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1136 Aquarius Lane Use BLUE or BLACK Ink For Office Use f Permit q ~ City of EaRon I Permit Fee: / I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: ~k C i 1/ 4C -S r k n" -Phone: S `-2 l'f RESIDENT / L OWNER Address / City / Zip: 3 6, Q rti q u a h ~ "'Ls Applicant is: Owner Contractor TYPE OF WORK Description of work: ! `Aryt 6 rN Construction Cost: JyaS Multi-Family Building: (Yes / No ) Company: 9- l S Q A, d 1 t^ S Contact: a7~ Address: k 7 Q I l Y f:1 AW S City: CONTRACTOR .5-3-t: eta S-0 - ~I State: mN Zip: Phone: ~O C1~ License o2 O 3 tr 7 Q Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 BE501fE___Y_bLI DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 urs before yo intend to dig to receive locates of underground utilities. www. o herstateonecall.org I here y acknowledge at this information is complete and accurate; that the work wiPis with the ordinances and codes of the City of Eag that I and is not a permit, but only an application for a permit, aart witho t a permit; th he work will be in acc rdanc a approved an in the case of work which requires a review and apx x App nt's ranted Name Applicant's 'Signature Page 1 of 3 CITY OF EAGAN 5795 Pilot Knob Reed Eagan, MN 5512= PHONE: 454-8100 BUILDING PERMIT Receipt # ,l To be and For DECK Est. Value $2.000 Date u l - i Z I q_g~ Site Address 1136 Aquarius Lane Erect Occupancy R-3 Lot 19 Block 1 Sec/Subliild-erness Park 2nd Alter ❑ Zoning R_1 Parcel # 10 84251 190 01 Repair ❑ Fire Zone NA Enlorge Q Type of Const. V W Name W.L. Grose Move ❑ # Stories zz Address 1136 Aquarius Lane Demolish Q Length 24 city-Eagan 55123 phone 452-5941. Grade ❑ Depth-Z5--Sq. Ft. Name Owner Approvals Fees g Address Assessment Permit 32.50 ~ city Phone Water & Sew. Surcharge 1.00 Police Plan check rw Name Fire SAC !0 Address Eng. Water Conn. <°Z' city Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg Off. the information Is correct and agree to comply with all applicable ApC Total $33.50 State of Minnesota Statutes and City of/Plig rt Ordinances. Signature of Permittee =rose A Building Permit is issued to: on the express condition that all work sholl be done in accordance with all applicable State of Minnesota 5foU A and City of Eagan Ordinances. Building Official - r~ Jf Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewwr Electric Inspection Date Insp. Other Footings Foundation Framing_ Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC I Final At Wet.. Describe Location: Well Sewer . Pr. Disp. CITY OF EAGAN 3795 PM* Knob Road Eagan, MN 55122 N2 5420 PHONE: 454-8100 BUILDING PERMIT Receipt To be seed for Est. Value Dote r 1_9 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Name Move ❑ # Stories Z Address Demolish ❑ Front ft. city Phone Grade ❑ Depth ft. Name Approvals Fees 81 Address Assessment Permit _ ~ Ci Phone Water & Sew. Surcharge Police Plan check bd W Name Fire SAC u'I Address Eng. Water Conn. <'Z" Ci Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official I Permit # Daft based pemattee, Plumbing it - Mechanical r 6 INSPECTIONS DATE INSP. Rough-In Final Footings A d ^ Date Insp. Date Insp. Foundation Plumbing 2 - Frame/ins. --;z - Mechanical Final Remarks: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. 15?~ G _57 Date: _ Receipt No.: i Single 1.1.3(: 1~nk~arius Ix Site Address: Residential ldcTr 'SS PcL : ?r~ Lot Block Sub/Sec. Multi Res., Comm./Ind. Nome - New/Alter./Repair 701 r.~T. 110th sure t Address Cost of Installation o +nls 55437 r.0 City _ Phone: Permit Fee ~~en~ cyan , SO Name Surcharge 0 4474 5 So. rtbert t d 1_ Zr,,s r city Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CASH RECEIPT CITY OF EAGAN • 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVRO FROM AMOUNT J & DOLLARS goo ❑ CASH ❑ CHECK FOR [ 1 - / I ~ FUND CODE ~rt_ AMOUNT 4 ' Thank You BY i White-Payers Copy q - Yellow-Posting Copy i ~.+t ] Pink-File Copy CITY OF EAGAN 3795 Pilot Knob Roe/ Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. 11/" 9 Receipt No.: ,Pr-i Date: I Single Site Address: Residential Multi Res., Comm./Ind. I Lot Block Sub/Sec. t; 7 S' *.t n5tr, New/Alter./Repair Nome Address t71 6ti. L1'~ Cost of Installation city x`dngtipinr !-V Phone: Permit Fee Name C'enZ T ~r?,n - Surcharge E. Address 1, 4 45 ,o. City Phone: - Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Remarks Addition` WII DER-LESS- PARK '-2nd ADDITION Lot IQ Blk 1 Parcel 10 84251 190 01 Owners i~;~i•, \ (l~r Street 1136 Aquarius Lane State Eagan, MN 55123 , Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1979 1553.41 155.34 1 -24-81 STREET RESTOR. GRADING SAN SEW TRUNK =1 1973 _ 84.82 007145 6-24-81 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1979 794.90 79.49 1 556 90 0007145 6-24-81 STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: J 7:7 Site Address: Plumber: Meter No.: Connection Charge: ' Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: BY Date Paid: Date of Insp.: _ Insp.:----.- CITY, OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: ,Eagan, MN 55122 DATE: Zoning: No. of Units: Owner. , vVarl;i ' 4; tc: ' ,r•.tl C;~: - Address: Site Address: 11`36 Anuarieis L;:..e. ? Plumber: ^"'.Il:: T'''~911 1 agree to comply with the City of Eagan Connection Charge: 42-S-00- Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: This rec,4eet void 18 months from Date of this Request_ October 18, 1979 S 1216 2 I, as 12 Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: Ll 9 d l b--' ) cR.eCS L itC 9&,A-V- Z-a- Street Address or Route No. 2-136 Aquarius Ln. City Faun Section Township Range County Dakota _ Which is occupied by Svend Peterson Construction (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yes 6a Ready Now ❑ Will Call:W Power Supplier Dakota Electric Assn Address 871 3rd St., Farminatons 1% 55024 Electrical Contractor Kim Snrensnn Elentri a Contractor's License No.A3W3 (Company Name) Mailing Address 8070 12th Ave So Bloomington AIId 55/.20 <7 -:7 (Electrical C ~yr(1F}j ,QWner Making This Installation) Authorized Signature D~•a-y Lxvz L~ +°hone No. 85L-4470 (Electrical contractor or Owner Making This Installation SME WARD COPY This inspection request will not accepted the Q State Board unless proper inspection fee is enclosed. y~ Minnesota State Board of Electricity 1854 University Ave., St. Paul, Minn. 55104-Phone 545-7703 REQUEST FOR ELECTRICAL INSPECTION - 21 CHECK BELOW WORK COVERED BY THIS REQUEST S Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ® ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ® Silo Uo1oader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List Dishwasher List re# Other _O ❑ ❑ Herers}) DiApnrlal Oeers COMPUTE INSPECTION FEE BELOW 1 FI Service Entrance Size: it Fee Feeders&Subfeeders: u Fee Circuits: u Fee 0 to 100 Amps. 0 to 30 Am eyes' 0 to 30 Amperes 101 to'200 Amps. 31 to 100 Amperes 31 to 100 Amperes .00 Above 200-.Amps. 11 Above i% `Amps, Above IOILAmps. Transformers H.Remotilcmitiol'Cire. Partial or other fee S" ns ec lns' coon Minimum fee SS Remarks Complete House Wi TOTAL FE coj .50 I, the Electrical Inspector, hereby thaYf}-e 'boife inspection has been in dg0 _ (Rough-in) Date (Final) i, /I a 1-; v Date - 6 - Yd This request void 18 months from Minnesota State Board of Electricity G o niversity Ave., St. Paul, Minn. 55114-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION 2153 CHEiCK BELOW WORK COVERED BY THIS REQUEST S Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring 121 Duplex. ❑ ❑ ❑ Water Heater ❑ Lightmg Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Con Bulk Milk Tank ❑ Farm ❑ ❑ ❑ Whets J pLList Other ❑ ❑ ❑ re) Herreers~ COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee D to 100 Amps. $ 0 to 30 Am eres 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above lOQ_Amps. Transformers Remote Control Circ. Partial or oche Signs Special Ins ection Minimu ee $ . Remarks stall Temporary Service TOTA FEE s~ 1, the Electrical Inspector, hereby certify that the above inspection has been ma e. (Rough4n) Date (Final) Date q- ! C.~' 7~ This request void 18 months from Thawt void 18 months from i G o a a Date of this Request September 13- 1979 S 12153 I, as ® Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: i W (JLy~~ _19 ai i/3~ Street Address or Route No. 3~3e, Aquarius Lane City Fa¢ar1 Section Township Range County Dakota Which is occupied by Svend Peterson Bonstruction (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yes ❑ Ready Now ❑ Will Call ❑ Power SupplieBAKOTA ELECTRIC ASSN Address821 3rd St., Farmington. MN 55024 Electrical Contractor Ken Sorenson Electric Contractor's License NoA38483 (Company Name) Mailing Address 8C 70 12th Ave. SO,, Bloomington, MN 55420 (Electrical n c or Owner Making This Installation) Authorized Signature -Phone No. 95L-U.70 SUM (Electrical Contractor or Owner Making This Installation) BOARD OUT That inspection rsgPesPwill accepted the State Board unless proper inspection fee is enclosed. CITY OF EAGAN ~T 5795 Pilot Knob Road Eagan, MN 55123 N? 8240 ' PHONE: 454-8100 ,j BUILDING PERMIT Receipt # 1~~J To be used for DECK Est Volue $2,000 Date Atlo 14 19--82- Site Address 1136 Aquarius Lane Erect Occupancy R-3 Lot 19 Block 1 Sec/Sub Wilderness Park 2nd Alter ❑ Zoning R-1 Parcel # 10 84251 190 Ol Repair ❑ Fire Zone NA Enlarge ❑ Type of Const. V W Name W.L. Grose Move ❑ # Stories zz Address 1136 Aquarius Lane Demolish ❑ Length 24 City Eagan 55123 Phone 452-5941 Grade ❑ Depth 25 Sg. Ft.- Name Owner Approvals Fees up Address Assessment Permit 32.50 I Water & Sew. Surcharge 1.00 city Phone Police Plan check ~W Nome ~+Z Fire SAC Address Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and ag ee tow ly with all applicable APC Total 33.50 State of Minnesota Statutes an ' y Ordinances. Signature of Penmttee rose A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all plico* State a nnesota su ef$ and City of Eagan Ordinances. Building Official Zi r 2.b■ Q 2 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & r]//11JJ BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For / Valuation ~~ppyY Date Site Address ((3(0 2t ca S Lm OFFICE USE ONLY Lot Block t ,S~erc./SubA)1]p~ ~Qk• a -~-F,rect X Occupancy T~ Parcel J C) a t o~ J j r{ C7 O Alter Zoning Repair Fire Zone X/19 Owner: GC/. , ~et o 5 r= Enlarge _ Type of Const. Address: /!(s Gitl Move # Stories Demolish _ Front o? ft. City/Zip Code: Z f~hw 1.rJX,) Grade Depth 92s' ft. Phone # : aT~ 599 4 1jkPPXVALS FEES Contractor: essments Permit 3 a later/Sewer Surcharge Address: 41:% i police Plan Check City/Zip Code: rNaL ,~~w ~/~3 Fire SAC Phone jf - 7~v2/ Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. Address: APC City/Zip Code: _ Phone TOTAL CITY OF EAGAN 9795 Pilot Knob Road Eagan, MN 55122 N? 5420 PHONE: 454-8700 BUILDING PERMIT APPLICATION Receipt # To be used for SF Dial g & Garage Est. Value 63,000. Date 9-19 -,19--29 Site Voss 1136 AQUarlUS Lane Erect Xb Occupancy R3 Lot j9 Block Sec/Sub. n Alter ❑ Zoning Rl Parcel # 10 84251 190 01 Repair ❑ Fire Zone 3 S. Petersen COI1St. Co. Enlarge ❑ Type of Const. V i Name 470 W. 110th St. Move ❑ # Stories Address Demolish p Front 78 ft. City Phone Grade ❑ Depth 35 ft. s Name Same Approvals Fees 0 .00 u~j Address Assessment Permit 131.50 ~ city Phone Water & Sew. Surcharge F Police Plan check 79.50 ~w Name Fire SAC 525.00 ~ x~ Address Eng. Water Conn. 270.00 aw city Phone Planner Water Meter 60.00 Council Road Unit 75.00 1 hereby acknowledge that I have read th' ppli ion and state that Bldg. Off. the information is correct and agree w y with op liccb 1 200r 00 State of Minnesota S i APC Total 5-7d again Signature of Permitt A Building Permit is issued to: S. Petpr-pen Const.-@il~-. 4/ on the express condition that all work shall be done in a dan witl~ all ppljcabLe Sta .of~Minnesota Statutes and City of Eagan Ordinances. Building Official 'err X27 CITY OF EAGAN Include 2 sets of plans, sJ' 1 site plan w/elevations & BUILDING PM;T.= APPLICATION 1 set of enerqv calculations. Valuation (0~~ Date Y;7 - 79 To Be Used For , Site Address: OFFICE USE ONLY Lot 9 Block S . /Sub. `tee ^ Erect Occupancy /P3 Parcel 15/9 Alter Zoning Rir Fire Zone 3 Owner: S. 267-7L=2 sr q/ ev ✓y-Ruc 71 oA,' /cv -urge - Type of Const. move # Stories Address: 4/7 o i aj i i o 1:0 s-L- Demolish _ Front 7 g ft. City/Zip Code: /ypl s 3-,4-,/-32 Grade Depth s ft. Phone S2 e/ - / Y y APP%)VAIS FEES Contractor: Assessments 9 ` Penoit Water/Sewer Surcharge / Address: Police Plan Check 7 0/ <,Ta' City/Zip Code: Fire SAC cl. Phone Eng. Water Conn. ? a Planner Water Meter Arch./Eng.: Council Road Unit Bldg. Off. Q Address: APC City/Zip Code. Phone RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN "1~ f yl D 3830 PILOT KNOB RD - 55122 15 U t 651.681-4675 /I New Construction Requirements RemodeuRegair Requirements Coiled q'~-o j 3 registered site surveys showing sq. it of lot, sq It of house, and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for healed additions y11 2 copies of plan showing beam & window sizes, poured found design, etc.) . 1 site survey for exterior addibons & decks • 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 4-1-01 VALUATION (EXCLUDING LAND) I S t 0 Op , JOB SITE ADDRESS 1131,4' A IV aY Lahr, IF MULTI-FAMILY BUILDING, HOW MANY UNITS? I PROPERTY OWNERS S+u-Ytvl-.. TYPE OF WORK SCYee 1n{~ V Y011 dtC L_ ~fi-e W FIREPLACE(S) ?0 _1 _2 _3 APPLICANT 11myt-h,t- P,b Sjm&(-bcyi_. PHONE# RSL-44b-l~SD ADDRESS ISbULe P~tit/~g(WQ4Cv by, SAI-a ' ZIPCODE 6 PAGER # - CELL PHONE # toles - 3115- bl z• FAX # ~ Btll gprivr~. NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLET LY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I ~S (check one) Residential Ventilation Category 1 Worksheet Submitted D Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths _ No. of Baths I Mechanical Contractor: Phone # Mechimical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System I 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 agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinancess..~ Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 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 PorchfAddn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex A 18 Deck hP 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 'P 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 od Valuation 12 DeZk Occupancy MC/ES System Census Code Zoning City Water SAC Units O / Stories Booster Pump Nbr. of Units I Sq. Ft. d5a PRV Nbr. of Bidgs ~l Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. ~G Footings (deck) Final/No C.O. ~b 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 BaseFee ~Gf~CEk' pUD2c l~ Surcharge a S,z 3 o z 7, 5~ D, v 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 S. PETERSEN CONSTRUCTION, INC. 4701 WEST 110TH STREET 884-5144 BLOOMINGTON, MINNESOTA b 37 ' u 99 9 99 0c' i H L 8~ Pd ov 90 CITY OF EAGAN CASHIER: JS TERMINAL NO: 767 DATE: 08/18/00 TIME: 13:18:50 ID: NAME: RIGHT WAY ROOFING INC 3210 9001 1136 AQUARIUS L 125.25 2155 9001 1136 AQUARIUS L 3.00 Total Receipt Amount: 1281 CR136099 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 2~ 25 CITY OF EACAN O 3830 PILOT KNOB RD - 55122 651-681-4673 New Construction Reaulremenh Remodel/Reoar Reauiremenh > 3 registered site surveys showing sq. tL of tot, sq. ft. of house 2 copies of plan and gp tooled areas (2D% maximum lot coverage albwad) 1 set of energy calculations for heated additions > 2 copies of plans (show beam 6 window sizes: poured Intl. design; etc.) 1 site survey for exterior additions 8 decks > 1 set of energy calculations > 3 copies of ire Preservation plan If lot platted after 711/93 DATE: 117 / CONSTRUCTION COST: DESCRIPTION OF WORK: STREET AD/D~RESS: 1 Wilde LOT: I 1 BLOCK: F SUBD./P.I.D. r"em Pa Ind Name: 5+wc M C~'l Phone PROPERTY Last First OWNER Street Address: l~^ v City State: MA Zip: Company: Phone ar ~ ~ - g 7 U (area code) CONTRACTOR Street Address: ii ~ 2 License # 3Exp. +0-so - ~ > ~d- city State: r zip: ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Sheet Address: Registration city State: zip: Sewer/Water licensed plumber (if installirta sewer/waterPhone I hereby acknowledge that I have read this application, state that the ation is coned, and agree to comply with all applicable StatE 2 /ta of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican . OFFICE USE ONLY RECEIVED Certificates of Survey Received Yes _ No AUG 1 $ 2000 Tree Preservation Plan Received _ Yes _ No _ Not Required BY. OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Mufti ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Plbg _Y or_ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION - SAC Code # of Stories sq• ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS 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 PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC Dann .c Curr,/ Stake House For: Svend Peterson -onst, / 47)1 West 111th Street Bloomington, MN 55437 DELMAR H. SCHWANI LANOSURVEYOR R"AW W Undo Lawa of T"4 Silt* of Minn"Ota 2978 - 148TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56068 PHONE 812 423-1762 SURVEYOR'S CERTIFICATE ACOUP,PI 5 I.1p.P;r C, 7" t ~ 7 7 ~ti ~,I l4 N q pf' 54 s+aus I ; I ZI riz ,y I 'hereby certify that this is 30 a true and correct representtion c of Lot 20, Mock 1, WILDERNESS PART SECOND ADDITION, according c to the recorded plat thereof, "1 Dakota County, Minnesota. SOT Dated: July 25, 1979 _ t Approved for Dann & Curry Real Estate Management, Inc. pRalr.l,~,;~ zt _ ~T 1T s-y by: ► A S t= :-A jL T" O - Iron pipe 4 g 1 p Set wood hub /D0,0 Elevations shown are existing YO and on an assumed datum. Above shown house ;'staked on lot September 24, 1984, Proposed garage floor elevation " . MINNESOTA REGISTRATION NG. B026 - - 9i 9'" 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date.? / r- l 6'y Site Address cli-e a unit # Property Owner / /S tit Telephone # ((p S~ ) r/o~ QOo~ 7 Contractor Street Address7 City (/So1) Sam/ Zip S_~),O)q Telephone # State M/1 Q Bond Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional ✓ Replacement _ air exchanger air conditioner New Replacement other ^(f//L~//b0 ~~i n~ State Surcharge `.i~ $ .50 an'l i' -o a a'! Total k L $ 41i1L BY I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. 16aCii k Applicant's Pr[ti ttedName Ap 'c Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117749 Date Issued:10/22/2013 Permit Category:ePermit Site Address: 1136 Aquarius Lane Lot:019 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-190 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 . Chris Haqq 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 - Michael P Schmitt 1136 Aquarius Lane Eagan MN 55123--182 (612) 805-6256 Abelard Construction 6200 Shingle Creek Parkway, #545 Brooklyn Center MN 55430 (763) 503-6610 Applicant/Permitee: Signature Issued By: Signature City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6- 9.--# Tenant: Site Address: //96 ?(J a r/ (.L Name: Suite #: 1 e 6/14.17e -h4 Phone c? -7®3 5:56.4 Address / City / Zip: j/.3a,6 tilC/Q �' (L /U r � jar) Zeri `a' C41 Q37;44- g001,4-�Pf✓' License #: Name: Address: 34-4' C"Jo©p v L - City: State: 4f' J Zip: ,-S—S( Phone:/ a2 F63 Gd f'% Contact: / 1I 1/C Email: /ai epi "4; ke. 00'2614 SJ 74? _ New XReplacement Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work: 12961 re tures g b045-11 `' 5' RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New Abandonment Water Softener 7- Add Plumbing Fixtures ( Main /_ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8".meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII 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. App rc nt's Printed Name x Applicarft's Signature Use BLUE or BLACK Ink r For Office Use ✓ Permit ~6/~ non City of Ea Permit Fee: r~ I I 7o P, I 3830 Pilot Knob Road RECEIVED I 1„ Eagan MN 55122 I Date Received: t Phone: (651) 675-5675 MAY 2 7 I I Fax: (651) 675-5694 i Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: rn t ~L P °F l k-A 4- J S(~ or r it Phone: Resident/ / Owner Address / City / Zip:// 4 S Applicant is: Owner 4 Contractor Type of Work Description of work: Q U4 0 [I m y"', Construction Cost: o ,$--09 Multi-Family Building: (Yes / No ^Lf',,.1,~^~ Company: &~FAntact: 6 ~ -Soil Address: Z o `Z y G/0L, G40A,f C i7 City: Z Z0--0/-.,.V7 lrr /A Contractor State:/'M Zip: Phone: l~ ci2j 5&V Email: Y1 SS ? License Lead Certificate ~J(7~, efg- " If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 they 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 tart 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 o ans. Exterior work authorized by a building permit issued in accordance with the Minne to S 'Idin Code must be completed within 180 days ermit issuance. X_ x Applicant's Printed Name Applicant's Signature - Page 1 of 3 113 0 G r ~u &UA' 3(eO DO NOT WRITE BELOW THIS LINE 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 ( Occupancy MCES System F Plan Review Code Edition p,. 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) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Drain Tile Fireplace: -Rough In -Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 17 ; Surcharge / Plan Review , MCES SAC fj 6 0 City SACS `i Utility Connection Charge ! S&W Permit & Surcharge Adolf 01 }a Treatment Plant Copies TOTAL Page 2 of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b-##/>&,E&&773'!X-G-+&,E&&773'\[553V' HU7'J&!\[35!\['VHI73J&'!75U'!I 1&K/./<>&-$%+P#/)G/&K-&1&K-W/&./-)&K*9&-??#*$-*+&-+)&9-/&K-&K/&*+D.F-*+&*9&$../$&-+)&-G.//&&$F?#>&P*K&-##&-??#*$-<#/&:-/& D&,*++/9-&:-;/9&-+)&M*>&D&X-G-+&Y.)*+-+$/9L (??#*$-+S0/.F*// &:*G+-;./199;/)&"> &:*G+-;./ 71 n _° r � For Office Use °y ,�° e,a#Y+ :::: . I # EAGAN. I : t d`tb 3830 PILOT KNOB ROAD EAGAN,MN 55122-18.10 Date Received: ''�¢ (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 JUL 1 6.2018 I bulidinnInspections(c�cityofeagan.com I Staff: • L ----------/f_., 2018 RE. IDENTIAL PLUMBING PERMIT APPLICATION Date: , / Address t _ r ' fd � P"-fr4J&121,______ Tenant - c f E r` ° ..........__e____:_,—Suite#: ��; h st� "u r� C e d�® eY Name: r�/A-� ., 4. AA, Phone:45 .... �1j tem.. I a ts.. Address/City/Zip: jl / • . �� 14 OIt +4 Name; MILBERT COMPANY db-/CULLIGAN WATER �� WC641376 `~,``' , `v License#; 't f'kyku. ,0-, Address: 1801 50TH STREET EAST t t(�c 0 1 04 City: INVER GROVE HEIGHTS 't , izi ;�r tom,' 11:14, State: MN Zip; 55077 Phone; 651-451-2241 g f ,v.•10 Contact: BILL MILBERT Email: •loria.abas©culligan4water.com p.,,,1/, 4,,,,.- ?K•Sti, 1 • tt Ar`� f ' , r�t `� __New Replacement Repair Rebuild Modify S ace Work in R.O.W. jaY � ? 9 , Y p ,0„,,,,,; y y t1 vfx,;! ,,,,s�is','t,,i i4 �, �� Description of work: .�J ?4M `(' ' +t{45 � �/s. RESIDENTIAL --_ _._„_, r=9 u T". e Y . �1�K1 1r������ ` Lri� 2 .19- / ;glaVip t111 Water Heater k3 f:104r$ v t v °� X Water Softener Lawn Irrigation( RPZ/ PV8 rei,�t'ss`c, ; �5;( �.°` _Septic System _Add Plumbing Fixtures( Main/ Lower Level) .rj „, t/ �•7�`a '{n 1 ;ii i i ;M ,fin r� 4 , New Water Turnaround t illi j'- f af: (<.,.'.an 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) $115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES$ 60.00 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,gopherstateonecali.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's webslte at www;citvofeaaan,com/subscribe. 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