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1584 Lancaster LaneCITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 30 aIk 3 Parcel 10 13500 300 03 Owner Street State Fap?n? MIN 55122 1584 Lancaster Lane Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, cS'; 1982 1806.39. 200.77 9 1806,39 C007571 10-1-81 STREET RESTOR. GRADING ,,?j• 1982 526.46 58.50 9 526.46 C007571 10-1-81 SANSEW TRUNK 3 1976 135.97 9.06 15 90.67 A008956 3 18 80 * SEWERLATERAL (05) 1982 3116.46 346.27 9 3116.46 C007571 10-1-81 WATERMAIN WATER LATERAL S WATER AREA 1982 198.01 22.00 9 198.01 C007571 10-1-81 * Stubs 1982 9 STORMSEW TRK ?gZ 1982 359.82 39.98_. 9 359.82 C007571 10-1-81 STORM SEW LAT IJHZ 9 CURB & GUTTER SIDEWALK STREET LIGHT 2 0 00 34493 2-22-83 WATER CONN. 450.00 BUILDING PER. 7 p2 SAC 525 OO " t PARK ? 0 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 I (612) 681-4675 SITE ADDRESS: ' 0 ' `' • 0 0 : °" " i rE r ?() r?E . I . , i,`,ur: . I i i i r:rli }A ;:, uN 11 i ! 1 PERMIT SUBTYPE: ; ?•,? .. PERMIT TYPE: 11 if r t t; t ror, Permit Number. 0.1 ?? q I ri Date Issued: tt , ;' 1 <+t'?5 APPLICANT: i+ i -4 TYPE OF WORK: Flf il`kAlltIN uFticklPTl[IN (f•ukr.H) API I Ntr INnI itUi,N 1 N N 1 41 IfitMAfrF ,- Ac%FVnl+nlt 1'f1;M 11 1•, 1+1 011 1 kLU 1 +iir ANY 1'Itf tRifAl 111JUh Permlt No. Permlt HolAar Date Telephone k ELECTRIC PLUMBING HVAC Inepactlon Dats Insp. Commenta FOOTINGS FOUND FRAMING l?g /te ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG OHSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL % CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE Ig necfiIvec FROM AMOUNT $ I Q DOLLARS ?oo ? CASH F? CHECK FOR White-Payers Copy Vellow-Posting CoPY Pink-File Copy Thank You ??? ev 1/12/90 - OK FOR HOMEOWNER TO BEGIN WORK PRIOR TO PERMIT BEING ISSUED - PER STEVE HANSON. SITEADDRESS 1584 LANrASTEB LANE Unit # Pertnit # /?)wz/ L 30 g 3 Sect./Sub. BEACCON HILL ADDITION BSMT. FINISH - RICHARD CHAPMAN 688-7954 INSPECTION INSPECTOR DATE COMMENTS ?lLA''7Lr / ? F - 1 g D ??/so Receipt; PLUMBING P;ERMIT Permit No. . CITY OF EAGAN Fee •.<,. ? fill in numbered spaces S/C TYpe or Piint legibly Tot. 1. Date.;.- 2. Installation Cost f'c- iS?y!-?3r??J 3. Job Address LotBik. 3 Traci ? 4.Owner: n_c J/o=)?AF- k?L_? 5. Contractor. . Phone 6. Address / ? ??? ? ? ? J ••?...??! r i ?i ?? , 7 / L--. ? ----- 7. City i State I'j Zip 8. Building Type: Residential Gg?? Commercial ? Institutional ? 9. Work Description: New ?@'? Add ? Alter ? Repair ? 10. Describe 11 No. Fixtures Water Closet No. Fixtures Cesspool/Drainfieid ? Bath tubs Septic Tank " Lavatory Softner Shower Well Kitchen Sink _ Urinal/Bidet Laundry Tray Other " - Floor Dreins _ Drinking Ftn. Slop Sink Gas Piping Outiets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: " ? for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt - MECHANICAL PERMIT • CITY OF EAGAN Fill in numbered spaces Type or Print /egibly t, Date 2. Installation Cost 3. Job Address Lot :^ Blk. ? Tract 4. Owner ' 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential $7 Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Hepair ? 10. Describe Fuel Type ' - -'? 11. No. Eouioment 8TU - M. Ea. Forced Air No. E4uipment CFM Ai H dli : Mfg. r an ng _ Boilers Mfg. _ Mech, Exhaust Unit Heater _ Mfg. / Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITYOFEAGAN 464-8100 w . . , , BUICDING PERMIT Te 6e wsd fer SF llSdG/, Site ,.,dd,eu 15?4 Lancas l.ot 30 Blxk 3 S p,rc,l # 10 13500 30 ac Name Oal: Cha9e W ; Addrasa 4525 Oak C b Ci "agan 55123 Zo Name Owner 8' Address ~ Cit Nome WW FW ?? Address ,CW Ci I hereby ackrawledge that I hove the informntion is torrect and u State of Minnewta $tatutes and $Iqnofure of Permittes A Building Permff Is issued to: _ oll work sholl be done in occordoi Buildirq Officiol CITY OF EAGAN 3795 Pllof Kno6 Rood Eapae, MN 55112 PHONEt 454-8100 Beacon H112 this application ond stote that to comply with all applicoble of Eogon Ordinonces. with nll opplicable , J. LN . ?TC2 Receipt # . Erect ? Occupancy R-3 Alter ? Zonirq R-1- Repolr ? Firo Zone NA Enlarpe ? Type of Const. V MOYe D # Srories Demolish ? Length SF6 Grode ? Depth 32-Sq. Ft.- Apvrora4 Fees Assessment permit 4cl.vv Wcter 8 Sew. Surcharpa 48-00 Police Plon check 210.50 Fire SAC 524.00 Eny. Water Conn.4511..rl.Q- Plonner ? WaterMeter E0.00 Councll Road Unit 250,00 Bldg. Off, HPC Total ^c on tha sxpresa wndition thar sotq.Statutes ond City of Eapcn Ordinancs. Psrmit No. Permit Holdsr Misc. Permit No. ? Holder Plumbin9 3A? £/?Z- 3-10 H.V.A.C. k Wsll Watar Dap. Sewer ENctric 0`404`1) M4Yl kLL`C• 3-2$""F53 InspeMion Date Insp. ? Other Footing. Foundation Freming ;j0-9J Rouph Plbp. - 0 Rouph HVA K InwlMion Final Plbg. . D - LAn Final HVAC Final .a 2j ?' WaMr Desi:ribe Location: YVeI I ? Sovwr Pr. Diap. ` R 1.a y CITY OF EAGAN 4' "17444 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 3 PHONE: 454-8100 -. j 13UILDING PERMIT Receipt # ' To be used for BASEl18liT Est. Value $19S00 Date JAN .16 19 90 a li SiteAddress 15" LANCASTEa LN I I Lot 30 Biock 3 Sec/Sub. BEACON HjLL OFFICE USE ONLY { PBfCBI N0. Occupancy - FEES 1 ! Zoning W Name aICHABD CHIIPMAN (ACtuaq Const _ Bldg. Permit j5•? Address 1584 LA1111CUTEA LN - (Allowable) - . p Surcharge 1*? City EAGM Phone 688-7954 # oi storie5 _ Lenglh _ PlanReview Address U¢u ? Clty ? ww Name ?Z'- Address i W City I hereby acknowlege that I h informalion is correct and w Minnesota Statutes and Ciry c Signature of Permitee I_ A Building Permil is issued to'. on Ihe express condition that applicable State ol Minnesota Building OMicial _ Phone _ Phone ad this application and state that the ? comply wit ,all applicable Slate ot n Ordinnc i i RIC1iA8D CHAP!!AN k shall be done in accordance with all zs and City of Eagan Ordinances. Depth - SAQ City S.F. Tolal - SAC, MCWCC S.F. Foolprints - On Sile Sewage _ Water Conn On Site Well - Water Meter MWCC Syslem - Acct Deposit City Water _ PRV Required - S,'W Permit Booster Pump, - S!W Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Council _ Bidg. Off. Copies 36•00 Variance - TOTAL PermM No. Permit Holder Date 7elephone M 'WATER SEWER PLUM8ING H.V.A.C. ELECTRIC Inspection Uate Insp. CommeMs Footings I Foundalion Frarnin9 / ICl ?'1O i? Roofing Rough Plbg. Rougn Ht9 cJ r.t?si? ? 2 IsuL Q/? ' .?/ ?Lry T Freplace Final Htg. Final Plbg. Const Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg Deck Final Well Pr. Dlsp. SEWER SERVICE PERMIT CITY OF EAGAN 87¢5 Pilot Knob Roed pE ??T NO.: Eegan, MN 55122 DATE: No. of Units: Zoning: -' u i" ?- - Owner: Address: 1 ,,,r i<:ncss[er `? . r_or L;r,. Site Address: Plumber: , 1 agre@ M wmply wIM The Ci1Y oF Ea9an Connection Chorge: qcwunt Deposit: , Ordinanee?. psrmit Fee: SurcFwrge: Misc. Charges: By -Date of Insp.: Total: - .1. _ CITY OF EAGAN 3795 p;la Keob Roed Eogan, MM 55121 n ZOIL09: OW(IEr: Address: Site Address: Plumber. Meter No.: Size: Reader No.: 1 a9roa to wmp1Y with the CifY of E°9an Ordinanees. WATER SERVICE PERMIT PERMIT NO.: DATE: _ Na. of Units: T " _ Connedion Gharge: _ qccount Deposit: _ Permit fee: Surchar9e: Misc. Charges: Total: Date Paid: By Insp.: Date of Insp.: CIETy pF EAGAN Include 2 sets of plans, 1 site plan w/elevations & ? BUILDING PERMIT APPLICATION 1 set of energy calculations. ?? ? - - To Be Used Far r(.lJC ?` e?QU Date Site Address 1?jSS'C (_Se-/l- OFFICE USE ONLY . rAt 30 slocx 3 sec./s,ab. 13eucon W?I Erect x occupancy Parcei #: r6 [ 3soo 300 0 ? - Owtter: QI}}1s- G-IflSe Qutl.ptlzS? IhC. P,ddress: H 5Z5 614+-- CNAsE Wpy Gity/zip C,ode: EFYOA-n ss) r3 Alter zoning /41 Repair Fire Zone Ehlarge Zype of Const. Nbve # Stories Dgnolish Front ft. Grade Depth ft. Phone #: yJZ- 30rr3 APPROVALS FEES Contractor: Of4?- CHASt IIuMUFes, I^f Assessments Permit I [4ater/Sewer Surcharge Address: ?l S 2? 9aic c NASr. ? Police Plan Check D?- City/Zip C.ode: ?/J,+ ?S?e3 Fire SAC Water Conn. o ` Pho? #: `-1S2- 30 fi 3 yPlanner Water Meter Alol) ? Council ? Road Unit ? ,.?0 Arch./Eng.: A-S Bldg. Address: APC ? City/Zip Code: Phone # : TaI'AL REQUEST FOR ELECTRICAL INSPECTION „?w Ea-ocooi.e3 u? ? ' See instructloiis for completing this form 6n beck of yallow copy. ? 1? r`%• 416 0. ?.. . "X""J-?obJ",7brk Covered by 7his Request Ne Add Rep. Type of 9uilding Applfances Wired Equinment Wired 57< Home Range Temporary Service Duplex Water Heater ' Liyhtiny Fixtures Apt. Building Dryer Electric Heatin Commercial 81dg. Fumace Silo Unloader Industrial Bldg. Air Conditioner 6ulk Milk Tank Farm otnEr peol v otner lsoeciryl - t er SUeciFy Other - Other Compute lnspecuon Fee Selow ` # Pee ServiceEntrenceSrze # Fee Feeders/5u6feeders N Pee Circuits 0to100Am s 0to30Am s Z 0to30Am 'Z'- 101 to 200 Amps 31 to 100 Amps 31 to 100 Am s. Above 200 Ami?s Above 100_Amns Abnve 100Amus aigns aPeciai Inspection S ?Remarks TO AL F?j E 37 .s0 Rouph-in r 1'?y? 7 . . the Electrical' s °?? nsUecior, harebv t Fina? Date certi y that the pbove spection bas 6een Ih15 fP.GUeSt.vOltl ' . . ? -.- -? . • ?.? 6' •,V.?? 18 month5 fror.i. ' This request void 78 mpnths fmm . -;1-04 4 6 0 L3oi g 3, g?ar?n. W-t' 1( 3q4(a y ,34, ! Sd Ae.quest. Dale ' . i / ?O ? Fire Nn. Rouph-in Inspeccinn qu red? ?Ready No?Will NotifY. Inspec- ?-[i h Yes ?No . r W en Ready M?Llcensed Electrical Coniractor I heraby ryquestinspection of ebove ? Owner t l i t t - - l i ll d e r work e : ec ca ns a a Stree[ Address, eox or Route o. City ectiun o. ownship Name or No. Range Na Co ? Occupan/tTI ?J? ' Phone-No. L! /rQC_. ?.. " • Power Supplier C M" Address ? ,- ) Electrical Co act r lComvany Namel? ? - Contr tor's License No.- ! ,g-A) CT?i LG Z-, Maiiing Ad ress (Contractor or Owner Maklig Instailation) 5sy ? f `? ?? ? /- 3`I LE , ? L. vE Authorize re (Contrector Ow er M ing Installa on) Phone Number . 1 Y i? 1? V U MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION HEQUEST WILL NO7 Grie95-Midwey Bldg. - Room N-791 gE ACCEPTED BV THE STATE BOARD 1821 University Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone f6121297•2111 ENCLOSED. (grrtifirttt.e nf (Orrupttnry Citp of Cagan Er,pttrtmrn# rrf lguilbita3 3tca.yrrtimt Thir Crrtr ficate iiJUed pur.ruunt to the reqreirrmcnt.r of Sation 306 of thc Uni form Building Code urti f ying that at t{x time of iJSUancr rhii structurr maj in com pliance with the varioru ordinuxres o f the City regulating 6ui(ding cannruction or xsr. For tbc followrng: SF DWG/GAR 7802 UK CIW*ifmtlm Bldg. Pe'mit No. , oc-war'nw R3 rrwcod?nm V Fia7on. NA zoMng nWru Rl ??of 04dW. Oak Chase Bldrs. Aed?4525 Oak Chase Way, Eagan 8?Ad&? 1584 Lancaster Lane Id.jot 30,Block 3,Seacon Hill ? By: p August 29, 1983 Buiidin`OfFidw ? Due: . .. . . . .. . ' rwt ?w w cou?ntuoue rucc . . . . i , . LITNpIN J.S.P. CITY OF EAGAN TT q ? ?/ 8o 3795 Pilet Kno6 Road Eagan, MN 55123 1, 6 2 PHONE: 454-8100 BUILDING P ?2 ?? ? ERMIT Receipt # ?_ To bs u.ed tor SF DWG/GAR Est. Value $96,000 pote February 22 19 83 Stte Address 1584 Lancaster Lane Erect Occuponcy R-3 Lot 30 Block 3 Sec/Sub. Beacon Hill Alter ? Zoning R-1 Parcet # 10 13500 300 03 Repoir ? Fire Zone NA V Name Oak Chase Builders Inc. Enlorge ? Type of Const. W , ?Ve p .# Stories ; Address 4525 Oak Chase Way Demotis?, ? Length 56 ° a Eagan 55123 phone 452-3083 Grode ? Depth 32 Sq. Ft.- p Nome OA'ner --- Aporovais -- Fees jr- o? Address u t- ri.., Name _ Address 1 hereby acknowledge that 1 hove read this applicotion and stote that the information is rnrrect and agree to comply with all appiicable State of Minnesoto Stotutes and City of Eogan Ordirwnces. Signature of Pertnittee A Building Permit is issued to: Oak Chase B oll work sholl be done in accordance with all upplicoble Building Official Assessment _ Woter & Sew. Police Fire Eng. Pionner ? Council _ Bldg. Off. _ APC Permit "`"''•"" Surcharge 48.00 Plen check 210.50 5nC 525.00 Water Conn.45(1 _ fl(1 Water Meter 60.00 Road Unit 250.00 Total $1964.50 on the express condition tha? ?o Eagun Ordinances. ,- CITY OF EAGAN N? 17444 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for BASEMENT Est. Value $1, 500 Date JAN 18 1990 Site Address 1584 LANCASTER LN Lot 30 Block 3 Sec/Sub. BEACON HILL Parcel No. W Name RICHARD CILAPhLaN o Address 1584 LANCASTER LN City EAGAN Phone 688-7954 tF Name SAMR g¢ Address ? City Phone wW Name ? = ; Address a W City Phone I hereby acknowlege I have re this appli tion and state that the intormation is correc d a e c I aIl applicable State of Minnesota Statutes an ' an r Signature of Permitee A Building Permit is issu to: RIC RD CHAPMAN on the express condition that all work shal be done in accordance with ail applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy - FEFS Zoning _ (Actual) Const - Bidg. Permit 35,00 (Allowable) - Surcharge l - 00 # or srories - Length _ Plan Review Depth - SAC, City S.F. Tolal - SAC, MCWCC S.F. Foolprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System _ Acct. Deposit Ciry Water _ PRV Required - S/W Permit Booster Pump - S/W Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Council BIdg.Off. _ Copies Variance - TOTAL 36.00 i --e, --------- i j Permd #: ? Permit Fee: ? ? Date Received: j I ? I Staff: I I V J ---------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: ?-a?--e-- Suite #: RESIDENT / OWNER Name: CJar(2i)4 Phone: Address / City / Zip: A6 L--A^? Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: ? L'J Construction Cost: Multi-Family Building: (Yes No -?- CONTRACTOR Name: kre-c e• License #: 4 L ? P ? Address: 0.c - tC a _ } City: ItiL/?? Ap,???'6'^_ ?-State:Zip: Phone: ? ) o? ! 14a -a 8 3 ?' Contact Person: /Cr?.-- r c?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheef • New Energy Code Worksheet Category Submitted Submitted SUbmission type) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a permit 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 & Water Contractor: Phone: NOTE: Plans.and supporting tlocumen#s that you submit are considered ta be public informatiorr, Portions af ' the informafion may,be,ciassitieJ as nvn-pvblic it ynu provide °specifi,? ieasons_thal would permit the City to ?conclude'thatthe ` are trade:secrets. ? 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 i?-r+qt to start w'?out a pe ?rpit; t?t the wor?will 6e in accordance with the approved plan in the case of work which requires a review and approval of,{Slans? ?/? , x kv (zt,, Q. cAujar,4 x //&?,/ Applicant's Printed Name Applican Signature Page 1 of 3 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 026416 05f19J95 SITE ADDRESS: P° T. N.: 10-13500-309-03 LQ7: 30 BLDCKe 3 1584 LANCASTEt2 LANE BEACON HTLL PERMIT SUBTYPE: SF (WIISC. ) APPLICANT: Tf2IMh1R5TERS (612) 850-0474 TYPE OF WORK: ALTERHTIGN DE5CRIPTIdN (POftCH) INSPECTION FRAMIN6 D. . ROU6H IN HTG .• FINflL REI%ARKS: A SEPAftA7E pERMIT I5 REQUSRED FOR RNY ELECTRICAL WORK . _? ... ACITY OF EAGAN ?9830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: euxLorrvG 026415 es/i9/as SITE ADDRESS: P.T.N.: 10-13500-300-03 1584 LANCASTFR IANE LOTs 30 BLOCK: 3 BEAC(lN HIIL DESCRIPTION: (PORGH) rmit Type 5F (MISC.) (,,k, T y p e ALTERRTION ?!'?2 <a pu,,.a "E4 14 ms:. ?; -ON ? ? Al; m?r?rs REMARKS: A SEPARRTE PERMI7 IS REQUIREp FOR ANY ELL-`CTRICAL WORK FEE SUMMARY: VALUATIbN Base. Fee 5ureharge 7ota1 Fee $99.75 $2.50 $102e25 $5,0ee CONTRACTOR: -Applicant - ST. LTC e OWNER: TRThfMASTERS 1850@474 0008123 NICKOLOFF TAMMY 70 75TH CT N 1584 LflNCflS7ER LN QAKDALE MN 55128 EAGAN MN 55122 (612) 850-0474 (612)583-9658 ? PERMITEE SIGNATURE ISSUED B . SIGWATURE? ? . ? CITY OF EAGAN IL41C 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 regiatered site surveys ? 2 eopres ot plan ? 2 copks of plans (indude beam & window s¢es; poured fid. design; etc.) ? 2 site surveys (exterb? addRions 8 dedcs) ? 1 enerpy eakuletions ? 1 energy ealculadons for heated additions ? 3 oopks of tree preservation plan iF lot platted after 711l93 raquired: _ Yea No DATE: ?r 2? CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK SUBD./P.I.D. #: , ' 10Ark,14A Phone #: PROPERTY Name:? OWNER FRST Street Address? ??FY-y- CONTRACTOR ARCHITECT/ ENGINEER -. ? City: State: ? Company: Street Address?Q Zip: ?f Phone 3 3/?r?6 License #: qf- City: .c? State: /?? 171 Zio?_= Company: C1 Phone #• Name: Registration #• Street Address• City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lat I hereby admowledge that i have read this application and state that the inform ti on is corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ^ Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 15 Tree PreservaGon Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 02 SF Dwelling o 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-plex ,9-'05 SF Misc. a 10 = plex WORK TYPE 0 31 New ::0?33 Alterations o 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS 0 11 Apt./Lodging o 0 12 Multi.Repair/Rem. ? ? 13 Garage/Accessory o 0 14 Fireplace o 0 15 Deck 0 36 Move a 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building * M ? 'u 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. -el 3 / SAC Code °f Census Bldg / Census Unit 0 Engineering Variance Permit Fee Valuation: $ S, o00 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 ?- .. ? ? SITE ADDRE55 ,- ? ? BU,LDER Form for use with Minnesota Ru1es part 7670.0475, sucp.1 1& 2 Family Residential "Cookbook" Method •ftwww-- "" (J'P 1? -/c ? (L n . L- ? Minimum Critetia: Rim Joise R-19 iasutation Tounduon wndows: Inwlated glass. IrI" air:pace. wood or vinyl frame Ency doors: 1Minch solid wood with storm or better STEP 1 Window & Door Area Total Window & Door Area in Sq. Feet WIIQDOWS (including foundation windows): Dimensions Qnry. Area s` 3 x .s-? z? xs7, , 77 Y 3 I2 xaLe4- 7 .y. 3v X14 7 3 2, x 7?, O 7 R X x x nooRS: X x x Total Area of VPindow 8c Doors A Total Wall Area in Sq. FL Wall Total Perimeter Height Area STEP 2 Calcuiate ama as s percent of w•all Box A(window & door aita) divided by Boz S(total ' wall area) times 100 equais the window and door ama as a percent of wail ama (Boz C). i. BoxA sox B2,? y?' x?? = c STEP 3 De,ign Featurps ASSEMBLY OPTIOv FRAME WAL,L: STANDARD FRADUNG ADVANGEWMANEN& CAVITY 1NSULA?ION ? SFEATENG: LESS'IHAN R-5 / ?? ? ?? 4 ?t R-S OR rlORE WINDOWS (eucept famdarioa windows): U-FAC'TOR Frem ihe table, determine the maximum percent window & doer ama for the desiga opdons selecud aad enter the value in box D below: fL% - -3, ?----- To al A?rea f Boz C must be less than or equal to Box D ONE- Ez 'I1+VQ-FAMILY RFSIDFNIIAL BUILDING PRESCRIP''TIVE (CQOK BOOK) APPROACH '?MM== ? MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL ARfiA from Minn. Rules part 7670.0475, svbpart 2. item F Cavi Window U-Factor Framin Insulation Sheathin 0.49 0.36 0.31 0.27 STANDARD R-13 > R- 7 13.4% 17.8°do 21.3% 24.3% STANDARD R-13 > R- 5 12.4% 16.4% 19.7% 22.5% STANDARD R-15 > R- 5 12.9°/o 17.1% 20.1°k 23.4% STANDARD R-18 < R- 5 12.1% 16.0% 18.8°k 22.0% STANDARD R-18 > R- 5 14.0% 18.6% 21.8°k 25.3% 0 STANDARD R-21 < R- 5 12.8% 17.00/a 19.9% 23.1%7.. STANDARD R-21 > R- 5 14.5% 19.3°k 22.5% 26.1% 0 Additional calculated values STANDARD R-17 < R- 5 11.9% 15.7°k 18.4°/a 21.5% STANDARD R-17 > R- 5 13.80/o 18.4% 21.5% 25.0% 0 Notes: Window area equals rough opening minus installation clearances. Window U-factor must be determined by either the National Fenestration Rating Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, Table 5. • ? 4 1999 BUILDINC PERMIT APPLICATICN (RESIDENTIAL) CITY GF EAGAN q 3830 PILOT KNOB RD - 55122 69? 651-687-4675 ? New ConshucHon ReaulremeMs Remodel/Reaair Reauiremenh > 3 registered sBe surveys showing sq. H. of b1, sq. ft. of house 2 coples of plon and all roofed areas (20% maxlmum lof coveraqe allowed) t set of energy calculalions for heafed addifions ' 2 copies of plans (show beam 3 window sizes; poured tnd. design; eic.) 1 sRe survey tor exterior addHions 3 decks * 1 set of energy calculaNons * 3 copies of free preservafion plan N lot plalMd affer 7/1 /93 DATE: Gl'? Ig°1 CONSTRUCTION COST: SD U•CYJ DESCRIPTION OF WORK: ?y ? STREET ADDRESS: iCI?q LaACit,S ek ?N - 10T: -?) C) BLOCK: 3 SUBD./P.I.D. #: 0. C C? v- Name: C'`f?SkGv%S Goeak 4, ??4i? Phone#: PROPERTY last First OWNER IS gu ?p'?}CQS?O'? ? ? Street Address: __? City &LO'`??' State: IN41 Zip: 5S,? J Company: Phone #: 4/J2? (area code) CONTRACTOR Sheet Address: license # 2O 1? ?}Y? Exp. 3 3? 0a City State: Zip: SS 1?'y ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: RegistraHon #: City Sewer 8 water Iicensed plumber (reauired for new conshucHon onlv): State: Zip: Penalty applies when address change and lot change is requested once permit is iuued. I hereby acknowledge that 1 hove read this appl(caHon, state fhat the informatt n s cortec an ree to comply wMh all appncabl Sfate of Mlnnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: ? OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received _ Yes _ No ? _ Not Required lqqqq 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS J A N 1 1 RECO Dat.e 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PIGKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT GHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLTJMBER. Tu Be Used For Site Address "al Luation Lot ?O Block ? Parcel/Sub -Iatm\ 4M, Owner Cmenav Address ???,ytCyLL"./,- City/Zip Code 1#,V ,'Z7 2L Phone Contractor ? Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. 6ql/4?j Variance COMMERCIAL FEES Bldg. Permit S,archarge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL ? 5 00 ??? • ; 'Certificate for: Centex Homss Midweet Inc. - 8601 Darnsll Road Eden Prairie, Mn. 55344 DELMAR H. SCHWANZ i.aNOSUnvevoa5, ;04:1. - qpiftaW Untler l.aws of TM Sbte ot MinnKOta 2i'7! - 146TN iTRRET W. - 90X MI R066MOUNT, MINNESOTA 86088 WRVEYffR'8 CERTIFICATE , q6?'? ? L?} N C?F ? TE 2 f7gD¢. 9 t? 115 ;rfi 30, N 89 ?46 ??-4 "?V ,all 7? 0O 9?22 ' .? 15-t'`_`---- ' ,b z /0 ? O ? 9?3 ? O 2R?iv o 97 a.6? 9 ? ? Too Ztbx 9-, 5. z7 Dck „w ?aGE ??, ° ur ? c rz Y??+sEnR?? u;?"? o?...?.. ? 9GB,?, . . ;: ? •, c. ? .o;, , _974.a( )c zPropoaed garage floor eleeatloh -- ? <il ? Z k ' Proposed top of block elevation q-A$ penotes existing elevation . Proposed basement floor e2enation ?notes proposed elevation • Denotes setback monuments DenOtss direction Bf surface drainage 1 I heraby oerrtity that this is a tfte_and e0rreat representation of Lot 30, Blosh 3, HLWWN HILiS, aoearding to the recorded plat thereof, Dakota Ccsunty, 1.nnesota. natea: aanuary 23, 1980 Revised this 10 day oP February, 1983 to shew the propoaed 1o t n of , a house as staked thereon. i , MINNESOTA REGISTRATION NO. 8626 ? ,?. ??Z9 Certificate fcrs Oak Chase Builders 4525 Oak Chase Bixilders Eagan, Minr.esota 55123 FHONE 812 423-7769 EXTERIOR EDiVrLC?E AVERAGE "U " COP;PUTATIOi1 04dyER SITE ADDRESS CONTRACTOR??.??? C41(DATL PHDNE?/ 306? Determine work3ng ?uax''e footage of each. 1. Total exposed wall area sq. ft. x.19 =36 9-,2 2. Totsl roof/ceiling area ..../0(?)6,p sq. ft. x.04 m O-3 Total exposed wall area above floo'r =?,D a. To`al wall vrindoer area ................ 7/ a•5! b. Total door area ........................ 63rea c. Total sliding g2ass area ............... d. Total fireplace vra11 area e. Total wall framing area (average f. Total net wall area above f2oor ......../l,?b g. Total rim joist area ...................? Totai exposed fcundation &rea = 6E.5/ h. 2'otal foundstion r:indow area .......... lCa) i. Total aet foundation asea above grade .97.'7 Determine "U" value of each wall segment. a. 17,2,3oK x foUC b. 3.? X "U" c. ? x v ?u" o = o D. G X "U'' p s ? e. -,2 ,o , _ X f, U" . /.-2 p 1? Jf 1SUI: wO.J ? a X f1U" h.? ?o. X "U' .? 1.2,'7 X "Utf 3Z ° .;?.el.9 3 ................................. ............ Total s ???•8 ?,. IF item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. 4941CInA .0f3 .3 SS/.3C GaaG?GJ z G'?? ? J f Total exposed roof/ceiling area = lp08.a ?. iotal skylight area .. ............. o k. Total roof/ceiling framino area (average 1. Total net insulated roof/ceilinG area ....... 909.?P Determine "U; value for each roof/ceiling segnent. j ? . v x UU:r Q s 0 . • a y) k. /t?'i. f 7C '`U " l. U/,"yZ XUti I?v?ry a o??r?s7 _ 4. . ..... . ? '? '7- ... .............................To} ,.al 0 y If tota2 of f`4 is the same as, or Iess than #2, you have met the intent of 5BC 6006(c)1. c-,? ,,' el ,,;, 7 y? .xrZ 10.3 oxfz-r-.5,3G 6 oo6 (?) j Alternate Buiidirig Envelope DesiF,n To utilize Lhe total envelope syster, method, the values esta5lished by the sum of items #3 and #4 shall not be greater than the sum.of items #1 an3 r:2. 1. :?6 51,z + 2. ?10.3 = 3•???£?.?- + u. a-2, u = c ?? ?? 4$(,og zoos RESIDENTIAL PLUMBING PeRnnrr APPLicarioN - CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please'complete for modifications to existing residential dwellings. -$'IS.SO Date?l?/ V ? Site Street Address f"?J??( l?V)uj,? Ier Unit # Property Owner Gordan ch ri sf4u.w, Telephone #(?'J j)qo5 °'?b( (?, Contractor Tg!gpnong # t05i ) 3k5? l3?40 Address lA010 M l'• City Wa,rl State-A Zip 55L,;3 The Applicant is: _ Owner V Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. (f you are installing onlv a water softener artd/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _ Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: :? _ Water Softener Water Heater ? - $ 15.00 _ new _ replacement _ Lawn lrrigation _RPZ _PVB Fn) ?w _L? ??; ?repai` _rebuild ?. - $ 30.00 State Surcharge $ .50 T t l o a 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 acccrdance with the approved plan in the event a plan is requir2d, to be review2d and aparoved. Applicant's Printed Name AppiicanPs Signature ?AQ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1584 Lancaster Lane Lot: 30 Block: 3 Addition: Beacon Hill PID:10- 13500- 300 -03 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Fee Summary: Contractor: Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437 -0338 Quesetions regarding electrical permit 445 -2840 RANDY PATTON 122 WEST 3RD STREET ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec Owner: Gordon L Christian 1584 Lancaster Lane Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA089975 06/30/2009 ePermit cal Inspector, (952) PERMIT City of Eagan Permit Type:Building Permit Number:EA118203 Date Issued:10/29/2013 Permit Category:ePermit Site Address: 1584 Lancaster Lane Lot:30 Block: 3 Addition: Beacon Hill PID:10-13500-03-300 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gordon L Christian 1584 Lancaster Lane Eagan MN 55122 (651) 905-9616 Abelard Construction 6200 Shingle Creek Parkway, #545 Brooklyn Center MN 55430 (763) 503-6610 Applicant/Permitee: Signature Issued By: Signature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b@)+''MK@*7*-+ 552'(P-,@'M*@%$,!5V"'-+%-7,@'-+, 8'/-9$'AD''55!24Y-F-+'AD''55!WW GH5!I'WWW322!!GH!WI'JU23HH22 0'K,@,:<'-%&+P$,)F,'K-'0'K-X,'@,-)'K*7'-==$*%-*+'-+)'7-,'K-'K,'*+C@E-*+'*7'%@@,%'-+)'-F@,,''%E=$<'P*K'-$$'-==$*%-:$,'8-,' C'A*++,7-'8-9,7'-+)'M*<'C'Y-F-+'Z@)*+-+%,7L (==$*%-+S/,@E*,, '8*F+-9@,0779,)'#< '8*F+-9@, PERMIT City of Eagan Permit Type:Building Permit Number:EA136002 Date Issued:04/19/2016 Permit Category:ePermit Site Address: 1584 Lancaster Lane Lot:30 Block: 3 Addition: Beacon Hill PID:10-13500-03-300 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Gordon L Christian 1584 Lancaster Lane Eagan MN 55122 (612) 790-6600 Wellington Home Improvement 3938 Meadowbrook Rd St. Louis Park MN 55426 (952) 933-6300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140475 Date Issued:12/22/2016 Permit Category:ePermit Site Address: 1584 Lancaster Lane Lot:30 Block: 3 Addition: Beacon Hill PID:10-13500-03-300 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gordon L Christian 1584 Lancaster Lane Eagan MN 55122 Haley Comfort Systems 122 3rd St W Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature DFor Office Use ;$i 'L:+�I Permit#:E AGA JUN 212018 Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810ii (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(@cityofeagan.com L \\319‘. CA 2018 RESIDENTIAL BUILDING PERMIT APPLICATION C- t9 Date: Site Address: A / / Unit#: Name: 694P 0 C' C t'l /M! Phone: t !z` / %O-(�/ Resident/ Owner Address/City/Zip: /..5--r( J60-5-J 'C Applicant is Owner Contractor Type of Work Description of work: ��%�'r �fY�� Construction Cost: Multi-Family Building: (Yes /No ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ,[ In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as nonpublic if you provide specific reasons thatwouldsermit 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.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is no art ' a a per it; that the work will be in accordan�•th the approved pl in the case of work which requires a review and approval of p1 ;. 111411 p(D C Applicant's Printed Name Applic.nt's Si nat 1 DO NOT WRITE BELOW THIS LINE 1 f& L.4 r1 C 1}-kr (_.. n-e I C Dil SUB TYPES _ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) 4 Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New — Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation k 0 O' Occupancy ,, ., MCES System Plan Review Code Edition 0f5' SAC Units (25% 100% T) Zoning PO City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V67 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) )( Final/No C.O. Required Foundation Foundation Before Backfill • „, HVAC_Gas Service Test Gas Line Air Test 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 i, Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 'I)/ , Building Inspector RESIDENTIAL FEES Base Fee SurchargeYr`ll / Plan Review 011 MCES SAC City SAC (1- 1(1,(1AP Utility Connection Charge S&W Permit&Surcharge / Treatment Plant °" 1 v' Copies TOTAL (V (I%i Page 2 of 3