4707 Beacon Hill RdCITY dF EAGAN WATER SERVIC E PEItMii
t
3795 Pilot Knob Rood PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: No. of Units:
Owner: - -
Address:
Site Address: _ "• __ _ . ' . ? !. .?_ '
Plumber:
Meter No.: Connection Charge : '
Size: _ Account Deposit: _
Reoder No.: Permit Fee:
( agree to tomplp with rhe City of Eagon $urCharge:
Ordinonees. Misc
Charges:
.
Total:
By Date Paid:
Date of Insp.: Insp.:
cir .' GAN SEWER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.: `?-'-
Ecgan, MN 55122 DATE: /7'
Zoning: No. of Units: ?
Qwner: _
Address:
Site Address: --`1 = oa:: t.i jLEaaCUI:
Plumber:
1 agree to comply with the Cify of Eagan
Ordinances.
By
Date of Insp.:
I nSD.: -_
Connection Charge;
Account Deposlt:
Permit Fee:
Surcharge: -
Misc. Charges:
Total:
Date Paid:
r' 3795 Pilet Knob?Rood ??N MH ssi sz N°_ 5348
' PHONE: 454.e100
? BUILDING PERMR . . ,Receipt ?E
To be med for Est. Value Dote , 19
Site Add?ess Erect ? OccuPancY
Lot Block ? Sec/Sub. Alter ? Zoninfl
parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
W Name Move ? # Sto?ies
3 Address Demolish ? Front h.
? r;.., o?.,..... Grode ('1 Depth R.
p Ncme
?? Address ' "'-COn 1 e C t.
t- n.., ati,,..e
Name
I hereby acknowledge that I have recd this application and state that
the informotion is correct and agree to comply with oll applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Total
Signoture of Permittee I
A Building Permit is issued to: on the express wndition that
oll work shull be done in occordonce with oll appiicoble State of Minnesoto Statutes and City of Eagan Ordinances.
Building Officiol
P?emit ?j D? laued PefnItfu
Plumbing _/lJ
Mechonical
INSPECTIONS DATE INSP.
Rouph-In
finol
Footings -, Dote Inap. Dote Irap.
Foundation Plumbing /0 -/t 71
Frame/ins. p Mechaniwl 7 ?
Final T
Remarks:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-5100
?IDMTx' PERMIT No. 1433
8--15-79
Date: Receipt No.:
LT.rl1 Sin le I x
Site Address: Re sdential
?
lot Block Sub/Sec. Multi Res., Comm./Ind.
Name New/Alter
/Re
oir
.
p
3 Address i4615 T3E?"?f„`72'3 Hlll C'aORZL't Cost of Installation
O
Xac-ct- -1'r- 1-1 2 36, 2n.(.)
City Phone: Permit Fee
. :_ ,17--'-,',;;i7' . ?•`1
Nome Surchorge
?
p
y
?
Address
-Y : " ", ?? C; C'l?J ? ?"S ' ?y?. T•.? [?. 1
e
V
City Phone: Total
This Permit is issued on the express condition that all work sholl be done in accordonce with all opplicable State of
Minnesota Statutes and City of Eagan Ordinonces.
Building Official
CITY OF EAGAN
3745 Pilot Knob Road
Eagan, MinnesoM 55122
Phone: 454-8100
HEATIWi
Date:
Site Address:
?
lot
Nome -
e Address .
3
O
City
477 30dQ`dl 1I1 ll Road
5E'c100I: ?lil1
Block Sub/Sec. __
.:-?ttr-c -4unk-s '4idt,e-St
451-3 Beaoor. Fiill. Bcxst
Eagm
454-5236
Phone:
N Ze _
?
4637 C,#_cocm AvE:.
Address
? .. - . , ,
u 5 r.4.' 7
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Stotutes and City of Eagan Ordinances.
ZZ-(?-•'?C
PERMIT
(X]NR]SIZO[d AIFi RXX?IRUD
No.
Receipt No.:
Single I
Residentiol x
Multi Res., Comm./Ind. I
New/Alter./Repair
CosT of Instollation
?O.r,-)
Permit Fee
.?n
Surcharge
Total
done in accordance with all applicable State of
Building Officiol
oN
CITY OF EAGAN
I 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
,
SITE ADDRESS:
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
? i. 7.• s t,:ir, =i
TYPE OF WORK:
t;f'QA rR
I FTMR!
([ ?
Permit No. Permft Holder Date Telsphone #
ELECTRIC
PLUMBING
HVAC
InspecGon Dste Insp. Commwts
FOOTINGS
FOUND
FRAMING
ROOFlNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD I
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
$? 'Z7
I
CITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot 1 Blk
Owner 11VIE`> L. ? IlJQ11GA ?1. (1'ir? ;' Street
4707 Beacon Hill Road
Improvement Date Amount Annual Years Payment Receipt , Date
STREETSURF. &4'- 1982 1806.93 200.77 9 1806.93 C007600. 10-1-81
STREET RESTOR.
GRADING &4 1982 526.46 , 58.50 9 526.46 C007600 10-1-81
SAN SEW TRUNK 1976 135.97 9.06 15
* SEWERLATERAL 1982 3116.46 346.27 g 3116.46 C007600 10-1-81
WATERMAIN
* WATERLATERAL 1982 9
WATERAREA f 1982 198.01 ` 22.00 9 198.01 C007600 10-1-81
* Stubs 1982 g
STORMSEW TRK ?$? 1982 359.82 39,98 g 359.82 C007600 10-1-81
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road unit 75.00 15410 8 3 79
WATER CONN. 270.00 ?? 11
13UILDING PER. 11
sa,c 525.00 15410 "
PARK
(Iltr#iftxtttt uf COrrupttnry
(Citp af (Eagan
Epvtrtmmf of luitdixag lnspertinn
This Cntificate ittxtd pxrirrant to the rrquiremenrt of Sccams 306 of the Uniform Building
Cods crrti friRg rhal at rix ria of irtxama tbis st+rrrtun was in comPliarue with the varioret
erdiaaaus of the Crty rcgrdoting building const+xction or xu. For tfx follouing:
wa."MwbaSF/Dwlg. dag.r.,,,;,No. 5348
D') Z7 TTT Dl
b:
w?o?r wo.: Decembe??2, 1?-7° ---
.o.. M „ COM.MUOU. ...C.
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 4348100
Water Soi'ter:er _ pERMIT No.
Dote: 2"/'T/79
Site Address:
4707 Beacon Hill Rd.
1
Receipt No.: 5962
Single I X
Residentiol
Lot z Block _7 Sub/Sec.
,Jfj .r.es Chapin
Name New /Alter. / Repoi r
? ! ? 07 Bea.con 111.11 Rd.
; '°'dd''?? Cosc of Installation
City Phone: Permit Fee
Corrffaers Soft Water
` Nome - Surclwrge
Address
e
U ,
Gty Phone: Toto l '
This Permit is issued on the express condition thot all work shall 6e done in acoordonce with oll applicable State of
Minnesoto $taiutes ond City of Eagan Ordinances.
Building Official
This request void 18 months from
/lvo lo.Zp
R 4&7401
Date of this Request
I, Licensed Electrical Contracto ? Owner, do h reby, request inspection of the above electri-
calwin?ginstalledat: ? ?l?'.
Street Address or Route No. €f?t?o HiLLAGAD City?
Asn Township Range County &Jr-Qr17ft
Which is occupied by
Is a roughin inspection required on this job? No ? Yeo< Ready Now ? Will CalltR
Power Supplier , efJ Address _?? ? ?hw64
Electrical Contractor GLt-CTR.«- Contractor's License NJ"3§A /
I (COmpany Name)
Mailing Address ? C(-i F'r- pi
lec r cal tractor or owner Making Tnls Installation) ?
AuthorizedSignature PhoneNo. 19134,600s
(E ectr c Contmttor or Ownel Makinq This Installatlon)
? ????? ???? This inspectian request will not 6a aecepted by the
???5?
V Stete Baard unless proper inspection fee is enclased.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
? RVQUEST FOR ELECTIFICAL'INSPECTION
CHE6K BELOW WORK COVERED BY THIS REQUEST
ll?<:? P,
R 97401
Type ot Butlding New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Homc
Duplex ?
? ?
? Rangc
Water Heater ?
? ;ftZnpotary Wiring
Li mg Fixtures ?
?
Bldg. ? ? ? Dryei ? ?, '?; ,El?c Heating ?
emial Bldg, ? ? ? Fumace Unloader ?
n ustrial Bldg. ? ? ? Air Conditioner ulk Milk Tank ?
Facm ? ? ? List Lis[
Othei ? 0 El 2ihetsf
ere o' Otheis?
Here
COMPUTE INSPECTION FEE BELOW
Service Entzance Size: # Fee Feeders&Subfeedets: Fee C'¢cuits: n Fee
0 to 300 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 [0 100 Amperes 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above lOQ_Amps.
Transtormets Remote Control Cira Partial or other fee 4
Signs Special Ins ection inimum fce $S.00
Remarks
?' 6a
T TAL FEE a.
I, the Electncal Inspector, hereby certify
(Final)
This request void 18 months from
has been m?de. ? _ 7
?te
29ei)_^ ?-?P
CITY OF EAGAN
3798 Pif6t'Kno6 Road Eagan, MN 54722 N2 5348
PHONE: 450.8100 /'C;-7/x57
BUILDING PERMIT APPLICATION 000Receipt #
61 --
.
$
To 6e usad fer SF Dwlp,. Est. Value Date Aug 3 1919
Site Address 4707 Beacon Hill Rd Erect ? Occuponcy R3
Lot 1 Biock 7 Sec/Sub. Beacon Hills Alter ? Zoning Rl
Repair ? Fire Zone 3
Parcel # 10 13500 010 07
E
l t
T
f C V
n
arge ? ons
.
ype o
W Ncme Move ? # Stories
; Address Demolish ? Front 49 ft.
b
Ci Phone
Gmde ?
Depth
44 ft.
rc Centex HoIDes Aovrovals Fees
p Nome
oG Address 4615 Beacon Hills Ct.
,,..Eagan ??--- 4 4- 6
Name _
Address
I hereby ackrwwledge that I hava read this application and stote that
the informetion is correct and agree to wmply with all applicable
State of Minnewta Statutes ond City of Eagan Ordinances.
Signoture of Pertnittee
A Building Permit is issued to: -
all work shall be done in ocwrdance
Pssessment_ 6/2// Permit 1:10.UV_
Water & Sew. Surcharge 30.50
Police Ploncheck 7$.00
Fire sAC 525.00
l
Eng. Water Conn. 270.00
Planner Water Meter 60.00
Counc;l ad Unit 75.00
Bldg. Off.
APC Tofal 1194.50
on ehe express condltion that
:sota atutes ond Ciry of Eagon Ordinances.
Building Official
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694 'ifF
?-Fo----------------
? . orr?e use I
; Pertnit ?
? Pertnit Fee:
? Date Received: j
i I
I Staff: I
?----------------I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Oate• Slte Address:
Tenant:
Sutte
r.1n/ 6"?i /?- d2.
RESIDENT / OWNER Name: ?GA ,[//7 uMAN Phone: ?.g I CP 0 & _
Address / Ciry / Zip: MN 567a-2-
Applicant is: _ Owner Conhactor
TYPE OF WORK Descriptian of work: Q
Construction Cost: MWti-Family Building: (Yes No
CONTRACTOR Name: cs Aa?awjogs C• Llcense#:,2Z2!;?4?oJ?O
Add«: RfM r ,Qmyfe
City? 62QAT v State: /? rP: ?J3? 3
Phone: S,3'? ?' T?.?5 Cprnac[ Person: kZ;ge
Q-- v
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category t Worksheet . New Energy Code Workshee[
C81CgOr
Submitted
y
Submitted (4 5Ubm18SiOn type) • Energy Errvebpe Calculatiors Submitted
In ihe last 12 months, has the City of Eagan issued a permR for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone•
Mechanical CorHractor: Phone:
Sewer & Water CoMractor: Phone:
NOTE: Wans and supporting documents that you submit are considered to be publlc intonnation. PorfPons of
the inionna8on may be classified as non public lf you provide specftc reasons thaf wauld permit ihe City to
conclude that the are trarde secrets.
I hereby acknowledge that this irrformation is complete and accurate; that the work will be in contormance with the ordinances and codes of the City of
Eapan; that I undetstand this is not a perrnk, but only an application for a permit work is not to start wiUroul a permit; tliat the woAc will be in
eccordance with the approved plan In the case of work which requires a review and al of plans.
X Jotj JefPe?vi
APPIicaM's Printed me L«..e
Pape 1 of 3
PERMIT '
"CITV OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 687-4675
PERMIT TYPE:
Permit Number:
Date Issued:
auzLoaNG
031676
03/3@/98
SITE ADDRESS:
4707 BEAGON HILL RD
LOT: 1 BLOCK: 7
BEACON HILL
P.I.N.: 10--13500-016-07
DESCRIPTION:
(siozNe)
ii:b,r?Permit Type SF (MISC. )
ng,'l??rk Type RfiPAIR
C'o[ks 434 ALT. RESIDENTTAI
?
??4 e,? W ? ?irv??? I?i4 ??7??' sTVC'?i si3?E
ari,a.„5 ?"s"a
REMARKS:
FEE SUMMARY:
Base Fee
5urcharge
Total Fee
CONTRACTOR:
I°
VALUA7IpN
$99.75
$2.50
$102.25
APPLUANT/PERMITEE SIGNATURE
$5,000
OWNER: - Applicant -.
BAUMANN KEN
4707 6EACON HILL RD
EAGAN MN 55122
(612)686-4727
n??pa ?ROINI.I ?r?
5-1 Lit 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAC}AN
3830 PII.OT KNOB RD - 55122
681-4675
New ConstruGion Requiremants
Name: bU.iAmGtI1 Y) I4f) t' (j)e1'?{ ? Phone#: IDO6-421
LaSI First
Street Address: 4? U 1 I-??-G1.LU}'1 171 A ??.
City ? ??q a/Y) State: H n, Zip:
? 3 regiatered site surveys ? 2 copies of plan
? 2 mpies of plans (inGUde beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addkions 3 decke)
? 7 energy calalations 4 1 BM
rgy wlwlations for healed sddNons
? 3 capies of hee preservation pWn N lot plaCetl after 7!11/93
required: _Yes _ No
DATE: CONSTRUCTION COST; ?DOU+ c?
DESCRIPTION OF WORK: I Vl Dli(SL
5I
STREETADDRESS: q 16 ?
6ta,(J
TV tM I ?
'
p E
LOT: _I BLOCK: I SUBD./P.I.D. #:
Company:Phone #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street
City
RemodeVReeair Requirements
Pt A.
License # .a ,,,_,n ,1-.,,_
State: Zip:
Phone it:
Registration #: _
Street Address:
City
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Penalry applies when address chang
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant;
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
State: Zip:
Tree PreservaGon Plan Received - Yes - No ` Not Required
` 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) v'??
, w CITY OR EAGAN ? I 'b
1/?I ? 3830 PILOT KNOB RD - 55122
651-681-4675
New ConslnicBon Reauiremenff
Remodel/Reoa& ReaufremerHs
? 3 ieghtered sHe surveys showing sq. ff. ol lot, sq. H. of hause 2 coples of plan
and g,U roofed areas (20% maximum bt coveraae allowed) 1 set of energy calculaHons tor heWed addlNone
> 2 copies of ptans (show beam 6 wlndow sKes; poured Ind. design; etc.) 1 sRe survey for exterlor addBlons 3 decW
> 1 set of energy calculoTiom y 3 copten of free preservaHon pian H IM platted after 7/1/93 ?
DATE: Io ? /Y 'rl CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS: 7 /C-1 / 124f-?tGO.d/ L ^-e' •
LOT: ^ 1 BLOCK: I SUBD./P.I.D.I"r/V I 4lw'? eaeo 0
Name: /? *a~iVW kejr--) Phone #: G? 6- 4`7Z 7
PROPERTY Lan First
OWNER //
Street Address: "? ?7o n / .-L (. "•
Ciiy r? sc-- State: 1WA/ 2ip: Z?-
Company: ?z e c /??v ?x-? Phone #: ? 9L ? ?d???
(area code)
CONTRACTOR S y/
Street Address: .2 - License # Z ?/ y6 Exp.
city ,C7u&.r.j ll.•GLr state: j0.r? zip: 6-612 17
ARCHITECT/
ENGINEER Company. Name:
Telephone #: area code (
Street
City
Sewer 8 water tlcensed plumber (reaulred }or new conshucfion onlv):
RegishaNon #:
State:
Zip:
PenaHy applies when addresa change and lot change is requesFed onee permR Is issued.
I Mereby acknawledge fhat I have read this appitcatbn, state that the iriformation is corted, and agree fo comply wRh all applicabl
Sfafe of Mlnnesota Statutes and CIFy of Eagan Ordlnances.
Signaiure of Appllcant:
OFFICE USE ONLY 1\?E???VEED
Certificates of Survey Received _ Yes _ No JUN 17 1999
Tree Preservation Plan Received ^ Yes - No - Not Required BY_
NIODEL #539 ELEV. "C" nnTE 7/25/7A
BUILDING FF.RPIIT RPPLICATIOTI
2nclude 2 eets of plans, 1 aiie plan sa/elevations and 1 set of energy calculationa.
Zb be nsed for HOME
Siie Address; 4707 BEACON HILL RD.
1 7 BEACON HILL
Lot Block Sec Sub.
Valuation 61,000.00
Parcel Number 1,4 pa o/n n,7
Oamer
Addrese
Contractor
Addrese ^
ArcA. /Hng.
Addzess
Telephone
Telephone 454-5236
Telephone
OFFICE VSE
Erect X
Altes
taepair
II'flar9e _
r»ve
nemolish
Grade
OFFICB USE
Date ot Appzoval d Initial
? ? .
AssesaMent
water/Sewer
Police
Flre
Eng.
Planner
pouncil
Rldg. Off. ,
A.P.G
Occupancy
Zoning
Fire Zone ^ _3
Type of Const.
q of Stories
Front
Depth ?
FEES
?
Pezmit
15 6__ 0 0
Surctmrqe
rlan Check 72 _n(1
SAC ll !1
Ftater conn. 270_nn
47ater b+eter 6 n_ n n
Road Unit ' 75_00 .
7'OTN. 1194. 5 0
.;,-r;tex ;lor;t.s 'iiG.aost Tnc. ;•1s.n
n6??? ua.rneli Road
?den Prairie, Min. 55344 '
DELMAR H. SCHWANZ
LANDSVRVEVOR
Regis[erea unaer Laws 01 Tbe Slala of Mmnesota
2978 - 7467H STREET W. - BOX M ROSEMOUNT. MINNESOTA 55068
SUPV£VOH'S CERTtPICATE
,
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PHONE 872 423-9
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DELMAR H. SCHWANZ
ViNDSURVEVOR
qeqisteree V naa, Laws of Tbe St>te 01 Minnewb 1.48?8 - 168T14 STREET W. - 8pX M ROSEMOUNT, MINNESOTA 65088 PHONE 612 423-69
SURVEYON'SCERTIFICA7E aCALE: 1 .irich = 39 Peet
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" . ,! ..?ON KO 8625
, 2007 RESIDENTIAL BUILDING PERMIT APPLICATION ? 3 y(P, a3
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ?' 1„, (? /??
Telep6one # 651-675-5675 FAX # 651-675-5694 (??? lNew Cor¢Wcfion Reauirements
3 re9alered sile smeys sharirg sq. ft oF bt sQ. R of hase; antl a0 raof¢d am
(20%mmcimien lot mrefage aAowed)
1 Sak Repoit d proposeA bwltliig 5 to be piaced on disWrbed sdl
2 coples d pWn shoxing bean 8 xindav s¢es: poured fountl tlesgn, ek.
1 set M Eneyy Calaletiais
3 copil5 Of Tree Pieservatim Plat iFlot pWtled a1ter711193
Rhn Jdst Deleil Optlaa sdooon shee[ (Waidings wBh 3 a less urels)
M16nnepaaco medmcel ventlkGOn form
RemoOeVReoair Reawremems Oflke Use Onlv
2 ooples of Plan slbwin9 faotlngs, beams. jo'S6 Cert of Siwey Reod _ Y _ N
1sMOfFsn9YCakuleUmsfarheatedatldl6mx SoaSRepa! _Y -N
1 sile survey for addiGOis 8 decks Tree Pres Ran RecO _Y _ N.
Atlddiliion - indicaferion-sitesepticsystem TeeResRequire0 _Y _N
OMgdeSepticS)5tem _Y _N
Plans are considered nublic information unless vou s4a4e 4hev are trdde seCre4 and Yhe reason.
Date l
l 07
31 Constractioo Cost
_
Site Address _
/{ 7 0 '7 j6 e_o_ c¢-s y,, t
p•?? ? l-C) UnitlSte #
Description of Work 3?-?? l 3 N lbe t^, "Zii ? y Z/
Multi-Family Bldg _ Y_& N Ntimplace(s) ZCi 0 _ 1 _ 2
Property Owner 4 1-? ?K C N./y p p-a.t nngzt. ?s-, Telephone # ( ?/ ) (? o ^
ce 1 - ?n
ContraMor o t.,Pjl?R f
Address Ci/y
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING
- Minnesota Rules 7670 Cateeorv 1 T Minnesota Rules 7672
Enefgy Code Category , ResiderHial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submittetl
. Energy Envelope Calwlations Submitted
In the last 12 monThs, has The City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber 2 ??? u v? I I I I Telephone #(
Mechanical Contractor AUC ' 3 1 2007 Telephone #(
J-
Sewer/WaTer Contractor v U' Telephone #(
T hrrehv annlv fnr a Rrcidential Rnildina Permit and acknnwledve that
is comolete and accurat
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?i Y-%, A a-u Jr`e n r--
App1icanYs Printed Name
App1icanYs Signature
? DO NOT WRITE BELOW TFIIS LINE
Sub Tvoes
? 01 FoundaNon
? 02 SF Dwetling
O 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04plex
? 07 05-plex
? OB 06plex
? 09 07-plex
O 10 OB-plex
? 11 laplex
? 12 72-plex
? 13 16-plex
? 16 Fi2place
? 17 Garage
,x 18 Dedc
? 19 Lower Level
? 20 Pool ? 30 Acoessory Bldg
X 21 Porch (3-seaJ ? 31 Exf. Ak- Muki
? 22 Parch/Addn. (4-sea.) ? 33 EM. AR - SF
? 23 Porch (screenlgazebo/pergola) ? 36 Muw Misc.
? 24 Storm Damage
? 25 Miscellaneous
Work Tvoes
? 31 New ? 35 Int Improvement ? 38 Demolish Inteiior ? 44 Siding
;L 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
0 33 Aiterstian ? 37 Demolish Buikiing' 0 43 Reroof ? 46 WindowslDoors
? 34 ReplacemeM •Demolition (EnRUa Bidg) • Glve PCA hendaut to applka,H
Descrintion: wamr oama9s _„ ves ?"AG -1,
Valuatfon Occupancy ? MCES System -
Plan Review ? 100% or _ 25%
Census Code 2oning City Water
SAC Units Stories j Booster Pump
# of Units ? Sq. Ft. PRV
# of Bldgs ? Length /b Fire Sprinklered ?
Type of Const Widfh
REQUIItED INSPECTIQNS
_ Footings (new bldg) _ Sheetrock
Foo6ngs(deck) Final/C.O.
? Foorings(addition) FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgy Air/Gas Tests Final
y? Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
r Fireplace _ R.I. _ Air Test
Final _ Windows
_ Insulation _ _ Retaining Wall
ApDroved By_^1??? Building Inspedor
]
Base Fee v
°G -5_?o`
%v 7r
Surcharge
Pl
R
i
an
ev
ew
MGES SAC
ciry sAC
lltility Connection Charge
S&W Permit & Surcharge
Treatment Plant
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