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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