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1350 Berry Ridge Rd nv Use BLUE or BLACK Ink - i For Office Use I City of Ea,~,dn I Permit `Z .~M1 Permit Fee: 90. ©D 3830 Pilot Knob Road ®g I Eagan MN 55122 j Date Received: _ Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: o I I I - - - - - - 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: a l Site Address: 13,57C 4~6z 1641 Q Tenant: Suite RESIDENT / OWNER Name: ehlr_~ Phone: 1) ~50~ "`J g Address / City / Zip: /9510 JL v-d Aun_ ~~/v Jrs1 a J~ Applicant is: Owner Contractor TYPE OF WORK Description of work: ( f~ c.L Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: /'tad License 1-74 Address: (474 d4om:ti's OUAA4 City: State: Zip: J~J~O 1 Phone: (oQt -7 3Lf- A&449 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.gopherstateonecall.org 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 ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv f plans. x J t~ x Applicant's Print Name Applican s ignature Page 1 of 2 CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot lKnob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: `r Address: Site Address: a T-_, 1 __FO T"i't-Ites Plumber: Meter No.. a " ` t Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: r°a c 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: mct er Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: ; r ' i Zoning: No. of Units: TnC Owner: , Address: Site Address: T r ~ 7 4" Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee:` +lc? Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN 8793 Pilot Knnb Road Eagan, MN S5122 N9 7759 PHONE: 454.8100 BUILDING PERMIT Receipt # To be used for SP DWG/GAR Est. Value $66,000 Date January 12 , t9 83 Site Address - 1350 Berry Ridge Road Erect gy, Occupancy R-3 Lot 30 Block 5 Sec/Sub.Billtop Estates Alter ❑ Zoning R-1 Parcel # 10 33000 340 05 Repair ❑ Fire Zone NA Enlarge Type 99 Nome Oak Chase Builders, Inc. ❑ of Const . Move ❑ # Stories o Address 1.525 Oak Chase Way Demolish ❑ Length 42 t Sot City Eagan 55123 Phone 452-3083 Grade ❑ Depth 50 Sq. Ft. p Nome Owner Approvals Fees u~ Address Assessment Permit 331.00 City Phone Water & Sew. Surcharge 33.00 Police Plan check 165.50 Oul Nome 525.00 P W Fire SAC uz Address Eng. Water Con.420.00 C city Phone Planner Water Meter 60.00 Council Rood Unit 240.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Totals 774.54 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Oak Chase Z on the express condition that all work shall be done in accordance with a,ll `f~'plicat le St e f " ini Statutes d City of Eagan Ordinances. Building Official y'~~ lv W CITY OF EAGAN Include 2 sets of plans, ' 1 site plan w/elevations & BUILDIrIG PERMIT APPLICATION 1 set of energy calculations. ^ ~-7 tBe Used For Valuation G" Date 1:2 g Site Address -OFFICE USE ONLY Lot Block _ sec./sub. Erect ON Occupancy "ILI Parcel l oao 0 o Alter Zoning 1P 1 a Repair Fire Zone Owner. } = °`ASc ~r Enlarge Type of Const. Address: O(f ('1A Move # Stories Demolish Front ' ft. City/Zip Code: ~1U A+ Grade Depth sa ft. _ _ Phone APPROVAIS FEES Contractor: Assessments Perfnit Address: water/Serer Surcharge , Police Plan Check City/Zip Code: Fire SAC_ Eng. water Conn. Phone Planner water meter Council Road Unit Arch./Eng.:c_ ft~ I+~E'iH I QE's Bldg. Off._ Address: -2-Oz VJ' ~3-fo(,J. ~.t APC City/Zip Code: Cb Phone ToTAL -7 1 j s ~ 7 go 0 ~ ~ ~ CITY OF EAGAN N_ 14 3 0 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 - j BUILDING PERMIT Receipt # - be used for BASEMENT Est. Value $1,500 Date OCTOBER 16 119__87 To Site Address 1350 BERRY RIDGE RD OFFICE USE ONLY Lot 30 Block 5 Sec/Sub. HILLTOP ESTATES On Site Sewage Occupancy Parcel No. MWCC System Zoning On Site Well (Actual) Const cc Name DENNIS GYOLAI City Water (Allowable) Z Address SAME PRV Required # of Stories 0 City Phone 452-5102 Booster Pump Length Depth o Name E . E . JONES INC S.F. Total U Q Address 6905 E 255TH ST Footprint S.F. P City FARMINGTON Phone 463-2876 or APPROVALS FEES W W Name 461-3383 Engr./Assess. Permit $29.00 w Address Planner Surcharge • 00 a W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge tj1h e read this application and state that the Variance SAC, MWCC information is correct ae to comply vAth all applicable State of Water Conn. Minnesota Statutes anEagan rdin cesWater Meter Signature of PermitteeRoad Unit A Building Permit is issued to: E . E - J ES INC Treatment P1 on the express condition that all work shall bed e in accordance with all 39.00 applicable State of Minneesd Statutes and~an Ordinances. Parks Building Official TOTAL r- A52 4 0 3 & Request Date Fire No. ough-in Inspection Q p Re wired? ❑ Ready Now II(Will Notify Inspector l - 7 j Yes ❑ No When Ready? I ❑ licensed contractor ;<Owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 13 5o rr 12~ Section No. Township ame or No. Range No. Co~unt`y f Occupant (PRINT) Phone No. J`- 0 ~Gidr Power Supplier Address E c-l r►~ 2ao S+ 0j F~vnn mN Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) Aut ad Signatu e (Contractor/Owner along Installation) Phone Number Griggs-Midway MINNI(SbTA STATE ARD OF -ELECTR 173 C Y THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 Olr~.. , UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~ es-ooool-os J Ob, See instructions for completing this form on track of yellow copy. 5 L! -`X" Below Work Covered by This Request New Arad R Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating -Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner OjWer (specifyl Contractor's Remarks: ©v'C Compute Inspection Fee Below: # . Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Ab Amps Signs Inspector's Use Only: TOTAL, Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON Rough-in at 1, the Electrical Inspector, hereby certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from This request void Z~// •~+~t~ ,,G.~ 18 months from J D 28534 a y LL :L' Request Date Fire No. Rough-in Inspection / Required? Ready Now Will Notify. Inspec- /tr X) f M Yes C] No for When Ready 01 Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City ection No. Township Name or flange No. County Occupdnt (PRINT) ~r Phone No. /:~'L'/ Z,-/ / . 5 n / l Power Supplier Address- a'-'9L y' ./`C c" -C I Electrical Contractor (Company Name), on tractor's'ycense No. r-- Mailing Address (Contractor or Owner Making Installation) Authorzed Signature (Contra or/Owner Making Installation) Phone Number / MINNESOTA STATE BOARD OF EXEC RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 r 110 See instructions for completing this form on back of yellow copy.. •.y D 8-53t "X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating_ Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Spec_,fy Other (Specify) Other Specify Other Other Compute inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100^A2ps Transformers Irrigation Booms Partial-"Other F E Signs Special Inspection ~j Remarks 9~ 5 TOTAL FE Y' Rough-in Date I, the Electrica 16162'0 Inspector, hereby tify that the above Final D~tR~ i spection has been This request void 18 months from T This 18 his request void / 3~ j{ I p months front'' G t ! rJ ! 4& , 4,99 ~tSb 1RqLje,-- ate Fire No. Rough-in Inspection y~ eggired? ~Ready No WiU Notify. lnspec° 9Y~ f/ es ❑ No When Ready ensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Ri4*_1111 No~// ,C ity ltc c- lS . c- 0 j Section o. Township Name or o. Range No. C L Occupant T) r Phone No. p Power 5 tier 7 Address Electrical C aci (Company rile) Co ractor's License No. 410 z - Mailing Ad ress (Contractor or Owner Making Installation! ~l ~3 ~L f _Cll~4,1 Authorized ature (Con ac r/Owner Ma!~irA)d fns aIlation) Phone'll umber MINNESOTA STATE BOAR F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. ^ om N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS hone (612) 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 445See instructions for completing this form on back of yellow copy. 47 71 M X" gee nw Work Covered by This Request e p. Type of Building Appliances Wired Equipment Wired Horne Range Temporary Service Duplex -Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Irdiistrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pec~fy Other (Specify) Ot er Specify Other other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders /S ubf eeders # Fee Circuits 0 to 100 Amps 0 to 30 Amps - 0 to 30 Am ? 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 1.00Amps Above 100-Amps Transformers Remote Control Circ. Part ia ee Signs Special Inspection ~ $ r ✓ OTAI ppc Remarks , 1"'~ Rough-in - O e t, Ere I tf'~`i~ Inspector, hereby ertify that the-above- Final ate nspection has been 9 made. This request void 1S months from low, CITY OF EAGAN NOM _ 197 13 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING,FERMIT_ Receipt # U 1 To be used for ENTRY EXTENSION Est. Value $700 Date SEPTEMBER 20 19 91 Site Address 1350 BERRY RIDGE RD OFFICE USE ONLY Lot 30 Block 5 Sec/Sub. HILLTOP ESTATES Parcel No. Occupancy FEES DENNIS GYOLAI Zoning $19.00 W Name (Actual) Const Bldg. Permit o Address SAME (Allowable) Surcharge .50 City Phone 452-5102 # of Stories Length Plan Review o Name CARL PETERSON Depth SAC, City 04 Address 1574 LAKEVIEW CURVE S.F. Total _ City EAGAN Phone 688-6564 S.F. Footprints SAC, Mcwcc On Site Sewage Water Conn W Name On Site Well - Water Meter T3 Address MWCC System - W City Phone City Water Acct. Deposit PRV Required S/W Permit 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City Eaga Orc)jna es. Treatment PI Signature of Permitee -ia f 1: 71-_ APPROVALS Road Unit A Building Permit is issued to: CIARL PETERSON Planner Park Dad, on the express condition that all work shall be done in accordance with all Council applicable State of Minne to Statutes and of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL X19.50 .,~,deal.7~t q\~~SA~~.~:Lx1 ~Yf~'~6t'iatd~t_~trn ~ ' - e~s3'~`~Za"°~' • ~7 - E Cit of Cagan Or artinrn# of Builbin ltts rcfimi This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various x ) ordinances of the City regulating building construction or use. For the following: s a / 1 SF DWG/GAR 7759 +i UN Comet" Bldg. Pernet No. ' R3 V NA R Occupancy Type Typ. Construction Fite Zoning Dirtrict Oak Chase Builders 4525 Oak Chase Way, Eagan ' Owner of &Ad{ng Address t,4 u \ Building Ridge L.WityLot 30,Block 5,Hilltop ~ Addmn 1350 Berry ~f Road Estates I~ s BY: April 26, 1983 U --f Building OMcW Date: roar IN A cowx,cuow w.cs ! N `Y"~f3M~ F~( w`~A 3 ~ +ny,p„ ~ p•e~~~ N~.?" t ~ :1 ~ ~ ~ `T ~ ®up[3 aBl ~ - LITNVi.N U.S.H. RESIDENTIAL v~ BUILDING PERMIT APPLICATION `S CITY OF EAGAN l.. 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reguire"nts Rg%detlReair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas e 2 copies of plan (20% maximum lot coverage allowed) • :1 set of Energy calculations for heated additions • 2 copies of plan showing bears & window sizes; poured found design, etc.) . 1 site surrey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 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 VALUATION 399 raq SITE ADDRESS '150 MULTI-FAMILY BLDG -Y L ON TYPE OF WORK FIREPLACE{S} - 0 X 1 _ 2 APPLICANTC of zs~Q STREET ADDRESS J/O CITY STATEZ;_Un ZIP IV S TELEPHONE #7C&3- /5'-7500 CE L PHONE # FAX # PROPERTY OWNER 0,1LA-,,-D ~ TELEPHONE #(a5 5/ 9C/ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (q submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater T No. of R.I. B 2 n r~ No. of Baths l~ L! R M ~ AT 2 4 Mechanical Contractor: Pho G ? Mechanical system includes: :air Conditioning Fee: ?.00 Heat Recovery System - Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-piex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of T piex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-piex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-piex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-piex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation - Occupancy MCIES 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 Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ 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 Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total t PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I f4 Eagan, Minnesota 55123 Permit Number: 021677 (612) 681-4675 Date Issued: 08/30/93 SITE ADDRESS: 1350 BERRY RIDGE RD LOT: 30 BLOCK: 5 HILLTOP ESTATES P.I.N.: 10-33000-300-05 DESCRIPTION: Building Permit Type SF PORCH Building Work Type NEW Building Length 14 Building Width 16 REMARKS: separate electrical permit required FEE SUMMARY VALUATION $11,000 Base Fee $126.00 Plan Review $81.90 Surcharge 5.50 Total Fee $213.40 CONTRACTOR: - A p p l i c a n t - ST- L I C. OWNER: PETERSON CONST, CARL 16886564 0004275 GYOLAI DENNIS 1574 LAKEVIEW CURVE 1350 BERRY RIDGE RD EAGAN MN 55122 EAGAN MN (612) 688-6564 I hereby acknowledge that I have read this application and state that the i information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/ ERMITEE SIGNATURE ISSUED Y: SIG E REACTIYATf CITY OF EAGAN PERMIT iiCnM[D 1993 BUILDING PERMIT APPLICATION ~(P 7 J U L 3 0 1993 681-4675 $ , C 6- .SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy,of energy calcs. COMMERCIAL 2-sets of architectural & structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ' / ' / ~2 Valuation of work Site Address: l So Rd STREET SUITE 0 Tenant Name: (commercial only) LOT BLOCK SUBD. P.I.D. # Description of work: orC,Z, The applicant is: O.Owner 1U Contractor 0 Other Mescribe) Name G o lq bhh/s Phone Property LAST FIRST Owner Address SD 2erry 2,V4z 12.1 STREET STE 0 City Ca59gh State Zip Company cgI-/ ~Lf~~f• Phone ~~8 - Sb y Contractor Address Lgkev14j Cu-&4 License # Ufa '7 ~ Exp. 3- 1q City ~Fa9an State/ Zip SS/ate Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. ~.fX OFFICE USE ONLY I a BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4 Plex O 12 Multi. Nisc. 13 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage /Accessory ❑ 18 Comm./Ind. 04 SF Porch ❑ 09 12-Plex 0 14 Fireplace ❑ 19 Comm./Ind. Misc. 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler .Length On-site well Census Code Depth - On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site Footing S Framing 19'--Insulation ❑ Wallboard 0 Final ❑ Draintile ❑ Fireplace Permit Fee c~ vatuation: $ )14 000 Surcharge Plan Review l b W x ~{s ~ZbS D License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units Out v V i l Oak Chase e Builders 4525 Oak Chase Way Eagan, Minnesota DELMAR H. SCHWANZ 55123 LAND SURVEYORS p Inc. Registered Under Laws of The State of Minnesota 2878 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 560" PHONE 612 423.1768 SURVEYOR) CERTIFICATE 42 S,oo N 44 aT S F. X07-~ 8 QR'0k -T W)0110 f •7 SC41e v l 3 ~ r Zoo tz ti CPO !a~• ir• I hereby certify that this is a true and correct representation of Lot 30, Block 5, HILLTOP qVP ~ ;Fe N I ESTATES, according to the recorded plat thereof, Dakota County, Minnesota. ~ 2'(•38_ 1 9 ~ tv -rope Dated: October 22, 1979 d + I Approved for Dunn & Curry ° 1 ap Real Estate Management, Inc. O 957.4 Denotes d existing elevation ` by' t Denotes I Revised this 11 day of January proposed t t 1983, to show he location of a elevation I proposed house as staked ® Denotes 9 thereon. set setback ty l , y J ` Proposed garage floor f elevation. O Denotes iron pipe I Propsed top of block monument. / elevation, Proposed basement floor elevati n. f MINNESOTA REGIST ATION NO. 8625 Certificate for: Dunn & Curry i K LZ./ I Survey for: Oak Chase Builders 4525 Oak Chase Way Eagan, Minnesota DELMAR H. SCHWANZ 55123 LANDSURVEYORs, Inc. Registered Under Laws of The State of Minnesota 2878 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA ON" PHONE 612 4231768 _ SURVEYORS CERTIFICATE 6. ~'ez r M ToP7•D A0 7 'V kale 1 I hereby certify that this is a 1 a true and correct representation I o "t~ Q°~ 4 of Lot 30, Block 5, HILLTOP ESTATES, according.to the recorded plat thereof, Dakota z County, Minnesota. y,~'$° Dated: October 22, 1979 y • p- Approved for Dunn & Curry o ' Real Estate Management, Inc. 4 9871.4 Denotes l existing Z by: elevation ` Denotes Eevised this 10 day of January proposed 1983, to show the location of a elevation proposed house as staked ° thereon. W! Denotes I ► 5 set setback Proposed garage floor j elevation. s D Denotes iron pipe Propsed top of block elevation. monument I r Proposed basement floor elevati n. o° MINNESOTA REGISTRATION N0.8625 ~ 1 1 L MINNESOTA BUILDING CODE ENERGY CONSERVATION REQUIREMENTS:_ ASHRAE STANDARD 90-75 EXPOSED WALL CALCULATION SHEET Wall Component "U" Value Area "U" x Area 1. Opaque Wall A. Masonry Wall 1. it 7, 'K 2. x 3. x 4. 5. x = B. Foundation Wall (Above Grade) 1. _ x 2. x = - C. Wood F~arng all . Q x t _ --~~f5-•.~ 2. x ® D. Periph ra! I~or .IVge Z~ 1. x 11 ?2 2. x - E. Other x = 2. Glazing A. Windows x 1 = B. Doors x -G-'L-- VV'-'-f W11wr% POW* 3. Doors A. Wood _ 1. Solid x - 2. With Storm Door - x , B. Metal x - - - C. Overhead _ x ~ JL, x D. Other r 3- TOTAL OF ..U,. X AREA TOTAL WALL AREA, Z0. FT . Uo (Overall "U" Value) - Total of "U" x Area Total Wall Area Uo = • (Meets code basic requirements: less than •1~ (Minneapolis-St. Paul area).). ROOF OR CEILING CALCULATION Component "U" Value Area "U" x Area 1. Roof or Ceiling x fl- s 2. Skylight x - - 3. Other x = TOTAL OF ".U" X AREA TOTAL AREA Uo (Overall "U" Value) = Total of "U" x Area = _4 24 14 14% VAN • 0 Total Area ~,N& a K Mew Mw, Uo = (Exceeds code basic requirement of _ check following Alternate Total Building Envelope Design.) ALTERNATE TOTAL BUILDING ENVELOPE DESIGN METHOD [See Sectior 4.2.4.11 & , . Required 1. Building Envelope Requirements e uir Uo Area [Uo x Area] A. Exposed Wall: x B. Roof or Ceiling: x ALLOWABLE TOTAL BUILDING ENVELOPE (Uo X AREA)....... 2. Actual Project Building Envelope Actual Uo Area Uo x A. ea A. Exposed Wall: x B. Roof or Ceiling: X - PROJECT TOTAL BUILDING ENVELOPE (Uo X AREA) (Meets code requirements if less than the ALLOWABLE (Uo x Area).) 1 , R 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE:, ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN `C SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be. Used For: FINISH EASEMENT- Valuation: Date: Site Address 1 So -,?)Vk t v z, h OFFICE USE ONLY Lot -3 0 Block S Erect Occupancy c Remodel Zoning Parcel/Sub C e-~ Repair. Type of Const Addition # of Stories a Owner ( Move Length ~ Demolish Depth Address ,.SF- C, Int.Impr. Sq Ft Install City/Zip Code Phone 4 S APPROVALS FEES Contractor Assessments Permit 29. o4 Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code ty A.~ Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off w 16Treatment Pl, Arch./Engr. APC Parks Variance Copies Address TOTAL 3Q.00 City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Requirements RemodelfReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations • Indicated home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail options seledfon sheet (bldgs with 3 or less units) DATE 0~12//07' VALUATION9YGI!9 12k, SITE ADDRESS MULTI-FAMILY BLDG _Y ~N TYPE OF WORK RSA fl- dZ t- 4)0F FIREPLACE(S) 0 _ 1 _ 2 APPLICANT 1Z,,_A(3Y 'C)YDC_V- Coy VoYZrkN Yl STREET ADDRESS 35~~ L11r1C~,z\2 pr4e_ S. --*\Q)-Z CITY W' STATE_1Nt ZIP c M TELEPHONE # 0FL-2- M8- 0_000ELL PHONE # FAX # b\7. ° `~2?_ ° ~OOtJ PROPERTYOWNER_EQUYe-2--to lY1S TELEPHONE# bS1b~C5Z~ lQ - COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA >T rc (d submission type) a Residential Ventilation Category 1 Worksheet Submitted New r~ C}e~fo~st~t i ed • Energy Envelope Calculations Submitted !f~~ IIJJ AUG 1 2 2002 Plumbing Contractor: ~ Phone # Plumbing system includes: Water Softener _ Lawn Sprinkler BY Water Heater r 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 # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O na es. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Pibg Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire 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 Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) 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 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total MECHANICAL (RESIDENTIAL) SCJ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 0 Site Address Unit # Property Owner tZ, ry~t; Telephone # Contractor Street Address f .3 s . ` ~ H)im ay City State Zip ~SS"{jZ Telephone# (6'0 ) ",V- The Applicant is Owner contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 _l/ furnace replacement D ( a air exchanger L 1,j air conditioner _ other (S.-.Y~_.. State Surcharge $ .50 Total $ 20 I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 s. Applicant's Printed Name Applicant's S_& nature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner 1 elephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is Owner Contractor Other Work Type New construction Underground Tank _ Install _ Remove Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value $ _ x 1% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additions & decks • 1 set of Energy Calculations Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION S G'76" i 24", Q-A SITE ADDRESS{ o~'~`~ MULTI-FAMILY BLDG -Y iN TYPE OF WORK +FIREPLACE(S) - 0 _ 1 -2 APPLICANT STREET ADDRESS CITY V'WMIL)X, is STATE 1\ ZIP TELEPHONE # 01_1 r CELL PHONE # FAX # tCV'Z 'E" 12 w DOS PROPERTYOWNER_~~~ 1 ~_A11"l~ TELEPHONE# b~1~~~ZlQ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNES_O'I'AeRLL- I:S 7672- (1 submission type) • Residential Ventilation Category 1 Worksheet Submitted New:Enerq- Coe Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler $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 # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or 'na es. Signature of Applicant ! - - - - - - - - - - - OFFICE uSE ONLY Certificates of Survey Received _ Tree Preservation Plan Received - Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire 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 Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ 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 Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1991 BUILDI G P IT AP LIGATION CITY OF EAGAN i SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (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 ALLOWED 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: Ex-11-f ;oH Valuation: 00, 700 Date: 9- /6 - 9I 9 Site Address / 3S~ ~e-may OFFICE USE ONLY Lot Block FEES Occupancy Bldg. Permit ~Zoning Surcharge Parcel/Sub Actual Const Plan Review Allowable SAC, City Owner G-y olhti# of stories SAC, MWCC Length Water Conn. Address 3SO 1 y ~~alyr. ,ka/. Depth Water Meter S.F. Total Acct. Deposit City/Zip Code e- q.~ Footprint S.F. S/w Permit S/W Surcharge Phone yS 2 -S/ 0 2- On site sewage- Treatment Pl. On site well Road Unit Contractor (fa 1 c% TeMWCC System Park Ded. City water 7 Trail Ded. Address 1-')--74/ Lgkcv/ ci Cu~+~e PRV Copies Booster Pump _ City/Zip Code Cagg., 5-f~o~o~ SUBTOTAL APPROVALS Penalty Phone (S & e/ Planner Lot Change --T Council TOTAL U Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # Sewer/Water Licensed Contr. agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. Receipt - ' _ MECHANICAL PERMIT Permit No. ? ll CITY OF EAGAN, Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot SO Blk. S7 Tracti4 r 4. Owner 5. Contractor: Phone r 6. Address -G 7. City State Zip k i r 8. BuildingType: Residential 0' Commercial 0 Institutional 0 9. Work Description: New 0 Add [7 Alter El Repair 0 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: I Mfg. - Boilers Mech. Exhaust I Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets i I 12. 1 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 for Rough Final Inspections: Date Insp. Date Insp. This is you permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt (0 PLUMBIN PERMIT Permit No. CITY OIAGAN -jq Fee Fill in num#.Bred spaces SFC Type or ft t legibly Tot. 1. Date 2. Installadcm Cost !r - 3. Job Addressc. .:c,, 30 Blk. Tract ~1~-- r 4. Owner j, 5. Contractore-'~,~/'W Phone t ti' f f 4 ' 6. Address ".T_ 1 =4 1 7. City f,tf'_~_, ; t lc"o,j _ State' Zip S 8. Building Type: Residential EF- Commercial ❑ Institutional ❑ I 9. Work Description: New ❑ Add C1 Alter ❑ Repair ❑ 10. Describe 4 ` 11. No. Fixtures No. Fixtures Water Closet Cesspool{Drainfield Bath tutu Septic Tank Lavatory Softner Shower Well Kitchen Sink i Urinal/Bidet Other _ Laundry Tray 1._ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes overning this type of work. Signed : a a ~i'~rr for Rough Final Inspections: Date Insp._ Date Insp. This is your, permit when numbered ano approved. Approve d=~_r ,,---,CITY OF EAGAN 464-8100 t CCTV OF EAGAN Remarks Addftlon HILL TC)P_ F.&T_'ATF.S Lot 30 Rik 5 Parcel Owner ';1 fun _(A Street 1350 Berry Ridge Road State Eagan, 1 Improvement Date Amount Annual Years Payment Receipt [kite STREET SURF. 3 1"p- 133IL72 --113-0 802.04 C008423 STREET RESTOR. - GRADING SAN SEW TRUNK 1973 172.14 8.61 20 7 7, 43 CDOE423 A-2843 SEWER LATERAL 1980 2977.16 ---2q7-72 in 178&~28 COOB423 ArN_ga WATERMAIN WATER LATERAL L11 WATER AREA 1977 181.34 12.09 .15 9,6-71 CQQ8423 ---4-2B- -1 laRn Services * STORM SEW TRK iqRn * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road tin it 24 0 WATER CONN. 420.00 n BUILDING PER. 7759 SAC PARK CITY OF E1 GAN t~3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 19713 r i. PHONE: 484-8100 BUILDINGiMIT .Pit Receipt To be used for iltt` RUMION Est. Value $ 00 Date 32"Mu 20 19 Site Address 1330 19C I IXX # Lot 30 Block _5_ Sec/Sub. MAUS OFFICE USE ONLY Parcel No. Occupancy T FEE'S wn Zoning 1 Name (Actual) Const Bldg. Permit z Address (Allowable) ' 0, City Phone 02-3201 # of Stories Surcharge Length Plan Review CM a'r" p Name Depth - SAC, City Address IS74 LA ZW CUM S.F. Total SAC, MCWCC City Phone S.F. Footprints - ` On Site Sewage Water Conn ww Name On Site Well ~m Water Meter c=i3 Address MWCC System - az Acct. Deposit a W City Phone City Water - PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagap Ord!nna ces. Treatment P1 Signature of Permitee APPROVALS Road Unit to: Planner A Building Permit is issued Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Fagan Ordinances. Bldg. Off. - Copies Variance 2¢' TOTAL i Building Official Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I 2 p_ s ~7 z Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Pbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bidg. Final Y/NiS 6 Deck Fig. ~~y<<S C?/~~ Deck Final - Well Pr. Disp. CITY OF EAGAN y 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt 5JO To be used for Est. Value g k' Date = C Oi3ii A U,) ,19 OFFICE USE ONLY Site Address _T;On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual) Const ! t ` I.`s CA oIl City Water (Allowable) W Name z Address PRV Required # of Stories o City Phone ' o.4 Booster Pump Length Depth Name S.F.Total i0 Y ou Address FootprintS.F. City Phone APPROVALS FEES rc i; I ry ; Engr./Assess. Permit OW 'w u , 2 Planner Surcharge _ z. Address s Z city Phone Council Plan Review aw Y Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL - Building Official Permit No. Permit Holder Date Telephone # Plumbing S 1U '7 HN.A.C. Electric low Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing ' Roofing Rough Plbg. a J Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final 7-r7 E %f Cert Occ. Temp. LP Deck Ftg. D40 Final Well Pr. Disp. ,t •9 PERMIT # ~y PLUMBING PERMIT RECEIPT # F x' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION F Lot - 20 Block Sec/Sub Res. New Mult. Add-on Name Comm. Repair - ° Address Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ 'a Name _ Bath Tubs - $3.00 Address Lavatory - $3.00 p City Phone Shower $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE -1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 - Whirlpool $3.00 MINIMUM COMM/IND FEE $20.00 Gas Piping .Outlets, - $1.50 . STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) - (ADD $.50 S/C IF PERMIT PRICE GOES Softener $5.00 BEYOND $1,000.00) Well - $10.00 Private Oisp. - $10.00 Rough Openings - $L50 SIGNATURE OF PERMITTEE FEE: ) " ` t STATE S/C: FOR; CITY OF EAGAN Z.- " GRAND TOTAL: CITY OF EAGAN 8795 Pilot Knob Reed Eagan, MN 55122 ` 3 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date `,'i d r 19 a~~■ir.~ Site Address _ r i r TD a + r' Erect E]' Occupancy T'. Lot Block _ Sec/Sub.' 11 it C, ' L, 2' ` :3 Alter ❑ Zoning "i Parcel # L'' 3' ? 5 Repair ❑ Fire Zone rV' Enla V rge ❑ Type of Const. of Name C,a Ci-1,i;>~ '.t,I Move ❑ # Stories Address :r ,y Y Demolish ❑ Length!`"; j city Phone Grade ❑ Depth Sq. FY. Name Approvals Fees Zr o~ Address Assessment Permit 117 ' UI Ij F city Water & Sew. Surcharge Phone ?r„ Police Plan check - ` a Fw Name Fire SAC 10 Address Eng. Water Conn.`' ' City Phone Planner Water Meter ` Council Road Unit I hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Totals 77 ~ i State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee j, A Building Permit Is issued to: ':I"' 'xs =r_'t . on the express condition that all work shot{ be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C.`t ~S ~uC1 %LS Z S~~ Well Water Disp. Sewer Electric w cam'( 3 -j-$ 3 Inspection Date Insp. Other Footings ! • Foundation r Framing Rough Plbg. I Rough HVAC { Insulation Final Plbg. .1 - Final HVAC Final / qF r Water ibe Location; Well Sewer Pr. D'asp. #TY CAF EAGAN ~a 3195 P~ KN68 ROAD, EAOAN, l ilfV 1 $C3l`A 55 t22 , 4C-&: RSC FROM AMOUN9 DOLLARS loo CASH CK 13C) FUND CO E' AMOUNT Z y r -'o } ~N. _~i.r~..Fa . ~x' .r p, s.3~sd4%~.y1r u .y s.,c,~".~.`.~.~{ ~,'~:.wa.af.,.n INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: cg t { Eagan, Minnesota 55123 Date Issued: (612) 681-4675 P SITE ADDRESS: APPLICANT: I PERMIT SUBTYPE: TYPE OF WORK: I` fi - INSPECTION DATE 133 F 1 }31} . ti.~ i;y'"s ~ =.g f3 ~N 4'~ t 1 1 E j~ N f [ Y.j j ~ I ~i I F i Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRI} 9/O ELECTRIC Inspection e~►Date Insp. Comments Footings l l Foundation Ii Framing Roofing Rough Plbg. Rough Htg. jJ Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. 1 j CITY of EA"N WATER SERVICE PERMIT h 3793- Pilo !(nob Road PERMIT NO.: ti 5!-- Eagan, MN SS122 DATE: Zoning: RI No. of Units: Owner. Oa Ch se Builders Inc Address: Site Address: 0 Berry Ridge T-d L30 B top _states Plumber: sairse Meter No.: Connection Charge: 420.00 p Size: Account Deposit: pc Reader No.: Permit Fee: 10.100 agree to comply with the City of Eagan Surcharge: e fit. Ordinances. Misc. Charges: • pa met.er Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEINER, SERVICE PERMIT 8795 Pdat Knob Road PERMIT NO.: 5669 Eagan, MN $5122 DATE: I Zoning: RI No. of Units: Owner: C?ak Chase Builders Inc Address: Site Address: 1350 Barry Ridge U L30 B5 Fiilltog Estates Plumber: same 1/12/83 3391.4 1130.00 pd 1 agree to comply with the City of Eagan Connection Charge: 425.00 pd Qrdinanees. Account Deposit: Permit Fee: I i). nofid Surcharge: in pd By Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: 10/21/2009 08:22 FAX LeMaster Construction IA 002/009 Use BLUE of BLACK Ink ~ ~ ~ ; Permit C of Ea a -7-7 67 1 / ' I ~7 r _ 1 / t 5Z 3830 Pilot Knob Road Permit Fee: ` Eagan MN 55122 j Date Receiv Phone: (651) 675-5675 i I Fax: (651) 675-5694 sue: 2009 RESIDENTIAL BUILDING PERMIT APPLICATIONS Date: 1012-f Be- Site Address: Tenant: Orw" ~j l I V wM-' Suite RESIDENT / OWNER Name: -(Q+v Phon ; Address / City / Zip: 64 Applicart is: Owner ~C Contractor TYPE OF WORK Description of work: "0,:, 4 to V ~tN+~ v.Yri✓- Construction Cost-7~0c) -AD Multl-Famlly Building: (Yes / No "ll, ) CONTRACTOR Name: yr 04-'o ~ License r LA C 1-7 Address( )I. U~J ~JV 6t City: 1;2Jr'►'.I al tlt State. ~ Zip: ; -(gz Phonste l2t ,22n Contact Person: 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: drJ A /tt 1•' i s61 J el+> c ' )pr 9die POW.i►.oe~+:',a„~., a• ~ o;;7 '•I i I~:.; Q~, .:AOO ~~TdtfClSe~`fu~,•' ' 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.aoohermteonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codee of the City of Eagan; that I understand this Is not a peimit, 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 app d plan In the :ass of work which requires a review and approval of plans. X Applican ' d e Applicangs Slgnatur ~r Page 1 of 3 13-60 ~j, DO NOT WRITE BELOW THIS LINE q 7 SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of _ Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex ❑ Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04-Flex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building" ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation ❑ Replacement ❑ Egress Window 9 Water Damage " Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25% 100% _)L) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: _Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. _AirTest -Final Windows yr Insulation Retaining Wall Reviewed By: Building Inspector - - - - - RESIDENTIAL FEES: Base Fee Surcharge Plan Review 004) MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant ~~I7NL ✓ Copies Total Page 2 of 3 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA095049 Date Issued: 07/22/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1350 Berry Ridge Rd Lot: 30 Block: 5 Addition: Hilltop Estates PID:10-33000-300-05 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimnev flue must be inspected prior to concealin,. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BE - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Chris W Figura 2700 N. Fairview Ave 130 Berri Ridge Rd Roseville MN 55113 Eagan MN 55122 (61)633-261 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Date: CityofEaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 10 h�( v S Permit Fee: Date Received: d ) (` r2 - Staff: 6'6-2 2'Staff:� J INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water 135o la -4c Igo( 1 Tenant: Site Address: Suite #: 5S123 Name: CJw t S �t�t4VeL. Address / City / Zip: (3O ai✓i TYPE OF WORK Address: 5®O Oak]avt d vl.e. State: MA/ Zip: 5 533 7 Phone: Contact: 1 Email: License #: 59 32 ( P ►° 1 City: 3 U r ✓l5 (i Z 3 8'Co (60` 3 PLUMBING (Within the building envelope) Sump Pump Repair XOther: Skmke'14 CCU SCt1/401)2- Description of work: 62. Ibcn .c\ SEWER & WATER (Outside the building envelope) Repair Other: FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.aopherstateonecall.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 wAh require review and approval of plans. App icant's Printed x ApplicaWt's Signat FOR OFFICE USE Reviewed By: quired tnspecti< Uride Use BLUE or BLACK Ink F For Office Uise{ I ~t n j Permit { 1 F' 1 V fill j City of EaEdn I Permit Fee: 3830 Pilot Knob Road W Eagan MN 55122 I Date Received: ICU ! 1(! I Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 1 Staff. r, I 1 I - - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 10/15/ 1350 Berry Ridge Road Date: Site Address: Unit Name: Chris & Marie Figura Phone. 651 452-5194 Resident/ Owner Address / City / Zip: 1350 Berry R1dge Road Applicant is: Owner X Contractor Type of Work Description of work: remove and replace 28 square of shingles Construction Cost: 12279.00 Multi-Family Building: (Yes No Company: Bulders and Remodelers Contact. Mary Anderson Address: 3517 Hennepin Ave So C Minneapolis Contractor State: MN Zip: 55408 Phone: 612 827-5481 License 1100 Lead Certificate NAT-20683-0 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 classed as non-public if you provide speck 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.gopherstateonecall.org 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. x Mary Anderson X Applicant's Printed Name Applicant's Signature Page 1 of 3 . i,e(i 01 For Office Use f..9 =: , i::,:, ::::: : /c �' Date Received: �� 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 FAX:(651)675-5694 7EC `' Staff: buildinoinspections ancityofeagan.com . '. JAN 2 2 2019 L j 2019 RESIDENTIAL BUILID‘'., - : i I A PPLICATION Date: I/app.)Q-0( g Site Address: 1550 ('�e..�1"t"i.+( in i cA PIA. Unit#: .} Resident( Name:(1 t---; ir 5 1- na r f as_ i V9 1-,--,--a-- Phone: 'i,.'1" 5, 91-I—S 1� Owner - Address/City/Zip: 135 0 t rr, j A;c1512., CI. ..5 ...t-), (Y'1 �,5 18- Applicant is: Owner contractor / i ( -,-1-/q_4-Es Type of'Work Description of work: i'e. '1tOOtsL.>t_ i F ck2. C_r• 3`}- t.,''1 t r c_L tA.c�{,s 4 DO Construction Cost: a:7OV a, Multi-Family Building: (Yes /No ) - Company:lr r &.-F-1-r'1a.S-k x 5 12\em t)rate,/t rt Contact: !)G 't-e.1(--e L r"1 GIS' L Address: '1S m e_.)Ot„� Br. a•3 N City: T t k+-_ ca 00.1 Contractor t `^-Q Stateri1] Zip: 551 D` Phone: toDj-7'_?1-- /Oikmaii:cya.f Y►i&S ' ef•; t,- -,(a jrvi , I. t< &Y-) License#: r C.(o --7 2.!-IS Lead Certificate#: NAT-�T- 33f, 077-7- 2- 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 "t you submit considered to publiainfornation ins of the information may be classified as nonpublic if you provide.Spec/Itoreasons that would permitbCity to conclude that the the �ire 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.citvofeaoan.comisubscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days ofBEFOpermitE Issuance. CALL RYOU 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.gopherstateonecaliorq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x D_ 1l e... I-4 rc1e, x .,1,4-4_..Q ,i Applicant's Printed Namai Applicant's Signature 1 --<?-0 g6-17,--2 c_(- ,I c46 DO NOT WRITE BELOW THIS LINE SUB TYPES — Foundation — Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) — Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex le Lower Level Pool __ Accessory Building WORK TYPES — New _ Interior Improvement _ Siding Demolish Building* _ Addition _ Move Building _ Reroof Demolish Interior It 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 a�� Occupancy r&. - 1 MCES System -- Plan ReviewCode Edition 620/)-- SAC Units (25% 100% I/� Zoning A -I City Water — Census Code 634, Stories — Booster Pump -- # #of Units / Square Feet — PRV #of Buildings ' Length — Fire Suppression Required Type of Construction 2,43 Width -- REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) At Final/No C.O. Required Foundation Foundation Before Backfill HVAC—Service Test Gas Line Air Test Hood Roof:_Iced&Water Final Pool: Footings Air/Gas Tests Final x Framing J30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath _Stone Lath _Brick EFIS ;}et Insulation Windows Sheathing Retaining Wall: Footings^Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES _ 5� rJ//a q 1/gO ......f,Base Fee 23 76 fjU C'� / Surcharge Plan Review '7' 7 2-4 MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies o 7, x ,-45 TOTAL Page 2 of 3 For Office Use � f' ; ; '' " Permit# l � J cid-'''' '...-3 , ‘,,, „e",, A Permit Fee: 0 - b O CC Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 y TDD: (651)454-8535 I FAX:(651)675-5694 Staff; buil dinginspectionsifcityofeagan.com 2019 �RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I y/ Site Address: I Ea--77- 4 496 Q - Tenant: Suite#: Resident/Owner Name: 6.A-5-4,14,-'1,C2 0 .-t,i1 1 ,/1e1-."-t -.Phone: Address 1 Cit Zi Name: � /G- '/LL;el Ce C;L License#: CJ t ��- Contractor i Address: 9"i 7 /�-/cu./ie ) .L ,- Q -City: �j f 6 $ State: n Zip: J �f Phone: C3 (" Contact: C— Email C /v;.- 4 r ,.,„.7/'Z /114/C. 4,-1 Type of Work —New ,.'Replacement _„Repair —Rebuild —Modify Space _Work in R.O.W. IDescription of work: Water Heater -- /T -C--� e C.'^' /4,--1 A" ,� G 1 Lawn irrigation( RPZ/_PVB) I — Water Softener Add Plumbing Fixtures( Main/ Lower Level) Description i Septic System — Description: 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 =$540 *Sewer&Water Permit also required for connection charges TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher StateOne 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.nooherstateonecali.orq 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 wvwv.citvofeaaan.com/subscritie. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 1- 1i,A-t e/J.- xY Applicant's Printed Name Applican s S nature Page 1 of 2 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169632 Date Issued:06/03/2021 Permit Category:ePermit Site Address: 1350 Berry Ridge Rd Lot:30 Block: 5 Addition: Hilltop Estates PID:10-33000-05-300 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Chris W & Marie I Tstes Figura 1350 Berry Ridge Rd Eagan MN 55123 (651) 343-2939 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature