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3974 Riverton Ave - - cirY oF EAc,AN 3793 Pliot Knob Rood Eagan, MN 55122 N2 5659 • PHONE: 4544100 BUILDING PERMIT Receipt # To be oad fer Est. Vulue Dote , 19 Site Add?eas QErect ? Occuponcy Lot Blotk Sec/Sub. Alter ? Zoning Parcel # Repair ? Firo Zone Enlarge Q Type of Const. W Name - - - - - - Move ? # Stories 3 qddreu Demolish ? Front ft. ~ Ci Phone Grode ? Depth ft. at Name Approvals Fees ~O Address Assessment Permit uE Ci Phone Water & Sew. 5urchorge on check Police Pl Name Fire SAC Address Eng. Woter Conn. Ci ph~e Planner Woter Meter J1. Council I hereby acknowledge thct I have read this applicotion and state that gIdg. Off. the lnformotion is correct ond ogree to comply with all applicoble Stote of Minnesoto Stotutes and Ciry of Eagan Ordinonces. APC Totol Signature of Permittee A Bullding Permit is issued to: on the express condition thot oll work sholl be done in occordance with all appliccble 5tate of Minnesota Stotutes and City of Eagan Ordinonces. Building Officiol l~ } • pomk # psM IsMd Paml!!N Plumbing Mechanical ,e-f-, ~ir 2 INSPECTIONS DATE INSP. RoupMin Finol Footings Date Irksp. Date Irnp. Foundotion Plumbing Frome/ins. j~ q-~„3-ffy Mechonicol Finol Remorks: ~ INSPECTI4N RECORD CITYOF EAGAN PERMITTYPE: ;o, ;0 3830 Pilot Knob Road Permit Number: . Eagan, Minnesota 55122-1897 Date Issued: ~ (612) 681-4675 ~ SITE ADDRESS: APPLICANT: ~ oN pv[ . , , . , PERMIT ,$uBTYPE: TYPE OF WORK: INSPECTION .A • F « ~ ~ L ~ Permlt No. Permit Holder Dste Telephone 11 ELECTRIC PLUMBING HVAC inspectlon Date Inap. Comments FOOl1NGS FOUND FRAMING ROOFlNG ROUGH PIUMBING PLBG AIR TEST ROUGH HEATING GAS 5VC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL 1 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, MinneSOta 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ' " ' ~ ' • ~ ~ 4~ ~ APPLICANT: I IA I: t~ ?sl.W. r ~ (`JFR f+1N AV! r rlri , ~ t~~;l' ~i`•,'i i! 1 l) a~. i i~~: 1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• • D• F ~ ~ . . . . . . . . ~ Pertnit No. Permit Ho{der Date Telephone 1I ELECTRIC PLUMBING HVAC InspecHon Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD F?REPtACE FIREPLACE AIR TEST FlNAL PLBG FINAL HTG ORSAT TEST BIOG FINAL BSMT R.I. BSMT FINAL DECK FfG ~ 27 DECK FIN4L ~ CITY OF EAGAN Remarks saw conn. pd.. on 12-29-72 wtr conn. pd. on 6 13-73 Addition Cedar Grove #8 Lot 5 B1k 7 Parcel 10 16707 050 05 Owner street 3974 Riverton Ave. state Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Qate STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ~ L 1970 125.00 5.00 2 Pa3.d # SEWER LATERAL ZZ 1974 1539.10 307.82 P&'Ld WATERMAIN WATER AREA * WATER LATERAL P974 ~ STORM SEW TFiK STORM SEW LAT 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 300.00 8265 6-13-73 SUILDING PER. s,ac 2 0.00 8265 PARK (..X¢.f'• 43gb3 PERMIT # MECHANICAL PERMIT ,.b CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, E/IGAN, MM 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION LotBlock ~Pc/Sub Res. New Name Mutt Add-on ~ ~o Address Comm, Repair c City Phone Other FEES ~ Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone '(RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERrAlT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1°r6 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: S/C: SIG E E TOTAL: FOR: CITY OF EAGAN k: PERMIT # F..; PLUMBING PERMIT RECEIPT R CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address I• ~=.r f,. - gLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Muft. Add-on gi Comm. Repair ~ Manj ~ Add~~ "tu2..~Ay Other c Ciry MMftn*hPM843 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - ' NO. FIXTURES TOTAL Water Closet - $3.00 $ Name Bath Tubs - $3.00 3 Address Lavatory - $3.00 p Ciry Phone Shower - $3.00 Ki?.chen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1oi6 OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $100 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES \ Softener -$5.00 BEYOND 0 0 ~ Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATU F PERMITTEE FEE: ' STATE S/C: - FOR: CITY OF EAGAN GRAND TOTAL: CITY OF EAGAN Include 2 sets of plans. ~ , . 1 site plan w/elevations & ti BUILDIWG PERMffT APPLICATION 1 set of energy calculations. GD<N~oec!( DEce « ~,y,~ Date ~ 7j•~5~~1`~0 To Be Used For ,1~~1.7iN~ac F_x(kKC;au~aluation ~S" " -7T_' site Address 3974 '2i u-eTsN A oF• aFFice usE orn,Y Lot siocx 5 sec./suu. Erect ocojpancy Parcel Alter Zoning ~l Repair Fire Zone owner: F U F_ /f Ae~c..J 1 C,~- FSnlarye ~ Zype of const. Address: P'nve # Stories .~97~ ~)Ur'~6YJ {~u~. Derolish Fmnt ft. City/Zip Code: j=QGA ~j Grade Depth /0 ft. Phwne 454- 8&43 APPRWAL.S FEES Contractor: *F WI-DF P-- ~ rFo2S INc. Asse5sments PerT"'-t Prldx'ess: /,go/ ej~/rc 90 11v~.~. ` sewer Surcharge Folice P an Ckeck City/Zip Code:JN') DLS, n1 i ro r~ S~ Fire SAC _ Phone _334- I1o81. Eng• water Conn. Pla:ner Water Meter / 'J Council Nnad Unit Ax'Ch./EY1g.: y~/v Bldg. Off. Address: (00 lGl~ IC/1 0~~~ S~APC City/zip Code:l~?D,CS Phone 339- )~S6 rn°mr.t' /~7. 3,2 3 - 78 .427 1'41 3 /d ( f • / ~ " 1 \'i 6 ~ ~ ~i ~Uv ~ - ~ v ~ v ~ ~ ~ ciTr oF EAaaN , 9795 Pilof Kuob Roed Eagsn, MN 55742 N! 5659 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt Ta be ated for Deck- Esr. Value $10.000 Date 3/25/80 , 19_ Sire Address 3974 Yiverton Ave Erecr ? Occuponcy R3 Lot S Block 5 Sec/$uy, CG qlter ? Zoning Rl Porcel Repolr ? Fire Zone 3 Enlarge Type of Const. V w Name StavP ar wi rk Move ? # Stories z Aedress 3974 Riverton-B.sr. Demoitsh ? Front 35 ft. Ci Eagan Phone 454 8643 Gmde p Depth 10 fr, 0 vv w Name StatPwidP Fxta~rinrs Tnr Approvols feot ZG qddreys 601 Chicago Ave So /usessmeM Permit ~ ~ct Ci Phone Water & Sew. Surchorge S- ~0 Polite Pian check 16. SO ~w Nume T 1 nv-rl~Hopn Fire SAC _z~-, Address 601 Chica¢o Ave So Eng. WMer Conn. <w Ci 1S- 5 S~5e Planner WmerMeter Council I hereby acknowledge that I have read this appllcation and state that gldg. Off. the iniormation is wrred and agree to co ply with nll applicable Sd_ S(1 State of Minnesoto Statutes City of Eon Ordinances. APC Totnl Signature of Permittee r,` A Building Permit is issued to: C ~ i~ v O CS 1" , on the expres conditfon that oll xrork shall be done in acmrdance wit~F(~J appliwble S/tq~~ of Minnesota Statutes and City of Eagnn Ordinances. Building OffiNOl ~ ~ mmnesow swte noam m Eiectricuy Griggs Midway Bldg. - Ill N191 L~B~$(fO3~D2 1821 I~iversityASe., St. Paul, Minn. 55104 - Phone 297•2111 rr ~ - kEQUEST FOR ELECTRICAL INSPECTION S 56291 C,HECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wued For Check Fquipment Wued F'or Home ? ? Range ? Tempoxary Wiring ? Duplex ? ? Water ter ? LightingFixtoxes ? Apt. Bidg. ? Dryer -Electric Heating ~ Commeccial Bldg. ? Fum Silo Unloader ? Industrial Bidg. ? A'u ~ diti Bulk Milk Tank El Farm pList Lpist 1} Other ? ? ~ Heiel$ Hehergl COMPUTE INSPECTION FEE BELOW Service Ennance Size: # Fee Fceders&Subieeden: u Fae C'vcuits: # Fce 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eies /Qct7 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformexs Remo[eControlC'vc. Pariialoro[herfee ~ O Signs S eciallns ection Minimum Remarks ~G~LLJ I~O~i J~%Oq G,"Ri/J G- TOTAL F ~ r(pxp I, the Electrical Inspector, hereby certify that the above inspection has been made. (Rough•in) Date (Final) te This request void 18 months from This request vaid 18 months from ` L3ate of this Request Fire No. S 56291 1, as ~ Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 397y 4091?TO ~ 19c'~-40 F- City IF09 6-At7 Section Township Range County ZAO'O ffl Which is occupied by Sl cUE tyAQ1Y1Jr`Cff (Name of Occupant) Is a roughin inspection required on this job? No ? Yes ~ Ready Now ~ Will Call ? Power Supplier _&W Address ElectricalContractor clefl-fiPiC Z/K'• Contractor'sLicenseNo._ (COmpany Name) Mailing Address 6y3/J ~i00ar 4,'C~O~ AcJg /-O/S ~~126 ^ (Electrlcal Contractor or Ownar Makfng TMS Installation) AuthorizedSignature PhoneNo. 9u4 -z;7Yo21 ( tE~c rical nCon~[rottor or Owner Making Thls Installatlon) k~ i~ nj E. p~ c~ ~ V( I ~ I, QOp~ This inspection request will not be accepted by the ~~s' in1 0~.S u~v State Board unless proper inspection fee is enclosed. fILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 W`ot KnobRood PERMIT NO : 1357 Eagan, MN 55723 . DATE: 1212 7oNng: R-1 No. of Units: 1 :)wner: Cedar Grove Construction Co. 4ddress: ',ite Addrea~• 5-5 3974 Riverton Avenue r'lumber: Stein 's agree To eomply with fhe Villoga of Eoyon Connection Charge:260.00 6/13/73 )rdinances. Account Depaeit Permii Fee: 10,00 d 12 29 72 Surchazge: .5o Pa i 2/29/7 2 ay: Misc. Chazges: :>ate of lnsp.: Total: nsp.: Da[e Paid: , EAGAN TOWNSHIP BUILDING PERMIT N° 3047 . Ownet ---L. Eagan Township . Addreu (Preseni) ~ . Town fiall Builder /t- Z Da}e Address - ~ DESCRIPTION Siories_ io Be Used Fos ' Fron! Depih Heighf Es1. Cosf Permi! Fee~ Aemarks LOCATION ~ Sfreel, Road or ofher Descripiion of Loca2ion I Lo! Block Addition or Trae1 ~ 5 ~ Thia pexmi2 does not auihoeize the use of alxeefs, roads, alleys or sidewalkc nor does it give the owner os his aqent the right fo create any siTuafion whieh is~ a nuisanee or whiah precenis a hazard fo the healih, safeip, coavenienca and general melfare !o anpone in the communiiy. THIS PEAMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGAESS. • This is !o aer2ifp, lhaf.....&.:C.r<V_-,r...y... permusion to ez4e3-tr....... !.-......'_...e.'~.f.:.: pon " u the a6ove deacribed pzemise subjeet fo the provisionc of the Building Ordinance for Eaqan Township adopled April 11, 1955. ' - - Per .........--._------`~i-.ti-'...:1....-'---'°..............................._...... . Chairmen of nwn Boa:d ~ Huildinq Iaspeclor oe.i&inGl -~11-cyi unhc 01 G6, - EAGAN TOWNSHIP ` BUILDING PERMIT N? 2929 r~, ~ .,-w-~ Cr_,,.v.~•= Owner _----"'-`"~°---.-c----..._-------......... Eagan Township Addrecs (Preseni) 4~t,.......::Q Town $all Builder J-.- Address Date - . DESCRIPTION " Siories To Se Vsed For Froni Depih Heighf Eal. Cos! Permit Fete Remaska LOCATION Stree2, Roed or oiher Deaeription of Locafion I Lo oek Addilion or Trae! 3s`7 s~ 1'his parmit daes aoi sulhorise the use of siraels, roads, alleys or sidewalks nor does it giva the owner or his sgen! !he righf !o areefe anp siluaiion which is e nuisanea or which pzesenls e hezard !0 the heallh, safelp, eonoenieaee and general walfara !a anpona in the communiYp. THIS PERMIT MUST BE KEPT ON T7-H~E PREMISE WHILE THE WOAK IS IN PROGRESS. ~ This is !o eerlify, lhai.__~.`....~.~°-t-.has permission !o ereat a....../..9 d'- ~ . . . . . upon the abova deseribed premise subfec! !o the provisiona of the Building Ordinanee for Eagan T~hip adop ed April 11, 1955. ..-~---~---•~~.G= ~'f . ~~~+..r.._Per .._.................._:.......~,c.~Ze-.~.~ . ' . ~C'h83s'men o wa ise a..rd ~ ~ Bvildinp Inspeefor ,h;s r4 P ord 7/a~7~84 8t~c ~i 7 18 nqnths (mm E 43803 el jlRequest Dzte Fire No. RouPh-in InsVection Henuired? fleady Now CIWLII Notity Inspeo Cp ~ 2 p ?Yes o tor When Ready ~Licensed ElecVical ConUactor 1 hereby requast iaspaction ot above ? Owner electrical work instelled at: Slreet Addrass, Boe oe ute No. Cily 7 9 74-1 u e c- To .9 14-~ ecbon o. Townshlp Name or No. anBe No. Cow'ty p Occupa/n't/lPRINT~ ( Phone Nn. -~j S / ~~-P L.... Power Supplier Adtlress Ele ~on[~a tor ICompany Name) I Conlrar.toe's License No. ~r rr ~ ~ Mailing AdJress ICOnhacmr or Owner Makine Instailaiionl P21 54C3 T ~2 (fA~l-e Authorized Signatur trac r/Owner MakinB liistallatinnl Phnne Number MINNESOT STATE BOAPD OF ELECTRICITY THIS INSPECTION pEQUEST WIIL NOT Grigga-Mi ey Bldg. - Room N-191 BE ACCEPTED 8Y THE STATE 60AND UNLESS PROPEN INSPECTION FEE IS 1821 Univereilv Ave.. St. Peul. MN 65104 phnneIqI~ipyI_nqnn ENCLOSED. 7/~71,9e REQUEST FOR ELECTRICAL INSPECTION ~ e2a-o~oooi-os ~ '0 See inslmctions ior comoleting ihis brm on back oh yellow copV. L~ e~~G~ ~ E,4 3 8 0 3 "x eeloW Work Covered by 7his Request Nei Hdd Nep. I TVCe of Building Aaujuantes Wiretl Equiument Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtwes Apt. Building Dryer Elec[ric HeaUn Commercial Bldg. Furnace Silo Unbader Industrial 01dy. Air Conditioner Buik Milk Tank Farm o~h«i oeci v 11,er ISnecifvl t.r Succi v t er Oth¢., ompute Inspection Fee Below M Fee ServiceEntranca5iie k Fae Fexders/SUbteeders d Fee Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Amfn Trensiormers Irrigation Buoms ~v PartiaL'Ot ee Signs Special inspection TOT F E Rem3rks floueh-in Dete ihe echi Insoector, eroby tity chet the above Final / r napection has been meda. This repuesl voiC 18 monlhs from C . !o • VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, rYinnesota 55122 PERIAiT AIO.: 364 The Village of Eagan hereby grants to Cedar Grave Construction Co. of 7343 Concord Blvd. East. South St. Paul 55075 a HEATIN6 Permit for: (Osmer) eawe 1730 Sartell Ave. 18-10-8 at 3974 Rfverton Ave. 5-5-8 , pursuant to application dated 6/11/73 Fee Paid: 40.00 dated this 13th day of Juna , 19 73 1.00 e c I Building Inspector Mechanical Permi.ts: tfid Total• . / I4 7 6 2 DSO 0,!5- C'et/ G:'"3' VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Nlinnesota 55122 PERMIT NO.: 346 The Village of Eagan hereby grants to Cadar Grwe Conetruction Co. of 7343 Coacord Bivd. Esatp South St. Paul 55075 ' a PLUMBZNG Permit for: (owner) aama at , pursuant to application dated 6/11/73 Fee Pai.d: $40.OQ dated this 13th day oF June , 19 73 , 1.00 BC Bu;Zding Inspector Mechanical Permits: t3id Total: -70 703 3 o.s~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Plcase complete for: single (amily dwellings & townhomes/condos when permits are required for each unit Date09 / 105 Site AddressJ9144 ry7RivP.ehn /-~oe. Unit # Property Owner_AVrQYI J. V~[eSTe't- Telephone#((p,1/ )(pgj-0,299 Contractor A Street Address City ~SL?'Y)DLtYI~ State / r ~ Zip 360b~ Telephone # (~por1~ ) ~.co('d 7o2~P Bond Expires: The Applicant is _ Owner ~ Contractor _ Other Add-oo or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional X Replacement air exchanger ~ airconditioner _New ~Replacement other State Surc6arge $ .50 Total $ ~ I herehy apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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 wo will be in accordance with the r ed plan in ffi case of work which requires a review and ap al U/l L 'A App 'ca Y rinted Name Ap licant' Signature LBy_-_--- 5 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complece foc commerciaVindustrial buildings multi-family buildings when separa[e pertnits are not required for each dwelling unit - Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Band Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove *`see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "*When installing/removing underground tank, cafl forlnspecfion by Fire Marshal and Plumbing Inspector Pel'mit Fees: 570.50 Undergruund tank installation/removal $50.50 Minimum (includes Slate Surcharge) or Contract Value $ x 1% Pertnit Fee • If ep rmit fee is $1,000 or less, add $.50 $ State Surchazge If uermit fee is over $1,000, add $.50 for every $1,000 ue rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of [he Ciry oF Eagan and wi[h the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not ro start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanCs Printed Name Applicant's Signature Approved By: , Inspector Da[e: ~ MASTER CARD LocnrioN OWNER L1G~ G'2Aas~ STRUCTURE AND ~ e ~ LAND USED AS Issued To Permif No. Issued Conirador Owner BWLDING ~9' ~7 ~ ~s• ' PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAI HEATING 3 ` GAS INSTAILING SANITARY SEWER ~ OTHER S OTHER ~ '021 ~ Approved Items (Inifial) Date Remarks Disiance From Well FOOTING SEPTIC FOUNDATION ~ i- CESSPOOL FRAMING 7' TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL 6f~ GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIEID PLUMBING 71 WELL SANITARY SEWER _ Violations Noted on Back COMMENTS: , \ ~ COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ~ NO EVIDENCE OF NON-COMPIIANCE ~ NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ~ ACCEPTABIE SUBSTITUTIONS OR ? DEVIATIONS COMPLETION OF CERTAIN IMPROVEMENTS . WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY _ WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOILOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION -1 certify that I have carefully inspacted the above in which I have no interes[ present or pmspective, and that I have reported herein all significant conditions observed ta beat variance with ordinances of tha Town of Eagan, approved plans and specificacions, and any apecific require- ments for off-site improvements relating to the property inspected. ~ ALL IMPROVEMENTS ACCEPTABIY COMPLETED BUILOING INSPECTOR DATE CONJv1ENT5: ~ :3 . EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minaesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: 6/13/73 (12/29/72) Number: 1218 Billing Name;Cedar Grove Construction Coyite Addreas: 5-5-8 3974 Riverton Avenue Owner: Same Billing Addseas Pltmber: Steints Location of Connection Meter Size Connectioa Chg.300.00.ud 6/13/73 Meter No. Permit Fee10.00 pd 12/29/72 Meter Readinp_ Meter Dep. .ojpd 2 29?2 Meter Sealed: Yea Add'1 Chg. NO 1bta1 Chg. Inspected by Date Building is a; Remarks: Residencexx $25,00 P,E-{"lSFECTIpN ; CE FOR 14ultiple Ko. Unita ,~cTERS. Commercial i'' Industrial Sy; Other Chief Iaspector In consideration of the iseue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulatioas of Eagan Towctship, Dakota County, Minnesota, By: Stein's Pleaae aotify the above office when readq for inspection and connection. . . ~ ~ 6- I V33 ~ ~ Ner~b~a z~ ~ II 1 , 7+m4S'E Y~.sNT l ~ ~ I . I1 i ~ ~ C$ i 66 = 9.2 , UF. AGENT FOR PIONEER NATIONAL TITLE INSURANCE GOMPANY Na4t.lz s&4 oc Id4le .('jr.w4aa4, 9mc. PHONE 227-9451 112 EAST SIJ(TH STREET • SAINT PAUL, MINNESOTA 55101 September 17, 1973 Village Hall 3795 Pilot Rnob Road Eagan Township, Minnesota Re; Our File NS-7954 Gentlemen: Enclosed please find a check in the amount of $1,605.28 to pay in full assessments on the following described property: Lot 5, Block 5, Cedar Grove No, 8, 3974 Riverton Avenue, Eagan Tawnship, Minnesota Please send a receipt showing the assessmenta paid in full to the under- signed, indicating our NS-7954 in your reply. Very truly youra, NORTH STAR ABSTRACT & TITLE GUA7, INC. Gregory A Booth Mortgage Loan Closer GAB/ le encl. - SEP 18 ~ 1973 ti q Complete 7itle Insurance & Escrow Service . • ~ . cr.rv oF rnsaN CAriHIFRt S 1'FRMINFlL NOo 541 DA'fL:„ 08/27/96 T7MIE: ].S:ii.:J.9 111. NAMC- HfiIAN t WESTEI; 3^ct0 9001 3974 FiIVL'R70id A 45.00 2155 9001 3374 RTVE.FiT'ON A 0.50 ro+.,i RE,cPip+, Amount: 4._5.SU CR463338 USI::R ILIa NANCV . - . . PERMIT CITY OF EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: B uILo z N G Eagan, Minnesota 55122-1897 Permit Number: 028630 (612) 681-4675 Date Issued: 0 8/ 2 7/ 9 6 SITE ADDRESS: 3974 RIVERTON AVE LOT: 5 BLOCK: 5 CEDAR GROVE 8TH P.I.N.: 10-16707-050-05 DESCRIPTION: ; NO STEPS/RAILIN6S Bu5]tlinj,Permit Type DECK (,6Uilding LJ'caAk Type NEW „ Census Cqde 434 AIT. RESIDEN7IAL !'f . t_~. r i _ t' , 4 i~:'_-~ REMARKS: FEE SUMMARY: Base Fee $45.00 Surchar9e $.50 Total Fee $45.50 CONTRACTOR: . OWNER: - npplicant - WESTER BRIAN 3974 RZVERTON AVE EAGAN MN (612)681-0299 I hereby acRnowledge that I have read this application and sGate that the infiormation is correct and agree to comply with all applicable State of Mn.' ~ Statutes and CiC of Eegan Ordinances. J ~ APPLICANT/PERMITEE SIGNATURE ISED BY SIG TURF or CITY OF EAGAN d~ 3830 PILOT KNOB RD - 55122 ~ 1996 BUILDING PERMIT APPUCATION (RE5IDENTIAL) ~ 881-4675 New Censwclion Reaulrements Remoslet/Reoatr Reouirements / ? 3 repistered aite surveys ? 2 copies ot plan / ? 2 oopies o1 plans (inGude beam 6 window sixes; poured fnd. design; etc.) ? 2 site suneys (exterfor adtlitions 3 decks) ? 1 energy cakulations ? 1 energy calculationa for healed additions ? 3 copiea o1 tree preservatlon plan M bt plaked eAer 7/7/93 raquired: _ Yea _ No DATE: (T' 9(a CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: J~' v~? ~ C~'~~ ~ S'~~~ LOT s BLOCK 5 SUBD./P.I.D. PROPERTY Name: Phone un rmer owNER Street Address 3 97~/ ~'?e.r'i~ ~l !¢w City: Co4Sz^ State: Zip. S ~ ~u CoNTtv?c7oR Company: Phone 5treet Address: License #City: State: Zip• ARCHI7ECTl Company: Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer 8 water licensed piumber: N/ A . Penalty applies when address change and lot change are requested once permit is issued. i hereby acknowiedge that I have read this appiication and state that the int tion is co ect nd agree to comply with ail appilcable SWte of Minnesota Statutes and Ciry of Eagan Ordinances. ° Signature of Appiicant: OFFICE USE ONLY ~ ~ CENED Certificates of Survey ReceNed _ Yes _ No AUG Z 2 1998 Tree Preservatfon Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish a 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 5F Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 = plex R11 5 Deck WORK TYPE ,2rX31 New ? 33 Alterations ? 36 Move 0 32 Addition a 34 Repair o 37 Demolition GENERAL INFORMATION i Const (Actuat) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water r UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # oi Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~ 3A! Oepth Footprint sq. ft. SAC Code ~ Census Bidg i Census Unit U APPROVALS Ptannfng Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Suroharge Treatmerrt Pi. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units C.T.TY QF EAGAN CABN.T.ERt S T'L-"kMSNAL NU: 66 PA1'E: 06/16/97 'T'SMFT_: L5:l.i.s41 TCt: NAMGe CJUAI_STV H(]ME kIORF(S 1:NC :9210 '?OfJi. 3974 kSVEFTON 40.25 2155 3001 3974 RIVEfi70N 0,60 . ~ 7otal Receipt Amol.artit; 40.85 CFO i t5?..E,6 U,.-.R 111: rtnNr,v _ PERMIT ~ CITY OF EAGAN PERMITTYPE: s~~=L ozivG 3830 Pilot Knob Road 0 3 0 2 3 0 Eagan, Minnesota 55122-1897 Permit Number: 0 6/13 /9r (612) 681-4675 Date Issued: SITE ADDRESS: 3974 C?ZVERTpN AVE LOT: 5 BLOCK: 5 CEqAf2 GRDVC 9 P,I.N.: 10-16707-05e-05 DESCRIPTION: EGRESS WINpOW Perm3C Type SP (MT&C.) rk Type ALTERATION oy'sul~ cg~d434 ALT. RcSIDEN7SAL ~ ~4" ~ N k { r ~ . ~'Gb ctM" $G~P$ fi~i~k '`k" y~a an~3~ yi'-`"? <~a ~ . 2 P. ~5?^ R~~ c Spry~~~~~ ~ K°d~' 5~ ~ , A REMARKS: FEESUMMARY: vaLuprzoN $1,2e0 Basc: Fee $40.25 Surcharge u~__ • 60 Tatal Fee $40.85 CONTRACTOR: - A P P i x c a n t- s T. Lz c. p{n/NER: QIJA,LITY MOME WORKS 14315998 6909238 WE57ER BRIAN 8410 141ST CT W 3574 RIVEft70N AVE APPLE VRLL,EY MN 55124 EAGAN MN (6'!2) 431-5998 (512)681-0299 h~r~bY ~~km a 41 odc~~ herve° 00,z,dilo° a~i,S.crri a Oil, ~~~to: t{vat th't, , , st.ata #rt. o Beatutes .01'od t y of oe'~ds c ~ • , ~ ~ { _ a e• e. _ _ t F ~J _ . ~ . . . ~ e._..~ r v ...fl . .r. Y...~_. . . 'a ~ A • ` APPLICANT/PERMITEE SIGNA7URE ISSUED BY: GNATURE ° 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)~ ~ b a3 o CITY OF EAGAN 5830 PILOT KNOB RD • 55122 681-4675 New Constmction Reauirement. HflmodaVReoair Reouirements . ? 3 rogietered site surveys * ycopieq p} plen • 2 coples of plens (indude beam & window saes; poured fid. tlesign; ek.) ? 2 ske surveys (exterior edditlons & deeke) • 1 energy calwlatlons ? 1 eneigy calculations for heetetl additians • 3 eopiea of tree preservation plan if lot plattetl eRer 711193 requirad: _Yes _ No DATE: ~ ' 9 7 CONSTRUCTION COST: DESCRIPTION OF WORK: <v e!~ .t~ ~ ~ STREET ADDRESS: ~ 7 51 LOT f_ BLOCK ~ SUBD./P.I.D. PROPERTY Name: ~ ~ fIL-, Lv ~--5 P. f Phone owNeR ~f StreetAddress: 307 7y ek City: C-- ~'°i 0, / State: ,~IVIA^VI Zip: CoNTrtncroR Company: ~ u a sc ZW-Q "a4"s Phone ~.~n Street Address: ~ YrJ~ L.-,• License ~ L 3 g City: (~P State: Zip: ss/ zc ArtcHRECT/ Company: one ENGINEER Name: Registration Street Address: City: State: 2ip: Sewer & water licer.sed plumber (new conshuction onty): . Penalty applies when address change and lot change am , equested once permit'rs issued. I hereby acknowledge that 1 have read this application and sfate that the information is co t and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY REC~+ IVED certificstesofsurveyReceived _ ves _ No ,jU~ 1 0 199%' Tree Preservation Plan Received - Yes i No _ Not Required BY..~- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ~02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool ~ o 03 SF Addition ? 08 8-plex n 13 Garage/Acc:essory o 20 Public Facility ? 04 SF Porch ? 09 12-plex n 14 Fireplace ~ 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex o 15 Deck ~ ~ ,EP SS Cv i ~vc~ WORK TYPE 0 31 New ~33 Alterations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MCNUS System (Allowable) Main levei sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Pianning Building Engineering Variance Permit Fee -,ZS Valuation: $ Surcharge . ~ ~ Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: 10.95 °!o SAC SAC Units 11 city oF eagan PAT GEAGAN M,yor November 13, 2003 PEGGY CARLSON CYNDEE FLELDS Mr. Brian Westcr 3974 Riverton f,venue M[tce nancuIxF Eagan MN 55122 MEG TILLEY DearMr. Wester: Council Members We have received a modified proposal for the variance request for the property located at raoMAs xeoces 1745 Sartell Avenue. Ciry Administraror $C]OW 15 NLT. WdgCt'S pT0p053l: 1. Add three rectangular windows on the east side of the proposed addition. These windows will be similar to the windows that exist on the garage at Municipal Center. 1741 Sartell Avenue. 2. A hip roof style will front the street on the proposed addition. This roof style 3830 Piloc Knob Road will match the existing house. The peak of the roof will be slightly lower Eagan, MN 55122-1897 than the uppermost roof of the house. Phone: 651.6755000 3. Landscaping shrubs will be added to the east side of the garage. 4. The garage door will be a raised panel type to match the existing garage Fa<: 651.675.5012 dooi. TDD: 651.454.8535 5. Brick will be added to the front of the garage similar to the existing garage. 6. An outside light will be added to match the existing garage. Maiottnance Faciliry: This proposal will be heard at the November 18, 2003 City Council Meeting. If you have any questions regarding this request, you may contact me at 651-675-5699 or Sheila 350! Coachman Poin~ Cartney, Project Planner at 651-675-5696. Eagan, MN 55122 Phone:G5LG75.5300 Sincerely, . Fau:G51.675.53G0 \I ~~'L~t4 ~ TDD! 651.454.8535 Dale Schoeppner Chief Building Official www.cityofeagan.com cc: Sheila Cartney, Project Planner Jon Hohenstein, Communiry Development Director Mike Ridley, City Planner DS/ld THE LONH OAKTILEE The sym6al aFstrength and growch in our Comrtwniry 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ~ ~ ~ ~ ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenis RemodeVFteoair Reauirements 3 registered site surveys showing sq. R. W lot, sq. ft. of house; and all roofed areas 2 mpies of plan (20%maximum lot mvera9e aliowed) 1 setof Ener9Y Calculations for heated additions ib ~~~T 1~~Pa=*~t1'! 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey tor additions & decks ~ml'i WD, 7setofEnergyCalculations Add'd'ron -indirafeifonsiteseptksystem 3cupies of Tree Preservafion Plan if lot plaBed afler 7/1193 Rim Joist Detail Options selection sheet (bldgs wAh 3 or less uniGs Date r l 3 /6vn ConstructiomCost Site Address ~juy Unit/Ste # Description of Work p..~ne yyi/-11 v-ao kti i~- L P~~~ 0 C~ X vU ~ Multi-FamilyBldg _ Y N Fireplace(s) _ 0_ 1 _ 2 Property Owner ~y°~~i~ C Lr' M/-Py &e~t Telephone # Vn6l ) ~,Q~~- Ll Z g ~ Contractor ~ aaaress ikg~ Arlt city 6.z State / r/A,). Zip Telephone #(d,$" D/ Iv COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (dsubmissionlype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously consfructed a building in Eagan with a similar plan~ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone Sewer/Water Contractor Telephone JO) MAY 0 I hereby apply for a Residential Building Permit and acknowledge that the informat n is complete and acc rate; that the work will be in conformance with the ordinances and codes of the City o MN Statutes; 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 ofplans. eZWo/Gt'r (9/co/l~lXe~ ApplicanYs Printed Name Applicant's Signa OFFICE USE ONLY Sub Types O Ot Foundation p 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Suiiding" ? 43 Reroof ? 46 WindowslDOOrs ? 34 ReplaCement •Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Fina]/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. Air Test _ Final _ Windows _ Insulation _ Retaining Wali Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA118893 Date Issued:11/12/2013 Permit Category:ePermit Site Address: 3974 Riverton Ave Lot:5 Block: 5 Addition: Cedar Grove 8th PID:10-16707-05-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Nicholas Guettler Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian J Wester 3974 Riverton Ave Eagan MN 55122 (612) 414-7001 Justkyle 3966 Riverton Ave Eagan MN 55122 (651) 230-6016 Applicant/Permitee: Signature Issued By: Signature For Office Use ` �?r.��; ,,, EAGAN � � ,t � :::::ee : Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVE (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694T n q c Staff: buiIdinoinspectionsa.cityofeagan.com OCT L J 2018 L ,, 2018 RESIDENTIAL BUII21+ _- ' 4 APPLICATION Date:/0-"?5 /g Site Address: -q'7 Gf le-,t 02-4—(t• Atik?- Unit#: I t Name: ''t °dam. 1V-�-r �e'./ Phone: O f��- '/YO-I "'7C70/ Resident/ 4 1 Owner Address/City/Zip: - "�ti g.i,,,24'T•0"^-- ' i Applicant is: Owner Contractor X-- Er4 ) �,a . wwwww«vnvw�+.w..nw.-mrra+vw�xmrx:mm-.' � Q� .. A : Type of Work Description •of work: z., { .Gtr 1 Construction Cost: I+ .71,00 0• 06 Multi-Family Building: (Yes /No ) Company: jus4 kei i l; C Contact: i Address: `66 i` 11,44,--.1 c �u City: g a ,v- 1 Contractor / ` t I State: ' 'Zip: �, ? /ZZ- Phone: G?,j/�- - /'Email: � 1�t 7f itZe Al C 6,3 1,eivD. "�' - 1s License#: VgC '3 5'. 7'q Lead Certificate#: If the project is exempt from lead certification, please explain why: i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i i In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? 3 Yes No If yes, date and address of master plan: i Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: i Fire Suppression Contractor: Phone: i- ..� _..�,.��, ,... ...a,�.,...�.�._.�...-.gym-.,�...�.-,..W. NOTE•Plans and supporting`documents that you submit are considered to be public information Portions of the information may be classified as non Public i�ou srovide s ecifk reasons that would ermft the Cit 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.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(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecali.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 approvedd�plan in the case of work which requires a review and approvalalofofplans. x M cIt 0 Io:S V(AE? 7�./t" 4r x 16:, ` aA4„ Applicant's Printed Name Applicant's Signaturqe_vi 3 7 4 .ii,k-- -,,, (1 4._ts, 7 DO NOT WRITE BELOW THIS LINE v SUB TYPES Foundation Fireplace Porch (3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi ay Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Flex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building–give PCA handout to applicant DESCRIPTION ®r, Valuation '710eV Occupancy 1Z) -••/ MCES System -- Plan ReviewCode Edition 40/5- SAC Units — (25%_100% yr Zoning R-/ City Water — Census Code 1 IQ Stories Booster Pump #of Units / Square Feet 4/4 PRV '' #of Buildings / Length /,a, Fire Suppression Required Type of Construction Width . "y ai REQUIRED INSPECTIONS Footings (New Building) Meter Size: „ - Footings (Deck) Final/C.O. Required Footings (Addition) Al- Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof: Ice 8s Water _Final Pool: Footings Air/Gas Tests _Final Framing V30 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: 'r; , Building Inspector RESIDENTIAL FE S illiy ,0 /)4‘.1-, &-, /2.7/O 4A /0 Base Fee / 1Y 7 l'#"- Surcharge Plan Review 55 srr MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies vet o, TOTAL Page 2 of 3