Loading...
4257 Braddock Tr Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - - For Office Use C a~ . City of Eap i Permit I I MAR 4 f I Permit Fee: O 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-6675 I I Fax: (651) 675-5694 Staff 201 RESIDENTIAL BUILDING PERMIT APPLICATION' Date: Site Address: - 5'~ f-o Unit a1- RESIDENT Name. ~ 6, ~ f. i ~ C G~ phone: t5 I - fit / OWNER Address /City / Zip:+'t-J ? C. c; rW Applicant is: Owner Contractor TYPE OF WORK Description of work:) e__ c Construction Cost: Multi-Family Building: (Yes No j Company: Contact: 1.1 c~r°s 5el ti ri g{ e r f9 ~7 CONTRACTOR Address:t oo 16-'t City: is State: ~f _Zip: d Phone: 16 i Lead Certificate ~J T _ ~5 0 1 ` :License.#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) {t~Gt 4,V A4_ C 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 8 Water Contractor: Phone: NOTE: Marrs and supporting documents that you submit are considered to be public information. Portions ©f' 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. ?~-f I hereby acknowledge that this information is complete and accurate; that the work will be in conformance .vith 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 tie approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Named (fAPp'cani's nature Page 1 of 3 5- &r-AJAocK- T(L. DO NOT WHITE BELOW THIS LINE ` goo(` 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 T Accessory Building T WORK TYPES New _ Interior Improvement ^ Siding _ Demolish Building* t 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 .r, Valuation Occupancy Z Re, -j MCES System - Plan Review Code Edition A4W SAC Units (25%_ 100%_ Zoning 2 City Water Census Code A/ Stories Booster Pump # of Units - Square Feet PRV # of Buildings' Length Fire Sprinklers Type of Construction Width 10 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 Backfili Final Sheathing Radon Control Sheetrock Erosion Control _ Reviewed By: , Building Inspector RESIDENTIAL FEE' 1) ~G ~•C.A~►iC± i 90 ~ Base Fee Surcharge Plan Review 74 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 1~q TOTAL Page 2 of 3 qe, SURVEYOR'S CERTIFICATE , GRAND OAKS DEVELOPMENT CO. EXISTING 1 c07 L House r ^o l67.Sx 0 ~clsr•~c 125.00 S88°52'11.."E iW-248.00 _ _ 30.00 - , ~ Pat Irs- s w Q 00-10.00 % LOTS-- Q 26.0 0 VC) 71.1- o tp AR104 C) 6 0/ IA2.0 Mew. ~ 0 • . 25.67 O IN O6,4 10, _ 'p' 22.33 8.00 1 Q P~pn~ l J~A 48.00 - - 30.00 IfRB co S 125.00 , S 89d 52 X !gyp E P,&I N TU 30 ~`~OI/✓v L _ 1 CX13TiNG 1 ~7 y HGt ns ~1/2/SI &Ic 7p/4 Sir ~.LN 70 , fo r Xc,iZVJ P>' Y'aN v IN11 ED FIONS DIVISION DENOTES'PROPOSED SURFACE DRAINAGE IDRON MONUMIX T SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9-13.3 FEET .X000. OT S PROPOSED LOWEST FLOOR - 170-.5 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - FEET ,I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:' Lot 15, Block 1, NORTHVIEW MEADOWS, according to the recorded plat thereof,. Dakota ;County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING.` IT DOES NOT.PURPORT TO SHOW IMPROVEMENTS, OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS Q5-04 DAY OF CdoB6n q 198j SIGNED: JAMES R HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO': 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. gSS~ 5 /39/75 Planners / Engineers Surveyors FILE NO. 8200 Humboldt Avenue South. FOLDER Bloomington, Mn. 55431 612-884-3029 Use BLUE or BLACK Ink For Office, Use I Permit Clion ity of EaEd I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Staff: Fax: (651) 675-5694 L -------I 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite r RESIDENT/ OWNER Name: Phone: -Dw d Address / City / Zip: CI 2 ,5-~ &-4 d,~rec k CONTRACTOR Name: i~~i ~ g n License Address: &33 Z S( t- , City: State: 10/~-/ Zip: S51 Z ~ Phone: 72- UCH Contact:,(~'It (0(2 - o f Email: TYPE OF WORK ? New _Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ /tly PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 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.goi)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 sta wit out a permit; that the work will be in accordance with the a7[b, v plan in thcase of work which requires a review and approval of pla x C0 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 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA077421 Eagan, MN 55122 . Date Issued: 04/23/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4257 Braddock Tr Lot: 15 Block: 1 Addition: Northview Meadows PID 10-52100-150-01 Use Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and take steps to ensure maximum ventilation into attic space. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Minnesota Rusco Norman A Crouch Tste 5558 Smetana Dr 4257 Braddock Tr Minnetonka MN 55343 Eagan MN 55123-1942 (952) 935-9669 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 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA093697 Date Issued: 04/28/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4257 Braddock Tr Lot: 15 Block: I Addition: Northview Meadows PID:10-52100-150-01 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Crew2 Inc Donald J Prihoda 260 l\Iinnehaha Ave 427 Braddock Tr Minneapolis NIN 55406 Eagan NIN 55123--194 (612) 276-1680 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Parcel Files Cover Sheet Unique ID: 2041 4257 Braddock Tr 105210015001 CITY OF EAGAN 4 3830 Mot Knot: Road, P.O. Box 21.199, Eat, MR 55121 UILDING PERMIT i IONE:454-s10d ` Recoipt To 6s wed fop SF DWG t'iA R Est. Vaitg $68, 000 000 OCTOBER 10 t 9 f3 Oexut► 13 site Addre~ 4 257 l3Rt~ft. T'R Erect L.ot 5 stock 1 b. t-IOR'iTHVI EW AEXDC , ❑ zoning fit . Raimir ❑ Type of Cont. Pared No. Addition ❑ No. Stories ~ 6R AND OAKS- i'EVEL 0,(N Move 13 length 44 Narrm Demolish ❑ Depth • 1 SUNRISE CT inLlmpr. ❑ Sq. Ft* .48 Addrea N 54'84 ity fi..'~C.T~ phone $ a inew ❑ 'At Approvob Iris r Addrmm Assessment 0 :am Water & Sew. Wchaw 34.50 ~1 Ph" Police ran Review 168,r~0 ' Nome Fire SAC SZ . Ott Addrem Eno. Wator Corm ci Pions Planner water idolor • U Council Rood Unit 280.00 I h er*y #0krowledge that I have read this oppiication and state that sidg. Off. 10 0Z8 the inforEnction is Garrett and agree. to taanpiy with all applicable ---L---Tr. P1 State of ~ -Stages and City of Eat Ordinonom AM Parke; h r} { •y _ Var. Date coon Sig akm of Pemitta , $2,0407110- Building ' Ct3 Permit is issued tae CS ' C ,4f~ r on the expm condition Nraa aft work shalt be done' M accordance with It apOkWe Stotts of Mhnm eto Stages m W Oty of Eagan Or&nwme. &dw6v Offldot Punk N& Pend! NOUN Deft T s l f ILVA G. Co 1v~ 5' qT, v sote~ mpudm pow IVIML cow PO~ it Fou neon ~ i FMMp~0 f fto" per. y{~am, `•W / r. Find M& ` Fhw pft S PMei CW/OM WOW DNWM ' W" ova . 77 Receipt Co _ PLtBNBING PERMrf Pera~t + CffY OF EAGM Fa CAO l flu in numbered spaces p/ Type or Print 1W&V Tote ♦ y _ 1. Date Installation Cost. SC 3. Job Address 1Atd j Lot f Bik. Tract " 4. Owner f,~ gn51A S Lt C 4- - 5. contractor L 1L a e c _ Phone 4zqa ? ' , & 8. Address c ~br~-t~/~*igra 7. City !2 state d' z zip : r f 8. Building Type: Residential Commercial 17 Institutional O p ,a 9. Work Description: New _0 Add D Alter O Repair ❑ r 10. Describe ;eu _t ?/.-a r 11. N% Fixtures No. Fixture Water cioset Casspool/Drainfieid Bath tubs Septic Tank - Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify Irt the above information is true and correct, and I agree to comply wig aJ( oWinancns d des `Wing this type of work. Signed : st /mar' for Ice Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF F.AGAN 4548100 r ,Pike, / _ Rood" v ~cr apMMt fMWAI. PERMIT Pei*dt no. Jt_ ) CITY OF EAGAM '.r ~p so i v ~1 I x• P" Fee also Folln*nUntered . Type or Print bry Totr j 4O 1. Oats J O -ZS -2E-2. Installation Cost & Job Address 42S'1 Bra dcivck. ^'tAt f Stk. Traci I"I k ac clc~cJ s 4. Owner air.-nd 04'k<. 6. Contractor t l rsr Pu 1 C . Pha+e '~~'''2•°! I66 Ga Address 7. City Ll--ddf*-i Va d (c v state, alp ' Canmerdd institutional 13 S. Building Type: Residential A 9. Work Description: New A Add O Alter © Repair Ct 1- } 10. Describe• Fuel Tape rC ftdawmt BTU - M. Ea. l1•L CFM i Forced Air 045u1S- Air Handling: Mfg. Boilers Mach. E3dmm Mfg. Unit Heater Mfg. Other Air Cond. Gas, Piping Outlets 12. 1 hereby, oertlk that the above information is true and cbrr"% and I wee to Compi t d1nanam and codes governing this type of work. .11r. Sued: .L 4 for Aough Frost Inspections: Date Insp. Date Insp. This Is your permit when numbered and approved. Approve! CITY OF EAGAN 464$100 a CITY Of EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box ,21 f PERMIT NO.: Eagan, ' SB721 CRATE: 4 Zoning: No. of Units: Owner: !'ran Oaf Address: Site Address ?~7 Plumber. .„4.ev Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee 1 agree to comply wuh the City of Eagan Surcharge: Ordimmem Misc. Charges. _ Total: By Date Paid: Date of Insp.: Insp.- f CITY OF EAGAN SEWER SERVICE "J M 3830 P"dot Knob ft 110/47 E P. O. Box 219 PERMIT NO.: Eagan,,MN 5-M21 DATE: Zoning: 21 No. of Units: Owner: Orand Oaks Address: E Site Address: 425; 'Bradcc: ck L15 81 NorthvSaz~ 1r. 2~3e,~doy8 Plumber. Vaer1t~ :.g 1040-85 "1333 100. 00pd som to espy MCb on City of Ewa Connection Chave: 425,Qftd Ordineeeet. Account Deposit: Permit Fee: L4.OOl& Surcharge: -5Q2d BY Misc. Charges: Dote of Insp.: Total: Insp.: Date `Paid: r CITY OF EAGAN WATER SERVICE PERWT 38V nob Road,, 5894 P. O. ox 21199 PERMIT NO.: I1--5 Eagan, MN 5512 DATE: Zoning: No. of Unitz Owner Grand Oaks' Address: 4257 Braddock Tr. L15 B1 ort v ew WS Site Addrem- Plumber: a ey Meter No.: S a Charge: Of- 8 ' +~gposit: Reode No.: ermit` F_eg:, P agree to eemvy R,~ adinoecp. ~yu Misc. Charges: 6.3. 00~i Total: tilt: @r ey i-~-- Date Paid: Dote Insp.: Insp.: P• ~ _~,r- ~ ~ ~ 3 3 ~ 1'. k~ R~-_ agm~g93a t . ~ CITY OF EAGAN Remarks l " Addition NORTHVIEV MEADOWS LO 15 gl parcel 0-52100 -150A1 Owner Street 4257 ~RAI)bOCK TRTR I State AGAN MN 55123 Improvement Date Amount Annual la rfi Payment Receipt Date STREET SURF. 1984 76.76 ?49' fF8' 110 153, C -2 STREET RESTOR'. GRADING SEWER LAT 1981 15.89 .79 12 SAN SEW TRUNK 1981 138.48 6.92 lc~. C~` 3 /Z SEWER LATERAL R,K, 1984 275.2 1$.34 X8-35 ' Ills ✓P l/ )7 - -J'S- SEWER 22.28 1.48 1-:4+ -J~J- WATERMAIN 1984 70.67 4.71 5 31b WATER LATERAL 1981 18.65 'Ii.24 : .9-3 S It, ~-1 e - - i WATER AREA 1981 138.48:": 6.92 WA 1982 29.52 Ulil 1.47!-#8- 0' //.3 8 /2 STORM SEW TRK O 1984 392.32 8?G ,39-x' STORM SEW LAT DRAINAGE 1984 -33.97 3.39'. 3:9 U! o lZ -`81 CURB & GUTTER' SIDEWALK STREET LIGHT Road Unit 80.00 56333 10/10/85 WATER CONN. 00.00', BUILDING PER. 10 SAC 25.00; " PARK ; I This request void X5 18 months from B 0.7588 eggquest Date Fire No. Rough-in Inspection q y ' i Re fired? ❑Ready Now W 11 Notify. fnspec- v Yes ❑ No tor When Ready tensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street A dress, Box or Route PQ. City ection No. Township Name or No. Range No County' - Pow Srp~ up~plie - Address - EI rica l Contractor (Company Name) Contractor's License No. Mailing Addres (font actor or Owner Making Instail 7~ Auth gnature (Contra cto -0wner Makin stallatioal P umber MINNESOTA 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) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 See instructions for completing this form on back of yellow copy. 075883 X" Below Work Covered by This Request 5 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) ther Specify Other Other. ompute Inspection Fee Below # Fee Servic a Entra nee S i z a # `.fee Feeders/Subteeders # 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 Swimming Pool Above 100_Amps Above 100_Amps I - Transformers Irrigation Booms Partial/Other Fee Signs Special Inspection. t°'t1 $ TOT FEE i Remarks L1 Rough-in { Date t Electr al NrJ Inspe . hereby: certify that the above Final. inspection has been made. This request void 18 months from e CITY OF EAGAN Nc 11110 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 4 PHONE: 454-8100 57~ 3 3 1 BUILDING PERMIT Receipt # ...1 ~J To be wed for SF DWG/GAR Est. Value $68,000 Date OCTOBER 10 19 85 Site Address 4257 BRADDOCK TR Erect IR Occupancy R3 Lot 15 Block 1 Sec/Sub. NORTHVIEW MEADOW&model El Zoning R1 Repair ❑ Type of Const. V Parcel No Addition ❑ No. Stories C9 Name GRAND OAKS DEVEL CO Move El Length 44 W Demolish ❑ Depth 4 8 Address 1881 SUNRISE CT Int. Impr. ❑ Sq. Ft. b City EAGAN Phone 452-8934 Install ❑ SAME Approval Fees O Name uu Address Assessment Permit .0-0 F City Phone Water & Sew. Surcharge 34.50 Police Plan Review 168.50 W Name Fire SAC 525.00 Address Eng. Water Conn. 500.00 u <W City Phone Planner Water Meter 63.00 Council Road Unit 280.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. 10/10/85 Tr. PI. 132.00 the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cry f Eagan Ordinances. APC Parks /v;~• G~ Var. Date Copies Signature of Pennittee Total $2,040.00 A Building Permit is issued to: GRAND AKS D L CO on the express condition shot all work shall be done in accordance with applicable State ofinnesoto Statutes and City of Eagan Ordinances. Building Official CITY USE ONLY 7z LOT BL ' PERMIT JO SUBD.A Y T ~V W {a d0 WS RECEIPT RECEIPT DATE: 2000 MECHMICAL PERMIT (RESIDENTLkQ CITY OF EAGAN 3830 PILOT KNOB $D i E.AGAN MN 55122 Date•8 NO 0 351-6$1-4675 Complete this section only if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 Total Complete this section p y if you are remodeling, adding tv, or replacing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. New ~ Replacement Other Furnace Air conditioning Air exchanger Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for final inspection. ,n, K SITE ADDRESS: q~ 5 -7 Bra" 0 7r OWNER NAME: r 6 UC'~ PHONE #:-651 `r5 '7 b (09S (AREA CODE) INSTALLER NAME: u~M ~~ec SONS PHONE !35(3 • - Q 3I " 3&1(a STREET ADDRESS: 60512th Ave ue South (AREA CODE) op CITY: STATE: ZIP: SI A O P AUG 15 2000 CITY USE ONLY L BL PERMIT SUED. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAfi1 5630 PILOT KNOB RD EAGAN, MN 5512 651-661-4E675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x l% = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base e TOTAL $ - SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE k r < (AREAC0D } CITY: ZIP: SIGNATURE OF PERMITTEE i r • i • it CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (Please Print) 1) PROPERTY ADDRESS : L~ yt ~ G, r- to / A,{ C k3 LEGAL DESCRIPTION: Lo / . L g / P z,4,; cn woc,, (Lot Block Subdivision or Tax Parcel I.D. Number) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month Year) PRESENT ZONING/PROPOSED USE: R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) COMMERCIAL/RETAIL/OFFICE INDUSTRIAL INSTITUTIONAL/GOVERNMENT 2) NAME:? r N (f 6C ADDRESS : CITY, STATE, ZIP:; Cq PHONE :o~'r ` rt 3) §gjis ! For City Use NAME: f t ~e Ti- umbe~icense ADDRESS : Co l~ E' i, ti G,. ' Act" e CITY, STATE, ZIP: 20jr o j 3 ired PHONE: y~ J MASTER LICENSE # t Recorc SInitial 4) • •,~7 NAME: r ADDRESS : CAI CITY, STATE, ZIP: PHONE: 5) it • • r QM~CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ❑ OTHER (Please Describe) 6) it • i ❑ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APP VED PERMIT TO 1, 2, P, 4, ABOVE (Circle one) 7) w-JEFERNMIM 411- ~r FOR CITY U S E ONLY 1 PERMIT u ISSUED i FEES: $SE:^:ER PERMIT (INCLUDE- SU:?CtjARCE) WATER PERMIT (INCLUDE SURCI RGE) WATER METER/COPPEREORN/OUTSIDE REAf)ER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ 6/S ~U ACCOUNT DEPOSIT - WATER $ac WAC $ SAS c U SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ j, e WATER TREATMENT PLANT CHARGE ` v MM: $ TOTAL eft $ _60 AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? { F-7 YES IF YES, THEN A „PERMIT FOR WORD WITHIN PUBLIC ROADWAV MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO, THE FOLLOWING CONDITIONS: APPROVED BY TITLE: C/ ~ DATE: p) 6ju" 0 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' ' $2,000 LANDSCAPE BOND To Be Used For: Valuation: Date: d~ } Site Address OFFICE USE ONLY Lot Block Erect Occupancy 3 Remodel Zoning I Parcel/Sub epair TYPe of Const Addition # of Stories Owner Move Length Demolish Depth Address Int.Impr. Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor Assessments Permit f Water/Sewer Surcharge 3 Address Police Plan Review I(o5, Fire SAC 52S City/Zip Code &=e-4c~ Engr Water Conn 5001 Planner Water Meter (03. Phone J Council Road Unit Bldg Off I S Treatment Pl 1 Z„ Arch./Engr. APC Parks Variance Copies Address ~ TOTAL :;v: Q"(d City/Zip Code Phone l ~r C ~t****7k~Cic~ci[*~c**~c*7t**7t******~c~c*~c~c~cY~tit~c*** CITY OF EAGAN CASHIER: JS TERMINAL NO: 678 DATE: 08/16/00 TIME: 07:57:26 rr•,_0+ ID: 1~3• 0+ NAME : iCGUIRE & SONS 25- -0 + 3213 9001 257 BRADDOCK T 30.00 0+ 2155 9001 4257 BRADDOCK T 0.50 y.J+ 13;?• + 2a ;4 0 Total Receipt Amount: 30.50 CR135981 USER ID: JAN GRAND OAKS DEVELOPMENT CO. ~ SURVEYOR'S*. CERTIFICATE' EXISTING 1 X17 : c_ l r HOUSE 1 r 125.00 589°52'!1.."E a !d!•~r 48.00 50.00 - mo INA IftY f ° 10.00e I 171.8` I "o-10.00 % 170 to I 26.0 ^ I Q~ L T-,~" CJ ,NN tf . IN I o r. o6 972 2.0 o~ o ® (D 15 Q T GAR V OR~1f~A1' 26 O N 1 .6}' X10 ' ~ Y fnOx 22.53 + a 6.00;-'+.._' _ - - - 6.00 W.9816 -1, - N 171.9- 46.00 - - 30.00 co 125.00 lrlrtio8' 89 0 52 11so E .0 ~ • .y ` T~" j~" 1 0 30 EXISTING HOUSE N DENOTES'PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET ® DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9'73-' FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR 170., 5 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = M.17 FEET .I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OFt' Lot 15, Black 1, NORTHVIEW MEADOWS, accord`ing to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS, OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS ST" DAY OF ogO% 198. SIGNED: JAMES R HILL, INC. I BY. ROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO-: 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. gsg~5 Planners / Engineers Surveyors FILE NO. 8200 Humboldt Avenue South. FOLDER' O D ER Bloomington, Mn. 55431 612-884-3029 EX TER I OR ENVELOP sp N6 : CAKS DE, VELOPIMENT COMP l a r` MODEL O Aa~EA~ U_ U X AREA REQUIRED" 1 r TOTAL WALL--AREA' 1800 X . it.' 198 2. TOTAL ROOF ARtA 1 196 , X. 026 31.096 ACHIEVED a: AREA U U X AREA A. WINDOW AREA.'' 186.66 .5 93.33 B. DOOR AREA x,077 3.0646 C. SLIDE ' GLASS AREA 13.44 .48 6.4512 0. FIREPLACE" EA`' 0 0 0 E. WALL' FRAME. AREA 180 .041 7.38 F. NET WALL EA 1164:1 049 57.0409 0. RIM:-JOIST AREA 119.52 .0436 5.211072 H . FOUND WINDOW AREA k, 0 0 0 I. FOUND ABOVE GRADE `96.48 .135 13.0248 3. TOTALS WALL EA 1800 185.5026 J. 8lCYL i TE a 0" 0 0 K. ROOF FRAMEM ' l i 9.6 ' .032,' -3.8272 L. NET ROOF-AREA 10?6.4 .025 26.91 4. TOTAL ROOF AREA 1196 30.7372 . d SUM 1.+2. 229.096 SUM 3.+4. 216.2398 " L RESIDENTIAL BUILDING CID l~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675=5675 FAX # 651-675-5694 New Construction Requirements RemodeliReoair Requirements Office flee Only 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Surrey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Rea! -Y -N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Reqd -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 7/1193 Rim Joist Detail options selection sheet (bidgs with 3 or less units Date 11 /,6-/03 Construction Cost /&60. GO Site Address 42,5- -7 c- doe f f u; Unit/Ste # iij Description of work anS ice- I r lac ~S7 LaS Ce k, C t~as Multi-Family Bldg _ Y N Fireplace(s) _ 0 X 1 2 Property Owner C rY> £ l.,u(U C o vLC Telephone # K16 Contractor MASTER GAS FITTERS INC Address 2263 NO. WKNIGHT RD. SUITE 2 City State NO. ST. PAUL, MN 55109 zip Telephone#{(off l) 75~'-~a`7? CO PLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Ca egory Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet 0 submission pe) Submitted Submitted • Energy Envelope Calculations Submitted Have yov previ usly constructed a building in Eagan with a similar plan? ` Y - N If so,. 250/6 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 info tion is complete an accurate; that the work will be in conformance with the ordinances and codes of the C !ftr"IL "4A.%& 4l ' 'e 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. Applica is Printed Name Applic 's Signature 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. At - 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 ` Pibg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New 13 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) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water I 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 Figs _ 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 4 RESIDENTIAL PLt.1MBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ll Site Street Address ~~_r~ Unit # .L.~ ~ Property Owner`vo r c \ Telephone # 6 5,1 Contractor Telephone # ~~9- 1~~ Address State- Zip The Applicant is: _ Owner Contractor Other Alterations to existing dwelling $ 50.00 Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 ~gplacement _ additional Lawn Irrigation System RPZ_ new repair rebuild $ 30.00 State Surcharge `y rr~ $ .50 t/ C~ B 200.5 c5O Total Y $ hereby apply for a Residential Plumbing Permit and acknowledge he 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 iint'sw Applicant's Pried Name r©.~o,7q 10 0 3 g), - Sid 13a Sa 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION _r. City Of Eagan - A 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 J C ` Ise Date 1 (0 l ©r/ / 0(p Site Address~(,~J 7 B c gcYc1pG k TI -1 Unit # Property Owner /'©v C- Telephone # (65/ ) y2-1- O L?_5 Contractor / v 1c, C)(,, ✓'e Ci n Street Address /~j L lc~ f tl Awc City NQD~<< /!S State 1 " I jV Zip Telephone # (gSa ) / 1 ` ~ Bond #:q_3aq 76 Expires: 30 3(,e) e- 0 -7 The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional Replacement New air exchanger air conditioner heat pump other State Surcharge $ .50 Total $ 3AO-'S0 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. S ~GC 1-. - Applicant's Printed Name /1111pplicant's Signature For Office Use I Permit Olf Eapn City I 3830 Pilot Knob Road Permit Fee: 1 Eagan MN 55122 j Date Received: 3 Phone: (651) 675-5675 I Fax: (651) 675-5694 staff: 1 - 2009 RESIDENTIAL PLUMBING PER,pMIT APPLICATION Date: Site Address: 02 J` yc~ G"Gt✓ Gt GCS C / .1/GL ! Tenant: / D Suite RESIDENT / OWNER Name: Gi' U 404 tlo- P~ I A d CX ~Li Phone: ass - 3 '5xo - 69'~ Address / City / Zip: G12 5' ~GQGCCsc ~t 7Ga~l ~Ge c Gt i..../,.~~ 3 5`~.~~ CONTRACTOR Name: ell Lc < License 0"Fg `u Address:12 Y2 City: !-c 130 a-f State: Zip: J~J l ri Phone: S l '(o 94 - / oZ -3 eZ Contact Person: P. 3'46t(jTYPE OF WORK _ New Replacement - Repair - Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES. $50.50 Minimum Water Heater, Water Softener, or Water Heater an Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8 meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 t to start without a permit; the work will be in accordance approv plan in the case of work which requires a review and approval,of ns x Sow X _ I nt's rinted Name Applicant's igna re FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test _Gas Test Final PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA101566 Date Issued: 10/13/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4257 Braddock Tr Lot: 15 Block: I Addition: Northview Meadows PID: 10-52100-01-150 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Replace Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Penny Firkus 2650 Minnehaha Avenue Minneapolis. MN 55406 612-276-1680 Fee Summary: BL - Base Fee $500 $40.00 0801.4085 Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195 Total: $40.50 Contractor: - Applicant - Owner: Crew2 Inc Donald J Prihoda 260 l\Iinnehaha Ave 427 Braddock Tr Minneapolis NIN 55406 Eagan NIN 55123--194 (612) 276-1680 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129985 Date Issued:03/30/2015 Permit Category:ePermit Site Address: 4257 Braddock Tr Lot:15 Block: 1 Addition: Northview Meadows PID:10-52100-01-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald J Prihoda 4257 Braddock Tr Eagan MN 55123--194 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature