1522 Aspen Dr
1 Jun, 1, 2010 4:OOPM SELA ROOFING No, 1929 P. 2
Use BLUE or BLACK Ink
I ...r toe use
r j Permit#; '7f~~ I
of Eajan I
I Permit Fee: 15-7, 1 I
I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff;
2010 RESIDENTIAL BUILDING PERMIT APPLICATION LG~°
Date: Site A.ddreps• ~ _ -
Tenant Suite
r 55A - - 56Z T
RESIDENT /OWNER Name: + Phone:
Address/ City/ Zip: lf/7 t'ill+U/~-T / /tl l
Applicant is; - Owner _ Contractor
ke;;_k0ox 1 0 WOWAJ4112
4V4 0
TYPE OF WORK L ~
1 Description of work:
Construction Cost: Multi-Family Building: (Yes _X / No
CONTRACTOR Name: 6 License* -7 LL
Address! City: State; UV Zip; N . / Phone: L q
Contact:, /`~'1`7 V4A/V 1a&amail: j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No if yes, data and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Gall at (651) 454.0002 for protection against underground utility damage.
r
Call 48 hours before you intend to dig to receive locates of underground utilities. www_Aapherstateonecal) o g.
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
Sagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a ' " that the work will be in
accordance with the approved plan in the case of work which requires a review and approv plans.
X c5A VAAJV IC - x
Applicant's Printed Name Applicant's Signature
Page 1 of 2
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
;i•.II I I:t4i,,
PERMIT SUBTYPE: TYPE OF WORK: 1
Iw
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
t.I Id t I Cat I ilUi 1 .'4 F >i H'.t t PJ :i
I
Permit No. Permit Holder Date Telephone #
S/1fV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. O L L=PL T
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks O~M
Addition- WXLEY E~TCHTS-3rd Lot 2 Blk 7 Parcel 10 73092 03 Q7
Owner ✓ Street 1522 Aspen Drive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1974 960 68 Paid
WATERMAIN
* WATER LATERAL
* WATER AREA 1974
STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 170-00 5978
BUILDING PER.
sAc 240.00 5928 6-20-72
PARK
CITY OF EAGAN Remarks
Addition Lot 3 BIk 7 Parcel 10 73002 030 07
Owner Street Garage State
Improvement Date Amount nnual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition Lot 1 BIk 7 Parcel 10 73002 010 07
Owner [ Street 1524 Aspen Drive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1974 96n-fig -12() 7? 14
WATERMAIN
• WATER LATERAL 1974
* WATER AREA
STORM SEW TRK
* STORM SEW LAT 119714
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
-41) nn 5 97 Ig
BUILDING PER.
SAC 240.00 5928 6-20-72
PARK
CITY OF EAGAN Remarks
Addition SURREY HEIGHTS 3rd Lot 5 Blk i Parcel ~1 n 73nn9 450 07
OwnerL Nf Il;,h, L-LI 16'h Street 1526 Aspen Drive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 974 60.68 320.22 3 Paid
WATERMAIN
WATER LATERAL 974
* WATER AREA 974
STORM SEW TRK
* STORM SEW LAT 974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 170.00 5 $ _20_72
BUILDING PER.
SAC 24n-on -C;g?g _
PARK
CITY OF EAGAN Remarks
Addition SLIRRFY HRTnHTS Srd Lot -4 Blk 7 Parcel 10 7,1002 040 07
'
'Street Garage State
-
-7
Improvement Date Amount A nual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition SURREY HEIGHTS 3rd Lot Blk 7 Parcel 10 7,1002 010 07
Owner `0 J) 1 1. Street 1528 Aspen Drive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1974 960.68 320.00 Paid
WATERMAIN
* WATER LATERAL 1974
* WATER AREA 1974
STORM SEW TRK
* STORM SEW LAT 1974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 170,00 5928 6-20-72
BUILDING PER.
SAC 240-00 1-5928
PARK
CITY OF EAGAN Remarks
Addition SLIMLY HETGHTS Sr-A Lot 1 Blk 8 Parcel 10 73002 010 08
Owner' .1111 n L !),'l- }.f Street Garage State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
l
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT No. 116
Date: ,.lay 31, 1977 Receipt No.: '-)(-'100
Single
Site Address: ' 2. aspen ?ri. ,,-e Residential k-
Lot Block Sub/Sec. S' Multi Res., Comm./Ind.
7c;=.n vsetterLin~~ altn .`ation
Name New/Alter./Repair
3 Address n24 Aspen UYiye Cost of Installation
a Eagan phone: permit Fee
nf)
I
QQ~ Name T•lndsay Water Conditioning Co. Surcharge .5n
215 Cedar Ave. So.
g x+
Address
C
O
V L;~nan City Phone: Total 5.5^
This Permit is issued on the express condition that all work shall be done in accordance with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY USE ONLY
PERMIT RECEIPT DATE:
2002 IiI`SIDENTI AtL MECHANICAL PERMIT APPLICATION
CITY OF F.AHAN
8$80 PILOT KNOB RD
EAGM MN 55122
651-6$1-4675
Please complete for: ➢ single family dwellings
townhomes and condos when permits are required for each unit
Date: , 112 I O Z
SITEADDRESS: ~S~ ~SZ1t~~~ •cY~1►`} S5I Z~
OWNER NAME: TELEPHONE r~6~tnac e-sla
INSTALLER NAME: TELEPHONE le~~ Z S~
STREET ADDRESS: / 1S1lUrJ 1 ~5 S F W ' , O -OX 4~`S
CITY: USefYY~l~(~S~ STATE: ZIP: 55d_-cSS
Place a check mark next to the permit work type
_ Add-on ter_ation to existing dwelling unit
furnace replacement\ C ~1
• acre arx~eF GU z 1 ZCO
• air conditioner Z
• other
Nature of work:
/
a
State Surcharge .50
Total $
S NATURE OF PERMITTEE
iaz
PERMIT# SSA \S RECEIPT DATE:
8008 itI:SIDENTIAL PLUMBING PERMIT APPLICATION
crrY of F.Aam
3630 PILOT KNOB RD
£AHAN, MN 551 SE
651-681-9675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
bla(ckfkfl✓o}w~( Y I D preventer for irrigation sys~tem~
SITE ADDRESS: \ f'/f ' I1U~wnt j HIV Y i ' Ir^
OWNER NAME:: ~UU.IGL AJ : /I CVL TELEPHONE* ry-
(ARREA CODE)
q5~1 Imo- 3~I /1
INSTALLER NAME: ~YN TELEPHONE M
(AREA CODE)
STREET ADDRESS:
CITY: AA( STATE: y~
11 WA ZIP: _
SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
- Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
- Abandonment of septic system. !
Water turnaround - existing dwelling unit 5/8" meter if needed - $118) 15 I dl
Other:
- RPZ: new installation/repair/rebuild _:r 30.00
- lawn irrigation system
Replaoeme additional: water softener _ water heater $ 15.00
State Surcharge $ .50
Total $
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement!~i
SIGNATURE OPPERMITTEE i -1102
PERMIT erg i~+r
CITY OFEAGAN
_ 3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 0 2 2 0 0 0
(612) 681-4675 Date Issued: 09/17/93
SITE ADDRESS:
1522 ASPEN DR
LOT: 1 BLOCK: 7
SURREY HTS 3RD
P.I.N.: 10-73002-020-07
DESCRIPTION:
(ROOFING)
B,uilding!.Permit Type MULTI. (MISC.)
Building Work Type REPAIR
_r
11 L
r-,
REMARKS:
INCLUDES 1524, 1526 & 1528 ASPEN DR
(LOTS 2, 5 & 6 BLK 7)
FEE SUMMARY:
VALUATION $4,000
Base Fee $63.00
Surcharge $2.00
Total Fee $65.00
CONTRACTOR: - Applicant - ST. LIC. OWNER:
METRO SIDING 15571808 0004861 SURREY HTS TOWNHOUSE ASSOC
14244 23RD AVE N 1531 ASPEN DR
PLYMOUTH MN 55447 EAGAN MN
(612) 447-1808
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 Mn.
Statutes and City of Eagan Ordinances.
flM4
APPLICANT/PERMITEE SIGNATURE ISSUED BY: IG ATURE
L ~l Bl. CITY USE ONLY
RECEIPT M C) 5
SUED. G71 \ Y,(~ H_ t'1~ 1 C ~ 3~ t-Y RECEIPT DATE:
PERMIT#
2000 PLUMBING PERMIT (RESIDENTIAL,)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, Nr 55122
651-681-6675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES ' EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floordrain 3.00 x = $
Gas piping outlet ` minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished " requires MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installationtrepair/rebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ U O
Water softener if dwelling under construction 5.00 x = $
Water softener If existing dwelling 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge .50 $ .50
Total $-30
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- -
M
I hereby adcnovAedge at I have read this application, state that the irdom~ation is erect, and agree to comply with all applicable City of Eagan ordinances.
it is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activiAAtiess' to the facilities constructed under this permit within City property/fight-of-way/easement.
SITE ADDRESS: /SZ S n~ yes~>r 54*,4•n! AW 1Z2-
OWNERNAME::I'fJL1GA L~/OoDSrO~ TELEPHONE eCr-q) yS2
pp (AREA CODE)
INSTALLER NAME: £6- TELEPHONE Crwz -9;2/-053S
,/~7]
STREET ADDRESS: 219,9t> e¢Mpk S 1/eel7~ (AREA CODE)
ZIP: sstl`f~
CITY: T(, /191tOCr T/f STATE: 410-1,
z~
SIGNATURE Or P MITTEE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 0 2 2 0 0 0
Eagan, Minnesota 55123 Date Issued: 09/17/93
(612) 681-4675
SITE ADDRESS: LOT: 1 BLOCK: 7 APPLICANT:
1522 ASPEN OR METRO SIDING
SURREY HTS 3RD (612) 447-1808
PERMIT SUBTYPE: TYPE OF WORK:
MULTI. (MISC.) REPAIR
DESCRIPTION (ROOFING)
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
FINAL
REMARKS: INCLUDES 1524, 1526 & 1528 ASPEN DR
(LOTS 2, 5 & 6, BILK 7)
REACTIVATE CITY OF EAGAN
~,J?
PERMIT # 1993 BUILDING PERMIT APPLICATION
21000 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 9 / 9 r~Valuation of work ~A00-
Site Address: 159-) -J9ru C off
STREET ` SUITE
Tenant Name: (commercial only) -r ,r e~ ~jts ~av~3 ri 4~oY+ A3 .
1
LOT BLOCK tt~~SUBD. ILL~~L j q ! P.I.D. N
Description of work: Vie c' )J ~
The applicant is: ❑ Owner contractor ❑ Other (Describe)
Name Phone
Property LAST FIRST
Owner Address
STREET - STE M
City State Zip
Company t~\j kr 0 S; ~v wc. Phone 5S7-/80 cq
Contractor Address Iy2Hq d2o Age Ne, License # Exp.
City 8,T o~ 11~ State T" 1 rv r~ Zip .SS 11y~7
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved-.
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. a
Signature of Applicant: J`'~
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basseelen 1~ lnlsh
❑ 02 SF Dwg. 07 4-Plex ❑ 12 Multi. Misc. 11 Swim061'
❑ 03 SF Addition 'Iff
❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition PC 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
Permit Fee rituetion: g x/00 J
Surcharge 2•~0
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: June 5 1972 Number: 862
urrey Heights - model
Billing Name•Gustafson & Associates Site Address: 522 24-26-28 Aspen
Owner: Billing Address
Plumber: Consolidated Plumbing
Location of Connection Meter Size Connection Chg. a.~ 4G~eha
1522- 22222483 Meter No. Permit Fee 10.00 pd 6/2/72
1524 - 22222484 - .a 73 8r /2/72 ..5u pa 1526 - 22222485 - 'v- Y9 Meter Reading Meter Dep.
1528 - 22222486 -
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence
Townhouse
Multiple xx No. Units 4
Commercial
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Consolidated Plumbing Co.
Please notify the above office when ready for inspection and connection.
EAGA.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: June 5 1972 Number: 862
urrey Heights - model
Billing Name•Gustafson & Associates Site Address: 1522 24 26-28 Aspen
Owner: Billing Address
Plumber: Consolidated Plumbing
Location of Connection Meter Size Connection Chg.'
9 I Permit Fee 10.00 pd 6/2/72
1522- 22222483 - Meter No. Permit Fee
1524 - 22222484 - 7 3 9 3
1526 - 22222485 - Meter Reading Meter Dep.
1528 - 22222486 - 7`3 9- f
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence Townhouse
Multiple xx No. Units 4
Commercial
Industrial By:
Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Consolidated Plumbing Co.
Please notify the above office when ready for inspection and connection.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: June 5 1972 Number: 862
urrey Heights - model 1x22-24 26 28 Aspen
Billing Name:-Gustafson & Associates Site Address.
Owner: Billing Address
Plumber: Consolidated Plumbing
i
Connection Chg.
Location of Connection Meter Size
1522- 22222483kiix - S 97 Meter No. Permit Fee 10.00 pd 6/2/72
1524 - 22222484 - j1 3 - ' /2/72
1526 - 22222485 - Meter Reading Meter Dep.
1528 - 22222486 -
Meter Sealed: Yea Add 'l Chg.
NO Total Chg.
Inspected by
Data
Building is a: Remarks:
Residence Townhouse
Multiple xx No. Units 4
Commercial
Industrial By:
Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tha proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By.,
Consolidated Plmmbing Co.
Please notify the above office when ready for inspection and connection.
- s ~1y1~~s
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: June 5 1972 Number: 862
urrey Heights - model /
Billing Name:Gustafson & Associates Site Address: 1522-24-26 28 Aspen
Owner: Billing Address
Plumber: Consolidated Plumbing
Location of Connection Meter Size Connection Chg.~d
1522- 22222483kiix - Meter No. Permit Fee 10.00 pd 6/2/72
1524 - 22222484 - ' '1•~ 5P /2/72
1526 - 22222485 - --j S /y Meter Reading Meter Dep.
Meter Seal a: Yes Add 'l Chg.
1528 - 22222486 -
S
NO Total Chg.
Inspected by
Data
Building is a: Remarks:
Residence Townhouse
Multiple xx No. units 4
Commercial
Industrial By:
Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Consolidated Plumbing Co.
Pleaae notify the above office when ready for inspection and connection.
-low
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date p l ~p l a j
Site Address Aa1a Unit#
Property Owner ~ C(//9 ~ d d ~S(D Telephone # ((ctSl) V-5a -cDQ 0
Contractor
Street Address Q(o 6S City ~EA64-X_l
State A A). Zip ~ (o Telephone # -X Q ~o
Bond Expires:
The Applicant is Owner T Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional Replacement
air exchanger
air conditioner New Replacement
other
State Surcharge $ .50
Total $3 G..5_0
I hereby apply for a Residential Mechanical 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 with the Mechanical 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 tans.
A icant's Printed Name Ap cant's Signature
Friday, February 12, 2010 7:46 AM Gassen 9529222004 p.01
Use SLUE or BLACK Ink
-
My For Offtae Use
of Eajan
fannil Few ,
3830 Pilot Knob Road
Eagan IIAN 5512 j Date REceivnd:
Phone: (651)$75-5675 1 i
Fax: (651) 675-5694 1 Staff: I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
` j ' /74ez,/~tfJ_
Date: Site Address:
Tenant: rl rjyN r ct F tC pe - Suite
RESIDENT / OWNER Name: er- PhOnR: 7_5~T S-5- 7 5
Address ! City !zip:= j i",'1u~z, wr7 r~/
Applirnnt is- Owner Contractor
TYPE OF WORK Uesicription of work::. _ ice( v! &LCt Q-~~ r P S~ ¢ r C y~ ~f# J'L f •v ✓t f'
Construction Cost: Multi-f=amly Building` (Yes 1 No )
CONTRACTOR Name: C~ f'ypl i y _kt, 7, License
Address: i` C A/ ~ t~! J A 1~94'c 7 Chy,
State: I, zip: Phorto:>l /z
Contact: icy L'! 6' Email: ^Itrf JI^ t ~j ~5 ,€!V t'~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the CIty oT Eagan Issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone_
Sewer & Water Contracmr: Phone:
NOTE: Plans and .supporting documents that you submit are corisidemd to be public information. Portions of
the information may be iclasa fled as non-public if you provide speeftle feasons that would permit the C tk to
conclude that fire are trade secrets.
CALL BEFORE YOU DIG. Cali Gopher State One Cell at (651) 454-0002 for protection against underground utility damage.
C211 48 houre. boferc you intand to dig to roosive locates of underground utilitibs w_r ,v gopheryiz-aeoneccrll.orca
I hereby acknowlodye that this information is complete and accurate: that the work will be in conformance with the of dinances alld cotle$ ul the City of
L2e;2Lrt; that I undorst2nd this ik not a permit, but only 3n applic~ation for a permit, aiid wurk is nut to dart wilhvut a pormiti that tho work will bo in
accordance wilfr tha appeuvud plan in the rasp of work which requires a review and approval of plans.
Ild
Applicant's Printefd Name App tcant's Si afore
Page t of 2
rV~LEd 1
FEB 1 x, 2010
Friday, February 12, 2010 7:46 AM Gassen 9529222004 p.02
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Parch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (d-Season) Exterior Alteration (Single Family)
_ Multi Dock _ Porch (ScreerdGazebolPergola) Exterior Alteration (Multi)
01 of Plez Lower Level Pool Miscellaneous
Accessory Building - - -
WORK TYPES
_ New Interior Improvement _ Siding Demolish Building'
Addition _ Move Building _ herdof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall 'Demolition of entire building -give PCA handout to applicant
DESCRIPTION
Valuation a,?-(00 Occupancy jZtL- MCES System
Plan Review Cade Edition iy (2 J 7 SAC Units
(25%_ 100'% ) Zoning _ City Water
Census Code Stories Booster Pump
# of Units Square Feet T _ PRV
# of Buildings Length Fire Sprinklers
Type of Construction y (/1, Width
REQUiM INSPECTIONS
Footings (New Building) Sheetrock
Footings (Doak) Final ! C.O. Required
Footings (Addition) Final l No C.O. Required
Foundation HVAG
Drain Tile _ Other:
Roof: Ice & Water -Final _ Pool: -Footings -Air/Gas Tests -Final
Framing Siding: _Siucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: Footings Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge(
Plan Review
MCES SAG
City SAC
J~
Utility Connection Charge
S&w Permit & surcharge ~L t~. ~,t^>
Treatment Plant J1~Y''t
TOTAL
Capi 3 TOTAL
,(►vI~~M Page 2of2
V
4
Friday, February 12, 2010 7:46 AM
Gassen 9529222004
p.o3
93gag
Insured: Surrey 11eights
Property: 1522 Aspen
Claim Rep.:
Title:
Company:
Estimator:
Business:
Ron Mints
Senior Field Adjuster
American Family Insurance
6000 A murictin Parkwtty
Madison. WI 53783
Terry Holm
6438 city West Park%ay
Filen PraiTie, MN 55144
Claim Number: 00-221-176712 Polk:. Number: 22X.D9449 01
Date lifLoNs: 1/20/2010
Date Inspected:
Price List:
M-NMN5B JANIO
Resttnatiult/Servieu/R4.:model
Estimate: 2010-02 01 1332 2
AJ t.:1A
071.4' $14,1E: OF'
vvO AT -71,• cEkLG.
',•••••C GRI\
Ritz (goo) 692.6326 x 21693
Business: (952) 922-5575
Type of Loss: Water Damage
Date Received:
Date Entered: 2/1/2010 1:32 PM
SMOKE DETECTORS ARE REQUIRED
ON EVERY LEVEL OF THE HOUSE AND IN
EVERY SLEEPING ROOM AND IN EVERY
HALLWAY LEADING TO A SLEEPING ROOM
• •
. • INSTALLED. IN ALI. NEW SINGLE FAMILY
AND MULTI FAMILY .pwRimp uNn-s. •
• ...1:1•F(E SIDP:SOFF•ITSAND.ALL...
°THE R.PEAD•:SPAQS..... • ..• •
EAGAN
L.-
tG SPE TIONS DIVISION
Friday, February 12, 2010 7:46 AM Gassen 9529222004
p.04
9'1°9?g.3)87
DFS('RI PT1()N
2010-02-01-13322
ps-FuRs
Bathroom
Lx.11 vil W 9" x 5' x
220.00 SF Walls
263.75 SF Walls & Ceiling
4.86 SY Flooring
70.00 SF Long Wall
27.50 LF Cell. Perimeter
QNTY
111•;:11(IVE
43.75 SF Ceiling
43,75 SF Floor
27.50 LF Floor Pei iiiieter
4.0.00 SF Short Wall
REPLA('E: TOTAL
Cehing:
No damage to the ceiling.
:
FIPPring:
1. Tear out wet drywall. cleanup, bag ibr
disposal
2. R&R 1/2" di yvvall - hung. taped, floated,
teakly kw pain'
3. Vursity -13ctuch & reset
4. Toilet • Detach & reset
5. R&R Underlayment - sound/crack
membrane - up to 40 mil
6. R&R Tile floor covering
7. R&R Tikbah:c
Miscellaneous:
K. Water extraction FrOrn NKr
96.00 SF
96.00 SF
1.001 F
IMOEA
43.75 SF
4375 SF
27.50 IF
43.75 SF
0.64 0.00 61.44
0.36 1.43 171.84
0.00 39.16
0.00 198.18
0.77 1.86
39.16
198.18
115.07
2.10 8.45 461.57
1.77 11.50 1'17.13
0.00
0,43 18.81
Totals: Bathroom
1,513.50
Total: UPSTAIRS
MAIN LEVEL
Living ROOM
1,513.50
Lx1,Vx11 15' 8" r 4" x W
432.00 SF Walls
609.56 SF Walls & Ceiling
19.73 SY Flouring
125.33 SF Long Wall
54.00 LF Ceil. Periultier
an 1 0 -n2 -n1-1112 2
177.56 SF Cciling
177.56 SF Floor
54.00 LF Floor Itrimeler
90.67 SF Short Wall
24/2010 Pagc: 2
Friday, February 12, 2010 7:46 AM Gassen 9529222004
DESCRIPTION
t'ON'I INC ED Living Rom
p.05
ON I'1- REMOVE REPLAC1. TO -IAL
Ceiliuo:
9. Seal/prime the a iliug, - one Coat 177.56 SF 0.00 0.11 58,59
10. Paint the ceiling - one coat 177,56 SF 0.00 0.36 63.92
Walls:
11. Teau out wet drywall, cleanup, bug fur 432.00 SF 0.64 0.00 276.48
disposal
12. 1/2" drywall - hung, taped, floated, 432.00 SF 0.01) L41 617.76
rt atdy liar paint
13. Mask and prep Cor paint plastic. 5400 LF 0.00 0.84 45.16
papa, tape. (per f.F)
14. Seal/prime the wails and ceiling - cine: 609,56 Sr 0.00 0.33 201.15
coat
15. Paint the waltz and ceiling one coat 609.56 SF 0.00 0.36 219.44
Fluorin`:
16. Tear nut wet non -salvage cpt, cul/bag . 177.56 SF' 0.50 0.00 88.78
atter business 1u
17. R&R Carpet pact 177.:6 S' 0.10 0.62 127.85
IR_ Carpet 204.19 SF 0.00 3.13 639.11
15 % waste. added for Carpet.
Miscellaneous;
19. Air mover axial fan (per 24 bout period) 2.00 EA 0.00 29.01 58.02
- No monitoring
Totals: Living Room
DESCRIPTION
2,396.46
Kitchen 1,' V4'sH 9.9" r W 9" x 8'
296.00 SF Walls
381.31 SF Walls & Ceilu,t
9.48 SY not/ring
78.00 SF Lung Wall
37.00 LF Ceil. Perimeter
85.31 SI. Ceiling
H5.31 SF Floor
37.00 LF fluor Perimeter
70.00 SF Shim Wall
QN 1 Y REMOVE REPLACE TOTAL
Ceiling:
20. 'Tear out wet drywall, cleanup, bag for85.31 SF 0.64 0.00 54.60
disposal
21, 5/8" drywall - hung, taped. ready for 85.31 SF 0.00 1.37 116.87
texture
2010-02 .01 1332 2
3/8/31)10 Page: 3
Friday, February 12, 2010 7:46 AM Gassen 9529222004 p.06
DESCRIPTION
CON FINL;EID - Kitchen
itEM'1()1'E
REPLACE 'I'(Yl AL
22. Acoustic ceiling (pupcutu) texture
Walls;
23. Tear out wet drywall, cleanup, bag for
disposal
24. 1!2" drywall - hung, taped, floated,
ready rot: paint
25. Mask and prep for paint - piastit,
paper, tape (pur LF)
26. Seal/prime the walls - one coat
27. Paint the walls - one carat
28. R&R Cabinetry - lower (base) units
29. R&R Cabinetry - upper (wall) units
30. R&R Countertop - Flat laid plastic
laminate - Standard grade
31. Baseboard -• [Detach
Flooring:.
32. Tear out non -sale laminate fluor & bag
for digpwnl
33. Remove Tear out vinyl &
t.tnderlaymcnt
94. llndcrlayment - 1/4" lauanlmalaogrtny
plywood
35, Vinyl floor covering (sheet goods;') -
Standard grade
15 % waste added for Vinyl floor covering (sheet goods) - Standard grade.
t7 reecho netrus:
36, Air mover axial tan (per 24 hour poritxd)
No monitoring
37. Water extraction from .floor
85.31 SI'
296.00 SF
296.00 SF
37.00 LF
296.00 SF
296.00 SF
10.00 LF
15,00T.F
10.00 LF
37,00 LF
85.3E SE
85.11 SF
/55.31 SF
98.11 SF
2.00EA
296.00 5F
0.00
0.64
0.00
0.01)
0.00
0.00
6.28
6.28
3.61
0.00
1.53
1.72
000
0.00
0,00
0.00
0.74
0.00
1.43
0.84
0.33
0.16
154.00
106.33
27.28
0.76
0.00
0.00
1,50
2.50
29.01
0.43
63.13
189.44
423.5
31.08
97.68
106.56
1,602.80
L689.15
308.90
28.12
130.52
146.73
127.97
245.25
58.02
127.28
Totals: kitchen
•
Dining Roam
5,547.41
LsWxll 10' 6" i8,y.. e8,
308.00 SF Walls
399.K8 SF Walls & Ceiling
10.21 SY Flooring
84.00 SF Long Wall
38.50 Ll' Cell. Perimeter
91,88 SF Ceiling
91.88 SF Floor
38.50 LF Flour Perimeter
70.00 SF Short: Wall
2010-02-01-1332 :? 2/g/2010 Page: 4
Fridpy, February 12, 2010 7:46 AM Gassen 9529222004
p.07
kd
DESCli:lP7-10N
CONY INIII:1) - Dining Roorn
QNT\' REMOVE
REPLACE 'rorA1,
Ceiling:
38. Tcar out wet drywall, cleanup, bag for 91.88 SF 0.64 0.00 58.817
alisposal
39, 5/8" drywall - hung. taped. ready for 9 i .88 SF 0.00 L37 12:5.8
texture
40. Acntu.tic ceiling (popcorn) texture 91.88 ST 0.00 0.74 67.99
Wallis:
41. 'Tear Out wet drywall, cleanup. bag for308.00 SF 0.64 0.00= 197,12
disposal
42. 1/2" drywall - hunt, taped. floated, 399.8R SF 0.00 1.43 571.83
ready Ior paint
43. Mask and prep for pnint - plastic. 38,50 L1 0.00 0.84 32.34
paper. tape (per 1.F)
14. Seal/prime the walls and ceiling one 399.88 S1 0.{1{) 0.3i 131.96
Coat
45. Paint the walls - one coat 3118,00 51 0.00 0.36 110.88
46. Baseboard -Detach 38.50 L17 0.00 0.76 29.26
Ftooriva:
47. Tear out non -sale laminate floor & hag 91.88 SF 1.53 0.00 140.58
for disposal
4R. Remove Tour out vinyl & 91.88 SF 1.720.00 158.03
underlaymcnt
49. LTndcrlayment - 1/4" lauan/mahogany 91.88 S1'0.00 1.50 137.82
plywood
50. Vinyl floor covering (sheet goods) - 105.66 6 SF 0.00 2,50 264.15
Standard grade
15 % watite added fug Vinyl floor covering (:abed goods) - Standard grade.
miscellaneous:
51. Air mover axial tarn (per 24 hour period) 12.00 EA 0.00 29.01 348.12
- NO monitoring
52. Water extraction from noun 308.00 SF 0.00 0.43 1.32.44
53. Dehumidifier (per 24 hour period) - 3.00 EA 0.00 101.25 303.75
XLarge - No monitoring
Totals: Dining Room
2010-02-01-1332.2
2,810.95
2/1W20I0 Page: 5
Friday, February 12, 2010 7:46 AM Gassen 9529222004
p.08
Entry/Fd)ir L�Wx11 10' 5" x 3' 8" x 8'
305.33 SE Walls
395.61 SF Walls & f, ening
10,03 SY Flooring
83.33 SF Lung Wall
38.17 LP Ceil: Perimeter
90.28 SF Ceiling
90.28 SF Floor
38.I J LF Floor Peritneter
69.33 SF Short Wall
DE:SC'Rlr'rIUN (Iti'1'S' RE.Iov'F: RF:PI.ACF: 'r()'rAL
eeilinlr:
54. Tear oto wet drywall, cleanup, bag For 90.28 SF 0.64 0.00 57.78
disposal
55. 5/8" drywall fang, taped, ready for 90.28 SF 0.00 1.37 123.6R
texture
56. Acoutitic ceiling (ptypc<trn) lexntrl; 90.28 SF 0.00 0.74 66.81
Walls:
57. 1"ear out we! tlrvwall. cleanup, bag for 305.33 SF 0.64 0.00 195,41
ditipuha!
58. Apply anti- nictobial agent 305.33 SF 0:00 0.l9 5801
59. 1/2" drywall -hung. taped, floated, 305.33 SF 0.00 1.43 436.62
ready for paint
60. Mask and prep for paint - plastic. 38.] 7 Lf; 0.00 0.214 32.06
paper, tape (per LF)
61. Seal/prime tate walls - one coat 305.33 SF 0.00 033 100.76
62. Paint the walls - one coat 305.33 SF 0.00 0.36 109.92
I' loorine-:
63. Remove Tear out vinyl & 90.28 SF 1.72 0.00 155.28
underlayment
64. Undc:rlayment - 1/4" lauanfmahogany 90.28 SF 0.00 1.50 135-42
plywood
65. Vinyl Quui covering (sheet goods; - 103.£12 SF 0.00 2.50 259.55
Standard 1;rtde
15 % waste added Car Vinyl floor covering (sheer goods) - Standard grade,
viixceIIanenur•:
66. Air mover .axial fan (per 24 hour period) 1.00 FA 0.00 29.01 29.01
No monitoring
67. Water extraction from &or 305.33 SF 0.00 0.43 131.29
Totals: Entry/Foyer 1,891.60
2010-02-01-1312_2
2'8t2010' Page: 6
Friday, February 12, 2010 7:46 AM Gassen 9529222004
p.09
gar
Bathroom (hall:) Lx VKII 5' 7" s 4' 4" x
158.67 SF Walls
182.86 SF Walls & Ceiling
2.69 SY Flooring
44.67 SF r.ong Wall
19.81 I ,F Crit. Poifineter
24.19 SF Ceiling
24.19 SF Floor
19.83 LF Flox,r Perimeter
14.67 SF Shoo Wall
UESCRIP-TION ()IVEY REMOVE I.fl PI.AC"F: '1(1'1'.\1.
Ceiling:
68. Tear out wet drywall, cleanup, bag for 24.17 SF 0.64 0.00 15.48
disposal
69. 518" drywall - keno., taped. ready for 24.19 SF 0.00 1.37 33.14
texture
70. Acoustic ceiling (popcorn) texture 24,19 SF0.00 0.74 17.90
walls:
71. Tear out wet drywall, cleanup, bag for 158.67 SF 0.64 0.00 101.55
disposal
72. Apply anti -microbial agent 158.67 SP0.00 0.19 30.15
73. 1/2" drywall - hung taped, floated, 158.67 SF 0.00 I.43 226,90
ready for paint
74. Mask and prep for paint - plastic. 19.83 LF 0.01) 0.84 16.66
paper. tape (per LF)
75. Seal/prune the walls - one chat 158.67 SF 0.00 0.33 52.36
76. Paint the walk - one coal 158.67 SF 0.00 0.36 57.12
Flnnrino:
77. Remove: Tear out vinyl & 24.19 SF 1.72 0.00 41.61
underlsyment
78, Underiaymttlt - 1/4" lawn/mahogany 24.19 SF 0.00 1.10 36.29
plywood
79. Vinyl floor covering (sheet goods) 27,82 SF 0:00 2.50 69.55
Standard grade
15 % waste added for Vinyl floor cove' ing (sheet goods) - Standard grade.
Misccllarm-pus:
80. Air mover axial fan (per 24 hour period) 1.00 EA 0.00 29.01 29.01
No monitoring
131. Water extraction from floor 1S8.67 SF 0.00 0.43 68.23
Totals: Bathroom (half) 795.95
2010-02-01-13'12 2
2/8/2010
Put5e: 7
Friday, February 12, 2010 7:46 AM Gassen 9529222004
p.10
11ialIt� at1
Lx't
XII 19'x3'a8'
352.00 sI- Walls
409.00 SF Walls & Ceiling
6.:3.3 SY Flooring
152.00 SF Long Wall
44.00 LF Cell. Perimeter
57.00 SF Ceiling
57.00 SF Floor
44.00 r.F Floor Perimeter
24.00 SF Short Wall
I)1;SC'RIPTION Qfti'1`l' REMOVE REPLACE TOTAL
c:filial!:
82. Tear out wet drywall. cleanup, hag for 57.00 SF 0.64 0.00 36.48
disposal
83. 5I8" drywall - hung, toped, ready for 57.00 SF 0.00 1.37 78.09
texture
84. Acott,tie ceiling (popcorn) texture 57.110 SF 0.00 0.74 42.18
Walls:
85. Tear out wet drywall, cleanup, hag for :352.00 SF 0.64 0.00 225.28
disposal
86. Apply anti microbial agent 352.00 SF 0.00 0.19 66.88
87. 1/2" drywall - hung, taped, floated, 352.00 SF 0.00 1.43 503.36
ready for paint
88. Mask and prep l'or paint - plastic, 44.001.F 0.00 0.84 36.96
paper, tape (per LF)
89. Seal/prime the walls - one coat 352.00 SP 0.00 0.33 I 16.16
90. Point the walls - one coat .352.00 SF 0.00 0.36 126.72
Fluorine:
91. Tear out wet non•salvage cpt, cm/hag - 57.00 SF 0.50 0.00 28.50
after business hrs
92. Thar out wet carpet pea. uo bagging 57.011 SF 0.09 0.00 5:13
93. C.arpci. pad 57.00 SF 0.00 0.62 35.34
94. Carpet 65.55 SF 0.00 3.13 205.17
15 % waste added for Carpet.
1Tha illauepus:
95. Air mover axial fan (per 24 bour peritxl) 2.00 EA 0.00 29.01 58.02
- No mnniloring
96. Water extraction Iinrn floor 352.00 SF 0.00 0.43 151.36
Totals: 11allway
1.715.63
2010-02-01-1332_.2 2/8.101(1 Pus4: f3
Friday, February 12, 2010 7:46 AM Gassen 9529222004
p.11
Closet 1,xWxli3'xrx8'
80.00 SF Walls
86.00 SF Walls & Ceiling
0.67 SY Flow itig
24.00 SF Long Wall
10.00 1..F Ceil, Perimeter
6.00 SF Ceiling
6.0:1 SF Floor
10.00 1 t' floor Pcrimctet
16.00 SF Short Wall
DLSCRIP-1'I0y (2N"I'Y REMOVE REPLACE TOTAL
Ceiling:
97. Tear out wet drywall, cleanup, bag for 6,00 SF 0.64 0.00 3.84
disposal
9R. 5/8" dryw:d.1 - hunt:, taped, readyfbr 600 SF 0.00 1.37 8.22
texture
99. Acoustic ceding (popcorn) texture 6.00 SF 0.00 0,74 4.44
NV alai:
100. Tear out wet drywall, cleanup, bah for 80.00 SF 0.64 0.00 51.20
disposal
101. Apply anti -microbial agent 80.00 SF 0.00 0.19 15.20
102. 1/2" drywall • hung, taped, flouted. 80,00 SF 0.00 1,43 114.40
ready for paint
103. Mask and prep for paint - plastic. 10.00 T.F 0.00 0.84 8A0
paper. tape (per LF)
104. Su liprimc the walls - oue ::oat 80.00 SF 0.00 0.33 ?6.40
105. Paint the walls - one coat 80.00 SF 0.00 0.36 28.80
106. Tear out wet lion -salvage cpt, cut/bag - 6.00 SF 0311 0.00 100
after business hr.
107. Tear out wet carpet pad. no bagging 6.017 SF 0.09 0.00 0.54
108. Carpet pad 6.00 SF 0.00 0.62 3.72
109. Carpet 6.90 SF 0.00 3.13 21.60
15 % waste added for Carpet,
!Miscellanea UN'
110. Air mover axial fan (per 24 hour
period) - No monitoring
111. Dehumidifier (per 24 hour period) -
XLarge - monitoring
2.00 EA 0,00 29.01 58.02
3.00 EA 0.00 101.25 303.75
Total:;: Closet
2010-02-01-1332_2
65L53
2/14/20t0 Pogo: 9
Friday, February 12, 2010 7:46 AM Gassen 9529222004
p.12
D ES I PT ION
Stairly ay
1.,W'sll15'x6'6"N8'
344.00 SF Walls
441.50 SF Wall & Ceiling
t0.R3 'SY Flooring
120,00 SF Lung Wall
41.00 1.1' Cei1. Perimeter
07.50 SF Ceiling
97.50 SF Floor
43.00 L1= 1-10or Perimeter
52.00 SF Short Wall
QNTY REMOVE REPLACE `11>'I'11.
1 12. Seal/prime the ceiling - one Coat 97.50 SF 0.00 0.33 32.I8
113. Paint the ceiling one drat 97.50 SF 0.00 0.36 35.10
Wails:
114. Tear out wet di ywall. cleanup, bag for 344.005E 0.64 0.00 220.16
disposal
115. Apply anti -microbial agent 344,00 SF 0:00 0.19 65.36
116. 112" drywall - hung, typed, floated. 344.00 SI: 0.00 1.43 491.92
ready for paint
117. Mask and pep for paint - plastic, 43,00 LF 0.00 0.84 36.12
paper, tape (per LF)
1 1 X. Seal/prime the tells - one coat 344.00 SC 0.00 0.33 113.52
119. Paint the walls - one coat 144,00 SE0.00 0.36 123.84
1:Inilring!.
120. fete uut wet nun-saivagc cpt, cut/bag - 97.50 SF 0.50 (1.00 48.75
a Rut business hrs
121. Tarr out wet Carpet pad and bag for 97.50 SF 0.12 0.00 31.20
disposal
122. Carpet pad 97.50 SF 0.00 0.62 60.45
123. Carpet 112.13 SF 0.00 3.13 350.97
15 "/n waste gilded for Carpet.
iMiscenaneouR.
124. Air mover axial fan (pet 2.4 hour 2.00 FA 0.00 20.01 58.02
period) - No monitoring
125. Dehumidifier (per 24 hour period) - 3.00 EA 0.00 101.25 303.75
Xl.argc - No monitoring
Totals: Stairway
1-971.34
Total: MAIN LEVEL 17/80.87
LOWER LEVEL
2010-02-01 1332_2 2/8/2010 Pulp: 10
Frictay, February 12, 2010 7:46 AM Gassen 9529222004
p.13
107kidff
DESCRIPTION
BaSentent
LNIA'xIl 26' 9" x, 15' 7"
592.66 SI' Walls
1,009.49 SF Walls & Ceiling
4632 SY Flooring
187.25 SF Lorin Wall
84.67 LF Ceil. Perimeter
Q.I.Y.N
416.84 SF Ceiling
416.84 SF Flour
84.67 LF Floor Perimeter
109.08 SE Short Wall
RENR)VI.: KEPLACE .1(11A1
126. Remove wet suspended ceiling tile
and bag for disposal
127. Tear out wet paneling, bog fur
disposal
128. Apply anti.mierortiai agent
129. Sal/prime the walls - one COW
Ronring•
130. Tear out wet nun -salvage cpt, eur/bag,
alter business hrs
131. Tear out wet carpet pad and bag, for
disposal
Miscellaneous:
132. Water Extraction & Remediation
Technician - after hours
133. Air mover axial fan (per 24 hour
period) - No monitoring
134. Dehumidi er (per 24 hour period) -
XLargo - No monitoring
416.84 SF
592.66 SF
592,66 S17
592.66 SF
416,84 SF
4I6,84 SF
3.50 FIR
4.00 EA
3.00 EA
0.27 0.00 112.55
0.38 0.00 225.21
0.00 0.19 112.61
0,00 0.33 195.58
0.50
0.32
0.00
0.00
0.00
0.00
0.00
63.60
29.01
101.25
208.42
133.39
222.60
116.04
303,75
Totals: Basement
DESCRIPTION
IJtiIity Ronin
1,610.15
LxVklx11 9' x 20' x
464.00 SF Walls
644.00 SF Walls & Ceiling
20.00 SY Flooring
72.00 SF Long Wall
58.00 1.F Perimeter
wry
REMOVE
180.00 SF Ceiling
180.00 SF Flom'
58.00 LF Floor Perimeter
160.00 SF Short Wall
REP' TC)TA I .
Miseelistneutv.:
2010-02 01:1137_2 2/1/2010 Sae. LI
Fricdy, February 12, 2010 7:46 AM Gassen 9629222004
DESCRIPTION
CON 1'Ir1.'IJ) - Utility Koran
QNTY RLJ•I(11. I•:
REPLA('1•.
p.14
TOTAL
115. Water extraction (lulu fluor • lic:►vy
136. Apply anti-rniciubiai itgcnt
I(;0.00 SF
4(14.00 SF
0.00
0.00
0.52
0.19
93.60
88.16
Totals: Utility Room
181.76
Total: LOWER LEVEL
Miscellaneous
ULSC kiP7'1O'V
1.811.91
NTY REMOVE
REPLACE
137. Emergency service cull - after
business hours
1,00 EA
0.00
176.76
TOTAL
176.76
Totals: Miscellaneous
Line Item "Totals: 2010 -O2 -(f1-1332 2
Grand Total Areas:
3.552.66 SF Walls
1,270.30 SE Floor
1,040.58 SF 1',ong Wali
0.00 Floor Arca
0.00 Exterior Wail Area
0,00 Surface Area
0.00 Total Ridge Length
2010-02-01-1332_2
176.76
1.270.30 SF Ceiling
141.14 SY Flooring
735.75 SF Short Wall
0.00 Total Area
0.00 Exterior Perimeter of
WaJ1s
0.00 Number of Squares
0.00 Total Hip Length
2I,283.04
4.822.96SF Walls and Ceiling
454.67 LF Floor Pei juicier
454.67 LF Ceil, Perimeter
0.00 Interior Wall Arca
0.00 Total Perimeter Length
2A/2010 Pu} v: 12
Friday, February 12, 2010 7:46 AM Gassen 9529222004 p.15
agal
Linc Item Total
Overhead
Profit
Cleaning Salcti Tax
Replacement Cost 1'aliae
Le::s Dcduclible
Net Claim
2010.02 01.1332..2
Summary for Building
(Ci.' 10.0% x
10.0% x
(?. 6.875% x
21,253.04
21,283:04
21,283.04
Terry H01111
21;283.04
2,12810
2.128.30
1,463.21
(5.000.00)
$22,002.85
2/R/3010 Paaf},: l3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159989
Date Issued:02/03/2020
Permit Category:ePermit
Site Address: 1522 Aspen Dr
Lot:2 Block: 07 Addition: Surrey Heights 3rd
PID:10-73002-07-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Andrea Sanchez
1522 Aspen Dr
Eagan MN 55122
(612) 401-3044
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature