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1809 Merlot Curve From: Parsons Exteriors Inc Fax: (888) 426-9712 To: Fax: +1 (651) 675.5694 Page 26 of 26 9/2612013 8:24 Use BLUE or SLACK Ink For Clffice Use c i Perinit ri: 11 ✓ 5 b `C t t l ` City of 'Eap t Petrrtlt Fee: i 3834 Pilot Knob Road (3 1 Eagan MN 55122 t Bate Received- g . phone: (61) 1375-5673 ~ Stan; ~ Fax. (651) $75-5594 L---------------- 01 RESIDENTIAL. BUILDING I ERMIT AP LICATION Date: Si4 Address: Unit 4: Nance: Phone. r gip: r STIZ 2-- A4dnt .?City Ownev A pplir nrit is Owner Cbntractrsr % e tat'Vllarlt Descriptlonafwo►k:_ i ~''e3gr fi y'p Construdtlon C4s1- 1bltx1h-1F amtly Building (A 5 ,I J Geampany:' t_ 6, r 6 ; contact ~L y L o Address:.' Cityr:. Contractor _ Sate- ZBp: .s phone., ~ 0 -7 63 C-017 -7 5 License Lead Certificate _ VA7 7-f M "t = t If thq project is exempt from lead certification, please explain why: (see Paige 3 for addi Anal information ; i r COMPLETE THIS AREA ONLY IF CONSTRUCTIN :A NEW BUILDING In the last 12 rnontbs„ has the city of Eagan issued a permit fora simliarplan I7aso- 0 . A master,Plan? c yes No If jes, dale and address of master plan: Licensed Plurnber:. _ Phone: Mechanical Contractor_ Phone: Sewer & Water Contractor Phone, ' T NOTE: Plans and suppoirtlhg docurnenis that you submit are considered to be public tnl`prmation: P'orVons of the information maybe classfed as non-public fyou pruvide specific reasons that would permit the City to concludes that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-t3002for protection against under9founo utility danage. Lail 48 hours before you intend to dick tateceiw '►gcal s of underground utilities e^~#~zrs[a€:~nne :~'I_~: t hEreby acknovrledge that this infoffnati,on.is cc,mplete.and accurate: hat the work will ha in conforrnance. weith the ¢rdinaripes:and codes of the City of Eagan, that I unders%ntt thfi& 13:mt a parttil, but only an appiicaNon tor,- a perrnil, and work as not1o start.wiM. oVt perm. it: that the "York 011 be in accordance taitl-, The approved plan in the case of work which requires n mview and approval of platys: Exterlorwcrk authorized by a building pennit issuead In accordance with the Minnesota Mate Building Cade roust be carnpkirted within 1817: days of Perrpit 1SSuartc P, jk-e X A pitcant's Printed Name Applicant's Signature Page 1 of 3 House heatin test record CenterPoint g Energy Owner -w, C rA , Controls Conversion n MAY 2 1 2014 Address y 1 L{ f u Apt Thermostat 1/J Heat plug Vent Size 0? City E Gt GU h Valve iN f Kind of liner/ size Draft hood Regulator Heat lost, 1 Date htg. inst Limit -ad :F4 I Soldby CenterPoint Energy Limit setting i f Filters: Size Number Installed by CenterPoint Energy Fan setting t-( yv~ Chimney locations: /C) Inside Q Outside Electrical work by CenterPoint Energy Pilot type 4-1 Q -1 S J t Chimney construction Heat type FA O Space heater Pilot make Wiring C!/WTest tag Gas line by c N 10 Pilot model Lighting Inst ` Date tested Unit heater Other Pilot timing u Company testing CenterPoint Energy Gas design Pressure: Hi fire/ Lo fire • ~G, 211 Tester's name J~ Make QkAAAA Model Percent C02 Serial no. -1^~-I ~ y Input CFH Percent 02 Input Q , fu 0 Stack temp 87 Percent CO CNP 235 (11-2008) PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122302 Date Issued:05/02/2014 Permit Category:ePermit Site Address: 1809 Merlot Curve Lot:903 Block: 07 Addition: Centex Vermilion 2nd PID:10-16936-07-903 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. Joann Zinken 9320 Evergreen Blvd Nw Suite B Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Tracy E Clark 1809 Merlot Curve Eagan MN 55122--316 (651) 452-1317 Centerpoint Energy 1240 W River Pkwy Minneapolis MN 55454 (612) 321-5597 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink � � ForOfficeUse -------- 1 , ; � . � C C�� n� �n n� I Permit#: 3 � � � U �� Pertnit Fee: [�C/- �� I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 i Staff: � Fax: (651)675-5694 L________________� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �-��t 3,Z�15 Site Address: Tenant: Suite#: ResidentlOwner Name: Phone: Address/City/Zip: Name: License#: � Contractor Address: C;ty; � State: Zip: Phone: Contact: EmaiL Type Of WO►'IC —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: t _.-...... RESIDENTIAL ,� � _Water Heater - Water Softener Lawn Irrigation�RPZ/ PVB) — Permit Type Add Plumbing Fixtures�Main/_Lower Level) _Septic System — New _Water Tumaround Abandonment �., _e __a�. .w,._.._. ._��. . __, �_. ._. ._ _ ,.._�._.�.�__..._..... _._.�._W..�. ,.._.,�,_. ,. 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 Svstem Abandonment,Water Turnaround"(includes State Surcharge) 'Water Turnaround(add$210.00 if a 518"meter is required) $115.00 Septic Svstem New(includes County fee and State Surcharge) 1 TOTAL FEES$ 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. wwNr.qopherstateonecall.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 X � ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: r Use BLUE or BLACK Ink � r—————————————————� i For Office Use �� i � � Permit#: j Clty of Ea�� ; . . �a�� Permit Fee. 3830 Pilot Knob Road I Eagan MN 55122 RECEIVED � Date Received:�0�l2✓ �� I Phone: (651)675-5675 I I Fax: (651)675-5694 ��. ,� 3 ��,� i Staff: i �----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �� C�� '(� Date: ��{ (S 'Z�1 Site Address: �� M�l�C�` C (,�r�J� Unit#: '�C� � �J� �; � � Name: �lc�va ��G�r� Phone: �01�-�I'1 lD'2-e�8 �� `��rde�#� � �� Address/City/Zip: l�� 1V��Y lo f' C�,-J �� N��. ��J Applicant is: Owner Contractor �� £ ��}�{ Description of work: _ _ �..-�'�_�Y�1CL�,i.-� �rn� �b, Y�/aUe-•-)� S�y�Zi►'r ��Gc�.,� ��T e df� �� u�, ��¥ �� Construction Cost: �� Multi-Family Building:(Yes /No�) � #...:� � r �. Company: �� +r'vi t� Contact: ��Z�� r i�J,�st C-c�tc��-► L- I � Address: �- �k �G� City: �,rc��,�, Ine-S � ,9Q �C#QX"��: � :"�� t�, State: �..� Zip: �js�� Phone:l�c I�,•�� 1 EmaiL• S�.oil Mr�;2,1✓1�:hi^^d.l�• tc�lrr^� x; "�� ` ;�' License#: � 1.0�`ZC1'� S Lead Certificate#: ��T-�I �`� 1 �Q " � 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: NOTE �1ans��id s;[a�a �irtir��um��`hat�'�� bmr#a �v � �o b�e pubh��t'crr� : ��y Por� `£ � the m�c��a�at�"��►�ay be��las��ecal as��h-�ubli��"�"��,prov��' ��s.�af Vvc�� C �� '. ��„� ��¢ �� ; � � �� .� �� , �� # � _ �� , �� r; . c��ide#hat�l��e are tr� ,. v, cr+��s.:�� =. �: �: ��r t . , �.:�,� .� �. 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.qoqherstateonecall.orp 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. t X S«-H' �K Zy � X r , .�....--� ApplicanYs Printed Name Applican 's Sign ture Page 1 of 3 DO NOT WRITE BELOW THIS LINE � ��l 3 SUB TYPES l �� d� ��`'�� 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 Alteration Fire Repair Windows _ Demolish Foundation �Replace _ Repair _ Egress Window _ Water Damage ' Retaining Wall *Demolition of entire buiiding-give PCA handout to applicant DESCRIPTION �, Valuation � � � Occupancy ��,�.� '„�.- MCES System Plan Review � Code Edition x..{ � � SAC Units (25%_100%�) Zoning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction f 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 Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final �Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick �Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control �� Other: � Buildin Ins ector Reviewed By: , g p RESIDENTIAL FEES Base Fee Surcharge ,1�F. ' ��<� �� '�� Plan Review ��.� MCES SAC � .� City SAC Utility Connection Charge � � �,, S&W Permit 8�Surcharge � �.�fi�,, +�` �"'�� x� � Treatment Plant I 1'� � `;m�� L Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink For Office Use h ! 6/0?0E- 7 City of Eaiail APR 201!7 Permit#:Permit Fee: /6 6 f � 3830 Pilot Knob Road j,�3�� Eagan MN 55122 Date Received: "T Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 RESIDENTIAL\ BUILDING PERMIT APPLICATION Date: l Site Address: v"\ / � V� t O0) 1/1/11-fl., (,cMJ"( Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner� Contractor Type of Work Description of work: fee ' j Construction Cost: —7 C<0 Multi-Family Building:(Yes D( I No ) C S� Company: ��pv�. �✓l �4'w9'I�r-� J�-�c_ Contact: ,� c-- Contractor Address: tLv CTI( r�,t/ fZ t7 City: (—Q-1/1.1 Cl State: et.- Zip: (>C 7 Phone:(.0(Z. -°11-°11*Email: Jc 1)-iin er Pctr)o 5 f_ License#: \3C.(0-3511 r 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: NOTE:Plans and supporting documents that you submit are considered 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 they 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.aopherstateonecall.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 C..- must be completed within 180 days of permit issuance. X 3U 5111'1 S LiAJA- Applicant's Printed Name p•lic I ' Page 1 of 3