3925 Turquoise Pt CITY OF EAGAN RemarksSeW & wtr nermi_ts and Saur c+;onn_ :pd; cm 3_911_69
Addition Cedar Grove 6 ~ot 31 Blk 6 Parcel 1Q 16705 310 06
Ownei^ = ' • C t-- . screet ~925 ~a.rquiose Point State 55122
Improvement Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL -18 1970 1472.00 20 P3JLd
WATERMAIN
# WATER LATERAL 1970 20
WATER AREA
# STORM SEW TRK 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. . 1270 3_26-69
BUILDING PER,
SAC 200. -
PARK
EAGAN TOWNSHIP
BUILDING PERMIT N° 1963
Ownex ....-"~'y_'.-`-'-~-`--~-- Eagan Township
Addreu (Preseni) y14:.-'-' .----~w'-`.-`-'~- Town Hall
Builder
Dale. ~-----~.G?.......%......~/.a
Addrea
DESCRIPTION
53ories To Be Vsed For Froni Dep1h Heighf Esi. Cosf Permi! Fee Aemazks
LOCATION
Sireei. Road or oiher Deseriphon of Locahon I Lo! Slock Addition or Traa2
i3 a
.s 9
This pesmi2 does not avthorise the use of sireeis, roads, alleys or sidewalks nor does it give the owner ar his ageni
the riga! !o areale anp situaiion which is a nuisance or which presenls a hazard So the healih, safelp, convenience and
general welfaxe 2a anpone in She community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. -
:~....haspermission fo erec! a....~__..
1'his ie io CerlitY, !hal._~:..'...'....._:-....._._..._... ..n ~..upon
the above described premise subjecf !o the provisions of the Suilding Oxdinance for Eagan"Township adopie~ April 11,
1955.
/u?t,c, ~J r
- Per ........_........4. ~"J ~ 'c...... Gti!tc--.J
. . Q
~
, Chur an of Tnwn Bo.~rd Huilding nspecior
LS
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 27 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 (screen/gaze6o) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Damolltfon (Entire Bldg) • Glve PCA handaut to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Comnection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2005 RESIDENTIAL BUILDING PII2NIIT APPLICATION W
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construaion Reauiremenfs RemodeVReoair Reauirements ORce Use Onlv
3 registered sife surveys showing sq. ft. of lot, sq. ft of house; and all mo(ed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20%maximum lot coverage allowed) 1 setof Energy Calculetions fir heated add'Aians TreePres Plan Recd _Y _N,
2 copies af plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addNOns & decks Tree Pres Required _ Y_ N
7 set of Energy Calculations Addition - indicate i( on-sfte septic sysfem On-58e Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot pla$ed after 711/93
Rim Joist Delail Options selection sheet (buildings wM 3 or less units)
Date _-2-/ -~7--/ 4C, Constructioo Cost
Site Address 3,77,5 7 U Yj ( / iG j, f G 1k1 r UniUSte #
Description of Work ~ r p1 1 if rn-3 r] W i y11 a l.d~7 C~ z ~~a
Multi-Famity Bldg _ Y'X N Fireplace(s) _ 0 _ 1 _ 2
Property Owner L C~ (i/ r! n r i,- I p1 o 4?~ Telephooe # (,Cf~ ) y ~JI2
Contractor P rCL~t-i IL 14Co /
Address~A 2`7~ 11 ~ l ~ (lr ~ City ~7'
State /V ~./v Zip ~ Telephooe #(~S°J ) 7 7 O- SS 70
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envalope Calculalions Submitled
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee ppplies.
Licensed Plumber 7elephone )
Mechanical Contractor Telephone )
SewerlWater Contractor 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 approved plan in the case of work which requires a review and
approval of plans.
JE sI h ,0
ApplicanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
? Oi Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Mu1ti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - Sf
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex O 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 13 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Qemolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demoiish (Bldg)• ? 43 Reroaf ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Giva PCA handout to appllcant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final ~ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Franvng _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final , Windows (new/replacement)
_ Insulation ~ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permk & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
r13~~r 279~0
RESIDENTlAL
BUILDING PERMIT APPLICATION
a$ 3 CITY OF EAGAN
3830 PILOT KNOB R0, EACAN MN 55122
651-681-4675 l ~ • ~ ~
New Construction Reauirementa RemodeUReoair Raauirement r
s
• 3 registered site surveys showing sq. R. of bt. sq. fl. of house; antl all roofed areas • 2 copies of plan
(20% rnaximum bt coverage aliowcd) . 1 sel of Energy Calculations lor heate0 a4Gitions
. 2 copies ol plan showing beam 3.vindow ;izes, poured found desgn, etc.) . 1 sile survey for exlenor additions & decks
• 1 set of Energy Calculations . . Indicate if hame served hy septic sys[em for adtlitions
• 3 copies of Tree Preservatian Plan if lot pla[ted aNer 711;93
. Rim Joist Oetail Options seleclian sheet (Elags wilh 3 or less unitq)
DATE 10 I02 VALUATION !~7 Z S• o 0
517EADDRESS ~IZS Tu~~ps~ MULTI-FAMILYBLDG _Y ~N
TYPE OF WORK T&S,:Alle_ PIREPIACE(S) _ 0_ 1_ 2
APPLICANT G°eal-
STREET ADDRESS ~5647 A(a~ r _Al. CITY SR(fv STATE Af~/ ZIP !QbyZ-
TELEPHONE #061-4j'44324 CELL PHONE # FAX # fpl -Za9Cp
PROPERTYOWNER_4~~" ~Ia~q.e„rT TELEPHONE# 451-446%I-ftlIZ
COMPLETE POR "NEW" RESIDENTIAL BUILDINGS ONIY
Energy Code Category _ `IIN.NrSO'I'.1 RCLES 7670 CA'I'L(;ORY l NIINNESO"C.\ RIi1,1:5 7672
(v'su6mission type) • Residential Ventilatlon Category 1 Workshee! Submiried • New Energy Code Worksheet SuDmitted
• Energy Envelope Calcula[ions Su6miried
Plumbirtg Corttracfor. Phone #
Plumbing systein includcs: _ Water Softener _ I.atim Sprinklcr Fee: $90.00
_ Water Hea[er No. of R.I. Baths ' r'^,' No. oF Batlis ~
Mechanical Contractor: Phone # ' - -
Mccki.mictd syslcm includr;: ` :1ir Concliuoning rce: $70.00
_ Hcat Rccovcry Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appl(cant i~ic.x~-~±
-
OFFICE U5E ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot 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 (screened) ? 36 Multi
11 OS 03-plex p 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_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 Rapair
? 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof 0 46 Windows7Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Glve PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
[nsulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION
tITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 373
New Construction Reauirements RemodeUReoair Reauirements
• 3 registered site surveys showing sq. ry. of bt sq. ft. of house; and all roofe0 areas • 2 copies of plan
(20:o rnaximum lot coverage allowea) . t set of Energy Calculalions for heated ad0itions
• 2 copies of plan showirg beam 8wirdow ;izes: poured found desgn, elc.) . 1 site survey for extenor additions 8 decks
• 7 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies o(Tree Preservation Plan if lot platted after 7l7193
. Rim Joist Cetail Options selection sheet (biags with 3 or less units)
DATE CJI1/ lOZ VALUATION 47 7g5o' 00
SITE ADDRESS MULTI-PAMILY BLOG _Y XN
TYPE OF WORK Qszroo-P If FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 1+..1ea24r.,.rq Cmnsk
STREET ADDRESS 5642 /lAO.H.ori V Aje.. CITY Sj:Ilca&jtr STATEACAfZIP 5!S0152_
TELEPHONE # 651-431-43Zo CELL PHONE # fAX #,S~f 3S(- ?eS l.
PROPERTYOWNER TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ v[[N\I-:SO"C:1 RULL:S 7Ei70 C,\'CI:GORY t N[IVNI:SO'I'_1 R[iL1:S 7f~9
(•1 su6mission type) . Residential Venfilafion Category 1 Worksheet Submitted wI~ r y C dB,Wa ~shQ Submitted
• Energy Envelope Calculations Submitted 1 ~ U L' ~ I~
SEP 1 3 2002
Plumbing Contractor: - - - Phonc # _
-
Pfumbing system includes: Water Soltener _[.uvn Sprinkle ee: -.$~Q 0
Wa[er Heater No. of R.I. BathsY`i
No. of Badis
Mechanical Contractor: Phone #
Mcch.mic.tl systcm includrs: :1ir Condiuoning Pcc: S70.00
E[cat Rccovcy Syslcm
Sewer/Water Contracior: Phone #
I hereby acknowledge that I have read ihis application, state that ihe information is correct, and agree fo comply
with all applicoble State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicanf
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
4 MEMO
- city of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERIC
FROM: ED KIRSCHT, SR. ENGINEERING TECH
DATE: AUGUST 25, 1993
SUBJEC7: STREETLIGHT ENERGY COSTS
CEDAR GRQVE NO. 6(147 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the singie
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition
as listed below:
Block 1, Lots 1 1
Block 2, Lots 1-8 8
Block 3, Lots 1-18 18
BloCk 4, Lots 1-11 11
Block 5, Lots 1-9 9
Block 6, Lots 1-53 53
(Lots 54 ihrough 61, Block 6, should not
be billed at this time)
BloCk 7, Lots 1-12 12
Block 8, Lots 7-18 18
Block 9, Lots 1-11 11
TOTAL 141
The City is currently being bi{led by Dakota Electric for streetiighting in the above listed
subdivision.
Ed KirsCht Sr. Engineering Tech
cC: Mike Foertsch, Asst. City Eng.
EK/je
EAGF.N TOWNSHIP
3745 Pilot Kno6 Road
St. Paul, Minnesota 55111
Telephone 454-5242 .
PERtII T FOR WATER SERVICE CONNECTION
Date: c3/a / / 9 Number• 244
BillinS P1ame:
Site Address:
Owner:~1~~_1~(~_ gilling Address
Plumbei: t ~e-rri ~~ytG .
Locatioa of Connection Meter S Connection Chg,
Meter No.C.X1dcc-i o Permit Fee
Meter Reading =~Q Meter Dep.
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
Inspected by
DaCe
Building is a: Remarkg;
Residence ~
Multiple Ho, Units
Commercial
Zndustrial gy;
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County Minnesota.
BS* :
Please notify the above office when ready for inepection and connection.
EAGAIV TOSdNSHIP
3795 Pilot Rnob Ftoad
St: Paul, Minnesota 55111
Telephone 454-5242
PERMIT I'OR SEWER SERVICL CONNEbTION
DATE: c3/~y//G~, .~/NUMBER 364
9
OWNEP.• .~g . Address_az"k
PLUMBER c%,~,C • TyPE OF PIPE
DESCRIPTION OF BUITDING
Industrial Commercial Residential Multiple Dweiling No. of units
~
Location oE Connections: Connection Charge 200_00
Permit Fee 7•50
SCreet Repairs
Total
Inspected by:
Date
Remarka•
Sy
Chief Inspector
In consideratioa of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordaace with the rules and
regulations of Eagaa Toc•mship, Daicota County Minnesota
BY /J
.id~~J _
Please notify when ready for inspection and connection and before any portion
of the work is covered.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119717
Date Issued:12/16/2013
Permit Category:ePermit
Site Address: 3925 Turquoise Pt
Lot:31 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-310
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Lawrence Taggart
3925 Turquoise Pt
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA145765
Date Issued:09/25/2017
Permit Category:ePermit
Site Address: 3925 Turquoise Pt
Lot:31 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-310
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Lawrence Taggart
3925 Turquoise Pt
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
IV5L E For Office Use J r_/� J�/ lC
go19 Permit#A-_ LE AI °4
PermitFee:
Date Received: to -q-t1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(a�cityofeagan.com ,
2019 RESIDENTIAL BUILDING PERMIT APPLICATION j0-i3-I9
• q25 TUro� otse- Pe;t4
Date: ( V\ Site Address: I fey► if"'I'- E ctin MIJ t 1ZZ. Unit#
I n� .. .. q__. .... ,
t Name: \N�- e 1--e0A\ Iv\Qlxef Phone: .. `6Z' 2-1i-k- ty_Qll-'Tom
Resident[ 1 (� ^-� J
Owner Address/City/Zip: ' \Z5 I L�f-G�,okse, Poi�4 CS&\I MW 5512/, 3
t V
Applicant is: x Owner Contractor
�eSS lr� ,,.,,.
1
Type of Work f Description of work: Ec l�► dog 1 St Q t
yp J `\ I
Construction Cost: 1000 Multi Family Building: (Yes /No X )
i i i
€ i Company: Contact:
)
Contractor Address: City:
ii State: Zip: Phone: Email:
i i
, License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
4 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:
t
I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
I classified as non-public if you provides ecific reasons that would permit theCity to concludethat they are trade secrets. µ
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 .th the ap roved plan in the case of work which requires a review and approval of lans.
x 1_,D,IRG¢. Ray,r x
Applicant's Printed Na Applicant's Signature
- -3otx —vul U"°� P /90 ctY
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
iC Single Family _ Garage Porch(4-Season) Exterior Alteration(Multi)
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 yEgress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation Occupancy _ MCES System
Plan Review Code Editionv.J TO►% SAC Units
(25%_100%)) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet __ PRV
#of Buildings Length Fire Suppression Required
Type of Construction \(ft, Width
REQUIRED INSPECTIONS ��JJ
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) 1 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
y" Framing 4 30 Minutes 1 Hour Drain Tile
� Fireplace:_Rough In Air Test Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
__ Fire Walls _ Fire Suppression:_Rough In Final
Braced Walls Erosion Co
A// kW
nt,rol �
Shower Pan Other: 1 , Y^r/PO D W
Reviewed By: /6/ , Building Inspector
RESIDENTIAL FEES t
Base Fee � ,1� J�
Surcharge
6 /\,,'` , J U
Plan Review
% ."4
MCES SAC
City SAC
\.
Utility Connection Charge
S&W Permit& SurchargeD o 0
Treatment Plant 21
Radio Meter Read
Copies
TOTAL
Page 2 of 3