4027 Pennsylvania Avew`;?UA5?(a?
fiV1PV MESSAGE '
TO ?
DATE & ? T?E y? P. M.
LF/YOU WEXROOUT
?
OF 44
Area Code
& Eachange
TELEPHONED LEASE CALL
CALLED TO SE£ YOU WILL CALL AGAIN
WANTS TO SEE YOD URGENT
R NED Y UR CALL
Operator
ar
cirir oF EaGaN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
To be used for :?;i("AR
Est Value $65'000
Receipt *.
1 a7
JLNE 24 19 M..
Site Address
4C17 pEHNSYLVANTA AV6
Lot ? BIoCk { SeC/Sub.
Parcel No,
¢ Name FR: i"t } ;"ry HIDk'F.fiT
= Address Q "I ? C.' OARVALF; DR
? City Phone GSr-.C;&:i
a Name
? Q Address
? City Phone
?a
yVj W
Name
_ ? Address
Q W City Phone
I hereby acknowledge that I have read this application and state that the
infprmation is correct and agree to comply with all applicable Stafe of
Miqnesota Statutes and City of Eagan Ordinances.
.
Signature ef Permittee
A BOilding Perrqit is issued to:
on fhe express condition that all work shall be done in aCCOrdance with all
applioa6le State of Minnesota Slatutes and City of Eagan Ordlnances.
Building Offlcial
aFFICE USE ONLY
On3ite'Sewage Occupancy
MWCC Sysiem Zoning ? i
On Site Well (Actual) Conat Vn
City Water ? (Allowable) Vtj
PRV Required X # of Stories
Booster Pump Length "?
Depth 37
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit ,? 634.00
Planner -Srtlcharge 32 • 50
Council Plan Review 217 • OU
BIdg.Off. SAC, Ciry 100.00
Varlance SAC, MWCC 550•00
Water Conn. 550.00
? Water Meter 6 7• LV
Road Unit 32500
Treatment P1 2(7A.(]LI
Parks
TOTAL j2,479.50
.; '
_ -• CITY OF EAGAN
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE• 454-81M
BUILDING PERMIT Recelpt#
To be used for Est. Value Dete ,19
Site Address ' " ' ' ' r+ "• `
Lot Block ? Sec/Sub. ? 'AFF(')kD Pi.ACE
Parcel No.
rc
,O
x?
U<
cc
r
Name
Ciry
I hereby acknowledge that I have read this application and state that the
information is corcect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
appliceble 5tate of Minnesota 5tafutes and City of Eagan Ordinances.
Building Official
OFFIC E USE ONLY
OnSkeSewege Occupancy ` 'i,41
`
MWCC System Zoning
On Site Well (Actual) Const
City Water X (Allowable)
'PRV Required ^ * of Storiea
Booster Pump Length
Depth ?
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 4'4•00
Planner Surcharge
Council Plan Review Jl}
Bldg. Off. SAC, City t' •• . w
Variance SAC, MWCC
o ` l*
Water Conn. ' •?`U
Water Meter
Road Unit ' ? y • ???
Treatment P1 2?d•?
Parks
TOTAL
? Pe?mit No. Permit Holder Date TNephone *
Plumbing
H.V.A.C. rO. C
? ?
12111
Electric
Softener
Inspection Date ns Comment8
Footings I l I
Footings 11
Foundation ?
Framing
Roofing
Rough Plbg. IV_
Rough Htg.
Isul. 5'?E /ii??L$ ? .•
Fireplace
Final Htg. 23 ?
Final Plbg.
Bldg. Final
Cert Occ. Z s e-
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
r '
fItrtiftr?tit uf (Orrupttnry
Citp of (tagan
Er,prartmrttf af sidld'mg jnapPrt'tmt
This Ceruficate issued pursuant to tlre requirementr of Section 306 of the Uniform Building
Code certifying thar at rhe time of rssuance tlris structure was rn compliance with the various
ordinances of the City regulaling building construction or use. For the following.•
u« a..r... SF L]6JG/GAR eiag. Permu W 15257
o-,p-y Tya R3 /M 1 zDving am;a R' -rya r?ca W
owoa ot euaa;ng F;M7IER M'_DWESI' Addmn 3191U." i.c:uAr",vA' ;, IF, E.?.?'.r1N
9wldins Addreas _ .. ?.,t?1 j i? Loolity 1,7y B4,
Datt: -
Building Olicid
POST IN A CONSPICUOUS PLACE
t, • f
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE PHONE: 454-8100
Site Address
Lot
m Name 4 :... ., s
?o Address Shaxiiue h
c Ciry ?..;?,.. ?Phone
Name +':Wi1Li?tr liumze
c Address
3
p City `,_.b .,• Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
OF
FOR CITY OF EAGAN
PERMIT # 4-r- ?L_
RECEIPT # 3 '?23
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
_LWater Claset - $3.00
_,/-Bath Tubs - $3.00
_/--Lavatory - $3.00
Shawer - $3.00
=Ki!chen Sink - $3.00 ? • ?'n
UrinaliBidet - $3.00
?Laundry Tray - $3.04 ?f??
Floor Drains - $1.50
?Water Heater - $t 50
-Whirlpool - $3.00
Z_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Well - $10.00
Private Disp. - $10.00
_;t-Rough Openings - $1.50
FEE:
STATE S/C:
T ?%
GRANDTOTAL: A
' PERMIT # ? f
'
' MECHANICAL PERMIT y ?
• CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYP WORK DESCRIPTION
Lot ? Block Sec/Sub ?
- , , Res. New
_
? Name t^;``- r! •:F,'? ,?r . ?/ /.?
;< Mult Add-on
m
?
Address ; ' Comm. Repair
Other
c %- •1 r:;7?v
Cit Phone '} S'?
y
FEES
? Name r?N? '? ' , Je?C r- C..o •
RES. HVAC 0-100 M BTU -$24.00
c Address ???' ? 5 ? a? ?????• f w • ADDITIONAL 50 M BTU - 6.00
p City phone i 3 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PERnAIT) - 1
50 EA
.
-
.
TYPE OF WORK COMM/1ND FEE - 14'0 OF CONTRACT FEE
Forced Air M BTU -? - o(' APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RE5IDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SUACHARGE PER PERMIT - .50
Vent CFM
? (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # r ?` BEYOND $1,000)
Other
FEE:
SlC: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
CITY OF, EAGAN Permit No: Date: 6-29'88
3030 Pilot Kqob Road Meter No: -I-eZ14 Size: ?
P.O. Box 21199 Reader No: 4Ff Date:
Eagan, MN 55121
Frontier Midweat
SileAddress: 4=7 Penn-qXlvanta Avente 7.7 B4 Staffor.j 111ace
Pfumber
Conn. Chg: 550.00pcj
Acet Dep: 15. dOpd
Permit Fee: 10. 00Pa
Surcharge: • 70Fd
Tr.Plant 204 ,0 Ct Pd
Meter. fi7 nn,.,,
Misc.:n,.TZI
Zoning: Rl
No. of Units:
! agree to comply with the City o1 Eagan
Ordinances.
By i`
WATER SERVICE PERMIT
CI7Y OF EA6AN Permit No:
3836 PNot Knob Road Meter No: _
P.O. Box 21 199 Reader No: -
rEagan, MN 55121
nw.,o? `'ron: ir-T
Conn. Chg: `5t!.OC??:,
Acct Dep: p`
Permit Fee: F`''
Surcharge;
Misc.: 7r.?- P. Zoning: _
Tr.Plant 7 15 4•no-,'
Meter. 5 7 U•'
No. of Units:
Date: 6"2 g"$g .1
Size:
Date:
RI
I agree to comply with the C!ty of Eagan
Ordinances.
WATER SERVICE PERMIT
CI7°Y OF EAGAN Permit No: Date: ?-29-RF
383P -Pilot Knob Road B/P No: Date:
P.O. Box 21199
tagan, MM, 55121
Site Address: yvzl Pe=57198IIU
Plumber. 5tar p ism ing
MWCC: 55n.()0p.i
City Chg: I00• Copci
Acct Dep: 5 ' ' ?'
Permit Fee: `
Surcharge:
Avenue L7 ak Stafford pI
Zoning•
No. of Units: ?
I agree to comply with the City oi Eagan
Ordinances.
i;? r
SEWER SERVICE PERIVAIT
This requast vofd '/?.?/ 8/8`g
18 momhs ?fwpm '/
E 2 rG ? 7 .?. ? ?i ?Ct,Ck?
e& GO-7
;1151 °0
Fequh t nse///??? -J
G G Fire
?' Rouuh-i sVection
Requir ".
CReatly Nuw ill Notify Inspe[-
/
J ?V es ?Na tor When Reatlv
ir.ensed Electncal CoMractor I hereby request inspection of ebove
? Owne.r alecfrical work installed aL
Stre ?dres Box or Hou No.
? ? Cify
ecuon o. To ns D Name or No. enge No. County
Occu 1 I NT) ' Phon No. ?
Power ier
• Adtlress /
Name)
Electrical Conuaclor (COmpany
KENDRICK ELFCTRIC CoM ar.tor's L'cense No.
MailieT4Q7?•tVdrqyfilGqqt{?ytA4o? i??p1V?;tailationl
i'I.Pl1V
A i na tyr r ' y allationl P?Number
M{NNESOTA STATE BOAXD OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Griggs•Midway Bldg. - Hoom N•191 BE ACCEPTED BY THE STqTE BOAND
UNLESS PROPEH INSPECTION FEE IS
1821 Uoiversitv Ave.. SL Paul, MN 65104
cnvnonn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooip-o?sj
? See instructions tor completing this form on back of Yellow copy.
E ?7°L 8 7 "1(" Be/ow Work Covered by This Hequest
tl fteP Tvpe oi BuilOing ADOliances WireA Equiymem Wired
Home Range Tem ry Service
Duplr.x Water Heater ightiny Fixtures
Apt. Building D yer Electric Heatin
Commercial Bldy. umace Sllo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tnnk
Farm oin?., oe..itv 0ne, Isue(-Ifv)
t n Veufy ther Olhcr
Comnute Inspectron Fee Below
k iee Service EnvanceSiza d Fee FandarS/Subiexders Fee Circuits
Uto200qm s Oto30Am s Oto30Am s
Above 200 qmps.. 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 700_AmPs
Transiormers Irrigation Bonms Prtial.'0ther ee
Signs Special Inspection 5? ^ TOT EEE1
Nerra.ks 'o
? ?
P
flouBh-in : ?i/W I. the - '.
r Inspectoq 1are1
y
}tity Ld"' tha abova
Final , ?leinspeclion has been
?Oy made.
Tis reouasl vold 18 moniM irom
BLDG. PERMIT NO. ? S2 Sr7
4-- -I ?31 O cJ'L 4 5-?c?.?d?UUf'd I?L
01-3210 Bldg. Permit OC)
013422 . Plan Check ? 1 -7 o v
01-3445 ? Surch./Adm.
• 01-3446 SAC/Adm. 5 SC?
? 01-2155 Surcharge
"'?75-3860 Road Unit 3 ZS °p
20-2275 SAC S U(4- Ja
20-3865 Water Conn. ?J Sc o0
20-3868 Water Trmt. Ov
r?
20-3716 WaterMeter (3°
l? 20-2252 Acct. Dep. Oe
l
Cl 20-3713
Water Permit
t `-'
° °
Q) 20-3743 Sewer Permit 00
79-3866 SewerConn. I o0 (nc)
28-3855 Park Ded.
TOTAL °?
CASH RECEIR"t
?
CITY 0F LAGAN
3830 PILOT KNOB ROAD
? EAGAN, MINNESOTA 55122
L
s
j
onrE
?
?
?
?
-, /
r ?.
.
?...-..
. ?
• .
AMOUNT $ 00
8 DOLLARS. :
,m
? ? CASH LCHECK?
II D C-( cCfCr I J? JCr
?IV.+?? I'?.{V? ••?'`\U(ll\l.l?rL?t.>I JI (,:?G,(? 1'?'. ji.?.. (41,'.
? ?.
FUND OBJECT . , AMOUNT
?-
? ..
A, V I Op Cc c ?
Thank You
BY
? vmna--aaym caar
valbvrPOetlnB CoPY
Pink-=Flle Copy .
RANSMITTAL A
, TOH COLBERT, PUBLIC WORRS
PnT GEAGAN, POLICE
DALE RUNRLE, COHHUNITY DEV
REti SOUTFIORN, FIRE
- GEtiE VANOVERBERE, FYN]1NCE
- REN 9MA, FARKS
- JIM SFIELDON, CITY ATTORNEY
nESSncE:
T_c ,
S .Q.- n.c hL',
INISTHA I IUIV
IiOLLY DUFFY; ADMIN
p,}JtEN FINNEGAN, ADMIN
JON HOHENSTEIN, ADMIN
RRISTI lIOR11ST, HIS
JOHN OLINGER , 11DMIN
MIRE REIIRDON, CAHLE
KRIS HAGEMAN RECYCLING
l
?
. f) v0?
??,5 G
0l
?
?° ?
l0
i W l?C.,^?°""'" ? . °
w ? ^,C-
RESPDENtIAL 1Fj
BUILDING PERMIT ApPLICATION l
? CITY OF EAGAN d?? •
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construetion Reouiremen(s Remodel/Reoair Reauirements
• 3 regislered sile surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas • 2 copies of plan
(20%maximum lot coverage allowed) . 1 set of Energy Calculations for heated addNOns
• 2 copies of plan showing 6eam d window sizes; poured found design, etc.) . 1 sile survey for exterior additions & decks
• 1 setof Erergy Calculations • Indicate H home served hy septic system foraddNons
• 3 copies of T2e Preservation Plan if lot platted afler 711193
• Rim Joist DetaJ Options seleclion sheet (bidgs with 3 orless uniLS)
DATE (99•61CI-D -ek VALUATION IO'GJTO/
SITE ADDRESS y()a+ a,Q,pnjEjilv0(11A. ivV.R.. MULTI-FAMILY BLDG _Y _N
TYPE OF
APPLICANT ? Renewal By rUiderseq Inc
PIIORC #
STREET ADDRES$ ?19ZO County Rd. "C" West ?ITY
Roseville, MN 55113
TELEPHONE # ? 651-264-4777 ? FAX #
`License # 20130983
Phone #
PROPERTY OWNER ??tv C-?L1.1 r1r TELEPHONE# I05I ??'I /3• ??a
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'1'A RUL1:S 7670 CA17:GORY 1 MINNI:SOTA RLJLES 7672
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing system includcs:
Meehanical Contractor.
Mechanical system includes:
Sewer/Water Contractor:
Air Condilioning
Heat Recovery Syslem
ATE_ZIP
Tee: $90.00
Fcc: $70.00
Phone #
I hereby acknowledge that I have read this application, state that the info ation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi nces.
Slgnafure of Applicant
OFFICE USE ONLY
Water Soflener
Watcr Heater
No. of Baths
FIREPLACE(S) _ 0 _ 1 _ 2
L.awn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OPFICc USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6d. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ?, 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Uemolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City V1later
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS .
_ Foorings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ 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)
_ Insularion _
_ Retaining 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
??•??.?.•.a auv ai.uv friA /Od Oll ?tYO@"
rC al
.?
Jtmet zoor
3?836 ? ?
taKnob Roai
E8M MN 55122
To Whotn It May cmwm:
?nei, nrerwn??
ffider 7ones ie au@torIwd tA pan
8 P?its Por Renewt?
buildb
Blder Iones to pmvide this seivica far ue in bY Anclensan. Ple?e nliow
date bcyond 6/6/01: uutO a Muewai by Anders?en INgmthotltatiun is vatid fvr any
W the City_
? ??a1Y cgvolaas ft ia aviic3cg
wrbaw th?s auHioiizaHoa be ac,rted axp?@ausly. as to not delaY in dse proo=i?q cf
??S Poffi?a aaY fvzthcr. Flcaac oaIl mc If th= auo my qttesciom.. I cen be
contacted at 763-502-4706_ . . , .
Your icna?Cdiete attcatiotl to tt?is mattca is ol"ated, • . .
3inodcely,
KUsMWU=ado! R Rau
Managet
Renewttl by Audasan Corporativn
('r.: Kara-FitdeaTnnea
?K?'ri?w-OC4 .G( '?u,s•y ?
(i-7--??j
,y ?4AMAL
gunID[ n.um
wuu
Received Time Jun. 1. I-07PM
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conatruction Reouiraments
• 3 registered site surveys showing sq. M. of :bt, sq. @. of house; and all roofed areas
(20 % maximum lot coverage allowed)
. 2 copies of plan showing beam & window sixes; poured found desgn, etc.J
• 1 set of Energy Calculalion5
• J copies of Tree Preservatlon Plan if lot platted atter 711193
. Rim Joist DeWil OpGOns selection sheet (61tlgs with 3 or less uniis)
DATE 0"1-
I I ?•??
RemodelfReoair Reouiremend
. 2 copies of plan
• 1 set of Energy Calculatbm for heated additions
• 1 site survey for eutedor additians 8 Gecks
. Indicate if home served Cy se0tie System for additbis
VALUATION 74y06 _f
SITE ADDRE55 90 Z? ?-?nhsr/,v' MULTI-FAMILY BLDG _Y ?
TYPE OF WORK ? fb a? FI EPLACE(S) )?' 0 _ 1_ 2
APPLICANT S 7' ?'" ? C ?h s? JEe /l'
STREET ADDRESS CITY it k" STATEF* ` ZIP J 3^j_? _L
TELEPHONE &2 319-? 5S9 ? CELL PHONE #?/2 7 Z3 -3 ;'° ?- FAX #
PROPERiYOWNER TELEPHONE# 6J?( 6?/'?/J (
COMPLETE FOR "NEW" RES(DENTIAL BUILDINGS ONLY
Ener Code Cate9o
9Y rl -
IIVNESOT:\ RL'I1;5 7670 C:\"f F:GORI"
X ?
t bIIV?iES?(R,L"iL-?:S,ifi7_ _:
I nlI'
T?
(v submission type) • Residential Ventilation Category 1 Worksheet Submitted • New'Enargy Code Worksheet Subl I'd
f
I
. EnergyEnvelopeCalculationsSu6mitted GCT }- 8 K?2
Plumbing Conhactor:
---- Phone # I Q, -
- - ?
Plumbing systcm includes: Wa[er Sottener _ Lawn Sprinkler ` Fee: 590.00
Water Heater No. of R.I. Baths
No. oF Baths
Mechanical Contractor: Phone #
Mccti:uiic,il ,}stctn incluclcs: Air Conditioniiig
Hcat Rccovcry Systcm
Sewer/Water Contractor: Phone #
Pec: $70A0
I hereby acknowledge that I have read this application, state thot the informotion is correct, and agree to comply
with all applicable State of Minnesota Statutes and CiTy of Eagan OrdinancesI.
SignafureofApplicanf Gt}a"
onrr
OFFICE USE ONLY
Certitica[es oF Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF pwelling O 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Muld
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration 0 37 Demolish (Bldg)' ? 43 Reroof ? 48 Windows/Doors
? 34 Replacement 'Demolition (Entlre Bldg anly) - C,iva 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundadon HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding SNCCO Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Watl
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
Buiiding Inspector
Total
CITY OF EAGAN N2 1 5 2 5 7
` 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121
PHONE• 4 4 8700
BUILDING PERMIT 5 Receipt # ?i S 17?> ?J
To be used for SF DWG/GAR Est. Value $65 ,000 Date JiiNE 24 19 88
SiteAddress 4027 PENNSYLVANIA AVE
Lot 7 elock 4 Sec/Sub. STAFFORD PI:ACE
Parcel No.
a Name FRONTIER MIDWEST HOMES
? Address 3902 CEDARVALE DR
o City EAGAN phone 454-0433
o Name
oa Addre
? City_
U¢
ww
w
Name
F
_5 Address
aw City Phone
1 hereby acknowledge that 1 have rea this epplication and state that [he
information Is correct anee t ompl ith all applicable State ol
Minnesota Statutes and City f an Or anAes. _
l/?/ros?i
Signature of Permittee -?F?? `
A euilding Permit is issued to:-F$OIITIE$_.MIIIHEST1iOME$_
on the ezpress condition thaf all work shall be done in accordance with all
applicable State of Minneso tatutes and Ci . of Eagan Ordinances.
Building Official?
S?
OFFICE USE ONLY
On Ske Sewage _ Occupancy R3/M1
MWCCSyatem X Zoning Rl
On Site Well _ (Actual) Const Vn
Clry Water X (Aliowable) Vn
PRV Required X it of Stories
Booster Pump _ Length 4$
oePtn 37
S.F. Total
Footprint S.F.
APPROVALS FEES
Engc/Assess. Permit 4 4.00
Planner Surcharge _32,50
Council Plan Review 217.00
Bldg.OH. SAQCity 100.00
Vadance SAC,MWCC _550.00
Water Conn. 550.00
Water Meter _?s00
RoadUnit 325.00
Treatment P7 906 !10
Parks
TOTAL p2t429-5O
, y
q 1988 BUILDING PERMIT APPLIC9TION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 15?? S
)
INCLUDE 2 SETS OF PLANSt 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESZGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR SALE ONITS 0 OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITB BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP4IEACIAL
ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: New Construction Valuation: Date: 6-20-88
Site Address 4027 Pennsylvania Avenue
Lot 7 Block 4
Parcel/Sub Stafford Place
Owner John & Sheila Glynn
Address 763 Hackmore
City/Zip Code Eagan, MN 55123
GS ODD? OFFICE USE ONLY
On site sewage_ Occupancy - M-I
MWCC system ? Zoning R -1
On site well Actual Const V-14
City water ? Allowable V-i.1
PRV required ? 4 of stories
Booster Pump _ Length ?
Depth
S.F. Total
Footprint S.F.
Phone 688-2344
Contractor
Address iq
C3ty/ZSp COdB F.aoan_ Minnocnta 55199
Phone _,[ 54-1?t.'1,1
Areh./Engr. phiii;.. vi,„ Sgr..;Qe
Address ep„io v?iiog r M., ss121i
:
Clty4lp e 14S?A FQAAB6? Ai[G.,
Phone 0 432_2944
APPROVAIS FEES
Engr/Assess Permit y 3 y,oo
Planner Sureharge 32,so
Couneil Plan Review /r7.00
Bldg. OfP. 71/o/235AC, City D, o
Variance SAC, MWCC 55 ,oo
Water Conn SSO,oo
Water Meter (o?,Op
Road Unit ',pp
Treatment P1 ,00
Parks
Copies
TOTAI. Zuz:
r
O
? • l/AU.tA i ION e
?
?-----
0??1?2r? _ `-{&U
yxib = `,y=
yUo Xcy= G l(o
SAStMENT'
2 4 x 3? = 4s8?
y/d - NO
9 Zs x (3 = i 2o6y
N ousE'
Zyx38 = 9/Z
?lxlo ? y o
__-
?SZ X ?tq = y 66 vW'
r----
? K ?C? ?-
sur?ve?ors G'er????cate
SURVEY FOR: Frontier ?•lidwest Homea Corn.
DESCRIBED AS: Lot 7, 131ock 4, STaFFQ.^.D PLACE, City of Eagan, Dakota
`:can_?, innescta aria reserving easements of record.
b
N g?.?
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\? /? kcj°k6 7AGr'1N E GI1VE£flI1VG DEPT.
PROPOSED ELEVATIONS ?
Too ofFoundatiee . 36J. "I
Garape floq . 660.3
Baaemnt Flow 035e.0
AOprex. Sowr Sariu EMv. a
Praow"a Elwotions
EiusNnq Ele+rotlana .
Ormnop* Dinctbns ?...,?.?
Gnotes Ofteet State 1 O
AfA
IEDLUND
Planning Engoirteering Suneyinq
m? ..n r?... s?..r. r...o r..?.. ?w
?..r.?mro
y -
\
SCALE: 1 IneA • 30 Feet
BENCHMAI7K,
ToP NuT WO.
%a - t9 6LK t.
n.,i . = S4,1.3. NIM.SETBACX'REQIREMEHTS
Front - 3o Mane Slde - iO
Reer - ' 5 Garape Sift - ;z
f MnM urtlh nwI MLL wwv+y. qae ar noxt ¦r prpsr?d M?
oort
r aewr mf Alnet rsWYbMn aw teot I oro a auM Ibabarea
LanO Swvwor mWor tM lenn af fM Srote o} Yl"weta.
QJ
N0.
BOOK
PAGE
!
.s
. .
;
EXT'tRI4R ENVELOPE HVERAGc "U" COMFU7ATiON
1
OWNER John & Sheila Glynn
Dv-Foc-o
zxQv
SITE AODRESS 4027 Pennsvlvania Avenue, Eagan, MN
CON7RALTOR 1?? ti1?t'veR DATE S 8- PH4NE 454-0433
Deter.nine worlcin9 square footage of each.
i. Total exposed wal l ares ...... l gS1, 2.5 sq. ft. x .1 I=
2. Total raaf/ceiling area .... $'$O sq. ft. x .C:;? ?
Total exposed wall area abave flaor = 1 SS-l.zS
a. Total wall windaw area .................
b. Total door area ................................. 39•c0;z
c. Total sliding gtass door area .................... . y:P.
d: Total fireplace wall area ........................ +-ig
e. Total wall framing area (averaqe 141.)...:........
f. Total nQ..wa71 area above fiaar .... 2$10....... _'
g. Total r?m joist area ............................ I Z8.5
Total exposed faundation area = (oy.ZS
....
h. Total fflundation windaw area ..................
i. Toai ne# fioundation area above arade ............
Detenine "U" value o` each wal] segment.
a. 115 Xliu°
b. '3q .(.oZ X °u,l ?4{5 = t'7.82
1 .
c. &-la X lsU„ .?lS =
d. ?18 g „Uli 1z9
e. l 55.7 3 X??U" .0-7 = l3
f. 13Cc).i-q, x °ull C) 34 = 9"4Z
g. 1 Z`b.5 X nU.1
h. X "U" _
, i. [o?l.ZS g v, , lqq ° 91 25-
3 ..................................... Tatal
If item #3 is the same as, or less than item 11, yau have met the intent
of 58C 6006(c)2.
- ? Total exposed roofJceilina area = $ $?
. Total 9ross roof/ceilinq area =
j. Tatal skylight area ........................
k. 7otal roof/ceiling framing area ............. tZ-
1. TotaT net insulated roof/ceiling area...... : -7q z
. Deternine "U" value
j X
k. $ ? X
1. -7X
4 .............................
for each roof/ceiling seertent.
nuu _
nJn
11u11 • OIH
.....Total ' ° Lila` ? ? I
If total cf a4 is the same as, or less t5an :Z, you have met the intent of
5BC 6006(c);,
Ta uti7ized the totaI envelope system nethod, the vatues established 6y the
sum of items 1#3 and #4 sha1T not be greater than the sum of items i1 and 02.
+ 2. aa7,17-
3. I(,n(o.c.l(c + 4. l(c.1 _ 1$3.11
MATr3IALS
Ext e: iar Air
Sidi? Material
Sheathing,jv" T1W+"Ax
Insulatioa
Sheetrock S(g' ?'
Interior Air
Studs
Rim
Conc. Blks.
TSerm. 3esistance "R1'
. (gZ
. LR
? .87
t •g1
?. ?1
...?=
0.61
2. `lo" 4Y?a,
Wr.cd_.
a. TKealmxx
S. 3iotN G •?Z
. 6. ?:_. ? a_ =?a •
- - 0.11 •
: ro esl ?y,2
' • . ..u? .o? .
z. Inte_jo= a:_ _!= . 0.68'
.
2. . ?(y.' 4't P SD . . 4 5
3.
a.
5. ?I CING .?Z
6. Ejerio: a:^ ?ila
- 0.i7
Total
1. Inta?= lm O.fid
=z
2?2. 11 SUI. .,° 19.D
a. zxt.o__,)ois
a. ?1'. ?eKwiaz? s, y _
s. 5?oir?c ' .GZ
6. Ex?te =or zir !ilm 0.17
_ Total •a"'', .-?(?
' (} = 03b
? l. In:e==c= ai= fi? ' 0.68
2. ,1 R1UiD i l •a?'
. 3. .
• 4. $' GO N?- 'd LA G 4G, l. l l.
5. ` •
• 6. Ex?e=acr a:= :;?yi 0.17
' . Toea! • tc,q?o"
t 'G?ADE • '
0
. ?' ? • . ' '? - • - ? .
. . ? ? ?
• ??l l ?? • • .. • • •,.c ? ? %
• ` 1 I
? . d• , .
.?
. (fl ,• ? . .. ? /!/. I
dIG. $4 ? ' . ' ° f /I(
!!I ¢ ' •• , o • /!! ?
?
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`.. . s . ? • 1 /l( ? f[! ? lI7 ? '
pe. '?"?val?a. 2ep?4 aaL
.'. .
?
.'-aa' -st"'=a..
• ,- • ? '? Cana=-r?_^ .
?2ntac'c: air f:l= 0.61 .
IA )SU L.
? ??Illl? <<??'?',<<?;??;ii? . ;. rx«__a: _i: ::1rn (5r-:?, o?
4--? , : - To tamL cZ. sc.?
. =:?\? ? ?? ' . . . . • . . . • • ? _ . o t9
L ; • .
. .. .
. • . ' . ? ' • ? Fa.???+rt y • . ' , .
?tatior air fila ? 0.61
? . C E1?v
Ees
• 1 U? • 3. ?C?11.l?uL . bOA
' ' • . d. Extcrior air Fiin (st:l I ?oi
?
. Fzc. ?5? ' . . • ? . ? ' • .U = .0=1?5
• , ? M ? • • ?
• ? . • • .•• •• ^ GOA.yTR??T! 07` ?•••
?.,r,.:.....-.:.,.•-*??:?"s..?"`-•-'i r.',"`=_? . i j. Sn518c sir filtn 0.61
? -- - --- --"-?----r _• , 3. • . , .
• . . ? . , 4. ? .
Y???'?_??(?( t. 5. Guts:de air f?m . 0.17
?Iu??IU Total •
?. . . . , .
? , ^ ? • ? . • ?x?•-?, ?
.?„? Z ?-(? Cr .• Snsiflc air =ilm•
?k?? flov vp . , ? j•veatad , • ? q_ ? ? -
` . • . . , , • ,' , 9. Cutsidc aiz film 0.1
Total.
- _. .. . . -- ' ' . .: . • • ?
• 3 ? . ?' '?i , 1. Snsid'e air tilm 0.6'
4. . •
;i'-?.., • Tota1
..r; •'' •/'• .
? ? . • . .. . • .
1 ? .•
. ? -t :J ? . ' • • ' • .
` ? • , • .' ' ? , ,• . . .' Notc: U?c additiacsal shanta if r«ar_ s;
. • HCf-4L^.'?-'? • • , ' , .aecd=3 Sor cteeZil? ssd calcalat:
?, ' .. ". , , . . . .
• }IeaC ? ? • .
? , •. . =lay . .?, .
. , up . .
• ' PZt;. 27 t•
? • ' ? .. , • '
. ' ' . ? ' . ._..: _.._._--- •- --
• 4?nt.r. ?.r.r.r:nr.:
u,111 nreA I?er
- frnrtv: c:on:,truci iu n
10
?
; I P1G. II1 TGPVIEN OF
? i FIU:Ik: 19ALL
? FIC. A2
l,e. r (.?
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= ?: ?•. ° •,' ?ri?R;
= .? T Irr
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L 1i?lt•t??:?.?1??..t??,?? ... _ ..._..._p_?G8
= ?Et? ..S?c??. S" tyu N • - - -t -11
?. _
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U= .3?
1. intrclnt' air :i Im _ -----_------q.f,tl
?. _ ? ?•.--.___."'_? _? _-._'_.-.
s. .... __._. . .
G. ExCcriur air - 17
- •----• 7b1n1 ?-
1. Inteciur air film_..----,----_•-n_61
2.
4 . ..---- -- --- •.... --? '? _ ?? -".-
5. ._._--------- -- .. . -• ---•-' ---
6. F.xCCrl.or nir filio r--?1r1.'1
-? +9'otal.~ ^
1. toti!i ;oc .,ir_.rfti,_ -___?...._.n.Gn
7. 4. - .••-:-•-----
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. . . . . PLA&.c ?
Lr +u E.h L FT, EXposE0 WALL
BL.OGk. ? ?Z + aco . s t ro-? rz8. g .
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?z?M :: t Z?•5 ?C I - c z?.5
. fio-rA l_ = r? 57. ZS
?xposElD
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: -
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D o0125 J.-LLz 3Clr62
31,47 . - ..
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AZE.A
APFLICATION FOR PERMIT
SEWER ANQ/OR WATER GONNECTIQN
.
i Nf71'E: PA`IMNP OF FFE AT TIME OF
`
t APPLICATION OpFS NGP CpN-
.*? SfI1fTfE APPROVAL OF PFFPIIT.
i :
a
; iNse=ox oF sMM nrm/oa WAMx :.
; xrisrattAZZONs wua. taor sE scEWLED ;
w[TlPIL PEEthIIT HHS HFZ[i APPRGVm.
?+?te::x??+iaex?+++??*?ts?ii:ir+?r?ri:
OF CClgan
(PLEASE PRINT _
1) PROPERTY ADDRFSS: 4027.Pennsylvania Avenue, Eagan, MN
i.FY;AT DESCRIPTION; Lot. 7,. Block 4,. Stafford Place -Lot B oc S vision or Tax Parcel ID )
IF EXISTING STRCCTURE, DATE OF ORIGINAL BUILDING PERMZT ISSUANCE:
PRESENT ZONING/PROPOSID C!SE:
Q COPM7ERCIAL/RETAIL/OFFICE
Q INDT-ISTRIAL
Q INSTIT[JTIONAL/GOVEEtNNIENT
Mont Year
,EJ R-1 SINGLE FP.MILY
E R-2 D[!PLEX (3tao C'nits)
R-3 TOWNHOC?SE (Three + Units)
? R-4 APARTMENT/CObIDC)MINILM
Lnits)
( C'nits)
2) ? NAME: Frontier Midwest Homes Corporation
ADDRFSS: 3902 Cedarvale Drive
CITY, STATE, 2IP: Eagan,.MN 55122
PHONE: 454-0433
3) NAME: Star Plumbing
ADDRESS: 1018 Mound Spring Terrace
CITY, STATE, ZIP: BloomingGOn, MN 55420
PHONE: 884-4149 . MASTER LICENSE # 3329
4) e • ??
NAME: John & Sheila Glynn
ADDRFSS: 763 Hackmore Drive
CITY, STATE, ZIP: Eagan, MN 55123
PHONE: 688-2344
Ij •ACtive
Expired
Not recorded
Sta Initia
5)
? CONNECTION TO CITY SEWER M CONNECTIO[V TO CITY WATER a 0'iM
6)
:FrtYt]t]F****1t**rt*******'A'X¢*A'/(-0(-0('/(*]F*X'***'k'k***:Fd( A 11('kf':F****1kit1: *'kA'*A'*'It]Fy('/(:F*tFF:F***'k'k'X'k'It k*)[ ]k***:F**if****iF'k`k***Y
?
THE GOLD COPY OF THE PERMIT WII.L BE SENP DIRECI'LY TD PUSLIC WORKS 70 FACILITATE METER PICK-OP. *
PLF.ASE ALIAW 7W0 WORKING DAYS FOR PROCFSSING. SOMEONE FROM TEM CITY WILL CONTALT YOU IF 1FIERRE
* ARE ANY PROSLIIKS.
$?*?*****?**?*******?****:**?*++**+*+**???****?**?+*****?*,r*****:r*******:?*?*?**?****,i*+r+:**+**+***y
FOR CITY,USE ONLY
PERMIT #. ISSUED
Pd w/Bldg. Permit FEES:
$ lL -S? $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLODE SURCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ o-? $ ' ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ WAC
$? ,S?U 'G9 p S SAC
S $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
g`
WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQDIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PDBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWI[VG CONDITIONS:
APPROVED BY:
TITLE:
DATE :
? !
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only 12W
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? TOTAL BTUN LOSS/GAIN ?
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RECEIVED
it
JUL 0 9 2018 For Office Use
� : , Permit#: 150 L./fol.
Permit Fee: t
Date Received: - l'1 g
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ki
(651)675-5675 I TDD: (651)454-8535 FAX:(651)675-5694 Staff:
buildinginspectionsacityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ,I'otg Site Address:.....:*A-'1 -i .iia a -iA16.. Att. " 1/ Unit#:
41
Name: �(t I (U efir Phone C. tSi
Resident/
Owner Address/City/Zip: i ( --) '.. y\tekul k '1)f, -
Applicant is: Owner Contractor
Description of work: ` '._ , r i l �
Type of Worst t
Construction Cost: Multi-Family Building:`(Yes /No . )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information Portions of the information maybe
classified as non- ublic if •u •rovlde s•ecitic reasonsthat would.• rmit the Ci to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval/if-plans.
App icant's Printed Name Ap• i`.411936"—ignature
Ifo 7 p6446,./l UA '1/`/I /41.6 , l 0z6---9
DO NOT WRITE BELOW THIS LINE
r SUB TYPES
— Foundation _ Fireplace — Porch(3-Season) - Exterior Alteration(Single Family)
— Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
— Multi '1, Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of!Piex _ Lower Level T Pool _ Accessory Building
WORK TYPES
— New
—
Interior improvement _ Siding T Demolish Building*
_ Addition — Move Building _ Reroof T Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall "Demolition of entire building-give RCA handout to applicant
DESCRIPTION
Valuation Lig 0 5° Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 100% y) Zoning -( City Water
Census Code 44 Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) y Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof: Ice &Water Final Pool: Footings Air/Gas Tests _Final
—
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test __.Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings,Backfill_Final
Sheetrock Radon Control
—
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: It , Building Inspector
RESIDENTIAL FEES #
Base Fee
� �
Surcharge
rt
Plan Review Itiii,i r
MCES SAC
City SAC _ t..
Utility Connection Charge
S&W Permit& Surcharge
TreatmentPlant7( l C - 6 0 D
Copies (((
TOTAL
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