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1424 Kingswood Ponds Rd WC1.`ttfiCRtC of CCCltpQ1iC? Mttj of Wagatt #?e?rartmcttt oi'8ui[bing 3nav¢ction This Cenificate issued pursuant to the requirements of rbe Uniform Buildrng Code cenifying thar at the trme of issuance this structure was in compliarzce with the variaus ordinartces of the City regulatirtg building constructiors or use. For the following: Uu Ciassifiotion: SF DWG Bidg. Pmnit No. 32250 Occ'F-ncr ?Yve R-3,, U-1 zonN6 oiso;a R' 1 rype const. Vn o? orewiaing M WJaW9M OCNSf Aaam 17645 J[JNIPE.R PAIIR, ?CEVILJ? ? Building Address 1424 KRCSWpOD F'C7NIDS RD ,oca,;ry LQ B2 (.? PONDS i$t oau? m IN A CONSPICUOUS PLACE , -- ? ?-- - - - - - -- - ? - -- - - - -- ? CiTY OF EAGAN ? PERMIT TYPE: 3830 Pilot Knob Road Permit Number: `. r± Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ? ?..: 1'ifl P5?N0i1 kO ; ? ? ?,: ;• t ?- 1 . ? C:.'ti94a PERMIT SUBTYPE: TYPE OF WORK: 14 1 1a INSPECTION D. . D, kEMakK';- PEAN KrvW;,; s,•; Mrr:t f;,tr:; k S&W f't UMRi? t, t;ti? r72Y? i. Mi t?Sit1h1 t ? ? Pe it Holtler Date Telephone # BING 7 HVAG L1 * ? 98 ? (e'7 Inspection Date nsp. Comments FOOTINGS ? 'e1f FOUND aO d O FRAMING 4 G ROOFING ROUGH PLUMBING g PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ?7lO GYP80ARD FiREPLACE f- FIREPLACE AIR TEST FINAL PLBG vu PINAL HTG P ORSAT TEST BLDG FINAL / DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVI7V TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECKFTG ?S DECK FINAL p 6t ihr 4 Address 1424 xlNC,swnnn vnNns un Zip 55129 _ LOt ° Blk 2 SubKINGSW00D PONDS THESE ITEMS WEIjE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: g ?? 9 cir Yes No Inspector: ZAZE Final grade (6" from siding) ? Permanent steps (garage) i/ Permanent steps (main entry) ? Permanent driveway Permanent gas ? Sod/Seeded grass t/ Trail/curb damage ? Porch Basement finish ? i'' z?? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside Iawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing undetground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Coniractor Copy U ) -? q6 ? 2007 RESIDENTIAL PLUMBING PERnnir aPPLicATiorv CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings oate S / Z 3 ? ,)1 Site Street Address k" --? ?UMS LY3DCOA Unit # PropertyOwner Telephone# )6 & (P _qo& Contractor °4' Te?[epChone # ((a5 )7i?'-6D1 ? Address City c? State (`rIC\ Zip `SZID2- ? Q--O?U`(.'Qb\ ? •R- The Appiicant is: _ Owner -,#.- Contractor _Other Refurbished Submit 2 sets of plans and MPC license New Septic System Includes County fee _ _ $ 100.00 Per as-built $ 10.00 Fire Repair (repiace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are insfalling only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. e t I? [E?C? RE 0 W E ?l _5eptic System Abandonmen _ W a t e r T urnaround (add $136.00 if a 518" meter is required) MAY 2 5 2007 Other: Water Softener ? Water Heater $ 15.00 new " replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 ? ?•? Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ? V\ TN0V, ALUPAOK? ApplicanYs Printed Name App icanYs Signature ?~ f 2005 RESIDENTLAL BiJILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan ibIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys showing sq. k. of lot, sq. ft. of house; and all roofed areas (20% ma)imum bt coverege ailowed) 2 copies ot plan showing beam & window s'¢es; poured (ound design, etc. i set of Energy Calcula6ons 3 copies o(Tree Preservation Pian if lot plaUed afler 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) ??? ? RemodeUReoair Reauirements Otfice Use OnN 2 copies of plan Ced of Survey Recd r:;-Y _N 1 set of Energy Calculations tor heated additions Tree Pres Pian Recd _Y _ N 1 sitesurveyforadditions8decks TreePresRequlred _Y _N Addffion - indicate r/on-site sepfic system On-site Septic System `. _ Y_ N Date ?/ SiteAddress (f ? 1` /? K (',n o)5 W o o(?. 1(4 7,q 64611--2 I /?,?,-? 6 n?15 g°Construction Cost ?J?-"--?? UnitlSte # Description of Work Oc.)l&J->t &A? Multi-Family Bldg _ Y kN Fireplace(s) _ 0 ?..? 1 _ 2 Property Owner ? r C;7U CLJ C- I C- ?,?, Telephone # ( GS1 Contractor ? n 5 l ! f Address State bo?)) 13) Zip %V7 City 9,v Telephone#q5,Z) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitled Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved pl ' t e case f ork etr`_re?,u r? d approval of plans. JUL 2 0 2005 Applicant's rintedName Appli t's Signature IBy`_ OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex O 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 07 05-plex ? 13 16-plex ? 20 Pool ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 30 Accessory Bldg O 31 Ext. Alt - Mufti ? 33 Ext. Alt - 5F O 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish 8uilding* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolitlon (Entire Bid g) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice& Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ FinaVC.O. _ Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows Retaining Wall Building Inspector \ V? CIT1+ OF FA? ` CAS€ilEFie S TERERaNAL NOa 7$2 . DATEn 06/22I38 TEMEa 13e49a39 ILi s i4AMEe ti W 3OHAtSON. CEhNSTRECTIfi3s ING 2256 9001 f 414 h'AEGS WL= FN 4767501 2256 90€I3 1424 .fNGS 14D PN 4,622.71 , To+,al Recaip#, Amaunf;e a7237.19-42 f.R093737 tt5rcEi ILf e NAi3tCY X?X i??kY,cz????k?k?tY,z?C?:?X??X? #rgc #Xc?XtXe?k.rt?t?X?XtXc?;?:_::Y??X? ? CI•TY-OF EAGAN 3830 Piiot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: p.I.N.: 19-42050-090-02 DESCRIPTION: FERMIT ? PERMIT TYPE: Permit Number: Date Issued: 1424 KTNGS WOOD PONDS RD L,QT: 9 BLQCK: 2 KINGS WOOD PONpS SF DWG NEW 1\ t' -J q ll-1 VN R-1 72 68 2 2,654 101 1 - FAM. L1ETflCW ,?? ?a? as`m ?y ` aai .• , . A,q a??.. suxLozNG 032250 06/19/98 REMARKS: PLAN FiEVEWED BY MTKE BARCK S&W PLUMBER: WENZEL MECHANTCAL FEE SUMMARY: Base Fee P1an Review Swrcharge 5AC SAC % 5AC Units Subtotal VALUATTDN $1,182.25 $768.46 $79.50 $1,000.00 100 1 $3q V J0. L.1 $159,D@0 MYSC FEES 11,592.50 7ota1 Fee $4,622.71 CONTRACTOR: - Appiicant - sT. Lzc OWNER: JOMNSON CONST, M W 18925200 0062207 MW JdHNSON CONSTRUCTION ,-3.7645 JUNTPEFt PA7H 17645 JUNIPER PflTH LflKEVTLLE MN 55044 LAKEVILLE MN 55044 (612) 892-5200 (612)892-5200 PPLICANT/PERMREE IGNATURE , . . gt3u?ING PERMIT APPLICATION (RESIDENTIAL) ??'2?•?I CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 V 1 ( 681-4675 ! l r'. New Conatruction Re uirements RemodeVReoair Reauirements ?• f3 registered sRe surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window s¢es; poured fid. design; etc.) ? 2 site surveys (exterior addkions & de 7 energy caiculations ? ? 1 energy ralculadons for heated additions ?? ( r ? 3 eopies of tree preservation plan iF lot platted aRer 7/1/93 l ? required: _ Yes ?T/ No DATE: (r ? CONSTRUCTION COST; DESCRIPTION OF WORK: C O12°?An.l7r1y) - STRE T ADDRESS: Kjna,S?OCY?, `-yhryckj Q C) . OT: ? BLOCK: L SUBD.lP.I.D. #: Nar„e:-W K,/ jOk:06/ ?jRaof) Phone C7 Z` C32.jco PROPERTY Last First owrrEx S?.?U Street Address: 1-1(?p ,? cver City State: 3fl/j Zip: Company: - ( I / l\I ? J?Wqk C60-R[1(PWPhone#: b`"l 2 - . /nLoo CONTRACTOR ??? Street Address: 17? License # 000RC/30_1 ctry LAKFAll LLE state: Ml1l zip: ARCHITECT/ ENGINEER Company: Name: ,?Qdb Street Phone#: b')??? Registration #: .? Ciry State: 111? I Zip: Sewer 8 water licensed plumber (new construction only): LJP?Zt . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this applicaNon and state that the info tion is correct and agree to comply wfth all applicabl State of Minnesota Statutes and City of Eagan Ordinances. ? OFFICE Signature of Applicant: D ? Certificates of 5urvey Receiv 7Yes LY ed No ?/?-- Tree Preservation Plan Received _ Yes _ No ? Not Required '._ _ ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex )402 SF Dwelling ? 07 4-piex 0 03 SF Addition ? 08 8-plex 0 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE & 31 New ? 33 Alterations ? 32 Addition 0 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory 0 ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition ?A/ Basement sq. ft. Jti( Main level sq. ft. f2 ?o _t 4"??a sq. ft. R-/ sq. ft. i sq. ft. '7z' sq. ft. s T Footprint sq. ft. I L, Cl 2 MC/WS System I G 2v City Water 7 S3.s Fire Sprinklered PRV Booster Pump Census Code. i o r SAC Code 0( Census Bldg ? Census Unit i Building /fltg Engineering Variance ._A Permit Fee Valuation: $ 17-90 Surcharge Plan Review 44V 19 -,a License 11 zv MCMIS SAC z City SAC Water Conn. b 33s Water Meter Acct. Deposit 1 vqz rb A 2s= S/W Permit S/VV Surcharge s? r,?u 5 ? ? 4 Z Treatment PI. 'Zy? zoK Park Ded. Trails Ded. Other e7,412 ie ap _._ ; ? 10 )c 't ? % SAC ' SAC Units ??----' ? k Za ro? sy= W3, yd rb 4 157?-7 /4i. .? 1 , 7-t?U -?_ 1 5? ?/(o ?- . ???` 4 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? a S ? ?O ? 0-`? O a"? o 6---E3 ? 6'0 ? M-`? ? 0-'o ? Er'0 ? ? ? ? ? M-`0 ? iEr'O ? 0--'? ? ? O-'? PROPERTY LEGAL: . . . . . . . nr'o ? • 0/p ? • L9--D ? • C? ? ? • B??O ? • 0' ? ? • 0 ? ? • ? ? ? • ? ? ? ? ? • ? 0' ? • 0"o ? • G7/'? ? • ? O ? • 0?' ? ? • 8? ? ? • ? Q% ? • January 1996 CRA1Ci79B81BlOGPRMT. FM DATE OF SURVEY: ? O LATEST REVISION: DOCUMENT STANDARDS Registered Land Surveyor signature and company Building Permit Applicant Legaldescription Address North arrow and scale House type (rambler, walkout, split w/o, splR entry, lookout, etc.) Directional drainage arrows with slope/gradient % Proposediexisting sewer and water services 8 invert elevation Street name Driveway ELEVATIONS Existln Sewer service (or Proposed) Properly comers Top of curb at the driveway Elevations of any exisUng adjacent homes Prooosed Garage floor First floor , I Lowest exposed elevation (walkout/window) Properly corners Front and rear of home at the foundaUon PONDING AREA (if apalicable) Easement line NWL HWL Pond # designation Emergency Overflow Elevation DIMENSIONS Lot IinesBearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc. (i.e. all structures requiring pertnanent footings) Show ait easements of record and any City utiliUes within those easemenis Setbacks of proposed sVucture and sideyard setback of adjacent existing structures Retaining wall requirements, if any Reviewed: Iama / Dete 1 . Norui tor use with Mintiesota ltules Pazt167U.U475, Subp. 2 • . , 1 & 7amily Residential "Cookbook" N iod SITE AW772 Tty ?? Z.'-t IC t U1/)h tx/flf `l I?v1n?C ??r).v? T-- ('1rkr1 Y-1 Date `j (r,. T-q 11flnimum Criteria: Rim Joist: R-19 insulation Foundaton Windows: lnsulated glass, 1!2" air space, aood or viny) frame Enw doon: I1/? inch solid wood with storm or better STEP 1 Window & Door Area I I STEP 2 Calcu)ate area as a perceat of wall Total Window & Door Area in Sq. Feet Box A(window & door acea) divided by Boz B(tota] WINDOWS (including foundation windows): wall area) times 100 equals the window and door area Dimensions Qnty. Area as a percent of wail area (Box C). 10 X ' >0 ? x 2-4- X 4-,,,, ? . ? X j === x X =v x ,ao x !" v DOORS- 1 - ? , -, l(? g X -, ?/ /? Total Area of Window & Doors i 0/,? : ?A Total Wall Arta in 5q. FL Wall Total Pcrimeter Hei¢ht Area ?"?Z ( 154? 2 I(7 ? Z o Total Ate.a _ of wall BoxA ?9T, Cpol z 100= BozB 2t.Qo 4 C STEP 3 Design Features ASSFMBLY OE'TION FRAME WALL: STANDARD FRAhIING ADVANCED FR41rIING CAVITY IIVSULA770N R- Z SHEATEQIVG: LESS 7'HAN R-5 R-5 OR MORE WINDOWS (except foundacion windows): U-FACTOR . From the table, determine the mazimum percent window & door ama tor the design options selected and enter the value in box D below: , l s. ¢n Box C must be less t6an or equai to Box D ? CERTIFlCATE OF SURNEY for M. W. JOHNSON sI (6B/. i9 sm'oo' It -1 cn/-%r `J- ?r ? ?pf?t•?91?_ ?y- ? ?, R . . 1Y p L . 7 5AA /$2 3?j ??z Scale: 1" = 40' ? J ? ?. _ .. • s??? ?0903AI e 0 oged hou9° ? egmt e? F?76.zZ4 10 \ A/ o ?,? 11 1 ?91 il?v 4 ,?<Jll C.*twooll"' 11 8I 95? 7/' , j ,o._- ? 1 1 \ 1 ? 1 1 1 1 r?: 11 1424 Kingswood Ponds Road Lot 9, Block 2, KINGSWOOD PONDS FIRST ADDITION Dakota County, Minnesota Plat bearings shown o Denotes iron monument ? Exi g j Proposed i ?N?qro? . `?_- ? ? ?• n.9 J27-99-98 r?/ 1 l??J TfJ ?(' ?``al L- DESCRIPTION I hereby certify that this survey, plan, or _ ?- report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Date U/d qU,{/ Iqgg Reg. No. 8140 BUILDING INSPECTION5 -- "PT• 506"01.WE ? i , ?1, :,i'_k:? zaj T^. ?rT ??,,'•=?`d'6abtls`rTi ?C. _ BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Burnsville, MN 55306 : (612) 435-1966 , J27-99-98 `: 1 1 1 1 1 1 1 ; 1 1 ti 1 1 ? Suite 206 CITY USE ONLY LOT 9 BL ? RECE[PT#: 95 gqS SUBD. ? ? , ? ., ?' RECEIPT DATE: YG/9 ?' 199$ HI£CHA1VICAL P£RMIT (QES1D£NTIAL) CITY OF £dkfiAN 3$30 P[LOT KNOB RD E}kfii4N 1HN 55 ] 88 ?l'7n (s,Q) 661-4675 Date: Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied ' ? HVAC: Ci-i0OMB T U $ 24.00 ADDITIONAL 50 M BTU 6.00 . Gas outlets (minimum of one required @$3.00 ea.) 9, w • State Surcharge: .50 • TOTAL: '39. 5-1) Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install fumace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: . ., - J - - OWNER NAME: ,/L U --! 4 PHONE #: ?Q " ?d'o V INSTALLER NAME: SQ [Xe ]Tc(,At`I-?? ? i l- [ d- AC PHONE #: 47 3 -d`J-677 STREETADDRESS: 1476S- 5"'l' k CITY: ]S/FORMS BLD/MECH PERMIT (RES) - 1998 STATE: ZIP: JiJ ? L ? ? GN URE PERMITTEE L BL SUBD. APPROVED BY: 199$M£Cfii°ENICAL PEEiMIT (COMMERCIlkL) CITY Of' £fk6A1V S$SO PILOT KNQ$ {tD EA6ikN, MN 55188 (618) 6$1-4675 Please complete for: all commerciallindustrial buitdings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FBE STATE SURCHARGE TOTAL SITE ADDRESS: O WNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: _ ADDRESS: PHONE #: CI'I'Y: STATE: ,i cmr use oNLY RECEIPT #: RECEIPT DATE: INTERIOR IMPROVEMENT ($.SO per $1,000 of permit fee due on all permits.) PHONE #: ZIP: SIGNATURE OF PERMITTEE v L 9 BL ? SUBD. . ? CITY USE ONLY n, s I? ? RECEIPT#: ??'? RECEIPT DATE: -I 1998 PLUIABING PERMIT (RESIDENTIAI,) CITY OF EAGAN 3830 PILOT IQQOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTLRES EACH - - - - --- # - - ---------- TOTAL Shower 3.00 x _L = 3.400 Water Closet 3.00 x _114 - Bath Tub 3.00 x 614040 Lavatory 3.00 x Kitchen Sink 3.00 x ? Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x -7- - 3, DD Floor Drain 3.00 x 7- _ '3. lJt7 Gas Piping Outlet * minimum -1 3.00 x -v. DD Rough Openings 1.50 x = Water Softener " for dwellings under construction 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G. SprinklEr * for dwelling under const. 3.00 = U.G. Sprinkler "forexistingdwelling 20.00 = Alter'atiDns * to existing residence 20.00 = Water Tum Around 20.00 = PrivaCe Disposai System * MPC iic. 75.00 - (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 TOTAL ------ - ------------------------------ -------------------- I hereby adcnowledge thet I have read this application, state thet the information is correct, and agree to comply wkh all applica6le Ciry of Eagan ordinances. It is the applicant's responsibility to nolify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities construded under this permit within City property/right-of-way/easement. SITE ADDRESS: / v OWNER NAME: ? LU Q6 INSTALLER NAME: TELEPHONE #: ?ara?-/S(oS STREET ADDRESS: GITY: CC.9,h/Y! STATE: In A/ ZIP: 6'S1021z- ? TURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 CITY USE ONLY L ? 8L ? RECEIPT li: a SUeo. I????SWo?? Pondc.,? RECEIPTDATE: `Gd PERMIT # 8000 PLUMaINfi PERMTI' (RE51DENTLmILL) crrY oF Etsax sgso Pu.or xrros sn EA6AN. MN 5518E 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system CIvT11DGC FO('H TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Ga5 i in outlet ' minimum -1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ laund tra 3.00 x = $ Lavato ' 3.00 x = $ S@ tIC S stem new/refurhished ' re uires MPC lic. 75.00 X = $ Se tIC S St2m abandonment 30.00 X = $ I RPZ new insqllation/repairhebuild 30.00 X = $ ? Rou h o enin 1.50 x = $ Shower 3.00 x = $ ' Undef roUllds 1'inklef ifdwellin isunderconsGVCtion Under round s rinkler irexistin dweuin 3.00 30.00 x x _ = $ $ 30 ' W ater cioset 3.00 x = $ I Water heater 3.00 x = $ Water softener if dwelling under consVUetton 5.00 x = $ W ater softener N existing dwelling 30.00 x = $ ? Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ---> $ .50 Total --> --> ---> ----> $ O Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ••---•----------•----------•--------------•----------•---------------•- •-------•----------•---------------• - ordinan- ces. -p -ble-Ciry•of Eagan- - -correct, and-agree ta comply with•all-appli- -I-have-read-this application,- stale that-the information- is- I-hereby acknowledge-that- It is the applicant's responsihility to notlty the property owner that the Ciry of Eagan assumes no liability for any damages qused by the City during its normal operetional and maintenance activities to the facilitles consWCted under this permil within Ciry propertylright-of-wayleasement. SITE ADDRESS: /yoZ y ?C?^lG,S ?o-?t D ?? OWNER NAME: : TELEPHONE #: !?yf IqFSC9 -`?? ?CO (AREA CODE) _ INSTALLERNAME:?JJP`?-?? TELEPHONE#:,11?? T???SCo ?? (AREA COOE) STREET ADDRESS: `J'!S ?JV.f ?c-I CITY: STATE: ZIP:_ ??f?•? SIGNATURE OF RMITTEE v 610 2007RESIDENTIAL BUILDING rERMiT nrrLrcaTiorr City Of Eagan 3830 Pitot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements 3 registered site surveys showing sq. 2 of lot, sq. R of house; and all roofed areas (2096 ma)imum lot coverage allowed) 1 Sa7s Repott if propased building is to 6e placed on disfurbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 setof Energy Calculations 3 copies of 7ree Presenration Plan if lat Platted after 711193 Rim Joist Detail Options selec6on sheel (buildings witlh 3 ar less unifs) Minnegasco mechanical ven6lation farm ans a Date -/ / ?q /? 0? / p Construction/Cost,? Unit/Ste # Site Address ? 7 y /? /n 9 S(.v?Oe? J rD e?d S C? ? t P co Description of Work ( Malti-Family Bldg _ Y j? N Fireplace(s) _ 0 2 f 7 e rle?c- ? -P f V ? Telephone # ( G)) I E 6 - Property Owner Contractor 3 ig2?1 S cl1 l_cov1 S ?? Zo WQ,/CeI' S Add n ?r%/G 0,1 i citv Sf Go? r3 /'4F ress State Zip ?'L/ 2 4, Telephone # js^Z) 920- O 217 RemodelfReoair Reauirements Z copies of plan showing footirtgs, beams, joists 1 set ot Energy Calculations for heated additlons 1 site survey for addi6ons & decks Addition - indreate if on-site sep5c system Office'Use 0'nlu Cert of Survey Recd _ Y _ N S6ils Raport Y _ N Tree P[es Plan Recd Y _ N. Tree Pres Required _ Y _ N Onsite Septic System _ Y _ N PI re considered ublic information unless ou state the are trade secret and the reason. COMPLETE THIS AREA ONLY !F CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code CBtegory , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (V submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor c /`q rq EL4 l Applicant's P mted Name Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a,permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and approval of plans. , Applicant' ignature DO NOT WRITE BELOW THIS LINE Sub Tvaes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex Work Tvpes ? 37 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 23 Porch (screen/gazebolpergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bidg) - Give PCA handout to applicant DeSCI'IDt1011: Water Damage -Yes Valuation Occupancy MCES System Plan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQiJIl2ED INSPECTIONS Eootings (new bldg) Sheetrock Footings (deck) _ Final/C.O. Eoorings (addition) _ Final/No C.O. Foundation _ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? OS 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex Use BLUE or BLACK Ink r-----------------� I For Office Use � I �V Clt of Ea a� j Permit#: � y � � �. �� � � Permit Fee: � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 i I Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J �Q 1 � Site Address: Unit#: � ) I _( �� �4� ' Name: 1i1 ��1-2�T�.VI�� Phone: Address/City/Zip: � �"I F�i S�,J JO � �� � Applicant is: Owner V Contractor Description ofwork: �2-VZX7� Construction Cost: �� Multi-Family Building: (Yes /No✓ Com an : 1`OOS� �X��� O Ir S �v1 C.. ' � � p y Contact: i e. �c�vt C.lY��e � � �, . Address: 1 C�b�'�1 W O U� /�/2. U� City: ���e.�t,.�I 7�, .�� : ,�� ` State:�Zip: �s i a$ Phone: �Io�3g�`f US7-zEmail: S<'�+r' ���'oa�2��,-�-i��5;�o License#: L���b� � �3 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: �' ° Q �._ . :� _ � _: _ 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.aoaherstateonecall.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 J"`�-r 1� l�f�1-��t- �.�1 c�lir�vt Ce,� X • ApplicanY rinted Name plican s ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA133494 Date Issued:10/16/2015 Permit Category:ePermit Site Address: 1424 Kingswood Ponds Rd Lot:9 Block: 2 Addition: Kingswood Ponds 1st PID:10-42050-02-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gene Tste A Fletcher 1424 Kingswood Ponds Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136719 Date Issued:05/26/2016 Permit Category:ePermit Site Address: 1424 Kingswood Ponds Rd Lot:9 Block: 2 Addition: Kingswood Ponds 1st PID:10-42050-02-090 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)$59.00 0801.4088 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 - Gene Tste A Fletcher 1424 Kingswood Ponds Rd Eagan MN 55122 (952) 212-2229 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink • For Office Use Permit#: i 6ot�9 City of EaR,all Permit Fee: 0 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: Phone: (651) 675-5675 Staff: Fax: (651 - 94 AUb 1 8 7017 I 2017 SIDEN�jTIAL PLUMBING PERMIT APPLICATION Date: -I -' Site Address: `�.A* ` �'�" "6" —` '1�'^.A, 11.4... fAJ Tenant: (' Suite#:. ti ..`,:-.%-'411.,. ,,.t 2 '�l sr'•';' ," I , -)-(0—I") , r }( Name: �A. �' Phone: P's.'s�.s4i ii-� '#''. f ;at = , / �J �. � titf,ek%,A'af ,,ss�fi c Address/City/Zip: ' 6cs (� /� ,rf V ((� l� , - ♦_I c l,, ,s„,� .t`)a r,,�t `� `. Name: Y U 1�1t�'V /ia�J�! cif fo4g. . a License#: ��i"� r r)e ib1 r s r D1 ��.r/ L i\ , (L 5+ Cit ;OXY \ � l 2(( }44.1 `fr�`�'k, h '� �'�A: Address: kt,i ku4vfrac • 4-,, city- Corot- `G ( �' IV', ri sire4:0, .(. , .., State:Y_ u v Zip: .1� Phone: (S'` `''.. I-��"(, 1 <ft`itt i A" �, _:,4140-10'S' 1 kth;.ti t Email: � Du , a65 Q l l9l "l.U�i'"firit ci/ r v � � r t? f' !� �!a�,; Contact: y-\ IT\� ii u t r, r_t New Replacement placement _Repair _Rebuild _Modify Space Work in R.O.W.; e ” tc' _ 3.:''''`"'%'';'`V=-1 .: 4: 'x,'t, ,t a!2 ; Description of work: 0,',,,,,,,,,,,'pksn,,,{t tf ' ,, t y1. RESIDENTIAL Vii!(.1, (`>'f' 4,, pe, jy ° j+ y( Water Heater 7'ix f �rfj'14 LNN ,r"S�i< 3 ..�id- '',44:'''[.t tY F�•. rt1z , f Water Softener Utz ,il �;e`.,,t' x Lawn Irrigation(_RPZ/_PVB) � �: Add Plumbing Fixtures ( Main/_Lower Level) j , ,, l=1, rLafpr ,; _Septic System t ;rij'� NV '�` —New Water Turnaround Ota 4;}" )�.4 1%Mit,r r,,;'`ki _Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add $280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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.gopherstateonecall.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 on y an application for a permit, and work isl not to start without a permit; that the work will be in accordance ith the approve pl In th se of wor whL) ._). \ ich requires a review and approval of plans. { X A..: Applicant's Printed��ttName Applicant's Signature i11V! �"",atv. }>t' ,vi "' „� i1 A" ;4 ''f*r'ii 3 + Ik �a ,,p a yt 'r � t 7,17 . T7r f, ail A M ni ��—n 'orf"tt,i'ft s ¢-) P �`j��}q- i 4`:.1.4 t.j {� t' ` t x tIP S .t'z�'t,d-t�� � 'S" >^� ��9t .� t,,i, !� i�'.'�,'4Y.^1P Lr'i � b l i a f *•'-,,'i L e S~, �t5 t P.• ', 'T , 'I,. �siS.-{ , R V ed ?' ij? it �` ,tif f, y1,z12� ® 3. } 6i'`FQCe �� w,iR[. . k51! } gs �'Sj � 3� Y M N tL T jai S � � ;�.a� } i �. W 5, ,r�k 4= . 4gt�}y/'. f4:04 k ).11. , i' ,iI I 'G}t p.t'P T{ .; ,-,t ' ;" , te*j ., .�f `7.7 , ;'.{tg' `,` � 'is t a •yY/- i:f 1 to, ,��i. t $F5 .,b �'�i+3 �h -ey�t'y �S+t���TY�2 ti�# � .,�$7� ;'i"t b� �..5t (, S t ''<� tt i2Sj Xz: ' e. re° S. c � �,iig ` nder.Group'.aa a t! rRoucl i siAlrc }tle Q°t i 1t, tea f ,.. } ,y, a . ,:::. u 1 , tl r k e j` { FAS, ",.,}�,t. � .1,10, �2 l',ty � a tiS: .C:44:004:':; : F t, sx #e r�y^':E,!;41 .,}���`r1b.;}k_1'�5` F y�7�nr#}+```l ...'�..' ir�.je"x��11.��t3. F+1'3Th;)s�4�t .�'!i.... � s.;q1 t,. �.e�l�!�tttq`f°A kC�t F� < i;:: { t�#b�;ft`��,� t..'�ict t�3 F 5 �` ��-�'��,� aoloi_ReaO t �� }lytarto �;te � �., � >>:� ;,;•,�� ' �, ��„Q,�.��.R.�����te� ter�s��. r�y�:lze�� .�R .� !:��,�A;4 s� ,' PERMIT City of Eagan Permit Type:Building Permit Number:EA150881 Date Issued:07/27/2018 Permit Category:ePermit Site Address: 1424 Kingswood Ponds Rd Lot:9 Block: 2 Addition: Kingswood Ponds 1st PID:10-42050-02-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Gene Tste A Fletcher 1424 Kingswood Ponds Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature /10\\•C' /. 'II ' U i716 For Office Use t4 , D AG A. ,1--,i,',1„ Permit* E ,,,:, ,,3 zola i Li V-7 Permit Fee: / / 4--• ' 0 Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: 111(51 buildinqinspectionst&cityofeaqan.com L _i 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 10-23-2018 1424 Kingswood Ponds Road Date: Site Address: Unit#: Gene Fletcher Name: Phone: 952-212-2229 Rent!' esid _ ' Address/City/Zip: 1424 Kingswood Ponds Road, Eagan, MN 55122 owner • X Applicant is: Owner Contractor . ' ' ' Type of Work Description of work: t-FePair Liiii 7;14 00///,4,/t• ' 00 000. Construction Cost: $3, Multi-Family Building: (Yes /No X Contact: Company: HHC Inc Hartley Huber 11100 Wets River Road Champlin Contractor Address: City: State: MN Zip: 55316 Phone: 763-422-8958 Email: hhc@hhcadditions.com BC452069 NAT-108595-2 License#: Lead Certificate#: 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: Sewer&Water Contractor: Phone: i Fire Suppression Contractor: Phone: NOTE Plans and supporting documents that you submit are considered to be public fhfOireeheh;.Peitianaalihet,OieehehttiaiOai=4".j' classified as non-'ublic if .ii .rovide .ecific reasons that would .,,reit the C ' to conclude that the eretreOesecreli 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 vvww.cityofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 appr v I o !ans. x Hartley H Huber x 1 Applicant's Printed Name Appli n Signature DO NOT WRITE BELOW THIS LINEt1 f d.` Pd. /--- ----d-q.. .--. SUB HYPES Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) ' Single Family Garage Porch (4-Season) Exterior Alteration(Multi) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement Siding _ Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 30�� Occupancy 5,+,L.-/ MCES System Plan ReviewCode Edition Aiplj SAC Units (25%_ 100% 1/) Zoning a s/ City Water Census Code h/ 347 Stories — Booster Pump #of Units i Square Feet -- PRV #of Buildings / Length Fire Suppression Required ---- Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) 12.- Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice &)Vater _Final Pool: Footings _Air/Gas Tests _Final ,' Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_ EFIS Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: e�%! , Building Inspector O ' I / RESIDENTIAL FEES Base Fee 0 ' '5,' Surcharge Plan Review ?4,Tl MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies , _____ TOTAL Page 2 of 3