2163 Cedar Grove Tr
o-7 Use BLUE OL or BLACK Ink
aj
10 1 For Office U Q~ I
City of Eakan Permit #D ~ 7 1
ill
/ I 1
'
3830 Pilot Knob Road fib l OT ~ Y7 7
Permit Fee: ~ I
Eagan MN 55122 1 I
Phone: (651) 675-5675 - 1 Date Received:
Fax: (651) 675-5694 1 I
j Staff: 1
I
1-----------------1
41
2011 COMMERCIAL BUILDING PERMIT APPLICATION . h'PAkJ -5 A
Date:
CJ Site Address: 21(-A I -T
4, ,,Iaii :,111 . . co.
Tenant Name:
(Tenant is: New I Existing) Suite
Former Tenant:
PROPERTY OWNER Name:
/ Phoncci t7 ~7 7
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: -_Tt 4
Construction Cost: ow
CONTRACTOR Name: 46VA I A.4 ell,
License
Address:
Al-
City:
S~1rVI ,
State: Zip: ,'°y6,. X71 Phone:
Contact: Email:
AFkCHITECT Name:
~EFj~IaEER Registration
Address: ~,+Q
City: ~6 ~f~idc~ 1
State: L'tA!w Zip: _ -E /i " K` 144 hone:
Contact Person: /
Tot l rY~ Email: ICI A
~.~1 t f r. . Cs
Licensed plumber installing new sewer/water service: 41- l{q
Phone #:~G-s//,7y,C - 110~x
NOTE: Plans and supporting documents that you submit are cons Vered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that 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.oopherstateonecall oro 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 w
f B r iew nd approval of plans.
X_ (Z
Applicants Printed Name x
Applicant's Si re
Page 1 of 3
DO NOT WRITE BELOW THIS LINE 167W)
SUB TYPES T
- Foundation _ Public Facility _ Accessory Building
- Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments
_ Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial
lscellaneo s Antennae Exterior Alteration-Public Facility
5r'w to Afine Lf - -
W RK le /
New _ Interior Improvement Siding _ Demolish Building*
_ Addition _ Exterior Improvement Reroof _ Demolish Interior
_ Alteration _ Repair Windows _ Demolish Foundation
- Replace _ Water Damage Fire Repair _ Salon Owner Change
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION W,6
Valuation l~• Occupancy
-J.-OL Ie3 MCES System
Plan R7ev' w 0.4 Code Edition *2 007 M`.1iL SAC Units (2! 00%-) Zoning - City Water ,
Census Code Stories Booster Pump
# of Units /0 Square Feet kno 64A 'f PRV +y S
# of Buildings ~ Length 34 Fire Sprinklers -ve,0--
Type of Construction Width
REQUIRED INSPECTIONS /
Footings (New Building) ✓ Sheetrock
Footings (Deck) ✓Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Other: 3 ~btr
Drain Tile Pool: Footings Air/Gas Tests -Final
✓,Roof: -Decking -Insulation ✓ I/ce & Water _✓Final ✓Siding: -Stucco Lath tonLath -Brick
Framing Windows ,rravo
j e 4/41 X ;g,pt ; /S, sv2,G3
Fireplace: -Rough In Air Test -Final ~taining Wall A4" Ga0*.K 90.13 3SZ•
insulation ✓ Erosion Control yr" /1 f/,"1r a j: lg0~ y~ : S,°+
~C Meter Size:
/77, im f~ sL
Final C/O Inspection: Schedule Fire Marshal to be present: Yes ✓ No
Reviewed By: t kk t, • , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge 88• SS" Water Supply & Storage (WAC) (~Q• 00
Plan Review.'5l Storm Sewer Trunk
MCES SAC a,3GS".o6 Sewer Trunk
City SAC 166-do Water Trunk
S&W Permit & Surcharge //,q-. d6 Street Lateral
Treatment Plant ryg DD Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication i - SB,ao Other: A,41~w
Trail Dedication
Water Quality TOTAL 44 ZO 3~f
Page 2 of 3
New Construction Energy Code Compliance Certificate
Per N1101.8 Building Certificate, A building certificate shall be posted in a permanently visible location inside note Costirteate Posted
the building. 77he certificate shall be eauripleted by the builder and shall list information and values of
components listed in Table N I 101.8, Place our
Malting Address of the bwrail c~Z or?w-~~ ~-+MODEL 430 B / 6 -3 C logo here
ei~~Plale_ *74r
Name of Residenaat Contractor - MN 1llit aml er
LENNAR HOMES
Community Pion 10
HERMAL ENVELOPE ON SYSTEM
Typo: Cheek All That Apply X Passive {No Fan )
o
W P]
Insulation Location o z o w
a` m qoq 'gib
O H Q ~ A i2 ~ 00
t- S z w w w° w° iY a Other Please Describe Here
•f> ~ .h 1,~ . ~ ~i:3s.', x . • r- _ ~ NA 3e~~~'s ~;,•.~;;."?k° :~4-' ~i4~+~ „5 z.,:
Rim I ~ s~~c~a,.".~-~ ~~~,~f3~~'
dO St{Foundation N Type in bcation: interior eidedor or kuegrai
Wall 211 1
Ceilla ,vaulted NA
I MEN
Bonus room over garage 38121 10 6
OEM
Windows & Doors eating or Cooling Ducts outside Conditioned S aces
Avera a U-Factor excludes s fights and or:e door) U: 0.29 Not applicable, all ducts located in conditioned s l
Solar Heat Gain Coefficient (SHGC): 26,30 R-value
MECHANICALSYSTEMS Make-up Air SeleciaTyxe
liances Heating System Domestic Water Heater Cooling System x Not required per ml code
Fy+ :e2
Passive
Manufacturer LENNOX A.O. SMITH LENNOX Powered
Interlocked with exhaust device.
Describe:
InpuE in 45,000 capacity ut so Output in 1.5 Other, describe:
Rating or Sizo E3TUS: Gallons: Tons:
Location of duct or system:
.g
AFUG or 92 SEER: ....13
HSPl_
Calculated 18,000
Efficient coolie load: Cfin's
" round duct OR
Mechanical Ventilation System " metal duct
Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air Combustion Air Sekil l a e
source heat pump with gas back-up furnace): x Not required per mech. code
Select pe Passive
Heat Recover Ventilator (HRV) Capacity in efms: Low: High: Other, describe-
Energy Recover Ventilator (ERV) Capacity in elms: Low: High: Location of duct or system:
X Continuous exhaustit fan(s) rated ca acit in dins: SO fumace room
Location of fan(s), describe: MAIN/MASTER BATH Cfm's
Capacity continuous ventilation rate in cfms: 80 " round duct OR
Total ventilation (intermittent + continuous) rate in cfms: 210 *metal duct
x
I
Lennar -430-B Franklin - Hayfield Windows
HVAC Load Calculations
Lennar Homes
Prepared By:
Sabre Plumbing And Heating
Saturday, August 11, 2012
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
MEN
.Y T.
wum= ion:
'111 p 111 1
Project Title: Lennar -430-B Franklin - Hayfield Windows
Project Date: 8/10/2012
Client Name: Lennar Homes
Company Name: Sabre Plumbing And Heating
Reference City: Minneapolis, Minnesota
Building Orientation: Front door faces North
Daily Temperature Range: Medium
Latitude: 44 Degrees
Elevation: 834 ft.
Altitude Factor: 0.970
Outdoor Outdoor Outdoor Indoor Indoor Grains
Dr-Bulb Wet Bulb Rel.Hum Rel.Hum Dry Bulb Difference
Winter: -11 -12.38 32% n/a 72 nla
Summer: 88 73 50% 50% 75 35
gild NONE=
Total Build SupPI CM;_ T ` 486
CFM Per
Square ft. of Room Area: 1,808 Square ft. Per Ton: 100
Volume (ft') of Cond. Space: 14,464
Total Heating Required Including Ventilation Air: 43,114 Btuh 43.114 MBH
Total Sensible Gain: 8,146 Btuh 79 %
Total Latent Gain: 2,187 Btuh 21 %
Total Cooling Required Including Ventilation Air: 10,333 Btuh 0.86 Tons (Based On Sensible + Latent)
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed perACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions.
C:lrhvac oroieda FNNAR - AAn_R lzranWin_ eto.,o rtio
s
ELIE=
NO; I
Scope Net ft = Son Lai Net Sen Sys Sys Sys Duct
Ton ITOn Area Cain Gain Gain Loss CFM CFM CFM Act
Size
. w.___..-------
t3uifding 0.86 2,100 1,J2 8,146 2,187 10,333 43,114 486 332 486
System 1
332
0.88 2,100 1,8.146 2,187 10,333 43,114 '
486 8x11
VarNNa6on
1,068 1,787 2,855 6,821
Zone 1
1,7,078 400 7,478 36,293.
332 486 8x11
1 Diningl Living 42,494 0 2,494 18,417 117i 247 3-5
2-Main Floor - Foyer/ Bath / Stairs ► 2312 0 312 4,905 15.€...." 66
Mill Can(
+ 492 0 492 1,820
t Cant 23 24 1-3
26 596 0 596 1,839, 28f 25 1-3
5 Upper Fbor --..Y_ M .
w _
( 1,088 3,184 400 3,584 9,312; 149; 125 2-5
~ i
A fivar. nrderffzif FNNAR _ d*An_R Pron4tcn_ ef~..h ii
1111110
oil
Lennar Ti Glazing- 137.8 3,314 0 2,901 2 901
Lennar TH .20: Glazing- 8 193 0 141 X141
11 P: Door-Metal - Polyurethane Core 40.8 982 0 284 284
12F-0sw: Wail-Frame, R-21 insulation in 2 x 6 stud 1109.4 5,985 0 960 960
cavity, no board insulation, siding finish, wood studs
16CR-44: Roof/Ceiling-Under Attic with Insulation on Attic 1138 2,078 0 952 952
Floor (also use for Knee Walls and Partition
Ceilings), Vented Attic with Radiant Barrier, Dark
Asphalt Shingles or Dark Metal, Tar and Gravel or
Membrane, R-44 insulation
22C-1ppri Floor-Stab on grade, Horizontal board 88 8,093 0 0 0
insulation extends 4' under slab, tile covering, R-10
insulation, passive, heavy dry or light wet soil
Lennar TH-c: Floor- 468 1,166
.
0 112 112
Subtotals for structure.
21,811 0 5,350 5,350
People: 2 400 460 860
Equipment: 0 0 0
Lighting.
0 0 Q
-wDuctworlF~--~..,~
Infiltration: Winter CFM. 0, Summer CFM: 0 0 0 0 0
Ventilation: Winter CFM: 77, Summer CFM: 77 6,821 1,787 1,068 2,855
Exhaust: Winter CFM: 77, Summer CFM: 77
AED Excursion:
.
Q........ 'x.268...... 1,268
Total Building Load Totals: 43,114 2,187 8,146 10,333
Total Building Supply CFM: 486 CFM Per Square ft.: 0.269
Square ft. of Room Area: 1,808 Square ft. Per Ton: 2 100
Volume (W) of Cond. Space: 14,464 '
Total Heating Required Including Ventilation Air: 43,114 Btuh 43.114 MBH
Total Sensible Gain: 8,146 Btuh 79 %
Total Latent Gain: 2,187 Btuh 21 %
Total Cooling Required Including Ventilation Air: 10,333 Btuh 0.86 Tons (Based On Sensible + Latent)
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions.
C-lrhvac nrniects►l 1=NNAR . A.'2n-R FronL Lin- Qf-- rhn
MULTI-FAMILY
PLAN REVIEW FOR COMPLIANCE WITH AIRCRAFT NOISE ORDINANCE
Compliance with Procedures to Ensure
Submitter: Noise Impact Area Adequate Noise Attenuation:
Lennar Airport - MSP International Exterior wall construction:
16305 36th Ave. No. Noise Zone - 4 Vinyl
Suite 600 15/32" sheathing
Plymouth, MN 55446 New Infill Residence is a "COND" Tyvek wrap
952-249-3000 use in Noise Zone 4 2x6 studs 16" O.C.
R-21 batt insulation with 1/2" gypsum board
Roof Construction:
Plan. Reviewed: - Z Peaked roof with manufactured trusses 24" O.C.
Roof vents
71 (03 C~0~~ Shingles
Information Submitted: 15# felt
Annotated architectural drawings includin : 1/2" sheathing
Blown insulation R-44
Windows: Atrium 5/8" gypsum board
Swinging Patio Doors: Atrium
Entry Doors: Therma Tru Mechanical Ventilation System:
Skylights: N/A 2-ton central air conditioning unit
Compliance with STC Requirements: Window, Door Frame, Perimeter and Other Seals:
Q All window and door openings are to be caulked
Average window/wall area for exterior wall: with butyl-based caulk
With this window/wall area ratio and STC 40 walls, windows Fireplace Chimney Cap:
with an STC 30 can be used to meet the noise reduction N/A
requirements;
Ventilation Duct Exterior Wall Penetrations:
Summa : All exterior ducts will have bends as required
by the ordinance
Other measures including duct bends and caulking are being
taken to ensure minimum transmission of noise through the Door and Window Construction:
exterior building shell so that the construction should meet Windows: Atrium (30 STC)
the compatibility guidelines.
Sliding Patio Doors: Atrium (30 STC)
Therefore, the materials and construction as proposed should
meet the requirements of the Eagan aircraft noise ordinance. Entry Doors: Therma Tru (29 STC)
Skylights: N/A
Review Completed (date): •
Other Exterior Wall Penetrations:
Review Completed b : Tom Tamte Sill sealer between plates and blocks
Y
Use BLUE or BLACK Ink
- ~
` For Office Use
x I I~"
Permit
City o Ear
3834 aisot Knob Road ;
Eagan MH 55122
Phone f651 675-5675 ?
Fax, 1651) 6iS.5694 - tat' -
2013 FIRE SUPPRESSION SYSTEMS PERMIT APPL ICATION*
tJa•e Site Address,
Suite
Tenani- r
Property Owner A
Type of Work
i 4.-
i,
a
L f"
Contractor
FIRE PERMIT TYPE WORK TYPE
of
DESCRIPTION OF WORK:
FEES
Contract Value $ x C'
$55.00 M~nlnt~m
tz o4 3t, call for Surcharge $
z
4 TOTAL FEE
Z-' 5«2d3".e:'nen, FirP Meta' ~ - -
_ - TOTAL FEE
Requirements! 2 cornplete sets of drawings ar-sv specifications, cut Sheets on ma,er:als and components to be Used
n
Apphcant•s Printed Name Appimanr's Signature
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
R Trip Pump Test Central Station Final
It
Conditions of Issuance:
Permit Reviewed by~Date.
. w,......
1L4 9/j 151 l0?153%f55 %r~(5`7/c)(S9 ) I to 1%1(, 3 CnCdarv- 6r0w T►-
Surveyor's Certificate
SURVEY FOR : Lennar
DESCRIBED AS :Lots 1-8, Block 3, NICOLS RIDGE 4TH, City of Eagan, Dakota County,
Minnesota and reserving easements of record.
33.0 832.8~~~~ 110 11, trr
AM4
8(34.6
ai/ N ¢8 fj
832. )
'00^ O N7 ° 83
833. 73.22 833.7 • 3 5~.e14 3
18.7 8 3.7
833. 8 Potlo~ • 1N
v G°r°9e 334
(0 33.7 Patlo'i •8330
p1 Garage 833.7
00 at! 21$5 Gar 3 78.78 h/
V, 00 833.4 2153 °9e 13.2. 75. 63
1
at! 2157 Carp9e
O
O Pro oaed 2149 833.5
HP of n ~
BM 833.5 2781 21 31p 0~ 0eotle
81 Pati
.3 5.00 833.5 0prpge GOfp9e 2758 /5. 32.
o°°/ 78. ~g 215 at!
833.7 32.0 Garage o Z
1833.1 833.7 Garage
n ~ Patio g 833.73 20
8 78 >8 833.
8
4800 1 32. v Potio$ 833.7 7 '22 9.00
832.4 S7 os Bm'
a 2. ~ Ems' ~
832.1 ^ +832^7~
831.9
Exlstin
. Un7t 9
i TOB'1hoine
8335
PROPOSED ELEVATIONS BENCHMARK,
Front Offsets
Top of Foundation = 834.2
Garage Floor = 833.8
Aprox. Sewer Service = Verify
0 MIN. SETBACK REQUIREMENTS
Proposed Elev. =
Existing Elev. _ -
Drainage Directions = Front - House Side
Denotes Offset Stake = • SCALE: 1 Inch = 30 feet Rear - Garage Side -
JOB NO:
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
HEDLIiI/ND OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED 12R-0 E:
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
PLANNING ENGINEERING SURVEYING
2005 Pin Oak Drive DATE __L/ 23/12
Eagan, MN 55122 REV. CAD FILE:
Phone: (651) 405-6600 J Y D. LINDGREN, L OD SURVEYOR Nicols Ridge 4th
Fax : (651) 405-6606 REV. _4 /_24/13 INNESOTA LICENSE NLIBER 14376
1L4 9/j 151 l0?153%f55 %r~(5`7/c)(S9 ) I to 1%1(, 3 CnCdarv- 6r0w T►-
Surveyor's Certificate
SURVEY FOR : Lennar
DESCRIBED AS :Lots 1-8, Block 3, NICOLS RIDGE 4TH, City of Eagan, Dakota County,
Minnesota and reserving easements of record.
33.0 832.8~~~~ 110 11, trr
AM4
8(34.6
ai/ N ¢8 fj
832. )
'00^ O N7 ° 83
833. 73.22 833.7 • 3 5~.e14 3
18.7 8 3.7
833. 8 Potlo~ • 1N
v G°r°9e 334
(0 33.7 Patlo'i •8330
p1 Garage 833.7
00 at! 21$5 Gar 3 78.78 h/
V, 00 833.4 2153 °9e 13.2. 75. 63
1
at! 2157 Carp9e
O
O Pro oaed 2149 833.5
HP of n ~
BM 833.5 2781 21 31p 0~ 0eotle
81 Pati
.3 5.00 833.5 0prpge GOfp9e 2758 /5. 32.
o°°/ 78. ~g 215 at!
833.7 32.0 Garage o Z
1833.1 833.7 Garage
n ~ Patio g 833.73 20
8 78 >8 833.
8
4800 1 32. v Potio$ 833.7 7 '22 9.00
832.4 S7 os Bm'
a 2. ~ Ems' ~
832.1 ^ +832^7~
831.9
Exlstin
. Un7t 9
i TOB'1hoine
8335
PROPOSED ELEVATIONS BENCHMARK,
Front Offsets
Top of Foundation = 834.2
Garage Floor = 833.8
Aprox. Sewer Service = Verify
0 MIN. SETBACK REQUIREMENTS
Proposed Elev. =
Existing Elev. _ -
Drainage Directions = Front - House Side
Denotes Offset Stake = • SCALE: 1 Inch = 30 feet Rear - Garage Side -
JOB NO:
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
HEDLIiI/ND OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED 12R-0 E:
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
PLANNING ENGINEERING SURVEYING
2005 Pin Oak Drive DATE __L/ 23/12
Eagan, MN 55122 REV. CAD FILE:
Phone: (651) 405-6600 J Y D. LINDGREN, L OD SURVEYOR Nicols Ridge 4th
Fax : (651) 405-6606 REV. _4 /_24/13 INNESOTA LICENSE NLIBER 14376
Use BLUE or BLACK Ink
For Office Uiiseii QQ'' I
I i 1 ®(J
I
My of Eajail ~ Permit 60.00
I
Permit Fee: I
3830 Pilot Knob Road I l
Eagan MN 55122 1 Date Received: 10/003
Phone: (651)675-5675 I j
Fax: (651) 675-5694 i staff: i
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I o 114 13 Site Address: 2 ( Lf 3 Cedar C o Ve ~v
Tenant: Jackie 6.I) 1 Suite
Resident)OWnel' Name: Phone: (0 12 '9_9'Cb' 12gZz
Address / City / Zip: I,, - I T
Name: NM) j(.cr!]b/ "b IqP0I1f k 1G License J``SySS P1/4-1
Contractor Address: ](41W city: Tkibr Lcc
State: M Zip: J~ Z Phone: Z - 44& - 5 3~4l
Contact: Act r f l e Email:
Type of Work - New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: g'- l aec ~u
RESIDENTIAL
Water Heater
Lawn Irrigation RPZ PVB) Water softener
Permit Type Add Plumbing Fixtures Septic System 9 Main Lower Level}
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tur around* (includes $5.00 State Surcharge)
`Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ (P C)
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.aopherstateonecall.orcl
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 ~~tol M Gta'~"1n x~
Applican Printed Name _ Applicant's SjOature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-in Air Test Gas Test -Final
*City afEap
Address: 2163 Cedar Grove Tr
Zip: 55122
Permit #: 107887
The following items were / were not completed at the Final Inspection on: 919-71 /.3
Final grade - 6" from siding
Permanent steps — Garage L/
Permanent steps — Main Entry ✓�
Permanent Driveway
Permanent Gas �s
Retaining Wall or 3:1 Max Slope
Sod / Seeded Lawn
Trail / Curb Damage
Porch
Lower Level Finish
Deck
Fireplace
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the Engineering Department at (651) 675-5646 prior to working in the right-of-way or installing an
irrigation system.
Building Inspector:
G:\Building Inspections\FORMS\Checklists
- +".✓l- - •
9
For Office Use
e``,� + �,', Permit#• /11 94,
,--} •r E AGA N
Permit Fee: le t„! •• V L1
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-56751 TDD:(651)454-8535 I FAX:(651)675-5694 JUN 1 5 2018 Staff:
buildinginsoectionsna..cityofeagan.com L 1 j
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: (P_ 2. I U Site Address: 21 163 Cedar &ro vC l Y1
Tenant: Suite#:
S �� 5her� l �.� i2
. t/e Name: ,� �J Phone: lY Z� L
Address I Cit /ZI t '� -r-
Name: MILBERT COMPANY dba CULLIGAN WATER License# WC641376
' P • tract '.‘.46',.4..4.-$-:4,-'t,
, Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS
qty State: MN Zip; 55077 Phone: 651-451-2241
7t ,� Contact: BILL MILBERT Email: gloria.abas@culligan4water.com
T,ypi- z • New _Replacement Repair Rebuild _Modify Space _Work in R.O.W.
# ; -'-$ ,,-` ' Description of work:
RESIDENTIAL
ta � ' 't
� =ht _Water Heater
ti• * `" Si
S 4a a 4'.4' _Lawn Irrigation( RPZ/ PVB) X Water Softener
:rTye
* 4 _ Septic System Add Plumbing Fixtures( Main/ Lower Level)
?-friSCL; ` `, —"Al New ___ Water Turnaround
t -a) ; �; s 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.org
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan,com/subscribe.
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 a application for a permit, and work is not to start without a p unit; that the work will be in
acc rdance t the approved pi in th case o ork whi requires a review and approv of plan .C.
x C sI
Applicant's Printed Name App cant's Signature
,,FOR�OFFICE USE *, d s ,• � t •`p4 4
}, :-7'- S'' et E r'Y§R`4 d,1 °l`., .: . c jrr.7 ' ,4,40.1-..x„,,-4:,..,.,.2.+'® r.„,,e g t
,. a ` i s rz a x:� *',a �. t kr t N
iRequliredlnsp:ctons' ,'., e eu •s o o • 4 i t F 1�+a
-M,ete� elate. Items Meteex Size Ra.�o I ea. ."'`it;,!,,,,,A-
® e s��i z r