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4284 Augusta LaneCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. @ox 211J9 ' PERMIT NO.: Eagan, MN 55121 p,,TE; 1 Zonirg: U No. of Units: p,,,,ner. _ Joseph T:iiler r?dd?a: !4* ite qddre : 4 ? .?• P-tane 12 R2 Sunset lst {: ?E Of8 i?C ?,?o: u?IiiI12S ' eter No.TELEPi'IOI`rE • tLL?! f?lC • ?ir'?$ ?i?`r?onnection Charpe• `?•'`'?)F?d %A'ize: lu? ?157k r i^a ? a r e. .t ? n?? ? a n?ppUnL D2pO51t. . 15.00 p d Reader No.: ? Permit Fee: 1 1 • 00 pd 1 oame !o oom* wilh !he ¢itp af Eeqs¦ Surchorge: ?i3.00 me+.: ? T Orliw?ap?. ?0'4 e ?) Misc. Cf?orfles: p B Total: r y Date Paid: Dare of insp.: ? / 7 F ? i?,sp.: 3 3 9 9 8 9 0 0 ,.. q?, a,? $4 L 6 ;?0 3 3 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Roed P. O. Box 21199 . PERMIT NO.: Eagan, MN 55121L , DATE: 7 ` Zoning: r i _ No. of Unirs: Owner, ,TGS?r, . ?.. ------ - Addross: Site Addres Plumber. Meter No.. Size: Reoder No.: 1sgrw te canolp wilb the pty of Eagsn Ordineaow By Date of Insp.: 15. 00 - Acwunt Deposit: p Permit Fee: " p Surchcrge: 50 p ?' Misc. CFwrpes: 63.00 e Totol: Date Paid: _ CITY OF EAGAN SEWER SERVICE PERMIT i 3830 Pilot Knob Road I P. O. Box 21199 ' PERMIT NO.: ; Eagan, MN 55121' ' II pATE; , Zoninp: ,12 No. of Unih: ? awrwr, Joeeph Mf:ller. Address: ' Site ,hddress: 423 Augusta Lane L2 27 Sunset st Plumber. Xcru re _•!ec,rI 7-3^-- . 100.00. D. I Mm to ee-plp wieb Nu Gry ef logo¦ Ca,nsct+on aoroe: 425.00 ri Ordfnnnea. Acaount Depo:it: 15.0 pd ' Permlt Fee: 10.00 pd ? Surcharge: ' BY Mtsc. Charpe:: ? Dote of Insp.: Total: 'I lnsp.: ? Dote Pald: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT Receipt T_ " -J A__ SF DWG/GAR $ 5 7, 0 0 0 ,,?_ Site Ad e Lot ? elock ?/sub. SUNSET ST Parcel No. ? Name - - - " - ---- ? ? Addr _ C ity Phone A Name _ ?? Address F Citv - ?W Name ?? Address ? W City Phone 1 hereby ocknowladge thot I have reod this applicotion ond stote thot the intormotion is torrect and ogree to comply with oll opplicobla State of Minnesota Stotutes ond Ciry of Eoqan Ordinonces. i?Tfo 9348 ?- i0 ._ 84 Erect ;E1 Occupency R3 Remodel ? Zon{ng R Repair ? Type of Contt. V Enlarge ? No. Stori? Move ? Length Demoliah ? Depih 37 Grade ? Sq. Ft. Appro vals fees Assessment Woter & Sew. Police Firo Enp. Plonner Councfl Bldg. Off. APC Var. Date Permit 304..00 Surchorps 28.50 Plon check 152.00 sAc 525.00 Water Conn. 470.00 Woter Meter 63.00 Rood Unit 260.00 Parks O ' Total ? A Bullding Permit Is issued to: tJvJ 1"L11jLL,Y't %.vNO1- on the expreu condiNon fhot oll work sholl be done in occordance with oll opplicoble Stote of Minnosoto Statutes and Ciry of Eoflon Ordinoncee. Buildinp Officiol - Permit No. Permit Holder Date Plumbinq y c? 5 Q. mc 'g y H.VA.C. y S 3 ?? Electric Softensr Ir?spection Date nsp, Othar Footinps ? Foundation l Freminq Rouqh Plby. ? LL{`?Y ? 1- h t ' 1' 4 Rouyh HVAC Inwlation Final Plbp. . i . ? Finsl HVAC Final ?G Grt/Oac. ' Wa"r Doscribe Location: Vllsll Sevar Pr. Disp. Receipt MECHANICAL PERMit Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prinr /egib/y Tot. 1. Date 2. Insta,lation Cost ? Lo't 't- 81k. :7-? Tract t- 3. Job Address ? -- ?- 4. Owner t 1 `,? - - - 5. Contractor Phone ' 4 . 6. Address ? 7. City J State Zip 8. Building Type: Resident'ial E3' Commercial ? Institutional ? 9. Work Description: New(b --Add ? Alter ? Repair ? 10. Describe Fuel Type ? -'r 11. No. v Eauion ent STU - M. Ea. Forced Air No. EQUiament CFM Air Handling: Mf9• Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ' for Ro gh Final Inspections: Date Insp. Date Insp. This is your permit wheq numbered and approved. Approved CITY OF EAGAN 454-8100 , Receipt PLUMBING PERMIT r, ,• CITY OF EAGAN , ? • ' ? ?/ Fi1l in numbered spaces Type or Prinf legibly AL'G 3 i' ,_ 1. Date ? 2. (nstallation Cost 3. Job Address 4284 p-ugu8t2. Lot 2 Bik. cZI7e 4. Owner Jc? T'iller Constructicn Permit No. Fee ? S/C ? Tot. - - --? .?-- ,, ? Tract 5. Contracto;•CF. u i r c ' : c' 1- ? ;. c ; 1 Phone 4< <` -- ^ O ? 6. Address P 7. City I,akeville State Zip 55•044 8. Building Type: Residential 10? Commercial O Institutional 0 9. Work Description: New P" Add ? Alter ? Repair ? 10. Describe 11. No, ? Fixtures Water Closet No. Fixtures CesspaaUDrainfield ? Bath tubs Septic Tank - Lavatory Softner ' Shower well ( Kitchen Sink Urinal/Bidet Other Laundry Tray ? Floor Drains Drinking Ftn. Slop 5ink ? Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with a1F ordinances and codes governing this type of work. Signed: for / Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMiT • Parmit No. CITY OF EAGAN - Fee Fill in numb=spaces S/C Type or PriTot. ? 1. Date ? 2. Installation Cast ? 3. Job Address Ldt?TBlk. ' Tract 4. Owner 5. Contractor Phone - ' ? r r 6. Address 7. City State A-1 • ? ! % Zip 8. Building 7ype: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add O Alter t}' Repair ? 10. Describe '? 11. No. Fixtures Water Closet No. -----, Fixtures Cesspool/Drainfield I Bath tubs Septic Tank Lavatory ? $oftner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. J- Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition SUNSET FIRST ADDITION Lot 2 Rlk Z Paccel 10 72985 020 02 Owner Street 4284 Augusta Lane state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ^5 1 1 1 134.89 A014621 9-28-84 SEWER LATERAL WATERMA I N WATER LATERAL WATER AREA 134.89 014 21 9-28-84 STORM SEW TRK- ' 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 WATER CONN. 470.00 BUILDING PER. SAC 525-00 s? tt PAR K This request vDid `4 18 monthtl_(rom W A 066174 5t,_. __x I ,Z') ') v ( a Y 13 Y . S-Z) Request Date Fire No. R o uh n nsoeamn ? q e? ? CqyaAy Now Will NoufV Insoar- ? Yas ? N. tor When Ready __KL,censed lec[rical ConVactor I hereby repuest insDectian of above Owner electncal work mstalletl et Stree Addross, 8ox or Raute No. Crty ecuon Towns iD am ur No. onge No. C Occ PFINT) ? Phone Nu. - ? 5 r Sup her Acltlr &A U,) t Electr al Contra to ICOmpan Nam on[ractor's License No. Mai in ddress Contrnctor or Ow er Making Instaii tioN 7 9 22 Aut onz S?B m e I ct dOwne akin0 hg'WIlu ion P one ber h.K. MINNESOTA STATE BOARD OF ELEC R ITY THIS 1 SPECTION XEQUEST WIIL NOT Griggs•Mitlwey Bldg. - Room N-191 BE ACCEPTED eY THE STATE BOAflD 1821 University Ave., St. Peul. MN 56704 UNLESS PNOPEP INSPECTION FEE IS e1___ m11? eo, 111. ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.oa ' /? See instruetiona for completin9 this form on back ot yellow copv. "X" Below-Yixk Covered by This Request p 066174 AAd flBp. Typa 01 Builtling APPIiOnceB W,reC Equipm0nl WirBd At Home Range Temporary Service . Duplex Water Heater Vg Uny F?xtures Apt. Buildmq Dryer Electnc Heatin Commercial Bldg. geffia Silo Unloader Industrial BIAg. Air Conditioner 8ulk Milk 7ank FaYm [he.r Den y Oiher ISUer.?fyl T e, ueci y iher Oiher Comaute Insnectron fee Below p Fee ServicaEnhenceSdze N Fee Feetlars/$ubieeders N Fee Cvcui[s 0 to 200 A s 0 to 30 Am s SL2 S 0 to 30 Am Above 200 qm ps 31 to 100 Amps 37 to 100 Amps Swimming Pool Above 100_Am s Ahove 100_Amps Trensrormers Irngation Booms Partial."Other Fee Signs Special InspecUOn S -< F To A Hemarks I l EE .e L rr Hough-in ? Date - cne ? M napector, heraby cert iv «t the above FinBl u"!e? / Ac-n hes been KJ" QP de. TNe mauast voiC 18 monlla irom ?'RI-LAND INC. Certificate of Survey for : • SURVEYING JOE MI LLE R CON STRUCT IOllf SERVICES Eagan. Minnesota 55121 , .?i ?I 25 Z ? Q r ? ? ? ? 4 Zs? 89-yb'- os"E - -,S W ?.0I? w _ I >I O ,? I m a N _ ' '` I LE6AL DESCRIPTION LOT2,6LOCK2, SUNSET FIiiST ADO_ 92.0' DENOTES PROPOSED FINISMEp 6RAOE (-TJV DEN07E5 PRoDOSED GARAGE FLOOR ELEv I hereby certify thot This survey, plan or reporl was prepared by me or under my direct supervision and fhof I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. B rad ley .. wenson Mn. Req No. 15235 Date: N't SCA1.4' 1"=30' ' NBq=46-o5 E ? I 40.9 ti o -?-- - ? - - - - --- - --- ?'0 77 I Lo.? 2 . N ? I ? I or I .O 1 1 1 CITYOFEAGAN N00 9348 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? " PHONE: 4548100 BUILDING PERMIT Receipt # _ Te M wed fer SF DWG/GAR Esr. Volue $57,000 Date JULY 30 19 84 SiteAddress 4284 AUGUSTA LN Erect $I Occupancy R3 Lot z Block z sec/sub. SUNSET 1ST Remodal ? Zoning Rl .Parcel No. Repair ? Type of Const. V Enlarge ? No. Stori 5?_ ? Name JOS MILLER CONST Move ? Length Z Address 18133 CEDAR AVE oemolish ? Depth 37 9 City FARMINGTONphone 454-4753 Grede ? Sq. Ft. S?E Approrals Fees o Name ?? Address ? City Phone Fw Nsme z? Address tw ' City Phone I hercby acknowiedge thof i have tead this opplication ond stote that Ithe informotion is correct and ogree to comply with all opplicable Stote of Minnawta Stotutes and City of Eagan Ordirwnces. Signoture of Pertnittee A Bu1lding Permit Is issued m: JOS MILLER CONST cll work shall be done in accordance wit oll oP 'wble State of ri Assessmenf Water & Sew. Police Fi.e Enp. Plcnner Council Bldg. Off. APC Var. Date Permir * 304.00 Surchorge 2 8- 5 0 Plan check 152.00 SAC 52'S.00 Woter Conn. 470.00 Water Meter.63.00 Road Unit260-O0 Parks Total $T,802' O S _ on tMe express conditlon Ihat and City of Eogon Ordinances. Buildinp Officfol yOraF Ow ?.?? p?. i?.st. ?/sy a. ? ?se o? .+ex+9?r ?j wrING MeeT ` s p, P w G ?U,n?. APPLICATIQI . _ ? - . .• V?luetion ? S7,Gt7a Daes -St30?? Rb He Ueed For L .? ? N C?lDCS S? C? sioe naaress: dfi • ' ?-3 toc oZ sioak a se?./s+,b. I-? x ]?lter ____._ zonitq Paroe11: ?°?'_ ? ? -? ? tl4esM s - _ OMrMrt Del?osa? ?? ? 3'1 rs" '. ?!!M t Crd? r City/Zip Qode: Phow #: oontsaictc Address: (XtY/ZiP Phare t: Arch, /E1V . . AP'P?S " •. vacmit AMMwnonts 1Paber/8amer pLn aleck I 52, °? Polioe _________-- rire , 4-10;= gM , ? rleter ?3 ? Plartnez ?--?- il lbad Mit 2-61°.' Counc Bldg. Ofr-- APC Ar]dt+ess s . CitY/Zip CoBe: ? Spl7W phaw ! s ,.; . ` ,.,_ . !o??Og New Construc6on ReQui2menfs 3 reguste,red site surveys shoWi?9 Sq ry, Of lot, sq. R of house; and all roofed areas (20°k marimum lotcoverage allaxed) 2 copies Of plan showfng 6eam & window sizes; poured found design, etc. 7setofEnergyCalculatlons . 3 copies Of Tree Preserration PFan iflotplatted after7/1/g3 Rim Joist Detail Optlons selecflon sheet (bldgs wifh 3 or less unifs Date 9 / -1 /QLj Site Address 2-4 ') Descripiion of Work t? ? ryQ ?? ? Multi-Famity Bldg _ y X N Property Owner Contractor Renewal By Andersen - 1920 County Rd. "C" West Address _ Roseville, MN 55113 State 651-264-4777 License # 20130983 ? oft Construction Cast t .=f Unit/Ste # Firep[ace(s) _ 0 _ 1 U 2 Telephone # (igJl ) 4!1-0 -closg City Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Enecgy Code Category '- M'nnesota Rules 7670 Cate o 1 Minnesota Rules 7672 (J submission type) ' Re,sidential Ventilation Category 1 Worksheet Su6mifted . • New Energy Code Worksheet • Energy Envelope Calculations Submitted Submitted Have you previously constructed a buiiding in Eagan with a similar plan? y fee applies. _ N - Licensed Plumber Telephone # [ Mechanical Conhactor Sewer/Water Contrpctor ielephone #( Telephone #( If so, 25% plan review SEP T I hereby apply, for a Residential Building permit and acknowledge that fhe information is complete and accurat ; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Stahxtes; I undersfand 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 lan in the case of work which requires a review and approval ofplans. Applicant's rinted Name Apphcant s Sigaature RemodeUReoair Reauirements 2 copies of plan t set of Energy Calculations for heated addftions 1 site survey for additions & decks Add"dion - rndreate if on,Oe sepfic system 2004 RESIDENTIAL Bi7i7',DTNG PERNIIT AppT,ICATION City O#'Eagan 3830 Pilot Yvnob Road, Eagan MN 55122 -- - -Telephone#,651-675-5675---_-FAX #-651-675 5694---- OFFICE LTSE ONLY Sub Types ?- 01 Foundatiorc- - - 0- 07 05=plez- -- 0- 13- -16=pfex----- ---- 20 Poof---- --- 0- 30 Accessory Bldg - ? 02 SF Dwelling ? 08 06-pfex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of_ plex ? 09 07-plex 0. 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Aft - 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' Pibg_Yor_ N ? 25 Miscelianeous Work Types ? 31 New ? 35 Int Improvement • ? 38 Demolish Interior ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 33 Alteration • ? 37 Demolish Building* ? 43 Reroof ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units ' Stories Baoster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Pootings (new bldg) _ Foorings(deck) Foorings (addition) _ Foundation ' ` ' Drain Tile Roof Ice&V?ater•'-• Final _ Fraaiing _ Fireplace _ R.I. _ Air Test _ Final Insulation ApproOed By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge , S&W Permit & Surcharge Treatment Plant License Search Gopies Other Total REQUIRED INSPECTIONS 0 44 Siding ? 45 Fire Repair ? 46 WindowslDoors FinallC.O. FinaUNo C.O. Plumbing.: ... . , . - - • ? I3VAC'- Other P,ooL Ftgs _ Air/GasTests Final _ Sidirig _ Stucco _ Stone _ Brick" Windows Retaining Wall° Building Inspector vv/vdibV'/1 1S1V 1.6.JV (?na ??? D!d -g4?ya ???y y? 4 1? y??{?? •?WW?t3L 3g?ait??i]1WUy? - r ' ?e al - .M June 7 2001 ' . City a;FEagan ' 3836 i?i;crt guob Road Ea8an. MN 55122 To Whom It May Concern: Fjdcr r nGS to authOdzed to puII buiIdinb Permits forRcrtewal }ry Andezsen. Piease atiow thU date beyond 6/6 Ol! uutil a?? cc for ue in ?. qhia euthotizatirni is vaiid for any to the City_ wal bY Aaclersan munager 6XPre%lY revokes it ln wiitEng I request this authozization bc a- - ovr bnilding Pcanits aay farthcr.Plc=c .?P?dottsly. as tq not delay in chn prpcessirig of contactcd at'763-SO?r47Q6. . c? mc If tficto arc nny qncst[ona.. I can lxi _ 1, r Y'our 3mmpiiabr, aftcntiot2 to ttiLs matter i3 a?ei?iarxi 9 Sinoeialy, ymond R. &-Pm ostallarion Managcr Ranewal by Andarsen Cetporativn C'.c.: Kma-F.1de.rSnne? - „ a?t i ? ?? r Y p?c , urE?n.zt?7 .. - - - -- - - - - - -- ? -- - - -- I Received Time Juo. 7. 1'07pM i? IMIR) 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION f City Of Eagan 3830 Pilot ICnob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 s, r-I C) -CIO New ConsWdion Reauirements RemodeVReoair Reaui2menfs ?Jf?"ce„ ?" i 43 3 registered srte surveys showing sq. k. of l04 sq. ft. of house; and all roofed areas 2 copies of plan '?r"^ -nr?t •:?:, (20% maximum Wt wveroge allowed) 1 set of Energy CalculaGons for heated addiYrons °' ?' H ??.., 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for addiUOns 8 decks T Pryl'?"'es; 'J "- 1 sel of Energy CaIcuW6ons Addrtron - indicate lionstte septic system „{t?.?ep??ki??s`?m??;Y?`+? a 3 copies of Tree P2serva6on Plan if lot platfed afler 717193 Rim Joist Defail OpBOns selection sheet (bldgs wiN 3 or less unAS , Date Site Address Coustruction Cost UniUSte # Description of Work X M ?D gyQp ? o? Ov[ill?n Mul[i-Family Bldg _ Y_ N Fireplace(s) _ 0 10 1 _ 2 _zl? Property Owner 00 &0 Pn l0 nI11 9'Y? Telephone # ((p5 Contractor Address Sta[e M{'1 /0 CitY GY? Z'rp SS3 ? l0 Telephone #(T](o3 ? 5a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1" _ Minnesota Rules 7672 Energy Code CategOry . Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted ? Submiked • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a simiiar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( N If so, 25% plan review ,G v OG., t O/In I hereby apply for a Residential Building Permit and acknowledge that the information is comple ?accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the tate of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to star[ 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. `?(` C P?C.v?r??e?o?ti7 T /W.L Illnlorrr??rr? ApplicanYs Printed Name Applicant's Signature A \9?6 0?(- 7 ? ??1 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NawConsWction ReauiremeMs • 3 registered site surveys showing sq. R. W IoL sq. ft. of house; and all roofed areas (20% maxunum lot caverage allowed) • 2 copies of plan showiig beam & wiMow saes; poured found design, etc.) • isetofEnergyCalculalions • 3 copies oF Tree P2servalion Poan If lot platted after 711193 • Rim Joist Defail Options selectian sheet (bldgs with 3 ar less units) DATE SITE ADC TYPE OF 5?2G-bZ. APPLICANT Coft V8II9Y EXwim, a1C, wnMll ?b_.d_-_. ?ULTI-FAMILY BIDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 STREET AdDRESS C+DiN? flepld8. MN 55493 TELEPHONE #?IG:?Y?-?iELL PHONE # PROPERTY TELEPHONE#(n5I^ `?"?a -q -63q ? ---------------------------------°-°-------------------------------------------°-----°----- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY - MINNESOTA RULES 7670 CATEGORY l MINNL'SOTA RULES 7672 (J submission type) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing system includes: Mechanical Confracfor. Mechanical system includes: Sewer/Water Contractor: _ Air Conditioning Heat Recovcry System p MAY 3 0 2002 P? ne # $70.00 -----° ?-----'? ------------------- -- ° -- ° -------- °--------------° ---- ° -----------------------°------ I hereby acknowledge that I have read this application, state that th information is ;40ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga O in nces. Signature of Applica? OFFICE USE ONLY Water Softener Water Heater No. of Baths P}lonC # . I.awn Sprinklcr No. of R.I. Baths RerwdellRepair ReauiremeMs • 2 copies of plan • 1 set of Energy Calculatiorvs for healed additions . 1 site suNey iw eAenur addilions & decks • Indicate if home served by septk Syslem for additions VALUATION STATE_ZIP ?.? FAX Fec: $90.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 iy 2/84 CITY OF EAGAN APPLICATION FOR PERMZT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: 4284 Auqusta Lane LEGnr• DESCRIPTION: Lot 2 Block 2 (Lot/Block/Subclz.vi.sion or Tax Parcel I.D. Nwnber) IF EKIST24 Sl'RIJCZURE, DA?E C° CP.IGIbIAL BUILpII1CG PEFu%ffT ISSJANCE: (tiior.v`?/`lear) PRESE.^7T 7C`„SL?Y:/PR0POSID L'SE: ? R-1 S.INGIE FAMI:,Y ? R-2 DUPLEX (2W0 UNITS) 13 R-3 2ONM0USE (TFII2EE + UNITS)( (TN2TS) ? R-4 AYAR'i14Etvfi/C'oiZaARiIUM ? UNTTS) ? COMMERCIAL/RETAIL/OFFICE p IIvDUSTRTAL q INSTI2UTIOfII?.L/GOVERZIENTI' Z) AppLICANT (PLEASE PRINT) NA`E: _.7na R'i l 1 Pr ('onctrLCt i on ADDRESS: 18133 Cedar aVe SO. CITY# STATEr 7'IP= Farminn}nn, T"inn 55024 = PHONE= 431-2001 3) PLUvHER PLEpSE PRINT ' FOR CITY USE ONLY ?` ?? rgr[:ui,-e nsechanical Services, Inc. P. 0. BOx 239 ?D??' PLUNBERS LICENSE: , Active ? CTTY, STATE, ZIP: s,akeville. f"inn. 55014 Expired 0 Nat of Recor P?: 461-4?`88 PLUMBER IICENSE (J 0027511:7 a ni xa q) ar-LpANr/OwNER NAME: (PLEASE PRIHT) A,DDRESS: ' CITY, STATE, ZIP: PEiONE: 5) IIVDICATE WHICH PERMIT IS BEING RDQUFSTED; XGtONA=ON RO CITY SEYlII2 iR?CONVwPIIXN TO CITY WATER ? arHER (FiEA--? DESCRZSE) 6) INDICATE ONEc E] PLEASE HOILI APPR(NID PERMIT FOR PICfC-UP BY ONE OF AHOJE ? PLFASE MAIL APPROVID PERMTT 'IC) 1, 2, a 4 ABCNE (Circle one) ?) SICN1'I[JRE: DATE: - a - . ? -- _ ?? '"? ?e!?i!d!u??!!?.ir ? rrem?.?rrr Mrtt?w:•a,ai?,?i??i?i inl ?+Irhii?hihfthrt?l N? fhf ?4±! M? M?IMErFi4°'??--.?-.==u =; F 0 R C I T Y U S E O N L Y ' ." PERMIT # ISSUED FEES : $ /0. !5 t? $ ?D SU - $ r?3-vv S $ $ /5-00 $ ??OU $ qZO -r)U $ 5L5. of.? S . $ $ $ $ . SEWER PERMIT (INCLUDE SURCHARGE) WATER PERP4IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCI.t?DF' !'O`-.PGnA'1ION STOP) SEWER TAP ACCOUNT BEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK S°WER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER :..... ..... .... $ - TOTAL AMOUNT PAID/RECEIPi # DOES UTILITY CONNECTZON REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLZC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TIQN. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : ?- .4 s.w "400 xa?j" sus at??e ? ?rwe?ia? !'u'? !fr!1!!'4'!!rts? nr?! !r?!?qr? s? !'7! !r?'?I!"4 ?sc !'? 0 0 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuction ReauiremenS 3 registered site surveys showing sq ft of lot, sq it of house; antl all mofed areas (20% maximum lot coverage allowed) 2 copies of plan showing 6eam & window sizes; poured found deSign, etc. 1 setoiEnergyCalculahons 3 mpies of Tree Preservalion Plan A lot platted after 711193 Rim Joist Deqil Options selectian sheet (buildings with 3 or less uniGs) Minnegascn mechamcal ventAatron form RemodeUReoair Reouirements 01flee?UsednN 2 copies of plan showing footings, beams, joists G2if ?if.Sur'iey R'e`ed?.i..?: ;Y=','_N lsetofEnergyCalculationsiorheatedadditions TreeP_resPlan;Re, Ws,:; 1 site survey for addiUons & decks Tree Pr`ss Rgquired ?' "Addifion - indicateifon-sdesepficsysfem OmsiteS@jNicSystej Date ? l1? l p?P Coustruction Cost r OCd. /? SiteAddress l?IFy J}vAvoSTc,_ /-ti?p Unit/Ste # Description of Work J/,_C' Gk Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner r0q je r sa rl cjy /tz-Tels0?1 Telephone # (451 ) y''o7- < 03 cI ', 1 Contractor W en Zd 6?oSTI"v LT? G?? ?n L ?'^ ?C?Se ???( °?(Q'?p-? Address State /PJiE/ zip .5^SO-;2Y City /:4?..+ 7'pY Telephone #(/GS! ) y q 7-?9(?3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Su6mitted In the lasi 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( 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 peimit, and work is not to start without a permit; that the wark 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 ?Z? __.0, DO NOT WRITE BELOW THIS LINE Suh Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screen/gaze6o) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage p 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New /1! ? 32 Addition ? 33 Alteration ? 34 Replacement ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ex[. AIt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors `Demolition (Entire Bldg) - Give PCA handout to applicant DESCI'iqtion: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # ot Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footrngs(new bldg) ?X Footings(deck) _ Foohngs(addition) Foundation Dcain Tile Roof Ice & Water Final _ Fraxning _ Fireplace _ R.I. _ Air Test _ Final _ Insularion REQUIRED INSPECTTONS _ Sheetrock FinaUC.O. ? FinaUNo C.O. HVAC Othe: Pool Ftgs Au/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total 0 6`k, ? ? ? ? City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4284 Augusta Lane Lot: 2 Block: 2 Addition: Sunset 01st PID:10- 72985- 020 -02 Use: Description: Sub Type: Work Type: Description: Meter Size Meter Type Comments: Fee Summary: Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365 -1340 e - Water Heater New Water Heater Kris Oien 3670 Dodd Rd Eagan, mn 55123 Manufacturer PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Dale B Peterson 4284 Augusta Lane Eagan MN 55123 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA091774 10/26/2009 ePermit Line Size PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147109 Date Issued:12/11/2017 Permit Category:ePermit Site Address: 4284 Augusta Lane Lot:2 Block: 2 Addition: Sunset 1st PID:10-72985-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Dale B Peterson 4284 Augusta Lane Eagan MN 55123 (651) 452-9039 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature