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3606 Widgeon Way CITY OF FqGqN 383o Pilot Knob Road sEWER SERVJCE pERMR ~ P. O. Box ?7199 Eagan, MIU 55221 PERMIT NO.: 2oning; 1 DATE: _ - ~ 27- Owner: E.Tir.rberline No. of Unirs: 1 Address: 5ite Address: 3 Widgeon Wgp L9 B'l Plumber: sozz PIb Fraucie Wood J9 s$re. ro Go~~Thom py wAl, eh. Cttr ef Ey,A ~ n Ordlnseess, connection Chorge; 425 . 00 pd Acoourrt DeAosit; • Pe?mit Fee; P BY Surchorpe; P Dote of fnsp.: Misc. Charpes: I??sp.: 'rotal: Dots Paid: CITY OF EAGAN 3830 Pilot Knob Road Wp?TER SERVICE pER1ylIT P. O. Box 21 S 99 5561 Eagan, MN 55721 PERMIT NO.: Zoning: RI D/1TE: - Owrser; E. Tinberlin~ No. of Units: /lddress: Sire Add,ess; 3606 Widgeoa W~y LS B St. Franc e 00 Plumber. ~ T~1~pson Plbg Meter No.: 11 Slze: Connection (:horge: p Reader No.: Account Deposit: • P Pe?mit Fee: p ftw* wiA the Ciyr oi Eagon Surchorge: p Ordieonaa, Mtsc. Chorges: • P me er BY Totol: Date of Insp.: Date Pcid: Insp.: r.~.. CITY OF EAGAN WATER SERVICE PERMIT 383Q Pilot Kndb Road'"' , P. b. Box' 21139 PERMIT NO.: Eagan, MN 55121 DATE: - I - :J Zoning: R1 j No. of UniYS: Owner: E. Timbe~rline Addreas: _ ite llddrcss: 3606 .c c.^eon ?;a~r ?~3.,~?2 SC. F~-ancia ;doo00 d Plumber. hofiip~bb{1 411,-'.'~':' :atar No.: Connection Charge: 47 . pd 512 e: 15 . 50 pd t°JAnt Deposft: Reade No.: Permit Fee: LO X0 pd 1.qre. to oa.py wleh eM Cter of Eayae Surcha.ye: . 50 pd ~i10 ~ Misc. Charypes: • ' P meter Totoi: Date Paid: Date of Insp.: - - - ~•~t CASH RECEIPT 1-0111 • . p ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ! 19 N6C6IVED FROM f AMOUNT $ . I ae DOLLARS +oo ? CASH CHECK / 1l FOR ~ 1- y ~j. + f r f 1 r~3 ~ ( r ~J FUND COOE AMOUNT I Thank You sv ~ t ~ , . • , White-Payers CopY Yellow-Posting Copy Pink-File Copy CITY OF EAGAN ~T , 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 jr Q 91 t) PHONE: 454-8100 BUILDING PERMIT Receipt Te be wed fer S F DWG /GAR Et, ya,., $ 83, 0 U 0 Date MAY 2 S 19 84 3606 wzncEON taAY ~3 Site Address Eroct b Occuponcy Lot Block 2 Sec/Sub. 5T FRAN iti00D plter p Zoning N7A Parcel No. 10-65900-080--02 Repoir ? Fire Zone Enlarfla ? Type of Const. W N~e f', . RUSSELL GREGORY ~ * Stories , 3 Address 3656 ' E Demotish ? Length b City ~F•,AR LitPhone 426-9869 Grode p Depth Sq. Ft. ~ TIiIBrRT ?NF BLDRS INC App?ovola Feea o Neme 3727 L. , j 1 . IqAY 3£3 2.(1:J u~ Address 1 llsseument Permit ~ City Phone 45 4- g 918 Water 8 Sew. Surcharpe 41 . 5 0 Police Plon check 191.00 W Neme Fire S/1C 5 2 J. 0 U I.- Address Erq. Water Conn. 470.00 ~ W City Phone Plonner Water Mete? 63.00 Countil Road Unit 260.00 1 hereby ocknowledge that I haw read this applicotion ond state tfiot Bldq. Off. rhe information Is correct and cgree to comply with all opplicoble A~ Totol Y r 932.50 5tnte of Minnesota Stotutes and City of Eagan Ordinonces. Sipnoture of Permittee liai; A Building Pertnit Is issued to: on the express condition 1hnt all work sholl be done in occordanre ;wlth all applica4le State of Minnesota Stotutes ond City of Eoflon Ordinonces. Buildlny Offlciol •CI"a •w ismes IIe1N ~ ? 7~~ ~ :uogeao-1 eqirneQ 'we M jIx _ G Isuld OdnH iQU~~ f1g l.+S~ - ~qld Rul~ ~ uoitalnsu~ ~VAH 40noF! '6Ild 40^oFl B 9ulwaid uollapunoj ~ - ti6ultoo j Je4Zp 'dsu~ alep uol3aodp+l Qi7'~'7 ~~:.I~( wi_ ~~•`_~jI'l l ~ 00'0 40) ,.,N.s •~!a aei¦nn u•M ^ 1~~ /~J'Y V ~ 3'd'A'H Bwqwnld l lL JapIoH •oN Pwjed -*siW JeP1oFl ilwJed roN liwJad Receipt MECHANICALPERMIT PermitNo. -Z CITY OF EAGAN Fee Fill in numbered spaces S/C ' J v Type or Print legibly _ Tot. 1. Date 2. Installation Cost 3. Job Address-?11/4 Blk. ~ Tract.~~i ~ 4. Owner 5. Contractoc t.')lX-kJC~ Phone 6. Address ' 7. CitY State - Zip 8. Building Type: Residential ~ Commercial ? Institutional ? 9, Work Description: New f~ Add ? Alter ? Repair ? 10. Describe Fuel Type. 11. No. Eauioment 8TU - M. Ea. No. EQUipment CFM Forced Air . Air Handiing: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other / Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all or dinances.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 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee `fill in numbered speces S/C i~ Type oi Print /egibly I x Tot. 1. Date 2. Installation Cost !l~Ulo ~l I'' - / YG~ L t- Blk. TractD~ 3. Job Address Y 'J•~' 4. Owner 5. Contractor. ' ,'•l' _~l/~[~ Phone 6. Address,, 7. City State 8. Building Type: Residential Commercial ? Institutional O 9. Work Description: NewA Add O Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Sh0wer Well Kitchen Sink Urinal/Bidet Other ~ Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink ~ Gas Piping Outlets 12. I 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 CASH RECEIPT ~ ' ` CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 y~ DATE I g c. eiccivac FROM r i ~ AMOUNT $ • J ' • v & oaLLwRs ,ee ? CASH g-LHECK roR ? / % ~ ~ / i J :i ,1'frL~ l.~~r~ `~~"~J?~- 'T~ . n PUND COD¢ AMOUNT / . ~ Than You ; ev . I White-Peyer: Copy Yellow-Posting Copy Pink-File CopY CITY OF EAGAN Remarks Addition-ST. FRANCIS WOOD Lot g Bik 2 Parcel 10 65900 080 02 owner Lt~ Street 3606 Widgeon Way State-Eagan, hQV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 879.29 A014615 9-28-84 STREETRESTOR. 1[lp. , , 15.00 T+ ii GRADING •SAN SEW TRUNK 2439.07 A014615 9-28-84 *SEWER LATERAL 11980 WATERMAIN •WATER LATERAL 1lWATER AREA 1980 15 t tSTORM SEW TRK wSTORM SEW LAT IQRO CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 43594 5-25-84 CONN. 470.00 13UILDING PER. sAC 525.00 " " PARK RESIDENTIAL ~ BUILDINC PERMIT APPUCATION 11~as ~ ! ~ CITY OF EACAN I ag, as 3830 PILOT KNOB RD - 55722 651-689-4675 New Construction Reouirements RemodellReoair Reauirements 3 registered site surveys showing sq. ft. o( lot, sq. ft. of house; and all roo(ed areas • 2 copies of plan (20% macimum lot coverage allowed) . i set of Energy Calculations fot heated additions • 2 copies of plan showirg beam & window sizes; poured found design, etc.) . 1 site survey for exteriw atlditions & decks ~ • 1 set of Energy Calculations • 3 wpies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Delail Options selection shee[ (61dgs with 3 or less unils) f Vl DATE ! ~ • ~ r VALUATION (EXCLUDING LAND) JOB SITE ADDRESS ~U Q La UL! A d itl Vl/qZ IF MULTI-FAMILY BUILDIN,G/~, HO MANY UNIT ? PROPERTY OWNER F7ly rBvj ~t SMSTtI TYPE OF WORK 7a V~- ~tl~l y040e d+%'7-. /~rr.,a,v FIREPLACE(S) _0 1 2_3 APPLICANT V~XEL GJ, SNG pHONE# !'PQ-7a9- ~G-r3 ADDRESS a6 't'" SY` ^!"LS ';-'-T4Lo 6 ZIPCODE ~S~fO~o PAGER # CELL PHONE # G ! -1 - 3 ° 9- ,~AX # o cre ss, pw r%V%A tA fi~ ~ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RUI.GS 7670 CATEGORY 1 I (check one) - Residential Ventilation Category 1 Worksheet Submitted I - Energy Envelope Calculations Submitted I _ MINNESOTA RULES 7672 i - New Energy Code Worksheet Su6mitted Plumbing Contractor: Phone Plumbing Systetn Includes: Water Softener _ Lawn Sprinkler ree: $90.00 Water Heater \o. oF R.I. Barhs No. of Ba[hs Mechanicaf Conhactor: Phone # ~ Vlech:uucal System Includes: _ Air Condi[ioning Fee: $70.00 _ Hcat Remvery System i Sewer/Water Contractor: Phone # I All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the inform ti n is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Or ' an Slgnature of Applfca t Certificates of Survey Received _ Tree Preservation Plan R c i d _ Not Required _ Updated 1lOi OFFICE USE ONLY O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool O 30 Accesson/ 61dg ? 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 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demoiish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Roof _ Ice& Water _ Final _ Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding S[ucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ CITY OF EAGAN *T• ~ 1 3830 Pilot Knob Road P.O. Box 27-199, Eagan, MN 55121 lr 9110 IIUILD:ING PERMIT PHONE:454-8700 ' Receipf # Te M usad fer SF DWG/GAR Esf. Volue $83,000 pate MAY 25 19 84 Site Adgress 3606 WIDGEON WAY E'ect ~ o«urxlncY Lot Black , R3 Z Sec/Sub. ST FRAN WOOD Alfer Zoni R1 ? ng Parcel rvo. 10-65900-080-02 Repoir ? Fire Zone N A Enlarga ? TYpe of ConsL V - a Name E. RUSSELL GREGORY Move ? # Storces Z Address 3656 AUGER pe~~ish p Length 50 ~ cixv WH BEAR LKpnone 426-9869 croee ? Deptn 40sQ• Ft.- ~ TIMBERLINE BLDRS INC AvvroYals Fees Name O Z~ AII.LS WAY Assessment Permit $ 389 - 0Q o Address V~ City A Phone 454-R91R Water85ew. Surchorge 41 -~iQ Police Plan check 191 . 0 Q FW M~+e Ffre SAC 525.00 I~ Address Erq. Waler Conn. ~s00 <W City Phone Plonner WoterMeter_~~.~00 Council Rwd Unit 260-00 1 hereby acknowled9e 1ha[ I have read this opplicafion ond state that gldg. Off. fhe intormation is correct ond ogree to comply with oll applicoble Stule of Minrrewta Statutes ond City of Eogan Ordinonces. APC Totol _ • 50 Signoture of Permikea A Building Permif is issued to: TIMSERLINF,' BLDRS INC on tha express condition Ihm all Work sholl be done in accor,dar~@ with oll np 18 State of Minnesota $tafutes ond Ciry af Eagan Ordinances. \f \ Building Officiol ~ 'PaLe . ,Ih SHT, 2 O.K. Fo2 S( TE Pta~r o%2 Do NECD CERT. oF SuRvt CITY OF EAGAN Include 2 sets of plars, 1 site plan w/el.evations & - ; BUILDING PERMiT APPLICATION 1 set of energy cal.culations. 4~ Z+o Be Used For PeS(pjN GE Valuation Date S^ Site Address: 36aYo \Nq*~ WqOFFICE USE ODII,Y Lot d Block 2- sec./sub. St Erect ~ OccuPancY R-3 Parcel a alr FirenZone Owner: Russ~.t, c'yR~CTeR-`( Enlarge _ 7~e of Const. Q Nbve # Stories Pddress: 3~55. Auf.s2~ ~ Deirolish Front SO ft. City/Zip Cocle: u, LAV-F 55 110 Grade Depth 40 ft. Phone `Y z(~1q869 APPROUALS FEES Contractor: 'rtreiaLwwr aLnt-s Assesssments Pel.-mit " 38 2, Address: 3~s~ so. N~u.S wa ~ Water/Sewer Surcharge 41. Y Police Plan Check I.- City/Zip Code: ny-6~ 55iz3 Fire SAC 525. ~ Eng. Water Conn. ¢70. ~ Phone H5+1- 39t~ panner Water Meter Arch./Eng.: Council Road Unit 2too.= Bldg. Off. Address: P.PC City/Zip Code: Pnone TOTAL 1, 9 3 a 5 D Tn,s eaues, Wi;a `f 57 b 7 18 rtqnths from A 067829 Heqbest ~ate Fire No. RoupR971 fspection nea~ ~x~M Ao. r~n rm.N. I~o~- - Yes ?No Iw 1Y4en 1@atly Licen ,Electrical Contrector 1 Irrabv request impaotioq oi abo~e QOwner sleetriql mk iastalM asc Sveet dress, Box or Bo te N. CitY kJ I-; eclion o. Towirrehip Name No. M o. C OccuDant (P81 T) No. r ~Y ~s~- Po Supp ~~^=y!~ AAtlr ~ J EI trical Con[ractw ( om . y Name) ~ "s ~po. Meilinp dress (COn or w r ki'q Iretailationl a Ss3 ~s A =Con~ lmwilation N 3 -~33a NIN OTA STATE BOARD OF EIFC ICRY TMIS 111LSPECTION aMIiF$f wILL NOT Gri -YidweY Bldg. - Room N-191 BE ACCEPIED BT 7HE SfA7E BOARD 1821 UniveraitY Ava.. S6 Paul. YN 66100 UNIEffi VYOiER IMSPECTIOM fEE IS Phorw f6121 287.2111 E~LOSED. l f 5`~ ~ HEQUEST FOR ELECTRICAL IN~ECTIOM E)B'O00°1 'Oy~`/ , Sea inretnctions for comptetioq this fpm on baCk p} p11am Capy. Y/O / O px Cnvered by This Request ; A' "X" Be/ow Wo Adtl NeO. TYPe ot Builtline Appliancen WireA E9uipmen[ Wirod Home Rarge ~ Tertporary Service Duplex Water Heater Lighti Fixnaes Apt. Buildirg Dryer Electric Heati CaixnerciafBldg. Fumace Silo Uniaader Industrial Bldg_ Air Conditioner Bulk Milk TaFdc Fartn Mer ceu t r 6cec:fy/ t r SVeci y t r Other ompute lnspection Fee Belnw p Fee ServiceEntremaSiza k Fee Feeders/Su6feedera 9 Fee Circuib 06 Uto200 Anws Oto~A O.O Om3p Anips, ~Above 200 Am ~ 31 to 100 qmps 3 p0 31 to 100 mmi Pooi R6ove 100- Arnp, /16rne 1nsformers Irri tion Baars -rj 0 PaRial•'Other Fee Sigts Special ( lnspec[ion $ TOT Nertarks ~ i f~ Q~.d 1 flouph-in Da~e ~ E _ ~~..((~~..ts. MwbY Fina~ ~1~ abors has Wsn md~. TMa 1Bpwlt voW 18 montls hom 18 months irom'd 4 'y 0( W Oy W 09 9044 L~ h,;)- Re st Date Fire No. HouBh-i Inspect~~eettn / /~y p Ne?puired? / eaAV Nuw Q Will Notifv. InsPec- `f~ ,.CZ pN~ tor When ReadY L censed Elecvical Contractor i hareby request insoaetion of abova ? dwne, elac[ricel work installetl at ` Street Address, Box or Fout No. C itY_ _ ? ~ t t: (C> ecuon o. Township Name or Ir- Ranpe No Co y y . V Kt~ Occupunt (PqINT) / Pho e No. . ' -L ~ t ~ a~Y3 - Powe Pplfe Adtlress ~ Ele rical CoMrac;or ICompany Name) C ntractor's License No. D 38 419 Mailing dress ICon r or or O ner aking Ins[ailationl Auth iz SiBnamra ontrac or Owner Mnki Installation Ph Number - /33 MINN A STATE BOAflO OF ELECTqI ITY TMIS NSPECTION NEQVEST WILL NOT Grig itlway Bldg. - Noom N•191 BE ACCEPTED 9Y TME STqTE BOARD UNLESS PPOPER INSPECTION FEE IS 1821 nivarsity Ava., SL Paul, MN 55104 ve....e ia»l I4>_711111 ENCLOSED. 01~ REQUEST FOR ELECTRICAL INSPECTION ^ EB-00001-04 ' See instructions ior compleling lhis form on back of yellow copY. ~lQ4 - ~ ' X'" BelD 1M ~4o 4 .ered by This Request Add fte0. TYpa of BuiltlinA APPli ..CBS Wiretl Equipment Wired ~ Home Ranye Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin - Comineroial Blciy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bidk Milk Tank Fdfm Othei Oeci y .ther lSPpr,ifyl L RI $UCG.Iy OLfICr Qlhur Compu[e lnspectlan Fee Below N Fea Serviea EntreneeSiia N Pee Fxndees/5ubfexAers W Fne Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qmps 31 to 100 qmps 31 to 100 Am , Swimming Pool Above 100_Amps Above 100_Am s Transiormers Irrigation Booms Partial"Other Fee Re Si ns Special Inspection 5'qI L T O . nwrks ~ / a~1 V Hough-in Datn 1 cbical InsDector, hereby certity thai the 5bove 1 0 Final Da« ~r, inspection has been J mada. This reouast voltl 18 months from : 3 a2•oc+ 4 1 • S :J ~ ? 1 ° 0 C i' 525°0 0 + a7o•uo+ 6 3 ~ 0 ^ + 5 C • 0 u + 1 9 3 2• 5 0* ~.d . , ~ , . EXTERIOR ENV~':,CPL AVERAGE ':U ` COi1PUTATI0P1 OWNER Ra.K6p.L SITE ADDRESS?~t~p(~ CONTRACTOR DAT35-7-1_gq- PAONE HSN_y - ~ Determine vrorking square footage of each. . t 1 2fo9.8~a 1. Total exposed wall area 2453,3 sq. ft. x~,3~' our 23.112. Total roof/ceiling area 889.4 sq. ft. x,.64 = 3s~ Total exposed wall area above floor = zz3°I,~ a. Total wall windorr area I5q.,7a b. Total door area :ii.2-o . . -G'-CI . e. Total wall framing area (average 10%)... if-7.-:Sd f Total net wa1Z area above floor i-P75.a~ g Total rim joist area /cs.3 " Total exposed foundation area = ~q.o h. Total foun3stion v:indow area -o - i. Total net foundation area above grade . yq,o Determine 'T' value of each wall segment. a. 15 .70 7C rUI: i50 = 54. t6 , b. X nUt; 0. -o- X "U`' D. g "pI' e. r97.3~a X 1,U,l f. 797s.P X ,cUt: •o~laz = S2.o g• rcr3 x +'v" h. -o_ X ''Uf: 3. K9o X t:U11 3 ............................................Tota1 : 2o8.6'4~ If item #3 ls the same as, or less than'item HI, you have met the intent of SBC 6006(c)2. ~ a h'. f `,X .N...Y.4{. Y . :w•_i, ~•.X.t'~ . • Total exposed roof/ceiling area = 889.0 Total skylight area ~ k. Total roof/ceiling framing 2rea(average 10°, g 1. iotal net insLLlated roof/ceiling area '71't.1- Determine "V value for eaeh roof/ceiling segnent. j . d C,'7o X „U" , 35r+ _ '2,35" A.,,4, k. X"U" ~3~r = 2.95 MfCi'. 1. *)RN.1 g A:Uu .ez~3 a ~9.2L 4 .........................................Tota1 = 2y.5L If total o: t."1 is the same as, or less than f2, you have met the intent of SSC 6006(c)1. Alternate Buiidirig Envelope DesiF,n To utili2e ihe total envelope systen method, the values established by the sun of items #3 and #A shall aot be greater than the sum.of items fll and i:2. 2~`t.vlo 23.11 1• ~3 _ + 2. 1, s.sc 3. ~P.cz + ~ . ~.N.SL = 233, ip~ ~ z/sa CITY OF EAGAN APPLICATION FOR PERMZT SEWER AND/OR WATER CONNECTION PLEASE PRINT)~ 1) PROPFRi'Y ADDRESS: 3lod la --L ' LECAI. D°.,~C.RIPTION: Z . (Lot/Block/S 'vision or Tax Parce I.D. Nimiber) ; i -STRL. 'CP[.TRE, DATE OF ORG'.VAL LUIi.DING PE-:.'•IIT ISjUAi\C.r': PRESENi` --i `7PX:/PROPOSEJ LTSE:. .E;(R-1 SINGLE FAitiffS,Y i ? R-2 DUPLEX ('Iydp UNITS) f ~ ? R-3 Zr7I^7NFIOUSE (THREE + UNTTS) ( UNPi'S) f ? R-4 APAFt'II-USPr/COTIDQtiLIIULhy ( UNITS) ? 0OMMERCIAL/REfF12I,/OFFICE ' o nNMr.rsTRIr.r, ? nvsrrTLrTzoNAs,/covERZIE!.rr 2) pppl,ICAN'r (PLEASE PRINT NF1ME: 1 ADDRESS: I CIPY, STATE, ZIP: Q ~S/~ Z I PHODIE: ~ I 3) pLUIomm PLEASE N FOR CIiY USE ONLY NAP7E; ~ ADDRESS: ~p?~O PLUH~RS LICENSE: ~ L] Aetive I CITY, STATE, ZIP: Expired ~ PHONE= PLUMBER LICENSE N Not` oof Record 31-aT ni ia ~ 4) QMJpjN'j`/aqNER AII1ME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PI10NE: 5) INDICATE WHICH PERMIT IS BEING RDWF,STFa: [31CONAIDCIZON 1U CITY SEWII2 Q'CONNECPION TO CITY WATER ? OTi-E2 (PLEASE DFSCRIBE) 6) IINIDIC.ATE ONE : ? PLFASE HOID APPROVID PM1IT FOR PICK-UP BY ONE OF pBOJE [+y~'LFASE NIAIL APPROVID PII2~~LIT 'Ib 1, 2.04 ABWE , (Circle one) 7) SI~TV'RE: DRTE: ~ I z/84 II~..... y I 's CITY OF EAGAN APPLZCATION FOR PERMIT L~;ll l{ ~ SEWER AND/OR WATBR CONNECTIODi (PlEdSE P9INT) 1) PP.C;PERTY ADDPWSS: rFr=,L DESCZI?ySIC:I: (Iqt/31cck/Subdivision or Tax Parcel I_D. .Imam}~er1 l: E:i5'__:G S:^-.i:CTTcE, DrY y G^ CRIGi.:AL EuII..^JLNG F-00"TT ISSU.:;C=: ,..Ii.. P._~~.. 1 i:SE: ? R-1 SiNGI;; spVcT",° Ct R-2 DUPL,E.Y (?4:O UNITS) ? R-3 TC7WNHCi;SE (THREE + L11IT5) ( WI"_'S) ? ?-4 Ppa.R'IT. 4'`."?'/=~.'T,Ci,LT~;iu?°I ( L1II^:Si ? ca-+rERczAL,RErA1i?or-FTCE ? 1 N ovsT R ILA71j, ? NSTIT[SI'IONAI./GCTV~u~I. M ~P: 2) APPLIC= IPLEaSE PRi4i} NF`+VIE: ADDRESS: CITY. SIA?'u. 2Z?: . PHOVE: 3) PLL:'ffiEi? NAKIE. lNL"tASE PfltNi) FOR CITY USE dNLY PLUM8ER5 LICEYSE: ADORESS: C Active . CITY, ST?.TE, 2IP: Q Expired Not af Recard PHONE: PLpflBER LICENSE ti arr int[ia 4) CCCJpp~/O'NER AIAME(PL£ASE PNINI) : ACDRESS: CIT:, STATE, ZIP: PIIO*IE: 5) INDIG;'iE W[-IICIi PEPMIT IS BEIi.G REK2UESTLb: ? GC:.Nc^.C.TION 'IO CITY SE;~IER ? CC.^IiYEX.iIGZN TO CIT"i 1•IA7'EI2 ? 01?'.E2 (PLFASE DESCPSEE) 6) INDZG;:: C`.:: ? P=E f?OLD P,PP!?WED 7g2MIT FOR PICi:-UP BY OLVE OF AEO'?E ??L.E3SE YAIL APPRO~c"~ pgZ.1IT TCl 1, 2, 3, 4 t'1FA~7E (Circle one) 7) SIGNAZURE: DAT'E: MM 0F4"40t4OVU.pj11! irllwa:f~= ~ =f:asm"Ellm:a:= iosr:ss:a;r~sr~.~:r xwav~ ral~e. ~ F 0 R C I T Y U S E O N L Y PERHIm ISSUED FrrS: $ ~O.~SY"d S~i'...., nso~[T^` ~T•;^T'•^.=' o!^ r.^) $ / O. S U WATE? PER21IT (INCLUDE SURC::ARGE ) $ WAT°R METER/COPPERHORN/OUTS?D-- REauE3 $ WATER TAP (I:VCiiiD° COR?CRATIO:i STC2) S ~ SE'.'lEB Tc-.P $ ACCOUNT DEPOSIT - SEt':ER $ i..~ ACCOUNT DE°OSIT - WAT°4 $ . wac $ sac $ TRu;vh raaTED assFss.-:E:aT $ TRGNF SE:vER ASSESS:•1EVT $ LATEP.AL BENEFIT/TRUNK SE?dER $ LATERAL BENEFIT/TRUNri WATER $ ' OTHER $ TOTAL $ A:ti10UNT PAID/RECEIPT ; DOES UTILITY CONNECTION REQ[IIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK SJITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUIIJECT TO TFIE FOLLO?^lIDIG CONDITSONS: APPROVED BY: TZTLE: DATE: LL go M* M ift a" w+0 w* M Sa w i+ w M „ .~,...~.,-~....~..~~.~,~.~.,.M. , . ~ • _ , ~ ~ M , F .~~,.~~,..~r , . , ; . ; , s ~,~r, ;H> ~ . , . ~ , ~ ~ ~ ~ ~ ~ ~ r.~., z ~ ~ . ~ ~ ~ ~ „.~„~,,,,,..._.ry~.~ .~..x - ~ ~ . ~ ~ ~ ~ , ~ : . : ~ ~ , , a , ~ ; ; : ,r ' , ' , d ' a~ ~ a <F ~ ~ ~ x~ . ~ ~ ~ M ' . ~ ~ . . . . ~ i X • ~ w • ' ~ , . . . . 4{ , , . . . , . ~ . 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"'~,,.~Ti~x~i~ ~.~tSY~~C~.~i~" ~jc,~ ~ s. ; : , ~ ' . ~ ~s~r ~ , ' i~aY co~~!~ ~ ' ' I ~uu"``G' ~ " : 3 a • ~ * ~ o,sw . s~~" .~"~~.~~~~~,v1.~.,:~, ~"~J~" ,2~»1~;~~~r ~1~t~~~ ~W~~~~'~" ; . a ~ ~ ~ , . , _ ~ : • , ~ ~ ' ° ;;~,„~~tE~f~~~ G~~ra~a,~'11~E~,~ . _ : , ~ : , . * , . , , V: . 4 . , - t~~.~ S.t~~ _ , . . . . . . , ` . : ~ , , i , ; , , , , _ _ ~ ~ ~ ~ ~ ~ ~ ; . _ t~: . . . . ; ~ ~ ~ ~ ~~~1 - _ ~~r ~ ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3606 Widgeon Way Lot: 08 Block: 02 Addition: St. Francis Wood PID:10- 65900- 080 -02 Use: Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952- 445 -2840. Scott lofgren 570 8 Upper 147th St #102 Apple Valley, MN 55124 952- 431 -5811 nkadrlik @fronti emet.net Fee Summary: Contractor: Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 Surcharge -Fixed ME - Permit Fee (Replacements) Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $30.00 $30.50 Owner: Andrew D Smith 3606 Widgeon Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Mechanical EA074563 08/01/2006 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3606 Widgeon Way Lot: 8 Block: 2 Addition: St Francis Wood PID:10- 65900- 080 -02 Use: Description: Sub Type: e - Furnace Work Type: Replace Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952- 445 -2840 Fee Summary: Contractor: Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 Nancy Kadrlik ME - Permit Fee (Replacements) Surcharge -Fixed Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $50.50 Owner: Andrew D Smith 3606 Widgeon Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 Issued By: Signature Mechanical EA078906 07/20/2007 ePermit 41' CityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 89.9 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 3_:(p ‘13; ____ r� (� Unit #: 49. Name: AQ, Q, 4- ty Phone: to 1 " /2$ - !o y 61 Address / City / Zip: Sic C)i,, Li ASf t, LOO, j Ect MK \ 55 / Applicant is: Owner 'X Contractor Description of work: f ri \101A , r--) 41 1 F _ W % 1)(A Construction Cost: <i 1 , 1 3 5 Multi -Family Building: (Yes / No ) Company' _ v'' • Ali a Address: to 0 '3.`".3 Lt S Au.)y 1 �. 4 • act: Lf At o _OP apipAi i)fl U��' t. yi� u.dJ-r - City: La`i-c.. i 2.1 el State: jr`n V Zip: 55 '35 Phone: 3 D 59 3 ` 74-9 License*. C t-114 Ip 4' 1 Lead Certificate #: J\ T - 1 Cyto 9c) If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: CALL BEFORE YOU DIG. Call Gopher State One Calf 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.aopherstateonecall.org 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. 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. x TciMei t\nA`lI-V,,n Aan I SS4. Applicants Printed Name TL tal t 'Yl 7.iyi ") Applicant's Signature 4.4 Page 1 of 3 ,o,U(p W Lc c ec)-N DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Rex Accessory Building WORK TYPES _ New _ Interior improvement ___. Addition_ Move Building Alteration r _ Fire Repair _ Replace _ Repair _ Retaining Wall Fireplace Garage Deck Lower Level _ Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool On itt1..rtLe + PuMP DESCRIPTION Valuation Pian Review (25%_ 100%\t ) Census Code 1 # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile n.'c Roof: Ice & Water Final Framing Fireplace: _Rough In _ Insulation Sheathing Sheetrock Reviewed By: Tf L Occupancy Code Edition Zoning Stories Square Feet Length Width _ Siding Reroof Windows _ Egress Window Lucl fo(0-77r Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant -L� MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Air Test Final Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL oft Prnr.lr AC Page 2 of 3 Use BLUE or BLACK Ink For Office Use 1 City of Eanoan i Permit / E I Permit Fee: 3830 Pilot Knob Road f~ Eagan MN 55122 Date Received: t 1~ 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: /11 -I p 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date:. 6/15-17-013 Site Address: 3&0(0 U' / 01 won k) Unit NameJ4tdre4AD 5K'1'+ k a Reb ecesk Poe- Sr►t I'*k Phone: &51 • (t 6C AP Resident/ Owner Address/ City/ Zip: 3&0(0 lit 19!Reon W~!J EA2*--t •t J'r'SIo~3 Applicant is: Owner Contractor ReplsaC Z 4314ldaws- 50-te V'iZ SA-MV Type of Work Description of work: Rd pb1u F~ce of Ck#~~Y C~A&s, aldl•t J6eC*_~`~ *-bb Z vod ia>> Construction Cost: 00 Multi-Family Building: (Yes / No ) Company-Z-e-T C0j%yrrucerto►1. ib Re-mojel,! 4 Contact: M"IC 6VerK*!KQ Contractor Address: /535 A4*-r'SA nu At.-r_ %Ae C- City: S-T. PA4.4- f State: •'l " Zip: S510 4 Phone: 651 -Z2$- 94/90 License #:.4-&- 651.173 9 Lead Certificate At*-r-a 73 7yf If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ,Z' Cs - Bull(-,- 1984 - Sec. Ctx" Propr,:~~ C,a-t• "i4-77ACatb-11~.~~ 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.aoaherstateonecall.org 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State ilding C034 must be completed within 180 days of permit issuance. x #Ut K dV er yya- p x Applicant's Printed Name licant Sig ure Page 1 of 3 ~3(47 0(10 k1l d Zf ah 6/1 ' DO NOT WE BELOW THIS LINE ///Y7 7 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior I-Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION g a®O Valuation ,46--4;isk¢.. Occupancy I?G -L MCES System Plan Review / Code Edition ~Z SAC Units (25%_ 100% Zoning n City Water Census Code y3 Stories Booster Pump # of Units / Square Feet PRV # of Buildings ! Length 6 Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS 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 Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control s Reviewed By: , Building Inspector RESIDENTIAL FEES or h4 * a Base Fee Surcharge s ~ OOU a!, Plan Review fE9 ,u MCES SAC J City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 i 1 1r 4 ME LLJ Irr" L Oil %0 o Q CD-z W> lor 60 t a 4L i~ 00 01,011 Npop 0 ro i 0""0 9 M t~ t 1 1i i PERMIT City of Eagan Permit Type:Building Permit Number:EA139856 Date Issued:11/14/2016 Permit Category:ePermit Site Address: 3606 Widgeon Way Lot:8 Block: 2 Addition: St Francis Wood PID:10-65900-02-080 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Andrew D Smith 3606 Widgeon Way Eagan MN 55123 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (763) 370-0074 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154520 Date Issued:03/27/2019 Permit Category:ePermit Site Address: 3606 Widgeon Way Lot:8 Block: 2 Addition: St Francis Wood PID:10-65900-02-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew Tste D Smith 3606 Widgeon Way Eagan MN 55123 (651) 925-6024 1st Choice Remodeling Llc 540 Greenhaven Rd, Suite 206 Anoka MN 55303 (763) 515-6095 Applicant/Permitee: Signature Issued By: Signature rFor Office Use //_ I : „ ' Permit#: ,0 EAGAN ....... ..... Permit Fee: / v! 7` .___21q--- Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildincinspections c(acitvofeagan.com ., 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: t tcJ til Phone: tEV""q 25 - cZ 1 Resident/ /� 'n owner Address/City/Zip: ,,,&(,��(/t^,e_`0-t COE? Applicant is: OwnerContractorX_ - Type of Work Description of work: �jt 7,. '‘'t.�` Construction Cost: Multi-Family Building: (Yes /No ) Company: 5rdto ec -C �e��.,ti,4x+t/,�,,;p Contact: r/ c- Contractor Address: YO t •C L .ha . PAP�€FZF9)go City: lGc., State:Alia Zip: ZZ- 2 ,, ��2u� Phone:��'�Z �mail:,�il�Q �r�ifiC r-c_pkto.le-4'r,Jr` .Nom(' License#:CIZ-4€7 X52 Q Lead Certificate#: N`-- (Zz— 2— If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: NOTE:.Pleas+fit` ,. do n$s t yam swim*are cans►dsred to be Mf rmaVon. Portions cf the hNbnnatlon may be claa�►adgtrftp 'it: roupm a refifOrt4 that wouldNewt t> conclude.t oewat*hada - 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.citvofeaaan.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.00aherstateonecall.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 withtheapproved plan in the case of work which requires a review and a royal of p -,... x ��yx-et C w- ( s x Applicant's Printed Name App icant's Signatu - DO NOT WRITE BELOW THIS LINE '�� ,, W i C( -e,,t l,d. 7 //. .,6,6 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck PorchScreen/Gazebo/Per ola Mis ( g ) _ c llaneous 01 of_Plex _ Lower Level — Pool _ Acce ory 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 PSA handout to applicant DESCRIPTION _ Valuation 3, ®c' a Occupancy -2—iC / MCES System Plan Review Code Edition g✓I 20/c SAC Units (25%_ 100%? ) Zoning F -' City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppres ',ion Required Type of Construction V Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) (b Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Ston 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 J 'n/� Other: Reviewed By: ( U� �' ` (L�`�if , Building Inspector RESIDENTIAL FEES '2_,.. � 0 SS w Izfi Base Fee SurchargeLAY 0 Plan Review v rCr MCES SACity SACC fiery a6,44►`n5 �1 0- otoR (7 �w, I Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3