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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 C1se �:L:IJ�ar BLA�GK lnk i ��___-_..-_---------�. � For[)t#i�c�Use I �lt �f �� �� ; P��,<<�: /���0�/ � � � �.� �830 Rilat Knob Ft�ad � P�rmit F�e ' � Ea�an MhV�5122 � �(y / �) # Phone:{651)675�5fi75 � Oate Rec�ived: b� / �� / 1 i � � �a�.��s����rs-ss9a , � 5taff; � �Oi1�M��Ha4N1��1t� p�F�14I��T �4P�P�LI�AT1�lV � F"leas�sul�nriit t4,va{Z�s�t5�bf��ans wikh�ll.c�smme;rcial applicatians. DaCe•: Si#e Ctddress: � �� �s�r���f�-� 1-�r F�` � 7er�ant: $uite#:. �,,, _..��::_ ,.�.,.. _,._...�..,�,_..,.,...e<.,.��. -.-,�,,-- �.:....�,..� .._,��- ...,�,;..�}„. . -�^ : ' � Nain�c +ti.J �����r �G�.�l�t� �"��i�- RMane:��f" �'1�� r �t.+r� � I���i�6end�'uvner � � _ . . � A�dress Z�ityf�ip:: ��� �.�°i�'��1..�/!'�'� ,f-d!'I�� ��I�A /�'[rl.!,'�`�J� , f ,�,�._...�.�..„..c,�..�.�..�: �.,.,.�����,_�. ..�a _.. ,.�...., , �..,._--___.� -�-..� ....,..�._ # Name: � ��; � �`G��� �'Y�4��J�'���.���Yf � �� �I�C���(�� . � ad�«s�: ���t� �► ` �� ciry, �'�`�C{�'1� �,��6�'`� � : ��r�t�r����►r � � ' : �ca��:��.z��: �,��`!�'� `?(�?�_�'���r ���.-� p.ho.ne:_ _ � � ; Contaet� � �maEl:;ILL�����1./(�f"r�f���1��E ��`}�'�' � r....�,�,<.�x�,., ,.�.�,.�,w,....:...,W=._., _...�,�;.,.�-�..�m�—.��o,...,, .,,..�...u. _M1levsr �Replacement _Ad�ilion�l _ AlCeration F3emblitirin ' 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 , x = _�thar ; ,4._,:..�.,�...�:,.,, ,.�._..,.,....,�..:_�. - - -� �: ���raEn��►;�t F��� ' ��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 '..,,.,.��,H_,._„�.._.,.....��..__,.a.....,.�„_..,.�.�,..�..�,..,,..,.�,�....��.�,.� �,,.., .�..Y...�_._... ; �fy1NI�1�R�Nt����� cssntract Va1u�� x.o1 , � $�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�$5:00 =�_ ___�aoccharge* ; "if ca�rtract vaiue is GftEATER than�1a,04Q,Surcharg:e.=Contraet Value x�Q.00�5 ` IP the pro�ect valWation is oVer�1 miilic�n,please cali ftir Surcharge : � �QTt�L FE� , ..,.�.,a �,_.,_._.,.�..,��»��.,..�,�.�.w..�.�_�..��...-� ^,�. �--.,TT,,.-�-.r-�-..,�,�-. �.Y„�..,,�,�.,.,a�. I h�rEby ack�owledg�ti��t[his in�otYr�xtioe�is camplet�and a�ur�ta;thaf th�wrcsrk wiil be in conformance with lhe ordinances�nd codes 4i the�rty of E�gan;t�rat I:undecstand Rhis is not�perrrrit,but rsnly an,�ppticatyon��r a permit,and work is not tn start u�ithout a perrnit;t�t @he work w�lt 6e in'accocdance with the gppr�ved plan in tY�e case afwork which requires a r�view and approval af plans. {-��r� x �,�;(J�,t""! � 1 '�.��' ��„ z I�^ Appi��a.nt s Rrint�d N�m� A,pplicattit's Si at�r� __ F4Ft C�FFICE U�E Requieed Insp�R;tlacrs: ReH��od E3y: C1t�t� . : UndergrouncJ RQUgh lri Air Test.;: Ga�S�rvice Test �.,.,ln-floor F��ai ��na! . HVAC$cri��t%ittg