? Demolish Interior ,% Alteration ? Fire Repair 0 Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entve building) - give PCA handout to applicant DESCRIPTION: Valuation Gh c2y Occupancy MCES System '-' Plan Review Code Edition 'Aal? SAC Units "-' (25%_ 100% -Z) Zoning R-i City Water '-' Census Code ?,+ 3y Stories --" Booster Pump - # of Units ^ Square Feet - PRV ? # of Buildings ? Length - Fire Sprinklers y Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: Ice & Water Final ? Freming Fireplace:_R.I. _AirTest _Final Insulation Reviewed By: Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock Final/C.O. ? FinallNo C.O Building Inspector ? 9y ?: ? HVAC Other: Pool: _Footings Air/Gas Tests Final _ Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Page 2 of 3 RESIDENTIAL C?K ?A BUILDING PERMIT APPLICATION _ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 651-681-4675 1-1A New Construction Reauirements RemodellRaoair RequiremeMs • 3 registered site surveys showing sq. tt. of lot, sq, tt of house; and all roofed areas • 2 capies ol plan (20%mauimum lol coverage allowed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc ) • 1 site survey forexterior add'Aions 8 decks • 1 set af Eneryy Calculations . Indicate if home served 6y sephc system for addihons 3 caples af Tree Presenation Plan if lot platted aker 711193 `cy v . Rim Joist Detail Options selection sheet (bidgs with 3 or less units) !r?Gy q ` DATE I Z? S/OZ VALUATION O' JOB SITE ADDRESS M1 LA4{6,3=liC 69S1{E IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER?)P bC7RAN -l, VZCTOR I-fARRTS TYPE OF WORK 5fAN WM PIREPLACE(S) _ 0_ 1_ 2 APPLICANT PA-TSO EioC1QCuF2eS. 1 N C, (ae ,UO?/I ? PHONE# ?Sl' 40/-/JOO ADDRESS Ol (\ Nf..) ?( B n) E W d cTClNT6i0 ZIP CODE SS// Z PAGER # CELL PHONE # FAX #?ns1-? 02521 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: MINNESOTA RUI.ES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Su6mitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener _ Iawn Sprinkler Fce: $90.00 Water Heater No. of R.I. Baths No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $70.00 Phoae-#? _, ^ Cf Hn aoove inrormanon musc oe suominea pnor to processing or appucanon. - ? I hereby acknowledge that I have read this application, state that the informatio s correc?Frc?ee-fo with all applicable State of Minnesota Statutes and City of Eagan Ordinances. `g`1l Signature of Applicant ?l- Certificates of Survey Received _ Tree Preservation Plan Received Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ?31New 32 Addition ? 33 Alteration ? 34 Replacement ? 20 Pool ?(` 21 Porch (3-sea.) ?O 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessary Bidg ? 31 Ext. Alt - Multl ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)• O 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System _ Census Code Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. of Units Sq. Ft. ? PRV _ Nbr. of Bidgs ? Length 1"7 1 Fire Sprinklered _ Type of Const Vti W idth 1 2" REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. Footings (deck) ? FinaVNo C.O. ?C Footings (addirian) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ _ Retainino Wall Approved By I C_? , Building Inspector 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 Capies Other Total ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or _ N _5??-?Orv /?c.?'??..f? - ?-? rvvv Fo^: lipera Conatruction Inc, ?4491 Oak Chase Lane Eagan, Mina. 55123 j . DELMAR H. SCHWANZ LANOSuAVEVOR Ne9ts1oM UnGo, "+•s M Tfto Sbte OI MmMSOU 14815 SOUTM R08ERT TRAtL P.O. BOX M R08EMOUNT, MINNESOTA ESOa! PNONE 812 943-1769 SURVEVOR'S CERTIFICATE ` T N?"?o44 51 I hereby certify tnat ±!:! s ts a troe and oorrert representat'_on )f t.-)r. 3, 5iock i, •.` CNES MAR FIRST Ai L"ITI;i\ , 3C^. )I'L?! •1b to tile . reccrded plat tnereof, Bai<-)ta Co-?n',;;, Minnesota. _ 3 =o Also s:iowing tne locati:;n .?: 3pn%pos?d hcuse etakec thereon. . ? o Q? N Februarf 22, 1a77 z? o ? N ? oa? / a6j ??JepS?? " ? _, / ?? ??! R0? _ • OP O n " ? pSE H0SE ? ? 335 ? ,so?/ ? I 23.33 N N ? ppF / n N ? >Z ]1 ? O _ n ? If o N ooa- 500 ?G i Y ? ?,0 d+ SC.AiF;: 1 ',1Ci1 = 4 ' :'e@C N ' Drai-iage i utility ease,r.a^ti / ? • 0 In ?V g ° , r / i ? .?.; , r MINfVE50TA qE ISTRAiION NO 8625 C RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reuuirements • 3 registered site surveys showing sq. ft. of lot, sq. R. of hause, arM all raofed areas (20% maximum lot covemge allowed) • 2 copies of plan shaxifg heam & windax s¢es; poured faund desgn, elc.) . i set ot Energy Calculations • 3 copies of Tree Preservation Plan if lot platled after 711193 + Rim Joist DeWtl Ophans selecM1on sheet (NCgs vnN 3 or less units) _ Water Softener _ Water Heater No. of Baths DATE Y'- U 2-- VALUATION !J(_Jo SITE ADDRESS l 3kI if}ICe s,_17 1712MULTI-fAMILY BLDG _ Y _ N TYPE OF WORK Re.- etxiV FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Ti&S ?. A t Q C STREET ADDRESS I??15 la?? Ave ti CITY P(ymaxl{-. STATE_ZIP TELEPHONE # CELL PHONE #??ia-toxs- b roy FAX # PROPERTYOWNER 14 L 6- I_l1-I(A5 TELEPHONE# -------------------------------------------------------------------°-----°°°-----------.--- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RIiI.ES 7670 CATEGORY 1 MINNESOTA RiIL1:S 7672 (J suhmission tWe) • Residential Venttlatian Category 1 Worksheet Submittad • Ne ?y?Q?Wqrk?,?ryeql?S I tted • Energy Envelope Calculatians Submitted ? JUN 1 4 CUOZ? i JI Plumbing Contractor: Plum6ing systcm includcs: Mechanical Contractor: Mcct?anical systcm includes: Sewer/Water Contractor. Air Conditioning _ Heat Recovery SysTem Phone # Phone # Pee: $70.00 ------°--------------------° ---° •--°--°-------°-----------'---------°-----------------------°------°----------°- I hereby acknowiedge that I have read this application, state that the information is conect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O!0irange?. _---- Stgnature of Appllcant OrrICl: UST. ONLY RemodeVReoair Reauiremenffi • 2 copies of plan • 7 set of Eneryy CalculaGons for heated addRions . 1 site survey for extenw additions & tlecks . IrMicate rf hane served 6y septic syslem for addiGOns OV _ Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Uptlated 4102 ' iey Foz': '. . :s /x,SS _:...?f-?- ielopera Constructiori, Inc.' '"- Fft?'?• r91 Oak r.h9S8 LdltB . ? . . ' . e,.L? Y. z;agan, Minn. 55123 , :._ ' ? ......__ . ?,. ' • - DELMAR H. SCHWANZ ..¢ . , LANOSUAVEYOR " ` RprstuW UOOh Uw* er TM Sbte ol Mmn4sota _ 14516 $OUTM R08ERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 630Et PHONE 812 423-176Y SURVEYOR'S CERTIfICATE 01'To44 -Z hereby certiPy that thla ts a true and .. g5p0 correct representation of Lot 3, Block 1, !.. '" CHFS M.AR FIRST ADDITIOAT, accarding to the , recorded plat thereof, Da:cota County, M.innesota. . = ; Also show7,ng the locatfon of a proposed - °fn house etaked thereon. .? QO? N February 22, 1977 y Z ? O I/ J ?J a z /? L 6.,?c A .+ /.bo 67 / pPpP05£0 ? Q 'o xO?gE 1D0 '4 ,s3S + M SCA;,F.: 1 ±nch = 43 ;eet N /+` 33 N N ?30 ..N 13 0 DraLinage & utility easement . . r O ?_ n l 4 N77°563? E 9600 no?VE _? r ? ?. ; ,. i ?}' r,.<A • M7NNf50TA RE ISTRATION NO 8625 •/) V [1 .. ? • 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: 'J)EZ4c?- Valuation: •25vc%p Date: -7- ?63'- Site Address: (3?? Ltkl,r-51DF- "j;K. Lot: 3 B1ock I Sect/SubL s?-t-? l ,4M , Parcel ll Owner M1Y-E tf?'NTZ?S Address Dr-• City/Zip Code t?'cb,?4n! OFFICE USE ONLY Erect ? Occupaney Remodel Zoning Repair i Type of Const Addition ll of Stories Move Length Demolish Depth Int.Impr. Sq Ft Install Phone 45`y-'iop10 APPROVALS FEES Contractor MZ44.lnfolr-tr.5 Address ZAq--7 Gtl;;? JN/- 50. City/Zip Code IVIN-", S95?kO6 Phone '71A "?t ?b Arch./Engr, k\AV-V--gi--A)'7.rcLi- Address 5p*+,c City/Zip Code Phone 0 Assessments ? Permit Water/Sewer Surcharge police ? Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off?•x- Treatment P1 APC Parks Variance Copies TOTAL ? So 2 •'= ? ? ;, , . •. nY rvey. For': DeCelopera Conetruction Tnc ^' .... , .: 4491 Oak Chase Lane ?? w Eagan, Minn. 55123 4 ^. ;` . ??? •z . : DE LMAR H. SCHWANZ LANDSUAVEVOR qp .stHW VnOM Uwsol Tne Sbte o/ M,nnatola . ' .- ' 11516 $OUTM R09ENT TRAIL P.O. BOX M ROEEMOUNT, MiNNESOTA 650E4 PNONE E12 423-1769 -' '• SURVEYOH'S CERTIFICATE . . _ 'E 044 5? 017 I hereby certiPy that t his ia a true and ,- ? 95 correct representation of Lot 3, 51ock 1, CHFS MAR FIRST ADDITIOT' , accorclirg to the , recorded plat thereof, Dakota County, Ninnesota. . , - y ; Alsu showing the loeati on of a proposed O -M house ataked thereon. ? ? QQ) °, February 22, 1977 Q N z / ,- ` z533 /??? / /PqOPpSEO n 0+ mq N +33' N SCA:.F.: 1 inch = 4;) feet ? j;0 n rzaj3 N n ?N /6pR/ ? 3235 Drainage & utility easerrent , ? . 1 r ?? ? N77ogfi j? a+ ' _- 95 00 i? ° f1" ?? ???f'r?." P ?1 '?i.?'??% .??`?"!1 - MINNESOTA RE ISTRATION N0.6625 LJ t RUSLDZ'tiG PrRMIi P.PPL2CaTIC?d 72'IACY 10£1.T.Ti0r7 ? ? - n't1IC8L " .^>E!TIOiI ?AIIYSER IF Uii3?7•.91'Sr,D .?----- 4.JrvT?!?; UCA03'MiCY 1 ? USE - ? S9' t '_:ui•T:irlT?;ll C'O:ii UFit71: : ;r3:FiFISS TELEPF.OIr :QO. :Oi>l?l'WI:C"iOR ???-- AllDatx'8S ?_ ? ?? -- tioi^_° 7uc1"I'1e. -A?:e c.lzr.; bn;_].ding plsns, and energy calculatiuns witl: this applicacion Sianed OFFICE USE VAT_.UtZ'Z'ION-63 s-Ac UAiE:Z cmdi7l,(7'_'a a1 VtA27 x a r,uiLnaNc FrWlt?? F-7-4 Si7RCFLAF'-GE T'EE P11l1Pi (:iiP.CIZ 'r'W: nAF'3: DEUIG'1TIG.? FEE l?MER TOTFti,* APPROVALS: ASSESS14E_'T CLERK?s RUILDING DEPT. POLICE DEPT. 77ATEi2 & SLFaER DEPT. FI?L DL•`PT. P11.RK DEPT. ,.____-, 5u4pv For: Deveiioers Conatruction Inr, ? ? 4491 Jak Chatte Lane Eagan, Minn, `?-;1113 DELMAR H. SCHWANZ LArvD Sui1 V EvOR Reqistatetl UnO4 I, ews ol Tbe Stale o/ Mmnesota 14515 SOUTH ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 55088 VMONE 812 423-1788 + SURVEYOR'S CERTIFICATE .' ,' E ? . ? N77°44 5, L hereby certlfy that this ta u triic wnd 95 correct representation of Int 3, 1-,ltjc:k i, CHFS MAR i+'IRST AL'L`ITIOt?, aCC;)I'Ciin;, to Lh(, , rer,crded plat thereof, Da:cot3 Count;, Miznesota. ; . =o Alsu shewing the location -)f a Pr)ooaed !^ houae 3taketi thereon. ? ? Q? N Pebruary 22, 1477 10. 0 N i? I Y / c ? gl qj o. ? 6T / PROPOSEO p 0? p E 0 H1s3 ? SCALF.: 1 ? nch - 4 ? °ect N 74. ? J 23. 3 N .. N 1! o a ? ? Drai-iage & utility easerr,ter.t . ? . o o / 6 _ o N7?°56 j0 E m ' 95_p0 0 In J! . ? ?sj?%r?/,? ? ,? ' -• .1 ' MINNESOTA RE ISTRATION NO 8625 / l: •. ? (Form Developed by the State of Minnesota RuiZding Code Division) TD BE SUB:fITTED WITH BUILDINC PERMIT APPLICATI0:1 ERTERIOR E*IVF.LOPE AVERAGE "U" COTfPUTATION' T OWNER: ?t7e' / ^?C„ SITE ADDRESS: ? ? ? ??<" ri ? ? ? CONTRACTOR: Pl? Ze-?-?/'f?- i•4t1TE: i_-?-/. 77P}IONE• /{?? _??7 Determine working square footage of each 1. Total exposed wall area......... ? 7? ?•`' sq. ft. x ?zl-C 7 1? 2. Total roof/ceiling area......... 7 sq. ft. x 3. Total exposed wall area calculations: Total exposed wall area above floor a. Total wall window area ............................ ?- ? b: Total door area ................................... SL?, X/ c. Total sliding glass door area ..................... T'.i' d. Total fireplace wall area ......................... 7Z , e. Total wa11 framir.g area (average 10%) ............. f: Total ne[ wall area above floor ..................... ???.?.?. ? g. Total rim joist area.. • • ... •. !, /-1CLDi?'E.'?>C•'?}N,??Lr6?ER?R:fA?;: ? Total exposed foundation area = 0. h. Total foundatfon window area ....................... . 7V i. Total net foundation area above grade ............... Determine "U" value of each wall segment xflU„ U. R rrUn ? ?•? ? . .-,- 7^ rr _ _ - /?• >-7 c. g glU,l 51r" d. ,- ?' . C R .tUlt 7 ? e. g IfUll I c C. a %' 1. 7/ f. K „U„ , ) .'^l n S' b \Iu11 ? h. /. ? g OfUt, 3. x vUn 71r, 3. ? TOTAL •• s' ?? ? n If item P3 is the sane as, or less than item 01, you have met the intent of SBC 6006(c)2. • S 443 Lafayette Road N. St. Paul, Minnesota 55155 www.doli.state.mn.us June 11,2008 ? MINNESOTA DEPARTMENT OF LABOR & INDUSTRY ? Victor Harris 1381 Lakeside Dr. Eagan MN 55123 RE: Inclined Wheelchair Lift Residence: H =LakesideDr. 138.Dear Sir m: - - Elevator ID# -15512PT08-07R (651) 284-5005 1-800-DIAL-DLI TTY: (651) 297-4798 Minnesota Statutes Chapter 16B provides that the Department of Labor and Industry, Construction Codes & Licensing Unit, Elevator Safety 5ection, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, CONS TION CODES & LICENSING ?.?. Tod g State Elevator Inspector tak/rsg (CE-2) c. Schoeppner, Dale R., BO, City of Eagan Arrow Lift Accessibility ElFOrmCE2R This information can 6e provided to you in alternative formats (Braille, large print or audiotape). An Equal Opportunity Employer Use BLUE or BLACK Ink For Office Use j Permit j ,Ilk 1 City of Ede RECEIVED Permit Fee: G- 3830 Pilot Knob Road I I Eagan MN 55122 MAR 16 2012 Date Received: Ab(OlIeL Phone: (651) 675-5675 1 I Fax: (651) 675-5694 Staff: A4 I 1 9-1 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l 2- Site Address: f S( o-kc " br 4,4 ~C Unit Name: Vlb 15 c 1 c HAf-ri`s Phone: '15Y HIS`' 3(oS"3 RESIDENT l 4Ake~_ OWNER Address/ City /Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: m-i-Gr -mod L oay Cep j (~,b ~C Construction Cost: 4`+r Multi-Family Building: (Yes / No Company. Ac-r-t ✓ Lf- (pA Contact: CONTRACTOR Address: 11041 City: _.44 &4 pAt4 L State: 1"^J Zip: 5. 67` Phone: lrS/ ;LjY /9a3 License BC- &Q-6 1736, Lead Certificate AfA7 ?44 aqv 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: L 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.ooaherstateonecall.ora 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. x /qk.d rc w R ASm u 5 Szdt x Applicant's Printed Name Applicant's Signature Page 1 of 3 La klv-~ DO NOT WRITE BELOW THIS LINE X335 / SUB TYPES Foundation - Fireplace - Porch (3-Season) - Storm Damage Single Family - Garage - Porch (4-Season) - Exterior Alteration (Single Family) 7- - Multi - Deck - Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi) - 01 of _ Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES, New Interior Improvement Siding Demolish Buildmg* - Addition - Move Building _ Reroof Demolish Interior k Alteration - Fire Repair _ Windows - Demolish Foundation _Z Replace - Repair _ Egress Window - Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation jU Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width" - REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests !Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By:' -F-7_ , Building Inspector RESIDENTIAL FEES Base Fee OLNIn Surcharge Plan Review MCES SAC /-7n City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 it PERMIT City of Eagan Permit Type:Building Permit Number:EA115258 Date Issued:09/24/2013 Permit Category:ePermit Site Address: 1381 Lakeside Dr Lot:3 Block: 1 Addition: Ches Mar 1st PID:10-17100-01-030 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 . Colleen Jacobsen Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Victor W Harris 1381 Lakeside Dr Eagan MN 55123 (651) 454-2653 1 derful Roofing & Restoration 2973 S Nova Rd Pine CO 80470 (303) 984-7663 Applicant/Permitee: Signature Issued By: Signature City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 SLoO°° Jvb+ 51353 Use BLUE or BLACK Ink 1 For Office Use IaloSt Permit #: Permit Fee: (j V Date Received: 3/11/19 - Staff: 11/9 - Staff: 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 31101 I '1 Site Address: I i t al L,(, - ' _ j I'd ( Y Tenant: \` j(, `� t l -C. h 7X 14 r j'S Suite #: J Resident/Ownert7l� Name: V) (--01( $ G`� II ii 41 cj � S� �(YI S Phone: (() " Address / City / Zip: _L 4:, L ke �. tc Z4i, alit) 55) o�3 Contractor �" Name: Nne 4 -ba(( :-ii 0 d- 41 r License#: 021 9 0 r9 QS5 Address: 19 \ley Yf 1 l l t 0 f S1— city: I-\ct. )\GQ y State: V Y'W ''. Zip: x`27Phone: �Q 5 1 - L �� N'69 - Contact: t'.,V VV Email: _ ' 4. {A 0 f OUfCt1'Y Type of Work New K Replacement Additional Demolition _Alteration Description of work: R� '.44 1. j/(r14 Ck NOTE:`Roof mounted and ground mounted mechanical equipment is required to be screened by City Code Please contact the Mechanical Inspector for information on permitted screening methods. Permit Type - RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement — Air Conditioner Install PipingProcessed - Air Exchanger - Gas Exterior HVAC Unit — Heat Pump — Under/Above ground Tank ( Install / Remove) Other — _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 $5.00 State Surcharge) State Surcharge) !n Ov = $ co 0 ° TOTAL FEE ' $100.00 Residential New (includes COMMERCIAL FEES $55.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract ***If the project valuation is over $1 million, please call for Surcharge = $ Surcharge* Value x $0.0005 = $ TOTAL. FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. � x x V ?r Applicant Pr nted.la e x Applicant ignature COW FOR OFFICE USE''' Required Inspections: Underground _ Rough In Air Reviewed By. Gas Service Test : In -floor Heat Final ate: VAC Screening PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131301 Date Issued:06/12/2015 Permit Category:ePermit Site Address: 1381 Lakeside Dr Lot:3 Block: 1 Addition: Ches Mar 1st PID:10-17100-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Victor W Harris 1381 Lakeside Dr Eagan MN 55123 (651) 331-8744 T&s Heating And Air Conditioning Llc 8617 Ironwood Ave S Cottage Grove MN 55016 (651) 829-0248 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA133120 Date Issued:09/23/2015 Permit Category:ePermit Site Address: 1381 Lakeside Dr Lot:3 Block: 1 Addition: Ches Mar 1st PID:10-17100-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Victor W Harris 1381 Lakeside Dr Eagan MN 55123 (651) 454-2653 Urban Pine Plumbing & Mechanical 780 Igelhart Ave St Paul MN 55104 (651) 888-2275 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK ink ` �------------- - ��`i - I For Office Use � ' . i ��?� `-� �1��' Permit#: Clt� of �a�� ' / 7� .�(ry ��. � Permit�ee: 3830 Pilot Knob Road I " ; .� I- Eagan MN 55122 � � Date Received� � !�� Phone: (651)675-5675 ��+�� I I Fax: (651)675-5694 I Staff: I DEC 0 3 2015 '-----------------' 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / 3 8 /S� Site Address: �� $/ �+�,L`�.5°%�� /�, Unit#: ...s .�,.�,��.�,�,w.��.�..�_.,,.� � �..�. , �.,.�.�...�,,��,�,��m� � A Name: !/��T�'` ��9-��z rs Phone: �S/-�/S'y��y� Resid�ntt - 1 �" d'� O�r_ .. Qyy�pf Address/City/Zip: �3$/ [.,��S, Applicant is: Owner pL Confractor �P,E,o/�. c.f �� si.,�� .7...�. �c � � ..., co,r- /� w s ' Description of work: -�Q...�� S,' z/ � l�s G,,7;�� T�P+�.�#'IA�a�� • � Construction Cost:�'j' $�.°� 4 Multi-Family Building: (Yes /No Q�- ;_ Company: G�1-.s' �K,��<cs' ��- Contact:� ��s ",. ' Address: °.3�.�9� �.a-��N �� City: G�o��r,u y �a�trac�r , ' State:/nN Zip: v��2! Phone: ,!s/.z-388-//(�$ Email: oa�► L, ,E�/,sd�u-i/c�-`1e�1-�, r�o� License#: �� a/� � L'ead Certificate#: f°��02'/ If the project is exempt from lead certification, please explain why: �\ 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: � 'I Licensed Plumber: Phone: � Mechanical Contractor: Phone: Sewer�Water Contractor: Phone: Fire Suppression Contractor: Phone: Alt?TE:P�art�at�d;��a�perr��r�+cta�rer�ts that;�+�u��rbra�'�ar�co��r��red t�be�ubfic Ir�fa�~r�a�ion Partio��,�#` ;, . t�xn#'orrrma#ion��a�r be:class�t"etl a�n�n-��ib�:`tt"y+�u�ro�ra�e s�ec��i�re�vn�:ffia#wr�t�#�p�r�a�#��e C�ty t� conclu�e.t��t�he ar�fir�a�e�ecr�t�, ' 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.qopherstateonecall.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. x ✓ o ''� ��i S x� ��e� Applicant's Printed Name App icant's Signature Page 1 of 3 .� �/� ' / ` 1 ��r� � `�,��,�5� ��LDO NOT WRITE BELOW THIS LINE l �C��'� 4 SUB TYPES ° Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Singie Far�ily) 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 *Demotition of entire building—give PCA handout to applicant DESCRIPTION Valuation f'1��J � Occupancy " ��/ MCES System � Plan Review Code Edition o�diy SAC Units � (25%_100%� Zoning jZ,�/ City Water — Census Code l�3k Stories � Booster Pump � #of Units � Square Feet �4� PRV ` #of Buildings � Length yl� Fire Suppression Required `—" Type of Construction t��7 Width �_ REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES �,(��,� ,Qj�,�L �i /y�' 3 g`�o � Base Fee /O 3 °�� Surcharge Plan Review �i � MCES SAC City SAC Utility Connection Charge S8�W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 �v�y For: . :��l�pers Constructi�n I�r, ' • � t 92 �Jak Chaae Lane J ��/..2� �a�an; Minn. a5113 r " . � `7 � � . , ` i DEIMAR N. SCHINANZ ! ��r ��c �� l.ANO SuAVEvOR Req�st�r�tl Un�1�� L++`s o+TM SS�t!O!M�nnefota 11515 SOUTH Ii08ERT TRAIL P.O. BOX M ROEEMOUNT� MINNESOTA 550d� PHONE 81Z 423-17a8 SURVEYOR'S CERTIFICATE 44,5`,tE '__ � N'►�° I herebvi certi£y that tr�s is a tr�i� and gg�0� c�rrect representat�an •�f Ia:�,: 3, t�::;;ck . , ,,_-- • , .. CN�S MAR FIR�T �,L�iTI;j\, ac^.:�t•c'.��, �.� tne _ reccrded plat ther�eof, �a:c:��3 c:�a�.�nt;,� , Minne�ata. _ 3 • =o Also siiowing tne l��cati:,�n :,f � r:,:��pc�sa� Q M house s�akec therean. � "� � o Q °� F?J��2"13 T';� �_>� � `?T 7 � Z�3 � :� �� .� � � , .. � i � -o , o '�/ `� /_ yl "I N '� � �� D�� 1� y a � � �ti . � ,`, � 1 a �_ CJ T f � �c C,g A �� .. � - ('�,��s _, � � 9 �- ti, �, � �x � � 25QRavasE, M dvl r `^ � N „3� � � �;� � P s�•,� �3�ea�: 1 t�c� = 40 :eet / �/// o � ; ,�.0 23.�3 � �,Gn��UN•v! N a " ��, � � � a !� .. N iD�� ` �6A � • � � � � / 333'i "'� _ - �DT3�.`t3�y�: �i ut�li:y eas�;c�rt . • � '+s � • p Q ' lI� �� _' Q @v,.�'�."��n.a�49 d s o � �77056,3�„E � ��frr�__.�°'�� '�r 9g-�� t.�:;"v:��L-�---- o OR��E�� ;u� _____�_,«..��/.� � _ KES��E..— "`�_-- _ ��.� � `�:: �:mt��'�t�� t�tt1�� L,� !�/�cv �C � �--�''� C��f r �S"a-�� '; �� %d^' r�-.r �`` ��. � � . � � (�ll %fl�'/if ,�'' �t, � �. r� MINI'VESOTA RE fSTRA710N NO 8625 % {� 41,111 City of Eaian 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 152016 r Use BLUE or BLACK Ink For Office Use — CJ"" Permit#: /3-51-70V /1if '7 / Permit Fee: Z7/2 - i' Date Received: -_ J-� -"'K Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -_5— 6 Site Address: /2c4)/ Z� � Unit #: • entl r Name: (.77:7E #4/1-76-4.r Phone: Address I City I Zip: /8 8( „2-4- -C ,S'r D e'�• Applicant is: Owner Contractor .x> Description of work: /47/4-C, ✓i /I cr.,/Y(-W G�4/-2' 2 /r Construction Cost: /t dee', ov Multi -Family Building: (Yes I Novi--) ! C Company: 4-...'/%.5" C_ t I e6-ei Zr Contact:_7o:7 Z1//, -.,r - Address: �s7o 6.¢'2:04,0 67-- City: Geo(' .,1"d e -7-1 v c�///.s ,/u -7v i State: 41, Zip: SSS/?� Phone:fi/2 28 6'//G8 Email: , Z-0,-37 7-::"/ 0 yo7? — b/ 2 p ri License #:R6 Lead Certificate #: /4------ --If Ifthe project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and porting d uments tha u s K ® / # • $ � :.® be ptablic:,in • atio P ions of alae information ®e clan on -public rf ; • 8 *specific reaso z f4• to CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of 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. Applicant's Printed Name x G�Cti� Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE /L?5'1/O SUB TYPE$ Foundation NtSingle Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 1 00% j.) Census Code #of Units # of Buildings Type of Construction — Fireplace _ Garage Deck Lower Level Interior Improvement _ Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS 1. Footings (New Building) Footings (Deck) Footings (Addition) Foundation • Roof: _Ice & Water _Final Framing ▪ Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Wails Braced Walls Reviewed By: Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ 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 I No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: „Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wail: Footings _ Backfill _ Final Radon Control Erosion Control Other: , 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 rvey For: 4/?.S �► ,e7E1Jpers Construction Inc. 4', C .I Oak .hose Lane �- ��7�� Eagan, Minn. 55123 /� 13c& I L/ /'6s' c46 DELMAR H. SCHWANZ LAND SURVEYOR Reg,st.r.d Untle, Laws o} Trio Stito of M nntsot. 14515 SOUTH ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 55066 PHONE 812 423-1781 SURVEYOR'S CERTIFICATE I hereby certify that this is a true and correct representation of r t 3, 1,1ock 1, CHES MAR FIRST ADDITION, ac^.:)rdin t.) the recorded plat thereof, Dakota Co..,inty, , Minnesota. Also showing the location Df a pr.>posed house staked thereon. 0 14 February 22, 1977 'rue/4 .13z>,k 61c,; >7 SCALE: 1 inch = 40 feet �- Drainage ix utility easement CANE- �aKEStDE _ 0 >n 1 MINNESOTA REGISTRATION%NO 8625 Dale Schoeppner From: Hix, Donna (DLI) <Donna.Hix@state.mn.us> Sent: Friday, July 22, 2016 9:29 AM To: 'projects@arrow-lift.com'; 'projects@arrow-lift.com'; Dale Schoeppner; DLI.EIevator.ETrakit Subject: Final Approval for Permit Work at 1381 Lakeside Dr, Eagan ARROW LIFT ACCESSIBILITY: The ELV INSTALL permit work has been completed and approved for the following project: Permit Number.._.ELV166S=00189 --- Project Name: VICTOR HARRIS ,Ste Location: 1381 Lakeside Dr, Eagan The Department of Labor and Industry is required to inspect and provide approvals on elevator related devices prior to allowing them to be placed into service. An Inspector from the Elevator Safety Section recently performed an inspection of the work performed under the permit listed at the site above.The new installation is in compliance with the Department rules for elevators. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. CONSTRUCTION CODES & LICENSING DIVISION Elevator Section Use BLUE or BLACK Ink • r For Office Use (``�—/' I i '* Permit#: /LI6/1- IG.' 1 . City of Eaaall Permit Fee: /v 0. 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: ( / Phone: (651)675-5675 1 ,%./3 buildinginspectionsOcityofeagan.com JUL Z 4 2017 Staff: il 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 71/ Site Address: /-3 0l /4-4.!:.: S , c'L J-'e Unit# IName: �/, c„ c•2. ,41,2,1,;s Phone: Resident/ Owner Address/City/Zip: /3 8/ k/-5;d,-!-. 12(, g,...... I , Applicant is: Owner c,,(—Contractor I I. Type of Work 1 Description of work: C.&'.c l%N ,W-core 'c,0_%v<,f'.1 ,'v t�C't 7`Pte( I Construction Cost: Yr/,'of Q ' Multi Family Building: (Yes /No 17) t Company: 1�,5 /3i c / 2� .___/,�� Contact: 7:7;41 1��,-f i p y / 1 I Address: ,53-9 a C.;-4.... -4416...., L.i City: �L)l'Sc-4ec/C Contractor 1 / 'S r )--3Ad-//� , Email: 7%2/ //.si3'€ .`/Ij /I c,-,,,A I � State:Al n� Zip:.S /,��' Phone: r!/ f � coG�' License#: C- c / J f e 2 Lead Certificate# /16 .,:.5-r„)._ If the project is exempt from lead certification, please explain why: 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: • 1 Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information.W Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they 3 y are trade secrets. ... ..,: nn M.. �. ., . .. -., 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.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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. e// x V "'% /!j - ,r x / C�"Cs,� Applicant's Printed Name Applicant's Signature Page 1 of 3 I C_ I C—`moi Q 11)6L - DO NOT WRITE BELOW THIS LINE /07(55_6' SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) ec 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 0 Alteration Fire Repair Windows Demolish Foundation 1 Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation c),bccoOccupancy ,ALL- MCES System Plan Review Code Edition IAA 2.01$' SAC Units (25%_ 100% ?(:)) Zoning F. —\ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \j-E> Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) >O 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 >6 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: t p r'� LN : I<) ',4 , Building Inspector RESIDENTIAL FEES ,C Base Fee /1)1,44 YY) ✓ Ira / e Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3