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4247 Beaver Dam Rd PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA090301 Eagan, MN 55122 . Date Issued: 07/22/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4247 Beaver Dam Rd Lot: 003 Block: 1 Addition: Meadowlands 1st PID 10-48050-003-01 Use Description: Sub Type: e-Reroof, Siding & Windows/Doors Construction Type: Work Type: Reroof, Siding, Windows/doors Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to Fee Summary: BL - Base Fee $9K $177.00 0801.4085 Surcharge - Based on Valuation $9K $4.50 9001.2195 Valuation: 9,000.00 Total: $181.50 Contractor: -Applicant - Owner: Cedar Valley Exteriors LP Theresa M Funk 9145 Springbrook Drive, Suite 105 4247 Beaver Dam Rd Coon Rapids MN 55433 Eagan MN 55122 (763) 755-2221 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA093515 Date Issued: 04/19/2010 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 4247 Beaver Dam Rd Lot: 003 Block: 1 Addition: Meadowlands 1st PID:10-48050-003-01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. 952-445-2840 Diane Moyer Home Eneray Center Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Home Energy Center Theresa 1\1 Funk 241 Annapolis Lane =170 4247 Beaver Dam Rd Plvinouth IIIN 55441 Eagan IIIN 55122 (61)766-6763 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 Citv of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature CIT~GAN WATER SERVICE ra.- 37 t of Knob Road 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 Eagan Surcharge: Ordinances. Misc. Charges: r Total: By Date Paid: Date of Insp.: Insp.: cl r> ` N ' WATER SERVICE_TERMIU 37 of Knob Rood PERMIT NO.:afn Eagan, MH •55122 DATE: 7 l._C f 10 Zoning: rxr No. of Units- t Owner: R Lri~CLi LPr~^J <7~,1LW #Ll 4 Address: Site Address;.. - - ~.`f / d7~gF V qLTL i'J31- l.GCltk 1t J L L' it ~ - Plumber: Meter No.: Connection Charge: Sizev Account Deposit: 5 Reader, Na.:, Permit Fee: in n . ~+a l agree to comply with the City of Eagan Surcharge: Rn - Ordinances. Misc.. Charges: ~ ^ej - - VT✓F VL ~ Total: BY Date Paid: Date: of Insp.: Insp.: " CiT GwwT . V SE'WIERn tER1 1-d RERMIT 3745 Pilot Knob Road PERMIT NO::{ Eagan, MN 55122 DATE: 12 / 517 Zoning: rpTT No. of Units: Owner: f"F►srr~s±~e 3r.x_a~rn Address: Site 'Address: 4947 TAAavicer T).pn Rhad 0 -1 1ie.adowland Plumber: ss xavnn (C, het11s 9/7/74. 15792 100.00 pd 1 agree tocompl with the City.of:Eagan Connection Charge: AL?k~_ r Ordinances. Account Deposit: Permit Fee: t'!, f1Y1 r.i. ' Surcharge: EY Misc. Charges: Dote of Insp.; Total; ts; Insp.: Date Paid: N. ~r:• ~ hew ,~s.:~,~ -ASH RECOPT 3' a CITY OF EAAN E 3'795. P I.L47. tK N0B-1,R QAD EAGAN, MINNe~' , W22 PRA f~:< ~ ✓~1--~°. - AMOUNT F-7:x~l F too - ❑ Gi4SF! CHmcK K e' ~f p~ 7 { ` F1. 7 , •.,v.~~.~r~~,y[~ +,y~y~ I } ? y J. Ci l ! of th"N .1' * -,x XrM MW Knob R,@4W EiovenR MH 561 : . PHOM 4J#-8100 ftk*-Q VOMIT To be G"d for Fence Esc. valve 1,000.0 ate a= 93 Side Address r M Dam ad •~~u~r~rn ~~i~ - Erect Y0 aratyr Lot 3 Black 1 Sec/Sub. Meadow7ser~ds Alter p ZoWng Parcel Re"r Pore Zone Enlarge 0 Tippe of Cr y , W Name Jim Fruechtl Moors ~l # Stories Address 4 47 Beaver Dan Road DemWbh 0 Fe at Eagan, I'M Phone 454-M Grade t] Depth . Name aplrrotalar Miftest. Fence Assessment pemm Addraw o" water & Sew. 5 r r° - ' Phone Cl Police Pkri Name Fire SAC Address Eng. W**L Cao". city Phone Plow . . - - Council Read- l I hereby acknowledge that I have read this application and stole that BFclg; Off. the Wfarnmation is correct and agree to comply with all applicable, State.Of Midir a Statue City of EagoFi ?r nances. A11C Tow., - - Sigma care of Perrnitt+ee 1/ f V ' A Bwildire® PerrraiC Is lsw'coe Jim Fruechtl all work shall be darm, in acconlenr* with oil applicable State of rkA reso'tt SM6 ,a of. r k ft"ng ol: y~ P~ gas holow Plumbing - - Mechanical OWICTFOM DATE INV. Maoh-fie iirrol Footings Dcto lrQ9L 0106 7a Foundation Frame/ins. Finol Remarks: 4 CITY OF EA H 4 3M PNet Knob Read f Blom MM BUILDING I•BItMIT Sr Dw & c' 499 7 ' To for Est. Value - be Will Site Address 4247 Beaver i. Road Erect M Lot 3 Black 1 Sea/Sub.` Aiter E3 ,Zninsl caw- parae 10 48050.003 01 Repair p FIO e, - Enlarge ❑ TWie of 0hilh Na Ch F. Schwerin § ~ ar7.es - 819 Jcaiathan Drive i ❑ Stdrie$ h A~ Demolish Front . Cl rile Valley 55 2-9587 rwode ❑ Dev* CES Carzstnxtian Name r t ~d 9a Z Aseessrnerrt t<Venwdt g Address Water & Saw. ra T k H ± City Phone Police Name Firs -z +l~h Address Eno. ?fl i fll~rorl, 'CRY a phone Planner -Woof ROM Caurrtril 1 hereby acknowledge that 1 have read this application and state that 81d the b4ormation is correct and agree to comply with all applicable Slertlr lWinne®ata $Ratilt6te art} City fYl Eagan Drdi~►once5 f X.r • s, Charles E. SCtWMWJMn f " A OtdWing hermit is issued to: all trade sFapll be done in aoovrdarxss wiidt alt a*libobie_State of -Mirmaeas +d ' 4! A a I IPennit # Deb ISMd Plumbing 753 Mechanical INSPECTIONS DATE INSP. Rough-in Find Footings 7 Dote Insp. Date Ingo. Foundation - Plumbing Frame/ins. Mechanical Final Remarks: - ~~f* Ter ~n~ / r nd7` Lf CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 P204BI _ PERMIT No. 1 530 11-5-79 16511 Dote: Receipt No.: Single Site Address:~4~7 ~r 7 Residential Lot - Block Sub/Sec. rill _ Multi Res., Comm./Ind. C crlcs F_ min Name New/Alter./Repair. 819 .Towth m Drive Address - Cost of Installation Ample 'VaUW 55124 432-9587 20.0 City Phone: Permit Fee CbTmolidatec? . 50 Name Surcharge D 'Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official INSPECTION RECORD CITY OF EAGANPERMIT TYPE: 3830 Pilot Knob Road Permit Nuffftr Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: s fi 1 u t t, i APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: !1F c: h "t w t (t~11 1, N1w"1 V 114AI Palma MD. rarmh Mahler Sam 'I~a1B~111ans • W.1Q HV1RC•. hispeown Cl'R9C , Dsq hisp. commelft FourdW n FORM" i9OO FOLIO P14 Roue ft. WA F4napiace RnO HIS. ONW That Frei P14 P ft kWooW - No* ftwA er Canst M1ierar EWJPIN Bldg. FBI Deck Fig. Deck Fine) Wet Fr. DiW. IN IC QTY OF EAGA 1 E: N!I t k (Y( fM A 3830 Pint Knobs Road Eagan, Minnesota 55123 D (812) 581-4675 SI ADDRESS: L 0 r . 01 Of t : APPLICANT: . t$# AVI k DAN ItU Vf:~;If tU A BUM) b'# F• 1'i #,i s # 111 A ~ # t > { t, # ~ wi 1. '1 #3 i PERMIT SUSWPE: TYPE Oft Wes: 1 ~I Nf-W 01 ~0, RIP'l TON U. A sow F' ).LT E X401 1111°, #'1ti t1M f M;', F1NA1. H F N A R t. f Ai, r', I 1 1,1 f e M i N1~~I,: t f.: I I I AI A) 11w AHV Ill UM14ING 0it i 1,f- :TR-1CAAt WORK t r :j.~. ICi_ _ A Iles" t wer E~jr.A+lan Doak ~ds• Final Rg. r Doak Feral wag Pr. [ltp. CITY OF EAGAN Remarks Addition MeaA-land let Addition Lot 3 Blk 1 Parcel 10 48050 003 01 Owner 4247 Beaver Dam Road State AlLgan► NX 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. Imp.4~ 1 81 1589.99 158.99 10 1589.99 0005589 10/15/80 GRADING SAN SEW TRUNK Cn065 5 _ 7-10-79 * SEWER LATERAL 1981 13156.58 315.65 10 3156.58 ag"5435:- 6/6/80 WATERMAIN • WATER LATERAL 1981 10 WATER AREA 1973 95.27 6.35 15 PATn STORM SEW TRK 1971 282.92 14.15 20 PAID * STORM SEW LAT 1981 10 * services 1981 10 CURB & GUTTER SIDEWALK STREET LIGHT Rnarl 11nit 7500 15792 91/7/79 WATER CONN. It 11 BUILDING PER. 5396 SAC 525.00 15792 PARK ~ f CITY OF EAGAN include 2 sets of plans, l site plan w/elevations & ulations. BunpiNG PEMIT APPLICATION 1 set of 7,2719 c 7~ Tb Be Used ForValuation r Date Site Address V '2 ~rrliP- /Zoo OFFICE USE ONLY Lot 3 Block Sec./Sub. Erect Occupancy Parcel Alter Zoning Repair Fire Zone Enlarge Type of Const. Owner: FY' U Move # Stories Address : '-(2 Q - lcwwp e~ / s dish Front ft. City/Zip Code: c~~-v 5'/2~ Grade Depth ft. Phone t>-el APPRDVALS FEES Contractor: r r' ce Assessments Permit Water/Sewer Surcharge Address: z Police Plan Check City/Zip Code: Fire SAC Water Conn. Phone Planner Water Meter Council Road Unit Arch./Eng.: Bldg. Off. Address: APC G' City/Zip Code: Phone =AL This r ,oid 18 months from 7 p 9 Date f this Request i S 2 G L' C. 6 I, as • Licensed Electrical Co tractor ❑ Owner, do hereby request inspectio of electri- cal wiring installed at:~ loe~ Street Address or Route No. ~~+►F- City Section Township Range County _1 bok"'Z Which is occupied by (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yes Ready Now ❑ Will Call Power Supplier. 1- Address 7k 7,Y Electrical Contractor i$ Contractor's License No. ompany Name) f / Mailing Address (ElectricaFContra r or Owner Making This Installation) Authorized Signature A_~ C Phone No. ~L j (Electrical Contract r Owner Making ThIction Installation) iwm& BOAKU COPY This ins request will not be accepted by the State Board unless proper inspection fee is enclosed. STATE 14, Minnesota State Board of Electricity 7 d W-niversity Ave., St. Paul, Minn. 55104-Phone 645-7703 9 REQUEST FOR ELECTRICAL INSPECTION C t CHECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm E] List List ❑ ❑ pp Other El El ❑ Herers p Herers COMPUTE INSPECTION FEE LO Service Entrance Size: # F r~ ' u ere F_ee Circuits: # Fee 0 to 100 Amps. 0 0 A%peres 0 to 30 Amperes r ' a C 101 to 200 Amps. IC u 31 6 100 Amperes 31 to 100 Amperes Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee ZZ Signs Special Inspection Minimum fee Remarks TOTAL FE I, the Electrical Inspector, hereby certi t the oopy6 inspection has been.Tade. - i - (Rough-in) Date (Final) f' r Date - This request void 18 months from `4'=z M 5 6 8 J 7.,s~o Request Date Fire No. Rough-i`Inspection NOTICE: You Must Call Electrical Inspector Re wired? If A Rough-In Inspection 3y 2~y Yes El No Is Required. I licensed contractor l7 owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City Z f 7- Q&44 &&CAW Section No. Township Name or No. Range No. Count(/ s Occupant (PRINT) Phone o. f~Cu L 5'~ff~ g6~6 I.M. Power Supplier Address Electri at Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installllllation) ry Authorized S ature ntr wnerivtakin stallation) Phone Number MINNESOTA STA &Z.111 F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway B g. 5-173 ~Qm BE ACCEPTED BY THE STATE BOARD 1821 University A . , MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 r4.0W l )Vv% ENCLOSED. 131aREQUEST FOR ELECTRICAL INSPECTION EB-00001-08 M 5 6 8 ~ ~ f See instructions for completing this form on back of yellow copy. ar5 "X" Below Work Covered by This Request Nevil Add Rep`. TypeofBuilding Applianc sWired Equipment Wired Home Range Temporary Service 'duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: 14HaE ~60 •dJ Compute Inspection Fee Below: v~ # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps bove 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. r I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final been made. f OFFICE USE ONLY 1 F This request void 18 months from tO Wl Glk~Y tt` iii ` l -}~I tV \ Y) a, CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5893 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for Fence Est. Value 1,000.00 Date June 23 i9_$Q_ Site Address 4247 Beaver am Road Erect Fp Occupancy y Lot 3_ Block 1 Sec/Sub. Meadowlands Alter ❑ Zoning Parcel # _ Repair ❑ Fire Zone Enlarge ❑ Type of Const. V e Jim Fruechtl Move # Stories cc 4247 Beaver Dam Road Demolish Front Eagan, MN Phone 454-8696 Grade ❑ Depth ft. o Name Midwest Fence Approvals Fees u' Address Assessment Permit 6 : ~00 f' city Phone Water & Sew. Surcharge Police Plan check F FW Name Fire SAC ~43 Address Eng. Water Conn. <z Ci Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. 6/25/80 the information is correct and agree to comply with all applicable APC Total 6.50 State of Minnesota Statutes City of E n rdinonces. Signature of Permittee A Building Permit is issu to: Jim Fruechtl on the express condition that all work shalt be done in accordance with all applicable State of M' esoto Statutes d Cit of Eagan Ordinances. Building Official L- CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN $5122 N2 5396 PHONE: 484-8100 BUILDING PERMIT APPLICATION Receipt # l5 hl To be used for SF Dwlg & Garage Est. Value 49,000. Date 9-7 _ 19-1-9-- Site Address 4247 Beaver Dam Road Erect] Occupancy R3 Lot 3 Block 1 Sec/Sub. Meadowlands Alter ❑ Zoning Rl Parcel # 10 48050 003 01 Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V W Name Charles E. Schwerin Move ❑ # Stories z Address 819 Jonathan Drive Demolish ❑ Front 54 ft. City Apple Valley 551one 432-9587 Grade ❑ Depth 40 ft. ~ Name CES Ost~ction Approvals Fees 0 ou Address Same Assessment Permit 138.00 _ 01 city Phone Water & Sew. Surcharge 24.50 Police Plan check 69.00 W Name Fire SAC 525.00 YZ Address Eng. Water Conn. 270.00 0 <W City Phone Planner Water Meter 60.00 Council Road Unit 75.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total 1,161.50 State of Minnesota Statutes and -City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Charles A. Schwerin on the express condition that all work shall be done in acc iKe with al}" li tote o innesota Statutes and City of Eagan Ordinances. Building Official Ctd x - PERMIT 6ITY'flF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L i Eagan, Minnesota 55123 Permit Number: 023061 (612) 681-4675 Date Issued: 03/08/94 SITE ADDRESS: 4247 BEAVER DAM RD LOT: 3 BLOCK: 1 MEADOWLANDS P.I.N.: 10-48050-003-01 DESCRIPTION: (3-SEASON) Buildingi,,Permit Type SF PORCH Building Work Type NEW REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $10,000 Base Fee $117.00 Surcharge $5.00 Total Fee $122.00 CONTRACTOR: - Applicant - ST- LIC. OWNER: BROTEN DESIGN & BUILD 18913875 0005768 FRUECHTL JIM 7664 142ND ST W 4247 BEAVER DAM RD APPLE VALLEY MN 55124 EAGAN MN 55122 (612) 891-3875 (612)454-8696 I hereby acknowledge that 'l 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. AP ANT/PERMITEE SIGNATURE ISSUED SI ATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 023061 Eagan, Minnesota 55123 Date Issued: 03/08/94 (612) 681-4675 SITE ADDRESS: LOT: 3 BLOCK: 1 APPLICANT: 4247 BEAVER DAM RD BROTEN DESIGN & BUILD MEADOWLANDS (612) 891-3875 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH NEW DESCRIPTION (3-SEASON) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. FOOTINGS FRAMING FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK CITY OF EAGA1d ~ ~ ~ ~ ~ ";0 (P 1994 BUILDING PERMIT APPLICATION 681-4675 MAR Q 3 1994 U LM- 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, 1 copy of energy talcs. Penalty applies: 1) when permit is typed, but not picked up by last working dal. of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work _ 1~5-'000 Site Address: STREET SUITE # Tenant Name: (commercial only) 4J uv~ L LOT _ BLOCK SUBD. P.I.D. 0 rThe tion of wo k: plicant is: ❑ Owner Contractor ❑ Other Oncrfbe? Name Phone 4gt ''`erty LAST FIRST ner Address 4. STREET 3TE # City _ State Zip _6:=z. Company t Phone Contractor Address ~ ' C~ License i Exp. City , t~.. State AW- - -M---- Rio -s- , 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 a lication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICEOLY BUILDING PERMIT TYPE 13 01 Foundation 17 06 }uplx1.A~,tiait ❑:1i1 e , t Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Ratlti. -flisc. 0 1X=`Swim Pool E3 a 03 SF Addition E3 ca -Piet 0.13 GarW/Actessory E3 1$ Com /10.. J9 04 SF Porch ❑ 09 12-~Plex ❑ .14 f place D 19 to=./Ind. Misc. E3 Ob SF Misc. ❑ to Multi. Adel ❑ .bra Deck E3 20ltt Facility El 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Al teratiions ❑ 35 Tanor4 finish E3 31000011 st. .32 Addition ❑ 34 R "air ❑ 36 GENERAL INFORMATION Const. Actual rrt ft~ IBC Ss: (Allowable) _ ist 1r1. sad. ft. fit . at4r UBC occupancy 2nd Fl. sq. ft. pR iWquired Zoning ft. total Booster Pump of Stories ootpri:nt q. ft. Fire -Spri er Le th i it well Census Code Depth tln-sit* seww. SAC Code CeAsus U'i d APPROVALS i` Planning Building SSsets Engineering Wi REQUIRED INSPECTI R ❑ .Site °Ft dg Firing 'Imulsti.on ❑ Wallboard J9 Final 0 intii-10 Fir'91ace Vermit Fee C.,..~. aa~o Surcharge ,~P....., Plan R ew ai irk" ,=t License MWCC SAC City SAC )later Conn, Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P7. Road Unit Park Ded. Trails Ded, Co~ppies ~lthcr Total: SAC % SAC Units Certificate for: Charles Schwerin DELMAR H. SCHWANZ LANOSURVEYOR Roq+starrd Undaj Laws of The Stag of Minnesota 21178 - 1411Th STREET W. BOX M ROSEMOUNT, MINNESOTA 55058 PMONE 612 423-IM SURVEYOR'S CERTIFICATE : CAI r ; I I iwh j 41' feet A{ki3Av.,vt--+{ i or rl--u m c C'url'y Rc ai i'-:bt Jt.c: f id t ~9 211) Ly. 0 LOT 3 ~ ,10 ,3 ham. ,tip ~ i ~o , ry \ va +Q~ . ! (4~ 69,11 / I14 f.' C;V. VO / uIt;.u. I.t:L't i- I i r t.ll.: C 11~-:i 11 1 t.l',l itlks: t::)1''1't 1: 1. VL' I't;. Lot s , l I , Ai ;i'1 f.A:11, 11'."T A! 1'j IT I . it clL.ir i l i. i t,~ 1 ~ ~ i' , f • 1t .i, k l..iLlElf ~ 1~'tittk•.::i•~t•~i. !;.Itt'd .131 a !{,'~il.,l: il•1. .it.iticFl .;:i ')1' l:illi i:it . Itt:t l :►Ii:~t~ IT+u. 1 ~i'.tisiiSt:t~ li tt..ic 3 :,1.i1{t:tl t3I at IS tr. 4, MINNESOTA REGISTRATION NO Ofir ; { PERMIT c& A M CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 024060 (612) 681-4675 Date Issued: 07/07/94 SITE ADDRESS: 4247 BEAVER DAM RD LOT: 3 BLOCK: 1 MEADOWLANDS P.I.N.: 10-48050-003-01 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY Base Fee $30.00 COPIES 1.00 Surcharge $.50 Total Fee $31.50 Subtotal $30.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: SABA CONST 18950824 20001517 FRUECHTL JIM 13144 GLENWURST CT 4247 BEAVER DAM RD SAVAGE MN 55378 EAGAN MN (612) 895-0824 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. APPLICANT/PERMITEE SIGNATURE ISSUED EIY-. SI NATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 4 0 6 0 Eagan, Minnesota 55123 Date Issued: 07/07/94 (612) 681-4675 SITE ADDRESS: LOT: 3 BLOCK: 1 APPLICANT: 4247 BEAVER DAM RD SABA CONST MEADOWLANDS (612) 895-0824 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE DATE INSPTA. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL _1 CITY OF EAGAN (.0 1994 BUILDING PERMIT APPLICATION i4040 681-4875 a& I SINGLE & MULTI-FAMILY 2 sets of plans, 3 registers of energy . caYcs. alt! 0 1,994 COMMERCIAL 2 sets of architectural A st ctural plans, 1 t of specifications, I. copy of en x44.&-------- Penalty applies: 1) when permit is typed, but not picked up-by last working d of month in which request is made, 2) address is changed or 3) lot change is request-ad once permit is issued. Date 17) It Valuation of work ,~1300* Site Address: P-4-7 B ym,r ~D m% STREET will • ' Tenant Name: (commercial only) _ LOT 00 3 BLOCS SUBD . ,pie ~ / A~ P . I . ID. ~~l l x7' Description of work: w-ck The applicant is: ❑ Owner gR Contractor ❑ Other pearibe), Name Cs~si~-_...trn r Phone Property LAST FIRST Owner Address r STREET STE city Ewa,. State Zip : . i Company Bone AQ _5 Contractor Address (1 (ole Of, Lf-cense 1.2..,. E I xp•~. city State ....I........i~ Company Phone Architect/ Engineer Name Registration Address • r~~.~iirr.. ~w...w.++wr ~.rMwrr City State Zip Sewer & water licensed plumber _Pro s.j* 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. Signature of Applicant: ..,rr OFFICE USE ONLY BUILDING PERMIT TYPE ~ O 01 Foundation 006 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑-07.4-P1ex ❑ 12 Multi. Misc. E3 17 Swim Pool O 03 SF Addition 0 08 B-Plex 13 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Phex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addl. 0 15 Deck ❑ 20 Public Facility 3 ❑ 21 Miscellaneous WORK TYPE 0 31 New ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement s q. ft. SAllowable) Ist fl. sq. ft. City Waterm UBC ccupancy 2nd Fl . sq. ft. PRV Required Zo of Zoning Sq. Ft, total Booster Put► Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code or APPROVALS Census 'Bldg Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ .Site IR Footing ❑ Framing ❑ Insulation ❑ Wallboard Final 0 Draintile ❑ Fireplace Permit Fee,: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharrgge Treatment P1. Road Unit Park Ded. Trails Ded. Copies p Other - Total. SAC % SAC Units 0• *--34JA + 35o + 171-5+ 525• + 500-+ 639+ 280o + 132-+ 29049-5 54 N Certificate for: a Charles Schwerin DELMAR H. SCHWANZ LANOiURVEvOR Rspstarad UI%OSr laws wi This Slam of Mjas% sots 2076 - 140TH STREET W. - ISOX M ROSEMOUNT. MINNESOTA iSSOU RHONE 012 422.17ff St1RYEYOR`S CERTIFICATE JCA[.i:: 1 Inch 40 t er;t Ajljrx-,,vvd fr,>' fiIII&II ~c Curt,j peal l st;Ate .W ~ hltrcl,lr ~rrl~.Irt., I!1!: . ti s9 Ly. LOT 3 I O O U M. ~ 1 ' e4? J \ Ittt ..Z l+~:ra k: ti 1:OL 11. 11,6 elcv, FO e 1 t: v lit. 0 j. tl !L1 `i t!',It, it[~iI t: 3r'!'e_l: t• L'Bj.r'~: 1 ~i :A!•.;•,i.A:lI~ !•''(i•.:'i' :~f t;l`['1,';, tl,t,elt•111.~~ L., t.h~: t•tt::r•~:t:~t pi y) iiIt l:tt: -1 .1 Atc,•~ :sD~~:~~ il, , dr•op,js,.-d kj,,+t;tt: id t,L,Akt.t1 i3E' SePL. 4, Iii/17 hN V l r5t.t1 •r, '4 v~)o V11 A i ~ -J. ,y { MINNESOTA REGISTRATION NO. Qa s « CITY OF EAGAN Cj e, Include 2 sets of plans, ? 1 site plan w/el.evatims & BUILDING PE 4IT APPLICP~TICN , 1 set of energy calculations. To Be Used For Yerkt-p_ Valuation Date Y~ Site Address: 4Z7 A- OFFICE USE Y Lot :5 Block Sec./Sub. . y'.Elect ! Occupancy 3 Parcel (-)03 Alter Zoning Repair Fire Zone 3 Owner: Enlarge Type of Const. move # Stories Address: Dennlish Front ft. ;10 City/Zip code: Grade Depth ft. Phone 7 11 APPROVALS FEES Contractor: Assessments Pennit L36 ~ Address: Water/Sewer Surcharge 'Y-Q-1-1 Police Plan Check 9 °v- City/Zip Code: Fire SAC t-5- Phone Eng• Water Conn. 7c> Planner Water Meter Arch./Eng.: Council Road Unit , F Bldg. Off Address: APC City/Zip Code: `IC qm _ 1 ~ Phone ~ 1 r~ t:.~~ DELMAR H. SCHWANZ LANOSURVEYOR Registered Under Laws of The State of Minnesota 2978 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66068 PHONE 612 423.1789 SURVEYOR'S CERTIFICATE 4J 1 9 ry 6 83 1. h ~ 0 2 ~F9o N LOT 3 V r) i, 4 ~ U y \ pQ~' r X49 z~ f / Qt's . • r f . / VO / r ' MINNESOTA REGISTRATION NO, 86 ?6 i ' 1 I ~ ~ I j ~ ~ t ~ ~ 1 t I i L r v ck, I .I i i j I • 1 -2 q v" 1 I I F I a EXTERIOR ENVELOPE THERMAL TRANSMITTANCE PAG E 1 STANDARD WORKSHEET Site Address Owner Contractor M Phone Date rf`7 Building Type (check one) One and Two Family Dwelling Other Assembly (Describe type from Table 3 or Area (A) U-Value U x A show calculations on Page 2 S Ft Insulated Area 2(0)(40 10%40 0,032 33'28 Frami n Area ^ U - C) U 4- 0 - a Skylights, T e 0 "-n C C Other describe = Other describe ' U y 0 3 3.28 1 Totals 2 Average U-Value UxA A from Line 1 U , 040 3 Required U-Value from text Insulated Area 24. i• 40 i 2 I~S =ill` ~ to 0 e p(o 1 14 ,9 Framing Area St ~O Windows T e W DbD L (11-M Ny-F 5 S" 0, S' S 30 , 44 Doors, Type INS. METM- 3ffl-X 6g 0,0 0 47 40 Rim Joist Area 33 0 ► O G -J 0q. Fireplace Wall 3 ~Y+7 +z4 I , 3 Foundation Wall above grade) i 8 v ) oci , 0 y v wn0,0 at. G F~ 1C o , 5S' 3 ,ov A Foundation Windows, Type %I?_ AI fL 5"•R -(00-0,0 Other (describe) SUDMG~ C, %S 7,00 0'~~ 2 '84 Other describe i Other describe 4 Totals 2.1 of .gZ 5 Avera a U-Value UxA / A from line 4 D, 130 6R uired d U-Value from text 0 ' 1? If Line 2 is greater than Line 3, or Line 5 greater than Line 6, complete tha fallowin to determine alternative U-Value for total exterior envelope. c 7 Area (Line 1) + Area (Line 4), .Dye + ~ID7 = 3 t 4? L B UxA (Line 1) + UxA(Line 4). 3°i. + 2?4,~u= 3ow O1 9 Area (Line 1) x U-Value. (Line 3) Jo40 x O,D40 = ll I b a ' 10 Area (Line 4) x U-Value (Line 6) 2107x D11 t7 = 358.2 W 11 "Budget", Line 9 + Line 10 3~9.g 12 Alternative U-Value, Line ll/Line 7 0 ~1~7 If Line 8 is greater than Line 11, alter assemblies as required so Line 8 does not exceed line 11. nK. EXTERIOR ENVELOPE STANDARD WORKSHEET' PAGE 2 ssem 1 C L1 Ns RE 16, AssemblTLI Material describe Thickness R-Value Material describe Thickness R-Value 10 mr-w 77 I O ,V WIT EA Of i~ 0 *R r- k g Sig 0.tQ1 Interior f-Value see Table 2 0 Interior f-Value see fable' 2 Exterior f-Value see Table 2 0 v Exterior f-Value .see. Table 2 Total Assembly Thermal Resistance 3 Total Assembly Thermal Resistance Assembly.U-Value see Table 4 Assembly U-Value see Table 4 Enter on Page 1 ©,03 Z Enter on Page 1 Assembly FR A ~11ta A R_. (e y'?, WA Ll Assembly Material describe Thickness R-Value Material describe Thickness R-Value Sig 2 o45 5HE g 2~'~3z 2.0 c, '5 rY -17 1 M,5 3 `J 2 I I ~ b.n 51T11 ~JfYr M Pcra N~ TC 0 • Interior f-Value see Table 2 d fo$ Interior f-Value see fable 2 Exterior f-Value see Table 2 c.1,7 Exterior f-Value see Table 2 Total Assembly Thermal Resistance I!5'.0 Total Assembly Thermal Resistance Assembly U-Value see Table 4 Assembly U-Value see Table 4 Enter on Page 1 0.04 Enter on Page 1 Assembly ssembl Material describe Thickness R-Value Material describe Thickness R-Value Interior f-Value see Table 2 Interior f-Value see Table 2 Exterior f-Value see Table 2 Exterior f-Value see Table 2 Total AssemblThermal Resistance Total Assembl Thermal Resistance Assembly U-Value see Table.4 Assembly U-Value see Table 4 Enter on Page 1 Enter on Page i ssembl Assembly Material describe Thickness R-Va ue Material describe Thickness R-Value Interior f-Value see Table 2 Interior f-Value see Table 2 Exterior f-Value see Table 2 Exterior f-Value see Table 2 Total Assembly Thermal Resistance Total Assembly Thermal Resistance Assembly U-Value see Table 4 Assembly U-Value see Table 4 Enter on Page 1 Enter on Page 1 - /FM~~•~{X ~?I~.~a?(s.M 'L' ~L•. S•~•T STiC•/i~Q~.i1ti rS!L~T'{~{Y~?(.:{v~.,l~}y JJ ylr:l.i ~il1 }~}''•.Ay'•.~{ / i• P r.e;~.1 t 1 1 t TE.RMINAL NO DATE,:: 1.3/t.?0 M i\!A IM t1.tt:; , (]OTT' A I~'r~I:I:i4C::l_LA 5 9001 424 I r -A iAll6 _ivt n :I.;:S n r D, J v41 ••.4 J: Jr i',. v4'.: Mr ijv 4J.~ 1 4v 1.~- 4 ~1 M r1y{.;.:ra:p.,.rp1r.:;t?~?t..~{${~;: ?t~,y~ et}puj~kt•,;:'. •.4-:~i(,p. ir. h{?f+fF }r-.: ;(J~ ' 4 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) j 13w ~5 CITY OP RAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 new Construction Reauinements A 3 registered site surreys showing sq fR of W, s% ft. of house 2 copies of plan and all roofed areas (20% maximum lof covetwe atio vul 1 set of energy coicukftm for hooted addiflOns > 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) I site survey for exterior additions & decks ➢ 1 set of energy colcuialions a 3 copies of free preservation plan N lot plaited after 711/93 DATE: 3 -13 - ~),0DU CONSTRUCTION COST: 5,000 DESCRIPTION OF WORK: T. C~ a STREET ADDRESS: J t' i" Fn G LOT:U BLOCK: SUBD./P.I.D. _..1~~.}.C L~` v Name: h A A Phone C PROPERTY Laid Finch OWNER Street Address: ~IiLO Beav Da in City Eaq an state: (0 A Zip: c.~il pia ~36q-a~Zs Company: S c a li rl ne, . Se c i Phone IVS_ (area code) CONTRACTOR ~ street Address 1 ~ a ~ rack i t? ~ S+ License #X007 V a W. t? city w o,:p (e Lo 0 C-1 - state: W ri Zip: 1 7 ARCHITECT/ ENGINEER Company: Name: Telephone lift: ( ) Street Addrew Regishation City State: Zip: ,*Sedwater licensed plumber (if Installing seweEbil2brPhone* ( I hereby acknowledge that I Have read this application, slate that ft inforrriatian is correct, and agree to comply with all appkxdge SkA, of Minnesota Statutes and City of Eagan Ordinances -11 Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No W 13 Tree Preservation Plan Received Yes No Not Required A6 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-piex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 03 01 of _ Alex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-plea ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plea P1bg Y or_ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge a . U Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC Use or BLACK Ink For Office Use I left Permit LS city of EaEdn Permit Fee: C/ 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone:; (651) 675-5675 j I Staff I -Fax:1651) 675-56% --------------J 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION D Date: site Address: ~7 /S~fz ~e✓ !r rr, tl A4A Tenant ~6/es C, n Suite RESIDENT I OWNER Name: IL 1~et 4_t b F-,-, ~K Phone: 46V Lfo L Dk 7- Address / City / Zip: u v li Irv CONTRACTOR Name: is J 10& vh 4/A u D ff e k fi, -License #:...0.5-2 1 -7 / -10M Address: 2 33 0 A1 City: State: Zip: STY:)-), Phone: 76 7 ? a - ?Y'4 7 Contact: k." - Fu Email: TYPE OF WORK _ New Replacement _Repair _Rebuild , Modify Space _ Work in R.O.W. s 47`c~- e G L Description of work: 'eC'e- LIO PERMIT TYPE RESIDENTIAL ,Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment. Water Turnaround' (includes $.50 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (induces County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. 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. x 0 J G Lt 7'1.~ ~G«Y 7r C.t G~~.~-- Applicant's Printed Name Applicants Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink For Office Use Cit of EaEd~ I Permit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: / Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: , `------..----------J G~ f2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: q ( ~~fI I..~Lo_~i~ -+Dtyy1 Tenant: Suite RESIDENT / OWNER Name: n) Phone: Address / City / Zip: L"[ t SEX fwO Applicant is: Owner _X1_ Contractor TYPE OF WORK Description of work: 24 __:C_ &'V Construction Cost: Z G ~ Multi-Family Building: (Yes / N0 CONTRACTOR Name: D N_ 80-i's Duip & Remodeling, he, License "7 9a Address: 11825 Point Douglas Drive South City: Hastings, MN 55033 State: Zip: Phone: Contact Person: ) hV\ 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 speck reasons that would permit 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 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 theff aapproved plan in the case of work which requires a review and approv o plans. X~~1;1 t !V t C~x Applicant's Printed Name Appli ,ant's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use I I City of Ea o I Permit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: ' 2 I I Phone: 651 675-5675 I 1 Staff: Fax: (651) 675-5694 - - - 1 2011 RESIDENTIAL P,cLU ING PERMIT P ICATION Date:/ ° 02// Site Address: ~ v2 ~l Tenant: Suite RESIDENT/OWNER Name: P h o n 7/ 7~ S'~ _Q f! f Address /City /Zip CONTRACTOR Name: License / ice! Address: J City: g_A~~ State: A56!~ Zip: J Phone: a Contact: /fit Email: W O.W. TYPE OF WORK New epla ment -Repair Rebuild Modif y Sp Work in R. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater 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 undergrou utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o to Xordin.M~ I hereby acknowledge that this inforrnatio is complete and accurate; that the work will be in co rma wides of the City of Eagan; that I understand thi not a rmit, but only an application for a permit, and wor s no start the work will be in accorda with the approv d n in a case of work which requires a review and val o x a Applicant's P ' ted Name pplicant' ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink I Permit City I of Eajan 3830 Pilot Knob Road j Permit Fee: ~,I Eagan MN 55122 1 Date Received: I Phone: (651) 675-5675 I staff: 1 Fax: (651) 675-5694 I 2011 RESIDENTIAL ~yPLUMBING jPERMIT APPLICATION Date: Site Address: / Tenant: Suite RESIDENT I OWNER Name: Phone: V~~ -~5 91 f 75 Address / City / Zip:/V - CONTRACTOR Name: License Address: City: State Zip: 3~d Phone: d Contact: Email: •9 C' TYPE OF WORK New eplacement _ Repair _ Rebuild _ Modifv Space Work in R.O.W. Descri tion of work: 57 L/ PERMIT TYPE RESIDENTIAL Water Softener Water Heater 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 undergroun tility da ge. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in confo c with the ordinan n as of the City of Eagan; that I understand this is not permit, but only an application for a permit, and work is of tart without a p it; at the work will be in accorda a with the appro pla he case of work which requires a review and approval of a -21 X X - /K0 Applicant's P nted Name icant' gnature FOR OFFICE USE Reviewed By: Date: Required Inspections; Under Ground Rough-In Air Test Gas Test Final Use BLUE ;ocEILAC -1 ilc- I For Office Use I fill Permit ~OV 0~ City of Eav,, I I I Permit Fee: (J~ I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I T 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Si-te'Address: (Q~ V~ Cx-A ' Unit#: Name: ro rl Phone: l~ SI~ RESIDENT / LVY~ OWNER Address/ City/Zip: Applicant is: Owner 3~, Contractor Description of work: 4 P,D0 f TYPE OF WORK 1 `V Construction Cost: Multi-Family Building: (Yes / No Company: u ~`Q D~ (Ir k _T ~ contact: (~i 1 ~ ,J n~ City: / CONTRACTOR Address: ~ c~ LCL_KfL p Ga State: ' ,fiVn \j Zip: S 'I IT 6 ~ Phone: & -Zo/ 3 s License ~2L :3 6 3Q) Lead Certificate X/47- If 5~~/ '1 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 they 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi Code must be completed within 180 days of permit issuance. x Applicant's P nted Nam Applicant's nature Page 1 of 3