Loading...
3679 Cardinal Wayi, ---' CITY OF EAGAN ? 3830 Pilot Knob Raad , Eagan, Minnesota 55122-1897 (612) 681-4675 SITEADDRESS• :?.VI- qrw?d•,:? - V;." u?, t:t I • L $:a -r - Lz x t,.I I . + f, f: rltfNA! bl A Y ? Ic- h ?f4 f! I iir4 F''I F6C f: `.-.0 k) f ti s" N D ? PERMIT SUBTYPE: : r ?.oi N RECORD PERMIT TYPE: ? Permit Number: Date Issued: ;cis a I, I? j f4f, 433 t :.1.i°t ! _:r J' C) a I 1.?F r?taa;??.? '4 "i 7 4 TYPE OF WORK: n c f f PA'r I Ora i t?!!! C (3 F f] I14 tj f.! Ni 3 INSPECTION , , . DATE INSPTR. INSPECTION TYPE ?. DA I k.'NAFt?I;: q`.-;F" N`A #+s? -r v i, E:p m I'? 114 $ p1Ul; " I°C) r, {SR l1NJ Y i :I FkiNitiaJ,ptfib tl#? V- 1f A ".Ckr'if'.Ttt W UE?14' Permit No. Permlt Holder Date Telephona # ELECTRIC PLUMBING HVAC ?nspectlon Date Insp. Comments FOOTI NGS FpUND FRAMING ROOFING AOUGH PL.UMBING ' PLBG AIR TEST AdUGH HEATING GAS SVC TEST INSUL GYP BOARD FIfiEPLACE FIREPLACE AIR TEST I FINAL PLBG ' FINAL HTG ORSAT TEST BLDG FINAL I BSMT R.I. ? 6SMT FINAL DECK FTG DECK FINAL CtTY OF EAGAN 1NATER SERVICE PERMIL 3830 Pilot Knob Road P. U. Box 21199 PERMIT NO.: Eagan, KiiV 55121 DATE: Zpnir?9: . T, •? Na. af Units: ?. .?:; • OYYfIQr: , 1,?;.?_:tJL•3iast ' Add1'CSS: Site Address: `l79 CarG3.n.`?'?A. T-fav l+L: 1°1 _xc`•x9.4:"ton 111. JcF Ptumber: .:t.lk> .ya•:z?,1:: :a? r -.T,-.?-:?,: '? - Meter Na.: Cannection Char9e: .NZe: /-NrCOunt VcpOSit. Reader IVo.• Permit Fee. . I a4no to comFh wNh !he City of Eagnn Surcharge: , Drdinenow Mtsc. Chorges: ?"'=',()()nd TP Totol• BY Dnte Paid: Date of I nsp.: Insp.. , CITY aF EAGAN SEINER SERVICE PERMIT 3830 Pilot Knob Road - P. O. Box 21199 PERMIT NQ.: Eagan, IfAN 55121 DATE: ZFnirg: ?-` No. of Unita: Ownar. ?'Tgtt?"'Z.FL' "?s15ae.3f it? ?: r Addrcss: .- , :.., Site Address: ?j :« L: Plumber: Sta7:' I pne ft ases* wiM !IN Cilp oF fegow Connectlon Charpe: `+'' '. fi(;tzd ddilwseee. Acmunt Deposit: 151,. 00 P& Pennit Fee: Surchorgs: By Misc. Clwrpes: Date of Insp.: Totoi: Ir?sD.: Dote Poid: CITIf QF EAGAN 3830 pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N ? r - PHONE: 454-8100 ? BUlLDING PERMIT Receipt# ` $ 56 nn0 JULY 23 To be used ior Est. Value + oate iteAdoress ???? CARDYNAL WAY Erect E* Occupancy R3 at 2 Block - I Gec/Sub. LEKINGTOI? PL Remodel ? Zoning PD srcel No. SO 2j+j,j] Repair ? Type of Const. ?*+ Addition ? No. Stories Name °-??ET VERNON Move ? Length +? a W 2a49 90 ?+EXINGTO1a aemolish ? Depth ?? o ?4ddress E ? ? ??????7? Int. Impr. ? Sq. Ft City Phone install ? , o Name FRaNTIER H4VIE+'? ING A pprova ls Fe ;? Address 3908 SIBLEx I?Ei'C3RIAL AWY Assessment Permit ? City ??GAM Phone 452"`0433 Water & Sew. Surcharge ¢ Police Plan Revie i W Name Fire SAC ? Z ? Address E W t C z ng, a er on Coun I hereby acknowledge that I have read this applicatian and state thatthe gldg. information is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. APC_ Var. .r [ ? Signature of Permittee • '? '?` ° < '"'?...a....... ?'RO?ITIER HOMES ZNC Building Official 23 8 To Pai . Co To1 on the ? f1d:City of Eagan Ordi , : ?_..5? , .. .. ?.. _. ?. ? 5?'4 - ? 86 $ 3Q1.Qt'x: 2$.U0' w ?.5U.5U 575.00 n. 500.00 Meter 0.3 '-D;j Jnit 290.00 la6.0t7 ' . , 064 * 00 ess condition that ces. PermR No. Permll Nolder Date Talephone # , x I Plumbing `;){p I , H.V.,4.C. lectdc Sottener Inspecdon Date Inap. Comments Footinge I Footings II Foundation Framing ?-?? 04 Roofing Rough Plbq. ) 141 Rough Hty. ? Inaul. ? Flreplace Final Htg. Final PI69• Bldg. Final l?v?rg Cart. Ucc. Deck Ftg. Deek Frmg. weil DeaeH6e Locatlon: Pr. Disp. . . - , , • a , ,s ' ,' PERMI?.# ?' * • + MECHANICAL PERMIT RECEIRT # CIN OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: $"?'??? CONTRACTPRIGE $1500.00 PHONE:454-8100 5ite Address Lot 1 Block ? Name WE °-' ? Address 36 C ;i. CI?I ?ii Name Fr 39 c Address ?1 y 1 :?4 O , ; ? ?y . TYPE OF WORK Forced Air Heater ` -- - ? Air Cond. Vent. ' Gas Piping Outlets # Other iat way gLpG TYPE WORK DESCRIPTION - Sec/Su6?_? . (; R i'.A N -IAIv I GAL es. M l ew Add 3ec Uriv? u t C -on i omm. r Repa Phone 452-15Ei5 Other Phone FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU ADD-ON AIR CONI]. 0-24 BTU ADDITIONAL 6 M BTU GAS OUTLETS COMM/iND FEE - 1% OF CONT MINIMUM - RESIDENTIAL FEE - $24.00 - 6.00 - 12.00 - 6.00 - 1.50 EA. FEE - 10.00 - 20.00 _- ?$,009n sru M BTU = M BTFJ M BTU CFM FEE: S/C: TOTAL• I S/C 1F PERMIT PRICE GOE $1,000.00) ?5.5U .50 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN • , PLUM8ING PERMIT CIT1f OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Site Addre?s ? Lot ?`? Block m Name ?o Addre c Ciry 4? ? Name c Addre 3 ?- p Cit "" PERMIT # - RECEIPT # - DATE: C=I ? BLDG. TYPE WORK DESCRIPTION ? Res. New k Mult Add-on 77Comm. Repair Phone = /J - ? Other FEES COMMfIND FEE - iai6 OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GDES BEYOND $1,000.00) CITY OF TURES TOTAL MO. FIJC 1 ., j ?'6 Water Closet - $3.00 $ I - . ? Bath Tubs - $3.00 -4_Lavatory - $3.00 • ? • ?'? Shower - $3.00 - TKitchen Sink - $3.00 3 • ?? UrinaVBidet - $3.00 / Laundry Tray - $3.00 $10.00 ?Floor Drains - $1.50 20 LWater Heater - $1.50 1•,?% .5? Whirlpaal - $3.00 2 • ? ? . Gas Piping Outlets - $7.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 - ? Rough Openings - $1.50 'L FEE: STATE S/C: GRAND TOTAL• PERMIT # L/ MECHANICAL PERMIT GITY OF EAGAN RECEIPT # - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: oarr onlre. 7 .Z? ^' .w pHONE• 454 8100 Name ? Addre eiry > ? BLDG. TYPE WORK DESCRIPTION ,etf 5ub Res. New vG Mult Add-on Comm. Repair ,no?•°:?'•'.i??.r" Other i ? ..v..... 'y C,°4 c Address -?? • ? ??'"`?"?? ? ?f'?? p City Phone TYPE OF WORK Fosced Air M STU Bailer M BTU Unit Heater ? M BTU . .: Air Cond. , ...2 ?y- M BTU '. Vent. - CFM Gas Piping Outlets # ' Other FEE: S/C: TOTAL: FEES HVAC 0-10o M BTU RES -$24 00 ? . . A[7DlTIONAL 50 M BTU - 6.00 DES A/C ON NEW C ONSTRUC IQN) GAS OUTLETS (MINIMUM - 1 PER PERiiAiT) - 1.50 EA. ";i COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - C4MAs1. RATE APPLVES TDWNHOUSE & COND05 - RES. RATE APPLIE5 _ MINIMUM RE5IDENTIAL FEE - ALL ADD-ON & REMODELS - 12A0 eio MINIMUM CQMMERCIAL FEE - 20.00 - STATE SURCHARGE FER PERMIT - .50- (ADD $.50 S/C IF PERMIT PRICE GOES ' BE'YOND $1,000) ` . 6 IGNAT E OF P MI EE 1 FOR: CITY OF EAGAN ? , , _" . _ . .. .„ _ u.,_ _._ . ,_ ?.. .. _._.._u.::....,...?..? =-.. _ . .. . . . . y: ...,. :.., /? /?????-? CITY U EAGAN WATER SERVICE PERMt'E 3830 Pil,nob Road _ ' P. O, Box t1199 PERMIT NO.: Eagarf? MN 55121 OATE: ' Zaninp: No. of Units: Owner, T"zOn. G : ex ?`izi' :- Addross: $ih Add?ess: '+679 f:ard1I131 T7 3:? j_ilr•ior_ ! i Plumber: Meter No.:?3 7? /Sa ?? r ?c ' ?(?•,?i - , Size:.?•? `r G I aprM to a Qrdiseniw gy ?/U/'i v Dote o# Insp.: ?? a?3 "" . 5 ()?.d bMist. Chorqes: _ 156.00p.1 ' Tofol: Stl! ri mF rar Dote Paid: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12324 PHONE: 454-8100 /-C? p BUILDING PERMIT Receipt # TobeusedSOr SFDWG/GAR Eslvalue $56,000 oate JULY 23 ?y86 SIteACplress 3679 CARDINAL WAY Erect IN Occupancy R3 LEXING Lot2 Block I Sec/sub Remodel TON PL ? Zoning pn _ . 2N Repair ? Type af Const Vn D Percel No. SO Addition ? No. Stories JANET VERNON Move ? Length-48 W Name 2849 SO LEXINGTON oemolish ? Depth-36 o Address Int. Impr. ? Sq. FL Ciry EAGAN phone 452-9374 Install ? o Name FRONTIER HOMES INC pPPfOYF $a Address 3908 SIBLEY MEMORIAL HWY Assessment_ ? ciry EAGAN Phone 452-0433 WaterBSew. a r) Police - W Name Fire F ? Address Eng `d 5 0 ciry Phone . Planner- Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatihe BIdg.Off. ?/Z3/86 . informahon is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance . AP, ? Signature of Perminee „? ? ? Var A•BUildingPermitisissuedto: ONT,IER HOMES INC?J all work shall be done in accortlance with all applicabiEVqO#of Minnes ta Stat Permit $ 301.00 Surcharge 28.00 Plan Review 150. 50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit Z90. 00 7r. PI. 156.00 Date I Copie ,06 .00 Total - on the express conditlon ihat of Eagan Ordinances. Building Official This request void 18 months trom. ? C 3'4 791 (i st Dete A I U Fire No. 1 qouBh-in Inspec[,on ReQmred? eady Nuw QA4i1l Notify Inspec- ? ? Q [illes ?NO br When ReaOy [IJeeCensed Electrical Cmnracror 1 hereby repuast inspection of abave ? Owner electrical work Instellad at: Street AdCress. 8ox or floute No. • C'tv?? (2 4 /0 ection o. Township Neme or No., ange No. County Oc ant INT) . ?2 rn ? pw?5f Phone No. ?s - 0 3 Pow Suppli Atldress f C?Vac r's ense No. 1 A RAA D?ATATr1!'?V T n wTr! ?? U Madin A C ilatronl APPLE VALLEY, M?T 55124 Authorizetl SiBnatwe fCoMractor Owner MakinB Installationl Phone Number MINNESOTA STATE BOARD OF ELECTqICITY TMIS INSPECTION NEQUEST WILL NOT Grigga-Mitlwey BIOg. - Room N-197 BE ACCEPTED BY THE STATE BppqD 7821 University Ave., St. Peul. MN 55104 UNLESS PNOPEP INSPECTION FEE IS pF,,,,e 19121 297_2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION AIMML EB-00001-04 a? ,? ? See instrucfions for comDleti.p fhis torm on baek oi yollow copY- ? 3`F 7 91 "X" Be/ow Work Covered by 7his Request ?AAtl Bap.j Type ot Builtl?ng ApDliancea WireE ' Equ,pment Wiretl I Mi N Fee ServiceEntrenee5ize b Fee Feetlers/5ubfeeders k Fee Cucuns 0 to200qms 0 io30qms ?m30Am Above 200 qmps 37 to 700 Amps 31 to 100 q 41 Swimming Pool Above 700-Am s . I Above 700_Am s Transiormers hn ation lboms Partial."Other Fee Signs Sueciallnspection ' S .- TOTAL E emurks -41 u7_,o the EIAeaI r.?? Inspector, hereby .^erLfy thet the nbove Final ' ? i rrenspection has been de. ly ,W/?y ? ? 4 2 3 9,, =°° Request Date Fire No Rough-n Inspection qeqmretl? ?I ReaGy Now O WiII Notity Inspectat ? Ves XNo When Reatly? I[K licensed contractor ? owner hereby request inspection oF a6ove electrical work at: Job Address (SVeet, Box or Route No.) Qty 3679 C dinal wa Ea an Section No Township Name or No Renge No COUMy Dakota o.cuwM faRwn ahone M. Barbara Michel 452-9374 Power3upplier Address Eleqrical CorNecbr (COmpeny Neme) Cant2cror§ Liceree No 040445 Mailmq Mtlresa (Cmirector or Owner Making InstellaUan) Autho' i ature (C r er ki Inatella0on Phone Number ? 45-2-8886 NINNE3OTA STATE B D ELECTfiICRY 10, 1FIIS INSPECr10N REOUEST WILL NOT Griggs.Vifdnay Bidg. - poom &173 6E ACCEPTED BY THE STATE BOAF1D 1821 UMVaeslly Ave., 8t Peul, MN 55109 UNLESS PROPER INSPEGTION FEE IS PM1annw (611) 692-0BOD ENCLOSEO luls? F 24 39 REDUEST FOR ELECTRICAL INSPECTION P? See msNwTens fonpomplebng Nis torm on Cack W yellow tupy. X' Below Work Covered by This Request ^ EB-00001-07 P,Iev4 Add Rep. 7ypeofeuilding AppliencesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Fumace Farm g Air Conditioner Other (speaM Comractor's Remarks. Compute Inspection Fee Below: JOb # 20883 /f Other Fee # ServiceEntranceSize Fee # Circwls/Feetlers Fee Swimming Pool 0 to 200 Amps 1 0 to 100 Amps . OO Transformers Above 200 _ Amps A Amps Signs inapector5 Use Onry: / TOTAL trrigation eooms 00 15 . 50 Special Inspection Alarm/Communicafion Other Fee 1, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-In F,,,ai oWe oeta p???? p OFFICE USE ONLY Thls request wid 10 monihs ham PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, MinnesotziS5122-1897 (612)681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDIN6 031233 12/88/97 SITE ADDRESS: 3679 CARDINAL WAY LOT: 2 BLOCK: 1 LEXINGTON PLACE SOUTH 2ND P.I.N.: 10-45061-020-01 DESCRIPTION: (ONE BEDROOM) Oilding?-,P?ermit Type BASEMENT FINISH BGi'7.d'fng ?Jinrk? Type ALTERATION 9C @ rrsv s G ttd.a -- '?j 434 ALT. RESSDENTIAL ' ,Z??? ?i _?. ' ra ? ?'?F REMARKS: A 3EPARA7E PERMIT IS REQUIRED FOR ANY PLUMBING OR ELEC7RICAL WOftK FEE SUMMARY: Base Fee Surcharge Total Fee t $50.00 $.50 $50.50 CONTRACTOR: Ir hereby,.acknculedge .? h a?T haVe read h T infeartmata.an ?is ,oor.J'0,c;L .ani? a% r9 Q ,t4 ?t? `5tst_utes and Cfty of Eeg,an ?Qrdinandes ? ? .?. . _ _ _. * .. . .? .? . v`.5i? . 4 ..w. .....?... .....r ew.? // ?/lN?..//??? APPLICANT/PERMITEE SIGNATURE OWNER: - Appiicant - VERNpN JANET 3679 CAROSNAL WAY EAQAN MN 55123 (612)452-9374 1?j 6 at Vrrii <on d state thtiat,the.„ l'CI'I e'll' i ? '• r mn. ? ? i_ I'SSUED BY: IG U?iE ? 97 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?-O-ff0 CITY OF EAGAN ^ n(?/'?2 3830 PILOT KNOB RD - 55122 w,f?(/ ?/ 681.4675 New Construetion ReauiremeMS $emodeUReoeir Reaviroments ? 3 rogistered sRe surveys ? 2 copies of plan ? 2 copies of plans (inGutle beam 8 window eizes; poured fid. design; etc.) ? 2 ske surveys (exterior addiGons & dedcs) ? t energy calculations ? 7 energy eelculaHons tor heated additions ? 3 wpies of tree vrosenation plan H IM platted after 711/93 required• _Yea _ No - DATE: ? W/Ap'-/ CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT I BLOCK `7 17 -1_ SUBD./P.I.D. #: PROPERTY Name: fl?iQil?4ri? -11qW2-74 Phone #: owNeR ?„ Street Address:- 3 O ? g ?P PIs?AL W'4 / City: ?f-Ag /-? i? State: Zip: CONTRACTOR Company: S=t- F' Phone #: Street Address: License #: Cih': State: Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licer^ed plumber (new consWction onty): and lot change are, equested once permit is issued. Penalty applies when address change I hereby acknowledge that 1 have read this application and state that the infortnaGon is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No 1 Z ?•. •? ?' C 2/84 d CITY Or EAGAN APPLICATI^vDI FOR PEPUMIT SEWER AND/OR WATLR CONNECTIODI (PIEASE PRINT) 1) PROPERT^I ACDRESSc CA2h/NA GUI¢vth l r.Fr-+L D°...SCRLDTICN: - o 1- z?XQ'I (44002?? (Lot/Bloc}c/Si::,cuvisicn or Tat rarcel I.B. 1NUrZer) ir -:Iy'=', SI'?.L:C^*:?:. DAT 0F CRTG?AL ISS. L'S: N R-1 S'?.,:GZ: :?!,IILY . ? R? 2 DUc _.: ('T_:;a L^?I2'S) ? R-3 :C'f.•.??roicg (2?a--- + L:II:'S) ? II.T;73) ? ..-4 Ua+i':'j) ? CCi•n1?CLy.L/RE:r1II?OF.= IC: : ? 7"%Dli51. ? LTSTZ'?"C,^i'IC:IAI./G9vZE?Z,!LN^ 2) A'?P:.SC-?T (ALEASc PRlfii) buV•'?'= Frontier Midwest Homes Corporation ACDRESS: 3908 Siblev Memorial Hwy. Bldg. E C1`7L', STATS, ZIP: Eaqan, MN. 55122 - PHO`E: 454-0433 3)' Pu„:BEF, Star Plumbinq (PIE:,SE PRIYi) FOR CITY USE 041Y PDDHESS: 1018 Mound Springs TBP. PLU"•BERS LIC;ssF: CJ Attive ' CITY, STATE, ZIP: Bloomington, MN. 55420 ? Expired PhC`E: dNaicr. 884-4149 PLUMBEA LFCEYSE N 3329 Q Nat of Retord ' ar int[ia rm IrLceac rnirilj '+1 u.?ure,?rria•+r.e-it ?_ ??4??.r -r- ADoRESs: 'j?q^1 S CLrinir1-,o0 CITY, STATL, ZIP: L&/q",171N PrDNE: LtSZtt37?L 5) INDICi,TE :aHZCH PERi•lIT IS BEIIvG REQ[TFSTF-.p: ? CC:IIdeCrlOV Tv CITY ScrjM Please mail gold copy to ? CO[vrTExTIQ.1 TO CITY [aATE4 Wenzel Mechanical 3600 Kennebec Dr. Q Ui[ER (PLG'1..?' DESCP?EE) Eaaan. MN. 55122 , 61 IDZCN::: C:.L: 7) SIC.:-.TLc'iE : ? P=ASE fiOID r1PPP,GUED PgRm3T FOR PICi:-G2 BY ONE OF ABC1yE °T..EASE tir?SL APP?17t1m PE°.%lIT TJ 1. 2 3, 4 ABOVE (Circle one) a6 DP.TE' • _ .: . CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION xxxxxxrrxxxxxxx.x..F...nxxx?rx?xx M W *ATF': PAYM[FNT OF FEE AT N.'IM W ArPLICATIorr nos Nar CONSrizvrE * a2rxovAt. oF PERMIx. * ort oF SEPM arm/OR WAUR TnSrar.ramrpNS 4d.Qd, NpT BE SCF7ID- UI FD ONTIL PIItNffT AAS SF.EN APPR()VID. P ease Print - 1) PROPERTY ADDRESS: LEGAL DESCRIpTION: Lot Block Subdivision or Tax Parcel ID ) IF E7QSTING STRLY-MME, DATE OF ORIGINAL BL?ILDIW. PERMIT ISSL'ANCE: ' Nbn Year) PRFSIIJP ZODIING/PROPOSID LTSE: COTMERC2AL/RETAIL/OFFICE Q IAIDL'STRIAL f7 INSTITtPfIONAL/GOVII2Nhg,'NT 2) ? [vAM: ADDRESS: CZTY, STATE, ZIP: PHONE: r7 R-1 SINGI,E FAMILY 0 R-2 DLPLEX (1Wo C?nits) ? R-3 ZOWNHOUSE (Three + Units) ( t?nits) q R-4 APARTN4NT/CObID0MINtUM ( Units) 3) • ?: ?• NAb1E: ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICQVSE# Active Expired Not recorded Starf Initial 4) C?_?w4?f:'i?7• ia?• NAME: ADORESS: ' CITY, STATE, ZIP: PHONE: • .5) ,? a. , ?. : a , • . ?? nCONNE(.'TION TO CITY SEWER ? CONNDCTION'TO CITY WATIIt ? OTHER ' . 6) ?? • i- ? pI,F',ASE AOLD APPROVID PERNffT FOR PICK-UP BY ONE OF ABCSVE ---- - ? PLEASE MAIL APPROVID PERMIT TO 1. 2,,3, 4, ABOVE (Cimle one) 71 r r • ? "? . .f , .. . FOR CITY USE ONLY .x PERMIT # ISS[7ED 770? ? Pd w/Bldg. Permit FEES: $ xz?• SD $ SEWER PERMIT (INCLUDE SURCHARGE ) $ $ WATER PERMIT (INCLUDE SURCHARGE) $_ ? 3' S v $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ I5. dv $ ACCOUNT DEPOSIT - SEWER $ I S. Dzo $ ACCOONT DEPOSIT - WATER $ S8D 0Z) $ WAC $ S 7S 1SZ? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /?I) $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ ?? / SS U $ TOTAL _ RECEIPT RECEIPT DOES LTILITY CONNEC TION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC ? NO ROADWAY" MUST BE DIVISION LIS ISSUED BY THE ENGINEERING . T AS A CONDITIO[V. SLBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE ; ' ' ? ?:. ' VERNON W'amw `L" ('6') : ALL COdTBACTORS MOST BB LICENSED iIITH TH6 CTTY OF EAGAN COFRERCIAL SINGLS FAlII4Y DitSI.I.INGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET'OF ENERGY CALCULATIONS ENERGY CALCULATIONSJ ? . $2,000 LANDSCAPE BOND SGnqep To Be Used For: SINGLE FAMILY'i Valuation: 05@'989 Date: July 21,1986 Site Address 3679 Cardinal Way OFFICB IISE OPLY Lot 2 Bloek 7?71-- Parcel/Su S6 Owner uF-P/LS(V\-) IN 9ddress C)- 4.S' ( tiY? ? City/Zip Code Le-(.ZZ2N4 Phone 452--9?-2/ V Ereet ? Dccupaney ZI Remodel Zoning A Repair Type oF Const Ju/ 9ddition # of Stories Move ? Length ? Demolish Depth Int.Impr,. Sq Ft Install 9PPR09ALS FEES Contraetorr-si?111ge(L(,LZSL &n?s Assessments Permit Water/Sewer _ Surcharge Address Police Plan Review City/Zip Code Engr Water Conn ?_ ^ ^ ? ? Planner. Water Meter Phone A_ __? 177- (?{ Couneilf /Road Unit aiag orf ?Treatment Areh./En APC Parks Varianee Copies Address TpTgi, City/Zip Phone # P1 P /SSO S 7T G3• Sb Zs0 f NOTS: 9DDRESSHS FOR CORNSR IA'fS - CONTRACTOR/HOMHOii9SR M03T DESIGNATE ii$ICH 9DDRFSS IS D&SIRBD. NO CHANGBS NILL BE ALLOTdSD ONCE BOILDING PERMIT IS ISSOED. ,,!1wnOGTaN??e`F'q"? t-' Pzign 1 0 f 1 ?CrJt?C?" 11? c.,Jcrtt^vR E:vELOP_ ,W_'P;;rr ^u^ ::o?•?uT;-t'Md '?,,,'^. . ? OWNER: _ .a- SITE AJDRESS: FHOidE: CONTRACTOR: r_-rC*J3?F= Determine working squar% e fnot;:e)e of each 1. Total exposed wall area..... 1484; Z S sq. `l. x.11 = ZCS?(, L 9 2. Total roof/ceiling area..... 650 sq. ft. x,pZE Total exposed wall arca abovc floor= a. Total wall w4ndow area ..................... ............ << 3 b. Total door area ....... :...... . - c. Total ............. sliding glass door ar>>,,.,,,., .. ................ ? 9. ? Z d. Total .... fireplace wall area ............. ...................... 4 Z e. Total ..... wall framin area avera e 10" 9 ? g } ...... .......... . . ??????? ..... M f. Total rim joist area ........... ............ ? I 8 S . 73 • et . .. . . ... wall area ahove floor.?.`E. ... .. ... ... ? . . ...... .. ? ? --- h. ...... wall area above ftoor ........ . 4S?O i• ........ wall area above floor .......... .......... ........... ,7. trame ...... wall arez at `our.aatior ............... ... .................. ............. Total exposed foundation area= k. Total foundation window arca ........ •?.-.?._ 1. Total ........ net foundation area above grade ....... ....... ..... Determine "u" value of each wall segnient (e,g. vrindow, door, each separafe wall section) a._ I! 3 x„u??-? 6._ ??. ip2 X 1-Ull . ?'i s c. ? ?. y, --u„ A5 d._ x U„ e.?87 X °U" •G = -,?='= °° f. ???•'e^`a X ',ul,_0.3 _ 9?_..1:? ?• ? _ X „U?? o3 -- Or --- - h. X .1ull _ i. x _ j, X k. `? X ,lull ..?. _ o 1 .__CA. Z S % „U', - ? rJ = f • ?A ? 3 . .................. ............ = •I?Q1,? If item #3 is the same as, or less than.item; X1, you have met,.ttie:":' intent of SBC 6006l(c) Lxi-,. io_ Envel;:ue -wernqc IlU" Ccm :urn;:ion ?, ^ n ? o 1bCn1 cxucsed rooL/^ci;in, r.rca = ? ? ? ?•o m. 'lot:,l s]:y'_!,i;t arca ............................ ...?.?? n. Totai. _-oo`/cciling fia:,iing e,rra (avc?:ayc 10%) ... ? o. Total net i.^.snlatew _oof/ceilirg «rea........... . Uctermine "U" valuc for each roo:/ceiiing seament M. x „Ul. _ ?. 11- x --V-- O. a I. Vii 4 ........................... 7bta1 ° 77, If tota.l of ;W is .lie same as, or less tnan ;;2, yoU have met tne intent Of SriC 60UG (c) 1. Altern;;te 9uildinq E:rve?-oPe Desiqn To ut:ilize che total envelope'systern method, the valuss established by the s:un of i.Cems a3 arid #4 shall not be greater than the siun oP items J?1 and 112. + z. 3. ---.i? I• 2.?-- + 4. r7. r =_t19,z? i' M!,I, r.. U.r ?yt 1oi nc•??.,?,,n, un:l n:,•r. 01 1"'r-;p i'c,iir.lr?cilun ? G,y F' G `p ? ±'1-? -- ? p???: n, ??? •. . ? i ? ? 1 4. 17. CY..? ?:? ?? G. }:>.l?•r?„r .?i? ;?:??? '• U?E? ? YI?. tll TOPVSFM OF ° FIVd1E IinLT. . ]nlr•'I„r ??ir ';Im ---'---'-`---U:611 '• ?.--.i?±SK-•...??13------.. t?.c+? . • ' a• muv •- - --- .. __...?,_t?U ??? - ------0 5• At?rm.???r??"'? - ---... .---t-?l FIG. P2 'iul.nl q? -`-'-JO . ? ? • .Q '? tA t'. . (3 ? ? -'r? ? • ' ` . Jt?l...?ri ;ii r nir Cilm ,• .-: ?..--C? z. ?'-s!?'1. . ._ ?-- ?-------;- -?,-??3 ..._..___.? IS?:AtrA ti,_.:.? ? _O?? :>. E3.t.?m,_4?t?t???----- ---?c?l ?(', il? f ti' 6. }:xCCC(or nic i i Irn il. i'1 ` ?{???? ?__. __f ? ?.: ?. - - ? ------ -------?- ---- - -- ---g- --?-{- A `{--, ?'ll:•..?•?? .? i--?----'_'{}. . Tol.Il G 1• A • ? _ _''i 1 f J ^.-?----------------ol '. ?„c?•:i?,c nI? rit•., ?,.r,n , , , • .f?`?_.Cdi.?C.? 8"._ .$5 ? ? ••. , .? ?.°? - e . ,?T.cu .•. - ----••-----(.? ?y. •• , -- P _S'('y C.o . ' •' ---------•-'. ?/ ? tl' • 0? „ ? • ?. . PL.'c.t: ?G_TtyG.. .?iP?F?«?°P.GGP_ ?? . U . .FirTn,J? 5. --'-'----.._..----`- .. , • n . 1 ' ? ? ? " - -- - -- - .. _..,:-------------- ? ? , ?• • 4d?y °' . 1 S ? si ?,is cm c:tnue f ? ` •---._...----- / .? .. : . _. .,.- ---. ?- `\ •--._'..? I I • ? .. •. ?. ? ° ' ?l '??AP? ,II.I'( ? v , • ?T--?? i •? ? ? (. ` I ? `. ?????_ -? ? ? ? ' •>,17?I =.. 4 f ?. . ` • `. ?'} ; • r. ?rr ?•i«. iln rri I } ? -- .? ? ?_ rr! nnd • ( \' : ? ?1i,1':r11d'i: q! ??.?:n1.N_inn. . . ? ? . ? x-v, li, c . .y?? Cor.stru^:ion • ?? ? . Intcrior air filn ??'} ? ?-•- I ? ??? 2• ?'-i ? l-r `( t`? b P . ? 1ti)5Uc.. 44. ??Il?i?l?. , Oa zxtcrS.or air filn (still) O.G `:..T Total ? 4sao 1-02 • ? ? ? F R?F+"t 6;7 ' . ' . s:ted ?ea[ floc? 1- Interi?air Pila? n 3- ? 4 t?,;suc? 38 3S • q. .'xLr_:in_ ?ir !:in lsr.zl_1 L?Q.?J FIG. 95 , . ? . ? . ?:.. ... . ? U=.oZ4.. - - - ' Co.t, sr??cri my? • ' . r.r??1Vl;.LI_.?? _Y,?.42`.??,j??_F?M1<_1r[n? , . _ --- - ---_-?•_? 1_ Tnside ?ir fxlm 0.61 % - - ?- - 4. n `r1 {'•? /? ? ? - $. C?u??ide .?ir. film 0.17 Total ----------- r . Lo . ? R' ?•w E ? - ' . - ? LJ "2 1 . 1. Tnsidc air Yilm 0.61 2. eFcnc flou up. j?ventad 3. ' - - 4. • . ? • ' 5_ Catsidc air f?l:n 0.17 . T'TC_ 96. Totz1 ? v 2. rr.side air film 0.61 2_ . . '? ;?rr,',:--,. •. _:•.;'-? g_ • . . •f\.\•",??.+ . •?•.•'•..•-?/ j• ? ? ? Gt t , i d c a ir f ' : m _ ? • = ? ?r:.. , 1' j J?r_ i!.`?•? TotaL ?/ t? ??? ?,,i • : tlotc: Use addi_ional sheeLs if morc cFace i: -.- .. ?? ? .:. . r.eedecl for cletails ar.d ealeulaticns. • • ; . - °lov up • - ' ?. . ..? • . .. • ' 1"I ._ 27 • ' " r ' ' • •' , . , , . . • ? • i •; r?n;.i. r,r,crrt?,as ? C:. ?ir•r ??,t? of un vnl: .n, rcr, (:il(11q GVi1;ilTVC?:L.'fl ?i Flo..a1 n,rvi::d oe FN1i.' IIALT,' fICl? ?11?..• C • ? IScate l?.:al i? i ,. • , i. I ..1? ? • ! ? ?I I ry ?------? . ? -_----?j - I h ? ?. , ,i?• . ?Q? ?----._._---?t ? - . ,.,. .. _ :t,n? .??,ii ,i? i:-Vnlu.: ? • i• U?.41 '.'?.J?1 i I ? 1? l),Qir? ', - '• _IFlFZE5...$f-UGK S"Mt1?4_ . . .?.11 . - G. }.>:lt^.i?,r' ?i? •ilin Il ?.. . 1. TnLr'In:' ??i:' In -- -•-- -- -. _ . ._ -----'- - ? ' - :. -- ° ]. -- --- --•------ --- --- ---- ------ G. 1. Jnt ct iUf nir f ilm , .: ?? ,..... •_ . ? ? - -'• ,_ ......... ... ____._. ___..__.._. ? . . _ _ 3 . -?-- , - .: ` 6 . - .-- --- - - --. _.._ ---'-'_- `-c=?. `;' • ?_ __ _.__ -• "t'C:i1L ' ' . ?. i?:??•?i-,t ,,!• ni? o.(,n ? tx, J. , . _ . - -_ ... ._. . ._ ..'_. .. _? ? . ? -- ---- ? -. ?.?;. .. ,,. s . --- - -- -- . '--------- _ _ ' •?----- . G. t:xtriii?r li!,.i 17 0 'rol,l l st.;•.u nri ?;wwi: i ? L r, r• =? c. fij ? ?•? .i ???•??,Mt t s's' n•-! ??. ", ' ' :`. . , I ? = I I , b ? ? ? ?? ? .? .,.. lndlcnt a ty ?c ? lu?t "?,.' ?•?? .,t'?•^. ?, o( ,r ?•; ?l ?tir,rt. .. . h? I PL.: t 4`( ..? LI &jF.,4 L FT, eXPcSI D W,^tiLL BLOG k.. ; 7 Z,-+ 4v . ? ?- Fo = r Z ig-S -774 ?'f?• 5'i _' id ?• ? ? -----,.-_._ rUI..L! ? Z?t 48 +s= r?? -- r-??, ?.. ?. ? _ S? . rT, ??.t? o5c? VQAE L..L_. t3Lock14 k , S = 64, Z7S • 5 _. 1::uLL ?r- , ? ? ? • ? , -_- _?_ = ? To 7-A L = r 5 , -?. -pw S r???? ' ?,y ;? 4G? v?IS ? . ?...Q( -6: 1- C? 4 = 3? ZAIr.°' AZE.A ? 7`._„` ? ?.?.?4?' !?•G Z - ? ?i4cTl o D?.S ? ?1 4 Z.6 ? ?-F ?--?-----? ? cirr usE' oHLr • L ?. BL,' RECEIP-O#;•-'_ *7 5.0 ?I.€ . ._ SUBD. ` --?-..' ?• - ' ? .. '^ f 'RECEIP7,?DATE: ..o7?S?j?, > d • ;? 1997 PLUMBING PER:MIT'(RESIDENTIAL?) CITYO'F:EAGAN . 383(l PI11.00KNOB RD FJIGANON 55122 (812?'?B'8j1:.4675 ? Please completehfor - : "single famity dwellings t . townhomes and condos when permits are required)fertach unit d?:?• ??'=-'.,; backflow preventer for untlePground sprinldeF, sysfem -- FIXTURES EACL'! 3.00 x Shower WaterCloset? 3.00 x, " BathTu 3.00 x• Lavato 3.00 k ,- Kitchen ? 3.00 x Laundry ? 3.00 x ;?:`. Hot Tub 3 3.00 x ::"; . ? WaterH 3.00 4x 2 FIO& Dr ?.. ?J 3.00 x Gas^Pipi • 3.00 x ,? - .. Rough Q ? 1.50 x, . ?. 07?._?'._,:_ ener ' for dwellings under construction 5.00 X . • ? } '. ? - '" -. ,?ai':?" Water'S a" oftene -'ti?rextanogdxremng 20.00 z. y .°Sprink e " ror, dwe?l%pg under const 3.00 U.G. Spnrikler, ' forezfstirig dwelling " 20.00 p ?' ?• ? • - A'? • '. ;a= t T '?,J,_+??.. , ? . ARetations to existlng residence 20.00 , ?!4 "Si PX .?,_ _ .. ..?,. ' . ? Water TumAround 20.00 Private Disposal;Sys4em ' oak cty iic. 75.00 ? `? -; ? :' _ ? ?a-TM"??. •?. ' : - ? (newandrefurbished=systems) PrivateDisposalSystems.' -nuendonment 20.00 '?tl •?? _?:'''`_ ?j'" ' : ` r. r ,- . STATEfrSURCHARGE ?- ' ?;?•...,. TOTAL .:? . ? ' ?, ' ?;??•-,> ?.-:'-?? s _ ,..,.:? y.`wh'rellfeppliceble I hereby ecknowledge Nst?l9have•?eed'thistapplicaHon, stete.thatdheginom?etion ia correct, ?antl?agrae,to? compl it M Eagarf ortlinencestt is?the?applicaM's?responslbNity M nMify the'property owner that thOiGity,rbf1Eagan;aspumes,no;lie?b'?iliet ?y,fbr`an n;y;?; ? damages ceused by the Crity; during its normal,operational entl mainfehance'acWities to Cie faalitiesicbnshucted'undecitild CitY GroPertYlrlghtof-wayleasement. ' ' . ' _ ? . ?,?`,' z:; . ? •. . MIJJ4 SITE ADDRESS: M ? OWNER NAME: ? , ; P NE #: • ° ""'?, ? _?? 1 ? INSTALLER;NAME: TELE STREET(? D S5: CITY: cJ, ?.? ST,4TE: ? Y IP: • ??`':'??. ???? SIGNATURE 05PE .=i' F•'az, ,T. _? 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY CF EAOAN 5830 PILOT KNOB RD • 55122 3 (o C) 0 1 651•881•4675 New Conshuction Reaulremenh Remodel/ReoaLReauirements ? 3 regislered sile surveys showing sq. R. of lot, sq. k. W house 2 copief of plan and g( roWed areas (20% maximum lot eoveroae allowed) 1 sef of energy calculaffons for heafed addXlons ? 2 coples ot pians (show beam t window sizes; poured Ind. design; etc.) 1 stle survey for exterlor addRions a decks ? 7 set M energy calculations D 3 copies ot hee presenaNon plan 8 bt pIWMd atter 7/1/93 DATE: S ` a1- q n 00 CONSTRUCTION CO$'L CY'7C`) _ DESCRIPTION OF WORK: l«- STREET ADDRESS: LO7: a BLOCK: ? SUBD./P.I.D. #: ? Name: (-Icet? 730? Phone #: PROPERTY Lan f6st OWNER Street Address: C-P?Q1@JP? w4u City State: Zip: Company: Phone#: (area eode) CONTRACTOR SfreetAddress: ucense? 1b173?31*p. CO? City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street City Sewer R water Ilcensed plumber (reaulred for new conslruction onlvl: State: Penatty applles when address change and lot change is requested once permR Is issued. Zip: I hereby ackrwwledge that I have read ihis applicotion, slafe that the inf rrrpHan is rtect, and agree to State of Minnesota Statutes and Cify of Eagan Ordinances. \ t Signature of Applkant. OFFlCE USE ONLY Registration 1k: with all applicabl Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required 81GMA S UP'f Y SE 3908 Sible Eagan. Phone I EYINO FtVICEB y Memorial H'rghway Minnesota 55122 (612) 452•3077 t 5 pj4a '22, 1,7*? _ . - -ZOi.g? 3-OC. l? V ? Q ? 00 ?? ? I \1 iz MonW- NAaTr-*oa+S -L- ? v ?? ? . ?ry ^ ? ID?o ? Lf GENQ _ 0 LLnotes lron Monunent m Aenotes Wad Hub Set x9o9.9 Opnotes Existirg Spot Elevation ( , i4efwN) Denotes Proposed Spot Elevation '.-?Denotes Ora inage Directiao .PADPERTY DESCRIPffON- LOT? &GCK 1 ? cxi iwoN PI.AGL-6OtYfkf ?' accordirg to the recorded plat thereof, DAKO'(A County, Mimesota ?k t?- ? nouSE LERTIFICATE FOR: NpME BUILOERS LAMD DE VE WPC h5 NFALTIMS F COMP??NtES r aoa'?? of / /41"t/ ? IV. ?,. ?? o' . ry?7 hr) ? ?a/ N ?Q ? o 1N? ./ ? ni 2Q 'US cJ'< • v ? ? 1 WAYNF D. GpRpES /j 94675 ? no - ?? a ?.,,? 't? ???. ? ??????????uSn m??p??`i?• PROPOSED GARA6E FLOOR EtEVATlON= '108-0 PRtlFOSED Top of 8lock ELEVATlON- 91583 PROPOSED BASEYENT FLOQR ELEVATION- 905,3 W1p NOTE. Verify alf ffoor herghts wrth Final Hane Pfaru. ar? MIFICArIpV- I hereby certify thet this survey, plan or report wtrs prepared bY ms a' uAder my direct supervisiar ard thaf I am a duly Registsrad Lard 5urveyor und the laws of the State of Minnesota. ba,i.-O- 6 rk Date: & 186 Wayne D. ordes. Ninn. Reg. No. 14575 RESIDENTIAL o ?o BUILDINC PERMIT APPLICATION CITY OF EAGAN " 3830 PILOT KNOB RD, EAGAN MN 55122 851-681•9675 New Conetruction Raaulrementa • 3 reg"stered site surveys showing sq. N. of lot, sq. R of house; and ?II raofed areas (ZO% maximum lot coverage allowed) • 2 copies of plan showing beam 8 window saes; poured fouM design, etc.) . 1 set of Energy Calculatbns • 3 copias of Tree Presenation Plan'rf lot platted after 711193 • Rim Joist Dehail Options seleclion sheet (hldgs wilh 3 or less units) VI ? O DATE 011.14 SITE ADDRESS ?::?lfl' l LI l1IC1.dl fNi I (A 1(11 TYPE OF WORK4eQn ?l-r' A e - APPLICANT STREET ADDRESS ^I I'`f I111(1f1P nan,0. FH TELEPHONE #101M ?`b3r CELL PHONE # ?STATEfflQ.ZIPF55411g FAX#Inla ?a C)';))()?j PROPERTYOWNER.?Qflet ?, 4M TELEPHONE#loRi-LIsc'qmy COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RiJLFS 7670 CATEGORY 1 MINNFSOTA RUI.ES 7672 (4 submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing CoMractor: ___ Plumbing system includes: Mechanical Contrador: Mechanical system includes: Sewer/Water Contrador: MULTI-FAMILY BLDG _Y L"k- FIREPLACE(S) _ 0 _ 1 _ 2 Phone # Phone # Fee: $90.00 Fee: $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 Applicant OFFICE USE ONLY Water Softener _ _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System 113 ?s- ? RemodeYReoalr Reauirements . 2 copies of plan • 1 aet of Energy Calculations for heated additions • 1 stte survey (or exlerior additions & dacks • Indicate'rfhameservedbysepticsystemforaddilions VALUATION '13 08 , k/a MAY 13 200Z Certificates of Survey Received - Tree Preservation Plan Received - Not 7-3ac( a 2006 RESIDENTIAL PLUMBING PeRnnir APPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. %,?-,,5-0 Date ? I is I no q(j Cudincd I 3( 0 Unit # Site Street Address h n #( l O l )oA T x r o ) e ep e I Property wner . i H.P. PIPEWORKS ` Conuactor 3670 DODD ROAD Telephone #( ) Address EAGAN, MN 55123 City State Zip ? 1 The Applicant is: _ Owner )(- Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 I Alterations to existing dwelling $ 50.00 _ Add plumbing fxtures. This fee includes installation of a water softener and/or water ! heater at the same time. If you are instaNing onlv a water sofrener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment - i J i _ Water Turnaround (add $130.00 if a 5!8" meter is required) Other: , I Water Softener ? Water Heater ' $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild ' $ 30.00 State Surcharge $ 50 $ Totai I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compiete ana accurate; [na[ cne work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start rt out a permit and work will be in cordan?e wit th? roved plap? event a plan is re ' e to be revie d and ro ed. ' C f ` pplicanYs Printed Name Ap canYs i re ??so? PERMIT City of Eagan Permit Type:Building Permit Number:EA164555 Date Issued:10/01/2020 Permit Category:ePermit Site Address: 3679 Cardinal Way Lot:2 Block: 1 Addition: Lexington Place South 2nd PID:10-45061-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Elizabeth A Guzior 3679 Cardinal Way Eagan MN 55123 (651) 210-4262 Tacheny Exteriors 49 S Owasso Blvd W Little Canada MN 55117 (651) 481-1466 Applicant/Permitee: Signature Issued By: Signature