4660 Weston Hills Dr
INSPECTION RECORD
C1TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
I S1TE ADDRESS: APPUCANT:
~
PERMIT SUBTYPE: TYPE OF WORK:
, i~, • i
I • • DA
i
; M~ t~! I P~ t; 1 i 11 1'i I f.!
~ _
~
. Permit No. Permit Holcler Date Telephone t I
r S/1N
PLUMBING ~
I
HVAC
ELECTRIC
ELECTRIC
knpection Date Insp. CommarMs
F°°''"gs'
I
Foundation
Fra„ing -F
~
Roofing I
Roug, Plbg. 9 I
Q, Y/JaM I~tl~ s~~ g
Rough Htg. ~ I Z9 Z ~~'•k! ~
/J I
lsul. p-/a P S
Fireplace •l~.l3 6,5 ~ tAr
R?W
I
Orsat Test
Final Plbg. C c Pibg. Inspedor - Notify Plumber
Const. pAeter ,
E.ngrJPlen
~ Bldg. Final
Deck FIg.
I Deck Rnal
~ Well
Pr. Disp.
L
.
INSPECTION RECURD ~
CITY OF EAGAN ~ PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, Iii t (iN ; I , 1W ,i i ~l0t
PERMIT SUBTYPE: TYPE OF WORK: ~
INSPECTION •
. i rd i, t
•1 I'!lf'rt i i 1'1 IiM I{ I, t l illl I hl 11 F UI.' AN'i 1 I) I 1 i: I ' AI 1114 't
L .4
~
I l
PsnnR No. Permit Holdsr Dete TiNphone a
S/1N
PIUMBING
HVAC
~I ELECTRIC
ELECTRIC
Inspectbn Doe Inap. ComrtNnts
Footingsl
Foundetion
Freming
i
Roo9
~ Rmo Pfb9•
Fbuyh Fit9•
Isul.
Fireplace
Fnal Fllp.
Orset Teat
Finel Pbg. Plbg. Inr,pec,yor - Notify Wumber
Conet. Meter
ErgrJPlan
Bldq. FhaI
oeak Ptg. y
~ FkW M4
weli
Pr. asp.
~I
~
~
~~cate a~ ~ccu~ianc~
v
This Certificate issWed pursuant to the rrquir+ements of the Unifornt Building Codt
certifying thal at tlie time of issaance dtis structun was in canpliance with the various
, ordinances of tlu City FrgulaJing brteldbeg uorrstnectioo or use. For tlu followFng:
uw cwssirmuioe: gDWG aW Pae xo. 21426 ,
o.~ s~ T C~~ITQ ~ 19784 1Q~i~1I~ AVE, IAWVIIlE .
~ A~ kBS1~I HIII.S IxtIVE ~ L9, , WESl~I HIIlS
/ 04/16/Q3
' Buddi~goffiki.i
Posr w A CONSPcuous PLACE
1
t.
~
- ~
Address 466o wFSmx Nrrr.a nurvF. Zip 5512_3
L.ot 9 Blk 2 Sub WES1ClN HILLS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: pq 16 Q3 Yes No Inspector:
Final grade (6" from siding)
Permanentsteps (garage)
Permanent steps (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUwrb damage
Porch ,j
Basement finish
Deck
Please verify with the builder ihe removal of roof test caps from ihe plumbing system and ihe shut-off of water supply to
the outside lawn faucet before freeze poteNial exists.
Contact engineering division at 6514645 before working in right-of-way or installing underground sprinkler system. '
White • Ciry Copy Yellow - Resident Copy Pink - Contractor Copy ~
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
ti City Of Eagau
3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW c6on Reouirements RemodellReoair ReauiremenLS AKte Use Onl~
3 mgistered site surveys showing sq. fl of IoC sq. ft. of house; and all roofed areas Z copies of plan shawing footings, beams, joists Ceel Suivey RECdY _h{
(2006 maximumlotcwerageallowed) 1 setofEnergyCalculafionsforheatedaddi6ons TreePresPlznRecd,: ~Y-_4
2 copies of plan showng 6eam 8 mndow sizes; poured (ound design, etc. 7 site survey foradditions 8 decks ~Tree Pres ReqWred . Y~
isetofEnergyCalalations Adddion - indicatei(oo-sifesepticsysfem On-si[eSepScSySfem: .Y ~
3 mpies of Tree Preservahon Plan if bt platted afler 711193 '
Rim Joist Detail OpEons selection sheet (buildings with 3 or less units)
Minnegascomechanicalyentilationfoan
Date;~ / /0-0 ConstructionCost D( lfl OI.J /
1 r
Site Address O to O CA)~P_SJNA Rl T) ( UniUSte #
DescriptionofWork~D\aC_o ~ ~/(~a1~ A(X~ W(1}'~C~1l~C~l I~UA~/t l~l, ~I •
~ -
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owuer mtl U~ i~(.,1..~ C~N Telephone 1) 1114 C)
THD At-Home Services, Inc.
Dba The Home Depot At-Home Services
cootractor 3200 Cobb Galleria, Suite 200
nddress Atlanta, GA 30339 Cit3'
State License #20268257 - 763-542-8826 Telephone # ( )
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
(J submission type) Submittetl . Submitted
. Energy Envelope Calculations Submitted
In ihe last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone J
Mechanical Contractor Telephone J
Sewer/WaterContractor 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 permit, and work is not to start without a
permit; that the work will be in accordance with the appro ved lan in the case of work which requires a review and
;aoval of plans
pplicanYs Printed Name ApplicariYs Signature
.
DO NOT WRITE BELOW THI5 LINE
Sub Tvpes
? 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 E#. AIt- Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-seaJ ? 33 6ct.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 -0 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
WoFkTVPes - - - -
? 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 Building" ? 43 Reroof ? 46 Wndows/Doors
? 34 fteplac2ment 'Demolition (Entire BIdg) - Give PCA handout to applicant
D@SCflptlOfl: WaterDamaga_Yes
Valuation Occupancy MCES System
Plan Review 700%or 25%
Census Code Zoning City Water
SAC Units Sfories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type af Const Width
REQUIItED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaVC.O.
_ Footings (addi[ion) _ FinaVNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Final
_ Frarning _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspectar
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
r s Installed
Siding and Windows
LIMITED POWER OF ATTORNEY
COUNTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home
Depot Instal!ed Sa!es loc•r.?ed at 660 Mendelssohn Avenue North, Cm'de^ Val!ey, MlQ
55427, having a license number ofBG 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Ina ("AgenY') as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
- name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "LVork").
The powers conveyed to the Agent by this Limited Power uf Attorrey are
limited solely to the express powers delineated herein and aprly solely to the Work.
This Limi*ed Power of Attomey shall expire and autorriatically be revoked on the 21 st
day ef May, 2004, which date is one year from the executioii hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN W`TNESS WHEREOF this Limited Power of A±torne-y is esecutcd this
21 st day of May, 2003
David R. Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21st day of May, 200~
Notary P tblic in for the State o eorgia
My Commission Expires: January 21, 2006
796816.0
Proudly sold, furnished and instalied by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
CITY USE ONLY
PERMIT RECEIPT DATE: ~~4 J +
~
RUIDENTIAL MECHENICAI. pERMIT APi'LICATION
crrY oF EAaatu
3$30 PILOT KNOB RD
SAHAA bllY 55122
651-6$1-4675
Please complete for. ? single family dwellings
townhomes and condos when permits are required for each unit
Date: OE 1 LJ l Q l
SITE ADDRESS:
OWNERNAME: TELEPHONE#:
(AREA CODE)
INSTALLER NAME: NG~-~uCR~~TELEPHONE vJ~
(AREA CODE)
STREETADDRESS: ~~~eS ('J., ?'-O •
CITY: STATE: Yv'VJ ZIP:
Ptace a check mark next to the ermit work type
New residential dwelling unit under constructionand not ownedoccupied $ 70.00
~ Add-on, modification or alteration to existina dwelling unit $ 50.00
• furnace replacement
• air exchanger
ditioner
• other
Nature of work:
State Surchar e $ ,50
Tota1 S ) :5~
Reminder: Call for inspections.
SIGNA O RMITTEE
Updated I/Ol
CITY USE ONLY
PERMIT RECEIP7 DATE:
APPROVED BY: , INSPECTOR
COMMEiCIAL MECH+4ftICAl. f'Eib11T i4PPLiCATION
CITY OP E46AN
3$30 PILOT KNOB RD
EAflAA, bIN 55188
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OW23ERNAME: PHONE
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE#: -
(AREA CODE)
CITY: STATE: ZIP:
WORK T1'PE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
SpecifyNanue of Work:
fYhen instafling/removing underground tank, ca[I 651-681-4675 for inspection by Fire Marshal and
Plumbing linspector.
Fees: 10/a of contract price OR $50.00 minimum fee, whichever is greater.
Underground tauk removallinstallatlon = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.SO for each $1,000 Base Fee
TOTAL S
SIGNATURE OF PERMITTEE
UQdated l/O1
PERMIT y-ra-93
F EAGAN PERMIT TYPE: J
nob Road
esota 55123 Permit Number: 021426
75 Date Issued: 0 7/ 12 / 9 3
I4660 WESTON HILIS OR
LOT: 9 BLOCK: 2
WESTON HILLS
P.I.N.: 10-83750-090-02
DESCRIPTION:
Bu"ilding' Permit Type SF DWG
Building Wbrk Type NEW
(-UBC Occupancy,,, R-3 M-1
! Construction Type VN
~Zoning R-1
, Building Length 66
Building Width ~ 52
(7~.~~,I;'V~~~-~A'~~~
1.\~~`~...i L1
REMARKS:
S&W CONTRACTOR PRV
FEE SUMMARY:
VALUATION $141,080
Base Fee $783.00 MISC FEES $1.794.50
Plan Review $508.95 7ota1 Fee $3,856.95
Surcharge $70.50
SAC $750.00 SAC $ 100
SAC Units 1
Subtotal $2,112.45
CONTRACTOR: - Applicant - sT. LIC. OWNER:
T C CONST INC 14693723 0001076 T C CONST INC
19784 KENNICK AVE 19784 KENNICK AVE
LAKEVILLE MN 55044 LAKEVILLE MN 55044
(612) 469-3723 (612)469-3723
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 Mn.
Statutes and City of Eagan Ordinances.
- ~
~_~~.APPLICANT/PERMITEE SIGNATURE ISSUEO B. IGNATURE
REACTIVATE _•RECE~~U/ED CITY OF EAGAN
PERMIT:# 1993 BUILDING PERMIT APPLICATION
J U L 0 6 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work 0-D U
Site Address:~ZL/on S r
STREET $UITE M
Tenant Name: (commercial only)
IAT BLOCK SUBD. 1r ' Y.I.D. k
Descri tion of work: o a
The applicant is: O-flwner O Contractor ? Other (Deaeribe)
Name ~7k c c c~>:jp_4_~ Phone y6 f'a7~
Property LAST FINST
~
Owner Address _/975~y
STREET S7E Y
City cvc- State 1M~'uL, Zip 5i
Company Phone
Contractor Address License # Exp.
City State Zip
ArchltecU Company Phone
Engineer Name Registration M
Address
City State Zip
, Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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 Applicant: ~~c ~ '
UrrMoc uae vnL.
BUILDING PERMIT TYPE • - ? 01 Foundation 0 06 Duplex 0 11 Apt./lodging ? 16 Basement Finish
002 Sf Dwg. ? 07 4-Plex O 12 Multi. Misc. 0 11 Swim Pool
? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory 13 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 30 Multi. Add'l. ? 15 Deck ? 20 Public Facility
, ? 21 Miscellaneous
WORK TYPE
Ik 31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demolish
O 32 Addition O 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) V_ hl Basement sq. ft. MWCC System y6
(Allowable) V _N lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster PumP
8 of Stories Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code /o i
Depth ,52 , On-site sewage SAC Lode ~
APPROVALS j
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site O Footing ? Framing ? Insulation
? Wallboard 0 Final ? Draintile ? Fireplace
Permi t Fee ntuacim: S I y 1 000 ~
Surcharge
Plan Review 3Z x z4= 768
License
MWCC SAC ~ 2 X/2 = (244)
t;ty sAC 3dY.26,-r)8o ~yy x 16= 11~90~1
Water Conn.
Water Meter
Acct. Deposit 8117X 15= /Z 'LSS
S/W Permi t
S/W Surcharge 30_ 80x
Treatment Pl. ^ ~ (5"y-243)= 36152a
Road Unit ISTF"LOVi"
Park Ded.
Trails Ded. SdX~G~ "IgJ
Copies 1 x ~I= 11
Other 2x2 xV = 32.
Total: 2K?: ;L(
SAC % )oo -2'16= Im'
SAC Units $f''l-
~b« X 5Y= ~5996~I
l~f0
~ b~d~
. , CONSULTIN6 ENOINEEOS
0~~. PIANNEfIS ond IRND gUIIVEYOIIS
1NEEAING " BK /95 Y'
C:OMPANY, INC. Pb.
I000 EAST 1481h 5TREE1, BURNSViILE, MINNE90TA 55337 PH 432-3000
CERTIFICATE OF SURVEY a _
Legal Description: l.OT _`_.81~~2-~lE~d
~ COUNx M/NN~SDT
(~'s~.-o ) DCNOTES EXISTING ELEVATION
(958~5 ) DENOTES PROPOSED ELEVATION
r--- 1NDICAI'ES D{RECTION OF SURFACE DRAINAGE
q56,83 = FINfSHED GARAGE FLOOR ELEVATION
9511 iz = BASEMENT FLOOR EI.EVATION
5y 9-16 = TOP OF FOUNDATION EtEVAT10N
BCALE : 1' m 30'
~ D
~
30 f? C,24N'1 9U/4D/N6
SETDAGK ~ /NE ~s.
7
~'3Cz~YNIIg RIF3G DEPT
L
?jo. 00
^ 955.0) kue =95b
~956•9~
-n Iss. IF ~43,67 r4•s• 19 F{uB<953.z2 -
~
N .90
o~ Oio,co_
lo I ~~56~~i m$ Zg.33 (53,?~ 'f ro
~958•~ o
~ 67
~ Z ~ ~
A ~ I ~
6
m
c ~o €x ' ~ y
ZZ•oo la 4 lP-4 ~ O •
~ ~I 0
/ ~ w ~ I ~9540~ ~ I rn ,
kjl~ T- w A 33 R~ I 30.00 r, I
p o I
I~ ~
v~ ~o _-~5r15 gZA~
_ J
4~i~sz,s,
' s5z, T19-00 /42,oD~6 =95
~ m Hu8•95688 ~53`n
~ N 89 ° 42 " 30'5
-AW,No7C- ~ STREET 15 NaT can.STKUCTED. 01041N46E ANP
PRoPoSED STREET EIEVATion(S UT/UTy EASE/hEN'l
SNOWN A26 rgDM 7NW P9-0,?e6T
Cvnl5T9UC710&1 PLA~IS. , ~I
o Zo `
o I;
I hereby certify that L-liis is a true and cor~~cprby maathis o~t„rdaY of
land af; shown and d19ced hereon. As P Pared
Minn. Reg. No. /6oBS
- ~-s......._
LOT SIIRVEY C$ECRLI6T FOR RESID£3;~:.AL
m, ' BUILDING PERMIT APPLICAT N
~ ~ ~ FROPERTY LEGAL: Z ~
A ~ m
< ~ Date of Burvey:
D
DOCUMENT BTANDARDS
CT 1C1 ? • Registered Land Surveyor signature and company
C1 0 : Building Permit Applicant
0~ 0 ? Legal description
0 Q' 0 • Address
[~'0 0 • North arrow and bar scale
F1~ 0 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Br • Directional drainage arrows with slope/gradient
D0~ 0 • Proposed/existing sewer and water services
0~ 0 0 • Street name
C~ 0 ? • Driveway
ELEVATIONS
Existina
? C!~ ? • Sewer service
B~ ? ? • Lot corners
0 0'~ ? • Top of curb at the driveway
0 0, ? • Elevations of any existing adjacent homes
Prooosed
0~ 0 0 • Garage floor
D • First floor
[3~ 0 11 • Lowest exposed elevation (walkout/window)
0 D • Property corners
0~ • Front and rear of home at the foundation
pONDINa AREAS (if a,pplicable)
0 Er'~ ? • Easement line
0 0' 0 • NWL
o ~ o • xwL
? ~ 0 • Pond # designation
0 C~ 0 • Emergency Overflow Elevation
pIMEN8ION8
9~0 ? • Lot lines
p~ 0 0 • Right-of-way and street width (to back of curb)
0~ • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
? • Show all easements_of record and any City utilities within
those easements
D-~ 0? • Setbacks of proposed structure and setback of adjacent
existing homes
• Retaining wa equirements, if any
Reviewed:
N me / D te
October 1992
, ' . . . . . .
EXTERIOA ENYELOPE AVERAOS "U" COKPUTATION
i .
'OMJiERTi C t'1 1-\e,`f 7CV'1C ~
~
' SITE ADDRE83 10
CONTRACTOR DATE C ~ PH s 1/l0 9- 37~3
c Determine working aquare footage of eaoh. • '
1. ToLal'expoaed wall ar.ea..... S7' sq. ft. s. .
2. Total roof/ceiling area...... Z66 7 aq. ft. x. .
Total expoeed r?all aree abSve floor ~ ~U S~S
t. Total wall aindoH area
b. Total door erea...... ' ....................~'7i s-
o. .Total aliding,.glaas door area
d. Total fireplace-wnll area.............. e. •Total xall framing area (average 10x).....
• f. Total net wall area above floor.......... , '
g. Total rim joiet area ~
4
Total exposcd foundation area ~ ' h. Total foundation xindow area
• 1. Total net foundatioh area above grade...L.. S~
Determine "U" value of each wall•eegnent. .
a. X .tun 0, y`~ . .
b. g "Un 107
.
. C. X. IIUft 4 d . X „U n
e. X nUe
f. 0 ~S X"U" ( Q y
g, . X „u„ ,
~ h. x ^u„ .
, x ^v^ r ~ ~ l 1.,2
'
3:. ...........:....................Total
If item 03 is the same as, or less than item /1, you bavs met tt}s
intent of SBC 6006 (02.
, ,
~ ~
' ~ C ' ' ' ' . , ' ~ e, •
, r, a
~:.,Tot,,al exposed roof/ceiling are
- _
- • , ' - . , •
To.tal gross roof/ceiling .area
j.. Total skylight area
k. ~;To~ta1- ~r.oot'/ceiling . framing area... ~ ~ ' ~ ~ I• ~
Total net insulated roof/ceiling ar,eal - ~~3 '
,
171
~ ~ ~ • ' , . , . . , ,i:
Determine "U" value for each roof/ceiling segment.,
, ~ ~ x n U rt • .
,
k. x„U„ ,03
X l,Uti
4. Total
. -
' . . ,'.ij:
If.!total of 44.,is the same as, or less than N2, you have met the intent
qf ssC 6006 •.(;c) .1.
, : . , ,
ToutlTize the total envelope system method, the values established.by,', .
the. sum of,ib;ems:#3 and.44, shall not be,greater than the sume:ofAtems ~
#1':and'':#2: i
1. +.Z• a ~
g, + 4.
, . ,
_ , • j1 . .
Materials Therm. Resistance "R"
:
Exterior Air , ~'l ~ ,
Siding,Mate,rial
Sheathing
Insul tion
SYieetrock ,46
-
• 'Interior..Air; . • (o~ . , i:
. „
Studs
,i..,
Rim
. .
Conc. Blks.
PERMIT cR zA-9-
~ CITY OF EAGAN PERMIT TYPE: J1 ~I q~
3830 6 iot ff nbb Road Permit Number: 02348 8 N G
Eagan, Minnesota 55123
(612) 681-4675 Datelssued: 05/04/94
SITE ADDRESS:
4660 WESTON HILLS DR
LOT: 9 BLOCK: 2
WESTON HILLS
P.Z.N.: 10-83750-090-02
DESCRIPTION:
(SCREENED)
Building'Permit Type SF PORCH
Building Work Type NEW
REMARKS:
A SEPARATE PERMZT IS REQUIRED FOR ANY ELECTRZCAL WORK
FEE SUMMARY
VALUATION $3,000
Base Fee $54.00
Surcharge $1.50
Total Fee $55.50
CONTRACTOR: OWNER: - Applicant -
DOMZALSKI DIANE
4660 WESTON HILLS DR
EAGAN MN
(612)688-9131
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 Mn.
Statutes and City of Eagan Ordinances.
~ J
ra.we_ ~ • ~~~'~--Q~~• .~(itin ~i~~c~ ~ Cl'~
APPLI /PERMITEE SIGN RE ISSUED B SI NATUR
CITY OF EAGAN
~ 1994 BUILDING PERMIT APPLICATION ! 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued. 191-1 Date ~,~V Valuation of work ~~2n
Site Address: ~4S1' fJh h`/<!S 1ic
STREET ~~-SUITE p
Tenant Name: (commercial only)
LOT f1 BLOCK ~ SUBD.(~J / ,P,~'7-L~0 P.I.D. #
Descri tion of work:-
The applicant is: Owner ? Contractor ? Other (Describe)
Name 10i'lonP ~ ko (ro? f ti rY/ Z ei Zc 2L' PhoneZ, 2/W
Property LAST FIRST
Owner Address "106 w~s fZ4 ~'lls ,Z~r.
T STREET ~ STE #
City State Zip
Phone
Co ntractor Address Lice Exp.
City Sta Zip
ompany Phone
Architect/
Engineer Name Re ; 3
Address '
Cit State
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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 Applicant: ~ «-e ~l • ~
4
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish
? 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessary ? 18 Comm./Ind.
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
0 21 Miscellaneous
WORK TYPE
Gfi 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq, ft. Fire Sprinkler
Length On-site well Census Code Yy y
Depth On-site sewage SAC Code a/
APPROVALS Census Undt o
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
?.Site [p Foating 0 Framing ? Insulation
? Wallboard El final ? Draintile ? Fireplace
Permi t Fee vaiuae;a,: S
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
ry-'r wmv~~mv c .
PLBNNEIIS and tI1ND~3U0VEYOlIS ~SB~~ ~i•:''~ ,
Q~I'NEE'tiING BK. /95 ; 1
` s nsy~ Pb. 4/
INC.
, ,.~i~ 1000 EA9T I461A 67flEET, 13URNSVILLE, MINNE70TA 55331 PI1 432'3000 f
CERTIFtCATE OF SURVEY `
Legal Description: -Z,0TOT ~~2~vE~lo
COUN ~~NES
(~`s7,-o ) DCNOTES EXISTIN(i ELEVATION
(958-5 ) DENOTES PROPOSED EL'EVATION ,
r.-- INDICATES DIRECTION OF SURFACEI-DRAINAOE
q5b,83 = fINISHED GARAOE FLOOR ELEVATION
/2 = 6ASEMENT PLOOR ELEVATION `
59 6 = TOP OF FOUNDATION ELEVATION
SCAIE f 1' m 30'
30 F7" G,BoN t 9U/GO/N6
~SET~AGK Li.uE
L_.. i i
~O• 00~_L
69, 42,3o„E (q5G 9~
4ue =95b.4o
~43,E7 14•$~9 Hu8=953.xz
aT ,o_ OID.N_ II
I io
lo ~w~_ I (~56~~ m Z8.33 ~$3A+ f~ '
p ~ i ~95e.~ o t r~
~67
h A~ g~ FD~ ~v O
~O58.s
~8 ~ I o
Q y~j_ ~Sb.O 2L.oo le Q V y ~ y
N
l33
,o \ ~
J ,
~ 4.1'
w.y, 900
ZD/9,00 ~q2.oowa~9s¢s,~sz.s, '~,sa~
NuB • 956, 88 (~gg,'n
~ ,t/ 59092 '30'5
u
7Y1407L~ 5TPZe7' is~ioJ ccnYTRUcrEP DRF/.vq6E ANO
PP.QPOS=D STrzEET ElEVA7'roti15 UT/UTY '54SE/hEN'r
SFIOwN A2t; GY-01Ii -rffs P)Zn?~6-7-
Cnn1572UCT10nl PlAr,15.
I hereby certify that Lhie le a true and correct representation oYa tYeot.o:
land aia sllown and described liereon. As prepared by me thia 21-n: day o.
19V3 .
141nn. Reg. No. ' 0OY
- - - -
~
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122
651-681-4675 10
New Construciion Reoulremenfs Remodel/0.eoair Reoulrements
> 3 regfstered sNe surveys showing sq. N. of lot, sq. ff. of house 4 coples of plan
and all roofed areas (20% mazimum lot coveraae allowed) i set of energy calculations for heated addffions
> 2 copies ol plans (show beam 8 window slzes; poured Ind. design; etc.) 1 sBe survey for exterfor addMions 3 decks
~ 1 sef al energy calculafions
> 3 copies ot tree preservatton plan fl lot plaTted aMer 7/1/93
DATE: CONSTRUCTION COST: vvl~-4-eok-300
DESCRIPTION OF WORK: F-t_liliSk fJLr"t U-P~j0.Sem 2-v\:t iv\i'a 0.~avv~iLc~ hoDVtn
STREETADDRESS: ~QS'~oln tti}~5 tJV'1U~
LOT: ~ BLOCK: ~ SUBD./P.I.D. `NlIL.S 3 1.1~I,'o{'a e0uv~~'~y rnN
Name: 1J6 VVLZ0.~ 5Ic- t VpL~er~~l~ ~atne Phone (o (o~ F- c( l3 I
PROPERTY Last Flrst
OWNER i~III '
Street Address: 4~n ~00 W~-S~~ `1l l lS J)V'l U e.
City E~0.V1 State: M lV Zip: t 2 3
Company: N ~ Phone
(area code)
CONTRACTOR
Street Address: License # Exp.
City State: Zip:
ARCHITECT/ ~t
ENGINEER Company: ~ V ft Name:
TO:Cp~i011C n. VrCja c(ld0
Street Address: Registration
City State: Zip:
Sewer 8 water licensed plumber (reaulred }or new construcilon onlv):
P-nalty applles when address change and lot change Is requesfed once permit Is Issued.
I hereby acknowledge thaf I have read fhis appllcatlon, state fhat the Informatlon Is cortect, and agree to comply wfth all applicable
Sthte of Minnesota Statutes and City of Eagan Ordlnances.
Signature of Applicant:
I I0Lr'`~I -
OFFICE USE ONLY r
, 1 ,•M1,~ `,~'C~~
Certiflcates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
C] 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-plex ? 12 12-plex ? 97 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 K 19 Lower Level ? 24 Storm Damage
? OS 3-plex 0 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 Bidg. ? 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
GENtRAL ifvFORnAAI IOIv
Const. (Actual) 5•4 Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code ol-
UBC Occupancy C~• 3 sq. ft. No. of Units I
Zoning (Z I sq. ft. No. of Bldgs ~
# of Stories - sq. ft. MC/ES System
Length - sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building l~ Engineering Variance
u
Permit Fee Valuation:
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: '
SAC Units
% SAC
. .
. . : ~'1"'' USE
, . _ .
~L
.
_ .
~ . . .
. ;
. . .
•
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.
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:•:,.::s:'`
~
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.
1993 PLUMBING PERMIT (RESIDENT'IAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT.
NO. FIXTURES .FACH TOTAL
I SHOWER 3.00 3
_-3 WATER CLOSET 3.00 4
~-3 BATH TUB 3.00 q
? LAVATORY 3.00 4
I KITCHEN SINK 3.00 3
1 LAUNDRY TRAY 3.00 ~
I_ HOT TUB/SPA 3.00 3
I WATER HEATER 3.00 3
J_ FLOOR DRAIN 3.00 3
I_ GAS PIPING OUTLET • minimum • 1 3.00 3
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. lic. 15.00
U.G. SPRINK.I.ER • home under wnst. 3.00
ALTERATIONS • io adating 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: y C9 (20 es~Forn ~'i ~ ~ S
OWNER NAME: I L Cons}
W STALLER: ?~r rh ! h., jo~
ADDRE55: 2, 103 Ll C h t prn ~cPu re ~ v e--
CITY: STATE: vv~1 ZIP CODE: 550aV
PHONE#:( } ~I(n3- 7ga4
(x,/LA 1 f A D L [~1 / K.1a~
SIGNATURE OF P RMITTEE
~ .
Y
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1993 PLUMBING PERMIT (COMA'IERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMIlv1ERCIALlINDUSTRIAL BUII.DINGS. AISO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U,::T.
_ NEW CONSTRUCI70N
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1°k OF COTTRACI' FEE.
STATE SURCHARGE: S.SO FOR FACH $1,000 OF EERMTf FEE
MINIMUhf FEE: S 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL • $
SITE ADDRESS:
TENAIr"f NAAtE: STE #
OWIr'ER NA11'IE:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
~
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EMi1SE;ONi.Y ,
L;':`'` '"SL OL'.
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F -
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNfiOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
- - - - - - - - - -
X NEW CONSTRUCTION
,
ADD-ON AJr
ADD-ON FURNACE
DATE I ` c~t~ 'C ~
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE ADDRbSS:
OWNER NAME: T , L TELEPHONE
INSTALLER:
ADDRESS: rQ
CITY: STATE: m f\~ ZIP CODE: SS ~ r~ C~
TELEPHONE (OO a ~
~ IG ATURE OF PERMITTEE
r
~ - .
$E..t71NLY
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°.ii:x...i.:.i. ` :::.~i. : • .:3'....<..a;~.,Y .
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........:......:.~`a~:~.i:.;.,,.., i::
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a..uaa.wuwc..w..m............v...~xa..........>.n..n..d.:: .
1993 MECHANICAL PERMTT (COD'IIVIIItCIAL)
C11Y OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCIALJINDUSTRIAL BUILDINGS. AISO COMPLETE
FOR APARTMENT BUILDINGS OR OTFER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DbSCRIPTION:
FEES
1% OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.SO FOR EACH $1,000 OF PERMIT FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENAI`'T NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
C1TY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
. zoos RESIDENTIAL PLUMBING PeRnnir aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date
5 teStreet Address `1UbV \jJe5*I~ W 1 `S ~V • Unit #
Property Owner ~~0.1?~ V~ ae-~e-4 Telephone #(~51)
Contractor 1`X-VLN ~S Telephone # ( ~1a)8D, ~a(D~
Address w4 a) IA l1~ ~ City NUACXX-~C.?~ State M~ Zip ,_1~
The Appiicant is: _ Owner ~ Contractor _Other
Septic System ~ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100 00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00 I
_ Add plumbing fixtures This fee includes installation of a water softener and/or water
heater at the same time !f you are installing onlv a water softener and/or water
heafer, do not complete this section; move to the next section and cck the
appliance(s) you are installing. S%~ nS\(~\
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)Q ~ O`~ 1~0
Other MP
Water Softener Water Heater $ 15.00
_ new _ replacement
i ~ Lawn Irrigation _RPZ ~PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
t -
i Total $ ~ ~5 V
I hereby apply for a Residential Plumbing 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 plumbing codes, that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is re i ed t be reviewed and appr, v8d~
b_yvv~,6 VJtCIqg '
ApplicanYs Printed Name I-J ApplicanYs Signature
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881 -7739 TEST RECORD
ADDRESS 4 6Z'D ►" es) LS)i M-'t ✓`---s DR_
OCCUPANT
D P M-L
SOLD BY
MAKE ` ,e)11'1)7)(
SERIAL NO 5c1 (WD 1 (32} 1
THERMOST T ' 9 v at)
VALVE d Lif
LIMIT ''�I X •1
LIMIT SETTING 2
FAN SETTING 1i " f d
PILOT TYPE nL.i NC )y I
y
IGNITION MODEL fit
PILOT TIMING ((5—AC , -
PRESSURE�J ►J i � "PERCENT CO ] 6 <3 /S
INPUT CFH t' PERCENT 02 l4 a/6
STACK TEMP. lg -/ PERCENT CO
FORM 235 (REV. 6/08)
CITY
OWNER
INSTALLED BY
MODEL
INPUT
VENT SIZE
WIRING
ta
(571 M " PP ,u c o
(F g.
TYPE OF LINER
LINER SIZE
FILTERS: SIZE 20 )( �/ 25 /` NUMBER
TEST TAG
LIGHTING INST.
DATE TESTED
COMPANY TESTING d i>71A CL
NAME OF TESTER SC
JOB NO 3D4`5 2S
FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY
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� • Use BLUE or BLACK In�v
�----------------� �C�
I For Office Use �
I /��'
ClV Ol L� 11 j Permit#: /����� �-; ��-
�J �� , �' � Permit Fee: � r C 1 "!�
3830 Pilot Knob Road ���� �� � I
Ea gan MN 55122 ��y�..�-'��U�� � Date Received:�`(�� �
P hone: (6 5 1)6 7 5-5 6 7 5 ��„�e.� k�,�N/`L A �����V E D � Staff:�'y[J i
Fax: (651)675-5694 �'
��t SEP 12 2015 '----------------'
015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �z �✓ Site Address'.'f b(pG l.��ry�� ��I I `���- Unit#:
r L`
' Name: � d'1, Phone:��'��b� � / �
E�i�S[dent/ / � �1
�}yy��� ' Address/City/Zip: ��() �� (`�l �� (J�
u Appiicant is: . Owner Contractor �
,
.�_ '� "- /
Description of work: ' �� �-rp�rr✓`
T�t'pe t>f Wt�r1� :
� � Construction Cost: C� J� � Multi-Family Building: (Yes /No�✓
� %�� � �7
,� Company: c Contact: � 1Ct�� „��,�� [��.5����
�C�n'�1'�G'�d�� . Address: �� b S ��� `!�[�J l�/� City: ��`C9���•.�Vec;��x,,�
State:�Zip: '��r� Phone�„� ��-('���� Email: G� /'1�C�J�►�"'�S�`O.V�
License#: �"��f�, 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:
N�TE:�?lar�s��cl�cr��orttr�g���ui��rrt�th�t,�au�u�rtr�t are ccrr�srdered t�,���������r�atxar� Por�tt�+a���'
�z�ir���►r�rr��;���t r�,�,��+§�las�e�ea►��r�r�n.pr���,�a���rri�+�,�p�+�rfic reas�rr�s=�laa��r�t�t'�ter�����r������a
��� � �c�r��t�r .:�'���'��� t� ';�. �",��Ie.s��rets .
�,
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.cLopherstateonecall.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 of plans.
eri ork author ed by a bui ing permit issued in accordance with the ' nesota tate Buil 'ng Code st be complet within 180
y of p it issuan .
x ` ,Q9' �� `�.� � � �'
x
Ap licant's Printed Name A' icant's Signature
Page 1 of 3
��;� •�����r'� ���'.S ��`DO NOT WRITE BELOW THIS LINE / S���J�j�
SUB TYPES
Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multij
Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex 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
Valuation D � Occupancy ��� -/ MCES System �
Plan Review Code Edition GI� SAC Units -"
(25%_ 100%� Zoning f�l City Water
Census Code �34( Stories .- Booster Pump f
#of Units ! Square Feet - PRV "� �
#of Buildings 1 Length .. Fire Suppression Required �
Type of Construction � Width ,�-
REQUIRED WSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
� Roof:�Ice &Water �Final Pool:_Footings _Air/Gas Tests _Final
� Framing -Drain Tile
Fireplace:_Rough tn _Air Test _Final � Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee �'7��
Surcharge
Plan Review ��3 �
MCES SAC '
City SAC
Utility Connection Charge
S8�W Permit&Surcharge
Treatment Plant
Copies
TOTAL
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