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689 Brockton CirPERMIT City of Eagan Permit Type:Mechanical Permit Number:EA112320 Date Issued:08/08/2013 Permit Category:ePermit Site Address: 689 Brockton Cir Lot:18 Block: 4 Addition: Hills Of Stonebridge PID:10-32990-04-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Phil Holmin 900 Park Knoll Drive Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Bradley J Honl 689 Brockton Cir Eagan MN 55123 Holmin Heating & Cooling Llc 900 Park Knoll Drive Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature ûù ÿ þ þýý üûúüùû øýýö ôê ñ õýûöÿ ååñ þýô ýüûúùøýÿòöüúùø öúùøýÿ öø üßØ ö ÿ òüòññíüø ù ðÿ ýïü öî ÿä õõì ö þöìäéÿì ö áêêûö üûäà ø ý üöì éìüìä êò õöõ ø õö ê ò öûìéö ööïüöûù óÿõ ìùìê îçæçê êñ òø ýüö öÿ è ü çæçê åêå è ü þê ñð ôïî øø ö ùÚ åöòö ÿ ãô öûù óÿ äö øø õöì öö ÿöìøùó øø ûý õã ý ü òùõ ÿ íö ê øø ë üùýÿ üö City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 689 Brockton Cir Lot: 18 Block: 4 Addition: Hills of Stonebridge PID:10- 32990 - 180 -04 Use: Description: Sub Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 PERMIT City of Eaan e- Fireplace Construction Type: Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - Owner: Bradley J Honl 689 Brockton Cir Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 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. Issued By: Signature Building EA078631 07/02/2007 ePermit ? CITY QF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ' SITE ADDRESS: i .:, ??? ? rnNf i 11i PERMIT SUBTYPE: ; APPLICANT: r , i.. TYPE OF WORK: INSPECTION ? ?_ ! .. . D. I PERMIT TYPE: Permit Number. Date Issued: -? ? -1 Permit No. Permlt Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FQOTING5 FOUND FRAMING FOOFING FIOUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AI R TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL DECK FfG "za DECIi FINAL ??vvu I CITY OF EAGAN 3830 Pilot Knab Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: i; r s I '. :;! .41+#'?If`F?tF2;its'>'}: ' PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: f r; ? kd I `:,, ,, APPLICANT: TYPE OF WORK: ;1s Il, r i !.,1; ?:r?? ? f ts.? r?t? t'i i i 4°i A a r €. f, A 1 ? Ow INSPECTION .• . .A ? t'.1' !?i .9 ?:: t, I? i lh }2 K d1 '1' f" #' t: i: hR ?i 7:? s;; 14 F 0 11 i 3• 1 l i i' ?? t't : #? !' !' G tjt?! I s 1? iN t:9 f14t f: E Permit Na. Permit Holder Date Telephone # ELECTRIC PLUMBING /01/? HVAC lnspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ' ROUGH HEATING ? GAS SVC TEST INSUL GYP 6dARD FIREPLACE /IW4 FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 13 I BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ;al ? CItY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 oN REcaRn PERMIT TYPE: Permit Number: Date Issued: ? SITE ADDRESS: t «1 ; 0 0.1 ?3 r Ip? t: .t fa h! s?l i siP;r' f;?( i i1!"i ' PERMIT SUBTYPE: ?,.?LPPLICANT: ? 1 '. 1" 'I, • p - TYPE OF WORK: i M. I.t INSPECTION ?; ??; ?,? ., . • ? ? .• F; FMn t4':, . REC: F. :IPr 0 ., SMw a" I f:f: 0 c raLUIraHY146 rv ? ? r ? „ . . . ,;. , T. . ? r-? i ? PermR No. Permlt Holder Date Telephone #t SNV PLUMBING HVAC ELECTRIC ELEGTRIC Inspection Dabe Insp. CommeMs Footings I -2 3 t,?i,? Agft;iW Foundation L& T d rTt? - - ? Framing Roofing Rough Plbg. - ? ? ? ? %?:3 ? ? ? • xyli Rough Htg. 3 ? l5ul. 3 Freplace 3?-? 3 os 3?. ?. o Final Htg. orsat -rest Final Plbg. fT Plbg. Inspec[or - Notify Plumber Const. Meter Engr.IPlan Bldg. Final ( G+i Deck Ftg. Deck Rnal well , Pr. Disp. . 3 ? 3419 3/2?/ d-14 ?&;IA( ? , , . . ?;. CfeL`#tfiCate of CCCIpRIiC4 . Mt? of (Pagan Zrvartment of zutibing ?s??ecHan This Certiftcate issued pursuant to the reguirements of the Uniform Building Code certi,fying that at the time o}'issuance this sfructure was in compliance with the various ordinances of the Ciry negulating building construction or use. For the following: use ciassiscat;on: SF DWIG Bidg- eern;c rro_ 20270 Oecupancy Type Zoning Dislrict Type Caost. - ? ? 9M t70taSTRiJLTIQAi . : . - 4600 FAIIM?AY HI7Z5 DR. , EACM _ Date: 0++/ 14f93 d- POST IN A CONSPICUOUS PLACE E Addless 689 sROCtIonr CI?t-rU Zip 5512 3 Lot - 18 Blk 4 Sub tuu.s oF smtOH= TfESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Q Yes No Inspedor: Final grade (6" from siding) ? Permanent steps (gatage) Permanent steps (main entry) ? Permanent driveway ? Permanent gas ? Sod/Seeded grass ? TraiUcurb datnage ? Porch Basement finish LI Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and lhe shutoff of water supply to ihe outside Iawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in right-of-wey or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contrac[or CoPY 9 rr? ?l. .// ? /n-? F //-i/.:+ J O, C < K Z) L L'r??i/r ? /? ? 8• ?'` . Request Date 2/ 15 / 9 3 f? No Roug Inspactwn r? ?,??° Reetly Now XW?I? ;N r?,a? }e v. _ Ho c I:klicensed contractor ? owner hereby request inspection of e ve ele tr al work J 6 ,bb AtlOress (Street. 8ox or Rome No ) 689 Brockton Cicrle La e" Seclion No Township Name or No flarge No CouMy I Dakota OccupeM (PRINT) Poore No. Sons Construction 452-5355 Power Supplier Atltlress Iiakota Eelctric 4300 220th St. W. Farmi:7gton Eleclrrcal ConUector (Canpany Name) Contrecta5 License No. Joos Electric Co. AM01895 Matlmg qpdress IGOnvactor or Owner MaWrg Installation) 2104 Great Oaks Drive, Burnsville, MN 55337 Aulnonzed SignaWre ICOntra<torrOwnerMaxmgln IaLOn' PM1Ona NumEer 431-4755 MINNESOTA STATE BOAFO OF EIECTAICITY Grigp?MiEway BIEg. - Room 5173 1821 Univeniry Ave, bY. Pwl. MN 55104 Phone (612) 64E-0800 /? THIS INSPECTION REQUEST WILL NOT BE AGCEPTED BV THE STATE BOARD UNLESS PFOPER INSPECTION FEE IS ENGLOSED. K ? O^^ L Z REDUEST FOR ELECTRICAL INSPECTION ? See insrcuchons forirompiaM1ng Mns form on Eack 0 yellow copy " ?-???p, EB-00001-?8 Below Work Covered by This Request X .?n• , f? 6 ctG e Atld Re TypeofBUtltling AppliancesWired EqmpmantWired X Home X Range Temporary Service Duplex Water Heater Electnc Heating Apt Building Dryer O[her (Specify) COmm./Indusirial 7{ Furnace Farm Air Conditioner Other (specily) Conlrecbrk Remarks. Compute Inspection Fee Be/ow: # Other Fee # ServiceEniranceSrze Fee # CircuitsiFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 7 Transformers Above 200 _ Amps Above 100 _ Amps Si9ns InseclorS p Usa Only TOTAL Irngation eooms Special Inspection yn /8 $65 . 50 Alarm/Communication THIS INSTALLATION MAY BE ORDE ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecirical Inspector, hereby Ao"gn-'" certity that the above inspeaion has been made. OFFICE USE ONLY Th15 repuB41 vOiE 18 rtwMh9 IrOT PERMIT x , CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDTNG 031331 01/07/98 SITE ADDRESS: 689 BROCKTON CIR LO7: 18 BLOCK: 4 HILLS OF S7pNEBRTDGE P.I.N.: 1ib-32990-180-04 DESCRIPTION: (ONE BEDROOM) ermit Type 6ASEMENT FINISH ? ? Type ALTERATION ? 434 ALT. i2E5IpENTTAL -?'°?,Ia. ia 44. v ?? m R REMARKS: ' A SEPARATE PERMI7 IS REQUIRED FOR ANY PLUMBTNG OR ELECTRZCAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fes $50.50 GVN I MHG 1 VFf: VwrvtF(: - RppllGanz - 7AYLOR JAMES 689 9RQCKTON CIR EAGflN MN 55123 (612)6$5-7818 APPLICANT/PERMITEE SIGNATUFiE ISSUED Y: GNATURE , ?-. 1997 BUILDING PERMITAPPLICATION (RE3IDENTIAL) 4ZD•-44 1 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681.4675 New Construction Reauirements RemoDeURenair ReauiremeMs ? 3 rogistered sRe surveys ? 2 eopies of plan I • 2 copiea of plans (indude 6eam 8 window saes; poured fid. deaign; etc.) ? 2 site surveys (ezterior addkions 8 decks) • 1 energy alalatlans ? 1 energy eakulations for heated additions ? 3 eopies of Vee preservation plan A lot platted after 711/93 1 required: _Yea _ No - DATE: CONSTRUCTION COST: ? e-sfi DESCRIPTION OF WORK: y 9Q1Z owd:? ? STREETADDRESS: LOT ? BLOCK ? SUBD./P.I.D.ik: ????1 B'? -f??ne6?`•?` ? PROPERTY Name: J?jv/d,? Phone #: 6 8'f-7Fe"? OWNER ?... M.. StreetAddress: City: ?? ? Cch State: t? Zip: CONTRACTOR Gompany: Ver'l Ga ;'&n ? Phone #:3J Street Address: SUl &A License #: 2°23 7 City: ???Liinson State: JYI/V Zip:?6?350 ARCHITECT/ Company: ENGINEER Phone #: Name: Registration #: Street Address: Ciry: Sewer & water licer•ned plumber (new construction only): and lot change are ?equested once permit is issued. State: Zip: i ? Penalty applies when address change I hereby acknowledge that I have read this application and sfate that the information is correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. _ OFFICE USE ONLY Certificates of Survey Received Tree Preseroation Plan Received Signature of Applicant: _ Yes _ No _ Yes _ No r ; PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuxLozNG Eagan, Minnesota 55122-1897 Permit Number: 025697 (612) 681-4675 Date Issued: 0 5/ 31 J 9 5 S1TE ADDRESS: 689 BROCKTON CIR LOT: 18 BLOCK: 4 HILLS pF 570NEBRIDGE P.I.N.: 10-32990-180-04 DESCRIPTION: permit Type DECK ? ?uycc€;it°?4?#rk 7ype NEW s? ? j.. H 7 ? ?? y'' t L n - ?tP t t rz ? ? ? ?zg gt . ''£ `'PO• C ?`?+ ? L 3;?°?{p. ? iNF'?"- a ? ?? ,? . ?`. y3 a?e?_ ?nP ? ? im , an s? REMARKS: FEE SUMMARY: Base Fee Surcharqe Total Fee CONTRACTOR: $30.60 .50 $30.50 OWNER: - Applicant - TavLoR JiM 5$9 BROCKTON CIR EAGAN MN 55123 (612)688-7818 i aa??t?????'????????I?i?: F .. F re?d°1h4?ati ? ? t ?Yic? ta ?b`a??t? -??tciC1, ty ef, 66?#s? orsl?:??nc?s. ?, . - s 3,. __ca P T/P MITEE SIGNATURE ISS D ' IGN URE INSPECTION RECORD CITYOF EAGAN PERMITTYPE: BuzLoING 3830 Pilot Knob Road Permit Number: 0 2 5 6 9 7 Eagan, Minnesota 55122-1897 Date Issued: 05 / 31 ( 95 (612) 681-4675 SITEADDRESS: p'z•N. ` 10"3299e-180-e4 APPLICANT: LOT: 18 BLOCK: 4 689 BROCKTON CIR TflYLOR , JIM HILLS OF STONEBRIOGE (612) 688-7818 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW „ ._ , - , , ,. x„ m ? • s. ? r ..v ` 9 t 4 I ?Y Y F7 p L J = F^ Y ? I J ? 4 ? P p ??n F L ? ' ? cE lt9 1 rJts,nU Y ???. umi..? n..?4«?.rv+i?i ...:._.....? ..................... ...??.........,_... . .. ?. _ _ .-?_? z .??. i . . ........, ...a ,,..v.?.? ' . ?? . r _I Agf CITY OF EAGAN , 3830 P1LOT KNOB Rd - 55122 1895 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered site surveys ? 2 wpies oF plans (indude beam 8 wintlow sizes; Poured frM. design; eta) ? 7 energy qlwladons ? 1 tree preservetbn plan ff lot plattetl afler 7/1/93 required: _ Yes _ No DATE: ? „z /9vs? DESCRIPTION OF WORi '5-REET ADDRESS: LOT -Zj BLOCK 7 ?30jD c,a.Q'd 1/5 31 RemodellReoair Reauirements ? 2 copies of plan ? 2 sfte surveys (exterior 8tlditions b decks) ? 7 energy cakulelions for,heated additions CONSTRUCTION COST: f?L ? SUBD./P.I.D. #: PROPERTY Name: ? /r.?U Phone #: OWNER u* nxs. Street Address? S? zl', ?Cl? City: h State: Z'?"i?v Zip: cow7w?CTOR Company: Phone #: Street Address: License #: City: ARCHI7ECTl Company: ENGINEER Name: Phone #: Registration #• Street Address- 1 City: Sewer 8 water licensed plumber. change are requested once permit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is corcect and agree to comply with all applipble State of Minnesota Statutes and City of Eagan Ordinances. Signature OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No (7EC"OMGaD .............. MAY 18 1995 BUILDING PERMIT TYPE OFFICE USE ONLY NA? , A ? 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dweiling o 07 4-plex o 12 Multi (Misc.) ? 17 Swim Poof 0 03 SF Add'Rion o 08 6-p{ex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 Multi (additionalj-,e-'-% Deck WORK TYPE 6FL-31 New o 33 Alterations ? 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code oi Census Bldg Census Unit d APPROVALS Planning Building Engineering Variance Pertnit Fee Valuation: b $ /Z" ? Surcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road UnR Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units - - - 4 - r ni ? ?- - _- - ___._ .. - - - ---- .?. ---? ? y T *? "' . 'niarDr:S" fj•?v9 T UIV 55120 RRt-94FAr LANL? A'?VF.YD?9 {?U? ir.!.. ;C k ?3-1883 I ? .rf'f!CQtR'' Of SlJrYqy f4i ?rNI.J CQIV'S?IR_' ? _411. .(1 , y .?. . . ti . n P 4 '' ? • ^ _ x n F{ .? , ? .. I ? '' , c? !°.3?. ?•, ' n? ? ?' I :?'; ??D'?? ?.___' rt" ? ''?n,?? •7qy,'f /j . I1I __?b P ? "- I q1?9?• i..l•- ' j? ?C, 1 •c?..?'?."v,..? ?. s .-,? /,; o 1 ? { f - , ,-' I ? 900.0 Denotes Existlnq Elevation ^ROr ?SF!'? Et_F`•'nTiON .Cob..??Denotes Prope? ' Eicvatlo^ :,_p,vr?t ?lev(jtior :04.25 ? --?- Denoi. `3r.a1M.o:_:= -? Ut+lit,: ?.asement ,?P of "ock Elevation:q'12,36 ' ----- Denotc -oinaqq? F':t?w Dire•^",;.,'^ Grroce nh f '?n: ?1?.C3 ? ?? ? penoc? •?num-ent " Denotk !ffset H_b ?'• Bebrings 8hpwr ' T_i `3L:)C;V..?4_ ---f=ONEBR!DGE UN GOIiNTY. 4?NM1FSpTA ? .. a<..i??.. xre9Y `L '?ly 1 G?eP U? •cPU: v:TS G_!^p=.9G bY •'nT?c?\ o? _ .. .ro. ? . --^ - ? • :?E ?FAS 0? S`?5:.. .,? . ., e. Cdb ?'11.? W r? ,{c: nl _^9'. . _ _ . f• ' '??J?- ? ' '?r;i ??,` • ?,r.l' i? ? r.-?' rn: . B". 5C ic; ? , ' - • - PERMIT ? CITY OF EAGA N PERMIT TYPE: B u r L o t N r 3830 Pilot Knob Road > . Eagan, Minnesota 55123 Permit Number: 020270 (612) 681-4675 Date Issued: 0 2 a 1/ g 3 SITE ADDRESS: bss rRocKroN cIR i.or. 0018 Bi_ncK: 0004 ti1LLS OF STONFBRTOGE DESCRIPTION: ' ?- 6ui1d.7.?raq PermiY. TyPe SF DWG Buildzngl??orl< Type NEW T UEC Occupan2^my R-3 M-1 CanStrucL-icn type VN % Zoning R-1 f 8uildiiig LentiCh ? 6d { ? 6uilding Width ? 30 .,. ? _ ., . / 1` r uu ': REMARKS: R E cE rP r P. shw Pi.BR -R c PLuMo zNr FEE SUMMARY: vALuArrou $127,000 Eias'r. Fee $734e00 IN7SC F"EES 7a4_?j Plari Revie.w $477.70 1"ota l Faf? $3,769e10 Surcharge $63,5o SAC $750,00 SAC o 100 ?'JAI.. [JIl1tS" ?-- SubLotel $2'02'4.80 Y? Gy. CONTRACTOR: - A p p 1 i. c a ri r- s T. L1 cOWNER: 3ONS COIVSTRUCTTON 14524771 0002608 SOfd'S C(1NST 4600 FAIRWAY HILLS OR 4680 (=ATRIJAY HILL; Dfi EAGAN MN 56722 EAGAM MN 55122 r6 12 ) 4 5 2-4 7 za ((51z)452-47F.1 I heraby acknowl2dge tMat I have read th.is app.lication and sCate that the information is correct and agrae to cumply with all applicablc State ci Mn. Stato'Ces and C3Cy af Eagan Qrdinance5. APPL T/PERMITEESIGNATURE ? ISSUEjD BV' S?MATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ki u r i- n x ni r:? 3830 Pilot Knob Road Permit Number: 0 2 0 2 7 6 Eagan, Minnesota 55123 Date Issued: m?! 01 J93 (612) 681-4675 SITE ADDRESS: LOT e e018 e,Io c K: 0c?a APPLICANT: 689 BRUCK70N C7.R SOfJ57 CON5T12UCTIOPI iiCLLS OF ST'GNEBRIUGE (612) 452-4721 PERMIT SUBTYPE: SF DWC TYPE OF WORK: NEW INSPECTION FOOTLNG .. . I"I2AMIhIG DA 1NSUI.AI'.LOPI FSNFlL FI"P'EPLFM1C:f. IREMARKS: 12ECLIPI" tlt 5&W f'L8ft - P. C PL lIMB7hIG F- ? . - REACTIVATE PERMIT N .. ,- C?V CITY OF EAGAN ' 1993 BUILDING PERMIT APPLICATION 681-4675 WpN29 ?- °+'.??,./ n"°°°SQ REC? SINGLE 8 MUITI-fAMILY 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. D 2 Yaluation of work Site Address: brele??TG1J ?/k e,1 e STREET SU17E # Tenant Name: (commercial only) IAT ? BIACR Y T SIIBD.?•LL? ep.I.D. 0 ;I Descri tion of work: aEW ? oPt k The applicant is: ? Owner ? Contractor ? Other (Deseribe) V Name Sah t PhoneI152-q 7 2 1 Property LAST FIRST , Owner Address L)?'G? ??/JLWG? f??Ll? ?? STREEi 'I STE ff City f444?, State ?w ZiP ?-??ZL Company S G h f Phone Contractor Address L/k/0 Lr U" License #`2-60Exp.3? City 417 State A;"'Zip Company n 1 Phone ArchitecU Engineer Name 4 e? Ai f e-c Registration # Address City o, State 47 <' Z;P s t/ aL Sewer & water licensed plumber ?-• ? ??-ti-? ?? ^?4 . Processing time for sewer 8 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 compl with 11 a pl able State of Minnesota $tatutes and City of Eagan Ordinances. Signature af Applicant: v OFFICE USE ONLY BUILDING PERMIT TYPE I . ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging E? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 Sf Porch ? 09 12-Plex ? 14 fireplace O 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck WORK TYPE ?ff 31 New ? 33 Alterations 0 35 Tenant finish ? 32 Addition ? 34 Repair 0 36 Move GENERAL INFORMATION . . ? 16 Basement Finish [3 17 Swim Pool ? 18 Comm./Ind. ? 19 Comn./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) V- N Basement sq. ft. MWCC System Yss (Allowable) v- P- lst F1. sq. ft. City Water Y£S UBC Occupancy -i?-{ 2nd fl. sq. ft. PRV Required Zoning ?I Sq. Ft. total Booster Pump +Y of Stories Footprint Sq. ft. Fire Sprinkler Length bp On-site well Census Code /bl Depth 3o On-site sewage SAC Code -0/ APPROVALS Planning Building ?ZS53 fi$ Assessments Engineering _ Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final O Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: v.tuacca,,: g I 2.170 Doo CyARAC,E; .24 K 2O =HSOX lG =76SC9 6sNtT; 3(.x 2` = 93G ? $ x /o s rko IsrFLooR? 1016 xrS% l,y;zyo -&5m'T: 161.6 ?53 = 531 ? N fS 268 Fl.COrIS ? 6= y36 X53r q°1,60S /2l0? 37?0 SAC 96 D O SAC Units I . • ? P.02 1 ? . T T ? ? PIONEER „m MMVE,ORe • ? eng neer ng L.J,o ?NIMg. L.,N * 4 * * 2422 Enterpriae Drlve Alendota Hetqhts, MN 55120 (512) e81-1914•Fox eaI-eaea 826 Highwoy 10 Nwtheoat Blolne. MN 55434 (812) 783-1880•17ex 783-7883 Certificate of survey tor: SONS CONSTRUCTION INC._ Hpuse Address: rockt Circle \ 19 . 5 ofi11-s 18 ? fa . ? . n •?' ??'?' i ? iaou c ??\ n ??? 03 qo914 x xe oa + / / CV ' V N ?d u) i? n° °o I Q ? S? ? ?? / ? +y? p g ? 30 '??9• I ? ? m ? ,??ryryc?m? ? 4 a ----?-•-- 4,00 .? p 90,`I 1 at r £ y ,aao ary °Q- ? ?J` (a Ln ..1 20.00 \ p eD O ,?1s?-`tVicE . 7 c9 ?S i r9o1.t7 ?O ?,a \ 1- ? , z \ C)?C? $ ? UGAN It GY1dEERIYdG DEt °r / . aoo.o DenoteB Existing Elevation PROPO5ED HOU$E ELEVA710N . eoa. Denotea Proposed Elevation Loweet Floor Elevotion:904.25 _--?- Denotes Drninage & tJtility Eosement 7op of Block Elevation:912.38 - Denates Drainage Flow Direction ?- -o Denotes Monument Gorage Slab Elevation:912.03 -e-- Denotes Offset Hub Bearings shpwn are assumed , LOT 18 , BLOCK 4 HILLS OF STONEBRiDGE DAKOTA COUN11', 1AN COUNTY. ?AINNESOTA 1 hercbY ClrNfy ihst tM1is survey, plnn ot rtport wai O???r4oarod by m undBr my dirBCt supavidon end that 1 am duly RaqisNred Lard 9urvfyM under the Nw? ot the 9tate of Minnefota. Dated thp,?B._.dty Of ? ? A.D.19_/i f "40?ST 1 . kmh-= ,1 ..nxiw.vcc' .4PPR6ve.'7.> eTb Cou.iva.?- .4c_776r/ /- J9-ae m ? sam2.oo ' R-97P5 01-26-93 0 : ' . :.? LOT BIIROSY CS8C1CLt8T !OA RESIDENTII?L ? SIISLDIN PERMIT 71PP CATI0 PROPER ._ ? nate o! 8urvep: ? /?T? 3 ?4CIIMENT STaliDARDB B? 0 0' 0 0 0 • • Registered Land Surveyor siqnature and company Building Permit l?pplicant [YO 0 • Leqal description 0-? 0 0 • Address @-0 0 • North arrow and bar scale • [?'0 0 • 8ouse type (rambler, walkout, split v/o, split sntry, lookout, atc.) B? ? ' 0 • Directional drainage arrows vith slope/qraditnt =. Td 0 " 13 • Proposed/existing sewer and water services c D 9"?13 0 0 • Street aame • Driveway ELEVATIONB D 0' 0 • Ex;stlnc Sewer sezvice H' 0 9? 0 • Lot corners . 0 ? 0 0 1 • Top of curb at the driveway 3 • Elevations of any existing adjacent homes DlOD09BC C? 0 ? • Garage floor t? 0 0 • First floor 0 ? D • Lowest exposed elevation (walkout/window) 0 ? • Property corners ? D 0 • Front and sear of home at the foundation BONDING AREAB (if apDlioable) D B? 0 • Easement line a d o • rrwL 0 0' 0 • xwL 0 DJ' D • Pond # desiqnation D EI 0 • Emergency Overflow Elevation ? DIMENBSONB ' 0 D • 7,ot lines _/ p , Right-of-way and street width (to back of curb) 0 D Proposed home dimensiona including any proposed decka, overhangs qreater than 21, porches, etc. (i.e. all ? structures requiring permanent footings) 0 0 • Show all easements of record and any City utilities within ? those easements 0 0 • Setbacks of proposed structure and setback of adjacent / existing h 0 C? 0 • Retain e ements, if any - ? Reviewed• 11-2 71 ff4me / Dat OCtober 1992 EXTL'liIOR.ENVELOPE liiiEAGY CODB COINPUTATiON WORKSHBBT 1b Determine Cortpliance with the Minnesota Fhergy lbde (SeCtian 502 oE the State Amerxled 1983 ilodal EnetcA+ Ca7e) Project Title SON`S eOJiISTxucT/ox) site address --?8? -- 6 RociC-f -o d elP-cv cE 'en6trI-) /V1ONJ SSlZ3 l. EICPOSBD WALL CALCULATiONS A&FA "IJO Yf?LITE ARF1? Y °U- A. OpZI jue Wall . 1. Masonrp/Cancrete b. x ? c. x 2. Fou[Klat an Wa Gt a. x • p1 ' e 4.? 1 b. x o 3. Fraiae a. Insulated Area x •o4 C1 b. Fra?uirg Area (Ave. 15$ at 16" oc) c. Framing Area (Ave. 10i at 24" x) x ° 4. Peripheral F1oor Edge/Rim Joist a. 2710 x b. x s B. Ca1dZ3A9 l. F11f1dQdS , Y .36 J4?. . c.:( ?j? n S CJ b. x 47 40 2. Doors , z ' C. Doors ' 1. wood a. Solid x -' 0(0 ? 1 Z b. With atom aoor x ' 2. MCt31 y ° 3. Overhead ' x ° 4. Other x ° D. TOTAL WAIL ARFA, sq. ft ...... .:............. 21 IQ, E. TOTAI. of AREA Y"tl" ................................................... Z(o2 .Ic U. BOOF/CF1i.YYiG CALCULATIONS A. Roof/c,eiltng IrLwlat,ad Area 1 n, I x,• oZ ? 3Z.Z B. Iaoof/Ceiling Framir?g (Ave. 15% at 16• x) Y ' C. ? 9?lirg Fra?aing (Ave. 10i at 24• x) ? • o Z •'? • S, ¦ E. Z+OTAL ImOF/CEII+IIG ARFA sq. ft .............. 1-7 &14 F. soTAL aF APZ? x-rM .................................................. 35 .$? ? Ul. 13U1LDING EidVF.LOPB 81sQU1REMliNTS qmy Am gainEa °p• ALLOWA8L8 IFrow I.0 i 33.3) (g=n V.) • (Araa x'U') A. E?cposea wa11: •.? ?P, x . 1 I ' r ?16 - 8. Fzaof/Ceiling: _ i"1? x_ O,(Y_ ` C. T0'i'AL r.T mm BUILDING IIVVE[,OPE (Zbtal of A i B above) ... 14 5.(oZ 1V. ACTUAL BUILDiN(3 BNVBLOPB ACTUAL (Araa x 'U•) A. ExcoSCad Wall (FYriu I.E) ,3 (o Z. f b B. Roof/Ceiling (FSam II.F) '3 S. f?s1 C. TaM ACTvAt soXEJ)= INVEEM (Toral of A i 8) ............ 2 9'1 -(lr*rs coam r.yatn...a tr l.:• ca.. 111.c) V. TZEG;U1ttED "U" VALUBS FDS.IB AOOF/CEILING Detachc?d ore and two twuily dwellings .11 .026 * Multi F`amily Pesidential euildings .238 .033 (3 stories oc lesa in height) * All Other Oanstruction Zypes (3 stories or less) .238 .06 * All Other Canstructian Types (More than 3 stocies) .28 • .06 ' Brsed on 8007 Aeatlnq deyrae days (!p)s/St. Psrl) AOjust 'U• ralues aceordiaply for oLlrn lauticas CERTIFICATION I hereby certify that I have arspleted the above inEormtion and hlsat it CoWlies with , Minnesota State Enerc,A, Code. / „ -/ 6CSD 3-89 nnicr,aicaon PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE, FOR SINGLE FAMII.Y DWELLINGS. AISO, CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. STTE AD OWNER NAME: INSTALLER: ADDRFSS: CITY: _ PHONE #: ( 612? NO. FIXTURES SHOWER EACH I 3.00 I TOTAL WATER CLOSET 3.0() 9- a BATH 'TUB 3.00 Co. - _ LAVATOR?I 3.06 9- KTI'CHEN SINK 3.00 _ ?. - ? LAUNDRY TRAY 3.00 3 ?- HOT TUB/SPA 3.00 1 WATER HEATER 3.00 ? 3i - _ ? FLOOR DRAIN 3.00 I 3. - e GAS PIPING OLJT'LET • mwmum - i 3.00 ? 13. ° ? ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 3. aa PRIVAT'E DISP. • na?.ay. uo. 15.00 U.G. SPRINKLER • eome maer oons4 3.00 ALTERATIONS • w eds[ing 15.00 l ; WATER TURN AROUND STATE SURCHARGE 15.00 I? .50 TOTAL: ? DRESS: 689 Brockton Circle ? R C TOWNHOMES AND 5910 Ohester Ave. Northfield, Mn. 55057 461-2096 ZIP CODE: / PLEASE COMPLETE FOR SINGLE FAMILY DWELT.INGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNTT. )gx NEW CONSTRUCTION ABD-ON A/C ? ADD-ON FURNACE , DATE a???'? ? FEES HVAC: 0-100 M BTU $ 24?00 ADDITIONAL 50 M BTU -6:98- OYAS OUTLETS (MINIMUM 1 @ $3.00 EACH) % • 60 ADD-ON/REMODEL (EXIsTtrrG coxsTxucrcox) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: 689 Brockton Circle OWNER NAME: SONS CONSTRUCTION TEI,EPHONE #: 452-5355 INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. ADDRESS: 14745 South Robert Trail CTTy; Rosemount STATE: MN ! ZIP CODE: 55068 TELEPHONE #: (612) 423-1144 C? J MECHANICAL PIItMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD 'd , EAGAN MN '55122 ' (612) 6814675 V L 19, SUBD. BL /f/ arruseoNLr RECEIP 95?/5 T#: o RECEIPT DATE: 1997 PLUMBINfi PERMIT (RESID£PTIAIa crrY oF ensArt ssso PaoT xPOe Rn EAena, euv 55 1E2 (61E) 6$1-4675 Please eomplete for. D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preveMer for underground sprinkler system FIXTURES Shower Y!ater Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet " mfnimum • 7 Rough Openings Water Softener 'tor dwenings unaer wnswaion Water Softener ` for existing dwelling U.G.Sprinkler 'fordwellingunderconst U.G. Sprinkler ' forexlsting dwelling fiPilte'.ra6o?ns ' m existi?g res?dence Water Tum Around Private Disposal System ` oak ciy iic. (new end returbished systems) Private Disposal Systems "nbandonment EACH # TOSAL r• 3.00 x 3.00 x ? 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 1.50 x = 5.00 x = 20.00 x = 3.00 = 20.00 = V-Q?Q0, = o2B.c_?` 20.00 = 75.00 = 20.00 = ?STUA1TiE;SU.RC•HA...RGE .SU TOTAL ?? . I hereby acknowbilge tAat I tisve iead this aPP???$?e tl18t ihB mfOrtnBl1011 ie CORBCtBlld egfeB t0 COlllply witli HII BppliCebl9oCily.Oi+Fege11 Oid'i?dI10&4 R is tha applicant's responsibility to notify the property owner thet the City of Eepan essumes no Iiability f& arry damagea•cawed by'=the C.ity during its rwrtnal operaUonal and meintenance activities lo lhe facil8les conatruded under thia permk within CltypropoRy/riphtof-way/easement. SITE ADDRESS: 6F9, 4,.-cle, OWNER NAME: ia m?PS SY INSTALLER NAME: D(.IJ/l B? TELEPHONE #: STREET ADDRESS: b,?9 4eG'Gk?pn L• ;K CITY: STATE: ZIP:' SIGNATURE OF PERMITTEE f CD/FORMS/PLBG PERMR (RESIDENTL4L) 1997 L ii gL CITYUSEONLY RECEIPT #: ? 5D-7/? SUBD. II i1o Qr t\lh?i RECEIPT DATE. F;- a 6--06 PERMR # 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN . 3830 PZLOT IQ708 RD EAGAN, IMI 55122 - - , ,- 651-681-4675 Please compiete for. ? single family dwellings ' ? townhomes and candos when permits are required for each unit ? backflow preventer for underground sprinkler system LIYTIIQF! EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = S Floor drain 3.00 x = $ ? Gas piping outlet * minimum -1 Hot tub/spa Kitchen sink 3.00 3.00 3.00 x x x = = = $ $ $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Septic System newrrefurbisned * reqmres mrc nc. 75.00 x = $ Septic S stem abandonment RpZ new installationlrepaidrebuiid 30.00 30.00 x x = = '$, $ Rou h openin Shower 1.50 3.00 x x = = $ $ Underground sprinkler ifdwelling is underconsWCtion Under round sprinkler if exisung dwening 3.00 30.00 x x = = $, S. . ? Water closet Water heater 3.00 3.00 x x = $ '$ _ Water softener if dwelling under conswcHon 5.00 x = $ Water softener if existing dwelling 30.00 x = '$ Water tumaround 30.00 x - = $ State Surcharge Total .50 _> -> _> $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. , ----------•------------------••---------------------------------------•---- ---•-----•-------------------------- =-°•------------------ I hereby adcnowledge that I have read this application, state tl?at fhe infortnation is cortect, eM agree to compy with all applicable City of Eagan ordinances. It is the applicanPs responsibiliry to noti(y the property owner that the City of Eagan assumes no liability for any, damages caused by the Ci[y during its nortnal operational and maintenance activiHes to the facilities constructed under this pertnit within City propeRy/right-af-way/easement. SITEADDRESS: A?9 M?r4ck7t1I1 L Jt OWNER NAME: : JII'YI TaVIfI' TELEPHONE#: : -&Ll-' REA CODE) INSTALLER NAME: Se I'F TELEPHONE #: - ---_ --.-i . (AREA CODE) STREET ADDRESS: CIIY: STATE: ZIP;- s .?? • ' S/?iIGNATURE OF PERMITTEE r------- --- _. . E RESIDENTIAL BUII.DING ? 124 - a}- ? Permit Application , City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 , Telephone # 651-675-5675 FAX # 651-675-5674 New CanstrucGOn Reauirements RemodeVReoalrReauirements ? -- - OfRCe Use OnN 3 registered sRe surveys showirg sq. fL of bt, sq. R of house; and all ioofed areas_ , 2 coDies of plan ____ Ceft W Survey Recd (20% maximum kt covefsge allowed) 1 set of Eneyy Cakumtlons far heated additlons _Tree Pres Plan ReW 2 copies of plan showing beam & window sizes; poured found desyn, etc. 1 site survey (or additlons 8 dedca _ Tree Pres Nat Reqd 7 sel of Eneyy Calalations Add'?ti'on • indicefe i/onsife septic sysfem _ On-sde Sepfic System 3 copies of Tree P2servation Plan if lot platled aXer 711193 Rim Joist Defail Optlons seledlan sheet (bldgs with 3 w less units Date / l ? v l 03 onstruMion Cost Q ?(O ? oQ C ,./R.?? Site Address {LC, ? /1? ? WI C.( ,C_. UniUSte # Descriptlon of Work ? ?/{'Y)FYI-F '4 C2.r e?? , Multi-FamilyBldg _ YXN Fireplace(s) _ 0 _ 1 _2 Y t O Eral `H or / Tele hone #(!p9) Y-S?O ' 7 O S4o roper wner y p Contractor ? ?(Sy ?/ a ? Address City State / Telephone #(????j Zip 55- COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 . Residential Ventilation Category t Worksheet (Jsubmissiontype) Submitted . Energy Envelope Calalations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code WoAcsheet Submitted Telephone #( Telephone#Y Telepr?e U? I hereby apply for a Residential Building Permit and acknowledge that the`}gforma-jenmpYete 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 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. I &e ??vopes Applicant's Printed Name Applicant's ignature 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 470.00 City OfEagan 3830 Pilot Kuob Road, Eagan MN 55122 TelepLone # 651-675-5675 FAX 4 651-675-5694 New Constructian Reauiremanls RemadeURaoair ReauiremenLS ? OMice Use OnN 3 registered sde suneys showing sq. fL af lot, sq. ft. of house; and all roofed areas 2 wpies of plan Cert of $urvey ReW _Y _ N (20% maximum lot coveraqe allowed) 1 set of Eneigy Calculatlons for heated additbns Tree Pres Plan Recd _ Y_ N. 2 copies of plan showirg beam S window sizes; poured fauM design, etc. 1 site survey for addNOrce & decks Trea Pras Required _ Y_ N lselofEnergyCelculations Addit'ron - IrMkateHon-s/Yesepficsystem i OnaiteSepticSystem _Y _N3 ropies o( Tree Presenatbn Plan If lat platted afier 711193 Rim Joist DeWll OpUOns selectlon sheet (buadings with 3 or Iess unAS) Date onstruction Cost Z ° D? Site Address ? ?'? UniUSte # Description of Work Multi-Family Bidg _ YSi, N Fireplace(s) _ 0 _ 1 _ 2 Property Owner IZI? ( o? Telephone # ( ) Contractor ?.? ?? Address _ `1 City State Zip S? 1 ? 3 Telephone #(?dS ?) (Q? 'S '?C+$ C?. COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 . Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( N if so, 25% plan review Telephone # ( ) Telephone #( ) ? I hereby apply for a Residential Building Permit and acknowledge that the inforination 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 is not to start without a permit; that the work will be in accordance with the approved plan in the case of work wh p?eqi rr araTe7 I approval of plans. i; I I ?,tiu I 0 2005 licant's Printed Name A licant's Si ? I?'? PP pp gnature , IG A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted IFkt:CffiCE;l}se j Permit C!tvJ of E n 3830 Pilot Knob Road j Permit Fee: Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 ? Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 4.Co dq nn Site Address: 28T' 3iroGL oc Ctrd(ef EajaU, Tenant: B Y-A C>t avJ ti Q Ho N r Suite RESIDENT / OWNER Name: r(1d G;!.+,i. Soj & H ( Phone: '9 1 3 Z 2 ~o O r b Address/City/Zip: (084 YOC'k+otip CiIrC(e; f, Laja,, T51Z> CONTRACTOR Name: Prato 'Piro (V V~ ~t License ®(0 O (0 L3 PM Address: e)6 (5 2c R-t-1 l rL tvi ((f? City: ~t State: N Q Zip: ~Jc D T Phone: q,57 421 & "I Contact Person: DE'-b TYPE OF WORK - New Replacement _ Repair _ Rebuild _ Modify Space -Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL 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 $165.00 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 approval of plans. x I)e oat(, Lam oc Applicant's Printed Name A I' nt's Signat re FOR OMIM USE Rev'iew'ed QY Date: Inspections: -Under Ground _Rough-tn _ Air Test Gas Test Final