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952 Waterford Dr W CITY OF EAGAN WATER SERVICE PERMIT 3830 Pibt Knob Road P. O. Box 21199 PERMIT NO.: . Eagan, MN 55121 DATE: Zoning; ~ No. of Units: 1 owner• ;:??urba:; Czsesl_t Cont Address: . . , Site Address• ''s' iiaterf.or~ Dr L14 Plumber. Connection Chcrge: 4.>0 • : ~ ~r1 - Meter No.. Size: Account Deposit: Permit Fee: 10.00 Reoder No.: . ~ O 1asm to oanPlp wilh !M Gh of Em9ew Surthorge: Ordinawa.. Misc. Chorges• L'~, ~)r~ p~ mCteT Total: BY Date Paid: I Date of Insp.: I^ap•: CITY OF EAGAN • SEVNER SERVICE PERMIT 3330 Pi1ot Knob Road pE~~T NO.: P. O. Box 21199 1ld Eagan, MN 55121 DATE: Zoning: R 1 No. of Units: 1 Owner_ 5tlburbSri CeiAe:lt Const Address: 5ite Address: 952 Waterford Dr W LIG dl +ecls;xood lst Plumber: RaY E 1es Nlr 1Q0.00 d 8-24-83 :8234 pt egeee !a wmply wilb tIM CMp oF Eeoew Ca+nectiori Chorpe: 425 -O9 Rd Ordinonaes. AccouM Deposit: 1~."~ rd Permit Fee: - Surchorfle: ._J gy Misc. qwrpex Date of Insp.: TotOl: Insp.: Dot* Poid: CIT1f OF EAGAN . 3795 Mef Keob Raed Eegaw, MN 55122 PHONEs 454-8100 BUILDING PERMIT Receipt # Te 6e wed Wr SF Est. Volue $57 , 000 Date ,?ui'.ust 24 _ 19 ~ 5~~ 95:. lvater for Dr ve '-Ay.st Erect P-- 'a Occu 3 14 1 ZJed~;wonu lgt ~~Y 1-1 Lot Block Sac/Sub. Alter ? Zoninp Porcel # 10•-S355'~-140--01 Repoir ? Fire Zone 'A D iin A. .glMe . Iie :es Enlorpe ? Type of Const. ~r Move D # Srories z ~rcn 13461 lst Avenue per„olish ? Length7E ~ ci ?jurnsville Phane 43r, 637 3 Grode p Depth 40 Sq. Ft. Name Suburhan Cement Construction AvvroYOl. Fee. Addrcss 13401 ls t Avenue ,~,~s~nt Permit ~ Ci RurTzsville Phone 435-5801 Water 8 Sew. Surcharqe 33. 50 Polite Plon check 1-57. 00 F~ FW Na^'M Firo SAC 525. L ~s Addreas Enp. Water Conn. 459.00 -W Ci phorw Planner Woter Meter 'OPOO Council Road Unit ( hereby ocknowledge that I have read this applicotion and stote thot BIdQ, Off. the informotion is correct and ogree to comply with all oppliceble A~ T~a~ Stots of Minnesota Stotutes and City of E~oq Ordinonces. Sipnofure of Permittee . , uCt10P. A Bullding Fermlt Is issued to: on tfie express condltion thm oll work sholl be done in acoordance• with oll applicobla StaFe of Minnesota Statutes and City of Eopon Ordinances. Buildinp Officiol Psrmit No. Permit Holder Misc. Permit No. Holder Plumbing ?~g'Z3 Q C>-(pjY~ H.V.A.C. D 7j~ w.n . w~e.? Disp. S~wer Electrie w e4 z io4 Ei ec Inspection Date Insp. Other Footinys c_7.. Foundation Fnrriinp Rouph Pibq1'/~- , ~ Rou9h HVA 43 pPlbg. p 9) Finel HVAC Final 8-4 A)e L wour 9*Dewibe =Lo;.ation,: Vllsll Ssvrer ~ Pr. D'up. Receipt PLUMBING PERMIT Permit No. - ' ' CITY OF EAGAN ~ ~ Fee Fill in numbered spaces S/C Type or Print legibly Tot. , 1. Date/-/, J 2. Installation Cost ' ' ' 3. Job Address ' Lot • 'Blk. _L Tract" < < • 4. Owner ~ ` - 5. Contractor Phone 6. Address - 7. CitY ' f State Zip 8. Building Type: Residential.-Q" Commercial O Institutional ? 9. Work Description: New Add ? Alter O Repair O 10. Uescribe ~ 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ' Bath tubs Septic Tank Lavatorv Softner f_ Shower Well I Kitchen Sink Urinal/Bidet Other r, L.aundry Tray _ ~ Floor Drains ' Drinking Ftn. Slop Sink ~ Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ardinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee FiII in numbered spaces S/C Type oi Prin[ legib/y Tot. 1. Date 2. Installation Cost 3. Job Address ' LotBlk. Tract, . 4. Owner,- 5. Contractor Phone 6. Address 7. City State Zip • ` 8. Building Type: Residential %6. Commercial O Institutional ? 9. Work Description: New H~- Add 0 Alter ? Repair ? 10. Describe ~ Fuel Type ' - 11. No. Equioment STU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. ~ Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. ~ Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Dare Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 CITY OF EAGAN Remarks Addition ViEDGWOOD 1ST ADDN. Lot 14 Bik 1 Parcel 10-83550-140-01 Owner Street 952 Waterford Drive West State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1981 58.69 2.93 20 46.97 A013432 1-11-84 STREET RESTOR. GRADING Sli 1981 186.48 12.43 15 136.76 A013432 1-11-84 Sewer Lateral 511 1981 313.16 20.88 15 229.68 " " SANSEW TRUNK 1981 198.50 13.23 15 145.58 " " SEWERLATERAL 3 1981 197.54 9.87 20 irJ8.06 to it Sewer Lateral 1982 133.17 8.87 15 106.56 " " WATERMAIN WATERLATERAL Trk 1981 262.18 17.48 15 192.30 A013432 1-11-84 WATER AREA a 1981 198.50 13.23 15 145.58 " " *Water Lateral Z 1982 98.57 6.57 15 78.86 " " STORM 5EW TRK STORM SEW LAT *Powerline relocatio 1982 15 CURB & GUTTER SIDEWALK STREET LIGHT ROW lINIT 25Q.00 38234 8-24-83 WATER CONN. {SQ.Qp BUILDING PER. 9423 SAC +p PARK • --A--~- • CITY OF EAGAN 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 PHONE: 454810U ~j Cy C~ I BUILDING PERMIT Receipt # < <1% To be used for Est. Value 1~j}Q Date -7 , 19 SiteAddress '952 WATtsBFOxD DR. 'W Lot 14 Block 1 Sec/Sub~~L ZST OFFICE USE ONLY Parcel No. occupancy - Fees Zaning - W Name DE~'N & AGBi~5 isgi~S (Actual) Const - Bldg. Permit o Address 952 ir1A't~i.RFG4:D IiR M (Allowable) Surcharge City SAGAN Phone 452-2530 # of Stones - plan Review Length - , p Name aAVE Depth - SAC, City :iQ Address S.F. Total - SAC, MCWCC ~ City Phone S.F. Footpnrns - On Site Sewage _ Water Conn W W _ 0 w Name On Site Well Water Meter Address MWCC System - Acct. Deposit s W City Phone c~ti water - PRV Required - S.M/ Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SW Surcharge uifortnation is correct and agree to comply with all applicable State o( Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: 'TAN H}' I KF'' Planner - Perk Ded on the express condition that all work shall be done in accordance with alI Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9, pff, _ Copies Variance - TOTAL Building Official Permit No. Permit Holder Date Telephane # WATER $EWER PLUMBING H.V.A.C. . ELECTRIC ~ Inspection Date Insp. t- Comments Footings I Foundation Framing Roohng Rough Plbg. Z • / q' Rough Htg. Isul. Fireplace Fnal Htg. Final Plbg. Const. Meter Plbg. Inspector - Notity Plumber Engr.7Plan Bldg. Final AJr/L Deck Ftg. -1„ 0 ~ i Deck Fnal weu Pr. Disp. /.9 a ~i : . /i'. ; . . a . . . . . . PERMIT # PLUMBING PERMIT RECEIPT # L~ CITY OF EAGAN 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454•8700 Site Address - - BLDG. TYPE WORK DESCRIPTION Lot %L Block eciSub Res. ~ New Mult. Add-on ~ Name Comm. Repair ~ Address ~ ` Other c City , Phone ~ RES. PLBG. ONLY - COMPLETE THE FOILOWING: NO. FIXTURES TOTAL - ° . s.-- • LIL-Vtrater Closet - $300 $ ~ Name _ _ Bath Tubs - $3.00 3 Address ` __j__Lavatory - $3.00 p City Phone __j__Shower - $3.00 U~ I(i?chen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$i 50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - Q3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: RESIDENTIAL BUILDING PERMIT APPLICATION ~II /0 CITY OP EAGAN i 3830 PILOT KNOB RD - 55122 651-881-4875 NewConstruetionReauirements RemodellReoalrReaulremenls - • 3 registered srte surveys slwxirg sp. ft of bt sq. R of house: an0 Lll rooted areas • 2 copies of plan (20% mazimum bt ooverage allmved) • 1 set of Energy Calalations for heated addNons • 2 copies d plan shaxing beam 8 window sizes; poured laund desgn, eh.) . 1 site survey fw exterior addNOns & decks • 1 set of Enew CalaaGons • 3 oopies ol Tree Preservatlon Plan N lot platted aher 711193 • Rim Joist Defail Options selecUOn sheel (bMgs wtlh 3 Or less uni@) DATE ct'- 0 ~ VALUATION (EXCLUDING IAND) ~ g~ • ~ .iJB SITE ADDRESS q 62 oja~A-+'A;nol ty-c IF MULTI•FAMILY BUILDIN/G, HOW MANYn UNIITS?~., PROPERTY OWNER avL~C-~ S TYPE OF WORK TU?a(F r7R caaF ~.CSUSe ~k- oawc~p . -aC-Ad FIREPLACE(S) _0 _1 _2 _3 APPLICANT SELA ROOFING & REMODFt iNr, iN(- PHONE #qx5~Z-$Z3 $a~(a 4100 EXCELSIOR BLVD. ZIP CODE ADDRESS cT l.OLqS R/1fIK, polhr 5 PAGER # &N%AdAE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CAT'EGORY 1 (check one) - Residential Ventllation Category 1 Worksheet Submitted~I - Energy Envelope Calculations Submitted I~ l MINNESOTA RUI.ES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbin; System Includes: _ Water Softener _ I.awn Sprinkler Fee: S90.00 _ Water Hea[er _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Dlechanical S}'stem Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone Ik All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is corzect, and agree to comply with all opplicable State of Minnesota Siatutes and City of Eagan Ordinances. Signature of Appitcant / /w Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 ~~9 207 ~ ~ E "3o°7' Reques5 Data Fire No. gh-in Insped'an ~ equiretl? B'Ready Now ? Will Noliry Inspector ~ ~ E1'~/es ? No When ReadY? ~ L5'1 censed contractor ? owner hereby request inspection of above electrical xrork at: Job Pdtlress (SVeet, Bax or Route No.) qry 6 Z L0 . w4}.TeKfOcZ1~ aAe, t}rJi Sedion No. Township Name of No. Rafye No. ' uMy A O pelit (PRINTI Phone No. Power Supplier Hdtlrasa Ekct cal CoMracbr (COmpeny Name) Contrac[ofs License No. -.~qqg-y er Ma16ng Installation) Mailiig Add s(COnVaclor r Own, (oZl ~ lnL tJ.. ~ z~ Aulho' ignalure m r M in ellatlon Phone Number q~ O- jc'Zl Z MINNESOTA STA ApD OF ELECTFlIC THIS INSPECTION flEQUEST WILL NOT GriggaMltlway BWg. - poum S179 ' BE ACCEPTED eYTHE STATE BOARO 1821 Unlvmiry Ave., 31. Paul, MN 55709 UNLES$ PROPER MSPECTION FEE IS Phone (612) 862.0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 ? See instructions For compieting [his form on back of yellow wpy. 9// ~ S 1~2 07 'X" Below Wark Covered by This Request ew Add Rep. Type of Building AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Hearer Elechic Heaiing Apt. Building Dryer Other (Specify) Comm./Industrial FumaCe Farm ' Air Conditioner Ottier (specify) CoM~adoYS Remarks: Compute Inspectian Fee Below: ~W'~~~ # Other Fee # ServiceEntrance5iza Fee # Cirouifs/Feeders Fae Swimming Pool 0 to 200 Amps 0 I0 700 Amps hansformers Above200-Amps Abovei00-Amps SigflS Inspgcmr4 Use Only: TOTAL Irrigation BDOms 30' W ~~p•$C1 Special Inspection Alarm/Communication Other Fee t 1, the Elecirical Inspedor, hereby Rough-in + Dele~ certifyfhattheaboveinspectionhas F;,,ai ~ oa~e been made. OFFICE USE ONIY I Tnis request voitl 18 maMhs Imm ,his e4uas oid (I -z 1~ I y t g 1~!,~ Ed~.wo0d I g~' 39 (oR ~ 18 mon[hs from W092693 Request Date Fire No. Rouph-in Insuar,tion fleyw ? []ReaAy Now ill No1itY Inspeo- - i', j mr When ReadY aj~<i~censed Elecvical ConVactor I hereby request mspaction otabove Q'Owner elecvical work instelled ar. Stree[ Address, Box or Haute No. City 1 G~ rE~ ~i~~i/^".ez/ ' ecLOn n. Township Name or No. RanBe No. Gounty OccuuantlPRINTI Phune No. G Pow t upPlier AAdress Elec[rical CoM actor (COmpanY Name) Connactor's License No. Mai/lmg AtlJress ntractor or Owner Making Instaila[ion, b , - .G'.J~l/ r`7/N SSr?Zy Auth d Signawr (COmrac r Owner Mak~ng Installa[ioN Phone Number MINNESOTA STq E BOANO OF ELEC ICITV THIS INSPECTION REQUEST WILL NOT GriB9s•Midwey Bldg. - floom N-191 BE ACCEPTED BY THE STATE BOARO jWffijU..y.,.ity Ave., St. Paul, MN 55104 UNLESS PNOPEfl INSPECTION FEE IS ' _ , o 1~11 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION M ee-ooooi_a J% ' See inslruclions lor completing this form on beck ot Vellow capy. "X'' Reloo Wa)k5oD9d by This Request del Rep. Type ol Buildinp AoVlionces Wired Equipment Wired Home Flange Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electrlc HeaLn Commercial Bldy. Fumace Silo Unloaaer ' Industri2l Bldg. Air Conditioner Bulk Milk Tnnk Ferm Oeher oeafy ~her (Spocify) t r Spnu y Ot er Oihui Canrpute lnspectron fee Belaw N Fee ServiceEntmnceSize p Fee Fextle,s/5ublaeders d Fee Circuits 06 0 to 200 qm>s 0 to 30 Amps 3 0 to 30 Am Above 200 qmps 31 to 100 qmps SiU6 31 to 7U0 q y Swimming Pool Above 100_Am s Above 100_AmUs Transiormer5 lrrigation Booms i SU Partial;'Other Fee Signs Suecial spectio ~ TOTAL F~EE Rema r ks J { ~ 1 PauBh-in I, Ihe Electrical O~ Inspector, hereb~y . certi(y that the bove Final ~~'~1e ins action has ~een mada. ThlsreouestvolCiBmonthefrom ~ CITY OF EACaAN N• ~ 8423 3793 Pilef Knob Read Eagon, MN 55124 BUILDING PERMIT PHONE: 451-6100 Receipt # s To ba uwd foe SF DWG/GAR Est. Volue $67,000 pare AuQust 24 , Iq 83 Site Address 952 Waterford Drive West Erect gg Occuponcy R-3 Lor 14 Biock 1 See/SubWedgwood lst qlrer ? Zonin9 R-1 Parent # 10-83550-140-01 Repuir ? Fire Zona NA E Name Dean A. & Agpgs 7. Heikes n~arge ? 7ype of Const. V e Move ? # Stories z Address 13401 lst Avenue pe,T,oi;s, p Length56 p Burnsville pho,,, 435-6373 Grode ? DepthLO Sq. Ft.- o Nome Suburban Cement Construction Avvro.al. Feea Address 13401 lst AVenue Assessment Permir 334.00 r Cit BuTn3V ille pho.e 435-5801 Water & Sew. Surchorge 33. So Police Plan check 167.00 'Nome FZ Fire SAC 525.00 Address Erp. Water Conn. 4 sn _ nn <W Ci Phone Planner Water Meter F+n _ nn Council Rood Unit 250•00 1 hereby acknowledge thot I have read this aDDlication and state thaf Bldg. Off. fhe information is correct and gree lo comqly with oll opplicable $1819.50 Srole of Minr~ewta Statutes,ai~ Ciry E ~ioonces. APC Total . Sipnolure of Pertnittee ' -u ur a Cement onstruction A 8uilding Permil Is issued fa: ~ on the sxpress tondifion thnt oll work shall be done in accordence wit appFi able t of Minneaota Statutes ond City of Eogon Ordinances. Bullding OffiNol - ~ CITY OF EAGAN N~ 16102 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used ror BASEMENT IMPR. Est. Value 1 500 Date 1989 Site Address 952 WATERFORD DR. W Lot 14 Block 1 Sec/Sub~DGWDOD iST OFFICe uSE ONLY Parcel No. Omupancy - Fees Zoning - W Nam2 DEAN & AGNES HEIKES (ACtual) Const - 81dg. Permit $35-o.o- o Address 952 WATERFORD DR W (Allowable) - Sumharge 1.00 Ciry EAGAN Phone 452-2530 uorstories - . Lenglh _ Plan Review , o Name SAME Depth - SAQ Ciry ~a Address s.F.rotai - SAc,nncwcc ¢ City Phone S.F. footprints - On Site Sewage _ Waler Conn ~ ~w Name OnSiteWell - WaterMeter Addfess MWCCSystem - pmt Deposit ¢w Cltp Ph0n2 Ciry Water _ PRV Required _ SIW Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SNJ Surcharge information is correct and agr to comply with all applicable Slate ot Minnesota Statutes and Ciry of i Ordi nc . 7reatment PI Signature oi Permi[ee APPHOVALS Roatl Unit A Building Permit is issued [o: DEAN HEIKES Planner - park Ded on the express condition Aat all work shall be done in accordance with all Council applicable State of Minn s ta Statutg ntl Ciry of Eagan Ordinances. gld9, pry Copies BuildingOfficial Variance _ TOTAL 4;37.00 CITY OF EAGAN Inc 2 sets of plans, site plan w/elevations & ` BUILDING PERMIT APPLICATION 1 set of energy calculations. S~ ~us~ Ga.r- - 'ib Be Used For, U~luation (p7& b Date 6P- 7-3-~ ~ OFFICE USE ONLY Site Address ~X5=a-VL1erf« ~ yp Lot j+_ sloclc I_ sec./sub. ~5` Erect Occupancy Parcel ~o 1qO oi ^A1ter zoning Repair Fire Zone L1c..v, A. =F Qnnes 'r 1~e~~C~S Enlarge _ Type of Const. Nbve # Stories Ptlclress: I5-T QJe. Demolish Front d it. City/Zip Code: g,.r^SVAE ~ M- rJS337 Grade Depth O ft. A Phone 2-43 5-(..i 73 APPROVAis FEES Contractor: ~,,,nur[)o.v. CemmB..-t efln~~~'.,4,av~sS255t[leRtS Permit 331~ Address: I3~0( ~S` I~ve. W3ter/Sewer Surcharge 33---1570 Police Plan Check- City/Zip Code: 553.i7 Fire SAC Sa3- Phone water Conn. yS0 p~er water Meter /o o-~ Council Road vnit 2 5 0 eg. Arch./Eng.: ~ i'e Bldg. Off.0 Address: 4,17 Zq-14' N,, . E. APC rity/Zip Code: N~els. TM~n • `S~ -)ne#: (,,IL--781-5b4G, 7o1A1 HEATING SEDGWICK HEATING & AIR CONDITIONING CO. / S 8910 WENTWOFTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS GIN <f""1 aA'-' OCCUPANT OWNER 2 Z~r~ ~f ~ ~ --f~ SOLD BY ,2' ~ INSTALLED BY ~ ~MODEL ~ ~ L, I ~I ~v MAKE ZJ I ~~I~ JAN 1 4 20 seainL No. ~ f7 3 I~'1 ~ (o wPUr I THEFMOSTAT VENT SIZE VALVE TVPE OF IINER LIMIT ~ 4, LINER SIZE L S`' LIMITSETfING IQ~~~ ~ FILTERS: SIZE NUMBER ~ I C7Q FAN SETTING _ WIRING PILOTTVPE TESTTAG I IGNITION Mp~FI l~ . LIGHTING WST. PILOT TIMING ~ S Q( n YY3'~ I!y I v~ G_ 1 . ~!C (7 DATETESTED_~ PRESSURE 3o • pERCEN7 COz . ~ o - INPUT CFH ~ PERCEN7 Q COMPANY TESTING STACK TEMP. L~ PERCENT CO NAME OF TESTER FORM235(REV.11/B9) FOflMDISTRIBIfrION: ITEWPV-J08FILE VELLOWCOG`I-CITY - Ml"~LAMD tiEAT51N ~ ~ 7!7 -rloA=atsMi-,e_1b'e~,Heating & Air Conditioninq. lnc. . ~6442Penr/Aver.U_6_`S~~t1] • Phene: 859-3213 ADDRE .?25;Z "!~,~CT~d-~._!:`'`"?~~APT _FLOOR.._CITY SU9URBAOW_1_. , OCCIJPA OWNER NEAT !_QSS 0-~-- DAT HT Ik SDLD BY ~~.ll INSTALLED BY ~ Elachieal Work Gos Line By m TYPEOFNEAT CA_FA~HW_STEAM_SPACEHTR._UNITHTR._OTtSE~ GAS OESIGN - CONVFRSION ~ MAKE ~j MAKc' CF BURNER . Model .g~'~,~yj Model Sariel je?`+r~o~~_t _15L~ Mox. BTU Ratirtq ' ' . iNPU7' ~ MAKEOF FURNACE ~ Abdel CONTROLS THERMO T p~ Cltu~ He t Plug Vent Size Valre ~~KINb OF WNER~~r_~- ~ SlZE C''~" NONE Limit ~~.211w '1 ~ Draft Hood Repulator ~=41 ' Limit Settinq ega2 FiI}era Sixe Number O Fan Setting Chlmney Locatien Inside ~ Outeide Pilof Typa Chimney Construcfion Pilot Maks Smoke Bomb Wiring Oraft R~ Test Tay L.W. Cut OEi Door Pressuro Liqhtinp Ins}, 'f Preaeuro 3Percent CO~ Date Tested Cc- Input CFFI "2' Percent 0 27- L5_ Cempenv Testing $iack Tarctp. Parcwnt CO el_ Name ef Tastor _ Fwm 235 . bItIVIVH trVliF'VIiH I IVIV ,i . ~ `2- ~ ~o 0 p ~ ~1 3u v N78°45, o. 297.70 O ~ ~ N m y ~ t S I io r 9 1 EPSEMENT PEP W 7 K- J ~ t55 12 N78,45' pp,E ~ 3p7.92 ~ ~ ~ y ! ~ ~ • ~ . . " EXTERIOR ENVELOPE AVERAGE "U" COMPUTATTON OWNER Dean and Agnes Heikes SITE AaDRESS Eaqan, Minnesota CONTRACTOR Suburban Cement DATE 4/4/83 pHONE 435-5801 . Determine working square footage oP each. 1. Total exposed wall area..... ~ sq, ft. x .18 a~ 2. Total roof/ceiling area.....sq, ft. x .04 _ Total exposed wall area above floor = ((14p a. Total wall window area............o...... ~ZI•7-:f b. Total door area........................... 7O c. Total sliding glassdoor area [3g d. Total fireplace wall area....... e. Total wall framing area (average 10%)....._ f. Total net wall area above floor.. g. Total rim joist area Total exposed foundation area = j~,Q7 h. Total foundation window area...... Co~ I. Tota1 net foundation area above grade...c._ Determine "U" value of each wall-segment. , a._ k2.~ • ~o X "lln . ~J J = 440 b• 7-O` x "u" X. ,fU„ C. d, ~e X IfU,T g \2g e. 1\ giPUl, ~ ocj ^ C)~. f. i0C3(•~ X rrUn `"CC.•'l_- QC , . g- l J Cr X ttUn a. x IIUtt I. X t,u„ 3 . ................Tota1 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006 (c)2. Total exposed roof/ceilirrg area Total gross roof/ceiling area = J. Total skylight area... ....e.... k. Total roof/ceiling framingares.... co 1. Total net Insulated roof/ceiling area Determine "U" value for each roof/ceiling segment. J. X nUn ...r = .r-- . k. x nv" 1. 1 l XitU„ 4 . ....................................Total If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. To utilize the total envelope system method, the values established bq the sum of items #3 and #4, shall not be greater bham the sume of items 1F1 and #2.. 1. + 2. _ 3. + 4. _ Materials Tfierm. Resistance "R" Exterior Air :t Siding Material Sheathing w Insulation (o Sheetrock Interior Air ,tac~ Studs 2,~c(Q (0.87 ~ • Rim Zyc 10 Conc. Blks. STc_• A¢._. ``j. . 1989 BQ=LDING PEHMIT APPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLINGS I6 /v ~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRFSSES FOS CORNEB LOTS - CONTRICTDR/HOMEOWNER M03T DESIGNATE WHIC6 ADDRFSS IS DESIRED. PO CH9NGES WILI. BE ALLOWED OIQCE HIIII.DING PERMIT I3 I330ED. M[iI.TIPLE DSiELLING3 RENTAL ANITS FOR SALE ONZTS # OF UNITS INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SIIRVEY - CHECK WITH HLDG. DEPT.0 1 SET OF ENERGY CALCULATIONS COMII4ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS JFE8 0 2 ~95~ To Be IIsed For: bmm-~Tmpo JQ,M~SValuation:~~~rsa Date: 2 IZ 1 /$q Site Address 952 11Ja~er~o~ Dr. ~ I~~ OFFICE 115E ON[.Y Lot Jy O Block 01 Oecupaney FE6S Zoning Parcel/Sub Wed~u.~ooc~ - 1~ AdAA1dn Aetual Const Bldg. Permit 36 1' Allowable Surcharge Owner Dea~n d- Aqr\¢,s Heke,S # of stories Plan Review -S ` Length SAC, City Address RSL ~I•jo„~ui-Crck Dr. W. Depth SAC, MWCC S.F. Total Water Conn City/Zip Code EQ~,n - 551Z-3 Footprint S.F. Water Meter Acet. Deposit I Phone L452- 2-530 On site sewage_ 5/W Permit On site well S/W Surcharge I Contractor Sa~ne Ct,5 abo.le~ MWCC System _ Treatment Pl. City water _ Road Unit Address PRV required Park Ded. _ Booster Pump _ Copies City/Zip Code TOTAL 3~ 7.00 APPROV9LS Phone Planner Couneil Arch./Engr. ?~1LA Bldg. Off. '5rt-L2~3 Variance Address Couneil ~ City/Zip Code Phone B NOTEt Sewer & Water Permit Pees and aecount deposit fees will be ineluded in the building permit fee. Processing time For serrer and water permits is two days once a lioenaed plumber has applied Por a permit at City fiall. PERMIT# RECEIPT OATE: 2002 RESIDEPTUL PLUM$INfi PEftMIT APPLICATION CITY Of £AfiAN 3$80 PILOT KA08 RD EAHAP, E1N 551 EE 651-6$I-4675 Piease complete for: single famlly dwellings, townhomes and condos when permits are required for each unit, harkflnw nrpvwntat_for_ircinn}inrt evefc.n. _ ~ ~ MILLER, LARRY SITE ADDRESS: 952 WATERFORD DRIVE WEST EAGAN, MN 55123 OWNER NAME: : I (651) 687-9209 TELEPHONE , J (AREA CODE) INSTALLER NAME: t~0 Y'1o 1d m Pl u.vrib; I,~,q TELEPHONE wZ' 921' l"Fc)33 STREET ADDRESS: 2°~ d~ Cz~irf~e.td Ayielhag, sp K-rt.i (AREA COOEI CITY: fvt~~S, STATE: M1"3 Zip; 55H09 _ SEPTIC SYSTEM, new/refur6ished (requires two sets of plans and MPC license) $ 100.00 inciudes $40.00 County fee Note: Additional consultant fees may apply • MODIFICA710NfALTERATION TO EXISTING DWELLING UNIT, INCLUDINGI _ Adding fixtures to lower levels or room additions, exciuding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: water softener X water heater ~ $ 15.00 ~ ~ 0 8 2~~2 ~ 1 State Surcharge - .50 Total $ I5.50 I here6yacknowledge that I have read fhis application, stale that the information is correct, and agree to complywi[h all applicable City of Eagan ordinances. It is the applicant's responsibllity to notify the property owner that the City oi Eagan assumes no Ilebility for any damages caused by the City during its normal operational and malntenance activities to the facilitias construcled under this permit wil ' City ro erty/right-of-way/easement. ^/sw^ SIG URE OF PERMITTEE 1102 . ` RESIDENTIAL Go BUILDINC PERMIT APPLICATION ? CITY OF EACAN Lf 3830 PILOT KNOB RD, EAGAN MN 55122 ~ 651-681•4675 New Construction Reouirements RemodeVReoair Reauirements . 3 regis[ered sile surveys showing sq. ft. of b[, sq. R. of house: and all roo(ed areas . 2 copies of plan 120% mazimum lot coverage allowed) . 1 sel of Eneryy CalcWalions for healed additions _ • 2 wDies of plan showing 6eam 8 window sizes; poured found desgn, elc.) • 1 sife survey for extenar additions & decks • 1 sel of Eneryy Calculafions . Intliwle if home served 6y septk system far additions • 7 copies oF Tree Preservafion Plan if lot platted afler 711193 • Rim Joist Delail Optans selection sheet (bldgs wfth 3 w less unik) DATE ~ L~ G • S^~ ~ ~J'~, VALUATION SITEADDRESS V/a• MUIT!-fAMILYBLDG _Y _N TYPE OF WORK rTnc:j""r'~-V Gi GCIS diPect U0v4f 014 FIREPLACE(S) _ 0-4 1_ 2 . V un~ c~ Y aS I 1'h e, - Exrs'N, APPLICANT ~i V' Q,g.('fU ~C C) ~ 1/t A~,~~IIIE!"~ lK P. STREET ADDRESS C) U), I`f Ui [a ) 3 ~ CITY&V0.SU/ II0 STATE /.ZIP TELEPHONE #°I3_1-tYK-C~7S O' CELL PHONE # FAX # PROPERTYOWNER 1-01'P gj/rlleV~ TELEPHONE# uk~`~ ~J COMPLETE POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIN'NE50'l':\ Ri L1:5 7670 C:\"fEGOR1" ! MINNESO'C:1 RCLES 7072 (d su6mission rype) • Residential Ventilation Ca[egory 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculalions Submitted Plumbing Contractor: ~ l~Q Phone # ~Soc °lumbing system includcs: _ Wa[er Sof[ener _ Iawn Sprinkler Fee: S90.00 _ Water Heater _ No. of R.I. Baths _ No. vf Baths Mechanical Contractor: Phone # Mcctiviical systcm includcs: :1ir Condi[ioning Pcc: 570.00 _ Hcat Rccovcp Systcin Sewer/Water Coniraetor: Phone # ~ I hereby acknowledge that I have read this opplication, state that the information is correct, and agree to comply with oll applicable StaTe of Minnesota Statutes and City of Eagan O nances.~ ~ Signafure of ApplfcanT - -_-YWOFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upda[ed 4102 MECHAIVICAL (RESIDENTIAL) ~3b ~7 Permit Application ~a L City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are rcquired for each unit Date / a. / _/7 Site Address Unit ti 0 Property Own Telephone # ) ~g~~ Contractor SECG$JI9CK HEATING ~ ~ Street Address 8910 W@nlwORh AVe. S0. City Minneapoh, MN 554 29 State I,c r~pat4Mip Telephone # ( ) The Applicant is _ Owner / Conhactor _ Other Add-on, modification or alteration [o existing dwelling unit $ 30.00 ? furnace replacement _ air exchanger ? air conditioner acner In1~i~vi n State Surcharge _ $ .50 i Total $ ~ I hereby apply for a Residential Mechanical Permit and acknowledge tltat the infortnation 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 pernvt, but only an application for a pernrit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ ~t i , Applicant's Printed Name ~ Applicant's Signature •2004 RESIDENTIAL BUILDING PERMIT APPLICATION ~ ~ City Of Eagan ~ ~7 ~ 3830 Pilot Knob Road, Eagan MN 55122 msg 1 Telephone # 651-675-5675 FAX # 651-67~5694 " New Conslruclion Rewiremenis Remodel/Reoair Requirements pffiC6 tlse 01114 3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and ~II roofed areas 2 copies of plan G~ ~~~?Y Recd _ Y_ N (20%maximum blcoverage allowed) i set of Energy Calculalions for heated additions Iree Pres Plan Recd -Y_.N., 2 coqes of plan shavinq beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks iree'P[es Reyuir€ct Y N lseiofEnergyCalculations Adddion - indicafeiion-sitesepticsysfem Ohsile5ept(e5y5tem W.YN3 copies of Tree Preservation Plan if lot platted afler 7!1193 Rim Joist Defail Options selection sheel (bldgs with 3 or less unils Date /Z/ d 6'l Construction Cost U O c) - Site Address 9 5 Z l,J A j F iZ 1=~-;Z --f-- 7z i Unit/Ste !i Description of Work ~ L\L Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner I L L r Z Telephone #((o~ 1)~9 Contractor S v l~.~ S f-A c'.o r.4 C-F- 2-1-S Address Z 7r o w A T-F--1-L S f20A P S i~- 110 City F- PA~% State Yn /J - Zip ~S l Z~ Telephone l) 3 c, -l I 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ~ Mechanical Contractor Telephone Sewer/WaterConiractor Telephone#( J t l. 05 2004 u I hereby apply for a Residential Building Permit and acknowledge that the informati ~~s complete and accu ate; that the work will be in conformance with the ordinances and codes of the City of Pagal~and-the tate o Statutes; 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. l / `4~~~ pplicanYs Pnnted Name Ap licant's Signature `la r,,,i- j,vl ~ l~ F-F/-i,1 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ,15\ 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 •Oemolition (Entire Bldg) - Give PCA handout to applicant Valuation 042 0 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 _v IS Width REQUIRED INSPECTIONS Footings (new bldg) FinaVC.O. ~ Footings (deck) ~C FinaUNo C.O. _ Foolings (addi[ion) _ Plumbing _ Foundadon HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Smcco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Rctaining Wall Approved By: T , Building Inspector Fee Base Surcharge Plan Review L MC/ES SAC City SAC 17c) Utility Connection Charge S&W PermR & Suroharge Treatment Plant License Search Copies Other Total r l. ! f J f W pT ~ ~ o. 75.15N1~°15~00„W_ o ~ _ ~5 p'GOI ~ 1` - - lol ( DC4?~ ~ ~ _ . . . . 1 pER PLPl ORPINP,GET , 'EPSEN£N 1 ~ 1 1 ~ M 15 3 y5 ~Fob~` . ~ NI j A3~d~s ~ a 1 1` > V~ Uj l N D ,o - =0. W pO ° o ~ Go m rr N re ~ m 'w m O N ~z aw z~ _W 6N ~II OW \ l I ~ ~ ? ~ ~ ~ ' -75.84 I N3°3000 W ~ ~r) / i ~ ? ~ 1 c.: ~ 9528814491 12431/2993 11:07 9528814491 SEDGWICK HEATING PAGE 01/02 FAX TRANSMIS5ION . . SEDGWICK svio wenrcwoRTa nvrrrvE souTs HEATING & AIR CONAITIONING MINivEAPOLIS, biINN£SOTA 55420 7'EI,EPHONE (952) 881-9000 FAX (952) 681-4441 DATE: mo:_~ FAX NO. (r241 r CONiPANY: k-LrACk '.i Y-\_ PHONE NO. C ~S FRpM: NO.OF PAGES ~ IIYCLUDIIVG TLLIS PAGE COMMEN'i'S: ~_5~~5--r ~r~ ~'1 ~c~ ~ ~ r~~ rr f~ •i~ C&mfO'YtyOtti CGWV CX7l~ C?YV ~ N r ~ W ~ W SEDGWICK HEATfNG & AIR CflNDITIONING Cp. H~TING S~ 8910 WENTNaHTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 -(362) 881-9400 TEST RECORD ~ j m ADDRESS CITY Q n N OCCUPANT ~iY r l L OWNER ~a r y L~ ~l z CD SOLD 8Y ~INSSALLED BY A n ~ MAKE MODEI v r ~ SERIAL N0. INPUT v THERMQSTAT ~ z VENT S12E ~ VALVE TYPE OF L1NEA N LIMIT a UNER SIZE ~ :E LIMITSEITING ~ FILTERS: S2E ~K)( NUM9ER L~3~ m n FAN SET'fING WIRING Z PILOTNPE TEST TAG IGNETION MODEL LfGFRING INS7. PILOTTIMING 1 7 J- ~C, Q t rL~"~ DATEIESTEO FRESSURE 3uS ~ PERCEMT C02 b INPUTCFH~ PERCENTOZ ~ COMPANYTESSING n~ ' p STACK TEMR 57 IrERCENT CO ~UFME OF TESTER m FORM235(qEV.11189) fORMDiS7R1BUT[ON: ITECOPY-JOBflLE Yff[L04VCOPY•CITV ' m N m City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 91 Use BLUE or BLACK Ink For Office Use %(�/ Permit #: /0 �(1 / Permit Fee: Date Received: Staff: 2012 RESIDENTIAL(�BUILDING PERMIT APPLICATION ( t CZ Site Address: — l52- 1•34"-EL9--(6) Unit #: Name: t s e M1 CLQ Phone: S1 —cU — (7 (3 Address / City / Zip: qs7' 1\-te ✓F- SS i `-,5 Applicant is: Owner /v Contractor l�T til 'L- /247-C Description of work: ,i Construction Cost: � Multi -Family Building: (Yes / Ncr\C ) Company: Offtsco CIA•19rakx-Tk3f4`P c Contact: Address: le e3Z CaCliebx. i City: M f LE ost-i-01 State: MR Zip: 6674 Phone: ( St —277 p 6 4 —311C. /"t � License #: EY9� "✓` Lead Certificate #: Nkr— 9 1— If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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.000herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is 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 issuance. Applicant's Printed Name Applicyfnt's Signatre Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3 -Season) _ Storm Damage et 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 ,4 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 Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Occupancy MCES System Code Edition SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final 44. Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL yo Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA107204 Date Issued:10/01/2012 Permit Category:ePermit Site Address: 952 Waterford Dr W Lot:014 Block: 001 Addition: Wedgewood 1st PID:10-83550-01-140 Use: Description: Sub Type:e - Fixtures Work Type:New Description:Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Renae Freinwald 2200 Hwy 13 W Burnsville, MN 55337 952-767-1870 Valuation: 850.00 Fee Summary:PL - Permit Fee (miscellaneous)$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 - Larry W Miller 952 Waterford Dr W Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115779 Date Issued:09/30/2013 Permit Category:ePermit Site Address: 952 Waterford Dr W Lot:014 Block: 001 Addition: Wedgewood 1st PID:10-83550-01-140 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 . Eva Lewis 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 - Larry W Miller 952 Waterford Dr W Eagan MN 55123 Purpose Driven Restoration Llc 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119845 Date Issued:12/23/2013 Permit Category:ePermit Site Address: 952 Waterford Dr W Lot:014 Block: 001 Addition: Wedgewood 1st PID:10-83550-01-140 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Larry W Miller 952 Waterford Dr W Eagan MN 55123 Purpose Driven Restoration Llc 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK ink � � � . . . � r______________�----� I For Office Us � • � �� / VI I C14� Ul ��11 � Permit#: � .�� Permit fee: 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: � � � ��"a� �� Name:��/ `�// /��Y' Phone: ��/�.�� —�r �� > �� ` Address/City/Zip:��i G��'✓'�CCJ �� ,�� `�� ` Applicant is: Owner Contractor ;.� �.r...; - � i �r . �u ,/� �,'� X" �`�� Description of work: �l!✓ � '9L' / �° !-#�'` � � � �,"�"� �t'�C , � �;�� e�/d/�� ,� �� : Construction Cost: O ,� Multi-Family Building: (Yes /No ' � � � ��`�2� � ��` � /� Y" � _ � Company: �- � � Contact: �,�E h,� �Y�,,�`'�/��'` ` ��`` � � . � � � � � -� �� `� � �� ` Address: � L � / O1� /�' City: ,e:�°"/1�r! �� 1 � �r ��; ,�f's�, � �� r s State:��Zip:�� Phone: :��.�i�EmaiL � �� „� �/ �� License#: �� 3/ �/��' 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: �TL� �'!� � ��" � ��r ; stJ�r��'�`� .�,�' ��', . ::� � ��e� �v �,r x � � � v ti v.�°�� r�� ., - �► �y��c� rt��r� �t�i�ir� � ��*��a i��orr��ir�#��j��`��`�� ,. {,y. �y p y�. � .,. . ��.. ,,.;, rY�a. ��f�.� .., ; zu�,`.�,.��i..��„�.��, ,�k,S,'f��4�+.'�..Yrir��i?e�� ,,�&',�sr� ,.:�,�',?,, �@ ':'<�. �� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that 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 issuance. x ��Y/ ��d��°d� . �i��ft ,��C�� AppTt's Printed Name ApplicanYs Signature Page 1 of 3 401' C!ty of Etali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: J6-7 Permit Fee: 14-/T7 �Z3 Date Received: Staff: L //�� t‘••2•t‘••2•0‘(..2016 RESIDENTIAL BUILDING PERMIT'`APPLICATION Date: ` . (`•�Site Address: CA5Z Wa l t� D2 -w Unit #: Type of Name: bheigAl g f L -e.12- Phone:(o5' - `T US Address / City / Zip: _ `52 O 512 Applicant is: Owner X Contractor Description of work: Construction Cost: rbom fl.e_mctc l$ F‘p Company: 0011.4•M C K91VUG1161FZ (KS C - Address: l Jto (- l0ualit, (JF Multi -Family Building: (Yes / No x ) Contact: ?' S _C- City:kelk— W41.01 State: l"I ,V. Zip: 6/2,4- Phone: 6)51 274 3114 Email: PA g OFIA AIJIM .CCI License #: tC-See>(:),2, 1 Lead Certificate #: N T' (eg .1 f 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: Phone: Fire Suppression Contractor: Phone: Sewer & Water Contractor: NOTE: Plans the informa`'' oua at they a 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.000herstateonecall.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 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 issuance. SEt4ELL- Applicants Printed Name x Applicant Signature Page 1 of 3 SUB TYPES Foundation 20 Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% r ) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level K° Interior Improvement Move Building Fire Repair Repair Z 2 c. /3 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Windows Egress Window /357 / Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy -5-12(-_, Code Edition ANA 2S" Zoning Stories Square Feet Length Width MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) 2p Final / No C.O. Required Foundation io HVAC Gas Service Test Gas Line Air Test Roof: Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final ? Framing 26 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick 1U Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In _Final Braced Walls Erosion Control )C Shower Pan Other: , Building Inspector Reviewed By: ••••""1 b rN) Ai 14 RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Z -711 g`co in 5 L(7 3 fir • l03 -5 fr. //D k 20,c Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136072 Date Issued:04/21/2016 Permit Category:ePermit Site Address: 952 Waterford Dr W Lot:014 Block: 001 Addition: Wedgewood 1st PID:10-83550-01-140 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 - Larry W Miller 952 Waterford Dr W Eagan MN 55123 Spring Plumbing Llc 11473 Kenyon Ct Blaine MN 55449 (763) 614-7963 Applicant/Permitee: Signature Issued By: Signature 40/ C!tyofEaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use 1 Permit #: / ✓//� 7j Permit Fee: / �(/ �' Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: SI - ' t Ow Name: /t_"C!%"7")/ ,�!') Phone: ‘,X, Address / City / Zip: Applicant is: Owner Contractor k Description of work: 't'/2 7-ist// 0,%7Z,Iii 2//yd=2C4/7-4 Y / 0 a7eir-5-- Construction Cost:2.- ,' Multi -Family Building: (Yes / No ) r t�" Company: /1y/�L/ y.)/741 Zg//S% Contact: 417 cc- /7 ,__S Address: o_/ # 56'9 y4 ,04'' — City: A0// , State: Zip: 6-„i ?Phone/ 1V email: License #: 4 S71") 1 �I ' Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE P d in oc tints t Q t slubmit are: i idered the info , on m . e ci fieri as non ® lief prov =p,•� v;�•• .; �de# tha CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 1 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 issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 . * r • For Office Use i . t�� a � b r Permit "f'Q � 5b NC ET rj Permit Fee: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 APR 0 9 2018 i Date Received: 1-{—fit tg (651)675-5675 I TDD:(651)'454-8535 I FAX:(651)675-5694 buildinginspectionsaa.cityofeagan.com I Staff: 414 2018 RESIDENTIAL� PLUMBING PERMIT APPLICATION Date: /( Site Address: 1 5Z V YIQ (vi ti ()f Ir Y L V V Tenant: Suite#: Name: L41 �1� i ` I) L( i 1 � - ®;"AAx Phone: . ��✓,� 1 r er •j Address/City/Zip: , h + Lr u C x Name: MILBERT COMPANY dba CULLIGAN WATER• License# WC641376 Address: 1801 50TH STREET EAST 1 ®7T City: INVER GROVE HEIGHTS State: MN Zip: 55077 Phone: 651-451-2241 -,„:J Contact: BILL MILBERT Email' •loria.abas@culligan4water.com New _Replacement _Repair Rebuild Modify Space Work in R.O.W. �'"9� 8 " ®�� ® pl'�,F, �-� _... • � Description of work: :1/41 RESIDENTIAL ,t Water Heater Lawn Irrigation( RPZ/_PVB) X Water Softener itTErr liC ,## f ® Septic System Add Plumbing Fixtures( Main/ Lower Level) : , -New Water Turnaround k ��_ 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 60.00 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. www,gopherstateonecall.orq 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.citvofeaaan.com/subscribe. 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 ac ordan th the approv plz In the se of wo which requires a review and approval of pl ns. • Applicant's Printed ame Applicant's Signature atettiflOiti 407' t N �®, •�i� '".[ ➢.,:�� PI K �'x� �' ",xa"Ry "'�� 1;11011:1i �:? se •��_..�K. �kgv PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159021 Date Issued:11/15/2019 Permit Category:ePermit Site Address: 952 Waterford Dr W Lot:014 Block: 001 Addition: Wedgewood 1st PID:10-83550-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Larry W Miller 952 Waterford Dr W Eagan MN 55123 (651) 808-1713 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature r For Office Use % i : ° GAN Permit#: /C�0 �� . 6 EA ,) . Permit Fee: L., no 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: buildinainsoectionsecitvofeagan.com 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite#: Name: 4-riY M Resident/Owner Phone: ) ¢ Address/CitZip: y/ G- � O Name: +� ��(�m��n� �� License#: f Yr Address: D�/0 c /-fi c{ .� U c Ili C City: �� i/u jCOfl' Gtbi' �� State: Me Zip: c37 76 Phone: 4, Z – 2 37- U (�5 Contact: /202h Aishut/106 Email: In4691(/41 -,-/1c )4u - Coo — Modify Space New —Replacement —Repair —Rebuild Work in R.O.W. Tyet Work / — — Description of work: �,4/ LOk)C( ��v�� bi n tom �ii� Tankless Water Heater Lawn Irrigation(_RPZ/ PVB) Standard Water Heater Add Plumbing Fixtures( Main/—Lower Level) Description Water Softener Description: Septic System New Abandonment Connection to City Water from Well 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 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+ $290 for Meter and $200 for Radio Read =$550 *Sewer&Water Permit also required for connection charges TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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.citvofeaaan.com/subscribe. 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 fapproved plan in the case of work which requires a review and approval of p ns. 14 x Applicant's Printed Name App icant's Signature Page 1 of 2 FOR OFFICE USE Reviewed Sy: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test `Final Meter Related Items: Meter Size Radio Read Manometer Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginspectionsAcitvofeagan.com Page 2 of 2 __: I�V'ED FEB q 4 2020 For Office Use L► Permit#: 7i1)-3-<6 EAGAN .6.e? PermitFee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 L Staff: buildinginspectionsCcr�cityofeagan.com J /1 2020 RESIDENTIAL BUILDING PERMIT� APPLICATION Date: .2 4 /O Zo Site Address: ` lT r� Unit#: Name: l/C CI r�(LLC'c- Phone: 6 (-Ud I 7 Resident/ 962- W(14"'f 21 4Q- > c?ce OWfler Address/City/Zip: �( Applicant is: Owner /` Contractor Description of work: 7 V'*'1 ( 127) Type of Work I Construction Cost: 1 0 \\ Multi-Family Building: (Yesc_, ,/ Company: 014Cb i $r�c,1 C n t .'•\ I t' Contact: (?)/P3 JE.r &— V 1� Contractor Address: Gin)l� 6N-- r cE Q J State:Ht/Zip: 9 (ZlPhone: C� I-Z-14 'Erna: r' ` (" A$1'14(M "( License#: 2-Z ( Lead Certificate#: NA`T l — 2_.. If the project is exempt from lead certification, please explain why: 199 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 maybe classified as non-public if you provide specific reasons that would 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.citvofeanan.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ore nances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work i not to start without a '-rmit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of/ans. x5Nt PP x A lice Printed Name Applicant's -•ignature , / 6 . -.5-‘. --,-77 04--)-Lizkil 41 ( ' DO NOT WRITE BELOW THIS LINE ,9� - 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 4 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 2( Occupancy (6'1,- MCES System Plan Review '�/ Code Edition ,,A i< SAC Units (25%_100%y) Zoning City Water Census Code I Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Vi Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) i< Final/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 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 --T Shower Pan Other: Reviewed By: l .,, , Building Inspector RESIDENTIAL FEES Base Fee Surcharges Plan Review �} MCES SAC '?Jr' City SAC 6.0 2. ICI Utility Connection Charge 2 . V I S&W Permit&Surcharge I Treatment Plant Y ( I Radio Meter Read Copies Or TOTAL Page 2 of 3