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4333 Beaver Dam Rd Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use I Tr Ea~(, I Permit City I Qv I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I i Fax: (651) 675-5694 I Staff: I INFLOW NFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: - t 1 Site Address: Tenant: Suite Name: Y r AA ✓O vvl~ Phone: Low 1 L4S 2- - 7-S-(9 RESIDENT I OWNER Address / City / Zip: ~~333 _ 122- Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofea_qan.com/inflo w or City H Y g all at 3830 Pilot Knob Rd. 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 x 51" i cc ,r t~ v.~ Applicant's P inted Na a Applicant' ignatur FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final - - - - - - - - - - - - - - - - Permit U~3 r 4 I Ina *City of Ea ~R I I I Permit Fee:' 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: ( I Phone: (651) 675.5675 I ~C I Fax: (651) 675-5694 I Staff: I I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7-l " 01 Slte Address: ] p r~y2a [)am A Tenant: Suite RESIDENT I OWNER Name: _ f rfV, C`5trceyi Phone: Address I City I Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: TTY( py-- Ta Construction Cost: 7C/ o o Multi-Family Building: (Yes I NoN-) CONTRACTOR lqo'.Me fain 4n- 5-L4eL6?trJe License #x: C~ 2~ ~ 15>7- Address: 16 3 3 9WjV I n City: ; ns ,p Pc, r k State: /W Zip: 65" ~ Phone: I - y~ 6 ° COQ Contact Person:Ci7 6 cry ~y ci ~a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code + Residential Ventilation Category 1 Worksheet + New Energy Code Worksheet Category Submitted Submitted (4 submission type) + Energy Envelope Calculations Submitted 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. 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 sta ithout 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 /V t 4 V 1V ed 11 L ~ da txa ft x Applicant's Printed Name Applicant's S Lure Page 1 of 3 Co 30 a3 ( 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date . 1 e / I Site Street Address =~I ,3 9, , 3e& l JP_k~~~4/~'f ~rg-Cy Unit # Property Owne eaz Telephone # Contractor Telephone # (,?-53~) ?"PY-r-27 Z Address v City `A,Q~~, i~/1LF?. Statej2V- Zip Yom`- The Applicant is: Owner Contractor Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment ^Water Turnaround (add $125.00 if a 518" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new replacement Lawn Irrigation ~RPZ ~PVB new repair -rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. 6Z je /M e ~4 z2 KO Applicant's Prin ed me Appl' is Signatu This request void 18 months from _ ✓ 974: Date of this Request 1, as O Licensed Elect 'cal Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: e Street Address or Route No. Al Cit t 9 V Section TownshiC Range_ Count I r ~C Which is occupied by (Name of Occu t) IL7 Is a roughin inspection required on this job? No ❑ Yes Ready Now 0 Will Call PowerSuppliec>)~% Address ~`'~„~-~c j" G( Electrical Contractor~~'~~` 1<[} Contractor'sLicen No. tom any Name) Mailing Address f LW, J (E ec iw "Contractor or Owner Making This Installatio Authorized Signature! Phone NWJ5 (Electrical contracto r O er Making This Installation) 'ST A T -E0 BOARD to""V This inspection request will not be accepted by the State Board unless proper inspection fee is andosed. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 52 U AnUEST FOR EL CHECK BELOW WORK COVERED BYITHIS EQ EST'ON jc -rl R 9 7 4 3 3 Typ of Building New dd. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Watch cater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dry Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Fu Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air ndit' MDJ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ oLList List Other ❑ ❑ ❑ Herers~ Hehers COMPUTE INSPECTION FEE BELOW JJ Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200_Amps. Above 100-Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks TOTAL FEE I, the Electrical Inspector, hereby certify th the ab a nspection has been made. Q (Rough-in) ' ate (Final) ,.Date This request void 18 months from 1= CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5846 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # / ~h2 To be used for SF Dwlg/Garage Est, value 40, 000.00 Dote May 24? 19 80 Site Address 4333 Beaver Dam Road Erect CI Occupancy R3 Lot 1 Block 3 Sec/Sub. Meadowlands Alter ❑ Zoning Rl Parcel # 10 48050 010 03 Repair ❑ Fire Zone III _ Enlarge ❑ Type of Const. V _ W Nome Zaehman Homes Inc . Move ❑ # Stories z Address 7760 Mitchell Road Demolish ❑ Front 56 ft. o city Eden Prairie QM 934-9!'~-U Grade ❑ Depth 24 ft. - one Approvals Fees o Name Same o Address Assessment 5/~0 Permit 115.5( u~ City Phone Water & Sew. Surcharge 20.0! Police Plan check. 57.7! ~W Name Fire SAC 525.0( t-w !z Address Eng. Water Conn. 305.0( <W City Phone Planner Water Meter 60.0( Council Road Unit 185.01 1 hereby acknowledge that I have read this application and state that Bldg. Off. 4p-l/a the information is correct and agree to comply with all applicable APC Total 1, 268.2; State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Zaehman Homes on the express condition that all work sholl be done in accordance wit i app ' bl to of Minnesota Statutes and City of Eagan Ordinances. Building Official zIITir UF. EAGAN SEWER SERVICE 'P WIT° 3795 Pilot Knob Road PERMIT NO.: "17r Eagan, MN 55122 DATE: Zoning: T i No. of Units: I Owner %•r :IT'.al1 a++e~ k,Ic Address: Site Address: 4.! , 1",( v ez Cn7 land c.G Plumber: i 100.00 pod agree to comply with the City of Fagan Connection Charge: 475% f1C: nri Ordinances. Account Deposit: Permit Fee: 10. "J P10 Surcharge: 50 nd By Misc. Charges: Date of Insp.: Total: Insp. Date Paid cl,l-v; EAi;aN W % ATER SERiICRMIT 3795 Prlot^ Knob Rood _ PERMIT NO 1313 ,'J[" { 1 5" EcgdnlS5+122'.:. ' s . Zonin. g °No of:Units 1N. t•yp°p la' ,L"t [2 Vcslit 8 Inc Owner C t~ s Address Site: Address:~ 'o 33. Seaver, ,)AZ! N4a4• L1 B3.2* Plumber -•3A- + Meter No:: Connection Charge s 'd f`; Size:, Account `Deposit., 1 Reade°°r+eNo Permit -Fee 4 a ; I~agreeifo~wnipfy w,rth,the City:of-,Eagan Surcharge s ~ ~4? ry -OFdm'6nees Mist .Charges ,-o * , .I Fp Y t_ -to GTa nte+ P#atci F t~ Dote of Inspt x j I RESIDENTIAL ~q3) BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681.4675 U Now 99 tMON Reauirernenta • 3 registered site stvveys showing sq. R of lot, sq. tt of house: and all roofed areas + 2 apes of plan (20% maxinim lot myerage allowed) 1 set of EneW C tlons lot hued admorw • 2 copes of plan showing beam & window sires; poured bind design, etr.) • 130 survey for exterior ASlptions d dada + 1 set of Energy Calculations + 3 copes of Tree Preservation Plan if lot pWft after 7/1193 Rim Joist Detail options selection sheet (bidgs with 3 or lose units) DATE VALUAT ON (EXCtWDING LAND) IO, Oc~~rQD JOB SITE ADDRESS 51-8-33 AADjel- &n IF MULTI-FAMILY BUILDING, NOW MANY UNITS? PROPERTY OWNER t~.rt 4/~ AI TYPE OF WORK VA& j ~PLACE(SI V. 1 2 ~W Seal l3 PHONE # iJ I -04 APPLICANT ADDRESS 5 J_ ZIP 0DE PAGER # CELL PHONE # FAX # &,57°''. NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY _ MINNESOTA RULES 7670 CATEGORY 1 Energy Code Category (check one) - Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: _ Water Softener - Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baylis Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor Phone # All above information must be submitted prior to processing: of a.pplicatiom I hereby acknowledge that I have read this ,application, state that the infprmation incorrect, and agree to comply v, all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received Not Requk-ed _ tJpdated ' OFFICE USE PNLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plea ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage. ❑ 22 Porch/Addn. (4-sea,) ❑ 33 Ext.: Alt - SF ❑ 04 02-plex ❑ 10 ,08-plex Ci 18 Deotc ❑ 23 Porch (screened) ❑ 36 : Witt ❑ 05 03-piex ❑ 11 o- p P le❑ 19 . Lower Lev®I ❑ 24 Storm Dat►nage ❑ , 06 04-plex 12-',- ; 12-plex P „Y or N ❑ 25 11Msc6ilapeous . ❑ 31-New ❑ 35 lnt Improvement 0 38 Domoiish'(Ipt r} : . 3 -.44 Fidir ❑ 32 Addition 13 36 Move Bldg. ❑ 42 Demolish (Foundation) 13,45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (s*r 0 43 Rem& ❑ 48 . VVlndowsltlanrs ❑ 34 Replacement *Demolition (Entire Bldg only) - Gvs PCA handcwt to applicant Valuation accxapancy _ MCIES System Census Code Zoning City Water SAC Units Stories toaster Pump Nbr. of Units Sq. Ft PRV . Nbr. of Bldgs Length Fire Spdnklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. • - Footings (deck) Final!!`Tfl' :+a. - Footings (addition) Plumbing _ Foundation INAC Drain Tile Roof - Ice & Water _ Final Q#her Framing Pool _ Ftgs Air/Gas Tests -Final Fireplace _ R.I. -Air Test , Final Siding stucco ' Stone. Insulation _ Windows (new/replacement) Approved By . Build inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAf3AN 27" Knob F10 Road Wn, MN $317!11 45"190 BUILDING PST Receipt To be cad #+ae SF DI►Ig/Garage Ems. Value ~+as 000. 00 Site Address 4333 Beaver Dam Road ' Erect C 000"ibricy l.o l 04 ock 3 S /,~a Meadowlands Alter ❑ ~alrsg 15 4805 Parcel # 1 Ulf 3 Repair ❑ Pine Zone qp~ Enlarge ❑ Type of C+vt. Nome Zac2muen Homes Inc. Move ❑ # Stories 7 7760 Mitchell Road sac Addre ss Demolish ❑ Front city Eden Prairie., H4 934-IJ24U Grade 13 per, Phone same Name Appftvofs 0 Address Assessment t City Phone Water & Sew. Sum"arve Police "01w- Chock ' Name 1~- Fire SAC Address Eng. rM9g9 Ws Canny i Phone Planner 1Ala~er,Mrt* Council Raad t!M[' 1 hereby acknowledge that i have read this application and state that Bidg, Off. the information is correct and agree to comply with ail applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee f ZaCbRim His The. A Building Permit Is issued to an *0 . all work shall be done in accordance with all applicable State of Minnesota Statutes dM CW of i y Building Official ! _ ` ; Pdt ~sN herd .02 Plumbing Medwnical / Z/ 13 INSPECTIONS DATE INV. Rerigl~-fin Rnai Footings Date hnp. Drone kaes. Foundation Frame/ins. ,Z Medwmiaol Final Renwwks: CITY Of NA"N s _ 37" FS* Knob Rued lm"k W&wereFm 35122 No. 1723 INSPECTOR N Niam REQUIREDit" . FwAr ' FOR„ ALL tN ~ June 10, 1980 19286 Dote: Receipt No.: Single Site Address: 4333 Beaver Dam Rd. Residentfai Lot 1 Block 3 Sub/Sec, Meadowlands) Multi Res., Carnm./ind Name Zacbman Homes n" I New/Alter./Repair Address Cost of InstalWan Eden Prairie MN City Phone: Permit Fee Nome Budget Mg. Surcharge T, w- :f Address 6420 Flying Cloud Dr. fi - - M City Eden Prairie, 553 Acne: 941-8037 Total 20• 50- . } 4This Permit is issued on the express condition that all work sholl be done in ~ wF* on. ` Minnesota Statutes and City of Eagan Ordinances. 3 CITY OF "GAN 3745 Pilot Kwob deed 1844 sag", kAle:tewto SS122 INSPECTOR NOTIFI No. Pbaeae: 45+1-i10~ REQUIRED BY HEATING Peilirtrr FOR ALL INSPECTtfl rs.' June 13, 1980 193 Daft: Receipt No.: 4333 Beaver Dam Road Single x~. Site Address: Residential x 1 3 Meadowlands ~ Lot Block Sub/Set. Multi Res., Comm./Ind. sy Zachman Homes new Name New/Alter./Re ; { pok Address 7760 Mitchell Cost of Installation Eden Prairie, I41 21).00 City Phone: Permit Fee Nome Ray N. Welter Surcharge • 50 J " 4637 Chicago Ave. Address TT . rj is . 55407 825-6867 20.50 City Phone: Total s This Permit is issued on the express condition that all work shall be done in accordance with ail igollcoble $ fir? Minnesota Statutes and City of Eagan Ordinances.?? F 4 Building C 0101ol w=;' CITY OF EAGAN PERMIT TYPE: ""I , t Of "a 3834 Pilot Knob Road Permit Number: A 02 Eagan, Minnesota 55122-1897 Date Issued: 09109190 (612) 681-4675 t, f 'u 4t1456-010 0 03 , APPLICANT: SITE ADDRESS?" * N. 141;;,4 FUAWR DAM RD fAllU#tS' RO44 HARK PERMIT SUBTYPE: TYPE OF WORK: FO 11 OAMA61 RUPATP Of`4'sf: R l P 4 109 fk!~:I' 00F f a'! 0*H DANAaF eat 41 - S I~ 3« i} C~ 1 1# i. Permit Holder Date Telephone4 PLUMBING HVAC Inspection Date Insp. Commenle FOOTINGS FOUND FRAMING 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 i J CITY OF EAGAN Remarks Addition-Meadowland 1$t Addition Lot L Blk 3 Parcel 0 48050 010 03 Owner ! Street wommemomimmow state Eagan, MN 55122 4333 Beaver Data Road Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. IIA . 1981 1589.99 158.99 10 1S89-99 U006796 1 n/1 "4&0- GRADING SAN SEW TRUNK 97O 77.95 3.12 25 A009070 5/15/80 --A 3. 74 *SEWER LATERAL 3156.58 0 58 0005509 8/6/80 156. - WATERMAIN *WATER LATERAL 1981 10 WATER AREA I Q'71 95-27 6.35 15 44.47 A009070 5/15/80 STORM SEW TRK 1971 282.92 14.15 20 141.52 A009070 5/15/80 *STORM SEW LAT 1981 10 * Services 1981 10 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 1()126 5.129190 WATER CONN. 305.00 1 126 5/29/80 BUILDING PER. 5846 ](11196 V99480 SAC 00 19196 PARK PERMIT CITYwOF- EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 2 0 2 (612) 681-4675 Date Issued: 09/09/98 SITE ADDRESS: 4333 BEAVER DAM RD LOT- 1 BLOCK- 3 MEADOWLANDS 1ST P.I.N.: 10-48050-010-03 DESCRIPTION: REROOF/STORM DAMAGE Building Permit Type STORM DAMAGE Building Work Type REPAIR Census Code' 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: - CONTRACTOR: OWNER: - Applicant FAGERSTROM MARK 4333 BEAVER DAM RD EAGAN MN 55122 (651)452-2549 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 Mn. Statutes and City of Eagan Ordinances. 'L Q-JC4(-K4 APPLICANT/PERMITEE SIGNATURE ( SUED BY. SIGNATURE II - 1998 BUILDING PER,b ' APPLICATWIN 11 OF MAPS" Ww Con9motim FWmMm 3 regisis a sits sunroya ♦ 2 es ; ♦ 2 copies of plens (holude beam i wbldaw slaw poured W. design; de.) . 2 ells t+tp s 4 t ♦ 1 energy calpditions ♦ 1 fiat, 1 ' ♦ 3 copies of tna presw ation plea if ld per! slpt Tli!! 1 , 1 required: _Yes. _ NO ' . DATE: CtTF~Ja"''isi~ F WORK: DGSCR"ADDRESS:4S-5S STREET BLOCK: SUSD.IP.1A. LO Name* FhkC, err Carr PROPERTY First OWNER Street Address• t1a.t+~ City State:'-~ L, Comi>~y: - - CONTRACTOR Street Address: _ Try # Zip, City 'S`tate: ARCHITECT! ENGINEER Company: Name- Street Address: City Start: - " Serwer & water licensed *nter (fw w conshcd In only): and iot change is requested once permit is Issued. I hereby acknowledge that I have read this a On and state VW the WWAOW *W%*`4WdllPW* State of Minnesota Statutes and City of Eagan Ordinances. Sig o tna of AWHcant -W bklbi& aFFlce uW OW&Y Certllf *w of Sunray Received Yes No - Tree Preservation Plan Received Yes No Not R"ulftd r~ W=ING PERMIT TYPE 0 01 Foundation ❑ 06 Duplex 011- Apt:JLo WfV ❑ 1!I D 02 SF Dwelling O 07 4-ple ❑ ' 12 Multi x 17, r} , CJ 03 SF Anion ❑ 08 &&x 0 13 Ganary, , 0 20 -Publica: , ' . a3 04 SF: Porch O 08 12-plea ❑ 14 Fi* 0 21 Mis ou ❑ 05 SF Misc. ❑ 10 _„-plex 0 Is Do* fI ORIt. TYRE ❑31 New 0 33A C) 3 ❑ 32 Addition 134 Repair 0 37 Der GE14EEPAL INFORMATION Corer. (Actual) (A Iowahle) Main *QJL Inter BC Occupancy F1rtSontred Zoning s . PRV # of Stories Pump Length sq. ft. „ Co Cade. CetStlg ,Depth Core Unit APPROVALS j Planning Building Vs*irce Permit Fee wal lon: $ Surcharge Plan Review LkwIse MCNVS-SAC City SAC Water Cann. Water Mew Acxt. SJW Permit SNV Surce Treatment Pl. Park Ded. Tram Ded. Other . Copies % Y ' SAC Units 3jk-' • CITY OF EAGAN Include 2 sets of plans,, t 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of ca~culations. r b To Be Used For Valuation ~G ca Date .S site Address:4333 o_a. ( nfi, OFFICE USE ONLY _T,ot Block_ Sec. /Sub ~~,Qc~M cQ Erect Occupancy Alter Zoning Parcel # : Re pair Fire Zone Enlarge Type of Const. Owner: Move # Stories Address`: n"1 o - Demolish Front ft. City/Zip Code: Grade Depth ft. Phone - APPROUAZS FEES 5 c5=°- Contractor: Assessments r ',19 Permit Address : Water/Sewer Surcharge ~?U Police Plan Check _ City/Zip Code: Fire SAC "5- Phone Eng. Water Conn. 3 d Planner Water Meter _ 6 /~hg. z Council Road Unit / e,5- Arch. Bldg. Off - Address: APC City/Zip Code: --7 - J Phone i~w TOTAL 4- L 'none: 988-2080 curve ar~s _ . SURVEY FOR JOB N0. DESCRIBED AS 5 ~rq 9_Ut` ~I y Ease. _ _ _ 113.65 Lr . 1 ~ I I Top '.of- 610ck Basement Fioor = I ml I , g RESIDENTIAL 7 t, BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RDA EAGAN MN 55122 ~-f-L 651.881-4675 n-L 0 Z..~ New Construction Requirements RemodeYReoair Pmuimmrits • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and al roofed areas • 2 copies of plan (20% maximum lot coverage slowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE S-" a z-- VALUATION SITE ADDRESS '1333 '136i9-✓6_1e- MULTI-FAMILY BLDG _Y I/N TYPE OF WORK P0,CH Ste- so w FIREPLACE(S) 0 _ 1 _ 2 APPLICANT QU 041 t7t~ ~R~ rT 06A1JT-<d c1`"b^' STREET ADDRESS I Ygtf 3 9VC- CITY _<-AuftE STATEZIP 55 37ff TELEPHONE # &gS-ay/V CELL PHONE # G/1 - 70/- (683 I FAX # 9'Sk sli7 -a y/ PROPERTY OWNER JS_ fiC2&4 S'TQ1510n TELEPHONE# bs~- Vf2-',R5Y9 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category ;MINNESOTA RULES 7670 CATEGORY 1 (J submission type) . Residential ventilation Category 1 Worksheet Submitted D7772 et Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener Lawn Sp 0.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # 'Mechanical system includes: _ Air Conditioning ee: Heat Recovery System M Sewer/Water Contractor: Phone # ey I hereby acknowledge that I have read this application, state that the i I is correct. and agree to comply with all applicable State of Minnesota Statutes and City of Eaga rdina Signature of A OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ^Nr 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Adds. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding A 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation qav 0-K, Occupancy 3. MC/ES System Census Code y 3 lJ Zoning City Water SAC Units - Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O- Footings (deck)C Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof -y Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee _ 3 ~~'r~fo ©yo , 0 Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ,5J Other Total 9609 Girard Av*nu• South C '441N H. HEDLUND 8toomington,Minnesota 35431 t,and.rSurveyor CM1 Engineer Phons:888-2080 Sutve#or`s eeai) rwAte JOB NO. SURVEY FOR: Zachman Homes , DESCRIBED AS: Lot I , Block 3, MEADOWL.WID FIRST ADDITI ^N , i ty o f = a' Dakota Ca(unty, Minnnesota, and reserving the eaa-omE nts of rer_rr 681-Z 6M.; $o 1~71? 3 ~ t 13.66 0 I I° Top c* 81ock s 882 9 I in Bit Floor • 879.4 l Garage Roair = 892, 4 I I i i N~ 10 OFFSET 9:~f.3 L~ R. K,~fT ri kim Fronk Rea> T 3b i So T;._-~acrs S¢t~ack5 ~ Drait+ayd ~rro~s ~ N Bar. 5 Go+~r~ + I oQ C V, CE Icx.s#i At~ort I 4 ama PtVPasad Ele'v4fott zo't ~ Dr ivE. L- - "a" A ld' tNri~i F.cts¢.tttets 35 0 70.00 R78'7 30 i X30 Beaver D4wi Road g79} GLRTIFICAT.C OF SURVEY I hereby certify that on ,.5/9/$0 I surveyed the property described above and that the above plot Is a correct representation of said survey Calvin H. Hedlund, Minn. Reg No. 5942 RESIDENTIAL . BUILDING PERMIT APPLICATION CITY OF EAGAN o 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements Remodefl mir Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations Indicate ff home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7!1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION _ 333 Iw4j('d JOB SITE A RESSp IF MULTI-FAMILY BUILDING, HOW MANY UNITS?~ PROPERTY OWNER ~l x TYPE OF WORK cf /Cl FIREPLACE(S) _ 0 _ 1`_D 2 APPLICANT ON e10R J J/61141 r~C- ~HONE# 651 Y'6 bgw ADDRESS ~6_6 c>2V ,ta- J~Lre I 4(41 ZIP CODE PAGER # Cg ounrre 0 _ FAX # 415-6 NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the i imation is co n ee to comply with all applicable State of Minnesota Statutes and City of Ea nces Signature of plicant Certificates of Survey Received _ Tree Preserv io an Received _ Not Required _ Updated 2002 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) NO/ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing - Foundation HVAC - Drain Tile - Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone - Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Polldt l T il 651-i75-5 675 Vx'00 £ 4 Date Irr~Mi•I { Y t "{Yt~. Site Address A-eal, lie AEC- Property Own" ek T444~~ A ~1S C'v!a#ractor STANDARD HEAM &AIR CONM1 a % co: sty#.+ar sate MINNEAPOLIS, MN 1&2 _ . Sy 8 i LM ev CE -04- a- "I, ZIP s C4tu*~Wr *w The Applk=t Is ~ Osw AAd-ail, modf&*H 4T ali fm so e g "*W" t fumam rep wont ° air e)w an!ger air conditioner Xs,~ y 4 i odwr f, app"d -Fo Stye Surcher~e ~ x~~,~ s, - Total ,R I bmby Vply for a M aclwwl e t ft, . . o be 1d! with tl9e X11 % Of the •C1f and ~ ~ 11@9; ~e s pmt; bit -ody an p ,,a : *wk is no to dl* 1= in the case of a t s 'JF ~ ~ ; @tt t{ t ii ar~f'S printed Nm ; t , i 7qw i. All" ~rra ~ Y y : oil i 0 [~r v ne 1 ~ ~ wM r33iK' r= - contract" ~5. s 9#00 Addrm , -LL ncAl ~}y~y ~"y"gyp j ✓ ~.L + r I Y!' .z ~ rr g ~Ci1 I 5 I JA " 'f k 1 { ♦d 7 roooftw P - a 64. ~l { a f t UE r ok n_`Y F.j . 4 e+ s aim s-50 pff 1` t a in ftva" of - - Frti[`ynl9~ls. }-.3.~ `c q~C v - r't.. ;R dui, q ~ 711 7- N T r,4 ' I 'fir a 6::~ 4 ~ 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION 3 6 City Of Eagan 3834 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 1~, Site Address a ~3tclrY'] (~Y [Trait # Property Owner A 5:ge(-~rG~ Telephone # (4v ) Contractor Street Address RIANDARD i EJ►TiMG i ( IT006 G0. City M.~.~~_ 410 WEST ~E~ ( ) State audil 0LjS, M p Telephone # 6'12-82 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 State Surcharge $ •50 Total I hereby apply for a Residential Mechanical Pernvt 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 witho t; that 1 be in accordance with the approv d plan in the case of 'ch requires a r view and approval o fans 17 L App karat's Printed Name Applicant's Si e ~J_ 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank Install _ Remove **see below Interior Improvement Install Piping -Processed Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If uemut fee is over $1,000, add $.50 for every $1,000 ermit fee $ Total Fee I hereby apply for a Commercial Mechanical Pemtit 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: gryfrr:.si!.-9--ter Zr. T' f ES!~~'F '~!A" _ - •yw:: ~Kt.z. :i.4c. --W,.' 1 1 CAS" REMWT +'1} CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE / 1! RKCWVZtl FROM , AMOUNT $ I ,t DOLLARS 1 _ too CASH ❑ CHECK j r~ t FOR f 3 f 1 FUND CODE AMOUNT i / Thank You BY d~ Whits- sysm 41 Ysisovw-Posting Copy Pink-Fps OOPY Use BLUE or BLACK Ink F -.For--Offic-e-Us-e - - - - - - - - - - ~ I I ~~U of Emu Permit 3 ~ 6~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 i staff: Fax: (6517 675-5694 I I 2010 RESIDENTIAL BUILDING PERMT APPUGATr N _4 Date: 4 J/a Site Address: 9,4 r% go -4333 Tenant: Suite # RESIDENT / OWNER Name: l ` r A2 /L' ~es~ ry rd Phone: Address / City / Zip: 33 11 l'~ d Applicant is: Owner Contractor LL 1 TYPE OF WORK Description of work: J;e7er. J Construction Cost: Old. Multi-Family Building: (Yes / No m CONTRACTOR Name: ® Q f. a fS rr License 2,V S3 3Z Address: 31 3 7 IV 6 JJ A Yf ~ City: t4 Pj rS State: YY)/V Zip: 54 11 Phone: 46 1Z ° L~ ®g ' D Z ! 2 Contact: ~ tK S 1 o C° f ~ Email: vg -e )a ( ja r,f', L r~ y,ti 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 46 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 fora 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. . pb a c- y, -jo g. c, 41-. X L~~V Applicant's Printed Name ) Applicant's Stdnature D uuu APR 2 2 NIG Page 1 of 2 r a DO NOT WRITE BELOW THIS LINE §Va TYPES Fdation _ Fireplace _ Porch (3-Season) _ Storm Damage Sim Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ Ot of Plex _ Lower Level _ Poot _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* T Addition _ Move Building - Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage - Retaining Wait Memordion ofenttre building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25°10_ 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 J 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 Control Reviewed By: Building inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC e City SAC' ` Utility Connection Charge - / S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 • • 9Qd>a eirgrd Aw*MO SoOM i :.1tiN H. HEDLUND ~ Moaninfton,Mennoaote 55431 i oAd t 80verot : COW loginsor Phone - see-2080 n '7C ~5 aaja AC i/ q33ZT> ~u JOB NO. SURVEY FOR: Zactmaan Homes = a: n , DESCRISED AS: Lot 1. Block 3. MEADO WLAND FIRST KODIT '':tii . - - ty of Dakota Cc(unty. Minnesota, and reserving tiie eaacnnunr_3 of rec or r LI AO T 5' tih't Easy. t t Top dF 8bch - X82 1 e,. 1 - 879.4• I _ V Gtr. "osir ~ ~ ~ r t Ini { N1 1~~8f~r5if 9E:f.3 ,j C!W?f ' So'tSrscKS I , ~t ~rcrs • Atr►ttMi~ N - Aav~gt t I t Elsapt se~ + t ! S.. or.i,~, ~ • to ~ s-~~~ I of { lt!' tNrili Erasq~tt~K 36-PO - 70-C* -7 30 1 x e. e 978A Beaver Dam Road ewff.lElfiag Of SURVEY Y hereby certify that an :51111%0 1 surveyed the property described above and that the above plot IS a correct representation of said surv}ems ; L Calvin H. Hedlund, Minn. Req. Na. 5942 PERMIT City of Eagan Permit Type:Building Permit Number:EA112529 Date Issued:08/16/2013 Permit Category:ePermit Site Address: 4333 Beaver Dam Rd Lot:1 Block: 3 Addition: Meadowlands 1st PID:10-48050-03-010 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 . Pat Addy 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 - Mark Fagerstrom 4333 Beaver Dam Rd Eagan MN 55122 Greenguard Construction Inc 2915 Waters Road, Suite 101 Eagan MN 55121 (651) 289-7000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118280 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 4333 Beaver Dam Rd Lot:1 Block: 3 Addition: Meadowlands 1st PID:10-48050-03-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. 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 - Mark Fagerstrom 4333 Beaver Dam Rd Eagan MN 55122 Greenguard Construction Inc 2915 Waters Road, Suite 101 Eagan MN 55121 (651) 289-7000 Applicant/Permitee: Signature Issued By: Signature �, Post and Beam Dimension Sheet N. Design#51937 Posts 6,>e p 5-/ N M 1/ 0 T-3 .. ... ....... .... ..:� •rte:. ::: 3i -vi _ . �s�L U of)�u ct on : ::::: � C > 2 �' QC13 E2`_ ;u5�cvu, -= cn Q, �ivi�� Ui'. STAIR TREADS APIS Z, tri • T % MAXIMUM RISER TRE t) CO • 10" MINIMUM TREAD DEP II r' COa,,.y, 5 r, -> !t)! 1. NOT RT ,"I PPOIIITO 1.7Y i. ..,.,_..Li. V°vt i rwU] SPECIFIC ECuU NEcHLAAG. N 1 " WALKING SURFACES GREATER ABOVE AREA BELOW REQUIRE G MILS MINIMUM 36" IN HEIGHT ANDD ,. t' SUCH THAT A 4" SPHERE WILL NOT PASjOWGH Ct3 i1(i CF 1 ilr CSI a) ( = 1-: 01 U) ~ co U acocaa, C/)f .-5 47 U i„i uc fl: -s r c c. i TREATED WOOD MAY RMOU1RE SPECIALS FLAB; , , r ND LSUPPLIER FOR MORE INFORMATION.' "DNS DIVISION 1 ayniit dimension shpefq are intended as a c:nnstnJc.t on aid. Not all Aptinnc galar.tr r1 arra clar° PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA122933 Date Issued:05/23/2014 Permit Category:ePermit Site Address: 4333 Beaver Dam Rd Lot:1 Block: 3 Addition: Meadowlands 1st PID:10-48050-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Josh Mcguire 1424 3rd St N Minneapolis, MN 55411 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Mark Fagerstrom 4333 Beaver Dam Rd Eagan MN 55122 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature