1935 Berkshire Dr-, r =- - - ? - .. . . . . . . , . .. .. . CITY OF EAGAN , . -3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? Y i 3 7 5 3
PHONE". 454-8100
PERMIT Receipt # `
SF DWG/GAR ES
000
19 86
SiteAddress 1935 BEI2KSHZRE ?IVIC Erect u• Occupancy R3
Lot G Block 2 Sec/Sub. aERKSFiIRF: POi+ID&model ? Zoning R1
Parcel No. Repair ? Type of Const v
Addibion ? No. Stories
W Name JOSEPH MII.I.ER CUIdST Move ? Length 50
1$133 CEDAR AVE Si) Demolish ? Depth 35
a Address Int Impr. ? Sq. Ft
City FA21?IIN1?j?i+V 431-2001 ?nstall ?
o Name SAME
? i Address
? r.in, Phnnn
?- ¢
fi W Name
? ? Address
i W City Phone
I hereby acknowledge that I have read this application and statethatthe
informaWn is correct and agree to comply with all epplicable State ot
Minnesota Statutes and City of Eagan Ordinances.
Signature o( Permittee --
A Building Permit is issued to:
all work shall be done in acco
Building Official
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off. 4/ S/8 6
APC
Var. Date
I
Permit ? 313.00
Surcharge 30.00
Plan Review 156. SU
SAC 5?5.00
Water Conn. 500.00
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156.00
Copies
Total ,:'• . u:i 4. U 0
on the express condidon that
Ciry of Eagan Ordinances.
I - I PormN Na I PormN HoWer I Oste I TNaphone M I
aw
Date
Rt9.
Fty.
Dlsp.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154055
Date Issued:02/14/2019
Permit Category:ePermit
Site Address: 1935 Berkshire Dr
Lot:6 Block: 2 Addition: Berkshire Ponds
PID:10-13750-02-060
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 -
Judith A Palmateer
1935 Berkshire Dr
Eagan MN 55122
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature
. ?
. • ,' . _2
P'ERMIT #
RECEIPT #
DATE
CITY OF EAGAN FEE
MECHANICAL PERMIT Sic
454-8100
?-
MINIMUM RESIDENTIAL FEE - =10.00 + $.50
TOTAL
MINIMUM COMMERCIAL FEE - $20.00 + =.50
1. Bldg. Type: Res L- Comm
3. Total,Bid Price
Lot Blqc
6.
1 7. Contractor Phone
Inst 2. New
Alter Repair
, 1 (CrtY)
(ZiP)
,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.d0
100 BTU's -$12.OU. Each additional 6,000 BTU's or fraction -$6.00
minimum fee
HEATING _..r- VENTILATING HOT WATER STEAM AIR COND.
IR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRiG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER
COMM,11NDyRaTE • 1% OF TOTAL BIO PRICE PLUS $.50 ST?E SURCHA??E FOR EAFH $1,000 OF FEE.
1
Signed:'-+- for ? i; i ? ? ( l_ I ". ` _ ? f ? ? u
i
Approvedl , Inspections: Date Rough Insp. Date Final Insp.
. PERMIT #
•• PLUM8ING PERMIT RECEIPT #
?
. CITY OF EAGAN
3830 P ILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE: PHOHE: 454-8100
Site Address `/ 77 BLDG. TYPE WORK DESCRIPTION
Lot Block ? Sec/Su b
Res. 1 New ?
? Name = Mult Add-on
m
?o
Address -2
Comm. Repair
c City Phone Other
?
Name .
- - NO. FIXTURES
1 W
t
r Gl
t - $3
04 ,TOTAL
.
a
e
ose
.
3 Address ' Bath Tubs - $3.00 _; -
p City Phone Lavatory - $3.00
_2--Shower - $3.00
I Kitchen Sink - $3.00 ?•
FEES
COMM/IND FEE - 194, OF CONTRACT FEE Urinal/Bidet -$3.00
-LLaundry Tray - $3.00
-
MINIMUM - RESIDENTIAL FEE - $10.00 ?Floor Drains -$1.50 v-
MINIMUM - COMM/IND FEE _ 20_00 ?Water Heater -$1.50
STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00
(ADD $50 S/C IF PERMIT PRICE GOES I Gas Piping Outiets -$1.50
, ...
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
? .
Private Disp. - $10.00
` ? ?
1 . Rough Openings - $1.50 -
-
SIGNATURE OF PERMITTEE FEE
STATE S/C:
CITY OF EAGAN
FOR GRAND TOTAL• -??
: _
CITY OF EAGAN Remarks
Addition BERKSHIRE PONDS Lot 6 Bik 2 Parcel 10 13750 060 02
Owner Street 1935 Berkshire Drive State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ;SI 1982 239.09 23.91 10
STREET RESTOR, 19$5 123.80 $.25 15
GRADING
5AN SEW TRUNK C' 19$2 176.04 11.74 15
SEWERLATERAL , 19$2 57.24 3.82 15
* Sewer Lateral „23 1985 53 15
WATERMAIN IC5 1952 46.09 3.07 15
* WATER LATERAL 1985 i
-
WATER AREA , q 19$2 176.04 lj.]LF ] 15
STORM SEW TRK j 1985 385.03 25.67 15
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
This reque? `/?? J I1/t
18 nwnt 7
, 8 ? ? , B ? ,1'?:.?.??1 ??° ?s5 -
Renue F Date
p? Fre No. flovph-?n Inspectwn
H uired?
?Reatly Now ?Will Nolify Insper.-
-?- Q ?]?es ?NO [or When qeady
Licensed ElecVical Conlrecmr I hereby requese insoacLOn ol above
Owner electncal work insfalled at
Street Address, Boa or floute No.
lq3s 8erlt6h1re br?ve C?t?-
6a a-ii
ecLOn o. Township Name or No. flanye No. Co ity /J ?{?..?"?
{J?T?V ? [?LJ
Occupan[(PqINT) .
Joe /nlller C6hsf Phon Nn.
Pow Suppller Address
/?
?
-
cirmrn
d
Ele tncal Contraetor ICO27e y Namel
h'1 i dla?d c4ri e- Contrucme's Lice?se No.
Ma,l.n8 Address ICOn[ractor orR wnar Mabna lostaila[ionl
l367 BEr Kid e. Rd. E? h
Aut?o ed SeIDre ontractor O ner Making InsiallaLOnl Pho'n/e Number
MINNESOTA STATE BOARD Of EeECTqICITV THIS INSPECTION NEQUEST WILL NOT
Griqgs-Midwey 91dg. - Noom N•191 BE ACGEPTEO BY THE STATE BOAflU
UNIESS PqOPEP INSPECTION FEE IS
7821 UnivarsitV Ave.. St Paul. MN 56104
Phone (812) 297.2111 ENCIOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-oiwai -r' ?
? See instruetions for completing this lorm on bBCk ot Vellow copV• //f ??
R "X" Below Work Covered by Thrs Request ?? ??
04a4 AdA7ReD•] TVPe o1 Builtling I Aoobuncee Wved I Equipment Wved I
R
? Commerc?al Bldg. ? xl Furnace Silo Unloader. J
-T Indusina? Air Condrtioner Bulk Milk Tank
1nn
p Fae ServicaEntranceSize k Fee Faxtlers/S.bfeeders # Fee C.rcuta
to 200 qm s 0 to 3Am s
11 .? 0 tn 30 An?
Above 200 qmps 31 to f
6 0 Amps 37 to 100 q 5
Swinaning Pool Above 100_Am s Above 100_Am '
Trensiormers rrigation Boorcs Parual'Other Fer-
SignS Speciallnspection ?
, S3C?• ? TOTAL FE?q •
Remarks ?
Houan.in alo
?? [ #?/0 j? ?.,?aE?a? ?„ I
? Inspector, heraby
cerbty tha' tha nbave
Fina? 1142 /-?^ r -` ??eJ,- mspection has been
l%/? a? made.
request
, CITY OF EAGAN N? 11753
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-81 DO
BUILDING PERMIT ? Receipt p J
Tobeusedfor SF DWG/GAR EstValue $60,000 Date APRIL 8, 19 86
SiteAddress 1935 BERKSHIRE DRIVE Erect 15 Occupancy R3
Lot' 6 elock Z Sec/Sub. BERKSHIRE POND9emodel ? Zoning R
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
a Name JOSEPH MILLER CONST Move ? Length
? 18133 CEDAR AVE SO oemolish ? oeptn 35
; Address Int.imPr ? SQF+
° Ciry FARMINCpWqtI 431-2001 Install ?
a $AME Approvals Feea
i o Name
? a Address
. ?...
Phone
? w Name
Address
i w Ciry 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 Ciry o?fEagan Ordinancg{j9 ',
Signature of
A Building Permit is issueto: JOSEP MILLER CONST
all work shall be done in accordance with all apphcable te f'nnesot
Building Official `
Assessment
Water & Sew.
Police
Fire
Planner
Council
sid9. on. 4/8/86
Var. Date
Permit $ 313.00
Surcharge 30.00
Plan Review 156. 50
SAC 575.00
water Conn. 500.00
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Total $Z • 084.00
on the express condition that
Ciry of Eagan Ordinances.
?
?
7985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
H01'E: ALL COli7'RACiORS MUST BE LICENSED HITH THE CITY OF EAGAN
?3102
CDl4MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
To Be Used For: _A
/?_?/%"K/ Valuation: Wr0co
Site Address 1 ' dLz
Lot ? Block 41
Parcel/Sub ,d?.?%??,(/L1
Owner
Address
SINGLE.F9MILY DHELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
7 SET OF ENERGY CALCULATIONS
Date: -a
Erect X
Remodel ?
Repair ?
Addition
Move ?
Demolish '-
Int.Impr. ~
Install '
City/Zip Code
Phone
Contract
Address
City/ZiE
Phone A12z-riUol
Arch./Engr.
Address
City/Zip Code
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
FEES
Assessments
? Permit
Water/Sewer
? Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off ? Treatment P1
APC Parks
Variance Copies
TOTAL .
3
Phone S
24-x = 064 K5-b ` 50, (2
..
21 x 2`z
?o x 44
qCflZx f2
r
S??r?
TR1=LAN0 C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
I O'j 4
-a3
SITE PLAN FOR:
J OSEPH MILLER,
CONSTRUCTION,INC.
N 89°58'S4"E
109.41 0,e
.
a, .
/
_,?;? ?" LOT
:f
.
1 \
\
?
F
NOT
WALKOUT BRSEMENr
PROPERTY DESCRIPTION
LOT-fi? BLOCK-?,
A3F,RKSFIIRE PONDS
xcordinp to tM rocaded plat thsreof
nAKQT4 Cosuomwnr.esc!c
LEGENQ
o DENOTES IRON MONUMENT
o DENOTES WOODFWB SET
DENOTES EXISTIMG SPOT
ELE VATI ON
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAtNAGE DIRECTION
I hre qy ce?tify thot this survsy,plan or
rspa?f was prepo?sd by me or unAer mr
dirscf supervisian and fhal I am a duly
; Rsqisterad Land Surveror under tM
? Law: oi TM Stute of Mimissota
' ? ?, SCALE:I"=
V •??
NORTH
I
6
?
\
ea
V. ?' ? \.•
• ?F ''a. F,? ,i'+? S
a. '? •? ?pN7
PROPOSED GARAGE FLOOR ELEVATION = 10300
PROPOSED FIRST FLOOR ELEVATION = 103-50
PROPOSEDBASEMENT FLOOR = 44-?g
ELE VATI ON
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Brodley J.-itnson, Mn. Rsq. No. 15239
DaW_ 3?Zq?1lt r ,
\ v .41..04 ' I
fl .
CiTY OF BU1LDIN0 llEPAftlTitlrT
.' t;XSERIOR ENYfZOPE AVERAC3E t'U'# CAMPUTATION
(1b be au6atitted d th bullding permit application)
One or Tw Family Dwelling - Oxner
All Othar Site Addreea _
Contractor :L,? io1( (? 60k7ST Date Phona -3//-?
$?-)aL
QS ? ?
LINEAL FEET OF ??. ^ 1)
El?O5ED CJALL WoR.?C. ?/?Fr_-- ft• above $Tflde n T/Il •
0?AQUE 1Y/.LL COTSTRU:TI01:: "U" Value x Area
Decflil ?'K?4rrIF_ ??u?? . 043 x s2.
reference ?'°'??• "U" ?n769 z SQ.
from x SQ.
efVli x sQ.
attached nUlt x SQ.
sheete nU?t x SQ.
'NI NDO'xS: "Ull Value x Area
Make & TYPe lAls x._ 14,!s r u?? , sl x sQ-
i? u uIIu x SQ.
ft - IIpII x 5@.
if • s.p#I z SQ.
ADORS: "U" Value x nrea
:9ate & Tyge ?'1L• ?k?.?ULf "p° !14 Y SQ.
to pl.Yio nun -,.47 z 5Q.
te upu x Sq.
u ?? ._ r?IItt x SQ.
TOTai.s 18?5, oo sQ.
AVERAaE "U??
TOzai, (u)(A) var,uES
DIVIDGD BY TOTAL 1'lALL ARFJ1 ?pjQjS.00 'O_
AVERAQE "U?' e5 r leea for 1&2 family dwellinge
ROOF/CEILINQ:
TY)TAL AREA: 17S4
TOTAL %K°OSED WALL ARiJI SQ
FT. 1470.ZO- 4_Z1 (ll)(A)
FT. 07• 10 =1,.& 1( U) (A)
FT. 10M0= 4?Sf (U) (A)
FT. - (u)(4)
FT. - (U) (A)
FT. - (II)(A)
FT. 12,oD= S.GS(u)(a)
FT. - (II)(A)
FT. - (U)(A)
FT. - (U) (A)
FT. .00 = (II)(A)?
F2. 42,0p = (u)(A)
FT. - (II)(A)
FT. - (U) (A)
r'T. I6(a.94 (u)(A)
Detail refarence 'lIIte OL/ x SQ. FT. 9Sq = ZO.dS,(U)(A)
from foUtt x SQ. FT. ? (II)(A)
attsChed sheeta. °Ult X SQ. FT. a (U)(A)
Deecribe oneninga "0" z 3Q. FT. e (n)(A)
in rooi. IrIIof z SQ. FT. a (II)(A)
'POTAL (U)(A) VALUES DIVIDED HY 03 ?f?4L?J 9S ?? ZO•03CVj??)
a
TO+AL R00?/CEII.IHQ A12EA
aVERA4E "Ult 6 for ventilc,ted roote. ?
?
OOF/CEII,INa (R) V
Interior Air Y11m o.61
.) 5/8" ayp. sa. .56
.) Iasulatlon 4400
.1
Extarior Air Film .61
(STILL)
U" a 1/R= .02.I t'OTAL (R)3
hLL (x) v
.) Iaterior Air Fllm 0.68
}" ayP. Ba. .45
Insulation Jq,oo
) Zw'sL! $vrc7- i?mE Z"o4
) Masoaita Siding 6?
) Exterior Air Film .17
?6,43 TOT4L CR)=
?
r
R7 VAA.OE
1 1,.,
__?:..,_ ..n-
DeLermining "0" values st Root, Wall. Rimo end Coac. Hlock
) Iaterior Air Film 0.68
r. _r??,uat???.,
2" Flr Rim Joiet 1.88
) zs15Z" $onr- irE z,p¢
) Maeonite Sidng .67
) Exterior Air Film .17
? 1/g' Ogp TOTAL (R)= Z7
-- EEE?--
NDATION (R1
) Snterlor Air Fllm 0,68
)
) K"'N F/BE.?- Cx/¢SS II•00
) 12" Concrete Block 1.28
)
) Exterior Air Film .17
e i/Rs TOTAL
? ?
a ?
d 1<,ba ?ll?T
&f?"D IJAf---
f¢.SoX (2T4Ly+ 3(pt36) ° /885.c:+
G'o.uc.
.6,7X ?z9t29t 5?t3?o? = 87.1 p-?-
??•S.?r
•83)( (zpfz??`?jb? = 107-90
w??.naws
x 4.0_ x9x=
zoz s.o- x G =
Zf x 6,o X 4 =
zox4s= lc,7 x4=
L4 X48a $.o X 4 =
?
3° STG. v,JS.C - 28.00
Z¢57e. See- ? Zl.oo
G'.: i??Tio = 42.00
ib,zv
30,00
?s{,oa
Zlo.Sa
3z.cn
rzg, go
9EF EVF? WoW,4-
GESS Cev?•
lSSS.od
87•!O
tzs. so, - 414. So
4/.00
1,47o zok
?
??F= Z¢X 36 = 864
sAl8 = 70
954•00k
CITY OF EAGAN
3830 Pilot Knob Road
P. o. Box 27198
Eagan, MN 55121
Ioninp:
Owner-
Address; { `
$ite Address: ' ^
` Plurnber: • -.• 7 r
-.,
Mrw to
aow* wNii Nw q*1 of
OmuMSeft
By __
Dote of Inap,;
SN1NER Sptyja pmtmR
PEftMIT NO.: DA7'E: _
No. of Units; `
cmrnction Qbw: - . ; . $
?r Pos?t: Fee:
Surchorpe;
Misc. ChorgeL.
Toto1;
Doy p-,.A.
,., ?? •
CITY OF EAGAN
3830 Pilot Knob Rosd ' WpTER SERVIC E PERINIT
P. O: Box 21199 PERMIT NO
:
Eagan, MN 55121 .
DATE: •
Zontng: No. of Units:
O1Mner:
J,ddflSE:
Site /lddress: rics.':ir: ?
Plurriber.
Meter No.: Conrection
Chorfle: +
Siu: ??urM Depos!!:
Reader No.: Permit Fee:
l aOM te eorwplf w11b !IN CNp Of Epr¦ Surchcrge:
OnaMmmm 11Aisc. Chprfles;
By TotoL•
,
Dafe of Irup.: Dat* Roid:
lnep?:
CiTY OF EAGAN
3830Pilo,# 1(??ab Road
' WArER SERVICE p?
P. O.
Box 21199
Eagan, MN 55121 PERMIT NO.:
-----
--- ----
Zon(np: OATE:
Owner. „ose . h::il.ler ConSNo' ot Untts: ?
/lddress: =?---
Stte Addren: 11135 BB e
Plumber: +
r ,c ,
re
i. -. _
l.T 'i177 ???:
.Met?r •• ? --
Slze. f?[??•j,l Itj ?.wrr?t?1 Choroe: _Jvt ?,'1ppf,
-------------------
Rea r No.: ???posir: 15 o OOp?,
? qnM h eowV?lr wll1? 11N ?r CrAtv lfl .(1('
O?iN ¦ ° ' .,,'
MJsc. Chorm; G:i ?tx i?'
g 7'otal: 5?.;0 c? ta e ter.
Y
Dote Paid:
of I
nsp.:
Insa.:
I •
?
?
?
?
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
s
*************?*?*#**f*?******?*****!
k
**RYP': PAYM6NT OF FEB AT TIMI; pg :
* apPLxcATIotv ooFS NoT oorsriTU'm
* APPxovr.r. oF PERMT. .
nvsPFx..'rioN oF sEWER ArID/ox MM
rnSrar.ramrONS WII,I, ? BE SCHED-
UI.FD UNPII. PERMLT HAS BEQ9
APPRC7VID.
IF EXISTING SIRCCIL'12E, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: '
PRESENT ZONING/PROPOSID LTSE: (Mon th/Year)
Q COMHERCIAL/REl'ATL/OFFICE
r7 INDL'STRIAL
n INSTIZS.'TIONAL/GOVII2NMENT
2) ?
? R-1 SINGLE FAhiILY
? R-2 DCPLEX (7ho L?nits)
Q R-3 ROW[gIOUSE (Three + Units) ( Units)
R-4 APARTMEN'P/CONLIDOMINI[.T7 ( •Units)
ADDRESS:
CITY. STATE, ZIP: ??,.r_,,.s_, - /'' ?•rJ ?: ?d ??
PHONE:_f?i/
3) u r ?-
NAME:
i
ADDRESS:
czzy, srATE, zir:?t?
PHONE: $ 1 g' ? O S0 G ' MASTER LICIIVSE# :?? o r? f_
YlIIIfID2rS 1AC2I15Q:
ACtlt72
F?cpired
rrot recoraea
Sta'Initial
4) •?• • ?
NAME:
_ ADDRESS:
,
crrr, sraTE, zxP:
PHONE: .
51 ? v ? ? ?: • ?• : ? • y. - ??
CONNECi'ION 1b CITY SEWER fifi CONNE?.TION 1U CITY WATER pq?1ER '.- .
y,?
6) '? •'??` [? pLEASE HOLD AppROVID PEE2MIT FC)R PICK-Up gy ONE OF p,BpVE
PLEASE MAIL APPROVID PERMIT ZO 1. 2. 3. 4, ABM
? ?G(Circle one)
7) r. r• u• • _
°-` r3:rirr?? 9!?-' ? --
. F'OR CITY USE ONLY
PERMIT # ISSOED
TZ-_3
Pd w/Bldg. Permit FEES:
$ $ ?D- SG SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLODE SURCHARGE) ..
$ Gr31 5-0 $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOONT DEPOSIT - SEWER
$ $ 16-, d-p ACCOONT DEPOSIT - WATER
$ G7 T?CS .(/-O $ WAC
$ r7 Z'L $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ S LATERAL BENEFIT/TRL'NR WATER
$ IS (o•O [) $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ?Z J y ' S? $ 21 TOTAL
If ?243
RECEIPT RECEIPT
DOES UTILITY CONNECTIQN REQUIRE EXCAVATION IN PC?BLIC RIGHT OF WAY?
O YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q
NO ROADWAY" MUST BE ISSOED BY THE ENGINEERING
DIVISION
LIST AS
CO
DITIO[V
. .
A
N
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: v
TITLE:
DATE:
CITY USE ONLY
PERMIT #: RECEIPT DATE:
8008 MIDEPTIAL MECE4NICAL PEfiMIT APPLICATION
Cl1'Y OF EAfiRA
S$SO fILOT KAOB RD
EE1&RA bIA 551 EE
651-6$1-9675
Please complete for: ? single family dwellings
townhomes and wndos when permits are required for each unit
Date: I 111 D;),
-r-
SITE ADDRESS:
OWNER NAME: V u6A11 TELEPHONE #:
INSTALLERNAME: TELEPHONE#:
STREETADDRESS: I3?8? ????
CITY: VE\ I i?n iJW 1'?? STATE: Vi" 1 Iv ZIP: `/l)
Place a check mark next to the permit work type
Add-on, modification or alteration to existinq dwelling unit $ 30.00
• furnace replacement
• air exchanger
'--+_ai cr?ond oner
• othet,
Nature ofwork:
JUL 1
2002 ?
aY
State Surchar e $ .50
s ' ?
rotai
n
SIGNATURE OF PERMITTEE
-
'? tioz
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 COMMERCIAI. MECHlAIClFI. PERM1T APPLICATION
CITY 0F EAfiA1V
S$SO PILOT KNOB RD
E4fiAN,11lN 55122
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits'are not required for each dwelling unit
DATE:
SITE ADDRESS: I
OWNER NAME: PHONE #
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CIT'1':
TELEPHONE #:
STATE:
ZIl':
WORK TYPE: New construction \ Install U.G. Tank
_ Iuterior Improvement \ Remove U.G. Tank
_ Processed Piping ?
Specify Nature of Work:_ ?
\
When insta[ling/removing underground tank, ca[1 651-681-4675 for
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removallinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
by Fdre Marshal and
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL
¢
SIGNATURE OF PERMITTEE
Updated 1/02
RESIDENTIAL i
BUILDING PERMIT APP,LICATION
cmr oF eaGari ;
3830 PILOT KNOB RD, EAGAN MN 55122
651-687-4675 '
New Constructlon ReoutremeMS -
• 3 ragistared sAe surveys showing sq. 8. of bt, sq. ft of house; and gll roofed areas
(20% msxBnum bt coverage albwetl)
. 2 copies of plen showing beam & window sizes; poured tound tlesign, etc.)
• lsetofEnergyCaCUletans
• 3 coples of 7ree Preservatbn Plan If bt planed after 711/93
. Rim,bist DBiail OptlOns seleqWn Sheet (hldgs wAh 3 or Ie53 uniGa)
DATE ?Y "Y-1
Va$
RemodeUReoalr ReauUemeMe
. 2 copies of plen
• 1?setofEnergyCalculgtionstorheatedetldAbns
. 1?Me survey lor ex1erbr adtlHions & decks
. Indbaie n home servetl by septiC system for atldilbns
i
_D??
VALUATION -f S0 5'6 4LY•
SITE ADDRESS r cl j S! t ?//GSh /zD b e- ! MULTI-FAMILY BLDG _ Y ?N
TYPE OF WORK TE? Q= ? ?? t? ??'a'?" FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT ':Bli/6rJ6L I ZC7C?C Z?2 61V
STREETADDRESS 3??_01 C-?i?DA? 4 LlF ? C11Y IVWL{?STATE_ZIP
TELEPHONE # 10" CELL PHONE # FAX # ??? ? 02-2• 70??
PROPERTYOWNER ALAATp-Q'', J'C4OrTN TELEPHONE# `'V6?
?
---------------------------- ------- ---°----------------- ------------------------ --°----------
COMPLETE THIS SECTION FOR %NEW• RE5IDENTIAL BUILDINGS ONLY
I
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Suhmitted
• Energy Envelope Csiculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanlcal Confractor: _
Mechanical system includes:
Sewer/Wafer Conhactor:
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
Phone fii ?
iilll •11IFed. 6MQ0
Phone #
I hereby acknowledge that I have read mfs application, sicrte that the? Information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Clty of Eagan O i ces.
Signafure of Applicant _
OFFICE USE ONLY I
_ Water Softener
_ Water Heater
_ No. of Baths
;Phone #
Lawn Sprinkler
No: of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
' UpdateC 4102
OFFICE USE ONLY
? 01 Foundation p 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorclUAddn. (4sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteretion O 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
O 34 Replacement *Demolition (EMire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC(ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Suroharge
Plan Review
MC1ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
VI VIII. .Ialy'JI Ul
r nx. 11 vJr 41JV 40VJ 10:
City of Eaiall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
rax: +1 t0 1) 0! 0-l0y4 rage L or L VI/It/14014 J.JJ
Use BLUE or BLACK Ink
For Office Use //�..,,
Permitil I '� Vb 33
kDPermit Fee: 0.
f
Date Received: LL/i 1.
Staff:
2013 MECHANICAL PERMIT APPLICATION
Please submit two (2) sets of plans 11wiiith all commercial applications.
�,L
Date: ! 2.9J l 1 Site Address:- � �V 1/11/Cr/ DP Y I/
Tenant: \J v `r o1, I NI
Name: d u4 if 1 poi nf-
or'
Address ) City/ Zip: In`'
Suite #:
Phone: (e1.4 ---L. PJB,
is'Pi. 0\ Am ..---//2
'1,tv Pn-Few t 1 i m191it
Name: ��(�/� ,/,j'� �/����y ( ► / i =nse n[t�t/U'/ I��
Address: J""("00 ,K-i(r-,K ka coy City h
State: M 1 V Zip: _ Phone: 7b.-1-9_94 2_I
Contact: 4 Email: it ,$*AAI ! UM int {q 1 (jl/
Alteration Demolition
New KReplacemen.t
Description .of work:.
Additional
NOTE; Roof mounted orad ground mounted mechanical equTpmetlt is required to be screened by
Code. Please: contact;:the. Mecha nical Inspector for information on pernhitted screening methoc
RESIDENTIAL
Furnace
Air Conditioner
Ar Exchanger
Heat Pump
Other
COMMERCIAL
__ New Construction __ Interior Improvement
___ Install Piping Processed
_ _ Gas- Exterior HVAC Unit
Under/Aboveground Tank (_ Install!, Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100,00 Residential New (includes $5.00. State Surcharge)
=5 Y/O• 2TOTAL FEE
COMMERCIAL FEES
$55:00 Permit Fee Minimum
$70,00 Underground tank installation/removal
'If contract value is LESS than $10,010, Surcharge = $5.00
k°1r contract value is GREATER than $10,010, Surcharge = Contract Value x $0 0005
""•If the project valuation is oser$1 million, please call for Surcharge
Contract Value $ x .01
_$
Permit Fee
Surcharge*
TOTAL FEE
1:hereby acknowledge that this information is complete and accurate; that the work will be in cordonnance with the ordinances and codes of the City of
Eagan; that. :1 understate! ih.sts not a.permit, but only an application fora perm( and work is not to start withouta 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 411 ere-, G x
Applicant's Printed Name Applican '
s gnature
FOR OFFICE USE
Required•inspections
Undergrauitd Rough In ' Air Test Gas Service Test h -floor Heat
evred By:
Ficial
HVAC Screening1
From:Taylor Gable Fax:(763)400-4503 To: Fax: +1 (651 j 675-5694 Page 2 0(2 08112I2014 2:31
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' TYpe of 4V�►rk I�escription of wQrk:����`�E��-� �'�'"
N�TE:R��rFpriar�n#ed and gra�nd muu�tt�d mecf�arntcal eq�ig�ment ks req�ired.#v be screen�d by Gity �
_ C+ade. Pl�a�se ct�t�tact fh�Wlechanical In.speetar�or int'orrna�titsrr r,n�rmiited:�et�anin��ne€h�ds.
.._.,.,�,....
._,. , , ,._.�... _...�...
�ESro�,�rAaa. � cc�n�n����ct,a�:
Fuma�ce New G�anstructiQn Interiar lmprr�vement
�Air�ar�tlAtia�er InsCall Pi {n �Processed
Rermit Type — p' s —
� _Ait Exche�tger Gas EX#�.ripr HUA�lln�1
f �I-Ce�t Pump I �I�rtd�PlAb4ve geouhd Tank (_,Install J_Removeg
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x = _�thar ;
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' ��t1,0�Nlini�!urr►Add nr alt�r Cion.ta an e�istir�g ur�it�includes 3�5.t7b Sta�e Svreharge)
f $10�.40�Resider�t�al New(¢nckudes$5.00 5tate 5ureharge) _� I �� +�� TOTAL FEE
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� $�S.DO�erm:it��ee Minimum
` $7�I.QC)tlndergrqund ia�k ins4�if�tionlretnQVai =$ PeCmii Fee
' •3f cc,ntract�►alue ls L�SS 6han$1(�,91Q,Surcha�ge�$5:00 =�_ ___�aoccharge*
; "if ca�rtract vaiue is GftEATER than�1a,04Q,Surcharg:e.=Contraet Value x�Q.00�5
` IP the pro�ect valWation is oVer�1 miilic�n,please cali ftir Surcharge : � �QTt�L FE�
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I h�rEby ack�owledg�ti��t[his in�otYr�xtioe�is camplet�and a�ur�ta;thaf th�wrcsrk wiil be in conformance with lhe ordinances�nd codes 4i the�rty of
E�gan;t�rat I:undecstand Rhis is not�perrrrit,but rsnly an,�ppticatyon��r a permit,and work is not tn start u�ithout a perrnit;t�t @he work w�lt 6e in'accocdance
with the gppr�ved plan in tY�e case afwork which requires a r�view and approval af plans.
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Appi��a.nt s Rrint�d N�m� A,pplicattit's Si at�r�
__
F4Ft C�FFICE U�E
Requieed Insp�R;tlacrs: ReH��od E3y: C1t�t� . :
UndergrouncJ RQUgh lri Air Test.;: Ga�S�rvice Test �.,.,ln-floor F��ai ��na! . HVAC$cri��t%ittg