Loading...
4127 Cashell Glen Use BLUE or BLACK Ink r For Office Use Permit City of EaAC~d - o I 3830 Pilot Knob Road i Permit Fee: Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j I Fax: (651) 675-5694 I Staff: L-----------------I 2010 MECHANICAL PERMIT APPLICATION Date' v_ /0 ~ ite Address: Tenant: Suite RESIDENT / OWNER Name: ~C c9 ~J Phone: _4Q A G Address / City / Zi P CONTRACTOR Name: le w /X License Address:/ &3 State ~ Zip: t ~ z 2,-,r C Phone: 16 Contact: Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: ~A NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 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. www.gopherstateonecall.org I hereby nowledge that t ' rmation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; AAI I nderstand t 7caso 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 t pr ved plan i he work which requires a review and approval of plans. j x x 't x, Ap P e a Applicants Sign ur FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In _Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink r----------------- For Office Use QLI 1 ll~V oa~ I Permit#: City of EaI t~ I Permit Fee: S~g I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: V Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5Z-!:-711 0 Site Address: ~t! ez-l Tenant: Suite RESIDENT/OWNER Name: AL., /qo['G ~ Phone: 651 r-Z6 0 -333 j Address / City / Zip: 2'I C4 s L d ra L Applicant is: Owner Contractor TYPE OF WORK Description of work: C i fi ,6`.S Construction Cost: & V0O Multi-Family Building: (Yes / No ) CONTRACTOR Name: License 204, 3~8 y C, Address: ~ a-mss Yam„ 1 P Ate, ~ji City: State: MZip: X512-5 Phone: R Contact: 5 Email: Fa $ S o 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 with the approved plan in the case of work which requires a review and approval of plans. x IZS6 rl;~ 0R P n W 7 x .r7 Applicant's Printed Name + Applicant re IV W 2 7 Zt~tO Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building ~g WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior V; 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 Occupancy CES System M Plan Review Code Edition SAC Units (25% 100% Zoning City Water Census Code Stories Booster Pump # of Units.'Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill Final Meter Size: Radon Control-- Erosion Contro Reviewed By: ~J~- 1Z , Building Inspector .1 -1 - V I AAA41[ RESIDENTIAL FEES Base Fee J l V° Surcharge poyav 2 Plan Review MCES SAC City SAC J Utility Connection Charge L, S&W Permit & Surcharge AOf Treatment Plant Copies TOTAL Page 2 of 2 G E v+ w 5 ~ b RV c APS~ So NE 31 . t~ C A S HE L L G L EN 0 gs9• 9°9' 9°~'• 4 semV I-Ce "89' 3"yG' E No -rA►L 90g . 7 01 MD t9.33 f rl oil. 00 UaR.t\aE sL A ~ o z N 913.5 11'5 ,.n I 1v' E~~,\ ~ ►.2.0 -~---1 I ----a 5 5 to,3'S S' SA C- X I Si. 3 5 0 z5 PRoPosC-D t}- I r ~ :31 14aUSC- ,n( Ho C o -S INS C OI- .v ~ - -~H ~ o ~ 909 oil xc,~ °1 I x 7 N ~ ~I s r r DRa1N N6 AMA I UTI~-i TY ED.S,C- tin E w~T ~ s E~ V,> E117 E Lc N~~ a 11,4 9~ 3, w 3 0 8'1.5 •,W , q, 00 TAP ~I~,OGIL. EL• 913, a ~A <jfcMEr-IT El. , 90eo, o ` PE'SCR /PTION NORTH LOT /b, SL0rX d~ SLA`C ("'=30' W N 2 ,E L ALL $EAMW A55UMED F'1 R S T ADDITION, o DtNOTES IRON MONUMENT DA K 0 TA COUNTY, MINNE 5 Orr ~DoRESS 4l Z-( Gp.SNtcL ~ (~LEt~I I hereby certify that this survey was prepared by me'or under my direct supervision and.that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Date: -z LeRoy I. Bohlen Regis"eyed Land Surveyor No, 10795 t ds;:a~,cn NRennner Typt,: Swim -q 5jof OP L atcral Smong: Contif o(ss 30tf, m Lateral Cantinuo t ' Moisture C;ondi(iow Dry Suilding Gcde tB f IRC 15 PLt= Deftert on uriterol L1360 live, U240 total 0.500' rrox. LL 40 PLF Deck C or eo ion: Nailed Mnbcr Weight: 191 P i F t F ename: KYt31 Loads s t T6b, Dead Other Alm) 8ectin End Width S1art End Mart End Category amaritUnItofmWSF) 01 0.301, 17' 700.: 4' 0,0T 10 40 i_rve <sccmer,t Ut6orrn (PLF) t:)' 0,00" 17' 7.00" 60 0 Live tf A,.ls itiont .il Unifo m (PSF) 0 60" 17` 7.()()" 4' OM' 17 47 Roof .ai Uniform (PS F) 4° 0,001, 17' 7.00" 2' 0,00`- 17 47 PDot - _ 7 5 ®_m fr~ art s and Reactions Location Type lnputLength than Required Gravity Reacdo i Gravity Uphff ~ 01 0a)(11" Wail WA 1-50611 4899# ~f axirvijm Load Caw-, Reactions ' aG4*der~7 x,r(e&ts (~°i tMGStN CSn~irK7 mvaraea Dead Uve Roof t 14189 255" r~D~ '~tS~i `Y+L' S7y'fF• `i PSfGfsac.l: t X14"X -14'x 2,OE WS LA LVL ?~'ornoonant Member 0646n has Passed Design Checks." k Minima 6a0 tearing requIfed at boaring # i k inirnurn 1,50 taring required at b8aring # 2 Design assumes coati uous lateral bracing along the top chord. ~ Uesi€dn assumes continuous taterat bracing along ths bottom chord. :gable Stress Design Actual Alowab9e capacity Locatkin Lodi j ~ivt, Mru IU,A 21712.7 5 5P4 7, 1# 3£t,;a 8.86' Tctat load 0 t 0)_75(1,,+ r) 4254.# 174564 24°e'6 5_t31° Tctai load C3+Cr.75(L+L0 cf c' : r:' ,51 0.8865" U415 3,wl Total load 0+€ ,75(i_+t r( 3gg 0,51M, U63 Ft.t Tot al oadL1.75 L+Lrf 001,.`x: LM-100As J N=11 ~a FZ( $cS S i/tfk C{3 ~ ^ea a nea a mw ve iriemt~ei u,% try eat in txmpnq s,-- 4 % €'kttu'rtec°ute. s tn:',~1lai,'~ ;a gJda tAUST W CC412~W 19 has MW Wnnee€nn dtAIds,3M alternettVes €a wu nsesse:njen aifiale ade .xs WA(JSAIJSUPPt.YCON~#xtA~IY 217 PighviewAvtai y ia't'9ll ~i f'l4~ ~ 3 a ~rxer s eae~~ r c_ au wcrrrs to Lait~ Aki, MN, 55 4 7 ' + _rasitti,@.az PisC tcasaUrtYe=:dw.vrm thit Urkafry~iraaisfs~i~~'kt d94 sn~16ra f7tCaadq Le9r~%~':a aalAa +4 ~aslc4w=¢i--ae°-`+-'6- 3 1 t =i pega[hc&R4gnt^~d+k991M+Jt39'tC~af nsr'9vRcd~a nµxnr~1,71'ax3esA9 as 5.qus®ro~i-d(r*+'stam axorirp n'4zd;mstrfaCaxt=s PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA079269 Eagan, MN 55122 . Date Issued: 08/13/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4127 Cashell Glen Lot: 16 Block: 4 Addition: Wenzel Ist PID 10-83570-160-04 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: 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 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: Fireside Hearth & Home Molly A Moran 20802 Kensington Blvd 4127 Cashell Glen Lakeville MN 55044 Eagan MN 55122 (952) 985-6675 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 AMR- Werttf icate of Cccupauc~ ' WitV of Wagan 2*#Grbatut of ISSIOWS anotctioa 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 cinsifwa im: SF = 11mg. Permit No. 27254 Or cy Type PJ/ U I Zing Dissirz R I Type Const. V j own" of Ht iW,, WENSK4NN HM Add,,j, 3312 15 IST ST W, ROSH= Bui Address 4127 CASHUL aM- L i y L 16, B4, WFlNZEL 191 6-4 Date: POST IN A CONSPICUOUS PLACE INSPECTION RECORD •4tTyj0F EAGAN PERMIT TYPE: t 111 fig', 3830 Pilot Knob Road Permit Number: ~ ' 4 , Eagan, Minnesota 55122-1897 Date Issued: cs 4 J 1. A /'114, (612) 681-4675 SITE ADDRESS: APPLICANT: .:I r,~r1€ PERMIT SUBTYPE: TYPE OF WORK: l ~ ~l1 11 INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. ,►q ! Lirr rrrll ! ,1,, 1 pl':,I1± ( 1 rlfd { 11f: 1 t f i iil)t~ll N 1•' F'!, 1I 11 1 t r! : I i ~ : to i~ i 47i1V t! PYAW I 1 P i J Penult No. Permit Holder Date Telephone S +LECTRIC I. 1 LUMBING .3.1,.! HVAC Inspection I p. Comments FOOTINGS FOUND (/`,M/j~d ~+C U W FRAMING /J--.9 c 1 ROOFING ~J ROUGH PLUMBING PLBG ! " % fi AIR TEST ROUGH ~Q J j - G l HEATING 0 GAS SVC TEST INSUL C GYP BOARD / FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINALHTG ORSAT TEST BLDG FINAL 6. 4e BSMT R.I. RSMT FINAL DECK FTG ~FCK FINAL i _ i INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Y3830 Pilot Knob Road Permit Number A44 ' Eagan, Minnesota 55122-1897 Date Issued: 4 ' (651) 681-4675 SITE ADDRESS: APPLICANT: Joan z PERMIT SUBTYPE: TYPE OF WORK: DATE INSPTR. INSPECTION TYPE DATE INSPTR. INSPECTION TYPE :L1 --g hq w ~l1 1 /firii 1 4AK- -',440 P'F'riAlMIe!4i t 1,#-ClPy"A1 pi- ONI ( ANO INSP1 CT.1ON`t J SEWER/ Permit Holder Date Telephone WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING IA 4 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD ✓ FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 2 5 4 (612) 681-4675 Date Issued: 04/10/96 SITE ADDRESS: 4127 CASHELL GLEN LOT: 16 BLOCK: 4 WENZEL 1ST P.I.N.: 10-83570-160-04 DESCRIPTION: ax~, ~~x ;4i,].trr_Permit Type SF OWG - . ^~Bui:Ylor~k Type NEW ~F UB~ticcsctne,,, R-3 U-1 ° fir-u_i.cs.n:,ype V-N ,s Bu4ld?IM L`en~th., 1 62 p~d4.4J1'~+h C 58 W`T:''1 2 , 4 5 8 C s`u£o e 101 1 - FAM. DETACH 4 v a ~ ?I±y LIT F,-R2"M M4 : z~j v d 1 13 3.N E$ dEI it_ SIt~Fi file- .e- :pfi g4 jlw _u". 4e a s~.nt•. v~!~a~~ sfi +ih vffi s ~ ,a re Ea; ` i.+m'm ex~T a i~ix MM REMARKS: S & W PLBR - GENZ-RYAN PLBG FEE SUMMARY: VALUATION $152,000 Base Fee $1,147.25 MISCELLANEOUS $1,923.50 Plan Review $573.63 Total Fee $4,620.38 Surcharge $76.00 SAC $900.00 SAC 100 SAC Units 1 Subtotal $2,696.88 CONTRACTOR: - Applicant - ST. LIC.OWNER: WENSMANN HOMES 14231179 0001458 WENSMANN HOMES 3312 151ST ST W 3312 151ST W ROSEMOUNT MN 55068 ROSEMOUNT MN 55068 (612) 423-1179 (612)423-1179 ' I y t. I H Y F G x f f '-ba er x Y C C - R J: 1. T I hereby .ackpn6wlt~5teht=_S have read _S+i 'applGa.tizan arts#tat t'FrCxrthe irrf,o"1irr~thon~:~ir,"decdrrd`gresx to d:cmply_ with al_1 a{kp>ab1eateLttf h1m,„` I -x St^atU 0" "4410: C' a-Tio 0t, APPLICANT ER ITEE SIGNATURE ISS D8 T E CITY OF EAGAN ,r 10543830 PILOT KNOB RD - 55122 1 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) r ,j 681-4675 UAA 7 q New Construction Reauirements Remodel/Reoalr Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation vDIan Slot platted after 7/1193 required: _ Yes 4 No DATE: ~ - ) CONSTRUCTION COST: DESCRIPTION OF WORK:L She STREET ADDRESS: LOT BLOCK SUED./P.I.D. PROPERTY Name: w ~yt OrYr7 d r~~ Phone OWNER Street Address: 33 I A - L51 4-f Ld State: 9401- Zip: 5S~ City: CONTRACTOR Company: Phone Street Address: License Y 5-2 City: State: Zip: ARCHITECT/ Company: Phone # ENGINEER Name: Ye~ Registration Street Address- City: State: Zip: Sewer & water licensed plumber: 1.1P~i~ Penalty applies when address change and lot change are requested once permit is issue . I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 1 / 5" OFFICE USE ONLY RECENED Certificates of Survey Received Yes No MBAR 2 - Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ,~,OL 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous 0 05 SF Misc. ❑ 10 --plex ❑ 15 Deck WORK TYPE ,-jd- 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) ~N Basement sq. ft. 6,0 MC/wS System (Allowable) Main level sq. ft. $23 City Water UBC Occupancy E, sq. ft. Fire Sprinklered Zoning 2-/ sq. ft. PRV # of Stories /ISr-r sq. ft. Booster Pump Length 410115 sq. ft. Census Code. a Depth s7. s Footprint sq. ft. ZF ys-8 SAC Code of a, Census Bldg i ~ ' ~ Census unit / APPROVALS I P- Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review ~y5 License Bx s MC/WS SAC yK 2 z = ee I ' ` z} City SAC sr . 33 Water Conn. Zy33 x > ~8 n Cy/ s p S. rrS s~ / i Water Meter s Acct. Deposit ~.3TK s5 S/W Permit = ~3s) ~/S 7 r, _ = 3b SAN Surcharge 1-17x 32-$3 Treatment Pl. 3_sx e3 X ZS = Road Unit y~ ysD Park Ded. ~A^• 1-s c 7• s Trails Ded. 13 = /ys Other r x 9 / N C~-- Copies 33xiZ ' 17` Total: 9~,yyz z, &-~zu.67= G2/ % SAC LAC /L !9 to SAC Units 33-G 1200 (y(oD X/ ' G yU b • u vE 1N~. MA ~ G V,~~JS p Ip~ E E R I b3 3 5 ~~yG N 3~.6 CAS HELL GLEN M ~ i• "'`4*.,94.' ^d.A fr~~a~~,:. -ci. .,•r.~q-L'~"9~~jf:+r;~ s~'. s6RVrc E o at ~ r~ Dw.' y6'~ No 7AIL E4• ~g~•t'n 85, 2 _ ,h ---43.3 Ex ~a8.3 P" 5eg, ~ 11..0 19.33 • \ r„ 9.b1 's N 13.0 ' 12. Q o0 4ARAGE i SL P% N 9 3, 6 11.5 LP I Io' V~~\ Z 12.0 fi t --J 3 5s 1e.33 a'r' cA 31 E Y, 1ST. SS PRoPOSC-D I ,=1+ 1IoJS~= ?n tP I4OUSC- n' vN N o, o Gn ?N.z 33.0 O =p*--t---r-- O S Ex DRAtN ROE ANO r, _ U'f14Ty E45C-N,E~1T I s y/ 8 S I J IAT _ _ ouo go e 8 9 3,e ~ Y X3.0• gT.5obDa 6 S 1q, 00 EAGAN VGINEERING DES . Top QLOC I< @L. 913, 8 R.^~DESCR /PTION„ &ASEMENT 6L. 9om. o NORTH LOr /6, BLOCK 4, SCALE I"=10/ W E MY F/.' ALL $EARINOC A55UMED FIRST ADD1rI0N, oDENOT6s IRON MONUMENT DAKOTA COUNTY, M I N NE 5 0 rA 412-1 CASNELL C~LEnI I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Dates fz LeRoy Bohlen Registered Land Surveyor No. 10795 4 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PER IT APPLICATION PROPERTY LEGAL: Q DAT OF SURVEY: LATEST REVISION: DOCUMENTSTANDARDS ❑ ❑ • Registered Land Surveyor signature and company ❑ ❑ • Building Permit Applicant a,, ❑ ❑ • Legal description 2---13 ❑ Address Cr, ❑ ❑ • North arrow and scale Er' ❑ ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) Cy ❑ ❑ • Directional drainage arrows with slope/gradient % or" ❑ ❑ Proposed/existing sewer and water services & invert elevation I" ❑ ❑ • Street name ff~ ❑ ❑ • Driveway ELEVATIONS Ebstina 0~ ❑ ❑ • Sewer service (or Proposed) ❑ ❑ • Property comers 1?'- ❑ ❑ • Top of curb at the driveway 0-~13 ❑ Elevations of any existing adjacent homes Proposed 0~ ❑ ❑ Garage floor e`' ❑ ❑ First floor Q-~ ❑ ❑ • Lowest exposed elevation (walkoutWndow) t7- ❑ ❑ • Property comers Q~-u ❑ • Front and rear of home at the foundation PONDING AREA Cd applicable) er, ❑ ❑ • Easement line ❑ • NWL 9~ ❑ ❑ • HWL ry"❑ ❑ • Pond # designation ❑ Emergency Overflow Elevation DIMENSIONS 2"13 ❑ Lot lines/Bearings & dimensions 21, ❑ ❑ • Right-of-way and street width (to back of curb) 0-'0 ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) Er- ❑ ❑ Show all easements of record and any City utilities within those easements ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ p--,❑ Retaining wall requiremen ' y Reviewed: `-5 me ate January 1998 CRA161996MOGPRMUM Ex. VIM- (4128) (4124) (4120) + 1 (4116) 1 4~ I I<I•~ 1 ' 967.2-w (CONNECT TO O 2tu 909.6-`~~ 897.2-5 ~fi.t' ~N 1 IEX. MH MFi r 0 sos.3-w a9s.s-S 1 r, I i I cMV ~ ° w Ex. 907.1-W 899.3-5 x8 TEE 1 1 Z .1-S 49 i ~ 3e.3' 897 a~ ra- L BEND 43.6 42.4' V - 0.. 6 W Z 8' 1n 66.0' n Ex. 6" W.M. 9 ~ 4 CX. 8" 4Oa~ SAN. SEWERU ;5 LLJ 12 62.6' W stn • _~y I REMOVEFS L) a w B~ - x BIT. t ct, j % 30.6' 44.4' I A MH l 29.0' CONNECT TO Fa+: ° f 17 33.9' Qt`s I I : Ek. W.M. w/ 486' ~lf$4 907.3-W $ k~ i 81x6" REDUCER §l? { 2±11 809.6-w 897.3-S S ~wI 1 rip°A MH 39.4' 909.4-W 899.6-S CD z 18 899.4-5 I x r + + : M i6i- W tt, I i 896.6-5..._-' 1 N. I S i r 1 T~ 16 (4133) ;I W } US ! I~ t 0=2241 15 I i w R . 250.00' I ~ 1 a' -f a50.15' I ~I 1. - 98.98' 1 PC = 12+74.84 PRC = 13+73.82 N .LF';.'. - e P i ~wE Q'y~.P It I 50 R 1 ,r REDO o c~E~ ~it,• u, fact 900 . . WIE: SERVICE TO. BE .4". PVC: SDR AAE ERVICE TQ_BE 1" TYPE K C 3. CURB BOX TO E- . L CED ON PROP . . . . . . 4.::EXTE D SERVIC 15' INTO PROPERT . . 0.1 1;. sEWE : SERVICE TO BE: • . ;t i.C~, S.r t;CY: F Ink: SK WATE SERVICE T . . 0 $E } 2 C P, 5"L' 4..EXTE D::SAN::S RV1CE: 5: EYOND: D. • . .mil L;ryl;IQid QN HESI E. y.;14 7 P.VI: Y1+60:....... . ' ¢,G: 902. 6::::: Ek EV; : = :91:2.44 100. MH:= Z:'; VC : = .260' 0:87.' 13+'05 : 'Rt: - MN- 8 M 12.94'. I . 904: 7:.... 1n z i Ex.. MM : . s:.... _ - :DIP L.: 52 ~r I. . . . - 105' 8?' Yl' I. CDR :3 41% 52%::. 32 1_8" :PVC: DR:35: ® 1~ : . PROPOS D 2411.... t.14 -STORM: E~ CO E: DRILL: C NNECTION :TO :Ex.::M . . . . . . . . . RE ONSTRUCT INVERT :T : SUIT NE. FLOW N h Exist'. 7" . co' O t A SAN. 1NE~t...: M EXISt.. 27. ' 0.00.:: . DATE ~C~ _ EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER k f iC--nI 15~//YII AN'~I SITE ADDRESS `(1 01~ ~J vv`. CONTRACTOR. ADDRESS 3 3 Lz - 1s~ ~Jytl PHONE q23-)/71 DETERMINE WORKING SQUARE FOOTAGE OF EACH. 1. Total exposed wall area f 21 sq. ft. X 2. Total roof/ceiling area sq. ft. x Total exposed wall area above floor ac rot*L walJarwindow area • • • • • • • _ ~:~a:Ta"t al door. area. sli~ing.:glass.door. area,....... -d.-. Total lfireplace, wall. area . _ - :t'Total' %Fa11:lsaming• aiea-(aveiagG log) • ;fr:.':Total .net. wall. aiea,above•,floor ? g. 'Total -rim joist area Total exposed foundation area ° h: Total foundation window area 1.:.,:Total net..foundation aiea• above. grade - - Ddter&3iie "U"- varur-mf, eadlL wajl•csegment. -:-X Ifulf A. ' b. 100 x uU„ y e a. ~9 X fluff o z _q] - X .„v„ 7-4 Z0, 'LL e . ~2_ f. X uuu '041 g• h. U X ,Ulu i. '-71 ...................Total If item 03 is the same as, or less than item 01, you have met the intent of SBC 6005 (c)2. y;! 7'otnl exposed roof/ceiling area 1. Total, akyltyht Aron _ ve~ k. Totnt roof/ceiling frnming nren (nvernp,e 109.).._ _ 1. Total net insulated roof/ceiling Area 1G? Z~~ _ Determine "U" value for each rcof/ceiling segment. $ fluff. k. 72' X nun . i)y~_ -"..,7154 X full 4 ..............................Total Ir total nf 04 is the same as, or less thnn 02, you hnve met the intent o't •SSC 6006 (c)1. . .tl _-yAlterrihte. Bu#J.ding,_Fgvelnpe;;Dpsigtt 'Tq utilize the total envelope system method, the values established by Itlf- sum of items 03 and 04 shall not be greater than the sum of iters q~F and d2. 1. + 2. ~r 1 N • 1 i PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: 3U.1 L D I. N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 4 4 4 7 (651) 681-4675 Date Issued: 01 / 2 5 1 9 9 SITE ADDRESS: 4121 CASHELL GI.CN 1'0T. 6 8L0C,K wIF NzFII 11 P.I.N.; 10-H3670-1Go-Ott DESCRIPTION: I -LASON Bt#'iIdino•Pr;rmft Ty De fnNCli Nuj.ldino Wdc!4 1voF Nt.W rcensue Code X34 A! I RE5IDE NJ IAI. REMARKS: PI AN 13c1/I"LWFO kY WAYNE 1, 11 1 1 1 R CALI 1651) 445-?Ft44a RF.,GAPI)jr,i IitllAl '-IF,MIII A NTI IIdIS PL IT0N:,~. FEE SUMMARY VA I I I A L014 1 L„000 Base Fee $I95.: Plzn RPVie"'j 1.t25,'I Surcharae 35.50 Tot=~1 I=~c A32 CONTRACTOR: - A.Dp La cant s r. L1 c. OWNER: WENSMANN HOMES 140114400 1455 MORAN DAVE 1195 PLAZA DhlSTC it200 41CASHEIL GLEN A 0 A N MN 55122 Lf,cAN MN 55122 (CIS1) 406-4400 !5511 her-ebv aclcnowledea that I have read r-his application and state chat the intormation IEM k o t and aor,e to compLv wlt.tl clt aDDIic,able Stote of Nn. an nrdirlances. SIGNATURE ISSUED B SIGN Address 4127 CASHELL GLEN Zip 5512 Lot • . 16 Blk 4 Sub wDM 1sT THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSP CTION. Date: fo y Yes No Ins ctor: Q L t f Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage X Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN Y 3,-zS r7 3830 PILOT KNOB RD - 55122 (o .S~ 651-681-4675 New Construction Requirements Remodel/Repair Requirements > 3 registered site surveys showing sq. ft. Of lot, sq. H. of house 2 copies of plan and all roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks > 1 set of energy calculations > 3 copies f tree preservation plan R lot platted after 711/93 1 DATE: CONSTRUCTION COST: PP n, DESCRIPTION OF WORK: V~)e c y' I C y--~Cn' I o n ~`1l Cas h e l l & (-e r STREET ADDRESS: 1 LOT: BLOCK: /I SUBD./P.I.D. I 9 ~ ~y, Name: Oran -Day Phone#: I el-W~ PROPERTY Lost First ((Vu) 347- L(U?)~ ((i) OWNER Street ~Address: 6 I'e n City 1 G LAY State: I~ N Zip: Company: Phone i (area code) CONTRACTOR SflrF Street Address: License # Exp. City State: Zip: ARCHITECT/ I n ENGINEER Company: I oY b Name: Telephone area code ( ) Street Address: Registration C City State: Zip: Sewer & water licensed plumber (required for new construction anlv): Penalty applies when address change and lot change Is requested once permit is issu Thereby acknowledge that I have read this application, state that the informatio c t„ n ree t ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY D V D V L5 Certificates of Survey Received Yes No =-3 i Tree Preservation Plan Received Yes No Not Required : V OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 03 1 of _ plex 13 08 6-plex 13 13 16-plex ~ 18 Deck ❑ 23 Porch (screened) El 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code o/ UBC Occupancy sq. ft. No. of Units o/ Zoning sq. ft. No. of Bldgs 6 # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV APPROVALS Fire Sprinklered Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. ' Other ; Copies Total: SAC Units % SAC ~1 Y111 I'll G.. tit lJ~:aa 5 ~ ~u ~ c• ~~~MA Ip~ED R~~ 3 ~ p N x`.663 CA S H E L I. L F /V ~ qo .y~ ~9oq`b2 9b .dtt 4 • ~ B9' 3'HG"E to 41 3 1lT- - 9 f ANN ~ f ~ a-'"~ 30,5 g~~,•~ ro 9.bT 00 y~ y'A G SR t raa $ y om! 913, 5 11,5 lit n lo' „_.J 3 to,s~ 8, s 5 5 3>= x t s r. F' 12 o P w D d' I tr 14 c, J S G in' t4ovsC- n pa; I 33.E -y2.p rM 1Z MM ~tH p a E < 9o9.S of I~ 7 N 1 C~ Kt C7' U I ~ J I ll'(141T`/ EA~MEtaT IS r r a- ~ r riu -63 i 8s3,.a e1 50 S T9°o016 -Cop Vt_cD tJ - pL. 9t5.8 nr foR ipriom NORTH I-or ec ocu 4, SCALE 1"--30 ' W E N Z EL A4L SEAR/NG~ A5SUMRP F'1 R ST APPITIPN, 47pENOT9~ IRON MONUMENT 6AKOTA C oU1vTY, MINNE S.OrA p,pQREaS 417_71 GAS(-l1=LL Ca LEwI f~ I hereby certify that this survey was prepared by me'or under.my direct supervision and that I am a duly Registered Land Surveyor under the Lavis of the State of Minnesota. Dates LeRoy WW L~ohlen Registered Land Surveyor. No. 10795 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) y CITY OF EAGAN t`I 3830 PILOT KNOB RD - 55122 (o (651) 681-4675 C NU9-d l 1 n( New Construction Requirements Remodel/Repair Requirements i # 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 7/1/93 required: _ Yes _ No DATE: I1 - 9 9 CONSTRUCTION COST: g D o 0 DESCRIPTION OF WORK: G S o tJ -!.0 r C-L- STREET ADDRESS: y /I S V. I -e ~ f r LOT: I BLOCK: `d SUBD./P.I.D. Nt I 7'~t Name: a ' ( I✓ G u Phone PROPERTY Last First OWNER '7 r Street Address: L_I Z f C& S G I',t'( I City G G n( State: 1 V l K1 Zip: S~ I Z Z 1 L q Company: `N R S Phone L7 a CONTRACTOR Street Address: I d I 6 2 4 I/ r- ''nn --A License # L S Exp. City G a State: Y ~I Zip: SS I Z- ARCHITECT/ I I / ENGINEER Company: '\,f\l-e nl S /k& AI 4 *,cc Phone 00 Name: q G Registration l Street Address: I O I t 2 S j✓ City 'F, e f & V4 State: Zip: SS Z Z Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the inform n is correct, and agr to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: RECEIVED OFFICE USE ONLY Certificates of Survey Received _ Yes _ No J1999 Tree Preservation Plan Received _ Yes _ No _ Not Required BY' OFFICE USE ONLY ` BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code 11314 (Allowable) Main level sq. ft. SAC Code -el_ UBC Occupancy ~q ft. 196 Census Units e9/ Zoning sq. ft. Census Bldg O # of Stories sq. ft. MC/ES System Length sq. ft. City Water r/ Width /y Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Buildings Engineering Variance Permit Fee t °I S. a j Valuation: $~(7✓'~6~'/ Surcharge Plan Review l a (o .`l f License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: a'7. (o % SAC SAC Units JAN-22-1999 10:15 P P.02i02 j HN. CG. 177 - 11\/ ✓U I 1 WI yl~ fay Form for use with Minnesota Rules part 7670.0975, Subp. 2 1 & 2 Family Residential "Cookbook" Method 5ITE ADDRESS aty BUILDER DRIC Minimum Criteria. Rim joist: R-19 insulation Foundalap Windows: Insulated Slow I/2" air xpma wood or vinyl (raule Entry doors: IA indi solid wood with storm or better ST121 Window & Door Area STEP 2 Calculate arenas a percent or wall Total Window & Door Area in Sq. Feet Box A (window & door area) divided by Box B (total WINDOWS (including foundation windows): wall arcs) times 100 equals the window and door area Dimensions Qnty. Area as a percent of wall area (Box C). Z~ x 71. BoxA 2 d> x ?vZ / Box 37( x 100 C LIE C-90 7V X 7iZZ zka x STEP3 Design Features x 3 ASSEMBLY OPTION x 3 FRAME WALL: r2xa x STANDARD FRAMING j x 3 (a ( ADVANCED FRAMING X 3 CAVITY INSULATION R• 2 x 2 2- 1 L DOORS: 2f~'F 57o (0 O SNeATNINGi Lrs9S THAN R•5 x t fLL___~_J~If 6 r S •-z- q0 R-5 OR MORE x WINDOWS (ecccpt foundation windows)):: , X U ' Total Area ea of ~FACTOR I Window & Doors Total Wall Area in S Ft. From dia table, determine the maximum percent window 9 & door area for die design options selected and enter the Wall Total Perimeter Height Area value in box D below: 550 Z 19 4;5zp !r Total Area B Box C must be less than or equal to Box A _ t of Wall TOTAL P.02 4-4" V01 HHP b~) s 'k 1 O' 0000 goo ~~~S~A ~pt~E R~ 33 CAS HELL off' o'ff' q 9e9- --r- • ~ 8!' 3rML'!r as, 2 °1 p .,N N d.ln~ ~JOr~7 S ~ 12.0 tn / 9.bT 's 13.0 'IZr4 I 00 c~0.RA6E 0 2 log ~R" ~ ~ ~ 913x5 11.5 ~ ~ y era ~ !o rib J $'S 31 E X 1 ST. ,f ~ 1.4ot3sL `t n' Ire a o c-.K ~u.~ oWj nQ p + 33'4 L2 0 Z -nQ'o,- t"iN p o ~x 9e9,b e•~ O%Ax 9ogr % q• qIQ s uW 7r ~~o~d IF- W, or CL T pRA~*lP.G1C- pNp I tl'f1UTY Ee,~►~E>,1T ~S J-f 3$3~ o ~ 8?r5p W + S 19.001b 'feP ~t_ac.1~ fit. 913, 8 ' $i15(Z4J.ENT E1_. 904+.0 pESCR /PT/ON NORTH LOT 16, I~LDC1~ SCALE fors3of W E N Z EL ALL BEARINGS A55"OP FIRST ADDITION, vpEHOTE~ IRON MONUMENT DAKOTA COUNTY, MIN NB s.OrA 41~-t c.p..s1-1EL1- C~LEw1 T hereby certify that this survey was prepared by me or under•my direct supervisions and thatStI am ate a duly Registered Land Surveyor under the Dates /Yeegl t&06.1 f 4 / _ LeRoy Bohlen Registered Land Surveyor No. 10795 2 5 5 - 3 9 2 O US ONLY This ea, e t wid I B months from wahdaton date printed in this boa. 31 790 PLEASE PRINT OR TYPE A9 J dv '-'4'n6/96 Rough-n insp on rega,,edR es L] No Inspection Other Than Rough In ❑ Ready Now [I Will Call ou must call the inspector when ready) Dote Ready I, ® licensed contractor ❑ owner hereby request inspection of the above electrical work at Job Address (Street, gm, or Route No) Gty Zip Code 4127 Cashell Glen Eagan Section No Township Name or No. Range Na Fire No County Dakota Occupant Phone Na Wensmann Homes 423-1179 Power Supplier Address Dakota Electric 4300 220th St W Elecmml Cornranor (Company Name) Contractor Lame No Master Lc No (ant Elect. Only) Joos Electric Co. A Mailing Address (Convector or Owner Performing Inskllanonl 3980 Beau D' Rue Drive a MN 12 Authorized 5ign.%. (Controcor or Owner Perfommag Irox,11 m Phone No EB-WWIA-10 6195 STATE BOARD COPY• SE INSTR IONS ON BACK OF YELLOW COPY IIIIIII I IIIIIII IIN~IIIIII~ IIII REQUEST FOR ELECTRICAL INSPECTION Un MinState nesota Ave,dRm Electricity MN 55104 * 0 2 3* Phone 16121 2-0600 Home Dup ez Apt. Bldg Other: New Addn Commercial Industrial Farm Remad Repair F- 1 Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Tem . Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee . # Service Entrance Sae Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200-Amps OO Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Outline Ug. Xfmr. ~e go $93.50 Alarm/Remote Control k! Swimming Pool I here teen Mot ms ected she el ins ed h<re~n on the doles sensed C/ Irrigation Boom Rough-In DmDI-',7~_ Special Inspecion K iC/ Dole JL Investigative Fee Frtwl 'T THIS INSTALLATION MAY BE ORDERED DISCONNEC O IN 1S MONTHS. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ,-1 '60 (o~ cs~ Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Can of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculafions for heated additions Tree Pres Plan Recd _Y -N. 2 copies of plan showing bear n& window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N I set of Energy Calculations Addition- indicate if on-site septic system On-site Sepfic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (blI with 3 or less unds Date 3 / 3 / l 6 q Construction Cost Site Address ~S! y L=E L Ci L ~=~t/ Unit/Ste # Description of Work /e, Multi-Family Bldg - Y ✓N Fireplace(s) ✓ 0 - 1 _ 2 Property Owner U ~ 4-(1 j~ ~L~ (Ll~ ~A J Telephone # (~f o~~ 7 Y Contractor Q~` S 7~ /2 k( f 2) S ~2 c / C Address 4 ~ 3~ 2 A,- .4-r/6- City/ / r ,o e-A_eF~ State IZt_ X/ Zip elf Telephone # ('763) 3!>Q3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeory 1 _ Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone J Mechanical Contractor Telephone I ~ ) e r r ' r_ n ' I~ I~ ~ U ~IIII Sewer/Water Contractor Telephone II I rarrn CJU'-1 ~ U II I hereby apply for a Residential Building Permit and acknowledge that the inform) libn_is-completeand_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. Applicant's Printed Name Applicant's S gnature f L I& BL CITY USE ONLY RECEIPT#: ✓ 6001 SUBD. ~"'L DATE: 9 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NIQ. Shower 3.00 x T = Water Closet 3.00 x _ Bath Tub 3.0U x Lavatory 3.00 x Kitchen Sink 3.00 :t Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 :e 1 = Floor Drain 3.00 x Gas Piping Outlet ' minimum -1 3.00 x Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE ~.50 TOTAL_ SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: STATE: ZIP: PHONE CITY USE ONLY L V[~ BL RECEIPT 545g SUBD. / DATE: 9 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Ad 'Gn air condii161111-Ig Add-on air exchanger, i.8. V aCee system, ttc. Date: FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) ► State Surcharge .50 TOTAL SITE ADDRESS: / L a,5hell 61en OWNER NAME: ~4 ran _ PHONE INSTALLER NAME: (jYLy'~ STREET ADDRESS: A/1 a) tfff~ / r l CITY: 1 , / STATE: M IV / IV ZIP: PHONE ((p~~) ~7 /V ~RATQ~6F~f~lOfi1T PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA095193 Date Issued: 07/30/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4127 Cashell Glen Lot: 016 Block: 004 Addition: Wenzel 1st PID:10-83570-160-04 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Glowing Heath and Home l\Jo11v A Moran 100 Eldorado Dr. 4127 Cashell Glen Jordan NIN 55352 Eagan MN 55122 (952) 492-9276 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114585 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 4127 Cashell Glen Lot:016 Block: 004 Addition: Wenzel 1st PID:10-83570-04-160 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Laura Gillespie 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 - Molly A Moran 4127 Cashell Glen Eagan MN 55122 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA121800 Date Issued:04/15/2014 Permit Category:ePermit Site Address: 4127 Cashell Glen Lot:016 Block: 004 Addition: Wenzel 1st PID:10-83570-04-160 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. Ashley Orman 130 Plymouth Ave N 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 - Molly A Moran 4127 Cashell Glen Eagan MN 55122 (651) 681-8478 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA124670 Date Issued:07/08/2014 Permit Category:ePermit Site Address: 4127 Cashell Glen Lot:016 Block: 004 Addition: Wenzel 1st PID:10-83570-04-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Molly A Moran 4127 Cashell Glen Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA124804 Date Issued:07/11/2014 Permit Category:ePermit Site Address: 4127 Cashell Glen Lot:016 Block: 004 Addition: Wenzel 1st PID:10-83570-04-160 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Molly A Moran 4127 Cashell Glen Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature Date: City of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAY 1 7 2016 r Use BLUE or BLACK Ink For Office Use Permit #: 6 3 40103 1(t. Permit Fee: 3D-1,31 Date Received: Staff: c (fes 2016 RESIDENTIAL BUILDING PERMIT APPLICATION -17—r6. Site Address: I - (Z- GAskf\ c � 6/-&\.1 Unit #:5-) 1PIO sy: st 1 Va" 6IZ -`-( I'j - 207 7 Name: i"1C7� Phone: Address / City / Zip: 1 127 4-,k5.-16-' 4J— GAN eAciAN► 5-572-2_ Applicant is: Owner "ontractor Work Description of work:'-'' 1`'t - Z 13A'"%tpcvM S 1 fi 3b1Q-0'c'\ 1 1"At47 Construction Cost: (0 63 000 Multi -Family Building: (Yes / No ) Co. Company: 1-1\.1L6tioadn G9N9rt'��T1e0N), (-Nie---- Contact: 336 (.-- ARNI6vtA-- Address: �'i2-'�S City:7�'E'��= l State: MN/ Zip:55-31 q 1 Phone:6t1 4Si1- G2--(03 Email: LAtc69,.)063 c'S7'2L�c"Ct©F'C3✓ LIvc,c=1 License #: 13--.03-1-7-;-.1 Lead Certificate #: AMT _ 166 6-60 If the project is exempt from lead certification, please explain why: --cip In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: sfortrn # you sbrf# are car.. D 4 the inf axon may be classified as no r;t- p m a , ,f you provi ® e ec on ou @ W # to .. .' r concl f e, hat they are _ f . 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building C de must be completed within 180 days of permit issuance. x Applicant's Printed Name Appli6ant's Signature Page 1 of 3 SUB TYPES Foundation Fireplace DO NOT WRITE BELOW THIS LINE '- z7 Ccs ,V fir,, Single Family Garage Multi Deck 01 of Plex Lower Level WORK TYPES New Addition 2( Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% S' ) Census Code # of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final /X Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests Final Drain Tile Siding: Stucco Lath Stone Lath Brick Windows C Retaining Wall: Footings Backfill Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL flk-L5 5 -AL1 �f vfr`�t. 5031' 7y7 0c20 Page 2of3 4,a`. C!tyofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use _ ��i Permit Fee: (/ �� Permit #: Date Received: Staff: 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION /�/ Date: L ' I V - /1/ -Site Address: !/ /Z 7 C A� 1r, e /, v/p,, Tenant: Suite #: Name: L U �', / /! y /220r -h. r Phone: Address / City / Zip: 42, rirj € I 1 /toy) Name: Address: State: Contact: 'pc Ry PA 10‘, 7 /O 7'`<.'51 ,j) Zip: Phone: Email: License #: 5-9 3 C�:faOC) New XReplacement _ Repair _ Rebuild Modify Spac _ Work in R.O.W. Description of work: c. /3(), ,4-6 Ke Ne L o /v)0-\ ,) 100C o � � / RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (_ Main / _ Lower Level) Water Turnaround 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 ..o•herstateonecall.or I hereby acknowledge that this information is complete and accurate; that the work will be in confo Eagan; that I understand this is not a permit, but only an application for a permit, and work is accordance with the approved plan �in the case of work which requires a review and approval of (ytid la Applicant's Printed Name x Applicant's Signature ces and codes of the City of a permit; that the work will be in Meter F PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140273 Date Issued:12/06/2016 Permit Category:ePermit Site Address: 4127 Cashell Glen Lot:016 Block: 004 Addition: Wenzel 1st PID:10-83570-04-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Exchanger 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 - Molly A Moran 4127 Cashell Glen Eagan MN 55122 (651) 681-8478 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink lrFor Office Use � ' Cityof Eaaall ;ee.Permit ,I,Permit Q 7/"7/ , l 3830 Pilot Knob Road / / J Eagan MN 55122 RECEIVED Date Received: T Phone:(651)675-5675 I Fax: (651)675-5694 Staff: APR 0 5 2017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L —.4;7.-- i 7 Site Address: 4'(Z`l 'kms L-z_ U Unit#: r Name: .0 \IG 0.-'‘CR-k•-ii P ne: c -L((II- 207 Resident/ f Owner Address/City/Zip: CZ--C--A) I Applicant is: Owner \/ Contractor - — .— _ ..,„_,„„,_ _ _ i I Description of work: 1l--r7e-- ----1 Type of Work 4 Construction Cost: O1Multi Family Building: (Yes /No V ) a Company: lL- .. b Cvc) Gam'i T\may I NG- Contact: �C �P�J�V�`F— Contractor Address: (/ N\\ C----T., City: 3W' Q?--'.-- I State: )LW Zip: SS 319 Phone:6(Z'S I7 -. 2(=,--5 Email:Z ke-E140-M + T t-i VE— D� License#:5c--67 3-71 _q 1 Lead Certificate#: AT--bt,6( -1 If the project is exempt from lead certification, please explain why: 1 _v_ , 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: IMechanical 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 the are trade- secrets. y 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.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. 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. 3C&-.1-- -x J`'kl��Vl x2,..1.,,, _ cApplicants Printed Name Applicannature Page 1 of 3 Z--// -7 eff_41eG( tD0 NOT WRITE BELOW THIS LINE /1-7(2. ew SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex 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 6 ©D Occupancy 5-1120-1 MCES System Plan Review Code Edition Nil '20/Se— SAC Units (25%_ 100% >0) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) )O Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test 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 10 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 - IAA t 14\1 11 , Building Inspector RESIDENTIAL FEES //Dv 59 . r7-- Base Fee Surcharge F9 • F- jPlan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink - For Officece U' 8) v] Cityof Ea all Permit#:Permit Fee: Cf/ 0' 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: L 2017 MECHANICAL PERMIT APPLICATION I-1 Please submit two(2)sets of plans with� all commercial applications. Date: Site Address: t+L kti� eivi4 (31Li4 Tenant: Suite#: ! Name: Uv--+t' i2) Q, G'1LANt ,0-%Phone: Resident/Owner I Address/City/Zip: Name: 'If<•\ IVO... License#: Vvt,tt50 I I Address: d3Isir‘D tv"4:Sel 'i'3\{, ` City: 1Pd?'••Wvt, s11Q I Contractor I State: y 4& Zip: SS'�Vi Phone: 4 - '°eL$ 6 1 I x I Contact:_i_ ��a�t v J Email _C,\A"r tS ,, V' Q Gvv—ori . �Ovv.- I New Replacement Additional Alteration Demolition 3C5:: S. Type of Work I Description of work: VA/C.l k fR-k,..-O .- \e,A 't.Q Sotkc ' NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City z Code. Please contact'the Mechanical Inspector for informati•on on permitted screening methods. RESIDENTIAL�� �p( I COMMERCIAL I Furnace New Construction Interior Improvement Permit Type Air Conditioner I Install Piping Processed Air Exchanger Gas Exterior HVAC Unit I t i1 _Heat Pump _Under/Above ground Tank ( Install/_Remove) Other M..ib� � I RESIDENTIAL FEES t $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge I $100 00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum 3 $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee t Surcharge= Contract Value x$0.0005 =$ Surcharge , If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I I hereby acknowledge that this information is complete and accurate; that the work will be in conform-- 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 . t a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl- . x ck t-43 (56- ' x Applicants Printed Name Applicant's Sign. ur FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final' HVAC Screening Use BLUE or BLACK Ink r For Office Use City Ol En n 71 Permit#: 11—{2—o1e1 J�( QaQllll Permit Fee: Co Li 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION 7 Date: 7 Site Address: / /Z (;G1..`;b e/l I/t`"' /\ Tenant: Suite#: Resident/Owner ( Name: Phone: Address/City/Zip: I Name: Pr .. ,. /t�l���1. . License#. Y C 7n.. /v) s Contractor , Address: 13-) /C) (Vi,`� s I j , (p 8 /)ity: on kr,g)4.7' State: / &k) Zip: 5 S`1' 3 3 Phone: 6` — bi( O'/OI Contact: Email: Type of Work —New G-`replacement —Repair Rebuild _Modify Space —Work in R.O.W. - Description of work l 14 6U�3 r RESIDENTIAL Water Heater Lawn Irrigation ( RPZ/—PVB) I Water Softener Permit Type Add Plumbing Fixtures ( Main/—Lower Level) i Septic System i I New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) I $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.gooherstateonecall.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 wit • a permit; that the work will be in accordance w' approved plan in the case of work which requires a review and approval of plans ✓ ep/ x �` 7 D i�,o_ x �.. A — Applicant's Printed Name Applicant's Sign.ture FOR OFFICE USE Reviewed By: Date; Required Inspections Under Ground Rough-in AirTest _Gas Test Final Meter Related Items: Meter Size.„ Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA165393 Date Issued:10/29/2020 Permit Category:ePermit Site Address: 4127 Cashell Glen Lot:016 Block: 004 Addition: Wenzel 1st PID:10-83570-04-160 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - David E Jr & Molly A Moran 4127 Cashell Glen Eagan MN 55122--281 (612) 414-2077 Options Exteriors 460 Hoover St NE, Suite 2 Minneapolis MN 55413 (651) 705-6376 Applicant/Permitee: Signature Issued By: Signature