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1790 Bluestone Dr E Use BLUE or BLACK Ink For Office Use l City of Eanon Permit I 0 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Receiv d: J Phone: (651) 675-5675 I Staff: I Fax: (651) 675-5694 I 2011 RESIDENTIAL PLUMBING PERMIT APPLICATI N Date: Site Address: 90 F-4-sr IV tSID &I a k . Tenant: Suite M RESIDENT / OWNER Name: Phone: Address / City / Zip: f / n CONTRACTOR Name: M A -S ~tJ✓`'~ ~I nJ{ License#: Address: 93, -S I 4A S4 nJ'^iCity: -5 ,4(:;~ n'°r S State: ~/'I-) Zip: S-:K-v-70 Phone: Contact: i-F,), Email: TYPE OF WORK _ New 1~eReplacement -Repair _Rebuild _ Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) .3 Add Plumbing Fixtures ( 3Main / Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 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) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 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.gopherstateonecall.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 /4 x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final CITY OF EAGAN Remarks - Additio _ CEMR 90M #7 Lot 7 Rik 9 Parcel , 11 16600 070 09 Owner+ L4 -L ?r' V 70 ~Ep Blue no D7cVe 55122 Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF._ STREET R!ESTOR. GRADING SAN SEW TRUNK .P 1970 58.18 2.00 28 Paid • SEWER LATERAL 1971 20 WATERMAI N • WATER LATERAL 7- 1971 1,615.00 80.75 20 Paid WATER AREA # STORM SEW TRK 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 260.00 3558 5-21-71 BUILDING PER. SAC 200.0 558 5±21-7 PARK i TOWN OF EAGAN 3795 Pilot Khob Road St. Paul, Minn. 55111 11B PERMIT NO. The Board of Supervisors hereby grants toCedar GV*V* CQ"treati®u of 7343 Cmn"rd BIYd B., So. St. Paul 55075 a PL tn~4_ RING Permit for: (Owner) Cedar Grev4 Construction at 1290 E- Bluu terse Drive 7-9-7 , pursuant to application dated _ 51181` 1 i Fee Paid: _ $J20,00 Dated this 21St day of MaY , 197 1 Building Inspector TOWN OF EAGAN 3795 Pilot Knob Road St, Paul, Minn. 55111 PERMIT 110. 112 The Board of Supervisors hereby grants to Ceidaz Oratire Goes %W-U61-f-C-0- of 2343 Cmeez RUC F Sa SkPHI 35075 a c Permit for: (Owner) S*A v. argy Pt S on at X790 Ime . , pursuant to application dated may r-tom j- Fee Paid: Dated this_jj__day of M , 1971 Building Inspector 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan CV. 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address `1 ~I U~ V rS Na -tJ Unit # Property Owner L( ~-e V 0, 'j, f Telephone # ( ) Contractor C (K { ~ a~ J CNt 5 Street Address k-7 (~It 0 C__ UP p SjeN ° City State Zip D a Telephone # (6 rj t ) 6 v 14 ~S1 Uo 3) ~l 7 Bond Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional -Replacement air exchanger _ air conditioner -New Replacement other ~a~ T y Q_ \&20,A e `f State Surcharge $ .50 Total $ t I hereby apply for a Residential Mechanical 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 Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature • S~ Y}'tf ~ry' ~ ~i I ~ i ~ j 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City ( ) State Zip Telephone # Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install -Remove **see below Interior Improvement _ Install Piping -Processed -Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% - $ Permit Fee • If e~ rmit fee is $1,000 or less, add $.50 $ State Surcharge If e~ rmit fee is over $1,000, add $.50 for every $1,000 grmit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: r 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan J'`"P` ~I 3 ) 3830 Pilot Knob Road, Eagan MN 55122 5 Telephone # 651-675-5675 FAX # 651-675-5694 C New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd - Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required `Y - N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date--4~' Construction Cost Site Address Cl~' S~'~ - Q Sci! Unit/Ste # Description of Work 5 C ee !v V w O~ ~JSS dVe( q'~ Multi-Family Bldg - Y N Fireplace(s) - 0 - 1 - 2 Property Owner C-Avy a a'~L_ 13 Telephone # U51 oS-19 -7 7 Contractor _C, °1\(Z-S Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? Y _ N If so, 25% plan review fee applies. ) Licensed Plumber Telephone Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building 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 State of MN Statutes; I understand this is not a permit, but only an application for a permit, an thout a permit; that the work will be in accordance with the approved plan in the case of w i k ht It )?eq i T' * w and approval of plans. v ei) 2015 C~~ ~e~ ~'~va S } J Applicant's Printed Name Applicant's Signature t~.._ OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. 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 (woeeWgeaebe) ❑ 36 Multi Misc. OA!riv ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding A 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant A01V Valuation elw~ Occupancy - MCES System Census Code Zoning City Water SAC Units4 Stories Booster Pump _ # of Units Sq. Ft. PRV # of Bldgs Length / Fire Sprinklered Type of Const E Width _ REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing _ Foundation HVAC _ Drain Tile Other Roof Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing Siding _ Stucco - Stone Brick Fireplace - R.I. -Air Test -Final Windows Insulation Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 4 i k s-- i "o EAST LUTE TON DRIVE i I I i i DOUBLE ONE STORY GARAGE ~ , ~ rr~ ~ yy1 ~~I ONO tam* 1 , , wp vYM.~w • I-S c t 7 i S' Tq,.2 j" ' 2005 RESIDENTIAL BUILDING PERMIT APPLICATION I /I City Of Eagan ~OYU- 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ( 0 0 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y - N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Pian Recd _ Y _ N_ 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required - Y - N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System T Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) li~q Date / 16 / 05- Construction Cost Site Address 1_1 q - . ?s IV tsar - a o,~nJ vtn.y-." Unit/Ste # Description of Work d~ q , ~d1 S 1~ ~tI C X ,S~ c, qX q % Multi-Family Bldg - Y N Fireplace(s) - 0 - 1 - 2 Property Owner 0_0L t-" ~ c~,V d'-S Telephone # 41 05 1 71 Contractor 1..~"C e °f `C' a J d C S dw~Q O ,Q Address City State Zip Telephone # 4 ~f aS 31 ~7`-7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categ_oE 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) ) Mechanical Contractor Telephone Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building 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 State of MN Statutes; 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 rev' approval of plans. ICI a C eC aSd CL C ~ .~I=, " Y I Applicant's Printed Name Applicant's Signa e OFFICE USE ONLY 4 Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex x 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous Work Types ❑ 31 New ® 35 Int Improvement; ❑ . 38 Demolish Interior ❑ 44 Siding AN 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System` Census C'ode'd y Zoning' r City Water SAC Units Stories Booster Pump # of Units _ Sq. Ft. PRV ` # of Bldgs Length _ Fire Sprinklered Type of Const Width_ 41 REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco - Stone - Brick Fireplace _ R.I. -Air Test -Final Windows Insulation _ Retaining Wall Approved By: , Building Inspector - Base Fee 7 ~ oY P ~i iG' , Surcharge Plan Review ~lCrs7iy( I~~Je //~G MC/ES SAC l vrlYr4S 5,#4415€ 4/ 46 City SAC iAi~vt/T Utility Connection Charge 60 _ S&W Permit & Surcharge 1111t- w 51) 4,4f 2 An Treatment Plant L a 7- G6vr~/~~9~lL 6~( License Search Copies Other Total ~GPN~. \ v.~C)q- r ~o EA-ST BLUEST ONE DRIVE". CO\mN ~J 8200' i Q ONE DOUSLE WO Yn I 2005 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 Site Street Address 19 0 [ ~ I A ~S4,13 vi r-- b y- Unit # Property Owner C -CL ( ~ C. - t--kV Telephone # ( 40!~" 31-~ Contractoe r f Fag 0 S Telephone ) V Address 11 City.LIA ;~L Stated Zip The Applicant is: Owner - Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. if oou_ 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 $125.00 if a 5/8" 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 $ ~ a 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 be reviewed and approved. Applicant's Printed Name Applicant's Nnature 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Reauirementsttl....._ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of &W. Rood t (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree#}r OW Recd ! : 2 copies of plan showing beam & window sizes; poured found design, eta 1 site survey for additions & decks F"""Pr tuired [ 1 set of Energy Calculations Addition - indicate it on-site septic system OF0rtesgepti6,System wy . ; N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost 4/ Site Address Unit/Ste # tties re.( Dr E Description of Work V\-Q: ` W L l ~(r A-) ® n1 Multi-Family Bldg - Y- N Fireplace(s) 0 _ 1 2 - Property Owner Telephone # yOS7- 3 17 T RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" WEST Address ROSEVILLE, MN 55113 City State 651-264-4777 Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet . , New Energy Code Worksheet (~l submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? Y _N If so, 25% plan review fee applies. Licensed Plumber 77r~z,, r~u na Telephone ) Mechanical Contractor Telephone # L; } Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building 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 State of MN Statutes; 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 ) a proval of plans. SU Applicant's Printed Name A plicant's Signature OF CE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt- Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ - 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck 0 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Ptbg_Y or _ N 0 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof O 46 Windows/Doors' ❑ 34 Replacement *De mohVm {Entire Bldg} - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) e Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water' Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stuccoes Stone Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total .•v`..d,s,v•,i ~uv s`.uv raid 104 01 l g4tib _ ~hL BD(d1lStC7tiPt wUU re a June?, 2001 City ofd, 3836 Pilot Knob Road Egan, MN 55122 To Whom It may Concern: Elder Jones is authorized to pall building permits for R Elder Jones to provide this kefvift crtewa3 by Aadersen_ Piease stIIIaw date beyond 616101, until a Banc wwal by And aucharization is valid for any to the City. eVROdY revokes it in writing I request this authorIzation be our acccpted'pidously, as to not dale in the building Permits any fux&cr. Please can me If them y Proees~rig of canes at 763-SO2-4706_ arc any qmeWons.. I can 1xi Your imrngdiatc attention to this matter is a edate& . Sinceialy, _ . •i ymvnd"R. Rau . ustalladon Manager Rcnowal by Andersen Corporation CC: Ks _FTc}er 7nne~ . ~N O ~QMAL "ftta ' ar won zoos Rec~ive~ Tire Jinn. 1. ~:O1P1~ EAGAN TOWNSHIP BUILDING PERMIT0 2453 Owner .A A. " Eagan Township Address (present) Town Hall Builder / D e Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost 'Permit Fee Remarks /6~ LOCATION Street, Road or other Description of Location I Lot Block Addition or Tract / 7 9d - A2-~ '7 9 6,& 7 This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROG ESS, This is to certify, that y-~ .............has permission to erect a---- upon the above described premise subject to the provisions of the Building Ordinance for Eag n Townsh' adopted April 11, 1955. . ........................................n Per .....:0 Chair n of Tn Board Building Inspector MASTER CARD LOCATION q, ~Wv Ina • OWNER ~A f S • STRUCTURE AND ~n s Z aQ LAND USED AS Issued To Permit No. Issued Contractor Owner J BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER I Approved Items (Initial) Date Remarks Distance From Well FOOTING •r SEPTIC FOUNDATION CESSPOOL FRAMING 6 TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING d2 7-5 WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NON-COMPLIANCE. BUILDER DOES NOT ❑ NO EVIDENCE OF NON-COMPLIANCE -1 OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ❑ NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ❑ REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION-1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 23 city of eagan 3830 PILOT KNOB ROAD, P.O. BOX 21199 --f BEA BLOMQUIST EAGAN, MINNESOTA 55121 Mayor PHONE: (612) 454-8100 i THOMAS EGAN JAMES A. SMITH VIC ELLISON December 11 1 g86 THEODORE WACHTER 11, Council Members THOMAS HEDGES City Administrator EUGENE VAN OVERBEKE AL & JAN VITCHELL City Clerk 1790 E BLUESTONE DR EAGAN, MN 55122 Dear Mr. & Mrs. Vitchell: During my inspection of 1790 E. Bluestone Drive on October 28, 1986, I found the basement laundry tub was improperly installed. The tub waste pipe is hooked directly into the kitchen sink stack without being revented back into the vent system, causing the laundry tub trap to be siphoned when the upstairs kitchen sink is drained. Minnesota Department of Health Plumbing Code Statute 4715.0220, Building Drainage System states, "The building drainage system shall be designed to provide adequate circulation of air in all pipes with no danger of siphonage, aspiration, or forcing of trap seals under conditions of ordinary use." Since ely, &JA4-a~ Dirk House Plumbing Inspector DH/js I THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: May 18, 1971 Number: 621 7-9-7 Billing Name: Cedar Grove Const. Co. Site Address: 1790 E. Bluestone Drive Owner: Same Billing Address 7343 Concord Blvd. E. South St. Paul, Minn. Plumber; Stein, Inc. 55075 Location of Connection Meter Size Connection Chg.260.00 Rd 5/21/71 Meter No. Permit Fee 10.00 pd 5/21/71 Meter Reading Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Building is a; Remarks: Residence x= :4. 1"0 R Multiple No. Units imp--1),G ilay 1N;STAL? ED NIETERS, Commercial Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: CEDAR GROVE CONSTRUCTION COMPANY C~l~1LJ Please notify the above office when ready for inspection and connection. i EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: may 18, 1971 ` NUMBER 782 (Lot 7, Block 9, Cedar Grove #7) OWNER: Cedar Grove Const. Co. Address 1790 E. Bluestone Drive PLUMBER Stein, Inc. TYPE OF PIPE Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No, of units xxx Location of Connections: Connection Charge 200.00 pd 5/21/71 Permit Fee 10.00 pd 5/21/71 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector Inconsideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota-County, Minnesota By DAR ROVE .nNsTR cTT N COMPANY Please notify when ready for inspection and connection and before an ortion of the work is covered. RESIDENTIAL BUILDING Permit Applications City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122/lv/a Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ff. of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Cahdations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date -7_ Construction Cost U~ 01 Site Address (-7 tJi _ ~~-~c T Unit/Ste # Description of Work l r I r GA_J ► f ~ 1v f I S i 1t", , Div US Multi-Fandly Bldg _ Y N Fireplace(s) _ 0- 1 - 2 Property Owner c Telephone # ( n L/O 5 - 7 -7 Contractor Address ` City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv l _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building 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 State of MN Statutes; 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. Applicant's Printed Name Applicant's Signatu OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30~ Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ~5C 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex 0 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 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 (Bldgr ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement Temolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. 1111-4 PRV Nbr. of Bldgs 1 / Length Fire Sprinklered Type of Const V Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco - Stone Fireplace _ R.I. -Air Test Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By T Z , Building Inspector - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC of City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search / Copies ! 4/ Wi Other Total i / - "CATEGORY I" ALTERNATE FOR . c,ty of engc ONE & TWO FAMILY DWELLINGS _ INSTRUCTIONS: This alternative may be used for one- and two-family dwellings built to meet the Category 1 requirements of Minnesota Rules. Chapter 7670. Complete Parts A, B. and C. Clearly mark plans with: insulation R-values; window and skylight U- values; size and M-pe of equipment: equipment controls; and location of vapor retarder and windwash barriers. ttilore detailed information can be found in the Minnesota Energy Code summary sheets available from the Minnesota Department of Commerce. Part A. BUILDING ENVELOPE Check proposed envelope joint sealing option 4 C3 Prescriptive (caulking, gaskets, etc.) ❑-Pertomtan _ce (test per 7610.0470 subp. 7,C,) Check thermal energy calculation option used 4 "Cookbook" (complete worksheet below) ❑ MnCheck method (attach report) Performance (attach U-value calculations) ❑ Systems Analysis method (attach analysis) "Cookbook" Worksheet ~1PILtiiLfii REQL'f1tE.~>ti-rs . (for "Cookbook" option only) " Ceiling Insulation: Minimum R-33 with 1%a" energy heel; or l:Ns7, L;c7ioNs Minimum R44 with low truss heel; or Step 1. Check item(s) that design meets on .bfinimum Requirements list Minimum R-38 with R-5 sheathing when no attic. :o :he right. Must Meet all items to use "Cookbook" option Entry Doors: Max. U-value of 0.30 or 1?%" solid wood with storm Step Indicate proposed wall ape on able below. Rim Joist Insulation: Minimum R-19 Stec 3. Lldicate Window Tr_ due and source. Floors over unconditioned seaces:.1 linimum R-_14 Step 4. Vent`,,, :oral window ~ ncluding area of all foundation windows) ~ Fourdation Insulation: Minimum R-10 and door area is equal or less than allowabie percentage. Foundation windows: ii' insulated glass. wood or vinvl frame TABLE FOR DETEP-NnNTi iG NLA_xDiIC.Nf WINDOW AND DOOR ARE: Madmum Allowable Total Window and Door Area as a Percentage of Exposed Wall 12% 14% 16%_ 1 18% 20% 1 22% 24% 26% 28% Wall T•-De (Standard Framing): Maximum Average Window LT-value (except foundation windows): :2 2x4. R-13 insulation, R sheadiin 0.55 0.47 0.41 0.36 0.33 0.30 017 0.25 0.23 ❑ 2x4, R-15 insulaticn. R-5 sheathing 0.52 0.45 0.39 0.35 0.31 0.28 0?6 0Z4 022 x Z3 2x6. R-19 insulation. <-R-14 sheathing 0.48 0.41 0.36 I 0.32 0.29 0.26 0.24 0.22 0.21 T- O 2x6. R-19 insulation. R-5 sheathin 0.56 0.48 0.42 0.37 0.34 0.31 0.28' 0.26 0.24 2x6, R-21 insulation. < R-5 sheathin 0.51 0.43 0.33 0.34 0.30 o.28 0.25 0.23 0.22 O 2x6. R-21 insulation. R-5 sheathing 0.58 0.50 0.44 0.39 0.35 0.32 0.29 027 0.5 Wall Type Advanced Framing : Maximum Average Window U-value (except foundation windows): 0 2x6, R-19 insulation, <R-5 sheathing 0.52 0.45 0.39 0.35 0.31 0.28 0.26 024 022 0 W. R-19 insulation, R-5 sheathing 0.58 0.50 0.44 0.39 0.35 0.32 029 027 0.25 •i 0 W. R-21 insulation, < R-5 sheathing 0.55 0.47 0.41 0.36 0.33 0 30 027 0.25 0.23 O 2x6. R-21 insulation. R-5 sheathing 0.60 0.52 0.46 0.41 0.36 -0.33 030 0.28 026 Window U-value: Source: 0 NFRC 0 ASHRAE 1993 Handbook 10O X %q -P -5 al ° < - window & door area gross exposed wall area DESIGN ALLOWABLE (from table above) MINNESOTA ENERGY CODE - WHICH RULES MAY I USE ? TYPE OF RESIDENTIAL BUILDING APPLICABLE RULES Detaehed R-3 occupancy 1- and 2-family dwellings Chapter 7672; or Examples: single family. twin homes, duplexes Chamer 7670 "Category 1" with statutory de ressurintion and ventilation _r uiremeats Attached R-3 occupancy dwellings Chapter 7674; or Examples: triplex townhouses and row houses Chapter 7670 with either "Cateeorv I" or -Category 2" provisions R-i occupancy buildings of 3 stories or less Chapter 7674; or Examples: condominiums or apartments Chapter 7670 with either "Cate orv l" or "Category 2" rovisions R-i occupancy buildings over 3 scoria high Chapter 7676 Examples: high rise condos or apartments Aent%11 .t rn.lnt n.tnrl CIOna►n.. r)atA Twltnhinne Number Summary of April 15, 2000 Energy Code Requirements for Detached 1&2 Family Residential Buildings Code requirement Option A - Chapter 7670 Category 1 as amended by Laws of MN 2000, Ch. 407 Option B - Minnesota Rules Chapter 7672 1. Materials & equipment Plans and Plans and specifications must show design criteria, exterior envelope Same except with additional required items: location of interior air barrier, specifications component materials, U-values of the envelope systems, R-values of insulating vapor retarder, and wind wash barrier; identification of air sealing required; materials, size and type of apparatus and equipment, and equipment and U-values of windows, doors and skylights and other information needed to systems controls. determine compliance (such as required ventilations stem & make-up air). 2. Foundation wail Insulation Cookbook requires R-10. Trade off permitted with MNcheck. Cookbook has options for R-5, R-10, or R-19. Trade-off permitted with MNcheck but not less than R-5. Protection of Exterior insulation from top of foundation wall to 6" below grade must be Same. exterior insulation protected against UV and physical abuse. Protection of interior Moisture barrier required between insulation and foundation wall from floor to Same. insulation- I grade. 3. Rim/band 'oists R-value Cookbook option requires R-19. Trade off permitted with MNcheck. Cookbook o tion requires R-10. Trade off permitted with MNcheck. Vapor retarder Required on rim 'oists susceptible to condensation from moisture diffusion Warm side vapor retarder required. Interior air barrier Rim 'oist required to be sealed to prevent air leakage. Same. Exterior wind wash Not addressed. Exterior wind wash barrier required. barrier 4. Framing General Framing options include 2 x 4 or 2 x 6 walls, and other framing options such Same. as to walls analized walls insulated masonry walls and others. Attic ceilin framin Not addressed. Note: wind wash protection required at attic edge. Minimum 6" heel truss from outside edge of to > plate to roof sheathing. Wall framing: Exterior wall corners and intersections of interior partition walls with Exterior wall corners and intersections of interior partition walls with Exterior and interior exterior walls are not addressed. Exterior joints in the building that may be exterior walls are framed so that insulation can be installed after the sources of air leakage must be sealed. exterior sheathing is installed. Whenever interior framing meets an insulated ceiling or exterior wail, a continuous interior air barrier must be installed. 5. Thermal performance minimums Vaulted ceiling Cookbook option requires R-38 between framing plus R-5 sheathing. Cookbook option requires R-38 between framing, no insulated sheathing required. Attic access panels Not addressed. R-38 for ceiling panels and R- 19 for wall panels, and must be weather- stripped. Floors over Recommend R-30. Maximum U-0.033 or minimum R-30 specified (trade-off may not be less unheated spaces stringent that these values). Window thermal Rating must be National Fenestration Rating Council (NFRC) or ASHRAI3 Rating must be NFRC or default table in the code. Windows must be rformance Handbook of Fundamentals. No maximum U-value. labeled. Maximum average U-value for windows is 0.37. Page I of 4 Source of summary: Minnesota Department of Commerce Energy Information Center 651-296-5175 or 800-657-3710, www.commerce.state.mn.us. 4/00 EA-ST BLUESTONE DRIVE 7C C,\ ac,~ N vin ~v . -ok -C)- 82,00' 4. DUUBC.,E ONE . GARAGE STORY 0 r LL V Q QY RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 t J 4 651-681-4675 New Construction Requirements Remodel/Repair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks 1 set of Energy Calculations . Indicate if home served by septic system for additions 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detaii Options selection sheet (bldgs with 3 or less units) DATE - VALUATION SITE ADDC . 31u+r'5c ' CS C MULTI-FAMILY BLDG _YN TY E OF WORK C - FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT "d6 C:_-. i k e- , STREET ADDRESS 1,92-17 A/c! S• CITY u~vy.,1°f (e-- STATE/l' ZIP 6X33:77 TELEPHONE #(95~~°69s~` CELL PHONE # FAX # -t 3f PROPERTY OWNER CaS le Y- FC2 y°`: -C'5 TELEPHONE # L6:51) COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations 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 # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant y OFFICE-USE-ONLY Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. 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 ❑ 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 (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered 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 Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL t BUILDING PERMIT APPLICATION CITY OF EAGAN " `7 c::~ T-) 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements Remodeftpair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION y, X6711 SITE ADDRESS t 1 F ~ C-0 MULTI-FAMILY BLDG Y J` N TYPE OF WORK +C~ FIREPLACE(S) - 0 - 1 _ 2 APPLICANT STREET ADDRESS r~ ~ ( 'Cae CITY VlIe STATE Ml~ Zip 5533 TELEPHONE # Sa~10?'~~t~~ CELL PHONE # FAX # 0" PROPERTY OWNER C%'`Ve4' VC'\Qa S TELEPHONE# l.GStl`3t7~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations 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; I hereby acknowledge that I have read this application, state that the intepation is corgi and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~f Signature of Applicant yu'1 " U OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bidg ❑ 02 SF Dwelling 0 08 06-piex 0 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-piex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) 0 36 Multi ❑ 05 03-plex ❑ 11 10-piex 0 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-piex PIbg--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 O 37 Demolish (Bldg)* 0 43 Reroof 0 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered 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 Other Roof T Ice & Water T Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone - Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation - Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 0 7S 1 y 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements - Remodel/Repair Requirement, Office iJse Only 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y - N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd T Y N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N 1 set of Energy Calculations Addition- indicate if on-site septic system On-site Septic system Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 5- / 1-( / O q Construction Cost WA An OO Site Address 17't U e S cA,P sq:s, Unit/Ste # .m /a 61 0-11~~ Description of Work r &kl -4dc~ ~lJ ~0 N 0" !Isv Multi-Family Bldg _ Y N Fireplace(s) 0 - 1 - 2 Gs 6 3rcr ~ Property Owner Ok( Ae 6 Fol yd Telephone # (4-0 Contractor \AN-0 p N kj"s Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? Y N If so, 25% plan review fee applies. Licensed Plumber Telephone # Mechanical Contractor Telephone Sewer/Water Contractor Telephone M4Y 1 7.2AA4_ I hereby apply for a Residential Building Permit and acknowledge that the info B accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. Applicant's Printed Name Applicant's Si attire OFFICE USE ONLY ~y S Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex . ❑ 20 Pool ❑ 30 AccessoryBidg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch, (3-sea.) ❑ 31, Ext. Aft - Multi ❑ 03 01 of_ plex ❑ 09 07-plex 0 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF 04 02-plex ❑ 10 Mplex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex o 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Pibq_Y or . N ) 25 Miscellaneous 'r06w##na: 5444 cwY A Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding x 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ .46 Windows/Doors 0 34 Replacement *13emoildon (Entire Bldg) - Give PC A handout to applicant ValuationwO Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump - # of Units Sq. Ft. PRV # of Bldgs Length 02;, Fire Sprinklered Type of Const~ Width ld 5 REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. Footings (deck) _ Final/No C.O. g(addition) g Footings Phunbin Foundation HVAC _ Drain Tile Other Roof _ Ice & Water - Final - Pool Ftgs _ Air/Gas Tests Final Framing - Siding Stucco Stone Brick Fireplace - 111. Air Test -Final Windows _ Insulation Retaining Wall Approved By: , Building Inspector _ - Base Fee~--- ~70 Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total C) N 0". \ c~ v d Cz- S ,r- aAST BLUESTON CIS, 101, E0\AA-J'. ")WI 82,00 IF DOUSL ONE STORY :New Use BLUE or BLACK Ink For OfficeUse - •Permit non ` Permit Fee: I 3830 Pilot Knob Road Eagan I VIN 55122 E C F WE E D i Date Received: L5 ` Phone: (651) 675-5675 Fax: (651) 675-5694 Staff--------------J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION(M e oa , Date: Site Address: /_790 6. _gh4 e s~v vit br-t y & Unit Name: n 1- n et F_a cws Phone: 51 L4 3 1, l 5 Z`3 RESIDENT / OWNER Address / City / Zip: 1 7 9 O jE - / Lx e s4o » e_ 6 r ict ~j a- ) M 5-5- Applicant Z Applicant is: Owner Contractor TYPE OF WORK Description of work: lvrk-ri or re~a vcc l-cav~ ; ba J]7ro~w~ Zvi 5,,,`ILf, s ~~n1~ y cap pe+~ n~v Construction Cost: 13 ~g~ Multi-Family Building: (Yes / No X ) Company: r,u ~I U tF'~ ~~Stov~c~{ ~ +`~A t6e5 t-tfontact: &_'r) rt - S Os4r_rli( 00 4 CONTRACTOR Address: ~~'SS~ ce vts~vl hr't ye- City: l;g f(_4' C-,ro~K 4L_ : ibLs State: M /J Zip: (o Phone: L'61' 6-00, (p 5sb License* ZQ (o 3 09 7 -'5 Lead Certificate tiJAT- 7 & 3 3 3 - 1 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: 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 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.oor)herstateonecall.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 o plans. Applicant's Printed Name App icant's SignaturePage 1 of 3 DO NOT WRITE B~ THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous - 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 Occupancy .GIG 1 MCES System Plan Review Code Edition SAC Units (25%_ 100% 1/ Zoning City Water Census Code T Stories Booster Pump # of Units Square Feet PRV , # of Buildings Length _ Fire Sprinklers Type of Construction 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 Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: - -,Building Inspector RESIDENTIAL FEES J,~? S~ f T 8,4YN~ij? A©~ Base Fee Surcharge Plan Review 3 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3