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3778 Red Robin LaneRESIDENT / OWNER v u+na ,r. Name: JQ./S/C.GZ— T,2 ¢ zia Phone: : o 2/ Address / City / Zip: 7. L. . / 1 r o ( " - lXc- Of c CONTRACTOR Name : MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 50TM ST EAST city INVER GROVE HGTS. State: MN Zip: 55077 Phone: 651 .45.1. -2241 Contact BILL.MILBERT Email: TYPE OF WORK _ New _Solacement Repair Rebuild Modify Space Work in.R.O.W. _ — _ Description of work: . PERMIT TYPE RESIDENTIAL ater Softener Water Heater Add Plumbing Fixtures (_ Main / Lower Level) Lawn Irrigation (_ RPZ / _ PVB) _ System Water Turnaround Septic New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 5 Date: Tenant: City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 L12 AUG -2 2011(, x Applicant's Signatu 00909' �a-C1 Permit #: Permit Fee: Staff: 2011 RESIDENTIAL PLUM BI G RMIT APPLICATION � Site Address: 7, „ � 7 Use BLUE or BLACK Ink Date Received: � -, CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454 -0002 for protection against underground utility damage. Cali 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 . ermit; that the work will be In accordance with the approved playa In the case of work which requires a review and approval of plans. x i WI- Applicant's Printed Name (o 0 3~ 2 3~ 8 (o ~ 'Rdla1 n Use BLUE or BLACK Ink For Office Use I 1 I I , City of Eap 1 Permit 1 Permit Fee: 3830 Pilot Knob Road I ~a I Eagan MN 55122 t Date Received:. 1 t Phone: (651) 675-5675 t t Fax: (651) 675-5694 1 Safi' -a L--------------- -elo 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: iQ "-95-13 Site Address: ~J7"7a? 3-2Wo0 377$ 3 28o, 378a, 37$'u -Unit i I Name: Phone: i Resident/ Owner Address / City / Zip: I D Applicant is: Owner Contractor Type of Work Description of work: cc, is • n4y ~ l Construction Cost: 5 1 od Multi-Family Building: (Yes t No ) € ! Company: Contact: 1 "'0' C>R i Address: City: 3, Inc-,)C Contractor State. f f Zip: ~5 3 `>S j Phone: 1116 ~1 - ' f Gy " 09ac) i ) License 06L`¢ c1 Lead Certificate # If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) / { - -Vc e, 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: MOTE: Plans and supporting documents that you submit are considered to be public information Portions of t the Information may be classified as non-public if you provide specific reasons that would permit the City to conclude _that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protechon against underground utility damage. Gall 48 hours before you intend to dig to receive locates of underground utilities I hereby acknowledge that this information is complete and accwate. the work w.ll be n 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 1 ~c _ `•c c r- x 1 J? Applicant's Printed Name Applicant's Signature Page 9 of 3 rc' -.. Use BLUE or BCACK Ink � � ForOfficeUse�i--------�q� � � 1' Q.■ y�C�iV�.� � ' /,�/ �/�/� �'' �� i�:�( �� {.� � �P@��t#. :.. � �. : �s ./� ��t 383d Pilot,Knob Ftoad �U� Q S Z��I� j Permit Fee: �, � � Eagan MN 55122 � f�ate Received: ..+9 �� ! Phr�ne:(651)6T5-5675 �r�.y! �� Fax:(651)675-56J4 � S#a�: '�`T i L_ ________--- —� 2�15 RESIDENTIA� BUILDING PERMIT APPLICATIQN Date: Site Address: Unit#. < � �� i J ,� �� t'��"� �" Name: �/Z/2/'3" t�.»�!`57`�/1 S Phane: �"/�c�'z��'��,�P� ��[t�$t�� _ � Address l Cif i Zf '` �- h� ,_�-� � �, �M ' Y P� ' � �.�- �� =h t� � s � � �.� �-� ; ARplicant is. G�wner Contractor ��,� ��,� -� ��`� � ' : Descr�ption of work:�,;�� G.�� (�� l�0 0 rv� �� ,�,CLS�/��''1?� �"�`��@�� , �� ; ,,�,s 'Construction Cost; �.�,�S3 lJG� Mufti-Family Building:(Yes�f No ) w �� v� t � f , � 9 r ��.i�/ �,_� . ��, �, Company: Conta�fi: �� '� � � ��.`°�,�, � r�� ' �� ;_�` _,��:�' � At�dress: � �"7 �� c�`�Sc�'L L.t l i`Y1 J�� GitY: � �a.'`�-��-�� — G�� St�te: 1 i�I zip:SS''c�3 Phane:l f��"��c�-'�i��et�rr$�I: t°�t�r�c.k.l{c��i'1�. � c�ic�� ,�� rt _�_ .�.. : �'�.._:..;�-�; � �License#:_ ��.��C��"'�� Lead Certificate#:�� If the project is exempt from lead certificatian, please explain why: � � COMPLETE THIS AFtEA ClNL.Y t� COI��TRIJCTING A NEW BUILDI�G In the last 92 months,has the City af Eagan issued a�ermit for a similar pla�r based an a master pian"� Yes No If yes,date and address of ines#erplarr. Licensed Plumber: Phone: Mechanicat Contrac#�r: Phone: Sewer 8�Water Contractor: ' p�a�e• Fire Suppression Contractor: Phane: ��N��:& �h� � v . � *� � �� C�i�� Y..�, � ,� _ � � .� E .c. ., � �� . �� r� . �/y�,y��` Vrey�y � 'f.: S,. y.i,� �'f,Y #_ "'C�;.. � .k�4..�%,. ..e��Qj r'Q��I�R��/��.,+. � �. � y�'��{� i � ' .—'.�S R.�_.c p��. . ., vv �* . . ° I�;'$�,. .: �. . fi,' ,r CALL BE�ORE YdU D��. Call Gopher�tate bne G�il at(651}454-0002 for protection against underground utilky damage. Ga1148 h�urs before you intend to dig tn;�eceive locates of underground utiNties. www:oonherstateonecali.or4 I hereby acknowledge that this informatian is�7rr►pl+�te�nd accu�ate;that the work will be in conformance with the otdinances and cades of the CiEy vf Eagan; that 1 understand this is r�ot a permit, but only an appitcatiorr far a perrnit, and wotk is not to start without a permit; that the work wili be in acc�rdanoe with th�approved plan in the c�se of work which requires�'review and approval of pians. ExteNar wark authorized by a building pemtit i�sued in accardance wl�the Il�innesota State Building Codemust be completed within 184 days of;permit issuan+c�. x x ApplicanYs Rrinted Na Applicant's Signature Page 1 of 3 �j �� j��2 DO NOT WRITE BELOW THIS LINE � �`��`7� SUB TYPES ' _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4Season) _ Exterior Alteration(Multi) Multi Deck Porch(ScreeNGazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Buiiding _ Reroof _ Demolish Interior �C Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair � Egress Window _ Water Damage Retaining Wali *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �z � fl°�� Occupancy � C• MCES System Plan Review Code Edition m� 2.��,�' SAC Units (25%_100%� Zoning �.3 City Water Census Code Stories Booster Pump #of Units Square Feet PRV � #of Buildings Length Fire Suppression Required Type of Construction �/�j Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings{Addition) � Final I No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings AirlGas Tests _Final � Framing Drain Tile � Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick ?G Insulation �L Windows . Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Other: Reviewed By: T� M � •k��( � , Building Inspector RESIDENTIAL FEES Base Fee /3�%7� �fl✓ri �-�a se% �o sg.f� • X Z o.d-� Surcharge L�-(L..e�j S y`�%n D� � `�,�$'�'7 a• �'` f'/�7'Fr� Plan Review MCES SAC City SAC Utility Connection Charge S8�W Permit&Surcharge ` Treatment Plant Copies TOTAL , Page 2 of 3 Use BLUE or BLACK Ink ---------------, � For Office Use I I � �� I (�� Oj' n� �� I Permit#: � �. � 1 �_ � ' �� U 11 � Permit Fee: 3830 Pilot Knob Road i � Eagan MN 55122 i Date Received: � Phone: (651)675-5675 � Staff: � Fax: (651) 675-5694 L________________� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �"'�`�� Site Address: 3�� '`�e� �yY� � Tenant: Suite#: ; �� ,� �` ; F Y ��j� � �^2,Z I O IL � � Name: Phone: �@S!�'��Wtl�t'.. � �a � �� ,,u�,:��; � �E :� �'�� Address/City/Zip: t YJ S e" , p ��E � r : r ` Name: � �7�� Q�U��'�t� License#: ` G C�g��3 Z � � � (�r n � Address: � �2"1-��/�D✓1 ,IV v� City: �:�P�h � ��?t��l'�iCfGrl' , � b. : state: �"'�� zip: SS.��6 Phone: 6 I Z"Z�^ °0�20 x� � ``�� .,�o� Gto'�� 5 r��L� h �v,Cavy � 7�, o� Contact: EmaiL ,�� y �s +��`��r�� ` ��'"� �"��' = �New Replacement _Repair _Rebuild _Modify Space Work in R.O.W. Ty��+��4�k : - - k , �, Description of work: '`�'1, '?� �k 1 � iR'1 ��iSC�,-�1 � RESIDENTIAL Water Heater r '� Water Softener � ° � � Lawn Irrigation�RPZ/_PVB) �� Y Add Plumbing fixtures�Main/_Lower Level) ��"�'° Septic System a _�'r �f� ;�,� r� � � � ��> � �� `. New Water Turnaround ��„� �� " a � +`��, .a.i1 r - l ��``� Abandonment ✓��!`��d,n(�A' ;. �``v� RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge) "Water Turnaround (add$210.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES$ 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.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. x ��.�rr'W�2., x �—_ Applicant's Printed Name Appli nt's Signature '` ,� "'r ' p i � P ' � : � � _ i�S'�,�.�rY '� " ,R� �* ��r��,�i� <'� � � � , ��I1�� :�� ` �&�8 �,,,,;,,.�,� .��' d��a �`�a� . a �; ; ' _ -. . _ ' : .^,�'";.t,� . r , � lb . ,�� . �,�e��a �,,q„y�, - 4�� re�&a il��`�+ �"�,�"' �$;" `Req�uired��nsp�cti�s� �Jn��rGro�� E��{�� ' � ��s�'�"e�t F��x�� ' ' u : `ti� . : ? �'^� r c,ag�+'.�c .�-, *. v "z�,-� . i .. , � �St,�p? Me#erwR��d;t#e�is� M�ter,��+z� = <�ada�.R+�,�.,_...,, ,��?rt��r�r � ��k��x��"��` ��,�� : + �, n . ��, r�,