1295 Vildmark Dr CITY OF EAGAN Remarks
Addition Wilderness Run 3rd Addition Lot 25 Rik 1 Parcel 10 84352 250 01
Owner Street 1295 Vildmark State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, i
STREET RESTOR.
GRADING
SAN SEW TRUNK 7.,7. 1973 $175.00 $8.75 20 PAID
SEWERLATERAL
WATERMAIN
wATERLATERAL 1972 $1441.33 96.08 PAID
WATER AREA
STORM SEVIf TRK 1981 293,64 19.58 I5 10-15-80
STORM SEW LAT
CURB & GU7TER
SIDEWALK
STREET UGHT Tj 1 10-15-80
WATER CONN. $280.00 10964 6-25-74
BUILDING PER.
SAC , p 10964 6-28-74
PARK
• CITY of EAGAN Nift2 - 3330
r BUI ING PERMIT
Owne: 3795 PiloS Knob Roed
' ' ' Eagan. MinaesoYa 55142
Addreu (Preeanl) 954-8100
Builder C; .".L~.../...---.................----..................... ~-~~i..~..~. ~
Addraae t~:a...:~
Da1J
(
DESCRIPTION
Sloriee To Be Uced For Froa! Depih Haigh! Eet. Coef Permi! Fea Aemuks
LOCATION
Sireal, Raad or olher Descziption of LocalSon I Lo! loek Additioa or Trae!
z r- 1~ zs / 4444,11'5
This permit does no1 aafhorize the use oi s!=eeis, roads, allepa or cidawelks aor doee !t give the ownes or Lis ageai
the righifo create anp silva3fon which is a nuisanee or whieh preaenis a hezard !o ffie heallh, safelq, coaveaienes aed
general welfare io anpone in the eommunify.
TAIS PERMIT MUST BE~ ~K7E PT ON TIiE P7F M~IS/ yy HILE THE WORK IS IN PR GA 8
Thfs is !o cerlity. !hal...Y..'.:..~ge!'......l.~x~..........hesperaussioa !o asect a upon
y_._eab.v. desa p emise subjec! !o ihe provisions of all applicable Or ihe CStp of Ee
Per ...:C... .
r or ~ ° . ulldlny Impaclos
MaY
~s- / c.~ •~J
csTY oF Eacara
3795 Pilot Knob Road
Eagan, Niinnesota 55122
PEHNLCT NO.: 500
The City of Eagan hereby grants to wen.ei pi nnt,±+,g & Heat!nq ZnG-
, oi zFnn Krannahec nrive, Fagan. MN 55122
a~pyTnMTu• Permit £or: (Cwner) wensmann rnnstruction Co.
at _ 1295 V31a*^~~ti nri„R. , Pux'suant to application dated 8/13/74
Fee Paid: ~ eTn_rfn dated this 15ht day of Auaust , 19 74.
.50 s/c
Building inspector
Machanical Permits:
Sid Total:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 566
The City of Eagan hereby grants to Kleve Heatina & A/C Go.
o£ 13075 Pioneer Trail, EdQanPrairie 55343
a HEATING Permit for: (Owner) WensmamConstruction
at 1295 Vildmark Drive, pursuant to application dated 8/13/74
Fee Paid: $20.00 dated this ZUth day of August ,19 74.
.50 s c
Building Inspector
N:achsnical Permits:
Bid Total:
~s--i 1,J•~-~
CITY OF EAGAN
3795 Pilot Knob Road
Eaga.n, Minnesota 55122
PERNLCT NO.: G75
The City of Eagan hereby grants to Kynvp r;Aar;.,L, r n.fr. T„r_
•f 13075 F'io»aE+r Trail PAan Prairj,e
AIR CONDITIGNING
a Permit for:(Owmer) nrlFr,a r3 at »o, sni,ma,-w iIYIVP , Pursuant to application dated r,/5,/7r,
Fee Paid: nn dated this __1.2_day of rn~ ~ 19 vc .
.50 s/c
Building Inspector
Mechanical Permits:
Bid Total:
,m..~~~..,.__.. . . . .
VILLAGE OF EAGAN WATER SERVICE PERMIT~
37ti5 PilotKnob Road PEAMIT NO.: 1569
Eagon,MN 55122 llATE: 8/15/74
Zoning: Pi No. of Uni[s: i
Owner: Wensmann Construction Co.
Address: N~
Sice Address:1295 Vildmark Drive
Plumber: We_nsel Plumbin_q_& Heating Inc.
Meter No~3 Connection Charge340.00 pd
Size: Account Deposit:
Reader Permit Fee: 10.00 pd
°
I ogree to comply wiTh the Villoge f Eogan Surcharge: .50 pd
Ordinances. Misc. Charges:
L ~ Total: .
~3
y~~~ zi"'~ ~ Dace Paid:
Ua[e of Insp.• ~ ~ / ]nsp.:
YILLAOE OF EAGAN SEWER SERVICE PERMIT
3:+5 Pilot Knob Road PERMIT NO.: 2329
Eogon, MN 55122 DATE: 8/15/74
Zoning: R1 No. of Units: 1
Owner:UL>ncmnnn fnnst'riit~tlQ.II_CO•
Address:
Site Address: 1295 Vildmark Drive
Plumber: Wenzel Plumhina F lteatinq Inc.
I agrae to complr wif6 fhe Villoga of Eagan Connectlon Charge340.00 pd
Ordinmms. Account Deposit
Permit Fee: 10.00 pd
Surcharge: • 50 pd
By: Misc. Charges:
DateoFlnsp.: Total: -
Insp.: Date Paid:
• G}, ~ t ~ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
z~ ~ I 4, 3830 PILOT KNOB RD, EAGAN MN 55122
) \o ~ 651-681-4675
New Conehuctlon BeautrameMa NematleVReuek Reaulremanffi
. 3 regisleretl stte surveys 5howing sq. fl. of bt, sq. tt. ol house; and aLl roofad areas • 2 coDles of plan
(20%maximumbtcoverageallowed) • lsetofEnergyCatulatbnsforheatedadd8bns
. 2 copies of plen showhg beam & window sizas; poured founC design, etc.) • 1 sae survey lor eMe6or eddilbns 8 GecMs
• 1 set ol Energy Calculations • Indicate If twme served by septk system for additions . 3 copies ot Tree Presewation Plan if bi platled atter 7/1193
. Rim,bist Detall Optbns selection sheet (Dldgs wiN 3 or less unils)
DATE tl? '6 6Z- VALUATION
SIT~E ~A~DD-RES~ fYm,P/ cUJ2 MULTI-FAMILY BLDG _ Y /4%N
NPlbF ~K K. 6 eo oF ?J2 s(J~. FIREPLACE(5) _ 0_ 1_ 2
APPLICANT ~ G I •
STREET ADDRESS S CIN c,Af uASTATEMWZIP S~/.2 3
iELEPHONE #~.S7-T07-(, 959 CELL PHONE # FAX #
PROPERTYOWNER L/^f/ ~DeUA4D TELEPHONE# 0'5~- y3 2
°
COMPLETE THIS SECTIOid FOR riNEW° RESiDENTIAL BUILDIN6S ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residentiel Ventilation Category 1 Worksheet Submitted • ~ o~~~lnitted
• Energy Envelope Calculations Submitted O _
JUN 1 3 2002
Plumbing Conhactor: Phone #
Plumhing system includes: _ Water Softener , Lawn Sprinkler By___ Fee$9_0_~~1-
Water Heater No. of R.I. Baths
No. of Baths
Mechanlcal Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read mis application, sTate that ihe inf . atio is 9t, nd agree to comply
with all appllcable State of Minnesota Statutes and City of Eagan Ordin es.
Signaiure of Applicant
°°-°°...._._._._........._._._._......_...._.....~._...........r.......
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
I Updated 4/02
' \ . . . ~ ~ ; .
t ~ ~ l
' - ' MAS ER CARD
V
LOCATION Z.
OWNER
i
STRUCTURE AND
LAND USED AS Q(1
i
~
Issued To . Permit No. Issued Coniractor Owner`
BUILDING
~
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
L
GAS INSTALLING
SANITARY SEWER I
OTHER I
OTHER
Approved
Items (Initial) Oate Remarks Distance From Well
FOOTING ~ . SEPTIC
FOUNDATION CESSPOOL
FRAMING
FINAL
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAWFIELD
PLUMBI NG 1-1-7
WELL
SANITARY SEWER
Viola}ions Noted
on Back
COMMENTS:
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V~
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~
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January 20, 1995
Appraisal for 1295 Vildmark Drive, completed in 1994, can be found in Project 660.
Judy
ol
~v z343~2 2- ~5 D
4,111°
City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
For Office Use
Permit #: t/
Permit Fee:
Date Received:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: /Z /3
Site Address:
Tenant:
D%
/195- vi l (1mak Ec.
Suite #:
Resident/ C+►rner
Name: Rer aLav a‘ d Phone: �oAZ - 231 - 22 `7
J
Address / City / Zip: _Pr6C- V ejj s-tcit cif; P cj G=✓`
Contractor
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
Type of Work
PLUMBING (Within the building envelope)
. Sump Pump Repair
SEWER & WATER (Outside the building envelope)
Repair
Other:
Other:
Description'
Description of work: K.cv Sv c''`R bk. S c 3c 17 SC> 'e_
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaaan.comlinflow, or City Hall at 3830 Pilot Knob Rd.
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.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.
Lei\AMA.
Applicant's Printed Name
Applicant's Signature
FOR OFFICE
Required Inspe
awnn
Use BLUE or BLACK Ink
I For Office Use I
; Permit / 15 EaV 1 I
Ila
l of
Permit l=ee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 [ I
Fax: (651) 675.5694 1 Staff: i
1 1
013 RESIDENTIAL BUILDING PERMIT APPLICATION
Bate: 3 Site Address: ) Z g5 V ' Idp 4 l~ /ir Unit : 10 11
LO %I I Phone:
Resident] - I
Owner AJdresslCity IZip: 1 V rl~M~.( f ~J
A c o `'==cant is: Ovi er _,KContractor
Description of work: r o dl
Type of Work
-onst- ction Cosh (430010 i At, t.-Farr , B ,7dina- Ives 1 No
CC ipany: Lt Ct"1~'~✓1 Contact O 5S
adress: 1102 2c LA 14LQ- Q CRY: Ln
Contractor
State: Zip: S /l Phone. (0'f;1 _3S 3 " 050 D
License `t 3 a Lead Certificate
If ti-, e c eCt is exempt from lead Certification, please ex,c a ,i %t` {see Page 3 for addit anal irrforma ion)
~ej
~r O ~/j I n ~vt I ~'I n n
COMPLETE THIS AREA ONLY IF CONS UCTING ANEW 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:
Seer & 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. (.,i! Gopher State One Gait at (661) 454-0002 Tor protection against , ei~o~,n7 utFi(ty t-far -,2- Ca[[
before - rend to dig to receive icn o = uridercgro-."~c t ~;es ~all.rsr~:
t hereby t ,r: ~o~aiedge that this information is complete and accurate; that n.re loror ~roil1 be in conformance ,,,Ilh the a; dinances and cosies 0 the Git,f
Eagan; that I ;nderstand this isnot a permit, but on',~ an application for a Wm,' and work is not to start widout a oermW that the work €ill be n
accordance strt h the approved plan in the case of work which requires a review and approval of plans-
Exterior work authorized by a btdkbng permit issued in accordance with the Minnesota State Building Code must be completed within 190
days of permit issuance.
X G r-n Dom-, X (~~~~-77_g
Applicant's Printed Name Applicant's slg
Pagel of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146058
Date Issued:10/06/2017
Permit Category:ePermit
Site Address: 1295 Vildmark Dr
Lot:025 Block: 001 Addition: Wilderness Run 3rd
PID:10-84352-01-250
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeremy A Eckstrom
1295 Vildmark Dr
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
T (C
For Office Use ./' I
eo a E AG A N
y e Ø
Permit Fee: /29
I KC q6S
�I / tDate Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 REIr% / 1
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspectionsta�citvofeagan.com FEB 2 3 2018 L I
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -G 3 +
0)( Site Address: I cA ci S 4 i X16-i'IQ--- Unit#:
AlzKev-
Name:
t rL,J E--(-- S iC).� Phone:
Resident/ �
tOwner : # Address/City/Zip: { S V, lcA yecut pfiy ,`
Mvi, SS
i<=23
k
- fP n . Applicant is: Owner )(Contractor
Type"54044i,,It
of Work
Description of work: (..v�S �/I h�di_/ ��e (-'1k7)-1).S
Construction Cost: I S 00 r Multi-Family Building:(Yes /No X )
3
Company: r 13� n
. ,s (�. E t.,,'I S Contact: t v\
Contractor Address: 6 C..re e r-- Ave._ r'-ze City: Ilk e �t ilk) A i s
State: 111110 Zip: (V) Phone I`a.� ( J mail: r1°tV1� ca�� f�e ,Tc.s f, on.
License#:1: (_. '1 ct O i( Lead Certificate#: N 167 s —• /b c J
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone: -
Mechanical Contractor: Phone:
• Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans andsupporting documents + r it are co sid `'`‘1:441.0infor Pinions of the information _ " rn
classified as no lic if you vide ons that a: <. r$ #t hat a ...,. p,,.
n�� s,�� ✓� � . u..Y � . x. ... �' `�► fr�=�secrets .� �
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 Cityof
Eagan; that I understand this is not a permit, but only an application for a permit, and work isnot 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 approv. of plans. Aopp
x —SQ 1 r\ 0r 4 �.._- x I/ ,
Applicant's Printed Name :r icant's ignature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
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 Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation yf 2, Bc).0. — Occupancy -/ MCES System
Plan Review Code Edition //1 f/ 2°/S SAC Units
(25% 100%?) Zoning (2 -'( City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VL3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
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 _Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower PanOther:
_
Reviewed By: 1 t)r'" WI./ 1 /Q"" , Building Inspector
RESIDENTIAL FEES 41;r?,`m,uAin fee
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152910
Date Issued:11/07/2018
Permit Category:ePermit
Site Address: 1295 Vildmark Dr
Lot:025 Block: 001 Addition: Wilderness Run 3rd
PID:10-84352-01-250
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Jeremy A Eckstrom
1295 Vildmark Dr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
FE AG A Nor Office Use I
A , r , 15-331 ) 1
1%' t •• , •rZe:
s� K .. .r1r__.. ``P �JI
Date Received: jillf
- i0 —i
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
EEIVE
A51)B75-567.5 i DD:CEv51\454-8535 d FAX:ffl1)L;v ,,
buildinginspectionsCa citvofeagan.com NOV 30 2018
2018 RESIDENTIAL BUI1s, s >L : ►i APPLICATION ()-1 -ti
Date: 2%1 IS( Site Address: A /. 0 .A Unit#: AG
Name: J-
C,rerr► & Ar vi Ecksfr(ny► Phone: (P12- 5dd --7 5/03
Resident/ 1
Owner Address/city/Zip: 1213 V�(Amncrr� i I Iffy' Ea fan, A4 IV 551 Z3
�i
/ / r
Applicant is r/ Owner Contractor Ste, / s ,, (/1 ' LOU/ f�Gt
Type of Work Description of work: Lo e,r I cvt i ¢It1 sal
Construction Cost: 0 P rO ( $ O b0 Multi-Family Building: (Yes /No V/ )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: 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: I
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
t ias ilicif as iron . ' 'if .•• • •- ftesorratfiatt•wuafdj ' 'the V' ,to witarRttt4fia' ,amliaeat etaata.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 . - ' :- • .. .t a permit; that the work will be in
accar 'arrce with the apprrwed ptarr irr the case of work which requires a review and apprrnr. -
x j:r i'-Yn i,4 F21( '0x .---.�'..--__ _.._..__
i
Applicant's P ted Name licant's Signature
DO NOT WRITE BELOW THIS LINE I'D-91'Cv/ 161a t k' 1 (
r J -3 3 t
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
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 Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation i iii r Occupancy it MCES System
Plan Review ��r Code Edition INTO t x SAC Units
(25%_ 100% �'!) Zoning NI_ City Water
Census Code t� Stories Booster Pump
#of Units Square Feet PRV
of Boildings Length Fire Scut pressicva Respired
Type of Construction tHVT) Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) , Final/No C.O. Required
Foundation Foundation.Before Backfill 4, HVAC _Gas Service Test Gas Line Air Test Hood
Roof: Ice &Water _Final i Pool:_Footings _Air/Gas Tests _Final
1. Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
's., Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Wails Fits Sctiipi ss arr:. Rout*kr_Fiera l
Braced Walls Erosion Control
1*,. Shower Pan Other:
Reviewed By: ic\i/ , Building Inspector
RESIDENTIAL FEES #50° I
Base Fee
{4141/
Surcharge 'till'
Plan Review
MCES SAC
City SAC
Utility Connection Charge 2 (0
D 7 /1‘ a ill OD
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3