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1160 Aquarius Lane? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ` 1 '4 ) %) I 1t+ r'.il{fi 1 11';? n?} !!I I lil !'I'Jt Nfl PERMIT SUBTYPE: 11 tin i I Nw., PERMIT TYPE: ?<?? ? ? s? ? H? Permit Number: Date Issued: ?? ? / . • f ? ; ? ? ? -6 0 ` APPLICANT: Esl ?i? r i tlt, IrlvtHliNI'. ?Ut1"j i ?. l .' i ?1'.jl • ?. ! '? I ? , TYPE OF WORK: i (Ni?f ilir 1? ?I ? Pemdt No. Pertnk Moider Date Telaphone • ELECTRIC PLUMBING HVAC InspecUon Dats Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR 7EST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FfG ? D• 9? DECK FINAL ;KI7/1?` CITY OF EAGAN Remarks Addition WILDERNF.SS PARK Nn AnDTT7nN Zat-j;5 glk 1 Owner UC c1, I+ Street 1160 Aquarius Lane Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ? 1979 1553.41 932.05 A011366 8-19-82 STREET RESTOR. , GRADING i I SAN SEW TRUNK 1973 ? 7-11 20 77.11 A011366 8-19-82 SEWER LATERAL ? . ` WATERMAI N WATER LATERAL , WATER AF?EA 1979 794.90 79 49 10 476.94 AO11366 8-19-82 STORM 5EW TRK 1979 STORM SEW LAT ' CURB & GUTTER SIDEWALK STREET UGHT Road Unit 18 .00 #2 22 -16-82 ? WATER CONN. 335 • 40 BUILDING PER. SAC 525,00 PARK - - • . cirir oF EAGAN 3795 POW Koob RoeA Esaan, MN S512= ? PHONE: 454-8100 BlI1LDING PERMIT Ts 6a urd ieP Site /lddrcss Lot Blxk Set/Sub. Parcel # a Name W ; Addrou ' b Ci Phone ?o Name z? o" Address ul I'_ oL.,__ Nome /lddnss Receipt # ? DotP_ ` p acupo?Kr ? Zonin4 ? Fire Zone ? Type of Const. ? #' Stories ? Length_ ? Depth Sq. Ft. vah Fees & Sew. Permit Surchorfle Plon check SAC Water Conn. Wcter Meter Road Unit I hereby acknowledye that I have reod this applicotion and state that Bidp. Off. rhe information is correct and agree fo comply with oll applicnble Stote of Minnesoto Statutes ond City of Eo9an Ordinonces. APC Total Sipnoturc of Permittee A Building Pennit Is issued to: on the express wndition tha+ oll work sholl ba done in accordonce with oll oppliooble Stote of Mlnnesoto Stotutes ond City of Eaqon Ordinances. Bulldinp Official Permit No. Permit Holder Misc. Permit No. Holder Plumbinp .27 tY l ?(n -?Z H.V.A.C. ;Z (1,5t GfNL- 'Ci''? Well Water Disp. S?vwr EMetrie -t(o25 31 k` "' svn 4 -I`?-?)"Z Inspsction Da" Insp. - Other Foot?ngs 3-3-0 Foundation Framinp - ? ,?? Rough Plbq. Rough HVAC Inwlation Final Plbq. . ? Final HVAC ? ,? ? Finsl Wour Dewibe Lowtion: YWII ? Sewsr ? Pr. Disp. ' . } . I cirr oF Er?GaN WATER SERVICE PERMIT ? 3795 Pilot Keob Roed PERMIT NO.: iagan, MN 55122 DATE: Zoning: No. of Units: , Owner: Address: Site Address: Plumber: Meter No.: Connedion Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 ageee co eanPlp wifh fhe Citp of Eagan Surchorge: Ordinanm. Misc. Chorger Total: By Date Poid: Dote of Insp.: Insp.: CITY DF EAGAN SEIMER SERVICE PERMIT ,3795 Pllot Kno6 Rood PERMIT NO.: Eogan, MN 55142 DATE: Zoning: No. of Units: ' V1T11Or: "q k- ' Address: Site Address: - i ; - - - Plumber. I agroe to aomply wiH+ the Citp of Eagon Connettion Charge: Ordinonee=. Atcount Deposit: R? Dote of I nsp.: Permit Fee: . Surcharge: Misc. Charges: Totat: Date Poid: ?rx#ifirtttr nf (19rrupttnrg Citp of (Eagan Brpttrhnrrif uf Bixilbing 3nsprriicm Thit Certifirate isrusd purraant 10 !bt rrqHirementr of Sation 306 of the UnifOt'Ifl Bk1Illlilg Codc crrti fying tbat at the time a f issuarar thir uruaure wat in compliann wiih the variour ardinarucc of thcCity ngHlating bnilding ton.rtrrution or ute. For 1fx fo!lowing: SF DWG/G)tR 7126 o-w-rTrp R3 rrrocom?? V F. z? NA z.rew.? Rl a„waB„am„5. Petersen Const. Aa701 W. 110th St., Mpls. ew?,? 1160 Aauarius Lane ?„;T.ot 15,Block 1.Wilderness ,*?? 'A lBy Park &.W,om? ?-D.a: August 11, 1982 B7C-- .a., „ . ... ..... a. .> .a. CITY OF EAGAN N? 7126 •• ": 9795 Pi1M Knob Rmd Eagon, MN 551=2 - ` PHONEs 454.8100 ILDING PERMIT Receipt # T BU Ts M wed fer SF UVW Est. Value $105,000 Dqte M8CCI7 16 . 19 82 Sife Address 1160 Arntarlv4 anP Erect )M Occupanq ? Lot 15 e l«k 1 SeWSuh. Wi1deYriesS PaTk 2ndqlter p Zo.ioy pa?? # 10 84251 150 Ol Repair ? ? Fire zona Enlorge ? V TYPe of Const . rc Name G pPrPYC°-n GlmSt, _ Tnc, Move ? # Stories Z Addrca 4701 W. 110Th $t. , Demolish ? Leng[h_Z0 ? l??+ Grade ? ' r 8? Depth--U-Sq. Ft.- Ci phona + . ] K (k,,7hpp ADVrovab Fees O0 V u1 ? Nome _ Mdress Nome _ Addreas 1 hereby ockrawledge thot I have read this applicotion and stote that the info(molion Is correct ond agree to comply with all opplicoble $fota of Minnesofa $tafutes and Cify of Eoyan Ordinances. Sipnoture of Permittee A 8uilding Permil Is issued to: oll work sholi 6e done in xcordonca with Buildiny Offkial ' of Assessment _ Woter & Sew. Police ? Fira Eng. Planner Council _- Bldg. Off. _ APC - Permit 4+? - 3V $urCharge 52.50 Plan check 222.75 SAC 525.00 Wofer Conn. 115-0.? Warer Meter 60_ no nn Road Unit 189 Torol $_? R75 ?5 InC• on the express conditlon thm esota-Sfatutes ond City of Eopan Ordironces. p Zilt pg EAGAN Include 2 sets of plans, • ?%v??? ? ? I 1 site plan w/elevations & 14?& v`?j4J BUILDING PERMIT APPLICATION 1 set of energy calculations. `t'{" Date To Be Used For Valuation Site Acldress /r?lA4 ?k?LS OFFICE USE ONLY Lot ? Block ? Sec./Sub. Erect Occupancy Parcel #: ?0 Z? 1 (SG 6( Alter Zoning Repair Fire Zone /1/ ? Oaner: ?,. Enlarge _ 'Iype of Const. Address: LP/ l/D? S? Nbve Del[nlish # Stories Front 7J ft. City/Zip Code: VPI- 3 4??? Grade Depth 3 ot ft. Phone #: ?0 C/ - 6/tl C/ . F'F'F:S Contractor: Pddress: ? ??- City/Zip Code: Phone #: Arch./Eng.: _ Address: City/Zip Code: Phone #: Assessments Permit Water/Secaer Surcharge _ Police Plan Check Fire SAC gzq. Water Conn. Planner Water Meter Council Rnad Unit Bldg. OfT APC -'F.2qt TCYfAL +71 a,??14w' Al 19 b ?P ? Z ? ?.... ,...,___.,. ..,?. _.... ?._ Certificate for: '`T)unn & CurrY House Staked For: Svend Peterson Const. Co. 4701 Weat 110th Street Bloomington, MN 55437 DEtMAR H. SCHWANZ LAND SUN VEYOR R4qisterM V nEb Lawt of TM Stata o/ M innesoL 2978 - 116TM STflEET W. - BOX M ROBFMOUNT, NINNESOTA 8606E PHaNE 612 4231789 SURYEVOR'S CERTIFICATE 4E A, QUAR1?15 LAlw E o ° m ? O? loo.bo N ?9°57Z8° ? /00 ? 105 za ? ;40 31 GHF P,PoPoS? N "? HOU5? ? 2¢ ?(1 ? ? ,Jt - ( O O = I,PoN ?1 I G?G? 0 , ? I 0` I?it ^O CFl ? e N - ? , ?-- - - -- - - Z hereby certify that this is a / true and correct representation of LOT Lot 15, Blook 1, WILDERNESS PARK m SECOND ADDITION, according to the C%RA1tiAG Frecorded plat thereof, Dskota ,TY EastMENT County, Minnesota. ? Dated: July 25, 1974 ?oc.oo N E39°%7'zg"r- Approved for Dunn & Curry Real Eatate Management, Tnc. a Wlt<<JE2NF- 55 RUN RC) k D ? House ataked March 1, 1982 bY: MINNESOTA REGISTR ION NO 8825 ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 surLozNG 026465 09/28/95 SITEADDRESS:p.I.N.: 1e-8 a251-150-01 LOT: 15 BLOCK: 1160 AQUARIUS LANE WILDERNESS PARK 2ND PERMIT SUBTYPE: DECK APPLICANT: 1 VALLEY INVESTMENTS CONST (612) 454-5191 TYPE OF WORK: NEW CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: mD/? ff5la O 91019A1 BUTLOtNG 026465 09J2SJ95 SITE ADDRESS: 1160 flfJUARIUS LANE L.OT: 15 E3LOCK: 1 WILDERNESS PARK 2NU P.T.N.: 10-84251-156-01 DESCRIPTION: iI ding -S:lS}iPStJ 41 •,M"..'= +"? ° ` `?{',", ? r ?waaE ? r"a? rmit Type C1ECK r?k... TYPe NEW -"? } ?. o-, tl ,? ? ? lIN B5 it„+y?„ ?j k? La All ^IW2Y`u: ? vs h?rffi&?FQ•2@?3?? ?d??} ° ' ?€ (4 ``??"=„n bxi s?f k?^`? 2 ..v4§ #i 4£ REMARKS: FEE SUMMARY: Base Fee $30.0e Surch7arge Total Fee $30.5N CONTRACTOR: - ppplicant - ST. (.xc. OWNER: VRLLEY INVESTMENTS CONST 14545191 0004241 BUCKINGHAM BILI 2401 LEXTN6`tON flVE S 1160 AQUARIUS LN MENDOTA HTS MN 55129 EA6AN MN 55123 (612) 454-5191 I Mereby acknGZwledge thd?' ? h'a k/ o r'0 dd thx's 2rpPIix, ot?oit a€tid 4t-Ate 1=ttat` t#tib ` infarmatlan iS cateet wn d a?r`ed 't?a.zsc?Mth, olr;b?5#sli?wt??s ,9 ?` ??, -? . _S? "' , J tatutlws :qf I? ,ogan tlPdsr?gn"s , ,_• £ ? _..,.,.. ?..._....:_ . .?'., .m..... ___ ?=ev :. - -_..?3..._?.?E_. ? ?., 4mrn APPLICA T7PERMITEE SIGNATURE ISS D B S??AT F??- Jr4kf 3830 PILI T KNOB RDN 55122 4JVSIO 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 aL675 ? 3 iepiaterod ske surveys ? 2 upies a plan ? 2 eopies of plens (inaude beam & window sizes; poured fnd. design; Mc.) ? 2 ske aurveys (exterior additions & decks) ? 7 energy calculations ? 1 energy calwlatlons for heated addttions ? 3 copies of fiee preasrvation plen R bt platted efter 7/1I93 raquirod: _ Yes No DATE: { ? 02 ? -T; CONSTRUCTION COST: #` '90 ? DESCRIPTION OF WORK: STREET ADDRESS: / / ev ma N ? LOT M BLOCK _L_ SUBD.IP.I.D. #: PROPERTY Name: `f JI LC. IE ) Lr f Phone #: OWNER `":' StreetAddress- naw #l-R-(kAS Ciry: #'n) State: M A/ Zip: 6'?;7-/ L 3 CONTRACTOR Company: V fl'"(??i ???,?'?/'?1?n17 tdMPhone #: ySy ?/g ? Street Address: )4"106 7aa1 AA?_ S License #: City: &Al. tG#fS State: .&A)-- Zip' ARCHITECT! Company: Phone #• ENGINEER Name: Registration #• Street Address' City: State: Zip: Sewer & water licensed plumber: diange are requested once permit is issued. Penalty applies when address change and lot 1 I hereby acknowledge that I have read this application and state that the infortnatlon is correct and agree to compiy wfth all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applipnt OFFICE USE ONLY Certificates of Survey Received _ Yes _ No SEN 2 5 f995 ? ? Tree Preservatlon Pian Received _ Yes _ No L _ _ _ _ OFFICE USE ONLY BUILDtNG PERMIT TYPE 0 01 Foundation ? 06 Duplex 0 02 SF Dwelling o 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-plex 0 05 SF Misc. 0 10 = plex WORK TYPE ,-,V'L'31 New o 33 Aiterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. ? 11 Apt./Lodging ? ? 12 Muki RepaidRem. o 0 13 Garage/Accessory o 0 14 Fireplace o ?G15 Deck 0 36 Move 0 37 Demolftion APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unft Park Ded. Trails Ded. Other Copies Building 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit _ Engineering Variance Veluation: $ Total: rl3y ? ? % SAC SAC Units '? ??-ar ? ` ?t ? `?;?..- ? ? ? ?? i ;??.;? ? ? +? _ __._.____..,_ ? t?-r-?" _.__ _ 0 j ?J?-L ?J?;?C,.JGt"rl?m ' //bo ?,9,w:.:s L??. . _ .. ..4. :.?_,.... _ -:_?;??_:. ?.? = CITY USE ONLY L ? BL / e RECEIPT SUBD. U/ f24 4n? DATE: 7L/? ? 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: 1(„ `q ?o EM ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL ? SITE ADDRESS: 2 OWNER NAME: AiII L[" (',06 Il2m PHONE #: INSTALLER NAME: 1?0 nIM STREET ADDRESS: \4L?- (221Z' EZ 'A CITY: 81 ,IL& STATE: ZIP: '_RSj J4 PHONE #: STGNA ' ? /2 Cf - qG ?? S'-1 \ )-1 RESIDE11fTIAL asr " BUILDING PERMIT APPLICATION ?? . CITY OF EAGAN \ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 NewConstnietfon ReauiremeMs RamodeVReoair Reauirements ? • 3 registered site surveys showing sq. ft of lol, sq. ft. of house; and S roofed areas .2 copies W plan (20°k maximum lol coverage allowed) • 1 set of Ene[gy Calculations for heated additions • 2 copies of plan shawing beam & xnndow sizes; poured iound design, etc ) . 7 site survey for e#enor addNons 8 decks • 15etafEnergyCalculaGOris . Indicateiflwmeservedbysepticsystemforadditions . 3 copies of Tree Preservation Plan if lot platted aker 717193 • Rim Joisl Detail Options seledion sheet (hldgs with 3 or less units) DATE -?? ? y f " a 2` SITE ADDRESS I/ ve / 1LI ie A l??- r Le-C N7! TYPE OF AP STREET ADDRESS TELEPHONE #9S°.'99?2?LL PHONE # ziRS33.3 ;? FAX #?.? PROPERTYOWNERI'?.???lR I?I?II111Nv TELEPHONE#GS/' ---------- ------------------- -'........ -------------------------- ---"-°-°--' °--'--°------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI,rS 7670 CATEGORY 1 (d submission typa) • Residential Ventllatfon Category 1 Worksheet Submitted • Energy Envelope Calcula6ons Submitted JUl 2 9 2002 Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. Phone # Water 3oftener _ Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Phone # Air Conditioning Heat Rccovery Systcm 1LTI-FAMILY BLDG _Y ?N FIREPLACE( ?0 _ 1 _ Fee: $70.00 Phone # I hereby acknowledge that I have read this application, state thaf the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan pprdi ances. Signafure of AppllcaM ? d -j ............... --"'-................... --"--'-................ "............ ---°-_-•-._.------°°----......_ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 VALUATION ? /?? 7 • CI 7 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS OB-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. 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 0 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 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) FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addirion) ? Plumbing _ Foundation HVAC _ Drain Tile pther 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 Plumhing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION 22 ?? CITY OF Fr4GAN ? V 3830 PILOT KNOB RD, EAGAN MN 55122 ? 651-681-4875 New ConsW ction Reauiremenb . 3 registered site surveys showing sq, fl. of lol, sq. R o( house; aiM all raofed areas (20 % mazimum bt coverage allowed) . 2 copies of plan showing beam & window s'¢es; poured tound design, etc.) • 1 set of Energy Calculatlom . 3 wpies of Tree Preservation Plan A lot platled afler 711193 . Rim Jnist Detad OOtions seledion sheet (hldgs vriN 3 or less units) DATE ?O -ZG' OZ SITE ADDRESS TYPE OF APPLICANT STREET ADDRESS TELEPHONE # CELL PHONE # dCN ,j?-, STATENW ZI 1I FAX # lo?il-L482rb219 PROPERTYOWNER-Vac,c,°t _\6\\ 1 V'.-=syr'? TELEPHONE#lc,5l--S`4s-b985 ------------------------------------------ ------------------°---------°----------------°---- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI:SOTA RULGS 7670 CA'1'LGORY 1 MINNL:SOTA Ri1I.I:S 7Fi72 (J submission ppe) • Residantial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Confractor: Plttmbing system includes: Mechanical Confractor: il4cchanic:il systcm includes: Sewer/Water CoMractor: Air Conditioning Hcat Rccovery Systcm MULTI-FAMILY BLDG Y FIREPLACE(S) Phone # Phone # rcc: $70.00 ---------------------------°----------------------------------...----------------°----------°---------------- 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 oFr[cr, usi: ONI.Y JUN 2 4 Certificates of Survey Received _ Tree Preservation Plan Recelved _ Not R. Rqv uired _ - _ Water Softener _ _ Water Heater _ _ No. of Baths _ Phone # Lawn Sprinklcr No. of R.I. Balhs RemodeUReoair Reauirementa . 2 cropies of plan . 1 set of Ener9y CalcNatiore tor heated additiore . 1 sile survey for e#eriar additions & decks . Indicate if home served by septic system for addi6ons VALUATION I ? ?H ZLo?d ree: $90.00 CITY USE ONLY PERMIT #: Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: I (D-?-0°? Ca 5_(? 6s- RECEIPT DATE: 8008 RESIDENTIAL MECEMICAI. PEtMIT APPLICATION crrY oF gasAx 3830 P1LOT RA06 RD Etk&AA btft 551 EE 651-691-46'75 SITE ADDRESS: I I LUO C? LLC?r l U?:' ?-1'? • -bOWNER NAME: i i I ?C ? 1 n`?TELEPHONE #: -y? - ?q gS r INSTALLER NAME: STREET ADDRESS: Wohlers Southside Htg^& Air, Inc. 6950 W. 146' St., #106 Apple Valley, MN 55124 (952) 431-7099 CITY: Place a check mark next to the permit woek type ? ? Add-on, modification or alteration to existin dwelling unit $ 30.00 • furnace replacement 2 r? C I i h 1?? i L I P I anger D ? C • a r exc ? • air conditioner q 0 C T 2 n ?002 . ot er , ? uL Nature of work: ?f ?CS.C2? ?I? Yl CLC?J ?I Ji ? Cc?rr - - S 8 c-t Pt 090- State Surchar e $ .50 $ TOtal SIGN?[IRE OF PERMITTEE vo2 /_' r c,? S RESIDENTIAL PLUMBING ???? Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date (a ( O `/ l Clr,j Site Address U .? nit # Property Owner Telephone # ( ) Contracror We?!/2G l U??ti% Address i{??4l-1111 4-?C Ci[y Sta[e Zip Telephone# (6?) 41.5c2> /v'rir's- The Applicant is _ Owner -*--?Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations to eaisting dwelling $ 00 50 ? Add fxtures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if ne ed ed- $1 21.00) P ,n ? ? Other: ?0 ys22?" ?U"T"`? _ RPZ _ new _ repair _ rebuild $ 30.00 _ Lawn irrigatian system _ Water softener _ Wa[er heater $ 15.00 _ replacement addillonal $ .50 State Surcharge Y7? ? Total $ I hereby apply for a Residential Plumbing Pemiit and aclmowledge that the information is complete and accurate; that the work wnt be in wnformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a perxnit, 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. ?771; kC? ,A ?.G??--? Applicant's Printed Name Applicant's Signature RE5IDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 sw 0-0 ?L? /%16- 3 New Construction Reauirements RempdeUReoair Reauirements Office Use OnN 3 regislered site surveys showing sq, fl. of l04 sq. R, of house; and ?II roofed areas 2 coples af plan Cert of Survey Recd _ Y_ N (20% mazimum ht ooverage allaxed) 7 set af Energy CalculaUons for healed additions Tree Pres Plan Recd _ Y_ N 2 copies of plan showing 6eam & window s¢es; poured found design, eta 1 site survey for addi0ons & decks T2e Pres Reqd _ Y_ N lsetafEnergyCalalations Adddion-i/M'rcateifon-s'rtesepticsystem On-siteSeptlcSys[em _Y _N 3 oopies of Tree Preservation Plan if lat platted after 711/93 Rim Joist Detail Optlons sekadon sheet (bldgs wiN 3 or less units Date !0 ? Construction Cost ?O 08 Site Address O , f7 Qvt RJ? tts /_ATI F Unit/Ste # Description of Work b N i,s 1'j" CC 13 7 7a6 4,?G!/ Nfa Multi-Family Bldg _ Y_XN Fireplace(s) ? 0 _ 1 _ 2 Property Owner L L ? Li CK( nl?r(??' r''? Telephone #( ) Cantractor Vf}-??FL1 e??llEST7NF,n ITS ?l?.S Address gS T? L( F)c- A[) State /\j Zip3S Telephon4 # (06?j COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envalope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N if so, 25% plan review ,._,? fee applies. ? MT u„ T ,-? ?? ? Licensed Plumber Mechanical ContraCtor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Pernut 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 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. ?? l.(/?LL (?'WlS F /? i•r?,i•?..,, Applicant's Printed Name 5ipip?lict s Siature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex Lq 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex P16g/ Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition 1 W 33 Alteration ? 34 Replacement Valuation ,?) UU 0 Census Code .f 3 q- SAC Units ? Nbr. of Units ? Nbr. of Bidgs / Type of Const _ Footings (new bldg) _ Footings(deck) _ Footings(addition) _ Foundation Drain Tile Roof Ice & Water Final -X/ Framing - Fireplace _ RI. _ A'u Test _ Final ? Insularion Occupancy p - 3 MC/ES System Zoning et) City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS ? FinaUC.O. FinallNo C.O. ? Plumbing HVAC Other _ Pool Ftgs A'u/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Appraved By /7 o y-) ? , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Ait - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire BIdg) • Give PCA handout to applicaM PERMIT City of Eagan Permit Type:Building Permit Number:EA113770 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 1160 Aquarius Lane Lot:015 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-150 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 . David Pederson 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 - Thomas D Schewe 1160 Aquarius Lane Eagan MN 55123--182 Dun Rite Roofing 4086 Miller View Road Elko MN 55020 (952) 461-5155 Applicant/Permitee: Signature Issued By: Signature