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1130 Aquarius Lane Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use t Permit City of Eap J I Permit Fee. 3830 Pilot Knob Road Eagan MN 55122 I Date Received: 16 / RECEIVED I I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: JUN 14 2011 ! _ 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3C~ 4(9L rJa1US Unit Name: i(/ M t~~ ~ J J Phone: C / Iybo RESIDENT / OWNER Address/City/Zip: rr 1136 14OL46Alu Applicant is: Owner Contractor 7 TYPE OF WORK Description of work: &/L/ki-Acx r~ bcc Construction Cost: 4 ~~,p V O Multi-F Building: (Yes / No&-) Company: L EU ( 4j¢ f i~ra✓ > L~~G Contact: 0 © ttl4tc 4C j ~ Address: 13 ti ~0 ~ ~•2; ~ City: ~19~ V~ur c ~f TRACTOR State: r"l 5 3 j Phone: C 1 2 License Lea ertificate MAny 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 _KNo 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 454-0002 for protection against underground utility damage. (651) 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 but only an application fora and work is not to start without permit, permit, a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap v of plans. x Elctwl> x Applicant's Printed Name Applic is Signature Page 1 of 3 Ln 14^ D NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building 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 k, MCES System Plan Review Code Edition SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test 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 Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCS SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Certl ; cafe, f w : - ' - Dunn : Curry St ke House For: Svend Peterson Const. 4711 West 111th Street Bloomington, MN 55437 DELMAR H. SCHWANZ - LAND SURVEYOR Registered Uncer aws of The State of Mmnesola 2478 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56M PHONE 812 423-1789 SURVEYOR'S CERTIFICATE _A U P,RItJ! S ~r P,Pi~ o r~ /o/: 100 4Gr rX, r r'1` ° t f c /.)fit ~ J 2 hereby (~d e" rt fy t Chat this i s } ! a true and correct represent&ion of Lot 20, Block 1, • WILDERNESS - PARK SECOND ADDITION according i ~ to the recorded plat thereof, Dakota County, Minnesota. Dated : July 25, 197.9 j ` 1.-~.~. OT, Approved for Dunn k Curry - - . - ; • • Real Estate Management, Inc. . ~ 17RAtr•rf~ca~. ~ Y ~ TI ~ti-Y by: Q y Iron pipe Ira^- Set wood hub ~D0.4 Elevations shown are" existing and on an assumed datum. - Above shown house staked on lot September 24 ..398{ rf'' --.-Proposed garage 1'106 elevation . =15?-"'~ ~'•A~7R"~ y . J ; ~ MINNESOTA fiEG187f'#A1l1'3kNtl.8d2sf t ik .T_vY-y, `t•r -'7i,-.,w. r .4~'• "~(It l', . L * Y CITY OF EAGAN qsi 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be wed is S DStiG/GAR Est. Value $103,000 Date OC'--'OBi;:', ? 19 84 Site Address 1130 AQUARIUS LN Erect L~f Occupancy R3 Lot 20 Block Sec/Sub. WILD PARK 214D Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const. V Enlarge ❑ No. Stories cc Name SVEND PETERSEN CONST INC Move ❑ Length 60 LU Address 4701 i~' 110TH ST Demolish El Depth Tz- City MPLS Phone 884-5144 Grade El 54. Ft. Name SAME Approvals Fees ob Address Assessment Permit 51.5 0 F- City Phone Water & Sew. Surcharge 220.25 Police Plan check WW Name Fire SAC 525' 00 _1 Address Eng. Water Conn. 470.00 <W City Phone Planner Water Meter 63.00 Council Road unit 260-00 1 hereby acknowledge that I have read this application and state that Bldg. Off. 10/9/8 4 (copy ) .50 the information is correct and agree to comply with all applicable [CPC Total .$2,030.75 State of Minnesota Statutes and Sty of Eagan Ordin faces.. _ r. Date Signature of Permitteer z 3V11"ITf .^~s ` CCSNST INC 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 C , _ Permit No. Permit Holder Date Plumbing c t S'-( ?a -l l ~l H.V.A.C. Electric Softener Inspection Date Insp. Other Footings Foundation 1114,1 Framing Rough Plbg. S Z Rough HVAC Insulation Final Plbg. t Final HVAC Final Cert/Occ. Water Describe Location: Well Sewer Pr. Disp. J U Receipt 1- MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee - ~I I I t1 ` t/ I Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date - 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner - r I i 5. Contractor V - Phone - 8. Address 7. City State r Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New 0 Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. EQ uiom -n BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN j Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address ' Lot Blk. T- 4. Owner r 5. Contractor Phone 6. Address ' 7. City State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner 1T Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray r Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21 PERMIT NO.: Eagan, MN 55121 DATE: O 1 Zoning: No. Svend Petersen Con t. of Units: Owneer; Address: Site Address: 1130 Aquartur, Lane L2i' U 1.11deriviss Pz. rk ? Plumber. (,enz Ryan Plb^ tF cr,~ na o. Meter No.: Connection Charge: Size: Account Deposit: P 1 .0. 00 Reader No.: Permit Fee: F 5 F 1 some to =rePlg willl the City of Eopew Surcharge: ordiwwwae. Misc. Charges: 63. CK) pd meter Total: By Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road. n P. 0. Box 21198 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: R1 No. of Units: t Owner; Svend Petersen Const Address: Site Address: _ 1130 .Aquarius Lane L20 B1 Wi" -Ilc esE„ Park 2 Plumber. Genz Ryan Plbg A Fltg 10-11 ~a 46977 1 ogre* to somply wllh the Cky of Eaton Connection Change: 425.00 pd ow honer Account Deposk. 15.00 pd Permit Fee: 10.00 vd Surcharge: .50 pd BY Misc. Charpasr Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN Remarks Addition WILDERNESS PARK 2ND ADDITION Lot 20 Blk I Parcel 10 84251 200 01 Owner_ L't_ Street 1130 Aquarius Lane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1979 1 53 41 155.34 10 3 STREET RESTOR. GRADING SAN SEW TRUNK 1973 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 4jjg 1979 794-90 79-49 1 n 9,0P., STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #46977 10-11-94 WATER CONN. 470.00 tr tt BUILDING PER. 61 it it t' tr SAC 525.00 PARK GAN WATER SERVICE PERMIT Knob Road 211,,99 PERMIT NO.: an, MN 55121 DATE: ing: No. of Units: -VAN& 1W Owner: Address: Site Address: =i4ef9e ~P~~ ^n+? Irk;-r}i} c, Plumber. - Meter No.: ~6 L `Connect ~C►iorye: Size: / FQ1 Dh* i Oder No 6 / 7 Permit Fee: I agree to amply whh the Gty of Eagan Surcharge: ordinaKaa. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: (q REQUEST FOR ELECTRICAL INSPECTION 40 IE\B-00001-04 - w P See instructions , tompletinig this form on beck of yellow copy. .f v/~ / 8 y Ii ""X"' Beiow Work Covered by This Request dulRep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Mllk Tank Farm then (Specify) Other (Specify) [ r sFZMfy Other Other ompute Inspection Fee Below A Fee Servic ntrance Size If Fee Faeders/Subfeeders N Fee Circuits 0 20 trips 0 to 30 Am s G O to 30 Ames Above 200 Amps 31 to 100 Amps , o>J 31 to 100 Antes Swinming Pool Above 100-Am s Above 100_Am s Transtormers Irrigation Booms P .'Other Fee Signs Special Inspection s_/ TOTAL F.EE Remarks LIZ Rough-in 4 P abettor. hereby certify that the above Final /g raninspection has been 4"4J de. This request void tBmonths from ' This request vortl 18 months from A'0_ 209 Lev d )'k, 2- s~.~ Request Data Fro No. Rough-m Inspection 4 quired? ❑Ready Now Wdl Nosily Inspec- Ya7"" Re~ ❑NO Licensed Electrical Contractor Yes for When Ready 1 hereby request inspection of above ❑ Owner electrical work installed at: Sheet Atl~re~ Box or oute No. City `I ''JJII u~r~'s L l\J . 4 ec son o- Township Name or No. Ran No. ( C t V. E !IP- A,i O Occupant 1 NTI Phone gn. r / @ r 44; p 6 0 ~S/ y Power S ppl1w / Ad s 1 15 Q ~Ie~ir,Loa ~/7!!r! TD Electrical Contr for (Company Namel Contractor's License No. ar 10 Cle d- G fling Address IC"tractra or Owner Making Installation) "aw Au ized Signature ICo to Ow Mak ng Insta a on1 Phoo18' ne rNr7uummb / V MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL OT Griggs-Midway Bid,. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 MN 88100 UNLESS PROPER INSPECTION FEE IS St. Paul, ENCLOSED. Phone 1 18121 612) a 28]97-2211111 1 9619 CITY OF EAGAN 19-77 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454.8100 Receipt # To be used for SF DWG/GAR Est. Value $103,000 Date OCTOBER 11 19 84 Site Address 1130 AQUARIUS LN Erect 13 Occupancy R3 Lot 20 Block 1 Sec/Sub. WILD PARK 2ND Remodel ❑ zoning R1 Parcel No. Repair ❑ Type of Const. V Enlarge ❑ No. Stories M Name SVEND PETERSEN CONST INC Move ❑ Length 60 z Address 4701 W 110TH ST Demolish ❑ Depth 32 884-5144 Grade ❑ Sq. Ft. City MPLS Phone s SAME Approvals Fees O Name Zu Assessment Permit $ 440.50 8 Address City Phone Water 8 Sew. Surcharge 51.50 W Police Plan check 220.25 W Name Fire SAC 525.00 11 Address Eng. Water Conn. 470. 0 .CZ <W City Phone Planner Water Meter 63.00 Council Road Unit 260-00 1 hereby acknowledge that I have read thi ap canon and state that Bldg. Off. 10/9/84 BamK (Copy) .50 the information Is correct and agree Dly wit ppl Is State of Minnesota Statutes and C' Eagan i APC Total $2.030.75 Date Signature of Pemtittee A Building Permit Is issued to: SVEND PETERSEN CONST INC on the express condition that all work shall be done in acmrdoncgaaGif~i p~f~applicobt~te of_. Minnesota Statutes and City of Eagan Ordinances. -~~'t o e Building Official 3 ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN i INCLUE SETS OF PLANS, © CER CATES OF SURVEY SET OF ENERGY CALCULATIONS To Be Used For: _ _Valuation: 10 3,DCXJ__ Date: Site Address: 0 Q~(7c'-"( s _l`4 r' e-- • 13 xs~ • Lot;X00 Block:/Sect/Sub: jz~Ego ~S ~pF Erect: X Occupancy: R-3 Parcel Remodel: Zoning: Q-~ ,y Repair: _ Type Of Const: M Owner: Enlarge: # Stories: Move: Length: (DO Address: y70 ~ Grp p S-~- Demolish: Depth: City/Zip Code: iAf/'L s ~r~.Y ugh Grade: Sq. Ft.: Phone S/4<</ - Contractor: Sh~iy` W-Auuaf Address: Assessments: Permit: 9 9 D,~ City/Zip Code: Water/Sewer: Surcharge: 51.5 v Police: Plan Rev.: 21L-0.2~ Phone Fire: SAC: ~j25•°' r Engr.: Water Conn: Arch./Eng: Planner: Water Meter (D3.=` Address: Council: / Road Unit: (0 0' Bldg. Off.: PaT-ks: City/Zip Code: APC: cow{ y_c Phone# : Variance: Q-1 63 0 4s- Certi :Cate f-,-: , Dunn 35 Curry St:ke House For: Svend Peterson Const, 4711 West 111th Street Bloomington, MN 55437 DELMAR H. SCHWANZ LANDSURVEYOR Ragistaratl Unaer Laws of This Slate of M,rmnnula 29'79 - 148TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 86899 PHONE 812 423.1799 SURVEYORS CERTIFICATE ~p0 c~ cx, 1'- c `y rzF"~ i, n ^ I~ /~I a•1 I 2n o - h ys~G N 24 ,h > ~ - X10 1r ~nY ~j, I hereby certify that this is a true and correct representlion v of Lot 20, Block l,• WILDERNESS PARK SECOND ADDITION, according i to the recorded plat thereof, Dakota County, Minnesota. Dated: July 25, 1979 - Approved for Dunn 3e Curry ' . - n - - _ - IT27 - Real Estate Management, Inc. - r,\ DRA1~1Mra~ ~ - by: 111 Asp 1.,1 ~.:~T I - O Iron pipe ❑ Set wood hub Elevations shown are-existing and on an assumed datum. - Above shown house staked on lot September 24,.;1984, Proposed garage flool\elevation MINNESOTA REOISTRATIpN NO 8929 ro r 4'<;.'L3.. r r t r •4 - 1 •'Ya. lr..i. I 2/84 i M CITY OF EAGAN APPLICATION FOR. PERMIT il\1( SEWER AND/OR WATER CONNECTION 2 /!(PLLEASE PRINT) 1) PP.OP~ SY ADDRESS : 1~ JO 40 jJIr7/~C y S L,~/(J L~~ LEG.=,L DESCRIPTION: 107- !Rot ~L<DCe4C / Ls//LOG'.t~iTt/t54 MCI< 7T' (Ir~r/31ock/Subdivision or Tax Parcel I.D. Ni er) L ST_ :G ST UC=:w, DA'II`, OF ORI=IAL EUILD.L:G ST T_S :C Us : JZ R-1 SZGLE F?_%=_ ❑ R-2 DUPL,.z"t (TTnO UNITS) ❑ R-3 TGStNHa=_ (TF?4F" - LNITS) ( TNI^c) ❑ R-d_ aA.TT.`1R' !-_7/CC-ZDCM=-1=21 ( UNITS) ❑ CC mI,=, .IAL/=.7%I ,/OFFICE n zi~TSTRLaz Q NSTITUTIC.TV.'~.I./GGV'~~.~L;v'^ 2) APPLICaI:T (PLEASE PRINT) nk,!E: S(/r'1v d ~~c .t o..1 ~'lJ.t/ S1 ADDRESS: tj17D/ W . I/ D CITY, STATE, ZIP: [-~~I~/wChYD~c. Wl~v 5~'y~ PHO~: Bi* Sol- 3) P=Bspl. (PLEASE PRINT) FOR CITY USE ONLY NAME: Aldl PLUM FRS LICENSE: ADDR SS: Jy7y5 ~ azv ~ 4q09e!eT Tip A4 L • ! Active CITY, STATE, ZIP; f~~5 IyIOU,r/t ly -rSbr Expired - -P., IL70 Not of Re ord PHONE. /ryy PLUMBER LICENSE N Starr t"niCia' L 4) CCCUPA2IT/C.-ZIW? NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDIC= WHICH PER-1-IT IS BERG REQUESTED: COZI^ECIION TO CITY Sh-.= CCN=ICN TO CITY IdATER ❑ OF= (PLEASE DESCRIBE) 6) ,DI= C,.T-: ❑ PL--ASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE 19 PLEa.SE 1TAIL APPRO= PUZ:LIT TO 1, 2,0 4 ABOVE (Circle one) 7) SIG!,A=RE: DATE: Q t' wgaa+t~.:r~ til~Llm~:rmmlvmmla a.maatsr.~s:a:a..~ ref_f~.~r:~ir /=rz ssav. F O R C I T Y U S E O N L Y PERMIT ° ISSUED FEES, ~ 1G G) SC..vEa DrDt1Tm / I~il.. O^T%' $ /~.s= WATER PElUlIT (INCLUDE SURCHARGE) $ o o WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER T.mD $ ivy' t ACCOUNT DEPOSIT - SE ?ER $ °`d ACCOUNT DEPOSIT - WATER WAC SAC $ TRUNK. WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SET'ER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE F77 NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: i TITLE: DATE: ow fmwsmw~pww n mm's .r,wmwmpww:w wfow+."tmwlmmawom a "*wpmWpm l"sIm owwmmm RESIDENTIAL BUILDING PERMIT APPLICATION h CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651.681-4675 New Construction Requirements RemodellReoair Requirements w r' • 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all rooted areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculabons 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 . 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options setectwn sheet (bldgs with 3 or less units) DATE S I i 1A VALUATION (EXCLUDING LAND) ~DSl"00 JOB SITE ADDRESS\~jtJ tAra_u~ ttt ~~PLf Fin t cMu~1 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? Ina V~ ~4P[~P~.n PROPERTY OWNER TYPE OF WORK FIREPLACE(S) _0 _1 2 _3 APPLICANT Q~l.~n~.I x'AsnQ PHONE# rlln~i-~I-giL,~1S~ ADDRESS ILtQC,7 \r N[Zi 0' `Wc)kI&f qyW IIPCODE55LIQ'I_ PAGER # CELL PHONE # FAX # 9L13-S5I-I52'l NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY 1 Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 I (check one) Residential Ventilation Category 1 Worksheet Subm I O)j Energy Envelope Calculations Submitted I U MINNESOTA RULES 7672 MRf 0 3 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone By 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 information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 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) ❑ 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 T- 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 Roof _ Ice & Water Final Other - Framing _ Pool _ Figs _ Air/Gas Tests _ Final - Fireplace _ R.I -Air Test -Final _ Siding _ Stucco _ Stone - Insulation _ Windows (new/replacement) 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 5 7 ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Construction Requirements RemodelfReoair 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 fon heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . _ 1 site survey for exterior additions & decks 1 set of Energy Calculations . Indicate if home served by septic system for additions . • 3 copies of Tree Preservation Plan I lot platted after 711193 ' • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE "IIauL1O~ VALUATION 4u500 SITE ADDRESS _A1 W 0 kJ Ai ut4::, WV_ 1 .4 / 01,46 MULTIFAMILY BLDG _ Y ~ N TYPE OF WORK t~ FIREPLACE(S) _ 0 _ 1 _ 2 I APPLICANT 1_17614 ,OcA %,(A\ STREET ADDRESS ~ Ut-4~KU 12J6 Ll lh~~ CITY EISTATE$1~LZIP 5-SLILA~I TELEPHONE# ` lp~-55'7 CELL PHONE # j0(~-"'lLlrl ~ FAX# r 1(Z:i-551-I5ZL1 <6 PROPERTYOWNER i,emac6- oPAe_e ✓1 TELEPHONEI'',# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY I Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculabons 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 Conditioninge ,$70.00 Heat Recovery System 6 2~p2 Sewer/Water Contractor: Phone 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 Ordii~nan(cA~es. Signature of Applicant i/ USE ONLY-----°--------- w............ OFFICE r 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 ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of- plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Parch/Addn. (4-sea.) ❑ 33 EM. 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 Pibg_Y or- N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Final./C.O. Footings (deck) FinaVNo C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ 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 PERMIT # (o / RECEIPT DATE: 41 8002 RESIDENTIAL PLUMBING PEftYIIT APPLICATION CITY OF Emim 3850 PILOT KNOB RD SAEAN, MN 55122 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: I Iit(~'4 LL Z"7) OWNER NAME:: TELEPHONE Z,05-1 q-5 ~7y'"g(AREA CODE) INSTALLER NAME: ~l , Z--0RL 4ELEPHONE15 ~DCll` ~-7 STREET ADDRESS: ~ ~,7c C= 7 (5-17 ! ,3 n-~// A P / _ (AREA CODE) CITY: -Iluintson STATE: / ZIP: JZ! D ! _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply MODIFICATION/ALTERATION 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 turnaround - existing dwelling unit 5/8" meter if needed - $118) Other: RPZ: new installation/repair/rebuild $ 30.00 lawn irrigation system water softener water heater4 $ 15.00 Replacement/additional: 7Cu2 II State Surcharge ---._J $ .50 Total $ I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable City of Eagan ordinances It is the applicant's responsibility to notify the property owner that the City of Eagan ass mes no liability r any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit hin City ro e 1 rt-of- aylea ant. 6 9 SI NATURE OF PERMITTEE 1102 r'---------------'-~i I For Office Use I D~ City of j1 Permit ~ I I I Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 Date Receive~AY A~_, j Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: L -----------------I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: u.10 Aau UIiY V IAsJ 1'n Tenant: Suite RESIDENT / OWNER Name: Phone:usl' ~(J~ w(m -1 Address / City / Zip: CONTRACTOR Name: License Address: Appliance Conner-to„ City: 1313 Danita Cr State: Zip: a opee M g Phone: t P'etfrf TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RE ENT/AL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L- RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 ' not to start without a permit; that the work will be in accordance with the approved pla 'n the cas of work which requires a review and approval of I ns. r x X a A I 11 Applicant's Printed ame Applicant' ign ure FOR OFFICE USE Reviewed By: Date: Required Inspections Under Ground Rough-In _Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA113195 Date Issued:08/30/2013 Permit Category:ePermit Site Address: 1130 Aquarius Lane Lot:020 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-200 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 . Carol Foss 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 - Richard E Hedeen 1130 Aquarius Lane Eagan MN 55123 (651) 452-0607 New Exteriors By Sma Inc 10701 93rd Avenue North, Suite E Maple Grove MN 55369 (763) 315-8900 Applicant/Permitee: Signature Issued By: Signature