Loading...
1015 Briar Creek RdCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA093425 Date Issued: 04/13/2010 Permit Category: ePermit Site Address: 1015 Briar Creek Rd Lot: 33 Block: 1 Addition: Lexington Square PID: 10-45075-330-01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 Surcharge -Fixed $0.50 0801.4088 9001.2195 Total: $50.50 Contractor: Pronto Heating & Air Conditioning 7501 Washington Ave. S Edina MN 55439 (952) 835-7777 - Applicant - Owner: Dwight J Brakel 1015 Briar Creek Rd Eagan MN 55123 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 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot,Knob Road P. O. Box 21199 PERMIT NO • Eagan;MN 5512,1 DATE. Zoning: No. of Units' Schlitek Homes Owner- Address. 1.77,r CreeTc. T.....e:.x.irs,ton Sq. Site Address. Plumber '''""cl • Meter No • Connection Charge- 500' Size:00.r,91 Account Deposit: 1r, Reader No.: Permit Fee. 1 ogre* to comply with the City of Eagan Surcharge - Ordinances. Misc. Charges132.00p4 7P. Total. 63...5.0pd meter By Date Paid. Date of Insp.: Ins', • CITY OF EAGAN 3830 Piiot4Cnob Road P. O. Box 21199 Eagan/MN 55121 Zoning: R.L Owner: Sehimel4 SEWER SERVICE PERMIT PERMIT NO • DATE: No, of Units - Address: Site Address. Plumber 1015 Briar Creek Road. L33 31 Lexington Sq 1-586 58197 1 agree to comply with tlw City of Sago. Connection Charge: Ordinances. Account Deposit. Permit Fee. Surcharge. 5y Misc. Charges: Date of Insp.• Total. Insp • Dote Paid. 100 OOpd 42 ,'.n, BUILDING PERMIT To be used for DECK Est. Value $1.000 Site Address 1015 BRIAR CREEK RD Lot 33 Block — Sec/Sub LEXINCTON SQUARE Parcel No. CITY OF EAGAN ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Date MAY 21 , 19.9l w 0 ct Zo U0cc4 tc vw ww U 1— aw Name MICHAEL ANDERSON Address 1015 BRIAR CREEK RO City EAGAN Phone 683-0925 kA rt 42A% Name SAME Address City Phone Name Address City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee A Building Permit is issued to• MICHAEL ANDERSON on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY FEES Bldg. Permit 25.00 Surcharge • 12 • Plan Review 16 SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 25.50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Plbg. Rough Htg_ Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. j- Z3'9/ 4$ Deck Final 7/ . / _ fej Well Pr. Disp. niaCITY OF EAGAN.„ /vim9� 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 # PHONE: 454-8100 BUILDING PERMIT To be used for :.:i' DWG/GAR Est. Value *10,000 Site Address • 1015 BRIAR CREEK RD Lot 3�} Block 1 Sec/Sub LEX SO Parcel No. w z 0 Name SCR IMEK HOMES Address 13q: ,. G:i4ENHORS"T AVIS: .g94-2907 City o z0 Name Address City Phone ww w„ 00 mz ¢w a Name Address City Phone 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. Signature of Permittee '' j C1, SCHIMEIC HOMES Receipt # Date Jr"",islUkitY, 19 Erect a Occupancy R3 Remodel ❑ Zoning R1 Repair El of Const. V Addition 0 No. Stories Move 0 Length 45 Demolish 0 Depth 50 Int. Impr. 0 Sq Ft Install 0 Approvals Fees Assessment Water & Sew Police Fire Eng. Planner Council Bldg. Off 1/6/86 APC Var. Date Permit 5 Surcharge Plan Review SAC 400.00 44 .50 200.00 575.00 Water Conn 500.00 Water Meter 63.50' Road Unit 280.00 132.00 Tr PI Parks Copies Total ,195.001 A Building Permit is issued to• on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ` Permit No. Permit Holder Date Telephone # Plumbing 676 b %:L-,-----,--- ' J ,_.... ',L H.V.4C. c C,2 va [. le 1t�2- �y `-- Al 1 ! l6 Electric �jc f� .,g-% git G—c:.e_ Q /� O� G , .2 G J % 3 Y, li Softener Inspection Date Insp. Comments Footings I /446 ,fy,? Footings II Foundation Framing i.3fb/66 Roofing Rough Plbg. 4 p 4 . I /� -,4'f y1. 4. VYi . .4 — ( j Rough Htg. 3-4i-g. „to it ezd� %/1 v — /ji//./APOI'I SLL�-U� Insul. .3-/y-JJ/ l' S-1-/- e qv/e.Ei�y / k p j%�CM co.;44057-/e Fireplace .j4,/ go C !/aeE57 , - -0E.A0-- 4r f2'OC`v? Final Htg. '2;5/x,6 ld /!J %. j:7, 3 -f/ 51-).11e, Atgo UL Coke . - — Final Plbg. •1 ,•j02,' ,444 Bldg. Final Cert. Occ. �5/�fa �� "�� - ' / ?" c Deck Ftg. Deck Frmg. Well SbA4 L ` yJ,i X/YL/L.J yyFF- C p — _CC J iuM-iL_... Pr. Disp.,� �_/ - - PERMIT # RECEIPT # 59-70 DATE a/4/4)la CITY OF EAGAN PLUMBING PERMIT 454-8100 S/C MINIMUM RESIDENTIAL FEE - $10.00 + $.50 ? [ MINIMUM COMMERCIAL FEE - $20.00 + $.50 TOTAL 4= FEE ,36• 1. Bldg. Type: Res rk Comm Inst 2 New X Add Alter Repair 3. Total Bid Price 4 Job Address 47/ ' ." f i f� ' (-1:::/:61-.X /',-ci Lot 3 Block / Sec,,y- �- -7-r -� ✓� ,---Y',c' 5 Owner `Sfs/1/✓1/1k. /44.1 6. Contractor a�P//).5":, Ale C�i . ;3( �:•U /".•///,/? •////, .4,,; �tl-----.,:,,-� f� (Name/ (Street) (City) (2Ip) 7. Contractor Phone # `/ - /� S� NO. FIXTURES NO. FIXTURES NO. FIXTURES 'Water Closet - $3.00 Laundry Tray - $3.00 —Well $10.00 - Bath Tubs - $3.00 / Floor Drains - $1.50 Private Disp Syst - $10.00 'Z Lavatory - $3.00 __LWater Heater - $1.50 3 Rough Openings w/o / Shower - $3.00 Whirlpool -,$3.00 - Fixtures - $1.50 /- Kitchen Sink - $3.00 / Gas Piping Outlets - $1.50 Urinal/Bidet - $3.00 Softener - $5.00 COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. / //' '- for Signe (t�`llr- Approval 1i Inspections: Date Rough Insp Date Final Insp. Receipt MECHANICAL PERMIT Permit No. Fee' f.) CITY OF EAGAN Fill in numbered spaces Type or Print legibly Tot. 2-10—ur, 1. Date 2. Installation Cost 1D lg. 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor `14ZDR1CKSOI3 6. Address 40 au i ° 1c_ :ir . Phone `,7.l`1: . 7. City State tR1 Zip 8. Building Type: Residential 0 Commercial 0 Institutional 0 9. Work Description: New 0 Add 0 Alter 0 Repair 0 10. Describe 4,4i1.. 11. Fuel Type No. Eauioment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : Inspections: Date for Rough Final Insp. Date This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 • j! Insp. CITY OF EAGAN LEXINGTON SQUARE Addition Remarks Owner I ; 41r I1-6" Q11.4: `;/ Lot 33 Blk 1 Parcel 10 45075 130 01 Street 1015 Briar Creek Road State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK q. i 1985 254.53 16.97 15 254.53 C009706 10-12-84 97 rSEWERLATERAL hen Yrk �� 1986 171 65 1L58 15 173.65 C010050 1-28-85 WATERMAIN q 1986 68 33 4.56 15 68.33 C010050 1-28-85 WATER LATERAL WATER AREA 97 1986 286 41 19 10 15 286 43 (1010050 1-7R-85 STORMSEW TRK 979 1986 501.29 33.42 15 501.29 CO10050 1-28-85 STORMSEWLAT 973/ 1986 513.81 34.25 15 513.81 C010050 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit $290.00 58797 1/6/86 WATER CONN. 500.00 II II BUILDING PER. 11412 SAC 575.00 PARK CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O.Box21199 1 + Eagan, MN 5511 Zoning; _ Owner 5ch.imek Homes Address., PERMIT NO • DATE. -I4—on L No. of Units. Site Addresg 1015 22- iar Creek Rd. L33 Ti Lexington Sq. Plumber:✓ Wenzel trec h.an . Meter No ° 70 I8? �+orge• 500. DOpd Size: ye ( k ging Cant S titgposit• 1) . 00pd. ritE_ELF00 Reader No.iD3�11 t : 10.00pclagree to comply with tyof behti° Feet , 5'JFtd 132.00pd TP Ordinoncet. ® REQU�� sc. Charges* By Dote of Insp.• /7-8'6 Total' 6 3. 5OpC1 meter. Dote Paid. !nap • CERTIFIED P 289 719 808 MAIL city of eagan 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN, MINNESOTA 55121 '3LtppA �y0 Shit000 1nSul1Y pir iq OQlTING AUGZd n . ni�1:A SII A•JIilC�' P.nc:97i)7eaI elafoi Chock f E 3, NO.. _4 q 0 Ncld Date \CERTIFIED MAIL - RETURN RECEIPT REQUESTED SCHIM' K- OMES 13008/IGLEiNHURST AVE SAVAG N 55378 L X21, (kk 1T f�atice 2Np tice Return Detached from PS Form 3349_A Oct. 1995 J i n a 2 a z a • SENDER: Connate items 1, 2, 3 and 4. Put your address in the"RETURN TO" apace on the revane side. Failure to do this will printout miss lard from ybeing greturned to you. The return recsbt fee win provide YOY dN rwend dis nelaan dalkMred round Meditate tL Fo eadrdparss 1We-N p ata W ale. Consult postmaster for fees and check box (M) forservlce(s) requested. 666 1. 11 Show to whom, date end address of delivery. 2. /❑Restricted Delivery. 3. Article Addressed to: 1 4.Type of Service: Article Number ARegistered ❑ Insured Certified O COD 21T-7/ 9 for Express Mad Always obtain signature of addreseeglagent and DATE DELIVERED. 5. Signature — Addressee X 6. Signature — Agent X 7. Date of Delivery 6. Addressee's Address (ONLYiffagUateddnd fee. ) CITY OF EAGAN • N° .19093 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 �2 y.'td BUILDING; PERMIT Receipt # 352 To be used for DECK Est. Value $1,000 Date MAY 21 1991_ Site Address 1015 BRIAR CREEK RD Lot 33 Block 1 Sec/Sub LEXINGTON SQUARE Parcel No w 0 0 Name MICHAEL ANDERSON Address 1015 BRIAR CREEK RD 0 0 00 r City EAGAN Phone 683-0925 SIO 1102 Name SAME Address City Phone ma WW CZ Name Address City Phone hereby acknowlege that I have read this application and state that the ntormation is correct and agree to comply with all applicable Slate of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee A Building Permit is issued to- MICHAEL ANDERSON on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City oI Eagan Ordinances. Building Official ,ObUl� 4.4A/LI I I IdJ OFFICE USE ONLY Occupancy M-2 FEES Zoning (Actual) Const Bldg. Permit 25.00 (Allowable) Surcharge . 50 # of Stories Length 12 r Plan Review Depth 16' SAC, City S.F. Total SAC, MCWCC S.F. Footprints On Sae Sewage Water Conn On Site Well Water Meter MWCC System City Water Acct. Deposit PRV Required SAN Permit Booster Pump SM! Surcharge Treatment PI APPROVALS Road Unit Planner Park Dad. Council Bldg. 011 Copies 27.50 Variance TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $89,000 Date N9. 11412 567 JANUARY 6 1986 Site Address 1015 BRIAR CREEK RD Lot 33 Block Sec/Sub LEXINGTON SQ Parcel No. W z 0 Name SCHIMEK HOMES Address 13008 GLENHURST AVE City SAVAGE Phone 894-2907 Erect 121 Occupancy R3 Remodel 0 Zoning R1 Repair 0 Type of Const V Addition 0 No Stories 45 Move ❑ Length Demolish 0 Depth 50 Int Impr. 0 Sq Ft Install 0 02 Name SAME Approvals Fees Address Assessment Permit 0 * • 00 City Phone Water & Sew Surcharge 44.50 6w w ti ua az aw Police Plan Review 200.00 Name Fire SAC 575.00 Address Eng. Water Conn 500.00 City Phone Planner Water Meter 63.50 1 hereby acknowledge that I have read this application and state that the information is correct and agr- - to co •ly with all applicable State of Minnesota Statutes and City/ ag nv� dl�lnces. Signature of Permittee SCHIMER HOMES A Building Permit is issued to. on the express condition that all work shall be done in accordance with all appli S e of Minnesota Statats City of Eagan Ordinances. Building Official �11a�✓YZJ Council Road Unit 280.00 040m1/6/86 Tr PI 132.00 APC Parks Var. Date Copies $2,195.00 Total This request void 3-3e3'' months from / /? O8'828d 43-4•S xL.Arc 66/1741 Request Date Fire No. Rough -in Inspection Section No-' /`/ n p/ egmr ? • —�� Ready Now CA'yr"II Notify Inspec- TTT • No y `yam 177/72 r7� l��-A l o es for When Ready censed Electrical Contractor 0 Owner I hereby request inspection of above electrical work installed at: Street Address. Box or Route No. ///"/��j 'ea... ���I/,1JC'w �A �fRange City Section No-' Toyvnship am `^ No.Co Occupant PRINT) /i / \ l /m� L�l�STrun ,� c) Phone No. 791' Wig 7 Power Supplier �� i. Address y `yam 177/72 Electri Cont (Company Name) Con tors License No. Mailing Address 73e (Co actor or Owner Making I tai dam. lation) 1� L rr,�. -553:, 1X ,a la, Authorize i nate tra for O gr Making Installat i on) �., . l/ Phone mbar r'9171- 379,9 � MINNESOTA STATE ARD OF ELECTRICITY Griggs -Midway Bldg. — Room N-191 1821 University Ave., St. Paul, MN 56104 Phone (612) 297.2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE 15 ENCLOSED. 63 [4/ 1/ REQUEST FOR ELECTRICAL INSPECTION ee instructions for completing this form on back of yellow copy. tO8�285 ""X"" 8e/ow Work Covered by This Request B -00001-0A /3/l'6 New Add Rep. Type 1 Building Appliances Wired Equipment Wired # Fee Circuits Home ft ii r) Range Temporary Service 0 to 30 Amps q 17 00 Duplex Water Heater Above 200 Amps! Lighting Fixtures 31 to 100 Amps Apt Building 31 to 100 Amps Dryer Electric Heating Above 100_Amps Commercial Bldg. Furnace Silo Unloader Transformers Industrial Bldg. Air Conditioner Partial/Other Fee Bulk Milk Tank Signs Farm 1 Other (Specify) TOTAL Fiter 39 .ea Other (Specify) Other (Specify) Other Other mpute Inspection Fee Below # Fee Service Entrance Size k Fee Feeders/Subteeders # Fee Circuits 1 ft ii r) 0 to 200 Amps 0 to 30 Amps q 17 00 0 to 30 Antos Above 200 Amps! 31 to 100 Amps 31 to 100 Amps Swimming Pool_ Above 100_Amps Above 100_Amps Transformers 'Irrigation Booms ,j* Partial/Other Fee Signs Special Inspection S 3900 TOTAL Fiter 39 .ea Remarks Rough -in Final Date ^) q 4;1* ` t/ I- the Electrical t..6L,J /^�L (��Jl tl�' Inspector, hereby P certify that the above inspection has been made. act4i Date �J ' this request void 18 months from Date: City of kali 3830 Pilo Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 t VQ CD Permit #: 3c69 r ` Permit Fee: CisL r 0 L/ Date Received: Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION V10S ( h n n ) Site Address: 16 6 8 (1(42 C Z?t iZ v Tenant: t�(v�Crtt1-% £#IA-YLGL Suite #: RESIDENT / OWNER �J 2 Name: Oil.) (Q wt 6 (f i &t "! 7' 34� eat. Address / City / Zip: J 10 /5- /J e t/1i C ear. • en Applicant is: rOwner `' Contractor TYPE OF WORK Description of work: K Eh7eVE c 2E Pt/tcE /LOr f Stt7.vrte:3 O. Construction Cost:4 %I Cbl' Multi -Family Building: (Yes / No ) CONTRACTOR Name: A rein-((,t(A nl SoddiA CCW rc 'r6Q$,' License #: Zo /4'? 383 Address: 61(00 j V D I e 1i1(4 ,2O SLAM" /CO City: F1} etAN state:: t N Zip: S—S-/ 23 Phone: '9'S7 ^ 76'7" CP? cq Contact Person: A Altaic £ iC/nl COMPLETE Energy Code Category (4 submission type) In the last 12 months, has If yes, THIS AREA ONLY IF CONSTRUCTING A NEW;BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 _ - Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes _No Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: i I NOTE Maris and supportingidocuments that you submrtar*consrderedto be ptikhc mfg mations;°?0rfrbns of._, the information may be classrfred as non public if ybu provide specific reasons4hat would permrt #lie Crty fo> •;: ,icdnc o ettl nt they'are;trade,se`brets .-, :.. ,:j, ri,ir& * ;,:y : : . , . : I hereby acknowledge that this information is complete and accurate; that the work will be in contomiance 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. c"e¢•F Alec -56,1 Applicant's Printed Name Page 1 of 3 a 9 6fl RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ' 651-681-4675 New Construction Requirements • 3 registered site surveys slowing sq. ft of tot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 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 (011)JnI JOB SITE ADDRESS JO / 130 jail °r -eek W h LA -71M RemodellReoair Requirements • 2copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 74rae IF MULTI -FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER'4ei t win I�rnp TYPE OF WORK "5rcPTnR /Sof-F-i-- r Ari y f APPLICANT SGS rem•Ac.,r nn d A'lttr,.-1rn,ant-e FIREPLACE(S) _ 0 _ 1 _ 2 PHONE# '7a3—Yr3—loop/ ADDRESS 35-17S Per", 'Lac new .6'1y e o,, /!y„4 dye„./ PAGER# CELLPHONE# (ort– 7`f7 -79/O ZIP CODE SSyT3 FAX # 749.-1-1/ 3 —/Do NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor. _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the info tion i orrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin• •s. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received — Not Required Updated 1/01 SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS 14013 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLQWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Ic Valuation: Site Address tO I S 13rI42 eat -R6 Lot 33 Block Parcel/Sub Owner LCX/iY6-M ( SQUAI 6 rn;c.W,Ac1-. latut),6-IZSolV Address 1015 B200 2 G2.6614.. 741s. City/Zip Code eA604N, S512,3 6,s3-0925/stO-ilOV awtt2 Phone Contractor Address City/Zip Code Phone Arch./Engr. (SWtJ¢Q... Address City/Zip Code Phone # (Signature of Contractor) Date: S'20-9¢ Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System City water PRV Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY � FEES®© – Bldg. Permit Surcharge 1—LCA- Plan CA Plan Review SAC, City SAC, MWCC L ' Water Conn. /1,' Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL S• agrees that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. • (SURVEYOR'S CERTIFICATE • SCIIIMEK CONSTRUCTION 25 DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION SCALE: 1 INCH = 30 PROPOSED GARAGE FLOOR = 9o0.6 PROPOSED LOWEST FLOOR = 1113.61 PROPOSED TOP OF BLOCK = Tote m FEET FEET FEET FEET. 1 HEREBY CERTIFY TO SCHIMEK CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY or THE BOUNDARIES OF: Lot 33, Block 1, LEXINGTON SQUARE, 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 23RD DAY OF DECEMBER, 1986. SIGNED: JAMES R. HILL, INC. BY. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. 85397 FILE NO. FOLDER BOOK / PAGE JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloomington, Mn. 65431 812-884-3029 L 38 BL / SUBD. (c 4. CITY USE ONLY RECEIPT RECEIPT DATE: PERMIT # 313(1 Please complete for: 1999 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 5512E (651) 681-4675 > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished * requires MPC tic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/repair 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x / = $ Water turnaround 30.00 x ---- = $ State Surcharge .50 --> ---> ---> $ .50 Total --> --> ----> ---> $ 3o.50 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: WINTHROP, BRADLEY 1015 BRIAR CREEK ROAD OWNER NAME:: EAGAN, MN 55123 - (651)686-7131 INSTALLER NAME: NORRf OM P_LUMBING_C0 (612) 827-4033 STREET ADDRESS2Q06 GARFIELD AVE. SO. TELEPHONE #: TELEPHONE #: (AREA CODE) (AREA CODE) CITY: MINNEAPOLIS, MN 55408, STATE: ZIP: S N •R'E OF PERMITTEE L✓ -J BL. SUBD. ie- Kiln CITY USE ONLY on Stu rem RECEIPT#: I��� / 0 / RECEIPT DATE: D- 7 -0-O PERMIT# 3 c7 j4 Please complete for. 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTUR EACH TOTAL Alterations Describe: to existing dwelling – minimum fee $ 30.00 Bath tub $ 3.00 x = $ Floor drairt; 3.00 x = $ Gas piping,outlet ' minimum -1 3.00 x = $ Hot tub/sp 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory ; 3.00 x' = $ Septic System new/refurbished • requires MPC tic. 75.00 x = $ Septic Sysem abandonment 30.00 x = $ RPZ new Installation/repair/rebuild 30.00 x = $ Rough oPening 1.50 x = $ Shower 3.00 x = $ Undergrouhd sprinkler 11 dwelling is under construction 3.00 x = $ Underground sprinkler If existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x 1 = $ 3. oo Water softener If dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x — = $ State Surcharge .50 –> —> —> $ .50 Total —> —> ----> -•-•> $ 2j'3 > 50 Reminder: CaII for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby adtn4wwlsddge that I have read this application, state that the Information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this perk within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: : WINTHROP, BRADLEY 1015 BRIAR CREEK ROAD I EAGAN, MN 55123 I (651) 686-7131 TELEPHONE #: L� / (AREA CODE) INSTALLER NAME: Nap/Lem f .ome5o.1� (o TELEPHONE#: 6a R07- go3 STREET ADDRESS: Z ?O5 �4Q,f=(EL5 Knit So (AREA CODE) /� CITY: / " / //V Ai awe L..r � V/�� ZIP: 5 V SI r'��'r' E OF PERMITTEE • 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 8c, 0OO To Be Used For: P.•44-�.yd,,7-,kt Valuation: Site Address 4)15 .130‘140,1- Ckati,C tc Lot 33 Block I Parcel/Sub In-( �[1 7l13 -g r ty Address 13001E aLrc.kurcflAU•Q City/Zip Code Phone 2 qy- 9Q / Contractor SC- A { 11110, IJypc Address /13001)5nik') C?4n L.irs7S 4-)•? Owner City/Zip Code Phone wer vv_ Sc 391 R941-4-7- 7019 Arch./Engr. it'/J7io Address }rein-/ City/Zip Code Phone # ct Date: /a OFFICE USE ONLY Erect X Remodel Repair Addition Move .__. Demolish Int.Impr. Install Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft R3 Q•1 45 50 APPROVALS Assessments Water/Sewer Police Fire FEES Engr Planner Council Bldg Off/ APC Variance Permit Surcharge Plan Review to. SAC S'�S• Water Conn SOO. Water Meter (c3L6- Road Unit Uplc. Treatment P1 132, Parks Copies TOTAL la/95- R 3 tItJ.S- 444 91) 2 2 12 17x23; R34 rot (o x 44- Z7ro4- 391x-=22478 511lx SD= 3[s52 S7b F (2_ r 6cr f2 83? -4 G -SURVEYOR'S CERTIFICATE SCIIIMEK CONSTRUCTION DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION SCALE: 1 INCH = 30 FEET PROPOSED GARAGE FLOOR = 900.6 FEET PROPOSED LOWEST FLOOR = 893.10 FEET PROPOSED TOP OF BLOCK = 90/•o FEET. I HEREBY CERTIFY TO SCHIMEK CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 33, Block 1, LEXINGTON SQUARE, 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 23RD DAY OF DECEMBER , 1985. SIGNED: JAMES R. HILL, INC. BY• HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. 85397 FILE NO. FOLDER BOOK / PAGE JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloomington, Mn. 65431 812-884-3029 CITY'OF BURNSVILLE EXTERIOR ENVELOPE AVERAGE "0" COMPUTATION /ioot 664A,Lr$7 Su.Oac m& Owner Sc4l tyyu2 k gym, Z Address "' •�/- WPhone fc -30--� 4V Legal Description of Property:,�Lot Block 1 Addition „[.e,(`rricripA 1 Date/2- 30 -er Site Address - //5 417 Uitn h. (t -e44 ":Page 1 AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE GRADE PERMIT NO. Main level Lineal ft. of framed wall above grade ICe4- x height of wall 8.0 = rim t Ce4- x height of rim 1. 0 Rim joist area Lineal ft. of Lower level Lineal ft. of Lineal ft. of framed wall above grade 102- x height of wall 545 masonry wall above grade x height above grade 0512 :1 a 56.1 a TOTAL wall area above grade including windows and doors WINDOWS: Area x "U" value Make & type 111N.R. A0Pang. SLICEtS sq. ft. 102 x "U" .54 sq. ft. 51 x nUn sq. ft. sq. ft. x "U" sq. ft. x nUn sq. ft. x 11Un sq. ft. x .11111 sq. ft. x 111111 sq. ft. x "U" sq. ft. x nUn sq. ft. x nUn sq. ft. x I,Un sq. ft. x 11”t1 sq. ft. x /1Dn sq. ft. x nUn sq. ft. x 11U11 x 11Un sq. ,ft. sq. ft. x nUn 11 n .714E&L►noPAF►G FIflO = 2.6 51 Si.12 (U) (1 s 39.33 on 0 on 0 (U)O a (u)(/ an 0 (U) (! a (U) (i' a (U) (1 (U)0 a (U)0 (13) a (u) 0 (u)U e (U) (E (U) 0 (U) 0 a (U)0 ( 519.._ DOORS: Area x "U" value U 2Ce 1 �.� (U) (f Make & type NC Sw,n►4 ertti. sq. ft. 4C x " II n rano dace- sq. ft. I e „ 8 x U .59 a $ G•12 (U) (! n " (U) (1 II sq. ft. x "U" n n sq. ft. x "U' a (U)(1 .112� " -OPAQUE WALL CONSTRUCTION; Area x "U" value FRAMED WALL (total area less opening, framing members in Detail refer- wall, rim joist area & masonry) 'ence from attached sheets sq. Framing members in wall sq. Rim ioist area sq. Masonry area above grade sq. TOTAL Wall Area Including Windows & Doors TOTAL (U)(A) VALUES DIVIDED BY TOTAL WALL AREA *a ft. ft. ft. ft. 1404 nun .c 4. 15'1 x "U" . 2 Ib4 x "U" .c4 x nUn il30 a s 4.36' (u) (6 15 .84 (U) ( 4.54 (U) (' (U) (i 201141 — TOTAL (U) (A) 2 .1239 AVERAGE "U" Minimum or less for 1 & 2 family dwellings Minimum .22 or less for all other buildings NOTE: If average "U" values as calculated above do not meet the Energy Code requirements, the "Alernate Envelope Design" as indicated on Page 5 may be used. AVG. "U" 0 I. ••�,` WALL SECTIONS UTE: Use 10% of opaque wall area for framing members • 0 FRAMING MEMBERS IN WALLS Exterior air film Page R -Value 17 Siding '67 Sheathing 2.04 34" soft wood 4.38' 1 "..dry wall . 45 Interior air film . 68 TOTAL R = a4'1 U = 1/R FRAMED WALL U = . 12. Exterior air film .17 Siding .67 Sheathing 2, 0(, 2 0.00 34" batt insulation 4" dry wall Interior air film .45 .68 TOTA1. R 24.03 .0416 U = 1/R ' U = RIM JOISAREA Exterior air film 17 Siding .47 • o(, Sheathing i1 " soft wood Insu] ari on Interior air film 1.88 2.0.00 .68 • TOTAL R 25.44' U= 1/R MASONRY WALL Exterior air film 12" concrete block Insulation U= .04 .17 Interior air film .68 • TOTAL R 1/R, Page 3 ROOF CEILING 1 Outside air film Insulation 1" Drywall .61 40.00 .45 Interior air film .61 TOTAL R = 4141 U= 1/R Outside air film Insulation h" Drywall Interior air film .074 .61 .45 .61' TOTAL R = U = 1/R Outside air film U .17 • ROOF/CEILING: ' TOTAL AREA: Detail reference from above. Describe openings in roof Built up roofing Insulation Wood decking .33 Interior air film .61 TOTAL R U= 1/R sq. ft. U = nu„ x sq. ft. _ (U) (A)(U)(A) '1 nun x sq. ft. — nun x sq. ft._.____ _ (U) (A) y „un x sq. ft. _--(U)(A) nun x sq. ft. _ (U)(A) „U" x sq. ft. . - (U)(A) nun x sq. ft. (U)(A) TOTAL (U) (A) VALUES . DIVIDED BY TOTAL ROOF/ CEILING AREA o� AVERAGE "U" $0S'for ventilated roofs .10 for all other construction NOTE: If average "U" values as calculated above do not meet the Engergy Code requirements, the "Alternate Envelope Design" as indicated on Page 5 may be used. TOTALS sq. ft. (U)( .024 AVG. "U" a Crawl Space Exterior air film l" plywood S l" particle board Insulation Interior air film .92 .66 .92. t TOTAL R = U= 1/R = Insulation shall have a minimum R -Value of 7.5 and must extend horizontally (as illustrated) or vertically a distance equivalent to the design frost line; that is: a Zone 2 = 3 feet 6 inches Insulation shall have a minimum R -Value of 7.5 around the perimeter of slab on grade floors. THE TOTAL 1!VELOPE CALCULATION METHOD Page 5 -The regulations state that alternative overall "U" values for building sections are permissabl if it is shown that the total building envelope heat loss/gain does not exceed that of a similar building that meets the regulation "U" value maximums. In this case, we will consider only the walls and roof/ceiling criteria, assuming that the remainder of the building meets regulation requirements. A. Total heat loss as designed (walls and roof/ceiling) BTU/hr. degree P. Walls — UoAo = Average "U" of wall assembly x average wall area sq. ft. _ B. Roof/Ceiling = UoAo = Average "0" of ceiling x average ceiling area sq. ft. _ TOTAL Total heat loss if designed to meet the regulation minimum (walls and roof/ceiling) Walls = U A = Minimum required 0 0 "U" value of wall x average wall area se. ft. _ Roof/Ceiling ='UoAo = Minimum required "U" value of ceiling x average ceiling area sq. ft. TOTAL The following table may be used as a general guide line for determining allowable percentage of wall openings when lowest "U" value is established. % Wall Opening 10.6 13.4 15.6 17.2 18.6 19.7 20.6 21.4 22.1 Minimum R—Value Opaque Wall 8 9 10 11 12 13 14 15 16 % Wall Opening 22.6 23.1 23.6 24.0 24.4 24.7 25.0 25.2 25.5 Minimum R—Value Opaque Wall 17 18 19 20 21 22 23 24 25 Opening area (sq. ft.) / X 100 = Opening & wall area above grade (sq. ft.) opening in wall The following table may be used as a general guide line for determining allowable percentage of roof openings when lowest "U" value is established. 2 Roof Opening 0 1 2 3 4 5 6 Minimum R—Value of Ovaa e Roof 20.0 22.3 25.1 29.0 34.3 42.2 55.3 Opening area (sq. ft ) Opening & roof/ceiling area (sq. ft.) X100= a X opening in wall CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 2/84 (PLEASE PRINT) 1) PROPERTY ADDRESS: 474-,---4-;1/20, et!' LEGAL DESCRIPTION: n3; / (Lot/Block/Subdivision or Tax Parcel I.D. Number) 1 KIST_ :G STRUCTURE, DATE OF ORIGINAL EZJII.DING PERMIT ISSUANCE: PRESS :n727:/PROPOSc-0 USE: 1a'R-1 SINGLE FAMTTY ❑ R-2 DUPLEX (TATO UNITS) ❑ R-3 TOWNHOUSE (THREE + UNITS) Q R-4 APAR'II^.E:VT/CO7DOMn1IUM Q COMMERCIAL/RETAII/OFFICE ❑ INDUSTRIAL ❑ INSTITUTIONAL/GOVERNNIE[TT _o::__. _ear, UNITS) UNITS) 2) APPLICANT NAME: ADDRESS: CITY, STATE, ZIP: PHONE: (PLEASE PRINT) 43i) (147. C7kid-writ /)L SC2uuI E° !fln 553 7,P' 3) PLUMBER NAME: ADDRESS: CITY, STATE, ZIP: PHONE: (PLEASE PRINT) V1J� tNENZEL MECI IANICAL 3600 VENNFRFCRIVE, EAGAN, 5 MINN. 55122 MASTER PLUMBER LICENSE 11 001445M2 FOR CITY USE ONLY PLUMBERS LICENSE: n Active (1 Expired Q Not of Record start Initial 4) OCCUPANT/OWNER NAME: ADDRESS: CITY, STATE, ZIP: PHONE: (PLS SE PRINT) `�� Ain)/ �d n,c- ( 5) INDICATE WHICH PERMIT IS BEING REOUESI'tj: pg CONNECTION TO CITY SENtR Q CONNEYTION TO CITY WATER 0 OTHER (PLEASE DESCRIBE) 6) INDICATE ONE: 7) SI1TL'RE: ❑ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ❑' PLEASE MAIL APPROVED PERMIT 10 1, 2, `3, 4 ABOVE (Circle one) 67 DATE: -A%& ! /! Nellie PERMIT ° ISSUED Nom:»i.t tot s— w .uilii ssssfJ!4 ,- ark snt■ a FOR CITY USE ONLY FEES: SEWER PERMIT (INCLCDE SURCHARGE) $ /D - WATER PERMIT (INCLUDE SURCHARGE) $ d,, -3.,5Z WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ /�� 0-7) ACCOUNT DEPOSIT - SEWER $ / 5 r(T-7) ACCOUNT DEPOSIT - WATER S Liao-cn) WAC SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ /3,2, 0 0: OTHER 7-1 $ TOTAL iI $ AMOUNT PAID/RECEIPT # S-77/7 /7S, 5-7 2/7 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: eia la= at is an ENtE NIC OHM Pi SAM IMPS Ramaw N.# MEM lE Lin ala 13 iPt w- City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: �. Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: ``Date Received: { 11 Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Tenant: Site Address: I o 1 :c r Cre-e-ll gc ttrike_\ Suite #: Resident/Owner. Contractor Permit Type Name: -N"fa‘ke Address / City / Zip: 1015 SL)-: may- C reLli Name: T i ri'C _ ( te-C.,\Ge LCT Phone: Address: )r' -Ll too %_ n Ian Ptv 8.. -- State: f\f‘f Zip: ..S ' Phone: Contact: Gam' License #: O60,5) oc\ - T M City: °153---'8'11-1-1110o0 Email: � ar.v.er& t I LJ» New 1‘, Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. Description of work: 1 r2i ', �( \rte I' 1C 4Q„ LeAL RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (3 Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 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) TOTAL FEES $ 4pu CALL BEFORE YOU DIG. Call Gopher State One CaII 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.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 approvd( of plans. t1 (1.)t- -4`us.Se.L\ Applican s Printed Name Applicants Signature FOR OFFICE .US Required Inspection; *City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r - For Office Use I\ / Permit#: d� a Permit Fee: Date Received: 94- i Staff: Uj 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (`(/ � 1 13 Site Address: 1 OIs B r c h Creek kr Unit #: (c - Resident/ Owner Name: 1/J191+ l? i"v1 K.e l Phone: &S/ 36S S06 Address / City / Zip: lot 5 Bm,"f e, e e p ta Applicant is: Owner X Contractor Type of Work Description of work: '4 -/24„,--T- Construction Cost: 6 S©® Multi -Family Building: (Yes / No x Contractor Company: P. • 4Q►'14-414 1 C-c't In 44't, 0414 '""Contact: Address: �1, u ` , \'e City: COI cj f r�� � State: t ( Zip: - `, C L` V ��j - Phone: - & 3 a-3 & Li "t 1 0 7 License #: 8C Cq "*S . c1.5V Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) -0,rye Li L4- a-c'--er 1 q* -18 COMPLETE THIS AREA ONLY IF In the last 12 months, has the City of Eagan issued a permit _Yes _No If yes, date and address of master plan: CONSTRUCTING A NEW BUILDING for a similar plan based on a master plan? Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit the information may be classified as non-public if you conclude that they are considered to be public information. Portions of provide specific reasons that would permit the City to 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.gopherstateonecall.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. 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. xf14evlc��ec�� Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA135491 Date Issued: 03/18/2016 Permit Category: ePermit Site Address: 1015 Briar Creek Rd Lot: 33 Block: 1 Addition: Lexington Square PID: 10-45075-01-330 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 604-4285 X61 - Applicant - Owner: Dwight J Brakel 1015 Briar Creek Rd Eagan MN 55123 (651) 338-3028 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