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4120 Prairie Ridge RdPERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148750 Date Issued:04/18/2018 Permit Category:ePermit Site Address: 4120 Prairie Ridge Rd Lot:3 Block: 5 Addition: Coventry Pass 2nd PID:10-18401-05-030 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Philip J Sachs 4120 Prairie Ridge Rd Eagan MN 55123 (651) 686-9020 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature t. , CITY OF EAGAN . .. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # # 7 ',12 /'.-... To be used for S!' DW(i GA?I Est. Value $127 0?0 Date 91CP 11 , 19-91 Site Address 4120 PBAIRIB 1EIDfF, RD Lot _3 Block Sec/Sub. COVE?TAY Pw$S OFFICE USE ONLY Parcel No. 2ND Occupancy Rr•, -H-1 FEES W Name M'?N9YAt-[1 (WLA'1'fiLU'7'TON 1C Zoning (Actuaq Const -R-1 ?? Bidg Permit 7?.? . ; Address 1712 WlIRRti.l Y fiQ (Allowable) ?L19 6? ?O a City rota$?t_tlt Phone 68A..7Ad1 # ot stories _ Surcharge , . Pian Review 427-m F Name SwME Length oePtn ? ? SAC cit snn e? t , y - ? Address - S.F. Total - 3 ~ Ciry Phone S.F. Footprints - SAC, MCWCC 6 0,00 C fifio ?O ? ? W W Name On Site Sewage on sice weu _ onn Water M . ? 95 u+ i? Add1'8SS MWCCSystem - 1.- Water eter • ¢ = <W City Phone City water Acct. Deposit 30. ? 30 ? PRV Required ? S/W Permit • I hereby acknowiege that 1 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. Booster Pump - S/W Surcharge Treatmant PI 276.?0 Signature of Permite b '_ APPROVALS Road Unit 370,? ? . A Building Permit is i on the express cond applicable State of M 8uilding Official ssued to: ?N&*MLD CONST INC itiQn that all work shall be done in accordance with ail inhesota Statutes and City of Eagan Ordinances. Pianner Council amgpf{. • Variance - -- - - park Ded, Copies ToTAL ."60 ? . r Permfl No. Permit Holder Date Telephone !k WATER SE1lVER PLUMBING H.VA.C. i -aj ?- ELECTRIC "I . Inspeetion Date Insp. Comments Footings I Foundation Framing ?-Z-Y/ ? Roofing Rough Pibg. - , cf Rough Htg. 10 3 lsui. F?replace 41 S Io ^3-Q' '? Final Htg. Orstat Test Final Pibg. Pibg.lnspector - NotifyPiumber Const. Meter EngrJPla? Bldg. Finai ??? Deck Ft9• 1-?11j1l Dedc Final Weil Pr. Oisp. f'S1 ay ? . • ?.. ?'.G - Ttxf,tfiratt ,a# (Orru?aury titp vf eagan ? ? lomarhmmt nf BMlding jnwr2inn 77ris Certiflcate rssued pursuaat to the ? uirn? of Secjion 30?ojthe.,Flrrifornt Building Code cernfying lhat at the time of rssuanc?thrs siructure was in compliance with the various ordinnnces of the City riegubting building constniclion or use. For the following.i ux n.wifiwuon SF IXJG/GR eWg. hrodt No. I 7 oa,?,?, T,W !?/M 1 ZomingDisn? R I .q,a co". o,,. a e.mn AfCDONAiD MMMiTCN Add. 1212 MlF.EITILL BAY RD, BURN.SVIIlrE Bu"" Addms G 120 PRAIRIE RID(E RdOAD. LO,?,L3, B5, OOVE1?iTRY PASS ? aw 11/26/91 , a,mne omtfw POST IN A CONSPtCUOU3 PLACE SEWe & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 ?1 ") ? DATE ? ' /!%F'/?' I SITE ADDRESS 4 1?() P r-: i r LOT ?? ' BLOCK 0-r" SECISUB APPLICANT: m? ?? ;AL; ? ADDRESS: ( 2 ?? ILPLLII CITY, STATE BIrI`Y-4' V`.P , PHONE: bSi3' 70b I OFFICE USE ONLY METER# 9a?1 -3q PERMITDATE o9 j16/91 CHIP,*.B aaf'3/1??V PERMIT# 12274 METER SIZE fE''? u 5 B_P. RECEIPT # C 15345 ISSUE DATE B.P. RECEIPT DATE ' ,`' !' ?1 ZIP PLUMBER: S{.A? PI u?nlo? ?Jct ADDRESS: ID{S Mo?rr?dS S??x, TPrr?(c CITY, STATE ICV-++r%a?'??+?? ?'1? ~ ZIP ?? ?O ' PHONE: 49 OWNER: _ ADDRESS: X PRV - BOOSTER PUMP PERMfT REOUESTED ?SEWER = WATER - TAPS - COMMlIND ?NEW -Lt--AESIQENTIAL _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL Np-J?be given for peduct Meters. I CITY OF iCITY, STATE ZIP j PHONE SIGNATURE WHEN METE SSUED i PLEASE ALLOW TWO WORKING DAYS FOA PhOCESSING. CALL 454-5220 FOR iNSPECTIONS. FOR STORM ' SEWER PERMiTS, CONTACT ENGINEERING DEPT. ? , __ ON CITY OF EAGAN 3830 Pilot Knob Road ? • ? Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: R ' ? E? i t r? i???; -Il.'t) ! 1?A1k[I` I?t1j i'lk 1{I1 1 11Ut M1k?, ??r?.•, 'Nrr ? PERMIT SUBTYPE: ? 'cW.; M1 t+ I I 1 f•I ; !i . APPLICANT: TYPE OF WORK: PERMIT TYPE: Permit Number: Date Issued: iill rI fi t N« A:7C.TA i+l ti ! ,16 ! y t'a AI it {2Al 101hl INSPECTION .• 3 ? 60 • 11 iit . . , '1r, .• ? F nARAi r tIFt I? 1'i F3f QIJ iOk ANv r 1I+pH I nt; 01 ??. -? Permit No. Permit Holder Date Telephono k ELECTRIC PLUMBING ?G HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIA TEST ? ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST ' FINAL PLBG FINAL HTO ? ORSAT TEST ? BLDG FINAL BSMT R.I. BSMT FINAL DECK FTC3 DECK FINAL • •' CITY OF EAGAN Np ? 966? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 n BUILDING PERMIT Receipt # `? Tobeusedfor , SF DWG/GAR_ Est.value $127,000 Date SEP 11 , 19 91 Site Address 4120 PRAIRIE RIDGE RD Lot -3 Block 5 Sec/Sub. COVENTRY PASS Parcel No. 2ND w Name MrnnNarn C.nNSrur T70N x o Addf2SS 1217 Ri.IiFRTT.i. RAY RD City RIIRNSVTiTF Phone 61`18-7061 o NamB G/+MF' I ?? Address ? Cdy Phone I1-0 lName I ??-, Address City Phone I hereby acknowl Ihat I have read this application and slale Ihat the infortnation is cor e and agree to comply with all applicable State of Minnesota Stalute a Ciry of Ea9an Or inances. SignaWre ot Permite A euildin9 Permit is is u d to: MCDONALD C ST INC on the ezpress condihon hal all work shall be done in accordance with all applicable State of M.(in?n sota Stpatutes and Qty of Eagan Ordmances. Building Official \ l OFFICE USE ONLY Oceupanry R-3 M_7 Zoning R_t (ACtuaq Consl -Y--N Bldg Permit (Allowable) -V--v Su¢harge 8 0l Stones lenglh Oepth S.F. Total S.F. Footpnnts On Sile Sewage On Si18 Well MWCC System City Water PRV Required eoo5ter Pump APPHOVALS Planner Council Bldg. Off. Variance 1Q.' 26' Plan Review FEES 734.00 63.50 477.00 sqc, ary i nn _ nn o snc.nncwcc 650.0 WaterConn FFn.on Water Meter Q S- 00 X x AccL Deposit ?n _ nn x siW Permd 30.00 - 0 SNV Surcnarga .5 n TreatmenlPl 976_0 tioadUnit 370.00 - Park Ded Copies - TOTAL 3.486.00 Addriss: 4120 pRAIRIE RIDCE R(7AD Lot 3 BlkS Sec/Sub rpVE[.]1gy pASg 2Np These items wete/were not complete at the time of the final inspection. 11/26/91 Yes No ? Final grade (6" from siding) Ll? Permanent steps - garage ? Permanent steps - main entry Permanent driveway ? Permanent gas Sod/seeded grass v Trail/curh damage Porch ? Basement finish ? Deck Please verify with the huilder the removal o£ roof test caps from the plvmbing system and the shut-o£f of water supply to the outside lawn faucet befoze fxeeze potential exists. ? acrneownx White - City copy Yellow - Resident copy Pink - Contractor copy 2 73-nC 0 e c ? OFF CE USE ONLY This requesl void 18 months fmm vaLdonon dnh prinhd in this box. ??j4 ?? SG SS S ? ? PLEASE PRINT OR TYPE yyf? Request Dote Rough-in inspedion eeqorted2 ? No Inapecnon Olher Than Rough-Im 0 Rmdy Now Will Call I (Yau must mll Ihe inzvecrorwhen ea y) Dok Reody I, 0 license confractor 19 owner hereby requesf mspedion oi the above elecfncal work af: Job Address Sheet, Box, ar Route N Gry Zip Code Lim ilty,' 5?57 Z Sedion N. Township Name or o Range o. Firc No Counp Cr( Occupanl s Phone ? r- _ Po r upplier lddrevs Elwnml Confrocbr 1Campany Name) Comranor Lianse No Mamr Ga No. (Piant Elen Only) Mmleg Mldrees jCwkactor or Ormer Pedomimg Insmllanon) ANho z g ? amnnor o Owner Pe rtg Inewllanon) Phane Na E9- 1A-10 6/95 ? STATEBOAIiDCOPY•SEEINSTRUCTIONSONBIICKOFYELLOWCOPY I1111111 IIII? REQUEST FOR ELECTRICAL INSPECTION ?? ?vlinnesoLj State Board of Electricity ?a', 11 n ne (s??}Ss?az v-oeoo 5?/?,4LPaui, MN ssioa = ilo.?' * 7 3 2 5 1 s P Hame Dupex Apt. Bldg. Other: New Addn Commercial Industnal Farm Remod Re air Air Cond. Hfg. Eqmp. Wote? H1c Load Mgmt. Other: D er Ran e Elec. Heot Tem . Service "X" above the work covered by this request Enter remorks m this space and on ihe ba<k of fhe white copy only. Calculote Inspechon Fee - This Inspechon Request wilf not be accepted wdhout ihe mrrect fee: Other Fee ,1` Service [nlrance Sire Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sireet Lig./rroffic Sig. Above 200 Amps Above 100 Amps Transfortner/Generator IN S P E fi' USE iv TOTAL Sign/Outline Ltg. Xfmn ? , ,, ? /?L??aN7 B O? Alorm/Remote Conirol Swimming Pool I hereb atli ihot I ms edad the decmml innollafion deecnbed heran on Me daree saled Irrigahon Boam Roogh-In Date Spenal Inspedion Invesfigatrve Fee F?rw? Dote THIS INSTALIATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. f o aoos RESIDENTIAL BUILDING rERMiT arrLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauiremenis 3 2gistered sAe surveys shaving sq. ft of IoL sq fL oF house; and all roofed areas (20% maximum lot wverege allowed) 7 Soils Report if proposed building is to be placed on disturbed soil 2 cop'es of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of T2e Preserva0on Plan if lot piatted after 711193 Rim Joist Detail Options selecfion shee[ (buildings wifh 3 or less unb) Minnegasco mechanipl ventilation fortn Remodelrtteoair Reauirements Office'Use OnN 2copiesofplanshowirgfootings,beams,joisLs Certaf,$pt!!ey;Red.???f„r"'?='l-,N 1 set of Energy Calculalions for heated additions Shc's Rep`irt,p? ?:'u?j?t;:=:'??;t=Y = lsifesurveyfwadditions&decks TreePres?Plaii'Recd?`:::'_JN. AddBion-indicatetlon-s8esepticsystem 71ee'PiesReq`uireda=?'tl.a'=?€;;==_N D'n, -sAe _=. N v Date 10 94 ! %0 SiteAddress ?/o ?[Yn?f"iQ I?-1dL0.0 Construction Cost ??`jO0 I--C Unit/Ste# Description of Work I2.1i pk&C ?.X c1?5+i v?Sl ?C? T'W;h !L9 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner Tlvl-? ( t)0.al5 ?,Iz 79R 3i? -s I," ? Telephone # ( 46-1 ) (o9fa q0 Za (G6eA ConVactor Address State Cit3' Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In ihe last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone Mechanical Contractor E Telephone #( ocr 5 2oos Sewer/WaterContractor . ? Telephone#( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, 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 pl? he case of work which requires a review and approval of plans. ?,, ?, ?. ApplicanYs Printed Name ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Su6 Tvqes ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mulfi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex X 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 MuIG Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes Qr F(9-0" ' " r("1-L ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundatlon ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors X 34 ReplaCement •Demalition (Entire Bldg) - G ive PCA handout to applicant DesCriptlon: WaterDamage_Yes Valuation ? 9 0 Occupancy MCES System Plan Review 100% or 25% Census Code 43!4 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ F'ueplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. ? FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Bnck _ Windows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? r2L G?(l f-w t 3 D, 5 -0 ? _ F iEn? i near i r.4 6e 1,94S18 P. iG+t: .? l INE` +TI' * PiOMEEp _? ? eng? eering,.- * at 7F Certificate oi SurvEy far! _!_J! __ v?IViQ? Q 0 ? ? ? ? 1? 0 N ? 0 N ? +4J ? ? ? 4 ro 1 I ?- m ?? ?u C .a .?- O?- a .2 f?, aA?' ,?? 587° f8?ao"E ro a?' 2 3 9. Z. I o zO,a 1 SYB.i K$Y3 7 `-`- - '?.? ? a,o ? x 843•9 ? h c o t M y? ?° r , -* n, 3o,p bj 260 96 -4 2A<^2 Enterpria? UrIvC Mondota Height5, MM 55120 ; --?? (812) 6e1-191•4 x ' • u `.CCI11'57-J[UCT1 0 - ; -------------- ?? NoaTN 1 i ? / c 2 37, 67 . ? aO e' 0 M V% ?? ?GAN . ' GIP?d?::?,1?16Nt"??7?;F'' ? ? r 900.0 E)enofes ewsfr.? n elevafion << ?[i f?IUU E' ? 1 ?4 ? - --? - ---.._?. ? ff?Denotes p,-oposed e%vati'on -e4f F/oor F.levofinn BYL,a _ penofes L?rarna?e r Ufili?fy [asemenf opv,'Rlcrk E(evnl?ori 9?_ --?-- L7errofe? C?rnma?se F"low ?`-rows Uara?e Slab Eleva{ron ?son?- r Oeno f es !n?j?Pn f -- -- Bearrn?5 SG1JWY1 are Ossumed o A ° L O?' ? 9?LC1C1? 5 , co ? ? g a ??"AM awrA cvv«ry, M1'A1h'E_sOTA 5cfbjec,l lo easemenfs nj"rpcord I h?r••'eVi cerllly h.it ris r,.^v. nla?. nr ao4r! . a? eox5d h, v n Y d?• my 14 i:p:: s?m=_.vknn ??id flha• 1 a?r? .^,ul} R.-3:.y..or! Land £ur:Fyor uldpr thn 13.vs of th-;+are n! 1.1innq=p.q najeM th7e s? d.sy rr 1@ -???4. D. 1 a q I i l : rnc _h = 0t?ef CITY OSE OYLY LOT ? [iL RECEIPT#. A039?? ,3 SUBD. vz?? -?Pc RECEIPT DATE: 4!?5?99 1999 MEGHANICAL PERMIT (ftESII}ENTIAI.) l p C17'YOF EAfiAN ???? S$SO PILOT KNOB RD \EAflAN MN $5122 9 (ss,) 681-467s Da[e• Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. New _ Replacement Furnace -er- Air exchanger, i.e. Vanee system, etc. Reminder: Call 681-4675 for inspections. SITE ADDRESS: OWNER NAME: _ INSTALLER NAME: S"CREE"C ADDRESS C[TY: azlQ1I. Repair _ Other Air conditioning Other $ 30.00 State Surcharge: 50 Total: $30.50 C-/j,Q J PHONE #: ?QJ`? ??CO -Z??ZO PHONE #: G"7 Y '19D6.`Jr _ STATE: ZIP: ! I NATURE OF PERMITTEE JS/FORMS BLD/MGCH PERMIT (RES) - 1999 CITY USE ONLY L 8L " SUBD. ' APPROVED BY: , INSPECTOR RECEIPT #: RECEIPT DATE: 1999 MECHANICAL flERMIT (COMMEACIAL) CITY OF F-AfiA1V S$SO P[LOT KNOB iiD EAH,o?N.1NN 55122 (651)661-4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION NTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 miuimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1 % PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: ($.50 per $1,000 of permit fee due on all pemtiu.) O WNER NAME: PHONE #: TENANT NAME ([MPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE #: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE 1991 BIIILDINGPERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MIILTIPLE DWELLZNGS COIMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGZSTERED SITE SURVEYS - & STRUCTURAL PIANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE; ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED 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: Valuation: tCS2;P=' Date: 91--G -9.I Site Address y 12C? rie eow la4 Lot Slock OUE'n-{'!'u? L tilD Al?n FJ . Parcel/Sub ? Owner Address City/Zip Code Phone Contractor Address ? 7 ? 2'a?url?l? LM. Qj City/Zip Code _?CMSUiIIe , 55337 Phone 688-70 1DI Arch./Engr. Address City/Zip Code Phone # 127, ODO ? Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F OFFICE USE ONLY R-3 M- I R-1 V- N V- N O' ? On site sewage_ On site well MWCC System ? City water ? PRV Booster Pump APPROVALS Planner Council Bldg. Of£. Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SOSTOTAL Penalty Lot Change TOTAL _=, agrees that all woik shall be done in accordance with all applichbil State of Minnesota Statutes and City of Eagan Ordinances. VAI. ?? GA, Pn?E .? 3oxZz.- C?Gv <z_ G38x,s- 9S-7a gSD'1T ___-- ?k? 2?k3v ? 8$y r- /oo y ?c ?y: lyos6 Isr ?3?T = ?0 o? x ?^'D ?Loote _y? ?3? X s3 ?Llqf SSy? '- ! Z.Gi 3°13 ?? ** * PION ? Qn n*? *?. nEerlna Q 0 ? I!x" 94? tVE 0 ? ro ? r N ? I ..?- p_ N I ?I ?o ro ?.o p t Il cs 26.0 F? 96 n 2 57,47 Sg7°i ?' OP"? By ? EIaGAN ENGIKTEERNA xik?PT ? M N gz, ? 900.0 Oertofes exisfinj elevafion ??oo.o Denoles prvposed e%vation Lowesf Floar Flevofion BYz,e _ T.? penofes bramtr e F LJfili?fy ?dsemen¢ Tp v;`?8lark Elevofiort ---*--- Uenofes Drnina e F"!ow Ar-r•ows Uprage Slab flevafron 8so. &-? ° G7enote5 ma?ri en f -- Bearin?s shown are nssumed ? e a. ? Lor 3 _,BcocK s ? ? ?D2 ??AX? DAKOrA Cocwry, MiAlNfSVTA SLlb?PCt ?0 eaSemPnfs c?r'r-ecord I hnra6y certliy ?hv rhi, curvey, nian ?r rrpnrt a• reox"A h +p ir n er m tJlr^ct sV I I y d y CV'V:sinn nn'i that am ?iu y Rr9Lt¢rad ienN Swveyor unAPr the laws of the Sfafe n! Minng5ota. Defed IhiF s day M?e :S6.D. 19?-. 1 J ' ef Ca?? : linch - 404! _._.---- I i2 1 t, a 587°/8`00"? Cba?'? 2 3 9, ?.1 Certificete pf Suwey for! _! ,! C1>95NAW P.02 2422 Enteiprlse UNvp MPndota Nefghts, MN 55120 9488 ? ` II (812) 881-1914 i iC0K5TKUC7-/0 NOQtH i m ? nt -?• ' ----K.? ? _? -- ? ? SEF'- 3-? Y 'T' UE .. _. . i E+ :- 4 PLANL.O.' I NSL?RANCE OFF I L.E . . .. -?.; . MINNESOTA STATE ENERGY CODE CALCULATIUNS • Y, ? BASED ON CHAPTER S OF THE MODEL ENERGY CODE - 1983 EDIT{GN Adoptlon Effecttve 1/i/ owner Me t? r( C_ C7N2,??c,y?jh?) Phone 1 ^Site •Address ?? z?TZ Contractor ? 00(?/$IA? , G L?'?? Bui, ld?ing C1asslflcatlon: Type A1 (Singie Family b Duptex)____4- > NOTE,: CompleCe pages 3 and 4 first. (Other) GENSTiAL INFORMATION t. eutlding PerlmetehG'? - ft. 2. Wall helght (ground Co eave) ? ft. p121/41 Date Phone fype AZ(Residentlal) 0 6torles or less • (Over 3 stories) 2 3, 1. x 2, (above) gross wall area Z310.?,?,Zsft, b. Buiid(ng dtmenstons (L) - X(W) ?ft.2 roof 6 floor area 5. S?dre foot area oF rim joist oor joist size (2 x) t2 X Perfineter = R(m jo st area 12 l ?j'? :,!?.•;: 6, poors - A'rea Thickness in. U factor o `t Type of Construction Perimeter ft. ManufacCurer? ' 7, Tota1 door's perimeter ft. 8. Windows: Manufacturer?`I??(?, State approved U factor TYPE SIZE AREA (Ft.2) '? • `EACN . ? 9• Tota1 ft,2 Glass Z '5 5 NUMBER OF UNITS TOTAL FEET 2 10. Fireplace area; W(dth X height = X = Ft•2 ll. Exposed foundation; Height X Perfneter X ?? Z"' ° Y ?ft,2 COMPLETIOM OF THIS FORM IS REQUIRED FOR A1.L AEW CU?RUC ON, MAJOR REMODELING AND BUILDlNGS BE M06'ED WHERE ENERGY, QTHER THAN 7HE MINIMAL CODE ALLOWANCE, IS USED. . .... . ... . ... . . . _... .... , , • _ ?. 12. •:Framing area = 10% of gros :.'wall area. ?13. Gross wall area ????•?? ft.2 Window area A ft,2 U windows 3(4P U x A- ?tZ? Rim joist area A 109•5-0 _ ft.Z U rim joist a J 04? U x A- i? ? •Door area A' ft.Z U door area a? U x A•? {?Tlo (? ? . ?1 •,.? area A ?C2 -ft.2 U WP_P11re• a •?1? U x A '?xuosed foundatlon A 8g .??1 ft.2 U foundation - >d U x A + Framing area ? 232 j,.5 ft.2 U framing area U x A? Z2+4" r ,{ I i 7J? _ft. U wa11 U x A= Net wa11 area A { ,.-. (138) TOTAL . . . . . . . . . . U x A 14. 6ross wall ar?a x 0.11 ZA-1 single family & duplex = allowable U x A/Code (13, above)`-.._._. - ' x 0.23 (A-2 Other residential) x :23 (Other buildings) x .28 (Over 3 stories) ' B7UH Must 6e targer th A x U Code, 2?L ? G J?+ Of• 13B above 15. C'eiling framing area (Af) equals 10% of Ceiling area , (. Qr the, Same as) ISA. Gross ceiling area ?(L) -x(W) J'? ft.2 I;e JaisC area (Af) a 10% ceiling area = ft•Z 15C. Net ceiling area (AC) (1SA - 15B) _ ft•2 U ceiling x A C_ _ !nz ? _= x2!50 U framing x A f= ISD. T07AL'U x F ,......,,a ............................ (41-1 16. Ceiitng area (15A x,0.025 A-1 single famfty & duplex - code allowable U x A x 0.033 (9-2 other residential) x 0.06 (other) ' i 4r? BaUH Must be larger than 150 (abovf ' A(15A) ?? X U( ode = .? F (or the same as) NO-TE: Use U and A values obtained frcm payes 1,,3 and 4. CERTIF1CkTI0N: i hereby cerCify that ! hava caiculated the "U" factors and "R" values herein ar.d that the buildfng here descr(bed meets or exceeds the State oF Minnesota Energy Lonservation Act. Date v? 5 gnature 2. , ? --• - -- .?.c a c. ??r? . r ?rarvu V? 1 Ntil1KRNGC UFF I CE . I 10 55 ?I ? ll1 ?-?X p ??r ? I?>)-7 5x3 z5X4W?6, ra 9? , 75" ?i ? ?lao P - 43 3 CITY OF EAGAN PERMIT oleo 5G99,5 ? 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, MinneSOta 55122-1897 Permit Number: 0 2 7 5 7 0 (612) 681-4675 Date Issued: 05 / 16 / 96 SITE ADDRESS: 4120 PRAIRIE RIOGE Rp LOT: 3 BLOCK: 5 COVENTRY PASS 2ND P.I.N.: 10-18401-030-05 DESCRIPTION: B€iildi62j, Permit Type Building.Wark Type COnsus Co-1de ?„. BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL .`_ ?. ? REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Appiicant - SACHS PHILIP 4120 PRAIRIE RIDGE RD EAGAN MN 55123 (612)799-3648 I.;hereby acknoulisige -,;tha<t" I"have??-re°ad 'this appl3cation ,and state that' the?; information is correet and agree to comply with alT applicable State ofi Mn. &tatutes and City.ot?Eagan 01rdirtanoes. , - ? APPLICANT/PE MITEE S ATURE 'ISSU O B?: 51 OA TURI ??- CITY OF EAGAN 0 3830 PILOT KNOB RD - 55122 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 681-4675 RemodelReoair Reauirements G_CX,C.Ji ? ? ?P ? 3 registered sfte surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; ete.) ? 2 sde surveys (ezlerior additions & decks) ? 1 ener(jy calculatbns ? 1 energy ralculations for healed additions ? 3 copies of tree preaervatlon plan iF lol platted after 711193 required: Yes _ No DATE: §17?J?o CONSTRUCTION COST: DESCRIPTION OF WORI STREET ADDRESS: LOT ? BLOCK / _ SUBD./P.I.D. PROPERTY Name: :?i Phone Z 02 ? c OWNER n "9") 11) C-l Street Address, `-H7-0 t'yo-jLv',e n- 2t?L- City: State: CONTRACTOR Company: Street Address: City: ARCHITECTI Company: ENGINEER Name: _ Street Add City: _ Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change ar I hereby acknowledge that i have read this application and state that the information is correct and agree to comply wr applicable State of Mfnnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ?EnnVED Certificates of Survey Received _ Yes _ No ??? ??, y,,fi Tree Preservation Plan Received Yes No ------------- Zip: ?S/Zz Phone #: License State: Zip: Phone #: Registration OFFICE USE ONLY . ""• ?,t "?, . ?. -. a ' BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ,.e " Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairJRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ?33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MClWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. y3Y Depth Footprint sq. ft. SAC Code Qi Census Bldg / Census Unit 6 r[?J3•]'1_l?: Planning Building Engineering Variance Permit Fee Surcharge . Plan Review License MCNVS SAC City SAC Water Gonn. Water Meter Acct. Deposit' S!W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ToWI: Valuation: $ . % SAC SAC Units L 3 BL ? CITY USE ONLY RECEIPT #: 5?99`5 SUBD. DATE: 7996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EAScN N4. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. iicense 65.00 = (new and refurbished systems) U.G. Sprinklef * home under const. 3.00 = Afterations " to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE OWNER NAME: 1 INSTALLER NAME: STREET ADDRESS: CITY: STATE: ZIP: PHONE #: ( iv OFFICE USE ONLY L _ BL _ RECEIPT #: SUBD. DA 7996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? all commeraaUindustrial buiidings. P multi-family buildings when separate permits are aQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ N0. IF 50, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME OWNER NAME: INSTALLER: ADDRESS: ciTr: PHONE #: METER SIZE: DATE STE. # SIGNATURE: OFFICE USE ONLY STATE: ZIP: APPLICANT INSPECTOR: PERMIT Permit Type: Mechanical City of Eagan Permit Number: EA105715 Date Issued: 07/25/2012 Permit Category: ePermit Site Address: 4120 Prairie Ridge Rd Lot: 3 Block: 5 Addition: Coventry Pass 2nd PID: 10-18401-05-030 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) Comments: 445-2840 ME - Permit Fee (Replacements) $55.00 0801.4088 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Holmin Heating & Cooling LLC Philip J Sachs 900 Park Knoll Drive 4120 Prairie Ridge Rd Eagan MN 55123 Eagan MN 55123 (651) 405-3853 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA111292 Date Issued:06/18/2013 Permit Category:ePermit Site Address: 4120 Prairie Ridge Rd Lot:3 Block: 5 Addition: Coventry Pass 2nd PID:10-18401-05-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Ross Hoppe Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Philip J Sachs 4120 Prairie Ridge Rd Eagan MN 55123 Walker Roofing Company 2274 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature " ^76 yD 0 Deck Footing Replacement06t/10? COfi6n, 01"41/ -it 4120 Prairie Ridge Rd 1' Cantilever Existing 2x12 16" OC Spacing 1 2 — 6x6 Cedar Posts on 12" piers resting on 24x12x12 footing pad Existing 14' 2' Cantilever 1y Y Existing Decking Existing 16' Existing House 13Y: 1.TE. /o7(/(7 BUILDING INSPECTIC DIVISION Deck Footing Replacement 4120 Prairie Ridge Rd 24" pg 4(8195) Existing Deck 5/Oo Deck Footing Replacement 4120 Prairie Ridge Rd 1' Cantilever Existing 2x12 16" OC Spacing 1 2 — 6x6 Cedar Posts on 12" piers resting on 24x12x12 footing pad Existing 14' 2' Cantilever Ie j Existing Decking Existing 16' • Existing House Alremommemarmorm* 24" )A {g 4(9(95) Existing Deck PERMIT City of Eagan Permit Type:Building Permit Number:EA143589 Date Issued:06/20/2017 Permit Category:ePermit Site Address: 4120 Prairie Ridge Rd Lot:3 Block: 5 Addition: Coventry Pass 2nd PID:10-18401-05-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Philip J Sachs 4120 Prairie Ridge Rd Eagan MN 55123 (612) 799-3648 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA151179 Date Issued:08/13/2018 Permit Category:ePermit Site Address: 4120 Prairie Ridge Rd Lot:3 Block: 5 Addition: Coventry Pass 2nd PID:10-18401-05-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Philip J Sachs 4120 Prairie Ridge Rd Eagan MN 55123 (612) 799-3648 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature RECE• IVED r For Office Use AA r � tD U r D „ E AG N JUN ®5 2020 Permit#: / / / IJ Qa�� `"'" ' : Permit Fee: 7 2 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspections@cityofeagan.com 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 06/05/2020 Site Address: 4120 Prairie Ridge Rd Unit#: Philip Sachs Name: Phone: 612-799-3648 Resident/ 4120 Prairie Ridge Rd QWner Address/City/Zip: Applicant is: ✓ Owner Contractor Type of WorDescription of work: k Re-deck existing deck, replace ledger,footing, posts, stair landing, stairs and railing. Construction Cost: 12,000'00 Multi-Family Building: (Yes /No_)1) 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 non-public if you provide specific reasons thatwould permit the City.to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that thee work will be in accordance with the approved plan in the case of work which requires a review and approval� of plans. X Philip Sachs Philip Sachs Digchs Date:2020.0 signedally 51202 5.05'00' Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE gicx (044 - l l ;U 4'- / 6/ 7c� SUB TYPES — Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family — Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 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 XReplace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation y,000 Occupancy iec - i MCES System Plan Review Code Edition 0c3,90 SAC Units (25%_100%_) Zoning R-) City Water Census Code VW Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Sia Width I REQUIRED INSPECTIONS Footings (New Building) Meter Size: ?( Footings (Deck) Final/C.O. Required Footings (Addition) Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final X Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: S,A/9/S0 , Building Inspector RESIDENTIAL FEES - 1�e._-,:,-c z^' ex: -i;r cI -C - Base Fee t\e� ZSO E-o(15-Ir^ S Surcharge Plan Review : )(0 x IY = otaY MCES SAC City SAC Utility Connection Charge a`( )( ) ' 3, 3c„ 0 S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 _ N /l / 77S inte AN s, ( BY: - . i1//seeN Li/DC 14i 1 k i( Rd&c- /(_-(. . ‘,.G- 12-(9. ao PUti "° .' 1 �grx'3PEC tl Ns *^+.;a r a . ._\\..._____ i r EnvinEerin4 i 68 9458 P.02 * * 34-.1( 1 tQAce Z...45 e.1C;Si:.g c1mc 1C A * �J� ; 2422 Enietprtse Drive • 0 E � Prt i't i c '"i"-.' ;ii,' i Mendota Heights, MN 55/20 t6t2t sat-�91 *4 * } ; Certificate of Survey for! c 9A/AU, COIV5T CT/a - NoRTH 4 '. • • 0 \oat ! -y ,- leci? ex:: of• ,10,o Zfe►U (b r a I , r r6 p Lit} , 1j $ !7 tV k 5 .1 2.0,o - .‘1,3—"xi -1 u �f��'�� IIIPa • g6 I ;, 3.0 3A s43.g 3II~ , „� ,� L / /o1.,- mo ,tQ ' 7,; —___i kt tl th+o • 0. ao _° o cire �. 'fr6 ' 2 57,67 5$7°18'O©"E 4-7.- Ril ‘ /7- .ru. \ /. r.: n lip 4 .1 ,,, By fir` — i i i Dom" . EAGAN ENGI',EER NG DEPT x 900.0 Denotes exrstinni elevation - QJQ 2 f 2:15" ._, 4EVA j ,(9oo.p3 Denotes proposed elevation Lowe&f floor Elevation 8YZ,8� Denotes brnrncr e f Ufili�}y Easement- p of Black Elevation 43.:z),9 =— Denotes Drain4 P Pow ,r-rows Garage Slab fevaf ion iso,6 0 Denotes mom en f Qearin s shown are assumed ;R i---7)77.- • . - IP LOT 3 &&OC/ 5 Co ' . S 2A1Z--- 11; DA KO FA COZitTY, MIA/NEsaTA Subject to easements o['recor'd 1 hereby certify Ihgt rhtr %u,-vr•y.roan or rpoOrt v,ac reoe,ed by ins. Qrrider my direct svrervisinn A/14nkat t amduty R^gittered tend Sutveyor rnr♦er the taws of the State r f Minnesota. Owed this-5 day of e ^� 44..O. 1 41 . (2 } t ! �s cale : 1 int:h Load 74e . !i5 1-0/f3.05 ---- �_�. — ___ _ RhF,Ert F 9.St1StCf 1 t,.-ri,OEM tam �agt +.2_0l i,b..,i\e, RA