The URL can be used to link to this page

4376 Andromeda Wayll` ? CITY OF MtiAN WATER SERVICE "PERMIV" 7 3 48.Pilot ICeob Roed pERMIT NO.: F.agan,.MHn35T22 ? DATE: Zoningi No. oF Units: ' Owner:. 5vettd Peterser. Address: ? Site Address4 437C, Ardroraedq S;av- L Plumber: GE`-n.T. T..yBn Meter Na.: Connection Charge: Size: Aecount Deposit:. •?:i', tteader No.: Permit Fee: 10 •? ? ; ? ?`'' 1 ugree ta aatnpfy with the City of Eogan 5urcharge: . ?/? Ordinaneea. Misc. Chargesi Totai: ?i?..091 Trd iE±?,"? 8y Dnte Paid: Qate. of I nsp.: I nsp.: cirir oF Ee;caN SEWER SERVICE PERMIT • 3795 Pilot Knob Rood PERMIT NO.: I:14 C. Eagun, MN 55122 DATE: y ; Zenin9: ITT No. of Units: ? Owner: :'VeT:d Pet crsE:r. _ Address: -± r Site Address• y:5, ? AriuTC?t:;?E'.u j F!?? Plumber: r?'•r z ]'?•ttn • " t.iu pC . I agree to eompfy with the City of Eagon Connection Charge; ^r Ordinances. Actount Deposit: Permit Fee: pa 5urchorge: p? BY Misc. Charges: _ Date of Insp.: Total: Insp.: , Date Paid: CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 PHGNE: 454-8100 BUILDING PERMIT APPLICATION N4 6197 Receipt # 7f a Vj To bs ueed for SF DWG/GAR Est, Value 64,000 Date 9-23 ,1 Site Address 4376 Andromeda Way Erect 7a Occuponcy R.3 Lot _2 Block 3_ Sec/Sub. Wild. Park 2nd Alter p Zoning Rl Porcel # 10-84251-020-03 Repair Q Fire Zone 3 Enlarge ? Type of Const. V Name S. Petersen Construc. Inc. Move ? # Stories W 3 Addre ?+701' W. 110th St. Demolish ? Front 58 ft. 9 ? Ci s' ? Phone 8$4'5144 Grade ? 4 Depth ft. °C Name _ Sa7I12 Approvals Fees ?F ?? Address ? Ci t- W W Name _ H ?? Address a W Citv - I hereby acknowledge thut I hcve read s o ication and state the infortnation is Correct and ogre to mply cl appli 5tate of Minnesota Statutes ond i Eagafi Or nces? Assessdig,t 8-26-80 _ Water & Sew. _ Police Fire Eng. Pianner Counci I Bfdg. Off. APC Permit 160- ,`2n Surcharge 32 nn Plan check 80 - 25 SAC 5?S C1Q Water Conn. 30 Woter Meter 60 Q0._.. Road Unit 3 9_?.5 00 rotal 1,31+7.75 Signature of Perm A Buiiding Permit is in„ei tn• S Peters PY1 ,OY1S • l1C •10 on the express condition that all work shcll be done in accorda with all appliy$ble Stote of Minnesota Stotutes ond City of Eagcn Ordinances. Buildirtg Offitioi Crl r7 , ? _ CITY OF EAGAN Include 2 sets of plans, IL?? 1 site plan w/elevations & ? BUILDING PERMIT APPLICATION 1 set of energy calculations. Zb Be Used For Valuation Date Site Address :.? OFFIGE USE dla,Y Lot ;2 Block J? Sec./Sub.,? ? r-??o• Erect OccupancY Parcel #:?/? Alter Zoning ? Repair Fire Zone a owner: ?? /?'?=?,?s ?.? r`??,.?s-?- r N?- Enlarge ? of Const. ; Nbve # Stories Address: c,v o?? -s' 1-=- Demolish Front ft. i Grade Depth f t. ty/Zip Code : Npe> ?? ? y 3? C Phone #: 'Yo"p Y - v APPROVAIS , _ FEE.S Contractor: Address: City/Zip Code: Phone #: Arch./Fng.. Address: City/Zip Code: 0' /? Assessments t Permit / ?,? . , Water/Sewer Surcharge ? ? Police ?Az-a- Plan Check Fire SAC ? -? Eng. Water Conn. 3- y'" Planner Water Meter (PO Council Road Unit Bldg. Off. APC Phone #: TWAL 3V 7, Certifica,te for; . ` Ihunn & Curry - House Location ?°or ; Svend Peterson Const. 4701 west 110tn StreEt DELMAR H. SCHYVANZ Bloomington, MN 55437 LANDSURVEVOR Heqistersd Untlar Laws ot Tha Sta4e of Minnesota 2978 - 146TH STREEY W. - BOX M ROSEMOUNT, MINNESOTA 85068 SURVEYOR'S CERTIFICATE I IS ? ? Q n ? w 1 47/45 PHONE 812 423-1766 U -'?.4:K1Nt\-, F_ 5- ?•I???-l'rY F A?.EPf? E=.hi l" - , ? r - _- ? __- ---- -- -- - - ( s ? - y9 4 t NI I Z ' ?v /?vuti?" 1 p ? J I ? (???• ? ? I lJ o n - -? - - 22 ?' ' ? ? ' - -- -- - --? 5 ??,- -- --- --- - ? ?-- ? f1, ?) V j? •_'l(-7 T S F`'l? `, ? C"7,t r7. I I `,? ; 30 e ^' I hereby certify that this ia a true and correct represenit??ion oP T-ot 2, Black 3, WILUI?RNESS PARK SECOND ADDITTON, according to the recorded plil? thereaf, , 1?akota County, Minnesota. Dated: July 25, 1979 Approved f_"or Gunn & Curry Real Estate Management, Inc. by: _ Houee staked Aug;ust 14, 1980. , ., , • ,: MINNESOTA REGISTFtATION N0.8625 ? j ? ....? ,? BUILDING PERMIT Te be =ed fw SF T1NWGAR CIT1f OP EAGAN 3795 Pile* Knob Pwd Eayow, MN 55122 PH4$%& 454-8100 ? Receipt .# 64,000, Site Address 4376 Arld2`om@d8 UYAy l.ot 7- siock 3sgc/sub. VLTild. Park ?nd Pamel # 10-84251-020-43 oc z 0 Name S. Petersen Construc. Inc. .`'t. Addre4701 ti?'?. 1 . s, P. . DL.n..a 884-514-4 P:h8 Name 8aMe ?? Address Name _ Add?ess I hereby ocknowledge thet I have reod tMis application and state t the information is corred and agree to oomply with olt applicab State of Minnesotu Statutes and?Zity of Eceen Ordinances. N! 6197 .. '; / Ene:¢t 19 Octupancr 1R.3 Alter ? Zonirtq Ri Repair Q Firo Zone 3 e BIdg.Off. _.- Enlarge p Type o# Const. V Move Q ## Stories Demolish ? Front `? ft. Grode ? Depth ? " ft. r Approrab F? . AssessrW+r$-26-$0 Pen„ir 160.50 . '. Water & Sew. Surchorge 32- Q' ? Police Plan check 80.25 Fire SAC 525.00 •0 _ Eng. Woter Conn. 305 D Plunner Water Meter 60 Councii Road Unit 85-00 APC Total Signoture of Perm???? -- ? A Building Permit 1s .issued to: S. Petersen Constructio?. --- .on the sM,.ea co„dit;o, thot oll work shcil be done in accordance with cil opplicable Stcte of Mthnesotn Stetutes and City of EaQon Ordinances. Buildirg Official PNSg # Od? Ia?aA hr?iNM Plumbing Medwnical ..c'J a 9- -?D INSPECTIONS DATE pMP, qough-in Final Footings Date Irop. pott Inap. Foundotion Plumbing Frame/irts. Mechoniml Firw) . ,. ' Remurks: CITY OF EAGAN Remarks Addition WILDERNESS PARK 2ND ADDITION Lot 2 Blk 3 Parcel 10 84251 020 03 owne, -i ?' `'?` street 4376 Andromeda Way stateEagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 22,2 1973 1 84.82 A009735 12 4 80 SEWER LATERAL WATERMAIN WATER LATERAL WATEFiAREA 1979 631.00 63.10 10 441.70 A009735 12 4 80 1(STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARK .#YO717 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?ITY oFEAGAN 3830 PILOT KN08 RD - 55122 651-881-4875 New Conshucnon Reaulrements .. # 13U 57b 5.?? 'o° ? 3 r"nawd sfta wrveys showtnq sq. R of bt, s% lt. of houso ond 91 rooted areas (20X maWmum bt coveraae dlowe? ? 2 coPles of plans tahow beam & wlndow sizes: Poured tnd. deaiqn: etc.> > 1 saf ot anarqy cdculaQoru > 3 coples ol freo preservaflon plan H lof pbtled aftr 7/1/93 DATE: !5' I?'60 DESCRIP'TION OF WORK: STREET ADDRESS: LOT: PROPERIY owNER CONTRACTOR ARCHITECT/ ENGINEER BLOCK: ? SUBD P.I.D. #- ?:??•15 CalW siI y jOD 1/1 copies of plan 1 sof ol onerfly cdcvialloru tor heated addMou LA-site wnrey for oxtedor addiliam & deCks CONSTRUCTION COST: 4 ' / ??p' ? ? ???1•? ? v, ?? Name: A-Y ( VAT-1?1,ec ? Phone #: ..t2 " Jr1 0-1`( ? Wst pn? sneet 4' . c,,,, ? Stata: Connpany: Name: Telephone C ( Sheat Addreaa: Regisiroflon #i: CHy Z,p: y55 12.? State• ziP: Sewerlwater licensed plumber (it irdtallina sewerhNater): ?j LN Ph°^e #: (---? I hereby acknowledge fhat I have read rihis applk:aHon. state that ihe infomnatbn is carect, and ayree io comPlY wNh ad appBcable Stah of Minnesota Statutea and Cily of Eaqan Ordinances. ? Si9nalure of AppBcanh OFFICE USE ONLY Certificates of Survey Received Yes No ' MAY 15 Tree Preservation Plan Received Yes No Not Required LJ3yz-- ON F OFFICE USE 4NLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex D 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling D 08 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 16 Deck O 23 Porch (screened) ? 04 02-piex ? 10 08-plex 0 19 Lower Level [3 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N O 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool O 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. 0 43 Reroof ? 32 Addition ? 37 Demolish (Bidg)* 0 44 Siding ,K 33 Alteration ? 38 Demolish (Interior) Cl 45 Fire Repair ? 34 Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolitlon penmit GENERAL INFORMATION SAC Code 191 # of Stories sq• ft• No. of Units Length sq• ft• No. of Buildings Width Footprint sq. ft. Const. (Actual) ? pL Basement sq. ft. Census Code (Allowable) , V? Main level sy. ft. MC1ES System UBC Occupancy ? sq. ft. / -?- f? 1C ?--n-- City Water Zoning ??? sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEDUS INSPECTIONS . O Stucco/Ston e APPROVALS Planning Building 7 Engineedng Variance Permit Fee Surcharge Plan Review License MC1ES SAC City SAC Water Conn. Water Meter Acct. Deposit SNY Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: o$7, 2 Lov ? 31 Ext. Alt - Multi 0 33 Ext. Alt - SF ? 36 Mum !R-y- / 6 y X y(9 -- ?j7a'-a SAC Units % SAC C-t? 1(K#l. A" y?. ? ti ' .? ' Y ? ? ' . ofc. 4703 West 110th Street tJCLMI+?K n. a%.nVVr?1'%A- Bloomington, MN 55437 LANOSURVEYOR Neqiitereo undef l.aws of The Stats of Minnesota 2978 - 745TH STREEY W. - BOX M ROSEMOUNT, MiNNESOTA 58068 PHONE 812 4231709 SURVEYOR"S CERTIFICATE 5. ? I? ? a .? Ilk V+1 1 , ;-. ;. U t " -;1 , _ -r ' F-? ' -- ?, r . -.' _ S?t N ? ? F\: ? F. ? A J r _ .. - ? 0 , ._. ---- -- - -- - - - ( 5 ( be 4(d Sf"-.?? a'V??-??nQ???e? ? i ; (.".;:,t`.; ? ° ? f 1 g, ?. ? E,. ; r r ,, , ? i n r y9 / ( ( ?V ?Uy? N I i ? i GR?• ? v ? 0 0 J ? - 2 - - f ; ? ?` ? -- - -- - - •- - - , - - ----? - - - . . _ C / 4--- -- N n r ; r? 3 ? _J 0 7 0 ? r Q N I hereby certify that tihis is a true and eorrect represen??ion^of i,ot 2, Block 3, WTLDCRNr.SS PARK SECOND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Dated: July 25, 1979 . Approved £or Dunn & Curry Real Estate Management, Inc. by: House staked August 14, 19$0. jg Far, - .Cf:Jse - - - - - - - City ~ ~ on e#: Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: - - - - - - - - - - - - - - - 2008 MECHANICAL PERMIT APPLICATION Date:i SiteAddress: 4376 Andromeda Way Tenant: Roger Hoffhein Suite#: RESIDENT/OWNER Name: Roger Hoffhein Phone: 651-905-9894 Address/City/Zip: 4376 Andromeda Way Eagan MN 55123 CONTRACTOR Name: .Ron' s Mechanical Inc License Address: 12010 Old Brick yard Road City: Shakopee State: MN Zip: 55379 952-445-8585 Linda Phone: Contact Person: TYPE OF WORK New ? Replacement Additional Alteration Demolition Description of work: ~C3 ~Ired tD - t?f`the Hers for Inforf»~ In PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement _ 'Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit HVAC units must be screened _ Heat Pump Under / Above ground Tank (_Install/- Remove) _ Other When install! ng/rem oving tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: inimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If emit Fee is less than $1,000, surcharge is $.50. If Permit Fee Is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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- r Applicant's Printed Name A icant's Signatu e FOR OFFICE USE Ii@v ep Qd By. Date. Required Inspectlans..w -Under Ground Raugt) in ,~„A)r. s t Service Test tn-floor leAi -Final 9529331869 23:25:52 12-23-2013 2 /2 Use BLUE or BLACK Ink i _ For Office Use _r I ~9 ~19 mit t:) 0 , ~ . City of Eap I Per Permit Fee: V 3830 Pilot Knob Road Eagan MN 55122 Date Received:~I /I3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff. _ I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: la : i Site Address: Unit Name: \G;Ce.,;' ~ l"I°r:,fle c_ U Phone; (F, 7 Resident/ Owner Address / City / Zip: / ,)3 J J ' Applicant is: Owner V~ Contractor Description of work: C%W `i . Type of Work { ~I J.~ Construction Cost: Multi-Family Building: (Yes I- / No ) Company: _ PRACTICAL SYSTEMS Contact: -~e...l 4342B SHADY OAK RD Address: HOPKINS, MN 55343 City: Contractor . : State: Zip: Phone: 5 a - • ~ ...>j C' &,F) License ( rl C) L? ~1 l Lead Certificate 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 permitfor 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: NOTE: Plans and supporting documents that you s_ubmit are considered to be public information.: Portions of the information may be ciassified as nonpublic if you provide` specific reasons that would permit the City to rats. a,~.:.~.T..~ ...n.,~.,,..,..~.„.~...-P„-conclude that they are trade sec 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. mm.gopherstaleonecali.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, Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuan e. x f'' ! G~ ( ,Gl SC.. I ~c rx `I • ' l lr ' `"/~/C. ) C=. G Z. Applicant's Printed Name Applicant`s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA123164 Date Issued:05/30/2014 Permit Category:ePermit Site Address: 4376 Andromeda Way Lot:002 Block: 003 Addition: Wilderness Park 2nd PID:10-84251-03-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Jarrod Stenzel Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Roger E Hoffhein 4376 Andromeda Way Eagan MN 55122 (612) 910-8628 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature To: Page 2 of 2 2015-10-09 16:35:25(GMT) 16124656190 From: Damon Lee ` . � '. .'�:<.��.�.i�`..��.#��:.��' : �� >, u . <.,.,. _:: � �. �� . . t:.�'��:.. .. m: �:�� ' � ,��:: �� :�i� ��+��:�,.rw� ,,.M...�—o°I.'� s. ��. � � � �� `RECEtVED � �� ,�Y �r �;��: �� ::�� > . ��. ��:��.� � �._ . v�� . ' OCT 0 91015 . .... .__. _ . . . .�.v �� .��I�'��, �.��I��+��'�.: . .��:�+��'�� . � �,# � �� ,� � Lb- �� , � � ��"�� — � � —�;. , ,��. �, ,. .. .�. _ ,� � �� k � � r�� t—�`�� „� � � r.,�„, '�`�` �.�,.�.� .y ��a� ��_� , � ..; " �-�.-- .. �.. '! �'i�^�a��..�'s��'�� ' ��„�,�...��'„�"° ..'��: .4'��` ��a�.� -„.u_ �. � ,�,-. e.. �:�.�.-;�.� ,_,_. � f ° y,� � , � #�'�S�?i9 ��r�i p""��.�i��, � �:��,��--:.� �w�- _„ ., �.:.,..�. .,.,:..,.�.. .:.. ..........•� � .,..<.x. ..m.,,,��.,...�,x_�.r,��:�_<.-.:.�•.v,�»,- ,�. # : � �: r :` : ; � "��yt�t�F��N+�..,� �,�..� �..�� . ., __ �: ��.,�.� k�' �-� � � ._ �. �; � �� .�� : �� . #�� : a.,.�. ��.��..�.�� ,... �.�,_,. . :�- .� �..��,��,.�u,, W.�, ,�.��.R.�.� ��.�� ,—� �k�..�. ,, � ; .� ` : �� w�,_ , ��,� . �. .��,� , ,.,� _ .� �.�.,.��.�....� ;. . � �w � �� . ; ; � �� . ��,��..�. .�,��.�.�. , ; ,��,..�...,.::,. .n. �. .��: _ , ,.:, .—� �, _ � � ,��: ��.� ��:?�� :�..��.�`��.�.�� .��_ ,, ; i' �� N. � y � .. � y �� .,.�� .. �I"�FId7��F: ` �-� �� : �� ?d`� a� ��a -�. �;.s,.� � . .. . .. �..,.. �wc. :--w+r� . ��a�+�.e�.+rmr xx�,x.-��:�+�^F. , .�.�>w. '�".-+:"�+�.'v°'�mw.y�,•'..+x��;�.�`"'°� �, �. �, ��'��'��r�.�+�� i��.�:x�f�cr��;.: � � <s �..�.-�`� �,��,�. �„.,.-.�,�� , �� .,.; :=� ,:�.��, < <,,.. ., ,.. ,r. �� .� +��F��„��`��E�'��i�'�Q��'�"��'�,�t.. � � .. t,fi�s.t��'��"��M� �i;'�� . ,:.��c'�4�»�.�!�'rr�u�.�r.��#�lies�i.�R ��r��,;.: ; , . � r, ,'��` �'t'i�e t��a,,��;��a�C�.,SS�£.��#x 33�4'6'b��r�'��s'�F �a.� � ; ._ , , �,�..�,,,.. ,:,.;....s.��:<.�:r_«�:.�....-.�....�w,-�..-�.•..�.�,�.�.,..�xu<�,�... �.-� ...,,..-,,..-..- � A. f�.� ��d a't ��.....:..:��::,::.,:..:=�o..,.w.,o-�>.a�-:,�..�w;.�wn, .....x-r--�.. �.._r.n . �r,r�-er•�R3�v;,+.w..ewrkr..�+�.;as:au: ae:e.::.e....xix�+.w�-r� �. . '%.��5�:59)a'.��9,`��"'�di.i°,�'� ..� ,�a,�.e�r.: +x.,�r+:�..e-=�fiL��'.'. d+....��r��.,,.�.�o..r„.� .�*»•.-.y.......••„.�.-n.e..-..-- . . .: .��ra..wm,.�..�...., . . . ....... _ .�.r.» �v..x��.. ... ��;.e . 5 % ..._.... . . . . . . . .. �,� d.i7��C�;��`��`��'��i'�.?�' � w.�,.:�-.s�.,�.nr,:,c--,.w . .. .. . .-- � . ,,.,,.wm.o,*:xw+« ..�w.-.4.v»..,-... .-. .. .. , ........� . � � .. . . . �'��w.....�.�.r.....' .o;,��... � ..xa:.��.zx�w�.x:o-y...........:....en.a. ... '� ..� ? �R�s��`�11�I��Y�4�t"�g� ,,,., _ �`#��: s y�' '�.n M��Myr��.tt 1a.9,�.«'�sx •�a'Wi0 K�sm„m�r.�mw+v a hT.aPb�"�3y �` v�.wfi r+#w ^-M'.?"�f'Sv.+G a+c�w ��e'�:+��✓h aix+Y �' aw.mmyvp.�p�,nwr,r�,. � .�$E��2 .R3RFTd . �. 1 ...� '�:�� . .V� �� . . }*FAl � . � ;+=�R�` �t �1�'� � �.� � ��, ,�'�`I� a ,� r� .. � �:., 1 �. .- � � ,. . .1 .. � . �;> �w:��,.:,. �.a�:.skw ,,.�wdc�� a,e+:..,,<:.:�,�.�..h.a.��.�,v �:.m-��:.:� w'£.,'�-=..:,. ,r,.ss,sw. ,�m:?�ra .':��":��.a.u:�H'�n�x-'`��,m�'..��. v-�z^wx.i�:� �x ... .. ..... . . . . . . .. . . � � ".^t�*� .. �%�.�'A9°�"r��f�i �f jih".clt$e��a.4�'!�#�x�.::��2t$�Slkift?P��cln$$+f'.�a��, '�"��'*'�s� ..: y'uiFd'�^'"R'"��(�,t�.'��t.tl��"3t+!ioit��`,�r.#�',,`.r;�E."A��'+�1F,li�t`tf�#��.'.S�kv'.'�..Y�. �t;'�.��:f.H-�"�€'��',a�.H�+,'�.��:.�: � .. . . . .�. . . .. .... . . . �Y�,*,�.ak�,�fr�"�i9�k[k�#J'�S*:�+'.sk�as+��Y�r+�r�t��`�f��'��!�st1��'�'�Raz��p?3A�"�i��'�Jt � #Pt�x�+��'��+%'��}�� _... . •.. _�:r�E�:��a ��.t�:�a�+��s:e�� a�ri:�� :��;��,�i,��.��:�a:��ra�:�.�� t#��^�r�,��,�°s , ��^?�z�:��s4�v�:�.�;�4� r�"�tt�.�,��m��s��w:��rc�'v�..x��.��'tsd�C:;�`�.�.:... ... : .... ..... ...... #��r'+iw��xr��'�t`�: . . ,..:. tr��'�rt*�a�'�9��. . �i��f+�#t�t��'',��.�. . �+��r'��+::. �1��'1 . � :.. ' , . ��E ��i�. �„a�;l�M=, . ... ... ... . �:� �,,.-�'�,�''��"�N'�+-"` .��.�-.,•. .. . e „..,- - �,§,, ..,....,. .�..,�. �..,.�.�� .. _-.-x..r�T.. ...�.....'_.,_,...;�:;.R.. �. �-.m. ' hl .. � �..cmiSv. ��T��^�i1:�y��``P��.l16.iit4 �� .... : ,r �� .. ... . .. W�, ... r.: .�...�4,.v..�..� .. ,, ��, �� . ..... �. ... . '` �. . � . . .... . .. .. .. ... . . . . .�:�,�i+'•� ,a�i;�., • � �3.�'�� ` DO NOT WRITE BELOW THIS LINE SUB TYPES l 3� � �nl�!��-�e�� Q _ Foundation _ Fireplace _ Porch(3-Season) _ E�cterior 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 building-give PCA handout to applicant DESCRIPTION Valuation �Zd�•�� Occupancy ,S�C-- 1 MCES System Plan Review Code Edition (/1'1�1 2oi� SAC Units (25%_100%?4) Zoning �� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction __�,� Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) �Q 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 �o Insulation Windows Sheathing Retaining WaIL•_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final I Braced Walls Erosion Control �'� Other: Reviewed By: _ �%�!�'1 �i��" , Building Inspector RESIDENTIAL FEES Base Fee �� R�� Surcharge �l�"1� ��G� t��0 , �'.�"� Plan Review MCES SAC City SAC Utility Connection Charge S8�W Permit&Surcharge Treatment Plant Copies � Z�� TOTAL Page 2 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � � �j I � � Permit#: �� " � I Clty 0� ��D�Il � �,� ; b � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 ► � Fax: (651) 675-5694 I Staff: � �-----------------I 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ��'� Site Address:_v137G �oE�j� 4+d.1 Tenant: Suite#: Name:�k�S�/� ��;'�H Phone: ��" �� 3 Y� Res�tler�"t�t��nrr�er . �— Address/City/Zip: �3 � Name:��_��,�ll,�� License#:��,'�r COnti'�C#Or � � Address:_�'�j ��' I¢VC Ciry: � R� ' j State:�N Zip: �� Phone: G��' �'� �y� Contact: Email: ��e,��,� _New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. ` Description of work: Nt�+ ' S�..r� � �r RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/ PVB) � � ��r��e�� / Add Plumbing Fixtures( ✓ Main/_Lower Level) Septic System New Water Turnaround 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, Seqtic Svstem Abandonment,Water Turnaround*(includes State Surcharge) "Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 Septic Svstem New(includes County fee and State Surcharge) TOTAL FEES$ 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.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 T�2►�,, Z-,�� X ApplicanYs Printed Name ApplicanYs Signature �K�R{�FF10E 1�SE Review�d By: Date: Required lnspections: Under Ground Rough-In ` Air Tes# Gas�'es# ` F9na1 �Vleter Related Items: Meter Size Radio Read` Manometer ' Siaff: