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4516 Alicia Dr 09/13/2010 MON 9:00 FAX 6514378831 IM 002/002 Use BLUE or BLACK Ink 41 - City of Ea ~ I Permit Is, I 3830 Pilot Knob Ro Permit Fee: I i Eagan MN 55122 I Date Received: i Phone: (651) 675-5675 I l Fax: (651) 675-5694 Staff: I 2010 MECHANICAL PERMIT APPLICATION Date: II Site Address 46 o Al ii M Dri yam. Tenant.,_ ReIn H4MS Suite RESIDENT/ OWNER Name: 3M T Jr4rrlS Phone: -q&5 Address / City / Zip: 4511) Micia f V T. 61 hL. ~ G"i1G CONTRACTOR Name. Qt(6n!^t U1- lt t nt C1_ W04111 I cease . Address. ja 0 'T V (-t! hj I I W City: State: _ Zip: Phone: Contact: Email: , TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: T caoen+ 0') t 21 0 MGM," PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Anterior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas ! Exterior HVAC Unit Heat Pump Under / Above ground Tank Install ! _Remove) Other . When instaliingfremoving tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Mimi urn Add-on or alteration to an existing unit (includes $50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES. $70.50 Underground tank instal lationlremoval OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) - If rnti Fge is less than $1,000, surcharge is $.50. Permit Fee - if Permit Fgg is > $1,000, surcharge Increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wt M9olhgrstateonecall.org i hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla - xotm , ll_ x 1LWt~til~~-_ Applicant's Printed Name Ap cant's Signature t r~ ~~•`i.a ~.$zx~ ,y ~'a b, cs>'C° Cf :~`.~f,•. sa i% sue. ~='1;;. .L}t°F~ ~~y9k: C"~"pi ~.s,•.°..,.'•`,' ,~`u e.:„ r s B . i ~ a a5 ~ i. ~ :'xF✓:i~ ae r G{.. t $ SaT 4 J. ~ yk °';ry ci` , •y(Y ~b 4ir'aY, Z J :arr f~,ay. a f .fir . Y ~i~. i. s, f 1_;~ 'r*'11'i!BF~ cB~ 1 +a ,~r• try r..i xt v .s~~+ { t~F- ti tit i ~ & ryTs 3ar ys,t.'7yz' ~ ~ ~~H~x f*', 1z Address 451(, a i i (-i a pr iv,. Zip 5512 5 51.2 2 Lot 7 Blk I Sub Southern Lakes West THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Dater ' Yes 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 Vol' 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 Address 4 5 17 Al it is Drive Zip 5512 Lot 14 Blk 1 Sub Southern Lakes West THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes 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 X 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 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF FAGAN 3830 PILOT KNOB RD - 56322 y 'O (651) `681-4675 New Construction Requirements Remodel/Repair Requirements 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 1'site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711183 required: _ Yes _ No N o -rr - S CO r+r► •L t -t'11i Ca afT' f~s.A- DATE: eft ~~`1`z CONSTRUCTION COST: DESCRIPTION OF WORK: IU f CoNsT JAL I L-Y STREET ADDRESS: CJ 14o A LI C A DR-2t, LOT: rt BLOCK: I SUED./P.I.D. South" LAPI-5 Sfi Name: 5,+m r- A Oo ArFrt.l~ /l_ Phone PROPERTY Lase First OWNER Street Address: City State: Zip: Company: yVP, ;j7T~ L is > VYt S-S Phone 1~ S - 8 CONTRACTOR Street Address: L4 13 d & L OJA Ow it- 1 "1 License #'DA xp. 3 Z~v City" ~ State: Aj Zip; 5 12 2 ARCHITECT/ ENGINEER Company: n lJ L Phone ?1S (dNS ~t-t A R -l~ Registration Name: k (j Street Address: City State: Zip: Scoff S-MwA-nT' PL"WbrZ Sewer & water licensed plumber (new construction only): _ Td~nn/SoA) T-Xcfty 9-n < Penalty applies when address change and lot change is requested once permit is issued. ( k _ ~-A r:3-0, Lql (o I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY AUG Z 0 , Certificates of Survey Received ~~qYes No Tree Preservation Plan Received Yes Not R uiredd OFFICE USE ONLY 1 BUILDING PERMIT TYPE ❑ 01, 'Foundation 0 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish Jk 02 SF Dwelling ❑ 07 4-plex 0 12 Multi Repair/Rem. 0 17 Swim Pool 0:03 SF Addition 0 08 8-plex 0 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous 0 `05 SF Misc. ❑ 10 -plex 0 15 Deck WORK TYPE X 31 New ❑ 33 Alterations 0 36 Move ❑ 32 Addition 0 34 Repair ❑ . 37 Demolition GENERAL INFORMATION Const. (Actual.) Basement sq. ft. 0 Census Code A0 / (Allowable) Main level sq. ft. SAC Code UBC Occupancy -IA- j sq. ft`. 2liW, Census Units Zoning sq. ft. u r Census Bldg 19 # of Stories sq. ft: MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning= Building Engineering Variance Permit Fee Valuation: ~F Surcharge Plan Review 12 70 X IS License 12,e 'X ~1/=® MC/ES SAC City SAC Water Conn., Water Meter x X j Acct. Deposit S/W Permit S/W Surcharge Treatment PL. Park Ded: Trails Ded. Other' Copies Total: % SAC SAC Units EXTERIOR ENVELOPE AVERAGE 'G" COMPUTATION Platt # Date 8 &1-/ qCf Owner HZwA-T_S 2 t STY a:S Site Address 4514, A L-1 C f A- Q IZ- , A G I`r 1) Total Exposed Walt Area Z-7 K., sq. ft, .11 = - "Z._ 2) Total Exposed Roof/Ceiling sq. ft. .026 = 31, Wall Calculation Total Window Area 'L sq. ft. 35 3 Total Door Area -3e> sq. ft. .07 2 . Total Glass Door Area , sq. fL 35 = Total Fireplace Area WA.- sq. ft. 36 Total Wall Framing Area .1!4-z- ` sq. ft. .09 = ~1'7•3, Net Insulated Wall Area Vj(&A sq. fL .043 = ?c, g Total Rim Joist Area 7b j sq. & .04 { c•, Total Foundation Area t _ sq. fL .14 = 21. Total Foundation Window w sq. ft. 35 3) Total If item 3 is the same as, or less than item 1, you have met the intent of 2 MCAR 1.16008 A and O. Roof/Ceiling Calculation Total Skylight Area v.a 4__ sq, ft 35 Total Roof/Ceiling Framing (2z~ sq. ft..026 Net Insulated Roof Area j _ E~62 sq. & 022 = 7-7,.'7 4) Total 7.r, . If item 4 is the same as, or less than item 2, you have met the intent of 2 MCAR 1.16008 A and O. Alternate Binding Envelope Design To utilize the total envelope system method the sum of items 1 and 2 shall be greater than the sum of items 3 and 4. 1) +2) _ 3) +d) " I hereby certify that the building here described meets or exceeds the state of Minnesota Energy Conservation Act. ~ Signed. CERTIFICATE of SURVEY V J O 5 7- 9 9 for VARIETY HOMES 5 I S87.58'51 "E 134.04 °I q_98.~ 4.3 939,6) `°I37.gg1 T37 -1 10 r - - - - - Q g to E `~40 9 3B. a 93g.61~' 10 ~.8. CIF zt.~ m aD N v► .QO I 0 r'il .5 ji r, - 34.00 1 w ,1335 0 ~i r aY 93?o $ m_ O ca I ti 4 m L- .0 6 &00 Z i 3 ooi, °rn• • E .041 101 f93a a p►~o.. CO L0 0 9Z6, a6 `~a9_~p j 933.60 b 935.E U 137.37 (a\ Q 1 S87.58'51 "E I J5 RE I E _E D Lot = 12,213 sq.ft. House 1,822 sq.ft. BY- ;w 'TGWEERING DEPT; } P.R.V. REQUIRED Scale: 1 = 30' 4S 16 --Alicia Drive DESCRIPTION I hereby certify that this survey, plan, or Lot 7, Block 1, report was prepared by me or under my direct SOUTHERN LAKES WEST Y Registered supervision and that i am a dui Land Surveyor under the Laws of the State Dakota County, Minnesota of Minnesota. Plat bearings shown o Denotes iron' monument P osed ro Date T/ -d 9U4 1 9 Re9No. 8140 Existing p E Z14 9 BRANDT ENGINEERING & SURVEYING L1600 West 143rd Street, Suite 20 Burnsville, MN 55306 (612) 435-1966 L RECEIVED AUG 2 4 1999 V10-57-99 r LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPUCATION PROPERTY LEGAL: Cor 7 E,~iCX I ~octrNE/2N (L/= DATE OF SURVEY: F/11 /`f LATEST REVISION:/x4/99 DOCUMENT STANDARDS ❑ ❑ Registered Land Surveyor signature and company Z/ ❑ ❑ Building Permit Applicant V V p ❑ Legal description a • Address 1 o ❑ North arrow and scale ;1-07' qi❑ ❑ House type (rambler, walkout, spit w/o, split entry, lookout, etc.) tu/ ❑ ❑ Directional drainage arrows with slope/gradient % to--'❑ ❑ Proposed/existing sewer and water services & invert elevation ❑ Street name ❑ Driveway ❑ Lot`Square Footage cg' ❑ ❑ Lot Coverage ELEVATIONS Existing ❑ Sewer service (or Proposed) tiY ❑ o Property comers ❑ ❑ Top of curb at the driveway 1 Elevations of any existing adjacent homes V Adequate footing depth of structures due to adjacent utility trenches Proposed ra' ❑ ❑ Garage floor 9 ,/0 ❑ • First floor V o ❑ Lowest exposed elevation (walkoutMrindow) 1$" ❑ o Property comers ❑ ❑ Front and rear of home at the foundation i PONDtNG AREA (if applicable) ❑ r/ ❑ Easement line R' ❑ NWL ❑ t ❑ HWL ❑ ❑ Pond # designation Emergency Overflow Elevation / DIMENSIONS cY ❑ ❑ Lot fines/Bearings & dimensions ❑ Right-of-way and street width (to back of curb) CV/ ❑ ❑ Proposed home dimensions including any proposed decks, overhangs greater than 7, porches, etc. (i.e. all structures requiring permanent footings) &r' ❑ ❑ Show all easements of record and any City uddes within those easements mV/❑ g Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ Retaining wad requirements, if any Reviewed: ame ! Date hbfr.h 1960 CruxareLDrr. CITY USE ONLY LOT BL RECEIPT # + SUBD. RECEIPT DATE: 1 - { q MECHANICAL PERMIT # 1999 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN MN 5512I: Date: (651)6$1-4695 Complete this section only' if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) _ State Surcharge .50 Total $ Complete this section ©n1v if you are remodeling, adding to, or repairing an existing single family dwelling,' townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration - Repair Other Reminder: Call 681-4675 for inspections. Furnace Air conditioning Air exchanger Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS: -aCl OWNER NAME: ' G` e/j PHONE 43 Ls (ARE COD ) INSTALLER NAME: PHONE 23` 5 (AREA CODE) STREET ADDRESS: mil`) C ~L`~'1 C ~Cf'G2 CITY: STATE: ZIP: LJ~ i S GNATURE F PfR-Ml CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: APPROVED BY: ,INSPECTOR MECHANICAL PERMIT i 1999 MECHANICAL PERMIT (COMMERCIAL) CITY Of EAGAN 3$30 PILOT KNOB RD EAGAN, MN 55182 (651) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of permit fee due on all permits.) TOTAL - - - SITE ADDRESS: OWNER NAME: PHONE - AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE L BL CITY USE ONLY RECEIPT ® CS SUED. u~ Y~'Z+! G~.K .~d3 W RECEIPT DATE: L PERMIT # `'Z U 1999 PLUmme PEA mrr CRESTDENTiAQ CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN, MN 55122 h (651) 6$1-4675 i Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ , w Floor drain 3.00 x = $ 40 Gas piping outlet * minimum - 1 3.00 x = $ 06 Hot tub/spa 3.00 x $ Kitchen sink 3.00 x = $ 3 '00 Laundry tray 3.00 x = Lavatory 3.00 x $ "o Minimum fee alterations to existing dwelling 30.00 x $ Private Disposal System new/refurbished * requires MPC tic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x $ Rough opening 1.50 x - $ r~ Shower 3.00 x = $ °o Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ q Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x _ $ State Surcharge .50 > $ .50 Total $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's 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 City property/right-of-way/easement. SITE ADDRESS: 6 ` r OWNER NAME:: qtr 2 G TELEPHONE 7 ~331 (AREA CO/DE) c~ SlS~C~ INSTALLER NAME:Son n LEPHONE ~l6 (AREA CODE) STREET ADDRESS: CITY: " V U'e~ STATE: V ZPP: ~ 7 SIGNATURE OF PERMITTEE t t .e 1 u» ri-rs r 3 regit sft surveys show+g' sq. ft. of lot sq. of house; and tooled areas r 2 " of plan- (20% oo* maximum lot coverage allowed) 1 set of Energy Calculaons for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection street (Wdgs with 3 or less units) I, fl 2 -Z3 -zoo] doo ~ DATE VALUATION (EXCLUDING LAND) JOB SITE ADDRESS L- S 16 A I+'erA Are"VC ~ C~~'-'j~ IF MULTIFAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER c,v ' tar,' t4orr)'-s TYPE OF WORK Z2-1G FIREPLACE(S) t~-6 _1 -2 -3 9S -4f~f017? SO APPLICANT ,rv1^r°e h, ~0►~.s-~r~e~N PHONE # ADDRESS l L Y V a ZIP CODE SS3 d PAGER # CELL PHONE 6lZ~ 3a8 -67,Y Z FAX # YZ -'f14~ Tt' 7 NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY 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: _ Water Softener Lawn Sprinkler Tee: $90.00` _ Water Heater" No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and all applicable State of Minnesota Statutes and "City of Eagan` Ordinances. Signature of Applicant Certificates of Survey Received r Tree Preservation Plan Received Not Re EON Updated 1/01 t 07, Germ 0 ,04 02 x a 10 08 lex -p ~t$ Dock E3 23 Porch 0 ~ ' , hAA, f ❑ 05 03-plax ❑ 11 10-piex 0 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-piex Pibg_Y or N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish' (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units' Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr..-of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final - Other Framing _ Pool _ Ftgs _ Air/Gas Tests Final Fireplace' R.I. -Air Test Final _ Siding _ Stucco Stone Insulation Windows (new/replacement) Approved By , , Building Inspector - - - Base Fee Surcharge 2 (d + ~lC Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies S Other Total CERTIFICATE of SURVEY V10-57-99 for VARIETY HOMES ~n i 5 _ S87'58'51 "E ) 134.04 LO 38-00 30.00" Iron 7X 101 - ,r - may ! 938. d 0 9 A~ 10 40 _ r- .a N C. ~ .00 e~ w a / I .._.I 10100 N 30.00 w I F `~33.~ c~ c f- m a Y P a - 0 4.1 z I 4. 001 ' rn• -Ivj g 3 I go V 00 g 0 E n 1 i ~93a p, 3% 0 C) 10 ~ zoo 'q 00 937, 3 935,E 13 37 lo' Q S87.58 51 "E Lot = 12,213 sq.ft. House = 1,822 sq.ft. U R - Vu "O"ECH . ED J h -scale: 1" - 30' JiS 16 Alicia Drive DESCRIPTION hereby certify that this survey, plan, or Lot 7, Block 1, report was prepared by me or under my direct SOUTHERN LAKES WEST supervision and that I am a duly Registered Dakota County, Minnesota Land Surveyor under the Laws of the State of Minnesota. Plat bearings shown o Denotes iron monument Date 9 Reg. No. 8140 ,,_Existing Proposed E 2 U 9 BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 5530 (612) 435, 196 PERMIT # RECEIPT DATE: 1 L I " RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF IEAfi*N 3$30 PILOT KNOB IRD EAG*N, MN $5122 651-6$1-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for irrigation system SITE ADDRESS: -i'~ fCfA t f~ OWNER NAME:: TELEPHONE (AREA CODE) INSTALLER NAME: E/nom p TELEPHONE 6_5-/- M3-9100 (AREA CODE) STREET ADDRESS: ? A D SC 9 3 CITY: (f /'fit P ~f/4 °I STATE: brit A 9 zip: S~M;z Place a check mark next to the permit work type _ New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 54.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: t~Snt Pi 4 r fff _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees requires MPC license Water turnaround - existing dwelling unit, including: $ 50.00 5/8 meter 115.00 $ 165.00 State Surcharge $ .50 Total .;u ; $ SD . SCE Reminder. Schedule inspections of alterations, Le. water heaters, water eofteneM water turnaround, etc. I hereby acknowledge that I have read this application, state that the information is correct and agree to comPIYwith all applicable C tYof Eagan ordinances. It e tha - is the appGcants responsibility to notify the property owner that the City of Eagan assumes no liability for any dam caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit wthi City property/right-c ay asement. SIGNAT E OF RMITTEE Updated 9/01 I' @F • 3 registered site surveys showing sq, ft of lot, sq. ft. of house; ancL6 roofed areas 2 copies of jbn (201/o maximum lot coverage albwed) 1 set of Energy Oalculdons for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE f VALUAION ~ O 0 JOB SITE ADDRESS ~O I G if,( 0/-- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER r rl TYPE OF WORK _S 0 _G' L wet,- rl oxj FIREPLACE(S) _ 0 1 2 APPLICANT a o 6 0 c1-` 3 3 0 PHONE# C/ V6 3 3 j'91f ADDRESS 21 c2 3, S t l` IQ M,o TCL0 Y S'SS`6 ZIP CODE _ S50 3 PAGER # CELL PHONE # FAX NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY 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 S'~3( Plumbing Contractor; Phone ~S~ Plumbing System Includes: ^Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractors Phone # Mechanical System Includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: one # 1S UN6 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the in ©rmotian is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ' nces. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 1/01 777 tet 'Q9 of pmt v 4* 'tea _ t 'IRF W7 1, b [ -ptex G 10 08-01ft 0 18 Deck 0 23 Phi Wined) I t tt 0 05 03-plex ❑ 11 10-plex X19 Lower Level 0 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex PfbgY or N ❑ 25 Miscellaneous ❑ 31 New 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ` ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof 0 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 14 _ Zoning R City Water SAC Units' O/ Stories Booster Pump Nbr. of Units ~f Sq. Ft. PRV Nbr. of Bldgs a% Length Fire Sprinklered Type of Const -JL Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck)/ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Dram Tile Roof Ice & Water Final Other Framing _ Pool Ftgs _ Aar/Gas Tests -Final A Fireplace R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation Windows (new/replacement) Approved By Z, Building Inspector - - - - Fee--------- - - - f - - - - Base 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 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, FAGAN MN 55122 L - 1-46T 651 68 S Now Construction Requirements RemcdelfRecair Reonirerwnts • 3; registered site surveys showing sq. ft. of lot, sq. R: of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) 1'site survey for exterior additions & decks • 1 set of Energy Calculations . indicate if home served by septic system for additions • 3 copes of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Oetad Options selection sheet (bldgs with 3 or less units) Oa DATE 6 2 VALUATION S (:3~ e - SITE ADDRESS -f S 1 14" )7Lf C t,4 D Yz- MULTI-FAMILY BLDG - Y X N TYPE OF WORK Li__ FIREPLACE(S) 0 I - 2 APPLICANT U )0(61M MTS STREET ADDRESS t3 73 N IJ (q 2-- CITY P~ Uffff STATEN)ZIP S 5I Zq TELEPHONE 105.2 -031 '0777 CELL PHONE # 34,3- *j0-7y FAX #..25_Z-f4 31 31o?S- PROPERTY OWNER )3!") R,I2t TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category " MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (q submission type) • Residential Ventilation Category 1 Worksheet Submitted • NewEnergy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # _ Plumbing system includes: Water Softener" Lawn Sprinkler Fee: .$90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone# Mechanical system includes: :fir Conditioning TFtR 570.00 M Heat Recovery System .IUI 0 9 2002 Sewer/Water Contractor: Ph By I hereby acknowledge that 1 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 Cardin ces. Signature of Applicant WQDA~~j OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 i OFFICE USE ONLY 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 fireplace ❑ 21 Porch (3-sea,) 31 Ext. Alt- Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea:) D 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 _10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement 0 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair O 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump._ Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Cons# Width REQUIRED INSPECTIONS T Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. _ Footings (addition) Plumbing Foundation HVAC _ Drain Tile Other Roof - Ice & Water Final Pool _ Ftgs Air/Gas Tests Final Framing Siding Stucco Stone T Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation Retaining Wall Approved By , Building Inspector - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA121503 Date Issued:04/04/2014 Permit Category:ePermit Site Address: 4516 Alicia Dr Lot:7 Block: 1 Addition: Southern Lakes West PID:10-71300-01-070 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Jeff Pelant Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Benjamin W Harris 4516 Alicia Dr Inver Grove Heights MN 55077 (651) 328-3880 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ,- For Office Use City of Eaall e Permit Fee: 6 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651) 675-5694 017 RESIDENTIAL/lPLUMBING PERMIT APPLICATION / h 73 Date: � Site Address: 1 to A 4141 k DL. Tenant: Suite#: Name. c��_ Q��.._.. .a . ..._ , .. _-.. . ��� 1- oG� M-.m h Resident/Owner t G Phone: s Address/City/Zip ��i I' A-I CM y tq(MR) ` 3:6d,, Name: k /art As1 g7 )A4./a*pa,J. ) C. License#: PC 7 '/137 Address: .7‘.71 7'� '� XdIQY C/kS1- City: /1-1 Via (�.•UI n?rel-r Contractor `1 State: /1r" Zip: �,° -7(o Phone: 6S-1-3x6-030w i £ Contact66A.G 6K�I•iIG�A Amail:610/Z6i e/2 a ttttseetilartt,6 w,)l0c CQ,.# ' New A/ Replacement _Repair Rebuild —Modify Space Work in R.O.W. , Type of Work — — i Description of work: RESIDENTIAL A A Water Heater $ s f ,/ Water Softener i� Lawn Irrigation( RPZ/ PVB) Permit Type l Septic System Add Plumbing Fixtures ( Main/—Lower Level) i i _New f Water Turnaround . Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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 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. 2 ' �� r ( (o46e §(o6rtgM6 A. Jit. x ��414 .r A- kpplicant's Printed Name Applicant's Signature 'OR OFFICE USE Reviewed By: Date tequtred Inspections: Under Ground T__Rough :in Air Test _Gas Test Final lleter Related Items Meter SizeRadio Read Manometer Staff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143610 Date Issued:06/21/2017 Permit Category:ePermit Site Address: 4516 Alicia Dr Lot:7 Block: 1 Addition: Southern Lakes West PID:10-71300-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Benjamin W Harris 4516 Alicia Dr Inver Grove Heights MN 55077 (651) 459-2896 Rumpca Services 1048 Hastings Ave St Paul Park MN 55071 (651) 459-2896 Applicant/Permitee: Signature Issued By: Signature 1 1 Par Mice Use I Penner. /S-019,g( ,,..-I EAGAN /'C__:, • ; : ' (....... 4.. „ :i .. *4 I 1 Penne Pm /6 6-42 j 111 L- I I .----=,...•.- i I Otole Received: l t i 3830 PILOT KNOB ROAD EAGAN,UN 55122-1810 I I (651)675-56751 TDD:(851)454-85361 FAX.(651)875-6894 I Stat 01010111(001910090149621816111814610 L I 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: lTtiift‘11444 Site Address: 4/c/6" 1CiA 1/rILtet.-- Unit lk Name: L------4,.it j I itOl 414 ''''''' Y new., Phone: letlf Resident/ owner Address if City I Zip: 4/574'' effier)f- IV V-- , -- - la: Owner .../g Contractor 4 — IType DeScriptbn of work: Xratirr, -t5:00(-1•01 of Work Construction Cost . Multi-Fondly Bylaw(Am—I ND .._.) Company - -- - ii- 44" y. r * Contact 0. ea+ ..e- ur-- Address' yoio tv0AR, torte Cy: 70.4 Contractor 1 • _t . state. Ai mix 517.11 phone: l) 47 ,IiEmail eit kt et-e4/4-41fdifeeofeci,,,A,..„ (.... ut•n••#: 6 CGSIS.41- Lead Cordate*ft etftv, If the project is exempt from lead certification,please explain why 141/14/6- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a*near Man 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: Firs Suppression Contractor Phone: NOTE:Pans end*upper*"*cremate that you submit ars eiweviminer fe be public Inibtimein. POrtisits of the askinaseee anwire - 4 elssilkod as nonbli .4easens ast wee/dpenak the de comatiallist Paean,Pads masa You may subscribe to receive an electronic noMication from the Cloy of proposed ordhoseces by sepias up for an weal updas ea the Cit?* walk*ix altea&1131010111010110212111. Exterior work authorized by a building permit issued In accordance with the laketestee Sate Bending Cods mat be comperted IWO ille days of porn*issuance. CL BEFORE YOU tom Call Gopher SW*One Call at(551)41M-01102 for protection Against • • • • rally damage. Call 48 hours betas you intend to dig to receive locates of underground Lades. um.= I hereby acknowledge that this kdomation is complete and somata;that the work will be M - • - the ordinances and codes of le City of Eagan; that I understand this is not a penult,but only an spoked=for a permit,and - • ' Mimi a own*that Ile work vall be in accordance with the approved plan in the case of wort which reales a review and •• • • ;of (i. x r,,edreI-.. yn ,4,..,„' 4 i ' Applicant's Prima Plaine _