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4346 Metcalf DrCITY OF EAGAN Remarks Addition River H1l15 9j )h Lot 12 Blk 1 Parcel 10 6l.Ja.00 120 01 ownerklilh/!im R.t SUdi+h L11p IIQ't'v. street 4346 Metcal£ ?r, gtate Ea gan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 1$ ? 15 Paid *SEWER LATERAL ?5- WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK *STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT ,P,V 1984 67.80 13.56 5 67.80 C006650 10 1$ 79 WATER CONN, 795 7-25-75 BUILDING PER. 2 SAC 2 00 1 795 _7-25-75 PARK 1112?&150 C7-7455Z ? 66423 ? , 9 ? 5 Request Dete ? ?wy'/'//? Fire Rougbin inspecfion Requiretl? ? Feady Now XWill Notity Inspecbr ' / 1 ? Yes )KNO YVhen Reatly 1 I9.licensed contractor ? owner hereby request inspection of above elec[rical work at: Job Atltlress (SVeet, Box w Route go.) 7 3 /l lf D Ciry e ca r. Section No. Towrehip Name or No. Renge No. Coumy Dako?? Occupant (PRINn I . ' W i lli ec.+l Wa ??°na, Phone W. 2 '? J07 PowerSUppliar Pdtlress Electrical Contractor (Company Neme) ?p 4L Y Comrapw§qLicenee No. f /v, . / • Vr ' Mali Adtlress (COnUador or Making Instella n) 0 ygo wnee G7`• N. ST.'//?ter /?ih. $5-092, /Wtlwnze0 S' naiure (ConVaClor/Owner Meking Inslalletbn) ?? PMna Number 3o-3S/? NINNESOTA STATE BOAN60F ELECTAICRV ? TMIS INSPECTION REQUEST WILL NOT Griggs-Midway Bltlg. - Room 5-113 BE ACCEPTED 6V THE STATE 60ARD 1821 Univenity Ave., SL Peul, MN 53104 UNLESS PRWEH INSPECTION FEE IS Phone1612)&17-0800 ENCLOSED. ' ??6Y? o P 66423 REQUEST FOR ELECTRICAL INSPECTION ? See insiruciions for,Eomdefin8 tRis lorm on Deck ot yelbw mpy. `X" Below Work Covered by This Request ee-0ooo1 -o7 ew Adtl Re r ''? TypeofBuilding AppliancesWired EquipmeMWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Oryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Ottier (specify) CqMr9cta5 Rem9rks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Abwe 100 _ Amps Signs Inspector's use ony: TOTAL C Irrigetion Baoms I S. ,,JQ Special Inspection AIamVCommunication Olher Fee I, the Electrical Inspector, hereby certiy that the above inspection has been made. Aough-In Final r oate oaee ' OFFICE USE ONLY 7 is request wi0 18 rtroMhs Irom CITY of EAGAN N4 3732 BUILDING PERMIT oWn.s ?.?-?-•?:-?. ,?c-?''c . ..... ..... .............. ............. .............. .... ............... Addrecs (Prasen!) ?G 6.U ...... -70 ........???? - ... . .• .............. .....................................'---'.. Huildar Addreas DESCAIPTIOIQ 3795 Pi1o3 Knob Road Eagan, Minnasofa 55122 454-8100 -7- a.s= 7s- Dala ................................. ories To He Used For Fron! -- Depih FIeSgh! Esi. Cosi Pszmi! Fsa 7 •7` 9? ? .?e i -/ 2.?v-o / Sxzeel, noaa oY oinet uBBesipllon OS Locaslon I Lp} G10c6 AQQ3S10[I O! TlBet y3q6 ?-)? A-t- ? 1 -?' d2-,,7" R This perroit does aof aulhosise the usa of slreels. roada, elleys or sidewalks vor doea it give the owaer or hia agea! the right to create anp sifuation wkich is a auisanee os whieh presenls 4 hazard fo the health, eafefp, oonvealeace aad genezal wel£are 3o enpone in the communifp. THIS PERMIT MUST BE KEPT:ON THE PREMISE WHILE THE WORS IS IN PAOGR SS. This is !o oaslifp, ihal..?;".^:.-:t:`.?..?....... 1?:"!!.-s-_---.-----..has permissioa to ereat a.... --_--_ ----.. .............._upoa the above described premise subjeai io the provisions of all applicable Ordinances for the Ci! of Ea an .......................... b ..-'--°Sl...---'--.. ....-?............................... . Per .......................... ......`........... ?.. ............... ...................... Mayor ? Suildlnq Inspeetor /?s /,I-,/ CITY OF F"vGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PEPMT NO.: The City of Eagan hereby grants to of ;P, /?• ?7 723 Ray N. Welter Heating & A/Co. 4637 Chiago Ave. So. a rrFnmiNr, Permit for: (Owner) tvindsor Dev. Corp. at 4346 Ma1-ra7f nrive , PursuBnt to application dated 9/2/75 Fee Paid: S20.00 dated this 11 day of Seot. ,.1 9 75. .50 s/c Building Inspector Mechanical Permits: Sid Total: J ili l?/??cr i?n o/ %.?e??h, %/s 9J?,, CI`I'Y OF E.;i;9Pd 3795 Piloc i;i,ob aoaa Eagan, A9ir,nesota 55122 PLRMIT NO.: °.?7 The City of Eagan hereby grants to Thompson Plwnbina c.b. of 14innetonka a PLCTMRING Permit f'or: (Owner) Windsor Dev, Cdra. 2289--C1? cT-St.-, 4'?-73--Medary; azi8 1t d'?'a v znc ?.ot,ay[ ? pursuant to application rlated Fee r^,«id: ggn_Q. dated this , day of r„q_ 2.00 5/c ^^echarical Per,:?its: Building Inspector ?i1? 'tetal: WATER SERVICE PERMIT VILLAGE OF EAGIIN 3795 Pilot KnoE 0.ood P ERMIT NO.: -17.8?1 Ea9an. MN 55112 DATE: 9/5/75 '),nning: P-t No. of Uni[s: A W1rid80r DEV C7D? , Owner: Address: Site Address: 4346-Metcalf Dz. L1281 RH 9 Plumber: ThOIIIQ90nPlU1[Ibi114 Gb h`U v2 Connection Charge?05.00 Pd Meter N Size: Account Deposid Retd6er No.: ..3 ? ? 7 Permit Fee: 10.00 pd I o9.ee to comDlYwith tha Village oF Eagan 5urcharge: .50 pd Ordinonces. 60.00 F1d Misc. Chazges: Total: Ry Date Paid: Ins : Date of Insp.: p. . YILLAUE OF EAQAN SEWER SERVICE PERMIT 3i95 PilorXnobRoad PERMIT NO.: 2550 Eayon. MN $5112 DATE: 8/5/75 Zoning; RI No. nf Uni[s: Owner: Windsol Detr Gbx'P Addresa: Site Addreas: 4346 Metcalf Dr. L12131 RH 9 Plumber: Thompson Plumhing Co. 1 ag.ae fo eomply wfeh tha Villoge ef Eogan Connection Chazge:425. DO pd Ordinances. Accounl Depasit: Permi[ Fee: 10.00 od Surcharge: 50 pti Ay. Misa Charges: Ua[e of lnsp.: Total: Insp.: Date Paid: .-. • ? ------------------ - I For Offic,e Use ? ClUy Of LUp j?D i Permit# ?) f,?V ?00 ? PertnitFee: 3830 Pilot Knob Road ppR 0?? , , Eagan MN 55122 ? Date Received: ? Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION bate: J/"l4/'61.? SiteAddress: 43'16 /"/?6WT D%"i ??YCi,j? M n/ ?siaz ? Tenant: Suite #: RESIDENT! OWNER Name: gonl& K s\ Phone: 66I d YY - / D o25- Address I CitV / Zip' `"li3`flv e_?GCA I-P Y' i /?'?? S-? ?7,9_ Applicant is: X Owner _ Contrecror TYPE OF WORK Description of work: t?7 e1°x ? / :,dO Multi-Family Building: (Yes _ I No Constniction Cost: >, CONTRACTOR Name: 7/7P.- O-ec-K `'- 0 eD License#: 5??7 Address? ?/ 61 Zia A<f"Oyl Ve, Z??7 6-ClYY7' OYII J City:id? 7-?/J?CF? '?ilti H2/Q?l S State:AA1_Zip: 55 0-77 - / 13 2- ) U o J Contad Person: ?Ja o Sq r I h ?°- Ph one: o COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Categorv 1 _ Ener9Y COd2 . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submi5sion type) • Energy Envelope Calculations Su6mitted In the last 12 montHS, has the City of Eagan issuad a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: NOTE: Plans and suppatirtg documenfs that you submit are considered fo be publle information. Partions of fhe informatlon may be classifed as non•public if you provide specific reasons that woufd permit the City to conclude fhat the are frade secret5. I hereby acknowledge thal this inMrmation is complete and ar.curete; that the work will be in confortnance with the ordinances and codes of Ne City of Eagan; that I understand this is not a permit, 6ut only an application for a permR, and work is not to start without a permit; lhat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. : C>on, X?o? ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 9 .. , . ? DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundatlon ? Single Family ? 01 of _ Plex ? 02-Plex ? 03-Plex ? 04-Plex ? 05-plex ? 16•plex ? OB-plex O Fireplace ? 07-plex 0 Garage ? 08-plex -)?e- Deck ? 10-plex ? Lower Level ? 12-plex WORK TYPES ? New Add(tion z?[O Alteration ? Replacement ? Interior Improvement ? Move Building ? Fire Repair DESCRIPTION: Valuation wo Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Const. _va_ sory Building (3-season) . (4-season) (screen/gazebo/pergola) Damage ? Pool ? EacT. Ait. - Multf ? Ext. Alt. - SF ? Multl Misc. I ? Demofish Building• f ? Demoiish interior )ws ? Damolish Foundation s VVindow ? Water Damage Demolition (entire building) - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers ? ? ? ? ? ? ? ? ? ? Occupancy PL?- Code Edition t?? Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (new bidg) Sheetn Footings (deck) FinallC Footlngs (addition) ? FInaI1N _ Foundation HVAC Drain Tile Other:. Roof: Ice & Water Final Pool: _ Framing Siding: Fireplace:_R.I. _AirTest _Final Windoi Insulation Retaini Reviewed By: / ? , Building Inspector C.O. Air/Gas Tests _Final . Lath Stone lath Brick WaII RES/DENTIAL FEES: Base Fee ? Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total ?I'DOa Page 2 of 3 I ??..?. ` 1 % /% • , ;'? ``• ? •\l, - : ? ? 40A? ? .. ... L...r. ` ? ??" ? 3 74f ;?A _ /\ `?? i[.?? ? \ ,J ? ??1'?LF??•!' ? \~ V . v ?. \\\ ? ? ?x ,U , ,1? u q e ? f- ,.? . : J. a ? o °5?K . tA c? . . '\ F YK ?..e f , , r! ? ?v o u s e ' ?, s?"o V? ' /g LC '? ? I I I7 51^n wA1?(oVt g'lr'o ? o f 8la ? k--? 92 3?b 1. ? ?hoU?cl? E??Vl???dw e, MoJe? 76--Z)o .1:-/e v (; . ' u ?• ` . ? , ,C Q h.., ; 50 ,.6L5e ? I 'f' ?t c a`1 ./.. / -? .. i i.. Zo 71 i? IQ?.y? . o .. . ? Ol ? - '` '.?. ' '• s A%- . . . .. ._._..?'_'4?.? v._ _ . ? •?,4 ! ??y p{p ?. / 4S i " ~ N1 jL:: 0, %. i% ,/. i ? ,,.. ? v ? ? • . ? Y ? . rJ ? z k4 U.5 ?.'J . . , ., r '1R e,4r w,41?-l ovt / "V7p , .. ?.------ . , MoJeL 76 -?ta ?/e v C w,.. . } \ Qro ??j.' q?N.B 1 f ',_ ? 0 , Q _ , .._._.. 30' --..9 2a' ? ., N i1v -F? cv I! ?D? i 2cAr LO <,? 5r+??5e pFp / ---- ? '--. ?30 ,r - Gll V ? ? - . _,.. .:. . .. - - ' .._._. ..._ ... ?. ..,-..,_, , . _.. ,.+,:...? :... .. , ? ? , . G 0000 4 s?ti A ? MASTER CARD LOCATION OWNER ? % V / ? 9 Y STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contracfor Owner BUILDING 2„ -? ? L ? PLUMBING CESSPOOL - SEPTIC TANK ri'l / ^1 -,Li!_ __ ? ?[ . WELL ELECTRICAI HEATING 71 3 ?? /r G / YV GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initiap Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING '0-/7- TILE fIELD FT. FINAL ELECTRICAL HEATING _- J DEPTH OF WELL GAS INSTALLATION ? SEPTIC TANK y? CESSPOOL ?l I DRAINFIELD ` t r ? PLUMBWG i WELL 'to-') SANiTARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO 6E USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. DATE OF INSPECTION ? ACCEPTABLE $UBSTITUTION$ OR DEVIATIONS. I-I NON-COMPLIANCE. BUILDER WILL COMPLY I J WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WIIL BE DELAYED BY CONDITIONS BEYOND CONTROL. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certify that 1 have carefully inspected the above in which 1 have no interest preun2 or prospective, and that I have reported herein all significant conditions oLServed to be at variance with ordinances of the Town of Ea9an, approved plans and specifications, and any specific require- ments for off-sit= improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR pATE C? 23 .. -- 712 qj 7,-!?-- - - --- - -- - I' !r?_? 66 t ? c? ?? ?-?_ R e? v?ti ?,Z? T e?? ? tJvGL?J" e? - ? AG kl ?a/_iQ-? ? CQ Li ?i PG ?^o w /?v?a? W 41--e _r_ _ 114 e ?? r 4 tt• o 12 e10 ck- _ 1- 3 -.. ? /-1 -6 __. /V! e tc_1-1- l f _ M aol -e- L O ??-?- ?_,..<? -1V Lv 117 a,--v_. (f, ? 35! IV-p?p G_e S e t? _ I?y {_?d _G,/-1- I ?'o •-.v O`r __T_U ? ? S 1?5 0 !?v _ 6, -e (4 eG k S"7 U_ b I? - -- -- -- - -- - - - - - CD- d•U7 o w 0 - ---- - ? W.e`?S_d_.lY V2(UG'?v Y)'J&,4 L OL-l?? V -- -- - --- ??Y? ??? - -- - --- 3 73 For Office Use I Permit e)cl City of ha aIl I I I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Datel'' ' O Site Address: 9(~ AJLI 4C il/r,", D~ Tenant: U k/ r_- -is, L-A N ~E Suite RESIDENT / OWNER Name: boob Phone: A95-1- 8 S 2 -S1 5-3 Address / City / Zip: Applicant is: Owner Contractor TL i r TYPE OF WORK Description of work: S) O F Construction Cost: 000. L99 Multi-Family Building: (Yes / No CONTRACTOR Name:.M4It,JTtn?c.(C Z Ge Mlgn f- s,*Jo. License 90CR 66987 Address: 7 q I Qn I u F (5I City: , _ i nn Pa) 5 State:/ Zip: SS-V2 / Phone: 4 (2- - 3LL - 0 3 ~ Contact Person: _7574-,5o4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 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: 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. 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 o,J Applicant's Printed Name App ica ignature G" \J Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114062 Date Issued:09/10/2013 Permit Category:ePermit Site Address: 4346 Metcalf Dr Lot:12 Block: 1 Addition: River Hills 9th PID:10-64400-01-120 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 . Reinaldo Cintron 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 - Luke Lange 4346 Metcalf Dr Eagan MN 55122--191 Ralow's Roofing 4351 Parklawn Ave. Suite 108E Edina MN 55432 (952) 210-4988 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA118452 Date Issued:11/01/2013 Permit Category:ePermit Site Address: 4346 Metcalf Dr Lot:12 Block: 1 Addition: River Hills 9th PID:10-64400-01-120 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. Renae Frienwald 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Luke Lange 4346 Metcalf Dr Eagan MN 55122--191 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature r For Office Use Permit#: E AG N Permit Fee: 700-/i' (400 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E ��E Date Received: D-5 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 APR 2 9 Staff: build inoinspectionsacityofeaoan.com 2019 RESIDENTIAL BURY. ; - I T APPLICATION Date: 4/26/2019 Site Address: 4346 Metcalf Dr Unit#: Marshall Mullet ' Name: Phone: f%Q/cam - c /o Restdecitt�� / 4346 Metcalf Dr, Eagan, 55122 { ifiiill Address/City/Zip: 9 /M2J /7lf/�( I!1�0� tCL. S � pP l )-1-,-1� �f� �A licant is: Owner Contractor S 1 (/ Replace deck stairs work: Description of p b TYPE � ri06 glf4? 1000 Construction Cost: Multi-Family Building: (Yes /No ✓ ) Edi r Company: Contact: ContractorAddress: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: The applicant is not a Minnesota licensed residential contractor, residential remodeler or roofer COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plats ands mutts u s ublY � ttp��►�u ,yb" ,..,, brie cons _.� �b�� +iR;ln#�,�1afl�..Portions of the Information ma.be classified asc i�hho-If y ovide` reasons that would iiiiatatehitte that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.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.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval • • xMarshall Mullet x I Applicant's Printed Name Appl' ant's ignature DO NOT WRITE BELOW THIS LINE vX710 /4&kI( J>2- • / J/ .S SU is TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex — Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* (20 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 / 2./DOD, Occupancy ?L I2G- ( MCES System Plan Review Code Edition 13WV2-4)1 s SAC Units (25%_ 100% %4 ) Zoning R-I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: 'm Footings(Deck) Final/C.O. Required Footings(Addition) ycp Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control — Shower Pan 1 Other: — Reviewed By: 7-0✓Y dq; I I`r1 , Building Inspector RESIDENTIAL FEES Base Fee n p ii in 'J IYI fe- Surcharge Plan Review S )12.s L 4 X10;/l�j MCES SAC l City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies i?.' , S TOTAL Page 2 of 3 ....., .,..., .. .,,, . 4.•1 ..42,_:-T4.§.Vii&i: . 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