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4392 Capricorn Ct Use BLUE or BLACK Ink For,OFfice Use { I \ i Cty of l Eano n I Permit Permit Fee: 3830 Pilot Knob Road j I Eagan MN 55122 1 Date Received: I I Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 I 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6 Site Address: '~a-o t/ Tenant: Suite RESIDENT /OWNER Name: rT hiv ~2// Phone: Address / City / Zip: CONTRACTOR Name: ~r~m di//vim, L License Address: ZLIf City: 4-5S 11-~1.11,.,-/ State: MIV Zip: <SO~~ Phone: 61 dZ Contact: fl J~/s~;-r Email: cc 1o I TYPE OF WORK New Replacement _Repair -Rebuild - Modify Space Work in R.O.W. Description of work: r G w hr PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ / - PVB) Add Plumbing Fixtures Main / - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the appr d pla 'n the Wcas e-o &ovork which requires a review and approval of plans. x- x Applic rinted Name Applicant's Signature FOR OFFICE USE Reviewed By Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final Use BLUE or BLACK Ink r--_.______________ I For Office jUe I 9o L' City of Eap I Permit#: I I I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 JUN 2 0 2011 ~ Date Received: ~ Phone: (651) 675-5675 I I I Fax: (651) 675-5694 I Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION V' Date: 3Zne- ®ab ( Site Address: 14390, C a ;r, ~nrr-, Cr Unit Name: Jed A h+ (.C lley n Web d Phone: G J-1 q x,31 RESIDENT / OWNER Address/ City/ Zip: LIMA Co~Dr ~ irCry'y) C.-F, Applicant is: Owner __X_ Contractor TYPE OF WORK Description ofwork: _6 1)1-PT~ Ol)yylt~ A-co J0 o )5- 111 Construction Cost: 9kimmme- _QA- Multi-Family Building: (Yes / No ) Company: y, LLI; Contact:1r 1AC-12 JC~w4)/-1-1 CONTRACTOR Address: kl q La U%A.>OV~ 11 , ~ ~S 2C City: 1A (In 1!n, State: _M rJ Zip: ) ~,3 Phone: ' --3 ~ - Sol License _,0jC,31 ) Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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, date 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 Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x L>o. r f _k -P y7s x v+-~ Applicant's Printed Name Applicant's Signature Page 1 of 3 DO RITE ELO ' THIS LI SUB TYPES _ Foundation _ Fireplace Porch (3-Season) Storm Damage Single Family - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi) _ 01 of _ Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES " 0-t V10r New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ 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 Occupancy °x.~, r, MCES System Plan Review Code Edition 41 a4l J, Q SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill - Final Sheathing Radon Control Sheetrock j Erosion Control Reviewed By: I Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review off,, MCES SAC City SAC Utility Connection Charge (t/ S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK ink I For fO'ice Use t Permit 11tt 0 E C16 ap j i Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 PPOEIVED I Date Received: I Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 MAY 13 2011 1 Staff: 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: r Tenant:, / 1 Suite M RESIDENT / OWNER Name:. Phone: Ll l qS Address/ City/ Zip: / CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. License M V-,)~_~ 13 3451 vv. urn Address: Suite 120 City: State: "nsville, NIN 55337 Phone: CA-:a _nQ--L` rX Contact~:o:, Email: TYPE OF WORK New k Replacement Additional Alteration Demolition f Description of work: 9.. i " NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening' methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) Q , ol f1, When installing/removing tank(s), call for inspection by Fire Other ~~C Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) ^-h-~ $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wit he approved plan in the case of work which requires a review and approval of plans. x x ' Applicant's Printed Name Applicants Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: ,Under Ground - Rough In _-__Air Test -Gas Service Test , _In-fi+ooor Heat -Final Exterior HVAC Screening Inspection INSPECTION RECORD Con ° No. 1363 CITY OF EAGAN PERMIT TYPE: 1'L'fzo* 3830 Pilot Knob Road Permit Number: "74N4 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: OT► z ai OcK y APPLICANT: 1392 CAPRXCOON CT SCHW9XC* CONITo Wit.AERNESS PARK SAO 447-"ia o PERMI RIF T SUMB$ (PE: TYPE OF WORK: INSPECTION INSPECTION TYPE DATE iNSPTR. 1F1tAMIIN6 FINAL t of "A01(51 RECEZMI M COIN-9910V OF CR"(L Ai<JLC! TO "ill i .i Permit No. Permit Holder Date Telephone a WIN PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings 1 z /e1/ cJ Foundation Framing / S . Roofing Rough Plbg. UL G2/4/ Rough Hill. Isul. _ Fireplace Final Hill. Orsat Test Final Plbg. Pibg. Inspector-Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. INSPECTION RECORD V CITY TY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number; Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION ? 4 ,rlr~ ?g'ta1G~ 1?!: siAR!I.1 Pitq``r t 1 1-:.i,..~.~} g ~ A! I err! 0 .1.,. lMI1 i otI. Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS rl,,g FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I_ BSMT FINAL DECK FTG DECK FINAL I CITY OF EAGAN WATER SERVICE PERMIT 3795 'Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Began Surcharge: Ordinances. Misc. Charges: r' Total: By Date Paid: Date of Insp.: Insp.: CITY Oi,EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55133 r DATE: s Zoning: NO. of Units: Owner: ? L'. Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: ?:r BY Misc. Charges: Dote of Insp.: Total: Insp.: Hate Paid: CITY OF EAGAN Remarks 1i0i5;Vt1 49V36 Addition Wilderness Park 3rd Addition Lot 2 2 Parcel 10-84252-020-02 Blk Owner 1J( ( IIIC Street 4392 Capricorn Court state Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. qQ 0 1979 690.40 69.04 10 345.20 000837 8-8-83 STREET RESTOR. GRADING SAN SEW TRUNK Z z.1 168.89 8.44 20 76.05 C008370 8-8-83 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA y 1979 244.44 12.22 20 183.34 0008370 8-8-83 STORM SEW TRK 1983 506.02 i 5v: 0008370 $-8-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 35619 1-441 WATER CONN. X150.00 BUILDING PER. 8 SAC 525.00 PARK CITY OF EAGAN r, - 8795 Pilot Knob Road Eagan, MH 55122 C+ a I U PHONEs 454-8100 BUILDING PERMIT Receipt # J To be used for Sr' DWG/GAR Est. Value .$60,000 Date 5-3 19 8 3 Site Address 4392 Capricorn Ct Erect ® Occupancy R3 Lot 2 Block 2 Sec/Sub. Wilderness Park Alter ❑ Zoning Rl Parcel # 10 84252 020 02 3rd Repair ❑ Fire Zone PIA Enlarge ❑ Type of Const. V sc Name Bc3SSO.W Builders Inc Move -z 19131 Orchard Tr ❑ # Stories Addre Demolish Q Length ro 2 city a eyi. a Phone 435-7472 Grade ❑ Depth -3-0-Sq. Ft. Name SC-11 ie Approvals Fees 0 ou Address Assessment Permit 313.00 0 U§ City php~ Water & Sew. Surchorge 30.o Police Plan check 1-56 - 50 HZ Name Fire SAC 595 - 00 L Address Eng. Water Conn.4 5 0 . 0 city Phone Planner Water Meter 6 0.0 0 Council Road unit 250.00 1 hereby acknowledge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable Z?$4.50 . State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing - 11,~ ,-(5--n J56S Ltsv H.V.A.C. Lp-3 t (,D -3-$3 Well water Disp. Sewer Electric WD Q tE ~.IfCi 5-z3-$~ Inspection Date Insp. Other Footings Foundation Framing M RFinal HV AC 343 Final 3~~3 Water Describe Location: Well Sewer Pr. Disp. Receipt PLUMBING PERMIT Permit No. - CITY OF EAGAN Fee - Fill in numbered spaces S/C Type or Print legibly Tot: 1. Date ISti 2. Installation Cost 3. Job Address t Lot cp- Blk. Tract 4. Owner6~1 lJLf 5. Contractor , ' i rte` f y}` Phone--~, r 6. Address . t- 7. City,: State "V - _Zip 8. Building Type: Residential ;El Commercial ❑ Institutional ❑ 9. Work Description: NewI Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank _ Lavatory Softner Shower ~ Well ~ Kitchen Sink Urinal/Bidet Oti~ec..~%r Laundry Tray J` Floor Drains Drinking Ftn. i Slop Sink _ Gas Piping Outlets ~I i 12. 1 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. Si gned :.ry. ' ^ ( ~Ft 1 for ~ Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee t_ ~r Fill in numbered spaces S/C Type or Print legibly Tot. r - 1. Date r' 2. Installation Cost 3. Job Address` 3,r ! Lot Blk. Tract 4. Owner 5. Contractor ! /i c. r Phone 7' cA 6. Address t r J'~ 7. City/ G State Zip 3 % 1- 8. Building Type: Residential, Commercial ❑ Institutional ❑ 9. Work Description: New,19, Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. 1 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:,. i 1 t for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 dq~0,x.~i1 F. .:~A~-tom ?'A '•``~M ~ :0~h ',1 z5`J: ~td~':t a%^. VAr: 9~ / rvff~sa5~ci4 ashy\~~ax<Q•re~s~,~~v.icv:- - "~^e'occ~~.~C% (9rdifirate of Orruvaury u 1 fl 3 Citp of eagan i 1hpartmeut of fluilding Insprrtion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building 4 tr Cock certifying that at the time of issuance this structure was in compliance with the various d' Is of the City regulating building construction or use. For the following: SF DWG/GAR 7978 r - U. Cysyrratiap WdS.Nm tNo. t I r. s o-v-r•tYw R3 brcamwouan v rtRr RA zoNrewmm RI !V o.arorDadw,RascaW Rid Idpra •dd~19131 Orchard Tr._ Lakevill d~ BO M _4392 Capricorn Ct. i nLot 2,Block 2,Wilderness Ir OM d By: Y Park 3rd August 3, 1983 kw SOf uLi ,.~~s Date: , a ~ 1 7 ws ,x ~ cynnceow ruts ~ ~ ~ '~'atiaiv'~c.~ae.v o.~i:~, t'G~i~ :~,a~:'..as..tie~~s-w~.,a~:a' _'-•.j~~ _ • i 110 &,0 'III Os R A W 0 °'~a8oo Request Date Fire o Rough-in Inspabsin P Repuirad ' Neatly Now OWIII Nobly Inspector •lS Yes ❑No When Ready? I icensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No) Cay, 2 Section No Township Name or No Range No Count/yy/~ / 7 rd[1 Occupant lPRINT) Phone No Power Supplier Address EI ractor (C mpany Name) --,e Conlradm's License No Gt o+~t~e G I~Ld / Ze Mailing Address (Conbactor or Owner Making Inslallaaon) 7 C Cf Authoni bu 0 ICOnlractov er Makinq In tallahon) Phone NumbeDr ~O MINNESOTA TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 Unreerelty Aw., St Paul, MN 55180 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED C3 /5 REQUEST FOR ELECTRICAL INSPECTION 3&-v..N' . wEe-00001-08 6 950 3 0, See msirudions for ompenng ih' torn on back yellow copy C/ iL M `X" Below Work Covered by This Request ew Aw_.dd Rep. ' Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater 'Ir Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) contradork Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspecoris use only 9~ TAL Irrigation Booms ' ODYi z Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Dale "1 26 certify that the above inspection has Final oC- d been made. OFFICE USE ONLY This request mio 16 months from This request void S Z3 L a Ba, co s~ $c~ 18 months from W059143 'VI& Y. 3! z7 5O Request Date Fire, No. Rough-in Inspection Req rred, ❑Ready Now ill Notify Inspec- Yes ❑No for When Ready mensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at' Street Address, Soo or Route N . City ~ action o- Township Name or No. Range No. County Occupant IPRI y" S50- Phone No. Power Supplier Address a<pm ecetr °!L a ~CB~1 Elect ri ca ont ractor (Company Name/)J ~ Contractor's License No. / Mailing Address (Contractor or Owner Making Instailabonl -ZI 13f 7`~Zz u thori nat (Con actor wner M ng Installa1ygnI Pho Number MINNESOTA STATE I A! D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griga.-Midway Bldg; oom N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS _ - ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION k1M EB-00001-04 a: ~~r 'See instructions for completing this form on back of yellow copy. Q „X," B lf w- 1 Covered by T¢is Request s l w Add Rep. Type of Building Applmnces Wued Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building - Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peci y they ISnnrifyl t -r spec.fy Other Other ompute Inspection Fee Below N Fee Service Entrance Size 0 Fee Feeders/Subfeeders b Fee-- Circu4ts 10 CD 0 to 200 Amps Oto 30 Amps Oto 30A[ nos Above 200 Am s 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Am Transformers Irrigation Booms Partial.'Other Fee .5 V, Signs Special Inspection 00 $ T TAL FEE Reins rks 7. J E/7 Rough-in Dale t n, ct al J spectur. hereby ce rtdy that the above Final O,(t~/~ inspection has been a '0 made. Thin ronnwat vnid 1P months from DUN-RITE ROOFING CO. 6319 PH 952-x91-5'155 fb-o0lg10 x088 MILLER VIEW RD 's A eawca~. ELKO, MN 65020 ~f~ eG'^I.8! / I )gte Pay to the d Order of R Doi rs 8 PRIOR LAKE SS'A7E SANK Hry. 13d 01ulifia. P0. am so. Pmr tJlu,IN s51n wur-no1 Fo 2 6-712---7 1:09L9090551: Lu,045 L3-711' 6319 Serial: TR: 09190905 Account: 1045137 PC. 6319 Amount. 10000 f7 . O~ . G7_m _ r < n~rr. ncv : wro~~ 0 z m r<Zo ~RU~d Loll h~vE pt~-,y 50 Do C, code- Cl / wv'E - Gust' 04712 _ 04 Inst 1 U J11-~ Run 364 11 _ Eve Sequence # 00004280 User: KIPPELSS Workstation: apvxpopsOl 2:49.45 PM 10129/2008 RESIDENTIAL BUILDING PERMIT APPLICATION ' w CITY OFEAGAN 0,06 J ` 3830 PILOT KNOB RD, EAGAN MN 55122 I 651-681-4675 7 New Construction Requirements RemodelfReoair Requirements - f1 • 3 registered site surveys showing sq. ft. of lot. sq. R. of house; and all rooted areas • 2 copies of plan (20% maximum lot coverage allowed) • I set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) • i site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate If home served by septic system for additions • 3 copies of Tree Preservation Plan 0lot platted after 711193 . Rim Joist Detail Options selection seet (blddggss with 3 or less units) ` DATE CJ - VALUATION 74W v\ SITE ADDRESS 4c5Yg MULTI-FAMILY BLDG -Y _N TYPE OF WORK - FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT 11,72-<21 pp STREET ADD SSp~! CITY STATE ZIP ~ TELEPHONE s1CELL PHONE # 6a/ FAX # ~~Y ?!~7 'dJQ l PROPERTYOWNER TELEPHONE# 4 -O COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone If Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths nnn Mechanical Contractor: ~ U 1, Mechanical system includes: Air Conditioning AUG 1 4 Z~~z Pee) $70.00 Heat Recovery System L ? Sewer/Water Contractor. [Phone # I hereby acknowledge that I have read this application, state that the info a ton Ycec, n agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi c Signature of Applicant OFFICE USE ONLY - Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL BUILDING PERMIT APPLICATION ra ~j Jr CITY OF EAGAN I 3830 PILOT KNOB RD - 55122 651-681.4675 New Construction Reauirements Remodel/ReoairReauirements • 3 registered site surveys showing sq. ft of lot sq. it of house; and311 roofed areas 2 copes of plan (20% maximum lot coverage albwed) . 1 set of Energy Calculations for healed additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy calculations . Indicate ff home served by septic system for additions • 3 copes of Tree Preservation Plan if lot platted after 7/1M • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE V UAION JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HO MANY UNIT PROPERTY OWNER TYPE OF WORK a~P°a FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT PHONE#~~/-~YY-d6®~ ADDRESS ZIP CODE PAGER # CELL PHONE # 105lZ~7- FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that th orma ' I Orr a ee to comply with all applicable State of Minnesota Statutes and City of Eaga r signature of Applica Certificates of Survey Received _ Tree Preservation Plan Received Not Required _ Updated 1101 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Permit Number: B U I L D I N G Eagan; finnesota 55122-1897 0 3 3 8 9 3 (6S 1) 681-4675 Date Issued: 11 / 0 3 / 9 8 SITE ADDRESS: 4392 CAPRICORN CT LOT: 2 BLOCK: 2 WILDERNESS PARK 3RD P.I.N.: 10-84252-020-02 DESCRIPTION: Bu711di.ngermit Type GARAGE/ACCESSORY euildinq Work Type ADDITION /Census Code 438 ALT. GARAGE I~ i REMARKS: PLAN REVIEWED BY WAYNE MILLER. CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY: VALUATION $10.000 Base Fee $162.25 COPIES J $1_00 Surcharge $5.00 Total Fee $168.25 Subtotal $167.25 CONTRACTOR: - Applicant - ST. LIC. OWNER: SCHWEICH CONST. DAVID 14478808 0003607 VEBEL JOHN 17160 HAMILTON OR 4392 CAPRICORN CT LAKEVILLE MN 55044 EAGAN MN 55123 4(612) 447-8808 (651)452-8437 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. J L APPLICANT/PERMITEE SIGNATURE T$31-IEG BY SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) d CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681 4695 pp pp x~ New Constru io uirements RemodeVReoair Reauirementsc,"" ♦ 3 registered she surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 she surveys (exterior additions & decks) ♦ 1 energy calr ulations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: C O- l N- Q 1 CONSTRUCTION COST; l Di o.° o 0 DESCRIPTION OF WORK: STREET ADDRESS: ~_7L 3 Z c~ y~r or v~ f p LOT: BLOCK: SUED./P.I.D. WLA~Vw~A PC 3' Name: Phone (d S Z " `6l-J 3 PROPERTY Last First OWNER Street Address: -q 3 Z G ~~Y L O r C City r State: Pl~✓/ • Zip: 5 S/ 2 3 Company: pG ✓l u sc,4u c iC/,\ 075L Phone#: L(7 - ` CONTRACTOR 331 Street Address: / -7 l O r~G. ykl OY. License # 7 City State: ✓1 • Zip: SS Y ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer $ water licensed plumber (new construction only): Penalty applies-when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree t comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No OCT 1 4 N8 Tree Preservation Plan Received Yes No Not Require r OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Mufti Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ~W13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14, Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move 1 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. G/ 5 Or Depth Footprint sq. ft. SAC Code C>/ Census Bldg Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other ! C~ Copies Total: % SAC SAC Units ste for: )uilders ~ulelle View 119, Minnesota 55944 DELMAR -H: SCHWANZ I.ANib4URVEYOR$r /.VC Registered Undo taws Of TM State of Minnesota 30 2578 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 11088 PHONE 812 423.1785 TOp NJg SURVEYOR'S CERTIFICATE Fa.eJ ~ 99b.91 '7 long ggZ9 94^1 3r! / 589- S7- 28r,J o0 30- 3 c j I ~ iN. 94 ~..al).= 9a8.sg I X11 - { t- I~ o ! o Iv ~ Lb. i3 Etna: I b i 4o,vc o. 9 t -Ti 11, ~t..eJ = `~3t..3Z Q5So Proposed top of block elevation © Denotes iron pipe monument 2g.c? Proposed garage floor elevation @ Denotes setback monument Proposed basement floor elevation 919-Z Denotes existing elevation 330 Denotes proposed finish grade elevation Denotes direction of surface drainage I hereby certify that this is a true and correct representation of a survey of the boundaries of Lot 2, Block 20 WILDERNESS PARK THRID ADDITION, as on file and of record in the office of the County Ateorder, Dakota County, Minnesota. Also showing the proposed location of a house as staked thesleon. As surveyed by me this 2 day of March, 1983. n MINNESOTA REGIS ATION N0.8625y PERMIT Control No. 1363 t- ~a CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 018 8 6 (612) 681-4675 Date Issued: 12 / 0 4 / 9 2 SITE ADDRESS: 4392 CAPRICORN CT LOT: 2 BLOCK: 2 WILDERNESS PARK 3RD DESCRIPTION: Building Permit Type SF (MISC.) Building`-~WOrk l"ype ALTERATION lUBC Occupangy R-3 i ~ C--) REMARKS: RECEIPT' #t a1~~a CONVERSION OF CRAWL SPACE TO BASEMENT FEE SUMMARY VALUATION $8,000 Base Fee $99.00 COPIES Surcharge $400 Total Fee $104.00 SubtotaL $103.00 CONTRACTOR: - Applicant ST. L cOWNER: SCHWEICH CONST, DAVID 14478808 0003607 VEBEL JOHN. 17160 HAMILTON DR 4392 CAPRICORN CT LAKEVILLE MN 55044 EAGAN MN (61.2) 447--8808 (612)452-8437 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all,ap.plicable State of Mn. Statutes and City of Eagan Ordinances. L ~ - APPLICANT/P RMITEE SIGNATURE SSUED BY: SIGN U PERMIT N_ CITY OF EAGAN yjolf J0 RE&CTIVAIrE 1992 BUILDING PERMIT APPLICATION s81-as7s OEr..C 2 R co SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is requested once ermit is issued. Date Jot / - / -.L Valuation of work Site Address: 4 3 9 z_ STREET SUITE / Tenant Name: (commercial only) LOT a BLDCK 2 SUBD. t,F 1 ~w p 7.I.D. 0 Description of work: C Vu C ;W Acc '4,0r I-Z? As- C` The applicant is: ❑ Owner [Contractor ❑ Other (eescribe) Name 7-6 llkj Phone Property LAST FIRST Owner Address 2 2i c.otzdJ STREET STE K City /It' .-x -z-J State h^ Zip Company al.i .TC ty~lCx Can zr Phone 4/&I Contractor Address /7/:; 6 7✓~~i~UZ D+~ ~2 License # 3Z6 7 Exp. 2 City 4'422-U1.~ State i " Zip rd ~C Architect/ Company Phone Engineer Name Registration A Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approve T. 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. B f/ \ Signature of Applicant: s"< / XJL-'~_ 1 OFFICE USE ONLY r BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF 'Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. IK05 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 ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV 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 BtOw Cs.+f+a uN~r oL Planning , Building Assessments Engineering Variance REQUIRED INSPECTIONS COW"T Cif*WL 5jAAeZ 7b SASk'MGNT ❑ Site ,Footing ❑ Framing ❑ Insulation ❑ Wallboard JR Final ❑ Draintile ❑ Fireplace Permit Fee Q9 '01 v.trtcm,: $ ~a~0 Surcharge y , 00 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 1,00 Total: SAC % SAC Units CITY OF EAGAN Np 7975 9795 Pilat Knob Read Eagan, mm 55142 PHONE: 434-8100 BUILDING PERMIT Receipt # y To be used for SF DWG/GAR Est. Value $60,000 Date 5-3 19-13 Site Address 4392 Capricorn Ct Erect R3 Occupancy Lot 2 Block 2 Sec/Sub. Wilderness ParkAltor ❑ zoning R1 Parcel # 10 84252 020 02 3rdRepoir ❑ Fire Zone NA Bassaw Builders Inc Enlarge ❑ Type of Const. y W Nome Move ❑ # Stories z Address 19131 Orchard Tr Demolish ❑ Length 62 C La evi a 435-7472 Grade ❑ Depth 30 Sq. Ft. - Phone rc Name same Approvals Fees 0 G Address Assessment Permit 313.00 CI Phone Water & Sew. Surcharge 30 _ 00 Police Plan check 19 fi _ S n 995 (1 n ~w Name fm Fire SAC Address Eng. Water Conn. 450. 00 CI Phone Planner Water Meter 60 0 n Council Road Unit 250_0 I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable A~ Total 1 7R4 _ 9D State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: an the express condition thin all work shall be done in accordance w" all applicable/$jta/~a~ofL-Minnesota Stet tes and City of Eagan Ordinances. Building Official 1 1-f , 11 CITY OF BAGAN / 7~ 2 sets of plans, 0' ,`~'v" ~/N. l~V 1 site plan w/elevations & ('V-BUILDING PERMIT APPLICATION 1 set of energy calcula 'ons. 0 ~OOo TO Be Used Fo ° uation Date - - r site Address OFFICE USE ONLY Lot ~I- Block sec./sub. Erect Occupancy J~3 Parcel tV ~~aSaoze> bZ Alter Zoning Repair Fire Zone Al Owner: •f s e 1,~ .KL~+_~I.[~J p o Enlarge _ Type of Const. Move # Stories Address: Demolish _ Front /off _ft. City/Zip e-7 lo~-s~Q~ Grade Depth 30 ft. Phone Al AS 75°72 FEES APPROVALS Contractor: -e~J O Assessments Permit water/Sewer Surcharge ~B Address: Police Plan Check Fire SAC ~ City/Zip Code: Eng. Water Conn. y S0 0 Phone Planner Water Meter Council Road Unit ~-SO Arch./Eng.: Bldg. Off.-S;3- 3 Address: APC City/Zip Code: 7 Phone TOTAL 7 '9 Cent#fidate for: Bassaw Builders 19131 Junelle view Lakeville, Minnesota 55044 DELMAR H: SCHWANZ LANb~3~-1JRVEVORSr I*C Rapisbrao Unoar Laws of The Slab of Minnesota 2878- 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56888 PHONE 612 423.176E 3 0" TOp Jg SURVEYOR'S CERTIFICATE ~.eJ ``?{c~.81 T°P1a0"1 /i'S.3n 589-i7. 2S 44) as 30• 3 _ } I a - v TOMoI ~ `T 945 FLeO z yaB.Sq N VA N r 944Y 9414 ( f p - ~ 6.0 n o 1 0 14 h 6 I 0 v o N \ ~ Z. a o ~II\ 0 p Lb,33 10I ~9sB.e 940.5 kAS: lbp Wok) 13ss3v SB~i-s~- 28~✓ 3n Top Nt10 lEkjej 45,0 Proposed top of block elevation 0 Denotes iron pipe monument Lo Proposed garage floor elevation @ Denotes setback monument q38 Proposed basement floor elevation 9~Sz Denotes existing elevation 33.o Denotes proposed finish grade elevation Denotes direction of surface drainage..' Ilk, hthat boundaries toftLotl2,iBlock r2e WILDERNESS t PARK THRID ADDITION, as survey representation of a on of file and of record in the office Ol the County MPer'der, Dakota County, Minnesota. - y Also showing the proposed location of a house as staked th&"on. As surveyed by me this 2 day of March, 1983. MINNESOTA REGIS ATION NO. 8676 ~/(`✓f ~Alr Trus Joist Corporation I~t/S MIDWEST SALES OFFICE ~0~' ► ® 6053 HUDSON ROAD, SUITE 320 WOOD U MI ESOTA 55119 61 0 i - W Z/ - - - - - - - - - - - - - a o - 3 B 3 8 yr 5 _ • w 14 11 ~ •Y x a :a - !3 c o ~r Zs a a o B =a~•~ - - - - - - - - - - - - - - - - - 3 9 Y ac 6 a 11 3• n y_ -12/ 9 JOB NAME: _ JOB x LOCATION: SHEET OF SALESMAN: BV: DATE: PERMIT # RECEIPT DATE: 7-&O -0/ RMIDENTULL PLUM$INH PERMIT APPLICATION CrrYOF iEACLAN 3850 PILOT KNOB RD f.AGAN, MN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for irrigation system SITEADDRESS: DS 0(m4L,w7m L/ p OWNER NAME:: TELEPHONE 51 (AREA CODE) / INSTALLER NAME: N~1 ` V TELEPHONE ~yia- L10-4 ~ j! ~ (AREA CODE) STREETADDRESS: i /L/1 CITY: LQ Q✓l- il Y ( e STATE: ZIP: 512~ T Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 _ Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ ..50 Total Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the propertyowner that the City of Eagan assumes no liability for any damages caused by the Cityduring its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SIGNATU OF PERMI EE Updated 1/01 I Fo~arfk~ir I o~Il Permtt z~~ City of Ea u 6 Permit Fee: mot' 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 200088 RESIDENTIAL BUILDING PERMIT APPLICATION Date.~_o 0 Site Address: Tenant: Suite RESIDENT / OWNER Name Phone: Gil y~-2-`lf~/~T Address /City/Zip: G~Ao rtO~.v ZIP/ Applicant is: Owner contractor TYPE OF WORK Description of work: Construction Cast: Multi-Family Building: (Yes No ' i CONTRACTOR Named i - e~ /v License _Ij Address: City: State: Zips: • Phone: l~/~/3C9~7 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted 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, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents'that you sytimit are considered to'be pubiic`informatibn. Portions of the information maybe classified as non-public if you proJi specific ' easons that would p6i7nit the City to conclude that the are trade secrets. 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 permit; that the rk will be in Eagan; that I understand this is not a permit, but only an application for a permit, and work is ngt.te' rt with accordance with the approved plan in the case of work which requires a review and approval o nli~s. X - L- pplicant's Printed Name pp cant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114256 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 4392 Capricorn Ct Lot:002 Block: 002 Addition: Wilderness Park 3rd PID:10-84252-02-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . David Pederson Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John F Uebel 4392 Capricorn Ct Eagan MN 55123 Dun Rite Roofing 4086 Miller View Road Elko MN 55020 (952) 461-5155 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink �----------------- � For Office Use � � j Pemtit#; � �- �' � j//� Clt� of �a�aIl � Permit Fee: �� r ��� ;/"����� 3830 Pilot Knob Road � ( �/' Eagan MN 55122 , j Date Received: 'C 1=� j Phone:(6b1)675-5675 's�L '",��'��: ��? i i Fax:(651)675-5694 I Staff: I �;'"1 I I , `''h !--------------- ' �...J t.,.� ��I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: `;��`� �7' ��"� Site Address: �392 Capricarn Ct. � Unit#: Name: 'Qhn anc�Colleen Uel�al Phone: �51-452-8437 Resident! OWII@t' Address/City/Zip: �392 Capricorn Ct. Ea:;an, MN 5512?_ Applicant is: Owner X Contractor �1-�' Description ofwork: partiai remadel af existin�,fi�?ished lowe�r level�Iso adding fireplace Type of Work Construction Cost: ��a�� Mlulti-Family Building: (Yes /No_� COmpany: �2 pesign build LLC _Contact: �ruc�Schweici� Address: �74 Lakewood HiUs Rd, _C�ty; Eagan C011t�aCt01' MN 5��23 ���-���-5921 8ruce@B2designbuild.com State: Zip: Phone: Email: �C639128 117898-1 License#: Lead Certiflcate#: If the project is exempt from lead certification, please explain why: (see P�ige 3 for additional information) 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 _''�lo If yes, date and address of master plan: Licensed Plumber: JVV p�umbing LLC Phone; 612-759-Q699 Mechanical Contractor: Phone: Sewer 8�Water Contractor: Phone: NOTE:P/ans and supporting documents thaf you submit are considered to be public information. Portions of ' the informa#ion may be c/ass�ed�s non publlc if you provide sp�crflc reasons that would permit#he City to conclude that the are trade sec�rets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protectiori against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wvrw.�o�herstateonecalLor<� 1 hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. �v��_- � /��'�� C � `—;� x_ X � Applicant's Printed Name Applicanl:s ignature Page 1 of 3 '''/ �Jq� � �`����2 �.t r t! ,�DO NOT WRITE BELOW THI:� LIN��_,� !/ ���'7'���._, SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family) � Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen(Gazebo/F'ergola) _ Miscellaneous _ 01 of_Piex � Lower Levei _ Pool _ Accessory Buiiding WORK TYPES ��Y1��IZCrV�d� �'t'cr'�0� �`�^<'( ��1� �JJ� �1�fiUl1 �-'��`('e�(ivC- • _ New _ Interior Improvement Siding Demolish Buiiding* Addition _ Move Building _ Reroof _ Demolish Interior � Alteration _ Fire Repair Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window WaterDamage Retaining Wall *Demolition of eintire building—give PCA handout to applicant DESCRIPTION , � • . Valuation �v._ ' Occupancy` �,� �'�MCES Sysfem ' Plan Review Code Edition 0 S� SAC Units (25%_100%�) _ Zoning �(� City Water . > Census Code Stories� Boosfer Pump - � #of Units 3quare Feet PRV #of Buildings tength Fire Suppression Required ::�, : Type of Construction�� . Width REQUIRED INSPECTIONS Footings(New Building) Meter Sixe: Footings (Deck) - Final/C.O. Required _ �' .FoQtings_(Addition)__- ___ __ _. -_—_-- . -_- ,--�_F.inal_/N��-C.O._Required_ ____ -- __-- ='--_ .__. Foundation -HVAC Gas Service Test Gas`Line Air Test Roof:_Ice&Water _Final Pool:__Footings`_Air/Gas Tests _Final � Framing Drain Tile � Fireplace:�( Rough'In �Air Test �Final - -Siding:__Stucco Lath _Stone Lath _Brick � Insulation ' � � Window:�:''�y�,�,�' ` Sheathing Retainin�g WaIL• Footings_Backfill Final Sheetrock . Radon Control " Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control _ _ Other: Reviewed By: I/I'f , Building lnspector - ° ' RESIDENTIAL FEES __ , Base Fee Surcharge �'� -�j ''� �l � ;- ��� � 2-t�'� �i� l� .� P1an Review r� . MCES SAC L p o� �,r''� . Cit SAC T 2(�a D U�n,�w�- � Z y < �'�`e9-�'w r'�p�"'`'"�`�` � Utility Connection Charge . SB�W Permit 8�Surcharge , . q � �Q '" � ` Treatment Plant Copies ,�,,, TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA141964 Date Issued:04/10/2017 Permit Category:ePermit Site Address: 4392 Capricorn Ct Lot:002 Block: 002 Addition: Wilderness Park 3rd PID:10-84252-02-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - John F Uebel 4392 Capricorn Ct Eagan MN 55123 Jw Plumbing Llc 14930 Dallara Ave W Rosemount MN 55068 (612) 759-0691 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use 411' CityOl Eaaafl Permit Fee R'2•629 3830 Pilot Knob Road Eagan MN 55122 � �� t r �/ Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/1/17 Site Address: 4392 Capricorn Ct. Eagan, MN 55122 Unit#: Name: Colleen Uebel Phone: Resident/ 4392 Capricorn CL Eagan, MN 55122 Owner Address/City/Zip: Applicant is: Owner X Contractor Type of Work Description of work: Bathroom Remodel 4 i Construction Cost i 000 Multi-Family Building:(Yes /No ) Company: B2 Design Build, LLC Contact: 651-333-9394 Address: 14505 S. Robert Tr. city: Contractor Rosemount, 651-333-9394 Email: info@b2designbuild.com State: MN Zip. 55068 phone: Lead Certificate#: NAT-117898-1 License#: BC639128 If the project is exempt from lead certification, please explain why: V\-) 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,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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 they are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. left Qa cChWelL!h App p icant's Printed Name App rcan ature kb \ (\ 'eqe it, Page 1 of 3 143U C 2i(Orr\ Q DO NOT WRITE BELOW THIS LINE 4 I14I (Qitc SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) Y Single Family — Garage — Porch(4-Season) ` Exterior Alteration(Multi) _ Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous — 01 of_Plex _ Lower Level _ Pool — Accessory Building WORK TYPES P r _ New _ Interior Impro a en Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior �(Alteration ^ Fire Repair — Windows _ Demolish Foundation _/ Replace _ Repair Egress Window i Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant — DESCRIPTION Valuation '4) Occupancyj:IMCES System Plan Review Code EditionVIAN �f SAC Units (25%_ 100% ) Zoning PO City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction -y-6--- '.d'•d Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) XFinal/No C.O. Required v Foundation Foundation Before Backfill / HVAC_Gas Service Test Gas Line Air Test — Roof: Ice&Water Final Pool:_Footings Air/Gas Tests Final — X Framing 'y 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick_EFIS )1 Insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 1 , , Building Inspector RESIDENTIAL FEES Base Fee ,t Surcharge 7 14 Plan Review141)ri " lelito MCES SAC til 4 City SAC 0 (a'''') mt., Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3