4516 Oak Leaf CirCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RlC61 V 6D
p?? -XL
19
AMOUNT $ I
8 DOL.LARS
+ae
? CASH ? CHECK
FOR
Fl7ND COO6 AMOUNT
. , . ? ? . .
Thank You
B Y
13676
?
White-Payers CoDY
Yellow-Posting Copy
Pink-File Copy
CIT1f OF EAGAN
3743 Pilot Kno6 Rood EagaR, MN 55122 N2 5139
PHONl: 4548100
BUILDING PERMIT Receipt #
Ta be umd fee Fs+. Volue ' ' . Date 19
Site Address Erect ? Occuponcy
Lot Block Se -
c/Sub Alter ? Zoning
parcel . Repair ? Fire Zone
Enlarge 0 Type of Const.
Nome Move Q #? Stories
Address
l Demolish ? Front ff.
Ci Phone Grode Depth ft.
ew Name ,.- • Appr°„°Is Fees
0
v?
Address
Assessment
Permit -
F" Ci Phone Water & Sew. Surcharge
k
Police Plon chec
?W Name Fire SAC r
u?
Address
Eng. - ;^n
Wnter Conn. •
<W
Ci
Phone
Plnnner n
Weter Mefer ?-
- - ?, •.
Council
1 hereby acknowledge that I have reod this application and stote that gldg
dff.
the informatian is correct and ag ree tn comply with all applicable .
APC -
Total
Stnte af Minnesota Statutes ond City of Eogan Ordinances.
Signoture of Permittee
A Building Permit is issued to: on t he express condition thni
oll work sholl be done in accordance with ull applicable Stote of Minnesoto Statutes an d City of Eagon Ordinances,
Building Officicl
? • ?
Parn+if # I Dnb luued I _ PonniffN
-a1.1-
Date I lnsv I Date
Firet
Remarks:
CITY OF EAGAN
3795 Pilot Knob Rood
Eagon, Minneaota 55122
Phone: 454-8100
!RICR" zMA''ING
Dote: 5-21-79
PERMIT
Site Address: 4516 QSk LBEIf Clirle
I
Lor I Block 1
Sub/Sec. ? ?eS Mar 4th
Name ^b1.lp-f9Ct1 Bi[IL-8. 7m.
e Address 339 i6 Fblyclm
3
O
City AT)Ple Val1ey Phone: 454-8?i7i
Name Prodr1.C?'.9Cl1 `k-2rtixP7
4 <` 73() Bem D' 12tie
Address
e
0
City Phone:
This Permit is issued on the express condition thot all work sholl be
Minnesota Sratutes and City of Eagan Ordinonces.
CfCyqhlEb'?'TC?1?I AM RBf AIM
No. 1450
14009
Receipt No.:
Single I
Residential x
Multi Res., Comm./Ind. ' I
New/Alter./Repair
Cost of Installation
20.00
Permit Fee
,51)
Surchorge
20. 50
Total
done in accordance with oll applicable Stcte of
Officiol
CITY OF EAGAN
• ' 3795 Pilot Knob Rood
Eogon, Minnesoto 55122
Phone: 454-8140
PERMIT
Date:
5e6`1111 2 5"23-79
Site Address:
4516 Uac Lea.g Qzvbe
Lot Block Sub/Sec. _-
":',-)?.lef? T.ildr?> . Tnc.
Name
-
Address '383F No)-vq='=
e
? v Y7If: V(.iJle . :i ? . l?'• ii_•
City Phone:
;'?ne
.
Address
e
V 'T ?.tw - .. .-?! A^?._ . •.;M
City Phone:
This Permit is issued on the express condition that all work sholl be
Minnesoto Statutes ond City of Eagan Ordinances.
No.
1355
Receipt No.:
Single I
Residential ~'
Multi Res., Comm./Ind. I
New /Alter./ Repair
Cost of Installation
20.r7
Permit Fee
Surcharge
Total
done in occordance with all opplicable State of
Building Official
CITIf OF EAGAN
3795 Pilot Knob Road
Eogen, Minnesota 55122
Phone: 454-8 T 00
PERMIT No.
Dote: Receipt No.: 17,957
Single
Site Address: Residentiol
Lot A Block .?_ Sub/Sec.CA7 ?- Multi Res., Comm./lnd.
Nome a3•v bonr-gXr New/Alter
/Re
oir
.
p
; ^ddress ' -?? ?akLev,?' _ Cost of Instcllotion
?
City ' -%``an• Phone: . • , Permft Fee
Nome I][1SE,y '.'atc2' Surcharge
? -
0 Address = t7 Riverwoo'
City - Phone: Total
This Permit is iuued on the express condition that all work shall be done in accordance with all opplicable State ot
Minnesota Statutes and City of Eogan Ordinances.
Building Official
CITY OF EAGAN Remarks
Addition CHES rr1AR 4TH ADDITION Lot 3 Rik _l..
Owner 1624? •i fl-• ?A? -='14 G 2-':. . Street 4516 Oak Leaf C irc l e
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 204.47 10.22 20 132.93 A O 6 3 917179
SEWER LATERAL -
WATERMAIN
WATER LATERAL 1
WATER AREA '] 204.47 13.63 15 163,59
STORM 5EW TRK ?g- ZQ, ?? 15
STORM SEW LAT - - 15
? O CC `r' ?v 7
CURB & GUTTER
SIDEWALK
STREET LIGHT
Ro d it C ar e 13676 3-23-79-'
WATER CONN. ? 13676 3-23-79
BUILDING PER.
sac 525.00 13676 3-? 237-79
PARK -
cirY oF EaGaN WATER SERVICE PERMIT
3795 Pilof Knob Rood PERMIT NO.:
£agan, MN 55122 DATE: _
Zoning: No. of Units:
Uvner. j _
Add ress:
Site Address:
P) umber:
Meter No.: Connection Charge: '' ' r, • , -
Size: Account Deposit:
Reoder No.: Permit Fee: '
I egree to oomplr with the Citr ef Eagan Surchorge: '
Ordieanees. Misc. Charges:
roral:
Bv Dote Paid:
Dote of Insp.: Insp,:
CITY OF EAGAN
3795 Pilot Knob Road
?egon, MN 55122
Zoning:
Uvner:
Address:
"r1.E
Site Address:
Plumber:
I agree fo eomply with +he Cilr of Eagan
Oedinanees.
8Y -
Dote of I nsp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: _
No. of Units:
Connection Charge: -
Account Deposit:
Permit Fee: Surtharge:
Misc. Charges:
Totol: _
Date Paid:
30 nd
cn ?
cirr oF enc,AN
3795 Pi1M Knob Rood Fagan, MN 55122 Ng 5139 ,
PHON[: 454-8100 ; ? i'/,
` ?,
BUILDING PERMIT APPLICATION 2eceiPr # ?
ro ? o,ea fo.SF Dwla & Garaae Est Volue 74,._ _ ??e ?-?? • 19a?-
4516 Oak Leaf Circle
Site Address E.? ?j o«uvancr ?
Lot 3 Block 1 Sec/Sub. Ch-s mar 4th Aiter ? Zoning Rl
3
10 17103 030 01
P°rc°? # Repair ? Fire Zone
V
Enlorge ? Type of Const.
c Nome BOnqadLd Move ? # Stories
Z Demolish ? Front $2 ft.
Address
? Grode ? DePth 50 fr.
Ci Phone
Approvels
F"s
`Ib112fSOri BZCZY'S. II1C.
Name
•
Zi 13816 HOlY01Ce Ic?fle
°
'?re? ?+ssessmenr Fermlt
37.00
h
v4 Water & Sew. arge
Surc
?
? Ci !APle Vallev Phune 454-6$73 Plcn check 87.75
Police 525
00
?w Nome Fire .
SAC
Water Conn.270•00
Z
Address
ud
E"9'
Planner
Water Meter 60.00
<W p Phone RDdd UIllt 75.00
Council
I hereby ncknowledge that I have read this applicotion and state that
e to comply with all applicuble gldg. Off.
1 230.25
the informmion is corred an? agre
d??f Eogan ;?n?•
State of Minnesota Statutes
?/ APC Total
/
L
Slgnature of Permittea
on the express condition that
A Building Permit is issued M: --
fate of Minnesota Stotutes and City of Eagan Ordirances.
"
?
,
e
aPP
eil work sholl be dona in ocwrdarrce
?
/G
? a ? a?•-
BuildingOfficial
,/??
TI{ic m????st void 18 months from
"??,
i419 7?
'R 662°?5
Dat of this Request 7179
.
I, as censed Electric on?r ? Ownei, do hereby request inspecUon of the above electri-
cal wirin installed at: /_ -3 9 f ekw rA6-J, Lct,',-
Street Address or Route No.
Section
Which is occupiec
Is a roughin inspection required on this job? No ? YPQ5\ Ready Now ?
PowerSupplier //?
Electrical
Will CadP<
8 Altffijmufl@'sm-X 432 : 5036
Mailing Address _
(Elettrlwl Contractor or Owner Making Thls Inztallatlon)
.
Authorized Signature Phone No. (Electrkal Controctor or Owner Making Tnis InstallaHon) .
$ ?? ????? ????Thisinspectionrequestwillnbtbeacceptedbythe
?Q State Bwrd unless pmper inspection fee is enclosed.
Minnesota State Board of Electricity
9.4University Ave., St. Paul, Minn. 55104-Phone 645•7703
REQUEST FOR EIECTRICAL INSPECTION R 66295
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New dd. Rep. Check Appliances W'ved Fo Check Fquipment W'ued For
Home ? 11 Range LT- Tempoiary Wiring ?
Duplex ? ? 0 Water Heatec ? Lightlng Fixtures
Apt. Bldg. , ? ? ? Dryei ? Electric Heating
Commercial Bidg. ? ? ? Furnace Silo Unloade[ ?
Industrial Bldg. ? ? ? Air Conditi pe{ Bulk M0k Tank ?
Farm . ? ? ? pList 1y V.J
hers pList
13?
Othei ? ? ? He
) Heie
COMPUTE INSPECTION FEE BELOW
Se?vice Enhance Size: # Fee Feeders&Subfeedecs: # Fee C'ucuita: # Fce
0 to 100 Am s. A re A 0 to 30 Am eres
10( to 200 Amps. 3 r 31 to 100 Am eces
Above 200 Amps, e 1
lkpla.
Above 100 Am s.
Tiansfotmexs R ote ntr o c. Partialorotherfee ?
Signs Speciallns ection Minimum fee $5.00
Remarks
c TOTALFEE
J?
e
I, the Electrical Inspector, hereb? r t ection has been made eE- ou
(Rough-in) d? /' ? Date = x 6•-
(Final) ' Date_7- /?--25?'
This request void 18 months from
-
AkkL,
77761 City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (657) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING PERMIT
?-----------------
? ?o?°oirce use
? Pertnit#:
1 Permit Fee:
? Date Received: ? d-
I SWff:
APPLICATION CQ-?P? d 7"3
Dat6V 2`- Z008 Site Address:
Tenant:
Suite #:
RE5IDENT 1 OWNER Name: LiQ--F! Phone: 651- I b?I
Address / City / Zip: 41?), (O
Applicant is: x Owner _ Contractor
IYPE OF WORK Description of work: /-4 a l.3 IJ
Construction Cost: ?ooo • vo Multi-Family Building: (Yes _! No ?
CONTRACTOR Name: ? &L F license #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worlcsheet
CatCgOry Submitted Su6mitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a maste a? C P, ? v[E D
_Yes _No Ifyes, date and address of master plan: ari V10R
Jul,
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Plans andsupportin
documents that you submif are consldered fo be public informafion. Portions af
gA
;" the inforrnation'inay be classifietl as non-pubfic if you'provide.sp'ecific reasons"that woufd permit;'the City to
condudethat fhe° are traile secrets. I hereby acknowledge th thi information is wmpleteand accurate; that the work will be in conformance with the ordinances and codes of the CRy of
Eagan; that 1 derstan s is not a permit, but only an application for a permit, and work is not to sta((( ???wdhout a permR; that the work will be in
X r ce wit the approv\? the case of work which requires a review and Xpproval of plans.
?? ? OY??rH
Applican s Printed Name ? ApplicanYs Signature
Page 1 of 3
' DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex x Deck ? Porch (screen/gazebolpergola) ? Multi Misc.
? 03-Plex ? 70-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex O Miscellaneous
WORK TYPES
? New ? Interiar Improvement ? Siding ? Demolish Building*
X Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Wintlow ? Water Damage
' Demoldion (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 344D e
OccuPancY .Z
RG "
MCES System
-
Plan Review Ald Code Edition Lgv(i SAC Units -
(25%_100%4A) Zoning ?-? CityWater -
Census Code ?3y Stories '-' Booster Pump ?
# of Units - Square Feet PRV ?
# of Buildings - Length Fire Sprinklers ?
Type of Const Width -3/1
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size :
.-lG Footings (deck)
? Final/C .O.
-M
Footings (addifion)
? Final/N
o C.O.
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: Footings _Air/Gas Tests _ Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _Ai rTest _ Final Windows
Insulation
- Retaini
- ng Wall
Reviewed By: Building Inspector
lT i i
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
Total
?30?
?
Page 2 of 3
REStDENTIAL BUILDING PERMIT APPLICATION REQUlREMENTS:
New Construction Requirements
? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
? 1 Soils Report if proposed building is to be placed on distur6ed soil
? 2 copies of plan showing beam & window sizes; poured found design, etc.
? 1 set of Energy Calculations
? 3 copies of Tree Preservation Plan if lot platted after 7/1193
? 20% maximum lot coverage allowed
? Rim Joist Detail Options selection sheet (buildings with 3 or less units)
? Minnegasco mechanical ventilation form
Remodel / Repair Requirements
? 2 copies of plan showing footings, beams, joists
? 1 set of Energy Calculations for heated additions
? 1 site survey for additions & decks
? Addifion - indreate if on-srte septic system
Page 3 of 3
--?/
' tiilders Inc.
F?
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?
F. C. c1/At:KSO
LAND SURVEYOR .?'REGISTERED UHDER UW6 OF rFATE OF MINNESpTA
i
LIGEN6C0 BY OROINANCE OF/CITY OF MINNEAPqL15
3616 EAST SSrx STREET ,'5541I 727-3484
_ •?
*urbepor'9 Ceciificaic
Or.10935
183-45
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I HERE9Y CERTIFY THAT TNF ABOVE IS A TRUi AND OORq6CT PLAT OP A SURV6T OF
. Lat 3,Block 1,C4ea Mar Pour[h Addition,
DaknCa Caunty,Minneaota.
'iAS SURVEYEO BY ME
8 [.[l. OAY oF March A.D.-
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•„ . DATE •?/ /? z? .. . ' . ' .?i .
BUILDING PERMIT APPLICATION
Include 2 eets oE pians. 1 site plan w/elevations and 1 eet of enezgy calculations.
To be nsed for Valuatlon ?• ? \?
•--
Site Address:
Lot Block Sec./SUb.
3 / GA.v, y?
,
Owner ?
Address ?
Contractor ? .Y L441-
Address aJ,cgL_
??.
Arch./Fhg.
Addzees
8rect
" Alter
Repair
Enlarge
taove
Demolish
Grade
Parcei Nisnber
ID /7/43 036 6/
Telephone
.__..__ _ - •- _-•?.- /
,. i
TelePhone
Telephone
OFFZCE USE
Occupancy 1T 3
Zoning
Fire Zone
4ype of Oonat.
tt of Stozies
Front
Depth ? v
OFFICE USE
Date of roval & Initial
Aeaessment
Water/Sewer
Police
Fire
Eng.
Ylanner
Clouncil
Bldq. Off.
A.P.C. ---
rermit
Stucharqe'
P1an Check R ? ?
SAC
[]ater Conn. ?2 70
-
G7at r Meter ?d
Z?? ;Y 7s' -
-
TOTAL e
T
Zo
7 -? 9 ?2 Q
T31lefson Buildera Inc. ? Or.10935
? 103-45
? F. C. JACKSO,"??'
• ' LAND SURVEYOR..,j' -
R[OIfT[RBD UNDlR LAW6 OP nl1T[ OP MINNEbTA LIC[N6[O BY ORDINANC6 01% CITY O/ MINN[APOL1G
9818 EAST 38TH STREET '55417 727-3484
I . bucbepor,g QCert(ficste =
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I H6FE0 CEHTIFY THAT TH¢ ABOVfi IY A 711UL ANG OOqR[R PLAT O? A SURV[Y OR
?ty
Lot 3,Blxk L,Ches Mer Poutth Addition, I
Dakof3 County,Minneaota.
ns sureveveo er Me TM19 SCR__OAY ov __n tCh_A 0 1979 - _---I // •
1 l,
veo f - ' . j" ? -- -r
F. C. JA I(SON. MlNncaOSA salsrrtwTrox, No. 3600
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CITY USE ONLY
PERMIT #: ? o1 l0 RECEIPT DATE: UI ?PI IO ?
MIDENTIAL MECUMICAL PERMiT APPLICATION
crrYoF EkHmw
s$so Pu.o'r KAOB itD
$AfiRA MN 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
SITE ADDRESS:
OWNERNAME: TELEPHONE#: I-e 51 ?JZ'IIO
(AREA CODE)
INSTALLER NAME: TELEPHONE #: 1151_ 5Z' ?-115
(AREA CODE)
STREET ADDRESS: ??D KP.Y?YIQ?G I W S?T?/ (
CITY: l?W1lUU L STATE: ZIP: ?SjZZ
Place a check mark neYt to the eermit wnrk +vne
_ New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ .50
Total $ 'rJO,SC? I!
Reminder: Call for inspections.
CITY USE ONLY
PERMIT #:
APPROVED BY:
RECEIPT DATE:
INSPECTOR
COMMEftCIAL MECHANICAI. PERMiT APPLiCATIOft
CrcY oF Etsm
3$30 {'1LOT KNOB fiD
EA"v, Huv ssi sE
651-6$1-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
D ATE:
SITE ADDRESS
? 40 &4/7
OWNER NAME: JYeUj? Wie-CL PHONE (- 7N `Z
a
(ARHA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:.7(/) p Xtl7/2zK1eG PHONE #: -
(AREA CODE)
CITY: ??? STATE: /YI? ZII':
WORK TYPE. New conshuction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nature of Work:
When installing/removing undergraund tank, call 65I-682-4675 far inspection by Fire Marshal ¢nd
Plum6ing Iinspector.
Fees: I% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tanlc removallinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge
TOTP.L $
calculate at $.50 for each $1,000 Base Fee
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Conslruction Reauirements
• 3 registe2d site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas
(20%mazimumiot coveraqe allowed)
• 2 copies ot planshowing beam & window sizes; poured found desyn, etc.)
• 1 set of Energy Calculations . 3 cnpies ot Tree Preservalion Plan if lot platled after 711193
• Rim Joist Detail Options selecGOn sheet (bldgs vnlh 3 or less unifs)
DATE 8- Z -7- 0Z
SITE ADDRESS ??L1-F-ll (1
TYPE OF WORK &Z.
APPLICANT
STREET ADDRESS °r?klo C_>AK-1_? 14 F?C
TELEPHONE dc6l '(?SZA 6q-( CELL PHONE #
RemodeUReoair Reauiremenh
. 2 copies of plan
. 1 set of Eneryy Calculafions for heated additions
• 7 site survey for ezterior additiore & decks
. Indicate'rf home urved by septic syslem foradditions
VALUATION 4T300 • DO
MULTI-FAMILY BLDG _Y ZN
FIREPLACE(S) _ 0 _ 1 _ 2
_,EA6-ft?STATEL1(- ZIP S_n(Z?
FAX #
PROPERTYOWNER? `\PMl?Vt? ?(?pCQ-h-? TELEPHONE#COSI
v
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA'I'GGORY 1 MINNESOTA RL7LES 7672
(q Submission type) . Residential Ventilation Cafegory 1 Worksheet Submitted . New Ener9y Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor.
Plumbing system includes:
Mechanical Contractor:
Mcct?lnical system includes:
Sewer/Water Contractor:
Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Rccovery Syslenn
I hereby acknowledge that I have read this application, state thcit
with all applicable State of Minnesota Statutes and City of Eagan
Signature of Applicanf
OFFICE USE ONLY
_ Phone #
Lawn Sprinkler
No. of R.I. Badis
Fee: $90.00
Phone #
rce:
?I?ffl ?u T m
00
comply
Certificates of Survey Received _ Tree Preservation Plan Received - Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
O 03 01 of _ plex
O 04 02-plex
? OS 03-plex
? 08 04-plex
? 07 05-plex 0 13 16-plex
? OS 06-plex ? 18 Fireplace
? 09 07-plex ? 17 Garage
O 10 08-plex ? 18 Deck
? 11 10.plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
0 21 Porch (3-sea.)
? 22 PorcNAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Eut. Alt - Multl
? 33 Ext. AR - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demollsh (Bldg)• ? 43 Reroof 13 46 Windows7Doors
0 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs ` Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaini ro Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector