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3966 Arlene Ct RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 9 0 - S~ Telephone # 651-675-5675 FAX # 651-675-56 14 i o a l1 New Construction Requirements Remodel/Repair Requirements ~r (5gt eon C 3 registered site surveys showing sq. ft of lot sq, ft of house; and at roofed areas 2 copies of plan ert of Survey Real (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 4 Z-r Q3 2 copies of plan showing beam & window sizes poured found design, etc. 7 site survey for additions a decks vrree Pres Not Reqd 1 set of Energy Calculations Addition - indicate ifonsile septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Dettai/l Options selection sheet (bldgs with 3 or less units Date J-/ / I L/ l 0 3 Construction Cost L-7 5 n CUa - C)b Site Address n e c o U/ t Unit/Ste # Description of Work / 1 P [~J C~/~/S7~Y r ( C ~j (7vt . / / PropertyOwner / /n-Qn (L-C, ~~UT/1 ~rtS Telephone # P51) `Y 54- 4/'7'J 3 Contractor le ( / &0 jn-hC Address ( ' /z /J/2 City Fq ap / / State M f Zip - Telephone # 0f ) 4~ Y q33 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumbw-sc he/-e Y filL-t ~h, r1o Telephone #(952t //L///1/7- b73~ Mechanical Contractor -U/ / Gam. / Telephone `f'~OD Sewer/Water Contractor heres O (~C_/Y/U/ Telephone#(fZ) llq7" I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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. wHecLE 1~~9ss~ f / C cue e / ~ Applicant's Printed Name o Applicant's Signature BY - OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg IX 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 (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Y or- N ❑ 25 Miscellaneous Work Types 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) - Give PCA handout to applicant Valuation QVJ Occupancy - U4~ MC/ES System Census Code Zoning 0 City Water SAC Units Stories CrIL_ Booster Pump Nbr. of Units I Sq. Ft.(y(j4 PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const V 11y Width REQUIRED INSPECTIONS Footings (new bldg) 14 Fiml/C.O. Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing ( Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ft s Air/Gas Tests -Final Framing - Siding S _ Stone ]f Fireplace R.IF Air Test Final Windows (9C, ment) 7k`` Insulation Retaining Wall Approved By ~ Z Building Inspector - - - - - J 7/ Base Fee-- - - - 2 Surcharge I n-n yJ' r` ~ l Ov Plan Review I / / MC/ES SAC )'!A 1$ M City SAC Utility Connection Charge S&W Permit & Surcharge 1% 01 p Treatment Plant License Search O2Lf / 7 3D Copies 54red'v)'a=:,> Other ?0y..3..` 3 0 10, l] Total 12 J ~LE7✓ ) or ,;4 2,F q y'm n o -to i f Permit Number RESeheck Compliance Certificate Checked By/Date 2000 Minnesota Energy Code REScheckSoftware Version 3.5 Release Ib Data filename: C:\Program Files\Check\REScheck\mbc0005.rek COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 04/08/03 DATE OF PLANS: 4/7/03 PROJECT INFORMATION: John & Sue Ferlita Lot 15 Blk I Perron Acres 3966 Arlene court Eagan, MN COMPANY INFORMATION: Manley Bros Construction COMPLIANCE: Passes Maximum UA = 722 Your Home UA = 599 17.0% Better Than Code (UA) Gross Glazing Area or Cavity Cont, or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1961 44.0 0.0 53 Wall 1: Wood Frame, 16" o.c. 1744 19.0 0.0 91 Window 1: Above-Grade:Vinyl Frame:Double Pane with Low-E 203 0.350 71 Wall 2: Wood Frame, 16" o.c. 1970 19.0 0.0 95 Window 2: Above-Grade:Vinyl Frame:Double Pane with Low-E 316 0350 111 Door 1: Solid 42 0.350 15 Wall 3: Wood Frame, 16^ o.c. 711 19.0 0.0 33 Window 3; Above-Grade:Vinyi Frame:Double Pane with Low.E 159 0.350 56 Basement Wall 1: Solid Concrete or Masonry 922 11.0 0.0 53 Wall height: 8.8' Depth below grade: 8.0' Insulation depth: 8.8' Basement Wall 2: Solid Concrete or Masonry 94 11.0 0.0 7 Wall height: 3.5' Depth below grade; 3.0' Insulation depth. 3.5' Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 438 30.0 0.0 14 Furnace 1: Forced Hot Air, 90 AFUE Ed Wd£0:S0 2002 So 'ydH 9T00t76e T99 : 'ON 9NOHd 0NI1dH2H0-T-XOd WMIA -Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.350 0.370 Includes Foundation Windows > 5.6 tt2 Floors Over Unconditioned Space 0.033 0.033 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building bas been designed to meet the 2000 Minnesota Energy Code requirements in REScheckVersion 3.5 Release Ib (formerly MECchec~ and to comply with the mandatory requirements listed~in ,t~e~RE chn klnspecti 'Checklist. / Builder/Designer I / l t V lam- s$d-~I Date -L/- Q3 £d Wd20:S0 200E 80 -ydH 9T00768 T99 : 'ON BNOHd E)NIld1J21Q-T-XOd : W0NJ 'REScheck Inspection Checklist 2000 Minnesota Energy Code REScheckSoftware Version 3.5 Release lb DATE: 04/08/03 PLAN REVIEW AND INSPECTION ISSUES This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. The items marked with' apply only to detached one- and two-family residential dwellings. PLAN REVIEW ISSUES FOUNDATION INSPECTION [ ] foundation wall insulation R-5 minimum [ ] foundation insulation extends from top of wall down to top of the footing [ ] exterior foundation insulation is covered by a protective coating finish CONCRETE SLAB OR UNDER-SLAB INSPECTION [ ] slab on grade perimeter insulation R-5 minimum [ J slab insulation extends from top of slab to design frost line or top of footing [ ] floors over unheated space R-30 minimum WINDOWS / DOORS / SKYLIGHTS [ ] average U-value is 0.37 maximum for windows and glass doors (excludes foundation windows) [ ] window (J-values consistent with building plan and REScheck Certificate [ ] window and door areas consistent with building plan and RES check Certificate MECHANICAL VENTILATION ISSUES [ ] residential mechanical ventilation system provides adequate ventilation per code requirements' [ ] furnace efficiency is consistent with RES check Certificate or building plan [ ] protection against excessive depressurization is installed per code requirements; ENVELOPE INSULATION FOR PLAN REVIEW [ ] interior basement insulation R-5 minimum (if no exterior insulation) [ ] ceilings with attics R-38 minimum or consistent with building plan and RES check Certificate [ ] wall framing and insulation level is consistent with building design and RES check Certificate INSPECTION ISSUES CONCEALED INSULATION Framing and Sheathing ( ] wind wash barrier installed at attic edge [ ] exterior wall corners framed so that insulation can be installed after exterior sheathing is installed [ ] intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed [ ] gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly [ ] all penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed bd Wd£0:50 £00Z 80 'add 9500768 199 : 'ON 3NOHd ONIldti?JQ-S-XOd WO?Jd Interior Air Barrier [ ] all fire stops are air sealed [ J pipes, ducts, wires, equipment and flues and chimneys through-the interior, airbarrierare.seWed . [ J a sealed continuous interior air barrier is installed on thewarm 'side of the building.envelope at ceilings, walls, and floor rim joist areas * [ ] air barrier behind tub and shower is sealed and protected [ ] recessed light fixtures are sealed Envelope Insulation ( J basement insulation R-5 minimum [ ] wind wash barrier on wall separating house and garage is sealed [ ] loose fill insulation is prevented from entering the eaves [ ] insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side Attic Insulation [ ] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel [ ] attic card attached to framing near access opening [ ] notification of attic R-value and date of installation posted near building permit inspection card This is a summary only. Other requirements may apply. Seethe Minnesota Energy Code. Questions? Call the Department of Public Service Information Center at 651-296-5175 or 1-800-657-3710. Sd Wd70:5,0 200E 80 -adH 9TOOV68 IS9 : 'ON 3NOHd 0N1ldHaQ-T-XOA WONA LOT SURVEY CHECKLIST FOR RESIDENTIAL ` BUILDING PERMIT APPLICATION PROPERTY LEGAL: o~ IS Q(Cr_K- ~ PtrYDn Aitrrs DATE OF SURVEY: 3.2 e~S- 83 LATEST REVISION: 'P - I -t--o m c w r rJ Q ° O `z Q DOCUMENT STANDARDS 4/,❑ ❑ • Registered Land Surveyor signature and company ;,10 ❑ . Building Permit Applicant Id ❑ ❑ • Legal description @( ❑ ❑ . Address W ❑ ❑ • North arrow and scale d ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) V 0 ❑ . Directional drainage arrows with slopelgradient % C/ ❑ ❑ • Proposed/existing sewer and water services & invert elevation ❑ 0 • Street name ly ❑ ❑ • Driveway E/ ❑ ❑ . Lot Square Footage tT ❑ ❑ • Lot Coverage ELEVATIONS Existing 0 ❑ • Sewer service (or Proposed) ❑ ❑ • Property comers 47~ 0 ❑ • Top of curb at the driveway and property line extensions ❑ ❑ • Elevations of any existing adjacent homes 0 V ❑ . Adequate footing depth of structures due to adjacent utility trenches ❑ P( ❑ • Waterways (pond, stream, etc.) Proposed d ❑ 0 • Garage floor d ❑ ❑ • Basement floor G✓ 0 ❑ • Lowest exposed elevation (walkout/window) t3/ 0 ❑ . Property comers i/ 0 ❑ • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ tY ❑ . Easement line 0 W ❑ • NWL 0 el' ❑ • HWL ❑ d ❑ • Pond # designation ❑ g, ❑ • Emergency Overflow Elevation ❑ t/ 0 • Pond/Wetland buffer delineation DIMENSIONS t$ ❑ 0 • Lot IinestBearings & dimensions ❑ ❑ . Right-of-way and street width (to back of curb) d 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) G/ ❑ 0 • Show all easements of record and any City utilities within those easements i/ ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ra/ ❑ ❑ • Retaining wall requirements, it any ~J Reviewed: W- I 1,-n3 Name Date GJFORMS/Buliding Permit Application Address: 3966 Arlene Ct Zip: 55123 Lot: 15 Block: 1 Subdivision: Perron Acres THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON 7 Q 3 Yes No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - main entry ✓ Permanent driveway Permanent gas ✓ Sod/Seeded lawn Trail/curb damage Porch 5 e Peen. Lower level finish ✓ Deck Fireplace Flo • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing irrigation system. V BUILDING INSPECTOR: ftke- Lx-j,,C Iff- CONTRACTOR: Manley Brothers 646 Lexie Ct Eagan, MN 55123 ~l8 PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date /O l sG~ / Il 3 Site Address c/6k7 /yf-/£a7G C»~ Unit# Property Owner Soe- Telephone#(6s-l) Contractor .5 J~/IJM CJI`n cD Address City 1"0a 71 'J State /414.) Zip c SSSfy 7 Telephone # 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 Existing Dwelling Unit, Including $ 50.00 - Adding fixtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system - Water turnaround 5/8" meter if needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system /a.. cuu M Water softener - Water heater $ 15.00 replacement _ additional State Surcharge $ .50 Total 8 Y $ 3D ti~~ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is comp e e d accurate; that the work will be in conformance 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 permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature * 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEER (651) 6411-1914 FAX:6411-94418 LANG SURVEYORS CIVIL EN(iNmtS LAND PLANNERS- ,_ANOSCAPE ARptlTEe 5 engineering 625 Highwoy 10 N.E. LOT AREA = 17,629 S0. FT. 7f * Blaine, MN 55434 HOUSE A AREA = 2,616 SO. FT. AREA * * (763) 783-1880 FAX 763-1883 COVERAGE = 20.2% T946 SQ. FT. OTAL IMPERVIOUS COVERAGE COVERAGE = 14.8% BUILDING IMPERVIOUS COVERAGE Certificate of Survey for: MANLEY BROTHERS CONSTRUCTION SERVICE INVERT ELEV= 869.2 PER PLAN y 3966 ARLENE COURT BUYER- FERLITA EAGAN, MINNESOTA 1~t1~`7E T`lPe~ pygq~Mtts, ui Pul..~ O.1T R,n BENCH MARK (I TOP OF SPIKE or \ti i 'ir U " - ELEV.= 882.53 -1 A rr r'' YTµTTT r / `i L EXISTING / cr / HOUSE gA ~Ift 880.9 ~6 iV (st;' 7 8824 zs.7a 1eB3'~)~,•Sj9' 739° 1 6.97 888.9 `p 882.3 Qp~ ` 6~ 4 878.3 Top w06,0 q,q/ 30 882.5 8.33 ej. 1 >5.00 4170.7 L7 37.83 6szs ~0P - - - re PR PO FD HOUSE V N gT(114~~ / 70 682.11 0 /o .OOc - - - - - - - 7 70 LOWEST FLOOR ELEVATION: Q _g o Xz'7y 11111tg wQ M L~ 680. 880.6 869.9 ~ f 767e.o 711 u11~ ~V o 03 CF .00 ®661 6 TOP OF BLOCK ELEVATION: S8.(o') OC~~ Be < X O GARAGE SLAB ELEVATION: Bg III 1 tl to 0 0 9.5 r 5 $ t9 roE^ e LLJ ' ao v L TOP _.1 880.4 00 2,00TOp vwoiw 15 868.4` X 000.00 DENOTES EXISTING ELEVATION 1 ' TOP 88X0.7\ NL80U/ap70/~ g f X862.9 I v ^ ~j~ ~O ~75R~ = r ~.(L` T~~\~1`\ w C 000.00 J DENOTES PROPOSED ELEVATION Q 1 Cl - - - DENOTES DRAINAGE AND UTILITY EASEMENT I ' X41 TOE '8 ~,S 0 X80 a_~ a 82 874.3 MP 14 DENOTES DRAINAGE FLOW DIRECTION 1 '6N 05 2.0 U X877.3 X JQ- I --->9-- DENOTES SPIKE 1 0 N2 j00 TOE 7.8 + B DENOTES OFFSET HUB N 4/h TOP 77.g1 aoN2.00 37.33 a2 / O 878.71 877.9 '7 877.9 ~.y 877.1 X874.6 OA O I O p 60 mil) O I TOp 7Dp =lu'~ J NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: PIONEER N w I I 00 ,0 L., 0. ~ ~ 00 OF~Q / ^A,.~ X862.9 NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION 1Jp , r7I -I . TOE 875.4 744.2 OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND r. 78. a-16L 0 FOUNDATION DIMENSIONS. 84 I ~1 10 - - - -~~AA - - - - _ - - J NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE m I O 11 (oS.~T) SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE Y 25 876.6^ 15~ 71 i 67.6 886.3 PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. 1 S 44.14 = I 73.4 874.1 p. k 865.2 i NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN 1 4.1 X869 d TOE X416; THOSE SHOWN ON THE RECORDED PLAT. 7 U1 865.4 TOE NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. I N - f~K-/.yma t-f I ~1 I (`f to NOTE BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM S89 ' 3.7"W 1 32.78 I CV WE HEREBY CERTIFY TO MANLEY BROTHERS CONSTRUCTION r--ALAN 24.50 THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A I 11 LEONARD LANE R=350.00 SURVEY OF THE BOUNDARIES OF: a v / A=04000'37" LOT 15, BLOCK 1, PERRON ACRES 13Y DAKOTA COUNTY. MINNESOTA ;~A1•E IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR P H MARK ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME `1UU=DING INSPECTIONS DEPT. TOP SPIKE 875.38 v . PIONEER E NE ING, P. A. OR UNDER MY DIRECT SUPERVISION THIS 28 DAY OF MARCH, SIG ED 2003. REVISED 4-Q27 P3 STAKE HSE f5RAr7FotW ~L SCALE : 1 INCH = 30 FEET _ PAPA-%c BY: ~vr.eJ~ cA « E~ Re g~~ 4-1 I Dan R. Westergren Reg. No. 197 0 ,30541 10122222 PDS G~`~Tr'I t ~i Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use • 7,3 an , Permit I I City of EaE Qob Permit Fee: 3830 Pilot Knob Road , Eagan MN 55122 Date Received: , Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: f Site Address: L (a 44V~2r- iK -&L 2- Tenant: Suite Name: l kex Phone: RESIDENT / OWNER 66a F-C.-IC ti- A Address / City / Zip: Ar [e Name: UK tc (~,n_~,o~,~.lL~~.~ License J lI1~J Address: City: 640114 CONTRACTOR State: tAE) Zip: Phone: to cg q( Contact: , )et~ Email: TYPE OF WORK - New Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL -4 Water Heater Water Softener Lawn Irrigation RPZ PVB) PERMIT TYPE Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval plans. SOX Applicant's Printed Name li ant's Signature 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:EA113240 Date Issued:09/03/2013 Permit Category:ePermit Site Address: 3966 Arlene Ct Lot:15 Block: 1 Addition: Perron Acres PID:10-56975-01-150 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 . Viktar Skirukha 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 - John Ferlita 3966 Arlene Ct Eagan MN 55122 Smart Builders Inc 7001 Garland Ln N Maple Grove MN 55311 (763) 691-5021 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ---------, � For Office Use � I � ��f/ I ' I Permit#: �{�� 7l � I � Cit� of Ea�� Permit Fee: �r I 3830 Pilot Knob Road � � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 j I Fax: (651)675-5694 �: � Staff_____ . ...,.. ' . ��. . ��J . �, ., 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION , � � / / �"" Date: � �� Site Address: � �/r, h T�;``/v��G"4it..- Tenant: � Suite#: -.. _�. F�} � ��„� � t`�`� G� .�� Name: �.�- �� Phone: �'X"'i?J � ,.�.,'��%,. �/� ,�8� °k "� � �;�,��.� a�� '2 � r�� ,� /J � �; ' �� ,,�7 � �r� - � Address/City/Zip: �F ; T � ^ . :�_ ��,� � _�; �� a � � � _ �` . .�. �.. ��. : f�� Name: ' ' � ."` ` [ ` License#: �� ' d � � �. t � ,- �/ _ �� ° Address:��'v �'�C � , ��'tLG�.,� City: � � _/.�.{.G✓.L /�`%2 -� � .�� t`~ � 4.��R �& State:. r�Zip: f° rJ�� Phone: �!� �� ._ 1�✓�� ;�t � �� ,n �,7r „�s��?�� - � r�,," 1 e � , � I � � � Contact: f �L=! Email: � • �''��r� � I ��1s�'.�� `�1 - � � �� .� . r �"�-T7.� . v y.�. �� _New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. � Description of work: � �� °� � �� RESIDENTIAL �'�`�? �, '� �'��'r�� ' ��` ��r�k�� ; � ��° � `� �� , Water Heater � � � � � ` � � ��f �� z��,. �g�� ; Water Softener � �� ,� r��, �� '�� Lawn Irrigation�RPZ/_PVB) ,,f "��_�� `°I� Add Plumbing Fixtures(_Main/�Lower Level) Septic System � NeW � Water Turnaround � �.: — � � �Abandonment � RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, SeQtic System Abandonment,Water Turnaround"(includes$5.00 State Surcharge) *Water Tumaround(add$200.00 if a 5/8"meter is required) $115.00 SeptiC SVStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) � TOTAL FEES$ • �. "" CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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 perrnit, 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. 1 �� ✓�,. f,.-,� X .� X �J�� U� w► �n A nt's Printed Name ApplicanYs Signature �; � � �a �� ,��„�� ,� � £�. �, . J a �� c, ��y�@e �� f ��'x'��, �.�a� '�#�� " "�; �c ��aPt�fi-"° r�� .. � ' ��"e��''' x .� 3a�. „'� -� y,= ,* t° s�a ;.- r� '�,�y��d3 � �� #,� ��'� �. � ��`,+�� t" es N 4. *'` ,��.;! .- r t�F�,� , '�f ti�:§� . � �s,,r,.�-`K w..�, ��c�,i-? �`-`�.� �`'v.�'� .� ��,,;t�i`t .:�I � o�Eay4�'xe3° a� x ��`. f . `� *�,°. Y 2�"c�'.�, ti"��' �i E, �4 , .�eaY;�,,_ �.,F' -r��2'�p�+ : �'� s ...� �i�"c,.�,��'3 ., _ ,;:'tY ..,y- '4�i�y'�M1i':`: "�,Ft,S;,, ;.,y�.� ��`��{ ry�i, ��.'"+: `�� ,s�,s ��t�„ap:.. � ,,,� �� t � F�.`�"+�' � �'�i q r �.. �t �€a �- "�',,.. w� �'k�""r � w�,.� e '"�� u�. � �,�`;�l!��1`1_��,ks�' ; �;�;.��'+7�" �,��"'� �Y��{��' 'g- .�. .� ' ��t� da "� �, -�`�"� i�: � �E�a � -� -`Y� ,�� d `` _ � '��e�;i �, '�,�. �t�° � - � �., x � �4�vs�i � a � �� : � a+6 �"� u ?'��'�.��" `� "� r�' h a. � 1'S��* a"��c ��u �"�"��' ��' a ti��aP' � � °�� '{ �� a z�•E�� 3�.� �� 3 t., �, 'r..a F�*>..m,. mi� ,i� .a�a 4� PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147300 Date Issued:12/26/2017 Permit Category:ePermit Site Address: 3966 Arlene Ct Lot:15 Block: 1 Addition: Perron Acres PID:10-56975-01-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John Ferlita 3966 Arlene Ct Eagan MN 55122 (612) 414-6995 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature