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1311 St Andrew Blvdt CITY OF EAGAN u M i. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value ` 13 3 r I' ' Date 19 Site Address O FFICE USE ONLY Lot Block Sec/Sub On Site Sewage Occupancy . MWCC System Zoning s Parcel No. On Site Well (Actual) Const cc Name City Water ` (Allowable) m Address PRV Required # of Stories 3 Booster Pump Length o City Phone Depth aa Name S.F. Total . i Address Footprint S.F. City Phone APPROVALS FEES Engr./Assess. Permit m W Name uW ° ' Planner Surcharge g Address Council Plan Review 6 m city Phone Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all p k applicable State of Minnesota Statutes and City of Eagan Ordinances. ar s Building Official TOTAL Permit No. Permit Holder Date Telephone Plumbing Electric 99 ,.t >'%? ?(J " Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing J?T£ ! ir1j??cD ?T Roofing /CSC. - .fir- S 19-f `fQ Rough Plbg. Rough Htg. fl7sg Isul. Fireplace 3 -- Final Htg. Final Pibg. Bldg. Final Cow a Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. (Ur if irafp of (Orrupaury Ctp of (Eagan arvartatmt of Nutthwo jwprtion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following. • U.0.,; ,;,)o SF DWG/GAR Bldg. Pbrmit No, 14821 may Typo R3 Zoning Dietda R1 Type COM Vn Ownaof &nlding SONS CONSTRUCTION C(J1334 ST ANDREW BLD, EAGAN Bwlaig Add.. P31 I ST ANMOW BLVD L.ly I.-,, B2. F TId M IM J S Dam 8. 1988 Buming Ow.l POST IN A CONSPICUOUS PLACE PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139929 Date Issued:11/15/2016 Permit Category:ePermit Site Address: 1311 St Andrew Blvd Lot:5 Block: 2 Addition: Fairway Hills PID:10-25600-02-050 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Atd Holdings Llc 9507 Yosemite Cir Bloomington MN 55437 Sheppard Plumbing Inc 102 222nd Lane Cedar MN 55011 (763) 434-3584 Applicant/Permitee: Signature Issued By: Signature f f ? t PERMIT # ?= ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN f_ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address 5.11 Andrew =? I V c BLDG. TYPf WORK DESCRIPTION Lot Block Sec/Sub Res. New , Mult. Add-on Name .' W. bin Comm. Repair Address 91C '-theater Ave Other City - o rthf i eld phone 461-20 6 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES J OTAL OI1D . onB ruction Name Water Closet - $3.00 3 - 4-570 Rahn r'OF3d • Bath Tubs - $3.00 C Address 00 $3 ? an 2 4 7' Lavatory - . p .ag 5 -47 'City Phone Shower - $3 00 ` . 3 Kitchen Sink - $3.00 - FEES Urinal/Bidet - $3.00 3 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 • APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1 50 - MINIMUM - RESIDENTIAL FEE -$12.00 =Whirlpool - $300 -3 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 -Rough Openings - $1.50 SIGNATURE OF PERMITT FEE: -? STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL- `? =? ? . ;. PERMIT # r MECHANICAL PERMIT RECEIPT # "? 9(? • CITY OF EAGAN MAY 1 1988 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address 1311 St. Andrews Blvd. BLDG TYPE WORK DESCRIPTION Lot Block , Sec/Sub XyY Res. XXX New Name nr.• P&H Mull Add-on m .4 Address 4745 S th Robert Trail Comm. Repair _c City Rosemou nt, MN Phone 423_1144 Other 55068 Name Son's Construction FEES RES. HVAC 0-100 M BTU -$24.00 3 Address 1334 St. Andrew's Blvd. ADDITIONAL 50 M BTU - 6.00 O City Eagatl , MN Phone 452-8984 (RES. HVAC INCLUDES A/C ON NEW 55122 CONSTRUCTION) GAS OUTLE MUM M TYPE OF WORK TS ( INI - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 10.5 M BTU 0() APT BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS ES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM $ STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: SIC: SIGNATURE OF PERMITEE TOTAL: 42, vo FOR: CITY OF EAGAN CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at J I / / iT 6z--z-0 I have this day inspected this structure and these premises and have found the following violations of city codes governing same: ?G+JTC=,? To G?-,? When corrections have been made, please call 454-8100 for inspection. Date Inspector City of Eagan DO NOT REMOVE THIS TAG CASH RECEIPT CITY Of, EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 j DATE 19 F*CEfVED FROM AMOUNT 8 DOLLARS ? CASH CHECK i00 FUND OBJECT (" A OUNT Thank You BY 2 82787 White-Payers Copy Yellow-PoaNng Copy Pink-File Copy -?l BLIZ.G. PERMIT NO. 01-3210 Bldg. P ui S?A 01-3422 Plan Check 01-3445 Surcb. AAdm. 01-3446 SAC/Adm.-- 01-2155 Surcharge,:, 7f-3860 Road Unit. 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Grater Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 1U?-3855 Park Ded. TOTAL CITY OF EAGAN 1 4 8 2 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , n .1 f BUILDING PERMIT Receipt ) i 0 To be used for SF 0WC/GAR Est. Value $133 , 00(1 Date APRIL 13 ,19-B$- Site Address 1311 ST ANDREW BLVD Lot 5 Block 2 Sec/Sub. FAIRWAY HILLS Parcel No Q Name SONS CONSTRUCTION CO = Address 1334 ST ANDM BLVD 0 city EAGAN Phone 452-9353 Q Name SAME .o z00 ,4ldress City Phone "W Name WW F _ g Addre V zLU City I hereby acknowledge that I have read this application and state that the infbTmation is correct and agree to comply with all applicable State of Minnesota StaWtes and City of Eagan Ordinances. Signature of Permittee A8dilding Permit is issued to: SONS CONSTRUCTION CO on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY On Site Sewage Occupancy 1_3 MWCC System X Zoning R-1 On Site Well (Actual) Const V-N City Water X (Allowable) V-1111 PRV Required * of Stories Booster Pump Length 61-S" Depth 251- S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 632.00 Planner Surcharge 66.50 Council Plan Review 341.00 Bldg. Off. SAC, City 001 Variance SAC, MWCC 350.00 Water Conn. $50.00 Water Meter 67.0 Road Unit -125.00 Treatment P1 x•00 Parks 2,-893-30- TOTAL CASH RECEIPT CITY OF EAGAN . ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 5122 ATE 19 rvED .4 AUNT U C) & DOLLARS ? CASH ? CHECK MR FUND OBJECT AMO ,L e, Jc, c - , - . Thank You BY X? 83088 ? a ngc?opy Pink-File Copy CITY.. F«EAGAN Permit No. 9 Date: 4 -2 5-°9 3830,hot KnobRoad B/P No: Date: P.-O. galc 21199 Eagan, MN 55121 'r Owner. %J-ers Ccn, . . Site Address 311 St. A.adrew w- v,'. 1,9 F2 Fair--?-- Plumber: ° C Plumb --??:-?Jahnson -xc. MWCC: 550.00pd Zoning- City Chg: l 0. ofte No. of Units: Acct Dep: ;.5.10pd, Permit Fee: t r ,, 00n(; I agree to comply with the City of Eagan . Surcharge: Ordinances. Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN Permit No: Date: 4 -2 5 - S `3 3830 Pilo o Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. or,s ;•o::st. Site Address: 1' 11 St. :',Idrew r 1 v:1. 1` 7a in-av "Ills Plumtpr P. ?7 r umbing Johnson "`i0. t mP Conn. Chg: Zoning: Acct Dep: S. 10pd No. of Units: ' Permit Fee: '-`% COnd Surcharge: .50rd I agree to comply with the City of Eagan Tr. Plant '4. QOvu Ordinances. Meter. 67 . O fl nti Misc.: By WATER SERVICE PERMIT iagan, ITY OF EAGAN Permit No: Date: 830 Pilot Knob Road Meter No. fig 76 Size: .O. Box' 21199 Reader No: T?9 (2 Date: MN 55121 i Owner Sons Constr. Site Address: 1311 St. .Ind r,,-w Blvd. L5 E, fa 1 rway '1111s 01.....6,.,.. R C P1 ?rrihino / Tniinenn Pvr Conn. Chg: 55u. 01)D?,Wllf Mnlrll sing: Acct Dep: t ` 61dre'.riigging ate, ll lnrjbuUkift& Permit FeeFHvNg?I ECT RIC - GAS Etc. Surcharge, ,Ip o mply with the City of Eagan Tr. Plant Meter. A 00pa Misc.: By WATER SERVICE PERMIT CITY OF EAGAN NO- 14 8 21 3830 Pilot Knob Road, P.O. Box 21.199; Eagan, MN 55121 PHONE: 454.8100 (}" 7 6' BUILDING PERMIT Receipt# 0 To be used for SF DWG/GAR Est. Value $133,000 Date APRIL 13 ,19 Site Address 1311 ST ANDREW BLVD OFFICE USE ONLY FAIRWAY HILLS Lot 5 Block 2 Sec/Sub On Site Sewage Occupancy R-3 . MWCC System X Zoning R-1 Parcel No. On Site Well (Actual) Const V-N a Name SONS CONSTRUCTION CO City Water X (Allowable) V-N w Z Address 1334 ST ANDREW BLVD PRV Required # of Stories rr t o City EAGAN phone 452-5355 Booster Pump Length -S 61 Depth 25 r o Name SAME S.F.Total ou Address Footprint S.F. ? City Phone APPROVALS FEES $w Name Engr./Assess. Permit 682.00 ?= Planner Surcharge 66.50 _ Address ? Council Plan Review 341.00 Q w City Phone Bldg. Off. SAC, City _1QO.OQ I hereby acknowledge that I have read this application and state that the Variance SAC. MWCC 550.99_ information is correct and agree to comply with all applicable State of Water Conn. -55C-O9_ Minnesota Statutes and City of Eag Ordinanc s ? Water Meter -6.59.0_ Signature of Permittee - Road Unit X25.-00- A Building Permit is issued to: SONS CONSTRUCTION CO Treatment P1 204.00 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. ' 885.50 2 ?m it .t TOTAL , ?r, Building Official ;d"+++W ?1?P.1? This request void J!' p p ?T Y?? 18 nnn the from Q o J n 1963 Req nest Date ?s ?'^/J ` Y' `?? Fi a No. Rough-in Ins ion BVie d? Ready NowAWi II Notify, I "-:Pc- D es 0No [or When Re (Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. /3// &li o m City a ' ?t ecL on o. Township Name or No. Range No. County I+V Occupant [PRINT) S C6n '77 Phone No. 724 rower Supplier Address Electrical Contras orr IICgmpaay Namel Contractor's License No. y J C- fC7 G a 13 [ -r Mating Address (Contractor or Owner Makin Installation) Author'e etl Sig lure (Con O aking if allation) Phn a Number MINNESOTA STATE RD F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - oom N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Aye.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB2-oooot-os II' See instructions for complatirp this form on back of velloyi copy. Jd ?7/2y D9 630 ""X"" Below Work Covered by This Request / Navy Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting fixtures Apt. Building Dryer Electric Healing Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm met pep v Iher ISpecilyl t poci y Or er Other Compute Inspection Fee Below a Fee Service Entrance Size h fee Feeders/Subfeeders p Foe circuut L 121, 0 to 200 Amps 0 to 30 Amps 0 to 30 Am s Above 200 Amp s 31 to 100 Amps Z 31 to 100 Amps Swimming Pool Above 100-Amps Above 100-Amps Transformers Irrigation Booms Pa . he ee Signs Special Inspection 5 r?'J d OT k A Remarks 0 9 (. T7 9 Rou h-in B Date ?/' frl ((?- the . Electric nspector, tor hemby rlify that the above Final D:t -J inspection has been made. This request void 18 months from 2005 RESIDENTIAL BUILDING PERM APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodelfReoalr Requirements Office Use OnH 3 registered site surveys showing sq. ft, of lot sq. ft. of house; and all roofed areas 2 copies of plan Cott of Survey Recd -Y _ N l20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pros Plan Recd - -Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N 1 set of Energy Calculations Add'Non - indicate ifon-site septic system On-sits Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7M193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date - / d I / 0 5 c? Construction Cost 15 r Q("o Site Address 13N SL J jAd retie Unit/Ste # Description of Work 7-f/) ?, -6-0 rr) Q Lo z„f d h / 0 2 1 Multi-Family Bldg - Y V N Fireplace(s) J - - Property Owner t?h:T Q Telephone # ((?( ) ?W - o q37 Contractor S tAl 1? ?1 J GO `1 A "f 1 / I Address 10io5 O'A ,D . 4t(),-) CiTy n olre State Zip 57'J.3 toCA Telephone # (-70) / - J COMPLETE THIS AREA ONLY IF - Minnesota Rules 7670 Category 1 Energy Code Category , Residential Ventilation Category 1 Worksheet (J submission type) Submitted Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber 7r Telephone #( Sewer/Water Contractor Telephone #( '0 ot N If so, 25% plan review Mechanical Contractor f/?r bJ "' Telephone # I hereby apply for a Residential Buildin i4ay?( knowled ge that the information is complete and accurate; that the work will be in conformancwith ces and codes of the City of Eagan and the State of IvfN Statutes; I understand this is not a pemit, but opplication 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. No ?4v?o, , W D - -U, VV\-QS,- Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti ? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) - Final/C.O. - Footings (deck) - Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ lee & Water Final _ Pool _ Ftgs _ Air/Gas T ests _ Final Framing - Siding _ Stucco - Stone - Brick Fireplace - R.I. -Air Test -Final Windows _ Insulation - - Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL r" Ter- wa+cr MOM BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4675 New Construction Re°ulrements • 3 registered sae surveys showing sq. ft. of lot, sq. N. of house; and #11 roofed areas (20% maximum lot coverage albwed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • l sat of Energy Calculations - 3 copies of Tree Preservation Plan a lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bklgs with 3 or less units) DATE SITE ADO TYPE OF AULTI-FAMILY BLDG _Y /r- N FIREPLACE(S) _ 0 _ I _ 2 SELA ROOFING & REMODELING, INC. APPLICANT 4706 FXORLarnu ur crn STREET ADDRESS ST. LOUIS PARK, MN 55416 CITY STATE _ ZIP TELEPHONE # 612- CELL PHONE # FAX # PROPERTYOWNER C'01IPn ?Xk yief ?e??irs+S h TELEPHONE# 65'1-6W-0357 COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) - Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted - Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Water Softener _ Water Heater No. of Baths Air Conditioning Heat Recovery'System _ Phone # Lawn Sprinkler No. of R.I. Baths Ind JUN 0 6 [udC Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the informatio ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ' ces. Signature of Applicant ~ .._...? --.... _._ .... .............. .............. ..._.............. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 RamodeVReoair Reouirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for add'alons VALUATION 72N Go e_? OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. 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 ? 18 Deck ? 23 Porch'(screened) ? 36 Mufti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give 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 Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ I-IVAC _ Drain Tile Other Roof - Ice & Water - Final _ Pool _ Ftgs _ Air/Gas Tests - Final - Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1988'BUILDING PERMIT APPLICATION - CITY OF EAGAN -It l4$ 1- 1 SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: 40 In P_ Valuation: 3 ? 00 G Date: y- / ) - k f' Site Address Lot .5' Block L Parcel/Sub C/S Owner SG/vJ Cdldr-r ?nni. Address 133` ST A)OMP,4, o3 ,, City/Zip Code FA &,4,y hV^) Phone +a l`L - 1'3 j C Contractor S 6/d 3 CG,v S 7- Ce, Address 13 3 4 37 Awb/7r k, 94,6,P City/Zip Code hr/r/ Phone -4 sL Arch./Engr. B4/4A/ /4 1-S T/H/G Address /,33/ S1 41,J6he/v -*Le„P City/Zip Code E46-h.u )?r) Phone # Asa- s3 S-5- 3//- STJ))bnew BLe OFFI On site sewage Occupancy 12 3 MCC system 7 Zoning 'X -it On site well Actual Const 1- AV, City water ? Allowable ;1 A! PRV required # of stories Booster Pump Length Depth 2 S, 3 Z S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit (e z Planner Surcharge (a (V . 5- Council Bldg. Off. 413 Plan Review SAC, City 3(,,/ 117o Variance SAC, MWCC s.t n Water Conn Slro Water Meter (e Road Unit 3 -2 Treatment P1 2 J Parks Copies TOTAL ;< r yjfo ) y Co ? Z D Qs?T? X14,5 ?3 GV 3.S y I's- ?0 2? i3 = ?3 3 ? kP Ut'st?irs Jo 35' C qk f3 "r Z emlg nevCT/oA/ ®aOee ENGINEERING COMPANY, INC. 1000 LAST 146et STREET, ,ov,/Zgg, 0j COUSULTING EHOINEEAS FLRHNEAS and LAND ?URVEYOAS 9URHSVILLE, UIUHE:OTA 59337 PIi 432'3000 C4Cy'Zf j" z cczZe C k ?4e jZ.gr,cl -Ck"cr 4,o2zarE: LOT S, BLOCK 2, 6AIKVIAV /-/ILLS, DAKOTA COUNTY, MINNE5OTA ?IOLZo? DRAINAGE ANh Qaz'2, v' L/TIL/TY EASEMENT as Ca9?s? DENOTES EXISTING ELEVATION s' \ (10310•5) DEN07-65 PROPOSED ELEVATIOA/ INDICATES D1P6C710/1 OF SURFACE DRA/A/A6E /030.83 = F/N/S14,5D GARAGE FL009 30' FRMIr BUILDIIV6 SETBACK L/NE -- Al 89° 49'07"W 55, oo 1 iLZZ:a LOT S ELEVAT/dA/ /? / i1 / ? , , , v` 1 ? / ? \ ?? ?? / / Z / // / N v / ?oo °oV?n `.ryQ C °° T?sF 1 y°°c-o S °2Z S?° / F mil'°\7 e\ S/ t/o3V 2O ?? ? Q ,0 6 °Z J o ? 7. g1 "B8 °O q, 2y ?? S° oR \ ??? F (oza.dl rroLE I / v SCALE : /" = 30' I hereby certify that this is a true and correct representation of a tract of land as ahown'and described hereon.. As prepared by me on this 3o-1" 'day of , /IIAR?N 1988 )Linn. Reg. No. /6005 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 7E AOOHC55: :.'+TRACTOH: . _2 AS DATE: 2-3-e;3 PHONE: DETERMINE WORKING SQUARE, FOOTAGE Of EACH: TOTAL EXPOSED WALL AREA,,,,, , 0`3(0 1 sq IF t x "U" . l t 259 .'] I TOTAL ROOF/CEILING AREA ICo? sq ft x "u" area above floor sq ft a) Total wall window area: ?. TOTAL Total EXPOSED WALL exposed ed wall AREA CALCULATIONS: glazed glazed, , b) Total door area c) Total slld(ng glass door , (n . 5 sq ft x "U" ,. 12) ? 2S sq ft x "U" Ld,Z? sq ft x "U" area: glazed...... ??f•C sq ft x "U" d) glazed....., Total fireplace wall area sq sq ft ft x "U" x "U" •II • - 29 L e) . Total wall framing area (Average lot) ,,,,,,,,, /L3eo sq ft x "Uu . 10 23 to f) Total net wall area above floor (Insulated)......, i sq ft x "U" _ q) Total rim Joist,area.... 'zCr,2 sq ft x „U„ . 10.4b Total foundation area (Exposed)......., 12Cp . , sq ft h) Total foundation window area.........., Q sq ft x „U„ I) Total net foundation --? area above grade......., (2(.p sq ft x "U" p7 ? • Ef3z s. _ TOTAL a) thru I) ? 2s4+?.39 If Item p3 Is the same a$or less than Item = ::OAK 1.16008 A and 0. PI, you. have me t the intent of Page 1 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area......,. fL.0 50 sq ft J) Total skylight area....... O sq ft x "U" m k) Total roof/celllnq framing area (Average in%)...... iL& 5 sq ft x "U" 02 3,3 1) Total net Insulated roof/cei l inq area....... I L?B5 sq ft x "U" - 02 2^1•') 4• TOTAL J) thru 1) 3 3.0 It total of d4 Is the same as, or less than F2, you have met the Intent of t1C,1(L 1.16OU8 A and 0. I ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items N3 and M4 shall not be greater than the sum of Items NI and d2. I . ?-S9-11 + 2. 3. 2-44. 39 + 4. 42.9 302-.(,,1 33.0 S-11. 39 C E R T I F I C A T I O N I hereby certify that 1 have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. c 4Sq'n&ad ture (Date) Page." NSTR? UCTION AMING SECTION: A J" 1. a /'% L.Y fro WALL SECTION (INSULATED) I Interior air fl 5 6 R VALUE V IST SECTION: 1 Interior air film n 6R 34 2 O(a 5 ---$? Dti 6 cxrerlor air fim n•17 TION REQUIRED: TOTAL R ire wall OR U - 1/R - to frost depth FOUNDATION SECTION: T 1 Interior air film n.6R •• ° ? 2 ?•?•d. .. ., ?NSIIV. 12 aS 3 ar s A. •, •, G 4 Exterior air iIm n 17 oA d•' P (5 a¢ , f 4 n,, / (6 TOTAL R - y j TF-lm U- I/R- 01 SLAB ON GRADE a• - .a U Heated Slabs: ??' 'a• Minimum R = 8.5 il;??•-4 Unheated Slabs: • Minimum R = 6.2 q•••a . ' 4 v• , , l Page 3 U - 1/R - .10 U 1/R 'OSL CONSTRUCTION R VALUC CEILING SECTION (INSULATED): 1 Interior air film n.Al AIR 2 D vW h 1 ?. „ CHUTE 3 1N ,G 4 Exterior air film still 0.A1 TOTAL R w AI.IY U - I/R a 902 W CEILING FRAMING SECTION: 1 Interior air film A•61 2 _ s/b" nc-Yw?\LL sb 3 ?as??Arin aG•G 4 EKterlor air film still 671 5 inches soft wood 4?Y1 TOTAL R • qu, t ip U - I/R - p' C CEILING SECTION (INSULATED): I' Interior air film 6.61 2 3 4 Fxterlor air film still n. 1 TOTAL R U - 1/R VENTED CEILING, FRAMING SECTION: 1• Interior air film 0.61 2 3 4 Exterior air film still 67-1 5 Inches soft wood TOTAL R U- 1/R- 1 ,Inside air film 0.A1 2 3 4 5 Outside air film n.17 TOTAL R U- 1/Rw Page 4 GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL OF TYPICALLY USED PRODUCTS AIR FILMS i. SHEATHING ? ? Interior Air Film (Walls) Exterior Air Film (Walls) 0.68 3/4 Wood Subfloor or Sheathing " 0.94 IL'.terior Air Film (Vented Ceiling 0.17 0.61 112 Plywood Sheathing. 1/2" Pa ti l B d 0.62 L.,terior Air Film (Vented Ceiling; 0.61 r c e oar Gypsum or Plaster Board 3/8" - 0.66 0 32 Interior Air Film (Non Vented Exterior Air Film (Non Vent d; 0.61 Gypsum or Plaster Board 112" . 0.45 e 0.17 Gypsum or Plaster Board 5/8" 0.56 " Plywood 3/8" 0.47 BLOWING WOOLS Plywood 1/2" 0,62 - Plywood 3/4" 0.93 Approx. 3" 9 00 Sheathing, Reg. Density 1/2" 1.32 :,pyrox. 4 112" 13.00 Sheathing, Reg. Density 25/32" 2.06 pprox. 6 1/4" 19 00 Nail-Base Sheathing 112" 1.14 Approx. 7 1/4" 24.00 Approx. 14" 30 00 Approx. 18" . 40.00 ROOFS All other insulation materials must Built-up Roofs Asbestos-Cement Shingles 0.33 0 21 be verified (R Factor) Asphalt Roll Roofing . 0.13 Asphalt Shingles 0.44 INSULATION Insulation: 2-2 3/4" Fiberglass 7,00 SIDING Insulation: 3 112" Fiberglass Insulation: 6" Fiber lass 11.00 Aluminum Siding 0.61 g Insulation: 3 5/8" Fiberglass 19.00 13 00 Aluminum with Backer 1,g2 Insulation: 9" Fiberglass . 30 00 Aluminum with Backer & Foiled 2.96 Insulation: 12" Fiberglass . 38 00 112 x 8 Lap Siding P 9 (Wood) 0.81 Insulation: 8" Cellulose . 29 00 7/16 x 12 Hardboard Siding 0.67 Insulation: 10" Cellulose . 37 00 Asbestos Sidings 1/4 Lapped 0.21 Insulation: 12" Cellulose . 44.00 Stucco (Brown and Finish Coat) ---- Insulation: 1 112" Thermax 12.00 Insulation: 2" Thermax 16.00 DOORS .4000S 1 3/4" Solid Core Door .46 Iir, Pine & Similar Soft Woods w/Storm, Wood w/Storm, Metal ,31 .26 1 1/2" 1,89 Pease Steel Door Insl/N/GL 7.45R .13 2 1/2" 3.12 Sliding Glass Door, Wood .65 3 1/2" 4.35 Metal .72 5 1/2" 6.87 CONCRETE BLOCK WINDOWS 8" Concrete Block (S & G Reg.) 1.11 All Windows (Filled with Vermiculite) 1,93 (w/Storms 1" to 4" Space) .56 12" Concrete Block (S & G Reg.) 1.28 Removal Double Glazing (ROG) .55 (Filled with Vermiculite) 3,15 Thermo or Welded 3/16" Air Space .69 6' Light Weight 2,18 1/4" Air Space .65 (Filled with Vermiculite) 5.03 1/2" Air Space .58 i[" Light Weight 2.48 (Other windows specifically tested (Filled with Vermiculite) 5,82 can use better ratings) Page 5 APPLICATION FOR PERMIT ,*,NOTE: PAWg2U OF FEE AT TIME OF APPLICATION ODES NOT CON- STITUTE APPRGVAL OF PERMIT. # **, INSPECTION OF EEC AND/OR WATER INSTALLATIONS WILL NOT BE scmuLED UNTIL PERMIT HAS BEEN APPROVED. i dtV *fftlY#*fffk#####;##!#!!#i#tfflt#!#### of cz agan (PT.F.ASF. PRTNT 1) PROPERTY ADDRESS: LEGAL DESCRIPTION IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (month/Year) PRESENT ZONING/PROPOSED USE: Q COMMERCIAL/RETAIL/OFFICE Q INDUSTRIAL Q INSTIT TIONAL/GOVERNMENT 2) NAME: c7 nfs ADDRESS: irJc- CITY, STATE, ZIP: n S'- PHONE: /? SEWER AND/OR WATER CONNECTION I] R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) ?R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONCOMINIUM ( Units) 3) NAME. ADDRESS: C- CITY, STATE, ZIP: PHONE: Expirre ei Expd Not recorded St Inltia 4) ( • ?• NAME. ADDRESS: CITY, STATE, ZIP: C- D PHONE: f r? S' 3SS? 5) • w •?+ am i ?• CONNECTION TO CITY SEWER ?COM\TF=ION TO CITY WATER E] OTHER 6) * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WDRKS TO FACILITATE METER PICK-UP. PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE ARE ANY PROBLEMS. MASTER LICENSE # FOR CITY USE ONLY PERMIT U ISSUED *-Q -p I Pd w/Bldg. Permit S $ !'C?U S S $ S .Jr / S foSU'?? $ $ ?'/, Cl ZJ FEES: $ ?? 5 U SEWER PERMIT (INCLUDE SURCHARGE) $ b-`?- WATER PERMIT (INCLUDE-?3URCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATIOR STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: I ?`1Q?f _ 0,?0 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomesicondos when permits are required for each unit Date Lam/ 1 /moo I Site Address ?Jl l ?r? -1?)l 06 - Unit # t?(q ?CLCIq Telephone # (60Sl Property Owner Wohlers Southside Htg. & Air, Inc. Contractor 6950 W. 146th St.,, #106 Street Address Apple Valley, MN 55124 City (952) 431-7099 ( State Telephone # ) Bond #: K L 5- 0. a4 7 q 87 Expires: The Applicant is Owner X Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional Replacement _ New _ air exchanger `,L air conditioner .if1f 2 3 heat pump other $ .50 State Surcharge c S Total I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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. C? L tY?IerS /)1. rorD 1c?2? Applicant's Printed Name Applicant's Signature. City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675. Fax: (651) 675-5694 2008 RESIDENTIAL PLU Date: -,5' Site Address: Tenant: Suite #: 0 W -81" RESIDENT / OWNER Phon Name: ee ?n I'J? I ?^_ J1 pn/ 1 ? ? ?' ' Q ? Address I City / Zip: ` ? ` 1 \`I IJL! C ' UW Appliance Connections InC CONTRACTOR License#: Name: Danita Cr Address: Shakopee, MN 55379 City: 959-445-4902 State: Zip: Phone: Contact Person: TYPE OF WORK -New eplacement _Repair -Rebuild - Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener _ Lawn Irrigation -Add Plumbing Fixtures (- RPZ / _ PVB) (_ Main _ Lower Level) _ Septic System -Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $SO State Surcharge) G? J? TOTAL FEES $ 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 4e in accordance with the approved plan in the case of work which requires a review and approval of p x x ? %A, Applicant's Printed at Applipant's Si nature FOR OFFICE USE Reviewed By. Date: ReQuired Inspections: L)nder Ground '-,Rough-'In', _Av Test _Gas Test Final ; E - A 777? =71 I ----------------- ..!r!5?_g Srst? ?1t;iff I Q? Permit#: I J? I Permit Fee: I I I Date RecetvV2009_ I I I Staff: L - - - - - - - - - - - - - - - - - I IT APPLICATION l Use BLUE or BLACK ink r For Office Use /4/0/b?-- ::t: �tyOl Atall : L lP i 33 3830 Pilot Knob Road Eagan MN 55122 '; «. Date Received: `a� 1 i Phone: (651)675-5675 1,__- Fax: Fax:(651)675-5694 Staff: 1 2016 RESIDENTIALBUILDINGPERMIT APPLICATION '--S `, Date: Site Address: J t , Y1 r-x.okr `--) t✓A Unit#: Name: /k A. It '� i C,( Phone: C S is 470— IS(7 Resident/ I ( MO"r 'c- Si-. L LL ill, ( r i SiS1U i Owner I Address i city r zip: r i Applicant is: Owner Contractor • 1l Description of work: ti-.r-' `0de__ 'R— Type of Work I Construction Cost: 446),/ 00U Multi-Family Building: (Yes J No ) i Company: ) T- iLcr.^o c)c c G-c...._ Contact: . J'-", T '-tu`^ s I Address: 21 ? .SU(,..4- )L-... E . City: ry f taw--( olr1Contractor j coir- 1 I State: MA/Zip: fI(G°( Phone: 4 3 t- x.13' mail: -la "''- . (.c..5�''�n( /j vd,.Cv License#: 6G 6 3 D (t{ Lead Certificate#: it/4 r F. to G`gQ'1- ' If the project is exempt from lead certification, please explain why: L _ . 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: I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of I the Information may be classified as non-public if you provide specific reasons that would permit the City to L� conclude that the 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.gonherstateonecaltorq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuan . x1A---"--- --A.5L— 0 c-r.Sc-N./pe Ap nt's Printed Name A A. 'ant's Signature /r. Page 1 of 3 i DO NOT WRITE BELOW THIS LINE /t1()I c ? SUB TYPES _ Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) 14 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 )4 Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair )Q Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation o/ ego Occupancy :,2C-i MCES System Plan Review Code Edition 1414 26.i 5- SAC Units (25%_100% ) Zoning F---t City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction '/13 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: — Footings(Deck) Final I C.O.Required Footings(Addition) ("0 Final!No C.O.Required Foundation Foundation Before Backfill ).o HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water _Final Pool: Footings _Air/Gas Tests _Final ?.0 Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough in Air Test _Final Siding:_,Stucco Lath _Stone Lath _Brick_EFIS ?0 Insulation Windows Sheathing Retaining Wail:_Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough in_Final Braced Walls Erosion Control e Shower Pan Other: Reviewed By: "7-'>/4'1 %t<y 4- ,Building Inspector RESIDENTIAL FEES uPre(e._ ?.-t-Tt1- Rem tD e\ /v'JX /,., ' Base Fee 64 Z®-" -59 • /42- Surcharge 4it);noaus 5 P-eplAcewie,m- 41e 2.1aE). Plan Review 4/i oo°•9-' l-MTFe e_ MCES SAC (L e,S J C Jt.-Po e e c K._ A'✓t 2 er) Le S e %;2. City SAC Utility Connection Charge es-.. 1.- XC l z ` S&W Permit&Surcharge 3°4' 59 .'9-- A .4e(q S S a. Treatment Plant ,1 0 S y•F 7-- Copies - Copies TOTAL Page 2 of 3 Sews L'',K,ereuer/aV tLI()16)- IRO �`iz99-of toHSULTl1{a ENc!tHEfRi ENGINEERING PLRHHERi o�d IAV iuAv4iroxs COMPSNV, INC, Ls._..�1Q00 MT 14 Sat STREET, SURH!VILLE, MINNESOTA 55397 PH 43Z 3COO CersZilt Ciale tY sgu..7-3/—e y 1$ZZ -1014crWiszu. LOT 5, BLOCK 2, F-Algw,4Y HILLS, 1:44KOTA CCxJN7Y, MINNcSOTA 0074 j J 89616:60,p-..W fLiu.i • URA!NA6E AN10 rLzi:2- 'v (dal's: VT/L/7y EASEMENT • a 'o. U�OU0 DENO7Z5 E-XISTUJ6 EL.EV/1T/flN 5'\ \ I. (1°. ) DENo7E 5 PROPOSCO Ea-VAT/OA/ / nIS -0.----- ?14PICAY 9 DI/WC-710N OF / / SURFACE DRAM/ 6E / LOT 5 / Awes = FA1ISHED GAR:46E A-GOO,' ELEv,,4T/DN /J> / /1 r . �,1, - / / -- L�.,/ y ! „ 4 u.) ti / 7 / ii3 / / 1, \ 41 ,P / / V n) g4' / (y �f?"--r / rt / tic A;r � ' ( J� '4 41,c' o cis 30' F.QONT BU/LP1N6 /,/ 1-,-: -.i..;. eV /kt / ✓, 3TB4CfC C1NE ;+� {a i._ r/ �v ti4r/�. .,o ,,`, / ♦#`; 476' -se'Ca 2. 'r No �+� 'Z 'rF C0z7 5! •0 �' ' 'Q TA�`9 ��o 4h / 4. ti Ji_ .4",i, s. i '4‹ i . s-$off Cc- • \62_1 1 hertby certifythat this is a true and correct representation of a tract of land az shown ad described herecn.• At prepared by fie on this .36Th daY of //14kvi , 19 88 . . _ /634-1--Zogt":4Haile Bag. Ho. /woes