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1026 Boston Hill Rd
PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA087887 Eagan, MN 55122 . Date Issued: 12/31/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1026 Boston Hill Rd Lot: 10 Block: 2 Addition: Lexington Square 2nd PID 10-45076-100-02 Use Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Mary Kivi 8910 Wentworth Avenue So Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air David P Anderson 8910 Wentworth Ave S 1026 Boston Hill Rd Minneapolis MN 55420 Eagan MN 55123 (952) 881-7739 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. Applicant/Permitee: Signature Issued By: Signature Parcel Files Cover Sheet Unique ID: 1973 1026 Boston Hill Rd 104507610002 CITY OF EAGAN WATER SERVICE 3830 Knob Road 7 P. . x 21199 PERhUT NO.: Eagan, MN 55121 DATE: Zoning: RI No. of Units: Owner: Blilie Const. Address: Site Address: 1026 Boston Rill Road L10 82 Lexington Sq II Pimnber. Bruckmueller Plumbing o~s U 500.00pd Meter No.: Size:ei gNotr ocl ~ X10.0 pd Read.: Q B C Memyof i efrem to oonroh► W th the El . 5opd - 1.56. 00pd TP oraieeng" "Oil QU1 : 63.50pd meter By Paid: Date of Insp.: insp.: 1 7T, CA9+4 99C 0 PT CITY N 'PAGAN EAGAN, S©TA 55122 ATE { C,, ~g RECEIVED / FROM +L. ,a} Llt AMOUNT & _ AOLLARS ,oo 0 CASH CHECK FOR i UrlQ CODE AMOUNT 2 Thank You i 65124 White-Payers Copy Yellow-Posting.Copy Pink-File Copy Y CITY OF EAGAN 38,3Q.PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12323 PHONE: 454-8`! 00 T ~iLD~iG PERMIT' Receipt # To be used for SF DWG/GAR Est. Value WOOD Date JULY 22,r Site Address 1026 BOSTON HILL RD n Erect C~ occupancy R3 Loth Block Z Sec/Sub." LEXINGTON SQUARIFmodel ❑ Zoning gD Parcel No. 2ND ADD Repair ❑ Type of Const. Vnr Addition ❑ No. Stories W Name BLILIE CONSTRUCTION Move ❑ Length $ X44 SUPERIOR CT Demolish ❑ Depth 47 o Address Int. Impr. ❑ Sq. Ft City EAGAN Phone 454-1438 Install ❑ rc SAME Approvals Fees o Name 00 ~ Address Assessment Permit » 000 City Phone Water & Sew. Surcharge ` Police Plan Review' F= Name Fire SAC -5W' DO RE Address Eng. Water Conn. ! pQ vo f City Phone Planner Water Meter 00 I hereby acknowledge that I have read this application and state that the Council Road Unit -156 00 information is correct and agree to comply with all applicable State of Bldg. Off. Tr. PI. Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date Copies $2 !2 ,r . UQ Signature of Permittee i Total i BLILIE CONSTRUCTION A Building Permit is issued to: on the express' condition that all work shall be done in accordance with all applicable S e of Minneso Statutes and City of Eagan Ordinances. Building Official i Permit No. Permit Holder Date Telephone # Plumbing -7-29- Electric I Softener Inspection Date Insp. Comments Footings 1 %j Footings 11 Foundation 'E Framing k Rooting Rough P1bg. { Rough Htg• i insui. ~(G I Fireplace Final Htg. aIG.I?o Final Pibg. .0 ' Bldg. Final Carl.Occ. v4 ; i Deck Ftg. Deck Frmg. 11 Describe Location: Well Pr. Disp. i r` CITY OF EAGAN 1395 7 fa 3830 Pilau Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE; 454-8100 i~ BUILDAG PERMIT Receipt# w To be used for S WIFi POOL Est. Value $1010 0 pate LY` 24 t J47 Site Address 1026 BOSTON HILL Rb MOFFICE USE ONLY Lot lad Block z Sec/Sub. LEXINGTON SCXA.R On Site Sewage occupancy ADD MWCC System Zoning Parcel No Pill On Site Well Type Of const City Water (Actual ae owat" Name DAVID ANDERSON (Alla Address SAME # of Stories it City Phone 681-0598 Lengt t h S.F. Total' Name PACIFIC 39CILS FootprintS.F. Address 6922 551h. ST NO APPROVALS FEES r City '-)AKDALE Pfione 770-1313 Assessments Permit ' Water/Sewer Surcharge w Name 'Police Plan Review = E Address Fire SAC, City Z Engr. SAC, MWrC m City Phone Planner Water Goan. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information iscorrectaridAigreetoepmptywithall applicable APC Treatment P1 State of Minnesota Statutes dCity of E an Ordinances... Variance Parks Copies Signature of Permittae ! TOTAL PACIFIC POOLS A Building Permit is issued to: on the express condition that all work shall be done in accordance, with all applicablo Stake of Minnesota Statutes and City of Eagan Oitlinanca& Building Official Permit No. P V% t Molded as" Tea Plumbing H.V.AC Electric 7 Softener Inspection Dote snap. common" Footings I _ Footings If R Foundation 1'-~ " 1t7~p Framing Roofing Rough PU3g Rough Htg Isui. 1w AeAL/ Paw? ,yam, s Fireplace Final Htg Final Plug Bldg. Final Cert. ©cc Temp. LP Deck Fig Deck Frmg Well Pr. Disp i ' P'ERA/IIT # PLUMVINIGPERMIT • , CITY OF EAGAN R&EfPT ` PILOT KNOB ROAD, EAGAN, $5121 DATE: CONTRACT PRICE: PRONE; 454-8100 • Site Address ) Zig BLDG. TYPE 1N1PC N Lot BioCk SOC/Sub / F "w w w ?;;I/ Fft& uz NOW Name Mug. Arid-on •"c'• Comm. Repair Address 6' Y _ City phone Other r r _ .v FIXTURES TOTAL Name GC cf .r a. ,~v « -Water Closet - $3DO BeCh Tuts -$3.00 Address © Cityr Phone l1 t/ - t 3' La - $3.00 XShovw - $3.00 Kitchen Sink - $3.00 FEE'S Urinal/ det - $3.00 - J COMMAND FEE - 1 % OF CONTRACT FEE TI ;ur,&y Tray - $3.00 MINIMUM - RESIDENTIAL FEE -$10.00 ! Floor Drains - $1.50 ! ' MINIMUM COMMAND FEE 20.00 ---L-WaW Hester _ $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Piping Outlets $y t -Gas BEYOND $1,000.00) So+er - $5.00 z Well - $10.00 Private Disp. - $10.00 _2-Rough Openings - $1.50 SIGNATUAE OF PERNpTTEE < fIl ` c- STATE SIC: FOR: CITY OF EAGAN GRAND TOTAL: 3 ~ ` WT Vr T MECHANICAL PERMIT S - x CITY OF EAGAN SOT KM)B ROAD, EAGAN, $5121 ATE: CONTRACT .454-OM Site Addre BI..D©. TYPE VWORK Ohl Lat 0 Block sec/5 ReS. Now r Name 17 N Mult Add-*n c City 'E Z P / E Repair 1 ther Name A RES. HVAG 0-100 M BTU jW A Q :City Phcxte / ADDITIONAL 50 M STU - ~Di} q ADD-ON AIR COND. 0-24 STU - um TYKE O WORK ADDITIONAL 6 M BTU GAS OUTLETS Forced Air ~SO~O M BTU COMM/IND FEE - 1% OF CONTRACT FEE RIoHer M BTU MINIMUM - RESIDENTIAL FEE - 1d.fJ0 Unit Hater M BTU MINIMUM - COMM/WD) FEE - 20A0 Air Cartel. _0* 0 M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD130 S1C IF PERMIT PRICE GOES B N $1,000.00 - Gas P!Airj__Qut#ets # -Outer FEE: I S,~ • ' ' 100 S/Q NATURE PPERM1 TOTALSfp w FOR: CITY OF PAGAN r. r 7 c " .T .1 ~P W[~ p1. N1 Q -J' 1. T _ pY- •++fW i 7`Q ,1 PERMIT # 72 CITY OF EA~GAN REM PT # 7-6r U30 F+ U)T KMX ROAD, EAGAN, Milli 55121 DATE: COMPACT PRI[CE; Site Address l LDM TYPE K Lot /ep Block Sec/Sub Res. New NaW Q Mult Add-on f Address ZZIeZ Comm Reps City Phone • y Other Name NO. MUM TOTAL ' Water Closet $3DO , Address 1 ' Tubs - $3.00 p City -f-Phone - $3.00 - 00 - J tchen Sink - $3.011 FEES COMMAND FEE - 116 OF CONTRACT FEE Urinal/Mclet - $3.00 T /f ~~,ndry Tray -$3.00 MINIMUM - RESIDENTIAi. FEE -$10.00 Floor Drains - $1.50 - MINIMUM COMMAND, FEE - 20.00 _water Hester - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool - 1 -(ADD $.50 S/C IF PERMIT GOES GPiping Ours - $1.50 BEYOND $1.00000) 7 nor - $6.00 ° ~E"eol - $10.00 1 Private Disp. - $10.00 Rough Openings - $1.50 3n SIGNAYURE I RER9+~ FEE: i STATE $IC: ' FOR: CITY OF EA(GAN GROW* f t This request void I!O 7 r 18 months from 082150 z-1 Req Da1~ Fite No. V-9 -in n 'peion edQReady Now Will Nos [I No Al' When Ready censed Electrical Contractor I hereby request inspection of above caner electrical work installed at: Street Address, Bo or Rout No. i~ CI 71 C b hY Section No. ownship Name or No. -Range No. Occu a, (MINT~P - P e CtV__, Po up I ier Addre %s jAutrzed r al on ctor IC ame) Contract is License No. n ddress ICon a to caner Making Insta' t n) E Sig toe (Contractora ng Installati n mbr ES A STATE BOARD OF ELECTRIC Y THIS INSPECTION REQUEST WILL NOT s-Midway Bldg.Room N-797 BE ACCEPTEDBY THE STATEBOARD University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 See instructions for completing this form on back of yellow copy.. 113 -1 50 "X" Below Work Covered by This Request d Rep. Type of Building Appliances Wired Equipment Wired Home age Temporary Service Duplex Water Heater Lighting Fixtures Apt. Bui (ding Dryer Electric Heating Commercial Bldg:- Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) they Specify Other Other Compute Inspection Fee Below Of Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee Circuits 0to200Amps 0to30Amps 0to30Am s Above 200_Amps i 31 to 100 Amps 31 to 100 Amp, Swimming Pool Above 100_: Amps Above 100-Amps Transformers- irrigation Booms -Partial/Other Fee Signs Special Inspection Remarks OTAL F .pp Rough-in D the Ele C.-A-91, inspector, hereby c rtify that the above Final DJ- ~spection has been ,0 1 V made. This request void 18 months from This request void 18 months from lE-~ Request Date re No. Rough-i Inspection Require _ ❑Ready Now ill Notify. IInspec- -ell -IM ❑ Yes ❑ No t When Ready icensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box r Rout No. City 1) aG 6LD U Section No. Township Name or No. Range No. County Occ ant (PRI T) Phone No. 3 f PwAddress E al ntrap44~mpnylVame) - Contra ores License No. Ma g Address (C ractor or Owner Making Installation) S Auth ized Si nat (Contrac / r M king Installation) Phone Number -a 3 MINNESO STATE BOARD OF ELECTR ITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. rr_ REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 'See instructions for completing this form on back of yellow copy. -X- Below Work Covered by This Request -082144 No. tadd Rep'. Type ofAuilding Appliances Wired Equipment Wired Pterne Range Temporary Service Duplex Water Heater Lighting' Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. r Conditioner Bulk Milk Tank Farm At her (Specify) Other (Specifyi. t er (Specify Other.. Other Linpute Inspection Fee Below 00, N # Fee Service Entrance Size # Fee Feeders IS ubfeeders # Fee Circuits 0 to 200 Amps _ 0 to 30 Amps 0 to 30 Amps Above 200 Amps' 31 to 100 Amps 31 to 100 Amps Swimmin Pool Above 100_____Amps Above 100_Amps Transformers Irrigation Booms Partial;Other gns Sp ial Inspection 3 Remark's TAL F Rough- inDate 1. the Ele ric Inspector. hereby certify that the above Final Date _ inspection has been ^Ftr made. This request void ill months from This request void 18 months from D 31983 eques`t Date Fire No. Rough-in Inspection Required. OReady Now 11 Notify Inspec- es ❑No *or When Ready %'-Licen Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, B Route No. City Mau r 56-AN Section No. Township Name or No. Range No. County O cupant (PRINT) Phone No. e t!~ I Power Supplier Address El tricaI Contractor (Company Name) J Contractor's License No. Nze-o Mailing Address (Contractor or Owner Maki g Installation) 3Sized Signature 1 o trac r/Owner Making Installation) Phone Number MI OTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. K REQUEST FOR ELECTRICAL` INSPECTION a-« Es 00001 Os . 111, See instructions for completing this form on back of yellow copy. i. q 8-3 "X" Below Work Covered by This Request Add Rep. -Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) t er Specify Other Other ompute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders /Subfeedeis # Fee Circuits 0 to 200 AMPS 0 to 30 Amps 0 to 30 Amps Above 200-Amps • 31 to 100 AMPS 31 to 100 Amps 00 Swimming Pool Above 100Amps Above 100-Amps Transformers Irrigation Booms Partial-Other Fee Signs Special Inspection $ Remarks IOTA -PK Rough-in _ Date :nth Electrical Inspec y certify that the above Final Ye inspection -has been made. r this request void 18 months from CITY OF EAGAN NO 13 9 6 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # --I q To be used for SWIM POOL Est. Value $10,000 Date JULY 24 ,1987 Site Address 1026 BOSTON HILL RD OFFICE USE ONLY Lot 10 Block 2 Sec/Sub. LEXINGTON SQUAB On Site Sewage Occupancy 2ND ADD MWCC System Zoning Parcel No. On Site Well Type of Const City Water (Actual) oc Name DAVID ANDERSON (Allowable) W # of Stories 3 Address SAME Length 0 City Phone 681-0598 Depth S.F. Total c Name PACIFIC POOLS Footprint S.F. ou Address 6922 55TH ST NO APPROVALS FEES City OAKDALE Phone 770-1313 Assessments Permit 93.50 F Water/Sewer Surcharge 5.00 m W Name Police Plan Review E W E Address Fire SAC, City Engr. SAC, MWCC W Z City Phone Planner Water Conn. a Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree t omply with all applicable APC Treatment Pt State of Minnesota Statute d.6it of ganOrdinances. Variance Parks Copies Signature of Permittee v TOTAL $98.50 A Building Permit is issued to: PACIFIC PO S on the express condition that to W utes and City of Eagan Ordinances, n all work shall be done in accordance with all appnrx~; Building Official CITY OF EAGAN 3830-Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12323 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. value $69,000 Date JULY 22, 1 g 8 6 Site Address 1026 BOSTON HILL RD Erect L~ Occupancy R3 Lot 10 Block 2 Sec/Sub. LEXINGTON SQUAR]Remodel ❑ Zoning PD Parcel No. 2ND ADD Repair ❑ Type of Const. A Addition ❑ No. Stories W Name BLILIE CONSTRUCTION Move ❑ Length 38 644 SUPERIOR CT Demolish ❑ Depth 47 o Address Int. Impr. ❑ Sq. Ft. city EAGAN Phone 454-1438 Install ❑ o Name SAME Approvals Fees Address Assessment Permit $ 340.00 City Phone Water & Sew. Surcharge 34.50 Police Plan Review 170.00 F W Name Fire SAC 575.00 U~ Address Eng. Water Conn. 500.00 a W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 Ihereby acknowledge that Ihave read this application andstate that the Bldg. Off. 7/23/86 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of APC Parks Minnesota Statutes and City f Eagan Ordinances. Var. Date Copies Signature of Permittee Total $2,129.00 A Building Permit is issued to: BLILIE CONSTRUCTION on the express condition that all work shall be done in accordance with all applic le a of Minneso Statu s rid-CiAg of Eagan Ordinances. Building Official clrlr of EAGAN WATER SUVICR. PERM, 3830 Pilot Knob Road 775 P. 0. Box 2119:9 PERMIT NO.: ' Eagan, MN 55121 DATE: Zoning: 91 No. of Units: Owner: i iEQIIffit . Address: site Address: 1026 Boston Hill Matt L3;G B2 Leziaztou Sq 11 Plumber: Bruckwel.Ier Plu iuy. Meter No.: Connection Charge: ADO. OQDSI Size: Aa:ount Deposit: Reader No.: Penait Fee: 10, ( ltsc 1 agree to -0 lph With lie City of 11109a" • Ordinerrae. Misc. Charws: 156 . Dfd IF t Total 61 _ SO„d impt w,- By Hate Paid: Date of Insp.: Insp.: - I CITY OF EAGAN Som SwX** 3830 Pilot Knob Road P. O. Box 21199 PERMIT' NO.: 8902 Eat, MN 55121 DATE: 7-30-t36 Zoning: - No of Units: T a O"r 11111" Csue't - a Address Site Address 1826 t 11111 Rd L10 B2 Lexington Sq. 11 ~ Plumber. Bruckmaeller 'Plumbing ~s 7-23-86 100.00pd 1 sym to eeapy wkb► do Cky of Connection Charge: 6 2 5 a$ Ordhewew Account Deposit: d Permit Pee: Surcharge: rt/~ a BY AM= Charges: Date of Insp.: Total: Insp.: Date Poid: PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / ate / CIS Site Address 0a &J I 1 l unit # Td, Property Owner CbD.~ f iY lQ tf cm Telephone # Contractor 12725 N' le St. NW Address COON Aa"nq694 4" city State Zip Telephone# 0) (0 The Applicant is Owner contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions,` excluding water softener and water heater _ Abandonment of septic system Water turnaround 5/8" meter if needed- $121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system Water softener Water heater $ 15.00 replacement _ additional D ~j U State Surcharge $ .50 L~y Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pe 't; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~I c claw c.. Applicant's Printed Name A licant's Signature RESIDENTIAL BUILDING PERMIT APPLICATION 1 q, ! CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements Ra ResmirReauinmR»ts , • 3 registered site surveys showing sq. t of lot, sq. ft of house; anct@ roofed areas • 2 copies of plan (20% maximum lot coverage albwed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterv additions & decks 1 set of Energy Calculations • Indicate 9 home served by septic system for additions • 3 copies of Tree Preservation Plan N lot platted after 7/1/93 • Rim Joist Detail Options selection sheet s with 3 or less units) DATE d VALUA'ION JOB SITE ADDRESS C.7 Z_/2 IF MULTI-FAMILY BOIL G, HOW M Y NITS? PROPERTY OWNER TYPE OF WORK FIREPLACE(S) 0 _ 1-+- APPLICANT PHONE# ADDRESS Zen! S ZIP CODE PAGER # CELL PHONE f;/2- l FAX # ~ :L92 NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor Phone Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor, Phone# Mechanical System Includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information' corr ct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga nun s. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required updated 1/01 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pont ❑ 30 Accessory `Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea,) ❑ 31 E)d. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 ° Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level 0 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg,,, y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition ❑ - 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldar ❑ 43 Reroof ❑ 46 Win WDoors ❑ 34 Replacement vornolltion (Endre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System y Census Code Zorning City Water, SAC Units Stories Booster Rump Nbr. of Units Sq. Ft, PRV Nbr. of Bldgs Len ,0 FireSprlnklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final No C.O. _ Footings (addition) Plumbing Foundation HVAC Drain Tile Roof _ Ice & Water Final Other Framing _ Fool Ftgs Air/Gas Tests -Final Fireplace _ R.I. Air Test Final - Siding Stucco ^ Stone Insulation o Windows (dew/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAG City SAC Water Supply S Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY' CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH `ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: 5CV4~~"V & Valuation: Date: Site Address )Cct OFFICE USE ONLY Lot -f -o Block On Site Sewage Occupancy MWCC System Zoning .-2 17~ Parcel/Sub On Site Well Type of Const Owner jh6b,12 City Water (Actual) (Allowable) Address 1v26 # of Stories Length F. Total City/Zip Code S.P 6L1 / Footprint S.F. Phone qt APPROVALS FEES Contractor( Assessments Permit So ,vs~~Sf Water/Sewer Surcharge 5, Address U Police Plan Review Fire SAC, City City/Zip Code 4-4W.Z, - ~ /V 5S Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 i Variance Parks Address Copies TOTAL Q- 5 0 City/Zip Code Phone # 10, 000.00 M.W. 1 Copy: offl4w -200 Filter Copy, Grew Chief Pacific Pool & Patio 3 Copy: Municipality Heater 4 CopACustom1r A Minnesota Packs Products Company Brooklyn Center Store No. St. Paul Store Burnsville Store Ridgedale Store 4321 - 68th Ave. No. 6922 - 55th St. No. 1278 W. Co. Rd. 42 12500 Wayzata Blvd. Brooklyn Center, Mn. 55429 No. St. Paul, Mn. 55109 Burnsville, Mn. 55337 Minnetonka, Mn. 55343 (560-6442) (770-1313) (435-3500) (541-9180) CREW CHIEF 12587 16 X 36 SJ6 Equipm@nt eeded ACCOUNT NUMBER POOL SIZE DATE Back hoe - ❑ ob Cat David Andersm 681-0598 ❑ Cat Truck NAME HOME PHONE 0 Snow Fence 0 Uni-Loader 1026 bostm Hill Ri. 296--7932 STREET WORK PHONE Dgan, MN 55123 Inspections Contract CITY STATE ZtP CODE 0 Walls ❑ Plumbing e 0 Footing DIRECTIONS 0 Before Backfill' Diagram pool site in relation tofiouse, ara e, property tine and wires. (Allow 3" variance). , ,l 1 f if n r7 Pacific Pool & Patio will make application for and pick-up your swimming pool building permit. (Electrical, gas, fence or other permits are the responsibility of the contractor doing the work). k' The actual cost of the ermlt is the responsibility of the home owner and Pacific Po6 es Patio will expect to be reimbursed for this permit cost within 30 days of obtaining the permit for you. Signed r Date f ark location offiiter and/or heater by (#2). Lo tion for disposal of dirt: dicate deep end by (X). -A-°(); Q4es Customer is a retain any or all dirt from pool Ell Pacific Pool & Patio recommends that customer install xcavation: 1 (As soon as possible following pool con tru tion); adjacent to ❑ dill any. obstructions be encountered - st~,ch as trees, 1. Rain gutters adf Pool clothes pgfes or power/phone li.ges etc.: - , / j t- 2. Retaining wall where diagramed 3. Run off control or drainfietd 4. Permanent or temporary fence . ,Y evation froti, location marked A" in diagram: h how type and "llVation of slide if applicable: ` * * * CUSTOMEXALSO UNDERSTANDS & ACKNOWLEQGES THE FOLLOWING Normal Excavation time using a bt hoe and dump truck is less than one day. X_s. If Limestone, Sandstone, Shale or any uisual substance, like construction debris or backf ill material that is untAeable In the construction of this pool, the customer is responsible f . the cost of removal and replacement of suitable materials. X ~,4' If removal of dirt requires cat or uni-loader ors pecial equipment customer will be charged by the hour forthe extra time and equipment a„, used. X Tress and or tree stumps are the responsibility of th4gustomer and must be removed before construction begins. X r Some damage maybe done to the yard and/or drivewa %ntering and leaving the yard during construction: Initial Customer a:;sumes responslbitity for electrioa1, wiring and nding of the pool (including permit It required): Initial Customer assumes responsibility for the gas installation of heaif applicable (including permit if retired): Initial If debris, structures, or substance foreign to normal soil should bIcountered while excavating which requires abnormal handling and/or disposing - Customer shall assume responsibility If any extra ate are incurred. Initial If you wish to change: filter position, slope of land, or anything else state this outline, please call our office - M0313, r Crew chiefs are not authorized to change anything on the job or make any prow s for wbtk to be done by them. Any changes that are not authorized by the office will be charged qt# standardOote no exceptions ,N,,, Pacific Representative Signature r Cust Signature F i 6 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL: UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: s, pQ,~ L Valuation: 40 000 - Date; Site Address OFFICE USE ONLY Lot Block Erect Occupancy Remodel Zoning Parcel/Sub keLfyg Repair Type of Const T~ Addition # of Stories Owner Move Length Demolish Depth _L Address Int.Impr. Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor rf Assessments Permit. ~d Water/Sewer Surcharge _V 1, 0 Address 2~1rw-y- Police Plan Review /70 Fire SAC -177S City/Zip Code F Engr Water Conn Planner Water Meter 3~~? Phone Council Road Unit Bldg Off Treatment Pl Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ~exz~ z 3 x y-A-2 x-~b 4A 340.00 34.50 + 170.00 + 575.00 + 500.00 + 63.50 + 290.00 + 156.00 + 2129.00 NOTE: PAYMPMT- OF M AT TIM OF CITY OF EAGAN APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. x• APPLICATION F OR PERMIT • • INSPECTION OF SEWER AND/OR MOM INSmuaaTIONS WILL. NOT m scmm- SEWER AND/OR WATER CONNECTION ~ Ur,ED UNTIL PERMIT HAS BEM - * APPROVED. a (Please Print 1) PROPERTY ADDRESS: /de? LEGAL DESCRIPTION: Z- ex /;I `l S UaA-C 2g,1,q, W Lot B ock`Subdivis on or Tax Farce ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon ear Q CO MRCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY C[ INDUSTRIAL R-2 DUPLEX (Two Units) n INSTITUTIONAL/GOVERINZn T R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) r NAME: J// "If e rawer ADDRESS: GL ~ 1644 P1-t d v /c Lr " CITY, STATE, ZIP: PHONE: 3) For City Use NAME: iY/l' hr Pluabers License: ADDRESS: y J? r- Active i CITY, STATE, ZIP: Expired - _ .Not recorded PHONE:_ 7- 0" 'Y MASTER LICENSE# St Initial NAME: ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER p~( CONNECTION TO CITY WATER OTHER 'FIN 6? _ • r- [ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE' - - PLEASE MAIL APPROVED PERMIT TO 1, 2,0 4, ABOVE _ (Circle one) 7) WINRIN FOR -CITY USE ONLY PERMIT # ISSUED f -7 7 Pd w/Bldg. Permit FEES: $ $ / U S~ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ i (y Q ACCOUNT DEPOSIT ..7- SEWER $ $ ACCOUNT DEPOSIT WATER $ ~6 o, C9 y $ WAC $ 7 , 0-0 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ^ CJ O $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 2-= ? `t $ TOTAL -7_ _12 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES -IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING U NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : d ~i~ REko z Arxa A''~li PLOT PLAN Z404 Scale -,I inch - 20 feet X103 - - r = " - - 9? 1i- t7v 1 :4 71 -4- -44 fl- ?"1':"" tea. - + ~ ~?i-+ 1'+ +.1 ~.-dl :.-u~.. 'r'i- - _ ' ~ a il# T7 I 1-4 _ -rte Must show location of streets, lot and proposed buildings, give lot dimensions. (Lot corners and building site are to be staked before appraisal is requested.) EXTE4 VNCLOPt AVEP.AGE "U= COMPUTATION h •Z OWNER, SITE ADDRESS CONT11t1C1'dR 47- DATE 6 PHONE- Oetermi'gg work i ng. square footage of each. 1. Total-exposed V;a1T area . X252,33 _ sq. ft. x .~W f7 2. Total roof/ceiling area sq. ft. x St. 7gta1 exP:gd wall aria above floor 3 a. Total wall windv.4 area ` .2..24 b. Total door area . • c. Total sliding 91a;ss. door '4rea d. Total fireplace Wall. area 20 ' e. Total wall framing area; (average 10%} f, Total net,`wail area above floor / - g. Total rimjo' st area r Total exposed foundation area = 6.33 h. Total foundation window area... - i. Tool net ,foundation area abcve grade ' K3W ' Deter-m. ine "U" value of each wall segment. - y a. x "u b. 77 x U.01.23 (0.5- d. x uu„ e. X43•, x ilu„ ..2q X fluff, D , f. / g. /340 x stuff •~V = J•G h. x i.U l; 3. t..... ...........Total = 01~~, 3 If item ,3 is the same as, or less than item #1, you have met the intent of SOC 6006(c)2. Total exposed roof/ceiling area j. Total skylight area . k. Total roof/ceiling framing area (average 1. Total net insulated roof/ceiling area.......... Cl~3,G Determine "U" value for each roof/ceiling segment. J - X 11US1 _ X „U„ • Q-'S = .~y.3~ Y 4.............................. ....Total = ? If total of #4 is the same as, or less than =2, you have met the intent of SBC 6006(c)l. Alternate Building FnvElope Design TO utilize the total envelope systen method, the values»established by the sum of items 13 and `4 shall not be greater than the sum of items #l and g2. 1 • alt, + z 3 3.940 = G _ . P7- 3. V27. T!r + 4 32 ?_a~ ~(o0f t7 i I r . U i 5+► o c n gcta va i i 1►'rr~' Nr A-Valae frame c:o►asCructkon Construction 06 $ASX: 6. Extcr: •r air film 0.7~ - ~ WALL - r `i ~t al f 1 FIG. 111 TOPVIEH OF' FTWIE WALL . Interior air film 101 6: Exterior 6ir f i l r:~ 0.37 Total FIG, #2 23,03 I. interior air film 0.68 V. 4 . - Sf L 1YrA L rA Vic: i?;la: al 'rJ w r.T, Z ~ ' b. S,rteri~r it film 0.17 Total 1. Interior air film 0.68 2. 1.26 JALLL 41* Q* 4. u , '~'..!7=.^~ f S . c~ •r , P 1_ 6. Exterior air film 0.17 n •rotal 7 39 SLAB ON GRADE r ~ ' I r~ I 1• ~ ~ 4 _ P , lit rib N3 tt/ y N r`„ value, -death and:. y Indicate typo, WtYfE: Indic • r • placement of insulation. Boor/CEILING rj~r Co3isirtictia» R-Valuc V 4. Intcri r .iir film- 0.61 57 4. F.xtnrior air film (!.till) 0.61 it if Total v r EZ' _ - Vented Meat flow 7 up # FIG. #S 1. Interior ai film 0.61 ♦.n.!♦,...a-u_-«•,.c~•_T~;1."•~-','y'1~.~.rl.^_~C..O .-1Sf•..1 2. ,r 4. Exterior air lm sti Total peat flow up .vented i FIG. X16 3 5 1. Inside air film / 0.61 011tsid . ir film 0.17 Tota 1 Z HOV-9ENTED Note:' Use additional sheets if more space is nee ea for details and calculations. • f lov up t~ *7 F . tow RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~5"1 t /01 1 Site Street Address l O 0 e)ncl r m ('R Unit # Property Owner &U01A A AJ0_r C Telephone # (W) _ 52a Contractor Q Telephone # b(f~ Address a S < ,st1 City A(Tr Pl A,..... State i LI Zip aS j The Applicant is: _ Owner Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. ff you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment _ Water Turnaround (add $130.00 if a 518" meter is required) Other: _ Water Softener Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ ~,,PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $s 1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to reviewed and approved. (J~So, Applicant`s Printed Name icanVs Slgnature SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 o,(952) 881-9000 TEST RECORD 1Ta,,l gILL, gb ~.AG 4 r+l 1 ADDRESS CITY OCCUPANT OWNER ~JL-OLLIA) A~ 11"- SOLD BY ~L INSTALLED BY MAKE (~G'~✓~t/e k MODEL G 2/~~~l~a SERIAL NO. 5q D P) INPUT THERMOSTAT VENT SIZE VALVE TYPE OF LINER LIMIT LINER SIZE / LIMIT SETTING FILTERS: E lecay)~ NUMBER + FAN SETTING 1►- WIRING LYLAlf PILOT TYPE ~/u/ ► 1 TEST TAG IGNITION MODEL LIGHTING INST. PILOT TIMING DATE TESTED PRESSURE ` PERCENT COZ logo COMPANY TESTING /e, u INPUT CFH PERCENT 02 & O STACK TEMP. PERCENT CO NAME OF TESTER FORM 235 (REV. 11189) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY PERMIT City of Eagan Permit Type:Building Permit Number:EA117836 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 1026 Boston Hill Rd Lot:10 Block: 2 Addition: Lexington Square 2nd PID:10-45076-02-100 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 . Laurie Fugate 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 - Tracie J Valencia 1026 Boston Hill Rd Eagan MN 55123 Glacier Companies 14190 Bayview Cir NE Box 727 Prior Lake MN 55372 (612) 202-2930 Applicant/Permitee: Signature Issued By: Signature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`'U3$0-%,3 !)\[(;'.400&'U,0N'*L0->0!()\['# 1 -'\\,$$'E+ =3L3C0'2Z'';;G:"53C3-'2Z'';;!)G SX;)T':F\[9\[\[\[! 7'/040?A'3%&- N$0+C0' /3 '7'/3L0'403+' /,1'3BB$,%3 , -'3-+'1 3 0' /3 ' /0',-M 4P3 , -',1'% 440% '3-+'3C400' '% PB$A'N, /'3$$'3BB$,%3?$0'= 3 0' M'2,--01 3'= 3 > 01'3-+'., A' M'53C3-'K4+,-3-%01O *BB$,%3- \]604P, 00 '=,C-3 >40711>0+'#A '=,C-3 >40