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2124 Cedar Grove Tr1L?GI5 I (5 ,?? ! 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION - CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ,L-1 Site Street Address Unit # Property Owner Telephone # Contractor-K`11?1? Telephone# (9So`? - Address/aDD?/,?Y417 ??z 'Q City,r .?e/SNrL _ State_&,r) Zip The Applicant is: _ Owner ,x Contractor _Other Alteretions to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _ Water Turnaround (add $125.00 if a 5/8" meter is required) Other. X Water Softener Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing 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 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 approve , , ? ?' ?- 0 / ? , A phcanYs Printed Name App icanYs Sig tur ' ; U : II-J?,r> .tarS.???:r v ?\\0.? t G 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION • CITY OF EAGAN ? 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?J ?6 - Date lI ??, / ? _ ? d /4 w Site Stre e t ress Unit # Property Owneral(Lf(Y &&64 / Telephone # 05?/ y Contractor v ? ' Telephone# (9'303 ? ? 7?f7 Address ? />(Zg" State-,Lg)- Zip 3 "' The Applicant is: _ Owner ? Contrector ?_ Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener andlor water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) ?$ Other: Water Softener ? Water Heater $ 15.00 _ new ? replacemen Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge i $ .50 , l T 1 ota $ J I hereby apply for a Residential Plumbing 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 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„ , Al!?plicant's Printed Name U' - ApplicanYs Signature c,o14 /C ij S-F-? C??51 y-`? ? P ?-?/G?d? ?}3? ? 2005 RESIDENTIAL BUILDiNG PERMIT APPLICATION ? ^ ??? ? City OfEagan ? 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 FAX # 651-675-5694 ? ?s q.? ew Construction Reauiremenis RemodellReoair ReauiremenGs Offce Use Onlv V 3 registered site surveys showing sq, ft. of lot, sq. N. of house; and all roofed areas 2 copies of plan Cert of Survey Recd °. Y N? (20Ya maximum lot coverage allowed) 1 set of Energy Calculations for heated addffions Tree Pres Plan Recd _Y ?N ,2 copies of plan showmg beam & window sizes; poured found design, etc. 1 sile survey for additions & decks Tree Pres Required Y?N ? ,/lsetofEnergyCalculations Add"rfion-iMlcateifon-sttesep(icsys(em On-sNeSepticSystem _Y_N 3 copies of Tree Preservation Plan if lot platted aRer 711193 d-' Rim Joist Detail Options selection sheet (buildings widh 3 or less uniGS) Date nstructionCost Co " Site Address ? ? 0E]U °? l'>-4/ (---Unit/Ste # M c.lc? h. 4 Description of Work Multi-Family Bidg Y_ N Fireplace(s) _ 0 6 1 _ 2 Property Owner LiE 11//!/A ty- Telephone -.909/p Contractor /1/1U/91Z-- V101'? ? Address f 2l L-)tQ.i, ,• /v1C7tAi?? Llq S% City S[ate A44-/ Zip 3"Sr3 Telephonek(y.Sa) COMPLET77innesota S AREA ONLY IF CONSTRUCTING A NEW BUILDING Rules 7670 Cateeoro 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Ener9y Code Worksheet (Jsubmissiontype) Submitted Submitted • 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 i LN7i- Mechanical Contractor Sewer/Water Contractor v ielephone #(6s-l) 44a.s J I () y Telephone # ( e # ( I hereby apply for a Residential Building Perxnit and '46knowledge that th?-?I formation is complete and accurate; that the work will be in conformance with the ordi ces and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only a it, 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. 1---? I/ cnrzEs sC:.SSG-? Applieant's Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi 3' 03 01 of -A 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/gaze bo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06; 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous Work Types 11131 New ? 35 Int Improvement 0 38 Demolish Interiar ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish 6uilding' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire 61dg) - Give PCA handout to applicant Valuation _f' &o? Occupancy R_? MCES System !I %? T Census Code I D'2. Zoning -pp City Water ? SAC Units I Stories $ Booster Pump - # of Uoits L4 Sq. Ft. 0,,&2. PRV ` # of Bidgs 1 Length 3 8' Fire Sprinklered h D Type of Const Width 21.0 REQUIRED INSPECTI0N5 ? Footings (new bldg) t/? Final/C,O. _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _kl Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ F Pool _ Ftgs _ AidGas Tests Final inal ? Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ 4.I. VAir Test ? Final _ Windows y Insulation _ Reqining Wall Approved By: ft'Ve- L-eh w, guilding Inspector - - --------- - ------ ------- Base Fee Surcharge Plan Review a.,j °lo MC/E$ SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies W ft e-- Other Total J -Z:?: ? ,6D ? a L-ly• 4`f ? / AD • a-o ", %??'a-D ie Gi?. ? ? ? ?ou1c-.? l.?v?l ?tuisElen ? 12,225 tL '' uuF;w?s1?d b 9 6 l`rtP+rx ?loa ?n'sl.r d 5?, 19 2 krP6 level a(??812 b?e dc- 2 0o c) i ' Pennit Number REScheck Compliance Certificate Checked By/Date 2000 Nfinnesota Fnergy Code REScheckSoBwaze Vetsion 3.6 Release la Data 5lenarne: C:\Docvments and Settings\Cluis\Desktap\Res Checks\450_McKinley.ick PR07ECT TITLE: Niculs Ridge Rows COiJNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.06 DATE: 02/14/05 DATE OF PLANS: 12-20-04 PRO.T$CT DESCRIPTION: 2124 Cedaz Grove Trai1 FaBan, MN DES IGNER/C ONT RA C T OR: Lenuar Coiporation COMPLIANCE: Passes Macimum UA = 556 Your Home UA = 371 333% Betta Than Code (UA) Gross Glazing Area or Cauity Cont. or poar PenII1etEi -B R-Yalllfl U-F.aGL.QT .llA Ceiling 1: Flat Ceiling or Scissor Ttuss 952 44.0 0.0 26 Wall 1: Wood Frame, 16" o.c. 3208 19.0 0.0 196 Window 1: Abova-Grade: Vinyl Frame:Double Pane 178 0.350 62 Door 1: Solid 42 0350 15 Floor 1: All-Wood JoistlTmss:Over Unconditioned Space 417 30.0 0.0 14 Floor 2: Slab-On-Grade:Unheated 114 10,0 78 Insulation depth: 4.0' Fumace 1: Forced Hot Air, 90 AFLJE Air Conditiona 1: Electric Centtal Air, 10 SEER Proposed and Maximum U-Factor Averages Proposed Maximum Avarage U-Factor Allowed U-Factor Above-Grade Windows and Glass Doots 0.350 0.370 Includes Foundation Windows > 5.6 12 Floors Ovea Unconditioned Space 0.033 0.033 COMPLIANCE STATEMENT: The proposed building design described heae is consistent with the building plans, speciScations, and other ralculations submitted with the peamit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Vetsion 3.6 Release la (6rmedy MECcheck) azid to camply with the mandazory-mv;?ts listed in the REScheck Inspection Checklist. r Date -4:2 6 * l q, d m c m s U Y a -?a Oz Q f? ? ? ? ? ? ?H ? 0 ? ? ,? ? ? ? ? ? 'R ? ? ?'z oA 'Pl ? ? ,Q' ? ? ? X ? ? g ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION _ . . _ . . . ?. n , PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company . Building Permit Applicant • Legal description . Address • North arrow and scale . House type (rambler, walkout, split wlo, split entry, lookout, etc.) • Directional drainage arrows with slopelgradient % • Proposedlexisting sewer and water services & invert elevation . Street name • Driveway (grade & width - in RIW and back of curb, 22' max.) . Lot Square Footage . Lot Coverage ELEVATIONS Existinq ?i.f ??? • Sewer service (or Proposed)- sep- ?'jfVitL r1C?.o?.r on Sun`v? . 'X ? ? • Property corners p2y` ,? ?A • Top of curh at the driveway and propertv line extensions ?f ?? . Elevations of any existing adjacent homes ??? • Adequate footing depth of structures due to adjacent utility trenches ? 'd ? . Waterways (pond, stream, etc.) Prooosed ? ? • Garage floor ? ? . Basement floor ? 0 • Lowest exposed elevation (walkouUwindow) ? . AW ?. / • Property comers ? ? . Front and rear of home at the foundation PONDING AREA (if applicable) ? f? ? . Easement line ? ? ? • NWL ? ? ? . HWL ? p" ? . Pond # tlesignation ? 2f ? . Emergency Overfiow Elevation ? ,d q, • PondNUetland buffer delineation Y • Shoreland Zoning Overlay District DIMENSIONS fl1' ? ? . Lot lines/Bearings & dimensions fd ? ? . Right-of-way and street width (to back of curb) ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ,P1 ? ? • Show all easements of record and any City utilities within those easements 'z ? o • Setbacks of proposed structure and sidgyard setback of adjacent existing structures ,B ? ? . Retaining wall requirements: , •/? - Reviewed Byi ?(?.7?? Date G:/FORMSlBu U ilding Permit Application Rev. 11-26-04 i .. 1. Surveyor's Cert%ficate SURVEY FOR :Lennar DESCRIBED AS :Lot5 1,2,3, and 4, Block 4, NICOLS R1DGE. City of Eagan, Dakata County, Minnesota and reserving easements of record. !? ?VE D ?? ?. Oate .3% 1?bs EeIGAN ENGIN6ERIN0 DEPf. Propasad Home Tob= <$33_fj,? 00'00"E Q ? ? F Propo4?l W Hom6? E- Tob= (j i w 0 ? 4 ? t t aE 5.69, 7? ? N Gorage rv o e, F--•`..?r' n a ou 6.Oa t-?, Mt ? ? ? ? 1? 830.9 r? J ? IX 6 63 7 .00 ? Cd q o 0 ? 5. Carage N a V ? ;u°i ?..."..... ry F??'1 O ' 6.00 C) 931.3 ?f 030.< . C) 6.00 d a 4.4o On °uov o a a Cara N ? t / ? ge c 6 N ry O c p N , ? 831.3 3 j7 .?'.29 M a a E? m?o Corage ro W ov ? 12.68 6p a ;v°? N 00'00" W ?6 0 r , r - ? '` ` i? Proposed ^^1 ? I Home i 1 Tob= PROPOSED ELEVATIDNS Top of Foundation = 835.2 Garage Floor = 831.6 Basement Floor - 832.0 Aprox. Sewer Service Li822 9 L2823 1 L3 Proposed Elev. = 0 Existing Elev. Drainage Directions =- Denotes Offset Stake = . MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- JOB N0: HEDL UND ' HEREBY CERTFY THAT TIi15 IS A TRUE ANO CORRECT REPRESENTP1TtON 04R-609 OF THE BOUNDARIES OF iHE ABOVE DESCRIBED PROPERtt AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPOft7 TO BODK: PAGE: PLANNlNG 6NGIN66RING SUR{71'YING SHOW IMPROVEMENTS OR ENCROACHMEN75, EXCEPT AS SHOWN. 2005 Pin Dnk Orive Eagan, MN 55122 DATE -31/-z 'J- CAD FILE; INOGREN. LANY Phone: (651) 405-6600 MI SOTALLICENSE N MBER?14376oR Niclos Ridge Fax: (651) 405-66D6 aNSrau. SOLT FEIVCE + r, T W=B39.0 To Lot Linel - i J o ? Decl? ' I to.op^ 00 I 'r m /c?D i I W ?y I )eck OUTLpT A aa ; Drainoge & Utilli y Easement 20.00 ? T over oll of O?tlot A ? 83 .0? O r O 7 W=840.0 I ? O p 8 W=636.5 I • O 10 00 ti 8 5.7 ? ?' 4 I o :4 eas.s I T/x,=eao.o ? 132.0 -836.0 I F ;??????E Eb : r .,.. ?, . BENCHMARK, TNHCWCedarvale Dr.&Cedar Grove Prkwy EI=821.26 SCALE: 1 inch = 30 feat Ojcn(f/C;c( G p-r Ebdc 2005 RESIDENTIAL BUILDING PERMIT APPLICATIO M70,56 City Of Eagan ? P 3830 Pilot Knob Road, Eagan MN 55122 27 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsUUClion Reauirements RemodeVReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. A. ol 106 sq. ft. of house; and all roofed areas 2 wpies of plan Ced of Survey Recd 9 Y_ N1A (20%maximum lot coverage allowed) 1 set ot Energy Calcula6ons for heated additions Tree Pres Plan Recd Y SL? 2 copies of plan shawing beam & window s¢es; poured found design, elc. 7 sde survey for additions & decks T2e Pres Required _Y ?N C`'? 7setofEnergyCalcula0ons Addition - indicatei(on-sftesepUcsystem On-siteSep11c5ystem 3 copies oi Tree Preservation Plan if lot platted after 711/93 ? Rim Joist Defail Options selection sheet (buildings with 3 or less uniGa) Date LL / lS-/C9 Site Address Construction Cost Z-- ZGc/ `? ?? ! UniUSte # Description of Work /Z/f?'C.? (` ? GZ'L) Multi-Family Bldg ..-L-Y _ N Fireplace(s) _ 0 el_ 2 Property Owner ?(= /l//j//9 (? et-/ O?? ? S Telephone #(1n.S/ lO Contractor ?l?`,??1Ji4 i h?C'M ?S Address SU_5?_ State ,A41_,/ Zip <? f,-? City ,{y4,44 ?'2.47`,? Telephooe # (?'f-CA L/6)-316,?,_? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ? Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) SubmiUed Submitted . Energy Envelope Calculations Submitted Have you previousfy constructed a building in Eagan with a similar plan2 Y _ N If so, 25% plan review fee appiies. 2Licensed Plumber Telephone #P51 ) 1-10k3 G Mechanical Contractor Telephone #( Sewer/Water Contractor jjrelepM ne #( ) I hereby apply for a Residential Building Permit a acknowledge that thel nformation is complete and accurate; that the work will be in conformance with the ord a??odes of t City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application o_ r-- it, 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. ?2 i S -S? SS L.?C/ AppIicant's Printed Name OFFICE USE ONLY Sub Types ` ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? g' 03 01 of* plex Q 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? ? 05, 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06, 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types 12/ 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation %y 7 Census Code 1 D ?k SAC Units I # of Units 4 # of Bldgs t Type of Const 1-6 ,/Footings (new bldg) _ Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Wa[er Final ? Framing ? ? Fireplace ?RL ?nirTest ?fiinal Insulation Occupancy F2-3 'T Zoning Stories 2 Sq. Ft. o' Length 3 g ? Width MCES System ,c-3? City Water es Booster Pump - PRV ' Fire Sprinklered YLv REQUIRED INSPECTIONS ? FinaUC.O. _ Final/No C.O. _ Plumbing HVAC Other _ pool _ Ftgs _ Air/Gas Tesu Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: Mir.t L- , Building Inspector Base Fee Surcharge Plan Review a.seo MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 30 Accessory Bldg 31 Ext. Alt - Multi 33 EM. Alt - SF 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windaws/Doors "Demolitlon (Entlre Bldg) - Give PCA handout to applicant ,,a 16 rvt 4l ?l ?`nAlu ??oor tit G??a GE D? ?LJ 1-I viis ?e A uw?i n? sl1e? Fi Ni sF+E? u ? 2,?fso 5ss yM, 97P .2l01 19 D !o1(0 24 2,000 l (0 i lq? , . Permit Number REScheck Compliance Certificate chwkea syinace 20001VTinnesota Fnergy Code RESchock Sodware Vecsion 3.6 Release la Daza filename: C:1Documents and Settings\Chris\Desktop\Res Checks\45]_Rushtnore.rck PROJECT TI1'LE: Nicols Ridge Rows COLTNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.06 DATE: 02/14/05 DATE OF PLANS: 12-20-04 PROJECT DESCRIPTION: 2126 Cedaz Grove Trail Eagan, MN DESIGNER/C ONT RACT OR: Lennar Coiporation COMPLIANCE: Passes Macimum UA = 556 Your Home UA = 371 333% Better Thazi Code (UA) Gross Glaang Area or Cavity Cont. or poor Pedmete B-VaLlg B-' ue 31:Fact9I 1!A Ceiling i: Flat Ceiling or Scissor Tmss 952 44.0 Wall 1: Wood Frazne, 16" o.c. 3208 19.0 W indow 1: Above-('irade: Vinyl Frame:Double Pane 178 Door 1: Solid 42 Floor I: All-Wood JoisUTtuss:Over Uncondi[ioned Space 417 30.0 Floor 2: Slab-On-Grade:Unheate3 114 Insulation depth: 4.0' Fumace 1: Forced Hot Air, 90 AFUE Air Condidoner 1: Elearic Central Air, 10 SEER Proposed and Maximum U-FactorAverages Proposed Average U-Factor 0.0 26 0.0 176 0.350 62 0.350 15 0.0 14 10.0 78 Maaimum Allowed U-Factor ? Abovc-Grade Windows and Glass Doors 0350 0.370 Includes Foundation Windows > 5.6 H2 Floocs Ova Unconditioned Space 0.033 0.033 COMPLIANCE STATEMEN'T: The proposed building design described hcre is consistait with the building plans, specifications, and other calculazions submitted with the pemiit application. The proposed building has heen designed to med the 2000 Minnesota Enagy Cod requiiemmrnts in RE5check Version 3.6 Release la (Tormedy MECcheck) and to comply with the mandatory?equil?ts listed in the REScheck Inspection Checklist. Date Z - l5 - 0? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ,. n . PROPERTYLEGAL: }?S 14, 3J E4 ?5[?K4}tilrC_ols J' DATE OF SURVEY: LATEST REVISION: d rn c m L U ` V z O Q DOCUMENT STANDARDS ? ? • Registered Land Surveyor signature and company ? ? ? . Building Permit Applicant ,H ? ? • Legal description 0 ? • Address ? ? • North arrow and scale )1 ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ?2 ? p • Directionai drainage arrows with slope/gradient % ? 11 06 • Proposed/existing sewer and waler services & invert elevation ? ? ? • Street name ? ? • Driveway (grade & width - in RNV and back of curb, 22' max.) ? ?f ? . Lot Square Footage ? ? • Lot Coverage ELEVATIONS Existina Q„/ ?( ?? • Sewer service (or Proposed)- Se2 ?7f'0icz E?P,? o1S ? Su.lv? . ? ? ? . Property corners ?,0 • Top of curb at the driveway and propertv line extensions ?i ?? • Elevations of any existing adjacent homes ,EY 00 • Adequate footing depth of structures due to adjacent utility trenches ? ,71 ? • Waterways (pond, stream, etc.) Prooosed ,? ? ? • Garage floor ,? ? ? • Basement floor ? ? . Lowes[ exposed elevation (walkouUwindow) ? AW 0 ? • Property carners ? ? • Front and rear of home at the foundation PONDING AREA (if apqlicable) ? f? ? • Easement line ? R( ? . NWL ? ? ? • HWL ? ? ? • Pond # designation p g ? • Emergency Overflow Elevation 0 .? g, • PondNJetland buffer delineation Y ? • Shoreland Zoning Overlay District DIMENSIONS ?' ? ? ? o ? ? ? ? ? ,H ? ? ,z ? ? • Lot Iines/Bearings & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e, all structures requiring permanent footings) • Show all easements of record and any City utilities within those easements . Setbacks of proposed structure and sideyard setback of adjacent existing structures • Retaining wall requirements: ?.? .? Reviewed By;ii/ZlIr.D4/Z? Date G:/FORMSIBUiiding Permit Application Rev. 11-26-04 , , , . Surveyor's Certi,ficate SURVEY FOR :Lennar DESCRIBED AS :Lots 1,2,3, and 4, Block 4, NICOLS RIDGE, City of Eagan, Dakota County, Minnesota and reserving easements of record. ?WE D By __ I? Date .3/ 1?b s 6AGAN ENGIIYEERING DF.FT. ? ? Proposed j Home ? i Tob= <$33.8 ) j ? ? -------------? 001 00"E INSTALL SILT FEBVCE 0 Q 0 Q?' F Prapos? W Hom F^ Tob= <' Q a 0 jI n?. `.'.' W u E ? W o Garage n o° e N a s D0 i-° M 0 a o? y o 0 CaruBe fn a u Nya`? N F? ?- ? Cooye N'Iq? ; u a ;19 Carage ^ ?u N a O ? a r PROPOSED ELEVATIONS Top of Foundation = 835.2 Garage Floor = 831.6 Basement Floor = 832.0 ' Aprox. Sewer Service 822.9 823.1 Proposed Elev. _ (:=D Existing Elev. Drainage Directions =- Denotes Offset Stake = • - !, r w=eas.o ? 8? ? To Lot Linel ? Dec . I taao^ .00 I y B3? 0 ? ? y I ro Dj 8 Deck OUTL?T A ? ' ^ o Drainoge & UtIIII y Easement 20.00 over oll of 0?41ot A ? 83 .O?OO I r w= ao.o ? O B =836.5 I Oetk „ I? I O .0p ? 035.7 ?eck g I ) B I : T 835.8 I 20.0 + T W°840.0 51.9 I 8310 B =836.0 I .'tV9E i LWEft Os- `• BENCHMARK, TNH@Cedarvale Dr.&Cedar Grove Prkwy EI=821.26 MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage 5ide- JOB N0: HEDLUND I HERE6Y CERIIFY THAT THIS IS A 7RUE AND CORRECT REPRESENT017101,1 04R-609 OF THE BOUNDARIES OF THE AB04E DESCRIBED PROPERN AS SURVEYED BY ME OR UNDER MY DIRECT SUPERNSION AND DOES NOT PURPORT TO BOOK: PACE: PIr1NNlNG 6NGIN6BRlNG SURV6YlNC SHOW IMPftOVEMENTS OR ENCROACHMEN75, EXCEPT AS SHOWN. 2005 gan,i MN a551D22e DAlE ?_J../ 't) _??y? r?? ' CAD FIIE: Niclos Ridge Phone: (651) 405-6600 ? D. UNDGREN. LAN SURVEYOR Fax: (651)405-6606 MI OTA LICENSE NUMBER 14376 001 00°w Proposed Home i Tob- (i36.Y" i r / ? SCALE: 1 inch = 30 feet Lai 3 - tJ PeL?C? ; c ? t s f? < <?-v ?S-t w ? S I `f °l ?Sm 2005 RESIDENTIAL BUILDiNG PERMIT APPLICATIOWP G' 0oqq City Of Eagan 'TjpQ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements 3 registered site surveys showing sq. ft, of lol, sq. ft. of house; and all roofed areas (20°h maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set af Energy Calculations 3 copies of Tree Preservation Plan if lot pWtted after 7/1193 Rim Joist Detail Options seledion sheet (buildings with 3 or less uni4s) RemodellReoair Reauirements 2 copies of plan 7 setof Energy Calculatians for heated additions 1 site survey foraCdAions & decks Addrtion - irMkate 8on-sife sepfk sysfem -7v,so C?0;So ? Otfice Use Onlv CertofSurveyReal V Y _N ?-O Tree Pres Plan Recd _ Y 'TI, r ,. Tree Pres Required Y? N On-site Septlc System _ Y_ N ? Date Construction Cost Site Address 2 Z ' ?/ ? (?Z1?'l L UniUSte # Description of Work 4A?-7/ ?SJ? /? ClG 7/ U-<? Multi-Family Bldg N Fireplace(s) _ 01 _ 2 Property Owner Telephone #( ) Contractor j??/A (Z. /')'?) F.? Address State City %??- Zip, 2q/ Telephone#(QQ) 4461 _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ? Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheat (J submission rype) Submitfed Submitted • Energy Envelope Calculalions Submitted Have you previously constructed a building in Eagan wiTh a similar plan2 ,?Y _ N If so, 25% plan review fee applies. Licensed Plumber F'?1?Z Telephone # (6t&( ) L/_?3 -l Mechanical Contractor Sewer/Water Contractor I hereby apply for a Residential Building PeiE that the work will be in conformance with the Statutes; I understand permit; that'the work approval of plans. 4 elephone # ( ) 7lephone # ( ) t the information is complete and accurate; of the City of Eagan and the State of MN this is not a permit, but only an application for a permit, and work is not to start without a will be in accordance with the approved plan in the case of work which requires a review and ApplicanYs Printed Name OFFICE USE ONLY . , Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi Er? 03 01 of 4plex ? 09 07-plex ? 17 Garage 0 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 ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types @" 31 New ? ? 32 Addition ? ? 33 Alteration ? ? 34.Replacement Valuation Census Code ?d ?- SAC Units 1 # of Units # of Bldgs I Type of Const 'SL 6 ? Footings (new bldg) _ Footings (deck) /Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing ? Fireplace ?'RL Air Test "? Final ? Insulation Occupancy ? \-t MCES System Zoning {?D City Water ? Stories 2 Booster Pump - Sq. Ft. 952 PRV `- Length 38' Fire Sprinklered ? Width REQUIRED INSPECTIONS ? FinaVC.O. Final/No C.O. _ Plumbing _ HVAC Other _ Poot _ Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick W indows _ Retaining Wall Approved By: 4i4 L?"^ u- , Building Inspector Base Fee Surcharge Plan Review a,S°/p MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors •Demolitlon (Entire Bldg) - Give PCA handout to applicant Lo,,?? Gw ?. ? MA;N uPper C--rA D-XkCrE N--G IL 4 ?iH?'sNE.p 12? 4o? Ld.KFrU?- 51+Ep L IS ?i?JisNs?] 's"?l I 9 2 352 ?2 L/ 2,000 qG, I R3 r T. Peanit Number RFScheck Compliance Certificate 20001Vfinnesota Energy Code RESchedc5o$waze Version 3.6 Release la Data filename: C:\Docuxnents and SettingslChns\DesktopARes Checks1452_Everest.rck PROJECT TITLE: Nicols Ridge Rows COLTNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Raznily WINDOW / WALL RATIO: 0.06 DATE: 02/14105 DATE OF PLANS: 12 20-04 PROIECT DESCRIPTION: 2128 Cedar Gmve Trail Eagan, MN DESIGNER/CONT RACT OR: Lennaz Coipomtion COMPLIANCE: Passes Maximum UA = 549 Your Home UA = 373 32.1% Better Than Code (UA) Checked By/Date Grross Glazing Areaor Cavity Cont. orpoor P.eriIIlet? BYahB-S'alu SZ:F.acYQr 31A Ceiling 1: Flat Ceiling or Scissor Truss 952 44.0 0.0 26 Wall 1: Wood Frame, 16" o.c. 3144 19.0 OA 172 Window 1: AboveGiacle:Vinyl Fiame:DoublePane 190 0.350 67 Door 1: Solid 42 0.350 15 Floor 1: All-Wood JoisUTmss:Over Unconditioned Space 433 30.0 0.0 14 Floor2: Slab-On-Grade:Unheated 116 10.0 79 Insulation depth: 4.0' Fumace 1: Forced Hot Air, 90 AFUE Air Condirioner L Electric Cenhal Air, 10 SEER Proposed and Maximum U-Factor Avecages Proposed Maximum Avecage U-Faccor Allowed U-Factor Above-Grnde Windows and Glass Doors 0.350 0.370 Includes Foundation Windows > 5.6 82 Floois Over Unconditioned Space 0.033 0.033 COMPLIANCE STATEMENT: The proposed building design desaibed heae is consisten[ with t6e building plans, speci5cations, and other calculations submitted with the pamit application. The proposed building has beai designed to meet the 2000 Minnesota Energy Code mquirenents in REScheck Veasion 3.6 Release 1 a(Snnerly MECcheck) and to comply with the mandato%eon4ovts listed in the REScheck Inspection Checklist. Date Z- l S-CZ5- : 4 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: ?-O?S I?Z 3?Y rICGk4.1 O/aIS?,4-e. DATE OF SURVEY: IZ?IEI?7" LATEST REVISION Y a Oz T ? 'H` ? A' ? ? 0 n/ „? ? ? 0 ..? t' ? ? z m ? c R t U 'O Q DOCUMENT STANDARDS ? • Registered Land Surveyor signature and company ? • Building Permit Applicanl ? • Legal description ? • Address ? • North arrow and scale ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? • Directional drainage arrows with slopelgradient °/a ? • Proposed/existing sewer and water services & invert elevation ? • Street name ? • Driveway (grade 8 width - in RNV and 6ack of curb, 22' max.) 0 • Lol Square Footage ? • Lot Coverage ELEVATIONS Existina ?i? ? D ? • Sewerservice {orPropased}- 5p??fJiGL+ E.IP?.o1S 0"\ SuV J;-t. ? ? . Property corners ? A . Top of curb at the driveway and propertv line extensions ? 0 ? • Elevations of any existing adjacent homes ? ? ? • Adequate footing depth of structures due to adjacent utility trenches ? ,P1 ? • Waterways (pond, stream, etc.) Proposed ,Ff ? ? • Garage floor ,0' ? ? . Basement floor ? ? ? • Lowestexposed elevation (walkouUwindow) ? ,X . Property corners ? ? ? • Front and rear of home at the foundation PONDING AREA (if aoplicable) ? ? ? . Easement line ? yI ? • NWL ? ? ? . HWL ? p' ? . Pond # designation ? ? ? . Emergency Overflow Elevation ? PondlWetland 6uffer delineation Y ?1 f • Shoreland Zoning Overlay District DIMENSIONS ? 0 ? • Lot Iines/Bearings & dimensions Jd ?? . Right-of-way and street width (to back of curb) ,Z( ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ,21 p? • Show all easements of record and any City utilities within those easements )3 ?? • Setbacks of proposed structure and sidgyard setback of adjacent existing structures i ,g ? ? • Retaining wall requirements: : •./ Reviewed By: ?,??/ Date G:lFORMS/Building Permit Appiication Rev. 11-26-04 r ? Surveyor's Certificate SURVEY FOR :Lennar DESCRIBED AS :1-ots 1,2,3, and 4, Block 4, NICOLS RIDGE, City of Eagan, Dakota County, Minnesota and reserving easements af record, ???? YfY?D B? , {---- Date EAGAN ENGWBERING DBPT. i Propased i i Home ? i To6= ? ? ?_'____'____'J 00'00"E Q C) ? F Propo W Hom? F- Tob= f ry ? > 0 Wr a? J.s% n r ry orage I? 830.9 ? 6.Op _ 0 ? : 5m N ge N6.O ?i 831.3 * .oo loj? j? ^4.40 a a o f W d Carage N 4 x s ? ?a ? 3.27 ? o Gorage r°o v N N O ` 12.69 6.0 ? a s 83 h F 32.37 51. ?O• ? 831.9 pp'Op"w Prapased Home Tob= ($36.? ? PROPOSED ELEVATIONS Top of Foundation = 835.2 Garage Floor = 831.6 Basement Fioor = 832.0 Lz Aprox. Sewer Service SZ3.1 822.9 Proposed Elev. _ (?--D Existing Elev. Drainage Directions =- Denotes Offset Stake = . ?,P BENCHMARK, TNHOCedorvale Dr.&Cedar Grove Prkwy EI=821.26 MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage 5ide- JOB N0: HEDL`/ND i HEREBY CER7IFY THAT THIS IS A iRUE AND CORRECT REPRESENTPSTION 04R-609 OF THE BOUNDARIES OF iHE ABOVE DESCRIBED PROPFRN AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION ANO DOES NOT PURPORT TO BOOK: PAGE PLANNlNG ENGlN66RlNC SURVE'YlNG SHOW IMPftOVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. 2005 Pin Dak Drive '7? /?/_ Eo an, MN 55122DATE ?/?1 '? g CAD FlLE: V&e LANd Pho 6600 SURVEY Fax.ne: (657) -405-6606 MIMOTA LCENSE N MBER 14376OR Niclos Ridge ? ? IN5rA ? I SILV FE?CE ? I I I 83 B W=835.0 f 1834.8 I + I I T W=B39.0 ? o+ U a To Lot Linel - U1 ry o i Decl? r to.oo' I .00 I ,r 83 6 ? W ? y I i 4] $ I ' Deck ;• ? 4 07lTLpT A 10 o Drainoge & Ut11!} y Eosement 20.00 over all of p?tlot A ? 63 .0? OO I ? 7 W=B40.0 ? O B W=B36.5 I )ack a' o 00 V), ? y 833.7 » cko ; g I a I 7 835.6 I Z9 p .y T W=940.0 832.0 836.0 I ?EM PW?? 3, ei• O _s SCALE: 1 inch - 30 feet 1'-y+ ( I ? V\! Y?J?V I.S? ?'.l? 4Y OI V/ ?YV?y?? (J I ? ?)Ldl r???X?. ?/?n ? /- /?(d G? 20 RESIDENTIAL BUILDING PERMIT APPLICATION `e ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 d L? q?9 New Construcfion Reauiremenls RemodeVReoair ReauiremenGS ONice Use Onlv / 3 regislered site surveys showing sq. fl. ol lot, sq. ft. oi house; and all mofed areas (20%m ximum lot covera e allowed 2 copies of plan Cert of Survey Racd vY N -V ? a g ) 1 set of Energy Calculafions for heated addilions Tree Pres Plan Recd Y N 2 copias of plan showing beam & window saes; poured found desgn, etc. 1 site survey for additions 8 decks Tree Pres Requi2d ? Y YI? lsetofEnergyCalculations Adddion - indicafeif onsResepfksysfem On-sAeSepticSystam = Y ?[N 3 copies of Tree Preservation Plan if lot platled after 111193 3I ?S Rim Joist Detail Options selectbn sheet (buildings wAh 3 or less uni4s) Da[e ?--_ / !S Site Address / C2-S' Construction Cost L`- - / Unit/Ste # C1'1S C,q,[ E Description of Work fSt? 01ZXC7'12- C-G 7/ ?'y(? Multi-Family Bldg N Fireplace(s) _ 0 X 1 _ 2 Property Owner ,/!,1A t r F-/?'J,-yt &' S Telephone #( ) Contractor Address SGfs State r I/l/D ?-i/ a'v1G?i?il/?1 [?!? ST City zip SS",39' 1 Telephoue # (9.se1) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ? Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Ene[gy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code WorCSheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted / Have you previously constructed a building in Eagan with a similar planZ ?Y _ N If so, 25% plan review fee applies. / ac or Telephone #( J I hereby apply for a Residential Building Permit an e 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 s ase of work which requires a review and approval of plans. Licensed Plumber ? ?t/1/7, Telephone #(?) D1r??r??r Mechanical Contractor e. +. II ? r5 1? Telephone #( ) Sewer Water Contr t FEB ? 4 Applicant's Printed Name Ap li*t's Signature OFFICE USE ONLY t Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02: SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi f3? 03 Ot of ' plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yar_N ? 25 Misce118neou5 Work Types ' H"' 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32. Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33. Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34ReplaCement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ?l V7 3 Occupancy R"LAL MCES System ve-o Census Code 102 Zoning f D City Water ?_ SAC Units I Stories "Z Booster Pump - # of Units ? Sq. Ft. ?52-- PRV r # of Bldgs 1 Length Fire Sprinklered Type of Const ? Width / ? Footings (new bldg) REQUIRED I?iSPECTIONS ? Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) "?' Plumbing Foundation e -,-- H V AC Drain Tile - Other Roof Ice & Water Pool _ Ftgs _ Air/Gas Tes[s Final Final _ ? Framing _ _ Siding _ Stucco _ Stone _ Brick ? Fireplace "R.I. -Air Test Final Windows ?Insulation _ Retaining Wall ???" ? Approved By: - • , Bu ilding Inspector --------------------------------------- BaseFee ----°-- --------------------------------------------------------- --------------------------- LoweR- L,e??l -RWs,HeA ----------------- 1?,330 Surcharge 1t il CANFIryiSNED PlanReview 2!!ir% MAkItq ?t 1?1'u1SHE17 MC/ESSAC 3?? Y' 11 ti\ 2c01 V 2 cicy sAC 61(424 Utility Connection Charge D EC 1L DO ? 2 r r S&W P it & S h ) ge erm u c a Treatment Plant q q1 03 License Search Copies Other Total ? Peanit Number RFScheck Compliance Certificate Checked By/Date 2000 Minnesota Fa?ergy Code REScheck Sofrware Version 3.6 Relmse la Data Slename: C:\Doaunrnts and Settings\Chcis\Desktop\Res Checks\453_Cascade.rck PROJECT TTTLE: Nicols Ridge Rows COLJNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Fatnily WINDOW / WALL RATIO: 0.08 DATE: 02/14/05 DATE OF PLANS: 12-20-04 PROJECT DESCRIPTION: 2130 Cedaz Grove Ttail Eagan, MN DESIGNER/CONTRACT OR: Lennar Cocporation COMPLIANCE: Passes Maacimum UA = 563 Your Home UA = 398 29.3% Better Than Code (UA) Gross Glazing Area or Cavity Cont, or poor PaimSt? B-1'alll? -81'alue 31:EardQl 1!A Ceiling 1: Flat Ceiling or Scissor Tmss 952 44.0 0.0 26 Wall 1: Wood Frsne, 16" o.c. 3252 19.0 0.0 174 Window 1: Above-Grade:Vinyl Frame:DoublePane 258 0.350 90 Door 1: Solid 42 0.350 15 Floor 1: All-Wood 7oisUTmss:Over Unconditioned Space 414 30.0 0.0 14 Floor 2: Slab-On-Grade:Unheated 116 10.0 79 Insulazion depth: 4.0' Fumace 1: Forced Hot Air, 90 AFUE Air Conditioner 1: Electric Centnl Air, 10 SEER Proposed and Maaimum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor .l Above-Grede Windows and Glass Doors 0.350 0370 Includes Foundation Windows > 5.6 12 Floors Over Unconditioned Space 0.033 0.033 COMPLIANCE STATEMENT: The proposad building design desaibed here is consistent with the building plans, speci5cations, and ot6er calculations submitted with the peamit application. The proposed building has bcen designed to meet the 2000 Minnesota Eneigy Code requirements in REScheck Version 3.6 Release la (STCnerly MECcheck) and to mmply with the mandator,y_r?ents listed in the REScheck Inspection Checklist. Date ,-?::: -1 S"' ?S ?0 ?T LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: ?z?c-K`Y., NICOIS DATE OF SURVEY: LATEST REVISION Ya Oz 0 A' ? ? o 0 12 ? "Al ? ? ? .B ? ? ? ? ? m rn c R r U V Q DOCUMENTSTANDARDS ? . Registered Land Surveyor signature and company ? • Building Permit Applicant ? . Legal description ? . Address ? • North arrow and scale ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? • Directional drainage arrows with slope/gradient % le . Proposedlexisting sewer and water services & invert elevation ? • Street name ? • Driveway (grade & width - in R/W and back of curb, 22' max.) ? • Lot Square Footage ? . Lot Coverage ELEVATIONS Existinq p,? ? ? ?. Sewer service (or Proposed)- 5pQ -rJiCrL E.I£?O? M Sttilv? . 'ff ? ? . Property corners q??' ,ei ? ,0 . Top of curb at the driveway and propertv line extensions ? p ? . Elevations of any existing adjacent homes ? ? ? . Adequate footing depth of structures due to adjacent utility trenches ? ,PI ? • Watervvays (pond, stream, etc.) Prooosed ,? ? 0 • Garage floor ? ? ? • 6asement floor ? ? • Lowest exposed elevation (walkouVwindow) ? ? ? / • Property corners X ? ? • Front and rear of home at the foundation PONDING AREA (if aoplicable) ? Jd ? • Easement line ? yJ ? • NWL 0 0 ? • HWL ? 0 ? • Pond il designation 0 ? ? • Emergency Overflow Elevation ? ?( • PondlWetland buffer delineation Y ? . Shoreland Zoning Overlay District DIMENSIONS X ? ? • Lot Iines/Bearings & dimensions fd' ? ? • Right-of-way and street width (to back of curb) ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ,PJ ? ? • Show all easements of record and any City utilities within those easements '0 ? ? . Setbacks of proposed structure and si?yard setback of adjacent existing s[ructures ,B ? ? • Retaining wall requirements ? Reviewed By: ii IDate ? G:IFORMSlBu ilding Permit Application Rev. 11-26-04 ?' -" Surveyor's Certi,ficate SURVEY FOR :Lennar DESCRIBED AS :Lot5 1,2,3, and 4, Block 4, NICOLS RIDGE, City of Eagan, Dakota County, Minnesota and reserving easements of record. ? 7T;I TED By ? Date EACiAN ENGINSERING DSPT. I ? I ? Proposed ? Home j I Tob= (533.8 ) i INSTAu -----------_' SoLT FENCE ? ? I I , ? 00'00"E i.o BS e =eas.o ? roal I 3231 ^ ^ 15.0 834.8 _ u. 0.0 7 W=B39.0 , Q 0 ??" E--? Proposqa fi Homl?^ F-? Toh= (Fi?1 p a O? 4 T V W I".° Gorage N p ? u N U To Lot Linel 6 N a ° N ' ? .OO '- "? o oo- I N 830.9 ro .00 ? 6•o0 E? v ° ? 83 6 I y n 2 I 5. °J m ry Garog@ N ? 0 6 Cd $? 3y? N Deck- ; ry a '_ I R OUTL T ?O • s.pQ ? 831.3 ?? , p d Drainoge & Utflll?y Easement 20,00 ? i over all of 0 tlat A O 6.00 83 .0?0 o v o "p'+ O T W=840.0 I Coroge N N °a=3 ? p B W=838.5 I ? a;v° N Deck p Q Q Garp9e M q N 0 o° !? 4 , „ v iVtSSN 00,00°?/ r ? , Proposed Home To6= C?36.3 ? PROPOSED ELEVATIONS Top of Foundation = 835.2 Garage Floor = 831.6 Basement Floor = 832.0 1 L2 Aprox. Sewer Service 522.9 $23.1 4 Proposed Elev. - ? Existing Elev. _ Drainage Directions = Denotes Offset Stake = • OD C/I? I m N ? Z a ? I m 835.8 I g 20 p y T1W=840.0 ? 831.9 I QO 932.0 B =836.0 I ' EAGAN i ?_;.?? 3•9,?s? aLDBMC 8?SPECT9O9?? ??PT BENCHMARK, TNHOCedarvale Dr.&Cedar Grove Prkwy EI=827.26 MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- HEDLUND I HEREBY CERiIFY THAT 7HI5 IS A 7RUE AND CDRRECT REPRESENT1yTION OF 1HE BOUNDARIE$ OF iHE ABOVE DESCRIBEO PROPERN AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO PLANNlNG 6NGINfi6RING SURV6YlNG SHOW IMPROVEMENTS OR ENCRDACHMENlS, E%CEPT AS SHOWN. 2005 Ptn Oak Drive Eagan, MN 55122DAIE ? ? - Phone: (651) 405-6600 $ ?. IINDGREN. V+N SURVEYOR Fax: (651) 405-6606 MI111V OTA IICENSE NUMBER 14376 N0: 04R-609 Niclos Ridge SCALE: 1 inch - 30 fset Address: 2124 Cedar Grove Trail Lot: 1 Block: 4 Subdivision: Nicols Subdivision Zip: 55122 THE FOLLOWING ITEMS WERE/N'ERE:\"OT COMPLETE AT FINAL INSPECTION ON 11 [??05- Ye No Comments Final grade - 6" from siding Permanent ste s- ara e Permanent ste s- main ent Permanent driveway Permanent as Retainin Wall or 3:1 Max Slo e 3od/Seeded lawn Trail/curb damage Porch Lower level finish Deck Fire lace • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to thc outside lawn faucets before freeze potential exisls. • Call the City's Engineering DenarUnent at 651-675-5646 prior to working in right-of-way or installing irrigation system. J BUILDING INSPECTOR: K4- Z• CONTRACTOR: Lennar Homes 545 Indiao Mount East Wavzata,MN 55391 ? e/ - site aaare55: Z! z y C&I?t - G, ?c>vc Lot L siock? Subd. 1V l GO5 c- On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. ` This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE Water Heater x JZN (:7,onn 1-11 V JZ S Q qO,C,YJp 1 !L Fumace Gv1ZiZ? L IZ- 4- /0 GA OjG !J /Z Dryer WL IZ ?( ?j 3' =-c7fL p J 12-E.'Gr EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED res No Kitchen kitchen -1 V„A ?$71 SS Bathroom 1 nMSrEI P yA?y?G ? V ?+? Q ? 1 O Bathroom 2 w L? Izdfl?f? CU ? Bathroom3 P4UJtl JZd C ?D Bathroom 4 l/ Other FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT AiM05 J'IC47 A(A dlZ I hereby acknowledge that the above informatlon is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. I Date Name This tortn is the responsibility of the General Contractor. 06Z31i2005 Silea4drm: 13:53 ERGRN ENG+CpM DEU 4 96512893240 ,;t ) 2 L cG'Ja<' ? TV-, Lot ._. 81ock _ N0.372 Subd. k i Ga 4S On Aprh 15, 2000 the Minnesota Energy Code, Category I euilding Requirements for insulatlon protectian, air Gghtness, and vermlafion, was adopted. As a resuM, the Cdy o( Eagan is requiring that the following information be submitted priorto issuance of a Cehificate af Occuparicy. ? Thla sducturx is crosiructed to meet miNman mqulrwnenft of t?a Mn Energy Coda, Chaper 7670 OR , Tfida shuchae: wlll be cansNxtWtomeat moto restrktlve repdrefients cf Chapters 7672 or 7674 AGPUANCE GA6 EIFC MANUiACTURER NIOOEL BNS VENTINGtYPE waterNeater a? GCm ? `?pOt? ? ?Y F°"woe ? C-amice SSrnc CoU - oop A65 oPIS' - OWSR 8 " W EIfNAUSTSYSTEM LOCATION TYPE eIfODEI CRoPs VE D KiWMen itif? ?N BalNoom 1 M1ai? tcw OGq\ (O ? x aaev" z (,o,,,«L??r cbo?n r _ x Betl?m9 '? ?l..r ?< 3?a % 2 ; PANFVI r Other Q.+?t?e' Gctw k G? PIREPtACE LOCATION GAS WDpp MANUFACiURER MOpEL 'BTU'S VENi1NG OUtW ATMOS K Oap K RAW4W JUR MpDk1 TYPE CfpA's O a '+ (-"Icx lNjbt N.,? I hereby acMnotvledpe fhel Ne eboYe Infarmetion le correct and agree to oomply wltM the Mmnesota Energy Cade and City of Eagen MIPI1qltEltt6, &6'04?? SigneWre L t^nwc CampqnyName pate 002 nf 4 This form Is the ta9panelbilily oT Ne Generel CoiNector. Job Addressl-1,16 eit?v ? c Heating Contracto? Name of Teste/r?-,?- Date 4'-!?V-d f Percent 02 ?O Peroant CO G Percent C02 ??Vo Stack 7emp Combustion air is atlequalely supplietl per UMC Sec. 606 Input Address: 2126 Cedar Crrove Trail Zip: 55122 Lot: 2 Block: 4 Subdivision: Nicols Subdivision THE FOI.LOWINC ITF.MS N'ERFJWERE NOT CObfPLETE AT FINAL INSPEC'fION ON ' - .2 1, Q;' Yes No Comments Final grade - 6" from sidin Permanent ste s- gaza e ? Permanent ste s- main ent Permanent driveway Permanent as Retainin Wall or 3:1 Max Slope Sod/Seeded lawn i/ Trail/curb dama e Porch ? Lower level finish Deck Fire lace • Verify wi[h your builder that roof test caps from the plumbing sys[em have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing irrigation system. J BUIi.DINGI\SPECTOR: _ 44I((X- LUhCf'i CONTRACTOR: Lennar Homes 545 Indian Mount East Wayzata, MN 55391 Address: 2130 Cedar Grove Trail Zip: 55122 Lot: 4 Block: 4 Subdivision: Nicols Subdivision TRE FOLLOWING PfF.MS WERL+/W6RE NOT COMPLE'CB AT FINAL INSPECTION ON /J • 7i J" Oe Yes No Comments Final rade - 6" from siding ? Permanent ste s- arage ? AloWis Permanent ste s- main ent Permanent driveway Permanent as Retainin Wall or 3:1 Max Slope Vl ' OVOT p• Sod/Seeded lawn Trail/curb dama e Porch Lower level finish Deck Fire lace • Verify with your builder that roof test caps from the plumbing sys[em have been removed. . Tum off water supply to the outside lawn faucets before frecrc potential exists. • Call the City's Engineering Deparm'icnt a[ 651-675-5646 prior to working in nght-of-way or installing irrigation system. J ? BOILDING INSPN:CTOR: X CONTRACTOR: Lennar Homes 545 Indian Mount East Wayzata,MN 55391 , 1'YRE i Address: 2128 Cedar Grove Trail Zip: 55122 Lot: 3 Block: 4 Subdivision: Nicols Subdivision THE FOLLOWING ITEMS WERElWERE NOT COMPLETE AT FINAL INSPECTION ON S r D Yes No Comments Final ade - 6" from sidin Permanent st s- gara e ? Permanent st s- main ent Permanent driveway ? Permanent gas r/ Retainin Wall or 3:1 Max Slo e ? Sod/Seeded lawn Trail/curb damage Porch I,ower level finish Deck Fire lace • Verify with your builder that roof test caps from the plumbing system have been removed. • Tum off water supply to the ouuide lawn faucets before freeze potential exisu. • Call the Ciry's Engineering Department at 651-675-5646 prior m working in right-of-way or installing irrigation system. 4 RUILDING WSPECTOR: I ??? Lp-- Lo? G?J CONTRACTOR: Lennar Homes 545 Indian Moun[ East Wayzata,MN 55391 N0.372 ??: alaa ce?pr Grovg Tiz,,? ;r , suba. IUIC.Q13 "?c?qQ • On Aprl 15, 2000 the Mfnnesota Energy Code, Category I Building Requirements for fnsuladon protectlon, air tighfness, and ventilaation, was adoptad. As a result„ the Ciry of Eagan is requiring that the fnllow?ng information be su6mided priortD issuance oi a Cer6ficaUe of Ocxuparny. 2< Tlde *uchua fa oodmed to rneet fiUlmwn ieq*mnenCS af Ilre Mn Enargy Cada, ChmW7670 OR , This sfrue?aec ? consU?miedlo n?eet mare lestrf?lre req?ertlenta dt?fapters 7872 or 7674 AVPiJANCE OA6 E1.EC MANUFACTUPER MOOEL 9N9 VENNTING7M warerNeeter Ctm O *ipoO {is ?LwY F""'ate V, I Carricr 58mc --.? ap R s oryar ,.L C?qr e ????S 8 " l,? EXHpUSTSY6M LOCA110N 7YPE MODEL CfAPs VEHM rES Mc Knaha, wtoaw a N emleoom t ^40 L`,,,. Ooar+ Co ?o X 890Yaofn 2 Lcl-oar l.4„1 CaA? X Betlaoom9 '?j ?/«r ?Cp0.J1 (D X Bathoom 4 1wa Pft, C V( V 62 a 8O X Otlher Owjv?c ?o 70 X FIREPIAC 40CAttOH BAS WOOD MIWIJiACiUfiER MCCFl. BTIPS DwECTYM ATIOs x oa, X MAXE4W AIR M40E1 TYPE CFM'a O ? 'i h?/t?c t Nw I hemby acknoMedge thot Iha sbova Intormetion Is corract and agree fa wmpy wlth dSe Mlnneoa6a Energy Code and Cly W Eegan mwhpwa Sion?dfire L e.^no,r Cwnpeny Name APR 4 7 20Q6 pate D02 nf 4 TMs foim U the lesponaiDUNy o1 Na Generd Co*acor. Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use Q~ I Permit V V City of EaRd Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: rj ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 12C-Qdav- (L41102 Unit Name: ' Lc'C~;S f L! ~f t.t i~c t (JI L liZ`1 Phone: Resident/ , A > Owner Address / City / Zip: /C'ct. L% Applicant is: Owner Contractor Type of Work Description of work: V00 V Construction Cost: 0C/ Multi-Family Building: (Yes / No ) Company: gut.. kaS101'rifI(1 '/120 Contact: Leti_L ( tE=-! f S Address:/ 3 L/ C` City: v r Contractor -c -7 A /C Zip: 1 4 Phone: j f ( _ t> State: License #:.,t' . 7-Z.3 Z Lead Certificate 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 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.gopherstateonecall.oro 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. { e ? i Applicant's Printed Name Applicant's Signat 1e d Page 1 of 3 Use BLUE ar BLACK ink � FarofFiceus i_!i___— i ` � �� f G�t� of�a� ; Permit#. , �} � � � Permit F�< < `.� i 3830 Pilot Knob Raad Eagz�t MN 551�2 j t�iteceiu+erl: � Phone:(651�675-66T5 f j Fax�(651)675�5694 I Staft I I � '-----------------� 201� �tESIDENTlAL BUILDIN� PERMIT APPt�GATiaW uate: s�ce add�so��o�'�i�-�/o�.��o�/„�'J o�/��' u►��: C°�. c�a✓� T,�i9�� Name: Phone: ReSidetl't/ c�,�� Aa�ss��►��zP:'�1��1��.\a19�� �1���\�0 �eS��' °�'�. �C'�i�1 �1a�a� Appiicant is: Ovw►er �Crnrtractor Type Ot Work Descnption afwaric: e, ' Constnrc#ion Cos�t: �3�(�� Mul#i-Fam�y Bc�ng:(Yes /Na ) : Company: �-3f�tact: COD�Ctt)C Address:���"��U�� S� City: ���� ' State:��p:���J�J� Phone�" ��'a���ma�:�1 ' O�G,1'� o �l's�'��'11•��� License�: Lead Certifira�#� If the project is exempt from tead certification, please explain why: (see Page 3 for additional it�formatian) 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: Nt?TE:P#ans and suppcirfing do�umen�s fhat}+r�u s�r$t�i#ar�:c�r�,sitte�'��'b+e pu�ic ir�#r��ta�ior�: Fb�tiott,�s�f the infnrmafion rnay be c�assified�s»on pubt]c if you�Oro�riate specific t����art�i�haf watrlal pRerr»it fl�e Cit,y�o: conctude fih�t th� are�ade se�rets. : CALL BEFORE YOU DIG. Cal)Gopher State One Call at(651)454-0Q02 for protection against underground utility damage. Call 48 hours befare you intend tv dig to receive loeates of underground utilities. www.ggpherstateonecall.org 1 hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the Ci#y of Eagan; that 1 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 wilt� in accordance with the approved plan in the case of work which requires a rsview and approval of plans. Exterior work authorized by a building permit issued in a�ordanae with the Minn�ota State Building Code must be completed within 180 days of permit issuance. .,,�� ., . x� i/�� �� T.;�,����� X ,�`'�`��-�-�� �� . Appticant� nF3 nted Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan , Permit Type: Mechanical 3830 Pilot Knob Rd "" `,0"r. Permit Number: EA153758 Eagan,MN 55122 •w-- ---� � Date Issued: 01/22/2019 (651)675-5675 . Permit Category:ePermit www.ci.eagan.mn.us Site Address: 2124 Cedar Grove Tr Lot: 1 Block: 04 Addition: Nicols Ridge PID: 10-50900-04-010 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace&Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector,Mark Anderson at (952)445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota Fee Summary: ME-Permit Fee(Replacements) $59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Apollo Heating&Air Spring M Davis 6510 Hwy 36 Blvd N 2124 Cedar Grove Tr Oakdale MN 55128 Eagan MN 55122 (651)770-0603 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. Applicant/Permitee: Signature Issued By: Signature ~ I— For Office Use ,\/EAGA Permit#: � ✓ 'f' ��� Permit Fee: a-1.1 1 I EC1• Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Vie' PIW (651)675-5675 I TDD: (651)454-8535 I FAX: (651)67 JUN 19 , Staff: i r� BY et 2019 RESIDENTIAL BUILD ' E ' z I IT APPLICATION Date: 06/19/19 Site Address: 2124 - 2130 Cedar Grove Traill Unit*: Name: Nicols Ridge Summit Homes f Phone: Resident/ I 7100orthland Circle, Suite 300, Brooklyn Park, MN 55428 Owner Address/City/Zip: Ny I ! Applicant is: Owner i Contractor Type of Work Description of work: replace entry stair treads and risers, install bracing for treads i i Construction Cost 7800.00 Multi-Family Building: (Yes L /No ) 1 Keran Home Services, LLC Tim Keran I 1 Company: Contact 265 Fillmore Ave E St Paul Contractor I Address: City: 1State: MN zip: 55107 Phone: 651-334-68% Email: timkeran@hotmail.com License#: CR593945Lead Certificate#: 1 If the project is exempt from lead certification, please explain why: I 2006 construction COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i 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 S 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 maybe ciassithrd as non public if u p►ovide Hic reasons that mould rmit tihe C' to conclude that the are bade 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 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. 1 I hereby acknowledge that this information is complete and accurate;that the work will be'. orm- •- with ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, a . work is not to -a , 'hout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and a..royal of�n��ii Tim Keran Applicants Printed Name A 17 '`i"g =tore • a.0-` . a-ta 6., )-t5 .) f3T) DO NOT WRITE BELOW THIS LINE n a SUB TYPES Ce 4 r (- t-o V c -1-1- _ 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 4 01 of 4 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 E 00/a Occupancy 471C IS MCES System Plan Review Code Edition ;i,., f SAC Units (25%_100% Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of ConstructionWidth REQUIRED INSPECTIONS ��--'' Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X Final/No C.O.Required Foundation Foundation Before Backfill HVAC___..Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall:—Footings_Backfill T Final — Sheetrock Radon Control — Fire Walls Fire Suppression:_Rough In_Final — Braced Walls Erosion Control — Shower Pan Other: Reviewed By: , Building Inspector l RESIDENTIAL FEES t_j Base Fee L" L f O tT Surcharge ,V( 0 / L i Plan Review Ø( A4 City SAC fdr, irl I - Utility Connection Charge 0S&W Permit&Surcharge � t G{ Treatment Plant ' ' V. P\ %#1 1 Radio Meter Read Copies TOTAL Page 2 of 3