The URL can be used to link to this page

4243 Nybro Lane Ncr, CASH RECEIPT i ~ Y CITY OF EAGAN 3830 PILOT KNOB ROAD EACAN, MINNESOTA 55122 DATE 19 . ?s RECEIVED FROM AMOUNT $ I & DOLLARS +oo f-1 recu ?1 rurrv BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT Nq. rJ - •?i -.:? ! ? ? l. i c't: ? . 4-GY 01-3210 "$l?g:Perm: 01-3422 Plan Check 01-3445 Surch./Adm, 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water MeteY 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CASH RECEIPT . ?' 4N CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? DATE 19 _ i / AMOUNT I $ l r ."l ?, & DOLLARL ?oo EICASH ? CHECK FOR f e; FUNO CODE AMOUNT i i ) Thank You BY ? . ; , ... , White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition WILDERNESS - RUN 6TH ADDITION l.ot 9 Rik 3 Parcel 10 84355 090 03 Owner ?/0"' : L , - Street 4243 North Nybro Lane state Eagan, Minnesota 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 161.21 8.04 20 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA jg]] 162.14 •$D&;?96 15 STORM SEW TRK 1978 454.07 10.27 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ?L j_ - PERMIT # PLUMBING PERMIT RECEIPT M CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 pATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block ? Sec/Sub Res. New Mult. Add-on ? Name Comm. Repair ?c Address Other c City Rhone i, ? 3-to c RES PLBG ONLY - COMPLETE THE FOLLOWING: ' . . NO. FIXTURES TOTAL Name f- - 7 77 Water Closet - $3.00 S Bath Tubs - $3.00 c .. Address ' ` ?^ J L 00 $ 3 P avatory - 3. O City A ti, ? Phone / iE ? - L Shower - $3 00 . Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - S3.00 APT. BLDGS - COMM RATE APPLIES Floor Orains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMMIIND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF?GGRMIT PRICE GOES _ / Softener - $5.00 ' BEYOND $1 ,4? ? Well - S10.00 Private Disp. - $10.00 Rough Openings - $1.50 SI R F PER I E FEE: ? STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ?'-" 7 ? ? ? ? ? \ • - , , _. t .s. (gtx#tfiratie nf Mrrupttnry titp of Qtagari 9r;rar#mpnt u# N1iOhng Jt[apprtinn This Cern'frcate issued pursuant to the requirements of Section 306 of the Uniform Building Code certrfyrng that ar 1he time of issuance t/trs struclure was in compliance with the various ordinances of the City regulating building canstructeon or use. For the following.• use ciamfinrioe Hldg. Ekrmrt No. Oocumncy 7ype F`3 Zoning Diuria i Type ramr owm ot ewWng "J n T.F OOi?ii? Add= a,Mngnaarcffi =?*= P?.?41 Local;ty &ulding OtGcial POST IN A CONSPICUOUS PLACE p •?••??: _ , . ??:. . , , . PERMIT # ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE 454-8100 ` Site Address ? BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New m Name Muit Add-on . S Address Comm. Repair c Ciiy Phone Other NO. FIXTURES TOTAL L Name ' Water Closet -$3 00 4 c Address . Bath Tubs - $3.00 O City Phane Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM RESIDENTIAL FEE Laundry Tray -$3.00 - -$10•? Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20.00 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - •? Whirlpool - a3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . i Private Disp. - $10.00 Rough Openings - $1.50 31GNATURE OF PERMITTEE FEE STATE S/Q FOR: CITY OF EAGAN GRAND TOTAL: ' MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAO, EAGAN, MN 55121 PERMIT # RECEIPT# y" ? DATE: ?Site Address BLDG. TYPE WORK DESCRIPTION Lot Biock Sec/Sub Res. New ?, Name Mult Add-on ? Address Comm. f R ?r ? c City? . ?7tf Phone,LLL Other ,, Name 3 Addre, p City _ TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # " Other FEE sic: TOTAL: -2 4 n:`l II FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-OfV RIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 19fo OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IMD FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GDES BEYOND $1,000.00) ` a SIGNATURE OF PERMITTEE I FQR: CITY OF EAGAN - • CITY OF EAGAN r? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?? PHONE: 454-8100 BUILDING PERMIT RPcPint# . 13295 Tobeusedlor SF DWG/GAR Est.Value $88,000 pate M ARCH 3 19t37 Site Address 4243 Nn NYBRO LN Erect C5 Occupancy R 3 Lot Block 3 s ecisub. WJLDERNESS RUN R61BFiel ? Zoning R1 Parce! No. 6TH ADD Repair ? Type oi ConsL ? Addition ? No. Stories Name BTiI L I E CnN STRUCT I ON Move ? Length 45 - 1 64 ? i SUP ER IOR CT Demolish ? Depth d3 3:0 Address EA"AN Phone Cit 454-1438 Int. Impr, t n I ? ? Sq. t y ns a Z o Name ? Q Address 1- W W F W V Z5 CC _ t W I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Permittee 'f"f ." , l) BLILIE CONSTRUCTION A Building Permit is issued to: all work shall be done in accordance with all applicable State of MinnesoU Assessment Water & Sew. Police Fire Planner Council Bldg. Off. Var. Date Permit $ 461.50 Surcharge 44.00 Plan Review 230. 75 5AC 625.00 Water Conn. 525.00 Water Meter 67.00 Road Unit 305.00 Tr.PI. 160•00 Copies ? , ? 2 5 CO Total on the express condition that Statutes and City of Eagan Ordinances. Building WrmM No. PermR Hdder Da1e Tdephans, It Plutnbfnp ?S'? ?7 H.V.A.C. /; &ir:,•? ? /?-7iGi 7 El.ctric Cr 3 ., J 5- 711" ?:? So(fana Inspectlon Date Inap. Commenb Footinps I ? -? aw7 Footlngsll Foundation Fnminy 2 y ?y Rooliny Rouph Plbp. / j Rough Htp. Insul. Flnplace Ffnal Mty. Q Flnal Plby. ? - Bldy. Final Cat. Occ. f? /I,iaT Cw-A GT? Deck Ftq. Deck Frn?p. Well Pr. Dbp. ' OF EAGAN SEWER SERVICE PERMIT ? Pllot Knob Road ,?? ?? Box 21199 PERMIT NO.: in, MN 55121 DATE: 3-1c--87 ng: 'a No. of Units: -- Plilie Const. . ae to comply wNh the City of Eagan Connection Charge: iances. Account Deposit: - Permit Fee: Surcharge: Misc. Charges: - of Insp.: Total: Date Paid: lOQ. I OF EAGAN Permit Na Date: s-14-87 I Pilat Knob RoBd Meter No: Size: Box 21199 Reader No: Date: an, MN 55121 ler. "-'.- i1 ie 1;onst. Address:-4.'43 Ko. Nvbru Lz:r.;c I,9 B3 4lil.a.erness 1'un 5th ? . Ghg: 52 S.OOp`! Zoning: rl Dep:15.00•, 1 No. 01 Units: t Fee: 1 J. t10pa iarge: 5npj I agree to camply with the City of int 0411t Qrdinances. . ?.7_nn It wATER SERVICE PERMIT _ ? ? 'BUILDING PERMIT N° 13295 Receipt p :?4 ..2 ((s_ Tobeusedror SF DWG/GAR Estvawe $$$•000 Date MARCH 3 1987 SiteAddress 4243 NO NYBRO LN Erect ? Occupancy R3 Lot 9 elock 3 SecIsub. WILDERNESS RUN R61aHdel ? Zaning R 1 Parcel No 6TH ADD Repair ? Type of Const. v . Addition ? No. Stories ? BLILIE CONSTRUCTION Move ? Length 45 Name s 644 SUPERIOR CT Demolish ? Depth dq o Address Int. Impr. ? Sq. Ft. Ciry EAGAN phone 454-1438 Install ? o Name SAME 0 ,4 Address ? City Phone oi w Name ? ? ? Address a W City Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City o( Fa an Ordinances. Signature of Permittee ?--y?? A Building Permit is issued to: 'ILIE CONSTRUCTION all work shall be done in accordance with all applicable SJaV cqMinnesot; CITY OF EAGAN 3830 Pilof Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. Var. Date CO Permit $ 461.5C Surcharge 44.OC Plan Review 230.75 SAC 625.OC Water Conn. 525. 0 0 WaterMeter 67.OC Road Unit 305.010 Tr. PI. 180 . 04 I Copies --- $2-,T3Y.- 2 5 on the express condition that and Ciry of Eagan Ordinances. Building REQUEST FOR ELECTRICAL INSPECTION Ee-ouuoi-oa If See instructions for completiM this Iwm on back o7 yellow couV. "X" Below Wnrk Covered by Ihis Request NowlFmn-AeO-I- TYPB 01 BuilEing I Aocliances Wired I EquiVmenl Wired I Ik Mi p Fee Service Entranee Siie B iae Featlers/SUbleedars IX Fee Circults U to 200 Am s 0 to 30 qm 5 0 in 30 Am P Abave 200 qmps 31 to 700 qmps 31 ta 100 qm s Swimming Pool I L A6ove 700-Am Above 100_Amps TransiormerS Irrigation Hooms Partial-'Other Fee Signs Speciailnspection $ TOTAL FEE Pemarks ""d??-??• I, the Electricxl Insaector. heraov cerli(y thet the above I Final ! insPection has been ? L I mada. This request void 18 monlhs 1rom . BeQUgs Da te Fire No. RouAh-in Insuer.tion = , '?? _ ?j ? c Ae4urted? ?Ready Now Will Notify Insper O'?• ?C9 ?Yes ?NO r When Peadv tLicensetl Elechical ConGactor I hereby repuast insOection of ebove Owner lecfrical work instelletl af: SStr t Ad ss, Box r Ho te No. Ciry cuon o. Towns ip ame or No ange o. County Occ p' (Pfl NT)% ? Phone No. 4-?q P Adtlress Elec I Contr ctar Company Name) Co- ractor's License No. 0 3 ?.53 Mailin - ddress onVactor or Owner a . I tailatioN l Amhoriz?nat IConVactorOwner M Aki.9 ?i Ph?f?Jymbe?3 /X_ (G THiS INSPECTION REQUEST WILL NOT MINNESOTA ST E BOARO OF ELE NICITY Grigps-Midwey Bldg. - Noom N-191 BE ACCEPTED BY THE STATE BOARO 7827 Univarsity Ave., St. Peul, MN 55104 UNLESS FflOPEfl INSPECTION FEE IS fn.....e 111191 197_9111 . ENCLOSED. QUEST R ELECiflICAL INSPECTION ea-ooiwi.oa Il, Sae instractions for c0m01e1in0 this form on back o/ yellow copy, Lw '. "X" Below Work Covered by 7his Request fLA?) Xap Type of BuilOine Appl' n[ea Wired Eqaipment Wiren ? N Fee viceEntrence$i¢e A Fea Feeders?5ubleeders M Fee Circuits o 200 qm 5 A 0 to 30 qm S 4y 0 tn 30 Am s DOve ;A 200 qm??y 31 to 100 qmps ?? J 31 to 100 qm s imming Pool bove 100Am s Above 1s nsformers . rngation Hooms Partial'Other Fee 'Homar4c 1 1 ?•?MC?.ia? ??I,{IC1:tlUf1 I$ TllThl .-1 Nou9h-in ?ate??? ? I, the Elec4ical ? 3 Inspectoq pereby Final 0 " certiiY thet the aEOVe Onte 7 ??• ins0aetion has been Tltle reuuest vo1E /8 montta fmm This request void 18 rtpnths from . Nequest Uate x Fire No, flouPh-in InsVection Re u A? ?Ready Nuw ilI Notify Inspec- ?.J - 1'es ONo r When fleady icensed ElecGical Contraclor I.hereby repuest inspection ot ebove Owner elecirical work inetelled at: Stree Addr.ess. Box or Routg Np. a 3iv ?- City L49 e Lon o. Township Nam o. Range No. County 61 Occu t( I Phone c+. ,?-1 ? Po r up ier Addres rIA Ele ' al ntracj?a mpanv Namel Co ramo,'s License No. Mail'nB ress IContrac or Owner Meking I stail ionl S3 33 ? V Aut r' ed Signature 1 ootr?er kipking Ins[allationl Phone Number 3lZr g a_ MI4NESOTA STAT?PD A-0FCZ11c4?10T, / THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STqTE BOAND Gripge-Midwa 41° UNLESS PflOVER INSPECTION FEE IS 182Univarsi AENCLOSED. VA..e. 16121 ?9 SEDGWICK HEATING & AIR CONDITIONING CO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 ADDRESS OCCUPANT ` -- SOLD BY l ?-?'?{ 1 MAKE SEFIAL NO. ??U n h'00`-' THER VALVI LIMIT LIMIT FAN ; IGNI710N MODEL PILOT TIMING PRESSURE -J°? PERCENTCOz v C/ INPUTCFH -7 " PEFCENTOz - o ? STACKTEMP.? PERCENTCO O FORM235(FEV 11R9) HEATING Joe No. TEST RECORD cin °' OWNER 4 INSTALLED BY 2!? ? MODEL i o? INPUT i I oDo VENT SIZE d? 0 7YPE OF LINER " ? a- LINER SIZE FILTERS: SIZE NUMBER ?O WIRING TESTTAG LIGHTING INST. 11111 UI LL3 11 1=! ` DATETESTED ?// ? APR 0' 9 2008 COMPANYTESTING - ?E?` /,? BY NAME OF TESTER FORMDISTHIBUTION: WHITECAPY-JOBFILE YELLOWCOPY - QTY 2000 BIIILDING PERMIT APPLICATION (RESIDENTlAL) cirv oF eacnN 3830 PILOT KNOB RD - 55122 ? New Conshuction Reauiremenh 651-681-4675 -t - ( '9 (i cJ Ltemotlel/Reocir Reauiremecds ? 3 registered site surveys atwwing sq. N. of lot, aq. fl. of house 2 copies of Plan and Q rooted areoa (29% mmcimum lot coveraae allowedl GU 1 sat of energy calculaflons for heated adtliXOns ? 2 Copfes of plans (show beam 8 window sizas; poured Md. tlesign; etc.) 1 site wrvay for exferlor additions & tlecks D 1 set of energy colculatfons ? 8 copfes of free prese?vatfon plan If IW plaHetl aRer 7/1/93 4el dj? DATE: ? -)?/ ' CONSTRUCTION COST: ? 5)95 DESCRIPTION OF WORK: It mulN-f mlry bldg., ho many units? STREETADDRESS: yly? N ?yd ?? ? ? ? SUBD./P.I.D. #: d? C-k v` (" LOT: BLOCK: ?..? ?? c ??02 Nome: Phone N: PROPERTY Last Firat OWNER 6 Sheet Address: Clty Sfate: Zip: compunv: 1'n oSd Phone #: J> ? 3sr6 COMRACTOR D?? (area code) Ll # Ex 3-37 d J SheetAddress: p cense Ciy ? SI Sfate: lj?r- Zip: 5' ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Shee1 Address: ReglshaNon #: City Sfate: Zip: Sewerlwater licensed plumber (if installina sewerlwaterl: Phone #: I hereby aeknowledge fhat I have read this applicaf(on, stWe thet Me information Yo9clan agree to comply wflh all app6cable State of Minnesota Statutes and City of Eagan Ordinances. Signalure of Applicant: ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Raceived _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? p8 06.plex ? 03 07 of _ plex ? 09 07-plex ? 04 02-plex ? 10 OS-plex 0 05 03-plex ? 11 10-plex ? 08 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Aiteration ? 34 Repair ? 73 76plex ? ? 17 Garage ? ? 18 Deck Q ? 19 Lower Level ? Plbg _Y or_ N ? ? 20 Pool ? 21 Poroh (3-sea.) 22 Porch/Addn. (4-sea.) 23 Porch (screened) 24 Storm Damage 25 Miscellaneous 30 Accessory Bidg. O 31 Ext Alt - Mulb ? 33 Ext. Alt - SF O 36 ' Muld ? 36 Move Bidg. ? 43 Reroof ? 37 Demolish (Bldg)• ? 44 Siding D 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition pertnit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq, ft. sq.ft. sq.ft. MISCELLANEOU5INSPECTIONS ? Stucco/Stone APPROVALS Pianning Building sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump ` PRV Fire Sprinklered Engineering Variance Permit Fee Surcharge Pian Review License MC/ES SAC City SAC W ater Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ToWI Valuation: SAC Units % SAC 2>306•UU+ 2) 30o•U0* 461•50+ 44•UJ+ 230•75+ 625•OU+ .525•00+ 67•OU+ 305•OU+ 1£i0•00+ 2 , 43U•25* .` ? . ? 1987 BOILDING PERMIT 9PPLICATION - CITY OF HAG9N SINGLE FAMILY DWELLINGS IACLODE 2 SETS DF PLANS, 3 CERTIFZCATES OF SDRVEY, 1 SST OF ERERGY CALCUL.ATIONS NOTE: ADDEESSES FOR CORNER LOTS - CONTRACTOR/HOMEOAIQER MDST DESIGAAYE AHICH ADDRESS IS DFSIRED. NO CH9NGES WILL BE ALLOWED ONCE SIIILDING PERMIT IS ISSIIED. MUUL2IPLE DWELLZNGS - RFSIDENTI9L RENTAL DNITS FOR S9LE IIHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK-WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF'ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS, $2,000 LANASCAPE BOND ? To Be Used For: ,I $/J7-e?'c47taG. Valuation: Coo Site Address r) ?Y 3 71 OFF Lot Block On Site Sewage_ MWCC System ? Pareel?bt, /C?j itfe S C eu AJ On Site Well City Water ? Owner Address City/Zip Code Phone Contractor Address (?' ?a- C.C- City/Zip Code Phone S-cf ' ? Arch./Engr. Address City/Zip Code APPROV9LS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Date: Occupancy F 3 Zoning (Z I Type of Const (Aotual) (Allowable) 5L # of Stories Length 45 Depth S.F. Total Footprint S.F. FSESS ' Permit 4-,(-,[ . 50 Surcharge 4-4. Plan Review 7-3D.'S SAC, City ?OO - SAC, MWCC 525. Water Conn 525- Water Meter (o7 , Road Unit ?505. Treatment Pl ` ?p. Parks Copies TOTAL Lj( ? S Phone ll 2 V ? ? 2 --- f ? ? "? /? s ? = ? ? zi? ? . ? Y ..? : $ ( n!/ ?( ?? 1 ? :. `t/l?' -} - %? . ?? ? ? ? ? ? ` . .. (? ?? Z? ? lD ? ? X i L- ? ,--- ? ?1 a, 2.? z- I Icl? v.VTi orvs ,zo?-?/,?? ? PLOT PLAN /_ /!-/-I - Sr.nlm - 1 InrM - 9n fnef icl ? /po i /b 7, 5 99 yq sy - ...-?. . -- Must show location of streets, lot and proposed buildings, give lot dimensions. (Lot corners and building site are to be staked before appraisalis requested.) ?,q,`.KW,. . . .. l.?' _'". ?vy.?'?`'rj •.. . . ? ' r . ?F? ' 'X • . .'p .. . ti..? ? . • • . '? .•" .• : -.,? ? `. ' : ' ' . . . : . El,TE4ID?'f.17YELORE AVEP.AG£ "1f." COMPUTA TtON . r 014dE0.4 F ? . ? • ti.._.?v .'' . , .: ?. ? , ? ? ; ?. : . : . ? . ' ,,... ,?. SITE ADORESS CONTRl1CTOR • ??/E ?fj : DA7E 6 ?/fy PkiONE e'/ -lj?%p. F. . '? . . Determige Nmrking square footage of each. 1. Totai,-exposed €wf1 area ...'.•• ?2251.33 sq. ft. x.1W r?, , '? ? - • . au s 2. Tatal roof/cei}iV area.:;.. 13,0y sq. ft. x.iC- TQtal expasgd Kalt arta aboye floor , ,. a. Tctal wa11 wiTrdow area............................ ? b. Total door area ................................. • t. ToiQl 5lidinq g}ass.daor 4 rza ........ ...... . _?- P.' ? d. Total fireplace -f+a11• area:.. e. Tota1 wdi.l.framing arm(average 10%)...:........ ? ? f, Tota] net. wa71 area abovt fioor ................ 123? g. 7otaT r.im foist area . ..................... 7?l `- - 7ota1 ezposed foundat;cn area = 0, 3 h. Totat foundation window area ............. ........ - i. Toal net foundatian area abcve gride ............ l/, 3 ? • Detenine "U" value of each wall segment. x i,u„ . ! = 93 SG ` b. g HU4, , /23 = ?/.105- C: 7Q X uull a. a? X 1,u„ e. x 11U., f. /?OS.o3 x Nu" .49' = Go-2B 9. ?3o x „U,. . ey = s. z a h. - X .vc i. 90,33 x „u„ .iV 3........,ry.,T ...........:.:.........Total a 27 3 . If item :3 is the same as, or less than item €1, yoti have Ret the intent ? of SaC 6406(c)2. • ? . , . . . . . : r. ' . "'r . . -k. ..'i . . ,. . ?.,.• '. . . , ?, • , .. . . . . . . . ., ' _ . .. . . ` t , ^. . Tota1 exposed roof/ceiling area = _ /30?/ • • 3. Total skylight area................ ..... k. Total roof/ceiling frzming area {average l0a)... /?? ' 1. Total net insulated roof/ceiling area........... s . Determine "U" value for each roof/ceiling segment. X „u.l _ ' k. ?.30.,5? X°U" , 021, = 3 39 ; . x „U,. 4.................. ................Total = ?• 7 3 . ? If total of 04 is the same as, ar less than '2, you have m=t theiint=nt of ssc 6005(c)l. . , Alternate Building Envelope Design .- ?• : io utilize the iotal envelope systen r,.ethod, the values=estabiished by the sum of ;tems '3 and ;4 5haI1 not be qreater than the sum of items al and 12. + z. 3390 = ? :Gd a. ?27, ?S + a. 3?.73 - , ?:- o'r ?,""„ d'• ''' ?/ ±fi ? ,?.'n,•QrI' :'?il?r?i ?'?+''f? ? / Jb1'r Sv ' R ? _. i • ROOI'/CEILING ?' . . . - . • ? ?.. f .. ? , • • _/ I ? • ??/ i ' => ir>?,?,? x? r Yr.,Z . ,.,. : + Venced Heac flov i uP - ; ' . l ? } FIG. NS ? 3 ? i ?" - - - ?. i ?. ? 1 1 ( Y.eat tloa up + ' FIG. 06 r3 i ? w i i •' i ? ; venced nua-ri:+.ac+r 1 i+ ' . .,, HctC ? U . flov uP ' . , , 1?r.a. '417 ? ' ' • • ... .. ? i' , • ? C011LLlUCClOIt , .. ? A-ja I UC `.. 1. Intcri r air fflm 0.61 2 . /laN • 57 3. F Lilf 3B• sO 4. Extn:ior air Yilm (::tiil) U.?6T 'rowl 3y ; 1. Intcriar ai film 0.61 2. 3. 4. Er.terior aiz ?m sti lt-?- - , I- Tutal F 1. • 2. 3. 9. S. I IioCc:' Use additionnl ahects if more spacc is • eeodcd for cletails and ealcu2al•iona. ? . :-V" lSa ?...?oi • ' •. . arL` Cp"+ +T?4ue vnil s'rw`?br ,.: ' ? • lsamc oanstzuetion i '?,?? . • ' ?.-?----- i - -.?' x.. 1,. `. So [L ,pc:i? , 1 soas?axic:r i:AI.L -•i i.• ?. . ? . ...f:- Yf^?i?:i?y1:' i7.-• . :i?S?:, " _ ? .. . ".. • ?. . ? . . . • .Y^ i , %ti . f . . . . " i . . . . . . .. . Y . f .: . ? - . ..? ? •. ' . . • ? : ?' ' . Cor?itrue?{on . 2-??loc : ?_ ----= ? -? - -?-s . 7, -- ? ? 4. s?? -r---- - -- -- 6. Extvri?.r :i:r film - 0.17 . q. ? . e9 ;. Intcrior air filrc: 0.68 ?. 1iiM,' r ? 3 ?1. ' ? Gtl ?. ? S. -Y-*q1 -ipy?i'! _ 'Gl 6. Extcrior ir Ei)n 0.77 Total 23,03 1, ? In[erioz air film _ 0.68 2 . L' / '' IO 3. C 5. ?• ? JG _? 6. BRtetioz •ir film 0.27 :otal 1. Intcrior air fil.m 0.68 2. /" 7?sArt?' S. .7G 3. I1' 4. " S. 6. Exterior air film 0.17 Total 737 a= . /f/ SLAH ON GFViDE ? • ?. • Y • ? ? I? ? ? • ,? • . ?? • ?''?IC. #3 ?. ?.. , ?. ? °. ? FRatlE WA*,L ??I? ? ? /?? ? { ? ? • ??? L ?. ? ? ` • ? ? J, ? ,f? . • • / ^ • ? r; /// tIG. 14 I!t d •, ' ` ? v ? ' ,?• . ? ` ?- ? '` Z ?qTes Indieate typs. ".^•" value, depth and:: . , placcnent ot insulltion. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *An: PAlm!7C OF FM AT TIIM OF nPrracATTorr DOEs Nom oONM? APPROVAL OF PF72NSLT. itv5enClzoN oF sESM AND/ox WAa'Ea rucTnr.raTTONS WII.i, NOrP BE SClHED- ULM UMZL PIItNIIT HAS BEEN APPR(iVID. Please Print) ^^ 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRCCIL'RE, DATE OF ORIGINAL BLILDING PERMIT ISSUANCE: . (MOn, Year} PRESENP ZONING/PROP0.SID C'SE: COf+'AERCIAL/REPAIL/OFFICE Q INIDL'STRIAI, ? INSTITL'TIONAL/GOVERNAENr ? R-1 SINGLE FAMILY Q R-2 DOPLEX (Two C?nits) ? R-3 4+DWNHOL?SE (Three + Units) ( Lnits) R-4 ApARTMEN'p/CpPIDpMiNIUM ( Units ) 2) NAME. ADDFtESS: C ` CITY, STATE, ZIP: " ?,?AG py, PHONE: ez< t/- /[i • 3) • u c?• AD j / For City Use .. - NAM: ?C/cf1h7G?Pl?p? 152 h' P1umUers License: ADDRESs:4i78' 3--"/ 4'4:' Acr;.ve i CITY. STATE, 2IP: Expired Not recorded PHONE: -'/S ;7-/ MSTER LICENSE# 3236 StIntial •?r • • i?• 4) ? NAME: ? ADDRFSS: • CITY, STATE, 2IP: PHONE: . -5) wirk v ? r: • 51• : a • oa - ?? - E?' C'ONNE(.'TION 10 CITY SE,'VER ?i - CONNEC.TION TO CITY WATER ? OTfER ' 6) " ' •?` ? PLE7LSE HOLD APPROVFD pERhIIT FC)R PICK-L?P BY ONE OF ABOVE ? PLEASE MAIL APPRCJVFD pII2MIT TO 1, 2, W 4, ABOVE ?? __ ? 1141• 101 (Circle one) FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ S ?O p ? SEWER PERMIT (INCLUDE SURCHARGE) $ $ //7• S`U WATER PERMIT (INCLUDE SORCHARGE) .. $ WATER METER/COPPERHORN/0[.`TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ S SEWER TAP $ $ ? S' CJ U ACCOUNT DEPOSIT - SEWER $ U-o ACCODNT DEPOSIT - WATER $ S Z S D? $ J WAC $ (o Z ?' ? $ SAC $ S TRDNK WATER ASSESSMENT $ S TRUNK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ Cr() TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PIIBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK 6VITHI[V POBLIC Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : 3 I /,p /eZ RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT KN B RDEAGAN MN 55122 651-681•4875 New Constructkn Reauiremenh RemodellReoair Reoulromenta • 3 registered site suNeys showing sq. ft. of IW, sq. ft, af house; and II roofed a2as • 2 copies of Dlan (20% maximum lot covarage allowed) . t set of Energy CalcWatbns for heated additions . 2 copies of plan shaxing beam & window s¢es; paured found design, etc.) • 1 site survey tor extenar additlois 8 decks . 1 set of Energy Calcula6ons • IMicate if hame served Gy septic system (or adGNOns • 3 copies of Trea Preservation Plan'rf lot platted after 717193 . Rim Joist Detail Opliorw seledian sheet (hldgs wiN 3 or less unds) DATE /D--??OZ . VALUATION cITF cnnrrFCC `7 Z'1 3 1 V u IXn Lct? { V Ml1LTl-FAMILY BLDG Y N TYPE Of WORK 4' fe.?LriG2 ?(?e o?n VIby,-Z f-_ FIREPLACE(S) _ 0_ 1_ 2 c4'`^?a-%c - ?Jo-C< .,&w 5-k?( APPLICANT SELA ROOFING & REMODELING, ti•. STREET ADDRESS 5T. LOUIS PARK, MN 55416 CITy STATE_ZIP TELEPHONE #(A Zf623?$0 46 CELL PHONE # FAX # PROPERTYOWNER TELEPHONE# ? COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINN: (J submission type) • ResidenUal Ventilatlon Category t Worksheet Submilted • New • Energy Envelope Calculadons Submitted Plumbing Contractor: __ Plumbing system inciudes: Mechanical Contractor: Mechanical system includes: Sewer/Woter Contractor: Air Conditioning Heat Recovery System OCT 0`. 2002 r _i Fee: - $90.00 Phone # Fee: $70.00 Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant 1 _ C/ s? w ?oo OFFICE USE ONLY _ Water 5oftener _ _ Water Heater _ _ No. oF Baths Phone # Lawn 5prinkler No, of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory 81dg ? 02 SF D,velling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF Q 04 02-plex Q 10 08-ptex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement L] 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move 81dg. Q 42 Demoiish (FoundaBon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' 0 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Uemolition (Entire Bldg oniy) - Gtve PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector ?rg-r? 2007 RESIDENTIAL PLUMBING PertnmTaPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 PI I t f diica i f' t? t xistin residential dwellin s ease com e e or mo ons o e Q ? Date i I / 23 I ? f Site Street Address Z'-1 ? N N Unit # fte1u' ?C?< Telephone# i45"h91 O t y wner Proper 651-365-1340 Contractor Rd. #100 Telephone # ( ) Address EOW. MN551 CitY State Zp t ? Licensed Plumhing Contractor The Applicant is; _ Owner 8 Occupan Refurbished Su6mit 2 sets of plans and MPC license New Septic System Includes County fee _ _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace hurned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a building. Alterations to existing dweiling $ 50.00 Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water sokener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment Water Turnaround (add $136.00 if a 5/8" meter is required) Other. t ter Heater VW ! 5.00 :E a Water Softener new vreplacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 '6 '?? Total $ ..?; :.,. -a ? 1 lr?ro +nar tha I hereby apply for a Residential Plumbinc? Nermn ana acKnowieaye lnm ulG lll'u-111a1-ull 10 .,.,1„r,..•., .......----._._, work will be in conformance with the crdinances 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 arieed and a pro eApplicant's rinted Name Applicant' gnature 2t'?O ? CY t+vJ PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA082082 Eagan, MN 55122 . Date Issued: 02/28/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4243 Nybro Lane N Lot: 9 Block: 3 Addition: Wilderness Run 6th PID 10-84355-090-03 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air Frederick Clark 8910 Wentworth Ave S 4243 Nybro Lane N Minneapolis MN 55420 Eagan MN 55123 (952) 881-7739 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 a Use BLUE or BLACK Ink r I Clty of Eakan I Permit # 71 I 3830 Pilot Knob Road I Permit Fee: o~ I Eagan MN 55122 cv- N I Date Received: --71(v I Phone: (651) 675-5675 101 Fax: (651) 675-5694 f ,~}r1 Q I staff: C~ I L------------- -J 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Butte RESIDENT / OWNER Name: Phone: s Address / City / Zip: Q/ r o c~ J CONTRACTOR Name:_WBERT COMPANY INC.dba C GAN WATER Address: 1801 50TH ST EAST City. IlgVER GROVE HGTS State: MN Zip; 55.077 Phone: 65,1 ''.451-2241 Contact: BILL.MILBERT, . Email TYPE OF WORK _ Nevin replacement _Repair Rebuild _ Modify Space _ Work in,R.O.W. Description of work:., PERMIT TYPE REtIDENTIAL Water Heater -tlVater Softener Lawn Irrigation RPZ / _ PVB) Add Plumbing Fixtures Main / _ Lower Level) _ Septic System Water Turnaround -New -Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater Lnd Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) 'Water Turnaround (a6d $166.00 If a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, eta) (includes $5.00 State Surcharge) / TOTAL FEES $_4 CALL BEFORE YOU DIG. Cell 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.oooherstateonecall.om 1 hereby acknowledge that this In6rmadon 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 riot a permit, but only an application for a permit, and work is to start without a permit; that the work win be in accordance the approved alaal case of work which roquires a review and app pl x x Applicants Printe Name A --7 App c _ .S nature ;FOROF~FICE°IJSE; Review C1, 13V ate Reg Ulred 'Ins peGs~~:';~~~ ot9 est k a PERMIT City of Eagan Permit Type:Building Permit Number:EA116977 Date Issued:10/14/2013 Permit Category:ePermit Site Address: 4243 Nybro Lane N Lot:009 Block: 003 Addition: Wilderness Run 6th PID:10-84355-03-090 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 - Frederick Clark 4243 Nybro Lane N Eagan MN 55123 (651) 456-5691 New Exteriors By Sma Inc 10701 93rd Avenue North, Suite E Maple Grove MN 55369 (763) 315-8900 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink Alia c4 For Office Use City of Ea�all r ICN7- '_` ' -3 PermitFee: s 3830 Pilot Knob Road Eagan MN 55122 tut, 22 1 I Date Received: 7 Z2 -'t Cr - Phone: (651) 675-5675 1 Staff: 1 Fax: (651) 675-5694 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: D 7- C36- 16 Site Address: /13 !lU r1 \ Nulorc_D LV► Unit #: es en Owner Name: 6lotr)2 Phone: Address / City / Zip: Applicant is: Owner Contractor T e of or Description of work: )Jp t.J V +& Construction Cost:, 9/ �0d Multi -Family Building: (Yes / No ) Company: UAlCt Oil Contact: //die-C. Address: % ia.77 ithea/e,7 kW : S. City: All r>ZSUl 1I �i State: AM Zip: X5337 Phone:(q 2)7Jb'33Cf�Email: 7 f t 2 v6.16 e CO%!7 License #: P(-570OL Lead Certificate #: If the project is exempt from leaf certification, please explain why: Roli"t1 t4? Y-7 (L` i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the Citic Yes No If yes, date and of Eagan issued a permit for a similar plan based on a master plan? 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 arewconsidered to be public Information Portions sof the Information maybe classified as non-public If you" provide specific reasons ;that would permit the City #o: 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.orq I hereby acknowledge that Eagan; that I understand this accordance with the approved Exterior work authorized days of permit issuance. \k\At i this information is not a permit, plan in the by a building �V O is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of but only an application fora permit, and work is not ton start without a permit; that the work will be in case of work which requires a review and approval of plans. permit issued in accordance with the Minnesota State Building Code must be completed within 180 1.,.., /��X X l Applicant's Print Name `�€ Applicant ,,,%nature Page 1 of 3 116 -f -S /Lj9&? Ln /DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% I/ ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 3 aad 63t REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Framing 30 Minutes _ Fireplace: Rough In _ Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Final 1 Hour Air Test Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window /1/4_T70":-; Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant Fite, -1 A -' 1 1,20/...o 11 1,1 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES' Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL I52 01k4t--6 / Page 2 of 3 • t/cW Ahl,a0 Ln 1\1. _8 00 131.00 Z 0 -NJ Orn Un CO m (Y1> 0 5 / Z rrTni -4 to co 0 /373 .C;0.. 85..00 1 2.00 N89°54 i2J)4-1 4/' drvir, s 5/16" II cb BY: DATE: BUILDING EAGAN REV!EWED - 16/16 LISPE:42,TIONS DIVISION