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4209 Diamond Dr PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA083817 Eagan, MN 55122 . Date Issued: 06/25/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4209 Diamond Dr Lot: 2 Block: 8 Addition: Cedar Grove 2nd PID 10-16701-020-08 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Home Depot At Home Services Shirley Jarchow 656 Mendelssohn Ave. N 4209 Diamond Dr Golden Valley MN 55427 Eagan MN 55122 (763) 542-8826 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: Building 3830 Pilot Knob Rd Permit Number: EA085477 Eagan, MN 55122 . Date Issued: 08/21/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4209 Diamond Dr Lot: 2 Block: 8 Addition: Cedar Grove 2nd PID 10-16701-020-08 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Apex Roofing & Siding Shirley Jarchow 944 Oriole Dr 4209 Diamond Dr Apple Valley MN 55124-0000 Eagan MN 55122 (952) 891-1919 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: Building 3830 Pilot Knob Rd Permit Number: EA087098 Eagan, MN 55122 . Date Issued: 10/27/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4209 Diamond Dr Lot: 2 Block: 8 Addition: Cedar Grove 2nd PID 10-16701-020-08 Use Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and take steps to ensure maximum ventilation into attic space. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Apex Roofing & Siding Shirley Jarchow 944 Oriole Dr 4209 Diamond Dr Apple Valley MN 55124-0000 Eagan MN 55122 (952) 891-1919 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 EAGAN TOWNSHIP BU, L DING PERMIT Address (present) Builder Address ___... DESCRIPTION 0?4 N° Eagan Township Town Hell Date ............................ .----------- Stories T oBeeUsed For Front Depth Height Est. Cost Permit Fee Remarks / e, L?wOO / /? Pe 0-4014- 141 LOCATION stre?eti,,, Mad or otherDescription of Location Lot Block Addition or Tract Thi rmit does not authorize the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent the ght to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST Bfsi{JiPTTHE E,W ILE THE WORK IS IN PROGR r This is to certify, thaf_ ...d.i...... "._____ .l .has permission to erect a......... ..................__........_upon the above described premise subject to the provisions of the Building rdinanc oy' Ern To _ p adopted April 11, 1955. ' Chairman of Town CITY OF EAGAN N4 16713 - ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 A ?I / 67 BUILDING PERMIT Receipt # ? l 01 f U To be used for DECK Est. Value $1,000 Date JUNE 26 1989 Site Address 4209 DIAMOND DR Lot - 2 Block 8 Sec/Sub. CEDAR GROVE 2ND OFFICE USE ONLY Parcel No. Occupancy - FEES Zoning M Name SHTRi.EY J JARCHOW (Actual) Const Bldg. Permit 26.00 Address 4209 DTAMOND DR (Allowable) S .50 o urcharge City F.ACAN Phone 454-2430 # of Stones 6x10 Plan Review Length . Name SAME Depth 5x8 SAC City 3 0a Address S.F. Total , City Phone S.F. Footprints - SAC, MCWCC Water Conn On Site Sewage r ?w Name On Site Well Water Meter _t Address MWCC System Qa Acct. Deposit ¢w City Phone City Water SAN P rmit PRV Required e I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance s. Treatment PI // Signature of Permilee 1..aO.,IT APPROVALS Road Unit A Building Permit is issued to: S1iIRLEY J JARCHOW Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 5o applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies . Building Official ??,?,? 1 t IJJ Variance TOTAL 27.00 270 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for RE-SIDING Est. Value $10,000 Site Address 4209 DIAMOND DR Lot 2 Block 8 Sec/Sub. CEDAR GROVE 2ND Parcel No. w Name SHIRLEY JARCHOW Address 4209 DIAMOND DR City EAGAN Phone 454-2430 ?. Name AMRE gQ Address 3700 ANNAPOLIS LN City PLYMOUTH Phone 553-0020 1861 cow Name m Address < City Phone I hereby acknowlege that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City f agan Or nances. Signature of Permitee >!4 r A Building Permit is issued to: AMRE 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 1 OFFICE USE ONLY Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance N° 16917 Receipt # 3 3 7 Bldg. Permit Surcharge Plan Review SAC. City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEES 117.00 5.00 122.00 EAGAN TOWNSHIP Y? BUILDING PERMIT N° 1749 6wner ...... ...; .:..... Q 6? - Eagan Township ,/,? Address (Present) .L?........(t;...._ li'.w.t.. d"' ' ------..... <:-- Town Hall ?----- --'-- Dale .................... ....................... Address --- -- ------a'-.!.--.C'..!...._--- Stories To Be Used For Front Depth Height Cost Est.. 'Permit Fee Remarks / / This permit does not authorize the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BEppp KEPT 011 THE PREMISE WHILE THE WORK IS IN PROGRESS. ? g ,?..? This is to certify, that;-..1L....:.. Y..^.:"!.....?al.?^?..^-.:.has permission !o erect a......44- r?'- ./?-----.-.-..,/'. .............upon the above described pr ise subject the provisions of the Building Ordinance for Eagan To aship adopted April 11, 1955. .............. .. ...........?-(]?''-?--1--` __-------'--......._....._.... Per ................... Gt^Gci --° 'caa?.................- Clfairman of Tnw-n?oard T Building Inspector dot-, old d2m sJpd Drywall Y). r1Pw -S;I?r,Id55 ;Asjll,o, BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 To be used for RZ-31DING Est. Value ;10,000 Site Address 4209 DIAMOND DR Lot 2 Block 8 Sec/Sub. CEDAR GROVE 2W Parcel No. W Name SHIRLEY JARCHOW Uj Address 4209 DIAMOND DR City EAG" Phone 454"2430 o Name AMRE t ? Address 3700 Ali NAPOI.IS Lm a City PLYMOUTH Phone SS3-0020 Phone I hereby acknowlege 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 agar Or finances. Signature of Permitee A Building Permit is issued to: A? 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 , 1 Receipt # I i Date AVG 9 , 1984 OFFICE USE ONLY Occupancy FEES Zoning (Actual) Const Bldg. Permit 117000 (Allowable) Surcharge 5.00 # of Stories Length Plan Review Depth SAC, City S.F. Total SAC, MCWCC S.F. Footprints - On Site Sewage Water Conn On Site Well Water Meter MWCC System City Water Acct. Deposit PRV Required S/W Permit Booster Pump S,'W Surcharge Treatment PI APPROVALS Road Unit Planner Co il Park Ded. unc Bldg, Off. Copies 122'00 Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING HN.A.C. ELECTRIC Inspection Date Insp. Comments Footings[ Foundation Framing Q Rooling Rough Plbg. Rough Htg. Isul. Fireplace Final Hig. Final Plbg. Const. Meter Plbg. Inspector - Notity Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. R"?RF CITY OF EA GAN , . : 1 671 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for i3W-CM Est. Value t 1 QUO Date J?'f? Zu 19£ ry i Site Address 4209 DR. Lot Z Block Sec;'Sub. rJt•' AF S:i'Jw 2-kD OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name Ski t-I-Y J -kAR !z0''.' (Actual) Const Bldg. Permit ?G•(3i? a Address 4209 MiWONI) LR (Allowable) h S urc arge City LA( LN Phone 4 54-243() # of Stories j Wo Plan Review Length o Name SAMF Depth City SAC zi- , 00 Address S.F. Total c SAC, MCWCC City Phone S.F. Footprints Water Conn On Site Sewage w w Name On Site Well Water Meter W Address MWCC System U a W City Phone City Water Acct. Deposit S'W Pe mit PRV Required r I hereby acknowlege that I have read this application and state that the Booster Pump S,W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit ahIRUY J JARCHJW A Building Permit is issued to: Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg Off, Copies Building Official Variance TOTAL 27.00 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I -30-31 Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector-Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final 1] } ] Well Pr. Disp. CITY OF EAGAN Addith Owner 22 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF.5 1985 1266,95 84-46 is 1266-95 9-4-.SA- STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL r 972 3 .QQ aid WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 1; i BUILDING PER. SAC V PARK 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ----------------- Pen nit#: I I I Permit Fee: I I I Date Received: 3V I Staff: I ? ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6--5o- o e Site Address: via wt c r Vr, ?rc,a h ??N `? Sl ) Z Tenant: 5A i r Iv,, jQ ec A 0 W Suite #: RESIDENT I OWNER Name: Sv jr4rc4CLW Phone:(711) 45.1 z/5H-ay30 Address/City/Zip: ?W rli 0i4tmond PP. se.giln ?t?./? SS/?2 Applicant is: E Owner - Contractor TYPE OF WORK Description of work: f?eeldCe qr L-,# 1n 5v/d?,b A ?I Sfa;r drcww Construction Cost: 1300 o Multi-Family Building: (Yes _ / No m CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 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: 11 NOTE Plans and supporting document that you submit are'consitlered to be[public informatron° Po ons of L t ld rmit h h i f i l s h t a s n ` d p 77 wqu pe e(I ort t e n ormat ec hc rea ons T a on m y be classdietl a n n-pubtic if you provi e s 4 - m conclude that the are tradesecrets I, 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 3A,4,, Jctrchorv Applicant's Printed Name x CJ App IcanVs Sign tur Page 1 of 3 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 0?9 SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITL URVEIS_ _ 1 SET OF ENERGY CALCS-. MULTIPLE DWELLINGS RENTAL UNITS MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) 1 SET OF ENERGY CALCS. FOR SALE UNITS Dates 3c]nG al, 19" NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER 8 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: ?}¢? , o?-Valuation: Y r Site Address ?CFC 1?R? „?.4 fle .u OFFI Lot -_ Block S_ Parcel/Sub , Grtwr_ 2'hmu. 211 Owner <,?°cz1c., 7. zhep\ 663 Address 41a p4 i?u aye nk CJu City/Zip Code E. AAA r e;.,ldr? Phone 4.5,41- I@q an Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone S Occupancy Zoning Actual Const Allowable 4 of stories Length to Depth y it S.F. Total Footprint S.F. On site sewage On site well MWCC System City water PRV required Booster Pump APPROVALS Planner Council Bldg. Off. Variance COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 0 OF UNITS FEES Bldg. Permit 'R6,00 Surcharge 5-D Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL 9.1 o J 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS lei INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: rf n ? ry Valuation:-C?6 Date: Site Address '?/?11y CQ3nT OFFICE USE ONLY Lot a Block t Parcel/Sub Own r?/? l 0G -? Address ?m 6 City/Zip Code Phone Contractor Address M d Cco ?x?L? City/Zip Code ` `. dLr?h`lt/i Occupancy FEES Zoning ??// I Actual Const -eo Bldg. Permit II Allowable Surcharge # of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage S/W Permit On site well S/W Surcharge MWCC System Treatment Pl. City water Road Unit PRV required Park Ded. _ Booster Pump Copies TOTAL Jtl c C? APPROVALS . - Phone f Planner Council Arch./Engr. Bldg. Off. Variance Address Council City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. ?cs?P ?8"9? ?aa szs L BL CITY USE ONLY ag r7 ? RECEIPT #: : SUBD. DATE: a 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ? Minimum Fee: Add-on/Remodel (existing residence ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge TOTAL FEES only $ 2 FD 24.00 6.00 50 SITE ADDRESS: OWNER NAME: PHONE #: sy3 z' INSTALLER NAME: ALC ELL STREET ADDRESS: CITY: STATE: ZIP: J/off ?Z PHONE #: ( ?s ??A z . • I I It-Iftn."f oF' 11OZIse, -t------ o? ,b/dmond ey Y .. e- a<i& \11-E ce c A4 /V Vil I a PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA101228 Date Issued: 09/27/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4209 Diamond Dr Lot: 2 Block: 8 Addition: Cedar Grove 2nd PID: 10-16701-08-020 Use: Description: Sub Type: e - Water Softener Work Type: New Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Valuation: 500.00 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Champion Plumbing Shirlei Jarchow 3670 Dodd Rd., =100 4209 Diamond Dr Eagan NIN 55123 Eagan MN 55122 (651) 365-1340 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA120881 Date Issued:03/05/2014 Permit Category:ePermit Site Address: 4209 Diamond Dr Lot:2 Block: 8 Addition: Cedar Grove 2nd PID:10-16701-08-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Shirley Jarchow 4209 Diamond Dr Eagan MN 55122 (952) 808-8137 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use 1 411'City of Eaali Permit#: I ilinZSle i L L.- 1 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 Date Received: ,. '( I Phone:(651)675-5675 I buildinginspections(ctJcitvofeagan.com Staff: I 2017 RESIDENTIAL BUILDING PERMIT APPLICATION CGS 620/ Date: Site Address: Unit#: i K x Name: S ki\1. •2,L-.1 -"ro,C CAN2d Les, Phone: �C' S -Q yid R� `r � jam/ e f' Address/City/Zip: 4{ O C\ ]� ��W`� ` , 1J` Applicant is: 510 Owner 'x Contractor Re.k l' C,iib Ss 9 i1 v Description of work: '")G. `r\ ��,`t o 4 \ '� v14(, r n (6(., ,-- 4 f r ! Construction Cost:) 31 0 04) _ c Multi-Family Building:(Yes /No X ) n Company: .k�C.r � 4. , ,ncContact c,a/ tc._\(..rY\G.s r N=E, h Address: OpU T Pr V AyUit'\•CJT O ° s iov State: Zip:c c-1.3/ Phone ,=)-- 113— b Email:ca rlrrVnc-k -k\ - N. License#: 4,7?64' S l Lead Certificate#:l"c\i --f01 4.3 _ If the project is exempt from lead certification, please explain why: 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: ��a ' �, -?e m3 :A'_': e �'!'r s 3'� z s Le€ ` e : '.esu may. e n� t � � s � T's a,�s-.. � x �. "�" z �` mation��i:: f' �-t a `: st{ a P,,Yt a s �!s� �°,9{ter t t}. e i # ,� �a sp %1J e 3', r H ".< K. a; r r f a v3 , s a, 3 . + , *,...x ,a "X'zs ) , 'n ,4 v *.st z,c,. �, z��r ,-„ � � .. ,.5.�.��.„..�,.�.s.,a ,+��:;�.2�; r, s-.-�7.�-:- _ �� -.. >,- .,..� v,.x..,,,�*�=.r�"., .-•cam-��.,��-,x.�.�:, You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. 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. 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. w rw.00pherstateonecall.orq 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 aproved plan in the case of work which requires a review and approval of plans. x x Applicant's Prin ame Applicant's Signature Page 1 of 3 . Le Df),9 ---bk-,,,,1 G, -NY- DO NOT WRITE BELOW THIS LINE I q(p dSZ,4) SUB TYPES _ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) )0 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 New ,b 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 If 2)vac)E .— Occupancy 5 C- I MCES System Plan Review Code Edition mil 2.0 1,5– SAC Units (25%_100% 1A) Zoning `2 ..I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) 20 Final/No C.O. Required Foundation Foundation Before Backfill )o HVAC—Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS ?O 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: %0 WW" Prt: k I y.4 ,Building Inspector RESIDENTIAL FEES Base Fee ;n ; `J'' Fe Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink oF E,q For Office Use // �j' V�•��:',0`'CZ Permit# /`T‘ 7( .._ ... ( 0 - 0 . Permit Fee: ®c e s w av Date Received: 3830 Pilot Knob Road I Eagan MN 55122 ,,/` Staff: q , Phone:(651)675-5675 I buildinginspections@citvofeagan.com 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite#: Resident/Owner Name: i t kJ J J'GJ O(1 Phone: i Address/City/Zip: �a-may % ri �' P f -( Ct. Name: '0 K ?I,L(,w4,9 1••4, --1--(/l.C- License#: PC- /,L/3 i''-/ Contractor Address: ?.Z, L�. p7- S' t(p City: LU ',,-,.5---eel State: V U'V• Zip: ,e Sag,c L Phone: fol S6o /,3 f 5$' 4 Contact:�cc.VL 1`c SIA.-2 V Email: -cur lc �,c.. �j i i t4 -tc✓s ( .C0 44•A Type of Work _New _Replacement —Repair > Rebuild _Modify Space _Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Permit. Type Lawn Irrigation( RPZ/_PVB) Septic System Add Plumbing Fixtures( Main/^Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60,00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround*(includes State Surcharge) 'Water Turnaround(add$280.00 if a 314"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Calf 48 hours before you intend to dig to receive locates of underground utilities. www.00aherstateonecall.org You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacran.com/subscribe. 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 accordan the ved pl in the work which requires a review and approval of plans. /.// I(I -,-c k A icant's d e Applicant's Signature FOR OFFICE USE Reviewed By: Date: , Required Inspections: Under Ground Rough-In Air Test _Gas Test __Final Meter Related Items: Meter Size , Radio Read—. Manometer , Staff: