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1517 Blackhawk Ridge Ct PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA080107 Eagan, MN 55122 . Date Issued: 09/28/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1517 Blackhawk Ridge Ct Lot: 10 Block: 2 Addition: Blackhawk Ridge PID 10-14400-100-02 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Repair Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Tyther Contracting Charles S Baranauckas 10159 James Avenue NE 1517 Blackhawk Ridge Ct Otsego MN 55362 Eagan MN 55122 (763) 295-3000 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. Applicant/Permitee: Signature Issued By: Signature N PECTIONIRECORD TV OF EAGA14 P%X Knob Plow Pam* NUWAW. ,r"*% emote 561h Date Ems: 2) 681-z , $M, AWRMS: toy 10 'Stoex 1, R, #A i ~4 K ~ Al 1r tv LAPI'x**I COST N"" f #IACXVAW *low (612) "4--OftO* PWWN#TYPE: TYPE OF WORK: y . t 'fir PM WOO PULA 'dw wo j.~,. puw .a undrALe JDW)Md AWN -l' %4:4 lftplmo, /-Z om puw Zoo I of - ' Oqw wow W. uw~ "M VOW" -all lw--a-8 M/S • _+,;r f F I cfQrdficate cccuvanC4 ~it~ o~ pagan ~e~rartntent o~ ~ni~bin~ ~n>~>~ecti>aln This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: 'F DWG Bldg. Permit No. 1496 Occupancy Type Zoning District C-S1 Owner of Building LAY. WSI.ICM Mrs Its Address P.Q. , B+ E 7Bufldi, Address Locality 12/14/92 Date Building Official POST IN A CONSPICUOUS PLACE Address: 1517 BLACMAWK RIDGE GOURTot 1OBlk 2 Sec/Sub BLAGHAWK RIDGE ZIP: 55122 These items were/were not complete at the time of the final inspection. Date: 12/14/92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas f 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. White - City copy Yellow - Resident copy Pink.- Contractor copy / i gae, a atJ- / Request Date Fire No. Rough-in Inspection ' Required? ❑ Ready Now 11 Notity Inspector Yes Whe dy? I nsed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or ute No.) City 77/-/ C' . ~g~✓ Section No. Township Name or No. Range No. Co :>kQ~ Occupant(PRINT) Phone No. r4`~e~' fs ~`~3 X33 Power Supplier AElectrical Contractor (Company Name) Contractor's Li ense No. / G/./.CSC ,.Z"•~/ c C' 6 0 ~ "I Mailing Address (Contractor or Owner M king Installation) 14 Authored Signature icontr /Owner Making Installation) Pho Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midway Bldg. - Room S•173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. I - REQUEST FOR ELECTRICAL INSPECTION EB-00001 -08 to- See instructions for completing this form on back of yellow copy. K "'y6 737 X" Below Work Covered by This Request ew Add Rep. Typeof5jilding Appliances Wired Equipment Wired Home Range %FAaorary Service Duplex Water Heater Electric Heating Apt. Building" Dryer Other(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: r # Other Fee # Service Entrance Size Fe # Circuits/Feeders Fee Swimming Pool EH 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms t Special Inspection ✓ . 100 ekirm/Communication. THIS INSTALLATION MAY BE ORDER NECTED IF NOT Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Da been made. OFFICE USE ONLY This request void 18 months from 1OV8786 Request Date F No. Rough-in Inspection Required? Q Ready No Will Notify Inspector No When Ready? 1 licensed contractor Downer hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City C AP5~ic Section No. Township Name or No. Range No. Coun OccupantlPRINT) Phone No. Jam" ca 41~554 Power Supplier A es Electrical Contractor (Company Name) Contractor's License No. L Mailin Ad Irgss (Contractor or Owner Makin Installation) Authorized gnature IConfractod er Making Instal(afi ) ` L Pho Nu~ j? 11"7 /1 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS ,.one (612) 642.0800 ENCLOSED. d REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 K ► WSee instructions for completing this form on back of yellow copy. ~ ~ Y' Below Work Covered by This Request r `~y New Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: f/ Xx ~7 # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL A=za Irrigation Booms/, GU Special Inspection CJ Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1, the Electrical Inspector, hereby Rough-in y w Date 1 certify that the above inspection has Final JarU been made. OFFICE USE ONLY / This request void 18 months from CIT OF EAGAN PERMIT Control No. 1,092 YY 3830 Pilot Knob Road PERMIT TYPE: B U I L. D I N G Eagan, Minnesota 55123 Permit Number: 001496 (612) 681-4675 Date Issued: 09/23/92 SITE ADDRESS: 1517 BLACKHAWK RIDGE CT LOT: 10 BLOCK: 2 BLACKHAWK RIDGE DESCRIPTION: Bui_ldinq Permit 'Type OF DWG Build)-tiq Work Type NEW I.IBC Occupancy R_3 M-1 Gonstruc;tlon Type V-N w oninq PD R--1 BU iIding Lengr':h 68 LSUi.tding Width 55 REMARKS: 7 S PRV S & W CONTRACTOR - MATTHEW DANIELS. PL.BG FEE SUMMARY: VALUATION $160,000 Base Fee $849,50 MISCELLANEOUS 1 61.0.50 Plan Review $552,18 Total Fee $3,792°1.8 Surcharge $80.00 SAC $700°00 SAC % 100 SAC Units 1 Subtotal $2,181°68 CONTRACTOR: - A p p l i c a n t - ST. L I OWNER: LAPIERRE CUST HOMES 14549383 000264 LAPIERRE CUSTOM HOMES INC P 0 BOX 1049 P 0 BOX 1049 BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 454-9383 (612)454-9383 I hereby acknowledge that T have read this application and state that the information is correct and agree to comply k,)ith all applicable St=ate ot Mn Statutes and City of Eagan Ordinances. POLICANT/ RMITE IGNATURE ISSUED B1. SIGNATURE INSPECTION RECORD Control No. 1-0,92 CITY OF EAGAN PERMIT TYPE: B U I L.. D I N G 3830 Pilot Knob Road Permit Number: 0 01.4 9 6 Eagan, Minnesota 55123 Date Issued: 09/23/92 (612) 681-4675 SITE ADDRESS: LOT: 10 BLOCK : 2 APPLICANT: 1517 BLACKHAWK RIDGE CT LAPIERRE CUSTT HOMES BLACKHAWK RIDGE (612) 454-9383 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: PRV S & W CONTRACTOR - MATTHEW DANIELS PLBG L - 1 L,¢ yiE,eRE CUSTOM f~n~iE.S CONSULTING GNOIN44RS . 5284 ~~•B~ PLRNNERS and LAND fURVdVORS NGINGOING COMPRNY, INC. ` 1000 EAST 1461A STREET, BURNSVILLE. MINNESOTA 55337 PH 4323000 CERTIFICATE OF SURVEY Legal Description: nor /o 9L0,CK U.9Ko7A COU fyJiit/~t/ESOTA . (moo) DENOTES EXISTING ELEVATION (96(0•O) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 86,, 33, = FINISHED GARAGE FLOOR ELEVATION 859.96 = BASEMENT FLOOR ELEVATION 88,00 = TOP OF FOUNDATION ELEVATION i SCALE : 1' a 30' r~ ~h s I \ Ij (g65~~ 10 1 03 Ce X13 i 0 \ N J7.76 8 6 u 16N 0 D w o Z'z Pro pv $ Lbb k o l J ~ 30.0° g'•oo I~J,,00 a I i86.~ o' w AjzA96 (9 15 0 0 bs 6, 1~a 17., 00 30FT FR AIT BU11DIN6 I ° 00 33 ~ S~TBAC~ IN E g6S. z: 66. 5 `'T r 0 0 0o 12 ' ~b~•S ,g~1CX~A1~l~ C66Z•Z-) I hereby certify that this is a true and correct representation of a tract of land as shown and described hereon. As prepared by me this day of Z. . SQ pt,-e rn b. ,i 197 f~E✓iSE~ 9-LZ'•9Z: LA")Cyteb PRo1°ofc~ Hzw-. ELCY4•T1ph,s, .P h2 Minn. Reg. No. 1.16C) o r PERMIT # CITY OF EAGAN. REACTI"TE 1992 BUILDING PERMIT APPLICATION SEP 2 1 RECO 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is re uested once ermit is issued. Date Valuation of work 111Z A Site Addr s• I.!~_I7 131delc.hgul -L l e s~g& 7_ STREET SUITE N Tenant Name: (commercial only) LOT _ BLOCK SUBD. F/ac if ha"A/ GyPv F. I. D. ~ 7- 4A Description of work: The applicant is: 0 Owner - Contractor O Other (Describe) Name -".,P/ e S ~M e- Phone 93~ Property LAST FIRST Owner Address , 04~IK STREET STE City State n Zip '7 Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name 00, Registration # Address City State Zip Sewer & water licensed plumber _ 7the w &Wi lz Processing time for sewer & water permits is two days once area as 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. 1 Signature of Applicant: ~_zz r OFFICE USE ONLY BUILDING PERMIT TYPE WA ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 1~f1 B e nt Finish 02 SF Dwg. ❑ 07 4-Plex_ ❑ 12 Multi. Misc. ❑ 17 Swim Pool 03 SF Addition ❑ 08 8-Plex. ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE P 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System YES S Allowable) y- N 1st F1. sq. ft. City Water YES UBC c cupancy _1 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code o Depth sS On-site sewage SAC Code L_ APPROVALS Planning Building Assessments Engineering Variance i REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee Vat„Bt;an: g /6 D~ pad r` Surcharge GARAGfc. Plan Review a o X22 = L1140 MWCCnSAC 12 X 2.D o~ City SAC l3SM?~ X t6 Water Conn. --~-1 Water Meter X 3~ = 780X lS-- 11' oo Acct. Deposit h-sr FL-00e; S/W Permitr S/W Surcharge .26X 30 g 0 Treatment P1. 2 X 41 Road Unit x Park Ded. Trails Ded. s oqq x 53r x'13` 7 Other Total: rZY4 ~L = 'N~t S = ~,ySSO SAC % /o® 2*~o fLoo2 ; SAC Units ~~►x 3y = 14 53 0.3 a ~s r7 LOT 1'9 BLOCK A SUBD. &AZZ4 RECEIPT # -5"7-7(P CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 1993 Date: s-..!>'-- `l Commercial project X Residential project Existing residence Area/address to be sprinklered: S Installer. 12U-:s:4 La.&2 Street address: a 0 $ 3 e,, /?CI. City, state & zip: A-4z'm s- y y Telephone V 9 Owner name: de~n_'M,,,. Street address: City, state & zip: Phone Irrigation contractor, if different: - 222::~a~ Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinan s. JL 1~l n s 7Z ~ j~v Signature I'Peirmittee New service required Fee due: $ / 5 5 y Calculated by: CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCEDURE 1993 1. Plans must be submitted to the City's engineering department for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial project: $ 25.50 plumbing permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please consult with engineering department regarding feasibility of City installation (City will only install taps up to 1"). b. Residential project: $ 15.50 plumbing permit. $ 50.50 water permit fee if new service is installed. $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. E~dsting, residence: $15.50 plumbing permit - (not required if backflow preventor previously installed) however plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, building inspections clerk typist will contact utility billing clerk for cost and notify installer of all costs associated with project. new service lines are not required, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are complete on a new service--(engineering department will advise utility billing clerk when meter can be sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to utility billing clerk. 5. The installer is to contact building inspections division at 681-4675 for inspection of the inside water line and backflow preventor. The public works department may be reached at 681-4300 for water' turn-on and set and seal of meter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. i V . C twVATE (jL C-EIVE® CITY OF EAGAN PERMIT # L 19 1993 1993 BUILDING PERMIT APPLICATION 681-4675 - SINGLE & MULTI-F ILY 2 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 Valuation of work Site Address: 1<11 ~HA,,J4 F-A OfoC LQ_U/_ 'C STREET SUITE 0 Tenant Name: (commercial only) LOT BLOCK P . I . D . Description of work: The applicant is: ❑ Owner Contractor ❑ Other cae.crrbe> Name Y261 A AJ 64,1~7 bA,154~4 L:AtV 1,- Phone Z Property LAST FIRST \Owner Address I c, M Ro►% STREET STE 0 S~ZZ \ City State zip Company 6U&~L WL • Phone Contractor Address ~qzo Wpr-A"rj License A! Exp. City rPIA State y111*1 Zip Company Phone Architect/ 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 wit a 1 pplic bile State of Minnesota Statutes and City of Eagan-Ordinances. Signature of Applicant: OFFICE USE ONLY r. BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex 11 Apt./Lodging ❑ ~ ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pooi ❑ 03 SF Addition ❑ 08 8-flex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addfl. 015 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy r,---:a-..- 2nd F1. sq. ft. PRV Required Zoningg Sq. Ft. total Booster Pumpp i of Stories Footprint S q. ft. Fire Sprinkler Length On-site well Census Code Depth X9%1' On-site sewage ".SAC Code APPROVALS t Planning Building -Assessments Engineering Variance REQUIRED INSPECTIONS 0 Site Footing ❑ Framing ❑ Insulation ❑ Wallboard f? Final ❑ Draintile ❑ Fireplace I I Permit Fee vatus:ion: $ Surcharge Plan, ke-view 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 TOP OF FOUNDATION ELLVA1-IUN SCALE : V = 30' 9 5 i e N ISO ~gb~ ~ r /8to3O- !o' ` o `yam 00 - \ 1r` 17.76` 86~-bN~ 5~, D w l o i 00 goo 14'' 00 ARA6E $ ~y,D~ b~ 3o FT FRONT BUIL.DIN6 ~~l•7 ~ o go N i2~pO a5 I SETBA&e LIME g6S z v' bb•33 s ~5 0 1 / o 86Z. ~ 18q. ~ bbd, S3~ L_30-0 29 G1 = 9° 04' 50„ v ~aGACX~AIx CB6Z•Z> I hereby certify that this is a true and correct representation of a tract c land as shown and described hereon. As prepared by me this zI s"- day c S Q_ e j- e rn 19 Y-Z /lam✓i 9 zz -9Z- = LD "I'6 EV P90P~ P1,C. scEVaY7~G~s. ~ ~ i Minn. Rag. No. 13Co©o L ~O BI. CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT / SUBD.~~' (612) 681-4675 RECEIPT # O ?I DATE `a Z15 / 9,;X RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON a SHOWER 3.00 n~ REPAIR 3 WATER CLOSET 3.00 bb 4 BATH TUB 3.00 b ° O LAVATORY 3.00 I2- a OWNER NAME: T KITCHEN SINK 3.00 3•ao 15 , ~1 ( 1~ f LAUNDRY TRAY 3.00 3 a SITE ADDRESS: 1 h K ~k y~ HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 3 D MATTHEW DANIELS, INC. ~ GAS PIPING OUT. 3 , o 0 INSTALLER: (MINIMUM - 1) 3.00 15185 CAROUSEL WAY 3 ROUGH OPENINGS 1.50 ADDRESS: OTHER WATER SOFTENER 5.00 i CITY: POSEHOUNT ZIP: 55068 PRIVATE DISP. 15.00 423-3730 h U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 _ STATE SURCHARGE .50 SIGNA E OF PERMITTEE TOTAL: S i COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT.FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN LZ0_ B MECHANICAL PERMIT RECEIPT # ~j fs ~1 SUBD. (612) 681-4675 DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 __7 JCM"jjj ~ 1) CONSTRUCTION ONLY) [ADDRESS ER: FEES ` HVAC: 0.100 M BTU 24.00 NE 52 ADDITIONAL 50 M BTU 6.00 Lhizil GAS OUTL`S MINIMUM 1 @a $3 EA : SHARGE: $ A TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES loo OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 $ MINIMUM FEE - $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE CTTY SIGNATURE: SIGNATURE: I~ PERMIT # v RECEIPT DATE: ~t/ r a I ESIDMIAL PLUMING PF"IT APPLICATION crrY of FAIN 3$30 PELOT KNOB RD EALGAN, MN 55188 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: ~3 ~ 4,- ef 1 OWNER NAME:: TELEPHONE (AREA CODE) INSTALLER NAME: L 0 TELEPHONE 3-~~ al),-31 01 STREET ADDRESS: I ~,L L o w 1(B ( S'~ ' (AREA CODE) CITY: 4.-S -V \ STATE: ZIP: -S-P LT Place a check mark next to the permit work type Modifications that alter living areas, such as adding new fixtures to lower level $ 50.00 areas or additions - Modification/alteration to existing dwelling unit, including: $ 30.00 • new installation/repair/rebuild of RPZ • lawn irrigation system • water softener, water heater, air conditioner Nature of work: _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires two sets of plans • requires MPC license Abandonment of septic system $ 50.00 - Water turnaround - existing dwelling unit $ 50.00 • 5/8" meter (if required) 118.00 State Surcharge $ .50 Total $ [J I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within Ci rty/right f-way/easem nt. SIGNATURE OF PERMITTEE 1/02 r----------------- r For Office Use I Permit City of Eap I Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 I I I Date Received: f _ I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: L -----------------I 2008 RESIDENTIAL PLUMBING PERMIT. APPLICATION Date: t !1 Site Address:G Tenant: Suite RESIDENT/ OWNER Name: L`at' Phone: l" Address / City / Zip: CONTRACTOR Name: Irk / 7 License ~,✓1 ) Champion Address: 651 365-1,340 3670 KA bOdd Rd. 4100 City: State: Zip: mill " 5512 1339 ' " C Phone: Contact Person: TYPE OF WORK _ New \./Replacement - Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL y Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES; $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 approva lane Applicant's Printed Name i A plicant's Si ature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground Rough-In Air Test Gas Test Final RESIDENTIAL Q - BUILDING PERMIT APPLICATION JQ, Ok- ~ CITY of NAOAN i ~j'. t g 1 ~ `3830 PILOT KNOB RD - 55122 a o 12) 6 O `~t 1 51.681.4675 ~ • 3 registered site surreys showing sq. fL of lot, sq. 1L of house; ancM roofed areas • 2 comes Of pier . S (20'16 mardrnum lot coverage albwed) . 1 sat Cf Energy • 2 copies of OW showing beam & window sizes; poured found design, arc.) . 1 she survey for exterior additlorrs tledrs . • 1 set of Energy Calculations • Indicate if home served by 30* system for adtillot s • 3 copies of Tree Preservation Plan r lot platled after 711!93 • Rkn Joist Qetall Options selection sheet pigs with 3 or less units) DATE VALUACION _ JOB SITE ADDRESS 5` ! ce 44, IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER IL c. TYPE OF WORK `FIREPLACE(S) 0 1 APPLICANT s'JO d-. PHONES ADDRESS 4 5'1 ZIP CODE CSW=MpV PAGER ;F ^"c3' yoVq, Sg FAX # NIEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLEULY . Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. Phone: Plumbing System Includes: W star Softener Lawn S ririkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone fP Mechanical System Includes: Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. s. I 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 dinar Signature of Applicant Certificates of Survey Received - Tree Preservation Plan Rece' d Not Required Ul red t/Of i OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-ptex ❑ 13 16-plex ❑ 20 Pool 0 30 > Ac ry Btdg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of i 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) 0 36 Multi ❑ 05 03-plex ❑ 11 10-plex 419 Lower Level ❑ 24 Stonn Damage ❑ 06 04-plex ❑ 12 12-plex PlbgLY or - N ❑ 25 Wmellaneous ❑ 31 New ❑ 35 lnt Improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair V""'33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation v o c Occupancy R-3 MC/ES System Census Code gf3 Zoning Q City Water SAC Units o Stories Booster Pump Nbr. of Units D Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. Footings (addition) Y Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final _ Other Framing r _ Pool Ftgs Air/Gas Tests Final Fireplace _r-R.I. YAir Test _eFinal _ Siding _ Stucco _ Stone -Y Insulation _ Windows (new/replacement) Approved By -S P , 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 Use BLUE or BLACK Ink I For Office use Cit off E I Permit I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received:( j Phone: (651) 675-5675 I /J Fax: (651) 675-5694 1 staff: b..----------------J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i'_ ` l(1i `10 Site Address: l ~ l 7 U~ Tenant: C aRgnac aL-as Suite RESIDENT / OWNER Name: C I uJ*~~c ~ ~ Phone: ~ J' - 6 f of -27,33 Address / City / Zip: I S 17 45(0xjkh CLc'c~k C Applicant is: Owner ~s' Contractor TYPE OF WORK Description of work: i ~r 6jovd 7 ld' 5yaw tags Construction Cost: J(w Multi-Family Building: (Yes / No ) CONTRACTOR Name: _ rd Peg9Jale -yla License Address: S 5, 1:s ~ /d Le l 101 City: '56,ya-4 e State: A14 Zip: S5 3 76 Phone: 15 ` 70 7 Contact: Ii le nt 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 permit; that the work will be in accordance ' h the approved plan in the case of work which requires a review and approval of p ns. x IeM pl~ r 2Sc~ x Applicant's Printed Name Applicant's Signature Page 1 of 2 r For Office Use '� 0 f Permit#: I it EAGANPermit Fee: �'7 4� � y/6 y/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E C E I V E Date Received: (651)675-56751 TDD: (651)454-85351 FAX: (651)675-56 Staff: buildinginspectionsacityofeaaan.com APR 1 6 2019 2019 RESIDENTIAL BUIL T APPLICATION Date: Unit#: Site Address: 5 \`") Name: t\�'2) ' 1J0v �\ 1 UktnS Phone: Resident/ Owner Address/City/Zip: t kkcWtic—� Applicant is: Owner Contractor FT) Type of Work Description of work: P l a -a u.C.k,',.. 4- \ Construction Cost: S ° Multi-Family Building: (Yes /No ) Company: C7' -'S:1:)`st- \W )nsh'c `�i J\Contact: J e e t \11\. -i A Contractor Address: l QAP(a2 11/1-0.1 Lok) City: u r- 11- 1)/ )1,k. State:W1 Y\ Zip:C %'! , Phone bS l Z Email J-49e) 1`�fi EC)vt zy ) U l�'n G l' a i License#: IEL� ZO Cj Lead Certificate#: (.064n If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? • Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents;that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. _ x J.„ k)-c (JCi(/( x Applicant's Printed Name Ap cant's Signature I DO NOT WRITE BELOW THIS LINE / / -2 g 6- b9CK kititak 1q iQ ei - /-.f,;-- e.D o SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi `P Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex — Lower Level — Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation hi 1) 2/° • a;---' Occupancy J-jz C "` MCES System Plan Review Code Edition SAC Units (25%_ 100% 10 ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction I/. Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) >4 Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 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: I tiro I.'/�. /717 , Building Inspector RESIDENTIAL FEES 7 7 ')c i 7' ,deck-37' Base Fee j Xjd 5F/.9;i2 Surcharge 711> Plan Review MCES SAC iiii( ' , ti- City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3