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3878 Newtown Ct PERMIT # , I ? •/? '? ?'? :, ? ? ?j?? ?, f F,? ,! MECHANICAL PERMIT ?? y:? C' - 7 RECEIPT# f : , ,?` ?pyx CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?S16? ' CONTRACT PRICE: Y. a u PHONE: 454-8100 Site Address `-,,' 7 '""t"?74--"' « BLDG. TYPE WORK DESCRIPTION Lot Blo k Sec/Sub Res L' New . ? Name Mutt Add-on Address Comm. Repair City Phone y r? ? 6 Other Name ?"• f?- r??Q' ???¢? - ?? FEES RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM - 1 PER PEkPA1T) - 1 50 EA TYPE OF WOFiK . . ( COMMlIND FEE - i% OF CONTRACT FEE Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & . Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ f 2•? MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - 50 Vent CFM , (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # - - BEYOND $1,000) Other FEE J..)d S/C: elGNAT P TOTAL• `. ? FOR: CITY OF EAGAN .... . . .. c;r :n.?;.. . ,... . PERMIT # _ PIUMBiNG PERMIT , - - ? .^ .., RECEIPT k - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ PHONE: 454-8100 ? Site Lot . a? m ? c Name _ Address City _ Name t t- nL( '`!S K , t 1 c Address 3 ' p City Phone COMMIIND FEE - 1% OF COMTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.4U MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BLOG. TYPE WORK DESCRIPTION Res. New ? Mult. Add-on Comm. Repair Other RES. PLBG. ONIY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Ctoset - $3.00 4 Bath Tubs - $3.00 Lavatory - $3.04 Shower - $3.00 Ki!ehen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) ?Softener - $5.00 ,-? • L- Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: FOR: CITY OF EAGAN r STATE S/C: GRAND TOTAL: _ --%+- ?- K:ACTTVATE FLfR DECK-PLAN REVIEWEI) 7/22/87 M. 1•R?.R?C &PAULA ML??,?`?5? 7213 CITY OF EAGAN ? ,,•_ j83D-Piloi I?nob ftoad, P.O. Box 21-199, Eagan, MN 55121 N? M47 PHONE• 454 8100 BUILDING PERMIT . Receipt#i Tobeusedtw SP D?+G/Gr'1R EstValue '38,000 Date JA:.dsJARY 27 ,19c37 Site Address 3878 NEWTOWN CT Erect ? Occupancy R 3 Lot 9 aiock 4 sec/sub. LEXINGTOiv Remodel ? Zonino Ri Parcel No. $QUAR? 3RU Repair ? Type of Const ? Addition ? No. Stories e SCYIP?K HOMES II?C Move ? Length 3? Name 4 h = 8477 133iZt? CT Demolish ? Depth o Address Int Impr. ? Sq. Ft iCity A.V. Phone 435-2491 Install ? o Name SAI?SE Approvaa = v ? Address Assessment ~ City Phone Water & Sew. ? ? Police ? Name Fire = x a Address E o z ng. ? W Ciry Phone Plann r e I hereby acknowledge that I have read this a w st , thal the intormation is correct and a ree oa Stat of r Council Bldg. Off. g i a e Pj ? Minnesota Statutes and City of ?n O ,- APC ' ` Var. Date Signature ot Permitt4 A Buitding Permit is issued to: SC' : all work shall be done in accordance with all applica Permit ? 461.50 Surcharge 44.00 Plan Review 2 3 0. 7 5 SAC 625.00 Water Conn. 525 . 00 Water Meter 67 . 00 Road Unit 305.00 Tr. PI. 180. C lJ Parks Copie 2 ' ` • 25 Total , INC on the express condition that innesota Statutes and City of Eagan Ordinances. Building - ParmU No. P*mR Noldar Data Tdephom M Plombin9 S. H.VA.C_ ? Ehmtft SOMMN Inapectlon Dsb leNp. Commenb Foofinys I FooUnpsll Foundation Framiny RodMy Rough Plbp. ' ?. Rou9n t++g. ?oO Insul. Fireplsce y5??? 7 E^ ?, Final Htp. Flnal Plby. &dq. Flnal Cert. Oee. Dock Fty. 5'/ /.c.lr p r? O-770 44/45'.5' ' Docic Frmp. If f ?? ?/OT A?%?G S? " / Z? W?N Pr. Dkp. N P.?GJ'yOwS - PERMIT # ? c> PLUMBING PERMIT RECEIPT # 7%?1 7?- CITY OF EAGAN , 383U PILOT KNOB ROAD, EAGAN, MN 55121 DATE: DWAIJF• dSd_111M Site ? name a Address - J t City Phone Name Ei c Address p City Phone FEES COMM/IND FEE - 1%OF CON7RACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCi-iARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYDND $1,000.00) l FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 $ 8ath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 ? Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 Gas Piping Outlets - $1.50 ? Softener - $5.00 weii - $io.oo Private Disp. - $10.40 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL• ' PERMIT# MECHANIGAL PERMiT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address ? r ?• -'J?`" BLDG. TYPE ? WORK DESCRIPTION Lot ?- Btock_ Sec/SubRes. New - Mult. Add-on : ? ' ., .'• m Name r? 46 Address Comm. Repair c Other City .: e?;?cr -? Phone c FEES L Name (Z -? RES HVAC 0-100 M BTU $24 00 c Address . ADDITIONAL 50 M BTU - . - 6.00 Q City !/ s Pho?1@ r3f (RES. HVAC WCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM 1 PER PERMIT 50 EA 1 ) - - . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air C?VI BTU APT. BLDGS. - CaMM. RATE APPLIES TOWNHOUSE & CONOQS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODEI.S - 12.00 Air Cond. M BTU MfNIMUM COMMERCIAL FEE - 20.00 STATE SURGHARGE PER PERMIT - .50 Vent. CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # / BEYOND $1,000) Other PEE: S/C: A'_ SIGNATURE OF PERMITTEE roTAL: r FOR: CITY OF EAGAN ftex#ifira#it uf (hruvanry Citp of (Eagan loPpartmmi of swldhtg jwrrfimt This Certificate issued pursuant to the requirensents of Section 306 of 1he Uniform Buildrng Code cemfying thar at rhe time of issuance this structure was in compliance wilh the various ordinances of the City regu/ating bui/ding construcdon or use. For the following.• Blas. PhYw Ho. o-JP.ay rya R3 zonfm8 a,uicx 'ryro c?e Owner o[ Bailding ., i Tl?aT_: F ri {'} s Addrms •i i t t:. ?' r. .- Bw7d4 Addrts :1Tr'::;4 ?hty Bwlding o1fKa.l ? POST IN A CONSPiCUOUS PLACE -. • ,?? Lt 3830 Pilot Knob R dl P.O. Box 2G-A799, Eagan, MN 55121 N2 13147 BUILDING PERMIT PHONE:454-8100 rteceipi p ?a)- -? ?? To be used for SF DWG/GAR Est value $ 88,000 Date JANUARY 27 19 87 SiteAddress 387$ NEWTOWN CT Erect 19 Occupancy R3 Lot 9 Block 4 Sec/Sub. LEXINGTON Remodel ? Zoning Rl $QUARE 3RD Parcel No Repair ? Type ot Const. V . Addition ? No. Stories a Name SCHIMEK HOMES INC Move ? Length 37 ? $477 133RD CT Address Demolish ? ? Depth f S aF; a City A•V- Phone 435-2491 Int Impr. Install O q. t o I Name SAME 0 Q Address ? City Phone rQ F W Name ? ? Address a W Ciry Phone I hereby acknowledqe that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota StaWtes and ity o ag ry?rdi ces? /J Signature of Permitte ? A euilding Permit is iss d to: SCIiI[9EK HOI?lES INC all work shall be done i. accordance with all ap i able State of innesc Building OHicial Assessment Water & Sew. Police Fire _ Eng. Planner Council 81dg. Off. APC Var. Date Permit $ 461.5( Surcharge 44.0( Plan Review 230. 7_` SaC 625.0( Water Conn. 525.0( waterMeter 67.0( Road Unit 305.0( Tr. PI. 180.0( Copies Total $2,438. on the express condition that Statutes and Ciry of Eagan Ordinances. This reQuesl void/_ /? 18 months-tmm ?G Request ? ate k(`J j Fir'e No. ? Nouqh-i?fins ReQwred? mion OAeady Nuw Q WilI Notity Inspec- WA ? ? ?Yes Nn tor en Feady [Lfcensed ?fecVical ConVxctor I hereby re0uest inspection oi abova Owner electrical work installad et Street hd ess. Bos or Route o. 38??- ti.?AJ c0,u2r- Ciry -79-- 19-?`5/Z3 emion o. Township Name or No. anBe No. County VA/<o Occupnnt (PR NTi Co<( ( ` F' ? ? Phone Nn. 5(F -,] 2/3 - G ? c 2e e ?Z3 s3as Puwer Supplier /9-k v7?4 C?ecfrL G Atldress Electrical Contrac[or ICOmpany Namel Conh?cmr ?s license Nu. Mailing Address 1 amractor or Owner Makiny inslallation ' /?^ J 3 7 1 - ? l / ,v a u i2 7 8 Aut a etl S- a re IC nnacio w r akiny 1n ta tion ` Phone Nu s? mber OGt 7 72 ` 5 - /3 THIS INSPECTION flEQUEST WIIL NOT MINNESOTA S ATE fiOARD OF ELECTR CITY Gripgs-Midwey Bide• -?om N-791 BE AGCEPTED BY TME STATE BOARD 1821 Universirv Ave.. St Pnul. MN 55104 UNLESS PNOPER INSPEGTION FEE IS ENCLOSED. nn E . "X'' Below Work Covered by Ihrs Request Hdd NeO Tyoe oi eund?ng Appliancne Wired EouiVment WireA Home Ranye Temporary Service 'Duplex Water Heater Lightiny Fixiures Apt. 8uilding Dryer Electrie Heahn Commercial Bldy. Fumace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm 01n, pen v .?ner Isued??l fMr Suecify t er Other Comoute lnsoectlon Fre Below p Fae ServiceEndanceSize B Fea feeders/Suhleaders b Fee Circuits D to 200 Am s 0 to 30 Am>s 0 to 30 Am s Above 200_Amps 31 to 700 Amps 31 to 100 A s Swimming Pool Above 100-Amps Above 100_Amps Transiormers lrrigation BoomS Pdrtial'0ther Fee Signs ertarks ?? ?? Speciallnspection ?%(l7UAI F? N/{iH TOTAL FEE / - GU 0 O E?S.k?..??g Rou9h-in ?n ?^ ¢ 1? . D? the Elnc«ical Inspectoq M1ereby erlify thet the above Final D'_e) inspection has been REQUEST FOR ELECTRICAL INSPECTION pEBy-?0070?0/1-06 ? See irehuctions for completirg this }orm on back oi veilow coDV. IJY'/"J"' o5 mla requwl vaitl This reques[ voitl 18 months Irom . ? C 4429-8/-9 ?c?Q az7 ?^ n? a? R?quiretl C]Aeatly Nuw W,II NotifY Inspec- U? ?$ ?es ?NO ?or When Neady ? Licensed Elecvical Conlracmr I hareby raquest inspection ot ebove ?Owner elactrical work installad aC Slreet Address, Box or Noute No. 7 Citv ecuon o. Township Name or No. Hange No. Counly OccuOnntIPRINTI ? M, F(?edeQ ?c [,e? Phune No. Power Sppl er //?p Address Elechical Convac[or (COmoany Name) Cnnvactm's License No. ?- M iline p.dJre.ss (Contract r or Ovn?Makine Instailationl f G?h ?? f., 7¢ U 4/ (2 Gf? 0 u rL Auth i 5i n ture IC nttdctor ner ' p InESaliatio Phone Number ? " THIS INSPECTION flEQUEST WILL NOT MINNESOTp STATE BOAflD OF ELECTPILITV Griggs-Midwey Bldg. - Noom N•191 0E ACCEPTED BV THE STATE BOAR? UNLESS PflOPEN INSPECTION FEE IS 1821 University Ave.. SL Paul, MN 65104 P1?...a 16121 297-2111 ENCLOSED. 7 REQUEST FOR ELECTRICAL INSPECTION ee-oooqo1-oa , Seednetructions for comPletinp this iorfn on Oeck ol vellow copy. 7'?°t "'1(" Be/ow Wnrk Covered by lhis Hequest t,ea Pep. Typa ol Builtline .4ooliencne Wiied Eauiumont wirea Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. 8uiiding Dryer Electric HeaUn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tdnk Ferm Other Dec, y .ther ISnecityl t er GaciFy Other Other ompute lnspection Fee Be/ow - p Fee ServiceEnbenee5ize H Fea Feeders/Subfeeders N Fea Circuits 0 to 200 qm s 0 to 30 Am s 0 tn 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 q Swimming Pool Above 100_Amps Above 100_Am s Transtormers Irrigation Booms Partial/O Fee SignS 'SUeciai InSUectiOn Herria.ks .r^'1 n ( ?v TOTA FEE l n .a? 1. roe eob Jnsoectoq hereby certi(Y that ihe abo% inspecfion hes been maaa. Thlarequeatro1E18monihsirom ?O`d This request void??/G7 7?yci? 18 months fram b C 822294 9 Request I Date FrteMo. ? Rough-i nsdection AeOUf ? v OFeatly Nuw ill Notify lnspee- es ? No tor When Heady 19<1censed Elec[rical ConVactor I hareby request insoection ot above ? Owner eleetricel work inslalled at: Strea ddress, Boz Route ?No/. /j CitY ection o. Town hip Name or No. ange o. Count OccuOant IPf11NT1 Phone No. Power Supplier Adtlress Elec?J ic(a?l Contractor (Company Name) I ?L/ V`-/W ^ / ?L'?/ Contr //or's License No. Mailinp AdJress 1 o .38''? ntracior or Owner Ma BIn talla L?icEt. Gc.w.?s . 7 Authorized ' natur tracto Owner kinB Installation ane umGer Z- IS MINNESOTA STATE B RD OF ELECTNICITY TM Gripos•Mitlwav BltlB• - Noom N-197 BE ACCEPTEOINSPECTIBYON THE REQUEST STATE WIIL NOT HOAqD UNLESS PNOPEfl INSPECTION FEE IS 1827 Univsrsitv Ave.. St. Veul, MN 55704 Pnone16121662-OHOO ENCLOSED. 7 REQUEST FOR ELECTRICAL INSPECTION EB-00001'05 ? , Sea inslrueliona lor completinq fhia form on beek of yellow coDV. Q_ R97 rj (i "'l("' Be/ow Work Covered by This Request ry.4ada1 xec.1 rwe oi auiieine I APCliOncea wiree I tqwpmenl Wir¢0 I Li Commerciai Bldg. fumace ? ?Silo Unloader _ J r Industrial Blda. Air Conditioner Bulk Milk Tdnk p Fee ServiceEntrenee5ize p Fee FeeOers/SUbieeders N Fee Grcuite 1 JY,U 0200 Am s to 0 to 30 qm s Z 0U 0 to 30 Am Above 200 qmps 31 ta 100 Amps 31 to 100 Am s Swimming Pool Above 100-Am s Above 700_AmVs Transiormers rrigation Booms artial.'Other Fee Signs I I I Special Inspectmn IS r Houan.in the Electrical I?-sv Insoector, haraby certity thet the aLOVe Final /? J• DHne 2 ina0aetion hes been !e moee. rom 18 This reques[ void CY7y? Jr / 18 nwnlhs Imm ? 31809 ? a? Requ¢st DBte F re No RouP?-in sVection flequire ? ?Ready Now Q Will Notity, Inspec- 9/]_rj $$ ?Yes ?f No tor When fleatlv Licensed Elec[rical Coniracmr I hareby request ins0ection oi above ? Owner eleclricel work installetl aL Sveet Address, eox or Flowe No. Ciry 3878 Newtown Court Eagan ecuon o. Township Name or No. Range No. Counry Dakni-A OccuVnnl(PflINT) Phone No. Frederick Mitchell Power $upplier Atldress Dakota Farmin ton Electrical Conhactor (COmpany Name) Conlrar.tor's License No. Hilite Electric, Inc. 04044 5 Maillnq AdJress ICOnhactor or Owner Makinp Instniletiunl 1953 Shaw ee Road Aut etl SiAnatu re?t r/ wner Making Instnllation) Phone Number ? V/U MINNESOTA STATE BOARD OF ELECTNfCITY `THIS INSPECTION flEQUEST WILL NOT Griggs-Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STqTE BOARD 1821 UniversitV Ave.. St. Paul. MN 55704 UNLESS PNOPEN INSPECTION FEE IS cn....e iatei Gao.rrann ENCLOSED. 11(p1$9' REQUEST FOR ELECTRICAL INSPECTION ea-aoooi-os 2 pn / See inshuctiuns lor comoleti _n this form on back ol yellow copy. LS ?.•1 (YU 9 "X` Below Work Covered by 7his Request p Fee Service EnbanceSize R Fea Fentlers/5ubfeeders N Fne Gircuits 0 to 200 Am 5 0 to 30 qm ps 0 tn 30 Am>s Above 200 qmps 31 to 100 Amps H 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transrormers Irrigation Booms . bUl Pertial0ther Fee Signs Speciallnspection $ TOTA 6;b ? pemarks 19319 7637854937 OCT-9-2068 10:20 FROM:SMSM 7637854937 T0:6516755694 P.1/2 City of EaEail 3830 Plbt Knob Rpad Eapan MN 55122 Phone: (651) 675-W5 Fax:(651) 675-5694 ? PIeasre cNcj, l ( ??? ? ? ?-----?-----------? ,_- ; remn rm: .s b i . i ? ? Oate Received: ? ? I Lsran------------ - -: 2008 MECHANICAL PERMIT APPLICATEON oam: tdY?-? sna s: S?1$ ?•t Ta?n?: ?-?J?r *: RESIDEN7/ OWNER Name: "?ai?Yl (L? +P Mcl .. t- phone: Address / Gry ! Zip: CONTRACTQR Name: 6-• iry)Ca? d,)ee lloanse A: Address: 49 t '? 7 : 5 ? S fi?? l? a P e: Ciry: .. yaj c-D 1 ' Y Y 1ayfd° P J { ? 50 "1 ersnn: Confad Phone: - 7 TvPE oF woRK New _ L R??m?, ?. nacmo? _ana?eo? oema?e? ?sqo m vma"v? a?o fleserlpUon m wvrt: ?t ?? ? W?'-? o7a`? G. N07'E: Both roof mountsd snaf 4pround nYounted mecbrnlcat equ/prt?ent fa requlrad fo be screened by CHY Cods. Plssss contact fhs AbChanlcaf drsPctor w one 0/ HM Pie»ners fnr MlormstMn on P-a/tted scmwN msthods. pER??,?P? AES1DFM/AL ? COMIMERCIAt ? ?^5??? l?oriq ImprovenwM ace Furn - air i'.nMitioner Insqll Pipirp _ PrOOesSed - Ap Exchanger _ G8s T ?w rlil9Amust be 6Creened _ keat Pump Under t Mwe grvund Tank L- UistaA! _ Remove) ? Other •• WYren in5tellinoremavinp lardc(S), cEll Iw Insp6Gbn 4Y Flra ___,_ AAUrshaF anEl P1um61 RESIOENTfAL FEF.S: E50.50 [nlm m Add-on or alteratipn to an existing unit (Irk-ludgs $.56 Slate Surcharpa) y90.50 Fire repair (replace humed an applhanow ductvwAk atc.) (incfudes $.50 State Surcharga) $ TOTiu. FEE COMMERClAt FEFS: $70.50 Undorground tank ingtWlationhemoval OR Comract Yalue $ x 7% 550.50 Mlnlmum (includes State Surcharge) = g Parmit Fee - H L'9m111 E9S i6less Man i1.01113. surcharge is 5-50. - I1 Permit Fgp is >$1,000, 9urthergB intreeses by 5.50 fW BBCh ?$ St8t8 SUfChalg9 $1,000 Pennit Feo (i.e. a 51,00142.000 Aeimit F9a requir9S e $7.00 euroherge). - $ TpTAG FEE I ne.eby sracnoWeKlge tnet mio iMOnnatian ill comMWe antl acwram• wat ma vanc wu ee in conrarmenw vmm ma wdirmntns ana coaasof .. Ry of Ea6anr mat I undaremrw mie re mt a pamVlt, but only an aWICaNon fa a porrnl; aM work fa not W afat rAinout a portnk: lhet Me wrrk r+li ba In a011e11devlCO uMh the apqwad dan in tho Gm ot wOrc wNch reQulres a revlew ard aPProval of dans. ? x LA ir?& `J : Appllcant'9 PHI1tBd N0111B M'9 SI W ? flaquired Inspectlons: TUnder Ground _ Hough In ___Air Test _„Gas Servk:e Test -{n-floor Heat AOT6: ALL C08TRACLORS MQST BE LZCENSED i1ITH THE CITY OF EAGAN SIHGLS FA!lQLY DTiiE[.LIBGS INCLUDE 2 SETS OE PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS lIOI.TIPLS DTiiEEL.LING3 - HESIDENTIAL 9ENiAL OeRTS FOF SALS 08ITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRYEY - CHECB WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C0M4fERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, i SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE HOND ?'0c?o To Be Used For.: Valuation: ? Date: Site Address ?R"]R \eL0jnA.1 ('QLC± Lot q Block -Ij_ Parcel/Sub S 7J ?yt,y oi.p..? Owner Ci,o 4 rh .-? eL41. 9ddress &/' City/Zip Code Erect ? Oecupancy 2•3 . Remodel Zoning RlI Repair Type of Const S= _ Addition # of Stories Move _ Length Demolish _ Depth qCp Int.Impr. Sq Ft Install Phone L( Contraetor Address City/Zip Code aP Phone, Mch./Engr. _ Address City/Zip Code Phone # APPAOVAL4 FSES Assessments Permit (vI . - Water/Sewer Surcharge 44. Poliee Plan Review 2'x0.'S Fire SAC (o ZS , Engr Water Conn S ZS• Planner Water Meter Council Road Unit 305. Bldg Off Treatment Pl APC Parks Varianee Copies SOT9L S' 90TEz 9DDSESSB3 FOR CORNER LOTS - CONTHACTOR/HOMEOBNER FIQST DESIGNATE i1HICH ADDRESS IS DESIEED. NO CHANGFS iIILL BE ALLOiiSD OHCE BDILDING PSRMIT IS ISSIIID. , I`lx 3g= (?¢Cflx -S-b - qcc) x 4?F = 3?4(ob . ., l??ov 4?00 Z-7 l44 e) 7C) ( Z I PETERS, PRICE & SAMSON LAND SURVEYORS. LTD. 12400 PRINCETON AVENUE SOUTH, SAVAGE, MINNESOTA 55378 • 612-890-9201 Certificate Of Survey For SCHIMEK HOMES INC _ G?8B2 ? ? O I ? /o 1 DESCR7.P1'ION' Lot 9, Block 4 LEXINGTON SQUARE 3RD ADDITION Dakota County, Minnesota Vs 'o i ?160 c ` o v \ o \• , • o o yo 1? ? o'Il?yo / ? N ? 30" \'?01 ae4.9 Oroinoge 8 ? /i/y Eosement \\ o Denotes iron Monument Set • Denotes ir.on Monument Found 8850 DenoCes Existing Elevation (885.0) Denotes Proposed i:levation ? J5 ? We hereby certify that this is a Irue antl correct representation ol a survey of the boundaries of the above described land, and of the location of all buildings thereon, and all visible encroaciiments, if any, irom or on said land. As surveyed by uS ihis z/57 day ol 1g 87 L? ?L.S. MinnesOla License No. 14890 - - S.F. ?. . CITY OF EAGAN EICTERIOR ENVELOPE AYERAGE 'U' COMPUTATION OWNEA: 'Z5 c 14 1 M EL. 1-4 o M E5 SIIE ADDRESS: CONSRACTOR: DATE: PHOfiE: Determine working square footage of each: 1. Total exposed wall area ,. 2168 sq, ft, x.11 2. Total roof/ceiling area ... lQ-14 sq. ft, x.026 = 3??'.'+Z Total exposed wall area above floor - 2 o4'4' a. Total uall window area ............................ b. Total door area ................................... c. Total sliding glass area .......................... d. Total.fireplace xall area ......................... e. Total wall framing area (average 10%) ............. f. Total net wall area above floor ................... g. Total rim joist area .............................. Total e:posed foundation area h. Total foundation window area ....................... ? i. Total net foundation area above grade .............. ° 2t 8 9 „ Determine 'U' value of eaeh wall segment: x , u, .58 = 91.G4- b. ¢o x 'U' C. 40 X 'U' ?- 2Gl00 d, o x 'U' - e. L8 j x 'U' -?v _ IB?Io f. I(o Z x tU' g• _1.4.4 x , p, h. o x 'U' ' x sU' ' 3 . ................................................... Total = 2 1 1 11 O If item b3 is the same as or less than item 1l1, you have met the intent of SBC 6006(c)2. Total eiposed roof/ceiling area = I 4'f 4 -- a. Total skylight area................................ k. Total roof/ceiling framing area (average 10:L) ..... L'?'? 1. Total net insulated roof/ceiling area .............. I (OVER) . , r • • ? . ,? Determine 'U' value for each roof/ceiling segment: J. x oUt _ k. 141 x oUt oZ?G 1. 132'( X ,pt .0143 = 25.G1 4. ................................... ................... Total _ 29 ..G ?o If total of 04 is the same as or less than 02, you have met the intent of SBC 6006(c)1. Alternate Building Enrelope Design To utilize the total envelope system method, the values established by the sum of Items 93 and 94 shall not be greater than the sum of Items 111 and d2. 1. . 2. - 3. . 4. - ? L ? BL 4 CITY USE ONLY RECEIPT #: CP,13 0 ( I b SUBD. LelfiIlOrnh Jq_ u Q 4 RECEIPT DATE: S 3 I' U U i PERMIT # 2000 PI,UMSING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, DIId 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required tor each unit ? backflow preventer for underground sprinklersystem CIYTI IO FC EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet " minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tra 3.00 x = $ Lavatory 3.00 x = $ Se tic System newlrefurnisned `requires MPC Ifc. 75.00 x = $ Septic System abandonment 30.00 x = $ RpZ new installatioNrepaidrebuild 30.00 X = $ Rough openin Shower 1.50 3.00 x x = = $ $ Underground sprinkler rf dwelling is under construc[ian Underground s rinkler ifexisting dwelling Water closet 3.00 30.00 3.00 x x x = = = $ $ $ Water heater 3.00 x $ Water softener if dwelling under consWCtlon 5.00 x = $ Water softener if exlsting dwelling 30.00 x = $ Water turnaround 30.00 x - _ $ State Surcharge Total .50 -> -> _> -> --> $ 50 g Reminder. Call for inspections of aiterations, i.e. water heaters, water softeners, etc. -------------- -- ------------------------------ •------- --------------------------• ---... --- -------------------------------------------- I here6y acknowledge Nat I have read this appliwtion, state fhat the information is corted, and agree to comply with all applicable City of Eagan ordinancas. It is the applicanYs responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry during its nortnal operational and maintanance activities to the facilities constructed under Nis permR within City property/right-of-way/easement. SITE ADDRESS: `/ OWNER NAME: : I?F?DlE? /????tYE-?•L STREETADDRESS: 7-96;0 TELEPHONE #: a 6-Z?) 7-3 INSTALLER NAME: /??? ? //vIC- (AREA CODE) TELEPHONE#: 7 (AREA COOE) CITY: *0Z-M2Gl1-?y' S ATE: ZIP: yy/ SIGNATURE OF P /MITTEE CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *RYlP3: PAYMFTTf' OF FEE AT TIlM OF APPLICAMON DOES NOr CONSTI=E APPROVAL OF PFI2NIIT. INSPDLTION OF SESdM ADID/OR Xk7Et rnicrAr.raTrONS WIId, NpT BE SCHED-- nLn t7erru. PERMIT HAs sEW p,2PxavED. -------------------------------------- P ease Print) 1) PROPERTY ADDRESS: 3 LEGAL DESCRIPTION: " Lot Block Subdivision or Tax Parce ID IF EXrSTING STRCCZL'RE, DATE OF ORIGINAL BL?ILDING PERNIIT'ISSL'ANCE: ' i Mon th/Year PRFSENP ZONING/PROPQSID IISE: ? CONPERCIAL/REI'AIL/OFFICE r7 INDL?STRIAL n INSTI'!i'TIONAL/GOVEWRs'NT UaIR-1 SINGLE FAMILY Cj R-2 DOPLEX (ltao Pnits) ? R-3 Tt7WN-IOC?SE (Three + Units ) ( Dnits ) q R-4 APARTMENP/CODIDpMINILfi1 ( Units) rAM:_ J 0 h n San, ?*40 ?`t ? AnnREss: $Z? /? -?? <-•?- czxY, sI-nikTE, zxp: PHONE: 3) - N71ME: i ADDRF'$$: CITY, STATE, ZIP: PHONE: 4) •?• • i?• . rArE:_ - ADDRESS: CIT1'. STATE, ZIP: PHONE: YllIIfIp2LS L1CPS15E: t1V2 ExPired Not recorded Sta Snitlal -5) u vi a• ?• : a • o• • a? EaiCUNNE(.TION T0 CITY SE4JER E3-CONNpCTION TO CITY WA7ER ? pTfER '- 6) 2) ? "~• ?•?• [? PLF.ASE HOLD APPROVID PERhffT'F'OR PICK-OP BY ONE OF ABOVE Q? MAIL APPF?yID PERMiT TO 1, 2, 40 4. ABOVE (Circle one) m? 4i 5'i$'3 Lf !'/s -- % ?'7> MASTER LICINSE# FOR CITY USE ONLY PERMIT # ISSL'ED ??7Z Pd w/Bldg. Permit FEES: , $ $ SEWER PERMIT (INCLLDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ 15- od ACCOLNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ 5 z>o-a $ n w .c $ ? 2 S $ SAC $ $ TRDNK WATER ASSESSMENT $ S TRLNK SEWER ASSESSMENT. $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ lX ? U U $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 1:2 6 $ 5-1, a' ? TOTAL 76 z S c 7.,7 S L RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PIIBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DATE : ?jZ 7 /? 7 ao For Office Use i City of EI Permit ~ I ~I 3830 Pilot Knob Road I Permit Fee: I I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 ff ,,11 1 Staff: I/A G W tk) W 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: n Site Rddress• 4-C.;-f. r Tenant: Suite RESIDENT / OWNER Name: Ec CC lL ~Q Wk'k' x `Qhone: ~c-~ Address / City / Zip: i -ae Applicant is: Owner ~ntractor TYPE OF WORK Description of work: rr~~ Construction Cost: Jc~tMulti-Family Building: (Yes I No ) CONTRACTOR Name: 2'~\`2 License C~ Address: ed -_4 City: State:~ip: Phone: Contact Person: ib I 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 (N( 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 the 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 a work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. IQ IQ r7e, Se~ t Applicant's Printed Name plic is Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA077745 Eagan, MN 55122 . Date Issued: 05/15/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3878 Newtown Ct Lot: 9 Block: 4 Addition: Lexington Square 3rd PID 10-45077-090-04 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Frederick M Mitchell 1920 County Road C West 3878 Newtown Ct Roseville MN 55113 Eagan MN 55123 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN Permit No: Date: 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner: Site Address: Plumber: Conn. Chg: Zoning: Acct. Dep: No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter: Misc.: By WATER SERVICE PERMIT G Nsr CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilaf Knob Road P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: B Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA121894 Date Issued:04/18/2014 Permit Category:ePermit Site Address: 3878 Newtown Ct Lot:9 Block: 4 Addition: Lexington Square 3rd PID:10-45077-04-090 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Gavin Tugana Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Frederick M Mitchell 3878 Newtown Ct Eagan MN 55123 Simon Construction 8200 Humboldt Ave S, Suite 205 Bloomington MN 55431 (612) 861-7000 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use ) I Permit City of Eanan I I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 5 l7Z rl rt.~lS~vzT~ Phone: Resident/ Owner Address /City /Zip: Applicant is: Owner /Contractor Description of work: .P~llLlt'°' .~f►a~ .~y 6$~ dt/f~/a/ ~~/~1 Type of Work I Construction Cost: 'P r6~ Multi-Family Building: (Yes /No Company: ~re 'Ls ~ G - l/U Cntact: l Contractor Address: City: State: Zip: 5 Phone: _Z/Z Z7l90W 010-e f~1J91 cF~Y 1 AIA7- License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may 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.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 Buildi Cod st 00 Mm hin 180 days of permit issuance. x 11~~-J" ,Aki,r°Z~~ x Applicant's Printed Name Ap li n ' Sign ture Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) ✓ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of - Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building 44 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 oo Occupancy t MCES System Plan Review ✓ Code Edition Z06 7A4e.%XL SAC Units (25%_ 100% Zoning / City Water Census Code Stories 2 113A-1 Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction 6 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 Erosion Control Braced Walls Other: Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee 55.15 Surcharge • Go Plan Review 3 G. Z~ MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL q$ •S't Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA123169 Date Issued:05/30/2014 Permit Category:ePermit Site Address: 3878 Newtown Ct Lot:9 Block: 4 Addition: Lexington Square 3rd PID:10-45077-04-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Troy Good 3670 Dodd Rd Eagan, MN 55123 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 - Frederick M Mitchell 3878 Newtown Ct Eagan MN 55123 (651) 454-7213 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature . 9/23/2015 2:29 PM FROM: Fax Standard Water T0: 1-651-675-5699 PAGE: 002 OF 00-0 Use BLUE or BLACK ink � . ;Fo�ot��a�sa---------i c Cl� O� LU Ull j Pertnit#: � s� � � � � RECEIVED � Pertnit Fee: � � �� � 3830 Pilot Knob Road . 2� Eagan MN 55122 � Date Recelved: 'a J I Phone:(651)675-5675 SEP 'L 31015 I � `_ � Fax:(651)676-5694 � i Staf�✓ � �����������������J 2015 RESIDENTIAL BUILDIN PERMIT APPLICATION Date: � C Slte Address: `���4 /!/C L(/ l�vf'f Unit#: (� �/► ,./ /� / r� . . , Name; ��!'P d /�I� T"'C l�/� • Phone: �7/'��S'��COd Resident/ c� Gv � u�[ ✓�'/ �.Owner � Address/City/Zip, ��� �� � - � Applicant is: _Owner �Contractor � Type of Work Oescription of work: Q/�'L � Construction Cost; ���� " Mul6-Family Building:(Yes s/No� Company:d�1a'/ 1��A0�Lf�/Z j�y��� Contact: � (�� � �ont�actor Address: .�337 I.Gt ������ c�ty' , . ' State:�Zip:��� Phone.� 37 O`�E�aiL��/�3S�11�IAq/"!11()i o�D�',�� �, License#: doC Lead Certlficate#:�/T T o( �`f�!0—� if the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING � In the tast 12 months,has the City of Eagan issued a pertnit for a slmilar plan based on a master ptan? Yes _No If yes,date and address of master plan, Llcenaed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Wate�Contractor: Phone: Flre Suppreasio�Contractor: Phone.: NOTE;,Plans and suppoKing documents that,you submlt are consldered to be:publlc;/nforma;lon:.Portions of...�, . the Infoimation may.be�c/asslf�ed as non pubirc`If.you provide spec/fic reasons tirat woujd peimlt Ebe City to .:. � � conc/ude fhat the aie trade secrets. CALL BEFORE YOU DIG. Cell Gopher State One Call al(851)454-0002 for protectlon agalnst underground utllily damege. Call 48 hours be(ore you Intend to dig to�ecelve tocates ot undetground utllllles. yuww.00cherslateonecall.ora I hereby acknowledge lhal this informatlo�Is complete and accurale;lhat lhe work will be In conlormance wilh the orcJinances and codes of ihe Ciry of Eagan:thal I undersland lhis is not a permll,but only e�applicaUon tor a permll, and work is not to start wiihaut a permlt;Ihat the work will be In accordance wilh lhe approved plan In the case ol work whlch requlres e revlew end approval oi pians. Exte�lor work autho�lzed by a bullding permit Iseued In eceordance with the Minnesota 3tete 8ullding Code muat be eompleted withln 180 deys ot permit Issuance. x����V '^ �.[1G U x ! i Appllcant'a P�— i e�d Name Ap � s ature Pege 1 ot 3 • 9/23/2015 2:29 PM FROM: Fax Standard Water T0: 1-651-675-5699 PAGE: 003 OF 009 ��-7� ;� ` �� � o���-' �E;��.� ��"� DO NOT WRITE BELOW THIS LINE SUB TYPES Foundatlon Fireplace Porch(3-Season) _ Exte�ior Alteration(Single Famlly) � Single Family _ Garage . � _ Po►ch�4Season) _ ExterlorAlteratlon(Multl) Multi Deck Porch(Screen/3azebo/Pergola) ^ Mlscellaneoua _ 01 of_Piex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interlor Improvement _ Sidlog _, Demoilsh Building" _ Addition ^ Move Bullding _ Reroot _ Demolish Inte�lor Alteration Fire Repair Wlndows Demollsh Foundatlon _ Repiace � Repalr _ Egress Window ,_ Water Damege _ Retaining Wall "Demolltlon ot entire bullding-glve PCA handout M applicant DESCRIPTION Valuation 3Q�0 Occupancy yZ�'2�- MCES System -"' Plan Review Code Edition / �' SAC Units `` (25%_100%� Zoni�g �/� City Water -- Census Code � 3y Stories '-` Booster Pump "" #of Units � Square Feet -1 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(Additlon) � Final/No C.O.�Required Foundatio� HVAC_Gas Service Test Gas line Ai�Test Roof: Ice 8 Water _Fina� Pool: Footings AiNGas Tests _Final Framing � Draln Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retalning Wall:_Footings_Back�ll_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_final Braced Walls Erosion Control � � Other Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee g� Surcharge Plan Review �'?3� . MCES SAC City SAC Utility Connection Charge � S&W Permit 8 Surcharge Treatment Plant � Copies �-at3' TOTAL � Page 2 of 3