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4025 Diamond PtCITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N4 4872 PHONE: 454-8100 BUILDING PERMIT x2,200 . Receipt # 1 01 / 9 To be used for Su-m Room Est. Value Date filly 19 Site Address 4025 14 ara^:-d l Z Erect ? xOccuponcy I Lot Block 1; Sec/Sub. - - 3 Alter ? Zoning ? t Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W ,. D. Th Name orpe Move ? # Stories 4025 DI Z q?? E amore Demolish ? 15 ft. Front agan ,-!-. n?--- 454-2252 Grade n Depth 1 ? ft. o A%FPW Tulip S Name amc uU Address Assessment _ ~ Water & Sew. Ph cit one y Police uce Nome Fi W W re I? Address Eng. ceW DL..,.,e Planner 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 State of Minnesota Statutes and City of Eaaan Ordinances. APC - Signature of Perrnittee' r » A Building Permit is issued to: all work shall be done in accordance with Building Official Permit I ' nn Surcharge I , 5fi Plan check SAC Water Conn. Water Meter Totol ` 11 on the express condition that State of Minnesota Statutes and City of Eagan Ordinances. permit # Date Issued per Ithm Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical Final Remarks: Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 2 1 00 2.16 2 Paid WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 No 4972 PHONE: 454-6100 BUILDING PERMIT APPLICATION $2,200 Receipt # 1 n7?-4---- . To be used for Summer Room Est. Value Date 1r:1 V 7- 19--78-- Site Address 4025 $iemefid Pt Erect ? x0ccupancy I Lot2Black ._A Sec/Sub. CQ 4 Alter ? Zoning R7 Parcel # Repair ? Fire Zone. 3 D. D. Thorpe Move ? Type of Const. V W Name # i 402 Diamond PT ? Stories o Address?_ Demolish ? Front 15 ft. city Phone 454-2252 Grade ? Depth L2 ft. Nome Approvals Fees r ou Address t• r:.., Name _ Address hereby acknowledge 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 of Eagan Ordinances. Signature of Permittk A0I 1I?J^ - 10. D D Th Assessment _ Water & Sew. Police - Fire Eng. Planner -- Council _ Bldg. Off. APC Permit 19 00 - Surcharge 1 50 Plan check SAC Water Conn. Water Meter Total Building Permit is issued to: PP on the express condition that all work shall be done in occordan with alkgp le State of Minnesota Statutes and City of Eagan Ordinances. Building Official . Z- " 4?? 4g6 EAGAN TOWNSHIP N° 1380 BUILDING PERMIT Owner Eagan Township Address (present) :.:....... .:.. ------ _............... _.__ - Town Hall Builder ....................... .............................. .... _........... ,-.-. `--_-........._ Date ........... _..---- ---... _.. Address ? DESCRIPTION Stories To Be ------- Used For ----'- Front I Depth Height - --Est. Cost Permit-. Fee _ Remarks i LOCATION Street, Road or other. Description ovation Lot Block I- Addition or Tract 14 &t A?t 7/ -7 This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it 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. T14IS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROG/gESS. This is to certify, that ---5...!4r.:-.. ..:..... - ------------- has permission to 5?`?./ .upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township ado- J- ?Fapril 11, 1955. /J --'---...-----....-------- -- -x .......------------- . ..t'?a?....... .?r - _ r haixman of Tnwn Pord Per ---_ --------- --- f Building I Inspecto S-. r . j0q& DATE 7 17 / e% BUILDING PERMIT APPLICATION include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for t/ Nn. 46 ? J vY? 00 Valuation D Site Addrest; Lot Block See. Sub. 7 O _ (? C/ 3 Owner D. /-) . ' ?'a as v, . >n n . s-s°"! a Parcel Address c?((9?-7 hiamnv ?- Number Telephone 415- 4`' ^ Z 2 contractor Address Arch./Eng. Address Erect Alter Repair Enlarge Move nemolish Grade OFFICE USE Date roval & Initial of Assessment y Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. Telephone Telephone OFFICE USE Occupancy Zoning At,' I Fire Zone Type of Const. # of Stories Front Depth FEES e9? permit Surcharge ----- L-,_ rian Check SAC Water Conn. Water Meter ?T TOTAL / ? SITE PLAN .O-r.qR- Oko0eArY LwE I • , i CJ ? I I F A 0 O ti #--- 15 , r!' ; ?IN ELV }Garage L , LINT ?, (loaf to Js;r 1 Ex, Sf,n? house hoof WfG ?? ?ft/? 2. f'oeT? Mg - 12° X o/2i 3[ Ou rSlde W4?? 1 y ynet-a( ?oo F 5, y'u Y" wP S*-f Ct? Y r-ram (,. Gombinat?ah 1 w?Hde? Wa((s 3?HGom?. loot/' e ?P?r c? 4 p.Qo?,?e ry L iNE I e i ELV. 100 1 LOT EM BLoe-k Ledo-, o/rd ?e 3 ??t?a h Ull`.. STREET ADDRESS ?Z4 ZS / /goond ICI ?y7NT'._i?2oi?Ff_LTY ,LI.Nt 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF 3830 PILOT KNOB RDN 55122 651-681-4675 New Construction Requirements `'X - d--1- -1 Remodel/Repair Requirements > 3 registered site surveys showing sq. H. of lot, sq. N. of house 2 copies of plan and all roofed areas (207, maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) i site survey for exterior additions & decks 1 set of energy calculations > 3 copies of tree preservation plan R lot platted after 7/l/93 DATE: CONSTRUCTION COST: kS ?' DESCRIPTION OF WORK: Y t rev e U r ??c e S\?„ 5 STREET ADDRESS: I1Ck;LS V)?or LOT: BLOCK: SUBD./P.I.D. #: C ?? ( G Y O tLf- PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: or p Oo\? Phone #: lnsl L1 SA-S? Last First Street Address: Nod S o?? r a? '? City State: Yvv. - Zip: S5- a Company: ??,c S \ xS Phone #: IP51 NS53 • o?HA (area code) Street Address: r 3SS \ License # \74,? Exp. City State: ?- Zip: Company: %i? .Sew r?s c Name: tom. ' ?y??[acso Telephone #: area code( t ?S 1 ) t-1S1;4 - Street Address: •3S5- a? Registration #: City tos.. r o? State: a. _ Zip: Sewer & water licensed plumber (required for new construction anlv): lienaity applies when address change and lot change is requested once permit is Issued. 1 hereby acknowledge that I have read this application, 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: OFFICE USE ONLY Certificates of Survey Received Yes _ No SEP 2 0 19S9 Tree Preservation Plan Received - Yes - No - Not Required Use BLUE or BLACK Ink For Office Use I I p5S`6D I Permit ! I 1 I//-~ a City of Eapn (S~ a I 3830 Pilot Knob Road Permit Fee: I I Eagan MN 55122 , I ~ a T ED I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 J U It 9 21 I Staff: I 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: f Site Address: vv7r1.7 Tenant: Suite l /r Name: ~elyplt- Jj L Phone: RESIDENT / OWNER n Address / City / Zip: - C - ~ j Name: z~g 11.~~ _ License CONTRACTOR Address: City: State:4~ Zip: D / Phone: i Contact:' Email: New _A -Replacement Additional Alteration Demolition TYPE OF WORK Description of work: NOTE: Roof mounted an d ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. i RESIDENTIAL COMMERCIAL !S Furnace _ New Construction _ Interior Improvement o PERMIT TYPE it Conditioner Install Piping Processed i f - _ Air Exchanger _ Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank C_ Install Remove) I Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ r `ZT' TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) _ $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (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.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 Ae:,,,Aji4( Applicant's rated Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA107787 Date Issued:10/29/2012 Permit Category:ePermit Site Address: 4025 Diamond Pt Lot:9 Block: 8 Addition: Cedar Grove 3rd PID:10-16702-08-090 Use: Description: Sub Type:e-Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Donald D Thorp 4025 Diamond Pt Eagan MN 55122--283 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature 10' City of Eagan Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: UO LI) Date Received: Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION (-I (i3 Site Address: y 0 2 S Q w& b l/1' (1 C'.. v t- `"e -- Name: Address / City / Zip: Phone: Suite #: J Name: 0. t1 e Address: 7 a c) Pc' — State: 1 " Zip: M, L Phone: Contact: Email: <— New _ Replacement _ Repair Description of work: License #: c1 PAI City: / l ( �.e.ti.- Rebuild Modify Space Work in R.O.W. RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / %Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 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) TOTAL FEES $ d c 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.gooherstateonecall.orq 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 (?J vt1D IAA -eCf Applicant's Printed Name x Applicant's Si Use BLUE or BLACK Ink For Office Use Permit M City of Eat 01~ 41, I Permit Fee. I 3830 Pilot Knob Road Eagan MN 55122 Date Received: l A Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: ~ I I ` 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: `71/ 2115 l/I_Vy1611\A [.V- Unit Name: ~J bh n 1 ~ e b~ Phone: (W* 7/05 Resident/ ),3Z- Owner Address /City /Zip: awov\J 0(~l. ()ZS T 1(~. - ~'VIAJ ~S Applicant is: Owner Contractor Description of work: .(uLt S'~ 1 I„ST YbOsF, C( WA Type of Work -7 Construction Cost: Z Multi-Family Building: (Yes / No ) e-h Company: DuBois Demon & Remodeling, W. Contact: Jb 6'lY1 /J I 6 (5 Contractor Address: 11825 Point Douglas Drive South City: Hastings, NPV 55033 ( \ `State: Zip: Phone: Lf5 _a _ t ~ ~J) 1 qq License CZ001"1,80 Lead Certificate j 1 ~ ICS rt 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at before you intend to dig to receive locates of underground utilities. t651 www.g 454-0002 opherstate for protection against underground utility damage. Call 48 hours onec.ail.oro 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 ce.~ days of permissuan ft d~ , QJO~2_, X Applicant's Printed Name Applica s Signature Page 1 of 3 Use BLUE or BLACK Ink 1 -For OffiiceUse--------- i ; Permit i l TOO *City of Eajan I G~ Permit Fee: i ~O? 3830 Pilot Knob Road Eagan MN 55122 I Date Received: 1 Phone: (651) 675-5675 I /L~ I Fax: (651) 675-5694 1 Staff: N"1_._`_1►__ I J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 4~O Z.f~ i TCIV6 Eff_1V1' Unit ~ Name: N zMAA1 Phone: &1Z--Z-3Z--7(0S_ Resident/ 1r ~~tU/~ Crl ev" ~'1,%° . ' Z. Owner Address/ City /Zip: Applicant is: Owner Contractor Type of Work Description of work: l aC z Construction Cost: C ' Mufti-Family Building: (Yes NoZ_j Company: 1n! l ° S Z Z,yi! e Contact: 10141 Contractor Address: Z3sa- Sr w City: i s t oc/~ State 41/u' Zip: S S` ~ J `e Phone: ~ ' License q Lead Certificate - v i . 7's 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) 4S4-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 1 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. A r ~l~ NJcw151~`, _ x ppIicanrs Printed Name Applicants Sign ie Page 1 of 3 qOo?5 V>aMoA.d /00070 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace Porch (3-Season) Storm Damage Single Family Garage Porch (4-Season) Exterior Alteration (Single Family) Multi _ Deck _ Porch (ScreenlGazetio/Pergola) Exterior Alteration (Multi) 01 of Piex Lower Level Pool Miscellaneous _ Accessory Building WORK TYPES 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 e Valuation _ Occupancy MCES System Plan Review / Code Edition A SAC Units (25%` 100%a-L-10j, Zoning City Water Census Code 114 Stories Booster Pump # of Units / Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction ~ 2 Width REQUIRED 1(NSPECTIONP Footings (New Building) Meter Size: Footings (Deck) Final I 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 Backfiii Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee ? 3 7"' Surcharge Plan Review h' MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use %) Permit #: I `� Permit Fee: Date Received: Staff: L 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION PAI" 55izz- �= Date:9),` ( �'i' I t �Site Address: ®� D.� �1 Tenant: Suite #: Resident/Owner Name: n 1 J rinao Address / City / Zip: trri1) Phone: Name: reit Lek -e-5 C;GI INI ,,I License #: (9 Address: 1 1464) V1► State: Ail IN) Zip: 5.e061 Contact: City: �f/l'lji/11ar t./ Phone` -)) -334 6!-71 b i Z�`1py6 _ tool 3 Email: a vat (akec 012 ehet,ktA (g YYll2j . New _ Replacement Repair Description of work: '16'ii t via 174v,e, / vAA--rt4 Rebuild _ Modify Space _ Work in R.O.W. RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII 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.orq 1 hereby acknowledge that this information is complete and accurate; that the work will be iryconrormance 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 i5 no tart witho t 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 pla x ��( Applicant's Printed Name FOR OFFICE USE' ApIicant's S % nat r Mete Use BLUE or BLACK Ink iForOfficeUse--------- I , . � ' � �� Perrrlit#: / �1.��`T� � ,{�'�� Clty of��Il . ; P�„t F�: �-� - .-�� , �;- �� 3830 Pilot Knob Road � � � r Eagan MN 55122 j Date Receiv�: " �� j Phone:(651 j 675-5675 1 Staff: � I Fax:(651)675-5694 � , � L��J 201 S RESIDENTIAL BUILDING PERMIT APPLICATION Y � Date: .� 3� 15 Site Address: �O��S �bt�-v�-t��/!� ��lr'�� un�t�: � Name: �G�'� ��?!1�' Phone: �U1�`"Z.�Z`7lU �St��I'�' f f 1�v Ot.N _ ; �,� Address/City/Zip: `'{O�,S ��7� � ,� 1 ��,�/ r�l,�J�S�i� ;`; Applicant is: Owner Contractor Description of work: IL�!Gr f��/U ,�,.�I�(�i�� ;: ��.aC"> � G�tj ;; Construction Cost: Mul#i-Family Building: (Yes /No Company: Vl//L "S��l/ //�C Contact: t/�!/GLl�/VforZl.��Y'LD � � ` Address: li3�s�S f�S 7�rf��C��r U�s City: �.S�a�l�Uf<�111 ,��t�'�r ;: State:��Zip: ��L��Phone:��'��"`'�7�7�mai�: � �icense#: �C �fZj 9�q Lead Certiflcate#: lz-'t��Z��-t�-^�0�� If the project is exempf from lead certification, please explain why: (see Page 3 for additional information) �� l7�f��``?�QLtJi'V�Z G(?/J D i�GT�.� D��C�U 774dV POZ%l�/Z- �TG v1�1�/ /<t�4c21,� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDI�IG In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a ma�ter plan? Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer�Water Contractor. Phone: ��»1?��d��, r��i��` '� ��ts`��'��"t�r��'��` �1� �� r� �`�� i�� k� . � ; � y� , � 3 .. t.F fr . � �1E „� w, s y . . . ,. ._. � /:..r....e ,,. ,-'i .s•s�.... , � . u�,,,,w....., ,. .. ...s,...-.,n ... .... . y .��,f '�: } ..^ie,..t "-2 .-.� CALL BEFORE YOU DIG. Call Gopher State One Calf at(657)454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in corrfortnance with the ordinances and codes of the Ciiy of Eagan; that I understand this is not a pertnit, 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 3tate Building Code must be completed within 180 days of permit issuance. X 'W(�G/� 11,�U�(f,B✓-}'fi�'r'�'G1�� X (/( /��,� ApplicanYs Prir�ted Name Applicant's Sign re Page 1 of 3 � � r `7��o �.� �J i`�G';✓{;�t'?� -�'� '� DO NOT WRITE BELOW THIS LINE � �� SUB TYPES Foundation _ Fireplace _ Porch(3-Season) T Exterior Alteration(Single Fam11y) � Single Family _ Garage _ Porch(4-Season) _ F�cterior Alteration(Multi) _ Multi _ Deck � Porch(ScreenlGazebo/Pergolaj _ Miscellaneous _ 01 of_,Piex Lower Level _ Pool _ Accessory Building WORK TYPES �i I�Etc" �,t3��rf�t � �C�v C��-e�4t►�� C-�v�-k t�, � New _ Interior Improvement � Siding , Demolish Buiiding* Addition _ Move Building ` Reroof + Demolish Interior � Alteration _ Fire Repair � Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retalning Wall *Demolition of entlre building-give PC/1 handout to applicant DESCRIPTION Valuation �_/ Occupancy ��, MCES System Plan Review Code Edition `Lnl�S rv►S�i(.r SAC Units (25%_100%,�} Zoning �� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final t C.O. Required Footings(Addition) � Final/No C.O. Required Foundation � HVAC T Gas Service Test Gas L.ine Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In Air Test _Finai Siding:_5tucco Lath iStone Lath _Brick � tnsulation Windows Sheathing Retaining Wall:,Footings_Backfill_Fina{ Sheetrock Radon Control Fire WaUs Pire Suppression:�Rough In^Final Braced Walls Erosion Control Other: Reviewed By:�!�'� ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge � � Plan Review �� `�" ��-�" �k��° MCES SAC City SAC Utility Connection Charge S�W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129889 Date Issued:03/23/2015 Permit Category:ePermit Site Address: 4025 Diamond Pt Lot:9 Block: 8 Addition: Cedar Grove 3rd PID:10-16702-08-090 Use: Description: Sub Type:Residential Work Type:Alteration Description: 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. Fixtures:kitchen sink,dishwasher,disposal. Applicant: Alex Barna Po Box 188 Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 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 - John D Herman 4025 Diamond Pt Eagan MN 55122 (612) 232-7105 Sowada And Barna Plumbing PO Box 188 Cedar MN 55011 (763) 444-0292 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139566 Date Issued:10/28/2016 Permit Category:ePermit Site Address: 4025 Diamond Pt Lot:9 Block: 8 Addition: Cedar Grove 3rd PID:10-16702-08-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 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 D Herman 4025 Diamond Pt Eagan MN 55122 Kaufman Sheet Metal Roofing 2521 24th Ave S Minneapolis MN 55406 (612) 722-0965 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150424 Date Issued:07/09/2018 Permit Category:ePermit Site Address: 4025 Diamond Pt Lot:9 Block: 8 Addition: Cedar Grove 3rd PID:10-16702-08-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John D Herman 4025 Diamond Pt Eagan MN 55122 (612) 232-7105 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163400 Date Issued:08/31/2020 Permit Category:ePermit Site Address: 4025 Diamond Pt Lot:9 Block: 8 Addition: Cedar Grove 3rd PID:10-16702-08-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 D Herman 4025 Diamond Pt Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature