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1034 Briar Creek Rd Use BLUE or BLACK Ink MAY. $ 7 REVD ~ For Office Use ~ 1 j Permit#: ~-1 go j City of Eapn I Permit Fee: 3830 Pilot Knob Road I . I Eagan MN 55122 j Date Received: c 5 j Phone: (651) 675-5675 I /7 I Fax: 651 675-5694 I Staff: 1 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S1,j7h Site Address: 037 A~~AZ I /0 Tenant: T/ /1 L .S~17 Tf't.JtC Suite RESIDENT I OWNER Name: T7 /°1 G 9'77- 0 C, f Phone: 6:rJ`f 'V rZ -71.767 Address/ / City /Zip: ~c 11"A (~17424"'Oe Applicant is: Owner ✓Contractorj~ .rS1l3 TYPE OF WORK Description of work: A #,Z d Construction Cost: _ Multi-Family Building: (Yes / No!!n CONTRACTOR Nam 1A.1 oil! A-IdYOW 0'4icense Address: ,~9311 ~Adowi3Ro Jed City: ~444w- Statalf '",A/' Zip: 4S.S'!eZL Phone:9CZ 434 Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber; Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes ity f 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; tha work Will in accordance with the approved plan in the of W% which requires a review and approval of plans. :510 7T /T~A%--. V x x Applicant's Printed Name App IIca gnature Page 1 of 2 CITY OF @AGAN WATER SERVICE PERMIT 3830 Pilot Knob Road F If 1) P. O: Box 21199 PERMIT NO.: Eagan, MNz~r-5121 DATE: 7 Zonirip No. of Units: - Owner: _ Address: Site Address 1(11-54 Y•:La Creel R : • 111x. SO- Plumber rolieds"e C .t y Pal", Meter No.: Connection Charge: Size: Account Deposit: -'airy Reader No.: Permit Fee: lO • agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: 1.32-00 ne S C rzet er Total: By Date Paid: Date of Insp.: Insp.: CITY OF 9AGAN `SEWER SERVICE PERMIT 3830 Pilot Knob Road 7 3 e,5 P. O: Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: P1 No. of Units: 1 Owner -arsness est. c. Address: 1.034 _Ux. Sn . Site Address: Briar (zer-1Rd. T2 T7-'j,'.' Plumber. 611.e e City ('^:Ff wo.onpe 1 agrw to cm* wM the CUy of Eagan Connection Charge: l; ` c • i, _ ci Ordlaowoes. Account Deposit: 15. Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Bl1ILDING PERMIT Receipt # To I* used far Est. Value ! i Dote c i 16W-04-- Site Address Erect ❑ Occupancy R Remodel ❑ Zoning Lot Block Sec/Sub 3- • . Repair ❑ Type of Const. Parcel No. Enlarge ❑ No. Stories Move ❑ Length W Name Demolish ❑ Depth Address Grade ❑ Sq. Ft. r b City fPhone . Install ❑ Approvals Fees Name ;a Assessment Permit C~ Address U, City Phone Water a Sew. Surcharge Police Plan Review E} 9Name Fire SAC 11, 9'W 11 Address Eng. Water Conn. ? +'f <W City Phone Plonner Water Meter ' Council Rood Unit I hereby acknowledge that I have read this application and state that Bldg. Off. ar the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Ver. Date Signature of Permittee 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 Tel! hone Plumbing CID C, 4-1 6 7_ L 115 - HNA.C. 45 Electric - CXf L,/~~ Q d7 11,e tm Lc, 5 /0-00-7- Softener Inspection Date Insp. Other Footings .Sf Foundation Framing Roofing Rough Plbg. Rough HVA E Insulation Final Plbg. Final HVAC S A-1 Ae &W 1144 Final Cart/Occ. L° p ~z I Y- Water Describe Location: Wall Server Pr. Disp. CITY OF EAGAN Remarks o~ Addition LEXINGTON SQUARE Lot 2 slk 2 Parcel 10 45075 020 02 Owner Street 1034 Briar Creek Road State Eagan, MN 99121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1985 Za4,53 16-97 15 254.53 0009711 10-12-84 qZZSEWER LATERAL ben rk 1986 173.65 11.58 1 173.65 C010055 1-28-85 WATERMAIN 1986 868.33 C010055 1-28-85 WATER LATERAL WATER AREA 19,96 986-41 19-In is 286.43 C010055 1-28-85 STORM SEW TRK 1986 501.2 33.42 15 501.29 C010055 1-28-85 STORM SEW LAT 1986 513.81 34.25 15 513.81 C010055 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 280.00 51380 5/3/85 WATER CONN. 500.00 11 it BUILDING PER. 10177 t, SAL 525.00 PARK CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN-,5121 ~ ~DLtTE: ` ` Zoning: wQ raf;,Urpt. Owner: Address: Site Address: Plumber: Meter No., L/ g 01 Connection Charge: -500. o 0 T. Size: Account Deposit: ? - Reader o.: Permit Fee: 1 agts to comply with the City of Eagan Surcharge: Ordino Misc. Charges: 00nr. Total: r By Date Paid: Date of Insp.: _ Insp.: N_ 10177 CITY OF EAGAN 38M Pilot Knob Road, P.O. Box 21.198, Egan, MN 55121 PHONE: 454.8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est Value $81,000 Date MAY 3 19$.5-.. Erect ik Occupancy R3 1034 BRIAR CREEK RD Site Address LEXINGTON SO Remodel 11 Zoning R1 Lot 2 Block 2 !Sub. Repair ❑ Type of Const. V Parcel No. Enlarge ❑ No. Stone _ Maw ❑ Length BARSNESS CONST INC Demolish ❑ Depth 38 AAddddes res 0 167TH ST Grade ❑ Sq. Ft. City LAKEVILLEph ne 431 -1 240 Instal ❑ Approvals Feee Name SAME Assessment Permit + 376.0( u Address Water & Sew. Surcharge 40.51 e~t- City Phone police Plan Review 188.01 i Neese ireAC 55 OAddress Erg. Water Conn. City Phone C Planner Water Meter oun Road Unit _22.0-01 Council 1 hereby acknowledge that 1 how read this application and state that Bldg. Off. 9 /'1/R S fLajlgT P 132.0 the Information is correct orrd agree to comply with all applicable APC Total 5 State of Minrasoto Star ag~C of Eagan 2 none Var. Date Signature of ParmiMaa ( CONST INC A Building Permit is issued to: BARSNESS on the express condition shot oil work shall be done in aecordancs with at "OPplt~le ate f oto Statut®City of Eagan Ordironces, This l8 nionquelrom rd 151510 A 75074 L2 h i 1/ e S 'r ,e 0- Date 1 Fire No. &,-.W- n? Impecti Required ~1lrady Nos ❑ Will Notify. Impec- ZT ) ❑yes ®Ne for Whein Beady ER Licensed Electrical Contmctor 1 hereby revuext impaction of above ❑ Owner alectriral work Sextupled ar Street Address, Box or Boute No. Citv 031/ Cp- -1 ecnon ownship Nartre or o. nge no. County b FJ a Occupant (PRINT) Phone No. l3 #IL 5 iv r- 5 5 C v N 3 /.-k Q Power Supplier Address 0 A L_ C I' /"t 6 0 1/ Electrical Contractor (company Na.) Contractor's Lirerrse No. ~i C o T ft i Q ~F a a q Sling Address (Contractor I'm Owmr Making Imta(lation) 6 o v L 0- aV Authorized Si9mture (Contractor Owner k6kirq Imblla[ioN Phone Number MINNESOTA STATE BOARD OFELECTBICITY THIS INSPECTION BEQUEST WILL NOT Griggs.Midwav Bldg. - Bete N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave St. Paul, NN 5510! UNLESS PROPER INSPECTION PEE IS Phone 16121 297.2111 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION EbnOgal-0tl ' See iostnetions for eerepheting this brat on back of vallotr, mpY. ~lg~gS A -x- Below Work Covered by This Request ` Add Rea. Tvpe of eandirg Appliances Wired Equipsaat Wired Home Range X Temporary Service DUplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatr Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Mci ther fst iNf the, pecnfy other other ompute Inspection Fee Below $Fee service Entrance Size s Fee Feeders/suMeeders It fee circuits U two 200 Amps 0 to 30 Arrips 0 to 30 Arrips Above 200_A, 31 to 100 Amps 31 to 100 Anips Swimmi Pool Above 00-Amps Above 100-An4liki Transtormers Irtigatfon Boons Partial: Other Fee Signs Special Inspection s ` Rem rks Jn(S 1•pCL 'f`F /"i 10 rj ) /,CvlcC fdtf0 TOTAL Rough-in Date 1 the Elec ral It6peclgr. hereby niN that the above Final Date irapec4oe has been S'¢ f made. This request void 18 mantln time This request void 18 This request Si 5I e ~Q~ months from J a o A 975075 Ga Z S o.~ o Request Date Fire No. Ro yghin Inspe U n zy /s- Req iretl7 []Ready Now E Will Notify Inspec- ❑No for When Ready Vos Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Be. or Route No. City b3 D i c EGA action No. Township Name or No. Range No. County /t OcLOpant(PRINT) Phone No. 5 c~ -,(:r Y3/- izy0 Power Supplier Address k u ~ r r /7-/ - rrf //V 6 T o El ectncal Contractor Mompany Name) Contractor's License No. ~c~c° TIz- I.Q 0 .7 Mailing Address (Contractor or Owner Making Installation) Authpr~zetl Signature (Contractor Own r Making Installation) Phone Number G MINNESOTA STATE BOARD OF ELECTRICITY' THIS INSPECTION REQUEST WILL NOT OriBgs•Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121 297-2111 ENCLOSED. S r R5 t REQUEST FOR ELECTRICAL INSPECTION ES-00001-114 V 7 5 0 7tee instructions for completing this tor. on beck of yellow copy. A. "'x". Below'Work Covered by This Request 4019 aY] J NwAi Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatitl Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ter peer y Other (Specify) t or Specr y Other Other Compute Inspection Fee Below R Fee Service Entrance Size # Fee Feeders/S ubleeders k Fee Circuits 0 to 200 Amps 0to 30 Amps 0to 30 Am Above 200 Am 1s 31 to 100 Amps 31 to 100 Am Sw immin Pool Above 100-Amps Above 100_Am Transformers _ Irrigation Booms Partial.'Other Fee Signs Special Inspection $ Rerrci rks N 5 t,9- e c Lv 1 K- 1 /y 6 d /y E Lt/ (f TOTAL E UU ~Q Hough-in n the Elec ;rT Insosctor" hereby certify that the above 02 Final Dfp i action has been / rr e de. This request Vold 18 months from 1 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: /bSCj ~>Crok aoe V l~n r,,q LEGAL D: SMIPTICI: ~ cA' % L -a (Lot/Block/Subdivision or Tax Parcel LD. r) IF EXIST2 , STRUCTUi2E, DATE OF ORIGuIAL =ZDL:G P=,'UT ISSN?NC. : :ea_ PRWS= -=lI1t;/PROP0SaE) USE: IA R-1 SINGLE FAXTLY ❑ R-2 DUPL.z'`{ MNO WITS) ❑ R-3 TC'ldV1?CUSE (T-F4= + UNITS) ( U~TI ❑ R-4 APA.7MSEiT/CC.Ma-lIllrM ( WITS) ❑ CCImj%0',CLAL/REfAIL/OFFICE ❑ ILMUSTRIAL ❑ LNSTIT[,TI0NAL/GOVEPlZT l77 2) APPLIC.`--.W (PLEASE PRINT) NAh1E: (aE' SNP > ~O lJG ADDRESS: CITY, STATE, ZIP: PHONE: 3) PazBE° NAME: (PLEASE ~-PRINT) FOR CITY USE ONLY --4 A PLUMBERS LICENSE: ADDRESS: ~Nl d C-a 7 itlk/Zo xl:~' f~ e Active CITY, STATE, ZIP: .CJ PLO Y✓N e6rl Expired NJ I:r. / Q Not of Record PHONE: ,Z7-6L, fdqLUMBER LICENSE N b7~ `1 k6 a r initta 4) OCCUPANT/C!dNER NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECPION TO CITY SEWER ,C! CONNECTION TO CITY STATER diIIER (PLEASE DESCRIBE) 6) IINDIC, E CNE: PLEASE HOLD APPROVED PERMIT FOR PICK- BY ONE OF ABOVE PLEASE MAIL APPROVED PER,= TO 1, 2, 33 4 ABOVE (Circle one) D 7) SIG ATLM: ~Cc~ Qom` DATE: / S~ ~!q~iRflAA!Qll.gAJfQ ii9tp l:iiiiii••iii:!a iM!!J4}~1i*f MQitSiiiFie F O R C I T Y U S E O N L Y PERMIT ISSUED FEES: $ g("s SEWER PERMIT (INCLUDE SURCHARGE) $ 0 WATER PERMIT (INCLUDE SURCHARGE) $ fo 3.c~ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SESdER TAP $ ACCC'?OSI'= - =R $ ACCOUNT DEPOSIT - WATER $ Su U• va WAC $ S Z-S- c 30 SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEIIER $ LATERAL BENEFIT/TRUNK WATER $ ~32'c~O WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ 5(7 AMOUNT PAID/RECEIPT $ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C] YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. TION LIST AS A CONDI- . SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: Uc~Ppk DATE- M`= 4s~w!wtnkmMMno mumstowwfmw!wmwu"w_aw"wwiwiMw"" wt!wFwst!AW ww:cwwaon w! EHEV-(ate( CA LCS. SAME AS 3~ Z5 1'tzwc~-ror i T12, 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN F~ fy, INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY T OF ENERGY CALCULATIONS To Be Used For: p Valuation: / ~ _ Date: yA6 n>, Site Address: w I car OFFICE USE ONLY Lot: Block 2 Sect/Subs FXIV&1-00 S4'ffrect x occupancy -3 Remodel Zoning Parcel A Repair Type of Const Enlarge # of Stories Owner 2dl~~i L~~(,'GOdyLI Move Length S1o78 Ti`/ ~TGT Demolish Depth 3g Address L L. Lam- Grade Sq Ft City/Zip Code Phone APPROVALS Contractor 4Q5 Assessments Permit Water/Sewer Surcharge QO.S-° Address "7g&,o /(~7 Tr/; s'T • Police Plan Review 1 a g. Fire SAC SZS,az City/Zip Code Engr Water Conn 00. Planner Water Meter (0 3.° Phone 2 Council Road Unit 2bn- Bldg Off Parks Arch./Engr. - - APC Treatment P1 1 32 Variance Address TOTAL City/Zip Code Phone # i BRrq E _ 89~.-rq ~~D -rep MWep,e 955 =~g,4 ,41 Ssr.~ 59'6(A a 625•Wao« N~ aft I., Er. ftb Fi*(i•`~ ~y 4 C S T \ I ~ 5 " s gg' 4 2o•GT t o ' 9 - f a ~ v~"9•''I "s.o OP q, 9~ a~MM IN h~qg S 23.33 ill' / I ~'Ft ~W Ie• 9001 5 Y• ~I PP~D gp pr QO Z ~~q q 40.o J 19• I N ~q~ { MCI r f~ J RV ~etLau+.~ 16sted s 5 Qrntxr-4 EASEMBd'f d I %89*9, L - See 6~~ H eyj aT S9G•60 ~c ZSm.~ 1740 CO 040 alOr E O~i6R1'PTtoN I-DY. tO Bleat 2t bAtl e•r•A. COUIJT`f, rWR."rH MlNN~je►T0• 4AA4.6 t". 3e' e vaMvra 999 PAGNUMEIIS I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the States of Minnesota. Dates •2 199f ✓y~ Le oy H Bohlen Registered Land Surveyor No. 10795 CITY USE ONLY L PERMIT ~QP RECEIPT DATE: _ 4__ / USIDENTIAL MECHANICAL PERMIT AMICATION C rI Y OF £AGM 3830 PILOT KNOB RD KA6M IIN S51YE 651-6811675 Please complete for: ➢ single family dwellings townhomes and condos when permits are required for each unit Date: 5109 19 \ SITE ADDRESS: C)3 rr~p") TELEPHONE J OWNER NAME: rn INSTALLER NAME: 9hQ~ l~GtaQ (ro'0 TELEPHONE (CA I_-_91CG~a (AREA CODE) STREETADDRESS:~~ny~4 Y~e -a~SS CITY: STATE: r'~iJ ZIP: Place a check mark next to the permit work type New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other J~ f Nature of work: State Surcharge .50 Total Reminder: Call for inspections. SIG A PE EE Updated 1/01 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address l riI// 4J1 Unit ilProperty Owner Telephone # 06 Ef -71 contractor '(4! /'nhl JTelephone# (~✓~i~74g 6~~9 Address 1 city I l( State Zip The Applicant is: Owner Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater-complete next section if installing these appliances). -Septic System Abandonment n D -Water Turnaround (add $125.00 if a 5/8" meter is required) I' n 1~1 Other- u u OCT 3 0 2016 _ Water Softener er Neater S 15.00 _ new _ replacement _ lawn Irrigation _RPZ _PVB ,-new -repair _rebuild S 30.00 State Surcharge $ 5o Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be, in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but ly an application for a dan ith the approved plan in permit, work is not to start without a permit and work will b iccor the event a plan is rei ad to be reviewed and approvedApplicant's Printed 'Name Appli s Signal r PERMIT City of Eagan Permit Type:Building Permit Number:EA112925 Date Issued:08/26/2013 Permit Category:ePermit Site Address: 1034 Briar Creek Rd Lot:2 Block: 2 Addition: Lexington Square PID:10-45075-02-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Nathan Corbin Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Hallan B Shattuck 1034 Briar Creek Rd Eagan MN 55122 Corbin Exteriors Llc 1115 Southview Blvd South St Paul MN 55075 (651) 760-3116 Applicant/Permitee: Signature Issued By: Signature r For Office Use , SSS �'- :::::P ermit EAGA N : te0.0-0 7:JVEID Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 t/i; X 1 5 2019 Staff: buildinginspections(a)citvofeacian.com 4 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5/15/19 Site Address: 1034 Briar Creek Road Tenant: Suite#: Resident/Own el Name: Hal Shattuck Phone: (651)452-7129 Address/city/zip: 1034 Briar Creek Road/Eagan/55123 Name: Minnesota Rusco Inc License#: PC749301 Address: 5010 Hwy 169. N. city: New Hope State: MN Zip.: Phone: 55428 952.935.9669 Contact: Scott Ziemer Email: SCOttZ@Minnesotarusco.com New ✓ Replacement ✓ Repair —Rebuild —Modify Space Work in R.O.W. Type of Work — — — Description of work: Demo existing fixtrures. Install new Shower, Vanity, and Toilet Water Heater Lawn Irrigation( RPZ/—PVB) Water Softener ©escr ptiCn' I Add Plumbing Fixtures(V Main/—Lower Level) Septic System Description: Shower, Vanity, Toilet New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential(fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges TOTAL FEES$1,500.00 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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.citvofeagan.com/subscribe. 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. XScott Ziemer X cott Ziemer Digitaiy signScott Date2019.05.15edby10Ziemer 02:00-05'00' Applicant's Printed Name Applicant's Signature Page 1 of 2 For Office Use Permit#: J S , �•>• , N Permit Fee: K 7 Date Received: ✓ —/ / _1 3830 PILOT KNOB ROAD! EAGAN,MN 55122-1810 (651)675-56751 TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginsoectionst citvofeagan.com L_ 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/16/19 Site Address: 1034 Briar Creek Road Eagan, MN 55123 Unit#: Name: Hal Shattuck Phone: 651-452-7129 Resident/ 1034 Briar Creek Rd Eagan, MN 55123 Owner Address/City/Zip: g Applicant is: Owner ?C Contractor T e of Work Description of work: Bathroom Remodel - See drawing for more information Construction Cost; $7,125 - Multi-Family Building:(Yes I No X Company: Minnesota Rusco Contact: Maddie Willison Contractor Address: 5010 Hwy 169 city: New Hope State: MN Zip: 55428 Phone: 952-935-9669 Email: maddle@minnesotarusco.com CR002173 NAT21315-2 License#: Lead Certificate#: 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:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.citvofeaaan.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,gopherstateonecail,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 pl. x Julee Massie l 1 ,? Applicant's Printed Name x int Appy ant's Signature DO NOT WRITE BELOW THIS LINE 1b3y 61&( CAL KA ���� — SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) 4.,Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall `Demolition of entire building–give PCA handout to applicant DESCRIPTION Valuation Occupancy ,,. MCES System Plan Review Code Edition A SAC Units (25%_100% ) Zoning .1,4 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) ir, Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test 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 4 Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control °1C. Shower Pan Other: Ilee Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge (2)1V fli, vt-r Plan Review il 0.' IA [ MCES SAC City SAC Utility Connection Charge I� ' V S&W Permit&Surcharge Treatment Plant Copies , e2- /. S-0 14, 1 IQ TOTAL 07./k/ t Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA170480 Date Issued:07/06/2021 Permit Category:ePermit Site Address: 1034 Briar Creek Rd Lot:2 Block: 2 Addition: Lexington Square PID:10-45075-02-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Hallan B & Wendy J Shattuck 1034 Briar Creek Rd Saint Paul MN 55123--254 (651) 270-8335 Hoffman Weber Construction Inc 2155 Old Hwy 8 NW St. Paul MN 55112 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature