508 Chapel CtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 508 Chapel Ct
Lot: 6 Block: 1 Addition: Cherrywood Knoll
PID:10- 17050- 060 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Brenda A Foreman
508 Chapel Ct
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA090237
07/16/2009
ePermit
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan -!t> 30 . ? C
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complere for: Single Famity Dwellings
Townhomes and Condos when permits aze required fin each unit
Datee.5- //-? / 2a?3
Site Address cy A GhapPl CJY
,Oft Unit #
Property Owner lyerr6y Telephone # (6Jr? ) ??f ????
Contractor
Street Address ?70G XkLlfp City X/
State /)?/V Zip Telephone # ( 76'? ) ?? -6332
The Applicant is _ Owner ? Coniracror _ Other
Add-on, modiFcation or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
x other
State Surcharge $ .50
Total
,
Il i, M1!`? 3 2L'n; j ll
?U,2 _
I hereby apply for a Residential Mechanical Permit and acknowledge that the informahpn, u complete and accurate; that the work will
6it
stand this is not a
be in conformance with the ordinances and codes of the City of Eagan and with the Iv4 €h?i e
pemut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
/%T? fi0/) `ch
Applicant's Printed Name
A?
Applican Ys Signature
ZWsa
RESIDENTIAL BUII.DING
Permit AppticaNon
City Of Eagan
3830 Pilot Knob Road, Esgan Mn 55122
Telephoae # 651-675-5675 FAX # 651-675-5674
-? qq"84:;?
C,V4.4 3Jr4)06
New Construction Reauirements gemoWReoair Reauiremenb Olfice Use Only
3 regamred sim eurveys shoring yq. R of Im, sq. ft of lrousa; anG pll ruoled areas 2 aopies ot plan _ Cert af Survey Recd
(20% maximum bt coverage allawed) t aet M Energy CakubCais fa Aeated aIdiuais 7rae Prea Pmn Recd
2 copies o( plan slawug Oeam & windmr sizes; prwred found design, ek. t aiEa swvey fur aEGNons 8 dedb _ Tree Pres Not Reqd
lselofEnergyCakulatlons Add'NOn-4MlceteNm-sitasePtlcs?atem _On-siteSeptlcSYsoem
3 c?es o} Trea Preservatlon Plan k bt p?tted aRer 711193
Rim JdslOetail Optiaq selectlai sheel (bklgs wiM 3 or bss uni@
Date Jl l /7
Stte Address c, 6ff / !::!3
GfWI=L C 7- Construcdon Cost ? v G O
UniUSte #
Description of Work \i21 v9'S7-5rZ- ,3 4.iFf)
Malti-Faroily Bldg _ Y ±VN Fireplace(s) 1f?0 _ 1_ 2
Property Owner R 9 n J,q-ta N OZ n U? 4 Telephone # ( I?S]) n-7+-/
Contractor
Address
State
Zip Cjty
Telephone # ( )
COMPLETE TNIS AREA ONLY IF
Energy Code Category - Minnesob Rules 7670 Categorv 1
(+l submission type) • Residentlal VentiWtlan Category 1 Worksheet
Su6mitted
• Energy Emrelope Calculatlmis Submittad
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Waksheet
Submiked
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclmowledge that the i ation -fs omplq9,Wd accurate;
that the work will be in conformance with the ordinances and codes of the of Eagan and the State of MN
Statutes; I understand this is not a pemut, 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 approve p an in the case of work which requires a review aad
approval of plans. ?
?c?Nr4? 1/?c?77S?f ?
Applicant's Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? Ot FaundaUon O 07 OS-piex O 13 16-plex O 20 Pool
02 SF Dwelling ? OS OB-plex ? 78 Fireplace O 21 Porch (3-sea.)
O 03 Ot of _ plex ? 09 07-plax ? 17 Garege ? 22 Porch/Addn. (4-sea.)
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo)
? 05 03-plex ? 11 16-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04plex O 12 12-plex Ptbg_Ya_ N O 25 Miscellaneous
work rypes
? 31 New
O 32 Addition ,
?P 33 Atteratiart
? 34 Replacement
Valuation Ll, vo p
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const U ?
_ Footings (new 6ldg)
_ Faatings(deck)
_ Footings (addition)
Fouudation
Drain Tile
^ Roof Ice & Water Final
eK Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy 93 MGES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUII2ED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plwnbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connectlan Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
O 30 Accessory Bldc
O 31 EM. Alt - Multi
O 33 6tt. Alt - SF
O 36 Multi Misc.
O 35 Int Improvement O 38 Demolish (lnterior) O 44 Siding
O 36 Move Bidg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 37 Demolish (Bfdg)* ? 43 Reroof 0 46 Windows/Doors
•Oemotltlon (Entlre Bldg) • Give PCA handout to applipnt
- 7'?
PLUNII3ING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts are required for each unit
? '}' .SD
Date _.-5 / / -7 / O ?,
SiteAddress ,SUS CU.4r9r?L CT Unit#
Property Owner 0) ti ,q L-l) A- S,4 *-3 :I Tetephoue # (? 1 ) W 1 S-(J `7 ?
-?
Contractor Sr?L l=
Address City
State Zip Telephone # ( )
z
The Applicant is I
Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes Counly fee. Additional consultant fees may apply.
Alterations To Eaisting Dwelling Uuit, Including $ 50
00
? Adding fxtures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if ne
e
ded -$121.00)
t
-
_ Other: A?.?cGrc2??>i iM 0.?--/- 6s rt P'(Ybm
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation sys[em
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
$ 50
StaYe Surcharge
T
t
l JS-b
'?D
o
a
- $ ,
I hereby apply for a Residenrial Plumbing Pemut and aclaiowledge that the infonnation is complete and accurate; that the work will
be in conformance with the ordinauces and codes of the City of Eagan and with tha Plumbing Codes; that I undetstand this is not a
permit, but only an application for a permit, and work is not to start without a t; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of planC?
NA.L Wt /
Applicant's Printed Ne pplicanYs Signature
PERMIT # RECEIPT DATE:
2002 RESIDENTIAL PLUMBINH PERMIT APf'LICA'PION
CITY OF E4fiAN
S$SO PILOT KN08 iiD
EAHAN, MN 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: 5,09 r qR-af?C, C,T
OWNER NAME: :?0 f-? w E57`!S?( TELEPHONE #: lW I CoP (RU'7 Y
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
CITY: l? I?c'C",Ara?-S STATE: N1 0..1 ZIP: ?`Cl ZJ
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge ? $ .50
Tota1 JUP? 2 4 2002 g So ,
i
I hereby acknowledge that 1 have read this application, statethatthe information is correct, and a e mptywith ali a plira6le Eagan ordinances. It
is the applicanPs responsibilityto notiTy the property owner that the City of Eagan assumes no tlit . or a amegesC2GsGseBy the City during ils normal
operational and maintenance adrvities to [he 5cilities constmcted under this permit wthi?gerty?p?of-wayfeastm'Snt?-SIGNATURE OF PERMITTEE 1l02
?,
' reAzut a': ` ?-F'--f ?
Receipt Date: -?) - -D- - 0 I
cl .
cinr oF EaGaw `-t
2001 SEWER AND WATER CONNECTION AND AVAILABILI7Y CHARGES
EXISTING RESIDENTIAL PROPERTY
Address V??--
PropertyOwner -::Y(-) Y`Y1 5'??-? ?l
Telephone #
Plumber ?
Cu_-\\ (?3 c?,l
Sewer
Lateral chazge @ $22.85/ff
Trunk @ $925/connection
City SAC
Base SAC
Date paid _
Receipt # _
Account deposit
Septic abandonn
Sewer permit &,?
Total
Sewer lateral charge @ $22.85/ff
Water lateral charge @ $23.05/ff
Sewertrunk @ $925/connection
Water trunk @ $965/connecrion
City SAC
Base SAC
Date paid Receipt #
Water supply & storage
Date paid Receipt #
Treatment plant
Water meter **Inspections req'd prior to issuing
Account deposit
Septic abandonwent
Sewer and water permit & surcharge
Plumbing pernut ceyuired
Total
OFFICE USE UNLY
14 PRV required
?A City 0 County R-0-W Permit
Water
/ Lateral charge @ $23.05/ff
Trunk @ $965/connec6on
100.00 Water supply & storage
1,150.00 Datepaid
Receipt #k
Treatment plant
15.00 Watet meter pections req'd prior
50.50 to issuing
50.50 Account osit
Water it & surcharge
Pf mg percnit requirod
S
Sewer and Water
?( b„ d• rt /g?oe r
qd bK
691 {,., /?,/??./
?1 ?0.00
1,150.00
860.00
516.00
115.00
30.00
50.50
100.50
? ?-? o?
$
860.00
516.00
115.00
15.00
50.50
$
? a pol
ce: Carolyn Krech, Finance Department
PERMIT # 1-4 "_I j _?) r?_
USIDENTIAL PLUM$INIQ PEiiMIT APPLICATION
CI'fY OF EkfiAN
3830 eaor icivoa Rn
f.AfiAN, btA 55122
651-691-4675
RECEIPT DATE: --?) -,-z-, - U (
Please complete for: ? single family dwellings
> townhomes and condos when pertnits are required for each unit
? backflow preventer for irrigation system
s `
SITE ADDRESS: ?/ ""'-??
OWNER NAME: :
INSTALLER NAME:
.
TELEPHONE #: 65r-4tgf -bb) ?
(AREA CODE) '
TELEPHONE#: (95??7?? rS?`?
(AREA CODE)
r
STREET ADDRESS: II J L??
CITY: 3_ OUA_
Place a check mark next to the nermit wnrk tvoe
STATE:
ZIP: -/,D- 2,
_ New residential dwelling unit under construction and not owner/occupied $ 90.00
?
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
?lawn irrigation system
/' • /water turnaround
L
?
.
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ 50
Total $
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read lhis application, state thal ihe intormation is cortect, and agree to wmp II Ap ble Cityof Ea!
is Ihe applicanPs responsibilily to notify the property owner Nat the City of Eagan assumes no liabilit d ed by_tha.6ify
o perational and maintenance activities lo the facilities consVUCtetl under this permit within City p y n . 1 '.-
SIGNATklRE OF
C O U N
ENVIRONMENTAL MANAGEMENT DEPARTMENT V GROUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us
MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION
DATE: October 28, 2004
TO: Tom Colbert/Wayne Schwanz (EM)
RE: Well Permit #: 04-1-1225453
Municipality: Eagan
Fax#: (651) 675-5694
We0 Type: Domestic
Environmental Specialist: Rutten
The Water and Land Management Section of the Dakota County Environmental Management Department has
received the following permit application for the well described. If you require further review oF the application or
if you have any questions or concems about it, contact the Environmental Specialist listed above or our office at
(952) 891-7557. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we
will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always
conditioned on the permit applicanYs observance of and compliance with all applicable state, county, and municipal
laws and codes.
Well Contractor:
Date Application Received:
Anticipated Drilling Date:
Anticipated Grouting Date:
Property Owner.
Well Owner:
WELL LOCATION:
PLS Coordinates:
Street Address:
PIN Number:
Carlson Well Drilling
10/28/2004
Ronald Westby
Ronald Westby
1/4, SW 1/4, SE
508 Chapel LN
101705006001
WELL INFORMATION:
Diameter: 5
Casing Depth: 119
Total Depth: 124
Static Water Level:
Aquifer:
Time:
Time:
1/4, NE 1/4, Sec 12 Town 27 Range 23
COMMENTS:
File Edft View Tvols Applicattons Help
C?rRICyn m 0 R??????I
h111W*?
?0fit
4'ft
Connection I CommeMs I
fagan Building I Eagan Develnpmsrrt ? Permits
Owner I Eegen AssessrSales I Eagan Rroperty I Eagen
ParceIID fi-01705006041.
Address 508 CHAPEL CT ?
Owner 1 WESTBY RONALD L
508 CH,4PEL CT
EAGAM. MN 55122
Owner2 a/ESTBY SANDRA J --
4.
Owner 3 i
I
?
I
Owner A
ParcBl data updated August 27, 2004
_._.. _. ?
a
.
?lb"
2007 RESIDENTIAL PLUMBING PERmiraPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?N-
Date?/?/ v /
p
Site Street Address Unit #
Property Owne&??-?-- (RQMar1 Telephone#v5)
Contract-?r? ?? 1 Tele
hone#
p
Address`?D-7) City State Lt_? Zip ?OV0
The Applicant is: _ Owner Contractor Other
Septic System _ New _ Refur6ished Su6mit 2 sets of plans and MPC license InGudes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are insta!ling onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
r
Water Soffener _ Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total ?
$
i nereoy appiy ror a rtesiaential I'lumbing Nermit and acknowledge that the information is comple
work will be in conformance wfth the ordinances and codes of the Cify of Eagan and the
understand this is not a permit, but only an application for a permit, work is not to start without a E
accordance with the approved plan in the event a plan is require to be re ' wed and approved.
ApplicanPs Printed Name ool'rcanPs nature
M3k?ilFbe?inl D
JUL 1 $ 2007
RE5IDENTIAL
BUILDING PERMIT APPLICATION '
CITY OF EAGAN
i ? 5830 PILOT KNOB RD - 55122 ?1I'
?? b 5 ?? ? 659•681-4875 / U' -?0
NewConatrudionReauiremants RemodellReoairReauiremeMS ?-b 0 (
• 3 registered stte surveys showing sq. ft of bt sq. R of house; en?ll roofed areas • 2 copies of pWn
(20°6 maximum bt coverege elbwed) . 1 set of Energy Cakulations for heated additions ? JM _
• 2 aopies of plan shovring beam & window s7as; poured found design, ek.) . 1 site survey (or exterior additions & decks f? 1 Y1
• 1 aet of Errergy Cakulations . Indicele H hom aerved by septic system for addilbns
• 3 mpies ol Tiee Preservatlon PWn fl lot platted after 711/93
• Rim Joist Defail Options selection shcet (bldgs with 3 w kss uni6)
DATE 1/ 3 0 / O
JOB SITE
IF MULTI-FAMILY
PROPERTY
HOW M?A?NY UNITS?
,N 1 .llatkffid n I
TYPE OP WORK C01-',57P-e1GT DacSG ? FIREPLACE(S) _ 0_ 1_ 2
APPLICANT {ZO U Pr?.t] W E S'70`{ PHONE# IaS'l foh a`i LI
ADDRESS 56 CAPPFL (:?-{" . ZIPCODE
PAGER # CELL PHONE # Lps t 33S (7cY Z FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY
(check one) - Residential Ventilation Category 1 Worksheet S
- Energy Envelope Calcula6ons Submitted
?
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Conhactor.
_ Air Condiaoning
_ Heat Recovery System
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the' rmation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O' ances.
Slgnature of Appllca
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
VALUE[ION ?&GO ?r?
Phone #:
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
_ Water Softener _
_ Water Heater _
_ No. of Baths
Updated 1/01
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? ZZ PorcNAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
O 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
0 36 Move Bldg, ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' O 43 Reroof O 46 Windows/Doors
`Damolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 4Z? '?o
Census Code L ?' 1
SAC Units
Nbr, of Units _L
Nbr. of BldgS
Type of Const
Occupancy ? MC/ES System
Zoning K- / City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
_ Foo?tmgs (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final _ Other
_ Ftaming _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By Z-1?6 , 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
? 07 05-plex ? 13 16-plex
? 08 06-plex 0 16 Fireplace
? 09 07-plex O 17 Garage
? 10 08-plex W 18 Deck
? 11 10-plex 13 19 LowerLevei
? 12 12-plex Plbg_Y or _ N
FinaUC.O.
? Fina]/No C.O.
_ Pl?bing
HVAC
?
# ?f5.2 55
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
lew Constmction Reouirements
3 registered site surveys showing sq. It. of lot, sq. k. of house; and all roofed areas
(20% mazimum lol cove2ge allowed)
2 copies of plan showing beam & window saes; poured tound design, atc.)
1 set o(Energy Calculations
3 oopies of Tree Preservation Plan'rf loi plalled after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less onits)
)ATE -s/7 b
Ca11rd ?-9-0
RemodellReoair Requirements
. 2 copies of plan
• 1 set of Energy Calalations for healed additions ?
. 1 site survey for e#erior additions & decks
. Indicate if home served b septic system foradd'2ions
?SvK dvNr-
VALUATION 4 17f 5T?0
106 SITE ADDRESS S 6g C44p.5G GT
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTY
'YPE OF WORK yCV"u/Aj?%
FIREPLACE(S) _0 _1 _2 _3
aPPLICANT Rr,?jArD W i:57?ir-f' PHONE #VeTYEi
kDDRESS .Sf>? C(-(A-qbt ZIPCODE _`WZ!
'AGER # CELL PHONE # Z[Y 3l0 17Xr FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditionuig
_ HeaC Rceovcry System
Phone #
Phone #
ree: $90.00
Fee: $70.00
111 above information must be submitted prior to processing of application. ( ri j'(Yle??n _'k-) lll
???) U
hereby acknowledge that I have read this application, state that the information is correc and agre'??omply wi
iII applicable State of Minnesota Statutes and City of Eagan Ordinanc. sY-
Signature of Applfcant ?
:ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Warksheet Submitted
Phone #:
Water Softener Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Updated 1/01
OFFICE USE ONLY
] 01 Foundation
7 02 SF Dwelling
] 03 01 of _ plex
] 04 02-plex
] 05 03-plex
] 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garege
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
?V 25 Miscellaneous
? 30 Accessory Bldg
? 31 EM. Alt - Multi
p 33 EM. Alt - SF
? 36 Multi
7 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
] 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
y 33 Alteration ? 37 Demolish (81dg)• ? 43 Reroof ? 46 WindowslDoors
7 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
? O?
/aluation ???qqqtt?YY-
? Occupancy ?- ? MC/ES System
:ensus Code Zoning City Water
iAC Units D/ Stories Booster Pump
Jbr. of Units Sq. Ft. PRV
Jbr. of Bldgs Length Fire Sprinklered
"ype of Const .7 ? W idth
_ Footings (new bldg)
Footings(deck)
fb Footings (addition)
Foundarion
Drain Tile
? Roof _ Ice & Water _ Final
Framing
Fireplace R.I. Air Test Final
Insulation
_ Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ 4Vindows (new/replacement)
Approved By tle,? , Building Inspector
3ase Fee
iurcharge
'lan Review
AC/ES SAC
;ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
"reatment Plant
llumbing Permit
Aechanical Permit
.icense Search
:opies
)ther
rotal
REQUIRED INSPECTIONS
FinaUC.O.
?27 FinaUNo C.O.
_ Plumbing
HVAC
,SGELL?54 w5
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165004
Date Issued:10/14/2020
Permit Category:ePermit
Site Address: 508 Chapel Ct
Lot:6 Block: 1 Addition: Cherrywood Knoll
PID:10-17050-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Brenda A Foreman
508 Chapel Ct
Eagan MN 55121--236
Pillar Construction
10043 Butternut Ct
Brooklyn Park MN 55443
(612) 558-6128
Applicant/Permitee: Signature Issued By: Signature