1761 Walnut Lane
nLuoe oF K?aAN WATER SERVICE PERMIT
3795_ Pilot Knob Rood PERMIT NO.: 1710
Eaqan, MN 55122 DATE: 41-9175
Zaning: *+UR _ No, of Units:
Owner: -
Address: -
Site Address: -4
Meter No.,, s n [`n
Plumber: ~_,a Connection Charge:140.00 pd
.!'Q
Size'.`-4-/ y Account Deposit:
Reader Nn : ~Permit Fee: 10.00 ~i_Pd
I o~wolr with the Villoyo of Eaqan Surcharge: . 50 _ Pa
Misc. Chargee: 0•
~ Total: •
gy Date Paid:
Date of (nsp.: insp.:
VILLAQE OF EAOAN SEWER SERYICE PERMIT
379s rllet Knob Roed PERMIT NO.: 2470
Eegee, M1J 53122 DATE: 4/9/75
Zqning; D[tn No. of Units:
Owner: u w HOzizon IinmPS - WoOdga}P II
Addreas:
Site Address: 1761 tlalnut Lane
Plumber: Thomuson Plumbinq Co -
1 egn@ to tomplr wIM tM vNlego ef ta'aw Connection Charge: 425.00 Pd
prdkmmwas, Account Depwit:
: 10.00 P* pd
Permit Fee
Surchazge: .50 osi
gy. Miec. Charges:
Date of Insp.: Totel:
Inap.: Date Paid:
CITY OF EAGAN Remarks
Addition Woodgate 2nd Lot 14 Bik 4 Parcel 4%,4401 140 04-,,'
Owne? `f , Street 1761 Walllut Lane state Eagan.,XN 55122
Improvement Date Amount Annual Yea?s Payment Receipt Date
STREET SURF. a33 1974 8.52 1•70 3.42 A003252 10-15-76
STREET RESTOF, c 197 6 103 .7 344.92 3 689.84 A003252 10-15-76
GRADING
SAN SEW TRUNK
:57 197 11 .72 7.64 15 91,80 A003252 10_15_76
4~.SEWER LATERAL 413 197 3066.71 1022.90 2045. $Q A003252 10-I5-76
WATERMAIN
j{,WATER LATERAL 197
;fWATER AREA 197
9E6TORM SEW TRK 197
-;(STORM SEW LAT 197 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 140.00
13UILDfIVG PEf3. 1
~
sac 2 .00 30 - 94
PARK
i ~
INSPECTIaN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot kCnob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: , APPLICANT:
+ I..1i11 Nlt t 1 hfJi r~1, I 1 1 f4 1 1 I l
~ A f f .'Mt) • ( t; I ) ~y.~ ,..3 ~
1
PERMIT SUBTYPE: TYPE OF WORK:
.i ~.r•~~ ~ . ~ i nii<
INSPECTION .
i~i1%11 NIr illi,1{ 7 I'! ; 1 I;;.
I
~ J
i
Permit No. Permit Nolder Oate Telephone 8 I
S/1N I
PLUMBING I
I
HVAC I
ELECTRIC I
ELECTRIC I
I
InspWlon d*ts Insp. Commsnts I
Foolings I I
v
Foundation I
I
Fmmft I
Roofing I
I
R°uo P". I
Rough Fltg. I
I
IsW. I
Fireplace
Flnal Htg. I
Orsat Test
Flnal Plbg. P1bg. Inspector - Notify Pturtber
Const. Meter I
I
EngrJPlan I
I
Bidg. Finat
~
Deck Ftg. I
I
Deck Fnal I
Weli I
Pr. Disp.
~
I
CITY OF EAGAN
3795 Pilof Knob Road Ea9an, MN S5122 N! 6290
PHONE: 454-8100
BUILDING PERMIT Reteipt
Te M wwA fa Est. Value i. Date 19
Slte ss Eroct
? Octuponq
Lot ..L- Block ~ Sec/Sub. Zoning
pamel # Repair ? FIro Zone
fnlarya Q Type of Const.
W No^'1e Move ? # Stories
~ Address Demolish ? Front h.
° ; . C1 phone Grnde ? Depth ft.
o Name Approvak Feu
& Address Assessment Permit
I G • ; 5 : Water & Sew. Surcharpe
Police Plan check
Nome Firo SAC
Eny. Woter Conn.
<W CI Phone Planner Water Meter '
Council Road Unit I
1 hercby ocknowled9e that I have mad this opplicotion and stote that Bldq. Off.
the intormotion is correct and opree to comply with oll opplicable APC Totcl ~State of Minnesoto Stotutes ond Ciry of Eoflan Ordlnances. -
Siynoturo of Permittee
A Buildinp Permit is issued ta on the express condition that
oll work sholl be done in xcordance wkh oll epplicoble Stote of Minnesoto Stctutes and Ctty of Eogan Ordinances.
Buildinp Official
~...k ~ s.a hord rw.Mh.
Plurnbir+y
Mechanical
INSPKTlONS D/1TE INSP. Rouph-In Final
Footings Dote I?qD. Dofe Intp.
Foundotion Plue+bin9
Frome/iMechoniool
Finol
aernorks: l0 /S 7/Y`3 N<
• 4, ~d.:'V
CITY OF
EAGAN •
3795 Pilot Knob Road
Eagan; Minnesota 55122 _
YERMIT NO.:
549
Tl:e City of lagan hereby grants to
of `'e^• sedgraick xeating
- Permit for: (Q-,rrer) - ^^~-a T.ve.
HEATZNG
' 4:oodgate
1761'Walnut Lane ~a~~`~•-a~ui
Fee - dated Lhis day of 311n/75
~ ,
$160,00 -
4.00 s/c 13 Mar. 75
Build_ng Inspector
cal Permits:
i'.c: Tsta1:
. . Zl~
CITY OF EF;GAP1
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 554
The City of Eagan hereby grants to Trompson Plimbing Co.
of: 2n1 'slv,t., Ninneron:ca
a PS,OtiCiit;; Permit for: (Owner) Nel•7 POrizoP - woodgate II
1755, 1753, 1760, 1763, 1764 iiir.korv Hill and 1755, 1757. 1759,'17r-1, 1763,
ati; 1765 Walnut Lane 1 ~ pursuant to application dated 91175
Fee Paid: :;720,00 dated this °r_h day of Tn1":1 , 1975
i.,fi S/C
3uilding Inspector
Dlechanical Permits:
Bid Tota].e
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 6290
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt #
To 6e wed for SIDING/TRIIVI Est.Volue 3, 500WEr Date 10.-14 , 1*0-
Site Adfirfi~ss 1761 Walnut Ln.
r/ ?
Lot ~~t Block Y Erect Occuponty
Sec/Sub. Alter ? Zoning
Parcel# 10 ~(0"0 ( I 4G) ~ Repair ? FireZone
Name Bruce Crosby Enlarge ? Type of Canst.
~
Move ? # Stories
3 Addres 1761 Tlnut I,n. oemoush--p Front ft.
o ~ 8gan 'hone Grade ' ? Depth ft.
o TAidwest Gutter Aovro.oi. peea
Name
15.00
Address 5309 Edina Ind. Blvd. As~umenr Permit
F Ci Edina, Mn. 554pUne 835-1740 Water & Sew. Surcharge 2.00
Police Plan check
vw Name Fire SAC
~Z
~o Addrew Eng. Woter Conn.
aCi Phone Planner Water Meter
Council Road Unit
I hereby ockrwwledge that I hava reod this application end state that gldg. Off.
the information is correct and agree to comply with oll opplicable APC Total 17.~0
State ot Minnewto Statutes and City of Eagan Ordinonces.
Signafure of Perrnittee
A Building Permit is issued ro: Midwest Gutter on the express tondition thot
all work shnll be done in accor ce with a~ll'se~ppliwble State of Minnesota Statutes and City of Eagon Ordinances.
Building Official ~
T ~
n I^ V CITY OF EAGAN Inclixle 2 sets of plans,
Y~/ lV 1 site plan w/elevations &
&1ILDING PERMIT APPLICATION 1 set of energy calculations.
'Ib Be Used For Valuation 0,5'00• Oo
Site Prldress Date /a - i,/-~o.
1_ ZG / Q1 ~~„~r~ ,
Lot Bloclc OFFICE USE ONLY
Sec./SUb.
P Erect Occupancy
~~1 ter
Zoning
ONmer: ~ ~ Cl 1 Fire Zone -
EnlarJe _ 'IYpe of Const.
Address: 76 "bve # Stories
G" Deimlish Fmnt
C~ty/Zip Cocle: c`Pya-,~, S S/i a• Grade - ft.
DePth ft.
Phone HS5/-~/V
Contractor:
Assessrtnents Permit ~ iS, a d '
Pr3dress: ?aater/Sewer Surchar e
City/Zip Code: Police Plan Check
sS S/,3 S Fire SpC
Phone S-/74 En9• Water Conn.
Planner Water Meter
Arch• /Enq • : Council
Bldg. Off.
Frldress: ~~t
AfC
City/Zip Cocle:
Phone
TO'I'AL /7, D 0
. • ~~p ~ 3 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657•681-4675
New Conetructbn Beaulremente HgmodeUReoair Reauhemente 7-5
• 3 registeretl sile suneys yhowing sq. R of bt, sq. lt. of house; and gll roofed areas • 2 copies of plan
(200/. m2ximum bt covB2ge Blbwed) . 7 set of Energy Cakulatbns for heated aGdNOns
• 2 copies ol plan showhg beam & window Sizes; poured laund design, etc.) • 1 sMe survey for e#erqr atlOAions 8 tlecks
• 7 set ol Energy Calculatbns . Indicata'rf home servetl by septic system for additqns
• 3 copies of Tree Preservation Plan it bt plattetl alter 711193
• Rim.bist Deteil OpTnms selectbn sheet (bldgs wilh 3 or less unAS)
DATE VALUATION ~T~~~"•~
SITE ADDRESS MULTI-FAMILY BLDG _Y r)- N
NPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS 4a a~~- A/fco //~e.t4 X?e S- arvPurnSV~( (e STATE W NLP~ Sf3 s' ~
TELEPHONE # Cq~a) 70 7'~9 S9CELL PHONE # FAX # QS~.~ g~`c69
PROPERTY OWNER B/'cJLC Cfo 5G~ TELEPHONE 06 SU if S'{ -L{ L( LIO
COMPLETE THIS SECTION FOR ^NEW, RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINN I~UL&~L5 76'f~l
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted • New ~ e y o~de Workshe t~b ih d
• Energy Envelope Calculalions Submitted AUG O S ZOO? U
Plumbing Confractor: Phone # By
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. oF R.I. Baths
_ No. of Baths
Mechanical Conhacfor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhacfor: Phone #
I hereby acknowledge that I have read This applicatlon, state fhat The informaTion is correct, and agree to comply
with all applicable State of MinnesoTa Statutes and CiTy of Eagan Ordinances.
Signaiure of Apptlcant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
~ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permi[s are required for each unit
Date_~/~/
Site Address Unit #
PropertyOwner Telephone # ((-.5(
ContraN.nr
Street Address~TWApD MEATING 8 A!R CONDITIONING 00. c;ty
State MINNEAP(?LIS. MN 5b408-2998zip Telephone )
812-h't4-2868
Bond Expires:
The Applican[ is _ Owner ~ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
~ furnace _Additional xeplacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ 50
To[al $ -30-S
,Z
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; [hat the work will
be in conformance with the ordinances and codes of the City of Eagan and with the ica] Codes; that I r this is not a
permit but only an application for a and work is not to tart without a pe 'r, tl~ e work will i co ~a ce with tUe
appr v d plan in the case of w rk w req res a review and ap roval of plans .
Z ;F- A:)
Applicant's Printed Name Applicant's Si u~i L~
LI-Y,
( PERMIT ~
- CITY'QF EAGAN -7-
3830 Pilot Knob Road PERMIT TYPE: B u ILn I N G
Eagan, Minnesota 55123 Permit Number: 024194
(612) 681-4675 Date Issued: 0 7/ 2 0/ 9 4
SITE ADDRESS:
1761 WALNUT LANE
LOT: 14 BLOCK: 4
W0006ATE 2N0
P.I.N.: 10-84601-140-04
DESCRIPTION:
(ROOFING)
Building,Permit Type SF (MISC.)
,Suilding Wo.Ck~Type REPAIR
~
~
REMARKS:
FEE SUMMARY:
VALUATION $3,000
Base Fee $54.00
Surcharge $1.50
Total Fee $55.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
ALLSTAR CONST INC 15935325 0003247 CROSBY BRUCE
3315 N HWY 100 1761 WAINUT LN
MINNEAPOLIS MN 55422 EAGAN MN
(612) 593-5325 (612)454-4440
I hereby ecknowledge that I have read this application and staCe that the
information is correct and agree to comply with all applicable State of Mn.
~ Statutes and CiCy of Eagan Ordinances. J
nou
APPLICANT/PERMITEE SIGNATURE -ISSUED 6Y IGN TURE 1~'
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euZLotNG
3830 Pilot Knob Road Permit Number: 024194
Eagan, Minnesoia 55123 Date Issued: 0 7/ 2 0/ 9 4
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 14 BLOCK: 4
1761 WALNUT LANE ALLSTAR CONST INC
WOODGATE 2ND (612) 593-5325
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) REPAIR
DESCRIPTION (ROOFING)
INSPECTION .
FRAMING ROUGH IN PLBG
ROUGH IN HTG FINAL
F
~
L
CITY OF EAGAN
4194 1994 BUILDING PERMIT APPLICATION ~',zSV
1 681-4675
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.
Date 4- Valuation of work a~ c/~~-U C)
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
LOT 4- BIACK ~ SUBD. P.I.D. #
~?~G~ (.l~P~ •~_il,(X~
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name 5,14 R lr~-C:e, Phone y
Property LasT FIRST
Own@I' Address ( V"(A`A.LIJ-
STREET STE #
City F6,t) State tA4~- Zip 'e'~rt1 0~-
Company 60/S~- Lj\ ! , Phone
Contractor Address 3315' ~ H~v l0c~ License Exp.3"3I
City _~"lp`5• State /`A11- Zip Ss~f 2Z
Architect/ Company Phone
Engineer Name Registration #
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 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1761 Walnut Lane
Lot: 14 Block: 4 Addition: Woodgate 2nd
PID:10- 84601 - 140 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Bruce J Crosby
1761 Walnut Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
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
Issued By: Signature
Building
EA084795
07/30/2008
ePermit
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use I
~ Permit
Clty of EaRd~ 5
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received:
Phone: (651) 675-5675 I ^ I
Fax: (651) 675-5694 I Staff: x-111 I
I I
2013 RESIDENTIAL BUILDING `PERMIT APPLICATION
Date: Site Address: \q6\ Unit
Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner (rContractor`i AA ~ ~
Type of Work Description of work: - <c k w V\ L1,ts M Eles-( 1~C .,t
\ -
Construction Cost: t 000 Multi-Family Building: (Yes / No )
Company: • d ,,.s•-5T s Contact:
r2gc
Contractor Address: j~ City:
State: (yi Zip: Phone: q S 7-
License Lead Certificate
I
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:
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 the 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.gopherstateonecall.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 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
1/6/2015 2:35 PM FROM: Fax T0: 1-651-675-5694 PAGE: 002 OF 009
.. c�
Use BLUE or BLACK Ink
-----------------�
� For OHice Use '�� �
I
I
• j Permit#: I
City of E��a� � Permit Fee: � • �� �
3830 Pilot Knob Road � '� I
Eagan MN 58122 j Dale Received: '� � I
Phone:(651)675-56t5 � S�K. I
Fax:(651)675-5694 � �
�_�����������_���J
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name:�YU L� CY aS�l�f Pnone:�iS/-�iCS y-yy�1�
Resident/ ty 17��� ��,/n,�� Lh
Owner Address/Ci I Zip:��m,
Applicant is: Owner �,Contractor
Typ@ Of V1�Ofl( �escription of work: �1rQ��I / /��
D o�I
Construction Cost:�.d 3D Multi-Family Building: (Yes /No�
Company:,S� G✓d �( Q�v _(Z1�,7r�� Contact: ���lGI �Gfl��
Contractor Address: S��7 �.s�l�t�G�y/ ,QI�P /� crty: ��V'L1.S'��
State:�,zip: SS 2R Phone:'�3-531'y��1 Emai�:YYl%�e(�A .Sc�ih�Ar�W�U'� ��
License#: ' ����a Lead Certificate il:�Cl� �/��3l��b
If the project is exempt from lead certi�cation, 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 pertnit for a similar plan based on a maste�plan?
_Yes _No I(ye�,d•ale anJ adJiG�3 vf i15A51e31'plill:
Licensed Plumber: Phone:
Mechanlcal Contractor. Phone:
Sewer 8 Water Contractor: Phone:
NOTE:Plans and supporting documents that you submit are co�sidered to be public iniormativn. Portions of
the informatlon may 6e classi�ed as non publlc if you provide speclflc reasons that would permit the City to
conclude that they are trede secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII at(651)454-0002 for protection against underground utility damage. Call 48 hours
be(ore you intend to dig to recelve locates of underground utitNies. www.aooherslaleonecall.ora
I hereby acknowledge that this infortnalion is complete and accurate;that lhe work will be in contortnance with the ordinances and codes of the City of
Eagan:Ihat 1 understand this is not a pertnit, 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 p1a�in the case of work which requires a review and approvai of plans.
Ezterlor work authorized by a bulldfng parmlt Issued In accordanea wlth the Mlnnesota State Bulldtng Code must be completed wlthln 180
days of permit Issuance.
x� P � x
App canYs nted Na Ap canYs S natu
Page 1 of 3
1/6/2015 2:35 PM FROM: Fax T0: 1-651-675-5694 PAGE: 003 OF 009
���Q� W a 1hJ� �-�•^�_
DO NOT WRITE BELOW THIS LINE ` �����
SUB TYPES
Foundation _ Fireplace _ Porch(SSeason) _ Exterior Alteratlon(Single Famlly)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(ScreenlGazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Slding _ Demolish Buildiog•
Addition _ Move Building _ Reroof _ Demolish Interior
�Altentlon _ Fire Repair _ Wl�dows _ Demolish Foundatfon
_ Replace _ Repair _ Egress Window _ Water Oamage
_ Retaining Wail •Oemolltlon of enti�e bullding—give PCA handout to appllcant
DESCRIPTION
�
Valuation Z���� v`� Occupancy ,,:�J��� MCES System
Plan Review ,s'� Code Edition /�1 i� ��L-'7 SAC Units
(25%_100°�� Zo�ing ��' j� City Wate�
Census Code Stories Booster Pump
#�of Units � Square Feet PRV
#of Buildings I Length Fire Suppression Required
Type of Construction �— Width
REQUIRED INSPECTIONS
Foctings(New Buitding) Mete�Size:
Footings(Deck) Final/C.O. Required
Faatir�ys(A�ditian) tnul!No C.O-Roquirod
Foundation HVAC_Gas SeNice Test Gas Line Air Test
Roof:_Ice 8 Water _Final Pool:,_Footings _AiNGas Tests __,_Final
F�aming � Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill`Final
$heetrock Radvn Cvnlrvl
Fire Walls Erosion Control .
Braced Walls Other:
Reviewed By: �''�� V!''1:K-�� �'" ,Building Inspector
RESIDENTIAL FEES �; � �n������
Base Fee �� �� '� �'� � �� '
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
SB�W Permit 8 Su�cha�ge
Treatment Plant '
Copies � � �
TOTAL
Page 2 of 3