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3262 Black Oak Drn . . . . ... . . . . - .. . ... ..; .. ?„ ro .?' T?:, M 43064 . ? ??20 C/'° Request Date ire No. Rough-in Inspection R NOTICE: You Must Call Eiecirical Inspector If A Rough-In Inspection 7 No Is Required. IlElicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) Ciry? Section No. Township Name or No. Range No. Counry ? Occup (PRIN'i? ? Phone No. Power lier G.(i -i.rNt Add2ss Eledrical Contractor (Comparry Name) r Co or^s License No. Mailing Address ( ntractor or Owner aking Installatio?) Authorized ' natwe (CoMractor/own Making Ins allation) 4 ^ Phone umber _626, MINNESOTA STATE BOARD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT Grlggs-Midway Bldg. - Room 5773 BE ACCEPTED BY THE STATE BOAPD 1827 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. M 143064 REQUEST FOR ELECTRICAL INSPECTION 0- See instructions for completing this form on back of yellow copy. `X" Below Work tovered by This Request EB-00001-08 w Hdd Rep. TypeofBuilding AppliancesWired EquipmentWired xl_ Home Range Temporary Service Duplex Water Heater Etectric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specity) Contraclorla Remarks: Compufe lnspection Fee Below: # Other Fee # Service Entrance Size e # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to ioo Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectorb. Use Onty: ??? TOTAL Irrigation Booms pV 7n ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIfd 18 MONTHS. . I, the Electrical Inspecto, hereby Rough-in _ Dat certify that the above inspection has been made. Finai oate OFFICE USE ONLY This requesl void 18 months from WRl.`ttfiCQtC nf cCCoQuC? (Fiti) af Cfagan meoartmeat of 13xilbi»g aaoection This Ceniftcate issued pursuant to the nequire?nents of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various nrdirtances of [Ise City rrgulating building construction or use. For the follawing: U. classification: SF IX ewg. Pcrmit No. 22006 ooupa-y 7ype B3N 12 y,wng piguid R I Type Const VN ownerorsu7aiug r1v7F . rIIY r7cPrS7' IW- aemessW0 155"I', A1PLF VATIF.Y suiwkag naarm 3262 Bi.Ar1C QAic DRIVE Locwity L 1,, B I- Btm 09 HTT J akidding oArcW POST IN A CON3PIGUOUS PLACE Address 3262 RLA..r'K OAK DRIVE Zip 5512 ? Lot 1 Blk I Sub MR OAK HRLS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: ?- / s No Inspector: Final grade (6" from siding) ? Permanent steps (garage) ? Permanent steps (main entry) Permanent driveway ? Permanent gas Sod/Seeded grass Trail/curb damage ? Porch ? Basement finish ? Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy # ?Q'4?'? 2005 RESIDENTIAL BUILDING PERMIT APPLICATI4N ? 3?? ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 t Telephone # 651-675-5675 FAX # 651-675-5694 ? ' New Construction Reauirements emodeVRe air Re uirements Office Use Onlv 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert oF Survey Recd _ Y_ N , (20% maximum bt coverage allowed) 1 set af Energy Calculations for heated additions Tree Pres Plan Recd Y _N 2 copies of plan showing beam & window s¢es; poured found design, etc. ?I site survey for addrtans & decks Tree Pres Required _ Y_ N t set of Energy Calculations Add'rfion - indicate if on-sffe septic sysfem On-site Septic System _ Y_ N 3 oopies of Tree Preservation Plan if lot platted afler 111193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date / 99_ Construction Cost D. Site Address ,1?6 2 041W Unit/Ste # Description of Work ?PafV k? Multi-Family Bldg _ Y?f, N Fireplace(s) _ 0\2!( 1 _ 2 Property Owner -- -Aok?r 2Lt_Les c+ Telephone #( SD7 )2! 31$(o O Contractor Address 614 ? .9.1/ City ?? ,1/'l/V State .?J Zip Telephone #(_V) 7) 2/-T /?,6 c7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateaorv 1 • Residential Ventilaiion Category 1 Worksheet (4 submission type) Submitted • Energy Envelope Calculations Submitted In th ast 1?nonthkhas t? Eagan i ed a per 't for YIf ate d ddr mastbq Licensed Piumber Mechanical Contractor . New Energy G, Worksheet Submitted as n a st?r plan? F aa -? .. 'G'.. Telephone # ( ) ? ? Telephone # Sewer/Water Contractor ` Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work rs 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. ct? Applicant's Printed Name plicant's Signature ? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Starm Damage ? 06 04-plex ? 12 12-plex Plbg Y or _ N ? 25 Miscellaneous Work Types 10.01 ? ? 31 New ? 35 Int Improvement ? 38 Demolish Interior X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation il, oa o Plan Review 100% or 25% Census Code t• SAC Units # of Units # of Bldgs Type of Const Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire 5prinklered Width Footings (new bldg) _x Footings (deck) Footings (addition) "f Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace _ R.I. _ Air Test _ Final C Insulation REQUIRED INSPECTI4NS FinaUC.O. C Final/No C.O. _ Plumbing HVAC Other ool _ Ftgs Sidin _ Stucco _ ndows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review ? MC/ES SAC City 5AC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ! O 30 Accessory Bldg 0 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 44 Siding ? 45 Fire Repair ? 46 Windows/Doors Air/Gas Tests Final _ Stone _ Brick ? . ? ? ,' Y 4 C5 1 1 ? 1 C) I Q 1< y C4 _. ---.^..- -- _.__ • ' • r ?.. r "^r'^' r ??'?' ???? 7*7 REE'T ,..r ? ??? r &99' 6T' 9' If . ? , i!, Q 0, ?1 ? p*8gg, ?2 ?? ?R r? w? ' ? \ ??? ?r +A 1 f ? ? V ? ? ?? l . ?4 ? v y? ? _ ?, w - ? ? ° ??L?. w ° rn ° ( •• - , V,l 1 9 eqr?. la oa ? .?._. ___. `.. . ......_..._...r...... n '06'Si"E i42.45 ? ? Fr-= I%? ?'b ? A GE E ? POd•11"' br8r1d 1aX„W xO'S5.1 P.liMSEM.YA] 7op oi Fowmatbna Oare" ftoa aeo3ts• 8nsomoM Fbbr Approx. 9owsr 3*rrk Plo'oood ENvslbns ExlOlhq Eiweibm brsinspe Ol?ocitant 8q.s.l LDT SQ. ? ? 903.1 ¦ 9R50 • C...7 • _......? .•?.?. r. Doaolsil aHaN S1aks m Q HEDLUND PJannlrp Fnplrtesh?ro Su"Jfif9 dae f?A /Ia?u?Nitr+???i?11?1?If NwMtm M"O R-989K ; sK ? ? SCAt.E, f tnch • JO Feet i_ Oi 2. 13, 56?? lw VA } a RA -A 8 NGHMAfiK? TNH 1? 9175 ZI4.us A9fs.?.'1 MIN. ?ITBACK ilE0U1qEMENTS Fron1- go Nouss 8Mo • to Aaar - iy Gstoplr Skli •3o Joe Na: IHEIIbBrCQA1PYIMA[1ti1S1lATINM ANDCOfIRECI11E1MiE=ENIAf10N q?,91? oF iHi 9oUN?fAflltb 4R i1fQ A1lo?VE pl6ptNtlEO PI1o1'?llfY AS lUI6 V81?E06YMEORUIR1EAfAU O?iE01 J11P@pVI81pNNNQpOE9N0TPU11Pd111 lo sitaw VOaaveRatR va gwoaaWiVAHts. Fxcaat itn oHOwk. eoo{c: PA? . O.n -L ?23 ............. PRJO?tv ?1• 14•93 R 1NiXiREN. Wi U11V6YOf1 OAOD PILEi DN MMESoTnt,ICENBE MJMBEa t4a?e I? ? . cc4a•x , 612 889 0439 09-18-93 11:23AM POOI ltll? - --------------------••••---- -----------•---•--•••--•-••----•-----•----•--•--• 2004 RESIDENTIAL BZTILDING PERMIT APPLICATION City Of Eagan - 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 S C) o v ? c _11_LL,_Z (ZI- G?- New Construction Reauirements RemodeURepair Reauirements 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roo(ed areas 2 copies of plan (20% maximum lot coverage aliowed) 1 set of Eneigy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, efim 1 sfte survey for addfions & dedcs 1 set of Energy Calculations AddiHon - indicate if on-slte septic system ? ,.,, .. .. ? ? .. 3 copies of Tree Preservatlon Plan if lot platted after 711l93 Rim Jast Detail Options selecdon sheet (bldgs with 3 or less units Date 6,!?- l?_ I a!4 Site Address J ; , Construction Cost UnitlSte # Description of Work ? ? cf Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner Telephone #( 50?) Z131 PjC U Contractor ? Address 3 State _±-tiU' Zip S-S! Z( ? CiTy Telephone #(S6,7) 2t 3 le_'J!? eJ _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - 1?Iinnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( IM ?: Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the informat o curate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. A icant's Printed Name % Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation O 02 SF Dwelling E3 03 01 of _ plex ? 04 02-plex ? 05 03-plex O 06 04-plex Work Types x 31 New ? 32 Addition ? 33 Alterafion O 34 Replacement Valuation R O 07 05-plex 0 13 16-plex ? 20 Pool 30 Accessory Bldg O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?? 31 Ext. Alt - Multi ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 10 08-piex 0 18 Deck ? 23 Porch (screenJgazebo) O 36 Multi Misc. ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous ? 35 Int Improvement 0 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors "Demolition (Entire Bldg) - Give PCA handout to applicant Census Code -,)-X SAC Units # of Units # of Bldgs Type of Const Occupancy Zoning Stories Sq. Ft. Length Width MCES System City Water Booster Pump PRV Fire Sprinklered _ Footings (new bldg) _ Foatings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City 5AC Utility Connection Charge S&W PeRnit & Surcharge Treatment Plant License Search Copies Other Tatal l???C iy ,-- Z,,?? ?n . ...-?--- -- _"'_.. • {?' L V J rv g? ..., S89' 6r- s? M 0,4q ? rp l / ? , ' ? s ? • ?,1:. q? ? ?.1 , ??? -- ?, ;'i u+ tL o C] ; ?t ?ta?. ?tl? ? " ? d?.90 ? 1G.dd ? r... .r --- ?o .....?- ?.......--?---^r-°" ? ' 8R3.8 . 906'Si"E 142.45 , l,. ?.+ 1 a. • 99.5.1 ? , iyse. Homt ? L o T sO. Fb ra GE ?1315? 1.+ . , . ?? .--- -- - -- . _. _ . .. ? _? , pOR!-M° br8nd 1Oc 1 d ? 100 , MopoSERELEVAnoMs "MMApK, rHN ? 9,?'a topof Fonndalbna * Os" flppt ODp3es. Bssomon! Fbor . gt?sp , App?ox. 6owM 3ervbe Elev. . 8ytl?ryee;?',? MIN. 6?t8ACK ??I?ENT9 P1q0old a1/Ve10A1 w ? ExIaHnq ftvinbrn bidnape ofoecoani ..".... r Front - 9o Navsa ?lld? • ro Sc Dfaota oNsol8tsNe - m Hes? • ry ?gr?e 31d? •? ?d SCAI„E, 1 lnth ? 30 Feel ? .tOe No : ? I (HE11EaYCBRflFr t1U1[1Nl81?111RlJEANOCOIIt1EC1lI?plIEtENtA1WH ?IIE LUN? aF 1144 i0UN0AfqEO OR 11K A04Vi MiptilUEb PIIOnAfY /1S 4U16 A3}t.374 I YEYEO YY ME d1 WNEAI?AY D?iEOI NPEpVIS1?1NM?000Ef H!!t PIl?ifi?Rt 10 AllpW rAhqt1V?11AERtf OR END?ilMENtl. ERCiPT Ad OFIOWM. BppK; P?E? /a?IHfllp ?IID??d?lrl? SfJ/VBJ?/fi? A ' aor e.M w.??ai{'w??? ?an ?1+?e beta ,? ?-u `? • •--...?.? Rra NtQ q• I?•q 3 IU*n)aqSK LAtXflfUnVlY0M a?ao r•n.e; owo. Oft lsoTnitc?s?t??at427e ?q3•2 R?989? 012 888 0439 09-16-93 11:23AM P001 ft!{l 2084 RESIDENTIAL BUII.JDING PERMIT APPLICATION City Of Eagan 3830 Filot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWon Reuuirements RemodeUReoair Reauiremenis 66* t#tor ifv 3 registered site surveys shrnwing sq, ft. at lo#, sq. ft. of house; and all roofed areas 2 copies of plan Gprf #4 j?? R?d ?Y _ JU (20% maximum lot coverage aVlowed) 1 set of Energy Calculations for heated additians Tre? P? ? R? ? 2 oopies ai plan showing beam &windaw sizes; poured found design, etc. 1 site survey for additians & decks PCb? ?i?C •°' ?F €;;,,?! 1 set of Energy Ca?ulations Additior+ - indicate if on?ita septic system F?[rait6SBptrc.5yster? oN 3 copies of Trea Preservation Plan 'rf lot platted after 7/1193 Rim Joist Delail Options selection sheet (bldgs with 3 or less units Date 0 9/ Construction Cost I 5?' 5ite Address ? 2C-'L_ c, ? tC- .o ±4, Unit/Ste # AJ lrl h? Description of Work p tt.k-,?- e., - i 61 Multi-Farnily Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner _\C:-4\A) Telephone # (5b`1 Contractor Address City State Zip Telephone # ( ) CDIVIPLETE THIS AREA ONLY 1F CONSTRUCTING A NEW BUILQIWG Energy Code Categary - Minnesota Rules 76`?0 Categorv 1 . Residential Ven6lation Category 1 Wor9csheet (4 submission type) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Minnesota Rules 7672 . New Energy Code Worksheet Submi4ted Y_ N It so, 25% plan review Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and aclazowledge that the infonmatio W te; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not tfl start without a permit; that the work will be in a.ccordance with the approved plan in the case of work which requires a review and apprvval of plans. Applicant's Printed Name App cant's Signature UFFICE USE ONLY Sub 7ypes ? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Poal ? 30 AccessoryBidg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Niulti 0 03 01 of _ plex ? 09 Ol-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storrn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 hlew 0 35 Int Improvement 0 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Mave Building 0 42 Demolish Foundation ? 45 Fire Repair O 33 Alteration ? 37 aemolish Building* ? 43 Reroaf ? 46 Windows/Doors ? 34 Replacement *pemalltlon (Entire Bldg) - Give PCA hanciout to applicarrt Valuation Census Code SAC Units # af Units # of Bldgs Type of Canst Footings (new bldg) Footings (deck) Footings (addition) Foundatian Drain Tile Roaf Ice & Water Framing Final Occupaney MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS FinaUC.O. Final/No C.O. ? Plumbing HVAC Qther _ Pool _ Ftgs _ Air/Gas Tests Final ? Siding _ Stucco _ Stone _ Brick _ Windows ` Retaining Wall Fireplaee _ R.I. _ Air Test _ Final Insulation Appraved By: Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge 8&W Perrnit & 5urcharge Treatment Plant License Search Copies Other Total Building Inspectar 2000 suiLDiNG ,, .. v ? o w QMstrucfton f PERMIT APPLICATION (RESIDENTIAL) CITY OF E.AGAN 3830 PIL07 KNOB RD - 55122 ?SL4 --? ? 851-681-4675 ?..J Remodel/ R ir R e? ?J > 3 regFstered site surveys showing sq. ft at lot, sq. tt. oi houe6 C1? 7, U? 2 "ga of plm and ?FI rooted areais (2096 maxlmum 101 gqv_qraae aElowed) Q 1 set of energr Colculdlions br heated additM > 2 copies oi pltms (show beom & window sizes; poured (nd. deaign, etc.) ' 1 alte sunrey for extarior adcNttons & decks > 1 set of enerqy CaEculdtlons ? 8 copiea ot irse preservplion plan if lof pfatfed arer 7/1/93 DATE: CONSTRE1G710N C05T: DESCRIPTIO 4F WORK: ./?If mu?i-tamify bldg., how many units? STREET ADDRESS: ?6 PZ b J? . -- LOT: BLOCIf: SUBD./P.I.D. #: Name:zG e he- e- Phone #: ,.?7 r S d? PRUF'ERTY lasl First OWNER ??j1 , R/?-G?C J li? ? Sheet Address: ? Ctty Stdte: 20p'111 Zip: Company: Phane #: (araa code) CaNTRACTOR Street Address: License # Exp. Cfty 5tate: ARCFl1TECT/ ENGINEER Company: Name: TeIWphDne #: ( ) Zip: Streef Address: Ragishatkm #: Gty State• Iip: Sewer/water licensed pVumber (if installina sewer/water): Phone #: ( I hereby acknow1edge thai 1 have reud this appllcation, stafe that the informaition is oarrect, and agree of Minnesota Staiu}es and City of Eagan 8rdinatnces. Siqnofure of OFFICE USE C1NLY Certificates of Survey Received Yes Na Tree Preservation Plan Received Yes Nn Not Required wilh ali appficabis Stda s? . .. ... ? OFFICE USE ONLY ? BtJILDING PERMIT SUBTYPES 0 41 Foundation ? 07 05-piex 0 02 SF Dwelltng O OS Ofi-plex C] 43 01 of _ plex ? 09 07-plex E3 04 02-plex ? 10 0$-p1ex ? 05 03-p4ex ? 11 9 d-plax ? OB 04-ptex p 12 9 2-plex woRK nrpE ? 31 New 32 Addition ? 33 Alteration ? 34 Repair 0 13 16-plex ? 21 [3 17 Garage ? 22 0 18 Deck 0 23 ? 19 Lower E.evei p 24 Plbg Y or _ N O 25 0 20 Pooi Cr 30 Ci 36 Move Bldg. 0 43 Reroaf 0 37 Demc3lish (Bldg)* ? 44 Siding ? 38 Dernalisri (lnterior) O 45 FireRepair 0 42 Demolish (Faundation) O 46 WinclowslDoor's * Give PCA handout to applicanf for demolition pernnit GENERAL INFORMATION SAC Gode 0 1 # of Stories No. of Units Length No. of Buildings ! Width Const. (Actual) Basement sq. ft. (Allowable) Main levef sq. ft. UBG Occupancy sq, ft. Zoning __ t _ sq. ft. MISCELLANEOUS INSPEGTIONS ? StuccolStone APPROVALS Planning Building Le Permit Fee Surcharge Plan Review License MG/ES SAC City SAC Water Conn. Water Meter AcCt. Deposit S/W Permit S/W Surcharge Treatmen# Pl. Park Ded. Trails Ded. Other Gopies Total: r 3 . "?- 1. Engineering Porcn (3-sea.) ParchlAddn. (4-sea.) Porch (screened) Storm Damage Miscellaneous Accessory Bldg. sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fkre Sprinklered O 31 Ext. Aft - Mutd CJ 33 Ext. Att - SF 0 36 MuKi Variance ? Valuation: $ AA &i SAC Units °I'o SAC e V 1 4P 1 ' i? ? r ww??? " .?r'???' 9a7A ? ..?.?-.. 67' 9' ? ?'i?•??f??` i ? OLO.4 ?....=? ?.-.??? ? ?'? --* ?T- -.•, ._ ? - L ,? •?- ? ? 9 4 4L 21.61 U( msa ix. sc Baa st. e ? A I ? r < L4 o? : ? ??? ,? ?. -- ?'?'?9t .. ! •t ?a 3 E?`+NI ? r 0 T J O. 142. d5 f ^' ? j? ?..,.J ? i. i rreSl. ?4oro?{ L vr_j0TAGF 13, 561-+ 1 "' .:...?. ?• _ ^ K %? aRt Tapat tauAdailans ? 9 031 Os?nt Floot bm03,A. _ 100.6 aitem01d Fbbr r 245Q AWa+t. go++erSorvlesSlstir, .???1derVsiif`? ' '' P+opoeed L?kvslb?s . ? ? ? l'xis"cq ?i?v?9bn? d1i?111go tianoln ollsot 81a1cs ? 4 ? ? 30 Feet IfLOLUNAD Pbnrrfng Errolnset{v SurmY4r9 lmew%fftw rMr.•?? ?nwwi.r. ?e.?e ?9Ifo W? L:-9:Ai 012 886 [3434 ? ? ? 9E r` M 7HH @ 9125 tfi.i. 896.21 IMN. MBACK REQUIFI MEhTB rtottl - 34 N4u'S9 am# • ?a pm -a3 aatAslt Sldo •?, t?tt ME ercE rttFr tHnr naB a A rMX +urooaMc? MMI aEMuua+ VE5rE4? ??UiihEAl,AwTC?O??lIP1EqVIS9 ??I1?OOQESNOtPfl1? ? lo 1*40vw waavtucule on lgwoaehei+mgwre. ExcIpr Aa oFKww. b.te 8. ?ru D?t @ 4- i?A 3 2 a+n)GRIK nwaran R+4E901hLI0ENSE MIi,WA `1491A 5t bs Joe No : %I q3R.3t4 11 onaa Me; aw13. 01nK. 1 tMQ3• $ . mmmi 04-1 6-93 11:23AU PQOt ltlt l PLUMEBING PERMIT OtE5IDENTLAL) CITY aF EAGAN 3830 PILOT SNOB RD EAGAN MN 55132 . (612) 681467s PLEASE COMPLETE FOR SIIVGLE FAMII.Y DWELLINGS. AL,SO, F4R TOWNHQMES AND CONDOS WHEN PERMiTS ARE .REQUII2ED FOR EACH UNIT. N4. FIXTURES EACH TAL ? SHOWER 3,00 3, v (} ? W14,TER CL,OSET B 3.00 ro, C'? ATH TUB 3.00 LAVATORY 3.00 i U -?. KITCMN SINK 3.00 6•00 I.ALTNDRY TRAY 3.00 3. (?U ? HOT TUB/SPA 3,00 -1? WATER HEATER 3.00 - ? FLOOR DRAIN 3,00 ? GAS PIPING OUTLET •mwm= - i 3.00 , ROUGH 4PENIlNG5 1.50 WATER SOF'1'ENER 5.00 5.00 ?._. PRIVATE DISP. • uaJLay. lic. 15,00 U.G. SPRIlVKI.ER • hme unft ?. 3.00 AL'I`ERATIONS - w owing 15.00 WATER TURN AR4UNU 15.00 STATE SURCHARGE .SO TQTAL: 136-5U SrrE A,DREsS: 3%>a f--a? ? 0-',- owNER INSTAL.L.ER: GENZ-RYAN PLUMBIlU & HEATING C0. ADDRESS: 14745 Sov.th Robert Trai.l CITY: Rasemount STATE• MN ZIP CODE: 55066 PHONE #: (b12 ) 423-1144 w n SIGNATURE OF MECHANICAL PF.Rr+II'j` (RE$IDE1V'174j..) CITY OF EAGAN . 3830 PII,(?T KNQB RD EAGAN MN 55I2Z (6I2) 681-W5 PLEASE COMPT "ETE FQR SINGLE FAMILY DWEI,LINGS. ALSO, FC7R TC7WNHOMES AND C4ND05 WHEN PE}tMITS ARE REQUgtEI'j FOR EACH UNIT. NEW CONSTRUC'TIDN ADD-ON A/C ADD-4N FURNACE DATE q- c`?0 -C)3 Ems HVA,C: 0-100 M BTU $ 24.00 ADDTTIaIVAL SU M BTU 6.00 _AS OUTLE'j'$ (MINIMi)M 1 @ $3.00 EACH) 10,00 ADD-ON/REivIODEL (ExtsrnvG coHSTxvcrroN) $ 15.00 STATE SURCHARGE ,50 TOTAL ? STTE, .A?DRESS; PJd-Ce QQ?P f))J V-6 OWNER NAME: C.D1 IeCE', D+f? C?. TELFpHO1VE #: 431- l a! 1 INSTALLER: GENZ-RYAN PLiIrID-TNG & HEATING CO. ADDIMSS: 14745 South Robert Trail CITY• Rosemount STATE: M ZIl' CfJDE; 55068 TELEPHONE #: (612) 423-I144 SIG ? C1TY.OFs EAGQN '3830 P'ilot Knob Road Eagan, Minnesota 55123 (612) 6$1-4675 PERMIT r PERMIT TYPE: Permii Number. Qate Issued: surLpINS 022fA06 09/21j93 SITE ADDRESS. 3262 BLACK OpK CiR LQT: 1 BL.ACK: 1 BUR ORK MILLS DESCRIPTION: 58 34 OtV REMARKS: S& W PL8R -- STAR PLBG FEE SUMMARY•. Base Fee Plan Review 5uroharge SAC SAC % SAC Units 5ubtotal Fermi't Type W+q:rk Type VALUATION $139,000 $776.00 MISCELLANEt1U5 $604.40 `fatal Fee $69.50 $750.00 100 1 $2,099.90 ?1 g 744 . 50 $3,844.40 ot, " 1 m SSUED B : 1G ATUFiE S F OWG NEW R-3 M-1 V-M R-1 INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 2 0 0 6 Eagan, Minnesota 55123 Date Issued: 09/2119 3 (612) 681-4675 SITE ADDRESS: L Q T: i sLn c K: ? APPLICANT: 3262 BLACK OAK UR COLI.E6E CITY CONSTRUGTION BUR OAK HILLS (612) 431-1211 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION FQOTING .• . FRAMING .. INSULA7TON FIMAL FIREPLAGE REMARKS: 5& W PLBR - STAR PLBG ? ? REACTIYATE _ ?(?r ? PERMIT f P 155 1993 ciTr oF EAGaN 1993 BUILDING PERMIT APPLICATION Z514 ?1 40 681-4675 rA Cirp? 11•26 SINGLE & MULTI-FAMILY Z sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 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 9 /,14 /9 3_ Yaluation of work 15,2 Qnn ?? _ Site Address: 3269 Rlark n=k nr;37., Fauan STREET SUITE # Tenant Name: (commercial only) LOT 1 BIACK 1 SIIBD. Bur Oaks Hills 1st A dp.I.D. ? • Descri tion of work: The appl i cant i s: ? Owner El Contractor O Othet" Wescritx) Name Phone Property LAST FIRST Owner address STREET STE 0 City State Zip Company College Citv Construction, Inc. Phone 431-1211 Contractor Address 6970 151st Street License # 1209 Exp, 3-31-94 City Apple Valley State m Zip 55124 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licen5ed plumber star Plumbing M3329 . 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. Si gnature of Appl i cant : OFFICE USE ONLY BUILDING PERMIT TYPE - ' , •? ? t- , :,w,. ..?.? .? . ,;. O 01 Foundati on O 06 Dupl ex 0 11 Apt./Lodgi ng M1613aseme 02 SF Dwg. ? 07 4-Plex El 12 Multi. Misc. 0 17 Swim Pool ? 03 5F Addition E3 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. E3 44 SF Porch E3 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. 0 05 SF Misc. 0 10 Multi. Add'l. ? 15 Deck O 20 Pub11c Facility ? 21 Miscellaneous WORK TYPE ? 31 New O 33 Alterations O 35 Tenant Finish D 37 Demolish 32 Addition O 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) y_ N Basement sq. ft. MWCC System YES (Allowable) y_ N lst F1. sq. ft. City Water Y?"?? UBC Occupancy Rµ3 M-1 2nd F1. sq. ft. PRY Required Zoning R-1 Sq. Ft. total Booster Pump # of Stories Footprin t Sq. ft. Fire Sprinkler Length SST On-site well Census Code Depth y_ On-site sewage SAC Code dl -__?-- APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing 11 Framing ? Insulation O Wallboard ? Final 0 Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWGC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Yaluetion: $ ? Z9 ooo ? G A_ R?; Z 3'X 2 2. = So 6 9x??= C9qa ._.._-- ?sr?rs yo7 ?r?? ?si2 ?, 2?Y3?.= lav9z ? i z..= 7. y ? X I 1 % 9 ?j !G, 96 s` I131 ?IS'= SAC % ( o ? SAC Units ? 1,51 FLOo /2; rrt'j' ? 113 f K?l{ : ?? /e 07 y Z tv D Fz-, lov5xsy %- S9,432 13$ °ig3 sci LiQT SIIRYEY CHECALZST FOR RESIDEbT'1?IAL 1 mi ?? ' BUILDIN(3 PERMIT APPLICATIQN e l ? ? J > o !A PROPERTY LEGAL: ? d ? LU? N {?_ Date of Su ey: ? S ?? ? DOCUMENT STANDARDS W ? 0 • Registered Land Surveyor signature and company 010 ? • Building Permit Agplicant • 000' v Legal description 0 o • Address 0 • North arrow and bar scale • House type (rambler, walkout, split w/a, spl.it entry, 3oekaut, etc.) ? 0 ? • Directional drainage arrows with sloge/gradient t. Cl @01113 • Proposed/existing sewer and water services C? ? ? ' 0 • Street name 7 [] [ 0 - Driveway ELEVATIORS Exintinq ? e? • Sewer service []" 0 ? 0 • Lot eorners [3 ? C) • Top of curb at the driveway • Elevations af any existing adjacent homes Prapos ed ' ? Q ? ? • Garage floar C# ? ? 0 ? 0 • First floor t i k d o . C? ? 0 • • ou /w vw) Lowest exposed elevati n (wal n ? ? Property cornErs i f d { ? oun at on Front and rear af home at the PONDING AREA$ (if applicable) ? ? ? • Easesnent line ? L? ? • NWL 11 Er ? • HWL 0 p' 11 • Pond # designation ? • Emergency Overflow Elevation DIMENSIONS ?J ? ? • Lot lines ? ? 0 • Right-of-way and street width (to back of curb) 1 i? p ? • Proposed home dimensivns including any proposed decks, overhangs greater than 21, porches, etc.. (i.e. all structures requiring permanent footings) erp ? • Show all easements of record and any City utilities within ? those easements ? 1 D • Sefibacks of propQSed atructure and setback of adjacent existing homes ' ?/1J 0 • rements, if any Retaining 1 requ Reviewed: N e / a e October 1992 ? . ..._... ? ? • 9 ! ? . w ? ' EXTERtOR ENVELOPE AVERAGE "U" COMPUTATION Owner Site Address ..?..t L-t 4- ` Contractor. Colleqe Citv Const. Date, Phone 431-1211 Determine Workiqg Square Footage Of Each 11 1. Total exposed wali area sq. f t. X _. ? 2. Total roof/ceiling area...._._.....?_ ft• X „?26 = ?°d•SS° ' Totai exposed wall area aboYa llaGr = ???--- a. Total wali window area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._ 'y 74, b. Total door area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .._. __._-? c. Total sliding glass door area . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . d. Total firepiace wall area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._.._.. ?.w . e. Total wali traming area (average 10%) . . . ... ... . . .. .... .. ...... ........__ __? 7 . f. Totai net wall area above fioor . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .-- --?J? ?? --•._.. g. Total rim joist area . . . . . . . . . . . . . . . . . . , . • , . . . . . . . . . . . . . . . . . .. _--_ , , . ?_ y- Total exposed foundatiotl afea = - -- . - -,?-_-?_-- h. Total foundation window area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ? i. Total net foundation area above grade . . . . . . . . . . . . . . . . . . . . . . . . . . ._ Determine "U" ?OlUe At eacp Y,ra11 segment a. y 7(P x "tJ" . , , b. 31 X ,.u., .? V,87_-_- Cr. 97 v ?iu" /\ a d. X uUq . . @. )( ??W" --• ?' P??7r a ?7? 7 / -- f. _.?..........?y? -- X fV, 7 X -u.. •, a 'a g = __ G, s 0 _ h ^ X i. X-lull 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . TQtai !! item No. 3 is ihe same as, or less than item No. 1, you have met the intent o( SBC 6006 (c)2. Total exposed roof/ceiling area = _? 3 zQ? ? j. Total skytight area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. k. Total roof/ceiling framing area (averagp l0%) . . . . . . .. .... .. .... . . . . -1-35 I. Total net insulated root/ceiling area . . . . . . . . . . . . . . . . . . . . . . . . . . . ?- n 9? Determine "U" valuq fpr mGp rapuGaiiing aegment. j . x ,.??? - - -. : ... _ . . . k. a 3 3 x U?? X 4 . ....................................... ... .... .... .Total It total ol No. 4 is the same as, or less fhan No. 2, yQu ha ve rnat the intent of SBC 6006 (c)1. HEDLUtiD ENGIUEERING TEL No.612-$88-6439 Sep 16,93 11:30 No.008 P.01 . SURVEY FOq: OE8CR18ED A8: ao,,W Q ? 0 ?k I ? 1 ?j m ; 3° N88' 06' 5!" E i 42. 45 wf?? g x 8?? LOT SQ. EAst. Nome T&t8fiB1o x S°?% ?+ ?q2$ Fn ? TA GE ?13, 56 1.+ -- X ? r?'"?? , ? Post-It" brand fax tr,ansmift?d? ,?,...__, oepe. K . sK ° ? PROpOSEU EL.EV Top of Foundetlons Go?apa Floor boaes. @asemeM Fbor Ap,Exox. Sewer Sa?vk Proposed Elavelbns Exielirq Elevaibns bisinegs Dlrectbne ? 9fl3.1 r $R50 :s Etev. . guilderVeri ft • ---_ Denotes otieei Stake ? O IfEDLUND Plannl»p EnplnBerin, p Surveying e!M GN Nmn?hqle? F??w MInMIo1Il6120 T SCALEo I Inch = 30 Feet BENCHMARK, THH @ 915 Cle.v = B96.24 MIN. SETBACK 13EQWREMENTS Front - 30 HovsA Sids -,o ? flear • 15 (iateige Sido -30 ? (FIEqEBY CERt1FY TW1i 111tS IS A 1q11E ANOC17Ri1ECT i1EPifESEHT1li10N QF IHE 80t)l1pAp1E8 Or 111E A90VE OE69HIBED Pf10hERiY AS S1111• vevEaerMEonuNa?iaunoMcY sUKpvIsuRnrmooesNOr Pvnaon7 ?O SNOW MANAOYEMENIB Oq ENCROJICHMENt3, EXCEPT ag 6HOVm. D.M 01(41 n - ? -? IIJIx3REN. tiV6YOR ?J ?t o?• I?•q 3 E 11 MESOUtUCEtdSE MJhABER 1m6 Jo8 No : Q3R• 314 BooK: PAE CADD F1LE: DW0. CNK. CC93-Z ?Auralorrs (qrmlzaate Coilege city Lot 1, Biock 1, HIIR OAK HILLS, City of Eagan, Dakot3 County. Minnesota and reserving easernents af record. ?.y /? ? 1 REE7 ?( ( ? S ?C1079 $i S89' ??' !9' N ? ?5• a w 698 . 32 10.4 ? -- - I a $r g ?q ? p?i5? ?M.?!•:.,.+"'..-?" ( M ? ?.. r-- 21.61 ? ~ fL s3g i2.5D SRA ( ? ? S a ?u ' ?e ' ?-- li. ? e? w wle ? L -.... - - - t - - - -- .... ..... ._ - - .... _. _. _..., _. 5 Q a9b.t 895.) Rn96% 612 888 6439 09-16-93 11:23AM P001 #11, -----------------, � For Office Use � � � ��I �� i Clt� �f �� I Permit#: � I � 3830 Pilot Knob Road I � Eagan MN 55122 ; I Date Received: � <::;;; Phone: (651)675-5685 �________________� Fax: (651)675-5694 Email: planninq(c�citvofeaqan.com ZONING PERMIT APPLICATION ❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. :�� ` �� C.�,��' �r�� fi" Site Address: � 4�7 , ' ,�, = Owner Name: ,� S ,� �� :- Name: i'� .S` Phone: Z QQ� �.� x tl. � Address ,�2� � C�� , y/State/Zip: ,y� �� 1G� � � �r ��, ��/ '" $�� 3 Applicant Signature: Date: —�Q._ � ,� _� .,..:��^ ��a. �: P �� , � �� E _� .� � Email address: ' r � r , �_� : ❑ Retaining Wall<4 feet ❑ Driveway ❑ Other: "�`'� " " �_� ❑ Patio ❑ Sport Court � � +��Of or'k � ��ce ��_ ❑ Sidewalk µ�'� ' "t s Description of work: , ., � :: r . � �, �, � � bac ard ac r� e .� . � ; , o ;f ` � 1u#� �rr � ~ _ „.... �. ��.. ,. . �.....�.. . . �. . . � �;�. �}e. Approved/ enied Date: � 2�' �S Staff: ' Property lines to be verified �..�„ �-(� s-f--a,��c�r'�s by contractor/owner. Revised Plans Approved: Yes/No Date: Staff: � �. ; , , � � , � i ��" � e � �G,�d�n arr�a��, t�l� � r�s t � �r �� `�r�uer�� ` c , � ; . � , . � . ..�� . ;_, �� . , k .. : . . � w.� � � w ,E. , fi� Approved/Denied Date: Staff: Notes: Revised Plans Approved: Yes/No Date: Staff: - �� a, � � r �Mt� �, � ..� '�, ...,#��„...�; .;s.:as . Go rner��s' ��. � � ��_ � �;t, ��,. , , , .� . . t. . . ; � � ,�.� u 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.qopherstateonecall.orq G:\Building Inspections\PERMIT APPLICATIONS HEDL�r» ENGI�EERING TEL No .612-888-6439 Sep 16�93 11 :30 Nn .008 P.01 . i � ��t�� ' Sur�ve o►�� ,�'e�ti rca�`e SURVEY FOq: Coilege city OE8CR18EO A8i Lot 1. Hiock 1 , HII8 OAK NIGL3, City o! Eagan, Dakota County► Minnesota and reservfng easemente of recvrd. � �. ___,_— -' — . �r��• ~ f� � '-� �Y� r.�� ?�{ SSR � a% S89'�)'f9'i! ��. �4� �2• �,�4_i Q-�—._ ....,._..„� ��.-- �� p�698• 32 e � � � � _ ._ � ._ ..... ,....�0.4 , . r. — ,�. �. 8 8°►�' ', r. _- �."' "" -- i p i a 1 s � 1 �' � , �� ' a� I GYi � � �+� �.,._.��-�"'--.�,.' � M Q �q � lA.p ��_�,. � --.�-- -'��"� 21.67 � !i.c0-__ 8�a �2.so RA � � � � � ' � ' � � W i�.°°� ; �•�_ ��" � � :� O --� �. "'� w,�. w1• � ... �{ �� ee.00 � � � ie.00 � � U� � �'�7 �� `'` � . � . `a � 1� �,� ! .� �. -- —� °p d L.�. _ ,` -- - - -- .... ..... ._ _ � .... _ _. _... _ � �� . � �.8 � � gq,,, aes�as-s!"E i 4Z 45 . -"'- � - � �,-,r �� c 89�.1 L_ ., 1 �. ..-- 895.1 � �psc.l�e � '�'8.=8�1B10 ►c�j�i�' ��9?$ L o r sa. Fn � rA cE � � ,�, �s� � . � • ga� _ . .�._ ��— -- . -. - � -- � : . x . . Post-It"brand faxt�9nsm►i � �� co. Pt• '� i ! �x ° � � f �� ..� , �r�!,'�*�� PRQ ED ELEYA?10N3 � BENCHMAF�C. TNN� ��5 Topol�oundMbn� � 903.1 �le.v= 89b.24 �eraQa Floor aoo�s• „Qoo.,� � i @aSSmeM Fbot �8R5.0 I Ap,ptox.Seh►er Sotvic�Etev, .gy;��Verifa� MIN.SETBACK�{ UEO HEM,�N7S Proposed Elavetb�s .�� Esielirq Ehvt�ibns . b�sinsps Dkocfbm .,,,�,,,�,. � Fronl-So HovsA Side-�o � Oeewtss o11sM Stske � O A��'•�s �a�epe Sido-30 SCAI.E� I I�ch = 3U Feet � � ,loe No.: p ( (FIEqE01/CERiIfY TW1i11NSISAiqt�ANOCOIiiIECTi1�Pt1ESEM1lilON � I��DL�lND �iHE laRrpAfl1E8 Or ?I�E A9QVE OESGff10E0 Pf10PERiY AS El1R- Q3R•3!q �' vtw�aeYUEOnu�a�+r on�cY s�mnsu�nrr000ESNar rvnaom t�8HOW NPROYENEqiB Oq ElICR0l1d�A1ENtl.ExC�PT Il8 6HOWIJ. g�OK: PAOE: ��9 En9�� Suiveying . no��.N Ma�rno��ro�.+."'"��"M��eeno p�K�/ /(.?j� CJ� � -�--+ . 4�J�!o q•I tr•9 3 E �NImREN. Ut1VEYOR CADD FH.E: bW(3.d�K. ESOI/►liCEt�15ENUAABEAI{976 �93-Z , R�9696 612 888 Ei439 09-16-93 11 :23AM P001 #tl SANITARY SEWEI� �YS'TElyi �lt� of�� CERTIFICATE OF COMPI.IANCE for Clt� ��a�� INFLOW & INFILTRATION City of�agan, Minnesflta Property Atldress:��,� � ��C�r"' �''1�- b�-. COMPLIANCE WITH iNITIAL INSPECTION �This is to certify that the p�operry listed above has been inspected by authorized Ciry personnel on t C5 2 ,2(�1 � and found to be in compiiance with Section 3.40 of the City Code and no corrective wark was required. COVIPLIANCE AFTER COARECTIVE WORK PERFORMED � This is to certify that the property listed above has.been found to be in compliance with Section 3.40 of the City Code after satisfactorily completing the required corrective repair work under(check all that apply): �City Sanitary Sewer Permit � City Plumbing Permit NOTE:Applicable only if box is checked:QBased on a review of the Sewer Service video inspection/reFort on file,it is recommended that periodic cleaning or future inspections be performed to minimize a potential bluckage due to: Grease Build-up,Root Intrusion,Dip/Settlement in Pipe, Other: ' City Approved: �� ` / _- / � ' �' Print name Sign ture Date White Copy:Property Owner Yellow Copy:City of Eagan(Parcel File) rev.2.23.2010 . ►u-a-�-►'� ._ �:�� .b�.s c.� s--��Pfi.kd � --f� �. =�z� �ou:, (� ia �-- �o �'� oo « �� ,�� -��, �a� �,�i/.��- � ��-a-e � . , �� . , ��c---c�� i� � � `� �}D� �y'�-e� ��-�l� / �. �� ; ��z��T �� , �� r.-�-- �c��c��i�.r �v�•r,ac��.ou,u�- .�i�,?j �i� � C�-��iU i �/�92- � s T�3�dt�U�l�-' dr,��v�iz p�`�/�`�r r�j ��" ,� � �„�I T�� r`��rC�t� � /a st� Cau.,�:`�l �� j��c ti G��LL�- ?.-e�l�""_ �iR2a�'� r3�'1� r�`�C�r � 41401'' City of Eatali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use / Permit #: . 31 (plC Permit Fee: l� Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications Date: J\k)t% L 26 1(,-- Site Address: 3Z(,2. I/G. Ci C il" Tenant: Suite #: e { 4 e Name: &C- nl �. be _C C. Phone: Address / City / Zip: 3A) 2 6lct V t.1 / CA Sit' A/ ST%Z7 Contr or> * Name: License #: Address: City: State: Zip: Phone: Contact: Email: Type of V11or k New KReplacement Additional Alteration Demolition Description of work: N iTE: Roo 0!u ted nd r u d t iech , q t require ® •. � y Cjty -° Code. P = �� Inspector..t tion on ttte screenin thods e, . RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement x Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank (_ Install / Remove) A��. Other - _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State includes State Surcharge Surcharge as = $ ��‘— TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ Surcharge = $ TOTAL FEE 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. Applicant's Printed lame x Applicant's Signature