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4166 Starbridge Ct Apr 16 2013 3:42PM BRUCKMUELLER PLUMBING INC 6516882160 page 1 Use BLUE or BLACK Ink I For Office Use 1 I I R Permit I 4fly of E*n I Permit Fee: 3834 Pilot Knob Road j (3 1 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Staff: Fax: (6S1) 675-5694 I INFLOW & INFILTRATION PERMIT APPLICATION Plumbing ! Sewer & Water Date: L ~G Site Address: I X9(9 .J r' 19r , 4rx c' Tenant: Suite #t: Name: V?S't-Unac-la Phone: 1 Address I City / Zip. Name: 1't~t l'kI" t.4z.. l PGLtn7 b, ..vne. License 5&19:1 Address: -3gga f e'rl.7,g dyzr)t i A ITVe.j) r e, city: C=Q~a r1 C~htTFt~t~~. State: /71 N Zip: / Phone: CP l'! la s`P. CBQ Contact: Cri 2,- 1L.1• ~ r _ Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE~=TA►Qk~K t~Sump Pump Repair Repair Other: Other: Description of work: IL6Ir'► i DO,- i 'r U12 Cade- ~CittPTLk~R+1, FEES $60.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ 60,400 *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeacian.conV nflow, or City Hall at 3830 Pilot Knob Rd. 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.caooherstateonecall.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 which requires a review and approval of plans. X Applicant's Printe -Name licanCs Si ture 1j~ -V ~ 4 J ] ?t o~tf~ ~ i~ Ft ~ ; `i r 'u rT ,~l .;Y•t' 1 r.", k3y.F SEP-13-2013 12:49 From:7637841426 Pa9e:3/8 4t'VZl 4tca(oI4t~v, ~8, l82 ~JI` 1~j1'1 dO~ C~ Use BLUE or BLACK Ink 0 I For office use I City of Evan ; Permit b: 40plll~ I I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 I Phone: (651) 675 Date Received: -5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL I'BUILDING PERMIT APPLICATION Date: 13 I Site Address: I lei- " (9-L Yl Unit Name: Phone: R6~SI.a61 u•vVx Address / City / Zip: owhlrh~qL Applicant is: Owner X Contractor Description of work a ell ry r.. , CD : ka'i:,r; Construction Cost: Multi-Family Building: (Yes / No • Company: LulllmbuL d~ Contact: :0Address:l~~ C~ I~U City: ±LLLE~ 2~6 State; J Zip: bI I Phone; I~OJ ~ OIOa ` g`!~~ License il ,_00311'1 Lead Certificate u:NlqT- I Qo0O,5 - I 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: t„ypu su,bMit 4,vo onsidere l`o be public information,. Portions of h 0P ply P- bihfa:'t': emu. rt3tF%Op.: -e0' ic. suns that would permit the City to A. t;,f11: aro fr'ade. 5erets CALL BEFORE YOU DIG. Call Gopher State one Call at (651) 454-0002 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locates of underground utilities. my y_.Qopherstateonecall.ora 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 Min sots State. Building Code must be, completed within 180 d f permit issuance- Xays byint7it-wasiry X App lca is Printed Name Appl- n s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA135543 Date Issued:03/22/2016 Permit Category:ePermit Site Address: 4166 Starbridge Ct Lot:025 Block: 001 Addition: Wenzel 2nd PID:10-83571-01-250 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Arthea J Balhorn 4166 Starbridge Ct Eagan MN 55122 (651) 405-0247 Haley Comfort Systems 122 3rd St W Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature r For Office Use aa, ; I :::: EAGAN ••�� ��•• AUG2 , CO Date Received: 3830 PILOT KNOB ROAD f EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinoinspections©citvofeagan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION S�af `QQ Date: 170).6 Site Address: btdGCr 10 CO i►11e4,StS Unit#: ..�ff gi� �� Name: .11'11"..11(1-617e e+- Phone: • Address/City l Zi "'/ (p b �}f Q,/�*i;41 Zip: Applicant is: Owner )" Contractor 104e c F �/d c�tcki S.�ei�/.h5 ctw4 J seIc �r Ria`/ Description of work:Inst'// k /„ A^� �v'ta-kod j ' 1' s� , ,c f Vie'-a p �G� �lG1CJh �Kt:a�� ai JY� r ti��F4'fc/'4 Construction Cost2r0 Multi-Family Building:(Yes J" I No ) es Company: /70 Yt- ,(7 Q Y'l©v S Contact FOCAla vU �--� ,‘-:'it,---i-Wjtr;k141;41. Address: 151/Z 4/4,1(i.€ Ave City: r4 pp/e 14/A'y State:ni IN Zip:�S/Z c Phone: 95-2-109//6/y Email: epee.go VI ��{'<<^i v--s,Co—r License#: 17C Z Z q'ie Z Lead Certificate#: N A`j'.-c j) Z c e q- Z- 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: 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. 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.gopherstateonecail.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. x doe JgyLx$cam✓) x Applicant's Printed Name Applicant's Signature tte ,DO NOT WRITE BELOW THIS LINE LII to(p vA ` 3A— 15 /(PZ-Z-- 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 -3 New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation 1 Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 3 MCES System Plan Review Code Edition 4,11 SAC Units (25%_ 100% f ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \f_L Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Ni Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas 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 Shower Pan Other: f( Reviewed By: `1 , Building Inspector RESIDENTIAL FEES Base Fee ,Y1 ell Surcharge c)( g Plan Review ri MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant / Copies , TOTAL 1r t Page 2 of 3