Loading...
2155 Warrick Ct            ÿ  þýýü ûúÿú ÿ     ùüüýý  ÿôôï é  úóù  áíã    þý   ÿþýüû ú ùýüûø÷ ûú öÿûõôÿõóÿþò  ûñðï  ý îî íî ìü  íð ù÷óæ ò  õëñêûõïé è í èî íí öù  ÿó ëçé è ð èð  õôóô  òñ ûû ÷ßú ìëÿó î íøó æ ÿ ùú òóòø òø ñðïíí ð óþü÷ó óæóûûóóåõõûü÷óûûþ  åò ÿúüåäè ûûà õ ÿ ÿü ÿ INSPECTION RECURD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . .A I II .~ti';; 1 F~~hl , ! 11 1 I'I i~~ ( , I II,.I I i I~~~ f 114~•~I i: rM n RV ;a : I t~' 'v' i-J !(1 1. ~ J L Pe?mft No. Permit Holdsr Date Telephone A SNV PLUMBING HVAC ELECTRIQ:Z 00 ELECTRIC Inspsctbn Dete Insp. Comments Footings t ~V;:.Z'/~Q Foundatlon ? y B Framin9 Roofing Rough Plbg. Ftough Fitg. I5ul. 6 9r ~ ~ Flrepiece Final Hig. brsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr.lPlan Blcig. Final Deck Ftg. • Deck Final Well II Pr. Disp. ~ ~ ~1 v-fS9 ~ I ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3$30 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 9 Date Issued: (612) 681-4675 . 4 . . i r . _ . , . SITE ADDRESS: „I , t, i„(' ~ APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: , , ~ , ~ , ~ i~ INSPECTION . ~ t i rlHltr 14' , t a' 1•IIE, F I lirq ),t kil t r Hr~ I'iH hil l UkF i'IDRf.H ~ ~ -----y PermR No. PertnR Holder Dete Telephone # ELECTRIC PLUMBING HVAC Inspectlon Dete Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK F7G DFCK FIN:.:_ j Address 2155 wnuusc:rc !rn~T Zip 55122_ I.o1t ~ 22 Blk 1 Sub sr M~mS [,oOD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ~wf_R, Yes No Inspector: Final grade (6" from siding) ~ Permanent steps (garage) V/1 Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch ? Basement finish Deck Please verifywith the builder the removal of roof test caps from the plumbing system andthe shut-off of water supply to the outside lawn faucet before freeze potential exists. - Contact engineeting.division at 681-4645 before working in right•of-way or installing underground sprinkler system. ~ White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy 2005 RESIDENTIAL BUII.DING PERNII'C APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtbn Reauirements RemodeVReoalr ReauiremenLS Office Use Onlv 3 registe2d stte surveys showing sq. tt. of lol, sq. h. of hause; and all roofed areas 2 copies of plan CeR M Survey Reoi _Y _ N (20% maximum lot coverdge allowed) 7 set of Eneyy Calculations for heated adEltions Tree Pres Plan Recd _ Y_ N, 2 copies of pWn sMwug beam 8 window saes; poured found design, etc. 7 si[e survey tor addHbns 8 dedcs Tree Pres Required _ Y_ N lsetofEnergyCalculafions Add'Non - indicate'rfon-sdesepGcsystem On-sileSepUaSystem _Y _N 3 coples o1 Tree Preservation Plan K lol pleUed after 717/93 Rim Joist Detail Options seleclion sheet (buildings wAh 3 or less unils) Date(D/ ConstructionCost SiteAddress c~ISS 1,~)atA~ Occ.n7t' UoitlSte # Description of Wark ~ 5~~'D Multi-Family Bldg _ Y~ N Fireplace(s) _ 0_ 1 _ 2 Property Owner ~-L ~ tiL AN.D 1041T, Telephone # ( fo5 ( ) c990 - J"~ 7D 3 Contractor /1'"1b~Z`14,.) Re-s Address ~el 646(E- /~~25a~ *fl, L City~fi stete ziP s~~gd Telephone # (&S( ) `~39 - /~6 0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (4 submission type) Submitted Submmed . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water 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 tUe 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 whi requires a review and approval of plans. ~7 'Applicant's Printed Name ~Applicant's Signattue 2005 RESIDENTIAL BUILDING PERMIT APPLICATION l• C(~ 1(~~y-y~,( Jf p~, City Of Eagan o z/ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodeVReoair Reauirements Offke Use OnN 3 2gistered sile surveys showing sq. h. of lol, sq. k. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%mazimum lot coverage allowed) 1 set of Eneqy Calculations for healed add'Aions Tree Pres Plan Recd _Y _ N. 2 mpies af plan showing 6eam 8 windowsizes; poured faund design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N lsetofEnergyCalculalions Addifion - indkafeMOn-sdesepticsysfem On-sitaSepticSystem _Y _N 3 copies of Tree Preservation Plan if lot platted afler 717193 Rim Joist Detad Options selection sheel (buildings with 3 or less uniis) Date ~ / Ur / ConstructionCast SiteAddress ~S-c- (.U~vv c fC UnidSte k Description of Work (7GS~vycr~rT ~2wrod~P 4u-ri Multi-Family Sidg _ Y_V N Fireplace(s) ~ 0_ 1 _ 2 Property Owner P114111c. k ?"5~ ( Telephane # ( 6SI Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672 Ene[gy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheei (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor r Telephone # ( J Sewer/WaterContractor ErIL-- Telephone ) F II~ I hereby apply for a Residential gilding e•mit nd ck owledge that the information is complete and accurate; that the work will be in conform 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. n F-u?ks ~ 4 1 ApplicanPs Printed Name pplicant's Si ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02. SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 Ot 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/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex IY 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition O 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair x 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34. Replacement •Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation 111'? (9~ Occupancy MCES System Census Code V/ 3[4 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const e Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.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 _ 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 Connection Charge ~ S&W Permit & Surcharge 7o Treatment Plant License Search Copies Other Total _~CI''Y OF EAGAN PERMIT fl- (3-5~ 3830 Pilot Knob Road PERMIT TYPE: B I L D i N G Eagan, Minnesota 55123 Permit Number: 0 2 4 5 9 7 (612) 681-4675 Date Issued: 10 / 13 / 9 4 SITE ADDRESS: 2155 WARRICK CT LOT: 22 BLOCK: 1 ST CHARLES W00D P.I.N.: 10-65870-220-91 DESCRIPTION: Building,.Permit Type SF DWG Building Wo~rk Type NEW !UBC Occupancy\., R-3 M-1 j Construction Type V-N j Zoning R-1 j Building Length / 65 % Building W3dth ~ 43 Building stories ~ - 2 ~^-_Sµu~are Feet ~ 2,221 ~ ~ rvy~ v~ ? / ~.t~V L"~ ~ F:j`' :J V REMARKS: PRV S & W PLBR - FEE SUMMARY: VALUATION $198,000 Base Fee $982.50 MISCELLANEOUS $1,828.50 Plan Review $638.63 Total Fee $4,348.63 Surcharge $99.00 SAC $800.00 SAC ~ 100 3AC Units 1 Subtotal $2,520.13 CONTRACTOR: - Applicent - sT. LIC. OWNER: HORTON INC OF MN, D ft 14544663 20005657 JOE MILLER HOMES 3459 WASHINGTON DR 3459 WASHING70N DR EAGAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 , xr I.,h'ereby acknowledge that I have read this application and state that the infiormation is correcC and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPL ANT/PERMITEE SIGNA7UFE ISSUED : SIG ATURE , CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s 19, e ergy calcs. SEp 1 5 11994 COMMERCIAL 2 sets of architectural & structural lans, 1 set of specifications, 1 copy of energy cal 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 19 6? Valuation of work Site Address: L'ot (20 U e t STREET SUITE # Tenant Name: (commercial only) LOT C9 r-4 BLOCK ~ SUBD. P.I.D. # Descri tion of work: The applicant is: ? Owner Contractor Other (Describe) Name Phone Property Lnsr Fiasr Owner Address STREET STE # City State Zip Company Phone Z6q"Wd,{_2)~ Contractor Addres '7~c? icense # : x. 3qf)- City State ZiD65/OZ . Company Phone Architect/ 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 State of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicant: /5- 94 OFFICE USE ONLY ~ - ~ • ~ . BUILDING PERMIT TYPE ~ 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish Of 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 fireplace O 19 Comm./Ind. Misc. ? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair C] 36 Move GENERAL INFORMATION Const. (Actual) 'k-W Basement sq. ft. Z MWCC System Iq (Allowable) lst F1. sq. ft. 1,~7/ City Water x UBC O9cupancy Snd Fl. sq. ft. ~siz PRV Required x Zonin q, ft. tatal Boaster Pump # of Stories Footprint Sq. ft. z zzi Fire Sprinkler Length ~s On-site well Census Code Depth ys On-site sewage SAC Code ~L APPROVALS eensus Undg ~ Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site eg~ Footing E14raming ~Insulation ? Wallboard Q~Einal ? Draintile ? fireplace Permit Fee vaiuacion: g /9fl,ooo Surcharge Plan Review /SsMrLicense MWCC SAC zx z3.&7 = 1/;,3y 2XZ3.v7 = Y7.3y City SAC ~ zX v = Water Conn. Water Meter 3 s =.s~_, s~o 3s - Acct. Deposit J y71 syXSyj S/W Permit p~3.s1/ S/W Surcharge Treatment Pl. Road Unit 777.7 s 3~. Park Ded. s/z . Zr 5- K s Z&xsy ° ~ ~.sF zo> >C > Trails Ded. v~ Is , ivo Copies L r X /s.s,> =L7.7} 7 Other Gi~f 5 > ~ 9° > Total: sac v 73g x SAC Units L- - _ - 7or„~ ~ /S'7BSB CERTIFICATE OF SURVEY M32~-1166-94 • for JOE . MILLER HOMES N 84w E 90.37 47,1 0 o s¢s` S - - - ~s ~ )2, , koll,T ~ \ \ < Utuit ~ 7 /o" y eOSement ~ ~ / ~9385~ ~ ` M ~ riu ~ prainug6lity ent \ eQSem ~ - l mM~ ~ ~4.0 Q) Cc o N o, QO O~ N ?'ie> $ 2 . p s ,r8 QS°posey ' ~t e/ hO4se 'oo 9s3,6 Z 9o K U f 96~Ob o0 Bik 96~ ~ 0 5S~ ~ p ~ 9~ so Fr° ` iNV, 8s ~ I ,r S S)~ 2 00 ~2 • ' Ss, I GAN EIVGIIVEERIIVG DE T 05~ . C\ Scale: 1u = 30' C° ~a ~ r Z! _ Warrick r ~ r~ G~o G~o~Io ~.R~ DESCRIPTION R E V I E 4V _ L~ . ...r----- I hereby certify that this survey, plan, or Lot 22, Block 1gy ~S~ report was prepared by me or under my direct ST. CHARLES WO supervision and that I am a duly Registered ~j' L Land Surveyor under the Laws of the State Dakota County, i~,+eso{Q'.~,._- t of Minnesota. Plat bearings shown o Denotes iron monument VC Date ~ 56Q 199~ RFVF_Reg. No. 8140 ~ Existing j Proposed ~ BRAPIDT ENGINEERING & SURVEYING 1600 West 143rd Street, Su ite 206 Burnsville, MN 55306 (612) 435-1966 M32-1166-94 LOT SURVEy CHECRLIST FOR RESIDENTIAL BIISLDING PERMIT l?PPLZCATION ~ pROPERTY LEGALt Dats of Survey: _ DOCIIMENT 6TANDARDB i / / ~f 'H' 0 0 • Registered Iand Surveyor signature and company D`D 0 • Buildinq Permit Applicant ~ 0 13 • Leqal descziption ~ D 0 • Address 07' n 13 • North arrow nnd bar scale D~ 0 D • House type (rambler, walkout, split w/o, split entry, lookout, etc.) G~M 0 • Directional drainage arrows with Blope/qradient 4. 8' 0 D Proposed/existing eewer and water services 0' 0 0 • Street name Di0 11 • Drivevay ELEVATIONB Exiatinc [70~D 0 • Sewer service Or'-13 0 • Lot cozners Pl D 0 • Top of curb at the driveway 0D---U • Elevations of any existinq adjacent homes Procosea 0 D - Gnrage floor 0 0 • First floor 0''D D • Lowest exposed elevation (walkouL/window) 20 D • Property corners B'L 0 • Front and rear of home at the foundation PONDING 71REA8 fif avDlicable) 0 2'0 • Easement line 0 GY 0 • NwL 0 0" 0 • HwL 0 0'" 0 • Pond # designation D 0'13 • Emezgency Overflow Elevation DIMENSIOIQB D D • Lot lines IIr 0 0 • Right-of-way aad street width (to back of curb) B' D 13 • Proposed honne dimensions including any proposed decks, overhnngs qreater than 21, porches, etc. (i.e. all atructures requiring permanent footings) 1~- D ~ • Show all easements of record and any City utilities within those easements C- D 0 • Setbacks of proposed structure and setback of adjacent existing homes a 8-0 • Retaining wa requirements, if any Aeviewed: Nam / ate October 1992 , . 2.4 s~s(2 3 22 ~ v+o5 ~"51,• s t+5 m w 9 2+4 2 i G' iw9/ ~ $L.. 4 ~ \ *g- ~ rdkb"~ 4...' SHE~E~Iq ,~~r ~v.~ *~1~ L,l91fJ1~~EN~~Q~Lld7~'}::~1! ~ , ~t,~rroNs. :Fu-i(78~~;~~„PUAPps,c l? P~TH~SH~ f,,t;; . ~ ~ M. ~ L /~M ~ 5!~ OV< 1 ~ ~ ~ I Dy / a ~.6' ' GOtliR- ' . ~ G4ri,3~ o ~ ~To NIN.s{g + ~ ~ ~ ~-RISER f~ ~ ~ C II ~YP.) 13S~,~o~B'~- . ~i _ r r-> _ .i ~ f.~ aAC~~ ~ ~ . i , Aap 93 M o- 1:1 1'T'491t° 1::=SWV~ &b-! D O Fl:~ ~ ~ I ~ I . MINNEROTA GTATS ENERGY OQ& CAICUI&TIONS ~ ' BA9SD ON CIiAPTSR 5 OF Tf1E MODSL ENER6Y COpE - 493 EQITIQN (I Adoptlon E[feative owner_~___ANW C, f~ Phooe pate__. site.Addrese . ; contractor guilding Classifioationt Type l?i (single Family b buplex) r Type A2 (Residential, 3 stories or less) (Over 3 stories) (other) NOTSt ComQlete jRaqes 3 and 4 first. 9ENEF2AL• TNFORFLATTON 1, euiiding Perimeter L~y0ft. 2. Wall height (ground to aave) N Ft. a. 1. X 2. (abova) qrose usll area 33 R~ sq.ft. 4. Buiiding dimensions (L) x(W) r 4 ~~Ds~q,ft.rooP 6 fxoor area . 5• Sq. foot area of rim joist - Fl~r Xoie. t~ize (2 X~~_Z, /1 q i~(Perimeter) sq.[t. 2 • 6. Doors - Area Thickne s in U. factor~l4t 41 Type oP Congtructlon Perimeter gt, Manufacturer 7. Total dnor's perimetier pt, B. tiindows: Mantkf~turer 1~~JUL l~/lt! ~ State eppraved_ U factor L _ 'PYpE SIZE AREA (6q.Ft.) NUHBER OF TOT?.L EACH UNI'CS 5Q FBET ri 9. motal sy.tt. aiaes lo, Fireplaae areaf Width X Height sq.ft. ].i. Exposed toundation= Neight Jt Perlmeter,G7 X(7(., ft. COldPLETION Op TNIB FORM x8 REQUIREn FOk AI.I, NEA1 C0149TRlICTiotf, MAJOR REMODELINt3 AND BUILDINf3S BLING HOVED WHERB 1Sf1ERGY, OTHER TNAN mH$ NINIMAL COpE ALLt7L9ANCE, IS UBED. 50iT0'd 659£ 2Sb z19 1 'Xli 'ODNy-Id 8£:SL 6661-TO-d35 1Z. Framin aren ~ 10} of q grogs Nall area. 13. Gross well erea ( gq,Et, . Window erea A 33 ~ sq,tt. U windowa UxA - Rlm joiSt area A~sq.ft. U rim joist= UxA -~j=% poor area A -s! gq,ft, u door srea= ux]1 = 7 Othsr doors area A By,ft. v other doorQ=-14--L Uxa - Expomed lndli A-,1sq.tt• U foulldqtlotl=~(J L(O UxA - p~ ~ Framinq area A ec~, Pt. u Praming area= UxA = Net wall aroa A eq. ft. U wall. f!~43 Uxh _ (138) TOTAL . . . . . . . . . UxA - 14. Gross wsll nrea x 0.11 (1?-1 alnqle faepily G duplax) = allowable Ux.A/Code ' (1J. aAove) x 0.23 (A-2 other reaidentiel) x .23 (othet buildinge) x .28 (ovar 3 storiea) 2BTUH muat he larger than or eame l+ iYU x U Code ~ t 1 4 % °F. ae 13B above 15, ce111ng framing area (A£) equela lOt of aellinq area 15A. Grose ceiling area =(L) x(N) d1(10eq.it. r 158. .7oist area (Af) A 30t cailing erea 15c. Net ceiling area (A.) (1BA - 15B) ~ 4sq.ft. U ce i 11 nq xAC = 1~1~.•-•~-'-5~.-x U framing x A f . ~i x 150. TOTAL U x A 16. Ceiling eren (15A) x 0.026 (A-1 single femily k duplex) = ellowable UxA/C~ode x 0.033 (A-2 other reeidentiel) x 0.06 (other) 1~(15~l/`? ~ BTUH muet be lezger than ~~r sarae 1~)I x U Code_~„~~,_~,r P. eg 15p abova 17oTEi Uee U anol 1? values obtained from pageB 1, 3 and 4. CEBT7,EICATI4Hm I heraby certify that I have oalaulatad the "U~~ fsatnrs end ~~itII valuas hereln and thaC tha building hera dosoribed maoto or exaaeae tha stata oP Hlnnesnte Etiergy Conaervntion hak. . nate 8lgnature ~ PERMIT ~CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028151 (612) 681-4675 Date Issued: 0 7 i 0 3/ 9 6 SITE ADDRESS: 2155 WARRICK CT LOT: 22 BLOCK: 1 ST CHARLE5 W000 P.I.N.: •10-65870-220-01 DESCRIPTION: (FUTURE PORCH) l3u3ldii?g- Permit Type DECK ~uiiding W.9rk Type NEW r`Gensus Code434 ALT. RESIDENTIAL , i'!~ i~~~fl l, TM•'~ REMARKS: 14'x 14' POR7ION OF DECK HflS 3 FTGS AT 24" DIAMETER BELLS FOR FUTURE PORCH FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: OWNER: - Applicant - REEDER MARCELLE 2155 WARRICK CT EAGAN , MN 55122 (612)882-6369 I hereby acknowledge that I have read this application and state that the information zs carract and agree to c.omply with all applicable 5tate ot Mn< Statutes and City of Eagan Ordinances. L . ~ . GN1AT °EI, APPLC / ~~PE M~ EE SIGNATURE 155U CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~ ' 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) t'q 681-4675 New Construction Reauirements . RemodeVRaoair Reauirements ? 3 registered sile eurveys ? 2 copies of plan ? 2 copies oi plans (includa beam 8 window slzes; poured (nd. design; etc.) ? 2 site surveys (exterior addMians & deeks) ? 1 energy calculatlons 1 7 energy calculations for heated additfons _ ? 3 copies of tree preservatlon plan if lot platted after 7/1193 required: _ Yes _ No DATE: ~ 3-/v~9/~ CONSTRUCTION COST: DESCRIPTION OF WORK: C4 f~l LIC-4 t~ STREET ADDRESS: LOT °a- BLOCK I_ SUBD./P.I.D. JA" onzi PROPERTY Name:.;~ejj~~ Phone.#: w, nR81 OWNER • T ~OJ/~.~8"/ Street Address• 2~/ City:, State: lj*A~ Zip: . ~ coNTRAC7oR Company: Phone 5treet Address: License City: State: Zip: ARCHITECTI Company: • Phone ENGINEER Name: Registration Street Address• Ciry: State: Zip: Sewer 8 water licensed plumber: . Penalty applies when address change and Ioi change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~~~ENED . Certificates of Survey Received _ Yes _ No . J UN g 6 1996 Tree Preservation Plan Received Yes No OFFICE USE ONLY • •8 ` BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelianeous ? 05 SF Misc. ? 10 = piex ~15 Deck WORK TYPE #OX /yx/y A0774w'' DF ,d'-31 New ? 33 Alterations ? 36 Move ~ ? 32 Addition ? 34 Repair ? 37 Demolition 0 ~ 2~1 3cttf F~- GENERAL INFORMATION r ~ ~lwcr, ~ Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Boaster Pump Length sq. ft. Census Code. 47357 Depth Footprint sq. ft. SAC Code Census Bldg Census Unit D APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ` % SAC SAC Units . . CERTIFICATE OF St1RVEY M 3 2-~- l 156~- 9 4 for JOE MILLER HOMES N 89'48'04" E 54,44 _ 90.37 ~ o S - - - 5 • ~ lv ' I*7,6,e ~ ~ Uf1\ / ,o,,S~ eoSern~nt ~ ` / ~385) ~ ~ Draina9e ~ ~ utidity eosement CO h q~'~r~ e( ~~~R•~ o• 14 If~ f- ~ N . 1 ro~ g / /y\ gs o~posed t h g 1p~ °~q"Q~~ ~ r ~ e/ o4s A Po 9 a 9~,6Ze ~ YRzO ^ °~j ` y J4 r•6., ~ oJ y6~ob 0 g~Blkg6/,~~, QFb~ • S 8S0 0 PR~P~~., f~~';~;:;, • ' srl6 qr-. ~9s8,s6, , r~\ Scale: 1",= 30' ~ OUr~ Z! Warrick Court Y DESCRIPTION I hereby certify tnai this survey, pian, or Lot 22, Block 1, report was prepared by me or under my direct_ ST. CHARLES WOOD supervision and that I am a duly Registered Dakota County, Minriesota Land Surveyor under the Laws of the State of Minnesota. Piat bearings shown ~A o Denotes- (rbn rnonument Date a7 56P 199Lt 2FV, Reg. No. 8140 ~ Exist(ng~ Proposed Q I ~ /9 . j. BRANDT ENGINEERING & SURVEYING ? ~ 1600 West 143rd Street, Suite 206 Burnsville, MN 55306 ° (612) 435-1966 . . . . . . , , . ~ . . ~ . . f ~ F s~¢ y-g rr s.ix~ ~ns dcF~sA a'sa>ica~~ x> u s s ri e x . . . -.T". n.- . 1994 PLUMBIIVG PERMIT (RESIDENTIAL) C1TY OF E,1GAN ~3830 PILOT KNOB RD >e EAGAN MN 55122 (612) 681-4675: PLEASE COMPLETE F'OR SINGLE FAMILY DWELLWGS AIS'Q; FOR~~TOWNH~OMES~";,~ CONDOS WEiEN° PERMITS, ARE REQUIRED FOR EACH":UNTI', << NU. EIXTURES` ~ACH TOTAL ? ~ SHOWER 3.00 - ~ WATER CLOSET 3 UO 2? T W BATH TUB `3'00 ~ LAVATORY 30Q KITCHEN SINK 3w00 _ l LAUNDRY TR.AI' HOT TtJB/SPA 3 pp, ~ WATER. HEATER 3 00_ " ` ' FLOOR DRAIN GE15 PIPING OLTTLET ~ minimum . t 3 00' ~ ~ -22 ROUGH OPENINGS i 15A ~ WATER SOF'TBNER ` 5~00' PRIVATE DISP. • nekciy, uG U.G. SPRINKLER • nome unaer mnst: .~....+°~--`$~~x y~ y ALTERATIONS • io adssine 20 ; - ` WATER TURN AROUND '2U.<(+?Q ti r'3''•' ~ x FY,~ STATE SURCH.ARGE TOTAL: r SITE ADDRESS:_ ' €2 I "~~7 n l''1 ( .L~~ . ~ OWNER NAME:; . F, ~ INSTAI,L'ER: GENZ-RIYIAN PLUMBING & HEATIN6'~' 7~ ADDRFSS: 14745 SOUTH ROBERT TRAiL CITY: ROSEMOUNT STATEi MINNESOTA PHONE ( 612 ~ 423=1144: $IG Ma 7 ~ -~El _ ~ •t , y s . . . . _ s. - _i.. ' . . . - _ . - . , r . . . , - -~3- - . C. E CITY USE ONLY ~ L .o,:~PZ BL ~ RECEIPT 1~1416 J\ SUBD. ZfV C:" LvO-04 DATE: 2-3 J 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please comnlete for. ? singIQ famiiy d.w_P!!ings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL 5hower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas F'iping tJutleL " minimum - 1 3.00 x - Rough Openings 1.50 x = Water Softener 5.00 x 5 r() 0 Private DispoSal Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations ' to existing 20.00 _ Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL ~ SlTE ADDRESS: -2 / OWNER NAME:~ INSTALLER NAME: e7n Ct-L~ STREET ADDRESS: CITY: l o- STATE: ZIP: -SSv7S PHONE ) .22 Lt ~ TTEE r '~t '~S~ t bYr. ' 1 ~~f+~~ t ~ 3. 1994 MECHANICAL PERMIT (RESIDF.NTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.,Y DWELLINGS. ALSO, FOR TOWNHOMFS AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNIT. V-' NEW CONSTRUCTION :wD-ox A/c ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OVI'LETS (Mnvrn,rUM i@ S3.00 EacH) 6°-" ADD-ON/REMODEL (FmsTnvG coNSr[tUCrcoM $ 20.00 STATE SURCHARGE .50 TOTAL 36 ho S1TE ADDRESS: OWNER NAME : JoC M(Uw kryw TELEPHONE ~ysy-y66~ INSTAI.LER: l_ /1/i10OLG EL5 Ae EwnxESS: 309 2" 57- CTI'Y: Mmlh'i~lzN STATE: ZIP CODE: 5562`/ TELEPHONE 02 2 SIGNATkAtE OF PERMITTEE ~ ~6o ~ 2007 RESIDENTIAL PLUMBING aeRnniT aPPLicaTioN CITY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ' Please complete for modifications to existing residential dwellings. Do not combine inside and outside lumbin on the same a lication; se arate a lications and ermits are re uired. Date C9 I a I(1,7 1 Site Street Address a~ SS W C.INY' kck`\ C 1 Unit # Property Owner i Telephone # ( ) Contractor YlQ V+SbU Ai_Mh, rt, , ~rvC Telephone# ) ~-f~-7tcSy Address `~r)q5^ /Ga 4 L4, k),cl- ciri K1v.4m)P,- stace!at,t ziP SD-L~_ The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations o existing dwelling $ 50.00 _ Add plumbing flxtures to main level lower level. 'This fee includes installation of a water softener and/or water heater at the same time. lf you are installing only a water sokener and/or water heafer, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _ Water Tumaround (add $136.00 if a 5/8" meter is required) Other: Water SoRener Water Heater $ 15.00 _ new _ replacement _ Lawn Irrigation _RPZ _PVB irill;w~ _repair _rebuild $ 30.00 State Surcharge ' $ .50 Total $ I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved: O hk,cV,YV10.1, y,c5sw - ~ ApplicanYs Printed Name ApplicanYs Si ature ~ 00 W2007 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenfs RemodeUReoair Reouirements Olfice Use OnN 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofied areas 2 copies of plan showing foo6ngs, beams, joists Cert of Survey Reoi _ Y_ N (20°h maximum lol coverage allowed) 1 set of Energy Calculations for heafed additions Soi6 Repat _ Y_ N 1 Soils Report if proposed building is to be placed on dirturbed soil 1 site survey for addiGons & decks Tree Pres Plan ReM _ Y_ N. 2 copies of plan slrowing beam 8 window sizes; pou2d found design, etc. Addfion - indkate rfon-site septic system Tree Pres Required _ Y_ N i set ot Energy Calalations Onsite Septlc System _ Y_ N 3copiesotTreePreservationPlan'rflotplattedafter711193 ~~y~ ~ 9M7 Rim Joat Detail Optlons selecGon sheet (buildings wAh 3 or less uniLS) WN~ _1~~~ Minnegasco mechaniral ventilation fortn O~, Plans are considered ublic information unless ou state the are trade secret and the reason. Date (o Construction Cost ? L -7c) ! Site Address Z > > j W ~'•1-~~' ~ ~e3 'i~~~ UnitlSte # Description of Work L S c-r{~-~T Re~ Multi-FamilyBldg _ YIA Fireplace(s) _ 0 ~1 _ 2 Property Owner 'a.- );:~v S-P+HlSelephone # ( +0S l) qq p - S 9 U3 Contractor (,:,`o Address I CiTy State PA~ Zip 55 t 2~ Telephone O'a LI C,r} R~ S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 D Energy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy ~d,~q~~ (J submission rype) ~ U u Submitted S~ itt • Energy Envelope Calculations Submitted inl" 2 p 2007 I n t h e l a s t 12 m o n t h s, h a s T h e C i t y o f E a g a n i s s u e d a p e r m i T f o r a s i m i l a r plan based on a master _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the informarion 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 pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Cr-tR~ S Applicant's Printed Name App icant's Signa' e DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ' ? 02 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo/pergola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 11- 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant D95cfioti011: Water Damage _ Yes Valuation ~J Occupancy MCES System Plan Review 100% or 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type af Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Foorings(deck) FinaVC.O. _ Footings (addition) ~ FinaUNo C.O. ~ _ Foundation Y HVAC. / _ Drain Tile r~ Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final ~ Fnming,f I Siding _ Stucco Lath _ Stone Lath _Bdck F'ueplace RI. _~(qir Test _~inal Windows Insulation Retaining Wall Approved By: Building Inspector Fee Base Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge ~Ae+y(MQ"fi S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2007 RESIDENTIAL BLTILDING rERmiT arrticaTioN City Of Eagan 3830 Pilot Kuob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtlonReauirements RemoddlReoairReauiremen5 OficeUse.OnN - 3 registered sAe surveys showing sq. tt. of lot, sq. tt. of house; and all roofed areas 2 copies M plan showmg foodngs, beams, joisls Cert of Survey Racd Y'N . (20%maoumumlotcoverageallowed) . isetMEnerqyCalculationsforheatedaddAwns SoilsRepat ~_Y N 1 Soils Report if proposed building is fo 6e placed on disturbed soil 1 sfte survey for addifions & decks Tree Pres PWn ReW _ Y_ N, 2 copies af pWn showing beam 8 vrindow sizes; poured found design, etc. Addition- indcate il on-site septlc sysfem Tree Res Requved _Y N lsetofEnergyCalculafions Ori-Site:Sephc.Syslem ._Y. :N 3 copies of Tree Presenation Plan'rf lot pladed aker 711/93 Rim Jois! Detsil Op6ons selettiun sheet (buidings wiU 3 or less unAS) . Minnegasco mechanical ventilaCwn fottn Pians are considered u61ic information unless ou state the are trade secret and fhe reason. Date I~^-~ / Construction Cost Sife Address ff57 WGZ-J~Y I C- UniUSte # Description of Work 0 O y" q- TG O 1 J Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 2 Property Owner / c fr ~ C K /'Gtri~I r~ Q Telephoue # ) o Contractor zffhy-n ~49`~10 Address ~ 67(~ ~ . C<<3' State {47 Zip ,5a-,% y 1 Telephone # (7~ 2 )SY I -6~ ~ i~ COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rales 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet . (d submission rype) Submitted Submitted - . Energy Envelope Calalafions Submitted tn the last 12 monThs, has the City of Eagan issued a permiY for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: . Licensed Plumber Telephone J Mechanical Contractor Telephone J Sewer/Water 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. ~~,~J w il~~_Y~ r~tti~z `~~l ln, rr-w i / U ( ApplicanYs Printed Nam Applicant's Signature 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New ConsW ction Reouiremenls RemodeVReoair Revuirements Offce Use Onlv 3 registered site surveys showing sq. ft of lot, sq. fl. af house; and all rooted areas 2 wpies d plan showing 1006ngs, beams, jasts Cert of Survey Recd _ Y_ N (20%maximumlatcoverageallowed) tseta(EnergyCalcula6onsforheateAaddiGons SoilsRepod ._Y _N 1 SoJs Report d pmpwed building is to be placed an disWrbed sdl 1 site survey for addifions 8 decks Tree Pres Plan Recd N. 2 copies of plan shovnng beam 8 windav sizes; poured (wnd design, elc. Add6on -indkete i( oo-site sepAc system Tree Pres Required _Y ..N lsetofEnergyCalculafians On•sde5ephc$ystem-_Y _N 3 wpies of Tree Preservation Plan H lot plaHed after 711193 Rim Jaist Oetail Options selecfion sheet (buddrgs wiU 3 or less units) Mnnegasco mechanical ventllatlon form Plans are considered ublic information unless ou state the are trade secret and the reason. , Date ~ / L9 ,7 Construction Costy7 > C::~2 ' 32- Site Address 1N,4,K "V ~ UniUSte # Description of Work c2l~ c-,,-YJ ~ ~ 4cer?~17 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner ~~~r~G~ ~UYII 5~~~ Telephone£tfG3/ )S9~ ~~~3 . Contractor Wk7/V All IQGYJ~/~rJ,E f" 54P_1.1/~ Address :g77ao/3 7,ff 4 U/-2--7 /1/ Cit3'~~`~~~~F" L~ State AAAL Zip Telephoue # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Calegory 7 Worksheel • New Energy Cade Worksheet (4 submission type) Su6mitted Submitted . Energy Enveiope Calculalions Submitted In the lasT 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ~ MechanicaiContractor Telephone#( ) Sewer/Water Contractor Telephone # ( J 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. ~ AppiicanYs Printed Name Applicant's Signature ~ r.~. _ , i Far ~ Use ~ City of EapIl ~ Permit# 3 3s~ ; I Permit Fee: 3830 Pilot Kno6 Road Eagan MN 55122 ~ Date Received: Phone: (657) 675-5675 j Staft: Fax:(657)675-5694 ~ i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: c Tenant: ~a * jt~~ vt S Suite RESIDENT/OWNER Name: Phone: ,/S--/ 307 7/72 Address ! City / Zip: rtl ~ Applicant is: _ Owner /-Contrador TYPE OF WORK Description of work: 12Q1) ? Construction Cost: Multi-Family Building: (Yes NoK'~ ~ CONTRACTOR Name: A411 rx f t+-.o~l License 67 y Address: /S -3 /ra~ l.7? City: s-a SY f¢-l State: 44 /L/ Zip: SJ U ? 5` Phone: G.y~ ~/g) 0-266 Contact Person: ?[i c~i I d~"44 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water ConUactor: Phone: ° NOTE:, Plans and supporting documents that you submit are considered to be pubiic information. Portions of the informaGon may 6e cJassified ag non-public if you providespecific reasons that would permit the Cify to conclude that the are trade secrefs. I hereby acknowledge that this infortnation is complete and accurete; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is not to start without a permR; that the work will be in acwrdance with the approved plan in the case of work which requi2s a review and approval of plans. x/~ ~R'F A u SY", k I X ' ApplicanYs Printed Name ApplicanCs S' ure Page 1 of 3 City of Eapn I Permil I ~ ~ I 3830 Pilot Knob ROad ~ Permit Fee: I 'E8g8n MN 55122 I Date Received: Phone: (651) 675•5675 1 Fex: (651) 675-5694 ~ Staff: 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION oece: f It5 •OS siteaaaress: 2-1S5 Wavv iGk C+- ~EaqaU Tenant: Pa'tcIC~C ~UYNStQ~ t ~ Sutte k: RESIDENT / OWNER Name: -Pa~yiGL U(tA5'C0.W Phone: &5) 8 R0 59`03 Address/City/Zip: Z(SJ WafriCK G4. 14 .SrJ1 2 CONTRACTOR Name: DdQi" Fr0 ?IU GH? I'4q License O 6D (o (.3 pM Address: VU 1TJ" 2D '71-14 15~11C • U) • City: Lp-L&--~'(Ale state: MQ zip:5504-4 Phone: R5Z 4&'1 C4 L7 4 ( Contact Person: DeiO TYPE OF WORK _ New 4Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTIAL ~ Water Heater _ Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 SeptiC System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknovAedge ihat this information is complete and accurate; that the work will be in conformance with the ordinances and codes ot the City of Eagan; that I understand this is not a permit, but only an applicalion tor a permit, and work is not to start without a permil; that ihe work will be in accordance with ihe approved plan in the case of work which requires a review and approval of plan . x I-)dv0Y0.k LQfSO(n x 7 ~C{' ApplicanYS Printed Name ppli Ys Signature FOR OFFlCE USE Reviewed By: Date: Required Inspectfons: ~_Under Ground _Rough-ln _Air Test _Gas Test _Final ate: City of Eaari 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Far Office Use Permit#: (02V1 Permit Fee: oLf —i Date Received: ' 1- ( 3 Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION ‘,1-10, 4281/ ;z Site Address: 'i ) )5 6RiC-K Co6sartrot - Unit #: RESIDENT f OWNER Name: /919T 1 1i j -L4 P -WS -719+N1-- Phone; 6"--/- SciD-6-5.c)3 Address / City / Zip: g- / J`5- 74-R1 t c k C-C.3e4 - i -'V c , 0 61 fl -Ti Applicant is: Owner 'X Contractor TYPE OF WORK �- D Description of work: YiTr=-if-�i t�' i.= t6D=mi. t -e-) STV-- 4 F / p�T� Construction Cost I/1. -Pt 6-Y-- - Multi -Family Building: (Yes / No ) CONTRACTOR Company. N Et -e-} s /3e'..., . Contact: S ag & 413-6, r2 "i Address: g/ (2=-).7 t-(,) . I' -f' s � City: u c i) L 1 State: )(Y) i'I Zip: tp > c 7 - Phone: ` F'7 ,,,R----- 5 03 License #:_.:- CO /6 Lead Certificate #: /J iT-1 - 19 1/ b 3 `, lithe project is exempt from lead certification, please explain why: (see Page 3 for additional information) Com,', 11,id-r=- A-t-=-r—e 19 97,- f q '6,A1 \lgti In the last 12 months, Yes if COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of he 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.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 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....J n 9_ k----e-)k hit.;5p Applicant's Printed Name Applicant's Signature Page 1 of 3 ak65 W ha. -CA- DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace Ai Single Family Garage Multi _ Deck 01 of Plea Lower Level Accessory Building WORK TYPES _ New _ interior Improvement Addition _ Move Building A' Alteration Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation lid Plan Review (25% 100%.. Census Code #of Units # of Buildings Type of Construction 1139 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: lee & Water Final J Framing Fireplace: , Rough In .A4 Air insulation Sheathing Sheetrock Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows — Egress Window _ 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 Z 2c -. MCES System 'too? SAC Units PD 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 Test Final Al` 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 /3.2 3 QG 17 30"d /kite id.4.0 (-4-1 61-1 GIWO Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA108868 Date Issued:01/22/2013 Permit Category:ePermit Site Address: 2155 Warrick Ct Lot:22 Block: 1 Addition: St Charles Wood PID:10-65870-01-220 Use: Description: Sub Type:e-Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - 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 by law in ALL single family homes . 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 - Patrick J Furnstahl 2155 Warrick Ct Eagan MN 55122 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108878 Date Issued:01/22/2013 Permit Category:ePermit Site Address: 2155 Warrick Ct Lot:22 Block: 1 Addition: St Charles Wood PID:10-65870-01-220 Use: Description: Sub Type:e - Gas Line Work Type:Replace Description:Stove Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Mike Lutz 15021 Manitou Rd NE Valuation: 600.00 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Patrick J Furnstahl 2155 Warrick Ct Eagan MN 55122 Genesis Heating & A/C 15021 Manitou Rd Prior Lake MN 55372 (952) 447-3762 Applicant/Permitee: Signature Issued By: Signature City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 use BLUE or BLACK Ink For Office Use Permit #: t l b 2'F'' Permit Fee: (fes/ • O Date Received: Staff: 2013 RESIDENTIAL PLUMBINGj,PERMIT APPLICATION Date: 4/-30—/3 Site Address: ) ? 66 LA)ge,e c, k cT Tenant: Suite #: Resident/Owner Contractor Type of Work Permit Type Name: Phone: Address / City / Zip: / j Name: V� #.„, ,CJ/✓.'h Q �i� �] License #: Address: 7c2D P) rd totC P1 City: State: (4# (JV Zip: 65/4O0 Contact: S -i e /'e y Phone: Email: 11, dJeasriect /11S . c New kReplacement _ Repair _ Rebuild Modify Space Work in R.O.W. Description of work: fle p)c liC RESIDENTIAL Water Heater Lawn Irrigation ( RPZ /_ PVB) Septic System New Abandonment Water Softener X Add Plumbing Fixtures (`Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ rC) 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.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 wor, 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 approv Applicant's Printed Name x Ap 't's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test_ - Fina! w 401° City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JAN 2 0 2016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1/20/2016 Site Address: 2155 Walick Court Eagan, MN 55122 unit #: Name: Patrick & Julie Furnstahl Phone: Address /city /zip: 2155 Warick Court Eagan, MN 55122 Applicant is: Owner ✓ Contractor Description of work: bath remodel & "Kids" bath changeout Construction Cost: $38,000 Multi -Family Building: (Yes / No 1 ) Company: New Spaces Contact: Sara Laurent Address: 2105 W. 143rd Street City: Burnsville State: MN Zip: 55306 Phone: 952-898-5300 Email: sara@newspaces.com License #: BC001586 Lead Certificate #: NAT -F150060-1 If the project is exempt from lead certification, please explain why: House not built before 1978 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? 1 No If yes, date and address of master plan: Yes Licensed Plumber: Janecky Plumbing Mechanical Contractor: Janecky Plumbing Sewer & Water Contractor: N/A Fire Suppression Contractor: N/A Phone: 651-365-8680 Phone: 651-365-8680 Phone: Phone: CALL BEFORE YOU DIG. Call Gopher State One Cali 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.00Dherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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 New Spaces by Sara Laurent Applicant's Printed Name x .0-t4 r Applicant's Signature Page 1 of 3 5-5-Ld��/ DO NOT WRITE BELOW THIS LINE .Met 2-ce SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of _ Plex Lower Level _ Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool WORK TYPES New Interior Improvement Addition Move Building Alteration _ Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% �/ ) Census Code #of Units # of Buildings Type of Construction 5a L/3 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test ., Insulation Sheathing Sheetrock Fire Walls Braced Walls $. Shower Pan Reviewed By: Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy / Code Edition 02a'J Zoning ? Stories Square Feet Length Width RESIDENTIAL FE S Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Final g- MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector p2AX kir )34>b /7440,il 67 2..4/0 = S40 Page 2of3 r City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 3 1 Permit Fee: (DO Date Received: Staff: 2015 RESIDENTIAL PLUMBING_PERMIT APPLICATION Date: :- 3- Site Address: gt cc- W'Qreit. L Tenant: Resident/OWne Contractor Type of Work Permit Type Name: Fly 4rAII'G LL Address / City / Zip: ��yQ Phone: Suite #: Name: T AC..C. (c_ (91-.0 G— License #: '57 (1-"( Address: G d O Pot Tc -C, P c- City: /'`a"C � 1 State: 14n'l. Zip: f i—j0- Phone:// O c L— Y [ r C 2— V Contact: / d' Email: t Ke c-tc+ Lac3'z( _ New %'Replacementt _ Repair , ( Rebuild _ Modify Space Work in R.O.W. Description of work: Q lac et_ f ( RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Water Softener /S Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ 60 6� 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x fl 4 v 4 14,4A G Applicant's Printed Name Applicant ignature FOR OFFICE USE " " Reviewed By: Date: Required Inspections: Under Ground Rough-ln Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA152721 Date Issued:10/29/2018 Permit Category:ePermit Site Address: 2155 Warrick Ct Lot:22 Block: 1 Addition: St Charles Wood PID:10-65870-01-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Patrick J Furnstahl 2155 Warrick Ct Eagan MN 55122 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160655 Date Issued:03/31/2020 Permit Category:ePermit Site Address: 2155 Warrick Ct Lot:22 Block: 1 Addition: St Charles Wood PID:10-65870-01-220 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 - Patrick J Furnstahl 2155 Warrick Ct Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-56 bui Idi nginspectionsecitvofeagan.com ECEIVE JUL o 1 � For Office Use C /f Permit* Permit Fee: o 6 CC Date Received: 7 /— Staff: 2020 RESIDENTIAL BU�PILDING T APPLICATION Date: '7 I 2020 Site Address: 216 5- Y1/4/4 vY l e l< Ck • Unit #: Resident! Owner Name: 1 L rt c k (tAY I45-V4 � l Phone: 1,51-3o7- 7177 Address / City / Zip: 215 Wei v✓ie 1` C( toia n /4i/ 55/ 2/ Applicant is: Owner x Contractor P 1) j4 .OMdehheks. 00 Type of Work Description of work: Pot �4 iihtf - Fla Ervlyy Dos 4f Construction Cost: 067)00• DO Multi -Family Building: (Yes / No )C ) Contractor Company: 3114(tQA Calwin.Aken /AJC. Contact /®1V►A./ Mcta'1`-I4 Address: 56 2-8 M� Niko If 10.1 A� • S, 4 ( City: 51°1I 1�`�I�-it I( State: 11htJZip: 550g2 Phone: C I' '3"ca7gEmail: 40 INA KklE VIZ Mct• C0OA License #: QG 112)t 1 q Lead Certificate #: If the project is exempt from lead certification, /please explain why: -10 ct. se 13 o U a►af v 19 cJ o - &AI-e vI e y us o Y k — b post �"l tutS,c Kl In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber. Mechanical Contractor: Sewer & Water Contractor. Fire Suppression Contractor. Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non public if you provide specific reasons that would permit the City to conclude that they are trade 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.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.00Dherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ans. x —Tien& .S • d p • .0° lAck•kcix ov Applicant's Printed Name Applicant's Signature . DO NOT WRITE BELOW THIS LINE cgI Ss Wio2Qi cr- C�. /6ac /s SUB TYPES Foundation Single Family Multi 01 of _ Flex Fireplace Garage Deck Lower Level _ Porch (3-Season) _ Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) _ Pool WORK TYPES New _ Interior improvement Addition _ Move Building Alteration _ Fire Repair Z( Replace d Repair _ Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction 4 boo Occupancy Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Siding _ Demolish Building* _ Reroof _ Demolish Interior _ Windows _ Demolish Foundation Egress Window CL Water Damage *Demolition of entire building - give PCA handout to applicant Code Edition I f2L Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final • if Insulation V Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Service Test Gas Line Air Test Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3