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710 Brentwood Lane Ma r, 22, 2011 10 : 53AM Rai n s No. 3625 -P. 2-'-R ~ For Office Use I ( I V I Permit#: City of V1 Ea lAll I Permit Fee: 25 ` I cc) I 1 3830 Pilot Knob Road I 1 Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 j ! Fax: (651) 675-5694 I stag: / 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: l f 0 11 Site Add--&s. t b ~ ' odd, L" e, Tenant; 41, i RESIDENT/OWNER Name: Phone: Address ! City / zip: CONTRACTOR Name: m~e'%s (by-1 t M,'P CrYl_t~Gtk_ License (0(U Address: lu U H 1I I IS" R00-j City. Uun-h 0 State: "Q Zip: 5 3(Dr Phone: (01~ r `I I D I 1 Contact: '7 rOQ n A ~ Email: ~Y TYPE OF WORK New ReplacementA Repair f _ Rebuild V_ Modify Space Work In R.Q.W. Description of work: `I~~ e l Wl Stv,,F (5~W ort4 RESIDENTIAL N W ZVT1 i k-c d f 5~ ( Water Heater Water Softener , V C l Add Plumbing Fixtures Main / ` Lower Level) Lawn Irrigation RPZ PV5) Septic System Water Turnarourd -Now Abandonment RESIDENTIAL FEES. $55.00 Mlntm;:r :.'Star seater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Ad'' n,,, ti g r-7"t..• s,~a ,cry n L ! a IAI-Lc -1-.. ._,..~.+r ,,...1..da& ° 00 State Surcharge) u ! 7U171{-111 1 1ALu1a27, `L•G LIB V SLUBII Nyas.uO.ll I,G,IL VV01 r Iui1.0,u1/114 IIINU U J_ "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) , m TOTAL FEES 55, Vl.J C1.L'_..Z ,,,,;,Z. v'. "'M Ir.1G VU II ak' k'%-j5 ij 45-f-W;-OZ for rotection against under round utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities._ to lr. C^.".farrVWlth rdinances and codes of the City of F4n.gn' fhgt I v- Ar-fnn(i thik i- rvt d nnrrnil kvt v:r! ~ n -!i-finn _ , ` /nr ?pnrrr!i.t, snit work is n oa p9rmit; lhal the work will be in t which m9kiires a review and approval of plans~R C)\4 PO v) upzs x Applicant's Prln!T ! N- = A p;.,. p.~,-..__... FOR OFFICE USE - • Reviewed By: Date: • _ 'n-nnnVona: tinder Ground Rough-ln Air Test Gas Test Final Mar, 22. 2011 12 : 26 PM Rains No. 3629 P. 2 Use BLUE or BLACK Ink v/ 1 1 City of Eap i Permit R. I Permit Fee: ' ® l 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 staff: --------------`--J r 2011 lIlA1Ct'`H1 AN1P`A1 e`n1Ten1T AAPPI ICATION Date: Site Address: Tenant; ( Suite RLSIDENT I OWNER Name: Phone: Address 1 City 1 Zip: ll CONTRACTOR Name, M t t.icense Addressilma VA M R" 900-d ~ City: 7 State: 1:07 _ Zip: 5-63! Phone: tG~ 1 vt ~ 1 "i 4 Q Contact Email: `T L I TYPE OF WORK ~i.. New Replacement -Additional -Alteration Demolition ct Description of work: NOTE; R6of mounted a ground mounted, mechanical ecipment is requlred to be screened i y City Coda. Please contact the Mechanical Inspector for Inforrpatlon on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construotlon _ Interior Improvement Air Condilloner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under I Above ground Tank i" Install!,-, Remove) I "When installinglremoving tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (Includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (Includes $5.00 State Surcharge) $ , U TOTAL FEE COMMERCIAL FEES. $76.00 Underground tank installation/removal OR Contract Value $ x i% $55.00 Minimum (Includes State Surcharge) _ $ Permit Fee - If the Per I Fee le less than $1o,o10, surcharge Is $ 5.00 - If the Permit Fee Is n $10,010, surcharge Increases by $.50 for each $1,000 Permit Fee = $ Surcharge (I.e, a $10,010 $11,010 Permlt roe requires a$ 5.50 surcharge) $ TOTAL FEE CALLBEEORE YOU DIG.: Calf Gopher State One Call at (664) 464.0002 for protection against underground utility damage. Call 46 hours before you Intend to dig to receive locates of underground utilities. yl Maagheratateone0all.ora hereby acknowledge that this Information Is complete and accurate; that the work vAll be in conformance with the or inances and codes of the City of Eagan; that I understand thls is not a permit, but only an application for a permit, and work is not to start Without a permi a work will be In accordance with the approved plan in the case of work which requires a review and approval of plans. x -Fgo~ ~L~~ x Applicants Printed Name App a Fig tu' FOR OFFICE USE Rev awed, By: Date: Required Inspections; -Under Ground Rough In _psirTest Gas Service Test =1n-fluor Heat JFinai Ekterfor HVAC Screening Inspeclion This request void/~/~ 18 This month. from J u D 69U3 C.' - Flo RepU3a eta Fire No. Rough-rn Ins Decllon Regwre ❑Ready NOW 111 Notify Inspec- I❑No tot When Ready Licensed Elec real ontraclor 1 hereby request, mspection of above ` ❑ Owner electrical work installed at ' Street Address. Paz or Route N City "J <o Arta-•.'raJo-ecQ d-~r2 ectton No. Township Name or No. Range No. Count ` Phone No. Oc.up Span PIN9; J4,k T) 14x 0 & JI 6--V Power Supplier Address r Ieclncal Contractor ICempany ame r Contractor I, Ice No. Mailing Address IC ra or or Own r Making Instal iron) Author z d Sign ure (Contractor Owner Making Installation P na N ber :i BE ACICEPTEDNSPECT9IOyN';THEREO:STq ESTTEWILL NOT MINN Oid STATE BOARD OF ELECTRICITY THIS - BOARD' 1821 University 61de. , Be., N-191 ."Ni 1 ESS PROPER INSPECTION _ i 921 1 6Ava. SL Paul. MN 55104 FEE IS -1 Phone (61 (612642-O60D ENCLOSED.` ' - ~ - REQUEST FOR ELECTRICAL INSPECTION ~EjB-000011-06 C Sea instructwncp for completi a this form m back of yellow Dp + 6 9 093 X' Below 11116r lCovered by This Request N. 4W, A Type of Building ApPliarices Wired Egmpmertt Wired Home - i Range Temporary Service DLiPlex Water Heater Lighting.Fixtures Apt. Building Dryer :Electric Heating Commercial Bldg. Furnace " Silo Unloader - i Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Pecs v then ISOnufyl - Other (Specify) they Other Compute Inspection Fee Below # Fee Service ErKrence Size # Fee FBederarSubfeeders # 'Fee cdciuts v 0to 200 Amps 1„r 6t030Ams P' 0to 30 An s Above 20 grapy 31 to 100 Amps 31 to 1.00.Am Swimming Pool Above 100'_. Am Above 1.60_Am s Transformers In, anon Booms V areal`"Other Fee Signs Special Inspection s d E y erruvks /`J TO r• Rough-in Daf~ th Tech repectoq hereby certify that the above Final a ry F act njhas been f3 As. - This request wild 18 months from % finis request void t8 months hom V O O 690 :9 Request Data - Fire No. Rough-m Inspe von ' Fee. Ready Now Will N2' y, lnspeq} Dyes No t far eady.' L,censed lectI C ltractor .r,,. 1 hereby ni est inabectdon of above - y, ❑ Owner elecir'i cal work Installed at: _ Street Address, Box orl ROUts No. city „ - a~ ecuon o7 /o ownshiP ame or No. Range o: Count 611 Occupant (PRINT) t t one No. - - N/ R A ~i Y r Address f(,i5. z i l: - E'leecti`cal,Conlractor (Company Name) Contractor's Lmense No. ;Mailing Address ( ontr 3:L 3 act or Owner eking Instailetion Authonz ed i nature (Contractor/Owner Making Installation( ,Phone Numbei7"x-::}= lote--Aftrl. -1 MINNESOTA STATE BOARD OF ELeEQTRICITY ,THIS INSPECTION BEO'UEST WILL NOV,'; C,- Grigg BE ACCEPTED BY THES7A\TE BOARD e-Midway Bide. Ro om N d tf: %y 1821 University Ave.. . St: P.O. MN 551 04 ' UNLESS~PROPERJNSPECTION FEE IS Phone (612) 842-OSDD ' ENCLOSED'm REQUEST FOR ELECTRICAL INSPECTION Ee-000o1`-156`tt' See instructions for completing this form on back of yellow copy. '_G9 O 8 9 "X•" Below Work Covered by This Request Add Re P. Type of Building- Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin 'Fixtures ' Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo unloader _ Industrial Bldg. Air Conditioner Bulk Milk Tank } 75 Farm thnr Peci V [her IS neri fy'M - h Pecufy Other Ohhiyr y ompute Inspecvon Fee Below a Fee Service Entrance Siie it Fee Feeders!Subfaetlers a Fee Cnewta U to 200 Amps 0 to 30 Am s OWtn'30"An s Above 2 0 Amps 31 to 100 Amps <71 31 to, 11DO,gm s 3 j Swinyni ng Fool Above 100_Amps Above-1 00-A Ain Transformers Irrigation Booms Fart " e Signs Special Inspection s T TA _ Remarks " ~ /y~ t` r W Rough-in Date I, t rEleciric In$pe in.. ereby ce~lifv, that the above Final Date yinsPaction has bean F 'med9. . This request void 18 months from - N, 2 2 2 Repueat Daro .y Fire No. Rough-In Inpsaction Repuiretl I Impaction Other Tnan ou8h-In (Vou m Cell ilOpadOr wlKn ree l y) ❑ Ready Now A~j WII Notify Inspeclor Yes ❑ No Dale Reatl 10 licensed contractor owner hereby request inspection of above electrical work at: Job Atltlress (Street, a No) City /D Genf )-4we-- Section No. Township Na" or No. Range No. County eM (PRINT) Phone No. Power Supplier Meese Electrical Cortmc (Company Name) ConlractorIs License No. oMe own er Mailing Atl0 es 1 n or or Owner Making Installation) t7 J Aulhonietl S azure tCccoacto wn Mabn In Waaon) Pho Number 10 MINNE6 XII ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-178 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55108 UNLESS PROPER INSPECTION FEE IS Phone(617)542-0800 ENCLOSED, REQUEST FOR ELECTRICAL INSPECTION •%1-1 Egn pp.as ► See instructors for completing this form on back of yelbw copy. (4/4-U& N 0 2 5 2 2 X" Below Work Covered by This Request # ew kdtl Rep Type of Building Appliances Wired EqulpmentWired Home Range Temporary Service Duplex WatenHeater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (speedy) Contractors Remarks / Fee Below- Compute Inspection # Other Fee # Service Entrance Size Fee # Clmuits/Feetlers Fee Swimming Pool 0 to 200 Amps' 0 to 100 Amps Transformers Above 200 _ Amps Abqvve_100 _ Amps Signs Inspectors use Only ITOTAL SP Irrigation Booms lNl ?YSCONNECTED Special Inspection 111 Alarm/Communicatlon THIS INSTALLATION MAY BE ORDE D IF NOT Other Fee COMPLETED WITHIN IS HS. f /7 1 I, the Electrical Inspector, hereby Rough-in o certify that the above inspection has Final been made. OFFICE USE ONLY This request void 18 months from PERMIT y .6TY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: U LN Gti . Eagan, Minnesota 55123 Permit Number: _ 02'3,-162 (812) 681 4675 Date Issued: 03/28/94 SITE ADDRESS: 710 BRENTWOOD LANE' LOT: 41 BLOCK: .1 WINOTREE'7TH' P.T.N.: 10-84476-040-01 DESCRIPTION: B Pa mlt'a;Type BASEMENT.FINISH k Type 'ALTERATION j ' ~ s City OF, " . REMARKS: SEPARATE PERMITS ARE REQUIRED FOR-ANY PLUMBING'OR ELECTRICAL'WO'RK FEE SUMMARY: - iu " r Y ' - 1t Base Fee $35.00 . Surcharge $.50 Total Fee $35.50 14~ Y CONTRACTOR: OWNER: ApPIicant - GI'LBERT I WA-YNE 10~ BRENTWO6D,LN AGAN "MN 55123 (612)452-3237 s*a. a _ ' . Ta-A ICRNT/PERMITEE SIGNATURE ' SSUEC'BY{ SIG~u.DAA I ATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE:' BUILDING" 3830 Pilot Knob Road Permit Number' 023162 Eagan, Minnesota 55123 Date lssuedi ,0 3 / 2 8 / 9 4 (612) 681-4675 SITE ADDRESS: APPLICANT- LOT: 4 BLOCK: 1 7'10 BRENTWOOD LANE GI'L`BERT WAYNE WINDTREE 7TH (6;12) 452-3237 ; PERMIT SUBTYPE: TYPE'OFWORK: BASEMENT FINISH ALTERATION INSPECTION TYPE DATE iNSPTR. INSPECTION TYPE DATE INSPTR. FRAMING INSULaATION ~~ROUGH IN PLBG FINA'Lil r., i 'REMARKS: SEPARATE PERMITS ARE REQUIRED FOR,'ANY PLUMBING OR ELECTRICAL WORK k q CITY OF EAGAN N2 14 9 0 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PH ONE: 454-8100 Receipt# To be used for SF DWG/GAR Est. Value $161,000 Date APRIL 29 '1988_ Site Address 710 BRENTWOOD, LN OFFICE USE ONLY 4 Block 1 Sec/Sub. WINDTREE 7TH on site Sewage Occupancy R3/Ml Lot MWCC System lX _ Zoning RI Parcel No. On Site Well (Actual) Const Vn ASPEN RIDGE ASSOC City Water X (Allowable) Vn a Name w = Address 7400 METRO BLVD PRV Required * of Stories c City EDINA Phone 835-1001 Booster Pump _ Length 74 Depth 38 c Name GUSTAFSON & ASSOC S.F. Total 0 a Address 7400 METRO BLVD Footprint S.F. C~ City EDINA Phone 452-3592 (J.BARR UPROVALS FEES "W Name Engr./Assess. Permit $ 772.00 F i Planner Surcharge 80.50 z 5 Address 386.00 am City Phone Council Plan Review a Bldg Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the variance SAC, MWCC 550.00 information is correct and agree VGAFSiDN th all applicable State of Water Conn. 550.00 Minnesota Statutes and Ch cersM. - ~ / N'"`~/ Water Meter Fi7.00 Signature of Permittee Road Unit 32.51. 00 A Budding Permit is i ue o: & ASSOC Treatment P1 204.00 on the express condi io at all work shall be done in accordance with all Parks applicable State of nesot Sa, tatutes and City 34 Eagan Ordinances. Building Official TOTAL 13,034,50 5mxcilor`s ecrtific,te - SURVEY FOR: Aspen Ridge Associates p PF/yrW DESCRIBED AS: Lot 4, Block 1, I;Andtree 7th Addition, ` 9~9 ~S ~D (qNE p City of Eagan, Dakota County, f'- and d ~ ~d m and reserving easements of record. 9 0 26°29• O 9 . S 35 5 ~ 6 93 0 i Q OD t 2 1 M I N ^4i 931,1 i0 22.34 N _ ; 0j tl' ¢ c) vas,; 3 6 I i 6to / tO 22 ~~RO lei °/4 g^ l 26 9'.b ti 14, EC tti 9t3,e W/o n tot i ¢4 ~p 14 Nz8;t eJ4~Ck t Lo ?2.0 _ J J / ~`1 ~ q Sr¢aP ~,a.c.oE.. I N \v/ta~~~h\ / 1 V ® I o DY. \ s / Da e EAGAN ENGINEERING DEPT. 1 ~ s OoN \ / ~ s / PROPOSED ELEVATIONS \ BENCHMARK' Top of foundation .931.8 / /aZg'18"E TOP17utIlyd(!!D 4,0150''6,Bkr Garage Floor N 0$ 7, WiHOneEE 7th. Basement Floor :9j2,3 56 Approx. Sewer Service Elev.. 5~ / 159 MIN. SETBACK REOIREMENTS Proposed Elevations p Existing Elevations Front - 3z~ Home Side - 10 m Drainage Directions r-~ Rear - 15 GGYOgeSide- 5 p Denotes Offset Stoles , D SCALE: !loch = 30 Feet I hereby certify that this survey, plan or report was properod by me JOB NO.: 75 71 /~EDLUND under my direct supervision the l ws and teal I am duly s. ed 8$12-I 15 L J Land Surveyor under r the laws or the state of f Mlnneootaola N Planning Engineering Sailing BOOK: / eWl F,rl ewax~eee Fron4• MoomNplm, MMiwwN:5110 Ir~~ '(O 1 16 r~'rpan, IriheM DDONt n 4 , rfi B~ LJ. p' PAGE: Jar y on, Ucenu 1a N778 5 UITY of HUILDIiitl DEPARTHEIIT EXTERIOR ENYI7,OP1~ AVE1tAOE "Ulf 0011PUTATION (To be submitted with building permit application) One or Two F Iy Dwelling Owner All other' .Or Site Address 3^~R,'`CiPe Catttractor S Date I Pilo no LIIIEAL FEET OF EXPOSED YIALL _'E N ~f(}~.~L f to above grade f 144 TOTAL EXPOSED WALL AREA Sq. FT. OPAQUE WALL Coll STRUCTIOl11 'IV" Value x Area. Detail nUn . / J x Sq. E'T. a`i1°1 49. reference Z (Uj(A) itrom npn p a -x 8@. FT. 1 0 - I7, (Uj(A) attached nUn q. FT.-I-f~tp la In U)(A) silos to noo x x Sq sq. FT FT•. - U)(. = (U) (A n Ua x Sq. FT. = (U) (A) VIIRDOWst "Un Value x Area lift & Type lnlc r,)~4:.I~: .~(p 31 sq. FT. S,13-7 ~liOZ.(U)(A) n to nup n n x sq. FT. (U)(A) n uUn x Sq. FT. - (U) (A) x Sq. FT. _ (U)(A) DOORSI 'lull Value x Area Hake & Type DD S _n u It to FT. Z F I t)() of X111 11U x Sq. FT. (U)(A) It to npa x sq. FT. (U)(A) x sq. FT. 1 (U)(A) TOTALS ~.5~.~sq• IT. , 77~' (U) (A) TOTAL (U)(A) VALUES AVERAUE nuu X151 n DIVIDED BY TOTAL WALL AREA ~J-IS a ~ 77 AVERAgE U II$_oi• less for 1&z family due ngs ROOFD IJO1 15-_ O~ r TOTAL AliE nt l , Detail reference nUn 00z ~t ,L from x sq. FT. lrv ( (A) attached sheets. x Sq. FT. R (U)(A) Deocribe openings IjUa x Sq. FT. _ (U)(A) in roof. x Sq. FT. (U)(A) -----t~Uu x sq. FAT. = M(A) TOTAL (u) (n) VALUES DIVIDED BY 0-1 7or~l y 19F704- SRS ~,5 31, AT ROOF/CEiLilla AREA AVEIiAOE I,Uo!-;D~for ventilated roofs, i dZ ~i~t° x Czo ) = /oo 8'' _~y✓y~) C`Z.p01 ~3nC 44+ 44~± gad- ~,o) = 140 4+ `r~ 3 X Zoo = ~ l~(v . ca IN 5- o0 x G✓ ~I R Z Z X 1 Y~=+~ 72 Z c^/~ L ~_(/yx WP~,~~ryt v(~~ 3-79 5.44 III z-z4X~~= zz~~x4= ~o `w~vs 3s~,a l I I~1 ' ~oK~'u = ~ X z = 14~ ~ z9►~~'4 I I ; '2r z~~3~ = 14X = 2~,n s COD ' I~ --WALL SECT Determining IOU" values at Roofs Wall,- Rim, and Cone. Block ROOF/CEILING R V UE 1.) Interior Air r'ilm 0.61 2.) 5/811 Gyp. Bd. .56 30 Insulation 44.co 4.) 50 Exterior Air film .61 1 3 (STILL) (0 uUn = 1/R= •O2_1 YOTAL (R)='AS•7S l $ WALL R VALU 9 6.) Interior Air Film 0.68 70 P Gyp. Bd. .45 8.) Insulation J~f,pp 9•) bulLr-p-iTE Z.et 10.) Masonite Siding .67 to 11.) Exterior Air Film .17 "Ulf = 1/R= • P~ 3 TOTAL (R)= Z3.0~ 12 RIM A VALUE to 13 12.) Interior Air Film 0.68 13.) Insulation 19.00 1 14 14.) 211 Fir Rim Joist 1.88 15.) gvtLT-P)TG 2004 16.) Masonite siding .67 MW f 170 Exterior Air Film .17 . n e "Ulf = i/Ry .C4P TOTAL (R)= Z1•,IT Un • 0O° f FOUNDATION R YALU 18.) Interior Air Film o.68 zl 1g 19.) 20 ) WAS > n 5° ' 9 21.) 12" Concrete Block 1.28 s n ?a 221) 23 23.) Exterior Air Film .17 e D° • de . IOU" = 1/R= ,070 TOTAL (R)= I3•1z, R y' T4S1R Al APFLICATION'~O"R PERMIT ;PAnmRE c ~ AT ~p '~J o ~x '"APPICA1'ZIXi DOES. W. riL # I S'EVVER'AND/QR`+ WATER "C'ONNECIT30N • I ~i01?~ PH will ; Tiocs WiL•L USE Y V I m t .F ~ 1 : d' a ~w,~['N1?D~PIItMIT HA6 HSEN "~PROVFD ~ ~ , 4 1 'RR#tH`##1t##R#R#######44#iF+}~j~##¢,lfekyii### G ~Fsfi 1£ 'Ity O\t ,y i an e ti u ~Ell ad s' (PLEASEzePR-IDYT € r s. r[33- Y' P ~IA 1 'x a t$7) PROPERTY.'ADIIRESS 9'' `-A M & LF]GAL',DFG['FSrpriON•" 's i. ;ti CC , Lott B pck visions or T ~Parce, In', ) gaI' , 2 'IN DING- PER6IIT' I SSLANCE IF EXISTING STRUCTC7RE, DATE' OF ORIGINAL BUIIM r PRESENT" ZONING%PROROSID USE `F < "-i COMMERCIAL/RETAIL/OFFICE: jR=1 SINGLE F y " INDUSTRIAL, `e M-2 DUPLEX (4iw[i',t~riit's)~:+ ~ y;t is {~i 4 P .r~ INSTITUTIONAL/GOVERN[]T pR<3 7OWNHOUSE (~Th_re~e~+riL~ is)~ ( Lin ~s >i MR-4 APARTMENT MI+NIUM 2` ( L'niit$s) ' 1e~23) ' `NP.I"IF' R ~o*i's k" M l t- >ta ' 1 - a 4 E ADDRESS 7 (1 Cl2 S cI/Tr'~os r2t~:"., a CITY, STATE, ZIP tlr I~rn Ys S'~ i ~ ' P~r -r PHONE L'9 `g3~"` L.'M 4l r, 3), ' NAME T gym' p ~I 3d'~I P1 ' rs 7%8ise: I~ Actiroe i ADDRESS" „ CITY, STATE; ZIPS,/ Notre`corded ;PHONE F 37 MASTER' LICENSE #A;.- Wl~;.,s~~~" I v~~a i'' All) NAM: 'd 4. ADDRESS gr d+ F CITY, STATE, ZIP PHONE z y~y "M ; Us;E r ~~e MUM N xx§ .4Ys~I} Il! _ C2 CONNECTIONTO CITY-SEWER IQ CONNECTION TO iCITY WATER~'',tOT M will =P fl,~ t F e y+ ...*.itie ir~rde,*.***********_*******iF*.~c**irk*.*********it***** " ************.~pk ir":*.ii*,~****,*qF,****~*y*,********~:},k,******t * THE GOLD COPY OF THE PERMIT, .'.WILL BE SEN'P DnwrLi'm PUBLIC WORRS TO F YLITATE EMETER PrICR . 'FhRASE ALLOW TWO WORKING MAYS FOR PROCESSING SOMHONE FROM THE CITY W1110" ^ ALP IF ARE y' Pt nn f ~ ar- ARE ANY PROBLEMS. k ♦ 9 Ikt y~ 1 I'}e i 1 xt a ~4. r A h J . }y4 'ti 'pe' d ~c F'OR,Gt~C10 MIS IgJSE! ON ° Y PERMIT # ISSUED ° 3e - .r r s~ }4 y t < 'en5 ° w= ' A§ e ~ . - 4 ~~t t<''> ° ~{`jy $ Tsn k a. 4~ s 'Se P@ y { gyp as,, j -.rT Pd .w/Bldg € m & wJ' ti€3''+43`t1€ A ''ac,€ mtt$b. 6 ! €`^3 ~Q~rr r~t~~~tSEWERF~°P~ERM+IsT (I€NCrLUDE SUP -HARG+EJ) ' S $ Its WATaER~ PE+RM~IyT (hiN ' [LADE I~L~~RGsHA~~3RG+Es) O f~ a H qq f rti .}a f,., f P ~ypu {x a v 'S ? 443.'S{i( Y F WATER METER/COP;PER^HORxv~.-Lr~TSI+D$~~RE DER s> ' l R^ Y if A WA ( TER f'TAP IvNCL'UDE' CORPOR^ATI€~ + $ O STaOP~i ix r'' SEWER YTaAP gw zrt S o,e,, £ , ,&3~; e $ $ ~D` p` 3; RACCOL1NprT~~DEPrOSIT`& SEWER SB Y y r 'l 44 - $ $%ft ~ACCOLNT~`DE+POSIT WATpER T;r '41 4,11 S.4 6 1 R#F /1 {sXY` pi L fFu : pp~ ^Y @ rs``sR d° t Ede r p = e 4f pr .1 Zy'cy~-cz $a~'att sssi~ Y ' +i«d ~N (p SCE - ~a ' ` ~'SFF1C}i=t,a w,, "Gr „ s tg~. .€'s 053 l €E B krg5r"` 6~' $ ; w y u,^TR, K~WATER ASSE-SSMENPT~' t_4~ "Al" A as4.~ M B N s a, $ a ro' a' TRL+'NK S+E~W!yER ASSESSMENT a T J§ a a'~, a+ ' fx, ru!' .p a, ix a $ $ a ~ L#ATERA`L~ BENZII LNI %T0Ll NK~pu5!EWER 'G H f!. 'x4 a +f d4~ ""~$,fi'^"v`'pd _ ~ 'rfzs 4.1 4~# 2~ dt*.4. ~ `7c r t LAT91vERAL~BE sa N FIT/TRUNK WATER pixx> -t s~€ 12 $ O~Y L ~ x1t~ 1z ; t~~t't ' 3 + 9 ~'zktiryy ,x` $k a -WAvTERTR+E~ATMENT PLANT;SURGHA€RG+r~i y~e o x OnTHER'#r n eS3re.~..',iaP'A s4 z1~~'2kfA' / r'-7 O O` x r " $ ` sx" a a * ar r ' a" .`~q,`~y"+ f+l RECEIPT ' . a RE CEi^AT',',_ # `-3 av S. £ sy ~g y°J w i'qr - s, h N `7 C°a x f7 eT we4~iY y 4 i" a DOES UTILITY' CONNECTION REQU~YRE~EXCA=VjA~TIONott, P,LBLIC RI~GHT'~OF-=SWAY - y; v'w E ak d t+ v,~~1o n~Y it YES IF YE9„4:THEN'~A 'PERMrI~T,~F,ORtiW~OR~K W+ITHINPL~BliIC,~~~ ~i Q ROADWAY"`eMUST.&E~,IS'SUED~~BY'~TrHE'~'ENGINEE1~~IrNG~ ~ 3 { NO DIVISION ,LI,ST.AStA-'CANDITI,©N+S r4 'i §v'' w Fr'~~ s43'c+ YPa,'1 sy_ SUBJECT TO THE FOLLOWI`NG.,C.OND.ITIO,NSY:a.Y _ a ~ _ _ a{a a ^ f~S~z +t' Y ¢ 9~ ~ ,.yh h Y 31 s ~ E ^ 'fi t x t f ~ t ✓ APPROVED BY:~~ J 1 a? y „ rG` rt -`to . C 3! TITLE: DATE: ~Lz ! Z 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reguitemari - RamodeUReoair Requirements Ofrica USa Only 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cen of Survey Recd : -Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _Y _,N 1 Soils Report if proposed building is to be placed on disturbed soil l site survey for additions & decks Tree Pres Plan Reed.-_ ,Y' --N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate Barsde septic system Tree Pres Required _Y _ N 1 set of Energy Calculations On -site Septic System _Y. -N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasclo mechanical ventilation form Date l~ ! 7 Construction Cost Site Address ? l-O (3R-EN)-?W c>4 yV Unit/Ste # _ Description of Work e-Dc~f- Multi-Family Bldg _ Y "ec N n Fireplace(s) _ 0 1 _ 2 Property Owner \n~ghNr V1 \b E P Telephone # (V Z } %let - rN Contractor V~ !1~Z 1 lc-r,-rat o2s Address 57b5V1 FJ WZ1CENr2-C (P07N City_ 1-- State 1~ Y~) Zip S So 7 Telephone # (to S1) ~°3 b$ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Co,, orksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted l`? S \ In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? IVOV 0 8 ? Y _ N If yes, date and address of master plan: - /1 By 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. -2 \r i n»p Applicant's -Printed Name Applic s gnature CITY OF EAGAN IrL CFb Ip 1994 BUILDING PERMIT APPLICATION ~'MU 681-4676 i SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued.' Date ~Q__ valuation of work V)W Site Address: 710 ..-~11)nnol MN• 55 1a-3 STREET SUITE # Tenant Name: (commercial only) LOT _BLOCK SUMI.UIi141 I P.I.D. #C6' Q`f~ ]b ofO-01 nn-- IA 5G0~ faRecL nun Description of work: c nI S r The applicant is: Owner 0 Contractor 0 Other Mescribe) Name (5i toatyku_ o Phone 95) -3a 37. Property LAST FIRST Owner Address -f/e) hen fir C STREET STE # City r: 1 State AJA!• Zip Company Phone Contractor Address N~ License # Exp.- city State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip -Sewer & water licensed plumber k1A Processing time for sewer & water permits is two days once area has been approved.. I hereby acknowledge that I have read this application and state that the information is correct and agree to comp y with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ALI,, 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN "SINGLE FAMILY DWELLINGS I CL _ S, 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 RENTAL UNITS FOR SALE UNITS # OF 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 To Be Used For: Val Mt on: Date: as ~d Site Address 45- a ~Gfia OFFICE USE ONLY 711~ / /`r 000' Lot Block On site sewage Occupancy L-3 M -1 MWCC system V/ Zoning R-1 Parcel/Sub On site well Actual Const V-N City water J/ Allowable V-N Owner PRV required # of stories Booster Pump _ Length 3-- Yr p Address JD Depth 3e-4" S.F. Total City/Zip Code S 5~ Footprint S.F. Phone © O APPROVALS FEES Contractor. Engr/Assess Permit liz. Planner Surcharge f~b,50 Address Council Plan Review _ Bldg. Off. 4/2L SAC, City L00, City/Zip Code t2 Variance SAC, MWCC Water Conn arSD. DO Phone Water Meter 6171 Ck) Road Unit 3Z9100 Arch./Engr. Treatment P1 .2D41.~ Parks Address Copies TOTALV b City/Zip Code Phone # _ VALUA-~IoN GAR, Z2 xZCI SZS 12Y Z2.= Zcy Nx5 9$Z XIy lo,gNlg tiSr'rcf' X 41q &11 ! x rq 112 !4 X x 2 = 3` 9%xX~o 55 / f 41/2 7( It1 . Zo3 ✓ u • k 1 1352 x 13= I'157r:, sdo•u U U r 1-562. 67 - 6p :'21) • Olj v (L U+ a ~ 14 1 04,E Xya= 6~Stz 16 xr 4 . Z 24 X ;Lo c #4 y 9'O ~N 17?czo s 34o 3c E4s 1 2J 14 X `6= 112 2 K 13: 2 ~ I t> I INx44s 6b( 1 bo99Z INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: i.i 4 (612) 681-4675 SITE ADDRESS: APPLICANT: I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Permit No. Permit Holder D 4e . Telephone # S/W PLUMBING HVAC ELECTRI~ DD ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing _ ! Roofing Rough Pibg. Rough Htg. tC C~`~ Isul. CqG{ (.t1 l~C~C~ ~~e Fireplace Final Htg. Orsat Test Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan aw-ce- Mr yow- 774W qv Bldg. Final Deck Ftg. G Deck Final f Flz ,-V Well Pr. Disp. l , C rrtt it t of (rru txcr Citp of Qlagan Orpartmrat of WitiibbT JwWrdion This Cerdfr'cate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating budding construction or use- For the following: Use ClassificationBldg. Ptirmit No Occupancy Type Zoning District Type Const. r ` Owner of Building Address t T Building Address ' ? kLT` i Locality LA, H 1, ~4mr r Date: AM Bw1d ng Official r POST IN A CONSPICUOUS PLACE • CASH REEGAN CITY OP 3830 PILOT KNOB ROAD EAGAN, MINNESOT/55122 DATE J} 19 RECENED AMOUNT & DOLLARS ,oo ❑ CASH ❑,eFfECK F~~l_~ i ~ FUND OBJECT AMOUNT 'i Thank You BY ~L White--Payers Copy.':; f r *?0.~ 1•>, Yellow-Posting Co 8 ! 4 5 r: pY Pink-Ella Copy /BLDG. PERMIT NO. I9UU1 IJ JtI fir . ! j ,'Pr1 UO. 01-3210 Bldg. Permit 7 02 0-o 01-3422 Plan Check 3 ~v C4t7 01-3445 Surch./Adm. Ma/ 01-3446 SAC/Adm. 5 SO 01-2155 Surcharge -7 4? `~-3860 Road Unit X0 5 v 20-2275 SAC 20-3865 Water Conn. U 20-3868 Water Trmt. a U~ 20-3716 Water Meter (<a 7 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. U Xf-3855 Park Ded. TOTAL CASH RECEIPT CITY OF EAGAN . ' 3830 PILOT KNOB ROAD -EAGAN, MINNESOTA 55122 DATE 19 REC8VED q FROM CC AMOUNT $ r ( ; t & DOLLARS 100 p CASH LfCHECK 14 FUND OBJECT AMOUNT 44. i j L~ Thank You BY % r r. White-Payers Copy c Yellow-Posting Copy " Pink-File Copy i1. CITY OF EAGAN ~ Permit No: ` Date: 3830 Pilotl n- ob Road Meter No: Size: j P.O. Box 21198 % ; Reader No. Date: Eagan, MN 55121 Owner ~:r~ vrt rte, Site Address: /1,0 Brentwond L 1 '.,•ir~;' 4 rr r 7 r1 Plumber._ - o7, 7 Conn. Chg: ~U • f?~)Fd Zoning: r' Acct. Dep: l ~ . o n' No- of Units: Permit Fee: Surcharge: ? I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. Misc.: By WATER SERVICE PERMIT CITY OA EAGAN Permit No:-. Date: 1; 73 3830'13kc l< Knob Abad B/P No- a y Date: P.O. Box 21199 Eabarr,_MN 551217' Owner. a ' I ac . :a. Goast:. Site Address: 710 7 rentwood 1zr.c L "t Plumber `i5 01 . 0 0 d F1 MCC: Zoning, 100. po City Chg: 'i` No. of Units: ' Acct Dep: I agree to comply with the City of Eagan Permit Fee: 5emi Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PH ONE: 454=8100 BUILDING PERMIT Receipt # To be used for SF DWO/GA Est. Value 1.61 swo Date APU L 2,) ,1g m i Site Address 7110 6REff 0 LN OFFICE USE ONLY 1i'i1 I 141RI)T RIKS 7TH On Site Sewage Occupancy i? Lot Block Sec/Sub. MWCC System Zoning R.1 Parcel No. On Site Well (Actual) Const Vtt APE" RIDGE X-SSO City Water (Allowable) Vn Name PRV Required # of Stories i Address nO METRO BLVD D 74 a PEDI= 83' --1001 Booster Pump Length City Phone Depth 38 Wme S.F. Total 0 t o a Address IWO METRO BLVD Footprint S.F. 1W City P-01 Phone n5 - 59 APPROVALS FEES s Engr./Assess. Permit ~ ~~~'0 w w Name 80.50 1 Z Planner Surcharge =E Address 380.00 ' W City Phone Council Plan Review G' a Bldg_ Off. SAC, City 1 Variance SAG, MWCC 550.00 I hgreby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Water Conn. 5 .00 Minnesota Statutes and City of Eagan7rdipances. Water Meter f' µ Signature of Permittee Road Unit 3*5.00 A Building Permit is issued to: i* `~f' O I ASSOC Treatment P1 204+ on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. 5 Building Official TOTAL !Ili 1034. 3 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454.8100 BUILDING PERMIT Receipt# To be used for Est Value ' 1 3 Date 19 Site Address OFFICE USE ONLY IV! On Site Sewage z, Occupancy Lot Block Sec/Sub MWCC System Zoning Parcel No, On Site Well (Actual) Const City Water .(Allowable). ir Name W r f, a PRV Required #ofStories 3 Address o City Phone ? ' C ? Booster Pump Length Depth )1 p Name S.F. Total z I-- o a Address Footprint S.F. ~F City Phone APPROVALS FEES ' Engr./Assess. Permit U-1 - Name Address Planner Surcharge x a m City Phone Council Plan Review ; Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit f A Building Permit is issued to` Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL Building Official Permit No. Permit Holder Date Telephone # Plumbing - t HN.A.C. 0/ Electric Softener Inspection Date Insp. Comments Footings 1 d~ Footings II Foundation Framing all L(~ Roofing Rough Plbg. - 41_ Rough Htg. , Isul. Fireplace Final Htg. Final Plbg.. Bldg. Final or` ~•-e%z li Cert. Occ.' Temp. LP Deck Ftg. Deck Final Well Pr_ Disp. ' MECHANIC/L' PERMIT PERMIT # RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAb; EAGAN, MN 55122 DATE: (!J "JI / - a CONTRACT PRICE: PHONE: 4"4-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub New fees. Name Mult. Add-on y G'omm_ Repair Address ~ ~ a ~ c City JL,'w "A hone Other FEES Name ' DES. HVAC 0-100 M BTU -$24.00 Address ADDITIONAL 50 M BTU - 8.00 p City Phone OES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU s-2ti, APT. BLDGS. - COMM. RATE APPLIES tOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU `F MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent M B STATE SURCHARGE PER PERMIT - .50 CFM - (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # = BEYOND $1,000) Other FEE: > 1~ I-_ I - [,~,k A S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # L o CITY`OF`iEAGAN ~J 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: / " f g y CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot- BI ck Sec/Sub 19 JL. 1 U_( 1 vtll Res. _ New Name I:.a Mult Add-on w Address Comm. Repair E City Phone Other e 0. FIXTURES 'TO L Name L T_Water Closet - $3.00 it ' C Address F Bath Tubs - $3.00 p City PhoneLavatory - $3.00 Shower - $3.00 FEES ---Kitchen Sink - $3.00 COMM/IND FEE - 1 % OF CONTRACT FEE Urinal/bidet - $3.00 - MINIMUM - RESIDENTIAL FEE _$10.00 1 Floor ry Drains Tray - - $3.00 1= MINIMUM - COMM/IND FEE - 20.00 -;-Floor Water Heater 1.54 .5 STATE SURCHARGE PER PERMIT - .50 I, Whirlpool - $3.$ $1.00 ` • (ADD $.50 S!C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 - BEYOND $1,000.00) Softener - $5.00 Well - $10.00 F Private Disp_ - $10.00 Rough Openings - $1.50 I SIGNATURE OF PERMITTEE FEE: STATE S/C: ' ~ ) GRAND TOTAL CITY OF EAGAN CITY OP EAGAN Permit No. `-.7 5 9 Date: 5 -L 1 3830. Pilot Knob Road Meter No: 4103 Size: " o C P.b. Box 21199 Reader No, Date: Eagan, Mk 55121 Owner. t)ar-. on Co Z . Site Address: 7711 P-,rQr.f T:mnrl T, np TA P! ;Tin:7t, f, Plumber oh iron 1>TTrmT iii IT'c.,~r~ r.--~ Conn. Chg: 50.10') Zoning: Acct. Dep: 15' • oopd No. of Units: I Permit Fee: 10. 00P0 Surcharge: .5 T) (I I agree to comply with the City of Eagan Tr. Plant 04.00pd Ordi n Meter. r n, a Misc.: By WATER SERVIC PERMIT PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152894 Date Issued:11/06/2018 Permit Category:ePermit Site Address: 710 Brentwood Lane Lot:004 Block: 001 Addition: Windtree 7th PID:10-84476-01-040 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Wayne E Gilbert 710 Brentwood Lane Eagan MN 55123 (612) 819-5482 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature For Office Use „- • ••• Permit#: EAGAN .c.iv.,,) '"' Permit Fee: e?'lr} �.•. JUN 0 8 2020 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinoinspectionsecityofeaaan.com CakC>Z 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: .51745 17-a Site Address: �1 t gfsrrhiooD Li-f . M til Unit#: Name: et eR = 4 WA-11+L Izi‘Lgele•T Phone: LAI . - 81`1 - 54-110- Resident/ Owner Address/City/Zip: 11 o i 1-T'►4nvo L,i• 5S)L3 Applicant is: Owner X. Contractor Type of Work Description of work: IZE: O4. f.c Construction Cost: /Si X89 Multi-Family Building:(Yes /No ) Company: RosS4Acl ConsT(t• Contact: '�_ -► ContraOr Address: --572' 1 sT City: 1�1e1 -D ST. PAIL• State: _'?t_Zip: 55109 Phone: (,51^719-021$Email: ctI VJbHe!'ossbAGIACtoJsr.ca#r License#: PSG oo 135 S Lead Certificate#: I4 AT-I 2-0'4..35 ^L If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: NOTE:Plansand supporting documents thatyou,submit.,arex onslder do y ublicinfiden5af/a Pao ionsof + .Yb classified as non-publ you=pica ide cific reasons liticiiodm);:ianot4W-e4ii.terk4ionciogethattheyookkfrOo.,. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacran.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.000herstateonecali.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x T)o ti)3y x t -- Applicant's Printed Name Applicant's Signature • DO NOT WRITE BELOW THIS LINE t\ i<-'1 fitAJA vi 1-4-.1)L- I SUBTYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Ingle Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi X Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level — Pool _ Accessory Building 1 WORK TYPES New _ interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows — Demolish Foundation Z. Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION _ Valuation _'S S ?to. O!9 Occupancy -141'C -L MCES System Plan Review Code Edition 2c,20 owes SAC Units (25%_100%x) Zoning i?( City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 79 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) „' Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ,i71/2,--•-t-'"'''-- , Building Inspector RESIDENTIAL FEES Ir g 44- Base Fee 00-• Surcharge 3 S'Z SarA */5,d� 2oO- 60 Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 Pronertv Infnrrr tfr n Search Ovid. Survey I. ' S,, earch Address or Parcel II I Q 0 , , . .... , i 1 1 1 , ( i .. .. -QR. AGS Se 1 c, tih 4� rs n Of///l/. 4, 'fir �� 6' G., `4 n is, ' ~s\. 7 N G'A 6) co co I' 160 153 County of Dak< 0 20 40-8 ©2020 Dakota County-All Rights Reserved Pisclaimer