4283 Stirrup St
Use BLUE or BLACK Ink
j _ _
JJ I -
For OffceUse - - -
e y~ r I~~iS~
City of Eqd Permit F
~ Permit Fee:
3830 Pilot Knob Road
I Date Received:
I
Eagan MN 55122 I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
2 010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: CJ/10/10 Site Address: 5 °F-- ^ r L)P S 4-
Tenant: Suite
RESIDENT/ OWNER Name: /°T,~K N~'rlrt'vs<<S Phone: Cost Ao'6
Address /City /Zip: a St, r-rv St Gr\ MN jSl~~
Applicant is: - Owner Contractor
TYPE OF WORK / l
Description of work: ) e c^~ / " ~'C>cr
Construction Cost: I `IQ Multi-Family Building: (Yes / No
Everciree.-N Cea~sir~c , cs~ Ccrn~c try, ?nC.
CONTRACTOR Name: DOX Se le& - Cve.Zt Vol Cc nS Fr„e F ;cry License* v Q.5_H 7 a (2
Address: its Ce.-*rP- ~ n C~.rve. Al~~ City: SF
State: AA (\J Zip: ' S I C` Phone: 5-1 , 09 - 3) 3 b
Contact: cn~ C ; cSC L ; rvtb'r Email: t + ek ~~1r c ever-Ure~n • C a~i
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 the 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.orp
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 rk will be in
accordance with the approved plan in the case of work which requires a review and approval of plan
x Pc-Jc t dc L M6(" x ~
Applicant's Printed Name Applicant's Signature
Page 1 of 2
No..
to comply with the City of Eagon
of Insp.:
PERN4IT NO.:
DATE:
_ No. of Units:
CITY OF EAGAN
. : Pilot Keo6 Rood
Eogan, MN 55122
Zoning:
Qwner:
Address:
Site Address:
Plumber:
I agree to comply wlth the City oF Eagan Connection Chorge: :
Ordinances. Account Deposit: _
Permit Fee:
Surcharge:
BY Mist. Chorges: -
Date of Insp.: Totul:
Insp.: Dote Poid:
PERMIT NO.:
DATE:
No. of Units:
• CASH RECEIPT
CITY OF EAGAN
3795 PILQT KNOB ROAD
EAGAN, MINNESOTA 55122
•
DATE 19
REC tl V <D
PROM
AMOUNT $ I
6 DOLLARS
. ?eo
? CASH [] GHEGK
FOR
• . ?. r . ?- - ? /?..?/o.?? ??. _ .r .??
FuNO CODH AfAOUNT
. Y
? BY
White-Payert Copy
Yellow-Posting Copy
Pink-File Copy
No. . l7?/9
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesoto 55122
Phone: 451-8100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Dcte: `'Lule 25' 1960 Receipt No.:
Single
Site Address: 4` ` `jxvmp Residentiol
S
Lot Block c-
Q-A'Zl- (-.
Ncme
.
? Address
?
City Phone:
Name =7'?T:YJS 1?1t•? ? !:t:
.
? Address
a
0
Ciry Phone:
This Permit is issued on the express condition that oll work sholl be
Minnesota Statutes ond City of Eagan Ordinantes.
New/Alter./Repair. ?Cost of Instollotion
Permit Fee
5urchorge
Total
done in xcordonce with ail cpplicable Stote of
Building pfficial
?h????fiG ??
Reaeipt ? PLUMBING PERMIT Parmit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egibly
Tot
1. Date 2. Installation Cost
3. Job Address Lot ` Bik. - Tract
4. Owner ;,? -4 1<
-Q r'.' i, ? -;c M
5. Contractor
Phone
6. Address
7. City State
Zip r . I
8. Building Type: Residential 0 Commercial ? Institutional O
9. Work Description: New ? Add 0 Alter ? Repair ?
I 10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
C
l/O
i
fi
Bath tubs esspoo
ra
n
eld
S
i
T
k
? Lavatory ept
c
an
t
S
Shower tner
o
W
ll
Kitchen Sink e
Urinal/Bidet
Laundry Tray Other
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type af work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when num6ered and approved.
Approved CITY OF EAGAN 454,8100
4.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
4
SITE ADDRESS:
• i S.Rl?llt' tiT
PERMIT SUBTYPE:
- PERNfIT TYPE:
Permit Number:
Date Issued:
al'111' * ".'
H t (! C' K APPLICANT:
F, .
( t?l11 ? 3y- q.:'tic+
TYPE OF WORK:
Iii ',; 3: 1E ! t fil,I
lit+ t t t1 1 "t3
0 :s ; ?F,:3
09/ I?'i / 9 tI
i't FPA 1 k
F't fi! tIAMtHGE tiF I1O13F !
INSPECTION DATE INSPTR. INSPECTION TYPE DA
F! iS '+ , i1 14 f1 I
Permit Holder Date Telephone #
PLUMBI
q4?? U")ajz?
&] a6,5 0
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLllM811VG
PLBG
AIF 7EST
ROUGH
HEATING
'
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
Ff REPLRCE
AIR TEST
FINAL PLBG
FINAL HTG
QRSAT
TEST
BLDG FINAL .L.ia•ajs?
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
NYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
OECK FiNAL
I
?
Ce 1!
CITY OF EAGAN Remarks
Addition Saddlehorn Lot 5 aik 3 Parcel 7a-19 65800 050 03
Owner ?_?T;11 ?..-•? ,??«??-= -Street 4283 Stirrup State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, jmP. 1981 1944.00 97.20 20
STREETRESTOR. 1981 1210.00 60.50 20
GRADING
SAN SEW TRUNK 1981 280.00 14 , 00 20
*SEWERLATERAL 1981 3359,51 167.98 0
WATERMAIN
*WATERLATERAL 1981
WATER AREA 1981 280.00 14.00 20
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
CITY OF EAGAN 3795 Pilol Keob Reed Eogaw, MN 33122
. PHONE: 454-8100
BUILDING PERMIT
Receipt #
_ Te bt rnd fW - Est. Volue Dote 19
Site Addrcss Erect Q Occuponcy
l.ot ` Block Set/Sub. Alter 0 Zoniny
P
l Repair ? Fire Zone
orce
#
Nome --
Addron • ?" _ , r
$? Neme
?? Address
?- r:..,
Nome _
Addross
1 hereby acknowledge thot I have reod this opplicotion and stote that
the informotion is correct and ogree to tomply with oll opplitoble
Stote of Minnesota Stotutes ond City of Eagon Ordinonces.
Sipnnture of Permittee
Enlorge ? Type of Ckinst. ?i
Move ? # Stories
DemoHsh ? Length
Grvde ? Depth 'Sq. Ft.
ApProrals Ftes
Assessment
Woter 8 Sew.
Poliu
Fira
Enp.
Plonner
Councll
Bldp. Off.
APC
Permit -
Surcharpe
Plan check
SAC
Water Conn.
Water Meter
Rood Unit
Taol
A Building Pertnit Is issued ta ' ` ' on the expross oonditlon thnt
oll work sholl be done in acoordante with oll opplioable Stote of Mlnnesoro Statutes ond City of Eo9an Ordinonces.
Buildirq Officiol
Perrtnit No. Permit Holder Misc. Permit No. Holder
binq ,2?Q ?
A.C.
9
Well
Dbp.
Sewer
Eketric '"r -71 U ?F L')
Inipection Dats Insp. Other
Footinys
Fvundation
Fnminp
Rouph Piby.
Rouph HVA
Insulation
Final Pibp.
Finsl HVAC
Final - ?- ?.
wa"r Dfteribo Loeation:
Well
Sewer
Pr. D'ap.
?
CITY OF EAGAN a?,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PH O N E: 454-8100
lILDING PERMIT Receipt#
be used for "-t- Est Value i•''?7`-' Date ,19
Site Address ' ? ? ? • + : . ?` ` `' U rHc:t usr unLr
Lot Block Sec/5ub. On SRe Sewepe Occupancy
MWGC System Zoning
Parcel No. i
W
l A
l
te
el
OnS ctua
) Const
(
a Name ? ' ? - i- •'' " :? City Water (Allowable)
3 Addr@SS `? ? S`• ? PRV Required
BoosterPump # of Stories
Length
0 City }•k' °` Phone 494°737"
Depth
, o Name ?.J3? :??..t•': i.: :! 1taN S.F.Total
ou Address FootprintS.F.
U?m Gity Phone
APPROVALS
FEES
V Engr./Assess. Permit ? µ i 01-
y
j Name
W Planner Surcharge
?? Address Council Plan Review
6 W City Phone
Bidg. Off. SAC, Ciry
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and egree to comply with all appFicable State of WaterConn.
Minnesota Statutes and City of Eagan Osdinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that alt work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. ?-
Building Ofticial
TOTAL `
Permit Na. Permit Hoider Date Telephone #
Plu'mbing
H.V.A.C.
Electric
Softener
Inspection oate Insp. Camments
Footings I
Footings II
Foundation
4
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
F
Final Htg.
-
rPibg.
Bldg. Fihal
cert. occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
This request void I I??,^
16 months Gnm
7 71655
LS, 133? Sa?dl? lw ?-r? .?555? 5?
/'?) (ocD
Repuest Date
I Fire No.
I Rough-in InvuecUO
n
ReqmreA?
?Heatly Now Q Wili NotitY losper.-
?Ye:: ?Nu Zor When ReaAY
? L.censed Eler.tncal Conlraclo, I hereby reqLjesl mspection ot abuve
9 Owner electncal work mstalled at
Str?e/Nt Atldress, 6ox or Roure No.
T CitV
ecuun o. Township Name or Nn. Rnnpo No. Count
'?e c. rc,
Occupnnt (PFINT)
ctw?k -,t? ? rrl. S?t??4r z Phane No.
??SY? 7C.?7
Powei $uPPlier Atldress
Electncal Convxcmr ICOmpany Namel
I w r?.22 C?mtrar.[or's License No.
MailinB.4dJress (Contractor or Owner Makmu InvtailaunN
Authnnretl Signature (Convaclor/Ownor Makiny Installabnn) Phone NumOear
MINNESOTq STATE BOAPD OF EIECTRICITY TNIS INSPECTION FEQUEST WILL NOT
Griggs-Midway Blde. - Room N-191 BE ACCEPTED BV THE STATE BOARD
1821 Univarsity Ave., St. Paul, MN 55104 UNLESS PROPEN INSPECTION FEE IS
Phnnw 16121 297.2111 ENCIOSED.
?¦p
REQUEST FOR ELECTRICAL INSPECTION
6" 7 16 6 5? See instructrons fot COmpletin5 this form on back ol vellow copv.
"X" Be1ow UGork Covered by This Request
? EB-00001-03
..
S l0 3 -3
New Add Rep. TYUn ol BuJtling Applinncas WveA Equinment Wired
Home Range Temporary Servlce
Duplex Water Heater Lighvny Fixwres
Apt. Bwlding Dryer Electric HeaLn
Commercial Bldy. Fumace Silo Unloader
InAustual Bldg. Au Condrtioner Bulk Milk Tani<
Farm 00her 5pe,afy Other (SUeuty)
tinr?SUOUW O[her Otl+er
Compute lnspecuon Fee Below
K Pee ServiceEntrenceS¢e a Fee Feeders/Subfeeders p Fee Circui!s
0 to 7 00 qm ls 0 to 30 Am ps 0 to 30 Am es
101 ta 200 qmps 31 to 700 qmps 31 to 100 Am s
Above 200 Amps Above 100-Am s Above 100-Arnps
Transtonners RemoteControl Grc. ?SU ParL21-'Other Fee
Sions Speaal Inspection °
$
P
7
T
-
aem??rk:; _?- 1 110() 0
AL FE Ar?
.r .- -?.
Rouqh-vi 13''«'
I, tha Eloctncal
?nspecbr, hereby
' th
b
Final
/ /r.. , ' 1 e e
ove
flSpeCLIOn h85 bBPn
Th15 uBtIUB51 VOId
18 morii,s r,ma
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681•4675
New ConsWction Reauirements
• 3 registered site surveys showing sq. fl. of lot, sq. N. of house; and all rooted areas
(20°b maximum lot coverage allowed)
• 2 capies of plan showing beam & window s¢es, poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservalion Poan if lot platted after 717193
• Rim Joist Detail Options selec[ion sheet (bldgs wiU 3 or less unils)
DATE
d'e S? Cy -p
p UY'hS!//Ae STATEAA ZIP 55337
SITE ADDRESS zza S 3 C?l _ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK Cns7Za J1 et?GGGP?.ySS(? C?)IY2eFt/QHy' F?'r?QIoC? FIREPLACE(S) _ 0 ?l,'_ 2
?h ??LA.?V / lh "9lA-,? AqY/
APPLICANT
STREET ADDRESS
TELEPHONE # Q51' 94I0-07S9 CELL PHONE #
FAX #
PROPERTY OWNER ( 9"1'?'[?I bC l?'I NCl (?P TELEPHONE# 4?1`oZ- ft?-C"7-59
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MI\YtiSOTA RULES 7670 CATEGORY 1 OTa1 RUI1ES?
(J submission rype) • Residential VentilaUon Category 1 Worksheet Submined , ' ? New Energy?COde?+hork
• Energy Emelope Calculations Submitted I DI S ',:P 18 9002
Plumbing Contractor: ____
Plumbing system includes:
_ WaLer Softener
_ Water Heatcr
No. oF Baths
Phone # Ip
Lawn Sprinklcr -
No. of R.I. Badis
Mechanical Conhactor. 1"' i?n0 S! ?P &'^J?] PU`
Mcchanical systcm iitcludc,: Air Conditioning
_ HcaL Rccovcry Syslcm
Sewer/Water Contractor:
?0 6-1
ec: $90.00
Phone #
Pce: $70.00
Phone #
I hereby acknowledge that I have read this application, state ihat the intormation is correct, and agree to comply
with all applicable State of Minnesota Stafutes and City of EagaMci,14 nces. n
? ( / SlgnatureoFApplicanf .t-[
OFFICE USE ONLY
RemodellReoair Reauirements
• 2 copies of plan
• 1 set of Energy Calculatlons for heatatl additions
• 1 site survey for exterbr additians & decks
• Indicate if home served by septlc system for adddbns
VALUATION
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex O 13 16plex O 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling O OS 06piex ? 16 Fireplaca ? 21 Porch (3-sea.) ? 31 Ex[. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 PorohlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration 0 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolftion (Entire 81dg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Franung _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wali
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Pertnit & Surcharge
Treatment Piant
Plumbing Pertnit
Mechanical Permit
License Search
Copies
Other
Total
,
53-1 l l?
.
RESIDENTIAL
BUILDING PERMIT APPLICATION
PAIO JUL 2 4 2Q9?
?.5
113--
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Conatruetian Reaulremente
• 3 regislered site surveys showing sq, ft of l04 sq, fl. of Iwuse; eM ?I( roofed areae
(20%mazimumlotcoverageallowed) • 2 copies M aan stawing 6eam & window sizes, Pnured kwd design etc.)
• 1 sef of Ereigy CalcWabom
• 3 copies of Tree Preservatlon Plan H lot platted aRer 717193
• Rim Joist Detad Options selection stceet (bldgs with 3 or less unBs)
DATE 7-Zq•bZ
JOB SITE
8
RertrodeVReoair Reauiremenb
• 2 copies of plan
. 1 set of Energy CalalaUons for heated addifions
• 1 ske survey far exterior additions & decks
. Indicate K home served by septic system for addilians
VALUATION ? 'T?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? v SF
PROPFRTY
TYPE OF WORK I?MQU-F Qnd. /W. O.E o2 21U7dorvs? QldM?'3W11dOUL5U!{D ?,Q,?o/??i
APPLICANT MINNEBAT-kRu9@ , . ?E'? ',tWir?99u?-
ADDRESS Seilili n privg ZIP CODE
PAGER # Minnetonka, MN 55343 p,qX #
. -9*969 Fex 851-935-95?"
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Ptumhing Contraetor: _
Plumbing System Includes:
Mechanical Conhaetor.
Mechanical System Includes:
Sewer/Water Confractor.
_ MINNESOTA RULES 7670 CATEGORY 1
- Residentiai Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculatians Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ Lawn :
_ Water Heater _ No. of
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
All above infortnation must be su6mitted prior to processing of application.
I hereb,y acknowledge that I have read this application, state ihat the information is conect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance .
Signoture of Applfcan} ?
Certificates of Survey Received ? Tree Preservation Plan Received _ Not equired _
Updated 2002
.IUI 2 6 2002
#
Fee:
_ ?
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr of Units
Nbr. of Bldgs
Type of Const
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (newlreplacement)
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
TreaVnent Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 70 08-plex ? 18 Deck
? 71 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
O 22 Parch/Addn. (4sea.)
? 23 Poroh (screened)
? 24 Storm Damage
? 25 Miscelianeous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 38 Mave Bldg. ? 42 Demolish (Faundation) ? 45 Fire Repair
O 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) • Give PCA handout to applicant
Occupancy MClES System
Zoning City Water
Stories Booster Pump '
Sq. Ft. • ; ?,- PRV
Length ?;,Fife Sprinklered
Width
I % :.t
REQUIRED INSPECTIONS
_ FinaVC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
e RESIDENTIAL
BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 ?
New Canstruction Reouirements
• 3 registered site surveys showing sq. R ot lot, sq. ft, of house; and all roofed areas
(20%mazimum lot coverage allovred)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• isetofEnergyCalculations
• 3 copies of Tree Preserva6on Plan d lot platled after 7/1193
• Rim Joist DHail Options seledion sheet (bldgs wdh 3 or less units)
RemodellRewirReauirements ?4_
• 2 copies ot plan
• 1 set of Energy Calculatlons for heated additions
. 1 site survey for exterior addifions & decks
• Indicate if home served by septic syslem for additioas
DATE VALUATION 00 (o ?
JOB SITE ADDRESS J?g3
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER???? Oj??rWr .
TYPE OF REPLACE(S) _ 0_ 2
APPLICA ?PHONE# GSI`?83-/?8
ADDRESS1695- ZIPCODE 57Sb27
PAGER # CELL PHONE #?I? rg? dr"Z?D ?C FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Inchides:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
All above information must be submitted prior to processing of application.
Phone #
Fee: $90.00
ree: $70.00
T PD dR?.l1,
I hereby acknowledge that I have read this application, state that the information is orrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or 'rian s.
Signafure of Applicant
A/ V
Certificates of Survey Received _ Tree Pseservation Plan Received _ Not Required _
Updated 2002
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Warksheet Submitted
Phone #:
Water Softener Lawn Spruilzler
Water Heater _ No. of R.I. Baths
No, of Baths
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex X 17 Garage )< 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
7( 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ?.45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation e"
?oz> Occupancy ?Tr4j, MC/ES System
C
Census Code Zoning ? City Water
SAC Units Stories ? Booster Pump'
Nbr. of Units - Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type.o(Const 1,.? . Width. '7 cJ ?
-?, -?-
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) X FinaUNo C.O.
Footings (addition) r
Plumbing
?
Foundation -
HVAC
Drain Tile Other
Roof Ice & Water Final Pool ? Air/Gas Tests Final
Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (ne rep acement)
Insulauon _ Retaining Wall
Approved By T7, , Building Inspector
----------- ----------- ---------------
Base Fee ------------------------------------------- ------------------------------------------------- -----------------
Surcharge ? l. C)
Plan Review C) ?TJ
MC/ES SAC
City SAC
Water Supply & Storage ?j
S&W Permit & Surcharge
Treatment Plant
Pl
bi
P
it
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erm (?
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Mechanical Permit
L
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p?
icense
earch
Copies
Other
Total ?? ? ?
MECcheck Compliance Report
2000 Minnesota Energy Code
MECcheck Soflwaze Version 3.2 Release lb
TITLE: Kincade Res.
COiJNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 04/11/02
DATE OF PLANS: 4/11/02
PROdECT INFORMATION:
4283 Stirrup Sheet
Eagan, Mn.
COMPANY INFORMATION:
KB2 Construction
COMPLIANCE: Passes
Maximwn UA = 70
Your Home = 66
5.7% Better Than Code
Permit Number
Checked BylDate
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 240 0.0
Wall 1: Wood Frame, 16" o.c. 432 19.0
Window 1:
Above Grade, Vinyl Frame, Double Pane with Low-E 66
Crawl I: Masonry Block with Empry Cells, 4.5' hU3.6' bg/4.5' insul
243 0.0
Propased and Maximum U-Factor Averages
Proposed
Average U-Factor
Above-Grade Windows and Glass Doors
Includes Foundation Windows > 5.6 ft2
38.0 6
0.0 22
0320 21
10.0 17
Maximum
Allowed U-Facwr
0.320 0370
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit applicaflon. The proposed building has been
designed to meet the 20 0 Minnes ta Energy Code requirements in MECcheck Version 3.2 Release lb.
Builder/Designer Date 4-ff-_0 01-
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/
,. CITY OF EAGAN N2 15 0 5 8
" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454•8100 Receipt #gq
To be used for DECK Est. Value $1,000 Date MAY 24 ,19 8$
Site Address 4283 STIRRUP ST
Lot 5 Block 3 Sec/Sub. SADDLE HORN
Parcel No
m Name CATHY BACKES I
Address 4283 STIRRUP ST
0 z
City EAGAN Phone 494-2374
OFFICE USE ONLY
OnSlteSewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ (Actuel) Conat
City Water _ (Allowable)
PRV Repwred _ n of Staries
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
a Name EDEN CONSTRUCTION
.o
? Q Address 150 E 107TH
¢ City BLOOMINGTON phone 888-3015
ua
wW
?i
x?
UZ
aw
Name_
Address
CItY _
I hereby acknowledge Ihat 1 have read this application and e Ihat the
information is correct and a9ree to comply with all a le Slate of
Minnesota Statutes and City of E rdinances.
Signature oi Permitl ?'
A Building Permi is etl to: E NSTRUCTION
ontheexpress itionthatallworkshallbedoneinaccordancewdhall
appLCable St e oF Minnesota Statutes and City of Eagan Ordinances
Bwlding Otficial
APPROVALS FEES
Engr./Assess. Permi[ 24.00
Planner Surcharge .50
Council Plan Review
Bldg Off. SAC,City
ValianCe SAC, MWCC
WaterConn.
Water Meter
Road Unit
Treatment P1
Parks
24
5o
TOTAL .
c
798$ HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLEyFAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVE,Y, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEDWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF IINIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OE'rENERGY CALCULATIONS
r
CO[+MEHCIAL "
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
? - Up M AY 1 81?$
To Be Used For: 1)&? Valuation: _4?_ I ? Date:
Site Address y zll3
Lot S Block ?3 On site sewaAe
MWCC system _
Parcel/Sub On site well
City water _
Owner 1311,ftQ,$ PRV required _
Booster Pump _
Address ?/ 2 ?,? 5712-G?? ST
City/Zip Code
Phone 179 9'?-J97 V I APPROVALS
Contractor FCJ.?JJ?L(JLT/O?I Engr/Assess
Planner
Address Z61 Council
Hldg. Off.
Cityl2lp Code r/.,r;,in•W Varianee
Phone 8kk -S? OI ?
Arch./Engr.
Address
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.E. Total
Footprint S.F.
FEES
Permit
Surcharge ?
Plan Review
cM5//19 SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Tt^eatment Pl
Parks
Copies
TOTAL '2 [! • ?, ?
Phone ll
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000
s
Pk'oPosc- D
EAGAN TOWNSHIP
BUILDING PERMIT
Ownes ........l?'.?,`-•?..._.??-e..:?!:`ta'7r_-_'.... --....----
Address (pseseni) ...1.?.'._? ? ?.......... ... .....
Huilder ............. .(J... :...............".`..A- ........ ......---------------------------- ---
Addsess
N° 2'791
Eagan Towna6ip
Town Hall
Dala .._6..' _..r._l.?'7' ....`"_'.........
Stories To Be Used For Fron! Depih Haight Esi. Cosf Permi! Fee Remarke
?°
?
9-4
??
' LOCAYION G 7•,F "
SIlOeI, Hoetl oi olh0i Ueseilp110n of LoCa2lon I LOf I" SIOCk I Addiiion Oi TleC!
??
'%?& • 1 S1 3
1'his permit does not eu2horise the use of sireefs, soada, alleys or cidewalks aor doas it give the ownes or his agent
the righ! !o creele anp silvaYion which is e nuisanea or which presenls a hasaxd !o the heallh, saiely, coaveaienoe aad
general weltare !o anpone in the communify.
THIS PERMIT MUST S£ /K?EPT ?DN THE PREMISE WHILE THE WOAK IS IN PROG S8.
?
This is !o cerlify. !hal..... {?.s.?..w-^^.-!-?:'.......?-x.r............... has permissSon fo erect a.-- .-.•-? -- .??--_ ................... _upo0
the above decoribed premise subjec! !o the provisions of the Buildinq Ordinance for Eaga Township adopted Aps31 11,
1955. /],.?? ? K/
..........."_".._'_IN!ivx-!;!^i'-- pww-? ............._-'....
Chairmen of Tnwn Board
z
Per ...................Y?"":.... U..f.?::"_....."°°.':':........................
............
Suilding Impectoz
z
-7?- 3-/
3adC?/P/?vrr?
TO'.:N OF EAGAIQ
3795 Pilot Knob i.oad
Eagan, Minnesota 55121
PERMIT N0. 128
The Board of Supervisors hereby g;anta to Wmlzel P. hinB & He9tAve $p,
of 36a) xmu,ebea Dri.ve, EaEan 55122
a ?T? T? Pezmit f-or: (Owner)
Cleve M. Schwanz
z: 1?2$3 3ttm3p , pursuant to application daY.ed
190= 10-13-72
Fee Paid: $10.00 Dated this 24th day of QotOimr , 1972
1.00 s/o
Suilding Inspector
5= 3-?
Sac?'',?lzv?-??
TOWN OI' EAGAN
3795 Pilot Xnob P.oad
Eagan, Plinnesota 55121
PEDIIT N0. 126
The Board of Supervisors hereby grants to Coraorazl HardWare
of Roeemount, MN 55068 _
aPexmit for: (Owner) Cleve SohxaAz
at 1283 9tirruA , pursuant to application dated
10/11/72
Fee Paid: $10_00 Dated this 12th day of Oct06e7C'
.50 e/C
Building Inspector
.5 --- s , s c,r??6 t17 ae?
T0: "N OF EAGAN
3795 P31ot Knob I:oad
Eagan, Minnesota 55121
PERMIT N0. 276
The Board of Supervisors hereby g-rants to tidtut2el P1uNbing & Heating Ino.
of 3600 %onebec Drive,, Eegan 55122
a FUMING Permit fox: (Owner)
Cleve M. Schwan.^.
u 4293 gtirmp , pursuant to application daY.ed
10/19/72
Fee Paid: $20000 Dated this 24 day o£ Ootober , 1972
Building Inspector
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MASTER CARD
LOCATI ON
fvv?
Permit
BUILDING
PLUMBING 4 ?
CESSPOOL - SEPTIC TANK
WELL
No.
??
_----??
Issued Issu
Contractor
e ed To
Owner
ELECTRICAL
HEATING
GAS INSTALIING
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION
FqAMING
'f---f? CESSPOOL
TILE FIELD FT.
FINAL
ELECTRICAL y?-- --?t
HEATING D
pEF PyyEIL???v
GAS INSTAILATION lelV 41
SEPTIC TANK qYg SS
/Sr G i°w
CESSPOOL
DRAINFIELD
GLUMBING
weu I/ l? 7
SANITARY SEWER
=
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Violations Noted
on Back
fOMMEN75:
?
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVEU VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
DATE OF I
? ACCEPTABLE Sl18STITUTIONS OR
DEVIATIONS.
NON-COMPLIANCE. BWLDER WILI COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOlLOWS:
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REqUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI FICATION -I certify that I have carefully inspected the above in which I have no interest present ar prospective, and that I have reported herein
all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected,
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
6111LDING
COMMENTS:
DATE
ciig'6p. ?.
.
EAGAN TOWNSHIP
BUILDING PERMIT
DESCRIPTION
N° 3140
Eagan Townsh3p
Town Hall
Date ..... 9..-. ??.-_73
To Be Uaed Fos Fron! Deplh Heigri! Esl. Cos!
I Permi!
Fee Ramazka
7
?J
!/
?D
a `? e. ?
aao-o•1
? 0-0
/?.'S_U
or
T6is permit does aot authorise the use of elreets, roads, alleys oz sidewalks aor does it give the owner or hie ageni
the righlio eseafe any silvafion which is e nuisaace or which presenis a hasard !o the heatfd, safelp, convan3enca and
general welfaze !o anpone in the communiip.
THIS PERMIT MUST BE KEPT ON/ TH`E PREMISE WHILE THE WORK IS 2N PAOGRESS.
This is !o aerlify, thai...-----..??......_j..:?s?k?s?:?.-°-° °°.........has parmission !o ezeet a....._--- °° ....... . .......................... _upoa
the above deacribed psemise subec! fo fhe pxov' om of the Building Osdinance fo= E an To nship adopled April 11.
1955. _............................. .....d+j.--n-'-'-Jf.`..--....... Per .----...........__?? 2.::.....-V ---....-- ....--°-._......
Chairman oF Tn Soazd ?v Su9ldin Ins ector,(j
----
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2?1? ? - - - -
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TION
MASTER CARD
-:?s
OWNER ` ?BIr C,?y?l?ly1 ?
STRUCTURE AND
LAND USED AS 40 X no ?? ?
Permit
No.
Issued Issued To
Goniractor ? Owner
BUILDING
PLUMBING 3i 4 p
' c_ ..?
1
-??=?
C J/
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING
GAS INSiALLING
SANITARY SEWER
OTHER I
OTHER
Items Approved
(Initial)
Dare
Remarks
Distance From Well
rOOTING SEPTIC
FOUNDATION . CESSPOOL
FRAMING
?
'
f
L TILE PIELD FT.
FINAL
ELECTRICAL --
- -
'
-
HEA7ING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PIUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS: ?Z 1f`i
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUGTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WIIL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site imDrwements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
DATE
va
rITY OF EA(aAN
CASH.T.ER: S TEkhfINAI_, id0? i[J4
Oh1TEr, 09/15/93 TIML; 12:3bu28
zv:
NFlMF- r.NTEr.zaR cnRE cnRror,arzoN
ariO 9001 gza<s sIiRRuP sr 349.7;
21.55 300a. 4283 sTtiRr,Ur sr 12.50
.,
Tot77. F:t.rEipt Amount: 362.25
Cft0973430
IJSE'R TD ; NANL'V
yF1k?F>X%??tri, ?k'MYF'MyF1K1XYF?X??MMyF7k7kX(%k9F??k#?k#?>X?(1X?k??X$S?
CITY OF EAGAN PERMIT
*1-8?0 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 2 5 3
(612) 681-4675 Date Issued: 0 9/ 15 / 9 8
SITE ADDRESS:
4283 STZRRUP ST
LOT: 5 BLOCK: 3
SADDLE HORN
P.I.N.: 10-65880-050-03
DESCRIPTION:
FIRE DAMAGE REMODEL
6,u'11ding.Permit Type SF (MISC.)
' Building Wark Type REPAIR
,"`Cshsus Code434 ALT. RESTDENTIAL
F ?
R.
1
?
? .. R.c o
l y t{..
9
?
.. ..? ? .. ? . .
REMARKS:
RESTORATION OF HOME OUE TO FIRE DAMAGE.
SEPARATE PERMIT REQUIRED FOR ANY PLUMBIN6 WORK.
Cpfl 445-2840 REGARDTNR FIFfTRTCAI pFRM7T ANn N P CT2CINS.
FEE SUMMARY:
VALUATION $25,000
Base Fee $349.75
Surcharge $12.50
Total Fee $362.25
CONTRACTOR: - flppiicant - s-r. LIC, OWNER:
I?TERIOR CARE CORP 17394289 20091325 BARNES BRIAN
P.O. BOX 25161 4283 STIRRUP ST
WQODBURY MN 55125 EAGAN MN 55123
(412) 739-4289 (651)865-1210
Z hereby acknowledge that I have r;ead th3s applieation and stat2 that the
3nformetian is?currect and agree to com'ply w3Ch a11 appl3aable $tate-ofi hln.
5tatutes and City ofi Eagan Ordinances.
I
APPLICANT/PERMITEE SIGNATURE
t
ISSUED BY: SIGNATURE
I
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD - 55122
681-4675
New Construction Reauirements RemodeVReoair Reauirements q_ ??-C(X
V
? 3 rcgistered site surveys
• 2 copies of plans (inUude beam & window sizes; pourad fntl. design; etc.)
? 1 energy plcuWHons
? 3 eopies of free preservation plan if lot platted after 7/1/93
required: _ Ves _ No
DATE: 9IiqIa2'
? 2 copies ot plan
? Z site surveys (extenor add@ions S dedcs)
? 1 energy alculations for heated aGditions
CONSTRUCTION COST; i ZS, boo
DESCRIPTION OF WORK: QlS-roeaTioW of Nou,46 1/AM40 13 Y t?,e?
STR ADDRESS: -%I1 551Z3
LOT: 'S BLOCK: -?:L_ SUBD./P.I.D. #: ? (? C? ? t-
Name: " gbwes 1414a Phone #: $!s$-1210
PROPERTY last First
OWNER
StreetAddress: 4143 go/P sf .
City Gevnrl State: MW _ Zip: .SSdLJ .
Company: SL.??oab GiwP • Phone #: 70 -420
coxrxncroR ?J, ?/3 t J IR ?q
StreetAddress:_6ox 151w License# 2oo%1)ZS
CitY "ooadav State: MN Zip; 55115
ARCHII'ECT/
ENGINEER Company:
Street
City
Sewer 8 water licensed plumber (new construction ony):
and bt change is requested once permit is issued.
Phone #:
Registration #: _
State: Zip:
Penalty applies when addrVss chang
I hereby acknowledge that I have read this application and state that the iniormation is correct and agree to comply with all appiicab!
State of Minnesota Statutes and City of Eagan Ordinances. _A
Signature of Applipnt: ? lX
OFFICE USE ONLY I ?
J?14 ?
Certficates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Requi d
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
T?05 SF Misc. ? 10 _-piex
WORK TYPE
O 31 New ? ,?3 Alterations
? 32 Addition 'T?,'?34 Repair
GENERAL INFOkMATION
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
? 11 Apt./Lodging ?
? 12 Mufti RepairlRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
_ Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Building
?L4 9 --7 S
Total:
Y
Engineering
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
°k SAC
SAC Units
Interior Care Corp.
Kathy Backes
Continued - Downstairs Bathroom
D85CRIPTIDN IINITS RSMOVE
07/30/98 Page:16
REPLACE TOTAL
Clean the walls
Seal then paint the walls (2
coats)
Clean vanity - inside and out
Clean sink and faucet
Clean toilet
Clean shower
Toilet - Detach & reset
Clean shower door
Clean toilet paper dispenser
Clean towel bar
Clean light fixture
C1ean suspended ceiling grid
R&R Suspended ceiling tile
288 SF @ 0. 15= 43. 20
288 SF @ 0. 52= 149. 76
3 LF @ 4.19= 12.57
1 EA Q 6.11= 6.11
1 EA @ 7.76= 7.76
1 EA @ 15.38= 15.38
1 EA @ 66.91= 86.91
1 Ep @ 7.74= 7.74
1 EA @ 3.28= 3.28
1 EA @ 3.65= 3.65
1 EA @ 4.59= 4.59
79 SF @ 0.12= 9.48
79 SF Q 0.09+ 0.74= 65.57
Room Total: Downstaira Bathroom
973.43
13?-Tatu5
?A,? °"
- Nw
Interior Care Corp.
Kathy Backes 07/30/96 Page:17
Room: Family Room
Suk>room 1: Iiall
MieBing W811: 1 - 314" % 8'0"
615 SF Walls 230 5F Ceiling
230 SF Floor 30 SY Flooring
222 SF Long Wa11 113 SE Short Wall
DESCRIPTION i7NIT5
LxWxEi: 18' 9" x 10' 6" x 8' 0"
LxWxH: 910" x 3'4" x 8'0"
Opens Into 0 Goes to Floor/Ceiling
845 SF Walls & Ceiling
78 LF Floor Perimeter
78 LF Ceil. Perimeter
RHMOVE REPLACS TOTAL
Remove Carpet - (material and
labor)
Carpet - (material and labor)
R&R Carpet pad
Clean the walls
Seal then paint the wa11s (2
coats)
R&R Acoustic ceiling tile
C1ean window, 3- 9 SF
Clean door / window opening
Clean corner trim
Detach and re-set cove molding
Clean light fixture
Clean door (per side)
30 SY 0 1.58+
47.40
30 SY @ 24.56= 736.80
25.56 SY @ 0.77+ 4.61= 137.51
615 SF Q 0.15= 92.25
615 SF @ 0.52= 319.60
230 SF Q 0.17+ 1.78= 448.50
2 EA @ 4.37= 6.74
3 EA @ 4.07= 12.21
78 LF @ 0.14= 10.92
78 EA @ 0.68= 53.04
1 EA @ 4.59= 4.59
2 EA @ 3.19= 6.38
Room Total: Family Room
1,878.14
Interior Care Corp.
PO Sox 25161
woodbury, bID1 55125
Client: Kathy Backes
Address: 4283 Stirrup St
Eagan, NIN 5512 Z
)
Estimator: Brian Schwab
Reference: Michael Hanek
Claims Representative
Company: Farmers Insurance
Address: 220 S River Ridge Cir
Burnsville, hIN 55317
Estimate: BACKES
Job started:
Job completed:
File Number: U4-153623
IVY
va1%
?
(612) 739-4289
(612) 768-0857
07/30/98
Op.
Res. Ph: (612)865-1210
Bus. Ph: (612)454-763
Bus. Ph: (612)739-4289
Fax: (612)766-0657
Bus. Ph: (612)898-4251
Fax: (612)898-4271
Interior Care Corp.
Kathy Backes 07/30/98 Page:2
Room: 80dY00II1
Subroom 1: Closet
488 SF Wa11s
134 SF Floor
142 SF Long Wall
DHSCRIPTION
LxWxH: 11'3" x 10'9" x B.O.
LxWxH: 6-6° x 210" x B.O.
134 SF Ceiling 622 SF Walls & Ceiling
17 SY Flooring 61 LF Floor Perimeter
102 SF Short Wall 61 LF Ceil. Perimeter
ONITS RLMOVB REPLACB TOTAL
Remove Carpet - (material and
labor)
Carpet - (material and labor)
Seal/prime the floor - one coat
- Seal subfloor for odor
control
Clean baseboard
Clean base shoe
Stain & finish baseboard
Stain & finish base shoe
Clean the walls & ceiling
Seal then paint the walls &
ceiling (2 coats)
R&R Ceiling fan & light
C1ean outlet or switch
Clean window, 10 - 20 SF
Paint/finish wood window (per
side)
Clean door / window opening
Clean door (per side)
14.89 SY @ 1.58+
23.53
17 SY @ 24.56= 417.52
134 SF @ 0.25= 33.50
61 LF @ 0.12= 7.32
61 LF @ 0.12= 7.32
61 LF @ 0.62= 37.82
61 LF Q 0.42= 25.62
622 SF @ 0.15= 93.30
622 SF @ 0.52= 323.44
1 EA @ 12.22+ 241.06= 253.28
3 EA @ 1.62= 4.86
2 EA @ 6.31= 12.62
2 EA @ 19.32= 38.64
3 EA @ 4.07= 12.21
2 EA @ 3.19= 6.38
Interior Care Corp.
Kathy Sackes 07/30/98 Page:3
Continued - Bedroom
DESCRIPTION UNITS REMOVE REPLACE TOTAL
Paint door (per side) 2 EA @ 14.66= 29.32
Clean door - bifold set 1 &A @ 7.38= 7.38
Paint door - bifold set (per 2 EA Q 28.54= 57.08
side)
C1ean closet package (shelf, & 1 EA @ 15.73= 15.73
rod)
Paint - closet package (shelf, 1 EA @ 24.53= 24.53
jamb & casing)
Clean light fixture 1 EA @ 4.59= 4.59
Paint door or window opening 3 EA @ 17.44= 52.32
(per side)
Room Total: Bedroom 1,488.31
Room: Masterbed LxWxH: 11'10" x 1116" x 8'0"
Subroom 1: Offset LxPlxH: 310" x 215" x 810"
Misaiag Wall: 1- 3'0" x 810" Opena Into 0 Goes to Floor/Ceiling
Subroom 2: Closet LxYPxH: 3'8" x 215" x 8'0"
511 SF Walls 154 SF Ceiling 665 5F Walls & Ceiling
154 SF Floor 20 SY Flooring 65 LF Floor Perimeter
149 SF Long Wall 132 SF Short Wall 65 LF Ceil. Perimeter
DESCRIPTION VNITS REMOV& REPLACH TOTAL
Remove Carpet -(material and 17.11 SY @ 1.58+ 27.03
labor)
Carpet -(material and labor) - 20 SY @ 29.28= 565.60
Berber on wood floar
Seal/prime the floor - one coat 154 SF @ 0.25= 38.50
- Seal subfloor for odor
control
Kathy Backes
Clean baseboard
Clean base shoe
Stain & finish baseboard
Stain & finish base shoe
Clean the walls & ceiling
Seal then paint the walls &
ceiling (2 coats)
R&R Ceiling fan & light
Clean outlet or switch
Clean window, lo - 20 SF
Paint/finish wood window (per
side)
Clean door / window opening
Clean door (per side)
Paint door (per side)
Clean closet package (shelf, &
rod)
Paint - closet package (shelf,
jamh & casing)
Paint door or window opening
(per side)
Interior Care Corp.
Continued - Masterbed
i1NIT5
65 LF @
65 LF @
65 LF @
65 LF Q
665 SF Q
665 SF @
07/30/98 Page:4
REMOVE REPLACB TOTAL
0.12= 7.80
0.12= 7.80
0.62= 40.30
0.42= 27.30
D.15= 99.75
0.52= 345.80
1 EA Q 12.22+ 241.06= 253.28
3 EA @ 1.62= 4.86
1 EA @ 6.31= 6.31
1 EA @ 19.32= 19.32
3 EA @ 4.07= 12.21
4 EA ? 3.19= 12.76
4 EA @ 14.66= 58.64
1 EA @ 15.73= 15_73
1 EA @ 24.53= 24.53
3 EA @ 17.44= 52.32
Interior Care Coip.
Kathy Backes
Continued - Masterbed
DESCRIPTION VNITS
Painting - Allowance for sponge 1 EA O
painting
07/30/98 Page:5
REbSOVE RBPLACfi TOTAL
130.00= 130.00
Room Total: Masterbed
Room: Office
Subroom 1: Closet
463 SF Walls
140 SF Floor
124 SF Long Wall
DESCRIPTION
Remove Carpet - (material and
labor)
Carpet - (material and labor)
Seal/prime the floor - one coat
- Seal subfloor for odor
control
Clean baseboard
Clean base shoe
Stain & finish baseboard
Stain & finish base shoe
Clean the walls & ceiling
Seal then paint the walls &
ceiling (2 coats)
R&R Ceiling fan & light
Clean outlet or switch
1,769.84
140 5F
18 SY
108 SF
UNITS
Ceiling
Flooring
Short Wall LxWxH:
LxWxIi:
603
58
58
REMOVE 11'6" x 11'5" x
410" x 210" x
SF Walls & Ceiling
LF Floor Perimeter
LF Ceil. Perimeter
RBPLACE 8'0"
B.O.
OTAL
15.56 SY Q 1.58+ 24. 58
18 5Y Q 24.56= 442. 06
140 5F Q 0.25= 35. 00
58 LF @ 0.12= 6. 96
58 LF @ 0.12= 6. 96
58 LF @ 0.62= 35. 96
58 LF @ 0.42= 24. 36
603 SF @ 0.15= 90. 45
603 SF Q 0.52= 313. 56
1 EA Q 12.22+ 241.06= 253 .28
3 gp Q 1.62= 4 .86
Kathy Sackes
DBSCRIPTION
Clean window, 10 - 20 SF
Paint/finish wood window (per
side)
Clean door / window opening
Clean,door (per side)
Paint door (per side)
Paint - closet package (shelf
jamb & casing)
Clean light fixture
Paint door or window opening
(per side)
Iaterior Care Corp.
07/30/98 Page:6
Continued - O£fice
DNITS REMOVE REPLACB TOTAL
1 EA @ 6.31=, 6.31
1 EA @ 19.32= 19.32
3 EA @ 4.07= 12.21
4 EA @ 3.19= 12.76
y gp @ 14.66= 58.64
1 EA @ 24.53= 24.53
1 EA Q 4.59= 4.59
3 EA @ 17.44= 52.32
Room Total: Office
Room: Bathroom
Subroom 1: Offset
Miesing Wall: 1 - 2'8" x 810"
183 SF Walls 27 SF Ceiling
27 5F Floor 4 SY Flooring
72 SF Long Wall 42 SF Short Wall
DHSCRIPTION VflITS
1,428.73
I,xWxH: 613" X 315" x 810"
LxWxFI: 21811 x 1' 8" x 8' 0"
opena Into 0 Goea to Floor/Ceiling
210 SF Walls & Ceiling
23 LF Floor Perimeter
23 LF Ceil. Perimeter
REMOVE RSPLACH TOTAL
Clean the ceiling
Clean ceramic tile
, R&R Wallpaper
Seal then paint part of the
walls (2 coats)
ou T,4
27 SF @ 0.15= 4.05
91.5 SF @ 0.26= 23.79
96 SF @ 0.32+ 1.46= 170.88
91.5 SF @ 0.52= 47.58
Interior Care Corp.
Kathy Backes
Continued - Bathroom
DBSCRIPTION IINITS REMOVE
07/30/98 Page:7
REPLAC& TOTAL
Seal then paint the ceiling (2 27 SF @
coats)
R&R Viriyl f100T COVexing (sheet 4 SY @
goods)
R&R Underlayment - 1/4" 32 SF O
lauan/mahogany plywood
Floor preparation for sheet 27 SF @
goods
Clean mirror 6 SF @
Mirror - plate glass - Detach & 6 SF Q
reset
R&R Medicine cabinet 1 EA @
Toilet - Detach & reset 1 EA Q
Clean toilet 1 EA @
Clean sink and faucet 1 EA Q
Clean shower door 2 EA @
Clean tub - Heavy 1 EA @
Clean tub / shower faucet 1 EA @
Clean window, 10 - 20 SF 1 EA @
Clean door / window opening 2 EA @
Paint/finish wood window (per 1 EA @
side)
Paint door or window opening 2 EA @
(per side)
4.20+
0.17+
9.77+
D.52=
32.65=
1.56=
0.35=
0.31=
2.44=
89.92=
86.91=
7.76=
6.11=
7.74=
11.47=
5.61=
6.31=
4.07=
19.32=
17.44=
Kathy Backes
pESCRIPTION
Clean light fixture
Clean toilet paper dispenser
Clean door (per side)
Clean door hardware
Paint door (per side)
Interior Care Corp.
Continued - Bathroom
IINITS
1 EA @
1 EA o
2 EA Q
1 EA @
1 EA Q
07/30/98 Page:8
REMOVE REPLACE TOTAL
4.59= 4.59
3.28= 3.26
3.19= 6.38
2.35= 2.35
14.66= 14.66
Room Total: Sathroom
Room: Stairway
Miasing 9Pa11: 1 - 310" x 9'0"
243 SF Walls 36 SF Ceiling
36 SF Floor 5 SY Flooring
108 SF Long Wa11 27 SF Short Wall
DESCRIPTION IINITS
822.19
LxWxli: 121011 x 31011 x 91().
Opens Snto E Goes to Floor/Ceiling
279 SF Walls & Ceiling
27 LF Floor Perimeter
27 LF Ceil. Perimeter
REMOVE REPLACE TOTAL
Clean the walls & ceiling 279 SF @ 0. 15= 41. 85
Seal then paint the walls & 279 SF @ 0. 52= 145. 08
ceiling (2 coats)
Remove Carpet -(material and 4 SY @ 1.58+ 6. 32
labor)
Carpet -(material and labor) 5 SY @ 24. 56= 122. 80
Clean handrail - wall mounted 10 LF @ 0 .23= 2. 30
5tep charge for carpet 12 EA O 5 .07= 60. 84
installation
Kathy Backes
D&SCRIPTION
Seal/prime the floor - one coat
- Seal subfloor for odor
control
Room Total: Stairway
Snterior Care Corp.
Continued - Stairway
IINITS
36 SF @
Room: Livingroo¢n
Subroom 1: Hall
Misaing Wall: 1- 318" x 810"
SubrOOm 2: Cloaet
Subroom 3: Cloaetl
812 SF Walls
294 SF Floor
283 SF Long Wall
DESCRIPTION
Remove Carpet - (material and
labor)
Carpet - (material and labor)
R&R Carpet pad
Clean baseboard
Paint baseboard - one coat
Clean the wa11s & ceiling
Seal then paint the walls &
ceiling (2 coats)
Clean window, 10 - 20 SF
Clean door (per side) - French
doors
Clean door / window opening
294 SF Ceiling
38 SY Flooring
153 SF Short Wall
VNITS
32.67 SY @
07/30/98 Page:9
REMOVE RBPLACE TOTAL
0.25= 9.00
388.19
LxSQxH: 2214" x 11'4" x 8'0"
Lx9PxFI: 8' 0" x 3' 8" x 8' 0"
Opens Into 0 Goes to Floor/Ceiling
LXWxH: 210^ X 2'0^ X 910"
LxWxH: 310" x 210" x 810"
1,106 SF Walls & Ceiling
102 LF Floor Perimeter
102 LF Ceil. Perimeter
REMOVS REPLACE TOTAL
1.58+ 51.62
38 SY Q 24.56= ' 933.28
32.67 SY @ 0.77+ 4.61= 175.77
102 LF @ 0.12= 12.24
102 LF @ 0.39= 39.78
1,106 SE @ 0.15= 165.90
1,106 SF Q 0.52= 575.12
2 EA @ 6.31= 12.62
2 EA @ 3.19= 6.38
3 EA @ 4.07= 12.21
Kathy Backes
DESCRIPTION
Paint door or window opening
(per side)
Paint door (per side) - French
doors
Clean closet package (shelf, &
rod)
Room Total: Livingroom
Interior Care Corp.
Continued - Livingroom
IINITS REMOVH
3 EA @
2 EA @
2 EA @
07/30/98 Page:10
RBPLACE TOTAL
17.44= 52.32
14.66=
15.73=
Room: Kitchen LxWxH: 17'7" x 7'10" x 8'0"
Subroom 1: Offset LxWxH: 410" x 316" x 8'0"
Missing Wall: 1- 410" x 810" Opene Into 0 Goes to Floor/Ceiling
Subroom 2: Offsetl LxWxH: 510" x 316" x 810"
Missing Wall: 1- 5'0" x 810" Opens Into 0 Goes to Floor/Ceiling
Subroom 3: Cloaet LxWxFi: 410" x 2'0" x 810"
615 5F Walls 176 SF Ceiling 793 SF Walls & Ceiling
178 SF Floor 23 SY Flooring 77 LF Floar Perimeter
245 SF Long Wall 135 SF Short Wall 77 LF Ceil. Perimeter
DESCRIPTION VNITS REMOVE REPLACB TOTAL
Remove Vinyl floor covering
(sheet goods)
Vinyl floor covering (sheet
goods)
R&R Underlayment - 1/4"
lauan/mahogany plywood
R&R Baseboard - 2 3/411 stain
grade
Sea1/prime the floor - one coat
Stain & finish baseboard
19.78 SY @ 4.20+
23 SY @
192 SF @ 0.17+
77 LF @ 0.25+
178 SF @
77 LF @
32.65=
1.56=
1.82=
0.25=
0.62=
29.32
31.46
2,098.02
93.08
750.95
332.16
159.39
44.50
47.74
Interior Care Corp.
Kathy Backes
Continued - Kitchen
DESCRIPTION VNZTS
07/30/98 Page:ll
RSMOVS RHPLACE TOTAL
R&R Batt insulation - 4" - R13 307.5 SF @ 0. 24+ 0.44=
Visqueen vapor barrier 307.5 SF @ 0.20=
Remove Acoustic plaster over 793 SF @ 0. 56+
metal lath
5/8" drywall - hung, taped, 178 SF @ 1.14=
floated, ready for paint
R&R 1/2" drywall - hung, taped, 615 SF Q 0. 18+ 1.02=
floated, ready for paint
Seal floor or roof joist system 178 SF @ 0.75=
Seal wall framing 615 EA @ 0.34=
Framing repair needed to accept 1 EA @ 90.00=
drywall - nailers, etc
R&R Paneling 96 SF @ 0 .17+ 1.35=
R&R Chair rail - stain grade 24 LF @ 0 .25+ 1.76=
Stain & finish chair rail 24 LF !a 0.82=
Wallpaper 480 SF Q 1.46=
Prep wall for wallpaper 460 SF @ 0.33=
Seal then paint the ceiling (2 178 SF @ 0•52=
coats)
R&R Refrigerator/freezer side 1 EA @ 24 .43+ 1,202.37=
by side - 22 cf
R&R Range - Homeowner recently 1 EA @ 13 .04+ 669.18=
upgraded to a high grade
R&R Range hood 1 EA O 8 .15+ 132.93=
Kathy Backes
C
DESCRIPTION
R&R Dishwasher
R&R Cabinetry - lower (base)
units
R&R Cabinetry - upper (wall)
units
R&R Countertop - post formed
plastic laminate
R&R Sink - double - Sink has
scratches and will not come
clean, replacement is necessary
R&R Sink faucet
Clean window, 10 - 20 SF
Paint/finish wood window (per
side)
Paint door or window opening
(per side)
R&R Interior door - oak veneer
- oak veneer jamb & casing
Stain & finish door (per side)
R&R Exterior door - metal -
insulated - flush or panel
style
R&R Door lockset & deadbolt -
exterior
R&R Storm door assembly
R&R Casing - stain grade
Interior Care Corp.
ontinued - Kitchen
VNITS
EMOVE
07/30/98
RHPLACE
Page:12
TOTAL
1 EA Q 15 .64+ 334.23= 349.87
11 LF @ 4 .07+ 91.75= 1,054.02
21 LF ?? 4 .07+ 89.88= 1,972.95
11 LF @ 2 .36+ 26.40= 316.36
1 EA @ 13 .71+ 266.97= 280.68
1 gp @ 8.15+ 88.08= 96.23
3 EA Q 6.31= 18.93
3 EA @ 19.32= 57.96
5 EA @ 17.44= 87.20
2 EA @ 5.15+ 171.09= 358.48
4 EA @ 25.32= 101.28
1 EA @ 17.92+ 200.12= 218.04
1 EA @ 4.89+ 65. 10= 69. 99
1 EA @ 11.40+ 123. 62= 135. 02
92 LF @ 0.34+ 1. 53= 172. 04
Interior Care Corp.
Kathy Backes 07/30/98 Page:13
Continued - K itchen
DESCRIPTION IINZTS REMOVS REPLACE TOTAL
Stain & finish casing 92 LF @ 0.63= 5?. 96
R&R Door lockset - interior 2 EA @ 4.07+ 27.20= 62. 54
R&R Crown molding along cabinets 21 LF @ 0.39+ 1.58= 41. 37
Stain & finish crown molding 21 LF @ 0.79= 16. 59
R&R Light fixture 1 EA @ 4.07+ 60.77= 64. 84
R&R Ceiling fan & light 1 EA Q 12.22+ 241.06= 253. 28
Room Tota1: Kitchen 12,507. 35
Room: Downetaira Sedroom LxWxEi: 18'10" x 10'80 x 710"
413 SF Walls 201 SF Ce iling 614 SF Walls & Ceiling
201 SF Floor 26 SY Fl ooring 59 LF Floor Perimeter
132 SF Long Wall 75 SF Sh ort Wall 59 LF Ceil. Perimeter
DESCRIPTION IINITS RSbIOVE RBPLACB TOTAL
Remove Carpet -(material and 26 SY @ 1.58+ 41. 08
labor)
Carpet -(material and labor) 26 SY @ 24.56= 638. 56
R&R Carpet pad 22.33 SY @ 0.77+ 4.61= 120. 13
Clean paneling 413 SF O 0.17= 70. 21
Clean door (per side) 4 EA @ 3.19= - 12. 76
Clean door hardware 2 EA @ 2.35= 4. 70
Clean door / window opening 3 EA Q 4.07= 12. 21
Clean window, 3- 9 SF 1 EA @ 4.37= 4. 37
Clean door - bifold set 1 EA @ 7.38= 7. 38
Kathy Backes
DESCRIPTION
Clean closet package (shelf, &
rod)
Clean light fixture
R&R Acoustic ceiling tile
Detach and re-set cove molding
Znterior Care Corp.
07/30/98 Page:14
Continued - Downstairs Bedroom
IINITS RStQOVE REPLACE TOTAL
1 EA @ 15.73= 15.73
2 EA @ 4. 59= 9. 16
201 SF @ 0.17+ 1. 78= 391. 95
59 EA @ 0. 68= 40. 12
Room Total: Downstairs Bedroom
Room: Front Bedroom
413 SF Walls
201 SF Floor
132 SF Long Wall
LxWxH: 18'10" x 10'8" x
201 SF Ceiling 614 SF Walls & Ceiling
26 SY Flooring 59 LF Floor Perimeter
75 SF Short Wall 59 LF Ceil. Perimeter
VNITS RSMOVE R&PLACE
Remove Carpet - (material and
labor)
Carpet - (material and labor)
R&R Carpet pad
Clean paneling
Clean door (per side)
Clean door hardware
Clean door / window opening
Clean window, 3- 9 SF
Clean door - bifold set
Clean closet package (shelf, &
rod)
26 SY @ 1.58+
26 SY @
22.33 SY @ 0.77+
413 SF @
4 EA @
2 EA Q
3 EA Q
1 EA O
1 EA @
1 EA @
24.56=
4.61=
0.17=
3.19=
2.35=
4.07=
4.37=
7.38=
15.73=
1,368.38
710°
TOTAL
41.08
638.56
120.13
70.21
12.76
4.70
12.21
4.37
7.38
15.73
Interior Care Corp.
Kathy Backes 07/30/98 Page:15
Continued - Front Bedroom
DESCRIPTION IINITS RBbIOVE RHPLACE TOTAL
Clean light fixture
R&R Suspended ceiling tile
Detach and re-set cove molding
Clean suspended ceiling grid
R&R Batt insulation - 6" - R19
Seal wall framing in open closet
Room Total: Front Bedroom
Room: Downstairs Bathroom
288 SF Walls
79 SF Floor
86 SF Long Wall
DESCRIPTION
1 EA @ 4.59= 4 .59
201 SF @ 0.09+ 0.74= 166 .83
59 EA Q 0.68= 40 .12
201 SF @ 0.12= 24 .12
201 SF @ 0.25+ 0.53= 156 .78
64 EA @ 0.34= 21 .76
1,341.33
LxWxH: 10'8" x 714" x 810"
79 SF Ceiling 367 SF Walls & Ceiling
10 SY Flooring 36 LF Floor Perimeter
59 SF Short Wall 36 LF Ceil. Perimeter
STNITS RSMOVE RfiPLACE TOTAL
Remove Vinyl floor covering 8.78 SY @ 4.20+ 36.88
(sheet goods)
Viny1 floor covering (sheet 10 SY @ 32 .65= 326 .50
goods)
Floor preparation for sheet 79 SF Q 0 .35= 27 .65
goods
Floor prep (scrape vinyl from 79 SF @ 0 .42= 33 .18
concrete)
R&R Cove base molding - rubber 36 LF @ 0.17+ 2 .95= 112 .32
or vinyl, 4" high
Clean door (per side) 4 EA @ 3 .19= 12 .76
Clean door / window opening 2 EA Q 4 .07= 8 .14
Snterior Care Corp.
Kathy Sackes
Continued - Laundry Room
DSSCRIPTION IINITS REMOVB
Clean water heater 1 EA @
Clean water softener 1 EA Q
Clean chimney 72 SF @
Cleaning of ductwork, pipes, etc 1 EA @
Clean sink - double 1 EA @
Clean sink faucet 1 EA @
Clean, seal and deodorize 1 EA @
ductwork system
Insulation replacement along 1 EA C
rim joist and in end cavities
07/30/98 Page:19
RBPLACB TOTAL
11.38= 11 .38
16.71= 16 .71
0.61= 43 .92
86.48= 86. 48
5.24= 5 .24
5.28= 5. 28
304.41= 304. 41
54.68= 54.68
Room Total: Laundry Room
Room: Misc.
DESCRIPTION IINZTS REMOVS REPLACE
1,008.46
TOTAL
Dumpster load 3 EA @ 313.88+ 941.64
Taxes, insurance, permits & 1 EA @ 364.88= 364.88
fees (Eid item)
General clean up, includes 24 HR @ 24.64= 591.36
final clean when work has
completed
*Please note, the followinfg items will be submitted on a eupplement at the end of the
job: HVAC, electrical, plumbing, window treatments and any hidden damage we may come
across once work has begun. .
Room Total: MisC. 1,897.88
y
Kathy Backes
Interior Care Corp.
07/30/98 Page:21
Summary
Total Line Items
Overhead @ 10$ x 31,580.21
Profit @ 10%; x 31,560.21
Material Tax @ 6.5% x 12,763.46
Grand Total
Grand Total Areas:
6,516 SF Walls 2,909 SF Ceiling
2,909 SF Floor 375 SY Flooring
2,135 SF Long Wall 1,317 SF Short Wall
32,171.57
3,156.02
3,158.02
629.62
$39,317.23
9,425 SF Walls & Ceiling
829 LF FlOOr PerimeteY
829 LF Ceil. Perimeter
Brian Schwab
Estimator/Project Manager
/ L ?
? gL CITY l1SE ONLY RECEIPT #: b 0 v?3
SUBD,,1 ? RECEIPT DATE:
1998 PI,UMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT ICNOB RD
EAGI+x, hIN 55122
(612) 681-4675
Please complete for: ? single family dwellings .
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
-' - - ---------____- - - -------- ----
FIXTURES EACH ------------ ------ ---------
# ------ ---------•
TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Levaiory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot TublSpa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Watef SOften2r * for dwellings under wnstruaion 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G.Sprinkler "fordwelhngurWerconst. 3.00 =
U.G.Sprinkler "forexistingdwelling 20.00 =
Alterations ` to existing residence
20 00
=
??
`?Water Turn Around 20.00 =
Private Disposal System " MPC iic 75.00 =
(new and refurbished systems)
Private Disposal Systems "neandonment 20.00 =
RPZ (ne installation only 20.00
' =
ADVe- ' O ?.a\k 1-
D
tA STATESURCHARGE .50
a?-,k?1vr-ts l TOTAL
--------------------------------------------------------------------- ------ -------------------------------- -----
I hereby acknowledge that I have read this application, state that the information is cortect, and agree to compty with all applicable Cily of Eagan ordinances.
It is the applicanYs responsibility to notity the property owner that the City of Eagan assumes no hability for any damages caused by the City during its
normal operational and maintenance activkies to the facilRies construcDed under this permit within City property/right-of-wayleasement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
iill,w s? -7
TELEPHONE #: _
S±?4
STREET ADDRESS: ?? ?? V?ltiGQ Stp? L0.N-e_
CITY: wC) Q l STATE: na2 ZIP:
CD/PERMIT FORM5lRPLBG PERMIT (RES) - 1998
SIGNATURE OF PERMITTEE
/
.
e
v QhcI
Council Micrutes
January 19, 1982
I
?
ffii0B HILL - PRII.IIiIIiARY PLAT
The application of Edmund B. Dunn of Blackhawk Park Associates for re-
zoning from A(Agricultural) to PD (Planned Development) to inelude limited
business, townhouse and condominium development and preliminary plat approval
of Knob Hill was next considered. The Advisory Planning Commission recom-
mended approval at its December 22, 1981 meeting subject to conditions. The
application covered 40 acres xith 10.5 acres of limited business, 19.7 acres
of residential, which would consist of 84 condominium units and 102 toxnhouse
units. The plat would include 11 lots, of which 5 lots srere proposed for
limited business and 6 lots for residential development. Mr. Dunn, Jack
Boarman, Architect, and Greg Frank, Engineer, were present for the applicant.
It was noted that the parcel is not included in the Blackhawk Park Planned
Development. It is now being proposed to reduce the density to 93 townhouse
units and 60 condominiums. The revised report of Dale Runkle of January 15,
1982 was reviewed. Mayor Blomquist was coneerned about the capacity of the
sanitary sewer facilities, including the Seneca Waste Water Treatment Plant,
noting that increased density is being proposed in relation to Eagan's Compre-
hensive Plan. Mr. Dunn indicated that he would explore the issue in depth
with the staff and Metropolitan Couneil and it was noted that the Metropolitan
Council must review, any increase in density. It was also noted that some
grading wil2 be required on the site to eorrelate with the new grades on Pilot
Knob and Diffley Road and there xere also concerns about conPormitq with
grades in the Hilltop Commercial site. There were coneerns about the type of
development to the north and rrest and it was suggested contacts be made with
the awners of those parcels. It was also noted that the assessments xould be
revised to comply with the proposed uses. Wachter moved, Egan seconded the
motion to continue the application until the next regular meeting for flirther
study, including proposed grades for the property, sanitary sewer eapacity,
yroposed access to and use of the land to the north and west, the overall
drainage for the area and parking for condominiums. All voted yes. -
.. ?. ' ` r-S?T??.BE47 -SCHIIANL CONDITIONg1.-QSB-PffiIIiI?? ?:--. . - . - ., . . . .
The application of Kathleen Schwanz for conditional use permit to allow a
beauty shop in a residential area in 4ot-S,-BToak-3-,3add3ehorn -Addition,, was
considered*by the Council. Ms. Schwanz was present and the APC recommended
approva2 at its Deeember meeting. A Petition from property owners was submit-
ted generally approving the application. Wachter moved, Thomas seconded the
motion to approve the application subject to the folloaing conditions:
1. Hours of operation will be from 8:00 a.m. to 8:30 P.M. only.
2. The only employee shall be an occupant oF the household.
, 3. Customer parking must be on site and limited to two (2) customer
sutomobiles.
I
4.
5
There shall be no commereial signs advertising the business.
There shall be no over-the-counter sale of inerchandise.
?
8
-
:
_.., : .. ... -.....
z
0 ?
Council Minutes
January 19, 1982
? 6. The permit shall be granted on an annual basis.
7. All other applicable ordinances must be followed.
All voted yes,
iJFSLSY MED2N - AAZVSH OF PL6T
The application of Wesley Medin for waiver of plat in order to split a
2.3 aere parcel into two single family lots at 1325 Carriage Hills Drive was
next diseussed by the Couneil. Mr. & Mrs. Medin were present and the APC
recommended approval sub,ject to certain conditions. Egan moved, Thomas sec-
onded the motion to approve the application, xith the understanding that the
application xill comply with zoning, water and sanitary serrer requirements of
the City as follows:
1. No varianees shall be granted for the newly created lot.
2. Drainage and utility easements shall be required along all lot
lines.
3. Any assessments on either of the newly created lots shall be hand2ed
separately. Presently there are no assessments on either lot.
? All voted yes. -
R 82-4
COACEiAH OASS APAItTlIL+NT - gMIJSFMENT DEPICS 6PPLIC6TION
An application from the owners of the Coachman Oaks Apartments for a
permit for 3 game machines in the Coaehman Oaks Apartment complex was then
discussed by Council members. There were coneerns about complianee with the
ordinance provisions concerning hours of.use. Egan moved, Smith seconded the
motion to continue the application for further study and report to the
Council. All voted yea.
PROJECT #353 -?RDNb ffiGHfiAY 55 U1TI.ITY RE9ISIONS & SIGNALS
Mr. Colbert reviewed with the Couneil the Feasibility Report for Improve-
ment Pro,ject #353 covering utility revisions and signals on Trunk Highway #55
due to the construction of I-494. Several revisions to the existing utilities
uithin State right of way are required which will be at City's cost. The
costs will be funded from trunk utility and major street ftrnds and therefore
there will be no assessments associated with the pro3ect. Sanitary sewer,
water main, storm sewer and traffic signals will be involved and it was noted
that certa3n other ehanges result from the potential need to replace some
water mains and relocation of certain utility lines. Smith moved, Wachter
seconded the motion to receive and approve the Feasibility Report and to
authorize the preparation of a Cost Participation Agreement with the Minnesota
Department of Transportation. All voted in favor.
9
rSI.10 To: MM F?crs, rrrY MuUsMr.ToR
FPCVI: naLP s. r"-TTsort, arrnnr, CFFicIAL
DA?'^E: FF'RP.UARY 9, 1982
S[T&7i3f'": KA'!'HIPEN SM+TAN7 - M7rRY 7b 4283 S^`IR12i7P STftFF'r'
Iot 5 Bloc.k 3, Saddlehorn I+cldition
After researchi.ng the nuilc3ing cbc?e it appears &at handicapped facilities
are not necessary as the prPmises are still consic?ered single-fami.ly.
BUILDING PERMIT
CITY OF EAGAN
3795 Pilet Knob Raad Eogon, MN SSlll
PHONBs 434.8100
Eu. Volue
Site Address 4[ts3 6C1LZ't]P orS22L
Lot 5 Block 3 se,/s,n. saddlehorn P13d.
Porcel # IO 65800 050 03
w I Nome Kdt'11E2i1 5'CYFtla572
; Addre^ _4283 St7SrilA StTE'f't.
S ? pCl?'f AGA 'ILO'T
a Name Omer
U Address
r r:... oL.,__
Nome _
Address
1 hereby acknowledge that I have read this applicotion and stote that
the information is correct and ogree to comply with all applicoble
Stote of Minnesota Statutes and City of Eagan Ordinances.
N° 7066
Receipt # ??e-//
Erect ? Occupancy R-3
Alter ? Zonirg R-1
Repoir ? Fire Zone m
Enlarga ? Type of Const. NA'
Move ? # Stories
Ckmolish ? Length NA
Gmde ? Depth !W Sq. Ft.-
Avororala Feea
Assessment
Wofer 8 Sew.
Police
Fire
Enq.
Plonner
Council 1-19-82
BIdg.Off. 1-21"$2
APC
Permit 13-nn
$urchorge -Sn
Plon check
SAC
Water Conn.
Water Meter
Rood lJnir
Totol $13,50
Signoture of Permittee I
A Building Pertnit is issued ta: Pp-n Z on the express CondiMon that
oll wark sholl be done in occordonce with piicoble StM inn $tatutes and Ciry of Eogon Ordinancea.
Building Officiol ?? t?? 5?<- -
r p ;d 70 lS0 (? CITY OF EAGAN
jBUILDING PERMIT APPLICATION
7b Be Used For Valuation ?-7? ?
Site Address:
Lot S Block ?- Sec./Sub. 0ws' Erect
Parcel #: fp (oSrv 6 6Sn a 3 Alter -A'
Repair
OWriPx: L V? S cvt (., c, n z ??e
Pddress:
City/Zip Code: EcTT yY\ n- SS/ ? 3
Phone # :
Contractor: o w n< r`
Address:
City/Zip Code:
Phone #:
Arch./Ehg.:
Address:
City/Zip Code_ ?
Phone #: '
Move
Demolish
Grade
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date -o? /-.,) 1 -8
OFFICE USE OfIL,Y
Occupancy ° -3 -
Zonirig
Fire Zone ?
Zype of Oonst.
# Stories
Front ft.
Depth ft.
APPROVALS FEES
Assessrents Perntit
Water/S2wer Surcharge 50
Police Plan Check '
Fire
Eng.
Planner
Council
Bldg. Off.
APC
SAC
Water Conn.
Water Meter
Road Unit
'IbTAL ??-
eA
li1"-194L
T
/ . ??.
0 --i -- I f-
eo 1?ic?r1 ?t?.,??
pAq/? p rA I.1?W i".u7?-
e!'?Na?I?N ?
(?
c?i R
-?
??}+
-1-
r-
? --- ?=
? L? BL 3 CITY USE ONLY RECEIPT#: 70 L/ 5& F' 70 1-157
SUBD.? /1.oCD(X( ??_ RECEIPTDATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY 7F EAGAN
3830 PILUT KNOB RD
EAGAN, MN 55122
(612) 681-4675
.?;
?
?
Please complete fbr . single family dwellings
- towr.hnmes and condos when pertnits are required fbr each unit
. backflow preventer for underground sprinkier sysiem
FIXTURES EACH b.Q TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 's.GO x
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 =
Floor Drain 3.00 x =
GaS Piping Outlet ' minimum -1 • 3.00 x =
Rough Openings 1.50 x =
Water Softener "for dwellings under consWCtion 5.00 x
Water Softener " for existing dwelling 20.00 x =
U.G. Sprinkl8r ' fbr dwalling under const. 3.00
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' oak Cry iro. 75.00 =
(new and refurbished systems)
Private Disposal Systems `nbandonment 20.00 =
STATE SURCHARGE .50
TOTAL
I hereby adcnowledge that I hava reed this application, state that the iMortnation Is cortect, and agree to comply wIM all epplicable Ciry
of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the Cily of Eagan assumes no liability fbr any
damages caused by the City during its nortnal opewtionai and maintenence activities ta the facilities consWUed under thls pertnH within
Cky property/right-0f-way/eesement.
SITE ADDRESS:
4 `
OWNER NAME:
INSTALLER NAME: ? Cv TELEPHONE #:
STREET ADDRESS: P p
cf 7
CITY: STATE: ZIP:
n
PERMITTEE
v j143V
CITY USE ONLY /
2
LOT ? BL d- RECEIPT #: _
SUBD. ? RECEIPT DATE: _ 9/a'SI %
1996 M£CHANICAL PERMIT (gESIDEN'fIAL)
CITY OF £AfiAN
S$SO PILOT KNOB itD
8A6AN MN 55122
Date: z (612) 681-4675
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• ffVAC: 0-100 IVl kl 1 L $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas oudets ( minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pemut is not reguired 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
Mnumutn iee applies to all remadel or add-ons oi ewsting residences $ 20.OG
State Surcharge
Total: $ 20.50
SITEADDRESS: Ta83 SI?l2??t? S?
OWNERNAME: 1??LAy 6d/'Lf S PHONE#: ?
INSTALLER NAME:?r'/an.(? a-Fc -Lti ??- ? I r , I Vt!' - PHONE #: C,I Z' Ll P6 736)
STREET ADDRESS:
CIT'Y:
%a+Ft AUh •
_ STATE: L ? I ZIP: S-V{ Lz-
6zl,4w a4e?-?
SSIGNATUii? OF P TTEE
15/FORMS BLD/MECH PERMIT (RES) - 1998
L BL
SUBD.
ciTr use oNLv
APPROVED BY:
RECEIPT #:
RECEIPT DATE:
1998 bi£CfiANICAL PEiiMIT (COMM£ItC1AL)
C1TY OF Ekfil4N
3$30 PIGOT KNOS RD
ExGPcN,M1v 551 s$
(612)6$1-4675
Please complete for all commerciaUndustrial buildings
multi--family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE:
CONTRACT PRICE:
_ NEW CONSTkUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
PHONE #:
TENANT NAME (IIviPROVEMEtvTS oNL1):
INSTALLER:
ADDRESS: PHONE #:
CITY:
($.50 per $ 1,000 r`Qemit fee due on all permits.)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
Use BLUE or BLACK Ink
For Office Use
PermIt# 114(47 42 7
cc
*1 City of Eaaall
Permit Fee: 17A• 3(,
3830 Pilot Knob Road
1(714,'tl
Eagan MN 55122 Date Receivec. —
Phone:(651)(651)675-5675
buildinginspectionsOcitvoreagan.corn Staff:
,_ ...,
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Cip S/17- Site Address: C1Z 8)3 3-1;f I , Unit#:
Name: (-)14.4 riernlyller Phone:
Resident/
-I1 c.-a .... , , ,-, l, L
Owner Address/City/Zip: los,c),4. : .%Y'r ttr .s.a r-
is:
Applicant Owner X- Contractor
:
Type of Work Description of work: Wik,...,Z_ne oc,t,,It Ci pa 1.i 0(26( a oti polli 0 .. ;1,-) i &Lae./
1 j
Construction Cost: ,.. s4a Q. Multi-Family Building: (Yes i No
, -X. ‘
, .
, .
Company:in: ()tie ole, JZi.,tCc Contact: in, (Jill
Contractor
Address: Sok) 1-tu,.. 5 16ct n City: ne,,,,,,.) posy*
State:Al Zip: 5-S(12„b Phone: - ,3,5' 9 r:nail: i • 4 0.11 e ) .t,t„,,.
q -4729 - 46 l . • l ' .
License#: C,i2mt411-3Lead Certificate#: 41) T
4 ,
r)?ii3ig
If the project is exempt from lead certification, please explain why:
g...:.1 ,
_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: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.
- _
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at( 51)454-0002 for protection against underground utility diarli3ge Cu,1 4b tiois bei(r.e
you intend to dig to receive locates of underground utilities. www.000herstateonecall.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 08 in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X 01;Cii.,eil-e 1,-1,1_,/aheu. X 0, ,,iC.,L4-10 1 1..
Applicant's Printed Name Appiiciits Signature
ll,ui..;e. 1 of 3
~ ~ - ��� �� «�L,/_ �J �3 '� ��
. ' (m`� ~^ ^^. , _ / _~ ' 1
_` [JC} N��TVVR�E BELOVVTHIS UNE �' ~ �� ^ 1�
SUBTYPES
— Foundation __g,eplane ___ Porch(3-Season) __ Exterior Alteration (Single Family)
?0 Single Family ' Garage Porch (4- wasnn) __ Exterior Alteration (Multi)
Multi ' Deck Pomh (8c,ean/oazebo/Po,go|v) Miscellaneous
__
___ p1o/__P|ex ___ Lower Level _ Pno| Accessory Building
4. '
WORK TYPES
___ Ne* — Interior Improvement _ Siding Demolish Building'
___ Addition "— Move �ui|�ing __ Reroof Demolish Interior
/u muenuion __ Fire Repair __ Windows Demolish Foundation
__.
Replace ' ^___Ropoir Egress Window Water Damage
___
Retaining Wall *Domolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation �� ��^� / � ' -fl.------' Occupancy ~7jaC- \ MCES System i
Plan Review Code Edition �� � �� SAC Units
*z "
(25% 10 Zoning 'R - \__ City Water _ ______
Census Code ~ Stories Booster Pump
#of Units ' Square Feet PRV |
#of Buildings Length Fire Suppression Required __
Type of Constructon U 8 Width
.
REQUIRED INSPECTIONS
Footings (New Building) .. _ Meter Size:
Footings (Deck) - Final / CO. Required
Footings (Addition) � Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
- —
Rnwt Ice&Water Final Pool: Footings Air/Gas Tests ____Final
X Framing 30 Minutes_____ 1 Hour -- Drain Tile
Fireplace: Rough In Air Test Fina| Siding: Stucco Lath Stone Lath ______Brick EFIS
?,0 Insulation Windows
____ Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls ____ Fire Suppression: Ruugh In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: -2-Co!.4"1 /21:VC-/yoil . Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
_
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies ~5' & . 2S4
TOTAL
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