1070 Tiffany Pl
cv'ry OF EAGAN
3N83O 0 Pil lot Knob Road SEWER SERVICE PERMR
P. O. Box 21198 PERMIT NO
:
Eagan, MN 55121 .
Zoning: DATE: _ 3-24-i? 4
Owner: ii9E u c No. of Unite: 1
Address:
Site Add,
Plumber
I Gel" to comply .nm the cay of aevOA
Ordlrranea.
By -
Dote of Insp.;
Connection charge.. 425.00 d
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid;
f:IrY Oi EAGAN
38x0 Pilot Knob Road WATER SERVICE PERMIT
P. O. Box 21198 PERMIT NO
:
Eagan, MN 55121 .
Zoni
ng: DATE: - ?
Owner No, of Units: 1
Address:
Site Address:
Plumber. _ Iveierke Trr?ch "i1 I' r c
Meter No.:
Si Connection Charge: 450.00 nd
ze:
Reader No.: Account Deposit:
I "M to MMPIY W111116 !6e city of Ee
e Permit Fee: 0 ?^
ge
Ordiwenae, Surcharge: S n
?-d---
Misc. Charges: 60.00 nd meter
By Total:
Date of Insp.: Date Paid:
11-` .
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RccciveD
FROM
AMOUNT
& -DOLLARS
too
? CASH ? CHECK
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
61k? BY
r
BUILDING
CITY OF EAGAN
6746 Pilot Knob Rood Eogen, MN 55122
PHONE: 454-8100
Site Address 1070 Tiffany Place
Lot _ 23 Block 2 Sec/SubCanterburv Forest
Parcel * 10 1 F, 3rn 280 Q2
Name 081
W Address 45:
b City Eajz'a
p Name 0%
i?
uU
Address
~ City
WW Nome
PW
=c-, Address -
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.
Signature of Permittee
A Building Permit is issued to: Oak Chase Builders, In
all work shall be done in accordance with all applicable Sta- at Mir
Building Official a
i?
.. b?.¢'
Receipt #
Erect Occupancy R- I
Alter O Zoning R-1
Repair ? Fire Zone NA
Enlarge ? Type of•.,Const. V
Move ? # Stories
Demolish ? Length7f) _ S
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Ft.
Permit 513-00
Surcharge 66-00
Plan check 25f, . its
SAC 525.00
Water Conn. 45i' - il!1
Water Meter
Road Unit 2 r"
Total 92120-50
on the express condition thni
Statutes and City of Eagan Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing f It f"-Li ?q-?
H.V.A.C. ?IJ?? kl %l "?zD'a
Well
Water
Disp.
Sever
Electric wZT1oS K4AI.h -?
Inspection Date Insp. Other
Footings
Foundation
r
Framing
Rough Plbg.
Rough HVAG
Insulation !r w
m
Final Plbg. p
Final HVAC 4-
Final d- ?. ?/?
Water Descri Location:
l
Well I ??G 2y?GC
_
Sewer
Pr. Disp.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee _
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date V 2. Installation Cost, _
3. Job Address Lot Rik., Tract
4. Owner i i i', j i
5. Contractor Phone `i 2
6. Address / t ! / y S7 77e-) r- -l- C ?r 1 . l
7. City k State ?l i i 4i,,
Zip _
8. Building Type: Residential ?-' Commercial ? Institutional ?
9. Work Description: New Add ? Alter ? Repair ?
10. Describe
11
No. Fixtures
Water Closet No. Fixtures
Cesspool/drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
g for,
-r
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ? n I MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot. '
1. Date 2. Installation Cost
3. Job Address /d 70 Lot Z_ B l k. Tract
4. Owner
5. Contractor - Phone
6. Address -
7. City State i Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equipment BTU - M. Ea.
Forced Air
l? No. Equipment CFM
Ai
H
dli
Mfg. -? r
ng:
an
Boilers
Mfg. Mech. Exhaust
_
Unit Heater
i ! -
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks Ow) - Al-, L
Add't9o CANTERBURY FOREST Lot 28 alk
Ownef Street 1070 TIFFANY PLACE
? ?, ?•'?'?"!r! !f?-:;
GAN Mil 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1979 Paid undei original pa rcel
STREET RESTOR.
GRADING 1981 106.78 5.34 20 85.46 A013148 11-7-83
SAN SEW TRUNK , Z 1973 Paid unde orginal pa e1
* SEWER LATERAL 5 1981 439.42 21.97 20 1 351.54 AO13148 11-7-81
WATERMAIN
WATER LATERAL 1981 20
WATER AREA q04 1979 Paid unde original cel
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
RCOR UNIT 250.00 37200 7-14-83
WATER CONN. 450.00 if
BUILDING PER. 8246
SAC
PARK
This request void -? t
18 months,from
.27`654 s4. sa
Request Date
y+ _n^?
M
1
Y Fire No. Rough-in Inspection
Pe Fred?
Ready Nuw ?Nill Notify Inspec-
I.. Wh
R
l,
1
O ?
Yes Nq en
eady
Licensed Electrical Contractor I hereby request inspection of above
Owner - electrical work installed at:
Street Address, Box or goale Nom.
`
'
? City
?
f
c
0
IO
11;C VP •uy A
Section No. Township Name or No. Range No. County
?D*,eoTA
Occupant (PRINT) Phone No.
Power Supplier Address
Electrical C tr ctor (Company Nameyy //
G
F Contractors License No.
IEC/?
wf*I-) 02- 12
Mailin/Address (Contractor or Owner Maki ng? }}nstailation) /
!OQ - 73 /2 ? eF 6 ` / m{ ?-
A Signa tore ntractor/O nB Installation( P ne Number
t THIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE BOA 11 ELECTRICITY
821 ni versify. Av. - . Paul, MN BE ACCEPTED BY THE STATE BOARD
1
1821 University a.. St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS
ok..__ rwtnt 9g9-vt11 ENCLOSED.
A1 REQUEST FOR ELECTRICAL INSPECTION °. E8-00001-03
LJ
-? 6 5 4 ? See instructions tar completing this form on back of sallow copy. "X Below Wyk Covered by This Request 3?3 L
A P. Type of Building Appliances Wired Equipment Wired
Home nge Temporary Service
Duplex - Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peci v Other (Spe"Ify)
t ar f pem fy Other Other
Compute Inspection Fee Below
q Fee Service Entrance Size q Fee Feed a rs IS ubfeeders q F e Circuits
O to 100 AMPS 0to 30 AMPS i 0to 30 Amps
F 101 to 200 AmpS 31 to 100 Amps 31 to 100 Am
Above 200 Am is Above 100 _Amps Above 100-Am s
Transformers Remote Control Circ. Partial/Other Fee
Signs Special Inspection tl
q0 TOT
Remarks
Rough-in Date ^j v 1. th Electri
Inspec " tereby
certify that the above
Final ;e'r spection has been le7 made.
This r esr vnid " -
18 months frgm
BUILDING PERMIT
CITY OF EAGAN
5795 Pilaf Knob Road Eagan, MN 35122
PHONES 454-3100
sed for SF DWG/GAR
$132,000
N° 8246
Receipt # f2)l
Date July 14 - 19- 83
Site Address 1070 Tiffany Place
Lot 28 Block 2 Sec/Sub. Canterbury Forest
Parcel # 10 16350 280 02
rc Name Oak Chase Builders Inc.
zz Address 4525 Oak Chase Way
r:w. Eaean 55123 at...-_ 452-3083
Q
o?
V?
Name Owner
Address
Nome _
Address
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.
Erect $a Occuponcy R-3
Alter ? Zoning R-1
Repair ? Fire Zone NA
Enlarge ? Type of Const. V
Move ? * Stories
Demolish ? Length70.5
Erode ? Depth_ 6 -Sq. Ft.
Approvals Fees
Assessment _
Water & Sew.
Police
Fire Eng.
Planner
Council
Bldg. Off. _
APC
Permit J1J.UU
Surcharge 66.00
Pion check 256.50
SAC 525.00
Water Conn. 450-00
Water Meter 60.00
Road Unit 250.00
Total $2120.50
Signature of Perrnittee
Oak C as Buil a Inc.
A Building Permit is issued to: on the express condition that
oil work shall be done in accordance with al ' ble to of Min yta Statutes and City of Eagan Ordinances.
n i
Building Official
44
z4Y
CITY OF EAGAN
BUILDING PERMH APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
G/
To Be Used For SF/GAR valuation 307,0 d 0 Date
Site Address: 11%2 7-419a
Lot J?3' Block a? Sec./Sub.?
Parcel IO 11a3so z<-o 02 "D 't
Owner: OAK-CHASE BUILDERS, INC.
Address. 4525 Oak Chase Way
City/Zip Code: EAGAN MN 55123
-S'a
OFFICE USE ONLY
Erect X Occupancy
Alter Zoning fP/
Repair Fire Zone
Enlarge _ Type of Cont.
Move # Stories
Demolish Front 7a 5 ft.
_
Grade Depth ft.
Phone #: 452-3083 APPROVALS FEES
Contractor: OAK-CHASE BUILDERS, INC.
Address: 4525 Oak'Chase Way
City/Zip Code: EAGAN, MN 55123
Phone #: 452-3083
Arch./Eng.:
Address: 1/It?? cSivd2 t7P?o%!s/s
City/Zip Cede:
Phone #: 11S0_1006 7
Assessments Permit sy 3
Water/Sewer Surcharge („(n ?-
Police Plan Check
-
Fire SAC
a
Eng. Water Conn. y5
Planner Water Meter ?O
Council Road Unit 0,5-6
Bldg. Off. -/y,
APC
TOTAL vZ ( e Sv
` ^
o X14
Certificate for:
Oak Chase Builders
4525 Oak Chase May
Eagan, Mn. 55123
DELMAR H. SCHWANZ
LAND SURVEYORZ lux,
Registered Under Laws of The State 6f Minnesota
2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINN ESQTA 56868
SURVEYOR'S CERTI FIC9TET
Denotes setback hub
-?----- -Denotes proposed drainage ?A
CD Denotes proposed finished grade
V
?Dilk ;ice ? r
Proposed garage floor
elev. gzo.s
396
1
Drainage Easement
'?7o_s3
oZ
clJ
z ,
Drainage & utility ?
easement
d
3
N
V
?-2
\ v?
z70 oo
1
\(N-/
\J
I hereby certify that this is a true and correct representation of
Lot 28, Block 2, CANTERBURY FOREST, according to the recorded plat
thereof, Dakota County, Minnesota.
Also showing the location of a proposed house thereon.
Dated: June 14, 1983
MINNESOTA REGISTRATION NO 8625
r C?pNy
PHONE 612 423-1769
?G/r6?
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dti mks T / ?4...
fxre,¢io2 E?1?[.oPeS A?7dAtvE i/" C'DmO?r,gr/oA7
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C/) rnrAc ExObsGp s.?,gcc A?EA3/y?-7 .sl.A6 x
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= 1?
7, Y
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7br4G CxdbsED sdACG A#Z64 40406 ~0C e Z01$146-17
a) Tb r,9e- LWflGC. W/?uDDw A26R =aW Y- 10
(d) rorr94 DOOR -.9ae4 9
69 r&nft suDavG 644s5 pooh .9aEA = 3?•G
7V-94L
rd
Fi2E ice- wgcc A2eSy = S1G• 9
Ce) rarq? wAcc. e=a?r?vc?G A/1cA?9eu?o'?=?/yG
(?) ro2-,9a A-)e7- w,9Z4 194geN ABOtJe F2GW2 = 2 seY4.
7brfk. 2/m 3b/ST q/eow
ronsk- ex oost'v r'btlwls?4TiD.o i4eEA =?/°•3
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ToTAc 6xPOoSew c6n1A-"G A/ZcFH /496.8-jo
(8) 7-67;ft 514V44rE A/Z&-N /07.y
,&)rozad Atzgml v& A26•9 184.8
(f) rb7-194 MJ6r PBr61i Ae6A 1669•,?
?6fERmi vE 4 " vAurE of 6.9c y cu.9 t6 S6'em a yr
Cam) x U ". ys = s• L
•u 6v
. oys, = 8• y
C?J /G?9•? 41 •?! " .ohs" = fF/.
Y= r$rv 4 = .ss 9
o9am 4 sf SS. 7 C Oesw" -f 2. 7f', f
Ae&ow w / t A .4 z,
397, 9 ;A. 7y. 3 _ G?.7•/
.cw'm 3 -A SC44„ ?wy
A.e&s.of/ 67L. / y?40.3 ¢er..Qg
T ?- ?6?c emu.
CITY OF EAGAN
CASHIERS JS TERMINAL NOe 763
DATEo 10/05/9$ .TIMEo 09:53:41
IDI
NAME: ALLIED FIRESIDES INC.,
32i0 9001 i070 TIFFANY PL 60.00
21503 907: 1070 TIFFANY PL 0,56•
r
,i
I Total Receipt Amounts
C4ii7739
LWR IDs JAN
60.5q
SAC)
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: 0j ;I L
Description of Work: _ Construct new fireplace -Gas -Masonry Alreradons to existing
Install gas insert only Install gas line only
Other
r
I
Job address:
Lot: .D-
Applicant (circle one only): Owner
PROPERTY
OWNER
Subdivision/P.I.D. #:
Permit Fee: $60.50
Name:
L? TT-" First
Street Address:
FIREPLACE
INSTALLER Street
GAS LINE
INSTALLER Street
City
State:
G/.51 -//? /
Phone #:
Phone #:
(area code)
Zip:
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 rLLfa a Ordina es.
Signature
Block: :?-
City State: Zpip../?
Company: 6 r ( ` (X P & E y' A14 r '' o_Pho&# C1 7 ?'
?T- I (area code)
13
City (^ 1r VI 3U I State:
Company:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
? 39 Gas Line ? 41 Wood Stove
? 40 Gas Insert
CITY OF EAGAN
CA51-IIF_"F'c JS TF.f:RiMINAL. NO: 75G
DATE:; 09/13/99 TIMES 14 OMOR
'.1
NAVE: EXCEL ROOFTAG
32JO SCiOJ. 1Q70 TIFFANY P!_ 0305
2:155 9011 MO TIFFANY Ft. 4,00
Total Receipt Amount: 07.25
C406106
USER IA: :IAN
?1 f 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)15 a5
3 CITY OF EAGAN J .
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reaulrements Remodel/Reoak Reaukemenls
D 3 registered site surveys showing sq. ft. of lot, sq. R. of house 2 copies of plan -
and pH roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additons
? 2 copies of plans (show beam i window sizes; poured Ind. design; etc.) 1 site survey for exterior additions b decks
D 1 set of energy calculations
D 9 copies of free preservation plan it lot platted Offer 7/1/93
DATE: A 1-'?''? - CONSTRUCTION COST. IDS
fl -
DESCRIPTION OF WORK: P'V--0 r? ?e ?oo? S C? V1 C? Sew M? t1??y?
STREET ADDRESS:
(n
LOT: .^,DR? ? BLOCK: a SUBD./P.I.D. C0'(A?} l eV ?(a-y & Tes I
Name: Phone #:
PROPERTY toss First
OWNER rr??
Street Address: ) 0--? (7 T i r? Q
City :? U A1J State: M NJ Zip:
Company. ??CGe Co?r? c ?s Phone#• CPI';'- pia-O-157
(area code)
CONTRACTOR
StreetAddress:?j"??3 Ucense#a6(ca1ag Exp.
City Gods Pr?S State: fir' Zip: 55?1?1$
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City State: Zip:
Sewer 3 water licensed plumber (required for new construction only
Pencity applies when address change and lot change Is requested once permit is Issued.
I hereby acknowledge that 1 have read this application, state that the Information Is cone not agr o c p with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No SEP
3
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq, ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
?S Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan _ Cad of Survey Reed
(200% maximum lot coverage allowed) iset of Energy Calculations for heated additions -Tree Pres Plan Reed
2 copies of plan showing beam & window sizes; poured found design, etc. t site survey for additions & decks _ Tree Pres Not Read
l set of Energy Calculations Addition - indicate H on-site septic system _On-site Septic System
3 copies of Tree Preservation Plan if lot platted after VV93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date q /
a / 6,? Construction Cost IZZ"
_
r
Site Address t-? C)`? i ` GYxh (? Unit/Ste #
Description ofWork ? Qrorf 4CnC n< Kp ? +( ??t(3R-D t Si i?c cl KO si
l
M
lti
F
il
Y ?
N
Bld ?e-Q?,4Ck- r(
Fire
lace(s) ?k (S??N S w i N?owS w ??- New
2
0
1
-
am
y
_
y
u
g
p
-
_
?
a/J?
Property Owner `ex-tie- ? Telephone # (,ys/)
Contractor LCP'L RZ4 i nC
Address a 1a. `M \ SS iS5 i ?{ } ?Q City
State f\A 0 Zip s 53 ? U Telephone # (-I to - 015']
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1
Energy Code Category • Residential ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
_ Minnesota Rules 7672
• New Energy Code_ Works]
r Submitted
Telephone #( ) 2 1 .. .,
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a perm ,an d work is not to start without a
permit; that the work will be in accordance with the approved plan in t1%c9a of work nj?Jrth requir3$ a review and
approval f plans.
Applicant's Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 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 (screen/gazebo) ? 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - 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 I NSPECTIONS
- Footings (new bldg) Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _
_ Plumbing
Foundation HVAC
Drain Tile _ Other
Roof _ Ice & W ater _ Final _ Pool
Ftgs
Air/Gas Tests Final
_ Framing _ _
_
Siding
Stucco
Stone _
Fireplace - R.I. - Air Test - Final _ _
_
Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector