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4092 Prairie Ridge Rd+ ? •- .. . _ __ . . ' . - ,M..p?r,,,._ , ..? ...?,, .. ?..,,.!"'y.,. M?:'? 7'N8n'Ml?s...!:?" #k-? ?-yi?. - ?t v . ? '?..?y?'r-_T- . tin..+s ? f l (" ?°•``r, Y' -ifT ? &xfifira#r of (O.rxupan?m (Citp of (Eagari wvarhuetcY uf lrildiag 3inspertimt T hrs Ceraifuate issued pursuant w rhe requirwnents ojSeation 306 of the Urrijorm Building Code certll'inS [hat at the 1rme of irsuance lhirstrucdure wns in corrrpliance with the aarious ondiirances oJ1ke City regalalutg building consduction or usp- For rhe foUowing. , ._. u-a-m-fi- SF DidG./ GA R ewa- Pomk rb. ! a u o__ l poc„p.ec7lype R 3 f M 1 R3/ yigp;w;a R I Tya C- um ? OnovdBwTdioe 1NT'i'm_CTA= AS?!'f11i1"Qf.' Ad&m,2f2S Cf1AiCRT D71'VR FAr'.AN AOST IN A COHSPICUOUS PIACE OFEAGAN Pilot 0. Box 21-199, Eagan, MN 55121 JE:454-8100 ,0 91 Site Address 'KNz FuwixlE RID( Lot t 8iock 2 5ec/5ub. t Parcel No. W Name MIT!'E1.3YAEDT sit07 z - Address 785 sUMET DR ° City EAGAN Phone _ ?oName . Re Address Jg?Y?-4A?,,v f- .scLt -- ?W ¢W Name ? W ; Address a W City Phone Treatment PI 276 • 00 APPROVALS Road llnit 370100 Plan"ef - Park Oed. Council ^ BIdg.Off. _ Copies 3,568.50 Variance - TOTAL OFPICE USE ONtY Occupancy Q-3 UA FEES Zoning R-1 (Actual) Const Y11 Bldg. Permit ? ??n _isa±tnn ?L (Ailowabie) # of Stories V-N Surcharge 70'00 Length _ 0? P1an Feview ??, •? Dep1h 514 sAC,city 100•00 S.F. To1al - SAC, MCWCC 650`OU S.F. Footprints On Site Sewage - _ water Conn 660•00 On Site well water Meler 45'00 MW CC SyStERI City Water x X Acct• Deposit ?U ? Q? PRV Required A S/W Permit 3n+00 Booster Pump - SiW Surcharge • 50 - Permit No. Permit Holder Date Telephone # WATER PLUM8ING • ? ? .? ?,? ?? ?? H.V.A.C. & Z& 14h 47 ? -6DOS ELECTRIC , ZMA Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Pibg. d _ ' ? --? Rough Htg. I5ul. Fireplace Final Htg. Orshat Test F'rna! Plbg. PJbg. Mspector - Nofity Plumber Const. Meter -2 _ L9 ` . • EngrJPlan Bldg. Final I Dedc Ftg. Dedc Final ? Pr. Disp. , A ? CASH RECEIPT - ?? ??. CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE i I " 1 19 IJ aE-CENEo -- - ff10AI ?. • r AMOUNT 5 DOLLARS ,ao O CASH CHECK BY ? C 016262 W,,,e-Pa,ers ?Y Yal?-?I n? ? Pink-File Copy Thank You ? . .. SEMER&VIfATER PERMIT CIf1( OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE NOV 19, 1991 METER # _ CHIP # _ METER SIZE ISSUE DATE OFFICE USE ONIY PEFiMIT DATE 1 1/20/91 PERMIT # 12387 ? -? B.P. RECEIP7 #' / /`• / ?," B.P. RECEIPT DATE I 1 19 91 .X. PRV - BOOSTER PUMP SITEADDRESS 4092 P1tAIItIE RIDGE RIl LOT 1 BLOCK 2 SEC/SUB COVENTRY PASS 213D APPLICANT: ADDRESS: _ CITY, STATE ZIP PHONE: - PLUMBER: 14C170NALD PLUW.BING SYSTEMS INC ADDRESS: 18271 KEAiWOOD T8 CITY, STATE IAKEVILLE MN Zlp 55044 PHONE: 435-.3334 OWNER: MITTELSTAEDT BROTflERS ADDRESS: 785 SUNSET DR CITY, STATE F-AGAN MN Zlp 55123 PHOrvE: 456-9125 PERMIT REQUESTED x SEWER X WATER - TAPS 1 ^ COMM/IND X RESIDEN7IAL ? X NEW EXIS7ING Lawn Sprinkler Meters are to be Installed .i Ahead of Domestic Meters on Water Line. 3 Credit WILL NOT be given for Deduct Meters. ? ?1 AGREE TD COMPLY WITN ClTY OF EAGAN ORDINANCES SIGNATURE WHEN METER 15SUED PLEASE ALLOW TWO WORKlNG DAYS FOR PROCESSlNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEV4fER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE NOV 19, 1991 OFFICE USE ONLY METER # PERMIT DATE 11 f 20/91 CHIP # PERMIT # 1g387 METER SIZE ? B.P. RECEIPT # 1 ? • a ISSUE DATE ? B.P. RECEIPT DATE 11 19 91 __X.. PRV - BOOSTER PUMP SITE AODRESS 4092 PRAIxIE RIDGE RD LOT 1 BLOCK 2 SEC/SUB COVENTRY PASS 2ND APPLICANT: ADDRESS:_ CITY. STATE PHONE: ? ZIP PLUMBER: MCDONALD PLUMBING SYSTEMS INC ADDRESS: 18271 KENWOOD TR CITY, STATE LAKEVILLE [9N Zip 55044 PHONE: 435-3334 OWNER: _ ADDRESS PERMIT REQUESTED X SEWER X WATER _ TAPS COMMIIND X RESIDENTIAL '. MITTELSTAEDT BROTHERS 785 SUNSET DR X NEW EXISTING Lawn Sprinkler Meters are to be instalied Ahead of Domestic Meters on Water Line. : Credit WILL NOT be given for Deduct Meters. c? -r 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES CITY, STATE EAGAN MN ZIP 55123 PHO?E: 456-9125 N GNATU HEN M ISSUEO t;= PLEASE/dLLOVff?fWd WORKING DAYSIIFOR PROCEiSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN NO 19891 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 C L!?G,? Receipt # iobeused(or SF DWG/GAR Est.value $140,000 Date NOV 19 ?g 91 Site Address 4092 PRAIRIE RIDGE RD Lat 1 Block 2 Sec/Sub. COVENTRY PASS Parcel No. N a Name MITTELSTAEDT BROTHFRS W o Address 785 SUNSET DR City EAGAN Phone 456-9125 Name _ Address City - Phone ?w Name m,? AddreSs aw Ciry Phone I hereby acknowlege that I have read this application and state that Ihe inlormation is correct and agree to comply with all applicable State of Minnesota StaWtes and Ciry of Eagan Ordmances. SignatureofPermifp,e--,?(1?? ?-?R?- ABuildmgPermitisissuetlto' MTTTF.T.STAF.DT RROTHFR on the ezpress condition that all work shall be done in accortlance wrth all applicable State of Minnesota pStatules annd,City of Eagan Ortlmances Building Ol?icial ? lll il atll 1 I l l?d OFFICE USE ONLY Occupancy R-3 hL-1 FEES Zoning R--1 (Adual) Const V-N Bldq. Permi[ 7R0 _ 00 (Allowable) V-N Surcharge 70.00 # ol stones Lengih - 491 Plan Reviaw 507.00 Depih 1r.1, SAC,Ciry 100•00 S.F.Total - SAC,MCWCC 6$0.00 S.F Footprints - 660 00 On Site Sewage _ Waler Conn . On Srte Well - Water Meter 95. 00 MWCC System X X Aoct Deposil 30.00 Qrywater PRV Required X S/VJ Permil 10.00 Boostar Pump - S/yy Surcharge . 50 Trealment PI 776_ nn APPROVALS RoadUnit 370.00 Planner - park Ded CounCtl _. BIdg.Off. _ Copies Variance - TOTAL 3,568.50 A'ddress:4092 P_RAIRIE RIDGE ?tD I.ot I Blk 2 Sec/Sub COVENTRy pA$g 2Np T?hese items were/were not complete at the time of the final inspection. Dat : 2/21 92 Yes No 6 Final grade (6" from siding) ? Permanent steps - garage ? Permanent steps - main entry ? Permanent dtiveway i? Permanent gas ? Sod/seeded grass !/ Trail/curb damage L? Parch V Basement finish ? Deck Please verify vith the builder the removal of roof test caps from the plumbing system and tha shut-o£f of vater supply to the outside lawn faucet before freeze potential exists. ? necx?eowxx White - City copy Yellow - Resident copy Pink - Contractor copy -- DATE: NOV 20 1991 RE. 4092 PRAIRIE RIDGE RD (MITTELSTAEDT BROTHERS) XL_ Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer & Water Permit tor the above propeRy cannot be completed for the following reasons: Your Sewer R Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. _ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be contirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) beTore issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOH WATER TURN ON POLICY. Secretary, Building Inspections Dept. d /25?' O l ? ',?O aw.e- Requesl Daie Frre No Ro gh-m Inspec1uon m.ed'+ Ready Naw f] WAI Nonry Inspector Wh R ? tl es ? No en ea y I,Xlicbnsed contractor rJ owner hereby i request inspection of above electrical work at Job Atltlress (SVeet Box or Rou/?eJNyo/? ? / Ciry r ki, 0 - f /1 " C G / G - ?U_z Section N. TownsNp Name or No Range No Gounry OccupantlPFINT? Phone No. 2s- Power SupDlter Atltlress Electncai Gomractor (GOmpany Name) Gomracbr's License No v L,u G,?' c. ?"? ? yZ MaiM1nq qatlress fCon[rector o/r Owner Makinq Installauonl /???/?`???L??,.?' Auin gnaWre 1 onuacinnOwner Maxing InstallaLOn) Phone Nu mbp ? ????M? ? L ? . ?? V MINNESOTA STATE BO0.R0 OF ELECTHIGTY THIS INSPEGTION REQUEST WILL NOT Gngga-Mldway Bltlg. - Room 5178 BE ACCEPTED 6V THE STATE BOARD 1821 Uniwrsity Ave. St Pavl, MN 55104 UNLESS PROPER INSPECTION FEE IS PMne (612) 642-OBW ENCLOSED r REQUEST FOR ELECTRICAL INSPECTION 'f""`•"'A? ee ooom-ue ?$ee inshuctions br complelmg tM1is lorm on back ol yellow copy ?~?,,€3 /OS y77 06400 ?"X" Belaw Work Covered by This Request ?:^`? ew Add Rep. Typeoi8wlding AppliancesWVed EquipmenlWiretl ome Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding Dryer Other (Specify) Comm./lntlustnal Furnace Farm Av Conditioner Omer (sVai comracmr's Remarks "Ar F Com oF /?Ela/ ee4i,E pd?? pute Inspection Fee Below. # . Other Fee # SermceEnirance Sme Fee # CircuifslFeeders Fee Swimming Pool 0 to 200 Amps 0 fo i00 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps S19f1S Inspecmr5 Use Only. v TOTAL Irngation Booms Speclal Inspecllon Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby aou9n-in certify that the above mspection has been made. Fmai OFFICE USE ONLY This requast voitl 18 monihs tmm ? ? 4.0 8 9 9 p 4= Rear1ko oe,a Fra No o? h ,n Inepea,ion Fe irehl ? Ready Now ?tNill NoOry Inspector /'' - ??. Yes C N. When Ready? i licensed contractor D owner hereby request inspection of above electncal work at dob Atltlress ISVeet Box or qoute No ) Gtly b 9a ?? - F Sectioo No Township Name or N. Ran9e No County Occypam (PRINT) Phone No A E/1T 6.Co?' Pawe: Suppeer qaaress ?L ' " -? cT .P? loT,4 ., ElacLnwl Convactor ICompany Name7 _ Contrector's License No E?v CN?c?IJ ???c7' C C ??2 lc Maihng qtldress IGOnIractor or Owner M9kmg Installation) iau e-rA f' a K?A K 7oZ nut o??xetl SiqnaWre ICOmractooOwner Ma*ing Insieliavon) PM1One Number MINNESOTA STATE BOAqp Oi ELECTRIQTY THIS MSPECTION FEDUEST WILL NOT Gtlggs-MiOway BIUg - flppm 5473 6E ACCEPLED bV THE STFTE BDAFD 1821 pnrversity Ave. 5[ Paul MN 55106 , UNLESS PROPER INSPECTION FEE IS Ghane (612) 662-0900 ENCLOSEO ?./9/?/ REQUEST FOR ELECTRICAL WSPECTION ee-ooom-os ji See msimcliors lor mmD'etino Ihis lorm on back of yellow capy /O ? Q,nR qq_ .r "X" Below Work Covered by This Request ew Add Rep TypeofBUilding Home AppliancesWired Range EqwpmentWired Temporary Service Duplex Water Heater Elechic Heahng Apt Bwltling Dryer Other (Specfy) Comm /Industnal Furnace Farm Av Conditioner OIhBr Ispemlyi ConVactofs Ramarks Compute Inspecbon Fee Below • x Other Fee * ServiceEnirance5¢e Fee # Crccw7s/Feedars Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps / Z nsfolmers AbOVe 200 _ Amp Ahove 100 _ Amps ns Inspectar's Use Only TOTAI Irri gation Booms 413) lp ,? Special Inspection Alarm/Communicahon THIS INSTALLATION MAY BE ORDERED OISC NNECTED IF NOT Ocher Fee COMPLETED WITHIN 18 MONTW§i ? 1. ihe Electrical Inspector, hereby R°09n-'" . - 2 ? cerirfy that the above inspection has been made F,;i81 , oaie y'ev OFFIGE USE ONLY This request voiC 18 momhs Iro:r. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 851•681-4875 New Construction Reauiremenls • 3 registered sAe surveys showing sq. fl. M lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showiig beam 8 wind(yw sizes; poured found design, etc.) • 1 set of Energy Calculalions • 3 copies o! Tree Preservation Fan i( lol platted aRer 711193 • Rim Joist Detail Opfions selection sheet (bldgs with 3 or less uni4s) DATE IU- Z-6 7 f?. e LU, n , SITEADDRESS ? 0 I? MULTI-FAMILYBLDG _Y _h TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS 7(S-- CITY TELEPHONE # CELL PHONE # J?i G a-3z?-iy3/ FAX # PROPERTY OWNER ATE_ZIP TELEPHONE# COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RIJL,ES 7670 CATEGORY 1 MINNESOTA RUI.ES 7672 (4 submission type) . Residentlal VenGlation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing syslem includes: Mechanical Contractor: Mechanical syslem includes: Sewer/Water Contractor: Phone # Phone # ------------------------------------------------------------------------• I hereby acknowledge that I have read this application, state that the information is with all applicable State of Minnesota Statutes and City of Eag r ina ces. ? Signature of Applicant OFFICE USE _ Water Softener _ Watcr Hcatcr No. of Baths RemodellRaoair ReauiremeMs . 2 copies of plan • 1 set of Energy Calculations for heated additions • lsitesurveyforexterioradditions&decks . Indicate if home served by septic system for additions o-J VALUATION 2- (5y C 0 Z) Phone # ? Lawn Sprinklcr No. of R.I. Baths _ Air Conditioning Heat Recovery System I+ee: $90.00 Fec: $70 QQ? nrTJ1 1 9(1(1? ? ?- , ---------------------------- Certificates of Survey Received _ Tree Preservation Pfan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot 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 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt • SF ? 04 02•plex ? 10 08-plex ? 78 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex O 11 10-plex ? 19 lower Level ? 24 Storm Damage ? 06 04-plex p 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair ? 33Alteration ? 37 Demolish(Bldg)• ? 43 Reroof ? 46 WindowslOoors ? 34 Replacement •Oemolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Staries Booster Pump Nbr. af Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED IN SPECTIONS _ Footings (new bldg) FinaL'C.O. _ Footings (deck) FinaUtio C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ F (nal _ Pool _ Ftgs _ AuiGas Tests _ Final _ Framing _ Siding Stucco Srone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ fasulation _ Retauilng Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit 8 Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search Copies Other Total 1BL o? CITY OF EAGAN PLUMBING PERMIT SUBD. (612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. WHEN PERMITS ARE REQUIRED FOR EACH UNIT, ------------------------ ------------------------------ WORK DESCRIPTION N0. NEW CONST ADD ON REPAIR owxER NnME: _Dlonx-1 SITE ADDRESS: `1'O(?r?_ -- -?? INSTALLER: _i&?A 1Z11W 1207L,,,l///, ADDRESS: a71 GITY: z- ZIP: CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. STATE SURCHARGE .50 TOTAL: ; (d PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS AAE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: CITY USE ONLY RECEIPT # C NW-Ar DATE / ee 9 .5- ALSO, FOR TOWNHOMES AND CONDOS COMPLETE T1iE FOLLOWING: FIRTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 IAVATORY 3.00 KITCHEN SINK 3.00 IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FIAOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFfENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 $ (SIGNATURE) ?ERM 1 r # I 98'9/ REACTIYATE D4 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE 8 MULTI-F/U1ILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made ar lot chan e is re uested once ermit is issued. Date g //_ /Yaluation of work Site Address:_ Q?022 a,?" ? . STREE7 SUfTE N Tenant Name: (commercial only) LOT BIACK -? SUBD P.I.D. if / Descri tion of work: 61 The applicant is: ? Owner ? Contractor ? Other?(Deseribe) Name _3Or `' ri ?,kQ Phone Property ? LA:T F1R57 ? _ :?,?,ar Address _5tw?Q CW 8fiC?-4070 STREET S1E R City ? State Zip Company .r'' Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registratian # Address City State Zip Sewer 6 Nater licensed plumber Processing time for sewer & water permits is two days once area has een approve . ' I hereby acknowledge that I have read this application and state that the information is correct and agree ta comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. L Signature of Applicant: .,? ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation E1 02 SF Uwg. ? 03 SF Addition ? 04 SF Parch ? 05 SF Misc. WORK TYPE -0 31 New ? 32 Addition ? 06 Duplex 0 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alteratlons ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 GarageJAccessory ? 14 Fireplace 0 15 Deck ? 35 Tenant Finish ? 36 Move •, , , ? 16 Basement Finish ? 17 Swim Poot ? 18 Coimn./Ind. ? 19 Cormn./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Canst. (Actual) (Allowable) UBC Occupancy Zon1ng # of Stories Length Depth APPROVALS Basement sq. ft. lst fl. sq. ft. R-3 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. ?On-site well iz' On-site sewage P1 anni ng °i-"•'•'-?'• "•3 Engineering Yariance REQUIRED INSPECTIONS ? site ? Wallboard 19 Footing JO Final . MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code _9T4_7_ SAC Code Assessments ? Framing - ? Insulation ? Draintile O Fireplace Permi t Fee Surcharge Plan Review License MWCC SAC City SAC Mater Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies ? Other Total: r.lusesan: 8 SAC % SAC Units - ? -FROM : DOU6 JORGENSON PHONE N0. ... . .. ?nr_ 612 686 7859 P63 SURYEYDR'S CERYIFICATE ., M0741 NO /KCVtC tOL! INKaTIWTioN NAt al[N CObir'lC1'm OM 711I! lr6f I• rMg •UlrvlMON. RI[ ' 1UITY1-11Y Ot Spl! t0 lUPOqni t++R Irltlx Hou" +ftroua is wor Y?i KMOSOLrtr oF TK[ suotrom. EAGAN REVIEWED eus. coni sr. ar oA7E 115,07 N 890 57' 39" E - - ,. . .r -"..+ ?t :4f4INAUL df U1ILITY EASEMtN1 PEH PLAi ?} ? W 1 ?( ?na? y ? 1 --• 'b:?,a ' ?,w,w ?C?"/6 ,f ? 490! 1 W ? ? n? y . IIosr -- MMCM YA111i "? 0f pIpi ¦ 6tv+M?'16 ? •? ?? ?w. ?, eea.? 25J9 ??'t'ue?e•- ?"?.i ?.?.7, ?34.25 f -- 1 i ? M •r,Wpo sCp,? a ? v ? NOUS[ ,? lstto •e. a r.?e e?iv.???aso ? ?A + bENOTES PROPUSEO SUHFACC Df1AiNAGF O DENOTES IHUN MUNUMC-NT SEI • DENOTES IqQN MONUMENT FpUNO X0000 DENOTES CXiSTING ELEVnTION (000.0) DENOTES PqONUSED FLEVATIC 1. 5CALE• 1 INCI4 - 30 FEET PROF'OSCD GARAGE FLOOR -$S j,(p FEET PROPOSED IOWEST FLOOfi ? 6419 FEET PkCri'US[D TQP OF BLOCK - g 5 g,0 FEE'T ? WE HERE6Y C;EPTIF'r TO MITTEISTAEGr El1tOS WNST 11 1At Ti II:i IS A THUE AN[7 CORHECT REI'RCSk:NTATfON 0?- n SUkvF i'C?r r'HC t30(.JrlbA;tIES I)r 1,01 I, 8 loer 2 , COVEN7kY PASS 2NO AI7oiTIaN.,,??,,,w?,,.. .,. ..._ N R 22 .o • ? aRnc[ t;` 1 / ? 22.00 - N 'i9 49 ($57 3) e0e.4 PAOP09EU 1 ^ e1 aAwEwnr _ J Io ? _;`,,, fl , LD ryst r- r4 ••='"' ? 5?774 N 89°57'39' F MOTE; 4UILDINa 61MQ+SIprS 9NpwN Aft /DP yipRijONTAL 6 VU1'ICAL LOCATIQN OR /TftCTUR[ 0116Y, Kt AR?il CTUAI iL4rt ?OI1 lui4GM g fON1AAtlOi OIAILw qM9, 2 nu itwcninu,,iv vr r4 )VRVC1 vp !r1C i5U1.1NUAI ilt?) I SF 1.oi 1, P lock 2, CpVENTkY PASS 2kD ADpiTION, utcordlny lo rfte recorded pla+ InorscY, Dakota County,Mlnnesoro - 1T DOfiS NOT PURFOFII Tp SH(?W 1MPR0YLMENI5 UR ENGHUACNMENTS, EXGEPT qS SHOWN, AS SURVEI'fD Bv ME OIl UNDEa MY UiFt[CT SUNERVISiON iHig 12TH DaY ur NOVEMtjER , 1991. PA0/OSEO GI1AOtS SNOWN WtPE TAKEN illOlA 1HE 0EVEL0P1AENT vLAN WP `'CW[NTpr PA!! 2ND AODiTIOM , LAST "TiO s-1Y•s9 SIGNEU?' ?,?A S H F11Lt., INC. I • ` ,. _ 6Y -?NNC?AK?ON. 'LAN -- ? M' ' D SURVEYOR ? tiIINN[9plA l Il.:ENSC- NUMBEfi 19828 O F L 0 O w n m m ? I I ^} o T r?no . or ? ° ? ! ? ?' ^ ? ? ? O m ` I+ I I y 1 \ .)afn-es R. Htil, inc;, ?PLANNERS / ENGINEERS / S4lA1fEYORS ZSUU \i? CTY NC) 42 & BUi1N$VII,LE. MN, 55337 - 842-880-6044 0 . I CITY OF EAGAN FOR CITY IISE ONLY 3630 PILOT KNOB ROAD • -" EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT #? MDATE: R?F.53'pE?'1°?lkX;p; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMSLY DWELLINGS fi TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH IINIT. ------------------------------------°-------------------------------------------- OWNER yWa SITE . LOT:/ BLOCK A SUBD. INSTALLER: ADDRESS:_ CITY: L//.I COMPLETE THE FOLLOWING: N0. FIXTURES. EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 ? WATER CLOSET 3.00 / BATH TUB 3.00 -/. , LAVATORY 3.00 J? ? KITCHEN SINK 3.00 3- 1 LAUNDRY TRAY 3.00 ? HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ?-? ? FLOOR DRAIN 3.00 3 ? GAS PIYING OUT. ,L (MINIMUM - 1) 3.00 ? ROUGH OPENINGS 1.50 /,!2 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: - S y? y? SUBTOTAL ST. SURCHARGE .50 GNATURE 0 P TTEE TOTAL: Ci1?iMERCIAI:?!iNDUPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND ,...:..-:.. >:.>...:,.„......:.:. _.. ,.,.,. MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE m $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCHARGE $_ TOTAL: (SIGNATURE) CITY OF EAGAN WORK DESCRIPTION NEW CONST ADD ON REPAIR _ ygu CiTY QF EAGAN 3830 PILOT &NOB ROAD EAGAN. 2N 55122 PHONE: (612) 454-8100 . ?I£GHANICAI:; :YERtfIT r_ _ s???zrrrzai.: ?:., .....:. ... _ ,. .... ... . ...:. ---- WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: ///AhZZ-A/Y/x? SITE ADDRESS: IAT: ? BIACK ? SUBD. INSTALLER: AnDRSSS: 12481 Rhode Island Ave So• cizx: 894•0?Qp: PHONE #: ?0#44?RCIALJiNDU5TItTA7: PLEASE COMPLETE THIS PORTION FOR ALL CO'n?IERCIAL/INDIISTRIAL BUILDINGS, ?,.., .: ... . . .. ..: .: . . . . .. . APARTMENT BUILDINGS, AND ?SULTI-FAMILY BUILDINCS iTHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DiTELLZNG IINIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN FEES PLEASE COMPLETE IIPPER PORTION ONLY FOR • SINGLE . TOWNHOMES/CONDOS SJHEN YERMITS ARE REQUIRED FOR EACH IINIT, ----------- --------------_----------- FOR CITY DSE ONLY PERlIIT # RECEIPT VI , S I DATE: 7 DWELLINGS 6 ADD-ON MINIMUM $15.00 HVAC 0-100 M BTO 24.00- ADDITIONAL 50 M BTU 6.00 - GAS OUTLETS - MINIMUM qe 3.00 ; (? •oo OF 1 PER PERMIT SUBTOTAL: $ 36•00 STATE SARCHARGE: .50 TOTAL: S-36-G' . r?/J/Y? J 5S ?ULl. SIGNA RE OF PERMIT E FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 QF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SUACHARGE TOTAL: $ (SIGNATURE) 2IP: - ?, 7;io•oo+ 5J!•u0F 2, 211•50? 3,5Gt1•5t)T '780•D0+ JJ•OJ ?- 5kly•Up+ 2 11•5Jr >>,553•5 0 ro $A?'O I'1t11?lA 1991 BUILDI MI APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MITLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED .4ITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BI.DG. 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 PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MAI1E. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHIGH ADDRESS IS I 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 PLUMBER. To Be Used For: S(ot„ F2? Site Address #02-4 A.4'iZ? Lot L Block 2- le Valuation: ? Date OFFICE USE Parcel/Sub iFM Ownex Address City/Zip Code Phone Contractor Address '7f 3 City/Zip Code GAIi.¢,J d9; Si2(/23 Phone Y"?(„ 'qj?:5 Arch./Engr. Address Gity/Zip Code Phone # Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. R 3 M-1 ? U^T4 ? 51? On site sewage_ On site well MWCC System f City water ?/ PRV ? Booster Pump _ APPROVALS Planner _ Council Bldg. Off. 11-/k%/D5 Variance it ? ?/-7i FEES r? Bldg. Permit I80•oo Surcharge 170100 Plan Review O C?O O SAC, City pO(D SAC, MWCC Oo Otl Water Conn. A601 OD Watex Meter 475io Acct. Deposit a?Da S/w Permit OiOa S/W Surcharge I5'D Treatment P1. 176,04 Road Unit r)O,Oo Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL ._ ?( . li agrees that all work shall be done in accordance with Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. . ? VAUl.t.n,-n is G A F2 k 6-r ? xsi ? b82. Z)kro = Czo) 3x3xrz? 65'1 Y. I5_9055" QSt?IT, ?---- 1 iSr _FLoc,, BSMT: 11? I X S3= 2: Np ?4,noR 6Z,v63 a? x3?= ?rq Li .X ?s = 6 0 sn?i=.?.. ?l6o?C53=- SO,gB? ?- I 3?y ,1 `? Z o fZ ?Fa u?y = lo o a .6K II = 5S 5x11= 55 8X6_ 4g 3X3k1/a.= 5` I Iy= 1639?1 I qO? 000 ' ?' ° . &4-RVEYOR'S CERTIFICATE NO7i+ NO fKCIFle fpLS INV(fTI0AT10N Hlt ![LH COMPL"m OH 7H13 E TAOI?ITYCO? S? 1p ?lUppdqr TH[ llUlflt HCUiC MpP0![D 15 NOT T11( 11[lPpKg"iTY Of TMi aV"Ypp, (?'??ZnM se:n 157 W d ? tp 57' 39" E DRAINAGE B IJTILITYJ/ EASEMENT PER PLAT LJO1 ases . ? ??7 3 -?z5.ie'-ressa a? 14. -0 ? m N ses i c? W }'? c e ? ? I PfiOPOSED I • 22 OO i eaeo S? Q - (Es5?.8 i Housrn / MfTTELSTAEDT BRO$. CQNS'T' ? 90 rea7 n ae? ? ? 10 ` ?606.Y w ? M M 3 esa.a h 34.25 F, { I x / , reszs')i ? ; ? 21 . ? - 29,49 (g57 3 1 ? eoa. t ? L ? { PROPOSED DRIVEWAY to ? Q 85{ _ ? B01C11 MApN 70/ rn FL(y.Vt6C30 O `-- 1q,,9? ? 22 R 'Z ? '' 80.74 N 89°5T'39" E l iiMCH YAIIN iur o? ?in [ q?yw. . ...?r A?„i"' ? 0547 8545 Bsz,p NqTE: -8U4,DINa D1MEN$IONS 9HOWN ppE Mp HNiWWu 8 V(RTILAL LOCATION OF fT11UCTUl18 ONLY !!E AApiITILCfUAL WANf FOq eUiLONVG 0 FDl1NpAT10N +-? DENOTES PROPqSED $URFACE DRAINAGE ot?.f[M qkg, O DENOTES )RON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DEtJOTES EX1571NG ELEVATION (000.0) DENOTES PROPQSED ELEVATIpN SCALE! 1 INCH - PROPOSED GARAGE FLOOR - PRpPOSED LOWEST FLOOR - PR;6Pp5ED-TOP-OF BLbCK- dc-R V R,.??O,L? 30 FEET 8 57, (p FEET $V9.9 FEE7 FEET WE HEREBY CERTIFY TO MITTELSTAEDT 9ROS. CANST 7HAT THIS 0 IS A 4 TRUE AND CORRECT REPRESENTA71qN OF A SURVEY OF THE BOUNDARIES OF. Lot I, Blcek 2,COVtNTRY PAS5 ZND AppIT10N,accordlnq tothe recorded plai fhored, bokoia County,Mfnnesota IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHpWN, AS SURVEYED 6Y ME OR UNdEH MY bIRECT SUPERVISION 7HIS 12TH DAY OF NOV€AABER , 1991. ;pROPOSEO GqAOEg Sr+owN wERE TnKEN SIGNED(- JA S R HILL, INC. `?FRpM THE DEVELOPMENT PLAN FbA :COVXHTRY PA98 2Np p001TI0N,LAS7 `DAT40 6-1i-99 '8y;? C JpHN C. LARSON, LAND SURVEYOR MINNESOTR LICENSE NUMBER 19$28 ? ? s f? 71 T v Q ? W - p m v m o0 co ? 4 2 ?n ? o ? D o z mo o ? n ? _ ? m m? Z p m {I I rn ? - m • James R. Hi , inc. PLANNERS / ENGlNEERS / SURVEYORS 2500 W. CTY RD. 42 • BURNSVILLE, MN. 55337 6 612-890-6044 ,1-11-1.? 1 3:58 PnGE = 01 I Sld'ktVEYOFt'S CERTIFIGATE Hor94 r+o snccinc Iows INvciriwr,oa HAf S[gH LOM?tMO ON 7Ht! L6T OY TN[ lY11V[YOR. TM[ tWT1101L17Y 0F lOILj 7p SUpppq, TFI[ llqCwlt 1lWl![ I/10pOt[D 13 MOT 71iC R(VpMteLn'T 0I rHe auMtrop. c>)_ - 115.07 N 890 57' 39" E W b in f'O 1 FF->URAINAGE , -` I BU7ILITY? EASEMEN7 PER PLAT? U. /? J ? ? •b63 m N ? x" eae i Ga W ? ? BD1CN M4N1{ 'i? ;I T0P p/ " r" . . FyV.s116&70 ' <sss ?;` ? ?--- 14 2? `' ?22353 - ; MtTTELSTAEDT BIiP3. CqNST. N 067I' ? ? IO ' Y60.1 ? - Ct556.8 ) ? N ( g? 7, 3 ?ew, eso.e ^ ?25.IB asse' di , ? ? ? 14.0 ?' 170 i I ? ? M f'FOPOSED x ? N? HQUSE O N I (P GARAGE O m ? '^ ? y ! -- CX MARK 2200 )I Y[y F ._ N 2L ^ Ce5?.3 29.49 Tp? pw rypg ? eseo? ?c?57 3 ) ^ - - eae.s _• ? eLtY.rNf.M PROPOSEO -- DRIVE WAY 10 ? Q N 4 ? o 8 42 . ! 80.74 N 89° 57'39" E tta4??;??b??i6`'? PRAIRiE RIrGE 'RO??a ..? ?u_._ _ +__? eea 7 ee4.5 ... ..._ , .,.??r. , :,. ?,{ NOTE1 -BUILDIN7J,`eDIA?ENS101I5' '9HOWN AqE ?Qp }ppq*NTu BYp171CA1. LOCATtON OP ETIMJCTURE OIKY. K! AA611TECfUAL I+IANS ?OR BUILOING e FMNpATIqJ • DENOTES PROPpSED SURFACE ORAINAGE DIMQHyqN9, O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X0000 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPQSED ELE1/A7ION SCALE 1 INCH - 30 FEET PROPOSED GARAGE FLflOR - 8 S7,(c, FEET PROPOSEO LOWEST FLOOR - 8y9.9 FEET PROP05ED TOP OF BLbCK -$s8 o FEET ' WE HEREBY CERTIFY TO MITTpLSTAEDT BROS. CANST THA7 THIS IS A TRUE AND COF2RECT REPRESENTATION OF A SURVEY OF THE BOUNdARIES OF. 4ot 1, B lock 2, COVIENTRY PASS 2NQ AppITION, accordinq to the ` recorded plat ihareof, Dokota County,MinnasoTa ? IT DpES NqT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, A5 s SURVEyED BY ME OR UNDER MY diRECT SUPERVISiGN THIS 127H DAY OF NOVEMBER , 1991, 'PRO+?oSEO GRAt7ES SHDWN WgqE TAKEN SIGNEpj JA S R HILL, INC. ;FROM 7HE OEVELOPMENT PLAN FOA + 'GCWENTRY PA98 2N0 ADOITION,LAST ? ;OAI'YO 6-IT•8i ? a BY' d a JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 , ? a Q ? O p _ Q n O n Q o o - c.. m ? p P z Rl 0 0 Z l D p z m c0 - ? 0 m I ? I , y o 1 nnoom jam,es R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W CTY Rp. 42 • BURNSVILLE, MN. 55337 * 612-890-6044 `t1-11-1J l i:5'G F'ri'aF = Iii ERTERIOR ENVELOPE AVERAGE "U" COMPUTATION DATE owNEx `j"u K ? ? 1 ? 7?• ? SIiE CONTRACTOR??'fT nnnxESS 7g?sFr 6a Erxoxs N?? DETERMINE WORRING SQllARE FOOTAGE OF EACIi 1. Total exposed wall area ... Is 14 '7, 3 aq. ft. x• 11 ? Ld12 2. Total rooE/ceiling area ... /&yO sq. ft. x•026 4- ? Total ezposed wall area above floor - 3 y5Q a. Total wall crindow area ......................... y 25 3 b. Tatal door area ................................ , 4, / c. Total sliding glass door area .................. y 2 g d. Total fireplace wall area .... ..•.. .. .... , p e. Total wall framing area (average107.) f. Total :::::::::: net wall area above floor . • ? y g. Total rim joiat area ........................... 'Z. o 31 Total exposed foundation area ? Q 7 h. Total foundation window area ................... ? i. Total net foundation area above grade .......... 6 Determine "U" value of each wall segment. a._ y 2 S, 3 x?tU„ , 4/2 b.- 34, r x„U., , 0? 2. 7 c.- 7C 'lUl, ? N 2 1 7-1 a. o x?fUl, o . a e.- 3 5ti, o x?,U,, i) I - 3iT . 9 f._ 22'77 1 xefvtt ,oY3,? - 4 8.53 g•_ 17 h. / z x"„,, y Z 5,0 , i._ $5 x "U" . 0 7L - G. J? 3 . ........................,......raeel If item 03 is the same as, or less [han ites ui,ou-have`mthe intent of SHC 6006 (c)z. -1- Page 2 of Z Total exposed zoof/ceiling area - 11,04n J. 'fotal skylight area ........................... o . k. Total roof/ceiling framing area (average lOS).. 1,0 wi, 5 1. Total net insulated roof/ceiling area ......... ? S 3 7 5 Determine "U" value for each roof/ceiling segment. j , l? X nOn A ? - k. ?0 2 5 R„U„ 025,9 - 2. (, .ozIg > ?3,5 4 . .. .. . . . .. . .. .. . --? '--? ........................ .Total ? i ?- If total of 04 ia the same as, or less than 82, you have met [he intent of SSC 6006(c)1. Alternate Building Envelope Design To utillze the total envelope system method, the values eatablished bq the aum of items P3 and 04 shall not be greater than the sum of items O1 and b2. 1 L. + 2. ? . 3. + 4. s -2- PERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 .. 3pr? - '_%,? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets af architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date y Z. Valuation of work lt"? (.a?7°0 Site Location: az992 Rr1 - STREET STE 0 Tenant Name• LOT ? BLOCK 2 SUBD. v ??? P.I.D. $ w ?+_ Descri tion of work: ? y ?14? 6 The applicant is: ? Owner ,!?I_Contractor ? Other (Describe) Name Phone Property LASt FIRST Owner pddress STREET STE p City State Zip Company /?l e TrE[... S,WeOT J?, Phone ?f .ilo 96Z 5 Contractor Address _7?'!!? 5ll.r-,?Pe-r !J/1.L/E _ License # 0703qy3 Exp. 4-3 City J??"V'42 State ?.v Zip 5KZ3 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City af Eagan Ordinances. Signature of Appllcant: _L"._ , OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 foundation ? 02 SF Owg. ? 03 Two family ? 04 Multi-fam. T.H ? 05 Apt. Bldg. woRK nrPE ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ;?, 09 Basement Finish ? 10 Swim Pool 0 11 Res. Add./Parch ? 12 Comm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem ? 15 Public Fac. ? 31 New ? 34 Remodel ? 37 Move ? 32 Addition ? 35 Repair ? 38 Demolish p 33 Alterations ? 36 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy R.- 3 Basement sq. ft. Zoning ? lst F1. sq. ft. Const. (Actual 2nd F1. sq. ft. (Allowablei Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REGIUIRED INSPECTIONS ? Site ? Wallboard El Footing R Final ,A5 Framing ? Draintile ]Z74- ? Insulation ? Fireplace Permit Fee 3S,v ° Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: ? sac x SAC Units valuectm: ? 16 Agricultural O 17 Building Move ? 18 Demolition ? 20 Miscellaneous MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments I For officeUse City of EllL Ull Permit#: Permit Fee: / 3830 Pilot Knob Road I n Eagan MN 55122 Date Received: MUG 0 4 2009 Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff// 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: fr/~' Tenant: Suite RESIDENT / OWNER Name: l 'r d-`6De Phone: 6i 7 5 / 7~ Address /City /Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work:--s4/// l~t'`~/'Sv S Construction Cost: 4',?, al'!n6. Multi-Family Building: (Yes / No CONTRACTOR Name: C /c~T L~c~ j- rr C b/t? I License 35 yJ9~ Addre `Ic/~/ ~ GI~C>/ _ _A G Lc? C State. Zi Phone: 3 ontact Person: - NHS l1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 6 r Vu Ikers x Applicant' rinted Name Applicant's 04 g "'--nature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace _ Porch (3-Season) Storm Damage Single Family Garage Porch (4-Season) Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous 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 3~y Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% V) Zoning City Water Census Code 4Y 3 Stories Booster Pump - # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water Final Pool: _Footings _Air/Gas Tests _Final Framing Siding: _Stucco Lath -Stone Lath -Brick Fireplace: _Rough In _Air Test -Final Windows Insulation Retaining Wall Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 30 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2of3 FROM : DOUG JORGENSON PHONE NO. : 612 686 7859 P03 C( -o lpra~ SURVEYOR'S CERTIFICATE MITTELSTAE4T 8RD9. Cory e~: EAGAN REVIEWED 1107191 KO $KCV%C IOLS IWOKST104TION "As itt.w t0bdp%-t m ow TH+y 13y J D LOT VT TNt SURWYOk. 'Mi 1UIYA. L11 0I tolls 1v *jp0i0 W ' 1 - '21 t++9 Mf ft movk Pftpo o DATE 13 NOT YI~I[ IBC ITY Or TK[ 3U*RYO11• 115 , 07 N 89° 57'39" E I8`? +y Lth61PaG'_ t!UIiLIT'Y+~ EASt tN7 PER PLAT l 1 I W O 0 1 Isse ,t~~5.~e ' !+~~«e' ,y, } s4 2S f - 4 I It HOUSF ; y fi i N i 11i ~PAG AIiAGc G ~ /J O V ..r NrcM Y~RIi IOrCM WAN 1nrQ (857 3) ea,d$ TOO OP P?! f Q gom** PROPOSED __j DRIVEWAY M Ip 1 Q ore..: tJSf~~ 1 i ~ 8.0.74 N 8 9° 57 39' E F=L c A a, NOTE; 4ULDING DIUVOISICNS $HQWN AJIl: FOR NOAtyOK[itl, 6 VfATKAL LOCATION or ITftXTu,t ON66Y, see AJ II CTUAL s'Lk4S FOR SUt t sK • F0l7SOA11 oII~sN ~a+rs, bENOTES PROPOSED SUHFACL D1IAINAGE Q bENOIES IRON MVNUMENT Si ESCALE- 1 INCA - 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - FEET X000 0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8944 9 FEET (000.0) DENOTES 11AONOSED El_EVA110N PPC)POSCD TOP OF BLOCK - g58,0 FEET WE HEREBY CE PTIF'r TO MITTCLSTAEDT R:)5 CONaI IiA1 TIllS 15 A THUS AND CORRECT RE.PRCSE:NTAT1ON OI- A SUkVi, r' C? T'HC UOUNDAitIE5 I )F 2 I,oT I B iocl+ 2 , COVENTRY PASS 2ND AI1f]IYl0ty. nomn.Ai.+., SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS. CQNST. NOt1E, NO SP'[CIrIC SOILS INVt$TIGATION KAS SEEN COMPLt W ON THUS E7 LOT OY TH[ aUR Cyopt THE IIIWTAAILItV or SOU 10 $UppORI THE scmc HOIJSt PIMOP0j" 13 NOT TINtI RE MK3?Ifl LITY Or THE $tI04YQ11. 115.07 N 890 57 3911 E^Ks,,137 $0 n6Y0 ~ vti r. ~ 8tSA7 ri4aTi~ ti DRAINAGE a UTlLITYI EASEMENT PER PLAT 0 LO T ~ ~4aas w -<ts5ra•8i N a; ( nss ssai ti DIMS _ ~A19 - fiasae dl T-- 34.25 - e 14.0 17 C PROPOSED m I HOUSE eea GARAGE 01 q Ce5~,3)( ; "404 MARK - _ nt 21. 29.49 r" ! , A TOP Of F1109 • eaecF, MARK ~22.00 TOP OF PEL atAv.ssae so PROPOSER ro DRIVEWAY IO 9 N Q o 6542 f 114,26 - ~ ' ' 90.74 N 890 57 '39* E 40 ~4 225.1 54 7 004.5 ` ?'~x cC• ~ h,r f•y- • y NOTE; -eUILDINNA 64631 ONs, `-SHOWN ARE FOR HORIZONTAL 11 VERTICAL. LOCATION OF STPLCTUAE ONLY egg AACttI CTUAL PLANS FOR SUILDIP4G D FOUNDATION DENOTES PROPOSED SURFACE DRAINAGE nlMt>+ IoN9. O DENOTES IRON MONUMENT SET SCALE- 1 INCH - 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR 85-7,fo FEET X000 0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8y9. 9 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - X5$.0 FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS, CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF. Lot I , B lock 2 , OOVENTRY PASS ZND ADDITION, according to the recorded plot thoreot, Dakota County, Minnesota IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 12TH DAY OF NOVEMBER 1991. 'PROPOSED GRA18 SHOWN WERE TAKEN SIGNED JA S R HILL, INC. ,FROM THE DEVELOPMENT PLAN FOR 'CQVIENTRY PASS 2ND ADDITION, LAST DATED S - 17.8 q BY JOHN C, LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 r--L_to 70C_ James r- MOM ° z z W rn PLANNERS I ENGINEERS 1 SURVEYORS O 6) M j 2500 W CTY RD. 42 • BURNSVILLE, MN. 55337 + 612-890-6044 CityofEaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 F�9 0 31p11 Use BLUE or BLACK Ink For Office Use �% Permit #: G v 2-1 Z7 Permit Fee: (0 0 J Date Received: r 3- l Staff: 2012 MECHANICAL PERMIT APPLICATION Date: 0 Site Address: L C `F c - Tenant: Suite #: Name: c ` k` Phone: USI -uis`1 -o dmf V Address / City / Zip: "1 PJ1JW..jJL. \ 1 , Ejcui as License #: (�S� Name: BURNSVILLE HEATING & AIC, INC. f}i 3451 W. Burnsville Parkway Address: Suite 120 City: J State: zi,yrnsville, MN 55337 Phone: CkS GI.0 - Contact: L t(A.C.-- Email: New )( Replacement Additional Alteration Demolition tt3RK ' ' Description of work: / RESIDENTIAL +7�- Furnace )Air Conditioner Air Exchanger Heat Pump ,,� rr, Other t \ r S COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / — Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $}�i'i TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% = $ Permit Fee = $ Surcharge _ $ TOTAL FEE 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.aopherstateonecaliorq 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. xRCA SYLCs,`�l ` x `, ' UirleLkl-R Applicant's Printed Name Applicant's Signature OR OFFICE U qsired Insp' PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121204 Date Issued:03/19/2014 Permit Category:ePermit Site Address: 4092 Prairie Ridge Rd Lot:1 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory Volkers 4092 Prairie Ridge Rd Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature NOV 2 $ 2018 Use BLUE or BLACK Ink -----------------� (i I For Office Use I , I Permit #: I 1 Id .�rU I Permit Fee: I Date Received: 1� Staff: -----_----- 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 11/28/2018 site Address: 4092 Prairie Ridge Rd Tenant: Suite #: New Replacement Repair Rebuild Modify Space Work in R.O.W. _: TYpe.of-Work , - Description of work: replace vanity, top, faucet RESIDENTIAL Water Heater Water Softener >: :::<::;::.: Lawn Irrigation RPZ/ PVB) Pet`illlt T : @`::':: =; Add Plumbing Fixtures L Main / _ Lower Level) Yp..:.........: = Septic System New Wafer Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) "Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEEs $ 01.00 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. ywiw.gopherstateonecall.orc 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 v rk 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 X.Plans. x Wendy Raehe Applicant's Printed Name Appifca?tt',SigAafure .... ...... te:FOROFFICEUSE Ri . ..ewed=: Re ulred lns actions::.=:: ; : Under Ground - :';::- -:= Rou h in ` ` .Air Test -Gas Tes :.`F'nal q..:.....:.a ::. P...:..: :.: :... :.:: 9 .........:......_:;.::. #...:-, .. 1...: . .........:.:..,..._.,..:...; .:........:..:::... .................. . ....... .... ...........:...: : - ....._.... .:..... .........:..:::.:.......................... .....-. Mtater Related item::';: ;Meter:Size :. Radio -Read :........:Manometer Staff.: - ::::::: :-:: PERMIT City of Eagan Permit Type:Building Permit Number:EA171046 Date Issued:07/28/2021 Permit Category:ePermit Site Address: 4092 Prairie Ridge Rd Lot:1 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Gregory & Elizabeth Volkers 4092 Prairie Ridge Rd Saint Paul MN 55123--393 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174608 Date Issued:02/07/2022 Permit Category:ePermit Site Address: 4092 Prairie Ridge Rd Lot:1 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-010 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Gregory & Elizabeth Volkers 4092 Prairie Ridge Rd Saint Paul MN 55123--393 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature r---------------------- I For Office Use 1 1 179995 I Building Permit #: 1 �0 .� I S&W Permit#: 1 EAG I I -- I I V E Permit Fee: 1 Saa Date Received: 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 1 Date Issued: buildinginspections(pD-Cltyofeagan.com BY, I ---------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10/31/2022 Site Address: 4092 Prairie Ridge Road Unit#: Applicant is: ❑ Owner 2 Contractor Name: Greg Volkers Homeowner Address: 4092 Priaire Ridge Road City: Eagan State: Mn Zip: 55123 Phone: 651341 2067 Email: Description of work: Replace decking, fascia, and stairs. Add approimately 16' of aluminum railing. Type of R-1, Coventry Pass Work Construction Cost: Y Type of building: ® Single Family ❑ Townhome, of units ❑ Twin Home Company: Uglydeck.com Contact: Corbin Lemmer Building Address: 4870 12th Ave E City: Shakopee Contractor State: Zip: Phone: Mn 55379 612 895 1330 Email: corbin@uglydeck.com License #: BC570015 Expiration Date: 03/31 /2024 Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Expiration Date: 0 i understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. 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. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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 plqns. , . 6gzu� LLmmEz X A Applicant's Printed Name A lic n ig ature U) 0) c 0 40- 07 ui 0 a 2 tm C: X— LB CV LIJ LLJ 40- 0-0 C: 0 E 0.0 4- cu 0 0 4- Q. E 0 0 d z E d 0 �O LU 00 ui co CL V Lk— 5 v 0 E E v r = E 0 ZN L: o 3: CL 0) (D 0 "t LL 4c k=/ CL cf) LL (n x 0 CL N CL 0 CL 0- 0 0 (D (D c 0 IA (1) CL 0 to c CL 0 0 ZN E (D a 0 CL ":, g 0 0 0 0 A 0 0 ILD 0 (.0 LO X W cy) 0) E >1 C\j X X X X I- U>il L� .0 m uj ui ui ui 0 CL +01 C E m 0 0 0 E -b 0 4- L.. C) 10 0 -0 0 0 AN 0 U. 4�, ctt 0 40- 0 -lid V- 46 0 > '2 ro 16. 4- 4- OR 4- o E 0 CL m u 0 E w 0 0 LL V) 6 a. iniz 0 -j ca CL r 0 0 -7 0 11 EI D 11 11 11 0- 11 El 11 El 7 El D D ED El 0 0 M 11 El D LE �tl!.i v iT su�! :i: u n au I..... "J''i ap J. SUB TYPES Single Family 01 of _ Plex Deck WORK TYPES _ New _ Addition _ Alteration Replace FOR OFFICE USE ONLY Site Address: 4092 Prairie Ridge Road Fireplace — Foundation Garage _ Repair _ Fire Repair Water Damage Egress Window DESCRIPTION Calculated Valuation Plan Review E125% 100% Census Code # of Units # of Buildings Type of Construction Nis REQUIRED INSPECTIONS _ Lower Level — Porch — Pool _ Siding _ Reroof _ Windows Solar Permit #: QO00 _ Retaining Wall _ Move Building Demolish Building* *Demolition of entire building — give PCA handout to applicant Occupancy 1 P& i MCES System Code Edition ;yWRC—zV%-0 SAC Units Zoning Rr 1— City Water Stories Booster Pump Square Feet PRV Fire Suppression Required Separate Stormwater Management Permit Required Footings: New Addition Deck _^ Foundation: Before Backfill Poured Wall K. Framing: 1 Hour n Residential Alteration _~ Braced Wall Framing/Blocking — Braced Wall Sheathing (prior to house wrap) Interior Braced Wall Panel(s) _ Firewalls _ Insulation _ Fireplace: _Rough In _Air Test _Final HVAC: Rough In Final Siding: _Stucco Lath _Stone Lath _Brick Roof: Ice & Water _Final Erosion Control Pool: _Footings —Air/Gas Tests _Final Retaining Wall: _Footings _Backfill _Final Fire Suppression: _Rough in _Final Windows Other: 0( Final/No C.O. Required Radon Control Final/C.O. Required Reviewed By: Y�;J_— ,Building Inspector FEES Calculated Valuation Base Fee Plan Review State Surcharge Met Council SAC City SAC Treatment Plant Water Supply & Storage S&W Permit & Surcharge Meter Radio Read Other: TOTAL $ 0.00